code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
APC,00701,Sr89 strontium ,,,4021.94,4146.34,2
APC,00702,"Inj, human-lans, per i.u ",,,1.68,1.73,2
APC,00703,Inj daxibotulinumtoxina-la ,,,2.97,3.07,2
APC,00704,"Inj, aflibercept hd, 1 mg ",,,289.72,298.68,2
APC,00705,Inj avacincaptad pegol 0.1 ,,,100.11,103.2,2
APC,00706,Inj talquetamab-tgvs 0.25 ,,,74.42,76.72,2
APC,00707,"Cantharidin top, applicato ",,,674.35,695.21,2
APC,00708,"Inj, elranatamab-bcmm, 1 m ",,,186.71,192.48,2
APC,00709,Flortaucipir inj 1 millicu ,,,359.87,371.0,2
APC,00710,Inj velmanase alfa-tycv 1 ,,,464.82,479.19,2
APC,00711,"Inj, artesunate, 1mg ",,,50.27,51.83,2
APC,00713,Inj roctavian ml 2x10^13vc ,,,12177.1,12553.71,2
APC,00714,Inj delandistrogene mox ro ,,,3217390.09,3316897.0,2
APC,00715,Pegunigalsidase alfa-iwxj ,,,218.9,225.66,2
APC,00716,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1001.46,1032.44,2
APC,00717,"Instill adstiladrin, tx do ",,,62401.66,64331.61,2
APC,00719,Inj cyclophos frindovyx 5 ,,,8.65,8.92,2
APC,00720,"Inj glofitamab gxbm, 2.5 m ",,,2778.74,2864.68,2
APC,00721,Inj rozanolixizum-noli 1 m ,,,22.88,23.59,2
APC,00723,Inj efgart-alfa 2mg hya-qv ,,,33.23,34.26,2
APC,00725,Inj secukinumab intrav 1mg ,,,17.69,18.23,2
APC,00726,Dexrazoxane HCl injection ,,,40.2,41.44,2
APC,00727,"Inj, adzynma, 10 iu ",,,35.13,36.21,2
APC,00728,"Inj, mirikizumab-mrkz, 1 m ",,,31.68,32.66,2
APC,00729,"Inj, motixafortide, 0.25 m ",,,25.68,26.48,2
APC,00730,Inj melphalan (hepzato) 1 ,,,777.43,801.48,2
APC,00731,Sargramostim injection ,,,60.6,62.47,2
APC,00732,"Inj, brixadi, 7 days or le ",,,417.66,430.58,2
APC,00733,"Inj brixadi, more than 7 d ",,,1670.64,1722.31,2
APC,00734,"Inj, levothyroxine, freska ",,,6.63,6.84,2
APC,00736,Amphotericin b liposome in ,,,19.25,19.84,2
APC,00737,"Inj, cipaglucosidase, 5 mg ",,,93.41,96.3,2
APC,00738,Rasburicase ,,,375.83,387.45,2
APC,00739,"Inj, rykindo, 0.5 mg ",,,12.64,13.03,2
APC,00740,Inj hydroxocobalamin iv 25 ,,,5.19,5.35,2
APC,00741,Inj cyclophos dr reddys 5 ,,,0.48,0.5,2
APC,00743,"Inj, cyclophosphamide, nos ",,,0.56,0.57,2
APC,00744,Inst tauro 1.35mg/hep 100u ,,,4.08,4.21,2
APC,00745,"Inj, toripalimab-tpzi, 1 m ",,,39.67,40.89,2
APC,00746,"Inj, betibeglogene autotem ",,,2842352.2,2930260.0,2
APC,00747,"Inj, zolbetuximab-clzb, 2 ",,,32.91,33.92,2
APC,00748,"Inj, lovotibeglogene autot ",,,3138244.88,3235304.0,2
APC,00749,Inj travoprost intra impl ,,,190.84,196.75,2
APC,00750,"Inj, nithiodote, 3mg / 125 ",,,2.1,2.17,2
APC,00752,Dactinomycin injection ,,,298.19,307.41,2
APC,00755,Oral methotrexate (jylamvo ,,,15.97,16.47,2
APC,00756,Oral methotrexate (xatmep) ,,,22.23,22.91,2
APC,00757,"Docetaxel (docivyx), 1 mg ",,,44.15,45.51,2
APC,00759,"Naltrexone, depot form ",,,4.39,4.53,2
APC,00760,Tc-99m graphite crucible ,,,318.74,328.6,2
APC,00761,"Inj, focinvez, 1mg ",,,2.38,2.46,2
APC,00763,"Inj, bupivacaine liposome ",,,1.41,1.45,2
APC,00764,Ketorolac tromethamine inj ,,,0.28,0.29,2
APC,00765,"Inj, donanemab-azbt, 2 mg ",,,4.04,4.17,2
APC,00767,"Inj, nogapendekin pmln 1 m ",,,91.48,94.31,2
APC,00768,"Inj, tarlatamab-dlle, 1 mg ",,,1564.05,1612.42,2
APC,00770,In111 oxyquinoline ,,,806.52,831.46,2
APC,00771,In111 pentetate ,,,723.25,745.62,2
APC,00772,"Inj, pegulicianine, 1 mg ",,,36.38,37.51,2
APC,00774,Tc99m bicisate ,,,752.25,775.52,2
APC,00776,Technetium tc-99m auto wbc ,,,906.11,934.13,2
APC,00777,Indium in-111 auto wbc ,,,1070.09,1103.19,2
APC,00778,"Inj, vasopressin (baxter) ",,,1.7,1.75,2
APC,00779,Indium in-111 pentetreotid ,,,1940.91,2000.94,2
APC,00780,Iodine i-123 iobenguane ,,,2247.97,2317.5,2
APC,00781,Iodine i-123 ioflupane ,,,1346.11,1387.74,2
APC,00782,"Inj, pemrydi rtu, 10 mg ",,,65.9,67.94,2
APC,00784,"Inj, tyenne, 1 mg ",,,3.93,4.06,2
APC,00785,"Inj, cyclophosphamd, sando ",,,3.33,3.44,2
APC,00786,"Inj, tofidence, 1 mg ",,,4.86,5.01,2
APC,00798,"Inj, sezaby, 1 mg ",,,1.08,1.12,2
APC,00800,Leuprolide acetate ,,,1786.02,1841.26,2
APC,00802,Etoposide oral 50 mg ,,,85.41,88.06,2
APC,00804,"Capecitabine, oral, 50 mg ",,,0.08,0.08,2
APC,00805,"Hiv prep, inj, cabotegravi ",,,6.96,7.17,2
APC,00806,"Hiv prep, ftc/tdf 200/300m ",,,0.43,0.45,2
APC,00807,Aldesleukin injection ,,,3238.7,3338.87,2
APC,00808,"Hiv prep, ftc/taf 200/25mg ",,,68.12,70.23,2
APC,00811,"Inj, nyposi 1 mcg ",,,1.0,1.03,2
APC,00812,Carmustine injection ,,,232.81,240.01,2
APC,00813,"Injection, imetelstat, 1 m ",,,57.75,59.53,2
APC,00814,"Inj, magtrace per study do ",,,1216.38,1254.0,2
APC,00815,"Inj, palonosetron (posfrea ",,,53.57,55.23,2
APC,00816,"Inj, tislelizumab-jsgr ",,,56.42,58.17,2
APC,00818,"Inj, crovalimab-akkz, 10 m ",,,534.97,551.51,2
APC,00819,"Inj, alyglo, 500 mg ",,,117.9,121.54,2
APC,00821,Indigotindisulfonate sod 1 ,,,9.02,9.3,2
APC,00822,"Inj, romiplostim 1 microgr ",,,11.27,11.62,2
APC,00824,"Inj, exagamglogene autotem ",,,2231879.79,2300907.0,2
APC,00825,Nelarabine injection ,,,63.44,65.41,2
APC,00827,Floxuridine injection ,,,4264.6,4396.49,2
APC,00831,Obecbtge autol up to 400 m ,,,269902.5,278250.0,2
APC,00835,"Datopotamab deruxtecan, 1 ",,,50.92,52.5,2
APC,00837,"Inj, treosulfan, 50 mg ",,,31.36,32.33,2
APC,00839,Inj axatilimab-csfr 0.1 mg ,,,54.77,56.46,2
APC,00840,Inj melpha hydroch nos 50 ,,,101.75,104.9,2
APC,00841,"Inj, docetaxel (beizray) 1 ",,,45.4,46.81,2
APC,00842,"Inj, melphalan (apotex) 1 ",,,62.83,64.78,2
APC,00843,Pegaspargase injection ,,,28774.04,29663.96,2
APC,00844,Pentostatin injection ,,,2617.05,2697.99,2
APC,00845,"Inj, atidarsagene autotemc ",,,4369850.0,4505000.0,2
APC,00846,"Inj, eculizumab-aeeb, 2 mg ",,,39.93,41.17,2
APC,00847,Inj thiotepa nos 1 mg ,,,4.78,4.93,2
APC,00848,Inj nivolumab 2 mg hyaluro ,,,27.3,28.14,2
APC,00852,"Inj, eculizumab-aagh, 2 mg ",,,30.82,31.78,2
APC,00853,Inj zenocutuzumab-zbco 1 m ,,,32.85,33.86,2
APC,00854,In111 capromab ,,,1678.38,1730.29,2
APC,00855,"Inj ustekinumab-stba, 1 mg ",,,2.98,3.08,2
APC,00858,Inj cladribine per 1 mg ,,,7.94,8.19,2
APC,00859,"Inj ustekinumab-aekn, 1 mg ",,,10.21,10.53,2
APC,00860,"I131 iodobenguate, dx ",,,924.42,953.01,2
APC,00861,"I125 serum albumin, dx ",,,454.99,469.06,2
APC,00862,Cr51 chromate ,,,1860.42,1917.96,2
APC,00863,"I125 iothalamate, dx ",,,630.15,649.64,2
APC,00864,Mitoxantrone hydrochl ,,,28.81,29.7,2
APC,00865,"Inj, hercessi, 10 mg ",,,31.49,32.46,2
APC,00866,"Inj, sod thiosulfate (hope ",,,0.81,0.84,2
APC,00869,"Inj ustekinumab-kfce, 1 mg ",,,3.19,3.29,2
APC,00870,Inj. calaspargase pegol-mk ,,,83.22,85.79,2
APC,00871,Inj pemetrexed (bluepoint) ,,,10.28,10.6,2
APC,00872,"Inj. denosumab-bbdz, 1 mg ",,,26.84,27.66,2
APC,00874,Synvisc or synvisc-one ,,,5.84,6.02,2
APC,00875,Euflexxa inj per dose ,,,95.19,98.14,2
APC,00876,Gallium gozellix 1 millicu ,,,1136.16,1171.3,2
APC,00877,Orthovisc inj per dose ,,,97.32,100.33,2
APC,00878,Aztreonam/avibactam 10 mg ,,,1.72,1.77,2
APC,00879,Inj ceftobipole medocarl 3 ,,,1.07,1.1,2
APC,00880,"Hiv prep, inj, lenacapavir ",,,15.6,16.08,2
APC,00881,"Hiv prep, oral lenacapavir ",,,602.28,620.91,2
APC,00882,Inj glucagon (gvoke) 0.01 ,,,1.75,1.8,2
APC,00883,"Inj, ethacrynate sod, 1 mg ",,,12.05,12.42,2
APC,00884,"Inj, fosdenopterin, 0.1mg ",,,17.2,17.74,2
APC,00885,"Inj, isoniazid, 1 mg ",,,0.29,0.3,2
APC,00886,Inj. remestemcel-l-rknd/ t ,,,197550.01,203659.8,2
APC,00887,Azathioprine parenteral ,,,247.12,254.76,2
APC,00888,"Inj. concizumab-mtci, 0.5 ",,,83.57,86.16,2
APC,00889,Injection fitusiran 0.04 m ,,,127.27,131.2,2
APC,00890,Lymphocyte immune globulin ,,,5382.49,5548.96,2
APC,00891,"Inj, denosumab-bmwo, 1 mg ",,,25.2,25.98,2
APC,00892,"Inj, denosumab-bnht, 1 mg ",,,27.95,28.82,2
APC,00893,"Inj, nipocalimab-aahu, 3 m ",,,31.59,32.57,2
APC,00894,Telisotuzumab vedotin-tllv ,,,141.68,146.06,2
APC,00895,Inj ustekinumab-aauz 1 mg ,,,12.76,13.15,2
APC,00896,"Inj, carboprost, 0.1 mg ",,,15.88,16.37,2
APC,00897,"Revakinagene, per implant ",,,253732.31,261579.7,2
APC,00898,Inj meloxicam (azurity) 1m ,,,1.03,1.06,2
APC,00900,"Inj, liothyronine, 1 mcg ",,,38.92,40.13,2
APC,00901,Alpha 1 proteinase inhibit ,,,4.98,5.13,2
APC,00902,"Injection,onabotulinumtoxi ",,,6.31,6.51,2
APC,00903,Cytomegalovirus imm IV /vi ,,,1803.06,1858.82,2
APC,00904,Testosterone pellet 75 mg ,,,70.62,72.8,2
APC,00905,"Inj, posaconazole, 1 mg ",,,0.33,0.34,2
APC,00906,Inj elivaldogene autotemec ,,,3084600.0,3180000.0,2
APC,00907,"Inj, cyclophos (baxter) 5m ",,,4.26,4.39,2
APC,00908,Topi adm prad zami per tre ,,,3187209.51,3285783.0,2
APC,00909,Inj gemcitabin (avyxa) 200 ,,,388.32,400.33,2
APC,00911,"Inj pozelimab-bbfg, 1 mg ",,,88.98,91.73,2
APC,00912,"Inj, wezlana, iv, 1 mg ",,,2.28,2.35,2
APC,00913,Mitomycin intravesical ins ,,,266.11,274.34,2
APC,00914,Ustekinumab-ttwe iv inj 1 ,,,8.3,8.55,2
APC,00915,"Inj cosibelimab-ipdl, 2 mg ",,,21.61,22.27,2
APC,00916,Inj linvoseltamab-gcpt 1 m ,,,96.33,99.31,2
APC,00917,"Inj, carboplatin (avyxa) ",,,5.05,5.2,2
APC,00918,"Inj, jobevne, 10 mg ",,,79.77,82.24,2
APC,00920,Tc99m succimer ,,,640.13,659.93,2
APC,00921,"Inj, tyruko, 1 mg ",,,23.76,24.49,2
APC,00922,Inj onase abepar-brve trea ,,,2584301.16,2664228.0,2
APC,00923,Inj yimmugo 100 mg ,,,23.42,24.14,2
APC,00924,Inj zopapogene per ther do ,,,118243.0,121900.0,2
APC,00925,Factor viii ,,,1.21,1.25,2
APC,00926,Gemcitabine intravesical s ,,,70794.71,72984.24,2
APC,00927,Factor viii recombinant ,,,1.53,1.58,2
APC,00928,Factor ix complex ,,,1.69,1.75,2
APC,00929,Anti-inhibitor ,,,2.37,2.45,2
APC,00930,Pembrolizumab 1mg berahyal ,,,30.98,31.94,2
APC,00931,Factor IX non-recombinant ,,,1.36,1.4,2
APC,00932,Factor ix recombinant nos ,,,1.81,1.86,2
APC,00933,"Suzetrigine, orl, 1mg ",,,0.3,0.31,2
APC,00934,"Inj, denosumab-nxxp, 1 mg ",,,15.19,15.66,2
APC,00935,"Inj. ferumoxytol, 1 mg ",,,0.39,0.4,2
APC,00936,"Inj, leucovorin cal (avyxa ",,,2.5,2.58,2
APC,00937,Inj fosfomycin disodium 20 ,,,0.61,0.63,2
APC,00938,"Narsoplimab-wuug, 1 mg ",,,99.38,102.46,2
APC,00939,"Inj, qivigy, 100mg ",,,28.7,29.59,2
APC,00940,Inj depemokimab-ulaa 1 mg ,,,259.77,267.8,2
APC,00941,Riboflavin epioxa/hd<=2ml ,,,39214.67,40427.5,2
APC,00942,Inj amivantamab 5mg hyalur ,,,39.52,40.74,2
APC,00943,Octagam injection ,,,45.64,47.06,2
APC,00944,Gammagard liquid/erc inj ,,,47.82,49.3,2
APC,00946,Hepagam b im injection ,,,63.64,65.61,2
APC,00947,Flebogamma injection ,,,88.02,90.74,2
APC,00948,Gamunex-C/Gammaked ,,,47.54,49.01,2
APC,00949,"Inj, denosumab-qbde, 1 mg ",,,4.0,4.12,2
APC,00950,"Inj, tocilizumab-anoh, 1 m ",,,4.55,4.69,2
APC,00951,"Inj, denosumab-kyqq, 1 mg ",,,13.58,14.0,2
APC,00952,"Inj ustekinumab-srlf, 1 mg ",,,11.2,11.55,2
APC,00953,Ibuprofen injection ,,,3.15,3.25,2
APC,00957,Inj belantamab mafodot blm ,,,35.16,36.25,2
APC,00961,"Albumin (human),5%, 50ml ",,,10.3,10.62,2
APC,00963,"Albumin (human), 5%, 250 m ",,,51.49,53.08,2
APC,00964,"Albumin (human), 25%, 20 m ",,,20.69,21.33,2
APC,00965,"Albumin (human), 25%, 50ml ",,,51.72,53.32,2
APC,01064,"I131 iodide cap, rx ",,,23.35,24.07,2
APC,01138,"Hepagam b intravenous, inj ",,,63.64,65.61,2
APC,01139,Protein c concentrate ,,,14.62,15.07,2
APC,01142,Supprelin LA implant ,,,36367.21,37491.97,2
APC,01150,"I131 iodide sol, rx ",,,20.15,20.77,2
APC,01168,"Inj, temsirolimus ",,,31.7,32.68,2
APC,01178,Busulfan injection ,,,1.0,1.03,2
APC,01203,Verteporfin injection ,,,11.03,11.37,2
APC,01207,"Octreotide injection, depo ",,,201.85,208.09,2
APC,01213,Antihemophilic viii/vwf co ,,,1.23,1.27,2
APC,01214,Inj IVIG privigen 500 mg ,,,49.68,51.22,2
APC,01232,Mitomycin injection ,,,33.08,34.11,2
APC,01235,Valrubicin injection ,,,1209.64,1247.05,2
APC,01237,Inj iron dextran ,,,18.42,18.99,2
APC,01238,Topotecan oral ,,,121.57,125.33,2
APC,01253,Triamcinolone a inj prs-fr ,,,18.61,19.19,2
APC,01263,Antithrombin iii injection ,,,4.05,4.17,2
APC,01268,Xyntha inj ,,,1.33,1.37,2
APC,01274,Edetate calcium disodium i ,,,6003.8,6189.49,2
APC,01281,Bevacizumab injection ,,,1.81,1.87,2
APC,01289,AbobotulinumtoxinA ,,,8.68,8.95,2
APC,01295,Sm 153 lexidronam ,,,3065.01,3159.8,2
APC,01296,Degarelix injection ,,,4.35,4.48,2
APC,01297,"Ferumoxytol, non-esrd ",,,0.36,0.37,2
APC,01311,Canakinumab injection ,,,151.84,156.54,2
APC,01312,Hizentra injection ,,,14.44,14.88,2
APC,01327,Imiglucerase injection ,,,42.03,43.33,2
APC,01340,"Collagenase, clost hist in ",,,75.95,78.3,2
APC,01352,Wilate injection ,,,1.29,1.33,2
APC,01353,Belimumab injection ,,,56.55,58.3,2
APC,01413,Lumizyme injection ,,,204.79,211.13,2
APC,01415,Glassia injection ,,,5.42,5.58,2
APC,01416,Factor xiii anti-hem facto ,,,10.9,11.23,2
APC,01417,Gel-one ,,,517.58,533.59,2
APC,01420,Aflibercept injection ,,,721.3,743.61,2
APC,01421,Imported lipodox inj ,,,284.93,293.74,2
APC,01426,Eribulin mesylate injectio ,,,58.18,59.98,2
APC,01441,Dom nonHEU Tc99m add-on/do ,,,9.7,10.0,2
APC,01446,Visualization adjunct ,,,10.55,10.87,2
APC,01458,Phentolaine mesylate inj ,,,279.97,288.63,2
APC,01464,Factor viii (porcine) ,,,5.3,5.46,2
APC,01467,Factor ix recombinan rixub ,,,1.67,1.72,2
APC,01468,"Inj, abilify maintena, 1 m ",,,7.24,7.46,2
APC,01469,Inj filgrastim excl biosim ,,,0.98,1.01,2
APC,01471,"Injection, Pertuzumab, 1 m ",,,16.68,17.2,2
APC,01474,Certolizumab pegol inj 1mg ,,,3.34,3.44,2
APC,01475,Golimumab for iv use 1mg ,,,10.7,11.04,2
APC,01476,Obinutuzumab inj ,,,81.93,84.46,2
APC,01478,Inj human fibrinogen con n ,,,1.44,1.49,2
APC,01480,"Elosulfase alfa, injection ",,,309.93,319.52,2
APC,01482,"Darbepoetin alfa, esrd use ",,,2.83,2.92,2
APC,01485,"Ferumoxytol, esrd use ",,,0.36,0.37,2
APC,01486,Factor ix fc fusion recomb ,,,3.6,3.71,2
APC,01488,"Injection, ramucirumab ",,,74.27,76.56,2
APC,01489,Inj vedolizumab iv 1 mg ,,,20.97,21.62,2
APC,01490,Inj pembrolizumab ,,,58.83,60.65,2
APC,01491,New Technology  - Level 1A ,,,4.77,4.92,2
APC,01492,New Technology  - Level 1B ,,,14.78,15.24,2
APC,01493,New Technology  - Level 1C ,,,24.32,25.07,2
APC,01494,New Technology  - Level 1D ,,,33.86,34.91,2
APC,01495,New Technology  - Level 1E ,,,43.4,44.74,2
APC,01496,New Technology  - Level 1A ,,,4.77,4.92,2
APC,01497,New Technology  - Level 1B ,,,14.78,15.24,2
APC,01498,New Technology  - Level 1C ,,,24.32,25.07,2
APC,01499,New Technology  - Level 1D ,,,33.86,34.91,2
APC,01500,New Technology  - Level 1E ,,,43.4,44.74,2
APC,01502,New Technology - Level 2 ( ,,,72.01,74.24,2
APC,01503,New Technology - Level 3 ( ,,,143.54,147.98,2
APC,01504,New Technology - Level 4 ( ,,,238.92,246.31,2
APC,01505,New Technology - Level 5 ( ,,,334.29,344.63,2
APC,01506,New Technology - Level 6 ( ,,,429.67,442.96,2
APC,01507,New Technology - Level 7 ( ,,,525.05,541.28,2
APC,01508,New Technology - Level 8 ( ,,,620.42,639.61,2
APC,01509,New Technology - Level 9 ( ,,,715.8,737.94,2
APC,01510,New Technology - Level 10 ,,,811.17,836.26,2
APC,01511,New Technology - Level 11 ,,,906.55,934.59,2
APC,01512,New Technology - Level 12 ,,,1001.93,1032.91,2
APC,01513,New Technology - Level 13 ,,,1097.3,1131.24,2
APC,01514,New Technology - Level 14 ,,,1192.68,1229.57,2
APC,01515,New Technology - Level 15 ,,,1288.06,1327.89,2
APC,01516,New Technology - Level 16 ,,,1383.43,1426.22,2
APC,01517,New Technology - Level 17 ,,,1478.81,1524.55,2
APC,01518,New Technology - Level 18 ,,,1574.18,1622.87,2
APC,01519,New Technology - Level 19 ,,,1669.56,1721.2,2
APC,01520,New Technology - Level 20 ,,,1764.94,1819.52,2
APC,01521,New Technology - Level 21 ,,,1860.31,1917.85,2
APC,01522,New Technology - Level 22 ,,,2146.44,2212.83,2
APC,01523,New Technology - Level 23 ,,,2623.32,2704.46,2
APC,01524,New Technology - Level 24 ,,,3100.2,3196.09,2
APC,01525,New Technology - Level 25 ,,,3577.09,3687.72,2
APC,01526,New Technology - Level 26 ,,,4053.97,4179.35,2
APC,01527,New Technology - Level 27 ,,,4530.85,4670.98,2
APC,01528,New Technology - Level 28 ,,,5007.73,5162.61,2
APC,01529,New Technology - Level 29 ,,,5484.61,5654.24,2
APC,01530,New Technology - Level 30 ,,,5961.49,6145.87,2
APC,01531,New Technology - Level 31 ,,,6438.37,6637.5,2
APC,01532,New Technology - Level 32 ,,,6915.25,7129.13,2
APC,01533,New Technology - Level 33 ,,,7392.13,7620.76,2
APC,01534,New Technology - Level 34 ,,,7869.02,8112.39,2
APC,01535,New Technology - Level 35 ,,,8345.9,8604.02,2
APC,01536,New Technology - Level 36 ,,,8822.78,9095.65,2
APC,01537,New Technology - Level 37 ,,,9299.66,9587.28,2
APC,01539,New Technology - Level 2 ( ,,,72.01,74.24,2
APC,01540,New Technology - Level 3 ( ,,,143.54,147.98,2
APC,01541,New Technology - Level 4 ( ,,,238.92,246.31,2
APC,01542,New Technology - Level 5 ( ,,,334.29,344.63,2
APC,01543,New Technology - Level 6 ( ,,,429.67,442.96,2
APC,01544,New Technology - Level 7 ( ,,,525.05,541.28,2
APC,01545,New Technology - Level 8 ( ,,,620.42,639.61,2
APC,01546,New Technology - Level 9 ( ,,,715.8,737.94,2
APC,01547,New Technology - Level 10 ,,,811.17,836.26,2
APC,01548,New Technology - Level 11 ,,,906.55,934.59,2
APC,01549,New Technology - Level 12 ,,,1001.93,1032.91,2
APC,01550,New Technology - Level 13 ,,,1097.3,1131.24,2
APC,01551,New Technology - Level 14 ,,,1192.68,1229.57,2
APC,01552,New Technology - Level 15 ,,,1288.06,1327.89,2
APC,01553,New Technology - Level 16 ,,,1383.43,1426.22,2
APC,01554,New Technology - Level 17 ,,,1478.81,1524.55,2
APC,01555,New Technology - Level 18 ,,,1574.18,1622.87,2
APC,01556,New Technology - Level 19 ,,,1669.56,1721.2,2
APC,01557,New Technology - Level 20 ,,,1764.94,1819.52,2
APC,01558,New Technology - Level 21 ,,,1860.31,1917.85,2
APC,01559,New Technology - Level 22 ,,,2146.44,2212.83,2
APC,01560,New Technology - Level 23 ,,,2623.32,2704.46,2
APC,01561,New Technology - Level 24 ,,,3100.2,3196.09,2
APC,01562,New Technology - Level 25 ,,,3577.09,3687.72,2
APC,01563,New Technology - Level 26 ,,,4053.97,4179.35,2
APC,01564,New Technology - Level 27 ,,,4530.85,4670.98,2
APC,01565,New Technology - Level 28 ,,,5007.73,5162.61,2
APC,01566,New Technology - Level 29 ,,,5484.61,5654.24,2
APC,01567,New Technology - Level 30 ,,,5961.49,6145.87,2
APC,01568,New Technology - Level 31 ,,,6438.37,6637.5,2
APC,01569,New Technology - Level 32 ,,,6915.25,7129.13,2
APC,01570,New Technology - Level 33 ,,,7392.13,7620.76,2
APC,01571,New Technology - Level 34 ,,,7869.02,8112.39,2
APC,01572,New Technology - Level 35 ,,,8345.9,8604.02,2
APC,01573,New Technology - Level 36 ,,,8822.78,9095.65,2
APC,01574,New Technology - Level 37 ,,,9299.66,9587.28,2
APC,01575,New Technology - Level 38 ,,,11922.5,12291.24,2
APC,01576,New Technology - Level 39 ,,,16691.31,17207.54,2
APC,01577,New Technology - Level 40 ,,,21460.12,22123.84,2
APC,01578,New Technology - Level 41 ,,,26228.94,27040.14,2
APC,01579,New Technology - Level 42 ,,,33382.15,34414.59,2
APC,01580,New Technology - Level 43 ,,,42919.77,44247.19,2
APC,01581,New Technology - Level 44 ,,,52457.4,54079.79,2
APC,01582,New Technology - Level 45 ,,,61995.02,63912.39,2
APC,01583,New Technology - Level 46 ,,,71532.64,73744.99,2
APC,01584,New Technology - Level 47 ,,,81070.26,83577.59,2
APC,01585,New Technology - Level 48 ,,,90607.89,93410.2,2
APC,01589,New Technology - Level 38 ,,,11922.5,12291.24,2
APC,01590,New Technology - Level 39 ,,,16691.31,17207.54,2
APC,01591,New Technology - Level 40 ,,,21460.12,22123.84,2
APC,01592,New Technology - Level 41 ,,,26228.94,27040.14,2
APC,01593,New Technology - Level 42 ,,,33382.15,34414.59,2
APC,01594,New Technology - Level 43 ,,,42919.77,44247.19,2
APC,01595,New Technology - Level 44 ,,,52457.4,54079.79,2
APC,01596,New Technology - Level 45 ,,,61995.02,63912.39,2
APC,01597,New Technology - Level 46 ,,,71532.64,73744.99,2
APC,01598,New Technology - Level 47 ,,,81070.26,83577.59,2
APC,01599,New Technology - Level 48 ,,,90607.89,93410.2,2
APC,01609,"Rho(D) immune globulin h, ",,,34.72,35.79,2
APC,01613,Trastuzumab injection ,,,68.14,70.24,2
APC,01630,"Hep b ig, im ",,,132.84,136.95,2
APC,01643,"Y90 ibritumomab, rx ",,,55119.81,56824.55,2
APC,01656,Factor viii fc fusion reco ,,,2.5,2.58,2
APC,01658,"Injection, belinostat, 10m ",,,52.81,54.45,2
APC,01660,"Injection, oritavancin ",,,28.84,29.73,2
APC,01662,Inj tedizolid phosphate ,,,2.02,2.08,2
APC,01664,Florbetapir f18 ,,,1741.23,1795.08,2
APC,01670,Tetanus immune globulin in ,,,577.17,595.02,2
APC,01675,P32 na phosphate ,,,269.89,278.24,2
APC,01683,Basiliximab ,,,4757.9,4905.05,2
APC,01685,"Darbepoetin alfa, non-esrd ",,,2.83,2.92,2
APC,01686,"Epoetin alfa, non-esrd ",,,6.67,6.88,2
APC,01687,Digoxin immune fab (ovine) ,,,5134.41,5293.2,2
APC,01688,Ethanolamine oleate ,,,530.85,547.27,2
APC,01689,Fomepizole ,,,6.0,6.18,2
APC,01690,Hemin ,,,34.75,35.82,2
APC,01694,Ziconotide injection ,,,10.29,10.61,2
APC,01696,Palifermin injection ,,,37.53,38.69,2
APC,01700,Inj secretin synthetic hum ,,,41.71,43.0,2
APC,01701,Treprostinil injection ,,,53.1,54.74,2
APC,01704,"Humate-P, inj ",,,1.49,1.53,2
APC,01705,Factor viia recomb novosev ,,,2.69,2.77,2
APC,01710,Clofarabine injection ,,,15.76,16.25,2
APC,01712,Paclitaxel protein bound ,,,6.39,6.59,2
APC,01744,Zidovudine ,,,1.47,1.51,2
APC,01745,Radium ra223 dichloride th ,,,176.1,181.55,2
APC,01746,Factor xiii recomb a-subun ,,,18.54,19.11,2
APC,01747,Monovisc inj per dose ,,,548.32,565.27,2
APC,01748,Inj tbo filgrastim 1 micro ,,,0.23,0.24,2
APC,01809,"Injection, alemtuzumab ",,,2468.59,2544.94,2
APC,01822,"Injection, zarxio ",,,0.34,0.35,2
APC,01823,"Injection, dalbavancin ",,,10.95,11.29,2
APC,01824,Ceftaroline fosamil inj ,,,4.26,4.39,2
APC,01825,Ceftazidime and avibactam ,,,106.47,109.77,2
APC,01826,Hyqvia 100mg immuneglobuli ,,,17.8,18.35,2
APC,01827,Factor viii recomb obizur ,,,3.14,3.24,2
APC,01829,Penicillin g benzathine in ,,,31.61,32.59,2
APC,01832,Dimethyl sulfoxide 50% 50 ,,,726.41,748.88,2
APC,01844,Factor viii pegylated reco ,,,2.06,2.12,2
APC,01846,Factor viii nuwiq recomb 1 ,,,1.18,1.22,2
APC,01847,"Injection, inflectra ",,,26.88,27.71,2
APC,01848,Artiss fibrin sealant ,,,141.3,145.67,2
APC,01850,Gamma globulin 1 cc inj ,,,47.41,48.87,2
APC,01851,Gamma globulin > 10 cc inj ,,,157.64,162.52,2
APC,01853,Minocycline hydrochloride ,,,2.65,2.73,2
APC,01854,Pentobarbital sodium inj ,,,18.72,19.3,2
APC,01856,Factor viii recomb novoeig ,,,1.4,1.44,2
APC,01857,"Inj, factor x, (human), 1i ",,,9.65,9.95,2
APC,01859,Argatroban nonesrd use 1mg ,,,0.84,0.86,2
APC,01861,"Inj., bendeka 1 mg ",,,12.16,12.53,2
APC,01862,Gelsyn-3 injection 0.1 mg ,,,0.57,0.58,2
APC,01901,New Technology - Level 49 ,,,102529.87,105700.9,2
APC,01902,New Technology - Level 49 ,,,102529.87,105700.9,2
APC,01903,New Technology - Level 50 ,,,116836.31,120449.8,2
APC,01904,New Technology - Level 50 ,,,116836.31,120449.8,2
APC,01905,New Technology - Level 51 ,,,131142.74,135198.7,2
APC,01906,New Technology - Level 51 ,,,131142.74,135198.7,2
APC,01907,New Technology - Level 52 ,,,145449.17,149947.6,2
APC,01908,New Technology - Level 52 ,,,145449.17,149947.6,2
APC,02062,"Inj zanidatamab-hrii, 2 mg ",,,24.89,25.66,2
APC,02064,"Inj marstacim-hncq, 0.5 mg ",,,49.66,51.19,2
APC,02065,"Flurpiridaz f18, diag, 1 m ",,,514.1,530.0,2
APC,02066,Inj bortezomib boruzu 0.1 ,,,24.0,24.75,2
APC,02067,Afamitresgene autoleucel ,,,776331.35,800341.6,2
APC,02068,"Inj, aflibercept-ayyh, 1 m ",,,779.16,803.25,2
APC,02069,"Inj, testosterone, azmiro ",,,1.26,1.3,2
APC,02070,"Inj, eculizumab, 2 mg ",,,42.87,44.2,2
APC,02071,Inj ocrelizumab 1mg hya-oc ,,,46.62,48.06,2
APC,02072,"Inj, erzofri, 1 mg ",,,15.4,15.87,2
APC,02073,Inj atezolizumb 5mg hya-tq ,,,31.58,32.55,2
APC,02075,Inj acetaminoph 10mg/ibu 3 ,,,0.09,0.09,2
APC,02076,"Inj, pemetrexed dipotassiu ",,,71.46,73.67,2
APC,02616,"Brachytx, non-str,Yttrium- ",,,17237.88,17771.01,2
APC,02632,Iodine I-125 sodium iodide ,,,384.43,396.32,2
APC,02634,"Brachytx, non-str, HA, I-1 ",,,168.84,174.06,2
APC,02635,"Brachytx, non-str, HA, P-1 ",,,103.55,106.75,2
APC,02636,"Brachy linear, non-str,P-1 ",,,86.72,89.4,2
APC,02638,"Brachytx, stranded, I-125 ",,,34.2,35.26,2
APC,02639,"Brachytx, non-stranded,I-1 ",,,35.54,36.64,2
APC,02640,"Brachytx, stranded, P-103 ",,,85.61,88.26,2
APC,02641,"Brachytx, non-stranded,P-1 ",,,62.55,64.48,2
APC,02642,"Brachytx, stranded, C-131 ",,,115.54,119.11,2
APC,02643,"Brachytx, non-stranded,C-1 ",,,96.81,99.8,2
APC,02645,"Brachytx, non-str, Gold-19 ",,,498.16,513.57,2
APC,02646,"Brachytx, non-str, HDR Ir- ",,,346.77,357.49,2
APC,02647,"Brachytx, NS, Non-HDRIr-19 ",,,881.44,908.7,2
APC,02648,"Brachytx planar, p-103 ",,,4.55,4.69,2
APC,02698,"Brachytx, stranded, NOS ",,,34.2,35.26,2
APC,02699,"Brachytx, non-stranded, NO ",,,35.54,36.64,2
APC,02731,"Immune globulin, powder ",,,78.53,80.96,2
APC,04017,Radiation tx delivery lvl ,,,75.81,78.16,2
APC,04018,Radiation tx delivery lvl ,,,302.95,312.32,2
APC,04019,Radiation tx delivery lvl ,,,373.36,384.91,2
APC,05012,Clinic Visits and Related ,,,129.73,133.74,2
APC,05021,Level 1 Type A ED Visits ,,,82.17,84.71,2
APC,05022,Level 2 Type A ED Visits ,,,149.62,154.24,2
APC,05023,Level 3 Type A ED Visits ,,,265.99,274.22,2
APC,05024,Level 4 Type A ED Visits ,,,406.59,419.16,2
APC,05025,Level 5 Type A ED Visits ,,,580.3,598.24,2
APC,05031,Level 1 Type B ED Visits ,,,72.43,74.67,2
APC,05032,Level 2 Type B ED Visits ,,,90.51,93.31,2
APC,05033,Level 3 Type B ED Visits ,,,167.49,172.67,2
APC,05034,Level 4 Type B ED Visits ,,,257.54,265.51,2
APC,05035,Level 5 Type B ED Visits ,,,400.22,412.6,2
APC,05041,Critical Care ,,,804.9,829.79,2
APC,05045,Trauma Response with Criti ,,,1298.81,1338.98,2
APC,05051,Level 1 Skin Procedures ,,,195.5,201.55,2
APC,05052,Level 2 Skin Procedures ,,,396.12,408.37,2
APC,05053,Level 3 Skin Procedures ,,,720.17,742.44,2
APC,05054,Level 4 Skin Procedures ,,,2010.5,2072.68,2
APC,05055,Level 5 Skin Procedures ,,,3453.08,3559.87,2
APC,05061,Hyperbaric Oxygen ,,,134.09,138.24,2
APC,05071,Level 1 Excision/ Biopsy/ ,,,690.02,711.36,2
APC,05072,Level 2 Excision/ Biopsy/ ,,,1609.35,1659.12,2
APC,05073,Level 3 Excision/ Biopsy/ ,,,2830.41,2917.95,2
APC,05091,Level 1 Breast/Lymphatic S ,,,3815.28,3933.28,2
APC,05092,Level 2 Breast/Lymphatic S ,,,6470.31,6670.43,2
APC,05093,Level 3 Breast/Lymphatic S ,,,7964.31,8210.63,2
APC,05094,Level 4 Breast/Lymphatic S ,,,13428.44,13843.75,2
APC,05101,Level 1 Strapping and Cast ,,,158.34,163.24,2
APC,05102,Level 2 Strapping and Cast ,,,272.54,280.97,2
APC,05111,Level 1 Musculoskeletal Pr ,,,240.36,247.79,2
APC,05112,Level 2 Musculoskeletal Pr ,,,1566.86,1615.32,2
APC,05113,Level 3 Musculoskeletal Pr ,,,3188.3,3286.91,2
APC,05114,Level 4 Musculoskeletal Pr ,,,7070.6,7289.28,2
APC,05115,Level 5 Musculoskeletal Pr ,,,12510.27,12897.19,2
APC,05116,Level 6 Musculoskeletal Pr ,,,17085.31,17613.72,2
APC,05117,Level 7 Musculoskeletal Pr ,,,26439.94,27257.67,2
APC,05151,Level 1 Airway Endoscopy ,,,194.5,200.52,2
APC,05152,Level 2 Airway Endoscopy ,,,381.11,392.9,2
APC,05153,Level 3 Airway Endoscopy ,,,1734.37,1788.01,2
APC,05154,Level 4 Airway Endoscopy ,,,3632.98,3745.34,2
APC,05155,Level 5 Airway Endoscopy ,,,6876.93,7089.62,2
APC,05161,Level 1 ENT Procedures ,,,230.79,237.93,2
APC,05162,Level 2 ENT Procedures ,,,525.53,541.79,2
APC,05163,Level 3 ENT Procedures ,,,1511.89,1558.65,2
APC,05164,Level 4 ENT Procedures ,,,3230.65,3330.57,2
APC,05165,Level 5 ENT Procedures ,,,5768.4,5946.81,2
APC,05166,Cochlear Implant Procedure ,,,32128.7,33122.37,2
APC,05181,Level 1 Vascular Procedure ,,,611.26,630.16,2
APC,05182,Level 2 Vascular Procedure ,,,1533.89,1581.33,2
APC,05183,Level 3 Vascular Procedure ,,,3076.71,3171.87,2
APC,05184,Level 4 Vascular Procedure ,,,5422.15,5589.84,2
APC,05191,Level 1 Endovascular Proce ,,,3159.0,3256.7,2
APC,05192,Level 2 Endovascular Proce ,,,5545.97,5717.5,2
APC,05193,Level 3 Endovascular Proce ,,,11248.89,11596.79,2
APC,05194,Level 4 Endovascular Proce ,,,17862.71,18415.17,2
APC,05200,Implantation Wireless PA P ,,,27949.64,28814.06,2
APC,05211,Level 1 Electrophysiologic ,,,1186.39,1223.09,2
APC,05212,Level 2 Electrophysiologic ,,,7600.15,7835.21,2
APC,05213,Level 3 Electrophysiologic ,,,25469.25,26256.96,2
APC,05221,Level 1 Pacemaker and Simi ,,,3641.37,3753.99,2
APC,05222,Level 2 Pacemaker and Simi ,,,8063.71,8313.1,2
APC,05223,Level 3 Pacemaker and Simi ,,,10184.63,10499.62,2
APC,05224,Level 4 Pacemaker and Simi ,,,18768.98,19349.46,2
APC,05231,Level 1 ICD and Similar Pr ,,,21674.59,22344.94,2
APC,05232,Level 2 ICD and Similar Pr ,,,30585.94,31531.9,2
APC,05241,Level 1 Blood Product Exch ,,,429.89,443.18,2
APC,05242,Level 2 Blood Product Exch ,,,1517.59,1564.52,2
APC,05243,Level 3 Blood Product Exch ,,,4244.09,4375.35,2
APC,05244,Level 4 Blood Product Exch ,,,61292.12,63187.75,2
APC,05301,Level 1 Upper GI Procedure ,,,883.78,911.12,2
APC,05302,Level 2 Upper GI Procedure ,,,1869.82,1927.65,2
APC,05303,Level 3 Upper GI Procedure ,,,3756.85,3873.04,2
APC,05311,Level 1 Lower GI Procedure ,,,906.17,934.2,2
APC,05312,Level 2 Lower GI Procedure ,,,1166.03,1202.09,2
APC,05313,Level 3 Lower GI Procedure ,,,2704.66,2788.31,2
APC,05331,Complex GI Procedures ,,,5915.61,6098.56,2
APC,05341,Level 1 Abdominal/Peritone ,,,3488.81,3596.72,2
APC,05342,Level 2 Abdominal/Peritone ,,,6308.22,6503.32,2
APC,05361,Level 1 Laparoscopy and Re ,,,5890.88,6073.08,2
APC,05362,Level 2 Laparoscopy and Re ,,,10357.92,10678.27,2
APC,05371,Level 1 Urology and Relate ,,,243.46,250.99,2
APC,05372,Level 2 Urology and Relate ,,,679.46,700.47,2
APC,05373,Level 3 Urology and Relate ,,,2036.91,2099.91,2
APC,05374,Level 4 Urology and Relate ,,,3434.81,3541.04,2
APC,05375,Level 5 Urology and Relate ,,,5224.64,5386.23,2
APC,05376,Level 6 Urology and Relate ,,,9224.31,9509.6,2
APC,05377,Level 7 Urology and Relate ,,,12855.97,13253.58,2
APC,05378,Level 8 Urology and Relate ,,,20195.95,20820.57,2
APC,05401,Dialysis ,,,668.76,689.44,2
APC,05411,Level 1 Gynecologic Proced ,,,197.0,203.09,2
APC,05412,Level 2 Gynecologic Proced ,,,296.93,306.12,2
APC,05413,Level 3 Gynecologic Proced ,,,897.49,925.25,2
APC,05414,Level 4 Gynecologic Proced ,,,3154.32,3251.88,2
APC,05415,Level 5 Gynecologic Proced ,,,4874.49,5025.24,2
APC,05416,Level 6 Gynecologic Proced ,,,7225.75,7449.23,2
APC,05431,Level 1 Nerve Procedures ,,,1902.77,1961.62,2
APC,05432,Level 2 Nerve Procedures ,,,3328.76,3431.72,2
APC,05433,Level 3 Nerve Procedures ,,,8551.36,8815.84,2
APC,05441,Level 1 Nerve Injections ,,,299.1,308.35,2
APC,05442,Level 2 Nerve Injections ,,,687.82,709.1,2
APC,05443,Level 3 Nerve Injections ,,,861.85,888.5,2
APC,05461,Level 1 Neurostimulator an ,,,3406.68,3512.04,2
APC,05462,Level 2 Neurostimulator an ,,,6209.97,6402.03,2
APC,05463,Level 3 Neurostimulator an ,,,10857.67,11193.47,2
APC,05464,Level 4 Neurostimulator an ,,,18903.86,19488.52,2
APC,05465,Level 5 Neurostimulator an ,,,30068.36,30998.31,2
APC,05471,Implantation of Drug Infus ,,,17562.81,18105.99,2
APC,05481,Laser Eye Procedures ,,,535.93,552.5,2
APC,05491,Level 1 Intraocular Proced ,,,2248.79,2318.34,2
APC,05492,Level 2 Intraocular Proced ,,,4027.69,4152.26,2
APC,05493,Level 3 Intraocular Proced ,,,5185.19,5345.55,2
APC,05494,Level 4 Intraocular Proced ,,,14135.04,14572.21,2
APC,05495,Level 5 Intraocular Proced ,,,13596.04,14016.54,2
APC,05496,Level 6 Intraocular Proced ,,,16039.76,16535.84,2
APC,05501,"Level 1 Extraocular, Repai ",,,309.29,318.85,2
APC,05502,"Level 2 Extraocular, Repai ",,,971.38,1001.42,2
APC,05503,"Level 3 Extraocular, Repai ",,,2316.67,2388.32,2
APC,05504,"Level 4 Extraocular, Repai ",,,3830.83,3949.31,2
APC,05521,Level 1 Imaging without Co ,,,84.8,87.42,2
APC,05522,Level 2 Imaging without Co ,,,101.87,105.02,2
APC,05523,Level 3 Imaging without Co ,,,232.5,239.69,2
APC,05524,Level 4 Imaging without Co ,,,532.44,548.9,2
APC,05571,Level 1 Imaging with Contr ,,,170.91,176.2,2
APC,05572,Level 2 Imaging with Contr ,,,339.95,350.46,2
APC,05573,Level 3 Imaging with Contr ,,,763.87,787.49,2
APC,05591,Level 1 Nuclear Medicine a ,,,389.55,401.59,2
APC,05592,Level 2 Nuclear Medicine a ,,,529.08,545.44,2
APC,05593,Level 3 Nuclear Medicine a ,,,1261.53,1300.55,2
APC,05594,Level 4 Nuclear Medicine a ,,,1393.37,1436.46,2
APC,05611,Level 1 Therapeutic Radiat ,,,130.97,135.02,2
APC,05612,Level 2 Therapeutic Radiat ,,,364.85,376.14,2
APC,05613,Level 3 Therapeutic Radiat ,,,1348.72,1390.44,2
APC,05621,Level 1 Radiation Therapy ,,,99.42,102.5,2
APC,05622,Level 2 Radiation Therapy ,,,375.83,387.45,2
APC,05623,Level 3 Radiation Therapy ,,,538.41,555.06,2
APC,05624,Level 4 Radiation Therapy ,,,678.66,699.65,2
APC,05625,Level 5 Radiation Therapy ,,,1217.77,1255.44,2
APC,05626,Level 6 Radiation Therapy ,,,1742.31,1796.2,2
APC,05627,Level 7 Radiation Therapy ,,,7176.89,7398.85,2
APC,05661,Therapeutic Nuclear Medici ,,,227.37,234.4,2
APC,05671,Level 1 Pathology ,,,50.78,52.35,2
APC,05672,Level 2 Pathology ,,,166.01,171.15,2
APC,05673,Level 3 Pathology ,,,349.28,360.08,2
APC,05674,Level 4 Pathology ,,,785.07,809.35,2
APC,05691,Level 1 Drug Administratio ,,,45.63,47.04,2
APC,05692,Level 2 Drug Administratio ,,,70.16,72.33,2
APC,05693,Level 3 Drug Administratio ,,,207.26,213.67,2
APC,05694,Level 4 Drug Administratio ,,,321.86,331.81,2
APC,05721,Level 1 Diagnostic Tests a ,,,125.38,129.26,2
APC,05722,Level 2 Diagnostic Tests a ,,,210.4,216.91,2
APC,05723,Level 3 Diagnostic Tests a ,,,363.61,374.86,2
APC,05724,Level 4 Diagnostic Tests a ,,,836.77,862.65,2
APC,05731,Level 1 Minor Procedures ,,,28.18,29.06,2
APC,05732,Level 2 Minor Procedures ,,,36.4,37.52,2
APC,05733,Level 3 Minor Procedures ,,,57.48,59.26,2
APC,05734,Level 4 Minor Procedures ,,,129.64,133.65,2
APC,05735,Level 5 Minor Procedures ,,,435.3,448.76,2
APC,05741,Level 1 Electronic Analysi ,,,36.37,37.49,2
APC,05742,Level 2 Electronic Analysi ,,,92.64,95.5,2
APC,05743,Level 3 Electronic Analysi ,,,299.28,308.54,2
APC,05771,Cardiac Rehabilitation ,,,125.61,129.5,2
APC,05781,Resuscitation and Cardiove ,,,644.04,663.96,2
APC,05791,Pulmonary Treatment ,,,213.38,219.97,2
APC,05801,Ventilation Initiation and ,,,601.99,620.6,2
APC,05811,Manipulation Therapy ,,,21.04,21.69,2
APC,05821,Level 1 Health and Behavio ,,,36.51,37.64,2
APC,05822,Level 2 Health and Behavio ,,,98.99,102.05,2
APC,05823,Level 3 Health and Behavio ,,,172.96,178.3,2
APC,05851,Intensive Outpatient (3 se ,,,121.83,125.6,2
APC,05852,Intensive Outpatient (4 or ,,,159.64,164.58,2
APC,05853,Partial Hospitalization (3 ,,,121.83,125.6,2
APC,05854,Partial Hospitalization (4 ,,,159.64,164.58,2
APC,05861,Intensive Outpatient (3 se ,,,304.61,314.03,2
APC,05862,Intensive Outpatient (4 or ,,,399.1,411.45,2
APC,05863,Partial Hospitalization (3 ,,,304.61,314.03,2
APC,05864,Partial Hospitalization (4 ,,,399.1,411.45,2
APC,05871,Dental Procedures ,,,629.95,649.43,2
APC,05881,Ancillary Outpatient Servi ,,,13570.97,13990.69,2
APC,06000,PMA Skin Substitute Produc ,,,121.26,125.01,2
APC,06001,510K Skin Substitute Produ ,,,121.26,125.01,2
APC,06002,HCT/P Skin Substitute Prod ,,,121.26,125.01,2
APC,07043,Infliximab not biosimil 10 ,,,30.53,31.48,2
APC,07046,Doxorubicin inj 10mg ,,,113.11,116.61,2
APC,07048,Alteplase recombinant ,,,95.63,98.59,2
APC,07308,Aminolevulinic acid hcl to ,,,377.6,389.28,2
APC,08004,Ultrasound Composite ,,,286.67,295.54,2
APC,08005,CT and CTA without Contras ,,,215.62,222.29,2
APC,08006,CT and CTA with Contrast C ,,,418.61,431.55,2
APC,08007,MRI and MRA without Contra ,,,512.98,528.85,2
APC,08008,MRI and MRA with Contrast ,,,826.99,852.57,2
APC,08010,Mental Health Services Com ,,,399.1,411.45,2
APC,08011,Comprehensive Observation ,,,2548.6,2627.42,2
APC,09002,Tenecteplase injection ,,,210.9,217.42,2
APC,09003,Rsv mab im 50mg ,,,423.65,436.75,2
APC,09004,"Injection, inclisiran, 1 m ",,,12.52,12.9,2
APC,09006,Tacrolimus injection ,,,260.13,268.18,2
APC,09007,Inj cutaquig 100 mg ,,,13.61,14.03,2
APC,09008,"Inj tezepelumab-ekko, 1mg ",,,17.38,17.92,2
APC,09009,"Inj, vutrisiran, 1 mg ",,,4862.22,5012.6,2
APC,09010,Inj efgartigimod 2mg ,,,31.58,32.55,2
APC,09013,Inj risankizumab-rzaaÂ1 m ,,,14.1,14.53,2
APC,09014,"Inj., cerliponase alfa 1 m ",,,119.68,123.38,2
APC,09016,"Inj., triptorelin xr 3.75 ",,,3705.34,3819.93,2
APC,09017,"Inj. byooviz, 0.1 mg ",,,233.74,240.97,2
APC,09018,"Inj, rimabotulinumtoxinB ",,,12.89,13.29,2
APC,09020,Argatroban nonesrd (accord ,,,1.76,1.81,2
APC,09025,"Inj glucagon hcl, freseniu ",,,125.4,129.28,2
APC,09026,"Inj, bortezomib, dr. reddy ",,,3.36,3.46,2
APC,09027,"Inj, bortezomib freseniusk ",,,6.76,6.97,2
APC,09028,Inj inotuzumab ozogam 0.1 ,,,2786.91,2873.1,2
APC,09029,"Inj., guselkumab, 1 mg ",,,64.91,66.92,2
APC,09031,"Inj, etelcalcetide, 0.1 mg ",,,2.39,2.47,2
APC,09032,Baclofen 10 MG injection ,,,180.52,186.11,2
APC,09033,Cidofovir injection ,,,519.66,535.74,2
APC,09034,"Inj cuvitru, 100 mg ",,,17.6,18.15,2
APC,09035,Axicabtagene ciloleucel ca ,,,545625.87,562500.9,2
APC,09036,"Injection, renflexis ",,,25.82,26.61,2
APC,09038,Inj estrogen conjugate ,,,389.46,401.5,2
APC,09042,Glucagon hydrochloride ,,,113.81,117.33,2
APC,09043,"Inj, afstyla, 1 i.u. ",,,1.57,1.62,2
APC,09044,Ibutilide fumarate injecti ,,,170.61,175.89,2
APC,09045,Idursulfase injection ,,,552.94,570.04,2
APC,09046,"Inj., fibryga, 1 mg ",,,1.2,1.23,2
APC,09048,"Inj, alymsys, 10 mg ",,,77.55,79.94,2
APC,09050,"Leuprolide inj, camcevi, 1 ",,,40.8,42.06,2
APC,09051,"Inj, lanreotide, (cipla) 1 ",,,19.72,20.33,2
APC,09052,Fluciclovine f-18 ,,,312.6,322.27,2
APC,09053,Fluorodopa f-18 diag per m ,,,829.88,855.55,2
APC,09054,Lutetium lu 177 vipivotide ,,,259.3,267.32,2
APC,09055,Gallium locametz 1 millicu ,,,351.63,362.5,2
APC,09056,Gallium ga-68 ,,,48.14,49.63,2
APC,09057,Inj nivol relatlimab 3mg/1 ,,,199.35,205.51,2
APC,09059,Vonvendi inj 1 iu vwf:rco ,,,1.76,1.81,2
APC,09063,Rh ig minidose im ,,,77.6,80.0,2
APC,09067,Lutetium lu 177 dotatat th ,,,339.7,350.21,2
APC,09068,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,2
APC,09070,Inj luxturna 1 billion vec ,,,2977.55,3069.64,2
APC,09071,Capsaicin 8% patch ,,,3.4,3.51,2
APC,09073,Buprenorph xr 100 mg or le ,,,2006.11,2068.16,2
APC,09075,"Inj, kovaltry, 1 i.u. ",,,1.55,1.59,2
APC,09078,Testosterone undecanoate 1 ,,,2.08,2.15,2
APC,09079,"Genvisc 850, inj, 1mg ",,,3.69,3.81,2
APC,09087,"Inj, clevidipine, 1 mg ",,,2.75,2.84,2
APC,09088,Peng benzathine/procaine i ,,,18.94,19.52,2
APC,09094,Radiesse injection ,,,333.04,343.34,2
APC,09095,"Inj, sculptra, 0.5mg ",,,2.06,2.12,2
APC,09097,Inj retacrit non-esrd use ,,,7.73,7.97,2
APC,09099,"Inj fosnetupitant, palonos ",,,488.73,503.85,2
APC,09101,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,2
APC,09102,"Inj, fulvestrant (teva) ",,,40.42,41.67,2
APC,09103,"Inj, fulvestrant (freseniu ",,,26.3,27.11,2
APC,09104,Antithymocyte globuln rabb ,,,1026.06,1057.79,2
APC,09105,Inj pemetrexed (teva) 10mg ,,,10.66,10.99,2
APC,09108,Thyrotropin injection ,,,2093.9,2158.66,2
APC,09109,"Inj, elahere, 1 mg ",,,69.83,71.99,2
APC,09110,"Inj, tremelimumab-actl, 1 ",,,142.49,146.89,2
APC,09111,Inj teclistamab cqyv 0.5 m ,,,34.26,35.32,2
APC,09112,Inj teplizumab mzwv 5 mcg ,,,38.04,39.22,2
APC,09113,Inj olipudase alfa-rpcp 1m ,,,392.8,404.95,2
APC,09114,Inj eflapegrastim-xnst 0.1 ,,,37.41,38.56,2
APC,09115,"Inj, spesolimab-sbzo, 1 mg ",,,63.76,65.73,2
APC,09117,"Inj, cimerli, 0.1 mg ",,,80.05,82.53,2
APC,09118,"Inj, fylnetra, 0.5 mg ",,,101.96,105.11,2
APC,09119,"Inj, pedmark, 100 mg ",,,93.88,96.78,2
APC,09122,Triptorelin pamoate ,,,452.37,466.37,2
APC,09123,"Inj pemetrexed, hospira 10 ",,,2.85,2.94,2
APC,09125,"Risperidone, long acting ",,,10.77,11.11,2
APC,09126,Natalizumab injection ,,,23.67,24.41,2
APC,09127,Inj pemetrexed (accord) 10 ,,,9.44,9.74,2
APC,09129,"Inj, stimufend, 0.5 mg ",,,139.36,143.67,2
APC,09130,"Inj, imm glob bivigam, 500 ",,,78.8,81.24,2
APC,09131,"Inj, Ado-trastuzumab Emt 1 ",,,42.32,43.63,2
APC,09132,Prothrombin complex kcentr ,,,1.95,2.01,2
APC,09133,"Rabies ig, im/sc ",,,272.75,281.19,2
APC,09134,"Rabies ig, heat treated ",,,341.87,352.44,2
APC,09135,"Varicella-zoster ig, im ",,,2422.8,2497.73,2
APC,09136,Inj leu acet lutr dpt 7.5 ,,,666.67,687.29,2
APC,09138,"Inj, hemgenix, per tx dose ",,,3580706.5,3691450.0,2
APC,09139,"Rabies vaccine, im ",,,322.02,331.98,2
APC,09140,"Rabies vaccine, id ",,,229.75,236.86,2
APC,09141,Inj onase abepar-xioi trea ,,,2599636.86,2680038.0,2
APC,09142,FecalÂmicrobiota jslm 1 m ,,,63.64,65.6,2
APC,09144,"Inj, panzyga, 500 mg ",,,69.21,71.35,2
APC,09145,"Inj, invega hafyera/trinza ",,,12.86,13.26,2
APC,09146,"Inj, ixinity, 1 i.u. ",,,1.88,1.94,2
APC,09149,"Inj ublituximab-xiiy, 1 mg ",,,70.07,72.24,2
APC,09150,"Inj mosunetuzumab-axgb, 1 ",,,654.26,674.5,2
APC,09154,"Inj, vivimusta, 1 mg ",,,29.02,29.91,2
APC,09155,Inj lenacapavir (hiv tx) 1 ,,,22.25,22.94,2
APC,09157,"Lecanemab-irmb, for iv inj ",,,1.28,1.32,2
APC,09158,"Inj, pegcetacoplan, 1mg ",,,144.48,148.94,2
APC,09159,"Inj, vegzelma, 10 mg ",,,22.94,23.65,2
APC,09166,"Inj, fosaprepitant (teva) ",,,0.03,0.04,2
APC,09171,Factor ix idelvion inj ,,,5.34,5.51,2
APC,09173,"Injection, fulphila ",,,65.01,67.02,2
APC,09174,"Inj, durolane 1 mg ",,,6.05,6.24,2
APC,09178,"Inj., meropenem, vaborbact ",,,2.16,2.22,2
APC,09179,"Inj., aristada initio, 1 m ",,,3.36,3.46,2
APC,09180,"Inj., patisiran, 0.1 mg ",,,98.0,101.03,2
APC,09181,"Inj., perseris, 0.5 mg ",,,11.84,12.2,2
APC,09182,"Inj mogamulizumab-kpkc, 1 ",,,250.78,258.54,2
APC,09183,"Inj., plazomicin, 5 mg ",,,3.41,3.52,2
APC,09186,"Inj., rituximab, 10 mg ",,,71.08,73.28,2
APC,09187,"Injection, burosumab-twza ",,,497.97,513.37,2
APC,09189,"Inj., ibalizumab-uiyk, 10 ",,,77.13,79.51,2
APC,09190,"Inj., vestronidase alfa-vj ",,,282.79,291.54,2
APC,09193,Nivestym ,,,0.31,0.32,2
APC,09194,Tisagenlecleucel car-pos t ,,,593342.4,611693.2,2
APC,09195,"Injection, udenyca 0.5 mg ",,,144.66,149.13,2
APC,09196,"Inj, trivisc 1 mg ",,,2.94,3.04,2
APC,09198,"Inj andexxa, 10 mg ",,,127.23,131.16,2
APC,09199,"Injection, caplacizumab-yh ",,,813.99,839.17,2
APC,09200,"Inj, remdesivir, 1 mg ",,,7.29,7.51,2
APC,09201,Rabies ig ht&sol human im/ ,,,235.9,243.2,2
APC,09203,Inj cyclophosphamd auromed ,,,0.48,0.49,2
APC,09204,"Inj tisotu vedotin-tftv, 1 ",,,190.24,196.12,2
APC,09205,Inj lon tesirin-lpyl 0.075 ,,,219.81,226.61,2
APC,09206,Inj plasminogen tvmh 1mg ,,,37.27,38.42,2
APC,09208,Agalsidase beta injection ,,,225.74,232.72,2
APC,09209,Laronidase injection ,,,40.24,41.49,2
APC,09213,Inj. pemetrexed nos 10mg ,,,6.74,6.95,2
APC,09214,Bevacizumab injection ,,,72.58,74.82,2
APC,09215,Cetuximab injection ,,,79.22,81.67,2
APC,09217,Leuprolide acetate suspnsi ,,,155.53,160.34,2
APC,09219,Procainamide hcl injection ,,,286.5,295.36,2
APC,09224,Galsulfase injection ,,,510.19,525.97,2
APC,09225,Fluocinolone acetonide imp ,,,328.64,338.8,2
APC,09230,Abatacept injection ,,,44.48,45.86,2
APC,09233,Ranibizumab injection ,,,49.56,51.09,2
APC,09235,Panitumumab injection ,,,176.72,182.19,2
APC,09237,"Inj, lanreotide acetate ",,,36.31,37.43,2
APC,09239,Buprenorphine xr over 100 ,,,2006.11,2068.16,2
APC,09240,"Injection, ixabepilone ",,,135.56,139.75,2
APC,09241,Inj sirolimus prot part 1 ,,,88.3,91.03,2
APC,09243,"Inj, bendamustine hcl, 1mg ",,,2.87,2.96,2
APC,09246,"Inj, abilify asimtufii, 1 ",,,6.0,6.18,2
APC,09247,"Inj, amisulpride, 1 mg ",,,9.28,9.57,2
APC,09250,Inj epcoritamab-bysp 0.16 ,,,56.25,57.99,2
APC,09251,C1 esterase inhibitor inj ,,,64.75,66.75,2
APC,09252,Plerixafor injection ,,,27.63,28.49,2
APC,09253,Temozolomide injection ,,,10.1,10.41,2
APC,09254,Flotufolastat f18 diag 1 m ,,,705.73,727.56,2
APC,09255,"Inj, invega sustenna, 1 mg ",,,14.97,15.43,2
APC,09256,Dexamethasone intra implan ,,,197.55,203.66,2
APC,09257,"Inj., emicizumab-kxwh 0.5 ",,,56.29,58.03,2
APC,09258,Telavancin injection ,,,7.26,7.48,2
APC,09259,Pralatrexate injection ,,,374.54,386.12,2
APC,09260,Ofatumumab injection ,,,60.37,62.23,2
APC,09262,Inj tofersen intrathec 1 m ,,,159.87,164.82,2
APC,09263,Ecallantide injection ,,,578.07,595.94,2
APC,09264,Tocilizumab injection ,,,5.25,5.41,2
APC,09266,"Inj, uzedy, 1 mg ",,,25.4,26.18,2
APC,09267,"Inj, rezafungin, 1 mg ",,,10.67,11.0,2
APC,09268,Inj. acthar gel to 40 unit ,,,4009.45,4133.45,2
APC,09269,"C-1 esterase, berinert ",,,76.88,79.26,2
APC,09270,Gammaplex IVIG ,,,64.28,66.27,2
APC,09271,Velaglucerase alfa ,,,381.06,392.84,2
APC,09272,"Inj, denosumab ",,,29.2,30.1,2
APC,09273,Sipuleucel-T auto CD54+ ,,,54254.46,55932.43,2
APC,09274,Crotalidae Poly Immune Fab ,,,1818.73,1874.98,2
APC,09275,"Inj. (ani), up to 40 units ",,,3564.44,3674.68,2
APC,09276,Cabazitaxel injection ,,,226.72,233.73,2
APC,09277,Altuviiio per factor viii ,,,4.49,4.63,2
APC,09278,Incobotulinumtoxin A ,,,5.13,5.29,2
APC,09280,"Inj, retifanlimab-dlwr, 1 ",,,30.05,30.98,2
APC,09281,"Injection, pegloticase ",,,3811.46,3929.34,2
APC,09284,Ipilimumab injection ,,,184.72,190.43,2
APC,09285,Inj allopurinol sodium 1 m ,,,3.95,4.07,2
APC,09286,Belatacept injection ,,,3.77,3.88,2
APC,09287,Brentuximab vedotin inj ,,,270.83,279.21,2
APC,09293,"Injection, glucarpidase ",,,428.34,441.59,2
APC,09294,"Inj, taliglucerase alfa 10 ",,,41.39,42.67,2
APC,09295,"Injection, Carfilzomib, 1 ",,,58.48,60.29,2
APC,09296,"Inj, ziv-aflibercept, 1mg ",,,8.41,8.67,2
APC,09299,Inj. jivi 1 iu ,,,2.67,2.76,2
APC,09300,Omalizumab injection ,,,45.19,46.59,2
APC,09301,"Aminolevulinic acid, 10% g ",,,1.79,1.85,2
APC,09302,"Inj daunorubicin, cytarabi ",,,264.7,272.89,2
APC,09304,"Inj., cemiplimab-rwlc, 1 m ",,,28.78,29.67,2
APC,09305,"Inj., lumoxiti, 0.01 mg ",,,22.69,23.39,2
APC,09306,"Inj., tildrakizumab, 1 mg ",,,120.54,124.27,2
APC,09308,Dexametha opth insert 0.1 ,,,87.32,90.02,2
APC,09309,Inj. tagraxofusp-erzs 10 m ,,,346.8,357.52,2
APC,09310,"Inj., emapalumab-lzsg, 1 m ",,,381.0,392.78,2
APC,09311,"Inj., omadacycline, 1 mg ",,,4.06,4.19,2
APC,09312,"Inj., ravulizumab-cwvz 10 ",,,220.11,226.92,2
APC,09313,Inj. belrapzo/bendamustine ,,,11.25,11.6,2
APC,09314,"Inj. herceptin hylecta, 10 ",,,56.59,58.34,2
APC,09320,Carbidopa levodopa ent 100 ,,,237.16,244.5,2
APC,09321,Fosphenytoin inj pe ,,,0.65,0.67,2
APC,09322,Bcg live intravesical 1mg ,,,3.27,3.38,2
APC,09323,Gallium ga-68 dotatoc ,,,3.5,3.61,2
APC,09324,Phenylep ketorolac opth so ,,,93.42,96.31,2
APC,09325,"Inj., eravacycline, 1 mg ",,,1.34,1.38,2
APC,09326,"Inj., lanadelumab-flyo, 1 ",,,85.57,88.22,2
APC,09327,Inj. romosozumab-aqqg 1 mg ,,,12.35,12.73,2
APC,09328,"Inj., yutiq, 0.01 mg ",,,513.99,529.89,2
APC,09329,Inj mvasi 10 mg ,,,23.8,24.53,2
APC,09330,"Inj., kanjinti, 10 mg ",,,58.71,60.52,2
APC,09331,"Inj, polatuzumab vedotin 1 ",,,139.3,143.61,2
APC,09335,Oral busulfan ,,,9.82,10.12,2
APC,09336,Inj truxima 10 mg ,,,33.53,34.56,2
APC,09338,"Inj., triluron, 1 mg ",,,10.12,10.43,2
APC,09340,"Inj, brolucizumab-dbll, 1 ",,,348.92,359.71,2
APC,09341,Inj  ogivri 10 mg ,,,30.99,31.95,2
APC,09343,Inj givosiran 0.5 mg ,,,117.29,120.92,2
APC,09345,Inj pegfilgrastim-bmez 0.5 ,,,128.13,132.1,2
APC,09346,Mometasone sinus sinuva ,,,11.0,11.35,2
APC,09347,Inj luspatercept-aamt 0.25 ,,,42.21,43.51,2
APC,09348,"Inj., zirabev, 10 mg ",,,25.11,25.89,2
APC,09349,Inj herzuma 10 mg ,,,53.29,54.94,2
APC,09350,"Inj., trazimera, 10 mg ",,,12.64,13.03,2
APC,09351,Inj bimatoprost itc imp 1m ,,,207.34,213.76,2
APC,09353,Inj fam-trastu deru-nxki 1 ,,,31.89,32.87,2
APC,09354,Inj recombin esperoct per ,,,2.23,2.3,2
APC,09355,Inj. teprotumumab-trbw 10 ,,,368.5,379.9,2
APC,09357,Inj. eptinezumab-jjmr 1 mg ,,,20.47,21.1,2
APC,09358,Inj xipere 1 mg ,,,46.34,47.77,2
APC,09359,Inj crizanlizumab-tmca 5mg ,,,126.04,129.94,2
APC,09361,Inj. cetirizine hcl 0.5mg ,,,16.36,16.87,2
APC,09364,Inj enfort vedo-ejfv 0.25m ,,,35.56,36.66,2
APC,09367,"Inj ruxience, 10 mg ",,,15.68,16.16,2
APC,09370,Fluoroestradiol F 18 ,,,446.61,460.42,2
APC,09372,"Inj. xembify, 100 mg ",,,14.79,15.24,2
APC,09374,Mitomycin instillation ,,,320.04,329.94,2
APC,09375,"Inj., evomela, 1 mg ",,,17.5,18.04,2
APC,09376,Sacituzumab govitecan-hziy ,,,36.51,37.64,2
APC,09377,Inj. isatuximab-irfc 10 mg ,,,85.52,88.16,2
APC,09378,"Daratumumab, hyaluronidase ",,,55.34,57.05,2
APC,09381,"Inj. avsola, 10 mg ",,,29.91,30.83,2
APC,09382,Inj ontruzant 10 mg ,,,20.36,20.99,2
APC,09383,Copper cu 64 dotatate diag ,,,576.45,594.28,2
APC,09385,"Inj., tafasitamab-cxix ",,,14.0,14.43,2
APC,09388,Inj. fe derisomaltose 10 m ,,,20.44,21.08,2
APC,09389,"Inj. lurbinectedin, 0.1 mg ",,,209.47,215.95,2
APC,09390,"Pertuzu, trastuzu, 10 mg ",,,58.1,59.9,2
APC,09391,Brexucabtagene car pos t ,,,494800.78,510103.9,2
APC,09392,Inj. asceniv ,,,493.86,509.14,2
APC,09394,"Inj. inebilizumab-cdon, 1 ",,,495.33,510.65,2
APC,09395,Factor viia recomb sevenfa ,,,2.13,2.19,2
APC,09396,"Afamelanotide implant, 1 m ",,,2855.12,2943.42,2
APC,09398,Covid-19 Vaccine Administr ,,,39.6,40.83,2
APC,09399,"Pneumococcal, Influenza, H ",,,35.15,36.23,2
APC,09406,"Inj, nyvepria ",,,132.8,136.91,2
APC,09407,"Inj. lumasiran, 0.5 mg ",,,326.86,336.97,2
APC,09408,"Inj. naxitamab-gqgk, 1 mg ",,,664.35,684.9,2
APC,09409,Gallium ga-68 psma-11 ucsf ,,,533.63,550.13,2
APC,09410,"Gallium ga-68 psma-11, ucl ",,,352.59,363.5,2
APC,09411,"Inj. riabni, 10 mg ",,,17.98,18.53,2
APC,09412,"Injection, casimersen, 10 ",,,161.19,166.17,2
APC,09413,lisocabtagene car pos t ,,,562183.48,579570.6,2
APC,09414,"Inj, cabote rilpivir 2mg 3 ",,,23.93,24.67,2
APC,09415,"Injection, trilaciclib, 1m ",,,5.3,5.46,2
APC,09416,"Inj, evinacumab-dgnb, 5 mg ",,,191.7,197.63,2
APC,09418,"Inj. margetuximab-cmkb, 5 ",,,54.75,56.44,2
APC,09419,Inj fensolvi 0.25 mg ,,,140.95,145.31,2
APC,09420,Eptifibatide injection ,,,3.75,3.87,2
APC,09421,"Inj, granisetron, xr, 0.1 ",,,3.12,3.22,2
APC,09422,Idecabtagene vicleucel car ,,,550938.47,567977.8,2
APC,09426,"Inj, cefiderocol, 10 mg ",,,2.47,2.55,2
APC,09427,"Injection, oritavancin 10 ",,,45.99,47.41,2
APC,09428,Inj romidepsin non-lyo 0.1 ,,,32.58,33.59,2
APC,09429,Inj romidepsin lyophil 0.1 ,,,29.79,30.71,2
APC,09430,"Piflu f-18, dia 1 millicur ",,,336.1,346.49,2
APC,09431,"Inj, dostarlimab-gxly, 10 ",,,243.76,251.3,2
APC,09432,"Inj, amivantamab-vmjw ",,,22.52,23.22,2
APC,09433,Inj aval alfa-nqpt 4mg ,,,81.43,83.94,2
APC,09434,Inj anifrolumab-fnia 1mg ,,,17.95,18.51,2
APC,09436,Inj pegfilgrast ex bio 0.5 ,,,138.94,143.23,2
APC,09437,"Inj, aspara, rylaze, 0.1 m ",,,56.94,58.7,2
APC,09439,"Inj, susvimo 0.1 mg ",,,72.55,74.8,2
APC,09440,"Instill, bupivac and melox ",,,0.82,0.85,2
APC,09441,Inj ferric carboxymaltos 1 ,,,1.1,1.13,2
APC,09442,"Inj. pemetrexed, 10 mg ",,,7.75,7.99,2
APC,09443,Gallium illuccix 1 millicu ,,,464.16,478.52,2
APC,09444,"Inj, sutimlimab-jome, 10 m ",,,19.05,19.64,2
APC,09445,"Injection, ruconest ",,,36.7,37.83,2
APC,09446,"Inj, tebentafusp-tebn, 1 m ",,,221.17,228.01,2
APC,09447,"Inj, releuko 1 mcg ",,,0.3,0.31,2
APC,09448,"Oral netupitant, palonoset ",,,459.82,474.04,2
APC,09449,"Injection, blinatumomab ",,,167.71,172.9,2
APC,09450,Fluocinol acet intravit im ,,,500.91,516.41,2
APC,09451,"Injection, peramivir ",,,1.63,1.68,2
APC,09452,Inj ceftolozane tazobactam ,,,9.74,10.04,2
APC,09453,"Injection, nivolumab ",,,33.2,34.22,2
APC,09454,"Inj, pasireotide long acti ",,,598.21,616.71,2
APC,09455,"Injection, siltuximab ",,,168.84,174.07,2
APC,09456,"Injection, isavuconazonium ",,,1.0,1.03,2
APC,09458,Florbetaben f18 diagnostic ,,,1511.4,1558.14,2
APC,09459,Flutemetamol f18 diagnosti ,,,1854.12,1911.47,2
APC,09460,"Injection, cangrelor ",,,19.67,20.27,2
APC,09461,Choline c-11 ,,,2440.94,2516.43,2
APC,09463,"Inj., aprepitant, 1 mg ",,,1.54,1.59,2
APC,09466,"Inj., benralizumab, 1 mg ",,,160.6,165.56,2
APC,09467,"Inj rituximab, hyaluronida ",,,35.3,36.39,2
APC,09468,Factor ix recomb gly rebin ,,,4.53,4.67,2
APC,09469,Inj triamcinolone ace xr 1 ,,,18.7,19.28,2
APC,09470,Aripirazole lauroxil 1 mg ,,,3.45,3.56,2
APC,09471,"Hyaluronan, hymo or hymo o ",,,17.59,18.13,2
APC,09472,Inj talimogene laherparepv ,,,75.02,77.34,2
APC,09473,"Injection, mepolizumab, 1m ",,,31.31,32.28,2
APC,09474,Inj irinotecan liposome 1 ,,,63.89,65.86,2
APC,09475,"Injection, necitumumab, 1 ",,,5.56,5.73,2
APC,09476,"Injection, daratumumab 10 ",,,71.56,73.77,2
APC,09477,"Injection, elotuzumab, 1mg ",,,7.94,8.19,2
APC,09478,Inj sebelipase alfa 1 mg ,,,523.41,539.6,2
APC,09480,Injection trabectedin 0.1m ,,,398.16,410.48,2
APC,09481,"Injection, reslizumab ",,,11.38,11.73,2
APC,09483,"Inj, atezolizumab,10 mg ",,,93.65,96.55,2
APC,09484,"Inj, eteplirsen, 10 mg ",,,162.4,167.43,2
APC,09487,"Ustekinumab, iv inject,1 m ",,,11.02,11.36,2
APC,09489,"Inj, nusinersen, 0.1mg ",,,1293.45,1333.45,2
APC,09490,"Inj, bezlotoxumab, 10 mg ",,,38.63,39.83,2
APC,09491,"Injection, avelumab, 10 mg ",,,105.38,108.64,2
APC,09492,"Inj., durvalumab, 10 mg ",,,85.31,87.95,2
APC,09493,"Injection, edaravone, 1 mg ",,,6.27,6.46,2
APC,09494,"Injection, ocrelizumab ",,,59.14,60.97,2
APC,09495,Gemtuzumab ozogamicin inj ,,,239.95,247.37,2
APC,09496,"Inj, faricimab-svoa, 0.1mg ",,,31.41,32.38,2
APC,09498,Ciltacabtagene car-pos t ,,,570338.47,587977.8,2
APC,09500,"Platelets, irradiated ",,,381.18,392.97,2
APC,09501,Platelet pheres leukoreduc ,,,496.24,511.59,2
APC,09502,Platelet pheresis irradiat ,,,920.66,949.13,2
APC,09503,Fr frz plasma donor retest ,,,51.65,53.25,2
APC,09504,RBC deglycerolized ,,,303.61,313.0,2
APC,09505,RBC irradiated ,,,140.86,145.22,2
APC,09507,"Platelets, pheresis ",,,299.69,308.96,2
APC,09508,Plasma 1 donor frz w/in 8 ,,,83.4,85.98,2
APC,09509,"Frozen plasma, pooled, sd ",,,54.28,55.96,2
APC,09510,Whole blood for transfusio ,,,184.14,189.84,2
APC,09511,Cryoprecipitate each unit ,,,69.79,71.95,2
APC,09512,RBC leukocytes reduced ,,,179.36,184.91,2
APC,09513,"Plasma, frz between 8-24ho ",,,71.56,73.77,2
APC,09514,"Plasma protein fract,5%,50 ",,,7.87,8.11,2
APC,09515,"Platelets, each unit ",,,51.57,53.17,2
APC,09516,Plaelet rich plasma unit ,,,543.0,559.79,2
APC,09517,Red blood cells unit ,,,146.05,150.57,2
APC,09518,Washed red blood cells uni ,,,357.52,368.58,2
APC,09519,"Plasmaprotein fract,5%,250 ",,,34.26,35.32,2
APC,09520,Blood split unit ,,,151.16,155.84,2
APC,09521,Platelets leukoreduced irr ,,,183.9,189.59,2
APC,09522,RBC leukoreduced irradiate ,,,257.45,265.41,2
APC,09523,Cryoprecipitatereducedplas ,,,128.09,132.05,2
APC,09524,"Blood, l/r, cmv-neg ",,,147.03,151.58,2
APC,09525,"Platelets, hla-m, l/r, uni ",,,686.82,708.06,2
APC,09526,Platelets leukocytes reduc ,,,139.93,144.26,2
APC,09527,"Blood, l/r, froz/degly/was ",,,257.23,265.19,2
APC,09528,"Plt, aph/pher, l/r, cmv-ne ",,,242.98,250.49,2
APC,09529,"Blood, l/r, irradiated ",,,82.01,84.55,2
APC,09530,Plate pheres leukoredu irr ,,,660.19,680.61,2
APC,09531,"Plt, pher, l/r cmv-neg, ir ",,,488.35,503.45,2
APC,09532,"RBC, frz/deg/wsh, l/r, irr ",,,410.01,422.69,2
APC,09533,"RBC, l/r, cmv-neg, irrad ",,,241.92,249.4,2
APC,09534,Pathogen reduced plasma po ,,,54.11,55.78,2
APC,09535,Pathogen reduced plasma si ,,,285.65,294.48,2
APC,09536,Platelets pheresis path re ,,,589.21,607.43,2
APC,09537,Blood component/product no ,,,34.26,35.32,2
APC,09538,Plasma cryo redu path each ,,,129.75,133.76,2
APC,09539,Cryo fib comp path redu ea ,,,532.8,549.28,2
APC,09540,Covid-19 convalescent plas ,,,659.63,680.03,2
APC,09541,Rbc o2 co2 reduced ,,,496.24,511.59,2
APC,1064,"I131 iodide cap, rx ",,,23.95,63.06,70
APC,1064,"I131 iodide cap, rx Other Outpatient",,,25.27,25.27,6
APC,1138,"Hepagam b intravenous, inj ",,,65.28,171.9,70
APC,1138,"Hepagam b intravenous, inj Other Outpatient",,,68.89,68.89,6
APC,1139,Protein c concentrate ,,,15.0,39.49,70
APC,1139,Protein c concentrate Other Outpatient,,,15.82,15.82,6
APC,1142,Supprelin LA implant ,,,37304.51,98228.96,70
APC,1142,Supprelin LA implant Other Outpatient,,,39366.57,39366.57,6
APC,1150,"I131 iodide sol, rx ",,,20.67,54.42,70
APC,1150,"I131 iodide sol, rx Other Outpatient",,,21.81,21.81,6
APC,1168,"Inj, temsirolimus ",,,32.52,85.62,70
APC,1168,"Inj, temsirolimus Other Outpatient",,,34.32,34.32,6
APC,1178,Busulfan injection ,,,1.03,2.71,70
APC,1178,Busulfan injection Other Outpatient,,,1.08,1.08,6
APC,1203,Verteporfin injection ,,,11.32,29.8,70
APC,1203,Verteporfin injection Other Outpatient,,,11.94,11.94,6
APC,1207,"Octreotide injection, depo ",,,207.05,545.21,70
APC,1207,"Octreotide injection, depo Other Outpatient",,,218.5,218.5,6
APC,1213,Antihemophilic viii/vwf co ,,,1.26,3.32,70
APC,1213,Antihemophilic viii/vwf co Other Outpatient,,,1.33,1.33,6
APC,1214,Inj IVIG privigen 500 mg ,,,50.96,134.19,70
APC,1214,Inj IVIG privigen 500 mg Other Outpatient,,,53.78,53.78,6
APC,1232,Mitomycin injection ,,,33.94,89.36,70
APC,1232,Mitomycin injection Other Outpatient,,,35.81,35.81,6
APC,1235,Valrubicin injection ,,,1240.81,3267.26,70
APC,1235,Valrubicin injection Other Outpatient,,,1309.4,1309.4,6
APC,1237,Inj iron dextran ,,,18.9,49.76,70
APC,1237,Inj iron dextran Other Outpatient,,,19.94,19.94,6
APC,1238,Topotecan oral ,,,124.71,328.38,70
APC,1238,Topotecan oral Other Outpatient,,,131.6,131.6,6
APC,1253,Triamcinolone a inj prs-fr ,,,19.09,50.27,70
APC,1253,Triamcinolone a inj prs-fr Other Outpatient,,,20.15,20.15,6
APC,1263,Antithrombin iii injection ,,,4.15,10.94,70
APC,1263,Antithrombin iii injection Other Outpatient,,,4.38,4.38,6
APC,1268,Xyntha inj ,,,1.36,3.59,70
APC,1268,Xyntha inj Other Outpatient,,,1.44,1.44,6
APC,1274,Edetate calcium disodium i ,,,6158.54,16216.46,70
APC,1274,Edetate calcium disodium i Other Outpatient,,,6498.96,6498.96,6
APC,1281,Bevacizumab injection ,,,1.86,4.9,70
APC,1281,Bevacizumab injection Other Outpatient,,,1.96,1.96,6
APC,1289,AbobotulinumtoxinA ,,,8.9,23.44,70
APC,1289,AbobotulinumtoxinA Other Outpatient,,,9.39,9.39,6
APC,1295,Sm 153 lexidronam ,,,3144.0,8278.68,70
APC,1295,Sm 153 lexidronam Other Outpatient,,,3317.79,3317.79,6
APC,1296,Degarelix injection ,,,4.46,11.74,70
APC,1296,Degarelix injection Other Outpatient,,,4.71,4.71,6
APC,1297,"Ferumoxytol, non-esrd ",,,0.37,0.97,70
APC,1297,"Ferumoxytol, non-esrd Other Outpatient",,,0.39,0.39,6
APC,1311,Canakinumab injection ,,,155.76,410.14,70
APC,1311,Canakinumab injection Other Outpatient,,,164.37,164.37,6
APC,1312,Hizentra injection ,,,14.81,38.99,70
APC,1312,Hizentra injection Other Outpatient,,,15.63,15.63,6
APC,1327,Imiglucerase injection ,,,43.11,113.51,70
APC,1327,Imiglucerase injection Other Outpatient,,,45.49,45.49,6
APC,1340,"Collagenase, clost hist in ",,,77.91,205.14,70
APC,1340,"Collagenase, clost hist in Other Outpatient",,,82.21,82.21,6
APC,1352,Wilate injection ,,,1.32,3.47,70
APC,1352,Wilate injection Other Outpatient,,,1.39,1.39,6
APC,1353,Belimumab injection ,,,58.0,152.74,70
APC,1353,Belimumab injection Other Outpatient,,,61.21,61.21,6
APC,1413,Lumizyme injection ,,,210.07,553.16,70
APC,1413,Lumizyme injection Other Outpatient,,,221.68,221.68,6
APC,1415,Glassia injection ,,,5.56,14.63,70
APC,1415,Glassia injection Other Outpatient,,,5.86,5.86,6
APC,1416,Factor xiii anti-hem facto ,,,11.18,29.44,70
APC,1416,Factor xiii anti-hem facto Other Outpatient,,,11.8,11.8,6
APC,1417,Gel-one ,,,530.92,1398.01,70
APC,1417,Gel-one Other Outpatient,,,560.27,560.27,6
APC,1420,Aflibercept injection ,,,739.89,1948.25,70
APC,1420,Aflibercept injection Other Outpatient,,,780.79,780.79,6
APC,1421,Imported lipodox inj ,,,297.25,782.7,70
APC,1421,Imported lipodox inj Other Outpatient,,,313.68,313.68,6
APC,1426,Eribulin mesylate injectio ,,,59.68,157.14,70
APC,1426,Eribulin mesylate injectio Other Outpatient,,,62.98,62.98,6
APC,1441,Dom nonHEU Tc99m add-on/do ,,,9.95,26.2,70
APC,1441,Dom nonHEU Tc99m add-on/do Other Outpatient,,,10.5,10.5,6
APC,1446,Visualization adjunct ,,,10.82,28.48,70
APC,1446,Visualization adjunct Other Outpatient,,,11.42,11.42,6
APC,1458,Phentolaine mesylate inj ,,,287.18,756.2,70
APC,1458,Phentolaine mesylate inj Other Outpatient,,,303.06,303.06,6
APC,1464,Factor viii (porcine) ,,,5.43,14.31,70
APC,1464,Factor viii (porcine) Other Outpatient,,,5.73,5.73,6
APC,1467,Factor ix recombinan rixub ,,,1.71,4.5,70
APC,1467,Factor ix recombinan rixub Other Outpatient,,,1.8,1.8,6
APC,1468,"Inj, abilify maintena, 1 m ",,,7.42,19.55,70
APC,1468,"Inj, abilify maintena, 1 m Other Outpatient",,,7.84,7.84,6
APC,1469,Inj filgrastim excl biosim ,,,1.0,2.64,70
APC,1469,Inj filgrastim excl biosim Other Outpatient,,,1.06,1.06,6
APC,1471,"Injection, Pertuzumab, 1 m ",,,17.11,45.06,70
APC,1471,"Injection, Pertuzumab, 1 m Other Outpatient",,,18.06,18.06,6
APC,1474,Certolizumab pegol inj 1mg ,,,3.43,9.02,70
APC,1474,Certolizumab pegol inj 1mg Other Outpatient,,,3.62,3.62,6
APC,1475,Golimumab for iv use 1mg ,,,10.98,28.91,70
APC,1475,Golimumab for iv use 1mg Other Outpatient,,,11.59,11.59,6
APC,1476,Obinutuzumab inj ,,,84.04,221.29,70
APC,1476,Obinutuzumab inj Other Outpatient,,,88.69,88.69,6
APC,1478,Inj human fibrinogen con n ,,,1.48,3.9,70
APC,1478,Inj human fibrinogen con n Other Outpatient,,,1.56,1.56,6
APC,1480,"Elosulfase alfa, injection ",,,317.92,837.13,70
APC,1480,"Elosulfase alfa, injection Other Outpatient",,,335.49,335.49,6
APC,1482,"Darbepoetin alfa, esrd use ",,,2.91,7.65,70
APC,1482,"Darbepoetin alfa, esrd use Other Outpatient",,,3.07,3.07,6
APC,1485,"Ferumoxytol, esrd use ",,,0.37,0.97,70
APC,1485,"Ferumoxytol, esrd use Other Outpatient",,,0.39,0.39,6
APC,1486,Factor ix fc fusion recomb ,,,3.69,9.72,70
APC,1486,Factor ix fc fusion recomb Other Outpatient,,,3.9,3.9,6
APC,1488,"Injection, ramucirumab ",,,76.18,200.6,70
APC,1488,"Injection, ramucirumab Other Outpatient",,,80.39,80.39,6
APC,1489,Inj vedolizumab iv 1 mg ,,,21.51,56.65,70
APC,1489,Inj vedolizumab iv 1 mg Other Outpatient,,,22.7,22.7,6
APC,1490,Inj pembrolizumab ,,,60.34,158.89,70
APC,1490,Inj pembrolizumab Other Outpatient,,,63.68,63.68,6
APC,1491,New Technology  - Level 1A ,,,4.89,12.88,70
APC,1491,New Technology  - Level 1A Other Outpatient,,,5.16,5.16,6
APC,1492,New Technology  - Level 1B ,,,15.16,39.93,70
APC,1492,New Technology  - Level 1B Other Outpatient,,,16.0,16.0,6
APC,1493,New Technology  - Level 1C ,,,24.95,65.69,70
APC,1493,New Technology  - Level 1C Other Outpatient,,,26.33,26.33,6
APC,1494,New Technology  - Level 1D ,,,34.73,91.45,70
APC,1494,New Technology  - Level 1D Other Outpatient,,,36.65,36.65,6
APC,1495,New Technology  - Level 1E ,,,44.51,117.21,70
APC,1495,New Technology  - Level 1E Other Outpatient,,,46.98,46.98,6
APC,1496,New Technology  - Level 1A ,,,4.89,12.88,70
APC,1496,New Technology  - Level 1A Other Outpatient,,,5.16,5.16,6
APC,1497,New Technology  - Level 1B ,,,15.16,39.93,70
APC,1497,New Technology  - Level 1B Other Outpatient,,,16.0,16.0,6
APC,1498,New Technology  - Level 1C ,,,24.95,65.69,70
APC,1498,New Technology  - Level 1C Other Outpatient,,,26.33,26.33,6
APC,1499,New Technology  - Level 1D ,,,34.73,91.45,70
APC,1499,New Technology  - Level 1D Other Outpatient,,,36.65,36.65,6
APC,1500,New Technology  - Level 1E ,,,44.51,117.21,70
APC,1500,New Technology  - Level 1E Other Outpatient,,,46.98,46.98,6
APC,1502,New Technology - Level 2 ( ,,,73.86,194.5,70
APC,1502,New Technology - Level 2 ( Other Outpatient,,,77.95,77.95,6
APC,1503,New Technology - Level 3 ( ,,,147.24,387.71,70
APC,1503,New Technology - Level 3 ( Other Outpatient,,,155.38,155.38,6
APC,1504,New Technology - Level 4 ( ,,,245.08,645.32,70
APC,1504,New Technology - Level 4 ( Other Outpatient,,,258.62,258.62,6
APC,1505,New Technology - Level 5 ( ,,,342.91,902.94,70
APC,1505,New Technology - Level 5 ( Other Outpatient,,,361.86,361.86,6
APC,1506,New Technology - Level 6 ( ,,,440.74,1160.55,70
APC,1506,New Technology - Level 6 ( Other Outpatient,,,465.11,465.11,6
APC,1507,New Technology - Level 7 ( ,,,538.58,1418.17,70
APC,1507,New Technology - Level 7 ( Other Outpatient,,,568.35,568.35,6
APC,1508,New Technology - Level 8 ( ,,,636.41,1675.78,70
APC,1508,New Technology - Level 8 ( Other Outpatient,,,671.59,671.59,6
APC,1509,New Technology - Level 9 ( ,,,734.25,1933.39,70
APC,1509,New Technology - Level 9 ( Other Outpatient,,,774.83,774.83,6
APC,1510,New Technology - Level 10 ,,,832.08,2191.01,70
APC,1510,New Technology - Level 10 Other Outpatient,,,878.08,878.08,6
APC,1511,New Technology - Level 11 ,,,929.92,2448.62,70
APC,1511,New Technology - Level 11 Other Outpatient,,,981.32,981.32,6
APC,1512,New Technology - Level 12 ,,,1027.75,2706.24,70
APC,1512,New Technology - Level 12 Other Outpatient,,,1084.56,1084.56,6
APC,1513,New Technology - Level 13 ,,,1125.58,2963.85,70
APC,1513,New Technology - Level 13 Other Outpatient,,,1187.8,1187.8,6
APC,1514,New Technology - Level 14 ,,,1223.42,3221.47,70
APC,1514,New Technology - Level 14 Other Outpatient,,,1291.05,1291.05,6
APC,1515,New Technology - Level 15 ,,,1321.25,3479.08,70
APC,1515,New Technology - Level 15 Other Outpatient,,,1394.29,1394.29,6
APC,1516,New Technology - Level 16 ,,,1419.09,3736.69,70
APC,1516,New Technology - Level 16 Other Outpatient,,,1497.53,1497.53,6
APC,1517,New Technology - Level 17 ,,,1516.92,3994.31,70
APC,1517,New Technology - Level 17 Other Outpatient,,,1600.77,1600.77,6
APC,1518,New Technology - Level 18 ,,,1614.76,4251.92,70
APC,1518,New Technology - Level 18 Other Outpatient,,,1704.01,1704.01,6
APC,1519,New Technology - Level 19 ,,,1712.59,4509.54,70
APC,1519,New Technology - Level 19 Other Outpatient,,,1807.26,1807.26,6
APC,1520,New Technology - Level 20 ,,,1810.43,4767.15,70
APC,1520,New Technology - Level 20 Other Outpatient,,,1910.5,1910.5,6
APC,1521,New Technology - Level 21 ,,,1908.26,5024.76,70
APC,1521,New Technology - Level 21 Other Outpatient,,,2013.74,2013.74,6
APC,1522,New Technology - Level 22 ,,,2201.76,5797.61,70
APC,1522,New Technology - Level 22 Other Outpatient,,,2323.47,2323.47,6
APC,1523,New Technology - Level 23 ,,,2690.93,7085.68,70
APC,1523,New Technology - Level 23 Other Outpatient,,,2839.68,2839.68,6
APC,1524,New Technology - Level 24 ,,,3180.11,8373.75,70
APC,1524,New Technology - Level 24 Other Outpatient,,,3355.89,3355.89,6
APC,1525,New Technology - Level 25 ,,,3669.28,9661.82,70
APC,1525,New Technology - Level 25 Other Outpatient,,,3872.1,3872.1,6
APC,1526,New Technology - Level 26 ,,,4158.45,10949.89,70
APC,1526,New Technology - Level 26 Other Outpatient,,,4388.31,4388.31,6
APC,1527,New Technology - Level 27 ,,,4647.62,12237.96,70
APC,1527,New Technology - Level 27 Other Outpatient,,,4904.53,4904.53,6
APC,1528,New Technology - Level 28 ,,,5136.79,13526.03,70
APC,1528,New Technology - Level 28 Other Outpatient,,,5420.74,5420.74,6
APC,1529,New Technology - Level 29 ,,,5625.97,14814.1,70
APC,1529,New Technology - Level 29 Other Outpatient,,,5936.95,5936.95,6
APC,1530,New Technology - Level 30 ,,,6115.14,16102.17,70
APC,1530,New Technology - Level 30 Other Outpatient,,,6453.16,6453.16,6
APC,1531,New Technology - Level 31 ,,,6604.31,17390.24,70
APC,1531,New Technology - Level 31 Other Outpatient,,,6969.37,6969.37,6
APC,1532,New Technology - Level 32 ,,,7093.48,18678.31,70
APC,1532,New Technology - Level 32 Other Outpatient,,,7485.58,7485.58,6
APC,1533,New Technology - Level 33 ,,,7582.65,19966.38,70
APC,1533,New Technology - Level 33 Other Outpatient,,,8001.79,8001.79,6
APC,1534,New Technology - Level 34 ,,,8071.83,21254.45,70
APC,1534,New Technology - Level 34 Other Outpatient,,,8518.01,8518.01,6
APC,1535,New Technology - Level 35 ,,,8561.0,22542.52,70
APC,1535,New Technology - Level 35 Other Outpatient,,,9034.22,9034.22,6
APC,1536,New Technology - Level 36 ,,,9050.17,23830.59,70
APC,1536,New Technology - Level 36 Other Outpatient,,,9550.43,9550.43,6
APC,1537,New Technology - Level 37 ,,,9539.34,25118.66,70
APC,1537,New Technology - Level 37 Other Outpatient,,,10066.64,10066.64,6
APC,1539,New Technology - Level 2 ( ,,,73.86,194.5,70
APC,1539,New Technology - Level 2 ( Other Outpatient,,,77.95,77.95,6
APC,1540,New Technology - Level 3 ( ,,,147.24,387.71,70
APC,1540,New Technology - Level 3 ( Other Outpatient,,,155.38,155.38,6
APC,1541,New Technology - Level 4 ( ,,,245.08,645.32,70
APC,1541,New Technology - Level 4 ( Other Outpatient,,,258.62,258.62,6
APC,1542,New Technology - Level 5 ( ,,,342.91,902.94,70
APC,1542,New Technology - Level 5 ( Other Outpatient,,,361.86,361.86,6
APC,1543,New Technology - Level 6 ( ,,,440.74,1160.55,70
APC,1543,New Technology - Level 6 ( Other Outpatient,,,465.11,465.11,6
APC,1544,New Technology - Level 7 ( ,,,538.58,1418.17,70
APC,1544,New Technology - Level 7 ( Other Outpatient,,,568.35,568.35,6
APC,1545,New Technology - Level 8 ( ,,,636.41,1675.78,70
APC,1545,New Technology - Level 8 ( Other Outpatient,,,671.59,671.59,6
APC,1546,New Technology - Level 9 ( ,,,734.25,1933.39,70
APC,1546,New Technology - Level 9 ( Other Outpatient,,,774.83,774.83,6
APC,1547,New Technology - Level 10 ,,,832.08,2191.01,70
APC,1547,New Technology - Level 10 Other Outpatient,,,878.08,878.08,6
APC,1548,New Technology - Level 11 ,,,929.92,2448.62,70
APC,1548,New Technology - Level 11 Other Outpatient,,,981.32,981.32,6
APC,1549,New Technology - Level 12 ,,,1027.75,2706.24,70
APC,1549,New Technology - Level 12 Other Outpatient,,,1084.56,1084.56,6
APC,1550,New Technology - Level 13 ,,,1125.58,2963.85,70
APC,1550,New Technology - Level 13 Other Outpatient,,,1187.8,1187.8,6
APC,1551,New Technology - Level 14 ,,,1223.42,3221.47,70
APC,1551,New Technology - Level 14 Other Outpatient,,,1291.05,1291.05,6
APC,1552,New Technology - Level 15 ,,,1321.25,3479.08,70
APC,1552,New Technology - Level 15 Other Outpatient,,,1394.29,1394.29,6
APC,1553,New Technology - Level 16 ,,,1419.09,3736.69,70
APC,1553,New Technology - Level 16 Other Outpatient,,,1497.53,1497.53,6
APC,1554,New Technology - Level 17 ,,,1516.92,3994.31,70
APC,1554,New Technology - Level 17 Other Outpatient,,,1600.77,1600.77,6
APC,1555,New Technology - Level 18 ,,,1614.76,4251.92,70
APC,1555,New Technology - Level 18 Other Outpatient,,,1704.01,1704.01,6
APC,1556,New Technology - Level 19 ,,,1712.59,4509.54,70
APC,1556,New Technology - Level 19 Other Outpatient,,,1807.26,1807.26,6
APC,1557,New Technology - Level 20 ,,,1810.43,4767.15,70
APC,1557,New Technology - Level 20 Other Outpatient,,,1910.5,1910.5,6
APC,1558,New Technology - Level 21 ,,,1908.26,5024.76,70
APC,1558,New Technology - Level 21 Other Outpatient,,,2013.74,2013.74,6
APC,1559,New Technology - Level 22 ,,,2201.76,5797.61,70
APC,1559,New Technology - Level 22 Other Outpatient,,,2323.47,2323.47,6
APC,1560,New Technology - Level 23 ,,,2690.93,7085.68,70
APC,1560,New Technology - Level 23 Other Outpatient,,,2839.68,2839.68,6
APC,1561,New Technology - Level 24 ,,,3180.11,8373.75,70
APC,1561,New Technology - Level 24 Other Outpatient,,,3355.89,3355.89,6
APC,1562,New Technology - Level 25 ,,,3669.28,9661.82,70
APC,1562,New Technology - Level 25 Other Outpatient,,,3872.1,3872.1,6
APC,1563,New Technology - Level 26 ,,,4158.45,10949.89,70
APC,1563,New Technology - Level 26 Other Outpatient,,,4388.31,4388.31,6
APC,1564,New Technology - Level 27 ,,,4647.62,12237.96,70
APC,1564,New Technology - Level 27 Other Outpatient,,,4904.53,4904.53,6
APC,1565,New Technology - Level 28 ,,,5136.79,13526.03,70
APC,1565,New Technology - Level 28 Other Outpatient,,,5420.74,5420.74,6
APC,1566,New Technology - Level 29 ,,,5625.97,14814.1,70
APC,1566,New Technology - Level 29 Other Outpatient,,,5936.95,5936.95,6
APC,1567,New Technology - Level 30 ,,,6115.14,16102.17,70
APC,1567,New Technology - Level 30 Other Outpatient,,,6453.16,6453.16,6
APC,1568,New Technology - Level 31 ,,,6604.31,17390.24,70
APC,1568,New Technology - Level 31 Other Outpatient,,,6969.37,6969.37,6
APC,1569,New Technology - Level 32 ,,,7093.48,18678.31,70
APC,1569,New Technology - Level 32 Other Outpatient,,,7485.58,7485.58,6
APC,1570,New Technology - Level 33 ,,,7582.65,19966.38,70
APC,1570,New Technology - Level 33 Other Outpatient,,,8001.79,8001.79,6
APC,1571,New Technology - Level 34 ,,,8071.83,21254.45,70
APC,1571,New Technology - Level 34 Other Outpatient,,,8518.01,8518.01,6
APC,1572,New Technology - Level 35 ,,,8561.0,22542.52,70
APC,1572,New Technology - Level 35 Other Outpatient,,,9034.22,9034.22,6
APC,1573,New Technology - Level 36 ,,,9050.17,23830.59,70
APC,1573,New Technology - Level 36 Other Outpatient,,,9550.43,9550.43,6
APC,1574,New Technology - Level 37 ,,,9539.34,25118.66,70
APC,1574,New Technology - Level 37 Other Outpatient,,,10066.64,10066.64,6
APC,1575,New Technology - Level 38 ,,,12229.78,32203.05,70
APC,1575,New Technology - Level 38 Other Outpatient,,,12905.8,12905.8,6
APC,1576,New Technology - Level 39 ,,,17121.5,45083.75,70
APC,1576,New Technology - Level 39 Other Outpatient,,,18067.92,18067.92,6
APC,1577,New Technology - Level 40 ,,,22013.22,57964.46,70
APC,1577,New Technology - Level 40 Other Outpatient,,,23230.03,23230.03,6
APC,1578,New Technology - Level 41 ,,,26904.94,70845.17,70
APC,1578,New Technology - Level 41 Other Outpatient,,,28392.15,28392.15,6
APC,1579,New Technology - Level 42 ,,,34242.52,90166.23,70
APC,1579,New Technology - Level 42 Other Outpatient,,,36135.32,36135.32,6
APC,1580,New Technology - Level 43 ,,,44025.95,115927.64,70
APC,1580,New Technology - Level 43 Other Outpatient,,,46459.55,46459.55,6
APC,1581,New Technology - Level 44 ,,,53809.39,141689.05,70
APC,1581,New Technology - Level 44 Other Outpatient,,,56783.78,56783.78,6
APC,1582,New Technology - Level 45 ,,,63592.83,167450.46,70
APC,1582,New Technology - Level 45 Other Outpatient,,,67108.01,67108.01,6
APC,1583,New Technology - Level 46 ,,,73376.27,193211.87,70
APC,1583,New Technology - Level 46 Other Outpatient,,,77432.24,77432.24,6
APC,1584,New Technology - Level 47 ,,,83159.7,218973.29,70
APC,1584,New Technology - Level 47 Other Outpatient,,,87756.47,87756.47,6
APC,1585,New Technology - Level 48 ,,,92943.15,244734.72,70
APC,1585,New Technology - Level 48 Other Outpatient,,,98080.71,98080.71,6
APC,1589,New Technology - Level 38 ,,,12229.78,32203.05,70
APC,1589,New Technology - Level 38 Other Outpatient,,,12905.8,12905.8,6
APC,1590,New Technology - Level 39 ,,,17121.5,45083.75,70
APC,1590,New Technology - Level 39 Other Outpatient,,,18067.92,18067.92,6
APC,1591,New Technology - Level 40 ,,,22013.22,57964.46,70
APC,1591,New Technology - Level 40 Other Outpatient,,,23230.03,23230.03,6
APC,1592,New Technology - Level 41 ,,,26904.94,70845.17,70
APC,1592,New Technology - Level 41 Other Outpatient,,,28392.15,28392.15,6
APC,1593,New Technology - Level 42 ,,,34242.52,90166.23,70
APC,1593,New Technology - Level 42 Other Outpatient,,,36135.32,36135.32,6
APC,1594,New Technology - Level 43 ,,,44025.95,115927.64,70
APC,1594,New Technology - Level 43 Other Outpatient,,,46459.55,46459.55,6
APC,1595,New Technology - Level 44 ,,,53809.39,141689.05,70
APC,1595,New Technology - Level 44 Other Outpatient,,,56783.78,56783.78,6
APC,1596,New Technology - Level 45 ,,,63592.83,167450.46,70
APC,1596,New Technology - Level 45 Other Outpatient,,,67108.01,67108.01,6
APC,1597,New Technology - Level 46 ,,,73376.27,193211.87,70
APC,1597,New Technology - Level 46 Other Outpatient,,,77432.24,77432.24,6
APC,1598,New Technology - Level 47 ,,,83159.7,218973.29,70
APC,1598,New Technology - Level 47 Other Outpatient,,,87756.47,87756.47,6
APC,1599,New Technology - Level 48 ,,,92943.15,244734.72,70
APC,1599,New Technology - Level 48 Other Outpatient,,,98080.71,98080.71,6
APC,1609,"Rho(D) immune globulin h, ",,,35.61,93.77,70
APC,1609,"Rho(D) immune globulin h, Other Outpatient",,,37.58,37.58,6
APC,1613,Trastuzumab injection ,,,69.89,184.04,70
APC,1613,Trastuzumab injection Other Outpatient,,,73.76,73.76,6
APC,1630,"Hep b ig, im ",,,136.27,358.81,70
APC,1630,"Hep b ig, im Other Outpatient",,,143.8,143.8,6
APC,1643,"Y90 ibritumomab, rx ",,,56540.43,148880.32,70
APC,1643,"Y90 ibritumomab, rx Other Outpatient",,,59665.78,59665.78,6
APC,1656,Factor viii fc fusion reco ,,,2.57,6.75,70
APC,1656,Factor viii fc fusion reco Other Outpatient,,,2.71,2.71,6
APC,1658,"Injection, belinostat, 10m ",,,54.17,142.65,70
APC,1658,"Injection, belinostat, 10m Other Outpatient",,,57.17,57.17,6
APC,1660,"Injection, oritavancin ",,,29.58,77.88,70
APC,1660,"Injection, oritavancin Other Outpatient",,,31.21,31.21,6
APC,1662,Inj tedizolid phosphate ,,,2.07,5.45,70
APC,1662,Inj tedizolid phosphate Other Outpatient,,,2.19,2.19,6
APC,1664,Florbetapir f18 ,,,1816.51,4783.18,70
APC,1664,Florbetapir f18 Other Outpatient,,,1916.92,1916.92,6
APC,1670,Tetanus immune globulin in ,,,592.04,1558.94,70
APC,1670,Tetanus immune globulin in Other Outpatient,,,624.77,624.77,6
APC,1675,P32 na phosphate ,,,276.85,728.99,70
APC,1675,P32 na phosphate Other Outpatient,,,292.15,292.15,6
APC,1683,Basiliximab ,,,4880.52,12851.23,70
APC,1683,Basiliximab Other Outpatient,,,5150.3,5150.3,6
APC,1685,"Darbepoetin alfa, non-esrd ",,,2.91,7.65,70
APC,1685,"Darbepoetin alfa, non-esrd Other Outpatient",,,3.07,3.07,6
APC,1686,"Epoetin alfa, non-esrd ",,,6.84,18.02,70
APC,1686,"Epoetin alfa, non-esrd Other Outpatient",,,7.22,7.22,6
APC,1687,Digoxin immune fab (ovine) ,,,5356.4,14104.3,70
APC,1687,Digoxin immune fab (ovine) Other Outpatient,,,5652.49,5652.49,6
APC,1688,Ethanolamine oleate ,,,544.53,1433.85,70
APC,1688,Ethanolamine oleate Other Outpatient,,,574.63,574.63,6
APC,1689,Fomepizole ,,,6.15,16.2,70
APC,1689,Fomepizole Other Outpatient,,,6.49,6.49,6
APC,1690,Hemin ,,,35.64,93.85,70
APC,1690,Hemin Other Outpatient,,,37.61,37.61,6
APC,1694,Ziconotide injection ,,,10.74,28.28,70
APC,1694,Ziconotide injection Other Outpatient,,,11.33,11.33,6
APC,1696,Palifermin injection ,,,38.5,101.37,70
APC,1696,Palifermin injection Other Outpatient,,,40.62,40.62,6
APC,1700,Inj secretin synthetic hum ,,,42.79,112.66,70
APC,1700,Inj secretin synthetic hum Other Outpatient,,,45.15,45.15,6
APC,1701,Treprostinil injection ,,,54.47,143.42,70
APC,1701,Treprostinil injection Other Outpatient,,,57.48,57.48,6
APC,1704,"Humate-P, inj ",,,1.53,4.02,70
APC,1704,"Humate-P, inj Other Outpatient",,,1.61,1.61,6
APC,1705,Factor viia recomb novosev ,,,2.76,7.26,70
APC,1705,Factor viia recomb novosev Other Outpatient,,,2.91,2.91,6
APC,1710,Clofarabine injection ,,,16.16,42.56,70
APC,1710,Clofarabine injection Other Outpatient,,,17.06,17.06,6
APC,1712,Paclitaxel protein bound ,,,6.55,17.26,70
APC,1712,Paclitaxel protein bound Other Outpatient,,,6.92,6.92,6
APC,1744,Zidovudine ,,,1.51,3.96,70
APC,1744,Zidovudine Other Outpatient,,,1.59,1.59,6
APC,1745,Radium ra223 dichloride th ,,,180.64,475.66,70
APC,1745,Radium ra223 dichloride th Other Outpatient,,,190.63,190.63,6
APC,1746,Factor xiii recomb a-subun ,,,19.02,50.08,70
APC,1746,Factor xiii recomb a-subun Other Outpatient,,,20.07,20.07,6
APC,1747,Monovisc inj per dose ,,,562.45,1481.02,70
APC,1747,Monovisc inj per dose Other Outpatient,,,593.54,593.54,6
APC,1748,Inj tbo filgrastim 1 micro ,,,0.23,0.62,70
APC,1748,Inj tbo filgrastim 1 micro Other Outpatient,,,0.25,0.25,6
APC,1809,"Injection, alemtuzumab ",,,2532.21,6667.73,70
APC,1809,"Injection, alemtuzumab Other Outpatient",,,2672.18,2672.18,6
APC,1822,"Injection, zarxio ",,,0.35,0.92,70
APC,1822,"Injection, zarxio Other Outpatient",,,0.37,0.37,6
APC,1823,"Injection, dalbavancin ",,,11.24,29.59,70
APC,1823,"Injection, dalbavancin Other Outpatient",,,11.86,11.86,6
APC,1824,Ceftaroline fosamil inj ,,,4.37,11.5,70
APC,1824,Ceftaroline fosamil inj Other Outpatient,,,4.61,4.61,6
APC,1825,Ceftazidime and avibactam ,,,109.22,287.59,70
APC,1825,Ceftazidime and avibactam Other Outpatient,,,115.26,115.26,6
APC,1826,Hyqvia 100mg immuneglobuli ,,,18.26,48.07,70
APC,1826,Hyqvia 100mg immuneglobuli Other Outpatient,,,19.26,19.26,6
APC,1827,Factor viii recomb obizur ,,,3.22,8.48,70
APC,1827,Factor viii recomb obizur Other Outpatient,,,3.4,3.4,6
APC,1829,Penicillin g benzathine in ,,,32.43,85.39,70
APC,1829,Penicillin g benzathine in Other Outpatient,,,34.22,34.22,6
APC,1832,Dimethyl sulfoxide 50% 50 ,,,745.13,1962.06,70
APC,1832,Dimethyl sulfoxide 50% 50 Other Outpatient,,,786.32,786.32,6
APC,1844,Factor viii pegylated reco ,,,2.11,5.55,70
APC,1844,Factor viii pegylated reco Other Outpatient,,,2.22,2.22,6
APC,1846,Factor viii nuwiq recomb 1 ,,,1.21,3.2,70
APC,1846,Factor viii nuwiq recomb 1 Other Outpatient,,,1.28,1.28,6
APC,1847,"Injection, inflectra ",,,27.57,72.6,70
APC,1847,"Injection, inflectra Other Outpatient",,,29.1,29.1,6
APC,1848,Artiss fibrin sealant ,,,144.95,381.67,70
APC,1848,Artiss fibrin sealant Other Outpatient,,,152.96,152.96,6
APC,1850,Gamma globulin 1 cc inj ,,,48.63,128.05,70
APC,1850,Gamma globulin 1 cc inj Other Outpatient,,,51.32,51.32,6
APC,1851,Gamma globulin > 10 cc inj ,,,161.71,425.8,70
APC,1851,Gamma globulin > 10 cc inj Other Outpatient,,,170.64,170.64,6
APC,1853,Minocycline hydrochloride ,,,2.72,7.17,70
APC,1853,Minocycline hydrochloride Other Outpatient,,,2.87,2.87,6
APC,1854,Pentobarbital sodium inj ,,,19.2,50.56,70
APC,1854,Pentobarbital sodium inj Other Outpatient,,,20.26,20.26,6
APC,1856,Factor viii recomb novoeig ,,,1.44,3.78,70
APC,1856,Factor viii recomb novoeig Other Outpatient,,,1.52,1.52,6
APC,1857,"Inj, factor x, (human), 1i ",,,9.9,26.08,70
APC,1857,"Inj, factor x, (human), 1i Other Outpatient",,,10.45,10.45,6
APC,1859,Argatroban nonesrd use 1mg ,,,0.86,2.26,70
APC,1859,Argatroban nonesrd use 1mg Other Outpatient,,,0.91,0.91,6
APC,1861,"Inj., bendeka 1 mg ",,,12.47,32.83,70
APC,1861,"Inj., bendeka 1 mg Other Outpatient",,,13.16,13.16,6
APC,1862,Gelsyn-3 injection 0.1 mg ,,,0.58,1.53,70
APC,1862,Gelsyn-3 injection 0.1 mg Other Outpatient,,,0.61,0.61,6
APC,1901,New Technology - Level 49 ,,,105172.4,276936.36,70
APC,1901,New Technology - Level 49 Other Outpatient,,,110985.94,110985.94,6
APC,1902,New Technology - Level 49 ,,,105172.4,276936.36,70
APC,1902,New Technology - Level 49 Other Outpatient,,,110985.94,110985.94,6
APC,1903,New Technology - Level 50 ,,,119847.55,315578.48,70
APC,1903,New Technology - Level 50 Other Outpatient,,,126472.29,126472.29,6
APC,1904,New Technology - Level 50 ,,,119847.55,315578.48,70
APC,1904,New Technology - Level 50 Other Outpatient,,,126472.29,126472.29,6
APC,1905,New Technology - Level 51 ,,,134522.71,354220.59,70
APC,1905,New Technology - Level 51 Other Outpatient,,,141958.64,141958.64,6
APC,1906,New Technology - Level 51 ,,,134522.71,354220.59,70
APC,1906,New Technology - Level 51 Other Outpatient,,,141958.64,141958.64,6
APC,1907,New Technology - Level 52 ,,,149197.86,392862.71,70
APC,1907,New Technology - Level 52 Other Outpatient,,,157444.98,157444.98,6
APC,1908,New Technology - Level 52 ,,,149197.86,392862.71,70
APC,1908,New Technology - Level 52 Other Outpatient,,,157444.98,157444.98,6
APC,2041,"Cath, bladed, vasc prep ",,,,,0
APC,2041,"Cath, bladed, vasc prep Other Outpatient",,,,,0
APC,2042,"Endo, single, pulmonary ",,,,,0
APC,2042,"Endo, single, pulmonary Other Outpatient",,,,,0
APC,2043,Orth/matrx/bn fill drug-el ,,,,,0
APC,2043,Orth/matrx/bn fill drug-el Other Outpatient,,,,,0
APC,2044,"Ret dev, laser, ivc filter ",,,,,0
APC,2044,"Ret dev, laser, ivc filter Other Outpatient",,,,,0
APC,2045,"Grft, trnsmurl/trnsvens by ",,,,,0
APC,2045,"Grft, trnsmurl/trnsvens by Other Outpatient",,,,,0
APC,2046,"Pmkr, dual, leadless ",,,,,0
APC,2046,"Pmkr, dual, leadless Other Outpatient",,,,,0
APC,2047,"Adapter, us to endoscope ",,,,,0
APC,2047,"Adapter, us to endoscope Other Outpatient",,,,,0
APC,2049,"Suprt dev, a-v fistula, im ",,,,,0
APC,2049,"Suprt dev, a-v fistula, im Other Outpatient",,,,,0
APC,2050,Cath coronary drug-deliver ,,,,,0
APC,2050,Cath coronary drug-deliver Other Outpatient,,,,,0
APC,2051,Cath renal denerv radiofre ,,,,,0
APC,2051,Cath renal denerv radiofre Other Outpatient,,,,,0
APC,2052,Cath renal denerv ultrasnd ,,,,,0
APC,2052,Cath renal denerv ultrasnd Other Outpatient,,,,,0
APC,2053,Si&pelvis fusn&fixn dev ,,,,,0
APC,2053,Si&pelvis fusn&fixn dev Other Outpatient,,,,,0
APC,2054,Power endo us-guid bx dev ,,,,,0
APC,2054,Power endo us-guid bx dev Other Outpatient,,,,,0
APC,2055,"Tissue marker, detectable ",,,,,0
APC,2055,"Tissue marker, detectable Other Outpatient",,,,,0
APC,2062,"Inj zanidatamab-hrii, 2 mg ",,,25.53,67.24,70
APC,2062,"Inj zanidatamab-hrii, 2 mg Other Outpatient",,,26.95,26.95,6
APC,2064,"Inj marstacim-hncq, 0.5 mg ",,,50.94,134.12,70
APC,2064,"Inj marstacim-hncq, 0.5 mg Other Outpatient",,,53.75,53.75,6
APC,2065,"Flurpiridaz f18, diag, 1 m ",,,527.35,1388.6,70
APC,2065,"Flurpiridaz f18, diag, 1 m Other Outpatient",,,556.5,556.5,6
APC,2066,Inj bortezomib boruzu 0.1 ,,,24.62,64.84,70
APC,2066,Inj bortezomib boruzu 0.1 Other Outpatient,,,25.98,25.98,6
APC,2067,Afamitresgene autoleucel ,,,809897.56,2132594.59,70
APC,2067,Afamitresgene autoleucel Other Outpatient,,,854665.77,854665.77,6
APC,2068,"Inj, aflibercept-ayyh, 1 m ",,,799.24,2104.53,70
APC,2068,"Inj, aflibercept-ayyh, 1 m Other Outpatient",,,843.42,843.42,6
APC,2069,"Inj, testosterone, azmiro ",,,1.29,3.4,70
APC,2069,"Inj, testosterone, azmiro Other Outpatient",,,1.36,1.36,6
APC,2070,"Inj, eculizumab, 2 mg ",,,43.98,115.8,70
APC,2070,"Inj, eculizumab, 2 mg Other Outpatient",,,46.41,46.41,6
APC,2071,Inj ocrelizumab 1mg hya-oc ,,,47.82,125.92,70
APC,2071,Inj ocrelizumab 1mg hya-oc Other Outpatient,,,50.46,50.46,6
APC,2072,"Inj, erzofri, 1 mg ",,,15.79,41.59,70
APC,2072,"Inj, erzofri, 1 mg Other Outpatient",,,16.67,16.67,6
APC,2073,Inj atezolizumb 5mg hya-tq ,,,32.39,85.29,70
APC,2073,Inj atezolizumb 5mg hya-tq Other Outpatient,,,34.18,34.18,6
APC,2074,"Lt vent pacing syst, seque ",,,,,0
APC,2074,"Lt vent pacing syst, seque Other Outpatient",,,,,0
APC,2075,Inj acetaminoph 10mg/ibu 3 ,,,0.09,0.24,70
APC,2075,Inj acetaminoph 10mg/ibu 3 Other Outpatient,,,0.1,0.1,6
APC,2076,"Inj, pemetrexed dipotassiu ",,,73.3,193.02,70
APC,2076,"Inj, pemetrexed dipotassiu Other Outpatient",,,77.35,77.35,6
APC,2077,Anchor/screw bone absorb ,,,,,0
APC,2077,Anchor/screw bone absorb Other Outpatient,,,,,0
APC,2078,"Pressure sens syst, cont i ",,,,,0
APC,2078,"Pressure sens syst, cont i Other Outpatient",,,,,0
APC,2086,Neurostim integ rechg ,,,,,0
APC,2086,Neurostim integ rechg Other Outpatient,,,,,0
APC,2087,"Prosthesis, dual mob cmc1 ",,,,,0
APC,2087,"Prosthesis, dual mob cmc1 Other Outpatient",,,,,0
APC,2088,Scafld endovas resrb drg e ,,,,,0
APC,2088,Scafld endovas resrb drg e Other Outpatient,,,,,0
APC,2089,Vert dev motion-preserv ,,,,,0
APC,2089,Vert dev motion-preserv Other Outpatient,,,,,0
APC,2616,"Brachytx, non-str,Yttrium- ",,,17682.15,46560.05,70
APC,2616,"Brachytx, non-str,Yttrium- Other Outpatient",,,18659.56,18659.56,6
APC,2632,Iodine I-125 sodium iodide ,,,394.34,1038.36,70
APC,2632,Iodine I-125 sodium iodide Other Outpatient,,,416.14,416.14,6
APC,2634,"Brachytx, non-str, HA, I-1 ",,,173.19,456.04,70
APC,2634,"Brachytx, non-str, HA, I-1 Other Outpatient",,,182.76,182.76,6
APC,2635,"Brachytx, non-str, HA, P-1 ",,,106.22,279.69,70
APC,2635,"Brachytx, non-str, HA, P-1 Other Outpatient",,,112.09,112.09,6
APC,2636,"Brachy linear, non-str,P-1 ",,,88.95,234.23,70
APC,2636,"Brachy linear, non-str,P-1 Other Outpatient",,,93.87,93.87,6
APC,2638,"Brachytx, stranded, I-125 ",,,35.08,92.38,70
APC,2638,"Brachytx, stranded, I-125 Other Outpatient",,,37.02,37.02,6
APC,2639,"Brachytx, non-stranded,I-1 ",,,36.46,96.0,70
APC,2639,"Brachytx, non-stranded,I-1 Other Outpatient",,,38.47,38.47,6
APC,2640,"Brachytx, stranded, P-103 ",,,87.82,231.24,70
APC,2640,"Brachytx, stranded, P-103 Other Outpatient",,,92.67,92.67,6
APC,2641,"Brachytx, non-stranded,P-1 ",,,64.16,168.94,70
APC,2641,"Brachytx, non-stranded,P-1 Other Outpatient",,,67.7,67.7,6
APC,2642,"Brachytx, stranded, C-131 ",,,118.51,312.07,70
APC,2642,"Brachytx, stranded, C-131 Other Outpatient",,,125.07,125.07,6
APC,2643,"Brachytx, non-stranded,C-1 ",,,99.3,261.48,70
APC,2643,"Brachytx, non-stranded,C-1 Other Outpatient",,,104.79,104.79,6
APC,2645,"Brachytx, non-str, Gold-19 ",,,511.0,1345.55,70
APC,2645,"Brachytx, non-str, Gold-19 Other Outpatient",,,539.25,539.25,6
APC,2646,"Brachytx, non-str, HDR Ir- ",,,355.7,936.62,70
APC,2646,"Brachytx, non-str, HDR Ir- Other Outpatient",,,375.36,375.36,6
APC,2647,"Brachytx, NS, Non-HDRIr-19 ",,,904.16,2380.79,70
APC,2647,"Brachytx, NS, Non-HDRIr-19 Other Outpatient",,,954.14,954.14,6
APC,2648,"Brachytx planar, p-103 ",,,4.67,12.29,70
APC,2648,"Brachytx planar, p-103 Other Outpatient",,,4.92,4.92,6
APC,2698,"Brachytx, stranded, NOS ",,,35.08,92.38,70
APC,2698,"Brachytx, stranded, NOS Other Outpatient",,,37.02,37.02,6
APC,2699,"Brachytx, non-stranded, NO ",,,36.46,96.0,70
APC,2699,"Brachytx, non-stranded, NO Other Outpatient",,,38.47,38.47,6
APC,2731,"Immune globulin, powder ",,,80.56,212.12,70
APC,2731,"Immune globulin, powder Other Outpatient",,,85.01,85.01,6
APC,4017,Radiation tx delivery lvl ,,,77.77,204.78,70
APC,4017,Radiation tx delivery lvl Other Outpatient,,,82.07,82.07,6
APC,4018,Radiation tx delivery lvl ,,,310.76,818.29,70
APC,4018,Radiation tx delivery lvl Other Outpatient,,,327.94,327.94,6
APC,4019,Radiation tx delivery lvl ,,,382.98,1008.46,70
APC,4019,Radiation tx delivery lvl Other Outpatient,,,404.15,404.15,6
APC,5012,Clinic Visits and Related ,,,133.07,350.41,70
APC,5012,Clinic Visits and Related Other Outpatient,,,140.43,140.43,6
APC,5021,Level 1 Type A ED Visits ,,,84.71,221.93,52
APC,5021,Level 1 Type A ED Visits Other Outpatient,,,88.94,88.94,6
APC,5022,Level 2 Type A ED Visits ,,,154.24,404.12,52
APC,5022,Level 2 Type A ED Visits Other Outpatient,,,161.96,161.96,6
APC,5023,Level 3 Type A ED Visits ,,,274.22,718.46,52
APC,5023,Level 3 Type A ED Visits Other Outpatient,,,287.93,287.93,6
APC,5024,Level 4 Type A ED Visits ,,,419.16,1098.21,52
APC,5024,Level 4 Type A ED Visits Other Outpatient,,,440.12,440.12,6
APC,5025,Level 5 Type A ED Visits ,,,598.24,1567.4,28
APC,5025,Level 5 Type A ED Visits Other Outpatient,,,628.16,628.16,6
APC,5031,Level 1 Type B ED Visits ,,,74.67,195.63,48
APC,5031,Level 1 Type B ED Visits Other Outpatient,,,78.4,78.4,6
APC,5032,Level 2 Type B ED Visits ,,,93.31,244.48,48
APC,5032,Level 2 Type B ED Visits Other Outpatient,,,97.98,97.98,6
APC,5033,Level 3 Type B ED Visits ,,,172.67,452.4,48
APC,5033,Level 3 Type B ED Visits Other Outpatient,,,181.3,181.3,6
APC,5034,Level 4 Type B ED Visits ,,,265.51,695.64,48
APC,5034,Level 4 Type B ED Visits Other Outpatient,,,278.79,278.79,6
APC,5035,Level 5 Type B ED Visits ,,,412.6,1081.0,24
APC,5035,Level 5 Type B ED Visits Other Outpatient,,,433.23,433.23,6
APC,5041,Critical Care ,,,825.64,2174.06,70
APC,5041,Critical Care Other Outpatient,,,871.28,871.28,6
APC,5045,Trauma Response with Criti ,,,1332.29,3508.14,70
APC,5045,Trauma Response with Criti Other Outpatient,,,1405.93,1405.93,6
APC,5051,Level 1 Skin Procedures ,,,200.54,528.06,70
APC,5051,Level 1 Skin Procedures Other Outpatient,,,211.63,211.63,6
APC,5052,Level 2 Skin Procedures ,,,406.33,1069.92,70
APC,5052,Level 2 Skin Procedures Other Outpatient,,,428.79,428.79,6
APC,5053,Level 3 Skin Procedures ,,,738.73,1945.19,70
APC,5053,Level 3 Skin Procedures Other Outpatient,,,779.56,779.56,6
APC,5054,Level 4 Skin Procedures ,,,2062.32,5430.43,70
APC,5054,Level 4 Skin Procedures Other Outpatient,,,2176.32,2176.32,6
APC,5055,Level 5 Skin Procedures ,,,3542.07,9326.87,70
APC,5055,Level 5 Skin Procedures Other Outpatient,,,3737.87,3737.87,6
APC,5061,Hyperbaric Oxygen ,,,137.55,362.18,70
APC,5061,Hyperbaric Oxygen Other Outpatient,,,145.15,145.15,6
APC,5071,Level 1 Excision/ Biopsy/ ,,,707.8,1863.76,70
APC,5071,Level 1 Excision/ Biopsy/ Other Outpatient,,,746.93,746.93,6
APC,5072,Level 2 Excision/ Biopsy/ ,,,1650.83,4346.9,70
APC,5072,Level 2 Excision/ Biopsy/ Other Outpatient,,,1742.08,1742.08,6
APC,5073,Level 3 Excision/ Biopsy/ ,,,2903.36,7645.03,70
APC,5073,Level 3 Excision/ Biopsy/ Other Outpatient,,,3063.85,3063.85,6
APC,5091,Level 1 Breast/Lymphatic S ,,,3913.61,10305.18,70
APC,5091,Level 1 Breast/Lymphatic S Other Outpatient,,,4129.94,4129.94,6
APC,5092,Level 2 Breast/Lymphatic S ,,,6637.07,17476.52,70
APC,5092,Level 2 Breast/Lymphatic S Other Outpatient,,,7003.95,7003.95,6
APC,5093,Level 3 Breast/Lymphatic S ,,,8169.58,21511.86,70
APC,5093,Level 3 Breast/Lymphatic S Other Outpatient,,,8621.17,8621.17,6
APC,5094,Level 4 Breast/Lymphatic S ,,,13774.53,36270.63,70
APC,5094,Level 4 Breast/Lymphatic S Other Outpatient,,,14535.94,14535.94,6
APC,5101,Level 1 Strapping and Cast ,,,162.42,427.69,70
APC,5101,Level 1 Strapping and Cast Other Outpatient,,,171.4,171.4,6
APC,5102,Level 2 Strapping and Cast ,,,279.56,736.13,70
APC,5102,Level 2 Strapping and Cast Other Outpatient,,,295.01,295.01,6
APC,5111,Level 1 Musculoskeletal Pr ,,,246.55,649.21,70
APC,5111,Level 1 Musculoskeletal Pr Other Outpatient,,,260.18,260.18,6
APC,5112,Level 2 Musculoskeletal Pr ,,,1607.24,4232.14,70
APC,5112,Level 2 Musculoskeletal Pr Other Outpatient,,,1696.08,1696.08,6
APC,5113,Level 3 Musculoskeletal Pr ,,,3270.48,8611.7,70
APC,5113,Level 3 Musculoskeletal Pr Other Outpatient,,,3451.26,3451.26,6
APC,5114,Level 4 Musculoskeletal Pr ,,,7252.83,19097.91,70
APC,5114,Level 4 Musculoskeletal Pr Other Outpatient,,,7653.74,7653.74,6
APC,5115,Level 5 Musculoskeletal Pr ,,,12832.7,33790.64,70
APC,5115,Level 5 Musculoskeletal Pr Other Outpatient,,,13542.05,13542.05,6
APC,5116,Level 6 Musculoskeletal Pr ,,,17525.65,46147.95,70
APC,5116,Level 6 Musculoskeletal Pr Other Outpatient,,,18494.41,18494.41,6
APC,5117,Level 7 Musculoskeletal Pr ,,,27121.38,71415.1,70
APC,5117,Level 7 Musculoskeletal Pr Other Outpatient,,,28620.55,28620.55,6
APC,5151,Level 1 Airway Endoscopy ,,,199.51,525.35,70
APC,5151,Level 1 Airway Endoscopy Other Outpatient,,,210.54,210.54,6
APC,5152,Level 2 Airway Endoscopy ,,,390.94,1029.4,70
APC,5152,Level 2 Airway Endoscopy Other Outpatient,,,412.55,412.55,6
APC,5153,Level 3 Airway Endoscopy ,,,1779.07,4684.58,70
APC,5153,Level 3 Airway Endoscopy Other Outpatient,,,1877.41,1877.41,6
APC,5154,Level 4 Airway Endoscopy ,,,3726.61,9812.78,70
APC,5154,Level 4 Airway Endoscopy Other Outpatient,,,3932.6,3932.6,6
APC,5155,Level 5 Airway Endoscopy ,,,7054.17,18574.8,70
APC,5155,Level 5 Airway Endoscopy Other Outpatient,,,7444.1,7444.1,6
APC,5161,Level 1 ENT Procedures ,,,236.74,623.37,70
APC,5161,Level 1 ENT Procedures Other Outpatient,,,249.83,249.83,6
APC,5162,Level 2 ENT Procedures ,,,539.08,1419.48,70
APC,5162,Level 2 ENT Procedures Other Outpatient,,,568.88,568.88,6
APC,5163,Level 3 ENT Procedures ,,,1550.86,4083.67,70
APC,5163,Level 3 ENT Procedures Other Outpatient,,,1636.59,1636.59,6
APC,5164,Level 4 ENT Procedures ,,,3313.91,8726.09,70
APC,5164,Level 4 ENT Procedures Other Outpatient,,,3497.1,3497.1,6
APC,5165,Level 5 ENT Procedures ,,,5917.07,15580.63,70
APC,5165,Level 5 ENT Procedures Other Outpatient,,,6244.15,6244.15,6
APC,5166,Cochlear Implant Procedure ,,,32956.76,86780.61,70
APC,5166,Cochlear Implant Procedure Other Outpatient,,,34778.49,34778.49,6
APC,5181,Level 1 Vascular Procedure ,,,627.01,1651.02,70
APC,5181,Level 1 Vascular Procedure Other Outpatient,,,661.67,661.67,6
APC,5182,Level 2 Vascular Procedure ,,,1573.42,4143.08,70
APC,5182,Level 2 Vascular Procedure Other Outpatient,,,1660.39,1660.39,6
APC,5183,Level 3 Vascular Procedure ,,,3156.01,8310.3,70
APC,5183,Level 3 Vascular Procedure Other Outpatient,,,3330.46,3330.46,6
APC,5184,Level 4 Vascular Procedure ,,,5561.89,14645.39,70
APC,5184,Level 4 Vascular Procedure Other Outpatient,,,5869.34,5869.34,6
APC,5191,Level 1 Endovascular Proce ,,,3240.42,8532.57,70
APC,5191,Level 1 Endovascular Proce Other Outpatient,,,3419.54,3419.54,6
APC,5192,Level 2 Endovascular Proce ,,,5688.91,14979.85,70
APC,5192,Level 2 Endovascular Proce Other Outpatient,,,6003.38,6003.38,6
APC,5193,Level 3 Endovascular Proce ,,,11538.81,30383.59,70
APC,5193,Level 3 Endovascular Proce Other Outpatient,,,12176.63,12176.63,6
APC,5194,Level 4 Endovascular Proce ,,,18323.09,48247.75,70
APC,5194,Level 4 Endovascular Proce Other Outpatient,,,19335.93,19335.93,6
APC,5200,Implantation Wireless PA P ,,,28669.99,75492.84,70
APC,5200,Implantation Wireless PA P Other Outpatient,,,30254.76,30254.76,6
APC,5211,Level 1 Electrophysiologic ,,,1216.97,3204.49,70
APC,5211,Level 1 Electrophysiologic Other Outpatient,,,1284.24,1284.24,6
APC,5212,Level 2 Electrophysiologic ,,,7796.03,20528.24,70
APC,5212,Level 2 Electrophysiologic Other Outpatient,,,8226.97,8226.97,6
APC,5213,Level 3 Electrophysiologic ,,,26125.68,68793.24,70
APC,5213,Level 3 Electrophysiologic Other Outpatient,,,27569.81,27569.81,6
APC,5221,Level 1 Pacemaker and Simi ,,,3735.22,9835.45,70
APC,5221,Level 1 Pacemaker and Simi Other Outpatient,,,3941.69,3941.69,6
APC,5222,Level 2 Pacemaker and Simi ,,,8271.53,21780.32,70
APC,5222,Level 2 Pacemaker and Simi Other Outpatient,,,8728.76,8728.76,6
APC,5223,Level 3 Pacemaker and Simi ,,,10447.12,27509.0,70
APC,5223,Level 3 Pacemaker and Simi Other Outpatient,,,11024.6,11024.6,6
APC,5224,Level 4 Pacemaker and Simi ,,,19252.71,50695.59,70
APC,5224,Level 4 Pacemaker and Simi Other Outpatient,,,20316.93,20316.93,6
APC,5231,Level 1 ICD and Similar Pr ,,,22233.22,58543.74,70
APC,5231,Level 1 ICD and Similar Pr Other Outpatient,,,23462.19,23462.19,6
APC,5232,Level 2 ICD and Similar Pr ,,,31374.24,82613.58,70
APC,5232,Level 2 ICD and Similar Pr Other Outpatient,,,33108.5,33108.5,6
APC,5241,Level 1 Blood Product Exch ,,,440.97,1161.14,70
APC,5241,Level 1 Blood Product Exch Other Outpatient,,,465.34,465.34,6
APC,5242,Level 2 Blood Product Exch ,,,1556.7,4099.05,70
APC,5242,Level 2 Blood Product Exch Other Outpatient,,,1642.75,1642.75,6
APC,5243,Level 3 Blood Product Exch ,,,4353.47,11463.42,70
APC,5243,Level 3 Blood Product Exch Other Outpatient,,,4594.12,4594.12,6
APC,5244,Level 4 Blood Product Exch ,,,62871.81,165551.9,70
APC,5244,Level 4 Blood Product Exch Other Outpatient,,,66347.14,66347.14,6
APC,5301,Level 1 Upper GI Procedure ,,,906.56,2387.13,70
APC,5301,Level 1 Upper GI Procedure Other Outpatient,,,956.67,956.67,6
APC,5302,Level 2 Upper GI Procedure ,,,1918.01,5050.45,70
APC,5302,Level 2 Upper GI Procedure Other Outpatient,,,2024.03,2024.03,6
APC,5303,Level 3 Upper GI Procedure ,,,3853.68,10147.37,70
APC,5303,Level 3 Upper GI Procedure Other Outpatient,,,4066.69,4066.69,6
APC,5311,Level 1 Lower GI Procedure ,,,929.52,2447.59,70
APC,5311,Level 1 Lower GI Procedure Other Outpatient,,,980.91,980.91,6
APC,5312,Level 2 Lower GI Procedure ,,,1196.08,3149.49,70
APC,5312,Level 2 Lower GI Procedure Other Outpatient,,,1262.2,1262.2,6
APC,5313,Level 3 Lower GI Procedure ,,,2774.37,7305.37,70
APC,5313,Level 3 Lower GI Procedure Other Outpatient,,,2927.72,2927.72,6
APC,5331,Complex GI Procedures ,,,6068.07,15978.23,70
APC,5331,Complex GI Procedures Other Outpatient,,,6403.49,6403.49,6
APC,5341,Level 1 Abdominal/Peritone ,,,3578.73,9423.4,70
APC,5341,Level 1 Abdominal/Peritone Other Outpatient,,,3776.55,3776.55,6
APC,5342,Level 2 Abdominal/Peritone ,,,6470.8,17038.7,70
APC,5342,Level 2 Abdominal/Peritone Other Outpatient,,,6828.49,6828.49,6
APC,5361,Level 1 Laparoscopy and Re ,,,6042.71,15911.46,70
APC,5361,Level 1 Laparoscopy and Re Other Outpatient,,,6376.73,6376.73,6
APC,5362,Level 2 Laparoscopy and Re ,,,10624.88,27977.07,70
APC,5362,Level 2 Laparoscopy and Re Other Outpatient,,,11212.18,11212.18,6
APC,5371,Level 1 Urology and Relate ,,,249.73,657.59,70
APC,5371,Level 1 Urology and Relate Other Outpatient,,,263.54,263.54,6
APC,5372,Level 2 Urology and Relate ,,,696.97,1835.24,70
APC,5372,Level 2 Urology and Relate Other Outpatient,,,735.5,735.5,6
APC,5373,Level 3 Urology and Relate ,,,2089.41,5501.76,70
APC,5373,Level 3 Urology and Relate Other Outpatient,,,2204.9,2204.9,6
APC,5374,Level 4 Urology and Relate ,,,3523.34,9277.54,70
APC,5374,Level 4 Urology and Relate Other Outpatient,,,3718.1,3718.1,6
APC,5375,Level 5 Urology and Relate ,,,5359.3,14111.92,70
APC,5375,Level 5 Urology and Relate Other Outpatient,,,5655.54,5655.54,6
APC,5376,Level 6 Urology and Relate ,,,9462.05,24915.15,70
APC,5376,Level 6 Urology and Relate Other Outpatient,,,9985.08,9985.08,6
APC,5377,Level 7 Urology and Relate ,,,13187.31,34724.38,70
APC,5377,Level 7 Urology and Relate Other Outpatient,,,13916.26,13916.26,6
APC,5378,Level 8 Urology and Relate ,,,20716.47,54549.89,70
APC,5378,Level 8 Urology and Relate Other Outpatient,,,21861.6,21861.6,6
APC,5401,Dialysis ,,,686.0,1806.34,70
APC,5401,Dialysis Other Outpatient,,,723.91,723.91,6
APC,5411,Level 1 Gynecologic Proced ,,,202.08,532.1,70
APC,5411,Level 1 Gynecologic Proced Other Outpatient,,,213.25,213.25,6
APC,5412,Level 2 Gynecologic Proced ,,,304.59,802.03,70
APC,5412,Level 2 Gynecologic Proced Other Outpatient,,,321.42,321.42,6
APC,5413,Level 3 Gynecologic Proced ,,,920.62,2424.15,70
APC,5413,Level 3 Gynecologic Proced Other Outpatient,,,971.51,971.51,6
APC,5414,Level 4 Gynecologic Proced ,,,3235.62,8519.92,70
APC,5414,Level 4 Gynecologic Proced Other Outpatient,,,3414.47,3414.47,6
APC,5415,Level 5 Gynecologic Proced ,,,5000.12,13166.14,70
APC,5415,Level 5 Gynecologic Proced Other Outpatient,,,5276.51,5276.51,6
APC,5416,Level 6 Gynecologic Proced ,,,7411.98,19516.97,70
APC,5416,Level 6 Gynecologic Proced Other Outpatient,,,7821.69,7821.69,6
APC,5431,Level 1 Nerve Procedures ,,,1951.81,5139.45,70
APC,5431,Level 1 Nerve Procedures Other Outpatient,,,2059.7,2059.7,6
APC,5432,Level 2 Nerve Procedures ,,,3414.56,8991.09,70
APC,5432,Level 2 Nerve Procedures Other Outpatient,,,3603.3,3603.3,6
APC,5433,Level 3 Nerve Procedures ,,,8771.76,23097.5,70
APC,5433,Level 3 Nerve Procedures Other Outpatient,,,9256.63,9256.63,6
APC,5441,Level 1 Nerve Injections ,,,306.81,807.88,70
APC,5441,Level 1 Nerve Injections Other Outpatient,,,323.77,323.77,6
APC,5442,Level 2 Nerve Injections ,,,705.55,1857.84,70
APC,5442,Level 2 Nerve Injections Other Outpatient,,,744.55,744.55,6
APC,5443,Level 3 Nerve Injections ,,,884.06,2327.88,70
APC,5443,Level 3 Nerve Injections Other Outpatient,,,932.93,932.93,6
APC,5461,Level 1 Neurostimulator an ,,,3494.48,9201.54,70
APC,5461,Level 1 Neurostimulator an Other Outpatient,,,3687.64,3687.64,6
APC,5462,Level 2 Neurostimulator an ,,,6370.02,16773.33,70
APC,5462,Level 2 Neurostimulator an Other Outpatient,,,6722.14,6722.14,6
APC,5463,Level 3 Neurostimulator an ,,,11137.5,29326.89,70
APC,5463,Level 3 Neurostimulator an Other Outpatient,,,11753.14,11753.14,6
APC,5464,Level 4 Neurostimulator an ,,,19391.08,51059.92,70
APC,5464,Level 4 Neurostimulator an Other Outpatient,,,20462.95,20462.95,6
APC,5465,Level 5 Neurostimulator an ,,,30843.32,81215.57,70
APC,5465,Level 5 Neurostimulator an Other Outpatient,,,32548.23,32548.23,6
APC,5471,Implantation of Drug Infus ,,,18015.46,47437.69,70
APC,5471,Implantation of Drug Infus Other Outpatient,,,19011.29,19011.29,6
APC,5481,Laser Eye Procedures ,,,549.74,1447.56,70
APC,5481,Laser Eye Procedures Other Outpatient,,,580.13,580.13,6
APC,5491,Level 1 Intraocular Proced ,,,2306.75,6074.05,70
APC,5491,Level 1 Intraocular Proced Other Outpatient,,,2434.26,2434.26,6
APC,5492,Level 2 Intraocular Proced ,,,4131.5,10878.92,70
APC,5492,Level 2 Intraocular Proced Other Outpatient,,,4359.87,4359.87,6
APC,5493,Level 3 Intraocular Proced ,,,5318.82,14005.35,70
APC,5493,Level 3 Intraocular Proced Other Outpatient,,,5612.83,5612.83,6
APC,5494,Level 4 Intraocular Proced ,,,14499.35,38179.19,70
APC,5494,Level 4 Intraocular Proced Other Outpatient,,,15300.82,15300.82,6
APC,5495,Level 5 Intraocular Proced ,,,13946.46,36723.33,70
APC,5495,Level 5 Intraocular Proced Other Outpatient,,,14717.37,14717.37,6
APC,5496,Level 6 Intraocular Proced ,,,16453.16,43323.9,70
APC,5496,Level 6 Intraocular Proced Other Outpatient,,,17362.63,17362.63,6
APC,5501,"Level 1 Extraocular, Repai ",,,317.26,835.39,70
APC,5501,"Level 1 Extraocular, Repai Other Outpatient",,,334.79,334.79,6
APC,5502,"Level 2 Extraocular, Repai ",,,996.41,2623.72,70
APC,5502,"Level 2 Extraocular, Repai Other Outpatient",,,1051.49,1051.49,6
APC,5503,"Level 3 Extraocular, Repai ",,,2376.38,6257.4,70
APC,5503,"Level 3 Extraocular, Repai Other Outpatient",,,2507.73,2507.73,6
APC,5504,"Level 4 Extraocular, Repai ",,,3929.57,10347.2,70
APC,5504,"Level 4 Extraocular, Repai Other Outpatient",,,4146.78,4146.78,6
APC,5521,Level 1 Imaging without Co ,,,86.98,229.04,70
APC,5521,Level 1 Imaging without Co Other Outpatient,,,91.79,91.79,6
APC,5522,Level 2 Imaging without Co ,,,104.5,275.16,70
APC,5522,Level 2 Imaging without Co Other Outpatient,,,110.27,110.27,6
APC,5523,Level 3 Imaging without Co ,,,238.49,627.99,70
APC,5523,Level 3 Imaging without Co Other Outpatient,,,251.67,251.67,6
APC,5524,Level 4 Imaging without Co ,,,546.16,1438.13,70
APC,5524,Level 4 Imaging without Co Other Outpatient,,,576.35,576.35,6
APC,5571,Level 1 Imaging with Contr ,,,175.32,461.64,70
APC,5571,Level 1 Imaging with Contr Other Outpatient,,,185.01,185.01,6
APC,5572,Level 2 Imaging with Contr ,,,348.71,918.21,70
APC,5572,Level 2 Imaging with Contr Other Outpatient,,,367.99,367.99,6
APC,5573,Level 3 Imaging with Contr ,,,783.56,2063.23,70
APC,5573,Level 3 Imaging with Contr Other Outpatient,,,826.87,826.87,6
APC,5591,Level 1 Nuclear Medicine a ,,,399.58,1052.17,70
APC,5591,Level 1 Nuclear Medicine a Other Outpatient,,,421.67,421.67,6
APC,5592,Level 2 Nuclear Medicine a ,,,542.72,1429.06,70
APC,5592,Level 2 Nuclear Medicine a Other Outpatient,,,572.72,572.72,6
APC,5593,Level 3 Nuclear Medicine a ,,,1294.05,3407.44,70
APC,5593,Level 3 Nuclear Medicine a Other Outpatient,,,1365.58,1365.58,6
APC,5594,Level 4 Nuclear Medicine a ,,,1429.28,3763.54,70
APC,5594,Level 4 Nuclear Medicine a Other Outpatient,,,1508.29,1508.29,6
APC,5611,Level 1 Therapeutic Radiat ,,,134.35,353.76,70
APC,5611,Level 1 Therapeutic Radiat Other Outpatient,,,141.77,141.77,6
APC,5612,Level 2 Therapeutic Radiat ,,,374.26,985.48,70
APC,5612,Level 2 Therapeutic Radiat Other Outpatient,,,394.94,394.94,6
APC,5613,Level 3 Therapeutic Radiat ,,,1383.49,3642.95,70
APC,5613,Level 3 Therapeutic Radiat Other Outpatient,,,1459.96,1459.96,6
APC,5621,Level 1 Radiation Therapy ,,,101.98,268.54,70
APC,5621,Level 1 Radiation Therapy Other Outpatient,,,107.62,107.62,6
APC,5622,Level 2 Radiation Therapy ,,,385.52,1015.13,70
APC,5622,Level 2 Radiation Therapy Other Outpatient,,,406.83,406.83,6
APC,5623,Level 3 Radiation Therapy ,,,552.28,1454.26,70
APC,5623,Level 3 Radiation Therapy Other Outpatient,,,582.81,582.81,6
APC,5624,Level 4 Radiation Therapy ,,,696.15,1833.08,70
APC,5624,Level 4 Radiation Therapy Other Outpatient,,,734.63,734.63,6
APC,5625,Level 5 Radiation Therapy ,,,1249.16,3289.24,70
APC,5625,Level 5 Radiation Therapy Other Outpatient,,,1318.21,1318.21,6
APC,5626,Level 6 Radiation Therapy ,,,1787.22,4706.04,70
APC,5626,Level 6 Radiation Therapy Other Outpatient,,,1886.01,1886.01,6
APC,5627,Level 7 Radiation Therapy ,,,7361.86,19385.0,70
APC,5627,Level 7 Radiation Therapy Other Outpatient,,,7768.8,7768.8,6
APC,5661,Therapeutic Nuclear Medici ,,,233.23,614.13,70
APC,5661,Therapeutic Nuclear Medici Other Outpatient,,,246.12,246.12,6
APC,5671,Level 1 Pathology ,,,52.09,137.15,70
APC,5671,Level 1 Pathology Other Outpatient,,,54.97,54.97,6
APC,5672,Level 2 Pathology ,,,170.29,448.4,70
APC,5672,Level 2 Pathology Other Outpatient,,,179.7,179.7,6
APC,5673,Level 3 Pathology ,,,358.28,943.41,70
APC,5673,Level 3 Pathology Other Outpatient,,,378.08,378.08,6
APC,5674,Level 4 Pathology ,,,805.3,2120.5,70
APC,5674,Level 4 Pathology Other Outpatient,,,849.82,849.82,6
APC,5691,Level 1 Drug Administratio ,,,46.8,123.24,70
APC,5691,Level 1 Drug Administratio Other Outpatient,,,49.39,49.39,6
APC,5692,Level 2 Drug Administratio ,,,71.97,189.5,70
APC,5692,Level 2 Drug Administratio Other Outpatient,,,75.95,75.95,6
APC,5693,Level 3 Drug Administratio ,,,212.6,559.82,70
APC,5693,Level 3 Drug Administratio Other Outpatient,,,224.36,224.36,6
APC,5694,Level 4 Drug Administratio ,,,330.15,869.34,70
APC,5694,Level 4 Drug Administratio Other Outpatient,,,348.4,348.4,6
APC,5721,Level 1 Diagnostic Tests a ,,,128.61,338.66,70
APC,5721,Level 1 Diagnostic Tests a Other Outpatient,,,135.72,135.72,6
APC,5722,Level 2 Diagnostic Tests a ,,,215.82,568.3,70
APC,5722,Level 2 Diagnostic Tests a Other Outpatient,,,227.75,227.75,6
APC,5723,Level 3 Diagnostic Tests a ,,,372.98,982.13,70
APC,5723,Level 3 Diagnostic Tests a Other Outpatient,,,393.6,393.6,6
APC,5724,Level 4 Diagnostic Tests a ,,,858.34,2260.15,70
APC,5724,Level 4 Diagnostic Tests a Other Outpatient,,,905.79,905.79,6
APC,5731,Level 1 Minor Procedures ,,,28.91,76.12,70
APC,5731,Level 1 Minor Procedures Other Outpatient,,,30.51,30.51,6
APC,5732,Level 2 Minor Procedures ,,,37.33,98.31,70
APC,5732,Level 2 Minor Procedures Other Outpatient,,,39.4,39.4,6
APC,5733,Level 3 Minor Procedures ,,,58.96,155.26,70
APC,5733,Level 3 Minor Procedures Other Outpatient,,,62.22,62.22,6
APC,5734,Level 4 Minor Procedures ,,,132.99,350.17,70
APC,5734,Level 4 Minor Procedures Other Outpatient,,,140.34,140.34,6
APC,5735,Level 5 Minor Procedures ,,,446.52,1175.75,70
APC,5735,Level 5 Minor Procedures Other Outpatient,,,471.2,471.2,6
APC,5741,Level 1 Electronic Analysi ,,,37.3,98.23,70
APC,5741,Level 1 Electronic Analysi Other Outpatient,,,39.37,39.37,6
APC,5742,Level 2 Electronic Analysi ,,,95.03,250.22,70
APC,5742,Level 2 Electronic Analysi Other Outpatient,,,100.28,100.28,6
APC,5743,Level 3 Electronic Analysi ,,,306.99,808.37,70
APC,5743,Level 3 Electronic Analysi Other Outpatient,,,323.96,323.96,6
APC,5771,Cardiac Rehabilitation ,,,128.85,339.28,70
APC,5771,Cardiac Rehabilitation Other Outpatient,,,135.97,135.97,6
APC,5781,Resuscitation and Cardiove ,,,660.64,1739.57,70
APC,5781,Resuscitation and Cardiove Other Outpatient,,,697.15,697.15,6
APC,5791,Pulmonary Treatment ,,,218.88,576.33,70
APC,5791,Pulmonary Treatment Other Outpatient,,,230.97,230.97,6
APC,5801,Ventilation Initiation and ,,,617.5,1625.98,70
APC,5801,Ventilation Initiation and Other Outpatient,,,651.63,651.63,6
APC,5811,Manipulation Therapy ,,,21.58,56.83,70
APC,5811,Manipulation Therapy Other Outpatient,,,22.78,22.78,6
APC,5821,Level 1 Health and Behavio ,,,37.45,98.61,70
APC,5821,Level 1 Health and Behavio Other Outpatient,,,39.52,39.52,6
APC,5822,Level 2 Health and Behavio ,,,101.54,267.38,70
APC,5822,Level 2 Health and Behavio Other Outpatient,,,107.16,107.16,6
APC,5823,Level 3 Health and Behavio ,,,177.41,467.16,70
APC,5823,Level 3 Health and Behavio Other Outpatient,,,187.22,187.22,6
APC,5851,Intensive Outpatient (3 se ,,,124.97,329.08,70
APC,5851,Intensive Outpatient (3 se Other Outpatient,,,131.88,131.88,6
APC,5852,Intensive Outpatient (4 or ,,,163.76,431.19,70
APC,5852,Intensive Outpatient (4 or Other Outpatient,,,172.81,172.81,6
APC,5853,Partial Hospitalization (3 ,,,124.97,329.08,70
APC,5853,Partial Hospitalization (3 Other Outpatient,,,131.88,131.88,6
APC,5854,Partial Hospitalization (4 ,,,163.76,431.19,70
APC,5854,Partial Hospitalization (4 Other Outpatient,,,172.81,172.81,6
APC,5861,Intensive Outpatient (3 se ,,,312.46,822.77,70
APC,5861,Intensive Outpatient (3 se Other Outpatient,,,329.74,329.74,6
APC,5862,Intensive Outpatient (4 or ,,,409.39,1077.99,70
APC,5862,Intensive Outpatient (4 or Other Outpatient,,,432.02,432.02,6
APC,5863,Partial Hospitalization (3 ,,,312.46,822.77,70
APC,5863,Partial Hospitalization (3 Other Outpatient,,,329.74,329.74,6
APC,5864,Partial Hospitalization (4 ,,,409.39,1077.99,70
APC,5864,Partial Hospitalization (4 Other Outpatient,,,432.02,432.02,6
APC,5871,Dental Procedures ,,,646.19,1701.52,70
APC,5871,Dental Procedures Other Outpatient,,,681.91,681.91,6
APC,5881,Ancillary Outpatient Servi ,,,13920.74,36655.61,70
APC,5881,Ancillary Outpatient Servi Other Outpatient,,,14690.22,14690.22,6
APC,6000,PMA Skin Substitute Produc ,,,124.39,327.53,70
APC,6000,PMA Skin Substitute Produc Other Outpatient,,,131.26,131.26,6
APC,6001,510K Skin Substitute Produ ,,,124.39,327.53,70
APC,6001,510K Skin Substitute Produ Other Outpatient,,,131.26,131.26,6
APC,6002,HCT/P Skin Substitute Prod ,,,124.39,327.53,70
APC,6002,HCT/P Skin Substitute Prod Other Outpatient,,,131.26,131.26,6
APC,701,Sr89 strontium ,,,4125.6,10863.4,70
APC,701,Sr89 strontium Other Outpatient,,,4353.65,4353.65,6
APC,702,"Inj, human-lans, per i.u ",,,1.72,4.54,70
APC,702,"Inj, human-lans, per i.u Other Outpatient",,,1.82,1.82,6
APC,703,Inj daxibotulinumtoxina-la ,,,3.05,8.04,70
APC,703,Inj daxibotulinumtoxina-la Other Outpatient,,,3.22,3.22,6
APC,704,"Inj, aflibercept hd, 1 mg ",,,297.19,782.55,70
APC,704,"Inj, aflibercept hd, 1 mg Other Outpatient",,,313.62,313.62,6
APC,7043,Infliximab not biosimil 10 ,,,31.32,82.47,70
APC,7043,Infliximab not biosimil 10 Other Outpatient,,,33.05,33.05,6
APC,7046,Doxorubicin inj 10mg ,,,116.02,305.51,70
APC,7046,Doxorubicin inj 10mg Other Outpatient,,,122.44,122.44,6
APC,7048,Alteplase recombinant ,,,98.09,258.3,70
APC,7048,Alteplase recombinant Other Outpatient,,,103.52,103.52,6
APC,705,Inj avacincaptad pegol 0.1 ,,,102.69,270.39,70
APC,705,Inj avacincaptad pegol 0.1 Other Outpatient,,,108.36,108.36,6
APC,706,Inj talquetamab-tgvs 0.25 ,,,76.34,201.01,70
APC,706,Inj talquetamab-tgvs 0.25 Other Outpatient,,,80.56,80.56,6
APC,707,"Cantharidin top, applicato ",,,691.73,1821.44,70
APC,707,"Cantharidin top, applicato Other Outpatient",,,729.97,729.97,6
APC,708,"Inj, elranatamab-bcmm, 1 m ",,,191.52,504.3,70
APC,708,"Inj, elranatamab-bcmm, 1 m Other Outpatient",,,202.11,202.11,6
APC,709,Flortaucipir inj 1 millicu ,,,369.14,972.02,70
APC,709,Flortaucipir inj 1 millicu Other Outpatient,,,389.55,389.55,6
APC,710,Inj velmanase alfa-tycv 1 ,,,476.8,1255.48,70
APC,710,Inj velmanase alfa-tycv 1 Other Outpatient,,,503.15,503.15,6
APC,711,"Inj, artesunate, 1mg ",,,51.57,135.79,70
APC,711,"Inj, artesunate, 1mg Other Outpatient",,,54.42,54.42,6
APC,713,Inj roctavian ml 2x10^13vc ,,,12490.94,32890.72,70
APC,713,Inj roctavian ml 2x10^13vc Other Outpatient,,,13181.4,13181.4,6
APC,714,Inj delandistrogene mox ro ,,,3300312.52,8690270.14,70
APC,714,Inj delandistrogene mox ro Other Outpatient,,,3482741.85,3482741.85,6
APC,715,Pegunigalsidase alfa-iwxj ,,,224.54,591.24,70
APC,715,Pegunigalsidase alfa-iwxj Other Outpatient,,,236.95,236.95,6
APC,716,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1027.27,2704.98,70
APC,716,"Vyjuvek 5x10^9pfu/ml, 0.1 Other Outpatient",,,1084.06,1084.06,6
APC,717,"Instill adstiladrin, tx do ",,,64009.95,168548.82,70
APC,717,"Instill adstiladrin, tx do Other Outpatient",,,67548.19,67548.19,6
APC,719,Inj cyclophos frindovyx 5 ,,,8.88,23.38,70
APC,719,Inj cyclophos frindovyx 5 Other Outpatient,,,9.37,9.37,6
APC,720,"Inj glofitamab gxbm, 2.5 m ",,,2850.35,7505.46,70
APC,720,"Inj glofitamab gxbm, 2.5 m Other Outpatient",,,3007.91,3007.91,6
APC,721,Inj rozanolixizum-noli 1 m ,,,23.47,61.8,70
APC,721,Inj rozanolixizum-noli 1 m Other Outpatient,,,24.77,24.77,6
APC,723,Inj efgart-alfa 2mg hya-qv ,,,34.09,89.76,70
APC,723,Inj efgart-alfa 2mg hya-qv Other Outpatient,,,35.97,35.97,6
APC,725,Inj secukinumab intrav 1mg ,,,18.14,47.77,70
APC,725,Inj secukinumab intrav 1mg Other Outpatient,,,19.14,19.14,6
APC,726,Dexrazoxane HCl injection ,,,41.23,108.58,70
APC,726,Dexrazoxane HCl injection Other Outpatient,,,43.51,43.51,6
APC,727,"Inj, adzynma, 10 iu ",,,36.03,94.88,70
APC,727,"Inj, adzynma, 10 iu Other Outpatient",,,38.02,38.02,6
APC,728,"Inj, mirikizumab-mrkz, 1 m ",,,32.49,85.56,70
APC,728,"Inj, mirikizumab-mrkz, 1 m Other Outpatient",,,34.29,34.29,6
APC,729,"Inj, motixafortide, 0.25 m ",,,26.35,69.37,70
APC,729,"Inj, motixafortide, 0.25 m Other Outpatient",,,27.8,27.8,6
APC,730,Inj melphalan (hepzato) 1 ,,,797.47,2099.87,70
APC,730,Inj melphalan (hepzato) 1 Other Outpatient,,,841.55,841.55,6
APC,7308,Aminolevulinic acid hcl to ,,,387.33,1019.91,70
APC,7308,Aminolevulinic acid hcl to Other Outpatient,,,408.74,408.74,6
APC,731,Sargramostim injection ,,,62.16,163.68,70
APC,731,Sargramostim injection Other Outpatient,,,65.6,65.6,6
APC,732,"Inj, brixadi, 7 days or le ",,,428.42,1128.11,70
APC,732,"Inj, brixadi, 7 days or le Other Outpatient",,,452.1,452.1,6
APC,733,"Inj brixadi, more than 7 d ",,,1713.69,4512.44,70
APC,733,"Inj brixadi, more than 7 d Other Outpatient",,,1808.42,1808.42,6
APC,734,"Inj, levothyroxine, freska ",,,6.8,17.91,70
APC,734,"Inj, levothyroxine, freska Other Outpatient",,,7.18,7.18,6
APC,736,Amphotericin b liposome in ,,,19.75,51.99,70
APC,736,Amphotericin b liposome in Other Outpatient,,,20.84,20.84,6
APC,737,"Inj, cipaglucosidase, 5 mg ",,,95.82,252.31,70
APC,737,"Inj, cipaglucosidase, 5 mg Other Outpatient",,,101.12,101.12,6
APC,738,Rasburicase ,,,385.52,1015.13,70
APC,738,Rasburicase Other Outpatient,,,406.83,406.83,6
APC,739,"Inj, rykindo, 0.5 mg ",,,12.96,34.14,70
APC,739,"Inj, rykindo, 0.5 mg Other Outpatient",,,13.68,13.68,6
APC,740,Inj hydroxocobalamin iv 25 ,,,5.42,14.26,70
APC,740,Inj hydroxocobalamin iv 25 Other Outpatient,,,5.72,5.72,6
APC,741,Inj cyclophos dr reddys 5 ,,,0.5,1.3,70
APC,741,Inj cyclophos dr reddys 5 Other Outpatient,,,0.52,0.52,6
APC,743,"Inj, cyclophosphamide, nos ",,,0.57,1.51,70
APC,743,"Inj, cyclophosphamide, nos Other Outpatient",,,0.6,0.6,6
APC,744,Inst tauro 1.35mg/hep 100u ,,,4.19,11.02,70
APC,744,Inst tauro 1.35mg/hep 100u Other Outpatient,,,4.42,4.42,6
APC,745,"Inj, toripalimab-tpzi, 1 m ",,,40.69,107.14,70
APC,745,"Inj, toripalimab-tpzi, 1 m Other Outpatient",,,42.94,42.94,6
APC,746,"Inj, betibeglogene autotem ",,,2915608.7,7677281.2,70
APC,746,"Inj, betibeglogene autotem Other Outpatient",,,3076773.0,3076773.0,6
APC,747,"Inj, zolbetuximab-clzb, 2 ",,,33.75,88.88,70
APC,747,"Inj, zolbetuximab-clzb, 2 Other Outpatient",,,35.62,35.62,6
APC,748,"Inj, lovotibeglogene autot ",,,3219127.48,8476496.48,70
APC,748,"Inj, lovotibeglogene autot Other Outpatient",,,3397069.2,3397069.2,6
APC,749,Inj travoprost intra impl ,,,195.76,515.47,70
APC,749,Inj travoprost intra impl Other Outpatient,,,206.58,206.58,6
APC,750,"Inj, nithiodote, 3mg / 125 ",,,2.16,5.67,70
APC,750,"Inj, nithiodote, 3mg / 125 Other Outpatient",,,2.27,2.27,6
APC,752,Dactinomycin injection ,,,305.87,805.42,70
APC,752,Dactinomycin injection Other Outpatient,,,322.78,322.78,6
APC,755,Oral methotrexate (jylamvo ,,,16.38,43.14,70
APC,755,Oral methotrexate (jylamvo Other Outpatient,,,17.29,17.29,6
APC,756,Oral methotrexate (xatmep) ,,,22.8,60.04,70
APC,756,Oral methotrexate (xatmep) Other Outpatient,,,24.06,24.06,6
APC,757,"Docetaxel (docivyx), 1 mg ",,,46.06,121.27,70
APC,757,"Docetaxel (docivyx), 1 mg Other Outpatient",,,48.6,48.6,6
APC,759,"Naltrexone, depot form ",,,4.5,11.86,70
APC,759,"Naltrexone, depot form Other Outpatient",,,4.75,4.75,6
APC,760,Tc-99m graphite crucible ,,,326.96,860.93,70
APC,760,Tc-99m graphite crucible Other Outpatient,,,345.03,345.03,6
APC,761,"Inj, focinvez, 1mg ",,,2.44,6.43,70
APC,761,"Inj, focinvez, 1mg Other Outpatient",,,2.58,2.58,6
APC,763,"Inj, bupivacaine liposome ",,,1.45,3.81,70
APC,763,"Inj, bupivacaine liposome Other Outpatient",,,1.53,1.53,6
APC,764,Ketorolac tromethamine inj ,,,0.28,0.75,70
APC,764,Ketorolac tromethamine inj Other Outpatient,,,0.3,0.3,6
APC,765,"Inj, donanemab-azbt, 2 mg ",,,4.14,10.91,70
APC,765,"Inj, donanemab-azbt, 2 mg Other Outpatient",,,4.37,4.37,6
APC,767,"Inj, nogapendekin pmln 1 m ",,,93.83,247.08,70
APC,767,"Inj, nogapendekin pmln 1 m Other Outpatient",,,99.02,99.02,6
APC,768,"Inj, tarlatamab-dlle, 1 mg ",,,1604.36,4224.54,70
APC,768,"Inj, tarlatamab-dlle, 1 mg Other Outpatient",,,1693.04,1693.04,6
APC,770,In111 oxyquinoline ,,,827.3,2178.43,70
APC,770,In111 oxyquinoline Other Outpatient,,,873.03,873.03,6
APC,771,In111 pentetate ,,,741.89,1953.52,70
APC,771,In111 pentetate Other Outpatient,,,782.9,782.9,6
APC,772,"Inj, pegulicianine, 1 mg ",,,37.32,98.27,70
APC,772,"Inj, pegulicianine, 1 mg Other Outpatient",,,39.38,39.38,6
APC,774,Tc99m bicisate ,,,771.64,2031.86,70
APC,774,Tc99m bicisate Other Outpatient,,,814.3,814.3,6
APC,776,Technetium tc-99m auto wbc ,,,929.46,2447.42,70
APC,776,Technetium tc-99m auto wbc Other Outpatient,,,980.84,980.84,6
APC,777,Indium in-111 auto wbc ,,,1097.67,2890.36,70
APC,777,Indium in-111 auto wbc Other Outpatient,,,1158.35,1158.35,6
APC,778,"Inj, vasopressin (baxter) ",,,1.74,4.59,70
APC,778,"Inj, vasopressin (baxter) Other Outpatient",,,1.84,1.84,6
APC,779,Indium in-111 pentetreotid ,,,1990.94,5242.46,70
APC,779,Indium in-111 pentetreotid Other Outpatient,,,2100.99,2100.99,6
APC,780,Iodine i-123 iobenguane ,,,2305.91,6071.85,70
APC,780,Iodine i-123 iobenguane Other Outpatient,,,2433.38,2433.38,6
APC,781,Iodine i-123 ioflupane ,,,1380.8,3635.88,70
APC,781,Iodine i-123 ioflupane Other Outpatient,,,1457.13,1457.13,6
APC,782,"Inj, pemrydi rtu, 10 mg ",,,67.6,177.99,70
APC,782,"Inj, pemrydi rtu, 10 mg Other Outpatient",,,71.33,71.33,6
APC,784,"Inj, tyenne, 1 mg ",,,4.04,10.63,70
APC,784,"Inj, tyenne, 1 mg Other Outpatient",,,4.26,4.26,6
APC,785,"Inj, cyclophosphamd, sando ",,,3.42,9.01,70
APC,785,"Inj, cyclophosphamd, sando Other Outpatient",,,3.61,3.61,6
APC,786,"Inj, tofidence, 1 mg ",,,4.99,13.13,70
APC,786,"Inj, tofidence, 1 mg Other Outpatient",,,5.26,5.26,6
APC,798,"Inj, sezaby, 1 mg ",,,1.11,2.93,70
APC,798,"Inj, sezaby, 1 mg Other Outpatient",,,1.17,1.17,6
APC,800,Leuprolide acetate ,,,1832.05,4824.1,70
APC,800,Leuprolide acetate Other Outpatient,,,1933.32,1933.32,6
APC,8004,Ultrasound Composite ,,,294.06,774.31,70
APC,8004,Ultrasound Composite Other Outpatient,,,310.32,310.32,6
APC,8005,CT and CTA without Contras ,,,221.17,582.39,70
APC,8005,CT and CTA without Contras Other Outpatient,,,233.4,233.4,6
APC,8006,CT and CTA with Contrast C ,,,429.4,1130.67,70
APC,8006,CT and CTA with Contrast C Other Outpatient,,,453.13,453.13,6
APC,8007,MRI and MRA without Contra ,,,526.2,1385.58,70
APC,8007,MRI and MRA without Contra Other Outpatient,,,555.29,555.29,6
APC,8008,MRI and MRA with Contrast ,,,848.3,2233.72,70
APC,8008,MRI and MRA with Contrast Other Outpatient,,,895.19,895.19,6
APC,8010,Mental Health Services Com ,,,409.39,1077.99,70
APC,8010,Mental Health Services Com Other Outpatient,,,432.02,432.02,6
APC,8011,Comprehensive Observation ,,,2627.42,6883.84,26
APC,802,Etoposide oral 50 mg ,,,87.61,230.7,70
APC,802,Etoposide oral 50 mg Other Outpatient,,,92.46,92.46,6
APC,804,"Capecitabine, oral, 50 mg ",,,0.08,0.21,70
APC,804,"Capecitabine, oral, 50 mg Other Outpatient",,,0.08,0.08,6
APC,805,"Hiv prep, inj, cabotegravi ",,,7.26,19.11,70
APC,805,"Hiv prep, inj, cabotegravi Other Outpatient",,,7.66,7.66,6
APC,806,"Hiv prep, ftc/tdf 200/300m ",,,0.45,1.19,70
APC,806,"Hiv prep, ftc/tdf 200/300m Other Outpatient",,,0.48,0.48,6
APC,807,Aldesleukin injection ,,,3322.18,8747.84,70
APC,807,Aldesleukin injection Other Outpatient,,,3505.81,3505.81,6
APC,808,"Hiv prep, ftc/taf 200/25mg ",,,71.07,187.14,70
APC,808,"Hiv prep, ftc/taf 200/25mg Other Outpatient",,,75.0,75.0,6
APC,811,"Inj, nyposi 1 mcg ",,,1.03,2.71,70
APC,811,"Inj, nyposi 1 mcg Other Outpatient",,,1.09,1.09,6
APC,812,Carmustine injection ,,,238.81,628.83,70
APC,812,Carmustine injection Other Outpatient,,,252.01,252.01,6
APC,813,"Injection, imetelstat, 1 m ",,,59.23,155.97,70
APC,813,"Injection, imetelstat, 1 m Other Outpatient",,,62.51,62.51,6
APC,814,"Inj, magtrace per study do ",,,1247.73,3285.48,70
APC,814,"Inj, magtrace per study do Other Outpatient",,,1316.7,1316.7,6
APC,815,"Inj, palonosetron (posfrea ",,,54.95,144.7,70
APC,815,"Inj, palonosetron (posfrea Other Outpatient",,,57.99,57.99,6
APC,816,"Inj, tislelizumab-jsgr ",,,57.88,152.4,70
APC,816,"Inj, tislelizumab-jsgr Other Outpatient",,,61.08,61.08,6
APC,818,"Inj, crovalimab-akkz, 10 m ",,,548.75,1444.96,70
APC,818,"Inj, crovalimab-akkz, 10 m Other Outpatient",,,579.09,579.09,6
APC,819,"Inj, alyglo, 500 mg ",,,120.94,318.45,70
APC,819,"Inj, alyglo, 500 mg Other Outpatient",,,127.62,127.62,6
APC,821,Indigotindisulfonate sod 1 ,,,9.25,24.37,70
APC,821,Indigotindisulfonate sod 1 Other Outpatient,,,9.77,9.77,6
APC,822,"Inj, romiplostim 1 microgr ",,,11.56,30.44,70
APC,822,"Inj, romiplostim 1 microgr Other Outpatient",,,12.2,12.2,6
APC,824,"Inj, exagamglogene autotem ",,,2289402.46,6028376.34,70
APC,824,"Inj, exagamglogene autotem Other Outpatient",,,2415952.35,2415952.35,6
APC,825,Nelarabine injection ,,,65.08,171.37,70
APC,825,Nelarabine injection Other Outpatient,,,68.68,68.68,6
APC,827,Floxuridine injection ,,,4374.51,11518.81,70
APC,827,Floxuridine injection Other Outpatient,,,4616.32,4616.32,6
APC,831,Obecbtge autol up to 400 m ,,,276858.75,729015.0,70
APC,831,Obecbtge autol up to 400 m Other Outpatient,,,292162.5,292162.5,6
APC,835,"Datopotamab deruxtecan, 1 ",,,52.24,137.55,70
APC,835,"Datopotamab deruxtecan, 1 Other Outpatient",,,55.12,55.12,6
APC,837,"Inj, treosulfan, 50 mg ",,,32.17,84.7,70
APC,837,"Inj, treosulfan, 50 mg Other Outpatient",,,33.95,33.95,6
APC,839,Inj axatilimab-csfr 0.1 mg ,,,56.18,147.93,70
APC,839,Inj axatilimab-csfr 0.1 mg Other Outpatient,,,59.28,59.28,6
APC,840,Inj melpha hydroch nos 50 ,,,104.37,274.83,70
APC,840,Inj melpha hydroch nos 50 Other Outpatient,,,110.14,110.14,6
APC,841,"Inj, docetaxel (beizray) 1 ",,,46.57,122.64,70
APC,841,"Inj, docetaxel (beizray) 1 Other Outpatient",,,49.15,49.15,6
APC,842,"Inj, melphalan (apotex) 1 ",,,64.45,169.72,70
APC,842,"Inj, melphalan (apotex) 1 Other Outpatient",,,68.02,68.02,6
APC,843,Pegaspargase injection ,,,29515.64,77719.58,70
APC,843,Pegaspargase injection Other Outpatient,,,31147.16,31147.16,6
APC,844,Pentostatin injection ,,,2684.5,7068.73,70
APC,844,Pentostatin injection Other Outpatient,,,2832.89,2832.89,6
APC,845,"Inj, atidarsagene autotemc ",,,4482475.0,11803100.0,70
APC,845,"Inj, atidarsagene autotemc Other Outpatient",,,4730250.0,4730250.0,6
APC,846,"Inj, eculizumab-aeeb, 2 mg ",,,40.96,107.86,70
APC,846,"Inj, eculizumab-aeeb, 2 mg Other Outpatient",,,43.23,43.23,6
APC,847,Inj thiotepa nos 1 mg ,,,4.91,12.92,70
APC,847,Inj thiotepa nos 1 mg Other Outpatient,,,5.18,5.18,6
APC,848,Inj nivolumab 2 mg hyaluro ,,,28.0,73.73,70
APC,848,Inj nivolumab 2 mg hyaluro Other Outpatient,,,29.55,29.55,6
APC,852,"Inj, eculizumab-aagh, 2 mg ",,,31.62,83.26,70
APC,852,"Inj, eculizumab-aagh, 2 mg Other Outpatient",,,33.37,33.37,6
APC,853,Inj zenocutuzumab-zbco 1 m ,,,33.69,88.72,70
APC,853,Inj zenocutuzumab-zbco 1 m Other Outpatient,,,35.56,35.56,6
APC,854,In111 capromab ,,,1721.64,4533.36,70
APC,854,In111 capromab Other Outpatient,,,1816.8,1816.8,6
APC,855,"Inj ustekinumab-stba, 1 mg ",,,3.06,8.06,70
APC,855,"Inj ustekinumab-stba, 1 mg Other Outpatient",,,3.23,3.23,6
APC,858,Inj cladribine per 1 mg ,,,8.15,21.45,70
APC,858,Inj cladribine per 1 mg Other Outpatient,,,8.6,8.6,6
APC,859,"Inj ustekinumab-aekn, 1 mg ",,,10.48,27.59,70
APC,859,"Inj ustekinumab-aekn, 1 mg Other Outpatient",,,11.06,11.06,6
APC,860,"I131 iodobenguate, dx ",,,948.24,2496.89,70
APC,860,"I131 iodobenguate, dx Other Outpatient",,,1000.66,1000.66,6
APC,861,"I125 serum albumin, dx ",,,466.71,1228.94,70
APC,861,"I125 serum albumin, dx Other Outpatient",,,492.51,492.51,6
APC,862,Cr51 chromate ,,,1908.37,5025.06,70
APC,862,Cr51 chromate Other Outpatient,,,2013.86,2013.86,6
APC,863,"I125 iothalamate, dx ",,,646.39,1702.06,70
APC,863,"I125 iothalamate, dx Other Outpatient",,,682.12,682.12,6
APC,864,Mitoxantrone hydrochl ,,,29.55,77.82,70
APC,864,Mitoxantrone hydrochl Other Outpatient,,,31.19,31.19,6
APC,865,"Inj, hercessi, 10 mg ",,,32.3,85.05,70
APC,865,"Inj, hercessi, 10 mg Other Outpatient",,,34.08,34.08,6
APC,866,"Inj, sod thiosulfate (hope ",,,0.84,2.2,70
APC,866,"Inj, sod thiosulfate (hope Other Outpatient",,,0.88,0.88,6
APC,869,"Inj ustekinumab-kfce, 1 mg ",,,3.27,8.62,70
APC,869,"Inj ustekinumab-kfce, 1 mg Other Outpatient",,,3.45,3.45,6
APC,870,Inj. calaspargase pegol-mk ,,,85.36,224.77,70
APC,870,Inj. calaspargase pegol-mk Other Outpatient,,,90.08,90.08,6
APC,871,Inj pemetrexed (bluepoint) ,,,10.55,27.77,70
APC,871,Inj pemetrexed (bluepoint) Other Outpatient,,,11.13,11.13,6
APC,872,"Inj. denosumab-bbdz, 1 mg ",,,27.53,72.48,70
APC,872,"Inj. denosumab-bbdz, 1 mg Other Outpatient",,,29.05,29.05,6
APC,874,Synvisc or synvisc-one ,,,5.99,15.77,70
APC,874,Synvisc or synvisc-one Other Outpatient,,,6.32,6.32,6
APC,875,Euflexxa inj per dose ,,,97.65,257.12,70
APC,875,Euflexxa inj per dose Other Outpatient,,,103.04,103.04,6
APC,876,Gallium gozellix 1 millicu ,,,1165.44,3068.81,70
APC,876,Gallium gozellix 1 millicu Other Outpatient,,,1229.87,1229.87,6
APC,877,Orthovisc inj per dose ,,,99.83,262.87,70
APC,877,Orthovisc inj per dose Other Outpatient,,,105.35,105.35,6
APC,878,Aztreonam/avibactam 10 mg ,,,1.76,4.65,70
APC,878,Aztreonam/avibactam 10 mg Other Outpatient,,,1.86,1.86,6
APC,879,Inj ceftobipole medocarl 3 ,,,1.09,2.88,70
APC,879,Inj ceftobipole medocarl 3 Other Outpatient,,,1.15,1.15,6
APC,880,"Hiv prep, inj, lenacapavir ",,,16.0,42.13,70
APC,880,"Hiv prep, inj, lenacapavir Other Outpatient",,,16.89,16.89,6
APC,881,"Hiv prep, oral lenacapavir ",,,617.8,1626.78,70
APC,881,"Hiv prep, oral lenacapavir Other Outpatient",,,651.95,651.95,6
APC,882,Inj glucagon (gvoke) 0.01 ,,,1.79,4.71,70
APC,882,Inj glucagon (gvoke) 0.01 Other Outpatient,,,1.89,1.89,6
APC,883,"Inj, ethacrynate sod, 1 mg ",,,12.36,32.55,70
APC,883,"Inj, ethacrynate sod, 1 mg Other Outpatient",,,13.04,13.04,6
APC,884,"Inj, fosdenopterin, 0.1mg ",,,17.65,46.47,70
APC,884,"Inj, fosdenopterin, 0.1mg Other Outpatient",,,18.62,18.62,6
APC,885,"Inj, isoniazid, 1 mg ",,,0.3,0.79,70
APC,885,"Inj, isoniazid, 1 mg Other Outpatient",,,0.32,0.32,6
APC,886,Inj. remestemcel-l-rknd/ t ,,,202641.5,533588.68,70
APC,886,Inj. remestemcel-l-rknd/ t Other Outpatient,,,213842.79,213842.79,6
APC,887,Azathioprine parenteral ,,,253.48,667.47,70
APC,887,Azathioprine parenteral Other Outpatient,,,267.5,267.5,6
APC,888,"Inj. concizumab-mtci, 0.5 ",,,85.73,225.73,70
APC,888,"Inj. concizumab-mtci, 0.5 Other Outpatient",,,90.47,90.47,6
APC,889,Injection fitusiran 0.04 m ,,,130.55,343.75,70
APC,889,Injection fitusiran 0.04 m Other Outpatient,,,137.76,137.76,6
APC,890,Lymphocyte immune globulin ,,,5521.22,14538.28,70
APC,890,Lymphocyte immune globulin Other Outpatient,,,5826.41,5826.41,6
APC,891,"Inj, denosumab-bmwo, 1 mg ",,,25.85,68.06,70
APC,891,"Inj, denosumab-bmwo, 1 mg Other Outpatient",,,27.28,27.28,6
APC,892,"Inj, denosumab-bnht, 1 mg ",,,28.67,75.5,70
APC,892,"Inj, denosumab-bnht, 1 mg Other Outpatient",,,30.26,30.26,6
APC,893,"Inj, nipocalimab-aahu, 3 m ",,,32.41,85.33,70
APC,893,"Inj, nipocalimab-aahu, 3 m Other Outpatient",,,34.2,34.2,6
APC,894,Telisotuzumab vedotin-tllv ,,,145.33,382.68,70
APC,894,Telisotuzumab vedotin-tllv Other Outpatient,,,153.36,153.36,6
APC,895,Inj ustekinumab-aauz 1 mg ,,,13.09,34.46,70
APC,895,Inj ustekinumab-aauz 1 mg Other Outpatient,,,13.81,13.81,6
APC,896,"Inj, carboprost, 0.1 mg ",,,16.29,42.9,70
APC,896,"Inj, carboprost, 0.1 mg Other Outpatient",,,17.19,17.19,6
APC,897,"Revakinagene, per implant ",,,260271.8,685338.81,70
APC,897,"Revakinagene, per implant Other Outpatient",,,274658.68,274658.68,6
APC,898,Inj meloxicam (azurity) 1m ,,,1.05,2.78,70
APC,898,Inj meloxicam (azurity) 1m Other Outpatient,,,1.11,1.11,6
APC,900,"Inj, liothyronine, 1 mcg ",,,39.92,105.13,70
APC,900,"Inj, liothyronine, 1 mcg Other Outpatient",,,42.13,42.13,6
APC,9002,Tenecteplase injection ,,,216.33,569.64,70
APC,9002,Tenecteplase injection Other Outpatient,,,228.29,228.29,6
APC,9003,Rsv mab im 50mg ,,,434.57,1144.29,70
APC,9003,Rsv mab im 50mg Other Outpatient,,,458.59,458.59,6
APC,9004,"Injection, inclisiran, 1 m ",,,12.84,33.81,70
APC,9004,"Injection, inclisiran, 1 m Other Outpatient",,,13.55,13.55,6
APC,9006,Tacrolimus injection ,,,266.84,702.62,70
APC,9006,Tacrolimus injection Other Outpatient,,,281.58,281.58,6
APC,9007,Inj cutaquig 100 mg ,,,13.96,36.76,70
APC,9007,Inj cutaquig 100 mg Other Outpatient,,,14.73,14.73,6
APC,9008,"Inj tezepelumab-ekko, 1mg ",,,17.83,46.95,70
APC,9008,"Inj tezepelumab-ekko, 1mg Other Outpatient",,,18.82,18.82,6
APC,9009,"Inj, vutrisiran, 1 mg ",,,4987.54,13133.01,70
APC,9009,"Inj, vutrisiran, 1 mg Other Outpatient",,,5263.23,5263.23,6
APC,901,Alpha 1 proteinase inhibit ,,,5.11,13.45,70
APC,901,Alpha 1 proteinase inhibit Other Outpatient,,,5.39,5.39,6
APC,9010,Inj efgartigimod 2mg ,,,32.39,85.29,70
APC,9010,Inj efgartigimod 2mg Other Outpatient,,,34.18,34.18,6
APC,9013,Inj risankizumab-rzaaÂ1 m ,,,14.46,38.07,70
APC,9013,Inj risankizumab-rzaaÂ1 m Other Outpatient,,,15.26,15.26,6
APC,9014,"Inj., cerliponase alfa 1 m ",,,122.76,323.25,70
APC,9014,"Inj., cerliponase alfa 1 m Other Outpatient",,,129.55,129.55,6
APC,9016,"Inj., triptorelin xr 3.75 ",,,3800.83,10008.23,70
APC,9016,"Inj., triptorelin xr 3.75 Other Outpatient",,,4010.93,4010.93,6
APC,9017,"Inj. byooviz, 0.1 mg ",,,239.77,631.35,70
APC,9017,"Inj. byooviz, 0.1 mg Other Outpatient",,,253.02,253.02,6
APC,9018,"Inj, rimabotulinumtoxinB ",,,13.22,34.81,70
APC,9018,"Inj, rimabotulinumtoxinB Other Outpatient",,,13.95,13.95,6
APC,902,"Injection,onabotulinumtoxi ",,,6.47,17.05,70
APC,902,"Injection,onabotulinumtoxi Other Outpatient",,,6.83,6.83,6
APC,9020,Argatroban nonesrd (accord ,,,1.81,4.76,70
APC,9020,Argatroban nonesrd (accord Other Outpatient,,,1.91,1.91,6
APC,9025,"Inj glucagon hcl, freseniu ",,,128.63,338.72,70
APC,9025,"Inj glucagon hcl, freseniu Other Outpatient",,,135.75,135.75,6
APC,9026,"Inj, bortezomib, dr. reddy ",,,3.44,9.07,70
APC,9026,"Inj, bortezomib, dr. reddy Other Outpatient",,,3.63,3.63,6
APC,9027,"Inj, bortezomib freseniusk ",,,6.94,18.26,70
APC,9027,"Inj, bortezomib freseniusk Other Outpatient",,,7.32,7.32,6
APC,9028,Inj inotuzumab ozogam 0.1 ,,,2858.74,7527.53,70
APC,9028,Inj inotuzumab ozogam 0.1 Other Outpatient,,,3016.76,3016.76,6
APC,9029,"Inj., guselkumab, 1 mg ",,,66.59,175.33,70
APC,9029,"Inj., guselkumab, 1 mg Other Outpatient",,,70.27,70.27,6
APC,903,Cytomegalovirus imm IV /vi ,,,1849.53,4870.11,70
APC,903,Cytomegalovirus imm IV /vi Other Outpatient,,,1951.76,1951.76,6
APC,9031,"Inj, etelcalcetide, 0.1 mg ",,,2.45,6.46,70
APC,9031,"Inj, etelcalcetide, 0.1 mg Other Outpatient",,,2.59,2.59,6
APC,9032,Baclofen 10 MG injection ,,,185.18,487.6,70
APC,9032,Baclofen 10 MG injection Other Outpatient,,,195.41,195.41,6
APC,9033,Cidofovir injection ,,,533.06,1403.63,70
APC,9033,Cidofovir injection Other Outpatient,,,562.52,562.52,6
APC,9034,"Inj cuvitru, 100 mg ",,,18.06,47.55,70
APC,9034,"Inj cuvitru, 100 mg Other Outpatient",,,19.05,19.05,6
APC,9035,Axicabtagene ciloleucel ca ,,,559688.4,1473752.36,70
APC,9035,Axicabtagene ciloleucel ca Other Outpatient,,,590625.95,590625.95,6
APC,9036,"Injection, renflexis ",,,26.48,69.73,70
APC,9036,"Injection, renflexis Other Outpatient",,,27.95,27.95,6
APC,9038,Inj estrogen conjugate ,,,399.5,1051.94,70
APC,9038,Inj estrogen conjugate Other Outpatient,,,421.58,421.58,6
APC,904,Testosterone pellet 75 mg ,,,72.44,190.73,70
APC,904,Testosterone pellet 75 mg Other Outpatient,,,76.44,76.44,6
APC,9042,Glucagon hydrochloride ,,,116.74,307.41,70
APC,9042,Glucagon hydrochloride Other Outpatient,,,123.2,123.2,6
APC,9043,"Inj, afstyla, 1 i.u. ",,,1.61,4.24,70
APC,9043,"Inj, afstyla, 1 i.u. Other Outpatient",,,1.7,1.7,6
APC,9044,Ibutilide fumarate injecti ,,,175.01,460.83,70
APC,9044,Ibutilide fumarate injecti Other Outpatient,,,184.68,184.68,6
APC,9045,Idursulfase injection ,,,567.19,1493.51,70
APC,9045,Idursulfase injection Other Outpatient,,,598.55,598.55,6
APC,9046,"Inj., fibryga, 1 mg ",,,1.23,3.23,70
APC,9046,"Inj., fibryga, 1 mg Other Outpatient",,,1.29,1.29,6
APC,9048,"Inj, alymsys, 10 mg ",,,79.54,209.45,70
APC,9048,"Inj, alymsys, 10 mg Other Outpatient",,,83.94,83.94,6
APC,905,"Inj, posaconazole, 1 mg ",,,0.34,0.9,70
APC,905,"Inj, posaconazole, 1 mg Other Outpatient",,,0.36,0.36,6
APC,9050,"Leuprolide inj, camcevi, 1 ",,,41.85,110.19,70
APC,9050,"Leuprolide inj, camcevi, 1 Other Outpatient",,,44.16,44.16,6
APC,9051,"Inj, lanreotide, (cipla) 1 ",,,20.23,53.26,70
APC,9051,"Inj, lanreotide, (cipla) 1 Other Outpatient",,,21.35,21.35,6
APC,9052,Fluciclovine f-18 ,,,320.66,844.35,70
APC,9052,Fluciclovine f-18 Other Outpatient,,,338.38,338.38,6
APC,9053,Fluorodopa f-18 diag per m ,,,851.27,2241.54,70
APC,9053,Fluorodopa f-18 diag per m Other Outpatient,,,898.33,898.33,6
APC,9054,Lutetium lu 177 vipivotide ,,,265.98,700.37,70
APC,9054,Lutetium lu 177 vipivotide Other Outpatient,,,280.68,280.68,6
APC,9055,Gallium locametz 1 millicu ,,,360.69,949.75,70
APC,9055,Gallium locametz 1 millicu Other Outpatient,,,380.63,380.63,6
APC,9056,Gallium ga-68 ,,,49.38,130.03,70
APC,9056,Gallium ga-68 Other Outpatient,,,52.11,52.11,6
APC,9057,Inj nivol relatlimab 3mg/1 ,,,204.48,538.44,70
APC,9057,Inj nivol relatlimab 3mg/1 Other Outpatient,,,215.79,215.79,6
APC,9059,Vonvendi inj 1 iu vwf:rco ,,,1.8,4.74,70
APC,9059,Vonvendi inj 1 iu vwf:rco Other Outpatient,,,1.9,1.9,6
APC,906,Inj elivaldogene autotemec ,,,3164100.0,8331600.0,70
APC,906,Inj elivaldogene autotemec Other Outpatient,,,3339000.0,3339000.0,6
APC,9063,Rh ig minidose im ,,,79.6,209.6,70
APC,9063,Rh ig minidose im Other Outpatient,,,84.0,84.0,6
APC,9067,Lutetium lu 177 dotatat th ,,,348.46,917.54,70
APC,9067,Lutetium lu 177 dotatat th Other Outpatient,,,367.72,367.72,6
APC,9068,Smallpox&monkeypox vac 0.5 ,,,0.01,0.03,70
APC,9068,Smallpox&monkeypox vac 0.5 Other Outpatient,,,0.01,0.01,6
APC,907,"Inj, cyclophos (baxter) 5m ",,,4.37,11.49,70
APC,907,"Inj, cyclophos (baxter) 5m Other Outpatient",,,4.61,4.61,6
APC,9070,Inj luxturna 1 billion vec ,,,3054.29,8042.45,70
APC,9070,Inj luxturna 1 billion vec Other Outpatient,,,3223.12,3223.12,6
APC,9071,Capsaicin 8% patch ,,,3.49,9.19,70
APC,9071,Capsaicin 8% patch Other Outpatient,,,3.68,3.68,6
APC,9073,Buprenorph xr 100 mg or le ,,,2057.81,5418.57,70
APC,9073,Buprenorph xr 100 mg or le Other Outpatient,,,2171.56,2171.56,6
APC,9075,"Inj, kovaltry, 1 i.u. ",,,1.59,4.18,70
APC,9075,"Inj, kovaltry, 1 i.u. Other Outpatient",,,1.67,1.67,6
APC,9078,Testosterone undecanoate 1 ,,,2.14,5.63,70
APC,9078,Testosterone undecanoate 1 Other Outpatient,,,2.26,2.26,6
APC,9079,"Genvisc 850, inj, 1mg ",,,3.79,9.98,70
APC,9079,"Genvisc 850, inj, 1mg Other Outpatient",,,4.0,4.0,6
APC,908,Topi adm prad zami per tre ,,,3269354.08,8608751.46,70
APC,908,Topi adm prad zami per tre Other Outpatient,,,3450072.15,3450072.15,6
APC,9087,"Inj, clevidipine, 1 mg ",,,2.82,7.43,70
APC,9087,"Inj, clevidipine, 1 mg Other Outpatient",,,2.98,2.98,6
APC,9088,Peng benzathine/procaine i ,,,19.43,51.15,70
APC,9088,Peng benzathine/procaine i Other Outpatient,,,20.5,20.5,6
APC,909,Inj gemcitabin (avyxa) 200 ,,,398.33,1048.88,70
APC,909,Inj gemcitabin (avyxa) 200 Other Outpatient,,,420.35,420.35,6
APC,9094,Radiesse injection ,,,347.44,914.88,70
APC,9094,Radiesse injection Other Outpatient,,,366.65,366.65,6
APC,9095,"Inj, sculptra, 0.5mg ",,,2.15,5.66,70
APC,9095,"Inj, sculptra, 0.5mg Other Outpatient",,,2.27,2.27,6
APC,9097,Inj retacrit non-esrd use ,,,7.93,20.88,70
APC,9097,Inj retacrit non-esrd use Other Outpatient,,,8.37,8.37,6
APC,9099,"Inj fosnetupitant, palonos ",,,501.33,1320.08,70
APC,9099,"Inj fosnetupitant, palonos Other Outpatient",,,529.04,529.04,6
APC,9101,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.03,70
APC,9101,Vaccinia vrs vac 0.3 ml pe Other Outpatient,,,0.01,0.01,6
APC,9102,"Inj, fulvestrant (teva) ",,,41.46,109.18,70
APC,9102,"Inj, fulvestrant (teva) Other Outpatient",,,43.75,43.75,6
APC,9103,"Inj, fulvestrant (freseniu ",,,26.98,71.03,70
APC,9103,"Inj, fulvestrant (freseniu Other Outpatient",,,28.47,28.47,6
APC,9104,Antithymocyte globuln rabb ,,,1052.5,2771.41,70
APC,9104,Antithymocyte globuln rabb Other Outpatient,,,1110.68,1110.68,6
APC,9105,Inj pemetrexed (teva) 10mg ,,,10.93,28.78,70
APC,9105,Inj pemetrexed (teva) 10mg Other Outpatient,,,11.54,11.54,6
APC,9108,Thyrotropin injection ,,,2147.87,5655.69,70
APC,9108,Thyrotropin injection Other Outpatient,,,2266.59,2266.59,6
APC,9109,"Inj, elahere, 1 mg ",,,71.63,188.62,70
APC,9109,"Inj, elahere, 1 mg Other Outpatient",,,75.59,75.59,6
APC,911,"Inj pozelimab-bbfg, 1 mg ",,,91.27,240.33,70
APC,911,"Inj pozelimab-bbfg, 1 mg Other Outpatient",,,96.32,96.32,6
APC,9110,"Inj, tremelimumab-actl, 1 ",,,146.16,384.86,70
APC,9110,"Inj, tremelimumab-actl, 1 Other Outpatient",,,154.24,154.24,6
APC,9111,Inj teclistamab cqyv 0.5 m ,,,35.15,92.55,70
APC,9111,Inj teclistamab cqyv 0.5 m Other Outpatient,,,37.09,37.09,6
APC,9112,Inj teplizumab mzwv 5 mcg ,,,39.02,102.75,70
APC,9112,Inj teplizumab mzwv 5 mcg Other Outpatient,,,41.18,41.18,6
APC,9113,Inj olipudase alfa-rpcp 1m ,,,402.92,1060.96,70
APC,9113,Inj olipudase alfa-rpcp 1m Other Outpatient,,,425.19,425.19,6
APC,9114,Inj eflapegrastim-xnst 0.1 ,,,38.37,101.03,70
APC,9114,Inj eflapegrastim-xnst 0.1 Other Outpatient,,,40.49,40.49,6
APC,9115,"Inj, spesolimab-sbzo, 1 mg ",,,65.4,172.21,70
APC,9115,"Inj, spesolimab-sbzo, 1 mg Other Outpatient",,,69.01,69.01,6
APC,9117,"Inj, cimerli, 0.1 mg ",,,82.12,216.22,70
APC,9117,"Inj, cimerli, 0.1 mg Other Outpatient",,,86.65,86.65,6
APC,9118,"Inj, fylnetra, 0.5 mg ",,,104.58,275.39,70
APC,9118,"Inj, fylnetra, 0.5 mg Other Outpatient",,,110.36,110.36,6
APC,9119,"Inj, pedmark, 100 mg ",,,96.3,253.56,70
APC,9119,"Inj, pedmark, 100 mg Other Outpatient",,,101.62,101.62,6
APC,912,"Inj, wezlana, iv, 1 mg ",,,2.34,6.17,70
APC,912,"Inj, wezlana, iv, 1 mg Other Outpatient",,,2.47,2.47,6
APC,9122,Triptorelin pamoate ,,,464.03,1221.88,70
APC,9122,Triptorelin pamoate Other Outpatient,,,489.68,489.68,6
APC,9123,"Inj pemetrexed, hospira 10 ",,,2.93,7.71,70
APC,9123,"Inj pemetrexed, hospira 10 Other Outpatient",,,3.09,3.09,6
APC,9125,"Risperidone, long acting ",,,11.05,29.1,70
APC,9125,"Risperidone, long acting Other Outpatient",,,11.66,11.66,6
APC,9126,Natalizumab injection ,,,24.28,63.94,70
APC,9126,Natalizumab injection Other Outpatient,,,25.63,25.63,6
APC,9127,Inj pemetrexed (accord) 10 ,,,9.69,25.51,70
APC,9127,Inj pemetrexed (accord) 10 Other Outpatient,,,10.22,10.22,6
APC,9129,"Inj, stimufend, 0.5 mg ",,,142.95,376.42,70
APC,9129,"Inj, stimufend, 0.5 mg Other Outpatient",,,150.86,150.86,6
APC,913,Mitomycin intravesical ins ,,,272.97,718.78,70
APC,913,Mitomycin intravesical ins Other Outpatient,,,288.06,288.06,6
APC,9130,"Inj, imm glob bivigam, 500 ",,,80.83,212.85,70
APC,9130,"Inj, imm glob bivigam, 500 Other Outpatient",,,85.3,85.3,6
APC,9131,"Inj, Ado-trastuzumab Emt 1 ",,,43.41,114.3,70
APC,9131,"Inj, Ado-trastuzumab Emt 1 Other Outpatient",,,45.81,45.81,6
APC,9132,Prothrombin complex kcentr ,,,2.0,5.27,70
APC,9132,Prothrombin complex kcentr Other Outpatient,,,2.11,2.11,6
APC,9133,"Rabies ig, im/sc ",,,279.78,736.7,70
APC,9133,"Rabies ig, im/sc Other Outpatient",,,295.24,295.24,6
APC,9134,"Rabies ig, heat treated ",,,350.68,923.39,70
APC,9134,"Rabies ig, heat treated Other Outpatient",,,370.06,370.06,6
APC,9135,"Varicella-zoster ig, im ",,,2485.24,6544.06,70
APC,9135,"Varicella-zoster ig, im Other Outpatient",,,2622.62,2622.62,6
APC,9136,Inj leu acet lutr dpt 7.5 ,,,683.85,1800.69,70
APC,9136,Inj leu acet lutr dpt 7.5 Other Outpatient,,,721.65,721.65,6
APC,9138,"Inj, hemgenix, per tx dose ",,,3672992.75,9671599.0,70
APC,9138,"Inj, hemgenix, per tx dose Other Outpatient",,,3876022.5,3876022.5,6
APC,9139,"Rabies vaccine, im ",,,330.32,869.78,70
APC,9139,"Rabies vaccine, im Other Outpatient",,,348.58,348.58,6
APC,914,Ustekinumab-ttwe iv inj 1 ,,,8.51,22.41,70
APC,914,Ustekinumab-ttwe iv inj 1 Other Outpatient,,,8.98,8.98,6
APC,9140,"Rabies vaccine, id ",,,235.68,620.57,70
APC,9140,"Rabies vaccine, id Other Outpatient",,,248.7,248.7,6
APC,9141,Inj onase abepar-xioi trea ,,,2666637.81,7021699.56,70
APC,9141,Inj onase abepar-xioi trea Other Outpatient,,,2814039.9,2814039.9,6
APC,9142,FecalÂmicrobiota jslm 1 m ,,,65.28,171.88,70
APC,9142,FecalÂmicrobiota jslm 1 m Other Outpatient,,,68.88,68.88,6
APC,9144,"Inj, panzyga, 500 mg ",,,70.99,186.93,70
APC,9144,"Inj, panzyga, 500 mg Other Outpatient",,,74.91,74.91,6
APC,9145,"Inj, invega hafyera/trinza ",,,13.2,34.75,70
APC,9145,"Inj, invega hafyera/trinza Other Outpatient",,,13.93,13.93,6
APC,9146,"Inj, ixinity, 1 i.u. ",,,1.93,5.08,70
APC,9146,"Inj, ixinity, 1 i.u. Other Outpatient",,,2.04,2.04,6
APC,9149,"Inj ublituximab-xiiy, 1 mg ",,,71.88,189.27,70
APC,9149,"Inj ublituximab-xiiy, 1 mg Other Outpatient",,,75.85,75.85,6
APC,915,"Inj cosibelimab-ipdl, 2 mg ",,,22.16,58.36,70
APC,915,"Inj cosibelimab-ipdl, 2 mg Other Outpatient",,,23.39,23.39,6
APC,9150,"Inj mosunetuzumab-axgb, 1 ",,,671.12,1767.18,70
APC,9150,"Inj mosunetuzumab-axgb, 1 Other Outpatient",,,708.22,708.22,6
APC,9154,"Inj, vivimusta, 1 mg ",,,29.76,78.37,70
APC,9154,"Inj, vivimusta, 1 mg Other Outpatient",,,31.41,31.41,6
APC,9155,Inj lenacapavir (hiv tx) 1 ,,,22.82,60.09,70
APC,9155,Inj lenacapavir (hiv tx) 1 Other Outpatient,,,24.08,24.08,6
APC,9157,"Lecanemab-irmb, for iv inj ",,,1.34,3.52,70
APC,9157,"Lecanemab-irmb, for iv inj Other Outpatient",,,1.41,1.41,6
APC,9158,"Inj, pegcetacoplan, 1mg ",,,148.2,390.23,70
APC,9158,"Inj, pegcetacoplan, 1mg Other Outpatient",,,156.39,156.39,6
APC,9159,"Inj, vegzelma, 10 mg ",,,23.53,61.96,70
APC,9159,"Inj, vegzelma, 10 mg Other Outpatient",,,24.83,24.83,6
APC,916,Inj linvoseltamab-gcpt 1 m ,,,98.81,260.18,70
APC,916,Inj linvoseltamab-gcpt 1 m Other Outpatient,,,104.27,104.27,6
APC,9166,"Inj, fosaprepitant (teva) ",,,0.04,0.09,70
APC,9166,"Inj, fosaprepitant (teva) Other Outpatient",,,0.04,0.04,6
APC,917,"Inj, carboplatin (avyxa) ",,,5.18,13.63,70
APC,917,"Inj, carboplatin (avyxa) Other Outpatient",,,5.46,5.46,6
APC,9171,Factor ix idelvion inj ,,,5.48,14.43,70
APC,9171,Factor ix idelvion inj Other Outpatient,,,5.78,5.78,6
APC,9173,"Injection, fulphila ",,,66.69,175.6,70
APC,9173,"Injection, fulphila Other Outpatient",,,70.38,70.38,6
APC,9174,"Inj, durolane 1 mg ",,,6.21,16.35,70
APC,9174,"Inj, durolane 1 mg Other Outpatient",,,6.55,6.55,6
APC,9178,"Inj., meropenem, vaborbact ",,,2.21,5.82,70
APC,9178,"Inj., meropenem, vaborbact Other Outpatient",,,2.33,2.33,6
APC,9179,"Inj., aristada initio, 1 m ",,,3.44,9.07,70
APC,9179,"Inj., aristada initio, 1 m Other Outpatient",,,3.63,3.63,6
APC,918,"Inj, jobevne, 10 mg ",,,81.82,215.46,70
APC,918,"Inj, jobevne, 10 mg Other Outpatient",,,86.35,86.35,6
APC,9180,"Inj., patisiran, 0.1 mg ",,,100.52,264.69,70
APC,9180,"Inj., patisiran, 0.1 mg Other Outpatient",,,106.08,106.08,6
APC,9181,"Inj., perseris, 0.5 mg ",,,12.14,31.97,70
APC,9181,"Inj., perseris, 0.5 mg Other Outpatient",,,12.81,12.81,6
APC,9182,"Inj mogamulizumab-kpkc, 1 ",,,257.24,677.36,70
APC,9182,"Inj mogamulizumab-kpkc, 1 Other Outpatient",,,271.46,271.46,6
APC,9183,"Inj., plazomicin, 5 mg ",,,3.5,9.22,70
APC,9183,"Inj., plazomicin, 5 mg Other Outpatient",,,3.69,3.69,6
APC,9186,"Inj., rituximab, 10 mg ",,,72.91,191.99,70
APC,9186,"Inj., rituximab, 10 mg Other Outpatient",,,76.94,76.94,6
APC,9187,"Injection, burosumab-twza ",,,510.8,1345.03,70
APC,9187,"Injection, burosumab-twza Other Outpatient",,,539.04,539.04,6
APC,9189,"Inj., ibalizumab-uiyk, 10 ",,,79.11,208.32,70
APC,9189,"Inj., ibalizumab-uiyk, 10 Other Outpatient",,,83.49,83.49,6
APC,9190,"Inj., vestronidase alfa-vj ",,,290.08,763.82,70
APC,9190,"Inj., vestronidase alfa-vj Other Outpatient",,,306.11,306.11,6
APC,9193,Nivestym ,,,0.32,0.84,70
APC,9193,Nivestym Other Outpatient,,,0.34,0.34,6
APC,9194,Tisagenlecleucel car-pos t ,,,608634.73,1602636.18,70
APC,9194,Tisagenlecleucel car-pos t Other Outpatient,,,642277.86,642277.86,6
APC,9195,"Injection, udenyca 0.5 mg ",,,148.39,390.73,70
APC,9195,"Injection, udenyca 0.5 mg Other Outpatient",,,156.59,156.59,6
APC,9196,"Inj, trivisc 1 mg ",,,3.02,7.95,70
APC,9196,"Inj, trivisc 1 mg Other Outpatient",,,3.19,3.19,6
APC,9198,"Inj andexxa, 10 mg ",,,130.51,343.65,70
APC,9198,"Inj andexxa, 10 mg Other Outpatient",,,137.72,137.72,6
APC,9199,"Injection, caplacizumab-yh ",,,834.97,2198.62,70
APC,9199,"Injection, caplacizumab-yh Other Outpatient",,,881.13,881.13,6
APC,920,Tc99m succimer ,,,656.63,1729.02,70
APC,920,Tc99m succimer Other Outpatient,,,692.93,692.93,6
APC,9200,"Inj, remdesivir, 1 mg ",,,7.47,19.68,70
APC,9200,"Inj, remdesivir, 1 mg Other Outpatient",,,7.89,7.89,6
APC,9201,Rabies ig ht&sol human im/ ,,,241.98,637.18,70
APC,9201,Rabies ig ht&sol human im/ Other Outpatient,,,255.36,255.36,6
APC,9203,Inj cyclophosphamd auromed ,,,0.49,1.28,70
APC,9203,Inj cyclophosphamd auromed Other Outpatient,,,0.51,0.51,6
APC,9204,"Inj tisotu vedotin-tftv, 1 ",,,195.14,513.84,70
APC,9204,"Inj tisotu vedotin-tftv, 1 Other Outpatient",,,205.93,205.93,6
APC,9205,Inj lon tesirin-lpyl 0.075 ,,,225.47,593.71,70
APC,9205,Inj lon tesirin-lpyl 0.075 Other Outpatient,,,237.94,237.94,6
APC,9206,Inj plasminogen tvmh 1mg ,,,38.23,100.66,70
APC,9206,Inj plasminogen tvmh 1mg Other Outpatient,,,40.34,40.34,6
APC,9208,Agalsidase beta injection ,,,231.56,609.73,70
APC,9208,Agalsidase beta injection Other Outpatient,,,244.36,244.36,6
APC,9209,Laronidase injection ,,,41.28,108.7,70
APC,9209,Laronidase injection Other Outpatient,,,43.56,43.56,6
APC,921,"Inj, tyruko, 1 mg ",,,24.37,64.17,70
APC,921,"Inj, tyruko, 1 mg Other Outpatient",,,25.72,25.72,6
APC,9213,Inj. pemetrexed nos 10mg ,,,6.92,18.21,70
APC,9213,Inj. pemetrexed nos 10mg Other Outpatient,,,7.3,7.3,6
APC,9214,Bevacizumab injection ,,,74.45,196.04,70
APC,9214,Bevacizumab injection Other Outpatient,,,78.56,78.56,6
APC,9215,Cetuximab injection ,,,81.26,213.96,70
APC,9215,Cetuximab injection Other Outpatient,,,85.75,85.75,6
APC,9217,Leuprolide acetate suspnsi ,,,159.54,420.1,70
APC,9217,Leuprolide acetate suspnsi Other Outpatient,,,168.36,168.36,6
APC,9219,Procainamide hcl injection ,,,293.88,773.85,70
APC,9219,Procainamide hcl injection Other Outpatient,,,310.13,310.13,6
APC,922,Inj onase abepar-brve trea ,,,2650906.86,6980277.36,70
APC,922,Inj onase abepar-brve trea Other Outpatient,,,2797439.4,2797439.4,6
APC,9224,Galsulfase injection ,,,523.34,1378.03,70
APC,9224,Galsulfase injection Other Outpatient,,,552.27,552.27,6
APC,9225,Fluocinolone acetonide imp ,,,337.11,887.67,70
APC,9225,Fluocinolone acetonide imp Other Outpatient,,,355.74,355.74,6
APC,923,Inj yimmugo 100 mg ,,,24.02,63.26,70
APC,923,Inj yimmugo 100 mg Other Outpatient,,,25.35,25.35,6
APC,9230,Abatacept injection ,,,45.63,120.15,70
APC,9230,Abatacept injection Other Outpatient,,,48.15,48.15,6
APC,9233,Ranibizumab injection ,,,50.83,133.86,70
APC,9233,Ranibizumab injection Other Outpatient,,,53.64,53.64,6
APC,9235,Panitumumab injection ,,,181.28,477.34,70
APC,9235,Panitumumab injection Other Outpatient,,,191.3,191.3,6
APC,9237,"Inj, lanreotide acetate ",,,37.24,98.06,70
APC,9237,"Inj, lanreotide acetate Other Outpatient",,,39.3,39.3,6
APC,9239,Buprenorphine xr over 100 ,,,2057.81,5418.57,70
APC,9239,Buprenorphine xr over 100 Other Outpatient,,,2171.56,2171.56,6
APC,924,Inj zopapogene per ther do ,,,121290.5,319378.0,70
APC,924,Inj zopapogene per ther do Other Outpatient,,,127995.0,127995.0,6
APC,9240,"Injection, ixabepilone ",,,139.06,366.16,70
APC,9240,"Injection, ixabepilone Other Outpatient",,,146.74,146.74,6
APC,9241,Inj sirolimus prot part 1 ,,,90.57,238.5,70
APC,9241,Inj sirolimus prot part 1 Other Outpatient,,,95.58,95.58,6
APC,9243,"Inj, bendamustine hcl, 1mg ",,,2.95,7.76,70
APC,9243,"Inj, bendamustine hcl, 1mg Other Outpatient",,,3.11,3.11,6
APC,9246,"Inj, abilify asimtufii, 1 ",,,6.15,16.2,70
APC,9246,"Inj, abilify asimtufii, 1 Other Outpatient",,,6.49,6.49,6
APC,9247,"Inj, amisulpride, 1 mg ",,,9.52,25.07,70
APC,9247,"Inj, amisulpride, 1 mg Other Outpatient",,,10.05,10.05,6
APC,925,Factor viii ,,,1.24,3.26,70
APC,925,Factor viii Other Outpatient,,,1.31,1.31,6
APC,9250,Inj epcoritamab-bysp 0.16 ,,,57.7,151.94,70
APC,9250,Inj epcoritamab-bysp 0.16 Other Outpatient,,,60.89,60.89,6
APC,9251,C1 esterase inhibitor inj ,,,66.42,174.89,70
APC,9251,C1 esterase inhibitor inj Other Outpatient,,,70.09,70.09,6
APC,9252,Plerixafor injection ,,,28.35,74.64,70
APC,9252,Plerixafor injection Other Outpatient,,,29.91,29.91,6
APC,9253,Temozolomide injection ,,,10.36,27.27,70
APC,9253,Temozolomide injection Other Outpatient,,,10.93,10.93,6
APC,9254,Flotufolastat f18 diag 1 m ,,,723.92,1906.2,70
APC,9254,Flotufolastat f18 diag 1 m Other Outpatient,,,763.94,763.94,6
APC,9255,"Inj, invega sustenna, 1 mg ",,,15.35,40.43,70
APC,9255,"Inj, invega sustenna, 1 mg Other Outpatient",,,16.2,16.2,6
APC,9256,Dexamethasone intra implan ,,,202.64,533.58,70
APC,9256,Dexamethasone intra implan Other Outpatient,,,213.84,213.84,6
APC,9257,"Inj., emicizumab-kxwh 0.5 ",,,57.74,152.04,70
APC,9257,"Inj., emicizumab-kxwh 0.5 Other Outpatient",,,60.93,60.93,6
APC,9258,Telavancin injection ,,,7.45,19.61,70
APC,9258,Telavancin injection Other Outpatient,,,7.86,7.86,6
APC,9259,Pralatrexate injection ,,,384.19,1011.64,70
APC,9259,Pralatrexate injection Other Outpatient,,,405.43,405.43,6
APC,926,Gemcitabine intravesical s ,,,72619.32,191218.71,70
APC,926,Gemcitabine intravesical s Other Outpatient,,,76633.45,76633.45,6
APC,9260,Ofatumumab injection ,,,61.92,163.05,70
APC,9260,Ofatumumab injection Other Outpatient,,,65.35,65.35,6
APC,9262,Inj tofersen intrathec 1 m ,,,163.99,431.82,70
APC,9262,Inj tofersen intrathec 1 m Other Outpatient,,,173.06,173.06,6
APC,9263,Ecallantide injection ,,,592.96,1561.37,70
APC,9263,Ecallantide injection Other Outpatient,,,625.74,625.74,6
APC,9264,Tocilizumab injection ,,,5.38,14.17,70
APC,9264,Tocilizumab injection Other Outpatient,,,5.68,5.68,6
APC,9266,"Inj, uzedy, 1 mg ",,,26.05,68.59,70
APC,9266,"Inj, uzedy, 1 mg Other Outpatient",,,27.49,27.49,6
APC,9267,"Inj, rezafungin, 1 mg ",,,10.94,28.81,70
APC,9267,"Inj, rezafungin, 1 mg Other Outpatient",,,11.55,11.55,6
APC,9268,Inj. acthar gel to 40 unit ,,,4112.78,10829.64,70
APC,9268,Inj. acthar gel to 40 unit Other Outpatient,,,4340.12,4340.12,6
APC,9269,"C-1 esterase, berinert ",,,78.87,207.67,70
APC,9269,"C-1 esterase, berinert Other Outpatient",,,83.23,83.23,6
APC,927,Factor viii recombinant ,,,1.57,4.14,70
APC,927,Factor viii recombinant Other Outpatient,,,1.66,1.66,6
APC,9270,Gammaplex IVIG ,,,65.94,173.63,70
APC,9270,Gammaplex IVIG Other Outpatient,,,69.59,69.59,6
APC,9271,Velaglucerase alfa ,,,390.88,1029.25,70
APC,9271,Velaglucerase alfa Other Outpatient,,,412.49,412.49,6
APC,9272,"Inj, denosumab ",,,29.95,78.86,70
APC,9272,"Inj, denosumab Other Outpatient",,,31.61,31.61,6
APC,9273,Sipuleucel-T auto CD54+ ,,,55652.77,146542.97,70
APC,9273,Sipuleucel-T auto CD54+ Other Outpatient,,,58729.05,58729.05,6
APC,9274,Crotalidae Poly Immune Fab ,,,1897.37,4996.09,70
APC,9274,Crotalidae Poly Immune Fab Other Outpatient,,,2002.25,2002.25,6
APC,9275,"Inj. (ani), up to 40 units ",,,3656.3,9627.66,70
APC,9275,"Inj. (ani), up to 40 units Other Outpatient",,,3858.41,3858.41,6
APC,9276,Cabazitaxel injection ,,,232.56,612.37,70
APC,9276,Cabazitaxel injection Other Outpatient,,,245.42,245.42,6
APC,9277,Altuviiio per factor viii ,,,4.61,12.14,70
APC,9277,Altuviiio per factor viii Other Outpatient,,,4.86,4.86,6
APC,9278,Incobotulinumtoxin A ,,,5.26,13.85,70
APC,9278,Incobotulinumtoxin A Other Outpatient,,,5.55,5.55,6
APC,928,Factor ix complex ,,,1.74,4.58,70
APC,928,Factor ix complex Other Outpatient,,,1.83,1.83,6
APC,9280,"Inj, retifanlimab-dlwr, 1 ",,,30.83,81.17,70
APC,9280,"Inj, retifanlimab-dlwr, 1 Other Outpatient",,,32.53,32.53,6
APC,9281,"Injection, pegloticase ",,,3909.69,10294.86,70
APC,9281,"Injection, pegloticase Other Outpatient",,,4125.8,4125.8,6
APC,9284,Ipilimumab injection ,,,189.48,498.93,70
APC,9284,Ipilimumab injection Other Outpatient,,,199.95,199.95,6
APC,9285,Inj allopurinol sodium 1 m ,,,4.05,10.67,70
APC,9285,Inj allopurinol sodium 1 m Other Outpatient,,,4.28,4.28,6
APC,9286,Belatacept injection ,,,3.87,10.18,70
APC,9286,Belatacept injection Other Outpatient,,,4.08,4.08,6
APC,9287,Brentuximab vedotin inj ,,,277.81,731.52,70
APC,9287,Brentuximab vedotin inj Other Outpatient,,,293.17,293.17,6
APC,929,Anti-inhibitor ,,,2.43,6.41,70
APC,929,Anti-inhibitor Other Outpatient,,,2.57,2.57,6
APC,9293,"Injection, glucarpidase ",,,446.86,1176.65,70
APC,9293,"Injection, glucarpidase Other Outpatient",,,471.56,471.56,6
APC,9294,"Inj, taliglucerase alfa 10 ",,,42.46,111.81,70
APC,9294,"Inj, taliglucerase alfa 10 Other Outpatient",,,44.81,44.81,6
APC,9295,"Injection, Carfilzomib, 1 ",,,59.99,157.96,70
APC,9295,"Injection, Carfilzomib, 1 Other Outpatient",,,63.31,63.31,6
APC,9296,"Inj, ziv-aflibercept, 1mg ",,,8.63,22.73,70
APC,9296,"Inj, ziv-aflibercept, 1mg Other Outpatient",,,9.11,9.11,6
APC,9299,Inj. jivi 1 iu ,,,2.74,7.22,70
APC,9299,Inj. jivi 1 iu Other Outpatient,,,2.89,2.89,6
APC,930,Pembrolizumab 1mg berahyal ,,,31.78,83.68,70
APC,930,Pembrolizumab 1mg berahyal Other Outpatient,,,33.54,33.54,6
APC,9300,Omalizumab injection ,,,46.36,122.06,70
APC,9300,Omalizumab injection Other Outpatient,,,48.92,48.92,6
APC,9301,"Aminolevulinic acid, 10% g ",,,1.84,4.84,70
APC,9301,"Aminolevulinic acid, 10% g Other Outpatient",,,1.94,1.94,6
APC,9302,"Inj daunorubicin, cytarabi ",,,271.52,714.96,70
APC,9302,"Inj daunorubicin, cytarabi Other Outpatient",,,286.53,286.53,6
APC,9304,"Inj., cemiplimab-rwlc, 1 m ",,,29.52,77.73,70
APC,9304,"Inj., cemiplimab-rwlc, 1 m Other Outpatient",,,31.15,31.15,6
APC,9305,"Inj., lumoxiti, 0.01 mg ",,,23.28,61.29,70
APC,9305,"Inj., lumoxiti, 0.01 mg Other Outpatient",,,24.56,24.56,6
APC,9306,"Inj., tildrakizumab, 1 mg ",,,123.65,325.6,70
APC,9306,"Inj., tildrakizumab, 1 mg Other Outpatient",,,130.49,130.49,6
APC,9308,Dexametha opth insert 0.1 ,,,89.57,235.85,70
APC,9308,Dexametha opth insert 0.1 Other Outpatient,,,94.52,94.52,6
APC,9309,Inj. tagraxofusp-erzs 10 m ,,,355.73,936.71,70
APC,9309,Inj. tagraxofusp-erzs 10 m Other Outpatient,,,375.4,375.4,6
APC,931,Factor IX non-recombinant ,,,1.4,3.68,70
APC,931,Factor IX non-recombinant Other Outpatient,,,1.47,1.47,6
APC,9310,"Inj., emapalumab-lzsg, 1 m ",,,390.82,1029.08,70
APC,9310,"Inj., emapalumab-lzsg, 1 m Other Outpatient",,,412.42,412.42,6
APC,9311,"Inj., omadacycline, 1 mg ",,,4.17,10.97,70
APC,9311,"Inj., omadacycline, 1 mg Other Outpatient",,,4.4,4.4,6
APC,9312,"Inj., ravulizumab-cwvz 10 ",,,225.79,594.53,70
APC,9312,"Inj., ravulizumab-cwvz 10 Other Outpatient",,,238.27,238.27,6
APC,9313,Inj. belrapzo/bendamustine ,,,11.54,30.39,70
APC,9313,Inj. belrapzo/bendamustine Other Outpatient,,,12.18,12.18,6
APC,9314,"Inj. herceptin hylecta, 10 ",,,58.05,152.86,70
APC,9314,"Inj. herceptin hylecta, 10 Other Outpatient",,,61.26,61.26,6
APC,932,Factor ix recombinant nos ,,,1.85,4.88,70
APC,932,Factor ix recombinant nos Other Outpatient,,,1.96,1.96,6
APC,9320,Carbidopa levodopa ent 100 ,,,243.27,640.58,70
APC,9320,Carbidopa levodopa ent 100 Other Outpatient,,,256.72,256.72,6
APC,9321,Fosphenytoin inj pe ,,,0.66,1.74,70
APC,9321,Fosphenytoin inj pe Other Outpatient,,,0.7,0.7,6
APC,9322,Bcg live intravesical 1mg ,,,3.36,8.85,70
APC,9322,Bcg live intravesical 1mg Other Outpatient,,,3.54,3.54,6
APC,9323,Gallium ga-68 dotatoc ,,,3.59,9.46,70
APC,9323,Gallium ga-68 dotatoc Other Outpatient,,,3.79,3.79,6
APC,9324,Phenylep ketorolac opth so ,,,95.82,252.32,70
APC,9324,Phenylep ketorolac opth so Other Outpatient,,,101.12,101.12,6
APC,9325,"Inj., eravacycline, 1 mg ",,,1.37,3.62,70
APC,9325,"Inj., eravacycline, 1 mg Other Outpatient",,,1.45,1.45,6
APC,9326,"Inj., lanadelumab-flyo, 1 ",,,87.77,231.13,70
APC,9326,"Inj., lanadelumab-flyo, 1 Other Outpatient",,,92.63,92.63,6
APC,9327,Inj. romosozumab-aqqg 1 mg ,,,12.67,33.36,70
APC,9327,Inj. romosozumab-aqqg 1 mg Other Outpatient,,,13.37,13.37,6
APC,9328,"Inj., yutiq, 0.01 mg ",,,527.24,1388.31,70
APC,9328,"Inj., yutiq, 0.01 mg Other Outpatient",,,556.38,556.38,6
APC,9329,Inj mvasi 10 mg ,,,24.41,64.28,70
APC,9329,Inj mvasi 10 mg Other Outpatient,,,25.76,25.76,6
APC,933,"Suzetrigine, orl, 1mg ",,,0.31,0.82,70
APC,933,"Suzetrigine, orl, 1mg Other Outpatient",,,0.33,0.33,6
APC,9330,"Inj., kanjinti, 10 mg ",,,60.22,158.57,70
APC,9330,"Inj., kanjinti, 10 mg Other Outpatient",,,63.55,63.55,6
APC,9331,"Inj, polatuzumab vedotin 1 ",,,142.89,376.26,70
APC,9331,"Inj, polatuzumab vedotin 1 Other Outpatient",,,150.79,150.79,6
APC,9335,Oral busulfan ,,,10.07,26.51,70
APC,9335,Oral busulfan Other Outpatient,,,10.63,10.63,6
APC,9336,Inj truxima 10 mg ,,,34.39,90.56,70
APC,9336,Inj truxima 10 mg Other Outpatient,,,36.29,36.29,6
APC,9338,"Inj., triluron, 1 mg ",,,10.38,27.33,70
APC,9338,"Inj., triluron, 1 mg Other Outpatient",,,10.95,10.95,6
APC,934,"Inj, denosumab-nxxp, 1 mg ",,,15.58,41.03,70
APC,934,"Inj, denosumab-nxxp, 1 mg Other Outpatient",,,16.44,16.44,6
APC,9340,"Inj, brolucizumab-dbll, 1 ",,,357.91,942.45,70
APC,9340,"Inj, brolucizumab-dbll, 1 Other Outpatient",,,377.7,377.7,6
APC,9341,Inj  ogivri 10 mg ,,,31.79,83.7,70
APC,9341,Inj  ogivri 10 mg Other Outpatient,,,33.54,33.54,6
APC,9343,Inj givosiran 0.5 mg ,,,120.31,316.8,70
APC,9343,Inj givosiran 0.5 mg Other Outpatient,,,126.96,126.96,6
APC,9345,Inj pegfilgrastim-bmez 0.5 ,,,131.44,346.09,70
APC,9345,Inj pegfilgrastim-bmez 0.5 Other Outpatient,,,138.7,138.7,6
APC,9346,Mometasone sinus sinuva ,,,11.29,29.72,70
APC,9346,Mometasone sinus sinuva Other Outpatient,,,11.91,11.91,6
APC,9347,Inj luspatercept-aamt 0.25 ,,,43.3,114.01,70
APC,9347,Inj luspatercept-aamt 0.25 Other Outpatient,,,45.69,45.69,6
APC,9348,"Inj., zirabev, 10 mg ",,,25.76,67.83,70
APC,9348,"Inj., zirabev, 10 mg Other Outpatient",,,27.18,27.18,6
APC,9349,Inj herzuma 10 mg ,,,54.67,143.95,70
APC,9349,Inj herzuma 10 mg Other Outpatient,,,57.69,57.69,6
APC,935,"Inj. ferumoxytol, 1 mg ",,,0.4,1.06,70
APC,935,"Inj. ferumoxytol, 1 mg Other Outpatient",,,0.42,0.42,6
APC,9350,"Inj., trazimera, 10 mg ",,,12.97,34.15,70
APC,9350,"Inj., trazimera, 10 mg Other Outpatient",,,13.68,13.68,6
APC,9351,Inj bimatoprost itc imp 1m ,,,212.69,560.04,70
APC,9351,Inj bimatoprost itc imp 1m Other Outpatient,,,224.44,224.44,6
APC,9353,Inj fam-trastu deru-nxki 1 ,,,32.71,86.13,70
APC,9353,Inj fam-trastu deru-nxki 1 Other Outpatient,,,34.52,34.52,6
APC,9354,Inj recombin esperoct per ,,,2.28,6.02,70
APC,9354,Inj recombin esperoct per Other Outpatient,,,2.41,2.41,6
APC,9355,Inj. teprotumumab-trbw 10 ,,,378.0,995.34,70
APC,9355,Inj. teprotumumab-trbw 10 Other Outpatient,,,398.89,398.89,6
APC,9357,Inj. eptinezumab-jjmr 1 mg ,,,21.0,55.28,70
APC,9357,Inj. eptinezumab-jjmr 1 mg Other Outpatient,,,22.16,22.16,6
APC,9358,Inj xipere 1 mg ,,,47.53,125.16,70
APC,9358,Inj xipere 1 mg Other Outpatient,,,50.16,50.16,6
APC,9359,Inj crizanlizumab-tmca 5mg ,,,129.29,340.43,70
APC,9359,Inj crizanlizumab-tmca 5mg Other Outpatient,,,136.43,136.43,6
APC,936,"Inj, leucovorin cal (avyxa ",,,2.56,6.75,70
APC,936,"Inj, leucovorin cal (avyxa Other Outpatient",,,2.7,2.7,6
APC,9361,Inj. cetirizine hcl 0.5mg ,,,17.07,44.95,70
APC,9361,Inj. cetirizine hcl 0.5mg Other Outpatient,,,18.01,18.01,6
APC,9364,Inj enfort vedo-ejfv 0.25m ,,,36.47,96.04,70
APC,9364,Inj enfort vedo-ejfv 0.25m Other Outpatient,,,38.49,38.49,6
APC,9367,"Inj ruxience, 10 mg ",,,16.08,42.34,70
APC,9367,"Inj ruxience, 10 mg Other Outpatient",,,16.97,16.97,6
APC,937,Inj fosfomycin disodium 20 ,,,0.62,1.64,70
APC,937,Inj fosfomycin disodium 20 Other Outpatient,,,0.66,0.66,6
APC,9370,Fluoroestradiol F 18 ,,,458.12,1206.3,70
APC,9370,Fluoroestradiol F 18 Other Outpatient,,,483.44,483.44,6
APC,9372,"Inj. xembify, 100 mg ",,,15.17,39.94,70
APC,9372,"Inj. xembify, 100 mg Other Outpatient",,,16.01,16.01,6
APC,9374,Mitomycin instillation ,,,328.29,864.43,70
APC,9374,Mitomycin instillation Other Outpatient,,,346.43,346.43,6
APC,9375,"Inj., evomela, 1 mg ",,,17.95,47.28,70
APC,9375,"Inj., evomela, 1 mg Other Outpatient",,,18.95,18.95,6
APC,9376,Sacituzumab govitecan-hziy ,,,37.45,98.62,70
APC,9376,Sacituzumab govitecan-hziy Other Outpatient,,,39.52,39.52,6
APC,9377,Inj. isatuximab-irfc 10 mg ,,,87.72,230.98,70
APC,9377,Inj. isatuximab-irfc 10 mg Other Outpatient,,,92.57,92.57,6
APC,9378,"Daratumumab, hyaluronidase ",,,56.77,149.47,70
APC,9378,"Daratumumab, hyaluronidase Other Outpatient",,,59.9,59.9,6
APC,938,"Narsoplimab-wuug, 1 mg ",,,101.94,268.44,70
APC,938,"Narsoplimab-wuug, 1 mg Other Outpatient",,,107.58,107.58,6
APC,9381,"Inj. avsola, 10 mg ",,,30.68,80.77,70
APC,9381,"Inj. avsola, 10 mg Other Outpatient",,,32.37,32.37,6
APC,9382,Inj ontruzant 10 mg ,,,20.88,54.99,70
APC,9382,Inj ontruzant 10 mg Other Outpatient,,,22.04,22.04,6
APC,9383,Copper cu 64 dotatate diag ,,,591.31,1557.01,70
APC,9383,Copper cu 64 dotatate diag Other Outpatient,,,623.99,623.99,6
APC,9385,"Inj., tafasitamab-cxix ",,,14.36,37.8,70
APC,9385,"Inj., tafasitamab-cxix Other Outpatient",,,15.15,15.15,6
APC,9388,Inj. fe derisomaltose 10 m ,,,20.97,55.22,70
APC,9388,Inj. fe derisomaltose 10 m Other Outpatient,,,22.13,22.13,6
APC,9389,"Inj. lurbinectedin, 0.1 mg ",,,214.87,565.79,70
APC,9389,"Inj. lurbinectedin, 0.1 mg Other Outpatient",,,226.75,226.75,6
APC,939,"Inj, qivigy, 100mg ",,,29.44,77.51,70
APC,939,"Inj, qivigy, 100mg Other Outpatient",,,31.06,31.06,6
APC,9390,"Pertuzu, trastuzu, 10 mg ",,,59.6,156.92,70
APC,9390,"Pertuzu, trastuzu, 10 mg Other Outpatient",,,62.89,62.89,6
APC,9391,Brexucabtagene car pos t ,,,507553.38,1336472.22,70
APC,9391,Brexucabtagene car pos t Other Outpatient,,,535609.1,535609.1,6
APC,9392,Inj. asceniv ,,,506.59,1333.94,70
APC,9392,Inj. asceniv Other Outpatient,,,534.6,534.6,6
APC,9394,"Inj. inebilizumab-cdon, 1 ",,,508.1,1337.91,70
APC,9394,"Inj. inebilizumab-cdon, 1 Other Outpatient",,,536.18,536.18,6
APC,9395,Factor viia recomb sevenfa ,,,2.18,5.75,70
APC,9395,Factor viia recomb sevenfa Other Outpatient,,,2.3,2.3,6
APC,9396,"Afamelanotide implant, 1 m ",,,2928.7,7711.76,70
APC,9396,"Afamelanotide implant, 1 m Other Outpatient",,,3090.59,3090.59,6
APC,9398,Covid-19 Vaccine Administr ,,,40.62,106.96,70
APC,9398,Covid-19 Vaccine Administr Other Outpatient,,,42.87,42.87,6
APC,9399,"Pneumococcal, Influenza, H ",,,36.05,94.93,70
APC,9399,"Pneumococcal, Influenza, H Other Outpatient",,,38.04,38.04,6
APC,940,Inj depemokimab-ulaa 1 mg ,,,266.46,701.64,70
APC,940,Inj depemokimab-ulaa 1 mg Other Outpatient,,,281.19,281.19,6
APC,9406,"Inj, nyvepria ",,,136.23,358.71,70
APC,9406,"Inj, nyvepria Other Outpatient",,,143.76,143.76,6
APC,9407,"Inj. lumasiran, 0.5 mg ",,,335.29,882.87,70
APC,9407,"Inj. lumasiran, 0.5 mg Other Outpatient",,,353.82,353.82,6
APC,9408,"Inj. naxitamab-gqgk, 1 mg ",,,681.47,1794.43,70
APC,9408,"Inj. naxitamab-gqgk, 1 mg Other Outpatient",,,719.14,719.14,6
APC,9409,Gallium ga-68 psma-11 ucsf ,,,547.38,1441.34,70
APC,9409,Gallium ga-68 psma-11 ucsf Other Outpatient,,,577.64,577.64,6
APC,941,Riboflavin epioxa/hd<=2ml ,,,40225.36,105920.05,70
APC,941,Riboflavin epioxa/hd<=2ml Other Outpatient,,,42448.88,42448.88,6
APC,9410,"Gallium ga-68 psma-11, ucl ",,,361.68,952.37,70
APC,9410,"Gallium ga-68 psma-11, ucl Other Outpatient",,,381.68,381.68,6
APC,9411,"Inj. riabni, 10 mg ",,,18.44,48.56,70
APC,9411,"Inj. riabni, 10 mg Other Outpatient",,,19.46,19.46,6
APC,9412,"Injection, casimersen, 10 ",,,165.34,435.37,70
APC,9412,"Injection, casimersen, 10 Other Outpatient",,,174.48,174.48,6
APC,9413,lisocabtagene car pos t ,,,576672.75,1518474.97,70
APC,9413,lisocabtagene car pos t Other Outpatient,,,608549.13,608549.13,6
APC,9414,"Inj, cabote rilpivir 2mg 3 ",,,24.54,64.63,70
APC,9414,"Inj, cabote rilpivir 2mg 3 Other Outpatient",,,25.9,25.9,6
APC,9415,"Injection, trilaciclib, 1m ",,,5.44,14.31,70
APC,9415,"Injection, trilaciclib, 1m Other Outpatient",,,5.74,5.74,6
APC,9416,"Inj, evinacumab-dgnb, 5 mg ",,,196.64,517.8,70
APC,9416,"Inj, evinacumab-dgnb, 5 mg Other Outpatient",,,207.51,207.51,6
APC,9418,"Inj. margetuximab-cmkb, 5 ",,,56.16,147.88,70
APC,9418,"Inj. margetuximab-cmkb, 5 Other Outpatient",,,59.26,59.26,6
APC,9419,Inj fensolvi 0.25 mg ,,,144.58,380.71,70
APC,9419,Inj fensolvi 0.25 mg Other Outpatient,,,152.58,152.58,6
APC,942,Inj amivantamab 5mg hyalur ,,,40.54,106.75,70
APC,942,Inj amivantamab 5mg hyalur Other Outpatient,,,42.78,42.78,6
APC,9420,Eptifibatide injection ,,,3.85,10.13,70
APC,9420,Eptifibatide injection Other Outpatient,,,4.06,4.06,6
APC,9421,"Inj, granisetron, xr, 0.1 ",,,3.2,8.43,70
APC,9421,"Inj, granisetron, xr, 0.1 Other Outpatient",,,3.38,3.38,6
APC,9422,Idecabtagene vicleucel car ,,,565137.91,1488101.84,70
APC,9422,Idecabtagene vicleucel car Other Outpatient,,,596376.69,596376.69,6
APC,9426,"Inj, cefiderocol, 10 mg ",,,2.54,6.68,70
APC,9426,"Inj, cefiderocol, 10 mg Other Outpatient",,,2.68,2.68,6
APC,9427,"Injection, oritavancin 10 ",,,47.17,124.21,70
APC,9427,"Injection, oritavancin 10 Other Outpatient",,,49.78,49.78,6
APC,9428,Inj romidepsin non-lyo 0.1 ,,,33.42,88.0,70
APC,9428,Inj romidepsin non-lyo 0.1 Other Outpatient,,,35.27,35.27,6
APC,9429,Inj romidepsin lyophil 0.1 ,,,30.56,80.47,70
APC,9429,Inj romidepsin lyophil 0.1 Other Outpatient,,,32.25,32.25,6
APC,943,Octagam injection ,,,46.82,123.29,70
APC,943,Octagam injection Other Outpatient,,,49.41,49.41,6
APC,9430,"Piflu f-18, dia 1 millicur ",,,344.76,907.8,70
APC,9430,"Piflu f-18, dia 1 millicur Other Outpatient",,,363.81,363.81,6
APC,9431,"Inj, dostarlimab-gxly, 10 ",,,250.04,658.4,70
APC,9431,"Inj, dostarlimab-gxly, 10 Other Outpatient",,,263.86,263.86,6
APC,9432,"Inj, amivantamab-vmjw ",,,23.1,60.83,70
APC,9432,"Inj, amivantamab-vmjw Other Outpatient",,,24.38,24.38,6
APC,9433,Inj aval alfa-nqpt 4mg ,,,83.53,219.94,70
APC,9433,Inj aval alfa-nqpt 4mg Other Outpatient,,,88.14,88.14,6
APC,9434,Inj anifrolumab-fnia 1mg ,,,18.42,48.49,70
APC,9434,Inj anifrolumab-fnia 1mg Other Outpatient,,,19.43,19.43,6
APC,9436,Inj pegfilgrast ex bio 0.5 ,,,142.52,375.27,70
APC,9436,Inj pegfilgrast ex bio 0.5 Other Outpatient,,,150.39,150.39,6
APC,9437,"Inj, aspara, rylaze, 0.1 m ",,,58.4,153.79,70
APC,9437,"Inj, aspara, rylaze, 0.1 m Other Outpatient",,,61.63,61.63,6
APC,9439,"Inj, susvimo 0.1 mg ",,,74.42,195.96,70
APC,9439,"Inj, susvimo 0.1 mg Other Outpatient",,,78.53,78.53,6
APC,944,Gammagard liquid/erc inj ,,,49.06,129.17,70
APC,944,Gammagard liquid/erc inj Other Outpatient,,,51.77,51.77,6
APC,9440,"Instill, bupivac and melox ",,,0.84,2.22,70
APC,9440,"Instill, bupivac and melox Other Outpatient",,,0.89,0.89,6
APC,9441,Inj ferric carboxymaltos 1 ,,,1.13,2.97,70
APC,9441,Inj ferric carboxymaltos 1 Other Outpatient,,,1.19,1.19,6
APC,9442,"Inj. pemetrexed, 10 mg ",,,7.95,20.94,70
APC,9442,"Inj. pemetrexed, 10 mg Other Outpatient",,,8.39,8.39,6
APC,9443,Gallium illuccix 1 millicu ,,,476.13,1253.72,70
APC,9443,Gallium illuccix 1 millicu Other Outpatient,,,502.45,502.45,6
APC,9444,"Inj, sutimlimab-jome, 10 m ",,,19.54,51.46,70
APC,9444,"Inj, sutimlimab-jome, 10 m Other Outpatient",,,20.62,20.62,6
APC,9445,"Injection, ruconest ",,,37.64,99.12,70
APC,9445,"Injection, ruconest Other Outpatient",,,39.72,39.72,6
APC,9446,"Inj, tebentafusp-tebn, 1 m ",,,226.87,597.38,70
APC,9446,"Inj, tebentafusp-tebn, 1 m Other Outpatient",,,239.41,239.41,6
APC,9447,"Inj, releuko 1 mcg ",,,0.31,0.81,70
APC,9447,"Inj, releuko 1 mcg Other Outpatient",,,0.33,0.33,6
APC,9448,"Oral netupitant, palonoset ",,,471.67,1241.98,70
APC,9448,"Oral netupitant, palonoset Other Outpatient",,,497.74,497.74,6
APC,9449,"Injection, blinatumomab ",,,172.04,453.0,70
APC,9449,"Injection, blinatumomab Other Outpatient",,,181.55,181.55,6
APC,9450,Fluocinol acet intravit im ,,,513.82,1352.98,70
APC,9450,Fluocinol acet intravit im Other Outpatient,,,542.23,542.23,6
APC,9451,"Injection, peramivir ",,,1.67,4.4,70
APC,9451,"Injection, peramivir Other Outpatient",,,1.76,1.76,6
APC,9452,Inj ceftolozane tazobactam ,,,9.99,26.3,70
APC,9452,Inj ceftolozane tazobactam Other Outpatient,,,10.54,10.54,6
APC,9453,"Injection, nivolumab ",,,34.05,89.66,70
APC,9453,"Injection, nivolumab Other Outpatient",,,35.93,35.93,6
APC,9454,"Inj, pasireotide long acti ",,,613.62,1615.77,70
APC,9454,"Inj, pasireotide long acti Other Outpatient",,,647.54,647.54,6
APC,9455,"Injection, siltuximab ",,,173.2,456.05,70
APC,9455,"Injection, siltuximab Other Outpatient",,,182.77,182.77,6
APC,9456,"Injection, isavuconazonium ",,,1.02,2.69,70
APC,9456,"Injection, isavuconazonium Other Outpatient",,,1.08,1.08,6
APC,9458,Florbetaben f18 diagnostic ,,,1576.75,4151.84,70
APC,9458,Florbetaben f18 diagnostic Other Outpatient,,,1663.9,1663.9,6
APC,9459,Flutemetamol f18 diagnosti ,,,1934.29,5093.31,70
APC,9459,Flutemetamol f18 diagnosti Other Outpatient,,,2041.21,2041.21,6
APC,946,Hepagam b im injection ,,,65.28,171.9,70
APC,946,Hepagam b im injection Other Outpatient,,,68.89,68.89,6
APC,9460,"Injection, cangrelor ",,,20.17,53.12,70
APC,9460,"Injection, cangrelor Other Outpatient",,,21.29,21.29,6
APC,9461,Choline c-11 ,,,2503.85,6593.05,70
APC,9461,Choline c-11 Other Outpatient,,,2642.25,2642.25,6
APC,9463,"Inj., aprepitant, 1 mg ",,,1.58,4.17,70
APC,9463,"Inj., aprepitant, 1 mg Other Outpatient",,,1.67,1.67,6
APC,9466,"Inj., benralizumab, 1 mg ",,,164.74,433.78,70
APC,9466,"Inj., benralizumab, 1 mg Other Outpatient",,,173.84,173.84,6
APC,9467,"Inj rituximab, hyaluronida ",,,36.21,95.34,70
APC,9467,"Inj rituximab, hyaluronida Other Outpatient",,,38.21,38.21,6
APC,9468,Factor ix recomb gly rebin ,,,4.65,12.25,70
APC,9468,Factor ix recomb gly rebin Other Outpatient,,,4.91,4.91,6
APC,9469,Inj triamcinolone ace xr 1 ,,,19.18,50.51,70
APC,9469,Inj triamcinolone ace xr 1 Other Outpatient,,,20.24,20.24,6
APC,947,Flebogamma injection ,,,90.29,237.74,70
APC,947,Flebogamma injection Other Outpatient,,,95.28,95.28,6
APC,9470,Aripirazole lauroxil 1 mg ,,,3.54,9.32,70
APC,9470,Aripirazole lauroxil 1 mg Other Outpatient,,,3.73,3.73,6
APC,9471,"Hyaluronan, hymo or hymo o ",,,18.04,47.5,70
APC,9471,"Hyaluronan, hymo or hymo o Other Outpatient",,,19.04,19.04,6
APC,9472,Inj talimogene laherparepv ,,,76.95,202.63,70
APC,9472,Inj talimogene laherparepv Other Outpatient,,,81.21,81.21,6
APC,9473,"Injection, mepolizumab, 1m ",,,32.12,84.58,70
APC,9473,"Injection, mepolizumab, 1m Other Outpatient",,,33.9,33.9,6
APC,9474,Inj irinotecan liposome 1 ,,,65.53,172.56,70
APC,9474,Inj irinotecan liposome 1 Other Outpatient,,,69.15,69.15,6
APC,9475,"Injection, necitumumab, 1 ",,,5.7,15.02,70
APC,9475,"Injection, necitumumab, 1 Other Outpatient",,,6.02,6.02,6
APC,9476,"Injection, daratumumab 10 ",,,73.4,193.28,70
APC,9476,"Injection, daratumumab 10 Other Outpatient",,,77.46,77.46,6
APC,9477,"Injection, elotuzumab, 1mg ",,,8.15,21.46,70
APC,9477,"Injection, elotuzumab, 1mg Other Outpatient",,,8.6,8.6,6
APC,9478,Inj sebelipase alfa 1 mg ,,,536.9,1413.75,70
APC,9478,Inj sebelipase alfa 1 mg Other Outpatient,,,566.58,566.58,6
APC,948,Gamunex-C/Gammaked ,,,48.77,128.42,70
APC,948,Gamunex-C/Gammaked Other Outpatient,,,51.46,51.46,6
APC,9480,Injection trabectedin 0.1m ,,,408.43,1075.45,70
APC,9480,Injection trabectedin 0.1m Other Outpatient,,,431.0,431.0,6
APC,9481,"Injection, reslizumab ",,,11.67,30.73,70
APC,9481,"Injection, reslizumab Other Outpatient",,,12.32,12.32,6
APC,9483,"Inj, atezolizumab,10 mg ",,,96.06,252.95,70
APC,9483,"Inj, atezolizumab,10 mg Other Outpatient",,,101.37,101.37,6
APC,9484,"Inj, eteplirsen, 10 mg ",,,166.59,438.65,70
APC,9484,"Inj, eteplirsen, 10 mg Other Outpatient",,,175.8,175.8,6
APC,9487,"Ustekinumab, iv inject,1 m ",,,11.3,29.75,70
APC,9487,"Ustekinumab, iv inject,1 m Other Outpatient",,,11.92,11.92,6
APC,9489,"Inj, nusinersen, 0.1mg ",,,1326.78,3493.64,70
APC,9489,"Inj, nusinersen, 0.1mg Other Outpatient",,,1400.12,1400.12,6
APC,949,"Inj, denosumab-qbde, 1 mg ",,,4.1,10.79,70
APC,949,"Inj, denosumab-qbde, 1 mg Other Outpatient",,,4.33,4.33,6
APC,9490,"Inj, bezlotoxumab, 10 mg ",,,39.63,104.34,70
APC,9490,"Inj, bezlotoxumab, 10 mg Other Outpatient",,,41.82,41.82,6
APC,9491,"Injection, avelumab, 10 mg ",,,108.09,284.63,70
APC,9491,"Injection, avelumab, 10 mg Other Outpatient",,,114.07,114.07,6
APC,9492,"Inj., durvalumab, 10 mg ",,,87.51,230.43,70
APC,9492,"Inj., durvalumab, 10 mg Other Outpatient",,,92.35,92.35,6
APC,9493,"Injection, edaravone, 1 mg ",,,6.43,16.93,70
APC,9493,"Injection, edaravone, 1 mg Other Outpatient",,,6.79,6.79,6
APC,9494,"Injection, ocrelizumab ",,,60.67,159.74,70
APC,9494,"Injection, ocrelizumab Other Outpatient",,,64.02,64.02,6
APC,9495,Gemtuzumab ozogamicin inj ,,,246.13,648.11,70
APC,9495,Gemtuzumab ozogamicin inj Other Outpatient,,,259.74,259.74,6
APC,9496,"Inj, faricimab-svoa, 0.1mg ",,,32.22,84.84,70
APC,9496,"Inj, faricimab-svoa, 0.1mg Other Outpatient",,,34.0,34.0,6
APC,9498,Ciltacabtagene car-pos t ,,,585037.91,1540501.84,70
APC,9498,Ciltacabtagene car-pos t Other Outpatient,,,617376.69,617376.69,6
APC,950,"Inj, tocilizumab-anoh, 1 m ",,,4.67,12.29,70
APC,950,"Inj, tocilizumab-anoh, 1 m Other Outpatient",,,4.93,4.93,6
APC,9500,"Platelets, irradiated ",,,391.01,1029.58,70
APC,9500,"Platelets, irradiated Other Outpatient",,,412.62,412.62,6
APC,9501,Platelet pheres leukoreduc ,,,509.03,1340.37,70
APC,9501,Platelet pheres leukoreduc Other Outpatient,,,537.17,537.17,6
APC,9502,Platelet pheresis irradiat ,,,944.38,2486.72,70
APC,9502,Platelet pheresis irradiat Other Outpatient,,,996.59,996.59,6
APC,9503,Fr frz plasma donor retest ,,,52.98,139.52,70
APC,9503,Fr frz plasma donor retest Other Outpatient,,,55.91,55.91,6
APC,9504,RBC deglycerolized ,,,311.44,820.06,70
APC,9504,RBC deglycerolized Other Outpatient,,,328.65,328.65,6
APC,9505,RBC irradiated ,,,144.49,380.48,70
APC,9505,RBC irradiated Other Outpatient,,,152.48,152.48,6
APC,9507,"Platelets, pheresis ",,,307.42,809.48,70
APC,9507,"Platelets, pheresis Other Outpatient",,,324.41,324.41,6
APC,9508,Plasma 1 donor frz w/in 8 ,,,85.55,225.27,70
APC,9508,Plasma 1 donor frz w/in 8 Other Outpatient,,,90.28,90.28,6
APC,9509,"Frozen plasma, pooled, sd ",,,55.68,146.62,70
APC,9509,"Frozen plasma, pooled, sd Other Outpatient",,,58.76,58.76,6
APC,951,"Inj, denosumab-kyqq, 1 mg ",,,13.93,36.68,70
APC,951,"Inj, denosumab-kyqq, 1 mg Other Outpatient",,,14.7,14.7,6
APC,9510,Whole blood for transfusio ,,,188.89,497.38,70
APC,9510,Whole blood for transfusio Other Outpatient,,,199.33,199.33,6
APC,9511,Cryoprecipitate each unit ,,,71.59,188.51,70
APC,9511,Cryoprecipitate each unit Other Outpatient,,,75.55,75.55,6
APC,9512,RBC leukocytes reduced ,,,183.99,484.46,70
APC,9512,RBC leukocytes reduced Other Outpatient,,,194.16,194.16,6
APC,9513,"Plasma, frz between 8-24ho ",,,73.4,193.28,70
APC,9513,"Plasma, frz between 8-24ho Other Outpatient",,,77.46,77.46,6
APC,9514,"Plasma protein fract,5%,50 ",,,8.07,21.25,70
APC,9514,"Plasma protein fract,5%,50 Other Outpatient",,,8.52,8.52,6
APC,9515,"Platelets, each unit ",,,52.9,139.31,70
APC,9515,"Platelets, each unit Other Outpatient",,,55.83,55.83,6
APC,9516,Plaelet rich plasma unit ,,,556.99,1466.65,70
APC,9516,Plaelet rich plasma unit Other Outpatient,,,587.78,587.78,6
APC,9517,Red blood cells unit ,,,149.82,394.49,70
APC,9517,Red blood cells unit Other Outpatient,,,158.1,158.1,6
APC,9518,Washed red blood cells uni ,,,366.74,965.68,70
APC,9518,Washed red blood cells uni Other Outpatient,,,387.01,387.01,6
APC,9519,"Plasmaprotein fract,5%,250 ",,,35.14,92.54,70
APC,9519,"Plasmaprotein fract,5%,250 Other Outpatient",,,37.09,37.09,6
APC,952,"Inj ustekinumab-srlf, 1 mg ",,,11.49,30.26,70
APC,952,"Inj ustekinumab-srlf, 1 mg Other Outpatient",,,12.13,12.13,6
APC,9520,Blood split unit ,,,155.06,408.3,70
APC,9520,Blood split unit Other Outpatient,,,163.63,163.63,6
APC,9521,Platelets leukoreduced irr ,,,188.64,496.73,70
APC,9521,Platelets leukoreduced irr Other Outpatient,,,199.07,199.07,6
APC,9522,RBC leukoreduced irradiate ,,,264.08,695.37,70
APC,9522,RBC leukoreduced irradiate Other Outpatient,,,278.68,278.68,6
APC,9523,Cryoprecipitatereducedplas ,,,131.39,345.97,70
APC,9523,Cryoprecipitatereducedplas Other Outpatient,,,138.65,138.65,6
APC,9524,"Blood, l/r, cmv-neg ",,,150.82,397.14,70
APC,9524,"Blood, l/r, cmv-neg Other Outpatient",,,159.16,159.16,6
APC,9525,"Platelets, hla-m, l/r, uni ",,,704.52,1855.12,70
APC,9525,"Platelets, hla-m, l/r, uni Other Outpatient",,,743.46,743.46,6
APC,9526,Platelets leukocytes reduc ,,,143.54,377.96,70
APC,9526,Platelets leukocytes reduc Other Outpatient,,,151.47,151.47,6
APC,9527,"Blood, l/r, froz/degly/was ",,,263.86,694.8,70
APC,9527,"Blood, l/r, froz/degly/was Other Outpatient",,,278.45,278.45,6
APC,9528,"Plt, aph/pher, l/r, cmv-ne ",,,249.24,656.28,70
APC,9528,"Plt, aph/pher, l/r, cmv-ne Other Outpatient",,,263.01,263.01,6
APC,9529,"Blood, l/r, irradiated ",,,84.13,221.52,70
APC,9529,"Blood, l/r, irradiated Other Outpatient",,,88.78,88.78,6
APC,953,Ibuprofen injection ,,,3.24,8.52,70
APC,953,Ibuprofen injection Other Outpatient,,,3.41,3.41,6
APC,9530,Plate pheres leukoredu irr ,,,677.21,1783.2,70
APC,9530,Plate pheres leukoredu irr Other Outpatient,,,714.64,714.64,6
APC,9531,"Plt, pher, l/r cmv-neg, ir ",,,500.93,1319.04,70
APC,9531,"Plt, pher, l/r cmv-neg, ir Other Outpatient",,,528.62,528.62,6
APC,9532,"RBC, frz/deg/wsh, l/r, irr ",,,420.58,1107.45,70
APC,9532,"RBC, frz/deg/wsh, l/r, irr Other Outpatient",,,443.82,443.82,6
APC,9533,"RBC, l/r, cmv-neg, irrad ",,,248.15,653.43,70
APC,9533,"RBC, l/r, cmv-neg, irrad Other Outpatient",,,261.87,261.87,6
APC,9534,Pathogen reduced plasma po ,,,55.5,146.14,70
APC,9534,Pathogen reduced plasma po Other Outpatient,,,58.57,58.57,6
APC,9535,Pathogen reduced plasma si ,,,293.01,771.54,70
APC,9535,Pathogen reduced plasma si Other Outpatient,,,309.2,309.2,6
APC,9536,Platelets pheresis path re ,,,604.39,1591.47,70
APC,9536,Platelets pheresis path re Other Outpatient,,,637.8,637.8,6
APC,9537,Blood component/product no ,,,35.14,92.54,70
APC,9537,Blood component/product no Other Outpatient,,,37.09,37.09,6
APC,9538,Plasma cryo redu path each ,,,133.09,350.45,70
APC,9538,Plasma cryo redu path each Other Outpatient,,,140.45,140.45,6
APC,9539,Cryo fib comp path redu ea ,,,546.53,1439.11,70
APC,9539,Cryo fib comp path redu ea Other Outpatient,,,576.74,576.74,6
APC,9540,Covid-19 convalescent plas ,,,676.63,1781.68,70
APC,9540,Covid-19 convalescent plas Other Outpatient,,,714.03,714.03,6
APC,9541,Rbc o2 co2 reduced ,,,509.03,1340.37,70
APC,9541,Rbc o2 co2 reduced Other Outpatient,,,537.17,537.17,6
APC,957,Inj belantamab mafodot blm ,,,36.07,94.98,70
APC,957,Inj belantamab mafodot blm Other Outpatient,,,38.06,38.06,6
APC,961,"Albumin (human),5%, 50ml ",,,10.56,27.81,70
APC,961,"Albumin (human),5%, 50ml Other Outpatient",,,11.15,11.15,6
APC,963,"Albumin (human), 5%, 250 m ",,,52.81,139.07,70
APC,963,"Albumin (human), 5%, 250 m Other Outpatient",,,55.73,55.73,6
APC,964,"Albumin (human), 25%, 20 m ",,,21.22,55.88,70
APC,964,"Albumin (human), 25%, 20 m Other Outpatient",,,22.4,22.4,6
APC,965,"Albumin (human), 25%, 50ml ",,,53.06,139.71,70
APC,965,"Albumin (human), 25%, 50ml Other Outpatient",,,55.99,55.99,6
APC,T0002,Maternity Observation ,,,1451.37,1496.26,2
APC,T0003,Debride abdom wall ,,,324.96,335.01,2
APC,T0004,Breast reconstruction ,,,1164.33,1200.34,2
APC,T0008,"Thoracoscopy, surgical ",,,777.63,801.68,2
APC,T0010,Removal of gallbladder ,,,1088.65,1122.32,2
APC,T0011,Removal of gallbladder ,,,1268.22,1307.44,2
APC,T0012,Removal of fallopian tube ,,,683.74,704.89,2
APC,T0013,Removal of ovary/tube(s) ,,,1441.21,1485.79,2
APC,T0014,Revise fallopian tube(s) ,,,621.76,640.99,2
APC,T0017,Laparoscopic banding revis ,,,567.54,585.09,2
APC,T0018,Laparoscopic banding adjus ,,,58.37,60.18,2
APC,T0020,Methadone Opioid Treatment ,,,146.48,151.01,2
APC,T0130,Laparoscopic ileostomy or ,,,3507.16,3615.62,2
APC,T0175,Intensive Outpatient Progr ,,,210.69,217.2,2
APC,T1084,Denileukin diftitox inj ,,,2008.62,2070.74,2
APC,T1239,Rotavirus vacc 2 dose oral ,,,135.09,139.27,2
APC,T1355,Itraconazole injection ,,,0.39,0.4,2
APC,T1357,Inj protirelin per 250 mcg ,,,37.01,38.15,2
APC,T1361,Enfuvirtide injection ,,,22.02,22.7,2
APC,T1435,Injection estrone per 1 MG ,,,1.92,1.98,2
APC,T1842,Leuprolide acetate implant ,,,199.2,205.36,2
APC,T2644,Brachytx cesium-131 chlori ,,,118.5,122.16,2
APC,T3050,Sermorelin acetate injecti ,,,2.23,2.3,2
APC,T5122,Level 2 Musculoskeletal Pr ,,,2833.06,2920.68,2
APC,T5271,Blood Product Exchange and ,,,1239.1,1277.42,2
APC,T5521,Level 1 Imaging without Co ,,,71.89,74.11,2
APC,T5861,Partial Hospitalization (m ,,,216.9,223.6,2
APC,T9060,Diazoxide injection ,,,815.81,841.04,2
APC,T9506,"Granulocytes, pheresis uni ",,,1826.35,1882.84,2
APR-DRG,0011,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT ,,,32278.78,57348.1,27
APR-DRG,0011,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Age 21+,,,34408.85,34408.85,4
APR-DRG,0011,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Age Under 21,,,36702.77,36702.77,4
APR-DRG,0012,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT ,,,33538.03,59585.3,27
APR-DRG,0012,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Age 21+,,,35751.2,35751.2,4
APR-DRG,0012,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Age Under 21,,,38134.61,38134.61,4
APR-DRG,0013,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT ,,,43664.1,77575.8,27
APR-DRG,0013,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Age 21+,,,46545.49,46545.49,4
APR-DRG,0013,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Age Under 21,,,49648.52,49648.52,4
APR-DRG,0014,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT ,,,84747.74,150567.0,27
APR-DRG,0014,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Age 21+,,,90340.23,90340.23,4
APR-DRG,0014,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Age Under 21,,,96362.91,96362.91,4
APR-DRG,0021,HEART AND/OR LUNG TRANSPLANT ,,,36257.69,64417.2,27
APR-DRG,0021,HEART AND/OR LUNG TRANSPLANT Age 21+,,,38650.33,38650.33,4
APR-DRG,0021,HEART AND/OR LUNG TRANSPLANT Age Under 21,,,41227.02,41227.02,4
APR-DRG,0022,HEART AND/OR LUNG TRANSPLANT ,,,46810.15,83165.2,27
APR-DRG,0022,HEART AND/OR LUNG TRANSPLANT Age 21+,,,49899.14,49899.14,4
APR-DRG,0022,HEART AND/OR LUNG TRANSPLANT Age Under 21,,,53225.75,53225.75,4
APR-DRG,0023,HEART AND/OR LUNG TRANSPLANT ,,,58270.05,103525.0,27
APR-DRG,0023,HEART AND/OR LUNG TRANSPLANT Age 21+,,,62115.28,62115.28,4
APR-DRG,0023,HEART AND/OR LUNG TRANSPLANT Age Under 21,,,66256.3,66256.3,4
APR-DRG,0024,HEART AND/OR LUNG TRANSPLANT ,,,236581.86,420323.0,27
APR-DRG,0024,HEART AND/OR LUNG TRANSPLANT Age 21+,,,252193.86,252193.86,4
APR-DRG,0024,HEART AND/OR LUNG TRANSPLANT Age Under 21,,,269006.79,269006.79,4
APR-DRG,0041,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE ,,,33785.83,42875.41,18
APR-DRG,0041,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Age 21+,,,36015.35,36015.35,4
APR-DRG,0041,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Age Under 21,,,38416.37,38416.37,4
APR-DRG,0042,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE ,,,41171.59,52248.21,18
APR-DRG,0042,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Age 21+,,,43888.5,43888.5,4
APR-DRG,0042,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Age Under 21,,,46814.4,46814.4,4
APR-DRG,0043,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE ,,,62970.18,79911.4,18
APR-DRG,0043,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Age 21+,,,67125.58,67125.58,4
APR-DRG,0043,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Age Under 21,,,71600.61,71600.61,4
APR-DRG,0044,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE ,,,97939.93,124289.25,18
APR-DRG,0044,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Age 21+,,,104402.97,104402.97,4
APR-DRG,0044,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Age Under 21,,,111363.17,111363.17,4
APR-DRG,0051,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE ,,,33850.84,42957.91,18
APR-DRG,0051,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Age 21+,,,36084.65,36084.65,4
APR-DRG,0051,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Age Under 21,,,38490.29,38490.29,4
APR-DRG,0052,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE ,,,41439.28,52587.91,18
APR-DRG,0052,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Age 21+,,,44173.85,44173.85,4
APR-DRG,0052,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Age Under 21,,,47118.77,47118.77,4
APR-DRG,0053,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE ,,,45376.89,57584.89,18
APR-DRG,0053,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Age 21+,,,48371.31,48371.31,4
APR-DRG,0053,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Age Under 21,,,51596.06,51596.06,4
APR-DRG,0054,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE ,,,62991.6,79938.57,18
APR-DRG,0054,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Age 21+,,,67148.4,67148.4,4
APR-DRG,0054,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Age Under 21,,,71624.96,71624.96,4
APR-DRG,0061,PANCREAS TRANSPLANT ,,,44760.07,79523.0,27
APR-DRG,0061,PANCREAS TRANSPLANT Age 21+,,,47713.78,47713.78,4
APR-DRG,0061,PANCREAS TRANSPLANT Age Under 21,,,50894.7,50894.7,4
APR-DRG,0062,PANCREAS TRANSPLANT ,,,45345.54,80563.1,27
APR-DRG,0062,PANCREAS TRANSPLANT Age 21+,,,48337.88,48337.88,4
APR-DRG,0062,PANCREAS TRANSPLANT Age Under 21,,,51560.41,51560.41,4
APR-DRG,0063,PANCREAS TRANSPLANT ,,,50134.01,89070.6,27
APR-DRG,0063,PANCREAS TRANSPLANT Age 21+,,,53442.34,53442.34,4
APR-DRG,0063,PANCREAS TRANSPLANT Age Under 21,,,57005.17,57005.17,4
APR-DRG,0064,PANCREAS TRANSPLANT ,,,77578.04,137829.0,27
APR-DRG,0064,PANCREAS TRANSPLANT Age 21+,,,82697.4,82697.4,4
APR-DRG,0064,PANCREAS TRANSPLANT Age Under 21,,,88210.56,88210.56,4
APR-DRG,0071,ALLOGENEIC BONE MARROW TRANSPLANT ,,,43985.32,78146.5,27
APR-DRG,0071,ALLOGENEIC BONE MARROW TRANSPLANT Age 21+,,,46887.91,46887.91,4
APR-DRG,0071,ALLOGENEIC BONE MARROW TRANSPLANT Age Under 21,,,50013.77,50013.77,4
APR-DRG,0072,ALLOGENEIC BONE MARROW TRANSPLANT ,,,66985.81,119010.0,27
APR-DRG,0072,ALLOGENEIC BONE MARROW TRANSPLANT Age 21+,,,71406.19,71406.19,4
APR-DRG,0072,ALLOGENEIC BONE MARROW TRANSPLANT Age Under 21,,,76166.61,76166.61,4
APR-DRG,0073,ALLOGENEIC BONE MARROW TRANSPLANT ,,,99697.85,177128.0,27
APR-DRG,0073,ALLOGENEIC BONE MARROW TRANSPLANT Age 21+,,,106276.89,106276.89,4
APR-DRG,0073,ALLOGENEIC BONE MARROW TRANSPLANT Age Under 21,,,113362.02,113362.02,4
APR-DRG,0074,ALLOGENEIC BONE MARROW TRANSPLANT ,,,282540.77,501976.0,27
APR-DRG,0074,ALLOGENEIC BONE MARROW TRANSPLANT Age 21+,,,301185.59,301185.59,4
APR-DRG,0074,ALLOGENEIC BONE MARROW TRANSPLANT Age Under 21,,,321264.63,321264.63,4
APR-DRG,0081,AUTOLOGOUS BONE MARROW TRANSPLANT ,,,24875.03,44194.2,27
APR-DRG,0081,AUTOLOGOUS BONE MARROW TRANSPLANT Age 21+,,,26516.53,26516.53,4
APR-DRG,0081,AUTOLOGOUS BONE MARROW TRANSPLANT Age Under 21,,,28284.3,28284.3,4
APR-DRG,0082,AUTOLOGOUS BONE MARROW TRANSPLANT ,,,29699.45,52765.5,27
APR-DRG,0082,AUTOLOGOUS BONE MARROW TRANSPLANT Age 21+,,,31659.32,31659.32,4
APR-DRG,0082,AUTOLOGOUS BONE MARROW TRANSPLANT Age Under 21,,,33769.94,33769.94,4
APR-DRG,0083,AUTOLOGOUS BONE MARROW TRANSPLANT ,,,57053.61,101364.0,27
APR-DRG,0083,AUTOLOGOUS BONE MARROW TRANSPLANT Age 21+,,,60818.57,60818.57,4
APR-DRG,0083,AUTOLOGOUS BONE MARROW TRANSPLANT Age Under 21,,,64873.14,64873.14,4
APR-DRG,0084,AUTOLOGOUS BONE MARROW TRANSPLANT ,,,84408.17,149964.0,27
APR-DRG,0084,AUTOLOGOUS BONE MARROW TRANSPLANT Age 21+,,,89978.25,89978.25,4
APR-DRG,0084,AUTOLOGOUS BONE MARROW TRANSPLANT Age Under 21,,,95976.8,95976.8,4
APR-DRG,0091,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) ,,,52410.46,66510.74,18
APR-DRG,0091,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Age 21+,,,55869.02,55869.02,4
APR-DRG,0091,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Age Under 21,,,59593.62,59593.62,4
APR-DRG,0092,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) ,,,54042.57,68581.94,18
APR-DRG,0092,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Age 21+,,,57608.83,57608.83,4
APR-DRG,0092,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Age Under 21,,,61449.42,61449.42,4
APR-DRG,0093,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) ,,,82169.57,104276.1,18
APR-DRG,0093,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Age 21+,,,87591.92,87591.92,4
APR-DRG,0093,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Age Under 21,,,93431.39,93431.39,4
APR-DRG,0094,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) ,,,167250.0,212246.19,18
APR-DRG,0094,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Age 21+,,,178286.8,178286.8,4
APR-DRG,0094,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Age Under 21,,,190172.58,190172.58,4
APR-DRG,0111,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,26132.38,33162.93,18
APR-DRG,0111,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Age 21+,,,27856.86,27856.86,4
APR-DRG,0111,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Age Under 21,,,29713.98,29713.98,4
APR-DRG,0112,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,45951.65,58314.27,18
APR-DRG,0112,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Age 21+,,,48983.99,48983.99,4
APR-DRG,0112,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Age Under 21,,,52249.59,52249.59,4
APR-DRG,0113,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,66123.48,83913.05,18
APR-DRG,0113,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Age 21+,,,70486.96,70486.96,4
APR-DRG,0113,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Age Under 21,,,75186.09,75186.09,4
APR-DRG,0114,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,116363.03,147668.83,18
APR-DRG,0114,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Age 21+,,,124041.81,124041.81,4
APR-DRG,0114,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Age Under 21,,,132311.27,132311.27,4
APR-DRG,0201,OPEN CRANIOTOMY FOR TRAUMA ,,,10062.59,12769.79,18
APR-DRG,0201,OPEN CRANIOTOMY FOR TRAUMA Age 21+,,,10726.62,10726.62,4
APR-DRG,0201,OPEN CRANIOTOMY FOR TRAUMA Age Under 21,,,11441.73,11441.73,4
APR-DRG,0202,OPEN CRANIOTOMY FOR TRAUMA ,,,12021.65,15255.9,18
APR-DRG,0202,OPEN CRANIOTOMY FOR TRAUMA Age 21+,,,12814.96,12814.96,4
APR-DRG,0202,OPEN CRANIOTOMY FOR TRAUMA Age Under 21,,,13669.29,13669.29,4
APR-DRG,0203,OPEN CRANIOTOMY FOR TRAUMA ,,,21427.66,27192.46,18
APR-DRG,0203,OPEN CRANIOTOMY FOR TRAUMA Age 21+,,,22841.67,22841.67,4
APR-DRG,0203,OPEN CRANIOTOMY FOR TRAUMA Age Under 21,,,24364.45,24364.45,4
APR-DRG,0204,OPEN CRANIOTOMY FOR TRAUMA ,,,34082.58,43252.0,18
APR-DRG,0204,OPEN CRANIOTOMY FOR TRAUMA Age 21+,,,36331.68,36331.68,4
APR-DRG,0204,OPEN CRANIOTOMY FOR TRAUMA Age Under 21,,,38753.79,38753.79,4
APR-DRG,0211,OPEN CRANIOTOMY EXCEPT TRAUMA ,,,10862.21,13784.53,18
APR-DRG,0211,OPEN CRANIOTOMY EXCEPT TRAUMA Age 21+,,,11579.0,11579.0,4
APR-DRG,0211,OPEN CRANIOTOMY EXCEPT TRAUMA Age Under 21,,,12350.93,12350.93,4
APR-DRG,0212,OPEN CRANIOTOMY EXCEPT TRAUMA ,,,14758.14,18728.6,18
APR-DRG,0212,OPEN CRANIOTOMY EXCEPT TRAUMA Age 21+,,,15732.02,15732.02,4
APR-DRG,0212,OPEN CRANIOTOMY EXCEPT TRAUMA Age Under 21,,,16780.83,16780.83,4
APR-DRG,0213,OPEN CRANIOTOMY EXCEPT TRAUMA ,,,23221.14,29468.45,18
APR-DRG,0213,OPEN CRANIOTOMY EXCEPT TRAUMA Age 21+,,,24753.5,24753.5,4
APR-DRG,0213,OPEN CRANIOTOMY EXCEPT TRAUMA Age Under 21,,,26403.73,26403.73,4
APR-DRG,0214,OPEN CRANIOTOMY EXCEPT TRAUMA ,,,40573.51,51489.22,18
APR-DRG,0214,OPEN CRANIOTOMY EXCEPT TRAUMA Age 21+,,,43250.95,43250.95,4
APR-DRG,0214,OPEN CRANIOTOMY EXCEPT TRAUMA Age Under 21,,,46134.35,46134.35,4
APR-DRG,0221,VENTRICULAR SHUNT PROCEDURES ,,,6070.67,7703.9,18
APR-DRG,0221,VENTRICULAR SHUNT PROCEDURES Age 21+,,,6471.28,6471.28,4
APR-DRG,0221,VENTRICULAR SHUNT PROCEDURES Age Under 21,,,6902.69,6902.69,4
APR-DRG,0222,VENTRICULAR SHUNT PROCEDURES ,,,7464.15,9472.27,18
APR-DRG,0222,VENTRICULAR SHUNT PROCEDURES Age 21+,,,7956.71,7956.71,4
APR-DRG,0222,VENTRICULAR SHUNT PROCEDURES Age Under 21,,,8487.16,8487.16,4
APR-DRG,0223,VENTRICULAR SHUNT PROCEDURES ,,,11122.24,14114.51,18
APR-DRG,0223,VENTRICULAR SHUNT PROCEDURES Age 21+,,,11856.19,11856.19,4
APR-DRG,0223,VENTRICULAR SHUNT PROCEDURES Age Under 21,,,12646.6,12646.6,4
APR-DRG,0224,VENTRICULAR SHUNT PROCEDURES ,,,40267.59,51101.0,18
APR-DRG,0224,VENTRICULAR SHUNT PROCEDURES Age 21+,,,42924.84,42924.84,4
APR-DRG,0224,VENTRICULAR SHUNT PROCEDURES Age Under 21,,,45786.5,45786.5,4
APR-DRG,0231,SPINAL PROCEDURES ,,,7678.69,9744.52,18
APR-DRG,0231,SPINAL PROCEDURES Age 21+,,,8185.4,8185.4,4
APR-DRG,0231,SPINAL PROCEDURES Age Under 21,,,8731.09,8731.09,4
APR-DRG,0232,SPINAL PROCEDURES ,,,11165.06,14168.86,18
APR-DRG,0232,SPINAL PROCEDURES Age 21+,,,11901.84,11901.84,4
APR-DRG,0232,SPINAL PROCEDURES Age Under 21,,,12695.3,12695.3,4
APR-DRG,0233,SPINAL PROCEDURES ,,,22744.28,28863.3,18
APR-DRG,0233,SPINAL PROCEDURES Age 21+,,,24245.17,24245.17,4
APR-DRG,0233,SPINAL PROCEDURES Age Under 21,,,25861.52,25861.52,4
APR-DRG,0234,SPINAL PROCEDURES ,,,46718.75,59287.75,18
APR-DRG,0234,SPINAL PROCEDURES Age 21+,,,49801.71,49801.71,4
APR-DRG,0234,SPINAL PROCEDURES Age Under 21,,,53121.82,53121.82,4
APR-DRG,0241,OPEN EXTRACRANIAL VASCULAR PROCEDURES ,,,4388.47,5569.13,18
APR-DRG,0241,OPEN EXTRACRANIAL VASCULAR PROCEDURES Age 21+,,,4678.07,4678.07,4
APR-DRG,0241,OPEN EXTRACRANIAL VASCULAR PROCEDURES Age Under 21,,,4989.94,4989.94,4
APR-DRG,0242,OPEN EXTRACRANIAL VASCULAR PROCEDURES ,,,6683.28,8481.33,18
APR-DRG,0242,OPEN EXTRACRANIAL VASCULAR PROCEDURES Age 21+,,,7124.31,7124.31,4
APR-DRG,0242,OPEN EXTRACRANIAL VASCULAR PROCEDURES Age Under 21,,,7599.27,7599.27,4
APR-DRG,0243,OPEN EXTRACRANIAL VASCULAR PROCEDURES ,,,11963.52,15182.14,18
APR-DRG,0243,OPEN EXTRACRANIAL VASCULAR PROCEDURES Age 21+,,,12753.0,12753.0,4
APR-DRG,0243,OPEN EXTRACRANIAL VASCULAR PROCEDURES Age Under 21,,,13603.2,13603.2,4
APR-DRG,0244,OPEN EXTRACRANIAL VASCULAR PROCEDURES ,,,23018.84,29211.73,18
APR-DRG,0244,OPEN EXTRACRANIAL VASCULAR PROCEDURES Age 21+,,,24537.85,24537.85,4
APR-DRG,0244,OPEN EXTRACRANIAL VASCULAR PROCEDURES Age Under 21,,,26173.71,26173.71,4
APR-DRG,0261,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES ,,,6684.44,8482.79,18
APR-DRG,0261,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Age 21+,,,7125.54,7125.54,4
APR-DRG,0261,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Age Under 21,,,7600.58,7600.58,4
APR-DRG,0262,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES ,,,10814.4,13723.86,18
APR-DRG,0262,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Age 21+,,,11528.04,11528.04,4
APR-DRG,0262,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Age Under 21,,,12296.58,12296.58,4
APR-DRG,0263,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES ,,,16380.3,20787.19,18
APR-DRG,0263,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Age 21+,,,17461.24,17461.24,4
APR-DRG,0263,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Age Under 21,,,18625.32,18625.32,4
APR-DRG,0264,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES ,,,43586.09,55312.3,18
APR-DRG,0264,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Age 21+,,,46462.33,46462.33,4
APR-DRG,0264,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Age Under 21,,,49559.82,49559.82,4
APR-DRG,0271,OTHER OPEN CRANIOTOMY ,,,9106.2,11556.09,18
APR-DRG,0271,OTHER OPEN CRANIOTOMY Age 21+,,,9707.11,9707.11,4
APR-DRG,0271,OTHER OPEN CRANIOTOMY Age Under 21,,,10354.25,10354.25,4
APR-DRG,0272,OTHER OPEN CRANIOTOMY ,,,15147.81,19223.11,18
APR-DRG,0272,OTHER OPEN CRANIOTOMY Age 21+,,,16147.41,16147.41,4
APR-DRG,0272,OTHER OPEN CRANIOTOMY Age Under 21,,,17223.91,17223.91,4
APR-DRG,0273,OTHER OPEN CRANIOTOMY ,,,21189.42,26890.13,18
APR-DRG,0273,OTHER OPEN CRANIOTOMY Age 21+,,,22587.7,22587.7,4
APR-DRG,0273,OTHER OPEN CRANIOTOMY Age Under 21,,,24093.55,24093.55,4
APR-DRG,0274,OTHER OPEN CRANIOTOMY ,,,23366.45,29652.85,18
APR-DRG,0274,OTHER OPEN CRANIOTOMY Age 21+,,,24908.39,24908.39,4
APR-DRG,0274,OTHER OPEN CRANIOTOMY Age Under 21,,,26568.95,26568.95,4
APR-DRG,0291,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES ,,,15604.4,19802.54,18
APR-DRG,0291,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Age 21+,,,16634.13,16634.13,4
APR-DRG,0291,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Age Under 21,,,17743.07,17743.07,4
APR-DRG,0292,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES ,,,16519.88,20964.31,18
APR-DRG,0292,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Age 21+,,,17610.02,17610.02,4
APR-DRG,0292,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Age Under 21,,,18784.02,18784.02,4
APR-DRG,0293,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES ,,,22358.05,28373.16,18
APR-DRG,0293,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Age 21+,,,23833.46,23833.46,4
APR-DRG,0293,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Age Under 21,,,25422.35,25422.35,4
APR-DRG,0294,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES ,,,25370.25,32195.75,18
APR-DRG,0294,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Age 21+,,,27044.43,27044.43,4
APR-DRG,0294,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Age Under 21,,,28847.39,28847.39,4
APR-DRG,0301,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,10279.8,13045.44,18
APR-DRG,0301,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Age 21+,,,10958.17,10958.17,4
APR-DRG,0301,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Age Under 21,,,11688.71,11688.71,4
APR-DRG,0302,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,13545.53,17189.76,18
APR-DRG,0302,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Age 21+,,,14439.4,14439.4,4
APR-DRG,0302,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Age Under 21,,,15402.03,15402.03,4
APR-DRG,0303,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,18390.6,23338.33,18
APR-DRG,0303,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Age 21+,,,19604.19,19604.19,4
APR-DRG,0303,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Age Under 21,,,20911.14,20911.14,4
APR-DRG,0304,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,25760.69,32691.22,18
APR-DRG,0304,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Age 21+,,,27460.63,27460.63,4
APR-DRG,0304,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Age Under 21,,,29291.34,29291.34,4
APR-DRG,0401,SPINAL DISORDERS AND INJURIES ,,,5211.02,6612.98,18
APR-DRG,0401,SPINAL DISORDERS AND INJURIES Age 21+,,,5554.9,5554.9,4
APR-DRG,0401,SPINAL DISORDERS AND INJURIES Age Under 21,,,5925.23,5925.23,4
APR-DRG,0402,SPINAL DISORDERS AND INJURIES ,,,11237.73,14261.08,18
APR-DRG,0402,SPINAL DISORDERS AND INJURIES Age 21+,,,11979.3,11979.3,4
APR-DRG,0402,SPINAL DISORDERS AND INJURIES Age Under 21,,,12777.92,12777.92,4
APR-DRG,0403,SPINAL DISORDERS AND INJURIES ,,,14547.82,18461.7,18
APR-DRG,0403,SPINAL DISORDERS AND INJURIES Age 21+,,,15507.83,15507.83,4
APR-DRG,0403,SPINAL DISORDERS AND INJURIES Age Under 21,,,16541.68,16541.68,4
APR-DRG,0404,SPINAL DISORDERS AND INJURIES ,,,22440.64,28477.98,18
APR-DRG,0404,SPINAL DISORDERS AND INJURIES Age 21+,,,23921.5,23921.5,4
APR-DRG,0404,SPINAL DISORDERS AND INJURIES Age Under 21,,,25516.27,25516.27,4
APR-DRG,0411,NERVOUS SYSTEM MALIGNANCY ,,,3885.99,4931.46,18
APR-DRG,0411,NERVOUS SYSTEM MALIGNANCY Age 21+,,,4142.43,4142.43,4
APR-DRG,0411,NERVOUS SYSTEM MALIGNANCY Age Under 21,,,4418.59,4418.59,4
APR-DRG,0412,NERVOUS SYSTEM MALIGNANCY ,,,4178.15,5302.22,18
APR-DRG,0412,NERVOUS SYSTEM MALIGNANCY Age 21+,,,4453.87,4453.87,4
APR-DRG,0412,NERVOUS SYSTEM MALIGNANCY Age Under 21,,,4750.79,4750.79,4
APR-DRG,0413,NERVOUS SYSTEM MALIGNANCY ,,,5744.48,7289.95,18
APR-DRG,0413,NERVOUS SYSTEM MALIGNANCY Age 21+,,,6123.56,6123.56,4
APR-DRG,0413,NERVOUS SYSTEM MALIGNANCY Age Under 21,,,6531.8,6531.8,4
APR-DRG,0414,NERVOUS SYSTEM MALIGNANCY ,,,9860.3,12513.07,18
APR-DRG,0414,NERVOUS SYSTEM MALIGNANCY Age 21+,,,10510.98,10510.98,4
APR-DRG,0414,NERVOUS SYSTEM MALIGNANCY Age Under 21,,,11211.72,11211.72,4
APR-DRG,0421,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS ,,,3580.07,4543.24,18
APR-DRG,0421,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Age 21+,,,3816.32,3816.32,4
APR-DRG,0421,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Age Under 21,,,4070.74,4070.74,4
APR-DRG,0422,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS ,,,4954.43,6287.35,18
APR-DRG,0422,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Age 21+,,,5281.37,5281.37,4
APR-DRG,0422,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Age Under 21,,,5633.47,5633.47,4
APR-DRG,0423,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS ,,,7786.14,9880.89,18
APR-DRG,0423,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Age 21+,,,8299.95,8299.95,4
APR-DRG,0423,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Age Under 21,,,8853.28,8853.28,4
APR-DRG,0424,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS ,,,19290.01,24479.71,18
APR-DRG,0424,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Age 21+,,,20562.96,20562.96,4
APR-DRG,0424,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Age Under 21,,,21933.82,21933.82,4
APR-DRG,0431,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES ",,,4746.41,6023.36,18
APR-DRG,0431,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Age 21+",,,5059.62,5059.62,4
APR-DRG,0431,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Age Under 21",,,5396.93,5396.93,4
APR-DRG,0432,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES ",,,7059.57,8958.85,18
APR-DRG,0432,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Age 21+",,,7525.43,7525.43,4
APR-DRG,0432,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Age Under 21",,,8027.13,8027.13,4
APR-DRG,0433,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES ",,,22516.36,28574.06,18
APR-DRG,0433,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Age 21+",,,24002.21,24002.21,4
APR-DRG,0433,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Age Under 21",,,25602.36,25602.36,4
APR-DRG,0434,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES ",,,54103.36,68659.09,18
APR-DRG,0434,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Age 21+",,,57673.63,57673.63,4
APR-DRG,0434,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Age Under 21",,,61518.54,61518.54,4
APR-DRG,0441,INTRACRANIAL HEMORRHAGE ,,,4181.98,5307.07,18
APR-DRG,0441,INTRACRANIAL HEMORRHAGE Age 21+,,,4457.94,4457.94,4
APR-DRG,0441,INTRACRANIAL HEMORRHAGE Age Under 21,,,4755.14,4755.14,4
APR-DRG,0442,INTRACRANIAL HEMORRHAGE ,,,6742.94,8557.02,18
APR-DRG,0442,INTRACRANIAL HEMORRHAGE Age 21+,,,7187.9,7187.9,4
APR-DRG,0442,INTRACRANIAL HEMORRHAGE Age Under 21,,,7667.09,7667.09,4
APR-DRG,0443,INTRACRANIAL HEMORRHAGE ,,,8282.5,10510.79,18
APR-DRG,0443,INTRACRANIAL HEMORRHAGE Age 21+,,,8829.06,8829.06,4
APR-DRG,0443,INTRACRANIAL HEMORRHAGE Age Under 21,,,9417.67,9417.67,4
APR-DRG,0444,INTRACRANIAL HEMORRHAGE ,,,13006.73,16506.0,18
APR-DRG,0444,INTRACRANIAL HEMORRHAGE Age 21+,,,13865.04,13865.04,4
APR-DRG,0444,INTRACRANIAL HEMORRHAGE Age Under 21,,,14789.38,14789.38,4
APR-DRG,0451,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION ,,,3926.54,4982.91,18
APR-DRG,0451,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Age 21+,,,4185.65,4185.65,4
APR-DRG,0451,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Age Under 21,,,4464.69,4464.69,4
APR-DRG,0452,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION ,,,5199.17,6597.94,18
APR-DRG,0452,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Age 21+,,,5542.27,5542.27,4
APR-DRG,0452,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Age Under 21,,,5911.75,5911.75,4
APR-DRG,0453,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION ,,,7728.78,9808.1,18
APR-DRG,0453,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Age 21+,,,8238.8,8238.8,4
APR-DRG,0453,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Age Under 21,,,8788.06,8788.06,4
APR-DRG,0454,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION ,,,13804.04,17517.81,18
APR-DRG,0454,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Age 21+,,,14714.96,14714.96,4
APR-DRG,0454,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Age Under 21,,,15695.96,15695.96,4
APR-DRG,0461,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION ,,,4286.76,5440.05,18
APR-DRG,0461,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Age 21+,,,4569.64,4569.64,4
APR-DRG,0461,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Age Under 21,,,4874.28,4874.28,4
APR-DRG,0462,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION ,,,4321.93,5484.69,18
APR-DRG,0462,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Age 21+,,,4607.14,4607.14,4
APR-DRG,0462,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Age Under 21,,,4914.28,4914.28,4
APR-DRG,0463,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION ,,,6879.07,8729.79,18
APR-DRG,0463,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Age 21+,,,7333.02,7333.02,4
APR-DRG,0463,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Age Under 21,,,7821.89,7821.89,4
APR-DRG,0464,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION ,,,9143.29,11603.16,18
APR-DRG,0464,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Age 21+,,,9746.66,9746.66,4
APR-DRG,0464,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Age Under 21,,,10396.43,10396.43,4
APR-DRG,0471,TRANSIENT ISCHEMIA ,,,3123.86,3964.29,18
APR-DRG,0471,TRANSIENT ISCHEMIA Age 21+,,,3330.0,3330.0,4
APR-DRG,0471,TRANSIENT ISCHEMIA Age Under 21,,,3552.0,3552.0,4
APR-DRG,0472,TRANSIENT ISCHEMIA ,,,3928.45,4985.34,18
APR-DRG,0472,TRANSIENT ISCHEMIA Age 21+,,,4187.68,4187.68,4
APR-DRG,0472,TRANSIENT ISCHEMIA Age Under 21,,,4466.86,4466.86,4
APR-DRG,0473,TRANSIENT ISCHEMIA ,,,5081.01,6447.99,18
APR-DRG,0473,TRANSIENT ISCHEMIA Age 21+,,,5416.31,5416.31,4
APR-DRG,0473,TRANSIENT ISCHEMIA Age Under 21,,,5777.4,5777.4,4
APR-DRG,0474,TRANSIENT ISCHEMIA ,,,9314.23,11820.09,18
APR-DRG,0474,TRANSIENT ISCHEMIA Age 21+,,,9928.87,9928.87,4
APR-DRG,0474,TRANSIENT ISCHEMIA Age Under 21,,,10590.8,10590.8,4
APR-DRG,0481,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS ",,,3032.47,3848.31,18
APR-DRG,0481,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Age 21+",,,3232.58,3232.58,4
APR-DRG,0481,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Age Under 21",,,3448.09,3448.09,4
APR-DRG,0482,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS ",,,3153.69,4002.15,18
APR-DRG,0482,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Age 21+",,,3361.81,3361.81,4
APR-DRG,0482,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Age Under 21",,,3585.93,3585.93,4
APR-DRG,0483,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS ",,,4404.15,5589.03,18
APR-DRG,0483,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Age 21+",,,4694.78,4694.78,4
APR-DRG,0483,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Age Under 21",,,5007.77,5007.77,4
APR-DRG,0484,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS ",,,18773.39,23824.1,18
APR-DRG,0484,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Age 21+",,,20012.24,20012.24,4
APR-DRG,0484,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Age Under 21",,,21346.39,21346.39,4
APR-DRG,0491,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,5585.4,7088.07,18
APR-DRG,0491,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Age 21+,,,5953.98,5953.98,4
APR-DRG,0491,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Age Under 21,,,6350.92,6350.92,4
APR-DRG,0492,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,11212.1,14228.55,18
APR-DRG,0492,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Age 21+,,,11951.98,11951.98,4
APR-DRG,0492,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Age Under 21,,,12748.78,12748.78,4
APR-DRG,0493,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,11853.78,15042.86,18
APR-DRG,0493,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Age 21+,,,12636.0,12636.0,4
APR-DRG,0493,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Age Under 21,,,13478.4,13478.4,4
APR-DRG,0494,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,24197.8,30707.86,18
APR-DRG,0494,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Age 21+,,,25794.6,25794.6,4
APR-DRG,0494,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Age Under 21,,,27514.24,27514.24,4
APR-DRG,0501,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS ,,,2993.85,3799.3,18
APR-DRG,0501,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Age 21+,,,3191.41,3191.41,4
APR-DRG,0501,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Age Under 21,,,3404.17,3404.17,4
APR-DRG,0502,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS ,,,10159.34,12892.56,18
APR-DRG,0502,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Age 21+,,,10829.75,10829.75,4
APR-DRG,0502,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Age Under 21,,,11551.74,11551.74,4
APR-DRG,0503,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS ,,,15763.86,20004.9,18
APR-DRG,0503,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Age 21+,,,16804.12,16804.12,4
APR-DRG,0503,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Age Under 21,,,17924.39,17924.39,4
APR-DRG,0504,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS ,,,30984.33,39320.21,18
APR-DRG,0504,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Age 21+,,,33028.98,33028.98,4
APR-DRG,0504,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Age Under 21,,,35230.91,35230.91,4
APR-DRG,0511,VIRAL MENINGITIS ,,,2053.89,2606.46,18
APR-DRG,0511,VIRAL MENINGITIS Age 21+,,,2189.43,2189.43,4
APR-DRG,0511,VIRAL MENINGITIS Age Under 21,,,2335.39,2335.39,4
APR-DRG,0512,VIRAL MENINGITIS ,,,3344.12,4243.81,18
APR-DRG,0512,VIRAL MENINGITIS Age 21+,,,3564.8,3564.8,4
APR-DRG,0512,VIRAL MENINGITIS Age Under 21,,,3802.46,3802.46,4
APR-DRG,0513,VIRAL MENINGITIS ,,,4824.8,6122.84,18
APR-DRG,0513,VIRAL MENINGITIS Age 21+,,,5143.18,5143.18,4
APR-DRG,0513,VIRAL MENINGITIS Age Under 21,,,5486.06,5486.06,4
APR-DRG,0514,VIRAL MENINGITIS ,,,14353.56,18215.17,18
APR-DRG,0514,VIRAL MENINGITIS Age 21+,,,15300.75,15300.75,4
APR-DRG,0514,VIRAL MENINGITIS Age Under 21,,,16320.8,16320.8,4
APR-DRG,0521,ALTERATION IN CONSCIOUSNESS ,,,2877.97,3652.25,18
APR-DRG,0521,ALTERATION IN CONSCIOUSNESS Age 21+,,,3067.89,3067.89,4
APR-DRG,0521,ALTERATION IN CONSCIOUSNESS Age Under 21,,,3272.42,3272.42,4
APR-DRG,0522,ALTERATION IN CONSCIOUSNESS ,,,3696.7,4691.25,18
APR-DRG,0522,ALTERATION IN CONSCIOUSNESS Age 21+,,,3940.65,3940.65,4
APR-DRG,0522,ALTERATION IN CONSCIOUSNESS Age Under 21,,,4203.36,4203.36,4
APR-DRG,0523,ALTERATION IN CONSCIOUSNESS ,,,4702.43,5967.55,18
APR-DRG,0523,ALTERATION IN CONSCIOUSNESS Age 21+,,,5012.74,5012.74,4
APR-DRG,0523,ALTERATION IN CONSCIOUSNESS Age Under 21,,,5346.92,5346.92,4
APR-DRG,0524,ALTERATION IN CONSCIOUSNESS ,,,12726.81,16150.78,18
APR-DRG,0524,ALTERATION IN CONSCIOUSNESS Age 21+,,,13566.65,13566.65,4
APR-DRG,0524,ALTERATION IN CONSCIOUSNESS Age Under 21,,,14471.09,14471.09,4
APR-DRG,0531,SEIZURE ,,,2404.18,3050.99,18
APR-DRG,0531,SEIZURE Age 21+,,,2562.83,2562.83,4
APR-DRG,0531,SEIZURE Age Under 21,,,2733.68,2733.68,4
APR-DRG,0532,SEIZURE ,,,3232.85,4102.6,18
APR-DRG,0532,SEIZURE Age 21+,,,3446.18,3446.18,4
APR-DRG,0532,SEIZURE Age Under 21,,,3675.93,3675.93,4
APR-DRG,0533,SEIZURE ,,,4679.1,5937.95,18
APR-DRG,0533,SEIZURE Age 21+,,,4987.88,4987.88,4
APR-DRG,0533,SEIZURE Age Under 21,,,5320.4,5320.4,4
APR-DRG,0534,SEIZURE ,,,10897.01,13828.69,18
APR-DRG,0534,SEIZURE Age 21+,,,11616.1,11616.1,4
APR-DRG,0534,SEIZURE Age Under 21,,,12390.5,12390.5,4
APR-DRG,0541,MIGRAINE AND OTHER HEADACHES ,,,2736.1,3472.21,18
APR-DRG,0541,MIGRAINE AND OTHER HEADACHES Age 21+,,,2916.66,2916.66,4
APR-DRG,0541,MIGRAINE AND OTHER HEADACHES Age Under 21,,,3111.1,3111.1,4
APR-DRG,0542,MIGRAINE AND OTHER HEADACHES ,,,3417.55,4336.99,18
APR-DRG,0542,MIGRAINE AND OTHER HEADACHES Age 21+,,,3643.07,3643.07,4
APR-DRG,0542,MIGRAINE AND OTHER HEADACHES Age Under 21,,,3885.94,3885.94,4
APR-DRG,0543,MIGRAINE AND OTHER HEADACHES ,,,4352.91,5524.0,18
APR-DRG,0543,MIGRAINE AND OTHER HEADACHES Age 21+,,,4640.16,4640.16,4
APR-DRG,0543,MIGRAINE AND OTHER HEADACHES Age Under 21,,,4949.5,4949.5,4
APR-DRG,0544,MIGRAINE AND OTHER HEADACHES ,,,9731.81,12350.01,18
APR-DRG,0544,MIGRAINE AND OTHER HEADACHES Age 21+,,,10374.01,10374.01,4
APR-DRG,0544,MIGRAINE AND OTHER HEADACHES Age Under 21,,,11065.61,11065.61,4
APR-DRG,0551,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE ,,,2945.66,3738.15,18
APR-DRG,0551,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Age 21+,,,3140.05,3140.05,4
APR-DRG,0551,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Age Under 21,,,3349.38,3349.38,4
APR-DRG,0552,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE ,,,4987.71,6329.57,18
APR-DRG,0552,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Age 21+,,,5316.84,5316.84,4
APR-DRG,0552,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Age Under 21,,,5671.3,5671.3,4
APR-DRG,0553,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE ,,,7502.02,9520.33,18
APR-DRG,0553,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Age 21+,,,7997.07,7997.07,4
APR-DRG,0553,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Age Under 21,,,8530.21,8530.21,4
APR-DRG,0554,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE ,,,13593.33,17250.42,18
APR-DRG,0554,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Age 21+,,,14490.36,14490.36,4
APR-DRG,0554,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Age Under 21,,,15456.38,15456.38,4
APR-DRG,0561,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N ",,,3664.97,4650.98,18
APR-DRG,0561,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N Age 21+",,,3906.82,3906.82,4
APR-DRG,0561,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N Age Under 21",,,4167.27,4167.27,4
APR-DRG,0562,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N ",,,5168.2,6558.63,18
APR-DRG,0562,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N Age 21+",,,5509.24,5509.24,4
APR-DRG,0562,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N Age Under 21",,,5876.53,5876.53,4
APR-DRG,0563,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N ",,,7895.13,10019.2,18
APR-DRG,0563,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N Age 21+",,,8416.13,8416.13,4
APR-DRG,0563,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N Age Under 21",,,8977.2,8977.2,4
APR-DRG,0564,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N ",,,15155.84,19233.3,18
APR-DRG,0564,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N Age 21+",,,16155.97,16155.97,4
APR-DRG,0564,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR N Age Under 21",,,17233.04,17233.04,4
APR-DRG,0571,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO ",,,2215.65,2811.74,18
APR-DRG,0571,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO Age 21+",,,2361.86,2361.86,4
APR-DRG,0571,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO Age Under 21",,,2519.32,2519.32,4
APR-DRG,0572,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO ",,,3912.38,4964.95,18
APR-DRG,0572,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO Age 21+",,,4170.56,4170.56,4
APR-DRG,0572,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO Age Under 21",,,4448.6,4448.6,4
APR-DRG,0573,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO ",,,7473.33,9483.93,18
APR-DRG,0573,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO Age 21+",,,7966.5,7966.5,4
APR-DRG,0573,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO Age Under 21",,,8497.6,8497.6,4
APR-DRG,0574,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO ",,,18655.99,23675.11,18
APR-DRG,0574,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO Age 21+",,,19887.09,19887.09,4
APR-DRG,0574,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, CO Age Under 21",,,21212.9,21212.9,4
APR-DRG,0581,OTHER DISORDERS OF NERVOUS SYSTEM ,,,4038.19,5124.61,18
APR-DRG,0581,OTHER DISORDERS OF NERVOUS SYSTEM Age 21+,,,4304.67,4304.67,4
APR-DRG,0581,OTHER DISORDERS OF NERVOUS SYSTEM Age Under 21,,,4591.65,4591.65,4
APR-DRG,0582,OTHER DISORDERS OF NERVOUS SYSTEM ,,,5715.04,7252.59,18
APR-DRG,0582,OTHER DISORDERS OF NERVOUS SYSTEM Age 21+,,,6092.17,6092.17,4
APR-DRG,0582,OTHER DISORDERS OF NERVOUS SYSTEM Age Under 21,,,6498.32,6498.32,4
APR-DRG,0583,OTHER DISORDERS OF NERVOUS SYSTEM ,,,9157.45,11621.13,18
APR-DRG,0583,OTHER DISORDERS OF NERVOUS SYSTEM Age 21+,,,9761.75,9761.75,4
APR-DRG,0583,OTHER DISORDERS OF NERVOUS SYSTEM Age Under 21,,,10412.53,10412.53,4
APR-DRG,0584,OTHER DISORDERS OF NERVOUS SYSTEM ,,,18505.71,23484.4,18
APR-DRG,0584,OTHER DISORDERS OF NERVOUS SYSTEM Age 21+,,,19726.9,19726.9,4
APR-DRG,0584,OTHER DISORDERS OF NERVOUS SYSTEM Age Under 21,,,21042.02,21042.02,4
APR-DRG,0591,ANOXIC AND OTHER SEVERE BRAIN DAMAGE ,,,6560.15,8325.06,18
APR-DRG,0591,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Age 21+,,,6993.05,6993.05,4
APR-DRG,0591,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Age Under 21,,,7459.26,7459.26,4
APR-DRG,0592,ANOXIC AND OTHER SEVERE BRAIN DAMAGE ,,,8130.31,10317.65,18
APR-DRG,0592,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Age 21+,,,8666.83,8666.83,4
APR-DRG,0592,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Age Under 21,,,9244.61,9244.61,4
APR-DRG,0593,ANOXIC AND OTHER SEVERE BRAIN DAMAGE ,,,12226.62,15516.01,18
APR-DRG,0593,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Age 21+,,,13033.45,13033.45,4
APR-DRG,0593,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Age Under 21,,,13902.35,13902.35,4
APR-DRG,0594,ANOXIC AND OTHER SEVERE BRAIN DAMAGE ,,,21167.24,26861.98,18
APR-DRG,0594,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Age 21+,,,22564.06,22564.06,4
APR-DRG,0594,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Age Under 21,,,24068.33,24068.33,4
APR-DRG,0731,ORBIT AND EYE PROCEDURES ,,,5064.95,6427.6,18
APR-DRG,0731,ORBIT AND EYE PROCEDURES Age 21+,,,5399.18,5399.18,4
APR-DRG,0731,ORBIT AND EYE PROCEDURES Age Under 21,,,5759.13,5759.13,4
APR-DRG,0732,ORBIT AND EYE PROCEDURES ,,,6898.96,8755.03,18
APR-DRG,0732,ORBIT AND EYE PROCEDURES Age 21+,,,7354.22,7354.22,4
APR-DRG,0732,ORBIT AND EYE PROCEDURES Age Under 21,,,7844.5,7844.5,4
APR-DRG,0733,ORBIT AND EYE PROCEDURES ,,,9883.24,12542.19,18
APR-DRG,0733,ORBIT AND EYE PROCEDURES Age 21+,,,10535.44,10535.44,4
APR-DRG,0733,ORBIT AND EYE PROCEDURES Age Under 21,,,11237.8,11237.8,4
APR-DRG,0734,ORBIT AND EYE PROCEDURES ,,,25319.39,32131.2,18
APR-DRG,0734,ORBIT AND EYE PROCEDURES Age 21+,,,26990.21,26990.21,4
APR-DRG,0734,ORBIT AND EYE PROCEDURES Age Under 21,,,28789.56,28789.56,4
APR-DRG,0821,EYE INFECTIONS AND OTHER EYE DISORDERS ,,,2254.27,2860.75,18
APR-DRG,0821,EYE INFECTIONS AND OTHER EYE DISORDERS Age 21+,,,2403.03,2403.03,4
APR-DRG,0821,EYE INFECTIONS AND OTHER EYE DISORDERS Age Under 21,,,2563.23,2563.23,4
APR-DRG,0822,EYE INFECTIONS AND OTHER EYE DISORDERS ,,,4321.55,5484.2,18
APR-DRG,0822,EYE INFECTIONS AND OTHER EYE DISORDERS Age 21+,,,4606.73,4606.73,4
APR-DRG,0822,EYE INFECTIONS AND OTHER EYE DISORDERS Age Under 21,,,4913.84,4913.84,4
APR-DRG,0823,EYE INFECTIONS AND OTHER EYE DISORDERS ,,,7722.66,9800.33,18
APR-DRG,0823,EYE INFECTIONS AND OTHER EYE DISORDERS Age 21+,,,8232.27,8232.27,4
APR-DRG,0823,EYE INFECTIONS AND OTHER EYE DISORDERS Age Under 21,,,8781.09,8781.09,4
APR-DRG,0824,EYE INFECTIONS AND OTHER EYE DISORDERS ,,,13419.34,17029.63,18
APR-DRG,0824,EYE INFECTIONS AND OTHER EYE DISORDERS Age 21+,,,14304.89,14304.89,4
APR-DRG,0824,EYE INFECTIONS AND OTHER EYE DISORDERS Age Under 21,,,15258.54,15258.54,4
APR-DRG,0891,MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,10222.44,12972.64,18
APR-DRG,0891,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age 21+,,,10897.02,10897.02,4
APR-DRG,0891,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age Under 21,,,11623.48,11623.48,4
APR-DRG,0892,MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,11037.72,14007.26,18
APR-DRG,0892,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age 21+,,,11766.1,11766.1,4
APR-DRG,0892,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age Under 21,,,12550.51,12550.51,4
APR-DRG,0893,MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,20160.75,25584.71,18
APR-DRG,0893,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age 21+,,,21491.16,21491.16,4
APR-DRG,0893,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age Under 21,,,22923.9,22923.9,4
APR-DRG,0894,MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,37882.91,48074.76,18
APR-DRG,0894,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age 21+,,,40382.8,40382.8,4
APR-DRG,0894,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age Under 21,,,43074.99,43074.99,4
APR-DRG,0911,OTHER MAJOR HEAD AND NECK PROCEDURES ,,,5188.85,6584.84,18
APR-DRG,0911,OTHER MAJOR HEAD AND NECK PROCEDURES Age 21+,,,5531.26,5531.26,4
APR-DRG,0911,OTHER MAJOR HEAD AND NECK PROCEDURES Age Under 21,,,5900.01,5900.01,4
APR-DRG,0912,OTHER MAJOR HEAD AND NECK PROCEDURES ,,,11184.18,14193.13,18
APR-DRG,0912,OTHER MAJOR HEAD AND NECK PROCEDURES Age 21+,,,11922.23,11922.23,4
APR-DRG,0912,OTHER MAJOR HEAD AND NECK PROCEDURES Age Under 21,,,12717.04,12717.04,4
APR-DRG,0913,OTHER MAJOR HEAD AND NECK PROCEDURES ,,,24706.02,31352.81,18
APR-DRG,0913,OTHER MAJOR HEAD AND NECK PROCEDURES Age 21+,,,26336.36,26336.36,4
APR-DRG,0913,OTHER MAJOR HEAD AND NECK PROCEDURES Age Under 21,,,28092.12,28092.12,4
APR-DRG,0914,OTHER MAJOR HEAD AND NECK PROCEDURES ,,,34434.0,43697.97,18
APR-DRG,0914,OTHER MAJOR HEAD AND NECK PROCEDURES Age 21+,,,36706.3,36706.3,4
APR-DRG,0914,OTHER MAJOR HEAD AND NECK PROCEDURES Age Under 21,,,39153.39,39153.39,4
APR-DRG,0921,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,7776.57,9868.75,18
APR-DRG,0921,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age 21+,,,8289.75,8289.75,4
APR-DRG,0921,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age Under 21,,,8842.4,8842.4,4
APR-DRG,0922,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,9129.53,11585.7,18
APR-DRG,0922,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age 21+,,,9731.99,9731.99,4
APR-DRG,0922,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age Under 21,,,10380.79,10380.79,4
APR-DRG,0923,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,28139.63,35710.19,18
APR-DRG,0923,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age 21+,,,29996.56,29996.56,4
APR-DRG,0923,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age Under 21,,,31996.33,31996.33,4
APR-DRG,0924,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,29174.41,37023.36,18
APR-DRG,0924,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age 21+,,,31099.62,31099.62,4
APR-DRG,0924,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Age Under 21,,,33172.93,33172.93,4
APR-DRG,0951,CLEFT LIP AND PALATE REPAIR ,,,4429.77,5621.54,18
APR-DRG,0951,CLEFT LIP AND PALATE REPAIR Age 21+,,,4722.09,4722.09,4
APR-DRG,0951,CLEFT LIP AND PALATE REPAIR Age Under 21,,,5036.9,5036.9,4
APR-DRG,0952,CLEFT LIP AND PALATE REPAIR ,,,6456.13,8193.06,18
APR-DRG,0952,CLEFT LIP AND PALATE REPAIR Age 21+,,,6882.17,6882.17,4
APR-DRG,0952,CLEFT LIP AND PALATE REPAIR Age Under 21,,,7340.98,7340.98,4
APR-DRG,0953,CLEFT LIP AND PALATE REPAIR ,,,9120.74,11574.54,18
APR-DRG,0953,CLEFT LIP AND PALATE REPAIR Age 21+,,,9722.61,9722.61,4
APR-DRG,0953,CLEFT LIP AND PALATE REPAIR Age Under 21,,,10370.79,10370.79,4
APR-DRG,0954,CLEFT LIP AND PALATE REPAIR ,,,18079.32,22943.3,18
APR-DRG,0954,CLEFT LIP AND PALATE REPAIR Age 21+,,,19272.37,19272.37,4
APR-DRG,0954,CLEFT LIP AND PALATE REPAIR Age Under 21,,,20557.2,20557.2,4
APR-DRG,0971,TONSIL AND ADENOID PROCEDURES ,,,3443.55,4369.99,18
APR-DRG,0971,TONSIL AND ADENOID PROCEDURES Age 21+,,,3670.79,3670.79,4
APR-DRG,0971,TONSIL AND ADENOID PROCEDURES Age Under 21,,,3915.51,3915.51,4
APR-DRG,0972,TONSIL AND ADENOID PROCEDURES ,,,4858.83,6166.02,18
APR-DRG,0972,TONSIL AND ADENOID PROCEDURES Age 21+,,,5179.46,5179.46,4
APR-DRG,0972,TONSIL AND ADENOID PROCEDURES Age Under 21,,,5524.76,5524.76,4
APR-DRG,0973,TONSIL AND ADENOID PROCEDURES ,,,6494.76,8242.08,18
APR-DRG,0973,TONSIL AND ADENOID PROCEDURES Age 21+,,,6923.34,6923.34,4
APR-DRG,0973,TONSIL AND ADENOID PROCEDURES Age Under 21,,,7384.9,7384.9,4
APR-DRG,0974,TONSIL AND ADENOID PROCEDURES ,,,14990.65,19023.66,18
APR-DRG,0974,TONSIL AND ADENOID PROCEDURES Age 21+,,,15979.88,15979.88,4
APR-DRG,0974,TONSIL AND ADENOID PROCEDURES Age Under 21,,,17045.2,17045.2,4
APR-DRG,0981,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES ",,,5427.08,6887.16,18
APR-DRG,0981,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Age 21+",,,5785.22,5785.22,4
APR-DRG,0981,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Age Under 21",,,6170.9,6170.9,4
APR-DRG,0982,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES ",,,7659.57,9720.26,18
APR-DRG,0982,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Age 21+",,,8165.02,8165.02,4
APR-DRG,0982,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Age Under 21",,,8709.36,8709.36,4
APR-DRG,0983,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES ",,,13241.14,16803.48,18
APR-DRG,0983,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Age 21+",,,14114.92,14114.92,4
APR-DRG,0983,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Age Under 21",,,15055.91,15055.91,4
APR-DRG,0984,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES ",,,24617.3,31240.22,18
APR-DRG,0984,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Age 21+",,,26241.79,26241.79,4
APR-DRG,0984,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Age Under 21",,,27991.24,27991.24,4
APR-DRG,1101,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES ",,,3278.74,4160.84,18
APR-DRG,1101,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Age 21+",,,3495.1,3495.1,4
APR-DRG,1101,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Age Under 21",,,3728.11,3728.11,4
APR-DRG,1102,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES ",,,5251.18,6663.94,18
APR-DRG,1102,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Age 21+",,,5597.71,5597.71,4
APR-DRG,1102,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Age Under 21",,,5970.89,5970.89,4
APR-DRG,1103,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES ",,,5648.12,7167.66,18
APR-DRG,1103,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Age 21+",,,6020.84,6020.84,4
APR-DRG,1103,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Age Under 21",,,6422.23,6422.23,4
APR-DRG,1104,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES ",,,10416.7,13219.16,18
APR-DRG,1104,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Age 21+",,,11104.1,11104.1,4
APR-DRG,1104,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Age Under 21",,,11844.37,11844.37,4
APR-DRG,1111,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,2443.57,3100.98,18
APR-DRG,1111,VERTIGO AND OTHER LABYRINTH DISORDERS Age 21+,,,2604.82,2604.82,4
APR-DRG,1111,VERTIGO AND OTHER LABYRINTH DISORDERS Age Under 21,,,2778.47,2778.47,4
APR-DRG,1112,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,3347.57,4248.19,18
APR-DRG,1112,VERTIGO AND OTHER LABYRINTH DISORDERS Age 21+,,,3568.48,3568.48,4
APR-DRG,1112,VERTIGO AND OTHER LABYRINTH DISORDERS Age Under 21,,,3806.38,3806.38,4
APR-DRG,1113,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,3962.09,5028.04,18
APR-DRG,1113,VERTIGO AND OTHER LABYRINTH DISORDERS Age 21+,,,4223.55,4223.55,4
APR-DRG,1113,VERTIGO AND OTHER LABYRINTH DISORDERS Age Under 21,,,4505.12,4505.12,4
APR-DRG,1114,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,6545.24,8306.14,18
APR-DRG,1114,VERTIGO AND OTHER LABYRINTH DISORDERS Age 21+,,,6977.16,6977.16,4
APR-DRG,1114,VERTIGO AND OTHER LABYRINTH DISORDERS Age Under 21,,,7442.3,7442.3,4
APR-DRG,1131,INFECTIONS OF UPPER RESPIRATORY TRACT ,,,1458.11,1850.39,18
APR-DRG,1131,INFECTIONS OF UPPER RESPIRATORY TRACT Age 21+,,,1554.33,1554.33,4
APR-DRG,1131,INFECTIONS OF UPPER RESPIRATORY TRACT Age Under 21,,,1657.95,1657.95,4
APR-DRG,1132,INFECTIONS OF UPPER RESPIRATORY TRACT ,,,2210.68,2805.44,18
APR-DRG,1132,INFECTIONS OF UPPER RESPIRATORY TRACT Age 21+,,,2356.57,2356.57,4
APR-DRG,1132,INFECTIONS OF UPPER RESPIRATORY TRACT Age Under 21,,,2513.67,2513.67,4
APR-DRG,1133,INFECTIONS OF UPPER RESPIRATORY TRACT ,,,6583.1,8354.19,18
APR-DRG,1133,INFECTIONS OF UPPER RESPIRATORY TRACT Age 21+,,,7017.52,7017.52,4
APR-DRG,1133,INFECTIONS OF UPPER RESPIRATORY TRACT Age Under 21,,,7485.35,7485.35,4
APR-DRG,1134,INFECTIONS OF UPPER RESPIRATORY TRACT ,,,10644.24,13507.91,18
APR-DRG,1134,INFECTIONS OF UPPER RESPIRATORY TRACT Age 21+,,,11346.65,11346.65,4
APR-DRG,1134,INFECTIONS OF UPPER RESPIRATORY TRACT Age Under 21,,,12103.09,12103.09,4
APR-DRG,1141,DENTAL DISEASES AND DISORDERS ,,,2275.31,2887.45,18
APR-DRG,1141,DENTAL DISEASES AND DISORDERS Age 21+,,,2425.46,2425.46,4
APR-DRG,1141,DENTAL DISEASES AND DISORDERS Age Under 21,,,2587.16,2587.16,4
APR-DRG,1142,DENTAL DISEASES AND DISORDERS ,,,2790.02,3540.64,18
APR-DRG,1142,DENTAL DISEASES AND DISORDERS Age 21+,,,2974.14,2974.14,4
APR-DRG,1142,DENTAL DISEASES AND DISORDERS Age Under 21,,,3172.41,3172.41,4
APR-DRG,1143,DENTAL DISEASES AND DISORDERS ,,,4081.79,5179.94,18
APR-DRG,1143,DENTAL DISEASES AND DISORDERS Age 21+,,,4351.15,4351.15,4
APR-DRG,1143,DENTAL DISEASES AND DISORDERS Age Under 21,,,4641.22,4641.22,4
APR-DRG,1144,DENTAL DISEASES AND DISORDERS ,,,13440.37,17056.31,18
APR-DRG,1144,DENTAL DISEASES AND DISORDERS Age 21+,,,14327.3,14327.3,4
APR-DRG,1144,DENTAL DISEASES AND DISORDERS Age Under 21,,,15282.46,15282.46,4
APR-DRG,1151,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES ",,,2251.98,2857.84,18
APR-DRG,1151,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Age 21+",,,2400.58,2400.58,4
APR-DRG,1151,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Age Under 21",,,2560.62,2560.62,4
APR-DRG,1152,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES ",,,4024.81,5107.63,18
APR-DRG,1152,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Age 21+",,,4290.4,4290.4,4
APR-DRG,1152,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Age Under 21",,,4576.43,4576.43,4
APR-DRG,1153,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES ",,,7846.94,9958.05,18
APR-DRG,1153,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Age 21+",,,8364.76,8364.76,4
APR-DRG,1153,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Age Under 21",,,8922.41,8922.41,4
APR-DRG,1154,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES ",,,14425.07,18305.92,18
APR-DRG,1154,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Age 21+",,,15376.98,15376.98,4
APR-DRG,1154,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Age Under 21",,,16402.11,16402.11,4
APR-DRG,1201,MAJOR RESPIRATORY AND CHEST PROCEDURES ,,,9035.84,11466.8,18
APR-DRG,1201,MAJOR RESPIRATORY AND CHEST PROCEDURES Age 21+,,,9632.11,9632.11,4
APR-DRG,1201,MAJOR RESPIRATORY AND CHEST PROCEDURES Age Under 21,,,10274.25,10274.25,4
APR-DRG,1202,MAJOR RESPIRATORY AND CHEST PROCEDURES ,,,9243.49,11730.31,18
APR-DRG,1202,MAJOR RESPIRATORY AND CHEST PROCEDURES Age 21+,,,9853.46,9853.46,4
APR-DRG,1202,MAJOR RESPIRATORY AND CHEST PROCEDURES Age Under 21,,,10510.36,10510.36,4
APR-DRG,1203,MAJOR RESPIRATORY AND CHEST PROCEDURES ,,,13033.87,16540.45,18
APR-DRG,1203,MAJOR RESPIRATORY AND CHEST PROCEDURES Age 21+,,,13893.98,13893.98,4
APR-DRG,1203,MAJOR RESPIRATORY AND CHEST PROCEDURES Age Under 21,,,14820.24,14820.24,4
APR-DRG,1204,MAJOR RESPIRATORY AND CHEST PROCEDURES ,,,38439.69,48781.34,18
APR-DRG,1204,MAJOR RESPIRATORY AND CHEST PROCEDURES Age 21+,,,40976.32,40976.32,4
APR-DRG,1204,MAJOR RESPIRATORY AND CHEST PROCEDURES Age Under 21,,,43708.08,43708.08,4
APR-DRG,1211,OTHER RESPIRATORY AND CHEST PROCEDURES ,,,6788.07,8614.3,18
APR-DRG,1211,OTHER RESPIRATORY AND CHEST PROCEDURES Age 21+,,,7236.01,7236.01,4
APR-DRG,1211,OTHER RESPIRATORY AND CHEST PROCEDURES Age Under 21,,,7718.41,7718.41,4
APR-DRG,1212,OTHER RESPIRATORY AND CHEST PROCEDURES ,,,9457.63,12002.06,18
APR-DRG,1212,OTHER RESPIRATORY AND CHEST PROCEDURES Age 21+,,,10081.73,10081.73,4
APR-DRG,1212,OTHER RESPIRATORY AND CHEST PROCEDURES Age Under 21,,,10753.85,10753.85,4
APR-DRG,1213,OTHER RESPIRATORY AND CHEST PROCEDURES ,,,19401.68,24621.42,18
APR-DRG,1213,OTHER RESPIRATORY AND CHEST PROCEDURES Age 21+,,,20682.0,20682.0,4
APR-DRG,1213,OTHER RESPIRATORY AND CHEST PROCEDURES Age Under 21,,,22060.8,22060.8,4
APR-DRG,1214,OTHER RESPIRATORY AND CHEST PROCEDURES ,,,35874.14,45525.56,18
APR-DRG,1214,OTHER RESPIRATORY AND CHEST PROCEDURES Age 21+,,,38241.47,38241.47,4
APR-DRG,1214,OTHER RESPIRATORY AND CHEST PROCEDURES Age Under 21,,,40790.9,40790.9,4
APR-DRG,1301,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS ,,,19223.09,24394.79,18
APR-DRG,1301,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Age 21+,,,20491.62,20491.62,4
APR-DRG,1301,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Age Under 21,,,21857.73,21857.73,4
APR-DRG,1302,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS ,,,22452.89,28493.51,18
APR-DRG,1302,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Age 21+,,,23934.55,23934.55,4
APR-DRG,1302,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Age Under 21,,,25530.19,25530.19,4
APR-DRG,1303,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS ,,,25682.29,32591.74,18
APR-DRG,1303,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Age 21+,,,27377.06,27377.06,4
APR-DRG,1303,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Age Under 21,,,29202.2,29202.2,4
APR-DRG,1304,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS ,,,37823.25,47999.05,18
APR-DRG,1304,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Age 21+,,,40319.2,40319.2,4
APR-DRG,1304,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Age Under 21,,,43007.15,43007.15,4
APR-DRG,1311,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,6284.82,7975.66,18
APR-DRG,1311,CYSTIC FIBROSIS - PULMONARY DISEASE Age 21+,,,6699.56,6699.56,4
APR-DRG,1311,CYSTIC FIBROSIS - PULMONARY DISEASE Age Under 21,,,7146.19,7146.19,4
APR-DRG,1312,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,11008.67,13970.39,18
APR-DRG,1312,CYSTIC FIBROSIS - PULMONARY DISEASE Age 21+,,,11735.13,11735.13,4
APR-DRG,1312,CYSTIC FIBROSIS - PULMONARY DISEASE Age Under 21,,,12517.47,12517.47,4
APR-DRG,1313,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,14880.13,18883.41,18
APR-DRG,1313,CYSTIC FIBROSIS - PULMONARY DISEASE Age 21+,,,15862.07,15862.07,4
APR-DRG,1313,CYSTIC FIBROSIS - PULMONARY DISEASE Age Under 21,,,16919.54,16919.54,4
APR-DRG,1314,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,20002.43,25383.8,18
APR-DRG,1314,CYSTIC FIBROSIS - PULMONARY DISEASE Age 21+,,,21322.39,21322.39,4
APR-DRG,1314,CYSTIC FIBROSIS - PULMONARY DISEASE Age Under 21,,,22743.88,22743.88,4
APR-DRG,1321,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ,,,2277.61,2890.36,18
APR-DRG,1321,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Age 21+,,,2427.9,2427.9,4
APR-DRG,1321,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Age Under 21,,,2589.76,2589.76,4
APR-DRG,1322,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ,,,4294.79,5450.24,18
APR-DRG,1322,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Age 21+,,,4578.2,4578.2,4
APR-DRG,1322,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Age Under 21,,,4883.41,4883.41,4
APR-DRG,1323,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ,,,7282.89,9242.25,18
APR-DRG,1323,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Age 21+,,,7763.49,7763.49,4
APR-DRG,1323,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Age Under 21,,,8281.06,8281.06,4
APR-DRG,1324,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ,,,12178.83,15455.36,18
APR-DRG,1324,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Age 21+,,,12982.5,12982.5,4
APR-DRG,1324,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Age Under 21,,,13848.0,13848.0,4
APR-DRG,1331,RESPIRATORY FAILURE ,,,2523.11,3201.91,18
APR-DRG,1331,RESPIRATORY FAILURE Age 21+,,,2689.61,2689.61,4
APR-DRG,1331,RESPIRATORY FAILURE Age Under 21,,,2868.91,2868.91,4
APR-DRG,1332,RESPIRATORY FAILURE ,,,3931.5,4989.21,18
APR-DRG,1332,RESPIRATORY FAILURE Age 21+,,,4190.94,4190.94,4
APR-DRG,1332,RESPIRATORY FAILURE Age Under 21,,,4470.33,4470.33,4
APR-DRG,1333,RESPIRATORY FAILURE ,,,7425.91,9423.75,18
APR-DRG,1333,RESPIRATORY FAILURE Age 21+,,,7915.95,7915.95,4
APR-DRG,1333,RESPIRATORY FAILURE Age Under 21,,,8443.68,8443.68,4
APR-DRG,1334,RESPIRATORY FAILURE ,,,10783.81,13685.04,18
APR-DRG,1334,RESPIRATORY FAILURE Age 21+,,,11495.43,11495.43,4
APR-DRG,1334,RESPIRATORY FAILURE Age Under 21,,,12261.79,12261.79,4
APR-DRG,1341,PULMONARY EMBOLISM ,,,3378.92,4287.98,18
APR-DRG,1341,PULMONARY EMBOLISM Age 21+,,,3601.9,3601.9,4
APR-DRG,1341,PULMONARY EMBOLISM Age Under 21,,,3842.03,3842.03,4
APR-DRG,1342,PULMONARY EMBOLISM ,,,3901.67,4951.36,18
APR-DRG,1342,PULMONARY EMBOLISM Age 21+,,,4159.14,4159.14,4
APR-DRG,1342,PULMONARY EMBOLISM Age Under 21,,,4436.42,4436.42,4
APR-DRG,1343,PULMONARY EMBOLISM ,,,5829.76,7398.18,18
APR-DRG,1343,PULMONARY EMBOLISM Age 21+,,,6214.47,6214.47,4
APR-DRG,1343,PULMONARY EMBOLISM Age Under 21,,,6628.76,6628.76,4
APR-DRG,1344,PULMONARY EMBOLISM ,,,11530.65,14632.8,18
APR-DRG,1344,PULMONARY EMBOLISM Age 21+,,,12291.55,12291.55,4
APR-DRG,1344,PULMONARY EMBOLISM Age Under 21,,,13110.99,13110.99,4
APR-DRG,1351,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,3624.43,4599.52,18
APR-DRG,1351,MAJOR CHEST AND RESPIRATORY TRAUMA Age 21+,,,3863.6,3863.6,4
APR-DRG,1351,MAJOR CHEST AND RESPIRATORY TRAUMA Age Under 21,,,4121.17,4121.17,4
APR-DRG,1352,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,4801.09,6092.75,18
APR-DRG,1352,MAJOR CHEST AND RESPIRATORY TRAUMA Age 21+,,,5117.91,5117.91,4
APR-DRG,1352,MAJOR CHEST AND RESPIRATORY TRAUMA Age Under 21,,,5459.1,5459.1,4
APR-DRG,1353,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,5741.04,7285.59,18
APR-DRG,1353,MAJOR CHEST AND RESPIRATORY TRAUMA Age 21+,,,6119.89,6119.89,4
APR-DRG,1353,MAJOR CHEST AND RESPIRATORY TRAUMA Age Under 21,,,6527.89,6527.89,4
APR-DRG,1354,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,9445.39,11986.54,18
APR-DRG,1354,MAJOR CHEST AND RESPIRATORY TRAUMA Age 21+,,,10068.69,10068.69,4
APR-DRG,1354,MAJOR CHEST AND RESPIRATORY TRAUMA Age Under 21,,,10739.94,10739.94,4
APR-DRG,1361,RESPIRATORY MALIGNANCY ,,,4321.93,5484.69,18
APR-DRG,1361,RESPIRATORY MALIGNANCY Age 21+,,,4607.14,4607.14,4
APR-DRG,1361,RESPIRATORY MALIGNANCY Age Under 21,,,4914.28,4914.28,4
APR-DRG,1362,RESPIRATORY MALIGNANCY ,,,5747.54,7293.84,18
APR-DRG,1362,RESPIRATORY MALIGNANCY Age 21+,,,6126.82,6126.82,4
APR-DRG,1362,RESPIRATORY MALIGNANCY Age Under 21,,,6535.28,6535.28,4
APR-DRG,1363,RESPIRATORY MALIGNANCY ,,,8129.16,10316.19,18
APR-DRG,1363,RESPIRATORY MALIGNANCY Age 21+,,,8665.6,8665.6,4
APR-DRG,1363,RESPIRATORY MALIGNANCY Age Under 21,,,9243.3,9243.3,4
APR-DRG,1364,RESPIRATORY MALIGNANCY ,,,11568.88,14681.32,18
APR-DRG,1364,RESPIRATORY MALIGNANCY Age 21+,,,12332.31,12332.31,4
APR-DRG,1364,RESPIRATORY MALIGNANCY Age Under 21,,,13154.47,13154.47,4
APR-DRG,1371,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS ,,,3076.82,3904.6,18
APR-DRG,1371,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Age 21+,,,3279.86,3279.86,4
APR-DRG,1371,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Age Under 21,,,3498.52,3498.52,4
APR-DRG,1372,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS ,,,4411.42,5598.25,18
APR-DRG,1372,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Age 21+,,,4702.53,4702.53,4
APR-DRG,1372,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Age Under 21,,,5016.03,5016.03,4
APR-DRG,1373,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS ,,,6440.84,8173.65,18
APR-DRG,1373,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Age 21+,,,6865.87,6865.87,4
APR-DRG,1373,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Age Under 21,,,7323.59,7323.59,4
APR-DRG,1374,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS ,,,11898.51,15099.64,18
APR-DRG,1374,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Age 21+,,,12683.7,12683.7,4
APR-DRG,1374,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Age Under 21,,,13529.28,13529.28,4
APR-DRG,1381,BRONCHIOLITIS AND RSV PNEUMONIA ,,,1579.33,2004.23,18
APR-DRG,1381,BRONCHIOLITIS AND RSV PNEUMONIA Age 21+,,,1683.55,1683.55,4
APR-DRG,1381,BRONCHIOLITIS AND RSV PNEUMONIA Age Under 21,,,1795.79,1795.79,4
APR-DRG,1382,BRONCHIOLITIS AND RSV PNEUMONIA ,,,2201.89,2794.28,18
APR-DRG,1382,BRONCHIOLITIS AND RSV PNEUMONIA Age 21+,,,2347.19,2347.19,4
APR-DRG,1382,BRONCHIOLITIS AND RSV PNEUMONIA Age Under 21,,,2503.67,2503.67,4
APR-DRG,1383,BRONCHIOLITIS AND RSV PNEUMONIA ,,,3760.95,4772.77,18
APR-DRG,1383,BRONCHIOLITIS AND RSV PNEUMONIA Age 21+,,,4009.13,4009.13,4
APR-DRG,1383,BRONCHIOLITIS AND RSV PNEUMONIA Age Under 21,,,4276.41,4276.41,4
APR-DRG,1384,BRONCHIOLITIS AND RSV PNEUMONIA ,,,8406.78,10668.5,18
APR-DRG,1384,BRONCHIOLITIS AND RSV PNEUMONIA Age 21+,,,8961.54,8961.54,4
APR-DRG,1384,BRONCHIOLITIS AND RSV PNEUMONIA Age Under 21,,,9558.98,9558.98,4
APR-DRG,1391,OTHER PNEUMONIA ,,,1887.17,2394.89,18
APR-DRG,1391,OTHER PNEUMONIA Age 21+,,,2011.71,2011.71,4
APR-DRG,1391,OTHER PNEUMONIA Age Under 21,,,2145.82,2145.82,4
APR-DRG,1392,OTHER PNEUMONIA ,,,2932.28,3721.16,18
APR-DRG,1392,OTHER PNEUMONIA Age 21+,,,3125.78,3125.78,4
APR-DRG,1392,OTHER PNEUMONIA Age Under 21,,,3334.16,3334.16,4
APR-DRG,1393,OTHER PNEUMONIA ,,,4636.28,5883.6,18
APR-DRG,1393,OTHER PNEUMONIA Age 21+,,,4942.22,4942.22,4
APR-DRG,1393,OTHER PNEUMONIA Age Under 21,,,5271.71,5271.71,4
APR-DRG,1394,OTHER PNEUMONIA ,,,7958.22,10099.26,18
APR-DRG,1394,OTHER PNEUMONIA Age 21+,,,8483.38,8483.38,4
APR-DRG,1394,OTHER PNEUMONIA Age Under 21,,,9048.94,9048.94,4
APR-DRG,1401,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,2891.74,3669.73,18
APR-DRG,1401,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Age 21+,,,3082.57,3082.57,4
APR-DRG,1401,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Age Under 21,,,3288.07,3288.07,4
APR-DRG,1402,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,3353.3,4255.46,18
APR-DRG,1402,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Age 21+,,,3574.59,3574.59,4
APR-DRG,1402,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Age Under 21,,,3812.89,3812.89,4
APR-DRG,1403,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,3932.27,4990.19,18
APR-DRG,1403,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Age 21+,,,4191.76,4191.76,4
APR-DRG,1403,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Age Under 21,,,4471.21,4471.21,4
APR-DRG,1404,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,5770.48,7322.95,18
APR-DRG,1404,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Age 21+,,,6151.28,6151.28,4
APR-DRG,1404,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Age Under 21,,,6561.36,6561.36,4
APR-DRG,1411,ASTHMA ,,,1829.8,2322.09,18
APR-DRG,1411,ASTHMA Age 21+,,,1950.55,1950.55,4
APR-DRG,1411,ASTHMA Age Under 21,,,2080.59,2080.59,4
APR-DRG,1412,ASTHMA ,,,2674.16,3393.6,18
APR-DRG,1412,ASTHMA Age 21+,,,2850.62,2850.62,4
APR-DRG,1412,ASTHMA Age Under 21,,,3040.67,3040.67,4
APR-DRG,1413,ASTHMA ,,,3388.49,4300.11,18
APR-DRG,1413,ASTHMA Age 21+,,,3612.09,3612.09,4
APR-DRG,1413,ASTHMA Age Under 21,,,3852.9,3852.9,4
APR-DRG,1414,ASTHMA ,,,6910.43,8769.59,18
APR-DRG,1414,ASTHMA Age 21+,,,7366.45,7366.45,4
APR-DRG,1414,ASTHMA Age Under 21,,,7857.55,7857.55,4
APR-DRG,1421,INTERSTITIAL AND ALVEOLAR LUNG DISEASES ,,,3229.41,4098.24,18
APR-DRG,1421,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Age 21+,,,3442.52,3442.52,4
APR-DRG,1421,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Age Under 21,,,3672.02,3672.02,4
APR-DRG,1422,INTERSTITIAL AND ALVEOLAR LUNG DISEASES ,,,5105.1,6478.55,18
APR-DRG,1422,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Age 21+,,,5441.98,5441.98,4
APR-DRG,1422,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Age Under 21,,,5804.78,5804.78,4
APR-DRG,1423,INTERSTITIAL AND ALVEOLAR LUNG DISEASES ,,,5183.88,6578.52,18
APR-DRG,1423,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Age 21+,,,5525.96,5525.96,4
APR-DRG,1423,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Age Under 21,,,5894.36,5894.36,4
APR-DRG,1424,INTERSTITIAL AND ALVEOLAR LUNG DISEASES ,,,6510.44,8261.98,18
APR-DRG,1424,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Age 21+,,,6940.06,6940.06,4
APR-DRG,1424,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Age Under 21,,,7402.73,7402.73,4
APR-DRG,1431,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,2413.74,3063.13,18
APR-DRG,1431,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age 21+",,,2573.03,2573.03,4
APR-DRG,1431,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age Under 21",,,2744.56,2744.56,4
APR-DRG,1432,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,3482.17,4419.0,18
APR-DRG,1432,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age 21+",,,3711.96,3711.96,4
APR-DRG,1432,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age Under 21",,,3959.42,3959.42,4
APR-DRG,1433,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,5402.99,6856.59,18
APR-DRG,1433,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age 21+",,,5759.53,5759.53,4
APR-DRG,1433,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age Under 21",,,6143.5,6143.5,4
APR-DRG,1434,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,8548.66,10848.55,18
APR-DRG,1434,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age 21+",,,9112.78,9112.78,4
APR-DRG,1434,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age Under 21",,,9720.3,9720.3,4
APR-DRG,1441,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,2130.76,2704.01,18
APR-DRG,1441,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age 21+",,,2271.37,2271.37,4
APR-DRG,1441,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age Under 21",,,2422.8,2422.8,4
APR-DRG,1442,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,3416.02,4335.05,18
APR-DRG,1442,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age 21+",,,3641.44,3641.44,4
APR-DRG,1442,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age Under 21",,,3884.2,3884.2,4
APR-DRG,1443,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,6758.62,8576.92,18
APR-DRG,1443,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age 21+",,,7204.62,7204.62,4
APR-DRG,1443,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age Under 21",,,7684.92,7684.92,4
APR-DRG,1444,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,8532.59,10828.16,18
APR-DRG,1444,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age 21+",,,9095.66,9095.66,4
APR-DRG,1444,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Age Under 21",,,9702.03,9702.03,4
APR-DRG,1451,ACUTE BRONCHITIS AND RELATED SYMPTOMS ,,,1540.32,1954.72,18
APR-DRG,1451,ACUTE BRONCHITIS AND RELATED SYMPTOMS Age 21+,,,1641.97,1641.97,4
APR-DRG,1451,ACUTE BRONCHITIS AND RELATED SYMPTOMS Age Under 21,,,1751.43,1751.43,4
APR-DRG,1452,ACUTE BRONCHITIS AND RELATED SYMPTOMS ,,,2855.03,3623.14,18
APR-DRG,1452,ACUTE BRONCHITIS AND RELATED SYMPTOMS Age 21+,,,3043.44,3043.44,4
APR-DRG,1452,ACUTE BRONCHITIS AND RELATED SYMPTOMS Age Under 21,,,3246.33,3246.33,4
APR-DRG,1453,ACUTE BRONCHITIS AND RELATED SYMPTOMS ,,,4772.41,6056.36,18
APR-DRG,1453,ACUTE BRONCHITIS AND RELATED SYMPTOMS Age 21+,,,5087.34,5087.34,4
APR-DRG,1453,ACUTE BRONCHITIS AND RELATED SYMPTOMS Age Under 21,,,5426.5,5426.5,4
APR-DRG,1454,ACUTE BRONCHITIS AND RELATED SYMPTOMS ,,,7159.76,9085.99,18
APR-DRG,1454,ACUTE BRONCHITIS AND RELATED SYMPTOMS Age 21+,,,7632.23,7632.23,4
APR-DRG,1454,ACUTE BRONCHITIS AND RELATED SYMPTOMS Age Under 21,,,8141.04,8141.04,4
APR-DRG,1601,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ,,,19093.46,24230.28,23
APR-DRG,1601,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Age 21+,,,20353.43,20353.43,4
APR-DRG,1601,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Age Under 21,,,21710.33,21710.33,4
APR-DRG,1602,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ,,,24330.49,30876.26,23
APR-DRG,1602,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Age 21+,,,25936.06,25936.06,4
APR-DRG,1602,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Age Under 21,,,27665.13,27665.13,4
APR-DRG,1603,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ,,,35016.79,44437.55,23
APR-DRG,1603,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Age 21+,,,37327.54,37327.54,4
APR-DRG,1603,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Age Under 21,,,39816.04,39816.04,4
APR-DRG,1604,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ,,,82862.1,105154.95,23
APR-DRG,1604,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Age 21+,,,88330.16,88330.16,4
APR-DRG,1604,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Age Under 21,,,94218.84,94218.84,4
APR-DRG,1611,IMPLANTABLE HEART ASSIST SYSTEMS ,,,63437.48,80504.41,23
APR-DRG,1611,IMPLANTABLE HEART ASSIST SYSTEMS Age 21+,,,67623.71,67623.71,4
APR-DRG,1611,IMPLANTABLE HEART ASSIST SYSTEMS Age Under 21,,,72131.95,72131.95,4
APR-DRG,1612,IMPLANTABLE HEART ASSIST SYSTEMS ,,,66888.3,84883.63,23
APR-DRG,1612,IMPLANTABLE HEART ASSIST SYSTEMS Age 21+,,,71302.24,71302.24,4
APR-DRG,1612,IMPLANTABLE HEART ASSIST SYSTEMS Age Under 21,,,76055.73,76055.73,4
APR-DRG,1613,IMPLANTABLE HEART ASSIST SYSTEMS ,,,93049.74,118083.43,23
APR-DRG,1613,IMPLANTABLE HEART ASSIST SYSTEMS Age 21+,,,99190.08,99190.08,4
APR-DRG,1613,IMPLANTABLE HEART ASSIST SYSTEMS Age Under 21,,,105802.75,105802.75,4
APR-DRG,1614,IMPLANTABLE HEART ASSIST SYSTEMS ,,,178525.19,226554.81,23
APR-DRG,1614,IMPLANTABLE HEART ASSIST SYSTEMS Age 21+,,,190306.04,190306.04,4
APR-DRG,1614,IMPLANTABLE HEART ASSIST SYSTEMS Age Under 21,,,202993.11,202993.11,4
APR-DRG,1621,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,26945.76,34195.13,23
APR-DRG,1621,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,28723.9,28723.9,4
APR-DRG,1621,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,30638.83,30638.83,4
APR-DRG,1622,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,30368.66,38538.91,23
APR-DRG,1622,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,32372.69,32372.69,4
APR-DRG,1622,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,34530.87,34530.87,4
APR-DRG,1623,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,40669.87,51611.51,23
APR-DRG,1623,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,43353.67,43353.67,4
APR-DRG,1623,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,46243.92,46243.92,4
APR-DRG,1624,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,72283.26,91730.03,23
APR-DRG,1624,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,77053.22,77053.22,4
APR-DRG,1624,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,82190.1,82190.1,4
APR-DRG,1631,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,17191.38,21816.47,23
APR-DRG,1631,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,18325.84,18325.84,4
APR-DRG,1631,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,19547.56,19547.56,4
APR-DRG,1632,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,21359.59,27106.08,23
APR-DRG,1632,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,22769.1,22769.1,4
APR-DRG,1632,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,24287.04,24287.04,4
APR-DRG,1633,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,28852.04,36614.26,23
APR-DRG,1633,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,30755.98,30755.98,4
APR-DRG,1633,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,32806.38,32806.38,4
APR-DRG,1634,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,43080.17,54670.26,23
APR-DRG,1634,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,45923.02,45923.02,4
APR-DRG,1634,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,48984.56,48984.56,4
APR-DRG,1651,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,17264.8,21909.65,23
APR-DRG,1651,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,18404.11,18404.11,4
APR-DRG,1651,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,19631.05,19631.05,4
APR-DRG,1652,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,20204.35,25640.04,23
APR-DRG,1652,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,21537.63,21537.63,4
APR-DRG,1652,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,22973.47,22973.47,4
APR-DRG,1653,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,24497.6,31088.33,23
APR-DRG,1653,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,26114.19,26114.19,4
APR-DRG,1653,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,27855.14,27855.14,4
APR-DRG,1654,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,37259.97,47284.22,23
APR-DRG,1654,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,39718.75,39718.75,4
APR-DRG,1654,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,42366.67,42366.67,4
APR-DRG,1661,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,14489.69,18387.94,23
APR-DRG,1661,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,15445.87,15445.87,4
APR-DRG,1661,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,16475.59,16475.59,4
APR-DRG,1662,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,15999.81,20304.32,23
APR-DRG,1662,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,17055.63,17055.63,4
APR-DRG,1662,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,18192.68,18192.68,4
APR-DRG,1663,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,20475.09,25983.61,23
APR-DRG,1663,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,21826.23,21826.23,4
APR-DRG,1663,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,23281.32,23281.32,4
APR-DRG,1664,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,28795.07,36541.96,23
APR-DRG,1664,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,30695.25,30695.25,4
APR-DRG,1664,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,32741.6,32741.6,4
APR-DRG,1671,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES ,,,15339.78,19466.72,23
APR-DRG,1671,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Age 21+,,,16352.05,16352.05,4
APR-DRG,1671,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Age Under 21,,,17442.19,17442.19,4
APR-DRG,1672,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES ,,,18671.29,23694.52,23
APR-DRG,1672,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Age 21+,,,19903.4,19903.4,4
APR-DRG,1672,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Age Under 21,,,21230.29,21230.29,4
APR-DRG,1673,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES ,,,23860.51,30279.84,23
APR-DRG,1673,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Age 21+,,,25435.06,25435.06,4
APR-DRG,1673,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Age Under 21,,,27130.73,27130.73,4
APR-DRG,1674,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES ,,,54930.12,69708.28,23
APR-DRG,1674,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Age 21+,,,58554.95,58554.95,4
APR-DRG,1674,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Age Under 21,,,62458.61,62458.61,4
APR-DRG,1691,MAJOR ABDOMINAL VASCULAR PROCEDURES ,,,14009.77,17778.9,23
APR-DRG,1691,MAJOR ABDOMINAL VASCULAR PROCEDURES Age 21+,,,14934.28,14934.28,4
APR-DRG,1691,MAJOR ABDOMINAL VASCULAR PROCEDURES Age Under 21,,,15929.89,15929.89,4
APR-DRG,1692,MAJOR ABDOMINAL VASCULAR PROCEDURES ,,,14021.63,17793.95,23
APR-DRG,1692,MAJOR ABDOMINAL VASCULAR PROCEDURES Age 21+,,,14946.92,14946.92,4
APR-DRG,1692,MAJOR ABDOMINAL VASCULAR PROCEDURES Age Under 21,,,15943.38,15943.38,4
APR-DRG,1693,MAJOR ABDOMINAL VASCULAR PROCEDURES ,,,19883.12,25232.39,23
APR-DRG,1693,MAJOR ABDOMINAL VASCULAR PROCEDURES Age 21+,,,21195.21,21195.21,4
APR-DRG,1693,MAJOR ABDOMINAL VASCULAR PROCEDURES Age Under 21,,,22608.22,22608.22,4
APR-DRG,1694,MAJOR ABDOMINAL VASCULAR PROCEDURES ,,,38596.48,48980.3,23
APR-DRG,1694,MAJOR ABDOMINAL VASCULAR PROCEDURES Age 21+,,,41143.45,41143.45,4
APR-DRG,1694,MAJOR ABDOMINAL VASCULAR PROCEDURES Age Under 21,,,43886.35,43886.35,4
APR-DRG,1701,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK ",,,11135.24,14131.01,23
APR-DRG,1701,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Age 21+",,,11870.05,11870.05,4
APR-DRG,1701,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Age Under 21",,,12661.39,12661.39,4
APR-DRG,1702,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK ",,,12773.46,16209.97,23
APR-DRG,1702,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Age 21+",,,13616.38,13616.38,4
APR-DRG,1702,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Age Under 21",,,14524.14,14524.14,4
APR-DRG,1703,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK ",,,15654.5,19866.11,23
APR-DRG,1703,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Age 21+",,,16687.53,16687.53,4
APR-DRG,1703,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Age Under 21",,,17800.04,17800.04,4
APR-DRG,1704,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK ",,,24054.02,30525.4,23
APR-DRG,1704,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Age 21+",,,25641.34,25641.34,4
APR-DRG,1704,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Age Under 21",,,27350.76,27350.76,4
APR-DRG,1711,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK ",,,6527.64,8283.81,23
APR-DRG,1711,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Age 21+",,,6958.4,6958.4,4
APR-DRG,1711,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Age Under 21",,,7422.3,7422.3,4
APR-DRG,1712,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK ",,,7906.21,10033.26,23
APR-DRG,1712,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Age 21+",,,8427.94,8427.94,4
APR-DRG,1712,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Age Under 21",,,8989.8,8989.8,4
APR-DRG,1713,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK ",,,11312.68,14356.19,23
APR-DRG,1713,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Age 21+",,,12059.2,12059.2,4
APR-DRG,1713,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Age Under 21",,,12863.14,12863.14,4
APR-DRG,1714,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK ",,,27244.04,34573.65,23
APR-DRG,1714,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Age 21+",,,29041.87,29041.87,4
APR-DRG,1714,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Age Under 21",,,30977.99,30977.99,4
APR-DRG,1741,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI ,,,8433.17,10701.99,23
APR-DRG,1741,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Age 21+,,,8989.67,8989.67,4
APR-DRG,1741,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Age Under 21,,,9588.98,9588.98,4
APR-DRG,1742,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI ,,,9853.42,12504.34,23
APR-DRG,1742,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Age 21+,,,10503.64,10503.64,4
APR-DRG,1742,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Age Under 21,,,11203.89,11203.89,4
APR-DRG,1743,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI ,,,11448.81,14528.95,23
APR-DRG,1743,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Age 21+,,,12204.32,12204.32,4
APR-DRG,1743,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Age Under 21,,,13017.94,13017.94,4
APR-DRG,1744,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI ,,,18715.27,23750.34,23
APR-DRG,1744,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Age 21+,,,19950.28,19950.28,4
APR-DRG,1744,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Age Under 21,,,21280.3,21280.3,4
APR-DRG,1751,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI ,,,9399.88,11928.79,23
APR-DRG,1751,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Age 21+,,,10020.18,10020.18,4
APR-DRG,1751,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Age Under 21,,,10688.19,10688.19,4
APR-DRG,1752,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI ,,,11088.2,14071.32,23
APR-DRG,1752,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Age 21+,,,11819.91,11819.91,4
APR-DRG,1752,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Age Under 21,,,12607.91,12607.91,4
APR-DRG,1753,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI ,,,15024.29,19066.36,23
APR-DRG,1753,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Age 21+,,,16015.74,16015.74,4
APR-DRG,1753,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Age Under 21,,,17083.46,17083.46,4
APR-DRG,1754,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI ,,,24666.63,31302.82,23
APR-DRG,1754,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Age 21+,,,26294.37,26294.37,4
APR-DRG,1754,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Age Under 21,,,28047.33,28047.33,4
APR-DRG,1761,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES ",,,5642.0,7159.9,23
APR-DRG,1761,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Age 21+",,,6014.32,6014.32,4
APR-DRG,1761,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Age Under 21",,,6415.27,6415.27,4
APR-DRG,1762,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES ",,,6877.16,8727.36,23
APR-DRG,1762,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Age 21+",,,7330.98,7330.98,4
APR-DRG,1762,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Age Under 21",,,7819.72,7819.72,4
APR-DRG,1763,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES ",,,15610.14,19809.83,23
APR-DRG,1763,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Age 21+",,,16640.25,16640.25,4
APR-DRG,1763,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Age Under 21",,,17749.6,17749.6,4
APR-DRG,1764,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES ",,,27973.66,35499.56,23
APR-DRG,1764,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Age 21+",,,29819.63,29819.63,4
APR-DRG,1764,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Age Under 21",,,31807.61,31807.61,4
APR-DRG,1771,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ,,,5491.71,6969.18,23
APR-DRG,1771,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Age 21+,,,5854.11,5854.11,4
APR-DRG,1771,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Age Under 21,,,6244.38,6244.38,4
APR-DRG,1772,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ,,,9459.92,12004.97,23
APR-DRG,1772,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Age 21+,,,10084.18,10084.18,4
APR-DRG,1772,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Age Under 21,,,10756.46,10756.46,4
APR-DRG,1773,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ,,,13427.76,17040.3,23
APR-DRG,1773,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Age 21+,,,14313.85,14313.85,4
APR-DRG,1773,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Age Under 21,,,15268.11,15268.11,4
APR-DRG,1774,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ,,,19148.91,24300.65,23
APR-DRG,1774,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Age 21+,,,20412.55,20412.55,4
APR-DRG,1774,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Age Under 21,,,21773.38,21773.38,4
APR-DRG,1781,EXTERNAL HEART ASSIST DEVICES ,,,28240.58,35838.3,18
APR-DRG,1781,EXTERNAL HEART ASSIST DEVICES Age 21+,,,30104.17,30104.17,4
APR-DRG,1781,EXTERNAL HEART ASSIST DEVICES Age Under 21,,,32111.12,32111.12,4
APR-DRG,1782,EXTERNAL HEART ASSIST DEVICES ,,,30807.27,39095.52,18
APR-DRG,1782,EXTERNAL HEART ASSIST DEVICES Age 21+,,,32840.24,32840.24,4
APR-DRG,1782,EXTERNAL HEART ASSIST DEVICES Age Under 21,,,35029.59,35029.59,4
APR-DRG,1783,EXTERNAL HEART ASSIST DEVICES ,,,35894.79,45551.76,18
APR-DRG,1783,EXTERNAL HEART ASSIST DEVICES Age 21+,,,38263.48,38263.48,4
APR-DRG,1783,EXTERNAL HEART ASSIST DEVICES Age Under 21,,,40814.38,40814.38,4
APR-DRG,1784,EXTERNAL HEART ASSIST DEVICES ,,,56090.34,71180.64,18
APR-DRG,1784,EXTERNAL HEART ASSIST DEVICES Age 21+,,,59791.74,59791.74,4
APR-DRG,1784,EXTERNAL HEART ASSIST DEVICES Age Under 21,,,63777.85,63777.85,4
APR-DRG,1791,DEFIBRILLATOR IMPLANTS ,,,13373.07,16970.9,18
APR-DRG,1791,DEFIBRILLATOR IMPLANTS Age 21+,,,14255.56,14255.56,4
APR-DRG,1791,DEFIBRILLATOR IMPLANTS Age Under 21,,,15205.93,15205.93,4
APR-DRG,1792,DEFIBRILLATOR IMPLANTS ,,,17901.12,22717.16,18
APR-DRG,1792,DEFIBRILLATOR IMPLANTS Age 21+,,,19082.42,19082.42,4
APR-DRG,1792,DEFIBRILLATOR IMPLANTS Age Under 21,,,20354.58,20354.58,4
APR-DRG,1793,DEFIBRILLATOR IMPLANTS ,,,21132.82,26818.3,18
APR-DRG,1793,DEFIBRILLATOR IMPLANTS Age 21+,,,22527.37,22527.37,4
APR-DRG,1793,DEFIBRILLATOR IMPLANTS Age Under 21,,,24029.2,24029.2,4
APR-DRG,1794,DEFIBRILLATOR IMPLANTS ,,,27560.28,34974.97,18
APR-DRG,1794,DEFIBRILLATOR IMPLANTS Age 21+,,,29378.98,29378.98,4
APR-DRG,1794,DEFIBRILLATOR IMPLANTS Age Under 21,,,31337.58,31337.58,4
APR-DRG,1801,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES ,,,23002.02,29190.38,18
APR-DRG,1801,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Age 21+,,,24519.92,24519.92,4
APR-DRG,1801,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Age Under 21,,,26154.58,26154.58,4
APR-DRG,1802,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES ,,,19717.16,25021.77,18
APR-DRG,1802,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Age 21+,,,21018.29,21018.29,4
APR-DRG,1802,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Age Under 21,,,22419.51,22419.51,4
APR-DRG,1803,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES ,,,16432.31,20853.19,18
APR-DRG,1803,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Age 21+,,,17516.68,17516.68,4
APR-DRG,1803,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Age Under 21,,,18684.46,18684.46,4
APR-DRG,1804,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES ,,,25389.37,32220.01,18
APR-DRG,1804,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Age 21+,,,27064.81,27064.81,4
APR-DRG,1804,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Age Under 21,,,28869.13,28869.13,4
APR-DRG,1811,LOWER VASCULAR PROCEDURES ,,,7035.48,8928.27,18
APR-DRG,1811,LOWER VASCULAR PROCEDURES Age 21+,,,7499.75,7499.75,4
APR-DRG,1811,LOWER VASCULAR PROCEDURES Age Under 21,,,7999.73,7999.73,4
APR-DRG,1812,LOWER VASCULAR PROCEDURES ,,,10677.11,13549.64,18
APR-DRG,1812,LOWER VASCULAR PROCEDURES Age 21+,,,11381.7,11381.7,4
APR-DRG,1812,LOWER VASCULAR PROCEDURES Age Under 21,,,12140.48,12140.48,4
APR-DRG,1813,LOWER VASCULAR PROCEDURES ,,,17591.0,22323.6,18
APR-DRG,1813,LOWER VASCULAR PROCEDURES Age 21+,,,18751.82,18751.82,4
APR-DRG,1813,LOWER VASCULAR PROCEDURES Age Under 21,,,20001.95,20001.95,4
APR-DRG,1814,LOWER VASCULAR PROCEDURES ,,,33524.26,42543.47,18
APR-DRG,1814,LOWER VASCULAR PROCEDURES Age 21+,,,35736.52,35736.52,4
APR-DRG,1814,LOWER VASCULAR PROCEDURES Age Under 21,,,38118.95,38118.95,4
APR-DRG,1821,OTHER UPPER VASCULAR PROCEDURES ,,,7888.24,10010.46,18
APR-DRG,1821,OTHER UPPER VASCULAR PROCEDURES Age 21+,,,8408.79,8408.79,4
APR-DRG,1821,OTHER UPPER VASCULAR PROCEDURES Age Under 21,,,8969.37,8969.37,4
APR-DRG,1822,OTHER UPPER VASCULAR PROCEDURES ,,,11038.49,14008.24,18
APR-DRG,1822,OTHER UPPER VASCULAR PROCEDURES Age 21+,,,11766.92,11766.92,4
APR-DRG,1822,OTHER UPPER VASCULAR PROCEDURES Age Under 21,,,12551.38,12551.38,4
APR-DRG,1823,OTHER UPPER VASCULAR PROCEDURES ,,,14625.06,18559.73,18
APR-DRG,1823,OTHER UPPER VASCULAR PROCEDURES Age 21+,,,15590.17,15590.17,4
APR-DRG,1823,OTHER UPPER VASCULAR PROCEDURES Age Under 21,,,16629.51,16629.51,4
APR-DRG,1824,OTHER UPPER VASCULAR PROCEDURES ,,,43105.79,54702.78,18
APR-DRG,1824,OTHER UPPER VASCULAR PROCEDURES Age 21+,,,45950.33,45950.33,4
APR-DRG,1824,OTHER UPPER VASCULAR PROCEDURES Age Under 21,,,49013.69,49013.69,4
APR-DRG,1831,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES ,,,19529.78,24783.99,18
APR-DRG,1831,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Age 21+,,,20818.55,20818.55,4
APR-DRG,1831,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Age Under 21,,,22206.45,22206.45,4
APR-DRG,1832,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES ,,,20530.16,26053.5,18
APR-DRG,1832,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Age 21+,,,21884.94,21884.94,4
APR-DRG,1832,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Age Under 21,,,23343.94,23343.94,4
APR-DRG,1833,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES ,,,31623.33,40131.13,18
APR-DRG,1833,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Age 21+,,,33710.15,33710.15,4
APR-DRG,1833,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Age Under 21,,,35957.49,35957.49,4
APR-DRG,1834,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES ,,,32419.49,41141.49,18
APR-DRG,1834,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Age 21+,,,34558.85,34558.85,4
APR-DRG,1834,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Age Under 21,,,36862.77,36862.77,4
APR-DRG,1901,ACUTE MYOCARDIAL INFARCTION ,,,3783.13,4800.92,18
APR-DRG,1901,ACUTE MYOCARDIAL INFARCTION Age 21+,,,4032.78,4032.78,4
APR-DRG,1901,ACUTE MYOCARDIAL INFARCTION Age Under 21,,,4301.63,4301.63,4
APR-DRG,1902,ACUTE MYOCARDIAL INFARCTION ,,,4068.79,5163.44,18
APR-DRG,1902,ACUTE MYOCARDIAL INFARCTION Age 21+,,,4337.29,4337.29,4
APR-DRG,1902,ACUTE MYOCARDIAL INFARCTION Age Under 21,,,4626.44,4626.44,4
APR-DRG,1903,ACUTE MYOCARDIAL INFARCTION ,,,5396.87,6848.83,18
APR-DRG,1903,ACUTE MYOCARDIAL INFARCTION Age 21+,,,5753.01,5753.01,4
APR-DRG,1903,ACUTE MYOCARDIAL INFARCTION Age Under 21,,,6136.55,6136.55,4
APR-DRG,1904,ACUTE MYOCARDIAL INFARCTION ,,,9523.4,12085.54,18
APR-DRG,1904,ACUTE MYOCARDIAL INFARCTION Age 21+,,,10151.85,10151.85,4
APR-DRG,1904,ACUTE MYOCARDIAL INFARCTION Age Under 21,,,10828.64,10828.64,4
APR-DRG,1911,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE ,,,4150.62,5267.29,18
APR-DRG,1911,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Age 21+,,,4424.52,4424.52,4
APR-DRG,1911,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Age Under 21,,,4719.49,4719.49,4
APR-DRG,1912,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE ,,,4949.08,6280.56,18
APR-DRG,1912,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Age 21+,,,5275.67,5275.67,4
APR-DRG,1912,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Age Under 21,,,5627.38,5627.38,4
APR-DRG,1913,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE ,,,6866.84,8714.26,18
APR-DRG,1913,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Age 21+,,,7319.98,7319.98,4
APR-DRG,1913,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Age Under 21,,,7807.98,7807.98,4
APR-DRG,1914,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE ,,,8567.39,10872.33,18
APR-DRG,1914,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Age 21+,,,9132.75,9132.75,4
APR-DRG,1914,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Age Under 21,,,9741.6,9741.6,4
APR-DRG,1921,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ,,,5907.39,7496.69,18
APR-DRG,1921,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Age 21+,,,6297.22,6297.22,4
APR-DRG,1921,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Age Under 21,,,6717.03,6717.03,4
APR-DRG,1922,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ,,,6354.41,8063.98,18
APR-DRG,1922,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Age 21+,,,6773.74,6773.74,4
APR-DRG,1922,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Age Under 21,,,7225.32,7225.32,4
APR-DRG,1923,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ,,,10856.46,13777.24,18
APR-DRG,1923,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Age 21+,,,11572.88,11572.88,4
APR-DRG,1923,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Age Under 21,,,12344.4,12344.4,4
APR-DRG,1924,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ,,,17560.02,22284.29,18
APR-DRG,1924,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Age 21+,,,18718.8,18718.8,4
APR-DRG,1924,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Age Under 21,,,19966.72,19966.72,4
APR-DRG,1931,ACUTE AND SUBACUTE ENDOCARDITIS ,,,8107.74,10289.01,18
APR-DRG,1931,ACUTE AND SUBACUTE ENDOCARDITIS Age 21+,,,8642.77,8642.77,4
APR-DRG,1931,ACUTE AND SUBACUTE ENDOCARDITIS Age Under 21,,,9218.96,9218.96,4
APR-DRG,1932,ACUTE AND SUBACUTE ENDOCARDITIS ,,,10387.64,13182.29,18
APR-DRG,1932,ACUTE AND SUBACUTE ENDOCARDITIS Age 21+,,,11073.12,11073.12,4
APR-DRG,1932,ACUTE AND SUBACUTE ENDOCARDITIS Age Under 21,,,11811.33,11811.33,4
APR-DRG,1933,ACUTE AND SUBACUTE ENDOCARDITIS ,,,17360.4,22030.96,18
APR-DRG,1933,ACUTE AND SUBACUTE ENDOCARDITIS Age 21+,,,18506.01,18506.01,4
APR-DRG,1933,ACUTE AND SUBACUTE ENDOCARDITIS Age Under 21,,,19739.74,19739.74,4
APR-DRG,1934,ACUTE AND SUBACUTE ENDOCARDITIS ,,,20698.03,26266.54,18
APR-DRG,1934,ACUTE AND SUBACUTE ENDOCARDITIS Age 21+,,,22063.89,22063.89,4
APR-DRG,1934,ACUTE AND SUBACUTE ENDOCARDITIS Age Under 21,,,23534.82,23534.82,4
APR-DRG,1941,HEART FAILURE ,,,2498.63,3170.85,18
APR-DRG,1941,HEART FAILURE Age 21+,,,2663.51,2663.51,4
APR-DRG,1941,HEART FAILURE Age Under 21,,,2841.08,2841.08,4
APR-DRG,1942,HEART FAILURE ,,,3295.95,4182.68,18
APR-DRG,1942,HEART FAILURE Age 21+,,,3513.45,3513.45,4
APR-DRG,1942,HEART FAILURE Age Under 21,,,3747.68,3747.68,4
APR-DRG,1943,HEART FAILURE ,,,5047.74,6405.76,18
APR-DRG,1943,HEART FAILURE Age 21+,,,5380.84,5380.84,4
APR-DRG,1943,HEART FAILURE Age Under 21,,,5739.56,5739.56,4
APR-DRG,1944,HEART FAILURE ,,,12498.13,15860.57,18
APR-DRG,1944,HEART FAILURE Age 21+,,,13322.88,13322.88,4
APR-DRG,1944,HEART FAILURE Age Under 21,,,14211.08,14211.08,4
APR-DRG,1961,CARDIAC ARREST AND SHOCK ,,,2503.99,3177.65,18
APR-DRG,1961,CARDIAC ARREST AND SHOCK Age 21+,,,2669.23,2669.23,4
APR-DRG,1961,CARDIAC ARREST AND SHOCK Age Under 21,,,2847.17,2847.17,4
APR-DRG,1962,CARDIAC ARREST AND SHOCK ,,,3307.04,4196.75,18
APR-DRG,1962,CARDIAC ARREST AND SHOCK Age 21+,,,3525.27,3525.27,4
APR-DRG,1962,CARDIAC ARREST AND SHOCK Age Under 21,,,3760.29,3760.29,4
APR-DRG,1963,CARDIAC ARREST AND SHOCK ,,,4803.38,6095.66,18
APR-DRG,1963,CARDIAC ARREST AND SHOCK Age 21+,,,5120.36,5120.36,4
APR-DRG,1963,CARDIAC ARREST AND SHOCK Age Under 21,,,5461.71,5461.71,4
APR-DRG,1964,CARDIAC ARREST AND SHOCK ,,,10297.39,13067.75,18
APR-DRG,1964,CARDIAC ARREST AND SHOCK Age 21+,,,10976.91,10976.91,4
APR-DRG,1964,CARDIAC ARREST AND SHOCK Age Under 21,,,11708.7,11708.7,4
APR-DRG,1971,PERIPHERAL AND OTHER VASCULAR DISORDERS ,,,2844.71,3610.04,18
APR-DRG,1971,PERIPHERAL AND OTHER VASCULAR DISORDERS Age 21+,,,3032.43,3032.43,4
APR-DRG,1971,PERIPHERAL AND OTHER VASCULAR DISORDERS Age Under 21,,,3234.59,3234.59,4
APR-DRG,1972,PERIPHERAL AND OTHER VASCULAR DISORDERS ,,,4034.37,5119.76,18
APR-DRG,1972,PERIPHERAL AND OTHER VASCULAR DISORDERS Age 21+,,,4300.6,4300.6,4
APR-DRG,1972,PERIPHERAL AND OTHER VASCULAR DISORDERS Age Under 21,,,4587.31,4587.31,4
APR-DRG,1973,PERIPHERAL AND OTHER VASCULAR DISORDERS ,,,5337.22,6773.13,18
APR-DRG,1973,PERIPHERAL AND OTHER VASCULAR DISORDERS Age 21+,,,5689.43,5689.43,4
APR-DRG,1973,PERIPHERAL AND OTHER VASCULAR DISORDERS Age Under 21,,,6068.72,6068.72,4
APR-DRG,1974,PERIPHERAL AND OTHER VASCULAR DISORDERS ,,,11632.75,14762.38,18
APR-DRG,1974,PERIPHERAL AND OTHER VASCULAR DISORDERS Age 21+,,,12400.4,12400.4,4
APR-DRG,1974,PERIPHERAL AND OTHER VASCULAR DISORDERS Age Under 21,,,13227.09,13227.09,4
APR-DRG,1981,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,2374.35,3013.14,18
APR-DRG,1981,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Age 21+,,,2531.04,2531.04,4
APR-DRG,1981,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Age Under 21,,,2699.77,2699.77,4
APR-DRG,1982,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,3028.65,3843.46,18
APR-DRG,1982,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Age 21+,,,3228.51,3228.51,4
APR-DRG,1982,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Age Under 21,,,3443.74,3443.74,4
APR-DRG,1983,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,3705.12,4701.93,18
APR-DRG,1983,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Age 21+,,,3949.62,3949.62,4
APR-DRG,1983,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Age Under 21,,,4212.92,4212.92,4
APR-DRG,1984,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,6281.37,7971.29,18
APR-DRG,1984,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Age 21+,,,6695.88,6695.88,4
APR-DRG,1984,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Age Under 21,,,7142.27,7142.27,4
APR-DRG,1991,HYPERTENSION ,,,2820.23,3578.97,18
APR-DRG,1991,HYPERTENSION Age 21+,,,3006.34,3006.34,4
APR-DRG,1991,HYPERTENSION Age Under 21,,,3206.76,3206.76,4
APR-DRG,1992,HYPERTENSION ,,,3063.06,3887.14,18
APR-DRG,1992,HYPERTENSION Age 21+,,,3265.2,3265.2,4
APR-DRG,1992,HYPERTENSION Age Under 21,,,3482.88,3482.88,4
APR-DRG,1993,HYPERTENSION ,,,4458.45,5657.94,18
APR-DRG,1993,HYPERTENSION Age 21+,,,4752.67,4752.67,4
APR-DRG,1993,HYPERTENSION Age Under 21,,,5069.51,5069.51,4
APR-DRG,1994,HYPERTENSION ,,,8216.73,10427.33,18
APR-DRG,1994,HYPERTENSION Age 21+,,,8758.95,8758.95,4
APR-DRG,1994,HYPERTENSION Age Under 21,,,9342.88,9342.88,4
APR-DRG,2001,CARDIAC STRUCTURAL AND VALVULAR DISORDERS ,,,5794.19,7353.04,18
APR-DRG,2001,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Age 21+,,,6176.55,6176.55,4
APR-DRG,2001,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Age Under 21,,,6588.32,6588.32,4
APR-DRG,2002,CARDIAC STRUCTURAL AND VALVULAR DISORDERS ,,,9681.34,12285.96,18
APR-DRG,2002,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Age 21+,,,10320.21,10320.21,4
APR-DRG,2002,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Age Under 21,,,11008.22,11008.22,4
APR-DRG,2003,CARDIAC STRUCTURAL AND VALVULAR DISORDERS ,,,13568.48,17218.89,18
APR-DRG,2003,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Age 21+,,,14463.87,14463.87,4
APR-DRG,2003,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Age Under 21,,,15428.12,15428.12,4
APR-DRG,2004,CARDIAC STRUCTURAL AND VALVULAR DISORDERS ,,,108133.31,137225.01,18
APR-DRG,2004,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Age 21+,,,115269.01,115269.01,4
APR-DRG,2004,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Age Under 21,,,122953.61,122953.61,4
APR-DRG,2011,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS ,,,2318.52,2942.29,18
APR-DRG,2011,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Age 21+,,,2471.52,2471.52,4
APR-DRG,2011,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Age Under 21,,,2636.29,2636.29,4
APR-DRG,2012,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS ,,,2944.52,3736.7,18
APR-DRG,2012,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Age 21+,,,3138.83,3138.83,4
APR-DRG,2012,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Age Under 21,,,3348.08,3348.08,4
APR-DRG,2013,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS ,,,4541.44,5763.25,18
APR-DRG,2013,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Age 21+,,,4841.13,4841.13,4
APR-DRG,2013,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Age Under 21,,,5163.87,5163.87,4
APR-DRG,2014,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS ,,,7513.48,9534.88,18
APR-DRG,2014,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Age 21+,,,8009.3,8009.3,4
APR-DRG,2014,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Age Under 21,,,8543.25,8543.25,4
APR-DRG,2031,CHEST PAIN ,,,2277.98,2890.84,18
APR-DRG,2031,CHEST PAIN Age 21+,,,2428.3,2428.3,4
APR-DRG,2031,CHEST PAIN Age Under 21,,,2590.19,2590.19,4
APR-DRG,2032,CHEST PAIN ,,,2758.67,3500.85,18
APR-DRG,2032,CHEST PAIN Age 21+,,,2940.71,2940.71,4
APR-DRG,2032,CHEST PAIN Age Under 21,,,3136.76,3136.76,4
APR-DRG,2033,CHEST PAIN ,,,3034.0,3850.25,18
APR-DRG,2033,CHEST PAIN Age 21+,,,3234.21,3234.21,4
APR-DRG,2033,CHEST PAIN Age Under 21,,,3449.82,3449.82,4
APR-DRG,2034,CHEST PAIN ,,,6178.51,7840.75,18
APR-DRG,2034,CHEST PAIN Age 21+,,,6586.23,6586.23,4
APR-DRG,2034,CHEST PAIN Age Under 21,,,7025.31,7025.31,4
APR-DRG,2041,SYNCOPE AND COLLAPSE ,,,2463.83,3126.69,18
APR-DRG,2041,SYNCOPE AND COLLAPSE Age 21+,,,2626.42,2626.42,4
APR-DRG,2041,SYNCOPE AND COLLAPSE Age Under 21,,,2801.51,2801.51,4
APR-DRG,2042,SYNCOPE AND COLLAPSE ,,,3260.38,4137.54,18
APR-DRG,2042,SYNCOPE AND COLLAPSE Age 21+,,,3475.53,3475.53,4
APR-DRG,2042,SYNCOPE AND COLLAPSE Age Under 21,,,3707.23,3707.23,4
APR-DRG,2043,SYNCOPE AND COLLAPSE ,,,3585.05,4549.55,18
APR-DRG,2043,SYNCOPE AND COLLAPSE Age 21+,,,3821.62,3821.62,4
APR-DRG,2043,SYNCOPE AND COLLAPSE Age Under 21,,,4076.4,4076.4,4
APR-DRG,2044,SYNCOPE AND COLLAPSE ,,,11943.65,15156.91,18
APR-DRG,2044,SYNCOPE AND COLLAPSE Age 21+,,,12731.81,12731.81,4
APR-DRG,2044,SYNCOPE AND COLLAPSE Age Under 21,,,13580.59,13580.59,4
APR-DRG,2051,CARDIOMYOPATHY ,,,2675.3,3395.05,18
APR-DRG,2051,CARDIOMYOPATHY Age 21+,,,2851.84,2851.84,4
APR-DRG,2051,CARDIOMYOPATHY Age Under 21,,,3041.96,3041.96,4
APR-DRG,2052,CARDIOMYOPATHY ,,,3539.15,4491.31,18
APR-DRG,2052,CARDIOMYOPATHY Age 21+,,,3772.7,3772.7,4
APR-DRG,2052,CARDIOMYOPATHY Age Under 21,,,4024.22,4024.22,4
APR-DRG,2053,CARDIOMYOPATHY ,,,4507.03,5719.57,18
APR-DRG,2053,CARDIOMYOPATHY Age 21+,,,4804.44,4804.44,4
APR-DRG,2053,CARDIOMYOPATHY Age Under 21,,,5124.74,5124.74,4
APR-DRG,2054,CARDIOMYOPATHY ,,,42245.0,53610.4,18
APR-DRG,2054,CARDIOMYOPATHY Age 21+,,,45032.74,45032.74,4
APR-DRG,2054,CARDIOMYOPATHY Age Under 21,,,48034.92,48034.92,4
APR-DRG,2061,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE ",,,3401.49,4316.61,18
APR-DRG,2061,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Age 21+",,,3625.95,3625.95,4
APR-DRG,2061,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Age Under 21",,,3867.68,3867.68,4
APR-DRG,2062,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE ",,,3983.12,5054.73,18
APR-DRG,2062,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Age 21+",,,4245.97,4245.97,4
APR-DRG,2062,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Age Under 21",,,4529.03,4529.03,4
APR-DRG,2063,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE ",,,8298.57,10531.18,18
APR-DRG,2063,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Age 21+",,,8846.19,8846.19,4
APR-DRG,2063,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Age Under 21",,,9435.93,9435.93,4
APR-DRG,2064,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE ",,,18345.86,23281.55,18
APR-DRG,2064,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Age 21+",,,19556.5,19556.5,4
APR-DRG,2064,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Age Under 21",,,20860.27,20860.27,4
APR-DRG,2071,OTHER CIRCULATORY SYSTEM DIAGNOSES ,,,3046.61,3866.26,18
APR-DRG,2071,OTHER CIRCULATORY SYSTEM DIAGNOSES Age 21+,,,3247.66,3247.66,4
APR-DRG,2071,OTHER CIRCULATORY SYSTEM DIAGNOSES Age Under 21,,,3464.17,3464.17,4
APR-DRG,2072,OTHER CIRCULATORY SYSTEM DIAGNOSES ,,,3973.57,5042.6,18
APR-DRG,2072,OTHER CIRCULATORY SYSTEM DIAGNOSES Age 21+,,,4235.78,4235.78,4
APR-DRG,2072,OTHER CIRCULATORY SYSTEM DIAGNOSES Age Under 21,,,4518.17,4518.17,4
APR-DRG,2073,OTHER CIRCULATORY SYSTEM DIAGNOSES ,,,5673.74,7200.18,18
APR-DRG,2073,OTHER CIRCULATORY SYSTEM DIAGNOSES Age 21+,,,6048.15,6048.15,4
APR-DRG,2073,OTHER CIRCULATORY SYSTEM DIAGNOSES Age Under 21,,,6451.36,6451.36,4
APR-DRG,2074,OTHER CIRCULATORY SYSTEM DIAGNOSES ,,,20878.14,26495.1,18
APR-DRG,2074,OTHER CIRCULATORY SYSTEM DIAGNOSES Age 21+,,,22255.88,22255.88,4
APR-DRG,2074,OTHER CIRCULATORY SYSTEM DIAGNOSES Age Under 21,,,23739.61,23739.61,4
APR-DRG,2201,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,7326.49,9297.58,18
APR-DRG,2201,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age 21+",,,7809.96,7809.96,4
APR-DRG,2201,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age Under 21",,,8330.63,8330.63,4
APR-DRG,2202,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,8947.89,11355.19,18
APR-DRG,2202,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age 21+",,,9538.36,9538.36,4
APR-DRG,2202,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age Under 21",,,10174.25,10174.25,4
APR-DRG,2203,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,17589.84,22322.14,18
APR-DRG,2203,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age 21+",,,18750.6,18750.6,4
APR-DRG,2203,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age Under 21",,,20000.64,20000.64,4
APR-DRG,2204,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,47792.93,60650.92,18
APR-DRG,2204,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age 21+",,,50946.78,50946.78,4
APR-DRG,2204,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age Under 21",,,54343.23,54343.23,4
APR-DRG,2221,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,3685.61,4677.17,18
APR-DRG,2221,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age 21+",,,3928.83,3928.83,4
APR-DRG,2221,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age Under 21",,,4190.75,4190.75,4
APR-DRG,2222,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,7305.08,9270.4,18
APR-DRG,2222,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age 21+",,,7787.14,7787.14,4
APR-DRG,2222,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age Under 21",,,8306.28,8306.28,4
APR-DRG,2223,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,16017.78,20327.14,18
APR-DRG,2223,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age 21+",,,17074.8,17074.8,4
APR-DRG,2223,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age Under 21",,,18213.12,18213.12,4
APR-DRG,2224,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,22729.74,28844.85,18
APR-DRG,2224,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age 21+",,,24229.67,24229.67,4
APR-DRG,2224,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Age Under 21",,,25844.99,25844.99,4
APR-DRG,2231,OTHER SMALL AND LARGE BOWEL PROCEDURES ,,,5211.41,6613.46,18
APR-DRG,2231,OTHER SMALL AND LARGE BOWEL PROCEDURES Age 21+,,,5555.31,5555.31,4
APR-DRG,2231,OTHER SMALL AND LARGE BOWEL PROCEDURES Age Under 21,,,5925.66,5925.66,4
APR-DRG,2232,OTHER SMALL AND LARGE BOWEL PROCEDURES ,,,6583.47,8354.66,18
APR-DRG,2232,OTHER SMALL AND LARGE BOWEL PROCEDURES Age 21+,,,7017.92,7017.92,4
APR-DRG,2232,OTHER SMALL AND LARGE BOWEL PROCEDURES Age Under 21,,,7485.78,7485.78,4
APR-DRG,2233,OTHER SMALL AND LARGE BOWEL PROCEDURES ,,,9055.73,11492.04,18
APR-DRG,2233,OTHER SMALL AND LARGE BOWEL PROCEDURES Age 21+,,,9653.31,9653.31,4
APR-DRG,2233,OTHER SMALL AND LARGE BOWEL PROCEDURES Age Under 21,,,10296.87,10296.87,4
APR-DRG,2234,OTHER SMALL AND LARGE BOWEL PROCEDURES ,,,30018.38,38094.39,18
APR-DRG,2234,OTHER SMALL AND LARGE BOWEL PROCEDURES Age 21+,,,31999.29,31999.29,4
APR-DRG,2234,OTHER SMALL AND LARGE BOWEL PROCEDURES Age Under 21,,,34132.57,34132.57,4
APR-DRG,2241,PERITONEAL ADHESIOLYSIS ,,,5749.07,7295.77,18
APR-DRG,2241,PERITONEAL ADHESIOLYSIS Age 21+,,,6128.45,6128.45,4
APR-DRG,2241,PERITONEAL ADHESIOLYSIS Age Under 21,,,6537.01,6537.01,4
APR-DRG,2242,PERITONEAL ADHESIOLYSIS ,,,8373.13,10625.8,18
APR-DRG,2242,PERITONEAL ADHESIOLYSIS Age 21+,,,8925.67,8925.67,4
APR-DRG,2242,PERITONEAL ADHESIOLYSIS Age Under 21,,,9520.72,9520.72,4
APR-DRG,2243,PERITONEAL ADHESIOLYSIS ,,,12737.52,16164.36,18
APR-DRG,2243,PERITONEAL ADHESIOLYSIS Age 21+,,,13578.06,13578.06,4
APR-DRG,2243,PERITONEAL ADHESIOLYSIS Age Under 21,,,14483.27,14483.27,4
APR-DRG,2244,PERITONEAL ADHESIOLYSIS ,,,34960.96,44366.7,18
APR-DRG,2244,PERITONEAL ADHESIOLYSIS Age 21+,,,37268.03,37268.03,4
APR-DRG,2244,PERITONEAL ADHESIOLYSIS Age Under 21,,,39752.56,39752.56,4
APR-DRG,2261,ANAL AND PERINEAL PROCEDURES ,,,4367.06,5541.95,18
APR-DRG,2261,ANAL AND PERINEAL PROCEDURES Age 21+,,,4655.24,4655.24,4
APR-DRG,2261,ANAL AND PERINEAL PROCEDURES Age Under 21,,,4965.59,4965.59,4
APR-DRG,2262,ANAL AND PERINEAL PROCEDURES ,,,6223.25,7897.53,18
APR-DRG,2262,ANAL AND PERINEAL PROCEDURES Age 21+,,,6633.92,6633.92,4
APR-DRG,2262,ANAL AND PERINEAL PROCEDURES Age Under 21,,,7076.18,7076.18,4
APR-DRG,2263,ANAL AND PERINEAL PROCEDURES ,,,7211.77,9151.99,18
APR-DRG,2263,ANAL AND PERINEAL PROCEDURES Age 21+,,,7687.67,7687.67,4
APR-DRG,2263,ANAL AND PERINEAL PROCEDURES Age Under 21,,,8200.18,8200.18,4
APR-DRG,2264,ANAL AND PERINEAL PROCEDURES ,,,21060.55,26726.59,18
APR-DRG,2264,ANAL AND PERINEAL PROCEDURES Age 21+,,,22450.33,22450.33,4
APR-DRG,2264,ANAL AND PERINEAL PROCEDURES Age Under 21,,,23947.02,23947.02,4
APR-DRG,2271,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL ",,,5573.16,7072.54,18
APR-DRG,2271,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Age 21+",,,5940.93,5940.93,4
APR-DRG,2271,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Age Under 21",,,6336.99,6336.99,4
APR-DRG,2272,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL ",,,7193.03,9128.21,18
APR-DRG,2272,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Age 21+",,,7667.7,7667.7,4
APR-DRG,2272,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Age Under 21",,,8178.88,8178.88,4
APR-DRG,2273,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL ",,,10599.49,13451.13,18
APR-DRG,2273,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Age 21+",,,11298.94,11298.94,4
APR-DRG,2273,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Age Under 21",,,12052.21,12052.21,4
APR-DRG,2274,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL ",,,33421.78,42413.42,18
APR-DRG,2274,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Age 21+",,,35627.28,35627.28,4
APR-DRG,2274,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Age Under 21",,,38002.43,38002.43,4
APR-DRG,2281,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES ",,,3913.53,4966.41,18
APR-DRG,2281,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Age 21+",,,4171.79,4171.79,4
APR-DRG,2281,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Age Under 21",,,4449.91,4449.91,4
APR-DRG,2282,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES ",,,5283.3,6704.7,18
APR-DRG,2282,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Age 21+",,,5631.95,5631.95,4
APR-DRG,2282,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Age Under 21",,,6007.41,6007.41,4
APR-DRG,2283,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES ",,,8758.22,11114.49,18
APR-DRG,2283,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Age 21+",,,9336.17,9336.17,4
APR-DRG,2283,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Age Under 21",,,9958.58,9958.58,4
APR-DRG,2284,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES ",,,16841.1,21371.95,18
APR-DRG,2284,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Age 21+",,,17952.44,17952.44,4
APR-DRG,2284,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Age Under 21",,,19149.27,19149.27,4
APR-DRG,2291,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES ,,,5198.41,6596.96,18
APR-DRG,2291,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Age 21+,,,5541.45,5541.45,4
APR-DRG,2291,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Age Under 21,,,5910.88,5910.88,4
APR-DRG,2292,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES ,,,7211.01,9151.02,18
APR-DRG,2292,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Age 21+,,,7686.86,7686.86,4
APR-DRG,2292,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Age Under 21,,,8199.32,8199.32,4
APR-DRG,2293,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES ,,,14674.39,18622.33,18
APR-DRG,2293,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Age 21+,,,15642.75,15642.75,4
APR-DRG,2293,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Age Under 21,,,16685.6,16685.6,4
APR-DRG,2294,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES ,,,20112.18,25523.07,18
APR-DRG,2294,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Age 21+,,,21439.38,21439.38,4
APR-DRG,2294,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Age Under 21,,,22868.68,22868.68,4
APR-DRG,2301,MAJOR SMALL BOWEL PROCEDURES ,,,6809.86,8641.95,18
APR-DRG,2301,MAJOR SMALL BOWEL PROCEDURES Age 21+,,,7259.24,7259.24,4
APR-DRG,2301,MAJOR SMALL BOWEL PROCEDURES Age Under 21,,,7743.19,7743.19,4
APR-DRG,2302,MAJOR SMALL BOWEL PROCEDURES ,,,9982.67,12668.36,18
APR-DRG,2302,MAJOR SMALL BOWEL PROCEDURES Age 21+,,,10641.42,10641.42,4
APR-DRG,2302,MAJOR SMALL BOWEL PROCEDURES Age Under 21,,,11350.85,11350.85,4
APR-DRG,2303,MAJOR SMALL BOWEL PROCEDURES ,,,14864.06,18863.03,18
APR-DRG,2303,MAJOR SMALL BOWEL PROCEDURES Age 21+,,,15844.94,15844.94,4
APR-DRG,2303,MAJOR SMALL BOWEL PROCEDURES Age Under 21,,,16901.27,16901.27,4
APR-DRG,2304,MAJOR SMALL BOWEL PROCEDURES ,,,40427.05,51303.36,18
APR-DRG,2304,MAJOR SMALL BOWEL PROCEDURES Age 21+,,,43094.82,43094.82,4
APR-DRG,2304,MAJOR SMALL BOWEL PROCEDURES Age Under 21,,,45967.81,45967.81,4
APR-DRG,2311,MAJOR LARGE BOWEL PROCEDURES ,,,6615.59,8395.42,18
APR-DRG,2311,MAJOR LARGE BOWEL PROCEDURES Age 21+,,,7052.16,7052.16,4
APR-DRG,2311,MAJOR LARGE BOWEL PROCEDURES Age Under 21,,,7522.3,7522.3,4
APR-DRG,2312,MAJOR LARGE BOWEL PROCEDURES ,,,8397.99,10657.35,18
APR-DRG,2312,MAJOR LARGE BOWEL PROCEDURES Age 21+,,,8952.17,8952.17,4
APR-DRG,2312,MAJOR LARGE BOWEL PROCEDURES Age Under 21,,,9548.99,9548.99,4
APR-DRG,2313,MAJOR LARGE BOWEL PROCEDURES ,,,11784.18,14954.54,18
APR-DRG,2313,MAJOR LARGE BOWEL PROCEDURES Age 21+,,,12561.81,12561.81,4
APR-DRG,2313,MAJOR LARGE BOWEL PROCEDURES Age Under 21,,,13399.27,13399.27,4
APR-DRG,2314,MAJOR LARGE BOWEL PROCEDURES ,,,24523.6,31121.33,18
APR-DRG,2314,MAJOR LARGE BOWEL PROCEDURES Age 21+,,,26141.91,26141.91,4
APR-DRG,2314,MAJOR LARGE BOWEL PROCEDURES Age Under 21,,,27884.71,27884.71,4
APR-DRG,2321,GASTRIC FUNDOPLICATION ,,,3915.44,4968.84,18
APR-DRG,2321,GASTRIC FUNDOPLICATION Age 21+,,,4173.82,4173.82,4
APR-DRG,2321,GASTRIC FUNDOPLICATION Age Under 21,,,4452.08,4452.08,4
APR-DRG,2322,GASTRIC FUNDOPLICATION ,,,5371.25,6816.31,18
APR-DRG,2322,GASTRIC FUNDOPLICATION Age 21+,,,5725.7,5725.7,4
APR-DRG,2322,GASTRIC FUNDOPLICATION Age Under 21,,,6107.42,6107.42,4
APR-DRG,2323,GASTRIC FUNDOPLICATION ,,,7788.05,9883.31,18
APR-DRG,2323,GASTRIC FUNDOPLICATION Age 21+,,,8301.98,8301.98,4
APR-DRG,2323,GASTRIC FUNDOPLICATION Age Under 21,,,8855.45,8855.45,4
APR-DRG,2324,GASTRIC FUNDOPLICATION ,,,15822.75,20079.64,18
APR-DRG,2324,GASTRIC FUNDOPLICATION Age 21+,,,16866.9,16866.9,4
APR-DRG,2324,GASTRIC FUNDOPLICATION Age Under 21,,,17991.36,17991.36,4
APR-DRG,2331,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ,,,5228.23,6634.81,18
APR-DRG,2331,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,5573.24,5573.24,4
APR-DRG,2331,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,5944.79,5944.79,4
APR-DRG,2332,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ,,,7231.65,9177.23,18
APR-DRG,2332,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,7708.87,7708.87,4
APR-DRG,2332,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,8222.79,8222.79,4
APR-DRG,2333,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ,,,9293.58,11793.89,18
APR-DRG,2333,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,9906.87,9906.87,4
APR-DRG,2333,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,10567.32,10567.32,4
APR-DRG,2334,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ,,,26227.98,33284.24,18
APR-DRG,2334,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,27958.76,27958.76,4
APR-DRG,2334,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,29822.68,29822.68,4
APR-DRG,2341,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ,,,3744.89,4752.4,18
APR-DRG,2341,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,3992.02,3992.02,4
APR-DRG,2341,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,4258.15,4258.15,4
APR-DRG,2342,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ,,,4921.54,6245.61,18
APR-DRG,2342,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,5246.31,5246.31,4
APR-DRG,2342,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,5596.07,5596.07,4
APR-DRG,2343,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ,,,6123.82,7771.35,18
APR-DRG,2343,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,6527.93,6527.93,4
APR-DRG,2343,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,6963.13,6963.13,4
APR-DRG,2344,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ,,,16351.62,20750.79,18
APR-DRG,2344,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Age 21+,,,17430.66,17430.66,4
APR-DRG,2344,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Age Under 21,,,18592.71,18592.71,4
APR-DRG,2401,DIGESTIVE MALIGNANCY ,,,4001.1,5077.54,18
APR-DRG,2401,DIGESTIVE MALIGNANCY Age 21+,,,4265.13,4265.13,4
APR-DRG,2401,DIGESTIVE MALIGNANCY Age Under 21,,,4549.47,4549.47,4
APR-DRG,2402,DIGESTIVE MALIGNANCY ,,,4583.88,5817.11,18
APR-DRG,2402,DIGESTIVE MALIGNANCY Age 21+,,,4886.37,4886.37,4
APR-DRG,2402,DIGESTIVE MALIGNANCY Age Under 21,,,5212.13,5212.13,4
APR-DRG,2403,DIGESTIVE MALIGNANCY ,,,6430.9,8161.04,18
APR-DRG,2403,DIGESTIVE MALIGNANCY Age 21+,,,6855.27,6855.27,4
APR-DRG,2403,DIGESTIVE MALIGNANCY Age Under 21,,,7312.29,7312.29,4
APR-DRG,2404,DIGESTIVE MALIGNANCY ,,,10819.75,13730.65,18
APR-DRG,2404,DIGESTIVE MALIGNANCY Age 21+,,,11533.75,11533.75,4
APR-DRG,2404,DIGESTIVE MALIGNANCY Age Under 21,,,12302.66,12302.66,4
APR-DRG,2411,PEPTIC ULCER AND GASTRITIS ,,,3241.26,4113.27,18
APR-DRG,2411,PEPTIC ULCER AND GASTRITIS Age 21+,,,3455.15,3455.15,4
APR-DRG,2411,PEPTIC ULCER AND GASTRITIS Age Under 21,,,3685.49,3685.49,4
APR-DRG,2412,PEPTIC ULCER AND GASTRITIS ,,,3793.84,4814.51,18
APR-DRG,2412,PEPTIC ULCER AND GASTRITIS Age 21+,,,4044.19,4044.19,4
APR-DRG,2412,PEPTIC ULCER AND GASTRITIS Age Under 21,,,4313.8,4313.8,4
APR-DRG,2413,PEPTIC ULCER AND GASTRITIS ,,,6208.34,7878.6,18
APR-DRG,2413,PEPTIC ULCER AND GASTRITIS Age 21+,,,6618.02,6618.02,4
APR-DRG,2413,PEPTIC ULCER AND GASTRITIS Age Under 21,,,7059.23,7059.23,4
APR-DRG,2414,PEPTIC ULCER AND GASTRITIS ,,,15084.71,19143.04,18
APR-DRG,2414,PEPTIC ULCER AND GASTRITIS Age 21+,,,16080.15,16080.15,4
APR-DRG,2414,PEPTIC ULCER AND GASTRITIS Age Under 21,,,17152.16,17152.16,4
APR-DRG,2421,MAJOR ESOPHAGEAL DISORDERS ,,,3316.21,4208.39,18
APR-DRG,2421,MAJOR ESOPHAGEAL DISORDERS Age 21+,,,3535.05,3535.05,4
APR-DRG,2421,MAJOR ESOPHAGEAL DISORDERS Age Under 21,,,3770.72,3770.72,4
APR-DRG,2422,MAJOR ESOPHAGEAL DISORDERS ,,,3570.13,4530.63,18
APR-DRG,2422,MAJOR ESOPHAGEAL DISORDERS Age 21+,,,3805.73,3805.73,4
APR-DRG,2422,MAJOR ESOPHAGEAL DISORDERS Age Under 21,,,4059.44,4059.44,4
APR-DRG,2423,MAJOR ESOPHAGEAL DISORDERS ,,,5721.54,7260.84,18
APR-DRG,2423,MAJOR ESOPHAGEAL DISORDERS Age 21+,,,6099.1,6099.1,4
APR-DRG,2423,MAJOR ESOPHAGEAL DISORDERS Age Under 21,,,6505.71,6505.71,4
APR-DRG,2424,MAJOR ESOPHAGEAL DISORDERS ,,,13211.31,16765.63,18
APR-DRG,2424,MAJOR ESOPHAGEAL DISORDERS Age 21+,,,14083.13,14083.13,4
APR-DRG,2424,MAJOR ESOPHAGEAL DISORDERS Age Under 21,,,15022.0,15022.0,4
APR-DRG,2431,OTHER ESOPHAGEAL DISORDERS ,,,2311.64,2933.55,18
APR-DRG,2431,OTHER ESOPHAGEAL DISORDERS Age 21+,,,2464.18,2464.18,4
APR-DRG,2431,OTHER ESOPHAGEAL DISORDERS Age Under 21,,,2628.46,2628.46,4
APR-DRG,2432,OTHER ESOPHAGEAL DISORDERS ,,,3496.33,4436.96,18
APR-DRG,2432,OTHER ESOPHAGEAL DISORDERS Age 21+,,,3727.05,3727.05,4
APR-DRG,2432,OTHER ESOPHAGEAL DISORDERS Age Under 21,,,3975.52,3975.52,4
APR-DRG,2433,OTHER ESOPHAGEAL DISORDERS ,,,5435.88,6898.32,18
APR-DRG,2433,OTHER ESOPHAGEAL DISORDERS Age 21+,,,5794.59,5794.59,4
APR-DRG,2433,OTHER ESOPHAGEAL DISORDERS Age Under 21,,,6180.9,6180.9,4
APR-DRG,2434,OTHER ESOPHAGEAL DISORDERS ,,,10975.01,13927.67,18
APR-DRG,2434,OTHER ESOPHAGEAL DISORDERS Age 21+,,,11699.25,11699.25,4
APR-DRG,2434,OTHER ESOPHAGEAL DISORDERS Age Under 21,,,12479.2,12479.2,4
APR-DRG,2441,DIVERTICULITIS AND DIVERTICULOSIS ,,,2724.25,3457.17,18
APR-DRG,2441,DIVERTICULITIS AND DIVERTICULOSIS Age 21+,,,2904.03,2904.03,4
APR-DRG,2441,DIVERTICULITIS AND DIVERTICULOSIS Age Under 21,,,3097.63,3097.63,4
APR-DRG,2442,DIVERTICULITIS AND DIVERTICULOSIS ,,,3437.43,4362.23,18
APR-DRG,2442,DIVERTICULITIS AND DIVERTICULOSIS Age 21+,,,3664.27,3664.27,4
APR-DRG,2442,DIVERTICULITIS AND DIVERTICULOSIS Age Under 21,,,3908.55,3908.55,4
APR-DRG,2443,DIVERTICULITIS AND DIVERTICULOSIS ,,,4590.39,5825.36,18
APR-DRG,2443,DIVERTICULITIS AND DIVERTICULOSIS Age 21+,,,4893.3,4893.3,4
APR-DRG,2443,DIVERTICULITIS AND DIVERTICULOSIS Age Under 21,,,5219.52,5219.52,4
APR-DRG,2444,DIVERTICULITIS AND DIVERTICULOSIS ,,,15262.15,19368.21,18
APR-DRG,2444,DIVERTICULITIS AND DIVERTICULOSIS Age 21+,,,16269.3,16269.3,4
APR-DRG,2444,DIVERTICULITIS AND DIVERTICULOSIS Age Under 21,,,17353.92,17353.92,4
APR-DRG,2451,INFLAMMATORY BOWEL DISEASE ,,,3379.31,4288.46,18
APR-DRG,2451,INFLAMMATORY BOWEL DISEASE Age 21+,,,3602.31,3602.31,4
APR-DRG,2451,INFLAMMATORY BOWEL DISEASE Age Under 21,,,3842.46,3842.46,4
APR-DRG,2452,INFLAMMATORY BOWEL DISEASE ,,,4763.23,6044.71,18
APR-DRG,2452,INFLAMMATORY BOWEL DISEASE Age 21+,,,5077.56,5077.56,4
APR-DRG,2452,INFLAMMATORY BOWEL DISEASE Age Under 21,,,5416.06,5416.06,4
APR-DRG,2453,INFLAMMATORY BOWEL DISEASE ,,,6632.43,8416.79,18
APR-DRG,2453,INFLAMMATORY BOWEL DISEASE Age 21+,,,7070.1,7070.1,4
APR-DRG,2453,INFLAMMATORY BOWEL DISEASE Age Under 21,,,7541.44,7541.44,4
APR-DRG,2454,INFLAMMATORY BOWEL DISEASE ,,,21827.65,27700.06,18
APR-DRG,2454,INFLAMMATORY BOWEL DISEASE Age 21+,,,23268.05,23268.05,4
APR-DRG,2454,INFLAMMATORY BOWEL DISEASE Age Under 21,,,24819.26,24819.26,4
APR-DRG,2461,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,5957.86,7560.74,18
APR-DRG,2461,GASTROINTESTINAL VASCULAR INSUFFICIENCY Age 21+,,,6351.02,6351.02,4
APR-DRG,2461,GASTROINTESTINAL VASCULAR INSUFFICIENCY Age Under 21,,,6774.42,6774.42,4
APR-DRG,2462,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,6685.96,8484.73,18
APR-DRG,2462,GASTROINTESTINAL VASCULAR INSUFFICIENCY Age 21+,,,7127.17,7127.17,4
APR-DRG,2462,GASTROINTESTINAL VASCULAR INSUFFICIENCY Age Under 21,,,7602.31,7602.31,4
APR-DRG,2463,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,7413.68,9408.23,18
APR-DRG,2463,GASTROINTESTINAL VASCULAR INSUFFICIENCY Age 21+,,,7902.91,7902.91,4
APR-DRG,2463,GASTROINTESTINAL VASCULAR INSUFFICIENCY Age Under 21,,,8429.77,8429.77,4
APR-DRG,2464,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,80353.15,101971.0,18
APR-DRG,2464,GASTROINTESTINAL VASCULAR INSUFFICIENCY Age 21+,,,85655.64,85655.64,4
APR-DRG,2464,GASTROINTESTINAL VASCULAR INSUFFICIENCY Age Under 21,,,91366.02,91366.02,4
APR-DRG,2471,INTESTINAL OBSTRUCTION ,,,2121.2,2691.88,18
APR-DRG,2471,INTESTINAL OBSTRUCTION Age 21+,,,2261.18,2261.18,4
APR-DRG,2471,INTESTINAL OBSTRUCTION Age Under 21,,,2411.92,2411.92,4
APR-DRG,2472,INTESTINAL OBSTRUCTION ,,,2974.73,3775.04,18
APR-DRG,2472,INTESTINAL OBSTRUCTION Age 21+,,,3171.03,3171.03,4
APR-DRG,2472,INTESTINAL OBSTRUCTION Age Under 21,,,3382.43,3382.43,4
APR-DRG,2473,INTESTINAL OBSTRUCTION ,,,4824.41,6122.35,18
APR-DRG,2473,INTESTINAL OBSTRUCTION Age 21+,,,5142.77,5142.77,4
APR-DRG,2473,INTESTINAL OBSTRUCTION Age Under 21,,,5485.63,5485.63,4
APR-DRG,2474,INTESTINAL OBSTRUCTION ,,,10356.28,13142.49,18
APR-DRG,2474,INTESTINAL OBSTRUCTION Age 21+,,,11039.69,11039.69,4
APR-DRG,2474,INTESTINAL OBSTRUCTION Age Under 21,,,11775.67,11775.67,4
APR-DRG,2481,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS ,,,1702.85,2160.97,18
APR-DRG,2481,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Age 21+,,,1815.22,1815.22,4
APR-DRG,2481,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Age Under 21,,,1936.23,1936.23,4
APR-DRG,2482,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS ,,,3705.89,4702.9,18
APR-DRG,2482,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Age 21+,,,3950.44,3950.44,4
APR-DRG,2482,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Age Under 21,,,4213.8,4213.8,4
APR-DRG,2483,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS ,,,5246.59,6658.11,18
APR-DRG,2483,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Age 21+,,,5592.81,5592.81,4
APR-DRG,2483,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Age Under 21,,,5965.67,5965.67,4
APR-DRG,2484,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS ,,,17516.81,22229.45,18
APR-DRG,2484,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Age 21+,,,18672.74,18672.74,4
APR-DRG,2484,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Age Under 21,,,19917.59,19917.59,4
APR-DRG,2491,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING ",,,1585.45,2011.99,18
APR-DRG,2491,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Age 21+",,,1690.07,1690.07,4
APR-DRG,2491,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Age Under 21",,,1802.74,1802.74,4
APR-DRG,2492,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING ",,,2486.78,3155.81,18
APR-DRG,2492,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Age 21+",,,2650.88,2650.88,4
APR-DRG,2492,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Age Under 21",,,2827.61,2827.61,4
APR-DRG,2493,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING ",,,4270.69,5419.66,18
APR-DRG,2493,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Age 21+",,,4552.52,4552.52,4
APR-DRG,2493,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Age Under 21",,,4856.02,4856.02,4
APR-DRG,2494,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING ",,,12772.69,16209.0,18
APR-DRG,2494,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Age 21+",,,13615.56,13615.56,4
APR-DRG,2494,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Age Under 21",,,14523.26,14523.26,4
APR-DRG,2511,ABDOMINAL PAIN ,,,2172.82,2757.39,18
APR-DRG,2511,ABDOMINAL PAIN Age 21+,,,2316.21,2316.21,4
APR-DRG,2511,ABDOMINAL PAIN Age Under 21,,,2470.62,2470.62,4
APR-DRG,2512,ABDOMINAL PAIN ,,,3126.92,3968.18,18
APR-DRG,2512,ABDOMINAL PAIN Age 21+,,,3333.27,3333.27,4
APR-DRG,2512,ABDOMINAL PAIN Age Under 21,,,3555.48,3555.48,4
APR-DRG,2513,ABDOMINAL PAIN ,,,4250.81,5394.43,18
APR-DRG,2513,ABDOMINAL PAIN Age 21+,,,4531.32,4531.32,4
APR-DRG,2513,ABDOMINAL PAIN Age Under 21,,,4833.4,4833.4,4
APR-DRG,2514,ABDOMINAL PAIN ,,,8881.73,11271.22,18
APR-DRG,2514,ABDOMINAL PAIN Age 21+,,,9467.83,9467.83,4
APR-DRG,2514,ABDOMINAL PAIN Age Under 21,,,10099.02,10099.02,4
APR-DRG,2521,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE ",,,3007.22,3816.28,18
APR-DRG,2521,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Age 21+",,,3205.67,3205.67,4
APR-DRG,2521,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Age Under 21",,,3419.38,3419.38,4
APR-DRG,2522,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE ",,,3541.83,4494.71,18
APR-DRG,2522,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Age 21+",,,3775.56,3775.56,4
APR-DRG,2522,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Age Under 21",,,4027.26,4027.26,4
APR-DRG,2523,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE ",,,5225.56,6631.43,18
APR-DRG,2523,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Age 21+",,,5570.4,5570.4,4
APR-DRG,2523,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Age Under 21",,,5941.76,5941.76,4
APR-DRG,2524,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE ",,,18325.59,23255.83,18
APR-DRG,2524,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Age 21+",,,19534.89,19534.89,4
APR-DRG,2524,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Age Under 21",,,20837.22,20837.22,4
APR-DRG,2531,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ,,,2638.59,3348.46,18
APR-DRG,2531,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Age 21+,,,2812.71,2812.71,4
APR-DRG,2531,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Age Under 21,,,3000.22,3000.22,4
APR-DRG,2532,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ,,,3583.13,4547.13,18
APR-DRG,2532,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Age 21+,,,3819.59,3819.59,4
APR-DRG,2532,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Age Under 21,,,4074.22,4074.22,4
APR-DRG,2533,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ,,,4910.84,6232.02,18
APR-DRG,2533,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Age 21+,,,5234.9,5234.9,4
APR-DRG,2533,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Age Under 21,,,5583.89,5583.89,4
APR-DRG,2534,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ,,,8320.35,10558.82,18
APR-DRG,2534,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Age 21+,,,8869.41,8869.41,4
APR-DRG,2534,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Age Under 21,,,9460.71,9460.71,4
APR-DRG,2541,OTHER DIGESTIVE SYSTEM DIAGNOSES ,,,2464.98,3128.15,18
APR-DRG,2541,OTHER DIGESTIVE SYSTEM DIAGNOSES Age 21+,,,2627.65,2627.65,4
APR-DRG,2541,OTHER DIGESTIVE SYSTEM DIAGNOSES Age Under 21,,,2802.82,2802.82,4
APR-DRG,2542,OTHER DIGESTIVE SYSTEM DIAGNOSES ,,,4090.58,5191.09,18
APR-DRG,2542,OTHER DIGESTIVE SYSTEM DIAGNOSES Age 21+,,,4360.51,4360.51,4
APR-DRG,2542,OTHER DIGESTIVE SYSTEM DIAGNOSES Age Under 21,,,4651.21,4651.21,4
APR-DRG,2543,OTHER DIGESTIVE SYSTEM DIAGNOSES ,,,6659.19,8450.75,18
APR-DRG,2543,OTHER DIGESTIVE SYSTEM DIAGNOSES Age 21+,,,7098.63,7098.63,4
APR-DRG,2543,OTHER DIGESTIVE SYSTEM DIAGNOSES Age Under 21,,,7571.87,7571.87,4
APR-DRG,2544,OTHER DIGESTIVE SYSTEM DIAGNOSES ,,,14717.99,18677.65,18
APR-DRG,2544,OTHER DIGESTIVE SYSTEM DIAGNOSES Age 21+,,,15689.23,15689.23,4
APR-DRG,2544,OTHER DIGESTIVE SYSTEM DIAGNOSES Age Under 21,,,16735.17,16735.17,4
APR-DRG,2601,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES ",,,10203.7,12948.86,18
APR-DRG,2601,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Age 21+",,,10877.04,10877.04,4
APR-DRG,2601,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Age Under 21",,,11602.18,11602.18,4
APR-DRG,2602,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES ",,,11118.8,14110.15,18
APR-DRG,2602,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Age 21+",,,11852.53,11852.53,4
APR-DRG,2602,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Age Under 21",,,12642.69,12642.69,4
APR-DRG,2603,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES ",,,16680.11,21167.65,18
APR-DRG,2603,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Age 21+",,,17780.83,17780.83,4
APR-DRG,2603,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Age Under 21",,,18966.21,18966.21,4
APR-DRG,2604,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES ",,,36320.02,46091.4,18
APR-DRG,2604,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Age 21+",,,38716.78,38716.78,4
APR-DRG,2604,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Age Under 21",,,41297.89,41297.89,4
APR-DRG,2611,MAJOR BILIARY TRACT PROCEDURES ,,,7162.05,9088.9,18
APR-DRG,2611,MAJOR BILIARY TRACT PROCEDURES Age 21+,,,7634.68,7634.68,4
APR-DRG,2611,MAJOR BILIARY TRACT PROCEDURES Age Under 21,,,8143.65,8143.65,4
APR-DRG,2612,MAJOR BILIARY TRACT PROCEDURES ,,,10457.62,13271.09,18
APR-DRG,2612,MAJOR BILIARY TRACT PROCEDURES Age 21+,,,11147.71,11147.71,4
APR-DRG,2612,MAJOR BILIARY TRACT PROCEDURES Age Under 21,,,11890.89,11890.89,4
APR-DRG,2613,MAJOR BILIARY TRACT PROCEDURES ,,,21089.23,26762.99,18
APR-DRG,2613,MAJOR BILIARY TRACT PROCEDURES Age 21+,,,22480.91,22480.91,4
APR-DRG,2613,MAJOR BILIARY TRACT PROCEDURES Age Under 21,,,23979.64,23979.64,4
APR-DRG,2614,MAJOR BILIARY TRACT PROCEDURES ,,,31905.16,40488.79,18
APR-DRG,2614,MAJOR BILIARY TRACT PROCEDURES Age 21+,,,34010.58,34010.58,4
APR-DRG,2614,MAJOR BILIARY TRACT PROCEDURES Age Under 21,,,36277.95,36277.95,4
APR-DRG,2631,CHOLECYSTECTOMY ,,,4827.86,6126.73,18
APR-DRG,2631,CHOLECYSTECTOMY Age 21+,,,5146.45,5146.45,4
APR-DRG,2631,CHOLECYSTECTOMY Age Under 21,,,5489.55,5489.55,4
APR-DRG,2632,CHOLECYSTECTOMY ,,,5994.96,7607.81,18
APR-DRG,2632,CHOLECYSTECTOMY Age 21+,,,6390.56,6390.56,4
APR-DRG,2632,CHOLECYSTECTOMY Age Under 21,,,6816.6,6816.6,4
APR-DRG,2633,CHOLECYSTECTOMY ,,,7643.5,9699.88,18
APR-DRG,2633,CHOLECYSTECTOMY Age 21+,,,8147.89,8147.89,4
APR-DRG,2633,CHOLECYSTECTOMY Age Under 21,,,8691.09,8691.09,4
APR-DRG,2634,CHOLECYSTECTOMY ,,,21122.11,26804.71,18
APR-DRG,2634,CHOLECYSTECTOMY Age 21+,,,22515.96,22515.96,4
APR-DRG,2634,CHOLECYSTECTOMY Age Under 21,,,24017.02,24017.02,4
APR-DRG,2641,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES ",,,9123.03,11577.45,18
APR-DRG,2641,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Age 21+",,,9725.06,9725.06,4
APR-DRG,2641,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Age Under 21",,,10373.4,10373.4,4
APR-DRG,2642,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES ",,,11656.46,14792.46,18
APR-DRG,2642,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Age 21+",,,12425.67,12425.67,4
APR-DRG,2642,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Age Under 21",,,13254.05,13254.05,4
APR-DRG,2643,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES ",,,14189.51,18006.99,18
APR-DRG,2643,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Age 21+",,,15125.87,15125.87,4
APR-DRG,2643,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Age Under 21",,,16134.26,16134.26,4
APR-DRG,2644,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES ",,,27032.94,34305.76,18
APR-DRG,2644,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Age 21+",,,28816.84,28816.84,4
APR-DRG,2644,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Age Under 21",,,30737.96,30737.96,4
APR-DRG,2791,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS ,,,2279.13,2892.3,18
APR-DRG,2791,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Age 21+,,,2429.53,2429.53,4
APR-DRG,2791,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Age Under 21,,,2591.5,2591.5,4
APR-DRG,2792,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS ,,,3415.25,4334.08,18
APR-DRG,2792,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Age 21+,,,3640.62,3640.62,4
APR-DRG,2792,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Age Under 21,,,3883.33,3883.33,4
APR-DRG,2793,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS ,,,4660.74,5914.65,18
APR-DRG,2793,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Age 21+,,,4968.31,4968.31,4
APR-DRG,2793,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Age Under 21,,,5299.53,5299.53,4
APR-DRG,2794,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS ,,,13591.81,17248.49,18
APR-DRG,2794,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Age 21+,,,14488.73,14488.73,4
APR-DRG,2794,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Age Under 21,,,15454.64,15454.64,4
APR-DRG,2801,ALCOHOLIC LIVER DISEASE ,,,2367.47,3004.4,18
APR-DRG,2801,ALCOHOLIC LIVER DISEASE Age 21+,,,2523.7,2523.7,4
APR-DRG,2801,ALCOHOLIC LIVER DISEASE Age Under 21,,,2691.94,2691.94,4
APR-DRG,2802,ALCOHOLIC LIVER DISEASE ,,,3135.72,3979.34,18
APR-DRG,2802,ALCOHOLIC LIVER DISEASE Age 21+,,,3342.64,3342.64,4
APR-DRG,2802,ALCOHOLIC LIVER DISEASE Age Under 21,,,3565.49,3565.49,4
APR-DRG,2803,ALCOHOLIC LIVER DISEASE ,,,4884.46,6198.55,18
APR-DRG,2803,ALCOHOLIC LIVER DISEASE Age 21+,,,5206.78,5206.78,4
APR-DRG,2803,ALCOHOLIC LIVER DISEASE Age Under 21,,,5553.9,5553.9,4
APR-DRG,2804,ALCOHOLIC LIVER DISEASE ,,,12434.65,15780.01,18
APR-DRG,2804,ALCOHOLIC LIVER DISEASE Age 21+,,,13255.21,13255.21,4
APR-DRG,2804,ALCOHOLIC LIVER DISEASE Age Under 21,,,14138.89,14138.89,4
APR-DRG,2811,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,3913.53,4966.41,18
APR-DRG,2811,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Age 21+,,,4171.79,4171.79,4
APR-DRG,2811,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Age Under 21,,,4449.91,4449.91,4
APR-DRG,2812,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,4440.1,5634.65,18
APR-DRG,2812,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Age 21+,,,4733.11,4733.11,4
APR-DRG,2812,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Age Under 21,,,5048.65,5048.65,4
APR-DRG,2813,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,5865.7,7443.79,18
APR-DRG,2813,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Age 21+,,,6252.78,6252.78,4
APR-DRG,2813,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Age Under 21,,,6669.63,6669.63,4
APR-DRG,2814,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,8787.27,11151.36,18
APR-DRG,2814,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Age 21+,,,9367.14,9367.14,4
APR-DRG,2814,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Age Under 21,,,9991.62,9991.62,4
APR-DRG,2821,DISORDERS OF PANCREAS EXCEPT MALIGNANCY ,,,2569.76,3261.11,18
APR-DRG,2821,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Age 21+,,,2739.33,2739.33,4
APR-DRG,2821,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Age Under 21,,,2921.96,2921.96,4
APR-DRG,2822,DISORDERS OF PANCREAS EXCEPT MALIGNANCY ,,,3549.48,4504.41,18
APR-DRG,2822,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Age 21+,,,3783.71,3783.71,4
APR-DRG,2822,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Age Under 21,,,4035.95,4035.95,4
APR-DRG,2823,DISORDERS OF PANCREAS EXCEPT MALIGNANCY ,,,6008.73,7625.29,18
APR-DRG,2823,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Age 21+,,,6405.24,6405.24,4
APR-DRG,2823,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Age Under 21,,,6832.26,6832.26,4
APR-DRG,2824,DISORDERS OF PANCREAS EXCEPT MALIGNANCY ,,,21249.45,26966.31,18
APR-DRG,2824,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Age 21+,,,22651.7,22651.7,4
APR-DRG,2824,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Age Under 21,,,24161.82,24161.82,4
APR-DRG,2831,OTHER DISORDERS OF THE LIVER ,,,2396.15,3040.8,18
APR-DRG,2831,OTHER DISORDERS OF THE LIVER Age 21+,,,2554.27,2554.27,4
APR-DRG,2831,OTHER DISORDERS OF THE LIVER Age Under 21,,,2724.56,2724.56,4
APR-DRG,2832,OTHER DISORDERS OF THE LIVER ,,,3406.46,4322.93,18
APR-DRG,2832,OTHER DISORDERS OF THE LIVER Age 21+,,,3631.26,3631.26,4
APR-DRG,2832,OTHER DISORDERS OF THE LIVER Age Under 21,,,3873.34,3873.34,4
APR-DRG,2833,OTHER DISORDERS OF THE LIVER ,,,4560.56,5787.51,18
APR-DRG,2833,OTHER DISORDERS OF THE LIVER Age 21+,,,4861.51,4861.51,4
APR-DRG,2833,OTHER DISORDERS OF THE LIVER Age Under 21,,,5185.61,5185.61,4
APR-DRG,2834,OTHER DISORDERS OF THE LIVER ,,,18692.32,23721.21,18
APR-DRG,2834,OTHER DISORDERS OF THE LIVER Age 21+,,,19925.82,19925.82,4
APR-DRG,2834,OTHER DISORDERS OF THE LIVER Age Under 21,,,21254.21,21254.21,4
APR-DRG,2841,DISORDERS OF GALLBLADDER AND BILIARY TRACT ,,,3244.32,4117.16,18
APR-DRG,2841,DISORDERS OF GALLBLADDER AND BILIARY TRACT Age 21+,,,3458.42,3458.42,4
APR-DRG,2841,DISORDERS OF GALLBLADDER AND BILIARY TRACT Age Under 21,,,3688.98,3688.98,4
APR-DRG,2842,DISORDERS OF GALLBLADDER AND BILIARY TRACT ,,,4308.17,5467.22,18
APR-DRG,2842,DISORDERS OF GALLBLADDER AND BILIARY TRACT Age 21+,,,4592.47,4592.47,4
APR-DRG,2842,DISORDERS OF GALLBLADDER AND BILIARY TRACT Age Under 21,,,4898.63,4898.63,4
APR-DRG,2843,DISORDERS OF GALLBLADDER AND BILIARY TRACT ,,,6461.49,8199.86,18
APR-DRG,2843,DISORDERS OF GALLBLADDER AND BILIARY TRACT Age 21+,,,6887.88,6887.88,4
APR-DRG,2843,DISORDERS OF GALLBLADDER AND BILIARY TRACT Age Under 21,,,7347.08,7347.08,4
APR-DRG,2844,DISORDERS OF GALLBLADDER AND BILIARY TRACT ,,,12158.94,15430.13,18
APR-DRG,2844,DISORDERS OF GALLBLADDER AND BILIARY TRACT Age 21+,,,12961.31,12961.31,4
APR-DRG,2844,DISORDERS OF GALLBLADDER AND BILIARY TRACT Age Under 21,,,13825.39,13825.39,4
APR-DRG,3031,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK ,,,23058.23,29261.71,18
APR-DRG,3031,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Age 21+,,,24579.84,24579.84,4
APR-DRG,3031,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Age Under 21,,,26218.49,26218.49,4
APR-DRG,3032,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK ,,,31300.58,39721.55,18
APR-DRG,3032,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Age 21+,,,33366.1,33366.1,4
APR-DRG,3032,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Age Under 21,,,35590.51,35590.51,4
APR-DRG,3033,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK ,,,43140.59,54746.94,18
APR-DRG,3033,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Age 21+,,,45987.43,45987.43,4
APR-DRG,3033,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Age Under 21,,,49053.26,49053.26,4
APR-DRG,3034,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK ,,,50995.94,64715.66,18
APR-DRG,3034,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Age 21+,,,54361.16,54361.16,4
APR-DRG,3034,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Age Under 21,,,57985.23,57985.23,4
APR-DRG,3041,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK ,,,13509.59,17144.15,18
APR-DRG,3041,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Age 21+,,,14401.09,14401.09,4
APR-DRG,3041,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Age Under 21,,,15361.16,15361.16,4
APR-DRG,3042,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK ,,,16300.0,20685.28,18
APR-DRG,3042,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Age 21+,,,17375.63,17375.63,4
APR-DRG,3042,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Age Under 21,,,18534.01,18534.01,4
APR-DRG,3043,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK ,,,26527.03,33663.74,18
APR-DRG,3043,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Age 21+,,,28277.54,28277.54,4
APR-DRG,3043,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Age Under 21,,,30162.71,30162.71,4
APR-DRG,3044,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK ,,,42364.69,53762.3,18
APR-DRG,3044,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Age 21+,,,45160.33,45160.33,4
APR-DRG,3044,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Age Under 21,,,48171.02,48171.02,4
APR-DRG,3051,AMPUTATION OF LOWER LIMB EXCEPT TOES ,,,5737.6,7281.21,18
APR-DRG,3051,AMPUTATION OF LOWER LIMB EXCEPT TOES Age 21+,,,6116.22,6116.22,4
APR-DRG,3051,AMPUTATION OF LOWER LIMB EXCEPT TOES Age Under 21,,,6523.97,6523.97,4
APR-DRG,3052,AMPUTATION OF LOWER LIMB EXCEPT TOES ,,,7493.6,9509.65,18
APR-DRG,3052,AMPUTATION OF LOWER LIMB EXCEPT TOES Age 21+,,,7988.11,7988.11,4
APR-DRG,3052,AMPUTATION OF LOWER LIMB EXCEPT TOES Age Under 21,,,8520.65,8520.65,4
APR-DRG,3053,AMPUTATION OF LOWER LIMB EXCEPT TOES ,,,11625.87,14753.64,18
APR-DRG,3053,AMPUTATION OF LOWER LIMB EXCEPT TOES Age 21+,,,12393.06,12393.06,4
APR-DRG,3053,AMPUTATION OF LOWER LIMB EXCEPT TOES Age Under 21,,,13219.26,13219.26,4
APR-DRG,3054,AMPUTATION OF LOWER LIMB EXCEPT TOES ,,,20863.99,26477.15,18
APR-DRG,3054,AMPUTATION OF LOWER LIMB EXCEPT TOES Age 21+,,,22240.81,22240.81,4
APR-DRG,3054,AMPUTATION OF LOWER LIMB EXCEPT TOES Age Under 21,,,23723.53,23723.53,4
APR-DRG,3081,HIP AND FEMUR FRACTURE REPAIR ,,,6257.28,7940.71,18
APR-DRG,3081,HIP AND FEMUR FRACTURE REPAIR Age 21+,,,6670.2,6670.2,4
APR-DRG,3081,HIP AND FEMUR FRACTURE REPAIR Age Under 21,,,7114.88,7114.88,4
APR-DRG,3082,HIP AND FEMUR FRACTURE REPAIR ,,,7757.46,9844.49,18
APR-DRG,3082,HIP AND FEMUR FRACTURE REPAIR Age 21+,,,8269.37,8269.37,4
APR-DRG,3082,HIP AND FEMUR FRACTURE REPAIR Age Under 21,,,8820.66,8820.66,4
APR-DRG,3083,HIP AND FEMUR FRACTURE REPAIR ,,,10966.21,13916.51,18
APR-DRG,3083,HIP AND FEMUR FRACTURE REPAIR Age 21+,,,11689.87,11689.87,4
APR-DRG,3083,HIP AND FEMUR FRACTURE REPAIR Age Under 21,,,12469.2,12469.2,4
APR-DRG,3084,HIP AND FEMUR FRACTURE REPAIR ,,,22924.77,29092.35,18
APR-DRG,3084,HIP AND FEMUR FRACTURE REPAIR Age 21+,,,24437.57,24437.57,4
APR-DRG,3084,HIP AND FEMUR FRACTURE REPAIR Age Under 21,,,26066.75,26066.75,4
APR-DRG,3091,OTHER SIGNIFICANT HIP AND FEMUR SURGERY ,,,7388.44,9376.19,18
APR-DRG,3091,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Age 21+,,,7876.0,7876.0,4
APR-DRG,3091,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Age Under 21,,,8401.06,8401.06,4
APR-DRG,3092,OTHER SIGNIFICANT HIP AND FEMUR SURGERY ,,,10402.93,13201.69,18
APR-DRG,3092,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Age 21+,,,11089.42,11089.42,4
APR-DRG,3092,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Age Under 21,,,11828.71,11828.71,4
APR-DRG,3093,OTHER SIGNIFICANT HIP AND FEMUR SURGERY ,,,14657.18,18600.49,18
APR-DRG,3093,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Age 21+,,,15624.41,15624.41,4
APR-DRG,3093,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Age Under 21,,,16666.04,16666.04,4
APR-DRG,3094,OTHER SIGNIFICANT HIP AND FEMUR SURGERY ,,,19351.59,24557.85,18
APR-DRG,3094,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Age 21+,,,20628.59,20628.59,4
APR-DRG,3094,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Age Under 21,,,22003.83,22003.83,4
APR-DRG,3101,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES ,,,5759.39,7308.88,18
APR-DRG,3101,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Age 21+,,,6139.46,6139.46,4
APR-DRG,3101,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Age Under 21,,,6548.75,6548.75,4
APR-DRG,3102,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES ,,,9061.84,11499.8,18
APR-DRG,3102,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Age 21+,,,9659.83,9659.83,4
APR-DRG,3102,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Age Under 21,,,10303.82,10303.82,4
APR-DRG,3103,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES ,,,13870.2,17601.78,18
APR-DRG,3103,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Age 21+,,,14785.49,14785.49,4
APR-DRG,3103,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Age Under 21,,,15771.19,15771.19,4
APR-DRG,3104,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES ,,,26245.96,33307.05,18
APR-DRG,3104,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Age 21+,,,27977.92,27977.92,4
APR-DRG,3104,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Age Under 21,,,29843.12,29843.12,4
APR-DRG,3121,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES ,,,6287.12,7978.57,18
APR-DRG,3121,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Age 21+,,,6702.0,6702.0,4
APR-DRG,3121,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Age Under 21,,,7148.8,7148.8,4
APR-DRG,3122,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES ,,,9478.28,12028.28,18
APR-DRG,3122,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Age 21+,,,10103.75,10103.75,4
APR-DRG,3122,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Age Under 21,,,10777.33,10777.33,4
APR-DRG,3123,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES ,,,14675.92,18624.26,18
APR-DRG,3123,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Age 21+,,,15644.38,15644.38,4
APR-DRG,3123,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Age Under 21,,,16687.34,16687.34,4
APR-DRG,3124,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES ,,,27522.8,34927.41,18
APR-DRG,3124,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Age 21+,,,29339.03,29339.03,4
APR-DRG,3124,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Age Under 21,,,31294.96,31294.96,4
APR-DRG,3131,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT ,,,6367.04,8080.0,18
APR-DRG,3131,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Age 21+,,,6787.2,6787.2,4
APR-DRG,3131,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Age Under 21,,,7239.68,7239.68,4
APR-DRG,3132,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT ,,,8723.03,11069.84,18
APR-DRG,3132,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Age 21+,,,9298.66,9298.66,4
APR-DRG,3132,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Age Under 21,,,9918.57,9918.57,4
APR-DRG,3133,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT ,,,14540.55,18452.47,18
APR-DRG,3133,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Age 21+,,,15500.08,15500.08,4
APR-DRG,3133,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Age Under 21,,,16533.42,16533.42,4
APR-DRG,3134,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT ,,,25120.92,31879.34,18
APR-DRG,3134,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Age 21+,,,26778.64,26778.64,4
APR-DRG,3134,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Age Under 21,,,28563.89,28563.89,4
APR-DRG,3141,FOOT AND TOE PROCEDURES ,,,5134.16,6515.44,18
APR-DRG,3141,FOOT AND TOE PROCEDURES Age 21+,,,5472.97,5472.97,4
APR-DRG,3141,FOOT AND TOE PROCEDURES Age Under 21,,,5837.83,5837.83,4
APR-DRG,3142,FOOT AND TOE PROCEDURES ,,,6240.84,7919.85,18
APR-DRG,3142,FOOT AND TOE PROCEDURES Age 21+,,,6652.67,6652.67,4
APR-DRG,3142,FOOT AND TOE PROCEDURES Age Under 21,,,7096.19,7096.19,4
APR-DRG,3143,FOOT AND TOE PROCEDURES ,,,8126.86,10313.28,18
APR-DRG,3143,FOOT AND TOE PROCEDURES Age 21+,,,8663.15,8663.15,4
APR-DRG,3143,FOOT AND TOE PROCEDURES Age Under 21,,,9240.69,9240.69,4
APR-DRG,3144,FOOT AND TOE PROCEDURES ,,,14573.44,18494.21,18
APR-DRG,3144,FOOT AND TOE PROCEDURES Age 21+,,,15535.14,15535.14,4
APR-DRG,3144,FOOT AND TOE PROCEDURES Age Under 21,,,16570.81,16570.81,4
APR-DRG,3151,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT ",,,4187.71,5314.35,18
APR-DRG,3151,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Age 21+",,,4464.05,4464.05,4
APR-DRG,3151,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Age Under 21",,,4761.66,4761.66,4
APR-DRG,3152,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT ",,,7358.61,9338.34,18
APR-DRG,3152,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Age 21+",,,7844.2,7844.2,4
APR-DRG,3152,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Age Under 21",,,8367.15,8367.15,4
APR-DRG,3153,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT ",,,11544.42,14650.27,18
APR-DRG,3153,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Age 21+",,,12306.23,12306.23,4
APR-DRG,3153,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Age Under 21",,,13126.65,13126.65,4
APR-DRG,3154,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT ",,,38728.02,49147.24,18
APR-DRG,3154,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Age 21+",,,41283.68,41283.68,4
APR-DRG,3154,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Age Under 21",,,44035.92,44035.92,4
APR-DRG,3161,HAND AND WRIST PROCEDURES ,,,4507.78,5720.54,18
APR-DRG,3161,HAND AND WRIST PROCEDURES Age 21+,,,4805.25,4805.25,4
APR-DRG,3161,HAND AND WRIST PROCEDURES Age Under 21,,,5125.6,5125.6,4
APR-DRG,3162,HAND AND WRIST PROCEDURES ,,,6580.8,8351.28,18
APR-DRG,3162,HAND AND WRIST PROCEDURES Age 21+,,,7015.07,7015.07,4
APR-DRG,3162,HAND AND WRIST PROCEDURES Age Under 21,,,7482.74,7482.74,4
APR-DRG,3163,HAND AND WRIST PROCEDURES ,,,7483.66,9497.02,18
APR-DRG,3163,HAND AND WRIST PROCEDURES Age 21+,,,7977.5,7977.5,4
APR-DRG,3163,HAND AND WRIST PROCEDURES Age Under 21,,,8509.33,8509.33,4
APR-DRG,3164,HAND AND WRIST PROCEDURES ,,,20387.52,25872.49,18
APR-DRG,3164,HAND AND WRIST PROCEDURES Age 21+,,,21732.89,21732.89,4
APR-DRG,3164,HAND AND WRIST PROCEDURES Age Under 21,,,23181.75,23181.75,4
APR-DRG,3171,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES ",,,5924.6,7518.52,18
APR-DRG,3171,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Age 21+",,,6315.56,6315.56,4
APR-DRG,3171,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Age Under 21",,,6736.6,6736.6,4
APR-DRG,3172,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES ",,,6915.03,8775.41,18
APR-DRG,3172,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Age 21+",,,7371.35,7371.35,4
APR-DRG,3172,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Age Under 21",,,7862.77,7862.77,4
APR-DRG,3173,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES ",,,10182.67,12922.17,18
APR-DRG,3173,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Age 21+",,,10854.63,10854.63,4
APR-DRG,3173,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Age Under 21",,,11578.27,11578.27,4
APR-DRG,3174,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES ",,,15814.73,20069.45,18
APR-DRG,3174,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Age 21+",,,16858.34,16858.34,4
APR-DRG,3174,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Age Under 21",,,17982.23,17982.23,4
APR-DRG,3201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES ,,,5947.15,7547.15,18
APR-DRG,3201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Age 21+,,,6339.61,6339.61,4
APR-DRG,3201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Age Under 21,,,6762.25,6762.25,4
APR-DRG,3202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES ,,,7187.3,9120.94,18
APR-DRG,3202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Age 21+,,,7661.59,7661.59,4
APR-DRG,3202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Age Under 21,,,8172.36,8172.36,4
APR-DRG,3203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES ,,,11441.93,14520.21,18
APR-DRG,3203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Age 21+,,,12196.98,12196.98,4
APR-DRG,3203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Age Under 21,,,13010.11,13010.11,4
APR-DRG,3204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES ,,,19799.76,25126.6,18
APR-DRG,3204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Age 21+,,,21106.34,21106.34,4
APR-DRG,3204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Age Under 21,,,22513.43,22513.43,4
APR-DRG,3211,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES ,,,9184.59,11655.57,18
APR-DRG,3211,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Age 21+,,,9790.68,9790.68,4
APR-DRG,3211,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Age Under 21,,,10443.4,10443.4,4
APR-DRG,3212,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES ,,,11628.55,14757.04,18
APR-DRG,3212,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Age 21+,,,12395.91,12395.91,4
APR-DRG,3212,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Age Under 21,,,13222.31,13222.31,4
APR-DRG,3213,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES ,,,15142.07,19215.83,18
APR-DRG,3213,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Age 21+,,,16141.29,16141.29,4
APR-DRG,3213,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Age Under 21,,,17217.38,17217.38,4
APR-DRG,3214,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES ,,,23065.88,29271.42,18
APR-DRG,3214,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Age 21+,,,24588.0,24588.0,4
APR-DRG,3214,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Age Under 21,,,26227.2,26227.2,4
APR-DRG,3221,SHOULDER AND ELBOW JOINT REPLACEMENT ,,,8285.56,10514.67,18
APR-DRG,3221,SHOULDER AND ELBOW JOINT REPLACEMENT Age 21+,,,8832.33,8832.33,4
APR-DRG,3221,SHOULDER AND ELBOW JOINT REPLACEMENT Age Under 21,,,9421.15,9421.15,4
APR-DRG,3222,SHOULDER AND ELBOW JOINT REPLACEMENT ,,,9992.62,12680.99,18
APR-DRG,3222,SHOULDER AND ELBOW JOINT REPLACEMENT Age 21+,,,10652.03,10652.03,4
APR-DRG,3222,SHOULDER AND ELBOW JOINT REPLACEMENT Age Under 21,,,11362.16,11362.16,4
APR-DRG,3223,SHOULDER AND ELBOW JOINT REPLACEMENT ,,,13448.02,17066.01,18
APR-DRG,3223,SHOULDER AND ELBOW JOINT REPLACEMENT Age 21+,,,14335.45,14335.45,4
APR-DRG,3223,SHOULDER AND ELBOW JOINT REPLACEMENT Age Under 21,,,15291.15,15291.15,4
APR-DRG,3224,SHOULDER AND ELBOW JOINT REPLACEMENT ,,,21374.5,27125.0,18
APR-DRG,3224,SHOULDER AND ELBOW JOINT REPLACEMENT Age 21+,,,22785.0,22785.0,4
APR-DRG,3224,SHOULDER AND ELBOW JOINT REPLACEMENT Age Under 21,,,24304.0,24304.0,4
APR-DRG,3231,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT ,,,7692.07,9761.51,18
APR-DRG,3231,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Age 21+,,,8199.67,8199.67,4
APR-DRG,3231,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Age Under 21,,,8746.32,8746.32,4
APR-DRG,3232,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT ,,,9544.43,12112.23,18
APR-DRG,3232,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Age 21+,,,10174.27,10174.27,4
APR-DRG,3232,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Age Under 21,,,10852.55,10852.55,4
APR-DRG,3233,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT ,,,12121.84,15383.05,18
APR-DRG,3233,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Age 21+,,,12921.76,12921.76,4
APR-DRG,3233,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Age Under 21,,,13783.21,13783.21,4
APR-DRG,3234,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT ,,,18743.18,23785.76,18
APR-DRG,3234,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Age 21+,,,19980.04,19980.04,4
APR-DRG,3234,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Age Under 21,,,21312.04,21312.04,4
APR-DRG,3241,ELECTIVE HIP JOINT REPLACEMENT ,,,7381.18,9366.98,18
APR-DRG,3241,ELECTIVE HIP JOINT REPLACEMENT Age 21+,,,7868.26,7868.26,4
APR-DRG,3241,ELECTIVE HIP JOINT REPLACEMENT Age Under 21,,,8392.81,8392.81,4
APR-DRG,3242,ELECTIVE HIP JOINT REPLACEMENT ,,,7758.61,9845.95,18
APR-DRG,3242,ELECTIVE HIP JOINT REPLACEMENT Age 21+,,,8270.6,8270.6,4
APR-DRG,3242,ELECTIVE HIP JOINT REPLACEMENT Age Under 21,,,8821.97,8821.97,4
APR-DRG,3243,ELECTIVE HIP JOINT REPLACEMENT ,,,13428.14,17040.79,18
APR-DRG,3243,ELECTIVE HIP JOINT REPLACEMENT Age 21+,,,14314.26,14314.26,4
APR-DRG,3243,ELECTIVE HIP JOINT REPLACEMENT Age Under 21,,,15268.55,15268.55,4
APR-DRG,3244,ELECTIVE HIP JOINT REPLACEMENT ,,,19246.43,24424.4,18
APR-DRG,3244,ELECTIVE HIP JOINT REPLACEMENT Age 21+,,,20516.5,20516.5,4
APR-DRG,3244,ELECTIVE HIP JOINT REPLACEMENT Age Under 21,,,21884.26,21884.26,4
APR-DRG,3251,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT ,,,10875.97,13801.99,18
APR-DRG,3251,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Age 21+,,,11593.67,11593.67,4
APR-DRG,3251,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Age Under 21,,,12366.58,12366.58,4
APR-DRG,3252,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT ,,,11869.46,15062.76,18
APR-DRG,3252,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Age 21+,,,12652.72,12652.72,4
APR-DRG,3252,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Age Under 21,,,13496.24,13496.24,4
APR-DRG,3253,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT ,,,13805.19,17519.28,18
APR-DRG,3253,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Age 21+,,,14716.19,14716.19,4
APR-DRG,3253,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Age Under 21,,,15697.27,15697.27,4
APR-DRG,3254,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT ,,,23674.29,30043.51,18
APR-DRG,3254,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Age 21+,,,25236.55,25236.55,4
APR-DRG,3254,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Age Under 21,,,26918.99,26918.99,4
APR-DRG,3261,ELECTIVE KNEE JOINT REPLACEMENT ,,,6775.07,8597.8,18
APR-DRG,3261,ELECTIVE KNEE JOINT REPLACEMENT Age 21+,,,7222.15,7222.15,4
APR-DRG,3261,ELECTIVE KNEE JOINT REPLACEMENT Age Under 21,,,7703.63,7703.63,4
APR-DRG,3262,ELECTIVE KNEE JOINT REPLACEMENT ,,,7177.73,9108.8,18
APR-DRG,3262,ELECTIVE KNEE JOINT REPLACEMENT Age 21+,,,7651.39,7651.39,4
APR-DRG,3262,ELECTIVE KNEE JOINT REPLACEMENT Age Under 21,,,8161.48,8161.48,4
APR-DRG,3263,ELECTIVE KNEE JOINT REPLACEMENT ,,,9941.37,12615.95,18
APR-DRG,3263,ELECTIVE KNEE JOINT REPLACEMENT Age 21+,,,10597.4,10597.4,4
APR-DRG,3263,ELECTIVE KNEE JOINT REPLACEMENT Age Under 21,,,11303.89,11303.89,4
APR-DRG,3264,ELECTIVE KNEE JOINT REPLACEMENT ,,,16663.28,21146.3,18
APR-DRG,3264,ELECTIVE KNEE JOINT REPLACEMENT Age 21+,,,17762.89,17762.89,4
APR-DRG,3264,ELECTIVE KNEE JOINT REPLACEMENT Age Under 21,,,18947.08,18947.08,4
APR-DRG,3401,FRACTURE OF FEMUR ,,,1925.41,2443.41,18
APR-DRG,3401,FRACTURE OF FEMUR Age 21+,,,2052.47,2052.47,4
APR-DRG,3401,FRACTURE OF FEMUR Age Under 21,,,2189.3,2189.3,4
APR-DRG,3402,FRACTURE OF FEMUR ,,,3109.71,3946.34,18
APR-DRG,3402,FRACTURE OF FEMUR Age 21+,,,3314.92,3314.92,4
APR-DRG,3402,FRACTURE OF FEMUR Age Under 21,,,3535.92,3535.92,4
APR-DRG,3403,FRACTURE OF FEMUR ,,,5196.5,6594.54,18
APR-DRG,3403,FRACTURE OF FEMUR Age 21+,,,5539.41,5539.41,4
APR-DRG,3403,FRACTURE OF FEMUR Age Under 21,,,5908.71,5908.71,4
APR-DRG,3404,FRACTURE OF FEMUR ,,,11485.91,14576.02,18
APR-DRG,3404,FRACTURE OF FEMUR Age 21+,,,12243.86,12243.86,4
APR-DRG,3404,FRACTURE OF FEMUR Age Under 21,,,13060.12,13060.12,4
APR-DRG,3411,FRACTURE OF PELVIS OR DISLOCATION OF HIP ,,,2602.26,3302.36,18
APR-DRG,3411,FRACTURE OF PELVIS OR DISLOCATION OF HIP Age 21+,,,2773.98,2773.98,4
APR-DRG,3411,FRACTURE OF PELVIS OR DISLOCATION OF HIP Age Under 21,,,2958.92,2958.92,4
APR-DRG,3412,FRACTURE OF PELVIS OR DISLOCATION OF HIP ,,,4022.13,5104.23,18
APR-DRG,3412,FRACTURE OF PELVIS OR DISLOCATION OF HIP Age 21+,,,4287.55,4287.55,4
APR-DRG,3412,FRACTURE OF PELVIS OR DISLOCATION OF HIP Age Under 21,,,4573.39,4573.39,4
APR-DRG,3413,FRACTURE OF PELVIS OR DISLOCATION OF HIP ,,,4770.49,6053.93,18
APR-DRG,3413,FRACTURE OF PELVIS OR DISLOCATION OF HIP Age 21+,,,5085.3,5085.3,4
APR-DRG,3413,FRACTURE OF PELVIS OR DISLOCATION OF HIP Age Under 21,,,5424.32,5424.32,4
APR-DRG,3414,FRACTURE OF PELVIS OR DISLOCATION OF HIP ,,,9651.89,12248.59,18
APR-DRG,3414,FRACTURE OF PELVIS OR DISLOCATION OF HIP Age 21+,,,10288.81,10288.81,4
APR-DRG,3414,FRACTURE OF PELVIS OR DISLOCATION OF HIP Age Under 21,,,10974.73,10974.73,4
APR-DRG,3421,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK ",,,2771.29,3516.86,18
APR-DRG,3421,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Age 21+",,,2954.16,2954.16,4
APR-DRG,3421,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Age Under 21",,,3151.11,3151.11,4
APR-DRG,3422,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK ",,,3042.41,3860.92,18
APR-DRG,3422,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Age 21+",,,3243.18,3243.18,4
APR-DRG,3422,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Age Under 21",,,3459.39,3459.39,4
APR-DRG,3423,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK ",,,6129.94,7779.11,18
APR-DRG,3423,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Age 21+",,,6534.45,6534.45,4
APR-DRG,3423,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Age Under 21",,,6970.08,6970.08,4
APR-DRG,3424,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK ",,,8371.99,10624.35,18
APR-DRG,3424,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Age 21+",,,8924.45,8924.45,4
APR-DRG,3424,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Age Under 21",,,9519.42,9519.42,4
APR-DRG,3431,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI ,,,5533.78,7022.56,18
APR-DRG,3431,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Age 21+,,,5898.95,5898.95,4
APR-DRG,3431,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Age Under 21,,,6292.22,6292.22,4
APR-DRG,3432,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI ,,,6783.85,8608.95,18
APR-DRG,3432,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Age 21+,,,7231.52,7231.52,4
APR-DRG,3432,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Age Under 21,,,7713.62,7713.62,4
APR-DRG,3433,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI ,,,8033.94,10195.35,18
APR-DRG,3433,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Age 21+,,,8564.09,8564.09,4
APR-DRG,3433,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Age Under 21,,,9135.03,9135.03,4
APR-DRG,3434,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI ,,,19815.06,25146.01,18
APR-DRG,3434,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Age 21+,,,21122.65,21122.65,4
APR-DRG,3434,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Age Under 21,,,22530.83,22530.83,4
APR-DRG,3441,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,3583.13,4547.13,18
APR-DRG,3441,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Age 21+",,,3819.59,3819.59,4
APR-DRG,3441,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Age Under 21",,,4074.22,4074.22,4
APR-DRG,3442,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,4526.52,5744.31,18
APR-DRG,3442,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Age 21+",,,4825.22,4825.22,4
APR-DRG,3442,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Age Under 21",,,5146.9,5146.9,4
APR-DRG,3443,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,6310.44,8008.18,18
APR-DRG,3443,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Age 21+",,,6726.87,6726.87,4
APR-DRG,3443,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Age Under 21",,,7175.32,7175.32,4
APR-DRG,3444,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,12081.69,15332.1,18
APR-DRG,3444,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Age 21+",,,12878.96,12878.96,4
APR-DRG,3444,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Age Under 21",,,13737.56,13737.56,4
APR-DRG,3461,CONNECTIVE TISSUE DISORDERS ,,,4243.92,5385.69,18
APR-DRG,3461,CONNECTIVE TISSUE DISORDERS Age 21+,,,4523.98,4523.98,4
APR-DRG,3461,CONNECTIVE TISSUE DISORDERS Age Under 21,,,4825.58,4825.58,4
APR-DRG,3462,CONNECTIVE TISSUE DISORDERS ,,,5596.11,7101.66,18
APR-DRG,3462,CONNECTIVE TISSUE DISORDERS Age 21+,,,5965.4,5965.4,4
APR-DRG,3462,CONNECTIVE TISSUE DISORDERS Age Under 21,,,6363.09,6363.09,4
APR-DRG,3463,CONNECTIVE TISSUE DISORDERS ,,,10965.45,13915.55,18
APR-DRG,3463,CONNECTIVE TISSUE DISORDERS Age 21+,,,11689.06,11689.06,4
APR-DRG,3463,CONNECTIVE TISSUE DISORDERS Age Under 21,,,12468.33,12468.33,4
APR-DRG,3464,CONNECTIVE TISSUE DISORDERS ,,,25675.79,32583.49,18
APR-DRG,3464,CONNECTIVE TISSUE DISORDERS Age 21+,,,27370.13,27370.13,4
APR-DRG,3464,CONNECTIVE TISSUE DISORDERS Age Under 21,,,29194.8,29194.8,4
APR-DRG,3471,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES ",,,3410.67,4328.26,18
APR-DRG,3471,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Age 21+",,,3635.74,3635.74,4
APR-DRG,3471,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Age Under 21",,,3878.12,3878.12,4
APR-DRG,3472,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES ",,,4920.78,6244.65,18
APR-DRG,3472,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Age 21+",,,5245.51,5245.51,4
APR-DRG,3472,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Age Under 21",,,5595.21,5595.21,4
APR-DRG,3473,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES ",,,6264.55,7949.94,18
APR-DRG,3473,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Age 21+",,,6677.95,6677.95,4
APR-DRG,3473,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Age Under 21",,,7123.14,7123.14,4
APR-DRG,3474,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES ",,,14598.68,18526.24,18
APR-DRG,3474,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Age 21+",,,15562.04,15562.04,4
APR-DRG,3474,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Age Under 21",,,16599.51,16599.51,4
APR-DRG,3491,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,2343.76,2974.31,18
APR-DRG,3491,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Age 21+",,,2498.42,2498.42,4
APR-DRG,3491,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Age Under 21",,,2664.98,2664.98,4
APR-DRG,3492,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,4184.27,5309.99,18
APR-DRG,3492,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Age 21+",,,4460.39,4460.39,4
APR-DRG,3492,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Age Under 21",,,4757.75,4757.75,4
APR-DRG,3493,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,5473.74,6946.38,18
APR-DRG,3493,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Age 21+",,,5834.96,5834.96,4
APR-DRG,3493,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Age Under 21",,,6223.95,6223.95,4
APR-DRG,3494,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,11476.34,14563.89,18
APR-DRG,3494,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Age 21+",,,12233.67,12233.67,4
APR-DRG,3494,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Age Under 21",,,13049.24,13049.24,4
APR-DRG,3511,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,3060.77,3884.23,18
APR-DRG,3511,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Age 21+,,,3262.75,3262.75,4
APR-DRG,3511,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Age Under 21,,,3480.27,3480.27,4
APR-DRG,3512,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,3541.83,4494.71,18
APR-DRG,3512,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Age 21+,,,3775.56,3775.56,4
APR-DRG,3512,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Age Under 21,,,4027.26,4027.26,4
APR-DRG,3513,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,6350.97,8059.61,18
APR-DRG,3513,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Age 21+,,,6770.07,6770.07,4
APR-DRG,3513,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Age Under 21,,,7221.41,7221.41,4
APR-DRG,3514,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,18428.84,23386.85,18
APR-DRG,3514,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Age 21+,,,19644.95,19644.95,4
APR-DRG,3514,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Age Under 21,,,20954.62,20954.62,4
APR-DRG,3611,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES ,,,7193.03,9128.21,18
APR-DRG,3611,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Age 21+,,,7667.7,7667.7,4
APR-DRG,3611,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Age Under 21,,,8178.88,8178.88,4
APR-DRG,3612,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES ,,,13452.99,17072.33,18
APR-DRG,3612,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Age 21+,,,14340.75,14340.75,4
APR-DRG,3612,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Age Under 21,,,15296.8,15296.8,4
APR-DRG,3613,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES ,,,14997.91,19032.88,18
APR-DRG,3613,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Age 21+,,,15987.61,15987.61,4
APR-DRG,3613,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Age Under 21,,,17053.46,17053.46,4
APR-DRG,3614,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES ,,,34620.24,43934.31,18
APR-DRG,3614,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Age 21+,,,36904.82,36904.82,4
APR-DRG,3614,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Age Under 21,,,39365.14,39365.14,4
APR-DRG,3621,MASTECTOMY PROCEDURES ,,,6814.83,8648.26,18
APR-DRG,3621,MASTECTOMY PROCEDURES Age 21+,,,7264.54,7264.54,4
APR-DRG,3621,MASTECTOMY PROCEDURES Age Under 21,,,7748.84,7748.84,4
APR-DRG,3622,MASTECTOMY PROCEDURES ,,,11034.29,14002.9,18
APR-DRG,3622,MASTECTOMY PROCEDURES Age 21+,,,11762.44,11762.44,4
APR-DRG,3622,MASTECTOMY PROCEDURES Age Under 21,,,12546.6,12546.6,4
APR-DRG,3623,MASTECTOMY PROCEDURES ,,,11224.73,14244.58,18
APR-DRG,3623,MASTECTOMY PROCEDURES Age 21+,,,11965.44,11965.44,4
APR-DRG,3623,MASTECTOMY PROCEDURES Age Under 21,,,12763.14,12763.14,4
APR-DRG,3624,MASTECTOMY PROCEDURES ,,,17601.32,22336.7,18
APR-DRG,3624,MASTECTOMY PROCEDURES Age 21+,,,18762.83,18762.83,4
APR-DRG,3624,MASTECTOMY PROCEDURES Age Under 21,,,20013.68,20013.68,4
APR-DRG,3631,BREAST PROCEDURES EXCEPT MASTECTOMY ,,,4549.47,5773.44,18
APR-DRG,3631,BREAST PROCEDURES EXCEPT MASTECTOMY Age 21+,,,4849.69,4849.69,4
APR-DRG,3631,BREAST PROCEDURES EXCEPT MASTECTOMY Age Under 21,,,5173.0,5173.0,4
APR-DRG,3632,BREAST PROCEDURES EXCEPT MASTECTOMY ,,,8895.5,11288.7,18
APR-DRG,3632,BREAST PROCEDURES EXCEPT MASTECTOMY Age 21+,,,9482.51,9482.51,4
APR-DRG,3632,BREAST PROCEDURES EXCEPT MASTECTOMY Age Under 21,,,10114.68,10114.68,4
APR-DRG,3633,BREAST PROCEDURES EXCEPT MASTECTOMY ,,,12919.92,16395.84,18
APR-DRG,3633,BREAST PROCEDURES EXCEPT MASTECTOMY Age 21+,,,13772.5,13772.5,4
APR-DRG,3633,BREAST PROCEDURES EXCEPT MASTECTOMY Age Under 21,,,14690.67,14690.67,4
APR-DRG,3634,BREAST PROCEDURES EXCEPT MASTECTOMY ,,,17470.53,22170.73,18
APR-DRG,3634,BREAST PROCEDURES EXCEPT MASTECTOMY Age 21+,,,18623.41,18623.41,4
APR-DRG,3634,BREAST PROCEDURES EXCEPT MASTECTOMY Age Under 21,,,19864.97,19864.97,4
APR-DRG,3641,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES ",,,3289.83,4174.91,18
APR-DRG,3641,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Age 21+",,,3506.93,3506.93,4
APR-DRG,3641,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Age Under 21",,,3740.72,3740.72,4
APR-DRG,3642,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES ",,,5071.45,6435.85,18
APR-DRG,3642,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Age 21+",,,5406.11,5406.11,4
APR-DRG,3642,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Age Under 21",,,5766.52,5766.52,4
APR-DRG,3643,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES ",,,9414.42,11947.24,18
APR-DRG,3643,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Age 21+",,,10035.68,10035.68,4
APR-DRG,3643,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Age Under 21",,,10704.72,10704.72,4
APR-DRG,3644,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES ",,,18862.87,23937.65,18
APR-DRG,3644,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Age 21+",,,20107.63,20107.63,4
APR-DRG,3644,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Age Under 21",,,21448.13,21448.13,4
APR-DRG,3801,SKIN ULCERS ,,,2639.74,3349.93,18
APR-DRG,3801,SKIN ULCERS Age 21+,,,2813.94,2813.94,4
APR-DRG,3801,SKIN ULCERS Age Under 21,,,3001.53,3001.53,4
APR-DRG,3802,SKIN ULCERS ,,,3423.29,4344.27,18
APR-DRG,3802,SKIN ULCERS Age 21+,,,3649.19,3649.19,4
APR-DRG,3802,SKIN ULCERS Age Under 21,,,3892.47,3892.47,4
APR-DRG,3803,SKIN ULCERS ,,,4928.81,6254.84,18
APR-DRG,3803,SKIN ULCERS Age 21+,,,5254.06,5254.06,4
APR-DRG,3803,SKIN ULCERS Age Under 21,,,5604.33,5604.33,4
APR-DRG,3804,SKIN ULCERS ,,,14807.85,18791.69,18
APR-DRG,3804,SKIN ULCERS Age 21+,,,15785.02,15785.02,4
APR-DRG,3804,SKIN ULCERS Age Under 21,,,16837.35,16837.35,4
APR-DRG,3811,MAJOR SKIN DISORDERS ,,,1664.23,2111.96,18
APR-DRG,3811,MAJOR SKIN DISORDERS Age 21+,,,1774.05,1774.05,4
APR-DRG,3811,MAJOR SKIN DISORDERS Age Under 21,,,1892.32,1892.32,4
APR-DRG,3812,MAJOR SKIN DISORDERS ,,,3033.23,3849.28,18
APR-DRG,3812,MAJOR SKIN DISORDERS Age 21+,,,3233.39,3233.39,4
APR-DRG,3812,MAJOR SKIN DISORDERS Age Under 21,,,3448.95,3448.95,4
APR-DRG,3813,MAJOR SKIN DISORDERS ,,,5417.9,6875.51,18
APR-DRG,3813,MAJOR SKIN DISORDERS Age 21+,,,5775.43,5775.43,4
APR-DRG,3813,MAJOR SKIN DISORDERS Age Under 21,,,6160.46,6160.46,4
APR-DRG,3814,MAJOR SKIN DISORDERS ,,,20417.73,25910.83,18
APR-DRG,3814,MAJOR SKIN DISORDERS Age 21+,,,21765.09,21765.09,4
APR-DRG,3814,MAJOR SKIN DISORDERS Age Under 21,,,23216.1,23216.1,4
APR-DRG,3821,MALIGNANT BREAST DISORDERS ,,,3116.6,3955.07,18
APR-DRG,3821,MALIGNANT BREAST DISORDERS Age 21+,,,3322.26,3322.26,4
APR-DRG,3821,MALIGNANT BREAST DISORDERS Age Under 21,,,3543.75,3543.75,4
APR-DRG,3822,MALIGNANT BREAST DISORDERS ,,,4136.08,5248.84,18
APR-DRG,3822,MALIGNANT BREAST DISORDERS Age 21+,,,4409.02,4409.02,4
APR-DRG,3822,MALIGNANT BREAST DISORDERS Age Under 21,,,4702.96,4702.96,4
APR-DRG,3823,MALIGNANT BREAST DISORDERS ,,,6348.3,8056.21,18
APR-DRG,3823,MALIGNANT BREAST DISORDERS Age 21+,,,6767.22,6767.22,4
APR-DRG,3823,MALIGNANT BREAST DISORDERS Age Under 21,,,7218.37,7218.37,4
APR-DRG,3824,MALIGNANT BREAST DISORDERS ,,,11999.48,15227.76,18
APR-DRG,3824,MALIGNANT BREAST DISORDERS Age 21+,,,12791.32,12791.32,4
APR-DRG,3824,MALIGNANT BREAST DISORDERS Age Under 21,,,13644.08,13644.08,4
APR-DRG,3831,CELLULITIS AND OTHER SKIN INFECTIONS ,,,1966.33,2495.34,18
APR-DRG,3831,CELLULITIS AND OTHER SKIN INFECTIONS Age 21+,,,2096.08,2096.08,4
APR-DRG,3831,CELLULITIS AND OTHER SKIN INFECTIONS Age Under 21,,,2235.82,2235.82,4
APR-DRG,3832,CELLULITIS AND OTHER SKIN INFECTIONS ,,,3000.35,3807.55,18
APR-DRG,3832,CELLULITIS AND OTHER SKIN INFECTIONS Age 21+,,,3198.34,3198.34,4
APR-DRG,3832,CELLULITIS AND OTHER SKIN INFECTIONS Age Under 21,,,3411.56,3411.56,4
APR-DRG,3833,CELLULITIS AND OTHER SKIN INFECTIONS ,,,4720.02,5989.88,18
APR-DRG,3833,CELLULITIS AND OTHER SKIN INFECTIONS Age 21+,,,5031.49,5031.49,4
APR-DRG,3833,CELLULITIS AND OTHER SKIN INFECTIONS Age Under 21,,,5366.93,5366.93,4
APR-DRG,3834,CELLULITIS AND OTHER SKIN INFECTIONS ,,,13117.63,16646.74,18
APR-DRG,3834,CELLULITIS AND OTHER SKIN INFECTIONS Age 21+,,,13983.26,13983.26,4
APR-DRG,3834,CELLULITIS AND OTHER SKIN INFECTIONS Age Under 21,,,14915.48,14915.48,4
APR-DRG,3841,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE ",,,2443.18,3100.49,18
APR-DRG,3841,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Age 21+",,,2604.41,2604.41,4
APR-DRG,3841,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Age Under 21",,,2778.04,2778.04,4
APR-DRG,3842,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE ",,,3979.3,5049.88,18
APR-DRG,3842,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Age 21+",,,4241.9,4241.9,4
APR-DRG,3842,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Age Under 21",,,4524.69,4524.69,4
APR-DRG,3843,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE ",,,6000.31,7614.61,18
APR-DRG,3843,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Age 21+",,,6396.27,6396.27,4
APR-DRG,3843,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Age Under 21",,,6822.69,6822.69,4
APR-DRG,3844,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE ",,,18587.16,23587.76,18
APR-DRG,3844,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Age 21+",,,19813.72,19813.72,4
APR-DRG,3844,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Age Under 21",,,21134.64,21134.64,4
APR-DRG,3851,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS ",,,2007.24,2547.26,18
APR-DRG,3851,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Age 21+",,,2139.7,2139.7,4
APR-DRG,3851,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Age Under 21",,,2282.35,2282.35,4
APR-DRG,3852,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS ",,,3387.72,4299.14,18
APR-DRG,3852,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Age 21+",,,3611.28,3611.28,4
APR-DRG,3852,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Age Under 21",,,3852.03,3852.03,4
APR-DRG,3853,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS ",,,7385.77,9372.8,18
APR-DRG,3853,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Age 21+",,,7873.15,7873.15,4
APR-DRG,3853,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Age Under 21",,,8398.03,8398.03,4
APR-DRG,3854,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS ",,,14106.14,17901.19,18
APR-DRG,3854,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Age 21+",,,15037.0,15037.0,4
APR-DRG,3854,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Age Under 21",,,16039.46,16039.46,4
APR-DRG,4011,ADRENAL PROCEDURES ,,,7571.23,9608.16,18
APR-DRG,4011,ADRENAL PROCEDURES Age 21+,,,8070.86,8070.86,4
APR-DRG,4011,ADRENAL PROCEDURES Age Under 21,,,8608.91,8608.91,4
APR-DRG,4012,ADRENAL PROCEDURES ,,,22607.38,28689.56,18
APR-DRG,4012,ADRENAL PROCEDURES Age 21+,,,24099.23,24099.23,4
APR-DRG,4012,ADRENAL PROCEDURES Age Under 21,,,25705.85,25705.85,4
APR-DRG,4013,ADRENAL PROCEDURES ,,,26529.7,33667.14,18
APR-DRG,4013,ADRENAL PROCEDURES Age 21+,,,28280.4,28280.4,4
APR-DRG,4013,ADRENAL PROCEDURES Age Under 21,,,30165.76,30165.76,4
APR-DRG,4014,ADRENAL PROCEDURES ,,,23724.0,30106.6,18
APR-DRG,4014,ADRENAL PROCEDURES Age 21+,,,25289.54,25289.54,4
APR-DRG,4014,ADRENAL PROCEDURES Age Under 21,,,26975.51,26975.51,4
APR-DRG,4031,PROCEDURES FOR OBESITY ,,,5323.07,9924.0,23
APR-DRG,4031,PROCEDURES FOR OBESITY Age 21+,,,5674.34,5674.34,4
APR-DRG,4031,PROCEDURES FOR OBESITY Age Under 21,,,6052.63,6052.63,4
APR-DRG,4032,PROCEDURES FOR OBESITY ,,,6004.89,9924.0,23
APR-DRG,4032,PROCEDURES FOR OBESITY Age 21+,,,6401.16,6401.16,4
APR-DRG,4032,PROCEDURES FOR OBESITY Age Under 21,,,6827.9,6827.9,4
APR-DRG,4033,PROCEDURES FOR OBESITY ,,,9924.0,12963.41,23
APR-DRG,4033,PROCEDURES FOR OBESITY Age 21+,,,10889.27,10889.27,4
APR-DRG,4033,PROCEDURES FOR OBESITY Age Under 21,,,11615.22,11615.22,4
APR-DRG,4034,PROCEDURES FOR OBESITY ,,,9924.0,16079.91,23
APR-DRG,4034,PROCEDURES FOR OBESITY Age 21+,,,13507.13,13507.13,4
APR-DRG,4034,PROCEDURES FOR OBESITY Age Under 21,,,14407.6,14407.6,4
APR-DRG,4041,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES ",,,6105.86,7748.55,18
APR-DRG,4041,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Age 21+",,,6508.78,6508.78,4
APR-DRG,4041,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Age Under 21",,,6942.7,6942.7,4
APR-DRG,4042,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES ",,,8353.24,10600.56,18
APR-DRG,4042,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Age 21+",,,8904.47,8904.47,4
APR-DRG,4042,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Age Under 21",,,9498.1,9498.1,4
APR-DRG,4043,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES ",,,19455.98,24690.32,18
APR-DRG,4043,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Age 21+",,,20739.87,20739.87,4
APR-DRG,4043,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Age Under 21",,,22122.53,22122.53,4
APR-DRG,4044,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES ",,,25595.48,32481.57,18
APR-DRG,4044,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Age 21+",,,27284.52,27284.52,4
APR-DRG,4044,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Age Under 21",,,29103.49,29103.49,4
APR-DRG,4051,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ",,,9616.33,12203.46,18
APR-DRG,4051,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Age 21+",,,10250.91,10250.91,4
APR-DRG,4051,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Age Under 21",,,10934.3,10934.3,4
APR-DRG,4052,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ",,,11308.85,14351.34,18
APR-DRG,4052,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Age 21+",,,12055.12,12055.12,4
APR-DRG,4052,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Age Under 21",,,12858.8,12858.8,4
APR-DRG,4053,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ",,,13001.37,16499.2,18
APR-DRG,4053,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Age 21+",,,13859.33,13859.33,4
APR-DRG,4053,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Age Under 21",,,14783.28,14783.28,4
APR-DRG,4054,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ",,,23809.66,30215.3,18
APR-DRG,4054,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Age 21+",,,25380.85,25380.85,4
APR-DRG,4054,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Age Under 21",,,27072.91,27072.91,4
APR-DRG,4201,DIABETES ,,,2186.21,2774.38,18
APR-DRG,4201,DIABETES Age 21+,,,2330.47,2330.47,4
APR-DRG,4201,DIABETES Age Under 21,,,2485.84,2485.84,4
APR-DRG,4202,DIABETES ,,,2762.88,3506.19,18
APR-DRG,4202,DIABETES Age 21+,,,2945.2,2945.2,4
APR-DRG,4202,DIABETES Age Under 21,,,3141.54,3141.54,4
APR-DRG,4203,DIABETES ,,,4284.46,5437.14,18
APR-DRG,4203,DIABETES Age 21+,,,4567.2,4567.2,4
APR-DRG,4203,DIABETES Age Under 21,,,4871.68,4871.68,4
APR-DRG,4204,DIABETES ,,,8916.14,11314.9,18
APR-DRG,4204,DIABETES Age 21+,,,9504.52,9504.52,4
APR-DRG,4204,DIABETES Age Under 21,,,10138.15,10138.15,4
APR-DRG,4211,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS ",,,2980.46,3782.31,18
APR-DRG,4211,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Age 21+",,,3177.14,3177.14,4
APR-DRG,4211,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Age Under 21",,,3388.95,3388.95,4
APR-DRG,4212,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS ",,,5304.33,6731.39,18
APR-DRG,4212,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Age 21+",,,5654.37,5654.37,4
APR-DRG,4212,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Age Under 21",,,6031.32,6031.32,4
APR-DRG,4213,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS ",,,7678.3,9744.04,18
APR-DRG,4213,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Age 21+",,,8184.99,8184.99,4
APR-DRG,4213,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Age Under 21",,,8730.66,8730.66,4
APR-DRG,4214,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS ",,,19339.73,24542.8,18
APR-DRG,4214,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Age 21+",,,20615.95,20615.95,4
APR-DRG,4214,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Age Under 21",,,21990.35,21990.35,4
APR-DRG,4221,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS ,,,1225.22,1554.85,18
APR-DRG,4221,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Age 21+,,,1306.07,1306.07,4
APR-DRG,4221,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Age Under 21,,,1393.15,1393.15,4
APR-DRG,4222,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS ,,,2060.01,2614.23,18
APR-DRG,4222,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Age 21+,,,2195.95,2195.95,4
APR-DRG,4222,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Age Under 21,,,2342.35,2342.35,4
APR-DRG,4223,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS ,,,3673.76,4662.14,18
APR-DRG,4223,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Age 21+,,,3916.2,3916.2,4
APR-DRG,4223,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Age Under 21,,,4177.28,4177.28,4
APR-DRG,4224,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS ,,,9141.77,11601.22,18
APR-DRG,4224,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Age 21+,,,9745.03,9745.03,4
APR-DRG,4224,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Age Under 21,,,10394.7,10394.7,4
APR-DRG,4231,INBORN ERRORS OF METABOLISM ,,,7754.79,9841.1,18
APR-DRG,4231,INBORN ERRORS OF METABOLISM Age 21+,,,8266.52,8266.52,4
APR-DRG,4231,INBORN ERRORS OF METABOLISM Age Under 21,,,8817.63,8817.63,4
APR-DRG,4232,INBORN ERRORS OF METABOLISM ,,,10412.11,13213.34,18
APR-DRG,4232,INBORN ERRORS OF METABOLISM Age 21+,,,11099.2,11099.2,4
APR-DRG,4232,INBORN ERRORS OF METABOLISM Age Under 21,,,11839.15,11839.15,4
APR-DRG,4233,INBORN ERRORS OF METABOLISM ,,,13069.44,16585.59,18
APR-DRG,4233,INBORN ERRORS OF METABOLISM Age 21+,,,13931.89,13931.89,4
APR-DRG,4233,INBORN ERRORS OF METABOLISM Age Under 21,,,14860.69,14860.69,4
APR-DRG,4234,INBORN ERRORS OF METABOLISM ,,,16161.56,20509.6,18
APR-DRG,4234,INBORN ERRORS OF METABOLISM Age 21+,,,17228.06,17228.06,4
APR-DRG,4234,INBORN ERRORS OF METABOLISM Age Under 21,,,18376.6,18376.6,4
APR-DRG,4241,OTHER ENDOCRINE DISORDERS ,,,3279.12,4161.32,18
APR-DRG,4241,OTHER ENDOCRINE DISORDERS Age 21+,,,3495.51,3495.51,4
APR-DRG,4241,OTHER ENDOCRINE DISORDERS Age Under 21,,,3728.55,3728.55,4
APR-DRG,4242,OTHER ENDOCRINE DISORDERS ,,,4163.62,5283.79,18
APR-DRG,4242,OTHER ENDOCRINE DISORDERS Age 21+,,,4438.38,4438.38,4
APR-DRG,4242,OTHER ENDOCRINE DISORDERS Age Under 21,,,4734.27,4734.27,4
APR-DRG,4243,OTHER ENDOCRINE DISORDERS ,,,6670.28,8464.82,18
APR-DRG,4243,OTHER ENDOCRINE DISORDERS Age 21+,,,7110.45,7110.45,4
APR-DRG,4243,OTHER ENDOCRINE DISORDERS Age Under 21,,,7584.48,7584.48,4
APR-DRG,4244,OTHER ENDOCRINE DISORDERS ,,,17313.36,21971.28,18
APR-DRG,4244,OTHER ENDOCRINE DISORDERS Age 21+,,,18455.87,18455.87,4
APR-DRG,4244,OTHER ENDOCRINE DISORDERS Age Under 21,,,19686.26,19686.26,4
APR-DRG,4251,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS ,,,2180.85,2767.57,18
APR-DRG,4251,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Age 21+,,,2324.76,2324.76,4
APR-DRG,4251,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Age Under 21,,,2479.75,2479.75,4
APR-DRG,4252,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS ,,,2209.92,2804.46,18
APR-DRG,4252,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Age 21+,,,2355.75,2355.75,4
APR-DRG,4252,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Age Under 21,,,2512.8,2512.8,4
APR-DRG,4253,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS ,,,3719.27,4719.89,18
APR-DRG,4253,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Age 21+,,,3964.71,3964.71,4
APR-DRG,4253,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Age Under 21,,,4229.02,4229.02,4
APR-DRG,4254,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS ,,,8517.3,10808.75,18
APR-DRG,4254,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Age 21+,,,9079.35,9079.35,4
APR-DRG,4254,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Age Under 21,,,9684.64,9684.64,4
APR-DRG,4261,NON-HYPOVOLEMIC SODIUM DISORDERS ,,,2478.37,3145.14,18
APR-DRG,4261,NON-HYPOVOLEMIC SODIUM DISORDERS Age 21+,,,2641.92,2641.92,4
APR-DRG,4261,NON-HYPOVOLEMIC SODIUM DISORDERS Age Under 21,,,2818.04,2818.04,4
APR-DRG,4262,NON-HYPOVOLEMIC SODIUM DISORDERS ,,,3035.91,3852.67,18
APR-DRG,4262,NON-HYPOVOLEMIC SODIUM DISORDERS Age 21+,,,3236.25,3236.25,4
APR-DRG,4262,NON-HYPOVOLEMIC SODIUM DISORDERS Age Under 21,,,3452.0,3452.0,4
APR-DRG,4263,NON-HYPOVOLEMIC SODIUM DISORDERS ,,,4654.63,5906.89,18
APR-DRG,4263,NON-HYPOVOLEMIC SODIUM DISORDERS Age 21+,,,4961.79,4961.79,4
APR-DRG,4263,NON-HYPOVOLEMIC SODIUM DISORDERS Age Under 21,,,5292.57,5292.57,4
APR-DRG,4264,NON-HYPOVOLEMIC SODIUM DISORDERS ,,,11237.73,14261.08,18
APR-DRG,4264,NON-HYPOVOLEMIC SODIUM DISORDERS Age 21+,,,11979.3,11979.3,4
APR-DRG,4264,NON-HYPOVOLEMIC SODIUM DISORDERS Age Under 21,,,12777.92,12777.92,4
APR-DRG,4271,THYROID DISORDERS ,,,1915.84,2431.28,18
APR-DRG,4271,THYROID DISORDERS Age 21+,,,2042.27,2042.27,4
APR-DRG,4271,THYROID DISORDERS Age Under 21,,,2178.42,2178.42,4
APR-DRG,4272,THYROID DISORDERS ,,,3051.2,3872.09,18
APR-DRG,4272,THYROID DISORDERS Age 21+,,,3252.55,3252.55,4
APR-DRG,4272,THYROID DISORDERS Age Under 21,,,3469.39,3469.39,4
APR-DRG,4273,THYROID DISORDERS ,,,3565.93,4525.29,18
APR-DRG,4273,THYROID DISORDERS Age 21+,,,3801.24,3801.24,4
APR-DRG,4273,THYROID DISORDERS Age Under 21,,,4054.66,4054.66,4
APR-DRG,4274,THYROID DISORDERS ,,,11982.27,15205.92,18
APR-DRG,4274,THYROID DISORDERS Age 21+,,,12772.98,12772.98,4
APR-DRG,4274,THYROID DISORDERS Age Under 21,,,13624.51,13624.51,4
APR-DRG,4401,KIDNEY TRANSPLANT ,,,23351.15,41486.8,27
APR-DRG,4401,KIDNEY TRANSPLANT Age 21+,,,24892.09,24892.09,4
APR-DRG,4401,KIDNEY TRANSPLANT Age Under 21,,,26551.56,26551.56,4
APR-DRG,4402,KIDNEY TRANSPLANT ,,,24910.98,44258.1,27
APR-DRG,4402,KIDNEY TRANSPLANT Age 21+,,,26554.86,26554.86,4
APR-DRG,4402,KIDNEY TRANSPLANT Age Under 21,,,28325.18,28325.18,4
APR-DRG,4403,KIDNEY TRANSPLANT ,,,38730.7,68810.9,27
APR-DRG,4403,KIDNEY TRANSPLANT Age 21+,,,41286.54,41286.54,4
APR-DRG,4403,KIDNEY TRANSPLANT Age Under 21,,,44038.97,44038.97,4
APR-DRG,4404,KIDNEY TRANSPLANT ,,,63280.69,112428.0,27
APR-DRG,4404,KIDNEY TRANSPLANT Age 21+,,,67456.58,67456.58,4
APR-DRG,4404,KIDNEY TRANSPLANT Age Under 21,,,71953.68,71953.68,4
APR-DRG,4411,MAJOR BLADDER PROCEDURES ,,,7360.9,9341.25,18
APR-DRG,4411,MAJOR BLADDER PROCEDURES Age 21+,,,7846.65,7846.65,4
APR-DRG,4411,MAJOR BLADDER PROCEDURES Age Under 21,,,8369.76,8369.76,4
APR-DRG,4412,MAJOR BLADDER PROCEDURES ,,,11449.96,14530.4,18
APR-DRG,4412,MAJOR BLADDER PROCEDURES Age 21+,,,12205.54,12205.54,4
APR-DRG,4412,MAJOR BLADDER PROCEDURES Age Under 21,,,13019.24,13019.24,4
APR-DRG,4413,MAJOR BLADDER PROCEDURES ,,,14477.84,18372.89,18
APR-DRG,4413,MAJOR BLADDER PROCEDURES Age 21+,,,15433.23,15433.23,4
APR-DRG,4413,MAJOR BLADDER PROCEDURES Age Under 21,,,16462.11,16462.11,4
APR-DRG,4414,MAJOR BLADDER PROCEDURES ,,,59886.47,75998.06,18
APR-DRG,4414,MAJOR BLADDER PROCEDURES Age 21+,,,63838.37,63838.37,4
APR-DRG,4414,MAJOR BLADDER PROCEDURES Age Under 21,,,68094.26,68094.26,4
APR-DRG,4421,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY ,,,7140.64,9061.73,18
APR-DRG,4421,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Age 21+,,,7611.85,7611.85,4
APR-DRG,4421,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Age Under 21,,,8119.31,8119.31,4
APR-DRG,4422,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY ,,,8419.02,10684.04,18
APR-DRG,4422,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Age 21+,,,8974.59,8974.59,4
APR-DRG,4422,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Age Under 21,,,9572.9,9572.9,4
APR-DRG,4423,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY ,,,13466.38,17089.31,18
APR-DRG,4423,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Age 21+,,,14355.02,14355.02,4
APR-DRG,4423,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Age Under 21,,,15312.02,15312.02,4
APR-DRG,4424,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY ,,,40046.94,50820.99,18
APR-DRG,4424,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Age 21+,,,42689.63,42689.63,4
APR-DRG,4424,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Age Under 21,,,45535.6,45535.6,4
APR-DRG,4431,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY ,,,5080.25,6447.01,18
APR-DRG,4431,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Age 21+,,,5415.49,5415.49,4
APR-DRG,4431,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Age Under 21,,,5776.52,5776.52,4
APR-DRG,4432,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY ,,,7037.78,8931.19,18
APR-DRG,4432,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Age 21+,,,7502.2,7502.2,4
APR-DRG,4432,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Age Under 21,,,8002.34,8002.34,4
APR-DRG,4433,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY ,,,11059.14,14034.44,18
APR-DRG,4433,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Age 21+,,,11788.93,11788.93,4
APR-DRG,4433,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Age Under 21,,,12574.86,12574.86,4
APR-DRG,4434,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY ,,,25401.99,32236.03,18
APR-DRG,4434,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Age 21+,,,27078.26,27078.26,4
APR-DRG,4434,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Age Under 21,,,28883.48,28883.48,4
APR-DRG,4441,RENAL DIALYSIS ACCESS PROCEDURES ,,,4360.56,5533.7,18
APR-DRG,4441,RENAL DIALYSIS ACCESS PROCEDURES Age 21+,,,4648.31,4648.31,4
APR-DRG,4441,RENAL DIALYSIS ACCESS PROCEDURES Age Under 21,,,4958.2,4958.2,4
APR-DRG,4442,RENAL DIALYSIS ACCESS PROCEDURES ,,,6298.21,7992.65,18
APR-DRG,4442,RENAL DIALYSIS ACCESS PROCEDURES Age 21+,,,6713.83,6713.83,4
APR-DRG,4442,RENAL DIALYSIS ACCESS PROCEDURES Age Under 21,,,7161.41,7161.41,4
APR-DRG,4443,RENAL DIALYSIS ACCESS PROCEDURES ,,,11101.21,14087.83,18
APR-DRG,4443,RENAL DIALYSIS ACCESS PROCEDURES Age 21+,,,11833.77,11833.77,4
APR-DRG,4443,RENAL DIALYSIS ACCESS PROCEDURES Age Under 21,,,12622.69,12622.69,4
APR-DRG,4444,RENAL DIALYSIS ACCESS PROCEDURES ,,,21859.01,27739.86,18
APR-DRG,4444,RENAL DIALYSIS ACCESS PROCEDURES Age 21+,,,23301.48,23301.48,4
APR-DRG,4444,RENAL DIALYSIS ACCESS PROCEDURES Age Under 21,,,24854.92,24854.92,4
APR-DRG,4451,OTHER BLADDER PROCEDURES ,,,4279.87,5431.31,18
APR-DRG,4451,OTHER BLADDER PROCEDURES Age 21+,,,4562.3,4562.3,4
APR-DRG,4451,OTHER BLADDER PROCEDURES Age Under 21,,,4866.46,4866.46,4
APR-DRG,4452,OTHER BLADDER PROCEDURES ,,,6589.98,8362.91,18
APR-DRG,4452,OTHER BLADDER PROCEDURES Age 21+,,,7024.85,7024.85,4
APR-DRG,4452,OTHER BLADDER PROCEDURES Age Under 21,,,7493.17,7493.17,4
APR-DRG,4453,OTHER BLADDER PROCEDURES ,,,10098.16,12814.93,18
APR-DRG,4453,OTHER BLADDER PROCEDURES Age 21+,,,10764.54,10764.54,4
APR-DRG,4453,OTHER BLADDER PROCEDURES Age Under 21,,,11482.17,11482.17,4
APR-DRG,4454,OTHER BLADDER PROCEDURES ,,,20646.79,26201.51,18
APR-DRG,4454,OTHER BLADDER PROCEDURES Age 21+,,,22009.27,22009.27,4
APR-DRG,4454,OTHER BLADDER PROCEDURES Age Under 21,,,23476.56,23476.56,4
APR-DRG,4461,URETHRAL AND TRANSURETHRAL PROCEDURES ,,,4370.89,5546.81,18
APR-DRG,4461,URETHRAL AND TRANSURETHRAL PROCEDURES Age 21+,,,4659.32,4659.32,4
APR-DRG,4461,URETHRAL AND TRANSURETHRAL PROCEDURES Age Under 21,,,4969.94,4969.94,4
APR-DRG,4462,URETHRAL AND TRANSURETHRAL PROCEDURES ,,,5143.34,6527.09,18
APR-DRG,4462,URETHRAL AND TRANSURETHRAL PROCEDURES Age 21+,,,5482.75,5482.75,4
APR-DRG,4462,URETHRAL AND TRANSURETHRAL PROCEDURES Age Under 21,,,5848.27,5848.27,4
APR-DRG,4463,URETHRAL AND TRANSURETHRAL PROCEDURES ,,,9351.32,11867.16,18
APR-DRG,4463,URETHRAL AND TRANSURETHRAL PROCEDURES Age 21+,,,9968.42,9968.42,4
APR-DRG,4463,URETHRAL AND TRANSURETHRAL PROCEDURES Age Under 21,,,10632.98,10632.98,4
APR-DRG,4464,URETHRAL AND TRANSURETHRAL PROCEDURES ,,,16821.21,21346.71,18
APR-DRG,4464,URETHRAL AND TRANSURETHRAL PROCEDURES Age 21+,,,17931.24,17931.24,4
APR-DRG,4464,URETHRAL AND TRANSURETHRAL PROCEDURES Age Under 21,,,19126.65,19126.65,4
APR-DRG,4471,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES ",,,4151.0,5267.76,18
APR-DRG,4471,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Age 21+",,,4424.92,4424.92,4
APR-DRG,4471,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Age Under 21",,,4719.92,4719.92,4
APR-DRG,4472,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES ",,,6553.26,8316.33,18
APR-DRG,4472,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Age 21+",,,6985.71,6985.71,4
APR-DRG,4472,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Age Under 21",,,7451.43,7451.43,4
APR-DRG,4473,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES ",,,10585.73,13433.66,18
APR-DRG,4473,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Age 21+",,,11284.28,11284.28,4
APR-DRG,4473,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Age Under 21",,,12036.56,12036.56,4
APR-DRG,4474,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES ",,,47421.23,60179.22,18
APR-DRG,4474,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Age 21+",,,50550.55,50550.55,4
APR-DRG,4474,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Age Under 21",,,53920.59,53920.59,4
APR-DRG,4611,KIDNEY AND URINARY TRACT MALIGNANCY ,,,4253.87,5398.31,18
APR-DRG,4611,KIDNEY AND URINARY TRACT MALIGNANCY Age 21+,,,4534.58,4534.58,4
APR-DRG,4611,KIDNEY AND URINARY TRACT MALIGNANCY Age Under 21,,,4836.89,4836.89,4
APR-DRG,4612,KIDNEY AND URINARY TRACT MALIGNANCY ,,,4784.26,6071.4,18
APR-DRG,4612,KIDNEY AND URINARY TRACT MALIGNANCY Age 21+,,,5099.98,5099.98,4
APR-DRG,4612,KIDNEY AND URINARY TRACT MALIGNANCY Age Under 21,,,5439.97,5439.97,4
APR-DRG,4613,KIDNEY AND URINARY TRACT MALIGNANCY ,,,9221.3,11702.16,18
APR-DRG,4613,KIDNEY AND URINARY TRACT MALIGNANCY Age 21+,,,9829.82,9829.82,4
APR-DRG,4613,KIDNEY AND URINARY TRACT MALIGNANCY Age Under 21,,,10485.14,10485.14,4
APR-DRG,4614,KIDNEY AND URINARY TRACT MALIGNANCY ,,,19853.3,25194.54,18
APR-DRG,4614,KIDNEY AND URINARY TRACT MALIGNANCY Age 21+,,,21163.41,21163.41,4
APR-DRG,4614,KIDNEY AND URINARY TRACT MALIGNANCY Age Under 21,,,22574.31,22574.31,4
APR-DRG,4621,NEPHRITIS AND NEPHROSIS ,,,2930.37,3718.74,18
APR-DRG,4621,NEPHRITIS AND NEPHROSIS Age 21+,,,3123.74,3123.74,4
APR-DRG,4621,NEPHRITIS AND NEPHROSIS Age Under 21,,,3331.99,3331.99,4
APR-DRG,4622,NEPHRITIS AND NEPHROSIS ,,,4208.36,5340.56,18
APR-DRG,4622,NEPHRITIS AND NEPHROSIS Age 21+,,,4486.07,4486.07,4
APR-DRG,4622,NEPHRITIS AND NEPHROSIS Age Under 21,,,4785.14,4785.14,4
APR-DRG,4623,NEPHRITIS AND NEPHROSIS ,,,9562.41,12135.04,18
APR-DRG,4623,NEPHRITIS AND NEPHROSIS Age 21+,,,10193.43,10193.43,4
APR-DRG,4623,NEPHRITIS AND NEPHROSIS Age Under 21,,,10872.99,10872.99,4
APR-DRG,4624,NEPHRITIS AND NEPHROSIS ,,,21201.28,26905.17,18
APR-DRG,4624,NEPHRITIS AND NEPHROSIS Age 21+,,,22600.35,22600.35,4
APR-DRG,4624,NEPHRITIS AND NEPHROSIS Age Under 21,,,24107.04,24107.04,4
APR-DRG,4631,KIDNEY AND URINARY TRACT INFECTIONS ,,,1985.06,2519.11,18
APR-DRG,4631,KIDNEY AND URINARY TRACT INFECTIONS Age 21+,,,2116.05,2116.05,4
APR-DRG,4631,KIDNEY AND URINARY TRACT INFECTIONS Age Under 21,,,2257.12,2257.12,4
APR-DRG,4632,KIDNEY AND URINARY TRACT INFECTIONS ,,,2811.82,3568.3,18
APR-DRG,4632,KIDNEY AND URINARY TRACT INFECTIONS Age 21+,,,2997.37,2997.37,4
APR-DRG,4632,KIDNEY AND URINARY TRACT INFECTIONS Age Under 21,,,3197.2,3197.2,4
APR-DRG,4633,KIDNEY AND URINARY TRACT INFECTIONS ,,,4315.82,5476.93,18
APR-DRG,4633,KIDNEY AND URINARY TRACT INFECTIONS Age 21+,,,4600.62,4600.62,4
APR-DRG,4633,KIDNEY AND URINARY TRACT INFECTIONS Age Under 21,,,4907.32,4907.32,4
APR-DRG,4634,KIDNEY AND URINARY TRACT INFECTIONS ,,,8204.49,10411.79,18
APR-DRG,4634,KIDNEY AND URINARY TRACT INFECTIONS Age 21+,,,8745.9,8745.9,4
APR-DRG,4634,KIDNEY AND URINARY TRACT INFECTIONS Age Under 21,,,9328.96,9328.96,4
APR-DRG,4651,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,2534.96,3216.95,18
APR-DRG,4651,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Age 21+,,,2702.24,2702.24,4
APR-DRG,4651,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Age Under 21,,,2882.39,2882.39,4
APR-DRG,4652,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,3564.39,4523.34,18
APR-DRG,4652,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Age 21+,,,3799.6,3799.6,4
APR-DRG,4652,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Age Under 21,,,4052.91,4052.91,4
APR-DRG,4653,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,6064.17,7695.65,18
APR-DRG,4653,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Age 21+,,,6464.35,6464.35,4
APR-DRG,4653,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Age Under 21,,,6895.3,6895.3,4
APR-DRG,4654,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,10844.61,13762.2,18
APR-DRG,4654,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Age 21+,,,11560.25,11560.25,4
APR-DRG,4654,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Age Under 21,,,12330.93,12330.93,4
APR-DRG,4661,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE ",,,2625.59,3331.96,18
APR-DRG,4661,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Age 21+",,,2798.85,2798.85,4
APR-DRG,4661,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Age Under 21",,,2985.44,2985.44,4
APR-DRG,4662,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE ",,,3170.52,4023.5,18
APR-DRG,4662,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Age 21+",,,3379.74,3379.74,4
APR-DRG,4662,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Age Under 21",,,3605.06,3605.06,4
APR-DRG,4663,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE ",,,5067.24,6430.51,18
APR-DRG,4663,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Age 21+",,,5401.63,5401.63,4
APR-DRG,4663,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Age Under 21",,,5761.74,5761.74,4
APR-DRG,4664,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE ",,,8076.01,10248.74,18
APR-DRG,4664,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Age 21+",,,8608.94,8608.94,4
APR-DRG,4664,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Age Under 21",,,9182.87,9182.87,4
APR-DRG,4681,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,2915.07,3699.32,18
APR-DRG,4681,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Age 21+",,,3107.43,3107.43,4
APR-DRG,4681,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Age Under 21",,,3314.6,3314.6,4
APR-DRG,4682,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,3264.97,4143.36,18
APR-DRG,4682,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Age 21+",,,3480.42,3480.42,4
APR-DRG,4682,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Age Under 21",,,3712.45,3712.45,4
APR-DRG,4683,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,5942.56,7541.33,18
APR-DRG,4683,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Age 21+",,,6334.71,6334.71,4
APR-DRG,4683,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Age Under 21",,,6757.03,6757.03,4
APR-DRG,4684,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,25191.67,31969.13,18
APR-DRG,4684,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Age 21+",,,26854.06,26854.06,4
APR-DRG,4684,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Age Under 21",,,28644.34,28644.34,4
APR-DRG,4691,ACUTE KIDNEY INJURY ,,,2521.58,3199.97,18
APR-DRG,4691,ACUTE KIDNEY INJURY Age 21+,,,2687.98,2687.98,4
APR-DRG,4691,ACUTE KIDNEY INJURY Age Under 21,,,2867.18,2867.18,4
APR-DRG,4692,ACUTE KIDNEY INJURY ,,,3188.11,4045.82,18
APR-DRG,4692,ACUTE KIDNEY INJURY Age 21+,,,3398.49,3398.49,4
APR-DRG,4692,ACUTE KIDNEY INJURY Age Under 21,,,3625.06,3625.06,4
APR-DRG,4693,ACUTE KIDNEY INJURY ,,,5528.42,7015.76,18
APR-DRG,4693,ACUTE KIDNEY INJURY Age 21+,,,5893.24,5893.24,4
APR-DRG,4693,ACUTE KIDNEY INJURY Age Under 21,,,6286.12,6286.12,4
APR-DRG,4694,ACUTE KIDNEY INJURY ,,,13551.65,17197.53,18
APR-DRG,4694,ACUTE KIDNEY INJURY Age 21+,,,14445.92,14445.92,4
APR-DRG,4694,ACUTE KIDNEY INJURY Age Under 21,,,15408.98,15408.98,4
APR-DRG,4701,CHRONIC KIDNEY DISEASE ,,,3556.36,4513.15,18
APR-DRG,4701,CHRONIC KIDNEY DISEASE Age 21+,,,3791.05,3791.05,4
APR-DRG,4701,CHRONIC KIDNEY DISEASE Age Under 21,,,4043.78,4043.78,4
APR-DRG,4702,CHRONIC KIDNEY DISEASE ,,,4546.02,5769.06,18
APR-DRG,4702,CHRONIC KIDNEY DISEASE Age 21+,,,4846.01,4846.01,4
APR-DRG,4702,CHRONIC KIDNEY DISEASE Age Under 21,,,5169.08,5169.08,4
APR-DRG,4703,CHRONIC KIDNEY DISEASE ,,,5535.69,7024.99,18
APR-DRG,4703,CHRONIC KIDNEY DISEASE Age 21+,,,5900.99,5900.99,4
APR-DRG,4703,CHRONIC KIDNEY DISEASE Age Under 21,,,6294.39,6294.39,4
APR-DRG,4704,CHRONIC KIDNEY DISEASE ,,,8654.2,10982.49,18
APR-DRG,4704,CHRONIC KIDNEY DISEASE Age 21+,,,9225.29,9225.29,4
APR-DRG,4704,CHRONIC KIDNEY DISEASE Age Under 21,,,9840.31,9840.31,4
APR-DRG,4801,MAJOR MALE PELVIC PROCEDURES ,,,6531.85,8289.15,18
APR-DRG,4801,MAJOR MALE PELVIC PROCEDURES Age 21+,,,6962.89,6962.89,4
APR-DRG,4801,MAJOR MALE PELVIC PROCEDURES Age Under 21,,,7427.08,7427.08,4
APR-DRG,4802,MAJOR MALE PELVIC PROCEDURES ,,,11969.64,15189.9,18
APR-DRG,4802,MAJOR MALE PELVIC PROCEDURES Age 21+,,,12759.52,12759.52,4
APR-DRG,4802,MAJOR MALE PELVIC PROCEDURES Age Under 21,,,13610.15,13610.15,4
APR-DRG,4803,MAJOR MALE PELVIC PROCEDURES ,,,12077.48,15326.75,18
APR-DRG,4803,MAJOR MALE PELVIC PROCEDURES Age 21+,,,12874.47,12874.47,4
APR-DRG,4803,MAJOR MALE PELVIC PROCEDURES Age Under 21,,,13732.77,13732.77,4
APR-DRG,4804,MAJOR MALE PELVIC PROCEDURES ,,,25983.25,32973.66,18
APR-DRG,4804,MAJOR MALE PELVIC PROCEDURES Age 21+,,,27697.88,27697.88,4
APR-DRG,4804,MAJOR MALE PELVIC PROCEDURES Age Under 21,,,29544.4,29544.4,4
APR-DRG,4821,TRANSURETHRAL PROSTATECTOMY ,,,4044.7,5132.86,18
APR-DRG,4821,TRANSURETHRAL PROSTATECTOMY Age 21+,,,4311.6,4311.6,4
APR-DRG,4821,TRANSURETHRAL PROSTATECTOMY Age Under 21,,,4599.04,4599.04,4
APR-DRG,4822,TRANSURETHRAL PROSTATECTOMY ,,,4814.86,6110.23,18
APR-DRG,4822,TRANSURETHRAL PROSTATECTOMY Age 21+,,,5132.59,5132.59,4
APR-DRG,4822,TRANSURETHRAL PROSTATECTOMY Age Under 21,,,5474.76,5474.76,4
APR-DRG,4823,TRANSURETHRAL PROSTATECTOMY ,,,9389.56,11915.69,18
APR-DRG,4823,TRANSURETHRAL PROSTATECTOMY Age 21+,,,10009.18,10009.18,4
APR-DRG,4823,TRANSURETHRAL PROSTATECTOMY Age Under 21,,,10676.46,10676.46,4
APR-DRG,4824,TRANSURETHRAL PROSTATECTOMY ,,,17654.85,22404.64,18
APR-DRG,4824,TRANSURETHRAL PROSTATECTOMY Age 21+,,,18819.9,18819.9,4
APR-DRG,4824,TRANSURETHRAL PROSTATECTOMY Age Under 21,,,20074.56,20074.56,4
APR-DRG,4831,"PENIS, TESTES AND SCROTAL PROCEDURES ",,,4354.82,5526.43,18
APR-DRG,4831,"PENIS, TESTES AND SCROTAL PROCEDURES Age 21+",,,4642.2,4642.2,4
APR-DRG,4831,"PENIS, TESTES AND SCROTAL PROCEDURES Age Under 21",,,4951.68,4951.68,4
APR-DRG,4832,"PENIS, TESTES AND SCROTAL PROCEDURES ",,,6200.69,7868.9,18
APR-DRG,4832,"PENIS, TESTES AND SCROTAL PROCEDURES Age 21+",,,6609.88,6609.88,4
APR-DRG,4832,"PENIS, TESTES AND SCROTAL PROCEDURES Age Under 21",,,7050.53,7050.53,4
APR-DRG,4833,"PENIS, TESTES AND SCROTAL PROCEDURES ",,,7182.32,9114.63,18
APR-DRG,4833,"PENIS, TESTES AND SCROTAL PROCEDURES Age 21+",,,7656.28,7656.28,4
APR-DRG,4833,"PENIS, TESTES AND SCROTAL PROCEDURES Age Under 21",,,8166.7,8166.7,4
APR-DRG,4834,"PENIS, TESTES AND SCROTAL PROCEDURES ",,,38293.61,48595.95,18
APR-DRG,4834,"PENIS, TESTES AND SCROTAL PROCEDURES Age 21+",,,40820.6,40820.6,4
APR-DRG,4834,"PENIS, TESTES AND SCROTAL PROCEDURES Age Under 21",,,43541.97,43541.97,4
APR-DRG,4841,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,6835.1,8673.99,18
APR-DRG,4841,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age 21+,,,7286.15,7286.15,4
APR-DRG,4841,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age Under 21,,,7771.89,7771.89,4
APR-DRG,4842,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,7607.94,9654.75,18
APR-DRG,4842,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age 21+,,,8109.99,8109.99,4
APR-DRG,4842,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age Under 21,,,8650.66,8650.66,4
APR-DRG,4843,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,9105.05,11554.64,18
APR-DRG,4843,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age 21+,,,9705.9,9705.9,4
APR-DRG,4843,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age Under 21,,,10352.96,10352.96,4
APR-DRG,4844,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,24263.19,30790.85,18
APR-DRG,4844,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age 21+,,,25864.31,25864.31,4
APR-DRG,4844,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age Under 21,,,27588.6,27588.6,4
APR-DRG,5001,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM ",,,4329.2,5493.91,18
APR-DRG,5001,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Age 21+",,,4614.89,4614.89,4
APR-DRG,5001,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Age Under 21",,,4922.55,4922.55,4
APR-DRG,5002,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM ",,,5287.89,6710.52,18
APR-DRG,5002,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Age 21+",,,5636.84,5636.84,4
APR-DRG,5002,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Age Under 21",,,6012.63,6012.63,4
APR-DRG,5003,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM ",,,8046.55,10211.36,18
APR-DRG,5003,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Age 21+",,,8577.54,8577.54,4
APR-DRG,5003,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Age Under 21",,,9149.38,9149.38,4
APR-DRG,5004,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM ",,,11148.62,14148.0,18
APR-DRG,5004,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Age 21+",,,11884.32,11884.32,4
APR-DRG,5004,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Age Under 21",,,12676.61,12676.61,4
APR-DRG,5011,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY ,,,1909.34,2423.03,18
APR-DRG,5011,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Age 21+,,,2035.34,2035.34,4
APR-DRG,5011,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Age Under 21,,,2171.03,2171.03,4
APR-DRG,5012,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY ,,,3182.75,4039.02,18
APR-DRG,5012,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Age 21+,,,3392.78,3392.78,4
APR-DRG,5012,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Age Under 21,,,3618.97,3618.97,4
APR-DRG,5013,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY ,,,4721.55,5991.81,18
APR-DRG,5013,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Age 21+,,,5033.12,5033.12,4
APR-DRG,5013,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Age Under 21,,,5368.66,5368.66,4
APR-DRG,5014,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY ,,,6265.32,7950.91,18
APR-DRG,5014,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Age 21+,,,6678.77,6678.77,4
APR-DRG,5014,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Age Under 21,,,7124.02,7124.02,4
APR-DRG,5101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED ",,,4668.78,5924.85,18
APR-DRG,5101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED Age 21+",,,4976.87,4976.87,4
APR-DRG,5101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED Age Under 21",,,5308.67,5308.67,4
APR-DRG,5102,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED ",,,5859.2,7435.54,18
APR-DRG,5102,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED Age 21+",,,6245.85,6245.85,4
APR-DRG,5102,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED Age Under 21",,,6662.24,6662.24,4
APR-DRG,5103,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED ",,,14266.75,18105.01,18
APR-DRG,5103,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED Age 21+",,,15208.21,15208.21,4
APR-DRG,5103,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED Age Under 21",,,16222.09,16222.09,4
APR-DRG,5104,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED ",,,26655.89,33827.28,18
APR-DRG,5104,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED Age 21+",,,28414.91,28414.91,4
APR-DRG,5104,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCED Age Under 21",,,30309.24,30309.24,4
APR-DRG,5111,GYNECOLOGIC PROCEDURES FOR MALIGNANCY ,,,5554.04,7048.27,18
APR-DRG,5111,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Age 21+,,,5920.55,5920.55,4
APR-DRG,5111,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Age Under 21,,,6315.25,6315.25,4
APR-DRG,5112,GYNECOLOGIC PROCEDURES FOR MALIGNANCY ,,,6824.01,8659.91,18
APR-DRG,5112,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Age 21+,,,7274.33,7274.33,4
APR-DRG,5112,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Age Under 21,,,7759.28,7759.28,4
APR-DRG,5113,GYNECOLOGIC PROCEDURES FOR MALIGNANCY ,,,12674.03,16083.8,18
APR-DRG,5113,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Age 21+,,,13510.39,13510.39,4
APR-DRG,5113,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Age Under 21,,,14411.08,14411.08,4
APR-DRG,5114,GYNECOLOGIC PROCEDURES FOR MALIGNANCY ,,,26190.13,33236.2,18
APR-DRG,5114,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Age 21+,,,27918.41,27918.41,4
APR-DRG,5114,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Age Under 21,,,29779.64,29779.64,4
APR-DRG,5121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY ,,,6518.85,8272.65,18
APR-DRG,5121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY Age 21+,,,6949.03,6949.03,4
APR-DRG,5121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY Age Under 21,,,7412.29,7412.29,4
APR-DRG,5122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY ,,,7305.84,9271.38,18
APR-DRG,5122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY Age 21+,,,7787.96,7787.96,4
APR-DRG,5122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY Age Under 21,,,8307.15,8307.15,4
APR-DRG,5123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY ,,,13101.95,16626.84,18
APR-DRG,5123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY Age 21+,,,13966.54,13966.54,4
APR-DRG,5123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY Age Under 21,,,14897.65,14897.65,4
APR-DRG,5124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY ,,,22702.98,28810.89,18
APR-DRG,5124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY Age 21+,,,24201.15,24201.15,4
APR-DRG,5124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY Age Under 21,,,25814.56,25814.56,4
APR-DRG,5131,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY ,,,4096.32,5198.38,18
APR-DRG,5131,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Age 21+,,,4366.64,4366.64,4
APR-DRG,5131,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Age Under 21,,,4657.74,4657.74,4
APR-DRG,5132,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY ,,,4792.68,6082.07,18
APR-DRG,5132,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Age 21+,,,5108.94,5108.94,4
APR-DRG,5132,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Age Under 21,,,5449.54,5449.54,4
APR-DRG,5133,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY ,,,8813.28,11184.36,18
APR-DRG,5133,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Age 21+,,,9394.86,9394.86,4
APR-DRG,5133,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Age Under 21,,,10021.19,10021.19,4
APR-DRG,5134,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY ,,,27577.1,34996.33,18
APR-DRG,5134,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Age 21+,,,29396.91,29396.91,4
APR-DRG,5134,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Age Under 21,,,31356.71,31356.71,4
APR-DRG,5141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,5459.2,6927.93,18
APR-DRG,5141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Age 21+,,,5819.46,5819.46,4
APR-DRG,5141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Age Under 21,,,6207.42,6207.42,4
APR-DRG,5142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,7418.26,9414.04,18
APR-DRG,5142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Age 21+,,,7907.79,7907.79,4
APR-DRG,5142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Age Under 21,,,8434.98,8434.98,4
APR-DRG,5143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12686.27,16099.32,18
APR-DRG,5143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Age 21+,,,13523.43,13523.43,4
APR-DRG,5143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Age Under 21,,,14425.0,14425.0,4
APR-DRG,5144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,22749.63,28870.09,18
APR-DRG,5144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Age 21+,,,24250.87,24250.87,4
APR-DRG,5144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Age Under 21,,,25867.6,25867.6,4
APR-DRG,5171,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES ,,,3083.33,3912.85,18
APR-DRG,5171,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Age 21+,,,3286.79,3286.79,4
APR-DRG,5171,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Age Under 21,,,3505.91,3505.91,4
APR-DRG,5172,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES ,,,4617.92,5860.3,18
APR-DRG,5172,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Age 21+,,,4922.65,4922.65,4
APR-DRG,5172,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Age Under 21,,,5250.83,5250.83,4
APR-DRG,5173,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES ,,,7099.34,9009.31,18
APR-DRG,5173,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Age 21+,,,7567.82,7567.82,4
APR-DRG,5173,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Age Under 21,,,8072.34,8072.34,4
APR-DRG,5174,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES ,,,19426.92,24653.45,18
APR-DRG,5174,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Age 21+,,,20708.9,20708.9,4
APR-DRG,5174,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Age Under 21,,,22089.49,22089.49,4
APR-DRG,5181,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,3793.07,4813.54,18
APR-DRG,5181,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age 21+,,,4043.37,4043.37,4
APR-DRG,5181,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age Under 21,,,4312.93,4312.93,4
APR-DRG,5182,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,5534.92,7024.01,18
APR-DRG,5182,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age 21+,,,5900.17,5900.17,4
APR-DRG,5182,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age Under 21,,,6293.52,6293.52,4
APR-DRG,5183,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,11310.0,14352.79,18
APR-DRG,5183,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age 21+,,,12056.34,12056.34,4
APR-DRG,5183,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age Under 21,,,12860.1,12860.1,4
APR-DRG,5184,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,20126.72,25541.53,18
APR-DRG,5184,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age 21+,,,21454.88,21454.88,4
APR-DRG,5184,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Age Under 21,,,22885.21,22885.21,4
APR-DRG,5191,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA ,,,4034.75,5120.24,18
APR-DRG,5191,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Age 21+,,,4301.0,4301.0,4
APR-DRG,5191,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Age Under 21,,,4587.73,4587.73,4
APR-DRG,5192,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA ,,,4947.17,6278.14,18
APR-DRG,5192,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Age 21+,,,5273.64,5273.64,4
APR-DRG,5192,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Age Under 21,,,5625.21,5625.21,4
APR-DRG,5193,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA ,,,8500.86,10787.89,18
APR-DRG,5193,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Age 21+,,,9061.83,9061.83,4
APR-DRG,5193,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Age Under 21,,,9665.95,9665.95,4
APR-DRG,5194,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA ,,,19093.84,24230.76,18
APR-DRG,5194,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Age 21+,,,20353.84,20353.84,4
APR-DRG,5194,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Age Under 21,,,21710.76,21710.76,4
APR-DRG,5301,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,3217.17,4082.7,18
APR-DRG,5301,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Age 21+,,,3429.47,3429.47,4
APR-DRG,5301,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Age Under 21,,,3658.1,3658.1,4
APR-DRG,5302,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,4090.96,5191.58,18
APR-DRG,5302,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Age 21+,,,4360.92,4360.92,4
APR-DRG,5302,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Age Under 21,,,4651.65,4651.65,4
APR-DRG,5303,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,6628.22,8411.45,18
APR-DRG,5303,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Age 21+,,,7065.62,7065.62,4
APR-DRG,5303,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Age Under 21,,,7536.66,7536.66,4
APR-DRG,5304,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,9885.92,12545.59,18
APR-DRG,5304,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Age 21+,,,10538.29,10538.29,4
APR-DRG,5304,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Age Under 21,,,11240.85,11240.85,4
APR-DRG,5311,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,2298.64,2917.05,18
APR-DRG,5311,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Age 21+,,,2450.32,2450.32,4
APR-DRG,5311,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Age Under 21,,,2613.68,2613.68,4
APR-DRG,5312,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,3360.57,4264.69,18
APR-DRG,5312,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Age 21+,,,3582.34,3582.34,4
APR-DRG,5312,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Age Under 21,,,3821.16,3821.16,4
APR-DRG,5313,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,5107.01,6480.97,18
APR-DRG,5313,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Age 21+,,,5444.02,5444.02,4
APR-DRG,5313,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Age Under 21,,,5806.95,5806.95,4
APR-DRG,5314,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,9723.78,12339.83,18
APR-DRG,5314,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Age 21+,,,10365.45,10365.45,4
APR-DRG,5314,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Age Under 21,,,11056.48,11056.48,4
APR-DRG,5321,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS ,,,2076.84,2635.59,18
APR-DRG,5321,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Age 21+,,,2213.89,2213.89,4
APR-DRG,5321,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Age Under 21,,,2361.49,2361.49,4
APR-DRG,5322,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS ,,,2358.29,2992.75,18
APR-DRG,5322,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Age 21+,,,2513.91,2513.91,4
APR-DRG,5322,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Age Under 21,,,2681.5,2681.5,4
APR-DRG,5323,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS ,,,6755.18,8572.56,18
APR-DRG,5323,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Age 21+,,,7200.95,7200.95,4
APR-DRG,5323,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Age Under 21,,,7681.02,7681.02,4
APR-DRG,5324,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS ,,,10739.83,13629.22,18
APR-DRG,5324,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Age 21+,,,11448.55,11448.55,4
APR-DRG,5324,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Age Under 21,,,12211.79,12211.79,4
APR-DRG,5391,CESAREAN SECTION WITH STERILIZATION ,,,2335.73,2964.13,18
APR-DRG,5391,CESAREAN SECTION WITH STERILIZATION Age 21+,,,2489.87,2489.87,4
APR-DRG,5391,CESAREAN SECTION WITH STERILIZATION Age Under 21,,,2655.86,2655.86,4
APR-DRG,5392,CESAREAN SECTION WITH STERILIZATION ,,,2816.41,3574.13,18
APR-DRG,5392,CESAREAN SECTION WITH STERILIZATION Age 21+,,,3002.27,3002.27,4
APR-DRG,5392,CESAREAN SECTION WITH STERILIZATION Age Under 21,,,3202.42,3202.42,4
APR-DRG,5393,CESAREAN SECTION WITH STERILIZATION ,,,4444.31,5639.99,18
APR-DRG,5393,CESAREAN SECTION WITH STERILIZATION Age 21+,,,4737.59,4737.59,4
APR-DRG,5393,CESAREAN SECTION WITH STERILIZATION Age Under 21,,,5053.43,5053.43,4
APR-DRG,5394,CESAREAN SECTION WITH STERILIZATION ,,,11133.33,14128.59,18
APR-DRG,5394,CESAREAN SECTION WITH STERILIZATION Age 21+,,,11868.01,11868.01,4
APR-DRG,5394,CESAREAN SECTION WITH STERILIZATION Age Under 21,,,12659.21,12659.21,4
APR-DRG,5401,CESAREAN SECTION WITHOUT STERILIZATION ,,,1039.0,4047.0,28
APR-DRG,5401,CESAREAN SECTION WITHOUT STERILIZATION Age 21+,,,2376.13,2376.13,4
APR-DRG,5401,CESAREAN SECTION WITHOUT STERILIZATION Age Under 21,,,2534.54,2534.54,4
APR-DRG,5402,CESAREAN SECTION WITHOUT STERILIZATION ,,,1039.0,4047.0,28
APR-DRG,5402,CESAREAN SECTION WITHOUT STERILIZATION Age 21+,,,2945.61,2945.61,4
APR-DRG,5402,CESAREAN SECTION WITHOUT STERILIZATION Age Under 21,,,3141.98,3141.98,4
APR-DRG,5403,CESAREAN SECTION WITHOUT STERILIZATION ,,,1039.0,4791.23,28
APR-DRG,5403,CESAREAN SECTION WITHOUT STERILIZATION Age 21+,,,4024.63,4024.63,4
APR-DRG,5403,CESAREAN SECTION WITHOUT STERILIZATION Age Under 21,,,4292.94,4292.94,4
APR-DRG,5404,CESAREAN SECTION WITHOUT STERILIZATION ,,,1039.0,9396.58,28
APR-DRG,5404,CESAREAN SECTION WITHOUT STERILIZATION Age 21+,,,7893.12,7893.12,4
APR-DRG,5404,CESAREAN SECTION WITHOUT STERILIZATION Age Under 21,,,8419.33,8419.33,4
APR-DRG,5411,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C ,,,1039.0,2954.9,28
APR-DRG,5411,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Age 21+,,,2482.12,2482.12,4
APR-DRG,5411,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Age Under 21,,,2647.59,2647.59,4
APR-DRG,5412,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C ,,,1039.0,3314.5,28
APR-DRG,5412,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Age 21+,,,2784.18,2784.18,4
APR-DRG,5412,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Age Under 21,,,2969.79,2969.79,4
APR-DRG,5413,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C ,,,1039.0,3674.09,28
APR-DRG,5413,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Age 21+,,,3086.23,3086.23,4
APR-DRG,5413,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Age Under 21,,,3291.98,3291.98,4
APR-DRG,5414,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C ,,,1039.0,10128.39,28
APR-DRG,5414,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Age 21+,,,8507.85,8507.85,4
APR-DRG,5414,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Age Under 21,,,9075.04,9075.04,4
APR-DRG,5421,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C ,,,1039.0,2450.0,28
APR-DRG,5421,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Age 21+,,,1902.04,1902.04,4
APR-DRG,5421,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Age Under 21,,,2028.85,2028.85,4
APR-DRG,5422,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C ,,,1039.0,2626.36,28
APR-DRG,5422,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Age 21+,,,2206.14,2206.14,4
APR-DRG,5422,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Age Under 21,,,2353.22,2353.22,4
APR-DRG,5423,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C ,,,1039.0,4146.76,28
APR-DRG,5423,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Age 21+,,,3483.28,3483.28,4
APR-DRG,5423,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Age Under 21,,,3715.5,3715.5,4
APR-DRG,5424,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C ,,,1039.0,9866.81,28
APR-DRG,5424,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Age 21+,,,8288.12,8288.12,4
APR-DRG,5424,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Age Under 21,,,8840.66,8840.66,4
APR-DRG,5431,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,2192.71,2782.63,18
APR-DRG,5431,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age 21+",,,2337.41,2337.41,4
APR-DRG,5431,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age Under 21",,,2493.23,2493.23,4
APR-DRG,5432,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,2823.68,3583.35,18
APR-DRG,5432,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age 21+",,,3010.01,3010.01,4
APR-DRG,5432,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age Under 21",,,3210.68,3210.68,4
APR-DRG,5433,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,4426.33,5617.17,18
APR-DRG,5433,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age 21+",,,4718.43,4718.43,4
APR-DRG,5433,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age Under 21",,,5032.99,5032.99,4
APR-DRG,5434,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,12350.52,15673.25,18
APR-DRG,5434,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age 21+",,,13165.53,13165.53,4
APR-DRG,5434,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age Under 21",,,14043.23,14043.23,4
APR-DRG,5471,ANTEPARTUM WITH O.R. PROCEDURE ,,,2993.08,3798.32,18
APR-DRG,5471,ANTEPARTUM WITH O.R. PROCEDURE Age 21+,,,3190.59,3190.59,4
APR-DRG,5471,ANTEPARTUM WITH O.R. PROCEDURE Age Under 21,,,3403.3,3403.3,4
APR-DRG,5472,ANTEPARTUM WITH O.R. PROCEDURE ,,,4138.0,5251.28,18
APR-DRG,5472,ANTEPARTUM WITH O.R. PROCEDURE Age 21+,,,4411.07,4411.07,4
APR-DRG,5472,ANTEPARTUM WITH O.R. PROCEDURE Age Under 21,,,4705.14,4705.14,4
APR-DRG,5473,ANTEPARTUM WITH O.R. PROCEDURE ,,,7255.36,9207.31,18
APR-DRG,5473,ANTEPARTUM WITH O.R. PROCEDURE Age 21+,,,7734.14,7734.14,4
APR-DRG,5473,ANTEPARTUM WITH O.R. PROCEDURE Age Under 21,,,8249.75,8249.75,4
APR-DRG,5474,ANTEPARTUM WITH O.R. PROCEDURE ,,,16084.71,20412.06,18
APR-DRG,5474,ANTEPARTUM WITH O.R. PROCEDURE Age 21+,,,17146.13,17146.13,4
APR-DRG,5474,ANTEPARTUM WITH O.R. PROCEDURE Age Under 21,,,18289.21,18289.21,4
APR-DRG,5481,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE ,,,2650.83,3364.0,18
APR-DRG,5481,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Age 21+,,,2825.76,2825.76,4
APR-DRG,5481,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Age Under 21,,,3014.14,3014.14,4
APR-DRG,5482,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE ,,,4972.79,6310.65,18
APR-DRG,5482,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Age 21+,,,5300.95,5300.95,4
APR-DRG,5482,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Age Under 21,,,5654.34,5654.34,4
APR-DRG,5483,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE ,,,7176.97,9107.83,18
APR-DRG,5483,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Age 21+,,,7650.57,7650.57,4
APR-DRG,5483,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Age Under 21,,,8160.61,8160.61,4
APR-DRG,5484,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE ,,,18639.93,23654.74,18
APR-DRG,5484,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Age 21+,,,19869.98,19869.98,4
APR-DRG,5484,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Age Under 21,,,21194.64,21194.64,4
APR-DRG,5601,VAGINAL DELIVERY ,,,1039.0,2450.0,28
APR-DRG,5601,VAGINAL DELIVERY Age 21+,,,1527.02,1527.02,4
APR-DRG,5601,VAGINAL DELIVERY Age Under 21,,,1628.82,1628.82,4
APR-DRG,5602,VAGINAL DELIVERY ,,,1039.0,2450.0,28
APR-DRG,5602,VAGINAL DELIVERY Age 21+,,,1739.4,1739.4,4
APR-DRG,5602,VAGINAL DELIVERY Age Under 21,,,1855.36,1855.36,4
APR-DRG,5603,VAGINAL DELIVERY ,,,1039.0,2844.74,28
APR-DRG,5603,VAGINAL DELIVERY Age 21+,,,2389.58,2389.58,4
APR-DRG,5603,VAGINAL DELIVERY Age Under 21,,,2548.88,2548.88,4
APR-DRG,5604,VAGINAL DELIVERY ,,,1039.0,4846.05,28
APR-DRG,5604,VAGINAL DELIVERY Age 21+,,,4070.68,4070.68,4
APR-DRG,5604,VAGINAL DELIVERY Age Under 21,,,4342.06,4342.06,4
APR-DRG,5611,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE ,,,1266.91,1607.75,18
APR-DRG,5611,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Age 21+,,,1350.51,1350.51,4
APR-DRG,5611,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Age Under 21,,,1440.54,1440.54,4
APR-DRG,5612,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE ,,,2081.81,2641.89,18
APR-DRG,5612,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Age 21+,,,2219.19,2219.19,4
APR-DRG,5612,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Age Under 21,,,2367.13,2367.13,4
APR-DRG,5613,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE ,,,3452.35,4381.15,18
APR-DRG,5613,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Age 21+,,,3680.17,3680.17,4
APR-DRG,5613,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Age Under 21,,,3925.51,3925.51,4
APR-DRG,5614,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE ,,,6767.03,8587.6,18
APR-DRG,5614,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Age 21+,,,7213.58,7213.58,4
APR-DRG,5614,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Age Under 21,,,7694.49,7694.49,4
APR-DRG,5641,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1398.45,1774.69,18
APR-DRG,5641,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age 21+",,,1490.74,1490.74,4
APR-DRG,5641,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age Under 21",,,1590.12,1590.12,4
APR-DRG,5642,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1914.7,2429.82,18
APR-DRG,5642,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age 21+",,,2041.05,2041.05,4
APR-DRG,5642,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age Under 21",,,2177.12,2177.12,4
APR-DRG,5643,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,3676.82,4666.01,18
APR-DRG,5643,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age 21+",,,3919.45,3919.45,4
APR-DRG,5643,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age Under 21",,,4180.75,4180.75,4
APR-DRG,5644,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13771.16,17476.09,18
APR-DRG,5644,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age 21+",,,14679.91,14679.91,4
APR-DRG,5644,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Age Under 21",,,15658.57,15658.57,4
APR-DRG,5661,ANTEPARTUM WITHOUT O.R. PROCEDURE ,,,1269.2,1610.66,18
APR-DRG,5661,ANTEPARTUM WITHOUT O.R. PROCEDURE Age 21+,,,1352.96,1352.96,4
APR-DRG,5661,ANTEPARTUM WITHOUT O.R. PROCEDURE Age Under 21,,,1443.15,1443.15,4
APR-DRG,5662,ANTEPARTUM WITHOUT O.R. PROCEDURE ,,,1729.24,2194.46,18
APR-DRG,5662,ANTEPARTUM WITHOUT O.R. PROCEDURE Age 21+,,,1843.35,1843.35,4
APR-DRG,5662,ANTEPARTUM WITHOUT O.R. PROCEDURE Age Under 21,,,1966.24,1966.24,4
APR-DRG,5663,ANTEPARTUM WITHOUT O.R. PROCEDURE ,,,2734.19,3469.79,18
APR-DRG,5663,ANTEPARTUM WITHOUT O.R. PROCEDURE Age 21+,,,2914.62,2914.62,4
APR-DRG,5663,ANTEPARTUM WITHOUT O.R. PROCEDURE Age Under 21,,,3108.93,3108.93,4
APR-DRG,5664,ANTEPARTUM WITHOUT O.R. PROCEDURE ,,,5008.35,6355.77,18
APR-DRG,5664,ANTEPARTUM WITHOUT O.R. PROCEDURE Age 21+,,,5338.85,5338.85,4
APR-DRG,5664,ANTEPARTUM WITHOUT O.R. PROCEDURE Age Under 21,,,5694.77,5694.77,4
APR-DRG,5801,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE ",,,1377.42,1748.0,18
APR-DRG,5801,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Age 21+",,,1468.32,1468.32,4
APR-DRG,5801,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Age Under 21",,,1566.21,1566.21,4
APR-DRG,5802,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE ",,,2004.95,2544.35,18
APR-DRG,5802,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Age 21+",,,2137.25,2137.25,4
APR-DRG,5802,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Age Under 21",,,2279.74,2279.74,4
APR-DRG,5803,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE ",,,3238.58,4109.88,18
APR-DRG,5803,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Age 21+",,,3452.3,3452.3,4
APR-DRG,5803,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Age Under 21",,,3682.45,3682.45,4
APR-DRG,5804,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE ",,,5864.18,7441.85,18
APR-DRG,5804,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Age 21+",,,6251.15,6251.15,4
APR-DRG,5804,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Age Under 21",,,6667.9,6667.9,4
APR-DRG,5811,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE ",,,626.38,794.9,18
APR-DRG,5811,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Age 21+",,,667.72,667.72,4
APR-DRG,5811,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Age Under 21",,,712.23,712.23,4
APR-DRG,5812,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE ",,,1011.07,1283.09,18
APR-DRG,5812,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Age 21+",,,1077.79,1077.79,4
APR-DRG,5812,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Age Under 21",,,1149.65,1149.65,4
APR-DRG,5813,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE ",,,1479.14,1877.09,18
APR-DRG,5813,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Age 21+",,,1576.75,1576.75,4
APR-DRG,5813,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Age Under 21",,,1681.87,1681.87,4
APR-DRG,5814,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE ",,,2863.06,3633.32,18
APR-DRG,5814,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Age 21+",,,3051.99,3051.99,4
APR-DRG,5814,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Age Under 21",,,3255.46,3255.46,4
APR-DRG,5831,NEONATE WITH ECMO ,,,107901.95,136931.41,18
APR-DRG,5831,NEONATE WITH ECMO Age 21+,,,115022.39,115022.39,4
APR-DRG,5831,NEONATE WITH ECMO Age Under 21,,,122690.55,122690.55,4
APR-DRG,5832,NEONATE WITH ECMO ,,,122543.46,155512.0,18
APR-DRG,5832,NEONATE WITH ECMO Age 21+,,,130630.08,130630.08,4
APR-DRG,5832,NEONATE WITH ECMO Age Under 21,,,139338.75,139338.75,4
APR-DRG,5833,NEONATE WITH ECMO ,,,245934.33,312099.4,18
APR-DRG,5833,NEONATE WITH ECMO Age 21+,,,262163.5,262163.5,4
APR-DRG,5833,NEONATE WITH ECMO Age Under 21,,,279641.06,279641.06,4
APR-DRG,5834,NEONATE WITH ECMO ,,,290440.49,368579.3,18
APR-DRG,5834,NEONATE WITH ECMO Age 21+,,,309606.61,309606.61,4
APR-DRG,5834,NEONATE WITH ECMO Age Under 21,,,330247.05,330247.05,4
APR-DRG,5881,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE ,,,92557.97,117459.35,18
APR-DRG,5881,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Age 21+,,,98665.85,98665.85,4
APR-DRG,5881,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Age Under 21,,,105243.58,105243.58,4
APR-DRG,5882,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE ,,,98193.85,124611.49,18
APR-DRG,5882,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Age 21+,,,104673.65,104673.65,4
APR-DRG,5882,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Age Under 21,,,111651.89,111651.89,4
APR-DRG,5883,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE ,,,98644.71,125183.64,18
APR-DRG,5883,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Age 21+,,,105154.26,105154.26,4
APR-DRG,5883,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Age Under 21,,,112164.54,112164.54,4
APR-DRG,5884,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE ,,,183844.06,233304.65,18
APR-DRG,5884,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Age 21+,,,195975.91,195975.91,4
APR-DRG,5884,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Age Under 21,,,209040.97,209040.97,4
APR-DRG,5891,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL ",,,77571.91,98441.51,18
APR-DRG,5891,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Age 21+",,,82690.87,82690.87,4
APR-DRG,5891,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Age Under 21",,,88203.6,88203.6,4
APR-DRG,5892,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL ",,,75183.03,95409.94,18
APR-DRG,5892,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Age 21+",,,80144.35,80144.35,4
APR-DRG,5892,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Age Under 21",,,85487.3,85487.3,4
APR-DRG,5893,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL ",,,70519.99,89492.38,18
APR-DRG,5893,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Age 21+",,,75173.6,75173.6,4
APR-DRG,5893,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Age Under 21",,,80185.17,80185.17,4
APR-DRG,5894,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL ",,,12985.7,16479.31,18
APR-DRG,5894,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Age 21+",,,13842.62,13842.62,4
APR-DRG,5894,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Age Under 21",,,14765.46,14765.46,4
APR-DRG,5911,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE ,,,36519.26,46344.24,18
APR-DRG,5911,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Age 21+,,,38929.16,38929.16,4
APR-DRG,5911,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Age Under 21,,,41524.44,41524.44,4
APR-DRG,5912,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE ,,,50650.26,64276.98,18
APR-DRG,5912,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Age 21+,,,53992.66,53992.66,4
APR-DRG,5912,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Age Under 21,,,57592.17,57592.17,4
APR-DRG,5913,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE ,,,61345.35,77849.43,18
APR-DRG,5913,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Age 21+,,,65393.52,65393.52,4
APR-DRG,5913,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Age Under 21,,,69753.08,69753.08,4
APR-DRG,5914,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE ,,,93159.49,118222.7,18
APR-DRG,5914,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Age 21+,,,99307.07,99307.07,4
APR-DRG,5914,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Age Under 21,,,105927.54,105927.54,4
APR-DRG,5931,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE ,,,11331.79,14380.45,18
APR-DRG,5931,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Age 21+,,,12079.58,12079.58,4
APR-DRG,5931,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Age Under 21,,,12884.88,12884.88,4
APR-DRG,5932,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE ,,,43397.95,55073.54,18
APR-DRG,5932,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Age 21+,,,46261.77,46261.77,4
APR-DRG,5932,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Age Under 21,,,49345.89,49345.89,4
APR-DRG,5933,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE ,,,55237.58,70098.45,18
APR-DRG,5933,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Age 21+,,,58882.7,58882.7,4
APR-DRG,5933,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Age Under 21,,,62808.21,62808.21,4
APR-DRG,5934,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE ,,,77339.8,98146.95,18
APR-DRG,5934,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Age 21+,,,82443.44,82443.44,4
APR-DRG,5934,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Age Under 21,,,87939.67,87939.67,4
APR-DRG,6021,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,17576.08,22304.68,18
APR-DRG,6021,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,18735.93,18735.93,4
APR-DRG,6021,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,19984.99,19984.99,4
APR-DRG,6022,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,34717.37,44057.57,18
APR-DRG,6022,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,37008.36,37008.36,4
APR-DRG,6022,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,39475.59,39475.59,4
APR-DRG,6023,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,45949.74,58311.85,18
APR-DRG,6023,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,48981.95,48981.95,4
APR-DRG,6023,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,52247.42,52247.42,4
APR-DRG,6024,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,71097.04,90224.68,18
APR-DRG,6024,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,75788.73,75788.73,4
APR-DRG,6024,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,80841.31,80841.31,4
APR-DRG,6031,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,12870.98,16333.72,18
APR-DRG,6031,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age 21+,,,13720.33,13720.33,4
APR-DRG,6031,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age Under 21,,,14635.02,14635.02,4
APR-DRG,6032,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,24418.83,30988.36,18
APR-DRG,6032,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age 21+,,,26030.22,26030.22,4
APR-DRG,6032,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age Under 21,,,27765.57,27765.57,4
APR-DRG,6033,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,30484.91,38686.44,18
APR-DRG,6033,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age 21+,,,32496.61,32496.61,4
APR-DRG,6033,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age Under 21,,,34663.05,34663.05,4
APR-DRG,6034,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,79938.62,101444.95,18
APR-DRG,6034,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age 21+,,,85213.76,85213.76,4
APR-DRG,6034,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age Under 21,,,90894.68,90894.68,4
APR-DRG,6071,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,18747.39,23791.1,18
APR-DRG,6071,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,19984.52,19984.52,4
APR-DRG,6071,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,21316.83,21316.83,4
APR-DRG,6072,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,22872.38,29025.86,18
APR-DRG,6072,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,24381.72,24381.72,4
APR-DRG,6072,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,26007.17,26007.17,4
APR-DRG,6073,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,31791.2,40344.16,18
APR-DRG,6073,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,33889.1,33889.1,4
APR-DRG,6073,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,36148.37,36148.37,4
APR-DRG,6074,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,50154.65,63648.04,18
APR-DRG,6074,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,53464.35,53464.35,4
APR-DRG,6074,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,57028.64,57028.64,4
APR-DRG,6081,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,11615.92,14741.01,18
APR-DRG,6081,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age 21+,,,12382.45,12382.45,4
APR-DRG,6081,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age Under 21,,,13207.95,13207.95,4
APR-DRG,6082,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,18510.3,23490.22,18
APR-DRG,6082,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age 21+,,,19731.79,19731.79,4
APR-DRG,6082,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age Under 21,,,21047.24,21047.24,4
APR-DRG,6083,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,24243.69,30766.1,18
APR-DRG,6083,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age 21+,,,25843.52,25843.52,4
APR-DRG,6083,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age Under 21,,,27566.43,27566.43,4
APR-DRG,6084,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,61171.35,77628.61,18
APR-DRG,6084,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age 21+,,,65208.03,65208.03,4
APR-DRG,6084,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Age Under 21,,,69555.24,69555.24,4
APR-DRG,6091,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE ,,,10940.21,13883.51,18
APR-DRG,6091,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Age 21+,,,11662.15,11662.15,4
APR-DRG,6091,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Age Under 21,,,12439.63,12439.63,4
APR-DRG,6092,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE ,,,11337.91,14388.21,18
APR-DRG,6092,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Age 21+,,,12086.1,12086.1,4
APR-DRG,6092,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Age Under 21,,,12891.84,12891.84,4
APR-DRG,6093,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE ,,,43612.48,55345.79,18
APR-DRG,6093,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Age 21+,,,46490.46,46490.46,4
APR-DRG,6093,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Age Under 21,,,49589.83,49589.83,4
APR-DRG,6094,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE ,,,135580.01,172055.85,18
APR-DRG,6094,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Age 21+,,,144526.91,144526.91,4
APR-DRG,6094,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Age Under 21,,,154162.04,154162.04,4
APR-DRG,6111,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY ,,,9462.6,12008.38,18
APR-DRG,6111,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Age 21+,,,10087.04,10087.04,4
APR-DRG,6111,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Age Under 21,,,10759.5,10759.5,4
APR-DRG,6112,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY ,,,12649.94,16053.23,18
APR-DRG,6112,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Age 21+,,,13484.71,13484.71,4
APR-DRG,6112,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Age Under 21,,,14383.69,14383.69,4
APR-DRG,6113,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY ,,,21609.3,27422.98,18
APR-DRG,6113,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Age 21+,,,23035.3,23035.3,4
APR-DRG,6113,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Age Under 21,,,24570.99,24570.99,4
APR-DRG,6114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY ,,,55174.1,70017.89,18
APR-DRG,6114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Age 21+,,,58815.03,58815.03,4
APR-DRG,6114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Age Under 21,,,62736.03,62736.03,4
APR-DRG,6121,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,10435.82,13243.42,18
APR-DRG,6121,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,11124.48,11124.48,4
APR-DRG,6121,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,11866.11,11866.11,4
APR-DRG,6122,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,14814.35,18799.94,18
APR-DRG,6122,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,15791.95,15791.95,4
APR-DRG,6122,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,16844.74,16844.74,4
APR-DRG,6123,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,20661.7,26220.44,18
APR-DRG,6123,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,22025.17,22025.17,4
APR-DRG,6123,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,23493.51,23493.51,4
APR-DRG,6124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,35352.15,44863.14,18
APR-DRG,6124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,37685.04,37685.04,4
APR-DRG,6124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,40197.37,40197.37,4
APR-DRG,6131,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,7982.31,10129.84,18
APR-DRG,6131,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,8509.06,8509.06,4
APR-DRG,6131,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,9076.33,9076.33,4
APR-DRG,6132,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,11732.94,14889.51,18
APR-DRG,6132,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,12507.19,12507.19,4
APR-DRG,6132,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,13341.0,13341.0,4
APR-DRG,6133,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,19954.26,25322.66,18
APR-DRG,6133,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,21271.04,21271.04,4
APR-DRG,6133,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,22689.11,22689.11,4
APR-DRG,6134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,47532.5,60320.44,18
APR-DRG,6134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,50669.17,50669.17,4
APR-DRG,6134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,54047.11,54047.11,4
APR-DRG,6141,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION ,,,5849.26,7422.93,18
APR-DRG,6141,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Age 21+,,,6235.26,6235.26,4
APR-DRG,6141,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Age Under 21,,,6650.94,6650.94,4
APR-DRG,6142,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION ,,,9508.49,12066.61,18
APR-DRG,6142,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Age 21+,,,10135.95,10135.95,4
APR-DRG,6142,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Age Under 21,,,10811.68,10811.68,4
APR-DRG,6143,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION ,,,18019.28,22867.11,18
APR-DRG,6143,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Age 21+,,,19208.37,19208.37,4
APR-DRG,6143,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Age Under 21,,,20488.93,20488.93,4
APR-DRG,6144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION ,,,40739.09,51699.35,18
APR-DRG,6144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Age 21+,,,43427.45,43427.45,4
APR-DRG,6144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Age Under 21,,,46322.62,46322.62,4
APR-DRG,6211,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY ,,,4154.06,5271.65,18
APR-DRG,6211,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Age 21+,,,4428.19,4428.19,4
APR-DRG,6211,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Age Under 21,,,4723.4,4723.4,4
APR-DRG,6212,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY ,,,8830.49,11206.2,18
APR-DRG,6212,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Age 21+,,,9413.21,9413.21,4
APR-DRG,6212,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Age Under 21,,,10040.76,10040.76,4
APR-DRG,6213,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY ,,,20185.99,25616.74,18
APR-DRG,6213,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Age 21+,,,21518.06,21518.06,4
APR-DRG,6213,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Age Under 21,,,22952.6,22952.6,4
APR-DRG,6214,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY ,,,67514.68,85678.53,18
APR-DRG,6214,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Age 21+,,,71969.96,71969.96,4
APR-DRG,6214,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Age Under 21,,,76767.96,76767.96,4
APR-DRG,6221,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,6639.69,8426.0,18
APR-DRG,6221,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,7077.84,7077.84,4
APR-DRG,6221,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,7549.7,7549.7,4
APR-DRG,6222,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,9354.38,11871.04,18
APR-DRG,6222,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,9971.67,9971.67,4
APR-DRG,6222,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,10636.45,10636.45,4
APR-DRG,6223,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,11516.12,14614.36,18
APR-DRG,6223,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,12276.06,12276.06,4
APR-DRG,6223,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,13094.47,13094.47,4
APR-DRG,6224,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,17307.25,21963.51,18
APR-DRG,6224,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age 21+,,,18449.35,18449.35,4
APR-DRG,6224,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Age Under 21,,,19679.31,19679.31,4
APR-DRG,6231,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,5337.22,6773.13,18
APR-DRG,6231,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,5689.43,5689.43,4
APR-DRG,6231,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,6068.72,6068.72,4
APR-DRG,6232,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,8076.76,10249.7,18
APR-DRG,6232,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,8609.75,8609.75,4
APR-DRG,6232,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,9183.73,9183.73,4
APR-DRG,6233,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,14671.71,18618.92,18
APR-DRG,6233,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,15639.9,15639.9,4
APR-DRG,6233,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,16682.56,16682.56,4
APR-DRG,6234,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,33305.15,42265.41,18
APR-DRG,6234,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,35502.95,35502.95,4
APR-DRG,6234,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,37869.81,37869.81,4
APR-DRG,6251,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,5859.2,7435.54,18
APR-DRG,6251,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age 21+,,,6245.85,6245.85,4
APR-DRG,6251,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age Under 21,,,6662.24,6662.24,4
APR-DRG,6252,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,7950.19,10089.08,18
APR-DRG,6252,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age 21+,,,8474.82,8474.82,4
APR-DRG,6252,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age Under 21,,,9039.81,9039.81,4
APR-DRG,6253,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,13140.95,16676.34,18
APR-DRG,6253,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age 21+,,,14008.12,14008.12,4
APR-DRG,6253,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age Under 21,,,14942.0,14942.0,4
APR-DRG,6254,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,35454.26,44992.71,18
APR-DRG,6254,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age 21+,,,37793.88,37793.88,4
APR-DRG,6254,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age Under 21,,,40313.47,40313.47,4
APR-DRG,6261,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL ",,,868.44,1102.09,18
APR-DRG,6261,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Age 21+",,,925.75,925.75,4
APR-DRG,6261,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Age Under 21",,,987.47,987.47,4
APR-DRG,6262,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL ",,,1183.55,1501.96,18
APR-DRG,6262,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Age 21+",,,1261.65,1261.65,4
APR-DRG,6262,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Age Under 21",,,1345.76,1345.76,4
APR-DRG,6263,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL ",,,3090.6,3922.07,18
APR-DRG,6263,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Age 21+",,,3294.54,3294.54,4
APR-DRG,6263,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Age Under 21",,,3514.18,3514.18,4
APR-DRG,6264,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL ",,,16464.05,20893.46,18
APR-DRG,6264,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Age 21+",,,17550.51,17550.51,4
APR-DRG,6264,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Age Under 21",,,18720.54,18720.54,4
APR-DRG,6301,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE ,,,13548.6,17193.65,18
APR-DRG,6301,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Age 21+,,,14442.67,14442.67,4
APR-DRG,6301,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Age Under 21,,,15405.51,15405.51,4
APR-DRG,6302,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE ,,,23272.38,29533.47,18
APR-DRG,6302,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Age 21+,,,24808.12,24808.12,4
APR-DRG,6302,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Age Under 21,,,26461.99,26461.99,4
APR-DRG,6303,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE ,,,64472.64,81818.07,18
APR-DRG,6303,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Age 21+,,,68727.18,68727.18,4
APR-DRG,6303,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Age Under 21,,,73309.0,73309.0,4
APR-DRG,6304,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE ,,,136792.24,173594.21,18
APR-DRG,6304,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Age 21+,,,145819.14,145819.14,4
APR-DRG,6304,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Age Under 21,,,155540.41,155540.41,4
APR-DRG,6311,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE ,,,9398.74,11927.34,18
APR-DRG,6311,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Age 21+,,,10018.96,10018.96,4
APR-DRG,6311,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Age Under 21,,,10686.89,10686.89,4
APR-DRG,6312,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE ,,,19263.25,24445.75,18
APR-DRG,6312,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Age 21+,,,20534.43,20534.43,4
APR-DRG,6312,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Age Under 21,,,21903.39,21903.39,4
APR-DRG,6313,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE ,,,35742.97,45359.1,18
APR-DRG,6313,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Age 21+,,,38101.64,38101.64,4
APR-DRG,6313,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Age Under 21,,,40641.75,40641.75,4
APR-DRG,6314,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE ,,,96544.92,122518.94,18
APR-DRG,6314,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Age 21+,,,102915.91,102915.91,4
APR-DRG,6314,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Age Under 21,,,109776.97,109776.97,4
APR-DRG,6331,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY ,,,1340.33,1700.92,18
APR-DRG,6331,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Age 21+,,,1428.78,1428.78,4
APR-DRG,6331,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Age Under 21,,,1524.03,1524.03,4
APR-DRG,6332,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY ,,,5225.94,6631.9,18
APR-DRG,6332,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Age 21+,,,5570.8,5570.8,4
APR-DRG,6332,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Age Under 21,,,5942.18,5942.18,4
APR-DRG,6333,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY ,,,14277.46,18118.6,18
APR-DRG,6333,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Age 21+,,,15219.62,15219.62,4
APR-DRG,6333,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Age Under 21,,,16234.27,16234.27,4
APR-DRG,6334,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY ,,,51308.75,65112.63,18
APR-DRG,6334,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Age 21+,,,54694.61,54694.61,4
APR-DRG,6334,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Age Under 21,,,58340.91,58340.91,4
APR-DRG,6341,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA ,,,3698.23,4693.19,18
APR-DRG,6341,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Age 21+,,,3942.28,3942.28,4
APR-DRG,6341,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Age Under 21,,,4205.1,4205.1,4
APR-DRG,6342,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA ,,,6348.68,8056.7,18
APR-DRG,6342,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Age 21+,,,6767.63,6767.63,4
APR-DRG,6342,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Age Under 21,,,7218.8,7218.8,4
APR-DRG,6343,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA ,,,8836.6,11213.96,18
APR-DRG,6343,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Age 21+,,,9419.73,9419.73,4
APR-DRG,6343,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Age Under 21,,,10047.71,10047.71,4
APR-DRG,6344,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA ,,,26093.76,33113.91,18
APR-DRG,6344,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Age 21+,,,27815.69,27815.69,4
APR-DRG,6344,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Age Under 21,,,29670.07,29670.07,4
APR-DRG,6361,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,2827.5,3588.2,18
APR-DRG,6361,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,3014.09,3014.09,4
APR-DRG,6361,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,3215.03,3215.03,4
APR-DRG,6362,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,4748.32,6025.79,18
APR-DRG,6362,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,5061.66,5061.66,4
APR-DRG,6362,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,5399.11,5399.11,4
APR-DRG,6363,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,8968.15,11380.9,18
APR-DRG,6363,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,9559.96,9559.96,4
APR-DRG,6363,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,10197.29,10197.29,4
APR-DRG,6364,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,15335.19,19460.9,18
APR-DRG,6364,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age 21+,,,16347.16,16347.16,4
APR-DRG,6364,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Age Under 21,,,17436.97,17436.97,4
APR-DRG,6391,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,2755.61,3496.96,18
APR-DRG,6391,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age 21+,,,2937.45,2937.45,4
APR-DRG,6391,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age Under 21,,,3133.28,3133.28,4
APR-DRG,6392,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,5670.67,7196.29,18
APR-DRG,6392,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age 21+,,,6044.88,6044.88,4
APR-DRG,6392,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age Under 21,,,6447.87,6447.87,4
APR-DRG,6393,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,9479.81,12030.21,18
APR-DRG,6393,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age 21+,,,10105.38,10105.38,4
APR-DRG,6393,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age Under 21,,,10779.07,10779.07,4
APR-DRG,6394,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,17976.84,22813.25,18
APR-DRG,6394,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age 21+,,,19163.13,19163.13,4
APR-DRG,6394,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Age Under 21,,,20440.67,20440.67,4
APR-DRG,6401,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM ",,,378.96,480.91,18
APR-DRG,6401,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Age 21+",,,403.97,403.97,4
APR-DRG,6401,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Age Under 21",,,430.9,430.9,4
APR-DRG,6402,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM ",,,644.35,817.7,18
APR-DRG,6402,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Age 21+",,,686.87,686.87,4
APR-DRG,6402,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Age Under 21",,,732.66,732.66,4
APR-DRG,6403,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM ",,,1734.97,2201.74,18
APR-DRG,6403,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Age 21+",,,1849.46,1849.46,4
APR-DRG,6403,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Age Under 21",,,1972.76,1972.76,4
APR-DRG,6404,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM ",,,18504.17,23482.45,18
APR-DRG,6404,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Age 21+",,,19725.26,19725.26,4
APR-DRG,6404,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Age Under 21",,,21040.28,21040.28,4
APR-DRG,6501,SPLENIC PROCEDURES ,,,6310.06,8007.69,18
APR-DRG,6501,SPLENIC PROCEDURES Age 21+,,,6726.46,6726.46,4
APR-DRG,6501,SPLENIC PROCEDURES Age Under 21,,,7174.89,7174.89,4
APR-DRG,6502,SPLENIC PROCEDURES ,,,9007.54,11430.89,18
APR-DRG,6502,SPLENIC PROCEDURES Age 21+,,,9601.95,9601.95,4
APR-DRG,6502,SPLENIC PROCEDURES Age Under 21,,,10242.08,10242.08,4
APR-DRG,6503,SPLENIC PROCEDURES ,,,13781.1,17488.7,18
APR-DRG,6503,SPLENIC PROCEDURES Age 21+,,,14690.51,14690.51,4
APR-DRG,6503,SPLENIC PROCEDURES Age Under 21,,,15669.88,15669.88,4
APR-DRG,6504,SPLENIC PROCEDURES ,,,21133.59,26819.27,18
APR-DRG,6504,SPLENIC PROCEDURES Age 21+,,,22528.19,22528.19,4
APR-DRG,6504,SPLENIC PROCEDURES Age Under 21,,,24030.07,24030.07,4
APR-DRG,6511,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS ,,,5389.61,6839.61,18
APR-DRG,6511,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Age 21+,,,5745.27,5745.27,4
APR-DRG,6511,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Age Under 21,,,6128.29,6128.29,4
APR-DRG,6512,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS ,,,7427.83,9426.17,18
APR-DRG,6512,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Age 21+,,,7917.99,7917.99,4
APR-DRG,6512,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Age Under 21,,,8445.85,8445.85,4
APR-DRG,6513,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS ,,,8951.71,11360.04,18
APR-DRG,6513,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Age 21+,,,9542.43,9542.43,4
APR-DRG,6513,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Age Under 21,,,10178.59,10178.59,4
APR-DRG,6514,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS ,,,41300.46,52411.75,18
APR-DRG,6514,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Age 21+,,,44025.87,44025.87,4
APR-DRG,6514,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Age Under 21,,,46960.93,46960.93,4
APR-DRG,6601,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA ,,,4963.61,6299.0,18
APR-DRG,6601,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Age 21+,,,5291.16,5291.16,4
APR-DRG,6601,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Age Under 21,,,5643.9,5643.9,4
APR-DRG,6602,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA ,,,4998.41,6343.16,18
APR-DRG,6602,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Age 21+,,,5328.26,5328.26,4
APR-DRG,6602,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Age Under 21,,,5683.47,5683.47,4
APR-DRG,6603,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA ,,,8103.15,10283.19,18
APR-DRG,6603,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Age 21+,,,8637.88,8637.88,4
APR-DRG,6603,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Age Under 21,,,9213.74,9213.74,4
APR-DRG,6604,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA ,,,33312.03,42274.15,18
APR-DRG,6604,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Age 21+,,,35510.29,35510.29,4
APR-DRG,6604,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Age Under 21,,,37877.64,37877.64,4
APR-DRG,6611,COAGULATION AND PLATELET DISORDERS ,,,4619.83,5862.73,18
APR-DRG,6611,COAGULATION AND PLATELET DISORDERS Age 21+,,,4924.69,4924.69,4
APR-DRG,6611,COAGULATION AND PLATELET DISORDERS Age Under 21,,,5253.0,5253.0,4
APR-DRG,6612,COAGULATION AND PLATELET DISORDERS ,,,5044.3,6401.4,18
APR-DRG,6612,COAGULATION AND PLATELET DISORDERS Age 21+,,,5377.18,5377.18,4
APR-DRG,6612,COAGULATION AND PLATELET DISORDERS Age Under 21,,,5735.65,5735.65,4
APR-DRG,6613,COAGULATION AND PLATELET DISORDERS ,,,23394.36,29688.27,18
APR-DRG,6613,COAGULATION AND PLATELET DISORDERS Age 21+,,,24938.15,24938.15,4
APR-DRG,6613,COAGULATION AND PLATELET DISORDERS Age Under 21,,,26600.69,26600.69,4
APR-DRG,6614,COAGULATION AND PLATELET DISORDERS ,,,28533.5,36210.03,18
APR-DRG,6614,COAGULATION AND PLATELET DISORDERS Age 21+,,,30416.42,30416.42,4
APR-DRG,6614,COAGULATION AND PLATELET DISORDERS Age Under 21,,,32444.18,32444.18,4
APR-DRG,6621,SICKLE CELL ANEMIA CRISIS ,,,2594.62,3292.66,18
APR-DRG,6621,SICKLE CELL ANEMIA CRISIS Age 21+,,,2765.84,2765.84,4
APR-DRG,6621,SICKLE CELL ANEMIA CRISIS Age Under 21,,,2950.23,2950.23,4
APR-DRG,6622,SICKLE CELL ANEMIA CRISIS ,,,3650.43,4632.52,18
APR-DRG,6622,SICKLE CELL ANEMIA CRISIS Age 21+,,,3891.32,3891.32,4
APR-DRG,6622,SICKLE CELL ANEMIA CRISIS Age Under 21,,,4150.74,4150.74,4
APR-DRG,6623,SICKLE CELL ANEMIA CRISIS ,,,5848.5,7421.95,18
APR-DRG,6623,SICKLE CELL ANEMIA CRISIS Age 21+,,,6234.44,6234.44,4
APR-DRG,6623,SICKLE CELL ANEMIA CRISIS Age Under 21,,,6650.07,6650.07,4
APR-DRG,6624,SICKLE CELL ANEMIA CRISIS ,,,15249.15,19351.71,18
APR-DRG,6624,SICKLE CELL ANEMIA CRISIS Age 21+,,,16255.44,16255.44,4
APR-DRG,6624,SICKLE CELL ANEMIA CRISIS Age Under 21,,,17339.13,17339.13,4
APR-DRG,6631,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS ,,,2303.98,2923.84,18
APR-DRG,6631,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Age 21+,,,2456.02,2456.02,4
APR-DRG,6631,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Age Under 21,,,2619.76,2619.76,4
APR-DRG,6632,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS ,,,3203.02,4064.75,18
APR-DRG,6632,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Age 21+,,,3414.39,3414.39,4
APR-DRG,6632,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Age Under 21,,,3642.02,3642.02,4
APR-DRG,6633,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS ,,,5258.44,6673.15,18
APR-DRG,6633,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Age 21+,,,5605.45,5605.45,4
APR-DRG,6633,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Age Under 21,,,5979.14,5979.14,4
APR-DRG,6634,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS ,,,8912.7,11310.54,18
APR-DRG,6634,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Age 21+,,,9500.85,9500.85,4
APR-DRG,6634,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Age Under 21,,,10134.24,10134.24,4
APR-DRG,6801,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,8904.29,11299.86,18
APR-DRG,6801,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age 21+",,,9491.88,9491.88,4
APR-DRG,6801,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age Under 21",,,10124.68,10124.68,4
APR-DRG,6802,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,10167.38,12902.76,18
APR-DRG,6802,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age 21+",,,10838.32,10838.32,4
APR-DRG,6802,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age Under 21",,,11560.88,11560.88,4
APR-DRG,6803,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,22441.03,28478.46,18
APR-DRG,6803,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age 21+",,,23921.91,23921.91,4
APR-DRG,6803,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age Under 21",,,25516.7,25516.7,4
APR-DRG,6804,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,61345.35,77849.43,18
APR-DRG,6804,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age 21+",,,65393.52,65393.52,4
APR-DRG,6804,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age Under 21",,,69753.08,69753.08,4
APR-DRG,6811,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,9754.38,12378.65,18
APR-DRG,6811,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age 21+",,,10398.07,10398.07,4
APR-DRG,6811,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age Under 21",,,11091.27,11091.27,4
APR-DRG,6812,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,10266.42,13028.45,18
APR-DRG,6812,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age 21+",,,10943.9,10943.9,4
APR-DRG,6812,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age Under 21",,,11673.49,11673.49,4
APR-DRG,6813,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,22011.2,27933.0,18
APR-DRG,6813,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age 21+",,,23463.72,23463.72,4
APR-DRG,6813,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age Under 21",,,25027.97,25027.97,4
APR-DRG,6814,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,82908.38,105213.68,18
APR-DRG,6814,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age 21+",,,88379.49,88379.49,4
APR-DRG,6814,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Age Under 21",,,94271.45,94271.45,4
APR-DRG,6901,ACUTE LEUKEMIA ,,,16986.03,21555.88,18
APR-DRG,6901,ACUTE LEUKEMIA Age 21+,,,18106.94,18106.94,4
APR-DRG,6901,ACUTE LEUKEMIA Age Under 21,,,19314.06,19314.06,4
APR-DRG,6902,ACUTE LEUKEMIA ,,,20473.18,25981.19,18
APR-DRG,6902,ACUTE LEUKEMIA Age 21+,,,21824.2,21824.2,4
APR-DRG,6902,ACUTE LEUKEMIA Age Under 21,,,23279.14,23279.14,4
APR-DRG,6903,ACUTE LEUKEMIA ,,,23959.94,30406.01,18
APR-DRG,6903,ACUTE LEUKEMIA Age 21+,,,25541.05,25541.05,4
APR-DRG,6903,ACUTE LEUKEMIA Age Under 21,,,27243.79,27243.79,4
APR-DRG,6904,ACUTE LEUKEMIA ,,,54436.82,69082.26,18
APR-DRG,6904,ACUTE LEUKEMIA Age 21+,,,58029.1,58029.1,4
APR-DRG,6904,ACUTE LEUKEMIA Age Under 21,,,61897.71,61897.71,4
APR-DRG,6911,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,5880.62,7462.71,18
APR-DRG,6911,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Age 21+",,,6268.68,6268.68,4
APR-DRG,6911,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Age Under 21",,,6686.59,6686.59,4
APR-DRG,6912,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,7383.09,9369.4,18
APR-DRG,6912,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Age 21+",,,7870.3,7870.3,4
APR-DRG,6912,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Age Under 21",,,8394.98,8394.98,4
APR-DRG,6913,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,15409.38,19555.05,18
APR-DRG,6913,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Age 21+",,,16426.24,16426.24,4
APR-DRG,6913,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Age Under 21",,,17521.32,17521.32,4
APR-DRG,6914,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,29833.68,37860.0,18
APR-DRG,6914,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Age 21+",,,31802.4,31802.4,4
APR-DRG,6914,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Age Under 21",,,33922.56,33922.56,4
APR-DRG,6921,RADIOTHERAPY ,,,5165.52,6555.23,18
APR-DRG,6921,RADIOTHERAPY Age 21+,,,5506.39,5506.39,4
APR-DRG,6921,RADIOTHERAPY Age Under 21,,,5873.48,5873.48,4
APR-DRG,6922,RADIOTHERAPY ,,,8989.19,11407.6,18
APR-DRG,6922,RADIOTHERAPY Age 21+,,,9582.38,9582.38,4
APR-DRG,6922,RADIOTHERAPY Age Under 21,,,10221.21,10221.21,4
APR-DRG,6923,RADIOTHERAPY ,,,13240.0,16802.03,18
APR-DRG,6923,RADIOTHERAPY Age 21+,,,14113.7,14113.7,4
APR-DRG,6923,RADIOTHERAPY Age Under 21,,,15054.61,15054.61,4
APR-DRG,6924,RADIOTHERAPY ,,,24649.42,31280.99,18
APR-DRG,6924,RADIOTHERAPY Age 21+,,,26276.03,26276.03,4
APR-DRG,6924,RADIOTHERAPY Age Under 21,,,28027.76,28027.76,4
APR-DRG,6941,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,3199.2,4059.9,18
APR-DRG,6941,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Age 21+,,,3410.32,3410.32,4
APR-DRG,6941,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Age Under 21,,,3637.67,3637.67,4
APR-DRG,6942,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,4352.53,5523.51,18
APR-DRG,6942,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Age 21+,,,4639.75,4639.75,4
APR-DRG,6942,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Age Under 21,,,4949.07,4949.07,4
APR-DRG,6943,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,6601.07,8376.99,18
APR-DRG,6943,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Age 21+,,,7036.67,7036.67,4
APR-DRG,6943,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Age Under 21,,,7505.78,7505.78,4
APR-DRG,6944,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,29531.58,37476.63,18
APR-DRG,6944,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Age 21+,,,31480.37,31480.37,4
APR-DRG,6944,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Age Under 21,,,33579.06,33579.06,4
APR-DRG,6951,CHEMOTHERAPY FOR ACUTE LEUKEMIA ,,,4089.82,5190.13,18
APR-DRG,6951,CHEMOTHERAPY FOR ACUTE LEUKEMIA Age 21+,,,4359.71,4359.71,4
APR-DRG,6951,CHEMOTHERAPY FOR ACUTE LEUKEMIA Age Under 21,,,4650.35,4650.35,4
APR-DRG,6952,CHEMOTHERAPY FOR ACUTE LEUKEMIA ,,,4816.77,6112.65,18
APR-DRG,6952,CHEMOTHERAPY FOR ACUTE LEUKEMIA Age 21+,,,5134.63,5134.63,4
APR-DRG,6952,CHEMOTHERAPY FOR ACUTE LEUKEMIA Age Under 21,,,5476.93,5476.93,4
APR-DRG,6953,CHEMOTHERAPY FOR ACUTE LEUKEMIA ,,,14413.98,18291.85,18
APR-DRG,6953,CHEMOTHERAPY FOR ACUTE LEUKEMIA Age 21+,,,15365.15,15365.15,4
APR-DRG,6953,CHEMOTHERAPY FOR ACUTE LEUKEMIA Age Under 21,,,16389.5,16389.5,4
APR-DRG,6954,CHEMOTHERAPY FOR ACUTE LEUKEMIA ,,,42190.7,53541.5,18
APR-DRG,6954,CHEMOTHERAPY FOR ACUTE LEUKEMIA Age 21+,,,44974.86,44974.86,4
APR-DRG,6954,CHEMOTHERAPY FOR ACUTE LEUKEMIA Age Under 21,,,47973.18,47973.18,4
APR-DRG,6961,OTHER CHEMOTHERAPY ,,,3786.95,4805.77,18
APR-DRG,6961,OTHER CHEMOTHERAPY Age 21+,,,4036.85,4036.85,4
APR-DRG,6961,OTHER CHEMOTHERAPY Age Under 21,,,4305.97,4305.97,4
APR-DRG,6962,OTHER CHEMOTHERAPY ,,,5380.82,6828.45,18
APR-DRG,6962,OTHER CHEMOTHERAPY Age 21+,,,5735.9,5735.9,4
APR-DRG,6962,OTHER CHEMOTHERAPY Age Under 21,,,6118.29,6118.29,4
APR-DRG,6963,OTHER CHEMOTHERAPY ,,,9158.97,11623.06,18
APR-DRG,6963,OTHER CHEMOTHERAPY Age 21+,,,9763.37,9763.37,4
APR-DRG,6963,OTHER CHEMOTHERAPY Age Under 21,,,10414.26,10414.26,4
APR-DRG,6964,OTHER CHEMOTHERAPY ,,,16240.72,20610.05,18
APR-DRG,6964,OTHER CHEMOTHERAPY Age 21+,,,17312.44,17312.44,4
APR-DRG,6964,OTHER CHEMOTHERAPY Age Under 21,,,18466.6,18466.6,4
APR-DRG,7101,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE ,,,5084.45,6452.35,18
APR-DRG,7101,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Age 21+,,,5419.97,5419.97,4
APR-DRG,7101,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Age Under 21,,,5781.31,5781.31,4
APR-DRG,7102,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE ,,,7322.67,9292.73,18
APR-DRG,7102,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Age 21+,,,7805.89,7805.89,4
APR-DRG,7102,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Age Under 21,,,8326.28,8326.28,4
APR-DRG,7103,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE ,,,12692.77,16107.57,18
APR-DRG,7103,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Age 21+,,,13530.36,13530.36,4
APR-DRG,7103,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Age Under 21,,,14432.39,14432.39,4
APR-DRG,7104,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE ,,,30754.89,39029.05,18
APR-DRG,7104,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Age 21+,,,32784.4,32784.4,4
APR-DRG,7104,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Age Under 21,,,34970.03,34970.03,4
APR-DRG,7111,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE ",,,6046.58,7673.32,18
APR-DRG,7111,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Age 21+",,,6445.59,6445.59,4
APR-DRG,7111,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Age Under 21",,,6875.3,6875.3,4
APR-DRG,7112,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE ",,,7754.79,9841.1,18
APR-DRG,7112,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Age 21+",,,8266.52,8266.52,4
APR-DRG,7112,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Age Under 21",,,8817.63,8817.63,4
APR-DRG,7113,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE ",,,14327.17,18181.69,18
APR-DRG,7113,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Age 21+",,,15272.62,15272.62,4
APR-DRG,7113,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Age Under 21",,,16290.79,16290.79,4
APR-DRG,7114,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE ",,,25827.99,32776.64,18
APR-DRG,7114,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Age 21+",,,27532.38,27532.38,4
APR-DRG,7114,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Age Under 21",,,29367.87,29367.87,4
APR-DRG,7201,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,2444.33,3101.94,18
APR-DRG,7201,SEPTICEMIA AND DISSEMINATED INFECTIONS Age 21+,,,2605.63,2605.63,4
APR-DRG,7201,SEPTICEMIA AND DISSEMINATED INFECTIONS Age Under 21,,,2779.34,2779.34,4
APR-DRG,7202,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,3525.38,4473.84,18
APR-DRG,7202,SEPTICEMIA AND DISSEMINATED INFECTIONS Age 21+,,,3758.02,3758.02,4
APR-DRG,7202,SEPTICEMIA AND DISSEMINATED INFECTIONS Age Under 21,,,4008.56,4008.56,4
APR-DRG,7203,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,5881.39,7463.69,18
APR-DRG,7203,SEPTICEMIA AND DISSEMINATED INFECTIONS Age 21+,,,6269.5,6269.5,4
APR-DRG,7203,SEPTICEMIA AND DISSEMINATED INFECTIONS Age Under 21,,,6687.46,6687.46,4
APR-DRG,7204,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,14330.99,18186.54,18
APR-DRG,7204,SEPTICEMIA AND DISSEMINATED INFECTIONS Age 21+,,,15276.69,15276.69,4
APR-DRG,7204,SEPTICEMIA AND DISSEMINATED INFECTIONS Age Under 21,,,16295.14,16295.14,4
APR-DRG,7211,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS ",,,2941.07,3732.33,18
APR-DRG,7211,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Age 21+",,,3135.15,3135.15,4
APR-DRG,7211,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Age Under 21",,,3344.16,3344.16,4
APR-DRG,7212,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS ",,,4206.45,5338.14,18
APR-DRG,7212,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Age 21+",,,4484.04,4484.04,4
APR-DRG,7212,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Age Under 21",,,4782.97,4782.97,4
APR-DRG,7213,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS ",,,7376.59,9361.15,18
APR-DRG,7213,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Age 21+",,,7863.37,7863.37,4
APR-DRG,7213,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Age Under 21",,,8387.59,8387.59,4
APR-DRG,7214,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS ",,,14833.47,18824.2,18
APR-DRG,7214,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Age 21+",,,15812.33,15812.33,4
APR-DRG,7214,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Age Under 21",,,16866.48,16866.48,4
APR-DRG,7221,FEVER AND INFLAMMATORY CONDITIONS ,,,1491.38,1892.61,18
APR-DRG,7221,FEVER AND INFLAMMATORY CONDITIONS Age 21+,,,1589.79,1589.79,4
APR-DRG,7221,FEVER AND INFLAMMATORY CONDITIONS Age Under 21,,,1695.78,1695.78,4
APR-DRG,7222,FEVER AND INFLAMMATORY CONDITIONS ,,,2210.3,2804.95,18
APR-DRG,7222,FEVER AND INFLAMMATORY CONDITIONS Age 21+,,,2356.16,2356.16,4
APR-DRG,7222,FEVER AND INFLAMMATORY CONDITIONS Age Under 21,,,2513.24,2513.24,4
APR-DRG,7223,FEVER AND INFLAMMATORY CONDITIONS ,,,3885.23,4930.5,18
APR-DRG,7223,FEVER AND INFLAMMATORY CONDITIONS Age 21+,,,4141.62,4141.62,4
APR-DRG,7223,FEVER AND INFLAMMATORY CONDITIONS Age Under 21,,,4417.73,4417.73,4
APR-DRG,7224,FEVER AND INFLAMMATORY CONDITIONS ,,,4948.7,6280.08,18
APR-DRG,7224,FEVER AND INFLAMMATORY CONDITIONS Age 21+,,,5275.26,5275.26,4
APR-DRG,7224,FEVER AND INFLAMMATORY CONDITIONS Age Under 21,,,5626.95,5626.95,4
APR-DRG,7231,VIRAL ILLNESS ,,,1670.34,2119.72,18
APR-DRG,7231,VIRAL ILLNESS Age 21+,,,1780.57,1780.57,4
APR-DRG,7231,VIRAL ILLNESS Age Under 21,,,1899.27,1899.27,4
APR-DRG,7232,VIRAL ILLNESS ,,,2403.03,3049.52,18
APR-DRG,7232,VIRAL ILLNESS Age 21+,,,2561.6,2561.6,4
APR-DRG,7232,VIRAL ILLNESS Age Under 21,,,2732.37,2732.37,4
APR-DRG,7233,VIRAL ILLNESS ,,,5031.68,6385.38,18
APR-DRG,7233,VIRAL ILLNESS Age 21+,,,5363.72,5363.72,4
APR-DRG,7233,VIRAL ILLNESS Age Under 21,,,5721.3,5721.3,4
APR-DRG,7234,VIRAL ILLNESS ,,,29491.42,37425.66,18
APR-DRG,7234,VIRAL ILLNESS Age 21+,,,31437.56,31437.56,4
APR-DRG,7234,VIRAL ILLNESS Age Under 21,,,33533.39,33533.39,4
APR-DRG,7241,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,2491.37,3161.64,18
APR-DRG,7241,OTHER INFECTIOUS AND PARASITIC DISEASES Age 21+,,,2655.78,2655.78,4
APR-DRG,7241,OTHER INFECTIOUS AND PARASITIC DISEASES Age Under 21,,,2832.83,2832.83,4
APR-DRG,7242,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,2905.51,3687.2,18
APR-DRG,7242,OTHER INFECTIOUS AND PARASITIC DISEASES Age 21+,,,3097.25,3097.25,4
APR-DRG,7242,OTHER INFECTIOUS AND PARASITIC DISEASES Age Under 21,,,3303.73,3303.73,4
APR-DRG,7243,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,6135.68,7786.4,18
APR-DRG,7243,OTHER INFECTIOUS AND PARASITIC DISEASES Age 21+,,,6540.58,6540.58,4
APR-DRG,7243,OTHER INFECTIOUS AND PARASITIC DISEASES Age Under 21,,,6976.61,6976.61,4
APR-DRG,7244,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,16210.13,20571.22,18
APR-DRG,7244,OTHER INFECTIOUS AND PARASITIC DISEASES Age 21+,,,17279.83,17279.83,4
APR-DRG,7244,OTHER INFECTIOUS AND PARASITIC DISEASES Age Under 21,,,18431.82,18431.82,4
APR-DRG,7401,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE ,,,7476.4,9487.81,18
APR-DRG,7401,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Age 21+,,,7969.76,7969.76,4
APR-DRG,7401,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Age Under 21,,,8501.08,8501.08,4
APR-DRG,7402,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE ,,,7732.22,9812.46,18
APR-DRG,7402,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Age 21+,,,8242.47,8242.47,4
APR-DRG,7402,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Age Under 21,,,8791.97,8791.97,4
APR-DRG,7403,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE ,,,15093.51,19154.2,18
APR-DRG,7403,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Age 21+,,,16089.53,16089.53,4
APR-DRG,7403,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Age Under 21,,,17162.16,17162.16,4
APR-DRG,7404,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE ,,,26629.5,33793.79,18
APR-DRG,7404,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Age 21+,,,28386.78,28386.78,4
APR-DRG,7404,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Age Under 21,,,30279.23,30279.23,4
APR-DRG,7501,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS ,,,2115.08,2684.11,18
APR-DRG,7501,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Age 21+,,,2254.65,2254.65,4
APR-DRG,7501,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Age Under 21,,,2404.96,2404.96,4
APR-DRG,7502,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS ,,,2456.19,3116.99,18
APR-DRG,7502,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Age 21+,,,2618.27,2618.27,4
APR-DRG,7502,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Age Under 21,,,2792.82,2792.82,4
APR-DRG,7503,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS ,,,3761.33,4773.26,18
APR-DRG,7503,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Age 21+,,,4009.54,4009.54,4
APR-DRG,7503,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Age Under 21,,,4276.84,4276.84,4
APR-DRG,7504,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS ,,,13287.41,16862.2,18
APR-DRG,7504,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Age 21+,,,14164.25,14164.25,4
APR-DRG,7504,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Age Under 21,,,15108.53,15108.53,4
APR-DRG,7511,DEPRESSIVE DISORDERS ,,,1519.29,1928.04,18
APR-DRG,7511,DEPRESSIVE DISORDERS Age 21+,,,1619.55,1619.55,4
APR-DRG,7511,DEPRESSIVE DISORDERS Age Under 21,,,1727.52,1727.52,4
APR-DRG,7512,DEPRESSIVE DISORDERS ,,,1830.57,2323.06,18
APR-DRG,7512,DEPRESSIVE DISORDERS Age 21+,,,1951.37,1951.37,4
APR-DRG,7512,DEPRESSIVE DISORDERS Age Under 21,,,2081.46,2081.46,4
APR-DRG,7513,DEPRESSIVE DISORDERS ,,,2884.1,3660.03,18
APR-DRG,7513,DEPRESSIVE DISORDERS Age 21+,,,3074.42,3074.42,4
APR-DRG,7513,DEPRESSIVE DISORDERS Age Under 21,,,3279.38,3279.38,4
APR-DRG,7514,DEPRESSIVE DISORDERS ,,,3937.62,4996.98,18
APR-DRG,7514,DEPRESSIVE DISORDERS Age 21+,,,4197.46,4197.46,4
APR-DRG,7514,DEPRESSIVE DISORDERS Age Under 21,,,4477.29,4477.29,4
APR-DRG,7521,PERSONALITY DISORDERS ,,,1759.45,2232.8,18
APR-DRG,7521,PERSONALITY DISORDERS Age 21+,,,1875.55,1875.55,4
APR-DRG,7521,PERSONALITY DISORDERS Age Under 21,,,2000.59,2000.59,4
APR-DRG,7522,PERSONALITY DISORDERS ,,,2100.55,2665.68,18
APR-DRG,7522,PERSONALITY DISORDERS Age 21+,,,2239.17,2239.17,4
APR-DRG,7522,PERSONALITY DISORDERS Age Under 21,,,2388.44,2388.44,4
APR-DRG,7523,PERSONALITY DISORDERS ,,,5180.06,6573.67,18
APR-DRG,7523,PERSONALITY DISORDERS Age 21+,,,5521.89,5521.89,4
APR-DRG,7523,PERSONALITY DISORDERS Age Under 21,,,5890.01,5890.01,4
APR-DRG,7524,PERSONALITY DISORDERS ,,,14130.23,17931.76,18
APR-DRG,7524,PERSONALITY DISORDERS Age 21+,,,15062.68,15062.68,4
APR-DRG,7524,PERSONALITY DISORDERS Age Under 21,,,16066.86,16066.86,4
APR-DRG,7531,BIPOLAR DISORDERS ,,,1837.46,2331.8,18
APR-DRG,7531,BIPOLAR DISORDERS Age 21+,,,1958.71,1958.71,4
APR-DRG,7531,BIPOLAR DISORDERS Age Under 21,,,2089.29,2089.29,4
APR-DRG,7532,BIPOLAR DISORDERS ,,,2275.68,2887.93,18
APR-DRG,7532,BIPOLAR DISORDERS Age 21+,,,2425.86,2425.86,4
APR-DRG,7532,BIPOLAR DISORDERS Age Under 21,,,2587.58,2587.58,4
APR-DRG,7533,BIPOLAR DISORDERS ,,,4579.29,5811.29,18
APR-DRG,7533,BIPOLAR DISORDERS Age 21+,,,4881.48,4881.48,4
APR-DRG,7533,BIPOLAR DISORDERS Age Under 21,,,5206.91,5206.91,4
APR-DRG,7534,BIPOLAR DISORDERS ,,,10543.66,13380.27,18
APR-DRG,7534,BIPOLAR DISORDERS Age 21+,,,11239.43,11239.43,4
APR-DRG,7534,BIPOLAR DISORDERS Age Under 21,,,11988.73,11988.73,4
APR-DRG,7541,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER ,,,1282.59,1627.65,18
APR-DRG,7541,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Age 21+,,,1367.23,1367.23,4
APR-DRG,7541,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Age Under 21,,,1458.37,1458.37,4
APR-DRG,7542,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER ,,,1804.57,2290.06,18
APR-DRG,7542,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Age 21+,,,1923.65,1923.65,4
APR-DRG,7542,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Age Under 21,,,2051.9,2051.9,4
APR-DRG,7543,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER ,,,3243.17,4115.7,18
APR-DRG,7543,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Age 21+,,,3457.19,3457.19,4
APR-DRG,7543,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Age Under 21,,,3687.67,3687.67,4
APR-DRG,7544,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER ,,,9362.79,11881.71,18
APR-DRG,7544,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Age 21+,,,9980.64,9980.64,4
APR-DRG,7544,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER Age Under 21,,,10646.01,10646.01,4
APR-DRG,7551,ADJUSTMENT DISORDERS ,,,1208.4,1533.5,18
APR-DRG,7551,ADJUSTMENT DISORDERS Age 21+,,,1288.14,1288.14,4
APR-DRG,7551,ADJUSTMENT DISORDERS Age Under 21,,,1374.02,1374.02,4
APR-DRG,7552,ADJUSTMENT DISORDERS ,,,2001.51,2539.99,18
APR-DRG,7552,ADJUSTMENT DISORDERS Age 21+,,,2133.59,2133.59,4
APR-DRG,7552,ADJUSTMENT DISORDERS Age Under 21,,,2275.83,2275.83,4
APR-DRG,7553,ADJUSTMENT DISORDERS ,,,4435.51,5628.83,18
APR-DRG,7553,ADJUSTMENT DISORDERS Age 21+,,,4728.21,4728.21,4
APR-DRG,7553,ADJUSTMENT DISORDERS Age Under 21,,,5043.43,5043.43,4
APR-DRG,7554,ADJUSTMENT DISORDERS ,,,8443.11,10714.61,18
APR-DRG,7554,ADJUSTMENT DISORDERS Age 21+,,,9000.27,9000.27,4
APR-DRG,7554,ADJUSTMENT DISORDERS Age Under 21,,,9600.29,9600.29,4
APR-DRG,7561,ACUTE ANXIETY AND STRESS SYNDROMES ,,,2176.64,2762.24,18
APR-DRG,7561,ACUTE ANXIETY AND STRESS SYNDROMES Age 21+,,,2320.28,2320.28,4
APR-DRG,7561,ACUTE ANXIETY AND STRESS SYNDROMES Age Under 21,,,2474.96,2474.96,4
APR-DRG,7562,ACUTE ANXIETY AND STRESS SYNDROMES ,,,2770.14,3515.4,18
APR-DRG,7562,ACUTE ANXIETY AND STRESS SYNDROMES Age 21+,,,2952.94,2952.94,4
APR-DRG,7562,ACUTE ANXIETY AND STRESS SYNDROMES Age Under 21,,,3149.8,3149.8,4
APR-DRG,7563,ACUTE ANXIETY AND STRESS SYNDROMES ,,,4170.13,5292.04,18
APR-DRG,7563,ACUTE ANXIETY AND STRESS SYNDROMES Age 21+,,,4445.31,4445.31,4
APR-DRG,7563,ACUTE ANXIETY AND STRESS SYNDROMES Age Under 21,,,4741.67,4741.67,4
APR-DRG,7564,ACUTE ANXIETY AND STRESS SYNDROMES ,,,4889.81,6205.34,18
APR-DRG,7564,ACUTE ANXIETY AND STRESS SYNDROMES Age 21+,,,5212.48,5212.48,4
APR-DRG,7564,ACUTE ANXIETY AND STRESS SYNDROMES Age Under 21,,,5559.98,5559.98,4
APR-DRG,7571,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES ,,,1676.84,2127.98,18
APR-DRG,7571,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Age 21+,,,1787.5,1787.5,4
APR-DRG,7571,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Age Under 21,,,1906.67,1906.67,4
APR-DRG,7572,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES ,,,4915.43,6237.85,18
APR-DRG,7572,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Age 21+,,,5239.79,5239.79,4
APR-DRG,7572,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Age Under 21,,,5589.11,5589.11,4
APR-DRG,7573,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES ,,,6966.65,8840.92,18
APR-DRG,7573,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Age 21+,,,7426.38,7426.38,4
APR-DRG,7573,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Age Under 21,,,7921.47,7921.47,4
APR-DRG,7574,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES ,,,15709.56,19935.99,18
APR-DRG,7574,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Age 21+,,,16746.23,16746.23,4
APR-DRG,7574,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Age Under 21,,,17862.64,17862.64,4
APR-DRG,7581,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT ,,,1209.17,1534.47,18
APR-DRG,7581,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Age 21+,,,1288.96,1288.96,4
APR-DRG,7581,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Age Under 21,,,1374.89,1374.89,4
APR-DRG,7582,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT ,,,1838.99,2333.74,18
APR-DRG,7582,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Age 21+,,,1960.34,1960.34,4
APR-DRG,7582,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Age Under 21,,,2091.03,2091.03,4
APR-DRG,7583,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT ,,,1918.52,2434.68,18
APR-DRG,7583,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Age 21+,,,2045.13,2045.13,4
APR-DRG,7583,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Age Under 21,,,2181.47,2181.47,4
APR-DRG,7584,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT ,,,7867.2,9983.76,18
APR-DRG,7584,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Age 21+,,,8386.36,8386.36,4
APR-DRG,7584,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Age Under 21,,,8945.45,8945.45,4
APR-DRG,7591,EATING DISORDERS ,,,5891.32,7476.3,18
APR-DRG,7591,EATING DISORDERS Age 21+,,,6280.09,6280.09,4
APR-DRG,7591,EATING DISORDERS Age Under 21,,,6698.76,6698.76,4
APR-DRG,7592,EATING DISORDERS ,,,7332.99,9305.83,18
APR-DRG,7592,EATING DISORDERS Age 21+,,,7816.89,7816.89,4
APR-DRG,7592,EATING DISORDERS Age Under 21,,,8338.02,8338.02,4
APR-DRG,7593,EATING DISORDERS ,,,14506.52,18409.29,18
APR-DRG,7593,EATING DISORDERS Age 21+,,,15463.8,15463.8,4
APR-DRG,7593,EATING DISORDERS Age Under 21,,,16494.72,16494.72,4
APR-DRG,7594,EATING DISORDERS ,,,21182.92,26881.88,18
APR-DRG,7594,EATING DISORDERS Age 21+,,,22580.78,22580.78,4
APR-DRG,7594,EATING DISORDERS Age Under 21,,,24086.16,24086.16,4
APR-DRG,7601,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS ,,,1855.81,2355.09,18
APR-DRG,7601,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Age 21+,,,1978.27,1978.27,4
APR-DRG,7601,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Age Under 21,,,2110.16,2110.16,4
APR-DRG,7602,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS ,,,4488.28,5695.79,18
APR-DRG,7602,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Age 21+,,,4784.46,4784.46,4
APR-DRG,7602,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Age Under 21,,,5103.43,5103.43,4
APR-DRG,7603,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS ,,,6984.24,8863.25,18
APR-DRG,7603,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Age 21+,,,7445.13,7445.13,4
APR-DRG,7603,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Age Under 21,,,7941.47,7941.47,4
APR-DRG,7604,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS ,,,9480.19,12030.7,18
APR-DRG,7604,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Age 21+,,,10105.79,10105.79,4
APR-DRG,7604,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Age Under 21,,,10779.51,10779.51,4
APR-DRG,7701,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ",,,1300.55,1650.45,18
APR-DRG,7701,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Age 21+",,,1386.38,1386.38,4
APR-DRG,7701,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Age Under 21",,,1478.8,1478.8,4
APR-DRG,7702,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ",,,1738.79,2206.59,18
APR-DRG,7702,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Age 21+",,,1853.53,1853.53,4
APR-DRG,7702,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Age Under 21",,,1977.1,1977.1,4
APR-DRG,7703,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ",,,2772.05,3517.83,18
APR-DRG,7703,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Age 21+",,,2954.97,2954.97,4
APR-DRG,7703,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Age Under 21",,,3151.97,3151.97,4
APR-DRG,7704,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ",,,6440.08,8172.69,18
APR-DRG,7704,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Age 21+",,,6865.06,6865.06,4
APR-DRG,7704,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Age Under 21",,,7322.73,7322.73,4
APR-DRG,7721,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY ,,,1439.37,1826.61,18
APR-DRG,7721,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Age 21+,,,1534.35,1534.35,4
APR-DRG,7721,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Age Under 21,,,1636.64,1636.64,4
APR-DRG,7722,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY ,,,1705.91,2164.86,18
APR-DRG,7722,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Age 21+,,,1818.48,1818.48,4
APR-DRG,7722,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Age Under 21,,,1939.72,1939.72,4
APR-DRG,7723,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY ,,,2179.71,2766.13,18
APR-DRG,7723,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Age 21+,,,2323.55,2323.55,4
APR-DRG,7723,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Age Under 21,,,2478.45,2478.45,4
APR-DRG,7724,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY ,,,12474.04,15830.0,18
APR-DRG,7724,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Age 21+,,,13297.2,13297.2,4
APR-DRG,7724,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Age Under 21,,,14183.68,14183.68,4
APR-DRG,7731,OPIOID ABUSE AND DEPENDENCE ,,,1174.75,1490.8,18
APR-DRG,7731,OPIOID ABUSE AND DEPENDENCE Age 21+,,,1252.27,1252.27,4
APR-DRG,7731,OPIOID ABUSE AND DEPENDENCE Age Under 21,,,1335.76,1335.76,4
APR-DRG,7732,OPIOID ABUSE AND DEPENDENCE ,,,1908.2,2421.57,18
APR-DRG,7732,OPIOID ABUSE AND DEPENDENCE Age 21+,,,2034.12,2034.12,4
APR-DRG,7732,OPIOID ABUSE AND DEPENDENCE Age Under 21,,,2169.73,2169.73,4
APR-DRG,7733,OPIOID ABUSE AND DEPENDENCE ,,,3092.89,3924.99,18
APR-DRG,7733,OPIOID ABUSE AND DEPENDENCE Age 21+,,,3296.99,3296.99,4
APR-DRG,7733,OPIOID ABUSE AND DEPENDENCE Age Under 21,,,3516.79,3516.79,4
APR-DRG,7734,OPIOID ABUSE AND DEPENDENCE ,,,9324.94,11833.68,18
APR-DRG,7734,OPIOID ABUSE AND DEPENDENCE Age 21+,,,9940.29,9940.29,4
APR-DRG,7734,OPIOID ABUSE AND DEPENDENCE Age Under 21,,,10602.97,10602.97,4
APR-DRG,7741,COCAINE ABUSE AND DEPENDENCE ,,,1283.35,1628.61,18
APR-DRG,7741,COCAINE ABUSE AND DEPENDENCE Age 21+,,,1368.03,1368.03,4
APR-DRG,7741,COCAINE ABUSE AND DEPENDENCE Age Under 21,,,1459.24,1459.24,4
APR-DRG,7742,COCAINE ABUSE AND DEPENDENCE ,,,2139.17,2714.69,18
APR-DRG,7742,COCAINE ABUSE AND DEPENDENCE Age 21+,,,2280.34,2280.34,4
APR-DRG,7742,COCAINE ABUSE AND DEPENDENCE Age Under 21,,,2432.36,2432.36,4
APR-DRG,7743,COCAINE ABUSE AND DEPENDENCE ,,,3139.92,3984.67,18
APR-DRG,7743,COCAINE ABUSE AND DEPENDENCE Age 21+,,,3347.13,3347.13,4
APR-DRG,7743,COCAINE ABUSE AND DEPENDENCE Age Under 21,,,3570.27,3570.27,4
APR-DRG,7744,COCAINE ABUSE AND DEPENDENCE ,,,8201.05,10407.43,18
APR-DRG,7744,COCAINE ABUSE AND DEPENDENCE Age 21+,,,8742.24,8742.24,4
APR-DRG,7744,COCAINE ABUSE AND DEPENDENCE Age Under 21,,,9325.05,9325.05,4
APR-DRG,7751,ALCOHOL ABUSE AND DEPENDENCE ,,,1946.05,2469.61,18
APR-DRG,7751,ALCOHOL ABUSE AND DEPENDENCE Age 21+,,,2074.47,2074.47,4
APR-DRG,7751,ALCOHOL ABUSE AND DEPENDENCE Age Under 21,,,2212.77,2212.77,4
APR-DRG,7752,ALCOHOL ABUSE AND DEPENDENCE ,,,2630.56,3338.27,18
APR-DRG,7752,ALCOHOL ABUSE AND DEPENDENCE Age 21+,,,2804.15,2804.15,4
APR-DRG,7752,ALCOHOL ABUSE AND DEPENDENCE Age Under 21,,,2991.09,2991.09,4
APR-DRG,7753,ALCOHOL ABUSE AND DEPENDENCE ,,,4628.24,5873.4,18
APR-DRG,7753,ALCOHOL ABUSE AND DEPENDENCE Age 21+,,,4933.66,4933.66,4
APR-DRG,7753,ALCOHOL ABUSE AND DEPENDENCE Age Under 21,,,5262.57,5262.57,4
APR-DRG,7754,ALCOHOL ABUSE AND DEPENDENCE ,,,8449.23,10722.38,18
APR-DRG,7754,ALCOHOL ABUSE AND DEPENDENCE Age 21+,,,9006.8,9006.8,4
APR-DRG,7754,ALCOHOL ABUSE AND DEPENDENCE Age Under 21,,,9607.25,9607.25,4
APR-DRG,7761,OTHER DRUG ABUSE AND DEPENDENCE ,,,1533.82,1946.48,18
APR-DRG,7761,OTHER DRUG ABUSE AND DEPENDENCE Age 21+,,,1635.04,1635.04,4
APR-DRG,7761,OTHER DRUG ABUSE AND DEPENDENCE Age Under 21,,,1744.04,1744.04,4
APR-DRG,7762,OTHER DRUG ABUSE AND DEPENDENCE ,,,2331.9,2959.26,18
APR-DRG,7762,OTHER DRUG ABUSE AND DEPENDENCE Age 21+,,,2485.78,2485.78,4
APR-DRG,7762,OTHER DRUG ABUSE AND DEPENDENCE Age Under 21,,,2651.5,2651.5,4
APR-DRG,7763,OTHER DRUG ABUSE AND DEPENDENCE ,,,4410.27,5596.79,18
APR-DRG,7763,OTHER DRUG ABUSE AND DEPENDENCE Age 21+,,,4701.3,4701.3,4
APR-DRG,7763,OTHER DRUG ABUSE AND DEPENDENCE Age Under 21,,,5014.72,5014.72,4
APR-DRG,7764,OTHER DRUG ABUSE AND DEPENDENCE ,,,8565.87,10870.39,18
APR-DRG,7764,OTHER DRUG ABUSE AND DEPENDENCE Age 21+,,,9131.13,9131.13,4
APR-DRG,7764,OTHER DRUG ABUSE AND DEPENDENCE Age Under 21,,,9739.87,9739.87,4
APR-DRG,7921,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,6674.87,8470.65,18
APR-DRG,7921,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,7115.35,7115.35,4
APR-DRG,7921,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,7589.7,7589.7,4
APR-DRG,7922,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,10720.71,13604.96,18
APR-DRG,7922,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,11428.17,11428.17,4
APR-DRG,7922,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,12190.05,12190.05,4
APR-DRG,7923,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,22095.72,28040.25,18
APR-DRG,7923,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,23553.81,23553.81,4
APR-DRG,7923,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,25124.06,25124.06,4
APR-DRG,7924,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,42375.02,53775.4,18
APR-DRG,7924,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,45171.34,45171.34,4
APR-DRG,7924,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,48182.76,48182.76,4
APR-DRG,7931,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,3777.4,4793.65,18
APR-DRG,7931,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,4026.67,4026.67,4
APR-DRG,7931,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,4295.11,4295.11,4
APR-DRG,7932,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,7035.1,8927.79,18
APR-DRG,7932,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,7499.34,7499.34,4
APR-DRG,7932,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,7999.3,7999.3,4
APR-DRG,7933,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,17643.0,22389.6,18
APR-DRG,7933,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,18807.26,18807.26,4
APR-DRG,7933,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,20061.08,20061.08,4
APR-DRG,7934,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,23073.53,29281.13,18
APR-DRG,7934,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,24596.15,24596.15,4
APR-DRG,7934,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,26235.89,26235.89,4
APR-DRG,7941,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,2881.42,3656.63,18
APR-DRG,7941,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,3071.57,3071.57,4
APR-DRG,7941,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,3276.34,3276.34,4
APR-DRG,7942,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,5253.09,6666.36,18
APR-DRG,7942,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,5599.74,5599.74,4
APR-DRG,7942,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,5973.06,5973.06,4
APR-DRG,7943,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,7326.49,9297.58,18
APR-DRG,7943,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,7809.96,7809.96,4
APR-DRG,7943,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,8330.63,8330.63,4
APR-DRG,7944,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,14376.5,18244.29,18
APR-DRG,7944,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age 21+,,,15325.2,15325.2,4
APR-DRG,7944,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,16346.88,16346.88,4
APR-DRG,8101,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION ,,,1850.08,2347.81,18
APR-DRG,8101,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Age 21+,,,1972.16,1972.16,4
APR-DRG,8101,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Age Under 21,,,2103.64,2103.64,4
APR-DRG,8102,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION ,,,3501.67,4443.75,18
APR-DRG,8102,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Age 21+,,,3732.75,3732.75,4
APR-DRG,8102,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Age Under 21,,,3981.6,3981.6,4
APR-DRG,8103,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION ,,,5327.66,6760.99,18
APR-DRG,8103,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Age 21+,,,5679.23,5679.23,4
APR-DRG,8103,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Age Under 21,,,6057.84,6057.84,4
APR-DRG,8104,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION ,,,24488.05,31076.2,18
APR-DRG,8104,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Age 21+,,,26104.01,26104.01,4
APR-DRG,8104,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Age Under 21,,,27844.28,27844.28,4
APR-DRG,8111,ALLERGIC REACTIONS ,,,1473.4,1869.8,18
APR-DRG,8111,ALLERGIC REACTIONS Age 21+,,,1570.63,1570.63,4
APR-DRG,8111,ALLERGIC REACTIONS Age Under 21,,,1675.34,1675.34,4
APR-DRG,8112,ALLERGIC REACTIONS ,,,2725.4,3458.63,18
APR-DRG,8112,ALLERGIC REACTIONS Age 21+,,,2905.25,2905.25,4
APR-DRG,8112,ALLERGIC REACTIONS Age Under 21,,,3098.93,3098.93,4
APR-DRG,8113,ALLERGIC REACTIONS ,,,4993.82,6337.34,18
APR-DRG,8113,ALLERGIC REACTIONS Age 21+,,,5323.36,5323.36,4
APR-DRG,8113,ALLERGIC REACTIONS Age Under 21,,,5678.25,5678.25,4
APR-DRG,8114,ALLERGIC REACTIONS ,,,8399.52,10659.29,18
APR-DRG,8114,ALLERGIC REACTIONS Age 21+,,,8953.8,8953.8,4
APR-DRG,8114,ALLERGIC REACTIONS Age Under 21,,,9550.72,9550.72,4
APR-DRG,8121,POISONING OF MEDICINAL AGENTS ,,,1625.22,2062.46,18
APR-DRG,8121,POISONING OF MEDICINAL AGENTS Age 21+,,,1732.47,1732.47,4
APR-DRG,8121,POISONING OF MEDICINAL AGENTS Age Under 21,,,1847.97,1847.97,4
APR-DRG,8122,POISONING OF MEDICINAL AGENTS ,,,2422.53,3074.28,18
APR-DRG,8122,POISONING OF MEDICINAL AGENTS Age 21+,,,2582.39,2582.39,4
APR-DRG,8122,POISONING OF MEDICINAL AGENTS Age Under 21,,,2754.55,2754.55,4
APR-DRG,8123,POISONING OF MEDICINAL AGENTS ,,,3647.76,4629.14,18
APR-DRG,8123,POISONING OF MEDICINAL AGENTS Age 21+,,,3888.48,3888.48,4
APR-DRG,8123,POISONING OF MEDICINAL AGENTS Age Under 21,,,4147.71,4147.71,4
APR-DRG,8124,POISONING OF MEDICINAL AGENTS ,,,7532.23,9558.66,18
APR-DRG,8124,POISONING OF MEDICINAL AGENTS Age 21+,,,8029.28,8029.28,4
APR-DRG,8124,POISONING OF MEDICINAL AGENTS Age Under 21,,,8564.56,8564.56,4
APR-DRG,8131,OTHER COMPLICATIONS OF TREATMENT ,,,2956.75,3752.23,18
APR-DRG,8131,OTHER COMPLICATIONS OF TREATMENT Age 21+,,,3151.87,3151.87,4
APR-DRG,8131,OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,3361.99,3361.99,4
APR-DRG,8132,OTHER COMPLICATIONS OF TREATMENT ,,,3678.73,4668.44,18
APR-DRG,8132,OTHER COMPLICATIONS OF TREATMENT Age 21+,,,3921.49,3921.49,4
APR-DRG,8132,OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,4182.92,4182.92,4
APR-DRG,8133,OTHER COMPLICATIONS OF TREATMENT ,,,5882.53,7465.14,18
APR-DRG,8133,OTHER COMPLICATIONS OF TREATMENT Age 21+,,,6270.72,6270.72,4
APR-DRG,8133,OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,6688.76,6688.76,4
APR-DRG,8134,OTHER COMPLICATIONS OF TREATMENT ,,,15498.09,19667.63,18
APR-DRG,8134,OTHER COMPLICATIONS OF TREATMENT Age 21+,,,16520.81,16520.81,4
APR-DRG,8134,OTHER COMPLICATIONS OF TREATMENT Age Under 21,,,17622.19,17622.19,4
APR-DRG,8151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,2137.26,2712.26,18
APR-DRG,8151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Age 21+",,,2278.3,2278.3,4
APR-DRG,8151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Age Under 21",,,2430.19,2430.19,4
APR-DRG,8152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,3255.41,4131.23,18
APR-DRG,8152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Age 21+",,,3470.23,3470.23,4
APR-DRG,8152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Age Under 21",,,3701.58,3701.58,4
APR-DRG,8153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,7588.44,9630.0,18
APR-DRG,8153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Age 21+",,,8089.2,8089.2,4
APR-DRG,8153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Age Under 21",,,8628.48,8628.48,4
APR-DRG,8154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,24897.21,31595.45,18
APR-DRG,8154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Age 21+",,,26540.18,26540.18,4
APR-DRG,8154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Age Under 21",,,28309.52,28309.52,4
APR-DRG,8161,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,3730.35,4733.95,18
APR-DRG,8161,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Age 21+,,,3976.52,3976.52,4
APR-DRG,8161,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Age Under 21,,,4241.62,4241.62,4
APR-DRG,8162,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,6046.96,7673.81,18
APR-DRG,8162,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Age 21+,,,6446.0,6446.0,4
APR-DRG,8162,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Age Under 21,,,6875.74,6875.74,4
APR-DRG,8163,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,6779.27,8603.14,18
APR-DRG,8163,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Age 21+,,,7226.64,7226.64,4
APR-DRG,8163,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Age Under 21,,,7708.41,7708.41,4
APR-DRG,8164,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,7511.57,9532.45,18
APR-DRG,8164,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Age 21+,,,8007.26,8007.26,4
APR-DRG,8164,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Age Under 21,,,8541.08,8541.08,4
APR-DRG,8171,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,1879.9,2385.66,18
APR-DRG,8171,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Age 21+,,,2003.96,2003.96,4
APR-DRG,8171,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Age Under 21,,,2137.55,2137.55,4
APR-DRG,8172,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,2356.76,2990.81,18
APR-DRG,8172,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Age 21+,,,2512.28,2512.28,4
APR-DRG,8172,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Age Under 21,,,2679.77,2679.77,4
APR-DRG,8173,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,3685.61,4677.17,18
APR-DRG,8173,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Age 21+,,,3928.83,3928.83,4
APR-DRG,8173,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Age Under 21,,,4190.75,4190.75,4
APR-DRG,8174,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,8003.34,10156.52,18
APR-DRG,8174,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Age 21+,,,8531.48,8531.48,4
APR-DRG,8174,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Age Under 21,,,9100.25,9100.25,4
APR-DRG,8411,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT ,,,27175.96,34487.26,18
APR-DRG,8411,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Age 21+,,,28969.3,28969.3,4
APR-DRG,8411,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Age Under 21,,,30900.59,30900.59,4
APR-DRG,8412,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT ,,,27388.96,34757.56,18
APR-DRG,8412,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Age 21+,,,29196.35,29196.35,4
APR-DRG,8412,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Age Under 21,,,31142.78,31142.78,4
APR-DRG,8413,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT ,,,42147.49,53486.66,18
APR-DRG,8413,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Age 21+,,,44928.8,44928.8,4
APR-DRG,8413,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Age Under 21,,,47924.05,47924.05,4
APR-DRG,8414,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT ,,,97518.9,123754.95,18
APR-DRG,8414,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Age 21+,,,103954.16,103954.16,4
APR-DRG,8414,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Age Under 21,,,110884.44,110884.44,4
APR-DRG,8421,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS ,,,5563.61,7060.41,18
APR-DRG,8421,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Age 21+,,,5930.75,5930.75,4
APR-DRG,8421,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Age Under 21,,,6326.13,6326.13,4
APR-DRG,8422,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS ,,,8431.64,10700.05,18
APR-DRG,8422,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Age 21+,,,8988.04,8988.04,4
APR-DRG,8422,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Age Under 21,,,9587.24,9587.24,4
APR-DRG,8423,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS ,,,16194.45,20551.34,18
APR-DRG,8423,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Age 21+,,,17263.12,17263.12,4
APR-DRG,8423,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Age Under 21,,,18414.0,18414.0,4
APR-DRG,8424,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS ,,,33267.67,42217.85,18
APR-DRG,8424,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Age 21+,,,35462.99,35462.99,4
APR-DRG,8424,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Age Under 21,,,37827.19,37827.19,4
APR-DRG,8431,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT ,,,2911.25,3694.47,18
APR-DRG,8431,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Age 21+,,,3103.36,3103.36,4
APR-DRG,8431,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Age Under 21,,,3310.25,3310.25,4
APR-DRG,8432,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT ,,,5406.05,6860.48,18
APR-DRG,8432,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Age 21+,,,5762.8,5762.8,4
APR-DRG,8432,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Age Under 21,,,6146.99,6146.99,4
APR-DRG,8433,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT ,,,6503.18,8252.76,18
APR-DRG,8433,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Age 21+,,,6932.32,6932.32,4
APR-DRG,8433,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Age Under 21,,,7394.48,7394.48,4
APR-DRG,8434,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT ,,,18046.82,22902.05,18
APR-DRG,8434,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Age 21+,,,19237.72,19237.72,4
APR-DRG,8434,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Age Under 21,,,20520.24,20520.24,4
APR-DRG,8441,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT ,,,2220.24,2817.56,18
APR-DRG,8441,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Age 21+,,,2366.75,2366.75,4
APR-DRG,8441,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Age Under 21,,,2524.54,2524.54,4
APR-DRG,8442,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT ,,,3297.86,4185.1,18
APR-DRG,8442,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Age 21+,,,3515.48,3515.48,4
APR-DRG,8442,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Age Under 21,,,3749.85,3749.85,4
APR-DRG,8443,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT ,,,5461.12,6930.35,18
APR-DRG,8443,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Age 21+,,,5821.49,5821.49,4
APR-DRG,8443,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Age Under 21,,,6209.59,6209.59,4
APR-DRG,8444,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT ,,,15685.85,19905.9,18
APR-DRG,8444,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Age 21+,,,16720.96,16720.96,4
APR-DRG,8444,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Age Under 21,,,17835.69,17835.69,4
APR-DRG,8501,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL ",,,7285.19,9245.16,18
APR-DRG,8501,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Age 21+",,,7765.94,7765.94,4
APR-DRG,8501,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Age Under 21",,,8283.67,8283.67,4
APR-DRG,8502,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL ",,,12988.75,16483.19,18
APR-DRG,8502,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Age 21+",,,13845.88,13845.88,4
APR-DRG,8502,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Age Under 21",,,14768.94,14768.94,4
APR-DRG,8503,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL ",,,19820.03,25152.33,18
APR-DRG,8503,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Age 21+",,,21127.95,21127.95,4
APR-DRG,8503,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Age Under 21",,,22536.48,22536.48,4
APR-DRG,8504,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL ",,,94001.54,119291.3,18
APR-DRG,8504,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Age 21+",,,100204.69,100204.69,4
APR-DRG,8504,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Age Under 21",,,106885.0,106885.0,4
APR-DRG,8601,REHABILITATION ,,,3267.65,4146.76,18
APR-DRG,8601,REHABILITATION Age 21+,,,3483.28,3483.28,4
APR-DRG,8601,REHABILITATION Age Under 21,,,3715.5,3715.5,4
APR-DRG,8602,REHABILITATION ,,,4705.49,5971.44,18
APR-DRG,8602,REHABILITATION Age 21+,,,5016.01,5016.01,4
APR-DRG,8602,REHABILITATION Age Under 21,,,5350.41,5350.41,4
APR-DRG,8603,REHABILITATION ,,,6858.43,8703.59,18
APR-DRG,8603,REHABILITATION Age 21+,,,7311.01,7311.01,4
APR-DRG,8603,REHABILITATION Age Under 21,,,7798.41,7798.41,4
APR-DRG,8604,REHABILITATION ,,,10692.41,13569.05,18
APR-DRG,8604,REHABILITATION Age 21+,,,11398.0,11398.0,4
APR-DRG,8604,REHABILITATION Age Under 21,,,12157.87,12157.87,4
APR-DRG,8611,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,1944.91,2468.16,18
APR-DRG,8611,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Age 21+",,,2073.26,2073.26,4
APR-DRG,8611,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Age Under 21",,,2211.47,2211.47,4
APR-DRG,8612,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,3133.42,3976.42,18
APR-DRG,8612,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Age 21+",,,3340.2,3340.2,4
APR-DRG,8612,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Age Under 21",,,3562.88,3562.88,4
APR-DRG,8613,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,5952.51,7553.95,18
APR-DRG,8613,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Age 21+",,,6345.32,6345.32,4
APR-DRG,8613,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Age Under 21",,,6768.34,6768.34,4
APR-DRG,8614,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,12128.73,15391.79,18
APR-DRG,8614,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Age 21+",,,12929.1,12929.1,4
APR-DRG,8614,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Age Under 21",,,13791.04,13791.04,4
APR-DRG,8621,OTHER AFTERCARE AND CONVALESCENCE ,,,5541.04,7031.77,18
APR-DRG,8621,OTHER AFTERCARE AND CONVALESCENCE Age 21+,,,5906.69,5906.69,4
APR-DRG,8621,OTHER AFTERCARE AND CONVALESCENCE Age Under 21,,,6300.47,6300.47,4
APR-DRG,8622,OTHER AFTERCARE AND CONVALESCENCE ,,,7486.33,9500.42,18
APR-DRG,8622,OTHER AFTERCARE AND CONVALESCENCE Age 21+,,,7980.36,7980.36,4
APR-DRG,8622,OTHER AFTERCARE AND CONVALESCENCE Age Under 21,,,8512.38,8512.38,4
APR-DRG,8623,OTHER AFTERCARE AND CONVALESCENCE ,,,11188.77,14198.95,18
APR-DRG,8623,OTHER AFTERCARE AND CONVALESCENCE Age 21+,,,11927.12,11927.12,4
APR-DRG,8623,OTHER AFTERCARE AND CONVALESCENCE Age Under 21,,,12722.26,12722.26,4
APR-DRG,8624,OTHER AFTERCARE AND CONVALESCENCE ,,,16647.99,21126.89,18
APR-DRG,8624,OTHER AFTERCARE AND CONVALESCENCE Age 21+,,,17746.59,17746.59,4
APR-DRG,8624,OTHER AFTERCARE AND CONVALESCENCE Age Under 21,,,18929.69,18929.69,4
APR-DRG,8631,NEONATAL AFTERCARE ,,,3718.5,4718.91,18
APR-DRG,8631,NEONATAL AFTERCARE Age 21+,,,3963.89,3963.89,4
APR-DRG,8631,NEONATAL AFTERCARE Age Under 21,,,4228.15,4228.15,4
APR-DRG,8632,NEONATAL AFTERCARE ,,,9898.16,12561.11,18
APR-DRG,8632,NEONATAL AFTERCARE Age 21+,,,10551.33,10551.33,4
APR-DRG,8632,NEONATAL AFTERCARE Age Under 21,,,11254.76,11254.76,4
APR-DRG,8633,NEONATAL AFTERCARE ,,,15101.92,19164.88,18
APR-DRG,8633,NEONATAL AFTERCARE Age 21+,,,16098.5,16098.5,4
APR-DRG,8633,NEONATAL AFTERCARE Age Under 21,,,17171.73,17171.73,4
APR-DRG,8634,NEONATAL AFTERCARE ,,,65097.88,82611.52,18
APR-DRG,8634,NEONATAL AFTERCARE Age 21+,,,69393.68,69393.68,4
APR-DRG,8634,NEONATAL AFTERCARE Age Under 21,,,74019.93,74019.93,4
APR-DRG,8901,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS ,,,4424.81,5615.24,18
APR-DRG,8901,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Age 21+,,,4716.8,4716.8,4
APR-DRG,8901,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Age Under 21,,,5031.25,5031.25,4
APR-DRG,8902,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS ,,,4788.09,6076.25,18
APR-DRG,8902,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Age 21+,,,5104.05,5104.05,4
APR-DRG,8902,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Age Under 21,,,5444.32,5444.32,4
APR-DRG,8903,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS ,,,8394.54,10652.97,18
APR-DRG,8903,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Age 21+,,,8948.5,8948.5,4
APR-DRG,8903,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Age Under 21,,,9545.07,9545.07,4
APR-DRG,8904,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS ,,,17720.25,22487.63,18
APR-DRG,8904,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Age 21+,,,18889.6,18889.6,4
APR-DRG,8904,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Age Under 21,,,20148.91,20148.91,4
APR-DRG,8921,HIV WITH MAJOR HIV RELATED CONDITION ,,,3199.58,4060.38,18
APR-DRG,8921,HIV WITH MAJOR HIV RELATED CONDITION Age 21+,,,3410.72,3410.72,4
APR-DRG,8921,HIV WITH MAJOR HIV RELATED CONDITION Age Under 21,,,3638.1,3638.1,4
APR-DRG,8922,HIV WITH MAJOR HIV RELATED CONDITION ,,,3996.13,5071.23,18
APR-DRG,8922,HIV WITH MAJOR HIV RELATED CONDITION Age 21+,,,4259.83,4259.83,4
APR-DRG,8922,HIV WITH MAJOR HIV RELATED CONDITION Age Under 21,,,4543.82,4543.82,4
APR-DRG,8923,HIV WITH MAJOR HIV RELATED CONDITION ,,,6215.61,7887.83,18
APR-DRG,8923,HIV WITH MAJOR HIV RELATED CONDITION Age 21+,,,6625.77,6625.77,4
APR-DRG,8923,HIV WITH MAJOR HIV RELATED CONDITION Age Under 21,,,7067.49,7067.49,4
APR-DRG,8924,HIV WITH MAJOR HIV RELATED CONDITION ,,,9415.57,11948.69,18
APR-DRG,8924,HIV WITH MAJOR HIV RELATED CONDITION Age 21+,,,10036.9,10036.9,4
APR-DRG,8924,HIV WITH MAJOR HIV RELATED CONDITION Age Under 21,,,10706.02,10706.02,4
APR-DRG,8931,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS ,,,2775.49,3522.2,18
APR-DRG,8931,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS Age 21+,,,2958.65,2958.65,4
APR-DRG,8931,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS Age Under 21,,,3155.89,3155.89,4
APR-DRG,8932,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS ,,,3983.89,5055.7,18
APR-DRG,8932,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS Age 21+,,,4246.79,4246.79,4
APR-DRG,8932,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS Age Under 21,,,4529.91,4529.91,4
APR-DRG,8933,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS ,,,5556.72,7051.68,18
APR-DRG,8933,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS Age 21+,,,5923.41,5923.41,4
APR-DRG,8933,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS Age Under 21,,,6318.3,6318.3,4
APR-DRG,8934,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS ,,,10449.59,13260.9,18
APR-DRG,8934,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS Age 21+,,,11139.16,11139.16,4
APR-DRG,8934,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS Age Under 21,,,11881.77,11881.77,4
APR-DRG,8941,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS ,,,3445.09,4371.94,18
APR-DRG,8941,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Age 21+,,,3672.43,3672.43,4
APR-DRG,8941,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Age Under 21,,,3917.26,3917.26,4
APR-DRG,8942,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS ,,,4013.72,5093.55,18
APR-DRG,8942,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Age 21+,,,4278.58,4278.58,4
APR-DRG,8942,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Age Under 21,,,4563.82,4563.82,4
APR-DRG,8943,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS ,,,5856.14,7431.65,18
APR-DRG,8943,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Age 21+,,,6242.59,6242.59,4
APR-DRG,8943,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Age Under 21,,,6658.76,6658.76,4
APR-DRG,8944,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS ,,,7698.95,9770.24,18
APR-DRG,8944,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Age 21+,,,8207.0,8207.0,4
APR-DRG,8944,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Age Under 21,,,8754.13,8754.13,4
APR-DRG,9101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13052.99,16564.71,18
APR-DRG,9101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,13914.36,13914.36,4
APR-DRG,9101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,14841.98,14841.98,4
APR-DRG,9102,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13519.53,17156.76,18
APR-DRG,9102,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,14411.68,14411.68,4
APR-DRG,9102,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,15372.46,15372.46,4
APR-DRG,9103,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,17698.07,22459.48,18
APR-DRG,9103,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,18865.96,18865.96,4
APR-DRG,9103,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,20123.69,20123.69,4
APR-DRG,9104,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,46549.73,59073.26,18
APR-DRG,9104,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,49621.54,49621.54,4
APR-DRG,9104,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,52929.64,52929.64,4
APR-DRG,9111,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,7095.52,9004.46,18
APR-DRG,9111,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,7563.75,7563.75,4
APR-DRG,9111,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,8068.0,8068.0,4
APR-DRG,9112,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,7926.1,10058.5,18
APR-DRG,9112,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,8449.14,8449.14,4
APR-DRG,9112,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,9012.42,9012.42,4
APR-DRG,9113,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,14765.41,18737.83,18
APR-DRG,9113,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,15739.77,15739.77,4
APR-DRG,9113,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,16789.09,16789.09,4
APR-DRG,9114,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,39437.38,50047.44,18
APR-DRG,9114,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,42039.85,42039.85,4
APR-DRG,9114,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,44842.5,44842.5,4
APR-DRG,9121,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,10737.53,13626.31,18
APR-DRG,9121,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,11446.1,11446.1,4
APR-DRG,9121,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,12209.18,12209.18,4
APR-DRG,9122,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,11209.43,14225.16,18
APR-DRG,9122,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,11949.14,11949.14,4
APR-DRG,9122,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,12745.75,12745.75,4
APR-DRG,9123,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,17070.93,21663.61,18
APR-DRG,9123,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,18197.43,18197.43,4
APR-DRG,9123,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,19410.6,19410.6,4
APR-DRG,9124,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,37832.82,48011.19,18
APR-DRG,9124,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age 21+,,,40329.4,40329.4,4
APR-DRG,9124,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Age Under 21,,,43018.02,43018.02,4
APR-DRG,9301,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE ,,,4472.23,5675.41,18
APR-DRG,9301,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Age 21+,,,4767.35,4767.35,4
APR-DRG,9301,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Age Under 21,,,5085.17,5085.17,4
APR-DRG,9302,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE ,,,6263.41,7948.49,18
APR-DRG,9302,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Age 21+,,,6676.73,6676.73,4
APR-DRG,9302,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Age Under 21,,,7121.84,7121.84,4
APR-DRG,9303,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE ,,,8054.21,10221.07,18
APR-DRG,9303,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Age 21+,,,8585.7,8585.7,4
APR-DRG,9303,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Age Under 21,,,9158.08,9158.08,4
APR-DRG,9304,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE ,,,19317.17,24514.17,18
APR-DRG,9304,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Age 21+,,,20591.91,20591.91,4
APR-DRG,9304,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Age Under 21,,,21964.7,21964.7,4
APR-DRG,9501,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,6584.24,8355.64,18
APR-DRG,9501,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,7018.74,7018.74,4
APR-DRG,9501,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,7486.65,7486.65,4
APR-DRG,9502,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,9902.75,12566.94,18
APR-DRG,9502,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,10556.23,10556.23,4
APR-DRG,9502,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,11259.98,11259.98,4
APR-DRG,9503,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,16010.9,20318.4,18
APR-DRG,9503,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,17067.46,17067.46,4
APR-DRG,9503,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,18205.29,18205.29,4
APR-DRG,9504,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,45167.72,57319.44,18
APR-DRG,9504,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,48148.33,48148.33,4
APR-DRG,9504,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,51358.22,51358.22,4
APR-DRG,9511,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,4404.54,5589.51,18
APR-DRG,9511,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,4695.19,4695.19,4
APR-DRG,9511,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,5008.2,5008.2,4
APR-DRG,9512,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,6603.75,8380.39,18
APR-DRG,9512,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,7039.53,7039.53,4
APR-DRG,9512,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,7508.83,7508.83,4
APR-DRG,9513,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,13163.13,16704.47,18
APR-DRG,9513,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,14031.76,14031.76,4
APR-DRG,9513,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,14967.21,14967.21,4
APR-DRG,9514,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,31499.43,39973.9,18
APR-DRG,9514,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,33578.08,33578.08,4
APR-DRG,9514,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,35816.61,35816.61,4
APR-DRG,9521,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,4902.04,6220.86,18
APR-DRG,9521,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,5225.52,5225.52,4
APR-DRG,9521,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,5573.89,5573.89,4
APR-DRG,9522,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,6580.04,8350.3,18
APR-DRG,9522,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,7014.25,7014.25,4
APR-DRG,9522,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,7481.87,7481.87,4
APR-DRG,9523,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,19190.21,24353.06,18
APR-DRG,9523,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,20456.57,20456.57,4
APR-DRG,9523,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,21820.34,21820.34,4
APR-DRG,9524,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,39801.05,50508.95,18
APR-DRG,9524,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age 21+,,,42427.52,42427.52,4
APR-DRG,9524,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Age Under 21,,,45256.02,45256.02,4
CDM,100419,TIP SURG ULTRSNC 12CM,14706.0,14706.0,1029.42,14706.0,71
CDM,100425,BODY HUM DSTL RT 50MM,126200.0,126200.0,13882.0,126200.0,57
CDM,100464,SCREW BN 2.5MM 18MM,3494.0,3494.0,384.34,3494.0,57
CDM,100471,LINER ACTB HIP SZF 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,100489,KWIRE FX 1.4MM,1131.0,1131.0,79.17,1131.0,71
CDM,100506,KIT BLD SMP 6IN RES 3CC,1279.0,1279.0,89.53,1279.0,71
CDM,100510,CAPLACIZMAB-YHDP 11MGINJ,59143.29,59143.29,4140.03,59143.29,47
CDM,100510,"Injection, caplacizumab-yhdp, 1 mg ",59143.29,59143.29,1322.08,6797.39,15
CDM,100530,TELEH ORG SITE FAC FEE,111.8,111.8,7.83,111.8,71
CDM,100531,TELEH ORG SITE FAC FEE,111.8,111.8,7.83,111.8,71
CDM,100537,COVID-19 AB MULTISTEP,59.36,59.36,4.16,59.36,57
CDM,100574,PLATE BN 6HL 2.4MM 41MM,11878.0,11878.0,1306.58,11878.0,57
CDM,100587,LEUCOVORIN CA 100 MG INJ,911.95,911.95,63.84,911.95,47
CDM,100593,LEUCOVORIN CA 350 MG INJ,180.59,180.59,12.64,180.59,47
CDM,100595,RUXIENCE BS 500 MG INJ,21745.71,21745.71,1522.2,21745.71,42
CDM,100596,RUXIENCE BS 100 MG INJ,4349.14,4349.14,304.44,4349.14,42
CDM,100598,ZIRABEV BS 100 MG INJ,3721.77,3721.77,260.52,3721.77,42
CDM,100606,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,100607,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,100608,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,100609,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,100610,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,100611,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,100613,KIT BIOMD INSRTN ART JUG,3398.0,3398.0,237.86,3398.0,71
CDM,100615,LIDOCAINE 2% 100 MG INJ,35.02,35.02,2.45,35.02,67
CDM,100621,LIDOCAINE 2% 40 MG INJ,17.83,17.83,1.25,17.83,67
CDM,100671,SCREW BN 3.5MM 26MM,750.0,750.0,82.5,750.0,57
CDM,100678,LINER ACTB HIP 36MM SZG,61699.0,61699.0,6786.89,61699.0,57
CDM,100684,ANCHOR BN TNDN BICEP,11755.0,11755.0,1293.05,11755.0,57
CDM,100725,SUTURE BLU MONO 7-0 24IN,1696.0,1696.0,118.72,1696.0,71
CDM,100745,STEM FEM 129MM,51600.0,51600.0,5676.0,51600.0,57
CDM,100747,PLATE BN 63IN,142013.0,142013.0,15621.43,142013.0,57
CDM,100748,GUIDE CUT MANDIBLE DISP,74300.0,74300.0,5201.0,74300.0,71
CDM,100751,LINER ACTB HIP 28X40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,100754,CANN AOR 18G 2.5IN,1011.0,1011.0,70.77,1011.0,71
CDM,100766,SHELL HIP ACT D 3H 50MM,20640.0,20640.0,2270.4,20640.0,57
CDM,100773,LIDOCAINE 2% 100 MG INJ,31.32,31.32,2.19,31.32,67
CDM,100774,PLASMA-LYTE A 1000ML INJ,1368.44,1368.44,95.79,1368.44,67
CDM,100777,EPHEDRINE 50 MG INJ,560.69,560.69,39.25,560.69,67
CDM,100795,FORCEPS BX STR 5F 50CM,11433.0,11433.0,800.31,11433.0,71
CDM,100798,GRAFT BN ALGRF INJ 1.5CC,23925.0,23925.0,2631.75,23925.0,57
CDM,100808,STENT URET 4.8FR 14CM,3888.0,3888.0,427.68,3888.0,57
CDM,100836,CTA NECK VIZ AI TECH,12034.17,12034.17,842.39,12034.17,43
CDM,100838,CTA HEAD VIZ AI TECH,12305.63,12305.63,861.39,12305.63,43
CDM,100876,PROCEDURE LEVEL IV,32083.34,32083.34,3529.17,32083.34,64
CDM,100877,PROCEDURE LEVEL V,76626.07,76626.07,8428.87,76626.07,64
CDM,100879,SP VENOGM HEP W/DYN,5730.48,5730.48,401.13,5730.48,48
CDM,100880,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,100881,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,100882,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,100889,INSERT TIB KN 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,100892,NAIL BN 10MM 420MM,39333.0,39333.0,4326.63,39333.0,57
CDM,100897,KIT DRN LN VAC BT 1000ML,1599.0,1599.0,111.93,1599.0,71
CDM,100898,BURR SURG 45MM 1MM,449.0,449.0,31.43,449.0,71
CDM,100899,RASP SURG 14MM 7MM,4547.0,4547.0,318.29,4547.0,71
CDM,100902,SUTURE GRN BRD 3-0 30IN,1814.0,1814.0,126.98,1814.0,71
CDM,100903,DEVICE BX NDL 22GA,8116.0,8116.0,568.12,8116.0,71
CDM,100904,DEVICE BX NDL 25GA,8116.0,8116.0,568.12,8116.0,71
CDM,100905,HEAD BIP 65MM 28MM SLFCN,11610.0,11610.0,1277.1,11610.0,57
CDM,100920,DRAIN WND SIL 18X.25 IN,247.0,247.0,17.29,247.0,71
CDM,100925,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",1141.76,1141.76,30.34,483.35,17
CDM,100925,TRUXIMA BS 10 MG INJ,1141.76,1141.76,79.92,1141.76,42
CDM,100926,CEMENT PRSSRZR FEM CANAL,1379.0,1379.0,96.53,1379.0,71
CDM,100937,ICD DR MRI IS1 DF4,202519.0,202519.0,22277.09,202519.0,57
CDM,100938,STEM STRT 32MM 18X120MM,69584.0,69584.0,7654.24,69584.0,57
CDM,100939,SEGEMENT FEM 98MM,114549.0,114549.0,12600.39,114549.0,57
CDM,100958,STEM HUM SHLDR 74MM,60844.0,60844.0,6692.84,60844.0,57
CDM,100964,SET BX NDL ACC 18G 100,11433.0,11433.0,800.31,11433.0,71
CDM,100970,NDL VASC INTRO 21GA,665.0,665.0,46.55,665.0,71
CDM,100976,INSERT KN REV X-SM 18MM,84987.0,84987.0,9348.57,84987.0,57
CDM,100988,TUBE TRACH 7X10.6X120MM,5623.0,5623.0,393.61,5623.0,71
CDM,100991,PATCH CV .1MM 20X15CM,40052.0,40052.0,4405.72,40052.0,57
CDM,101003,INTRODUCER ORTH SZ3,11433.0,11433.0,800.31,11433.0,71
CDM,101012,KWIRE FX 2.3MM 230MM,1599.0,1599.0,111.93,1599.0,71
CDM,101021,SCREW BN 2.7MM 26MM,2713.0,2713.0,298.43,2713.0,57
CDM,101025,REAMER HEAD STRL 12.0MM,11433.0,11433.0,800.31,11433.0,71
CDM,101026,REAMER HEAD STRL 13.0MM,11433.0,11433.0,800.31,11433.0,71
CDM,101031,COLON W/BALL DILATION,5137.39,5137.39,359.62,5137.39,64
CDM,101036,CONN ROD SPN 25MM,8859.0,8859.0,974.49,8859.0,57
CDM,101042,SCREW BN CORT 3X20MM,3679.0,3679.0,404.69,3679.0,57
CDM,101043,PLATE BN STD D0 D-0 LEFT,58568.0,58568.0,6442.48,58568.0,57
CDM,101053,SCREW SPN P-AX 7.5X40MM,12655.0,12655.0,1392.05,12655.0,57
CDM,101076,SCREW BN 5MM 28MM,3084.0,3084.0,339.24,3084.0,57
CDM,101077,SCREW BN 5.0MM 60MM,3084.0,3084.0,339.24,3084.0,57
CDM,101080,SCREW SPN 5.5MM 40MM,16452.0,16452.0,1809.72,16452.0,57
CDM,101082,INSRT TIB KN SM 13MM,16516.0,16516.0,1816.76,16516.0,57
CDM,101083,COMPNT STM TIB KN LG,47730.0,47730.0,5250.3,47730.0,57
CDM,101121,SCREW BN 2.7MM 50MM,2569.0,2569.0,282.59,2569.0,57
CDM,101164,SCREW BN SPN 3.5MM 10MM,11390.0,11390.0,1252.9,11390.0,57
CDM,101173,PLATE LAT FIB 89MM,35429.0,35429.0,3897.19,35429.0,57
CDM,101187,MESH HRN XL 12X17CM,9464.0,9464.0,1041.04,9464.0,57
CDM,101188,MESH HRN XL 12X17CM,9464.0,9464.0,1041.04,9464.0,57
CDM,101190,CATH THMB 2F 0.67MM 60CM,2249.0,2249.0,157.43,2249.0,71
CDM,101196,CATH THRMB 6F 80CM,1599.0,1599.0,111.93,1599.0,71
CDM,101197,SYSTEM FX 30FSTN,20133.0,20133.0,2214.63,20133.0,57
CDM,101200,INSERT TIB KN SZ6 8MM,39732.0,39732.0,4370.52,39732.0,57
CDM,101201,INSERT TIB 2-3 KN RT HNG,35405.0,35405.0,3894.55,35405.0,57
CDM,101210,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,101213,MEDICAL PRIVATE MONITRD,15744.74,15744.74,,,0
CDM,101214,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,101227,INSERT TIB SZ5 13MM,39245.0,39245.0,4316.95,39245.0,57
CDM,101229,INSERT TIB KN SZ6 11MM,39245.0,39245.0,4316.95,39245.0,57
CDM,101253,PLATE BN STR 7HL,19960.0,19960.0,2195.6,19960.0,57
CDM,101263,CATH ANGIO 4FR 70CM,1020.0,1020.0,71.4,1020.0,71
CDM,101292,INSERT TIB KN 4 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,101294,SCREW BN 3.5MM 46MM,10275.0,10275.0,1130.25,10275.0,57
CDM,101295,BASEPLATE TIB KN RT SZ4,25800.0,25800.0,2838.0,25800.0,57
CDM,101316,INSERT ACTB HIP SZ5,14190.0,14190.0,1560.9,14190.0,57
CDM,101324,PIN HEADLESS FLUTED1/8MM,7670.0,7670.0,536.9,7670.0,71
CDM,101325,GRAFT BN ALGRF INJ 3.0CC,47850.0,47850.0,5263.5,47850.0,57
CDM,101329,GWIRE VASC .014IN 180CM,3349.0,3349.0,234.43,3349.0,71
CDM,101333,DRILL BIT CANN 2.7MM,10185.0,10185.0,712.95,10185.0,71
CDM,101344,COUNTERSINK DISP 2.0MM,10126.0,10126.0,708.82,10126.0,71
CDM,101375,MODULE POWER UNIT,95040.0,95040.0,6652.8,95040.0,57
CDM,101414,TENDON ACHILLES WITH CAL,26562.0,26562.0,2921.82,26562.0,57
CDM,101415,STEM HUM SHLDR 70MM,61920.0,61920.0,6811.2,61920.0,57
CDM,101417,KIT CNTRLN DRSG W-BIOPTH,262.0,262.0,18.34,262.0,71
CDM,101444,STENT COR 2.25X28MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101445,STENT COR 2.25X16MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101446,STENT COR 2.25X32MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101447,STENT COR 2.25X12MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101448,STENT COR 2.25X24MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101449,STENT COR 2.25X20MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101450,STENT COR 2.25X38MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101451,STENT COR 2.25X8MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101452,STENT COR 2.75X8MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101453,STENT COR 2.50X8MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101454,STENT COR 2.50X24MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101456,STENT COR 2.50X20MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101457,STENT COR 2.50X16MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101458,STENT COR 2.75X16MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101459,STENT COR 2.50X12MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101460,STENT COR 2.75X24MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101461,STENT COR 2.50X32MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101462,STENT COR 2.75X12MM,15836.0,15836.0,1741.96,15836.0,57
CDM,101463,STENT COR 2.50X28MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101464,STENT COR 2.50X48MM,17380.0,17380.0,1911.8,17380.0,57
CDM,101466,STENT COR 2.50X38MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101467,STENT COR 2.75X20MM,14665.0,14665.0,1613.15,14665.0,57
CDM,101470,PLATE MDFC 3D LG,233200.0,233200.0,25652.0,233200.0,57
CDM,101493,SPACER HUM 42MM +12MM,14385.0,14385.0,1582.35,14385.0,57
CDM,101495,CATH BLNDIL 9MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
CDM,101500,CATH 4F SUPER TORQUE RIM,1263.0,1263.0,88.41,1263.0,71
CDM,101509,SCREW BN 2.7MM 28MM,4285.0,4285.0,471.35,4285.0,57
CDM,101523,NAIL BN 10MM 260MM,20693.0,20693.0,2276.23,20693.0,57
CDM,101525,CANNULA PRFSN 17FR 30IN,5623.0,5623.0,393.61,5623.0,71
CDM,101529,LINER ACTB HIP SZG 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,101539,SCREW BN 30MM,27907.0,27907.0,3069.77,27907.0,57
CDM,101542,BASEPLATE MODULAR 28MM,66821.0,66821.0,7350.31,66821.0,57
CDM,101543,SCREW BN 5.5MM 36MM,3535.0,3535.0,388.85,3535.0,57
CDM,101544,SCREW BN N-LCK 4.5X32MM,3535.0,3535.0,388.85,3535.0,57
CDM,101545,PIN SET BN MOD GLND,11433.0,11433.0,800.31,11433.0,71
CDM,101556,SYSTEM BN SCREW 6.25MM,43895.0,43895.0,4828.45,43895.0,57
CDM,101559,SCREW BN 2.0X20MM,864.0,864.0,95.04,864.0,57
CDM,101560,SCREW BN 2.0MM 6MM,2569.0,2569.0,282.59,2569.0,57
CDM,101564,SCREW BN 1.6MM 9MM,3247.0,3247.0,357.17,3247.0,57
CDM,101570,PLATE BN 6HL 1.6MM,23345.0,23345.0,2567.95,23345.0,57
CDM,101571,SCREW BN 1.6X11MM,4110.0,4110.0,452.1,4110.0,57
CDM,101574,KIT REMOTE CONTROL,14913.0,14913.0,1043.91,14913.0,71
CDM,101575,KIT GENERATOR IPG,318320.0,318320.0,35015.2,318320.0,57
CDM,101593,INSERT TIB KN SZ3 16MM,48401.0,48401.0,5324.11,48401.0,57
CDM,101600,SCREW BN 4MM 38MM,8101.0,8101.0,891.11,8101.0,57
CDM,101607,BEARING TIB KN 12MM 75MM,19350.0,19350.0,2128.5,19350.0,57
CDM,101624,SCREW BN 4.0MM 42MM,8101.0,8101.0,891.11,8101.0,57
CDM,101625,STENT URTH 6FR 20CM,3967.0,3967.0,436.37,3967.0,57
CDM,101642,CMPNT TIB RT CMNTD SZ4,100348.0,100348.0,11038.28,100348.0,57
CDM,101643,CMPNT FEM RT N-CMNT SZ4,106088.0,106088.0,11669.68,106088.0,57
CDM,101644,INSERT HYPRFLX 10MM SZ4,64501.0,64501.0,7095.11,64501.0,57
CDM,101645,STEM CEMENTLESS 18X150MM,105237.0,105237.0,11576.07,105237.0,57
CDM,101646,STEM CEMENTLESS 20X150MM,105237.0,105237.0,11576.07,105237.0,57
CDM,101647,INSERT DBL TPR + 0MM,28380.0,28380.0,3121.8,28380.0,57
CDM,101648,CMPNT TIB MTPHYSL SZ4,223006.0,223006.0,24530.66,223006.0,57
CDM,101649,CMPNT FEM MTPHYSL SZ2,223006.0,223006.0,24530.66,223006.0,57
CDM,101672,CURETTE STRGHT 10MM,226.0,226.0,15.82,226.0,71
CDM,101687,BIT DRILL 1.5MM 99MM,9424.0,9424.0,659.68,9424.0,71
CDM,101688,IPG NRSTM 49.5X55.5X1.34,209099.0,209099.0,23000.89,209099.0,57
CDM,101695,STEM FEM KN 13MM 135MM,60372.0,60372.0,6640.92,60372.0,57
CDM,101703,SYSTEM IMP FULL,187846.0,187846.0,20663.06,187846.0,57
CDM,101704,BEARING TIB 71X75X10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,101711,ELECTRD ESURG 2.4MM 13CM,410.0,410.0,28.7,410.0,71
CDM,101713,GWIRE BN DISP 1.1X150MM,4048.0,4048.0,283.36,4048.0,71
CDM,101752,HEMODIALYSIS ONE EVAL,4402.36,4402.36,308.17,4402.36,65
CDM,101760,THER APHERESIS PLASMA,14805.56,14805.56,1036.39,14805.56,65
CDM,101764,DEBRIDE CHEMICAL CAUTERY,2074.93,2074.93,228.24,2074.93,64
CDM,101773,OP VISIT LEVEL 3 EST,860.5,860.5,60.23,860.5,54
CDM,101774,OP VISIT LEVEL 4 EST,1098.47,1098.47,76.89,1098.47,54
CDM,101775,OP VISIT LEVEL 5 EST,1230.16,1230.16,86.11,1230.16,54
CDM,101780,OP VISIT LEVEL 1 EST,980.64,980.64,107.87,980.64,54
CDM,101781,OP VISIT LEVEL 2 EST,1201.9,1201.9,132.21,1201.9,54
CDM,101782,OP VISIT LEVEL 3 EST,1423.11,1423.11,156.54,1423.11,54
CDM,101783,OP VISIT LEVEL 4 EST,1814.81,1814.81,199.63,1814.81,54
CDM,101791,DOP ART 1-2 LEVELS BIL,679.5,679.5,47.56,679.5,49
CDM,101793,OP VISIT LEVEL 3 NP,1423.11,1423.11,156.54,1423.11,54
CDM,101797,OP VISIT LEVEL 5 NP,2036.07,2036.07,223.97,2036.07,54
CDM,101798,OP VISIT LEVEL 4 NP,1814.81,1814.81,199.63,1814.81,54
CDM,101799,OP VISIT LEVEL 2 NP,1201.9,1201.9,132.21,1201.9,54
CDM,101853,OBS PER HOUR,699.63,699.63,76.96,699.63,42
CDM,101856,HPC ALLO TRANSP PER DNR,19352.34,19352.34,1354.66,19352.34,59
CDM,101856,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,19352.34,19352.34,7168.0,63503.69,6
CDM,101856,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Other Phases,19352.34,19352.34,63187.75,63187.75,1
CDM,101856,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Phase 3,19352.34,19352.34,173766.31,173766.31,1
CDM,101857,HPC AUTO TRANSP PER DNR,30116.16,30116.16,2108.13,30116.16,55
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation ,30116.16,30116.16,556.15,124656.0,22
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation Adult,30116.16,30116.16,131250.0,131250.0,1
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation Age 21+,30116.16,30116.16,621.08,621.08,4
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation Age Under 21,30116.16,30116.16,632.37,632.37,4
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation Other Phases,30116.16,30116.16,1564.52,1564.52,1
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,30116.16,30116.16,133560.0,141750.0,2
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation Phase 3,30116.16,30116.16,7040.36,7040.36,1
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation Tandem Auto Auto Auto,30116.16,30116.16,222600.0,222600.0,1
CDM,101857,Hematopoietic progenitor cell (HPC); autologous transplantation Tandem Autologous Autologous,30116.16,30116.16,166950.0,166950.0,1
CDM,101860,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,101879,OR LEVEL 1 ADD 30 MIN,5052.89,5052.89,353.7,5052.89,64
CDM,101881,OR LEVEL 1 FIRST 30 MIN,14781.89,14781.89,1034.73,14781.89,64
CDM,101882,OR LEVEL 2 ADD 30 MIN,6922.99,6922.99,484.61,6922.99,64
CDM,101884,LEVEL 3 ADD 30,8794.82,8794.82,615.64,8794.82,64
CDM,101885,LEVEL 3 FIRST 60,26007.71,26007.71,1820.54,26007.71,64
CDM,101886,LEVEL 4 FIRST 60,35361.68,35361.68,2475.32,35361.68,64
CDM,101887,LEVEL 4 ADD 30,10664.93,10664.93,746.55,10664.93,64
CDM,101888,LEVEL 5 FIRST 60,44717.35,44717.35,3130.21,44717.35,64
CDM,101889,LEVEL 5 ADD 30,12536.75,12536.75,877.57,12536.75,64
CDM,101954,PACU ADD 30 MIN,875.06,875.06,61.25,875.06,71
CDM,101956,PACU FIRST 30 MIN,2441.48,2441.48,170.9,2441.48,71
CDM,101972,DIGITAL ANALYSIS EEG,201.03,201.03,14.07,201.03,65
CDM,101972,"Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis) ",201.03,201.03,462.83,900.4,6
CDM,101975,ANES ADD 30 MIN,1668.15,1668.15,116.77,1668.15,71
CDM,101978,ANES FIRST 30 MIN,3333.09,3333.09,233.32,3333.09,71
CDM,101994,COMPLEX CYTOMETROGRAM,1945.13,1945.13,136.16,1945.13,64
CDM,101995,COMPLEX UROFLOWMETRY,975.12,975.12,68.26,975.12,64
CDM,101998,ELECTROMYOGRAPHY,935.92,935.92,65.51,935.92,64
CDM,102005,ESWL W/STENT BILAT,38556.22,38556.22,2698.94,38556.22,67
CDM,102006,ESWL W/STENT UNILAT,37922.41,37922.41,2654.57,37922.41,67
CDM,102007,ESWL BIL,34680.23,34680.23,2427.62,34680.23,67
CDM,102010,ESWL-UNILATERAL,34045.0,34045.0,2383.15,34045.0,67
CDM,102016,ANOSCOPY MUL W/HBF/BC/ST,4423.38,4423.38,309.64,4423.38,64
CDM,102017,ANOSCOPY OTHER,3348.57,3348.57,234.4,3348.57,64
CDM,102020,ANOSCOPY SGL W/HBF OR BC,1026.62,1026.62,71.86,1026.62,64
CDM,102021,ANOSCOPY SGL W/SN TECH,3348.57,3348.57,234.4,3348.57,64
CDM,102022,ANOSCOPY W/BIOP,1026.62,1026.62,71.86,1026.62,64
CDM,102023,ANOSCOPY W/CNTL BLD,1429.07,1429.07,100.03,1429.07,64
CDM,102024,ANOSCOPY W/DIL,3291.93,3291.93,230.44,3291.93,64
CDM,102025,ANOSCOPY W/REM FB,1618.25,1618.25,113.28,1618.25,64
CDM,102026,BIL ENDO DX,2814.77,2814.77,197.03,2814.77,64
CDM,102027,BIL ENDO INTRAOP,3594.38,3594.38,251.61,3594.38,64
CDM,102030,BIL ENDO W/BIOP,3446.18,3446.18,241.23,3446.18,64
CDM,102031,BIL ENDO W/DILATE,4328.2,4328.2,302.97,4328.2,64
CDM,102032,BIL ENDO W/DILATE W/ST,5644.01,5644.01,395.08,5644.01,64
CDM,102033,BIOPSY LIVER,2724.2,2724.2,190.69,2724.2,64
CDM,102034,BONE MARROW BIOPSY,4790.36,4790.36,335.33,4790.36,64
CDM,102035,BRON W/CATH PL RADEL AP,9311.37,9311.37,651.8,9311.37,64
CDM,102037,BRON W/DES TUMR/REL/STNT,9311.37,9311.37,651.8,9311.37,64
CDM,102038,BRONC DX W/WO CELL WASH,9311.37,9311.37,651.8,9311.37,64
CDM,102039,BRONC TRACH DIL STENT PL,9311.37,9311.37,651.8,9311.37,64
CDM,102040,BRONC TRACH DIL/CR,9311.37,9311.37,651.8,9311.37,64
CDM,102041,BRONC W/BRONC ALV LAV,12255.47,12255.47,857.88,12255.47,64
CDM,102042,BRONC W/BRUSH,9599.47,9599.47,671.96,9599.47,64
CDM,102043,BRONC W/BX,12255.47,12255.47,857.88,12255.47,64
CDM,102044,BRONC W/EXT TUMOR,9311.37,9311.37,651.8,9311.37,64
CDM,102045,BRONC W/REM FB,9599.47,9599.47,671.96,9599.47,64
CDM,102046,BRONC W/THER ASP TB INI,9599.47,9599.47,671.96,9599.47,64
CDM,102047,BRONC W/THER ASP TB SUB,9311.37,9311.37,651.8,9311.37,64
CDM,102048,BRONC W/TSB LUNG BX,9599.47,9599.47,671.96,9599.47,64
CDM,102049,BRONC/TSB ND ASP BX,9599.47,9599.47,671.96,9599.47,64
CDM,102051,CHANGE GI TUBE,1290.5,1290.5,90.33,1290.5,64
CDM,102052,THORACOSTOMY TUBE,5090.4,5090.4,356.33,5090.4,64
CDM,102053,COL W/BIOPSY,6158.53,6158.53,431.1,6158.53,64
CDM,102054,COL W/CNTRL BLD,3899.23,3899.23,272.95,3899.23,64
CDM,102055,COLON STOMA W/HBF OR BC,3957.06,3957.06,276.99,3957.06,64
CDM,102056,INJ CIST/CERV C1-C2,820.15,820.15,57.41,820.15,64
CDM,102057,COLON W/HBF OR BC,4235.41,4235.41,296.48,4235.41,64
CDM,102059,COLONOSCOPY W/ SNARE,6998.38,6998.38,489.89,6998.38,64
CDM,102061,COLONOSCOPY DX,4254.7,4254.7,297.83,4254.7,64
CDM,102062,COLONOSCOPY OTHER,4390.85,4390.85,307.36,4390.85,64
CDM,102063,COLONOSCOPY STOMA DX,2882.26,2882.26,201.76,2882.26,64
CDM,102064,COLONOSCOPY STOMA OTHER,5462.06,5462.06,382.34,5462.06,64
CDM,102065,COLONOSCOPY STOMA W/BIOP,3430.5,3430.5,240.13,3430.5,64
CDM,102066,COLONOSCOPY STOMA W/CNBL,3422.07,3422.07,239.54,3422.07,64
CDM,102067,COLONOSCOPY STOMA W/RMFB,3375.07,3375.07,236.25,3375.07,64
CDM,102071,COLONOSCOPY W/REM FB,3652.21,3652.21,255.65,3652.21,64
CDM,102075,DIL ESOP UNG SND/BOUG,1566.44,1566.44,109.65,1566.44,64
CDM,102076,DIL ESOP W/BALLOON,2266.52,2266.52,158.66,2266.52,64
CDM,102077,EGD W/STENT PLACEMENT,8552.77,8552.77,598.69,8552.77,64
CDM,102078,EGD W/US NDLASP,3787.17,3787.17,265.1,3787.17,64
CDM,102079,ENDO EVAL SI BIOP,4181.2,4181.2,292.68,4181.2,64
CDM,102080,ENDO EVAL SI DX,3630.53,3630.53,254.14,3630.53,64
CDM,102081,ERCP DX,3381.1,3381.1,236.68,3381.1,64
CDM,102083,ERCP W/BIOPSY,4246.26,4246.26,297.24,4246.26,64
CDM,102085,ERCP W/DILATE BALLOON,5646.42,5646.42,395.25,5646.42,64
CDM,102086,ERCP W/INS DRAIN TUBE,3847.42,3847.42,269.32,3847.42,64
CDM,102087,ERCP W/LITHOTRIPSY,4675.22,4675.22,327.27,4675.22,64
CDM,102089,ERCP W/REM STONE,7506.87,7506.87,525.48,7506.87,64
CDM,102091,ERCP W/SPHINC/PAPIL,5198.17,5198.17,363.87,5198.17,64
CDM,102092,ERCP W/SPHINCTER ODDI,4363.13,4363.13,305.42,4363.13,64
CDM,102109,ESOPHAGOSCOPY W/IN TB ST,12027.85,12027.85,841.95,12027.85,64
CDM,102116,PLACE GI TUBE,436.2,436.2,30.53,436.2,64
CDM,102119,ILEOSCOPY DX,2058.06,2058.06,144.06,2058.06,64
CDM,102120,ILEOSCOPY W/BIOP,3131.68,3131.68,219.22,3131.68,64
CDM,102123,LARYNGOSCOPY,2548.47,2548.47,178.39,2548.47,64
CDM,102125,LIGATION HEMORRHOID,1147.12,1147.12,80.3,1147.12,64
CDM,102129,PROC DX,2058.06,2058.06,144.06,2058.06,64
CDM,102130,PROC MUL W/HBF/BC/ST,4574.0,4574.0,320.18,4574.0,64
CDM,102131,PROC OTHER,5277.71,5277.71,369.44,5277.71,64
CDM,102132,PROC SGL W/HBF OR BC,3500.39,3500.39,245.03,3500.39,64
CDM,102133,PROC SGL W/SNARE TECH,2253.25,2253.25,157.73,2253.25,64
CDM,102134,PROC W/BIOPSY,2389.42,2389.42,167.26,2389.42,64
CDM,102135,PROC W/CNTL BLD,1580.89,1580.89,110.66,1580.89,64
CDM,102136,PROC W/DECOMP VOLVULUS,3018.41,3018.41,211.29,3018.41,64
CDM,102137,PROC W/DILATION,3001.54,3001.54,210.11,3001.54,64
CDM,102138,PROC W/REM FB,1670.06,1670.06,116.9,1670.06,64
CDM,102139,RECTAL BX,894.08,894.08,62.59,894.08,64
CDM,102140,US ABDOMEN COMPLETE,1202.11,1202.11,84.15,1202.11,48
CDM,102141,RECTAL SUCTION BIOPSY,1026.62,1026.62,71.86,1026.62,64
CDM,102145,SI ENDO CNTL BLEED,3360.61,3360.61,235.24,3360.61,64
CDM,102146,SI ENDO DX W/O ILEUM,1720.67,1720.67,120.45,1720.67,64
CDM,102147,SI ENDO INC ILEUM,6703.16,6703.16,469.22,6703.16,64
CDM,102148,SI ENDO OTHER,5616.29,5616.29,393.14,5616.29,64
CDM,102149,SI ENDO W/BIOPSY,2268.93,2268.93,158.83,2268.93,64
CDM,102150,SI ENDO W/CONV PG TO JT,3263.01,3263.01,228.41,3263.01,64
CDM,102151,SI ENDO W/HBF OR BC,3907.68,3907.68,273.54,3907.68,64
CDM,102152,SI ENDO W/ILEUM BIOP,7251.41,7251.41,507.6,7251.41,64
CDM,102153,SI ENDO W/PL JEJ TUBE,5616.29,5616.29,393.14,5616.29,64
CDM,102154,SI ENDO W/RM FB,3405.2,3405.2,238.36,3405.2,64
CDM,102155,SI ENDO W/SNARE TECH,3405.2,3405.2,238.36,3405.2,64
CDM,102156,SIG W/BIOPSY,3270.25,3270.25,228.92,3270.25,64
CDM,102157,SIG W/CNTL BLD,2596.67,2596.67,181.77,2596.67,64
CDM,102158,SIG W/DECOMP VOLVULUS,4940.31,4940.31,345.82,4940.31,64
CDM,102159,SIG W/HBF OR BC,3270.25,3270.25,228.92,3270.25,64
CDM,102160,SIG W/REMOVAL FB,2684.64,2684.64,187.92,2684.64,64
CDM,102162,SIG W/SNARE TECH,4516.17,4516.17,316.13,4516.17,64
CDM,102163,FLEX SIG DX,2515.95,2515.95,176.12,2515.95,64
CDM,102164,FLEX SIG OTHER,6445.31,6445.31,451.17,6445.31,64
CDM,102166,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,102168,UPPER GI ENDO DX,4254.7,4254.7,297.83,4254.7,64
CDM,102169,UPPER GI ENDO OTHER,8574.47,8574.47,600.21,8574.47,64
CDM,102171,UPPER GI ENDO W/BAL DILA,5763.3,5763.3,403.43,5763.3,64
CDM,102173,UPPER GI ENDO W/BAND LIG,2871.41,2871.41,201.0,2871.41,64
CDM,102174,UPPER GI ENDO W/BIOPSY,5422.3,5422.3,379.56,5422.3,64
CDM,102175,UPPER GI ENDO W/CNTR BLD,3899.23,3899.23,272.95,3899.23,64
CDM,102176,UPPER GI ENDO W/DIL GAS,3939.0,3939.0,275.73,3939.0,64
CDM,102177,UPPER GI ENDO W/GD WIRE,5075.27,5075.27,355.27,5075.27,64
CDM,102178,UPPER GI ENDO W/HBF/BC,4246.26,4246.26,297.24,4246.26,64
CDM,102179,UPPER GI ENDO W/INJ SCL,3465.45,3465.45,242.58,3465.45,64
CDM,102180,UPPER GI ENDO W/PLACE GT,3955.87,3955.87,276.91,3955.87,64
CDM,102181,UPPER GI ENDO W/REM FB,5597.01,5597.01,391.79,5597.01,64
CDM,102182,UPPER GI ENDO W/SNARE TE,3936.59,3936.59,275.56,3936.59,64
CDM,102183,UPPER GI ENDO W/TB OR CP,3158.18,3158.18,221.07,3158.18,64
CDM,102184,UPPER GI ENDO W/US EX,3787.17,3787.17,265.1,3787.17,64
CDM,102191,NATL ORGAN REGSTRY (HRT),1507.04,1507.04,105.49,1507.04,71
CDM,102213,NAT ORGAN REGSTRY KIDNEY,1507.04,1507.04,105.49,1507.04,71
CDM,102233,SP TREATMENT,4434.52,4434.52,487.8,4434.52,44
CDM,102248,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician ",759.37,759.37,44.99,100.61,10
CDM,102248,TR DOSIMETRY,759.37,759.37,83.53,759.37,44
CDM,102249,TR DOSIMETRY BASIC,759.37,759.37,83.53,759.37,44
CDM,102254,TR MED PHYSICS CONT,759.37,759.37,83.53,759.37,44
CDM,102255,TR MED PHYSICS SPECIAL,759.37,759.37,83.53,759.37,44
CDM,102256,TR PORT IMAGE,840.91,840.91,92.5,840.91,49
CDM,102258,3D RADIOTHER PLAN W DVH,6806.17,6806.17,748.68,6806.17,44
CDM,102259,TR SIMULATION COMPLEX,2061.51,2061.51,226.77,2061.51,44
CDM,102260,TR SIMULATION INTERMED,2061.51,2061.51,226.77,2061.51,44
CDM,102261,TR SIMULATION SIMPLE,759.37,759.37,83.53,759.37,44
CDM,102262,"Special teletherapy port plan, particles, hemibody, total body ",2061.51,2061.51,105.21,231.05,10
CDM,102262,TR SPECIAL PORT PLAN,2061.51,2061.51,226.77,2061.51,44
CDM,102263,TR TREAT DEVICE CPLEX,1413.12,1413.12,155.44,1413.12,44
CDM,102264,TR TREAT DEVICE INTRMED,1370.33,1370.33,150.74,1370.33,44
CDM,102264,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) ",1370.33,1370.33,242.95,368.93,10
CDM,102265,TR TREAT DEVICE SIMPLE,1370.33,1370.33,150.74,1370.33,44
CDM,102268,NATL ORGAN REGSTRY PANC,1234.54,1234.54,86.42,1234.54,71
CDM,102270,OP VISIT LEVEL 2 EST,727.33,727.33,50.91,727.33,54
CDM,102271,OP VISIT LEVEL 3 EST,860.5,860.5,60.23,860.5,54
CDM,102272,OP VISIT LEVEL 4 EST,1098.47,1098.47,76.89,1098.47,54
CDM,102273,OP VISIT LEVEL 5 EST,1230.16,1230.16,86.11,1230.16,54
CDM,102276,OP VISIT LEVEL 5 NP,1230.16,1230.16,86.11,1230.16,54
CDM,102297,FLUORO EVAL OF SWALW SP,934.05,934.05,65.38,934.05,44
CDM,102333,TX SPEECH INDIVIDUAL SP,472.93,472.93,33.11,472.93,44
CDM,102334,TX SWAL/ORAL FUNCTION SP,313.32,313.32,21.93,313.32,44
CDM,102335,LARYNGEAL FUNCTN STUDIES,750.79,750.79,52.56,750.79,44
CDM,102335,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",750.79,750.79,90.26,583.31,46
CDM,102335,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Other Outpatient",750.79,750.79,95.25,95.25,6
CDM,102361,EXTENDED RECOVERY,1811.34,1811.34,126.79,1811.34,71
CDM,102363,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,102367,EXTENDED RECOVERY,1811.34,1811.34,126.79,1811.34,71
CDM,102369,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,102379,ZIAGEN 300MG TAB,148.76,148.76,10.41,148.76,67
CDM,102384,ACARBOSE 10MG TAB,6.17,6.17,0.43,6.17,67
CDM,102393,ACETIC ACID 0.25% IR 1L,942.6,942.6,65.98,942.6,67
CDM,102410,ACTICHAR W/SORB 25GM,387.48,387.48,27.12,387.48,67
CDM,102413,ACTIDOSE-AQUA 25GM,84.44,84.44,5.91,84.44,67
CDM,102419,URSODIOL 300 MG PO,36.44,36.44,2.55,36.44,67
CDM,102426,ALTEPLASE RECOMB 1 MG,611.31,611.31,42.79,611.31,42
CDM,102435,ACTOS 15 MG TAB,103.64,103.64,7.25,103.64,67
CDM,102439,ACULAR OPH 5ML,572.79,572.79,40.1,572.79,67
CDM,102444,ADDERALL 10MG TAB,39.12,39.12,2.74,39.12,67
CDM,102458,DOXORUBICIN 10 MG INJ,1703.58,1703.58,119.25,1703.58,47
CDM,102469,ADVIL 200MG TAB,1.81,1.81,0.13,1.81,67
CDM,102473,ADVIL SUS 5ML,5.04,5.04,0.35,5.04,67
CDM,102481,AFRIN SPRAY 0.05% 15ML,98.83,98.83,6.92,98.83,67
CDM,102491,AGGRENOX CAP,67.35,67.35,4.71,67.35,67
CDM,102493,AGRYLIN 0.5MG CAP,116.32,116.32,8.14,116.32,67
CDM,102496,ALBENDAZOLE 200 MG PO,1762.04,1762.04,123.34,1762.04,59
CDM,102497,ALBUMIN INF 25% 50 ML,282.5,282.5,19.77,282.5,46
CDM,102506,ALBUMIN INF 5% 250ML,282.5,282.5,19.77,282.5,41
CDM,102507,ALBUMIN INF 5% 50ML,495.61,495.61,34.69,495.61,46
CDM,102507,"Infusion, albumin (human), 5%, 50 ml ",495.61,495.61,10.3,286.06,17
CDM,102517,PROPARACAINE 0.5% OPHTH,196.92,196.92,13.78,196.92,67
CDM,102522,ALDACTAZIDE 25/25 TAB,32.72,32.72,2.29,32.72,67
CDM,102526,ALDACTONE 25MG TAB,2.36,2.36,0.17,2.36,67
CDM,102527,ALDACTONE 50MG TAB,4.35,4.35,0.3,4.35,67
CDM,102531,"Injection, methyldopate hcl, up to 250 mg ",354.74,354.74,15.99,362.6,15
CDM,102531,METHYLDOPATE 250 MG INJ,354.74,354.74,24.83,354.74,47
CDM,102532,ALDOMET 250MG TAB,26.16,26.16,1.83,26.16,67
CDM,102533,ALDOMET 500MG TAB,23.65,23.65,1.66,23.65,67
CDM,102548,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",1144.8,1144.8,117.05,7663.11,17
CDM,102548,MELPHALAN 50 MG INJ NOC,1144.8,1144.8,80.14,1144.8,42
CDM,102565,ALPHA KERI BATH OIL 8OZ,38.52,38.52,2.7,38.52,67
CDM,102570,ALTACE 1.25MG CAP,51.96,51.96,3.64,51.96,67
CDM,102571,ALTACE 2.5MG CAP,51.96,51.96,3.64,51.96,67
CDM,102572,ALTACE 5MG CAP,64.88,64.88,4.54,64.88,67
CDM,102585,AMARYL 1MG TAB,32.72,32.72,2.29,32.72,67
CDM,102587,AMARYL 4MG TAB,46.86,46.86,3.28,46.86,67
CDM,102589,AMBIEN 5MG TAB,90.71,90.71,6.35,90.71,67
CDM,102593,AMERICAINE OINT 30GM,27.03,27.03,1.89,27.03,67
CDM,102595,AMERICAINE SPR 90GM,64.88,64.88,4.54,64.88,67
CDM,102605,AMICAR 500MG TAB,64.88,64.88,4.54,64.88,67
CDM,102607,AMIDATE 20MG 10ML INJ,28.44,28.44,1.99,28.44,67
CDM,102609,AMIKACIN SULFATE 100 MG,19.84,19.84,1.39,19.84,47
CDM,102629,AMINOPHYLLIN 250 MG INJ,156.67,156.67,10.97,156.67,47
CDM,102630,AMINOPHYLLIN 500 MG INJ,518.88,518.88,36.32,518.88,47
CDM,102647,AMOX SUSP 250/5 100ML,62.41,62.41,4.37,62.41,67
CDM,102660,AMPHOJEL SUSP 30ML,6.85,6.85,0.48,6.85,67
CDM,102677,AMPICILLIN 500 MG INJ,173.82,173.82,12.17,173.82,47
CDM,102683,ANAFRANIL 25MG CAP,2.79,2.79,0.2,2.79,67
CDM,102695,FLUCYTOSINE 500 MG PO,410.01,410.01,28.7,410.01,59
CDM,102698,ANDROGEL 1% 2.5GM,155.27,155.27,10.87,155.27,67
CDM,102712,BIVALIRUDIN 250 MG INJ,256.5,256.5,17.95,256.5,47
CDM,102721,ANTIVERT 12.5MG TAB,26.16,26.16,1.83,26.16,67
CDM,102728,ANUSOL HC SUPP,96.74,96.74,6.77,96.74,67
CDM,102742,APRESOLINE 10MG TAB,32.72,32.72,2.29,32.72,67
CDM,102743,HYDRALAZINE 20 MG INJ,357.65,357.65,25.04,357.65,47
CDM,102744,APRESOLINE 25MG TAB,32.72,32.72,2.29,32.72,67
CDM,102745,APRESOLINE 50MG TAB,32.72,32.72,2.29,32.72,67
CDM,102747,VIT K PHYTONADIONE 1 MG,196.96,196.96,13.79,196.96,47
CDM,102748,AQUAPHOR OINT 0.5OZ,39.12,39.12,2.74,39.12,67
CDM,102749,AQUAPHOR OINT 16OZ,105.05,105.05,7.35,105.05,67
CDM,102839,DARBEPOETIN 200MCG NESRD,23351.93,23351.93,1634.64,23351.93,42
CDM,102844,ARAVA 10MG TAB,87.9,87.9,6.15,87.9,67
CDM,102845,ARAVA 20MG TAB,87.9,87.9,6.15,87.9,67
CDM,102851,ARICEPT 10MG TAB,161.61,161.61,11.31,161.61,67
CDM,102852,ARICEPT 5MG TAB,168.02,168.02,11.76,168.02,67
CDM,102871,AROMASIN 25MG TAB,232.79,232.79,16.3,232.79,67
CDM,102872,ARTANE 2MG TAB,26.16,26.16,1.83,26.16,67
CDM,102875,ARTANE LIQ 5ML,5.95,5.95,0.42,5.95,67
CDM,102883,ASCORB ACID INJ 1GM/2ML,313.92,313.92,21.97,313.92,67
CDM,102896,ASPIRIN 10GR SUPP,11.84,11.84,0.83,11.84,67
CDM,102899,ASPIRIN 325MG TAB,0.72,0.72,0.05,0.72,67
CDM,102903,ASPIRIN 5 GR SUPP,11.4,11.4,0.8,11.4,67
CDM,102905,ASPIRIN 81MG CHEW TAB,0.72,0.72,0.05,0.72,67
CDM,102906,ASPIRIN 81MG EC TAB,2.06,2.06,0.14,2.06,67
CDM,102907,ASPIRIN EC 162MG TAB,0.72,0.72,0.05,0.72,67
CDM,102919,AZELASTINE 0.1% NASAL,922.36,922.36,64.57,922.36,67
CDM,102929,ATARAX 10MG TAB,26.16,26.16,1.83,26.16,67
CDM,102930,ATARAX 25MG TAB,32.72,32.72,2.29,32.72,67
CDM,102933,ATARAX SYR 5ML,64.88,64.88,4.54,64.88,67
CDM,102934,LYM IG EQUINE 250 MG,22279.31,22279.31,1559.55,22279.31,42
CDM,102934,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",22279.31,22279.31,5133.66,42872.12,17
CDM,102936,ATIVAN 0.5MG TAB,39.12,39.12,2.74,39.12,67
CDM,102937,ATIVAN 1 MG TAB,45.42,45.42,3.18,45.42,67
CDM,102941,LORAZEPAM 2 MG INJ,5.72,5.72,0.4,5.72,47
CDM,102946,ATIVAN DRP 2MG/ML DOSE,45.42,45.42,3.18,45.42,67
CDM,102948,ANTITHROMBIN III PER IU,27.01,27.01,1.89,27.01,42
CDM,102954,ATROPINE 0.4MG 1ML INJ,71.17,71.17,4.98,71.17,67
CDM,102957,ATROPINE 1 MG INJ,279.32,279.32,19.55,279.32,47
CDM,102965,ATROVENT 0.06% NSL SPRAY,1581.39,1581.39,110.7,1581.39,67
CDM,102985,AUGMENTIN SUSP 400/5 100,369.44,369.44,25.86,369.44,67
CDM,102996,AVAPRO 150MG TAB,64.88,64.88,4.54,64.88,67
CDM,103002,MOXIFLOXACIN 400MG TAB,223.02,223.02,15.61,223.02,67
CDM,103004,AVITENE 1GM,2248.63,2248.63,157.4,2248.63,71
CDM,103005,AVITENE SHEET 70 X 35,2172.99,2172.99,152.11,2172.99,71
CDM,103010,AYGESTIN 5MG TAB,14.15,14.15,0.99,14.15,67
CDM,103016,AZTREONAM 500 MG INJ,544.3,544.3,38.1,544.3,58
CDM,103016,"Injection, aztreonam, 500 mg ",544.3,544.3,,,0
CDM,103023,AZOPT 1% OS 5ML,632.83,632.83,44.3,632.83,67
CDM,103025,AZULFIDINE EN-TAB,26.16,26.16,1.83,26.16,67
CDM,103026,B & O SUPP 15-A,281.94,281.94,19.74,281.94,67
CDM,103027,B & O SUPP 16-A,281.94,281.94,19.74,281.94,67
CDM,103029,BACITRACIN 50000U INJ,561.68,561.68,39.32,561.68,67
CDM,103030,BACITRACIN OINT 15GM,11.88,11.88,0.83,11.88,67
CDM,103031,BACITRACIN OINT 30GM,44.57,44.57,3.12,44.57,67
CDM,103032,BACITRACIN OINT PKT,1.42,1.42,0.1,1.42,67
CDM,103033,BACITRACIN OPT OINT,608.1,608.1,42.57,608.1,67
CDM,103039,BACTRIM DS TAB,45.42,45.42,3.18,45.42,67
CDM,103045,BACTRIM SUS 5ML,12.17,12.17,0.85,12.17,67
CDM,103046,BACTRIM TAB,32.72,32.72,2.29,32.72,67
CDM,103049,BACTROBAN 22GM OINT,95.69,95.69,6.7,95.69,67
CDM,103073,DIPHENHYDRAMNE 50 MG INJ,6.68,6.68,0.47,6.68,47
CDM,103073,"Injection, diphenhydramine hcl, up to 50 mg ",6.68,6.68,0.67,7.7,17
CDM,103080,BENEMID 500MG TAB,6.1,6.1,0.43,6.1,67
CDM,103081,BENTYL 10MG CAP,19.63,19.63,1.37,19.63,67
CDM,103082,DICYCLOMINE 20 MG INJ,583.47,583.47,40.84,583.47,47
CDM,103082,"Injection, dicyclomine hcl, up to 20 mg ",583.47,583.47,9.09,155.84,17
CDM,103083,BENTYL 20MG TAB,26.16,26.16,1.83,26.16,67
CDM,103085,BENTYL LIQ 5ML,32.72,32.72,2.29,32.72,67
CDM,103100,BETADINE DOUCHE 15ML,7.89,7.89,0.55,7.89,67
CDM,103104,BETADINE OINT 1OZ,22.77,22.77,1.59,22.77,67
CDM,103123,BETAPACE 80MG TAB,12.59,12.59,0.88,12.59,67
CDM,103131,BIAXIN 500MG TAB,32.21,32.21,2.25,32.21,67
CDM,103146,BICITRA 15ML,46.59,46.59,3.26,46.59,67
CDM,103148,CARMUSTINE 100 MG INJ,40015.84,40015.84,2801.11,40015.84,42
CDM,103148,"Injection, carmustine, 100 mg ",40015.84,40015.84,234.55,14325.16,17
CDM,103149,BILTRICIDE 600MG TAB,945.15,945.15,66.16,945.15,67
CDM,103154,BLEOMYCIN SULF 15 U INJ,3903.24,3903.24,273.23,3903.24,47
CDM,103154,"Injection, bleomycin sulfate, 15 units ",3903.24,3903.24,16.1,178.74,17
CDM,103156,BLEPH-10 OS 15ML,593.89,593.89,41.57,593.89,67
CDM,103175,"Injection, terbutaline sulfate, up to 1 mg ",659.89,659.89,2.87,23.43,17
CDM,103175,TERBUTALINE 1 MG INJ,659.89,659.89,46.19,659.89,47
CDM,103177,BRETHINE 5MG TAB,32.72,32.72,2.29,32.72,67
CDM,103184,BREVITAL 1ML INJ,71.29,71.29,4.99,71.29,67
CDM,103193,BSS 500ML IRR,227.5,227.5,15.93,227.5,67
CDM,103194,BSS OS 15ML,78.01,78.01,5.46,78.01,67
CDM,103196,BSS PLUS 500ML IRR,519.2,519.2,36.34,519.2,67
CDM,103205,BUSPAR 5MG TAB,39.12,39.12,2.74,39.12,67
CDM,103213,CAFCIT 20MG/ML PER ML,311.52,311.52,21.81,311.52,67
CDM,103214,CAFCIT ORL SOLN 20MG 1ML,70.27,70.27,4.92,70.27,67
CDM,103218,CAFF/SOD BENZ 500MG INJ,181.83,181.83,12.73,181.83,67
CDM,103221,CAL CARB SUS 5ML,45.42,45.42,3.18,45.42,67
CDM,103227,CAL GLUCONATE 1ML INJ,41.97,41.97,2.94,41.97,67
CDM,103230,CALADRYL LOT 2.5OZ,43.84,43.84,3.07,43.84,67
CDM,103233,CALAMINE LOT 4OZ,12.35,12.35,0.86,12.35,67
CDM,103236,CALAN 80MG TAB,32.72,32.72,2.29,32.72,67
CDM,103237,CALAN SR 120MG TAB,45.42,45.42,3.18,45.42,67
CDM,103238,CALAN SR 180MG TAB,58.55,58.55,4.1,58.55,67
CDM,103245,CALCITRIOL 1 MCG INJ,541.37,541.37,37.9,541.37,47
CDM,103245,"Injection, calcitriol, 0.1 mcg ",541.37,541.37,1.96,8.64,15
CDM,103263,SKIN CANDIDA,285.6,285.6,19.99,285.6,48
CDM,103263,Skin test; candida ,285.6,285.6,23.24,104.04,19
CDM,103267,CAPOTEN 12.5MG TAB,45.42,45.42,3.18,45.42,67
CDM,103268,CAPOTEN 25MG TAB,51.96,51.96,3.64,51.96,67
CDM,103274,CARAFATE 1GM TAB,45.42,45.42,3.18,45.42,67
CDM,103277,CARAFATE SUS 1GM/10ML,48.92,48.92,3.42,48.92,67
CDM,103285,CARBOCAINE 2% 20ML INJ,68.13,68.13,4.77,68.13,67
CDM,103288,CARDENE 20MG CAP,27.61,27.61,1.93,27.61,67
CDM,103290,CARDENE 30MG CAP,26.16,26.16,1.83,26.16,67
CDM,103303,DILTIAZEM 30 MG PO,2.48,2.48,0.17,2.48,67
CDM,103305,DILTIAZEM 60 MG PO,2.86,2.86,0.2,2.86,67
CDM,103307,DILTIAZEM ER 120 MG PO,2.53,2.53,0.18,2.53,67
CDM,103308,DILTIAZEM ER 180 MG PO,2.19,2.19,0.15,2.19,67
CDM,103310,DILTIAZEM ER 300 MG PO,9.02,9.02,0.63,9.02,67
CDM,103312,DILTIAZEM ER 60 MG PO,15.13,15.13,1.06,15.13,67
CDM,103313,DILTIAZEM ER 90 MG PO,17.27,17.27,1.21,17.27,67
CDM,103314,CARDURA 1MG TAB,58.55,58.55,4.1,58.55,67
CDM,103316,CARDURA 4MG TAB,45.42,45.42,3.18,45.42,67
CDM,103323,"Injection, levocarnitine, per 1 gm ",1037.37,1037.37,22.4,207.73,17
CDM,103323,LEVOCARNITINE 1 G INJ,1037.37,1037.37,72.62,1037.37,47
CDM,103335,CASODEX 50MG TAB,381.14,381.14,26.68,381.14,67
CDM,103339,CATAPRES 0.1MG TAB,26.16,26.16,1.83,26.16,67
CDM,103340,CATAPRES 0.2MG TAB,32.72,32.72,2.29,32.72,67
CDM,103341,CATAPRES 0.3MG TAB,26.16,26.16,1.83,26.16,67
CDM,103342,CATAPRES-TTS 1,177.68,177.68,12.44,177.68,67
CDM,103343,CATAPRES-TTS 2,177.68,177.68,12.44,177.68,67
CDM,103344,CATAPRES-TTS 3,414.62,414.62,29.02,414.62,67
CDM,103376,CEFTIN 250MG TAB,200.63,200.63,14.04,200.63,67
CDM,103387,CEFPROZIL 250MG/5MLLIQPO,18.6,18.6,1.3,18.6,67
CDM,103389,CELEBREX 100MG CAP,24.76,24.76,1.73,24.76,67
CDM,103390,CELEBREX 200MG CAP,38.54,38.54,2.7,38.54,67
CDM,103397,CELEXA 20MG TAB,90.71,90.71,6.35,90.71,67
CDM,103398,CELEXA 40MG TAB,97.09,97.09,6.8,97.09,67
CDM,103400,MYCOPHENOLATE 250 MG PO,3.53,3.53,0.25,3.53,47
CDM,103402,MYCOPHENOLATE 500 MG PO,7.44,7.44,0.52,7.44,47
CDM,103422,CEPHULAC 30ML,181.11,181.11,12.68,181.11,67
CDM,103430,DINOPROSTONE 10MG SUPP,5653.78,5653.78,395.76,5653.78,59
CDM,103431,CETACAINE SPR 56ML,1858.94,1858.94,130.13,1858.94,67
CDM,103435,CETAPHIL LOT 8OZ,62.77,62.77,4.39,62.77,67
CDM,103455,CHLOR-TRIMETIN 4MG TAB,6.85,6.85,0.48,6.85,67
CDM,103476,CIPRO 250MG TAB,9.33,9.33,0.65,9.33,67
CDM,103480,CIPRO 500MG TAB,245.5,245.5,17.18,245.5,67
CDM,103482,CIPRO HC OTIC 10 ML,1400.5,1400.5,98.03,1400.5,59
CDM,103487,CITRACAL TAB,1.17,1.17,0.08,1.17,67
CDM,103489,CITRATE OF MAG 300ML,51.96,51.96,3.64,51.96,67
CDM,103492,CEFOTAXIME 1 G INJ,740.87,740.87,51.86,740.87,47
CDM,103501,LORATADINE 10 MG PO,0.1,0.1,0.007,0.1,67
CDM,103502,LORATADINE LIQ PO,1.14,1.14,0.08,1.14,67
CDM,103506,CLINDAMYCIN 150 MG PO,2.96,2.96,0.21,2.96,67
CDM,103522,CLIMARA 0.025MG PATCH,110.94,110.94,7.77,110.94,67
CDM,103523,CLIMARA 0.05MG PATCH,124.34,124.34,8.7,124.34,67
CDM,103524,CLIMARA 0.075MG PATCH,124.34,124.34,8.7,124.34,67
CDM,103525,CLIMARA 0.1MG PATCH,124.34,124.34,8.7,124.34,67
CDM,103543,CODEINE 30MG TAB,71.29,71.29,4.99,71.29,67
CDM,103548,COGENTIN 0.5MG TAB,26.16,26.16,1.83,26.16,67
CDM,103549,COGENTIN 1MG TAB,26.16,26.16,1.83,26.16,67
CDM,103551,COGENTIN 2MG TAB,32.72,32.72,2.29,32.72,67
CDM,103555,COLACE 100MG CAP,2.06,2.06,0.14,2.06,67
CDM,103559,COLACE LIQ 30ML,13.28,13.28,0.93,13.28,67
CDM,103564,COLAZAL 750MG CAP,32.72,32.72,2.29,32.72,67
CDM,103567,COLCHICINE 0.6MG TAB,54.35,54.35,3.8,54.35,67
CDM,103569,COLESTID 1GM TAB,32.72,32.72,2.29,32.72,67
CDM,103570,COLESTID 5GM PKT,64.88,64.88,4.54,64.88,67
CDM,103575,COLISTIMETHATE 150MG INJ,964.58,964.58,67.52,964.58,47
CDM,103575,"Injection, colistimethate sodium, up to 150 mg ",964.58,964.58,13.84,97.41,17
CDM,103577,COLYTE 4000ML,878.0,878.0,61.46,878.0,67
CDM,103584,COMBIVIR 150/300 TAB,484.45,484.45,33.91,484.45,67
CDM,103587,"Injection, prochlorperazine, up to 10 mg ",26.24,26.24,3.23,69.04,17
CDM,103587,PROCHLORPERAZ 10 MG INJ,26.24,26.24,1.84,26.24,47
CDM,103599,COMTAN 200MG TAB,58.55,58.55,4.1,58.55,67
CDM,103604,CORDARONE 200MG TAB,110.22,110.22,7.72,110.22,67
CDM,103612,COREG 12.5MG TAB,58.55,58.55,4.1,58.55,67
CDM,103613,COREG 25MG TAB,71.29,71.29,4.99,71.29,67
CDM,103614,COREG 3.125MG TAB,77.79,77.79,5.45,77.79,67
CDM,103615,COREG 6.25MG TAB,58.55,58.55,4.1,58.55,67
CDM,103618,CORGARD 40MG TAB,21.5,21.5,1.5,21.5,67
CDM,103623,CALCIUM IONIZED,1048.78,1048.78,73.41,1048.78,47
CDM,103624,CORTEF 10MG TAB,26.16,26.16,1.83,26.16,67
CDM,103627,CORTENEMA,419.69,419.69,29.38,419.69,67
CDM,103635,CORTISPORIN OO 3.5GM,329.65,329.65,23.08,329.65,67
CDM,103637,CORTISPORIN TC OTIC 10ML,636.73,636.73,44.57,636.73,59
CDM,103639,IBUTILIDE FUM 1 MG INJ,6828.76,6828.76,478.01,6828.76,42
CDM,103639,"Injection, ibutilide fumarate, 1 mg ",6828.76,6828.76,361.71,2656.34,15
CDM,103642,DACTINOMYCIN 0.5 MG INJ,10245.36,10245.36,717.18,10245.36,42
CDM,103642,"Injection, dactinomycin, 0.5 mg ",10245.36,10245.36,327.54,5826.45,17
CDM,103643,COSOPT OS 5ML,413.55,413.55,28.95,413.55,67
CDM,103647,WARFARIN 1 MG PO,2.77,2.77,0.19,2.77,67
CDM,103648,WARFARIN 2.5 MG PO,2.96,2.96,0.21,2.96,67
CDM,103649,WARFARIN 2 MG PO,2.92,2.92,0.2,2.92,67
CDM,103653,WARFARIN 5 MG PO,3.05,3.05,0.21,3.05,67
CDM,103654,WARFARIN 7.5 MG PO,4.39,4.39,0.31,4.39,67
CDM,103657,COZAAR 25MG TAB,45.42,45.42,3.18,45.42,67
CDM,103658,COZAAR 50MG TAB,71.29,71.29,4.99,71.29,67
CDM,103684,CYCLOGYL OS 1% 2ML,86.08,86.08,6.03,86.08,67
CDM,103688,CYCLOMYDRIL OS 2ML,232.58,232.58,16.28,232.58,67
CDM,103689,CYCLOMYDRIL OS 5ML,90.71,90.71,6.35,90.71,67
CDM,103698,CYTOM IMM GLOB IV/VIAL,10289.93,10289.93,720.3,10289.93,42
CDM,103698,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",10289.93,10289.93,1754.35,15474.33,17
CDM,103699,CYTOMEL 25MCG TAB,32.72,32.72,2.29,32.72,67
CDM,103701,CYTOMEL 5MCG TAB,32.72,32.72,2.29,32.72,67
CDM,103702,CYTARABINE 100 MG INJ,137.06,137.06,9.59,137.06,47
CDM,103707,CYTOTEC 200MCG TAB,64.88,64.88,4.54,64.88,67
CDM,103711,GANCICLOVIR 500 MG INJ,1142.91,1142.91,80.0,1142.91,47
CDM,103711,"Injection, ganciclovir sodium, 500 mg ",1142.91,1142.91,33.03,338.83,17
CDM,103720,DIHYDROERGOT 1 MG INJ,1273.56,1273.56,89.15,1273.56,47
CDM,103720,"Injection, dihydroergotamine mesylate, per 1 mg ",1273.56,1273.56,53.24,1077.37,17
CDM,103721,D5 1/2NS/10KCL 1000ML,62.23,62.23,4.36,62.23,67
CDM,103723,D5 1/2NS/20KCL 1000ML,37.86,37.86,2.65,37.86,67
CDM,103724,D5 1/2NS/30KCL 1000ML,60.95,60.95,4.27,60.95,67
CDM,103725,D5 1/2NS/40KCL 1000ML,62.66,62.66,4.39,62.66,67
CDM,103728,D5 1/4NS/20KCL 1000ML,59.83,59.83,4.19,59.83,67
CDM,103731,D5 LR/20KCL 1000ML,72.03,72.03,5.04,72.03,67
CDM,103733,D5 NS/20KCL 1000ML,62.56,62.56,4.38,62.56,67
CDM,103743,DAKIN SOL 0.25% 16OZ,252.0,252.0,17.64,252.0,67
CDM,103755,DANOCRINE 200MG CAP,57.11,57.11,4.0,57.11,67
CDM,103760,DANTROLENE 25 MG PO,4.58,4.58,0.32,4.58,67
CDM,103762,DAPSONE 100 MG PO,12.84,12.84,0.9,12.84,67
CDM,103763,DAPSONE 25 MG PO,10.49,10.49,0.73,10.49,67
CDM,103766,PYRIMETHAMINE 25 MG PO,6076.37,6076.37,425.35,6076.37,59
CDM,103776,DDAVP 0.1MG TAB,58.55,58.55,4.1,58.55,67
CDM,103777,DDAVP 0.2MG TAB,110.22,110.22,7.72,110.22,67
CDM,103780,DESMOPRES 0.01% SPR2.5ML,2423.5,2423.5,169.65,2423.5,59
CDM,103781,DESMOPRES 0.01% SPR 5 ML,2010.61,2010.61,140.74,2010.61,59
CDM,103783,DEBROX DRP 15ML,148.76,148.76,10.41,148.76,67
CDM,103786,DEXAMETHASONE 0.75 MG PO,27.61,27.61,1.93,27.61,47
CDM,103789,DEXAMETH NA PHOS 10 MG,8.16,8.16,0.57,8.16,47
CDM,103790,DEXAMETHASONE 1 MG PO,1.39,1.39,0.1,1.39,47
CDM,103792,DEXAMETHASONE 2 MG PO,2.58,2.58,0.18,2.58,47
CDM,103793,DEXAMETH NA PHOS 4 MG,4.73,4.73,0.33,4.73,47
CDM,103794,DEXAMETHASONE 4 MG PO,5.63,5.63,0.39,5.63,47
CDM,103800,DEXAMETH 0.5MG/5ML LIQ,1.1,1.1,0.08,1.1,47
CDM,103806,DECADRON OS 0.1% 5ML,458.6,458.6,32.1,458.6,67
CDM,103812,DECLOMYCIN 150MG TAB,193.83,193.83,13.57,193.83,67
CDM,103824,DELSYM 5ML,49.51,49.51,3.47,49.51,67
CDM,103828,DEMADEX 20MG TAB,32.72,32.72,2.29,32.72,67
CDM,103830,DEMADEX 5MG TAB,32.72,32.72,2.29,32.72,67
CDM,103834,MEPERIDINE 100 MG INJ,198.54,198.54,13.9,198.54,47
CDM,103837,MEPERIDINE 25 MG INJ,178.27,178.27,12.48,178.27,47
CDM,103841,MEPERIDINE 50 MG INJ,196.15,196.15,13.73,196.15,47
CDM,103845,MEPERIDINE 75 MG INJ,163.55,163.55,11.45,163.55,47
CDM,103856,DEPACON INJ 100MG/ML 5ML,46.86,46.86,3.28,46.86,67
CDM,103857,DEPAKENE 250MG CAP,5.53,5.53,0.39,5.53,67
CDM,103859,DEPAKENE SYR 250/5 5ML,64.88,64.88,4.54,64.88,67
CDM,103860,DEPAKOTE 125MG SPRINK,32.72,32.72,2.29,32.72,67
CDM,103861,DEPAKOTE 125MG TAB,32.72,32.72,2.29,32.72,67
CDM,103862,DEPAKOTE 250MG TAB,51.96,51.96,3.64,51.96,67
CDM,103863,DEPAKOTE 500MG TAB,84.2,84.2,5.89,84.2,67
CDM,103884,DEFEROX MESY 500 MG INJ,450.02,450.02,31.5,450.02,47
CDM,103884,"Injection, deferoxamine mesylate, 500 mg ",450.02,450.02,8.32,77.14,17
CDM,103885,DESITIN OINT 1OZ,45.42,45.42,3.18,45.42,67
CDM,103892,DESYREL 100MG TAB,51.96,51.96,3.64,51.96,67
CDM,103893,DESYREL 150MG TAB,65.65,65.65,4.6,65.65,67
CDM,103894,DESYREL 50MG TAB,45.42,45.42,3.18,45.42,67
CDM,103895,DETROL 1MG TAB,32.72,32.72,2.29,32.72,67
CDM,103897,DETROL LA 2MG CAP,90.71,90.71,6.35,90.71,67
CDM,103903,DEXTRAN 40 500 ML,3038.17,3038.17,212.67,3038.17,47
CDM,103904,DEXTRAN 40 500 ML,2285.79,2285.79,160.01,2285.79,47
CDM,103908,DEXTROSE 25% 10ML SYR,99.18,99.18,6.94,99.18,67
CDM,103915,DIABETA 2.5MG TAB,26.16,26.16,1.83,26.16,67
CDM,103916,DIABETA 5MG TAB,39.12,39.12,2.74,39.12,67
CDM,103921,DIAMOX 250MG TAB,32.72,32.72,2.29,32.72,67
CDM,103922,ACETAZOLAMIDE 500 MG INJ,1484.48,1484.48,103.91,1484.48,47
CDM,103922,"Injection, acetazolamide sodium, up to 500 mg ",1484.48,1484.48,23.63,147.35,17
CDM,103923,DIAMOX SEQ 500MG,71.29,71.29,4.99,71.29,67
CDM,103925,DIAMOX SUS 20ML,535.88,535.88,37.51,535.88,67
CDM,103934,DIFLUCAN 100MG TAB,419.69,419.69,29.38,419.69,67
CDM,103936,FLUCONAZOLE 200 MG INJ,3524.56,3524.56,246.72,3524.56,47
CDM,103937,DIFLUCAN 200MG TAB,632.83,632.83,44.3,632.83,67
CDM,103939,DIFLUCAN 50MG TAB,284.22,284.22,19.9,284.22,67
CDM,103943,DIG IMMUNE FAB PER VIAL,27603.43,27603.43,1932.24,27603.43,42
CDM,103943,"Injection, digoxin immune fab (ovine), per vial ",27603.43,27603.43,5011.98,42491.3,17
CDM,103947,DILANTIN 100MG CAP,24.05,24.05,1.68,24.05,67
CDM,103950,DILANTIN 30MG CAP,8.26,8.26,0.58,8.26,67
CDM,103951,DILANTIN CHEW TAB 50MG,24.05,24.05,1.68,24.05,67
CDM,103954,DILANTIN SUS 125/5 5ML,31.47,31.47,2.2,31.47,67
CDM,103980,DIOVAN 160MG CAP,45.42,45.42,3.18,45.42,67
CDM,103981,DIOVAN 80MG CAP,58.55,58.55,4.1,58.55,67
CDM,103993,DIPROLENE AF .05% CR 15G,781.21,781.21,54.68,781.21,67
CDM,103996,DIPROSONE CREAM 15GM,286.08,286.08,20.03,286.08,67
CDM,104006,DITROPAN 5MG TAB,32.72,32.72,2.29,32.72,67
CDM,104007,DITROPAN SYR 5ML,45.42,45.42,3.18,45.42,67
CDM,104010,DITROPAN XL 5MG TAB,45.42,45.42,3.18,45.42,67
CDM,104014,CHLOROTHIAZIDE 500MG INJ,524.99,524.99,36.75,524.99,47
CDM,104028,DOBUTAMINE 250 MG INJ,42.12,42.12,2.95,42.12,47
CDM,104032,DOBUTAMINE 500 MG INJ,228.63,228.63,16.0,228.63,47
CDM,104036,METHADONE TO 10 MG INJ,145.85,145.85,10.21,145.85,47
CDM,104043,DOLOPHINE 5MG TAB,45.42,45.42,3.18,45.42,67
CDM,104047,DOLOPHINE LIQ 5MG 5ML,39.12,39.12,2.74,39.12,67
CDM,104052,DOMEBORO PACKET,45.42,45.42,3.18,45.42,67
CDM,104071,DONNATAL TAB,84.37,84.37,5.91,84.37,67
CDM,104099,DR SANDELL'S BUTT CRM,155.27,155.27,10.87,155.27,67
CDM,104104,DRISDOL DRP 60ML,189.52,189.52,13.27,189.52,67
CDM,104107,DACARBAZINE 100 MG INJ,190.67,190.67,13.35,190.67,47
CDM,104109,DULCOLAX 10MG SUPP,13.28,13.28,0.93,13.28,67
CDM,104110,DULCOLAX 5MG TAB,6.85,6.85,0.48,6.85,67
CDM,104113,DUONEB INH SOL UD,28.65,28.65,2.01,28.65,67
CDM,104125,DURAGESIC 100 PATCH,285.99,285.99,20.02,285.99,67
CDM,104126,DURAGESIC 25 PATCH,77.28,77.28,5.41,77.28,67
CDM,104128,DURAGESIC 50 PATCH,141.28,141.28,9.89,141.28,67
CDM,104133,DURAGESIC 75 PATCH,215.52,215.52,15.09,215.52,67
CDM,104159,DYNACIRC 2.5MG CAP,32.72,32.72,2.29,32.72,67
CDM,104164,DYNAPEN 250MG CAP,32.72,32.72,2.29,32.72,67
CDM,104173,DYRENIUM 50MG CAP,26.16,26.16,1.83,26.16,67
CDM,104194,EFFEXOR 25MG TAB,2.61,2.61,0.18,2.61,67
CDM,104201,EFFEXOR 75MG TAB,77.79,77.79,5.45,77.79,67
CDM,104202,EFFEXOR XR 150MG CAP,110.22,110.22,7.72,110.22,67
CDM,104203,EFFEXOR XR 37.5MG CAP,90.71,90.71,6.35,90.71,67
CDM,104206,EFFEXOR XR 75MG CAP,17.54,17.54,1.23,17.54,67
CDM,104211,ELA-MAX 4% CR 5GM,245.5,245.5,17.18,245.5,67
CDM,104220,ELAVIL 10MG TAB,32.72,32.72,2.29,32.72,67
CDM,104227,ELAVIL 25MG TAB,26.16,26.16,1.83,26.16,67
CDM,104228,ELAVIL 50MG TAB,32.72,32.72,2.29,32.72,67
CDM,104237,ELIMITE CREAM 60GM,596.63,596.63,41.76,596.63,67
CDM,104243,ELIXOPHYLLIN 160MG 30ML,39.12,39.12,2.74,39.12,67
CDM,104280,EMULSOIL 2OZ,23.26,23.26,1.63,23.26,67
CDM,104281,ETANERCEPT 25 MG INJ,5181.86,5181.86,362.73,5181.86,47
CDM,104281,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",5181.86,5181.86,1878.73,8894.85,15
CDM,104298,ENTOCORT EC 3MG CAP,132.17,132.17,9.25,132.17,67
CDM,104299,ENTSOL NASAL MIST 1OZ,116.32,116.32,8.14,116.32,67
CDM,104303,EPHEDRINE 50MG INJ,560.69,560.69,39.25,560.69,67
CDM,104339,EPIVIR 150MG TAB,206.98,206.98,14.49,206.98,67
CDM,104340,EPIVIR LIQ 10MG/ML 240ML,4336.94,4336.94,303.59,4336.94,67
CDM,104368,FLUOR/BEN0.25/0.4 5MLOPH,135.32,135.32,9.47,135.32,67
CDM,104369,HEPARIN 2000 U/NS 1L INJ,554.67,554.67,38.83,554.67,47
CDM,104373,ERYTHROCIN 250MG TAB,39.97,39.97,2.8,39.97,67
CDM,104376,ERYTHRO LACTO 500 MG INJ,568.2,568.2,39.77,568.2,47
CDM,104376,"Injection, erythromycin lactobionate, per 500 mg ",568.2,568.2,88.49,641.83,17
CDM,104377,ERYTHROMYCIN OO 1GM,59.47,59.47,4.16,59.47,67
CDM,104379,ERYTHROMYCIN OO 3.5GM,254.86,254.86,17.84,254.86,67
CDM,104381,ESKALITH 300MG TAB,32.72,32.72,2.29,32.72,67
CDM,104382,ESKALITH CR 450MG TAB,26.16,26.16,1.83,26.16,67
CDM,104387,ESTRACE 1MG TAB,39.12,39.12,2.74,39.12,67
CDM,104391,ESTRADIOL 0.01% VAGINAL,572.4,572.4,40.07,572.4,59
CDM,104416,AMIFOSTINE 500 MG INJ,12197.77,12197.77,853.84,12197.77,47
CDM,104416,"Injection, amifostine, 500 mg ",12197.77,12197.77,722.52,9345.97,15
CDM,104432,EULEXIN 125MG CAP,103.64,103.64,7.25,103.64,67
CDM,104446,EVISTA 60MG TAB,38.16,38.16,2.67,38.16,67
CDM,104450,EXCEDRIN TAB,6.85,6.85,0.48,6.85,67
CDM,104451,EXELON 1.5MG CAP,13.49,13.49,0.94,13.49,67
CDM,104459,EX-LAX TAB,0.92,0.92,0.06,0.92,67
CDM,104477,FAMVIR 125MG TAB,129.45,129.45,9.06,129.45,67
CDM,104480,FAMVIR 500MG TAB,387.48,387.48,27.12,387.48,67
CDM,104483,FELBATOL 400MG TAB,39.12,39.12,2.74,39.12,67
CDM,104484,FELBATOL 600MG TAB,58.55,58.55,4.1,58.55,67
CDM,104485,FELBATOL SUS 5ML,110.22,110.22,7.72,110.22,67
CDM,104491,LETROZOLE 2.5 MG PO,86.1,86.1,6.03,86.1,67
CDM,104521,FERRIC SUBSUL SOL 30ML,6.85,6.85,0.48,6.85,67
CDM,104530,FIBERCON TAB,1.81,1.81,0.13,1.81,67
CDM,104531,FIORICET TAB,45.42,45.42,3.18,45.42,67
CDM,104555,FLEET MINERAL OIL ENEMA,17.36,17.36,1.22,17.36,67
CDM,104556,FLEET PEDI ENEMA,11.74,11.74,0.82,11.74,67
CDM,104563,FLEET REG ENEMA,5.53,5.53,0.39,5.53,67
CDM,104564,FLEETS BABYLAX ENEMA,7.13,7.13,0.5,7.13,67
CDM,104565,FLEXERIL 10MG TAB,58.55,58.55,4.1,58.55,67
CDM,104567,EPOPROSTENOL 0.5 MG INJ,134.04,134.04,9.38,134.04,47
CDM,104567,"Injection, epoprostenol, 0.5 mg ",134.04,134.04,14.43,138.54,17
CDM,104568,FLOMAX 0.4MG CAP,77.79,77.79,5.45,77.79,67
CDM,104570,FLONASE NS SPRAY,521.65,521.65,36.52,521.65,67
CDM,104573,FLORINEF 0.1MG TAB,45.42,45.42,3.18,45.42,67
CDM,104574,FLOSEAL MATRIX 5 ML,2652.78,2652.78,185.69,2652.78,67
CDM,104604,FLUDARABINE PHOS 50MGINJ,4405.37,4405.37,308.38,4405.37,47
CDM,104604,"Injection, fludarabine phosphate, 50 mg ",4405.37,4405.37,211.2,612.75,17
CDM,104615,FLUOROURACIL 500 MG INJ,235.97,235.97,16.52,235.97,47
CDM,104615,"Injection, fluorouracil, 500 mg ",235.97,235.97,2.0,14.71,17
CDM,104632,FOLIC ACID 1MG TAB,32.72,32.72,2.29,32.72,67
CDM,104645,CEFTAZIDIME 500 MG INJ,750.35,750.35,52.52,750.35,47
CDM,104659,FLOXURIDINE 500 MG INJ,2928.55,2928.55,205.0,2928.55,42
CDM,104659,"Injection, floxuridine, 500 mg ",2928.55,2928.55,283.76,35281.7,17
CDM,104666,AMPHOTERICN B 50 MG INJ,270.0,270.0,18.9,270.0,47
CDM,104666,"Injection, amphotericin b, 50 mg ",270.0,270.0,43.0,291.79,17
CDM,104673,GABITRIL 4MG TAB,32.72,32.72,2.29,32.72,67
CDM,104682,GENTAMICIN 20 MG INJ,20.61,20.61,1.44,20.61,47
CDM,104688,GENTAMICIN 80 MG INJ,15.74,15.74,1.1,15.74,47
CDM,104698,GARAMYCIN OO 3.5GM,492.11,492.11,34.45,492.11,67
CDM,104703,GENTAMICIN 0.3% 5ML OPH,103.51,103.51,7.25,103.51,67
CDM,104714,GELFILM OPH 25 X 50,1137.39,1137.39,79.62,1137.39,71
CDM,104717,GELFOAM PWD 1GM,999.51,999.51,69.97,999.51,71
CDM,104719,GELFOAM SZ 100,840.55,840.55,58.84,840.55,71
CDM,104720,GELFOAM SZ 12 X 7,231.0,231.0,16.17,231.0,71
CDM,104727,GEMCITBIN NOS 200 MG INJ,3103.71,3103.71,217.26,3103.71,47
CDM,104740,GEODON 20MG CAP,122.86,122.86,8.6,122.86,67
CDM,104741,VANCOMYCIN LIQ PO,747.72,747.72,52.34,747.72,67
CDM,104746,GLUCAGON 1 MG INJ,1268.72,1268.72,88.81,1268.72,42
CDM,104746,"Injection, glucagon hydrochloride, per 1 mg ",1268.72,1268.72,141.94,1674.4,17
CDM,104747,METFORMIN 500 MG PO,0.34,0.34,0.02,0.34,67
CDM,104748,METFORMIN 850 MG PO,1.14,1.14,0.08,1.14,67
CDM,104752,GLUCOTROL 10MG TAB,51.96,51.96,3.64,51.96,67
CDM,104753,GLUCOTROL 5MG TAB,32.72,32.72,2.29,32.72,67
CDM,104755,GLUCOTROL XL 10MG TAB,41.76,41.76,2.92,41.76,67
CDM,104757,GLUCOTROL XL 2.5MG TAB,13.28,13.28,0.93,13.28,67
CDM,104774,GLYCERIN ADULT SUPP,0.4,0.4,0.03,0.4,67
CDM,104776,GLYCERIN INFANT SUPP,0.64,0.64,0.04,0.64,67
CDM,104779,GLYCINE 3000ML IRRIG,497.11,497.11,34.8,497.11,67
CDM,104783,GLYNASE 1.5MG PRESTAB,32.72,32.72,2.29,32.72,67
CDM,104802,GYNE-LOTRIMIN CREAM 45GM,142.4,142.4,9.97,142.4,67
CDM,104808,HALDOL 0.5MG TAB,1.92,1.92,0.13,1.92,67
CDM,104810,HALDOL 1MG TAB,2.46,2.46,0.17,2.46,67
CDM,104813,HALDOL 5MG TAB,5.91,5.91,0.41,5.91,67
CDM,104816,HALOPERIDOL LACT 5MG INJ,6.87,6.87,0.48,6.87,47
CDM,104817,HALDOL CONC DRP 1ML,19.38,19.38,1.36,19.38,67
CDM,104866,HBIG HUMAN 0.5 ML IM,568.87,568.87,39.82,568.87,42
CDM,104898,HEPARIN 10 U LOCK,90.2,90.2,6.31,90.2,71
CDM,104932,HEPARIN 2000 U INJ,46.05,46.05,3.22,46.05,47
CDM,104943,HESPAN 6% 500ML,2613.81,2613.81,182.97,2613.81,67
CDM,104972,HUMIBID DM TAB,39.12,39.12,2.74,39.12,67
CDM,104974,HUMIBID LA 600MG TAB,32.72,32.72,2.29,32.72,67
CDM,104979,HUMULIN 70/30 DOSE,7.89,7.89,0.55,7.89,67
CDM,105011,HURRICAINE SPR PER USE,54.88,54.88,3.84,54.88,67
CDM,105015,HYCODAN LIQ 5ML,77.79,77.79,5.45,77.79,67
CDM,105038,HYDROCORT 1% OINT 1OZ,53.92,53.92,3.77,53.92,67
CDM,105039,HYDROCORT 2.5% CR 1OZ,529.54,529.54,37.07,529.54,67
CDM,105042,HYDROCORT CR 0.5% 30GM,13.28,13.28,0.93,13.28,67
CDM,105043,HYDROCORT CR 1% 30GM,19.63,19.63,1.37,19.63,67
CDM,105046,HYDRODIURIL 25MG TAB,26.16,26.16,1.83,26.16,67
CDM,105050,HYDROGEN PEROXIDE 4 OZ,6.85,6.85,0.48,6.85,67
CDM,105057,HYGROTON 25MG TAB,26.16,26.16,1.83,26.16,67
CDM,105069,HYTRIN 1MG CAP,64.88,64.88,4.54,64.88,67
CDM,105071,HYTRIN 5MG CAP,71.29,71.29,4.99,71.29,67
CDM,105076,IDARUBICIN HCL 5 MG INJ,10131.32,10131.32,709.19,10131.32,47
CDM,105079,IFOSFAMIDE 1 G INJ,3604.33,3604.33,252.3,3604.33,47
CDM,105090,IMDUR 30MG TAB,58.55,58.55,4.1,58.55,67
CDM,105091,IMDUR 60MG TAB,64.88,64.88,4.54,64.88,67
CDM,105092,IMITREX 25MG TAB,671.39,671.39,47.0,671.39,67
CDM,105093,IMITREX 50MG TAB,134.75,134.75,9.43,134.75,67
CDM,105096,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",1840.28,1840.28,83.46,322.75,15
CDM,105096,SUMATRIPTAN SUCC 6MG INJ,1840.28,1840.28,128.82,1840.28,47
CDM,105124,IMODIUM 2MG CAP/TAB,1.92,1.92,0.13,1.92,67
CDM,105137,INDERAL 10MG TAB,32.72,32.72,2.29,32.72,67
CDM,105138,"Injection, propranolol hcl, up to 1 mg ",324.31,324.31,19.19,85.01,15
CDM,105138,PROPRANOLOL 1 MG/ML INJ,324.31,324.31,22.7,324.31,47
CDM,105139,INDERAL 20MG TAB,39.12,39.12,2.74,39.12,67
CDM,105140,INDERAL 40MG TAB,45.42,45.42,3.18,45.42,67
CDM,105147,PROPRANO 20MG/5ML LIQ PO,20.09,20.09,1.41,20.09,67
CDM,105152,INDOMETHACIN 1MG INJ,3674.02,3674.02,257.18,3674.02,59
CDM,105153,INDOCIN 25MG CAP,32.72,32.72,2.29,32.72,67
CDM,105154,INDOCIN 50MG CAP,39.12,39.12,2.74,39.12,67
CDM,105169,INSTA-GLUCOSE LIQ PKT,16.21,16.21,1.13,16.21,67
CDM,105184,INTRALIPID 20% 100ML,184.67,184.67,12.93,184.67,67
CDM,105185,INTRALIPID 20% 250ML,282.51,282.51,19.78,282.51,67
CDM,105186,INTRALIPID 20% 500ML,249.68,249.68,17.48,249.68,67
CDM,105199,LUGOL'S SOLN 30ML,45.42,45.42,3.18,45.42,67
CDM,105213,ISMO 20MG TAB,45.42,45.42,3.18,45.42,67
CDM,105216,ISONIAZID 100 MG PO,10.67,10.67,0.75,10.67,67
CDM,105217,ISONIAZID 300 MG PO,17.55,17.55,1.23,17.55,67
CDM,105226,ISOP CARPINE OS 1% 15ML,529.54,529.54,37.07,529.54,67
CDM,105227,ISOP CARPINE OS 2% 15ML,490.79,490.79,34.36,490.79,67
CDM,105240,ELECTRODE CVDBLDE 34.4CM,1181.0,1181.0,82.67,1181.0,71
CDM,105243,ISORDIL 10MG TAB,32.72,32.72,2.29,32.72,67
CDM,105245,ISORDIL 20MG TAB,32.72,32.72,2.29,32.72,67
CDM,105253,ISOPROTERENOL 0.2MG INJ,1058.94,1058.94,74.13,1058.94,59
CDM,105254,ISOPROTERENOL 1MG INJ,424.72,424.72,29.73,424.72,59
CDM,105272,KAYEXALATE 15GM/60ML,471.34,471.34,32.99,471.34,67
CDM,105289,POTASSIUM 20MEQ LIQ PO,16.22,16.22,1.14,16.22,67
CDM,105295,K-DUR 10MEQ TAB,1.1,1.1,0.08,1.1,67
CDM,105296,K-DUR 20MEQ TAB,2.0,2.0,0.14,2.0,67
CDM,105297,KEFLEX 250MG CAP,64.88,64.88,4.54,64.88,67
CDM,105298,KEFLEX 500MG CAP,116.32,116.32,8.14,116.32,67
CDM,105315,KENALOG 0.1% LOT 15GM,458.6,458.6,32.1,458.6,67
CDM,105317,KENALOG 0.1% OINT 15GM,166.38,166.38,11.65,166.38,67
CDM,105321,TRIAMCINOLN ACE 40MG INJ,1218.72,1218.72,85.31,1218.72,47
CDM,105322,KENALOG IN ORABASE 5GM,445.52,445.52,31.19,445.52,67
CDM,105325,LEVETIRACETAM 250 MG TAB,1.74,1.74,0.12,1.74,67
CDM,105326,LEVETIRACETAM 500 MG TAB,1.86,1.86,0.13,1.86,67
CDM,105332,KETALAR 50MG/ML 10ML,84.33,84.33,5.9,84.33,67
CDM,105337,"Injection, sincalide, 5 micrograms ",710.54,710.54,104.95,1162.82,17
CDM,105337,SINCALIDE 5 MCG INJ,710.54,710.54,49.74,710.54,47
CDM,105338,KLONOPIN 0.5MG TAB,51.96,51.96,3.64,51.96,67
CDM,105340,KLONOPIN 1ML SUSP,64.88,64.88,4.54,64.88,67
CDM,105351,K-PHOS NEUT 250MG TAB,26.16,26.16,1.83,26.16,67
CDM,105369,LACRI-LUBE OO 3.5GM,129.45,129.45,9.06,129.45,67
CDM,105370,LACTAID TAB,1.13,1.13,0.08,1.13,67
CDM,105376,LAMICTAL 100MG TAB,116.32,116.32,8.14,116.32,67
CDM,105381,LAMICTAL 25MG CHEW TAB,64.88,64.88,4.54,64.88,67
CDM,105382,LAMICTAL 25MG TAB,103.64,103.64,7.25,103.64,67
CDM,105387,LAMISIL 250MG TAB,133.92,133.92,9.37,133.92,67
CDM,105395,LANOXIN 0.125MG TAB,26.16,26.16,1.83,26.16,67
CDM,105396,LANOXIN 0.25MG TAB,26.16,26.16,1.83,26.16,67
CDM,105397,DIGOXIN 0.5 MG INJ,33.37,33.37,2.34,33.37,47
CDM,105402,DIGOXIN 0.1 MG INJ,296.97,296.97,20.79,296.97,47
CDM,105419,LASIX 20MG TAB,32.72,32.72,2.29,32.72,67
CDM,105421,LASIX 40MG TAB,32.72,32.72,2.29,32.72,67
CDM,105423,LASIX SOL 10MG/ML 1ML,84.2,84.2,5.89,84.2,67
CDM,105430,LEUCOVORIN CA 100 MG INJ,920.39,920.39,64.43,920.39,47
CDM,105434,LEUCOVORIN 25MG TAB,768.13,768.13,53.77,768.13,67
CDM,105435,LEUCOVORIN 5MG TAB,200.63,200.63,14.04,200.63,67
CDM,105436,CHLORAMBUCIL 2 MG PO,38.32,38.32,2.68,38.32,46
CDM,105436,"Chlorambucil, oral, 2 mg ",38.32,38.32,72.04,2304.17,12
CDM,105441,LEVAQUIN 250MG TAB,348.78,348.78,24.41,348.78,67
CDM,105445,LEVAQUIN 500MG TAB,2.32,2.32,0.16,2.32,67
CDM,105455,LEVSIN 0.125MG TAB,3.32,3.32,0.23,3.32,67
CDM,105457,LEVSIN DRP 15ML,426.24,426.24,29.84,426.24,67
CDM,105461,LEVSINEX SR 0.375MG CAP,9.28,9.28,0.65,9.28,67
CDM,105464,LIBRAX CAP,58.55,58.55,4.1,58.55,67
CDM,105467,LIBRIUM 25MG CAP,71.29,71.29,4.99,71.29,67
CDM,105468,LIBRIUM 5MG CAP,45.42,45.42,3.18,45.42,67
CDM,105470,LIDEX 0.05% 15GM,542.24,542.24,37.96,542.24,67
CDM,105476,LIDEX-E CR 30GM,527.33,527.33,36.91,527.33,67
CDM,105481,LIDOCAINE 10ML UROJT,133.69,133.69,9.36,133.69,67
CDM,105490,LIORESAL 10MG TAB,12.12,12.12,0.85,12.12,67
CDM,105494,BACLOFEN 50MCG INTRATHEC,2143.3,2143.3,150.03,2143.3,47
CDM,105494,"Injection, baclofen, 50 mcg for intrathecal trial ",2143.3,2143.3,52.71,574.69,17
CDM,105506,LITHOBID 300MG TAB,26.16,26.16,1.83,26.16,67
CDM,105544,LODOSYN 25MG TAB,80.45,80.45,5.63,80.45,67
CDM,105548,LOMOTIL TAB,45.42,45.42,3.18,45.42,67
CDM,105550,LONITEN 2.5MG TAB,32.72,32.72,2.29,32.72,67
CDM,105554,LOPID 600MG TAB,77.79,77.79,5.45,77.79,67
CDM,105556,METOPROLOL 50 MG PO,0.63,0.63,0.04,0.63,67
CDM,105569,HYDROCO/APAP 15ML LIQ PO,23.47,23.47,1.64,23.47,67
CDM,105582,LOTRIMIN CR 15GM,103.64,103.64,7.25,103.64,67
CDM,105598,ENOXAPARIN 30 MG INJ,12.74,12.74,0.89,12.74,47
CDM,105599,ENOXAPARIN 40 MG INJ,16.08,16.08,1.13,16.08,47
CDM,105604,LOXITANE 25MG CAP,39.12,39.12,2.74,39.12,67
CDM,105607,LOXITANE 5MG CAP,19.63,19.63,1.37,19.63,67
CDM,105612,LOZOL 2.5MG TAB,51.96,51.96,3.64,51.96,67
CDM,105627,BIMATOPRST 0.03% 2.5MLOP,1145.05,1145.05,80.15,1145.05,59
CDM,105644,LUVOX 100MG TAB,13.78,13.78,0.96,13.78,67
CDM,105655,M.V.I. 10ML INJ,271.29,271.29,18.99,271.29,67
CDM,105661,MAALOX PLUS 30ML,6.85,6.85,0.48,6.85,67
CDM,105671,MAG CHLORIDE 20% 30ML,200.63,200.63,14.04,200.63,67
CDM,105688,MAG OXIDE 400 MG PO,0.38,0.38,0.03,0.38,67
CDM,105698,MARCAINE 0.25% 30ML,19.25,19.25,1.35,19.25,67
CDM,105703,MARCAINE 0.75% 10ML,264.92,264.92,18.54,264.92,67
CDM,105709,MARCAINE/EPI 0.25% 30ML,464.94,464.94,32.55,464.94,67
CDM,105713,MARCAINE/EPI 0.5% 30ML,484.45,484.45,33.91,484.45,67
CDM,105718,DRONABINOL 2.5 MG,162.39,162.39,11.37,162.39,67
CDM,105719,DRONABINOL 5 MG,58.5,58.5,4.09,58.5,67
CDM,105724,PROCARBAZINE 50 MG PO,884.56,884.56,61.92,884.56,46
CDM,105724,"Procarbazine hydrochloride, oral, 50 mg ",884.56,884.56,347.97,1295.54,12
CDM,105734,MAXITROL 3.5 GM OP,729.38,729.38,51.06,729.38,59
CDM,105735,MAXITROL OS 5ML,878.0,878.0,61.46,878.0,67
CDM,105736,MAXZIDE 25 TAB,32.72,32.72,2.29,32.72,67
CDM,105750,METHYLPRED 4 MG PO,1.72,1.72,0.12,1.72,47
CDM,105750,"Methylprednisolone oral, per 4 mg ",1.72,1.72,0.14,2.05,17
CDM,105753,CEFOXITIN 1 G INJ,38.58,38.58,2.7,38.58,47
CDM,105758,MEGACE SUS 40MG/ML 1ML,6.85,6.85,0.48,6.85,67
CDM,105770,MELLARIL 25MG TAB,4.08,4.08,0.29,4.08,67
CDM,105781,MEPHYTON 5MG TAB,573.07,573.07,40.11,573.07,67
CDM,105783,MEPRON SUS 5ML,322.9,322.9,22.6,322.9,67
CDM,105798,MESTINON 60MG TAB,6.81,6.81,0.48,6.81,67
CDM,105799,MESTINON SA 180MG TAB,64.88,64.88,4.54,64.88,67
CDM,105800,MESTINON SYR 60MG 5ML,16.56,16.56,1.16,16.56,67
CDM,105804,"Injection, methylergonovine maleate, up to 0.2 mg ",182.36,182.36,20.96,188.66,17
CDM,105804,METHYLERGONOV 0.2 MG INJ,182.36,182.36,12.77,182.36,47
CDM,105805,METHERGINE 0.2MG TAB,201.03,201.03,14.07,201.03,67
CDM,105812,METHOTREXATE 2.5 MG PO,18.0,18.0,1.26,18.0,47
CDM,105812,"Methotrexate; oral, 2.5 mg ",18.0,18.0,0.14,11.38,17
CDM,105825,METRONIDAZ 0.75% VAGINAL,729.0,729.0,51.03,729.0,67
CDM,105829,MEXITIL 150MG CAP,45.42,45.42,3.18,45.42,67
CDM,105830,MEXITIL 200MG CAP,51.96,51.96,3.64,51.96,67
CDM,105831,MEXITIL 250MG CAP,13.28,13.28,0.93,13.28,67
CDM,105833,CALCITONIN SALMON 400 U,18017.48,18017.48,1261.22,18017.48,55
CDM,105833,"Injection, calcitonin salmon, up to 400 units ",18017.48,18017.48,4937.62,15002.04,12
CDM,105848,MIDAMOR 5MG TAB,32.72,32.72,2.29,32.72,67
CDM,105853,MILK OF MAG 30ML,4.12,4.12,0.29,4.12,67
CDM,105859,MINERAL OIL 10ML,121.2,121.2,8.48,121.2,67
CDM,105860,MINERAL OIL 30ML,135.8,135.8,9.51,135.8,67
CDM,105863,MINIPRESS 1MG CAP,26.16,26.16,1.83,26.16,67
CDM,105865,MINIPRESS 5MG CAP,58.55,58.55,4.1,58.55,67
CDM,105869,MINOCIN 100MG CAP,9.06,9.06,0.63,9.06,67
CDM,105875,MIRALAX PWD 17GM PKT,58.55,58.55,4.1,58.55,67
CDM,105878,MIRAPEX 0.25MG TAB,51.96,51.96,3.64,51.96,67
CDM,105880,MIRAPEX 0.5MG TAB,39.12,39.12,2.74,39.12,67
CDM,105899,MOBIC 7.5MG TAB,58.55,58.55,4.1,58.55,67
CDM,105903,MONISTAT 3 VAG SUPP EA,58.55,58.55,4.1,58.55,67
CDM,105907,MONISTAT CR 45GM,152.81,152.81,10.7,152.81,67
CDM,105916,MONUROL PWD 3GM PKT,527.92,527.92,36.95,527.92,67
CDM,105919,MORPHINE SULF 10MG INJ,13.73,13.73,0.96,13.73,47
CDM,105928,MORPHINE SULF 2MG INJ,15.48,15.48,1.08,15.48,47
CDM,105929,MORPHINE SULF 4MG INJ,10.49,10.49,0.73,10.49,47
CDM,105934,MORPHINE 10MG/5ML LIQ PO,7.73,7.73,0.54,7.73,67
CDM,105947,MOTRIN 100MG CHEW TAB,6.85,6.85,0.48,6.85,67
CDM,105950,MOTRIN 600MG TAB,19.63,19.63,1.37,19.63,67
CDM,105951,MOTRIN 800MG TAB,26.16,26.16,1.83,26.16,67
CDM,105952,MORPHINE ER 100 MG PO,5.3,5.3,0.37,5.3,67
CDM,105953,MORPHINE ER 15 MG PO,2.25,2.25,0.16,2.25,67
CDM,105955,MORPHINE ER 30 MG PO,2.96,2.96,0.21,2.96,67
CDM,105958,MORPHINE 15 MG PO,2.34,2.34,0.16,2.34,67
CDM,105982,MITOMYCIN 5 MG INJ,1577.1,1577.1,110.4,1577.1,42
CDM,105985,MYAMBUTOL 100MG TAB,3.17,3.17,0.22,3.17,67
CDM,105986,MYAMBUTOL 400MG TAB,103.64,103.64,7.25,103.64,67
CDM,105987,MYCELEX 10MG TROCHE,5.14,5.14,0.36,5.14,67
CDM,105990,MYCOBUTIN 150MG CAP,206.98,206.98,14.49,206.98,67
CDM,105994,MYCOLOG OINT 15GM,87.29,87.29,6.11,87.29,67
CDM,105995,MYCOSTATIN 500000U TAB,19.63,19.63,1.37,19.63,67
CDM,105996,MYCOSTATIN CR 15GM,204.6,204.6,14.32,204.6,67
CDM,105998,MYCOSTATIN OINT 15GM,226.4,226.4,15.85,226.4,67
CDM,106000,MYCOSTATIN PWD 15GM,865.07,865.07,60.55,865.07,67
CDM,106001,MYCOSTATIN SUS 5ML,71.29,71.29,4.99,71.29,67
CDM,106008,MYDRIACYL OS 1% 15ML,56.94,56.94,3.99,56.94,67
CDM,106017,MYLANTA GAS 80MG TAB,6.85,6.85,0.48,6.85,67
CDM,106020,BUSULFAN 2 MG PO,162.7,162.7,11.39,162.7,42
CDM,106020,"Busulfan; oral, 2 mg ",162.7,162.7,16.7,1198.22,15
CDM,106021,MYLICON DRPS 30ML,127.68,127.68,8.94,127.68,67
CDM,106024,MYSOLINE 250MG TAB,32.72,32.72,2.29,32.72,67
CDM,106025,MYSOLINE 50MG TAB,26.16,26.16,1.83,26.16,67
CDM,106047,NAPHCON-A OS 15ML,529.54,529.54,37.07,529.54,67
CDM,106049,NAPROSYN 250MG TAB,45.42,45.42,3.18,45.42,67
CDM,106051,NAPROXEN 500 MG PO,1.24,1.24,0.09,1.24,67
CDM,106069,NAROPIN 200MG/10ML VL,439.13,439.13,30.74,439.13,67
CDM,106073,NASALIDE 25ML,910.36,910.36,63.73,910.36,67
CDM,106076,MOMETASONE 17GM SPR,1887.54,1887.54,132.13,1887.54,59
CDM,106091,VINORELBINE TARTRAT 10MG,1870.8,1870.8,130.96,1870.8,47
CDM,106102,TOBRAMYCIN 80 MG INJ,11.31,11.31,0.79,11.31,47
CDM,106117,NEOLOID 4OZ,148.76,148.76,10.41,148.76,67
CDM,106118,NEOMYCIN 500MG TAB,32.72,32.72,2.29,32.72,67
CDM,106123,NEOSPORIN OINT 1/32OZ,1.87,1.87,0.13,1.87,67
CDM,106124,NEOSPORIN OINT 15GM,69.77,69.77,4.88,69.77,67
CDM,106126,NEOSPORIN OO 3.5GM,6.85,6.85,0.48,6.85,67
CDM,106127,NEOSPORIN OS 10ML,702.81,702.81,49.2,702.81,67
CDM,106136,NEO-SYNEPHRINE 2.5% 2ML,205.44,205.44,14.38,205.44,67
CDM,106139,NEOSYNPH NS 1/2% 15ML,58.55,58.55,4.1,58.55,67
CDM,106140,NEOSYNPH NS 1/4% 15ML,49.4,49.4,3.46,49.4,67
CDM,106141,NEOSYNPH NS 1/8% 15ML,51.96,51.96,3.64,51.96,67
CDM,106142,NEOSYNPH OS 10% 1ML,277.85,277.85,19.45,277.85,67
CDM,106146,NEPHRO-FER 350MG TAB,6.85,6.85,0.48,6.85,67
CDM,106160,"Injection, oprelvekin, 5 mg ",6085.94,6085.94,407.83,3651.02,15
CDM,106160,OPRELVEKIN 5 MG,6085.94,6085.94,426.02,6085.94,47
CDM,106163,NEURONTIN 100MG CAP,32.72,32.72,2.29,32.72,67
CDM,106166,NEURONTIN 300MG CAP,64.88,64.88,4.54,64.88,67
CDM,106167,NEURONTIN 400MG CAP,84.2,84.2,5.89,84.2,67
CDM,106169,NEUTRA-PHOS PKT,3.3,3.3,0.23,3.3,67
CDM,106179,NEXIUM 40MG CAP,48.35,48.35,3.38,48.35,67
CDM,106187,NIACIN SR 250MG CAP,0.51,0.51,0.04,0.51,67
CDM,106188,NIACIN SR 500MG CAP,38.06,38.06,2.66,38.06,67
CDM,106192,NICODERM 14MG PATCH,10.13,10.13,0.71,10.13,67
CDM,106193,NICODERM 21MG PATCH,10.13,10.13,0.71,10.13,67
CDM,106194,NICODERM 7MG PATCH,10.13,10.13,0.71,10.13,67
CDM,106203,CISATRACURIUM 200 MG INJ,572.4,572.4,40.07,572.4,59
CDM,106207,NIMOTOP 30MG CAP,303.72,303.72,21.26,303.72,67
CDM,106208,"Injection, pentostatin, 10 mg ",16941.78,16941.78,2547.54,21755.35,17
CDM,106208,PENTOSTATIN 10 MG INJ,16941.78,16941.78,1185.92,16941.78,42
CDM,106209,NITROPRUSSIDE 50 MG INJ,114.48,114.48,8.01,114.48,59
CDM,106214,NITROBID 2.5MG CAP,32.72,32.72,2.29,32.72,67
CDM,106215,NITROBID 6.5MG CAP,32.72,32.72,2.29,32.72,67
CDM,106217,NITROGLYCERIN 2% 1G TOP,14.41,14.41,1.01,14.41,67
CDM,106218,NITROGLY 0.1 MG/HR PATCH,8.83,8.83,0.62,8.83,67
CDM,106219,NITROGLY 0.2 MG/HR PATCH,9.06,9.06,0.63,9.06,67
CDM,106221,NITROGLY 0.4 MG/HR PATCH,10.36,10.36,0.73,10.36,67
CDM,106228,NIX CR RINSE 60ML,381.14,381.14,26.68,381.14,67
CDM,106229,NIZORAL 2% CR 15GM,178.85,178.85,12.52,178.85,67
CDM,106230,NIZORAL 200MG TAB,206.98,206.98,14.49,206.98,67
CDM,106231,NIZORAL SHAM 4OZ,587.49,587.49,41.12,587.49,67
CDM,106239,NORCO 10/325 TAB,5.9,5.9,0.41,5.9,67
CDM,106253,NORPRAMIN 10MG TAB,8.1,8.1,0.57,8.1,67
CDM,106255,NORPRAMIN 25MG TAB,32.72,32.72,2.29,32.72,67
CDM,106260,NORVASC 5MG TAB,77.79,77.79,5.45,77.79,67
CDM,106261,NORVIR 100MG CAP,49.59,49.59,3.47,49.59,67
CDM,106275,NOVOSEVEN RT 1 MICROGRAM,13.61,13.61,0.95,13.61,42
CDM,106280,NITROGLY 0.4 MG PO,2.19,2.19,0.15,2.19,67
CDM,106292,"Injection, nalbuphine hydrochloride, per 10 mg ",128.9,128.9,3.32,30.02,17
CDM,106292,NALBUPHINE 10 MG INJ,128.9,128.9,9.02,128.9,47
CDM,106301,NUPERCAINAL OINT 30GM,148.76,148.76,10.41,148.76,67
CDM,106308,PLATE BN 12HL 3.5X184MM,44882.0,44882.0,4937.02,44882.0,57
CDM,106313,OCUFLOX OS 0.3% 5ML,112.22,112.22,7.86,112.22,67
CDM,106315,CATH ANGIO 4FR 65CM,1599.0,1599.0,111.93,1599.0,71
CDM,106321,OMNICEF 300MG CAP,79.26,79.26,5.55,79.26,67
CDM,106326,"Injection, pegaspargase, per single dose vial ",148463.08,148463.08,27571.38,243082.56,17
CDM,106326,PEGASPARGASE SINGL VIAL,148463.08,148463.08,10392.42,148463.08,42
CDM,106334,OPIUM TCT 10% 5ML,51.96,51.96,3.64,51.96,67
CDM,106343,ORAGEL 10GM TUBE,19.63,19.63,1.37,19.63,67
CDM,106360,ORTHO-NOVUM 1/35 21,313.7,313.7,21.96,313.7,67
CDM,106391,OXYCONTIN 10MG TAB,16.19,16.19,1.13,16.19,67
CDM,106392,OXYCONTIN 20MG,50.22,50.22,3.52,50.22,67
CDM,106397,OXYIR 5MG CAP,51.96,51.96,3.64,51.96,67
CDM,106400,PAMELOR 10MG CAP,32.72,32.72,2.29,32.72,67
CDM,106401,PAMELOR 25MG CAP,45.42,45.42,3.18,45.42,67
CDM,106429,PARLODEL 2.5MG TAB,90.71,90.71,6.35,90.71,67
CDM,106432,OLOPATADNE 0.1% 5ML OP,512.75,512.75,35.89,512.75,59
CDM,106440,PAXIL 10MG TAB,103.64,103.64,7.25,103.64,67
CDM,106443,PAXIL 20MG TAB,129.45,129.45,9.06,129.45,67
CDM,106446,PAXIL SUS 10MG/5ML 5ML,71.29,71.29,4.99,71.29,67
CDM,106475,PEN VK 250MG TAB,2.42,2.42,0.17,2.42,67
CDM,106481,PENTASA CR 250MG CAP,19.5,19.5,1.36,19.5,67
CDM,106495,PEPPERMINT OIL 1OZ,52.09,52.09,3.65,52.09,67
CDM,106498,PEPTO-BISMOL 30ML,3.15,3.15,0.22,3.15,67
CDM,106502,OXYCOD/APAP 5/325 MG PO,1.58,1.58,0.11,1.58,67
CDM,106508,PERIACTIN 4MG TAB,5.68,5.68,0.4,5.68,67
CDM,106509,PERIACTIN SYR 10ML,26.16,26.16,1.83,26.16,67
CDM,106517,PERIDEX M/W 16OZ,561.68,561.68,39.32,561.68,67
CDM,106523,PERSANTINE 25MG TAB,32.72,32.72,2.29,32.72,67
CDM,106527,PHENERGAN 12.5MG SUPP,94.87,94.87,6.64,94.87,67
CDM,106529,"Injection, promethazine hcl, up to 50 mg ",11.85,11.85,1.03,24.54,17
CDM,106529,PROMETHAZINE 25 MG INJ,11.85,11.85,0.83,11.85,47
CDM,106531,PHENERGAN 25MG SUPP,94.87,94.87,6.64,94.87,67
CDM,106532,PROMETH HCL 25 MG,2.68,2.68,0.19,2.68,67
CDM,106541,PHENERGAN SYR 5ML,1.07,1.07,0.07,1.07,67
CDM,106546,PHENOBARB 100MG TAB,39.12,39.12,2.74,39.12,67
CDM,106548,"Injection, phenobarbital sodium, up to 120 mg ",100.17,100.17,22.94,233.98,17
CDM,106548,PHENOBARBITAL TO 120 MG,100.17,100.17,7.01,100.17,47
CDM,106554,PHENOBARB 60MG TAB,45.42,45.42,3.18,45.42,67
CDM,106580,"Injection, oxytocin, up to 10 units ",19.75,19.75,1.86,12.23,15
CDM,106580,OXYTOCIN 10 U INJ,19.75,19.75,1.38,19.75,47
CDM,106583,PLAQUENIL 200MG TAB,71.29,71.29,4.99,71.29,67
CDM,106597,PLAVIX 75MG TAB,12.56,12.56,0.88,12.56,67
CDM,106600,PLENDIL 2.5MG TAB,45.42,45.42,3.18,45.42,67
CDM,106601,PLENDIL 5MG TAB,53.85,53.85,3.77,53.85,67
CDM,106603,PLETAL 50MG TAB,45.42,45.42,3.18,45.42,67
CDM,106607,POLYCITRA 5ML,6.13,6.13,0.43,6.13,67
CDM,106610,POLYSPORIN OINT 15GM,155.27,155.27,10.87,155.27,67
CDM,106613,POLYSPORIN OINT PKT,26.16,26.16,1.83,26.16,67
CDM,106629,PONTOCAINE OS 0.5% 2ML,80.01,80.01,5.6,80.01,67
CDM,106632,POT ACETATE 20ML INJ,22.14,22.14,1.55,22.14,67
CDM,106635,POT PHOS 45MMOL/15ML INJ,87.01,87.01,6.09,87.01,67
CDM,106639,SKIN TB-PPD,238.8,238.8,16.72,238.8,48
CDM,106639,"Skin test; tuberculosis, intradermal ",238.8,238.8,12.22,54.38,19
CDM,106641,PRANDIN 1MG TAB,19.58,19.58,1.37,19.58,67
CDM,106652,PRECOSE 50MG TAB,32.72,32.72,2.29,32.72,67
CDM,106681,PREDNISOLON 15MG/5ML LIQ,7.35,7.35,0.51,7.35,47
CDM,106682,PREMARIN 0.3MG TAB,32.72,32.72,2.29,32.72,67
CDM,106683,PREMARIN 0.625MG TAB,45.42,45.42,3.18,45.42,67
CDM,106685,PREMARIN 1.25MG TAB,58.55,58.55,4.1,58.55,67
CDM,106687,ESTROGEN CONJ 25 MG INJ,2272.85,2272.85,159.1,2272.85,42
CDM,106687,"Injection, estrogen conjugated, per 25 mg ",2272.85,2272.85,379.97,3341.61,17
CDM,106688,ESTROGEN CONJ TOP 30GM,2304.46,2304.46,161.31,2304.46,59
CDM,106697,PREPARATION-H SUPP,6.85,6.85,0.48,6.85,67
CDM,106699,DINOPROSTON 0.5MG/3GMGEL,3954.83,3954.83,276.84,3954.83,59
CDM,106713,PRIMAQUINE TAB,32.72,32.72,2.29,32.72,67
CDM,106718,PRINIVIL 10MG TAB,5.36,5.36,0.38,5.36,67
CDM,106719,PRINIVIL 20MG TAB,5.75,5.75,0.4,5.75,67
CDM,106721,PRINIVIL 5MG TAB,5.2,5.2,0.36,5.2,67
CDM,106727,PROAMATINE 2.5MG TAB,6.42,6.42,0.45,6.42,67
CDM,106728,PROAMATINE 5MG TAB,13.04,13.04,0.91,13.04,67
CDM,106743,PROCARDIA XL 60MG TAB,129.45,129.45,9.06,129.45,67
CDM,106750,PRAMOX/HYDROC 1/1% TOP,938.13,938.13,65.67,938.13,59
CDM,106752,"Injection, progesterone, per 50 mg ",260.92,260.92,0.64,13.04,17
CDM,106752,PROGESTERONE 50 MG INJ,260.92,260.92,18.26,260.92,47
CDM,106754,DIAZOXIDE 50MG/ML PO30ML,2653.99,2653.99,185.78,2653.99,59
CDM,106755,TACROLIMUS IMM 0.5 MG PO,18.91,18.91,1.32,18.91,47
CDM,106756,TACROLIMUS IMM 1 MG PO,37.87,37.87,2.65,37.87,47
CDM,106760,TACROLIMUS 5 MG INJ,2813.12,2813.12,196.92,2813.12,42
CDM,106760,"Tacrolimus, parenteral, 5 mg ",2813.12,2813.12,252.16,2242.59,17
CDM,106762,ALDESLEUKIN SINGLE VIAL,32532.32,32532.32,2277.26,32532.32,42
CDM,106762,"Injection, aldesleukin, per single use vial ",32532.32,32532.32,5509.14,52861.62,15
CDM,106763,PROLIXIN 1MG TAB,64.88,64.88,4.54,64.88,67
CDM,106768,FLUPHENAZINE DEC TO 25MG,665.76,665.76,46.6,665.76,47
CDM,106768,"Injection, fluphenazine decanoate, up to 25 mg ",665.76,665.76,5.42,109.22,17
CDM,106773,PROMETRIUM 100MG CAP,24.26,24.26,1.7,24.26,67
CDM,106787,PROPYLTHIOURACIL 50MG TB,5.2,5.2,0.36,5.2,67
CDM,106800,PROSTIGMIN 1MG 1ML INJ,206.98,206.98,14.49,206.98,67
CDM,106812,"Injection, pralidoxime chloride, up to 1 gm ",602.22,602.22,171.67,756.25,15
CDM,106812,PRALIDOXIME 1 G INJ,602.22,602.22,42.16,602.22,47
CDM,106821,PROVERA 10MG TAB,71.29,71.29,4.99,71.29,67
CDM,106822,PROVERA 2.5MG TAB,1.66,1.66,0.12,1.66,67
CDM,106824,PROVIGIL 100MG TAB,116.32,116.32,8.14,116.32,67
CDM,106828,PROZAC 10MG CAP,0.68,0.68,0.05,0.68,67
CDM,106830,PROZAC 20MG CAP,135.82,135.82,9.51,135.82,67
CDM,106831,PROZAC LIQ 5ML,232.79,232.79,16.3,232.79,67
CDM,106839,BUDESONDE FLXHLR 180 MCG,1606.91,1606.91,112.48,1606.91,67
CDM,106843,PURINETHOL 50MG TAB,129.45,129.45,9.06,129.45,67
CDM,106845,PYRAZINAMIDE 500MG TAB,31.1,31.1,2.18,31.1,67
CDM,106846,PYRIDIUM 100MG TAB,1.62,1.62,0.11,1.62,67
CDM,106847,PYRIDIUM 200MG TAB,39.12,39.12,2.74,39.12,67
CDM,106850,"Injection, pyridoxine hcl, 100 mg ",115.08,115.08,14.45,109.47,17
CDM,106850,PYRIDOXINE 100 MG INJ,115.08,115.08,8.06,115.08,47
CDM,106852,PYRIDOXINE 50MG TAB,18.24,18.24,1.28,18.24,67
CDM,106853,QUESTRAN 9GM,90.71,90.71,6.35,90.71,67
CDM,106854,QUESTRAN LITE 9GM,129.45,129.45,9.06,129.45,67
CDM,106867,QUININE 324MG CAP,26.16,26.16,1.83,26.16,67
CDM,106875,SIROLIMUS 1 MG PO,56.15,56.15,3.93,56.15,47
CDM,106884,REFRESH OS .01OZ UD,6.85,6.85,0.48,6.85,67
CDM,106887,"Injection, phentolamine mesylate, up to 5 mg ",2915.93,2915.93,249.73,3733.03,17
CDM,106887,PHENTOLAMINE MES 5MG INJ,2915.93,2915.93,204.12,2915.93,42
CDM,106888,METOCLOPRAMIDE 10 MG INJ,198.54,198.54,13.9,198.54,47
CDM,106889,REGLAN 10MG TAB,29.34,29.34,2.05,29.34,67
CDM,106891,REGLAN 5MG TAB,29.34,29.34,2.05,29.34,67
CDM,106894,REGLAN LIQ 1MG/ML 10ML,45.42,45.42,3.18,45.42,67
CDM,106900,REGONOL 5MG/ML 2ML INJ,168.02,168.02,11.76,168.02,67
CDM,106908,REMERON 15MG TAB,90.71,90.71,6.35,90.71,67
CDM,106909,REMERON 30MG TAB,97.09,97.09,6.8,97.09,67
CDM,106912,RAZADYNE 4MG TAB,40.82,40.82,2.86,40.82,67
CDM,106928,REQUIP 0.25MG TAB,45.42,45.42,3.18,45.42,67
CDM,106930,REQUIP 1MG TAB,45.42,45.42,3.18,45.42,67
CDM,106931,REQUIP 2MG TAB,45.42,45.42,3.18,45.42,67
CDM,106932,REQUIP 5MG TAB,45.42,45.42,3.18,45.42,67
CDM,106943,RESTORIL 15MG CAP,45.42,45.42,3.18,45.42,67
CDM,106945,RESTORIL 7.5MG CAP,45.42,45.42,3.18,45.42,67
CDM,106959,"Injection, zidovudine, 10 mg ",187.69,187.69,1.46,12.91,17
CDM,106959,ZIDOVUDINE 200 MG INJ,187.69,187.69,13.14,187.69,47
CDM,106962,RETROVIR SYR 50MG 5ML,51.96,51.96,3.64,51.96,67
CDM,106966,REVIA 50MG TAB,13.85,13.85,0.97,13.85,67
CDM,106974,RIFADIN 150MG CAP,10.01,10.01,0.7,10.01,67
CDM,106975,RIFADIN 300MG CAP,110.22,110.22,7.72,110.22,67
CDM,106979,DMSO 50% 50 ML INJ,5802.68,5802.68,406.19,5802.68,42
CDM,106979,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",5802.68,5802.68,726.51,6353.28,17
CDM,106987,RISPERDAL 0.5MG TAB,59.61,59.61,4.17,59.61,67
CDM,106988,RISPERDAL 1MG TAB,122.86,122.86,8.6,122.86,67
CDM,106996,RITALIN 5MG TAB,3.92,3.92,0.27,3.92,67
CDM,106997,RITALIN-SR 20MG TAB,51.96,51.96,3.64,51.96,67
CDM,107024,"Injection, methocarbamol, up to 10 ml ",577.88,577.88,4.07,69.87,17
CDM,107024,METHOCARBAMOL 1G/10ML,577.88,577.88,40.45,577.88,47
CDM,107025,ROBAXIN 500MG TAB,26.16,26.16,1.83,26.16,67
CDM,107026,ROBAXIN 750MG TAB,39.12,39.12,2.74,39.12,67
CDM,107030,GLYCOPYRROLATE 1 MG PO,5.91,5.91,0.41,5.91,67
CDM,107034,ROBITUSSIN AC 5ML,39.12,39.12,2.74,39.12,67
CDM,107040,ROBITUSSIN DM 10ML,32.72,32.72,2.29,32.72,67
CDM,107047,ROBITUSSIN SYR 10ML,5.72,5.72,0.4,5.72,67
CDM,107077,ROWASA ENEMA 60ML,724.69,724.69,50.73,724.69,67
CDM,107084,ROXICODONE LIQ 5/5 5ML,71.29,71.29,4.99,71.29,67
CDM,107091,RYTHMOL 150MG TAB,56.08,56.08,3.93,56.08,67
CDM,107097,SALAGEN 5MG TAB,51.96,51.96,3.64,51.96,67
CDM,107102,CYCLOSPORIN 250 MG INJ,399.4,399.4,27.96,399.4,47
CDM,107102,"Injection, cyclosporine, 250 mg ",399.4,399.4,71.97,621.64,17
CDM,107119,COLLAGENASE 30 GM TOP,1814.3,1814.3,127.0,1814.3,59
CDM,107120,SARNA LOT 7.5OZ,68.71,68.71,4.81,68.71,67
CDM,107129,SECTRAL 200MG CAP,10.27,10.27,0.72,10.27,67
CDM,107135,SELENIUM 40MCG/ML 1ML,194.64,194.64,13.62,194.64,67
CDM,107142,SENOKOT SYR 5ML,6.85,6.85,0.48,6.85,67
CDM,107143,SENOKOT TAB,6.85,6.85,0.48,6.85,67
CDM,107161,QUETIAPINE 100 MG PO,2.52,2.52,0.18,2.52,67
CDM,107163,QUETIAPINE 25 MG PO,1.53,1.53,0.11,1.53,67
CDM,107168,SILVADENE 20GM TUBE,461.31,461.31,32.29,461.31,67
CDM,107169,SILVADENE 400GM JAR,1271.5,1271.5,89.0,1271.5,67
CDM,107170,SILVADENE 50GM JAR,136.17,136.17,9.53,136.17,67
CDM,107171,SILVER NITRATE APP EA,58.55,58.55,4.1,58.55,67
CDM,107173,BASILIXIMAB 20 MG INJ,39467.34,39467.34,2762.71,39467.34,42
CDM,107173,"Injection, basiliximab, 20 mg ",39467.34,39467.34,4667.94,39958.96,17
CDM,107174,SINEMET 10/100 TAB,39.12,39.12,2.74,39.12,67
CDM,107175,SINEMET 25/100 TAB,45.42,45.42,3.18,45.42,67
CDM,107176,SINEMET 25/250 TAB,45.42,45.42,3.18,45.42,67
CDM,107177,SINEMET CR 25/100 TAB,103.64,103.64,7.25,103.64,67
CDM,107179,SINEQUAN 100MG CAP,51.96,51.96,3.64,51.96,67
CDM,107180,SINEQUAN 10MG CAP,26.16,26.16,1.83,26.16,67
CDM,107182,SINEQUAN 25MG CAP,26.16,26.16,1.83,26.16,67
CDM,107185,SINEQUAN ORAL CONC 4OZ,381.07,381.07,26.67,381.07,67
CDM,107187,SINGULAIR 10MG TAB,148.76,148.76,10.41,148.76,67
CDM,107188,SINGULAIR 4MG CHEW TAB,90.71,90.71,6.35,90.71,67
CDM,107189,SINGULAIR 5MG CHEW TAB,64.88,64.88,4.54,64.88,67
CDM,107205,SOD ACETATE 40MEQ 20ML,20.48,20.48,1.43,20.48,67
CDM,107206,SOD BICARB 10GR TAB,26.16,26.16,1.83,26.16,67
CDM,107210,SOD BICARB 4.2% 10ML SYR,111.84,111.84,7.83,111.84,67
CDM,107214,SOD BICARB 8.4% 10ML SYR,110.71,110.71,7.75,110.71,67
CDM,107215,SOD BICARB 8.4% 50ML SYR,111.84,111.84,7.83,111.84,67
CDM,107216,SOD CHL 0.9% 10ML AMP,206.98,206.98,14.49,206.98,67
CDM,107222,SOD CHL 0.9% 2.5ML SYR,110.7,110.7,7.75,110.7,71
CDM,107228,SOD CHL 0.9% BACT 30ML,11.23,11.23,0.79,11.23,67
CDM,107231,SOD CHL .9%/KCL 20 1000M,62.56,62.56,4.38,62.56,67
CDM,107234,SOD CHL 1GM TAB,1.79,1.79,0.13,1.79,67
CDM,107237,SOD CHL 3% UD RT,14.09,14.09,0.99,14.09,67
CDM,107238,SOD CHL 4MEQ/ML 30ML,43.04,43.04,3.01,43.04,67
CDM,107245,SOD PHOS 45 MMOL INJ,107.57,107.57,7.53,107.57,67
CDM,107246,ELECTRODE PENCIL FTCNTRL,219.0,219.0,15.33,219.0,71
CDM,107251,HYDROCORT SUCC 100MG INJ,214.43,214.43,15.01,214.43,47
CDM,107252,SOLU-CORTEF 1GM INJ,258.43,258.43,18.09,258.43,67
CDM,107253,HYDROCORT SUCC 250MG INJ,457.17,457.17,32.0,457.17,47
CDM,107266,SORBITOL 30ML,16.32,16.32,1.14,16.32,67
CDM,107268,SOTRADECOL 3% 2 ML,403.28,403.28,28.23,403.28,67
CDM,107274,SPORANOX 100MG CAP,139.73,139.73,9.78,139.73,67
CDM,107277,ITRACONAZOLE LIQ 100MG,133.94,133.94,9.38,133.94,67
CDM,107284,STARLIX 120MG TAB,25.11,25.11,1.76,25.11,67
CDM,107290,STELAZINE 5MG TAB,8.68,8.68,0.61,8.68,67
CDM,107302,"Injection, streptomycin, up to 1 gm ",542.36,542.36,39.05,416.25,17
CDM,107302,STREPTOMYCIN 1 G INJ,542.36,542.36,37.97,542.36,47
CDM,107313,FENTANYL CIT 1 MG INJ,45.9,45.9,3.21,45.9,47
CDM,107314,FENTANYL CIT 0.1 MG INJ,11.43,11.43,0.8,11.43,47
CDM,107315,FENTANYL CIT 0.25 MG INJ,15.39,15.39,1.08,15.39,47
CDM,107318,SUDAFED 30MG TAB,13.28,13.28,0.93,13.28,67
CDM,107331,SULFADIAZINE O.5GM TAB,28.38,28.38,1.99,28.38,67
CDM,107343,SURGICEL FIBRILLER 1X2,1213.46,1213.46,84.94,1213.46,67
CDM,107351,SYMMETREL 100MG CAP,45.42,45.42,3.18,45.42,67
CDM,107352,SYMMETREL SYR 5ML,58.55,58.55,4.1,58.55,67
CDM,107368,SYNTHROID 0.025MG TAB,26.16,26.16,1.83,26.16,67
CDM,107369,SYNTHROID 0.05MG TAB,26.16,26.16,1.83,26.16,67
CDM,107370,SYNTHROID 0.075MG TAB,26.16,26.16,1.83,26.16,67
CDM,107371,SYNTHROID 0.088MG TAB,26.16,26.16,1.83,26.16,67
CDM,107372,SYNTHROID 0.112MG TAB,26.16,26.16,1.83,26.16,67
CDM,107373,SYNTHROID 0.125MG TAB,26.16,26.16,1.83,26.16,67
CDM,107375,SYNTHROID 0.15MG TAB,26.16,26.16,1.83,26.16,67
CDM,107376,SYNTHROID 0.175MG TAB,32.72,32.72,2.29,32.72,67
CDM,107377,SYNTHROID 0.1MG TAB,26.16,26.16,1.83,26.16,67
CDM,107402,TALWIN NX TAB,71.29,71.29,4.99,71.29,67
CDM,107403,TAMBOCOR 100MG TAB,71.29,71.29,4.99,71.29,67
CDM,107405,TAMIFLU 75MG CAP,174.75,174.75,12.23,174.75,67
CDM,107411,TAPAZOLE 5MG TAB,26.16,26.16,1.83,26.16,67
CDM,107432,TEARS NATUR FREE 0.6ML,26.41,26.41,1.85,26.41,67
CDM,107434,TEGRETOL 100MG CHEW TAB,32.72,32.72,2.29,32.72,67
CDM,107435,TEGRETOL 200MG TAB,32.72,32.72,2.29,32.72,67
CDM,107437,CARBAMAZEPINE 100MG/5ML,476.37,476.37,33.35,476.37,67
CDM,107439,TEGRETOL XR 100MG TAB,32.72,32.72,2.29,32.72,67
CDM,107440,TEGRETOL XR 200MG TAB,32.72,32.72,2.29,32.72,67
CDM,107448,TEMOZOLOMIDE 5 MG PO,151.65,151.65,10.62,151.65,47
CDM,107450,CLOBETASOL 0.05% TOPICAL,758.24,758.24,53.08,758.24,59
CDM,107454,TENEX 1MG TAB,64.88,64.88,4.54,64.88,67
CDM,107459,TENORMIN 25 MG TAB,45.42,45.42,3.18,45.42,67
CDM,107460,TENORMIN 50MG TAB,45.42,45.42,3.18,45.42,67
CDM,107470,TESSALON PERLE 100MG,58.55,58.55,4.1,58.55,67
CDM,107480,"Injection, tetanus immune globulin, human, up to 250 units ",4053.5,4053.5,541.38,4934.93,17
CDM,107480,TETANUS IG HUMAN 250 U,4053.5,4053.5,283.75,4053.5,42
CDM,107485,TETRACYCLINE 250MG CAP,39.8,39.8,2.79,39.8,67
CDM,107495,THALIDOMIDE 50MG PO,1208.18,1208.18,84.57,1208.18,59
CDM,107498,TROMETHAMINE 500ML INJ,3790.39,3790.39,265.33,3790.39,59
CDM,107499,THEO-24 100MG CAP,26.16,26.16,1.83,26.16,67
CDM,107515,THERAGRAN TAB,2.06,2.06,0.14,2.06,67
CDM,107516,THERAGRAN-M TAB,1.17,1.17,0.08,1.17,67
CDM,107519,"Injection, thiamine hcl, 100 mg ",115.14,115.14,1.5,17.04,17
CDM,107519,THIAMINE 100 MG INJ,115.14,115.14,8.06,115.14,47
CDM,107524,THIOGUANINE 40MG TAB,146.32,146.32,10.24,146.32,67
CDM,107529,CHLORPRO HCL 10MG,29.34,29.34,2.05,29.34,67
CDM,107534,CHLORPRO HCL 25 MG,35.08,35.08,2.46,35.08,67
CDM,107535,CHLORPROMAZINE 50 MG INJ,277.97,277.97,19.46,277.97,47
CDM,107535,"Injection, chlorpromazine hcl, up to 50 mg ",277.97,277.97,20.33,231.5,17
CDM,107536,THORAZINE 50MG TAB,32.72,32.72,2.29,32.72,67
CDM,107546,LYMPH IG RABIT 25MG INJ,6564.89,6564.89,459.54,6564.89,42
CDM,107546,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",6564.89,6564.89,992.43,8521.13,17
CDM,107551,THYROID 30MG TAB,5.31,5.31,0.37,5.31,67
CDM,107552,THYROID 60MG TAB,5.9,5.9,0.41,5.9,67
CDM,107572,TIKOSYN 125MCG CAP,51.96,51.96,3.64,51.96,67
CDM,107573,TIKOSYN 250MCG CAP,51.57,51.57,3.61,51.57,67
CDM,107580,TIMOPTIC OS 0.25% 5ML,613.41,613.41,42.94,613.41,67
CDM,107582,TIMOPTIC OS 0.5% 5ML,735.97,735.97,51.52,735.97,67
CDM,107596,INH TOBRAMYCIN NC 300 MG,709.51,709.51,49.67,709.51,47
CDM,107596,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",709.51,709.51,7.54,308.75,17
CDM,107597,TOBRAMY/DEXAMET OPHTHAL,1704.13,1704.13,119.29,1704.13,59
CDM,107599,TOBRADEX OS 5ML,903.8,903.8,63.27,903.8,67
CDM,107601,TOBREX OO 3.5GM,479.8,479.8,33.59,479.8,67
CDM,107602,TOBRAMYCIN 0.3% OPHTH,28.13,28.13,1.97,28.13,59
CDM,107603,TOFRANIL 10MG TAB,19.63,19.63,1.37,19.63,67
CDM,107605,TOFRANIL 25MG TAB,26.16,26.16,1.83,26.16,67
CDM,107619,TOPAMAX 100MG TAB,37.3,37.3,2.61,37.3,67
CDM,107620,TOPAMAX 15MG SPRINK CAP,12.92,12.92,0.9,12.92,67
CDM,107622,TOPAMAX 25MG SPRINK CAP,15.66,15.66,1.1,15.66,67
CDM,107623,TOPAMAX 25MG TAB,13.67,13.67,0.96,13.67,67
CDM,107629,METOPROLOL ER 100 MG PO,4.73,4.73,0.33,4.73,67
CDM,107631,METOPROLOL ER 25 MG PO,3.11,3.11,0.22,3.11,67
CDM,107634,TORADOL 10MG TAB,12.12,12.12,0.85,12.12,67
CDM,107635,KETOROLAC 15 MG INJ,18.76,18.76,1.31,18.76,42
CDM,107648,TRACE ELEMENTS 1ML INJ,176.99,176.99,12.39,176.99,67
CDM,107655,TRANDATE 100MG TAB,32.72,32.72,2.29,32.72,67
CDM,107658,TRANDATE 200MG TAB,45.42,45.42,3.18,45.42,67
CDM,107660,TRANDATE 300MG TAB,51.96,51.96,3.64,51.96,67
CDM,107661,TRANDATE 4ML SYR,74.27,74.27,5.2,74.27,67
CDM,107663,TRANSDERM-SCOP PAT,103.22,103.22,7.23,103.22,67
CDM,107672,TRENTAL 400MG TAB,45.42,45.42,3.18,45.42,67
CDM,107682,FENOFIBRATE 160MG TAB,71.29,71.29,4.99,71.29,67
CDM,107684,FENOFIBRATE 54MG TAB,26.16,26.16,1.83,26.16,67
CDM,107687,PERPHENAZINE 2MG TAB,32.72,32.72,2.29,32.72,67
CDM,107689,PERPHENAZINE 4 MG TAB,29.34,29.34,2.05,29.34,67
CDM,107691,PERPHENZAINE 8 MG,9.76,9.76,0.68,9.76,67
CDM,107692,TRILEPTAL 150MG TAB,32.72,32.72,2.29,32.72,67
CDM,107693,TRILEPTAL 300MG TAB,58.55,58.55,4.1,58.55,67
CDM,107697,TRIMPEX 100MG TAB,32.72,32.72,2.29,32.72,67
CDM,107700,LIOTHYRONINE 10MCG INJ,12974.42,12974.42,908.21,12974.42,59
CDM,107709,TROPHAMINE 10% 500ML,3452.89,3452.89,241.7,3452.89,67
CDM,107722,TUSSIONEX SUS 5ML,90.71,90.71,6.35,90.71,67
CDM,107728,TYLENOL 120MG SUPP,1.82,1.82,0.13,1.82,67
CDM,107729,TYLENOL 325MG SUPP,4.05,4.05,0.28,4.05,67
CDM,107730,TYLENOL 325MG TAB,1.17,1.17,0.08,1.17,67
CDM,107731,TYLENOL 650MG SUPP,2.12,2.12,0.15,2.12,67
CDM,107732,TYLENOL 80MG TAB,2.06,2.06,0.14,2.06,67
CDM,107735,TYLENOL ELIX 5CC,5.91,5.91,0.41,5.91,67
CDM,107737,TYLENOL EXTRA STR 500MG,1.17,1.17,0.08,1.17,67
CDM,107741,TYLENOL LIQ 325/10 15ML,13.28,13.28,0.93,13.28,67
CDM,107748,TYLENOL W/COD 30MG TAB,3.61,3.61,0.25,3.61,67
CDM,107749,TYLENOL W/COD 5ML,58.55,58.55,4.1,58.55,67
CDM,107758,ULTIVA 1MG INJ,629.02,629.02,44.03,629.02,67
CDM,107763,ULTRAM 50MG TAB,45.42,45.42,3.18,45.42,67
CDM,107767,AMPICIL/SULBAC 1.5 G INJ,416.9,416.9,29.18,416.9,47
CDM,107779,UREA PWD 15GM,22.5,22.5,1.57,22.5,67
CDM,107782,URECHOLINE 10MG TAB,16.26,16.26,1.14,16.26,67
CDM,107783,URECHOLINE 25MG TAB,45.42,45.42,3.18,45.42,67
CDM,107786,URECHOLINE 5MG TAB,24.05,24.05,1.68,24.05,67
CDM,107789,URISPAS 100MG TAB,7.82,7.82,0.55,7.82,67
CDM,107796,VALCYTE 450MG TAB,652.09,652.09,45.65,652.09,67
CDM,107802,DIAZEPAM 10 MG INJ,140.86,140.86,9.86,140.86,47
CDM,107802,"Injection, diazepam, up to 5 mg ",140.86,140.86,8.25,52.77,17
CDM,107804,VALIUM 2MG TAB,35.08,35.08,2.46,35.08,67
CDM,107806,VALIUM 5MG TAB,40.74,40.74,2.85,40.74,67
CDM,107808,VALIUM LIQ 5MG/5ML 5ML,77.79,77.79,5.45,77.79,67
CDM,107809,VALTREX 500MG TAB,18.71,18.71,1.31,18.71,67
CDM,107811,VANCOMYCIN 125 MG PO,14.6,14.6,1.02,14.6,67
CDM,107829,VAR VAC LIVE SQ,988.75,988.75,69.21,988.75,47
CDM,107829,"Varicella virus vaccine (VAR), live, for subcutaneous use ",988.75,988.75,197.14,1752.82,17
CDM,107832,VASELINE 5GM,7.51,7.51,0.53,7.51,67
CDM,107843,VASOTEC 10MG TAB,58.55,58.55,4.1,58.55,67
CDM,107844,ENALAPRILAT 2.5 MG INJ,83.6,83.6,5.85,83.6,67
CDM,107845,VASOTEC 2.5MG TAB,45.42,45.42,3.18,45.42,67
CDM,107847,VASOTEC 5MG TAB,58.55,58.55,4.1,58.55,67
CDM,107851,VENTOLIN 6.8GM INHALER,437.44,437.44,30.62,437.44,67
CDM,107855,ETOPOSIDE 50 MG PO,1821.08,1821.08,127.48,1821.08,47
CDM,107855,"Etoposide; oral, 50 mg ",1821.08,1821.08,84.23,647.9,17
CDM,107856,VERAPAMIL 5MG/2ML INJ,542.24,542.24,37.96,542.24,67
CDM,107866,MIDAZOLAM 2 MG INJ,3.51,3.51,0.25,3.51,47
CDM,107868,MIDAZOLAM 1 MG INJ,110.16,110.16,7.71,110.16,47
CDM,107874,VERSED LIQ 5MG/2.5ML,335.87,335.87,23.51,335.87,67
CDM,107875,VESANOID 10MG CAP,361.68,361.68,25.32,361.68,67
CDM,107878,VFEND 200MG TAB,194.59,194.59,13.62,194.59,67
CDM,107880,VFEND 50MG TAB,200.63,200.63,14.04,200.63,67
CDM,107888,VIBRAMYCIN 100MG TAB/CAP,12.94,12.94,0.91,12.94,67
CDM,107890,VIBRAMYCIN 50MG CAP,11.38,11.38,0.8,11.38,67
CDM,107901,VICOPROFEN TAB,51.96,51.96,3.64,51.96,67
CDM,107920,VIRAMUNE 200MG TAB,239.15,239.15,16.74,239.15,67
CDM,107921,VIRAMUNE LIQ 50MG/5ML,32.72,32.72,2.29,32.72,67
CDM,107923,VIREAD 300MG TAB,303.48,303.48,21.24,303.48,67
CDM,107925,TRIFLURIDINE 1% 7.5ML OP,2152.93,2152.93,150.71,2152.93,59
CDM,107926,VISCOAT 0.5ML SYR,2994.38,2994.38,209.61,2994.38,71
CDM,107928,VISINE OS 15ML,58.55,58.55,4.1,58.55,67
CDM,107933,HYDROXYZINE PAM 25 MG,1.67,1.67,0.12,1.67,67
CDM,107940,CIDOFOVIR 375 MG INJ,18844.69,18844.69,1319.13,18844.69,42
CDM,107940,"Injection, cidofovir, 375 mg ",18844.69,18844.69,543.97,4527.26,17
CDM,107943,VITAMIN A 10000U CAP,0.25,0.25,0.02,0.25,67
CDM,107944,VITAMIN A&D OINT 5GM,32.72,32.72,2.29,32.72,67
CDM,107969,VOSOL OTIC DROPS,257.26,257.26,18.01,257.26,67
CDM,107975,WATER 10ML SDV,8.84,8.84,0.62,8.84,67
CDM,107980,WELCHOL 625MG TAB,32.72,32.72,2.29,32.72,67
CDM,107983,WELLBUTRIN SR 100MG TAB,58.55,58.55,4.1,58.55,67
CDM,107984,WELLBUTRIN SR 150MG TAB,77.79,77.79,5.45,77.79,67
CDM,107993,WINTERGREEN OIL 1OZ,103.64,103.64,7.25,103.64,67
CDM,107999,HYALURONIDASE UP TO 150U,816.3,816.3,57.14,816.3,47
CDM,107999,"Injection, hyaluronidase, up to 150 units ",816.3,816.3,30.6,309.69,17
CDM,108038,XALATAN OS 2.5ML,1807.33,1807.33,126.51,1807.33,67
CDM,108039,XANAX 0.25MG TAB,58.55,58.55,4.1,58.55,67
CDM,108041,XANAX 1MG TAB,77.79,77.79,5.45,77.79,67
CDM,108045,XERO-LUBE 6OZ,168.02,168.02,11.76,168.02,67
CDM,108053,XYLO 0.5% 50ML INJ,127.92,127.92,8.95,127.92,67
CDM,108057,XYLO 1% 2ML MPF INJ,19.28,19.28,1.35,19.28,67
CDM,108059,XYLO 1% 30ML SDV,335.87,335.87,23.51,335.87,67
CDM,108064,XYLO 1% MPF 10ML INJ,374.82,374.82,26.24,374.82,67
CDM,108070,XYLO 100MG SYR,600.63,600.63,42.04,600.63,67
CDM,108072,XYLO 2% 20ML INJ,1.9,1.9,0.13,1.9,67
CDM,108074,XYLO 2% 30ML INJ,193.83,193.83,13.57,193.83,67
CDM,108078,XYLO 2% MPF 5ML INJ,31.32,31.32,2.19,31.32,67
CDM,108082,XYLO 4% TOP 50ML,620.07,620.07,43.4,620.07,67
CDM,108085,XYLO OINT 2.5% 35GM,497.52,497.52,34.83,497.52,67
CDM,108088,XYLO VISC 2% 100ML,142.4,142.4,9.97,142.4,67
CDM,108089,XYLO VISC 2% 20ML,90.71,90.71,6.35,90.71,67
CDM,108093,XYLO/EPI 1% 10ML INJ,316.57,316.57,22.16,316.57,67
CDM,108095,XYLO/EPI 1% 30ML INJ,200.63,200.63,14.04,200.63,67
CDM,108096,XYLO/EPI 1% 50ML INJ,33.42,33.42,2.34,33.42,67
CDM,108102,XYLO/EPI 2% 30ML INJ,32.06,32.06,2.24,32.06,67
CDM,108103,XYLO/EPI 2% 5ML INJ,103.64,103.64,7.25,103.64,67
CDM,108105,THORACOSTOMY TUBE,3448.72,3448.72,241.41,3448.72,64
CDM,108106,XYLO/EPI 0.5 50ML INJ,35.09,35.09,2.46,35.09,67
CDM,108114,ZADITOR OS 5ML,115.37,115.37,8.08,115.37,67
CDM,108132,ZARONTIN SYR 250/5 5ML,14.35,14.35,1.0,14.35,67
CDM,108134,ZAROXOLYN 2.5MG TAB,45.42,45.42,3.18,45.42,67
CDM,108135,ZAROXOLYN 5MG TAB,51.96,51.96,3.64,51.96,67
CDM,108136,ZAROXOLYN SUSP 20 ML,516.62,516.62,36.16,516.62,67
CDM,108139,ZEASORB-AF PWD 2.5OZ,43.92,43.92,3.07,43.92,67
CDM,108141,ZEBETA 5MG TAB,64.88,64.88,4.54,64.88,67
CDM,108142,"Injection, paricalcitol, 1 mcg ",580.55,580.55,0.99,8.05,17
CDM,108142,PARICALCITOL 5 MCG INJ,580.55,580.55,40.64,580.55,47
CDM,108143,ZEMURON 10MG/ML 10ML,159.85,159.85,11.19,159.85,67
CDM,108144,ROCURONIUM 10 MG INJ,3.88,3.88,0.27,3.88,67
CDM,108160,CEFUROXIME 750 MG INJ,37.82,37.82,2.65,37.82,47
CDM,108165,ZINC OXIDE OINT 16OZ,64.88,64.88,4.54,64.88,67
CDM,108169,ZINC SUL 1MG/ML 1ML INJ,51.96,51.96,3.64,51.96,67
CDM,108172,DEXRAZOXANE 250 MG INJ,4164.99,4164.99,291.55,4164.99,42
CDM,108182,AZITHROMYCIN 500 MG INJ,28.62,28.62,2.0,28.62,47
CDM,108194,ASP/INJ CYST REN/PEL,3078.78,3078.78,215.51,3078.78,64
CDM,108204,ZOLOFT 100MG TAB,129.45,129.45,9.06,129.45,67
CDM,108206,ZOLOFT 50MG TAB,116.32,116.32,8.14,116.32,67
CDM,108216,ZONEGRAN 100MG CAP,64.88,64.88,4.54,64.88,67
CDM,108226,ACYCLOVIR 5% TOP 15 GM,291.88,291.88,20.43,291.88,59
CDM,108227,ZOVIRAX 200MG CAP,1.61,1.61,0.11,1.61,67
CDM,108233,ZOVIRAX SUS 200MG/5ML,25.2,25.2,1.76,25.2,67
CDM,108237,ZYLOPRIM 100MG TAB,26.16,26.16,1.83,26.16,67
CDM,108238,ZYLOPRIM 300MG TAB,32.72,32.72,2.29,32.72,67
CDM,108239,ZYPREXA 10MG TAB,329.5,329.5,23.07,329.5,67
CDM,108240,ZYPREXA 2.5MG TAB,187.46,187.46,13.12,187.46,67
CDM,108247,CETIRIZINE 5 MG/5 ML PO,13.64,13.64,0.95,13.64,67
CDM,108249,LINEZOLID 600MG PO,40.42,40.42,2.83,40.42,59
CDM,108467,ACP (DEXTROSE) 500ML,710.11,710.11,49.71,710.11,67
CDM,108470,D10W 1000ML,51.37,51.37,3.6,51.37,67
CDM,108471,D10W 250ML,19.05,19.05,1.33,19.05,67
CDM,108472,D10W 500 ML,54.09,54.09,3.79,54.09,67
CDM,108483,D5 1/4NS 1000ML,39.84,39.84,2.79,39.84,67
CDM,108484,D5 1/4NS 250ML,26.41,26.41,1.85,26.41,67
CDM,108485,D5 1/4NS 500ML,25.23,25.23,1.77,25.23,67
CDM,108486,D5 LR 1000 ML,17.99,17.99,1.26,17.99,47
CDM,108495,D5W 100 ML,12.02,12.02,0.84,12.02,47
CDM,108498,D5W 150 ML,30.05,30.05,2.1,30.05,47
CDM,108499,D5W 250ML,37.17,37.17,2.6,37.17,67
CDM,108501,D5W 25 ML,12.74,12.74,0.89,12.74,47
CDM,108502,D5W 25ML IN 50ML,24.07,24.07,1.68,24.07,67
CDM,108505,D5W 50 ML,11.73,11.73,0.82,11.73,47
CDM,108506,D5W 50ML IN 150ML,25.32,25.32,1.77,25.32,67
CDM,108508,D70W 500ML,94.6,94.6,6.62,94.6,67
CDM,108509,LACTATED RINGERS 1000 ML,29.48,29.48,2.06,29.48,47
CDM,108512,LACTATED RINGERS 500 ML,26.38,26.38,1.85,26.38,47
CDM,108514,NORMOSOL-R SOL 1000ML,1368.44,1368.44,95.79,1368.44,67
CDM,108517,RINGERS SOLN 1000ML,393.83,393.83,27.57,393.83,67
CDM,108519,SOD CHL 0.45% 1000ML,29.26,29.26,2.05,29.26,67
CDM,108522,SOD CHL 0.45% 500ML,30.21,30.21,2.11,30.21,67
CDM,108523,SOD CHL 0.45% 50ML,17.54,17.54,1.23,17.54,67
CDM,108524,"Infusion, normal saline solution , 1000 cc ",28.14,28.14,2.12,82.69,17
CDM,108524,NS 1000 ML,28.14,28.14,1.97,28.14,47
CDM,108528,NS 100 ML,14.67,14.67,1.03,14.67,47
CDM,108530,SOD CHL 0.9% 150ML,858.73,858.73,60.11,858.73,67
CDM,108531,NS 250 ML,25.25,25.25,1.77,25.25,47
CDM,108536,NS 500 ML,24.14,24.14,1.69,24.14,47
CDM,108538,SOD CHL 0.9% 50ML CLK-O,49.48,49.48,3.46,49.48,67
CDM,108543,WATER INJ 1000ML BAG,619.72,619.72,43.38,619.72,67
CDM,108547,WATER IRRIG 1000ML BAG,39.56,39.56,2.77,39.56,71
CDM,108555,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108557,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108562,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108568,CIRCUMCISION,1103.57,1103.57,77.25,1103.57,71
CDM,108574,CIRCUMCISION,1103.57,1103.57,77.25,1103.57,71
CDM,108578,CIRCUMCISION,1103.57,1103.57,77.25,1103.57,71
CDM,108585,RETINOPATHY OF PREMATURE,6819.74,6819.74,750.17,6819.74,64
CDM,108590,AMNIOCENTESIS,1764.42,1764.42,123.51,1764.42,64
CDM,108594,EXTERNAL VERSION,2460.87,2460.87,172.26,2460.87,71
CDM,108595,LABOR CARE,1421.12,1421.12,99.48,1421.12,71
CDM,108596,LEVEL I MINOR  1ST 60 MI,15830.34,15830.34,1108.12,15830.34,64
CDM,108597,LVL II C-SECTION 1ST 60M,9497.16,9497.16,664.8,9497.16,64
CDM,108598,LVL II C-SECTIN ADTL 30M,4751.16,4751.16,332.58,4751.16,64
CDM,108599,LVL III MAJOR 1ST 60M,21921.42,21921.42,1534.5,21921.42,64
CDM,108600,LEVELI(MINOR) ADDTL 30MI,3980.59,3980.59,278.64,3980.59,64
CDM,108601,LEVL III MAJOR ADTL 30MI,5491.02,5491.02,384.37,5491.02,64
CDM,108602,NON STRESS TEST,1092.68,1092.68,76.49,1092.68,53
CDM,108604,OBS PER HOUR,571.06,571.06,62.82,571.06,42
CDM,108605,OXYTOCIN CHALLENGE,1836.56,1836.56,128.56,1836.56,71
CDM,108607,RECOVERY 1ST 60 MINUTES,4421.22,4421.22,309.49,4421.22,71
CDM,108608,RECOVERY ADDTL 30 MIN,1126.35,1126.35,78.84,1126.35,71
CDM,108609,RECOVERY CRTCAL 1ST 60MI,4960.79,4960.79,347.26,4960.79,71
CDM,108610,RECOVRY CRITICAL ADTL 30,1250.09,1250.09,87.51,1250.09,71
CDM,108612,VAGINAL DELIVERY/RECVERY,9013.87,9013.87,630.97,9013.87,71
CDM,108619,CRIT CARE 1ST 30-74 MINS,5705.61,5705.61,627.62,5705.61,37
CDM,108620,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,108621,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,108622,OP VISIT LEVEL 1 EST,594.13,594.13,41.59,594.13,54
CDM,108624,OP VISIT LEVEL 2 EST,727.33,727.33,50.91,727.33,54
CDM,108625,OP VISIT LEVEL 2 NP,727.33,727.33,50.91,727.33,54
CDM,108626,OP VISIT LEVEL 3 EST,860.5,860.5,60.23,860.5,54
CDM,108627,OP VISIT LEVEL 3 NP,860.5,860.5,60.23,860.5,54
CDM,108628,OP VISIT LEVEL 4 EST,1098.47,1098.47,76.89,1098.47,54
CDM,108629,OP VISIT LEVEL 4 NP,1098.47,1098.47,76.89,1098.47,54
CDM,108630,OP VISIT LEVEL 5 EST,1230.16,1230.16,86.11,1230.16,54
CDM,108631,OP VISIT LEVEL 5 NP,1230.16,1230.16,86.11,1230.16,54
CDM,108651,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,108652,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,108653,LVL 1 EMER DEPT,745.74,745.74,82.03,745.74,37
CDM,108654,LVL 2 EMER DEPT,1243.98,1243.98,136.84,1243.98,37
CDM,108655,LVL 3 EMER DEPT,2137.61,2137.61,235.14,2137.61,37
CDM,108656,LVL 4 EMER DEPT,3227.29,3227.29,355.0,3227.29,37
CDM,108657,LVL 5 EMER DEPT,4667.37,4667.37,513.41,4667.37,37
CDM,108663,OBS PER HOUR,571.06,571.06,62.82,571.06,42
CDM,108682,ABL BREAST MLG TUMR CRYO,18008.08,18008.08,1260.57,18008.08,64
CDM,108699,MODEL BONE HOST,20746.0,20746.0,1452.22,20746.0,71
CDM,108707,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108742,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108743,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108749,AZITHROMYCIN 40MG PO,5.23,5.23,0.37,5.23,47
CDM,108754,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108760,CONE TIB DIA 18MM,83189.0,83189.0,9150.79,83189.0,57
CDM,108778,SCREW BN 7MM 70MM,13178.0,13178.0,1449.58,13178.0,57
CDM,108787,GRAFT BN CHRNOS25X20X6.5,13179.0,13179.0,1449.69,13179.0,57
CDM,108788,SUB BNGF CAPHOS WDG 14D,17468.0,17468.0,1921.48,17468.0,57
CDM,108789,LINER ACTB HIP 60MM,38700.0,38700.0,4257.0,38700.0,57
CDM,108790,LINER ACTB 62MM 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,108791,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108793,STEM SEG 20X152MM,70137.0,70137.0,7715.07,70137.0,57
CDM,108795,PLATE BN LCK RT 6H,22770.0,22770.0,2504.7,22770.0,57
CDM,108796,INSERT TIB KN 6 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,108798,LINER ACTB CONST 64MM,38700.0,38700.0,4257.0,38700.0,57
CDM,108800,STEM ATTN KN OFFST 4MM,14448.0,14448.0,1589.28,14448.0,57
CDM,108804,PLATE BN CHIN 6MM,7687.0,7687.0,845.57,7687.0,57
CDM,108814,DVC REVASC 3X20MM 200C,106048.0,106048.0,7423.36,106048.0,71
CDM,108821,STENT TRCHBR 6FR 6X16MM,46543.0,46543.0,5119.73,46543.0,57
CDM,108824,HEAD SHD EAS 40X15MM,60335.0,60335.0,6636.85,60335.0,57
CDM,108826,CMPNT SHD AUGM W/SCR LG,95147.0,95147.0,10466.17,95147.0,57
CDM,108828,STENT FRM URET 4.8F 18CM,4090.0,4090.0,449.9,4090.0,57
CDM,108830,INTRO SHTH PRTNL 61CM,2909.0,2909.0,203.63,2909.0,71
CDM,108831,TOOL SIZE ESOPH,5622.0,5622.0,393.54,5622.0,71
CDM,108844,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108867,INSERT TIB KN SZ3 6MM,48401.0,48401.0,5324.11,48401.0,57
CDM,108868,INSERT TIB KN SZ3 8MM,48401.0,48401.0,5324.11,48401.0,57
CDM,108891,NAIL BN 7MM 9.5MM 285MM,25570.0,25570.0,2812.7,25570.0,57
CDM,108905,SUT TAPE DKBL 1.3MM 40IN,3130.0,3130.0,219.1,3130.0,71
CDM,108906,SUTURETAPE 1.3MM 40IN,3130.0,3130.0,219.1,3130.0,71
CDM,108908,LINER ACTB 64 53 64MM,28380.0,28380.0,3121.8,28380.0,57
CDM,108909,LINER ACTB 66 55 66MM,28380.0,28380.0,3121.8,28380.0,57
CDM,108922,PLATE FIB 4HL RT 2.7MM,15378.0,15378.0,1691.58,15378.0,57
CDM,108924,GLNSPHR +2.5 INF/28 42MM,69861.0,69861.0,7684.71,69861.0,57
CDM,108928,SCREW NLCKG 3.5MM 75MM,3823.0,3823.0,420.53,3823.0,57
CDM,108934,CMPNT BIP 0D ID28MM 54MM,11017.0,11017.0,1211.87,11017.0,57
CDM,108938,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,108958,ABLATION AV NODE W/WO,35281.53,35281.53,3880.97,35281.53,49
CDM,108958,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",35281.53,35281.53,8300.0,43890.0,7
CDM,108958,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement with Cardiac Cath",35281.53,35281.53,7818.0,7818.0,5
CDM,108958,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement without Cardiac Cath",35281.53,35281.53,5591.0,5591.0,5
CDM,108962,AICD EVAL & REPROGRAM,11795.85,11795.85,1297.54,11795.85,44
CDM,108962,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",11795.85,11795.85,2715.79,43890.0,22
CDM,108964,AICD LEAD TEST INIT,6556.62,6556.62,721.23,6556.62,50
CDM,108964,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",6556.62,6556.62,515.35,43890.0,22
CDM,108965,AICD LEAD/GEN TEST INIT,21297.63,21297.63,2342.74,21297.63,50
CDM,108965,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",21297.63,21297.63,901.89,43890.0,22
CDM,108966,ARRHYTHMIA INDUCE ELECT,4756.2,4756.2,523.18,4756.2,43
CDM,108966,Induction of arrhythmia by electrical pacing ,4756.2,4756.2,2715.79,43890.0,13
CDM,108966,Induction of arrhythmia by electrical pacing with Cardiac Cath,4756.2,4756.2,7818.0,7818.0,5
CDM,108966,Induction of arrhythmia by electrical pacing without Cardiac Cath,4756.2,4756.2,5591.0,5591.0,5
CDM,108971,BUNDLE OF HIS RECORDING,35941.75,35941.75,3953.59,35941.75,49
CDM,108971,Bundle of His recording ,35941.75,35941.75,8300.0,100082.0,11
CDM,108971,Bundle of His recording with Cardiac Cath,35941.75,35941.75,7818.0,7818.0,5
CDM,108971,Bundle of His recording without Cardiac Cath,35941.75,35941.75,5591.0,5591.0,5
CDM,108975,CARDIOVERSION EXTERNAL,5181.7,5181.7,362.72,5181.7,43
CDM,108993,EP FOLLOWUP,10272.52,10272.52,1129.98,10272.52,43
CDM,108993,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",10272.52,10272.52,8300.0,43890.0,13
CDM,108993,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia with Cardiac Cath",10272.52,10272.52,7818.0,7818.0,5
CDM,108993,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia without Cardiac Cath",10272.52,10272.52,5591.0,5591.0,5
CDM,108994,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,40376.91,40376.91,5591.0,43890.0,17
CDM,108994,EP W/ARRHYTHMIA,40376.91,40376.91,4441.46,40376.91,49
CDM,108995,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,8582.64,8582.64,335.97,43890.0,30
CDM,108995,EP W/LA REC W/ARRHYTHMIA,8582.64,8582.64,944.09,8582.64,43
CDM,108997,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,8582.64,8582.64,497.53,43890.0,27
CDM,108997,EP W/LVREC W/ARRHYTHMIA,8582.64,8582.64,944.09,8582.64,49
CDM,108998,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",33546.23,33546.23,5591.0,43890.0,23
CDM,108998,EP W/O ARRHYTHMIA,33546.23,33546.23,3690.09,33546.23,43
CDM,109002,IA PACING,37030.48,37030.48,4073.35,37030.48,49
CDM,109002,Intra-atrial pacing ,37030.48,37030.48,8300.0,100082.0,11
CDM,109002,Intra-atrial pacing with Cardiac Cath,37030.48,37030.48,7818.0,7818.0,5
CDM,109002,Intra-atrial pacing without Cardiac Cath,37030.48,37030.48,5591.0,5591.0,5
CDM,109003,INSERTION IABP PERC,10160.34,10160.34,711.22,10160.34,64
CDM,109021,INTRA ATRIAL RECORDING,35941.75,35941.75,3953.59,35941.75,49
CDM,109021,Intra-atrial recording ,35941.75,35941.75,8300.0,100082.0,11
CDM,109021,Intra-atrial recording with Cardiac Cath,35941.75,35941.75,7818.0,7818.0,5
CDM,109021,Intra-atrial recording without Cardiac Cath,35941.75,35941.75,5591.0,5591.0,5
CDM,109022,INTRACARD EP 3D MAPPING,16574.76,16574.76,1823.22,16574.76,43
CDM,109022,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,16574.76,16574.76,855.3,100082.0,20
CDM,109022,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) with Cardiac Cath,16574.76,16574.76,7818.0,7818.0,5
CDM,109022,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) without Cardiac Cath,16574.76,16574.76,5591.0,5591.0,5
CDM,109023,IV PACING,36025.03,36025.03,3962.75,36025.03,49
CDM,109023,Intraventricular pacing ,36025.03,36025.03,8300.0,100082.0,11
CDM,109023,Intraventricular pacing with Cardiac Cath,36025.03,36025.03,7818.0,7818.0,5
CDM,109023,Intraventricular pacing without Cardiac Cath,36025.03,36025.03,5591.0,5591.0,5
CDM,109024,IV/IA MAP ID ORIGIN,11632.32,11632.32,1279.56,11632.32,49
CDM,109024,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,11632.32,11632.32,802.78,100082.0,27
CDM,109027,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,17368.21,17368.21,1138.75,43890.0,13
CDM,109027,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction with Cardiac Cath,17368.21,17368.21,7818.0,7818.0,5
CDM,109027,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction without Cardiac Cath,17368.21,17368.21,5591.0,5591.0,5
CDM,109027,PACE & MAP INTRA-OP,17368.21,17368.21,1910.5,17368.21,49
CDM,109053,RT VENTRICULAR RECORDING,35941.75,35941.75,3953.59,35941.75,49
CDM,109053,Right ventricular recording ,35941.75,35941.75,8300.0,100082.0,11
CDM,109053,Right ventricular recording with Cardiac Cath,35941.75,35941.75,7818.0,7818.0,5
CDM,109053,Right ventricular recording without Cardiac Cath,35941.75,35941.75,5591.0,5591.0,5
CDM,109057,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,5611.72,5611.72,456.88,43890.0,16
CDM,109057,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) with Cardiac Cath,5611.72,5611.72,7818.0,7818.0,5
CDM,109057,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) without Cardiac Cath,5611.72,5611.72,5591.0,5591.0,5
CDM,109057,STIM & PACE AFTER IV INF,5611.72,5611.72,617.29,5611.72,43
CDM,109058,TEMP EXTERNAL PACING,2009.38,2009.38,140.66,2009.38,43
CDM,109058,Temporary transcutaneous pacing ,2009.38,2009.38,1169.48,3293.0,15
CDM,109067,XR FLUOROSCOPY 0-60 MIN,2087.87,2087.87,146.15,2087.87,48
CDM,109069,ECHO2D COMP W/O CF DOP,5793.43,5793.43,405.54,5793.43,52
CDM,109070,ECHO 2D W/WOM MODE LTD,4329.17,4329.17,303.04,4329.17,52
CDM,109071,ECHO ANOMALIES COMP,8859.75,8859.75,620.18,8859.75,52
CDM,109072,ECHO ANOMALIES LTD,4507.86,4507.86,315.55,4507.86,52
CDM,109073,ECHO COLOR FLOW MAPPING,1900.36,1900.36,133.03,1900.36,58
CDM,109074,ECHO DOPPLER COMP,1900.36,1900.36,133.03,1900.36,58
CDM,109075,ECHO DOPPLER LTD,1161.41,1161.41,81.3,1161.41,58
CDM,109077,TEE PROBE ANOMALY COMP,6935.17,6935.17,485.46,6935.17,52
CDM,109078,TEE 2D W/WOM MODE COMP,13723.47,13723.47,960.64,13723.47,52
CDM,109080,TEE PROBE ANOMALY,6839.77,6839.77,478.78,6839.77,52
CDM,109080,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only ,6839.77,6839.77,24.68,1668.0,25
CDM,109080,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age 21+,6839.77,6839.77,27.57,27.57,4
CDM,109080,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21,6839.77,6839.77,28.07,28.07,4
CDM,109081,US FETAL CARDIOVASC,3859.29,3859.29,270.15,3859.29,48
CDM,109082,US FETAL CARDIOVASC F/U,2543.48,2543.48,178.04,2543.48,48
CDM,109088,DOP ART 1-2 LEVELS BIL,679.5,679.5,47.56,679.5,49
CDM,109090,DOP LE ART W/EXER BIL,3316.19,3316.19,232.13,3316.19,49
CDM,109091,DOP ART >3 LEVELS BIL,2923.74,2923.74,204.66,2923.74,49
CDM,109094,DUP EXTRCRNIAL UNI/LTD,847.16,847.16,59.3,847.16,49
CDM,109094,Duplex scan of extracranial arteries; unilateral or limited study ,847.16,847.16,105.28,929.0,31
CDM,109094,Duplex scan of extracranial arteries; unilateral or limited study Age 21+,847.16,847.16,117.57,117.57,4
CDM,109094,Duplex scan of extracranial arteries; unilateral or limited study Age Under 21,847.16,847.16,119.71,119.71,4
CDM,109095,DUP LE ART BIL,3698.5,3698.5,258.89,3698.5,49
CDM,109096,DUP LE ART UNI/LTD,1939.42,1939.42,135.76,1939.42,49
CDM,109097,DUP PENILE COMP,2522.39,2522.39,176.57,2522.39,49
CDM,109098,DUP UE ART BIL,3698.5,3698.5,258.89,3698.5,49
CDM,109100,DUP UE ART UNI/LTD,2481.76,2481.76,173.72,2481.76,49
CDM,109101,DUP VEIN BIL,3290.81,3290.81,230.36,3290.81,49
CDM,109102,DUP VEIN UNI/LTD,1902.6,1902.6,133.18,1902.6,49
CDM,109109,ECG SIGNAL AVERAGED,583.26,583.26,40.83,583.26,55
CDM,109109,"Signal-averaged electrocardiography (SAECG), with or without ECG ",583.26,583.26,28.31,1668.0,25
CDM,109109,"Signal-averaged electrocardiography (SAECG), with or without ECG Age 21+",583.26,583.26,31.61,31.61,4
CDM,109109,"Signal-averaged electrocardiography (SAECG), with or without ECG Age Under 21",583.26,583.26,32.19,32.19,4
CDM,109114,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) ",2786.0,2786.0,299.83,1668.0,10
CDM,109114,HOLTER RECORD VISUAL,2786.0,2786.0,195.02,2786.0,55
CDM,109115,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report ,2786.0,2786.0,299.83,1668.0,10
CDM,109115,HOLTER SCAN VISUAL,2786.0,2786.0,195.02,2786.0,55
CDM,109121,RHYTHM STRIP TRACE,383.46,383.46,26.84,383.46,55
CDM,109121,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report ",383.46,383.46,151.28,1668.0,10
CDM,109122,STRESS TEST,4975.75,4975.75,348.3,4975.75,55
CDM,109138,EEG AT SURGERY,3809.83,3809.83,266.69,3809.83,65
CDM,109138,Electrocorticogram at surgery (separate procedure) ,3809.83,3809.83,4357.76,8477.82,6
CDM,109139,EEG CEREB DEATH,3375.48,3375.48,236.28,3375.48,59
CDM,109139,Electroencephalogram (EEG); cerebral death evaluation only ,3375.48,3375.48,111.98,217.85,6
CDM,109140,EEG EXT MNTR 61-119 MIN,8147.07,8147.07,570.29,8147.07,59
CDM,109140,Electroencephalogram (EEG) extended monitoring; 61-119 minutes ,8147.07,8147.07,886.02,1723.72,6
CDM,109142,EEG NONINTRACRANIAL SURG,7826.89,7826.89,547.88,7826.89,65
CDM,109142,"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery) ",7826.89,7826.89,436.07,848.35,6
CDM,109143,EEG REC AW & ASLEEP,2411.23,2411.23,168.79,2411.23,59
CDM,109143,Electroencephalogram (EEG); including recording awake and asleep ,2411.23,2411.23,1033.7,2011.01,6
CDM,109144,EEG COMA OR SLEEP ONLY,2299.53,2299.53,160.97,2299.53,59
CDM,109144,Electroencephalogram (EEG); recording in coma or sleep only ,2299.53,2299.53,915.75,1781.55,6
CDM,109145,EEG 41-60 MIN,1806.88,1806.88,126.48,1806.88,59
CDM,109145,Electroencephalogram (EEG) extended monitoring; 41-60 minutes ,1806.88,1806.88,747.26,1453.76,6
CDM,109147,SHRT LATENCY SOMA LW LMB,2993.6,2993.6,209.55,2993.6,59
CDM,109147,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",2993.6,2993.6,280.47,545.65,6
CDM,109148,SHRT LATENCY SOMA UP LMB,2993.6,2993.6,209.55,2993.6,59
CDM,109148,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",2993.6,2993.6,291.36,566.83,6
CDM,109149,VISUAL EVOKED POT VEP,2141.37,2141.37,149.9,2141.37,59
CDM,109149,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",2141.37,2141.37,138.74,269.91,6
CDM,109150,ECHO ANOMALIES COMP,8859.75,8859.75,620.18,8859.75,52
CDM,109151,ECHO ANOMALIES LTD,4329.17,4329.17,303.04,4329.17,52
CDM,109152,ECHO COLOR FLOW MAPPING,7132.02,7132.02,499.24,7132.02,58
CDM,109153,ECHO DOPPLER LTD,1161.41,1161.41,81.3,1161.41,58
CDM,109155,TEE PROBE ANOMALY COMP,6935.17,6935.17,485.46,6935.17,52
CDM,109157,US FETAL CARDIOVASC,3859.29,3859.29,270.15,3859.29,48
CDM,109160,DEM AER GEN/NEB/MDI/IPPB,428.72,428.72,30.01,428.72,48
CDM,109160,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",428.72,428.72,505.89,984.19,6
CDM,109163,BRONCH EV SPIR PRE/POST,2572.59,2572.59,180.08,2572.59,59
CDM,109163,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration ",2572.59,2572.59,129.83,252.57,6
CDM,109166,CPAP VENT INT&MGMT,12406.36,12406.36,868.45,12406.36,48
CDM,109169,INH TX AC AWY OBST,1557.03,1557.03,108.99,1557.03,48
CDM,109174,INHALATION ALGY TEST,2524.55,2524.55,176.72,2524.55,59
CDM,109174,"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds ",2524.55,2524.55,89.21,173.55,6
CDM,109178,MULTIPLE DX PULSE OX,216.99,216.99,15.19,216.99,65
CDM,109178,"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) ",216.99,216.99,11.88,23.11,6
CDM,109181,BRONCH PROV EV MULT SPIR,2368.98,2368.98,165.83,2368.98,59
CDM,109181,"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigenºs», cold air, methacholine) ",2368.98,2368.98,86.21,167.72,6
CDM,109185,CHEST WALL INITIAL,1262.92,1262.92,88.4,1262.92,48
CDM,109186,RESP FLOW VOLUME LOOP,998.71,998.71,69.91,998.71,59
CDM,109186,Respiratory flow volume loop ,998.71,998.71,696.02,1354.08,6
CDM,109188,SPIROMETRY,554.35,554.35,38.8,554.35,59
CDM,109188,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation ",554.35,554.35,380.46,740.17,6
CDM,109192,VITAL CAPACITY,1119.09,1119.09,78.34,1119.09,59
CDM,109192,"Vital capacity, total (separate procedure) ",1119.09,1119.09,380.46,740.17,6
CDM,109194,DUP EXTRACRANIAL BIL,4134.13,4134.13,289.39,4134.13,49
CDM,109196,EKG TRACING ONLY,908.39,908.39,63.59,908.39,55
CDM,109203,EEG REC AW & DROWSY,2609.79,2609.79,182.69,2609.79,59
CDM,109203,Electroencephalogram (EEG); including recording awake and drowsy ,2609.79,2609.79,854.32,1662.03,6
CDM,109204,ELECTRO STI BRAIN INT HR,5403.26,5403.26,378.23,5403.26,59
CDM,109204,"Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour",5403.26,5403.26,401.39,780.89,6
CDM,109205,ELECTRO STIM BRAIN AD ON,2477.01,2477.01,173.39,2477.01,65
CDM,109205,"Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; each additio",2477.01,2477.01,248.76,483.96,6
CDM,109208,ECHO2D COMP W/O CF DOP,5793.43,5793.43,405.54,5793.43,52
CDM,109209,ECHO 2D W/WOM MODE LTD,4329.17,4329.17,303.04,4329.17,52
CDM,109210,ECHO DOPPLER COMP,7132.02,7132.02,499.24,7132.02,58
CDM,109211,TEE 2D W/WOM MODE COMP,13723.47,13723.47,960.64,13723.47,52
CDM,109213,US FETAL CARDIOVASC F/U,2543.48,2543.48,178.04,2543.48,48
CDM,109214,ABG WITH CALC O2 SAT,3264.14,3264.14,228.49,3264.14,47
CDM,109215,ABG WITH MEAS O2 SAT,3157.63,3157.63,221.03,3157.63,47
CDM,109219,CATHETER ASP NASOTR,1204.36,1204.36,84.31,1204.36,60
CDM,109221,CPR,2309.21,2309.21,161.64,2309.21,64
CDM,109228,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,1223.03,1223.03,505.89,984.19,6
CDM,109228,INHALATION PENTAMIDINE,1223.03,1223.03,85.61,1223.03,48
CDM,109229,INTUBATION ENDO EMERG,2683.29,2683.29,187.83,2683.29,64
CDM,109230,MAXIMUM VOLUNTARY VENT,613.79,613.79,42.97,613.79,59
CDM,109230,"Maximum breathing capacity, maximal voluntary ventilation ",613.79,613.79,151.28,294.3,6
CDM,109238,"Gases, blood, pH only ",584.1,584.1,6.6,58.4,77
CDM,109238,"Gases, blood, pH only Age 21+",584.1,584.1,10.16,10.16,4
CDM,109238,"Gases, blood, pH only Age Under 21",584.1,584.1,10.35,10.35,4
CDM,109238,"Gases, blood, pH only Other Outpatient",584.1,584.1,11.55,11.55,6
CDM,109238,PH BLOOD ONLY,584.1,584.1,40.89,584.1,47
CDM,109240,CHEST WALL SUBSEQUENT,1262.92,1262.92,88.4,1262.92,48
CDM,109241,"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings ",6974.66,6974.66,255.7,497.44,6
CDM,109241,PULM STRESS COMPLEX,6974.66,6974.66,488.23,6974.66,59
CDM,109243,TRACH TUBE CHANGE,942.72,942.72,65.99,942.72,64
CDM,109262,SGD INCL PROGRAM/MOD SP,248.3,248.3,17.38,248.3,44
CDM,109263,SGD INCL PROGRAM/MOD SP,313.32,313.32,21.93,313.32,44
CDM,109264,SGD INCL PROGRAM/MOD SP,472.93,472.93,33.11,472.93,44
CDM,109265,SGD INCL PROGRAM/MOD SP,1159.87,1159.87,81.19,1159.87,44
CDM,109281,EVAL ORAL/PHARYNG SWL SP,271.94,271.94,19.04,271.94,44
CDM,109283,EVAL ORAL/PHARYNG SWL SP,501.32,501.32,35.09,501.32,44
CDM,109284,EVAL ORAL/PHARYNG SWL SP,737.79,737.79,51.65,737.79,44
CDM,109285,EVAL ORAL/PHARYNG SWL SP,1079.49,1079.49,75.56,1079.49,44
CDM,109293,EV SGD W/PT FIRST HR SP,1079.49,1079.49,75.56,1079.49,44
CDM,109293,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",1079.49,1079.49,118.84,711.44,48
CDM,109293,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour Other Outpatient",1079.49,1079.49,128.65,128.65,6
CDM,109297,FLUORO EVAL OF SWALW SP,934.05,934.05,65.38,934.05,44
CDM,109310,SENSORY INTEGRATN 15M SP,248.3,248.3,17.38,248.3,44
CDM,109316,TX SPEECH GROUP SP,472.93,472.93,33.11,472.93,44
CDM,109317,TX SPEECH GROUP SP,248.3,248.3,17.38,248.3,44
CDM,109318,TX SPEECH GROUP SP,313.32,313.32,21.93,313.32,44
CDM,109319,TX SPEECH GROUP SP,393.73,393.73,27.56,393.73,44
CDM,109320,TX SPEECH INDIVIDUAL SP,248.3,248.3,17.38,248.3,44
CDM,109321,TX SPEECH INDIVIDUAL SP,313.32,313.32,21.93,313.32,44
CDM,109322,TX SPEECH INDIVIDUAL SP,393.73,393.73,27.56,393.73,44
CDM,109323,TX SPEECH INDIVIDUAL SP,472.93,472.93,33.11,472.93,44
CDM,109324,TX SWAL/ORAL FUNCTION SP,198.63,198.63,13.9,198.63,44
CDM,109325,TX SWAL/ORAL FUNCTION SP,313.32,313.32,21.93,313.32,44
CDM,109326,TX SWAL/ORAL FUNCTION SP,472.93,472.93,33.11,472.93,44
CDM,109327,TX SWAL/ORAL FUNCTION SP,627.83,627.83,43.95,627.83,44
CDM,109348,AQUATIC THERAPY 15MIN PT,248.3,248.3,17.38,248.3,44
CDM,109359,BF TRNG ANY MODALITY PT,827.64,827.64,57.93,827.64,44
CDM,109360,BF TRNG ANY MODALITY PT,994.35,994.35,69.6,994.35,44
CDM,109361,BF TRNG ANY MODALITY PT,1194.18,1194.18,83.59,1194.18,44
CDM,109372,CONTRAST BATHS/15 MIN PT,178.53,178.53,12.5,178.53,44
CDM,109382,ELEC STIMULATION/15M PT,280.21,280.21,19.61,280.21,44
CDM,109388,GAIT TRAINING 15 MIN PT,198.63,198.63,13.9,198.63,44
CDM,109388,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",198.63,198.63,25.47,165.8,88
CDM,109388,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) Other Outpatient",198.63,198.63,26.88,30.54,12
CDM,109389,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",556.89,556.89,33.64,190.89,48
CDM,109389,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Other Outpatient",556.89,556.89,36.4,36.4,6
CDM,109389,HUBBARD TANK/15MIN PT,556.89,556.89,38.98,556.89,44
CDM,109390,IONTOPHORESIS/15 MIN PT,178.53,178.53,12.5,178.53,44
CDM,109391,MANUAL THER TECH 15M PT,280.21,280.21,19.61,280.21,44
CDM,109392,MASSAGE 15 MIN PT,280.21,280.21,19.61,280.21,44
CDM,109410,NEUROMUSC REEDUCT 15M PT,198.63,198.63,13.9,198.63,44
CDM,109411,ORTH MGT TRAIN EA 15M PT,264.84,264.84,18.54,264.84,44
CDM,109412,PARAFFIN BATH PT,178.53,178.53,12.5,178.53,44
CDM,109413,PHYS PER TEST/MSR 15M PT,267.21,267.21,18.7,267.21,44
CDM,109413,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",267.21,267.21,29.55,190.89,128
CDM,109413,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes Other Outpatient",267.21,267.21,31.19,35.44,18
CDM,109415,PROST TRAINING EA 15M PT,198.63,198.63,13.9,198.63,44
CDM,109425,REM DEVITLIZD TISS NS PT,448.1,448.1,31.37,448.1,44
CDM,109426,REM DEVITLIZD TISS NS PT,353.53,353.53,24.75,353.53,44
CDM,109427,REM DEVITLIZD TISS NS PT,513.15,513.15,35.92,513.15,44
CDM,109428,REM DEVITLIZD TISS NS PT,672.75,672.75,47.09,672.75,44
CDM,109438,ROM EA EXT/TRNK EX HN PT,248.3,248.3,17.38,248.3,44
CDM,109439,ROM EA EXT/TRNK EX HN PT,388.99,388.99,27.23,388.99,44
CDM,109440,ROM EA EXT/TRNK EX HN PT,567.52,567.52,39.73,567.52,44
CDM,109441,ROM EA EXT/TRNK EX HN PT,736.6,736.6,51.56,736.6,44
CDM,109443,ROM HAND W/WO COMP PT,248.3,248.3,17.38,248.3,44
CDM,109444,ROM HAND W/WO COMP PT,388.99,388.99,27.23,388.99,44
CDM,109445,ROM HAND W/WO COMP PT,567.52,567.52,39.73,567.52,44
CDM,109446,ROM HAND W/WO COMP PT,736.6,736.6,51.56,736.6,44
CDM,109448,SELF/HOME ONE/ONE 15M PT,196.27,196.27,13.74,196.27,44
CDM,109449,SENSORY INTEGRATN 15M PT,188.0,188.0,13.16,188.0,44
CDM,109461,THER ACTIV DIR 15 MIN PT,198.63,198.63,13.9,198.63,44
CDM,109462,THER EXERCISES 15 MIN PT,198.63,198.63,13.9,198.63,44
CDM,109463,THER PROCEDURES GROUP PT,135.96,135.96,9.52,135.96,44
CDM,109464,THER PROCEDURES GROUP PT,269.57,269.57,18.87,269.57,44
CDM,109465,THER PROCEDURES GROUP PT,402.0,402.0,28.14,402.0,44
CDM,109466,THER PROCEDURES GROUP PT,533.24,533.24,37.33,533.24,44
CDM,109467,"Application of a modality to 1 or more areas; traction, mechanical ",280.21,280.21,12.57,81.0,88
CDM,109467,"Application of a modality to 1 or more areas; traction, mechanical Other Outpatient",280.21,280.21,13.27,15.08,12
CDM,109467,TRACTION MECHANICAL PT,280.21,280.21,19.61,280.21,44
CDM,109468,TX SWAL/ORAL FUNCTION PT,198.63,198.63,13.9,198.63,44
CDM,109469,TX SWAL/ORAL FUNCTION PT,313.32,313.32,21.93,313.32,44
CDM,109470,TX SWAL/ORAL FUNCTION PT,472.93,472.93,33.11,472.93,44
CDM,109471,TX SWAL/ORAL FUNCTION PT,627.83,627.83,43.95,627.83,44
CDM,109472,ULTRASOUND/15 MIN PT,178.53,178.53,12.5,178.53,44
CDM,109477,WHEELCHAIR MGT 15M PT,198.63,198.63,13.9,198.63,44
CDM,109478,WHIRLPOOL PT,358.25,358.25,25.08,358.25,44
CDM,109481,WHIRLPOOL PT,178.53,178.53,12.5,178.53,44
CDM,109483,WORK HD/CON 2 HRS INT PT,548.6,548.6,38.4,548.6,50
CDM,109483,Work hardening/conditioning; initial 2 hours ,548.6,548.6,257.68,501.29,6
CDM,109485,WORK HDNG/COND ADL HR PT,307.41,307.41,21.52,307.41,50
CDM,109485,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,307.41,307.41,129.83,252.57,6
CDM,109525,APP SH ARM SPL STATIC OT,541.52,541.52,37.91,541.52,50
CDM,109525,Application of short arm splint (forearm to hand); static ,541.52,541.52,134.32,134.32,1
CDM,109528,AQUATIC THERAPY 15MIN OT,248.3,248.3,17.38,248.3,44
CDM,109541,CONTRAST BATHS/15 MIN OT,178.53,178.53,12.5,178.53,44
CDM,109549,ELEC STIMULATION/15M OT,280.21,280.21,19.61,280.21,44
CDM,109551,EVAL ORAL/PHARYNG SWL OT,271.94,271.94,19.04,271.94,44
CDM,109552,EVAL ORAL/PHARYNG SWL OT,501.32,501.32,35.09,501.32,44
CDM,109553,EVAL ORAL/PHARYNG SWL OT,737.79,737.79,51.65,737.79,44
CDM,109554,EVAL ORAL/PHARYNG SWL OT,1079.49,1079.49,75.56,1079.49,44
CDM,109556,FLUORO EVAL OF SWALW OT,934.05,934.05,65.38,934.05,44
CDM,109557,IONTOPHORESIS/15 MIN OT,178.53,178.53,12.5,178.53,44
CDM,109558,MANUAL THER TECH 15M OT,280.21,280.21,19.61,280.21,44
CDM,109559,MASSAGE 15 MIN OT,280.21,280.21,19.61,280.21,44
CDM,109577,NEUROMUSC REEDUCT 15M OT,188.0,188.0,13.16,188.0,44
CDM,109578,ORTH MGT TRAIN EA 15M OT,264.84,264.84,18.54,264.84,44
CDM,109587,PARAFFIN BATH OT,178.53,178.53,12.5,178.53,44
CDM,109590,PROST TRAINING EA 15M OT,198.63,198.63,13.9,198.63,44
CDM,109607,ROM HAND W/WO COMP OT,248.3,248.3,17.38,248.3,44
CDM,109608,ROM HAND W/WO COMP OT,388.99,388.99,27.23,388.99,44
CDM,109609,ROM HAND W/WO COMP OT,567.52,567.52,39.73,567.52,44
CDM,109610,ROM HAND W/WO COMP OT,736.6,736.6,51.56,736.6,44
CDM,109611,SELF/HOME ONE/ONE 15M OT,196.27,196.27,13.74,196.27,44
CDM,109612,SENSORY INTEGRATN 15M OT,188.0,188.0,13.16,188.0,44
CDM,109618,THER ACTIV DIR 15 MIN OT,198.63,198.63,13.9,198.63,44
CDM,109620,THER ACT DIR 15 MIN NTHP,477.53,477.53,33.43,477.53,59
CDM,109621,THER ACT DIR 15 MIN NTHP,137.41,137.41,9.62,137.41,59
CDM,109622,THER EXERCISES 15 MIN OT,198.63,198.63,13.9,198.63,44
CDM,109623,THER PROCEDURES GROUP OT,135.96,135.96,9.52,135.96,44
CDM,109624,THER PROCEDURES GROUP OT,269.57,269.57,18.87,269.57,44
CDM,109625,THER PROCEDURES GROUP OT,402.0,402.0,28.14,402.0,44
CDM,109626,THER PROCEDURES GROUP OT,533.24,533.24,37.33,533.24,44
CDM,109627,THER PROCEDURES GROUP OT,665.66,665.66,46.6,665.66,44
CDM,109628,THER PROCEDURES GRP NTHP,157.81,157.81,11.05,157.81,59
CDM,109629,THER PROCEDURES GRP NTHP,314.28,314.28,22.0,314.28,59
CDM,109630,THER PROCEDURES GRP NTHP,466.66,466.66,32.67,466.66,59
CDM,109631,THER PROCEDURES GRP NTHP,619.02,619.02,43.33,619.02,59
CDM,109632,TX SWAL/ORAL FUNCTION OT,201.0,201.0,14.07,201.0,44
CDM,109633,TX SWAL/ORAL FUNCTION OT,313.32,313.32,21.93,313.32,44
CDM,109634,TX SWAL/ORAL FUNCTION OT,472.93,472.93,33.11,472.93,44
CDM,109635,TX SWAL/ORAL FUNCTION OT,627.83,627.83,43.95,627.83,44
CDM,109636,ULTRASOUND/15 MIN OT,178.53,178.53,12.5,178.53,44
CDM,109639,WHEELCHAIR MGT 15M OT,198.63,198.63,13.9,198.63,44
CDM,109640,WHIRLPOOL OT,178.53,178.53,12.5,178.53,44
CDM,110723,EVAL ORAL/PHARYNG SWL PT,271.94,271.94,19.04,271.94,44
CDM,110724,EVAL ORAL/PHARYNG SWL PT,501.32,501.32,35.09,501.32,44
CDM,110725,EVAL ORAL/PHARYNG SWL PT,737.79,737.79,51.65,737.79,44
CDM,110726,EVAL ORAL/PHARYNG SWL PT,1079.49,1079.49,75.56,1079.49,44
CDM,110727,FLUORO EVAL OF SWALLOW,934.05,934.05,65.38,934.05,44
CDM,111465,NOREPI 8MG/D5W 250ML INJ,196.3,196.3,13.74,196.3,67
CDM,111466,NOREPI 16MG/D5W 250MLINJ,392.6,392.6,27.48,392.6,67
CDM,111541,PROPRANOLOL LIQ PO,0.59,0.59,0.04,0.59,67
CDM,111542,PYRIDOSTIGMINE LIQ PO,12.74,12.74,0.89,12.74,67
CDM,113444,CAFFEINE CITRATE LIQ PO,216.0,216.0,15.12,216.0,67
CDM,115318,CALCIUM CARBONATE LIQ PO,0.12,0.12,0.008,0.12,67
CDM,115319,CARBAMAZEPINE LIQ PO,0.89,0.89,0.06,0.89,67
CDM,115321,CMPD AMIODAR 5MG/MLPO,0.07,0.07,0.005,0.07,67
CDM,115322,CYSTOGRAFIN 30% 300 ML,2984.67,2984.67,208.93,2984.67,46
CDM,116023,ETOPOSIDE 100 MG INJ,1162.77,1162.77,81.39,1162.77,47
CDM,127908,TREPROSTINIL 1 MG,626.75,626.75,43.87,626.75,42
CDM,135816,AMOXICI 400MG/5ML LIQ PO,2.21,2.21,0.15,2.21,67
CDM,135817,AMOXICILLIN LIQ PO,0.44,0.44,0.03,0.44,67
CDM,137848,BACLOFEN LIQ PO,32.67,32.67,2.29,32.67,67
CDM,139237,CHLOROTHIAZIDE LIQ PO,1.73,1.73,0.12,1.73,67
CDM,139412,CMPD CLOPIDOG 5MG/ML PO,1.49,1.49,0.1,1.49,67
CDM,139862,CMPD URSODIOL 60MG/ML PO,18.9,18.9,1.32,18.9,67
CDM,139868,DIGOX 0.125MG/2.5ML LIQ,11.16,11.16,0.78,11.16,67
CDM,140967,D10W 100 ML,60.71,60.71,4.25,60.71,67
CDM,141641,METRONIDAZOLE LIQ PO,14.72,14.72,1.03,14.72,67
CDM,141642,RISPERIDONE LIQ PO,21.92,21.92,1.53,21.92,67
CDM,141734,EXP 5X35 SCREW 188132535,7493.04,7493.04,824.23,7493.04,57
CDM,141800,SILDENAFIL CIT 10MG PO,357.4,357.4,25.02,357.4,46
CDM,142841,VANCOMYCIN 50MG/ML LIQPO,5.26,5.26,0.37,5.26,67
CDM,143472,STEM XTN KN SZ 14/25MM,144568.0,144568.0,15902.48,144568.0,57
CDM,156873,DOP TRANSCRANIAL COMP,2287.44,2287.44,160.12,2287.44,49
CDM,156876,DOP TRANSCRANIAL LTD,1144.35,1144.35,80.1,1144.35,49
CDM,156876,Transcranial Doppler study of the intracranial arteries; limited study ,1144.35,1144.35,105.28,929.0,31
CDM,156876,Transcranial Doppler study of the intracranial arteries; limited study Age 21+,1144.35,1144.35,117.57,117.57,4
CDM,156876,Transcranial Doppler study of the intracranial arteries; limited study Age Under 21,1144.35,1144.35,119.71,119.71,4
CDM,157437,CTHEP FXD QP 6F A1 005,886.0,886.0,62.02,886.0,71
CDM,157444,IMPLANT BREAST 390CC,9762.0,9762.0,1073.82,9762.0,57
CDM,157445,PLATE BN 4HL 24MM .4MM,750.0,750.0,82.5,750.0,57
CDM,157449,IMPLANT BREAST 450CC,9762.0,9762.0,1073.82,9762.0,57
CDM,157459,SCREW BN 6.5MM 70MM,4521.0,4521.0,497.31,4521.0,57
CDM,157470,INSERT TIB KN MED 10MM,19699.0,19699.0,2166.89,19699.0,57
CDM,157475,NAIL HUM CANN 7MM 260MM,21513.0,21513.0,2366.43,21513.0,57
CDM,157483,PLATE BN 6HL 3.5X85MM,5337.0,5337.0,587.07,5337.0,57
CDM,157484,PLATE BN 81X9X1MM,2941.0,2941.0,323.51,2941.0,57
CDM,157485,PLATE BN 93X9X1MM,3112.0,3112.0,342.32,3112.0,57
CDM,157486,PLATE BN 6HL 3.5MM 84MM,8519.0,8519.0,937.09,8519.0,57
CDM,157491,SCREW BN 3.5MM 24MM,1832.0,1832.0,201.52,1832.0,57
CDM,157503,LINER ACTB HIP 50MM,19350.0,19350.0,2128.5,19350.0,57
CDM,157505,BLADE HLCL 11X105,10646.0,10646.0,1171.06,10646.0,57
CDM,157536,STENT COR RX 3.5X8MM,29329.0,29329.0,3226.19,29329.0,57
CDM,157537,STENT COR RX 3.5X12MM,29329.0,29329.0,3226.19,29329.0,57
CDM,157542,STENT COR RX 4X8MM,29329.0,29329.0,3226.19,29329.0,57
CDM,157543,STENT COR RX 4X12MM,29329.0,29329.0,3226.19,29329.0,57
CDM,157551,COMPNT FEM KN 65MM,101400.0,101400.0,11154.0,101400.0,57
CDM,157561,PCMKR DR 44.7X47.9X7.5MM,63667.0,63667.0,7003.37,63667.0,57
CDM,157565,SCREW BN 6.5X32X95MM,3833.0,3833.0,421.63,3833.0,57
CDM,157566,BLN PFLX P3 7F 12X4X80,2399.0,2399.0,167.93,2399.0,71
CDM,157567,BLN PFLX P3 5F 5X4X80,2495.0,2495.0,174.65,2495.0,71
CDM,157569,BLN PFLX P3 5F 6X4X40,2495.0,2495.0,174.65,2495.0,71
CDM,157586,SCREW BN 4MM 3.3MM 34MM,2137.0,2137.0,235.07,2137.0,57
CDM,157592,IMPLANT BREAST 270CC,10275.0,10275.0,1130.25,10275.0,57
CDM,157593,GWIRE ORTH T2 3X800MM,4910.0,4910.0,343.7,4910.0,71
CDM,157594,SHELL ACTB HIP 54MM,21256.0,21256.0,2338.16,21256.0,57
CDM,157610,SCREW BN 2.3MM 24MM,3946.0,3946.0,434.06,3946.0,57
CDM,157612,GRAFT CV 7.6CM 5.1CM,2272.0,2272.0,249.92,2272.0,57
CDM,157613,BASEPLATE TIB KN SZ MED2,51613.0,51613.0,5677.43,51613.0,57
CDM,157614,PLATE BONE STAINLESS STE,18847.0,18847.0,2073.17,18847.0,57
CDM,157616,DILATOR VASC 12FR 20CM,543.0,543.0,38.01,543.0,71
CDM,157617,COMP PTLR KN 9MM 29MM,6450.0,6450.0,709.5,6450.0,57
CDM,157619,EXTENSION GLOBAL MRS 70M,50826.0,50826.0,5590.86,50826.0,57
CDM,157629,INTRO SHTH 16FR 35CM,3692.0,3692.0,258.44,3692.0,71
CDM,157639,CTH INFS CENT VNS TRPL,1715.0,1715.0,120.05,1715.0,71
CDM,157640,DILATOR VASC 16FR 20CM,543.0,543.0,38.01,543.0,71
CDM,157641,CANNULA PRFSN 25FR 50CM,5623.0,5623.0,393.61,5623.0,71
CDM,157642,CANNULA PRFSN 27FR 50CM,5623.0,5623.0,393.61,5623.0,71
CDM,157645,SCREW BN 3.5MM 70MM,1810.0,1810.0,199.1,1810.0,57
CDM,157646,CLAMP EXFX MULTI-PIN LG,10272.0,10272.0,719.04,10272.0,71
CDM,157658,CLIP ANRSM PERM 15MM,5850.0,5850.0,643.5,5850.0,57
CDM,157666,SCREW AUTO DRIVE 2.0MM X,1094.0,1094.0,120.34,1094.0,57
CDM,157671,GWIRE VASC .018IN 260CM,2587.0,2587.0,181.09,2587.0,71
CDM,157678,HEAD FEM HIP 48MM,11610.0,11610.0,1277.1,11610.0,57
CDM,157679,HEAD FEM HIP CUP 28X53MM,11610.0,11610.0,1277.1,11610.0,57
CDM,157680,CMPNT ACTB HIP 28X51MM,12150.0,12150.0,1336.5,12150.0,57
CDM,157681,SCREW SPN 6MM 40MM,11390.0,11390.0,1252.9,11390.0,57
CDM,157689,SCREW BN LCK 5MM 45MM,2896.0,2896.0,318.56,2896.0,57
CDM,157690,SCREW BN 5MM 4.4MM 70MM,3344.0,3344.0,367.84,3344.0,57
CDM,157693,HEAD FEM HIP 0D 28X44MM,11632.0,11632.0,1279.52,11632.0,57
CDM,157695,HEAD HIP 12/14 +5 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,157696,RSTRC HIP CMNT 11.0MM,1419.0,1419.0,156.09,1419.0,57
CDM,157719,SCREW SPN TI 7X35MM,12655.0,12655.0,1392.05,12655.0,57
CDM,157720,NAIL BN 2.5MM 440MM,6352.0,6352.0,698.72,6352.0,57
CDM,157722,LEAD PCNG 52CM,9143.0,9143.0,1005.73,9143.0,57
CDM,157723,DVC TISS CLSR COSL SLNT,11433.0,11433.0,800.31,11433.0,71
CDM,157728,AXLE FEM KN GMRS SM,17519.0,17519.0,1927.09,17519.0,57
CDM,157738,GWIRE VASC 190CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,157745,LEAD PCNG 35CM,9143.0,9143.0,1005.73,9143.0,57
CDM,157751,CATH ANGIO 5FR 110CM,628.0,628.0,43.96,628.0,71
CDM,157764,TUBE GASTRO 18FR X 3,1496.0,1496.0,104.72,1496.0,71
CDM,157771,SURGICEL NU-KNIT 3X4,993.0,993.0,69.51,993.0,71
CDM,157772,SURGICEL NU-KNIT 6X9,4262.0,4262.0,298.34,4262.0,71
CDM,157775,CATHETER THRMB 6FR 80CM,1599.0,1599.0,111.93,1599.0,71
CDM,157780,ROD EX FIX ATTACHMENT,5798.0,5798.0,405.86,5798.0,71
CDM,157788,SCREW BN STRL LCK 5X42MM,2680.0,2680.0,294.8,2680.0,57
CDM,157790,CLIP ANRSM PERM 6MM,5850.0,5850.0,643.5,5850.0,57
CDM,157792,CLIP ANRSM PERM 6.1MM,5850.0,5850.0,643.5,5850.0,57
CDM,157793,CLIP ANRSM PERM 5MM,5850.0,5850.0,643.5,5850.0,57
CDM,157794,CLIP ANRSM PERM 8MM,5850.0,5850.0,643.5,5850.0,57
CDM,157795,CLIP ANRSM PERM 7.5MM,5850.0,5850.0,643.5,5850.0,57
CDM,157796,CLIP ANRSM PERM 10.6MM,7509.0,7509.0,825.99,7509.0,57
CDM,157797,CLIP ANRSM PERM 5MM,5850.0,5850.0,643.5,5850.0,57
CDM,157798,CLIP ANRSM PERM 7.5M,5850.0,5850.0,643.5,5850.0,57
CDM,157801,CLIP ANRSM PERM 2.8MM,5460.0,5460.0,600.6,5460.0,57
CDM,157802,CLIP ANRSM PERM 4.7MM,5460.0,5460.0,600.6,5460.0,57
CDM,157803,CLIP ANRSM PERM 5MM,7352.0,7352.0,808.72,7352.0,57
CDM,157804,CLIP ANRSM PERM 3.9MM,5850.0,5850.0,643.5,5850.0,57
CDM,157805,CLIP ANRSM PERM 5MM,5460.0,5460.0,600.6,5460.0,57
CDM,157806,CLIP ANRSM PERM 6.3MM,7509.0,7509.0,825.99,7509.0,57
CDM,157807,CLIP ANRSM PERM 6.6MM,7509.0,7509.0,825.99,7509.0,57
CDM,157808,CLIP ANRSM PERM 4MM,5460.0,5460.0,600.6,5460.0,57
CDM,157809,CLIP ANRSM PERM 5.4MM,5850.0,5850.0,643.5,5850.0,57
CDM,157810,CLIP ANRSM PERM 7.0MM,5850.0,5850.0,643.5,5850.0,57
CDM,157811,CLIP ANRSM PERM 8.6MM,5850.0,5850.0,643.5,5850.0,57
CDM,157812,CLIP ANRSM PERM 7.0MM,7648.0,7648.0,841.28,7648.0,57
CDM,157813,CLIP ANRSM PERM 9MM,7352.0,7352.0,808.72,7352.0,57
CDM,157814,CLIP ANRSM PERM 8.3MM,7352.0,7352.0,808.72,7352.0,57
CDM,157816,CLIP ANRSM PERM 6.4MM,5850.0,5850.0,643.5,5850.0,57
CDM,157817,CLIP ANRSM PERM 11.4MM,5460.0,5460.0,600.6,5460.0,57
CDM,157818,CLIP ANRSM PERM 10.2MM,7509.0,7509.0,825.99,7509.0,57
CDM,157821,CLIP ANRSM PERM 15.3MM,5850.0,5850.0,643.5,5850.0,57
CDM,157823,CLIP ANRSM PERM 9MM,5850.0,5850.0,643.5,5850.0,57
CDM,157824,CLIP ANRSM PERM 10MM,5850.0,5850.0,643.5,5850.0,57
CDM,157825,CLIP ANRSM PERM 7.4MM,5850.0,5850.0,643.5,5850.0,57
CDM,157826,CLIP ANRSM PERM 8.4MM,5850.0,5850.0,643.5,5850.0,57
CDM,157828,PLATE BN 6HL 2.4X36MM,4458.0,4458.0,490.38,4458.0,57
CDM,157829,SCREW BN 2X3.5MM 12MM,750.0,750.0,82.5,750.0,57
CDM,157830,SCREW BN 2.0MM 11MM,750.0,750.0,82.5,750.0,57
CDM,157831,SCREW BN 2.4MM 10MM,1711.0,1711.0,188.21,1711.0,57
CDM,157832,SCREW BN 2.4MM 12MM,1224.0,1224.0,134.64,1224.0,57
CDM,157833,SCREW BN 2.4MM 14MM,1397.0,1397.0,153.67,1397.0,57
CDM,157834,SCREW BN 2.4MM 16MM,1711.0,1711.0,188.21,1711.0,57
CDM,157835,SCREW BN 2.4MM 18MM,1628.0,1628.0,179.08,1628.0,57
CDM,157836,SCREW CORT 2.4 24,1224.0,1224.0,134.64,1224.0,57
CDM,157837,SCREW BN 2.4X4.5X26MM,1628.0,1628.0,179.08,1628.0,57
CDM,157838,WASHER BN ORTH 13MM,750.0,750.0,82.5,750.0,57
CDM,157841,SCREW BN CORT 3.5MM 22MM,750.0,750.0,82.5,750.0,57
CDM,157842,SCREW BN 3.5MM 24MM,750.0,750.0,82.5,750.0,57
CDM,157844,ROD EX FIX 11MM 550MM,5222.0,5222.0,365.54,5222.0,71
CDM,157845,SCREW EXFX 5X150X6MM,3784.0,3784.0,264.88,3784.0,71
CDM,157846,SCREW EXFX 5X175X60MM,3962.0,3962.0,277.34,3962.0,71
CDM,157847,PIN EXFX 5MM 200MM,3370.0,3370.0,235.9,3370.0,71
CDM,157849,KWIRE FX 150MM 1.25MM,486.0,486.0,34.02,486.0,71
CDM,157850,PLATE BN 4HL 140D 78MM,9729.0,9729.0,1070.19,9729.0,57
CDM,157851,PLATE BN 2.4MM 170MM,975.0,975.0,107.25,975.0,57
CDM,157852,WASHER BN 4.5MM 10MM,750.0,750.0,82.5,750.0,57
CDM,157853,SCREW BN 4.5MM 8MM 50MM,750.0,750.0,82.5,750.0,57
CDM,157854,SCREW BN 4.5MM 8MM 54MM,750.0,750.0,82.5,750.0,57
CDM,157855,SCREW BN 4.5MM 48MM,3494.0,3494.0,384.34,3494.0,57
CDM,157856,SCREW BN 4.5X52MM,3494.0,3494.0,384.34,3494.0,57
CDM,157857,SCREW BN 4.5MM 60MM,7993.0,7993.0,879.23,7993.0,57
CDM,157858,SCREW BN 4.5MM 64MM,2949.0,2949.0,324.39,2949.0,57
CDM,157860,SCREW BN 4.5MM 68MM,3494.0,3494.0,384.34,3494.0,57
CDM,157861,SCREW BN 4.5MM 72MM,3494.0,3494.0,384.34,3494.0,57
CDM,157862,SCREW BN 4.5MM 20MM,3037.0,3037.0,334.07,3037.0,57
CDM,157863,SCREW BN 4.5MM 22MM,3444.0,3444.0,378.84,3444.0,57
CDM,157864,SCREW BN 4.5MM 24MM,3444.0,3444.0,378.84,3444.0,57
CDM,157865,SCREW BN 4.5MM 26MM,3444.0,3444.0,378.84,3444.0,57
CDM,157866,SCREW BN 4.5MM 28MM,3444.0,3444.0,378.84,3444.0,57
CDM,157867,SCREW BN 4.5MM 30MM,3444.0,3444.0,378.84,3444.0,57
CDM,157868,SCREW BN CANN 4.5MM 32MM,3444.0,3444.0,378.84,3444.0,57
CDM,157869,SCREW BN CANN 4.5MM 34MM,3597.0,3597.0,395.67,3597.0,57
CDM,157870,SCREW BN 4.5X38MM,3597.0,3597.0,395.67,3597.0,57
CDM,157872,SCREW BN 4.5X40MM,3597.0,3597.0,395.67,3597.0,57
CDM,157873,SCREW BN 4.5MM 42MM,3597.0,3597.0,395.67,3597.0,57
CDM,157874,SCREW BN 4.5MM 6.5MM,3597.0,3597.0,395.67,3597.0,57
CDM,157875,SCREW BN 4.5MM 46MM,3597.0,3597.0,395.67,3597.0,57
CDM,157876,SCREW BN CANN 4.5MM 50MM,3597.0,3597.0,395.67,3597.0,57
CDM,157877,SCREW BN 4.5MM 52MM,3597.0,3597.0,395.67,3597.0,57
CDM,157878,SCREW BN 4.5MM 54MM,3597.0,3597.0,395.67,3597.0,57
CDM,157879,SCREW BN 4.5MM 56MM,3597.0,3597.0,395.67,3597.0,57
CDM,157880,SCREW BN 4.5MM 64MM,3597.0,3597.0,395.67,3597.0,57
CDM,157881,SCREW BN 4.5MM 68MM,3597.0,3597.0,395.67,3597.0,57
CDM,157882,SCREW BN 4.5X72MM,3597.0,3597.0,395.67,3597.0,57
CDM,157883,SCREW BN 4.5MM 72MM,750.0,750.0,82.5,750.0,57
CDM,157884,SCREW BN 4.5MM 20MM,3494.0,3494.0,384.34,3494.0,57
CDM,157885,SCREW BN 4.5MM 22MM,3494.0,3494.0,384.34,3494.0,57
CDM,157886,SCREW BN 4.5X24MM,3341.0,3341.0,367.51,3341.0,57
CDM,157887,SCREW BN 4.5MM 26MM,3341.0,3341.0,367.51,3341.0,57
CDM,157888,SCREW BN 4.5MM 28MM,3494.0,3494.0,384.34,3494.0,57
CDM,157889,SCREW BN CANN 4.5X30MM,3494.0,3494.0,384.34,3494.0,57
CDM,157890,SCREW BN 4.5MM 34MM,3494.0,3494.0,384.34,3494.0,57
CDM,157891,SCREW BN 4.5MM 40MM,3494.0,3494.0,384.34,3494.0,57
CDM,157892,SCREW BN 4.5MM 42MM,3494.0,3494.0,384.34,3494.0,57
CDM,157894,SCREW BN 4.5MM 44MM,3494.0,3494.0,384.34,3494.0,57
CDM,157895,SCREW BN 4.5MM 14MM,750.0,750.0,82.5,750.0,57
CDM,157896,SCREW BN 4.5MM 8MM 26MM,750.0,750.0,82.5,750.0,57
CDM,157897,SCREW BN 7.3X80MM,4501.0,4501.0,495.11,4501.0,57
CDM,157898,SCREW BN 7.3X75MM,3818.0,3818.0,419.98,3818.0,57
CDM,157899,SCREW BN 7.3MM 95MM,4501.0,4501.0,495.11,4501.0,57
CDM,157900,SCREW BN CANN 4MM 34MM,3432.0,3432.0,377.52,3432.0,57
CDM,157901,SCREW BN 4MM 1.35MM 38MM,3432.0,3432.0,377.52,3432.0,57
CDM,157902,SCREW BN 4MM 1.35MM 40MM,3432.0,3432.0,377.52,3432.0,57
CDM,157903,SCREW BN 4MM 1.35MM 44MM,3432.0,3432.0,377.52,3432.0,57
CDM,157904,SCREW BN 4MM 1.35MM 46MM,3055.0,3055.0,336.05,3055.0,57
CDM,157905,SCREW BN 4MM 44MM,3432.0,3432.0,377.52,3432.0,57
CDM,157906,SCREW BN 4MM 46MM,3432.0,3432.0,377.52,3432.0,57
CDM,157907,SCREW BN 4MM 26MM,750.0,750.0,82.5,750.0,57
CDM,157908,SCREW BN 4MM 6MM 30MM,750.0,750.0,82.5,750.0,57
CDM,157909,SCREW BN 3.5MM 40MM,3299.0,3299.0,362.89,3299.0,57
CDM,157910,SCREW BN 4MM 6MM 20MM,750.0,750.0,82.5,750.0,57
CDM,157911,SCREW BN 4MM 6MM 22MM,750.0,750.0,82.5,750.0,57
CDM,157912,SCREW BN 3.5MM 22MM,750.0,750.0,82.5,750.0,57
CDM,157913,SCREW BN S/T 2.7MM 14MM,750.0,750.0,82.5,750.0,57
CDM,157914,SCREW BN 2.7MM 5MM 22MM,750.0,750.0,82.5,750.0,57
CDM,157915,SCREW BN 2.7MM 24MM,750.0,750.0,82.5,750.0,57
CDM,157916,SCREW BN CORT 2.7MM 32MM,750.0,750.0,82.5,750.0,57
CDM,157917,SCREW BN CRTX 1.5X8MM,750.0,750.0,82.5,750.0,57
CDM,157918,SCREW BN CRTX 1.5X10MM,750.0,750.0,82.5,750.0,57
CDM,157966,STEM FEM HIP 120MM,36120.0,36120.0,3973.2,36120.0,57
CDM,157969,CMPNT PTLA KN 29MM 8MM,6450.0,6450.0,709.5,6450.0,57
CDM,157977,SCREW BN 6.5MM 30MM,1501.0,1501.0,165.11,1501.0,57
CDM,157978,SCREW BN 6.5MM 40MM,1131.0,1131.0,124.41,1131.0,57
CDM,157985,BLADE HLCL 11X80MM,11893.0,11893.0,1308.23,11893.0,57
CDM,157986,BLADE IM TI 90MM TROCANT,10573.0,10573.0,1163.03,10573.0,57
CDM,157991,SCREW BN 3.5MM 35MM,1918.0,1918.0,210.98,1918.0,57
CDM,158002,GWIRE VASC .014IN 190CM,3186.0,3186.0,223.02,3186.0,71
CDM,158003,GWIRE VASC .014IN 300CM,3186.0,3186.0,223.02,3186.0,71
CDM,158013,LEAD PCNG 45CM,9133.0,9133.0,1004.63,9133.0,57
CDM,158024,SCREW BN ST 2.4MM 20MM,2004.0,2004.0,220.44,2004.0,57
CDM,158029,PLATE BNE SS SHRT 2.4MM,16054.0,16054.0,1765.94,16054.0,57
CDM,158030,SCREW BN 2.7MM 5MM 22MM,750.0,750.0,82.5,750.0,57
CDM,158037,HEAD HIP 49MM 28MM,10800.0,10800.0,1188.0,10800.0,57
CDM,158039,HEAD FEM HIP 36MM,7740.0,7740.0,851.4,7740.0,57
CDM,158060,SCREW BN LCK 5X35,2683.0,2683.0,295.13,2683.0,57
CDM,158064,LEAD PCNG 45CM,9143.0,9143.0,1005.73,9143.0,57
CDM,158065,MESH HRN 7X6 SM,7379.0,7379.0,811.69,7379.0,57
CDM,158067,LEAD PCNG 6.2FR 52CM,9143.0,9143.0,1005.73,9143.0,57
CDM,158083,CTHGD INFS CRMC 4X5X100,1067.0,1067.0,74.69,1067.0,71
CDM,158087,CATH INFS 5FR 135CM,3224.0,3224.0,225.68,3224.0,71
CDM,158089,BAG DRAIN BCKR 700 ML,1799.0,1799.0,125.93,1799.0,71
CDM,158091,CABLE SLV DLMLS HIP 2.0,4230.0,4230.0,465.3,4230.0,57
CDM,158094,SCREW TI CRNFCL 3X1.2MM,1398.0,1398.0,153.78,1398.0,57
CDM,158097,STENT PANC 5FR 3CM,2306.0,2306.0,253.66,2306.0,57
CDM,158099,SCREW BN 2.4MM 26MM,2004.0,2004.0,220.44,2004.0,57
CDM,158100,SCREW BN 2.4MM 30MM,2004.0,2004.0,220.44,2004.0,57
CDM,158101,TUBE JJNSTM 22FR 45CM,5623.0,5623.0,393.61,5623.0,71
CDM,158104,DILATOR VSC 14F 038X20,543.0,543.0,38.01,543.0,71
CDM,158107,PASTE ORTHO LF 10ML,17468.0,17468.0,1921.48,17468.0,57
CDM,158108,SCREW ORHTO 2.0X16,1094.0,1094.0,120.34,1094.0,57
CDM,158114,SCREW BN 4MM 50MM,2073.0,2073.0,228.03,2073.0,57
CDM,158115,CATH SNARE 10MM 120CM,5944.0,5944.0,416.08,5944.0,71
CDM,158116,KIT SNRE CATH 15MM 120CM,5944.0,5944.0,416.08,5944.0,71
CDM,158117,KIT SNARE EXTRACT 175CM,11433.0,11433.0,800.31,11433.0,71
CDM,158118,KIT SNARE EXTRACT 175CM,11433.0,11433.0,800.31,11433.0,71
CDM,158119,KIT SNARE EXTRACT 175CM,11433.0,11433.0,800.31,11433.0,71
CDM,158122,SCREW BN CANN 6.5X75MM,4521.0,4521.0,497.31,4521.0,57
CDM,158126,GWIRE VASC 300CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,158131,CMPNT PTLR KN 9MM 32MM,6450.0,6450.0,709.5,6450.0,57
CDM,158132,GWIRE VASC 190CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,158136,SCREW MINI 2.0MM X4MM,1260.0,1260.0,138.6,1260.0,57
CDM,158137,SCREW ORTHO 2.0X8,1094.0,1094.0,120.34,1094.0,57
CDM,158145,CTA H&N W/CON+NONCON IMG,12842.46,12842.46,898.97,12842.46,49
CDM,158147,SCREW ORTH L18XW2.0,1505.0,1505.0,165.55,1505.0,57
CDM,158160,MESH HERNIA LRG 11X8CM,10207.0,10207.0,1122.77,10207.0,57
CDM,158165,SCREW BN 3.5MM 48MM,1832.0,1832.0,201.52,1832.0,57
CDM,158166,STEM FEM HIP SZ4 114MM,36120.0,36120.0,3973.2,36120.0,57
CDM,158168,SCREW BN 1.5X6MM,2014.0,2014.0,221.54,2014.0,57
CDM,158174,SCREW BN LCK 5X40MM,2498.0,2498.0,274.78,2498.0,57
CDM,158179,SCREW BN 5MM 14MM,2189.0,2189.0,240.79,2189.0,57
CDM,158180,SCREW BN 2.7MM 16MM,750.0,750.0,82.5,750.0,57
CDM,158181,SCREW BN LCK 5X26MM,2498.0,2498.0,274.78,2498.0,57
CDM,158212,SCREW BN 2.4MM 4MM 16MM,1212.0,1212.0,133.32,1212.0,57
CDM,158217,ACETYLCYS 20% 3ML LIQ PO,16.01,16.01,1.12,16.01,67
CDM,158219,AMANTAD 100MG/10ML LIQPO,0.69,0.69,0.05,0.69,67
CDM,158230,SCREW BN 2.4MM 22MM,2004.0,2004.0,220.44,2004.0,57
CDM,158244,COMPONENT FEM STD HIP,70392.0,70392.0,7743.12,70392.0,57
CDM,158245,AMINOCAPROI ACID LIQ PO,13.65,13.65,0.96,13.65,67
CDM,158246,MESH SQ PROCEED 6X6,9142.0,9142.0,1005.62,9142.0,57
CDM,158247,MESH SURG OVAL 10X15CM,8682.0,8682.0,955.02,8682.0,57
CDM,158260,TIP INTRO PSV CATH,12053.0,12053.0,843.71,12053.0,71
CDM,158261,ARIPIPRAZOLE LIQ PO,29.5,29.5,2.06,29.5,67
CDM,158265,GWIRE VASC 300CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,158299,BRIVARACETAM LIQ PO,24.21,24.21,1.69,24.21,67
CDM,158301,CALCITRIOL 1 MCG/ML PO,53.7,53.7,3.76,53.7,47
CDM,158303,CEFPROZIL LIQ PO,1.9,1.9,0.13,1.9,67
CDM,158305,CEPHALEX 50MG/ML LIQ PO,1.29,1.29,0.09,1.29,67
CDM,158307,CMPD APIXAB 0.25MG/ML PO,1.56,1.56,0.11,1.56,67
CDM,158309,CMPD AZATHIOP 50MG/ML PO,3.8,3.8,0.27,3.8,67
CDM,158312,CATH GD 1.5FR 135CM,4498.0,4498.0,314.86,4498.0,71
CDM,158314,CMPD BECLOM 0.5MG/ML PO,0.63,0.63,0.04,0.63,67
CDM,158315,SCREW BN LCK 2.7MM 18MM,1721.0,1721.0,189.31,1721.0,57
CDM,158316,CMPD BOSENT 6.25MG/1MLPO,49.73,49.73,3.48,49.73,67
CDM,158317,SCREW BN 2.7MM 2.1MM20MM,1721.0,1721.0,189.31,1721.0,57
CDM,158318,CMPD SULFASAL 100MG/MLPO,0.34,0.34,0.02,0.34,67
CDM,158319,SCREW BN LCK 2.7MM 22MM,1721.0,1721.0,189.31,1721.0,57
CDM,158320,SCREW BN 2.7MM 30MM,2024.0,2024.0,222.64,2024.0,57
CDM,158321,SCREW BN LCK 2.7MM 16MM,1802.0,1802.0,198.22,1802.0,57
CDM,158332,SCREW BN 2.7MM 14MM,750.0,750.0,82.5,750.0,57
CDM,158340,PLATE BN 2.4MM,9137.0,9137.0,1005.07,9137.0,57
CDM,158341,SCREW BN 2.4MM 12MM,957.0,957.0,105.27,957.0,57
CDM,158343,SCREW BN 2.4MM 4MM 30MM,957.0,957.0,105.27,957.0,57
CDM,158344,SCREW BN 2.7MM 5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,158345,PASSER SURG 38CM ONQ PNB,2329.0,2329.0,163.03,2329.0,71
CDM,158353,PLATE BN 5HL LT 83MM,17207.0,17207.0,1892.77,17207.0,57
CDM,158356,NAIL BN 9MM 345MM,21473.0,21473.0,2362.03,21473.0,57
CDM,158357,NAIL IM TIBIA 10MMX300MM,30924.0,30924.0,3401.64,30924.0,57
CDM,158358,NAIL BN TIB 10MM 330MM,25770.0,25770.0,2834.7,25770.0,57
CDM,158359,NAIL BN TIB 10MM 360MM,19247.0,19247.0,2117.17,19247.0,57
CDM,158360,PLATE BN LT 3HL 3.5MM,18477.0,18477.0,2032.47,18477.0,57
CDM,158368,ROD SPN 5.5MM 120MM,4556.0,4556.0,501.16,4556.0,57
CDM,158369,CMPD TEMOZOL 10MG/ML PO,129.5,129.5,9.06,129.5,67
CDM,158376,SCREW SPN 5.5MM,1266.0,1266.0,139.26,1266.0,57
CDM,158383,CMPD URSODIOL 60MG/ML PO,3.78,3.78,0.26,3.78,67
CDM,158384,CMPNT KN RT SZ4,35346.0,35346.0,3888.06,35346.0,57
CDM,158391,VALVE SHUNT CSF REG,82200.0,82200.0,9042.0,82200.0,57
CDM,158394,KWIRE FX 150MM 1.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,158397,SCREW BN 2.3MM 20MM,2693.0,2693.0,296.23,2693.0,57
CDM,158398,PEG FX CORT LCK 2.3X22MM,3720.0,3720.0,409.2,3720.0,57
CDM,158400,COMP FEM HIP 28MM 48MM,19244.0,19244.0,2116.84,19244.0,57
CDM,158402,SIMETHICONE LIQ PO,11.79,11.79,0.83,11.79,67
CDM,158403,INSERT HIP 10D 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,158409,ROD SPINAL 3.5 X 200MM,4556.0,4556.0,501.16,4556.0,57
CDM,158410,KWIRE FX 1 .035IN 6IN,269.0,269.0,18.83,269.0,71
CDM,158411,KWIRE FX 1 .045IN 6IN,269.0,269.0,18.83,269.0,71
CDM,158425,STEM FEM HIP SZ7 130MM,49846.0,49846.0,5483.06,49846.0,57
CDM,158426,STEM FEM SCRFT MX 9 35MM,49846.0,49846.0,5483.06,49846.0,57
CDM,158434,SCREW BN STRL LCK 5X32MM,2680.0,2680.0,294.8,2680.0,57
CDM,158436,SCREW BN STRL LCK 5X34MM,2680.0,2680.0,294.8,2680.0,57
CDM,158437,SCREW BN STRL LCK 5X36MM,2719.0,2719.0,299.09,2719.0,57
CDM,158438,SCREW BN STRL LCK 5X40MM,2680.0,2680.0,294.8,2680.0,57
CDM,158439,SCREW BN STRL LCK 5X44MM,2680.0,2680.0,294.8,2680.0,57
CDM,158442,SCREW BN 0D 62MM 5MM,2762.0,2762.0,303.82,2762.0,57
CDM,158445,SCREW SPN 3.5MM 14MM,11390.0,11390.0,1252.9,11390.0,57
CDM,158446,PLATE WRST STRG 24X170MM,48781.0,48781.0,5365.91,48781.0,57
CDM,158447,SCREW SPN INNR 3.5X20MM,1266.0,1266.0,139.26,1266.0,57
CDM,158464,KWIRE FX 150MM 1.6MM,2016.0,2016.0,141.12,2016.0,71
CDM,158489,COMPNT FEM KN LT PS SZ3,35346.0,35346.0,3888.06,35346.0,57
CDM,158491,SYS PROLIFT ANTERIOR,13183.0,13183.0,1450.13,13183.0,57
CDM,158500,SCREW BN 4MM 32MM,2137.0,2137.0,235.07,2137.0,57
CDM,158501,SCREW BN 4MM 44MM,2300.0,2300.0,253.0,2300.0,57
CDM,158520,SCREW BN 2.3MM 22MM,3946.0,3946.0,434.06,3946.0,57
CDM,158564,PACKING DRSG SINUS NASAL,3516.0,3516.0,246.12,3516.0,71
CDM,158574,CMPNT KN YOKE REINFC,18258.0,18258.0,2008.38,18258.0,57
CDM,158580,CMPNT FEM HIP RT KN SZ4,35346.0,35346.0,3888.06,35346.0,57
CDM,158600,SCREW FAVR ANG 3.5X12,12754.0,12754.0,1402.94,12754.0,57
CDM,158616,PLATE BN SS L168 LCP 8HL,28631.0,28631.0,3149.41,28631.0,57
CDM,158617,PLATE TIBIA DISTAL MEDIA,25400.0,25400.0,2794.0,25400.0,57
CDM,158618,SYSTEM PUMP 4ML/HR 270ML,5518.0,5518.0,386.26,5518.0,71
CDM,158619,CMPNT PTLR KN RND 32MM,6750.0,6750.0,742.5,6750.0,57
CDM,158624,KIT GSTRM 12FR 1.2CM,3398.0,3398.0,237.86,3398.0,71
CDM,158628,MESH BN CRNL 100X100MM,30657.0,30657.0,3372.27,30657.0,57
CDM,158631,CMPNT KN DIST STD 3CM,79399.0,79399.0,8733.89,79399.0,57
CDM,158669,SCREW BN 2.3MM 20MM,3946.0,3946.0,434.06,3946.0,57
CDM,158684,BUPRENO >6<=10MG/NALOXPO,78.81,78.81,5.52,78.81,53
CDM,158684,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",78.81,78.81,16.47,28.14,9
CDM,158685,UL MR PROCEDURE,2369.72,2369.72,165.88,2369.72,43
CDM,158685,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",2369.72,2369.72,83.86,1321.0,28
CDM,158685,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) Age 21+",2369.72,2369.72,95.24,95.24,4
CDM,158685,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) Age Under 21",2369.72,2369.72,96.97,96.97,4
CDM,158757,SPYGLASS PROCEDURE,4905.37,4905.37,343.38,4905.37,64
CDM,158763,ABL 1/MORE PULM TU PC RF,4353.94,4353.94,304.78,4353.94,64
CDM,158764,MESALAMINE 1.2GM TAB,72.39,72.39,5.07,72.39,67
CDM,158801,CPAP VENT INIT&MGMT NB,12406.36,12406.36,868.45,12406.36,48
CDM,158814,BRONC W/TSB LUNG BX AD,9053.93,9053.93,633.78,9053.93,64
CDM,158823,PREDNISOLONE ODT 15MG,88.76,88.76,6.21,88.76,67
CDM,158827,BUDES/FORMT 80/4.5 6.9GM,824.21,824.21,57.69,824.21,67
CDM,158831,AMIODARONE 150 MG INJ,11.45,11.45,0.8,11.45,47
CDM,158843,OCTREOTID ND SQIV 100MCG,22.32,22.32,1.56,22.32,55
CDM,158844,OCTREOTID ND SQIV 500MCG,111.62,111.62,7.81,111.62,55
CDM,158854,INH METHACHOLINE 100 MG,1101.05,1101.05,77.07,1101.05,47
CDM,158854,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",1101.05,1101.05,1.8,14.79,15
CDM,158861,CYTARABINE 100 MG INJ,608.67,608.67,42.61,608.67,47
CDM,158862,CYTARABINE 2000 MG INJ,1248.25,1248.25,87.38,1248.25,47
CDM,158864,METHOTREXATE 50 MG INJ,20.38,20.38,1.43,20.38,47
CDM,158867,VELBAN 10 MG,296.04,296.04,20.72,296.04,67
CDM,158873,DEFERASIROX 500 MG PO,1114.57,1114.57,78.02,1114.57,59
CDM,158903,BX LYMPH NODE,6781.51,6781.51,474.71,6781.51,64
CDM,158977,INS GASTRO TUBE PERC,8370.34,8370.34,585.92,8370.34,64
CDM,158991,CAR MRI MRP FN WO CM STR,5287.51,5287.51,370.13,5287.51,43
CDM,158991,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,5287.51,5287.51,313.62,2157.48,28
CDM,158991,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging Age 21+,5287.51,5287.51,424.15,424.15,4
CDM,158991,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging Age Under 21,5287.51,5287.51,431.86,431.86,4
CDM,158992,CAR MRI MR FN WO/W CM ST,6077.0,6077.0,425.39,6077.0,43
CDM,158992,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",6077.0,6077.0,430.16,3050.07,28
CDM,158992,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging Age 21+",6077.0,6077.0,480.38,480.38,4
CDM,158992,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging Age Under 21",6077.0,6077.0,489.12,489.12,4
CDM,159008,ACETYLCYSTEIN 6000MG INJ,211.79,211.79,14.83,211.79,47
CDM,159008,"Injection, acetylcysteine, 100 mg ",211.79,211.79,0.49,12.04,17
CDM,159018,DOXORUBICIN 50 MG INJ,1568.11,1568.11,109.77,1568.11,47
CDM,159039,HEAVY METAL QN,616.35,616.35,43.14,616.35,47
CDM,159047,INS DUO/JEJSTMT TUBE,8370.34,8370.34,585.92,8370.34,64
CDM,159048,INS CEC/OTHR COL TUBE,10741.66,10741.66,751.92,10741.66,64
CDM,159049,CVRT GASTR TO GSJEJ TUBE,8370.34,8370.34,585.92,8370.34,64
CDM,159050,RPLC GAST OR CECO TUBE,3189.59,3189.59,223.27,3189.59,64
CDM,159051,RPLC DUO OR JEJSTMY TUBE,3189.59,3189.59,223.27,3189.59,64
CDM,159052,RPLC GASTROJEJNSTY TUBE,3189.59,3189.59,223.27,3189.59,64
CDM,159053,RMV MRTL GS/DU/JJ/GJ/CC,3189.59,3189.59,223.27,3189.59,64
CDM,159054,CONT INJ GS/ DU/ JJ/ GJ/,1362.1,1362.1,95.35,1362.1,64
CDM,159055,RMVL-RPLC URTR STN-,17657.83,17657.83,1236.05,17657.83,64
CDM,159056,RMVL-RPLC INDWL URTR STN,5881.4,5881.4,411.7,5881.4,64
CDM,159057,COLL BLOOD CATHETER NOS,373.33,373.33,41.07,373.33,37
CDM,159070,JANUVIA 25MG TABLET,107.5,107.5,7.53,107.5,67
CDM,159084,ESOMEPRAZOLE 40MG LIQ PO,43.88,43.88,3.07,43.88,67
CDM,159085,IXABEPILONE 45 MG INJ,58437.5,58437.5,4090.63,58437.5,42
CDM,159107,ZEMPLAR 1MCG CAP,143.61,143.61,10.05,143.61,67
CDM,159148,MGMT RCPT SRCH & ACQSTN,3740.19,3740.19,261.81,3740.19,71
CDM,159149,PHOTOPHERESIS EXTRACORP,23808.58,23808.58,2618.94,23808.58,37
CDM,159149,"Photopheresis, extracorporeal ",23808.58,23808.58,948.0,25655.0,47
CDM,159149,"Photopheresis, extracorporeal Age 21+",23808.58,23808.58,1841.57,1841.57,4
CDM,159149,"Photopheresis, extracorporeal Age Under 21",23808.58,23808.58,1875.05,1875.05,4
CDM,159151,THER APHERESIS PLASMA,18256.19,18256.19,2008.18,18256.19,37
CDM,159152,THER APHERESIS WBC,13399.35,13399.35,1473.93,13399.35,37
CDM,159153,THER APHERESIS RBC,13399.35,13399.35,1473.93,13399.35,37
CDM,159153,Therapeutic apheresis; for red blood cells ,13399.35,13399.35,556.15,25655.0,47
CDM,159153,Therapeutic apheresis; for red blood cells Age 21+,13399.35,13399.35,621.08,621.08,4
CDM,159153,Therapeutic apheresis; for red blood cells Age Under 21,13399.35,13399.35,632.37,632.37,4
CDM,159154,THER APHERESIS PLT,13399.35,13399.35,1473.93,13399.35,37
CDM,159154,Therapeutic apheresis; for platelets ,13399.35,13399.35,161.84,25655.0,47
CDM,159154,Therapeutic apheresis; for platelets Age 21+,13399.35,13399.35,180.73,180.73,4
CDM,159154,Therapeutic apheresis; for platelets Age Under 21,13399.35,13399.35,184.02,184.02,4
CDM,159160,MGMT RCPT SRCH & ACQSTN,9223.39,9223.39,645.64,9223.39,71
CDM,159161,ALLO LYMPHOCYTE INFUS,11135.44,11135.44,1224.9,11135.44,33
CDM,159161,Allogeneic lymphocyte infusions ,11135.44,11135.44,556.15,25655.0,43
CDM,159161,Allogeneic lymphocyte infusions Age 21+,11135.44,11135.44,621.08,621.08,4
CDM,159161,Allogeneic lymphocyte infusions Age Under 21,11135.44,11135.44,632.37,632.37,4
CDM,159181,BYSTOLIC 5 MG TABLET,30.26,30.26,2.12,30.26,67
CDM,159200,PLAVIX 300 MG TAB,278.95,278.95,19.53,278.95,67
CDM,159226,TTE2D W OR W&WO COMPLETE,7790.7,7790.7,545.35,7790.7,52
CDM,159226,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spect",7790.7,7790.7,1872.26,3642.39,6
CDM,159227,TTE2D W OR W&WO LIMITED,7790.7,7790.7,545.35,7790.7,52
CDM,159227,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited st",7790.7,7790.7,1050.09,2042.9,6
CDM,159228,TEE2D W OR W&WO INT/RPT,7790.7,7790.7,545.35,7790.7,52
CDM,159228,"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placeme",7790.7,7790.7,1872.26,3642.39,6
CDM,159229,TEE2D W OR W&WO MONITOR,7790.7,7790.7,545.35,7790.7,52
CDM,159229,"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and i",7790.7,7790.7,1872.26,3642.39,6
CDM,159239,PROLIXIN 10ML VIAL,1511.02,1511.02,105.77,1511.02,67
CDM,159244,TC99M MEDRONATE DX 30MCI,259.32,259.32,18.15,259.32,54
CDM,159244,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",259.32,259.32,44.68,113.4,15
CDM,159244,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries Max of 2 Units",259.32,259.32,70.0,70.0,1
CDM,159263,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,159280,ESOPHAGUS MOTILITY STDY,2689.46,2689.46,188.26,2689.46,50
CDM,159280,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,2689.46,2689.46,343.92,5932.0,15
CDM,159283,BETAXOLOL 0.25% 10ML OP,2515.96,2515.96,176.12,2515.96,59
CDM,159285,NITAZOXANIDE 500MG TAB,559.33,559.33,39.15,559.33,67
CDM,159302,FIBER LASER CO2,11433.0,11433.0,800.31,11433.0,71
CDM,159303,FIBER LASER CO2,19884.0,19884.0,1391.88,19884.0,71
CDM,159342,LINER ACTB SZF 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,159348,UNLISTED VASCULAR PROC,14336.98,14336.98,1003.59,14336.98,64
CDM,159351,TC99M PENT AERS DX 75MCI,1047.54,1047.54,73.33,1047.54,61
CDM,159351,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",1047.54,1047.54,34.72,148.12,9
CDM,159351,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries Max of 2 Units",1047.54,1047.54,70.0,70.0,1
CDM,159352,TC99M AUTO WBC DX DOSE,4920.0,4920.0,344.4,4920.0,49
CDM,159352,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",4920.0,4920.0,1541.31,14951.03,15
CDM,159352,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose Max of 2 Units",4920.0,4920.0,70.0,70.0,1
CDM,159353,IN111 AUTO WBC DX DOSE,10999.15,10999.15,769.94,10999.15,49
CDM,159353,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",10999.15,10999.15,1820.26,36723.66,15
CDM,159353,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose Max of 2 Units",10999.15,10999.15,70.0,70.0,1
CDM,159354,TC99M PERTECHNETA DX MCI,33.21,33.21,2.32,33.21,55
CDM,159354,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",33.21,33.21,10.47,21.81,15
CDM,159354,"Technetium tc-99m pertechnetate, diagnostic, per millicurie Max of 2 Units",33.21,33.21,70.0,70.0,1
CDM,159359,CHEMO IV EA ADD HOUR,421.12,421.12,29.48,421.12,49
CDM,159388,ISENTRESS 400 MG TAB,195.82,195.82,13.71,195.82,67
CDM,159393,TTE2D W OR W&WO STRESS,7790.7,7790.7,545.35,7790.7,52
CDM,159393,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiov",7790.7,7790.7,1872.26,3642.39,6
CDM,159396,ABLATION BONE TUMOR,31017.97,31017.97,2171.26,31017.97,64
CDM,159488,EXELON 4.6 MG PATCH,86.82,86.82,6.08,86.82,67
CDM,159489,EXELON 9.5 MG PATCH,89.25,89.25,6.25,89.25,67
CDM,159493,MAP-2PEROX AB,503.41,503.41,35.24,503.41,48
CDM,159494,SMA-IV PEROX AB,503.41,503.41,35.24,503.41,48
CDM,159531,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,159534,CHEMO IV EA ADD HOUR,421.12,421.12,29.48,421.12,49
CDM,159535,CHEMO IV PUSH EA ADD DRG,606.97,606.97,42.49,606.97,49
CDM,159536,CHEMO IV PUSH SING/IN DR,601.62,601.62,42.11,601.62,49
CDM,159537,CHEMO IV SING/IN DR 1 HR,1676.48,1676.48,117.35,1676.48,49
CDM,159538,CHEMO SQ/IM HORMONL ANPL,606.97,606.97,42.49,606.97,49
CDM,159539,CHEMO SQ/IM NON HORM ANP,606.97,606.97,42.49,606.97,49
CDM,159564,STEM CELLS TOTAL CT,1140.75,1140.75,79.85,1140.75,47
CDM,159565,BUSULFAN MYLERAN QN,1034.26,1034.26,72.4,1034.26,47
CDM,159566,CULTURE BONE MARROW,1356.97,1356.97,94.99,1356.97,47
CDM,159567,T CELLS TOTAL,1682.89,1682.89,117.8,1682.89,47
CDM,159571,UNLISTED PROC URINRY SYS,1014.32,1014.32,71.0,1014.32,64
CDM,159582,ANTIBIOTIC ADMIN,1645.1,1645.1,115.16,1645.1,48
CDM,159589,HLA A B C MULT AG DNR,2633.24,2633.24,184.33,2633.24,47
CDM,159590,HLA A B C MULT AG REC,2447.69,2447.69,171.34,2447.69,47
CDM,159591,HLA DR DQ MULTIPLE DNR,3294.79,3294.79,230.64,3294.79,47
CDM,159592,HLA DR DQ MULTIPLE REC,3294.79,3294.79,230.64,3294.79,47
CDM,159601,PRA CYTOTOX SCR STD METH,2081.43,2081.43,145.7,2081.43,47
CDM,159615,COGNITIV PERFORM TEST SP,1079.49,1079.49,75.56,1079.49,44
CDM,159615,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",1079.49,1079.49,99.92,601.55,54
CDM,159622,PRBC WASH LR IRR,5415.84,5415.84,379.11,5415.84,61
CDM,159623,PRBC WASH IRR,4820.94,4820.94,337.47,4820.94,61
CDM,159630,BARACLUDE 0.5 MG TAB,237.64,237.64,16.63,237.64,67
CDM,159631,PRISTIQ 50MG TAB,67.82,67.82,4.75,67.82,67
CDM,159634,PEDI CHSU PRIVATE W/TELE,20001.82,20001.82,,,0
CDM,159637,ECMO PEDI CHSU,60849.97,60849.97,,,0
CDM,159638,PED CHSU-PEDI PVT OVRFLW,6615.61,6615.61,,,0
CDM,159642,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,159643,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,159644,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,159649,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,159669,CRIT CARE EACH ADD 30MIN,3891.06,3891.06,428.02,3891.06,47
CDM,159672,OP VISIT LEVEL 2 NP,649.5,649.5,45.47,649.5,54
CDM,159673,OP VISIT LEVEL 3 NP,767.74,767.74,53.74,767.74,54
CDM,159674,OP VISIT LEVEL 4 NP,980.24,980.24,68.62,980.24,54
CDM,159675,OP VISIT LEVEL 5 NP,1099.95,1099.95,77.0,1099.95,54
CDM,159676,OP VISIT LEVEL 1 EST,529.77,529.77,37.08,529.77,54
CDM,159677,OP VISIT LEVEL 2 EST,649.5,649.5,45.47,649.5,54
CDM,159678,OP VISIT LEVEL 3 EST,767.74,767.74,53.74,767.74,54
CDM,159679,OP VISIT LEVEL 4 EST,980.24,980.24,68.62,980.24,54
CDM,159680,OP VISIT LEVEL 5 EST,1099.95,1099.95,77.0,1099.95,54
CDM,159696,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,159706,ESOPHAGOSCOPY WITH EUS,3787.17,3787.17,265.1,3787.17,64
CDM,159707,ESOPHAGOSCOPY W/EUS/FNA,3787.17,3787.17,265.1,3787.17,64
CDM,159708,EGD W/EUS LTD TO ESPHGUS,3787.17,3787.17,265.1,3787.17,64
CDM,159709,EGD W/EUS/FNA LTD TO ESO,3787.17,3787.17,265.1,3787.17,64
CDM,159714,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,159718,MSEU SEMI-PRIVATE,6392.56,6392.56,,,0
CDM,159719,MSEU PRIVATE,6647.47,6647.47,,,0
CDM,159736,PEDI IC HIGH ACUITY,40579.07,40579.07,,,0
CDM,159738,PEDI IC HIGH ACTY OVF,39182.75,39182.75,,,0
CDM,159740,ATC DEL&INITIAL STABILIZ,1236.32,1236.32,86.54,1236.32,50
CDM,159740,Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn ,1236.32,1236.32,210.1,408.74,6
CDM,159742,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159743,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159744,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159746,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159749,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159750,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159751,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159753,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159755,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159757,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159758,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159760,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159764,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159778,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159780,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159782,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159786,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159789,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159794,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159796,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,159797,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159798,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159799,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159801,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159804,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159805,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159806,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159807,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159808,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159810,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159812,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159813,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159815,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159818,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159819,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159833,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159835,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159837,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159841,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159844,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159848,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159850,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,159851,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159852,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159853,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159855,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159858,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159859,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159860,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159862,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159864,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159866,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159867,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159869,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159872,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159874,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159875,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159876,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159878,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159889,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159891,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159892,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159893,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159898,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159899,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159902,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159906,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159908,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,159909,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159910,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159911,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159913,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159916,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159917,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159918,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159920,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159922,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159924,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159925,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159927,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159930,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159931,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159932,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159934,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159945,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159947,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159948,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159949,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159951,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159955,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159958,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159962,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159964,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,159965,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159966,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159968,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159973,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159975,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159977,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159979,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159980,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159982,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,159986,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,160015,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,160021,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,160028,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160029,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160031,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160035,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160037,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160041,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160043,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160044,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160050,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160053,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160065,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160067,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160073,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160080,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160087,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160088,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160089,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160091,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160095,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160096,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160097,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160098,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160099,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160101,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160103,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160104,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160106,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160107,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160108,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160110,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160111,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160112,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160113,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160118,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160125,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160127,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160128,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160129,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160132,INJECTION IM OR SQ,334.67,334.67,23.43,334.67,59
CDM,160142,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160144,INJECTION IM OR SQ,354.67,354.67,24.83,354.67,48
CDM,160149,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160150,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160151,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160153,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160156,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160157,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160158,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160159,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160160,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160162,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160163,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160165,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160166,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160167,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160168,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160169,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160170,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160172,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160174,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160176,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160177,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160181,IVP SINGLE/INITIAL DRUG,724.32,724.32,50.7,724.32,48
CDM,160182,IVP SINGLE/INITIAL DRUG,500.98,500.98,35.07,500.98,59
CDM,160189,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160191,IVP SINGLE/INITIAL DRUG,724.32,724.32,50.7,724.32,48
CDM,160193,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160195,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160196,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160198,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160201,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160202,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160203,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160204,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160205,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160207,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160208,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160210,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160211,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160212,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160213,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160214,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160215,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160217,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160221,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160223,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160224,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160226,IVP EA ADD SEQ NEW DRUG,724.32,724.32,50.7,724.32,48
CDM,160234,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160236,IVP EA ADD SEQ NEW DRUG,724.32,724.32,50.7,724.32,48
CDM,160238,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160239,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160240,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160242,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160245,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160246,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160247,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160248,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160249,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160251,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160253,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160255,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160256,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160257,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160258,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160259,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160261,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160264,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160266,IVP EA ADD SEQ SAME DRUG,616.3,616.3,43.14,616.3,65
CDM,160267,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,160268,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160270,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160282,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160284,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160324,ECHO2D COMP W CF DOP,7097.19,7097.19,496.8,7097.19,52
CDM,160326,ATRIPLA TABLETS,57.89,57.89,4.05,57.89,67
CDM,160327,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160328,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160329,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,160330,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160331,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160340,IVP SINGLE/INITIAL DRUG,616.3,616.3,43.14,616.3,59
CDM,160341,US PROSTATE VOLUME,1742.49,1742.49,121.97,1742.49,48
CDM,160341,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) ",1742.49,1742.49,103.18,541.37,34
CDM,160341,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) Age 21+",1742.49,1742.49,115.23,115.23,4
CDM,160341,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) Age Under 21",1742.49,1742.49,117.32,117.32,4
CDM,160343,RSV-MAB RECOM 50 MG IM,14158.89,14158.89,991.12,14158.89,42
CDM,160371,TR MED PHYSICS SPECIAL,2823.54,2823.54,310.59,2823.54,44
CDM,160372,SP TREATMENT,4434.52,4434.52,487.8,4434.52,44
CDM,160373,CB INTERST APP COMP,7265.06,7265.06,508.55,7265.06,48
CDM,160373,"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed ",7265.06,7265.06,1067.76,2049.54,10
CDM,160374,TR DOSIMETRY BASIC,919.79,919.79,101.18,919.79,44
CDM,160379,TR TREAT DEVICE SIMPLE,1370.33,1370.33,150.74,1370.33,44
CDM,160380,PLC NDL PROSTATE,36283.95,36283.95,2539.88,36283.95,64
CDM,160383,TR MED PHYSICS CONT,1691.19,1691.19,186.03,1691.19,44
CDM,160390,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,160394,CANNULA PRFSN 64.8CM 15F,8070.0,8070.0,564.9,8070.0,71
CDM,160398,KEPPRA XR 500 MG,8.56,8.56,0.6,8.56,67
CDM,160407,CANNULA PRFSN 69.9CM 19F,8139.0,8139.0,569.73,8139.0,71
CDM,160433,LAP BAND REFILL,426.19,426.19,29.83,426.19,64
CDM,160457,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160459,TC99M TETROFOSMIN DXDOSE,788.2,788.2,55.17,788.2,54
CDM,160459,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",788.2,788.2,192.89,743.85,15
CDM,160459,"Technetium tc-99m tetrofosmin, diagnostic, per study dose Max of 2 Units",788.2,788.2,70.0,70.0,1
CDM,160460,DX PERC ASP NP/DISC/TISS,3982.3,3982.3,278.76,3982.3,64
CDM,160461,IVP EA ADD SEQ NEW DRUG,616.3,616.3,43.14,616.3,59
CDM,160479,IN111 PENTETREOT DX 6MCI,12732.7,12732.7,891.29,12732.7,49
CDM,160479,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",12732.7,12732.7,3301.55,33758.16,15
CDM,160479,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries Max of 2 Units",12732.7,12732.7,70.0,70.0,1
CDM,160480,VOLTAREN 1% GEL 100GM,442.49,442.49,30.97,442.49,67
CDM,160508,INTEROGATION EVAL PM,249.84,249.84,17.49,249.84,46
CDM,160513,INTEROGATION EVAL ICD,249.84,249.84,17.49,249.84,46
CDM,160513,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",249.84,249.84,99.69,1668.0,10
CDM,160521,ALVIMOPAN 12MG PO,953.25,953.25,66.73,953.25,59
CDM,160539,EKG TRACING ONLY,908.39,908.39,63.59,908.39,55
CDM,160541,REYATAZ 150 MG CAP,242.98,242.98,17.01,242.98,67
CDM,160543,PREZISTA 600 MG TAB,192.58,192.58,13.48,192.58,67
CDM,160551,ECHO STRESS W CONT ECG,8896.09,8896.09,622.73,8896.09,52
CDM,160551,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or",8896.09,8896.09,411.29,1668.0,10
CDM,160564,CYCLOSPORINE 100 MG PO,26.19,26.19,1.83,26.19,47
CDM,160569,DTAP-IPV/HIB VAC IM,671.47,671.47,47.0,671.47,47
CDM,160569,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",671.47,671.47,134.21,1149.99,17
CDM,160574,CRIT CARE 1ST 30-74M ER,5705.61,5705.61,627.62,5705.61,37
CDM,160576,LVL 1 FREE STD EMER DEPT,745.74,745.74,82.03,745.74,37
CDM,160577,LVL 2 FREE STD EMER DEPT,1243.98,1243.98,136.84,1243.98,37
CDM,160578,LVL 3 FREE STD EMER DEPT,2137.61,2137.61,235.14,2137.61,37
CDM,160579,LVL 4 FREE STD EMER DEPT,3227.29,3227.29,355.0,3227.29,37
CDM,160580,LVL 5 FREE STD EMER DEPT,4667.37,4667.37,513.41,4667.37,37
CDM,160583,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,160584,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,160589,IVP EA ADD SEQ NEW DRUG,593.73,593.73,41.56,593.73,59
CDM,160590,IVP SINGLE/INITIAL DRUG,581.26,581.26,40.69,581.26,59
CDM,160595,PROCEDURE CATEGORY III,2370.91,2370.91,260.8,2370.91,64
CDM,160598,URINE CATH COLL SINGLE,243.65,243.65,17.06,243.65,54
CDM,160599,BX BONE MARROW NDL,12659.49,12659.49,886.16,12659.49,64
CDM,160633,SIGMOIDOSCOPY W/EUS,3960.68,3960.68,277.25,3960.68,64
CDM,160640,ABILIFY 2MG TAB,105.49,105.49,7.38,105.49,67
CDM,160653,CANNULA PRFSN 64.8CM 17F,8070.0,8070.0,564.9,8070.0,71
CDM,160742,DIL ESOP GD WIRE,6636.62,6636.62,464.56,6636.62,64
CDM,160744,UNLSTD PROC BIL TRACT,30767.36,30767.36,2153.72,30767.36,64
CDM,160746,SACROPLASTY UNI INCL BLN,22035.64,22035.64,1542.49,22035.64,64
CDM,160747,SACROPLASTY BI INCL BLN,30215.03,30215.03,2115.05,30215.03,64
CDM,160753,ARTERIAL PUNCTURE,642.03,642.03,44.94,642.03,60
CDM,160753,"Arterial puncture, withdrawal of blood for diagnosis ",642.03,642.03,134.32,12897.0,2
CDM,160757,CANN PRFSN 69.9CM 21FR,8139.0,8139.0,569.73,8139.0,71
CDM,160768,CTA LOW EXTREMITY BI,3041.48,3041.48,212.9,3041.48,43
CDM,160776,FAC IX COMPLEX 1 UNIT,8.64,8.64,0.6,8.64,42
CDM,160778,NUCYNTA 50MG TABLET,48.72,48.72,3.41,48.72,67
CDM,160780,ECHO2D COMP W CF DOP,9589.61,9589.61,671.27,9589.61,52
CDM,160786,CANN PRFSN FEM 8F 7.5IN,5623.0,5623.0,393.61,5623.0,71
CDM,160788,GRAFT HUMERUS WHLE LT CF,88952.0,88952.0,9784.72,88952.0,57
CDM,160799,VIMPAT 100 MG TABLET,101.68,101.68,7.12,101.68,67
CDM,160801,MULTAQ 400MG TAB,74.95,74.95,5.25,74.95,67
CDM,160811,EFFIENT 10MG,83.0,83.0,5.81,83.0,67
CDM,160814,UL DX RAD PROCEDURE,410.22,410.22,28.72,410.22,52
CDM,160819,TOLVAPTAN 15MG PO,3389.46,3389.46,237.26,3389.46,59
CDM,160850,FLECTOR 1.3% PATCH,57.28,57.28,4.01,57.28,67
CDM,160851,MRA WO W CONT LWR EXT BI,7737.72,7737.72,541.64,7737.72,47
CDM,160892,BLD/STEM HARVEST AUTOLOG,22039.04,22039.04,1542.73,22039.04,60
CDM,160892,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",22039.04,22039.04,556.15,4723.0,17
CDM,160892,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous Age 21+",22039.04,22039.04,621.08,621.08,4
CDM,160892,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous Age Under 21",22039.04,22039.04,632.37,632.37,4
CDM,160902,DEBR SQ 1ST 20SQCM,3728.27,3728.27,410.11,3728.27,64
CDM,160903,DEBR MUSC/FAC 1ST 20SQCM,3728.27,3728.27,410.11,3728.27,64
CDM,160904,DEBR BONE 1ST 20SQCM,9869.36,9869.36,1085.63,9869.36,64
CDM,160943,LOCM 300-399 IC 125ML,2463.43,2463.43,172.44,2463.43,47
CDM,160950,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,160951,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,160952,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,160953,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,160954,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,160955,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,160956,IVP EA ADD SEQ SAME DRUG,593.73,593.73,41.56,593.73,65
CDM,160966,IV HYDRAT EA ADD HR,259.07,259.07,18.13,259.07,59
CDM,160967,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,160968,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,160970,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,160971,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,160972,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,160973,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,161008,AMITIZA 8MCG CAP,51.18,51.18,3.58,51.18,67
CDM,161010,UNLISTED CARDIO SERVICE,20720.71,20720.71,1450.45,20720.71,44
CDM,161018,TISSEEL 4 ML TOPICAL,1597.96,1597.96,111.86,1597.96,59
CDM,161046,IG RHOPHYLAC 1500 IU,937.71,937.71,65.64,937.71,47
CDM,161046,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",937.71,937.71,4.7,53.95,17
CDM,161185,STRAPPING LOW BACK PT,540.34,540.34,37.82,540.34,50
CDM,161185,"Unlisted procedure, casting or strapping ",540.34,540.34,164.06,164.06,1
CDM,161190,CAR MRI VELOCITY FLW MAP,884.03,884.03,61.88,884.03,49
CDM,161190,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,884.03,884.03,57.28,1321.0,10
CDM,161192,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",6016.95,6016.95,268.56,2938.37,36
CDM,161192,NM MYOCRD PERF R/S SGL,6016.95,6016.95,421.19,6016.95,48
CDM,161201,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",6016.95,6016.95,400.54,2938.37,36
CDM,161201,NM MYOCRD PERF R/S MULT,6016.95,6016.95,421.19,6016.95,48
CDM,161210,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",6016.95,6016.95,311.01,2938.37,36
CDM,161210,NM MYOCRD SPECT R/S SGL,6016.95,6016.95,421.19,6016.95,48
CDM,161220,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",8197.63,8197.63,431.48,2938.37,36
CDM,161220,NM MYOCRD SPECT R/S MULT,8197.63,8197.63,573.83,8197.63,48
CDM,161233,ULORIC 40MG TABLETS,84.15,84.15,5.89,84.15,67
CDM,161273,ISOSULFAN BLUE 50 MG INJ,7018.05,7018.05,491.26,7018.05,42
CDM,161275,COSYNTROPIN 0.25 MG INJ,740.29,740.29,51.82,740.29,47
CDM,161275,"Injection, cosyntropin, 0.25 mg ",740.29,740.29,15.77,338.27,17
CDM,161289,SM153 LEXIDRON TX 150MCI,25381.08,25381.08,1776.68,25381.08,53
CDM,161289,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",25381.08,25381.08,5213.67,142036.23,15
CDM,161294,METHYL BLUE 10 MG INJ,349.14,349.14,24.44,349.14,67
CDM,161310,INJ FCT L/S SGL FL/CT,5200.46,5200.46,364.03,5200.46,64
CDM,161348,MRI LOW EXT W/O CONT BI,5413.98,5413.98,378.98,5413.98,43
CDM,161349,CT HEART W CN ART/GRAFTS,1314.48,1314.48,92.01,1314.48,43
CDM,161350,PERC ASP INTVRB DISC,35319.07,35319.07,2472.33,35319.07,64
CDM,161354,INJ FACET L/S >=3 FL/CT,1769.2,1769.2,123.84,1769.2,64
CDM,161360,INJ FCT C/T >=3 FL/CT,2514.8,2514.8,176.04,2514.8,64
CDM,161373,TR MLC DEVICES IMRT,1482.63,1482.63,163.09,1482.63,44
CDM,161390,INJ FCT C/T 2ND FL/CT,2514.8,2514.8,176.04,2514.8,64
CDM,161393,INJ FCT L/S 2ND FL/CT,2808.37,2808.37,196.59,2808.37,64
CDM,161397,INJ FCT C/T 2ND FL/CT,2514.8,2514.8,176.04,2514.8,64
CDM,161398,INJ FCT C/T 2ND FL/CT,2514.8,2514.8,176.04,2514.8,64
CDM,161407,INJ FCT C/T >=3 FL/CT,2514.8,2514.8,176.04,2514.8,64
CDM,161410,INJ FACET C/T SGL FLU/CT,6544.08,6544.08,458.09,6544.08,64
CDM,161411,INJ FACET C/T SGL FLU/CT,6544.08,6544.08,458.09,6544.08,64
CDM,161418,INJ FACET C/T SGL FLU/CT,6544.08,6544.08,458.09,6544.08,64
CDM,161443,BRONCH W/COMP NAVIGATION,717.71,717.71,50.24,717.71,64
CDM,161444,BRONCH W/FID MRKR PLMNT,10341.04,10341.04,723.87,10341.04,64
CDM,161451,Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age ,616.77,616.77,380.46,740.17,6
CDM,161451,SPIROMETRIC FEF <=2YR,616.77,616.77,43.17,616.77,59
CDM,161452,"Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age ",616.77,616.77,696.02,1354.08,6
CDM,161452,SPIRO FEF W/WO BRNCH <=2,616.77,616.77,43.17,616.77,59
CDM,161453,LUNG VOL FRC FVC ERV <=2,1899.35,1899.35,132.95,1899.35,59
CDM,161453,"Measurement of lung volumes (ie, functional residual capacity ºFRC», forced vital capacity ºFVC», and expiratory reserve volume ºERV») in an infant or child through 2 years of age ",1899.35,1899.35,54.51,106.04,6
CDM,161456,CT HEART WO CN W QUAN CA,285.71,285.71,20.0,285.71,43
CDM,161458,CTHEART W CN STR MOR FNC,1693.7,1693.7,118.56,1693.7,43
CDM,161459,CTHEART CONGENITL DISEAS,1693.7,1693.7,118.56,1693.7,43
CDM,161463,AMPHOT B LIPID 10 MG INJ,4940.4,4940.4,345.83,4940.4,47
CDM,161463,"Injection, amphotericin b lipid complex, 10 mg ",4940.4,4940.4,30.86,88.09,15
CDM,161464,ALTEPLASE RECOMB 2 MG,1009.43,1009.43,70.66,1009.43,42
CDM,161470,ALTEPLASE RECOMB 50 MG,25186.65,25186.65,1763.07,25186.65,42
CDM,161472,ALTEPLASE RECOMB 100 MG,50373.26,50373.26,3526.13,50373.26,42
CDM,161478,TIROFIBAN 12.5 MG INJ,4893.34,4893.34,342.53,4893.34,47
CDM,161485,PEMETREXED NOS 500MG INJ,810.0,810.0,56.7,810.0,42
CDM,161486,"Injection, palonosetron hcl, 25 mcg ",51.52,51.52,0.63,38.35,17
CDM,161486,PALONOSETRON 0.25 MG INJ,51.52,51.52,3.61,51.52,47
CDM,161487,AMPHOT B LIPOSOME 50 MG,4206.13,4206.13,294.43,4206.13,42
CDM,161487,"Injection, amphotericin b liposome, 10 mg ",4206.13,4206.13,22.13,274.34,17
CDM,161488,ANIDULAFUNGIN 50 MG INJ,1258.91,1258.91,88.12,1258.91,47
CDM,161488,"Injection, anidulafungin, 1 mg ",1258.91,1258.91,0.48,9.99,17
CDM,161489,FOMEPIZOLE 1500 MG INJ,43994.05,43994.05,3079.58,43994.05,42
CDM,161489,"Injection, fomepizole, 15 mg ",43994.05,43994.05,10.79,110.24,15
CDM,161496,DARBEPOETIN 25MCG NESRD,2583.38,2583.38,180.84,2583.38,42
CDM,161498,DARBEPOETIN 60MCG NESRD,6942.57,6942.57,485.98,6942.57,42
CDM,161499,DARBEPOETIN 100MCG NESRD,11570.89,11570.89,809.96,11570.89,42
CDM,161508,ONABOTULINUMTOXA 100 U,3726.32,3726.32,260.84,3726.32,42
CDM,161509,BUSULFAN 60 MG INJ,658.26,658.26,46.08,658.26,42
CDM,161509,"injection, busulfan, 1 mg ",658.26,658.26,0.66,46.68,17
CDM,161512,IRINOTECAN 100 MG INJ,17162.87,17162.87,1201.4,17162.87,47
CDM,161512,"Injection, irinotecan, 20 mg ",17162.87,17162.87,1.48,15.87,17
CDM,161513,CASPOFUNGIN 70 MG INJ,9961.12,9961.12,697.28,9961.12,47
CDM,161513,"Injection, caspofungin acetate, 5 mg ",9961.12,9961.12,3.47,63.77,17
CDM,161516,FOSPHEN PE 500 MG INJ,735.94,735.94,51.52,735.94,46
CDM,161517,DAUNORUBICIN 20 MG INJ,1590.14,1590.14,111.31,1590.14,47
CDM,161517,"Injection, daunorubicin, 10 mg ",1590.14,1590.14,24.01,257.3,17
CDM,161520,CLOFARABINE 20 MG INJ,55936.88,55936.88,3915.58,55936.88,42
CDM,161520,"Injection, clofarabine, 1 mg ",55936.88,55936.88,10.61,445.33,17
CDM,161524,CYCLOSPORINE 5000 MG PO,1428.86,1428.86,100.02,1428.86,47
CDM,161525,DECITABINE 50 MG INJ,8017.44,8017.44,561.22,8017.44,47
CDM,161531,RASBURICASE 1.5 MG INJ,6842.31,6842.31,478.96,6842.31,42
CDM,161532,EPIRUBICIN 50 MG INJ,16275.32,16275.32,1139.27,16275.32,47
CDM,161532,"Injection, epirubicin hcl, 2 mg ",16275.32,16275.32,1.72,13.6,17
CDM,161533,"Injection, oxaliplatin, 0.5 mg ",19416.82,19416.82,0.08,1.61,17
CDM,161533,OXALIPLATIN 50 MG INJ,19416.82,19416.82,1359.18,19416.82,47
CDM,161546,IVIG GAMMAGARD 5 G,9844.72,9844.72,689.13,9844.72,42
CDM,161546,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",9844.72,9844.72,47.61,408.79,17
CDM,161548,IVIG GAMUNX/GAMMAK 10G,19689.37,19689.37,1378.26,19689.37,42
CDM,161548,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",19689.37,19689.37,48.24,410.75,17
CDM,161552,GEMCITABINE NOS 1 G INJ,13680.4,13680.4,957.63,13680.4,47
CDM,161561,IDARUBICIN 10 MG INJ,1657.73,1657.73,116.04,1657.73,47
CDM,161565,IFOSFAMIDE 3 G INJ,10944.09,10944.09,766.09,10944.09,47
CDM,161572,IVIG POWDER NOS 3 G,5966.1,5966.1,417.63,5966.1,42
CDM,161573,IVIG POWDER NOS 5 G,10435.77,10435.77,730.5,10435.77,42
CDM,161589,GRANISETRON 1000 MCG INJ,20.98,20.98,1.47,20.98,47
CDM,161589,"Injection, granisetron hydrochloride, 100 mcg ",20.98,20.98,0.16,2.94,17
CDM,161590,"Injection, sargramostim (gm-csf), 50 mcg ",3548.43,3548.43,60.03,479.68,17
CDM,161590,SARGRAMOSTIM 250 MCG INJ,3548.43,3548.43,248.39,3548.43,42
CDM,161594,CLADRIBINE 10 MG INJ,8116.09,8116.09,568.13,8116.09,42
CDM,161594,"Injection, cladribine, per 1 mg ",8116.09,8116.09,8.47,134.25,17
CDM,161595,LEVETIRACETAM 500 MG INJ,27.85,27.85,1.95,27.85,47
CDM,161599,LOCM 200-299 IC 10ML,415.58,415.58,29.09,415.58,47
CDM,161605,LOCM 300-399 IC 15ML,552.25,552.25,38.66,552.25,47
CDM,161606,LOCM 300-399 IC 50ML,286.2,286.2,20.03,286.2,47
CDM,161608,LOCM 300-399 IC 75ML,1497.53,1497.53,104.83,1497.53,47
CDM,161610,LOCM 200-299 IC 10ML,448.6,448.6,31.4,448.6,47
CDM,161614,LEUPRO DEPOT 7.5 MG INJ,13919.97,13919.97,974.4,13919.97,42
CDM,161615,LEUPRO DEPOT 11.25MG INJ,30903.93,30903.93,2163.28,30903.93,42
CDM,161619,LEUPRO DEPOT 30 MG INJ,66494.39,66494.39,4654.61,66494.39,42
CDM,161628,MITOMYCIN 20 MG INJ,9340.77,9340.77,653.85,9340.77,42
CDM,161633,VINORELBINE TARTRAT 50MG,12284.09,12284.09,859.89,12284.09,47
CDM,161635,"Injection, nelarabine, 50 mg ",11591.62,11591.62,51.13,810.52,17
CDM,161635,NELARABINE 250 MG INJ,11591.62,11591.62,811.41,11591.62,42
CDM,161644,PACLITAX-PROTEIN100MGINJ,8592.06,8592.06,601.44,8592.06,42
CDM,161650,EPOETIN ALFA 2000U NESRD,306.0,306.0,21.42,306.0,42
CDM,161654,EPOETIN ALFA 4000U NESRD,611.9,611.9,42.83,611.9,42
CDM,161655,EPOET ALFA 40000U NESRD,6118.96,6118.96,428.33,6118.96,42
CDM,161656,EPOET ALFA 10000U NESRD,1529.64,1529.64,107.07,1529.64,42
CDM,161657,TACROLIMUS IMM 5 MG PO,189.58,189.58,13.27,189.58,47
CDM,161663,RITUXIMAB 500 MG INJ,42621.32,42621.32,2983.49,42621.32,42
CDM,161670,"Injection, secretin, synthetic, human, 1 microgram ",3646.65,3646.65,66.38,360.38,15
CDM,161670,SECRETIN SYN HUMAN 16MCG,3646.65,3646.65,255.27,3646.65,42
CDM,161677,TEMOZOLOMIDE 140 MG PO,3133.76,3133.76,219.36,3133.76,47
CDM,161678,TEMOZOLOMIDE 100 MG PO,3301.35,3301.35,231.09,3301.35,47
CDM,161679,TEMOZOLOMIDE 20 MG PO,578.66,578.66,40.51,578.66,47
CDM,161682,TENECTEPLASE 50 MG INJ,44556.96,44556.96,3118.99,44556.96,42
CDM,161685,"Injection, tigecycline, 1 mg ",668.88,668.88,0.55,10.38,17
CDM,161685,TIGECYCLINE 50 MG INJ,668.88,668.88,46.82,668.88,47
CDM,161687,ARSENIC TRIOX 10 MG INJ,8592.14,8592.14,601.45,8592.14,47
CDM,161687,"Injection, arsenic trioxide, 1 mg ",8592.14,8592.14,6.26,227.88,17
CDM,161688,BORTEZOMIB 3.5 MG INJ,200.34,200.34,14.02,200.34,47
CDM,161689,IRON SUCROSE 100 MG INJ,360.95,360.95,25.27,360.95,47
CDM,161690,"Injection, voriconazole, 10 mg ",2327.92,2327.92,0.63,24.36,17
CDM,161690,VORICONAZOLE 200 MG INJ,2327.92,2327.92,162.95,2327.92,47
CDM,161691,AZACITIDINE 100 MG INJ,5530.55,5530.55,387.14,5530.55,47
CDM,161691,"Injection, azacitidine, 1 mg ",5530.55,5530.55,0.4,5.77,17
CDM,161697,DEXRAZOXANE 500 MG INJ,11039.79,11039.79,772.79,11039.79,42
CDM,161700,ONDANSETRON 4 MG INJ,2.63,2.63,0.18,2.63,47
CDM,161707,LINEZOLID 600 MG INJ,122.21,122.21,8.55,122.21,47
CDM,161709,FOSPHEN PE 100 MG INJ,29.13,29.13,2.04,29.13,46
CDM,161712,CINRYZE 500 U INJ,46266.05,46266.05,3238.62,46266.05,42
CDM,161712,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",46266.05,46266.05,63.53,562.12,17
CDM,161714,I123 IOBENGUANE DX 15MCI,23324.32,23324.32,1632.7,23324.32,53
CDM,161714,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",23324.32,23324.32,3823.88,44560.88,15
CDM,161714,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries Max of 2 Units",23324.32,23324.32,70.0,70.0,1
CDM,161736,THROMB AX-SC VEIN,20390.54,20390.54,1427.34,20390.54,64
CDM,161741,CVV HEMODIALYSIS DAILY,5797.16,5797.16,405.8,5797.16,65
CDM,161751,IVIG PRIVIGEN 5G/50ML,5035.4,5035.4,352.48,5035.4,42
CDM,161753,IVIG PRIVIGEN 20G/200ML,20141.61,20141.61,1409.91,20141.61,42
CDM,161757,"Injection, ofatumumab, 10 mg ",10823.82,10823.82,102.68,526.29,15
CDM,161757,OFATUMUMAB 100 MG INJ,10823.82,10823.82,757.67,10823.82,42
CDM,161764,APP RIGID TOTAL CONT LEG,2855.28,2855.28,314.08,2855.28,64
CDM,161774,EMTRIVA 200 MG CAPSULE,174.51,174.51,12.22,174.51,67
CDM,161789,DASATINIB 70 MG PO,1109.8,1109.8,77.69,1109.8,67
CDM,161790,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,161811,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,161812,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,161813,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,161823,SCREW BN 2.7MM 18MM,866.0,866.0,95.26,866.0,57
CDM,161838,STEM FEM KN 9MM 100MM,64501.0,64501.0,7095.11,64501.0,57
CDM,161846,SPIRONOLACTONE LIQ PO,70.12,70.12,4.91,70.12,67
CDM,161852,SCREW BN 1.7MM 8MM,864.0,864.0,95.04,864.0,57
CDM,161862,SCREW SP 5.5X45MM POLY,16452.0,16452.0,1809.72,16452.0,57
CDM,161863,SCREW BN 5.5MM 50MM MESA,13817.0,13817.0,1519.87,13817.0,57
CDM,161868,SCREW SPN 6.5MM 50MM,12655.0,12655.0,1392.05,12655.0,57
CDM,161870,PLATE BN CRNFCL 7MM,4402.0,4402.0,484.22,4402.0,57
CDM,161874,PLATE BN CRANI 1LVL 33MM,5110.0,5110.0,562.1,5110.0,57
CDM,161954,GADOXETATE 10 ML INJ,766.58,766.58,53.66,766.58,47
CDM,161954,"Injection, gadoxetate disodium, 1 ml ",766.58,766.58,14.29,125.71,17
CDM,161958,BEVACIZUMAB 0.25 MG INJ,56.82,56.82,3.98,56.82,48
CDM,161958,"Injection, bevacizumab, 0.25 mg ",56.82,56.82,3.07,17.36,9
CDM,161970,BYSTOLIC 10MG TAB,29.74,29.74,2.08,29.74,67
CDM,161989,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,161998,US PREG 1ST TRIMTR,1753.99,1753.99,122.78,1753.99,48
CDM,161999,US PRG 1ST TRI EA ADD,1131.86,1131.86,79.23,1131.86,54
CDM,162000,US FETAL BIOPHYS PROF,1558.53,1558.53,109.1,1558.53,48
CDM,162001,Fetal biophysical profile; without non-stress testing ,825.26,825.26,69.12,262.46,34
CDM,162001,Fetal biophysical profile; without non-stress testing Age 21+,825.26,825.26,94.47,94.47,4
CDM,162001,Fetal biophysical profile; without non-stress testing Age Under 21,825.26,825.26,96.19,96.19,4
CDM,162001,US FET BIO PH PR W/O NST,825.26,825.26,57.77,825.26,48
CDM,162009,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,162010,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,162011,OUTPT PROCEDUR LEVEL III,3220.01,3220.01,354.2,3220.01,64
CDM,162017,DEL RESUS PPV CHEST COMP,4523.19,4523.19,316.62,4523.19,44
CDM,162017,"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output ",4523.19,4523.19,409.31,796.29,6
CDM,162019,US PREG UT TRANSVAGINAL,530.15,530.15,37.11,530.15,48
CDM,162021,LEVEL II NEWBORN,13692.8,13692.8,,,0
CDM,162022,LEVEL III NEWBORN,20373.34,20373.34,,,0
CDM,162040,"Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length ",17314.75,17314.75,1072.6,1515.93,6
CDM,162040,NEUROMND WRP 0.5 CM 10CM,17314.75,17314.75,1904.62,17314.75,51
CDM,162051,ALLODERM 1 SQ CM 96 THK,35344.16,35344.16,2474.09,35344.16,47
CDM,162054,ALLODERM 1 SQ CM 72 XTHK,25216.68,25216.68,1765.17,25216.68,47
CDM,162055,ALLODERM 1 SQCM 50SQCM,15517.75,15517.75,1086.24,15517.75,47
CDM,162058,ALLODERM 1 SQ CM 48 XTHK,16132.7,16132.7,1129.29,16132.7,47
CDM,162064,ALLODERM 1 SQ CM 8 SQCM,2174.08,2174.08,152.19,2174.08,47
CDM,162065,ALLODERM 1 SQ CM 8 THN,2174.08,2174.08,152.19,2174.08,47
CDM,162070,LEVOFLOXACIN 500 MG INJ,68.65,68.65,4.81,68.65,47
CDM,162071,LEVOFLOXACIN 750 MG INJ,76.06,76.06,5.32,76.06,47
CDM,162116,XIFAXAN 550MG TAB,273.37,273.37,19.14,273.37,67
CDM,162119,SI ENDO W/O IL STNT PL,12027.85,12027.85,841.95,12027.85,64
CDM,162129,ALLODERM 1 SQ CM,239.22,239.22,16.75,239.22,47
CDM,162144,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,162145,KETOROLAC 30 MG INJ,40.74,40.74,2.85,40.74,42
CDM,162163,LEUPRO DEPOT 7.5 MG INJ,16218.6,16218.6,1135.3,16218.6,42
CDM,162220,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,162227,INTRO LONG GI TUBE,5886.5,5886.5,412.06,5886.5,64
CDM,162247,LEUPRO DEPOT 22.5 MG INJ,62626.94,62626.94,4383.89,62626.94,42
CDM,162249,PRADAXA 75 MG CAPSULE,8.4,8.4,0.59,8.4,67
CDM,162264,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,162265,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,162269,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,162270,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,162286,PRADAXA 150 MG CAP,14.42,14.42,1.01,14.42,67
CDM,162288,PICU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,162316,OPEN TA ILIAC,44725.88,44725.88,3130.81,44725.88,64
CDM,162341,STEM HIP FEM OFS 12X140,43860.0,43860.0,4824.6,43860.0,57
CDM,162362,GRAFT BN SUB SYN 10CC,34550.0,34550.0,3800.5,34550.0,57
CDM,162363,GRAFT BN SUB SYN 5CC,18101.0,18101.0,1991.11,18101.0,57
CDM,162368,SCREW BN 1.7MM 7MM,864.0,864.0,95.04,864.0,57
CDM,162385,VALVE CNDT CV PULM 22MM,108592.0,108592.0,11945.12,108592.0,57
CDM,162391,PIN PED SKULL DISP10,1599.0,1599.0,111.93,1599.0,71
CDM,162400,PTA FEM/POP,44725.88,44725.88,3130.81,44725.88,64
CDM,162407,SCREW HDLS CMPR 4X40MM,8101.0,8101.0,891.11,8101.0,57
CDM,162410,SCREW BN 2X8MM 1LVL,2453.0,2453.0,269.83,2453.0,57
CDM,162411,PLATE BN CMF 12H 94MM,18005.0,18005.0,1980.55,18005.0,57
CDM,162413,OPN OR PER FEM/POP W ART,8689.13,8689.13,608.24,8689.13,64
CDM,162414,SCREW BN 4MM 40MM,8101.0,8101.0,891.11,8101.0,57
CDM,162426,SUCRALFATE LIQ PO,0.56,0.56,0.04,0.56,67
CDM,162433,GRAFT VASC 15CM 4MM,12574.0,12574.0,1383.14,12574.0,57
CDM,162450,GASTRIC INTUB TX BY PHYS,1749.05,1749.05,192.4,1749.05,64
CDM,162457,US JOINT COMP,1502.32,1502.32,105.16,1502.32,48
CDM,162460,US JOINT COMP,1502.32,1502.32,105.16,1502.32,48
CDM,162480,ATHERECTOMY REN/VIS,8689.13,8689.13,608.24,8689.13,64
CDM,162490,ATHERECTOMY AORTA,37233.5,37233.5,2606.34,37233.5,64
CDM,162500,ATHERECTOMY BRAC,37233.5,37233.5,2606.34,37233.5,64
CDM,162510,ATHERECTOMY ILIAC,14885.9,14885.9,1042.01,14885.9,64
CDM,162513,STEM FM PRSFT 13X140.6MM,51600.0,51600.0,5676.0,51600.0,57
CDM,162519,CMPNT FEM 40MM KN M TO M,51317.0,51317.0,5644.87,51317.0,57
CDM,162523,SCREW BN 5MM 70MM,3525.0,3525.0,387.75,3525.0,57
CDM,162526,BIT DRILL 4.3MM 180MM,6291.0,6291.0,440.37,6291.0,71
CDM,162528,SUTURE WHT BRD 5-0 18IN,610.0,610.0,42.7,610.0,71
CDM,162543,PEN G BEN 100000 U INJ,481.42,481.42,33.7,481.42,42
CDM,162544,PEN G BEN 1200000 U INJ,1341.0,1341.0,93.87,1341.0,42
CDM,162556,SCREW BN 7MM 80MM,13175.0,13175.0,1449.25,13175.0,57
CDM,162557,SCREW BN 7MM 95MM,15606.0,15606.0,1716.66,15606.0,57
CDM,162563,DVC REVASC 4X40MM 200CM,106048.0,106048.0,7423.36,106048.0,71
CDM,162567,VINCRISTINE SULFATE 1MG,1203.91,1203.91,84.27,1203.91,47
CDM,162567,"Vincristine sulfate, 1 mg ",1203.91,1203.91,7.87,67.22,17
CDM,162714,REMVL PLEURL CATH W/CUFF,4019.81,4019.81,281.39,4019.81,64
CDM,162733,BURR SURG 9.1MM XLNG RND,4077.0,4077.0,285.39,4077.0,71
CDM,162734,IMPLANT BREAST 170CC,15413.0,15413.0,1695.43,15413.0,57
CDM,162736,CATH CRNL 5F 3F 40CM.018,3473.0,3473.0,243.11,3473.0,71
CDM,162806,RVS O OR P FEM/POP STNT,76139.34,76139.34,5329.75,76139.34,64
CDM,162808,ATHERECTOMY TIBIO ADD,8689.13,8689.13,608.24,8689.13,64
CDM,162811,OPN OR PER TA TIB/PERO,44725.88,44725.88,3130.81,44725.88,64
CDM,162866,TD VAC PF >=7YRS IM,253.93,253.93,17.78,253.93,47
CDM,162866,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",253.93,253.93,37.59,404.68,17
CDM,162899,CT ABD&PELVIS W/O CONT,9136.03,9136.03,639.52,9136.03,43
CDM,162901,CT ABD&PELVIS W/CONT,10324.95,10324.95,722.75,10324.95,43
CDM,162903,CT ABD&PELVIS W&WO CONT,12691.28,12691.28,888.39,12691.28,43
CDM,162908,CANALITH REPO PROC PT,263.67,263.67,18.46,263.67,44
CDM,162908,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",263.67,263.67,35.73,206.3,88
CDM,162908,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day Other Outpatient",263.67,263.67,37.71,42.85,12
CDM,162915,US EXTREM NON VASC LTD,471.39,471.39,33.0,471.39,48
CDM,162940,DEBRID SUBQ EA ADDTL 20,3728.27,3728.27,410.11,3728.27,64
CDM,162941,DEBRID MUSCL/FACIA EA,3728.27,3728.27,410.11,3728.27,64
CDM,162942,DEBRID BONE EA ADDTL 20,9869.36,9869.36,1085.63,9869.36,64
CDM,162970,DACARBAZINE 200 MG INJ,475.25,475.25,33.27,475.25,47
CDM,162985,"Injection, topotecan, 0.1 mg ",21962.12,21962.12,2.05,13.1,17
CDM,162985,TOPOTECAN 4 MG INJ,21962.12,21962.12,1537.35,21962.12,47
CDM,171464,PERC TA W STENT,51771.62,51771.62,3624.01,51771.62,64
CDM,171477,ALBUMIN INF 25% 100 ML,1250.29,1250.29,87.52,1250.29,46
CDM,171488,EPTIFIBATIDE 20 MG INJ,171.72,171.72,12.02,171.72,47
CDM,171489,"Injection, regadenoson, 0.1 mg ",108.0,108.0,2.81,337.11,17
CDM,171489,REGADENOSON 0.4 MG INJ,108.0,108.0,7.56,108.0,47
CDM,171497,EPOETIN ALFA 100 U ESRD,478.17,478.17,33.47,478.17,54
CDM,171505,LOCM 300-399 IC 150ML,2887.9,2887.9,202.15,2887.9,47
CDM,171511,LOCM 300-399 IC 50ML,969.03,969.03,67.83,969.03,47
CDM,171512,LOCM 300-399 IC 100ML,2092.09,2092.09,146.45,2092.09,47
CDM,171519,DAPTOMYCIN 500 MG INJ,113.01,113.01,7.91,113.01,47
CDM,171519,"Injection, daptomycin, 1 mg ",113.01,113.01,0.03,3.11,17
CDM,171612,INS TNL INTRAPERI CATH,29243.34,29243.34,2047.03,29243.34,64
CDM,171614,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,171616,FOSAPREPITANT 150 MG INJ,1150.67,1150.67,80.55,1150.67,47
CDM,171616,"Injection, fosaprepitant, 1 mg ",1150.67,1150.67,0.11,7.99,17
CDM,171625,GLUTERALDEHYDE 0.63% SOL,931.86,931.86,65.23,931.86,67
CDM,171645,ALPHAGAN 0.2% DROPS 5M,334.51,334.51,23.42,334.51,67
CDM,171648,CVV HEMODIALYSIS DAILY,5797.16,5797.16,405.8,5797.16,65
CDM,171673,PPSV23 VAC IMSQ,710.35,710.35,49.72,710.35,42
CDM,171673,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",710.35,710.35,129.47,1121.42,17
CDM,171673,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Other Outpat",710.35,710.35,,,0
CDM,171674,ADMIN PNEUMOCOCCAL VAC,313.06,313.06,21.91,313.06,59
CDM,171674,Administration of pneumococcal vaccine ,313.06,313.06,131.81,256.43,6
CDM,171679,ADMIN HEP B VACCINE,313.06,313.06,21.91,313.06,59
CDM,171679,Administration of hepatitis b vaccine ,313.06,313.06,142.72,277.66,6
CDM,171680,"Injection, velaglucerase alfa, 100 units ",25166.74,25166.74,376.52,3251.3,17
CDM,171680,VELAGLUCERASE 400 U INJ,25166.74,25166.74,1761.67,25166.74,42
CDM,171710,AGALSIDASE BETA 5 MG,13851.44,13851.44,969.6,13851.44,42
CDM,171710,"Injection, agalsidase beta, 1 mg ",13851.44,13851.44,220.75,1969.18,17
CDM,171737,ABREVA,160.44,160.44,11.23,160.44,67
CDM,171738,EPTIFIBATIDE 75 MG INJ,572.4,572.4,40.07,572.4,47
CDM,171806,DULERA INHALER 200/5,1277.05,1277.05,89.39,1277.05,67
CDM,171822,US PREG AFTER 1ST TRI,2204.94,2204.94,154.35,2204.94,48
CDM,171823,US PRG AFT 1ST TRI AD,3382.79,3382.79,236.8,3382.79,54
CDM,171827,US PREGNANCY LTD,1089.69,1089.69,76.28,1089.69,48
CDM,171830,US FETAL BIOPHYS PROF,1558.53,1558.53,109.1,1558.53,48
CDM,171856,PROCEDURE CATEGORY I,1537.71,1537.71,107.64,1537.71,64
CDM,171858,PROCEDURE CATEGORY II,2761.7,2761.7,193.32,2761.7,64
CDM,171859,PROCEDURE CATEGORY III,7313.41,7313.41,511.94,7313.41,64
CDM,171865,US PREG W/FTL AN EX SGL,3247.38,3247.38,227.32,3247.38,48
CDM,171869,US PREG UT TRANSVAGINAL,530.15,530.15,37.11,530.15,48
CDM,171881,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,171883,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,171884,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,171885,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,171886,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,171887,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,171888,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,171889,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,171890,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,171892,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,171893,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,171894,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,171895,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,171896,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,171897,ADMIT SEMI PVT,6392.56,6392.56,,,0
CDM,171900,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,171901,OBG/SEMI/CCU OVRFW,19312.96,19312.96,,,0
CDM,171906,PERIPROC EVAL/PROG PM,249.84,249.84,17.49,249.84,58
CDM,171922,TOLVAPTAN 30MG PO,4089.43,4089.43,286.26,4089.43,59
CDM,171938,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",142.58,142.58,1.73,94.41,17
CDM,171938,INH FORMOTRL FUM 20 MCG,142.58,142.58,9.98,142.58,47
CDM,171944,XARELTO 10MG TABLET,104.2,104.2,7.29,104.2,67
CDM,171972,BRILINTA 90MG TAB,57.03,57.03,3.99,57.03,67
CDM,171976,FIDAXOMICIN 200 MG PO,1439.11,1439.11,100.74,1439.11,59
CDM,171977,IXABEPILONE 15 MG INJ,19479.22,19479.22,1363.55,19479.22,42
CDM,171978,BELATACEPT 250 MG INJ,5551.61,5551.61,388.61,5551.61,42
CDM,171995,NONEMERG AIR TRAVEL,78900.0,78900.0,5523.0,78900.0,71
CDM,172004,TOCILIZUMAB 200 MG INJ,7600.95,7600.95,532.07,7600.95,42
CDM,172019,PLERIXAFOR 24 MG INJ,3033.72,3033.72,212.36,3033.72,42
CDM,172033,SODIUM CHL 7% UD RT,12.92,12.92,0.9,12.92,67
CDM,172036,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,172360,THER APHERESIS WBC,10866.72,10866.72,760.67,10866.72,65
CDM,172361,FLUVAC IIV INC ANT 0.7IM,273.49,273.49,19.14,273.49,42
CDM,172362,ADMIN INFLUENZA VACCINE,297.69,297.69,20.84,297.69,59
CDM,172362,Administration of influenza virus vaccine ,297.69,297.69,65.42,127.28,6
CDM,172388,INSERT IVC ENDO,37809.69,37809.69,2646.68,37809.69,64
CDM,172390,PARACENTESIS WO IMAGE,2724.2,2724.2,190.69,2724.2,64
CDM,172402,LIGATION IVC,37809.69,37809.69,2646.68,37809.69,64
CDM,172404,PARACENTESIS W IMAGE,2724.2,2724.2,190.69,2724.2,64
CDM,172409,PARACENTESIS WO IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172410,PARACENTESIS WO IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172414,PARACENTESIS WO IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172415,PARACENTESIS WO IMAGE,4715.35,4715.35,330.07,4715.35,64
CDM,172421,PARACENTESIS W IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172422,PARACENTESIS W IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172426,PARACENTESIS W IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172428,PARACENTESIS W IMAGE,4715.35,4715.35,330.07,4715.35,64
CDM,172430,PERITNL LAVAGE W IMAGE,2724.2,2724.2,190.69,2724.2,64
CDM,172434,PERITNL LAVAGE W IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172435,PERITNL LAVAGE W IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172440,PERITNL LAVAGE W IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,172441,PERITNL LAVAGE W IMAGE,4715.35,4715.35,330.07,4715.35,64
CDM,172470,ENALAPRIL ORAL SUSP,5.95,5.95,0.42,5.95,67
CDM,172473,CABAZITAXEL 1 MG INJ,168811.75,168811.75,11816.82,168811.75,42
CDM,172475,DENOSUMAB 1 MG INJ,161.49,161.49,11.3,161.49,42
CDM,172479,CATH 1ST OD RENAL RT,25448.55,25448.55,1781.4,25448.55,64
CDM,172480,CATH 1ST OD RENAL LT,25448.55,25448.55,1781.4,25448.55,64
CDM,172505,CATH 1ST OD RENAL,25448.55,25448.55,1781.4,25448.55,64
CDM,172509,CATH 1 OR M 2ND OD RNLRT,25448.55,25448.55,1781.4,25448.55,64
CDM,172510,CATH 1 OR M 2ND OD RNLLT,25448.55,25448.55,1781.4,25448.55,64
CDM,172536,CATH 1 OR M 2ND OD RNL,25448.55,25448.55,1781.4,25448.55,64
CDM,172554,PLETHYSMOGRAPHY,2967.92,2967.92,207.75,2967.92,59
CDM,172554,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",2967.92,2967.92,696.02,1354.08,6
CDM,172567,CATH 1ST OD RENAL BIL,25448.55,25448.55,1781.4,25448.55,64
CDM,172578,CATH 1 OR M 2ND OD RNLBI,25448.55,25448.55,1781.4,25448.55,64
CDM,172588,HEPA IMAG INCL GB,3347.01,3347.01,234.29,3347.01,48
CDM,172588,"Hepatobiliary system imaging, including gallbladder when present; ",3347.01,3347.01,298.51,1369.13,28
CDM,172588,"Hepatobiliary system imaging, including gallbladder when present; Age 21+",3347.01,3347.01,333.37,333.37,4
CDM,172588,"Hepatobiliary system imaging, including gallbladder when present; Age Under 21",3347.01,3347.01,339.43,339.43,4
CDM,172597,HEPA IMAG INCL GB W PHA,4354.95,4354.95,304.85,4354.95,48
CDM,172597,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",4354.95,4354.95,401.19,1872.86,28
CDM,172597,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Age 21+",4354.95,4354.95,448.03,448.03,4
CDM,172597,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Age Under 21",4354.95,4354.95,456.18,456.18,4
CDM,172600,UNLSTD NINVS VASC DX S,306.1,306.1,21.43,306.1,55
CDM,172612,DIFFUSING CAPACITY,2321.42,2321.42,162.5,2321.42,54
CDM,172612,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",2321.42,2321.42,128.84,250.65,6
CDM,172616,RIVAROXABAN 20 MG PO,108.66,108.66,7.61,108.66,67
CDM,172627,RIVAROXABAN 15 MG PO,108.66,108.66,7.61,108.66,67
CDM,172631,ANTIVENIN CROFAB 1 G INJ,33116.74,33116.74,2318.17,33116.74,42
CDM,172631,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",33116.74,33116.74,1785.79,17748.9,17
CDM,172633,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",14099.69,14099.69,201.28,1767.01,17
CDM,172633,LUMIZYME 50 MG INJ,14099.69,14099.69,986.98,14099.69,42
CDM,172637,OVERFLOW PVT,6647.47,6647.47,,,0
CDM,172652,INTRO SHTH 6FR 22G 45X11,2921.0,2921.0,204.47,2921.0,71
CDM,172659,GRFT BN ILIAC 13-15MM,12421.0,12421.0,1366.31,12421.0,57
CDM,172660,CATH INFS 13F .25IN 2LUM,38940.0,38940.0,2725.8,38940.0,71
CDM,172661,CATH INFS 16FR 5.5IN 2LU,38940.0,38940.0,2725.8,38940.0,71
CDM,172680,PULM VENT & PERF IMAG,6052.71,6052.71,423.69,6052.71,48
CDM,172680,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",6052.71,6052.71,304.76,1314.25,28
CDM,172680,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Age 21+",6052.71,6052.71,340.34,340.34,4
CDM,172680,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Age Under 21",6052.71,6052.71,346.53,346.53,4
CDM,172681,PULM VENT IMAGING,6052.71,6052.71,423.69,6052.71,48
CDM,172681,"Pulmonary ventilation imaging (eg, aerosol or gas) ",6052.71,6052.71,173.78,848.52,28
CDM,172681,"Pulmonary ventilation imaging (eg, aerosol or gas) Age 21+",6052.71,6052.71,194.07,194.07,4
CDM,172681,"Pulmonary ventilation imaging (eg, aerosol or gas) Age Under 21",6052.71,6052.71,197.6,197.6,4
CDM,172682,QUANT DIF PULM PRF & VNT,5430.59,5430.59,380.14,5430.59,48
CDM,172682,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",5430.59,5430.59,277.78,1231.91,28
CDM,172682,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Age 21+",5430.59,5430.59,310.21,310.21,4
CDM,172682,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Age Under 21",5430.59,5430.59,315.85,315.85,4
CDM,172711,CTA ABD&PEL W CONT,3656.46,3656.46,255.95,3656.46,43
CDM,172719,QUANT DIF PULM PERF,5430.59,5430.59,380.14,5430.59,48
CDM,172719,"Quantitative differential pulmonary perfusion, including imaging when performed ",5430.59,5430.59,185.29,848.52,28
CDM,172719,"Quantitative differential pulmonary perfusion, including imaging when performed Age 21+",5430.59,5430.59,206.92,206.92,4
CDM,172719,"Quantitative differential pulmonary perfusion, including imaging when performed Age Under 21",5430.59,5430.59,210.68,210.68,4
CDM,172726,RETRIVAL IVC FILTER,25948.03,25948.03,1816.36,25948.03,64
CDM,172747,APLY SS 25 SQ CM=<100 SQ,2724.2,2724.2,190.69,2724.2,64
CDM,172748,APLY SS+EA 25SQCM=<100SQ,934.22,934.22,65.4,934.22,64
CDM,172749,APLY SS 25 SQ CM=>100 SQ,4231.21,4231.21,296.18,4231.21,64
CDM,172750,APLY SS 25 SQ CM=>100 SQ,2724.2,2724.2,190.69,2724.2,64
CDM,172751,APLY SS 25 SQ CM=<100 SQ,2724.2,2724.2,190.69,2724.2,64
CDM,172752,APLY SS+EA 25 SQCM=<100S,934.22,934.22,65.4,934.22,64
CDM,172753,APLY SS 25 SQCM=>100SQCM,4231.21,4231.21,296.18,4231.21,64
CDM,172754,APLY SS 25 SQ CM=>100SQ,2724.2,2724.2,190.69,2724.2,64
CDM,172771,CEFTAROLINE 600 MG INJ,1390.28,1390.28,97.32,1390.28,42
CDM,172771,"Injection, ceftaroline fosamil, 10 mg ",1390.28,1390.28,4.12,36.26,17
CDM,172775,OMNIPAQUE 240 50 ML,211.55,211.55,14.81,211.55,47
CDM,172776,MULTIHANCE 10 ML,314.06,314.06,21.98,314.06,47
CDM,172777,MULTIHANCE 20 ML,567.54,567.54,39.73,567.54,47
CDM,172779,INJ CELIAC PLXUS W/FLURO,6374.06,6374.06,446.18,6374.06,64
CDM,172783,APPLY VEN WND COMP BK RT,1051.83,1051.83,115.7,1051.83,37
CDM,172784,APPLY VEN WND COMP BK LT,1051.83,1051.83,115.7,1051.83,37
CDM,172785,EV RX OF NSGD SP,1079.49,1079.49,75.56,1079.49,50
CDM,172785,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",1079.49,1079.49,90.28,487.81,8
CDM,172786,ACETAMINO NOS 1000MG INJ,257.06,257.06,17.99,257.06,47
CDM,172786,"Injection, acetaminophen, not otherwise specified,10 mg ",257.06,257.06,0.05,1.66,17
CDM,172815,DENOSUMAB 60 MG INJ,10536.92,10536.92,737.58,10536.92,42
CDM,172831,GASTROGRAFIN 37% 120 ML,338.63,338.63,23.7,338.63,46
CDM,172872,SP VENOGRAM EXT BI,6780.81,6780.81,474.66,6780.81,48
CDM,172873,SP VENOGRAM EXT UNI,4512.56,4512.56,315.88,4512.56,48
CDM,172875,DALIRESP 500 MCG TAB,83.84,83.84,5.87,83.84,67
CDM,172876,OLOPATADNE 665MCG SPR,1067.12,1067.12,74.7,1067.12,59
CDM,172877,VIMPAT 50 MG/5 ML OS,63.07,63.07,4.41,63.07,67
CDM,172888,ERIBULIN 1 MG INJ,16495.4,16495.4,1154.68,16495.4,42
CDM,172888,"Injection, eribulin mesylate, 0.1 mg ",16495.4,16495.4,74.46,894.37,17
CDM,172889,DENOSUMAB 120 MG INJ,19382.04,19382.04,1356.74,19382.04,42
CDM,172896,WADA ACTIVATION TEST,4994.97,4994.97,349.65,4994.97,59
CDM,172896,"Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoring ",4994.97,4994.97,977.21,1901.12,6
CDM,172908,TREPROSTINIL 1 MG,626.75,626.75,43.87,626.75,42
CDM,172911,LEUPROLIDE ACET 1 MG INJ,748.33,748.33,52.38,748.33,55
CDM,172911,"Leuprolide acetate, per 1 mg ",748.33,748.33,126.41,439.74,12
CDM,172917,"Injection, mitoxantrone hydrochloride, per 5 mg ",1637.17,1637.17,37.45,253.14,17
CDM,172917,MITOXANTRONE 5 MG INJ,1637.17,1637.17,114.6,1637.17,42
CDM,172940,GENTAMICIN 2 MG/ML INJ,0.34,0.34,0.02,0.34,47
CDM,172943,LVL 1 EMER DEPT,745.74,745.74,82.03,745.74,37
CDM,172944,LVL 2 EMER DEPT,1243.98,1243.98,136.84,1243.98,37
CDM,172945,LVL 3 EMER DEPT,2137.61,2137.61,235.14,2137.61,37
CDM,172946,LVL 4 EMER DEPT,3227.29,3227.29,355.0,3227.29,37
CDM,172947,LVL 5 EMER DEPT,4667.37,4667.37,513.41,4667.37,37
CDM,172957,MELATONIN 1 MG TAB,1.04,1.04,0.07,1.04,67
CDM,173024,GRAFT BN PLV ALGRF FRZN,139753.0,139753.0,15372.83,139753.0,57
CDM,173026,PORT IMPL INFSN 6FR,4439.0,4439.0,488.29,4439.0,57
CDM,173032,SCREW BN 3.5MM 32MM,1747.0,1747.0,192.17,1747.0,57
CDM,173060,VILAZODONE 10MG TAB,65.65,65.65,4.6,65.65,67
CDM,173080,SANTYL 1 GM,53.91,53.91,3.77,53.91,67
CDM,173089,INS PICC LINE <5 YRS,12933.9,12933.9,1422.73,12933.9,64
CDM,173090,INS PICC LINE 5+ YRS,12933.9,12933.9,1422.73,12933.9,64
CDM,173091,DECLOT ACCESS DEVICE,1974.11,1974.11,138.19,1974.11,64
CDM,173141,TRADJENTA 5MG TAB,138.27,138.27,9.68,138.27,67
CDM,173170,PERIPROC EVAL/PROG ICD,249.84,249.84,17.49,249.84,58
CDM,173170,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",249.84,249.84,55.49,1668.0,10
CDM,173174,APPLY VEN WND COMP BK BI,1577.75,1577.75,173.55,1577.75,37
CDM,173192,LEVETIRACETAM 1 G INJ,155.6,155.6,10.89,155.6,47
CDM,173200,PANITUMUMAB 400 MG INJ,39504.28,39504.28,2765.3,39504.28,42
CDM,173231,MULTIHANCE 5 ML,160.07,160.07,11.2,160.07,47
CDM,173232,MULTIHANCE 15 ML,459.59,459.59,32.17,459.59,47
CDM,173234,RIBAVIRIN 200 MG CAP,48.2,48.2,3.37,48.2,67
CDM,173236,INJ FACET C/T SGL FLU/CT,6544.08,6544.08,458.09,6544.08,64
CDM,173240,THORACENTESIS W/O IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173241,THORACENTESIS W/ IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173243,NSP THOR AORT W/ ANGIO,17253.67,17253.67,1207.76,17253.67,70
CDM,173244,SP EX CAROTID ANGIO UNIL,22275.99,22275.99,1559.32,22275.99,64
CDM,173245,SP COM CAROTIDANGIO UNIL,22275.99,22275.99,1559.32,22275.99,64
CDM,173248,SP SUBCL ANGIO,20297.03,20297.03,1420.79,20297.03,64
CDM,173249,SP VERT ANGIO UNILAT,39124.07,39124.07,2738.68,39124.07,64
CDM,173250,SP EX CARTIDANGIOUNI ADD,7067.92,7067.92,494.75,7067.92,64
CDM,173251,TRNSCTH TX ART INITIAL,8198.16,8198.16,573.87,8198.16,64
CDM,173252,TRNSCTH TX VENOUS INITIL,8198.16,8198.16,573.87,8198.16,64
CDM,173253,TRNSCTH TX ART VEN CONT,13810.21,13810.21,966.71,13810.21,64
CDM,173254,TRNSCTH TX ART/VEN FINAL,13810.21,13810.21,966.71,13810.21,64
CDM,173256,UL DX RAD PROCEDURE,1937.84,1937.84,135.65,1937.84,52
CDM,173258,THORACENTESIS W/ IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173259,THORACENTESIS W/O IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173265,THORACENTESIS W/O IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173266,SP EX CAROTID ANGIO UNIL,4447.7,4447.7,311.34,4447.7,64
CDM,173267,THORACENTESIS W/O IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173269,THORACENTESIS W/ IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173290,THORACENTESIS W/O IMAG,4447.7,4447.7,311.34,4447.7,64
CDM,173292,THORACENTESIS W/ IMAG,4447.7,4447.7,311.34,4447.7,64
CDM,173308,THORACENTESIS W/O IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173309,THORACENTESIS W/ IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173346,THORACENTESIS W/O IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173347,THORACENTESIS W/ IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,173377,NM THYROID UPTAKE W STIM,1193.17,1193.17,83.52,1193.17,48
CDM,173377,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",1193.17,1193.17,79.98,848.52,28
CDM,173377,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Age 21+",1193.17,1193.17,89.32,89.32,4
CDM,173377,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Age Under 21",1193.17,1193.17,90.94,90.94,4
CDM,173378,NM THYROID SCN UP/STIM V,2602.24,2602.24,182.16,2602.24,48
CDM,173378,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",2602.24,2602.24,214.92,1009.08,28
CDM,173378,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Age 21+",2602.24,2602.24,240.01,240.01,4
CDM,173378,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Age Under 21",2602.24,2602.24,244.37,244.37,4
CDM,173379,NM THYROID SCAN W/FL,2475.77,2475.77,173.3,2475.77,48
CDM,173379,"Thyroid imaging (including vascular flow, when performed); ",2475.77,2475.77,169.16,848.52,28
CDM,173379,"Thyroid imaging (including vascular flow, when performed); Age 21+",2475.77,2475.77,188.91,188.91,4
CDM,173379,"Thyroid imaging (including vascular flow, when performed); Age Under 21",2475.77,2475.77,192.35,192.35,4
CDM,173463,TRANSCATH RTRV FB S&I,16854.89,16854.89,1179.84,16854.89,64
CDM,173464,UPPER GI ENDO SMPL EX,3590.77,3590.77,251.35,3590.77,64
CDM,173465,BRONC THERMPLSTY 1 LOBE,16953.77,16953.77,1186.76,16953.77,64
CDM,173466,BRONC THERMPLSTY 2 LOBES,16953.77,16953.77,1186.76,16953.77,64
CDM,173502,ADD INTRACRD AFIB/PV ISO,44574.36,44574.36,4903.18,44574.36,43
CDM,173502,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,44574.36,44574.36,1226.94,43890.0,26
CDM,173530,BELATACEPT 1 MG INJ,22.19,22.19,1.55,22.19,42
CDM,173535,DOXORUB LIPOSOM 20MG INJ,16138.19,16138.19,1129.67,16138.19,41
CDM,173535,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",16138.19,16138.19,69.7,1858.64,17
CDM,173590,GRAFT SYN TISS 15CC,36682.0,36682.0,4035.02,36682.0,57
CDM,173593,PLATE BN 242X13.5X4.2MM,10460.0,10460.0,1150.6,10460.0,57
CDM,173594,GWIRE THRD 3.2X230MM,4501.0,4501.0,315.07,4501.0,71
CDM,173595,SCREW BN 7MM 60MM,15606.0,15606.0,1716.66,15606.0,57
CDM,173596,SUTURE CV-6 TTC-9 24IN,9727.0,9727.0,680.89,9727.0,71
CDM,173658,UNLISTED TRACHEA/BRONC,8239.07,8239.07,576.73,8239.07,64
CDM,173659,UNLISTED TRACHEA/BRONC,8239.07,8239.07,576.73,8239.07,64
CDM,173690,CATH EVD CRBRO 10F 1.9MM,12169.0,12169.0,851.83,12169.0,71
CDM,173696,SCREW BN LCK 2.5MM 14MM,3494.0,3494.0,384.34,3494.0,57
CDM,173700,COMPNT FEM N-POR LT SZ6,38700.0,38700.0,4257.0,38700.0,57
CDM,173704,INSERT TIB KN SZ2 12MM,24510.0,24510.0,2696.1,24510.0,57
CDM,173708,SUTURE CV-6 TTC-9 30IN,9874.0,9874.0,691.18,9874.0,71
CDM,173718,CONNECTOR W/LL FITTING,264.0,264.0,18.48,264.0,71
CDM,173722,PLATE 130D 111X23MM SS 5,11868.0,11868.0,1305.48,11868.0,57
CDM,173727,SCREW CRNMXF 1LV 1.5X9MM,1266.0,1266.0,139.26,1266.0,57
CDM,173737,SCREW BN DIST 5MM 26MM,2220.0,2220.0,244.2,2220.0,57
CDM,173738,PLATE BN 48-51MM TI HL,51375.0,51375.0,5651.25,51375.0,57
CDM,173740,INSERT TIB KN SZ5 10MM,39732.0,39732.0,4370.52,39732.0,57
CDM,173745,STEM KN RV CMNT 14X30MM,15480.0,15480.0,1702.8,15480.0,57
CDM,173758,NEEDL BX ECHTP 20G 7.95F,7030.0,7030.0,492.1,7030.0,71
CDM,173759,STENT PANC 5FR 3CM,1101.0,1101.0,121.11,1101.0,57
CDM,173771,DRESSING CLGN 4.5X4.25IN,900.0,900.0,63.0,900.0,71
CDM,173782,CUFF URTH SPHNCR AB 9CM,119975.0,119975.0,13197.25,119975.0,57
CDM,173786,HEAD FEM HIP SZ3 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,173787,DRILL TWIST 2MM 115MM,2886.0,2886.0,202.02,2886.0,71
CDM,173788,SCREW BN MDFC 12X2.7 XDR,987.0,987.0,108.57,987.0,57
CDM,173789,PLATE BN 4MM 1.6MM 1.5MM,4357.0,4357.0,479.27,4357.0,57
CDM,173790,PLATE BN 5MM 1/1.5MM,4069.0,4069.0,447.59,4069.0,57
CDM,173795,INSERT FEM KN RT SZ9,88920.0,88920.0,9781.2,88920.0,57
CDM,173797,INSERT TIB SZ9 8MM,39732.0,39732.0,4370.52,39732.0,57
CDM,173798,PLATE BN 24HL .1MM,7862.0,7862.0,864.82,7862.0,57
CDM,173800,STEM KN FEM 20MM 60MM,27045.0,27045.0,2974.95,27045.0,57
CDM,173809,REAMER HEAD STRL 15.0MM,11433.0,11433.0,800.31,11433.0,71
CDM,173810,REAMER HEAD STRL 14.0MM,11433.0,11433.0,800.31,11433.0,71
CDM,173824,KIT ANCHOR BN MENISCL,12844.0,12844.0,1412.84,12844.0,57
CDM,173832,SULFAMETH/TMP LIQ PO,2.04,2.04,0.14,2.04,67
CDM,173839,KIT BNDL ORAL SPLINT,23443.0,23443.0,1641.01,23443.0,71
CDM,173840,KIT MANDBL/FOSSA MODEL,121286.0,121286.0,8490.02,121286.0,71
CDM,173850,PLATE BN RT 22MM 186MM,33451.0,33451.0,3679.61,33451.0,57
CDM,173864,CATH DRN 20FR 22IN,389.0,389.0,27.23,389.0,71
CDM,173865,CATH DRN RT 12FR 16IN,424.0,424.0,29.68,424.0,71
CDM,173881,LINE ANGIO 3.6MM 1.8MM,109.0,109.0,7.63,109.0,71
CDM,173884,IMPLANT BREAST 415CC,17982.0,17982.0,1978.02,17982.0,57
CDM,173885,IMPLANT BREAST 575CC,17982.0,17982.0,1978.02,17982.0,57
CDM,173901,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173903,THEOPHYLLINE LIQ PO,1.06,1.06,0.07,1.06,67
CDM,173904,VALACYCLOVIR LIQ PO,1.79,1.79,0.13,1.79,67
CDM,173912,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173913,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173914,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173915,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173916,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173918,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173919,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173920,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173921,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173922,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173923,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173924,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173925,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173926,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173929,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173930,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173931,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173932,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173933,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173934,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173937,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173938,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173941,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173942,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173947,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173948,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173949,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173955,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173956,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173957,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173958,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173959,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173960,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173964,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173965,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173966,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173967,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173975,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173976,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173977,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,173996,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,173997,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,174001,IVP SNGL/INITL DRUG GY,616.3,616.3,43.14,616.3,59
CDM,174007,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,174008,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,174009,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,174018,IVP SNGL/INITL DRUG GY,658.48,658.48,46.09,658.48,59
CDM,174019,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,174033,IVP SNGL/INITL DRUG GY,582.5,582.5,40.77,582.5,59
CDM,174035,IVP EA ADD SEQ S DRUG GY,593.73,593.73,41.56,593.73,65
CDM,174043,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,174044,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,174051,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,174052,IVP SNGL/INITL DRUG GY,658.48,658.48,46.09,658.48,59
CDM,174053,IVP SNGL/INITL DRUG GY,582.5,582.5,40.77,582.5,59
CDM,174055,IVP EA ADD SEQ S DRUG GY,593.73,593.73,41.56,593.73,65
CDM,174065,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,174066,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,174067,IVP EA ADD SEQ S DRUG GY,616.3,616.3,43.14,616.3,65
CDM,174089,VALGANCICLOVIR LIQ PO,44.72,44.72,3.13,44.72,59
CDM,174112,SCREW SPN H-PAX 4.5X35MM,12655.0,12655.0,1392.05,12655.0,57
CDM,174113,SCREW SPN H-PAX 4.5X30MM,13134.0,13134.0,1444.74,13134.0,57
CDM,174122,PLATE BN 5H RT/WD 83MM,53944.0,53944.0,5933.84,53944.0,57
CDM,174123,SCREW BN 2.4MM 12MM,2058.0,2058.0,226.38,2058.0,57
CDM,174124,SCREW BN 3.5MM 12MM,1039.0,1039.0,114.29,1039.0,57
CDM,174125,SCREW BN 3.5MM 12MM,4809.0,4809.0,528.99,4809.0,57
CDM,174142,VALPROIC ACID LIQ PO,0.69,0.69,0.05,0.69,67
CDM,174147,SPACER SHLDR HUM 9X30MM,63546.0,63546.0,6990.06,63546.0,57
CDM,174157,SCREW BN 2.4MM 19MM,971.0,971.0,106.81,971.0,57
CDM,174162,CATH DRAIN THRMB 36FR ST,1232.0,1232.0,86.24,1232.0,71
CDM,174163,CATH DRN 40FR 20IN ARGYL,1364.0,1364.0,95.48,1364.0,71
CDM,174164,BIT DRILL TWST 40X1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,174166,INSERT TIB KN SZ4 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,174177,VORICONAZOLE LIQ PO,63.32,63.32,4.43,63.32,59
CDM,174178,DRILL TWST 105MM 1.5MM,2886.0,2886.0,202.02,2886.0,71
CDM,174179,LINER ACTB HIP SZD 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,174180,STEM FEM 115MM CMNT,36120.0,36120.0,3973.2,36120.0,57
CDM,174181,HEAD HIP BIP 49MM,11610.0,11610.0,1277.1,11610.0,57
CDM,174182,NAIL BN 3.8X130MM,87934.0,87934.0,9672.74,87934.0,57
CDM,174190,CMPNT TIB KN SZC,59211.0,59211.0,6513.21,59211.0,57
CDM,174192,ZIDOVUDINE 10MG PO,1.06,1.06,0.07,1.06,46
CDM,174199,ANCHOR SUT 3.9MM 17.9MM,11755.0,11755.0,1293.05,11755.0,57
CDM,174212,SCREW BN 2.7MM 16MM,3525.0,3525.0,387.75,3525.0,57
CDM,174213,SCREW BN 2.7MM 18MM,3525.0,3525.0,387.75,3525.0,57
CDM,174214,SCREW BN 3.5MMX12MM LOCK,3525.0,3525.0,387.75,3525.0,57
CDM,174215,PLATE LOPRO 9 HOLE 155MM,22700.0,22700.0,2497.0,22700.0,57
CDM,174217,SCREW BN 3.5MM 12MM,1727.0,1727.0,189.97,1727.0,57
CDM,174226,HEAD FEM HIP +3.5MM 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,174243,SCREW BN 3.5MM 36MM,2713.0,2713.0,298.43,2713.0,57
CDM,174244,SCREW BN 4MM 50MM,2158.0,2158.0,237.38,2158.0,57
CDM,174246,SCREW BN 4MM 55MM,2158.0,2158.0,237.38,2158.0,57
CDM,174386,PERC PLEUR DRN W/ IMG,5208.01,5208.01,364.56,5208.01,64
CDM,174387,SP EX CAROTID ANGIO BI,17753.3,17753.3,1242.73,17753.3,70
CDM,174393,SP SUBCL ANGIO,17876.22,17876.22,1251.34,17876.22,70
CDM,174394,SP SUBCL ANGIO,17876.22,17876.22,1251.34,17876.22,70
CDM,174399,SP INCRAN ANGIO BI,5473.47,5473.47,383.14,5473.47,70
CDM,174400,SP INCRAN ANGIO,5473.47,5473.47,383.14,5473.47,70
CDM,174402,NM PARATHY SPECT & CT,3276.75,3276.75,229.37,3276.75,48
CDM,174402,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",3276.75,3276.75,445.35,1456.31,13
CDM,174432,SP INT CAROTID ANGIO BI,55353.66,55353.66,3874.76,55353.66,70
CDM,174435,SP SUBCL ANGIO BI,17876.22,17876.22,1251.34,17876.22,70
CDM,174436,SP SUBCL ANGIO,17876.22,17876.22,1251.34,17876.22,70
CDM,174540,EP REPOS ELE SVT SGL,100444.87,100444.87,11048.94,100444.87,37
CDM,174541,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",100444.87,100444.87,5591.0,57218.76,26
CDM,174541,EP REPOS ELE VT 3D MAP,100444.87,100444.87,11048.94,100444.87,37
CDM,174542,EP INTRACARD DX TX,34588.02,34588.02,3804.68,34588.02,43
CDM,174542,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",34588.02,34588.02,1228.92,43890.0,26
CDM,174543,COM EP REPO CTH TX AFIB,100444.87,100444.87,11048.94,100444.87,37
CDM,174553,SP EX CAROTID ANGIO UNIL,22275.99,22275.99,1559.32,22275.99,64
CDM,174554,SP EX CAROTID ANGIO UNIL,22275.99,22275.99,1559.32,22275.99,64
CDM,174555,SP COM CAROTIDANGIO UNIL,22275.99,22275.99,1559.32,22275.99,64
CDM,174556,SP COM CAROTIDANGIO UNIL,22275.99,22275.99,1559.32,22275.99,64
CDM,174557,SP INT CAROTID ANGIO UNI,39124.07,39124.07,2738.68,39124.07,64
CDM,174558,SP INT CAROTID ANGIO UNI,39124.07,39124.07,2738.68,39124.07,64
CDM,174559,SP VERT ANGIO UNILAT,39124.07,39124.07,2738.68,39124.07,64
CDM,174560,SP VERT ANGIO UNILAT,39124.07,39124.07,2738.68,39124.07,64
CDM,174561,SP EX CARTIDANGIOUNI ADD,7067.92,7067.92,494.75,7067.92,64
CDM,174562,SP EX CARTIDANGIOUNI ADD,7067.92,7067.92,494.75,7067.92,64
CDM,174571,SP INCRAN ANGIO,5473.47,5473.47,383.14,5473.47,70
CDM,174621,THORACENTESIS W/ IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,174724,Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube ,418.75,418.75,505.89,984.19,6
CDM,174724,SURFACTANT,418.75,418.75,29.31,418.75,48
CDM,174725,CIRC RESP REC CONT INF,6511.0,6511.0,455.77,6511.0,59
CDM,174725,"Circadian respiratory pattern recording (pediatric pneumogram), 12-24 hour continuous recording, infant ",6511.0,6511.0,1335.43,2598.01,6
CDM,174730,ELTROMBOPAG 50 MG PO,2363.29,2363.29,165.43,2363.29,59
CDM,174731,HUMAN FIBRINOGEN 1MG INJ,8.31,8.31,0.58,8.31,42
CDM,174731,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",8.31,8.31,1.47,13.0,17
CDM,174733,OB PRIVATE,3120.72,3120.72,,,0
CDM,174740,SI ENDO W/O IL CNTL BLD,6239.25,6239.25,436.75,6239.25,64
CDM,174741,SI ENDO W IL STNT PLCMT,12027.85,12027.85,841.95,12027.85,64
CDM,174742,CD 34 ADD,734.15,734.15,51.39,734.15,54
CDM,174744,CD 3 ADD,734.15,734.15,51.39,734.15,54
CDM,174745,CD 4 ADD,734.15,734.15,51.39,734.15,54
CDM,174746,CD8 FC ADD,734.15,734.15,51.39,734.15,54
CDM,174754,EGD W/ ABLATION,4976.46,4976.46,348.35,4976.46,64
CDM,174774,LIGATION HEMORROID-RUBBE,2529.2,2529.2,177.04,2529.2,64
CDM,174778,CHEMODVRVTN INT ANAL SPH,7412.87,7412.87,518.9,7412.87,64
CDM,174779,BETADINE 5% OPH SOL 30ML,82.45,82.45,5.77,82.45,67
CDM,174790,INTUNIV 1 MG TAB,69.81,69.81,4.89,69.81,67
CDM,174800,ERTAPENEM SOD 1 G INJ,228.96,228.96,16.03,228.96,47
CDM,174800,"Injection, ertapenem sodium, 500 mg ",228.96,228.96,7.0,187.15,17
CDM,174804,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,174805,ABLATION BONE TUMOR,31017.97,31017.97,2171.26,31017.97,64
CDM,174814,PROCEDURE CATEGORY I,2074.93,2074.93,228.24,2074.93,64
CDM,174815,PROCEDURE CATEGORY II,3728.27,3728.27,410.11,3728.27,64
CDM,174816,PROCEDURE CATEGORY III,9869.36,9869.36,1085.63,9869.36,64
CDM,174819,APIXABAN 5 MG PO,57.81,57.81,4.05,57.81,67
CDM,174822,UNLISTED CHEMO PROC,497.32,497.32,34.81,497.32,53
CDM,174822,Unlisted chemotherapy procedure ,497.32,497.32,104.8,203.89,6
CDM,175435,CAPSULE ENDOSCOPY ILEUM,4635.47,4635.47,324.48,4635.47,49
CDM,175435,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",4635.47,4635.47,771.68,5047.0,30
CDM,175435,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report Age 21+",4635.47,4635.47,861.77,861.77,4
CDM,175435,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report Age Under 21",4635.47,4635.47,877.44,877.44,4
CDM,175437,XR FLUOROSCOPY 0-60 MIN,1559.52,1559.52,109.17,1559.52,48
CDM,175440,NS 500 ML,594.98,594.98,41.65,594.98,47
CDM,175442,EPIDURAL ADMINISTRATION,761.33,761.33,53.29,761.33,71
CDM,175447,CALCIUM IONIZED,1034.26,1034.26,72.4,1034.26,47
CDM,175448,ELECTROLYTE PANEL,1190.76,1190.76,83.35,1190.76,47
CDM,175449,GLUCOSE BLD QN,597.01,597.01,41.79,597.01,47
CDM,175450,Blood count; spun microhematocrit ,432.43,432.43,4.2,38.33,77
CDM,175450,Blood count; spun microhematocrit Age 21+,432.43,432.43,6.47,6.47,4
CDM,175450,Blood count; spun microhematocrit Age Under 21,432.43,432.43,6.59,6.59,4
CDM,175450,Blood count; spun microhematocrit Other Outpatient,432.43,432.43,7.35,7.35,6
CDM,175450,HEMATOCRIT SPUN,432.43,432.43,30.27,432.43,47
CDM,175451,SP SHUNTOGM NONVASC,1302.53,1302.53,91.18,1302.53,48
CDM,175452,SP VENOGRAM EXT BI,4230.01,4230.01,296.1,4230.01,48
CDM,175455,BX ABD/RETROPERITO,3196.41,3196.41,223.75,3196.41,64
CDM,175457,BIOPSY PROSTATE PERC SOR,4372.68,4372.68,306.09,4372.68,64
CDM,175458,SP PERC DRAIN,3864.39,3864.39,270.51,3864.39,54
CDM,175460,CATH HYSTEROSALPING,1859.31,1859.31,130.15,1859.31,64
CDM,175465,OBS PER HOUR,571.06,571.06,62.82,571.06,42
CDM,175468,OBS PER HOUR,571.06,571.06,62.82,571.06,42
CDM,175469,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,175471,PET TUMOR LIMITED AREA,26221.67,26221.67,1835.52,26221.67,43
CDM,175472,PET TUMOR LIMITED AREA,26221.67,26221.67,1835.52,26221.67,43
CDM,175480,POLYSOMNOGRAPHY >4 PAR,10842.74,10842.74,758.99,10842.74,55
CDM,175480,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",10842.74,10842.74,796.0,3130.0,13
CDM,175481,SENT NODE RAD TR INJ,2947.52,2947.52,206.33,2947.52,64
CDM,175506,ALDACTONE SUS 10/ML 1ML,26.16,26.16,1.83,26.16,67
CDM,175507,ZYLOPRIM SUS 4/ML 1ML,13.28,13.28,0.93,13.28,67
CDM,175510,BAZA CRM 5 OZ,193.83,193.83,13.57,193.83,67
CDM,175511,BEN GAY OINT 1.25OZ,84.2,84.2,5.89,84.2,67
CDM,175512,CAPOTEN SUS NEONATE,32.72,32.72,2.29,32.72,67
CDM,175515,COCAINE/PAC PER APPL,1629.24,1629.24,114.05,1629.24,67
CDM,175539,BREVITAL 500MG INJ,618.13,618.13,43.27,618.13,67
CDM,175546,TALC STERILE POWD 5GM,2141.14,2141.14,149.88,2141.14,59
CDM,175548,TRILEPTAL SUS 300MG 5ML,51.96,51.96,3.64,51.96,67
CDM,175549,URECHOLN SUS PD DOSE,26.16,26.16,1.83,26.16,67
CDM,175623,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",15900.49,15900.49,2061.58,18072.43,17
CDM,175623,THYROTROPIN ALPHA 0.9 MG,15900.49,15900.49,1113.03,15900.49,42
CDM,175644,ZOSTRIX CR 45GM,53.34,53.34,3.73,53.34,67
CDM,175645,TRIAMCINOLN ACE 40MG INJ,77.31,77.31,5.41,77.31,47
CDM,175683,LEXAPRO 10MG TAB,42.01,42.01,2.94,42.01,67
CDM,175693,SOD CHL 4MEQ/ML ORAL SYR,0.67,0.67,0.05,0.67,67
CDM,175708,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,175709,US PREG AFTER 1ST TRI,2204.94,2204.94,154.35,2204.94,48
CDM,175710,US PRG AFT 1ST TRI AD,3382.79,3382.79,236.8,3382.79,54
CDM,175711,US PREGNANCY LTD,1089.69,1089.69,76.28,1089.69,48
CDM,175712,US PREGNANCY FLW UP,1179.12,1179.12,82.54,1179.12,48
CDM,175718,US PREG AFTER 1ST TRI,2204.94,2204.94,154.35,2204.94,48
CDM,175719,US PRG AFT 1ST TRI AD,3382.79,3382.79,236.8,3382.79,54
CDM,175720,US PREGNANCY LTD,1089.69,1089.69,76.28,1089.69,48
CDM,175721,US PREGNANCY FLW UP,1179.12,1179.12,82.54,1179.12,48
CDM,175746,TC99M SESTAMIBI DX DOSE,1406.51,1406.51,98.46,1406.51,54
CDM,175746,"Technetium tc-99m sestamibi, diagnostic, per study dose ",1406.51,1406.51,469.65,848.96,15
CDM,175746,"Technetium tc-99m sestamibi, diagnostic, per study dose Max of 2 Units",1406.51,1406.51,70.0,70.0,1
CDM,175809,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175823,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175824,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,175837,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175852,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,175881,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175894,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,175896,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175897,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,175909,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,175910,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175911,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,175924,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,175938,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,175939,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175954,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,175969,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175970,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,175982,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,175998,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,175999,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,176011,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176027,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,176028,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,176040,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176069,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176083,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176084,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,176085,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,176098,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176099,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,176100,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,176112,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176127,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176141,CARNITOR 100MG/ML 1ML,2.14,2.14,0.15,2.14,67
CDM,176145,MICARDIS 20MG TAB,31.79,31.79,2.23,31.79,67
CDM,176168,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176226,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176242,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,176285,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176314,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,176315,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,176346,DIL ESOPH W/ BAL,8755.6,8755.6,612.89,8755.6,64
CDM,176350,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176351,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176355,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176356,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176368,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176369,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176372,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176373,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176377,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176378,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176381,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176386,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176387,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176394,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176395,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176403,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176404,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176413,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176422,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176430,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176431,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176435,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176439,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176443,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176460,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176461,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176469,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176473,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176478,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176491,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,176492,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,176500,CPR,2178.5,2178.5,152.5,2178.5,64
CDM,176566,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,176568,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,176601,PARING BENIGN LESION -1,780.78,780.78,54.65,780.78,64
CDM,176602,PARING BENIGN LESION 2-4,780.78,780.78,54.65,780.78,64
CDM,176604,PARING BENIGN LESION > 4,1166.05,1166.05,81.62,1166.05,64
CDM,176613,Strapping; Unna boot ,883.07,883.07,32.62,2636.0,43
CDM,176613,Strapping; Unna boot Age 21+,883.07,883.07,36.43,36.43,4
CDM,176613,Strapping; Unna boot Age Under 21,883.07,883.07,37.09,37.09,4
CDM,176613,UNNA BOOT,883.07,883.07,97.14,883.07,37
CDM,176618,GRAFT PREP 1ST 100 SQ CM,5381.92,5381.92,376.73,5381.92,64
CDM,176755,BRONC TRACH DIL STENT PL,7119.05,7119.05,498.33,7119.05,64
CDM,176756,BRONC TRACH DIL/CR,7119.05,7119.05,498.33,7119.05,64
CDM,176757,BRONC W/BRONC ALV LAV,9599.47,9599.47,671.96,9599.47,64
CDM,176759,BRONC W/BX,9599.47,9599.47,671.96,9599.47,64
CDM,176771,THER APHERESIS WBC,10866.72,10866.72,760.67,10866.72,65
CDM,176776,XR SURGICAL SPECIMEN,935.4,935.4,65.48,935.4,48
CDM,176782,DIANEAL/D 4.25% 2000ML,574.83,574.83,40.24,574.83,67
CDM,176785,DIANEAL/D 2.5% P2 2000ML,678.0,678.0,47.46,678.0,67
CDM,176806,OUTPT PROCEDUR LEVEL III,3220.01,3220.01,354.2,3220.01,64
CDM,176835,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,176838,INH TX AC AWY OBST,1557.03,1557.03,108.99,1557.03,48
CDM,176839,CONT POSITIVE EXP PRESS,1557.03,1557.03,108.99,1557.03,48
CDM,176842,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,176843,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,176851,BENICAR 20MG TAB,31.7,31.7,2.22,31.7,67
CDM,176853,BENICAR 40MG TAB,65.92,65.92,4.61,65.92,67
CDM,176981,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",2811.39,2811.39,33.23,263.15,17
CDM,176981,RHO IMM GLOB IV 1500 IU,2811.39,2811.39,196.8,2811.39,42
CDM,176996,UPPER GI DIR SUBMUC INJ,2654.51,2654.51,185.82,2654.51,64
CDM,176997,COLONOSCOPY DIR SUB INJ,4549.9,4549.9,318.49,4549.9,64
CDM,176999,FLEX SIG DIR SUBMUC INJ,2596.67,2596.67,181.77,2596.67,64
CDM,177003,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177004,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177007,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177008,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177009,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177010,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177011,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177014,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177016,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177018,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177021,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177022,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177026,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177027,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177044,EV SGD W/PT ADD 30 MN SP,501.32,501.32,35.09,501.32,44
CDM,177044,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",501.32,501.32,46.43,283.44,54
CDM,177052,EL ST UN IND NOT WC PT,178.53,178.53,12.5,178.53,44
CDM,177053,EL ST UN IND NOT WC OT,178.53,178.53,12.5,178.53,44
CDM,177128,INSERT BLADDER CATHETER,478.42,478.42,33.49,478.42,64
CDM,177129,INSERT TEMP BLADDER CATH,478.42,478.42,33.49,478.42,64
CDM,177130,INJ SACIL JOINT ARTHRO,1402.62,1402.62,98.18,1402.62,64
CDM,177136,INJ SI ANES/STD/TH AG,4457.99,4457.99,312.06,4457.99,64
CDM,177158,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,177161,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,177168,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,177169,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,177173,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,177187,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,177188,MEDICAL PRIVATE,6647.47,6647.47,,,0
CDM,177218,NASAL FUNCTION STUDIES,1383.75,1383.75,96.86,1383.75,59
CDM,177218,"Nasal function studies (eg, rhinomanometry) ",1383.75,1383.75,79.28,154.24,6
CDM,177220,RMV OBSTR MAT CV DEV,4522.72,4522.72,316.59,4522.72,64
CDM,177249,OXYCOD/APAP 10/325 MG PO,6.83,6.83,0.48,6.83,67
CDM,177275,MNT INIT ASSESS EA 15MIN,117.0,117.0,8.19,117.0,59
CDM,177276,MNT REASSESS EA 15 MIN,117.0,117.0,8.19,117.0,59
CDM,177277,MNT GROUP EA 30 MIN,193.19,193.19,13.52,193.19,59
CDM,177277,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",193.19,193.19,14.41,86.78,48
CDM,177277,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes Other Outpatient",193.19,193.19,15.2,15.2,6
CDM,177321,OP VISIT LEVEL 3 EST,724.27,724.27,50.7,724.27,54
CDM,177347,EMERGENT DIALYSIS ESRD,3505.97,3505.97,245.42,3505.97,59
CDM,177347,Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility ,3505.97,3505.97,1760.08,3424.16,6
CDM,177348,US PREG W/FTL AN EX SGL,3247.38,3247.38,227.32,3247.38,48
CDM,177349,US PREG W/FTL EX EA ADDL,1922.62,1922.62,134.58,1922.62,54
CDM,177350,US PREG UT TRANSVAGINAL,530.15,530.15,37.11,530.15,48
CDM,177351,US PREG 1ST TRIMTR,1753.99,1753.99,122.78,1753.99,48
CDM,177352,US PRG 1ST TRI EA ADD,1131.86,1131.86,79.23,1131.86,54
CDM,177357,ZETIA 10 MG UD TAB,76.99,76.99,5.39,76.99,67
CDM,177370,DUP A/V STUDY,937.32,937.32,65.61,937.32,49
CDM,177370,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",937.32,937.32,105.28,929.0,31
CDM,177370,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) Age 21+",937.32,937.32,117.57,117.57,4
CDM,177370,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) Age Under 21",937.32,937.32,119.71,119.71,4
CDM,177379,MED TCU-MS PVT OVERFLOW,6647.47,6647.47,,,0
CDM,177384,XR EYE FOREIGN BODY RT,1027.97,1027.97,71.96,1027.97,48
CDM,177389,XR EYE FOREIGN BODY LT,1027.97,1027.97,71.96,1027.97,48
CDM,177393,XR RIBS UNI 2 V RT,826.84,826.84,57.88,826.84,48
CDM,177398,XR RIBS UNI 2 V LT,826.84,826.84,57.88,826.84,48
CDM,177403,XR CLAVICLE COMP RT,922.64,922.64,64.58,922.64,48
CDM,177407,XR CLAVICLE COMP LT,922.64,922.64,64.58,922.64,48
CDM,177412,XR SCAPULA COMP RT,986.49,986.49,69.05,986.49,48
CDM,177416,XR SCAPULA COMP LT,986.49,986.49,69.05,986.49,48
CDM,177420,XR SHOULDER 1 V RT,747.04,747.04,52.29,747.04,48
CDM,177425,XR SHOULDER 1 V LT,747.04,747.04,52.29,747.04,48
CDM,177429,XR SHOULDER 2 + V RT,1115.75,1115.75,78.1,1115.75,48
CDM,177434,XR SHOULDER 2 + V LT,1115.75,1115.75,78.1,1115.75,48
CDM,177439,XR ARTHROGRAM SHLDR RT,2351.24,2351.24,164.59,2351.24,48
CDM,177446,XR ARTHROGRAM SHLDR LT,2351.24,2351.24,164.59,2351.24,48
CDM,177451,XR HUMERUS 2 + V RT,973.71,973.71,68.16,973.71,48
CDM,177456,XR HUMERUS 2 + V LT,973.71,973.71,68.16,973.71,48
CDM,177460,XR ELBOW 2 VIEWS RT,905.07,905.07,63.35,905.07,48
CDM,177464,XR ELBOW 2 VIEWS LT,905.07,905.07,63.35,905.07,48
CDM,177469,XR ELBOW 3 + V RT,1021.59,1021.59,71.51,1021.59,48
CDM,177473,XR ELBOW 3 + V LT,1021.59,1021.59,71.51,1021.59,48
CDM,177479,XR ARTHROGRAM ELBOW RT,1345.63,1345.63,94.19,1345.63,48
CDM,177485,XR ARTHROGRAM ELBOW LT,1345.63,1345.63,94.19,1345.63,48
CDM,177491,XR FOREARM 2 VIEWS RT,935.4,935.4,65.48,935.4,48
CDM,177495,XR FOREARM 2 VIEWS LT,935.4,935.4,65.48,935.4,48
CDM,177500,XR UP EXTREM INFANT2V RT,1205.16,1205.16,84.36,1205.16,48
CDM,177505,XR UP EXTREM INFANT2V LT,1205.16,1205.16,84.36,1205.16,48
CDM,177509,XR WRIST 2 VIEWS RT,715.12,715.12,50.06,715.12,48
CDM,177514,XR WRIST 2 VIEWS LT,715.12,715.12,50.06,715.12,48
CDM,177518,XR WRIST 3 + V RT,980.08,980.08,68.61,980.08,48
CDM,177522,XR WRIST 3 + V LT,980.08,980.08,68.61,980.08,48
CDM,177528,XR ARTHROGRAM WRIST RT,1792.56,1792.56,125.48,1792.56,48
CDM,177534,XR ARTHROGRAM WRIST LT,1792.56,1792.56,125.48,1792.56,48
CDM,177540,XR HAND 2 V RT,897.09,897.09,62.8,897.09,48
CDM,177544,XR HAND 2 V LT,897.09,897.09,62.8,897.09,48
CDM,177549,XR HAND 3 + V RT,999.23,999.23,69.95,999.23,48
CDM,177553,XR HAND 3 + V LT,999.23,999.23,69.95,999.23,48
CDM,177558,XR FINGER(S) 2 + V RT,672.02,672.02,47.04,672.02,48
CDM,177562,XR FINGER(S) 2 + V LT,672.02,672.02,47.04,672.02,48
CDM,177566,CT UP EXTREM W/O CONT RT,3616.76,3616.76,253.17,3616.76,43
CDM,177571,CT UP EXTREM W/O CONT LT,3616.76,3616.76,253.17,3616.76,43
CDM,177575,CT UP EXTREM W/CONT LT,3970.34,3970.34,277.92,3970.34,43
CDM,177581,CT UP EXTREM W/CONT RT,3970.34,3970.34,277.92,3970.34,43
CDM,177585,CT UP EXTRM W&W/O CON RT,3578.3,3578.3,250.48,3578.3,43
CDM,177589,CT UP EXTRM W&W/O CON LT,3578.3,3578.3,250.48,3578.3,43
CDM,177602,MRI UPPER EX W/O CONT RT,5259.41,5259.41,368.16,5259.41,43
CDM,177607,MRI UPPER EX W/O CONT LT,5259.41,5259.41,368.16,5259.41,43
CDM,177611,MRI UPPER EX W/CONT RT,6858.82,6858.82,480.12,6858.82,43
CDM,177616,MRI UPPER EX W/CONT LT,6858.82,6858.82,480.12,6858.82,43
CDM,177620,MRI UP EX W&WO CONT RT,7473.29,7473.29,523.13,7473.29,43
CDM,177624,MRI UP EX W&WO CONT LT,7473.29,7473.29,523.13,7473.29,43
CDM,177629,MRI UP JNT W/O CONT RT,5835.56,5835.56,408.49,5835.56,43
CDM,177633,MRI UP JNT W/O CONT LT,5835.56,5835.56,408.49,5835.56,43
CDM,177638,MRI UP JNT W/CONT RT,5840.67,5840.67,408.85,5840.67,43
CDM,177642,MRI UP JNT W/CONT LT,5840.67,5840.67,408.85,5840.67,43
CDM,177646,MRI UP JNT W&WO CONT RT,7473.29,7473.29,523.13,7473.29,43
CDM,177651,MRI UP JNT W&WO CONT LT,7473.29,7473.29,523.13,7473.29,43
CDM,177684,XR ARTHROGRAM HIP RT,1227.5,1227.5,85.92,1227.5,48
CDM,177690,XR ARTHROGRAM HIP LT,1227.5,1227.5,85.92,1227.5,48
CDM,177713,XR KNEE 1 OR 2 V RT,836.42,836.42,58.55,836.42,48
CDM,177718,XR KNEE 1 OR 2 V LT,836.42,836.42,58.55,836.42,48
CDM,177723,XR KNEE 3 V RT,980.08,980.08,68.61,980.08,48
CDM,177727,XR KNEE 3 V LT,980.08,980.08,68.61,980.08,48
CDM,177732,XR KNEE 4 + V RT,1213.13,1213.13,84.92,1213.13,48
CDM,177736,XR KNEE 4 + V LT,1213.13,1213.13,84.92,1213.13,48
CDM,177745,XR ARTHROGRAM KNEE RT,999.23,999.23,69.95,999.23,48
CDM,177752,XR ARTHROGRAM KNEE LT,999.23,999.23,69.95,999.23,48
CDM,177757,XR TIBIA/FIBULA 2 V RT,964.13,964.13,67.49,964.13,48
CDM,177761,XR TIBIA/FIBULA 2 V LT,964.13,964.13,67.49,964.13,48
CDM,177766,XR TIB/FIB INFNT 2V RT,826.84,826.84,57.88,826.84,48
CDM,177770,XR TIB/FIB INFNT 2V LT,826.84,826.84,57.88,826.84,48
CDM,177775,XR ANKLE 2 VIEWS RT,836.42,836.42,58.55,836.42,48
CDM,177779,XR ANKLE 2 VIEWS LT,836.42,836.42,58.55,836.42,48
CDM,177783,XR ANKLE 3 + V RT,964.13,964.13,67.49,964.13,48
CDM,177788,XR ANKLE 3 + V LT,964.13,964.13,67.49,964.13,48
CDM,177793,XR ARTHROGRAM ANKLE RT,2405.53,2405.53,168.39,2405.53,48
CDM,177800,XR ARTHROGRAM ANKLE LT,2405.53,2405.53,168.39,2405.53,48
CDM,177805,XR FOOT 2 VIEWS RT,951.34,951.34,66.59,951.34,48
CDM,177810,XR FOOT 2 VIEWS LT,951.34,951.34,66.59,951.34,48
CDM,177814,XR FOOT 3 + V RT,964.13,964.13,67.49,964.13,48
CDM,177818,XR FOOT 3 + V LT,964.13,964.13,67.49,964.13,48
CDM,177824,XR CALCANEUS 2 + V RT,785.33,785.33,54.97,785.33,48
CDM,177828,XR CALCANEUS 2 + V LT,785.33,785.33,54.97,785.33,48
CDM,177833,XR TOE(S) 2 + V RT,756.62,756.62,52.96,756.62,48
CDM,177837,XR TOE(S) 2 + V LT,756.62,756.62,52.96,756.62,48
CDM,177841,CT LOWER EXTRM W/O C RT,3596.24,3596.24,251.74,3596.24,43
CDM,177846,CT LOWER EXTRM W/O C LT,3596.24,3596.24,251.74,3596.24,43
CDM,177850,CT LOWER EXTRM W/CON RT,3938.32,3938.32,275.68,3938.32,43
CDM,177855,CT LOWER EXTRM W/CON LT,3938.32,3938.32,275.68,3938.32,43
CDM,177859,CT LW EXTRM W&W/O CON RT,4832.58,4832.58,338.28,4832.58,43
CDM,177863,CT LW EXTRM W&W/O CON LT,4832.58,4832.58,338.28,4832.58,43
CDM,177877,MRI LOW EXT W/O CONT RT,5413.98,5413.98,378.98,5413.98,43
CDM,177881,MRI LOW EXT W/O CONT LT,5413.98,5413.98,378.98,5413.98,43
CDM,177885,MRI LOW EXT W/CONT RT,5947.97,5947.97,416.36,5947.97,43
CDM,177890,MRI LOW EXT W/CONT LT,5947.97,5947.97,416.36,5947.97,43
CDM,177894,MRI LOW EXT W&WO CONT RT,7266.35,7266.35,508.64,7266.35,43
CDM,177899,MRI LOW EXT W&WO CONT LT,7266.35,7266.35,508.64,7266.35,43
CDM,177904,MRI LW JNT W/O CONT RT,5433.14,5433.14,380.32,5433.14,43
CDM,177908,MRI LW JNT W/O CONT LT,5433.14,5433.14,380.32,5433.14,43
CDM,177913,MRI LW JNT W/CONTRAST RT,6016.95,6016.95,421.19,6016.95,43
CDM,177917,MRI LW JNT W/CONTRAST LT,6016.95,6016.95,421.19,6016.95,43
CDM,177921,MRI LW JNT W&WO CONT RT,7473.29,7473.29,523.13,7473.29,43
CDM,177926,MRI LW JNT W&WO CONT LT,7473.29,7473.29,523.13,7473.29,43
CDM,177930,MRA W/CONT LWR EXT RT,7113.04,7113.04,497.91,7113.04,47
CDM,177935,MRA W/CONT LWR EXT LT,7113.04,7113.04,497.91,7113.04,47
CDM,177939,MRA W/O CONT LWR EXT RT,6487.06,6487.06,454.09,6487.06,47
CDM,177943,MRA W/O CONT LWR EXT LT,6487.06,6487.06,454.09,6487.06,47
CDM,177948,MRA WO W CONT LWR EXT RT,7737.72,7737.72,541.64,7737.72,47
CDM,177952,MRA WO W CONT LWR EXT LT,7737.72,7737.72,541.64,7737.72,47
CDM,178135,MOXIFLOXACIN 0.5% 3ML OP,717.41,717.41,50.22,717.41,59
CDM,178140,CLOBETASOL 0.05% TOPICAL,781.43,781.43,54.7,781.43,59
CDM,178142,ZYPREXA ZYDIS 5MG TAB,76.48,76.48,5.35,76.48,67
CDM,178153,XR RIBS UNI W/CXR 3+V RT,1045.55,1045.55,73.19,1045.55,48
CDM,178157,XR RIBS UNI W/CXR 3+V LT,1045.55,1045.55,73.19,1045.55,48
CDM,178162,XR TMJ UNI RT,1181.22,1181.22,82.69,1181.22,48
CDM,178166,XR TMJ UNI LT,1181.22,1181.22,82.69,1181.22,48
CDM,178170,XR ARTHR TMJ RT,2001.69,2001.69,140.12,2001.69,48
CDM,178174,XR ARTHR TMJ LT,2001.69,2001.69,140.12,2001.69,48
CDM,178202,BF TRNG ANY MODALITY PT,1379.8,1379.8,96.59,1379.8,44
CDM,178213,OP VISIT LEVEL 2 NP,727.33,727.33,50.91,727.33,54
CDM,178214,OP VISIT LEVEL 3 NP,860.5,860.5,60.23,860.5,54
CDM,178215,OP VISIT LEVEL 4 NP,1098.47,1098.47,76.89,1098.47,54
CDM,178217,OP VISIT LEVEL 1 EST,594.13,594.13,41.59,594.13,54
CDM,178219,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,178249,PLACE NG/OG TUBE FLUORO,1341.64,1341.64,93.91,1341.64,64
CDM,178267,OP VISIT LEVEL 1 EST,594.13,594.13,41.59,594.13,54
CDM,178290,TIPPS INSERTION,109908.8,109908.8,7693.62,109908.8,64
CDM,178291,TIPPS REVISION,109908.8,109908.8,7693.62,109908.8,64
CDM,178297,"Injection, teriparatide, 10 mcg ",17418.66,17418.66,197.03,404.85,12
CDM,178297,TERIPARATIDE 600 MCG INJ,17418.66,17418.66,1219.31,17418.66,55
CDM,178302,LEVEL 2 FIRST 30,20393.95,20393.95,1427.58,20393.95,64
CDM,178320,SOD CHL .45%/KCL 20 1000,46.36,46.36,3.25,46.36,67
CDM,178328,QUESTRAN 4GM PACKET,17.96,17.96,1.26,17.96,67
CDM,178338,TC99M EXAMETAZM DX 25MCI,3910.39,3910.39,273.73,3910.39,55
CDM,178338,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",3910.39,3910.39,2644.26,14951.03,15
CDM,178338,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries Max of 2 Units",3910.39,3910.39,70.0,70.0,1
CDM,178367,EVAL USE/FIT VOICE PR SP,271.94,271.94,19.04,271.94,44
CDM,178367,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,271.94,271.94,69.16,397.18,48
CDM,178367,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech Other Outpatient,271.94,271.94,74.86,74.86,6
CDM,178373,STROMECTOL 3 MG TAB,25.08,25.08,1.76,25.08,67
CDM,178395,OCCLUSIVE DEVICE VEN/ART,2528.76,2528.76,177.01,2528.76,64
CDM,178396,INTRACARDIAC ECHO,7584.78,7584.78,834.33,7584.78,43
CDM,178396,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",7584.78,7584.78,403.37,43890.0,16
CDM,178396,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) with Cardiac Cath",7584.78,7584.78,7818.0,7818.0,5
CDM,178396,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) without Cardiac C",7584.78,7584.78,5591.0,5591.0,5
CDM,178403,CALMOSEPTINE OINT 2.5OZ,61.78,61.78,4.32,61.78,67
CDM,178404,URINE CATH COLL SINGLE,243.65,243.65,17.06,243.65,54
CDM,179339,TR SIMULATION SIMPLE,759.37,759.37,83.53,759.37,44
CDM,179340,TR SIMULATION INTERMED,2061.51,2061.51,226.77,2061.51,44
CDM,179341,TR SIMULATION COMPLEX,2061.51,2061.51,226.77,2061.51,44
CDM,179342,3D RADIOTHER PLAN W DVH,6806.17,6806.17,748.68,6806.17,44
CDM,179345,TR DOSIMETRY BASIC,759.37,759.37,83.53,759.37,44
CDM,179354,TR TREAT DEVICE SIMPLE,1268.73,1268.73,139.56,1268.73,44
CDM,179357,TR TREAT DEVICE CPLEX,1413.12,1413.12,155.44,1413.12,44
CDM,179358,TR MED PHYSICS CONT,759.37,759.37,83.53,759.37,44
CDM,179359,TR MED PHYSICS SPECIAL,759.37,759.37,83.53,759.37,44
CDM,179375,TR PORT IMAGE,840.91,840.91,92.5,840.91,49
CDM,179381,SP TREATMENT,4434.52,4434.52,487.8,4434.52,44
CDM,179690,APRESOLINE ORAL SUSP,3.5,3.5,0.24,3.5,67
CDM,179691,RIFAMPIN ORAL SUSP,991.81,991.81,69.43,991.81,67
CDM,179706,CT UP EXTREM W/O CONT BI,7236.04,7236.04,506.52,7236.04,43
CDM,179707,CT UP EXTREM W/CONT BI,7940.69,7940.69,555.85,7940.69,43
CDM,179709,CT UP EXTRM W&W/O CON BI,7154.04,7154.04,500.78,7154.04,43
CDM,179710,MRI UP EX W&WO CONT BI,14946.58,14946.58,1046.26,14946.58,43
CDM,179711,MRI UP JNT W/O CONT BI,11673.67,11673.67,817.16,11673.67,43
CDM,179712,MRI LW JNT W/O CONT BI,10867.57,10867.57,760.73,10867.57,43
CDM,179721,XR EYE FOREIGN BODY BI,2052.77,2052.77,143.69,2052.77,48
CDM,179722,XR ARTHR TMJ BI,4003.36,4003.36,280.24,4003.36,48
CDM,179723,XR SHOULDER 1 V BI,1489.29,1489.29,104.25,1489.29,48
CDM,179724,XR SHOULDER 2 + V BI,2231.53,2231.53,156.21,2231.53,48
CDM,179725,XR ARTHROGRAM SHLDR BI,4699.32,4699.32,328.95,4699.32,48
CDM,179726,XR HUMERUS 2 + V BI,1947.39,1947.39,136.32,1947.39,48
CDM,179727,XR ELBOW 2 VIEWS BI,1803.73,1803.73,126.26,1803.73,48
CDM,179728,XR ELBOW 3 + V BI,2036.79,2036.79,142.58,2036.79,48
CDM,179729,XR ARTHROGRAM ELBOW BI,2688.05,2688.05,188.16,2688.05,48
CDM,179730,XR FOREARM 2 VIEWS BI,1872.38,1872.38,131.07,1872.38,48
CDM,179732,XR UP EXTREM INFANT2V BI,2407.14,2407.14,168.5,2407.14,48
CDM,179733,XR WRIST 2 VIEWS BI,1433.42,1433.42,100.34,1433.42,48
CDM,179734,XR WRIST 3 + V BI,1958.58,1958.58,137.1,1958.58,48
CDM,179735,XR ARTHROGRAM WRIST BI,3580.34,3580.34,250.62,3580.34,48
CDM,179736,XR HAND 2 V BI,1792.56,1792.56,125.48,1792.56,48
CDM,179737,XR HAND 3 + V BI,1996.89,1996.89,139.78,1996.89,48
CDM,179738,XR FINGER(S) 2 + V BI,1340.83,1340.83,93.86,1340.83,48
CDM,179742,XR KNEE 1 OR 2 V BI,1668.07,1668.07,116.76,1668.07,48
CDM,179743,XR KNEE 3 V BI,1958.58,1958.58,137.1,1958.58,48
CDM,179744,XR KNEE 4 + V BI,2423.09,2423.09,169.62,2423.09,48
CDM,179745,XR ARTHROGRAM KNEE BI,1998.48,1998.48,139.89,1998.48,48
CDM,179746,XR TIBIA/FIBULA 2 V BI,1923.46,1923.46,134.64,1923.46,48
CDM,179747,XR TIB/FIB INFANT 2V BI,1655.3,1655.3,115.87,1655.3,48
CDM,179748,XR ANKLE 2 VIEWS BI,1671.25,1671.25,116.99,1671.25,48
CDM,179749,XR ANKLE 3 + V BI,1926.66,1926.66,134.87,1926.66,48
CDM,179750,XR ARTHROGRAM ANKLE BI,4809.45,4809.45,336.66,4809.45,48
CDM,179751,XR FOOT 2 VIEWS BI,1897.92,1897.92,132.85,1897.92,48
CDM,179752,XR FOOT 3 + V BI,1926.66,1926.66,134.87,1926.66,48
CDM,179753,XR CALCANEUS 2 + V BI,1565.91,1565.91,109.61,1565.91,48
CDM,179754,XR TOE(S) 2 + V BI,1511.64,1511.64,105.81,1511.64,48
CDM,179984,EVOXAC 30 MG CAPSULE,41.18,41.18,2.88,41.18,67
CDM,179985,AVODART 0.5 MG CAPSULE,54.14,54.14,3.79,54.14,67
CDM,180102,RMV OBSTR MAT CV LUM,11135.44,11135.44,779.48,11135.44,64
CDM,180105,ABL 1/MORE LIV TU PC RAD,51209.05,51209.05,3584.63,51209.05,64
CDM,180106,SP VENOGRAM EXT UNI LT,5288.31,5288.31,370.18,5288.31,48
CDM,180107,SP VENOGRAM EXT UNI RT,5288.31,5288.31,370.18,5288.31,48
CDM,180116,SURGICEL FIBRILLAR 2X4,1067.65,1067.65,74.74,1067.65,71
CDM,180232,NM TUM LC WB 2/MORE DAYS,8315.15,8315.15,582.06,8315.15,48
CDM,180232,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",8315.15,8315.15,593.4,2938.37,36
CDM,180233,NM RADLBLD MONO ANTIB IV,7036.39,7036.39,492.55,7036.39,48
CDM,180233,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",7036.39,7036.39,115.04,561.65,13
CDM,180274,ARTH JNTBRS MJR WO US,2287.79,2287.79,160.15,2287.79,64
CDM,180283,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",30583.0,30583.0,2766.04,11802.62,9
CDM,180283,SATUMOMAB PENDETIDE 6MCI,30583.0,30583.0,2140.81,30583.0,60
CDM,180300,US GUIDANCE VASC ACCESS,2134.67,2134.67,149.43,2134.67,54
CDM,180305,BX SALIVARY GLAND NDL,3501.56,3501.56,245.11,3501.56,64
CDM,180330,INSPRA 25MG TAB,64.27,64.27,4.5,64.27,67
CDM,180331,REFILL/MAINT PUMP DRG DL,1248.93,1248.93,87.43,1248.93,55
CDM,180331,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",1248.93,1248.93,334.98,651.68,6
CDM,180353,UGI W/INJ IMPL MAT,8888.94,8888.94,622.23,8888.94,64
CDM,180372,INS CENTRL VEIN CATH <5,8189.64,8189.64,573.27,8189.64,64
CDM,180373,INS CENTRL VEIN CATH 5+,8189.64,8189.64,573.27,8189.64,64
CDM,180374,INS TUNNELED VAC <5,7998.69,7998.69,559.91,7998.69,64
CDM,180375,INS TUNNELED VAC 5+,10213.16,10213.16,714.92,10213.16,64
CDM,180376,INS VAD W/SQ PORT <5,7998.69,7998.69,559.91,7998.69,64
CDM,180377,INS VAD W/SQ PORT 5+,7998.69,7998.69,559.91,7998.69,64
CDM,180379,INS TNLD VAD DUAL CATH,7998.69,7998.69,559.91,7998.69,64
CDM,180380,INS VA SQ PORT DUAL CATH,7998.69,7998.69,559.91,7998.69,64
CDM,180382,INS PICC LINE <5 YRS,11126.92,11126.92,778.88,11126.92,64
CDM,180383,INS PICC LINE 5+ YRS,11126.92,11126.92,778.88,11126.92,64
CDM,180386,RPR CVAC WO PORT/PUMP,7998.69,7998.69,559.91,7998.69,64
CDM,180387,RPR CVAD W/SQ PORT-PUMP,7998.69,7998.69,559.91,7998.69,64
CDM,180388,RPLC CVAD CATHETER ONLY,6607.61,6607.61,462.53,6607.61,64
CDM,180389,RPLC CVAC SAME SITE,8189.64,8189.64,573.27,8189.64,64
CDM,180390,RPL TNLD CVAC SAME SITE,7998.69,7998.69,559.91,7998.69,64
CDM,180391,RPL CVAD W/SQ PORT SMSTE,7998.69,7998.69,559.91,7998.69,64
CDM,180394,RPL PICC LINE SAME SITE,4343.7,4343.7,304.06,4343.7,64
CDM,180395,RPL PICC PORT SAME SITE,7998.69,7998.69,559.91,7998.69,64
CDM,180396,RMVL TUNNELED CVAC,10213.16,10213.16,714.92,10213.16,64
CDM,180397,RMVL TNLD CVAD PORT/PUMP,7338.96,7338.96,513.73,7338.96,64
CDM,180398,REPOSITION CVAC W FLUORO,7998.69,7998.69,559.91,7998.69,64
CDM,180400,DUP AO/IVC/IV/BPG COMP,1939.42,1939.42,135.76,1939.42,49
CDM,180400,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",1939.42,1939.42,178.05,929.0,31
CDM,180400,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age 21+",1939.42,1939.42,198.84,198.84,4
CDM,180400,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21",1939.42,1939.42,202.45,202.45,4
CDM,180415,CIPRODEX OT0.3/0.1%7.5ML,1527.01,1527.01,106.89,1527.01,59
CDM,180421,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,180432,UL CT PROCEDURE,627.77,627.77,43.94,627.77,43
CDM,180528,MED/SURG PRIVATE,6647.47,6647.47,,,0
CDM,180532,PEDI PRIVATE,5755.33,5755.33,,,0
CDM,180554,OH/CV TCU-MS PVT OVERFLW,6647.47,6647.47,,,0
CDM,180559,PEDI ICU-PEDI PVT OVRFLW,6390.9,6390.9,,,0
CDM,180560,ICU/CCU-MS PVT OVERFLOW,6647.47,6647.47,,,0
CDM,180564,SURG ICU-MS PVT OVERFLOW,6647.47,6647.47,,,0
CDM,180569,BMTP-ONC PVT OVERFLOW,15407.9,15407.9,,,0
CDM,180695,NORCO 7.5/325 TAB,32.72,32.72,2.29,32.72,67
CDM,180700,INT MOD RADTX PLAN,4687.2,4687.2,515.59,4687.2,44
CDM,180703,INT MOD RADTX PLAN,6534.79,6534.79,718.83,6534.79,44
CDM,180730,OP VISIT LEVEL 5 EST,2036.07,2036.07,223.97,2036.07,54
CDM,180731,OP VISIT LEVEL 1 EST,594.13,594.13,41.59,594.13,54
CDM,180732,OP VISIT LEVEL 2 EST,727.33,727.33,50.91,727.33,54
CDM,180735,OP VISIT LEVEL 2 NP,727.33,727.33,50.91,727.33,54
CDM,180736,OP VISIT LEVEL 3 NP,860.5,860.5,60.23,860.5,54
CDM,180737,OP VISIT LEVEL 4 NP,1098.47,1098.47,76.89,1098.47,54
CDM,180738,OP VISIT LEVEL 5 NP,1230.16,1230.16,86.11,1230.16,54
CDM,180762,COLL BLOOD IMPLANTED VAD,1103.25,1103.25,121.36,1103.25,42
CDM,180764,CYCLOSPO 0.05% 0.4ML OPH,18.22,18.22,1.28,18.22,67
CDM,180773,ADDERALL XR 5MG CAP,81.46,81.46,5.7,81.46,67
CDM,180775,STRATTERA 40MG CAP,108.22,108.22,7.58,108.22,67
CDM,180802,LEVAQUIN 750MG TAB,4.21,4.21,0.29,4.21,67
CDM,180805,NAMENDA 10MG TAB,39.28,39.28,2.75,39.28,67
CDM,180810,PIMECROLIMUS 1% TOP 30GM,1761.74,1761.74,123.32,1761.74,59
CDM,180840,ED-HOLD MED/SURG,16036.32,16036.32,,,0
CDM,180842,UNLISTED PROC OF SPINE,15344.48,15344.48,1074.11,15344.48,64
CDM,180848,VITAMIN D 400 UNIT TAB,6.45,6.45,0.45,6.45,67
CDM,180855,METOPROLOL 25 MG PO,0.48,0.48,0.03,0.48,67
CDM,180864,SPIRIVA INH 18MCG 5/PK,487.64,487.64,34.13,487.64,67
CDM,180866,NORCO 5/325 TAB,8.06,8.06,0.56,8.06,67
CDM,180909,ECHOCARDIOGRAPHY TEE,7333.4,7333.4,513.34,7333.4,52
CDM,180910,ECHOCARDIOGRAPHY TEE,7790.7,7790.7,545.35,7790.7,52
CDM,180914,UROXATRAL 10MG XR,59.82,59.82,4.19,59.82,67
CDM,180921,ABILIFY 5MG TAB,192.21,192.21,13.45,192.21,67
CDM,180981,GASTROESOPH RFLX ELECTRD,4188.42,4188.42,293.19,4188.42,50
CDM,180985,GEODON 80MG CAP,58.27,58.27,4.08,58.27,67
CDM,180988,TC99M FANOLESOM DX 25MCI,21150.06,21150.06,1480.5,21150.06,67
CDM,181014,STRESS TEST,4975.75,4975.75,348.3,4975.75,55
CDM,181017,ECMO PEDI ICU,58756.36,58756.36,,,0
CDM,181037,PET TUMOR LIMITED AREA,28057.42,28057.42,1964.02,28057.42,43
CDM,181038,PET TUMOR SK BS MIDTHIGH,28057.42,28057.42,1964.02,28057.42,43
CDM,181038,Positron emission tomography (PET) imaging; skull base to mid-thigh ,28057.42,28057.42,1467.01,6566.0,28
CDM,181038,Positron emission tomography (PET) imaging; skull base to mid-thigh Age 21+,28057.42,28057.42,1638.29,1638.29,4
CDM,181038,Positron emission tomography (PET) imaging; skull base to mid-thigh Age Under 21,28057.42,28057.42,1668.07,1668.07,4
CDM,181065,RADIOPHM THPY ORAL ADMIN,2747.86,2747.86,192.35,2747.86,48
CDM,181065,"Radiopharmaceutical therapy, by oral administration ",2747.86,2747.86,69.62,561.65,28
CDM,181065,"Radiopharmaceutical therapy, by oral administration Age 21+",2747.86,2747.86,147.76,147.76,4
CDM,181065,"Radiopharmaceutical therapy, by oral administration Age Under 21",2747.86,2747.86,150.45,150.45,4
CDM,181069,RADIOPHARM THPY IV ADMIN,2747.86,2747.86,192.35,2747.86,48
CDM,181069,"Radiopharmaceutical therapy, by intravenous administration ",2747.86,2747.86,69.12,561.65,28
CDM,181069,"Radiopharmaceutical therapy, by intravenous administration Age 21+",2747.86,2747.86,160.99,160.99,4
CDM,181069,"Radiopharmaceutical therapy, by intravenous administration Age Under 21",2747.86,2747.86,163.91,163.91,4
CDM,181076,RDPHM INTRA ARTERIAL ADM,1573.86,1573.86,110.17,1573.86,48
CDM,181080,I131 SOD IOD SOL DX MCI,6037.4,6037.4,422.62,6037.4,61
CDM,181080,"Iodine i-131 sodium iodide solution, diagnostic, per millicurie ",6037.4,6037.4,376.05,604.95,6
CDM,181080,"Iodine i-131 sodium iodide solution, diagnostic, per millicurie Max of 2 Units",6037.4,6037.4,70.0,70.0,1
CDM,181081,I131 SOD IOD SOL TX MCI,6037.4,6037.4,422.62,6037.4,53
CDM,181081,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",6037.4,6037.4,33.33,79.96,15
CDM,181091,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",2479.8,2479.8,390.47,2636.0,11
CDM,181091,GASTROESOPHAG REFLX TEST,2479.8,2479.8,173.59,2479.8,50
CDM,181092,GASTROESOPH RFLX ELECTRD,4211.31,4211.31,294.79,4211.31,50
CDM,181145,DEBRIDE WND IN 20SQCM PT,293.22,293.22,20.53,293.22,44
CDM,181148,DEBRD WD EA AD 20SQCM PT,193.9,193.9,13.57,193.9,44
CDM,181270,CHEMO IV PUSH SING/IN DR,606.97,606.97,42.49,606.97,49
CDM,181282,CHEMO IV PUSH SING/IN DR,601.62,601.62,42.11,601.62,49
CDM,181314,CHEMO IV PUSH SING/IN DR,601.62,601.62,42.11,601.62,49
CDM,181325,CHEMO IV PUSH SING/IN DR,606.97,606.97,42.49,606.97,49
CDM,181341,CHEMO CNS SPINAL PUNC,601.62,601.62,42.11,601.62,49
CDM,181403,CHEMO IV PUSH SING/IN DR,601.62,601.62,42.11,601.62,49
CDM,181408,CHEMO CNS SPINAL PUNC,601.62,601.62,42.11,601.62,49
CDM,181425,CHEMO IV PUSH SING/IN DR,601.62,601.62,42.11,601.62,49
CDM,181626,CHEMO IV PUSH SING/IN DR,606.97,606.97,42.49,606.97,49
CDM,181630,CHEMO CNS SPINAL PUNC,601.62,601.62,42.11,601.62,49
CDM,181641,CHEMO CNS SPINAL PUNC,556.15,556.15,38.93,556.15,49
CDM,181649,CHEMO INTRA ART PUSH,937.18,937.18,65.6,937.18,49
CDM,181649,"Chemotherapy administration, intra-arterial; push technique ",937.18,937.18,292.38,568.81,6
CDM,181652,CHEMO CNS SPINAL PUNC,556.15,556.15,38.93,556.15,49
CDM,181656,CHEMO IV SING/IN DR 1 HR,1676.48,1676.48,117.35,1676.48,49
CDM,181657,CHEMO IV EA ADD HOUR,421.12,421.12,29.48,421.12,49
CDM,181658,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,181662,CHEMO IV SING/IN DR 1 HR,1676.48,1676.48,117.35,1676.48,49
CDM,181663,CHEMO IV EA ADD HOUR,421.12,421.12,29.48,421.12,49
CDM,181664,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,181682,CHEMO IV SING/IN DR 1 HR,1676.48,1676.48,117.35,1676.48,49
CDM,181683,CHEMO IV EA ADD HOUR,590.92,590.92,41.36,590.92,49
CDM,181684,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,181716,CHEMO IV SING/IN DR 1 HR,1676.48,1676.48,117.35,1676.48,49
CDM,181717,CHEMO IV EA ADD HOUR,421.12,421.12,29.48,421.12,49
CDM,181718,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,181755,CHEMO IV SING/IN DR 1 HR,1676.48,1676.48,117.35,1676.48,49
CDM,181756,CHEMO IV EA ADD HOUR,421.12,421.12,29.48,421.12,49
CDM,181758,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,181796,CHEMO IV SING/IN DR 1 HR,826.22,826.22,57.84,826.22,49
CDM,181797,CHEMO IV EA ADD HOUR,590.92,590.92,41.36,590.92,49
CDM,181798,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,181902,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",1316.04,1316.04,76.53,704.86,17
CDM,181902,RHIG HMN FULLDOSE 300MCG,1316.04,1316.04,92.12,1316.04,47
CDM,181908,DEBRIDE WND INI 20SQCM,1784.9,1784.9,196.34,1784.9,52
CDM,181914,DEBRID WND EA ADD 20SQCM,1784.9,1784.9,196.34,1784.9,52
CDM,181922,DEBRIDE WND IN 20SQCM PT,353.53,353.53,24.75,353.53,44
CDM,181923,DEBRIDE WND IN 20SQCM PT,513.15,513.15,35.92,513.15,44
CDM,181924,DEBRIDE WND IN 20SQCM PT,672.75,672.75,47.09,672.75,44
CDM,181929,DEBRD WD EA AD 20SQCM PT,353.53,353.53,24.75,353.53,44
CDM,181930,DEBRD WD EA AD 20SQCM PT,513.15,513.15,35.92,513.15,44
CDM,181931,DEBRD WD EA AD 20SQCM PT,672.75,672.75,47.09,672.75,44
CDM,181972,NEG PRESSRE 50CM OR < PT,442.19,442.19,30.95,442.19,44
CDM,181974,NEG PRESSRE 50CM OR < PT,840.64,840.64,58.84,840.64,44
CDM,181975,NEG PRESSRE 50CM OR < PT,1075.95,1075.95,75.32,1075.95,44
CDM,181976,NEG PRESSRE 50CM OR < PT,1142.15,1142.15,79.95,1142.15,44
CDM,181977,NEG PRESSURE > 50 CM PT,442.19,442.19,30.95,442.19,44
CDM,181978,NEG PRESSURE > 50 CM PT,840.64,840.64,58.84,840.64,44
CDM,181979,NEG PRESSURE > 50 CM PT,1142.15,1142.15,79.95,1142.15,44
CDM,181980,NEG PRESSURE > 50 CM PT,1344.33,1344.33,94.1,1344.33,44
CDM,182017,CHEMO IV SING/IN DR 1 HR,1676.48,1676.48,117.35,1676.48,49
CDM,182018,CHEMO IV EA ADD HOUR,590.92,590.92,41.36,590.92,49
CDM,182019,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,182025,ERLOTINIB 150 MG PO,1948.92,1948.92,136.42,1948.92,67
CDM,182027,PET/CT TUMOR WHOLE BODY,28057.42,28057.42,1964.02,28057.42,43
CDM,182027,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body ,28057.42,28057.42,1467.01,6566.0,28
CDM,182027,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body Age 21+,28057.42,28057.42,1638.29,1638.29,4
CDM,182027,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body Age Under 21,28057.42,28057.42,1668.07,1668.07,4
CDM,182028,PET/CT TUMOR SK BS MIDTH,28057.42,28057.42,1964.02,28057.42,43
CDM,182028,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh ,28057.42,28057.42,1467.01,6566.0,28
CDM,182028,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh Age 21+,28057.42,28057.42,1638.29,1638.29,4
CDM,182028,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh Age Under 21,28057.42,28057.42,1668.07,1668.07,4
CDM,182029,PET/CT TUMOR LIMITD AREA,26221.67,26221.67,1835.52,26221.67,43
CDM,182029,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) ",26221.67,26221.67,1467.01,6566.0,28
CDM,182029,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) Age 21+",26221.67,26221.67,1638.29,1638.29,4
CDM,182029,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) Age Under 21",26221.67,26221.67,1668.07,1668.07,4
CDM,182219,AYR NS GEL 0.5OZ,26.75,26.75,1.87,26.75,67
CDM,182222,I131 SOD IOD CAP DX MCI,372.18,372.18,26.05,372.18,55
CDM,182222,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",372.18,372.18,160.92,686.64,15
CDM,182222,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie Max of 2 Units",372.18,372.18,70.0,70.0,1
CDM,182248,LEXAPRO 20MG TAB,43.73,43.73,3.06,43.73,67
CDM,182360,RAD TR COMPLEX,1013.39,1013.39,111.47,1013.39,44
CDM,182364,RAD TR INTERMED,525.4,525.4,57.79,525.4,44
CDM,182364,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed ",525.4,525.4,441.76,2037.24,10
CDM,182680,ARTH JNTBRS MJR WO US,2325.3,2325.3,162.77,2325.3,64
CDM,182700,RAD TR SIMPLE,525.4,525.4,57.79,525.4,44
CDM,182700,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed ",525.4,525.4,322.15,728.5,10
CDM,182721,INJ CELIAC PLEXUS,12911.07,12911.07,903.77,12911.07,64
CDM,182746,SIROLIMUS 1 MG/ML LIQ PO,150.59,150.59,10.54,150.59,47
CDM,182780,LUNESTA 3MG TAB,67.55,67.55,4.73,67.55,67
CDM,182822,XIFAXAN 200MG TAB,143.35,143.35,10.03,143.35,67
CDM,182824,CARDIOVERSION EXTERNAL,5181.7,5181.7,362.72,5181.7,58
CDM,182829,BOSENTAN 62.5MG PO,1702.15,1702.15,119.15,1702.15,59
CDM,182832,ERLOTINIB 100 MG PO,872.81,872.81,61.1,872.81,67
CDM,182839,CYSTO BI W STENT,17162.64,17162.64,1201.38,17162.64,67
CDM,182844,ULTRASNC LTH/CY UNI W/ST,17162.64,17162.64,1201.38,17162.64,67
CDM,182848,ACAMPROSATE 333 MG PO,6.58,6.58,0.46,6.58,67
CDM,182857,OXYGEN PER HOUR,65.83,65.83,4.61,65.83,71
CDM,182947,BX ABD/RETROPERITO,2751.48,2751.48,192.6,2751.48,64
CDM,182949,BX BONE SUPERFICIAL,2780.44,2780.44,194.63,2780.44,64
CDM,183010,CATH HYSTEROSALPING,981.94,981.94,68.74,981.94,64
CDM,183209,INJ ARTHRO ANKLE,1520.63,1520.63,106.44,1520.63,64
CDM,183210,INJ ARTHRO ELBOW,4694.9,4694.9,328.64,4694.9,64
CDM,183212,INJ ARTHRO HIP W/O AN,1218.89,1218.89,85.32,1218.89,64
CDM,183214,INJ ARTHRO SHOULDER,3201.54,3201.54,224.11,3201.54,64
CDM,183216,INJ ARTHRO TMJ,4694.9,4694.9,328.64,4694.9,64
CDM,183217,INJ ARTHRO WRIST,3605.55,3605.55,252.39,3605.55,64
CDM,183218,INJ BLOOD PATCH,4728.26,4728.26,330.98,4728.26,64
CDM,183222,INJ CIST/CERV C1-C2,2769.55,2769.55,193.87,2769.55,64
CDM,183238,INJ MYELOGRAM SPINE,9574.58,9574.58,670.22,9574.58,64
CDM,183243,INJ PERITONEAL CAVITY,5722.85,5722.85,400.6,5722.85,64
CDM,183250,INJ SHUNTOGRAM,2359.38,2359.38,165.16,2359.38,64
CDM,183252,INJ SIALOGRAM,2780.44,2780.44,194.63,2780.44,64
CDM,183253,INJ SINUS TRACT DX,1510.42,1510.42,105.73,1510.42,64
CDM,183257,INJ URETER,660.17,660.17,46.21,660.17,64
CDM,183258,INJ URETHROCYST RET,1236.44,1236.44,86.55,1236.44,64
CDM,183261,INJ VENOGRAM,2142.89,2142.89,150.0,2142.89,64
CDM,183269,INTRO LONG GI TUBE,1486.54,1486.54,104.06,1486.54,64
CDM,183640,PLACE GI TUBE,8377.16,8377.16,586.4,8377.16,64
CDM,183676,PUNCTURE LUMBAR DX,4858.56,4858.56,340.1,4858.56,64
CDM,183677,PUNCTURE SHUNT,4947.28,4947.28,346.31,4947.28,64
CDM,183827,THORACOSTOMY TUBE,7349.17,7349.17,514.44,7349.17,64
CDM,183976,XR ABSCESS/FIST/SIN,1173.25,1173.25,82.13,1173.25,48
CDM,183978,XR AC JNTS BI W/WO WT,1031.17,1031.17,72.18,1031.17,48
CDM,183980,XR ANKLE 2 VIEWS BI,1671.25,1671.25,116.99,1671.25,48
CDM,183981,XR ANKLE 2 VIEWS LT,836.42,836.42,58.55,836.42,48
CDM,183982,XR ANKLE 2 VIEWS RT,836.42,836.42,58.55,836.42,48
CDM,183984,XR ANKLE 3 + V BI,1926.66,1926.66,134.87,1926.66,48
CDM,183985,XR ANKLE 3 + V LT,964.13,964.13,67.49,964.13,48
CDM,183987,XR ANKLE 3 + V RT,964.13,964.13,67.49,964.13,48
CDM,183989,XR ARTHR TMJ BI,4003.36,4003.36,280.24,4003.36,48
CDM,183990,XR ARTHR TMJ LT,2001.69,2001.69,140.12,2001.69,48
CDM,183991,XR ARTHR TMJ RT,2001.69,2001.69,140.12,2001.69,48
CDM,183994,XR ARTHROGRAM ANKLE BI,4809.45,4809.45,336.66,4809.45,48
CDM,183995,XR ARTHROGRAM ANKLE LT,2405.53,2405.53,168.39,2405.53,48
CDM,183996,XR ARTHROGRAM ANKLE RT,2405.53,2405.53,168.39,2405.53,48
CDM,183999,XR ARTHROGRAM ELBOW BI,2688.05,2688.05,188.16,2688.05,48
CDM,184000,XR ARTHROGRAM ELBOW LT,1345.63,1345.63,94.19,1345.63,48
CDM,184002,XR ARTHROGRAM ELBOW RT,1345.63,1345.63,94.19,1345.63,48
CDM,184004,XR ARTHROGRAM HIP BI,2455.01,2455.01,171.85,2455.01,48
CDM,184005,XR ARTHROGRAM HIP LT,1227.5,1227.5,85.92,1227.5,48
CDM,184006,XR ARTHROGRAM HIP RT,1227.5,1227.5,85.92,1227.5,48
CDM,184008,XR ARTHROGRAM KNEE BI,1998.48,1998.48,139.89,1998.48,48
CDM,184010,XR ARTHROGRAM KNEE LT,999.23,999.23,69.95,999.23,48
CDM,184011,XR ARTHROGRAM KNEE RT,999.23,999.23,69.95,999.23,48
CDM,184014,XR ARTHROGRAM SHLDR BI,4699.32,4699.32,328.95,4699.32,48
CDM,184018,XR ARTHROGRAM WRIST BI,3580.34,3580.34,250.62,3580.34,48
CDM,184019,XR ARTHROGRAM WRIST LT,1792.56,1792.56,125.48,1792.56,48
CDM,184020,XR ARTHROGRAM WRIST RT,1792.56,1792.56,125.48,1792.56,48
CDM,184021,XR CONT ENEMA W/WO KUB,2282.61,2282.61,159.78,2282.61,48
CDM,184022,THER ENEMA W/CONT OR AIR,1578.68,1578.68,110.51,1578.68,48
CDM,184037,XR CALCANEUS 2 + V BI,1565.91,1565.91,109.61,1565.91,48
CDM,184038,XR CALCANEUS 2 + V LT,785.33,785.33,54.97,785.33,48
CDM,184039,XR CALCANEUS 2 + V RT,785.33,785.33,54.97,785.33,48
CDM,184057,XR CHOLECYST ORAL,1559.52,1559.52,109.17,1559.52,48
CDM,184059,XR CINERADIOGRAPHY,2790.22,2790.22,195.32,2790.22,48
CDM,184073,XR C-SPINE 2-3 VIEWS,983.29,983.29,68.83,983.29,48
CDM,184074,XR C-SPINE 4-5 V,1629.76,1629.76,114.08,1629.76,48
CDM,184075,XR C-SPINE 6 + V,1703.18,1703.18,119.22,1703.18,48
CDM,184076,XR CYSTOGRAM 3 + V,1795.77,1795.77,125.7,1795.77,48
CDM,184077,XR CYSTOURETHRO RETRO,1893.12,1893.12,132.52,1893.12,48
CDM,184079,XR CYSTOURETHRO VDNG,2071.91,2071.91,145.03,2071.91,48
CDM,184088,XR ELBOW 2 VIEWS BI,1803.73,1803.73,126.26,1803.73,48
CDM,184094,XR ELBOW 3 + V BI,2036.79,2036.79,142.58,2036.79,48
CDM,184102,XR ESOPHAGUS,1573.89,1573.89,110.17,1573.89,48
CDM,184105,XR EYE FOREIGN BODY BI,2052.77,2052.77,143.69,2052.77,48
CDM,184108,XR FACIAL BONES < 3 V,1059.9,1059.9,74.19,1059.9,48
CDM,184109,XR FACIAL BONES 3 + V,1075.86,1075.86,75.31,1075.86,48
CDM,184117,XR FINGER(S) 2 + V BI,1340.83,1340.83,93.86,1340.83,48
CDM,184118,XR FINGER(S) 2 + V LT,672.02,672.02,47.04,672.02,48
CDM,184119,XR FINGER(S) 2 + V RT,672.02,672.02,47.04,672.02,48
CDM,184124,XR FLUOROSCOPY 0-60 MIN,1216.32,1216.32,85.14,1216.32,48
CDM,184127,XR FOOT 2 VIEWS BI,1897.92,1897.92,132.85,1897.92,48
CDM,184128,XR FOOT 2 VIEWS LT,951.34,951.34,66.59,951.34,48
CDM,184129,XR FOOT 2 VIEWS RT,951.34,951.34,66.59,951.34,48
CDM,184131,XR FOOT 3 + V BI,1926.66,1926.66,134.87,1926.66,48
CDM,184132,XR FOOT 3 + V LT,964.13,964.13,67.49,964.13,48
CDM,184133,XR FOOT 3 + V RT,964.13,964.13,67.49,964.13,48
CDM,184135,XR FOREARM 2 VIEWS BI,1872.38,1872.38,131.07,1872.38,48
CDM,184137,XR FOREARM 2 VIEWS LT,935.4,935.4,65.48,935.4,48
CDM,184138,XR FOREARM 2 VIEWS RT,935.4,935.4,65.48,935.4,48
CDM,184140,XR HAND 2 V BI,1792.56,1792.56,125.48,1792.56,48
CDM,184141,XR HAND 2 V LT,897.09,897.09,62.8,897.09,48
CDM,184142,XR HAND 2 V RT,897.09,897.09,62.8,897.09,48
CDM,184145,XR HAND 3 + V BI,1996.89,1996.89,139.78,1996.89,48
CDM,184146,XR HAND 3 + V LT,999.23,999.23,69.95,999.23,48
CDM,184148,XR HAND 3 + V RT,999.23,999.23,69.95,999.23,48
CDM,184163,XR HUMERUS 2 + V BI,1947.39,1947.39,136.32,1947.39,48
CDM,184166,XR HYSTROSALPNGOGRAM,1798.97,1798.97,125.93,1798.97,48
CDM,184168,XR INTRO LONG GI TUBE,1224.32,1224.32,85.7,1224.32,60
CDM,184173,XR IVP INFUSION,4284.29,4284.29,299.9,4284.29,48
CDM,184174,XR IVP W OR W/O TOMO,2282.61,2282.61,159.78,2282.61,48
CDM,184175,XR IVP W/NEPHROTOMO,2426.28,2426.28,169.84,2426.28,48
CDM,184178,XR KNEE 1 OR 2 V BI,1668.07,1668.07,116.76,1668.07,48
CDM,184179,XR KNEE 1 OR 2 V LT,836.42,836.42,58.55,836.42,48
CDM,184180,XR KNEE 1 OR 2 V RT,836.42,836.42,58.55,836.42,48
CDM,184184,XR KNEE 3 V LT,980.08,980.08,68.61,980.08,48
CDM,184185,XR KNEE 3 V RT,980.08,980.08,68.61,980.08,48
CDM,184186,XR KNEE 4 + V,1958.58,1958.58,137.1,1958.58,48
CDM,184187,XR KNEE 4 + V BI,2423.09,2423.09,169.62,2423.09,48
CDM,184188,XR KNEE 4 + V LT,1213.13,1213.13,84.92,1213.13,48
CDM,184189,XR KNEE 4 + V RT,1213.13,1213.13,84.92,1213.13,48
CDM,184190,XR KNEE AP STAND BI,1123.75,1123.75,78.66,1123.75,48
CDM,184194,XR TIB/FIB INFANT 2V BI,1655.3,1655.3,115.87,1655.3,48
CDM,184195,XR TIB/FIB INFNT 2V LT,826.84,826.84,57.88,826.84,48
CDM,184196,XR TIB/FIB INFNT 2V RT,826.84,826.84,57.88,826.84,48
CDM,184198,XR L-SPINE 2/3 VIEWS,1383.94,1383.94,96.88,1383.94,48
CDM,184199,XR L-SPINE 4 + VIEWS,1623.36,1623.36,113.64,1623.36,48
CDM,184200,XR L-SPINE BEND ONLY,3869.27,3869.27,270.85,3869.27,48
CDM,184201,XR L-SPINE W/BEND VIEW,5583.64,5583.64,390.85,5583.64,48
CDM,184209,XR MANDIBLE < 4 V,1045.55,1045.55,73.19,1045.55,48
CDM,184210,XR MANDIBLE 4 + V,1037.56,1037.56,72.63,1037.56,48
CDM,184212,XR MASTOIDS 3+V PER SIDE,683.19,683.19,47.82,683.19,48
CDM,184219,XR NASAL BONES COMP,871.54,871.54,61.01,871.54,48
CDM,184223,XR NECK SOFT TISSUE,775.76,775.76,54.3,775.76,48
CDM,184224,XR OPTIC FORAMINA,2164.49,2164.49,151.51,2164.49,48
CDM,184225,XR ORBITS 4 + V,1395.11,1395.11,97.66,1395.11,48
CDM,184230,XR PELVIS 1/2 VIEWS,747.04,747.04,52.29,747.04,48
CDM,184231,XR PELVIS 3 + V,2451.81,2451.81,171.63,2451.81,48
CDM,184237,XR RIBS BI 3 V,1189.2,1189.2,83.24,1189.2,48
CDM,184239,XR RIBS BI W/CXR 4 + V,1773.43,1773.43,124.14,1773.43,48
CDM,184244,XR RIBS UNI W/CXR 3+V LT,1045.55,1045.55,73.19,1045.55,48
CDM,184245,XR RIBS UNI W/CXR 3+V RT,1045.55,1045.55,73.19,1045.55,48
CDM,184246,XR SACRUM/COCCYX 2 + V,877.92,877.92,61.45,877.92,48
CDM,184247,XR SALIVARY GLAND CALC,2020.82,2020.82,141.46,2020.82,48
CDM,184248,XR SC JOINTS 3 + V,983.29,983.29,68.83,983.29,48
CDM,184254,XR SELLA TURCICA,1814.93,1814.93,127.05,1814.93,48
CDM,184256,XR SHOULDER 1 V BI,1489.29,1489.29,104.25,1489.29,48
CDM,184260,XR SHOULDER 2 + V BI,2231.53,2231.53,156.21,2231.53,48
CDM,184265,XR SI JOINTS 3 + V,1256.23,1256.23,87.94,1256.23,48
CDM,184266,XR SIALOGRAM,1792.56,1792.56,125.48,1792.56,48
CDM,184267,XR SINUSES < 3 V,855.58,855.58,59.89,855.58,48
CDM,184268,XR SINUSES 3 + V,1556.33,1556.33,108.94,1556.33,48
CDM,184269,XR SKULL < 4 V,973.71,973.71,68.16,973.71,48
CDM,184270,XR SKULL 4 + V,1818.1,1818.1,127.27,1818.1,48
CDM,184271,XR SMALL BOWEL/ENTERO,5845.4,5845.4,409.18,5845.4,48
CDM,184273,XR SMALL INTESTINE,2068.71,2068.71,144.81,2068.71,48
CDM,184274,XR SPEECH EV COMPLEX,1476.52,1476.52,103.36,1476.52,48
CDM,184275,XR SPINE 1 V SPEC LEVEL,1002.44,1002.44,70.17,1002.44,48
CDM,184277,XR STERNUM 2 + V,1010.42,1010.42,70.73,1010.42,48
CDM,184285,XR SURGICAL SPECIMEN,935.4,935.4,65.48,935.4,48
CDM,184287,XR SWLW FUNC W/C&V,2261.87,2261.87,158.33,2261.87,48
CDM,184288,XR TEETH 1 VIEW,477.27,477.27,33.41,477.27,48
CDM,184289,XR TEETH FULL MOUTH,909.87,909.87,63.69,909.87,48
CDM,184291,XR TIBIA/FIBULA 2 V BI,1923.46,1923.46,134.64,1923.46,48
CDM,184292,XR TIBIA/FIBULA 2 V LT,964.13,964.13,67.49,964.13,48
CDM,184293,XR TIBIA/FIBULA 2 V RT,964.13,964.13,67.49,964.13,48
CDM,184296,XR T-L-SPINE 2 VIEWS,1971.35,1971.35,137.99,1971.35,48
CDM,184298,XR TMJ BI,1181.22,1181.22,82.69,1181.22,48
CDM,184300,XR TMJ UNI LT,1181.22,1181.22,82.69,1181.22,48
CDM,184301,XR TMJ UNI RT,1181.22,1181.22,82.69,1181.22,48
CDM,184303,XR TOE(S) 2 + V BI,1511.64,1511.64,105.81,1511.64,48
CDM,184304,XR TOE(S) 2 + V LT,756.62,756.62,52.96,756.62,48
CDM,184305,XR TOE(S) 2 + V RT,756.62,756.62,52.96,756.62,48
CDM,184306,XR TOMOGRAM SGL PLANE,2440.64,2440.64,170.84,2440.64,48
CDM,184308,XR T-SPINE 2 VIEWS,1248.25,1248.25,87.38,1248.25,48
CDM,184309,XR T-SPINE 3 VIEWS,1422.26,1422.26,99.56,1422.26,48
CDM,184313,XR UGI DBL CONTRAST,2304.97,2304.97,161.35,2304.97,48
CDM,184316,XR UGI SNGL CONTRAST,2121.39,2121.39,148.5,2121.39,48
CDM,184320,XR UP EXTREM INFANT2V BI,2407.14,2407.14,168.5,2407.14,48
CDM,184321,XR UP EXTREM INFANT2V LT,1205.16,1205.16,84.36,1205.16,48
CDM,184322,XR UP EXTREM INFANT2V RT,1205.16,1205.16,84.36,1205.16,48
CDM,184323,XR UROGRAM ANTEGRADE,842.82,842.82,59.0,842.82,48
CDM,184324,XR UROGRAM RETRO,2946.66,2946.66,206.27,2946.66,48
CDM,184326,XR WHOLE BODY FB 1 V,1015.2,1015.2,71.06,1015.2,48
CDM,184328,XR WRIST 2 VIEWS BI,1433.42,1433.42,100.34,1433.42,48
CDM,184331,XR WRIST 2 VIEWS LT,715.12,715.12,50.06,715.12,48
CDM,184332,XR WRIST 2 VIEWS RT,715.12,715.12,50.06,715.12,48
CDM,184334,XR WRIST 3 + V BI,1958.58,1958.58,137.1,1958.58,48
CDM,184335,XR WRIST 3 + V LT,980.08,980.08,68.61,980.08,48
CDM,184336,XR WRIST 3 + V RT,980.08,980.08,68.61,980.08,48
CDM,184347,ASP/INJ CYST REN/PEL,3373.71,3373.71,236.16,3373.71,64
CDM,184364,BX ABD/RETROPERITO,3196.41,3196.41,223.75,3196.41,64
CDM,184365,BX BONE DEEP,4052.19,4052.19,283.65,4052.19,64
CDM,184366,BX BONE SUPERFICIAL,2780.44,2780.44,194.63,2780.44,64
CDM,184371,BX LIVER,3042.99,3042.99,213.01,3042.99,64
CDM,184372,BX LIVER W/OTHER PROC,4159.6,4159.6,291.17,4159.6,64
CDM,184375,BX MUSCLE PERC,2780.44,2780.44,194.63,2780.44,64
CDM,184376,BX PANCREAS,6094.48,6094.48,426.61,6094.48,64
CDM,184377,BX PLEURA PERC,2771.92,2771.92,194.03,2771.92,64
CDM,184378,BX RENAL,4101.64,4101.64,287.11,4101.64,64
CDM,184400,CT NECK W/O CONTRAST,4671.15,4671.15,326.98,4671.15,43
CDM,184473,CT ABDOMEN W&WO CONT,6421.22,6421.22,449.49,6421.22,43
CDM,184474,CT ABDOMEN W/CONT,5356.56,5356.56,374.96,5356.56,43
CDM,184475,CT ABDOMEN W/O CONT,4888.94,4888.94,342.23,4888.94,43
CDM,184480,CT CHEST W&W/O CONT,6927.29,6927.29,484.91,6927.29,43
CDM,184481,CT CHEST W/CONTRAST,5209.24,5209.24,364.65,5209.24,43
CDM,184482,CT CHEST W/O CONTRAST,4259.9,4259.9,298.19,4259.9,43
CDM,184483,CT C-SPINE W&W/O CONT,6026.62,6026.62,421.86,6026.62,43
CDM,184484,CT C-SPINE W/CONTRAST,5496.23,5496.23,384.74,5496.23,43
CDM,184485,CT C-SPINE W/O CONTRAST,4883.82,4883.82,341.87,4883.82,43
CDM,184489,CT HD/BR W&W/O CONT,5888.27,5888.27,412.18,5888.27,43
CDM,184490,CT HEAD/BRAIN W/CONT,4595.57,4595.57,321.69,4595.57,43
CDM,184491,CT HEAD/BRAIN W/O CONT,3789.7,3789.7,265.28,3789.7,43
CDM,184493,CT LOWER EXTRM W/O C LT,3596.24,3596.24,251.74,3596.24,43
CDM,184494,CT LOWER EXTRM W/O C RT,3596.24,3596.24,251.74,3596.24,43
CDM,184496,CT LOWER EXTRM W/CON LT,3938.32,3938.32,275.68,3938.32,43
CDM,184497,CT LOWER EXTRM W/CON RT,3938.32,3938.32,275.68,3938.32,43
CDM,184499,CT L-SPINE W&W/O CONT,6043.28,6043.28,423.03,6043.28,43
CDM,184500,CT L-SPINE W/CONTRAST,5593.59,5593.59,391.55,5593.59,43
CDM,184502,CT L-SPINE W/O CONTRAST,5123.4,5123.4,358.64,5123.4,43
CDM,184504,CT LW EXTRM W&W/O CON RT,4832.58,4832.58,338.28,4832.58,43
CDM,184505,CT LW EXTRM W&W/O CON LT,4832.58,4832.58,338.28,4832.58,43
CDM,184507,CT MAXIFAC W&W/O CONT,5433.44,5433.44,380.34,5433.44,43
CDM,184508,CT MAXIFAC W/CONTRAST,4159.95,4159.95,291.2,4159.95,43
CDM,184509,CT MAXIFAC W/O CNT,3999.82,3999.82,279.99,3999.82,43
CDM,184510,CT NECK W&W/O CONT,5532.09,5532.09,387.25,5532.09,43
CDM,184511,CT NECK W/CONTRAST,5096.48,5096.48,356.75,5096.48,43
CDM,184513,CT ORBIT/SELLA/IAC W,4462.31,4462.31,312.36,4462.31,43
CDM,184514,CT ORBIT/SELLA/IAC W&WO,4576.33,4576.33,320.34,4576.33,43
CDM,184515,CT ORBIT/SELLA/IAC WO,4147.15,4147.15,290.3,4147.15,43
CDM,184516,CT PELVIS W&W/O CONT,6272.62,6272.62,439.08,6272.62,43
CDM,184517,CT PELVIS W/CONTRAST,4969.67,4969.67,347.88,4969.67,43
CDM,184518,CT PELVIS W/O CONTRAST,4248.36,4248.36,297.39,4248.36,43
CDM,184521,CT T-SPINE W&W/O CONT,5410.38,5410.38,378.73,5410.38,43
CDM,184522,CT T-SPINE W/CONTRAST,4883.82,4883.82,341.87,4883.82,43
CDM,184524,CT T-SPINE W/O CONTRAST,5888.27,5888.27,412.18,5888.27,43
CDM,184526,CT UP EXTREM W/CONT BI,7940.69,7940.69,555.85,7940.69,43
CDM,184527,CT UP EXTREM W/CONT LT,3970.34,3970.34,277.92,3970.34,43
CDM,184528,CT UP EXTREM W/CONT RT,3970.34,3970.34,277.92,3970.34,43
CDM,184530,CT UP EXTREM W/O CONT BI,7236.04,7236.04,506.52,7236.04,43
CDM,184531,CT UP EXTREM W/O CONT LT,3616.76,3616.76,253.17,3616.76,43
CDM,184532,CT UP EXTREM W/O CONT RT,3616.76,3616.76,253.17,3616.76,43
CDM,184535,CT UP EXTRM W&W/O CON BI,7154.04,7154.04,500.78,7154.04,43
CDM,184536,CT UP EXTRM W&W/O CON LT,3578.3,3578.3,250.48,3578.3,43
CDM,184537,CT UP EXTRM W&W/O CON RT,3578.3,3578.3,250.48,3578.3,43
CDM,184538,CTA ABD AORTA IF LWEX RO,3980.59,3980.59,278.64,3980.59,43
CDM,184539,CTA ABDOMEN,5849.82,5849.82,409.49,5849.82,43
CDM,184540,CTA CHEST,6259.81,6259.81,438.19,6259.81,43
CDM,184541,CTA HEAD,6557.02,6557.02,458.99,6557.02,43
CDM,184542,CTA LOW EXTREMITY RT,2026.82,2026.82,141.88,2026.82,43
CDM,184546,CTA NECK,6285.44,6285.44,439.98,6285.44,43
CDM,184547,CTA PELVIS,6259.81,6259.81,438.19,6259.81,43
CDM,184547,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",6259.81,6259.81,172.43,1013.0,29
CDM,184547,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",6259.81,6259.81,192.57,192.57,4
CDM,184547,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",6259.81,6259.81,196.07,196.07,4
CDM,184550,CTA UPPER EXTREMITY,2126.75,2126.75,148.87,2126.75,43
CDM,185089,STEM FEM PRSFT 12X133MM,51600.0,51600.0,5676.0,51600.0,57
CDM,185243,THORACOSTOMY TUBE,3448.72,3448.72,241.41,3448.72,64
CDM,185294,UL CT PROCEDURE,627.77,627.77,43.94,627.77,43
CDM,185299,PLATE CRNL PRBNT 1.6X5MM,5675.0,5675.0,624.25,5675.0,57
CDM,185322,CANN VNS PED 14FR,1599.0,1599.0,111.93,1599.0,71
CDM,185324,CANNULA PRFSN 12FR 9IN,3333.0,3333.0,233.31,3333.0,71
CDM,185326,SCREW CRNL LCK 2X7MM,2662.0,2662.0,292.82,2662.0,57
CDM,185743,AMNIOCENTESIS,2245.17,2245.17,157.16,2245.17,64
CDM,185749,ASP CYST BREAST INI,3172.55,3172.55,222.08,3172.55,64
CDM,185751,ASP/INJ CYST REN/PEL,3290.18,3290.18,230.31,3290.18,64
CDM,185767,BX ABD/RETROPERITO,3133.35,3133.35,219.33,3133.35,64
CDM,185772,BX BREAST NDL CORE,3227.1,3227.1,225.9,3227.1,64
CDM,185774,BX LIVER,3087.31,3087.31,216.11,3087.31,64
CDM,185778,BX PANCREAS,4757.95,4757.95,333.06,4757.95,64
CDM,185779,BX PLEURA PERC,3157.21,3157.21,221.0,3157.21,64
CDM,185780,BX RENAL,3740.24,3740.24,261.82,3740.24,64
CDM,185781,BX THYROID,3101.95,3101.95,217.14,3101.95,64
CDM,185822,CATH HYSTEROSALPING,1859.31,1859.31,130.15,1859.31,64
CDM,185950,DOP TRANSCRANIAL COMP,2287.44,2287.44,160.12,2287.44,49
CDM,186626,US ABDOMEN COMPLETE,2144.91,2144.91,150.14,2144.91,48
CDM,186627,US ABDOMEN LTD,1849.81,1849.81,129.49,1849.81,48
CDM,186632,US CHST W/MEDIASTINUM,1541.93,1541.93,107.94,1541.93,48
CDM,186633,US ENCEPHALOGRAM,2234.33,2234.33,156.4,2234.33,48
CDM,186637,US FETAL BIOPHYS PROF,1558.53,1558.53,109.1,1558.53,48
CDM,186651,US HEAD AND NECK,1539.37,1539.37,107.76,1539.37,48
CDM,186663,US PELVIC COMPLETE,2005.65,2005.65,140.4,2005.65,48
CDM,186664,US PELVIC LTD OR FU,1849.81,1849.81,129.49,1849.81,48
CDM,186666,US PREG AFTER 1ST TRI,2194.72,2194.72,153.63,2194.72,48
CDM,186675,US PRG AFT 1ST TRI AD,3367.46,3367.46,235.72,3367.46,54
CDM,186678,US RETRO LTD,1598.13,1598.13,111.87,1598.13,48
CDM,186679,US RETROPERITONEAL COM,1918.77,1918.77,134.31,1918.77,48
CDM,186680,US SCROTUM AND CNTS,1810.21,1810.21,126.71,1810.21,48
CDM,186682,US SPINAL CANAL,1936.67,1936.67,135.57,1936.67,48
CDM,186683,US TRANSRECTAL,1853.64,1853.64,129.75,1853.64,48
CDM,186684,US TRANSVAGINAL,1677.34,1677.34,117.41,1677.34,48
CDM,187038,STRATTERA 10MG CAP,99.59,99.59,6.97,99.59,67
CDM,187052,XR CYSTOGRAM 3 + V,1795.77,1795.77,125.7,1795.77,48
CDM,187082,LYRICA 75 MG CAP,51.25,51.25,3.59,51.25,67
CDM,187102,ENABLEX 7.5 MG TAB,76.95,76.95,5.39,76.95,67
CDM,187106,MOMETASONE 220MCG INH30,1457.65,1457.65,102.04,1457.65,67
CDM,187107,TC STNT CCA W/EPS,43863.29,43863.29,3070.43,43863.29,64
CDM,187108,TC STNT CCA W/O EPS,43863.29,43863.29,3070.43,43863.29,64
CDM,187117,STALEVO 150 TAB,21.71,21.71,1.52,21.71,67
CDM,187118,LYRICA 100 MG CAP,51.25,51.25,3.59,51.25,67
CDM,187119,LYRICA 25 MG CAP,46.86,46.86,3.28,46.86,67
CDM,187129,3D CT/MRI/US/OTH IND,1705.23,1705.23,119.37,1705.23,49
CDM,187139,3D CT/MRI/US/OTH IND,1705.23,1705.23,119.37,1705.23,49
CDM,187141,3D CT/MRI/US/OTH IND,1714.39,1714.39,120.01,1714.39,49
CDM,187180,CHEMO SQ/IM NON HORM ANP,606.97,606.97,42.49,606.97,49
CDM,187192,CHEMO SQ/IM NON HORM ANP,606.97,606.97,42.49,606.97,49
CDM,187193,CHEMO SQ/IM HORMONL ANPL,606.97,606.97,42.49,606.97,49
CDM,187196,NEURO ICU PRV/TEL,19312.96,19312.96,,,0
CDM,187199,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,187210,CHEMO SQ/IM NON HORM ANP,606.97,606.97,42.49,606.97,49
CDM,187211,CHEMO SQ/IM HORMONL ANPL,606.97,606.97,42.49,606.97,49
CDM,187250,CHEMO SQ/IM NON HORM ANP,606.97,606.97,42.49,606.97,49
CDM,187251,CHEMO SQ/IM HORMONL ANPL,606.97,606.97,42.49,606.97,49
CDM,187267,SP ENDO RPR DTA INV LSA,19033.5,19033.5,1332.35,19033.5,70
CDM,187269,SP ENDO RPR DTA NINV LSA,19033.5,19033.5,1332.35,19033.5,70
CDM,187271,SP PLMT EX PR END RP DTA,19033.5,19033.5,1332.35,19033.5,70
CDM,187304,TC99M MEBROFEN DX 15MCI,594.03,594.03,41.58,594.03,54
CDM,187304,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",594.03,594.03,187.21,482.5,15
CDM,187304,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries Max of 2 Units",594.03,594.03,70.0,70.0,1
CDM,187332,TC99M SULFUR CO DX 20MCI,186.51,186.51,13.06,186.51,55
CDM,187332,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",186.51,186.51,183.75,2332.22,15
CDM,187332,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries Max of 2 Units",186.51,186.51,70.0,70.0,1
CDM,187349,IN111 IBRITU TIU DX 5MCI,28550.53,28550.53,1998.54,28550.53,54
CDM,187349,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",28550.53,28550.53,6782.57,28940.99,15
CDM,187349,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries Max of 2 Units",28550.53,28550.53,70.0,70.0,1
CDM,187361,IN111 PENTETAT DX 0.5MCI,8123.54,8123.54,568.65,8123.54,49
CDM,187361,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",8123.54,8123.54,1230.27,7724.25,15
CDM,187361,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie Max of 2 Units",8123.54,8123.54,70.0,70.0,1
CDM,187368,TC99M SOD GLUCE DX 25MCI,201.84,201.84,14.13,201.84,67
CDM,187368,"Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie Max of 2 Units",201.84,201.84,70.0,70.0,1
CDM,187378,TC99M SUCCIMER DX 10MCI,1475.5,1475.5,103.28,1475.5,55
CDM,187378,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",1475.5,1475.5,1088.88,5228.78,15
CDM,187378,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries Max of 2 Units",1475.5,1475.5,70.0,70.0,1
CDM,187387,F18 FDG DX 45MCI,6479.41,6479.41,453.56,6479.41,61
CDM,187387,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",6479.41,6479.41,672.75,1082.25,9
CDM,187387,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries Max of 2 Units",6479.41,6479.41,70.0,70.0,1
CDM,187403,I125 SOD IOTHAL DX 10UCI,1673.51,1673.51,117.15,1673.51,55
CDM,187403,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",1673.51,1673.51,120.27,1071.91,15
CDM,187403,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries Max of 2 Units",1673.51,1673.51,70.0,70.0,1
CDM,187427,RUBIDIUM RB82 DX 60 MCI,4466.08,4466.08,312.63,4466.08,55
CDM,187427,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",4466.08,4466.08,817.31,3287.56,15
CDM,187427,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries Max of 2 Units",4466.08,4466.08,70.0,70.0,1
CDM,187428,GA67 CITRATE DX 1 MCI,2069.53,2069.53,144.87,2069.53,54
CDM,187428,"Gallium ga-67 citrate, diagnostic, per millicurie ",2069.53,2069.53,37.47,1177.78,15
CDM,187428,"Gallium ga-67 citrate, diagnostic, per millicurie Max of 2 Units",2069.53,2069.53,70.0,70.0,1
CDM,187451,TC99M MERTIATID DX 15MCI,315.55,315.55,22.09,315.55,60
CDM,187451,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",315.55,315.55,1308.9,4282.82,9
CDM,187451,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries Max of 2 Units",315.55,315.55,70.0,70.0,1
CDM,187492,TC99M LABEL RBC DX 30MCI,866.13,866.13,60.63,866.13,54
CDM,187492,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",866.13,866.13,179.67,814.75,15
CDM,187492,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries Max of 2 Units",866.13,866.13,70.0,70.0,1
CDM,187535,INJ PERC EXTREM PSEAN,2555.42,2555.42,178.88,2555.42,64
CDM,187536,USG NDL PLACEMENT,2167.9,2167.9,151.75,2167.9,54
CDM,187538,OMACOR 1GM CAP,25.51,25.51,1.79,25.51,67
CDM,187625,ARGININE 10% 300 ML INJ,307.27,307.27,21.51,307.27,67
CDM,187627,BACLOFEN 10MG INJ,1433.69,1433.69,100.36,1433.69,42
CDM,187920,CHEMO IV PUSH EA ADD DRG,606.97,606.97,42.49,606.97,49
CDM,187926,CHEMO IV PUSH EA ADD DRG,606.97,606.97,42.49,606.97,49
CDM,187932,CHEMO IV PUSH EA ADD DRG,606.97,606.97,42.49,606.97,49
CDM,187952,CHEMO IV PUSH EA ADD DRG,606.97,606.97,42.49,606.97,49
CDM,187974,HBIG HUMAN 5 ML IM,5146.69,5146.69,360.27,5146.69,42
CDM,187999,CONT INJ EX CVAD W FLURO,683.62,683.62,47.85,683.62,64
CDM,188016,PLTS PH LR IRR LOW YIELD,3230.73,3230.73,226.15,3230.73,61
CDM,188084,PRI THRMBCTMY ARTERY IN,40983.96,40983.96,2868.88,40983.96,64
CDM,188085,PRI THRMY ADL ART SM FAM,16689.52,16689.52,1168.27,16689.52,64
CDM,188086,2ND THRMBCTMY ART ADDL,16689.52,16689.52,1168.27,16689.52,64
CDM,188087,VEN THRMBCTOMY INITIAL,40983.96,40983.96,2868.88,40983.96,64
CDM,188088,VEN THRMY SUBS DAY TX,40983.96,40983.96,2868.88,40983.96,64
CDM,188096,PERCT REMOVAL STENT,20613.87,20613.87,1442.97,20613.87,64
CDM,188097,PER REM/REP TRANSNEPHRIC,7678.21,7678.21,537.47,7678.21,64
CDM,188104,ZONEGRAN 25MG CAP,2.89,2.89,0.2,2.89,67
CDM,188116,RPLC URETERAL STNT PERC,24229.64,24229.64,1696.07,24229.64,64
CDM,188119,RMVL NEPHROSTOMY W FL GD,2637.26,2637.26,184.61,2637.26,64
CDM,188121,PTA INTRACRANIAL PERC,86593.65,86593.65,6061.56,86593.65,64
CDM,188122,PLC STNT INTRACRANIAL,39966.54,39966.54,2797.66,39966.54,64
CDM,188123,PTD IC VASOSPASM INI,42127.19,42127.19,2948.9,42127.19,64
CDM,188124,PTD VSPM EA ADD SM FAM,28086.87,28086.87,1966.08,28086.87,64
CDM,188125,PTD VSPM ADD VES DFF FAM,35106.26,35106.26,2457.44,35106.26,64
CDM,188129,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,188165,AZITHROMYCIN 500 MG,2.96,2.96,0.21,2.96,47
CDM,188177,ASP BONE MARROW NDL,8286.81,8286.81,580.08,8286.81,64
CDM,188226,SURGIFLO HEMOSTAT MATRIX,2652.78,2652.78,185.69,2652.78,67
CDM,188316,NICORETTE 4MG GUM EA,11.66,11.66,0.82,11.66,67
CDM,188365,RANEXA 500MG TAB SR 12H,51.56,51.56,3.61,51.56,67
CDM,188366,REM DEVITALIZED TISS NS,508.26,508.26,55.91,508.26,52
CDM,188367,REM DEVITALIZED TISS NS,926.84,926.84,101.95,926.84,52
CDM,188368,REM DEVITALIZED TISS NS,1348.42,1348.42,148.33,1348.42,52
CDM,188369,REM DEVITALIZED TISS NS,1766.97,1766.97,194.37,1766.97,52
CDM,188370,NEG PRESSURE 50CM OR <,1160.03,1160.03,127.6,1160.03,52
CDM,188371,NEG PRESSURE 50CM OR <,2206.48,2206.48,242.71,2206.48,52
CDM,188372,NEG PRESSURE 50CM OR <,2998.78,2998.78,329.87,2998.78,52
CDM,188373,NEG PRESSURE 50CM OR <,3533.97,3533.97,388.74,3533.97,52
CDM,188374,NEG PRESSURE > 50 CM,1160.03,1160.03,127.6,1160.03,52
CDM,188375,NEG PRESSURE > 50 CM,2206.48,2206.48,242.71,2206.48,52
CDM,188376,NEG PRESSURE > 50 CM,2998.78,2998.78,329.87,2998.78,52
CDM,188377,NEG PRESSURE > 50 CM,3533.97,3533.97,388.74,3533.97,52
CDM,188381,INJ SG TDN SHTH/LIG/APNS,724.52,724.52,50.72,724.52,64
CDM,188382,AMITIZA 24MCG GELCAP,64.88,64.88,4.54,64.88,67
CDM,188725,NXSTAGE RFP-400 5 L,368.22,368.22,25.78,368.22,67
CDM,188726,NXSTAGE RFP-402 5L,368.22,368.22,25.78,368.22,67
CDM,188737,TRUSOPT OS 2% 10ML,997.19,997.19,69.8,997.19,67
CDM,188764,OP VISIT LEVEL 1 EST,980.64,980.64,107.87,980.64,54
CDM,188794,"Injection, moxifloxacin, 100 mg ",660.81,660.81,8.48,74.49,17
CDM,188794,MOXIFLOXACIN 400 MG INJ,660.81,660.81,46.26,660.81,47
CDM,188820,CAT 1 CLINIC PROCEDURE,600.95,600.95,42.07,600.95,64
CDM,188821,CAT 2 CLINIC PROCEDURE,1414.18,1414.18,98.99,1414.18,64
CDM,188822,CAT 3 CLINIC PROCEDURE,2278.24,2278.24,159.48,2278.24,64
CDM,188827,CELEXA 10 MG/5 ML SOLN,27.76,27.76,1.94,27.76,67
CDM,188828,KENALOG 0.1% OINT 454 GM,377.4,377.4,26.42,377.4,67
CDM,188847,MED MGMT LACT EDU 30 MIN,248.97,248.97,17.43,248.97,65
CDM,188848,MED MGMT LACT EDU 30 MIN,161.89,161.89,11.33,161.89,65
CDM,188852,BX TISSUE NECK OR THORAX,10385.36,10385.36,726.98,10385.36,64
CDM,188853,PAIN EASE SPRAY 103.5ML,320.25,320.25,22.42,320.25,67
CDM,188884,CHANTIX 0.5MG TAB,46.86,46.86,3.28,46.86,67
CDM,188889,XR CYSTOURETHRO VDNG,2071.91,2071.91,145.03,2071.91,48
CDM,188970,SURG ONC PRIVATE,6647.47,6647.47,,,0
CDM,189084,ARTH JNTBRS MJR WO US BI,2550.32,2550.32,178.52,2550.32,64
CDM,189289,INJ PERC EXTREM PSEAN LT,2098.53,2098.53,146.9,2098.53,64
CDM,189711,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,189841,AXICABTAGENE ADULT,9027728.5,9027728.5,631940.99,9027728.5,54
CDM,189841,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",9027728.5,9027728.5,515893.53,1966642.5,11
CDM,189843,TISAGENLECLEUCEL ADULT,8179728.5,8179728.5,572580.99,8179728.5,55
CDM,189843,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",8179728.5,8179728.5,595755.57,2132254.5,11
CDM,189844,DEVICE CRYOTHERAPY,25874.0,25874.0,1811.18,25874.0,71
CDM,189992,US RENAL TRANSPLANT,2436.16,2436.16,170.53,2436.16,48
CDM,189996,US RENAL TRANSPLANT,2436.16,2436.16,170.53,2436.16,48
CDM,190147,US INTRAOPERATIVE,1624.96,1624.96,113.75,1624.96,54
CDM,190157,FLUORO GUID CTRL ACC DEV,823.65,823.65,57.66,823.65,60
CDM,190158,FLUORO GUID CTRL ACC DEV,823.65,823.65,57.66,823.65,60
CDM,190160,XR FLUORO NDL,1221.13,1221.13,85.48,1221.13,60
CDM,190170,XR FLUORO FOR SPINE INJ,1419.04,1419.04,99.33,1419.04,60
CDM,190171,XR FLUORO FOR SPINE INJ,1414.25,1414.25,99.0,1414.25,60
CDM,190181,CT STEREO LOCALIZATION,4959.41,4959.41,347.16,4959.41,49
CDM,190184,CT STEREO LOCALIZATION,4959.41,4959.41,347.16,4959.41,49
CDM,190189,CT GUID NDL PLCMT,4279.11,4279.11,299.54,4279.11,49
CDM,190198,CT GUIDANCE TISSUE ABLAT,6449.42,6449.42,451.46,6449.42,49
CDM,190201,CT GUIDANCE TISSUE ABLAT,6449.42,6449.42,451.46,6449.42,49
CDM,190206,CT PLACE RAD THPY FLD,2356.06,2356.06,164.92,2356.06,59
CDM,190207,CT PLACE RAD THPY FLD,2356.06,2356.06,164.92,2356.06,59
CDM,190209,CT PLACE RAD THPY FLD,2356.06,2356.06,164.92,2356.06,59
CDM,190211,CT PLACE RAD THPY FLD,2356.06,2356.06,164.92,2356.06,59
CDM,190216,MR GUID NDL PLCMT,3281.86,3281.86,229.73,3281.86,49
CDM,190216,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",3281.86,3281.86,560.88,1834.11,10
CDM,190224,MR GUIDANCE TISSUE ABLAT,8746.95,8746.95,612.29,8746.95,49
CDM,190224,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",8746.95,8746.95,303.65,1321.0,10
CDM,190374,XR BONE AGE STUDIES,922.64,922.64,64.58,922.64,48
CDM,190376,XR BONE AGE STUDIES,922.64,922.64,64.58,922.64,48
CDM,190382,XR BONE LENGTH STUDIES,1356.8,1356.8,94.98,1356.8,48
CDM,190384,XR BONE LENGTH STUDIES,1356.8,1356.8,94.98,1356.8,48
CDM,190390,XR BONE SURVEY LTD,3288.23,3288.23,230.18,3288.23,48
CDM,190392,XR BONE SURVEY LTD,3288.23,3288.23,230.18,3288.23,48
CDM,190398,XR BONE SURVEY COMP,3288.23,3288.23,230.18,3288.23,48
CDM,190400,XR BONE SURVEY COMP,3288.23,3288.23,230.18,3288.23,48
CDM,190406,XR BONE SURVEY INFANT,1441.4,1441.4,100.9,1441.4,48
CDM,190408,XR BONE SURVEY INFANT,1441.4,1441.4,100.9,1441.4,48
CDM,190482,SRS DL ONE SESS LINR ACC,63839.87,63839.87,7022.39,63839.87,42
CDM,190486,SRS DL ONE SESS LINR ACC,23758.14,23758.14,2613.4,23758.14,42
CDM,190491,SRS DL PER FRACTION,12709.97,12709.97,1398.1,12709.97,38
CDM,190495,SRS DL PER FRACTION,12709.97,12709.97,1398.1,12709.97,38
CDM,190513,TC99M PENTETATE DX 25MCI,1047.54,1047.54,73.33,1047.54,55
CDM,190513,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",1047.54,1047.54,47.39,273.32,15
CDM,190513,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries Max of 2 Units",1047.54,1047.54,70.0,70.0,1
CDM,190522,CO57/58 CYANOCOB DX 1UCI,2618.85,2618.85,183.32,2618.85,55
CDM,190522,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",2618.85,2618.85,2.21,1308.86,15
CDM,190522,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie Max of 2 Units",2618.85,2618.85,70.0,70.0,1
CDM,190549,MRI W/CONT BREAST UNI LT,4986.02,4986.02,349.02,4986.02,47
CDM,190550,MRI W/CONT BREAST UNI RT,4986.02,4986.02,349.02,4986.02,47
CDM,190553,MRI WO FOL WCON BR UN LT,4986.02,4986.02,349.02,4986.02,47
CDM,190554,MRI WO FOL WCON BR UN RT,4986.02,4986.02,349.02,4986.02,47
CDM,190603,MRI W/CONT BREAST BI,4986.02,4986.02,349.02,4986.02,47
CDM,190603,"Magnetic resonance imaging with contrast, breast; bilateral ",4986.02,4986.02,523.13,1710.69,9
CDM,190633,VENT MGMT INITIAL IP/OBS,28305.64,28305.64,1981.39,28305.64,48
CDM,190633,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day ",28305.64,28305.64,1277.46,2485.24,6
CDM,190635,VENT MGMT IP/OBS SUB DAY,28305.64,28305.64,1981.39,28305.64,48
CDM,190635,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day ",28305.64,28305.64,1277.46,2485.24,6
CDM,190664,OP VISIT LEVEL 1 EST,594.13,594.13,41.59,594.13,54
CDM,190665,FOLLOW UP VISIT ONLY NP,594.13,594.13,41.59,594.13,54
CDM,190666,OP VISIT LEVEL 3 EST,860.5,860.5,60.23,860.5,54
CDM,190667,OP VISIT LEVEL 3 NP,860.5,860.5,60.23,860.5,54
CDM,190681,LINER HIP ACTB F 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,190742,CONT INHAL TRMT 1ST HOUR,1520.47,1520.47,106.43,1520.47,48
CDM,190742,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,1520.47,1520.47,299.83,583.31,6
CDM,190743,CONT IN TRMT EA ADD HOUR,1520.47,1520.47,106.43,1520.47,54
CDM,190743,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,1520.47,1520.47,46.59,90.63,6
CDM,190756,ABL 1/MORE RENL TU PC RF,38919.5,38919.5,2724.36,38919.5,64
CDM,190757,INS TMP OCLU BALON IC/EX,40752.52,40752.52,2852.68,40752.52,64
CDM,190758,THRMBX-CTH VEN/ILIAC/FEM,39313.3,39313.3,2751.93,39313.3,64
CDM,190789,OBG/PVT M/S OVERFLOW,3409.5,3409.5,,,0
CDM,190801,INDWELLING PLEURAL CATH,30220.14,30220.14,2115.41,30220.14,64
CDM,190804,INDWELLING PLEURAL CATH,30220.14,30220.14,2115.41,30220.14,64
CDM,190860,XR ERCP BILIARY ONLY,2451.81,2451.81,171.63,2451.81,60
CDM,190866,ENDO AAA W/AORTO-AORTIC,19851.84,19851.84,1389.63,19851.84,62
CDM,190866,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis ,19851.84,19851.84,2152.0,16144.0,5
CDM,190871,UNLSTD PROC SKIN,407.42,407.42,28.52,407.42,64
CDM,190912,ALOE VESTA OINT 5 OZ,9.68,9.68,0.68,9.68,67
CDM,190933,CELL MRK GLYCO ADD,174.27,174.27,12.2,174.27,54
CDM,191040,POSACONAZOLE 40/1PO105ML,8332.1,8332.1,583.25,8332.1,59
CDM,191050,ALISKIREN 150MG TAB,43.99,43.99,3.08,43.99,67
CDM,191131,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,191132,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,49
CDM,191133,CHEMO CNS SPINAL PUNC,601.62,601.62,42.11,601.62,49
CDM,191134,CHEMO IV EA ADD HOUR,421.12,421.12,29.48,421.12,49
CDM,191135,CHEMO IV PUSH EA ADD DRG,606.97,606.97,42.49,606.97,49
CDM,191136,CHEMO IV PUSH SING/IN DR,601.62,601.62,42.11,601.62,49
CDM,191137,CHEMO IV SING/IN DR 1 HR,1676.48,1676.48,117.35,1676.48,49
CDM,191138,CHEMO SQ/IM HORMONL ANPL,606.97,606.97,42.49,606.97,49
CDM,191139,CHEMO SQ/IM NON HORM ANP,606.97,606.97,42.49,606.97,49
CDM,191140,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,191141,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,191150,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,191151,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,191152,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,191156,RV5 VAC 3DOSE LIVE PO,598.51,598.51,41.9,598.51,47
CDM,191156,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",598.51,598.51,104.87,946.54,17
CDM,191195,NEURO-ONC PVT ROOM,6647.47,6647.47,,,0
CDM,193225,3D CT/MRI/US/OTH IND,1705.23,1705.23,119.37,1705.23,49
CDM,194916,LURASIDONE HCL 20 MG TAB,328.49,328.49,22.99,328.49,67
CDM,195089,ALP 1 PRO INHIB HUM 10MG,389.03,389.03,27.23,389.03,42
CDM,195089,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",389.03,389.03,4.99,44.38,17
CDM,195109,DELZICOL ER 400MG,20.98,20.98,1.47,20.98,67
CDM,195110,UREA 40% 30GM CREAM,181.68,181.68,12.72,181.68,67
CDM,195112,HLA TYP AB SEMIQN PAN C1,6099.07,6099.07,426.93,6099.07,47
CDM,195113,HLA TYP AB SEMIQN PAN C2,6099.07,6099.07,426.93,6099.07,47
CDM,195117,DUP AB/PEL/SC LTD,526.85,526.85,36.88,526.85,49
CDM,195119,APIXABAN 2.5 MG PO,57.81,57.81,4.05,57.81,67
CDM,195130,IPRAT/ALBUTER INH 4GM,3455.1,3455.1,241.86,3455.1,67
CDM,195271,INJ FACET L/S SGL LVL US,6164.38,6164.38,431.51,6164.38,64
CDM,195284,PREZISTA 800MG,409.94,409.94,28.7,409.94,67
CDM,195287,ROMIDEPSIN 10 MG KIT,44759.43,44759.43,3133.16,44759.43,59
CDM,195299,INJ SI ANES/STD/TH AG,4457.99,4457.99,312.06,4457.99,64
CDM,195305,COLON SCREEN HIGH RISK,4055.89,4055.89,283.91,4055.89,64
CDM,195306,COLON SCREEN AVG RISK,4055.89,4055.89,283.91,4055.89,64
CDM,195383,INTRAPULM PERC SUBSQ,1262.92,1262.92,88.4,1262.92,48
CDM,195384,INTRAPULM PERC INITIAL,1262.92,1262.92,88.4,1262.92,48
CDM,195403,CRIT CARE EACH ADD 30MIN,3891.06,3891.06,428.02,3891.06,47
CDM,195416,INJ CYSTO/URETH,1696.23,1696.23,118.74,1696.23,64
CDM,195420,INJ CYSTO/URETH,1551.75,1551.75,108.62,1551.75,64
CDM,195422,INJ CYSTO/URETH,1696.23,1696.23,118.74,1696.23,64
CDM,195424,INJ CYSTO/URETH,1545.53,1545.53,108.19,1545.53,64
CDM,195461,FNA WO IMAGE,1130.24,1130.24,79.12,1130.24,64
CDM,195463,ASP CYST BREAST INI,2947.52,2947.52,206.33,2947.52,64
CDM,195464,ASP CYST BREAST ADL,1476.33,1476.33,103.34,1476.33,64
CDM,195465,I&D BRST ABSC/FLD COLL,12727.7,12727.7,890.94,12727.7,64
CDM,195473,BX LYMPH NODE,6781.51,6781.51,474.71,6781.51,64
CDM,195474,SENT NODE RAD TR INJ,2947.52,2947.52,206.33,2947.52,64
CDM,195475,CATH HYSTEROSALPING,897.82,897.82,62.85,897.82,64
CDM,195477,XR SURGICAL SPECIMEN,938.58,938.58,65.7,938.58,48
CDM,195478,UL DX RAD PROCEDURE,247.43,247.43,17.32,247.43,52
CDM,195500,US UNLSTD PROC,527.6,527.6,36.93,527.6,48
CDM,195500,"Unlisted ultrasound procedure (eg, diagnostic, interventional) ",527.6,527.6,83.86,446.97,30
CDM,195500,"Unlisted ultrasound procedure (eg, diagnostic, interventional) Age 21+",527.6,527.6,95.24,95.24,4
CDM,195500,"Unlisted ultrasound procedure (eg, diagnostic, interventional) Age Under 21",527.6,527.6,96.97,96.97,4
CDM,195507,DXA BONE DENSITY AXIAL,1160.47,1160.47,81.23,1160.47,48
CDM,195507,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",1160.47,1160.47,38.5,245.18,34
CDM,195507,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Age 21+",1160.47,1160.47,43.0,43.0,4
CDM,195507,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Age Under 21",1160.47,1160.47,43.78,43.78,4
CDM,195521,OBS PER HOUR,1031.49,1031.49,113.46,1031.49,42
CDM,195568,COMPNT FEM STD KN SIZE 7,136330.0,136330.0,14996.3,136330.0,57
CDM,195603,US GUIDANCE VASC ACCESS,2134.67,2134.67,149.43,2134.67,54
CDM,195614,REM IABP PERC,5953.0,5953.0,416.71,5953.0,64
CDM,195618,FLUORO GUID CTRL ACC DEV,823.65,823.65,57.66,823.65,60
CDM,195619,XR FLUORO NDL,1221.13,1221.13,85.48,1221.13,60
CDM,195630,SP ANG INTRN MAMMARY,6220.53,6220.53,435.44,6220.53,48
CDM,195631,SP ANGIO EXT UNI,5010.57,5010.57,350.74,5010.57,48
CDM,195632,SP ANGIO PELVIC,20607.36,20607.36,1442.52,20607.36,48
CDM,195639,SP TRANSCATH ANGIO F/U,2959.43,2959.43,207.16,2959.43,48
CDM,195641,SP TRANSCTH THPY EMBL,7813.56,7813.56,546.95,7813.56,60
CDM,195642,SP VENOCAVAGM SUP,5125.51,5125.51,358.79,5125.51,48
CDM,195644,SP VENOGM RENAL UNI,5010.57,5010.57,350.74,5010.57,48
CDM,195658,SP ANG VISC SEL W/WO F,14597.57,14597.57,1021.83,14597.57,48
CDM,195659,SP ANGIO PULM NS,6231.7,6231.7,436.22,6231.7,48
CDM,195661,SP VENOGM SIN/JUG CATH,5010.57,5010.57,350.74,5010.57,48
CDM,195679,"Injection, temsirolimus, 1 mg ",27862.04,27862.04,29.18,276.14,17
CDM,195679,TEMSIROLIMUS 25 MG INJ,27862.04,27862.04,1950.34,27862.04,42
CDM,195688,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,195689,OBS PER HOUR,1031.49,1031.49,113.46,1031.49,42
CDM,195690,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,195692,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,195693,OBS PER HOUR,1031.49,1031.49,113.46,1031.49,42
CDM,195694,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,195695,OBS PER HOUR,1031.49,1031.49,113.46,1031.49,42
CDM,195696,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,195748,CTA LOW EXTREMITY LT,2026.82,2026.82,141.88,2026.82,43
CDM,195845,US DVC PLC BRST 1ST,3545.88,3545.88,248.21,3545.88,64
CDM,195846,US DVC PLC BRST ADD,2147.99,2147.99,150.36,2147.99,64
CDM,195929,US BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196018,MR BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,196029,VASC EMBOLIZ VENOUS,64359.53,64359.53,4505.17,64359.53,64
CDM,196041,VASC EMBOLIZ ARTERIAL,64359.53,64359.53,4505.17,64359.53,64
CDM,196053,VASC EMBOL TUM/ORG/INF,64359.53,64359.53,4505.17,64359.53,64
CDM,196236,DRN CATH IMGE GD PERC,11600.85,11600.85,812.06,11600.85,64
CDM,196237,DRN CATH IMG GD PER/RTRO,11600.85,11600.85,812.06,11600.85,64
CDM,196238,DRN CATH IMGE GD PERC,11600.85,11600.85,812.06,11600.85,64
CDM,196248,DRN CATH IMGE GD PERC,11600.85,11600.85,812.06,11600.85,64
CDM,196249,DRN CATH IMG GD PER/RTRO,11600.85,11600.85,812.06,11600.85,64
CDM,196257,DRN CATH IMG GD PER/RTRO,11600.85,11600.85,812.06,11600.85,64
CDM,196258,DRN CATH IMG GD PER/RTRO,11600.85,11600.85,812.06,11600.85,64
CDM,196259,DRN CATH IMG GD PER/RTRO,11600.85,11600.85,812.06,11600.85,64
CDM,196297,ELCTRD ESURG ENDO 37X5,11433.0,11433.0,800.31,11433.0,71
CDM,196306,BIT DRILL DISP 2.5X150MM,4518.0,4518.0,316.26,4518.0,71
CDM,196328,US BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,196329,US BRST BX 1ST LESION LT,6696.26,6696.26,468.74,6696.26,64
CDM,196330,US BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,196342,MR BRST BX 1ST LESION LT,6696.26,6696.26,468.74,6696.26,64
CDM,196404,MR BRST BX 1ST LESION RT,6696.26,6696.26,468.74,6696.26,64
CDM,196584,US BRST BX 1ST LESION RT,6696.26,6696.26,468.74,6696.26,64
CDM,196618,MECH CHEST WALL OSCILL,442.01,442.01,30.94,442.01,48
CDM,196618,"Mechanical chest wall oscillation to facilitate lung function, per session ",442.01,442.01,505.89,984.19,6
CDM,196619,SP/EVAL FLUENCY,271.94,271.94,19.04,271.94,44
CDM,196620,SP/EVAL FLUENCY,501.32,501.32,35.09,501.32,44
CDM,196621,SP/EVAL FLUENCY,737.79,737.79,51.65,737.79,44
CDM,196622,SP/EVAL FLUENCY,1079.49,1079.49,75.56,1079.49,44
CDM,196623,SP/EVAL SOUND PRODUCTION,271.94,271.94,19.04,271.94,44
CDM,196624,SP/EVAL SOUND PRODUCTION,501.32,501.32,35.09,501.32,44
CDM,196625,SP/EVAL SOUND PRODUCTION,737.79,737.79,51.65,737.79,44
CDM,196626,SP/EVAL SOUND PRODUCTION,1079.49,1079.49,75.56,1079.49,44
CDM,196627,SP/EVAL SND W/ LANG EVAL,271.94,271.94,19.04,271.94,44
CDM,196628,SP/EVAL SND W/ LANG EVAL,501.32,501.32,35.09,501.32,44
CDM,196629,SP/EVAL SND W/ LANG EVAL,737.79,737.79,51.65,737.79,44
CDM,196630,SP/EVAL SND W/ LANG EVAL,1079.49,1079.49,75.56,1079.49,44
CDM,196631,BEHAV QL ANALYSIS VOICE,271.94,271.94,19.04,271.94,44
CDM,196632,BEHAV QL ANALYSIS VOICE,501.32,501.32,35.09,501.32,44
CDM,196633,BEHAV QL ANALYSIS VOICE,737.79,737.79,51.65,737.79,44
CDM,196634,BEHAV QL ANALYSIS VOICE,1079.49,1079.49,75.56,1079.49,44
CDM,196635,EGD W/STENT PLACEMENT,9554.08,9554.08,668.79,9554.08,64
CDM,196637,ERCP W/PLACE STENT,10081.85,10081.85,705.73,10081.85,64
CDM,196638,ERCP W/CHG STENT/TU/FB,10081.85,10081.85,705.73,10081.85,64
CDM,196639,ERCP W/REMOVAL STENT,10081.85,10081.85,705.73,10081.85,64
CDM,196640,ERCP W/DILATE BALLOON,10081.85,10081.85,705.73,10081.85,64
CDM,196641,ERCP W/ABLATION,10081.85,10081.85,705.73,10081.85,64
CDM,196670,US BRST BX ADD LESION LT,3349.85,3349.85,234.49,3349.85,64
CDM,196671,US BRST BX ADD LESION RT,3349.85,3349.85,234.49,3349.85,64
CDM,196672,US BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196673,MR BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,196674,MR BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196675,MR BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196676,MR BRST BX ADD LESION LT,3349.85,3349.85,234.49,3349.85,64
CDM,196677,MR BRST BX ADD LESION RT,3349.85,3349.85,234.49,3349.85,64
CDM,196690,US DVC PLC BRST 1ST,3545.88,3545.88,248.21,3545.88,64
CDM,196691,US DVC PLC BRST 1ST LT,3545.88,3545.88,248.21,3545.88,64
CDM,196692,US DVC PLC BRST 1ST RT,3545.88,3545.88,248.21,3545.88,64
CDM,196693,US DVC PLC BRST ADD,2147.99,2147.99,150.36,2147.99,64
CDM,196694,US DVC PLC BRST ADD LT,2147.99,2147.99,150.36,2147.99,64
CDM,196695,US DVC PLC BRST ADD RT,2147.99,2147.99,150.36,2147.99,64
CDM,196696,MR DVC PLC BRST 1ST,1940.01,1940.01,135.8,1940.01,64
CDM,196697,MR DVC PLC BRST 1ST LT,1940.01,1940.01,135.8,1940.01,64
CDM,196698,MR DVC PLC BRST 1ST RT,1940.01,1940.01,135.8,1940.01,64
CDM,196699,MR DVC PLC BRST 1ST,1940.01,1940.01,135.8,1940.01,64
CDM,196700,MR DVC PLC BRST ADD,970.01,970.01,67.9,970.01,64
CDM,196701,MR DVC PLC BRST ADD LT,970.01,970.01,67.9,970.01,64
CDM,196702,MR DVC PLC BRST ADD RT,970.01,970.01,67.9,970.01,64
CDM,196703,MR DVC PLC BRST ADD,970.01,970.01,67.9,970.01,64
CDM,196704,PERC CATHDRN SF TS W/GDN,1585.44,1585.44,110.98,1585.44,64
CDM,196705,TRANSCTH STNT PLC IA,50201.54,50201.54,3514.11,50201.54,64
CDM,196706,TRANSCTH STNT PLC IN VN,50201.54,50201.54,3514.11,50201.54,64
CDM,196707,TRANSCTH STNT PLC EA AD,32250.51,32250.51,2257.54,32250.51,64
CDM,196708,TRANSCTH STNT PLC EA VN,32250.51,32250.51,2257.54,32250.51,64
CDM,196709,STNT PLMT RETR OP IP CCA,43861.58,43861.58,3070.31,43861.58,64
CDM,196713,FILGRASTIM 300 MCG INJ,2550.04,2550.04,178.5,2550.04,42
CDM,196714,FILGRASTIM 480 MCG INJ,4081.21,4081.21,285.68,4081.21,42
CDM,196715,ZOLEDRONIC ACID 4MG INJ,455.06,455.06,31.85,455.06,47
CDM,196716,ZOLEDRONIC ACID 5MG INJ,26433.82,26433.82,1850.37,26433.82,47
CDM,196724,SP/EVAL FLUENCY,271.94,271.94,19.04,271.94,44
CDM,196725,SP/EVAL FLUENCY,501.32,501.32,35.09,501.32,44
CDM,196726,SP/EVAL FLUENCY,737.79,737.79,51.65,737.79,44
CDM,196727,SP/EVAL FLUENCY,1079.49,1079.49,75.56,1079.49,44
CDM,196728,SP/EVAL SOUND PRODUCTION,271.94,271.94,19.04,271.94,44
CDM,196729,SP/EVAL SOUND PRODUCTION,501.32,501.32,35.09,501.32,44
CDM,196730,SP/EVAL SOUND PRODUCTION,737.79,737.79,51.65,737.79,44
CDM,196731,SP/EVAL SOUND PRODUCTION,1079.49,1079.49,75.56,1079.49,44
CDM,196739,INTERF BETA1A 30MCG IM,11838.45,11838.45,828.69,11838.45,46
CDM,196739,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",11838.45,11838.45,198.31,627.89,15
CDM,196742,SP/EVAL SND W/ LANG EVAL,271.94,271.94,19.04,271.94,44
CDM,196743,SP/EVAL SND W/ LANG EVAL,501.32,501.32,35.09,501.32,44
CDM,196744,SP/EVAL SND W/ LANG EVAL,737.79,737.79,51.65,737.79,44
CDM,196745,SP/EVAL SND W/ LANG EVAL,1079.49,1079.49,75.56,1079.49,44
CDM,196746,BEHAV QL ANALYSIS VOICE,271.94,271.94,19.04,271.94,44
CDM,196747,BEHAV QL ANALYSIS VOICE,501.32,501.32,35.09,501.32,44
CDM,196748,BEHAV QL ANALYSIS VOICE,737.79,737.79,51.65,737.79,44
CDM,196749,BEHAV QL ANALYSIS VOICE,1079.49,1079.49,75.56,1079.49,44
CDM,196750,APLC SS TAL =<25 SQ,2724.2,2724.2,190.69,2724.2,64
CDM,196751,APLC SS + EA 25 SQCM,934.22,934.22,65.4,934.22,64
CDM,196752,APLC SS TAL =>100 SQ,4231.21,4231.21,296.18,4231.21,64
CDM,196753,APLC SS + EA TAL =100 SQ,2724.2,2724.2,190.69,2724.2,64
CDM,196754,APLC SS 25 SQ CM=<100 SQ,2724.2,2724.2,190.69,2724.2,64
CDM,196755,APLC SS+EA 25 SQCM=<100S,934.22,934.22,65.4,934.22,64
CDM,196756,APLC SS 25 SQCM=>100SQCM,4231.21,4231.21,296.18,4231.21,64
CDM,196757,APLC SS 25 SQ CM=>100SQ,2724.2,2724.2,190.69,2724.2,64
CDM,196758,ST BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,196759,ST BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,196760,ST BRST BX 1ST LESION LT,6696.26,6696.26,468.74,6696.26,64
CDM,196761,ST BRST BX 1ST LESION RT,6696.26,6696.26,468.74,6696.26,64
CDM,196762,ST BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196763,ST BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196764,ST BRST BX ADD LESION LT,3349.85,3349.85,234.49,3349.85,64
CDM,196765,ST BRST BX ADD LESION RT,3349.85,3349.85,234.49,3349.85,64
CDM,196766,US BRST BX 1ST LESION,7442.96,7442.96,521.01,7442.96,64
CDM,196767,US BRST BX 1ST LESION,7442.96,7442.96,521.01,7442.96,64
CDM,196768,US BRST BX 1ST LESION LT,7442.96,7442.96,521.01,7442.96,64
CDM,196769,US BRST BX 1ST LESION RT,7442.96,7442.96,521.01,7442.96,64
CDM,196770,US BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196771,US BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196772,US BRST BX ADD LESION LT,3349.85,3349.85,234.49,3349.85,64
CDM,196773,US BRST BX ADD LESION RT,3349.85,3349.85,234.49,3349.85,64
CDM,196774,MR BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,196775,MR BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,196776,MR BRST BX 1ST LESION RT,6696.26,6696.26,468.74,6696.26,64
CDM,196777,MR BRST BX 1ST LESION LT,6696.26,6696.26,468.74,6696.26,64
CDM,196778,MG DVC PLC BRST 1ST,2320.17,2320.17,162.41,2320.17,64
CDM,196779,MG DVC PLC BRST 1ST LT,2320.17,2320.17,162.41,2320.17,64
CDM,196780,MG DVC PLC BRST 1ST RT,2320.17,2320.17,162.41,2320.17,64
CDM,196781,MG DVC PLC BRST ADD,1160.94,1160.94,81.27,1160.94,64
CDM,196782,MG DVC PLC BRST ADD,1160.94,1160.94,81.27,1160.94,64
CDM,196783,MG DVC PLC BRST ADD LT,1160.94,1160.94,81.27,1160.94,64
CDM,196784,MG DVC PLC BRST ADD RT,1160.94,1160.94,81.27,1160.94,64
CDM,196785,STEREO DVC PLC BRST 1ST,4295.98,4295.98,300.72,4295.98,64
CDM,196786,STEREO DVC PLC BRST 1ST,4295.98,4295.98,300.72,4295.98,64
CDM,196787,STERO DVC PLC BRS 1ST LT,4295.98,4295.98,300.72,4295.98,64
CDM,196788,STERO DVC PLC BRS 1ST RT,3832.29,3832.29,268.26,3832.29,64
CDM,196789,STEREO DVC PLC BRST ADD,2147.99,2147.99,150.36,2147.99,64
CDM,196790,STEREO DVC PLC BRST ADD,2147.99,2147.99,150.36,2147.99,64
CDM,196791,STERO DVC PLC BRS ADD LT,2147.99,2147.99,150.36,2147.99,64
CDM,196792,STERO DVC PLC BRS ADD RT,2147.99,2147.99,150.36,2147.99,64
CDM,196793,US DVC PLC BRST 1ST,3545.88,3545.88,248.21,3545.88,64
CDM,196794,US DVC PLC BRST 1ST,3545.88,3545.88,248.21,3545.88,64
CDM,196795,US DVC PLC BRST 1ST,3162.32,3162.32,221.36,3162.32,64
CDM,196796,US DVC PLC BRST 1ST RT,3545.88,3545.88,248.21,3545.88,64
CDM,196797,US DVC PLC BRST ADD,2147.99,2147.99,150.36,2147.99,64
CDM,196798,US DVC PLC BRST ADD,2147.99,2147.99,150.36,2147.99,64
CDM,196799,US DVC PLC BRST ADD LT,2147.99,2147.99,150.36,2147.99,64
CDM,196800,US DVC PLC BRST ADD RT,2147.99,2147.99,150.36,2147.99,64
CDM,196801,MR DVC PLC BRST 1ST,1940.01,1940.01,135.8,1940.01,64
CDM,196802,MR DVC PLC BRST 1ST,1662.13,1662.13,116.35,1662.13,64
CDM,196803,MR DVC PLC BRST 1ST LT,1940.01,1940.01,135.8,1940.01,64
CDM,196804,MR DVC PLC BRST 1ST RT,1940.01,1940.01,135.8,1940.01,64
CDM,196805,MR DVC PLC BRST ADD,970.01,970.01,67.9,970.01,64
CDM,196806,MR DVC PLC BRST ADD,831.91,831.91,58.23,831.91,64
CDM,196807,MR DVC PLC BRST ADD LT,970.01,970.01,67.9,970.01,64
CDM,196809,MR BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196810,MR BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,196811,MR BRST BX ADD LESION LT,3349.85,3349.85,234.49,3349.85,64
CDM,196815,ENDO RPR PROS AAA BR ONE,17724.3,17724.3,1240.7,17724.3,64
CDM,196816,ENDO RPR PROS AAA BR TWO,17724.3,17724.3,1240.7,17724.3,64
CDM,196817,END RPR PRS AAA BR THREE,17724.3,17724.3,1240.7,17724.3,64
CDM,196818,ENDO RPR PROS AAA B FOUR,17724.3,17724.3,1240.7,17724.3,64
CDM,196819,END RPR INF ABD AORT ONE,17724.3,17724.3,1240.7,17724.3,64
CDM,196820,END RPR INF ABD AORT TWO,17724.3,17724.3,1240.7,17724.3,64
CDM,196821,END RPR INF ABD AORT THR,17724.3,17724.3,1240.7,17724.3,64
CDM,196822,EN RP INF ABD AORT FOUR,17724.3,17724.3,1240.7,17724.3,64
CDM,196823,TC99M TILMANOC DX 0.5MCI,3583.36,3583.36,250.84,3583.36,54
CDM,196839,ESOPHAG W/ STENT PL,12027.85,12027.85,841.95,12027.85,64
CDM,196841,ESOPHAGOSCOPY W/ABLATION,8579.27,8579.27,600.55,8579.27,64
CDM,196843,EGD W/ EMR,8338.52,8338.52,583.7,8338.52,64
CDM,196871,MG DVC PLC BRST 1ST,2320.17,2320.17,162.41,2320.17,64
CDM,196872,MR BRST BX ADD LESION RT,3349.85,3349.85,234.49,3349.85,64
CDM,196896,TAMIFLU 30 MG CAP,94.01,94.01,6.58,94.01,67
CDM,196897,CONCERTA ER 27 MG TAB,88.44,88.44,6.19,88.44,67
CDM,196908,ESOPH IMPED FUNCTION TST,844.68,844.68,59.13,844.68,50
CDM,196908,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",844.68,844.68,318.15,2636.0,11
CDM,196909,ESOPH IMPED FUNCTION >1H,1882.14,1882.14,131.75,1882.14,50
CDM,196909,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",1882.14,1882.14,1083.25,2636.0,11
CDM,196916,GUIDE MDFC 3D PRNT SURG,53861.0,53861.0,3770.27,53861.0,71
CDM,196924,ERWINAZE 10000 U INJ,41879.31,41879.31,2931.55,41879.31,53
CDM,196924,"Injection, asparaginase (erwinaze), 1,000 iu ",41879.31,41879.31,2487.87,3516.15,6
CDM,196929,PERC CATHDRN SFT TISS,1585.44,1585.44,110.98,1585.44,64
CDM,196930,APREPITANT 40 MG PO,659.77,659.77,46.18,659.77,47
CDM,196930,"Aprepitant, oral, 5 mg ",659.77,659.77,2.32,40.4,17
CDM,196937,INJ INTERCOSTAL NERVES,6752.53,6752.53,472.68,6752.53,64
CDM,196983,SCREW BN 2.4MM 8MM SS MX,750.0,750.0,82.5,750.0,57
CDM,197017,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,197018,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,197038,BX BREAST INCISIONAL,6116.65,6116.65,428.17,6116.65,64
CDM,197114,GLUCARPIDASE 1000 U INJ,318838.15,318838.15,22318.67,318838.15,53
CDM,197114,"Injection, glucarpidase, 10 units ",318838.15,318838.15,741.02,3591.67,9
CDM,197117,DRESSING NASAL SINUS 8CM,7104.0,7104.0,497.28,7104.0,71
CDM,197157,CYCLOPHOSPHAMIDE 25MG PO,45.4,45.4,3.18,45.4,47
CDM,197158,AZATHIOPRINE 50 MG PO,60.28,60.28,4.22,60.28,47
CDM,197158,"Azathioprine, oral, 50 mg ",60.28,60.28,0.17,18.3,17
CDM,197159,CYCLOSPORINE 25 MG PO,6.54,6.54,0.46,6.54,47
CDM,197159,"Cyclosporine, oral, 25 mg ",6.54,6.54,0.61,6.59,17
CDM,197160,MYCOPHENOLIC 180 MG PO,23.85,23.85,1.67,23.85,47
CDM,197161,MYCOPHENOLIC 360 MG PO,47.7,47.7,3.34,47.7,47
CDM,197176,FLUVAC IIV4 PF 0.5ML IM,81.77,81.77,5.72,81.77,42
CDM,197176,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",81.77,81.77,58.03,189.0,12
CDM,197176,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use Other Outpatient",81.77,81.77,,,0
CDM,197188,INJ FACET L/S LVL2 US,3082.2,3082.2,215.75,3082.2,64
CDM,197223,MSEU PEDI PRIVATE,5755.33,5755.33,,,0
CDM,197224,MSEU ICU,17397.06,17397.06,,,0
CDM,197225,MSEU PEDI ICU,17397.06,17397.06,,,0
CDM,197238,PEDI ICU PRIVATE W/TELE,23542.49,23542.49,,,0
CDM,197686,NON STRESS TEST,905.32,905.32,63.37,905.32,53
CDM,197706,APLIGRAF SKIN SUB 1 SQCM,361.55,361.55,25.31,361.55,47
CDM,197717,IBUPROFEN200 MG/10ML ORA,14.9,14.9,1.04,14.9,67
CDM,197721,US BRST UNI W AX COMP,1267.27,1267.27,88.71,1267.27,48
CDM,197744,LOC GUID RAD TX DEL,680.48,680.48,74.85,680.48,49
CDM,197867,SCREW SPN 5.5MM 25MM,15186.0,15186.0,1670.46,15186.0,57
CDM,197868,ROD SP 100MM 3.5MM VRTX,4556.0,4556.0,501.16,4556.0,57
CDM,197870,BIT DRILL 6MM 1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,197871,PLATE BN STR 3HL,3083.0,3083.0,339.13,3083.0,57
CDM,197872,SCREW BN ANG LC 3.5x60MM,1747.0,1747.0,192.17,1747.0,57
CDM,197873,SCREW BN 6.5MM 45MM,4521.0,4521.0,497.31,4521.0,57
CDM,197941,TELE ISODOSE SIMPLE,759.37,759.37,83.53,759.37,44
CDM,197941,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) ",759.37,759.37,175.75,402.43,10
CDM,197943,TELE ISODOSE COMP,759.37,759.37,83.53,759.37,44
CDM,197943,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) ",759.37,759.37,318.52,726.64,10
CDM,197952,BRCHY ISO SIMPLE,759.37,759.37,83.53,759.37,44
CDM,197952,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) ",759.37,759.37,408.43,685.65,10
CDM,197962,BRCHY ISO INTERMEDIATE,2061.51,2061.51,226.77,2061.51,44
CDM,197962,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) ",2061.51,2061.51,540.07,901.8,10
CDM,197981,BRCHY ISO COMPLEX,3879.7,3879.7,426.77,3879.7,44
CDM,197981,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) ",3879.7,3879.7,729.84,1222.29,10
CDM,198008,RAD TR COMPLEX,1013.39,1013.39,111.47,1013.39,44
CDM,198016,IMRT DELIVERY SIMPLE,2657.76,2657.76,292.35,2657.76,50
CDM,198025,IMRT DELIVERY COMPLEX,2657.76,2657.76,292.35,2657.76,50
CDM,198032,BREAST TOMO SCREENING,195.45,195.45,13.68,195.45,48
CDM,198032,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",195.45,195.45,22.58,131.43,76
CDM,198032,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Age 21+",195.45,195.45,58.07,58.07,4
CDM,198032,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Age Under 21",195.45,195.45,59.12,59.12,4
CDM,198032,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Other Outpatient",195.45,195.45,24.45,24.45,6
CDM,198035,DXA BD AXL W VERT ASSESS,731.08,731.08,51.18,731.08,48
CDM,198035,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",731.08,731.08,52.66,502.12,34
CDM,198035,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment Age 21+",731.08,731.08,58.81,58.81,4
CDM,198035,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment Age Under 21",731.08,731.08,59.88,59.88,4
CDM,198041,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",195.45,195.45,12.27,113.03,66
CDM,198041,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Age 21+",195.45,195.45,52.2,52.2,4
CDM,198041,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Age Under 21",195.45,195.45,53.14,53.14,4
CDM,198041,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Other Outpatient",195.45,195.45,13.27,13.27,6
CDM,198041,TOMOSYNTHESIS MAMMO DX,195.45,195.45,13.68,195.45,48
CDM,198043,HBO FULL BODY 30 MIN INT,1502.18,1502.18,105.15,1502.18,44
CDM,198043,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",1502.18,1502.18,316.42,615.57,6
CDM,198044,COLON STMA W/SNTE PRE PT,5339.15,5339.15,373.74,5339.15,64
CDM,198046,UNLISTED PROCEDURE COLON,4448.69,4448.69,311.41,4448.69,64
CDM,198048,COLON W/SNT PLACE GW,12027.85,12027.85,841.95,12027.85,64
CDM,198062,EP EVAL SUBCU DEFIB,327.09,327.09,35.98,327.09,52
CDM,198062,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",327.09,327.09,145.69,8300.0,17
CDM,198065,DEF DRUG ALCOHOLS,1131.08,1131.08,79.18,1131.08,60
CDM,198066,DEF DRUG ALCOHOLS,1131.08,1131.08,79.18,1131.08,60
CDM,198067,DEF DRUG ALCOHOLS BM 1-2,1131.08,1131.08,79.18,1131.08,66
CDM,198068,DEF DRUG ALCOHOLS BM 1-2,1131.08,1131.08,79.18,1131.08,66
CDM,198069,DEF DRUG ALCOHOLS BM 3+,1131.08,1131.08,79.18,1131.08,66
CDM,198070,DEF DRUG ALCOHOLS BM 3+,1131.08,1131.08,79.18,1131.08,66
CDM,198071,DEF DRUG ALKALOIDS NES,1029.41,1029.41,72.06,1029.41,60
CDM,198072,DEF DRUG ALKALOIDS NES,1029.41,1029.41,72.06,1029.41,60
CDM,198073,DEF DRUG AMPHETAM 1 OR 2,913.25,913.25,63.93,913.25,60
CDM,198074,DEF DRUG AMPHETAM 3 OR 4,913.25,913.25,63.93,913.25,66
CDM,198075,DEF DRUG AMPHETAM 5+,913.25,913.25,63.93,913.25,66
CDM,198076,DEF DRUG ANABOLIC 1 OR 2,1016.52,1016.52,71.16,1016.52,60
CDM,198077,DEF DRUG ANABOLIC 3+,1016.52,1016.52,71.16,1016.52,66
CDM,198078,DEF DRUG ANALGESICS 1-2,1287.59,1287.59,90.13,1287.59,60
CDM,198081,DEF DRUG ANALGESICS 3-5,1287.59,1287.59,90.13,1287.59,66
CDM,198082,DEF DRUG ANALGESICS 6+,1287.59,1287.59,90.13,1287.59,66
CDM,198083,DEF DRUG ANALGESICS 6+,1287.59,1287.59,90.13,1287.59,66
CDM,198084,DEF DRUG ANTIDEP TRI 1-2,1095.58,1095.58,76.69,1095.58,60
CDM,198085,DEF DRUG ANTIDEP TRI 3-5,1095.58,1095.58,76.69,1095.58,66
CDM,198086,DEF DRUG ANTIDEP TRI 6+,1095.58,1095.58,76.69,1095.58,66
CDM,198087,DEF DRUG ANTIELEPTIC 1-3,1066.53,1066.53,74.66,1066.53,60
CDM,198088,DEF DRUG ANTIELEPTIC 4-6,1066.53,1066.53,74.66,1066.53,66
CDM,198089,DEF DRUG ANTIELEPTIC 7+,1066.53,1066.53,74.66,1066.53,66
CDM,198090,"Antipsychotics, not otherwise specified; 1-3 ",1139.15,1139.15,0.02,129.62,25
CDM,198090,"Antipsychotics, not otherwise specified; 1-3 Age 21+",1139.15,1139.15,12.94,12.94,4
CDM,198090,"Antipsychotics, not otherwise specified; 1-3 Age Under 21",1139.15,1139.15,13.17,13.17,4
CDM,198090,CHLORPROMAZINE,1139.15,1139.15,79.74,1139.15,60
CDM,198091,DEF DRUG ANTIPSYCHOT 4-6,1139.15,1139.15,79.74,1139.15,66
CDM,198092,DEF DRUG ANTIPSYCHOT 7+,1139.15,1139.15,79.74,1139.15,66
CDM,198093,BARBITURATES QN,672.83,672.83,47.1,672.83,60
CDM,198093,Barbiturates ,672.83,672.83,0.02,129.62,25
CDM,198093,Barbiturates Age 21+,672.83,672.83,10.08,10.08,4
CDM,198093,Barbiturates Age Under 21,672.83,672.83,10.26,10.26,4
CDM,198094,Benzodiazepines; 1-12 ,797.07,797.07,0.02,129.62,25
CDM,198094,Benzodiazepines; 1-12 Age 21+,797.07,797.07,14.88,14.88,4
CDM,198094,Benzodiazepines; 1-12 Age Under 21,797.07,797.07,15.15,15.15,4
CDM,198094,FLURAZEPAM QN,797.07,797.07,55.79,797.07,60
CDM,198095,DEF DRUG BENZODIAZ 13+,797.07,797.07,55.79,797.07,66
CDM,198097,METHADONE QUANT,882.59,882.59,61.78,882.59,60
CDM,198097,Methadone ,882.59,882.59,0.02,129.62,25
CDM,198097,Methadone Age 21+,882.59,882.59,12.12,12.12,4
CDM,198097,Methadone Age Under 21,882.59,882.59,12.34,12.34,4
CDM,198098,DEF DRUG OPIATES 1 OR MR,1673.21,1673.21,117.12,1673.21,60
CDM,198099,DEF DRUG OPIOIDS ALG 1-2,1673.21,1673.21,117.12,1673.21,60
CDM,198100,DEF DRUG OPIOIDS ALG 3-4,1673.21,1673.21,117.12,1673.21,66
CDM,198101,DEF DRUG OPIOIDS ALG 5+,1673.21,1673.21,117.12,1673.21,66
CDM,198102,DEF DRUG SKELETAL MR 1-2,721.23,721.23,50.49,721.23,60
CDM,198103,DEF DRUG SKELETAL MR 3+,721.23,721.23,50.49,721.23,66
CDM,198104,DEF DRUG SUBSTANCE 1-3,1001.99,1001.99,70.14,1001.99,60
CDM,198108,GROWTH STIM EXPES GENE 2,1703.87,1703.87,119.27,1703.87,47
CDM,198108,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",1703.87,1703.87,45.36,407.05,75
CDM,198108,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Age 21+",1703.87,1703.87,69.85,69.85,4
CDM,198108,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Age Under 21",1703.87,1703.87,71.12,71.12,4
CDM,198108,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Other Outpatient",1703.87,1703.87,79.38,79.38,6
CDM,198112,IHC EA MULTIPLEX AB PROC,1600.6,1600.6,112.04,1600.6,48
CDM,198145,ADENOSINE 6 MG INJ,37.93,37.93,2.66,37.93,47
CDM,198147,TESTOSTERONE CYP 1MG INJ,0.51,0.51,0.04,0.51,47
CDM,198149,"Injection, paclitaxel, 1 mg ",1.14,1.14,0.15,1.0,17
CDM,198149,PACLITAXEL 1 MG INJ,1.14,1.14,0.08,1.14,47
CDM,198175,NEURO JUNCTION TEST,870.01,870.01,60.9,870.01,59
CDM,198175,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",870.01,870.01,148.67,289.22,6
CDM,198176,NDL ELEC 1 EXT W/WO PA,842.07,842.07,58.94,842.07,59
CDM,198176,Needle electromyography; 1 extremity with or without related paraspinal areas ,842.07,842.07,299.83,583.31,6
CDM,198179,NDL ELEC CRANIAL BI,619.8,619.8,43.39,619.8,59
CDM,198179,"Needle electromyography; cranial nerve supplied muscles, bilateral ",619.8,619.8,210.1,408.74,6
CDM,198180,NDL ELEC 4 EXT W/WO PA,1800.98,1800.98,126.07,1800.98,59
CDM,198180,Needle electromyography; 4 extremities with or without related paraspinal areas ,1800.98,1800.98,398.42,775.11,6
CDM,198181,NDL ELEC 3 EXT W/WO PA,1549.52,1549.52,108.47,1549.52,59
CDM,198181,Needle electromyography; 3 extremities with or without related paraspinal areas ,1549.52,1549.52,327.06,636.28,6
CDM,198182,NDL ELEC 2 EXT W/WO PA,1536.81,1536.81,107.58,1536.81,59
CDM,198182,Needle electromyography; 2 extremities with or without related paraspinal areas ,1536.81,1536.81,299.83,583.31,6
CDM,198187,ADENOSINE 90 MG INJ,4323.21,4323.21,302.62,4323.21,47
CDM,198195,PROPOFOL 1000 MG INJ,68.69,68.69,4.81,68.69,47
CDM,198196,PROPOFOL 200 MG INJ,13.74,13.74,0.96,13.74,47
CDM,198198,PROPOFOL 10 MG/ML INJ,0.67,0.67,0.05,0.67,47
CDM,198199,LOC GUID RAD TX DEL,711.24,711.24,78.24,711.24,49
CDM,198205,ARTH JNT BRS INT W US LT,5194.38,5194.38,363.61,5194.38,64
CDM,198206,ARTH JNT BRS INT W US RT,5194.38,5194.38,363.61,5194.38,64
CDM,198207,ARTH JNT BRS INT W US BI,5194.38,5194.38,363.61,5194.38,64
CDM,198208,ARTH JNT BRS MJR W US LT,5194.38,5194.38,363.61,5194.38,64
CDM,198209,ARTH JNT BRS MJR W US RT,5194.38,5194.38,363.61,5194.38,64
CDM,198210,ARTH JNT BRS MJR W US BI,5194.38,5194.38,363.61,5194.38,64
CDM,198211,ABL 1 OR M BONE TUMORS,27158.42,27158.42,1901.09,27158.42,64
CDM,198212,MYELO W S&I CERVICAL,9574.58,9574.58,670.22,9574.58,64
CDM,198213,MYELO W S&I THORACIC,9574.58,9574.58,670.22,9574.58,64
CDM,198214,MYELO W S&I LUMBOSAC,10508.1,10508.1,735.57,10508.1,64
CDM,198215,MYEL W S&I 2 OR MORE REG,9574.58,9574.58,670.22,9574.58,64
CDM,198231,HEAD/TB HYPOTHERMIA,4597.1,4597.1,321.8,4597.1,65
CDM,198231,"Initiation of selective head or total body hypothermia in the critically ill neonate, includes appropriate patient selection by review of clinical, imaging and laboratory data, confirmation of esophag",4597.1,4597.1,627.36,1220.5,6
CDM,198240,QUANT CAROTID EVAL,303.56,303.56,21.25,303.56,61
CDM,198240,"Quantitative carotid intima media thickness and carotid atheroma evaluation, bilateral ",303.56,303.56,63.22,929.0,10
CDM,198269,SCREW BN 3.5MM 60MM,2569.0,2569.0,282.59,2569.0,57
CDM,198271,ARTH JNT BRS MJR W US BI,5194.38,5194.38,363.61,5194.38,64
CDM,198272,ARTH JNT BRS MJR W US LT,5194.38,5194.38,363.61,5194.38,64
CDM,198273,ARTH JNT BRS MJR W US RT,5194.38,5194.38,363.61,5194.38,64
CDM,198274,ARTH JNT BRS MJR W US BI,5194.38,5194.38,363.61,5194.38,64
CDM,198275,ARTH JNT BRS MJR W US LT,5194.38,5194.38,363.61,5194.38,64
CDM,198276,ARTH JNT BRS MJR W US RT,5194.38,5194.38,363.61,5194.38,64
CDM,198277,ABL 1 OR M BONE TUMORS,27158.42,27158.42,1901.09,27158.42,64
CDM,198278,STNT PLMT RETR ANTE PERC,43861.58,43861.58,3070.31,43861.58,64
CDM,198279,MYELO W S&I CERVICAL,9574.58,9574.58,670.22,9574.58,64
CDM,198280,MYELO W S&I THORACIC,9574.58,9574.58,670.22,9574.58,64
CDM,198281,MYELO W S&I LUMBOSAC,10508.1,10508.1,735.57,10508.1,64
CDM,198282,MYEL W S&I 2 OR MORE REG,10508.1,10508.1,735.57,10508.1,64
CDM,198283,MYELO W S&I CERVICAL,9574.58,9574.58,670.22,9574.58,64
CDM,198284,MYELO W S&I THORACIC,9574.58,9574.58,670.22,9574.58,64
CDM,198285,MYELO W S&I LUMBOSAC,9574.58,9574.58,670.22,9574.58,64
CDM,198286,MYEL W S&I 2 OR MORE REG,9574.58,9574.58,670.22,9574.58,64
CDM,198287,US BRST UNI W AX COMP,1267.27,1267.27,88.71,1267.27,48
CDM,198296,US BRST UNI RT W AX LTD,549.32,549.32,38.45,549.32,48
CDM,198297,US BRST BI W AX LTD,549.32,549.32,38.45,549.32,48
CDM,198314,SCREW BN 3.5MM 18MM,1603.0,1603.0,176.33,1603.0,57
CDM,198317,US BRST UNI W AX COMP,1267.27,1267.27,88.71,1267.27,48
CDM,198320,US BRST BI W AX COMP,1267.27,1267.27,88.71,1267.27,48
CDM,198321,US BRST UNI LT W AX COMP,1267.27,1267.27,88.71,1267.27,48
CDM,198322,US BRST UNI RT W AX COMP,1267.27,1267.27,88.71,1267.27,48
CDM,198323,US BRST BI W AX LTD,549.32,549.32,38.45,549.32,48
CDM,198324,US BRST UNI LT W AX LTD,549.32,549.32,38.45,549.32,48
CDM,198325,US BRST UNI RT W AX LTD,549.32,549.32,38.45,549.32,48
CDM,198326,RPL PICC LINE SAME SITE,7872.19,7872.19,865.94,7872.19,64
CDM,198332,LOPERAMIDE 1MG/7.5ML,8.47,8.47,0.59,8.47,67
CDM,198340,PREPARATION H 60GM,52.51,52.51,3.68,52.51,67
CDM,198348,KEPPRA XR 750 MG,5.57,5.57,0.39,5.57,67
CDM,198349,CORDARONE 100 MG TAB,64.39,64.39,4.51,64.39,67
CDM,198353,INJ GREATER OCCIPTL NRV,1328.35,1328.35,146.12,1328.35,37
CDM,198353,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",1328.35,1328.35,29.73,5932.0,47
CDM,198353,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Age 21+",1328.35,1328.35,33.2,33.2,4
CDM,198353,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Age Under 21",1328.35,1328.35,33.8,33.8,4
CDM,198354,ISH/FISH EA ADDL PROBE,3005.97,3005.97,210.42,3005.97,54
CDM,198355,FNA ADEQUACY IMM ADDL,2408.99,2408.99,168.63,2408.99,54
CDM,198356,ISH/FISH MULTPLX PROBE,3005.97,3005.97,210.42,3005.97,48
CDM,198358,US EXTREM NON VASC LTD,527.6,527.6,36.93,527.6,48
CDM,198366,US BRST UNI LT W AX LTD,549.32,549.32,38.45,549.32,48
CDM,198377,INTEROGATION SUBCU ICD,249.84,249.84,17.49,249.84,46
CDM,198377,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",249.84,249.84,99.69,1668.0,10
CDM,198383,RADIUMRA223 DCHL TX 1UCI,792.29,792.29,55.46,792.29,53
CDM,198383,"Radium ra-223 dichloride, therapeutic, per microcurie ",792.29,792.29,163.95,1474.36,17
CDM,198388,BUTT PASTE NATURAL 60GM,38.73,38.73,2.71,38.73,67
CDM,198669,UNLISTED CARDIO SERVICE,5181.7,5181.7,362.72,5181.7,44
CDM,198701,"Injection, pertuzumab, 1 mg ",56554.24,56554.24,16.51,144.44,17
CDM,198701,PERTUZUMAB 420 MG INJ,56554.24,56554.24,3958.8,56554.24,42
CDM,198724,FLOSEAL KIT 10 ML,4943.53,4943.53,346.05,4943.53,67
CDM,198743,INJ CELIAC PLXUS W/FLURO,4431.58,4431.58,310.21,4431.58,64
CDM,198745,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,198746,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,198747,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,198802,DOLUTEGRAVIR 50 MG TAB,220.64,220.64,15.44,220.64,67
CDM,198804,ISAVUCONAZONIUM 186MG PO,643.24,643.24,45.03,643.24,59
CDM,198815,CEFTAZ/AVIBCT 2.5 G INJ,2242.94,2242.94,157.01,2242.94,42
CDM,198815,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",2242.94,2242.94,101.61,897.53,17
CDM,198828,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",4598.75,4598.75,308.69,8275.26,34
CDM,198828,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation Age 21+",4598.75,4598.75,344.73,344.73,4
CDM,198828,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation Age Under 21",4598.75,4598.75,351.0,351.0,4
CDM,198828,SP LYMPHANG PEL/AB UNI,4598.75,4598.75,321.91,4598.75,48
CDM,198831,DASATINIB 100 MG PO,5181.05,5181.05,362.67,5181.05,67
CDM,198842,RSP MOTION MGMT SIM,759.37,759.37,83.53,759.37,49
CDM,198842,Respiratory motion management simulation (List separately in addition to code for primary procedure) ,759.37,759.37,764.76,1876.24,10
CDM,198848,INVOKANA 100 MG TAB,68.89,68.89,4.82,68.89,67
CDM,198875,CORLANOR 5 MG TAB,46.04,46.04,3.22,46.04,67
CDM,198891,VERTEBRO LUMBOSACRAL,21220.76,21220.76,1485.45,21220.76,64
CDM,198892,VERETEBRO CERVICOTHOR,21220.76,21220.76,1485.45,21220.76,64
CDM,198893,VERTEBRO EA ADD CER/LUMB,8123.16,8123.16,568.62,8123.16,64
CDM,198894,VERT W FRAC RED & BB TH,87602.11,87602.11,6132.15,87602.11,64
CDM,198895,VERT W FRAC RED & BB LU,87602.11,87602.11,6132.15,87602.11,64
CDM,198896,VERT W FRAC RED & BB EAD,8123.16,8123.16,568.62,8123.16,64
CDM,198898,SACROPLASTY UNI INCL BLN,22035.64,22035.64,1542.49,22035.64,64
CDM,198899,SACROPLASTY UNI INCL BLN,22035.64,22035.64,1542.49,22035.64,64
CDM,199015,LURASIDONE HCL 40 MG,154.71,154.71,10.83,154.71,67
CDM,199017,LACTULOSE 200 GM/300 ML,114.55,114.55,8.02,114.55,67
CDM,199045,MSEU SEMI-PRIVATE MONITR,15436.42,15436.42,,,0
CDM,199046,MSEU PRIVATE MONITORED,15703.05,15703.05,,,0
CDM,199047,MSEU PEDI MONITORED,14000.93,14000.93,,,0
CDM,199054,MEDICAL PRIVATE MONITRD,15703.05,15703.05,,,0
CDM,199058,SURG-BARI PRIVATE MONTRD,15703.05,15703.05,,,0
CDM,199060,ORTHO PRIVATE MONITRD,15703.05,15703.05,,,0
CDM,199063,NEURO-ONC MNT PVT RM,15703.05,15703.05,,,0
CDM,199065,WOMENS SRV PRV MONITORED,15008.78,15008.78,,,0
CDM,199070,ONC PRIVATE MONITRD,15703.05,15703.05,,,0
CDM,199075,SURG ONC PRIVATE MONITRD,15703.05,15703.05,,,0
CDM,199085,PEDI MONITORED,15542.05,15542.05,,,0
CDM,199087,PEDI MONITORED,15542.05,15542.05,,,0
CDM,199088,PEDI ICU MONITORED,15703.05,15703.05,,,0
CDM,199089,PEDI CHSU MONITORED,16266.51,16266.51,,,0
CDM,199094,BMTP-MNT PVT,6647.47,6647.47,,,0
CDM,199101,ADMIT TELE,15703.05,15703.05,,,0
CDM,199135,POSACONAZOLE 100MG TAB,240.43,240.43,16.83,240.43,67
CDM,199162,CARDIOVERSION EXTERNAL,2751.36,2751.36,192.6,2751.36,58
CDM,199163,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,199164,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,199165,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,199166,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,199172,CMPD METHADNE 1MG 1S,1.79,1.79,0.13,1.79,59
CDM,199173,CMPD NIFEDIPINE 4MG/MLPO,1.92,1.92,0.13,1.92,67
CDM,199174,AMOX/CLAV 600MG/5ML LIQ,3.05,3.05,0.21,3.05,67
CDM,199175,GLYCOPYRROLATE LIQ PO,5.13,5.13,0.36,5.13,67
CDM,199176,AMOX/CLAV 400MG/5MLLIQPO,2.21,2.21,0.15,2.21,67
CDM,199177,CITALOPRAM LIQ PO,4.41,4.41,0.31,4.41,67
CDM,199178,ART CANULTN SAMP/MON/INF,3519.81,3519.81,387.18,3519.81,55
CDM,199178,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",3519.81,3519.81,948.0,12897.0,19
CDM,199193,INJECTION INTRA-ARTERIAL,529.23,529.23,37.05,529.23,59
CDM,199195,LIGATION IVC,37809.69,37809.69,2646.68,37809.69,64
CDM,199196,NDL/INCATH VEIN,398.93,398.93,43.88,398.93,56
CDM,199199,PERC PLEUR DRN W/O IMG,5208.01,5208.01,572.88,5208.01,37
CDM,199199,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance ",5208.01,5208.01,181.11,6680.0,47
CDM,199199,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance Age 21+",5208.01,5208.01,621.47,621.47,4
CDM,199199,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance Age Under 21",5208.01,5208.01,632.77,632.77,4
CDM,199212,SP VENOGM HEP W/O DYN,6277.98,6277.98,439.46,6277.98,48
CDM,199218,THORACOSTOMY TUBE,7349.17,7349.17,808.41,7349.17,37
CDM,199218,"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) ",7349.17,7349.17,948.0,6680.0,32
CDM,199219,US INTRAOPERATIVE,3868.21,3868.21,270.77,3868.21,54
CDM,199220,XR DISKOGRAPHY LUMBAR,5010.57,5010.57,350.74,5010.57,48
CDM,199264,TCD EMBOLI DETECT WO INJ,765.87,765.87,53.61,765.87,55
CDM,199264,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,765.87,765.87,105.28,929.0,25
CDM,199264,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection Age 21+,765.87,765.87,117.57,117.57,4
CDM,199264,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection Age Under 21,765.87,765.87,119.71,119.71,4
CDM,199265,LIDA MANTLE HC GEL 7GM,81.64,81.64,5.71,81.64,67
CDM,199266,CORDARONE 5MG/ML SUSP,38.73,38.73,2.71,38.73,67
CDM,199267,PEN G 2.5 MIL.UNIT/50ML,196.85,196.85,13.78,196.85,67
CDM,199268,SUBOXONE 2MG TAB,26.53,26.53,1.86,26.53,67
CDM,199271,MOVANTIK 25MG TABLET,54.54,54.54,3.82,54.54,67
CDM,199282,CLINDAMYCIN HCL LIQ PO,2.79,2.79,0.2,2.79,67
CDM,199297,CMPD FLUCYTOSN 50MG/MLPO,71.51,71.51,5.01,71.51,67
CDM,199301,CMPD ISRADIPIN 1MG/ML PO,7.25,7.25,0.51,7.25,67
CDM,199420,CMPD MORPH 0.4MG/ML PO,1.18,1.18,0.08,1.18,67
CDM,199421,CMPD PROBENEC 50MG/ML PO,0.81,0.81,0.06,0.81,67
CDM,199422,CMPD PYRAZIN 100MG/ML PO,2.77,2.77,0.19,2.77,67
CDM,199423,CMPD PROPYLTHI 5MG/ML PO,0.81,0.81,0.06,0.81,67
CDM,199424,CMPD VIT K 10MG/10ML PO,26.52,26.52,1.86,26.52,67
CDM,199425,CMPDHYDROXUREA100MG/MLPO,27.73,27.73,1.94,27.73,67
CDM,199426,CYCLOSPORINE 100 MG PO,26.96,26.96,1.89,26.96,47
CDM,199427,CYPROHEPTADINE LIQ PO,0.61,0.61,0.04,0.61,67
CDM,199428,DEXAMETHASONE 1 MG PO,1.19,1.19,0.08,1.19,47
CDM,199429,DEXTROM ER 30MG/5ML LIQ,1.0,1.0,0.07,1.0,67
CDM,199430,DIAZOXIDE 50MG/ML LIQ PO,55.73,55.73,3.9,55.73,67
CDM,199496,CMPD LEUCOVOR 5MG/ML PO,10.06,10.06,0.7,10.06,67
CDM,199497,DIPHENOX/ATROP LIQ PO,8.99,8.99,0.63,8.99,67
CDM,199498,DOXYCYCLINE LIQ PO,1.71,1.71,0.12,1.71,67
CDM,199499,ERYTHROMYCIN ES LIQ PO,18.24,18.24,1.28,18.24,67
CDM,199500,ETHOSUXIMIDE LIQ PO,2.23,2.23,0.16,2.23,59
CDM,199501,FAMOTIDINE LIQ PO,15.93,15.93,1.12,15.93,67
CDM,199502,FLUOXETINE LIQ PO,4.41,4.41,0.31,4.41,67
CDM,199503,GABAPENTIN LIQ PO,1.43,1.43,0.1,1.43,67
CDM,199504,GRISEOFULVIN LIQ PO,2.93,2.93,0.21,2.93,67
CDM,199505,GUAIFENESIN DM LIQ PO,11.23,11.23,0.79,11.23,67
CDM,199507,GUAIFENESIN LIQ PO,8.67,8.67,0.61,8.67,67
CDM,199508,HALOPERIDOL LIQ PO,12.0,12.0,0.84,12.0,67
CDM,199509,HYDROCO/APAP 15ML LIQ PO,25.24,25.24,1.77,25.24,67
CDM,199510,INDOMETHACIN LIQ PO,53.95,53.95,3.78,53.95,67
CDM,199511,LAMIVUDINE LIQ PO,2.24,2.24,0.16,2.24,67
CDM,199512,LEVETIRACETAM LIQ PO,2.93,2.93,0.21,2.93,67
CDM,199513,HYDROXYZINE HCL LIQ PO,2.51,2.51,0.18,2.51,67
CDM,199515,LOPERAMIDE LIQ PO,0.16,0.16,0.01,0.16,67
CDM,199516,LOPIN / RITONAVIR LIQ PO,17.28,17.28,1.21,17.28,67
CDM,199518,MEGESTROL ACET 40 MG PO,2.7,2.7,0.19,2.7,46
CDM,199519,MERCAPTOPURINE 20 MG PO,73.51,73.51,5.15,73.51,46
CDM,199519,"Mercaptopurine, oral, 50 mg ",73.51,73.51,8.14,26.94,12
CDM,199521,METOCLOPRAMIDE LIQ PO,0.96,0.96,0.07,0.96,67
CDM,199522,NEVIRAPINE LIQ PO,3.55,3.55,0.25,3.55,67
CDM,199523,ONDANSETRON 1 MG PO,68.94,68.94,4.83,68.94,46
CDM,199523,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",68.94,68.94,0.02,1.28,17
CDM,199524,OSELTAMIVIR LIQ PO,12.28,12.28,0.86,12.28,67
CDM,199525,OXCARBAZEPINE LIQ PO,10.9,10.9,0.76,10.9,67
CDM,199526,OXYBUTY 5 MG/5 ML LIQ PO,0.49,0.49,0.03,0.49,67
CDM,199527,PAROXETINE LIQ PO,7.1,7.1,0.5,7.1,67
CDM,199528,PENICILL V POT LIQ PO,0.73,0.73,0.05,0.73,67
CDM,199529,PHENYTOIN LIQ PO,0.7,0.7,0.05,0.7,67
CDM,199530,POSACONAZOLE LIQ PO,70.33,70.33,4.92,70.33,59
CDM,199531,POTASSIUM CHL LIQ PO,3.65,3.65,0.26,3.65,67
CDM,199532,PREDNISOLONE 5 MG PO,1.41,1.41,0.1,1.41,47
CDM,199533,SERTRALINE LIQ PO,5.03,5.03,0.35,5.03,67
CDM,199534,PROMETHAZINE LIQ PO,0.46,0.46,0.03,0.46,67
CDM,199560,CMPD NOREPI 16MG 250B,315.27,315.27,22.07,315.27,59
CDM,200013,HOOK LAMINAR3 EXT SM,7593.0,7593.0,835.23,7593.0,57
CDM,200232,LDL CHOLESTEROL NMR BLD,672.83,672.83,47.1,672.83,47
CDM,200235,DEF DRUG AMPHETAM 1 OR 2,913.25,913.25,63.93,913.25,60
CDM,200236,DEF DRUG AMPHETAM 3 OR 4,913.25,913.25,63.93,913.25,66
CDM,200237,DEF DRUG AMPHETAM 5+,913.25,913.25,63.93,913.25,66
CDM,200238,DEF DRUG ANABOLIC 1 OR 2,1016.52,1016.52,71.16,1016.52,60
CDM,200241,DEF DRUG ANABOLIC 3+,1016.52,1016.52,71.16,1016.52,66
CDM,200242,DEF DRUG ANALGESICS 1-2,1287.59,1287.59,90.13,1287.59,60
CDM,200243,DEF DRUG ANTIDEP TRI 1-2,1095.58,1095.58,76.69,1095.58,60
CDM,200244,DEF DRUG ANTIDEP TRI 3-5,1095.58,1095.58,76.69,1095.58,66
CDM,200246,DEF DRUG ANTIDEP TRI 6+,1095.58,1095.58,76.69,1095.58,66
CDM,200247,DEF DRUG ANTIELEPTIC 1-3,1066.53,1066.53,74.66,1066.53,60
CDM,200248,DEF DRUG ANTIELEPTIC 4-6,1066.53,1066.53,74.66,1066.53,66
CDM,200249,DEF DRUG ANTIELEPTIC 7+,1066.53,1066.53,74.66,1066.53,66
CDM,200250,DEF DRUG ANTIPSYCHOT 4-6,1139.15,1139.15,79.74,1139.15,66
CDM,200252,DEF DRUG ANTIPSYCHOT 7+,1139.15,1139.15,79.74,1139.15,66
CDM,200253,DEF DRUG BENZODIAZ 13+,797.07,797.07,55.79,797.07,66
CDM,200254,DEF DRUG CANNABINOID NAT,1440.87,1440.87,100.86,1440.87,60
CDM,200255,DEF DRUG MDA MDEA MDMA,158.11,158.11,11.07,158.11,60
CDM,200257,DEF DRUG OPIATES 1 OR MR,1673.21,1673.21,117.12,1673.21,60
CDM,200258,DEF DRUG OPIOIDS ALG 1-2,1673.21,1673.21,117.12,1673.21,60
CDM,200259,DEF DRUG OPIOIDS ALG 3-4,1673.21,1673.21,117.12,1673.21,66
CDM,200260,DEF DRUG OPIOIDS ALG 5+,1673.21,1673.21,117.12,1673.21,66
CDM,200261,DEF DRUG PROPOXYPHENE,638.94,638.94,44.73,638.94,60
CDM,200263,DEF DRUG SEDATIVE HYPNOT,638.94,638.94,44.73,638.94,60
CDM,200264,DEF DRUG SKELETAL MR 1-2,721.23,721.23,50.49,721.23,60
CDM,200265,DEF DRUG SKELETAL MR 3+,721.23,721.23,50.49,721.23,66
CDM,200266,DEF DRUG SUBSTANCE 1-3,1001.99,1001.99,70.14,1001.99,60
CDM,200287,RDPHM INTRA ARTERIAL ADM,1060.32,1060.32,74.22,1060.32,48
CDM,200431,CTHDX IMG2 5F035CNTRA 65,248.0,248.0,17.36,248.0,71
CDM,200432,TR DOSIMETRY BASIC,735.32,735.32,80.89,735.32,44
CDM,200440,ENTRESTO 24-26,76.86,76.86,5.38,76.86,61
CDM,200447,INTVSC US NONCORN INIT,5586.47,5586.47,391.05,5586.47,64
CDM,200448,INTVSC US NONCORN EADD,2794.07,2794.07,195.58,2794.07,64
CDM,200449,INJ CHOLANGIO EXST ACCES,2465.09,2465.09,172.56,2465.09,64
CDM,200450,PLCMT BILIARY CATH,13876.67,13876.67,971.37,13876.67,64
CDM,200452,CONV EX BIL CTH INT/EXT,13876.67,13876.67,971.37,13876.67,64
CDM,200454,REMOVE BILIARY CATH,4086.3,4086.3,286.04,4086.3,64
CDM,200456,PLCMT STNT BILE DUCT,29991.83,29991.83,3299.1,29991.83,37
CDM,200456,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",29991.83,29991.83,948.0,21630.0,55
CDM,200457,PL STNT BILE DUCT SEP CT,26439.01,26439.01,1850.73,26439.01,64
CDM,200459,INJ CHOLANGIO NEW ACCES,13876.67,13876.67,971.37,13876.67,64
CDM,200460,RMVL CALCULI DEBRI,3682.26,3682.26,257.76,3682.26,64
CDM,200461,PLCMT NEPH CATH RT,13176.04,13176.04,922.32,13176.04,64
CDM,200463,PLCMT NEPH CATH LT,13176.04,13176.04,922.32,13176.04,64
CDM,200470,NEPH CATH EXCHANGE BI,4671.02,4671.02,326.97,4671.02,64
CDM,200471,NEPH CATH EXCHANGE LT,4256.05,4256.05,297.92,4256.05,64
CDM,200472,NEPH CATH EXCHANGE RT,4671.02,4671.02,326.97,4671.02,64
CDM,200473,INJ NEPH NEW ACCESS BI,4689.77,4689.77,328.28,4689.77,64
CDM,200474,INJ NEPH NEW ACCESS LT,4689.77,4689.77,328.28,4689.77,64
CDM,200476,INJ NEPH EXIST ACCESS BI,4689.77,4689.77,328.28,4689.77,64
CDM,200478,INJ NEPH EXIST ACCESS RT,4689.77,4689.77,328.28,4689.77,64
CDM,200479,PLCMT URETERAL STNT BI,16993.17,16993.17,1189.52,16993.17,64
CDM,200480,PLCMT URETERAL STNT LT,16993.17,16993.17,1189.52,16993.17,64
CDM,200481,PLCMT URETERAL STNT RT,18649.99,18649.99,1305.5,18649.99,64
CDM,200482,PLCMT URETER STNT NEW BI,16993.17,16993.17,1189.52,16993.17,64
CDM,200483,PLCMT URETER STNT NEW LT,16993.17,16993.17,1189.52,16993.17,64
CDM,200484,PLCMT URETER STNT NEW RT,16993.17,16993.17,1189.52,16993.17,64
CDM,200485,PLC URTR STNT SEP CTH BI,16993.17,16993.17,1189.52,16993.17,64
CDM,200487,PLC URTR STNT SEP CTH RT,16993.17,16993.17,1189.52,16993.17,64
CDM,200510,XR SPINE 2 OR 3 VIEWS,724.69,724.69,50.73,724.69,48
CDM,200511,XR SPINE 1 VIEW,437.38,437.38,30.62,437.38,48
CDM,200514,XR SPINE MIN 6 VIEWS,2809.37,2809.37,196.66,2809.37,48
CDM,200518,XR HIP W PEL BI 2 VIEW,727.88,727.88,50.95,727.88,48
CDM,200519,XR HIP W PEL BI MIN5 VW,1170.04,1170.04,81.9,1170.04,48
CDM,200556,INJ CHOLANGIO EXST ACCES,2650.88,2650.88,185.56,2650.88,64
CDM,200558,PLCMT NEPH CATH LT,12005.51,12005.51,840.39,12005.51,64
CDM,200559,PLCMT NEPH CATH BI,12005.51,12005.51,840.39,12005.51,64
CDM,200566,XR SPINE 2 OR 3 VIEWS,724.69,724.69,50.73,724.69,48
CDM,200567,XR SPINE 1 VIEW,437.38,437.38,30.62,437.38,48
CDM,200569,XR SPINE 4 OR 5 VIEWS,2783.84,2783.84,194.87,2783.84,48
CDM,200570,XR SPINE MIN 6 VIEWS,2809.37,2809.37,196.66,2809.37,48
CDM,200574,XR HIP W PEL BI 2 VIEW,727.88,727.88,50.95,727.88,48
CDM,200575,XR HIP W PEL BI MIN5 VW,1170.04,1170.04,81.9,1170.04,48
CDM,200576,XR HIP W PEL BI 3-4 VIEW,1053.51,1053.51,73.75,1053.51,48
CDM,200590,PLC BILIARY CATH INT/EXT,13876.67,13876.67,971.37,13876.67,64
CDM,200704,INJ NEPH EXIST ACCESS LT,4689.77,4689.77,328.28,4689.77,64
CDM,200709,TEDIZOLID 200 MG PO,3335.15,3335.15,233.46,3335.15,59
CDM,200710,DIANEAL PD-2 1.5% 6L BAG,477.83,477.83,33.45,477.83,67
CDM,200713,MRI LOW EXT W/CONT BI,5947.97,5947.97,416.36,5947.97,43
CDM,200714,MRI LOW EXT W&WO CONT BI,7266.35,7266.35,508.64,7266.35,43
CDM,200730,PLCMT NEPH CATH BI,12005.51,12005.51,840.39,12005.51,64
CDM,200772,PLCMT URETERAL STNT BI,16993.17,16993.17,1189.52,16993.17,64
CDM,200773,PLCMT URETERAL STNT LT,16993.17,16993.17,1189.52,16993.17,64
CDM,200774,PLCMT URETERAL STNT RT,16993.17,16993.17,1189.52,16993.17,64
CDM,200775,PLCMT URETER STNT NEW BI,16993.17,16993.17,1189.52,16993.17,64
CDM,200779,PLCMT URETER STNT NEW RT,16993.17,16993.17,1189.52,16993.17,64
CDM,200780,PLC URTR STNT SEP CTH BI,16993.17,16993.17,1189.52,16993.17,64
CDM,200781,PLC URTR STNT SEP CTH LT,16993.17,16993.17,1189.52,16993.17,64
CDM,200782,PLC URTR STNT SEP CTH RT,16993.17,16993.17,1189.52,16993.17,64
CDM,200783,NEPH CATH EXCHANGE BI,4256.05,4256.05,297.92,4256.05,64
CDM,200784,NEPH CATH EXCHANGE LT,4256.05,4256.05,297.92,4256.05,64
CDM,200785,NEPH CATH EXCHANGE RT,4256.05,4256.05,297.92,4256.05,64
CDM,200819,INJ CHOLANGIO EXST ACCES,2650.88,2650.88,185.56,2650.88,64
CDM,200820,EXCHANGE BILIARY CATH,13876.67,13876.67,971.37,13876.67,64
CDM,200883,CRRT/SLEDD,6065.91,6065.91,424.61,6065.91,71
CDM,200884,CRRT/SLEDD,6065.91,6065.91,424.61,6065.91,71
CDM,200886,CRRT/SLEDD,6065.91,6065.91,424.61,6065.91,71
CDM,200887,CRRT/SLEDD,6065.91,6065.91,424.61,6065.91,71
CDM,200916,PLATE ORBT 8HL RSRBX 8MM,5730.0,5730.0,630.3,5730.0,57
CDM,200917,PLATE BN 1.0MM 21MM,5087.0,5087.0,559.57,5087.0,57
CDM,200929,DRUG TEST DEF 1-7 CLASS,748.67,748.67,52.41,748.67,48
CDM,200930,DRUG TEST DEF 8-14 CLASS,1150.43,1150.43,80.53,1150.43,48
CDM,200931,DRUG TEST DEF 15-21 CLAS,1552.21,1552.21,108.65,1552.21,48
CDM,200932,DRUG TEST DEF 22OR> CLAS,2012.05,2012.05,140.84,2012.05,48
CDM,200934,ENDOVASCLR ADMIN AGENTS,4253.35,4253.35,297.73,4253.35,64
CDM,200935,ENDOVASCLR ADMIN AG ADDL,3876.61,3876.61,271.36,3876.61,64
CDM,200947,PLATE BN 0.6MM 40MM,22149.0,22149.0,2436.39,22149.0,57
CDM,201026,AKTEN OPHTH GEL 3.5%,272.13,272.13,19.05,272.13,67
CDM,201027,GADOBUTROL 7.5 ML INJ,400.36,400.36,28.03,400.36,47
CDM,201027,"Injection, gadobutrol, 0.1 ml ",400.36,400.36,0.29,2.22,17
CDM,201031,XR HIP W PEL BI 3-4 VIEW,1053.51,1053.51,73.75,1053.51,48
CDM,201046,PLC URTR STNT SEP CTH LT,16993.17,16993.17,1189.52,16993.17,64
CDM,201048,INJ NEPH NEW ACCESS RT,4689.77,4689.77,328.28,4689.77,64
CDM,201057,XR SPINE 4 OR 5 VIEWS,2783.84,2783.84,194.87,2783.84,48
CDM,201060,PLCMT NEPH CATH RT,12005.51,12005.51,840.39,12005.51,64
CDM,201061,PLCMT NEPH CATH BI,12005.51,12005.51,840.39,12005.51,64
CDM,201062,PLCMT NEPH CATH LT,12005.51,12005.51,840.39,12005.51,64
CDM,201067,IMPLANT CRNL SZ18,183910.0,183910.0,20230.1,183910.0,57
CDM,201071,PLCMT NEPH CATH RT,12005.51,12005.51,840.39,12005.51,64
CDM,201118,INTVSC US NONCORN INIT,5586.47,5586.47,391.05,5586.47,64
CDM,201119,INTVSC US NONCORN EADD,2794.07,2794.07,195.58,2794.07,64
CDM,201124,EBUS DRNG BRONCH 1-2LNS,17182.2,17182.2,1202.75,17182.2,64
CDM,201125,EBUS DRNG BRONCH 3+ LNS,17182.2,17182.2,1202.75,17182.2,64
CDM,201126,EBUS DRNG BRONCH PERIPH,700.65,700.65,49.05,700.65,64
CDM,201127,ENDO TRANS INCIS FUNDO,13591.88,13591.88,951.43,13591.88,64
CDM,201132,DILATE BILI DUCT AMP VTR,7001.41,7001.41,490.1,7001.41,64
CDM,201133,BX BILIARY TREE,3077.09,3077.09,215.4,3077.09,64
CDM,201135,NEPHURETERAL CATH PLCMT,12005.51,12005.51,840.39,12005.51,64
CDM,201136,NEPHURETERAL CATH PLCMT,12005.51,12005.51,840.39,12005.51,64
CDM,201137,NEPH CATH CONV TO NEPURT,4256.05,4256.05,297.92,4256.05,64
CDM,201138,NEPH CATH CONV TO NEPURT,4256.05,4256.05,297.92,4256.05,64
CDM,201139,BX RNL PEL/URTR PLUS LT,6781.74,6781.74,474.72,6781.74,64
CDM,201140,BX RNL PEL/URTR PLUS RT,6781.74,6781.74,474.72,6781.74,64
CDM,201141,EMBOLZ - OCC URETER LT,18649.99,18649.99,1305.5,18649.99,64
CDM,201142,EMBOLZ - OCC URETER RT,18649.99,18649.99,1305.5,18649.99,64
CDM,201143,DILATE URTR STRIC LT,18649.99,18649.99,1305.5,18649.99,64
CDM,201145,DILATE URTR STRIC RT,18649.99,18649.99,1305.5,18649.99,64
CDM,201146,ICRNL THRMBCTOMY/LYSIS,4523.22,4523.22,316.63,4523.22,64
CDM,201148,TBO-FILGRASTM 300MCG INJ,1430.19,1430.19,100.11,1430.19,42
CDM,201149,TBO-FILGRASTM 480MCG INJ,2288.93,2288.93,160.23,2288.93,42
CDM,201150,EPOETN ALFA 10000 U ESRD,3051.26,3051.26,213.59,3051.26,54
CDM,201152,PREDNISONE 10 MG PO,29.34,29.34,2.05,29.34,55
CDM,201153,PREDNISONE IR/DR 1 MG PO,29.34,29.34,2.05,29.34,55
CDM,201156,PREDNISONE 20 MG PO,29.34,29.34,2.05,29.34,47
CDM,201157,PREDNISONE 5 MG PO,216.89,216.89,15.18,216.89,47
CDM,201159,DEXAMETHAS 1MG/ML LIQ PO,5.11,5.11,0.36,5.11,47
CDM,201160,XR HIP W PEL UNI 1 V RT,727.88,727.88,50.95,727.88,48
CDM,201161,XR HIP W PEL UNI 1 V LT,727.88,727.88,50.95,727.88,48
CDM,201162,XR HIP W PEL UN 2-3 V RT,1053.51,1053.51,73.75,1053.51,48
CDM,201163,XR HIP W PEL UN 2-3 V LT,1053.51,1053.51,73.75,1053.51,48
CDM,201165,XR HIP W PEL UN M4 VW RT,1170.04,1170.04,81.9,1170.04,48
CDM,201167,XR HIP W PEL UN M4 VW LT,1170.04,1170.04,81.9,1170.04,48
CDM,201168,XR FEMUR 1 VIEW RT,437.38,437.38,30.62,437.38,48
CDM,201169,XR FEMUR 1 VIEW LT,437.38,437.38,30.62,437.38,48
CDM,201176,XR FEMUR 1 VIEW BI,437.38,437.38,30.62,437.38,48
CDM,201177,XR FEMUR MIN 2 V RT,1018.4,1018.4,71.29,1018.4,48
CDM,201178,XR FEMUR MIN 2 V LT,1018.4,1018.4,71.29,1018.4,48
CDM,201179,XR FEMUR MIN 2 V BI,1018.4,1018.4,71.29,1018.4,48
CDM,201181,NEPH CATH EXCHANGE RT,4256.05,4256.05,297.92,4256.05,64
CDM,201182,NEPH CATH EXCHANGE LT,4256.05,4256.05,297.92,4256.05,64
CDM,201183,NEPH CATH EXCHANGE BI,4256.05,4256.05,297.92,4256.05,64
CDM,201186,PLCMT URETERAL STNT RT,16993.17,16993.17,1189.52,16993.17,64
CDM,201187,PLCMT URETERAL STNT LT,16993.17,16993.17,1189.52,16993.17,64
CDM,201188,PLCMT URETERAL STNT BI,16993.17,16993.17,1189.52,16993.17,64
CDM,201189,PLCMT URETER STNT NEW RT,16993.17,16993.17,1189.52,16993.17,64
CDM,201190,PLCMT URETER STNT NEW LT,16993.17,16993.17,1189.52,16993.17,64
CDM,201191,PLCMT URETER STNT NEW BI,16993.17,16993.17,1189.52,16993.17,64
CDM,201193,PLC URTR STNT SEP CTH RT,16993.17,16993.17,1189.52,16993.17,64
CDM,201195,PLC URTR STNT SEP CTH LT,16993.17,16993.17,1189.52,16993.17,64
CDM,201196,PLC URTR STNT SEP CTH BI,16993.17,16993.17,1189.52,16993.17,64
CDM,201204,SCREW SPN 4MM 14MM,2101.0,2101.0,231.11,2101.0,57
CDM,201226,XR HIP W PEL UNI 1 V RT,727.88,727.88,50.95,727.88,48
CDM,201227,XR HIP W PEL UNI 1 V LT,727.88,727.88,50.95,727.88,48
CDM,201229,XR HIP W PEL UN M4 VW RT,1170.04,1170.04,81.9,1170.04,48
CDM,201230,XR HIP W PEL UN M4 VW LT,1170.04,1170.04,81.9,1170.04,48
CDM,201231,XR FEMUR 1 VIEW RT,437.38,437.38,30.62,437.38,48
CDM,201232,XR FEMUR 1 VIEW LT,437.38,437.38,30.62,437.38,48
CDM,201233,XR FEMUR 1 VIEW BI,437.38,437.38,30.62,437.38,48
CDM,201235,XR FEMUR MIN 2 V RT,1018.4,1018.4,71.29,1018.4,48
CDM,201237,XR FEMUR MIN 2 V LT,1018.4,1018.4,71.29,1018.4,48
CDM,201239,XR FEMUR MIN 2 V BI,1018.4,1018.4,71.29,1018.4,48
CDM,201240,PLCMT URETER STNT NEW LT,16993.17,16993.17,1189.52,16993.17,64
CDM,201241,GASTRIC EMPTY W SM BWL,1811.47,1811.47,126.8,1811.47,48
CDM,201241,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",1811.47,1811.47,359.07,1583.86,28
CDM,201241,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit Age 21+",1811.47,1811.47,400.99,400.99,4
CDM,201241,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit Age Under 21",1811.47,1811.47,408.28,408.28,4
CDM,201242,GASTRIC EMPTY W SB MULT,2401.68,2401.68,168.12,2401.68,48
CDM,201242,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",2401.68,2401.68,408.12,1948.76,28
CDM,201242,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age 21+",2401.68,2401.68,455.76,455.76,4
CDM,201242,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age Under 21",2401.68,2401.68,464.05,464.05,4
CDM,201243,XR HIP W PEL UN 2-3 V RT,1053.51,1053.51,73.75,1053.51,48
CDM,201245,XR HIP W PEL UN 2-3 V LT,1053.51,1053.51,73.75,1053.51,48
CDM,201266,CT LD LUNG CA SC COUNSEL,890.97,890.97,98.01,890.97,52
CDM,201267,PREDNISONE 5 MG PO,29.34,29.34,2.05,29.34,47
CDM,201334,ONFI SUSP 2.5MG/ML,10.12,10.12,0.71,10.12,67
CDM,201336,DOXYLAMINE 25MG TAB,2.17,2.17,0.15,2.17,67
CDM,201366,BLINATUMOMAB 1 MCG INJ,857.3,857.3,60.01,857.3,42
CDM,201368,CMPD CARDIOPLEGIA,1834.76,1834.76,128.43,1834.76,59
CDM,201369,CMPD CARDIOPLEGIA,1155.89,1155.89,80.91,1155.89,59
CDM,201370,CMPD CARDIOPLEGIA,5464.09,5464.09,382.49,5464.09,59
CDM,201371,CMPD TPN SOLUTION,13912.44,13912.44,973.87,13912.44,59
CDM,201373,CMPD MORPH 100MG 100B,11.75,11.75,0.82,11.75,59
CDM,201374,CMPD TPN SOLUTION,16891.31,16891.31,1182.39,16891.31,59
CDM,201377,CMPD TPN SOLUTION,9134.47,9134.47,639.41,9134.47,59
CDM,201378,CMPD TPN SOLUTION,13379.34,13379.34,936.55,13379.34,59
CDM,201379,CMPD OXYTOCIN 20U 1000B,89.19,89.19,6.24,89.19,67
CDM,201381,CMPD CARDIOPLEGIA,1167.18,1167.18,81.7,1167.18,59
CDM,201382,CMPD FENTPF 10MCG/ML100C,45.9,45.9,3.21,45.9,59
CDM,201383,CMPD FTBP 2MCG-0.1%250C,4134.76,4134.76,289.43,4134.76,59
CDM,201385,CMPD OXYTOCIN 30U 500B,59.24,59.24,4.15,59.24,59
CDM,201387,CMPD HYMOR 50MG 50C,55.89,55.89,3.91,55.89,59
CDM,201388,CMPD FTBP 2MCG-0.1%100C,3155.96,3155.96,220.92,3155.96,59
CDM,201399,NDL ELEC SGL FIBER ELEC,3728.97,3728.97,261.03,3728.97,59
CDM,201399,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",3728.97,3728.97,121.91,237.17,6
CDM,201400,NERVE COND 1-2 STDS,308.63,308.63,21.6,308.63,59
CDM,201400,Nerve conduction studies; 1-2 studies ,308.63,308.63,117.95,229.46,6
CDM,201401,NERVE COND 3-4 STDS,1235.8,1235.8,86.51,1235.8,59
CDM,201401,Nerve conduction studies; 3-4 studies ,1235.8,1235.8,157.57,306.55,6
CDM,201402,NERVE COND 5-6 STDS,1235.8,1235.8,86.51,1235.8,59
CDM,201402,Nerve conduction studies; 5-6 studies ,1235.8,1235.8,188.29,366.31,6
CDM,201403,NERVE COND 7-8 STDS,1235.8,1235.8,86.51,1235.8,59
CDM,201403,Nerve conduction studies; 7-8 studies ,1235.8,1235.8,241.83,470.48,6
CDM,201405,NERVE COND 9-10 STDS,569.0,569.0,39.83,569.0,59
CDM,201405,Nerve conduction studies; 9-10 studies ,569.0,569.0,276.51,537.94,6
CDM,201406,NERVE COND 11-12 STDS,569.0,569.0,39.83,569.0,59
CDM,201406,Nerve conduction studies; 11-12 studies ,569.0,569.0,285.42,555.28,6
CDM,201407,NERVE COND 13+ STDS,569.0,569.0,39.83,569.0,59
CDM,201407,Nerve conduction studies; 13 or more studies ,569.0,569.0,316.14,615.04,6
CDM,201415,CEFTRIAXONE 1 G INJ,412.28,412.28,28.86,412.28,47
CDM,201416,CEFTRIAXONE 2 G INJ,528.52,528.52,37.0,528.52,47
CDM,201417,CEFTRIAXONE 40 MG/ML INJ,82.1,82.1,5.75,82.1,47
CDM,201418,CEFTRIAXONE 500MG INJ,43.42,43.42,3.04,43.42,47
CDM,201420,OBINUTUZUMAB 10 MG INJ,540.56,540.56,37.84,540.56,42
CDM,201437,BRENTUXIMAB 50 MG INJ,69750.28,69750.28,4882.52,69750.28,42
CDM,201437,"Injection, brentuximab vedotin, 1 mg ",69750.28,69750.28,260.67,2210.86,17
CDM,201439,CEFTRIAXONE 250 MG INJ,85.68,85.68,6.0,85.68,47
CDM,201445,CMPD TPN SOLUTION,15733.46,15733.46,1101.34,15733.46,59
CDM,201446,CMPD TPN SOLUTION,15146.5,15146.5,1060.26,15146.5,59
CDM,201447,DARATUMUMAB 100MG INJ,4960.12,4960.12,347.21,4960.12,42
CDM,201448,DARATUMUMAB 400MG INJ,19840.41,19840.41,1388.83,19840.41,42
CDM,201449,BRONCH W/ INS IBV INI LB,22076.55,22076.55,1545.36,22076.55,64
CDM,201450,BRNCH W/INS IBV EA AD LB,20618.97,20618.97,1443.33,20618.97,64
CDM,201463,NAC CAPSULES,0.38,0.38,0.03,0.38,67
CDM,201464,ABG WITH CALC O2 SAT,3217.34,3217.34,225.21,3217.34,47
CDM,201465,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",251.72,251.72,5.86,52.96,77
CDM,201465,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Age 21+",251.72,251.72,9.03,9.03,4
CDM,201465,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Age Under 21",251.72,251.72,9.2,9.2,4
CDM,201465,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient",251.72,251.72,10.26,10.26,6
CDM,201465,OXYGEN SAT ONLY DM,251.72,251.72,17.62,251.72,47
CDM,201466,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",1345.67,1345.67,58.87,529.35,77
CDM,201466,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen Age",1345.67,1345.67,90.65,92.3,8
CDM,201466,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen Oth",1345.67,1345.67,103.02,103.02,6
CDM,201466,PAMG-1 CVS QL,1345.67,1345.67,94.2,1345.67,47
CDM,201467,"Injection, pamidronate disodium, per 30 mg ",77.99,77.99,12.05,95.44,17
CDM,201467,PAMIDRONATE 30 MG INJ,77.99,77.99,5.46,77.99,47
CDM,201559,"Injection, neostigmine methylsulfate, up to 0.5 mg ",51.82,51.82,2.33,7.01,15
CDM,201559,NEOST METH UP TO 0.5 MG,51.82,51.82,3.63,51.82,47
CDM,201641,PREDNISONE 5 MG PO,216.89,216.89,15.18,216.89,47
CDM,201654,GENVOYA PO,1618.97,1618.97,113.33,1618.97,59
CDM,201657,SIG W/TRANSENDO BALLOON,5024.21,5024.21,351.69,5024.21,64
CDM,201682,REHAB PVT MONITORED,15703.05,15703.05,,,0
CDM,201695,HYDRALAZINE 1 MG/ML INJ,1.8,1.8,0.13,1.8,47
CDM,201698,LEECHES,92.44,92.44,6.47,92.44,71
CDM,201703,INFLIXIMAB 100 MG INJ,14856.17,14856.17,1039.93,14856.17,42
CDM,201703,"Injection, infliximab, excludes biosimilar, 10 mg ",14856.17,14856.17,30.11,602.79,17
CDM,201704,MICAFUNGIN 50 MG INJ,167.22,167.22,11.71,167.22,47
CDM,201705,MICAFUNGIN 100 MG INJ,962.15,962.15,67.35,962.15,47
CDM,201706,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",3236.84,3236.84,194.55,4065.02,15
CDM,201706,QUINUPRN/DALFOPRN 500 MG,3236.84,3236.84,226.58,3236.84,47
CDM,201709,TRANEXAM ACID 650 MG PO,23.18,23.18,1.62,23.18,67
CDM,201713,HEMODIALYSIS SINGLE EVAL,4402.36,4402.36,308.17,4402.36,65
CDM,201717,CVV HEMODIALYSIS DAILY,5797.16,5797.16,405.8,5797.16,65
CDM,201719,CVV HEMODIALYSIS DAILY,5797.16,5797.16,405.8,5797.16,65
CDM,201721,BLD/STEM HARVEST ALLOGEN,7259.16,7259.16,508.14,7259.16,71
CDM,201721,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",7259.16,7259.16,,,0
CDM,201722,AUTO PLASMA VOL DEP,4219.26,4219.26,295.35,4219.26,60
CDM,201722,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,4219.26,4219.26,445.4,3293.0,2
CDM,201723,RBC REMOVE,4219.26,4219.26,295.35,4219.26,60
CDM,201723,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,4219.26,4219.26,445.4,3293.0,2
CDM,201724,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",2979.91,2979.91,445.4,2636.0,2
CDM,201724,WASH OF HARVEST,2979.91,2979.91,208.59,2979.91,60
CDM,201735,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,201736,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,201738,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,201739,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,201740,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,201742,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,201743,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,201744,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,201745,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,201746,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,201750,OUTPT PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,201751,OUTPT PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,201753,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,201755,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,201756,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,201765,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,201766,CHEMO IV PUSH SING/IN DR,606.97,606.97,42.49,606.97,49
CDM,201770,JOINT PRIVATE MONITRD,15703.05,15703.05,,,0
CDM,201776,JOINT PRIVATE,6647.47,6647.47,,,0
CDM,201787,PROCEDURE CATEGORY I,600.95,600.95,66.1,600.95,64
CDM,201788,PROCEDURE CATEGORY II,1414.18,1414.18,155.56,1414.18,64
CDM,201789,PROCEDURE CATEGORY III,2278.24,2278.24,250.61,2278.24,64
CDM,201790,INJECTION IM OR SQ,327.88,327.88,22.95,327.88,59
CDM,201793,INJECTION INTRA-ARTERIAL,672.08,672.08,47.05,672.08,59
CDM,201794,IVP SINGLE/INITIAL DRUG,582.5,582.5,40.77,582.5,59
CDM,201795,IVP EA ADD SEQ NEW DRUG,593.73,593.73,41.56,593.73,59
CDM,201798,IVP EA ADD SEQ SAME DRUG,593.73,593.73,41.56,593.73,65
CDM,201799,GASTRIC INTUB TX BY PHYS,2260.28,2260.28,248.63,2260.28,64
CDM,201800,CARDIOVERSION EXTERNAL,9002.33,9002.33,990.26,9002.33,58
CDM,201802,NDL/INCATH VEIN,588.99,588.99,64.79,588.99,60
CDM,201806,PROCEDURE CATEGORY I,600.95,600.95,66.1,600.95,64
CDM,201807,PROCEDURE CATEGORY II,1414.18,1414.18,155.56,1414.18,64
CDM,201811,PROCEDURE CATEGORY III,2278.24,2278.24,250.61,2278.24,64
CDM,201812,INJECTION IM OR SQ,327.88,327.88,22.95,327.88,59
CDM,201814,INJECTION INTRA-ARTERIAL,672.08,672.08,47.05,672.08,59
CDM,201815,IVP SINGLE/INITIAL DRUG,582.5,582.5,40.77,582.5,59
CDM,201816,IVP EA ADD SEQ NEW DRUG,593.73,593.73,41.56,593.73,59
CDM,201817,IVP EA ADD SEQ SAME DRUG,593.73,593.73,41.56,593.73,65
CDM,201818,GASTRIC INTUB TX BY PHYS,2260.28,2260.28,248.63,2260.28,64
CDM,201819,CARDIOVERSION EXTERNAL,9002.33,9002.33,990.26,9002.33,58
CDM,201823,NDL/INCATH VEIN,588.99,588.99,64.79,588.99,60
CDM,201828,METOCLOPRM 0.2 MG/ML INJ,0.09,0.09,0.006,0.09,47
CDM,201837,CATH BLNDIL 3MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,201844,MESH HRN PP PLGCPRN LG L,5321.0,5321.0,585.31,5321.0,57
CDM,201850,RAPID DESENSITIZ PER HR,578.21,578.21,40.47,578.21,59
CDM,201850,"Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum) ",578.21,578.21,999.87,1945.21,6
CDM,201851,INH INOMAX PER HR,1759.75,1759.75,123.18,1759.75,59
CDM,201928,CVV HEMODIALYSIS DAILY,5797.16,5797.16,405.8,5797.16,65
CDM,201929,CVV HEMODIALYSIS DAILY,5797.16,5797.16,405.8,5797.16,65
CDM,201931,INTELENCE 200MG TAB,191.47,191.47,13.4,191.47,67
CDM,201932,MALARONE 250/100 TAB,75.85,75.85,5.31,75.85,67
CDM,201939,VELTASSA PWDR PKT 8.4GM,365.76,365.76,25.6,365.76,67
CDM,201940,BENDAMUS HCL 100 MG INJ,2003.4,2003.4,140.24,2003.4,42
CDM,202008,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,202020,STEM HIP CMNT SZ7 133MM,36120.0,36120.0,3973.2,36120.0,57
CDM,202023,CTA H&N W/CON+NONCON IMG,12842.46,12842.46,898.97,12842.46,49
CDM,202098,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,202101,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,202102,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,202109,LINER ACTB HIP 44/58MM,25800.0,25800.0,2838.0,25800.0,57
CDM,202119,BAMLAN AND ETESEV INF,520.07,520.07,36.4,520.07,71
CDM,202135,KIT WIRE 0.024 365CM,24027.0,24027.0,1681.89,24027.0,71
CDM,202137,PROBE 154MM NEUROBLATE,160415.0,160415.0,11229.05,160415.0,71
CDM,202138,PROBE 175MM NEUROBLATE,160415.0,160415.0,11229.05,160415.0,71
CDM,202146,TEMPLATE SZ 23MM,2411.0,2411.0,168.77,2411.0,71
CDM,202151,GWIRE VASC 300CM .014IN,2999.0,2999.0,209.93,2999.0,71
CDM,202174,PLATE BN SMTB 7HL,19266.0,19266.0,2119.26,19266.0,57
CDM,202175,SCREW BN 4MM 34MM,6011.0,6011.0,661.21,6011.0,57
CDM,202177,SCREW BN 4MM 40MM,6011.0,6011.0,661.21,6011.0,57
CDM,202178,PLATE BN STR 9HL,19081.0,19081.0,2098.91,19081.0,57
CDM,202180,REAMER HEAD STRL 11.0MM,11433.0,11433.0,800.31,11433.0,71
CDM,202181,KIT GENERATOR IPG,318147.0,318147.0,34996.17,318147.0,57
CDM,202182,PIN GUIDE ORTH 230X3.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,202183,HEAD FEM HIP -3.5X28MM,46246.0,46246.0,5087.06,46246.0,57
CDM,202184,HEAD BIP HIP 28MM 46MM,11610.0,11610.0,1277.1,11610.0,57
CDM,202194,BUPIV5MG/EPI0.005MG 10ML,18.48,18.48,1.29,18.48,67
CDM,202195,BUPIV5MG/EPI0.005MG 30ML,19.24,19.24,1.35,19.24,67
CDM,202196,BUPIV7.5/EPI0.005MG 30ML,82.35,82.35,5.76,82.35,67
CDM,202198,BUPIV2.5/EPI0.005MG 30ML,68.07,68.07,4.76,68.07,67
CDM,202206,LIDOCAINE 0.5% 250MG INJ,127.92,127.92,8.95,127.92,67
CDM,202208,LIDOCAINE 1% 20 MG INJ,19.28,19.28,1.35,19.28,67
CDM,202209,LIDOCAINE 2% 200 MG INJ,368.22,368.22,25.78,368.22,67
CDM,202210,LIDOCAINE 1% 300 MG INJ,335.87,335.87,23.51,335.87,67
CDM,202215,MISOPROSTOL 100 MCG PO,2.53,2.53,0.18,2.53,46
CDM,202216,MISOPROSTOL 200 MCG PO,3.85,3.85,0.27,3.85,46
CDM,202217,MISOPROSTOL 25 MCG PO,0.6,0.6,0.04,0.6,46
CDM,202218,MISOPROSTOL 50 MCG PO,1.27,1.27,0.09,1.27,46
CDM,202221,RIG KEDRAB 300 U IMSQ,4795.42,4795.42,335.68,4795.42,42
CDM,202221,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",4795.42,4795.42,234.91,3415.33,17
CDM,202223,TRACE EL ZN/CU/MN/SE INJ,176.99,176.99,12.39,176.99,67
CDM,202229,TERBUTALINE 5 MG PO,32.72,32.72,2.29,32.72,67
CDM,202234,D5NS0.45 500 ML,730.15,730.15,51.11,730.15,46
CDM,202257,GRAFT BN DBM FBR 2.5CC,3551.0,3551.0,390.61,3551.0,57
CDM,202258,BUPROPION IR 100 MG PO,53.34,53.34,3.73,53.34,67
CDM,202259,BUPROPION IR 75 MG PO,41.37,41.37,2.9,41.37,67
CDM,202260,BUPROPION SR 100 MG PO,1.34,1.34,0.09,1.34,67
CDM,202261,BUPROPION SR 150 MG PO,5.53,5.53,0.39,5.53,67
CDM,202262,BUPROPION XL 300 MG PO,13.31,13.31,0.93,13.31,67
CDM,202272,PRISMASOLBK 0/0/1.2 5000,335.57,335.57,23.49,335.57,59
CDM,202276,CIPROFLOXACIN 0.3% OPH,1607.54,1607.54,112.53,1607.54,59
CDM,202295,HEAD FEM HIP 5MM 36MM,7740.0,7740.0,851.4,7740.0,57
CDM,202353,CMPNT FEM HIP OFST SZ4,49020.0,49020.0,5392.2,49020.0,57
CDM,202358,ALLOGRFT MSH 10.5X13.5CM,66333.0,66333.0,7296.63,66333.0,57
CDM,202360,AUGMENT FEM KN 8MM 5,19866.0,19866.0,2185.26,19866.0,57
CDM,202361,BIT DRILL CALIBRATED 2.7,1874.0,1874.0,131.18,1874.0,71
CDM,202362,COMPNT FEM 5 KN LT KNMTC,41280.0,41280.0,4540.8,41280.0,57
CDM,202366,COIL EMBL 7-3MM .035IN,1732.0,1732.0,190.52,1732.0,57
CDM,202375,INSERT TIB KN SZ7 14MM,24510.0,24510.0,2696.1,24510.0,57
CDM,202379,RELOAD CRV SM 30MM,14124.0,14124.0,1553.64,14124.0,57
CDM,202380,RELOAD CRVD SHRT 45MM,15637.0,15637.0,1720.07,15637.0,57
CDM,202381,SCREW BN 2.7MM 16MM,822.0,822.0,90.42,822.0,57
CDM,202405,STEM XTN STRT 13X100MM,21095.0,21095.0,1476.65,21095.0,71
CDM,202413,SCREW BN 2.5MM 30MM,3802.0,3802.0,418.22,3802.0,57
CDM,202414,KIT INTRO 4F 7CM NT/PD B,2219.0,2219.0,155.33,2219.0,71
CDM,202416,KIT RETR LP SNGL LOOP,6287.0,6287.0,440.09,6287.0,71
CDM,202419,VSP MICROTIA CASE BNDLE,62760.0,62760.0,4393.2,62760.0,71
CDM,202445,STEM FEM REV TI 100X18MM,13355.0,13355.0,1469.05,13355.0,57
CDM,202446,SCREW BN LCK 50MM,1131.0,1131.0,124.41,1131.0,57
CDM,202448,CMPNT FEM HIP 135D 50MM,58505.0,58505.0,6435.55,58505.0,57
CDM,202449,NAIL TIB 11MM 31.5CM,28770.0,28770.0,3164.7,28770.0,57
CDM,202450,PIN HLF 100MM 3MM,1874.0,1874.0,131.18,1874.0,71
CDM,202451,PLATE L LT 2X2HL 17MM,3931.0,3931.0,432.41,3931.0,57
CDM,202452,PLATE BN MED 4HL,3494.0,3494.0,384.34,3494.0,57
CDM,202453,SCREW BN 3.5MM 30MM,822.0,822.0,90.42,822.0,57
CDM,202455,PLATE BN 6HL 2.7 56MM,15586.0,15586.0,1714.46,15586.0,57
CDM,202464,SET INST JOINT SMALL,47225.0,47225.0,3305.75,47225.0,71
CDM,202465,PLATE BN SHRT 6HL 31MM,5129.0,5129.0,564.19,5129.0,57
CDM,202466,INSERT TIB 4 16MM,48401.0,48401.0,5324.11,48401.0,57
CDM,202499,COIL EMBL 2MMX4CM,20825.0,20825.0,2290.75,20825.0,57
CDM,202500,COIL VASC 3CM,25833.0,25833.0,2841.63,25833.0,57
CDM,202504,ROD EX FIX 9.5F 350MM,5623.0,5623.0,393.61,5623.0,71
CDM,202518,ADAPTER CMPNT OFST 0MM,64501.0,64501.0,7095.11,64501.0,57
CDM,202521,COUPLING IMPL 12.5MM,85040.0,85040.0,9354.4,85040.0,57
CDM,202524,CATHETER BLN .035X5.8X87,5623.0,5623.0,393.61,5623.0,71
CDM,202529,CATH BLNDIL 5X20MM 90CM,11517.0,11517.0,806.19,11517.0,71
CDM,202540,PENCIL SMKEVC 165MM,218.0,218.0,15.26,218.0,71
CDM,202545,HEAD FEM HIP 12/14 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,202550,CATH BLNDIL 8X2X90,11517.0,11517.0,806.19,11517.0,71
CDM,202553,CATH EP 6F 5MM 110CM,6858.0,6858.0,480.06,6858.0,71
CDM,202554,CATH EP 6F 10MM 125CM,5623.0,5623.0,393.61,5623.0,71
CDM,202576,COMPONENT FEM 5 KN RT,41280.0,41280.0,4540.8,41280.0,57
CDM,202577,IMPLANT BREAST 350CC,23633.0,23633.0,2599.63,23633.0,57
CDM,202585,PROCESSOR SND DUAL KT,184032.0,184032.0,12882.24,184032.0,65
CDM,202595,INSERT XLPE 22/40MM,34440.0,34440.0,3788.4,34440.0,57
CDM,202618,BIT DRL 105X1.5X7MM,3814.0,3814.0,266.98,3814.0,71
CDM,202638,IMPLANT BREAST 555CC,13790.0,13790.0,1516.9,13790.0,57
CDM,202646,HOOK SPN MED PDCL,7593.0,7593.0,835.23,7593.0,57
CDM,202657,RELOAD CRV SM 30MM,13917.0,13917.0,1530.87,13917.0,57
CDM,202663,PLATE BN 2H 3.5MM 73MM,18468.0,18468.0,2031.48,18468.0,57
CDM,202673,STEM 30MM 12/14 SZ1 95MM,49020.0,49020.0,5392.2,49020.0,57
CDM,202682,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,202684,GRAFT ST TIS 12X2CM,16527.0,16527.0,1817.97,16527.0,57
CDM,202695,CATH 24FR CRSNT DUL LUM,40597.0,40597.0,2841.79,40597.0,71
CDM,202696,CATH 26FR CRSNT DUL LUM,40597.0,40597.0,2841.79,40597.0,71
CDM,202698,CATH VASC ACCESS KIT,5622.0,5622.0,393.54,5622.0,71
CDM,202710,NAIL FEM 12MM 38CM,22605.0,22605.0,2486.55,22605.0,57
CDM,202711,ANCHOR HEALIX PEEK 4.5MM,12700.0,12700.0,1397.0,12700.0,57
CDM,202713,GRAFT THN PULM PT3-8X2-5,84716.0,84716.0,9318.76,84716.0,57
CDM,202725,GWIRE VASC .018IN 9.75IN,563.0,563.0,39.41,563.0,71
CDM,202734,SCREW BN 10.5X75MM,6268.0,6268.0,689.48,6268.0,57
CDM,202737,SCREW BN 9.5MM 40MM,6165.0,6165.0,678.15,6165.0,57
CDM,202752,SCREW BN 4X36MM P-T CANN,4110.0,4110.0,452.1,4110.0,57
CDM,202753,SCREW 4X40MM PARTLY THRD,4110.0,4110.0,452.1,4110.0,57
CDM,202768,CLIP LIGA 17MM 235CM,5623.0,5623.0,618.53,5623.0,57
CDM,202779,HEAD FEM HIP OMM 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,202792,GLND SHLDR +0X38MM,33540.0,33540.0,3689.4,33540.0,57
CDM,202793,SUTURE BLU MONO 6-0 30IN,1355.0,1355.0,94.85,1355.0,71
CDM,202812,HEAD FEM HIP 12/14T 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,202824,SUTURE SS 1 4-18IN,5623.0,5623.0,393.61,5623.0,71
CDM,202837,PARTICLE EMB S220GH,5138.0,5138.0,565.18,5138.0,57
CDM,202842,SCREW BN 3.5MM 30MM,2240.0,2240.0,246.4,2240.0,57
CDM,202845,DRILL SURG 2.7MM 80MM,1599.0,1599.0,111.93,1599.0,71
CDM,202848,SCREW BN 3.5MM 20MM,2117.0,2117.0,232.87,2117.0,57
CDM,202850,CATH BLNDIL 6MM 75CM,5623.0,5623.0,393.61,5623.0,71
CDM,202851,CATH BLN 6FR 8MM 75CM,5623.0,5623.0,393.61,5623.0,71
CDM,202869,CASIRIVI AND IMDEVI INF,520.07,520.07,36.4,520.07,71
CDM,202873,CATHETER BLNDIL .035IN 6,5623.0,5623.0,393.61,5623.0,71
CDM,202874,CATH BLNDIL 4MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,202875,ATRIAL SEPTOSTOMY W S&I,36085.59,36085.59,2525.99,36085.59,49
CDM,202875,"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, any method (eg, Rashkind, S",36085.59,36085.59,2152.0,12875.0,15
CDM,202876,PLATE BN .4X14X14MM,3272.0,3272.0,359.92,3272.0,57
CDM,202879,LUNG CA SCREEN WO CON,581.64,581.64,40.71,581.64,43
CDM,202886,PLATE BN 16MM 16MM,3343.0,3343.0,367.73,3343.0,57
CDM,202896,PLATE BN .4MM,3343.0,3343.0,367.73,3343.0,57
CDM,202906,PLATE BN TI 6HL 21MM,3343.0,3343.0,367.73,3343.0,57
CDM,202915,SCREW BN CRNMXF 8X2MM,2437.0,2437.0,268.07,2437.0,57
CDM,202916,PLATE BN 5HL 0.4MM,1583.0,1583.0,174.13,1583.0,57
CDM,202917,DRILL TWST JLTCH 17MM,5623.0,5623.0,393.61,5623.0,71
CDM,202919,SCREW BN 2.0MM 30MM,7441.0,7441.0,818.51,7441.0,57
CDM,202920,DISTRACTOR SUR 2HL 2.3MM,68894.0,68894.0,7578.34,68894.0,57
CDM,202921,SCREW ANCHR 1.5 X 8MM,2437.0,2437.0,268.07,2437.0,57
CDM,202936,SCREW BN CRNFCL 4MM,1194.0,1194.0,131.34,1194.0,57
CDM,202941,SUTURE TAPE WH/BL 1.7MM,1874.0,1874.0,131.18,1874.0,71
CDM,202943,INSERT TIB KN SZ5 18MM,48401.0,48401.0,5324.11,48401.0,57
CDM,202944,CATH BLNDIL 10MM 30MM,5623.0,5623.0,393.61,5623.0,71
CDM,202945,CATH BLNDIL 10MM 60MM,5623.0,5623.0,393.61,5623.0,71
CDM,202946,SCREW 5MM ER MATRIX 5PK,1266.0,1266.0,139.26,1266.0,57
CDM,202947,CATH BLNDL 2X20MM90CM,5623.0,5623.0,393.61,5623.0,71
CDM,202948,CATH BLNDIL 2MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,202950,CATH BLNDIL 3MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,202952,CATH BLNDIL 3MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,202964,CATHETER BLN .035IN 5.8F,5623.0,5623.0,393.61,5623.0,71
CDM,202967,CATH BLNDIL 5MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,202977,COIL EMBL 3MM 20CM,39544.0,39544.0,4349.84,39544.0,57
CDM,202978,COIL EMBL 1MMX2CM,20825.0,20825.0,2290.75,20825.0,57
CDM,202979,COIL EMBL 2MMX2CM,16235.0,16235.0,1785.85,16235.0,57
CDM,202981,COIL EMBL 2MMX10CM,20139.0,20139.0,2215.29,20139.0,57
CDM,202982,COIL EMBL 3MMX4CM,16235.0,16235.0,1785.85,16235.0,57
CDM,202983,COIL EMBL 3MMX10CM,25833.0,25833.0,2841.63,25833.0,57
CDM,202984,COIL EMBL 3MMX15CM,25833.0,25833.0,2841.63,25833.0,57
CDM,202985,COIL EMBL 4MMX6CM,20825.0,20825.0,2290.75,20825.0,57
CDM,202987,COIL EMBL 4MMX15CM,25833.0,25833.0,2841.63,25833.0,57
CDM,202989,COIL EMBL 4MMX30CM,33741.0,33741.0,3711.51,33741.0,57
CDM,202990,PACKING COIL LP 6CM,20139.0,20139.0,2215.29,20139.0,57
CDM,202991,PACKING COIL LP 10CM,20139.0,20139.0,2215.29,20139.0,57
CDM,202992,PACKING COIL LP 15CM,20139.0,20139.0,2215.29,20139.0,57
CDM,202993,PACKING COIL LP 30CM,26304.0,26304.0,2893.44,26304.0,57
CDM,202994,COIL EMBL PK 45CM,33741.0,33741.0,3711.51,33741.0,57
CDM,202995,COIL EMBL PK 60CM,33741.0,33741.0,3711.51,33741.0,57
CDM,202996,HANDLE LP DETACHMENT,5623.0,5623.0,393.61,5623.0,71
CDM,202997,CATH BLNDIL 9MM 30MM,5623.0,5623.0,393.61,5623.0,71
CDM,203075,INSERT HIP 28X44MM,14190.0,14190.0,1560.9,14190.0,57
CDM,203077,LINER DUAL HIP 44MM 56MM,25800.0,25800.0,2838.0,25800.0,57
CDM,203080,CATH BER 6FR 90CM 125CM,14831.0,14831.0,1038.17,14831.0,71
CDM,203083,PLATE MDBL LT 80D 4H 1MM,3708.0,3708.0,407.88,3708.0,57
CDM,203085,CATH BLN 28MM 6CM,22348.0,22348.0,1564.36,22348.0,71
CDM,203086,CATH BLN 26MM 6CM,21324.0,21324.0,1492.68,21324.0,71
CDM,203087,STENT AORTA 14F 39MM,191833.0,191833.0,21101.63,191833.0,57
CDM,203089,STENT ERPSTH 8ZIG 3.9CM,145035.0,145035.0,15953.85,145035.0,57
CDM,203094,STENT COR 4MM 15MM,18065.0,18065.0,1987.15,18065.0,57
CDM,203095,COMPONENT FEM 8 KN LT,41280.0,41280.0,4540.8,41280.0,57
CDM,203096,CMPNT PLATE TIB SZ7,25671.0,25671.0,2823.81,25671.0,57
CDM,203098,INSERT TIB 7 10MM KN LT,14190.0,14190.0,1560.9,14190.0,57
CDM,203105,SCREW SPN P-AX 3.5X32MM,12655.0,12655.0,1392.05,12655.0,57
CDM,203106,SCREW BN S/T 2X6MM,1660.0,1660.0,182.6,1660.0,57
CDM,203108,PLATE BN 4H 1MM,8459.0,8459.0,930.49,8459.0,57
CDM,203110,BIT DRILL 8MM 1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,203113,CMPNT PATELLA 8.5MM 30MM,6115.0,6115.0,672.65,6115.0,57
CDM,203114,BASEPLATE TIB RT SZ4,24510.0,24510.0,2696.1,24510.0,57
CDM,203115,CMPNT FEM SZ4N,36636.0,36636.0,4029.96,36636.0,57
CDM,203116,INSERT TIB SZB 10M,13468.0,13468.0,1481.48,13468.0,57
CDM,203118,LINER STD 32-52/54,13468.0,13468.0,1481.48,13468.0,57
CDM,203119,CATH BLNDL 14X6 110CM,5623.0,5623.0,393.61,5623.0,71
CDM,203124,CATH BLNDIL 7MM 90CM,11517.0,11517.0,806.19,11517.0,71
CDM,203129,CMPNT SHLDR LCK 42MM,30960.0,30960.0,3405.6,30960.0,57
CDM,203139,CATH BLNDIL 2X15MM 137CM,12594.0,12594.0,881.58,12594.0,71
CDM,203140,CATH BLNDIL 3X15MM 137CM,12594.0,12594.0,881.58,12594.0,71
CDM,203156,KIT SURG MNDB FULL,159405.0,159405.0,17534.55,159405.0,57
CDM,203157,PLATE BN 5HL 8MM,7010.0,7010.0,771.1,7010.0,57
CDM,203158,PLATE L RT 2X2HL 17MM,3931.0,3931.0,432.41,3931.0,57
CDM,203159,TAP BN SCREW GA D 2MM,4861.0,4861.0,340.27,4861.0,71
CDM,203161,SUTURE SS 1 V-7 24IN,3269.0,3269.0,228.83,3269.0,71
CDM,203179,CATH BLN 4X15MM 137CM,12594.0,12594.0,881.58,12594.0,71
CDM,203183,MESH HRN MED RT 3X5IN,8112.0,8112.0,892.32,8112.0,57
CDM,203203,CMPNT STEM FEM KN LG,47730.0,47730.0,5250.3,47730.0,57
CDM,203204,STENT URET 4.8FR 12CM,3967.0,3967.0,436.37,3967.0,57
CDM,203214,CATH SZ BLN 8F 20MM 80CM,6599.0,6599.0,461.93,6599.0,71
CDM,203216,CATH SZ BLN 4X80CM 30MM,6599.0,6599.0,461.93,6599.0,71
CDM,203217,INSERT TIB KN SZ7 14MM,48401.0,48401.0,5324.11,48401.0,57
CDM,203226,PARTICLES EMB 15-250UM,1871.0,1871.0,205.81,1871.0,57
CDM,203236,PARTICLES EMB 250-355UM,1866.0,1866.0,205.26,1866.0,57
CDM,203238,CATH SZ BLN 9F 40MM 80CM,6599.0,6599.0,461.93,6599.0,71
CDM,203241,KIT NRSTM LD LF45 30.5CM,1727.0,1727.0,189.97,1727.0,57
CDM,203242,KIT NRSTM LD PNE 30.5CM,864.0,864.0,95.04,864.0,57
CDM,203245,STENT COR 3.5MM 8MM,16729.0,16729.0,1840.19,16729.0,57
CDM,203246,STENT COR 3.5MM 12MM,18065.0,18065.0,1987.15,18065.0,57
CDM,203248,STENT COR 3.5MM 15MM,16729.0,16729.0,1840.19,16729.0,57
CDM,203249,CANN VNS RTN 20F 90D,1599.0,1599.0,111.93,1599.0,71
CDM,203250,STENT COR 3.5MM 18MM,18065.0,18065.0,1987.15,18065.0,57
CDM,203252,TUBE VNT 3MM 1.27MM,750.0,750.0,82.5,750.0,57
CDM,203253,COMPONENT FEM 6 KN RT,38804.0,38804.0,4268.44,38804.0,57
CDM,203254,BASEPLATE TIB RT SZ3,24510.0,24510.0,2696.1,24510.0,57
CDM,203256,INSERT TIB SZB 10MM,13468.0,13468.0,1481.48,13468.0,57
CDM,203258,COMPNENT FEM RT KN SZ3,36636.0,36636.0,4029.96,36636.0,57
CDM,203259,TOOL BONE DISTRACTOR ADJ,11433.0,11433.0,800.31,11433.0,71
CDM,203262,STEM FEM 124MM CMNT,36120.0,36120.0,3973.2,36120.0,57
CDM,203263,ICD DR MRI IS1 DF1,202519.0,202519.0,22277.09,202519.0,57
CDM,203267,KIT CATH BLND 30FR 12CM,5623.0,5623.0,393.61,5623.0,71
CDM,203278,CORE NDL BX LG/MED PERC,3066.83,3066.83,214.68,3066.83,64
CDM,203282,SCREW SPN S/T 4.5X16MM,1899.0,1899.0,208.89,1899.0,57
CDM,203283,SPCR SPNL TI 10X10X27,41100.0,41100.0,4521.0,41100.0,57
CDM,203285,GUIDEWIRE VASC STR .018I,3561.0,3561.0,249.27,3561.0,71
CDM,203286,OCCLUDER CV 12FR 44MM,183334.0,183334.0,20166.74,183334.0,57
CDM,203287,OCCLUDER CV 11FR 37MM,183334.0,183334.0,20166.74,183334.0,57
CDM,203307,LINER ACTB HIP48/41 48MM,28380.0,28380.0,3121.8,28380.0,57
CDM,203333,PLATE BN FOOT NRW,35264.0,35264.0,3879.04,35264.0,57
CDM,203346,PLATE WEDGE 6MM,26120.0,26120.0,2873.2,26120.0,57
CDM,203364,FILLER BN VOID 10CC,23633.0,23633.0,2599.63,23633.0,57
CDM,203382,SCREW BN 2.4MM 11MM,864.0,864.0,95.04,864.0,57
CDM,203384,NEEDLE INTSTM 5IN 20GA,1599.0,1599.0,111.93,1599.0,71
CDM,203387,SHEATH WIRE 8.5F 180CM,16073.0,16073.0,1125.11,16073.0,71
CDM,203390,VALVE MITRAL 15MM,197400.0,197400.0,21714.0,197400.0,57
CDM,203391,AUG TIB KN RT SZ5/6 10MM,22575.0,22575.0,2483.25,22575.0,57
CDM,203414,SCREW BN 7MM 50MM,20407.0,20407.0,2244.77,20407.0,57
CDM,203419,SCREW DNTL L1 1.5X8X13MM,2179.0,2179.0,239.69,2179.0,57
CDM,203420,SCREW DNTL L1 2X10X15MM,2437.0,2437.0,268.07,2437.0,57
CDM,203423,IMPLANT BPLR 28MM 47MM,11017.0,11017.0,1211.87,11017.0,57
CDM,203431,IMPLANT BREAST 190CC,15413.0,15413.0,1695.43,15413.0,57
CDM,203432,SCREW SPN P-AX 3.5X32MM,12655.0,12655.0,1392.05,12655.0,57
CDM,203450,STENT COR 4MM 8MM,16729.0,16729.0,1840.19,16729.0,57
CDM,203451,STENT COR 4MM 12MM,18065.0,18065.0,1987.15,18065.0,57
CDM,203453,SCREW BN SPN 2X8X13MM,2437.0,2437.0,268.07,2437.0,57
CDM,203455,IMPLANT BREAST 405CC,13790.0,13790.0,1516.9,13790.0,57
CDM,203456,PIN BONE FIXATION TEMP,6552.0,6552.0,458.64,6552.0,71
CDM,203457,INSERT TIB KN SZ3 8MM,14190.0,14190.0,1560.9,14190.0,57
CDM,203459,CMPNT KN PRTL FM SZ3,33540.0,33540.0,3689.4,33540.0,57
CDM,203460,BASEPLATE KN PRTL TB SZ3,23220.0,23220.0,2554.2,23220.0,57
CDM,203462,LINER TIBIAL #2 RIGHT,14190.0,14190.0,1560.9,14190.0,57
CDM,203464,COMP FEMORAL #3 RIGHT,41280.0,41280.0,4540.8,41280.0,57
CDM,203470,STENT COR 4MM 18MM,16729.0,16729.0,1840.19,16729.0,57
CDM,203471,STENT COR 4MM 23MM,20298.0,20298.0,2232.78,20298.0,57
CDM,203472,STENT COR 4MM 28MM,20298.0,20298.0,2232.78,20298.0,57
CDM,203474,STENT BIL 6X12MM 135CM,18290.0,18290.0,2011.9,18290.0,57
CDM,203477,STENT BIL 6X16MM 135CM,18290.0,18290.0,2011.9,18290.0,57
CDM,203479,STENT BIL 6X20MM 135CM,19390.0,19390.0,2132.9,19390.0,57
CDM,203480,STENT BIL 7X12MM 135CM,18290.0,18290.0,2011.9,18290.0,57
CDM,203485,INSERT TIB 5 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,203486,STENT BIL 6MM 18MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203487,STENT BIL 6MM 26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203489,STENT BIL 7MM 18MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203490,STENT BIL 7MM 26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203491,STENT BIL 8MM 18MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203492,STENT BIL 8MM 26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203493,SUTURE WHITE/BLUE SZ 2,1215.0,1215.0,85.05,1215.0,71
CDM,203514,HEAD BPLR HIP 28MM 57MM,11017.0,11017.0,1211.87,11017.0,57
CDM,203515,GFT SFT TIS OSS .6-.9CM,3677.0,3677.0,404.47,3677.0,57
CDM,203516,KIT INSERT BIO MEDIC PED,9053.0,9053.0,633.71,9053.0,71
CDM,203525,IMPLANT BREAST 470CC,26715.0,26715.0,2938.65,26715.0,57
CDM,203532,SALICYLATE QN,857.93,857.93,60.06,857.93,51
CDM,203532,Salicylate ,857.93,857.93,11.18,100.42,73
CDM,203532,Salicylate Age 21+,857.93,857.93,17.23,17.23,4
CDM,203532,Salicylate Age Under 21,857.93,857.93,17.54,17.54,4
CDM,203532,Salicylate Other Outpatient,857.93,857.93,19.57,19.57,6
CDM,203533,ACETAMINOPHEN QN,638.3,638.3,44.68,638.3,51
CDM,203533,Acetaminophen ,638.3,638.3,11.18,100.42,73
CDM,203533,Acetaminophen Age 21+,638.3,638.3,17.23,17.23,4
CDM,203533,Acetaminophen Age Under 21,638.3,638.3,17.54,17.54,4
CDM,203533,Acetaminophen Other Outpatient,638.3,638.3,19.57,19.57,6
CDM,203541,STENT BIL 9MM 17MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203542,STENT BIL 9MM 26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203543,STENT BL 10MM 17MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203544,STENT BIL 10X26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
CDM,203545,SCREW BN 5MM 52MM,2466.0,2466.0,271.26,2466.0,57
CDM,203557,MCTH INFS 2.4FR 130CM,11430.0,11430.0,800.1,11430.0,71
CDM,203562,OCCLUDER CV 10FR 27MM,183334.0,183334.0,20166.74,183334.0,57
CDM,203565,OCCLUDER CV 10FR 32MM,183334.0,183334.0,20166.74,183334.0,57
CDM,203567,OCCLUDER CV 14FR 48MM,183334.0,183334.0,20166.74,183334.0,57
CDM,203570,REAMER HEAD STRL 13.5MM,11433.0,11433.0,800.31,11433.0,71
CDM,203572,SYS VLV DLV ENSMBLE 18MM,141310.0,141310.0,9891.7,141310.0,71
CDM,203573,SYS VLV DLV ENSMBLE 20MM,152180.0,152180.0,10652.6,152180.0,71
CDM,203576,CATH ANGIO STR 3FR 90CM,927.0,927.0,64.89,927.0,71
CDM,203583,AMIODARONE QN,2107.25,2107.25,147.51,2107.25,51
CDM,203583,Amiodarone ,2107.25,2107.25,11.18,100.42,73
CDM,203583,Amiodarone Age 21+,2107.25,2107.25,17.23,17.23,4
CDM,203583,Amiodarone Age Under 21,2107.25,2107.25,17.54,17.54,4
CDM,203583,Amiodarone Other Outpatient,2107.25,2107.25,19.57,19.57,6
CDM,203584,AMYLASE ISOENZYME,1703.87,1703.87,119.27,1703.87,47
CDM,203585,FELBAMATE FELBATOL QN,1331.14,1331.14,93.18,1331.14,51
CDM,203585,Felbamate ,1331.14,1331.14,11.18,100.42,73
CDM,203585,Felbamate Age 21+,1331.14,1331.14,17.23,17.23,4
CDM,203585,Felbamate Age Under 21,1331.14,1331.14,17.54,17.54,4
CDM,203585,Felbamate Other Outpatient,1331.14,1331.14,19.57,19.57,6
CDM,203586,FLECAINIDE TAMBOCOR QN,585.69,585.69,41.0,585.69,51
CDM,203586,Flecainide ,585.69,585.69,11.18,100.42,73
CDM,203586,Flecainide Age 21+,585.69,585.69,17.23,17.23,4
CDM,203586,Flecainide Age Under 21,585.69,585.69,17.54,17.54,4
CDM,203586,Flecainide Other Outpatient,585.69,585.69,19.57,19.57,6
CDM,203589,ITRACONAZOLE SPORONOZ QN,772.88,772.88,54.1,772.88,51
CDM,203589,Itraconazole ,772.88,772.88,16.27,146.0,73
CDM,203589,Itraconazole Age 21+,772.88,772.88,25.05,25.05,4
CDM,203589,Itraconazole Age Under 21,772.88,772.88,25.5,25.5,4
CDM,203589,Itraconazole Other Outpatient,772.88,772.88,28.47,28.47,6
CDM,203590,METHOTREXATE RHEUMAT QN,1523.16,1523.16,106.62,1523.16,51
CDM,203590,Methotrexate ,1523.16,1523.16,23.14,208.09,73
CDM,203590,Methotrexate Age 21+,1523.16,1523.16,35.64,35.64,4
CDM,203590,Methotrexate Age Under 21,1523.16,1523.16,36.29,36.29,4
CDM,203590,Methotrexate Other Outpatient,1523.16,1523.16,40.5,40.5,6
CDM,203591,OSMOLAL FECES,1158.51,1158.51,81.1,1158.51,64
CDM,203618,SYS VLV DLV ENSMBLE 22MM,107705.0,107705.0,7539.35,107705.0,71
CDM,203621,INTRO SHEATH 24FR 65CM,13124.0,13124.0,918.68,13124.0,71
CDM,203622,INTRO SHEATH 26FR 65CM,13124.0,13124.0,918.68,13124.0,71
CDM,203624,CATHETER EP 5FR 110CM,5435.0,5435.0,380.45,5435.0,71
CDM,203630,CATH ANGIO 5FR 80CM,844.0,844.0,59.08,844.0,71
CDM,203631,CATH ANGIO 5FR 110CM,739.0,739.0,51.73,739.0,71
CDM,203632,PROSTH PENL PS 12CM 21CM,183910.0,183910.0,20230.1,183910.0,57
CDM,203652,LINER ACTB 56/49 56MM,28380.0,28380.0,3121.8,28380.0,57
CDM,203653,CATH EP 5FR 2-5-2MM 80CM,3253.0,3253.0,227.71,3253.0,71
CDM,203656,CATH ESP PCNG 10F 97.5CM,30572.0,30572.0,2140.04,30572.0,71
CDM,203668,SCREW BN 2.0MM 8MM 12MM,2525.0,2525.0,277.75,2525.0,57
CDM,203671,WEDGE BN 20X20X8MM,58979.0,58979.0,6487.69,58979.0,57
CDM,203672,INS HUM SHLDR 7.5D 39MM,54021.0,54021.0,5942.31,54021.0,57
CDM,203673,IMPLANT BREAST 255CC,20550.0,20550.0,2260.5,20550.0,57
CDM,203674,PIN BN THRD FIXATION,4174.0,4174.0,292.18,4174.0,71
CDM,203684,SCREW BN 3.5MM 42MM,5934.0,5934.0,652.74,5934.0,57
CDM,203685,SCREW BN 3.5MM 36MM,3083.0,3083.0,339.13,3083.0,57
CDM,203686,SCREW BN 3.5MM 38MM,3083.0,3083.0,339.13,3083.0,57
CDM,203696,PLATE 10H 1LV 43MM,13303.0,13303.0,1463.33,13303.0,57
CDM,203707,AUGMENT TIB KN 3X10MM,11507.0,11507.0,1265.77,11507.0,57
CDM,203708,STEM STRT 32MM 14X120MM,74028.0,74028.0,8143.08,74028.0,57
CDM,203728,LUNG CA SCREEN WO CON,581.64,581.64,40.71,581.64,43
CDM,203732,BASIC CARE NP,727.33,727.33,50.91,727.33,54
CDM,203740,SHUNT DRN W/O VENTRIC,5623.0,5623.0,393.61,5623.0,71
CDM,203747,BASIC CARE NP,1201.9,1201.9,132.21,1201.9,54
CDM,203749,BASIC CARE NP,649.5,649.5,45.47,649.5,54
CDM,203751,BASIC CARE NP,727.33,727.33,50.91,727.33,54
CDM,203752,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age ",35799.8,35799.8,948.0,25655.0,27
CDM,203752,INS ECMO A/V CAN OPEN <5,35799.8,35799.8,3937.98,35799.8,43
CDM,203763,IMPLANT BREAST 320CC,13790.0,13790.0,1516.9,13790.0,57
CDM,203764,MODEL ANTM MXL,50601.0,50601.0,3542.07,50601.0,71
CDM,203765,PORT INFSN VTX LP PLPRO,32326.0,32326.0,3555.86,32326.0,57
CDM,203767,STENT URET 6FR 16X100CM,2216.0,2216.0,243.76,2216.0,57
CDM,203783,SCREW BN 1.7MM 3MM,1755.0,1755.0,193.05,1755.0,57
CDM,203785,PLATE BN L LCK 5H 5MM,4157.0,4157.0,457.27,4157.0,57
CDM,203790,VALVE AORTIC L5.6CM OD16,286240.0,286240.0,31486.4,286240.0,57
CDM,203801,GUIDE SRG MRKD W/CRYSTL,155681.0,155681.0,10897.67,155681.0,71
CDM,203802,DISTRACTOR ARM 33MM,21213.0,21213.0,2333.43,21213.0,57
CDM,203803,CRTD XT MRI IS1 DF4,246536.0,246536.0,27118.96,246536.0,57
CDM,203805,INSERT HIP ACTB 42/28MM,14190.0,14190.0,1560.9,14190.0,57
CDM,203818,CATH ANGIO 4FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,203822,CMPNT SHD PRXBDY LG 42,123649.0,123649.0,13601.39,123649.0,57
CDM,203840,LINER HUM SHLDR 36MM,19737.0,19737.0,2171.07,19737.0,57
CDM,203849,GJ TUBE LO 18F 2.0X45CM,10768.0,10768.0,753.76,10768.0,71
CDM,203856,SCREW BN 3MM 12MM,1891.0,1891.0,208.01,1891.0,57
CDM,203857,GRAFT BN WDG PTLA 16-18,15748.0,15748.0,1732.28,15748.0,57
CDM,203861,MESH HRN PLGLY 20X16CM,94695.0,94695.0,10416.45,94695.0,57
CDM,203878,COMPONENT FEM 8 KN RT,41280.0,41280.0,4540.8,41280.0,57
CDM,203880,INSERT TIB KN SZ7 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,203890,KIT BN VOID FILLER 5CC,24660.0,24660.0,2712.6,24660.0,57
CDM,203894,SCREW SPN H-PAX 5.5X45MM,12655.0,12655.0,1392.05,12655.0,57
CDM,203895,LINER ACTB 58 49 58MM,28380.0,28380.0,3121.8,28380.0,57
CDM,203896,HEAD BPLR HIP 28MM 49MM,11017.0,11017.0,1211.87,11017.0,57
CDM,203897,LINER ACTB HIP60/51 60MM,28380.0,28380.0,3121.8,28380.0,57
CDM,203961,KIT BN GRAFT MIX/DEL,11723.0,11723.0,820.61,11723.0,71
CDM,203962,HOOK SPN STD BLD LG,7593.0,7593.0,835.23,7593.0,57
CDM,204001,SCREW BN 3.5MM 46MM,3083.0,3083.0,339.13,3083.0,57
CDM,204002,SCREW BN 3.5MM 32MM,6165.0,6165.0,678.15,6165.0,57
CDM,204004,BLADE SAW 1.27X10X90MM,6058.0,6058.0,424.06,6058.0,71
CDM,204010,PLATE BN 6HL 2.4X50MM,12783.0,12783.0,1406.13,12783.0,57
CDM,204015,BLADE SAW 1.05X78MM,6058.0,6058.0,424.06,6058.0,71
CDM,204044,PLATE STRAIGHT 9 HL,12844.0,12844.0,1412.84,12844.0,57
CDM,204056,GRAFT BN WHL ALGRF FZ LT,46921.0,46921.0,5161.31,46921.0,57
CDM,204069,GRFT THN PULM 3-8X1.5-5,104596.0,104596.0,11505.56,104596.0,57
CDM,204071,SCREW BN 3.5MM 24MM,3206.0,3206.0,352.66,3206.0,57
CDM,204072,SCREW BN 3.5MM 34MM,3206.0,3206.0,352.66,3206.0,57
CDM,204096,SCREW BN 27MM 11MM,864.0,864.0,95.04,864.0,57
CDM,204102,KIT CATH ACC 7FR .035IN,7133.0,7133.0,499.31,7133.0,71
CDM,204104,SCREW BN 5MM 90MM,13954.0,13954.0,1534.94,13954.0,57
CDM,204105,PLATE BN 10HL 62MM,10954.0,10954.0,1204.94,10954.0,57
CDM,204106,SCREW BN 2.0MM 14MM,864.0,864.0,95.04,864.0,57
CDM,204107,SCREW BN 2MM 14MM,2569.0,2569.0,282.59,2569.0,57
CDM,204109,SEGMENT TIBIA PROXIMAL,145939.0,145939.0,16053.29,145939.0,57
CDM,204110,SCREW DNTL L1 1.5X6X11MM,2179.0,2179.0,239.69,2179.0,57
CDM,204111,SCREW BN CRNL 2MM 13MM,6552.0,6552.0,720.72,6552.0,57
CDM,204133,IMPLANT FIBERWIRE 2-0,16954.0,16954.0,1864.94,16954.0,57
CDM,204141,STEM HUM 9X130MM,134598.0,134598.0,14805.78,134598.0,57
CDM,204156,MESH HRN 8X10IN,121191.0,121191.0,13331.01,121191.0,57
CDM,204157,INSERT TIB KN SZ4 13MM,39245.0,39245.0,4316.95,39245.0,57
CDM,204167,KIT LIGMNT RPR 2.5MM 7MM,11248.0,11248.0,787.36,11248.0,71
CDM,204169,ANCHOR BN 2.5MM 7MM,17982.0,17982.0,1978.02,17982.0,57
CDM,204181,NAIL BN 10MM 39CM,22605.0,22605.0,2486.55,22605.0,57
CDM,204182,SCREW BN 4.1MM 32MM,4637.0,4637.0,510.07,4637.0,57
CDM,204186,IMPLANT BREAST 215CC,15413.0,15413.0,1695.43,15413.0,57
CDM,204200,PROSTH HIP 195MM 21MM,16770.0,16770.0,1844.7,16770.0,57
CDM,204204,INSERT TIB KN 5 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,204227,HANDLE COIL PERPH DTCH,5623.0,5623.0,393.61,5623.0,71
CDM,204255,BURR RND FLTD DISP 9MM,5623.0,5623.0,393.61,5623.0,71
CDM,204258,STEM SLOT 18X36X152MM,79598.0,79598.0,8755.78,79598.0,57
CDM,204262,INTRO SHEATH 10FR 33CM,13124.0,13124.0,918.68,13124.0,71
CDM,204281,INSERT TIB KN 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,204296,PLATE 130D 143X23-15MM,12671.0,12671.0,1393.81,12671.0,57
CDM,204298,INSERT TIB KN 3 13MM,39245.0,39245.0,4316.95,39245.0,57
CDM,204323,KIT PEG EVV DISP 20FR,4829.0,4829.0,338.03,4829.0,71
CDM,204325,SCREW SPN P-AXL 3.5X34MM,12655.0,12655.0,1392.05,12655.0,57
CDM,204326,SCREW SPN P-AXL 3.5X36MM,12655.0,12655.0,1392.05,12655.0,57
CDM,204327,GWIRE VASC 180CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,204340,INS TIB 6 18MM KN,39732.0,39732.0,4370.52,39732.0,57
CDM,204349,CATH ANGIO 6FR 80CM,1874.0,1874.0,131.18,1874.0,71
CDM,204365,INSERT ARTC 7-8 12MM LT,19350.0,19350.0,2128.5,19350.0,57
CDM,204373,CANNULA ART 19FR 3/8IN,7016.0,7016.0,491.12,7016.0,71
CDM,204374,CANNULA ART 21FR 31.8CM,7016.0,7016.0,491.12,7016.0,71
CDM,204375,CANNULA ART 17FR 31.8CM,7016.0,7016.0,491.12,7016.0,71
CDM,204380,CATH BLN 7FR 110CM,2549.0,2549.0,178.43,2549.0,71
CDM,204404,BASEPLATE CMNT LT SZ4,24510.0,24510.0,2696.1,24510.0,57
CDM,204427,PLATE LT LCK 4X3HL 30MM,8285.0,8285.0,911.35,8285.0,57
CDM,204466,STEM EXTENSION 12X100MM,27684.0,27684.0,3045.24,27684.0,57
CDM,204467,STEM XTN M-M MID 40MM,110956.0,110956.0,12205.16,110956.0,57
CDM,204476,STENT 7F 10X60MM 80CM,31853.0,31853.0,3503.83,31853.0,57
CDM,204477,STENT 7F 12X60MM 80CM,31853.0,31853.0,3503.83,31853.0,57
CDM,204484,GWIRE VASC .014IN 200CM,11433.0,11433.0,800.31,11433.0,71
CDM,204500,KIT LEAD 4 EL 3.5MM 30CM,93092.0,93092.0,10240.12,93092.0,57
CDM,204501,BASEPLATE KN PRTL TB SZ2,23220.0,23220.0,2554.2,23220.0,57
CDM,204502,CMPNT KN PRTL FM SZ2,33540.0,33540.0,3689.4,33540.0,57
CDM,204504,INSERT TB KN 8MM SZ2,14190.0,14190.0,1560.9,14190.0,57
CDM,204506,CMPNT SHD INTSEG 60MM,184516.0,184516.0,20296.76,184516.0,57
CDM,204509,SYSTEM IMPLANT SCREW,58568.0,58568.0,6442.48,58568.0,57
CDM,204515,GWIRE VASC .014IN 80CM,2636.0,2636.0,184.52,2636.0,71
CDM,204516,PLATE TIB LT 3H,63855.0,63855.0,7024.05,63855.0,57
CDM,204517,SCREW BN 3.5MM 28MM,6320.0,6320.0,695.2,6320.0,57
CDM,204518,SCREW BN 3.5X65MM,11555.0,11555.0,1271.05,11555.0,57
CDM,204519,SCREW BN 30MM 3.5MM,9556.0,9556.0,1051.16,9556.0,57
CDM,204520,SCREW BN 28MM 3.5MM,4778.0,4778.0,525.58,4778.0,57
CDM,204521,SCREW BN 3.5MM 65MM,4778.0,4778.0,525.58,4778.0,57
CDM,204528,GWIRE VASC .018IN 180CM,2687.0,2687.0,188.09,2687.0,71
CDM,204531,GJ TUBE LO 18F 2.3X45CM,9419.0,9419.0,659.33,9419.0,71
CDM,204540,HOOK SPNL MED LMR,7593.0,7593.0,835.23,7593.0,57
CDM,204541,MODEL MNDB DISP,40746.0,40746.0,2852.22,40746.0,71
CDM,204542,SIZER DISTRACTION DISP,4888.0,4888.0,342.16,4888.0,71
CDM,204544,ANCH SUT 5.5MM 22MM,11611.0,11611.0,1277.21,11611.0,57
CDM,204546,SCREW BONE 3.5MM X 50MM,3083.0,3083.0,339.13,3083.0,57
CDM,204547,PIN GUIDE THRD,1599.0,1599.0,111.93,1599.0,71
CDM,204553,EXPANDER BREAST 375CC,42744.0,42744.0,4701.84,42744.0,57
CDM,204554,EXPANDER BREAST 475CC,42744.0,42744.0,4701.84,42744.0,57
CDM,204556,EXPANDER BREAST 500CC,42744.0,42744.0,4701.84,42744.0,57
CDM,204557,EXPAND BRST 600CC,42744.0,42744.0,4701.84,42744.0,57
CDM,204558,EXPAND BRST 750CC,42744.0,42744.0,4701.84,42744.0,57
CDM,204559,CATH DRAIN 8FR 30CM,2324.0,2324.0,162.68,2324.0,71
CDM,204560,CATH DRAIN 10FR 30CM,2324.0,2324.0,162.68,2324.0,71
CDM,204563,CATH BLNDIL 6MM 20MM,2811.0,2811.0,196.77,2811.0,71
CDM,204667,NAIL BN 9MM 37.5CM,52896.0,52896.0,5818.56,52896.0,57
CDM,204668,SCREW BN HDLS 3.5X48MM,5934.0,5934.0,652.74,5934.0,57
CDM,204669,SCREW BN 3.5MM 50MM,5934.0,5934.0,652.74,5934.0,57
CDM,204690,FORCEP GRASP 7MM 230CM,2769.0,2769.0,193.83,2769.0,71
CDM,204693,COIL EMBL 12.5CM 10-5MM,1732.0,1732.0,190.52,1732.0,57
CDM,204704,INSERT BRNG KN SZ6 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,204709,LINER ACTB HIP SZ4 40MM,14190.0,14190.0,1560.9,14190.0,57
CDM,204717,SCREW BN 2.7MM 13MM,864.0,864.0,95.04,864.0,57
CDM,204727,LINER HIP 50/43 50MM,28380.0,28380.0,3121.8,28380.0,57
CDM,204728,LINER POLY 22.2X43MM,14190.0,14190.0,1560.9,14190.0,57
CDM,204746,COMPNT ACTB HIP MED 54MM,23220.0,23220.0,2554.2,23220.0,57
CDM,204751,BASEPLATE KN SZ SM-2,51613.0,51613.0,5677.43,51613.0,57
CDM,204755,LINER ACTB HIP 52MM,28380.0,28380.0,3121.8,28380.0,57
CDM,204764,LINER ACTB HIP62/53 62MM,16770.0,16770.0,1844.7,16770.0,57
CDM,204766,CARTRIDGE BRNH VALVE 9MM,50002.0,50002.0,5500.22,50002.0,57
CDM,204767,SYSTEM CATH 2.6MM 1050MM,15742.0,15742.0,1101.94,15742.0,71
CDM,204768,STENT COR 2.75X28MM,12346.0,12346.0,1358.06,12346.0,57
CDM,204769,STENT COR 2.75X32MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204770,STENT COR 2.75X38MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204772,STENT COR 2.75X48MM,17380.0,17380.0,1911.8,17380.0,57
CDM,204773,STENT COR 3.00X8MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204774,STENT COR 3.00X12MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204775,STENT COR 3.00X16MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204776,STENT COR 3.00X20MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204778,STENT COR 3.00X28MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204779,STENT COR 3.00X32MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204780,STENT COR 3.00X38MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204782,STENT COR 3.00X48MM,17380.0,17380.0,1911.8,17380.0,57
CDM,204783,STENT COR 3.50X8MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204784,STENT COR 3.50X12MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204785,STENT COR 3.50X16MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204786,STENT COR 3.50X20MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204787,STENT COR 3.50X24MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204788,STENT COR 3.50X28MM,8083.0,8083.0,889.13,8083.0,57
CDM,204789,STENT COR 3.50X32MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204790,STENT COR 3.50X38MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204792,STENT COR 3.50X48MM,17380.0,17380.0,1911.8,17380.0,57
CDM,204793,STENT COR 4.00X8MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204794,STENT COR 4.00X12MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204795,STENT COR 4.00X16MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204796,STENT COR 4.00X20MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204797,STENT COR 4.00X24MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204798,STENT COR 4.00X28MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204799,STENT COR 4.00X32MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204800,STENT COR 4.00X38MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204803,STENT COR 4.00X48MM,18768.0,18768.0,2064.48,18768.0,57
CDM,204809,NDL VASC CATH 24G 2.5CM,705.0,705.0,49.35,705.0,71
CDM,204814,CATH ANGIO 3F JL2.5 75MM,2692.0,2692.0,188.44,2692.0,71
CDM,204839,CATH BLNDIL 2MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,204848,HEAD BIPLR ID28MM OD43MM,11017.0,11017.0,1211.87,11017.0,57
CDM,204849,PLATE SPN 2LVL 54MM,24045.0,24045.0,2644.95,24045.0,57
CDM,204850,STENT COR 4.50X12MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204851,STENT COR 4.50X16MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204852,STENT COR 4.50X20MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204853,STENT COR 4.50X24MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204854,STENT COR 4.50X28MM,16788.0,16788.0,1846.68,16788.0,57
CDM,204855,STENT COR 4.50X32MM,16788.0,16788.0,1846.68,16788.0,57
CDM,204858,STENT COR 5.00X12MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204859,STENT COR 5.00X16MM,8083.0,8083.0,889.13,8083.0,57
CDM,204860,STENT COR 5.00X20MM,16788.0,16788.0,1846.68,16788.0,57
CDM,204861,STENT COR 5.00X24MM,15836.0,15836.0,1741.96,15836.0,57
CDM,204862,STENT COR 5.00X28MM,16788.0,16788.0,1846.68,16788.0,57
CDM,204863,STENT COR 5.00X32MM,16788.0,16788.0,1846.68,16788.0,57
CDM,204864,KIT INSTR RADL HD DISP,7430.0,7430.0,520.1,7430.0,71
CDM,204874,STENT COR 3.00X24MM,14665.0,14665.0,1613.15,14665.0,57
CDM,204877,ICR W/WO MONITOR W EXER,647.49,647.49,45.32,647.49,55
CDM,204877,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session ",647.49,647.49,325.08,632.42,6
CDM,204881,ICR W/WO MONITOR WO EXER,647.49,647.49,45.32,647.49,55
CDM,204881,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session ",647.49,647.49,325.08,632.42,6
CDM,204901,STEM HUM SHLDR 8X108MM,116016.0,116016.0,12761.76,116016.0,57
CDM,204912,AU EVO PO NEURDIA W INTR,6144.13,6144.13,430.09,6144.13,59
CDM,204912,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",6144.13,6144.13,162.09,203.76,6
CDM,204931,ELECTRDE ENDO 5MM 20CM,11737.0,11737.0,821.59,11737.0,71
CDM,204934,ELECTRDE ENDO 5MM 30CM,11433.0,11433.0,800.31,11433.0,71
CDM,204936,ELECTRDE ENDO 5MM 37CM,11433.0,11433.0,800.31,11433.0,71
CDM,204951,SCREW BN 4MM 38MM,8101.0,8101.0,891.11,8101.0,57
CDM,204957,PLATE TIB PROX LFT 4HL,51930.0,51930.0,5712.3,51930.0,57
CDM,204958,PLATE TIB PROX LFT 5HL,52403.0,52403.0,5764.33,52403.0,57
CDM,204959,KIT LEAD NRSTM,93092.0,93092.0,10240.12,93092.0,57
CDM,204964,INSERT TIB KN 5 8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,204969,TGET SEQ COPY/REA/ISF/MR,5106.47,5106.47,357.45,5106.47,47
CDM,204972,NAIL BN FEM LT 130D 12MM,87934.0,87934.0,9672.74,87934.0,57
CDM,205025,CANNULA PRFSN 10F 3.3MM,3027.0,3027.0,211.89,3027.0,71
CDM,205028,SCREW LCK 2.8X12MM,4378.0,4378.0,481.58,4378.0,57
CDM,205039,SHEARS LAPSCP 5MM 36CM,11433.0,11433.0,800.31,11433.0,71
CDM,205051,STEM HIP STD SZ1,51600.0,51600.0,5676.0,51600.0,57
CDM,205052,BIT POWER DRIVER DISP,2999.0,2999.0,209.93,2999.0,71
CDM,205065,INSERT TIB KN 4 9MM,39245.0,39245.0,4316.95,39245.0,57
CDM,205066,TUBE JJNSTM 57.9CM 26FR,5364.0,5364.0,375.48,5364.0,71
CDM,205079,SCREW BN 5MM 40MM,4647.0,4647.0,511.17,4647.0,57
CDM,205081,SCREW BN 5.0MM 60MM,4647.0,4647.0,511.17,4647.0,57
CDM,205082,SCREW BN 3.5MM 25MM,4647.0,4647.0,511.17,4647.0,57
CDM,205083,SCREW BN LCKING 3.5MM,4647.0,4647.0,511.17,4647.0,57
CDM,205084,SCREW BN 4MM 50MM,4647.0,4647.0,511.17,4647.0,57
CDM,205085,NAIL BN 8.5X21.5CM,220295.0,220295.0,24232.45,220295.0,57
CDM,205086,GUIDE PIN TRCR 3.2X330MM,5623.0,5623.0,393.61,5623.0,71
CDM,205087,BIT DRILL 5MM 152MM,5623.0,5623.0,393.61,5623.0,71
CDM,205088,DISTRACTOR MAX DISP,12329.0,12329.0,863.03,12329.0,71
CDM,205104,CATH ANGIO 4FR 100CM,638.0,638.0,44.66,638.0,71
CDM,205109,CATH .038IN JL2 CRV 4FR,1020.0,1020.0,71.4,1020.0,71
CDM,205111,XTN NRSTM PERC 2.16MM,3802.0,3802.0,418.22,3802.0,57
CDM,205112,STEM FEM HIP 140MM 21MM,50672.0,50672.0,5573.92,50672.0,57
CDM,205117,CATH DRN 12FR 30CM,2324.0,2324.0,162.68,2324.0,71
CDM,205118,PLATE BN 2H 1.5MM,104971.0,104971.0,11546.81,104971.0,57
CDM,205128,CURRETTE VAC 6MM,224.0,224.0,15.68,224.0,71
CDM,205139,KIT AIRWAY ENDO SIZING,7201.0,7201.0,504.07,7201.0,71
CDM,205145,PLATE BN TIB LT DP LOC,40967.0,40967.0,4506.37,40967.0,57
CDM,205149,TIP W GWIRE DISP 145CM,3373.0,3373.0,236.11,3373.0,71
CDM,205176,CATH ANGIO 5FR 65CM,768.0,768.0,53.76,768.0,71
CDM,205186,LINER ACETB HIP 54MM,28380.0,28380.0,3121.8,28380.0,57
CDM,205197,SCREW BN CANC 3X40MM,4419.0,4419.0,486.09,4419.0,57
CDM,205204,BIT DRILL SURG 3.7MM,4873.0,4873.0,341.11,4873.0,71
CDM,205205,PIN FIXATION THRD DISP,4573.0,4573.0,320.11,4573.0,71
CDM,205224,CATH BLNDL DCB 5X40X135,18890.0,18890.0,1322.3,18890.0,71
CDM,205225,CATH BLNDL DCB 6X40X135,18890.0,18890.0,1322.3,18890.0,71
CDM,205326,"Injection, risankizumab-rzaa, intravenous, 1 mg ",60319.44,60319.44,14.16,126.91,17
CDM,205326,RISANKIZU-RZAA 600MG INJ,60319.44,60319.44,4222.36,60319.44,42
CDM,205350,CMPD FOLIC ACID 1MG/MLPO,0.04,0.04,0.003,0.04,67
CDM,205351,"Injection, siltuximab, 10 mg ",9089.73,9089.73,168.86,1385.08,17
CDM,205351,SILTUXIMAB 100 MG INJ,9089.73,9089.73,636.28,9089.73,42
CDM,205370,FOLIC ACID 50MCG PO,0.05,0.05,0.004,0.05,67
CDM,205448,LEVEL II NEWBORN,13692.8,13692.8,,,0
CDM,205449,LEVEL III NEWBORN,20373.34,20373.34,,,0
CDM,205450,LEVEL IV NEWBORN,20373.34,20373.34,,,0
CDM,205510,IRON DEXTRAN 100 MG INJ,211.39,211.39,14.8,211.39,42
CDM,205510,"Injection, iron dextran, 50 mg ",211.39,211.39,17.57,154.19,17
CDM,205555,INFLUENZA B AG IA,227.51,227.51,15.93,227.51,47
CDM,205556,INFLUENZA A AG IA,227.51,227.51,15.93,227.51,47
CDM,205562,STEM FEM HIP SZ12 125MM,36120.0,36120.0,3973.2,36120.0,57
CDM,205630,CLONIDINE LIQ PO,8.64,8.64,0.6,8.64,67
CDM,205638,TREOSULFAN 5G INJ,16470.0,16470.0,1152.9,16470.0,48
CDM,205640,TREOSULFAN 1G INJ,3294.0,3294.0,230.58,3294.0,48
CDM,205643,FLUZONE TRI 0.5 ML IM,93.96,93.96,6.58,93.96,42
CDM,205643,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",93.96,93.96,21.41,184.89,17
CDM,205643,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use Other Outpatient",93.96,93.96,,,0
CDM,205933,STENT URET 6FR 28CM,3258.0,3258.0,358.38,3258.0,57
CDM,206409,SCREW BN ACTB 30MM,1131.0,1131.0,124.41,1131.0,57
CDM,206443,HOOK SPNL XIA LG PDCL TI,7593.0,7593.0,835.23,7593.0,57
CDM,206458,INSERT TIB KN 4 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,206461,AUGMENT TIB KN LT 10MM,22575.0,22575.0,2483.25,22575.0,57
CDM,206467,INSERT TIB KN BRN 6 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,206480,CURETTE CRVD 10MM,226.0,226.0,15.82,226.0,71
CDM,206483,IMPLANT MIDFACE COMP TI,178586.0,178586.0,19644.46,178586.0,57
CDM,206625,CUP ACTB HIP 3H SZ50E,23220.0,23220.0,2554.2,23220.0,57
CDM,206698,TIS CG CAR ANOM 1ST SHNT,82975.48,82975.48,5808.28,82975.48,64
CDM,206698,"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when ",82975.48,82975.48,2152.0,21768.0,7
CDM,206720,UNLSTD NINVS VASC DX S,306.1,306.1,21.43,306.1,55
CDM,206735,AZITHROMYCIN 2 MG/ML INJ,0.1,0.1,0.007,0.1,47
CDM,206783,CATH ANGIO 5FR 80CM,844.0,844.0,59.08,844.0,71
CDM,206827,BUPROPION XL 150 MG PO,24.9,24.9,1.74,24.9,67
CDM,206831,CIPROFLOXACIN 0.3% OPH,295.75,295.75,20.7,295.75,59
CDM,206841,DEHYDRAT ALCOHOL 99% INJ,5053.68,5053.68,353.76,5053.68,59
CDM,206842,"Injection, oritavancin (orbactiv), 10 mg ",6268.37,6268.37,27.71,243.9,17
CDM,206842,ORITAVANCIN 400 MG INJ,6268.37,6268.37,438.79,6268.37,42
CDM,206846,HYDROCORT SUCC 500MG INJ,694.15,694.15,48.59,694.15,47
CDM,206848,HYDROCORT SUCC 1 G INJ,99.09,99.09,6.94,99.09,47
CDM,206876,VALGANCICLOVIR 50MG/MLPO,74.32,74.32,5.2,74.32,67
CDM,206880,ATROPINE 1 MG INJ,102.89,102.89,7.2,102.89,47
CDM,206888,MEPIVACAIN 1% 30 ML INJ,63.73,63.73,4.46,63.73,47
CDM,206893,CLAMP EXFX CLIP-ON LG,7492.0,7492.0,524.44,7492.0,71
CDM,206894,IPV VAC IMSQ,260.59,260.59,18.24,260.59,47
CDM,206894,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",260.59,260.59,47.58,428.46,17
CDM,206896,KCENTRA 1 U INJ,14.98,14.98,1.05,14.98,42
CDM,206896,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",14.98,14.98,3.38,26.0,15
CDM,206899,ATROPINE 0.4 MG INJ,68.12,68.12,4.77,68.12,47
CDM,206908,FENTANYL 50 MCG/ML INJ,16.56,16.56,1.16,16.56,47
CDM,206910,ATROPINE 1 MG INJ,60.67,60.67,4.25,60.67,47
CDM,206911,ANTIVENIN ANAVIP120MGINJ,8474.13,8474.13,593.19,8474.13,47
CDM,206911,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",8474.13,8474.13,2613.6,8929.49,15
CDM,206913,CATH DLYS 15FR 62.5CM,5623.0,5623.0,393.61,5623.0,71
CDM,206917,MACITENTAN 10MG PO,2456.38,2456.38,171.95,2456.38,59
CDM,206918,SORAFENIB 200 MG PO,695.14,695.14,48.66,695.14,59
CDM,206921,ERAVACYCLINE 100 MG INJ,630.0,630.0,44.1,630.0,47
CDM,206928,UVADEX 20 MCG/ML 10 ML,3333.07,3333.07,233.31,3333.07,59
CDM,206936,LIDOCAINE 4% PATCH,3.96,3.96,0.28,3.96,67
CDM,206948,"Injection, somatropin, 1 mg ",204.73,204.73,188.44,1356.01,15
CDM,206948,SOMATROPIN 0.2 MG INJ,204.73,204.73,14.33,204.73,47
CDM,206955,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",13.73,13.73,11.79,92.28,17
CDM,206955,MORPHINE EPD/IT PF 10 MG,13.73,13.73,0.96,13.73,47
CDM,206956,MIDAZOLAM 50 MG INJ,20.25,20.25,1.42,20.25,47
CDM,206957,CMPD BOSENT 6.25MG/1MLPO,73.22,73.22,5.13,73.22,67
CDM,206958,ATIVAN 1MG/0.5ML ORAL SY,4.48,4.48,0.31,4.48,67
CDM,206959,CMPD QUETIAPIN 10MG/MLPO,0.23,0.23,0.02,0.23,67
CDM,206960,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",14830.25,14830.25,35.7,310.1,17
CDM,206960,SACITUZ GOV-HZIY180MGINJ,14830.25,14830.25,1038.12,14830.25,42
CDM,206982,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",36736.59,36736.59,123.56,1124.65,17
CDM,206982,PEGFILGRASTIM 6 MG INJ,36736.59,36736.59,2571.56,36736.59,42
CDM,206992,NEOMYC/POLYMYX/HYDRO OPH,985.41,985.41,68.98,985.41,59
CDM,206994,LEVETIRACTM 500MG/5ML OS,54.13,54.13,3.79,54.13,67
CDM,206996,PEMBROLIZUMAB 1 MG INJ,337.58,337.58,23.63,337.58,42
CDM,206997,PEMBROLIZUMAB 1 MG INJJW,337.58,337.58,23.63,337.58,42
CDM,206998,TELAVANCIN 10 MG INJ,49.23,49.23,3.45,49.23,42
CDM,206999,TELAVANCIN 10 MG INJJW,49.23,49.23,3.45,49.23,42
CDM,207006,FOSCARNET 1000 MG INJ,343.44,343.44,24.04,343.44,47
CDM,207008,FOSCARNET 1000 MG INJJW,343.44,343.44,24.04,343.44,47
CDM,207011,MEROPNM/VABORB 2G INJ,1201.5,1201.5,84.11,1201.5,42
CDM,207023,METHADONE 1 MG/ML PO,2.78,2.78,0.19,2.78,46
CDM,207026,GLUTOSE GEL 2.5ML,13.31,13.31,0.93,13.31,67
CDM,207032,LEVOTHYR OS 25MCG/ML,28.11,28.11,1.97,28.11,67
CDM,207034,D5LR 500 ML,36.47,36.47,2.55,36.47,47
CDM,207036,EMAPALUMAB-LZSG 50MG INJ,97736.38,97736.38,6841.55,97736.38,42
CDM,207036,"Injection, emapalumab-lzsg, 1 mg ",97736.38,97736.38,372.62,3263.79,17
CDM,207040,RUXIENCE BS 10 MG INJ,434.89,434.89,30.44,434.89,42
CDM,207041,RUXIENCE BS 10 MG INJJW,434.89,434.89,30.44,434.89,42
CDM,207045,VARIBAR THIN LIQ 148G PO,36.54,36.54,2.56,36.54,59
CDM,207046,VARIBAR HONEY 250 ML PO,349.93,349.93,24.5,349.93,59
CDM,207047,SCREW SYN 2.0X7MM ST CRT,1209.0,1209.0,132.99,1209.0,57
CDM,207048,ZIRABEV BS 10 MG INJJW,372.13,372.13,26.05,372.13,42
CDM,207049,ZIRABEV BS 10 MG INJ,372.13,372.13,26.05,372.13,42
CDM,207054,COBICISTAT TAB 150MG,57.29,57.29,4.01,57.29,67
CDM,207055,SOD CHL 3% NEB 15ML,4.63,4.63,0.32,4.63,71
CDM,207056,LONCAST-LPYL 10 MG INJ,165108.29,165108.29,11557.58,165108.29,42
CDM,207058,LONCAST-LPYL 0.075MG INJ,1238.31,1238.31,86.68,1238.31,42
CDM,207059,LONCAST-LPYL0.075MGINJJW,1238.31,1238.31,86.68,1238.31,42
CDM,207069,CLORAZEPATE 3.75MG TAB,5.16,5.16,0.36,5.16,67
CDM,207070,RUFINAMIDE 40MG/ML 10ML,238.55,238.55,16.7,238.55,67
CDM,207071,FENOFIBRATE 48 MG PO,8.59,8.59,0.6,8.59,67
CDM,207072,FENOFIBRATE 145 MG PO,25.77,25.77,1.8,25.77,67
CDM,207073,MEROPNM/VABORB 20MG INJ,12.02,12.02,0.84,12.02,42
CDM,207074,MEROPNM/VABORB 20MGINJJW,12.02,12.02,0.84,12.02,42
CDM,207075,RYLAZE 10 MG INJ,30492.97,30492.97,2134.51,30492.97,42
CDM,207076,RYLAZE 0.1 MG INJ,304.92,304.92,21.34,304.92,42
CDM,207078,RYLAZE 0.1 MG INJJW,304.92,304.92,21.34,304.92,42
CDM,207079,FERUMOXYTOL 510MG NESRD,1678.62,1678.62,117.5,1678.62,42
CDM,207079,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",1678.62,1678.62,0.22,10.93,17
CDM,207080,FERUMOXYTOL 510 MG ESRD,1678.62,1678.62,117.5,1678.62,42
CDM,207080,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",1678.62,1678.62,0.22,10.93,17
CDM,207082,TETRABENAZINE 12.5MG TAB,10.13,10.13,0.71,10.13,67
CDM,207085,METHADONE 5 MG/5 ML PO,12.92,12.92,0.9,12.92,46
CDM,207086,BACLOFEN 5 MG TAB,6.59,6.59,0.46,6.59,67
CDM,207088,MIDODRINE 10 MG TAB,25.89,25.89,1.81,25.89,67
CDM,207091,ROPIVACAINE 100 MG INJ,45.02,45.02,3.15,45.02,47
CDM,207092,LIDOCAINE 2% JELLY 6ML,44.93,44.93,3.15,44.93,67
CDM,207107,SCREW BN 6.5X65X32MM,4521.0,4521.0,497.31,4521.0,57
CDM,207394,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,207404,PENCIL SMKEVC TBNG 10FT,1341.0,1341.0,93.87,1341.0,71
CDM,207411,INSERT TIB KN SZ7 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,207414,PLATE BN XS 10HL LT,38917.0,38917.0,4280.87,38917.0,57
CDM,207415,PLATE NAR CNTOR TI 5 HL,23345.0,23345.0,2567.95,23345.0,57
CDM,207418,SCREW BN 10MM 30MM,8673.0,8673.0,954.03,8673.0,57
CDM,207419,INSERT KN LT TIB 3 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,207421,INTRO SHEATH 14FR 65CM,13124.0,13124.0,918.68,13124.0,71
CDM,207455,EXPAND BRST 850CC,42744.0,42744.0,4701.84,42744.0,57
CDM,207471,EXPAND BRST 300CC,42744.0,42744.0,4701.84,42744.0,57
CDM,207472,IMPLANT BREAST 280CC,19009.0,19009.0,2090.99,19009.0,57
CDM,207476,SCREW BN UNIV WDG 20X7MM,8391.0,8391.0,923.01,8391.0,57
CDM,207492,COLLINT DTA 30MIN EA 30D,361.09,361.09,25.28,361.09,54
CDM,207492,"Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified ",361.09,361.09,160.55,312.33,6
CDM,207493,REMMON INTL DEVC EA 30 D,229.28,229.28,16.05,229.28,48
CDM,207493,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 16-30 d",229.28,229.28,99.69,193.94,6
CDM,207494,REMMON INTL SETUP PT EDU,722.19,722.19,50.55,722.19,48
CDM,207494,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); initial set-up and patient education on use of equipment ",722.19,722.19,318.81,620.23,6
CDM,207511,IMPLANT BREAST 800CC,20550.0,20550.0,2260.5,20550.0,57
CDM,207521,SCREW BN 4MM 42.5MM,3083.0,3083.0,339.13,3083.0,57
CDM,207530,INSERT TIB KN 4 18MM,48401.0,48401.0,5324.11,48401.0,57
CDM,207531,AUGMENT FEM KN SZ4 12MM,19866.0,19866.0,2185.26,19866.0,57
CDM,207544,STEM FEM TIB KN 18X120MM,81426.0,81426.0,8956.86,81426.0,57
CDM,207546,PLATE BN RT STND 0MM,34196.0,34196.0,3761.56,34196.0,57
CDM,207550,SYS IMPL SWVL 3.9X17.9MM,68329.0,68329.0,7516.19,68329.0,57
CDM,207551,BLADE RCP SAW 7MM,5021.0,5021.0,351.47,5021.0,71
CDM,207552,BLADE RCP SAW .4X15.7MM,1744.0,1744.0,122.08,1744.0,71
CDM,207572,CONN CRBRL ID1.2 OD1.8,1874.0,1874.0,131.18,1874.0,71
CDM,207574,CERCLAGE TAPE W/O NEEDLE,16276.0,16276.0,1790.36,16276.0,57
CDM,207616,CANNULA 8X50MM,1599.0,1599.0,111.93,1599.0,71
CDM,207644,STENT VASC 10MM 60MM,49224.0,49224.0,5414.64,49224.0,57
CDM,207657,SCREW 2.0X5 HT X-DR,1103.0,1103.0,121.33,1103.0,57
CDM,207658,STEM BDY EXTND 60MM,110956.0,110956.0,12205.16,110956.0,57
CDM,207659,INSERT HIP XLPE 28/48MM,14190.0,14190.0,1560.9,14190.0,57
CDM,207660,LINER HIP DUAL 48/62MM,25800.0,25800.0,2838.0,25800.0,57
CDM,207668,HEAD FEM HIP -4 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,207685,LINER ACTB NTRL 32D,14190.0,14190.0,1560.9,14190.0,57
CDM,207686,SHELL ACTB HIP CH 48MM,23220.0,23220.0,2554.2,23220.0,57
CDM,207702,BUNDLE SURG GD MDL CSTM,165678.0,165678.0,11597.46,165678.0,71
CDM,207703,PIN EX FX 3X75MM 20MM,6944.0,6944.0,486.08,6944.0,71
CDM,207704,PIN HLF 55MM 2MM 10MM,7876.0,7876.0,551.32,7876.0,71
CDM,207705,CLAMP EX FIX 3-PIN SM,11433.0,11433.0,800.31,11433.0,71
CDM,207706,BURR SHVR 4MM,1912.0,1912.0,133.84,1912.0,71
CDM,207711,CUP SHLDR STRL 36MM,65311.0,65311.0,7184.21,65311.0,57
CDM,207712,HEAD HUM SHLDR 17MM 44MM,71392.0,71392.0,7853.12,71392.0,57
CDM,207720,KIT IMPLANT TOOL,7064.0,7064.0,494.48,7064.0,71
CDM,207721,STIMULATOR URN XTRN TRL,5623.0,5623.0,393.61,5623.0,71
CDM,207722,LEAD TINED 30CM 1.3MM,58712.0,58712.0,6458.32,58712.0,57
CDM,207723,PERCUTANEOUS EXTENSION,3748.0,3748.0,262.36,3748.0,71
CDM,207725,CURETTE STRGHT 8MM,226.0,226.0,15.82,226.0,71
CDM,207726,CURETTE STRGHT 9MM,226.0,226.0,15.82,226.0,71
CDM,207728,CURETTE CRVD 9MM,226.0,226.0,15.82,226.0,71
CDM,207730,VACCURETT CURVED 16MM,263.0,263.0,18.41,263.0,71
CDM,207764,LINER ACTB HIP HXE+ 32D,14190.0,14190.0,1560.9,14190.0,57
CDM,207766,VACCURETTE CURVED 8MM,226.0,226.0,15.82,226.0,71
CDM,207770,CURETTE STRGHT 12MM,226.0,226.0,15.82,226.0,71
CDM,207783,HINGE TIB KN ROT STP 1SZ,81190.0,81190.0,8930.9,81190.0,57
CDM,207817,CATH ANGIO 5FR 65CM,1599.0,1599.0,111.93,1599.0,71
CDM,207827,CATH ANGIO 5FR 100CM,1762.0,1762.0,123.34,1762.0,71
CDM,207837,OCCLUDER CV 4X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208008,SCREW BN 1.8MM 5MM,1203.0,1203.0,132.33,1203.0,57
CDM,208021,SCREW BN 1.5MM,2014.0,2014.0,221.54,2014.0,57
CDM,208032,SCREW BN 2MM 13MM,890.0,890.0,97.9,890.0,57
CDM,208054,SCREW BN 1.5MM 4MM,1203.0,1203.0,132.33,1203.0,57
CDM,208065,SCREW BN 1.5MM 5MM,1203.0,1203.0,132.33,1203.0,57
CDM,208087,OCCULDER CV 19X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208100,OCCULDER CV 20X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208111,OCCULDER CV 22X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208122,OCCULDER CV 24X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208132,OCCULDER CV 26X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208142,OCCULDER CV 28X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208152,OCCULDER CV 230X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208162,OCCULDER CV 32X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208172,OCCULDER CV 34X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,208200,SCREW BN 2.4MM 34MM,3247.0,3247.0,357.17,3247.0,57
CDM,208211,SUTURE BLK MONO 11-0 5IN,1213.0,1213.0,84.91,1213.0,71
CDM,208692,BASKET RTRV 3WR 1.9X120,5623.0,5623.0,393.61,5623.0,71
CDM,208912,OCCULDER CV 7X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,209142,SHTH PLWY 9F 30,2811.0,2811.0,196.77,2811.0,71
CDM,209172,SET DILATOR 8-20FR 100CM,3374.0,3374.0,236.18,3374.0,71
CDM,209262,GWIRE VASC .025IN 145CM,767.0,767.0,53.69,767.0,71
CDM,209339,SHEARS ESURG 20M 5MM,10204.0,10204.0,714.28,10204.0,71
CDM,209342,OCCLUDER VASC 10MM,11797.0,11797.0,1297.67,11797.0,57
CDM,209852,BAG TISS CLSR 6CM,10790.0,10790.0,755.3,10790.0,71
CDM,210432,INC LABIAL FRENUM,2036.07,2036.07,223.97,2036.07,64
CDM,210923,SET EXFX RGD DISTRT,165678.0,165678.0,11597.46,165678.0,71
CDM,211003,SCREW BN NLCK 2.7X12MM,2574.0,2574.0,283.14,2574.0,57
CDM,211004,SCREW BN LCK 2.4X14MM,3304.0,3304.0,363.44,3304.0,57
CDM,211098,SCREW BN 2MM 11MM,864.0,864.0,95.04,864.0,57
CDM,211099,PLATE BN 8HOLES L46MM,10008.0,10008.0,1100.88,10008.0,57
CDM,211742,INSERT TIB KN SZ7 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,211747,INTRO SHEATH 10FR 33CM,13124.0,13124.0,918.68,13124.0,71
CDM,211750,SYSTEM NEG PRSS 125MMHG,10380.0,10380.0,726.6,10380.0,71
CDM,211751,BIT DRILL DIST ANKL 2.8M,7167.0,7167.0,501.69,7167.0,71
CDM,211901,REMDESIVIR 100 MG INJ,3250.73,3250.73,227.55,3250.73,42
CDM,211915,HEAD FEM TYP1 +3MM 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,211927,IMPLANT BREAST 630CC,6392.0,6392.0,703.12,6392.0,57
CDM,211937,IMPLANT BREAST 600CC,13790.0,13790.0,1516.9,13790.0,57
CDM,211947,IMPLANT BREAST 650CC,13790.0,13790.0,1516.9,13790.0,57
CDM,211957,IMPLANT BREAST 800CC,15413.0,15413.0,1695.43,15413.0,57
CDM,212146,CMPNT TIB ANKL LNG SZ4,148502.0,148502.0,16335.22,148502.0,57
CDM,212191,STEM FEM HIP SZ6 127MM,36120.0,36120.0,3973.2,36120.0,57
CDM,212216,SCREW BN 3.5X75MM,5056.0,5056.0,556.16,5056.0,57
CDM,212217,SCREW BN LCK 3.5MM 70MM,5056.0,5056.0,556.16,5056.0,57
CDM,212219,CATH ANGIO 5F 1.8MM 65CM,985.0,985.0,68.95,985.0,71
CDM,212222,COMPNT KN TIB ROT 16,26102.0,26102.0,2871.22,26102.0,57
CDM,212272,REMDESIVIR 1.25MG/ML INJ,3250.73,3250.73,227.55,3250.73,42
CDM,212287,DISTRACTOR 14H 1.8MM,102877.0,102877.0,11316.47,102877.0,57
CDM,212562,PLATE CRANI 2MM 3MM,3826.0,3826.0,420.86,3826.0,57
CDM,212781,INSRT ACTB HIP 10X22E,38700.0,38700.0,4257.0,38700.0,57
CDM,212796,BASEPLATE TIB KN SZ4,25800.0,25800.0,2838.0,25800.0,57
CDM,212797,KIT TONGUE IMPLANT,52403.0,52403.0,5764.33,52403.0,57
CDM,212836,CATHETER S TIP 7FR 110CM,2488.0,2488.0,174.16,2488.0,71
CDM,212881,PLATE BN RT 4/7H 3.5X89,8352.0,8352.0,918.72,8352.0,57
CDM,212981,CTHDRN MLCT SFT 10.2F 25,1722.0,1722.0,120.54,1722.0,71
CDM,213246,STEM EXTN GMRS KN 40MM,50826.0,50826.0,5590.86,50826.0,57
CDM,213401,BIT DRILL CAN 3.2MM,5623.0,5623.0,393.61,5623.0,71
CDM,213403,PASSER SUTURE W/ SUTURE,5715.0,5715.0,400.05,5715.0,71
CDM,213585,KWIRE FX 150MM 1.6MM,1645.0,1645.0,115.15,1645.0,71
CDM,213616,PLATE BN PED 8PLT 16MM,7144.0,7144.0,785.84,7144.0,57
CDM,213750,SCREW BN GRWTH GD 32MM,3979.0,3979.0,437.69,3979.0,57
CDM,213922,INS TIB 4 20MM KN,39732.0,39732.0,4370.52,39732.0,57
CDM,214142,INSERT TIB KN SZ4 11MM,39245.0,39245.0,4316.95,39245.0,57
CDM,214168,INSERT TIB KN SZ4 8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,214213,INSERT TIB KN SZ6-8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,214269,TADALAFIL 20MG TAB,398.11,398.11,27.87,398.11,67
CDM,214327,KIT VENT CATH W/ICP,13559.0,13559.0,949.13,13559.0,71
CDM,214432,SUTURE FIBERWIRE 38IN,847.0,847.0,93.17,847.0,57
CDM,214608,CATH MLCT 36FR 35CM,1199.0,1199.0,83.93,1199.0,71
CDM,214641,SEALANT SURG 8ML VASC,14474.0,14474.0,1013.18,14474.0,71
CDM,214761,INTRO CATH PLWY 10F 15CM,11433.0,11433.0,800.31,11433.0,71
CDM,214784,INTRO CATH PTFE 14FR,7430.0,7430.0,520.1,7430.0,71
CDM,214795,INTRO CATH PTFR 5FR PERC,11433.0,11433.0,800.31,11433.0,71
CDM,215132,"Injection, medroxyprogesterone acetate, 1 mg ",1322.5,1322.5,0.72,4.87,15
CDM,215132,MEDRXYPRGTRN 150MG INJ,1322.5,1322.5,92.58,1322.5,47
CDM,215636,GRAFT SYN 64X19X4.5X17MM,9627.0,9627.0,1058.97,9627.0,57
CDM,215647,GRAFT SYN 64X19X4.5X17MM,9627.0,9627.0,1058.97,9627.0,57
CDM,215784,KIT HMDIAL 20CM 14FR,4329.0,4329.0,303.03,4329.0,71
CDM,216051,CATH ANGIO 4FR 65CM,1023.0,1023.0,71.61,1023.0,71
CDM,216416,SLEEVE XTN TIB DIA 21MM,83189.0,83189.0,9150.79,83189.0,57
CDM,216425,SCREW BN 4X5X1.35X56MM,2914.0,2914.0,320.54,2914.0,57
CDM,216427,SHEATH INTRO DLYS 31CM,2819.0,2819.0,197.33,2819.0,71
CDM,216434,OLUMIANT 1 MG PO,550.7,550.7,38.55,550.7,59
CDM,216436,OLUMIANT 2 MG PO,550.7,550.7,38.55,550.7,59
CDM,216443,BREXUCABTAGENE,8285728.5,8285728.5,580000.99,8285728.5,55
CDM,216443,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",8285728.5,8285728.5,474612.27,2061869.4,11
CDM,216447,IDECABTAGENE,5955080.0,5955080.0,416855.6,5955080.0,55
CDM,216447,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",5955080.0,5955080.0,542987.57,2318912.1,11
CDM,216456,CANNULA DUAL 31FR 51CM,165678.0,165678.0,11597.46,165678.0,71
CDM,216458,COIL EMBL 1MMX5CM,20825.0,20825.0,2290.75,20825.0,57
CDM,216478,CATH DL VLV 8.55MM 101CM,140845.0,140845.0,9859.15,140845.0,71
CDM,216484,CRT DEFIB CARD 71X51X12,261225.0,261225.0,28734.75,261225.0,57
CDM,216485,DISTR RD T 90D 1.5-1.8MM,92163.0,92163.0,6451.41,92163.0,71
CDM,216490,PLATE BN CLVCL LT 2.7MM,16595.0,16595.0,1825.45,16595.0,57
CDM,216519,VALVE PLM TRNSCTH 22MM,447320.0,447320.0,49205.2,447320.0,57
CDM,216520,VALVE PLM TRNSCTH 25MM,447320.0,447320.0,49205.2,447320.0,57
CDM,216521,STEM FEM HIP 17X126.2MM,52060.0,52060.0,5726.6,52060.0,57
CDM,216549,INSERT TIB KN 12MM,24510.0,24510.0,2696.1,24510.0,57
CDM,216552,CHARGING SYSTEM NEURO,13356.0,13356.0,934.92,13356.0,71
CDM,216553,DEVICE NEUROSTIMULATOR,174724.0,174724.0,19219.64,174724.0,57
CDM,216554,CONTROL REMOTE PT NRSTM,11666.0,11666.0,816.62,11666.0,71
CDM,216556,STENT BIL 10FR 5CM,2055.0,2055.0,226.05,2055.0,57
CDM,216561,SUTURE VIO MONO 2-0 27IN,130.0,130.0,9.1,130.0,71
CDM,216574,STENT BIL 10FR 4CM,2343.0,2343.0,257.73,2343.0,57
CDM,216580,DRAIN FLAT W/TROCAR10X20,1124.0,1124.0,78.68,1124.0,71
CDM,216581,INSERT KN BRNG SZ4 12MM,24510.0,24510.0,2696.1,24510.0,57
CDM,216582,TOOL DSCT 9CM 9MM,3818.0,3818.0,267.26,3818.0,71
CDM,216584,TOOL DSCT TPR 7CM 2.3MM,2558.0,2558.0,179.06,2558.0,71
CDM,216586,TOOL DSCT TPR 7CM 1.1MM,2952.0,2952.0,206.64,2952.0,71
CDM,216589,SCREW BN 32MM 3.5MM,3823.0,3823.0,420.53,3823.0,57
CDM,216592,PLATE BN RT LAT 5H,41553.0,41553.0,4570.83,41553.0,57
CDM,216612,FIBER LASER 600UM,11433.0,11433.0,800.31,11433.0,71
CDM,216626,KIT SOUND PRCSSR PT DUAL,183910.0,183910.0,12873.7,183910.0,65
CDM,216627,SENSOR TISSUE OXI 2.5CM,19039.0,19039.0,1332.73,19039.0,71
CDM,216633,STENT BIL 5X15X11MM,17449.0,17449.0,1919.39,17449.0,57
CDM,216636,SCREW CANN P-AX 5.5X35MM,16452.0,16452.0,1809.72,16452.0,57
CDM,216637,SCREW SPN CAN P-X 6.5X30,16452.0,16452.0,1809.72,16452.0,57
CDM,216643,DEFIB ICD 69X51X12MM,203732.0,203732.0,22410.52,203732.0,57
CDM,216644,STENT BIL 7X11MM 80CM,16461.0,16461.0,1810.71,16461.0,57
CDM,216649,BIT DRILL PROX 2.8MM,5734.0,5734.0,401.38,5734.0,71
CDM,216658,NAIL BN FEM 11MM 380MM,27789.0,27789.0,3056.79,27789.0,57
CDM,216660,SCREW BN LCK 5MM 34MM,3079.0,3079.0,338.69,3079.0,57
CDM,216661,SCREW BN 0D XL25 5X40MM,2913.0,2913.0,320.43,2913.0,57
CDM,216663,SCREW BN 5MM 44MM,2913.0,2913.0,320.43,2913.0,57
CDM,216664,SCREW BN 5MM 64MM,3079.0,3079.0,338.69,3079.0,57
CDM,216669,CMPNT PTLR KN 11MM 40MM,9804.0,9804.0,1078.44,9804.0,57
CDM,216672,PLATE BN LT 5HL 2.7MM,14847.0,14847.0,1633.17,14847.0,57
CDM,216681,SCREW BN 4MM 18MM,4526.0,4526.0,497.86,4526.0,57
CDM,216688,SLEEVE XTN FEM DIA 18MM,101198.0,101198.0,11131.78,101198.0,57
CDM,216747,INSERT HIP 0D E 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,216749,SYSTEM BN IMPL ANCH,73405.0,73405.0,8074.55,73405.0,57
CDM,216778,INSERT TIB KN SZ3 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,216781,HEAD HUM SHLDR 49MM 20MM,64501.0,64501.0,7095.11,64501.0,57
CDM,216783,BEARNG TRUNON SHLDR 49MM,136681.0,136681.0,15034.91,136681.0,57
CDM,216795,SIZER SCREW CAGE,5623.0,5623.0,393.61,5623.0,71
CDM,216810,IMPL CRNL CUSTOM,87756.0,87756.0,9653.16,87756.0,57
CDM,216812,PLATE VA-LCP CLAV 2.7MM,18817.0,18817.0,2069.87,18817.0,57
CDM,216818,PLATE SPN 1.9H 1LV 22MM,24045.0,24045.0,2644.95,24045.0,57
CDM,216826,COMPNT KN FEM LT SZ5,41280.0,41280.0,4540.8,41280.0,57
CDM,216827,INSERT TIB 5H LT 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,216828,BURR SURG 1.5MM RND DMD,4325.0,4325.0,302.75,4325.0,71
CDM,216859,LINER ACTB SIZE F 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,216885,SHEATH PELL 7FR 30CM,2324.0,2324.0,162.68,2324.0,71
CDM,216887,KIT APPLICATOR CLIPS LPR,8573.0,8573.0,600.11,8573.0,71
CDM,216894,CATH 6X37 21MM,117905.0,117905.0,8253.35,117905.0,71
CDM,216896,SHEATH CTH L22 OD6.,2774.0,2774.0,194.18,2774.0,71
CDM,216897,CATH 3X32 21MM,132494.0,132494.0,9274.58,132494.0,71
CDM,216898,CANN PRFSN ADLT 21F 50CM,5623.0,5623.0,393.61,5623.0,71
CDM,216904,NAIL FEM LT 9MM 40CM,49156.0,49156.0,5407.16,49156.0,57
CDM,216907,CEFOTAXIME 100 MG/ML INJ,21.7,21.7,1.52,21.7,47
CDM,216909,CAFFEINE CITRAT 60MG INJ,279.33,279.33,19.55,279.33,47
CDM,216910,PROTAMINE 250 MG INJ,868.28,868.28,60.78,868.28,47
CDM,216911,PROTAMINE 50 MG INJ,283.86,283.86,19.87,283.86,47
CDM,216912,VIT K PHYTONADIONE 10 MG,336.74,336.74,23.57,336.74,47
CDM,216913,"Injection, ziprasidone mesylate, 10 mg ",1066.68,1066.68,5.69,137.86,17
CDM,216913,ZIPRASIDONE 20 MG INJ,1066.68,1066.68,74.67,1066.68,47
CDM,216914,MEGESTROL ACE 400 MG LIQ,24.86,24.86,1.74,24.86,46
CDM,216915,MEGESTROL ACET 20 MG PO,40.74,40.74,2.85,40.74,46
CDM,216917,MEGESTROL ACET 40 MG PO,52.48,52.48,3.67,52.48,46
CDM,216921,ANASTROZOLE 1 MG PO,237.56,237.56,16.63,237.56,46
CDM,216921,"Anastrozole, oral, 1 mg ",237.56,237.56,2.96,10.66,12
CDM,216947,CHEMO INTRALESION 1-7,302.15,302.15,21.15,302.15,49
CDM,216963,LEVETIRACETAM 1500MG INJ,416.77,416.77,29.17,416.77,47
CDM,216972,SCREW BN 4MM 60MM,3432.0,3432.0,377.52,3432.0,57
CDM,216980,CABAZITAXEL 60 MG INJ,96224.25,96224.25,6735.7,96224.25,42
CDM,217003,SCREW BN 4MM 44MM,8101.0,8101.0,891.11,8101.0,57
CDM,217009,PIP SOD/TAZ 2.25 G INJ,17.08,17.08,1.2,17.08,47
CDM,217013,PIP SOD/TAZ 3.375 G INJ,22.9,22.9,1.6,22.9,47
CDM,217014,PIP SOD/TAZ 3.375 G INJ,44.65,44.65,3.13,44.65,47
CDM,217015,PIP SOD/TAZ 4.5 G INJ,34.34,34.34,2.4,34.34,47
CDM,217027,SCREW CMPRSN 4.0X50MM,8101.0,8101.0,891.11,8101.0,57
CDM,217029,LEVETIRACETAM 500 MG INJ,186.02,186.02,13.02,186.02,47
CDM,217036,VEMLIDY 25 MG TAB,350.51,350.51,24.54,350.51,67
CDM,217049,TELAVANCIN 750 MG INJ,3693.74,3693.74,258.56,3693.74,42
CDM,217060,TR MLC DEVICES IMRT,1910.44,1910.44,210.15,1910.44,44
CDM,217074,"Injection, trabectedin, 0.1 mg ",24601.66,24601.66,379.34,3276.01,17
CDM,217074,TRABECTEDIN 1 MG INJ,24601.66,24601.66,1722.12,24601.66,42
CDM,217098,SHEATH GD 6FR 70CM,1893.0,1893.0,132.51,1893.0,71
CDM,217128,TUBING SET IRRIGATION,2043.0,2043.0,143.01,2043.0,71
CDM,217129,BAG SPEC RETRVL 140ML,1599.0,1599.0,111.93,1599.0,71
CDM,217161,GWIRE VASC 300CM,13349.0,13349.0,934.43,13349.0,71
CDM,217171,ABD XR 2V,1275.38,1275.38,89.28,1275.38,48
CDM,217172,ABD XR 3+V,1363.19,1363.19,95.42,1363.19,48
CDM,217173,ABD XR 1V,772.58,772.58,54.08,772.58,48
CDM,217174,CHEST XRAY 1 V,753.42,753.42,52.74,753.42,48
CDM,217176,CHEST XRAY 2 V,967.31,967.31,67.71,967.31,48
CDM,217177,CHEST XRAY 3 V,1328.06,1328.06,92.96,1328.06,48
CDM,217178,CHEST XRAY 4+,2001.69,2001.69,140.12,2001.69,48
CDM,217201,DX BONE MARROW,11079.19,11079.19,775.54,11079.19,64
CDM,217222,CHEST XRAY 1 V,753.42,753.42,52.74,753.42,48
CDM,217223,CHEST XRAY 2 V,967.31,967.31,67.71,967.31,48
CDM,217224,CHEST XRAY 3 V,1328.06,1328.06,92.96,1328.06,48
CDM,217225,CHEST XRAY 4+,2001.69,2001.69,140.12,2001.69,48
CDM,217226,ABD XR 1V,772.58,772.58,54.08,772.58,48
CDM,217227,ABD XR 2V,1275.38,1275.38,89.28,1275.38,48
CDM,217274,PULMONARY STRESS TESTING,867.92,867.92,60.75,867.92,59
CDM,217274,"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed ",867.92,867.92,299.83,583.31,6
CDM,217279,ORTH/PROS MGT SBSQ ENCPT,271.94,271.94,19.04,271.94,44
CDM,217281,ORTH/PROS MGT SBSQ ENCOT,271.94,271.94,19.04,271.94,44
CDM,217322,CHEST XRAY 2 V,967.31,967.31,67.71,967.31,48
CDM,217349,IMPLANT BREAST 150CC,13790.0,13790.0,1516.9,13790.0,57
CDM,217359,NAIL FEM LT 10MM 38CM,49156.0,49156.0,5407.16,49156.0,57
CDM,217367,SCR BN MXLFCL 10X2.3MM,1599.0,1599.0,175.89,1599.0,57
CDM,217368,GWIRE VASC 035IN 250CM,23613.0,23613.0,1652.91,23613.0,71
CDM,217369,INSERT TIB KN SZ6 16MM,19350.0,19350.0,2128.5,19350.0,57
CDM,217370,INSERT TIB KN SZ7 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,217383,PAD HMSTC 2.4CM 1.2CM,1023.0,1023.0,71.61,1023.0,71
CDM,217405,SCREW SPN 3.5MM 15MM,1899.0,1899.0,208.89,1899.0,57
CDM,217407,PLATE BN PTLA 6H 2.7MM,48316.0,48316.0,5314.76,48316.0,57
CDM,217408,PLATE BN PTLA 3HL 2.7MM,35663.0,35663.0,3922.93,35663.0,57
CDM,217416,LINER STD 36-56/58,13468.0,13468.0,1481.48,13468.0,57
CDM,217417,SHELL HIP 3H OD 58MM,22059.0,22059.0,2426.49,22059.0,57
CDM,217419,STEM HIP HO 12/14 113MM,46440.0,46440.0,5108.4,46440.0,57
CDM,217459,SYSTM AC REPAIR KNTLS,58609.0,58609.0,4102.63,58609.0,71
CDM,217496,BURR SURG DMND 4.0MM,5398.0,5398.0,377.86,5398.0,71
CDM,217508,IMPLANT BREAST 350CC,19009.0,19009.0,2090.99,19009.0,57
CDM,217542,INOTUZUMAB OZ 0.9 MG INJ,176745.82,176745.82,12372.21,176745.82,42
CDM,217543,ANAKINRA 100MG INJ,1247.4,1247.4,87.32,1247.4,67
CDM,217554,MERCAPTOPURINE SUSP 1ML,85.62,85.62,5.99,85.62,67
CDM,217563,BIOPSY SALIVARY GLAND,4824.46,4824.46,337.71,4824.46,64
CDM,217575,BIOPSY SALIVARY GLAND,4824.46,4824.46,337.71,4824.46,64
CDM,217595,NAIL HUM CANN 7MM 240MM,31018.0,31018.0,3411.98,31018.0,57
CDM,217597,NAIL HUM CANN 11MM 280MM,22240.0,22240.0,2446.4,22240.0,57
CDM,217611,TOPIRAMATE *ER* 25 MG,50.22,50.22,3.52,50.22,67
CDM,217613,ANALYSIS ANTITACHY PCMKR,1859.46,1859.46,130.16,1859.46,52
CDM,217613,"Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpret",1859.46,1859.46,93.17,181.26,6
CDM,217616,MSEU PRIVATE,6647.47,6647.47,,,0
CDM,217617,NAIL HUM CANN 7MM 270MM,31034.0,31034.0,3413.74,31034.0,57
CDM,217618,INJ S/M TRG PT 1OR2 MUS,2011.62,2011.62,140.81,2011.62,64
CDM,217634,HEAD FEM HIP 12/14 36MM,33902.0,33902.0,3729.22,33902.0,57
CDM,217648,SCREW BN 5MM 32MM,2913.0,2913.0,320.43,2913.0,57
CDM,217654,SURG ICU-INTER OV PVT,16036.32,16036.32,,,0
CDM,217655,MED TCU PVT MONITORED,16036.32,16036.32,,,0
CDM,217656,OH/CV TCU PRIVATE MONT,16036.32,16036.32,,,0
CDM,217657,OVF PRIVATE MONITORED,16036.32,16036.32,,,0
CDM,217659,CARDIOVASCULAR ICU,16036.32,16036.32,,,0
CDM,217663,ICU/CCU TLPVT OV,16036.32,16036.32,,,0
CDM,217666,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",546.99,546.99,30.79,275.62,77
CDM,217666,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Age 21+",546.99,546.99,47.41,47.41,4
CDM,217666,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Age Under 21",546.99,546.99,48.27,48.27,4
CDM,217666,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Other Outpatient",546.99,546.99,53.88,53.88,6
CDM,217666,ZIKA VIRUS BY DNA PCR PR,546.99,546.99,38.29,546.99,47
CDM,217672,SCREW BN 5MM 60MM,2913.0,2913.0,320.43,2913.0,57
CDM,217674,SCREW BN 5MM 50MM,2913.0,2913.0,320.43,2913.0,57
CDM,217676,SCREW BN 5MM 66MM,2913.0,2913.0,320.43,2913.0,57
CDM,217677,SCREW BN 0D XL25 5X54MM,2913.0,2913.0,320.43,2913.0,57
CDM,217713,CU64 DOTATATE DX 1MCI,5074.31,5074.31,355.2,5074.31,49
CDM,217735,SCREW BN 3.5MM 18MM,4008.0,4008.0,440.88,4008.0,57
CDM,217736,SCREW BN 3.5MM 16MM,4008.0,4008.0,440.88,4008.0,57
CDM,217742,PLATE SPN 1LVL 26MM,24045.0,24045.0,2644.95,24045.0,57
CDM,217759,BAR REASSESS EA 15 MIN,117.0,117.0,8.19,117.0,71
CDM,217771,SCREW BN 4MM 65MM,822.0,822.0,90.42,822.0,57
CDM,217775,BAR INIT ASSESS EA 15MIN,117.0,117.0,8.19,117.0,71
CDM,217781,SQ FORBODY REM COM,9678.63,9678.63,677.5,9678.63,64
CDM,217797,STENT ESPH 23MM 150CM,43155.0,43155.0,4747.05,43155.0,57
CDM,217799,SCREW BN 5MM 26MM,3875.0,3875.0,426.25,3875.0,57
CDM,217801,PLATE BN LCK 10HL 187MM,49263.0,49263.0,5418.93,49263.0,57
CDM,217843,PLT MINI 6HL LONG LT BAR,3208.0,3208.0,352.88,3208.0,57
CDM,217861,LINER FEM 20D 50-52X32MM,14190.0,14190.0,1560.9,14190.0,57
CDM,217869,GWIRE BN DISP 1.4X150MM,2814.0,2814.0,196.98,2814.0,71
CDM,217929,PARTICLES EMB 45-150UM,1871.0,1871.0,205.81,1871.0,57
CDM,217943,SCREW BN 5.5MM 44MM,8981.0,8981.0,987.91,8981.0,57
CDM,217955,ROD SPN R-LN 5.5X500MM,4556.0,4556.0,501.16,4556.0,57
CDM,217979,CINACALCET 30 MG ORAL,172.83,172.83,12.1,172.83,55
CDM,217979,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",172.83,172.83,0.12,3.27,12
CDM,217984,GEMTUZUMAB 4.5 MG INJ,77489.71,77489.71,5424.28,77489.71,42
CDM,217984,"Injection, gemtuzumab ozogamicin, 0.1 mg ",77489.71,77489.71,232.96,2023.57,17
CDM,217988,BEZLOTOXUMAB 1000 MG INJ,24439.65,24439.65,1710.78,24439.65,42
CDM,217988,"Injection, bezlotoxumab, 10 mg ",24439.65,24439.65,38.64,340.63,17
CDM,217989,USTEKINUMAB 130MG IV INJ,15119.95,15119.95,1058.4,15119.95,42
CDM,217989,"Ustekinumab, for intravenous injection, 1 mg ",15119.95,15119.95,11.27,113.66,17
CDM,217991,THROMBIN 20000 U TOPICAL,2233.79,2233.79,156.37,2233.79,59
CDM,218076,PLATE BN CRNL PEEK,155644.0,155644.0,17120.84,155644.0,57
CDM,218089,STEM FEM KN 80MM 16MM,15480.0,15480.0,1702.8,15480.0,57
CDM,218090,BASEPLATE TIB KN SZ7,27090.0,27090.0,2979.9,27090.0,57
CDM,218092,IMPLANT BN CRNL MDFC 75,125379.0,125379.0,13791.69,125379.0,57
CDM,218093,AUGMENT TIB UNIV KN 5MM,45385.0,45385.0,4992.35,45385.0,57
CDM,218095,COMPONENT FEM KN LT SZ8,88920.0,88920.0,9781.2,88920.0,57
CDM,218101,AUGMENT FEM KN SZ8 4MM,39939.0,39939.0,4393.29,39939.0,57
CDM,218106,INTRO SHTH 9.5FR 13CM,1599.0,1599.0,111.93,1599.0,71
CDM,218160,KIT SURG HIP TRK STRL,5623.0,5623.0,393.61,5623.0,71
CDM,218162,LIGASURE SLR/DVDR 23CM,10174.0,10174.0,712.18,10174.0,71
CDM,218164,SEALER/SVDR MD 445CM,11433.0,11433.0,800.31,11433.0,71
CDM,218174,SCREW BN 4MM 20MM,2762.0,2762.0,303.82,2762.0,57
CDM,218184,LINER ACTB TPR 4 OF 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,218187,HEAD HIP 12/14 -4MM 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,218307,STENT EPRSTH 10MM 8CM,109679.0,109679.0,12064.69,109679.0,57
CDM,218309,STENT EPRSTH 7CM 8-10MM,102767.0,102767.0,11304.37,102767.0,57
CDM,218310,STENT EPRSTH 6CM 8-10MM,109679.0,109679.0,12064.69,109679.0,57
CDM,218362,CATH PH MNTR 7.5CM,2174.0,2174.0,152.18,2174.0,71
CDM,218391,PLATE BN 11HL SHORT,16851.0,16851.0,1853.61,16851.0,57
CDM,218402,NAIL BN ANKL 12MM 30CM,38020.0,38020.0,4182.2,38020.0,57
CDM,218410,COMP FEM KN LT SZ8,41280.0,41280.0,4540.8,41280.0,57
CDM,218440,SCREW BN 2.4MM 16MM,1796.0,1796.0,197.56,1796.0,57
CDM,218441,SCREW BN 2.4MM 20MM,2569.0,2569.0,282.59,2569.0,57
CDM,218442,SEALER LIGASURE 5MM-44CM,11433.0,11433.0,800.31,11433.0,71
CDM,218468,CATH EP 5FR 100CM 3.55MM,8776.0,8776.0,614.32,8776.0,71
CDM,218544,SCREW BN 5MM 22MM,2085.0,2085.0,229.35,2085.0,57
CDM,218550,COMP TIB KN 25X80X48MM,42570.0,42570.0,4682.7,42570.0,57
CDM,218551,COMP FEM KN 74MM,42570.0,42570.0,4682.7,42570.0,57
CDM,218563,SCREW BN 4MM 55MM,1747.0,1747.0,192.17,1747.0,57
CDM,218564,SCREW BN 3.5MM 24MM,822.0,822.0,90.42,822.0,57
CDM,218565,STENT BIL 5X15X11MM,15495.0,15495.0,1704.45,15495.0,57
CDM,218578,PLATE 9MM CRNFCL RT 2MM,5389.0,5389.0,592.79,5389.0,57
CDM,218581,PLATE 9MM CRNFCL LT 2MM,5389.0,5389.0,592.79,5389.0,57
CDM,218601,STEM FEM HIP STD SIZE3,49020.0,49020.0,5392.2,49020.0,57
CDM,218640,CATH TMP+ 5F PIG 100,1263.0,1263.0,88.41,1263.0,71
CDM,218656,RELOAD STPLR 30MM,7693.0,7693.0,846.23,7693.0,57
CDM,218664,BASEPLATE TIB KNEE 8,27090.0,27090.0,2979.9,27090.0,57
CDM,218727,SCREW MICRO 1.2MM X 6MM,1317.0,1317.0,144.87,1317.0,57
CDM,218738,PLATE MXLFCL 2Y 210-0239,3104.0,3104.0,341.44,3104.0,57
CDM,218830,STENT COR 2.25MM 28MM,18065.0,18065.0,1987.15,18065.0,57
CDM,218833,DEVICE TISSUE REMOVAL,11433.0,11433.0,800.31,11433.0,71
CDM,218851,SCREW BN LCK 24X4MM,2762.0,2762.0,303.82,2762.0,57
CDM,218885,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218890,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218891,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218893,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218894,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218895,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218899,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218901,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218902,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218904,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218908,IVP EA ADD SEQ NEW DR GY,593.73,593.73,41.56,593.73,59
CDM,218910,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218912,IVP EA ADD SEQ NEW DR GY,593.73,593.73,41.56,593.73,59
CDM,218915,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218916,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218917,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218921,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218923,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218924,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218925,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218926,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218927,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218928,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218940,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218941,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218946,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218947,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218948,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218949,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,218959,ACUTE PD ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CDM,218960,ACUTE PD MULT EVAL,2771.83,2771.83,194.03,2771.83,71
CDM,218961,MANUAL PD MULT EVAL,2771.83,2771.83,194.03,2771.83,71
CDM,218962,MANUAL PD ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CDM,218963,CONT CYCL PD MULT EVAL,2771.83,2771.83,194.03,2771.83,71
CDM,218965,CONT CYCL PD ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CDM,218967,CONT AMBU PD MULT EVAL,2771.83,2771.83,194.03,2771.83,71
CDM,218968,CONT AMBU PD ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CDM,218969,CONT RENAL REPL MULT EVL,6065.91,6065.91,424.61,6065.91,71
CDM,218970,CONT RENAL REPL ONE EVAL,5797.16,5797.16,405.8,5797.16,66
CDM,218971,SUS LOW EFF DIAL MLT EVL,2771.83,2771.83,194.03,2771.83,71
CDM,218972,SUS LOW EFF DIAL ONE EVL,2503.06,2503.06,175.21,2503.06,66
CDM,218981,COL FLEX W/ABLAT TUMOR,5320.34,5320.34,372.42,5320.34,64
CDM,218983,DRESS/DEB PTL TH BURN <5,3728.27,3728.27,410.11,3728.27,64
CDM,218984,IMIPEN/CILAS/RELEB 1.25G,1707.12,1707.12,119.5,1707.12,47
CDM,218985,HEAR LOSS DUP/DEL COPYNO,4568.63,4568.63,319.8,4568.63,47
CDM,218985,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",4568.63,4568.63,407.74,3659.81,65
CDM,218989,HEARING LOSS SEQ 60>GNS,10925.56,10925.56,764.79,10925.56,47
CDM,218989,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",10925.56,10925.56,975.0,8752.5,65
CDM,218991,DIL ESOP GD WIRE,6636.62,6636.62,464.56,6636.62,64
CDM,218996,HLA CLASS 1&2 TYPING HR,7009.82,7009.82,490.69,7009.82,46
CDM,218996,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",7009.82,7009.82,207.34,1861.86,74
CDM,218996,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Age 21+",7009.82,7009.82,319.31,319.31,4
CDM,218996,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Age Under 21",7009.82,7009.82,325.11,325.11,4
CDM,218996,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Other Outpatient",7009.82,7009.82,362.85,362.85,6
CDM,218997,DRESS/DEB PTL TH BURN <5,9320.03,9320.03,1025.2,9320.03,64
CDM,219010,CU64 DOTATATE DX 1MCI,5074.31,5074.31,355.2,5074.31,49
CDM,219018,CTA ABD&PEL W CONT,3656.46,3656.46,255.95,3656.46,43
CDM,219022,XRAY SM INTEST W MLT IMG,3288.23,3288.23,230.18,3288.23,60
CDM,219045,BIT DRILL SNGL USE 1.7MM,5623.0,5623.0,393.61,5623.0,71
CDM,219048,SCREW BN 2.4MM 18MM,3782.0,3782.0,416.02,3782.0,57
CDM,219049,SCREW BN 2.4MM 14MM,3247.0,3247.0,357.17,3247.0,57
CDM,219053,SCREW BN 2.4X14MM,4809.0,4809.0,528.99,4809.0,57
CDM,219108,SEALER TISS CURVED 37CM,10829.0,10829.0,758.03,10829.0,71
CDM,219115,CMPNT GLND SHLDR 24X33MM,46105.0,46105.0,5071.55,46105.0,57
CDM,219120,INSERT HIP F 0D 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,219122,MESH SURG 15X10CM,64640.0,64640.0,7110.4,64640.0,57
CDM,219123,STEM SHLDR UNIV REV SZ12,90674.0,90674.0,9974.14,90674.0,57
CDM,219131,KIT TEMPLATE ANT DISP,5623.0,5623.0,393.61,5623.0,71
CDM,219135,STENT COR 2.25MM 23MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219136,STENT COR 2.25MM 18MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219137,STENT COR 4MM 23MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219139,STENT COR 4MM 18MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219140,STENT COR RX 3.5X33MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219141,STENT COR RX 3.5X28MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219142,STENT COR RX 3.5X12MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219143,STENT COR 3.5MM 8MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219144,STENT COR 3.25MM 33MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219146,STENT COR RX 3.25X28MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219147,STENT COR 3.25MM 12MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219148,STENT COR 3.25MM 8MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219151,STENT COR 3MM 28MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219152,STENT COR RX 3X23MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219153,STENT COR 3MM 12MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219154,STENT COR 3MM 8MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219155,STENT COR 2.75MM 28MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219162,STENT COR 2.75MM 23MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219176,STENT COR 2.75MM 12MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219177,STENT COR 2.75MM 8MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219178,STENT COR 2.5MM 18MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219180,STENT COR 2.25MM 8MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219181,STENT COR 4MM 15MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219193,COIL EMBL 2MM 6CM,10275.0,10275.0,1130.25,10275.0,57
CDM,219194,COIL EMBL 18MM 40CM,10517.0,10517.0,1156.87,10517.0,57
CDM,219206,COIL EMBL SFT 5MMX15CM,52843.0,52843.0,5812.73,52843.0,57
CDM,219208,COIL EMBL 12CM 4MM,65357.0,65357.0,7189.27,65357.0,57
CDM,219209,COIL EMBL XL TRG 6CM 3MM,65357.0,65357.0,7189.27,65357.0,57
CDM,219212,COIL EMBL XL 6CM 2MM,65357.0,65357.0,7189.27,65357.0,57
CDM,219220,BIT DRILL 1.9MM 2.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,219227,K WIRE 2.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,219240,STENT COR 3.5MM 38MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219247,HEAD FEMORAL COCR 22MM,9030.0,9030.0,993.3,9030.0,57
CDM,219272,STENT COR RX 3.5X23MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219274,GA68 DOTATATE DX 0.1MCI,507.42,507.42,35.52,507.42,49
CDM,219278,STENT COR 3.25MM 38MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219293,INSERT TIB KN 7-8 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,219297,SCREW RELINE P-AX 6X40MM,11390.0,11390.0,1252.9,11390.0,57
CDM,219309,STENT COR 3.25MM 15MM,6590.0,6590.0,724.9,6590.0,57
CDM,219310,STENT COR 2.25MM 15MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219311,STENT COR 4MM 38MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219313,STENT COR 4MM 33MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219314,STENT COR 4MM 28MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219315,STENT COR 4MM 12MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219316,STENT COR 4MM 8MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219317,STENT COR 3.5MM 18MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219328,STENT COR 3.5MM 15MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219331,IMPLANT MNDB SM RT FOSSA,88098.0,88098.0,9690.78,88098.0,57
CDM,219342,HEAD FEM HIP CTPR 5X36MM,7740.0,7740.0,851.4,7740.0,57
CDM,219345,"Injection, minocycline hydrochloride, 1 mg ",1438.53,1438.53,4.39,22.58,15
CDM,219345,MINOCYCLINE HCL 100 MG,1438.53,1438.53,100.7,1438.53,42
CDM,219348,ALPROSTADIL 500 MCG INJ,887.57,887.57,62.13,887.57,47
CDM,219348,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",887.57,887.57,0.66,89.62,15
CDM,219358,STENT COR 3.25MM 23MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219359,STENT COR 3.25MM 18MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219360,STENT COR 3MM 38MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219361,STENT COR 3MM 33MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219362,KWIRE FX 285MM 3MM,3186.0,3186.0,223.02,3186.0,71
CDM,219363,STENT COR 3MM 18MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219364,STENT COR 3MM 15MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219366,STENT COR 2.75MM 38MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219367,STENT COR 2.75MM 33MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219368,STENT COR 2.75MM 18MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219369,STENT COR 2.75MM 15MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219370,STENT COR 2.5MM 38MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219371,STENT COR 2.5MM 33MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219373,GWIRE BALL TIP 2.5X800MM,4461.0,4461.0,312.27,4461.0,71
CDM,219383,GWIRE ORTH S2 3X1000MM,5098.0,5098.0,356.86,5098.0,71
CDM,219384,BLADDER CALC 500ML IRR,48.21,48.21,3.37,48.21,52
CDM,219384,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",48.21,48.21,23.69,471.75,9
CDM,219386,STENT COR 2.5MM 28MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219387,STENT COR 2.5MM 23MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219388,STENT COR 2.5MM 15MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219389,STENT COR 2.5MM 12MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219390,STENT COR 2.5MM 8MM,16729.0,16729.0,1840.19,16729.0,57
CDM,219393,GWIRE ORTH 2.2MM 800MM,4348.0,4348.0,304.36,4348.0,71
CDM,219404,STENT COR 2.25MM 38MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219405,STENT COR 2.25MM 33MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219415,STENT COR RX 2.25X12MM,18065.0,18065.0,1987.15,18065.0,57
CDM,219427,BIT DRILL 20X1.5MM,7110.0,7110.0,497.7,7110.0,71
CDM,219438,NEEDLE SUT CIRC PNT 4.5,314.0,314.0,21.98,314.0,71
CDM,219440,HEAD HUM SHLDR 25X50MM,64500.0,64500.0,7095.0,64500.0,57
CDM,219449,SCREW SPN P-AX 7.5X45MM,12655.0,12655.0,1392.05,12655.0,57
CDM,219458,SCREW BN CANN 4.0X48MM,8101.0,8101.0,891.11,8101.0,57
CDM,219460,SCREW BN VAL 2.4MM 15MM,4110.0,4110.0,452.1,4110.0,57
CDM,219464,SCREW T2 LCK F-T 4X26MM,3194.0,3194.0,351.34,3194.0,57
CDM,219478,BURR SURG EGG MED 5MM,8127.0,8127.0,568.89,8127.0,71
CDM,219479,STEM HIP ORIGN OFST SZ10,51600.0,51600.0,5676.0,51600.0,57
CDM,219482,ANCHOR SUT KNTLS 4.75MM,15762.0,15762.0,1733.82,15762.0,57
CDM,219483,PLATE T/1MM 3X2HL 30MM,8907.0,8907.0,979.77,8907.0,57
CDM,219485,PLATES 5 CRANIO FACIAL,183910.0,183910.0,20230.1,183910.0,57
CDM,219486,VSP ORTHOG GUIDES TI,46546.0,46546.0,3258.22,46546.0,71
CDM,219487,GUIDES ORTHOGNATHC NYLON,28393.0,28393.0,1987.51,28393.0,71
CDM,219488,LINER ACTB HIP 28X38MM,14190.0,14190.0,1560.9,14190.0,57
CDM,219489,LINER ACTB HIP MTL OD40,19350.0,19350.0,2128.5,19350.0,57
CDM,219490,LINER ACTB DL MTL OD38,19350.0,19350.0,2128.5,19350.0,57
CDM,219495,IG HIZENTRA 100 MG SQ,107.16,107.16,7.5,107.16,42
CDM,219495,"Injection, immune globulin (hizentra), 100 mg ",107.16,107.16,14.08,120.75,17
CDM,219502,INDWELLING PLEURAL CATH,26045.22,26045.22,1823.17,26045.22,64
CDM,219503,WOMENS SERV SUITE MED,4181.95,4181.95,,,0
CDM,219505,WOMENS SERV SUITE LRG,4620.67,4620.67,,,0
CDM,219528,KWIRE UNIV NITNL BLUNT,1599.0,1599.0,111.93,1599.0,71
CDM,219537,LINER ACTB HIP PLY OD40,14190.0,14190.0,1560.9,14190.0,57
CDM,219561,TUBING IRR CRTDG DISP,9771.0,9771.0,683.97,9771.0,71
CDM,219569,STEM STD OFFSET SZ14,51600.0,51600.0,5676.0,51600.0,57
CDM,219580,SCREW BN 2.4MM 14MM,864.0,864.0,95.04,864.0,57
CDM,219581,SCREW BN 4MM 70MM,864.0,864.0,95.04,864.0,57
CDM,219585,PLATE BN LCK 6H 115MM,35077.0,35077.0,3858.47,35077.0,57
CDM,219623,ANCHOR SUT 3.5MM 13.5MM,12495.0,12495.0,1374.45,12495.0,57
CDM,219625,STAPLER INT CTR 45MM,6626.0,6626.0,463.82,6626.0,71
CDM,219626,STAPLER INT PWR 45MM,6502.0,6502.0,455.14,6502.0,71
CDM,219629,BLADE SHAVER DENSE MINI,14029.0,14029.0,982.03,14029.0,71
CDM,219697,IMPLANT CRANIAL PEEK,183910.0,183910.0,20230.1,183910.0,57
CDM,219700,SCREW BN 3.5MM 90M,815.0,815.0,89.65,815.0,57
CDM,219701,SCREW BN 3.5MM 80M,864.0,864.0,95.04,864.0,57
CDM,219717,PLATE BN 16H 343MM,36538.0,36538.0,4019.18,36538.0,57
CDM,219718,INS TIB KN SZ88 12MM,39732.0,39732.0,4370.52,39732.0,57
CDM,219751,AUGMENT KN FEM SZ8 8MM,19866.0,19866.0,2185.26,19866.0,57
CDM,219762,IMPLANT CUSTOM CRNL PEEK,124768.0,124768.0,13724.48,124768.0,57
CDM,219764,BLADE HLCL 11X95MM,10573.0,10573.0,1163.03,10573.0,57
CDM,219784,NAIL IM TI 130D 10MMX17C,23874.0,23874.0,2626.14,23874.0,57
CDM,219786,INTR0 PLWY 8FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
CDM,219794,NAIL SHORT TFN 11X130,23874.0,23874.0,2626.14,23874.0,57
CDM,219796,DEVICE BX CORBI 2 RCTL S,3936.0,3936.0,275.52,3936.0,71
CDM,219823,INSERT TIB KN SZ5 20MM,36491.0,36491.0,4014.01,36491.0,57
CDM,219824,SCREW BN 5.0MM 38MM,3206.0,3206.0,352.66,3206.0,57
CDM,219834,SCREW BN LCK 4MM 26MM,2762.0,2762.0,303.82,2762.0,57
CDM,219845,SCREW BN 2.5X3.5X14MM,7925.0,7925.0,871.75,7925.0,57
CDM,219867,HEAD FEM 40MM +6MM,9030.0,9030.0,993.3,9030.0,57
CDM,219921,MANOMETER PRSS RBI2 ASRT,895.0,895.0,62.65,895.0,71
CDM,219939,SYSTEM NEG PRSS TUBING,2390.0,2390.0,167.3,2390.0,71
CDM,219951,LINER ACTB HIP SZB 32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,219960,SCREW RELINE PA 5.5X35MM,11390.0,11390.0,1252.9,11390.0,57
CDM,219977,LINER HUM +3MM 36MM,19737.0,19737.0,2171.07,19737.0,57
CDM,219994,SCREW BN 4MM 3.3MM 28MM,2762.0,2762.0,303.82,2762.0,57
CDM,220000,CLIP LGT 2.8MM 235CM,4838.0,4838.0,532.18,4838.0,57
CDM,220045,PLATE BN FULL MAXILLARY,183910.0,183910.0,20230.1,183910.0,57
CDM,220048,CMPNT PTLA KN 29MM 8MM,8170.0,8170.0,898.7,8170.0,57
CDM,220066,SYSTEM BN CMNT MX SG/DB,3936.0,3936.0,275.52,3936.0,71
CDM,220115,INSRT ARTC KN 12/J 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,220133,COMP FEM KN REV RT SZ5,88920.0,88920.0,9781.2,88920.0,57
CDM,220134,AUGMENT FEM KN 4MM 5,19866.0,19866.0,2185.26,19866.0,57
CDM,220135,CMPNT FEM KN AUG 4MM,19866.0,19866.0,2185.26,19866.0,57
CDM,220136,BASEPLATE TIB KN SYS 4,27090.0,27090.0,2979.9,27090.0,57
CDM,220137,AUGMENT TIB KN 5MM,22575.0,22575.0,2483.25,22575.0,57
CDM,220138,INSERT TIB KN SZ5 14MM,39732.0,39732.0,4370.52,39732.0,57
CDM,220146,STEM HUM SHLDR 101MM 7MM,64501.0,64501.0,7095.11,64501.0,57
CDM,220185,DRILL TWIST 2MM 70MM,5623.0,5623.0,393.61,5623.0,71
CDM,220197,CMPNT DOME ANK SZ4,148502.0,148502.0,16335.22,148502.0,57
CDM,220206,SCREW BN 4MM 60MM,4850.0,4850.0,533.5,4850.0,57
CDM,220216,SCREW SPN P-AX 4.5X40MM,12655.0,12655.0,1392.05,12655.0,57
CDM,220219,SCREW BN 5MM 60MM,8244.0,8244.0,906.84,8244.0,57
CDM,220237,MESH SURG 10X25CM,44183.0,44183.0,4860.13,44183.0,57
CDM,220247,BLN BIB 110 3.0 20.0,18939.0,18939.0,1325.73,18939.0,71
CDM,220261,PLATE BN .5MM 30MM,15418.0,15418.0,1695.98,15418.0,57
CDM,220347,JAW TISSUE SEAL 25CM,8586.0,8586.0,601.02,8586.0,71
CDM,220351,ANCHOR SUT 6.5MM,4069.0,4069.0,447.59,4069.0,57
CDM,220358,BEARING TIB KN 12MM 71MM,19350.0,19350.0,2128.5,19350.0,57
CDM,220361,PLATFORM TRANSVAG 7CM,12428.0,12428.0,869.96,12428.0,71
CDM,220362,KIT NEURO ACC DISP,7009.0,7009.0,490.63,7009.0,71
CDM,220371,SET SCREW BN 2.0X12MM,1028.0,1028.0,113.08,1028.0,57
CDM,220372,SCREW BN CANC 6.5X60MM,1131.0,1131.0,124.41,1131.0,57
CDM,220375,SCREW BN CANC 6.5X70MM,1131.0,1131.0,124.41,1131.0,57
CDM,220378,MODEL CUSTOM CRANIUM,39988.0,39988.0,2799.16,39988.0,71
CDM,220379,NAIL BN HUM 8MM 150MM,47515.0,47515.0,5226.65,47515.0,57
CDM,220389,INSRT TIB 2 10MM KN UHMW,36491.0,36491.0,4014.01,36491.0,57
CDM,220408,COMPNT KN TIB 2X15MM,11507.0,11507.0,1265.77,11507.0,57
CDM,220440,SCREW LCK 0D XL25 5X80MM,2913.0,2913.0,320.43,2913.0,57
CDM,220497,LNR ACTB COC HIP G7D40MM,32224.0,32224.0,3544.64,32224.0,57
CDM,220511,CATH ARTL 20GA 8CM,1356.0,1356.0,94.92,1356.0,71
CDM,220515,SCREW BN 6.25MM 15MM,11899.0,11899.0,1308.89,11899.0,57
CDM,220518,SCREW BN 5MM 42MM,13954.0,13954.0,1534.94,13954.0,57
CDM,220530,CATH BLNDIL 10MM 2X65CM,11095.0,11095.0,776.65,11095.0,71
CDM,220533,SCREW BN 1.8MM 3.5MM,1049.0,1049.0,115.39,1049.0,57
CDM,220537,SCREW BN 3.5MM 16MM,6320.0,6320.0,695.2,6320.0,57
CDM,220542,DEVICE BONE BIOPSY 15GA,3748.0,3748.0,262.36,3748.0,71
CDM,220544,COMP FEM KN LT SZ3,41280.0,41280.0,4540.8,41280.0,57
CDM,220546,INSERT TIB KN SZ3 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,220549,CATHETER ANGIO DVS CRV 5,1151.0,1151.0,80.57,1151.0,71
CDM,220550,INS TIB 6 20MM KN,39732.0,39732.0,4370.52,39732.0,57
CDM,220558,BIT DRILL CALB,5623.0,5623.0,393.61,5623.0,71
CDM,220564,SCREW BN 1.6MM 12MM,4110.0,4110.0,452.1,4110.0,57
CDM,220566,PLATE BN LCP CLAV 2.7MM,19441.0,19441.0,2138.51,19441.0,57
CDM,220572,NAIL BN FEM LT 9X23.5MM,22092.0,22092.0,2430.12,22092.0,57
CDM,220574,HOOK SPN SMALL,7593.0,7593.0,835.23,7593.0,57
CDM,220596,INSERT POLY HIP SZG 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,220597,INSERT FEM HIP 0D 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,220598,SCREW BN 4MM 54MM,7441.0,7441.0,818.51,7441.0,57
CDM,220605,STENT 7F 10X100MM 120CM,39544.0,39544.0,4349.84,39544.0,57
CDM,220611,BIT DRILL CANN AO 2MM,5623.0,5623.0,393.61,5623.0,71
CDM,220615,DRILL BN BIT DISP 2.7MM,4953.0,4953.0,346.71,4953.0,71
CDM,220630,MESH MOFIL 6X16CM,20706.0,20706.0,2277.66,20706.0,57
CDM,220634,AGENT HMSTC TOP PDWR,2078.0,2078.0,145.46,2078.0,71
CDM,220646,CATH ANGIO 4FR 65CM,844.0,844.0,59.08,844.0,71
CDM,220648,STEM HIP PRXML 85MM,64501.0,64501.0,7095.11,64501.0,57
CDM,220649,STEM FEM HIP 170MM 16MM,33540.0,33540.0,3689.4,33540.0,57
CDM,220668,CATH VA 0.57X0.8MM 150CM,11433.0,11433.0,800.31,11433.0,71
CDM,220704,DRILL SURG CANN 10.3MM,11433.0,11433.0,800.31,11433.0,71
CDM,220721,SCREW BN 2.3X5MM,8338.0,8338.0,917.18,8338.0,57
CDM,220727,PLATE CLVCL ANTR 9 HL,23890.0,23890.0,2627.9,23890.0,57
CDM,220737,SCREW SPN 6.5X30MM,13921.0,13921.0,1531.31,13921.0,57
CDM,220740,BASEPLATE KN TIB SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,220746,COMPNT KN CMNTD RT SZ3N,36636.0,36636.0,4029.96,36636.0,57
CDM,220778,KIT TISS XPNDR FILL,853.0,853.0,59.71,853.0,71
CDM,220779,LASER FIBR BARRELL SLIM,5622.0,5622.0,393.54,5622.0,71
CDM,220780,BURR SURG 3MM,3965.0,3965.0,277.55,3965.0,71
CDM,220785,ALLOGRAFT MATRIX 3CC,20012.0,20012.0,2201.32,20012.0,57
CDM,220808,IMPLANT BREAST 375CC,13296.0,13296.0,1462.56,13296.0,57
CDM,220841,CONE TIB KN LONG 20MM,64501.0,64501.0,7095.11,64501.0,57
CDM,220842,STENT ILIOFEM 14X60MM,37563.0,37563.0,4131.93,37563.0,57
CDM,220861,REAMER ENTRY CANN 16.5MM,11402.0,11402.0,798.14,11402.0,71
CDM,220862,SCREW BN S/T 1.9X9MM,1539.0,1539.0,169.29,1539.0,57
CDM,220875,CMPNT SHD INTSEG 90MM,186493.0,186493.0,20514.23,186493.0,57
CDM,220882,GUIDE PIN ORTH 3.2X330MM,5623.0,5623.0,393.61,5623.0,71
CDM,220893,BIT DRL 50X21X1.5MM CRNM,6519.0,6519.0,456.33,6519.0,71
CDM,220912,INSERT ARTC 7-10 12MM,29670.0,29670.0,3263.7,29670.0,57
CDM,220933,WRENCH TRQ ASP 36KHZ,7467.0,7467.0,522.69,7467.0,71
CDM,220939,TIP ASP CURV CLAR 36KHZ,33848.0,33848.0,2369.36,33848.0,71
CDM,220940,TIP ASP TISS 36KHZ,40172.0,40172.0,2812.04,40172.0,71
CDM,220941,PROGRAMMER NRSTM VRF 4,5929.0,5929.0,415.03,5929.0,71
CDM,220946,PLATE BN 101MM,36210.0,36210.0,3983.1,36210.0,57
CDM,220981,CATH BLNDIL 3MM 6MM,12014.0,12014.0,840.98,12014.0,71
CDM,220985,CATH BLNDIL 3.5MM 6MM,12014.0,12014.0,840.98,12014.0,71
CDM,220986,CATH BLNDIL 6MM 3.75MM,12014.0,12014.0,840.98,12014.0,71
CDM,220987,GEL SURG PRFL SYR 10CC,3561.0,3561.0,249.27,3561.0,71
CDM,220989,CATH BLNDIL 4MM 6MM,12014.0,12014.0,840.98,12014.0,71
CDM,221044,GWIRE VASC 215CM,11433.0,11433.0,800.31,11433.0,71
CDM,221061,PREVYMIS INJ,2544.5,2544.5,178.12,2544.5,59
CDM,221062,LETERMOVIR 480 MG PO,1842.75,1842.75,128.99,1842.75,59
CDM,221122,STENT EPRSTH 7MM 5CM,64547.0,64547.0,7100.17,64547.0,57
CDM,221149,INSERT TIB KN SZ3-4 11MM,19350.0,19350.0,2128.5,19350.0,57
CDM,221172,CATH DRN 3.3MM 35CM,59652.0,59652.0,4175.64,59652.0,71
CDM,221189,BASEPLATE TIB KN RT SZ2,64247.0,64247.0,7067.17,64247.0,57
CDM,221202,SCREW BN 1.5MM 4MM,1311.0,1311.0,144.21,1311.0,57
CDM,221208,SCREW BN 5MM 50MM,3517.0,3517.0,386.87,3517.0,57
CDM,221232,INSERT TIB KN RT 4 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,221238,SCREW BN 15MM 4.75MM,11899.0,11899.0,1308.89,11899.0,57
CDM,221243,BASEPLATE TIB KN SZ4-,25800.0,25800.0,2838.0,25800.0,57
CDM,221259,HEAD FEM HIP +3MM 32MM,26832.0,26832.0,2951.52,26832.0,57
CDM,221271,SCREW BN 4.0MM 56MM,7441.0,7441.0,818.51,7441.0,57
CDM,221276,KIT LEAD TRIAL STM BILAT,7193.0,7193.0,791.23,7193.0,57
CDM,221279,PLATE CRNMXF 7HL 105MM,7886.0,7886.0,867.46,7886.0,57
CDM,221289,STEM HIP/KN 11MM 152MM,64501.0,64501.0,7095.11,64501.0,57
CDM,221290,INSERT TIB KN 15MM SZ2-3,29008.0,29008.0,3190.88,29008.0,57
CDM,221291,COMPNT FEM KN LM-RL SZ3,33540.0,33540.0,3689.4,33540.0,57
CDM,221292,INSERT TIB KN 13MM SZ2-3,29008.0,29008.0,3190.88,29008.0,57
CDM,221296,BIT DRILL TWST 1.1X50MM,5623.0,5623.0,393.61,5623.0,71
CDM,221298,DISTRACTOR IMP INTL 23MM,30045.0,30045.0,3304.95,30045.0,57
CDM,221299,SCREW TI ALOY 2.3X9MM,8338.0,8338.0,917.18,8338.0,57
CDM,221301,PLATE BN CRNMXF .6MM 3MM,3896.0,3896.0,428.56,3896.0,57
CDM,221323,STENT BIL 10-12X29MM,13358.0,13358.0,1469.38,13358.0,57
CDM,221324,CATH URTH INTRMT 18FR,422.0,422.0,29.54,422.0,71
CDM,221326,CATH ANGIO 6F 12MM 110CM,18072.0,18072.0,1265.04,18072.0,71
CDM,221327,CATH BLN 30MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221336,CATH ANGIO 8F 30MM 110CM,18939.0,18939.0,1325.73,18939.0,71
CDM,221337,CATH BLN 30MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221342,CATH ANGIO 8F 40MM 110CM,18939.0,18939.0,1325.73,18939.0,71
CDM,221344,CATH BLN 40MM 110CM,18072.0,18072.0,1265.04,18072.0,71
CDM,221347,CUP UNIV REV SHLDR 39MM,65311.0,65311.0,7184.21,65311.0,57
CDM,221350,CATH BLN 4CM 110CM,22348.0,22348.0,1564.36,22348.0,71
CDM,221357,SCREW BN 5MM 70MM,2466.0,2466.0,271.26,2466.0,57
CDM,221360,INSERT TIB 3-8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,221361,NEEDLE BX 19GA,5715.0,5715.0,400.05,5715.0,71
CDM,221362,NEEDLE BX 21GA,5715.0,5715.0,400.05,5715.0,71
CDM,221364,NEEDLE BX 23GA,5715.0,5715.0,400.05,5715.0,71
CDM,221381,KWIRE FX 2.3X230MM,1599.0,1599.0,111.93,1599.0,71
CDM,221390,STEM FEM HIP 150MM 20MM,45467.0,45467.0,5001.37,45467.0,57
CDM,221395,COIL EMBL 2MM 4CM,25833.0,25833.0,2841.63,25833.0,57
CDM,221399,STAPLER INT LNG 45MM,6502.0,6502.0,455.14,6502.0,71
CDM,221419,BLADE HLCL 105MM,12330.0,12330.0,1356.3,12330.0,57
CDM,221423,SCREW BN LCK 4MM 40MM,2762.0,2762.0,303.82,2762.0,57
CDM,221505,CATH BIB 8F 12MM 5CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221506,CATH BIB 8F 14MM 5CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221507,CATH BIB 9F 15MM 3CM,18939.0,18939.0,1325.73,18939.0,71
CDM,221508,CATH BIB 9F 15MM 5CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221512,IMPLANT BREAST 450CC,22503.0,22503.0,2475.33,22503.0,57
CDM,221514,IMPLANT BREAST 485CC,27229.0,27229.0,2995.19,27229.0,57
CDM,221520,IMPLANT BREAST 520CC,26715.0,26715.0,2938.65,26715.0,57
CDM,221530,CATH BIB 9F 16MM 5CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221539,SCREW LCK HEAD 2.5X20MM,3228.0,3228.0,355.08,3228.0,57
CDM,221540,DRILL BIT PLT 2.5X115MM,4513.0,4513.0,315.91,4513.0,71
CDM,221541,DRLL BT HMRL 2.0X110MM,4513.0,4513.0,315.91,4513.0,71
CDM,221542,SCREW BN 3.5MM 14MM,1568.0,1568.0,172.48,1568.0,57
CDM,221555,CATH BIB 10F 18MM 3CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221556,CATH BIB 10F 18MM 4CM,18939.0,18939.0,1325.73,18939.0,71
CDM,221557,CATH BIB 10F 18MM 5CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221558,CATH BIB 11F 22MM 3CM,18939.0,18939.0,1325.73,18939.0,71
CDM,221559,CATH BIB 11F 22MM 5CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221560,CATH BIB 11F 24MM 5CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221571,CATH BIB 9F 15MM 4CM,20170.0,20170.0,1411.9,20170.0,71
CDM,221608,SCREW BN 3.5MM 16MM,2508.0,2508.0,275.88,2508.0,57
CDM,221614,PLATE BN 8HL 2.4 56MM,11878.0,11878.0,1306.58,11878.0,57
CDM,221620,VALVE AORTIC 27MM,173812.0,173812.0,19119.32,173812.0,57
CDM,221621,SCREW BN 10.35MM 100MM,9836.0,9836.0,1081.96,9836.0,57
CDM,221622,SCREW BN 10.35MM 95MM,9836.0,9836.0,1081.96,9836.0,57
CDM,221632,COIL EMBL 30CM,32950.0,32950.0,3624.5,32950.0,57
CDM,221633,KIT LEAD INTRO NEURO,5990.0,5990.0,419.3,5990.0,71
CDM,221653,BASEPLATE TIB KN LFT SZ3,23220.0,23220.0,2554.2,23220.0,57
CDM,221656,BIT DRILL CANN 1.6X95MM,8822.0,8822.0,617.54,8822.0,71
CDM,221658,SPACER FEM HIP SM 11MM,1131.0,1131.0,124.41,1131.0,57
CDM,221683,SCREW BN 3.5MM 10MM,1918.0,1918.0,210.98,1918.0,57
CDM,221693,SCREW BN 3.5MM 12MM,1832.0,1832.0,201.52,1832.0,57
CDM,221703,SCREW BN 3.5MM 14MM,1918.0,1918.0,210.98,1918.0,57
CDM,221704,MARKER ENDO SPOT SYR PRE,1599.0,1599.0,111.93,1599.0,71
CDM,221705,VALVE AORTIC 25MM,173812.0,173812.0,19119.32,173812.0,57
CDM,221713,SCREW BN 3.5MM 18MM,1832.0,1832.0,201.52,1832.0,57
CDM,221715,BIT DRILL CANN 3X215MM,9987.0,9987.0,699.09,9987.0,71
CDM,221723,SCREW BN 3.5MM 20MM,1832.0,1832.0,201.52,1832.0,57
CDM,221753,SCREW BN 3.5MM 28MM,1832.0,1832.0,201.52,1832.0,57
CDM,221762,COMP HIP 24X75MM,60605.0,60605.0,6666.55,60605.0,57
CDM,221763,SCREW BN 3.5MM 30MM,1832.0,1832.0,201.52,1832.0,57
CDM,221773,SCREW BN 3.5MM 32MM,1832.0,1832.0,201.52,1832.0,57
CDM,221783,SCREW BN 3.5MM 34MM,1832.0,1832.0,201.52,1832.0,57
CDM,221793,SCREW BN LCK 3.5X36MM,1832.0,1832.0,201.52,1832.0,57
CDM,221803,SCREW BN LCK 3.5X38MM,1832.0,1832.0,201.52,1832.0,57
CDM,221806,PEG LCK SMTH 2X22MM,1603.0,1603.0,176.33,1603.0,57
CDM,221812,CATHETER ANGIO 60CM 4FR,4685.0,4685.0,327.95,4685.0,71
CDM,221813,SCREW BN 3.5MM 40MM,1832.0,1832.0,201.52,1832.0,57
CDM,221818,NAIL BN 15CM 10MM,20118.0,20118.0,2212.98,20118.0,57
CDM,221822,AMIKACIN SULFATE 500 MG,1271.57,1271.57,89.01,1271.57,47
CDM,221823,SCREW BN 3.5X2.9X45MM,1832.0,1832.0,201.52,1832.0,57
CDM,221824,PRAMOXINE/HC 2.5% 4GM CR,94.46,94.46,6.61,94.46,67
CDM,221833,SCREW BN 3.5MM 50MM,1832.0,1832.0,201.52,1832.0,57
CDM,221843,SCREW BN 3.5MM 60MM,1832.0,1832.0,201.52,1832.0,57
CDM,221873,PLATE BN 111MM 3.5MM,5821.0,5821.0,640.31,5821.0,57
CDM,221883,PLATE BN CRV 10HL 3.5MM,6062.0,6062.0,666.82,6062.0,57
CDM,221893,PLATE BN 10H 3.5MM 137MM,6244.0,6244.0,686.84,6244.0,57
CDM,221900,CMPD INSU DRIP 100U 100B,38.77,38.77,2.71,38.77,67
CDM,221903,PLATE BN 14HL 3.5X189MM,10332.0,10332.0,1136.52,10332.0,57
CDM,221973,SCREW EXFX 5X175MM,5623.0,5623.0,393.61,5623.0,71
CDM,221974,PLATE BN T 4H 3.5MM 78MM,7130.0,7130.0,784.3,7130.0,57
CDM,221975,CLAMP ORT COMBO EXFX LG,11749.0,11749.0,822.43,11749.0,71
CDM,221976,LARGE MULTI-PIN CLAMP,11433.0,11433.0,800.31,11433.0,71
CDM,221981,CTA UPPER EXTREMITY RT,2126.75,2126.75,148.87,2126.75,43
CDM,221982,CTA UPPER EXTREMITY LT,2126.75,2126.75,148.87,2126.75,43
CDM,221995,BLOCK L-SPINE SGL BI,13505.05,13505.05,945.35,13505.05,64
CDM,221996,BLOCK L-SPINE ADDL BI,12305.29,12305.29,861.37,12305.29,64
CDM,222004,PLATE BN 69X9X1MM,2890.0,2890.0,317.9,2890.0,57
CDM,222011,IMPLANT BREAST 630CC,19009.0,19009.0,2090.99,19009.0,57
CDM,222012,IMPLANT BREAST 775CC,19009.0,19009.0,2090.99,19009.0,57
CDM,222032,STEM KN XTN STR 10X100MM,27684.0,27684.0,3045.24,27684.0,57
CDM,222038,SCREW BN LCK 5MM 56MM,2913.0,2913.0,320.43,2913.0,57
CDM,222039,SCREW LCK XL25 5X70MM,2913.0,2913.0,320.43,2913.0,57
CDM,222060,NAIL BN 10MM 160MM,20693.0,20693.0,2276.23,20693.0,57
CDM,222071,SCREW BN 4.0MM 40MM,4647.0,4647.0,511.17,4647.0,57
CDM,222080,CATH PERIPH 20GX2.25IN,1910.0,1910.0,133.7,1910.0,71
CDM,222085,INSTR HRVST BN 6MM,11433.0,11433.0,800.31,11433.0,71
CDM,222114,PLATE BN 3.5MM 168MM,9900.0,9900.0,1089.0,9900.0,57
CDM,222116,NAIL BN ANKL 10MM 20CM,38020.0,38020.0,4182.2,38020.0,57
CDM,222127,ROD ATTACH LG M/P CLMP,11433.0,11433.0,800.31,11433.0,71
CDM,222146,SLR/DVDR LAPSCP 37CM,9945.0,9945.0,696.15,9945.0,71
CDM,222168,SLEEVE TIB KN PRCT 69MM,59653.0,59653.0,6561.83,59653.0,57
CDM,222178,LINER ACTB HIP 22MM 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,222222,SUTURE WHT/BLU ST-1 20IN,2969.0,2969.0,207.83,2969.0,71
CDM,222223,GRAFT HMDIAL HERO VNS,20550.0,20550.0,2260.5,20550.0,57
CDM,222239,PCA-2 AB BY FA,366.26,366.26,25.64,366.26,47
CDM,222240,PCA-TR AB BY FA,366.26,366.26,25.64,366.26,47
CDM,222243,ANNA-3 SCR BY IFA,709.96,709.96,49.7,709.96,47
CDM,222246,AGNA-1 AB BY FA,366.26,366.26,25.64,366.26,47
CDM,222277,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",2286.34,2286.34,157.79,1416.48,91
CDM,222277,NAT GI MULTI 6-11 TARGET,2286.34,2286.34,160.04,2286.34,47
CDM,222326,CMPNT TTL TMP MDBLR SM,95601.0,95601.0,10516.11,95601.0,57
CDM,222350,SURF ARTC KN 10-11 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,222351,INSERT ARTC 6-9 CD 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,222355,IMPLANT BREAST 445CC,24660.0,24660.0,2712.6,24660.0,57
CDM,222356,IMPLANT BREAST 350CC,24660.0,24660.0,2712.6,24660.0,57
CDM,222357,IMPLANT BREAST 305CC,24660.0,24660.0,2712.6,24660.0,57
CDM,222362,CMPNT KN TIB BASE SZ8,66821.0,66821.0,7350.31,66821.0,57
CDM,222436,CHEMO IV PUSH SING/IN DR,601.62,601.62,42.11,601.62,49
CDM,222488,TISS IF IND EA ADDL AB,4654.97,4654.97,325.85,4654.97,54
CDM,222489,MESH SURG 6.4X18.5CM,39045.0,39045.0,4294.95,39045.0,57
CDM,222495,SCREW BN 4.0MM 44MM,2762.0,2762.0,303.82,2762.0,57
CDM,222509,CATH ANGIO .038 JR2 4F70,1020.0,1020.0,71.4,1020.0,71
CDM,222515,SCREW BN 4MM 46MM,2762.0,2762.0,303.82,2762.0,57
CDM,222523,"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, n",723.36,723.36,1237.5,2407.5,6
CDM,222523,TOCILIZUMAB INF 1ST DOSE,723.36,723.36,50.64,723.36,59
CDM,222580,STEM FEM REV 18MM 110MM,27045.0,27045.0,2974.95,27045.0,57
CDM,222581,SLEEVE TIB KN PRCT 45MM,59653.0,59653.0,6561.83,59653.0,57
CDM,222593,CATH THROM REPFUSN,45568.0,45568.0,3189.76,45568.0,71
CDM,222600,CATH IV 20GA 2.25IN,1599.0,1599.0,111.93,1599.0,71
CDM,222603,COIL EMBL 2MM 2CM,25833.0,25833.0,2841.63,25833.0,57
CDM,222614,DRILL CALIBRATED 2.5MM,64.0,64.0,4.48,64.0,71
CDM,222618,BASEPLATE TIB KN SZ7,27090.0,27090.0,2979.9,27090.0,57
CDM,222626,"SET ADM 30"" 20 GTT CHEMO",261.0,261.0,18.27,261.0,71
CDM,222663,DRESSING HMSTC IMPREG8X8,5623.0,5623.0,393.61,5623.0,71
CDM,222671,INS ARTC KN LT 7-8 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,222703,COMPONENT FEM KN LT SZ5,36224.0,36224.0,3984.64,36224.0,57
CDM,222711,INSERT TIB KN SZ2XS 21MM,67655.0,67655.0,7442.05,67655.0,57
CDM,222712,REAMER ENTRY CANN 12MM,11402.0,11402.0,798.14,11402.0,71
CDM,222724,MESH RPR TISS 7X10CM,77679.0,77679.0,8544.69,77679.0,57
CDM,222726,MESH RPR TISS 4X7CM,48334.0,48334.0,5316.74,48334.0,57
CDM,222731,SCREW BN 10.35MM 90MM,9836.0,9836.0,1081.96,9836.0,57
CDM,222774,CATH DBC 5X60MM 75CM,19056.0,19056.0,1333.92,19056.0,71
CDM,222779,PIN EXFX 300MM 6MM,4835.0,4835.0,338.45,4835.0,71
CDM,222780,CATH DCB 12X40MM 75CM,24027.0,24027.0,1681.89,24027.0,71
CDM,222783,PEG FX 2MM 24MM,1603.0,1603.0,176.33,1603.0,57
CDM,222784,PEG LCK SMOOTH 2X23MM,1603.0,1603.0,176.33,1603.0,57
CDM,222793,BASEPLATE TIB KN SZ8,27090.0,27090.0,2979.9,27090.0,57
CDM,222794,BASEPLATE TIB KN SZ5,27090.0,27090.0,2979.9,27090.0,57
CDM,222814,PEG FX 2.3MM 18MM,1583.0,1583.0,174.13,1583.0,57
CDM,222817,DRILL SURG 2.7MM 40MM,1599.0,1599.0,111.93,1599.0,71
CDM,222822,SCREW BN LCK 3.5X24MM,2240.0,2240.0,246.4,2240.0,57
CDM,222823,SCREW BN 3.5MM 22MM,2240.0,2240.0,246.4,2240.0,57
CDM,222824,PLATE BN CORONOID RT,18269.0,18269.0,2009.59,18269.0,57
CDM,222834,SCREW BN 3.5MM 9MM,1603.0,1603.0,176.33,1603.0,57
CDM,222892,SCREW BN HUM 3.5X27.5MM,4542.0,4542.0,499.62,4542.0,57
CDM,222894,SCREW NLCK 3.5MX30M DSTL,3525.0,3525.0,387.75,3525.0,57
CDM,222896,SCREW 3.5X27.5 N-LK DIST,3525.0,3525.0,387.75,3525.0,57
CDM,222917,HNDPC ESURG MNP 10FT 3IN,3240.0,3240.0,226.8,3240.0,71
CDM,222950,CMPNT FEM KN LT SZ3,88920.0,88920.0,9781.2,88920.0,57
CDM,222972,SCREW BN 4MM 34MM,10275.0,10275.0,1130.25,10275.0,57
CDM,222980,PLATE BN LCK 11HL 1.8MM,14417.0,14417.0,1585.87,14417.0,57
CDM,222993,KIT PEG GSTRM 20FR,3036.0,3036.0,212.52,3036.0,71
CDM,223002,SCREW BN HEADED 4MM 48MM,3083.0,3083.0,339.13,3083.0,57
CDM,223003,ELCT ESRG 24F MONO COAG,5120.0,5120.0,358.4,5120.0,71
CDM,223007,ELECTRODE ESURG 24FR,5120.0,5120.0,358.4,5120.0,71
CDM,223008,ELECTRODE ESURG 24FR BAL,5120.0,5120.0,358.4,5120.0,71
CDM,223019,INSERT TIB KN 5 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,223021,SCREW BN 4MM 25MM,4647.0,4647.0,511.17,4647.0,57
CDM,223034,KIT MINTRDCR 5FR 10CM,1279.0,1279.0,89.53,1279.0,71
CDM,223036,KIT MINTRDCR 5FR 10CM,1599.0,1599.0,111.93,1599.0,71
CDM,223056,SCREW BN 5MM 55MM,2921.0,2921.0,321.31,2921.0,57
CDM,223067,CORD ESURG 8MM 300CM,1599.0,1599.0,111.93,1599.0,71
CDM,223068,HOOK SPN 6MM,7593.0,7593.0,835.23,7593.0,57
CDM,223077,SCREW SPN P-AX 7.5X35MM,12655.0,12655.0,1392.05,12655.0,57
CDM,223083,SHEATH SUPRA TIB,9002.0,9002.0,630.14,9002.0,71
CDM,223118,INSERT TIB KN SZ7 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,223162,SCREW BN 3.5MM 56MM,1768.0,1768.0,194.48,1768.0,57
CDM,223163,PLATE BN 2X2HL 1MM,7153.0,7153.0,786.83,7153.0,57
CDM,223164,SCREW BN 7MM 80MM,13178.0,13178.0,1449.58,13178.0,57
CDM,223166,SCREW BN 7MM 85MM,13178.0,13178.0,1449.58,13178.0,57
CDM,223203,SCREW BN CMPR F-T 7X75MM,20407.0,20407.0,2244.77,20407.0,57
CDM,223209,GUIDEWIRE ORTH 1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,223248,INSERT KN TIB SZ6 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,223253,MESH HRN PP 25X30IN S,164131.0,164131.0,18054.41,164131.0,57
CDM,223279,KIT GJJ JJN FD 14FR 15CM,7572.0,7572.0,530.04,7572.0,71
CDM,223280,KIT GJJ JJN FD 14FR 22CM,7572.0,7572.0,530.04,7572.0,71
CDM,223284,KIT FD TUBE 18FR 45CM,5623.0,5623.0,393.61,5623.0,71
CDM,223290,TUBE FD CONN GSTRM 16FR,1214.0,1214.0,84.98,1214.0,71
CDM,223291,TUBE FD CONN GSTRM 18FR,1335.0,1335.0,93.45,1335.0,71
CDM,223292,TUBE FD CONN GSTRM 20FR,470.0,470.0,32.9,470.0,71
CDM,223293,TUBE FD CONN GSTRM 22FR,1214.0,1214.0,84.98,1214.0,71
CDM,223294,TUBE FD CONN GSTRM 24FR,470.0,470.0,32.9,470.0,71
CDM,223295,SCREW BN 3.5MM 16MM,1832.0,1832.0,201.52,1832.0,57
CDM,223305,PLATE BN 12HL 3.5X163MM,6888.0,6888.0,757.68,6888.0,57
CDM,223309,CAP END NAIL 1.5-2.5MM T,1673.0,1673.0,184.03,1673.0,57
CDM,223317,SCREW BN 4.0MM 52MM,2914.0,2914.0,320.54,2914.0,57
CDM,223321,WEDGE TIB KN 26MM SHORT,64501.0,64501.0,7095.11,64501.0,57
CDM,223324,STEM FEM 143MM CMNT,36120.0,36120.0,3973.2,36120.0,57
CDM,223326,INSERT TIB KN 5 12MM,39732.0,39732.0,4370.52,39732.0,57
CDM,223337,FIBER LASER FLEX UROGEN,11599.0,11599.0,811.93,11599.0,71
CDM,223432,COMPNT TIB RT MDL SZ4,32250.0,32250.0,3547.5,32250.0,57
CDM,223434,COMPNT FEM RT MDL SZ6,32250.0,32250.0,3547.5,32250.0,57
CDM,223436,INST TIB RT MDL 9MM SZ4,14190.0,14190.0,1560.9,14190.0,57
CDM,223437,STEM ANCH TIB SZ3-4,21285.0,21285.0,2341.35,21285.0,57
CDM,223440,SLV XTN FEM/TIB LT D24MM,101198.0,101198.0,11131.78,101198.0,57
CDM,223445,GWIRE ENDO .035IN 450CM,5623.0,5623.0,393.61,5623.0,71
CDM,223450,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",7119.53,7119.53,26.0,396.05,17
CDM,223450,RENFLEXIS BS 100 MG INJ,7119.53,7119.53,498.37,7119.53,42
CDM,223605,PLATE BN 117X9X1MM,3112.0,3112.0,342.32,3112.0,57
CDM,223667,CAGE SPNL 20MM,164184.0,164184.0,18060.24,164184.0,57
CDM,223741,ACYCLOVIR 500 MG INJ,85.75,85.75,6.0,85.75,47
CDM,223741,"Injection, acyclovir, 5 mg ",85.75,85.75,0.02,0.67,17
CDM,223746,CEFAZOLIN 1 G INJ,5.72,5.72,0.4,5.72,47
CDM,223750,ZIDOVUDINE 100 MG PO,87.04,87.04,6.09,87.04,46
CDM,223882,INSERT TIB 4 12MM KN,14190.0,14190.0,1560.9,14190.0,57
CDM,223935,SCREW BN 2MM 8MM,1188.0,1188.0,130.68,1188.0,57
CDM,223950,ELECTRODE ESURG 9FT,239.0,239.0,16.73,239.0,71
CDM,223973,CLIP LIGA 2.8MM 235CM,5323.0,5323.0,585.53,5323.0,57
CDM,223980,GJ TUBE LO 14F 1X15CM,10356.0,10356.0,724.92,10356.0,71
CDM,223993,CANN PRFSN 17IN 19FR,5623.0,5623.0,393.61,5623.0,71
CDM,224008,GUIDE ALGN CUSTM,23232.0,23232.0,1626.24,23232.0,71
CDM,224017,PLATE ORBT FLR .3X1.5,7970.0,7970.0,876.7,7970.0,57
CDM,224048,SHELL HIP 3H 54MM,22059.0,22059.0,2426.49,22059.0,57
CDM,224049,KIT PNE LEAD IMPLANT,1850.0,1850.0,203.5,1850.0,57
CDM,224050,PIP/TAZ 40MG/5MG PER ML,0.29,0.29,0.02,0.29,47
CDM,224055,CEFAZOLIN 100 MG/ML INJ,0.57,0.57,0.04,0.57,47
CDM,224056,LEAD TRIAL STIM IMPLANT,822.0,822.0,90.42,822.0,57
CDM,224059,PLATE BN LCK 6HL 47MM,13728.0,13728.0,1510.08,13728.0,57
CDM,224066,CUP ACTB HIP 70MM,49458.0,49458.0,5440.38,49458.0,57
CDM,224076,PLATE BN SM 113MM,32798.0,32798.0,3607.78,32798.0,57
CDM,224091,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study ",489.27,489.27,48.06,502.12,34
CDM,224091,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study Age 21+",489.27,489.27,53.67,53.67,4
CDM,224091,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study Age Under 21",489.27,489.27,54.64,54.64,4
CDM,224091,US FETAL HEART DOPP F/U,489.27,489.27,34.25,489.27,48
CDM,224092,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete ",489.27,489.27,69.11,502.12,34
CDM,224092,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete Age 21+",489.27,489.27,77.18,77.18,4
CDM,224092,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete Age Under 21",489.27,489.27,78.58,78.58,4
CDM,224092,US FETAL HEART DOPP,489.27,489.27,34.25,489.27,48
CDM,224093,US FETAL CARDIOVASC F/U,2543.48,2543.48,178.04,2543.48,48
CDM,224101,STEM FEM 135D 3 HIP STD,51600.0,51600.0,5676.0,51600.0,57
CDM,224125,SCREW BN 3.5MM 18MM,4547.0,4547.0,500.17,4547.0,57
CDM,224145,STENT ILIOFEM 14X80MM,37563.0,37563.0,4131.93,37563.0,57
CDM,224146,IMPLANT BREAST 700CC,19009.0,19009.0,2090.99,19009.0,57
CDM,224151,KWIRE FX 127MM 1.5MM,640.0,640.0,44.8,640.0,71
CDM,224153,PEG FX LCK 2X21MM,1603.0,1603.0,176.33,1603.0,57
CDM,224155,PEG BN 2MM 19MM,1603.0,1603.0,176.33,1603.0,57
CDM,224165,BLADE CROSSBLDE DUAL EDE,2624.0,2624.0,183.68,2624.0,71
CDM,224182,STEM FEM KN 13.5MM 125MM,92481.0,92481.0,10172.91,92481.0,57
CDM,224187,SCREW BN 5MM 75MM,8244.0,8244.0,906.84,8244.0,57
CDM,224191,PLATE SPNL 42MM LEVEL 2,24045.0,24045.0,2644.95,24045.0,57
CDM,224192,BASEPLATE TIB KN SZ6,27090.0,27090.0,2979.9,27090.0,57
CDM,224193,INSERT ARTC KN 6-9 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,224194,PLATE ARCHON 22MM 1 LVL,22779.0,22779.0,2505.69,22779.0,57
CDM,224195,SCREW SPN 4MM 14MM S/T,1899.0,1899.0,208.89,1899.0,57
CDM,224196,CAGE SPN 6D 6X14X17MM,20248.0,20248.0,2227.28,20248.0,57
CDM,224197,VALVE AORTIC 21MM,173812.0,173812.0,19119.32,173812.0,57
CDM,224203,AUGMENT FEM KN LT 4MM,19866.0,19866.0,2185.26,19866.0,57
CDM,224204,INS TIB 6 16MM KN,39732.0,39732.0,4370.52,39732.0,57
CDM,224205,STEM FEM HIP 15MM 115MM,55209.0,55209.0,6072.99,55209.0,57
CDM,224206,AUG FEM KN REV SZ6 4MM,19866.0,19866.0,2185.26,19866.0,57
CDM,224212,CMPNT FEM KN LT SZ6,88920.0,88920.0,9781.2,88920.0,57
CDM,224213,BASE TIB KN CMNT SZ5,27090.0,27090.0,2979.9,27090.0,57
CDM,224218,SCREW BN 2MM 2.9MM 10MM,1188.0,1188.0,130.68,1188.0,57
CDM,224235,PLATE BN LT 4H 103MM,58917.0,58917.0,6480.87,58917.0,57
CDM,224239,NAIL HUM IM TI T2 7X23MM,25345.0,25345.0,2787.95,25345.0,57
CDM,224240,DISTRACTOR XTRN SPNDL,18551.0,18551.0,1298.57,18551.0,71
CDM,224241,PLATE SPN ARCHN 3LVL64MM,24045.0,24045.0,2644.95,24045.0,57
CDM,224246,DRILL SURG 1.5MM 110MM,8021.0,8021.0,561.47,8021.0,71
CDM,224250,BLADDER SCAN,771.36,771.36,84.85,771.36,64
CDM,224287,PLATE ORTH 6X6 ANC CXMXL,3019.0,3019.0,332.09,3019.0,57
CDM,224296,PLATE BN LT 40X35MM,30283.0,30283.0,3331.13,30283.0,57
CDM,224298,CONE TIB KN SZ22,64501.0,64501.0,7095.11,64501.0,57
CDM,224301,NDL PORT 1IN 22GA GRPR,452.0,452.0,31.64,452.0,71
CDM,224305,PLATE BN 7H .8MM 29MM,5524.0,5524.0,607.64,5524.0,57
CDM,224310,INSERT ARTC 11MM 6-9 EF,19350.0,19350.0,2128.5,19350.0,57
CDM,224329,STENT BIL 7X17X14MM 80CM,14554.0,14554.0,1600.94,14554.0,57
CDM,224331,ABLATION UPPER EXTR NERV,63709.8,63709.8,7008.08,63709.8,64
CDM,224340,PLATE SPN L2 40MM,24045.0,24045.0,2644.95,24045.0,57
CDM,224341,SCREW SPN 4MM 16MM S/T,1899.0,1899.0,208.89,1899.0,57
CDM,224349,STENT BIL 6X14X80,14213.0,14213.0,1563.43,14213.0,57
CDM,224351,PEG HI-COMP LCK 2.7X26MM,1747.0,1747.0,192.17,1747.0,57
CDM,224410,INS TIB 3 20MM KN,39732.0,39732.0,4370.52,39732.0,57
CDM,224418,BLADE IM 10.35MM 95MM,12330.0,12330.0,1356.3,12330.0,57
CDM,224443,BIT DRILL 3.4MM 125MM,4513.0,4513.0,315.91,4513.0,71
CDM,224488,CATH PERIPH 18GX2.25IN,1910.0,1910.0,133.7,1910.0,71
CDM,224490,GWIRE VASC STR 300CM,11433.0,11433.0,800.31,11433.0,71
CDM,224536,CARTRIDGE BRNH VALVE 7MM,50002.0,50002.0,5500.22,50002.0,57
CDM,224541,SCREW BN 10.35MM 85MM,9836.0,9836.0,1081.96,9836.0,57
CDM,224560,SCREW SPN 4MM 18MM S/T,1899.0,1899.0,208.89,1899.0,57
CDM,224562,PTLR CMPNT KN 9MM 35MM,8170.0,8170.0,898.7,8170.0,57
CDM,224563,CMPNT TIB KN BASE SZ4,27090.0,27090.0,2979.9,27090.0,57
CDM,224565,SCREW BN 2.4MM 10MM,4110.0,4110.0,452.1,4110.0,57
CDM,224566,SCREW BN VAL 2.4MM 12MM,4110.0,4110.0,452.1,4110.0,57
CDM,224572,US FETAL CARDIOVASC,3859.29,3859.29,270.15,3859.29,48
CDM,224573,ATEZOLIZUMAB 1200 MG INJ,64405.36,64405.36,4508.38,64405.36,42
CDM,224573,"Injection, atezolizumab, 10 mg ",64405.36,64405.36,91.18,778.4,17
CDM,224574,SCREW BN TI 2.4X16MM,4809.0,4809.0,528.99,4809.0,57
CDM,224587,MESH HERNIA 8X4IN,9470.0,9470.0,1041.7,9470.0,57
CDM,224594,STEM HUM SM STD 72MM,85040.0,85040.0,9354.4,85040.0,57
CDM,224595,COMPNT HUM ELB LT SM,45460.0,45460.0,5000.6,45460.0,57
CDM,224598,INTRO SHEATH 16FR 65CM,13124.0,13124.0,918.68,13124.0,71
CDM,224624,ALLOGRAFT MESH 6X8CM,33936.0,33936.0,3732.96,33936.0,57
CDM,224642,PLATE BN PET LFT 0D-0D,58568.0,58568.0,6442.48,58568.0,57
CDM,224650,CATH BLNDIL 6MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,224651,CATH BLNDIL 8MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,224653,CATH BLNDIL 9MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,224655,CATH BLNDIL 10MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,224657,DEV SURG SLV NAIL 8-11MM,4545.0,4545.0,318.15,4545.0,71
CDM,224670,CATH BLNDIL 7MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,224671,STENT ILIOFEM 14X120MM,29284.0,29284.0,3221.24,29284.0,57
CDM,224672,IMPLANT BREAST 580CC,19009.0,19009.0,2090.99,19009.0,57
CDM,224700,TOBRAMYCIN 2 MG/ML INJ,0.24,0.24,0.02,0.24,47
CDM,224708,CAGE SPNL 23X9X7MM 6D LM,54520.0,54520.0,5997.2,54520.0,57
CDM,224713,SCREW BN 7.3MM 155MM,3950.0,3950.0,434.5,3950.0,57
CDM,224778,INS TIB KN SZ7 24MM,48401.0,48401.0,5324.11,48401.0,57
CDM,224803,GLENOID SHLDR 36MM,59237.0,59237.0,6516.07,59237.0,57
CDM,224834,GADOTERATE MEG 20 ML,211.68,211.68,14.82,211.68,46
CDM,224835,GADOTERATE MEG 15 ML,158.76,158.76,11.11,158.76,46
CDM,224836,GADOTERATE MEG 10 ML,124.74,124.74,8.73,124.74,46
CDM,224843,MESH HRN PLGLY 20X10CM,59184.0,59184.0,6510.24,59184.0,57
CDM,224925,INSERT TIB KN SZ7 20MM,48401.0,48401.0,5324.11,48401.0,57
CDM,224932,INSERT ARTC KN 5-6 13MM,18383.0,18383.0,2022.13,18383.0,57
CDM,224938,CMPNT FEM KN RT SZ8,41328.0,41328.0,4546.08,41328.0,57
CDM,224947,WEDGE TIB KN 24MM,64501.0,64501.0,7095.11,64501.0,57
CDM,224962,TUBE GASTM 12FR,1335.0,1335.0,93.45,1335.0,71
CDM,224982,ROD SPN 4D 5.5X495MM,32903.0,32903.0,3619.33,32903.0,57
CDM,224993,PLATE BN SPNE 2 LVL 46MM,24045.0,24045.0,2644.95,24045.0,57
CDM,224994,PLATE AVTR BN 2LVL 34MM,24045.0,24045.0,2644.95,24045.0,57
CDM,225005,CHEMO INTRALESION 1-7,366.31,366.31,25.64,366.31,49
CDM,225012,INSERT KN LT SZ7-8 12MM,16770.0,16770.0,1844.7,16770.0,57
CDM,225013,HEAD FEM HIP MOD SM,41280.0,41280.0,4540.8,41280.0,57
CDM,225014,HEAD FEM HIP MOD 46MM,42570.0,42570.0,4682.7,42570.0,57
CDM,225051,TEMPLATE BEND,2227.0,2227.0,155.89,2227.0,71
CDM,225062,TAPE SUTURE 1.3MM 20IN,2624.0,2624.0,288.64,2624.0,57
CDM,225092,DILATOR TISSUE FAS HDRPH,768.0,768.0,53.76,768.0,71
CDM,225093,STEM HUM SHLDR 5MM,88059.0,88059.0,9686.49,88059.0,57
CDM,225095,STEM HUM SHLDR RVRS SZ7,88059.0,88059.0,9686.49,88059.0,57
CDM,225096,CUP HUM SHLDR RT +2 36MM,64501.0,64501.0,7095.11,64501.0,57
CDM,225117,SET TUBING SMKEVC HIFLOW,1599.0,1599.0,111.93,1599.0,71
CDM,225125,CONE TIB KN SZ26,64501.0,64501.0,7095.11,64501.0,57
CDM,225128,SCREW SPN 6MM,1266.0,1266.0,139.26,1266.0,57
CDM,225135,PLATE BN MF FUSION 4H,27065.0,27065.0,2977.15,27065.0,57
CDM,225151,POTASS CL10 MEQ INJ,16.5,16.5,1.16,16.5,47
CDM,225160,POTASS CL 20 MEQ INJ,15.22,15.22,1.07,15.22,47
CDM,225161,D5NS0.45 1000 ML,32.76,32.76,2.29,32.76,46
CDM,225166,POTASS CL 20 MEQ INJ,15.22,15.22,1.07,15.22,47
CDM,225173,POTASS CL 40 MEQ INJ,13.17,13.17,0.92,13.17,47
CDM,225178,AMPICILLIN 250 MG/ML INJ,127.68,127.68,8.94,127.68,47
CDM,225179,POTASS CL 40 MEQ INJ,18.37,18.37,1.29,18.37,47
CDM,225180,AMPICILLIN 125 MG INJ,144.93,144.93,10.15,144.93,47
CDM,225186,SCREW BN 5.0MM 14MM,4874.0,4874.0,536.14,4874.0,57
CDM,225191,GDWIRE ORTH .062IN 5MM,1375.0,1375.0,96.25,1375.0,71
CDM,225192,DRILL PROFILE 5MM LARGE,5623.0,5623.0,393.61,5623.0,71
CDM,225193,BIT DRLL 3.2MM,5715.0,5715.0,400.05,5715.0,71
CDM,225194,DEVICE CLSR PATCH 3X3CM,2062.0,2062.0,144.34,2062.0,71
CDM,225199,SCREW BN 5.0MM 12MM,4406.0,4406.0,484.66,4406.0,57
CDM,225200,HEAD ELBW RDL 19X6.5MM,65646.0,65646.0,7221.06,65646.0,57
CDM,225221,AMPICILLIN 1 G INJ,225.95,225.95,15.82,225.95,47
CDM,225224,AMPICILLIN 2 G INJ,376.29,376.29,26.34,376.29,47
CDM,225231,MAG SULFATE 5G/10ML INJ,16.12,16.12,1.13,16.12,47
CDM,225233,MAG SULFATE 1G INJ,12.59,12.59,0.88,12.59,47
CDM,225237,NEURONTIN 300MG/6ML OS,526.08,526.08,36.83,526.08,67
CDM,225239,SUTURE CERCLAGE,16276.0,16276.0,1790.36,16276.0,57
CDM,225258,WIRE CARDIAC PCNG TEMP,5623.0,5623.0,393.61,5623.0,71
CDM,225262,NAIL BN 11MM 345MM,23258.0,23258.0,2558.38,23258.0,57
CDM,225280,CRT-P CRD 11X46.5X59MM,129373.0,129373.0,14231.03,129373.0,57
CDM,225281,COMPRESSION BRA L,3029.0,3029.0,212.03,3029.0,71
CDM,225282,COMPRESSION BRA XL,3363.0,3363.0,235.41,3363.0,71
CDM,225284,SEALER VESSEL EXTEND,11433.0,11433.0,800.31,11433.0,71
CDM,225288,SCREW SPN P-AX 8X40MM,15186.0,15186.0,1670.46,15186.0,57
CDM,225291,FLT3 TYROSINE KINASE DOM,3415.8,3415.8,239.11,3415.8,47
CDM,225308,PLATE C-TB 4HL 1.5X9MM,3019.0,3019.0,332.09,3019.0,57
CDM,225311,DIALYSATE SOL2000-2999ML,176.28,176.28,12.34,176.28,59
CDM,225312,DIALYSATE SOL 6000 ML+,428.45,428.45,29.99,428.45,59
CDM,225313,THROMBIN-JMI 5000 U TOP,423.19,423.19,29.62,423.19,59
CDM,225344,CLONIDINE HCL 1 MG INJ,158.01,158.01,11.06,158.01,47
CDM,225344,"Injection, clonidine hydrochloride, 1 mg ",158.01,158.01,17.38,151.11,17
CDM,225356,SCREW BN LCK 5MM 46MM,2913.0,2913.0,320.43,2913.0,57
CDM,225357,NAIL BN 11MM 360MM,22400.0,22400.0,2464.0,22400.0,57
CDM,225359,NAIL FEM 10D 12MM 320MM,30825.0,30825.0,3390.75,30825.0,57
CDM,225363,GWIRE W/STOP 3.2MM,3720.0,3720.0,260.4,3720.0,71
CDM,225376,CMPNT TIB KN 8MM,42154.0,42154.0,4636.94,42154.0,57
CDM,225377,BSPLT TIB SZ4 75MM M/L,85581.0,85581.0,9413.91,85581.0,57
CDM,225378,PIN FEM FX AXL SZ 4,45385.0,45385.0,4992.35,45385.0,57
CDM,225383,STEM XTN STRT 12X100MM,18662.0,18662.0,2052.82,18662.0,57
CDM,225384,SCREW BN MXLFCL 2X12MM,1629.0,1629.0,179.19,1629.0,57
CDM,225393,SYSTEM DELIVERY ICD,16570.0,16570.0,1159.9,16570.0,71
CDM,225417,UL CT PROCEDURE,2871.09,2871.09,200.98,2871.09,43
CDM,225431,CMPNT FEM KN RT SZ4,88920.0,88920.0,9781.2,88920.0,57
CDM,225432,INTRODUCER ORTH 13GA,5623.0,5623.0,393.61,5623.0,71
CDM,225434,SCREW SPN 6MM 35MM,12330.0,12330.0,1356.3,12330.0,57
CDM,225436,STEM FEM 14MM 60MM,25515.0,25515.0,2806.65,25515.0,57
CDM,225437,INSERT TIB KN SZ4 14MM,48401.0,48401.0,5324.11,48401.0,57
CDM,225438,BASEPLATE TIB KN SZ4,66821.0,66821.0,7350.31,66821.0,57
CDM,225440,AUGMENT FEM KN 4MM 4,19866.0,19866.0,2185.26,19866.0,57
CDM,225441,STEM FEM KN 16MM 110MM,27045.0,27045.0,2974.95,27045.0,57
CDM,225442,SCREW SPN 8MM 50MM,18350.0,18350.0,2018.5,18350.0,57
CDM,225445,SHEATH INTRO 10.5FR 13CM,1599.0,1599.0,111.93,1599.0,71
CDM,225446,GWIRE VASC 95CM,4685.0,4685.0,327.95,4685.0,71
CDM,225461,PLATE SPN ARCHN 1LVL34MM,24045.0,24045.0,2644.95,24045.0,57
CDM,225464,STEM 25MM CLR 11X120MM,67885.0,67885.0,7467.35,67885.0,57
CDM,225474,SUTURE TAPE W/B 1.3MM,3454.0,3454.0,241.78,3454.0,71
CDM,225483,DRILL SPN 15MM,1874.0,1874.0,131.18,1874.0,71
CDM,225513,IVIG PRIVIGEN 40G/400ML,40283.22,40283.22,2819.83,40283.22,42
CDM,225535,DALBAVANCIN 500 MG INJ,9607.32,9607.32,672.51,9607.32,42
CDM,225535,"Injection, dalbavancin, 5 mg ",9607.32,9607.32,14.55,132.98,17
CDM,225543,BAG URO DRAIN W ADPTR,1023.0,1023.0,71.61,1023.0,71
CDM,225546,BLADE SHAVER 4.8MM 130MM,1707.0,1707.0,119.49,1707.0,71
CDM,225547,SET INFS 20GA 1.5IN,317.0,317.0,22.19,317.0,71
CDM,225548,INSERT TIB KN SZ4 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,225552,STEM FEM 18MM 60MM,27045.0,27045.0,2974.95,27045.0,57
CDM,225553,STEM FEM KN 24MM 110MM,27045.0,27045.0,2974.95,27045.0,57
CDM,225555,BASEPLATE TIB KN SZ6,64500.0,64500.0,7095.0,64500.0,57
CDM,225556,INSERT TIB KN SZ7 10MM,48401.0,48401.0,5324.11,48401.0,57
CDM,225557,AUGMENT FEM 12MM,19866.0,19866.0,2185.26,19866.0,57
CDM,225563,GIRDLE ABOVE KNEE ZIPPER,3267.0,3267.0,228.69,3267.0,71
CDM,225564,GIRDLE ABOVE KNEE ZIPPER,2892.0,2892.0,202.44,2892.0,71
CDM,225565,GIRDLE ABOVE KNEE ZIPPER,2517.0,2517.0,176.19,2517.0,71
CDM,225566,GIRDLE KNEE ZIPPER L,2517.0,2517.0,176.19,2517.0,71
CDM,225567,COMPRESSION BRA XXXL,3778.0,3778.0,264.46,3778.0,71
CDM,225568,COMPRESSION BRA XXL,3404.0,3404.0,238.28,3404.0,71
CDM,225571,INTRO SHTH 9FR 63CM,2680.0,2680.0,187.6,2680.0,71
CDM,225580,HEAD FEM HIP +5MM 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,225592,NAIL FEM CANN 12MM 340MM,39333.0,39333.0,4326.63,39333.0,57
CDM,225593,SCREW BN 5MM 36MM,3079.0,3079.0,338.69,3079.0,57
CDM,225594,IMPLANT TMPMNDB LT 50MM,102767.0,102767.0,11304.37,102767.0,57
CDM,225625,WIRE .021 X 145,767.0,767.0,53.69,767.0,71
CDM,225626,GUIDEWIRE .018X125 STRT,767.0,767.0,53.69,767.0,71
CDM,225632,SYST GRAFT PREP 30MM,6127.0,6127.0,428.89,6127.0,71
CDM,225640,STEM FEM HIP SZ 1,49020.0,49020.0,5392.2,49020.0,57
CDM,225654,STEM FEM HIP SZ4,49020.0,49020.0,5392.2,49020.0,57
CDM,225728,BOLT EX FIX 12MM,282.0,282.0,19.74,282.0,71
CDM,225768,SYSTEM BNCMNT BRKW 100MM,931.0,931.0,65.17,931.0,71
CDM,225785,NEEDLE ASP 8GA 15CM,3186.0,3186.0,223.02,3186.0,71
CDM,225793,COMPONENT SEG 65MM ELEOS,82879.0,82879.0,9116.69,82879.0,57
CDM,225805,CMPNT FEM KN EXT 40MM,46540.0,46540.0,5119.4,46540.0,57
CDM,225806,PIN FEM DIST HIP/KN 1SZ,29345.0,29345.0,3227.95,29345.0,57
CDM,225807,COMPONENT TIB ELEOS HNG,50595.0,50595.0,5565.45,50595.0,57
CDM,225837,INSERT TIB KN 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,225851,FORCEPS BIP 1.5MM 8IN,7888.0,7888.0,552.16,7888.0,71
CDM,225853,WEDGE TIB 2 H15MM MBT ST,26865.0,26865.0,2955.15,26865.0,57
CDM,225856,PLATE ARCH 3 LVL 56MM,24045.0,24045.0,2644.95,24045.0,57
CDM,225867,BIT DRILL 3.2MM STAINLES,3748.0,3748.0,262.36,3748.0,71
CDM,225869,BLADE OSTEO FLAT 1.5IN,5623.0,5623.0,393.61,5623.0,71
CDM,225871,CONE TIB KN SHORT 18MM,64501.0,64501.0,7095.11,64501.0,57
CDM,225890,SCREW SPNL 4.5MM 17MM,1899.0,1899.0,208.89,1899.0,57
CDM,225891,SCREW SPN 4MM 12MM S/T,1899.0,1899.0,208.89,1899.0,57
CDM,225894,VALVE AORTIC 19MM,156528.0,156528.0,17218.08,156528.0,57
CDM,225918,CATH BLN INFL DEVICE,1687.0,1687.0,118.09,1687.0,71
CDM,225978,CANNULA IV 18GA 1IN BLNT,1508.0,1508.0,105.56,1508.0,71
CDM,225979,MESH CRNL 90X90.03MM,36507.0,36507.0,4015.77,36507.0,57
CDM,225983,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,225984,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,225986,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,226000,SCREW BN 5MM 55MM,10350.0,10350.0,1138.5,10350.0,57
CDM,226005,STEM FEM NK GRDN HIP,110446.0,110446.0,12149.06,110446.0,57
CDM,226007,STM FEM 90MM M/F MIDSEC,65216.0,65216.0,7173.76,65216.0,57
CDM,226011,SCREW SPN VPR 7X40MM,11889.0,11889.0,1307.79,11889.0,57
CDM,226013,SCREW SPN 7MM 45MM,14328.0,14328.0,1576.08,14328.0,57
CDM,226014,SCREW SPN 7MM 50MM,11634.0,11634.0,1279.74,11634.0,57
CDM,226015,SCREW SPN P-AX 8X45MM,11303.0,11303.0,1243.33,11303.0,57
CDM,226016,PLATE STRNM LCK 1.8MM 6H,9016.0,9016.0,991.76,9016.0,57
CDM,226017,SCREW BN 2.3MM 17MM,1243.0,1243.0,136.73,1243.0,57
CDM,226018,SCREW BN 2.3MM 15MM,1009.0,1009.0,110.99,1009.0,57
CDM,226019,STEM HUM SHLDR UNIV SZ9,72953.0,72953.0,8024.83,72953.0,57
CDM,226020,ANCHOR SUT 4.75MM 14MM,10789.0,10789.0,1186.79,10789.0,57
CDM,226037,LINER ACTB HIP +4MM,14190.0,14190.0,1560.9,14190.0,57
CDM,226046,TC99M TILMANOC DX 0.5MCI,4718.72,4718.72,330.31,4718.72,46
CDM,226051,TDAP VAC >=7YRS IM,319.12,319.12,22.34,319.12,47
CDM,226051,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",319.12,319.12,38.3,466.94,17
CDM,226061,NAIL BN 10MM 345MM,23258.0,23258.0,2558.38,23258.0,57
CDM,226064,SCREW BN LCK XL25 5/28MM,2913.0,2913.0,320.43,2913.0,57
CDM,226080,CAGE SPN 12D 15-20MM,91259.0,91259.0,10038.49,91259.0,57
CDM,226127,CATH BLNDIL 2.25MM 135CM,17991.0,17991.0,1259.37,17991.0,71
CDM,226154,PLATE 90D 127X19MM 7HL,11834.0,11834.0,1301.74,11834.0,57
CDM,226174,PLATE RT LCK 4X3HL 30MM,7221.0,7221.0,794.31,7221.0,57
CDM,226196,PLATE BN 3.5MM 275MM,28235.0,28235.0,3105.85,28235.0,57
CDM,226197,PLATE BN 3.5MM 275MM,24956.0,24956.0,2745.16,24956.0,57
CDM,226198,PLATE BN 20HL 3.5X301MM,25773.0,25773.0,2835.03,25773.0,57
CDM,226273,INSERT BRNG KN TIB3 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,226297,LINER ACTB HIP SZF 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,226316,KIT DRN PLEURAGUIDE THOR,2524.0,2524.0,176.68,2524.0,71
CDM,226326,NAIL BN THRD PEG 5X30MM,8981.0,8981.0,987.91,8981.0,57
CDM,226338,CAGE SPNL 28X9X9MM 6D LM,50620.0,50620.0,5568.2,50620.0,57
CDM,226386,PLATE 5MM CRNFCL LT 2MM,5076.0,5076.0,558.36,5076.0,57
CDM,226403,ROD EXFX HFMN 400X6MM,2888.0,2888.0,202.16,2888.0,71
CDM,226426,ANCHOR BN 4.75X19.1MM,24845.0,24845.0,2732.95,24845.0,57
CDM,226428,BLADE OPTH MINI SZ15,206.0,206.0,14.42,206.0,71
CDM,226457,BASEPLATE TIB KN SZ3,27090.0,27090.0,2979.9,27090.0,57
CDM,226458,BASEPLATE TIB KN SZ6,27090.0,27090.0,2979.9,27090.0,57
CDM,226459,CMPNT TIBTRY 3 25MM KN,100179.0,100179.0,11019.69,100179.0,57
CDM,226498,BODY BRCHD 175MM 14MM,68562.0,68562.0,7541.82,68562.0,57
CDM,226499,MODEL CSTM MNDBL,75863.0,75863.0,5310.41,75863.0,71
CDM,226505,SCREW BN 2.4MM 10MM,864.0,864.0,95.04,864.0,57
CDM,226506,SCREW BN NLCKG 2.7X10MM,864.0,864.0,95.04,864.0,57
CDM,226543,COMPNT PTLR KN 31X9MM,11094.0,11094.0,1220.34,11094.0,57
CDM,226563,INS TIB KN SZ6 14MM,39732.0,39732.0,4370.52,39732.0,57
CDM,226565,CATHETER ANGIO 80CM 4FR,4685.0,4685.0,327.95,4685.0,71
CDM,226570,VIMPAT 200MG TABLET,136.1,136.1,9.53,136.1,67
CDM,226618,NEEDLE ASP 8GA 6IN,3186.0,3186.0,223.02,3186.0,71
CDM,226628,LINER ACTB HIP C 38MM,16770.0,16770.0,1844.7,16770.0,57
CDM,226638,SCREW BN 3.5MM 38MM,822.0,822.0,90.42,822.0,57
CDM,226643,COMPNT FEM KN 6 RT,87166.0,87166.0,9588.26,87166.0,57
CDM,226732,SCREW BN 5MM 4.4MM 30MM,2498.0,2498.0,274.78,2498.0,57
CDM,226742,SCREW BN 5MM 4.4MM 44MM,2498.0,2498.0,274.78,2498.0,57
CDM,226752,SCREW BN 5MM 70MM,2498.0,2498.0,274.78,2498.0,57
CDM,226762,SCREW BN LCK 5MM 80MM,2605.0,2605.0,286.55,2605.0,57
CDM,226772,SCREW BN LCK 5MM 85MM,3108.0,3108.0,341.88,3108.0,57
CDM,226782,SCREW BN LCK 5X4.4X90MM,2498.0,2498.0,274.78,2498.0,57
CDM,226792,PLATE BN 4HL 80MM,5371.0,5371.0,590.81,5371.0,57
CDM,226802,PLATE BN 4.5/5MM 147MM,12729.0,12729.0,1400.19,12729.0,57
CDM,226989,SUTURE FBRLNK 1.3MM,3186.0,3186.0,350.46,3186.0,57
CDM,226990,BURR SURG 10MM ZPHR RND,5623.0,5623.0,393.61,5623.0,71
CDM,226994,INSERT ART KN SZ3-4 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,227208,DEVICE CLS WND +2-0 45CM,1383.0,1383.0,96.81,1383.0,71
CDM,227272,SCREW BN SPN 6.5MM 45MM,14154.0,14154.0,1556.94,14154.0,57
CDM,227275,STAPLER INT .17IN 57MM,63546.0,63546.0,4448.22,63546.0,71
CDM,227277,STAPLER INT .14IN 57MM,8806.0,8806.0,616.42,8806.0,71
CDM,227295,PLATE BN XL 17MM,22943.0,22943.0,2523.73,22943.0,57
CDM,227298,IMPLANT BREAST 485CC,27229.0,27229.0,2995.19,27229.0,57
CDM,227362,CATH BLNDIL 6MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,227385,SPHNTM DOMETIP 5.5 FR,7430.0,7430.0,520.1,7430.0,71
CDM,227388,STENT BIL 8.5FR 10X60MM,48581.0,48581.0,5343.91,48581.0,57
CDM,227389,STENT BIL 8.5FR 8X60MM,48581.0,48581.0,5343.91,48581.0,57
CDM,227390,STENT BIL 8.5FR 8X80MM,48581.0,48581.0,5343.91,48581.0,57
CDM,227424,TOOL DSCT 14CM 9MM,3748.0,3748.0,262.36,3748.0,71
CDM,227426,SHELL ACTB SZ5 60MM,23220.0,23220.0,2554.2,23220.0,57
CDM,227443,PEG SMTH LCK 2.0X18MM,2054.0,2054.0,225.94,2054.0,57
CDM,227444,FIBER LASER 365UM,11430.0,11430.0,800.1,11430.0,71
CDM,227447,STEM FEM HIP TYPE1 SZB,80284.0,80284.0,8831.24,80284.0,57
CDM,227448,BLADE HLCL 90MM,12330.0,12330.0,1356.3,12330.0,57
CDM,227526,GUIDE WIRE 1.8X72MM,5623.0,5623.0,393.61,5623.0,71
CDM,227546,CATH BALL PTCA 3.5X15MM,11599.0,11599.0,811.93,11599.0,71
CDM,227547,CATH BALL PTCA 3.0X10MM,11599.0,11599.0,811.93,11599.0,71
CDM,227555,CATH BALL PTCA 2.0X15MM,11599.0,11599.0,811.93,11599.0,71
CDM,227633,SCREW SET 495MM,26715.0,26715.0,2938.65,26715.0,57
CDM,227634,SCREW BN SPN 5.5MM 35MM,10275.0,10275.0,1130.25,10275.0,57
CDM,227635,CANNULA ART 14FR 22.9CM,6721.0,6721.0,470.47,6721.0,71
CDM,227636,CANNULA ART 12FR 22.9CM,6721.0,6721.0,470.47,6721.0,71
CDM,227637,CANNULA ART 10F 22.9CM,6790.0,6790.0,475.3,6790.0,71
CDM,227638,CANNULA ART 8FR 22.9CM,6721.0,6721.0,470.47,6721.0,71
CDM,227719,SCREW BN LV1 2X6MM,2296.0,2296.0,252.56,2296.0,57
CDM,227766,PLATE BN STRL LV1,5962.0,5962.0,655.82,5962.0,57
CDM,227806,SCREW BN CRNMXF 1LVL,2362.0,2362.0,259.82,2362.0,57
CDM,227814,INSERT KN 3-4 RT 15MM,18383.0,18383.0,2022.13,18383.0,57
CDM,227838,SCREW SPN 6MM 40MM,14328.0,14328.0,1576.08,14328.0,57
CDM,227839,SCREW SPNL 5.5X6X45MM,15411.0,15411.0,1695.21,15411.0,57
CDM,227840,SCREW SPN 5.5X6X50MM,15411.0,15411.0,1695.21,15411.0,57
CDM,227870,SCREW BN 4MM 34MM,7925.0,7925.0,871.75,7925.0,57
CDM,227916,CATH BALL PTCA 2.0X10MM,11599.0,11599.0,811.93,11599.0,71
CDM,227955,CATH BALL PTCA 2.5X10MM,11599.0,11599.0,811.93,11599.0,71
CDM,227960,WEDGE TIB KN TIB 22MM,64501.0,64501.0,7095.11,64501.0,57
CDM,227980,IMPLANT MNDB 55MM RT,80022.0,80022.0,8802.42,80022.0,57
CDM,228049,SCREW BN SPN 6.5MM 35MM,13419.0,13419.0,1476.09,13419.0,57
CDM,228050,SCREW BN SPN 6.5MM 40MM,13419.0,13419.0,1476.09,13419.0,57
CDM,228053,HOOK PEDCL MED SHRT THRT,8859.0,8859.0,974.49,8859.0,57
CDM,228054,CATH BALL PTCA 3.5X10MM,11599.0,11599.0,811.93,11599.0,71
CDM,228055,HOOK SP LAMINAR LG TIP,7593.0,7593.0,835.23,7593.0,57
CDM,228078,PLATE ARCH 3 LVL 58MM,24045.0,24045.0,2644.95,24045.0,57
CDM,228079,SCREW SPN 4.5MM 15MM,1899.0,1899.0,208.89,1899.0,57
CDM,228088,CATH BALL PTCA 2.5X15MM,11599.0,11599.0,811.93,11599.0,71
CDM,228099,MESH HRN SFT 12X12IN,16440.0,16440.0,1808.4,16440.0,57
CDM,228106,CATH URTH 24F 8MM,1599.0,1599.0,111.93,1599.0,71
CDM,228141,SCREW BN 6.5X100X20MM,4765.0,4765.0,524.15,4765.0,57
CDM,228198,HANDPIECE ABL DISP,14913.0,14913.0,1043.91,14913.0,71
CDM,228199,TRAY DISP HANDPC W DLTR,14913.0,14913.0,1043.91,14913.0,71
CDM,228227,KIT GENERATOR NRSTM CHG,318147.0,318147.0,34996.17,318147.0,57
CDM,228234,STEM FEM M/F MID 50MM,61023.0,61023.0,6712.53,61023.0,57
CDM,228235,BSPLT TIB SZ3 70MM M/L,95078.0,95078.0,10458.58,95078.0,57
CDM,228236,CMPNT FEM KN 65MM,99411.0,99411.0,10935.21,99411.0,57
CDM,228238,INSERT KN REV SZ4 16MM,39732.0,39732.0,4370.52,39732.0,57
CDM,228239,CMPNT FEM KN 4 LT,88920.0,88920.0,9781.2,88920.0,57
CDM,228241,SCREW BN ER 1.2X12,1686.0,1686.0,185.46,1686.0,57
CDM,228251,SCREW BN 1.2MM 14MM,1686.0,1686.0,185.46,1686.0,57
CDM,228264,PIN BN 2.5MM 40MM,5919.0,5919.0,651.09,5919.0,57
CDM,228265,SCREW BN 3.5MM 24MM,2117.0,2117.0,232.87,2117.0,57
CDM,228325,IMPLANT CSTM MNDBL PRTH,183910.0,183910.0,20230.1,183910.0,57
CDM,228332,SCREW SPN 5MM 35MM,16452.0,16452.0,1809.72,16452.0,57
CDM,228333,SCREW SPN 5.5MM 5MM 30MM,15411.0,15411.0,1695.21,15411.0,57
CDM,228340,SPACER TIB POLY 12MM,42154.0,42154.0,4636.94,42154.0,57
CDM,228357,CATH ANG PGTL.030IN 3.3F,4685.0,4685.0,327.95,4685.0,71
CDM,228375,IMPLANT BREAST 700CC,27229.0,27229.0,2995.19,27229.0,57
CDM,228379,BLN 10-37MMX4.0CMX90CM,9945.0,9945.0,696.15,9945.0,71
CDM,228408,LINER REVERSE +6MM,19737.0,19737.0,2171.07,19737.0,57
CDM,228434,CMPNT FEM KN SZ+5,145897.0,145897.0,16048.67,145897.0,57
CDM,228440,COMPNT BIPLR 28MM 44MM,11610.0,11610.0,1277.1,11610.0,57
CDM,228442,COMPONT BIPLR 28MM 45MM,11610.0,11610.0,1277.1,11610.0,57
CDM,228460,DRILL TROCAR TP 4.6X300,7944.0,7944.0,556.08,7944.0,71
CDM,228468,INSERT TIB KN CRT 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,228476,CATH THROM REP 132CM,45568.0,45568.0,3189.76,45568.0,71
CDM,228477,KIT CATH THRMB 68 132CM,45568.0,45568.0,3189.76,45568.0,71
CDM,228478,CAGE SPN 16D 13X21X32MM,48089.0,48089.0,5289.79,48089.0,57
CDM,228480,TUBE FD 14F 1.0X15CM,21193.0,21193.0,1483.51,21193.0,71
CDM,228482,CATHETER PIG 5FR 80CM,4685.0,4685.0,327.95,4685.0,71
CDM,228484,SCREW BN 3MM 28MM,5138.0,5138.0,565.18,5138.0,57
CDM,228499,INSERT TIB KN 4 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,228503,NAIL 9MM 400MM FEM IM,29839.0,29839.0,3282.29,29839.0,57
CDM,228513,COMPONENT FEM 3 LT,41280.0,41280.0,4540.8,41280.0,57
CDM,228532,BASEPLATE TIB KN 4- LT N,25800.0,25800.0,2838.0,25800.0,57
CDM,228540,COMPNT BIPLR 28MM 48MM,11610.0,11610.0,1277.1,11610.0,57
CDM,228553,ANCHOR SUT ACL FIXATION,16605.0,16605.0,1826.55,16605.0,57
CDM,228573,STENT BIL 14FR 3.4CM,181607.0,181607.0,19976.77,181607.0,57
CDM,228611,SCREW BNE TI L50MM OD5.0,3977.0,3977.0,437.47,3977.0,57
CDM,228751,INSERT HIP SZ E 32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,228760,STENT AOR 14F 18X28MM,181607.0,181607.0,19976.77,181607.0,57
CDM,228761,INSERT HIP SZ F 32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,228773,INSERT TIB ULT 10MM SZA,13468.0,13468.0,1481.48,13468.0,57
CDM,228774,BASEPLATE TIB CMNT R SZ2,24510.0,24510.0,2696.1,24510.0,57
CDM,228782,PLATE BN S LT CLV 2.7MM,19396.0,19396.0,2133.56,19396.0,57
CDM,228793,CATH THRMB REP 132CM,39603.0,39603.0,2772.21,39603.0,71
CDM,228794,HINGE TIB W/O ROT 1 SZ,81190.0,81190.0,8930.9,81190.0,57
CDM,228809,KIT ORTHOGNATHIC CRNMXF,61111.0,61111.0,4277.77,61111.0,71
CDM,228810,BOLT EXFX HINGE LNG 16MM,3590.0,3590.0,251.3,3590.0,71
CDM,228812,SCREW BN CMPRS 5MM 85MM,8244.0,8244.0,906.84,8244.0,57
CDM,228826,CANNULA ART 23FR 31.8CM,7016.0,7016.0,491.12,7016.0,71
CDM,228839,STEM FEM 160X16MM MOD,13355.0,13355.0,1469.05,13355.0,57
CDM,228845,NAIL BN TIB 10X405MM,26859.0,26859.0,2954.49,26859.0,57
CDM,228847,INSERT TIB KN SZ3 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,228848,INSERT TIB KN BRNG 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,228858,PLATE BN 10HL 2.7MM 90MM,14653.0,14653.0,1611.83,14653.0,57
CDM,228863,IMPLANT BREAST 395CC,17982.0,17982.0,1978.02,17982.0,57
CDM,228872,PLATE BN KN SM 2.7MM,37375.0,37375.0,4111.25,37375.0,57
CDM,228875,RELOAD STPLR 2X40MM,5623.0,5623.0,618.53,5623.0,57
CDM,228876,RELOAD STPLR 1.5X40MM,5623.0,5623.0,618.53,5623.0,57
CDM,228877,STAPLER CUTTER CRVD 40MM,6556.0,6556.0,458.92,6556.0,71
CDM,228884,ANCHOR IMP SYS 4.75MM,29469.0,29469.0,3241.59,29469.0,57
CDM,228885,WEDGE KN SZ8 5MM 10MM,21376.0,21376.0,2351.36,21376.0,57
CDM,228893,WEDGE TIB KN SZ7 10MM,25410.0,25410.0,2795.1,25410.0,57
CDM,228917,SCREW BN 3.5MM 12MM LOPR,2508.0,2508.0,275.88,2508.0,57
CDM,228929,SCREW BN 5MM 38MM,2913.0,2913.0,320.43,2913.0,57
CDM,228930,GUIDE PIN 3.0X100MM,5435.0,5435.0,380.45,5435.0,71
CDM,228931,STEM HUM SHLDR SZ3,64501.0,64501.0,7095.11,64501.0,57
CDM,228933,SCREW BN 4MM 58MM,2762.0,2762.0,303.82,2762.0,57
CDM,228955,DRILL TWST 115MM 2.2MM N,5623.0,5623.0,393.61,5623.0,71
CDM,228988,STENT COVRD 8MM 40MM,53326.0,53326.0,5865.86,53326.0,57
CDM,229021,INSERT SHLDR SZ1 36MM,36120.0,36120.0,3973.2,36120.0,57
CDM,229032,TIP CAP OBT STD 8MM,10786.0,10786.0,755.02,10786.0,71
CDM,229051,CAGE SPN 12D 11X21X32MM,48089.0,48089.0,5289.79,48089.0,57
CDM,229060,INSERT BRNG KN SZ2 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,229065,SCREW BN 4MM 45MM,2466.0,2466.0,271.26,2466.0,57
CDM,229068,INSERT TIB KN 10MM SZA,13468.0,13468.0,1481.48,13468.0,57
CDM,229070,BASEPLATE KN CMNT SZ2,24510.0,24510.0,2696.1,24510.0,57
CDM,229076,NAIL BN 10MM 330MM,23258.0,23258.0,2558.38,23258.0,57
CDM,229077,WASHER BN LCK ATCHMNT 5D,20057.0,20057.0,2206.27,20057.0,57
CDM,229079,NAIL BN TIB 9MM 315MM,23184.0,23184.0,2550.24,23184.0,57
CDM,229081,SCREW BN LCK XL25 5X76MM,2913.0,2913.0,320.43,2913.0,57
CDM,229084,SCREW BN 5MM 74MM,2913.0,2913.0,320.43,2913.0,57
CDM,229085,WASHER BN FEM 5D LT,20057.0,20057.0,2206.27,20057.0,57
CDM,229123,HEAD FEM HIP +3.5MM 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,229128,SCREW BN 5MM 58MM,2913.0,2913.0,320.43,2913.0,57
CDM,229133,SCREW BN 5MM 38MM,3424.0,3424.0,376.64,3424.0,57
CDM,229140,HEAD FEM HIP 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,229144,INSERT TIB KN SZ4 19MM,39245.0,39245.0,4316.95,39245.0,57
CDM,229145,AUGMENT FEM KN SZ9 4MM,19866.0,19866.0,2185.26,19866.0,57
CDM,229151,IMPLANT BREAST 545CC,19009.0,19009.0,2090.99,19009.0,57
CDM,229153,INSERT TIB KN SZ6 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,229162,SCREW BN 2MM 12MM,4110.0,4110.0,452.1,4110.0,57
CDM,229165,BASEPLATE TIB KN SZ10,27090.0,27090.0,2979.9,27090.0,57
CDM,229166,AUG FEM DIST SZ10 4MM,19866.0,19866.0,2185.26,19866.0,57
CDM,229167,REV CRS FEM LT CMNT SZ10,88920.0,88920.0,9781.2,88920.0,57
CDM,229170,GDWIRE ORTH .062IN 1.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,229208,SCREW BN 3MM 34MM,8101.0,8101.0,891.11,8101.0,57
CDM,229251,INSERT KN TIB SZ2 8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,229252,COMPNT FEM KN BSPLT SZ5,23220.0,23220.0,2554.2,23220.0,57
CDM,229254,VALVE MITRAL 21MM,73472.0,73472.0,8081.92,73472.0,57
CDM,229255,COMPNT FEM KN PART SZ4,33540.0,33540.0,3689.4,33540.0,57
CDM,229256,COMPNT TIB KN SZ5 8MM,14190.0,14190.0,1560.9,14190.0,57
CDM,229261,TUBE FD 14F 1.2X10CM,21193.0,21193.0,1483.51,21193.0,71
CDM,229267,INTRO SHTH MCRO 4F 40X10,375.0,375.0,26.25,375.0,71
CDM,229274,INSERT KN REV 10MM SZ10,39732.0,39732.0,4370.52,39732.0,57
CDM,229278,STENT BIL 10-12MM 19MM,18768.0,18768.0,2064.48,18768.0,57
CDM,229280,NAIL BN TIB 9MM 300MM,23258.0,23258.0,2558.38,23258.0,57
CDM,229288,STENT BIL 10-12X25MM,15469.0,15469.0,1701.59,15469.0,57
CDM,229289,SCREW BN LCK NAIL 2X36MM,3530.0,3530.0,388.3,3530.0,57
CDM,229303,DEVICE STNT RTRVL 115CM,5623.0,5623.0,393.61,5623.0,71
CDM,229305,PIN SET UNIVERS REVERSE,11433.0,11433.0,800.31,11433.0,71
CDM,229350,CATH GD CTLST 112CM .058,28786.0,28786.0,2015.02,28786.0,71
CDM,229371,INSERT TIB SIZE 2-13,14190.0,14190.0,1560.9,14190.0,57
CDM,229408,SCREW BN 5MM 36MM 25MM,3561.0,3561.0,391.71,3561.0,57
CDM,229419,STENT BIL 4X17X14MM 80CM,14213.0,14213.0,1563.43,14213.0,57
CDM,229447,SCREW BN LP 2X13MM,3247.0,3247.0,357.17,3247.0,57
CDM,229450,PLATE STRL ROT 1.6MM 6HL,23345.0,23345.0,2567.95,23345.0,57
CDM,229451,SCREW BN 2.0MM 11MM,3247.0,3247.0,357.17,3247.0,57
CDM,229454,SCREW BN 1.6MM 10MM,4110.0,4110.0,452.1,4110.0,57
CDM,229502,SCREW BN 5MM 85MM,2466.0,2466.0,271.26,2466.0,57
CDM,229520,BIT DRILL PWR 1.6MM,3870.0,3870.0,270.9,3870.0,71
CDM,229526,SET CATH 4FR 8CM .018IN,5623.0,5623.0,393.61,5623.0,71
CDM,229536,NAIL FEM 12MM 380MM,29367.0,29367.0,3230.37,29367.0,57
CDM,229537,SCREW BN LCK XL25 5/68MM,2913.0,2913.0,320.43,2913.0,57
CDM,229541,CATH VASC TEMP 3F 20CM,5623.0,5623.0,393.61,5623.0,71
CDM,229546,HEAD FEM HIP 22MM 44MM,9030.0,9030.0,993.3,9030.0,57
CDM,229551,GUIDE ROBOTIC DROP IN,6858.0,6858.0,480.06,6858.0,71
CDM,229569,SCREW BN 5MM 72MM,2913.0,2913.0,320.43,2913.0,57
CDM,229571,BLADE SHVR 4MM,2886.0,2886.0,202.02,2886.0,71
CDM,229572,PIN GD TEMP 4X140MM,1599.0,1599.0,111.93,1599.0,71
CDM,229573,INTEGRA MESHED 1SQCM,808.0,808.0,56.56,808.0,53
CDM,229576,FLEX ALLOPATCH HD 1SQCM,660.0,660.0,46.2,660.0,53
CDM,229583,ALLODERM 1SQCM,778.0,778.0,54.46,778.0,47
CDM,229586,OASIS WOUND MATRIX 1SQCM,185.0,185.0,12.95,185.0,47
CDM,229587,INTEGRA MESHED 1SQCM,481.0,481.0,33.67,481.0,53
CDM,229588,MATRISTEM MICROMATRX 1MG,39.0,39.0,2.73,39.0,47
CDM,229590,ALLODERM 1SQCM,404.0,404.0,28.28,404.0,47
CDM,229599,FLEX ALLOPATCH HD 1SQCM,428.0,428.0,29.96,428.0,53
CDM,229602,FLEX ALLOPATCH HD 1SQCM,575.0,575.0,40.25,575.0,53
CDM,229607,EPIFIX 1SQCM,3328.0,3328.0,232.96,3328.0,47
CDM,229607,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",3328.0,3328.0,209.78,1285.62,15
CDM,229615,APLIGRAF 1SQCM,523.0,523.0,36.61,523.0,47
CDM,229622,MATRISTEM MICROMATRX 1MG,42.0,42.0,2.94,42.0,47
CDM,229623,PURAPLY AM 1SQCM,1805.0,1805.0,126.35,1805.0,47
CDM,229624,PURAPLY AM 1SQCM,1872.0,1872.0,131.04,1872.0,47
CDM,229626,OASIS WOUND MATRIX 1SQCM,194.0,194.0,13.58,194.0,47
CDM,229644,INTEGRA MESHED 1SQCM,2147.0,2147.0,150.29,2147.0,53
CDM,229659,FLEX ALLOPATCH HD 1SQCM,914.0,914.0,63.98,914.0,53
CDM,229663,FLEX ALLOPATCH HD 1SQCM,444.0,444.0,31.08,444.0,53
CDM,229665,ALLODERM 1SQCM,486.0,486.0,34.02,486.0,47
CDM,229669,FLEX ALLOPATCH HD 1SQCM,432.0,432.0,30.24,432.0,53
CDM,229675,FLEX ALLOPATCH HD 1SQCM,1314.0,1314.0,91.98,1314.0,53
CDM,229678,FLEX ALLOPATCH HD 1SQCM,467.0,467.0,32.69,467.0,53
CDM,229684,SURGIMEND 0.5 SQCM,164.0,164.0,18.04,164.0,57
CDM,229687,FLEX ALLOPATCH HD 1SQCM,647.0,647.0,45.29,647.0,53
CDM,229696,STRATTICE TM 1SQCM,691.0,691.0,76.01,691.0,57
CDM,229697,INTEGRA MESHED 1SQCM,613.0,613.0,42.91,613.0,53
CDM,229706,FLEX ALLOPATCH HD 1SQCM,437.0,437.0,30.59,437.0,53
CDM,229707,PURAPLY AM 1SQCM,3760.0,3760.0,263.2,3760.0,47
CDM,229708,NEOX CLARIX CORD 1SQCM,2089.0,2089.0,146.23,2089.0,53
CDM,229710,NEOX CLARIX CORD 1SQCM,1857.0,1857.0,129.99,1857.0,53
CDM,229712,DERMACELL AWM PORO 1SQCM,759.0,759.0,53.13,759.0,53
CDM,229713,FLEX ALLOPATCH HD 1SQCM,432.0,432.0,30.24,432.0,53
CDM,229714,GRAFTJACKET 1SQCM,1870.0,1870.0,130.9,1870.0,47
CDM,229715,FLEX ALLOPATCH HD 1SQCM,720.0,720.0,50.4,720.0,53
CDM,229716,FLEX ALLOPATCH HD 1SQCM,636.0,636.0,44.52,636.0,53
CDM,229764,CYTAL 1SQCM,799.0,799.0,55.93,799.0,53
CDM,229768,CYTAL 1SQCM,601.0,601.0,42.07,601.0,53
CDM,229784,FLEX ALLOPATCH HD 1SQCM,664.0,664.0,46.48,664.0,53
CDM,229818,STEM HUM SHLDR REV SZ12,75473.0,75473.0,8302.03,75473.0,57
CDM,229823,CYTAL 1SQCM,481.0,481.0,33.67,481.0,53
CDM,229827,510K SKN SUB NOS 1SQCM,997.0,997.0,69.79,997.0,53
CDM,229865,CYTAL 1SQCM,641.0,641.0,44.87,641.0,53
CDM,229888,HEATED HIGH FLOW O2 HR,211.55,211.55,14.81,211.55,71
CDM,229889,CAR SEAT/BED TST<=12M 60,210.1,210.1,14.71,210.1,59
CDM,229889,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",210.1,210.1,91.93,178.85,6
CDM,229897,CHEMO IV EA ADD HOUR,401.07,401.07,28.07,401.07,49
CDM,229898,CHEMO IV SING/IN DR 1 HR,1596.65,1596.65,111.77,1596.65,49
CDM,229917,CYST/URETER STRICTURE TX,19282.57,19282.57,2121.08,19282.57,37
CDM,229917,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",19282.57,19282.57,1125.76,9908.0,47
CDM,229917,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Age 21+",19282.57,19282.57,1257.19,1257.19,4
CDM,229917,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Age Under 21",19282.57,19282.57,1280.05,1280.05,4
CDM,229922,CEFIDEROCOL 1 G INJ,1257.3,1257.3,88.01,1257.3,42
CDM,229955,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,229956,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,229957,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,229958,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,229960,IVP EA ADD SEQ NEW DR GY,664.51,664.51,46.52,664.51,48
CDM,229967,IVP EA ADD SEQ NEW DR GY,570.65,570.65,39.95,570.65,59
CDM,229968,IVP EA ADD SEQ NEW DR GY,664.51,664.51,46.52,664.51,48
CDM,229990,CTA UPPER EXTREMITY LT,2126.75,2126.75,148.87,2126.75,43
CDM,230078,CTA UPPER EXTREMITY RT,2126.75,2126.75,148.87,2126.75,43
CDM,230079,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,230150,JAK2 TARGET SEQ ANALYSIS,4269.35,4269.35,298.85,4269.35,51
CDM,230152,SCREW BN SPN 3.5MM 30MM,38512.0,38512.0,4236.32,38512.0,57
CDM,230154,SCREW BN 5.5MM 32MM,3535.0,3535.0,388.85,3535.0,57
CDM,230160,COMP FEM KN LT SZ9,88920.0,88920.0,9781.2,88920.0,57
CDM,230165,SCREW BN 3.5MM 14MM,3525.0,3525.0,387.75,3525.0,57
CDM,230178,MESH ABDOMINAL 2-4 X6 EL,80961.0,80961.0,8905.71,80961.0,57
CDM,230179,MESH HERNIA PLTFORM 4.5,47245.0,47245.0,5196.95,47245.0,57
CDM,230196,PLATE BN CLVCL RT 2.7MM,18265.0,18265.0,2009.15,18265.0,57
CDM,230198,NAIL BN FEM 5D 11X400MM,27789.0,27789.0,3056.79,27789.0,57
CDM,230246,CNTRSNK DISP 6.5/7.5MM,8118.0,8118.0,568.26,8118.0,71
CDM,230253,DERMACELL AWM PORO 1SQCM,754.0,754.0,52.78,754.0,53
CDM,230275,IMPLANT BREAST 430CC,19009.0,19009.0,2090.99,19009.0,57
CDM,230285,DERMACELL AWM PORO 1SQCM,768.0,768.0,53.76,768.0,53
CDM,230296,CATH .038 JL2.5 CRV 4FR,1020.0,1020.0,71.4,1020.0,71
CDM,230300,INSRT ARTC KN 10-12 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,230338,SCREW BN 5X48MM XL25,3424.0,3424.0,376.64,3424.0,57
CDM,230348,CATH DCB 4X100MM 75CM,19056.0,19056.0,1333.92,19056.0,71
CDM,230350,STENT VASC COVRD 9X100MM,53326.0,53326.0,5865.86,53326.0,57
CDM,230360,STENT REVAS 5MMX37MM,101906.0,101906.0,7133.42,101906.0,71
CDM,230362,STENT REVAS 5MMX27MM,101906.0,101906.0,7133.42,101906.0,71
CDM,230363,ANCHOR IMPL SYS 4.75MM,27414.0,27414.0,3015.54,27414.0,57
CDM,230366,DEVICE REVSC 6.5X45MM,101906.0,101906.0,7133.42,101906.0,71
CDM,230393,CANNULA PRFSN 14IN 20FR,1599.0,1599.0,111.93,1599.0,71
CDM,230394,CANNULA PRFSN 10FR 9IN,2263.0,2263.0,158.41,2263.0,71
CDM,230395,CANNULA PRFSN 22FR 12IN,1599.0,1599.0,111.93,1599.0,71
CDM,230427,SYSTEM CRDPLG PED 80IN,2044.0,2044.0,143.08,2044.0,71
CDM,230430,SCREW BN 5MM 46MM,13954.0,13954.0,1534.94,13954.0,57
CDM,230453,PLATE BN 20HL 111MM,10954.0,10954.0,1204.94,10954.0,57
CDM,230471,CATHETER EP 2-5-2MM SPC,1599.0,1599.0,111.93,1599.0,71
CDM,230480,LEAD PCNG 58CM,56914.0,56914.0,6260.54,56914.0,57
CDM,230487,CANN PRFSN 10F 22.9CM,2482.0,2482.0,173.74,2482.0,71
CDM,230490,CANN PRFSN 6F .48CM 9IN,3333.0,3333.0,233.31,3333.0,71
CDM,230494,INSERT KN TIB SZ4-5 15MM,27558.0,27558.0,3031.38,27558.0,57
CDM,230497,CANN PRFSN 14F 12CM,5623.0,5623.0,393.61,5623.0,71
CDM,230510,NAIL BN 5D 12X340MM,27743.0,27743.0,3051.73,27743.0,57
CDM,230511,NAIL BN 10MM 360MM,23258.0,23258.0,2558.38,23258.0,57
CDM,230515,KIT SPCLTY DRS 10X30CM,6518.0,6518.0,456.26,6518.0,71
CDM,230517,SET ATOLGS GRF DEL 850,11433.0,11433.0,800.31,11433.0,71
CDM,230547,STEM FEM KN 12MM +135MM,37385.0,37385.0,4112.35,37385.0,57
CDM,230550,SYSTEM IMPLANT SUT/DRILL,38881.0,38881.0,4276.91,38881.0,57
CDM,230588,CHECKPOINT IMP 3.5MM,2111.0,2111.0,147.77,2111.0,71
CDM,230606,HEAD HUM SHD 22MM 52MM,64501.0,64501.0,7095.11,64501.0,57
CDM,230627,SCREW BN 2.7MM 13MM,2569.0,2569.0,282.59,2569.0,57
CDM,230629,PIN INSTR KIT 2.8MM,6546.0,6546.0,458.22,6546.0,71
CDM,230635,SCREW BN XL25 5X34MM,3530.0,3530.0,388.3,3530.0,57
CDM,230659,PLATE BN LNG LOPRO STRT,26284.0,26284.0,2891.24,26284.0,57
CDM,230666,WASHER BN ORTH 6MM,1028.0,1028.0,113.08,1028.0,57
CDM,230672,SCREW BN LCK 5X80MM,2466.0,2466.0,271.26,2466.0,57
CDM,230679,ICD XT MRI DF4,171093.0,171093.0,18820.23,171093.0,57
CDM,230690,PLATE BN RT 1.6MM 3MM,5675.0,5675.0,624.25,5675.0,57
CDM,230726,SCREW SPN 6.5MM 35MM,102767.0,102767.0,11304.37,102767.0,57
CDM,230729,ROD CARBON 350MM EX FIX,6218.0,6218.0,435.26,6218.0,71
CDM,230764,HEAD FEM HIP 12/14 3MM,33902.0,33902.0,3729.22,33902.0,57
CDM,230765,HEAD FEM HIP 12/14 -6MM,33902.0,33902.0,3729.22,33902.0,57
CDM,230825,SCREW HDLS CMPR 6.5X75MM,13650.0,13650.0,1501.5,13650.0,57
CDM,230827,CORD VBT TETHER 300MM,130924.0,130924.0,14401.64,130924.0,57
CDM,230828,TETHER 12MM VBT ANCHO,20248.0,20248.0,2227.28,20248.0,57
CDM,230830,SCREW SPN 6.0X27.5MM,113017.0,113017.0,12431.87,113017.0,57
CDM,230833,SCREW SPN 6.0X32.5MM,113017.0,113017.0,12431.87,113017.0,57
CDM,230834,SCREW SPN 6.0X37.5MM,113017.0,113017.0,12431.87,113017.0,57
CDM,230852,IMPLANT BREAST 470CC,23633.0,23633.0,2599.63,23633.0,57
CDM,230853,CRTD XT MRI IS1 DF1,261286.0,261286.0,28741.46,261286.0,57
CDM,230857,ICD DEFB DLCHMBR MRI IS1,180249.0,180249.0,19827.39,180249.0,57
CDM,230861,SCREW BN 5MM 72MM,3424.0,3424.0,376.64,3424.0,57
CDM,230862,SCREW BN NAIL LCK 5X40MM,3530.0,3530.0,388.3,3530.0,57
CDM,230863,SYSTEM VBT CLOSURE LOCK,13921.0,13921.0,1531.31,13921.0,57
CDM,230879,COMPNT FEM 9.5MM 175MM,43860.0,43860.0,4824.6,43860.0,57
CDM,230883,ELCTRD BRAIN 12 40.5MM,16189.0,16189.0,1133.23,16189.0,71
CDM,230884,ELCTRD BRAIN 14 47.5MM,16852.0,16852.0,1179.64,16852.0,71
CDM,230892,COMPNT FEM LT SZ4N,36636.0,36636.0,4029.96,36636.0,57
CDM,230894,ELCTRD BRAIN 16 68.5MM,17084.0,17084.0,1195.88,17084.0,71
CDM,230895,ELCTRD BRAIN 16 61.5MM,16670.0,16670.0,1166.9,16670.0,71
CDM,230896,ELCTRD BRAIN 16 54.5MM,17763.0,17763.0,1243.41,17763.0,71
CDM,230905,SCREW BN LCK 5X62MM,2913.0,2913.0,320.43,2913.0,57
CDM,230923,CATH EMBL 5FR+ 80CM,4461.0,4461.0,312.27,4461.0,71
CDM,230925,TUBE FD 14F 1.2X30CM,21193.0,21193.0,1483.51,21193.0,71
CDM,230933,CAGE SPNL 15MM 12MM RND,21424.0,21424.0,2356.64,21424.0,57
CDM,230956,PLATE CRNMXF 5X.6MM,4055.0,4055.0,446.05,4055.0,57
CDM,230959,CMPNT BRNG KN SZ5 LM/RL,33540.0,33540.0,3689.4,33540.0,57
CDM,230969,CANNULA PRFSN 19FR 50CM,5623.0,5623.0,393.61,5623.0,71
CDM,230988,PLATE BN 3HL 2.7MM,35663.0,35663.0,3922.93,35663.0,57
CDM,231000,FLEX ALLOPATCH HD 1SQCM,456.0,456.0,31.92,456.0,53
CDM,231006,CYTAL 1SQCM,385.0,385.0,26.95,385.0,53
CDM,231042,DERMAPURE 1SQCM,1470.0,1470.0,102.9,1470.0,53
CDM,231058,ALLODERM 1SQCM,778.0,778.0,54.46,778.0,47
CDM,231077,PLATE MESH 446.050,9988.0,9988.0,1098.68,9988.0,57
CDM,231093,GRAFTJACKET 1SQCM,2432.0,2432.0,170.24,2432.0,47
CDM,231112,DERMAPURE 1SQCM,584.0,584.0,40.88,584.0,53
CDM,231117,CANNULA FEM VN 25FR 65CM,11430.0,11430.0,800.1,11430.0,71
CDM,231136,"Microporous collagen implantable tube (neuragen nerve guide), per centimeter length ",9691.0,9691.0,6406.56,9054.52,6
CDM,231136,NEURAGN NRV GD 1CM LNGTH,9691.0,9691.0,1066.01,9691.0,51
CDM,231138,CYTAL 1SQCM,513.0,513.0,35.91,513.0,53
CDM,231238,510K SKN SUB NOS 1SQCM,864.0,864.0,60.48,864.0,53
CDM,231239,510K SKN SUB NOS 1SQCM,513.0,513.0,35.91,513.0,53
CDM,231242,510K SKN SUB NOS 1SQCM,565.0,565.0,39.55,565.0,53
CDM,231289,ROD EXFIX THRD 350MM,2888.0,2888.0,202.16,2888.0,71
CDM,231304,F18 FLUOROESTRAD DX 1MCI,3427.26,3427.26,239.91,3427.26,49
CDM,231397,INTRO SET 9FR 13CM,1599.0,1599.0,111.93,1599.0,71
CDM,231582,IMPLANT HD 28MM 55MM,11017.0,11017.0,1211.87,11017.0,57
CDM,231585,BASEPLT TIB KN LM-RL SZ5,23220.0,23220.0,2554.2,23220.0,57
CDM,231592,FIBER LASER 600UM,11599.0,11599.0,811.93,11599.0,71
CDM,231598,SCREW SPN 6.5X37.5MM,102767.0,102767.0,11304.37,102767.0,57
CDM,231600,MODEL MNDBL CUSTM,183910.0,183910.0,20230.1,183910.0,57
CDM,231602,TUBE FD 14F 1.2X22CM,21193.0,21193.0,1483.51,21193.0,71
CDM,231603,PLATE 100D 10MM DSPL 50M,8867.0,8867.0,975.37,8867.0,57
CDM,231604,PLATE 100D 15X4.5,10274.0,10274.0,1130.14,10274.0,57
CDM,231614,PLATE SM STR MNDB 4 HL A,4638.0,4638.0,510.18,4638.0,57
CDM,231626,INSERT BRNG KN TIB7 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,231630,SUTURE 2-0 V-5 10X30IN,2140.0,2140.0,149.8,2140.0,71
CDM,231634,CATH BLNDIL 4X40MM,18890.0,18890.0,1322.3,18890.0,71
CDM,231661,LINER SHLDR HUM 36MM,19737.0,19737.0,2171.07,19737.0,57
CDM,231664,AUGMENT TIB 15MM,22575.0,22575.0,2483.25,22575.0,57
CDM,231687,STENT BIL 6X15X11MM 80CM,17449.0,17449.0,1919.39,17449.0,57
CDM,231697,GWIRE VASC 180CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,231714,HEAD FEM HIP 5MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,231721,NAIL BN TIB 9MM 330MM,23258.0,23258.0,2558.38,23258.0,57
CDM,231731,SCREW BN LCK IM NAIL 5MM,3530.0,3530.0,388.3,3530.0,57
CDM,231732,SCREW BN LCK 5MM 42MM,3424.0,3424.0,376.64,3424.0,57
CDM,231741,KWIRE SPN 1.45MM,9144.0,9144.0,640.08,9144.0,71
CDM,231768,BURR SURG STRT 2.9X13MM,11433.0,11433.0,800.31,11433.0,71
CDM,231778,SCREW CANN CMPR 6.5X35MM,13650.0,13650.0,1501.5,13650.0,57
CDM,231781,PLATE BN 6HL 2.4MM,23345.0,23345.0,2567.95,23345.0,57
CDM,231786,KIT SYSTEM TRAY,12913.0,12913.0,903.91,12913.0,71
CDM,231790,SYSTEM IMPLANT RT,36148.0,36148.0,3976.28,36148.0,57
CDM,231805,BURR CON 2.2MM 12MM,11430.0,11430.0,800.1,11430.0,71
CDM,231861,INSERT TIB KN SZ711MM,24510.0,24510.0,2696.1,24510.0,57
CDM,231868,SCREW BN 2.0MM 18MM,2569.0,2569.0,282.59,2569.0,57
CDM,231871,LINER HIP DUAL 38/50MM,25800.0,25800.0,2838.0,25800.0,57
CDM,231885,KIT SURFACE ELECTRODE,17813.0,17813.0,1246.91,17813.0,71
CDM,231891,PLATE LT K-SHP 8HL 1MM,15982.0,15982.0,1758.02,15982.0,57
CDM,231897,CATH GLIDE ANGLED 120CM,2032.0,2032.0,142.24,2032.0,71
CDM,231905,SCREW BN LCK 3.5MM 18MM,4378.0,4378.0,481.58,4378.0,57
CDM,231914,STENT URET 6F 24CM,10406.0,10406.0,1144.66,10406.0,57
CDM,231934,PLATE LINDORF 50-282-11,6730.0,6730.0,740.3,6730.0,57
CDM,231936,SCREW BN 2.4MM 26MM,4275.0,4275.0,470.25,4275.0,57
CDM,231940,WEDGE BN COTTON 20X6.5MM,61740.0,61740.0,6791.4,61740.0,57
CDM,231947,SCREW 2.0 X 6.0 CORTEX S,1314.0,1314.0,144.54,1314.0,57
CDM,231961,INSERT HUM 9+ 36MM 7.5D,12900.0,12900.0,1419.0,12900.0,57
CDM,231971,INSERT TIB KN 7 8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,231977,BODY STD FEMORAL PROXIMA,108076.0,108076.0,11888.36,108076.0,57
CDM,231982,FIBER LASER 242UM SZ3,27345.0,27345.0,1914.15,27345.0,71
CDM,231984,KIT ANCHOR SUT 3X14MM,12495.0,12495.0,1374.45,12495.0,57
CDM,231989,SCREW BN 3.5MM 22MM,10275.0,10275.0,1130.25,10275.0,57
CDM,231994,SCREW P-T 5MM 65MM PED,3380.0,3380.0,371.8,3380.0,57
CDM,231997,PLATE ANG LG 6.5X1.5MM M,18941.0,18941.0,2083.51,18941.0,57
CDM,232007,CATH DRN SKTR 8FR L25CM,2474.0,2474.0,173.18,2474.0,71
CDM,232014,DRILL SURG XL PRFL 7MM,5623.0,5623.0,393.61,5623.0,71
CDM,232015,ADAPTER STEM OFST KN 2MM,14448.0,14448.0,1589.28,14448.0,57
CDM,232032,SHELL BIPOLAR 28MM 48MM,11610.0,11610.0,1277.1,11610.0,57
CDM,232034,SCREW BN INTFR 6MM 20MM,8673.0,8673.0,954.03,8673.0,57
CDM,232035,BURR SHAVER 4.0MM,2969.0,2969.0,207.83,2969.0,71
CDM,232041,PLATE BN CLVCL 2.7MM,17632.0,17632.0,1939.52,17632.0,57
CDM,232042,IMPLANT BREAST 400CC,19009.0,19009.0,2090.99,19009.0,57
CDM,232045,SCREW BN 5MM 55MM,3380.0,3380.0,371.8,3380.0,57
CDM,232055,STEM FEM RT M/L 70MM SZ4,64501.0,64501.0,7095.11,64501.0,57
CDM,232056,STEM HIP H/OFF 97MM SZ2,49020.0,49020.0,5392.2,49020.0,57
CDM,232057,INSERT TIB KN 6MM,6889.0,6889.0,757.79,6889.0,57
CDM,232059,PROBE MSCL STM 0.75X70MM,5416.0,5416.0,379.12,5416.0,71
CDM,232072,STENT COR 5X23MM,6590.0,6590.0,724.9,6590.0,57
CDM,232087,CONE CNTRL FEM 15MM,101198.0,101198.0,11131.78,101198.0,57
CDM,232089,CONE CNTRL FEM 21MM,101198.0,101198.0,11131.78,101198.0,57
CDM,232090,NAIL BN 10MM 375MM,23258.0,23258.0,2558.38,23258.0,57
CDM,232098,BASEPLT KN CMNT SZ5,24510.0,24510.0,2696.1,24510.0,57
CDM,232103,COMPNT KN CMNT SZ5,36636.0,36636.0,4029.96,36636.0,57
CDM,232109,FORCEPS BX 1.2MM 286CM,11316.0,11316.0,792.12,11316.0,71
CDM,232114,IMPLANT BREAST 360CC,15413.0,15413.0,1695.43,15413.0,57
CDM,232115,IMPLANT BREAST 385CC,20550.0,20550.0,2260.5,20550.0,57
CDM,232126,NAIL FEM 9MM 235MM,32285.0,32285.0,3551.35,32285.0,57
CDM,232129,SCREW SPN 5.5MM 45MM,11390.0,11390.0,1252.9,11390.0,57
CDM,232159,PLATE BN 14HL 259MM,26387.0,26387.0,2902.57,26387.0,57
CDM,232187,SCREW BN NAIL LCK 5X30MM,3424.0,3424.0,376.64,3424.0,57
CDM,232188,SCREW BN NAIL LCK 5X56MM,3519.0,3519.0,387.09,3519.0,57
CDM,232193,PLATE RT K-SHP 8HL 1MM,17504.0,17504.0,1925.44,17504.0,57
CDM,232203,SCREW BN 2MM 8MM,2405.0,2405.0,264.55,2405.0,57
CDM,232209,COMPNT FEM LT SZ2,38804.0,38804.0,4268.44,38804.0,57
CDM,232210,LINER KN TIB H10MM SZ2,14190.0,14190.0,1560.9,14190.0,57
CDM,232220,SCREW LCK 5MM 25MM 64MM,3561.0,3561.0,391.71,3561.0,57
CDM,232222,SCREW LCK 5MM 25MM 54MM,3561.0,3561.0,391.71,3561.0,57
CDM,232239,FIBER LASER 200UM,5715.0,5715.0,400.05,5715.0,71
CDM,232246,SUTURE NDL HLF CIRC 5,346.0,346.0,24.22,346.0,71
CDM,232253,STEM FEM 160MM 14MM MOD,13355.0,13355.0,1469.05,13355.0,57
CDM,232261,LINER HIGH WALL LARGE+ 4,14190.0,14190.0,1560.9,14190.0,57
CDM,232262,CUP D.56MM LARGE+ TI6A,23220.0,23220.0,2554.2,23220.0,57
CDM,232263,HEAD FEM HIP XL 40MM,16770.0,16770.0,1844.7,16770.0,57
CDM,232269,NDL SUT .5CRL .024IN,346.0,346.0,24.22,346.0,71
CDM,232275,INSERT TIB KN 8MM,6889.0,6889.0,757.79,6889.0,57
CDM,232276,INSERT TIB KN 7MM,6889.0,6889.0,757.79,6889.0,57
CDM,232290,BLADE IM TI 85MM TROCANT,10646.0,10646.0,1171.06,10646.0,57
CDM,232312,NAIL IM TI L170MM TROCH,24084.0,24084.0,2649.24,24084.0,57
CDM,232319,GUIDE BN CUTTING CSTM,80219.0,80219.0,5615.33,80219.0,71
CDM,232320,SET PERI DLYS NEO W/BURT,3707.0,3707.0,259.49,3707.0,71
CDM,232323,SCREW BN 5MM 36MM,3206.0,3206.0,352.66,3206.0,57
CDM,232329,PEG BN 2MM 14MM,1603.0,1603.0,176.33,1603.0,57
CDM,232334,SCREW BNE TI L40MM OD5.0,3206.0,3206.0,352.66,3206.0,57
CDM,232337,HEAD FEM HIP TYP 1 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,232344,STEM HUM SHLDR 15X90MM,64501.0,64501.0,7095.11,64501.0,57
CDM,232345,STEM HUM SHLDR STD 15MM,91333.0,91333.0,10046.63,91333.0,57
CDM,232346,SCREW BN 5MM 44MM NLE,3206.0,3206.0,352.66,3206.0,57
CDM,232352,COMPNT KN FEMUR 4 LM/RL,23220.0,23220.0,2554.2,23220.0,57
CDM,232354,IMPLANT BREAST 375CC,19009.0,19009.0,2090.99,19009.0,57
CDM,232372,SCREW BN 4MM 70MM,7874.0,7874.0,866.14,7874.0,57
CDM,232402,STEM RADL ELBOW 8MM,52245.0,52245.0,5746.95,52245.0,57
CDM,232405,PLATE BN FIB LT DIST 6HL,22770.0,22770.0,2504.7,22770.0,57
CDM,232418,NAIL FEM 12MM 380MM,26859.0,26859.0,2954.49,26859.0,57
CDM,232428,NAIL BN FEM 11MM 360MM,26859.0,26859.0,2954.49,26859.0,57
CDM,232429,SCREW BN LCK 5/76 XL25,3424.0,3424.0,376.64,3424.0,57
CDM,232430,SCREW BN 5X52MM XL25,3424.0,3424.0,376.64,3424.0,57
CDM,232432,BTN MICRO 14F 1.2CM 15CM,21193.0,21193.0,1483.51,21193.0,71
CDM,232438,COMPNT FEM CMNTD LT SZ6,36636.0,36636.0,4029.96,36636.0,57
CDM,232439,INS TIB KN LT SZC 10MM,13468.0,13468.0,1481.48,13468.0,57
CDM,232440,BASEPLATE TIB LT SZ7,24510.0,24510.0,2696.1,24510.0,57
CDM,232441,INS TIB KN 8MM SZ4,14190.0,14190.0,1560.9,14190.0,57
CDM,232443,IMPL SPHERE W/INTRO 22MM,10329.0,10329.0,1136.19,10329.0,57
CDM,232444,IMPL SPHERE W/INTRO 16MM,10329.0,10329.0,1136.19,10329.0,57
CDM,232460,IMPL SPHERE W/INTRO 18MM,10329.0,10329.0,1136.19,10329.0,57
CDM,232464,BIT DRILL TWST 1.1MM 50M,3937.0,3937.0,275.59,3937.0,71
CDM,232473,DEVICE SUT RLD SZ2 15CM,3835.0,3835.0,268.45,3835.0,71
CDM,232477,CMPNT TIB KN SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,232481,KNIFE CTS DISP,5623.0,5623.0,393.61,5623.0,71
CDM,232489,SCREW SPNL 4.0 3.5X34MM,12655.0,12655.0,1392.05,12655.0,57
CDM,232491,SCREW BN HD 4.0X36MM,8101.0,8101.0,891.11,8101.0,57
CDM,232504,INSERT TIB CS FXD #3 TH9,14190.0,14190.0,1560.9,14190.0,57
CDM,232505,HEAD RDL STM11 ELB25X7.5,64501.0,64501.0,7095.11,64501.0,57
CDM,232508,NAIL BN 10MM 315MM,23258.0,23258.0,2558.38,23258.0,57
CDM,232519,PLUG EMBL N/NEURO 5MM,36904.0,36904.0,4059.44,36904.0,57
CDM,232520,PLUG EMBL N/NEURO 6MM,36904.0,36904.0,4059.44,36904.0,57
CDM,232521,PLUG EMBL N/NEURO 4MM,36904.0,36904.0,4059.44,36904.0,57
CDM,232522,PLUG EMBL N/NEURO 3MM,36904.0,36904.0,4059.44,36904.0,57
CDM,232523,ALLODERM 1SQCM,797.0,797.0,55.79,797.0,47
CDM,232531,SCREW BN 2.0MM 16MM 12MM,2247.0,2247.0,247.17,2247.0,57
CDM,232543,SCREW BN 6.5MM 50MM,1131.0,1131.0,124.41,1131.0,57
CDM,232547,INTRO HMSTS 14FR 85CM,6127.0,6127.0,428.89,6127.0,71
CDM,232548,INTRO HMSTS 12FR 85CM,6058.0,6058.0,424.06,6058.0,71
CDM,232551,BIT DRILL SURG 1.6 MM,5623.0,5623.0,393.61,5623.0,71
CDM,232552,SCREW BN 1.6MM 10MM,3247.0,3247.0,357.17,3247.0,57
CDM,232553,SCREW BN 1.6MM 8MM,3247.0,3247.0,357.17,3247.0,57
CDM,232567,OCCLUDER PFO RT25/LT18MM,217292.0,217292.0,23902.12,217292.0,57
CDM,232577,INTRODUCER VASC 12F 65CM,5623.0,5623.0,393.61,5623.0,71
CDM,232578,INTRODUCER VASC 14F 65CM,5623.0,5623.0,393.61,5623.0,71
CDM,232585,CATHETER BLN OCC 5X10MM,27601.0,27601.0,1932.07,27601.0,71
CDM,232619,SCREW BN 2.0MM 8MM,864.0,864.0,95.04,864.0,57
CDM,232622,COMPNT KN TIB LM/RL SZ3,23220.0,23220.0,2554.2,23220.0,57
CDM,232623,COMPNT KN FEMUR 4 LM/RL,33540.0,33540.0,3689.4,33540.0,57
CDM,232625,PLATE BN LCK 6HL 2.7,39230.0,39230.0,4315.3,39230.0,57
CDM,232640,BASEPLATE LT CMNT SZ6,24510.0,24510.0,2696.1,24510.0,57
CDM,232650,TUBE FD 14F 1CM 22CM,21193.0,21193.0,1483.51,21193.0,71
CDM,232651,BIT DRILL SHRT DISP 1.2M,5623.0,5623.0,393.61,5623.0,71
CDM,232669,DEVICE CLSR VASC 5FR,5404.0,5404.0,594.44,5404.0,57
CDM,232671,TRAY CATH INTER,353.0,353.0,24.71,353.0,71
CDM,232672,SCREW BN LP 2.4X26MM,3247.0,3247.0,357.17,3247.0,57
CDM,232683,CATH URET 2W 22FR 5CC,198.0,198.0,13.86,198.0,71
CDM,232699,SCREW BN 2.4MM 30MM,2569.0,2569.0,282.59,2569.0,57
CDM,232726,STENT BIL 14FR 3.9CM,165327.0,165327.0,18185.97,165327.0,57
CDM,232738,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,232739,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,232740,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,232751,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,167887.71,167887.71,109.97,213.95,6
CDM,232751,T-CELL CAR-T RECPT PREP,167887.71,167887.71,11752.14,167887.71,65
CDM,232752,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",7897.19,7897.19,109.04,212.13,6
CDM,232752,T-CELL CAR-T PREP TRANSP,7897.19,7897.19,552.8,7897.19,65
CDM,232753,T-CELL CAR-T HRVST PRDAY,15146.27,15146.27,1060.24,15146.27,65
CDM,232787,GW AMPTZ 025 260 XCH ES,1279.0,1279.0,89.53,1279.0,71
CDM,232798,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,232799,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,232800,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,232801,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,232802,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,232803,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,232828,GYN ICU,19312.96,19312.96,,,0
CDM,232829,BMTP-ONC INTERMEDIATE,16036.32,16036.32,,,0
CDM,232830,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,232831,BETA 2 TRANSFERRIN IFE,1950.74,1950.74,136.55,1950.74,47
CDM,232850,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches ",89679.88,89679.88,2152.0,22128.97,15
CDM,232850,STENT COARC AO W MSB,89679.88,89679.88,6277.59,89679.88,49
CDM,232851,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches ",89679.88,89679.88,2152.0,17606.97,15
CDM,232851,STENT COARC AO WO MSB,89679.88,89679.88,6277.59,89679.88,49
CDM,232852,ANGIOPLSTY COARC AO,80178.95,80178.95,5612.53,80178.95,49
CDM,232852,Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta ,80178.95,80178.95,2152.0,13108.05,15
CDM,232860,EP REPOS ELE SVT SGL,125602.27,125602.27,13816.25,125602.27,37
CDM,232861,COM EP REPO CTH TX AFIB,124604.41,124604.41,13706.49,124604.41,37
CDM,232892,3D ECHO TEE/TTE CONG CA,1945.69,1945.69,136.2,1945.69,58
CDM,232892,"3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac struct",1945.69,1945.69,23.37,1668.0,33
CDM,232907,SHTH MLN 11F,3317.0,3317.0,232.19,3317.0,71
CDM,232916,ADENOSINE DEAMINASE SPEC,506.64,506.64,35.46,506.64,47
CDM,232920,INTERLEUKIN 6 IA QN,1611.9,1611.9,112.83,1611.9,51
CDM,232920,Interleukin-6 (IL-6) ,1611.9,1611.9,10.36,93.1,73
CDM,232920,Interleukin-6 (IL-6) Age 21+,1611.9,1611.9,15.96,15.96,4
CDM,232920,Interleukin-6 (IL-6) Age Under 21,1611.9,1611.9,16.25,16.25,4
CDM,232920,Interleukin-6 (IL-6) Other Outpatient,1611.9,1611.9,18.13,18.13,6
CDM,232922,PALATINASE SPECT,537.29,537.29,37.61,537.29,47
CDM,232924,METHANOL DOA,374.33,374.33,26.2,374.33,60
CDM,232926,AQUAPORIN-4 RECEP AB EIA,2221.8,2221.8,155.53,2221.8,51
CDM,232926,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,2221.8,2221.8,6.92,62.09,73
CDM,232926,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Age 21+,2221.8,2221.8,10.66,10.66,4
CDM,232926,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Age Under 21,2221.8,2221.8,10.85,10.85,4
CDM,232926,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Other Outpatient,2221.8,2221.8,12.11,12.11,6
CDM,232928,CA CHNNL BIND AB N TYPE,145.23,145.23,10.17,145.23,51
CDM,232929,CA CHNNL BIND AB P/QTYPE,145.23,145.23,10.17,145.23,51
CDM,232931,ENDOMYSIAL AB IGA QL IA,598.61,598.61,41.9,598.61,51
CDM,232932,ENDOMYSIAL AB IGG QL IA,598.61,598.61,41.9,598.61,51
CDM,232940,"Elastase, pancreatic (EL-1), fecal; quantitative ",1432.8,1432.8,13.78,124.12,73
CDM,232940,"Elastase, pancreatic (EL-1), fecal; quantitative Age 21+",1432.8,1432.8,21.22,21.22,4
CDM,232940,"Elastase, pancreatic (EL-1), fecal; quantitative Age Under 21",1432.8,1432.8,21.6,21.6,4
CDM,232940,"Elastase, pancreatic (EL-1), fecal; quantitative Other Outpatient",1432.8,1432.8,24.12,24.12,6
CDM,232940,FECAL ELASTASE QN IA,1432.8,1432.8,100.3,1432.8,51
CDM,232941,GLUTAMIC ACID DECARB AB,3659.44,3659.44,256.16,3659.44,47
CDM,232942,GLIADIN AB IGA IA QL,964.88,964.88,67.54,964.88,51
CDM,232943,GLIADIN AB IGG IA QL,964.88,964.88,67.54,964.88,51
CDM,232955,ROD SPN 5.5MM 150MM,4556.0,4556.0,501.16,4556.0,57
CDM,232960,INSERT ARTC KN 6-9 11MM,19350.0,19350.0,2128.5,19350.0,57
CDM,232963,COIL EMBL 4CM 2MM,45149.0,45149.0,4966.39,45149.0,57
CDM,233005,STEM FEM STD CLLR SZ6,51600.0,51600.0,5676.0,51600.0,57
CDM,233019,STENT INTRCR 4.5MM 30MM,180411.0,180411.0,19845.21,180411.0,57
CDM,233042,NAIL BN FEM 5D 12X360MM,27789.0,27789.0,3056.79,27789.0,57
CDM,233066,SCREW BN 3.5MM 10MM,3525.0,3525.0,387.75,3525.0,57
CDM,233068,SCREW BN 3.5MM 30MM,1727.0,1727.0,189.97,1727.0,57
CDM,233071,SCREW BN 2.7MM 28MM,3246.0,3246.0,357.06,3246.0,57
CDM,233076,SCREW BN NONLOCK 3.5X35M,1727.0,1727.0,189.97,1727.0,57
CDM,233077,SCREW BN 2MM 5MM,1660.0,1660.0,182.6,1660.0,57
CDM,233097,BEAM BN FOOT 110MM 7MM,34504.0,34504.0,3795.44,34504.0,57
CDM,233099,HEAD FEM HIP +6MM 32MM,26832.0,26832.0,2951.52,26832.0,57
CDM,233102,SCREW BN NLCK 3.5MM 26MM,1727.0,1727.0,189.97,1727.0,57
CDM,233103,SCREW BN NLCK 3.5X10MM,1727.0,1727.0,189.97,1727.0,57
CDM,233105,PLATE BN 3 HL,17647.0,17647.0,1941.17,17647.0,57
CDM,233106,INSERT TIB KN 8 6MM,48401.0,48401.0,5324.11,48401.0,57
CDM,233108,STEM FEM KN 160MM 14MM,27045.0,27045.0,2974.95,27045.0,57
CDM,233130,NAIL TIB 11MM 390MM,23258.0,23258.0,2558.38,23258.0,57
CDM,233131,NAIL BN 11MM 375MM,23258.0,23258.0,2558.38,23258.0,57
CDM,233138,SCREW BN XL25 5X80MM,3424.0,3424.0,376.64,3424.0,57
CDM,233139,SCREW BN LCK NAIL 5X78MM,3424.0,3424.0,376.64,3424.0,57
CDM,233141,PLATE BN NAR RT 44.88MM,35264.0,35264.0,3879.04,35264.0,57
CDM,233144,SCREW CANC 6.5MM 65MM,4439.0,4439.0,488.29,4439.0,57
CDM,233146,PLATE 1/3 TBLR 5H 56MM,8531.0,8531.0,938.41,8531.0,57
CDM,233169,SCREW SPN PAX 3.5X20MM,12655.0,12655.0,1392.05,12655.0,57
CDM,233170,SCREW BN LCK 3.5X26MM,3525.0,3525.0,387.75,3525.0,57
CDM,233196,PLATE BN TPR LOPRO RT,32161.0,32161.0,3537.71,32161.0,57
CDM,233222,PCMK CD 42.6X50.8X7.4MM,70626.0,70626.0,7768.86,70626.0,57
CDM,233223,AUGMENT FEM 12MM ATTUNE,19866.0,19866.0,2185.26,19866.0,57
CDM,233234,MESH HRN 10CM 15CM,62277.0,62277.0,6850.47,62277.0,57
CDM,233235,INSERT TIB FIXED #7,14190.0,14190.0,1560.9,14190.0,57
CDM,233239,NAIL BN FEM 11X340MM,27789.0,27789.0,3056.79,27789.0,57
CDM,233241,SCREW BN LCK 5/68 XL25,3424.0,3424.0,376.64,3424.0,57
CDM,233285,KWIRE TROCAR 1.6MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,233286,KWIRE TRCTIP 2.0MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,233288,KIT BASIC SENSOR ICP,12279.0,12279.0,859.53,12279.0,71
CDM,233289,KIT PRSRMNTR MTL BOLT,12693.0,12693.0,888.51,12693.0,71
CDM,233291,REAMER CUT HEAD 8.5MM,6653.0,6653.0,465.71,6653.0,71
CDM,233293,REAMER CUT HEAD 11MM,6653.0,6653.0,465.71,6653.0,71
CDM,233294,REAMER CUT HEAD 10.5MM,6653.0,6653.0,465.71,6653.0,71
CDM,233296,REAMER CUT HEAD 9.5MM,6653.0,6653.0,465.71,6653.0,71
CDM,233301,GRAFT TIBIA WITH BTB RT,149893.0,149893.0,16488.23,149893.0,57
CDM,233302,SCREW BN 2.7MM 8MM,1921.0,1921.0,211.31,1921.0,57
CDM,233309,SCREW BN S/T 2.7MM 10MM,1921.0,1921.0,211.31,1921.0,57
CDM,233311,SCREW BN 3.5MM 18MM,750.0,750.0,82.5,750.0,57
CDM,233312,SCREW BN 3.5MM 14MM,750.0,750.0,82.5,750.0,57
CDM,233313,SCREW BN 2.5MM 18MM,1480.0,1480.0,162.8,1480.0,57
CDM,233314,SCREW BN 2.5MM 16MM,1480.0,1480.0,162.8,1480.0,57
CDM,233318,SCREW BN 4.0MM 40MM,4275.0,4275.0,470.25,4275.0,57
CDM,233319,PLATE BN LT 5HL 101MM,18783.0,18783.0,2066.13,18783.0,57
CDM,233320,SCREW BN 4.0MM 42MM,4275.0,4275.0,470.25,4275.0,57
CDM,233321,CEMENT BN CALC PHOS 10CC,73261.0,73261.0,8058.71,73261.0,57
CDM,233323,IMPLANT BREAST 380CC,17982.0,17982.0,1978.02,17982.0,57
CDM,233341,INSERT TIB KN SZ6 8MM,48401.0,48401.0,5324.11,48401.0,57
CDM,233342,INSERT BRNG KN TIB6 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,233368,COMPNT -3.5MM 12/14 28MM,8566.0,8566.0,942.26,8566.0,57
CDM,233372,NAIL BN TIB 12MM 360MM,22400.0,22400.0,2464.0,22400.0,57
CDM,233374,SCREW BN LCK 5MM 84MM,3530.0,3530.0,388.3,3530.0,57
CDM,233376,PLATE HOOK SM 3.5MM,33685.0,33685.0,3705.35,33685.0,57
CDM,233380,BLADE ENDO COATD 6.99CM,108.0,108.0,7.56,108.0,71
CDM,233389,ELECTRODE ESURG NDL 2IN,915.0,915.0,64.05,915.0,71
CDM,233430,PLATE BN 14HL 174MM,13050.0,13050.0,1435.5,13050.0,57
CDM,233436,SCREW BN 3.5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,233441,KIT GSTRMY 12FR 0.8CM,3786.0,3786.0,265.02,3786.0,71
CDM,233442,PLATE BN FEM 4HL 88MM,17879.0,17879.0,1966.69,17879.0,57
CDM,233443,SCREW BN 4MM 46MM,4275.0,4275.0,470.25,4275.0,57
CDM,233444,LINER ACTB HIP E 28X48MM,19350.0,19350.0,2128.5,19350.0,57
CDM,233463,PLATE SPN 2LVL 40MM,24045.0,24045.0,2644.95,24045.0,57
CDM,233464,NAIL BN 12X160MM,32051.0,32051.0,3525.61,32051.0,57
CDM,233466,END CAP BN FEM NAIL 0MM,3463.0,3463.0,380.93,3463.0,57
CDM,233468,CAP IMPL SHLDR 36MM,137925.0,137925.0,15171.75,137925.0,57
CDM,233471,BUTTON BLN GSTRC 14F 2CM,3786.0,3786.0,265.02,3786.0,71
CDM,233472,BUTTON BLN GSTRC 14F 2.3,3786.0,3786.0,265.02,3786.0,71
CDM,233473,BUTTN BLN GSTR 14F 2.5CM,3786.0,3786.0,265.02,3786.0,71
CDM,233490,SCREW BN 2X8MM THD 10MM,23786.0,23786.0,2616.46,23786.0,57
CDM,233493,INSERT TIB SZA 10MM,13468.0,13468.0,1481.48,13468.0,57
CDM,233496,NAIL BN FEM 12MM 300MM,27743.0,27743.0,3051.73,27743.0,57
CDM,233500,BTN BLN GSTR 14F 2.7CM,3786.0,3786.0,265.02,3786.0,71
CDM,233510,VALVE MITRAL 33MM,95656.0,95656.0,10522.16,95656.0,57
CDM,233512,VALVE MITRAL 31MM,95656.0,95656.0,10522.16,95656.0,57
CDM,233514,VALVE MITRAL 29MM,95656.0,95656.0,10522.16,95656.0,57
CDM,233516,VALVE MITRAL 27MM,95656.0,95656.0,10522.16,95656.0,57
CDM,233519,VALVE MITRAL 25MM,95656.0,95656.0,10522.16,95656.0,57
CDM,233526,BTN BLN GSTR 16F 3.5CM,3786.0,3786.0,265.02,3786.0,71
CDM,233528,BTN BLN GSTR 16F 3CM,3786.0,3786.0,265.02,3786.0,71
CDM,233529,BTN BLN GSTR 16F 2CM,3636.0,3636.0,254.52,3636.0,71
CDM,233551,BRNCHOSCP DISP 5MM,5933.0,5933.0,415.31,5933.0,71
CDM,233556,MESH SURG 20CM 15CM,103007.0,103007.0,11330.77,103007.0,57
CDM,233558,BRNCHOSCP DISP 5.8MM,6630.0,6630.0,464.1,6630.0,71
CDM,233562,STEM TIB CMNT 9X20MM,64501.0,64501.0,7095.11,64501.0,57
CDM,233563,INSERT TIB KN SM 17MM,64501.0,64501.0,7095.11,64501.0,57
CDM,233564,CMPNT FEM RIGHT,182666.0,182666.0,20093.26,182666.0,57
CDM,233565,STEM TIB CMNT 11X100MM,51291.0,51291.0,5642.01,51291.0,57
CDM,233567,INSERT KN BMPR 3DEG,10501.0,10501.0,1155.11,10501.0,57
CDM,233568,BASEPLATE TIBIAL KN SZ#2,110127.0,110127.0,12113.97,110127.0,57
CDM,233569,COMPONENT KN SEG 30MM,64501.0,64501.0,7095.11,64501.0,57
CDM,233577,INSERT TIB KN 16MM,19699.0,19699.0,2166.89,19699.0,57
CDM,233579,NAIL TROCH 12.5MM 36CM,61250.0,61250.0,6737.5,61250.0,57
CDM,233580,INSERT TIB KN 1 9MM,14190.0,14190.0,1560.9,14190.0,57
CDM,233582,SEALER TISS STR X1 37CM,9410.0,9410.0,658.7,9410.0,71
CDM,233583,SCREW BN 3.5MM 20MM,750.0,750.0,82.5,750.0,57
CDM,233584,SCREW BN 3.5MM 50MM,750.0,750.0,82.5,750.0,57
CDM,233585,SCREW BN 2.5MM 22MM,1480.0,1480.0,162.8,1480.0,57
CDM,233586,SCREW BN 2.5MM 20MM,1480.0,1480.0,162.8,1480.0,57
CDM,233592,COMPNT HEAD ELB 25X6.5MM,69095.0,69095.0,7600.45,69095.0,57
CDM,233593,LEAD NRSTM 4.32MM 33CM,59287.0,59287.0,6521.57,59287.0,57
CDM,233595,CMNT BN FAST R+G PRO 80,9412.0,9412.0,1035.32,9412.0,57
CDM,233605,INSERT TIB KN H10MM SZ8,14190.0,14190.0,1560.9,14190.0,57
CDM,233606,COMPNT FEM KN RT SZ8,38804.0,38804.0,4268.44,38804.0,57
CDM,233627,WEDGE FEM KN 15MM SZ7,19018.0,19018.0,2091.98,19018.0,57
CDM,233635,BOLT CRANIAL 2.2 MM MINI,22469.0,22469.0,1572.83,22469.0,71
CDM,233637,NEUROBLATE ROBOTIC PROBE,58575.0,58575.0,4100.25,58575.0,71
CDM,233639,MINIBLT 3.3MM PG APT SCR,17846.0,17846.0,1249.22,17846.0,71
CDM,233648,SYSTEM FX 27CM,11303.0,11303.0,1243.33,11303.0,57
CDM,233653,BUTTON BLN 1.7CM 14FR,3786.0,3786.0,265.02,3786.0,71
CDM,233654,BUTTON BLN 1.5CM 14FR,3786.0,3786.0,265.02,3786.0,71
CDM,233655,BUTTON BLN 1.2CM 14FR,3786.0,3786.0,265.02,3786.0,71
CDM,233656,BUTTON BLN 14FR 1.0CM,3636.0,3636.0,254.52,3636.0,71
CDM,233662,INSERT TIB FIX #8,14190.0,14190.0,1560.9,14190.0,57
CDM,233678,SCREW BN 4MM 34MM,864.0,864.0,95.04,864.0,57
CDM,233687,BUTTON BLN GSTRC 12F 1.5,3786.0,3786.0,265.02,3786.0,71
CDM,233697,STEM FEM KN 127MM,47653.0,47653.0,5241.83,47653.0,57
CDM,233711,CRTD XT MRI QUAD DF4,261286.0,261286.0,28741.46,261286.0,57
CDM,233712,BTTN BLN 12F 2CM,3786.0,3786.0,265.02,3786.0,71
CDM,233713,BTTN BLN 12F 1.7CM,3786.0,3786.0,265.02,3786.0,71
CDM,233719,INSERT TIB KN RT 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,233721,SCREW BN 3.5MM 46MM,1768.0,1768.0,194.48,1768.0,57
CDM,233725,STENT BIL 8ZIG 2.8CM,131783.0,131783.0,14496.13,131783.0,57
CDM,233730,INSERT KN SZ5 6MM,39732.0,39732.0,4370.52,39732.0,57
CDM,233734,COMPNT FEM 3.5 66X62MM,41280.0,41280.0,4540.8,41280.0,57
CDM,233735,INSERT TIB 3 KNEE 9MM,14190.0,14190.0,1560.9,14190.0,57
CDM,233779,BASEPLATE TIB KN SZ2,25800.0,25800.0,2838.0,25800.0,57
CDM,233786,CANNULA ART 15FR 31.8CM,7016.0,7016.0,491.12,7016.0,71
CDM,233788,BLADE BN FEM SPRL 90MM,6639.0,6639.0,730.29,6639.0,57
CDM,233789,STEM FEM HIP 5MM 95MM,43860.0,43860.0,4824.6,43860.0,57
CDM,233790,COMPNT FEM KN LT SZC,65588.0,65588.0,7214.68,65588.0,57
CDM,233800,PROBE ESURG LSR 133MM,165678.0,165678.0,11597.46,165678.0,71
CDM,233806,PROBE LSR NEUROBLATE,160415.0,160415.0,11229.05,160415.0,71
CDM,233808,CATHETER DUAL LUMEN 28FR,40597.0,40597.0,2841.79,40597.0,71
CDM,233816,REAMER HEAD STRL 15.5MM,11433.0,11433.0,800.31,11433.0,71
CDM,233824,SCREW BN 2.4MM 16MM,3782.0,3782.0,416.02,3782.0,57
CDM,233825,PLATE BN STR 6H 2.4MM,23345.0,23345.0,2567.95,23345.0,57
CDM,233828,PLATE BN FIB RT 5 HL,21290.0,21290.0,2341.9,21290.0,57
CDM,233833,SCREW BN XL25 0.5MM 74MM,3424.0,3424.0,376.64,3424.0,57
CDM,233834,SCREW BN LCK 5/28 XL25,3424.0,3424.0,376.64,3424.0,57
CDM,233835,SCREW BN 5MM 46MM,3424.0,3424.0,376.64,3424.0,57
CDM,233836,SCREW BN NAIL LCK 5X44MM,3530.0,3530.0,388.3,3530.0,57
CDM,233838,CATHETER DUAL LUMEN 13FR,48053.0,48053.0,3363.71,48053.0,71
CDM,233840,HARVESTER BN GRAFT 6MM,15609.0,15609.0,1092.63,15609.0,71
CDM,233842,KIT GJJ JJN FD 14FR 22CM,7572.0,7572.0,530.04,7572.0,71
CDM,233844,KIT GJJ JJN FD 14FR 30CM,7799.0,7799.0,545.93,7799.0,71
CDM,233845,SET EXT GJJ 14FR 22CM,7799.0,7799.0,545.93,7799.0,71
CDM,233846,KIT GJJ JJN FD 14FR 30CM,7572.0,7572.0,530.04,7572.0,71
CDM,233869,PLATE BN 5HL RT 100.5MM,18783.0,18783.0,2066.13,18783.0,57
CDM,233870,SCREW BN 2.5MM 12MM,3165.0,3165.0,348.15,3165.0,57
CDM,233872,PLATE FIB KN RT 5H 96MM,25955.0,25955.0,2855.05,25955.0,57
CDM,233875,PLATE BN LT 5HL 96MM,25955.0,25955.0,2855.05,25955.0,57
CDM,233886,SCREW BN 10.5MM 85MM,9864.0,9864.0,1085.04,9864.0,57
CDM,233890,NAIL BN FEM 10MM 340MM,26859.0,26859.0,2954.49,26859.0,57
CDM,233895,BIT DRILL OC 3.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,233906,BAR CHEST CSTM 11.5IN,99195.0,99195.0,10911.45,99195.0,57
CDM,233907,BAR CHEST CSTM 11IN,99195.0,99195.0,10911.45,99195.0,57
CDM,233912,NAIL BN 130D 9X170MM,30825.0,30825.0,3390.75,30825.0,57
CDM,233914,SCREW BN HIP TI LCK 60MM,1131.0,1131.0,124.41,1131.0,57
CDM,233917,CMPNT FM HIP 60X32X80,58505.0,58505.0,6435.55,58505.0,57
CDM,233922,510K SKN SUB NOS 1SQCM,632.0,632.0,44.24,632.0,53
CDM,233927,CATH ANGIO JL2 5F 70CM,1020.0,1020.0,71.4,1020.0,71
CDM,233928,CATH ANGIO JL3 5F 70CM,1020.0,1020.0,71.4,1020.0,71
CDM,233929,CATHETER DUAL LUMEN 15F,48053.0,48053.0,3363.71,48053.0,71
CDM,233930,CATHETER DUAL LUMEN 19F,48053.0,48053.0,3363.71,48053.0,71
CDM,233937,LINER KN TIB SIZE C1-2,18963.0,18963.0,2085.93,18963.0,57
CDM,233940,PATELLR KN 3PEGS SM 29MM,6450.0,6450.0,709.5,6450.0,57
CDM,233951,SHEATH GD MULTI 4F 55CM,2661.0,2661.0,186.27,2661.0,71
CDM,233955,STEM HIP SZ7 111MM,46440.0,46440.0,5108.4,46440.0,57
CDM,233956,STENT AORTA 14F 45MM,213496.0,213496.0,23484.56,213496.0,57
CDM,233960,SCREW BN 2.4MM 32MM,864.0,864.0,95.04,864.0,57
CDM,233970,CMPNT PTLR KN 8MM 28MM,6450.0,6450.0,709.5,6450.0,57
CDM,233981,COMPT TIB BS CMNT SZ10,66821.0,66821.0,7350.31,66821.0,57
CDM,233982,STEMMED FEM RT SZC,65588.0,65588.0,7214.68,65588.0,57
CDM,233984,SUTURE 2-0 SH-2 10X30,1783.0,1783.0,124.81,1783.0,71
CDM,233985,SUTURE 2-0 SH-2 10X30,1755.0,1755.0,122.85,1755.0,71
CDM,233988,SCREW BN LCK 5MM 35MM,2775.0,2775.0,305.25,2775.0,57
CDM,233989,SCREW BN 10.5MM 100MM,9864.0,9864.0,1085.04,9864.0,57
CDM,233999,SCREW BN XL25 5MM 64MM,3424.0,3424.0,376.64,3424.0,57
CDM,234004,HEAD FEM HIP +6MM 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,234008,VALVE MITRAL 19MM 27MM,95656.0,95656.0,10522.16,95656.0,57
CDM,234024,LINEZOLID 2 MG/ML INJ,0.36,0.36,0.03,0.36,47
CDM,234036,SCREW BN NLCK 2.7MM 26MM,1277.0,1277.0,140.47,1277.0,57
CDM,234045,SCREW MXFCL MIC 1.5X4,1022.0,1022.0,112.42,1022.0,57
CDM,234056,SCREW MXFCL MIC 1.5X5,1022.0,1022.0,112.42,1022.0,57
CDM,234058,NEEDLE ASP 11GA 10CM,3186.0,3186.0,223.02,3186.0,71
CDM,234067,PLATE BN LT 4X3HL 28X0.7,3584.0,3584.0,394.24,3584.0,57
CDM,234075,SCREW BN 10.5MM 80MM,9864.0,9864.0,1085.04,9864.0,57
CDM,234089,IPG MRI DUAL L DR,63667.0,63667.0,7003.37,63667.0,57
CDM,234098,WIRE FX KRSH 300MM 2MM,3227.0,3227.0,225.89,3227.0,71
CDM,234099,SCRW BN DPHSL LCK 5X50MM,3525.0,3525.0,387.75,3525.0,57
CDM,234100,SCREW BN 5X65MM DPHSL,3525.0,3525.0,387.75,3525.0,57
CDM,234101,HEAD FEM HIP 5MM 36MM,7740.0,7740.0,851.4,7740.0,57
CDM,234102,SCREW BN 3.5MM 28MM,6597.0,6597.0,725.67,6597.0,57
CDM,234108,SCREW BN 4.5MM 30MM,1727.0,1727.0,189.97,1727.0,57
CDM,234109,SCREW BN N-LCK 4.5X52.5,1727.0,1727.0,189.97,1727.0,57
CDM,234110,SCREW BN 4.5X50MM DPHSL,1727.0,1727.0,189.97,1727.0,57
CDM,234116,PLATE BN RT 3HL 75MM,21466.0,21466.0,2361.26,21466.0,57
CDM,234117,SCREW BN 3.5MM 14MM,2631.0,2631.0,289.41,2631.0,57
CDM,234119,SCREW BN LCK 5MM 32.5MM,2775.0,2775.0,305.25,2775.0,57
CDM,234127,SCREW BN LCK 3.5MM 24MM,3206.0,3206.0,352.66,3206.0,57
CDM,234156,MITOCHOND FA AB TIT,1119.77,1119.77,78.38,1119.77,51
CDM,234156,"Mitochondrial antibody (eg, M2), each ",1119.77,1119.77,15.27,136.87,73
CDM,234156,"Mitochondrial antibody (eg, M2), each Age 21+",1119.77,1119.77,23.52,23.52,4
CDM,234156,"Mitochondrial antibody (eg, M2), each Age Under 21",1119.77,1119.77,23.95,23.95,4
CDM,234156,"Mitochondrial antibody (eg, M2), each Other Outpatient",1119.77,1119.77,26.72,26.72,6
CDM,234161,MOG-IGG1 AB BY CBA EACH,6665.4,6665.4,466.58,6665.4,51
CDM,234161,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",6665.4,6665.4,7.23,65.72,73
CDM,234161,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Age 21+",6665.4,6665.4,11.13,11.13,4
CDM,234161,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Age Under 21",6665.4,6665.4,11.33,11.33,4
CDM,234161,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Other Outpatient",6665.4,6665.4,12.65,12.65,6
CDM,234177,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",1466.69,1466.69,7.23,65.72,73
CDM,234177,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Age 21+",1466.69,1466.69,11.13,11.13,4
CDM,234177,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Age Under 21",1466.69,1466.69,11.33,11.33,4
CDM,234177,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Other Outpatient",1466.69,1466.69,12.65,12.65,6
CDM,234177,PROTEINASE-3 AB,1466.69,1466.69,102.67,1466.69,51
CDM,234183,"Actin (smooth muscle) antibody (ASMA), each ",1055.24,1055.24,7.23,65.72,73
CDM,234183,"Actin (smooth muscle) antibody (ASMA), each Age 21+",1055.24,1055.24,11.13,11.13,4
CDM,234183,"Actin (smooth muscle) antibody (ASMA), each Age Under 21",1055.24,1055.24,11.33,11.33,4
CDM,234183,"Actin (smooth muscle) antibody (ASMA), each Other Outpatient",1055.24,1055.24,12.65,12.65,6
CDM,234183,SMOOTH MUSCLE FA AB TIT,1055.24,1055.24,73.87,1055.24,51
CDM,234185,TRANSGLUTAMIN IGA QL IA,931.97,931.97,65.24,931.97,51
CDM,234186,TRANSGLUTAMIN AB IGA QN,1734.53,1734.53,121.42,1734.53,51
CDM,234189,TRANSGLUTAMIN IGG QL IA,931.97,931.97,65.24,931.97,51
CDM,234191,VOLTAGE-GATED C C AB RIA,887.44,887.44,62.12,887.44,51
CDM,234192,VOLT-GATED CA CH IA QL,887.44,887.44,62.12,887.44,51
CDM,234231,ANCA CYTOPLASMIC TITER,882.59,882.59,61.78,882.59,51
CDM,234235,ISOPROPYL ALCOHOL DOA,374.33,374.33,26.2,374.33,60
CDM,234237,LIGHT CHAINS KAP FREE UR,453.4,453.4,31.74,453.4,51
CDM,234238,LIGHT CHAINS LAM FREE UR,453.4,453.4,31.74,453.4,51
CDM,234254,AQUAPORIN4 NMO AB FACS E,202.11,202.11,14.15,202.11,51
CDM,234254,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",202.11,202.11,12.05,202.59,73
CDM,234254,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Age 21+",202.11,202.11,34.86,34.86,4
CDM,234254,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Age Under 21",202.11,202.11,35.49,35.49,4
CDM,234254,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Other Outpatient",202.11,202.11,39.62,39.62,6
CDM,234255,AQUAPORIN4 NMO AB CBA EA,2221.8,2221.8,155.53,2221.8,51
CDM,234255,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",2221.8,2221.8,7.23,65.72,73
CDM,234255,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Age 21+",2221.8,2221.8,11.13,11.13,4
CDM,234255,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Age Under 21",2221.8,2221.8,11.33,11.33,4
CDM,234255,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Other Outpatient",2221.8,2221.8,12.65,12.65,6
CDM,234261,Cocaine ,1287.59,1287.59,0.02,129.62,25
CDM,234261,Cocaine Age 21+,1287.59,1287.59,11.28,11.28,4
CDM,234261,Cocaine Age Under 21,1287.59,1287.59,11.48,11.48,4
CDM,234261,DEF DRUG COCAINE,1287.59,1287.59,90.13,1287.59,60
CDM,234280,F18 FLUOROESTRAD DX 1MCI,3427.26,3427.26,239.91,3427.26,49
CDM,234287,ANCA PERINUCLEAR TITER,882.59,882.59,61.78,882.59,51
CDM,234292,ANCA-P ATYPICAL AB TITER,248.49,248.49,17.39,248.49,51
CDM,234309,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,234310,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,234311,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,234317,PROCEDURE LEVEL IV,32083.34,32083.34,3529.17,32083.34,64
CDM,234318,PROCEDURE LEVEL V,76626.07,76626.07,8428.87,76626.07,64
CDM,234326,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,234333,INTERLEUKIN 4 IA QN,1074.63,1074.63,75.22,1074.63,47
CDM,234334,INTERLEUKIN-12 P70 IA QN,3223.87,3223.87,225.67,3223.87,47
CDM,234335,ALLERGEN IGE REC/PURIF E,161.35,161.35,11.29,161.35,47
CDM,234335,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",161.35,161.35,10.76,96.73,77
CDM,234335,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Age 21+",161.35,161.35,16.57,16.57,4
CDM,234335,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Age Under 21",161.35,161.35,16.87,16.87,4
CDM,234335,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient",161.35,161.35,18.83,18.83,6
CDM,234350,TIXAGEV AND CILGAV INJ,241.92,241.92,16.93,241.92,71
CDM,234351,COLONOSCOPY W/ DECOMPRS,5262.0,5262.0,368.34,5262.0,64
CDM,234428,ALLO DBL CORD DONOR ACQ,500776.79,500776.79,35054.38,500776.79,71
CDM,234429,ALLO REL DSMTC DONOR ACQ,238621.97,238621.97,16703.54,238621.97,71
CDM,234430,ALLO REL INTL DONOR ACQ,271517.81,271517.81,19006.25,271517.81,71
CDM,234431,ALLO SGL CORD DONOR ACQ,241832.14,241832.14,16928.25,241832.14,71
CDM,234434,ALLO UNR DSMTC DONOR ACQ,238621.97,238621.97,16703.54,238621.97,71
CDM,234435,ALLO UNR INTL DONOR ACQ,271517.81,271517.81,19006.25,271517.81,71
CDM,234436,BLD/STEM HARVEST ALLOGEN,7259.16,7259.16,508.14,7259.16,71
CDM,234437,CRYOPRESERVE CELL ACQUIS,241832.14,241832.14,16928.25,241832.14,71
CDM,234438,FAST TRACK SEARCH,62146.21,62146.21,4350.23,62146.21,71
CDM,234439,REGISTRY DONOR CX FEES,40391.2,40391.2,2827.38,40391.2,71
CDM,234441,HEMODIALYSIS ONE EVAL,4402.36,4402.36,308.17,4402.36,61
CDM,234441,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,4402.36,4402.36,730.0,923.0,4
CDM,234442,PERITONEL DIAL ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CDM,234487,CATH SZNG 25 3X80CM,5623.0,5623.0,393.61,5623.0,71
CDM,234505,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",4603.35,4603.35,82.2,737.44,59
CDM,234505,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles Other Outpatient",4603.35,4603.35,143.85,143.85,6
CDM,234505,DMPK DETECT ABNL ALLELES,4603.35,4603.35,322.23,4603.35,47
CDM,234509,ESLICARBAZEPINE QN,416.28,416.28,29.14,416.28,47
CDM,234516,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",6780.81,6780.81,144.34,12415.33,34
CDM,234516,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Age 21+",6780.81,6780.81,161.19,161.19,4
CDM,234516,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Age Under 21",6780.81,6780.81,164.12,164.12,4
CDM,234516,SP LYMPHANG PEL/ABD BI,6780.81,6780.81,474.66,6780.81,48
CDM,234518,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",918.07,918.07,174.82,1569.8,59
CDM,234518,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Other Outpatient",918.07,918.07,305.93,305.93,6
CDM,234518,NUDT15 COMMON VARIANT(S),918.07,918.07,64.26,918.07,47
CDM,234519,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",918.07,918.07,104.89,941.9,59
CDM,234519,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) Other Outpatient",918.07,918.07,183.55,183.55,6
CDM,234519,TPMT COMMON VARIANTS,918.07,918.07,64.26,918.07,47
CDM,234521,BASIC CARE NP,727.33,727.33,50.91,727.33,54
CDM,234523,FOLLOW UP VISIT ONLY NP,594.13,594.13,41.59,594.13,54
CDM,234525,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,234526,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,234527,INJECTION IM OR SQ,334.67,334.67,23.43,334.67,59
CDM,234529,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,234530,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,234531,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,234532,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,234533,OCCULDER CV 5X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,234534,IVP EA ADD SEQ NEW DR GY,571.53,571.53,40.01,571.53,48
CDM,234536,IVP EA ADD SEQ NEW DRUG,571.53,571.53,40.01,571.53,48
CDM,234537,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,234538,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,234539,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,234544,OCCULDER CV 6X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,234545,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,234547,OP VISIT LEVEL 1 EST,594.13,594.13,41.59,594.13,54
CDM,234548,OP VISIT LEVEL 2 EST,727.33,727.33,50.91,727.33,54
CDM,234549,OP VISIT LEVEL 2 NP,727.33,727.33,50.91,727.33,54
CDM,234550,OP VISIT LEVEL 3 EST,860.5,860.5,60.23,860.5,54
CDM,234551,OP VISIT LEVEL 3 NP,860.5,860.5,60.23,860.5,54
CDM,234552,OP VISIT LEVEL 4 EST,1098.47,1098.47,76.89,1098.47,54
CDM,234553,OP VISIT LEVEL 4 NP,1098.47,1098.47,76.89,1098.47,54
CDM,234554,OP VISIT LEVEL 5 EST,1230.16,1230.16,86.11,1230.16,54
CDM,234555,CATH BLN SZNG AGA 24,7544.0,7544.0,528.08,7544.0,71
CDM,234556,OP VISIT LEVEL 5 NP,1230.16,1230.16,86.11,1230.16,54
CDM,234582,ANCHOR SUT W NDL #2,20386.0,20386.0,2242.46,20386.0,57
CDM,234588,SCREW BN 3.5MM 54MM,750.0,750.0,82.5,750.0,57
CDM,234592,SCREW BN 4.0MM 55MM,4275.0,4275.0,470.25,4275.0,57
CDM,234593,SCREW BN 10.5MM 95 MM,9916.0,9916.0,1090.76,9916.0,57
CDM,234612,PLATE FEM DIST 16HL,44407.0,44407.0,4884.77,44407.0,57
CDM,234649,CATH ANGIO L/R3 4FR 70CM,1020.0,1020.0,71.4,1020.0,71
CDM,234653,DRILL DISTAL LOCK 295MM,5435.0,5435.0,380.45,5435.0,71
CDM,234668,TUBE VNT EAR 1.2X2.75MM,750.0,750.0,82.5,750.0,57
CDM,234669,KIT ABL SPN STAR 10/15,71169.0,71169.0,4981.83,71169.0,71
CDM,234675,SCREW BN 4MM 12MM,1747.0,1747.0,192.17,1747.0,57
CDM,234688,SLEEVE TIB REV CMNT 29MM,47514.0,47514.0,5226.54,47514.0,57
CDM,234698,SCREW BN CORT 4MM 24MM,864.0,864.0,95.04,864.0,57
CDM,234708,INST PASSR SUT DISP LG,8573.0,8573.0,600.11,8573.0,71
CDM,234744,SUT PASSER OFFSET LEFT,8573.0,8573.0,600.11,8573.0,71
CDM,234747,CATHETER GD 100CM 6FR,7381.0,7381.0,516.67,7381.0,71
CDM,234751,CATH 4X28 21MM,132494.0,132494.0,9274.58,132494.0,71
CDM,234752,CATH 4X41 21MM,117905.0,117905.0,8253.35,117905.0,71
CDM,234765,SCREW BN 3.5X50MM,1768.0,1768.0,194.48,1768.0,57
CDM,234774,KIT ET TUBE EMG 6MM,5623.0,5623.0,393.61,5623.0,71
CDM,234799,INSERT ACTB HIP 28/46MM,14190.0,14190.0,1560.9,14190.0,57
CDM,234801,LINER ACTB HIP 46/60MM,25800.0,25800.0,2838.0,25800.0,57
CDM,234812,GW W/ DRL TIP 3.2X400MM,2249.0,2249.0,157.43,2249.0,71
CDM,234815,CATH RTVR THRMB 12F 80CM,79454.0,79454.0,5561.78,79454.0,71
CDM,234818,SCREW BN 2.4X20MM,4110.0,4110.0,452.1,4110.0,57
CDM,234821,SCREW BN 2.4X18MM TI LOP,4110.0,4110.0,452.1,4110.0,57
CDM,234822,SCREW BN 3.5MM 40MM,3083.0,3083.0,339.13,3083.0,57
CDM,234836,CANN ART FEM 14FR 7.5IN,6785.0,6785.0,474.95,6785.0,71
CDM,234842,SCREW BN 3.5MM 18MM,6597.0,6597.0,725.67,6597.0,57
CDM,234848,SCREW LCKG LP 3.5X18MM,2508.0,2508.0,275.88,2508.0,57
CDM,234852,SCREW BN LCK 3.5X10MM,2508.0,2508.0,275.88,2508.0,57
CDM,234873,DEVICE SUT SPRL 2-0 14CM,1411.0,1411.0,98.77,1411.0,71
CDM,234874,SUTURE SPRL 4-0 30X30CM,1356.0,1356.0,94.92,1356.0,71
CDM,234876,DEVICE SUT SPRL 4-0 30CM,1356.0,1356.0,94.92,1356.0,71
CDM,234878,SUTURE SPRL 4-0 7X7CM,1446.0,1446.0,101.22,1446.0,71
CDM,234879,SUTURE 3-0 7X7CM,1446.0,1446.0,101.22,1446.0,71
CDM,234882,SCREW BN 2.4MM 18MM,8673.0,8673.0,954.03,8673.0,57
CDM,234883,SCREW BN TI 2.4X16MM,8673.0,8673.0,954.03,8673.0,57
CDM,234908,DEVICE CLSE WND 1 48CM,1320.0,1320.0,92.4,1320.0,71
CDM,234938,CONTRLZ STEM FEM HIP 14M,1419.0,1419.0,156.09,1419.0,57
CDM,234942,STEM FEM HIP 14MM 148MM,43860.0,43860.0,4824.6,43860.0,57
CDM,234952,KIT NRSTM PT PROGRAMMER,25402.0,25402.0,1778.14,25402.0,71
CDM,234953,IPG NRSTM 44MM 51MM,183537.0,183537.0,20189.07,183537.0,57
CDM,234955,ROD SPN PRCT 3.5X65MM,4556.0,4556.0,501.16,4556.0,57
CDM,234960,GUIDES CRNMXLF CSTM BNDL,159172.0,159172.0,11142.04,159172.0,71
CDM,235000,SCREW BN 5.0MM 18MM,4406.0,4406.0,484.66,4406.0,57
CDM,235004,REAMER SURG FLEX 470MM,15908.0,15908.0,1113.56,15908.0,71
CDM,235014,SCREW BN XL25 5MM 64MM,3424.0,3424.0,376.64,3424.0,57
CDM,235029,STENT NPHURSTM 26CM,1860.0,1860.0,204.6,1860.0,57
CDM,235031,RING ACTB HIP TRLG 54MM,4644.0,4644.0,510.84,4644.0,57
CDM,235061,IMPLANT BREAST 525CC,23633.0,23633.0,2599.63,23633.0,57
CDM,235070,INSERT TIB KN SZ6 20MM,48401.0,48401.0,5324.11,48401.0,57
CDM,235075,SCREW BN 5MM 75MM,13954.0,13954.0,1534.94,13954.0,57
CDM,235078,INSERT TIB KN SZ1 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,235083,STAPLE BN ISTR 18X15MM,73261.0,73261.0,8058.71,73261.0,57
CDM,235096,SCREW BN 10.5MM 90MM,9864.0,9864.0,1085.04,9864.0,57
CDM,235104,CANNULA PRFSN 14FR 7.5IN,5623.0,5623.0,393.61,5623.0,71
CDM,235106,KIT DISP SFT ANCHORS,10493.0,10493.0,734.51,10493.0,71
CDM,235136,NAIL BN 10D 12X200,32051.0,32051.0,3525.61,32051.0,57
CDM,235178,SCREW BN 2MM 24MM,2569.0,2569.0,282.59,2569.0,57
CDM,235180,SCREW BN 10.5MM 75MM,9864.0,9864.0,1085.04,9864.0,57
CDM,235185,TUBE EARVNT 1.14MM,750.0,750.0,82.5,750.0,57
CDM,235211,INSERT TIB KN SZ5 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,235229,KIT DCMPRS IMP 15CC,35244.0,35244.0,3876.84,35244.0,57
CDM,235239,PLATE T REINF 6HL 2.4MM,27229.0,27229.0,2995.19,27229.0,57
CDM,235241,SCREW BN LCK 5X42X25,3561.0,3561.0,391.71,3561.0,57
CDM,235248,TENSIONER CERCLAGE DISP,10493.0,10493.0,734.51,10493.0,71
CDM,235253,STEM FEM 16X150MM,149883.0,149883.0,16487.13,149883.0,57
CDM,235257,PLATE BN LT 1.6MM 7MM,5590.0,5590.0,614.9,5590.0,57
CDM,235258,SCREW BN ANCH 2X8X13MM,2055.0,2055.0,226.05,2055.0,57
CDM,235259,SCREW BN ANCH 1.5X8X13MM,2437.0,2437.0,268.07,2437.0,57
CDM,235264,CATH BLNDIL 9MM 2X90CM,11433.0,11433.0,800.31,11433.0,71
CDM,235269,TAVR HEART VALVE 29MM,488870.0,488870.0,53775.7,488870.0,57
CDM,235271,COMPONENT FEM RT RS,240809.0,240809.0,26488.99,240809.0,57
CDM,235272,COMPONENT TIB RS,227188.0,227188.0,24990.68,227188.0,57
CDM,235273,STEM CMNTLS HA 14X150MM,142426.0,142426.0,15666.86,142426.0,57
CDM,235274,CATH BLNDIL 10MM 2X90CM,11433.0,11433.0,800.31,11433.0,71
CDM,235279,GRAFT CARDIO 3-8X1.5-5CM,80935.0,80935.0,8902.85,80935.0,57
CDM,235282,STEM FEM HGHT 129MM SZ4,51600.0,51600.0,5676.0,51600.0,57
CDM,235284,CATH BLNDIL 12MM 2X90CM,11433.0,11433.0,800.31,11433.0,71
CDM,235294,CATH BLNDIL 20MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,235298,HEAD FEM HIP SZ40,16770.0,16770.0,1844.7,16770.0,57
CDM,235301,RING EXFX FULL 140MM,25854.0,25854.0,1809.78,25854.0,71
CDM,235305,CATH ANGIO 5FR 100CM,2813.0,2813.0,196.91,2813.0,71
CDM,235383,CATH EP 6FR 92CM,10219.0,10219.0,715.33,10219.0,71
CDM,235384,COMP FEM KN LT MDL SZ5,34830.0,34830.0,3831.3,34830.0,57
CDM,235386,STEM HUM SHLDR 41MM,159450.0,159450.0,17539.5,159450.0,57
CDM,235388,HEAD HUM SHLDR 41MM 16MM,70881.0,70881.0,7796.91,70881.0,57
CDM,235403,SCREW CMPR FT 2.5 38MM,12002.0,12002.0,1320.22,12002.0,57
CDM,235404,STEM KN SEG 17X120MM,81426.0,81426.0,8956.86,81426.0,57
CDM,235408,PLATE CRNMXF FX 7MM,4299.0,4299.0,472.89,4299.0,57
CDM,235444,SYSTEM RETR SM 2.5-6CM,6630.0,6630.0,464.1,6630.0,71
CDM,235460,IPG DR MRI DUAL ATDR01,50476.0,50476.0,5552.36,50476.0,57
CDM,235464,PLATE BN 5HL 3.5/4.5MM,40931.0,40931.0,4502.41,40931.0,57
CDM,235472,BLADE IM FX HUM 44MM,7132.0,7132.0,784.52,7132.0,57
CDM,235477,TIP INSRTR KN DISP,5623.0,5623.0,393.61,5623.0,71
CDM,235504,SCREW BN 5X80MM DPHSL,3525.0,3525.0,387.75,3525.0,57
CDM,235506,INSERT TIB KN SZE-F 66MM,33199.0,33199.0,3651.89,33199.0,57
CDM,235519,SCREW BN 10.5MM 105MM,9864.0,9864.0,1085.04,9864.0,57
CDM,235520,SCREW BN 5MM 62MM,3424.0,3424.0,376.64,3424.0,57
CDM,235538,HEAD FEM HIP 46MM,58050.0,58050.0,6385.5,58050.0,57
CDM,235549,NRSTM NON RECHARGEABLE,183910.0,183910.0,20230.1,183910.0,57
CDM,235552,BIT DRILL 4.3MM 300MM,6305.0,6305.0,441.35,6305.0,71
CDM,235553,SCRW BN LCK NS 5X52.5MM,3525.0,3525.0,387.75,3525.0,57
CDM,235555,SUTURE PDW +2-0 27IN,142.0,142.0,9.94,142.0,71
CDM,235567,INSERT KN 10MM THK SZ4,24510.0,24510.0,2696.1,24510.0,57
CDM,235572,SCREW BN 2.7MM 12MM,3525.0,3525.0,387.75,3525.0,57
CDM,235574,SCREW BN 3.5X25MM,3525.0,3525.0,387.75,3525.0,57
CDM,235576,TOOL DSCT 12CM 3MM,6790.0,6790.0,475.3,6790.0,71
CDM,235580,SCREW BN 3.5MM 25MM,3525.0,3525.0,387.75,3525.0,57
CDM,235618,LINER ACTB HIPSZF+5 36MM,43602.0,43602.0,4796.22,43602.0,57
CDM,235620,PLATE BN HUM 12H 262MM,55800.0,55800.0,6138.0,55800.0,57
CDM,235634,HEAD FEM -3.5MM 22MM,9030.0,9030.0,993.3,9030.0,57
CDM,235667,TUBE DRN 30CM 16FR SIL,6378.0,6378.0,446.46,6378.0,71
CDM,235668,TUBE DRN 30CM 12FR SIL,6378.0,6378.0,446.46,6378.0,71
CDM,235698,TUBE DRN SIL 14FR 30CM,6630.0,6630.0,464.1,6630.0,71
CDM,235716,SCREW BN 4.0MM 35MM,3525.0,3525.0,387.75,3525.0,57
CDM,235717,SCREW BN HUM 4MM 37.5MM,3525.0,3525.0,387.75,3525.0,57
CDM,235718,STEM TIB KN 14X30MM,44067.0,44067.0,4847.37,44067.0,57
CDM,235719,SCREW FEM KN M5 14MM,2795.0,2795.0,307.45,2795.0,57
CDM,235720,PLATE 90D 7HL PED CNDRL,12671.0,12671.0,1393.81,12671.0,57
CDM,235726,SCREW BN HUM 4MM 37.5MM,3525.0,3525.0,387.75,3525.0,57
CDM,235727,SCREW BN HUM 3.5X32.5MM,3525.0,3525.0,387.75,3525.0,57
CDM,235732,WEDGE CTTN SPCR 22X22X12,48457.0,48457.0,5330.27,48457.0,57
CDM,235735,STEM HIP #1,46440.0,46440.0,5108.4,46440.0,57
CDM,235739,SCREW BN 3.5MM 26MM,3206.0,3206.0,352.66,3206.0,57
CDM,235740,INSERT TIB KN SM 12MM,64501.0,64501.0,7095.11,64501.0,57
CDM,235741,CMPNT FEM LEFT #4,143718.0,143718.0,15808.98,143718.0,57
CDM,235742,BASEPLATE TIBIAL #3,110127.0,110127.0,12113.97,110127.0,57
CDM,235744,NAIL FEM 5D 11X360MM,27789.0,27789.0,3056.79,27789.0,57
CDM,235748,PATELLAR KN XSM 26MM,6450.0,6450.0,709.5,6450.0,57
CDM,235754,BLADE SAW 54MM,19056.0,19056.0,1333.92,19056.0,71
CDM,235759,SCREW BN 7MM 85MM,20407.0,20407.0,2244.77,20407.0,57
CDM,235760,SCREW BN 4.0MM 34MM,4275.0,4275.0,470.25,4275.0,57
CDM,235781,HEAD RAD ELB 6.5MM 22MM,69095.0,69095.0,7600.45,69095.0,57
CDM,235805,BSCP FLX DSP LG 5.8MM,9122.0,9122.0,638.54,9122.0,71
CDM,235811,INSERT FEM KN SZ3,56760.0,56760.0,6243.6,56760.0,57
CDM,235819,SCREW BN CNTR SZ 3,179303.0,179303.0,19723.33,179303.0,57
CDM,235822,IPG MRI SR,56677.0,56677.0,6234.47,56677.0,57
CDM,235826,BLADE IM FX HUM 46MM,6589.0,6589.0,724.79,6589.0,57
CDM,235853,INSTRUMENT BX 20CM 16GA,2097.0,2097.0,146.79,2097.0,71
CDM,235854,NEEDLE BX 25CM 18GA,2097.0,2097.0,146.79,2097.0,71
CDM,235857,MODEL IPS CRANL W/MRKNG,101165.0,101165.0,7081.55,101165.0,71
CDM,235859,IMPL IPS CRNL PK 35.0,183910.0,183910.0,20230.1,183910.0,57
CDM,235875,SUTURE ANCHOR 4.75MM,10481.0,10481.0,1152.91,10481.0,57
CDM,235900,MEROPENEM 50 MG/ML INJ,1.24,1.24,0.09,1.24,47
CDM,235902,NOVOSEVEN RT 1 MG INJ,13601.18,13601.18,952.08,13601.18,42
CDM,235905,HEPARIN 10000 U INJ,21.66,21.66,1.52,21.66,47
CDM,235907,HEPARIN 5000 U INJ,7.78,7.78,0.54,7.78,47
CDM,235918,DIALYSATE SOL2000-2999ML,515.43,515.43,36.08,515.43,59
CDM,235920,DIALYSATE SOL2000-2999ML,324.37,324.37,22.71,324.37,59
CDM,235924,LUGOL'S SOLN 8ML,81.82,81.82,5.73,81.82,67
CDM,235934,CIPROFLOXACIN 400 MG INJ,856.72,856.72,59.97,856.72,47
CDM,235960,HALOPERIDL DEC 100MG INJ,1084.21,1084.21,75.89,1084.21,47
CDM,235960,"Injection, haloperidol decanoate, per 50 mg ",1084.21,1084.21,5.89,66.82,17
CDM,235987,BX TISSUE NECK OR THORAX,10385.36,10385.36,726.98,10385.36,64
CDM,235994,METHADONE TO 10 MG INJ,121.55,121.55,8.51,121.55,47
CDM,235995,FENTANYL 10 MCG/ML INJ,0.61,0.61,0.04,0.61,47
CDM,236016,COARTEM 10/120,58.16,58.16,4.07,58.16,67
CDM,236097,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",4208.05,4208.05,197.71,1774.2,72
CDM,236097,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Age 21+",4208.05,4208.05,304.47,304.47,4
CDM,236097,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Age Under 21",4208.05,4208.05,310.0,310.0,4
CDM,236097,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Other Outpatient",4208.05,4208.05,345.99,345.99,6
CDM,236097,PDGFRA TARGET GEN SEQAN,4208.05,4208.05,294.56,4208.05,47
CDM,236099,KIT TARGET SEQ ANAL GIST,5048.68,5048.68,353.41,5048.68,47
CDM,236101,MLH1 PROMOTR METHYLATION,2481.57,2481.57,173.71,2481.57,47
CDM,236102,ALBUMIN INF 5% 500 ML,1250.29,1250.29,87.52,1250.29,41
CDM,236103,ISAVUCONAZONM 372 MG INJ,2191.68,2191.68,153.42,2191.68,42
CDM,236103,"Injection, isavuconazonium, 1 mg ",2191.68,2191.68,1.67,9.24,15
CDM,236122,CARFILZOMIB 60 MG INJ,20121.06,20121.06,1408.47,20121.06,42
CDM,236123,3% NACL 500 ML INJ,22.9,22.9,1.6,22.9,47
CDM,236123,"Hypertonic saline solution, 1 ml ",22.9,22.9,0.17,1.45,15
CDM,236125,CEFTAZIDIME 1 G INJ,1116.98,1116.98,78.19,1116.98,47
CDM,236126,CEFTAZIDIME 2 G INJ,1672.5,1672.5,117.08,1672.5,47
CDM,236127,CEFTAZIDIME 1 G INJ,1134.41,1134.41,79.41,1134.41,47
CDM,236141,MIDAZOLAM 10 MG INJ,6.75,6.75,0.47,6.75,47
CDM,236165,CEBPA FULL GENE SEQ ANAL,3323.83,3323.83,232.67,3323.83,47
CDM,236169,AMIODARONE 450 MG INJ,31.29,31.29,2.19,31.29,47
CDM,236175,AMIODARONE 360 MG INJ,264.07,264.07,18.48,264.07,47
CDM,236180,COPPER 0.4MG/ML 10ML INJ,172.81,172.81,12.1,172.81,67
CDM,236187,SCREW BN 3.5MM 45MM,1727.0,1727.0,189.97,1727.0,57
CDM,236192,WOMENS SERV PRV ICU,19312.96,19312.96,,,0
CDM,236236,EVAL OT LOW COMPLEX,476.48,476.48,33.35,476.48,44
CDM,236246,PEMBROLIZUMAB 100 MG INJ,33758.53,33758.53,2363.1,33758.53,42
CDM,236247,ADO-TRASTUZUMAB 100MG,22836.66,22836.66,1598.57,22836.66,42
CDM,236249,ADO-TRASTUZUMAB 160MG,36538.58,36538.58,2557.7,36538.58,42
CDM,236250,TRANS ANGIO SAME ART INT,41012.94,41012.94,2870.91,41012.94,64
CDM,236251,TRANS ANGIO SAME ART EAD,15422.89,15422.89,1079.6,15422.89,64
CDM,236252,TRANS BAL ANGIO EACH IN,41012.94,41012.94,2870.91,41012.94,64
CDM,236253,TRANS BAL ANGIO EACH AD,15422.89,15422.89,1079.6,15422.89,64
CDM,236254,FISTULOGRAM,5816.62,5816.62,407.16,5816.62,64
CDM,236255,BALLOON FISTULA,41012.94,41012.94,2870.91,41012.94,64
CDM,236256,STENT FISTULA,82890.17,82890.17,5802.31,82890.17,64
CDM,236257,EMBOLECTOMY FISTULA,41012.94,41012.94,2870.91,41012.94,64
CDM,236258,CATH VNTX2 KT8.5F2LUM 16,2257.0,2257.0,157.99,2257.0,71
CDM,236259,EMBOLECTMY AND BALN FIST,82890.17,82890.17,5802.31,82890.17,64
CDM,236260,EMBOLECTOMY AND STNT FST,125640.26,125640.26,8794.82,125640.26,64
CDM,236261,BALLOON FISTULA  ADDL,15422.89,15422.89,1079.6,15422.89,64
CDM,236262,STENT FISTULA ADDL,15422.89,15422.89,1079.6,15422.89,64
CDM,236263,LGATION OF FISTULA,15422.89,15422.89,1079.6,15422.89,64
CDM,236288,CATH VNTX2 KT8.5F2LUM 20,2257.0,2257.0,157.99,2257.0,71
CDM,236289,TRANS ANGIO SAME ART INT,41012.94,41012.94,2870.91,41012.94,64
CDM,236290,TRANS ANGIO SAME ART EAD,15422.89,15422.89,1079.6,15422.89,64
CDM,236291,TRANS BAL ANGIO EACH IN,41012.94,41012.94,2870.91,41012.94,64
CDM,236292,TRANS BAL ANGIO EACH AD,15422.89,15422.89,1079.6,15422.89,64
CDM,236293,CARFILZOMIB 30 MG INJ,10060.56,10060.56,704.24,10060.56,42
CDM,236294,HEPARIN 25000 U INJ,53.76,53.76,3.76,53.76,47
CDM,236296,LIDOCAINE VISC 2% 15ML,10.27,10.27,0.72,10.27,67
CDM,236297,HUMATE-P PER IU VWF:RCO,8.96,8.96,0.63,8.96,42
CDM,236320,EVAL OT LOW COMPLEX,501.32,501.32,35.09,501.32,44
CDM,236322,EVAL OT MOD COMPLEX,737.79,737.79,51.65,737.79,44
CDM,236322,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",737.79,737.79,88.23,497.44,100
CDM,236324,EVAL OT HIGH COMPLEX,1079.49,1079.49,75.56,1079.49,44
CDM,236324,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",1079.49,1079.49,88.23,497.44,100
CDM,236326,RE-EVALUATION OT,273.11,273.11,19.12,273.11,44
CDM,236326,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",273.11,273.11,60.04,341.28,100
CDM,236329,EVAL PT LOW COMPLEX,501.32,501.32,35.09,501.32,44
CDM,236329,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",501.32,501.32,85.9,462.72,100
CDM,236331,EVAL PT MOD COMPLEX,737.79,737.79,51.65,737.79,44
CDM,236331,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",737.79,737.79,85.9,462.72,100
CDM,236333,EVAL PT HIGH COMPLEX,1079.49,1079.49,75.56,1079.49,44
CDM,236333,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",1079.49,1079.49,85.9,462.72,100
CDM,236335,RE-EVALUATION PT,412.64,412.64,28.88,412.64,44
CDM,236335,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",412.64,412.64,59.16,314.26,100
CDM,236339,ARGAT NON ESRD 250MG INJ,1648.48,1648.48,115.39,1648.48,42
CDM,236339,"Injection, argatroban, 1 mg (for non-esrd use) ",1648.48,1648.48,0.98,7.66,17
CDM,236341,IRINOTECAN LIPO 43MG INJ,17170.52,17170.52,1201.94,17170.52,42
CDM,236341,"Injection, irinotecan liposome, 1 mg ",17170.52,17170.52,64.38,558.1,17
CDM,236342,ELOTUZUMAB 300 MG INJ,19575.9,19575.9,1370.31,19575.9,42
CDM,236343,ELOTUZUMAB 400 MG INJ,17674.75,17674.75,1237.23,17674.75,42
CDM,236347,AZATHIOPPRIN ORAL SUS,678.52,678.52,47.5,678.52,67
CDM,236350,ROBINUL ORAL SUSP,98.03,98.03,6.86,98.03,67
CDM,236351,HYDREA ORAL SUSP,656.29,656.29,45.94,656.29,67
CDM,236354,LISINOPRIL ORAL SUSP,78.17,78.17,5.47,78.17,67
CDM,236355,LOSARTAN ORAL SUSP,4.18,4.18,0.29,4.18,67
CDM,236359,TRENTAL ORAL SUSP,272.34,272.34,19.06,272.34,67
CDM,236360,PYRAZINAMIDE ORAL SU,6.22,6.22,0.44,6.22,67
CDM,236361,RIFAXIMIN ORAL SUSP,430.04,430.04,30.1,430.04,67
CDM,236362,SULFADIAZINE ORAL SU,283.53,283.53,19.85,283.53,67
CDM,236365,THIAMINE ORAL SOLN,4.65,4.65,0.33,4.65,61
CDM,236366,THIOGUANINE ORAL SUSP,1459.71,1459.71,102.18,1459.71,67
CDM,236367,TOPIRAMATE ORAL SUSP,272.07,272.07,19.04,272.07,67
CDM,236408,STENT BIL 9X20X17MM 80CM,17449.0,17449.0,1919.39,17449.0,57
CDM,236412,DRUG SCR DOO MANUAL READ,1156.88,1156.88,80.98,1156.88,47
CDM,236413,DRUG SCR DOO INSTR READ,1458.62,1458.62,102.1,1458.62,47
CDM,236414,DRUG SCR ANY NBR PER DOS,1400.54,1400.54,98.04,1400.54,47
CDM,236418,STENT BIL 6X23MM 135CM,16461.0,16461.0,1810.71,16461.0,57
CDM,236450,IMPLANT BREAST 775CC,23633.0,23633.0,2599.63,23633.0,57
CDM,236455,MAMMO DIAG CAD UNI,702.63,702.63,49.18,702.63,48
CDM,236456,MAMMO DIAG CAD UNI,702.63,702.63,49.18,702.63,48
CDM,236457,MAMMO SCR CAD BI,992.61,992.61,69.48,992.61,48
CDM,236457,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",992.61,992.61,88.06,445.63,55
CDM,236457,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Other Outpatient",992.61,992.61,95.31,95.31,6
CDM,236458,STNT BIL GNSOP 6X38X135,10469.0,10469.0,1151.59,10469.0,57
CDM,236459,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",1019.43,1019.43,106.72,539.26,55
CDM,236459,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Other Outpatient",1019.43,1019.43,115.52,115.52,6
CDM,236459,MAMMO DIAG CAD BI,1019.43,1019.43,71.36,1019.43,48
CDM,236464,INJ EPI NO SUB CT W IMAG,5817.13,5817.13,407.2,5817.13,64
CDM,236465,INJ EPI NO SUB LS W IMAG,9987.75,9987.75,699.14,9987.75,64
CDM,236472,INJ EPI NO SUB LS WO IMG,10961.56,10961.56,767.31,10961.56,64
CDM,236473,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236474,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236475,US AAA SCREEN,643.86,643.86,45.07,643.86,48
CDM,236481,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,236482,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236483,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236484,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,236485,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236486,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236487,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,236489,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236490,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236491,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,236492,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236493,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236494,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,236495,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236496,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236501,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,236502,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236503,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236506,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,236507,INJ EPI C/T WO IMAGING,3929.86,3929.86,275.09,3929.86,64
CDM,236509,INJ EPI C/T W IMAGING,4313.03,4313.03,301.91,4313.03,64
CDM,236510,INJ EPI L/S WO IMAGING,3929.86,3929.86,275.09,3929.86,64
CDM,236511,INJ EPI L/S W IMAGING,4313.03,4313.03,301.91,4313.03,64
CDM,236512,INJ EPI NO SUB CT WO IMG,6384.3,6384.3,446.9,6384.3,64
CDM,236530,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236531,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236535,MGMT RCPT SRCH & ACQSTN,9223.39,9223.39,645.64,9223.39,71
CDM,236536,MGMT RCPT SRCH & ACQSTN,3740.19,3740.19,261.81,3740.19,71
CDM,236537,REGISTRY DONOR CX FEES,40391.2,40391.2,2827.38,40391.2,71
CDM,236540,ALLO UNR INTL DONOR ACQ,271517.81,271517.81,19006.25,271517.81,71
CDM,236541,ALLO UNR DSMTC DONOR ACQ,238621.97,238621.97,16703.54,238621.97,71
CDM,236542,ALLO SGL CORD DONOR ACQ,241832.14,241832.14,16928.25,241832.14,71
CDM,236543,ALLO DBL CORD DONOR ACQ,500776.79,500776.79,35054.38,500776.79,71
CDM,236544,DRUG SCR DOO MANUAL READ,1156.88,1156.88,80.98,1156.88,47
CDM,236545,DRUG SCR DOO INSTR READ,1458.62,1458.62,102.1,1458.62,47
CDM,236546,DRUG SCR ANY NBR PER DOS,1400.54,1400.54,98.04,1400.54,47
CDM,236548,STENT BIL 10-12MM 39MM,13358.0,13358.0,1469.38,13358.0,57
CDM,236574,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,236575,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,236576,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,236624,"Injection, trastuzumab, excludes biosimilar, 10 mg ",14555.43,14555.43,71.23,651.49,17
CDM,236624,TRASTUZUMAB 150 MG INJ,14555.43,14555.43,1018.88,14555.43,42
CDM,236627,SMOFLIPID 20% 100,153.84,153.84,10.77,153.84,67
CDM,236629,SMOFLIPID 20% 500,218.13,218.13,15.27,218.13,67
CDM,236632,DROPERIDOL 5 MG INJ,55.39,55.39,3.88,55.39,47
CDM,236641,TIROFIBAN 3.75 MG INJ,339.77,339.77,23.78,339.77,47
CDM,236643,LEVOFLOXACIN 750 MG INJ,501.81,501.81,35.13,501.81,47
CDM,236644,INJ SCLEROSANT LIMB/TRNK,1302.43,1302.43,91.17,1302.43,64
CDM,236650,ROPIVACAINE 40 MG INJ,32.16,32.16,2.25,32.16,47
CDM,236653,FOLIC ACID ORAL SOLN,122.65,122.65,8.59,122.65,67
CDM,236655,IPILIMUMAB 50 MG INJ,61235.77,61235.77,4286.5,61235.77,42
CDM,236655,"Injection, ipilimumab, 1 mg ",61235.77,61235.77,181.55,1568.52,17
CDM,236661,SCREW BN 1.7X8MM SLF,2205.0,2205.0,242.55,2205.0,57
CDM,236673,EFFER-K EFF 20MEQ TAB,4.76,4.76,0.33,4.76,67
CDM,236685,ACIDOPHILUS-PECTIN CAP,0.45,0.45,0.03,0.45,67
CDM,236687,VEDOLIZUMAB 300 MG IV,52583.97,52583.97,3680.88,52583.97,42
CDM,236696,HEPARIN 1000 U LOCK,127.08,127.08,8.9,127.08,71
CDM,236697,HEPARIN 100 U LOCK,90.2,90.2,6.31,90.2,71
CDM,236701,HEPARIN 500 U LOCK,17.7,17.7,1.24,17.7,71
CDM,236707,FLUTICASONE 110MCG 12GM,1961.77,1961.77,137.32,1961.77,67
CDM,236719,SMOFLIPID 20% 250,166.81,166.81,11.68,166.81,67
CDM,236720,FLUCONAZOLE 400 MG INJ,608.12,608.12,42.57,608.12,47
CDM,236725,FLUTICASONE 220MCG 12GM,2592.25,2592.25,181.46,2592.25,67
CDM,236726,FLUTICASONE 44MCG 10.6GM,1749.84,1749.84,122.49,1749.84,67
CDM,236731,BECLOMETHASONE NASAL,1545.14,1545.14,108.16,1545.14,59
CDM,236732,BUDES/FORMT 160/4.5 6GM,1121.37,1121.37,78.5,1121.37,67
CDM,236733,BUDES/FORMT 80/4.5 6.9GM,1266.25,1266.25,88.64,1266.25,67
CDM,236734,FLUTIC/SAL 115/21MCG 8GM,2280.45,2280.45,159.63,2280.45,67
CDM,236735,FLUTIC/SAL 230/21MCG 8GM,2958.85,2958.85,207.12,2958.85,67
CDM,236736,FLUTIC/SAL 45/21MCG 8GM,1741.06,1741.06,121.87,1741.06,67
CDM,236737,FLUTIC/SAL100/50MCGINH14,1516.32,1516.32,106.14,1516.32,67
CDM,236738,PLATE LCK TIB 6 HL,23738.0,23738.0,2611.18,23738.0,57
CDM,236739,FLUTIC/SAL250/50MCGINH14,1857.6,1857.6,130.03,1857.6,67
CDM,236740,FLUTIC/SAL500/50MCGINH14,2274.37,2274.37,159.21,2274.37,67
CDM,236741,IPRATROP HFA 17MCG PUFF,2272.68,2272.68,159.09,2272.68,67
CDM,236742,MOMET/FOR 100/5MCGINH60,1145.09,1145.09,80.16,1145.09,67
CDM,236745,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",117.27,117.27,0.71,95.24,17
CDM,236745,INH ARFORMOTEROL 15 MCG,117.27,117.27,8.21,117.27,47
CDM,236747,ACETYLCYSTN 20% 4 ML INH,79.09,79.09,5.54,79.09,47
CDM,236749,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",5.2,5.2,0.23,1.37,17
CDM,236749,INH ALBUTERLNCCONC 2.5MG,5.2,5.2,0.36,5.2,47
CDM,236750,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",1.45,1.45,0.08,0.68,17
CDM,236750,INH ALBUTERL NC UD 2.5MG,1.45,1.45,0.1,1.45,47
CDM,236751,INH LEVLBUT NCUD 0.63 MG,91.32,91.32,6.39,91.32,47
CDM,236752,INH LEVLBUT NCCNC 1.25MG,33.88,33.88,2.37,33.88,47
CDM,236752,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",33.88,33.88,0.31,8.55,17
CDM,236753,INH LEVLBUT NC UD1.25 MG,10.72,10.72,0.75,10.72,47
CDM,236754,INHBUDESOND NC 0.25MG,88.2,88.2,6.17,88.2,47
CDM,236755,INH BUDESOND NC 0.5 MG,103.38,103.38,7.24,103.38,47
CDM,236756,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",1400.5,1400.5,53.51,471.73,17
CDM,236756,INH DORNASEALFA UD 2.5MG,1400.5,1400.5,98.03,1400.5,47
CDM,236757,INH IPRATROP NC 0.5MG,25.68,25.68,1.8,25.68,47
CDM,236757,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",25.68,25.68,0.43,3.34,17
CDM,236759,INH PENTAMIDINE UD 300MG,3067.06,3067.06,214.69,3067.06,59
CDM,236771,PREDNISONE 2.5 MG PO,1.56,1.56,0.11,1.56,47
CDM,236795,LEVOFLOXACIN 5 MG/ML INJ,0.1,0.1,0.007,0.1,47
CDM,236796,SARNA LOTION SENSITIVE,76.94,76.94,5.39,76.94,67
CDM,236801,MIDAZOLAM 5 MG/1 ML INJ,6.26,6.26,0.44,6.26,47
CDM,236817,SCREW 6X2.5MM CORT CRNM,1693.0,1693.0,186.23,1693.0,57
CDM,236819,PLATE ORBIT 30MM 30MM,15604.0,15604.0,1716.44,15604.0,57
CDM,236825,BAG SPEC RETRVL 125ML,8344.0,8344.0,584.08,8344.0,71
CDM,236831,CYANOCOBALAMIN 1000 MCG,168.08,168.08,11.77,168.08,47
CDM,236831,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",168.08,168.08,0.65,19.15,17
CDM,236832,HEPARIN 2000 U INJ,61.1,61.1,4.28,61.1,47
CDM,236833,RABIES VAC IM,2507.45,2507.45,175.52,2507.45,42
CDM,236833,"Rabies vaccine, for intramuscular use ",2507.45,2507.45,305.76,4162.77,17
CDM,236835,HEPARIN 1000 U INJ,26.69,26.69,1.87,26.69,47
CDM,236842,BIOPSY SALIVARY GLAND,4746.05,4746.05,332.22,4746.05,64
CDM,236883,CAFFEINE CIT 20MG/ML INJ,279.33,279.33,19.55,279.33,47
CDM,236886,CONIVAPTAN 20 MG INJ,12462.39,12462.39,872.37,12462.39,47
CDM,236886,"Injection, conivaptan hydrochloride, 1 mg ",12462.39,12462.39,108.02,388.77,12
CDM,236887,HUMN BRSTMLK PSD ONLY,27.96,27.96,1.96,27.96,71
CDM,236895,IVIG HEPAGAM B 1 ML,1144.7,1144.7,80.13,1144.7,42
CDM,236895,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",1144.7,1144.7,68.12,612.84,17
CDM,236896,HUMN BRSTMLK PSD ONLY,27.96,27.96,1.96,27.96,71
CDM,236901,MRI FETAL SNGL 1ST GEST,1262.14,1262.14,88.35,1262.14,43
CDM,236901,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",1262.14,1262.14,229.97,1321.0,28
CDM,236901,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation Age 21+",1262.14,1262.14,256.82,256.82,4
CDM,236901,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation Age Under 21",1262.14,1262.14,261.49,261.49,4
CDM,236902,MRI FETAL EACH ADD GEST,316.83,316.83,22.18,316.83,49
CDM,236902,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure) ",316.83,316.83,179.36,1321.0,25
CDM,236902,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure) Ag",316.83,316.83,224.94,229.03,8
CDM,236903,CILASTATN/IMIPINM 500 MG,175.9,175.9,12.31,175.9,47
CDM,236903,"Injection, cilastatin sodium; imipenem, per 250 mg ",175.9,175.9,6.13,59.61,17
CDM,236909,ENVARSUS XR 1 MG PO,44.09,44.09,3.09,44.09,47
CDM,236910,ENVARSUS XR 4 MG PO,176.35,176.35,12.34,176.35,47
CDM,236911,XYLOCAINE PF 4% 5ML,51.34,51.34,3.59,51.34,67
CDM,236929,ROD SPN 5.5MM 300MM,7593.0,7593.0,835.23,7593.0,57
CDM,236991,STEM FEM KN 16/11X160MM,36404.0,36404.0,4004.44,36404.0,57
CDM,237017,SET 12-18CM 4F .025IN 14,4862.0,4862.0,340.34,4862.0,71
CDM,237032,"Injection, perflutren lipid microspheres, per ml ",4835.08,4835.08,38.76,529.14,17
CDM,237032,PERFLUT LPDMCS 1.5ML INJ,4835.08,4835.08,338.46,4835.08,46
CDM,237033,DOXYCYCLINE 100 MG INJ,937.56,937.56,65.63,937.56,59
CDM,237034,FLUMAZENIL 0.1 MG INJ,8.6,8.6,0.6,8.6,59
CDM,237035,GLYCOPYRROLATE 0.2MG INJ,32.16,32.16,2.25,32.16,59
CDM,237055,DOPAMINE 200 MG INJ,16.75,16.75,1.17,16.75,47
CDM,237057,I123 IOFLUPANE DX 5MCI,17933.34,17933.34,1255.33,17933.34,49
CDM,237057,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",17933.34,17933.34,2289.77,22610.12,15
CDM,237057,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries Max of 2 Units",17933.34,17933.34,70.0,70.0,1
CDM,237065,STENT COR 5X15MM,6590.0,6590.0,724.9,6590.0,57
CDM,237066,STENT COR 4.5X18MM,6590.0,6590.0,724.9,6590.0,57
CDM,237067,STENT COR 5X28MM,2505.0,2505.0,275.55,2505.0,57
CDM,237069,STENT COR 5X12MM,6590.0,6590.0,724.9,6590.0,57
CDM,237070,STENT COR 4.5X33MM,6590.0,6590.0,724.9,6590.0,57
CDM,237071,STENT COR 4.5X28MM,2505.0,2505.0,275.55,2505.0,57
CDM,237073,STENT COR 4.5X23MM,6590.0,6590.0,724.9,6590.0,57
CDM,237074,STENT COR 5X18MM,6590.0,6590.0,724.9,6590.0,57
CDM,237075,STENT COR 4.5X15MM,6590.0,6590.0,724.9,6590.0,57
CDM,237076,STENT COR 5X33MM,2505.0,2505.0,275.55,2505.0,57
CDM,237077,STENT COR 4.5X12MM,6590.0,6590.0,724.9,6590.0,57
CDM,237087,CONE BCNDLR LEFT 21MM,101198.0,101198.0,11131.78,101198.0,57
CDM,237109,SCREW BN CANN 6.5MM 50MM,7090.0,7090.0,779.9,7090.0,57
CDM,237112,NAIL BN CALC 7.2X80MM,21188.0,21188.0,2330.68,21188.0,57
CDM,237113,HEAD FEM HIP 28MM SZM,16770.0,16770.0,1844.7,16770.0,57
CDM,237193,CIPROFLOXACIN 400 MG INJ,1464.27,1464.27,102.5,1464.27,47
CDM,237194,CIPROFLOXACIN 200 MG INJ,752.55,752.55,52.68,752.55,47
CDM,237195,LEVOFLOXACIN 250 MG INJ,47.06,47.06,3.29,47.06,47
CDM,237196,LEVOFLOXACIN 500 MG INJ,258.98,258.98,18.13,258.98,47
CDM,237202,ENDO STOMACH US-INJ,8184.24,8184.24,572.9,8184.24,64
CDM,237203,ERCP STENT REMOVAL,18750.56,18750.56,1312.54,18750.56,64
CDM,237213,DOPAMINE 400 MG INJ,81.28,81.28,5.69,81.28,47
CDM,237219,DOBUTAMNE 2000MCG/ML INJ,356.02,356.02,24.92,356.02,47
CDM,237220,DOPAMINE 1600 MCG/ML INJ,6.68,6.68,0.47,6.68,47
CDM,237223,BRON W/DES TUMR/CRYO,20179.15,20179.15,1412.54,20179.15,64
CDM,237473,D5W 100 ML,53.56,53.56,3.75,53.56,47
CDM,237476,MIDOSTAURIN 25 MG PO,1285.32,1285.32,89.97,1285.32,67
CDM,237491,ENOXAPARIN 100 MG INJ,40.12,40.12,2.81,40.12,47
CDM,237492,ENOXAPARIN 120 MG INJ,48.13,48.13,3.37,48.13,47
CDM,237493,ENOXAPARIN 150 MG INJ,60.29,60.29,4.22,60.29,47
CDM,237496,ENOXAPARIN 60 MG INJ,23.28,23.28,1.63,23.28,47
CDM,237497,ENOXAPARIN 80 MG INJ,32.11,32.11,2.25,32.11,47
CDM,237499,ABLATION SOMATIC NERVES,5424.53,5424.53,379.72,5424.53,64
CDM,237500,INS CANN/CATH,28269.9,28269.9,1978.89,28269.9,64
CDM,237503,TUBE TRACH 3.0MM,6031.0,6031.0,422.17,6031.0,71
CDM,237525,WEDGE TIB 15MM MBT 4 KN,26865.0,26865.0,2955.15,26865.0,57
CDM,237597,CLAMP SURG MCR 0.2-1MM,1599.0,1599.0,111.93,1599.0,71
CDM,237599,NEEDLE SUT 11-0 2.6MM,1893.0,1893.0,132.51,1893.0,71
CDM,237601,PLATE BN HIP 3HL 3.5MM,9144.0,9144.0,1005.84,9144.0,57
CDM,237613,RAMUCIRUMAB 500 MG INJ,48191.88,48191.88,3373.43,48191.88,42
CDM,237617,GENTEAL OPHTH OINT 3.5GM,46.87,46.87,3.28,46.87,67
CDM,237627,SIGMOIDOSCOPY W/ FNA/BX,3678.48,3678.48,257.49,3678.48,64
CDM,237636,HYDROXYZINE 50 MG INJ,162.89,162.89,11.4,162.89,47
CDM,237636,"Injection, hydroxyzine hcl, up to 25 mg ",162.89,162.89,2.35,144.79,17
CDM,237637,CMPD LETS KIT,173.82,173.82,12.17,173.82,59
CDM,237642,PHENYTOIN 100 MG INJ,7.92,7.92,0.55,7.92,47
CDM,237643,PHENYTOIN 250 MG INJ,11.41,11.41,0.8,11.41,47
CDM,237644,BUTORPHANOL 2 MG INJ,108.69,108.69,7.61,108.69,47
CDM,237644,"Injection, butorphanol tartrate, 1 mg ",108.69,108.69,3.14,43.19,17
CDM,237645,BUTORPHANOL SPRAY 25 MG,1898.18,1898.18,132.87,1898.18,46
CDM,237645,"Butorphanol tartrate, nasal spray, 25 mg ",1898.18,1898.18,143.55,528.94,12
CDM,237646,BETAMETHSN 6 MG INJ,308.29,308.29,21.58,308.29,47
CDM,237646,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",308.29,308.29,6.76,58.92,17
CDM,237663,HEAD FEM +0MM 22MM HIP,9030.0,9030.0,993.3,9030.0,57
CDM,237665,PACK RSC STRNL TLN PROC,5623.0,5623.0,393.61,5623.0,71
CDM,237672,CANNULA ART 3MM 1.3MM,504.0,504.0,35.28,504.0,71
CDM,237692,BURR RND CARBIDE 4MM,5727.0,5727.0,400.89,5727.0,71
CDM,237701,BUR SURG 5MM,5727.0,5727.0,400.89,5727.0,71
CDM,237702,BUR SURG 6MM,5727.0,5727.0,400.89,5727.0,71
CDM,237704,SCREW BN 3.5MM 22MM,4547.0,4547.0,500.17,4547.0,57
CDM,237708,BLN AGTRC 5X20X135,1959.0,1959.0,137.13,1959.0,71
CDM,237719,SCREW BN 5MM 30MM,2466.0,2466.0,271.26,2466.0,57
CDM,237724,PLATE BN DSTL 90MM 7HL,29303.0,29303.0,3223.33,29303.0,57
CDM,237736,KIT INSTR DISP 2.9MM,8984.0,8984.0,628.88,8984.0,71
CDM,237739,GRAFT EVAS 14.5MM 7CM,62503.0,62503.0,6875.33,62503.0,57
CDM,237740,PLATE SPN 1LVL 24MM,22779.0,22779.0,2505.69,22779.0,57
CDM,237741,SCREW BN 4X13MM SPNL ARC,1899.0,1899.0,208.89,1899.0,57
CDM,237744,PLATE ARCHON 62MM 3-LEVE,24045.0,24045.0,2644.95,24045.0,57
CDM,237745,SCREW SPINAL VA 4.5X13MM,1899.0,1899.0,208.89,1899.0,57
CDM,237750,SHEATH GD 14FR 63CM,3692.0,3692.0,258.44,3692.0,71
CDM,237751,SCREW BN 2.3MM 9MM,1439.0,1439.0,158.29,1439.0,57
CDM,237775,SCREW SPN 4.35MM 40MM,10275.0,10275.0,1130.25,10275.0,57
CDM,237789,MCTH INFS 2.4FR 130CM,10859.0,10859.0,760.13,10859.0,71
CDM,237826,SCREW LCK SHFT 3.5X16MM,3525.0,3525.0,387.75,3525.0,57
CDM,237849,DRILL SURG CLBRT 3.5MM,1874.0,1874.0,131.18,1874.0,71
CDM,237851,SCREW BN 3.5MM 60MM,822.0,822.0,90.42,822.0,57
CDM,237869,SCREW BN MXLFCL 2X10MM,1629.0,1629.0,179.19,1629.0,57
CDM,237870,SCREW BN MXLFCL 2X8MM,1629.0,1629.0,179.19,1629.0,57
CDM,237871,SCREW BN MXLFCL 2X5MM,1629.0,1629.0,179.19,1629.0,57
CDM,237872,BODY BRDHD 175MM 11MM,112278.0,112278.0,12350.58,112278.0,57
CDM,237946,ACYCLOVIR 400 MG TAB,11.58,11.58,0.81,11.58,67
CDM,237947,RAD HAND/LOAD,872.52,872.52,61.08,872.52,54
CDM,237950,IMPLANT BREAST 355CC,19009.0,19009.0,2090.99,19009.0,57
CDM,237958,BASEPLT TIB KN SZ8,23220.0,23220.0,2554.2,23220.0,57
CDM,237961,ROPIVACAINE 200 MG INJ,233.9,233.9,16.37,233.9,47
CDM,237962,ROPIVACAINE 400 MG INJ,468.71,468.71,32.81,468.71,47
CDM,237963,ROPIVACAINE 150 MG INJ,43.07,43.07,3.01,43.07,47
CDM,237974,CHLOROTHIZDE 28MG/ML INJ,29.4,29.4,2.06,29.4,47
CDM,237986,FENTANYL CIT 0.05 MG INJ,10.53,10.53,0.74,10.53,47
CDM,237994,INJ FCT C/T >=3 FL/CT,2514.8,2514.8,176.04,2514.8,64
CDM,238009,GASTROGRAFIN 37% 30 ML,111.38,111.38,7.8,111.38,46
CDM,238012,COREG 1.67MG/ML SUSP,142.52,142.52,9.98,142.52,67
CDM,238024,CALCITRIOL SUS 0.5 MCG,25.92,25.92,1.81,25.92,67
CDM,238025,DIURIL SUS 100 MG/2 ML,6.81,6.81,0.48,6.81,67
CDM,238026,DIGOXIN ELIX 25 MCG,12.37,12.37,0.87,12.37,67
CDM,238039,FLUVAC RIV4 PFAF IM,273.49,273.49,19.14,273.49,42
CDM,238039,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",273.49,273.49,157.84,617.88,12
CDM,238039,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Other Outpatient",273.49,273.49,,,0
CDM,238067,GA68 DOTATATE DX 0.1MCI,507.42,507.42,35.52,507.42,49
CDM,238074,AMPICIL/SULBAC 3 G INJ,84.51,84.51,5.92,84.51,47
CDM,238075,CEFEPIME HCL 1 G INJ,14.74,14.74,1.03,14.74,47
CDM,238076,CEFEPIME HCL 2 G INJ,120.48,120.48,8.43,120.48,47
CDM,238079,CEFOXITIN 2 G INJ,64.31,64.31,4.5,64.31,47
CDM,238085,CEFUROXIME 1.5 G INJ,82.1,82.1,5.75,82.1,47
CDM,238087,CEFUROXIME 30 MG/ML INJ,49.26,49.26,3.45,49.26,47
CDM,238231,SCREW BN 3MM 22MM,9474.0,9474.0,1042.14,9474.0,57
CDM,238270,TRAY CATH .015IN 2.5FR,3291.0,3291.0,230.37,3291.0,71
CDM,238280,PLATE 2.0 LC DCP 4H 27,4273.0,4273.0,470.03,4273.0,57
CDM,238323,SCREW BN 3MM 24MM,9474.0,9474.0,1042.14,9474.0,57
CDM,238364,SCREW BN 3.5MM 48MM,3589.0,3589.0,394.79,3589.0,57
CDM,238886,INSERT ARTC KN 3-4 13MM,33916.0,33916.0,3730.76,33916.0,57
CDM,238962,SCREW BN 5.0MM 42.5MM,2775.0,2775.0,305.25,2775.0,57
CDM,238963,NAIL TROCH 130D 12X400MM,41100.0,41100.0,4521.0,41100.0,57
CDM,238965,INSERT TIB KN MED 12MM,84987.0,84987.0,9348.57,84987.0,57
CDM,239072,NAIL BN FEM 12MM 360MM,26859.0,26859.0,2954.49,26859.0,57
CDM,239129,CEFTAZIDIME 2 G INJ,1851.85,1851.85,129.63,1851.85,47
CDM,239341,DRILL DISTAL LOCK 170MM,3936.0,3936.0,275.52,3936.0,71
CDM,239861,PLATE BN CRNFCL LT 3MM,6135.0,6135.0,674.85,6135.0,57
CDM,239871,PLATE BN CRNFCL RT 3MM,6502.0,6502.0,715.22,6502.0,57
CDM,239911,SCREW BN 4.5MM 44MM,750.0,750.0,82.5,750.0,57
CDM,239937,CMPNT SHD COUPL W/SCR,211367.0,211367.0,23250.37,211367.0,57
CDM,240092,NAIL BN FEM 11MM 340MM,26859.0,26859.0,2954.49,26859.0,57
CDM,240114,GWIRE ORTH 150X2MM,2189.0,2189.0,153.23,2189.0,71
CDM,240131,BLADE SHVR 3.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,240138,ANCHOR BN LIG 4.75MM,6001.0,6001.0,660.11,6001.0,57
CDM,240141,GWIRE VASC 300CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,240149,INSERT TIB KN SZ4 12MM,39732.0,39732.0,4370.52,39732.0,57
CDM,240192,SCREW BN 5MM 54MM,3530.0,3530.0,388.3,3530.0,57
CDM,240207,PROSTH OSS 5.75MM 0.75MM,8954.0,8954.0,626.78,8954.0,57
CDM,240209,SCREW BN HDLS 6.5X80MM,13650.0,13650.0,1501.5,13650.0,57
CDM,240236,CATH DBC 5X100MM 75CM,19056.0,19056.0,1333.92,19056.0,71
CDM,240238,CATH DBC 5X80MM 75CM,19056.0,19056.0,1333.92,19056.0,71
CDM,240239,CATH DBC 5X100MM 75CM,19056.0,19056.0,1333.92,19056.0,71
CDM,240256,PLATE BN 1/3 3H 36MM,3124.0,3124.0,343.64,3124.0,57
CDM,240263,CMPNT STEM SHLDR REV SZ9,90674.0,90674.0,9974.14,90674.0,57
CDM,240294,PLATE BN 10HL 4.5X188MM,10785.0,10785.0,1186.35,10785.0,57
CDM,240307,PLATE BN 3HL 33MM,2176.0,2176.0,239.36,2176.0,57
CDM,240318,PLATE BN RT 8H 3.5/4.5MM,46444.0,46444.0,5108.84,46444.0,57
CDM,240321,PLATE BN 4HL 45MM,2559.0,2559.0,281.49,2559.0,57
CDM,240337,SCREW BN 1.5MM 6MM,6987.0,6987.0,768.57,6987.0,57
CDM,240338,SCREW BN 1.5MMX4MM,6987.0,6987.0,768.57,6987.0,57
CDM,240341,PLATE BN MESH 14MM 14MM,43977.0,43977.0,4837.47,43977.0,57
CDM,240347,INSERT TIB INS SM 16MM,24135.0,24135.0,2654.85,24135.0,57
CDM,240348,SPLINT SPICA THB WRST SM,200.0,200.0,14.0,200.0,71
CDM,240361,HEAD HUM SHLDR 45X19MM,64501.0,64501.0,7095.11,64501.0,57
CDM,240372,ROD SPN 5.5MM 60MM,4556.0,4556.0,501.16,4556.0,57
CDM,240379,INSTRUMENT PACK HINDFOOT,7613.0,7613.0,532.91,7613.0,71
CDM,240381,STAPLE BN 20MM 20MM,36436.0,36436.0,4007.96,36436.0,57
CDM,240383,INSERT TIB KN SZ6 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,240392,TUBING ANGIO 1200 PI72IN,399.0,399.0,27.93,399.0,71
CDM,240399,CANNULA INTROD 29FX46CM,165678.0,165678.0,11597.46,165678.0,71
CDM,240413,STEM FEM SLT 36MM,73475.0,73475.0,8082.25,73475.0,57
CDM,240462,LINER ACTB HIP 36MM 50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,240482,SCREW BN LCKNG 3.5X28MM,2240.0,2240.0,246.4,2240.0,57
CDM,240483,GRAFT TIS SYN INJ 15CC,29983.0,29983.0,3298.13,29983.0,57
CDM,240487,INSERT KN REV SM 18MM,84987.0,84987.0,9348.57,84987.0,57
CDM,240488,SCREW BN CORT 2.4X12MM,3247.0,3247.0,357.17,3247.0,57
CDM,240496,SCREW BN CMPR LCK CAP,4234.0,4234.0,465.74,4234.0,57
CDM,240497,BIT DRILL 3.5MM X 50MM,5623.0,5623.0,393.61,5623.0,71
CDM,240499,STEM HIP SZ6 107MM 35MM,49846.0,49846.0,5483.06,49846.0,57
CDM,240502,STENT EPRSTH 12FR 2.8CM,202114.0,202114.0,22232.54,202114.0,57
CDM,240507,INSERT TIBIAL EZ C 10MM,13468.0,13468.0,1481.48,13468.0,57
CDM,240508,BASEPLATE TIBIAL SZ6,24510.0,24510.0,2696.1,24510.0,57
CDM,240513,INTRO SHTH 12FR 63CM TIP,3317.0,3317.0,232.19,3317.0,71
CDM,240540,BSKT RTRV NFRC 3.2X115,5894.0,5894.0,412.58,5894.0,71
CDM,240544,SUTURE BLUE 3-0 36IN,408.0,408.0,28.56,408.0,71
CDM,240554,INSERT TIBIAL SCREW FEM,13080.0,13080.0,1438.8,13080.0,57
CDM,240555,INSERT TIBIAL RT SZ2,102767.0,102767.0,11304.37,102767.0,57
CDM,240564,ADAPTER HD TI 0MM NTRL,3406.0,3406.0,374.66,3406.0,57
CDM,240568,STEM FEM KN 22MM 115MM,18164.0,18164.0,1998.04,18164.0,57
CDM,240572,HEAD HUMRL SHLDR IMP40MM,20434.0,20434.0,2247.74,20434.0,57
CDM,240573,COMPNT SHLDR BDY HUM SZL,40868.0,40868.0,4495.48,40868.0,57
CDM,240595,TEMPLATE CUSTOM MADE,67815.0,67815.0,4747.05,67815.0,71
CDM,240597,PLATE BN 1/3 12HL 144MM,3884.0,3884.0,427.24,3884.0,57
CDM,240609,GWIRE VASC COATD 215CM,11433.0,11433.0,800.31,11433.0,71
CDM,240617,STEM HIP SZ3 101X36MM,49846.0,49846.0,5483.06,49846.0,57
CDM,240618,IMPLANT BREAST 480CC,20550.0,20550.0,2260.5,20550.0,57
CDM,240621,CATH ULTSND IVL 6X60MM,57167.0,57167.0,4001.69,57167.0,71
CDM,240645,SCREW BN 4.0MM 14MM,750.0,750.0,82.5,750.0,57
CDM,240646,PLATE BN TBLR 6HL 72MM,3597.0,3597.0,395.67,3597.0,57
CDM,240648,PLATE BN T 10H 2.7X87MM,14653.0,14653.0,1611.83,14653.0,57
CDM,240654,PLATE BN CRNL LT 1.6X3MM,5675.0,5675.0,624.25,5675.0,57
CDM,240658,STEM HUM SHD 13MM 180MM,56760.0,56760.0,6243.6,56760.0,57
CDM,240664,CMPNT FEM SZ4,36636.0,36636.0,4029.96,36636.0,57
CDM,240665,INSERT FEM SZ6,33540.0,33540.0,3689.4,33540.0,57
CDM,240679,CATH OCCL PART 7F,95311.0,95311.0,6671.77,95311.0,71
CDM,240714,SLEEVE BRACHY 40MM,2621.0,2621.0,288.31,2621.0,57
CDM,240715,KIT FERRULE NRSTM RNS,64453.0,64453.0,7089.83,64453.0,57
CDM,240716,IMPLANT CRANIAL PEEK,110134.0,110134.0,12114.74,110134.0,57
CDM,240749,MESH HRN OPEN PSTN 6X8,106850.0,106850.0,11753.5,106850.0,57
CDM,240750,IPG MRI DR,47621.0,47621.0,5238.31,47621.0,57
CDM,240758,SCREW BN LCK 5X66MM,3424.0,3424.0,376.64,3424.0,57
CDM,240759,STEM HIP HI SZ4 36X103MM,48375.0,48375.0,5321.25,48375.0,57
CDM,240765,CMPNT HUM SMALL,121414.0,121414.0,13355.54,121414.0,57
CDM,240767,BSPLT TIB KN SZ4 75MM,92583.0,92583.0,10184.13,92583.0,57
CDM,240768,BASEPLATE TIBIAL SZ5,92583.0,92583.0,10184.13,92583.0,57
CDM,240784,BLADE SHAVER ARTHR 5.5MM,2886.0,2886.0,202.02,2886.0,71
CDM,240785,IMPLANT BREAST 500CC,19009.0,19009.0,2090.99,19009.0,57
CDM,240793,GUIDE SURG CSTM,23232.0,23232.0,1626.24,23232.0,71
CDM,240808,ANCHOR BN BLK/BLU,16112.0,16112.0,1772.32,16112.0,57
CDM,240852,GRAFT BN LGII 8CC 3X4IN,81610.0,81610.0,8977.1,81610.0,57
CDM,240882,SHEATH GD 6FR 45CM,3411.0,3411.0,238.77,3411.0,71
CDM,240939,TUBE DRN SIL 10FR 30CM,6378.0,6378.0,446.46,6378.0,71
CDM,240946,SCREW LCK THRD 04X28,3484.0,3484.0,383.24,3484.0,57
CDM,240949,INSERT TIB KN SZ2 9MM,14190.0,14190.0,1560.9,14190.0,57
CDM,240966,GRAFT BN MED 5.6CC 1X2IN,78705.0,78705.0,8657.55,78705.0,57
CDM,240972,BURR SHVR 5.5X125MM,2969.0,2969.0,207.83,2969.0,71
CDM,240992,SCREW BN LCK 5X32X25,3561.0,3561.0,391.71,3561.0,57
CDM,240993,SCREW BN LCK 5MM 38MM,3561.0,3561.0,391.71,3561.0,57
CDM,241041,STEM TIB KN 14MM 75MM,56226.0,56226.0,6184.86,56226.0,57
CDM,241047,CMPNT PTLA KN 7MM SZ2,6450.0,6450.0,709.5,6450.0,57
CDM,241073,COMPONENT FEM 6 LT,38804.0,38804.0,4268.44,38804.0,57
CDM,241077,AUGMENT FEM KN 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,241080,INSTRUMENT ESURG 16.5X1-,6652.0,6652.0,465.64,6652.0,71
CDM,241090,BEARING ACTB HIP 28X40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,241095,CMPNT FEM LEFT #5,143718.0,143718.0,15808.98,143718.0,57
CDM,241098,INSERT TIB KN M 17MM,64501.0,64501.0,7095.11,64501.0,57
CDM,241111,SCREW BN LCK 0.5X38MM,4177.0,4177.0,459.47,4177.0,57
CDM,241114,STEM FEM HIP SZ6 107MM,49846.0,49846.0,5483.06,49846.0,57
CDM,241169,CATH GD 6FR 110CM,1599.0,1599.0,111.93,1599.0,71
CDM,241203,CMPNT FEM KN LT SZ5,41977.0,41977.0,4617.47,41977.0,57
CDM,241205,BASEPLATE KN TIB SZ4,32844.0,32844.0,3612.84,32844.0,57
CDM,241208,STENT COR 4.00 X 12MM,18768.0,18768.0,2064.48,18768.0,57
CDM,241209,CATH GD AL2 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,241215,STAPLE BN 20MM 20MM,49320.0,49320.0,5425.2,49320.0,57
CDM,241218,PROGRAMMER PATIENT,23198.0,23198.0,1623.86,23198.0,71
CDM,241227,INSERT TIB #1 11MM,19350.0,19350.0,2128.5,19350.0,57
CDM,241269,CATH GD ALR1 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,241282,PIN STPL LOC DISP 3MM,2249.0,2249.0,157.43,2249.0,71
CDM,241296,MESH SURG LT 15X10CM,3694.0,3694.0,406.34,3694.0,57
CDM,241298,INSERT TIB RT SZB 14MM,13468.0,13468.0,1481.48,13468.0,57
CDM,241305,MESH HERN ABD RT 13X9CM,3420.0,3420.0,376.2,3420.0,57
CDM,241306,MESH ABD LT 13X9CM,3420.0,3420.0,376.2,3420.0,57
CDM,241356,SCREW BN CMPR 4MM 48MM,8101.0,8101.0,891.11,8101.0,57
CDM,241372,SCREW BN 2.7MM 40MM,2569.0,2569.0,282.59,2569.0,57
CDM,241373,SCREW BN 8MM 95MM,3864.0,3864.0,425.04,3864.0,57
CDM,241381,IMPLANT CRNL 22.0MM,183910.0,183910.0,20230.1,183910.0,57
CDM,241395,WASHER BN LCK LT 10D,20057.0,20057.0,2206.27,20057.0,57
CDM,241396,TROCAR FOR NL LNG 8-11MM,2455.0,2455.0,171.85,2455.0,71
CDM,241404,GRAFT BN 10CC,11805.0,11805.0,1298.55,11805.0,57
CDM,241449,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,241458,SCREW BN LCK 5MM 30MM,4177.0,4177.0,459.47,4177.0,57
CDM,241459,CATH GD 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,241461,SCREW BN LCK 5X28X25MM,4177.0,4177.0,459.47,4177.0,57
CDM,241462,SCREW BN 5MM 26MM 25MM,4177.0,4177.0,459.47,4177.0,57
CDM,241469,CATH GD EBU3.5 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,241477,CLIP IRR STRL,3467.0,3467.0,242.69,3467.0,71
CDM,241479,CATH GD VASC 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,241480,PLATE LG STR MNDB 4 HL,5088.0,5088.0,559.68,5088.0,57
CDM,241481,PLATE BN CRANI 4HL 1MM,5301.0,5301.0,583.11,5301.0,57
CDM,241489,CATH GD EB3.75 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,241493,DEVICE CLS WND +4-0 45CM,1321.0,1321.0,92.47,1321.0,71
CDM,241509,CATH GD EBU4 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,241513,SUT 4-0 GRN BRD 24IN,3204.0,3204.0,224.28,3204.0,71
CDM,241539,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,241558,SI ENDO W/ABLATION,8350.39,8350.39,584.53,8350.39,64
CDM,241564,BRIVARACETAM 50 MG PO,147.39,147.39,10.32,147.39,67
CDM,241565,INTERLEUKIN 13 IA QN,3492.52,3492.52,244.48,3492.52,47
CDM,241611,CRIT CARE 1ST 30-74 MINS,5705.61,5705.61,627.62,5705.61,37
CDM,241612,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,241613,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,241614,LVL 1 EMER DEPT,745.74,745.74,82.03,745.74,37
CDM,241615,LVL 2 EMER DEPT,1243.98,1243.98,136.84,1243.98,37
CDM,241617,LVL 3 EMER DEPT,2137.61,2137.61,235.14,2137.61,37
CDM,241618,LVL 4 EMER DEPT,3227.29,3227.29,355.0,3227.29,37
CDM,241619,LVL 5 EMER DEPT,4667.37,4667.37,513.41,4667.37,37
CDM,241621,OBS PER HOUR,571.06,571.06,62.82,571.06,42
CDM,241622,CRIT CARE EACH ADD 30MIN,3891.06,3891.06,428.02,3891.06,47
CDM,241623,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,241626,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,241627,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,241628,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,241629,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,241631,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,241635,IVP SINGLE/INITIAL DRUG,582.5,582.5,40.77,582.5,59
CDM,241636,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,241637,INJECTION INTRA-ARTERIAL,672.08,672.08,47.05,672.08,59
CDM,241638,PROCEDURE CATEGORY I,600.95,600.95,66.1,600.95,64
CDM,241639,PROCEDURE CATEGORY II,1414.18,1414.18,155.56,1414.18,64
CDM,241641,PROCEDURE CATEGORY III,2278.24,2278.24,250.61,2278.24,64
CDM,241642,INJECTION IM OR SQ,327.88,327.88,22.95,327.88,59
CDM,241643,IVP EA ADD SEQ NEW DRUG,593.73,593.73,41.56,593.73,59
CDM,241644,IVP EA ADD SEQ SAME DRUG,593.73,593.73,41.56,593.73,65
CDM,241645,GASTRIC INTUB TX BY PHYS,2260.28,2260.28,248.63,2260.28,64
CDM,241646,URINE CATH COLL SINGLE,243.65,243.65,17.06,243.65,54
CDM,241647,CARDIOVERSION EXTERNAL,9002.33,9002.33,990.26,9002.33,58
CDM,241648,NDL/INCATH VEIN,588.99,588.99,64.79,588.99,60
CDM,241649,IVP EA ADD SEQ S DRUG GY,593.73,593.73,41.56,593.73,65
CDM,241652,IVP EA ADD SEQ NEW DR GY,593.73,593.73,41.56,593.73,59
CDM,241653,IVP SNGL/INITL DRUG GY,582.5,582.5,40.77,582.5,59
CDM,241654,MOG SCR BY FACS SERUM,2221.8,2221.8,155.53,2221.8,51
CDM,241654,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",2221.8,2221.8,12.05,202.59,73
CDM,241654,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Age 21+",2221.8,2221.8,34.86,34.86,4
CDM,241654,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Age Under 21",2221.8,2221.8,35.49,35.49,4
CDM,241654,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Other Outpatient",2221.8,2221.8,39.62,39.62,6
CDM,241655,DENGUE VIRUS RNA AMP,1818.42,1818.42,127.29,1818.42,47
CDM,241667,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,241668,RUFINAMIDE (BANZEL) QN,1066.53,1066.53,74.66,1066.53,51
CDM,241668,Rufinamide ,1066.53,1066.53,16.27,146.0,73
CDM,241668,Rufinamide Age 21+,1066.53,1066.53,25.05,25.05,4
CDM,241668,Rufinamide Age Under 21,1066.53,1066.53,25.5,25.5,4
CDM,241668,Rufinamide Other Outpatient,1066.53,1066.53,28.47,28.47,6
CDM,241669,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",1143.18,1143.18,76.97,691.8,91
CDM,241669,NAT GI MULTI 3-5 TARGETS,1143.18,1143.18,80.02,1143.18,47
CDM,241671,BRIVARACETAM QN TDA,1001.99,1001.99,70.14,1001.99,47
CDM,241673,THERAPEUTIC PHLEB,355.08,355.08,24.86,355.08,65
CDM,241676,LIVER ELASTOGRAPHY,1574.67,1574.67,173.21,1574.67,52
CDM,241676,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",1574.67,1574.67,29.95,740.17,21
CDM,241676,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report Age 21+",1574.67,1574.67,33.45,33.45,4
CDM,241676,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report Age Under 21",1574.67,1574.67,34.06,34.06,4
CDM,241677,PARACENTESIS WO IMAGE,8968.57,8968.57,986.54,8968.57,64
CDM,241678,THROMBOXANE UA W/WO METB,990.69,990.69,69.35,990.69,47
CDM,241678,"Thromboxane metabolite(s), including thromboxane if performed, urine ",990.69,990.69,21.07,189.83,77
CDM,241678,"Thromboxane metabolite(s), including thromboxane if performed, urine Age 21+",990.69,990.69,32.44,32.44,4
CDM,241678,"Thromboxane metabolite(s), including thromboxane if performed, urine Age Under 21",990.69,990.69,33.03,33.03,4
CDM,241678,"Thromboxane metabolite(s), including thromboxane if performed, urine Other Outpatient",990.69,990.69,36.87,36.87,6
CDM,241680,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,241688,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age ",35799.8,35799.8,948.0,25655.0,27
CDM,241688,INS ECMO CEN CAN OPEN <5,35799.8,35799.8,3937.98,35799.8,43
CDM,241690,CATH GD IMA 6FR 90CM,1732.0,1732.0,121.24,1732.0,71
CDM,241701,"Cocaine hydrochloride nasal solution (goprelto), 1 mg ",354.54,354.54,4.17,14.71,12
CDM,241701,GOPRELTO 160 MG NASAL,354.54,354.54,24.82,354.54,47
CDM,241703,DECOM FASCIO ANT/POST,18128.91,18128.91,1269.02,18128.91,64
CDM,241715,GA68 ILLUCCIX DX 1MCI,4996.09,4996.09,349.73,4996.09,49
CDM,241715,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",4996.09,4996.09,789.56,9012.61,15
CDM,241716,ABL1 VARS KINASE DOMAIN,3301.24,3301.24,231.09,3301.24,47
CDM,241717,MPL COMMON VARIANTS,3301.24,3301.24,231.09,3301.24,51
CDM,241718,MYD88 GENE L265P VARIANT,3301.24,3301.24,231.09,3301.24,47
CDM,241719,FLT3 TYROSINE KINASE DOM,3415.8,3415.8,239.11,3415.8,47
CDM,241735,MPL COMMON VARIANTS,3301.24,3301.24,231.09,3301.24,51
CDM,241737,MYD88 GENE L265P VARIANT,3301.24,3301.24,231.09,3301.24,47
CDM,241738,TGET SEQ COPY/REA/ISF/MR,5106.47,5106.47,357.45,5106.47,47
CDM,241739,JAK2 TARGET SEQ ANALYSIS,4269.35,4269.35,298.85,4269.35,51
CDM,241747,UNLISTED MOLPATH & GSP,3690.1,3690.1,258.31,3690.1,58
CDM,241753,DX BONE MARROW,19519.99,19519.99,1366.4,19519.99,64
CDM,241758,CTHEART W CN STR MOR FNC,1693.7,1693.7,118.56,1693.7,43
CDM,241762,LIVER ACQUISITION,412561.51,412561.51,28879.31,412561.51,71
CDM,241764,ESTRADIOL FREE DIR MEAS,2062.06,2062.06,144.34,2062.06,51
CDM,241764,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",2062.06,2062.06,16.76,149.69,71
CDM,241764,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Age 21+",2062.06,2062.06,25.82,25.82,4
CDM,241764,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Age Under 21",2062.06,2062.06,26.29,26.29,4
CDM,241764,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Other Outpatient",2062.06,2062.06,29.34,29.34,6
CDM,241768,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",108.49,108.49,51.05,275.62,58
CDM,241768,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each Other Outpatient",108.49,108.49,53.88,53.88,6
CDM,241768,ORTHOPOXVIRUS AMP PRB EA,108.49,108.49,7.59,108.49,51
CDM,241781,HEAD FEM HIP MOD STRL,20640.0,20640.0,2270.4,20640.0,57
CDM,241782,SCREW BN 4.0MM 18MM,750.0,750.0,82.5,750.0,57
CDM,241791,INSERT KN E+ S1 8MM,14190.0,14190.0,1560.9,14190.0,57
CDM,241792,PLATE BN 8HL 94MM,11262.0,11262.0,1238.82,11262.0,57
CDM,241800,CATH GD STD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,241801,SCREW BN LCK 0.5X58MM,3424.0,3424.0,376.64,3424.0,57
CDM,241820,CATH GD STDJL4 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,241830,CATH GD STDJL4 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,241853,DERMAPURE 1SQCM,587.0,587.0,41.09,587.0,53
CDM,241861,DEV SURG SLV NAIL 8-13MM,4545.0,4545.0,318.15,4545.0,71
CDM,241862,DEV SURG SLV NAIL 8-13MM,2476.0,2476.0,173.32,2476.0,71
CDM,241871,SCREW BN NAIL 5MM 26MM,3530.0,3530.0,388.3,3530.0,57
CDM,241886,DRESSING CLGN 2.2X2IN,435.0,435.0,30.45,435.0,71
CDM,241891,TUBE GSTRC SHRT BULB 32F,5623.0,5623.0,393.61,5623.0,71
CDM,241907,STEM FEM TAPRD SNTD SZ11,49020.0,49020.0,5392.2,49020.0,57
CDM,241915,PLATE 4 HOLES RT,26469.0,26469.0,2911.59,26469.0,57
CDM,241920,CATH GD STD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,241930,CATH GD 6FR 100CM,1768.0,1768.0,123.76,1768.0,71
CDM,241936,TUBE GASTRO 40FR,5623.0,5623.0,393.61,5623.0,71
CDM,241937,COMPONENT DRN GAST 36FR,19802.0,19802.0,1386.14,19802.0,71
CDM,241940,CATH GD STDJR4 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,241946,NAIL BN 11MM 405MM,26510.0,26510.0,2916.1,26510.0,57
CDM,241949,SCREW BN LCK NAIL 5X50MM,3424.0,3424.0,376.64,3424.0,57
CDM,241951,PLATE BN RT 5H 3.5/4.5MM,44361.0,44361.0,4879.71,44361.0,57
CDM,241963,PLT 100D 4MM 32MMX67MMS,8867.0,8867.0,975.37,8867.0,57
CDM,241964,PLT 100D 4MM 38MMX67MM,8867.0,8867.0,975.37,8867.0,57
CDM,241998,BASEPLATE TIB KN SZ5,25800.0,25800.0,2838.0,25800.0,57
CDM,242012,STEM FEM 141MM,51600.0,51600.0,5676.0,51600.0,57
CDM,242019,INSERT TIB SZ5 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,242020,CMPNT FEM KN SZ6,38700.0,38700.0,4257.0,38700.0,57
CDM,242024,STEM XTN HIP 20X120MM,81426.0,81426.0,8956.86,81426.0,57
CDM,242025,CUP D.60MM XL- TI6AL4V,23220.0,23220.0,2554.2,23220.0,57
CDM,242027,SHELL ACTB HIP MOD 60MM,60698.0,60698.0,6676.78,60698.0,57
CDM,242028,SET DRILL AND PIN SMTH,914.0,914.0,63.98,914.0,71
CDM,242043,CATH GD RCB 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,242046,BLADE OSTEO FLAT 4MM 5IN,5623.0,5623.0,393.61,5623.0,71
CDM,242051,BASEPLATE TIB KN SZ4,74390.0,74390.0,8182.9,74390.0,57
CDM,242057,DEVICE CLS WND +3-0 70CM,1499.0,1499.0,104.93,1499.0,71
CDM,242058,AUGMENT FEM KN SZ4 8MM,38597.0,38597.0,4245.67,38597.0,57
CDM,242060,ROD SPNL 140MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,242061,AUGMENT FEM 1 DIST 4MM,38597.0,38597.0,4245.67,38597.0,57
CDM,242062,CMPNT FEM KN LT SZ4,101091.0,101091.0,11120.01,101091.0,57
CDM,242064,SCREW BN 4.0MM 16MM,6530.0,6530.0,718.3,6530.0,57
CDM,242065,SCREW BN 4.0MM 12MM,750.0,750.0,82.5,750.0,57
CDM,242066,INSERT TIB KN SZ2 16MM,39245.0,39245.0,4316.95,39245.0,57
CDM,242074,SCREW BN 2.4MM 10MM,3247.0,3247.0,357.17,3247.0,57
CDM,242075,CMPNT FEM LEFT #3,328672.0,328672.0,36153.92,328672.0,57
CDM,242097,INSERT TIB #4 9MM,53140.0,53140.0,5845.4,53140.0,57
CDM,242099,COMPNT DST #3 12MM,39732.0,39732.0,4370.52,39732.0,57
CDM,242101,LINER ATCB X-LRG 40MM,14190.0,14190.0,1560.9,14190.0,57
CDM,242104,WEDGE KN 4MM 40MM,11507.0,11507.0,1265.77,11507.0,57
CDM,242313,CMPNT FEM KN SZE,172079.0,172079.0,18928.69,172079.0,57
CDM,242423,GRAFT BN SM 2.8CC 1X2IN,58160.0,58160.0,6397.6,58160.0,57
CDM,242768,NAIL BN 9MM 345MM,23258.0,23258.0,2558.38,23258.0,57
CDM,243369,STEM HUM SHLDR SZ13MM,90674.0,90674.0,9974.14,90674.0,57
CDM,243373,SCREW LCK 2.4MM 18MM,4809.0,4809.0,528.99,4809.0,57
CDM,243742,SCREW BN 6.5MM 50MM,1147.0,1147.0,126.17,1147.0,57
CDM,243767,NAIL BN TIB 11MM 315MM,22400.0,22400.0,2464.0,22400.0,57
CDM,243791,HEAD FEM HIP 12/14 -3X36,16770.0,16770.0,1844.7,16770.0,57
CDM,243811,PLATE DEGEN DISC 40MM,19523.0,19523.0,2147.53,19523.0,57
CDM,243812,SHEATH FX TI 30MM,7440.0,7440.0,818.4,7440.0,57
CDM,243814,SCREW BN INTFR 30X11MM,7131.0,7131.0,784.41,7131.0,57
CDM,243819,NAIL BN FEM 9MM 320MM,27789.0,27789.0,3056.79,27789.0,57
CDM,243825,IMPLANT NASAL 20MM,39703.0,39703.0,4367.33,39703.0,57
CDM,243826,SCREW BN LCK NAIL 5X70MM,3424.0,3424.0,376.64,3424.0,57
CDM,243840,STEM HUM SHLDR 10X150MM,98052.0,98052.0,10785.72,98052.0,57
CDM,243847,STEM FEM 160X17MM MOD,13355.0,13355.0,1469.05,13355.0,57
CDM,243858,INSERT TIB 6 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,243860,PLATE BN 1/3TB 8H 96MM,13272.0,13272.0,1459.92,13272.0,57
CDM,243862,PROS PENL 16CM-25CM 11MM,183910.0,183910.0,20230.1,183910.0,57
CDM,243865,COMPNT HEAD FEM 28X47MM,11610.0,11610.0,1277.1,11610.0,57
CDM,243872,IMPLNT CRNL CSTM,93027.0,93027.0,10232.97,93027.0,57
CDM,243883,CATH URET 2W 24FR 30CC,365.0,365.0,25.55,365.0,71
CDM,243894,CURETTE VAC FLEX 6MM,224.0,224.0,15.68,224.0,71
CDM,243897,VACURETTE FLX 10MM,224.0,224.0,15.68,224.0,71
CDM,243906,TROCAR LAPSCP 15MM 150MM,3748.0,3748.0,262.36,3748.0,71
CDM,243910,CURRETTE FLEX 8MM,224.0,224.0,15.68,224.0,71
CDM,243911,CURETTE VAC FLX 7MM,224.0,224.0,15.68,224.0,71
CDM,243914,CURETTE VAC FLX 9MM,224.0,224.0,15.68,224.0,71
CDM,243915,CURRETTE FLEX 11MM,274.0,274.0,19.18,274.0,71
CDM,243916,CURRETTE FLEX 12MM,224.0,224.0,15.68,224.0,71
CDM,243932,SCREW BN 3.5MM 28MM,3206.0,3206.0,352.66,3206.0,57
CDM,243935,SCREW BN 3.5MM 16MM,2631.0,2631.0,289.41,2631.0,57
CDM,243938,NAIL BN FEM 12X420MM,27789.0,27789.0,3056.79,27789.0,57
CDM,243940,SCREW BN 5MM 88MM,3530.0,3530.0,388.3,3530.0,57
CDM,243953,GRAFT BN LG 8CC 1X2IN,88170.0,88170.0,9698.7,88170.0,57
CDM,243957,CONTROLLER NRSTM EXTN,16314.0,16314.0,1141.98,16314.0,71
CDM,243963,NDL DLV STRL 10GA 10CM,2103.0,2103.0,147.21,2103.0,71
CDM,243974,PLATE BN 12HL 4.5MM,14298.0,14298.0,1572.78,14298.0,57
CDM,243976,SCREW BN 5MM 40MM,5668.0,5668.0,623.48,5668.0,57
CDM,243977,NAIL FEM LFT 11X17X320MM,40005.0,40005.0,4400.55,40005.0,57
CDM,243978,KIT SURG ORTHOGNATHICS,86161.0,86161.0,9477.71,86161.0,57
CDM,243982,SCREW BN LAG 10.4X80MM,12760.0,12760.0,1403.6,12760.0,57
CDM,243988,MATRIDERM PER SQCM,1011.0,1011.0,70.77,1011.0,53
CDM,243988,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",1011.0,1011.0,168.32,253.27,9
CDM,243989,SCREW BN THD1.5X8MM 13MM,2437.0,2437.0,268.07,2437.0,57
CDM,243998,KWIRE FX 450MM 2.85MM,4356.0,4356.0,304.92,4356.0,71
CDM,243999,BIT DRILL DISP 4.2MM 180,6305.0,6305.0,441.35,6305.0,71
CDM,244019,NAIL FEM 11X17X180MM,31302.0,31302.0,3443.22,31302.0,57
CDM,244020,SCREW BN 5MM 32.5MM,5668.0,5668.0,623.48,5668.0,57
CDM,244021,SCREW BN 10MM 100MM,12760.0,12760.0,1403.6,12760.0,57
CDM,244034,INSERT TIB SZB 12MM,13468.0,13468.0,1481.48,13468.0,57
CDM,244047,BIT DRILL DISP 17X300MM,13664.0,13664.0,956.48,13664.0,71
CDM,244048,BIT DRILL DISP 4.2MM 300,6305.0,6305.0,441.35,6305.0,71
CDM,244065,MCTH INFS 20CM 135CM,6365.0,6365.0,445.55,6365.0,71
CDM,244073,DMB CANC SHEET 45CM,22036.0,22036.0,2423.96,22036.0,57
CDM,244090,ANCH SUT 3.4MM,12844.0,12844.0,1412.84,12844.0,57
CDM,244110,SCREW BN CMP HDLS 2.5X28,8101.0,8101.0,891.11,8101.0,57
CDM,244130,CATH BLN URTH 24FR 5CM,68269.0,68269.0,4778.83,68269.0,71
CDM,244132,SCREW 5X45 TI PROX FEM,5668.0,5668.0,623.48,5668.0,57
CDM,244143,INSERT KN SZ5 19MM,39245.0,39245.0,4316.95,39245.0,57
CDM,244149,BASEPLATE KN TIBIAL #1,114302.0,114302.0,12573.22,114302.0,57
CDM,244150,CMPNT FEM RIGHT #3,143718.0,143718.0,15808.98,143718.0,57
CDM,244153,PLATE BN ANT CP RT,53554.0,53554.0,5890.94,53554.0,57
CDM,244168,STEM FEM MIDSCTN 70MM,110956.0,110956.0,12205.16,110956.0,57
CDM,244169,PEG BN 5X70MM,8981.0,8981.0,987.91,8981.0,57
CDM,244173,CATH BLN URTH RX 30F 3CM,56338.0,56338.0,3943.66,56338.0,71
CDM,244174,CATH BLN URTH 30FR 5CM,68269.0,68269.0,4778.83,68269.0,71
CDM,244179,SCREW BN 6.5MM 70MM,4859.0,4859.0,534.49,4859.0,57
CDM,244186,BASKET STN RT 2.4F 120CM,5623.0,5623.0,393.61,5623.0,71
CDM,244187,CATH URET 5FR 65CM,968.0,968.0,67.76,968.0,71
CDM,244188,CATH URET 5FR 65CM,2837.0,2837.0,198.59,2837.0,71
CDM,244189,CATH URET 5FR 40CM,968.0,968.0,67.76,968.0,71
CDM,244194,INSERT TIB KN SZ7 16MM,39245.0,39245.0,4316.95,39245.0,57
CDM,244195,STENT PANC 5FR 3CM,1069.0,1069.0,117.59,1069.0,57
CDM,244196,INSRT TIB 5 10MM KN BRNG,24510.0,24510.0,2696.1,24510.0,57
CDM,244201,STEM HIP SZ8 111MM 41MM,49846.0,49846.0,5483.06,49846.0,57
CDM,244205,STENT PANC 5FR 5CM,1069.0,1069.0,117.59,1069.0,57
CDM,244206,STENT URET 4.8FR 10CM,3888.0,3888.0,427.68,3888.0,57
CDM,244208,INTRO SHTH 4F 21G 23CM,1852.0,1852.0,129.64,1852.0,71
CDM,244215,STENT PANC 7FR 7CM,1069.0,1069.0,117.59,1069.0,57
CDM,244224,NAIL BN FEM 10X300MM,26859.0,26859.0,2954.49,26859.0,57
CDM,244229,PLATE MANDIBLE,221752.0,221752.0,24392.72,221752.0,57
CDM,244255,CATH ANGIO 5FR 100X20CM,5248.0,5248.0,367.36,5248.0,71
CDM,244256,MESH HRN 30CM 35CM,244860.0,244860.0,26934.6,244860.0,57
CDM,244264,NAIL BN FEM LT 12X400MM,30849.0,30849.0,3393.39,30849.0,57
CDM,244284,PLATE BN RT 5X4HL 36MM,8285.0,8285.0,911.35,8285.0,57
CDM,244305,SCREW 2.0 X 8.0 CORTEX S,1314.0,1314.0,144.54,1314.0,57
CDM,244309,KIT BONE FLAP DISP,5623.0,5623.0,393.61,5623.0,71
CDM,244314,CABLE SPN 1.5MM,12909.0,12909.0,1419.99,12909.0,57
CDM,244322,BLADE DISP 63MM,19056.0,19056.0,1333.92,19056.0,71
CDM,244344,PLATE BN CRNFCL 6H 6MM,6790.0,6790.0,746.9,6790.0,57
CDM,244360,STEM XTN HIP 14X65MM,11430.0,11430.0,1257.3,11430.0,57
CDM,244368,HEAD TPR 28MM -3.5MM,9030.0,9030.0,993.3,9030.0,57
CDM,244369,LINER HIP STD SZ40-56/58,13468.0,13468.0,1481.48,13468.0,57
CDM,244370,HEAD HIP 12/14 SZ40,16267.0,16267.0,1789.37,16267.0,57
CDM,244371,COMPNT ID 22MM OD 40MM,11017.0,11017.0,1211.87,11017.0,57
CDM,244388,BASEPLATE TIB KN SIZE 3,92583.0,92583.0,10184.13,92583.0,57
CDM,244409,IMPLNT COUPLING 15MM,140316.0,140316.0,15434.76,140316.0,57
CDM,244410,CMPNT FEM SZ6,51471.0,51471.0,5661.81,51471.0,57
CDM,244411,CMPNT TIB SZ4,42545.0,42545.0,4679.95,42545.0,57
CDM,244412,IMPLANT SRFC 3-4X12MM,25297.0,25297.0,2782.67,25297.0,57
CDM,244413,IMPLANT PTLA 8X34MM,6450.0,6450.0,709.5,6450.0,57
CDM,244421,INSERT TIB KN SZ7 12MM,48401.0,48401.0,5324.11,48401.0,57
CDM,244424,COMPNT SLV FEM KN 40MM,52844.0,52844.0,5812.84,52844.0,57
CDM,244427,BLADE SAW 50MM,19056.0,19056.0,1333.92,19056.0,71
CDM,244447,INSERT TIB KN 4 16MM,24510.0,24510.0,2696.1,24510.0,57
CDM,244448,STEM SHLDR SZ6,105769.0,105769.0,11634.59,105769.0,57
CDM,244467,SCREW BN 3.5MM 14MM,2240.0,2240.0,246.4,2240.0,57
CDM,244470,COMPNT FEM LT SZ 3,38804.0,38804.0,4268.44,38804.0,57
CDM,244489,CATHETER ABL 8FR 115CM,31483.0,31483.0,2203.81,31483.0,71
CDM,244519,BLADE KNF FEATHER SHP,4798.0,4798.0,335.86,4798.0,71
CDM,244527,COLLAGEN MATRIX 20,12592.0,12592.0,1385.12,12592.0,57
CDM,244551,STEM SHLDR SZ10,90674.0,90674.0,9974.14,90674.0,57
CDM,244554,FIBER DBM 5CC,28332.0,28332.0,3116.52,28332.0,57
CDM,244611,SIZER BREAST 560CC,5623.0,5623.0,393.61,5623.0,71
CDM,244612,SCREW SPN OPN LCK,1266.0,1266.0,139.26,1266.0,57
CDM,244615,SCREW SPN 3.5MM 14MM,11390.0,11390.0,1252.9,11390.0,57
CDM,244618,LINER TIB KN SZ4 H.10MM,21785.0,21785.0,2396.35,21785.0,57
CDM,244643,DEVICE TISSUE REMOVAL,8777.0,8777.0,614.39,8777.0,71
CDM,244667,SIZER BREAST 520CC,5623.0,5623.0,393.61,5623.0,71
CDM,244681,NAIL BN FEM 11X380MM,26859.0,26859.0,2954.49,26859.0,57
CDM,244717,COMPNT SLV FEM KN 35MM,52844.0,52844.0,5812.84,52844.0,57
CDM,244722,SHELL ACTB HIP MOD 62MM,60698.0,60698.0,6676.78,60698.0,57
CDM,244727,STAPLE BN 20MM 15MM,36436.0,36436.0,4007.96,36436.0,57
CDM,244750,INSERT TIB KN SZ4 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,244762,HEAD FEM 28MM 55MM,11610.0,11610.0,1277.1,11610.0,57
CDM,244772,COMP FEM 7 STD KN LT,38700.0,38700.0,4257.0,38700.0,57
CDM,244773,PLATE BN SS LCP RIGH,20975.0,20975.0,2307.25,20975.0,57
CDM,244789,MESH HERNIA 10IN 12IN,184433.0,184433.0,20287.63,184433.0,57
CDM,244791,COMPONENT TIB CMNT SZ9,66821.0,66821.0,7350.31,66821.0,57
CDM,244799,MARKER SURG FEM STRL,2111.0,2111.0,147.77,2111.0,71
CDM,244802,ROD REAMING 3X950MM,3362.0,3362.0,235.34,3362.0,71
CDM,244807,TUBE FD G 90D 24IN,812.0,812.0,56.84,812.0,71
CDM,244819,LINER HIP SZ36-52/54MM,13468.0,13468.0,1481.48,13468.0,57
CDM,244838,SCREW LCK LOPRO 5X76MM,3561.0,3561.0,391.71,3561.0,57
CDM,244841,SCREW BN LCK 5MM 34MM,3561.0,3561.0,391.71,3561.0,57
CDM,244861,SCREW BN 6.5MM 35MM,1069.0,1069.0,117.59,1069.0,57
CDM,244867,LINER ACTB HIP 28MM 49MM,66752.0,66752.0,7342.72,66752.0,57
CDM,244876,HEAD FEM HIP -6MM 36MM,9450.0,9450.0,1039.5,9450.0,57
CDM,244878,SCREW SPN 6.5MM 50MM,11634.0,11634.0,1279.74,11634.0,57
CDM,244879,SCREW BN 2.5MM 18MM,6597.0,6597.0,725.67,6597.0,57
CDM,244897,INSERT TIBAIL FIXED #4,14190.0,14190.0,1560.9,14190.0,57
CDM,244898,SUTURE ETHBND 2-0 10X82,1599.0,1599.0,111.93,1599.0,71
CDM,244905,LINER ACTB HIP 28X47MM,14190.0,14190.0,1560.9,14190.0,57
CDM,244922,DISSECTOR 13CM 3.5MM,1781.0,1781.0,124.67,1781.0,71
CDM,244923,PLATE BN L RT CRNMXF,6196.0,6196.0,681.56,6196.0,57
CDM,244924,PLATE BN L LT CRNMXF,6566.0,6566.0,722.26,6566.0,57
CDM,244925,PLATE BN T 3X2HL 30MM,8907.0,8907.0,979.77,8907.0,57
CDM,244948,DRESSNG WND 4IN 5IN,19884.0,19884.0,1391.88,19884.0,71
CDM,244988,STENT COR 2.00MMX08MM,12796.0,12796.0,1407.56,12796.0,57
CDM,244989,STENT COR 2.00MMX12MM,12796.0,12796.0,1407.56,12796.0,57
CDM,244990,STENT COR 2.0MMX15MM,12796.0,12796.0,1407.56,12796.0,57
CDM,244991,STENT COR 2.00MMX18MM,12796.0,12796.0,1407.56,12796.0,57
CDM,244992,STENT COR 2.00MM X22 MM,15599.0,15599.0,1715.89,15599.0,57
CDM,244993,STENT COR 2.00MMX26MM,12796.0,12796.0,1407.56,12796.0,57
CDM,244994,STENT COR 2.00MMX30MM,12796.0,12796.0,1407.56,12796.0,57
CDM,244995,STENT COR 2.25MMX08MM,11661.0,11661.0,1282.71,11661.0,57
CDM,244997,STENT COR 2.25MMX12MM,14076.0,14076.0,1548.36,14076.0,57
CDM,244998,STENT COR 2.25MMX15MM,11661.0,11661.0,1282.71,11661.0,57
CDM,244999,STENT COR 2.25MMX18MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245000,STENT COR 2.25MMX22MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245001,STENT COR 2.25MMX26MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245002,STENT COR 2.25MMX30MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245003,STENT COR 2.25X34MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245004,STENT COR 2.25MMX38MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245005,STENT COR 2.50MMX08MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245007,STENT COR 2.50MMX12MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245008,STENT COR 2.50MMX15MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245009,STENT COR 2.50MMX18MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245010,STENT COR 2.50MMX22MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245011,STENT COR 2.50MMX26MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245012,STENT COR 2.50MMX30MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245013,STENT COR 2.50MMX34MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245014,STENT COR 2.50MMX38MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245015,STENT COR 2.75MMX08MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245017,STENT COR 2.75MMX12MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245018,STENT COR 2.75MMX15MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245019,STENT COR 2.75MMX18MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245020,STENT COR 2.75MMX22MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245021,STENT COR 2.75MMX26MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245022,STENT COR 2.75MMX30MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245023,STENT COR 2.75MMX34MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245024,STENT COR 2.75MM 38MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245025,STENT COR 3.00MMX08MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245027,STENT COR 3.00MMX12MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245028,STENT COR 3.00MMX15MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245029,STENT COR 3.00MMX18MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245030,STENT COR 3.00MMX22MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245031,STENT COR 3.00MMX26MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245032,STENT COR 3.00MMX30MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245033,STENT COR 3.00MMX34MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245034,STENT COR 3.00MMX38MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245035,STENT COR 3.50MMX08MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245038,STENT COR 3.50MMX12MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245039,STENT COR 3.50MMX15MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245040,STENT COR 3.50MMX18MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245041,STENT COR 3.50MMX22MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245042,STENT COR 3.50MMX26MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245043,STENT COR 3.50MMX30MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245044,STENT COR 3.50MMX34MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245045,STENT COR 3.50MMX38MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245047,STENT COR 4.00MMX08MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245048,STENT COR 4.00MMX12MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245049,STENT COR 4.00MMX15MM,12593.0,12593.0,1385.23,12593.0,57
CDM,245050,STENT COR 4.00MMX18MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245051,STENT COR 4.00MMX22MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245052,STENT COR 4.00MMX26MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245053,STENT COR 4.00MMX30MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245054,STENT COR 4.00MMX34MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245055,STENT COR 4.00MMX38MM,11661.0,11661.0,1282.71,11661.0,57
CDM,245057,STENT COR 4.50MMX12MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245058,STENT COR 4.50MMX15MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245059,STENT COR 4.50MMX18MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245060,STENT COR 4.50MMX22MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245061,STENT COR 4.50MMX26MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245062,STENT COR 4.50MMX30MM,12796.0,12796.0,1407.56,12796.0,57
CDM,245063,STENT COR 5.00MMX12MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245064,STENT COR 5.00MMX15MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245065,STENT COR 5.00MMX18MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245067,STENT COR 5.00MMX22MM,12796.0,12796.0,1407.56,12796.0,57
CDM,245068,STENT COR 5.00MMX26MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245069,STENT COR 5.00MMX30MM,13818.0,13818.0,1519.98,13818.0,57
CDM,245077,CMPNT PTLA KN 7MM SZ3,6450.0,6450.0,709.5,6450.0,57
CDM,245083,DRAIN INCS .5IN 12IN,57.0,57.0,3.99,57.0,71
CDM,245085,BASEPLT KN TIB SZ2,25800.0,25800.0,2838.0,25800.0,57
CDM,245087,BASEPLATE TIB KN SZ4,25800.0,25800.0,2838.0,25800.0,57
CDM,245095,INSERT TIB KN 10MM SZ4,14190.0,14190.0,1560.9,14190.0,57
CDM,245097,INSERT TIB KN SZ2 12MM,14190.0,14190.0,1560.9,14190.0,57
CDM,245098,CMPNT FEM KN SZ5,38700.0,38700.0,4257.0,38700.0,57
CDM,245100,SCREW BN 2.5MM 24MM,8101.0,8101.0,891.11,8101.0,57
CDM,245107,CMPNT FEM KN SZ3,38700.0,38700.0,4257.0,38700.0,57
CDM,245110,KIT BLD SAMPLE 68IN,1877.0,1877.0,131.39,1877.0,71
CDM,245121,PLATE BN 1LVL 2MM,3826.0,3826.0,420.86,3826.0,57
CDM,245129,IMPLANT BREAST 585CC,23633.0,23633.0,2599.63,23633.0,57
CDM,245135,SCREW SPN 3.5MM 18MM,11390.0,11390.0,1252.9,11390.0,57
CDM,245137,BIT DRILL KIT DISP,1874.0,1874.0,131.18,1874.0,71
CDM,245143,SCREW BN CANN 2X30MM,11303.0,11303.0,1243.33,11303.0,57
CDM,245144,SCREW BN CANN LT 2X26MM,11303.0,11303.0,1243.33,11303.0,57
CDM,245145,SCREW BN CANN LT 2X30MM,11303.0,11303.0,1243.33,11303.0,57
CDM,245150,ROD RM 2.5X115MM,2991.0,2991.0,209.37,2991.0,71
CDM,245154,TEMPLATE ORTH 2.4MM,5623.0,5623.0,393.61,5623.0,71
CDM,245155,DRSSING WD ANMC 10X1.5IN,1599.0,1599.0,111.93,1599.0,71
CDM,245157,INSERT TIB KN SZ4 14MM,24510.0,24510.0,2696.1,24510.0,57
CDM,245158,IMPLANT NASAL 24MM,40398.0,40398.0,4443.78,40398.0,57
CDM,245173,SCREW BN 1.7MM 5MM,2408.0,2408.0,264.88,2408.0,57
CDM,245174,SCREW BN 1.7MM 12MM,2205.0,2205.0,242.55,2205.0,57
CDM,245230,AUGMENT FEM PSA LT 4MM,30186.0,30186.0,3320.46,30186.0,57
CDM,245239,SCREW BN HDLS 6.5X70MM,12538.0,12538.0,1379.18,12538.0,57
CDM,245242,INSERT TIB SZ6 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,245247,CMPNT FEM LEFT #2,143718.0,143718.0,15808.98,143718.0,57
CDM,245268,STAPLER CMPCT 60MM,9134.0,9134.0,639.38,9134.0,71
CDM,245269,STAPLER LONG 60MM,9185.0,9185.0,642.95,9185.0,71
CDM,245270,STAPLER STD 45MM,8011.0,8011.0,560.77,8011.0,71
CDM,245271,STAPLER LONG 45MM,7803.0,7803.0,546.21,7803.0,71
CDM,245291,SCREW BN 2.7MM 70MM,864.0,864.0,95.04,864.0,57
CDM,245297,CMPNT FEM HIP SZ100 22MM,48201.0,48201.0,5302.11,48201.0,57
CDM,245301,CMPNT FEM CMTD SZ6,36636.0,36636.0,4029.96,36636.0,57
CDM,245313,CMPNT FEM HIP 28MM 85MM,60605.0,60605.0,6666.55,60605.0,57
CDM,245330,SCREW BN 10MM 25MM,24660.0,24660.0,2712.6,24660.0,57
CDM,245333,SCREW BN 6.5MM 20MM,18495.0,18495.0,2034.45,18495.0,57
CDM,245369,PLATE BN 5HL 3.5/4.5MM,42197.0,42197.0,4641.67,42197.0,57
CDM,245373,BLADES REMOVAL STEM,34052.0,34052.0,2383.64,34052.0,71
CDM,245378,HEAD HIP 12/14 28MM,42570.0,42570.0,4682.7,42570.0,57
CDM,245379,HEAD HIP 28MM 46MM,64501.0,64501.0,7095.11,64501.0,57
CDM,245380,INSRT CP 60/72 SZ46/52MM,101623.0,101623.0,11178.53,101623.0,57
CDM,245382,SCREW BN 6.5MM 30MM,18495.0,18495.0,2034.45,18495.0,57
CDM,245383,STEM FEM 15MM 120MM,149883.0,149883.0,16487.13,149883.0,57
CDM,245384,PLATE L7MM LNDRF RT,6502.0,6502.0,715.22,6502.0,57
CDM,245385,BASEPLATE TIBAIL SCREW,16422.0,16422.0,1806.42,16422.0,57
CDM,245398,CMPNT GLND SHLDR SZSM-R,6812.0,6812.0,749.32,6812.0,57
CDM,245414,PLATE BN 18MM,27750.0,27750.0,3052.5,27750.0,57
CDM,245432,STAPLE BN 18MM 18MM 18MM,24130.0,24130.0,2654.3,24130.0,57
CDM,245434,BLADE SAW 9.8X39X.4MM,4768.0,4768.0,333.76,4768.0,71
CDM,245452,LINER ACTB HIP PE51X28MM,14190.0,14190.0,1560.9,14190.0,57
CDM,245479,SCREW BN 3.5MM 18MM,2631.0,2631.0,289.41,2631.0,57
CDM,245480,SCREW BN 3.5MM 38MM,750.0,750.0,82.5,750.0,57
CDM,245481,SCREW BN 3.5MM 34MM,750.0,750.0,82.5,750.0,57
CDM,245482,SCREW BN 3.5MM 42MM,750.0,750.0,82.5,750.0,57
CDM,245483,PLATE BN T 3+3HL 47MM,6741.0,6741.0,741.51,6741.0,57
CDM,245488,SCREW BN 30MM 8MM,8101.0,8101.0,891.11,8101.0,57
CDM,245490,SCREW BN 3.5MM 44MM,10275.0,10275.0,1130.25,10275.0,57
CDM,245491,SET INSTRUMENT 1.9MM,7361.0,7361.0,515.27,7361.0,71
CDM,245500,SCREW BN 2.4MM 13MM,4110.0,4110.0,452.1,4110.0,57
CDM,245503,PLATE BN CLVCL RT 2.7MM,20725.0,20725.0,2279.75,20725.0,57
CDM,245512,STAPLER STD 60MM,9490.0,9490.0,664.3,9490.0,71
CDM,245513,LINER ACTB HIP 45/22,14190.0,14190.0,1560.9,14190.0,57
CDM,245521,BASEPLATE TIB KN SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,245528,CMPNT FEM KN SZ3,38700.0,38700.0,4257.0,38700.0,57
CDM,245529,INSERT TIB KN 10MM SZ2,14190.0,14190.0,1560.9,14190.0,57
CDM,245537,SCREW BN 2.0X18MM,864.0,864.0,95.04,864.0,57
CDM,245545,COMP FEM KN SZ4,38700.0,38700.0,4257.0,38700.0,57
CDM,245548,NAIL BN 125D 11MM 170MM,25380.0,25380.0,2791.8,25380.0,57
CDM,245550,SCREW BN 10.5MM 95MM,7871.0,7871.0,865.81,7871.0,57
CDM,245558,SCREW SPN 3.5MM 14MM,11390.0,11390.0,1252.9,11390.0,57
CDM,245571,BLADE PATELA CUTTR 25X12,7302.0,7302.0,511.14,7302.0,71
CDM,245583,SCRW SS 3.5 X 58 MM,750.0,750.0,82.5,750.0,57
CDM,245584,INSERT TIB KN SZ8 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,245593,STEM HUM SHLDR RT 6.5MM,58568.0,58568.0,6442.48,58568.0,57
CDM,245621,DEVICE CLOSURE ABD KIT,3298.0,3298.0,230.86,3298.0,71
CDM,245622,NAIL BN FEM 12MM 400MM,27743.0,27743.0,3051.73,27743.0,57
CDM,245660,HEAD FEM HIP 12/14 28MM,42570.0,42570.0,4682.7,42570.0,57
CDM,245661,SHEATH GD 6F 48CM,2680.0,2680.0,187.6,2680.0,71
CDM,245667,SLING FEM URINARY STRESS,16850.0,16850.0,1853.5,16850.0,57
CDM,245677,KIT ENDO ABLATION SYSTM,19227.0,19227.0,1345.89,19227.0,71
CDM,245702,SCREW BN HEADED 4MM 38MM,3083.0,3083.0,339.13,3083.0,57
CDM,245712,CMPNT FEM KN #3,115747.0,115747.0,12732.17,115747.0,57
CDM,245717,SYSTEM SHUNT LUMBAR,102767.0,102767.0,11304.37,102767.0,57
CDM,245731,INSERT TIB KN SZ2 9MM,19350.0,19350.0,2128.5,19350.0,57
CDM,245735,510K SKN SUB NOS 1SQCM,226.0,226.0,15.82,226.0,53
CDM,245740,SCREW BN LCK 2.4MM 11MM,4110.0,4110.0,452.1,4110.0,57
CDM,245742,NAIL TROCH 130D 12X360MM,41100.0,41100.0,4521.0,41100.0,57
CDM,245743,SCREW BN CORT 2.4X13MM,3247.0,3247.0,357.17,3247.0,57
CDM,245751,SCREW BN LCK LP 5X60MM,4177.0,4177.0,459.47,4177.0,57
CDM,245753,SCREW BN LCK 5MM 36MM,4177.0,4177.0,459.47,4177.0,57
CDM,245773,INSERT TIB KN SZ3 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,245788,HEAD FEM HIP 28/42MM,64501.0,64501.0,7095.11,64501.0,57
CDM,245850,SHUNT PERC 15.5FR,94140.0,94140.0,10355.4,94140.0,57
CDM,245857,BOLT MINI EXFIX 4.5MM,25866.0,25866.0,1810.62,25866.0,71
CDM,245896,COMPNT FEM KN 65MM,100496.0,100496.0,11054.56,100496.0,57
CDM,245903,INSERT TIB KN SZ3 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,245907,SET DRILL PIN SNGL USE,914.0,914.0,63.98,914.0,71
CDM,245931,FEMUR AURUM SIZE 6,38700.0,38700.0,4257.0,38700.0,57
CDM,245938,STEM FEM HIP 190X21MM,55728.0,55728.0,6130.08,55728.0,57
CDM,245945,PLATE STRT 6HL 2.0MM,23345.0,23345.0,2567.95,23345.0,57
CDM,245951,DRILL BIT SHORT 1.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,245952,GWIRE STRL NITINOL,5623.0,5623.0,393.61,5623.0,71
CDM,245953,GLNSPHR HEAD SHLDR 36MM,46440.0,46440.0,5108.4,46440.0,57
CDM,245958,ANCHOR SYS SOFT TISSUE,808.0,808.0,88.88,808.0,57
CDM,245959,BSPLT TIB KN SZ2,85175.0,85175.0,9369.25,85175.0,57
CDM,245970,SCREW BN 2.3MM 10MM,1130.0,1130.0,124.3,1130.0,57
CDM,245977,SIZER BREAST 650CC,5623.0,5623.0,393.61,5623.0,71
CDM,245983,PLATE BN DSTL 60MM 4HL,26469.0,26469.0,2911.59,26469.0,57
CDM,245984,SCREW BN 6.5MM 25MM,18495.0,18495.0,2034.45,18495.0,57
CDM,245988,PLATE BN ELB 151MM,22688.0,22688.0,2495.68,22688.0,57
CDM,245995,SCREW BN LCK LP 5X44MM,4052.0,4052.0,445.72,4052.0,57
CDM,245997,SCREW BN 5MM 42MM,4177.0,4177.0,459.47,4177.0,57
CDM,246001,REAMER SURG 448MM,5623.0,5623.0,393.61,5623.0,71
CDM,246003,SCREW BN HAND 2.5MM 12MM,1871.0,1871.0,205.81,1871.0,57
CDM,246030,K-WIRE TROC 1.6MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,246035,DEVICE WNDCLS 15CM SZ3,1599.0,1599.0,111.93,1599.0,71
CDM,246049,NAIL BN 10MM 390MM,23258.0,23258.0,2558.38,23258.0,57
CDM,246055,STEM FEM HIP 115MM 18MM,59896.0,59896.0,6588.56,59896.0,57
CDM,246083,CMPNT KN FEM CMNTD SZ4,36636.0,36636.0,4029.96,36636.0,57
CDM,246085,KWIRE 1.6MM 6IN,4654.0,4654.0,325.78,4654.0,71
CDM,246101,SCREW SPN 3.5MM 18MM,11390.0,11390.0,1252.9,11390.0,57
CDM,246103,ROD SPN STR 3.5MM 240MM,11390.0,11390.0,1252.9,11390.0,57
CDM,246116,NOONAN SYN SEQ AN 12OR >,13343.86,13343.86,934.07,13343.86,47
CDM,246116,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",13343.86,13343.86,1286.16,11547.07,65
CDM,246123,PORACTANT 240 MG INST,6377.85,6377.85,446.45,6377.85,59
CDM,246130,CALFACTANT 105 MG INST,8926.26,8926.26,624.84,8926.26,59
CDM,246131,CALFACTANT 210 MG INST,15536.75,15536.75,1087.57,15536.75,59
CDM,246132,RETACRIT BS1000U NESRDJW,63.11,63.11,4.42,63.11,42
CDM,246133,NMDA RECEPTOR AB TIT FA,733.55,733.55,51.35,733.55,47
CDM,246139,BELATACEPT 1 MG INJJW,22.19,22.19,1.55,22.19,42
CDM,246148,SCREW BN CANN 6.5X16X65,4325.0,4325.0,475.75,4325.0,57
CDM,246188,SCREW BN CANN 6.5X70MM,4521.0,4521.0,497.31,4521.0,57
CDM,246198,CMPNT PTLR KN 19.5MM,42795.0,42795.0,4707.45,42795.0,57
CDM,246208,PLATE BN 67X11X1.5MM,5715.0,5715.0,628.65,5715.0,57
CDM,246228,PLATE BN 14H 3.5MM 196MM,10798.0,10798.0,1187.78,10798.0,57
CDM,246239,PLATE BN 16H 3.5MM 224MM,11716.0,11716.0,1288.76,11716.0,57
CDM,246378,AMPA-R AB CBA BY FA,640.56,640.56,44.84,640.56,47
CDM,246382,GABA-B-R AB CBA BY FA,640.56,640.56,44.84,640.56,47
CDM,246663,TC99M MACRO ALB DX 10MCI,477.82,477.82,33.45,477.82,55
CDM,246663,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",477.82,477.82,50.14,261.69,15
CDM,246663,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries Max of 2 Units",477.82,477.82,70.0,70.0,1
CDM,246665,PREVNAR-20 VAC IM,1571.1,1571.1,109.98,1571.1,42
CDM,246665,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",1571.1,1571.1,303.51,2630.17,17
CDM,246665,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Other Outpatient",1571.1,1571.1,,,0
CDM,246668,PROMETHAZINE 12.5 MG PO,2.63,2.63,0.18,2.63,46
CDM,246668,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",2.63,2.63,0.21,0.77,15
CDM,246669,GW TFE XCH 018 260 STR,959.0,959.0,67.13,959.0,71
CDM,246686,BK POLYOMA VIRUS AMP QN,1424.73,1424.73,99.73,1424.73,47
CDM,246687,CMV DNA QN,3404.51,3404.51,238.32,3404.51,47
CDM,246688,EB VIRUS DNA QN,1424.73,1424.73,99.73,1424.73,47
CDM,246690,BK POLYOMA VIRUS AMP QN,1424.73,1424.73,99.73,1424.73,47
CDM,246691,ADENOVIRUS AMP PROBE,1578.02,1578.02,110.46,1578.02,47
CDM,246692,HERPES 6 DNA QN,1548.97,1548.97,108.43,1548.97,47
CDM,246693,B PERTUSS/PARAPERTUS AMP,2334.75,2334.75,163.43,2334.75,47
CDM,246694,HERPES SIMP AMP PROBE,1061.7,1061.7,74.32,1061.7,47
CDM,246695,RESP MPLEX RT AMP 12-25,4035.4,4035.4,282.48,4035.4,47
CDM,246696,FAM-TRAS-NXKI 1 MG INJJW,159.02,159.02,11.13,159.02,42
CDM,246697,FAM-TRAS-NXKI 100 MG INJ,15905.01,15905.01,1113.35,15905.01,42
CDM,246708,XR ARTHROGRAM HIP BI,2455.01,2455.01,171.85,2455.01,48
CDM,246728,TRAMA ACT FUL W/O CC ADL,26449.0,26449.0,1851.43,26449.0,47
CDM,246730,TRAMA  ACT FUL WO CC PED,26449.0,26449.0,1851.43,26449.0,47
CDM,246731,TRAUMA RESPONSE CC LVL 3,26449.0,26449.0,1851.43,26449.0,42
CDM,246732,TRAUMA RESPONSE CC LVL 3,26449.0,26449.0,1851.43,26449.0,42
CDM,246736,FETAL ANEPLOIDY 131821,4066.05,4066.05,284.62,4066.05,47
CDM,246736,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",4066.05,4066.05,455.43,4088.75,72
CDM,246736,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Age 21",4066.05,4066.05,701.36,701.36,4
CDM,246736,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Age Un",4066.05,4066.05,714.11,714.11,4
CDM,246736,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Other ",4066.05,4066.05,797.0,797.0,6
CDM,246739,SET DRN 20FR 41CM,3636.0,3636.0,254.52,3636.0,71
CDM,246754,US BRST BI W AX LTD,549.32,549.32,38.45,549.32,48
CDM,246755,US BRST UNI LT W AX LTD,549.32,549.32,38.45,549.32,48
CDM,246756,US BRST UNI RT W AX LTD,549.32,549.32,38.45,549.32,48
CDM,246763,ABLATE PUML TUMOR,42311.97,42311.97,2961.84,42311.97,64
CDM,246768,CALASPARG 3750 UNITS INJ,134166.81,134166.81,9391.68,134166.81,42
CDM,246770,CATH CV >5 PICC W/IMAG,12431.05,12431.05,870.17,12431.05,64
CDM,246772,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",3690.1,3690.1,197.71,1774.2,68
CDM,246772,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Age 21+",3690.1,3690.1,304.47,304.47,4
CDM,246772,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Age Under 21",3690.1,3690.1,310.0,310.0,4
CDM,246772,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Other Outpatient",3690.1,3690.1,345.99,345.99,6
CDM,246772,TP53 TRGT SEQ ANALYSIS,3690.1,3690.1,258.31,3690.1,51
CDM,246776,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,246777,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,246778,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,246790,POLIDOCANOL 20 MG INJ,136.21,136.21,9.53,136.21,67
CDM,246792,SOTALOL 25 MG/5 ML PO,60.83,60.83,4.26,60.83,67
CDM,246793,LISINOPRIL 1 MG/1 ML PO,23.16,23.16,1.62,23.16,67
CDM,246795,BACLOFEN 5 MG/5 ML PO,35.12,35.12,2.46,35.12,67
CDM,246796,TOPIRAMATE 25 MG/1 ML PO,9.0,9.0,0.63,9.0,67
CDM,246798,TENECTEPLASE 1 MG INJJW,891.14,891.14,62.38,891.14,42
CDM,246803,IHC HMSH-2 AB QN/SQ COMP,766.42,766.42,53.65,766.42,48
CDM,246804,ABL1 VARS KINASE DOMAIN,3301.24,3301.24,231.09,3301.24,47
CDM,246805,ALK 1 PER 1ST AB,927.76,927.76,64.94,927.76,48
CDM,246806,B CELLS TOTAL COUNT,1140.75,1140.75,79.85,1140.75,47
CDM,246807,B723 PER 1ST AB,2131.44,2131.44,149.2,2131.44,48
CDM,246808,BCL6 PER 1ST AB,927.76,927.76,64.94,927.76,48
CDM,246810,BCR/ABL1 MAJOR BREAKPT,10441.03,10441.03,730.87,10441.03,47
CDM,246811,BCR/ABL1 MINOR BREAKPT,2234.72,2234.72,156.43,2234.72,47
CDM,246812,BONE MARROW TECH ASSIST,840.64,840.64,58.84,840.64,48
CDM,246813,BRAF V600 VARIANTS,3301.24,3301.24,231.09,3301.24,47
CDM,246814,CALR COMMON VAR IN EXON9,3301.24,3301.24,231.09,3301.24,47
CDM,246815,CAM 5.2 PER FIRST AB,503.41,503.41,35.24,503.41,48
CDM,246816,CBC AUTOMATED,1234.34,1234.34,86.4,1234.34,47
CDM,246817,CD 1 1ST MARK,1161.72,1161.72,81.32,1161.72,48
CDM,246818,CD 10 ADD,174.27,174.27,12.2,174.27,54
CDM,246820,CD 11 B ADHEREN ADD,174.27,174.27,12.2,174.27,54
CDM,246821,CD 11 C ADHEREN ADD,174.27,174.27,12.2,174.27,54
CDM,246822,CD 117 ADD,174.27,174.27,12.2,174.27,54
CDM,246823,CD 13 ADD,174.27,174.27,12.2,174.27,54
CDM,246824,CD 15 ADD,174.27,174.27,12.2,174.27,54
CDM,246825,CD 16 ADD,174.27,174.27,12.2,174.27,54
CDM,246826,CD 19 ADD,174.27,174.27,12.2,174.27,54
CDM,246827,CD 20 ADD,174.27,174.27,12.2,174.27,54
CDM,246828,CD 22 ADD,174.27,174.27,12.2,174.27,54
CDM,246830,CD 23 ADD,174.27,174.27,12.2,174.27,54
CDM,246831,CD 24 ADD,174.27,174.27,12.2,174.27,54
CDM,246832,CD 3 ADD,174.27,174.27,12.2,174.27,54
CDM,246833,CD 30 ADD,174.27,174.27,12.2,174.27,54
CDM,246834,CD 33 ADD,174.27,174.27,12.2,174.27,54
CDM,246835,CD 34 ADD,174.27,174.27,12.2,174.27,54
CDM,246836,CD 38 ADD,174.27,174.27,12.2,174.27,54
CDM,246837,CD 45 ADD,174.27,174.27,12.2,174.27,54
CDM,246838,CD 5 ADD,174.27,174.27,12.2,174.27,54
CDM,246840,CD 55 ADD,174.27,174.27,12.2,174.27,54
CDM,246841,CD 56 1ST MARK,1539.29,1539.29,107.75,1539.29,48
CDM,246842,CD 56 ADD,174.27,174.27,12.2,174.27,54
CDM,246843,CD 59 ADD,174.27,174.27,12.2,174.27,54
CDM,246844,CD 64 ADD,174.27,174.27,12.2,174.27,54
CDM,246845,CD 7 ADD,174.27,174.27,12.2,174.27,54
CDM,246846,CD 71 ADD,174.27,174.27,12.2,174.27,54
CDM,246847,CD10 (CALLA) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246848,CD14 ADD,174.27,174.27,12.2,174.27,54
CDM,246850,CD16/CD56 NK CELLS TOTAL,722.85,722.85,50.6,722.85,47
CDM,246851,CD2 (LEU5B) PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246852,CD21 PEROX AB,1973.33,1973.33,138.13,1973.33,48
CDM,246853,CD23 (LEU 20) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246854,CD31 PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246855,CD43 (MTI) PEROX AB,1973.33,1973.33,138.13,1973.33,48
CDM,246856,CD34 PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246857,CD 36 ADD,174.27,174.27,12.2,174.27,54
CDM,246858,CD4 (LEU3 A+B) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246860,CD4 HELPER INDUC ADD,174.27,174.27,12.2,174.27,54
CDM,246861,CD45RO (UCHL1) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246862,CD45RO ADD,174.27,174.27,12.2,174.27,54
CDM,246863,CD5 (LEU 1) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246864,CD59R ADD,174.27,174.27,12.2,174.27,54
CDM,246865,CD68 MACROPH PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246866,CD79A PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246867,CD8 (LEU 2A) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246868,CD8 SUPPRESSOR ADD,174.27,174.27,12.2,174.27,54
CDM,246870,CEBPA FULL GENE SEQ ANAL,3323.83,3323.83,232.67,3323.83,47
CDM,246871,CELL MRK GLYCO ADD,174.27,174.27,12.2,174.27,54
CDM,246872,CELL MARKER CD2 ADD,174.27,174.27,12.2,174.27,54
CDM,246873,CELL MRK FMC 7 ADD,174.27,174.27,12.2,174.27,54
CDM,246874,CELL MRK HLADR ADD,174.27,174.27,12.2,174.27,54
CDM,246875,CELL MRK KAPPA ADD,174.27,174.27,12.2,174.27,54
CDM,246876,CELL MRK LAMBDA ADD,174.27,174.27,12.2,174.27,54
CDM,246877,CELL MRK TDT ADD,174.27,174.27,12.2,174.27,54
CDM,246878,CHROM & KARY 15-20 2 KAR,3764.33,3764.33,263.5,3764.33,47
CDM,246880,CHROM & KARY IN SITU AMN,4651.76,4651.76,325.62,4651.76,47
CDM,246881,CHROM & KARYOTYPE 5 BM,13190.47,13190.47,923.33,13190.47,47
CDM,246882,CHROM ADDTL KARYOTYPE,2415.43,2415.43,169.08,2415.43,47
CDM,246883,CHROM ANAL 20-25 CELLS,4705.0,4705.0,329.35,4705.0,47
CDM,246884,CHROM ANAL ADDTL CELLS,576.02,576.02,40.32,576.02,47
CDM,246885,CHROM ANAL ADDTL HR,964.88,964.88,67.54,964.88,47
CDM,246886,CHROM BREAKAGE 25 CELLS,4164.48,4164.48,291.51,4164.48,47
CDM,246887,CLL MK MPO ADD,174.27,174.27,12.2,174.27,54
CDM,246888,COVID-19 AB MULTISTEP,59.36,59.36,4.16,59.36,57
CDM,246890,COVID-19 AB QN,59.36,59.36,4.16,59.36,57
CDM,246890,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",59.36,59.36,42.22,134.75,67
CDM,246890,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Age 21+",59.36,59.36,47.52,47.52,4
CDM,246890,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Age Under 21",59.36,59.36,48.38,48.38,4
CDM,246890,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Other Outpatient",59.36,59.36,54.0,54.0,6
CDM,246891,COVID-19 AB SINGLESTEP,63.72,63.72,4.46,63.72,57
CDM,246891,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",63.72,63.72,27.17,118.63,81
CDM,246892,COVID-19 DNA/RNA AMP,56.89,56.89,3.98,56.89,57
CDM,246894,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",71.85,71.85,30.79,134.43,67
CDM,246894,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Age 21+",71.85,71.85,47.41,47.41,4
CDM,246894,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Age Under 21",71.85,71.85,48.27,48.27,4
CDM,246894,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Other Outpatient",71.85,71.85,53.88,53.88,6
CDM,246894,COVID-19 NON CDC TEST,71.85,71.85,5.03,71.85,58
CDM,246895,CROSSMATCH AHG,2805.9,2805.9,196.41,2805.9,48
CDM,246896,CRYSTALS BODY FL,740.6,740.6,51.84,740.6,47
CDM,246897,CYTO FWB SMEAR & INTERP,677.68,677.68,47.44,677.68,48
CDM,246898,CYTOGEN DNA ISH PROBE EA,648.63,648.63,45.4,648.63,47
CDM,246900,CYTOGEN I P ISH 100-300,1214.97,1214.97,85.05,1214.97,47
CDM,246901,CYTOGEN I P ISH 25-99,1053.63,1053.63,73.75,1053.63,47
CDM,246902,CYTOGEN IN SITU 10-30,972.95,972.95,68.11,972.95,47
CDM,246903,CYTOGEN IN SITU 3-5,877.74,877.74,61.44,877.74,47
CDM,246904,CYTOGEN MA COPY NO & SNP,18295.61,18295.61,1280.69,18295.61,47
CDM,246905,CYTOLOGY CONC & INTERP,1227.89,1227.89,85.95,1227.89,48
CDM,246906,CYTOPATH EXTENDED,1389.23,1389.23,97.25,1389.23,48
CDM,246907,EB VIRUS DNA QN,1424.73,1424.73,99.73,1424.73,47
CDM,246908,EM DIAGNOSTIC,10796.01,10796.01,755.72,10796.01,48
CDM,246910,EMA PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246911,FC ADD,174.27,174.27,12.2,174.27,54
CDM,246912,FLT3 INTERNAL TANDEM DUP,3415.8,3415.8,239.11,3415.8,47
CDM,246913,FLT3 TYROSINE KINASE DOM,3415.8,3415.8,239.11,3415.8,47
CDM,246914,FNA ADEQUACY IMM ADDL,2408.99,2408.99,168.63,2408.99,54
CDM,246915,FNA INTERP & REPORT,2408.99,2408.99,168.63,2408.99,48
CDM,246916,FNA SAMPLE ADEQUACY IMM,935.83,935.83,65.51,935.83,48
CDM,246917,GFAP PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246918,HERPES (HHV) 8 AMP QN,1063.3,1063.3,74.43,1063.3,47
CDM,246920,HISTOCHEM STAIN & FS,751.89,751.89,52.63,751.89,54
CDM,246921,HISTOCHM ENZYME STAIN EA,3707.85,3707.85,259.55,3707.85,48
CDM,246922,HMB 45 PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246923,ICCD 22 ADD,174.27,174.27,12.2,174.27,54
CDM,246924,ICCD 3 ADD,174.27,174.27,12.2,174.27,54
CDM,246925,ICCD 79A ADD,174.27,174.27,12.2,174.27,54
CDM,246926,IHC AB STAIN,503.41,503.41,35.24,503.41,48
CDM,246927,IHC ER QN/SQN COMP ASST,766.42,766.42,53.65,766.42,48
CDM,246928,IF PER SPEC EA ADDL AB S,1642.56,1642.56,114.98,1642.56,54
CDM,246929,GWIRE VASC .035IN 1.5MM,703.0,703.0,49.21,703.0,71
CDM,246930,IHC EA ADD AB ST SPEC,1600.6,1600.6,112.04,1600.6,54
CDM,246931,IHC EA MULTIPLEX AB PROC,1600.6,1600.6,112.04,1600.6,48
CDM,246932,IHC EGFR QN/SQN COMP,2163.71,2163.71,151.46,2163.71,48
CDM,246933,IHC HER-2NEU QN/SQN COMP,2163.71,2163.71,151.46,2163.71,48
CDM,246934,IHC HMLH-1 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,48
CDM,246935,IHC HMSH-3 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,48
CDM,246936,IHC HMSH-6 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,48
CDM,246937,IHC HPMS-1 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,48
CDM,246938,IHC HPMS-2 AB QN/SQ COMP,766.42,766.42,53.65,766.42,48
CDM,246940,IHC KI-67QNSQN COMP ASST,766.42,766.42,53.65,766.42,48
CDM,246941,IHC PR AB QN/SQN COMP,766.42,766.42,53.65,766.42,48
CDM,246942,IHC QN/SQN EA AB COMP,2318.63,2318.63,162.3,2318.63,48
CDM,246943,IHC AB STAIN,1600.6,1600.6,112.04,1600.6,48
CDM,246944,ISH/FISH INITIAL PROBE,3005.97,3005.97,210.42,3005.97,48
CDM,246945,INF AG MULT ORG DFA,337.23,337.23,23.61,337.23,47
CDM,246946,INFECTIOUS AGENT PROBE,714.79,714.79,50.04,714.79,47
CDM,246947,ISH/FISH EA ADDL PROBE,3005.97,3005.97,210.42,3005.97,54
CDM,246948,ISH/FISH MULTPLX PROBE,3005.97,3005.97,210.42,3005.97,48
CDM,246950,ISLET CELL AB,887.44,887.44,62.12,887.44,47
CDM,246951,JAK2 TARGET SEQ ANALYSIS,4269.35,4269.35,298.85,4269.35,51
CDM,246952,JAK2 V617F VARIANT,4269.35,4269.35,298.85,4269.35,47
CDM,246953,KER 7 (CK7) PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246954,KI67 FRZN PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246955,KI67 PEROX AB,927.76,927.76,64.94,927.76,48
CDM,246956,KIT TARGET SEQ ANAL GIST,5048.68,5048.68,353.41,5048.68,47
CDM,246957,LEISHMANIA AB QUAL,642.18,642.18,44.95,642.18,47
CDM,246958,LYMPHOCYTOX XM W/TITER,2439.64,2439.64,170.77,2439.64,47
CDM,246960,MORPH ANAL CMP INI PROBE,3372.24,3372.24,236.06,3372.24,48
CDM,246961,MORPH ANAL MAN INI PROBE,2195.99,2195.99,153.72,2195.99,48
CDM,246962,MORPH ANAL CMP MLP PROBE,1190.76,1190.76,83.35,1190.76,48
CDM,246963,MORPH ANAL MAN MLP PROBE,1410.2,1410.2,98.71,1410.2,48
CDM,246965,MACRO EXAM PREP EA SPEC,4738.89,4738.89,331.72,4738.89,54
CDM,246966,MAP-2PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246967,MIB 1 PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246968,MICRODISSECTION MANUAL,2734.9,2734.9,191.44,2734.9,54
CDM,246970,MLH1 PROMOTR METHYLATION,2481.57,2481.57,173.71,2481.57,47
CDM,246971,MOR AN IHC AB QT/SQT MAN,1127.83,1127.83,78.95,1127.83,48
CDM,246972,MPL COMMON VARIANTS,3301.24,3301.24,231.09,3301.24,51
CDM,246973,MUSCLE SPEC ACTIN AB IHC,927.76,927.76,64.94,927.76,48
CDM,246974,MYD88 GENE L265P VARIANT,3301.24,3301.24,231.09,3301.24,47
CDM,246975,NPM1 EXON 12 VARIANTS,3659.44,3659.44,256.16,3659.44,47
CDM,246976,P53 PEROX AB STAIN,503.41,503.41,35.24,503.41,48
CDM,246977,PATH CONS EXTENDED REF,982.63,982.63,68.78,982.63,48
CDM,246978,PATH CONS PREP SLIDES,2544.51,2544.51,178.12,2544.51,48
CDM,246980,PATH CONSULT FS 1 SPEC,1805.53,1805.53,126.39,1805.53,48
CDM,246981,PATH CONSULT FS EA ADDTL,1863.61,1863.61,130.45,1863.61,54
CDM,246982,PATH CONSULT REF SLIDES,648.63,648.63,45.4,648.63,48
CDM,246983,PATH CONSULT SURGERY,592.17,592.17,41.45,592.17,48
CDM,246984,PATH DECALCIFICATION,495.34,495.34,34.67,495.34,54
CDM,246985,PATH ESTERASE STAIN,1440.87,1440.87,100.86,1440.87,48
CDM,246986,PATH STAIN GROUP 1,842.26,842.26,58.96,842.26,48
CDM,246987,PATH STAIN GROUP 2,1240.79,1240.79,86.86,1240.79,48
CDM,246988,PERFORIN FC 1ST MARK,2149.19,2149.19,150.44,2149.19,48
CDM,246990,RESP MPLEX RT AMP 12-25,4035.4,4035.4,282.48,4035.4,47
CDM,246991,SARSCOV CORONAVIRU AG IA,71.85,71.85,5.03,71.85,57
CDM,246992,SMA-IV PEROX AB,503.41,503.41,35.24,503.41,48
CDM,246993,SMEAR CYCLOSPORA STAIN,129.08,129.08,9.04,129.08,47
CDM,246994,SMEAR HERPES TZANCK STN,663.16,663.16,46.42,663.16,47
CDM,246995,SMEAR MALARIA STAIN,708.33,708.33,49.58,708.33,47
CDM,246996,SMEAR MICROSPORIDIUM STN,432.43,432.43,30.27,432.43,47
CDM,246997,SMOOTH MUSCLE ACT AB IHC,927.76,927.76,64.94,927.76,48
CDM,246998,STEM CELLS TOTAL CT,1140.75,1140.75,79.85,1140.75,47
CDM,247000,SURG PATH LEVEL 1,593.77,593.77,41.56,593.77,48
CDM,247001,SURG PATH LEVEL 2,1113.33,1113.33,77.93,1113.33,48
CDM,247002,SURG PATH LEVEL 3,1260.15,1260.15,88.21,1260.15,48
CDM,247003,SURG PATH LEVEL 4,1958.81,1958.81,137.12,1958.81,48
CDM,247004,SURG PATH LEVEL 5,2986.61,2986.61,209.06,2986.61,48
CDM,247005,SURG PATH LEVEL 6,3396.44,3396.44,237.75,3396.44,48
CDM,247006,T CELLS CD4 8 RATIO,1126.24,1126.24,78.84,1126.24,47
CDM,247009,T CELLS CD4 COUNT,613.14,613.14,42.92,613.14,47
CDM,247010,T CELLS TOTAL,1778.08,1778.08,124.47,1778.08,47
CDM,247012,TGET SEQ COPY/REA/ISF/MR,5106.47,5106.47,357.45,5106.47,47
CDM,247013,TIS BSMNT MIGIF IND ADDL,824.5,824.5,57.72,824.5,54
CDM,247014,TISS NEUT AB IGG IFA IND,864.86,864.86,60.54,864.86,54
CDM,247015,TISS IF IND EA ADDL AB,4654.97,4654.97,325.85,4654.97,54
CDM,247016,TISSUE BIOPSY DIF AB INI,4654.97,4654.97,325.85,4654.97,48
CDM,247017,TOUCH PREP EA ADD SITE,955.21,955.21,66.86,955.21,54
CDM,247018,TOUCH PREP INITIAL SITE,1631.26,1631.26,114.19,1631.26,48
CDM,247020,TTF 1 PEROX AB,503.41,503.41,35.24,503.41,48
CDM,247023,UNLISTED MOLPATH & GSP,3690.1,3690.1,258.31,3690.1,58
CDM,247094,SHTH PLWY 8F 30,5623.0,5623.0,393.61,5623.0,71
CDM,247104,SHTH 7FX63 RCFW,2680.0,2680.0,187.6,2680.0,71
CDM,247110,K-WIRE TROC 2MM 150MM,424.0,424.0,29.68,424.0,71
CDM,247112,SCREW BN LCK 3X30MM,5138.0,5138.0,565.18,5138.0,57
CDM,247115,INTRODUCER SHTH 8FR 63CM,2680.0,2680.0,187.6,2680.0,71
CDM,247133,CMPNT FEM HIP 20X160MM,15491.0,15491.0,1704.01,15491.0,57
CDM,247142,PLATE BN MDFT FSN LG 3MM,43895.0,43895.0,4828.45,43895.0,57
CDM,247145,INSRT POLY X3 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,247148,SCREW BN 2.5MM 14MM,1480.0,1480.0,162.8,1480.0,57
CDM,247149,NAIL BN TIB 12MM 360MM,26859.0,26859.0,2954.49,26859.0,57
CDM,247150,TENECTEPLASE 1 MG INJ,891.14,891.14,62.38,891.14,42
CDM,247153,PERC PA STNT N INI UNI,50990.84,50990.84,5608.99,50990.84,37
CDM,247153,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral ",50990.84,50990.84,948.0,29722.87,47
CDM,247153,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral Age 21+",50990.84,50990.84,5871.9,5871.9,4
CDM,247153,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral Age Under 21",50990.84,50990.84,5978.66,5978.66,4
CDM,247154,PERC PA STNT N INI BIL,76486.27,76486.27,8413.49,76486.27,37
CDM,247154,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral ",76486.27,76486.27,948.0,29722.87,47
CDM,247154,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral Age 21+",76486.27,76486.27,5871.9,5871.9,4
CDM,247154,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral Age Under 21",76486.27,76486.27,5978.66,5978.66,4
CDM,247156,PERC PA STNT AB INI UNI,50990.84,50990.84,5608.99,50990.84,37
CDM,247156,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral ",50990.84,50990.84,948.0,48097.28,47
CDM,247156,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral Age 21+",50990.84,50990.84,5871.9,5871.9,4
CDM,247156,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral Age Under 21",50990.84,50990.84,5978.66,5978.66,4
CDM,247157,PERC PA STNT AB INI BIL,76486.27,76486.27,8413.49,76486.27,37
CDM,247157,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral ",76486.27,76486.27,948.0,33769.0,47
CDM,247157,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral Age 21+",76486.27,76486.27,5871.9,5871.9,4
CDM,247157,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral Age Under 21",76486.27,76486.27,5978.66,5978.66,4
CDM,247158,PERC PA STNT N AB ADD,32250.51,32250.51,3547.56,32250.51,55
CDM,247158,"Percutaneous pulmonary artery revascularization by stent placement, each additional vessel or separate lesion, normal or abnormal connections (List separately in addition to code for primary procedure",32250.51,32250.51,948.0,6587.0,19
CDM,247163,ACETIC2%/HYDROC1% OTIC,1079.42,1079.42,75.56,1079.42,59
CDM,247171,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",5106.47,5106.47,455.72,4090.56,82
CDM,247171,TAR5-50G VARS/RE/ISF RNA,5106.47,5106.47,357.45,5106.47,51
CDM,247172,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",5106.47,5106.47,358.75,3219.88,68
CDM,247172,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Age 21+",5106.47,5106.47,552.46,552.46,4
CDM,247172,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Age Under 21",5106.47,5106.47,562.51,562.51,4
CDM,247172,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Other Outpatient",5106.47,5106.47,627.81,627.81,6
CDM,247172,TAR5-50G SEQ CNV REA RNA,5106.47,5106.47,357.45,5106.47,51
CDM,247178,REM SUTR&STAPL W/O ANES,330.88,330.88,23.16,330.88,54
CDM,247179,REM SUTR/STAPL W/O ANES,330.88,330.88,23.16,330.88,54
CDM,247181,REM SUTR&STAPL W/O ANES,330.88,330.88,23.16,330.88,54
CDM,247183,REM SUTR/STAPL W/O ANES,330.88,330.88,23.16,330.88,54
CDM,247184,MNT REASSESS EA 15 MIN,117.0,117.0,8.19,117.0,59
CDM,247185,SCREW BN 100MM 4.5MM,14279.0,14279.0,1570.69,14279.0,57
CDM,247186,MNT INIT ASSESS EA 15MIN,117.0,117.0,8.19,117.0,59
CDM,247189,COLL BLOOD CATHETER NOS,593.83,593.83,65.32,593.83,42
CDM,247190,CHLOROPROCAINE 400MG INJ,137.05,137.05,9.59,137.05,47
CDM,247191,PROCHLORPERAZINE 10MG PO,7.82,7.82,0.55,7.82,46
CDM,247197,REM SUTR&STAPL W/O ANES,600.95,600.95,66.1,600.95,64
CDM,247198,REM SUTR/STAPL W/O ANES,600.95,600.95,66.1,600.95,64
CDM,247202,SCREW BN 2.5MM 10MM,3165.0,3165.0,348.15,3165.0,57
CDM,247211,KIT PLATE CRNL FIXTN,183910.0,183910.0,20230.1,183910.0,57
CDM,247233,ANCHOR SUT IMPL,54643.0,54643.0,6010.73,54643.0,57
CDM,247239,LINER ACTB HIP 43/22MM,14190.0,14190.0,1560.9,14190.0,57
CDM,247260,SCREW BN ORTHO 12MM,12199.0,12199.0,1341.89,12199.0,57
CDM,247262,SHUNT VLV IL SM 828824PL,87197.0,87197.0,9591.67,87197.0,57
CDM,247269,SCREW BN 36MM 4.5MM,6094.0,6094.0,670.34,6094.0,57
CDM,247285,FLEX ALLOPATCH HD 1SQCM,444.0,444.0,31.08,444.0,53
CDM,247315,SHELL ACTB HIP STRL 68MM,60698.0,60698.0,6676.78,60698.0,57
CDM,247335,NAIL BN 10MM 300MM,23258.0,23258.0,2558.38,23258.0,57
CDM,247341,BLADE SAW 52MM,19056.0,19056.0,1333.92,19056.0,71
CDM,247354,BARRIER WND CLT HEMO 3G,20547.0,20547.0,1438.29,20547.0,71
CDM,247432,SCREW BN 6.5MM 20MM,5212.0,5212.0,573.32,5212.0,57
CDM,247433,SCREW BN 6.5MM 30MM,5212.0,5212.0,573.32,5212.0,57
CDM,247434,SCREW BN 6.5MM 35MM,7579.0,7579.0,833.69,7579.0,57
CDM,247435,SCREW BN 6.5MM 40MM,5508.0,5508.0,605.88,5508.0,57
CDM,247437,SCREW BN 6.5MM 45MM,5508.0,5508.0,605.88,5508.0,57
CDM,247438,SCREW BN 6.5MM 70MM,5524.0,5524.0,607.64,5524.0,57
CDM,247460,IMPL IPS MNDB CRIB MESH,149279.0,149279.0,16420.69,149279.0,57
CDM,247464,CMPNT FEM KN SZ5,38700.0,38700.0,4257.0,38700.0,57
CDM,247530,CHLOROPROCAINE 600MG INJ,143.91,143.91,10.07,143.91,47
CDM,247531,BORTEZOMIB 0.1 MG INJJW,5.72,5.72,0.4,5.72,47
CDM,247532,BORTEZOMIB 0.1 MG INJ,5.72,5.72,0.4,5.72,47
CDM,247534,CHLOROPROCAINE 1 MG INJ,0.2,0.2,0.01,0.2,47
CDM,247538,ISAVUCONAZOLE (CRESEMBA),457.73,457.73,32.04,457.73,47
CDM,247555,INS CENTRL VEIN CATH 5+,8302.16,8302.16,581.15,8302.16,64
CDM,247585,SCREW BN 5.5MM 60MM,12538.0,12538.0,1379.18,12538.0,57
CDM,247591,BASEPLATE TIBIAL #5,110127.0,110127.0,12113.97,110127.0,57
CDM,247593,INSERT TIB MED 12MM,64501.0,64501.0,7095.11,64501.0,57
CDM,247603,IMPLANT BREAST 685CC,26715.0,26715.0,2938.65,26715.0,57
CDM,247628,SCREW BN CANN 4.5MM 75MM,7441.0,7441.0,818.51,7441.0,57
CDM,247654,SCREW BN 5MM 86MM,3530.0,3530.0,388.3,3530.0,57
CDM,247665,ROD SPN SHORT 5.5MM,7593.0,7593.0,835.23,7593.0,57
CDM,247667,NAIL BN 10MM 340MM,27789.0,27789.0,3056.79,27789.0,57
CDM,247671,STEM EXT 18X100MM,11430.0,11430.0,1257.3,11430.0,57
CDM,247672,STEM EXT 21X100MM,11430.0,11430.0,1257.3,11430.0,57
CDM,247673,STEM SEG 21MM 120MM,81426.0,81426.0,8956.86,81426.0,57
CDM,247674,WEDGE FEM KN SZ8 5X10MM,22501.0,22501.0,2475.11,22501.0,57
CDM,247695,SCREW BN 3.5MM 24MM,4624.0,4624.0,508.64,4624.0,57
CDM,247698,SCREW BN MINI 3.5X48MM,12002.0,12002.0,1320.22,12002.0,57
CDM,247699,PLTE SM TI 2.4MM SCR BN,20407.0,20407.0,2244.77,20407.0,57
CDM,247700,HOLDER PLT THRD DISP,5323.0,5323.0,372.61,5323.0,71
CDM,247701,ROS SPN MED 5.5MM,60741.0,60741.0,6681.51,60741.0,57
CDM,247702,SCREW BN 3.5MM 12MM,2631.0,2631.0,289.41,2631.0,57
CDM,247703,PLATE BN 20H 2.7MM 155MM,14653.0,14653.0,1611.83,14653.0,57
CDM,247708,LINER ACTB 32MM,58236.0,58236.0,6405.96,58236.0,57
CDM,247713,BIT DRL 130MM 4.2MM,4948.0,4948.0,346.36,4948.0,71
CDM,247715,MODEL MNDB CHILD CLEAR,37529.0,37529.0,4128.19,37529.0,57
CDM,247720,CAP END REMVBL CMF,6895.0,6895.0,758.45,6895.0,57
CDM,247722,COVER BUR 24MM,6885.0,6885.0,757.35,6885.0,57
CDM,247729,NAIL BN 9MM 400MM,29839.0,29839.0,3282.29,29839.0,57
CDM,247747,NAIL BN SHRT 3.2MM,24510.0,24510.0,2696.1,24510.0,57
CDM,247755,SURFACE ARTC 10MM SZ5-6,25284.0,25284.0,2781.24,25284.0,57
CDM,247768,SHTH HDRPH ENDOAVF ACS,7308.0,7308.0,511.56,7308.0,71
CDM,247784,SET INFS 19GA .75IN,317.0,317.0,22.19,317.0,71
CDM,247818,SCREW BN 8MM 120MM,3864.0,3864.0,425.04,3864.0,57
CDM,247832,ENDCAP SPNL 30X20MM,23427.0,23427.0,2576.97,23427.0,57
CDM,247834,INSERT TIB SZ7 11MM,14190.0,14190.0,1560.9,14190.0,57
CDM,247835,COMPONENT FEM 7 KN RT,38804.0,38804.0,4268.44,38804.0,57
CDM,247848,SCREW BN LCK 2.8X16MM,4378.0,4378.0,481.58,4378.0,57
CDM,247849,SCREW BN LCK 2.8X14MM,4378.0,4378.0,481.58,4378.0,57
CDM,247857,PLUG BN FILLER 5.5X40MM,14324.0,14324.0,1575.64,14324.0,57
CDM,247871,IMPLANT BREAST 520CC,26715.0,26715.0,2938.65,26715.0,57
CDM,247872,LINER ACTB HIP 41MM 22MM,14190.0,14190.0,1560.9,14190.0,57
CDM,247874,PROCESSOR SND DUAL KT,192396.0,192396.0,13467.72,192396.0,65
CDM,247891,DSTRCT CMF MESH 15MM,83588.0,83588.0,9194.68,83588.0,57
CDM,247897,DEVICE PT ACTVTD DSTRCTR,6067.0,6067.0,424.69,6067.0,71
CDM,247900,BLADE SAW 56MM,19056.0,19056.0,1333.92,19056.0,71
CDM,247907,SCREW BN 1.0MM 6MM,5898.0,5898.0,648.78,5898.0,57
CDM,247909,SCREW BN 1MM 8MM,5898.0,5898.0,648.78,5898.0,57
CDM,247911,ANCHOR SUT KNOTLESS 3MM,15413.0,15413.0,1695.43,15413.0,57
CDM,247933,CMPNT FEM KN RT CR SZ7,39216.0,39216.0,4313.76,39216.0,57
CDM,247934,CMPNT KN 9.5MM SZ4 38MM,6115.0,6115.0,672.65,6115.0,57
CDM,247935,BASEPLATE TIB KN SZ7,24510.0,24510.0,2696.1,24510.0,57
CDM,247949,STENT COR 4.50 X 12MM,14922.0,14922.0,1641.42,14922.0,57
CDM,247950,STENT COR 3.50 X 16MM,12759.0,12759.0,1403.49,12759.0,57
CDM,247951,STENT COR 3.50 X 8MM,12759.0,12759.0,1403.49,12759.0,57
CDM,247952,STENT COR 5.00 X 8MM,14922.0,14922.0,1641.42,14922.0,57
CDM,247953,STENT COR 3.50 X 12MM,12759.0,12759.0,1403.49,12759.0,57
CDM,247955,PLATE BN 10H 3.5/4.5MM,50219.0,50219.0,5524.09,50219.0,57
CDM,247959,COIL EMBL 6MM 20MM,25781.0,25781.0,2835.91,25781.0,57
CDM,247960,COIL EMBL 4MM 15MM,25781.0,25781.0,2835.91,25781.0,57
CDM,247961,COIL EMBL 3MM 12MM,25781.0,25781.0,2835.91,25781.0,57
CDM,247962,COIL EMBL 3MM 6MM,23171.0,23171.0,2548.81,23171.0,57
CDM,248009,PROPOFOL 100 MG INJ,17.17,17.17,1.2,17.17,47
CDM,248017,NEXTERONE AMIO 360MG INJ,264.07,264.07,18.48,264.07,47
CDM,248018,NEXTERONE AMIO 150MG INJ,198.53,198.53,13.9,198.53,47
CDM,248022,CMPD TOBRA BONE CEMENT,138.01,138.01,9.66,138.01,59
CDM,248064,DRILL BIT 3.2MM 450MM,2549.0,2549.0,178.43,2549.0,71
CDM,248068,STEM FEM KN 120X10MM,22501.0,22501.0,2475.11,22501.0,57
CDM,248099,SCREW BN HEADED 4MM 30MM,3083.0,3083.0,339.13,3083.0,57
CDM,248117,STEM KN XTN 17MM 140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,248133,STENT URET 3FR 8-12CM,4063.0,4063.0,446.93,4063.0,57
CDM,248134,STEM FEM 38MM SZ0,36120.0,36120.0,3973.2,36120.0,57
CDM,248142,STENT BIL 12FR 3.4CM,181607.0,181607.0,19976.77,181607.0,57
CDM,248143,STENT AOR 14MM 2.8CM,202114.0,202114.0,22232.54,202114.0,57
CDM,248144,STENT AOR 16MM 3.9CM,187028.0,187028.0,20573.08,187028.0,57
CDM,248145,STENT AOR 16MM 4.5CM,208148.0,208148.0,22896.28,208148.0,57
CDM,248147,STENT EPRSTH 9FR 3.9CM,208148.0,208148.0,22896.28,208148.0,57
CDM,248148,BIT DRL 2.4MM 40MM,1599.0,1599.0,111.93,1599.0,71
CDM,248162,STEM HIP 36MM 101MM,49846.0,49846.0,5483.06,49846.0,57
CDM,248167,STENT BIL PERC 10MM 6CM,57294.0,57294.0,6302.34,57294.0,57
CDM,248191,AGENT HMSTC MTRX 5ML,4954.0,4954.0,346.78,4954.0,71
CDM,248205,CATH URET 2W 24FR 5CC,290.0,290.0,20.3,290.0,71
CDM,248207,ASPIRATOR BN MARROW,14913.0,14913.0,1043.91,14913.0,71
CDM,248211,PIN GD TEMP 4.0X110MM,2905.0,2905.0,203.35,2905.0,71
CDM,248227,WEDGE FEM KN 10X10MM,22501.0,22501.0,2475.11,22501.0,57
CDM,248231,LINER ACTB HIP 53/28,14190.0,14190.0,1560.9,14190.0,57
CDM,248235,CMPNT FEM SZ5,51471.0,51471.0,5661.81,51471.0,57
CDM,248295,SCREW BN 6.5MM 15MM,1131.0,1131.0,124.41,1131.0,57
CDM,248305,CMPNT FEM KN RT CRU SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,248314,MESH HERNIA 8X10IN,172958.0,172958.0,19025.38,172958.0,57
CDM,248315,STEM HIP SZ4 103X32.5MM,49846.0,49846.0,5483.06,49846.0,57
CDM,248331,EXPAND BRST 225CC,42744.0,42744.0,4701.84,42744.0,57
CDM,248338,SCREW BN 4.5MM 50MM,7441.0,7441.0,818.51,7441.0,57
CDM,248342,BLADE SAW 60MM,19056.0,19056.0,1333.92,19056.0,71
CDM,248361,CMPNT FEM SLV XTN 40MM,64500.0,64500.0,7095.0,64500.0,57
CDM,248364,SHAFT REAMER FLEX 620MM,19884.0,19884.0,1391.88,19884.0,71
CDM,248380,CLOBAZAM QN TDA,416.28,416.28,29.14,416.28,47
CDM,248381,VELOCITY BLDFLW NONPHARM,549.67,549.67,38.48,549.67,44
CDM,248385,SPIRONOLCTN 25 MG/5ML PO,113.09,113.09,7.92,113.09,67
CDM,248408,CATH ANGIO 5.5X2X80MM,8796.0,8796.0,615.72,8796.0,71
CDM,248433,SCREW BN 4.5MM 22MM,2980.0,2980.0,327.8,2980.0,57
CDM,248434,SCREW BN LCK 4.5MM 24MM,2980.0,2980.0,327.8,2980.0,57
CDM,248435,GWIRE VASC 300CM .014IN,3374.0,3374.0,236.18,3374.0,71
CDM,248445,DRILL LAG SCREW 10MM,13256.0,13256.0,927.92,13256.0,71
CDM,248447,BOLT EXFX MINI 2.2MM,24872.0,24872.0,1741.04,24872.0,71
CDM,248470,DRILL SURG CNTRSNK 5.6MM,1874.0,1874.0,131.18,1874.0,71
CDM,248472,PLATE SS ANTHEM 7 NARR 3,27414.0,27414.0,3015.54,27414.0,57
CDM,248473,KWIRE THRD 1.6X229MM,1599.0,1599.0,111.93,1599.0,71
CDM,248474,BIT DRILL ORTH 1.8MM,4498.0,4498.0,314.86,4498.0,71
CDM,248488,CMPNT PATELLA 31X7MM,6450.0,6450.0,709.5,6450.0,57
CDM,248493,STEM FEM #1 96MM,49020.0,49020.0,5392.2,49020.0,57
CDM,248515,NAIL BN FEM 12MM 400MM,26859.0,26859.0,2954.49,26859.0,57
CDM,248517,STENT URET 4.5FR 12CM,1090.0,1090.0,119.9,1090.0,57
CDM,248574,IMPLANT BREAST 390CC,21064.0,21064.0,2317.04,21064.0,57
CDM,248575,INSERT TIB SZ5-6 11MM,16770.0,16770.0,1844.7,16770.0,57
CDM,248591,BASEPLATE TIB SCREW 5MM,70329.0,70329.0,7736.19,70329.0,57
CDM,248592,AUGMENT TIB 5MM,29619.0,29619.0,3258.09,29619.0,57
CDM,248593,AUGMENT TIB 10M,29619.0,29619.0,3258.09,29619.0,57
CDM,248594,INSERT TIB 5 9M,14190.0,14190.0,1560.9,14190.0,57
CDM,248621,KIT INTRO 25FR 50CM,11433.0,11433.0,800.31,11433.0,71
CDM,248628,SCREW BN CRTX ST2.7X20MM,750.0,750.0,82.5,750.0,57
CDM,248629,CMPNT ARTIC SRFC SZ3-4,25297.0,25297.0,2782.67,25297.0,57
CDM,248630,PLATE BN 14HL 3.5MM,11387.0,11387.0,1252.57,11387.0,57
CDM,248651,OSTEOTOME THIN 1.5MM,8001.0,8001.0,560.07,8001.0,71
CDM,248671,POLARSTEM STEM LAT 6,36120.0,36120.0,3973.2,36120.0,57
CDM,248760,DRILL BIT DISP 2.0X80MM,5623.0,5623.0,393.61,5623.0,71
CDM,248768,SCREW BN 3MM 44MM,4768.0,4768.0,524.48,4768.0,57
CDM,248778,DEVICE LCK BX CAP OLMPS,1023.0,1023.0,71.61,1023.0,71
CDM,248785,STENT COR 4.00 X 8MM,14922.0,14922.0,1641.42,14922.0,57
CDM,248803,PLATING PC GF SS 30,4835.0,4835.0,338.45,4835.0,71
CDM,248832,NAIL BN FEM 11MM 320MM,27789.0,27789.0,3056.79,27789.0,57
CDM,248875,SCREW TEMP DSTRCT 2MM,5623.0,5623.0,393.61,5623.0,71
CDM,248876,SCREW BN DSTRCT 2MM,4288.0,4288.0,471.68,4288.0,57
CDM,248880,BASEPLATE TIB SIZE 2,92583.0,92583.0,10184.13,92583.0,57
CDM,248889,AUGMENT FEM KNEE 4MM,30186.0,30186.0,3320.46,30186.0,57
CDM,248903,BIT DRILL SIZE 4,5623.0,5623.0,393.61,5623.0,71
CDM,248931,HEAD FEM -3.5MM 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,249017,KIT BNGF FAST CURE 5CC,12623.0,12623.0,1388.53,12623.0,57
CDM,249075,NAIL BN TIB T2 9MMX285MM,26859.0,26859.0,2954.49,26859.0,57
CDM,249082,INSERT TIB KN RT 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,249083,SCREW BN 4MM 36MM,5652.0,5652.0,621.72,5652.0,57
CDM,249084,SCREW BN LPSH 4.0X30,2055.0,2055.0,226.05,2055.0,57
CDM,249097,SCREW MICRO 1.2MM X 2MM,1317.0,1317.0,144.87,1317.0,57
CDM,249099,SCREW BN HDLS 4.5X26MM,7441.0,7441.0,818.51,7441.0,57
CDM,249100,SCREW BN HDLS 4.5X30MM,7441.0,7441.0,818.51,7441.0,57
CDM,249107,SCREW MICRO 1.2MM X 8MM,1317.0,1317.0,144.87,1317.0,57
CDM,249117,SCREW MICRO 1.5MM X 3MM,1392.0,1392.0,153.12,1392.0,57
CDM,249127,PLATE MXLFCL LT 210-0068,3980.0,3980.0,437.8,3980.0,57
CDM,249133,PCV15 VAC IM,1347.98,1347.98,94.36,1347.98,42
CDM,249133,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",1347.98,1347.98,261.23,2195.3,17
CDM,249133,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Other Outpatient",1347.98,1347.98,,,0
CDM,249137,BIT DRILL 1MM 4MM,5623.0,5623.0,393.61,5623.0,71
CDM,249163,INTERMEDIATE PRIVATE,16036.32,16036.32,,,0
CDM,249164,INTERMEDIATE PRIVATE,16036.32,16036.32,,,0
CDM,249166,CT ABD&PELVIS W/O CONT,9136.03,9136.03,639.52,9136.03,43
CDM,249168,TESTOSTERNE CY 200MG INJ,109.21,109.21,7.64,109.21,47
CDM,249171,CEFIDEROCOL 10 MG INJJW,12.56,12.56,0.88,12.56,42
CDM,249174,PROVAYBLUE 50 MG INJ,1674.93,1674.93,117.25,1674.93,42
CDM,249175,CA GLUC NOS 1 G INJ,57.24,57.24,4.01,57.24,47
CDM,249189,IMPLANT ANCH 4.5MM 24MM,22194.0,22194.0,2441.34,22194.0,57
CDM,249196,SCREW BN 4.5MM 32MM,7441.0,7441.0,818.51,7441.0,57
CDM,249201,SCREW BN SLD ANG 10D LRG,24393.0,24393.0,2683.23,24393.0,57
CDM,249205,CLIP ENDO 2.5MM 235CM,7652.0,7652.0,841.72,7652.0,57
CDM,249209,NAIL BN FEM 10MM 420MM,27743.0,27743.0,3051.73,27743.0,57
CDM,249221,STEM HIP SZ5 105MM 35MM,49846.0,49846.0,5483.06,49846.0,57
CDM,249231,BURR SURG 2MM 13MM,11430.0,11430.0,800.1,11430.0,71
CDM,249245,VALVE TAVR 23MM,447320.0,447320.0,49205.2,447320.0,57
CDM,249246,VALVE TAVR 26MM,447320.0,447320.0,49205.2,447320.0,57
CDM,249252,MAGTRACE STUDY DOSE,12975.0,12975.0,908.25,12975.0,48
CDM,249283,STEM FEM HIP 20MM 100MM,15491.0,15491.0,1704.01,15491.0,57
CDM,249343,BLADE SHAVER 3.5MM,2886.0,2886.0,202.02,2886.0,71
CDM,249361,PIN TEMP 3.2.9X450MM,5623.0,5623.0,393.61,5623.0,71
CDM,249362,NAIL BN 125D 10MM 170MM,25380.0,25380.0,2791.8,25380.0,57
CDM,249382,SCREW BN 10.5MM 90MM,7871.0,7871.0,865.81,7871.0,57
CDM,249383,SCREW BN 10.5MM 100MM,7871.0,7871.0,865.81,7871.0,57
CDM,249385,SCREW BN 2.4MM 34MM,2569.0,2569.0,282.59,2569.0,57
CDM,249386,CATH GD DEL ASSIST,16355.0,16355.0,1144.85,16355.0,71
CDM,249389,CURETTE VAC 11MM,274.0,274.0,19.18,274.0,71
CDM,249411,PIN EXFX 3.2MM 45MM,5304.0,5304.0,371.28,5304.0,71
CDM,249419,SCREW BN 10.5MM 80MM,7871.0,7871.0,865.81,7871.0,57
CDM,249424,STENT COR 4.5X15MM 140CM,71742.0,71742.0,7891.62,71742.0,57
CDM,249425,STENT COR 4.5X20MM,71742.0,71742.0,7891.62,71742.0,57
CDM,249426,COIL EMBL 20CM 6MM,21088.0,21088.0,2319.68,21088.0,57
CDM,249427,VALVE SHNT TAL 14GA 91CM,48211.0,48211.0,5303.21,48211.0,57
CDM,249428,COIL EMBL HLCL 20CM 6MM,21088.0,21088.0,2319.68,21088.0,57
CDM,249429,COIL EMBL HLCL 10CM 4MM,18452.0,18452.0,2029.72,18452.0,57
CDM,249430,CATH ANGIO 6X2X40MM,8796.0,8796.0,615.72,8796.0,71
CDM,249432,PEG BN THD NLCK 2.7X24MM,2179.0,2179.0,239.69,2179.0,57
CDM,249433,PEG FX N-LCK 2.7MM 30MM,2179.0,2179.0,239.69,2179.0,57
CDM,249434,PEG FX THRD LCK 2.3X24MM,1583.0,1583.0,174.13,1583.0,57
CDM,249435,SCREW BN 2.3MM 12MM,1599.0,1599.0,175.89,1599.0,57
CDM,249436,PLATE BN 4HL 3MM,7105.0,7105.0,781.55,7105.0,57
CDM,249454,COIL EMBL 1.5MM 2CM,48449.0,48449.0,5329.39,48449.0,57
CDM,249456,COIL EMBL 2MM 2.5CM,48449.0,48449.0,5329.39,48449.0,57
CDM,249458,COIL EMBL 2MM 3.5CM,45797.0,45797.0,5037.67,45797.0,57
CDM,249460,COIL EMBL 2MM 6CM,48449.0,48449.0,5329.39,48449.0,57
CDM,249462,COIL EMBL 2.5MM 4.5CM,48449.0,48449.0,5329.39,48449.0,57
CDM,249463,COIL EMBL 2.5MM 6CM,48449.0,48449.0,5329.39,48449.0,57
CDM,249464,COIL EMBL 3MM 4.5CM,48449.0,48449.0,5329.39,48449.0,57
CDM,249465,COIL EMBL 3MM 6CM,48449.0,48449.0,5329.39,48449.0,57
CDM,249469,COIL EMBL 3.5MM 6CM,43002.0,43002.0,4730.22,43002.0,57
CDM,249473,COIL EMBL 2MM 4CM,23171.0,23171.0,2548.81,23171.0,57
CDM,249474,COIL EMBL 4MM 8CM,23171.0,23171.0,2548.81,23171.0,57
CDM,249476,SCREW BN 5MM 70MM,4177.0,4177.0,459.47,4177.0,57
CDM,249479,NAIL BN FEM 12MM 340MM,26859.0,26859.0,2954.49,26859.0,57
CDM,249496,PLATE BN RADL CLMN RT,16112.0,16112.0,1772.32,16112.0,57
CDM,249514,SYSTM EUST TUBE DILATION,36852.0,36852.0,2579.64,36852.0,71
CDM,249518,CMPNT FEM KN SZ6L,46440.0,46440.0,5108.4,46440.0,57
CDM,249560,NAIL BN 130D 11MM 170MM,25380.0,25380.0,2791.8,25380.0,57
CDM,249562,SCREW BN 6.5MM 125MM,3946.0,3946.0,434.06,3946.0,57
CDM,249565,SCREW BN 2.5MM 12MM,1480.0,1480.0,162.8,1480.0,57
CDM,249566,SCREW BN 2.5MM 24MM,1480.0,1480.0,162.8,1480.0,57
CDM,249568,BIT DRILL 1.8MM 130MM,5585.0,5585.0,390.95,5585.0,71
CDM,249569,SCREW BN COCR 2.5X20MM,1480.0,1480.0,162.8,1480.0,57
CDM,249575,SCREW BN 10.5MM 85MM,7871.0,7871.0,865.81,7871.0,57
CDM,249585,SET INTRO 7CM 21GA,1599.0,1599.0,111.93,1599.0,71
CDM,249589,CT ABD&PELVIS W&WO CONT,12691.28,12691.28,888.39,12691.28,43
CDM,249590,CT ABD&PELVIS W/CONT,10324.95,10324.95,722.75,10324.95,43
CDM,249591,NO COST DEVICE,1.0,1.0,0.11,1.0,57
CDM,249603,PROVAYBLUE 1 MG INJ,33.51,33.51,2.35,33.51,42
CDM,249604,"Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg, TAVR, transcatheter pulmonary valve replacement, mitral valve re",6935.17,6935.17,216.56,1266.77,29
CDM,249604,TEE GUIDANCE INTRACARD,6935.17,6935.17,485.46,6935.17,58
CDM,249605,TECLIST-CQYV 0.5 MG INJ,189.73,189.73,13.28,189.73,59
CDM,249606,CHEMODENERV TRUNK MUS 6>,3739.55,3739.55,261.77,3739.55,64
CDM,249612,DEVICE NEUROSTIMULATOR,174724.0,174724.0,19219.64,174724.0,57
CDM,249618,CHEMODENERV TRNK MUS 1-5,3739.55,3739.55,261.77,3739.55,64
CDM,249628,SUTURE FBSNR #2 26IN,5623.0,5623.0,393.61,5623.0,71
CDM,249648,505WG CA GLUC 1 G INJ,113.05,113.05,7.91,113.05,47
CDM,249666,KIT XTRN DRN LMBR 80CM,5623.0,5623.0,393.61,5623.0,71
CDM,249682,INSERT TIB SZ5 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,249705,GWIRE 2.8MM 300MM,4048.0,4048.0,283.36,4048.0,71
CDM,249729,SEALER TISS STRT 25CM,9189.0,9189.0,643.23,9189.0,71
CDM,249730,DERMAPURE 1SQCM,677.0,677.0,47.39,677.0,53
CDM,249732,HEAD HUM SHLDR 17MM 42MM,64501.0,64501.0,7095.11,64501.0,57
CDM,249733,CANNULA BAG PLMR 120ML,1599.0,1599.0,111.93,1599.0,71
CDM,249750,ANCHOR BN SUT 4.5MM 24MM,46505.0,46505.0,5115.55,46505.0,57
CDM,249769,REM SUTR/STAPL W/O ANES,330.88,330.88,23.16,330.88,54
CDM,249772,SEVENFACT 5 MG INJ,73640.52,73640.52,5154.84,73640.52,47
CDM,249773,SEVENFACT 1MCG INJ,14.68,14.68,1.03,14.68,47
CDM,249774,SEVENFACT 1MCG INJJW,14.68,14.68,1.03,14.68,47
CDM,249775,SEVENFACT 1 MG INJ,14728.11,14728.11,1030.97,14728.11,47
CDM,249778,CA GLUC NOS 10 MG INJ,0.6,0.6,0.04,0.6,47
CDM,249779,CA GLUC NOS 50MG/ML INJ,2.86,2.86,0.2,2.86,47
CDM,249785,AZITHROMYCIN 1 GM PO,141.38,141.38,9.9,141.38,47
CDM,249786,AZITHROMYCIN 600MG PO,38.35,38.35,2.68,38.35,47
CDM,249788,CMPD VANCOMYCIN OPHTHAL,0.59,0.59,0.04,0.59,67
CDM,249790,HEMLIBRA 0.5 MG INJJW,346.02,346.02,24.22,346.02,42
CDM,249791,POLATUZUMAB 30 MG INJ,22828.21,22828.21,1597.97,22828.21,42
CDM,249793,NOVOSEVEN RT 1 MCGJW,13.61,13.61,0.95,13.61,42
CDM,249794,HEMLIBRA 0.5 MG INJ,346.02,346.02,24.22,346.02,42
CDM,249795,NOVOSEVEN RT 5 MG INJ,68005.89,68005.89,4760.41,68005.89,42
CDM,249836,SCREW BN LCK 2.7X18MM,3165.0,3165.0,348.15,3165.0,57
CDM,249838,SCREW BN LCK 2.7MM 20MM,3165.0,3165.0,348.15,3165.0,57
CDM,249856,STENT DVTR FLW 5.0X30MM,183910.0,183910.0,20230.1,183910.0,57
CDM,249860,GUIDEWIRE ENT NAV DISP,6124.0,6124.0,428.68,6124.0,71
CDM,249873,GRAFT PRCN 15.7X7.9IN,326215.0,326215.0,35883.65,326215.0,57
CDM,249874,STEM HIP SZ2 99MM 36MM,49846.0,49846.0,5483.06,49846.0,57
CDM,249892,BLADE BN MILL MED,11433.0,11433.0,800.31,11433.0,71
CDM,249898,SCREW BN 2.4MM 16MM,836.0,836.0,91.96,836.0,57
CDM,249908,SCREW BN 2.4MM 20MM,836.0,836.0,91.96,836.0,57
CDM,249909,STENT COR 4.50 X 8MM,14922.0,14922.0,1641.42,14922.0,57
CDM,249910,CATH BLN 5X435X80MM,8779.0,8779.0,614.53,8779.0,71
CDM,249911,HEAD FEM SZ42 22MM,11610.0,11610.0,1277.1,11610.0,57
CDM,249918,SCREW BN 2.4MM 22MM,784.0,784.0,86.24,784.0,57
CDM,249925,TUBING IRR CASS DISP,1785.0,1785.0,124.95,1785.0,71
CDM,249928,SCREW BN 2.4MM 24MM,905.0,905.0,99.55,905.0,57
CDM,249938,SCREW BN 2.4MM 26MM,1018.0,1018.0,111.98,1018.0,57
CDM,249946,COMPONENT FEM RT SZ5,51471.0,51471.0,5661.81,51471.0,57
CDM,249948,SCREW BN 2.4MM 30MM,1064.0,1064.0,117.04,1064.0,57
CDM,249950,COMPNT KN TIBIA 1 RM/LL,23220.0,23220.0,2554.2,23220.0,57
CDM,249958,SCREW BN 2.4MM 34MM,755.0,755.0,83.05,755.0,57
CDM,249965,CMPNT FEM KN SZ4,38700.0,38700.0,4257.0,38700.0,57
CDM,249968,PLATE BN CUBOID 2.4MM,5925.0,5925.0,651.75,5925.0,57
CDM,249978,PLATE BN 6HL 2.4X51MM,5313.0,5313.0,584.43,5313.0,57
CDM,249983,PLATE BN 16H 254MM,35634.0,35634.0,3919.74,35634.0,57
CDM,250048,INSERT FEM 15D 46/52MM,147226.0,147226.0,16194.86,147226.0,57
CDM,250054,SCREW BN TIT L52 MM OD5.,3977.0,3977.0,437.47,3977.0,57
CDM,250057,STEM HIP SZ5 38.5X105MM,49846.0,49846.0,5483.06,49846.0,57
CDM,250075,SCREW BN 10.5MM 105MM,7871.0,7871.0,865.81,7871.0,57
CDM,250083,CATH THROM REP 132CM,39603.0,39603.0,2772.21,39603.0,71
CDM,250090,COMPONENT TIB SZ5,42545.0,42545.0,4679.95,42545.0,57
CDM,250091,NAIL BN 10D 11MM 280MM,31853.0,31853.0,3503.83,31853.0,57
CDM,250092,COIL EMBL 5MM 15CM,25781.0,25781.0,2835.91,25781.0,57
CDM,250093,COIL EMBL 6MM 10CM,25781.0,25781.0,2835.91,25781.0,57
CDM,250095,COIL EMBL 8MM 20CM,25781.0,25781.0,2835.91,25781.0,57
CDM,250100,SCREW BN 4.5MM 34MM,7441.0,7441.0,818.51,7441.0,57
CDM,250143,INTRO SHTH 8FR 10MM 6CM,29826.0,29826.0,2087.82,29826.0,71
CDM,250148,INSERT ANKLE SZ3 10MM,74410.0,74410.0,8185.1,74410.0,57
CDM,250156,INSERT TIB KN SZ7-8 9MM,15932.0,15932.0,1752.52,15932.0,57
CDM,250170,CATH THRMB 18MM 65CM,36454.0,36454.0,2551.78,36454.0,71
CDM,250181,SCREW SPN 3.5MM 20MM,11390.0,11390.0,1252.9,11390.0,57
CDM,250195,CMPNT KN SZ5-6 47.5MM,25284.0,25284.0,2781.24,25284.0,57
CDM,250242,SCREW BN LCK 4.5MM 26MM,2980.0,2980.0,327.8,2980.0,57
CDM,250243,KWIRE 2.0MM 152MM,1687.0,1687.0,118.09,1687.0,71
CDM,250244,K-WIRE 2MM 152MM,2849.0,2849.0,199.43,2849.0,71
CDM,250253,SCREW BN LCK 2.7X40MM,3165.0,3165.0,348.15,3165.0,57
CDM,250255,CMPNT PTLA KN 38MM,16743.0,16743.0,1841.73,16743.0,57
CDM,250257,DRILL BIT DISP 3.7X80MM,6516.0,6516.0,456.12,6516.0,71
CDM,250258,DRILL BIT DISP 4.0X20MM,7201.0,7201.0,504.07,7201.0,71
CDM,250259,SCREW BN 3.5MM 18MM,2795.0,2795.0,307.45,2795.0,57
CDM,250260,SCREW BN 3.5MM 20MM,2795.0,2795.0,307.45,2795.0,57
CDM,250261,SCREW BN 3.5MM 22MM,2795.0,2795.0,307.45,2795.0,57
CDM,250267,KWIRE 1.5MM 127MM,1599.0,1599.0,111.93,1599.0,71
CDM,250268,KWIRE TROC 1.5MM 229MM,1949.0,1949.0,136.43,1949.0,71
CDM,250273,SCREW BN CMPR TROCHLEAR,5960.0,5960.0,655.6,5960.0,57
CDM,250281,SCREW BN HDLS 4.5MM 65MM,8101.0,8101.0,891.11,8101.0,57
CDM,250284,AUGMENT TIB KN SZ5 10MM,11507.0,11507.0,1265.77,11507.0,57
CDM,250286,CATH PERITONEAL 120CM,6118.0,6118.0,672.98,6118.0,57
CDM,250287,CMPNT FEM KN SZ7,36636.0,36636.0,4029.96,36636.0,57
CDM,250288,NAIL BN 125D 10X320MM,33559.0,33559.0,3691.49,33559.0,57
CDM,250289,BSPLT TIB KN LM/RL SZ1,25800.0,25800.0,2838.0,25800.0,57
CDM,250290,INSERT TIBIAL KN 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,250341,SCREW SPN 5.5MM 25MM,11390.0,11390.0,1252.9,11390.0,57
CDM,250346,PLATE BN MINI 4HL 5MM,8522.0,8522.0,937.42,8522.0,57
CDM,250351,SCREW BN LCKNG 3.5X20MM,3206.0,3206.0,352.66,3206.0,57
CDM,250377,COG SKLS DVLPMNT INT 15M,442.98,442.98,31.01,442.98,59
CDM,250379,ZONISADE 100 MG/5 ML PO,75.04,75.04,5.25,75.04,67
CDM,250409,BLADE SAW 64MM,19056.0,19056.0,1333.92,19056.0,71
CDM,250410,SHEET CARTLDG XSM,7954.0,7954.0,874.94,7954.0,57
CDM,250433,LINER ACTB HIP 28/38MM,14190.0,14190.0,1560.9,14190.0,57
CDM,250443,SCREW BN 2.7MM 50MM,3165.0,3165.0,348.15,3165.0,57
CDM,250475,PASSER STR TROCH,8573.0,8573.0,600.11,8573.0,71
CDM,250515,SCREW BN 2.7MM 60MM,864.0,864.0,95.04,864.0,57
CDM,250517,FIBER LASER 800UM,11433.0,11433.0,800.31,11433.0,71
CDM,250519,PATCH VASC 0.8CM 8CM,6350.0,6350.0,698.5,6350.0,57
CDM,250534,SCREW BN CANN 6.5X135MM,5117.0,5117.0,562.87,5117.0,57
CDM,250539,STEM FEM HIP 2MM 100MM,15491.0,15491.0,1704.01,15491.0,57
CDM,250577,ESG PLASMALOOP - LRG 30,8536.0,8536.0,597.52,8536.0,71
CDM,250594,CLAMP TUBE-TO-TUBE EXFX,10497.0,10497.0,734.79,10497.0,71
CDM,250618,BLADE SAW 64MM,19056.0,19056.0,1333.92,19056.0,71
CDM,250619,HEAD HUM SHLDR 39MM 16MM,70881.0,70881.0,7796.91,70881.0,57
CDM,250620,CMPNT FEM HIP 22MM 41MM,11017.0,11017.0,1211.87,11017.0,57
CDM,250621,KIT HYPRTHM PRFS CATH TB,66280.0,66280.0,4639.6,66280.0,71
CDM,250629,BURR SURG 2.9MM 13MM,11430.0,11430.0,800.1,11430.0,71
CDM,250648,SCREW BN 4.0MM 68MM,2914.0,2914.0,320.54,2914.0,57
CDM,250649,INSERT TIB SM 14MM,64501.0,64501.0,7095.11,64501.0,57
CDM,250663,SCREW BN 6.5X160MM,6823.0,6823.0,750.53,6823.0,57
CDM,250668,SUTURE BLK MONO 8-0 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,250674,SCREW 1.5X4MM SD 5/PK,2014.0,2014.0,221.54,2014.0,57
CDM,250675,CMPNT FEM KN RT SZ10,36765.0,36765.0,4044.15,36765.0,57
CDM,250681,BRNCHOSCP DISP 5.8MM,6630.0,6630.0,464.1,6630.0,71
CDM,250682,BRNCHOSCP DISP 5.8MM,5933.0,5933.0,415.31,5933.0,71
CDM,250683,BRONCHOSCOPE DISP 3.8MM,5933.0,5933.0,415.31,5933.0,71
CDM,250705,STAPLE BN 20MM 18MM,31976.0,31976.0,3517.36,31976.0,57
CDM,250713,NAIL BN FEM 11X300MM,27789.0,27789.0,3056.79,27789.0,57
CDM,250739,SCREW BN 6.5MM 25MM,4984.0,4984.0,548.24,4984.0,57
CDM,250740,SCREW BN 6.5MM 50MM,5508.0,5508.0,605.88,5508.0,57
CDM,250743,SCREW BN 10D SMALL,45395.0,45395.0,4993.45,45395.0,57
CDM,250744,PLATE BN T 9H 36MM,8285.0,8285.0,911.35,8285.0,57
CDM,250747,INSERT ANKL SZ4 6MM,74410.0,74410.0,8185.1,74410.0,57
CDM,250776,PLATE BN GRWTH 20MM,12199.0,12199.0,1341.89,12199.0,57
CDM,250777,PLATE GD GRW W/24MM SCR,6100.0,6100.0,671.0,6100.0,57
CDM,250799,SCREW BN 2.5MM 6MM,14570.0,14570.0,1602.7,14570.0,57
CDM,250838,STEM SEG CEMENT STR,64501.0,64501.0,7095.11,64501.0,57
CDM,250854,SCREW SPN 5.5MM 30MM,11390.0,11390.0,1252.9,11390.0,57
CDM,250865,INSERT HIP F 0D 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,250908,HEAD ELB 9X5.5X9(+0)MM,66788.0,66788.0,7346.68,66788.0,57
CDM,250909,IMPLANT BREAST 280CC,26715.0,26715.0,2938.65,26715.0,57
CDM,250916,SCREW BN CRN 1.5X5MM,1260.0,1260.0,138.6,1260.0,57
CDM,250917,SCREW BN CRNFCL 1.5X7MM,1260.0,1260.0,138.6,1260.0,57
CDM,250923,SCREW BN 2MM 24MM,864.0,864.0,95.04,864.0,57
CDM,250928,SCREW BN 1.5MM 9MM,1129.0,1129.0,124.19,1129.0,57
CDM,250968,INSERT ARTC 13MM 10-12,19350.0,19350.0,2128.5,19350.0,57
CDM,250980,NAIL BN ULNA 3MM 190MM,97613.0,97613.0,10737.43,97613.0,57
CDM,250997,INSERT TIB KN 9MM SZ4,7095.0,7095.0,780.45,7095.0,57
CDM,250998,INSERT TIB KN RT 9MM SZ6,14190.0,14190.0,1560.9,14190.0,57
CDM,250999,BASEPLT TIB KN RM-LL SZ4,23220.0,23220.0,2554.2,23220.0,57
CDM,251001,COMPNT KN SIZE 4 9MM,14190.0,14190.0,1560.9,14190.0,57
CDM,251015,LINER ACTB HIP 66-70MM,36765.0,36765.0,4044.15,36765.0,57
CDM,251017,SCREW BN 10D SZ MED,45395.0,45395.0,4993.45,45395.0,57
CDM,251023,IMPLANT BREAST 355CC,11303.0,11303.0,1243.33,11303.0,57
CDM,251080,TIP ASP DISP 23KHZ,10613.0,10613.0,742.91,10613.0,71
CDM,251099,NAIL TIB 10.7MM 245MM,235718.0,235718.0,25928.98,235718.0,57
CDM,251109,TIP ASP STND DISP 23KHZ,12405.0,12405.0,868.35,12405.0,71
CDM,251116,SCREW SPN 5MM 30MM,11390.0,11390.0,1252.9,11390.0,57
CDM,251155,STENT BIL 6FR 8MM 57MM,17468.0,17468.0,1921.48,17468.0,57
CDM,251195,STEM HUM SHD 13MM 65MM,147949.0,147949.0,16274.39,147949.0,57
CDM,251196,COMPNT BRNG KN RT TIB 3,54180.0,54180.0,5959.8,54180.0,57
CDM,251213,STEM FEM 200X16MM MOD,13355.0,13355.0,1469.05,13355.0,57
CDM,251232,SCREW SPN 3.5MM 16MM,11390.0,11390.0,1252.9,11390.0,57
CDM,251243,NOVOSEVEN RT 2 MG INJ,27202.36,27202.36,1904.17,27202.36,42
CDM,251260,COLONOSCOPY W/ ENDO MR,6158.53,6158.53,431.1,6158.53,64
CDM,251282,SCREW BN 2.7MM L65MM,864.0,864.0,95.04,864.0,57
CDM,251364,COMP PTLA 3 PEG 8X34MM,6450.0,6450.0,709.5,6450.0,57
CDM,251365,MESH HERNIA 25CM 30CM,157969.0,157969.0,17376.59,157969.0,57
CDM,251411,NAIL BN 125D 9X170MM,25380.0,25380.0,2791.8,25380.0,57
CDM,251412,PLATE BN 250MM,40094.0,40094.0,4410.34,40094.0,57
CDM,251414,SCREW BN 4.5MM 28MM,2980.0,2980.0,327.8,2980.0,57
CDM,251417,WASHER BN 9.0 MM,750.0,750.0,82.5,750.0,57
CDM,251418,SCREW BN 5.0MM 10MM,4406.0,4406.0,484.66,4406.0,57
CDM,251419,CUP REV SHD +3 36 SZ1/2,36120.0,36120.0,3973.2,36120.0,57
CDM,251421,PUTTY BNGF SMALL 4CC,12248.0,12248.0,1347.28,12248.0,57
CDM,251452,PLATE BN DIST 5H 105MM,31545.0,31545.0,3469.95,31545.0,57
CDM,251457,IMPLANT BREAST 330CC,16646.0,16646.0,1831.06,16646.0,57
CDM,251459,SCREW BN CRNFCL 1.5X4MM,1260.0,1260.0,138.6,1260.0,57
CDM,251484,SPHERE SHLDR 33MM 24MM,46105.0,46105.0,5071.55,46105.0,57
CDM,251504,COMPNT FEM KN LT PFT 6,33540.0,33540.0,3689.4,33540.0,57
CDM,251505,PATELLA DOME KN E+8X29MM,12900.0,12900.0,1419.0,12900.0,57
CDM,251506,AUGMNT FEM #3 8MM,36413.0,36413.0,4005.43,36413.0,57
CDM,251507,AUG FEM KN #3 8MM,36413.0,36413.0,4005.43,36413.0,57
CDM,251508,COMPONENT TIB KN #3 10MM,45954.0,45954.0,5054.94,45954.0,57
CDM,251509,STEM TIB CEMENTED 9X45MM,64501.0,64501.0,7095.11,64501.0,57
CDM,251510,CMPNT TIB KN 24MM,68032.0,68032.0,7483.52,68032.0,57
CDM,251545,PLATE BN GRW 4.5MM 36MM,5751.0,5751.0,632.61,5751.0,57
CDM,251547,HEAD FEM HIP MODULAR,58050.0,58050.0,6385.5,58050.0,57
CDM,251548,CUP ACE 40MM 48MM,30960.0,30960.0,3405.6,30960.0,57
CDM,251550,SCREW BN 10.5X110MM,7871.0,7871.0,865.81,7871.0,57
CDM,251562,INSERT TIB KN SZ4 8MM,48401.0,48401.0,5324.11,48401.0,57
CDM,251564,HOOK SPN 10MM,7593.0,7593.0,835.23,7593.0,57
CDM,251565,BIT DRL 2.4MM,5623.0,5623.0,393.61,5623.0,71
CDM,251577,INSERT TIB KN SZ2 11MM,14190.0,14190.0,1560.9,14190.0,57
CDM,251672,510K SKN SUB NOS 1SQCM,806.0,806.0,56.42,806.0,53
CDM,251701,STEM FEM 16MM 100MM,13355.0,13355.0,1469.05,13355.0,57
CDM,251703,CMPNT FEM KN RT SZ4,116382.0,116382.0,12802.02,116382.0,57
CDM,251704,STEM EXT KN 19X100MM,11430.0,11430.0,1257.3,11430.0,57
CDM,251705,NAIL BN 125D 10X420MM,33559.0,33559.0,3691.49,33559.0,57
CDM,251706,NAIL BN RT 125D 10X360MM,33559.0,33559.0,3691.49,33559.0,57
CDM,251718,SCREW BN LAG 10.5X75MM,7871.0,7871.0,865.81,7871.0,57
CDM,251772,INSERT TIB KN SZ7-8 9MM,16770.0,16770.0,1844.7,16770.0,57
CDM,251776,CATH GD .46IN 125CM,24990.0,24990.0,1749.3,24990.0,71
CDM,251815,SCREW BN 4.5MM 50MM,7441.0,7441.0,818.51,7441.0,57
CDM,251822,SCREW BN 6.5MM 65MM,12538.0,12538.0,1379.18,12538.0,57
CDM,251823,SCREW BN HDLS 4.5MM 60MM,7441.0,7441.0,818.51,7441.0,57
CDM,251824,SCREW BN HDLS 4.5X55MM,7441.0,7441.0,818.51,7441.0,57
CDM,251893,KIT CATH IV 22GA 1.25IN,1379.0,1379.0,96.53,1379.0,71
CDM,251895,SCREW BN 6.5MM 155MM,6823.0,6823.0,750.53,6823.0,57
CDM,251897,SCREW BN 6.5X155MM,6823.0,6823.0,750.53,6823.0,57
CDM,251950,STEM FEM HIP SZ4,36120.0,36120.0,3973.2,36120.0,57
CDM,251959,STENT CRN 4.5MM 30MM,239100.0,239100.0,26301.0,239100.0,57
CDM,251960,STENT DVTR FLW 4X17MM,239100.0,239100.0,26301.0,239100.0,57
CDM,251962,STENT CRN 4MM 12MM,183910.0,183910.0,20230.1,183910.0,57
CDM,251964,NAIL BN FEM 10X320MM,26859.0,26859.0,2954.49,26859.0,57
CDM,251982,PLATE BN 1ST MED,32058.0,32058.0,3526.38,32058.0,57
CDM,251984,INSRT ACTB HIP 40MM SZE,19350.0,19350.0,2128.5,19350.0,57
CDM,251998,MESH SURG OVL 8X12CM,41448.0,41448.0,4559.28,41448.0,57
CDM,251999,CMPNT TIB TRAY SZD RT,32895.0,32895.0,3618.45,32895.0,57
CDM,252001,INSERT TIB SZ5 14MM,14190.0,14190.0,1560.9,14190.0,57
CDM,252003,GWIRE BALLTIP 1.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,252004,STABILIZER BN 11MM 160MM,53944.0,53944.0,5933.84,53944.0,57
CDM,252037,CLINDAMYCIN 900 MG INJ,24.38,24.38,1.71,24.38,47
CDM,252044,CLINDAMYCIN 6 MG/ML INJ,0.15,0.15,0.01,0.15,47
CDM,252046,505BX CLINDA 300MG NS 50,40.5,40.5,2.83,40.5,47
CDM,252047,RMVL TUNNELED CVAC,10213.16,10213.16,714.92,10213.16,64
CDM,252048,BIORPHEN 500 MCG INJ,28.62,28.62,2.0,28.62,47
CDM,252048,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",28.62,28.62,0.15,1.45,17
CDM,252051,METRONIDAZOL 5 MG/ML INJ,0.05,0.05,0.004,0.05,47
CDM,252054,AZTREONAM 20 MG/ML INJ,3.81,3.81,0.27,3.81,47
CDM,252057,AZTREONAM 2 G INJ,382.35,382.35,26.76,382.35,47
CDM,252059,AZTREONAM 1 G INJ,191.18,191.18,13.38,191.18,47
CDM,252061,METRONIDAZOLE 500 MG INJ,12.07,12.07,0.84,12.07,47
CDM,252062,PHENYLEPHRINE 10 MG INJ,6.73,6.73,0.47,6.73,47
CDM,252067,ESMOLOL 2.5 G INJ,597.65,597.65,41.84,597.65,47
CDM,252068,ESMOLOL 100 MG INJ,41.98,41.98,2.94,41.98,47
CDM,252069,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,252076,505BX CLINDA 900MG NS 50,74.7,74.7,5.23,74.7,47
CDM,252077,505BX CLINDA 600MG NS 50,61.11,61.11,4.28,61.11,47
CDM,252078,CEFOXITIN 100 MG/ML INJ,3.21,3.21,0.22,3.21,47
CDM,252079,VASOPRESSIN 20 UNIT INJ,114.48,114.48,8.01,114.48,47
CDM,252089,ALLOPURINOL 500MG INJ,16599.6,16599.6,1161.97,16599.6,42
CDM,252091,LABETALOL 5 MG INJ,0.57,0.57,0.04,0.57,47
CDM,252094,BUPIVACAINE 150 MG INJ,13.04,13.04,0.91,13.04,47
CDM,252097,BUPIVACAINE 225 MG INJ,44.54,44.54,3.12,44.54,47
CDM,252098,BUPIVACAINE 75 MG INJ,11.85,11.85,0.83,11.85,47
CDM,252099,BUPIVACAINE 50 MG INJ,13.46,13.46,0.94,13.46,47
CDM,252101,BUPIVACAINE 25 MG INJ,11.53,11.53,0.81,11.53,47
CDM,252102,BUPIVACAINE 0.5 MG INJ,0.16,0.16,0.01,0.16,47
CDM,252103,DEGARELIX 120 MG INJ,4901.39,4901.39,343.1,4901.39,42
CDM,252103,"Injection, degarelix, 1 mg ",4901.39,4901.39,4.33,37.29,17
CDM,252104,CLINDAMYCIN 12 MG/ML INJ,0.29,0.29,0.02,0.29,47
CDM,252109,VARIBAR THIN HON 250MLPO,345.54,345.54,24.19,345.54,59
CDM,252111,CLINOLIPID 20% 250 ML,302.29,302.29,21.16,302.29,67
CDM,252116,BUPIVACAINE 15 MG INJ,32.04,32.04,2.24,32.04,47
CDM,252122,TECLIST-CQYV 0.5 MG INJ,189.73,189.73,13.28,189.73,42
CDM,252123,TECLIST-CQYV 153 MG INJ,58057.03,58057.03,4063.99,58057.03,42
CDM,252124,TECLIST-CQYV 30 MG INJ,11383.73,11383.73,796.86,11383.73,42
CDM,252125,TECLIST-CQYV 0.5 MGINJJW,189.73,189.73,13.28,189.73,42
CDM,252134,PACLITAX-PROTEIN1MGINJJW,85.91,85.91,6.01,85.91,42
CDM,252141,NITROGLYCERIN 50 MG INJ,89.01,89.01,6.23,89.01,47
CDM,252146,ALLOPURINOL 5MG/ML INJ,166.0,166.0,11.62,166.0,42
CDM,252147,LABETALOL 5 MG/ML INJ,2.14,2.14,0.15,2.14,47
CDM,252148,LABETALOL 1 MG/ML INJ,0.4,0.4,0.03,0.4,47
CDM,252149,ESMOLOL 20 MG/ML INJ,4.72,4.72,0.33,4.72,47
CDM,252151,ESMOLOL 10 MG/ML INJ,2.36,2.36,0.17,2.36,47
CDM,252179,INST SUT PASSER OFST RT,8573.0,8573.0,600.11,8573.0,71
CDM,252186,SCREW BN 6.5X2.9MM 85MM,4521.0,4521.0,497.31,4521.0,57
CDM,252188,STENT URET 6FR 12CM,3640.0,3640.0,400.4,3640.0,57
CDM,252194,DISTRACTOR CSTM SM,226098.0,226098.0,24870.78,226098.0,57
CDM,252197,SCREW BN 6.5X2.9MM 90MM,4521.0,4521.0,497.31,4521.0,57
CDM,252198,PLATE BN LT 1.6MM 8MM,7093.0,7093.0,780.23,7093.0,57
CDM,252199,PLATE BN RT 1.6MM 6MM,7093.0,7093.0,780.23,7093.0,57
CDM,252201,PLATE BN RT 1.6MM 8MM,7093.0,7093.0,780.23,7093.0,57
CDM,252202,PLATE BN 12H 70MM,4584.0,4584.0,504.24,4584.0,57
CDM,252215,STEM FEM HIP SZ7,46440.0,46440.0,5108.4,46440.0,57
CDM,252218,SCREW BN 6.5X100X32MM,4521.0,4521.0,497.31,4521.0,57
CDM,252225,REM ECMO CAN PERC 6+,9456.63,9456.63,661.96,9456.63,64
CDM,252228,SCREW 1.5X5MM SLFDRL,925.0,925.0,101.75,925.0,57
CDM,252230,NUTRILIPID 20% 250 ML,178.16,178.16,12.47,178.16,67
CDM,252239,SCREW BN 8MM 175MM,7070.0,7070.0,777.7,7070.0,57
CDM,252241,COMPNT PTLA KN SZ4 7MM,6450.0,6450.0,709.5,6450.0,57
CDM,252243,SCREW BN 2MM 11MM,2055.0,2055.0,226.05,2055.0,57
CDM,252245,SCREW BN 2MM 13MM,2055.0,2055.0,226.05,2055.0,57
CDM,252274,TOOL INSERTION DISP,10786.0,10786.0,755.02,10786.0,71
CDM,252275,NAIL BN 12MM 380MM,40426.0,40426.0,4446.86,40426.0,57
CDM,252278,HEAD FEM HIP 10.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,252293,SCREW EMER CRNFCL1.7X5MM,1618.0,1618.0,177.98,1618.0,57
CDM,252300,CMPNT FEM KN LT SZ7,36224.0,36224.0,3984.64,36224.0,57
CDM,252301,SCREW BN 1.5MM 10MM,2179.0,2179.0,239.69,2179.0,57
CDM,252321,CMPNT TIB KN SZ5 10MM,25800.0,25800.0,2838.0,25800.0,57
CDM,252337,SHELL ACTB HIP 54MM,60698.0,60698.0,6676.78,60698.0,57
CDM,252338,BURR ORTH CYL 4X16MM,10699.0,10699.0,748.93,10699.0,71
CDM,252344,BLADE CHSL 27X8X1MM,12097.0,12097.0,846.79,12097.0,71
CDM,252368,AUG TIB KN LT SZ5/6 10MM,22575.0,22575.0,2483.25,22575.0,57
CDM,252376,TUBE TRACH 4.0MM,5691.0,5691.0,398.37,5691.0,71
CDM,252387,TUBING SUC 12FT,1599.0,1599.0,111.93,1599.0,71
CDM,252397,BIT DRL 6MM 1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,252401,TUBIN IRR WITH BURR,1742.0,1742.0,121.94,1742.0,71
CDM,252407,NEEDLE BX 14GA 11CM,2214.0,2214.0,154.98,2214.0,71
CDM,252408,NEEDLE BX 16GA 20CM,2325.0,2325.0,162.75,2325.0,71
CDM,252436,BURR SURG 3.1MM 20MM,11430.0,11430.0,800.1,11430.0,71
CDM,252439,BURR SURG 2MM 19.5MM,11430.0,11430.0,800.1,11430.0,71
CDM,252483,GRAFT CV 6MM 45CM,38233.0,38233.0,4205.63,38233.0,57
CDM,252514,HEAD FEM HIP TI 28MM,42570.0,42570.0,4682.7,42570.0,57
CDM,252524,WEDGE KN 5D SZ8,21375.0,21375.0,2351.25,21375.0,57
CDM,252540,PROSTH PENL PS 12CM 21CM,183910.0,183910.0,20230.1,183910.0,57
CDM,252548,SCREW BN 1.85X2.65X18MM,1677.0,1677.0,184.47,1677.0,57
CDM,252549,SCREW BN 1.55X2.65X18MM,1627.0,1627.0,178.97,1627.0,57
CDM,252553,BALLOON ENDO LTX STRL,6343.0,6343.0,444.01,6343.0,71
CDM,252555,ROD SPN PBNT 3.5X50MM,4556.0,4556.0,501.16,4556.0,57
CDM,252560,CATH CRYO 6FR 108CM,20713.0,20713.0,1449.91,20713.0,71
CDM,252567,INSERT TIB KN 10MM SZ5-6,16770.0,16770.0,1844.7,16770.0,57
CDM,252621,AGENT HMSTC 1.4CM,1599.0,1599.0,111.93,1599.0,71
CDM,252623,BLN PFLX P3 7F 10X4X80,2495.0,2495.0,174.65,2495.0,71
CDM,252624,PAD HMSTC 2.4CM X 1.2CM,1126.0,1126.0,78.82,1126.0,71
CDM,252629,IMPLANT BREAST 740CC,26715.0,26715.0,2938.65,26715.0,57
CDM,252630,LINER FEM HIP D 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,252641,CMPNT MOD PST SHLDR 25MM,18428.0,18428.0,2027.08,18428.0,57
CDM,252642,CUP HUM REV SHLDR 33MM,28873.0,28873.0,3176.03,28873.0,57
CDM,252644,LINER HUM SHLDR 33+3MM,17516.0,17516.0,1926.76,17516.0,57
CDM,252651,GWIRE 1.6MM 220MM,2575.0,2575.0,180.25,2575.0,71
CDM,252681,STABILIZER BN 17MM 260MM,63973.0,63973.0,7037.03,63973.0,57
CDM,252711,MODEL BN CUST HALF ORG,15514.0,15514.0,1085.98,15514.0,71
CDM,252712,IPS CUTTING GUIDE W/PLAN,74300.0,74300.0,5201.0,74300.0,71
CDM,252714,CUTING GUIDE DISTRACTION,30586.0,30586.0,2141.02,30586.0,71
CDM,252715,SCREW BN 1.5X5X7MM,3638.0,3638.0,400.18,3638.0,57
CDM,252716,INSTR BN DSTRCTR 1MM,7672.0,7672.0,537.04,7672.0,71
CDM,252724,SCREW BN 2MM 7MM,1314.0,1314.0,144.54,1314.0,57
CDM,252733,BLN PFLX P3 5F 4X2X80,2495.0,2495.0,174.65,2495.0,71
CDM,252739,CONE FEM/TIB KN 27MM,68032.0,68032.0,7483.52,68032.0,57
CDM,252746,KIT CEMENT PRFL 80G,5623.0,5623.0,393.61,5623.0,71
CDM,252792,LEAD NRSTM 43CM 3MM,149548.0,149548.0,16450.28,149548.0,57
CDM,252798,KIT W/MILL BLADE MED,30968.0,30968.0,2167.76,30968.0,71
CDM,252806,HEAD FEM HIP SZ28/44MM,11017.0,11017.0,1211.87,11017.0,57
CDM,252807,STEM FEM HIP SZ4,46440.0,46440.0,5108.4,46440.0,57
CDM,252808,HEAD FEM HIP SZ28MM,9030.0,9030.0,993.3,9030.0,57
CDM,252809,DISTRACTOR EXFX 33MM,13187.0,13187.0,923.09,13187.0,71
CDM,252810,STEM FEM HIP SZ5,46440.0,46440.0,5108.4,46440.0,57
CDM,252811,HEAD FEM HIP SZ28/48MM,11017.0,11017.0,1211.87,11017.0,57
CDM,252812,HEAD 12/14 SM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,252814,BUTTON GI 18F 3CM 45CM,10356.0,10356.0,724.92,10356.0,71
CDM,252816,STEM HUM DIST 17X90MM,64501.0,64501.0,7095.11,64501.0,57
CDM,252821,RASBURICASE 0.5 MG INJ,2280.77,2280.77,159.65,2280.77,42
CDM,252835,NIVOLUMAB 1 MG INJ,189.2,189.2,13.24,189.2,42
CDM,252836,NIVOLUMAB 1 MG INJJW,189.2,189.2,13.24,189.2,42
CDM,252840,PICU STEP-DOWN,16036.32,16036.32,,,0
CDM,252841,PEDI MED/SURG,5755.33,5755.33,,,0
CDM,252842,PICU PRIVATE,17397.06,17397.06,,,0
CDM,252845,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,252846,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,252849,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,252850,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,252851,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,252852,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,252854,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,252855,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,252856,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,252857,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,252858,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,252861,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,252862,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,252865,IV HYDRAT EA ADD HR,259.07,259.07,18.13,259.07,59
CDM,252866,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,252867,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,252868,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,252869,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,252870,IVP SNGL/INITL DRUG GY,529.23,529.23,37.05,529.23,59
CDM,252871,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,252872,IVP EA ADD SEQ NEW DR GY,490.03,490.03,34.3,490.03,59
CDM,252874,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,252875,IVP EA ADD SEQ S DRUG GY,529.23,529.23,37.05,529.23,65
CDM,252879,RETACRIT BS 1000U NESRD,63.11,63.11,4.42,63.11,42
CDM,252896,CLINOLIPID 20% 100 ML,221.46,221.46,15.5,221.46,67
CDM,252897,NUTRILIPID 20% 500 ML,225.72,225.72,15.8,225.72,67
CDM,252898,CLINOLIPID 20% 500 ML,267.17,267.17,18.7,267.17,67
CDM,252899,CT HEART W CN ART/GRAFTS,1314.48,1314.48,92.01,1314.48,43
CDM,252908,CMPNT TIB KN W/SCR SZ5,170080.0,170080.0,18708.8,170080.0,57
CDM,252918,SHEATH INTRO DIL 7MM,1599.0,1599.0,111.93,1599.0,71
CDM,252919,STBLZR BN 22.13X220MM,66274.0,66274.0,7290.14,66274.0,57
CDM,252920,STEM HUM W/SCR 9X75,98052.0,98052.0,10785.72,98052.0,57
CDM,252922,STEM FEM HIP SZ7 109MM,49846.0,49846.0,5483.06,49846.0,57
CDM,252957,INSERT FEM KN SZ5 12.5MM,106300.0,106300.0,11693.0,106300.0,57
CDM,252967,SCREW SPN 7.5MM 45MM,14328.0,14328.0,1576.08,14328.0,57
CDM,252985,BASEPLATE TIB KN SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,253011,OVERTUBE ENDO 25CM,5623.0,5623.0,393.61,5623.0,71
CDM,253032,CATH ABL CRV D-F 115CM,62966.0,62966.0,4407.62,62966.0,71
CDM,253086,BLN PFLX P3 5F 4X6X80,5285.0,5285.0,369.95,5285.0,71
CDM,253098,STEM FEM HIP 5MM 95MM,43860.0,43860.0,4824.6,43860.0,57
CDM,253101,PROS PENILE PUMP INFL,100264.0,100264.0,11029.04,100264.0,57
CDM,253102,PROSTHESIS PENL TTN 26CM,102767.0,102767.0,11304.37,102767.0,57
CDM,253202,BLN PFLX P3 6F 2X7X80,2495.0,2495.0,174.65,2495.0,71
CDM,253261,BLN PFLX P3 6F 4X7X80,2495.0,2495.0,174.65,2495.0,71
CDM,253265,NAIL FEM 125D 170X12MM,25380.0,25380.0,2791.8,25380.0,57
CDM,253275,INSERT TIB BRN PSC 59X18,39270.0,39270.0,4319.7,39270.0,57
CDM,253276,PLATE BN TRA CHIN 4X2MM,3607.0,3607.0,396.77,3607.0,57
CDM,253277,CATH ABLAT BI-D DD CURVE,48053.0,48053.0,3363.71,48053.0,71
CDM,253280,K-WIRE 2 TROC 1.4X16MM,1837.0,1837.0,128.59,1837.0,71
CDM,253316,SCREW BN 4MM 27.5MM,4647.0,4647.0,511.17,4647.0,57
CDM,253334,BLN PFLX P3 6F 2X8X80,2399.0,2399.0,167.93,2399.0,71
CDM,253346,COMPONENT FEM KN LT 5,95543.0,95543.0,10509.73,95543.0,57
CDM,253357,GRAFT BN 2.5-3X1-2CM,8415.0,8415.0,925.65,8415.0,57
CDM,253358,PLATE BN CRNL NS,45592.0,45592.0,5015.12,45592.0,57
CDM,253381,SCREW SPN 3.5MM 30MM,11390.0,11390.0,1252.9,11390.0,57
CDM,253400,PLATE MNDB MDFC TI,66798.0,66798.0,7347.78,66798.0,57
CDM,253401,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,253402,STABILIZER BN 15X280MM,63192.0,63192.0,6951.12,63192.0,57
CDM,253404,BLN PFLX P3 6F 8X4X40,2399.0,2399.0,167.93,2399.0,71
CDM,253423,PLATE BN 6H 12MM,7419.0,7419.0,816.09,7419.0,57
CDM,253425,RETAINER VISCERAL MED,1234.0,1234.0,86.38,1234.0,71
CDM,253426,STAPLE BN 20MM 25MM,36436.0,36436.0,4007.96,36436.0,57
CDM,253428,INSERT TIB KN SZB 12MM,13468.0,13468.0,1481.48,13468.0,57
CDM,253434,BLN PFLX P3 7F 8X8X80,2399.0,2399.0,167.93,2399.0,71
CDM,253457,PLATE BN RT 3MM,5076.0,5076.0,558.36,5076.0,57
CDM,253458,GWIRE BN 1.45MM,1599.0,1599.0,111.93,1599.0,71
CDM,253459,COIL EMBL 2MM 6CM,23171.0,23171.0,2548.81,23171.0,57
CDM,253460,COIL EMBL 5MM 8CM,23171.0,23171.0,2548.81,23171.0,57
CDM,253461,COIL EMBL 10MM 20CM,25781.0,25781.0,2835.91,25781.0,57
CDM,253462,COIL EMBL 10MM 30CM,32581.0,32581.0,3583.91,32581.0,57
CDM,253463,COIL EMBL 10MM 50CM,32581.0,32581.0,3583.91,32581.0,57
CDM,253464,PLATE BN 2MM 11MM,5076.0,5076.0,558.36,5076.0,57
CDM,253466,BLADE SAW 53MM,19056.0,19056.0,1333.92,19056.0,71
CDM,253480,CATH THRMB 7FR 130CM,131566.0,131566.0,9209.62,131566.0,71
CDM,253495,510K SKN SUB NOS 1SQCM,866.0,866.0,60.62,866.0,53
CDM,253521,SCREW BN CRNFCL 1.8X5MM,1281.0,1281.0,140.91,1281.0,57
CDM,253550,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,253551,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,253552,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,253553,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,37
CDM,253554,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,253555,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,253558,PATCH KUGAL SM CIRC,5082.0,5082.0,559.02,5082.0,57
CDM,253560,TRNSPLT ICU,19312.96,19312.96,,,0
CDM,253561,TRNSPLT MED/SURG,6647.47,6647.47,,,0
CDM,253562,TRNSPLT INTERMEDIATE,16036.32,16036.32,,,0
CDM,253611,CMPNT TIB KN 14MM,25297.0,25297.0,2782.67,25297.0,57
CDM,253612,PATELLA KN 3 PEG 28MM,6450.0,6450.0,709.5,6450.0,57
CDM,253615,STEM HUM SHDR 12MM CMNT,61532.0,61532.0,6768.52,61532.0,57
CDM,253620,NAIL 8.5MM 9.5MM 195MM,25570.0,25570.0,2812.7,25570.0,57
CDM,253635,GRAFT PRCN 15.7X9.8IN,382395.0,382395.0,42063.45,382395.0,57
CDM,253651,CLIMARA 0.0375MG PATCH,124.34,124.34,8.7,124.34,67
CDM,253652,DURAGESIC 12 PATCH,108.8,108.8,7.62,108.8,67
CDM,253656,ESMOLOL 10 MG INJ,4.45,4.45,0.31,4.45,47
CDM,253657,ALLOPURINOL 1 MG INJ,33.2,33.2,2.32,33.2,42
CDM,253664,POSACONAZOLE 300 MG INJ,3411.59,3411.59,238.81,3411.59,59
CDM,253675,BRIVARACETAM 50 MG INJ,379.02,379.02,26.53,379.02,59
CDM,253677,NITROGLYCERIN 100 MG INJ,140.72,140.72,9.85,140.72,47
CDM,253745,FILLER BN VOID 5CC,35363.0,35363.0,3889.93,35363.0,57
CDM,253754,SUTURE 2-0 24CM 24CM,1268.0,1268.0,88.76,1268.0,71
CDM,253768,CUP ACTB 48X28MM,38700.0,38700.0,4257.0,38700.0,57
CDM,253800,SCREW BN 4MM 32MM,7925.0,7925.0,871.75,7925.0,57
CDM,253802,SHELL ACTB HIP 3H 54MM,25800.0,25800.0,2838.0,25800.0,57
CDM,253809,SLING SURG MESH MALE,136158.0,136158.0,14977.38,136158.0,57
CDM,253827,SCREW BN 2.7MM 24MM,3165.0,3165.0,348.15,3165.0,57
CDM,253833,PLATE BN 1.2/1.5 8H.8MM,11714.0,11714.0,1288.54,11714.0,57
CDM,253876,DEVICE CLSE WND 1 36CM,1325.0,1325.0,92.75,1325.0,71
CDM,253877,DEVICE WND CLSR 5X5IN,1599.0,1599.0,111.93,1599.0,71
CDM,253889,CUP ACTB HIP 50MM,60698.0,60698.0,6676.78,60698.0,57
CDM,253929,MESH SURG STF 4.5IN,31828.0,31828.0,3501.08,31828.0,57
CDM,253930,PLATE BN 12H 2.4MM 96MM,13728.0,13728.0,1510.08,13728.0,57
CDM,253931,SCREW BN 2.0X22MM,864.0,864.0,95.04,864.0,57
CDM,253932,EXPAND BRST 350CC,32880.0,32880.0,3616.8,32880.0,57
CDM,253942,SCREW SPN 5.5MM 35MM,15186.0,15186.0,1670.46,15186.0,57
CDM,254023,SUTURE NDL HD W/MGELDR,2437.0,2437.0,170.59,2437.0,71
CDM,254029,GUIDEPIN DRLTP 2.4X311MM,5623.0,5623.0,393.61,5623.0,71
CDM,254032,BLADE SHVR CRV 4.5MM,5113.0,5113.0,357.91,5113.0,71
CDM,254035,SCREW SPN 6.5MM 35MM,15186.0,15186.0,1670.46,15186.0,57
CDM,254039,SCREW SPN 7.5MM 50MM,15186.0,15186.0,1670.46,15186.0,57
CDM,254066,BIT DRILL 190MM 10MM,9909.0,9909.0,693.63,9909.0,71
CDM,254067,COMPONENT FEM RT KN 5,115747.0,115747.0,12732.17,115747.0,57
CDM,254069,COIL EMBL 12MM 20CM,25781.0,25781.0,2835.91,25781.0,57
CDM,254070,COIL EMBL 12MM 30CM,32581.0,32581.0,3583.91,32581.0,57
CDM,254071,COIL EMBL 12MM 50CM,32581.0,32581.0,3583.91,32581.0,57
CDM,254072,COIL EMBL 14MM 20CM,25781.0,25781.0,2835.91,25781.0,57
CDM,254073,COIL EMBL 14MM 30CM,32581.0,32581.0,3583.91,32581.0,57
CDM,254074,COIL EMBL 20MM 50CM,32581.0,32581.0,3583.91,32581.0,57
CDM,254075,COIL EMBL 14MM 50CM,32581.0,32581.0,3583.91,32581.0,57
CDM,254076,COIL EMBL 18MM 50CM,32581.0,32581.0,3583.91,32581.0,57
CDM,254077,COIL EMBL 32MM 60CM,32581.0,32581.0,3583.91,32581.0,57
CDM,254079,STENT BIL PERC 8MM 6CM,59595.0,59595.0,6555.45,59595.0,57
CDM,254090,STEM FEM HIP LONG SMALL,58050.0,58050.0,6385.5,58050.0,57
CDM,254126,KIT SURG REMOVAL,41425.0,41425.0,2899.75,41425.0,71
CDM,254129,ROD SPN 3.5MM 40MM,4556.0,4556.0,501.16,4556.0,57
CDM,254165,ENFORT-EJFV 0.25 MGINJJW,201.04,201.04,14.07,201.04,42
CDM,254166,LACOSAMIDE 5 MG/ML INJ,5.72,5.72,0.4,5.72,53
CDM,254170,MYCOPHENO MOF 10 MGINJJW,8.8,8.8,0.62,8.8,47
CDM,254171,OLANZAPINE 10 MG INJ,209.84,209.84,14.69,209.84,47
CDM,254172,MYCOPHENO MOF 500 MG INJ,236.12,236.12,16.53,236.12,47
CDM,254201,STENT COR 5.00 X 16MM,14922.0,14922.0,1641.42,14922.0,57
CDM,254202,RELOAD STITCH SUT SNGL,2682.0,2682.0,187.74,2682.0,71
CDM,254234,ENFORT V-EJFV 0.25 MGINJ,201.04,201.04,14.07,201.04,42
CDM,254235,ENFORT V-EJFV 30 MG INJ,24127.18,24127.18,1688.9,24127.18,42
CDM,254236,ENFORT V-EJFV 20 MG INJ,16084.78,16084.78,1125.93,16084.78,42
CDM,254239,MYCOPHENO MOF 10 MG INJ,8.8,8.8,0.62,8.8,47
CDM,254240,T-CELL CAR-T HRVST PRDAY,15146.27,15146.27,1060.24,15146.27,65
CDM,254241,T-CELL CAR-T ADMN INF,22945.42,22945.42,1606.18,22945.42,59
CDM,254242,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,254243,OBS PER HOUR,1031.49,1031.49,113.46,1031.49,42
CDM,254244,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,254245,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,254246,OBS PER HOUR,571.06,571.06,62.82,571.06,42
CDM,254247,OBS PER HOUR,699.63,699.63,76.96,699.63,42
CDM,254256,OLANZAPINE 0.5 MG INJ,10.47,10.47,0.73,10.47,47
CDM,254259,505TV FULVES 25 MG INJ,529.39,529.39,37.06,529.39,42
CDM,254261,505TV FULVES 250 MG INJ,5294.3,5294.3,370.6,5294.3,42
CDM,254262,MYCOPHEN MOF 6 MG/ML INJ,5.26,5.26,0.37,5.26,47
CDM,254271,US RETRO LTD,1598.13,1598.13,111.87,1598.13,48
CDM,254277,DESMOPRESSIN 1 MCG INJJW,20.25,20.25,1.42,20.25,47
CDM,254285,PACLITAX-PROTEIN 1MGINJ,85.91,85.91,6.01,85.91,42
CDM,254286,TOCILIZUMAB 1 MG INJJW,37.97,37.97,2.66,37.97,42
CDM,254289,CLOBAZAM 10 MG PO,14.04,14.04,0.98,14.04,67
CDM,254304,NYSTATIN LIQ PO,0.36,0.36,0.03,0.36,67
CDM,254317,SCREW BN 10MM 55MM,51375.0,51375.0,5651.25,51375.0,57
CDM,254320,XTN FEM KN SLV 30MM,144568.0,144568.0,15902.48,144568.0,57
CDM,254344,510K SKN SUB NOS 1SQCM,653.0,653.0,45.71,653.0,53
CDM,254345,510K SKN SUB NOS 1SQCM,778.0,778.0,54.46,778.0,53
CDM,254380,AGENT HMSTC MTRX 10ML,5623.0,5623.0,393.61,5623.0,71
CDM,254390,COIL EMBL 22MM 60CM,32581.0,32581.0,3583.91,32581.0,57
CDM,254415,CMPNT FEM KN SZ2,36636.0,36636.0,4029.96,36636.0,57
CDM,254416,KIT CEMENT PRFL 40G,5939.0,5939.0,653.29,5939.0,57
CDM,254417,PLATE BN 6H 26MM,5076.0,5076.0,558.36,5076.0,57
CDM,254419,CMPNT TIB KN 10MM SZ4,25800.0,25800.0,2838.0,25800.0,57
CDM,254450,SCREW BN 3.5MM 35MM,6597.0,6597.0,725.67,6597.0,57
CDM,254471,TEE ANOMALY AQ INTER/RPT,6839.77,6839.77,478.78,6839.77,58
CDM,254471,"Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only ",6839.77,6839.77,261.63,1668.0,10
CDM,254472,CMV AMP PROBE,2844.63,2844.63,199.12,2844.63,47
CDM,254473,SICKLE CELL SCREEN,650.24,650.24,45.52,650.24,47
CDM,254475,HYDROCORT SUCC 1 G INJ,872.7,872.7,61.09,872.7,47
CDM,254476,PRETOMANID 200 MG PO,142.43,142.43,9.97,142.43,67
CDM,254487,RSV-MAB RECOM 50 MG IMJW,10421.45,10421.45,729.5,10421.45,42
CDM,254497,IMPLANT BROW FRHD FX 3MM,6525.0,6525.0,717.75,6525.0,57
CDM,254500,COMPNT FEM 3.5 66X62MM,41280.0,41280.0,4540.8,41280.0,57
CDM,254501,COMPT FEM KN #4,115747.0,115747.0,12732.17,115747.0,57
CDM,254503,IMPLANT BREAST 355CC,26715.0,26715.0,2938.65,26715.0,57
CDM,254504,SIZER BREAST 405CC,8563.0,8563.0,599.41,8563.0,71
CDM,254505,SIZER BREAST 450CC,8563.0,8563.0,599.41,8563.0,71
CDM,254522,SHELL ACTB HIP 3HL 44MM,25800.0,25800.0,2838.0,25800.0,57
CDM,254538,FILLER BN VOID 10CC,53183.0,53183.0,5850.13,53183.0,57
CDM,254553,TUBE FD NG 12FR 48IN,256.0,256.0,17.92,256.0,71
CDM,254575,STEM HUM SHLDR SZ2,64501.0,64501.0,7095.11,64501.0,57
CDM,254581,STENT URET 4.5FR 16CM,1972.0,1972.0,216.92,1972.0,57
CDM,254582,CATH BLNDIL 3MM 2X80CM,8796.0,8796.0,615.72,8796.0,71
CDM,254583,CATH BLNDIL 3.5MM 2X80CM,8796.0,8796.0,615.72,8796.0,71
CDM,254585,STENT COR 4.00 X 16MM,14922.0,14922.0,1641.42,14922.0,57
CDM,254586,STENT COR 4.50 X 16MM,14922.0,14922.0,1641.42,14922.0,57
CDM,254625,PLATE BN 60MM 152MM,10991.0,10991.0,1209.01,10991.0,57
CDM,254626,PLATE BN 12HS 156MM,11776.0,11776.0,1295.36,11776.0,57
CDM,254630,CATH ANGIO 5.5MM 80CM,8796.0,8796.0,615.72,8796.0,71
CDM,254632,CATH ANGIO 3.5MM 80CM,8796.0,8796.0,615.72,8796.0,71
CDM,254646,STENT COR 5.00 X 12MM,29596.0,29596.0,3255.56,29596.0,57
CDM,254695,STENT URET 7FR 24CM,3576.0,3576.0,393.36,3576.0,57
CDM,254696,STENT URET 7FR 26CM,3120.0,3120.0,343.2,3120.0,57
CDM,254698,STENT URET 7FR 28CM,3576.0,3576.0,393.36,3576.0,57
CDM,254712,PLUG VASCULAR 4MM,97722.0,97722.0,10749.42,97722.0,57
CDM,254713,PLUG VASCULAR 5MM,97722.0,97722.0,10749.42,97722.0,57
CDM,254714,PLUG VASCULAR 6MM,97722.0,97722.0,10749.42,97722.0,57
CDM,254715,SCREW BN INTF 8MM 20MM,10111.0,10111.0,1112.21,10111.0,57
CDM,254739,BASEPLATE TIB SZ1 60MM,92583.0,92583.0,10184.13,92583.0,57
CDM,254740,BUTTON GSTRM 14FR 2.3CM,3299.0,3299.0,230.93,3299.0,71
CDM,254741,BUTTON GSTRM 116FR 2.0CM,3299.0,3299.0,230.93,3299.0,71
CDM,254742,BUTTON GSTRM 16FR 3.5CM,3299.0,3299.0,230.93,3299.0,71
CDM,254782,SHELL ACTB HIP 3H 50MM,25800.0,25800.0,2838.0,25800.0,57
CDM,254796,INSERT TIB KN SZ6 11MM,14190.0,14190.0,1560.9,14190.0,57
CDM,254797,TUBE FD 18F 4.4CM 45CM,10356.0,10356.0,724.92,10356.0,71
CDM,254800,BAG DRN 600ML 36CM,608.0,608.0,42.56,608.0,71
CDM,254812,TUBE GASTRIC 18FR,1599.0,1599.0,111.93,1599.0,71
CDM,254839,CABLE CERCLAGE SS 2.0MM,11433.0,11433.0,1257.63,11433.0,57
CDM,254847,GWIRE VASC .035IN 180CM,1599.0,1599.0,111.93,1599.0,71
CDM,254848,GWIRE VASC .035IN 260CM,1599.0,1599.0,111.93,1599.0,71
CDM,254849,GWIRE VASC STRT .035X180,1599.0,1599.0,111.93,1599.0,71
CDM,254850,GWIRE VASC STRT .035X260,1599.0,1599.0,111.93,1599.0,71
CDM,254851,GWIRE VASC ANG .035X260,1599.0,1599.0,111.93,1599.0,71
CDM,254873,WEDGE L KN ARTH 8 5X15MM,21376.0,21376.0,2351.36,21376.0,57
CDM,254910,SCREW BN 6.5MM 15MM,5212.0,5212.0,573.32,5212.0,57
CDM,254911,BIT DRL 2.4MM 254MM,8459.0,8459.0,592.13,8459.0,71
CDM,254919,FLUCONAZOLE LIQ PO,16.65,16.65,1.17,16.65,67
CDM,254925,INDOMETHACIN 50 MG SUPP,2086.04,2086.04,146.02,2086.04,59
CDM,254930,CMPD TPN SOLUTION,13885.78,13885.78,972.0,13885.78,59
CDM,254931,CMPD TPN SOLUTION,16545.26,16545.26,1158.17,16545.26,59
CDM,254932,CMPD TPN SOLUTION,14892.89,14892.89,1042.5,14892.89,59
CDM,254933,CMPD TPN SOLUTION,11875.75,11875.75,831.3,11875.75,59
CDM,254935,DASATINIB 50 MG PO,1931.63,1931.63,135.21,1931.63,59
CDM,254937,ENTRESTO 49-51 MG TAB,71.43,71.43,5.0,71.43,67
CDM,254968,STEM FEM HIP 12/14 SZ5,49020.0,49020.0,5392.2,49020.0,57
CDM,254972,STEM FEM KN SZ 14X100MM,105237.0,105237.0,11576.07,105237.0,57
CDM,254979,IMPLANT BREAST 430CC,26715.0,26715.0,2938.65,26715.0,57
CDM,255147,GRAFT BN TRICORT LG,29718.0,29718.0,3268.98,29718.0,57
CDM,255167,SCREW CORT LCK 3.5X18MM,3206.0,3206.0,352.66,3206.0,57
CDM,255168,SCREW BN 6.5MM 90MM,5524.0,5524.0,607.64,5524.0,57
CDM,255169,TOOL BALL 9CM 6MM,3818.0,3818.0,267.26,3818.0,71
CDM,255200,SCREW BN 1.5MM 13MM,2055.0,2055.0,226.05,2055.0,57
CDM,255201,HEAD FEM HIP SZ28/47MM,11017.0,11017.0,1211.87,11017.0,57
CDM,255202,PLATE BN 4H 8MM,5463.0,5463.0,600.93,5463.0,57
CDM,255246,PLATE BN 10H 3.5/4.5/5MM,50219.0,50219.0,5524.09,50219.0,57
CDM,255248,PLATE BN FEM 4H 3.5MM,21960.0,21960.0,2415.6,21960.0,57
CDM,255254,EXPANDER TISSUE 750CC,31853.0,31853.0,3503.83,31853.0,57
CDM,255263,SYSTEM VAR VEIN CLOSURE,39934.0,39934.0,2795.38,39934.0,71
CDM,255302,BENDAMUS HCL 1 MG INJ JW,8.35,8.35,0.58,8.35,42
CDM,255303,BENDAMUS HCL 1 MG INJ,8.35,8.35,0.58,8.35,42
CDM,255330,GUIDE SURG TI MANDIBLE,68208.0,68208.0,4774.56,68208.0,71
CDM,255339,HEAD HUM SHLDR 17MM 45MM,70881.0,70881.0,7796.91,70881.0,57
CDM,255383,PLUG VASCULAR 3MM,97722.0,97722.0,10749.42,97722.0,57
CDM,255402,NAIL BN FEM LT 11X380MM,33559.0,33559.0,3691.49,33559.0,57
CDM,255404,INSERT TIB KN SZ5 20MM,39732.0,39732.0,4370.52,39732.0,57
CDM,255419,NDL CRYABL 1.5MM 175MM,31401.0,31401.0,2198.07,31401.0,71
CDM,255420,BIT DRILL 4MM 1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,255421,KIT HIP CSTM W/IMPL,468520.0,468520.0,51537.2,468520.0,57
CDM,255422,STEM HUM SHLDR SZ2+,64501.0,64501.0,7095.11,64501.0,57
CDM,255423,STEM HUM SHLDR LNG SZ2,73475.0,73475.0,8082.25,73475.0,57
CDM,255444,POLATUZUMAB 1 MG INJ,760.91,760.91,53.26,760.91,42
CDM,255458,POLATUZUMAB 1 MG INJJW,760.91,760.91,53.26,760.91,42
CDM,255470,INSERT TIB KN 28MM,67655.0,67655.0,7442.05,67655.0,57
CDM,255496,INSERT TIB KN SZ3 12MM,14190.0,14190.0,1560.9,14190.0,57
CDM,255540,PATELLA KN 29MM 7MM,6450.0,6450.0,709.5,6450.0,57
CDM,255543,STBLZR BN 11X220MM,57027.0,57027.0,6272.97,57027.0,57
CDM,255544,LNR ACTB CUP 36/52-54MM,14190.0,14190.0,1560.9,14190.0,57
CDM,255545,STEM HIP STD COLR SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,255546,HEAD FEM CERM MED 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,255574,AUGMENT TIB 10MM,22575.0,22575.0,2483.25,22575.0,57
CDM,255579,SHELL ACTB HIP SZ50MM,23220.0,23220.0,2554.2,23220.0,57
CDM,255580,CMPNT FEM KN LT SZ8,36224.0,36224.0,3984.64,36224.0,57
CDM,255613,LINER ACTB HIP52MM 40MM,14190.0,14190.0,1560.9,14190.0,57
CDM,255663,LINER ACTB HIP SZG 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,255670,SCREW BN 6.5MM 65MM,5524.0,5524.0,607.64,5524.0,57
CDM,255671,SCREW BN 6.5MM 100MM,5197.0,5197.0,571.67,5197.0,57
CDM,255673,SCREW BN 6.5MM 105MM,5508.0,5508.0,605.88,5508.0,57
CDM,255676,BIT DRL 4.3MM 200MM,5623.0,5623.0,393.61,5623.0,71
CDM,255677,KIT FEM HIP CSTM W/IMPL,468520.0,468520.0,51537.2,468520.0,57
CDM,255678,KIT FEM HIP CSTM 320MM,468520.0,468520.0,51537.2,468520.0,57
CDM,255679,STEM FEM HIP STD SZ6,46440.0,46440.0,5108.4,46440.0,57
CDM,255680,HEAD FEM HIP 28MM 45MM,11017.0,11017.0,1211.87,11017.0,57
CDM,255687,STENT URET 7F 20CM,3239.0,3239.0,356.29,3239.0,57
CDM,255691,STENT BILI PERC 8MM 8CM,59595.0,59595.0,6555.45,59595.0,57
CDM,256159,METHYLNALTREXONE 0.1 MG,8.09,8.09,0.57,8.09,47
CDM,256194,BIVALIRUDIN 1 MG INJ,1.58,1.58,0.11,1.58,47
CDM,256223,EPTIFIBATIDE 5 MG INJ,60.67,60.67,4.25,60.67,47
CDM,256251,INSERT ARTC KN RT SZ2,23478.0,23478.0,2582.58,23478.0,57
CDM,256502,SCREW BN 7X84MM,14632.0,14632.0,1609.52,14632.0,57
CDM,256683,CMPNT TRAY TIB KN SZ2,30522.0,30522.0,3357.42,30522.0,57
CDM,256789,SHEATH GD 3.6FR 70CM,3055.0,3055.0,213.85,3055.0,71
CDM,256799,GWIRE VASC .016IN 180CM,5647.0,5647.0,395.29,5647.0,71
CDM,257130,SCREW BN 7MM 82MM 16MM,14632.0,14632.0,1609.52,14632.0,57
CDM,257149,KWIRE FX 2.3MM 230MM,1599.0,1599.0,111.93,1599.0,71
CDM,257412,POST CMPR PLNTARFIX 12MM,25318.0,25318.0,2784.98,25318.0,57
CDM,257415,SCREW BN LCKG 3.5X14MM,4378.0,4378.0,481.58,4378.0,57
CDM,257523,SCREW BN 4.5MM 36MM,1654.0,1654.0,181.94,1654.0,57
CDM,257651,FLTR VC SYS LD 40DL,24229.0,24229.0,2665.19,24229.0,57
CDM,257717,SCREW BN 3.5MM 18MM,3165.0,3165.0,348.15,3165.0,57
CDM,257861,KWIRE FX 450MM 3.2MM,3336.0,3336.0,233.52,3336.0,71
CDM,257904,KWIRE 4IN 2MM,5235.0,5235.0,366.45,5235.0,71
CDM,257911,SHTH LSR CLR 12F,367.0,367.0,25.69,367.0,71
CDM,257991,CONNCTR DRN BLKE 19FR,1090.0,1090.0,76.3,1090.0,71
CDM,258001,CONNCTR Y 2-WAY DRN BG,1139.0,1139.0,79.73,1139.0,71
CDM,258045,INSERT ANKLE SZ1/1+ 8MM,102622.0,102622.0,11288.42,102622.0,57
CDM,258205,INSERT TALUS CUSTOM LG,243527.0,243527.0,26787.97,243527.0,57
CDM,258224,PLATE HOOK BN LRG 3.5MM,37060.0,37060.0,4076.6,37060.0,57
CDM,258370,BASEPLATE SHLDR 24MM,39971.0,39971.0,4396.81,39971.0,57
CDM,258422,SCREW BN 3.5MM 0MM,1480.0,1480.0,162.8,1480.0,57
CDM,258436,INSERTER OSTOMY WEDGE,21459.0,21459.0,1502.13,21459.0,71
CDM,258485,COAGULATOR SUC 12F 3MM,373.0,373.0,26.11,373.0,71
CDM,258490,SPONGE BCKL 3.5X120X0.75,750.0,750.0,82.5,750.0,57
CDM,258506,RING ANLPLS 200 19MM,134354.0,134354.0,14778.94,134354.0,57
CDM,258507,PLEDGETT ANNLPLSTY PATCH,8220.0,8220.0,904.2,8220.0,57
CDM,258508,CUP ACTB HIP 3H 52MM,23220.0,23220.0,2554.2,23220.0,57
CDM,258509,CUP ACTB 3H 54MM,23220.0,23220.0,2554.2,23220.0,57
CDM,258517,HEMOSTAT ABS 4IN 8IN,2238.0,2238.0,156.66,2238.0,71
CDM,258541,IMPLANT BREAST 640CC,27229.0,27229.0,2995.19,27229.0,57
CDM,258549,STENT URET 6FR 22CM,3576.0,3576.0,393.36,3576.0,57
CDM,258551,BURR SURG STRT 2.2X12MM,11430.0,11430.0,800.1,11430.0,71
CDM,258566,GWIRE RULER TUBE 1000MM,11433.0,11433.0,800.31,11433.0,71
CDM,258581,AUGMENT KN RT FEM 5 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,258584,BASEPLATE TIBIAL #4,110127.0,110127.0,12113.97,110127.0,57
CDM,258595,CATH CRYO BLUEMED 3F MED,25684.0,25684.0,1797.88,25684.0,71
CDM,258596,PLATE GD GRW W/16MM SCR,12199.0,12199.0,1341.89,12199.0,57
CDM,258612,SHELL ACTB HIP 50MM,42423.0,42423.0,4666.53,42423.0,57
CDM,258614,LINER ACTB HIP 50MM 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,258615,SHELL ACTB HIP 3H 52MM,25800.0,25800.0,2838.0,25800.0,57
CDM,258625,INSERT TIB KN SZ3 11MM,14190.0,14190.0,1560.9,14190.0,57
CDM,258626,NAIL BN 1MM 200MM,31853.0,31853.0,3503.83,31853.0,57
CDM,258636,SHELL ACTB HIP 3H 48MM,25800.0,25800.0,2838.0,25800.0,57
CDM,258637,LINER ACTB HIP 48X36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,258665,SCREW BN 3.5MM 42MM,8101.0,8101.0,891.11,8101.0,57
CDM,258676,INSERT TIB KN SZ7 8MM,39732.0,39732.0,4370.52,39732.0,57
CDM,258682,CATH VASC 2.6F 50CM,5623.0,5623.0,393.61,5623.0,71
CDM,258724,SHELL ACTB HIP 56MM,57663.0,57663.0,6342.93,57663.0,57
CDM,258727,MESH ABD HERN 2-7X9 ELL,131833.0,131833.0,14501.63,131833.0,57
CDM,258733,CATHETER GD CRV 9FR,8563.0,8563.0,599.41,8563.0,71
CDM,258767,ANCHOR BN 3.9MM,99154.0,99154.0,10906.94,99154.0,57
CDM,258795,SCREW BN 3.5MM 14MM,2795.0,2795.0,307.45,2795.0,57
CDM,258800,INSERT TIB KN SZ5,14190.0,14190.0,1560.9,14190.0,57
CDM,258801,PLATE BN 57MM 10H,10008.0,10008.0,1100.88,10008.0,57
CDM,258802,SCREW SPN LCK 4.5X26MM,4328.0,4328.0,476.08,4328.0,57
CDM,258804,SCREW BN 4.5MM 22MM,3515.0,3515.0,386.65,3515.0,57
CDM,258805,INSERT TIB KN 10MM,58050.0,58050.0,6385.5,58050.0,57
CDM,258812,SCREW BN 5MM 46MM,4052.0,4052.0,445.72,4052.0,57
CDM,258866,STENT EPRSTH 14FR 3.9CM,208148.0,208148.0,22896.28,208148.0,57
CDM,258871,GWIRE VASC .024IN 200CM,12594.0,12594.0,881.58,12594.0,71
CDM,258924,IMPLANT ACTB HIP CUST,468520.0,468520.0,51537.2,468520.0,57
CDM,258926,SCREW BN 6.5MM 55MM,5524.0,5524.0,607.64,5524.0,57
CDM,259200,GRAFT AMNIO TISS 4X4CM,11172.0,11172.0,1228.92,11172.0,57
CDM,259254,DERMAPURE 1SQCM,2050.0,2050.0,143.5,2050.0,53
CDM,259285,STEM FEM HIP SZ3 99MM,46440.0,46440.0,5108.4,46440.0,57
CDM,259296,TOOL DSCT 9CM 6MM,3818.0,3818.0,267.26,3818.0,71
CDM,259312,PROBE NIM SURG DISP,5623.0,5623.0,393.61,5623.0,71
CDM,259410,HEAD FEM HIP SZ32MM,26832.0,26832.0,2951.52,26832.0,57
CDM,259412,IMPLANT BREAST 510CC,20550.0,20550.0,2260.5,20550.0,57
CDM,259495,OSTEOTOME SQUARE,8001.0,8001.0,560.07,8001.0,71
CDM,259506,ELECTRODE RETURN 170MM,211.0,211.0,14.77,211.0,71
CDM,259508,ANCHOR SUT 5/8IN 16MM,199.0,199.0,13.93,199.0,71
CDM,259548,SHEATH INTR VASC 6F 45CM,3036.0,3036.0,212.52,3036.0,71
CDM,259561,HEAD FEM HIP SZ28/52MM,11017.0,11017.0,1211.87,11017.0,57
CDM,259637,HEAD FEM HIP 12/14+12X36,9030.0,9030.0,993.3,9030.0,57
CDM,259643,IMPLANT BREAST 545CC,21064.0,21064.0,2317.04,21064.0,57
CDM,259644,IMPLANT BREAST 640CC,15413.0,15413.0,1695.43,15413.0,57
CDM,259651,CATH THRMB REP 138CM,39603.0,39603.0,2772.21,39603.0,71
CDM,259665,NAIL FEM 9MM 300MM,25729.0,25729.0,2830.19,25729.0,57
CDM,259672,CMPNT TIB KN CEM SZ3,64500.0,64500.0,7095.0,64500.0,57
CDM,259699,INSERT TIB KN SZ3 12.5MM,64501.0,64501.0,7095.11,64501.0,57
CDM,259708,CMPNT TOTAL KN SZ11,64501.0,64501.0,7095.11,64501.0,57
CDM,259715,STEM TIB/FEM KN 50MM,110956.0,110956.0,12205.16,110956.0,57
CDM,259725,PROSTHESIS CRNL CSTM MED,203163.0,203163.0,22347.93,203163.0,57
CDM,259741,IMPLANT BREAST 290CC,21064.0,21064.0,2317.04,21064.0,57
CDM,259766,HEAD FEM HIP 40MM,16770.0,16770.0,1844.7,16770.0,57
CDM,259888,LINER ACTB HIP 28MM 38MM,19350.0,19350.0,2128.5,19350.0,57
CDM,259901,SHELL ACTB HIP 3HL 56MM,25800.0,25800.0,2838.0,25800.0,57
CDM,259902,LINER HIP 56-58MM 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,259916,KIT STPL PLT SHARPS,7382.0,7382.0,516.74,7382.0,71
CDM,259955,SCREW BN 2.4MM 40MM,2569.0,2569.0,282.59,2569.0,57
CDM,259990,LINER ACTB HIP 54MM 40MM,14190.0,14190.0,1560.9,14190.0,57
CDM,260014,SCREW BN 4.5MM 44MM,3244.0,3244.0,356.84,3244.0,57
CDM,260018,LINER ACTB HIP 52MM 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,260022,HEAD FEM HIP +5MM 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,260052,CMPD DEXMED 200MCG 50B,19.23,19.23,1.35,19.23,59
CDM,260053,PLATE BN 2.0 10H 67MM,10954.0,10954.0,1204.94,10954.0,57
CDM,260077,A/V FIST UP EXT SGL PERC,37871.51,37871.51,2651.01,37871.51,64
CDM,260078,LIG/BAND AV FISTULA,15861.56,15861.56,1110.31,15861.56,64
CDM,260079,DEXMEDET 20 MCG / ML INJ,1.91,1.91,0.13,1.91,59
CDM,260128,INTRO SHTH 7FR 6CM,1369.0,1369.0,95.83,1369.0,71
CDM,260138,CMPD CYCLOPHOS 10 MG PO,42.29,42.29,2.96,42.29,67
CDM,260139,SHEATH INTRO 6FR 10CM,1599.0,1599.0,111.93,1599.0,71
CDM,260140,FOSPHEN PE 50 MG INJ,14.56,14.56,1.02,14.56,46
CDM,260141,THROMBATE III 1 U INJ,25.48,25.48,1.78,25.48,42
CDM,260142,PROFILNINE 1 U INJ,8.4,8.4,0.59,8.4,42
CDM,260143,BENEFIX 1 U INJ,8.8,8.8,0.62,8.8,42
CDM,260150,OMNIPAQUE 9 500ML PO,54.54,54.54,3.82,54.54,59
CDM,260179,MORPHINE SULF LIQ PO,16.94,16.94,1.19,16.94,67
CDM,260193,NICARDIPINE 25 MG INJ,121.54,121.54,8.51,121.54,47
CDM,260196,BUMETANIDE 0.1 MG/ML INJ,0.53,0.53,0.04,0.53,47
CDM,260197,RYANODEX 250 MG INJ,18971.37,18971.37,1328.0,18971.37,59
CDM,260198,PRAXBIND 2.5 G INJ,14883.89,14883.89,1041.87,14883.89,59
CDM,260241,SCREW BN 10MM 65MM,20222.0,20222.0,2224.42,20222.0,57
CDM,260249,IMPLANT BREAST 425CC,15413.0,15413.0,1695.43,15413.0,57
CDM,260250,PLATE BN 10H 132MM,8508.0,8508.0,935.88,8508.0,57
CDM,260379,STEM EXT KNEE SZ13/11,25800.0,25800.0,2838.0,25800.0,57
CDM,260403,INSERT TIB KN #6 13MM,14190.0,14190.0,1560.9,14190.0,57
CDM,260410,505AC METHOTREX 50MG INJ,24.77,24.77,1.73,24.77,53
CDM,260410,"Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg ",24.77,24.77,11.63,18.7,6
CDM,260412,ARTESUNATE 110 MG INJ,58087.8,58087.8,4066.15,58087.8,42
CDM,260413,GLYCOPYRROL 0.4 MG INJ,7.16,7.16,0.5,7.16,47
CDM,260416,BUMETANIDE 1 MG INJ,12.29,12.29,0.86,12.29,47
CDM,260431,PEMETREXED NOS 10MGINJJW,16.2,16.2,1.13,16.2,42
CDM,260432,PEMETREXED NOS 10 MG INJ,16.2,16.2,1.13,16.2,42
CDM,260433,NINVS CFFR SW ANLYS CTA,3986.24,3986.24,279.04,3986.24,47
CDM,260438,SUTURE FBRWR 38IN,750.0,750.0,82.5,750.0,57
CDM,260440,MUSK AB,3341.57,3341.57,233.91,3341.57,57
CDM,260440,Muscle-specific kinase (MuSK) antibody ,3341.57,3341.57,11.04,48.21,67
CDM,260440,Muscle-specific kinase (MuSK) antibody Age 21+,3341.57,3341.57,17.01,17.01,4
CDM,260440,Muscle-specific kinase (MuSK) antibody Age Under 21,3341.57,3341.57,17.32,17.32,4
CDM,260440,Muscle-specific kinase (MuSK) antibody Other Outpatient,3341.57,3341.57,19.32,19.32,6
CDM,260441,ASSAY ANTI-MULLERIAN HOR,695.43,695.43,48.68,695.43,57
CDM,260441,Anti-mullerian hormone (AMH) ,695.43,695.43,23.17,101.18,67
CDM,260441,Anti-mullerian hormone (AMH) Age 21+,695.43,695.43,35.68,35.68,4
CDM,260441,Anti-mullerian hormone (AMH) Age Under 21,695.43,695.43,36.33,36.33,4
CDM,260441,Anti-mullerian hormone (AMH) Other Outpatient,695.43,695.43,40.55,40.55,6
CDM,260443,BRIDION 200 MG INJ,786.7,786.7,55.07,786.7,59
CDM,260451,NIFEDIPINE ER 90 MG PO,4.92,4.92,0.34,4.92,67
CDM,260452,ACHR RCPT MODLG AB,409.84,409.84,28.69,409.84,57
CDM,260452,Acetylcholine receptor (AChR); modulating antibody ,409.84,409.84,7.23,31.57,67
CDM,260452,Acetylcholine receptor (AChR); modulating antibody Age 21+,409.84,409.84,11.13,11.13,4
CDM,260452,Acetylcholine receptor (AChR); modulating antibody Age Under 21,409.84,409.84,11.33,11.33,4
CDM,260452,Acetylcholine receptor (AChR); modulating antibody Other Outpatient,409.84,409.84,12.65,12.65,6
CDM,260457,ACHR RCPT BND AB,1484.44,1484.44,103.91,1484.44,57
CDM,260457,Acetylcholine receptor (AChR); binding antibody ,1484.44,1484.44,11.04,48.21,67
CDM,260457,Acetylcholine receptor (AChR); binding antibody Age 21+,1484.44,1484.44,17.01,17.01,4
CDM,260457,Acetylcholine receptor (AChR); binding antibody Age Under 21,1484.44,1484.44,17.32,17.32,4
CDM,260457,Acetylcholine receptor (AChR); binding antibody Other Outpatient,1484.44,1484.44,19.32,19.32,6
CDM,260470,KIT BN VOID FILLER 10CC,45210.0,45210.0,4973.1,45210.0,57
CDM,260482,REMOTE ELECTRO DISP,5434.0,5434.0,380.38,5434.0,71
CDM,260485,PLATE BN CNTRL CLMN RT,16112.0,16112.0,1772.32,16112.0,57
CDM,260514,LINER ACTB HIP56-58X40MM,14190.0,14190.0,1560.9,14190.0,57
CDM,260567,STENT EVAS 14FR 6.0CM,178016.0,178016.0,19581.76,178016.0,57
CDM,260618,510K SKN SUB NOS 1SQCM,381.0,381.0,26.67,381.0,53
CDM,260625,MESH SURG 15CM 8CM,31331.0,31331.0,3446.41,31331.0,57
CDM,260627,CMPNT FEM HIP 50MM,189214.0,189214.0,20813.54,189214.0,57
CDM,260628,SCREW BN 10MM 125MM SZ M,41100.0,41100.0,4521.0,41100.0,57
CDM,260631,STEM FEM HIP 16MM 120MM,183899.0,183899.0,20228.89,183899.0,57
CDM,260671,ACHR RCPT BLCK AB,409.84,409.84,28.69,409.84,57
CDM,260671,Acetylcholine receptor (AChR); blocking antibody ,409.84,409.84,11.04,48.21,67
CDM,260671,Acetylcholine receptor (AChR); blocking antibody Age 21+,409.84,409.84,17.01,17.01,4
CDM,260671,Acetylcholine receptor (AChR); blocking antibody Age Under 21,409.84,409.84,17.32,17.32,4
CDM,260671,Acetylcholine receptor (AChR); blocking antibody Other Outpatient,409.84,409.84,19.32,19.32,6
CDM,260692,NICARDIPINE 40 MG INJ,457.92,457.92,32.05,457.92,47
CDM,260695,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",11.79,11.79,0.48,14.88,17
CDM,260695,TRUVADA PREP 200/300MGPO,11.79,11.79,0.83,11.79,42
CDM,260705,BUMETANIDE 0.5 MG INJ,2.82,2.82,0.2,2.82,47
CDM,260755,CATH ANGIO 5MM 2CM 40CM,8796.0,8796.0,615.72,8796.0,71
CDM,260803,STEM FEM KN 14MM 140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,260805,STEM FEM KN 15MM 140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,260817,GWIRE VASC STRT .035X180,1599.0,1599.0,111.93,1599.0,71
CDM,260818,GWIRE VASC STRT .035X260,1599.0,1599.0,111.93,1599.0,71
CDM,260819,GWIRE VASC ANG .035X180,1599.0,1599.0,111.93,1599.0,71
CDM,260942,INS TIB KN SZ5 8MM,39732.0,39732.0,4370.52,39732.0,57
CDM,260950,BIT DRILL 8MM,11533.0,11533.0,807.31,11533.0,71
CDM,260964,TERLIVAZ 0.85 MG INJ,5437.8,5437.8,380.65,5437.8,59
CDM,261040,NICARDIPINE 0.1 MG INJ,0.6,0.6,0.04,0.6,47
CDM,261041,GLYCOPYRR 200 MCG/ML INJ,3.38,3.38,0.24,3.38,47
CDM,261042,GLYCOPYRROL 0.1 MG INJ,1.77,1.77,0.12,1.77,47
CDM,261046,DESCOVY PREP 200/25MG PO,445.4,445.4,31.18,445.4,42
CDM,261046,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",445.4,445.4,69.3,609.5,17
CDM,261062,ARTESUNATE 1 MG INJ,274.66,274.66,19.23,274.66,42
CDM,261067,DANTROLENE 20 MG INJ,537.78,537.78,37.64,537.78,59
CDM,261068,DEFITELIO 200 MG INJ,6492.16,6492.16,454.45,6492.16,59
CDM,261102,ACYCLOVIR LIQ PO,4.24,4.24,0.3,4.24,67
CDM,261108,OMNIPAQUE 12 500ML PO,56.7,56.7,3.97,56.7,59
CDM,261130,SUFENTANIL 50 MCG INJ,45.82,45.82,3.21,45.82,67
CDM,261131,REMIFENTANIL 1 MG INJ,360.52,360.52,25.24,360.52,67
CDM,261132,BLOOD TRANSFUSION,3820.58,3820.58,267.44,3820.58,65
CDM,261134,CARDIOVERSION EXTERNAL,9002.33,9002.33,990.26,9002.33,58
CDM,261135,CRIT CARE 1ST 30-74M ER,5705.61,5705.61,627.62,5705.61,37
CDM,261136,CRIT CARE ECH ADD 30M ER,3891.06,3891.06,428.02,3891.06,47
CDM,261137,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,65
CDM,261138,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,59
CDM,261139,INJECTION IM OR SQ,327.88,327.88,22.95,327.88,59
CDM,261140,INJECTION INTRA-ARTERIAL,672.08,672.08,47.05,672.08,59
CDM,261141,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,261144,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,261145,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,261146,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,261147,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,261148,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,261149,IVP EA ADD SEQ NEW DR GY,593.73,593.73,41.56,593.73,59
CDM,261150,IVP EA ADD SEQ NEW DRUG,593.73,593.73,41.56,593.73,59
CDM,261151,IVP EA ADD SEQ S DRUG GY,593.73,593.73,41.56,593.73,65
CDM,261152,IVP EA ADD SEQ SAME DRUG,593.73,593.73,41.56,593.73,65
CDM,261154,IVP SINGLE/INITIAL DRUG,582.5,582.5,40.77,582.5,59
CDM,261155,IVP SNGL/INITL DRUG GY,582.5,582.5,40.77,582.5,59
CDM,261156,LVL 1 FREE STD EMER DEPT,745.74,745.74,82.03,745.74,37
CDM,261157,LVL 2 FREE STD EMER DEPT,1243.98,1243.98,136.84,1243.98,37
CDM,261158,LVL 3 FREE STD EMER DEPT,2137.61,2137.61,235.14,2137.61,37
CDM,261159,LVL 4 FREE STD EMER DEPT,3227.29,3227.29,355.0,3227.29,37
CDM,261160,LVL 5 FREE STD EMER DEPT,4667.37,4667.37,513.41,4667.37,37
CDM,261161,CAT 1 ED PROCEDURE,600.95,600.95,66.1,600.95,64
CDM,261162,CAT 2 ED PROCEDURE,1414.18,1414.18,155.56,1414.18,64
CDM,261164,CAT 3 ED PROCEDURE,2278.24,2278.24,250.61,2278.24,64
CDM,261165,URINE CATH COLL SINGLE,243.65,243.65,17.06,243.65,54
CDM,261168,SIGMOIDOSCOPY W/ ABL,4292.08,4292.08,300.45,4292.08,64
CDM,261170,FOSPHEN PE 50 MG INJJW,14.56,14.56,1.02,14.56,46
CDM,261171,ALLOPURINOL 1 MG INJ JW,33.2,33.2,2.32,33.2,42
CDM,261172,AZTREONAM 100 MG INJ JW,21.85,21.85,1.53,21.85,47
CDM,261174,AZTREONAM 100 MG INJ,21.85,21.85,1.53,21.85,47
CDM,261175,CA GLUC NOS 10 MG INJ JW,0.6,0.6,0.04,0.6,47
CDM,261177,BUPIVACAINE 0.5 MG INJJW,0.16,0.16,0.01,0.16,47
CDM,261179,ERAVACYCLINE 1 MG INJ JW,7.44,7.44,0.52,7.44,47
CDM,261180,ERAVACYCLINE 1 MG INJ,7.44,7.44,0.52,7.44,47
CDM,261182,LABETALOL 5 MG INJ JW,0.57,0.57,0.04,0.57,47
CDM,261184,METHYLNALTREXONE 0.1MGJW,8.09,8.09,0.57,8.09,47
CDM,261185,METRONIDAZOLE 10 MG JW,0.25,0.25,0.02,0.25,47
CDM,261186,METRONIDAZOLE 10 MG INJ,0.25,0.25,0.02,0.25,47
CDM,261187,ESMOLOL 10 MG INJ JW,44.5,44.5,3.12,44.5,47
CDM,261188,EPTIFIBATIDE 5 MG INJ JW,60.67,60.67,4.25,60.67,47
CDM,261189,DINUTUXIMAB 17.5 MG INJ,105157.59,105157.59,7361.03,105157.59,59
CDM,261190,DINUTUXIMAB 0.1 MG INJJW,600.88,600.88,42.06,600.88,59
CDM,261191,DINUTUXIMAB 0.1 MG INJ,600.88,600.88,42.06,600.88,59
CDM,261199,TIROFIBAN 0.25 MG INJ,22.65,22.65,1.59,22.65,47
CDM,261206,BEARING ANKLE SZ1+ 8MM,74410.0,74410.0,8185.1,74410.0,57
CDM,261211,SCREW BN N-LCK 3.5X38MM,3206.0,3206.0,352.66,3206.0,57
CDM,261353,KWIRE FX 150MM 1.25MM,639.0,639.0,44.73,639.0,71
CDM,261356,CMPNT FEM RIGHT #4,143718.0,143718.0,15808.98,143718.0,57
CDM,261357,PIN BN STB 22/13X140MM,60109.0,60109.0,6611.99,60109.0,57
CDM,261358,STEM FEM HIP 159MM,49020.0,49020.0,5392.2,49020.0,57
CDM,261393,PLUG DOME ACTB 1X4.65IN,1131.0,1131.0,124.41,1131.0,57
CDM,261429,VASOPRESSIN 1 UNIT INJ,5.72,5.72,0.4,5.72,47
CDM,261430,VASOPRESSIN 1 UNIT INJJW,5.72,5.72,0.4,5.72,47
CDM,261431,CHLOROPROCAINE 1MG INJJW,0.2,0.2,0.01,0.2,47
CDM,261432,OLANZAPINE 0.5 MG INJJW,11.94,11.94,0.84,11.94,47
CDM,261434,NITROGLYCERIN 5 MG INJJW,7.02,7.02,0.49,7.02,47
CDM,261435,NITROGLYCERIN 5 MG INJ,7.02,7.02,0.49,7.02,47
CDM,261445,505WG CA GLUC 10 MG JW,1.17,1.17,0.08,1.17,47
CDM,261455,ANCHOR SUT BN 4.75MM,15202.0,15202.0,1672.22,15202.0,57
CDM,261479,IMPLANT BN CMPR 18X17MM,62390.0,62390.0,6862.9,62390.0,57
CDM,261492,NAIL BN FEM 11MM 200MM,26859.0,26859.0,2954.49,26859.0,57
CDM,261511,BLADE SAW IBO THK.015IN,3706.0,3706.0,259.42,3706.0,71
CDM,261553,SCREW BN CRNFCL 1.8X7MM,1281.0,1281.0,140.91,1281.0,57
CDM,261584,CATH CRYO 7F,20713.0,20713.0,1449.91,20713.0,71
CDM,261589,GWIRE ORT 1000MM,10786.0,10786.0,755.02,10786.0,71
CDM,261625,HEAD FEM HIP +1.5 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,261634,HEAD FM HIP 12/14X-2X40,16770.0,16770.0,1844.7,16770.0,57
CDM,261638,SCREW BN 5.0MM 34MM,8570.0,8570.0,942.7,8570.0,57
CDM,261641,SCREW BN CORT 2.5X12MM,1871.0,1871.0,205.81,1871.0,57
CDM,261708,DRILL KIT INST DISP 13MM,1874.0,1874.0,131.18,1874.0,71
CDM,261729,COMPNT PTLR KN RSRFC41MM,6450.0,6450.0,709.5,6450.0,57
CDM,261744,SUTURE UND BRD +2 27IN,5.0,5.0,0.35,5.0,71
CDM,261750,INSERT TIB KN LT3-4 11MM,16770.0,16770.0,1844.7,16770.0,57
CDM,261831,INSERT TIN KN SZ7-8 13MM,18383.0,18383.0,2022.13,18383.0,57
CDM,261891,LINER ACTB HIP20D48X32MM,14190.0,14190.0,1560.9,14190.0,57
CDM,261996,LINER ACTB HIP 66-70MM,13481.0,13481.0,1482.91,13481.0,57
CDM,262038,CUP BIP ACTBHIP 9.8X57MM,11610.0,11610.0,1277.1,11610.0,57
CDM,262051,INSERT XLPE KN SZ5-6 9MM,16770.0,16770.0,1844.7,16770.0,57
CDM,262110,KIT VALVE HMSTS BORE LG,777.0,777.0,54.39,777.0,71
CDM,262140,CMPNT FEM KN RT SZ9,38700.0,38700.0,4257.0,38700.0,57
CDM,262297,SUTURE UND MON +5-0 18IN,292.0,292.0,20.44,292.0,71
CDM,262391,LINER ACTB +4 66/70X36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,262424,LINER ACTB HIP 40MM 70MM,13481.0,13481.0,1482.91,13481.0,57
CDM,262492,BSPLT GLND SHLDR 29MM,36120.0,36120.0,3973.2,36120.0,57
CDM,262504,CATH URTH FOL 3W 24FR,5623.0,5623.0,393.61,5623.0,71
CDM,262630,PLATE BN 6H 3.5X131MM,13675.0,13675.0,1504.25,13675.0,57
CDM,262631,INSERT KN SZ2 7MM,12926.0,12926.0,1421.86,12926.0,57
CDM,262655,SCREW BN 2.5MM 24MM,1871.0,1871.0,205.81,1871.0,57
CDM,262673,NAIL FEM 125D 11X240MM,124920.0,124920.0,13741.2,124920.0,57
CDM,262683,PELVIC EXAM,133.19,133.19,9.32,133.19,54
CDM,262683,Pelvic examination (List separately in addition to code for primary procedure) ,133.19,133.19,63.36,123.26,6
CDM,262687,SICU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,262694,TICU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,262695,MICU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,262697,NVICU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,262711,CATH ANGIO 4FR 65CM,844.0,844.0,59.08,844.0,71
CDM,262754,HEAD FEM HIP MOD SZLRG,58050.0,58050.0,6385.5,58050.0,57
CDM,262763,FSED-HOLD INTERMED,16036.32,16036.32,,,0
CDM,262764,FSED-HOLD PEDI,5755.33,5755.33,,,0
CDM,262765,FSED-HOLD MS,6647.47,6647.47,,,0
CDM,262767,FSED-HOLD PICU,17397.06,17397.06,,,0
CDM,262768,FSED-HOLD ICU,17397.06,17397.06,,,0
CDM,262771,NOREPINEPHRINE 4 MG INJ,16.73,16.73,1.17,16.73,67
CDM,262772,EV CHEM ABL 1ST VEN EXT,27878.73,27878.73,1951.51,27878.73,64
CDM,262789,ADO-TRASTUZUMAB 1MGJW,228.35,228.35,15.98,228.35,42
CDM,262790,ADO-TRASTUZUMAB 1MG INJ,228.35,228.35,15.98,228.35,42
CDM,262795,PANITUMUMAB 10 MG INJJW,987.58,987.58,69.13,987.58,42
CDM,262797,PANITUMUMAB 10 MG INJ,987.58,987.58,69.13,987.58,42
CDM,262821,SCREW BN 2.7MM 24MM,2713.0,2713.0,298.43,2713.0,57
CDM,262832,UL PROC ABD/PERIT/OMENT,42311.97,42311.97,2961.84,42311.97,64
CDM,262899,COIL EMBL 3D 4MM 8CM,10275.0,10275.0,1130.25,10275.0,57
CDM,263048,SCREW BN 6.5MM 45MM,3920.0,3920.0,431.2,3920.0,57
CDM,263049,SCREW BN MNI HD 3X36MM,4549.0,4549.0,500.39,4549.0,57
CDM,263050,SCREW BN 3MM 24MM,4549.0,4549.0,500.39,4549.0,57
CDM,263053,GWIRE ORTH 3X600MM,11433.0,11433.0,800.31,11433.0,71
CDM,263054,GWIRE ORTH 3X370MM,5623.0,5623.0,393.61,5623.0,71
CDM,263055,BIT DRILL 4.2MM,9716.0,9716.0,680.12,9716.0,71
CDM,263057,SCREW BN 5MM 26MM,13543.0,13543.0,1489.73,13543.0,57
CDM,263343,DRILL SURG LNG 2MM,5623.0,5623.0,393.61,5623.0,71
CDM,263348,REAMER 8.5 MM,11316.0,11316.0,792.12,11316.0,71
CDM,263353,SCREW BN 5MM 45MM,13543.0,13543.0,1489.73,13543.0,57
CDM,263368,CMPNT HINGE KN SZ1-2,72537.0,72537.0,7979.07,72537.0,57
CDM,263390,KIT IMPLANT RT HIP,468520.0,468520.0,51537.2,468520.0,57
CDM,263391,STEM FEM HIP 126D SZ2,36120.0,36120.0,3973.2,36120.0,57
CDM,263426,PEG FX LNG 10MM,33908.0,33908.0,3729.88,33908.0,57
CDM,263438,STEM FEM KN 80MM 10MM,14339.0,14339.0,1577.29,14339.0,57
CDM,263439,STEM FEM HIP CMNTLS SZ1,36120.0,36120.0,3973.2,36120.0,57
CDM,263486,HEMOSTAT ABS 2X14IN,2117.0,2117.0,148.19,2117.0,71
CDM,263499,PLATE BN CMPR 18H 223MM,18064.0,18064.0,1987.04,18064.0,57
CDM,263505,VALVE HMSTS W/TRQ 9FR,957.0,957.0,66.99,957.0,71
CDM,263520,INFLATOR BLN DEV 20ML AN,1599.0,1599.0,111.93,1599.0,71
CDM,263531,INSERT TIB KN SZ4 15MM,14190.0,14190.0,1560.9,14190.0,57
CDM,263584,INS TIB KN SZ6 10MM,39732.0,39732.0,4370.52,39732.0,57
CDM,263592,AUGMENT TIB 15MM,22575.0,22575.0,2483.25,22575.0,57
CDM,263602,SCREW BN LCK 5MM 54MM,4177.0,4177.0,459.47,4177.0,57
CDM,263606,GWIRE SURG 2.2X500MM,5360.0,5360.0,375.2,5360.0,71
CDM,263608,SCREW BN DIST 5MM 36MM,5343.0,5343.0,587.73,5343.0,57
CDM,263609,SCREW BN 4.5MM 22MM,4110.0,4110.0,452.1,4110.0,57
CDM,263617,SCREW SELF DRILLING 1.3M,1601.0,1601.0,176.11,1601.0,57
CDM,263627,DRESSING WND CLGEN 28CM,521.0,521.0,36.47,521.0,71
CDM,263641,SHEATH RETR 7F 10-35MM,159570.0,159570.0,11169.9,159570.0,71
CDM,263642,NAIL BN 130D 12X360MM,33559.0,33559.0,3691.49,33559.0,57
CDM,263647,NAIL TROCH 11MM 20CM,32524.0,32524.0,3577.64,32524.0,57
CDM,263670,BASKET RET 10MM 112CM,5623.0,5623.0,393.61,5623.0,71
CDM,263691,CATH CV 5FR,5622.0,5622.0,393.54,5622.0,71
CDM,263722,PROTECTOR NRV HA+2CM 4CM,70309.0,70309.0,7733.99,70309.0,57
CDM,263733,INTRDCR ORTHO BVL 10GA,5623.0,5623.0,393.61,5623.0,71
CDM,263734,STEM FEM COLR 147MM,49020.0,49020.0,5392.2,49020.0,57
CDM,263796,DESMOPRESSIN 1 MCG INJ,20.25,20.25,1.42,20.25,47
CDM,263808,PEDI/TRAUMA PVT,20782.04,20782.04,,,0
CDM,263809,ICU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,263810,ICU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,263811,CHSU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,263813,UA W O MICRO AUTO,395.32,395.32,27.67,395.32,47
CDM,263815,DRUG SCR ANY NBR PER DOS,1400.54,1400.54,98.04,1400.54,47
CDM,263816,CBC AUTOMATED,1234.34,1234.34,86.4,1234.34,47
CDM,263817,TROPONIN QUANT,1445.7,1445.7,101.2,1445.7,47
CDM,263818,D-DIMER SEMI,658.31,658.31,46.08,658.31,47
CDM,263819,NATRIURETIC PEPTIDE,772.88,772.88,54.1,772.88,47
CDM,263822,RSV DIRECT AG CF,1574.79,1574.79,110.24,1574.79,47
CDM,263823,SARSCOV CORONAVIRU AG IA,71.85,71.85,5.03,71.85,57
CDM,263826,OCCULT BLD SCN 3 SPEC,354.98,354.98,24.85,354.98,47
CDM,263827,PHOSPHORUS BLD,559.89,559.89,39.19,559.89,47
CDM,263828,MAGNESIUM BLD,951.97,951.97,66.64,951.97,47
CDM,263830,COMP METABOLIC PANEL,1978.18,1978.18,138.47,1978.18,47
CDM,263831,AMYLASE BLD,1214.97,1214.97,85.05,1214.97,47
CDM,263832,GLUCOSE BLD QN,605.07,605.07,42.35,605.07,47
CDM,263833,PTT,882.59,882.59,61.78,882.59,47
CDM,263834,PROTIME,753.52,753.52,52.75,753.52,47
CDM,263835,ABG WITH CALC O2 SAT,3217.34,3217.34,225.21,3217.34,47
CDM,263837,LACTIC ACID,2139.52,2139.52,149.77,2139.52,47
CDM,263839,PREG URINE QUAL BY DOO,503.41,503.41,35.24,503.41,47
CDM,263865,AUTOGRAFT BN SUB MED,35449.0,35449.0,3899.39,35449.0,57
CDM,263884,CATH GD STD 5FR 55CM,1768.0,1768.0,123.76,1768.0,71
CDM,263885,CATH GD 5FR 55CM,1732.0,1732.0,121.24,1732.0,71
CDM,263886,CATH GD STD 7FR 55CM,1732.0,1732.0,121.24,1732.0,71
CDM,263955,SUFENTANIL 50 MCG/ML INJ,49.09,49.09,3.44,49.09,59
CDM,263986,ICU/TRAUMA PVT,20782.04,20782.04,,,0
CDM,263988,CLINDAMYCIN 1% TOPICAL,105.89,105.89,7.41,105.89,59
CDM,263993,TAGRAX-ERZS 10MCG INJJW,1875.61,1875.61,131.29,1875.61,42
CDM,263994,TAGRAXFSP-ERZS 10MCG INJ,1875.61,1875.61,131.29,1875.61,42
CDM,263995,TAGRAXF-ERZS 1000MCG INJ,187560.85,187560.85,13129.26,187560.85,42
CDM,264078,STEM FEM KN 120MM,68032.0,68032.0,7483.52,68032.0,57
CDM,264079,CMPNT KN FEM 60MM 57MM,155198.0,155198.0,17071.78,155198.0,57
CDM,264080,STEM CEMENTED L: 140MM D,33824.0,33824.0,3720.64,33824.0,57
CDM,264081,INSERT TIB KN 60MM,68032.0,68032.0,7483.52,68032.0,57
CDM,264092,PLUG BNCMNT 12/16MM,4727.0,4727.0,519.97,4727.0,57
CDM,264106,SCREW BN 3.5MM 36MM,2240.0,2240.0,246.4,2240.0,57
CDM,264133,510K SKN SUB NOS 1SQCM,611.0,611.0,42.77,611.0,53
CDM,264144,MODEL ANTMY ORGAN,49224.0,49224.0,3445.68,49224.0,71
CDM,264145,MARKING GD CRNL SCNDRY,44839.0,44839.0,3138.73,44839.0,71
CDM,264146,SCREW DRIVER 1.5MM,5512.0,5512.0,385.84,5512.0,71
CDM,264147,BIT DRILL TWIST 1.1X7MM,4096.0,4096.0,286.72,4096.0,71
CDM,264148,BIT DRILL TWIST 1.1X5MM,4096.0,4096.0,286.72,4096.0,71
CDM,264150,DRILL TWIST 25MM,6196.0,6196.0,433.72,6196.0,71
CDM,264151,STEM FEM HIP 190MM SZ18,88910.0,88910.0,9780.1,88910.0,57
CDM,264155,CATH URTH 20FR 14IN,64.0,64.0,4.48,64.0,71
CDM,264166,IMPLANT BREAST 680CC,20550.0,20550.0,2260.5,20550.0,57
CDM,264191,FLEX ALLOPATCH HD 1SQCM,434.0,434.0,30.38,434.0,53
CDM,264193,APPLCTR SUC/COAG 6X80MM,13621.0,13621.0,953.47,13621.0,71
CDM,264200,3D CT/MRI/US/OTH IND,1705.23,1705.23,119.37,1705.23,49
CDM,264201,CRYOABLATION BONE TUMOR,27158.42,27158.42,1901.09,27158.42,64
CDM,264203,ABL 1/MORE LIV TU PC RAD,51209.05,51209.05,3584.63,51209.05,64
CDM,264204,ABL 1/MORE PULM TU PC RF,4353.94,4353.94,304.78,4353.94,64
CDM,264205,ABL 1/MORE RENL TU PC RF,38919.5,38919.5,2724.36,38919.5,64
CDM,264206,ABL RENL TUMRS CRYO BI,57829.55,57829.55,4048.07,57829.55,64
CDM,264207,ABL RENL TUMRS CRYO LT,42311.97,42311.97,2961.84,42311.97,64
CDM,264208,ABL RENL TUMRS CRYO RT,42311.97,42311.97,2961.84,42311.97,64
CDM,264211,ABLATION BONE TUMOR RF,31017.97,31017.97,2171.26,31017.97,64
CDM,264213,ARTH JNT BRS MJR W US BI,5194.38,5194.38,363.61,5194.38,64
CDM,264214,ARTH JNT BRS MJR W US LT,5194.38,5194.38,363.61,5194.38,64
CDM,264215,ARTH JNT BRS MJR W US RT,5194.38,5194.38,363.61,5194.38,64
CDM,264216,ARTH JNTBRS MJR WO US,2325.3,2325.3,162.77,2325.3,64
CDM,264217,ASP/INJ CYST REN/PEL,3078.78,3078.78,215.51,3078.78,64
CDM,264224,BX ABD/RETROPERITO,3196.41,3196.41,223.75,3196.41,64
CDM,264225,BX BONE DEEP,3706.14,3706.14,259.43,3706.14,64
CDM,264226,BX BONE MARROW DX,12659.49,12659.49,886.16,12659.49,64
CDM,264227,BX BONE SUPERFICIAL,2780.44,2780.44,194.63,2780.44,64
CDM,264229,BX LIVER,3063.45,3063.45,214.44,3063.45,64
CDM,264230,BX LIVER W/OTHER PROC,4159.6,4159.6,291.17,4159.6,64
CDM,264231,BX/EXC LYMPH NODE NDL,6781.51,6781.51,474.71,6781.51,64
CDM,264233,BX MUSCLE PERC,2780.44,2780.44,194.63,2780.44,64
CDM,264234,BX PANCREAS,6094.48,6094.48,426.61,6094.48,64
CDM,264235,BX PLEURA PERC,2771.92,2771.92,194.03,2771.92,64
CDM,264236,BX RENAL,3805.02,3805.02,266.35,3805.02,64
CDM,264237,BX SALIVARY GLAND NDL,3501.56,3501.56,245.11,3501.56,64
CDM,264238,BX THYROID,1756.79,1756.79,122.98,1756.79,64
CDM,264239,BX SOFT TISS NECK/THORAX,10385.36,10385.36,726.98,10385.36,64
CDM,264240,CHEMO INTRALESION 1-7,366.31,366.31,25.64,366.31,49
CDM,264241,CORE NDL BX LG/MED PERC,3066.83,3066.83,214.68,3066.83,64
CDM,264243,CT ABD&PELVIS W&WO CONT,12691.28,12691.28,888.39,12691.28,43
CDM,264244,CT ABD&PELVIS W/CONT,10324.95,10324.95,722.75,10324.95,43
CDM,264245,CT ABD&PELVIS W/O CONT,9136.03,9136.03,639.52,9136.03,43
CDM,264246,CT ABDOMEN W&WO CONT,6421.22,6421.22,449.49,6421.22,43
CDM,264247,CT ABDOMEN W/CONT,5356.56,5356.56,374.96,5356.56,43
CDM,264248,CT ABDOMEN W/O CONT,4888.94,4888.94,342.23,4888.94,43
CDM,264250,CT CHEST W&W/O CONT,6927.29,6927.29,484.91,6927.29,43
CDM,264251,CT CHEST W/CONTRAST,5209.24,5209.24,364.65,5209.24,43
CDM,264253,CT CHEST W/O CONTRAST,4259.9,4259.9,298.19,4259.9,43
CDM,264254,CT C-SPINE W&W/O CONT,6026.62,6026.62,421.86,6026.62,43
CDM,264255,CT C-SPINE W/CONTRAST,5496.23,5496.23,384.74,5496.23,43
CDM,264256,CT C-SPINE W/O CONTRAST,4883.82,4883.82,341.87,4883.82,43
CDM,264257,CT GUID NDL PLCMT,4279.11,4279.11,299.54,4279.11,49
CDM,264258,CT GUIDANCE TISSUE ABLAT,6449.42,6449.42,451.46,6449.42,49
CDM,264259,CT HD/BR W&W/O CONT,5888.27,5888.27,412.18,5888.27,43
CDM,264260,CT HEAD/BRAIN W/CONT,4595.57,4595.57,321.69,4595.57,43
CDM,264261,CT HEAD/BRAIN W/O CONT,3789.7,3789.7,265.28,3789.7,43
CDM,264263,CT HEART W CN ART/GRAFTS,1314.48,1314.48,92.01,1314.48,43
CDM,264264,CT HEART WO CN W QUAN CA,285.71,285.71,20.0,285.71,43
CDM,264265,CT LD LUNG CA SC COUNSEL,890.97,890.97,98.01,890.97,52
CDM,264266,CT LOWER EXTRM W/CON LT,3938.32,3938.32,275.68,3938.32,43
CDM,264267,CT LOWER EXTRM W/CON RT,3938.32,3938.32,275.68,3938.32,43
CDM,264268,CT LOWER EXTRM W/O C LT,3596.24,3596.24,251.74,3596.24,43
CDM,264269,CT LOWER EXTRM W/O C RT,3596.24,3596.24,251.74,3596.24,43
CDM,264270,CT L-SPINE W&W/O CONT,6043.28,6043.28,423.03,6043.28,43
CDM,264271,CT L-SPINE W/CONTRAST,5593.59,5593.59,391.55,5593.59,43
CDM,264273,CT L-SPINE W/O CONTRAST,5123.4,5123.4,358.64,5123.4,43
CDM,264274,CT LTD/LOC,2081.92,2081.92,145.73,2081.92,43
CDM,264275,CT LW EXTRM W&W/O CON LT,4832.58,4832.58,338.28,4832.58,43
CDM,264276,CT LW EXTRM W&W/O CON RT,4832.58,4832.58,338.28,4832.58,43
CDM,264277,CT MAXIFAC W&W/O CONT,5433.44,5433.44,380.34,5433.44,43
CDM,264278,CT MAXIFAC W/CONTRAST,4159.95,4159.95,291.2,4159.95,43
CDM,264279,CT MAXIFAC W/O CNT,3999.82,3999.82,279.99,3999.82,43
CDM,264280,CT NECK W&W/O CONT,5532.09,5532.09,387.25,5532.09,43
CDM,264281,CT NECK W/CONTRAST,5096.48,5096.48,356.75,5096.48,43
CDM,264283,CT NECK W/O CONTRAST,4671.15,4671.15,326.98,4671.15,43
CDM,264284,CT ORBIT/SELLA/IAC W,4462.31,4462.31,312.36,4462.31,43
CDM,264285,CT ORBIT/SELLA/IAC W&WO,4576.33,4576.33,320.34,4576.33,43
CDM,264286,CT ORBIT/SELLA/IAC WO,4147.15,4147.15,290.3,4147.15,43
CDM,264287,CT PELVIS W&W/O CONT,6272.62,6272.62,439.08,6272.62,43
CDM,264288,CT PELVIS W/CONTRAST,4969.67,4969.67,347.88,4969.67,43
CDM,264289,CT PELVIS W/O CONTRAST,4248.36,4248.36,297.39,4248.36,43
CDM,264291,CT STEREO LOCALIZATION,4959.41,4959.41,347.16,4959.41,49
CDM,264293,CT T-SPINE W&W/O CONT,5410.38,5410.38,378.73,5410.38,43
CDM,264294,CT T-SPINE W/CONTRAST,4883.82,4883.82,341.87,4883.82,43
CDM,264295,CT T-SPINE W/O CONTRAST,5888.27,5888.27,412.18,5888.27,43
CDM,264296,CT UP EXTREM W/CONT BI,7940.69,7940.69,555.85,7940.69,43
CDM,264297,CT UP EXTREM W/CONT LT,3970.34,3970.34,277.92,3970.34,43
CDM,264298,CT UP EXTREM W/CONT RT,3970.34,3970.34,277.92,3970.34,43
CDM,264299,CT UP EXTREM W/O CONT BI,7236.04,7236.04,506.52,7236.04,43
CDM,264300,CT UP EXTREM W/O CONT LT,3616.76,3616.76,253.17,3616.76,43
CDM,264301,CT UP EXTREM W/O CONT RT,3616.76,3616.76,253.17,3616.76,43
CDM,264303,CT UP EXTRM W&W/O CON BI,7154.04,7154.04,500.78,7154.04,43
CDM,264304,CT UP EXTRM W&W/O CON LT,3578.3,3578.3,250.48,3578.3,43
CDM,264305,CT UP EXTRM W&W/O CON RT,3578.3,3578.3,250.48,3578.3,43
CDM,264306,CTA ABD AORTA IF LWEX RO,3980.59,3980.59,278.64,3980.59,43
CDM,264307,CTA ABD&PEL W CONT,3656.46,3656.46,255.95,3656.46,43
CDM,264308,CTA ABDOMEN,5849.82,5849.82,409.49,5849.82,43
CDM,264309,CTA CHEST,6259.81,6259.81,438.19,6259.81,43
CDM,264310,CTA HEAD,6557.02,6557.02,458.99,6557.02,43
CDM,264311,CTA HEAD VIZ AI TECH,12305.63,12305.63,861.39,12305.63,43
CDM,264313,CTA LOW EXTREMITY BI,3041.48,3041.48,212.9,3041.48,43
CDM,264314,CTA LOW EXTREMITY LT,2026.82,2026.82,141.88,2026.82,43
CDM,264315,CTA LOW EXTREMITY RT,2026.82,2026.82,141.88,2026.82,43
CDM,264316,CTA NECK,6285.44,6285.44,439.98,6285.44,43
CDM,264317,CTA NECK VIZ AI TECH,12034.17,12034.17,842.39,12034.17,43
CDM,264319,CTA UPPER EXTREMITY LT,2126.75,2126.75,148.87,2126.75,43
CDM,264320,CTA UPPER EXTREMITY RT,2126.75,2126.75,148.87,2126.75,43
CDM,264321,CTHEART CONGENITL DISEAS,1693.7,1693.7,118.56,1693.7,43
CDM,264322,CMPNTN PTLR KN 9X35MM,6450.0,6450.0,709.5,6450.0,57
CDM,264323,CTHEART W CN STR MOR FNC,1693.7,1693.7,118.56,1693.7,43
CDM,264324,IMG GD FLD COLL PERI/RET,11600.85,11600.85,812.06,11600.85,64
CDM,264325,IMG GD FLD COLL VISCERAL,11600.85,11600.85,812.06,11600.85,64
CDM,264326,BX ASP BONE MARROW DX,19519.99,19519.99,2147.2,19519.99,64
CDM,264327,FINE NDL ASP W CT 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,264328,FINE NDL ASP W CT EAD,2439.51,2439.51,170.77,2439.51,64
CDM,264329,FINE NDL ASP W FLURO 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,264330,FINE NDL ASP W FLURO EAD,2439.51,2439.51,170.77,2439.51,64
CDM,264331,FINE NDL ASP W MR 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,264333,FINE NDL ASP W MR EAD,2439.51,2439.51,170.77,2439.51,64
CDM,264334,FINE NDL ASP W US E ADD,2439.51,2439.51,170.77,2439.51,64
CDM,264336,FINE NDL ASP WUS 1ST LSN,565.98,565.98,39.62,565.98,64
CDM,264337,DEST CELIAC PLEXUS,12911.07,12911.07,903.77,12911.07,64
CDM,264338,INJ ANES CELIAC PLEX,4431.58,4431.58,310.21,4431.58,64
CDM,264339,INJ FACET C/T SGL FLU/CT,6544.08,6544.08,458.09,6544.08,64
CDM,264340,INJ NEURO EPI LUMB SACR,4939.5,4939.5,345.76,4939.5,64
CDM,264343,LUNG CA SCREEN WO CON,658.08,658.08,46.07,658.08,43
CDM,264344,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,65
CDM,264345,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,65
CDM,264346,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,264347,NINVS CFFR SW ANLYS CTA,3986.24,3986.24,279.04,3986.24,47
CDM,264349,PARACENTESIS W IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,264350,PARACENTESIS WO IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,264351,IMG GD FLD COLL SOFT TIS,1585.44,1585.44,110.98,1585.44,64
CDM,264353,PERITNL LAVAGE W IMAGE,5090.4,5090.4,356.33,5090.4,64
CDM,264354,REM TUN CV CATH WO/P-P,10213.16,10213.16,714.92,10213.16,64
CDM,264355,SP PERC DRAIN,3716.02,3716.02,260.12,3716.02,60
CDM,264356,THORACENTESIS W/ IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,264357,THORACENTESIS W/O IMAG,4827.85,4827.85,337.95,4827.85,64
CDM,264359,UL CT PROCEDURE,627.77,627.77,43.94,627.77,43
CDM,264360,UL CT PROCEDURE,2871.09,2871.09,200.98,2871.09,43
CDM,264361,UL PROC ABD/PERIT/OMENT,42311.97,42311.97,2961.84,42311.97,64
CDM,264362,HEAD FEM HIP -2MM,9030.0,9030.0,993.3,9030.0,57
CDM,264365,ABD XR 1V,772.58,772.58,54.08,772.58,48
CDM,264366,ABD XR 2V,1275.38,1275.38,89.28,1275.38,48
CDM,264367,ABD XR 3+V,1363.19,1363.19,95.42,1363.19,48
CDM,264382,INTRO SHTH 18FR 30CM,3692.0,3692.0,258.44,3692.0,71
CDM,264439,BX ABD/RETROPERITO,2751.48,2751.48,192.6,2751.48,64
CDM,264441,CATH HYSTEROSALPING,894.7,894.7,62.63,894.7,64
CDM,264443,REPL G TUBE WO REV/IMG,3196.41,3196.41,223.75,3196.41,64
CDM,264444,REPL G TUBE W REV/NO IMG,3196.41,3196.41,223.75,3196.41,64
CDM,264445,CHEMO CNS SPINAL PUNC,556.15,556.15,38.93,556.15,49
CDM,264446,CHEST XRAY 1 V,753.42,753.42,52.74,753.42,48
CDM,264447,CHEST XRAY 2 V,967.31,967.31,67.71,967.31,48
CDM,264448,CHEST XRAY 3 V,1328.06,1328.06,92.96,1328.06,48
CDM,264449,CHEST XRAY 4+,2001.69,2001.69,140.12,2001.69,48
CDM,264458,FLUORO GUID CTRL ACC DEV,823.65,823.65,57.66,823.65,60
CDM,264459,INJ ARTHRO ANKLE,1520.63,1520.63,106.44,1520.63,64
CDM,264460,INJ ARTHRO ELBOW,4694.9,4694.9,328.64,4694.9,64
CDM,264461,INJ ARTHRO HIP W/ANS,1539.39,1539.39,107.76,1539.39,64
CDM,264463,INJ ARTHRO HIP W/O AN,1218.89,1218.89,85.32,1218.89,64
CDM,264464,INJ ARTHRO SHOULDER,3201.54,3201.54,224.11,3201.54,64
CDM,264465,INJ ARTHRO TMJ,4694.9,4694.9,328.64,4694.9,64
CDM,264466,INJ ARTHRO WRIST,3605.55,3605.55,252.39,3605.55,64
CDM,264467,INJ BLOOD PATCH,4728.26,4728.26,330.98,4728.26,64
CDM,264468,INJ CATH ABS/CYST,971.72,971.72,68.02,971.72,64
CDM,264469,INJ CHOLANGIO EXST ACCES,2650.88,2650.88,185.56,2650.88,64
CDM,264470,INJ CIST/CERV C1-C2,3039.56,3039.56,212.77,3039.56,64
CDM,264471,INJ CYSTO/URETH,3039.56,3039.56,212.77,3039.56,64
CDM,264474,INJ FCT C/T >=3 FL/CT,2514.8,2514.8,176.04,2514.8,64
CDM,264475,INJ FCT C/T 2ND FL/CT,2514.8,2514.8,176.04,2514.8,64
CDM,264476,INJ KNEE ARTHRO,4694.9,4694.9,328.64,4694.9,64
CDM,264477,INJ MYELOGRAM SPINE,10508.1,10508.1,735.57,10508.1,64
CDM,264478,INJ NEPH EXIST ACCESS BI,4273.15,4273.15,299.12,4273.15,64
CDM,264479,INJ PERITONEAL CAVITY,5722.85,5722.85,400.6,5722.85,64
CDM,264480,INJ S/M TRG PT 1OR2 MUS,2011.62,2011.62,140.81,2011.62,64
CDM,264481,INJ SHUNTOGRAM,2359.38,2359.38,165.16,2359.38,64
CDM,264482,PIN EXFX AMK 1/8 X3IN,775.0,775.0,54.25,775.0,71
CDM,264483,INJ SIALOGRAM,2780.44,2780.44,194.63,2780.44,64
CDM,264484,INJ SINUS TRACT DX,1510.42,1510.42,105.73,1510.42,64
CDM,264485,INJ URETER,660.17,660.17,46.21,660.17,64
CDM,264486,INJ URETHROCYST RET,1236.44,1236.44,86.55,1236.44,64
CDM,264487,INJ VENOGRAM,2142.89,2142.89,150.0,2142.89,64
CDM,264488,INTRO LONG GI TUBE,1486.54,1486.54,104.06,1486.54,64
CDM,264493,MYEL W S&I 2 OR MORE REG,10508.1,10508.1,735.57,10508.1,64
CDM,264494,MYELO W S&I CERVICAL,9574.58,9574.58,670.22,9574.58,64
CDM,264495,MYELO W S&I LUMBOSAC,10508.1,10508.1,735.57,10508.1,64
CDM,264496,MYELO W S&I THORACIC,9574.58,9574.58,670.22,9574.58,64
CDM,264497,NEPH CATH EXCHANGE BI,4256.05,4256.05,297.92,4256.05,64
CDM,264498,NEPH CATH EXCHANGE LT,4256.05,4256.05,297.92,4256.05,64
CDM,264499,NEPH CATH EXCHANGE RT,4256.05,4256.05,297.92,4256.05,64
CDM,264500,EGD W/ PLC GI TUBE PERC,8377.16,8377.16,586.4,8377.16,64
CDM,264501,PLC URTR STNT SEP CTH BI,16993.17,16993.17,1189.52,16993.17,64
CDM,264503,PLC URTR STNT SEP CTH LT,16993.17,16993.17,1189.52,16993.17,64
CDM,264504,PLC URTR STNT SEP CTH RT,16993.17,16993.17,1189.52,16993.17,64
CDM,264505,PLCMT NEPH CATH BI,12005.51,12005.51,840.39,12005.51,64
CDM,264506,PLCMT NEPH CATH LT,12005.51,12005.51,840.39,12005.51,64
CDM,264507,PLCMT NEPH CATH RT,12005.51,12005.51,840.39,12005.51,64
CDM,264508,PLCMT URETER STNT NEW BI,16993.17,16993.17,1189.52,16993.17,64
CDM,264509,PLCMT URETER STNT NEW LT,16993.17,16993.17,1189.52,16993.17,64
CDM,264510,PLCMT URETER STNT NEW RT,16993.17,16993.17,1189.52,16993.17,64
CDM,264511,PLCMT URETERAL STNT BI,16993.17,16993.17,1189.52,16993.17,64
CDM,264513,PLCMT URETERAL STNT LT,16993.17,16993.17,1189.52,16993.17,64
CDM,264514,PLCMT URETERAL STNT RT,16993.17,16993.17,1189.52,16993.17,64
CDM,264515,PUNCTURE LUMBAR DX,4858.56,4858.56,340.1,4858.56,64
CDM,264516,PUNCTURE SHUNT,5155.42,5155.42,360.88,5155.42,64
CDM,264518,SP SHUNTOGM NONVASC,1302.53,1302.53,91.18,1302.53,48
CDM,264519,SP VENOGRAM EXT BI,4230.01,4230.01,296.1,4230.01,48
CDM,264521,SPINE PUNC DX W FLUR CT,7055.97,7055.97,493.92,7055.97,64
CDM,264523,THER ENEMA W/CONT OR AIR,1578.68,1578.68,110.51,1578.68,48
CDM,264527,TRANS ANGIO SAME ART EAD,15422.89,15422.89,1079.6,15422.89,64
CDM,264528,TRANS ANGIO SAME ART INT,41012.94,41012.94,2870.91,41012.94,64
CDM,264529,TRANS BAL ANGIO EACH AD,15422.89,15422.89,1079.6,15422.89,64
CDM,264530,TRANS BAL ANGIO EACH IN,41012.94,41012.94,2870.91,41012.94,64
CDM,264531,TRANSCATH RTRV FB S&I,16854.89,16854.89,1179.84,16854.89,64
CDM,264532,INTRODUCER SHTH 6FR 90CM,4157.0,4157.0,290.99,4157.0,71
CDM,264534,XR ABSCESS/FIST/SIN,1173.25,1173.25,82.13,1173.25,48
CDM,264535,XR AC JNTS BI W/WO WT,1031.17,1031.17,72.18,1031.17,48
CDM,264536,XR ANKLE 2 VIEWS BI,1671.25,1671.25,116.99,1671.25,48
CDM,264537,XR ANKLE 2 VIEWS LT,836.42,836.42,58.55,836.42,48
CDM,264538,XR ANKLE 2 VIEWS RT,836.42,836.42,58.55,836.42,48
CDM,264539,XR ANKLE 3 + V BI,1926.66,1926.66,134.87,1926.66,48
CDM,264540,XR ANKLE 3 + V LT,964.13,964.13,67.49,964.13,48
CDM,264541,XR ANKLE 3 + V RT,964.13,964.13,67.49,964.13,48
CDM,264543,XR ARTHR TMJ BI,4003.36,4003.36,280.24,4003.36,48
CDM,264544,XR ARTHR TMJ LT,2001.69,2001.69,140.12,2001.69,48
CDM,264545,XR ARTHR TMJ RT,2001.69,2001.69,140.12,2001.69,48
CDM,264546,XR ARTHROGRAM ANKLE BI,4809.45,4809.45,336.66,4809.45,48
CDM,264547,XR ARTHROGRAM ANKLE LT,2405.53,2405.53,168.39,2405.53,48
CDM,264548,XR ARTHROGRAM ANKLE RT,2405.53,2405.53,168.39,2405.53,48
CDM,264549,XR ARTHROGRAM ELBOW BI,2688.05,2688.05,188.16,2688.05,48
CDM,264550,XR ARTHROGRAM ELBOW LT,1345.63,1345.63,94.19,1345.63,48
CDM,264551,XR ARTHROGRAM ELBOW RT,1345.63,1345.63,94.19,1345.63,48
CDM,264553,XR ARTHROGRAM HIP BI,2455.01,2455.01,171.85,2455.01,48
CDM,264554,XR ARTHROGRAM HIP LT,1227.5,1227.5,85.92,1227.5,48
CDM,264555,XR ARTHROGRAM HIP RT,1227.5,1227.5,85.92,1227.5,48
CDM,264556,XR ARTHROGRAM KNEE BI,1998.48,1998.48,139.89,1998.48,48
CDM,264557,XR ARTHROGRAM KNEE LT,999.23,999.23,69.95,999.23,48
CDM,264558,XR ARTHROGRAM KNEE RT,999.23,999.23,69.95,999.23,48
CDM,264559,XR ARTHROGRAM SHLDR BI,4699.32,4699.32,328.95,4699.32,48
CDM,264560,XR ARTHROGRAM SHLDR LT,2351.24,2351.24,164.59,2351.24,48
CDM,264561,XR ARTHROGRAM SHLDR RT,2351.24,2351.24,164.59,2351.24,48
CDM,264563,XR ARTHROGRAM WRIST BI,3580.34,3580.34,250.62,3580.34,48
CDM,264564,XR ARTHROGRAM WRIST LT,1792.56,1792.56,125.48,1792.56,48
CDM,264565,XR ARTHROGRAM WRIST RT,1792.56,1792.56,125.48,1792.56,48
CDM,264566,XR BONE AGE STUDIES,922.64,922.64,64.58,922.64,48
CDM,264567,XR BONE LENGTH STUDIES,1356.8,1356.8,94.98,1356.8,48
CDM,264568,XR BONE SURVEY COMP,3288.23,3288.23,230.18,3288.23,48
CDM,264569,XR BONE SURVEY INFANT,1441.4,1441.4,100.9,1441.4,48
CDM,264570,XR BONE SURVEY LTD,3288.23,3288.23,230.18,3288.23,48
CDM,264571,XR CALCANEUS 2 + V BI,1565.91,1565.91,109.61,1565.91,48
CDM,264572,SCREW BN 4MM 28MM,2137.0,2137.0,235.07,2137.0,57
CDM,264573,XR CALCANEUS 2 + V LT,785.33,785.33,54.97,785.33,48
CDM,264574,XR CALCANEUS 2 + V RT,785.33,785.33,54.97,785.33,48
CDM,264575,XR CHOLANG INTRAOP,2234.72,2234.72,156.43,2234.72,60
CDM,264576,XR CHOLANG INTRAOP ADL,1154.08,1154.08,80.79,1154.08,60
CDM,264577,XR CHOLECYST ORAL,1559.52,1559.52,109.17,1559.52,48
CDM,264578,XR CINERADIOGRAPHY,2790.22,2790.22,195.32,2790.22,48
CDM,264579,XR CLAVICLE COMP LT,922.64,922.64,64.58,922.64,48
CDM,264580,XR CLAVICLE COMP RT,922.64,922.64,64.58,922.64,48
CDM,264582,SCREW BN LCK 4MM 30MM,2137.0,2137.0,235.07,2137.0,57
CDM,264583,XR CONT ENEMA W/WO KUB,2282.61,2282.61,159.78,2282.61,48
CDM,264584,XR C-SPINE 2-3 VIEWS,983.29,983.29,68.83,983.29,48
CDM,264585,XR C-SPINE 4-5 V,1629.76,1629.76,114.08,1629.76,48
CDM,264586,XR C-SPINE 6 + V,1703.18,1703.18,119.22,1703.18,48
CDM,264587,XR CYSTOGRAM 3 + V,1795.77,1795.77,125.7,1795.77,48
CDM,264588,XR CYSTOURETHRO RETRO,1893.12,1893.12,132.52,1893.12,48
CDM,264589,XR CYSTOURETHRO VDNG,2071.91,2071.91,145.03,2071.91,48
CDM,264590,XR DIL BILE DUCT W/WO ST,4839.78,4839.78,338.78,4839.78,60
CDM,264591,XR ELBOW 2 VIEWS BI,1803.73,1803.73,126.26,1803.73,48
CDM,264593,XR ELBOW 2 VIEWS LT,905.07,905.07,63.35,905.07,48
CDM,264594,XR ELBOW 2 VIEWS RT,905.07,905.07,63.35,905.07,48
CDM,264595,XR ELBOW 3 + V BI,2036.79,2036.79,142.58,2036.79,48
CDM,264596,XR ELBOW 3 + V LT,1021.59,1021.59,71.51,1021.59,48
CDM,264597,XR ELBOW 3 + V RT,1021.59,1021.59,71.51,1021.59,48
CDM,264598,XR ENEMA W/ AIR,1297.74,1297.74,90.84,1297.74,48
CDM,264599,XR ERCP,2954.63,2954.63,206.82,2954.63,60
CDM,264600,XR ERCP BILIARY ONLY,2451.81,2451.81,171.63,2451.81,60
CDM,264601,XR ERCP PANCREAS ONLY,2440.64,2440.64,170.84,2440.64,60
CDM,264603,XR ESOPH DOUBL CONT,1307.31,1307.31,91.51,1307.31,48
CDM,264604,XR ESOPH FB REMOVAL,4140.64,4140.64,289.84,4140.64,60
CDM,264605,XR ESOPHAGUS,1573.89,1573.89,110.17,1573.89,48
CDM,264606,XR EYE FOREIGN BODY BI,2052.77,2052.77,143.69,2052.77,48
CDM,264607,XR EYE FOREIGN BODY LT,1027.97,1027.97,71.96,1027.97,48
CDM,264608,XR EYE FOREIGN BODY RT,1027.97,1027.97,71.96,1027.97,48
CDM,264609,XR FACIAL BONES < 3 V,1059.9,1059.9,74.19,1059.9,48
CDM,264610,XR FACIAL BONES 3 + V,1075.86,1075.86,75.31,1075.86,48
CDM,264611,XR FEMUR 1 VIEW BI,437.38,437.38,30.62,437.38,48
CDM,264613,XR FEMUR 1 VIEW LT,437.38,437.38,30.62,437.38,48
CDM,264614,XR FEMUR 1 VIEW RT,437.38,437.38,30.62,437.38,48
CDM,264615,XR FEMUR MIN 2 V BI,1018.4,1018.4,71.29,1018.4,48
CDM,264616,XR FEMUR MIN 2 V LT,1018.4,1018.4,71.29,1018.4,48
CDM,264617,XR FEMUR MIN 2 V RT,1018.4,1018.4,71.29,1018.4,48
CDM,264618,XR FINGER(S) 2 + V BI,1340.83,1340.83,93.86,1340.83,48
CDM,264619,XR FINGER(S) 2 + V LT,672.02,672.02,47.04,672.02,48
CDM,264620,XR FINGER(S) 2 + V RT,672.02,672.02,47.04,672.02,48
CDM,264621,XR FLUORO FOR SPINE INJ,1414.25,1414.25,99.0,1414.25,60
CDM,264623,XR FLUOROSCOPY 0-60 MIN,1216.32,1216.32,85.14,1216.32,48
CDM,264624,XR FOOT 2 VIEWS BI,1897.92,1897.92,132.85,1897.92,48
CDM,264625,XR FOOT 2 VIEWS LT,951.34,951.34,66.59,951.34,48
CDM,264626,XR FOOT 2 VIEWS RT,951.34,951.34,66.59,951.34,48
CDM,264627,XR FOOT 3 + V BI,1926.66,1926.66,134.87,1926.66,48
CDM,264628,XR FOOT 3 + V LT,964.13,964.13,67.49,964.13,48
CDM,264629,XR FOOT 3 + V RT,964.13,964.13,67.49,964.13,48
CDM,264630,XR FOREARM 2 VIEWS BI,1872.38,1872.38,131.07,1872.38,48
CDM,264631,XR FOREARM 2 VIEWS LT,935.4,935.4,65.48,935.4,48
CDM,264633,XR FOREARM 2 VIEWS RT,935.4,935.4,65.48,935.4,48
CDM,264634,XR HAND 2 V BI,1792.56,1792.56,125.48,1792.56,48
CDM,264635,XR HAND 2 V LT,897.09,897.09,62.8,897.09,48
CDM,264636,XR HAND 2 V RT,897.09,897.09,62.8,897.09,48
CDM,264637,XR HAND 3 + V BI,1996.89,1996.89,139.78,1996.89,48
CDM,264638,XR HAND 3 + V LT,999.23,999.23,69.95,999.23,48
CDM,264639,XR HAND 3 + V RT,999.23,999.23,69.95,999.23,48
CDM,264640,XR HIP W PEL BI 2 VIEW,727.88,727.88,50.95,727.88,48
CDM,264641,XR HIP W PEL BI 3-4 VIEW,1053.51,1053.51,73.75,1053.51,48
CDM,264643,XR HIP W PEL BI MIN5 VW,1170.04,1170.04,81.9,1170.04,48
CDM,264644,XR HIP W PEL UN 2-3 V LT,1053.51,1053.51,73.75,1053.51,48
CDM,264645,XR HIP W PEL UN 2-3 V RT,1053.51,1053.51,73.75,1053.51,48
CDM,264646,XR HIP W PEL UN M4 VW LT,1170.04,1170.04,81.9,1170.04,48
CDM,264647,XR HIP W PEL UN M4 VW RT,1170.04,1170.04,81.9,1170.04,48
CDM,264648,XR HIP W PEL UNI 1 V LT,727.88,727.88,50.95,727.88,48
CDM,264649,XR HIP W PEL UNI 1 V RT,727.88,727.88,50.95,727.88,48
CDM,264651,XR HUMERUS 2 + V LT,973.71,973.71,68.16,973.71,48
CDM,264653,XR HUMERUS 2 + V RT,973.71,973.71,68.16,973.71,48
CDM,264654,XR HYSTROSALPNGOGRAM,1798.97,1798.97,125.93,1798.97,48
CDM,264655,XR INTRO LONG GI TUBE,1224.32,1224.32,85.7,1224.32,60
CDM,264656,XR IVP INFUSION,4284.29,4284.29,299.9,4284.29,48
CDM,264657,XR IVP W OR W/O TOMO,2282.61,2282.61,159.78,2282.61,48
CDM,264658,XR IVP W/NEPHROTOMO,2426.28,2426.28,169.84,2426.28,48
CDM,264659,XR KNEE 1 OR 2 V BI,1668.07,1668.07,116.76,1668.07,48
CDM,264660,XR KNEE 1 OR 2 V LT,836.42,836.42,58.55,836.42,48
CDM,264661,XR KNEE 1 OR 2 V RT,836.42,836.42,58.55,836.42,48
CDM,264663,XR KNEE 3 V BI,1958.58,1958.58,137.1,1958.58,48
CDM,264664,XR KNEE 3 V LT,980.08,980.08,68.61,980.08,48
CDM,264665,XR KNEE 3 V RT,980.08,980.08,68.61,980.08,48
CDM,264666,XR KNEE 4 + V BI,2423.09,2423.09,169.62,2423.09,48
CDM,264667,XR KNEE 4 + V LT,1213.13,1213.13,84.92,1213.13,48
CDM,264668,XR KNEE 4 + V RT,1213.13,1213.13,84.92,1213.13,48
CDM,264669,XR KNEE AP STAND BI,1123.75,1123.75,78.66,1123.75,48
CDM,264670,XR L-SPINE 2/3 VIEWS,1383.94,1383.94,96.88,1383.94,48
CDM,264671,XR L-SPINE 4 + VIEWS,1623.36,1623.36,113.64,1623.36,48
CDM,264672,SCREW TI 4MM X 42MM,2137.0,2137.0,235.07,2137.0,57
CDM,264673,XR L-SPINE BEND ONLY,3869.27,3869.27,270.85,3869.27,48
CDM,264674,XR L-SPINE W/BEND VIEW,5583.64,5583.64,390.85,5583.64,48
CDM,264675,XR MANDIBLE < 4 V,1045.55,1045.55,73.19,1045.55,48
CDM,264676,XR MANDIBLE 4 + V,1037.56,1037.56,72.63,1037.56,48
CDM,264678,XR MYELOGR SPINE 2/M REG,4785.5,4785.5,334.99,4785.5,48
CDM,264679,XR MYELOGRAM C-SPINE,4806.27,4806.27,336.44,4806.27,48
CDM,264680,XR MYELOGRAM L-SPINE,3591.53,3591.53,251.41,3591.53,48
CDM,264681,XR NASAL BONES COMP,871.54,871.54,61.01,871.54,48
CDM,264683,XR NECK SOFT TISSUE,775.76,775.76,54.3,775.76,48
CDM,264685,XR ORBITS 4 + V,1395.11,1395.11,97.66,1395.11,48
CDM,264686,XR ORTHOPANTOGRAM,257.0,257.0,17.99,257.0,48
CDM,264687,XR PELVIS 1/2 VIEWS,747.04,747.04,52.29,747.04,48
CDM,264688,XR PELVIS 3 + V,2451.81,2451.81,171.63,2451.81,48
CDM,264689,XR PERINEOGRAM,1556.33,1556.33,108.94,1556.33,48
CDM,264690,XR RIBS BI 3 V,1189.2,1189.2,83.24,1189.2,48
CDM,264691,XR RIBS BI W/CXR 4 + V,1773.43,1773.43,124.14,1773.43,48
CDM,264692,HEAD HIP -3MM 26MM,7740.0,7740.0,851.4,7740.0,57
CDM,264693,XR RIBS UNI 2 V LT,826.84,826.84,57.88,826.84,48
CDM,264694,XR RIBS UNI 2 V RT,826.84,826.84,57.88,826.84,48
CDM,264695,XR RIBS UNI W/CXR 3+V LT,1045.55,1045.55,73.19,1045.55,48
CDM,264696,XR RIBS UNI W/CXR 3+V RT,1045.55,1045.55,73.19,1045.55,48
CDM,264697,XR SACRUM/COCCYX 2 + V,877.92,877.92,61.45,877.92,48
CDM,264699,XR SC JOINTS 3 + V,983.29,983.29,68.83,983.29,48
CDM,264700,XR SCAPULA COMP LT,986.49,986.49,69.05,986.49,48
CDM,264701,XR SCAPULA COMP RT,986.49,986.49,69.05,986.49,48
CDM,264702,SCREW BN 4MM 3.3MM 48MM,2137.0,2137.0,235.07,2137.0,57
CDM,264703,XR SELLA TURCICA,1814.93,1814.93,127.05,1814.93,48
CDM,264704,XR SHOULDER 1 V BI,1489.29,1489.29,104.25,1489.29,48
CDM,264705,XR SHOULDER 1 V LT,747.04,747.04,52.29,747.04,48
CDM,264706,XR SHOULDER 1 V RT,747.04,747.04,52.29,747.04,48
CDM,264707,XR SHOULDER 2 + V BI,2231.53,2231.53,156.21,2231.53,48
CDM,264708,XR SHOULDER 2 + V LT,1115.75,1115.75,78.1,1115.75,48
CDM,264709,XR SHOULDER 2 + V RT,1115.75,1115.75,78.1,1115.75,48
CDM,264710,XR SI JOINTS 3 + V,1256.23,1256.23,87.94,1256.23,48
CDM,264711,XR SIALOGRAM,1792.56,1792.56,125.48,1792.56,48
CDM,264713,XR SINUSES < 3 V,855.58,855.58,59.89,855.58,48
CDM,264714,XR SINUSES 3 + V,1556.33,1556.33,108.94,1556.33,48
CDM,264715,XR SKULL < 4 V,973.71,973.71,68.16,973.71,48
CDM,264716,XR SKULL 4 + V,1818.1,1818.1,127.27,1818.1,48
CDM,264717,XR SMALL BOWEL/ENTERO,5845.4,5845.4,409.18,5845.4,48
CDM,264718,XR SMALL INTESTINE,2068.71,2068.71,144.81,2068.71,48
CDM,264719,XR SPEECH EV COMPLEX,1476.52,1476.52,103.36,1476.52,48
CDM,264720,XR SPINE 1 V SPEC LEVEL,381.5,381.5,26.7,381.5,48
CDM,264721,XR SPINE 1 VIEW,437.38,437.38,30.62,437.38,48
CDM,264723,XR SPINE 2 OR 3 VIEWS,724.69,724.69,50.73,724.69,48
CDM,264724,XR SPINE 4 OR 5 VIEWS,2783.84,2783.84,194.87,2783.84,48
CDM,264725,XR SPINE MIN 6 VIEWS,2809.37,2809.37,196.66,2809.37,48
CDM,264726,XR STERNUM 2 + V,1010.42,1010.42,70.73,1010.42,48
CDM,264727,XR SURGICAL SPECIMEN,935.4,935.4,65.48,935.4,48
CDM,264728,XR SWLW FUNC W/C&V,2261.87,2261.87,158.33,2261.87,48
CDM,264729,XR TEETH 1 VIEW,477.27,477.27,33.41,477.27,48
CDM,264730,XR TEETH FULL MOUTH,909.87,909.87,63.69,909.87,48
CDM,264731,XR TIB/FIB INFANT 2V BI,1655.3,1655.3,115.87,1655.3,48
CDM,264733,XR TIB/FIB INFNT 2V LT,826.84,826.84,57.88,826.84,48
CDM,264734,XR TIB/FIB INFNT 2V RT,826.84,826.84,57.88,826.84,48
CDM,264735,XR TIBIA/FIBULA 2 V BI,1923.46,1923.46,134.64,1923.46,48
CDM,264736,XR TIBIA/FIBULA 2 V LT,964.13,964.13,67.49,964.13,48
CDM,264737,XR TIBIA/FIBULA 2 V RT,964.13,964.13,67.49,964.13,48
CDM,264738,XR T-L-SPINE 2 VIEWS,1971.35,1971.35,137.99,1971.35,48
CDM,264739,XR TMJ BI,1181.22,1181.22,82.69,1181.22,48
CDM,264740,XR TMJ UNI LT,1181.22,1181.22,82.69,1181.22,48
CDM,264741,XR TMJ UNI RT,1181.22,1181.22,82.69,1181.22,48
CDM,264743,XR TOE(S) 2 + V BI,1511.64,1511.64,105.81,1511.64,48
CDM,264744,XR TOE(S) 2 + V LT,756.62,756.62,52.96,756.62,48
CDM,264745,XR TOE(S) 2 + V RT,756.62,756.62,52.96,756.62,48
CDM,264746,XR TOMOGRAM SGL PLANE,2440.64,2440.64,170.84,2440.64,48
CDM,264747,XR T-SPINE 2 VIEWS,1248.25,1248.25,87.38,1248.25,48
CDM,264748,XR T-SPINE 3 VIEWS,1422.26,1422.26,99.56,1422.26,48
CDM,264749,XR T-SPINE 4 + VIEWS,1597.83,1597.83,111.85,1597.83,48
CDM,264750,XR UGI DBL CONTRAST,2304.97,2304.97,161.35,2304.97,48
CDM,264751,XR UGI SNGL CONTRAST,2121.39,2121.39,148.5,2121.39,48
CDM,264753,XR UP EXTREM INFANT2V BI,2407.14,2407.14,168.5,2407.14,48
CDM,264754,XR UP EXTREM INFANT2V LT,1205.16,1205.16,84.36,1205.16,48
CDM,264755,XR UP EXTREM INFANT2V RT,1205.16,1205.16,84.36,1205.16,48
CDM,264757,XR UROGRAM RETRO,2946.66,2946.66,206.27,2946.66,48
CDM,264758,XR WHOLE BODY FB 1 V,1015.2,1015.2,71.06,1015.2,48
CDM,264759,XR WRIST 2 VIEWS BI,1433.42,1433.42,100.34,1433.42,48
CDM,264760,XR WRIST 2 VIEWS LT,715.12,715.12,50.06,715.12,48
CDM,264761,XR WRIST 2 VIEWS RT,715.12,715.12,50.06,715.12,48
CDM,264763,XR WRIST 3 + V BI,1958.58,1958.58,137.1,1958.58,48
CDM,264764,XR WRIST 3 + V LT,980.08,980.08,68.61,980.08,48
CDM,264765,XR WRIST 3 + V RT,980.08,980.08,68.61,980.08,48
CDM,264766,XRAY SM INTEST W MLT IMG,3288.23,3288.23,230.18,3288.23,60
CDM,264767,AMNIOCENTESIS,2245.17,2245.17,157.16,2245.17,64
CDM,264774,ASP CYST BREAST INI,2933.89,2933.89,205.37,2933.89,64
CDM,264778,BX SALIVARY GLAND NDL,4746.05,4746.05,332.22,4746.05,64
CDM,264780,BX BREAST NDL CORE,3404.39,3404.39,238.31,3404.39,64
CDM,264783,BX MUSCLE PERC,6227.45,6227.45,435.92,6227.45,64
CDM,264784,BX PANCREAS,4757.95,4757.95,333.06,4757.95,64
CDM,264787,BX THYROID,3404.39,3404.39,238.31,3404.39,64
CDM,264790,CATH HYSTEROSALPING,1859.31,1859.31,130.15,1859.31,64
CDM,264793,CHEMODNRV TRNK MUSCL 1-5,3739.55,3739.55,261.77,3739.55,64
CDM,264795,DOP TRANSCRANIAL COMP,2287.44,2287.44,160.12,2287.44,49
CDM,264798,DUP AB/PEL/SC COMP,1151.05,1151.05,80.57,1151.05,49
CDM,264799,DUP AB/PEL/SC LTD,526.85,526.85,36.88,526.85,49
CDM,264800,DUP SCAN ART PREOP BI,2853.89,2853.89,199.77,2853.89,49
CDM,264801,DUP SCAN ART PREOP UN LT,1902.6,1902.6,133.18,1902.6,49
CDM,264811,FINE NDL ASP WUS 1ST LSN,4879.0,4879.0,341.53,4879.0,64
CDM,264813,INS TUNLD PLEURAL CATH,30220.14,30220.14,2115.41,30220.14,64
CDM,264814,INS TUNLD PLEURAL CATH,26045.22,26045.22,1823.17,26045.22,64
CDM,264815,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,264819,PERC PLEUR DRN W/ IMG,5208.01,5208.01,364.56,5208.01,64
CDM,264829,US AAA SCREEN,643.86,643.86,45.07,643.86,48
CDM,264830,US ABDOMEN COMPLETE,2144.91,2144.91,150.14,2144.91,48
CDM,264831,US ABDOMEN LTD,1849.81,1849.81,129.49,1849.81,48
CDM,264833,US BRST BI W AX LTD,549.32,549.32,38.45,549.32,48
CDM,264834,US BRST BX 1ST LESION,6696.26,6696.26,468.74,6696.26,64
CDM,264836,US BRST BX 1ST LESION LT,6696.26,6696.26,468.74,6696.26,64
CDM,264837,US BRST BX 1ST LESION RT,6696.26,6696.26,468.74,6696.26,64
CDM,264838,US BRST BX ADD LESION,3349.85,3349.85,234.49,3349.85,64
CDM,264840,US BRST BX ADD LESION LT,3349.85,3349.85,234.49,3349.85,64
CDM,264841,US BRST BX ADD LESION RT,3349.85,3349.85,234.49,3349.85,64
CDM,264843,US BRST UNI LT W AX LTD,549.32,549.32,38.45,549.32,48
CDM,264844,US BRST UNI RT W AX LTD,549.32,549.32,38.45,549.32,48
CDM,264846,US CHST W/MEDIASTINUM,1541.93,1541.93,107.94,1541.93,48
CDM,264847,US DVC PLC BRST 1ST,3545.88,3545.88,248.21,3545.88,64
CDM,264849,US DVC PLC BRST 1ST LT,3545.88,3545.88,248.21,3545.88,64
CDM,264850,US DVC PLC BRST 1ST RT,3545.88,3545.88,248.21,3545.88,64
CDM,264851,US DVC PLC BRST ADD,2147.99,2147.99,150.36,2147.99,64
CDM,264854,US DVC PLC BRST ADD LT,2147.99,2147.99,150.36,2147.99,64
CDM,264855,US DVC PLC BRST ADD RT,2147.99,2147.99,150.36,2147.99,64
CDM,264856,US ELASTO 1ST TGT LES,673.23,673.23,47.13,673.23,48
CDM,264857,US ELASTO EACH ADD TGT L,337.25,337.25,23.61,337.25,54
CDM,264858,US ELASTO EACH ORG,673.23,673.23,47.13,673.23,48
CDM,264859,US ENCEPHALOGRAM,2234.33,2234.33,156.4,2234.33,48
CDM,264860,US EXTREM NON VASC LTD,471.39,471.39,33.0,471.39,48
CDM,264861,US FETAL BIOPHYS PROF,1558.53,1558.53,109.1,1558.53,48
CDM,264863,US GUIDANCE TISSUE ABLAT,4245.1,4245.1,297.16,4245.1,54
CDM,264864,US HEAD AND NECK,1539.37,1539.37,107.76,1539.37,48
CDM,264865,US INFANT HIP DYNAM,530.15,530.15,37.11,530.15,48
CDM,264866,US INFANT HIP STATIC,530.15,530.15,37.11,530.15,48
CDM,264867,US INTRAOPERATIVE,1624.96,1624.96,113.75,1624.96,54
CDM,264868,US JOINT COMP,1502.32,1502.32,105.16,1502.32,48
CDM,264869,US PELVIC COMPLETE,2005.65,2005.65,140.4,2005.65,48
CDM,264870,US PELVIC LTD OR FU,1849.81,1849.81,129.49,1849.81,48
CDM,264871,US PREG 1ST TRIMTR,1753.99,1753.99,122.78,1753.99,48
CDM,264873,US PREG AFTER 1ST TRI,2194.72,2194.72,153.63,2194.72,48
CDM,264874,US PREG UT TRANSVAGINAL,530.15,530.15,37.11,530.15,48
CDM,264875,US PREG W/FTL AN EX SGL,3247.38,3247.38,227.32,3247.38,48
CDM,264876,US PREG W/FTL EX EA ADDL,1922.62,1922.62,134.58,1922.62,54
CDM,264877,US PREGNANCY LTD,1089.69,1089.69,76.28,1089.69,48
CDM,264878,US PRG 1ST TRI EA ADD,1131.86,1131.86,79.23,1131.86,54
CDM,264879,US PRG AFT 1ST TRI AD,3367.46,3367.46,235.72,3367.46,54
CDM,264880,US RENAL TRANSPLANT,2436.16,2436.16,170.53,2436.16,48
CDM,264881,US RETRO LTD,1598.13,1598.13,111.87,1598.13,48
CDM,264883,US RETROPERITONEAL COM,1918.77,1918.77,134.31,1918.77,48
CDM,264884,US SCROTUM AND CNTS,1810.21,1810.21,126.71,1810.21,48
CDM,264885,US SPINAL CANAL,1936.67,1936.67,135.57,1936.67,48
CDM,264886,US TGT MICROBUB EAD LS,604.24,604.24,42.3,604.24,54
CDM,264887,US TGT MICROBUB INIT LS,1207.22,1207.22,84.51,1207.22,48
CDM,264888,US TRANSRECTAL,1856.18,1856.18,129.93,1856.18,48
CDM,264889,US TRANSVAGINAL,1601.96,1601.96,112.14,1601.96,48
CDM,264890,USG NDL PLACEMENT,2167.9,2167.9,151.75,2167.9,54
CDM,264897,GUIDE SURG CRANI-ORTHO,23232.0,23232.0,1626.24,23232.0,71
CDM,264910,TUBE TRACH PED 5.0MM,1748.0,1748.0,122.36,1748.0,71
CDM,264918,CATH BLN 3X20MM 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,264919,CATH BLN 3.5X20MM 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,264920,CATH BLN 4X20MM 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,264950,CONN WND DRN Y 3/16IN,340.0,340.0,23.8,340.0,71
CDM,264953,TUBE TRACH PED 4.5MM,1748.0,1748.0,122.36,1748.0,71
CDM,264955,SCREW BN LPRO 5.0X24MM,13543.0,13543.0,1489.73,13543.0,57
CDM,264985,PLERIXAFOR 1MG INJJW,126.41,126.41,8.85,126.41,42
CDM,264986,ATROPINE 1% OPHTH,243.11,243.11,17.02,243.11,67
CDM,264991,LINEZOLID LIQ PO,22.09,22.09,1.55,22.09,59
CDM,265002,RSV AG IFT,337.23,337.23,23.61,337.23,47
CDM,265004,STREP A AG IA,227.51,227.51,15.93,227.51,47
CDM,265005,INFLUENZA A AG IFT,337.23,337.23,23.61,337.23,47
CDM,265006,INFLUENZA B AG IFT,337.23,337.23,23.61,337.23,47
CDM,265007,BASIC METABOLIC CALC ION,1066.53,1066.53,74.66,1066.53,47
CDM,265016,DPPX AB BY CBA-IFA SER,640.56,640.56,44.84,640.56,47
CDM,265021,DIALYSATE SOL3000-3999ML,270.0,270.0,18.9,270.0,59
CDM,265029,INFLUENZA A AG EIA,227.51,227.51,15.93,227.51,47
CDM,265030,INFLUENZA B AG EIA,227.51,227.51,15.93,227.51,47
CDM,265032,COVID-19 DNA/RNA AMP,56.89,56.89,3.98,56.89,57
CDM,265033,RSV DIRECT AG CF,1574.79,1574.79,110.24,1574.79,47
CDM,265054,CONE FEM KN LT 18MM,101198.0,101198.0,11131.78,101198.0,57
CDM,265056,INSERT KN REV SM 14MM,84987.0,84987.0,9348.57,84987.0,57
CDM,265057,PLATE BN 126MM 126MM,67229.0,67229.0,7395.19,67229.0,57
CDM,265076,PLATE BN SZ3 3MM,71946.0,71946.0,7914.06,71946.0,57
CDM,265077,DOME TALAR STD SZ3,133938.0,133938.0,14733.18,133938.0,57
CDM,265160,HANDPIECE SET 40D,5715.0,5715.0,400.05,5715.0,71
CDM,265206,VALVE SPEAKING 15MM,1489.0,1489.0,104.23,1489.0,57
CDM,265216,SET INTRO MPNCH LNG,1599.0,1599.0,111.93,1599.0,71
CDM,265223,IMPLANT BREAST 580CC,21064.0,21064.0,2317.04,21064.0,57
CDM,265225,STEM FEM HIP SZ3 135MM,51600.0,51600.0,5676.0,51600.0,57
CDM,265235,STEM FEM HIP SZ5 145MM,49020.0,49020.0,5392.2,49020.0,57
CDM,265244,STEM KN ADPTR OFST 6MM,14448.0,14448.0,1589.28,14448.0,57
CDM,265245,STEM FEM HIP SZ6 150MM,49020.0,49020.0,5392.2,49020.0,57
CDM,265246,NAIL BN 130D 12X380MM,33559.0,33559.0,3691.49,33559.0,57
CDM,265247,SHELL ACTB HIP 3HL 58MM,25800.0,25800.0,2838.0,25800.0,57
CDM,265249,NAIL HUM 3MM 450MM,4069.0,4069.0,447.59,4069.0,57
CDM,265250,STABILIZER BN 17X180MM,58568.0,58568.0,6442.48,58568.0,57
CDM,265251,STEM HIP HIGH OFST SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,265252,STEM FEM HIP 18X190MM,84464.0,84464.0,9291.04,84464.0,57
CDM,265253,SHELL ACTB HIP MOD 58MM,60698.0,60698.0,6676.78,60698.0,57
CDM,265254,TUBE TRACH NEO 2.5X28MM,1748.0,1748.0,122.36,1748.0,71
CDM,265255,STEM FEM HIP 12/14 155MM,49020.0,49020.0,5392.2,49020.0,57
CDM,265256,TUBE TRACH PED 3.4X40MM,1748.0,1748.0,122.36,1748.0,71
CDM,265257,PLATE BN 1.2X1.5MM 2.4HL,6700.0,6700.0,737.0,6700.0,57
CDM,265258,KWIRE FX 150MM 1.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,265259,IMPLANT BREAST 470CC,11303.0,11303.0,1243.33,11303.0,57
CDM,265260,MESH HRN REIN 8X4CM,4932.0,4932.0,542.52,4932.0,57
CDM,265261,MESH HRN PLGLY 10X16CM,16461.0,16461.0,1810.71,16461.0,57
CDM,265262,MESH SURG 12CM 10CM,18495.0,18495.0,2034.45,18495.0,57
CDM,265263,KIT PROBE 3.9MMX440MM,12286.0,12286.0,860.02,12286.0,71
CDM,265265,STEM FEM HIP SZ8 160MM,51600.0,51600.0,5676.0,51600.0,57
CDM,265275,STEM FEM HIP SZ3 135MM,51600.0,51600.0,5676.0,51600.0,57
CDM,265285,STEM FEM HIP SZ5 145MM,51600.0,51600.0,5676.0,51600.0,57
CDM,265295,STEM FEM HIP SZ6 150MM,49020.0,49020.0,5392.2,49020.0,57
CDM,265302,HEAD FEM HIP SZ28 54MM,11017.0,11017.0,1211.87,11017.0,57
CDM,265303,AUTOGRAFT BN SUB SM,6842.0,6842.0,752.62,6842.0,57
CDM,265305,STEM FEM HIP 12/14 155MM,49020.0,49020.0,5392.2,49020.0,57
CDM,265345,STEM FEM HIP SZ4 140MM,51600.0,51600.0,5676.0,51600.0,57
CDM,265349,INSERT TIB KN SZ5 22MM,39732.0,39732.0,4370.52,39732.0,57
CDM,265350,INSERT TIB KN SZ5 24MM,39732.0,39732.0,4370.52,39732.0,57
CDM,265351,INSERT TIB KN SZ7 20MM,39732.0,39732.0,4370.52,39732.0,57
CDM,265364,FIBER LASER 272UM,11430.0,11430.0,800.1,11430.0,71
CDM,265380,KIT NEURO STM COVER,34300.0,34300.0,2401.0,34300.0,71
CDM,265381,PLATE BN 18HL 280MM,30558.0,30558.0,3361.38,30558.0,57
CDM,265382,PLATE BN 0.6MM 8MM,3607.0,3607.0,396.77,3607.0,57
CDM,265383,SCREW BN 0.8MM 1.5MM,1871.0,1871.0,205.81,1871.0,57
CDM,265384,SCREW BN 0.9MM 1.5MM,1871.0,1871.0,205.81,1871.0,57
CDM,265386,SCREW BN 1.5MM 10MM,1871.0,1871.0,205.81,1871.0,57
CDM,265387,SCREW BN 1.5MM14MM,1871.0,1871.0,205.81,1871.0,57
CDM,265454,NAIL BN FEM RT 11X360MM,33559.0,33559.0,3691.49,33559.0,57
CDM,265456,SUTURE UND BRD +4-0 18IN,109.0,109.0,7.63,109.0,71
CDM,265457,SUTURE UND BRD +5-0 18IN,251.0,251.0,17.57,251.0,71
CDM,265458,LINER ACTB HIP 54MM 40MM,14190.0,14190.0,1560.9,14190.0,57
CDM,265459,PLATE CRNMXF LVL1 9MM,3607.0,3607.0,396.77,3607.0,57
CDM,265460,STEM FEM HIP LAT SZ3,36120.0,36120.0,3973.2,36120.0,57
CDM,265491,CATH DRN 19FR,11433.0,11433.0,800.31,11433.0,71
CDM,265492,CATHETER ART 21FR 55CM,11433.0,11433.0,800.31,11433.0,71
CDM,265493,CATHETER ART 23FR 55CM,11433.0,11433.0,800.31,11433.0,71
CDM,265607,NAIL BN FEM 11X320MM,26859.0,26859.0,2954.49,26859.0,57
CDM,265625,INSERT TIB 2.5 L20.0MM K,17622.0,17622.0,1938.42,17622.0,57
CDM,265630,BLADE EDGE 5MM,4489.0,4489.0,314.23,4489.0,71
CDM,265631,CYSTOSCOPE 5.5MM 390MM,5623.0,5623.0,393.61,5623.0,71
CDM,265681,LINER ACTB HIP 52MM 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,265703,SCREW BN 4.5MM 32MM,6100.0,6100.0,671.0,6100.0,57
CDM,265704,GRAFT ST TIS 5IN 4IN,19232.0,19232.0,2115.52,19232.0,57
CDM,265729,AUGMENT FEM KN SZ3 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,265769,PIN EXFX POST 2HL,4685.0,4685.0,327.95,4685.0,71
CDM,265785,INS TIB KN SZ6 12.5MM,17622.0,17622.0,1938.42,17622.0,57
CDM,265802,SCREW BN 20MM,14899.0,14899.0,1638.89,14899.0,57
CDM,265803,SPACER SHLDR HUM 9X20MM,62626.0,62626.0,6888.86,62626.0,57
CDM,265804,SUTURE ANBCTRL +3-0 27IN,256.0,256.0,17.92,256.0,71
CDM,265805,STEM SHLDR 9MM,91333.0,91333.0,10046.63,91333.0,57
CDM,265806,SUTURE ANBCTRL +2-0 27IN,261.0,261.0,18.27,261.0,71
CDM,265807,STEM CMNT STRGT 13X100MM,51291.0,51291.0,5642.01,51291.0,57
CDM,265808,CMPNT FEM RIGHT #5,143718.0,143718.0,15808.98,143718.0,57
CDM,265809,INSERT TIB MED 14MM,64501.0,64501.0,7095.11,64501.0,57
CDM,265810,COMPNT PTLR 3PEG M 32MM,6450.0,6450.0,709.5,6450.0,57
CDM,265811,MODEL ANTM IPS MNDB LF,36038.0,36038.0,2522.66,36038.0,71
CDM,265817,BALFAXAR 1 U IX INJ,18.03,18.03,1.26,18.03,42
CDM,265819,CYCLOPHOS NOS 1 G INJ,1043.44,1043.44,73.04,1043.44,42
CDM,265859,SCREW BN 1.7MM 7MM,1396.0,1396.0,153.56,1396.0,57
CDM,265870,BASEPLATE TIB KN LT SZ5,23220.0,23220.0,2554.2,23220.0,57
CDM,265872,TOOL BALL BUR 12CM 3MM,7129.0,7129.0,499.03,7129.0,71
CDM,265873,TOOL BALL 10CM 1MM,3402.0,3402.0,238.14,3402.0,71
CDM,265874,BURR SURG 10CM 2MM,3700.0,3700.0,259.0,3700.0,71
CDM,265876,TOOL DSCT 10CM 3MM,3700.0,3700.0,259.0,3700.0,71
CDM,265877,BUR BN BALL 10CM 4MM,3818.0,3818.0,267.26,3818.0,71
CDM,265878,BURR DISP 1MM 10CM,3818.0,3818.0,267.26,3818.0,71
CDM,265879,TOOL BALL 3MM 10CM,3818.0,3818.0,267.26,3818.0,71
CDM,265880,BUR BN BALL DMD 10CM 4MM,3818.0,3818.0,267.26,3818.0,71
CDM,265881,BUR BN BALL DMD 10CM 5MM,3818.0,3818.0,267.26,3818.0,71
CDM,265906,STEM FEM KN 110MM 20MM,27045.0,27045.0,2974.95,27045.0,57
CDM,265922,STEM RDL ELB 9X2X33MM,41614.0,41614.0,4577.54,41614.0,57
CDM,265928,STEM FEM HIP SZ2,46440.0,46440.0,5108.4,46440.0,57
CDM,265930,INSERT TIB KN LT F 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,265931,BASEPLATE TIB KN LT SZF,23220.0,23220.0,2554.2,23220.0,57
CDM,265932,CMPNT FEM KN LT SZ4,34830.0,34830.0,3831.3,34830.0,57
CDM,265940,INSERT TIB KN LT F 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,265946,SCREW BN LCK 3.5X65MM,2240.0,2240.0,246.4,2240.0,57
CDM,265949,BLADE SAW 100X13X1.27MM,1783.0,1783.0,124.81,1783.0,71
CDM,265964,SCREW BN 5MM 75MM,7193.0,7193.0,791.23,7193.0,57
CDM,265966,SCREW BN 5MM 80MM,7193.0,7193.0,791.23,7193.0,57
CDM,266002,SCREW BN 5MM 85MM,7193.0,7193.0,791.23,7193.0,57
CDM,266003,SCREW BN 5MM 40MM,3186.0,3186.0,350.46,3186.0,57
CDM,266004,SCREW BN 5MM 90MM,3186.0,3186.0,350.46,3186.0,57
CDM,266010,SCREW BN 12MM 5MM,3186.0,3186.0,350.46,3186.0,57
CDM,266028,SCREW BN 4-5MM 50MM,7193.0,7193.0,791.23,7193.0,57
CDM,266041,SCREW BN 5MM 55MM,3186.0,3186.0,350.46,3186.0,57
CDM,266092,CYCLOPHOS NOS 500 MGINJ,506.82,506.82,35.48,506.82,42
CDM,266093,505HP NA THIOS 12.5GINJ,541.01,541.01,37.87,541.01,47
CDM,266094,METHYLPRED ACE 80 MG INJ,93.4,93.4,6.54,93.4,47
CDM,266098,INTRO SHTH GD 6FR 45CM,2549.0,2549.0,178.43,2549.0,71
CDM,266124,SHEATH GD 6.5FR 90CM,14067.0,14067.0,984.69,14067.0,71
CDM,266125,INSERT ARTC KN RT SZ3,30522.0,30522.0,3357.42,30522.0,57
CDM,266126,INSERT KN SZ3 9MM,23478.0,23478.0,2582.58,23478.0,57
CDM,266127,CMPNT TIB KN RT MDL SZ3,12926.0,12926.0,1421.86,12926.0,57
CDM,266129,BSEPLATE TIB KN U2 PSA 6,106300.0,106300.0,11693.0,106300.0,57
CDM,266130,STEM HIP STD OFST SZ8,49020.0,49020.0,5392.2,49020.0,57
CDM,266196,METHYLPRED SS 40 MG INJ,15.48,15.48,1.08,15.48,47
CDM,266197,METHYLPRED SS 125 MGINJ,39.19,39.19,2.74,39.19,47
CDM,266199,METHYLPRED SS 2MG/MLINJ,0.34,0.34,0.02,0.34,47
CDM,266200,HYDROXOCOBALAM 5 G IV,5879.35,5879.35,411.55,5879.35,42
CDM,266200,"Injection, hydroxocobalamin, intravenous, 25 mg ",5879.35,5879.35,8.98,43.53,15
CDM,266202,METHYLPRED ACE 40 MG INJ,58.5,58.5,4.09,58.5,47
CDM,266203,METHYLPRED SS 1 G INJ,186.03,186.03,13.02,186.03,47
CDM,266204,LOQTORZI 240 MG INJ,53951.88,53951.88,3776.63,53951.88,59
CDM,266205,ACETAMINOPHEN 80 MG SUPP,4.05,4.05,0.28,4.05,67
CDM,266227,NAIL BN FEM LT 11X360MM,33559.0,33559.0,3691.49,33559.0,57
CDM,266260,ANCHOR BN ACHILLES 3.9MM,72153.0,72153.0,7936.83,72153.0,57
CDM,266262,505HP NA THIOS 100MGINJ,4.3,4.3,0.3,4.3,47
CDM,266263,CYCLOPHOS NOS 5 MG INJ,6.35,6.35,0.44,6.35,42
CDM,266264,METHYLPRED ACET 1 MG INJ,1.14,1.14,0.08,1.14,47
CDM,266265,METHYLPRED SS 5 MG INJ,0.91,0.91,0.06,0.91,47
CDM,266280,PLATE BN RT 6HL 140MM,15886.0,15886.0,1747.46,15886.0,57
CDM,266281,PLATE BN LT 6HL 140MM,15886.0,15886.0,1747.46,15886.0,57
CDM,266282,BIT DRILL 4.3MM 200MM,5304.0,5304.0,371.28,5304.0,71
CDM,266283,BIT DRILL 4.3MM 50MM,5623.0,5623.0,393.61,5623.0,71
CDM,266292,PLATE BN 318MM,87605.0,87605.0,9636.55,87605.0,57
CDM,266294,CATH DRN 25FR,11433.0,11433.0,800.31,11433.0,71
CDM,266301,SET TUBING SURG,8558.0,8558.0,599.06,8558.0,71
CDM,266302,BURR ORTH 5MM,11433.0,11433.0,800.31,11433.0,71
CDM,266303,PLATE 1.5MM STRAIGHT LCK,11056.0,11056.0,1216.16,11056.0,57
CDM,266304,SCREW BN 1.5MM 12MM,1871.0,1871.0,205.81,1871.0,57
CDM,266305,SCREW BN 1.5MM 12MM,3062.0,3062.0,336.82,3062.0,57
CDM,266306,SCREW BN 1.5MM 10MM,3062.0,3062.0,336.82,3062.0,57
CDM,266307,PLATE BN 100D 5HL 2MM,4327.0,4327.0,475.97,4327.0,57
CDM,266309,INSERT TIB KN 7MM,6708.0,6708.0,737.88,6708.0,57
CDM,266310,FORCEPS 28CM,2944.0,2944.0,206.08,2944.0,71
CDM,266365,PLATE BN 22HL 331MM,31298.0,31298.0,3442.78,31298.0,57
CDM,266366,SCREW BN 3.5MM 18MM,1192.0,1192.0,131.12,1192.0,57
CDM,266367,SCREW BN 3.5MM 14MM,1192.0,1192.0,131.12,1192.0,57
CDM,266410,CYCLOPHOS NOS 5 MG INJJW,6.35,6.35,0.44,6.35,42
CDM,266411,BACLOFEN 10 MG INJJW,1433.69,1433.69,100.36,1433.69,42
CDM,266412,505FK LEVOTHY 100MCGINJ,538.14,538.14,37.67,538.14,42
CDM,266413,505FK LEVOTHY 10 MCGINJ,53.8,53.8,3.77,53.8,42
CDM,266414,505FK LEVOTHY 10MCGINJJW,53.8,53.8,3.77,53.8,42
CDM,266415,VEDOLIZUMAB 1 MG IV,175.25,175.25,12.27,175.25,42
CDM,266416,505WG CA GLUC 10 MG INJ,1.17,1.17,0.08,1.17,47
CDM,266431,SET TUBING INSFL SMKEVC,4498.0,4498.0,314.86,4498.0,71
CDM,266432,STEM HIP STD COLR SZ7,49020.0,49020.0,5392.2,49020.0,57
CDM,266448,CTHDX ST 5F PIG 65,2651.0,2651.0,185.57,2651.0,71
CDM,266458,CATH URET 6FR 70CM,582.0,582.0,40.74,582.0,71
CDM,266581,AUGMENT TIB SIZE 3 5MM,44273.0,44273.0,4870.03,44273.0,57
CDM,266612,STENT ENDO 6FR 135CM,63742.0,63742.0,7011.62,63742.0,57
CDM,266613,STENT ENDO 6FR 135CM,63742.0,63742.0,7011.62,63742.0,57
CDM,266614,STENT ENDO 6FR 135CM,63742.0,63742.0,7011.62,63742.0,57
CDM,266616,STENT ENDO 7FR 135CM,63742.0,63742.0,7011.62,63742.0,57
CDM,266621,STENT ENDO 9X29MM 135CM,63742.0,63742.0,7011.62,63742.0,57
CDM,266625,STENT ENDO 7FR 8X135CM,63742.0,63742.0,7011.62,63742.0,57
CDM,266663,INSRT TIB KN SZ5 16MM,48401.0,48401.0,5324.11,48401.0,57
CDM,266677,INSERT TIB KN 9MM,13416.0,13416.0,1475.76,13416.0,57
CDM,266679,INSERT TIB KN 11MM,11940.0,11940.0,1313.4,11940.0,57
CDM,266680,INSERT TIB KN SZA,11940.0,11940.0,1313.4,11940.0,57
CDM,266681,INSERT TIB KN SZC,11940.0,11940.0,1313.4,11940.0,57
CDM,266682,INSERT TIB LAT SZE,11940.0,11940.0,1313.4,11940.0,57
CDM,266683,INSERT TIB KN 6MM,11940.0,11940.0,1313.4,11940.0,57
CDM,266684,INSERT TIB KN 8MM,11940.0,11940.0,1313.4,11940.0,57
CDM,266685,INSERT TIB MEDIAL 10MM,11940.0,11940.0,1313.4,11940.0,57
CDM,266686,INSERT TIB KN SZB,11940.0,11940.0,1313.4,11940.0,57
CDM,266687,INSERT TIB KN SZD,11940.0,11940.0,1313.4,11940.0,57
CDM,266689,INSERT TIB KN SZF,13416.0,13416.0,1475.76,13416.0,57
CDM,266696,CUP BIP HIP 59MM 28MM,11610.0,11610.0,1277.1,11610.0,57
CDM,266701,STEM HIP FEM OFS 8X120,43860.0,43860.0,4824.6,43860.0,57
CDM,266744,SCREW BN 6.5MM 40MM,18495.0,18495.0,2034.45,18495.0,57
CDM,266757,ROD SPN 3.5MM 120MM,4556.0,4556.0,501.16,4556.0,57
CDM,266760,INSERT TIB KN SZ1 8MM,12926.0,12926.0,1421.86,12926.0,57
CDM,266761,TRAY TIB KN RM/LL SZ1,23478.0,23478.0,2582.58,23478.0,57
CDM,266762,ANCHOR PEEK FIX 4.75MM,26551.0,26551.0,2920.61,26551.0,57
CDM,266763,SPLINT DNTL CSTM MADE,101577.0,101577.0,11173.47,101577.0,57
CDM,266764,BLADE SURG 3.5MM,2886.0,2886.0,202.02,2886.0,71
CDM,266807,CMPNT TIBIAL LT SIZE 4,52736.0,52736.0,5800.96,52736.0,57
CDM,266828,CATHETER DRN 16FR 10IN A,791.0,791.0,55.37,791.0,71
CDM,266833,HEAD FEM HIP B +1MM 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,266842,IMPLANT BREAST 435CC,26715.0,26715.0,2938.65,26715.0,57
CDM,266843,ANCHOR SUT 4.75MM 19.1MM,11749.0,11749.0,1292.39,11749.0,57
CDM,266844,ANCHOR SUT 4.75MM 19.1MM,14570.0,14570.0,1602.7,14570.0,57
CDM,266846,ANCHOR BN 4.75X24.5MM,16112.0,16112.0,1772.32,16112.0,57
CDM,266847,DRILL SURG 1.6MM 120MM,10653.0,10653.0,745.71,10653.0,71
CDM,266849,STEM FEM HIP SZ15 190MM,88910.0,88910.0,9780.1,88910.0,57
CDM,266850,BASEPLATE KN SZ5 13MM,23220.0,23220.0,2554.2,23220.0,57
CDM,266869,SUTURE UND MON +2-0 18IN,456.0,456.0,31.92,456.0,71
CDM,266888,INTRO SHTH 16FR 42CM,3692.0,3692.0,258.44,3692.0,71
CDM,266901,NIFEDIPINE ER 30 MG PO,5.49,5.49,0.38,5.49,67
CDM,266910,CALCITONIN NASAL,335.62,335.62,23.49,335.62,67
CDM,266917,AMIODARONE 200 MG PO,1.24,1.24,0.09,1.24,67
CDM,266946,SCREW BN 6.5X95MM,6524.0,6524.0,717.64,6524.0,57
CDM,266953,MATRIX TISS 20X25CM,86462.0,86462.0,9510.82,86462.0,57
CDM,266961,CMPD ATENOLOL 2MG/MLPO,0.08,0.08,0.006,0.08,67
CDM,267015,INSERT TIB KN #2 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,267016,SCREW BN 2X6MM,2405.0,2405.0,264.55,2405.0,57
CDM,267017,TUBE EARVNT 1.3X2.9MM,750.0,750.0,82.5,750.0,57
CDM,267018,CUP ACTB 3H 56MM,23220.0,23220.0,2554.2,23220.0,57
CDM,267019,LINER CUP HIP 36-56/58MM,14190.0,14190.0,1560.9,14190.0,57
CDM,267021,CUP ACTB 3H 48MM,23220.0,23220.0,2554.2,23220.0,57
CDM,267022,LINER CUP 32-48/50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,267023,HEAD FEM CERM MED 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,267069,DOP ART 1-2 LEVELS BIL,679.5,679.5,47.56,679.5,49
CDM,267070,DOP ART >3 LEVELS BIL,2923.74,2923.74,204.66,2923.74,49
CDM,267072,DUP LE ART BIL,3698.5,3698.5,258.89,3698.5,49
CDM,267073,DUP VEIN UNI LT,1902.6,1902.6,133.18,1902.6,49
CDM,267074,DUP VEIN UNI/LTD,1902.6,1902.6,133.18,1902.6,49
CDM,267075,DUP VEIN UNI RT,1902.6,1902.6,133.18,1902.6,49
CDM,267076,DUP PENILE COMP,2522.39,2522.39,176.57,2522.39,49
CDM,267077,DOP LE ART W/EXER BIL,3316.19,3316.19,232.13,3316.19,49
CDM,267078,DUP EXTRACRANIAL BIL,4134.13,4134.13,289.39,4134.13,49
CDM,267079,DUP LE ART UNI LT,1939.42,1939.42,135.76,1939.42,49
CDM,267080,DUP LE ART UNI RT,1939.42,1939.42,135.76,1939.42,49
CDM,267082,DUP VEIN BIL,3290.81,3290.81,230.36,3290.81,49
CDM,267083,DUP UE ART UNI RT,2481.76,2481.76,173.72,2481.76,49
CDM,267084,DUP UE ART UNI LT,2481.76,2481.76,173.72,2481.76,49
CDM,267086,DUP UE ART BIL,3698.5,3698.5,258.89,3698.5,49
CDM,267087,STREP A OPTICAL IA,1273.06,1273.06,89.11,1273.06,47
CDM,267097,CMPNT FEM KN RM/LL SZ8,35346.0,35346.0,3888.06,35346.0,57
CDM,267102,AUGMENT TIB KN 3/4 15MM,22575.0,22575.0,2483.25,22575.0,57
CDM,267103,AUGMENT TIB KN RT 15MM,22575.0,22575.0,2483.25,22575.0,57
CDM,267104,INSERT TIB 6 14MM,48401.0,48401.0,5324.11,48401.0,57
CDM,267145,BIT DRILL 4.2MM 185MM,5375.0,5375.0,376.25,5375.0,71
CDM,267154,SHAVER HANDPIECE,11430.0,11430.0,800.1,11430.0,71
CDM,267205,HEAD FEM HIP +7MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,267208,STEM FEM HIP 139MM,49020.0,49020.0,5392.2,49020.0,57
CDM,267209,HANDPIECE PROBE JET DISP,56007.0,56007.0,3920.49,56007.0,71
CDM,267284,VIT A 100000 IU INJ,4114.13,4114.13,287.99,4114.13,59
CDM,267302,PROCHLORPERAZ 25 MG SUPP,60.01,60.01,4.2,60.01,67
CDM,267321,CATH SUC 6FR REPLGLE,119.0,119.0,8.33,119.0,71
CDM,267366,LORAZEPAM LIQ PO,7.2,7.2,0.5,7.2,67
CDM,267379,FLURBIPROFEN 0.03% OPH,206.06,206.06,14.42,206.06,67
CDM,267411,SCREW MINI 2MMX4MM AUTO,1333.0,1333.0,146.63,1333.0,57
CDM,267434,SCREW BN 5MM 65MM,7193.0,7193.0,791.23,7193.0,57
CDM,267435,SCREW BN 5MM 70MM,7193.0,7193.0,791.23,7193.0,57
CDM,267447,STEM TIB KN 11/125MM,373863.0,373863.0,41124.93,373863.0,57
CDM,267470,DOXYLAMINE SUCC 25 MG PO,0.72,0.72,0.05,0.72,67
CDM,267482,KIT DRESSING FOAM AG MED,1960.0,1960.0,137.2,1960.0,71
CDM,267500,BURR SURG 15MM 5MM,11433.0,11433.0,800.31,11433.0,71
CDM,267502,NAIL BN 11.5MM 180MM,276051.0,276051.0,30365.61,276051.0,57
CDM,267503,SCREW BN 5MM 70MM,20386.0,20386.0,2242.46,20386.0,57
CDM,267504,SCREW BN 5MM 32MM,13543.0,13543.0,1489.73,13543.0,57
CDM,267505,STEM FEM HIP SZ9,49020.0,49020.0,5392.2,49020.0,57
CDM,267506,GUIDEWIRE VASC 40CM,1599.0,1599.0,111.93,1599.0,71
CDM,267555,EMPAGLIFLOZIN 10 MG PO,130.67,130.67,9.15,130.67,67
CDM,267556,NAXITAMAB-GQGK 1MG INJJW,3695.13,3695.13,258.66,3695.13,42
CDM,267557,NAXITAMAB-GQGK 40 MG INJ,147806.78,147806.78,10346.47,147806.78,42
CDM,267558,NAXITAMAB-GQGK 1 MG INJ,3695.13,3695.13,258.66,3695.13,42
CDM,267559,ERGOCALCIFERO 1.25 MG PO,3.39,3.39,0.24,3.39,67
CDM,267593,CATH BLN 10X100MM 130CM,2999.0,2999.0,209.93,2999.0,71
CDM,267596,BIT DRILL SURG 2.0MM,2069.0,2069.0,144.83,2069.0,71
CDM,267617,STIMULATOR 4 PIN ELCTRD,13979.0,13979.0,978.53,13979.0,71
CDM,267663,ELECTRODE SURG 20X12MM,502.0,502.0,35.14,502.0,71
CDM,267666,CATH URTH 18FR,652.0,652.0,45.64,652.0,71
CDM,267718,CATH URTH 2W 6FR 12IN,351.0,351.0,24.57,351.0,71
CDM,267743,CATH ANGIO 5FR 65CM,844.0,844.0,59.08,844.0,71
CDM,267744,CAP NERVE PROT 7.0X20MM,49136.0,49136.0,5404.96,49136.0,57
CDM,267764,STEM FEM HIP SZ6 151MM,49020.0,49020.0,5392.2,49020.0,57
CDM,267765,STEM FEM HIP 190MM,88910.0,88910.0,9780.1,88910.0,57
CDM,267766,INSERT TIB KN XS 12MM,64501.0,64501.0,7095.11,64501.0,57
CDM,267767,PLATE BN MDFC 8H .7MM,5980.0,5980.0,657.8,5980.0,57
CDM,267768,NAIL BN 12.5MM 180MM,276051.0,276051.0,30365.61,276051.0,57
CDM,267769,SCREW BN 5MM 75MM,20386.0,20386.0,2242.46,20386.0,57
CDM,267770,CATH DLYS 16FR 60CM,5623.0,5623.0,393.61,5623.0,71
CDM,267772,GRASPER ENDO 5MM,7561.0,7561.0,529.27,7561.0,71
CDM,267773,STENT URET 6FR 26CM,3120.0,3120.0,343.2,3120.0,57
CDM,267774,STENT URET 7FR 22CM,3307.0,3307.0,363.77,3307.0,57
CDM,267790,STAPLE BN 20X20X20MM,30123.0,30123.0,3313.53,30123.0,57
CDM,267791,CATH BLNDIL 4MM 4X180CM,5623.0,5623.0,393.61,5623.0,71
CDM,267801,CATH BLNDIL 6MM 2X180CM,5623.0,5623.0,393.61,5623.0,71
CDM,267829,SCREW BN 5MM 32MM,3186.0,3186.0,350.46,3186.0,57
CDM,267831,CATH BLNDIL 8MM 4X180CM,5623.0,5623.0,393.61,5623.0,71
CDM,267834,STEM FEM MEDIUM SHORT,58050.0,58050.0,6385.5,58050.0,57
CDM,267857,AUGMENT TIB BLK 2X5MM,11507.0,11507.0,1265.77,11507.0,57
CDM,267859,DRILL TWIST 1.5X17MM,3534.0,3534.0,247.38,3534.0,71
CDM,267860,DRILL TWST ASD 19MM,3534.0,3534.0,247.38,3534.0,71
CDM,267904,MINERAL OIL/PETR TOPICAL,22.09,22.09,1.55,22.09,67
CDM,267909,NAIL BN 130D 12X360MM,33559.0,33559.0,3691.49,33559.0,57
CDM,267927,PATCH VASC 1CM X 6CM,5702.0,5702.0,627.22,5702.0,57
CDM,267948,CLOBAZAM LIQ PO,29.16,29.16,2.04,29.16,67
CDM,267967,LINER ACTB HIP 60MM 36MM,24056.0,24056.0,2646.16,24056.0,57
CDM,267968,INSERT ARTC KN 5-6 13MM,39184.0,39184.0,4310.24,39184.0,57
CDM,267970,SCREW SPN 4.5MM 25MM,11390.0,11390.0,1252.9,11390.0,57
CDM,267977,TADALAFIL 5 MG PO,61.97,61.97,4.34,61.97,67
CDM,267989,CATH BLNDIL 28MM 4X100CM,11993.0,11993.0,839.51,11993.0,71
CDM,268007,ROSUVASTATIN 20 MG PO,7.48,7.48,0.52,7.48,67
CDM,268008,ROSUVASTATIN 10 MG PO,6.93,6.93,0.49,6.93,67
CDM,268011,PRAVASTATIN 40 MG PO,21.7,21.7,1.52,21.7,67
CDM,268012,PRAVASTATIN 20 MG PO,16.48,16.48,1.15,16.48,67
CDM,268015,ATORVASTATIN 40 MG PO,29.18,29.18,2.04,29.18,67
CDM,268016,ATORVASTATIN 20 MG PO,29.08,29.08,2.04,29.08,67
CDM,268017,ATORVASTATIN 10 MG PO,20.43,20.43,1.43,20.43,67
CDM,268022,VECURONIUM 10 MG INJ,30.31,30.31,2.12,30.31,67
CDM,268047,INSERT SHLDR SZ3/4 3X39,46440.0,46440.0,5108.4,46440.0,57
CDM,268092,COIL EMBL 13CM 4MM,14385.0,14385.0,1582.35,14385.0,57
CDM,268094,IMPLANT VASC DETACHER,5623.0,5623.0,393.61,5623.0,71
CDM,268157,MENQUADFI VAC IM,1012.41,1012.41,70.87,1012.41,47
CDM,268157,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",1012.41,1012.41,182.11,1647.2,17
CDM,268162,INSERT TIB KN SZ3 10MM,25800.0,25800.0,2838.0,25800.0,57
CDM,268186,LINER ACTB HIP SZF 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,268201,STEM TIB KN 15/125MM,373863.0,373863.0,41124.93,373863.0,57
CDM,268207,CATH ANGIO 4FR 100CM,844.0,844.0,59.08,844.0,71
CDM,268208,CANNULA PRFSN 18G 17L,1113.0,1113.0,77.91,1113.0,71
CDM,268240,NAIL BN FEM LT 11X400MM,33559.0,33559.0,3691.49,33559.0,57
CDM,268304,KIT PRSTHS PENL ASSMBLY,11682.0,11682.0,817.74,11682.0,71
CDM,268310,IMPLANT BREAST 700CC,26715.0,26715.0,2938.65,26715.0,57
CDM,268338,GUIDE PIN W/SUT 2.4MM,5623.0,5623.0,393.61,5623.0,71
CDM,268369,D5W 250 ML,17.46,17.46,1.22,17.46,47
CDM,268395,INSERT HIP 41/52-54MM,14190.0,14190.0,1560.9,14190.0,57
CDM,268396,INSERT HIP SZ28/41MM,14190.0,14190.0,1560.9,14190.0,57
CDM,268398,HEAD HIP CERM SZS 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,268421,INSERT TIB KN SZ7 6MM,39732.0,39732.0,4370.52,39732.0,57
CDM,268490,PLATE BN 2.7MM 3.5MM,32052.0,32052.0,3525.72,32052.0,57
CDM,268491,SCREW BN 2.7MM 14MM,1768.0,1768.0,194.48,1768.0,57
CDM,268492,SCREW BN 2.7MM 16MM,1668.0,1668.0,183.48,1668.0,57
CDM,268494,SCREW BN 2.7MM 12MM,5391.0,5391.0,593.01,5391.0,57
CDM,268495,SCREW BN 2.7MM 14MM,5391.0,5391.0,593.01,5391.0,57
CDM,268496,SCREW BN 2.7MM 16MM,5391.0,5391.0,593.01,5391.0,57
CDM,268505,CATH PRTNL 2.5MM 90CM,3413.0,3413.0,375.43,3413.0,57
CDM,268521,KWIRE BN .9MM 203MM,1599.0,1599.0,111.93,1599.0,71
CDM,268522,K-WIRE TROC 1.4X203MM,1599.0,1599.0,111.93,1599.0,71
CDM,268571,NAIL FEM RETRO 11.0X300M,26859.0,26859.0,2954.49,26859.0,57
CDM,268577,CMPNT FEM KN XS 46X50,182666.0,182666.0,20093.26,182666.0,57
CDM,268578,BSPLT TIB KN #0 (38X59),110127.0,110127.0,12113.97,110127.0,57
CDM,268581,DEVICE CLSR CLGN SYS,5035.0,5035.0,553.85,5035.0,57
CDM,268583,BUTTON GSTRM 14FR 2.0CM,3398.0,3398.0,237.86,3398.0,71
CDM,268593,BUTTON GSTRM 14FR 2.5CM,3398.0,3398.0,237.86,3398.0,71
CDM,268610,SCREW BN 5MM 60MM,2466.0,2466.0,271.26,2466.0,57
CDM,268611,BURR SURG CRTLG 4X16MM,10699.0,10699.0,748.93,10699.0,71
CDM,268612,SCREW BN 2MM 4MM,750.0,750.0,82.5,750.0,57
CDM,268614,SCREW BN 2MM 8MM,750.0,750.0,82.5,750.0,57
CDM,268615,SCREW BN CORT 2X10MM,750.0,750.0,82.5,750.0,57
CDM,268625,PLATE BN 2.7MM 3.5MM,23633.0,23633.0,2599.63,23633.0,57
CDM,268626,SCREW BN 3.5MM 14MM,3186.0,3186.0,350.46,3186.0,57
CDM,268633,TUBE GSTRM 16FR 1.5CM,3398.0,3398.0,237.86,3398.0,71
CDM,268643,BUTTON GSTRM 16FX1.7,3398.0,3398.0,237.86,3398.0,71
CDM,268653,TUBE GSTRM 16FR 2.0CM,3299.0,3299.0,230.93,3299.0,71
CDM,268663,KIT GSTRM 16FR 2.5CM,3398.0,3398.0,237.86,3398.0,71
CDM,268673,TUBE GSTRM LP 16FX2.7,3323.0,3323.0,232.61,3323.0,71
CDM,268699,SCREW BN ORTH 3.5X16MM,2795.0,2795.0,307.45,2795.0,57
CDM,268703,BUTTON GSTRM 18FR 1.2CM,3299.0,3299.0,230.93,3299.0,71
CDM,268713,BUTTON GSTRM 18FR 1.5CM,3299.0,3299.0,230.93,3299.0,71
CDM,268743,BUTTON GSTRM 18FR 2.5CM,3398.0,3398.0,237.86,3398.0,71
CDM,268765,BUTTON GSTRM 18FR 3.5CM,3299.0,3299.0,230.93,3299.0,71
CDM,268776,BUTTON GSTRM 18FR 4.0CM,3398.0,3398.0,237.86,3398.0,71
CDM,268797,SCREW BN 3.5MM 12MM,815.0,815.0,89.65,815.0,57
CDM,268821,SCREW BN 2.7MM 24MM,750.0,750.0,82.5,750.0,57
CDM,268824,SCREW BN 2.7MM 36MM,2261.0,2261.0,248.71,2261.0,57
CDM,268834,SCREW BN 2.7MM 10MM,5713.0,5713.0,628.43,5713.0,57
CDM,268838,SCREW BN 3.5MM 44MM,6289.0,6289.0,691.79,6289.0,57
CDM,268841,SCREW BN 3.5MM 80MM,3186.0,3186.0,350.46,3186.0,57
CDM,268842,SCREW BN 3.5MM 75MM,6289.0,6289.0,691.79,6289.0,57
CDM,268844,SCREW BN 3.5MM 70MM,6289.0,6289.0,691.79,6289.0,57
CDM,268845,SCREW BN 3.5MM 60MM,3186.0,3186.0,350.46,3186.0,57
CDM,268863,PLATE BN 5HL 95MM,32052.0,32052.0,3525.72,32052.0,57
CDM,268866,TUBE GSTRM LP 24FR 2.0CM,3398.0,3398.0,237.86,3398.0,71
CDM,268878,DEV NAIL SLEEVE 8-13MM,4545.0,4545.0,318.15,4545.0,71
CDM,268887,MENVEO VAC IM,953.96,953.96,66.78,953.96,47
CDM,268887,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",953.96,953.96,178.28,1597.17,17
CDM,268888,IDURSULFASE 6 MG INJ,19026.48,19026.48,1331.85,19026.48,42
CDM,268889,IDURSULFASE 1 MG INJ,3171.04,3171.04,221.97,3171.04,42
CDM,268890,IDURSULFASE 1 MG INJJW,3171.04,3171.04,221.97,3171.04,42
CDM,268908,HINGE INSRT KN SZ7 11MM,45430.0,45430.0,4997.3,45430.0,57
CDM,268925,PLATE BN L 11HL 4MM,7556.0,7556.0,831.16,7556.0,57
CDM,268927,PLATE BN R 11HL 4MM,7130.0,7130.0,784.3,7130.0,57
CDM,268928,HOOK SPN 10MM,7593.0,7593.0,835.23,7593.0,57
CDM,268929,HOOK SPN PEDCL 6MM,7593.0,7593.0,835.23,7593.0,57
CDM,268930,HOOK SPN PEDCL 8MM,7593.0,7593.0,835.23,7593.0,57
CDM,268931,SCREW SPN 6X40MM,11390.0,11390.0,1252.9,11390.0,57
CDM,268932,SCREW SPN 5MM 40MM,11390.0,11390.0,1252.9,11390.0,57
CDM,268933,SCREW SPN 5MM 35MM,11390.0,11390.0,1252.9,11390.0,57
CDM,268934,HOOK SPN PEDCL 12MM,7593.0,7593.0,835.23,7593.0,57
CDM,268938,ROD SPN 6.0MM 500MM,4556.0,4556.0,501.16,4556.0,57
CDM,268939,PLATE BN R 11HL 6MM,7433.0,7433.0,817.63,7433.0,57
CDM,268940,PLATE BN L 11HL 10MM,750.0,750.0,82.5,750.0,57
CDM,268941,PLATE BN L 10HL 5MM,11416.0,11416.0,1255.76,11416.0,57
CDM,268942,PLATE BN R 10HL 5MM,11416.0,11416.0,1255.76,11416.0,57
CDM,268943,PLATE BN MINI 7X2MM,11209.0,11209.0,1232.99,11209.0,57
CDM,268944,BIT DRL TWST 1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,268945,PLATE BN 6H 4.5MM 159MM,28781.0,28781.0,3165.91,28781.0,57
CDM,268982,UL PROC HEM OR LYMPH SYS,1743.29,1743.29,122.03,1743.29,64
CDM,268986,TUBE FD G-J 16FX15,5623.0,5623.0,393.61,5623.0,71
CDM,268997,TUBE JJNSTM 22CM 18FR,5623.0,5623.0,393.61,5623.0,71
CDM,269020,TUBE GASTM 16FR,1335.0,1335.0,93.45,1335.0,71
CDM,269030,CABLE/SLV ORTH 2MM,4751.0,4751.0,522.61,4751.0,57
CDM,269040,CABLE SLV DLMLS HIP 2.0,4525.0,4525.0,497.75,4525.0,57
CDM,269042,SCREW BN 5MM 36MM,7193.0,7193.0,791.23,7193.0,57
CDM,269048,MICROMATRIX FLEX 750MG,40688.0,40688.0,2848.16,40688.0,47
CDM,269048,"Micromatrix flex, per mg ",40688.0,40688.0,804.8,6824.92,12
CDM,269081,"Injection, pantoprazole sodium, 40 mg ",16.02,16.02,11.68,25.47,15
CDM,269081,PANTOPRAZOLE 40 MG INJ,16.02,16.02,1.12,16.02,47
CDM,269088,TALQUET-TGVS 40 MG INJ,61494.74,61494.74,4304.63,61494.74,42
CDM,269089,TALQUET-TGVS 3 MG INJ,4612.11,4612.11,322.85,4612.11,42
CDM,269091,TALQUET-TGVS 0.25MGINJJW,384.32,384.32,26.9,384.32,42
CDM,269092,TALQUET-TGVS 0.25 MG INJ,384.32,384.32,26.9,384.32,42
CDM,269093,ISAVUCONAZONI 74.5 MG PO,273.29,273.29,19.13,273.29,59
CDM,269096,PLATE BN 402MM,79426.0,79426.0,8736.86,79426.0,57
CDM,269127,SPECIAL PROCEDURE,2309.27,2309.27,254.02,2309.27,64
CDM,269128,CYTAL 1SQCM,214.0,214.0,14.98,214.0,53
CDM,269151,NAIL BN FEM 11X240MM RT,33559.0,33559.0,3691.49,33559.0,57
CDM,269153,COIL EMBL 4MM 8CM,48449.0,48449.0,5329.39,48449.0,57
CDM,269175,RING ANLPLS 300 19MM,141310.0,141310.0,15544.1,141310.0,57
CDM,269177,KIT HEMDIAL 15.5F 55CM,7561.0,7561.0,529.27,7561.0,71
CDM,269178,STEM HIP STD OFST SZ4,49020.0,49020.0,5392.2,49020.0,57
CDM,269179,PLATE T BN 10HL 62MM,10954.0,10954.0,1204.94,10954.0,57
CDM,269180,IMPL IPS CRNL PK31,132062.0,132062.0,14526.82,132062.0,57
CDM,269181,IMPLANT BREAST 490CC,15413.0,15413.0,1695.43,15413.0,57
CDM,269183,PLATE MXCRNFCL 6,183910.0,183910.0,20230.1,183910.0,57
CDM,269185,SCREW BN CRNMXF 2X5MM,1749.0,1749.0,192.39,1749.0,57
CDM,269237,IMPLANT BREAST 635CC,23633.0,23633.0,2599.63,23633.0,57
CDM,269261,SYSTEM PCNG LEADLESS,224848.0,224848.0,24733.28,224848.0,57
CDM,269262,SYSTEM PCNG LDLESS CPSL,191682.0,191682.0,21085.02,191682.0,57
CDM,269268,SUTURE GRN/WHT 3-0 30IN,11433.0,11433.0,800.31,11433.0,71
CDM,269269,MESH SURG 10CM 17CM,11508.0,11508.0,1265.88,11508.0,57
CDM,269285,HEAD FEM HIP SZ36MM,56760.0,56760.0,6243.6,56760.0,57
CDM,269302,SHELL FEM HIP 3HL SZ60MM,22059.0,22059.0,2426.49,22059.0,57
CDM,269303,LINER FEM HIP SZ36,13468.0,13468.0,1481.48,13468.0,57
CDM,269307,IMPLANT BREAST 500CC,23633.0,23633.0,2599.63,23633.0,57
CDM,269319,SEALER BIP 2.3,6669.0,6669.0,466.83,6669.0,71
CDM,269320,WAND BIP 3.48MM 5IN,6525.0,6525.0,456.75,6525.0,71
CDM,269321,SEALER BIP 9.5,8516.0,8516.0,596.12,8516.0,71
CDM,269336,CXCL9 IFN-GAMMA IA QN,907.08,907.08,63.5,907.08,47
CDM,269337,ASPARAGINASE ENZ ACT NRS,1273.72,1273.72,89.16,1273.72,47
CDM,269350,KIT GUIDE FOR CSTM IMPLT,33140.0,33140.0,2319.8,33140.0,71
CDM,269367,LEFLUNOMIDE,206.61,206.61,14.46,206.61,51
CDM,269367,Leflunomide ,206.61,206.61,23.14,208.09,73
CDM,269367,Leflunomide Age 21+,206.61,206.61,35.64,35.64,4
CDM,269367,Leflunomide Age Under 21,206.61,206.61,36.29,36.29,4
CDM,269367,Leflunomide Other Outpatient,206.61,206.61,40.5,40.5,6
CDM,269372,MGLUR1-IGG IFA SERUM,195.1,195.1,13.66,195.1,47
CDM,269373,COMPLEMENT FACTOR SC5B-9,833.27,833.27,58.33,833.27,47
CDM,269387,PLATE BN CRNL MED,183910.0,183910.0,20230.1,183910.0,57
CDM,269388,SCREW BN 2.0MM 8.0MM,1793.0,1793.0,197.23,1793.0,57
CDM,269389,SCREW BN 2.0X10MM,1793.0,1793.0,197.23,1793.0,57
CDM,269390,SCREW BN 2MM 12MM,1749.0,1749.0,192.39,1749.0,57
CDM,269391,SCREW BN 2.3MM 8MM,2014.0,2014.0,221.54,2014.0,57
CDM,269392,PROBE CRYO 11IN 8MM,40597.0,40597.0,2841.79,40597.0,71
CDM,269393,NAIL BN FEM 11X420MM,26859.0,26859.0,2954.49,26859.0,57
CDM,269395,AUGMENT FEM KNE 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,269396,AUGMENT FEM KNEE 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,269397,INSERT TIB KN SZ5 18MM,52220.0,52220.0,5744.2,52220.0,57
CDM,269398,CMPNT BN MDBLR RT 45MM,80022.0,80022.0,8802.42,80022.0,57
CDM,269408,PLATE BN 2.7MM,41984.0,41984.0,4618.24,41984.0,57
CDM,269409,SCREW BN 2.7MM 20MM,1768.0,1768.0,194.48,1768.0,57
CDM,269429,NAIL FEM 130D 240MM 11MM,33559.0,33559.0,3691.49,33559.0,57
CDM,269479,PLATE BN NAR 2.7MM,32449.0,32449.0,3569.39,32449.0,57
CDM,269480,SCREW BN 2.7MM 22MM,2261.0,2261.0,248.71,2261.0,57
CDM,269481,SCREW BN 2.7MM 12MM,1768.0,1768.0,194.48,1768.0,57
CDM,269483,PLATE BN 2.7MM 3.5MM,36086.0,36086.0,3969.46,36086.0,57
CDM,269486,SCREW BN 3.5MM 46MM,6289.0,6289.0,691.79,6289.0,57
CDM,269487,SCREW BN 3.5MM 40MM,6289.0,6289.0,691.79,6289.0,57
CDM,269488,MODEL GD BN CSTM,33140.0,33140.0,2319.8,33140.0,71
CDM,269489,MODEL GD IMPL CSTM,33140.0,33140.0,2319.8,33140.0,71
CDM,269490,PLATE BN 8HL 2.7MM,32449.0,32449.0,3569.39,32449.0,57
CDM,269491,PLATE BN 3T 3.5MM,36251.0,36251.0,3987.61,36251.0,57
CDM,269492,SCREW BN 2.7MM 70MM,2508.0,2508.0,275.88,2508.0,57
CDM,269511,SCREW BN 2.7MM 18MM,5391.0,5391.0,593.01,5391.0,57
CDM,269512,SCREW BN 2.7MM 20MM,5713.0,5713.0,628.43,5713.0,57
CDM,269518,STEM KN FEM 16X65MM,11430.0,11430.0,1257.3,11430.0,57
CDM,269519,WEDGE TIB KN SZ3 15MM,11507.0,11507.0,1265.77,11507.0,57
CDM,269520,CMPNT FEM KN SZ3,116382.0,116382.0,12802.02,116382.0,57
CDM,269523,BIT DRILL 1.5MM 20MM,3534.0,3534.0,247.38,3534.0,71
CDM,269525,SCREW BN 2.3X6MM,3239.0,3239.0,356.29,3239.0,57
CDM,269526,PLATE BN 6HL 9MM,10308.0,10308.0,1133.88,10308.0,57
CDM,269527,DEVICE BIOPSY 16GA 15CM,1599.0,1599.0,111.93,1599.0,71
CDM,269528,PLATE BN CRNM 6H 10X1MM,6790.0,6790.0,746.9,6790.0,57
CDM,269529,COMPONENT FEM KN LT S,182666.0,182666.0,20093.26,182666.0,57
CDM,269530,STEM CMN STRGHT 15X100MM,51291.0,51291.0,5642.01,51291.0,57
CDM,269531,STEM TIB 12.5MM 45MM,65311.0,65311.0,7184.21,65311.0,57
CDM,269535,PLATE BN 2.7MM 3.5MM,33970.0,33970.0,3736.7,33970.0,57
CDM,269536,SCREW BN 2.7MM 38MM,2261.0,2261.0,248.71,2261.0,57
CDM,269537,SCREW BN 2.7MM 40MM,1336.0,1336.0,146.96,1336.0,57
CDM,269538,SCREW BN 2.7MM 30MM,5713.0,5713.0,628.43,5713.0,57
CDM,269550,SOD CHL 0.45% 250 ML INJ,21.81,21.81,1.53,21.81,67
CDM,269551,AMIVANTAM-VMJW 2MG INJ,120.74,120.74,8.45,120.74,42
CDM,269552,AMIVANTAM-VMJW 350MG INJ,21130.82,21130.82,1479.16,21130.82,42
CDM,269553,NITROFUR MACRO 25 MG PO,63.91,63.91,4.47,63.91,67
CDM,269555,NITROFUR MACRO 50 MG PO,22.3,22.3,1.56,22.3,67
CDM,269557,NITROFURANTOIN LIQ PO,369.3,369.3,25.85,369.3,67
CDM,269558,NITROF MONO/MAC 100MG PO,3.14,3.14,0.22,3.14,67
CDM,269569,SCREW BN 2.7MM 18MM,1668.0,1668.0,183.48,1668.0,57
CDM,269584,SCREW BN 6.5MM 15MM,1147.0,1147.0,126.17,1147.0,57
CDM,269596,SCREW BN 3.5MM 16MM,3186.0,3186.0,350.46,3186.0,57
CDM,269598,PROBE LSR 1.6MM,165678.0,165678.0,11597.46,165678.0,71
CDM,269635,IMPLANT BREAST 260CC,19009.0,19009.0,2090.99,19009.0,57
CDM,269676,SCREW BN 3.5MM 65MM,6289.0,6289.0,691.79,6289.0,57
CDM,269689,MESH HRN 20X20.5CM,102767.0,102767.0,11304.37,102767.0,57
CDM,269691,SCREW BN 2.7MM 60MM,2508.0,2508.0,275.88,2508.0,57
CDM,269692,SCREW BN 2.7MM 70MM,5898.0,5898.0,648.78,5898.0,57
CDM,269693,SCREW BN 2.7MM 60MM,5898.0,5898.0,648.78,5898.0,57
CDM,269694,SCREW BN 6.5MM 20MM,1131.0,1131.0,124.41,1131.0,57
CDM,269695,PLATE CRNL PROSTH CSTM,19289.0,19289.0,2121.79,19289.0,57
CDM,269696,PLATE BN 6HL 28MM,9227.0,9227.0,1014.97,9227.0,57
CDM,269697,PLATE BN 6HL 33MM,9227.0,9227.0,1014.97,9227.0,57
CDM,269698,BUTTON FD 18F 3.5CM 45CM,10768.0,10768.0,753.76,10768.0,71
CDM,269700,BAR PECTUS SUPPORT 9IN,32367.0,32367.0,3560.37,32367.0,57
CDM,269701,BAR SUPP PECTUS 10IN,32367.0,32367.0,3560.37,32367.0,57
CDM,269712,CHROM BREAKAGE SCORE 100,4843.77,4843.77,339.06,4843.77,47
CDM,269719,IMPLANT BREAST 450CC,26715.0,26715.0,2938.65,26715.0,57
CDM,269726,BIT DRILL 2.8MM,7659.0,7659.0,536.13,7659.0,71
CDM,269794,SCREW BN 6.5MM 25MM,1131.0,1131.0,124.41,1131.0,57
CDM,269804,SCREW BN 6.5MM 30MM,1147.0,1147.0,126.17,1147.0,57
CDM,269807,ALLOFIBER DBF 2.5CC,24157.0,24157.0,2657.27,24157.0,57
CDM,269814,SCREW BN 6.5MM 35MM,1131.0,1131.0,124.41,1131.0,57
CDM,269820,SCREW BN 2.7MM 8MM,3186.0,3186.0,350.46,3186.0,57
CDM,269824,SCREW BN 6.5MM 40MM,1282.0,1282.0,141.02,1282.0,57
CDM,269829,CATH ANGIO 4FR 65CM,739.0,739.0,51.73,739.0,71
CDM,269834,SCREW BN 6.5MM 45MM,1131.0,1131.0,124.41,1131.0,57
CDM,269940,PLATE BN L 8HL 3.5X85MM,68738.0,68738.0,7561.18,68738.0,57
CDM,269941,IMPLANT CRNL MNDBL CSTM,183910.0,183910.0,20230.1,183910.0,57
CDM,269942,IMPLANT PELVIC HIPCUSTOM,506736.0,506736.0,55740.96,506736.0,57
CDM,269952,COAGULATOR SUC 8FR 6IN,373.0,373.0,26.11,373.0,71
CDM,269955,SCREW BN FT 8.0X155MM,5323.0,5323.0,585.53,5323.0,57
CDM,269970,DRILL TWIST 1.1MM 5MM,3534.0,3534.0,247.38,3534.0,71
CDM,269971,DRILL TWIST 1.5MM 5MM,3534.0,3534.0,247.38,3534.0,71
CDM,269972,BIT DRILL TWIST 1.5X7MM,3534.0,3534.0,247.38,3534.0,71
CDM,269973,STEM FEM HIP OFST SZ16H,88910.0,88910.0,9780.1,88910.0,57
CDM,269976,PLATE BN CMF 6HL 1X24MM,9966.0,9966.0,1096.26,9966.0,57
CDM,269977,DRILL TWIST 1.5MM 28MM,7110.0,7110.0,497.7,7110.0,71
CDM,269978,NAIL BN RT 240MM,33559.0,33559.0,3691.49,33559.0,57
CDM,269979,COIL EMBL 17CM 5MM,21088.0,21088.0,2319.68,21088.0,57
CDM,269980,COIL EMBL HLCL 20CM 5MM,21088.0,21088.0,2319.68,21088.0,57
CDM,269981,COIL EMBL 10CM 3MM,18452.0,18452.0,2029.72,18452.0,57
CDM,269982,COIL EMBL HLCL 15CM 5MM,18768.0,18768.0,2064.48,18768.0,57
CDM,269983,COIL EMBL 65CM 24MM,23724.0,23724.0,2609.64,23724.0,57
CDM,269985,IMPLANT CRANIAL PEEK SM,165510.0,165510.0,18206.1,165510.0,57
CDM,269986,CATH ANGIO 4FR 100CM,844.0,844.0,59.08,844.0,71
CDM,269987,K-WIRE TROC 1.25MM 200MM,1599.0,1599.0,111.93,1599.0,71
CDM,269988,SCREW BN F-T 4X38MM,3905.0,3905.0,429.55,3905.0,57
CDM,269989,SCREW BN F-T 4X36MM,3905.0,3905.0,429.55,3905.0,57
CDM,270065,PUMP PAIN INFN 20ML,183910.0,183910.0,20230.1,183910.0,57
CDM,270076,PLATE BN 3.5MM,17468.0,17468.0,1921.48,17468.0,57
CDM,270077,LINER ACETB HIP 10D MED,25983.0,25983.0,2858.13,25983.0,57
CDM,270086,CMPNT KNEE SEG 25MM,64501.0,64501.0,7095.11,64501.0,57
CDM,270117,HEAD HIP +5MM 12/14 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,270123,SCREW BN 10MM 75MM,25688.0,25688.0,2825.68,25688.0,57
CDM,270137,HEAD FEM HIP +0 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,270148,CATH GD 6.5MM 105MM,27533.0,27533.0,1927.31,27533.0,71
CDM,270157,HEAD FEM HIP +6 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,270207,STEM FEM HIP SZ1 125MM,51600.0,51600.0,5676.0,51600.0,57
CDM,270217,STEM HIP SZ2 12/14 130MM,49020.0,49020.0,5392.2,49020.0,57
CDM,270227,STEM FEM SZ9 165MM,51600.0,51600.0,5676.0,51600.0,57
CDM,270236,CEFIDEROCOL 10 MG INJ,12.56,12.56,0.88,12.56,42
CDM,270248,LINER ACTB HIP 42MM 28MM,14190.0,14190.0,1560.9,14190.0,57
CDM,270249,LINER ACTB HIP 42MM 52MM,28380.0,28380.0,3121.8,28380.0,57
CDM,270294,SPECIAL PROCEDURE,2278.24,2278.24,250.61,2278.24,64
CDM,270303,STEM HIP/KN STRT 120MM,81426.0,81426.0,8956.86,81426.0,57
CDM,270331,BIT DRL SHRT DISP 3.0MM,4311.0,4311.0,301.77,4311.0,71
CDM,270332,SCREW BN 3.5MM 34MM,10933.0,10933.0,1202.63,10933.0,57
CDM,270333,SCREW BN 3.5X32MM,10933.0,10933.0,1202.63,10933.0,57
CDM,270334,NAIL BN 12MM 180MM,60960.0,60960.0,6705.6,60960.0,57
CDM,270335,NAIL BN FEM RT 240MM,33559.0,33559.0,3691.49,33559.0,57
CDM,270336,SCREW BN 2X8MM,4088.0,4088.0,449.68,4088.0,57
CDM,270338,SCREW BN 2X12MM,4088.0,4088.0,449.68,4088.0,57
CDM,270339,SCREW BN 2.3MM 10MM,2014.0,2014.0,221.54,2014.0,57
CDM,270340,SCREW BN 2.3MM 12MM,2014.0,2014.0,221.54,2014.0,57
CDM,270341,IMPLANT BREAST 210CC,26715.0,26715.0,2938.65,26715.0,57
CDM,270342,IMPLANT BREAST 400CC,26715.0,26715.0,2938.65,26715.0,57
CDM,270351,KIT ANCHOR SYS,81947.0,81947.0,5736.29,81947.0,71
CDM,270358,OMNIPAQUE 300 50 ML,249.62,249.62,17.47,249.62,47
CDM,270371,AUG TIB KN SZ4 15MM,11507.0,11507.0,1265.77,11507.0,57
CDM,270442,MODEL CSTM MANDIBLE,68397.0,68397.0,4787.79,68397.0,71
CDM,270443,MODEL CSTM MANDIBLE,47341.0,47341.0,3313.87,47341.0,71
CDM,270470,SCREW BN 2.7MM 36MM,5713.0,5713.0,628.43,5713.0,57
CDM,270480,DRILL BIT DISP 7MM,5623.0,5623.0,393.61,5623.0,71
CDM,270496,MESH TIGR MATRX 15X20CM,64733.0,64733.0,7120.63,64733.0,57
CDM,270498,PLATE BN STRT 16H 87MM,6681.0,6681.0,734.91,6681.0,57
CDM,270499,VALVE TAVR 29MM,447320.0,447320.0,49205.2,447320.0,57
CDM,270500,SCREW BN 5MM 60MM,3380.0,3380.0,371.8,3380.0,57
CDM,270501,NAIL BN 9MM 260MM,29839.0,29839.0,3282.29,29839.0,57
CDM,270502,PROTHESIS CSTM CRANIAL,461941.0,461941.0,50813.51,461941.0,57
CDM,270503,CMPNT FEM KN SZ4 70MM,116382.0,116382.0,12802.02,116382.0,57
CDM,270504,CATH ANGIO 5FR 65CM,985.0,985.0,68.95,985.0,71
CDM,270505,MESH SURG 30X20CM,115857.0,115857.0,12744.27,115857.0,57
CDM,270524,PEG CORT NLCK 2.7X26MM,2179.0,2179.0,239.69,2179.0,57
CDM,270531,PLATE BN LT 2.7/3MM,31832.0,31832.0,3501.52,31832.0,57
CDM,270533,SCREW BN 3.5MM 32MM,3186.0,3186.0,350.46,3186.0,57
CDM,270536,STEM FEM KN 21X140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,270552,DEVICE CLS WND +3-0 15CM,1599.0,1599.0,111.93,1599.0,71
CDM,270559,SUTURE ANCHOR 4.75MM,12947.0,12947.0,1424.17,12947.0,57
CDM,270589,STEM FEM HIP SZ1,36120.0,36120.0,3973.2,36120.0,57
CDM,270591,AUGMENT FEM KN SZ5 4MM,30186.0,30186.0,3320.46,30186.0,57
CDM,270592,AUGMENT FEM KN 5 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,270637,HEAD HIP +4MM 26MM,7740.0,7740.0,851.4,7740.0,57
CDM,270647,HEAD FEM HIP +4MM 28MM,7740.0,7740.0,851.4,7740.0,57
CDM,270656,CMPNT KN 40MM,64501.0,64501.0,7095.11,64501.0,57
CDM,270666,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",168.53,168.53,32.2,267.34,17
CDM,270666,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use Other Outpatient",168.53,168.53,,,0
CDM,270666,RECOMBIVAX PED 5MCG IM,168.53,168.53,11.8,168.53,42
CDM,270677,HEAD FEM HIP +8MM 28MM,7740.0,7740.0,851.4,7740.0,57
CDM,270678,TUBING IRRIG L-PRSS SET,5203.0,5203.0,364.21,5203.0,71
CDM,270693,CMPNT TIB KN SZ5 5MM,11507.0,11507.0,1265.77,11507.0,57
CDM,270696,NAIL BN KN 130D 9X170MM,25380.0,25380.0,2791.8,25380.0,57
CDM,270700,AUGMENT FEM KNEE 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,270705,TBO-FILGRASTIM 1MCGINJJW,4.73,4.73,0.33,4.73,42
CDM,270707,HEAD FEM HIP 12.0MM 28MM,7740.0,7740.0,851.4,7740.0,57
CDM,270716,CLIP ANRSM PERM 2MM,5771.0,5771.0,634.81,5771.0,57
CDM,270718,CLIP ANRSM PERM 3MM,5771.0,5771.0,634.81,5771.0,57
CDM,270719,CLIP ANRSM PERM 4MM,5771.0,5771.0,634.81,5771.0,57
CDM,270720,CLIP ANRSM PERM 5MM,5771.0,5771.0,634.81,5771.0,57
CDM,270721,CLIP ANRSM PERM 4MM,6003.0,6003.0,660.33,6003.0,57
CDM,270722,CLIP ANRSM PERM 5MM,6003.0,6003.0,660.33,6003.0,57
CDM,270723,TUBE JJNSTM 14FR 2.5X4CM,10356.0,10356.0,724.92,10356.0,71
CDM,270724,CATH DYSL LTRM 7.5F 19CM,11433.0,11433.0,800.31,11433.0,71
CDM,270726,IMPLANT BREAST 265CC,26715.0,26715.0,2938.65,26715.0,57
CDM,270728,KWIRE FX 1 .062IN 9IN,412.0,412.0,28.84,412.0,71
CDM,270729,HIP FEM +0MM 26MM,9030.0,9030.0,993.3,9030.0,57
CDM,270730,STEM COLLARED SZ1,49020.0,49020.0,5392.2,49020.0,57
CDM,270735,SCREW BN 7MM 78MM,14632.0,14632.0,1609.52,14632.0,57
CDM,270739,SCREW BN 5MM 50MM,3186.0,3186.0,350.46,3186.0,57
CDM,270740,SCREW BN 5MM 60MM,3186.0,3186.0,350.46,3186.0,57
CDM,270755,ITRACONAZOLE LIQ PO,11.1,11.1,0.78,11.1,67
CDM,270773,KIT FOOT JNT PREP,11433.0,11433.0,800.31,11433.0,71
CDM,270795,SHELL ACTB HIP 72MM 66MM,49458.0,49458.0,5440.38,49458.0,57
CDM,270796,LINER ACTB HIP 55/28,14190.0,14190.0,1560.9,14190.0,57
CDM,270815,PANCRELIPASE 6000 U PO,11.88,11.88,0.83,11.88,67
CDM,270871,LOGICAL G-CUP 58,23220.0,23220.0,2554.2,23220.0,57
CDM,270872,INSERT HIP 45/56-58MM,14190.0,14190.0,1560.9,14190.0,57
CDM,270873,INSERT HIP 28/45MM,14190.0,14190.0,1560.9,14190.0,57
CDM,270874,HEAD HIP CERC SZ0 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,270922,PLATE BN 2.7MM 3.5MM,15002.0,15002.0,1650.22,15002.0,57
CDM,270923,SCREW BN 26MM 5MM,3186.0,3186.0,350.46,3186.0,57
CDM,270930,STEM EXT STRT FLUT 10X65,11430.0,11430.0,1257.3,11430.0,57
CDM,270931,STEM XTN KN 14X100MM,11430.0,11430.0,1257.3,11430.0,57
CDM,270939,DEVICE CLSR VASC 6/12FR,4521.0,4521.0,497.31,4521.0,57
CDM,270960,MODEL ANTM CLR SM,18551.0,18551.0,1298.57,18551.0,71
CDM,270961,SCREW BN 2.0MM 6MM,1749.0,1749.0,192.39,1749.0,57
CDM,270962,HEAD FEM HIP 26MM 41MM,11610.0,11610.0,1277.1,11610.0,57
CDM,270963,CATH VASC 5FR 60CM,1599.0,1599.0,111.93,1599.0,71
CDM,270964,TUBE CATH DRN 4FR 30CM,6630.0,6630.0,464.1,6630.0,71
CDM,270965,TUBE DRN SIL 6FR 30CM,6630.0,6630.0,464.1,6630.0,71
CDM,270966,STEM FEM HIP CMNT SZ3,36120.0,36120.0,3973.2,36120.0,57
CDM,271000,TUBE DRN SIL 8FR 30CM,6630.0,6630.0,464.1,6630.0,71
CDM,271018,GWIRE RULER TUBE 800MM,11433.0,11433.0,800.31,11433.0,71
CDM,271024,PIN STEIN 9IN,1215.0,1215.0,85.05,1215.0,71
CDM,271084,SCREW BN 3.5MM 10MM,864.0,864.0,95.04,864.0,57
CDM,271137,BEYFORTUS 1 ML IM,2975.05,2975.05,208.25,2975.05,47
CDM,271137,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",2975.05,2975.05,611.85,5326.78,17
CDM,271138,BEYFORTUS 0.5 ML IM,2975.05,2975.05,208.25,2975.05,47
CDM,271138,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",2975.05,2975.05,611.85,5326.78,17
CDM,271139,CMPD TACROL 1MG/ML PO,7.82,7.82,0.55,7.82,67
CDM,271186,SCREW BN 6.5MM 25MM,1131.0,1131.0,124.41,1131.0,57
CDM,271199,SCREW BN 2.7MM 30MM,5713.0,5713.0,628.43,5713.0,57
CDM,271274,STEM TIB KN 9MM 95MM,64501.0,64501.0,7095.11,64501.0,57
CDM,271284,HYDROMORPHONE 2 MG PO,1.34,1.34,0.09,1.34,67
CDM,271294,LACTULOSE LIQ PO,0.33,0.33,0.02,0.33,67
CDM,271296,STEM FEM KN 12MM 65MM,11430.0,11430.0,1257.3,11430.0,57
CDM,271312,STEM FEM HIP 21MM 240MM,97616.0,97616.0,10737.76,97616.0,57
CDM,271313,LINER ACTB HIP 36X50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,271314,MODEL ANTM CLR MED,38957.0,38957.0,2726.99,38957.0,71
CDM,271322,SCREW BN 2.7MM 8MM,5713.0,5713.0,628.43,5713.0,57
CDM,271326,AUGMENT FEM KN SZ3 4MM,19866.0,19866.0,2185.26,19866.0,57
CDM,271327,AUGMENT FEM KN SZ3 8MM,19866.0,19866.0,2185.26,19866.0,57
CDM,271328,AUGMENT FEM KN SZ3 8MM,19866.0,19866.0,2185.26,19866.0,57
CDM,271347,CMPNT FEM KN RT SZ2,29670.0,29670.0,3263.7,29670.0,57
CDM,271365,SUTURE 3-0 9IN 23CM,1482.0,1482.0,103.74,1482.0,71
CDM,271391,INSERT TIB SZ5 13MM,14077.0,14077.0,1548.47,14077.0,57
CDM,271414,IMPLANT BREAST 454CC,21064.0,21064.0,2317.04,21064.0,57
CDM,271415,MESH SURG 7.5X21CM,53516.0,53516.0,5886.76,53516.0,57
CDM,271416,GRAFT FIBUL SHFT 100X5MM,10777.0,10777.0,1185.47,10777.0,57
CDM,271417,CMPNT AUG PTLL LRG 20MM,42795.0,42795.0,4707.45,42795.0,57
CDM,271418,PLATE BN 3H 75MM,17973.0,17973.0,1977.03,17973.0,57
CDM,271419,IMPLANT BREAST 300CC,10275.0,10275.0,1130.25,10275.0,57
CDM,271420,SIZER BREAST 400CC,1687.0,1687.0,118.09,1687.0,71
CDM,271423,SCREW BN 2MM 5MM,2413.0,2413.0,265.43,2413.0,57
CDM,271424,INSERT TIB KN SZ5 22MM,39245.0,39245.0,4316.95,39245.0,57
CDM,271425,MESH SURG TIGR 15X10CM,24791.0,24791.0,2727.01,24791.0,57
CDM,271426,COIL EMBL 65CM 20MM,18495.0,18495.0,2034.45,18495.0,57
CDM,271427,COIL EMBL 10CM 4.5MM,14385.0,14385.0,1582.35,14385.0,57
CDM,271428,IMPLANT BREAST 750CC,15413.0,15413.0,1695.43,15413.0,57
CDM,271429,CMPNT SHLDR RT 36MM,44273.0,44273.0,4870.03,44273.0,57
CDM,271430,STENT BIL PERC 8MM 4CM,63046.0,63046.0,6935.06,63046.0,57
CDM,271431,RELOAD STPLR 2X45MM,6286.0,6286.0,691.46,6286.0,57
CDM,271432,TUBE FEED LO 14FR 1.7CM,10356.0,10356.0,724.92,10356.0,71
CDM,271433,CATH HMDIAL 10FR 12CM,11433.0,11433.0,800.31,11433.0,71
CDM,271434,CATH HMDIAL 10FR 15CM,11433.0,11433.0,800.31,11433.0,71
CDM,271460,IMPLANT SPLINT GUIDE,183910.0,183910.0,20230.1,183910.0,57
CDM,271462,ADAPTOR BN HIP CUSTOM,506736.0,506736.0,55740.96,506736.0,57
CDM,271463,SCREW BN 2.0MM 6MM,2413.0,2413.0,265.43,2413.0,57
CDM,271464,NEEDLE CRYO 1.5MM 100MM,31401.0,31401.0,2198.07,31401.0,71
CDM,271465,PLATE BN HUM RT 4H 105MM,71042.0,71042.0,7814.62,71042.0,57
CDM,271466,IMPLANT SPLINT GUIDE,198287.0,198287.0,21811.57,198287.0,57
CDM,271497,PLATE BN T 2.7MM,36251.0,36251.0,3987.61,36251.0,57
CDM,271520,NAIL BN LT 12MM 240MM,20118.0,20118.0,2212.98,20118.0,57
CDM,271522,AUGMENT FEM KN 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,271523,AUGMENT FEM KN 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,271527,SCREW SPN 3.5MM 30MM,11390.0,11390.0,1252.9,11390.0,57
CDM,271540,STEM FEM CUSTOM 12/120MM,267045.0,267045.0,29374.95,267045.0,57
CDM,271551,CANNULA PRFSN 24FR 15IN,6435.0,6435.0,450.45,6435.0,71
CDM,271638,BLADE SAW 24.5X100X1.5MM,1839.0,1839.0,128.73,1839.0,71
CDM,271639,STEM HIP FEM SZ4,51600.0,51600.0,5676.0,51600.0,57
CDM,271640,IMPLANT BREAST 310CC,21064.0,21064.0,2317.04,21064.0,57
CDM,271641,DILATOR VASC 11FR 20CM,544.0,544.0,38.08,544.0,71
CDM,271642,IMPLANT BREAST 375CC,21064.0,21064.0,2317.04,21064.0,57
CDM,271643,KIT VALVE HMSTS GWIRE,663.0,663.0,46.41,663.0,71
CDM,271644,RESTRATA 1SQCM,704.0,704.0,49.28,704.0,47
CDM,271645,COIL EMBL 6CM 3MM,10275.0,10275.0,1130.25,10275.0,57
CDM,271646,CATH HEMO L-T 7.5FR 15CM,11433.0,11433.0,800.31,11433.0,71
CDM,271647,CATH HEMO L-T 7.5FR 12CM,11433.0,11433.0,800.31,11433.0,71
CDM,271663,MONITOR CARDIAC INSERT,97830.0,97830.0,10761.3,97830.0,57
CDM,271683,SCREW BN NONLCK 3.5X26MM,2011.0,2011.0,221.21,2011.0,57
CDM,271689,HYDROMORPH 10 MG INJ,11.18,11.18,0.78,11.18,47
CDM,271693,HYDROMORPH 2 MG INJ,16.2,16.2,1.13,16.2,47
CDM,271694,HYDROMORPH 1 MG INJ,14.0,14.0,0.98,14.0,47
CDM,271695,HYDROMORPH 0.5 MG INJ,17.15,17.15,1.2,17.15,47
CDM,271697,LIDO D5W 2G/500 ML INJ,38.88,38.88,2.72,38.88,47
CDM,271698,PEDI INTERMED,14712.21,14712.21,,,0
CDM,271699,PEDI ICU,18350.29,18350.29,,,0
CDM,271712,BURR SURG 2.2MM 20MM,7887.0,7887.0,552.09,7887.0,71
CDM,271746,LIDO 400MG/EPI 0.1MG INJ,117.97,117.97,8.26,117.97,47
CDM,271747,LIDO 1% 20MG/2ML INJ,13.5,13.5,0.94,13.5,47
CDM,271748,LIDO 1% 50MG/5ML INJ,14.08,14.08,0.99,14.08,47
CDM,271749,LIDO 2% 100MG/5ML INJ,20.51,20.51,1.44,20.51,47
CDM,271752,LIDO 300MG/EPI0.15MG INJ,77.18,77.18,5.4,77.18,47
CDM,271758,LIDO 4% 200MG/5ML INJ,27.67,27.67,1.94,27.67,47
CDM,271759,LIDO 200MG/EPI0.05MG INJ,58.77,58.77,4.11,58.77,47
CDM,271762,LIDO 2% 40MG/2ML INJ,16.75,16.75,1.17,16.75,47
CDM,271766,ADMELOG 20 U INJ,10.58,10.58,0.74,10.58,55
CDM,271768,LEVEL II NEWBORN,13692.8,13692.8,,,0
CDM,271769,LEVEL II NEWBORN,13692.8,13692.8,,,0
CDM,271770,LEVEL III NEWBORN,20373.34,20373.34,,,0
CDM,271772,LEVEL III NEWBORN,20373.34,20373.34,,,0
CDM,271773,LEVEL IV NEWBORN,20373.34,20373.34,,,0
CDM,271774,LEVEL IV NEWBORN,20373.34,20373.34,,,0
CDM,271775,LEVEL IV NEWBORN,20373.34,20373.34,,,0
CDM,271777,LIDO 100MG/EPI 0.05MGINJ,55.39,55.39,3.88,55.39,47
CDM,271790,HEAD FEM STEM LNG LG,51600.0,51600.0,5676.0,51600.0,57
CDM,271813,SCREW BN 3.5MM 42MM,6289.0,6289.0,691.79,6289.0,57
CDM,271827,IMPLANT PLVC HIP CUSTOM,506736.0,506736.0,55740.96,506736.0,57
CDM,271869,HEAD FEM +5MM 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,271870,LINER ACTB HIP 32X46MM,14190.0,14190.0,1560.9,14190.0,57
CDM,271872,STEM FEM HIP LAT #1,36120.0,36120.0,3973.2,36120.0,57
CDM,271873,DRILL TWST 19MM LF,6161.0,6161.0,431.27,6161.0,71
CDM,271874,CMPNT TIB KN LT SZ5,160726.0,160726.0,17679.86,160726.0,57
CDM,271875,CMPNT FEM KN LT SZ7,283312.0,283312.0,31164.32,283312.0,57
CDM,271876,CATH URET SFLX 4FR 70CM,1087.0,1087.0,76.09,1087.0,71
CDM,271877,RESTRATA MINIMATRIX 5MG,381.0,381.0,26.67,381.0,65
CDM,271916,HEAD FEM HIP X+0 40MM,9030.0,9030.0,993.3,9030.0,57
CDM,271925,CUP ACTB HIP 50MM,64501.0,64501.0,7095.11,64501.0,57
CDM,271926,LINER HIP 0D 32MM 50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,272006,SCREW BN 4MM 75MM,822.0,822.0,90.42,822.0,57
CDM,272020,STEM HIP SIZE 11,49020.0,49020.0,5392.2,49020.0,57
CDM,272021,CUP ACTB HIP 50X36MM,64501.0,64501.0,7095.11,64501.0,57
CDM,272023,LINER HIP 20D 36MM 50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,272024,LINER ACTB 36MM 50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,272025,GRAFT BN 2.5CC,8579.0,8579.0,943.69,8579.0,57
CDM,272026,INSERT TIB KN SZ6 15MM,52220.0,52220.0,5744.2,52220.0,57
CDM,272027,WEDGE TIB KN SZ1-2 15MM,263048.0,263048.0,28935.28,263048.0,57
CDM,272028,GUIDES BN CUT/DRILL,45411.0,45411.0,3178.77,45411.0,71
CDM,272029,CATH ANGIO 25MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,272030,STEM FEMORAL LARGE TEMP,51600.0,51600.0,5676.0,51600.0,57
CDM,272031,RESTRATA 1SQCM,650.0,650.0,45.5,650.0,47
CDM,272039,GLENOSPHERE SHLDR CUSTM,299747.0,299747.0,32972.17,299747.0,57
CDM,272041,SCREW BN 5MM 34MM,1542.0,1542.0,169.62,1542.0,57
CDM,272108,TOOL DSCT TPR 7CM 1.5MM,2558.0,2558.0,179.06,2558.0,71
CDM,272147,LIDO 1% 300MG/30ML INJ,18.7,18.7,1.31,18.7,47
CDM,272148,LIDO 0.5% 250MG/50ML INJ,24.71,24.71,1.73,24.71,47
CDM,272149,LIDO 1% 100MG/10ML INJ,24.76,24.76,1.73,24.76,47
CDM,272151,HYDROMORPHONE 4 MG PO,1.96,1.96,0.14,1.96,67
CDM,272153,NICARDIPINE 20 MG INJ,286.2,286.2,20.03,286.2,47
CDM,272163,LIDO 2% 200MG/10ML INJ,39.64,39.64,2.77,39.64,47
CDM,272168,LIDOCAINE 2%20ML TOPICAL,41.4,41.4,2.9,41.4,67
CDM,272176,NOREPI 16MG/NS 250ML INJ,382.59,382.59,26.78,382.59,67
CDM,272195,GRAFT FEM INTERCAL LEFT,114253.0,114253.0,12567.83,114253.0,57
CDM,272236,GLOFITA-GXBM 10 MG INJ,60248.25,60248.25,4217.38,60248.25,42
CDM,272237,GLOFITA-GXBM 2.5 MG INJ,15062.04,15062.04,1054.34,15062.04,42
CDM,272238,MIDAZOL/0.9NS 50 MG IV,100.89,100.89,7.06,100.89,47
CDM,272239,NOREPIN 4MG/NS 250ML INJ,158.92,158.92,11.12,158.92,67
CDM,272241,NOREPI 4MG/D5W 250ML INJ,133.12,133.12,9.32,133.12,67
CDM,272257,RACEPINEPHRINE 2.25% INH,11.93,11.93,0.84,11.93,67
CDM,272279,RELOAD STPLR 8MM 30MM,4316.0,4316.0,474.76,4316.0,57
CDM,272281,PLATE BN 130D 7HL 3.5MM,11834.0,11834.0,1301.74,11834.0,57
CDM,272283,TRAY CATH 1 LUM 3FR 8CM,3872.0,3872.0,271.04,3872.0,71
CDM,272285,STEM FEM HIP SZ 8,46440.0,46440.0,5108.4,46440.0,57
CDM,272315,HEAD FEM HIP 28MM 56MM,11017.0,11017.0,1211.87,11017.0,57
CDM,272317,CATH ANGIO 10F 110CM,18939.0,18939.0,1325.73,18939.0,71
CDM,272318,LINER ACTB KN F 5MM 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,272369,LIDO D5W 1 MG INJ,0.05,0.05,0.004,0.05,47
CDM,272381,HINGE INSERT KN SZ3 11MM,45430.0,45430.0,4997.3,45430.0,57
CDM,272416,SCREW BN 6.5MM 35MM,18495.0,18495.0,2034.45,18495.0,57
CDM,272417,SCREW BN 6.5MM 85MM,5508.0,5508.0,605.88,5508.0,57
CDM,272425,HYDROMORPH 0.1 MG INJ,0.1,0.1,0.007,0.1,47
CDM,272431,SCREW TI CANN 6.5X40MM,13650.0,13650.0,1501.5,13650.0,57
CDM,272464,STEM HIP CONFORMITY 6,51600.0,51600.0,5676.0,51600.0,57
CDM,272466,STEM FEM HIP #5,51600.0,51600.0,5676.0,51600.0,57
CDM,272481,INSERT TIB KN SZ3 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,272482,CATH BLNDIL 3F 6MMX1CM,12755.0,12755.0,892.85,12755.0,71
CDM,272484,STENT EPRSTH 14FR 4.5CM,147896.0,147896.0,16268.56,147896.0,57
CDM,272485,STENT EPRSTH AOR 2.2CM,165915.0,165915.0,18250.65,165915.0,57
CDM,272486,BASEPLATE KN LT SZ7 15MM,5135.0,5135.0,564.85,5135.0,57
CDM,272487,SCREW SPNL 6.5X55MM,12330.0,12330.0,1356.3,12330.0,57
CDM,272488,INSERT TIB 3 KNEE 9MM,52220.0,52220.0,5744.2,52220.0,57
CDM,272489,BASEPLATE TIB U2 PSA 3,70329.0,70329.0,7736.19,70329.0,57
CDM,272490,IMPLANT BREAST 330CC,24660.0,24660.0,2712.6,24660.0,57
CDM,272491,SHEATH GD 45CM 7FR,11433.0,11433.0,800.31,11433.0,71
CDM,272499,HEAD FEM HIP12/14-6 40MM,16770.0,16770.0,1844.7,16770.0,57
CDM,272500,SHELL ACTB HIP 3H 54MM,23220.0,23220.0,2554.2,23220.0,57
CDM,272511,BOLT HIP CUP ONE SZ,24660.0,24660.0,2712.6,24660.0,57
CDM,272512,CUP ACTB HIP 62MM,223006.0,223006.0,24530.66,223006.0,57
CDM,272517,CATH THRMB 80CM 105CM,159901.0,159901.0,11193.07,159901.0,71
CDM,272525,SCREW BN 5MM 40MM,3530.0,3530.0,388.3,3530.0,57
CDM,272526,SCREW BN 5MM 30MM,3530.0,3530.0,388.3,3530.0,57
CDM,272554,STEM TIB KN RV 75X12MM,46440.0,46440.0,5108.4,46440.0,57
CDM,272555,INSERT TIB KN SZ4 11MM,52220.0,52220.0,5744.2,52220.0,57
CDM,272610,PROTECTOR NRV 2X2CM,54848.0,54848.0,6033.28,54848.0,57
CDM,272704,DULOXETINE 60 MG PO,8.2,8.2,0.57,8.2,67
CDM,272707,DULOXETINE 30 MG PO,8.2,8.2,0.57,8.2,67
CDM,272708,DULOXETINE 20 MG PO,8.3,8.3,0.58,8.3,67
CDM,272725,CATH INFS .021IN 150CM,19820.0,19820.0,1387.4,19820.0,71
CDM,272727,SPONGE HMSTS SURG 3X8CM,1112.0,1112.0,77.84,1112.0,71
CDM,272795,ERYTHRO ES 200MG/5ML LIQ,93.11,93.11,6.52,93.11,67
CDM,272810,SCREW BN 8MM 40MM,64500.0,64500.0,7095.0,64500.0,57
CDM,272812,CATH ANGIO 26MM 110CM,22616.0,22616.0,1583.12,22616.0,71
CDM,272814,CATH ANGIO 28MM 110CM,22616.0,22616.0,1583.12,22616.0,71
CDM,272835,SCREW BN 6.5MM 130MM,5117.0,5117.0,562.87,5117.0,57
CDM,272851,KIT CATH ASP TB 6F 132CM,126595.0,126595.0,8861.65,126595.0,71
CDM,272868,PANCRELIPASE 5000 U PO,11.79,11.79,0.83,11.79,67
CDM,272869,PANCRELIPASE 10440 U PO,24.19,24.19,1.69,24.19,67
CDM,272870,PANCRELIPASE 24000 U PO,47.09,47.09,3.3,47.09,67
CDM,272871,PANCRELIPASE 12000 U PO,23.75,23.75,1.66,23.75,67
CDM,272881,VALVE AOR 15MM 19MM,95656.0,95656.0,10522.16,95656.0,57
CDM,272882,VALVE AOR 21MM,95656.0,95656.0,10522.16,95656.0,57
CDM,272884,VALVE HEART 23MM,95656.0,95656.0,10522.16,95656.0,57
CDM,272885,VALVE AOR 25MM,95656.0,95656.0,10522.16,95656.0,57
CDM,272886,VALVE AORTA 29MM,95656.0,95656.0,10522.16,95656.0,57
CDM,272905,CATH ANGIO 14MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,272906,CATH ANGIO 4MM 80MM,10275.0,10275.0,719.25,10275.0,71
CDM,272907,CATH VLVPL 3F 5MM 1CM,12755.0,12755.0,892.85,12755.0,71
CDM,272908,SCREW BN 4.3MM 24MM,4110.0,4110.0,452.1,4110.0,57
CDM,272909,NAIL HUM 8MM 130MM,41100.0,41100.0,4521.0,41100.0,57
CDM,272910,GUIDE MRK TRNSFRM CSTM,28382.0,28382.0,1986.74,28382.0,71
CDM,272911,MODEL SUPLMTL CSTM,18645.0,18645.0,1305.15,18645.0,71
CDM,272912,GUIDE MRK W/PLAN CSTM,59991.0,59991.0,4199.37,59991.0,71
CDM,272914,GUIDE CUT X/SML CSTM,31504.0,31504.0,2205.28,31504.0,71
CDM,272915,CMPNT FEM KN RT SZ D,38700.0,38700.0,4257.0,38700.0,57
CDM,272916,CATH ANGIO 16MM 110CM,18939.0,18939.0,1325.73,18939.0,71
CDM,272917,TUBE GAST 14F 1.7X22CM,21193.0,21193.0,1483.51,21193.0,71
CDM,272918,COMP TIB KN D3-4 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,272919,TUBE FD 18FR 45CM,7521.0,7521.0,526.47,7521.0,71
CDM,272920,CMPNT PTLR KN 8MM 31MM,6450.0,6450.0,709.5,6450.0,57
CDM,272921,NAIL BN 8.2MM 320MM,29839.0,29839.0,3282.29,29839.0,57
CDM,272922,SCREW BN 5MM 50MM,3380.0,3380.0,371.8,3380.0,57
CDM,272924,TRAY TRCH INTR 6.5-8MM,11433.0,11433.0,800.31,11433.0,71
CDM,272925,TRAY TRCH INTR 8.5-10MM,11433.0,11433.0,800.31,11433.0,71
CDM,272926,MESH SURG PRFL 26.2X6MM,16588.0,16588.0,1824.68,16588.0,57
CDM,272927,PLATE BN 4HL 1MM 21MM,4249.0,4249.0,467.39,4249.0,57
CDM,272928,STENT TRCHBR 18X40X5.1MM,60623.0,60623.0,6668.53,60623.0,57
CDM,272929,COMP MTPHYSL HA CT 50MM,210392.0,210392.0,23143.12,210392.0,57
CDM,272942,SCREW BN 6.5MM 20MM,1028.0,1028.0,113.08,1028.0,57
CDM,272970,SCREW BN 5MM 38MM,3530.0,3530.0,388.3,3530.0,57
CDM,272971,SCREW BN 5MM 36MM,3530.0,3530.0,388.3,3530.0,57
CDM,272972,INS REV SHLDR SZ3/4 39MM,46440.0,46440.0,5108.4,46440.0,57
CDM,272974,STEM SHLDR SZ12 130MM,138190.0,138190.0,15200.9,138190.0,57
CDM,272978,KIT CATH 12F 100CM W/TB,159072.0,159072.0,11135.04,159072.0,71
CDM,273047,STEM HUM SHLDRSZ11 130MM,138190.0,138190.0,15200.9,138190.0,57
CDM,273051,PHENYTOIN 5 MG/ML INJ,0.19,0.19,0.01,0.19,47
CDM,273052,PHENYTOIN 10 MG/ML INJ,0.43,0.43,0.03,0.43,47
CDM,273053,GENTAMICIN 10 MG/ML INJ,1.87,1.87,0.13,1.87,47
CDM,273056,AMIODARONE 5 MG/ML INJ,0.38,0.38,0.03,0.38,47
CDM,273057,REMIFENTANIL 20MCG/MLINJ,7.02,7.02,0.49,7.02,59
CDM,273058,REMIFENTANIL 50MCG/MLINJ,17.51,17.51,1.23,17.51,59
CDM,273059,PENTOBARB 8 MG/ML INJ,36.72,36.72,2.57,36.72,47
CDM,273060,OCTREOTD SQIV 10 MCG/ML,2.19,2.19,0.15,2.19,55
CDM,273063,IRON SUCROSE 2 MG/ML INJ,7.21,7.21,0.5,7.21,47
CDM,273064,HALOPER LACT 1MG/ML INJ,1.34,1.34,0.09,1.34,47
CDM,273104,SCREW BN 3.5MM 12MM,2795.0,2795.0,307.45,2795.0,57
CDM,273123,SCREW BN 8MM 50MM,48475.0,48475.0,5332.25,48475.0,57
CDM,273129,INSERT TIB KN SZ2 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273130,INSERT TIB KN SZ2 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273131,INSERT TIB KN SZ2 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273132,INSERT TIB KN SZ2 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273133,INSERT TIB KN SZ2 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273134,INSERT TIB KN SZ2 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273136,INSERT TIB KN SZ2 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273137,INSERT TIB KN SZ3 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273138,INSERT TIB KN SZ3 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273139,INSERT TIB KN SZ3 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273140,INSERT TIB KN SZ7 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273141,INSERT TIB KN SZ8 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273142,INSERT TIB KN SZ10 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273143,INSERT TIB KN SZ10 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273144,INSERT TIB KN SZ10 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273146,INSERT TIB KN SZ10 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,273173,STEM TIB KN 12.5X70MM,65311.0,65311.0,7184.21,65311.0,57
CDM,273174,STEM FEM HIP SZ4,36120.0,36120.0,3973.2,36120.0,57
CDM,273176,SCREW BN LCKNG 1.7X5MM,1792.0,1792.0,197.12,1792.0,57
CDM,273177,PLATE BN 6HL 12MM,1530.0,1530.0,168.3,1530.0,57
CDM,273178,PLATE BN 6HL LT .8X12MM,4120.0,4120.0,453.2,4120.0,57
CDM,273179,LINER ACTB HIP 40MM 64MM,14190.0,14190.0,1560.9,14190.0,57
CDM,273180,SLEEVE FEM KN PRCT 50MM,52844.0,52844.0,5812.84,52844.0,57
CDM,273181,SLEEVE FEM KN PRCT 55MM,52844.0,52844.0,5812.84,52844.0,57
CDM,273182,STEM FEM KN 60MM 24MM,27045.0,27045.0,2974.95,27045.0,57
CDM,273183,INSERT TIB KN SZ3 8MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273184,INS TIB KN SZ3 10MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273186,INSERT TIB KN SZ3 12MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273187,INSERT TIB KN SZ3 16MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273188,INSERT TIB KN SZ3 22MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273189,INSERT TIB KN SZ3 24MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273190,INSERT TIB KN SZ3 26MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273191,INSERT TIB KN SZ4 6MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273192,INSERT TIB KN SZ4 24MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273193,INSERT TIB KN SZ4 26MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273194,INSERT TIB KN SZ5 26MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273196,INSERT TIB KN SZ6 6MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273197,INSERT TIB KN SZ6 22MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273198,INSERT TIB KN SZ6 24MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273199,INSERT TIB KN SZ6 26MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273200,INSERT TIB KN SZ7 22MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273201,INSERT TIB KN SZ7 26MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273202,INSERT TIB KN SZ8 8MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273203,INSERT TIB KN SZ8 10MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273204,INSERT BRNG KN SZ8 14MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273206,INSERT TIB KN SZ8 18MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273207,INSERT TIB KN SZ8 22MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273208,INSERT TIB KN SZ8 24MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273209,INSERT TIB KN SZ8 26MM,39732.0,39732.0,4370.52,39732.0,57
CDM,273210,INSERT TIB KN SZ3 10MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273211,INSERT TIB KN SZ3 12MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273212,INSERT TIB KN SZ3 14MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273213,INSERT TIB KN 3 18MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273214,INSERT TIB KN SZ3 20MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273216,INSERT TIB KN SZ3 22MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273217,INSERT TIB KN SZ3 24MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273218,INSERT TIB KN SZ3 26MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273219,INSERT TIB KN SZ4 20MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273220,INSERT TIB SZ4 22MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273221,INSERT TIB KN SZ4 26MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273222,INSERT TIB KN SZ5 22MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273223,INSERT TIB KN 5 24MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273224,INSERT TIB KN SZ5 26MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273226,INSERT TIB KN 6 22MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273227,INSERT TIB KN SZ6 24MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273228,INSERT TIB KN SZ6 26MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273229,INSERT TIB KN SZ7 16MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273230,INSERT TIB KN SZ7 18MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273231,INSERT TIB KN SZ7 22MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273232,INSERT TIB KN SZ7 26MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273233,INSERT TIB KN SZ8 14MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273234,INSERT TIB KN SZ8 16MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273236,INSERT TIB KN SZ8 18MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273237,INSERT TIB KN SZ8 20MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273238,INSERT TIB KN SZ8 22MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273239,INSERT TIB KN SZ8 24MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273240,INSERT TIB KN SZ8 26MM,48401.0,48401.0,5324.11,48401.0,57
CDM,273241,STAPLER DISP 8MM 30MM,11433.0,11433.0,800.31,11433.0,71
CDM,273242,RELOAD STPLR 2.5MM,4316.0,4316.0,474.76,4316.0,57
CDM,273243,RELOAD STPLR 3.5MM,4316.0,4316.0,474.76,4316.0,57
CDM,273244,AUGMENT TIB 15MM,22575.0,22575.0,2483.25,22575.0,57
CDM,273246,AUGMENT TIB 10MM,22575.0,22575.0,2483.25,22575.0,57
CDM,273247,AUGMENT TIB 15MM,22575.0,22575.0,2483.25,22575.0,57
CDM,273248,AUGMENT FEM 12MM,19866.0,19866.0,2185.26,19866.0,57
CDM,273249,CMPNT AUG FEM KN 16MM,19866.0,19866.0,2185.26,19866.0,57
CDM,273250,AUGMENT FEM KN SZ7 16MM,19866.0,19866.0,2185.26,19866.0,57
CDM,273251,AUGMENT FEM KN SZ8 12MM,19866.0,19866.0,2185.26,19866.0,57
CDM,273252,AUGMENT FEM 16MM,19866.0,19866.0,2185.26,19866.0,57
CDM,273270,SCREW BN 5MM 30MM,1542.0,1542.0,169.62,1542.0,57
CDM,273274,STEM FEM KN 12MM 140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,273277,CMPNT FEM KN RIGHT #2,143718.0,143718.0,15808.98,143718.0,57
CDM,273279,SLEEVE FEM 30MM,52839.0,52839.0,5812.29,52839.0,57
CDM,273285,CAP PROT TIP BLUE 5MM,1599.0,1599.0,111.93,1599.0,71
CDM,273294,BOLT BN LCK HIP 75MM,2836.0,2836.0,311.96,2836.0,57
CDM,273296,BOLT BN LCK 85MM,2836.0,2836.0,311.96,2836.0,57
CDM,273297,BOLT BN LCK 95MM,2836.0,2836.0,311.96,2836.0,57
CDM,273298,BOLT BN LCK HIP 105MM,2836.0,2836.0,311.96,2836.0,57
CDM,273299,BODY FEM HIP 20MM 105MM,60605.0,60605.0,6666.55,60605.0,57
CDM,273378,PLATE BN STRL 2HL,12495.0,12495.0,1374.45,12495.0,57
CDM,273406,BODY FEM HIP 28MM 75MMMM,60605.0,60605.0,6666.55,60605.0,57
CDM,273407,BODY FEM HIP 28X95MM,60605.0,60605.0,6666.55,60605.0,57
CDM,273408,CMPNT FEM HIP 28MM 105MM,60605.0,60605.0,6666.55,60605.0,57
CDM,273409,INSERT TIB KN 26MM,67655.0,67655.0,7442.05,67655.0,57
CDM,273410,INSERT TIB KN 31MM,67655.0,67655.0,7442.05,67655.0,57
CDM,273411,INSERT TIB SM UNIV 26MM,67655.0,67655.0,7442.05,67655.0,57
CDM,273412,INSERT TIB MED 28MM,67655.0,67655.0,7442.05,67655.0,57
CDM,273413,STEM FEM KN 24MM 75MM,18164.0,18164.0,1998.04,18164.0,57
CDM,273443,STENT EPRSTH 10ZIG 5.7CM,206193.0,206193.0,22681.23,206193.0,57
CDM,273473,STEM FEM HIP 24MM 115MM,18164.0,18164.0,1998.04,18164.0,57
CDM,273474,STEM FEM HIP 150MM 22MM,18164.0,18164.0,1998.04,18164.0,57
CDM,273476,STEM FEM HIP 24MM 150MM,18164.0,18164.0,1998.04,18164.0,57
CDM,273477,SCREW BN 5.0MM 50MM,3530.0,3530.0,388.3,3530.0,57
CDM,273484,DISTRACTOR SURG INT 16MM,20119.0,20119.0,2213.09,20119.0,57
CDM,273486,GRAFT PRCN 11.8X9.8IN,322654.0,322654.0,35491.94,322654.0,57
CDM,273498,MODEL ANATOMY ORGAN/BONE,11433.0,11433.0,800.31,11433.0,71
CDM,273499,DISTRACTOR BN 9X1.5X7MM,3638.0,3638.0,400.18,3638.0,57
CDM,273508,CETIRIZINE 5 MG/5 ML PO,1.87,1.87,0.13,1.87,67
CDM,273543,DISTRACTOR BN 33MM,23945.0,23945.0,2633.95,23945.0,57
CDM,273544,SCREW BN 5MM 42MM,3530.0,3530.0,388.3,3530.0,57
CDM,273546,SCREW BN 6.5X120X20MM,3864.0,3864.0,425.04,3864.0,57
CDM,273547,SCREW BN 6.5X150MM,6823.0,6823.0,750.53,6823.0,57
CDM,273548,PROSTH PENL PUMP 14CM,179432.0,179432.0,19737.52,179432.0,57
CDM,273549,COMP MTPHYSL HA CT 40MM,143505.0,143505.0,15785.55,143505.0,57
CDM,273550,COMP PRXML 135D 32MM,188564.0,188564.0,20742.04,188564.0,57
CDM,273556,US URINARY BLADDER,771.36,771.36,84.85,771.36,64
CDM,273557,AMOXICILL/CLAV 875 MG PO,23.37,23.37,1.64,23.37,67
CDM,273558,AMOXICILL/CLAV 500 MG PO,17.51,17.51,1.23,17.51,67
CDM,273559,AMOXICILL/CLAV 250 MG PO,28.2,28.2,1.97,28.2,67
CDM,273560,AMOXICILLIN 875 MG PO,4.16,4.16,0.29,4.16,67
CDM,273561,AMOXICILLIN 500 MG PO,1.72,1.72,0.12,1.72,67
CDM,273562,AMOXICILLIN 250 MG PO,1.1,1.1,0.08,1.1,67
CDM,273563,CISATRACURIUM 20 MG INJ,57.24,57.24,4.01,57.24,59
CDM,273595,CONN SHNT 3W 34.3MM,3933.0,3933.0,432.63,3933.0,57
CDM,273620,AMOX/CLAV 400MG/5MLLIQPO,16.75,16.75,1.17,16.75,67
CDM,273627,SCREW BN 5MM 32MM,3530.0,3530.0,388.3,3530.0,57
CDM,273651,GRAFT TISS SYN INJ 10CC,17724.0,17724.0,1949.64,17724.0,57
CDM,273654,SCREW BN 5MM 34MM,3530.0,3530.0,388.3,3530.0,57
CDM,273659,SCREW BN 5MM 32MM,5343.0,5343.0,587.73,5343.0,57
CDM,273671,SCREW BN 5MM 70MM,3530.0,3530.0,388.3,3530.0,57
CDM,273688,SCREW LCK 5.0X74MM,3561.0,3561.0,391.71,3561.0,57
CDM,273689,IMPLANT TMJ NARROW 50MM,80022.0,80022.0,8802.42,80022.0,57
CDM,273691,PLATE BN MDL RT 75MM,28914.0,28914.0,3180.54,28914.0,57
CDM,273727,SCREW BN 10.5MM 95MM,30661.0,30661.0,3372.71,30661.0,57
CDM,273809,TUBING IRR,1874.0,1874.0,131.18,1874.0,71
CDM,273842,KIT ANCHOR SYS,89404.0,89404.0,6258.28,89404.0,71
CDM,273844,RESTRATA 1SQCM,1069.0,1069.0,74.83,1069.0,47
CDM,273850,STEM HIP HI COLR SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,273851,HEAD FEM CERM SZSM 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,273852,PLATE BN LT 6H 132MM,17900.0,17900.0,1969.0,17900.0,57
CDM,273853,SCREW BN 5MM 80MM,3530.0,3530.0,388.3,3530.0,57
CDM,273854,SCREW BN 5MM 60MM,3530.0,3530.0,388.3,3530.0,57
CDM,273856,SCREW BN 5MM 56MM,3530.0,3530.0,388.3,3530.0,57
CDM,273857,NAIL BN TIB 9MM 255MM,24452.0,24452.0,2689.72,24452.0,57
CDM,273891,STEM TIB 75MM 18MM,46440.0,46440.0,5108.4,46440.0,57
CDM,273896,PRISMASOL BGK 2/0,159.47,159.47,11.16,159.47,59
CDM,273897,PRISMASOL BK 0/0/1.2,159.47,159.47,11.16,159.47,59
CDM,273902,OSELTAMIV 30MG/5ML LIQPO,61.38,61.38,4.3,61.38,67
CDM,273903,AUGMENT FEM KN PSA 1 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,273904,RESTRATA MINIMATRIX 5MG,423.0,423.0,29.61,423.0,65
CDM,273914,K-WIRE CALIBRATED 1.35MM,5948.0,5948.0,416.36,5948.0,71
CDM,273985,NUT BN ORTH 5MM,2898.0,2898.0,318.78,2898.0,57
CDM,274012,HUMULIN 70/30 20 U INJ,4.82,4.82,0.34,4.82,55
CDM,274023,ISOVUE 370 100 ML INJ,219.56,219.56,15.37,219.56,47
CDM,274031,MAG SUL 1G/D5W 100ML INJ,17.27,17.27,1.21,17.27,47
CDM,274048,SCREW BN 5MM 80MM,2466.0,2466.0,271.26,2466.0,57
CDM,274065,GRAFT BN DBM 5.0CC,20037.0,20037.0,2204.07,20037.0,57
CDM,274066,INSERT TIB KN SZ2 9MM,52220.0,52220.0,5744.2,52220.0,57
CDM,274067,AUGMENT FEM KN SZ4 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,274088,SCREW T2 LCK F-T 5X90MM,3021.0,3021.0,332.31,3021.0,57
CDM,274108,CATH PSH BIL 5FR 170CM,1599.0,1599.0,111.93,1599.0,71
CDM,274114,SCREW BN 5MM 74MM,3530.0,3530.0,388.3,3530.0,57
CDM,274116,SCREW BN 5MM 64MM,3530.0,3530.0,388.3,3530.0,57
CDM,274126,CATH URET SPRIRAL 4FR,11599.0,11599.0,811.93,11599.0,71
CDM,274127,SCREW BN 3.5MM 16MM,9248.0,9248.0,1017.28,9248.0,57
CDM,274129,INSERT TIB KN SZC 12MM,13468.0,13468.0,1481.48,13468.0,57
CDM,274130,CMPNT FEM KN RND 32MM,6450.0,6450.0,709.5,6450.0,57
CDM,274131,TUBE FD 18F 4CM 45CM,10356.0,10356.0,724.92,10356.0,71
CDM,274132,GWIRE VASC .014IN 300CM,6241.0,6241.0,436.87,6241.0,71
CDM,274165,SCREW BN 5MM 54MM,3530.0,3530.0,388.3,3530.0,57
CDM,274166,SCREW BN 5MM 46MM,3530.0,3530.0,388.3,3530.0,57
CDM,274214,FLUCONAZOL 200MG/5ML LIQ,21.65,21.65,1.52,21.65,67
CDM,274228,CATH ANGIO 5FR 65CM,739.0,739.0,51.73,739.0,71
CDM,274243,FIBER LASER 800UM,14913.0,14913.0,1043.91,14913.0,71
CDM,274257,GENTAMICIN 0.1% 15 G TOP,235.54,235.54,16.49,235.54,67
CDM,274259,SP PORTOGM W/HEMODYN,5644.29,5644.29,395.1,5644.29,48
CDM,274261,TBO-FILGRA 20 MCG/ML INJ,95.36,95.36,6.68,95.36,42
CDM,274262,DEXAMTH NAP 4MG/ML INJ,3.24,3.24,0.23,3.24,47
CDM,274263,DEXAMETHAS 0.1% 5ML OPH,308.52,308.52,21.6,308.52,67
CDM,274321,SCREW BN 7X16X76MM,14632.0,14632.0,1609.52,14632.0,57
CDM,274323,STEM FEM HIP SZ4,46569.0,46569.0,5122.59,46569.0,57
CDM,274326,SCREW BN 2.7MM 65MM,2508.0,2508.0,275.88,2508.0,57
CDM,274341,SCREW BN 5MM 44MM,3530.0,3530.0,388.3,3530.0,57
CDM,274342,SCREW BN 5MM 52MM,3530.0,3530.0,388.3,3530.0,57
CDM,274348,KIT CAMINO ICP MNTR BLT,12648.0,12648.0,885.36,12648.0,71
CDM,274353,CLAMP INTRCK INSRT 86MM,11433.0,11433.0,800.31,11433.0,71
CDM,274481,CALC ACET 667MG ESRD PO,0.67,0.67,0.05,0.67,55
CDM,274481,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",0.67,0.67,0.07,0.17,12
CDM,274482,NAFCILLIN 20 MG/ML INJ,0.68,0.68,0.05,0.68,47
CDM,274483,NAFCILLIN 1 G INJ,59.4,59.4,4.16,59.4,47
CDM,274484,NAFCILLIN 2 G INJ,58.82,58.82,4.12,58.82,47
CDM,274485,BUPIVAC LIPO 266MG INJ,2152.89,2152.89,150.7,2152.89,42
CDM,274486,BUPIVAC LIPO 133MG INJ,1302.93,1302.93,91.21,1302.93,42
CDM,274487,SEVEL CAR 0.8G ESRD POWD,87.2,87.2,6.1,87.2,55
CDM,274487,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",87.2,87.2,0.17,0.43,12
CDM,274489,SEVEL CAR 800 MG ESRD PO,10.55,10.55,0.74,10.55,55
CDM,274489,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",10.55,10.55,0.03,0.09,12
CDM,274536,STEM FEM KN XTN 16X140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,274537,SCREW BN 4MM 70MM,2508.0,2508.0,275.88,2508.0,57
CDM,274541,BULT CAP MINI 1.6MM,24690.0,24690.0,1728.3,24690.0,71
CDM,274542,GUIDE CUT CSTM XTR LP,66894.0,66894.0,4682.58,66894.0,71
CDM,274543,GUIDE MARK CSTM XTR LRG,25864.0,25864.0,1810.48,25864.0,71
CDM,274544,GUIDE CUT PLAN CSTM LP,76528.0,76528.0,5356.96,76528.0,71
CDM,274545,GUIDE CUT CSTM XL LP,51082.0,51082.0,3575.74,51082.0,71
CDM,274546,GRAFT VASC 20MM,65452.0,65452.0,7199.72,65452.0,57
CDM,274547,GRAFT VASC 22MM,65452.0,65452.0,7199.72,65452.0,57
CDM,274549,NAIL BN TIB 11MM 255MM,24452.0,24452.0,2689.72,24452.0,57
CDM,274550,NAIL BN TIB 11X270MM,24452.0,24452.0,2689.72,24452.0,57
CDM,274551,PLATE BN CMF 4HL 0.5MM,6305.0,6305.0,693.55,6305.0,57
CDM,274552,SUTURE 2-0 9IN 23CM,1482.0,1482.0,103.74,1482.0,71
CDM,274553,SUTURE 3-0 6IN 15CM,1519.0,1519.0,106.33,1519.0,71
CDM,274554,DEVICE CLS WND +0.5 15CM,1599.0,1599.0,111.93,1599.0,71
CDM,274555,INSERT TIB KN SZ 1 12MM,13468.0,13468.0,1481.48,13468.0,57
CDM,274556,NAIL BN 125D 13MM 20CM,75193.0,75193.0,8271.23,75193.0,57
CDM,274581,SCREW SET FOR TIB INSERT,2055.0,2055.0,226.05,2055.0,57
CDM,274599,SCREW BN 5MM 10MM,3186.0,3186.0,350.46,3186.0,57
CDM,274609,SPACER ACTB HIP CSTM 8MM,194582.0,194582.0,21404.02,194582.0,57
CDM,274610,CUP ACTB HIP SZ42 48MM,83977.0,83977.0,9237.47,83977.0,57
CDM,274611,SCREW BN 6.5MM 15MM,18495.0,18495.0,2034.45,18495.0,57
CDM,274612,STEM FEM HIP SZ12 150MM,149883.0,149883.0,16487.13,149883.0,57
CDM,274613,CMPNT HIP CSTM 135D 32MM,199844.0,199844.0,21982.84,199844.0,57
CDM,274616,HEAD HIP CSTM SZ28 49MM,11017.0,11017.0,1211.87,11017.0,57
CDM,274617,HEAD HIP SZ12/14 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,274619,GRAFT VASC 16MM 15CM,65452.0,65452.0,7199.72,65452.0,57
CDM,274620,GRAFT VASC 18MM 15CM,65452.0,65452.0,7199.72,65452.0,57
CDM,274621,MESH SURG HRN 4.5X6.0CM,10173.0,10173.0,1119.03,10173.0,57
CDM,274622,CUP HIP CUSTOM SZ56MM,373863.0,373863.0,41124.93,373863.0,57
CDM,274624,STENT ESPH 23MM 120MM,59595.0,59595.0,6555.45,59595.0,57
CDM,274702,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,274739,BUPIVACAINE LIPO 1MG INJ,8.07,8.07,0.56,8.07,42
CDM,274741,NIFEDIPINE ER 60 MG PO,1.14,1.14,0.08,1.14,67
CDM,274748,INSERT KN TIB STD 16MM,19548.0,19548.0,2150.28,19548.0,57
CDM,274754,HEAD FEM HIP SZ28 53MM,11017.0,11017.0,1211.87,11017.0,57
CDM,274755,KIT GUIDE/IMPLANT CUSTOM,198287.0,198287.0,21811.57,198287.0,57
CDM,274858,COMPNT FEM KN RT 65MM,101400.0,101400.0,11154.0,101400.0,57
CDM,274870,INSERT TIB KN SZ C 12MM,13468.0,13468.0,1481.48,13468.0,57
CDM,274871,PACEMAKER LDLS VR 38.0MM,195660.0,195660.0,21522.6,195660.0,57
CDM,274873,CONE SLEEVE FEM KN 24MM,101198.0,101198.0,11131.78,101198.0,57
CDM,274874,CONE SLEEVE FEM KN 21MM,89292.0,89292.0,9822.12,89292.0,57
CDM,274875,LNR ACTB HIP 10D 28X48MM,14190.0,14190.0,1560.9,14190.0,57
CDM,274876,NAIL HUM LONG 250MM,55485.0,55485.0,6103.35,55485.0,57
CDM,274877,STEM FEM HIP OFFST SZ9,46569.0,46569.0,5122.59,46569.0,57
CDM,274879,IMPLANT BREAST 470CC,20550.0,20550.0,2260.5,20550.0,57
CDM,274880,ANCHOR SUT FBRTP KIT,34093.0,34093.0,3750.23,34093.0,57
CDM,274881,GWIRE ORTH 150MM 1.4MM,4086.0,4086.0,286.02,4086.0,71
CDM,274882,DRILL TWIST 1.5X5MM,4096.0,4096.0,286.72,4096.0,71
CDM,274883,GJ TUBE LO 18F 3.5X45CM,10356.0,10356.0,724.92,10356.0,71
CDM,274884,BLADE SAW 46MM,19056.0,19056.0,1333.92,19056.0,71
CDM,274903,BONE CEMENT PLAIN 1X40,2672.0,2672.0,293.92,2672.0,57
CDM,274906,GRANISETRON HCL 1 MG PO,281.43,281.43,19.7,281.43,46
CDM,274906,"Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) ",281.43,281.43,18.52,47.17,12
CDM,274907,PANTOPRAZOLE 40 MG PO,1.1,1.1,0.08,1.1,67
CDM,274909,NAPROXEN LIQ PO,56.95,56.95,3.99,56.95,67
CDM,274910,LANTHANUM 500 MG ESRD PO,18.89,18.89,1.32,18.89,55
CDM,274910,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",18.89,18.89,0.14,0.34,12
CDM,274911,ROMIPLOSTIM 1 MCG INJ JW,60.01,60.01,4.2,60.01,42
CDM,274912,ROMIPLOSTIM 1 MCG INJ,60.01,60.01,4.2,60.01,42
CDM,274913,ROMIPLOSTIM 250 MCG INJ,15007.85,15007.85,1050.55,15007.85,42
CDM,274914,TORSEMIDE 5 MG PO,3.01,3.01,0.21,3.01,67
CDM,274915,METOCLO 10MG/10ML LIQ PO,23.18,23.18,1.62,23.18,67
CDM,274945,PLATE BN 3.5MM 110MM,17468.0,17468.0,1921.48,17468.0,57
CDM,274993,SOLUTION EMBOLIC 6ML,106877.0,106877.0,7481.39,106877.0,71
CDM,274995,SOLUTION EMBOLIC 6ML,106877.0,106877.0,7481.39,106877.0,71
CDM,274999,STENT EPRSTH 14FR 4.5CM,158208.0,158208.0,17402.88,158208.0,57
CDM,275000,CUP ACTB HIP CSTM 52MM,373863.0,373863.0,41124.93,373863.0,57
CDM,275001,PIN GUIDE CUSTOM,36454.0,36454.0,2551.78,36454.0,71
CDM,275002,CUP CMNT HIP SZ38 44MM,139679.0,139679.0,15364.69,139679.0,57
CDM,275003,HEAD FEM HIP SZ22 38MM,64501.0,64501.0,7095.11,64501.0,57
CDM,275004,HEAD FEM HIP SML SZ22,42570.0,42570.0,4682.7,42570.0,57
CDM,275005,INSERT TIB KN SZ3-4 9MM,16770.0,16770.0,1844.7,16770.0,57
CDM,275006,STEM FEM HIP OFFST SZ6,46569.0,46569.0,5122.59,46569.0,57
CDM,275013,BASEPLATE TIB KN RT SZ4,73379.0,73379.0,8071.69,73379.0,57
CDM,275015,KIT IMPL HUM SHLDR CSTM,917760.0,917760.0,100953.6,917760.0,57
CDM,275034,OP VISIT LEVEL 2 EST,727.33,727.33,50.91,727.33,54
CDM,275035,OP VISIT LEVEL 2 NP,727.33,727.33,50.91,727.33,54
CDM,275036,OP VISIT LEVEL 1 EST,594.13,594.13,41.59,594.13,54
CDM,275037,BASIC CARE NP,727.33,727.33,50.91,727.33,54
CDM,275038,OP VISIT LEVEL 5 EST,1230.16,1230.16,86.11,1230.16,54
CDM,275039,OP VISIT LEVEL 4 EST,1098.47,1098.47,76.89,1098.47,54
CDM,275041,OP VISIT LEVEL 5 NP,1230.16,1230.16,86.11,1230.16,54
CDM,275042,OP VISIT LEVEL 3 EST,860.5,860.5,60.23,860.5,54
CDM,275043,OP VISIT LEVEL 4 NP,1098.47,1098.47,76.89,1098.47,54
CDM,275044,OP VISIT LEVEL 3 NP,860.5,860.5,60.23,860.5,54
CDM,275045,CAT 1 CLINIC PROCEDURE,600.95,600.95,42.07,600.95,64
CDM,275046,CAT 2 CLINIC PROCEDURE,1414.18,1414.18,98.99,1414.18,64
CDM,275047,CAT 3 CLINIC PROCEDURE,2278.24,2278.24,159.48,2278.24,64
CDM,275078,PREDNISOLONE 1% 5 ML OPH,251.86,251.86,17.63,251.86,67
CDM,275091,CMPNT FEM KN SZ 3N,36636.0,36636.0,4029.96,36636.0,57
CDM,275110,COIL EMBL 7CM 6-2MM,2222.0,2222.0,244.42,2222.0,57
CDM,275113,510K SKN SUB NOS 1SQCM,38.0,38.0,2.66,38.0,53
CDM,275130,COIL EMBL TRND 5CM 5-2MM,1732.0,1732.0,190.52,1732.0,57
CDM,275138,STEM HUM W/SCR 11X75,98052.0,98052.0,10785.72,98052.0,57
CDM,275139,SCREW BN 5MM 20MM,8241.0,8241.0,906.51,8241.0,57
CDM,275140,COIL EMBL 4CM 4-2MM,1732.0,1732.0,190.52,1732.0,57
CDM,275141,BIT DRILL TWST 9X1.5MM,4096.0,4096.0,286.72,4096.0,71
CDM,275153,BUMETANIDE 0.5 MG INJ JW,2.82,2.82,0.2,2.82,47
CDM,275154,BUMETANIDE 1 MG PO,3.65,3.65,0.26,3.65,67
CDM,275155,BUMETANIDE 0.5 MG PO,1.8,1.8,0.13,1.8,67
CDM,275156,BUPIVACAINE LIPO 1MG JW,8.07,8.07,0.56,8.07,42
CDM,275157,DIPHENH2%/ZINC0.1%28GTOP,19.04,19.04,1.33,19.04,67
CDM,275158,DIPHEN 25MG/10 ML LIQ PO,12.74,12.74,0.89,12.74,67
CDM,275159,DIPHENHYDRAMINE 25 MG PO,0.19,0.19,0.01,0.19,67
CDM,275161,PROCHLORPERAZINE 5 MG PO,7.25,7.25,0.51,7.25,46
CDM,275164,METRONIDAZOLE 500 MG PO,3.65,3.65,0.26,3.65,67
CDM,275165,METRONIDAZOLE 250 MG PO,2.12,2.12,0.15,2.12,67
CDM,275166,ONDANSETRON 4 MG PO,106.28,106.28,7.44,106.28,46
CDM,275166,"Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) ",106.28,106.28,2.78,5.0,12
CDM,275167,MORPHINE 1000MG/20ML INJ,117.5,117.5,8.22,117.5,47
CDM,275168,MORPHINE ER 60 MG PO,4.77,4.77,0.33,4.77,67
CDM,275169,ACETYLCYSTN 20% 30ML INH,80.28,80.28,5.62,80.28,47
CDM,275170,INTRO SHTH 7FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
CDM,275193,NAIL BN 125D 10X240MM,33559.0,33559.0,3691.49,33559.0,57
CDM,275209,METHYLPRED ACET 1 MG JW,1.14,1.14,0.08,1.14,47
CDM,275210,CTH KIT CHLGRM ESCPC 5FR,2324.0,2324.0,162.68,2324.0,71
CDM,275211,HYDROMORPH 0.1 MG INJ JW,0.1,0.1,0.007,0.1,47
CDM,275212,GLYCOPYRROL 0.1 MG INJJW,1.77,1.77,0.12,1.77,47
CDM,275213,LIDO D5W 1 MG INJ JW,0.05,0.05,0.004,0.05,47
CDM,275214,METHYLPRED SS 5 MG INJJW,0.91,0.91,0.06,0.91,47
CDM,275256,SCREW BN 5MM 28MM,3530.0,3530.0,388.3,3530.0,57
CDM,275267,BASEPLATE ULNA BN PROX,102767.0,102767.0,11304.37,102767.0,57
CDM,275268,SCREW BN SET 4-40,2466.0,2466.0,271.26,2466.0,57
CDM,275271,AUGMENT TIB KN PSA 4 5MM,29619.0,29619.0,3258.09,29619.0,57
CDM,275272,SCREW BN 5.0MM 35MM,1131.0,1131.0,124.41,1131.0,57
CDM,275273,DRILL TWIST 1.6MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,275276,LINER ACTB SZH 28X50MM,19350.0,19350.0,2128.5,19350.0,57
CDM,275288,CMPD MORPH 0.2MG/0.5MLPO,0.15,0.15,0.01,0.15,59
CDM,275289,GLYCOPYRROLATE LIQ PO,4.54,4.54,0.32,4.54,67
CDM,275291,GLYCOPYRR 50 MCG/ML INJ,0.86,0.86,0.06,0.86,47
CDM,275328,CAT 3 CLINIC PROCEDURE,3220.01,3220.01,225.4,3220.01,64
CDM,275329,CAT 1 CLINIC PROCEDURE,1686.26,1686.26,118.04,1686.26,64
CDM,275331,CAT 2 CLINIC PROCEDURE,2173.59,2173.59,152.15,2173.59,64
CDM,275332,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,59
CDM,275333,IV HYDRAT EA ADD HR,269.43,269.43,18.86,269.43,59
CDM,275334,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,275335,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,275336,IVP EA ADD SEQ NEW DRUG,514.53,514.53,36.02,514.53,59
CDM,275337,IVP EA ADD SEQ SAME DRUG,514.53,514.53,36.02,514.53,65
CDM,275338,BASIC CARE NP,649.5,649.5,45.47,649.5,54
CDM,275339,OP VISIT LEVEL 2 NP,649.5,649.5,45.47,649.5,54
CDM,275341,OP VISIT LEVEL 3 NP,767.74,767.74,53.74,767.74,54
CDM,275342,OP VISIT LEVEL 4 NP,980.24,980.24,68.62,980.24,54
CDM,275343,OP VISIT LEVEL 5 NP,1099.95,1099.95,77.0,1099.95,54
CDM,275344,OP VISIT LEVEL 1 EST,529.77,529.77,37.08,529.77,54
CDM,275345,OP VISIT LEVEL 2 EST,649.5,649.5,45.47,649.5,54
CDM,275346,OP VISIT LEVEL 3 EST,767.74,767.74,53.74,767.74,54
CDM,275347,OP VISIT LEVEL 4 EST,980.24,980.24,68.62,980.24,54
CDM,275348,OP VISIT LEVEL 5 EST,1099.95,1099.95,77.0,1099.95,54
CDM,275380,SCREW BN 6.5X75X32MM,4521.0,4521.0,497.31,4521.0,57
CDM,275400,PLATE BN 10HL 3.5X194MM,25400.0,25400.0,2794.0,25400.0,57
CDM,275418,HEAD FEM HIP -2.5MM 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,275419,PLATE BN MALBL .5X1.2,17451.0,17451.0,1919.61,17451.0,57
CDM,275421,PLATE LT UPFCL 8HL 90X.6,3137.0,3137.0,345.07,3137.0,57
CDM,275422,PLATE BN 8H 90DG .6MM,3137.0,3137.0,345.07,3137.0,57
CDM,275423,PLATE BN UPRFCL 3D 6X6HL,16409.0,16409.0,1804.99,16409.0,57
CDM,275429,DROPERIDOL 2.5 MG INJ,27.67,27.67,1.94,27.67,47
CDM,275431,ONDANSETRON 1 MG/ML INJ,0.63,0.63,0.04,0.63,47
CDM,275459,BASEPLATE TIB KN SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,275474,MR SFTY TCS EA ADD 30MIN,220.4,220.4,15.43,220.4,53
CDM,275474,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",220.4,220.4,73.82,241.38,6
CDM,275475,MR SFTY TCS INIT 15MIN,110.2,110.2,7.71,110.2,47
CDM,275475,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",110.2,110.2,33.06,109.72,9
CDM,275477,GRAFT BN FILLER 10.0CC,17468.0,17468.0,1921.48,17468.0,57
CDM,275478,TEMPLATE SZ LG ORBT FLR,1599.0,1599.0,111.93,1599.0,71
CDM,275487,BUTTON J TUBE 16F 3.5X45,10356.0,10356.0,724.92,10356.0,71
CDM,275494,DRAIN JXSNPRAT 19FR 30CM,2105.0,2105.0,147.35,2105.0,71
CDM,275495,SUTURE UND MON +4-0 18IN,294.0,294.0,20.58,294.0,71
CDM,275496,PLATE BN 20H .5MM 1.7MM,9860.0,9860.0,1084.6,9860.0,57
CDM,275497,PLATE BN 5HL 0.6MM,2939.0,2939.0,323.29,2939.0,57
CDM,275498,PLATE Y MDFC 5HL.6X8X1.7,3387.0,3387.0,372.57,3387.0,57
CDM,275499,PLATE CRNL LT 100D 2MM,3516.0,3516.0,386.76,3516.0,57
CDM,275501,PLATE BN 100D 5H 5MM,3626.0,3626.0,398.86,3626.0,57
CDM,275502,PLATE BN CRNL 100D 5MM,3626.0,3626.0,398.86,3626.0,57
CDM,275533,ELECTRODE COAG SCALP,7201.0,7201.0,504.07,7201.0,71
CDM,275534,CMPNT FEM KN CMNT SZ4,38700.0,38700.0,4257.0,38700.0,57
CDM,275535,INSERT TIB KN SZ3 8MM,13468.0,13468.0,1481.48,13468.0,57
CDM,275541,PROBE CRYO 11IN,46396.0,46396.0,3247.72,46396.0,71
CDM,275578,PLATE BN MDFC 2X2 1.7MM,4819.0,4819.0,530.09,4819.0,57
CDM,275579,BUTTON GSTRM 24FR 4.4CM,3636.0,3636.0,254.52,3636.0,71
CDM,275581,PLATE BN 5HL 4.0MM,4314.0,4314.0,474.54,4314.0,57
CDM,275582,SCREW TI 4MM 1.7MM MDFC,1359.0,1359.0,149.49,1359.0,57
CDM,275583,STEM FEM 160MM 22MM,15491.0,15491.0,1704.01,15491.0,57
CDM,275584,PLATE MINI .75 RT 9HL L,4659.0,4659.0,512.49,4659.0,57
CDM,275621,SCREW BN 2.7MM 48MM,3186.0,3186.0,350.46,3186.0,57
CDM,275629,CATH BLNDIL 4.50X8MM,2811.0,2811.0,196.77,2811.0,71
CDM,275631,CATH BLNDIL 5.00X8MM,2811.0,2811.0,196.77,2811.0,71
CDM,275632,CATH BLNDIL 4.50X12MM,2811.0,2811.0,196.77,2811.0,71
CDM,275633,CATH BLNDIL 5.00X12MM,2811.0,2811.0,196.77,2811.0,71
CDM,275634,CATH BLNDIL 4.50X15MM,2811.0,2811.0,196.77,2811.0,71
CDM,275635,CATH BLNDIL 4.50X20MM,2811.0,2811.0,196.77,2811.0,71
CDM,275636,CATH BLNDIL 5.00X20MM,2811.0,2811.0,196.77,2811.0,71
CDM,275672,SCREW TI 5MM 1.7MM MDFC,1359.0,1359.0,149.49,1359.0,57
CDM,275673,SCREW BN 6MM 1.7MM,1359.0,1359.0,149.49,1359.0,57
CDM,275674,PLT BN RT 6H 1MM,2987.0,2987.0,328.57,2987.0,57
CDM,275675,PLATE BN CRNMXF 5HL 2MM,3461.0,3461.0,380.71,3461.0,57
CDM,275676,PLATE MINI 8MMX1MM,3461.0,3461.0,380.71,3461.0,57
CDM,275677,PLATE CRNLFX STRT 30HL,9666.0,9666.0,1063.26,9666.0,57
CDM,275678,PLATE MXLFCL 9H .75MM,4659.0,4659.0,512.49,4659.0,57
CDM,275679,PLATE BN 7 8HL 0.75MM,4497.0,4497.0,494.67,4497.0,57
CDM,275681,PLATE BN MXLFCL 12H,4650.0,4650.0,511.5,4650.0,57
CDM,275682,PLATE 4 CHIN BN TI,4497.0,4497.0,494.67,4497.0,57
CDM,275683,PLATE MINI MNDB 4 HL REI,6863.0,6863.0,754.93,6863.0,57
CDM,275684,SCREW BN 2.3X14MM MXLFCL,1391.0,1391.0,153.01,1391.0,57
CDM,275710,SCREW BN 2.3MM 24MM,2693.0,2693.0,296.23,2693.0,57
CDM,275768,PLATE BN 8H 5MM 231MM,83783.0,83783.0,9216.13,83783.0,57
CDM,275769,IMPL ORBTL 2WALL,164573.0,164573.0,18103.03,164573.0,57
CDM,275793,ULIPRISTAL 30 MG PO,221.81,221.81,15.53,221.81,52
CDM,275796,KWIRE 6IN 2MM,5235.0,5235.0,366.45,5235.0,71
CDM,275823,TUBE SINGLE LUMEN FLTRD,922.0,922.0,64.54,922.0,71
CDM,275824,TUBING INSFL 10FT,368.0,368.0,25.76,368.0,71
CDM,275825,NAIL BN LNG LT 8MM 27CM,55485.0,55485.0,6103.35,55485.0,57
CDM,275826,INSERT TIB FIXED #3,14190.0,14190.0,1560.9,14190.0,57
CDM,275827,PLATE BN WRST 23X50MM,24044.0,24044.0,2644.84,24044.0,57
CDM,275828,SCREW BN WRST 2.5MM 15MM,1871.0,1871.0,205.81,1871.0,57
CDM,275829,SCREW BN CORT 2.5X18MM,1871.0,1871.0,205.81,1871.0,57
CDM,275830,KIT CRICO SYR NDL,5623.0,5623.0,393.61,5623.0,71
CDM,275831,SYSTEM ATF DRN 3.2MM,14616.0,14616.0,1023.12,14616.0,71
CDM,275832,TUBE VNT 1.5MM 1.27MM,750.0,750.0,82.5,750.0,57
CDM,275853,NITROGLYC 400 MCG/ML INJ,0.53,0.53,0.04,0.53,47
CDM,275854,NITROGLYC 200 MCG/ML INJ,0.24,0.24,0.02,0.24,47
CDM,275886,STEM FEM HIP SZ3,51600.0,51600.0,5676.0,51600.0,57
CDM,275888,SCREW BN 2.7MM 50MM,3186.0,3186.0,350.46,3186.0,57
CDM,275910,SPLINT NSL LG 69X43MM,2452.0,2452.0,171.64,2452.0,71
CDM,275920,SPLINT NSL SM/MD 65X35MM,2527.0,2527.0,176.89,2527.0,71
CDM,275938,IMPLANT SPN 8.7MM 145MM,63282.0,63282.0,6961.02,63282.0,52
CDM,275980,CATH ANGIO 5FR 100CM,1023.0,1023.0,71.61,1023.0,71
CDM,276000,PLATE CRNMXF MSH 54X85MM,11695.0,11695.0,1286.45,11695.0,57
CDM,276058,SCREW BN 6.5MM 50MM,18495.0,18495.0,2034.45,18495.0,57
CDM,276059,KIT INST PLATE PLAN SESN,12270.0,12270.0,858.9,12270.0,71
CDM,276060,CMPNT FEM KN SZ2,95543.0,95543.0,10509.73,95543.0,57
CDM,276061,INSERT TIB KN SZ3 11MM,52220.0,52220.0,5744.2,52220.0,57
CDM,276062,MESH PLT NEURO 85X35MM,33908.0,33908.0,3729.88,33908.0,57
CDM,276063,KIT GD XSM CSTM,17884.0,17884.0,1251.88,17884.0,71
CDM,276064,MESH HRN 3LY 11.5X22CM,65797.0,65797.0,7237.67,65797.0,57
CDM,276112,PLATE BN CRNL 2HL 17MM,1507.0,1507.0,165.77,1507.0,57
CDM,276115,DRESSING NPWT 7Y,6950.0,6950.0,486.5,6950.0,71
CDM,276122,PLATE BN BUR CVR LG 26MM,3690.0,3690.0,405.9,3690.0,57
CDM,276172,RESERVOIR CSF7.2MM 3.4CM,15557.0,15557.0,1711.27,15557.0,57
CDM,276211,IMPLANT CRNL CUSTM,136702.0,136702.0,15037.22,136702.0,57
CDM,276252,PLATE BN RT 3.5X85MM,6441.0,6441.0,708.51,6441.0,57
CDM,276264,SCREW BN 5MM 34MM,4177.0,4177.0,459.47,4177.0,57
CDM,276293,ISOVUE 300 100 ML INJ,197.87,197.87,13.85,197.87,47
CDM,276306,HEAD HIP TAPER 36MM,25800.0,25800.0,2838.0,25800.0,57
CDM,276307,CMPNT TIB KN FB+ SZ3,145950.0,145950.0,16054.5,145950.0,57
CDM,276308,CMPNT TIB KN SC SZ3,174332.0,174332.0,19176.52,174332.0,57
CDM,276309,HEAD FEM HIP 51MM,11017.0,11017.0,1211.87,11017.0,57
CDM,276310,STEM FEM HIP SZ3,46440.0,46440.0,5108.4,46440.0,57
CDM,276311,HEAD FEM HIP SML 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,276329,DRIVER SURG QC UNIV T10,1599.0,1599.0,111.93,1599.0,71
CDM,276330,DRIVER SURG CONN SCREW,1599.0,1599.0,111.93,1599.0,71
CDM,276334,DRESSING WND 10CM 40CM,6518.0,6518.0,456.26,6518.0,71
CDM,276374,PIN SPN FX TEMP DISP,1599.0,1599.0,111.93,1599.0,71
CDM,276378,CEPHALEX 250MG/5ML LIQPO,5.13,5.13,0.36,5.13,67
CDM,276385,K40/D5NS 1000 ML INJ,16.79,16.79,1.18,16.79,47
CDM,276386,K40/NS 1000 ML INJ,16.2,16.2,1.13,16.2,47
CDM,276398,DEV TEST LTD INT&RPT OT,437.75,437.75,30.64,437.75,50
CDM,276398,"Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument ",437.75,437.75,27.75,53.98,6
CDM,276399,DEV TEST INT&RPT 60M OT,916.7,916.7,64.17,916.7,44
CDM,276399,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",916.7,916.7,380.46,740.17,6
CDM,276400,DEV TEST INT&RPT A30M OT,530.45,530.45,37.13,530.45,50
CDM,276400,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",530.45,530.45,163.52,318.11,6
CDM,276436,STEM XTN KN M/F 40MM,121438.0,121438.0,13358.18,121438.0,57
CDM,276437,STEM XTN KN M/F 50MM,121438.0,121438.0,13358.18,121438.0,57
CDM,276438,IMPLANT BREAST 595CC,20550.0,20550.0,2260.5,20550.0,57
CDM,276453,TEMPLATE GUIDE XS,61156.0,61156.0,4280.92,61156.0,71
CDM,276454,GUIDE XS RECON IPS DISP,17363.0,17363.0,1215.41,17363.0,71
CDM,276455,PLATE BN DSTL RAD 11H,24044.0,24044.0,2644.84,24044.0,57
CDM,276456,HEAD FEM MED 54MM,58050.0,58050.0,6385.5,58050.0,57
CDM,276457,DOME IMPLANT PTLR SIZE 2,6450.0,6450.0,709.5,6450.0,57
CDM,276458,IMPLANT FEMORAL LEFT,132875.0,132875.0,14616.25,132875.0,57
CDM,276459,INSERT TIB KN #5 15MM,225330.0,225330.0,24786.3,225330.0,57
CDM,276460,STEM XTN FEM KN 11X140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,276461,FIBER LASER NEURO-L,53720.0,53720.0,3760.4,53720.0,71
CDM,276488,MODEL CSTM BN,24855.0,24855.0,1739.85,24855.0,71
CDM,276489,GUIDE PIN CSTM,36454.0,36454.0,2551.78,36454.0,71
CDM,276557,CMPNT PTLA KN 7.5MM 35MM,6128.0,6128.0,674.08,6128.0,57
CDM,276561,DRIVER UNV QC T20,1599.0,1599.0,111.93,1599.0,71
CDM,276568,SCREW BN 2.7MM 30MM,1670.0,1670.0,183.7,1670.0,57
CDM,276569,SCREW BN 2.7MM 24MM,1670.0,1670.0,183.7,1670.0,57
CDM,276571,SCREW BN 2.7MM 16MM,3648.0,3648.0,401.28,3648.0,57
CDM,276573,SCREW BN 2.7MM 40MM,1670.0,1670.0,183.7,1670.0,57
CDM,276577,SCREW BN 2.7MM 12MM,3648.0,3648.0,401.28,3648.0,57
CDM,276578,SCREW BN 2.7MM 14MM,3648.0,3648.0,401.28,3648.0,57
CDM,276579,SCREW BN 2.7MM 18MM,3648.0,3648.0,401.28,3648.0,57
CDM,276581,SCREW BN 2.4MM 20MM,1670.0,1670.0,183.7,1670.0,57
CDM,276583,SCREW BN 2.7MM 22MM,3648.0,3648.0,401.28,3648.0,57
CDM,276584,SCREW BN 2.4MM 16MM,3648.0,3648.0,401.28,3648.0,57
CDM,276586,SCREW BN 2.4MM 18MM,3648.0,3648.0,401.28,3648.0,57
CDM,276641,FILLER BN VOID CRNL 5MM,28335.0,28335.0,3116.85,28335.0,57
CDM,276643,STEM FEM HIP SZ7,46569.0,46569.0,5122.59,46569.0,57
CDM,276644,SHELL FEM 70MM,64501.0,64501.0,7095.11,64501.0,57
CDM,276645,STEM LIMB 17X120MM,64501.0,64501.0,7095.11,64501.0,57
CDM,276646,STEM XTN KN 60MM,121438.0,121438.0,13358.18,121438.0,57
CDM,276647,COIL EMBL 2MM 6CM,23171.0,23171.0,2548.81,23171.0,57
CDM,276648,COIL EMBL 3MM 8CM,23171.0,23171.0,2548.81,23171.0,57
CDM,276649,COIL EMBL 45CM,36535.0,36535.0,4018.85,36535.0,57
CDM,276650,COIL EMBL 2MM 8MM,23171.0,23171.0,2548.81,23171.0,57
CDM,276651,SET VASC INTRO 60CM,3561.0,3561.0,249.27,3561.0,71
CDM,276652,WIRE PCNG TEMP 89MM,1404.0,1404.0,98.28,1404.0,71
CDM,276653,SHEATH INTR VASC 5F 60CM,3561.0,3561.0,249.27,3561.0,71
CDM,276654,SUT GRN/WHT BRD 3-0 30IN,1599.0,1599.0,111.93,1599.0,71
CDM,276655,CATH URTH 16FR,3702.0,3702.0,259.14,3702.0,71
CDM,276658,SCREW BN 2.7MM 16MM,1670.0,1670.0,183.7,1670.0,57
CDM,276660,SCREW BN 2.7MM 18MM,1670.0,1670.0,183.7,1670.0,57
CDM,276681,SCREW BN 2.7MM 36MM,1670.0,1670.0,183.7,1670.0,57
CDM,276684,SCREW BN 2.4MM 20MM,3648.0,3648.0,401.28,3648.0,57
CDM,276704,SCREW BN 2.7MM 14MM,1670.0,1670.0,183.7,1670.0,57
CDM,276720,DIALYSIS CIRC THRMB/BLN,82890.17,82890.17,9117.92,82890.17,37
CDM,276720,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",82890.17,82890.17,1995.0,27743.74,60
CDM,276767,SHEATH STRABL 6.5F 45CM,11433.0,11433.0,800.31,11433.0,71
CDM,276768,CATH URTH 20FR 30ML,680.0,680.0,47.6,680.0,71
CDM,276769,CAHTETER URTH 3W 22FR,1599.0,1599.0,111.93,1599.0,71
CDM,276770,SCREW BN 2MM 20MM,1188.0,1188.0,130.68,1188.0,57
CDM,276771,COIL EMBL 2MM 2CM,23171.0,23171.0,2548.81,23171.0,57
CDM,276773,COIL EMBL 2MM 4CM,23171.0,23171.0,2548.81,23171.0,57
CDM,276774,HOOK SPN RT,7593.0,7593.0,835.23,7593.0,57
CDM,276775,HOOK SPN LT,7593.0,7593.0,835.23,7593.0,57
CDM,276825,IMPLNT BN CSTM 00026.0,132062.0,132062.0,14526.82,132062.0,57
CDM,276829,STENT VASC 8X16MM 63CM,447320.0,447320.0,49205.2,447320.0,57
CDM,276843,AMOXICI 250MG/5ML LIQ PO,1.35,1.35,0.09,1.35,67
CDM,276848,CLINIMIX E 4.25/5 1L INJ,232.47,232.47,16.27,232.47,59
CDM,276849,CLINIMIX 4.25/5 1L INJ,208.31,208.31,14.58,208.31,59
CDM,276861,STEM XTN KN SZ 70MM,121438.0,121438.0,13358.18,121438.0,57
CDM,276864,SCREW BN 2MM 6MM,3786.0,3786.0,416.46,3786.0,57
CDM,276945,SCREW BN 2.7MM 12MM,1670.0,1670.0,183.7,1670.0,57
CDM,276959,POLYMIXB/TRIMETH OPHTH,83.09,83.09,5.82,83.09,67
CDM,276961,IMPLANT BREAST 320CC,26715.0,26715.0,2938.65,26715.0,57
CDM,276963,IMPLANT BREAST 470CC,23633.0,23633.0,2599.63,23633.0,57
CDM,277033,SCREW BN 7MM 65MM,14632.0,14632.0,1609.52,14632.0,57
CDM,277071,SCREW BN 2.7MM 26MM,1670.0,1670.0,183.7,1670.0,57
CDM,277079,PLATE BN 2.7MM 95MM,19266.0,19266.0,2119.26,19266.0,57
CDM,277080,SCREW BN 2.7MM 42MM,1670.0,1670.0,183.7,1670.0,57
CDM,277114,MED GENE BY CNSLR EA 30M,155.1,155.1,10.86,155.1,65
CDM,277114,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",155.1,155.1,144.46,281.04,6
CDM,277116,CMPNT FEM KN SZ 5,38700.0,38700.0,4257.0,38700.0,57
CDM,277152,WIRE LIGASURE 24GA,1599.0,1599.0,111.93,1599.0,71
CDM,277158,DICYCLOMINE LIQ PO,1.35,1.35,0.09,1.35,67
CDM,277171,STEM FEM HIP SZ4,46440.0,46440.0,5108.4,46440.0,57
CDM,277173,PLATE BN LT 6HL,15824.0,15824.0,1740.64,15824.0,57
CDM,277174,COIL EMBL 3MM 4CM,23171.0,23171.0,2548.81,23171.0,57
CDM,277207,AUGMENT FEM KN SZ2 8MM,30186.0,30186.0,3320.46,30186.0,57
CDM,277208,COMP TIB KN #2 10MM,44273.0,44273.0,4870.03,44273.0,57
CDM,277209,AUGMENT TIB KNEE #2,44273.0,44273.0,4870.03,44273.0,57
CDM,277210,STEM HIP SZ1 96X30.5MM,49846.0,49846.0,5483.06,49846.0,57
CDM,277212,PLATE BN RT 8HL,10565.0,10565.0,1162.15,10565.0,57
CDM,277243,GWIRE VASC .035IN 260CM,831.0,831.0,58.17,831.0,71
CDM,277279,DRESSING NASAL PACKING,5623.0,5623.0,393.61,5623.0,71
CDM,277287,SCREW BN 5MM 36MM,4177.0,4177.0,459.47,4177.0,57
CDM,277288,SCREW BN 5MM 30MM,4177.0,4177.0,459.47,4177.0,57
CDM,277289,SCREW BN 5MM 28MM,4177.0,4177.0,459.47,4177.0,57
CDM,277313,CLAMP EX FIX LG,8642.0,8642.0,604.94,8642.0,71
CDM,277402,PLATE BN 4HL 3.5MM 50MM,14201.0,14201.0,1562.11,14201.0,57
CDM,277461,COIL EMBL 60CM,36535.0,36535.0,4018.85,36535.0,57
CDM,277462,INSERT SHLDR SZ3/4 3X39,46440.0,46440.0,5108.4,46440.0,57
CDM,277465,DISTRACTOR BN 32H 30MM,137664.0,137664.0,15143.04,137664.0,57
CDM,277489,IG GAMMA GLOBULIN1MLIMJW,272.08,272.08,19.05,272.08,42
CDM,277490,IG GAMMA GLOBULIN 1ML IM,272.08,272.08,19.05,272.08,42
CDM,277491,IG GAMMA GLOBULIN 10MLIM,2721.15,2721.15,190.48,2721.15,42
CDM,277501,MYCOPHE 200MG/1ML LIQ PO,24.95,24.95,1.75,24.95,55
CDM,277502,INS RVAD PERC VENOUS,31082.76,31082.76,3419.1,31082.76,43
CDM,277502,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only ",31082.76,31082.76,948.0,25655.0,27
CDM,277591,STEM FEM XTN 140X18MM,11430.0,11430.0,1257.3,11430.0,57
CDM,277600,AMPHET/DEXTRO ER 20MG PO,7.47,7.47,0.52,7.47,67
CDM,277678,COIL EMBL 15CM,34470.0,34470.0,3791.7,34470.0,57
CDM,277679,SCREW BN 5MM 76MM,3530.0,3530.0,388.3,3530.0,57
CDM,277680,SCREW BN CANN 4X5X64MM,3432.0,3432.0,377.52,3432.0,57
CDM,277681,SCREW LOCK 5MM 28MM,3561.0,3561.0,391.71,3561.0,57
CDM,277689,STEM HIP PLASMA SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,277717,CUP HIP CSTM 66MM,132344.0,132344.0,14557.84,132344.0,57
CDM,277719,STEM FEM HIP SZ18 150MM,149883.0,149883.0,16487.13,149883.0,57
CDM,277759,SCREW BN 4.5MM 95MM,864.0,864.0,95.04,864.0,57
CDM,277760,KIT BLN UNIPEDICULAR25MM,52196.0,52196.0,3653.72,52196.0,71
CDM,277761,SCREW BN 3MM 18MM,4768.0,4768.0,524.48,4768.0,57
CDM,277762,PLATE BN HUM LT 70MM,27599.0,27599.0,3035.89,27599.0,57
CDM,277764,SCREW BN 3MM 14MM,4768.0,4768.0,524.48,4768.0,57
CDM,277765,CATH BLNDIL 6MM 50CM 2CM,5623.0,5623.0,393.61,5623.0,71
CDM,277766,CATHETER BLNDIL 7X50X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,277767,SET CLOSURE ABD WALL,136703.0,136703.0,9569.21,136703.0,71
CDM,277768,SET EXTN CLSR ABD WALL,31069.0,31069.0,2174.83,31069.0,71
CDM,277809,CMPNT HUM SHLDR STD 13MM,91333.0,91333.0,10046.63,91333.0,57
CDM,277810,STEM HUM SHLDR 14MM 90MM,64501.0,64501.0,7095.11,64501.0,57
CDM,277811,TRAY SHLDR REV SZ3/4 8MM,46569.0,46569.0,5122.59,46569.0,57
CDM,277850,GLENOSPHERE SHLDR CUSTOM,50310.0,50310.0,5534.1,50310.0,57
CDM,277851,SCREW BN 14MM,1542.0,1542.0,169.62,1542.0,57
CDM,277852,ADAPTOR FEM BN CSTM 31MM,281100.0,281100.0,30921.0,281100.0,57
CDM,277877,FORCEP SURG 9.75IN,1435.0,1435.0,100.45,1435.0,71
CDM,277878,ELECTRODE 3/ARR CP 1.5MM,320.0,320.0,22.4,320.0,71
CDM,277880,SET .19IN CSCP TBG 1 PRT,2822.0,2822.0,197.54,2822.0,71
CDM,277882,MODEL ANTM ORG/BN CSTM,16954.0,16954.0,1186.78,16954.0,71
CDM,277925,SHEARS LAPSCP 5MM 36CM,9830.0,9830.0,688.1,9830.0,71
CDM,277954,CLINDAMYCIN 1% 30 G TOP,114.48,114.48,8.01,114.48,67
CDM,277957,ECULIZUMAB 300 MG INJ,36093.06,36093.06,2526.51,36093.06,42
CDM,277957,"Injection, eculizumab, 2 mg ",36093.06,36093.06,43.36,382.87,17
CDM,277960,RIFAMPIN 6 MG/ML INJ,8.73,8.73,0.61,8.73,47
CDM,277961,RIFAMPIN 600 MG INJ,875.77,875.77,61.3,875.77,47
CDM,277962,DOXYCYCL HYCL 100 MG INJ,83.95,83.95,5.88,83.95,47
CDM,277962,"Injection, doxycycline hyclate, 1 mg ",83.95,83.95,0.09,1.03,17
CDM,277964,SMX/TMP 5.5/1.1 MG/ML,7.97,7.97,0.56,7.97,47
CDM,277965,SMX/TMP 400/80MG INJ,35.87,35.87,2.51,35.87,47
CDM,277966,FAMOTIDINE 20 MG INJ,4.64,4.64,0.32,4.64,47
CDM,277966,"Injection, famotidine, 0.25 mg ",4.64,4.64,0.01,0.09,17
CDM,277967,AMINOCAPROC 20 MG/ML INJ,0.19,0.19,0.01,0.19,47
CDM,277968,AMINOCAPROIC ACID 1G INJ,11.21,11.21,0.78,11.21,47
CDM,277969,FUROSEMIDE 10 MG/ML INJ,1.01,1.01,0.07,1.01,47
CDM,277970,FUROSEMIDE 2 MG/ML INJ,0.2,0.2,0.01,0.2,47
CDM,277971,FUROSEMIDE 100 MG INJ,10.17,10.17,0.71,10.17,47
CDM,277972,FUROSEMIDE 40 MG INJ,6.77,6.77,0.47,6.77,47
CDM,277974,FUROSEMIDE 20 MG INJ,5.72,5.72,0.4,5.72,47
CDM,277980,INCOBOTULINUM A 100 UNIT,2924.96,2924.96,204.75,2924.96,42
CDM,277980,"Injection, incobotulinumtoxin a, 1 unit ",2924.96,2924.96,5.13,45.41,17
CDM,277988,CMPD LANSOPRAZ 3MG/ML PO,0.27,0.27,0.02,0.27,67
CDM,278064,CATH ANGIO 7FR 90CM,5435.0,5435.0,380.45,5435.0,71
CDM,278113,SCREW BN 5MM 38MM,4177.0,4177.0,459.47,4177.0,57
CDM,278123,SILDENAF 10 MG/ML LIQ PO,357.39,357.39,25.02,357.39,46
CDM,278141,CATH VENT 1.5FR 33CM,5629.0,5629.0,394.03,5629.0,71
CDM,278147,KIT RSRV VNCLSTM 6MM,5527.0,5527.0,607.97,5527.0,57
CDM,278148,CATH URTH 10FR 16IN,179.0,179.0,12.53,179.0,71
CDM,278149,DEVICE CMPR 12CM,1929.0,1929.0,135.03,1929.0,71
CDM,278150,SUTURE BLK BRD 2-0 18IN,78.0,78.0,5.46,78.0,71
CDM,278169,FIBER LSR SU600 550UM,11433.0,11433.0,800.31,11433.0,71
CDM,278205,PROBE BALL TIP 1MM,4831.0,4831.0,338.17,4831.0,71
CDM,278223,ECMO NEWBORN,60849.97,60849.97,,,0
CDM,278225,ECMO NEWBORN,60849.97,60849.97,,,0
CDM,278244,SCREW BN LCK 2.7X34MM,2024.0,2024.0,222.64,2024.0,57
CDM,278254,SCREW BN LCK 2.7X36MM,1700.0,1700.0,187.0,1700.0,57
CDM,278271,SUTURE SS 2-0 30IN,3147.0,3147.0,220.29,3147.0,71
CDM,278272,SUTURE GRN 4-0 24IN,4553.0,4553.0,318.71,4553.0,71
CDM,278273,AUGMENT FEM KN 4MM,30186.0,30186.0,3320.46,30186.0,57
CDM,278275,PORT IMP INFSN 14.3FR,3391.0,3391.0,373.01,3391.0,57
CDM,278276,SHELL ACTB HIP 3H 58MM,23220.0,23220.0,2554.2,23220.0,57
CDM,278277,SCREW BN 6.5MM 30MM,1028.0,1028.0,113.08,1028.0,57
CDM,278278,SCREW BN 6.25MM 25MM,1028.0,1028.0,113.08,1028.0,57
CDM,278279,LINER SHELL ACTB HIP40/5,14190.0,14190.0,1560.9,14190.0,57
CDM,278294,GUARD PIN .028IN,512.0,512.0,35.84,512.0,71
CDM,278335,FOLIC ACID 5 MG INJ,20.85,20.85,1.46,20.85,47
CDM,278346,MAG SULFATE 40 MG/ML INJ,0.19,0.19,0.01,0.19,47
CDM,278351,INS GASTRO TUBE PERC,8370.34,8370.34,920.74,8370.34,37
CDM,278351,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",8370.34,8370.34,556.5,6680.0,47
CDM,278351,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",8370.34,8370.34,621.47,621.47,4
CDM,278351,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",8370.34,8370.34,632.77,632.77,4
CDM,278368,HEAD HIP M 32MM,42570.0,42570.0,4682.7,42570.0,57
CDM,278373,INSERT TIB KN SZ4 9MM,14190.0,14190.0,1560.9,14190.0,57
CDM,278375,STEM FEM HIP SZ8,49020.0,49020.0,5392.2,49020.0,57
CDM,278376,STEM FEM HIP SZ7,49020.0,49020.0,5392.2,49020.0,57
CDM,278377,IMPLANT BREAST 330CC,26715.0,26715.0,2938.65,26715.0,57
CDM,278378,PLATE BN HUM 5H 100MM,28914.0,28914.0,3180.54,28914.0,57
CDM,278379,SCREW BN LCK 2.7X60MM,3268.0,3268.0,359.48,3268.0,57
CDM,278380,SCREW BN 2.7MM 70MM,3165.0,3165.0,348.15,3165.0,57
CDM,278381,MESH PATCH HERN UMB4.3CM,13563.0,13563.0,1491.93,13563.0,57
CDM,278382,SCREW BN 6.5MM 110MM 40M,3864.0,3864.0,425.04,3864.0,57
CDM,278383,SCREW BN 6.5MM 105MM,5241.0,5241.0,576.51,5241.0,57
CDM,278385,SCREW BN 6.5X115MM,5241.0,5241.0,576.51,5241.0,57
CDM,278386,INSERT KN TIB 4 13MM,52220.0,52220.0,5744.2,52220.0,57
CDM,278509,SCREW BN 2.7MM 34MM,1670.0,1670.0,183.7,1670.0,57
CDM,278510,IMPLANT SPN CERV SYS 4MM,161675.0,161675.0,17784.25,161675.0,57
CDM,278524,GWIRE ORTH 3MM 900MM,3561.0,3561.0,249.27,3561.0,71
CDM,278551,INSERT TIB KN SGL 6MM,6889.0,6889.0,757.79,6889.0,57
CDM,278552,INSERT TIB KN SGL 8MM,6889.0,6889.0,757.79,6889.0,57
CDM,278553,INSERT TIB KN SGL 7MM,6889.0,6889.0,757.79,6889.0,57
CDM,278564,MESH SURG OVAL 15X20CM,16251.0,16251.0,1787.61,16251.0,57
CDM,278574,MESH HRN PROCEED 12X8,28127.0,28127.0,3093.97,28127.0,57
CDM,278575,TEBENTAF-TEBN 1 MCG INJ,1172.28,1172.28,82.06,1172.28,42
CDM,278576,TEBENTAF-TEBN 1MCG INJJW,1172.28,1172.28,82.06,1172.28,42
CDM,278577,TEBENTAF-TEBN 100MCG INJ,117227.52,117227.52,8205.93,117227.52,42
CDM,278618,HEAD FEMHIP-3 12/14 40MM,16770.0,16770.0,1844.7,16770.0,57
CDM,278651,PHARMACY AGENT ADMIN,2322.82,2322.82,162.6,2322.82,58
CDM,278651,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",2322.82,2322.82,279.48,543.72,6
CDM,278680,LURBINECTEDIN 4 MG INJ,46421.64,46421.64,3249.51,46421.64,42
CDM,278681,LURBINECTEDIN 0.1 MG INJ,1160.54,1160.54,81.24,1160.54,42
CDM,278682,LURBINECTEDIN 0.1MGINJJW,1160.54,1160.54,81.24,1160.54,42
CDM,278706,SCREW BN 75MM,3247.0,3247.0,357.17,3247.0,57
CDM,278707,ELECTRODE RESCT BTN HF 1,8536.0,8536.0,597.52,8536.0,71
CDM,278708,DBM BN FIBER 5CC,8353.0,8353.0,918.83,8353.0,57
CDM,278739,SCREW BN 5MM 66MM,3530.0,3530.0,388.3,3530.0,57
CDM,278747,SUTURE 1 30CM 30CM,1342.0,1342.0,93.94,1342.0,71
CDM,278748,MESH SURG 22X18CM,129848.0,129848.0,14283.28,129848.0,57
CDM,278749,DRAIN TROC STRL 15FR,11433.0,11433.0,800.31,11433.0,71
CDM,278750,PLATE 10HL RT 3.5/4.5MM,55244.0,55244.0,6076.84,55244.0,57
CDM,278751,SUTURE BLK MONO 11-0 8IN,871.0,871.0,60.97,871.0,71
CDM,278752,STEM KN XTN 15X30MM,11430.0,11430.0,1257.3,11430.0,57
CDM,278753,STEM FEM KN 16X100MM,11430.0,11430.0,1257.3,11430.0,57
CDM,278755,AUGMENT TIB KN 1X15MM,11507.0,11507.0,1265.77,11507.0,57
CDM,278756,AUGMNT KN TIB 3X5MM,11507.0,11507.0,1265.77,11507.0,57
CDM,278757,HEAD FEM +0MM 22.25MM,9030.0,9030.0,993.3,9030.0,57
CDM,278758,HEAD FEM HIP 3.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,278759,STEM FEM SZ2 LFT 60MM,116382.0,116382.0,12802.02,116382.0,57
CDM,278760,SCREW BN 5MM 40MM,4177.0,4177.0,459.47,4177.0,57
CDM,278761,SCREW BN 5MM 44MM,4177.0,4177.0,459.47,4177.0,57
CDM,278766,INS REV SHLDR SZ3/4 36MM,46440.0,46440.0,5108.4,46440.0,57
CDM,278781,HEAD FEM HIP SZ 28/50MM,11489.0,11489.0,1263.79,11489.0,57
CDM,278787,STEM FEM HIP SZ6,46440.0,46440.0,5108.4,46440.0,57
CDM,278807,FAMOTIDINE 20 MG PO,0.41,0.41,0.03,0.41,67
CDM,278842,PENCILSMK EVAC #3,8001.0,8001.0,560.07,8001.0,71
CDM,278843,INSERT TIB KN 7MM SZ4,14190.0,14190.0,1560.9,14190.0,57
CDM,278845,STENT PANC 5FR 5CM,2466.0,2466.0,271.26,2466.0,57
CDM,278846,BLADE SAW 41.5X19MM,1471.0,1471.0,102.97,1471.0,71
CDM,278847,STEM FEM/TIB KN 20X152MM,73475.0,73475.0,8082.25,73475.0,57
CDM,278848,STEM FEM/TIB KN 21X152MM,73475.0,73475.0,8082.25,73475.0,57
CDM,278849,CMPNT FEM KN 19MM 140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,278850,CMPNT TIB KN SZ1 5MM,11507.0,11507.0,1265.77,11507.0,57
CDM,278851,CMPNT TIB KN SZ1 10MM,11507.0,11507.0,1265.77,11507.0,57
CDM,278852,CMPNT TIB KN SZ4 5MM,11507.0,11507.0,1265.77,11507.0,57
CDM,278853,CMPNT TIB KN SZ5 15MM,11507.0,11507.0,1265.77,11507.0,57
CDM,278855,HEAD FEM HIP+3.5X22.25MM,9030.0,9030.0,993.3,9030.0,57
CDM,278856,HEAD FEM HIP 32MM +0,9030.0,9030.0,993.3,9030.0,57
CDM,278857,HEAD FEM HIP +3.5MM 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,278858,HEAD FEM HIP +7MM 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,278859,CMPNT FEM KN RT SZ3,116382.0,116382.0,12802.02,116382.0,57
CDM,278977,FLUPHENAZINE 5 MG PO,57.83,57.83,4.05,57.83,67
CDM,279061,CMPNT FEM HIP SZ 5,43860.0,43860.0,4824.6,43860.0,57
CDM,279071,ENALAPRIL LIQ PO,18.37,18.37,1.29,18.37,67
CDM,279092,NITROFURA 25MG/5ML LIQPO,348.4,348.4,24.39,348.4,67
CDM,279094,LEVOFLO 250MG/10ML LIQPO,153.12,153.12,10.72,153.12,67
CDM,279095,PREDNISONE 1MG/1ML LIQPO,3.23,3.23,0.23,3.23,47
CDM,279096,SCREW BN 5MM 26MM,4177.0,4177.0,459.47,4177.0,57
CDM,279103,RESTRATA MINIMATRIX 5MG,538.0,538.0,37.66,538.0,65
CDM,279123,INS HUM SHLDR SZ3/4 36MM,46440.0,46440.0,5108.4,46440.0,57
CDM,279128,SCREW BN 2.7MM 44MM,1670.0,1670.0,183.7,1670.0,57
CDM,279156,GYN INTERMEDIATE PVT,16036.32,16036.32,,,0
CDM,279183,CMPNT FEM HIP SZ4,43860.0,43860.0,4824.6,43860.0,57
CDM,279185,CMPNT FEM HIP STD SZ2,43860.0,43860.0,4824.6,43860.0,57
CDM,279204,STABILIZR BN 22/13X260MM,75953.0,75953.0,8354.83,75953.0,57
CDM,279205,SHEATH GD 6FR 75CM,2680.0,2680.0,187.6,2680.0,71
CDM,279206,TRAY CTH DLYS 13FR 15CM,5068.0,5068.0,354.76,5068.0,71
CDM,279229,CATH THRMB 8FR 80CM,5623.0,5623.0,393.61,5623.0,71
CDM,279250,SCREW BN 2.4MM 17MM,3648.0,3648.0,401.28,3648.0,57
CDM,279293,MAG SULF 2G/WFI 50ML INJ,25.28,25.28,1.77,25.28,47
CDM,279294,MAG SUL 4G/WFI 100ML INJ,20.13,20.13,1.41,20.13,47
CDM,279295,MAG SUL 20G/WFI 500MLINJ,35.26,35.26,2.47,35.26,47
CDM,279374,GWIRE W STOP 3.2MM,4217.0,4217.0,295.19,4217.0,71
CDM,279408,FLUOROMETHO 0.1% 5ML OPH,443.28,443.28,31.03,443.28,67
CDM,279413,SCREW SPN 3.5MM 28MM,11390.0,11390.0,1252.9,11390.0,57
CDM,279429,CAGE SPN 16MM 15MM,21424.0,21424.0,2356.64,21424.0,57
CDM,279436,SCREW BN M8X50MM,41100.0,41100.0,4521.0,41100.0,57
CDM,279440,TUNNELER SHTH NEURO 65CM,5623.0,5623.0,393.61,5623.0,71
CDM,279441,TUNNELLER SHEATH 30CM,5623.0,5623.0,393.61,5623.0,71
CDM,279461,DEXMED 400MCG/NS100MLINJ,165.25,165.25,11.57,165.25,67
CDM,279462,CMPD DEXMED 20MCG 5S,1.91,1.91,0.13,1.91,59
CDM,279465,CMPD CLONID 10 MCG/ML PO,0.09,0.09,0.006,0.09,67
CDM,279515,IMPLANT SPN CERV SYS 4MM,63282.0,63282.0,6961.02,63282.0,57
CDM,279561,CMPNT KN SZ2,123308.0,123308.0,13563.88,123308.0,57
CDM,279562,RESTRATA MINIMATRIX 5MG,812.0,812.0,56.84,812.0,65
CDM,279563,RESTRATA MINIMATRIX 5MG,450.0,450.0,31.5,450.0,65
CDM,279564,CMPNT FEM KN LEFT,153923.0,153923.0,16931.53,153923.0,57
CDM,279565,PLATE BN 8H 3.5/4.5MM,51093.0,51093.0,5620.23,51093.0,57
CDM,279566,SCREW BN 5MM 48MM,3530.0,3530.0,388.3,3530.0,57
CDM,279567,CATH UMB 3.5FR 34CM,4453.0,4453.0,311.71,4453.0,71
CDM,279568,DEVICE CLSR WND 2-0 45CM,1569.0,1569.0,109.83,1569.0,71
CDM,279570,STEM HIP 139/24MM,159450.0,159450.0,17539.5,159450.0,57
CDM,279571,STEM HIP 141/22MM,159450.0,159450.0,17539.5,159450.0,57
CDM,279572,STEM HIP 143/23MM,159450.0,159450.0,17539.5,159450.0,57
CDM,279573,CATH INTRO 4F 21G 11X4CM,2193.0,2193.0,153.51,2193.0,71
CDM,279574,CMPNT FEM KN LT SZ3,95543.0,95543.0,10509.73,95543.0,57
CDM,279575,STEM EXT PC HA CT 25MM,41022.0,41022.0,4512.42,41022.0,57
CDM,279576,NEEDLE BX 21GA 7CM,373.0,373.0,26.11,373.0,71
CDM,279605,CMPD FLECAINID 5MG/ML PO,0.77,0.77,0.05,0.77,67
CDM,279701,SIGMOIDOSCOPY SCR,2767.0,2767.0,193.69,2767.0,64
CDM,279721,SCREW BN FIX 6.5MM 15MM,1131.0,1131.0,124.41,1131.0,57
CDM,279736,WEDGE TIB KN SZ2 10MM,11507.0,11507.0,1265.77,11507.0,57
CDM,279737,NEEDLE SUT MO-6,2137.0,2137.0,149.59,2137.0,71
CDM,279738,NEEDLE SUTURE 10MM,2137.0,2137.0,149.59,2137.0,71
CDM,279851,BLN MXILD 18X4X110,5623.0,5623.0,393.61,5623.0,71
CDM,279866,SCREW BN 2.7MM 22MM,1670.0,1670.0,183.7,1670.0,57
CDM,279885,CHEMO IV PUSH EA ADD DRG,606.97,606.97,42.49,606.97,49
CDM,279887,GENTAMI 120MG/NS100MLINJ,23.81,23.81,1.67,23.81,47
CDM,279888,GENTAMI 80MG/NS 100MLINJ,22.8,22.8,1.6,22.8,47
CDM,279889,LETERMOVIR 120 MG PO,392.67,392.67,27.49,392.67,59
CDM,279986,LEUPRO DEPOT 3.75 MG INJ,9725.99,9725.99,680.82,9725.99,42
CDM,280088,CMPNT FEM HIP SZ 7,43860.0,43860.0,4824.6,43860.0,57
CDM,280144,MESH PATCH HERN UMB6.5CM,16029.0,16029.0,1763.19,16029.0,57
CDM,280183,CMPNT FEM HIP SZ5,43860.0,43860.0,4824.6,43860.0,57
CDM,280192,AUGMNT TIB KN SZ2 5MM,29619.0,29619.0,3258.09,29619.0,57
CDM,280193,INSERT TIB 2 KNEE 11MM,52220.0,52220.0,5744.2,52220.0,57
CDM,280262,AZITHROMYCIN 500 MG PO,2.92,2.92,0.2,2.92,47
CDM,280263,NORG/EE 0.25/0.035MG PO,5.49,5.49,0.38,5.49,52
CDM,280268,TROCAR LAPSCP SHRT 5MM,4514.0,4514.0,315.98,4514.0,71
CDM,280269,TUBING VACUUM LIPO,201.0,201.0,14.07,201.0,71
CDM,280289,HEAD FEM HIP 28/46MM,11017.0,11017.0,1211.87,11017.0,57
CDM,280292,MESH SURG 15CM 25CM,47286.0,47286.0,5201.46,47286.0,57
CDM,280293,CATH URET 5FR 7CM,934.0,934.0,65.38,934.0,71
CDM,280294,SCREW BN CANN 5X85MM,4619.0,4619.0,508.09,4619.0,57
CDM,280296,LINER ACTB HIP 40X54MM,14190.0,14190.0,1560.9,14190.0,57
CDM,280315,NDL PEN 32G 4MM,12.0,12.0,0.84,12.0,71
CDM,280316,HEAD HIP 32/48MM,64501.0,64501.0,7095.11,64501.0,57
CDM,280317,CUP HIP CMNTD 48/54MM,124371.0,124371.0,13680.81,124371.0,57
CDM,280318,CUP HIP 64MM,282037.0,282037.0,31024.07,282037.0,57
CDM,280319,SHIM HIP CUP STD,21906.0,21906.0,2409.66,21906.0,57
CDM,280339,STEM HIP OFST 132D 83X37,49020.0,49020.0,5392.2,49020.0,57
CDM,280340,INSERT TIB KN SZ4 9MM,14190.0,14190.0,1560.9,14190.0,57
CDM,280345,CMPNT FEM HIP SZ8,43860.0,43860.0,4824.6,43860.0,57
CDM,280397,AZITHROMYCIN 250 MG PO,7.06,7.06,0.49,7.06,47
CDM,280398,AZITHROMY 200 MG/5 ML PO,27.72,27.72,1.94,27.72,47
CDM,280405,SCREW BN 2.5MM 11MM,1871.0,1871.0,205.81,1871.0,57
CDM,280406,PLATE BN 12HL 95D 50X204,15643.0,15643.0,1720.73,15643.0,57
CDM,280413,CATH THRMB 5FR 80CM,5623.0,5623.0,393.61,5623.0,71
CDM,280480,MESH PATCH HERN UMB8.0CM,19728.0,19728.0,2170.08,19728.0,57
CDM,280484,INTRO GD 8.5F .038 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,280497,GUIDEPIN ORTH 1.6X200MM,1687.0,1687.0,118.09,1687.0,71
CDM,280498,GUIDEPIN ORTH 1.4X200MM,1687.0,1687.0,118.09,1687.0,71
CDM,280499,DRILL BIT CANN 3.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,280500,BIT DRILL 2.9MM,5623.0,5623.0,393.61,5623.0,71
CDM,280502,CMPNT FEM HIP SZ6,43860.0,43860.0,4824.6,43860.0,57
CDM,280550,CMPNT FEM HIP SZ 3,43860.0,43860.0,4824.6,43860.0,57
CDM,280601,INTRO SHEATH 22FR 33CM,11433.0,11433.0,800.31,11433.0,71
CDM,280678,KIT VALVE HMSTS BORE LG,1326.0,1326.0,92.82,1326.0,71
CDM,280679,PLATE BN RT 20H 306MM,37422.0,37422.0,4116.42,37422.0,57
CDM,280680,CATH URET 3W 22FR 30CC,1599.0,1599.0,111.93,1599.0,71
CDM,280688,STEM FEM HIP SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,280706,SOL IRR NACL 1000ML,2256.0,2256.0,157.92,2256.0,71
CDM,280728,HEMLIBRA 30 MG INJ,20761.71,20761.71,1453.32,20761.71,42
CDM,280744,GRAFT CV 6MM 40CM,38705.0,38705.0,4257.55,38705.0,57
CDM,280857,SCREW BN 5MM 62MM,3530.0,3530.0,388.3,3530.0,57
CDM,280859,KIT WITH DRILL DISP,14582.0,14582.0,1020.74,14582.0,71
CDM,280860,CATH URET 2W 20FR 30CC,248.0,248.0,17.36,248.0,71
CDM,280861,PLATE BN 20H 329MM,31832.0,31832.0,3501.52,31832.0,57
CDM,280862,SCREW SPN 3.5MM 22MM,11390.0,11390.0,1252.9,11390.0,57
CDM,280924,"Injection, metoprolol tartrate, 1 mg ",5.72,5.72,0.13,1.11,17
CDM,280924,METOPROLOL 5 MG INJ,5.72,5.72,0.4,5.72,47
CDM,280960,BIT DRL TWST 1.5MM 21MM,4096.0,4096.0,286.72,4096.0,71
CDM,280962,STENT PLMN 10-12MM 19MM,13358.0,13358.0,1469.38,13358.0,57
CDM,280963,CONNECTOR SHUNT T-SHAPE,5296.0,5296.0,582.56,5296.0,57
CDM,281034,INSERT SHLDR SZ3/4 8MM,46569.0,46569.0,5122.59,46569.0,57
CDM,281047,STEM HUM SHLDR 135D 11MM,91333.0,91333.0,10046.63,91333.0,57
CDM,281066,STENT BIL 10-12 39MM,13358.0,13358.0,1469.38,13358.0,57
CDM,281067,STENT BIL 10-12 25MM,13358.0,13358.0,1469.38,13358.0,57
CDM,281068,STENT BIL 10-12 29MM,13358.0,13358.0,1469.38,13358.0,57
CDM,281069,CATH VASC 2.4FR 125CM,41359.0,41359.0,2895.13,41359.0,71
CDM,281070,COIL EMBL 30CM,36535.0,36535.0,4018.85,36535.0,57
CDM,281072,SUTURE GUT 4-0 18IN,149.0,149.0,10.43,149.0,71
CDM,281073,ALLODERM 1SQCM,1813.0,1813.0,126.91,1813.0,47
CDM,281074,IMPLANT PECTUS 33CM,90174.0,90174.0,9919.14,90174.0,57
CDM,281075,BAR PECTUS CONNCTR MED 4,16440.0,16440.0,1808.4,16440.0,57
CDM,281076,TEMPLATE SURG IMPL,3636.0,3636.0,254.52,3636.0,71
CDM,281078,INSERT HUM SHLDR 36MM,51084.0,51084.0,5619.24,51084.0,57
CDM,281101,BANDAGE CR LKSD 56X12.5I,431.0,431.0,30.17,431.0,71
CDM,281106,CATH VASC GD 17F 33CM,14913.0,14913.0,1043.91,14913.0,71
CDM,281107,DILTIAZEM 125 MG INJ,52.09,52.09,3.65,52.09,47
CDM,281108,DILTIAZEM 25 MG INJ,16.08,16.08,1.13,16.08,47
CDM,281109,CALCIUM CHL 1 G INJ,42.93,42.93,3.01,42.93,47
CDM,281114,505MY VANCO 750 MG INJ,42.93,42.93,3.01,42.93,47
CDM,281117,505MY VANCO 5 MG/ML INJ,0.05,0.05,0.004,0.05,47
CDM,281119,505MY VANCO 1.25 G INJ,115.05,115.05,8.05,115.05,47
CDM,281122,505MY VANCO 1.5 G INJ,138.04,138.04,9.66,138.04,47
CDM,281123,VANCO 500 MG INJ,16.89,16.89,1.18,16.89,47
CDM,281125,NALOX NOS 2 MG INJ,85.86,85.86,6.01,85.86,47
CDM,281126,NALOX NOS 0.4MG INJ,28.62,28.62,2.0,28.62,47
CDM,281169,RASP BN FTHR SM,8001.0,8001.0,560.07,8001.0,71
CDM,281180,THOPTEPA NOS 15 MG INJ,1144.8,1144.8,80.14,1144.8,42
CDM,281223,SCREW BN 5MM 75MM,2754.0,2754.0,302.94,2754.0,57
CDM,281238,DEVICE IPG SLEEP APENA,286200.0,286200.0,31482.0,286200.0,57
CDM,281246,BRNCHSCP DISP 2.7/1.2,7201.0,7201.0,504.07,7201.0,59
CDM,281246,"Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable) ",7201.0,7201.0,21.25,31.98,6
CDM,281247,CATH URET 2W 14FR 5CC,1222.0,1222.0,85.54,1222.0,71
CDM,281250,GRAFT ST TIS PULM BRCH P,109500.0,109500.0,12045.0,109500.0,57
CDM,281252,CATH URTH FL 10F 12IN 2W,1599.0,1599.0,111.93,1599.0,71
CDM,281253,CATH URTH FL 8FR 12IN 2W,1599.0,1599.0,111.93,1599.0,71
CDM,281254,BURR ROUTER TAPRD 1.5MM,3987.0,3987.0,279.09,3987.0,71
CDM,281255,K-WIRE 2 5X240MM,3748.0,3748.0,262.36,3748.0,71
CDM,281256,LINER ACTB HIP 44X32MM,14190.0,14190.0,1560.9,14190.0,57
CDM,281267,STEM FEM HIP SZ7,49020.0,49020.0,5392.2,49020.0,57
CDM,281319,EPI NOS 1 MG INJ,83.48,83.48,5.84,83.48,47
CDM,281326,RIZATRIPTAN 5 MG PO,149.57,149.57,10.47,149.57,67
CDM,281349,FIBRYGA 1 MG INJ,6.3,6.3,0.44,6.3,42
CDM,281350,FIBRYGA 1000 MG INJ,6296.4,6296.4,440.75,6296.4,42
CDM,281352,CMPD METOPROL 10MG/ML PO,0.1,0.1,0.007,0.1,67
CDM,281353,CMPD DILTIAZ 12MG/ML PO,0.57,0.57,0.04,0.57,67
CDM,281360,CALCIUM CHL 100MG/ML INJ,4.29,4.29,0.3,4.29,47
CDM,281384,STEM HUM SHLDR 12X90MM,64501.0,64501.0,7095.11,64501.0,57
CDM,281401,MESH PLATE 50X0.5MM,26423.0,26423.0,2906.53,26423.0,57
CDM,281426,CMPD EPI 100 MCG 10S,3.63,3.63,0.25,3.63,59
CDM,281427,OBECABTAGENE INJ,5300000.0,5300000.0,371000.0,5300000.0,55
CDM,281427,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",5300000.0,5300000.0,459112.5,2937060.0,9
CDM,281428,CALCIUM CHL 20 MG/ML INJ,0.86,0.86,0.06,0.86,47
CDM,281429,THOPTEPA NOS 100 MG INJ,10303.2,10303.2,721.22,10303.2,42
CDM,281433,505MY VANCO 10MG/ML INJ,0.05,0.05,0.004,0.05,47
CDM,281434,505XE VANCO 1 G INJ,17.17,17.17,1.2,17.17,47
CDM,281434,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",17.17,17.17,0.16,1.11,17
CDM,281451,NRSTM XTRN WRLS,5623.0,5623.0,393.61,5623.0,71
CDM,281470,PLATE T RT 5H 6MM 23MM,8449.0,8449.0,929.39,8449.0,57
CDM,281480,STEM FEM HIP SZ4,49020.0,49020.0,5392.2,49020.0,57
CDM,281531,CMPNT SHLDR STD 17MM,91333.0,91333.0,10046.63,91333.0,57
CDM,281536,BN SCR CANCELLOUS 20MM,1131.0,1131.0,124.41,1131.0,57
CDM,281562,STEM FEM HIP SZ12,51600.0,51600.0,5676.0,51600.0,57
CDM,281563,STEM HUM SHLDR 135D 15MM,91333.0,91333.0,10046.63,91333.0,57
CDM,281571,CATH URET 2W 12FR 5CC,1222.0,1222.0,85.54,1222.0,71
CDM,281573,TUBE FD CONN GSTRM 30FR,1214.0,1214.0,84.98,1214.0,71
CDM,281575,KIT FD TUBE 18FR 30CM,5623.0,5623.0,393.61,5623.0,71
CDM,281585,GRAFT ST TISS 0.5CM 8CM,39665.0,39665.0,4363.15,39665.0,57
CDM,281639,GUIDEPIN 3MM 1.2X150MM,1687.0,1687.0,118.09,1687.0,71
CDM,281640,BIT DRILL 2.3MM,5623.0,5623.0,393.61,5623.0,71
CDM,281643,BURR ORTH 2MM 13MM,7887.0,7887.0,552.09,7887.0,71
CDM,281653,GRAFT BN 5ML,13773.0,13773.0,1515.03,13773.0,57
CDM,281661,STEM FEM HIP PTY LTD,49020.0,49020.0,5392.2,49020.0,57
CDM,281682,THIOTEPA NOS 1 MG INJ JW,76.32,76.32,5.34,76.32,42
CDM,281683,CMPD NOREPI 1.6MG 50S,6.49,6.49,0.45,6.49,59
CDM,281685,505IS EPI 1 MG INJ,78.61,78.61,5.5,78.61,47
CDM,281685,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",78.61,78.61,2.79,18.64,17
CDM,281687,THIOTEPA NOS 1 MG INJ,76.32,76.32,5.34,76.32,42
CDM,281699,HEAD FEM HIP 40MM +0MM,16770.0,16770.0,1844.7,16770.0,57
CDM,281730,IMPLANT MNDB 45MM,80022.0,80022.0,8802.42,80022.0,57
CDM,281778,LINER ACTB HIP 56,14190.0,14190.0,1560.9,14190.0,57
CDM,281817,KIT CSTM MAXILLA,165678.0,165678.0,11597.46,165678.0,71
CDM,281872,DISOPYRAMIDE 150 MG PO,16.08,16.08,1.13,16.08,67
CDM,281909,SCREW BN 2.7MM 17MM,3648.0,3648.0,401.28,3648.0,57
CDM,281938,RESTRATA 1SQCM,1187.0,1187.0,83.09,1187.0,47
CDM,281953,STENT URET 7FR 28CM,3888.0,3888.0,427.68,3888.0,57
CDM,281955,SET STNT 16CM 3.7F 2PGTL,4019.0,4019.0,442.09,4019.0,57
CDM,281956,STENT URET 3.7FR 12CM SM,4019.0,4019.0,442.09,4019.0,57
CDM,281957,STABILIZER BN 15MM 180MM,64733.0,64733.0,7120.63,64733.0,57
CDM,281958,SUTURE 4-0 PS-2 1X18,275.0,275.0,19.25,275.0,71
CDM,281966,EPYSQLI BS 300 MG INJ,26135.78,26135.78,1829.5,26135.78,42
CDM,281966,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",26135.78,26135.78,30.97,265.54,17
CDM,281972,HEAD FEM CERM LG 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,282093,HEAD FEM HIP 0MM 12/14MM,16770.0,16770.0,1844.7,16770.0,57
CDM,282148,ONABOTULNUMTOXA 1U INJJW,37.26,37.26,2.61,37.26,42
CDM,282149,ONABOTULINUMTOXA 1U INJ,37.26,37.26,2.61,37.26,42
CDM,282170,STENT VASC 6X16MM 63CM,447320.0,447320.0,49205.2,447320.0,57
CDM,282212,SCREW BN DIST 5MM 20MM,4110.0,4110.0,452.1,4110.0,57
CDM,282224,STENT BIL 6X20X17MM 80CM,14213.0,14213.0,1563.43,14213.0,57
CDM,282234,STENT BIL 7X20X17MM 80CM,14213.0,14213.0,1563.43,14213.0,57
CDM,282250,IDE-NO COST,1.0,1.0,0.07,1.0,71
CDM,282267,STEM HIP STD SZ 8,49020.0,49020.0,5392.2,49020.0,57
CDM,282268,CTHCV KIT PED 2LUM 4F 30,1599.0,1599.0,111.93,1599.0,71
CDM,282271,CMPNT FEM HIP SZ6,43860.0,43860.0,4824.6,43860.0,57
CDM,282288,CLINIMIX E 5/20 2L INJ,469.71,469.71,32.88,469.71,59
CDM,282290,MR SFTY IMPLNT ELEC PREP,105.0,105.0,7.35,105.0,47
CDM,282290,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",105.0,105.0,123.92,411.22,9
CDM,282298,SCREW BN 4.0MM 48MM,16132.0,16132.0,1774.52,16132.0,57
CDM,282299,COUNTERSINK CANN 3MM,6287.0,6287.0,440.09,6287.0,71
CDM,282302,CATH ANGIO 4FR 70CM,1020.0,1020.0,71.4,1020.0,71
CDM,282317,SCREW BN 5MM 28MM,5343.0,5343.0,587.73,5343.0,57
CDM,282336,SUTURE GU 4-0 12IN,152.0,152.0,10.64,152.0,71
CDM,282337,STEM HUM SHLDR 9MM,91333.0,91333.0,10046.63,91333.0,57
CDM,282339,WEDGE FEM KN SZ5 10MM,19018.0,19018.0,2091.98,19018.0,57
CDM,282346,INSERT SHLDR SZ3/4 39MM,51084.0,51084.0,5619.24,51084.0,57
CDM,282353,0.9% NACL 1000 ML IRR,25.51,25.51,1.79,25.51,67
CDM,282356,ENOXAPARIN 20 MG/ML INJ,7.73,7.73,0.54,7.73,47
CDM,282358,CMPD NIFEDIPINE 4MG/MLPO,0.86,0.86,0.06,0.86,67
CDM,282359,NIFEDIPINE 10 MG PO,2.19,2.19,0.15,2.19,67
CDM,282360,HYDROXYUREA 200 MG PO,4.29,4.29,0.3,4.29,46
CDM,282361,CMPDHYDROXURE500MG/5MLPO,3.2,3.2,0.22,3.2,67
CDM,282363,REVSC LOW EXT IVL/ATH LT,109908.8,109908.8,7693.62,109908.8,45
CDM,282384,SCREW LAG 10.5MM 100MM,13949.0,13949.0,1534.39,13949.0,57
CDM,282420,UL PROC VASC SURG,14336.98,14336.98,1577.07,14336.98,37
CDM,282420,"Unlisted procedure, vascular surgery ",14336.98,14336.98,633.31,25655.0,32
CDM,282428,AUGMNT ACTB SZ54MM 10MM,41030.0,41030.0,4513.3,41030.0,57
CDM,282429,STEM FEM HIP LONG SMALL,58050.0,58050.0,6385.5,58050.0,57
CDM,282430,STEM FEM HIP SZ2,49020.0,49020.0,5392.2,49020.0,57
CDM,282432,STEM FEM HIP SZ10,49020.0,49020.0,5392.2,49020.0,57
CDM,282438,ROD SPN STR 5.5MM 400MM,4556.0,4556.0,501.16,4556.0,57
CDM,282442,IMPLANT BREAST 235CC,26715.0,26715.0,2938.65,26715.0,57
CDM,282444,MESH TI 85X50MM SM,16514.0,16514.0,1816.54,16514.0,57
CDM,282448,IMPLANT BREAST 310CC,19420.0,19420.0,2136.2,19420.0,57
CDM,282462,SHELL ACTB HIP 3H 60MM,23220.0,23220.0,2554.2,23220.0,57
CDM,282465,LINER ACTB HIP 40/60,14190.0,14190.0,1560.9,14190.0,57
CDM,282476,TADALAFIL LIQ PO,61.97,61.97,4.34,61.97,67
CDM,282499,TOFIDENCE BS 200 MG INJ,6353.64,6353.64,444.75,6353.64,42
CDM,282555,IMPLANT BREAST 395CC,32367.0,32367.0,3560.37,32367.0,57
CDM,282556,SET CATH DLVR 9FR 79CM,6173.0,6173.0,432.11,6173.0,71
CDM,282557,CNNCTR BAR LARGE 5.1CM,16440.0,16440.0,1808.4,16440.0,57
CDM,282558,BAR PECTUS 32CM,90174.0,90174.0,9919.14,90174.0,57
CDM,282559,CATH THRMB .054IN 167CM,67937.0,67937.0,4755.59,67937.0,71
CDM,282561,COIL EMBL 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,282562,COIL EMBL 70CM,65003.0,65003.0,7150.33,65003.0,57
CDM,282563,COIL EMBL 6MM 55MM,65003.0,65003.0,7150.33,65003.0,57
CDM,282565,COIL EMBL 8MM 70CM,65003.0,65003.0,7150.33,65003.0,57
CDM,282566,COIL EMBL 12MM 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,282587,DEXTROSE 50% 50 ML INJ,30.66,30.66,2.15,30.66,67
CDM,282588,CALCIUM CARB 500 MG PO,0.29,0.29,0.02,0.29,67
CDM,282589,BENZOC/MENTH 15/3.6MG PO,0.91,0.91,0.06,0.91,67
CDM,282590,AMMON LAC12% 225-226GTOP,157.65,157.65,11.04,157.65,67
CDM,282591,CMPD URSODIOL 25MG/ML PO,3.01,3.01,0.21,3.01,67
CDM,282592,TRIUMEQ PO,743.6,743.6,52.05,743.6,59
CDM,282601,DRESSING PERM 10X12CM,771.0,771.0,53.97,771.0,71
CDM,282609,GUIDE SURG 1.5MM,1279.0,1279.0,89.53,1279.0,71
CDM,282619,PLATE BN CMF CUSTOM,183910.0,183910.0,20230.1,183910.0,57
CDM,282620,SYSTEM EMBL 1ML,70384.0,70384.0,7742.24,70384.0,57
CDM,282621,KIT PRSRMNTR VNTRC W/ICP,15096.0,15096.0,1056.72,15096.0,71
CDM,282628,COIL EMBL 55CM 20MM,65003.0,65003.0,7150.33,65003.0,57
CDM,282662,MORPHINE 30 MG PO,3.96,3.96,0.28,3.96,67
CDM,282709,PLATE BN RT 3HL 53MM,64116.0,64116.0,7052.76,64116.0,57
CDM,282779,SCREW BN 2.4MM 19MM,3648.0,3648.0,401.28,3648.0,57
CDM,282803,PLATE T BN 2.4MM 53MM,16697.0,16697.0,1836.67,16697.0,57
CDM,282805,PLATE BN 2.4MM 87MM,16697.0,16697.0,1836.67,16697.0,57
CDM,282839,PLATE BN HK 6HL 2.7X61MM,19266.0,19266.0,2119.26,19266.0,57
CDM,282866,INSERT TIB KN SZ5-6 11MM,200552.0,200552.0,22060.72,200552.0,57
CDM,282867,STEM FEM HIP OFFSET SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,282868,STEM FEM HIP OFFSET SZ5,49020.0,49020.0,5392.2,49020.0,57
CDM,282869,STEM FEM HIP STD SZ9,49020.0,49020.0,5392.2,49020.0,57
CDM,282870,DRESSING CLGN 2X2IN,317.0,317.0,22.19,317.0,71
CDM,282873,SNARE MED OVL2.3MM 230CM,832.0,832.0,58.24,832.0,71
CDM,282875,CANNULA ANT IRR ANG 27GA,192.0,192.0,13.44,192.0,71
CDM,282876,FORCEP SPEC 2.8FR 115CM,5623.0,5623.0,393.61,5623.0,71
CDM,282878,PLATE LNG 68X23X2 2.5 15,24784.0,24784.0,2726.24,24784.0,57
CDM,282879,KIT CATH CV 4FR 13CM,4768.0,4768.0,333.76,4768.0,71
CDM,282896,STEM FEM HIP SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,282931,FLEX M/S PRIVATE,6647.47,6647.47,,,0
CDM,282932,FLEX STEP-DOWN  PRIVATE,16036.32,16036.32,,,0
CDM,282933,SELE SULFIDE 1% 207MLTOP,21.8,21.8,1.53,21.8,67
CDM,282936,SENNOSIDES 8.6 MG PO,0.91,0.91,0.06,0.91,67
CDM,282937,0.65% NACL NASAL,5.4,5.4,0.38,5.4,67
CDM,282938,PSYLLIUM HUSK 3.4G PO,2.15,2.15,0.15,2.15,67
CDM,282939,PHENOL 0.5-1.5% ORAL,13.79,13.79,0.97,13.79,67
CDM,282940,MAG SULFATE 454 G TOP,8.35,8.35,0.58,8.35,67
CDM,282941,DINUTUXIMAB 17.5 MG INJ,90855.48,90855.48,6359.88,90855.48,59
CDM,282942,TOFIDENCE BS 1 MG INJ,31.77,31.77,2.22,31.77,42
CDM,282943,TOFIDENCE BS 1 MG INJ JW,31.77,31.77,2.22,31.77,42
CDM,282996,BASKET RET 2.5CM 3.2MM,5742.0,5742.0,401.94,5742.0,71
CDM,283021,KIT CATH 9FR 11.5CM,5623.0,5623.0,393.61,5623.0,71
CDM,283073,KIT OCCLUDER W/DLVR,167181.0,167181.0,18389.91,167181.0,57
CDM,283074,DISTRACTOR 2HL SZ2,60500.0,60500.0,6655.0,60500.0,57
CDM,283075,DEVICE CLS WND +4-0 45CM,1499.0,1499.0,104.93,1499.0,71
CDM,283076,SCREW BN 2.2MM 11MM,6433.0,6433.0,707.63,6433.0,57
CDM,283078,SCREW BN S-T 2.2X10MM,3556.0,3556.0,391.16,3556.0,57
CDM,283079,SCREW BN SD L-T 1.7X11MM,6433.0,6433.0,707.63,6433.0,57
CDM,283080,KIT CATH CV 4FR 8CM,4768.0,4768.0,333.76,4768.0,71
CDM,283081,KIT CATH CV 4FR 13CM,4804.0,4804.0,336.28,4804.0,71
CDM,283082,KIT CATH CV 5.5FR 8CM,4970.0,4970.0,347.9,4970.0,71
CDM,283083,CATH GD VASC 9MM 110CM,11433.0,11433.0,800.31,11433.0,71
CDM,283084,IMPLANT BREAST 340CC,26715.0,26715.0,2938.65,26715.0,57
CDM,283087,LEAD PCNG 59CM,10659.0,10659.0,1172.49,10659.0,57
CDM,283128,D5/0.45NS 1000 ML INJ,17.51,17.51,1.23,17.51,46
CDM,283129,D5NS 1000 ML,21.66,21.66,1.52,21.66,47
CDM,283130,K20/D5NS 1000 ML INJ,31.73,31.73,2.22,31.73,47
CDM,283133,SPECIAL PROCEDURE,2807.43,2807.43,308.82,2807.43,64
CDM,283138,BIT DRILL SURG 1.5X115MM,5623.0,5623.0,393.61,5623.0,71
CDM,283157,PLATE BN 12HL 2.7X107MM,12716.0,12716.0,1398.76,12716.0,57
CDM,283170,PACK CSTM SURG RETINA,1660.0,1660.0,116.2,1660.0,71
CDM,283192,STEM FEM HIP SZ8,49020.0,49020.0,5392.2,49020.0,57
CDM,283194,REPL PACEMAKER GEN MULTI,88341.98,88341.98,9717.62,88341.98,38
CDM,283194,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system ,88341.98,88341.98,2369.0,85680.0,38
CDM,283194,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system Age 21+,88341.98,88341.98,10810.93,10810.93,4
CDM,283194,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system Age Under 21,88341.98,88341.98,11007.49,11007.49,4
CDM,283248,COIL EMBL 6MM 20CM,43263.0,43263.0,4758.93,43263.0,57
CDM,283256,IMPLANT PECTS 29CM,90174.0,90174.0,9919.14,90174.0,57
CDM,283289,CTHPSH BIL 7F 170,1599.0,1599.0,111.93,1599.0,71
CDM,283413,CMPNT FEM HIP SZ 3,43860.0,43860.0,4824.6,43860.0,57
CDM,283415,IMPLANT BREAST 635CC,26715.0,26715.0,2938.65,26715.0,57
CDM,283417,IMPLANT BN CRNL CSTM,116340.0,116340.0,12797.4,116340.0,57
CDM,283443,NSP THOR AORT W/ ANGIO,24030.19,24030.19,2643.32,24030.19,37
CDM,283443,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",24030.19,24030.19,948.0,25655.0,32
CDM,283445,TYENNE BS 200 MG INJ,5604.94,5604.94,392.35,5604.94,42
CDM,283446,TYENNE BS 1 MG INJ JW,28.01,28.01,1.96,28.01,42
CDM,283447,TYENNE BS 1 MG INJ,28.01,28.01,1.96,28.01,42
CDM,283451,D5/0.45NS 500 ML INJ,22.38,22.38,1.57,22.38,46
CDM,283472,SCREW BN 5MM 3.2MM 70MM,3380.0,3380.0,371.8,3380.0,57
CDM,283473,PLATE BN 90D 3.5MM,10693.0,10693.0,1176.23,10693.0,57
CDM,283474,MESH SURG RCTNGL 4X8IN,61848.0,61848.0,6803.28,61848.0,57
CDM,283475,COMPNT FEM KN RT SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,283476,INSERT TIB KN SZ6 7MM,14190.0,14190.0,1560.9,14190.0,57
CDM,283477,NAIL BN 7MM 9.5MM 210MM,25570.0,25570.0,2812.7,25570.0,57
CDM,283499,STEM HIP DIST SZ12,1419.0,1419.0,156.09,1419.0,57
CDM,283503,SCREW BN 3.5MM 46MM,16132.0,16132.0,1774.52,16132.0,57
CDM,283509,CNTRLZR STEM HIP 13MM,1727.0,1727.0,189.97,1727.0,57
CDM,283545,SCREW BN 6.5MM 75MM,2055.0,2055.0,226.05,2055.0,57
CDM,283546,KIT OCCLUDER 13.5MM,27.0,27.0,2.97,27.0,57
CDM,283547,PLATE BN 0.35MM 19MM,3167.0,3167.0,348.37,3167.0,57
CDM,283548,PLATE BN 0.8MM 18MM,2877.0,2877.0,316.47,2877.0,57
CDM,283570,PERICARD W GUIDANCE,13276.6,13276.6,1460.43,13276.6,37
CDM,283570,"Pericardiocentesis, including imaging guidance, when performed ",13276.6,13276.6,439.58,18747.0,47
CDM,283570,"Pericardiocentesis, including imaging guidance, when performed Age 21+",13276.6,13276.6,490.9,490.9,4
CDM,283570,"Pericardiocentesis, including imaging guidance, when performed Age Under 21",13276.6,13276.6,499.82,499.82,4
CDM,283571,PERICARD DRN=>6Y WO CHD,13276.6,13276.6,1460.43,13276.6,43
CDM,283571,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly ",13276.6,13276.6,948.0,25655.0,31
CDM,283572,PERICARD DRN<5Y OR W/CHD,13276.6,13276.6,1460.43,13276.6,43
CDM,283572,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; birth through 5 years of age or any age with congenital card",13276.6,13276.6,948.0,25655.0,31
CDM,283573,INS PACEMAKER ATRIAL,19297.8,19297.8,2122.76,19297.8,37
CDM,283573,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial ,19297.8,19297.8,2369.0,177450.0,39
CDM,283573,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial Age 21+,19297.8,19297.8,6859.23,6859.23,4
CDM,283573,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial Age Under 21,19297.8,19297.8,6983.94,6983.94,4
CDM,283574,INS PACEMAKER VENT,19297.8,19297.8,2122.76,19297.8,37
CDM,283574,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular ,19297.8,19297.8,2369.0,177450.0,39
CDM,283574,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age 21+,19297.8,19297.8,6955.71,6955.71,4
CDM,283574,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21,19297.8,19297.8,7082.17,7082.17,4
CDM,283575,INS PACEMAKER ATR/VENT,22512.98,22512.98,2476.43,22512.98,37
CDM,283575,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular ,22512.98,22512.98,2369.0,177450.0,39
CDM,283575,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age 21+,22512.98,22512.98,7095.99,7095.99,4
CDM,283575,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age Under 21,22512.98,22512.98,7225.01,7225.01,4
CDM,283576,INS TEMP PACER SGL,8539.1,8539.1,939.3,8539.1,37
CDM,283576,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) ,8539.1,8539.1,2369.0,177296.0,39
CDM,283576,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) Age 21+,8539.1,8539.1,3652.65,3652.65,4
CDM,283576,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) Age Under 21,8539.1,8539.1,3719.06,3719.06,4
CDM,283577,UPGRADE PPM SGL TO DUAL,37952.9,37952.9,4174.82,37952.9,38
CDM,283577,"Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lea",37952.9,37952.9,2369.0,177450.0,46
CDM,283578,REPOS PACER/DEFIB LEAD,26295.81,26295.81,2892.54,26295.81,38
CDM,283578,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode ,26295.81,26295.81,1101.45,24035.0,38
CDM,283578,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode Age 21+,26295.81,26295.81,1230.04,1230.04,4
CDM,283578,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode Age Under 21,26295.81,26295.81,1252.41,1252.41,4
CDM,283580,INS PACER/DEFIB LEAD SGL,67985.53,67985.53,7478.41,67985.53,38
CDM,283580,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator ",67985.53,67985.53,2369.0,24035.0,38
CDM,283580,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator Age 21+",67985.53,67985.53,4992.13,4992.13,4
CDM,283580,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator Age Under 21",67985.53,67985.53,5082.9,5082.9,4
CDM,283581,INS PACER/DEFIB 2 LEADS,67985.53,67985.53,7478.41,67985.53,38
CDM,283581,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator ",67985.53,67985.53,2369.0,24035.0,38
CDM,283581,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator Age 21+",67985.53,67985.53,6430.14,6430.14,4
CDM,283581,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator Age Under 21",67985.53,67985.53,6547.05,6547.05,4
CDM,283582,REPAIR PACER/DEFIB LEAD,26295.81,26295.81,2892.54,26295.81,38
CDM,283582,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator ",26295.81,26295.81,1404.06,24035.0,38
CDM,283582,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator Age 21+",26295.81,26295.81,1567.98,1567.98,4
CDM,283582,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator Age Under 21",26295.81,26295.81,1596.49,1596.49,4
CDM,283583,REPAIR PACER/DEFIB 2LEAD,26295.81,26295.81,2892.54,26295.81,38
CDM,283583,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator ,26295.81,26295.81,1876.01,177450.0,38
CDM,283583,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator Age 21+,26295.81,26295.81,2095.04,2095.04,4
CDM,283583,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator Age Under 21,26295.81,26295.81,2133.13,2133.13,4
CDM,283584,RELOCATE PACER POCKET,16162.76,16162.76,1777.9,16162.76,38
CDM,283584,Relocation of skin pocket for pacemaker ,16162.76,16162.76,698.37,24035.0,38
CDM,283584,Relocation of skin pocket for pacemaker Age 21+,16162.76,16162.76,779.91,779.91,4
CDM,283584,Relocation of skin pocket for pacemaker Age Under 21,16162.76,16162.76,794.09,794.09,4
CDM,283585,RELOCATE ICD POCKET,16162.76,16162.76,1777.9,16162.76,38
CDM,283585,Relocation of skin pocket for implantable defibrillator ,16162.76,16162.76,698.37,24035.0,38
CDM,283585,Relocation of skin pocket for implantable defibrillator Age 21+,16162.76,16162.76,779.91,779.91,4
CDM,283585,Relocation of skin pocket for implantable defibrillator Age Under 21,16162.76,16162.76,794.09,794.09,4
CDM,283586,INS LV LD W EXST PPM/ICD,17869.22,17869.22,1965.61,17869.22,38
CDM,283586,"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of po",17869.22,17869.22,2369.0,85680.0,46
CDM,283587,"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber syste",9548.32,9548.32,2369.0,85680.0,19
CDM,283587,LV LEAD NEW/UPGD PPM/ICD,9548.32,9548.32,1050.32,9548.32,49
CDM,283588,REPOS LV LD EXST PPM/ICD,26295.81,26295.81,2892.54,26295.81,37
CDM,283588,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) ",26295.81,26295.81,1101.45,25655.0,47
CDM,283588,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) Age 21+",26295.81,26295.81,1230.04,1230.04,4
CDM,283588,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) Age Under 21",26295.81,26295.81,1252.41,1252.41,4
CDM,283590,REPL PACEMAKER GEN SGL,80546.14,80546.14,8860.08,80546.14,38
CDM,283590,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system ,80546.14,80546.14,2369.0,85680.0,38
CDM,283590,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system Age 21+,80546.14,80546.14,5784.93,5784.93,4
CDM,283590,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system Age Under 21,80546.14,80546.14,5890.11,5890.11,4
CDM,283591,REPL PACEMAKER GEN DUAL,88341.98,88341.98,9717.62,88341.98,38
CDM,283591,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system ,88341.98,88341.98,2369.0,85680.0,38
CDM,283591,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system Age 21+,88341.98,88341.98,6918.63,6918.63,4
CDM,283591,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system Age Under 21,88341.98,88341.98,7044.42,7044.42,4
CDM,283592,INS ICD GEN ONLY DUAL LD,292001.93,292001.93,32120.21,292001.93,38
CDM,283592,Insertion of implantable defibrillator pulse generator only; with existing dual leads ,292001.93,292001.93,2369.0,109000.0,38
CDM,283592,Insertion of implantable defibrillator pulse generator only; with existing dual leads Age 21+,292001.93,292001.93,18692.41,18692.41,4
CDM,283592,Insertion of implantable defibrillator pulse generator only; with existing dual leads Age Under 21,292001.93,292001.93,19032.27,19032.27,4
CDM,283593,REMOVE PACER GENERATOR,26295.81,26295.81,2892.54,26295.81,38
CDM,283593,Removal of permanent pacemaker pulse generator only ,26295.81,26295.81,2369.0,24035.0,38
CDM,283593,Removal of permanent pacemaker pulse generator only Age 21+,26295.81,26295.81,5173.52,5173.52,4
CDM,283593,Removal of permanent pacemaker pulse generator only Age Under 21,26295.81,26295.81,5267.58,5267.58,4
CDM,283594,REM ELECTRODE SGL LD SYS,9062.47,9062.47,996.87,9062.47,38
CDM,283594,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular ",9062.47,9062.47,1878.2,24035.0,38
CDM,283594,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age 21+",9062.47,9062.47,2097.48,2097.48,4
CDM,283594,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21",9062.47,9062.47,2135.62,2135.62,4
CDM,283595,REM ELECTRDE DUAL LD SYS,20122.89,20122.89,2213.52,20122.89,38
CDM,283595,Removal of transvenous pacemaker electrode(s); dual lead system ,20122.89,20122.89,1842.52,24035.0,38
CDM,283595,Removal of transvenous pacemaker electrode(s); dual lead system Age 21+,20122.89,20122.89,2057.64,2057.64,4
CDM,283595,Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21,20122.89,20122.89,2095.05,2095.05,4
CDM,283596,REMOVE ICD GENERATOR,8539.1,8539.1,939.3,8539.1,38
CDM,283596,Removal of implantable defibrillator pulse generator only ,8539.1,8539.1,1404.06,24035.0,38
CDM,283596,Removal of implantable defibrillator pulse generator only Age 21+,8539.1,8539.1,1567.98,1567.98,4
CDM,283596,Removal of implantable defibrillator pulse generator only Age Under 21,8539.1,8539.1,1596.49,1596.49,4
CDM,283597,REMOVE ICD LEAD EXTRACT,20122.89,20122.89,2213.52,20122.89,38
CDM,283597,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction ,20122.89,20122.89,2369.0,177450.0,25
CDM,283598,INS ICD LEAD/GENERATOR,46313.01,46313.01,5094.43,46313.01,38
CDM,283598,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber ",46313.01,46313.01,2369.0,177450.0,38
CDM,283598,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber Age 21+",46313.01,46313.01,24038.01,24038.01,4
CDM,283598,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber Age Under 21",46313.01,46313.01,24475.07,24475.07,4
CDM,283600,REM/REPLACE ICD GEN SGL,292001.93,292001.93,20440.14,292001.93,43
CDM,283600,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system ,292001.93,292001.93,8325.0,177296.0,32
CDM,283600,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system Age 21+,292001.93,292001.93,17795.87,17795.87,4
CDM,283600,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system Age Under 21,292001.93,292001.93,18119.43,18119.43,4
CDM,283601,REM/REPLACE ICD GEN DUAL,292001.93,292001.93,20440.14,292001.93,43
CDM,283601,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system ,292001.93,292001.93,8325.0,177296.0,32
CDM,283601,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system Age 21+,292001.93,292001.93,17970.11,17970.11,4
CDM,283601,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system Age Under 21,292001.93,292001.93,18296.84,18296.84,4
CDM,283602,REM/REPLACE ICD GEN MULT,56330.13,56330.13,3943.11,56330.13,43
CDM,283602,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system ,56330.13,56330.13,8325.0,177296.0,32
CDM,283602,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system Age 21+,56330.13,56330.13,23943.1,23943.1,4
CDM,283602,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system Age Under 21,56330.13,56330.13,24378.42,24378.42,4
CDM,283603,INS/REPL SQ ICD W/ ELEC,56761.43,56761.43,3973.3,56761.43,43
CDM,283603,"Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of ",56761.43,56761.43,8325.0,177296.0,40
CDM,283604,INS SQ ICD ELECTRODE,24227.94,24227.94,1695.96,24227.94,43
CDM,283604,Insertion of subcutaneous implantable defibrillator electrode ,24227.94,24227.94,5984.01,177296.0,33
CDM,283604,Insertion of subcutaneous implantable defibrillator electrode Age 21+,24227.94,24227.94,6682.65,6682.65,4
CDM,283604,Insertion of subcutaneous implantable defibrillator electrode Age Under 21,24227.94,24227.94,6804.16,6804.16,4
CDM,283605,INS/REPL LDLS PPM VENT,56192.07,56192.07,3933.44,56192.07,43
CDM,283605,"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and dev",56192.07,56192.07,2152.0,44631.92,19
CDM,283606,INS SQ CARD RHYTHM MONTR,12642.44,12642.44,884.97,12642.44,43
CDM,283606,"Insertion, subcutaneous cardiac rhythm monitor, including programming ",12642.44,12642.44,2152.0,25750.0,33
CDM,283606,"Insertion, subcutaneous cardiac rhythm monitor, including programming Age 21+",12642.44,12642.44,6336.23,6336.23,4
CDM,283606,"Insertion, subcutaneous cardiac rhythm monitor, including programming Age Under 21",12642.44,12642.44,6451.44,6451.44,4
CDM,283607,REM SQ CARD RHYTHM MONTR,8608.99,8608.99,602.63,8608.99,43
CDM,283607,"Removal, subcutaneous cardiac rhythm monitor ",8608.99,8608.99,253.74,6587.0,33
CDM,283607,"Removal, subcutaneous cardiac rhythm monitor Age 21+",8608.99,8608.99,283.36,283.36,4
CDM,283607,"Removal, subcutaneous cardiac rhythm monitor Age Under 21",8608.99,8608.99,288.51,288.51,4
CDM,283608,IMP WRLS P-ART PRES SNSR,247030.55,247030.55,27173.36,247030.55,37
CDM,283608,"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective",247030.55,247030.55,948.0,79860.28,31
CDM,283610,CLOSURE LAA W/ IMPLANT,201488.09,201488.09,22163.69,201488.09,43
CDM,283610,"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appen",201488.09,201488.09,948.0,25655.0,31
CDM,283616,TMVR PERC INITIAL DEVICE,58573.58,58573.58,6443.09,58573.58,43
CDM,283616,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis ",58573.58,58573.58,948.0,40707.22,27
CDM,283617,INS LVAD PERC ARTERIAL,31082.76,31082.76,3419.1,31082.76,43
CDM,283617,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only ",31082.76,31082.76,948.0,25655.0,27
CDM,283618,INS LVAD ART/VEN ACCESS,31082.76,31082.76,3419.1,31082.76,43
CDM,283618,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture ",31082.76,31082.76,948.0,25655.0,27
CDM,283620,REM LVAD PERC SEP SESS,31082.76,31082.76,3419.1,31082.76,43
CDM,283620,"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion ",31082.76,31082.76,948.0,25655.0,27
CDM,283621,REPOS VAD HEART SEP SESS,31082.76,31082.76,3419.1,31082.76,43
CDM,283621,Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion ,31082.76,31082.76,948.0,25655.0,27
CDM,283625,INJ VENOGRAM BI,3229.65,3229.65,355.26,3229.65,55
CDM,283626,INJ VENOGRAM LT,2153.1,2153.1,236.84,2153.1,55
CDM,283627,INJ VENOGRAM RT,2153.1,2153.1,236.84,2153.1,55
CDM,283628,CATH IVC/SVC,3042.99,3042.99,334.73,3042.99,55
CDM,283630,CATH IVC/SVC BI,4564.48,4564.48,502.09,4564.48,55
CDM,283631,CATH 1ST ORDER VEN RT,3547.6,3547.6,390.24,3547.6,55
CDM,283632,CATH 1ST ORDER VEN LT,3547.6,3547.6,390.24,3547.6,55
CDM,283633,CATH 1ST ORDER VEN BI,5321.4,5321.4,585.35,5321.4,55
CDM,283634,CATH 2ND ORDER VEN RT,4248.24,4248.24,467.31,4248.24,55
CDM,283635,CATH 2ND ORDER VEN LT,4248.24,4248.24,467.31,4248.24,55
CDM,283636,CATH 2ND ORDER VEN BI,6372.37,6372.37,700.96,6372.37,55
CDM,283637,CATH RT HRT/PULM ART,4084.59,4084.59,285.92,4084.59,55
CDM,283637,"Introduction of catheter, right heart or main pulmonary artery ",4084.59,4084.59,1481.0,5932.0,13
CDM,283638,CATH PULM ART UNI RT,3895.35,3895.35,272.67,3895.35,55
CDM,283640,CATH PULM ART UNI LT,3895.35,3895.35,272.67,3895.35,55
CDM,283641,CATH PULM ART UNI BI,5843.88,5843.88,409.07,5843.88,55
CDM,283642,CATH PLM ART SEG/SUB RT,4253.35,4253.35,297.73,4253.35,55
CDM,283643,CATH PLM ART SEG/SUB LT,4253.35,4253.35,297.73,4253.35,55
CDM,283644,CATH PLM ART SEG/SUB BI,6380.03,6380.03,446.6,6380.03,55
CDM,283645,NDL/INCATH EXT ART,3862.98,3862.98,424.93,3862.98,55
CDM,283646,NDL/INCATH EXT ART 59,3862.98,3862.98,424.93,3862.98,55
CDM,283647,CATH AORTA,9693.24,9693.24,678.53,9693.24,55
CDM,283647,"Introduction of catheter, aorta ",9693.24,9693.24,1481.0,6680.0,13
CDM,283648,CATH 1ST ORD UP ART LT,4974.47,4974.47,348.21,4974.47,55
CDM,283650,CATH 1ST ORD UP ART RT,4974.47,4974.47,348.21,4974.47,55
CDM,283651,CATH 2ND ORD UP ART LT,5306.89,5306.89,371.48,5306.89,55
CDM,283652,CATH 2ND ORD UP ART RT,5306.89,5306.89,371.48,5306.89,55
CDM,283653,CATH 3RD ORD UP ART RT,6365.55,6365.55,445.59,6365.55,55
CDM,283654,CATH 3RD ORD UP ART LT,6365.55,6365.55,445.59,6365.55,55
CDM,283655,CATH EA ADDL UP ART RT,1416.65,1416.65,99.17,1416.65,55
CDM,283656,CATH EA ADDL UP ART LT,1416.65,1416.65,99.17,1416.65,55
CDM,283657,SP EX CAROTID ANGIO BI,36045.3,36045.3,3964.98,36045.3,37
CDM,283658,SP EX CAROTID ANGIO LT,24030.19,24030.19,2643.32,24030.19,37
CDM,283660,SP EX CAROTID ANGIO RT,24030.19,24030.19,2643.32,24030.19,37
CDM,283661,SP COM CAROTIDANGIO BI,36045.3,36045.3,3964.98,36045.3,37
CDM,283662,SP COM CAROTIDANGIO RT,24030.19,24030.19,2643.32,24030.19,37
CDM,283663,SP COM CAROTIDANGIO LT,24030.19,24030.19,2643.32,24030.19,37
CDM,283664,SP INT CAROTID ANGIO BI,63306.84,63306.84,6963.75,63306.84,37
CDM,283665,SP INT CAROTID ANGIO RT,42204.56,42204.56,4642.5,42204.56,37
CDM,283666,SP INT CAROTID ANGIO LT,42204.56,42204.56,4642.5,42204.56,37
CDM,283667,SP SUBCL ANGIO BI,36045.3,36045.3,3964.98,36045.3,37
CDM,283668,SP SUBCL ANGIO LT,24030.19,24030.19,2643.32,24030.19,37
CDM,283669,STEM FEM HIP 11MM,1961.0,1961.0,215.71,1961.0,57
CDM,283670,SP SUBCL ANGIO RT,24030.19,24030.19,2643.32,24030.19,37
CDM,283671,SP VERT ANGIO BI,63306.84,63306.84,6963.75,63306.84,37
CDM,283672,SP VERT ANGIO LT,42204.56,42204.56,4642.5,42204.56,37
CDM,283673,SP VERT ANGIO RT,42204.56,42204.56,4642.5,42204.56,37
CDM,283674,SP EX CARTIDANGIOBI ADD,9396.18,9396.18,1033.58,9396.18,49
CDM,283675,SP EX CARTIDANGIOUNI +RT,6283.74,6283.74,691.21,6283.74,49
CDM,283676,SP EX CARTIDANGIOUNI +LT,6283.74,6283.74,691.21,6283.74,49
CDM,283681,CATH 1ST OD LOW ART BI,7431.01,7431.01,817.41,7431.01,55
CDM,283682,CATH 1ST OD LOW ART RT,4955.72,4955.72,545.13,4955.72,55
CDM,283683,CATH 1ST OD LOW ART LT,4955.72,4955.72,545.13,4955.72,55
CDM,283684,CATH 2ND OD LOW ART RT,5670.02,5670.02,623.7,5670.02,55
CDM,283685,CATH 2ND OD LOW ART LT,5670.02,5670.02,623.7,5670.02,55
CDM,283686,CATH 2ND OD LOW ART BI,8505.03,8505.03,935.55,8505.03,55
CDM,283687,CATH 3RD OD LOW ART RT,6345.09,6345.09,697.96,6345.09,55
CDM,283688,CATH 3RD OD LOW ART LT,6345.09,6345.09,697.96,6345.09,55
CDM,283690,CATH 3RD OD LOW ART BI,8731.78,8731.78,960.5,8731.78,55
CDM,283691,CATH EA ADDL LOW ART RT,1443.91,1443.91,158.83,1443.91,55
CDM,283692,CATH EA ADDL LOW ART LT,1443.91,1443.91,158.83,1443.91,55
CDM,283693,CATH 1ST OD RENAL RT,25448.55,25448.55,2799.34,25448.55,37
CDM,283694,CATH 1ST OD RENAL LT,25448.55,25448.55,2799.34,25448.55,37
CDM,283695,CATH 1ST OD RENAL BIL,25448.55,25448.55,2799.34,25448.55,37
CDM,283695,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",25448.55,25448.55,948.0,25655.0,32
CDM,283696,CATH 1 OR M 2ND OD RNLRT,25448.55,25448.55,2799.34,25448.55,37
CDM,283697,CATH 1 OR M 2ND OD RNLLT,25448.55,25448.55,2799.34,25448.55,37
CDM,283704,ART THRMB NCOR IN VSL BI,61475.93,61475.93,6762.35,61475.93,37
CDM,283705,ART THRMB NONCOR INI RT,40983.96,40983.96,4508.24,40983.96,37
CDM,283706,ART THRMB NONCOR INI LT,40983.96,40983.96,4508.24,40983.96,37
CDM,283707,ART THRMB NONCOR SUB VSL,16689.52,16689.52,1835.85,16689.52,55
CDM,283707,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",16689.52,16689.52,948.0,6680.0,19
CDM,283708,SEC ART THRMB NONCOR,16689.52,16689.52,1835.85,16689.52,55
CDM,283708,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",16689.52,16689.52,948.0,5932.0,19
CDM,283710,VENOUS MECH THROMBECT BI,61475.93,61475.93,6762.35,61475.93,37
CDM,283711,VENOUS MECH THROMBECT RT,40983.96,40983.96,4508.24,40983.96,37
CDM,283712,VENOUS MECH THROMBECT LT,40983.96,40983.96,4508.24,40983.96,37
CDM,283713,INSRT IVC FILTER W IMAG,37809.69,37809.69,4159.07,37809.69,37
CDM,283713,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",37809.69,37809.69,948.0,25655.0,32
CDM,283714,REMOVAL IVCF ENDO APRCH,25948.03,25948.03,2854.28,25948.03,37
CDM,283714,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",25948.03,25948.03,948.0,25655.0,32
CDM,283715,TRANSCATH RTRV FB S&I,21215.65,21215.65,2333.72,21215.65,37
CDM,283715,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",21215.65,21215.65,948.0,12499.0,55
CDM,283716,TRNSCTH TX ART INI DY BI,13261.27,13261.27,1458.74,13261.27,37
CDM,283717,TRNSCTH TX ART INI DAYRT,8840.86,8840.86,972.49,8840.86,37
CDM,283718,TRNSCTH TX ART INI DAYLT,8840.86,8840.86,972.49,8840.86,37
CDM,283720,TRNSCTH TX VN INI DAY BI,13261.27,13261.27,1458.74,13261.27,37
CDM,283721,TRNSCTH TX VEN INI DAYLT,8840.86,8840.86,972.49,8840.86,37
CDM,283722,TRNSCTH TX VEN INI DAYRT,8840.86,8840.86,972.49,8840.86,37
CDM,283723,TRNSCTH TX ART/VEN SUB,14897.83,14897.83,1638.76,14897.83,37
CDM,283723,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",14897.83,14897.83,2012.0,12897.0,32
CDM,283724,TRNSCTH TX ART/VEN FINAL,14897.83,14897.83,1638.76,14897.83,37
CDM,283724,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",14897.83,14897.83,2012.0,12897.0,32
CDM,283777,TRANSCTH STNT PLC IA BI,76486.27,76486.27,8413.49,76486.27,37
CDM,283778,TRANSCTH STNT PLC IA RT,50990.84,50990.84,5608.99,50990.84,37
CDM,283780,TRANSCTH STNT PLC IA LT,50990.84,50990.84,5608.99,50990.84,37
CDM,283781,TRANSCTH STNT PLC AD BI,48375.76,48375.76,5321.33,48375.76,55
CDM,283782,TRANSCTH STNT PLC AD RT,32250.51,32250.51,3547.56,32250.51,55
CDM,283783,TRANSCTH STNT PLC AD LT,32250.51,32250.51,3547.56,32250.51,55
CDM,283784,TRNSCTH STN PLC IN VN BI,75302.31,75302.31,8283.25,75302.31,37
CDM,283785,TRNSCTH STN PLC IN VN RT,50201.54,50201.54,5522.17,50201.54,37
CDM,283786,TRNSCTH STN PLC IN VN LT,50201.54,50201.54,5522.17,50201.54,37
CDM,283787,TRNSCTH STN PLC EA VN RT,32250.51,32250.51,3547.56,32250.51,55
CDM,283788,TRNSCTH STN PLC EA VN BI,48375.76,48375.76,5321.33,48375.76,55
CDM,283790,TRNSCTH STN PLC EA VN LT,32250.51,32250.51,3547.56,32250.51,55
CDM,283791,TRANS ANGIO SAME ART INT,41012.94,41012.94,4511.42,41012.94,37
CDM,283791,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",41012.94,41012.94,1995.0,25655.0,65
CDM,283792,TRANS ANGIO SAME ART EAD,15422.89,15422.89,1696.52,15422.89,55
CDM,283792,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",15422.89,15422.89,1481.0,14397.0,29
CDM,283793,TRANS BAL ANGIO EA IN BI,61519.41,61519.41,6767.14,61519.41,37
CDM,283794,TRANS BAL ANGIO EA IN RT,41012.94,41012.94,4511.42,41012.94,37
CDM,283795,TRANS BAL ANGIO EA IN LT,41012.94,41012.94,4511.42,41012.94,37
CDM,283796,TRANS BAL ANGIO EA AD RT,15422.89,15422.89,1696.52,15422.89,55
CDM,283797,TRANS BAL ANGIO EA AD LT,15422.89,15422.89,1696.52,15422.89,55
CDM,283798,TRANS BAL ANGIO EA AD BI,23134.33,23134.33,2544.78,23134.33,55
CDM,283800,INTVSC US NONCORN EADD,2794.07,2794.07,307.35,2794.07,55
CDM,283800,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",2794.07,2794.07,1481.0,5932.0,19
CDM,283801,SP AORTOGM ABD W/FILM 59,6324.28,6324.28,442.7,6324.28,48
CDM,283802,SP AORTOGM ABD W/RNF 59,5010.57,5010.57,350.74,5010.57,48
CDM,283803,SP ANGIO EXT UNI LT 59,5010.57,5010.57,350.74,5010.57,48
CDM,283804,SP ANGIO EXT UNI RT 59,5010.57,5010.57,350.74,5010.57,48
CDM,283805,SP ANGIO EXT BI 59,5508.6,5508.6,385.6,5508.6,48
CDM,283806,SP ANGIO PULM SEL BI 59,6231.7,6231.7,436.22,6231.7,48
CDM,283807,SP VENOGRAM EXT UNI LT59,4512.56,4512.56,315.88,4512.56,48
CDM,283808,SP VENOGRAM EXT UNI RT59,4512.56,4512.56,315.88,4512.56,48
CDM,283810,SP VENOGRAM EXT BI 59,6780.81,6780.81,474.66,6780.81,48
CDM,283811,PTCA SINGLE VESSEL RI,32507.47,32507.47,3575.82,32507.47,37
CDM,283812,PTCA SINGLE VESSEL RC,32507.47,32507.47,3575.82,32507.47,37
CDM,283813,PTCA SINGLE VESSEL LM,32507.47,32507.47,3575.82,32507.47,37
CDM,283814,PTCA SINGLE VESSEL LD,32507.47,32507.47,3575.82,32507.47,37
CDM,283815,PTCA SINGLE VESSEL LC,32507.47,32507.47,3575.82,32507.47,37
CDM,283820,PTCA COR SGL ARTY LC,62212.11,62212.11,6843.33,62212.11,37
CDM,283821,PTCA COR W ANG SGL RI,62212.11,62212.11,6843.33,62212.11,37
CDM,283822,PTCA COR W ANG SGL LM,62212.11,62212.11,6843.33,62212.11,37
CDM,283823,PTCA COR SGL ARTY RC,62212.11,62212.11,6843.33,62212.11,37
CDM,283824,PTCA COR SGL ARTY LD,62212.11,62212.11,6843.33,62212.11,37
CDM,283828,PTCA STNT W ANG SGL RI,33956.6,33956.6,3735.23,33956.6,37
CDM,283830,PTCA STNT W ANG SGL LM,33956.6,33956.6,3735.23,33956.6,37
CDM,283831,PTCA STNT W ANG SGL LC,33956.6,33956.6,3735.23,33956.6,37
CDM,283832,PTCA STNT W ANG SGL RC,33956.6,33956.6,3735.23,33956.6,37
CDM,283833,PTCA STNT W ANG SGL  LD,33956.6,33956.6,3735.23,33956.6,37
CDM,283837,PTCA STN W ATH SGL RI,33956.6,33956.6,3735.23,33956.6,37
CDM,283838,PTCA STN W ATH SGL LM,33956.6,33956.6,3735.23,33956.6,37
CDM,283840,PTCA STN W ATH SGL RC,33956.6,33956.6,3735.23,33956.6,37
CDM,283841,PTCA STN W ATH SGL LD,33956.6,33956.6,3735.23,33956.6,37
CDM,283842,PTCA STN W ATH SGL LC,33956.6,33956.6,3735.23,33956.6,37
CDM,283846,PTCA RVS GFT STNT SGL RI,33956.6,33956.6,3735.23,33956.6,37
CDM,283847,PTCA RVS GFT STNT SGL LM,33956.6,33956.6,3735.23,33956.6,37
CDM,283848,PTCA RVS GFT STNT SGL RC,33956.6,33956.6,3735.23,33956.6,37
CDM,283850,PTCA RVS GFT STNT SGL LD,33956.6,33956.6,3735.23,33956.6,37
CDM,283851,PTCA RVS GFT STNT SGL LC,33956.6,33956.6,3735.23,33956.6,37
CDM,283855,RVSC AMI STN THRM SGL RI,33956.6,33956.6,3735.23,33956.6,43
CDM,283856,RVSC AMI STN THRM SGL RC,33956.6,33956.6,3735.23,33956.6,43
CDM,283857,RVSC AMI STN THRM SGL LM,33956.6,33956.6,3735.23,33956.6,43
CDM,283858,RVSC AMI STN THRM SGL LD,33956.6,33956.6,3735.23,33956.6,43
CDM,283860,RVSC AMI STN THRM SGL LC,33956.6,33956.6,3735.23,33956.6,43
CDM,283861,RVSC CHR STN THRM SGL LD,33956.6,33956.6,3735.23,33956.6,37
CDM,283862,RVSC CHR STN THRM SGL LC,33956.6,33956.6,3735.23,33956.6,37
CDM,283863,RVSC CHR STN THRM SGL RC,33956.6,33956.6,3735.23,33956.6,37
CDM,283864,RVSC CHR STN THRM SGL LM,33956.6,33956.6,3735.23,33956.6,37
CDM,283865,RVSC CHR STN THRM SGL RI,33956.6,33956.6,3735.23,33956.6,37
CDM,283870,CPR,2309.21,2309.21,161.64,2309.21,44
CDM,283870,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",2309.21,2309.21,551.76,2636.0,11
CDM,283871,PERC TRANS COR LITH LM,32507.47,32507.47,2275.52,32507.47,58
CDM,283872,PERC TRANS COR LITH LD,32507.47,32507.47,2275.52,32507.47,58
CDM,283873,PERC TRANS COR LITH LC,32507.47,32507.47,2275.52,32507.47,58
CDM,283874,PERC TRANS COR LITH RC,32507.47,32507.47,2275.52,32507.47,58
CDM,283875,PERC TRANS COR LITH RI,32507.47,32507.47,2275.52,32507.47,58
CDM,283876,PERC TRANS CORON THROM,4126.27,4126.27,453.89,4126.27,50
CDM,283876,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,4126.27,4126.27,1481.0,46251.0,15
CDM,283876,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) with Cardiac Cath,4126.27,4126.27,7818.0,7818.0,5
CDM,283876,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) without Cardiac Cath,4126.27,4126.27,5591.0,5591.0,5
CDM,283880,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,7834.63,7834.63,276.51,43890.0,25
CDM,283880,IVUS INITIAL VESSEL,7834.63,7834.63,861.81,7834.63,44
CDM,283881,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,3794.66,3794.66,220.03,43890.0,25
CDM,283881,IVUS EA ADDL VESSEL,3794.66,3794.66,417.41,3794.66,44
CDM,283882,PB VALVUPLSTY AORTIC VAL,53443.21,53443.21,5878.75,53443.21,36
CDM,283882,Percutaneous balloon valvuloplasty; aortic valve ,53443.21,53443.21,3933.0,100082.0,27
CDM,283882,Percutaneous balloon valvuloplasty; aortic valve with Cardiac Cath,53443.21,53443.21,7818.0,7818.0,5
CDM,283882,Percutaneous balloon valvuloplasty; aortic valve without Cardiac Cath,53443.21,53443.21,5591.0,5591.0,5
CDM,283883,CATH HRT RT W SAT/CO,32128.91,32128.91,3534.18,32128.91,37
CDM,283884,CATH HRT RT W SAT/CO 59,32128.91,32128.91,3534.18,32128.91,37
CDM,283885,CATH HRT LT/INJ L VENT,41126.47,41126.47,4523.91,41126.47,37
CDM,283886,CATH HRT LT/INJ L VENT59,41126.47,41126.47,4523.91,41126.47,37
CDM,283887,CATH HRT R&L/INJ L VENT,43653.7,43653.7,4801.91,43653.7,37
CDM,283888,CATH HRT R&L/INJ LVNT59,43653.7,43653.7,4801.91,43653.7,37
CDM,283890,CATH PLC/INJ CORONRY ART,43892.95,43892.95,4828.22,43892.95,37
CDM,283891,CATH PLC/INJ CRNRY ART59,43892.95,43892.95,4828.22,43892.95,37
CDM,283892,CATH PLC/INJ BYPAS GRFTS,46933.53,46933.53,5162.69,46933.53,37
CDM,283893,CATH PLC/INJ BYPS GRFT59,46933.53,46933.53,5162.69,46933.53,37
CDM,283894,CTH PLC/INJ CR ART W RHC,46933.53,46933.53,5162.69,46933.53,37
CDM,283895,CTH PLC/INJ CR ART RHC59,46933.53,46933.53,5162.69,46933.53,37
CDM,283896,CTH PLC/INJ GRAFT W RHC,43892.95,43892.95,4828.22,43892.95,37
CDM,283897,CTH PLC/INJ GRFT W RHC59,43892.95,43892.95,4828.22,43892.95,37
CDM,283898,CTH PLC/INJ LHC & L VENT,50367.8,50367.8,5540.46,50367.8,37
CDM,283900,CTH PLC/INJ LHC&L VENT59,50367.8,50367.8,5540.46,50367.8,37
CDM,283901,CTH PLC/INJ LHC W GRAFT,46933.53,46933.53,5162.69,46933.53,37
CDM,283902,CTH PLC/INJ LHC W GRFT59,46933.53,46933.53,5162.69,46933.53,37
CDM,283903,CTH PLC/INJ R&LHC/L VENT,50367.8,50367.8,5540.46,50367.8,37
CDM,283904,CTH PLC/INJ R&LHC/LVNT59,50367.8,50367.8,5540.46,50367.8,37
CDM,283905,CTH PLC/INJ R&LHC/GRAFTS,56099.15,56099.15,6170.91,56099.15,37
CDM,283906,CTH PLC/INJ R&LHC/GRFT59,56099.15,56099.15,6170.91,56099.15,37
CDM,283907,LHC TRANS SEPTAL/APICAL,29722.8,29722.8,3269.51,29722.8,49
CDM,283907,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,29722.8,29722.8,2796.0,22644.0,18
CDM,283907,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) with Cardiac Cath,29722.8,29722.8,7818.0,7818.0,5
CDM,283908,INSERTION FLO DR CATH,12869.44,12869.44,1415.64,12869.44,50
CDM,283908,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",12869.44,12869.44,2214.0,21768.0,15
CDM,283908,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath",12869.44,12869.44,7818.0,7818.0,5
CDM,283910,INJ SELECT LT VENT/ATRIA,3397.94,3397.94,237.86,3397.94,54
CDM,283910,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",3397.94,3397.94,1481.0,21768.0,13
CDM,283911,INJ SELECT RT VENT/ATRIA,2524.21,2524.21,176.69,2524.21,54
CDM,283911,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",2524.21,2524.21,1481.0,21768.0,13
CDM,283912,INJ SUPRAVALV AORTOGRM,3249.54,3249.54,227.47,3249.54,54
CDM,283912,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",3249.54,3249.54,1481.0,21768.0,13
CDM,283913,INJ PULM ANG NON SEL,3461.52,3461.52,242.31,3461.52,54
CDM,283913,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",3461.52,3461.52,1481.0,21768.0,13
CDM,283914,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",549.67,549.67,1481.0,2636.0,5
CDM,283914,VELOCITY BLD FLOW INT,549.67,549.67,38.48,549.67,56
CDM,283915,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",549.67,549.67,1481.0,2636.0,5
CDM,283915,VELOCITY BLD FLOW EA ADD,549.67,549.67,38.48,549.67,56
CDM,283916,PER CL CON INT COM W/IMP,41317.26,41317.26,2892.21,41317.26,42
CDM,283916,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",41317.26,41317.26,3933.0,46251.0,26
CDM,283917,PER CL CON VT SP DF W/IM,41317.26,41317.26,2892.21,41317.26,42
CDM,283917,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,41317.26,41317.26,3933.0,46251.0,26
CDM,283918,PERC DRUG EL COR STNT RI,34925.69,34925.69,3841.83,34925.69,37
CDM,283920,PERC DRUG EL COR STNT RC,34925.69,34925.69,3841.83,34925.69,37
CDM,283921,PERC DRUG EL COR STNT LM,34925.69,34925.69,3841.83,34925.69,37
CDM,283922,PERC DRUG EL COR STNT LD,34925.69,34925.69,3841.83,34925.69,37
CDM,283923,PERC DRUG EL COR STNT LC,34925.69,34925.69,3841.83,34925.69,37
CDM,283924,PERC D-EL COR STN AD LC,34925.69,34925.69,3841.83,34925.69,49
CDM,283925,PERC D-EL COR STN AD RC,34925.69,34925.69,3841.83,34925.69,49
CDM,283926,PERC D-EL COR STN AD LD,34925.69,34925.69,3841.83,34925.69,49
CDM,283927,PRC D-EL COR STNT ATH RI,34925.69,34925.69,3841.83,34925.69,37
CDM,283928,PRC D-EL COR STNT ATH RC,34925.69,34925.69,3841.83,34925.69,37
CDM,283930,PRC D-EL COR STNT ATH LM,34925.69,34925.69,3841.83,34925.69,37
CDM,283931,PRC D-EL COR STNT ATH LC,34925.69,34925.69,3841.83,34925.69,37
CDM,283932,PRC D-EL COR STNT ATH LD,34925.69,34925.69,3841.83,34925.69,37
CDM,283933,P D-EL COR STN ATH AD RC,34925.69,34925.69,3841.83,34925.69,49
CDM,283934,P D-EL COR STN ATH AD LD,34925.69,34925.69,3841.83,34925.69,49
CDM,283935,P D-EL COR STN ATH AD LC,34925.69,34925.69,3841.83,34925.69,49
CDM,283936,PRC D-EL COR RVSC CABGRI,34925.69,34925.69,3841.83,34925.69,37
CDM,283937,PRC D-EL COR RVSC CABGRC,34925.69,34925.69,3841.83,34925.69,37
CDM,283938,PRC D-EL COR RVSC CABGLM,34925.69,34925.69,3841.83,34925.69,37
CDM,283940,PRC D-EL COR RVSC CABGLC,34925.69,34925.69,3841.83,34925.69,37
CDM,283941,PRC D-EL COR RVSC CABGLD,34925.69,34925.69,3841.83,34925.69,37
CDM,283942,P D-EL COR RVS CABG A RC,34925.69,34925.69,3841.83,34925.69,49
CDM,283943,P D-EL COR RVS CABG A LD,34925.69,34925.69,3841.83,34925.69,49
CDM,283944,P D-EL COR RVS CABG A LC,34925.69,34925.69,3841.83,34925.69,49
CDM,283945,PRC D-E COR REVSC AMI LD,34925.69,34925.69,3841.83,34925.69,43
CDM,283946,PRC D-E COR REVSC AMI LM,34925.69,34925.69,3841.83,34925.69,43
CDM,283947,PRC D-E COR REVSC AMI LC,34925.69,34925.69,3841.83,34925.69,43
CDM,283948,PRC D-E COR REVSC AMI RI,34925.69,34925.69,3841.83,34925.69,43
CDM,283950,PRC D-E COR REVSC AMI RC,34925.69,34925.69,3841.83,34925.69,43
CDM,283951,PRC D-E COR REVSC CHRNRI,34925.69,34925.69,3841.83,34925.69,37
CDM,283952,PRC D-E COR REVSC CHRNRC,34925.69,34925.69,3841.83,34925.69,37
CDM,283953,PRC D-E COR REVSC CHRNLM,34925.69,34925.69,3841.83,34925.69,37
CDM,283954,PRC D-E COR REVSC CHRNLD,34925.69,34925.69,3841.83,34925.69,37
CDM,283955,PRC D-E COR REVSC CHRNLC,34925.69,34925.69,3841.83,34925.69,37
CDM,283956,PRC D-E COR REVSC COT LD,34925.69,34925.69,3841.83,34925.69,49
CDM,283957,PRC D-E COR REVSC COT RC,34925.69,34925.69,3841.83,34925.69,49
CDM,283958,PRC D-E COR REVSC COT LC,34925.69,34925.69,3841.83,34925.69,49
CDM,283960,REVSC LOW EXT IVL ANG BI,77657.43,77657.43,5436.02,77657.43,45
CDM,283961,REVSC LOW EXT IVL ANG LT,51771.62,51771.62,3624.01,51771.62,45
CDM,283962,REVSC LOW EXT IVL ANG RT,51771.62,51771.62,3624.01,51771.62,45
CDM,283963,RVSC LOW EXT IVL/STNT BI,164863.2,164863.2,11540.42,164863.2,45
CDM,283964,RVSC LOW EXT IVL/STNT LT,109908.8,109908.8,7693.62,109908.8,45
CDM,283965,RVSC LOW EXT IVL/STNT RT,109908.8,109908.8,7693.62,109908.8,45
CDM,283966,REVSC LOW EXT IVL/ATH BI,164863.2,164863.2,11540.42,164863.2,45
CDM,283967,REVSC LOW EXT IVL/ATH RT,109908.8,109908.8,7693.62,109908.8,45
CDM,283968,RVSC LW EXT IVL ST/AT BI,114209.02,114209.02,7994.63,114209.02,45
CDM,283970,RVSC LW EXT IVL ST/AT LT,76139.34,76139.34,5329.75,76139.34,45
CDM,283971,RVSC LW EXT IVL ST/AT RT,76139.34,76139.34,5329.75,76139.34,45
CDM,283972,ILC/FEM ART ANG AT CCATH,2686.46,2686.46,188.05,2686.46,58
CDM,283973,D5W 500 ML INJ,18.32,18.32,1.28,18.32,47
CDM,283974,D5NS 500 ML,22.9,22.9,1.6,22.9,47
CDM,283975,D5W 1000ML,22.32,22.32,1.56,22.32,47
CDM,283975,"Infusion, d5w, 1000 cc ",22.32,22.32,2.98,84.14,17
CDM,284003,OCCLUDER CARD AMPLTZ 3X6,210444.0,210444.0,23148.84,210444.0,57
CDM,284004,OCCLUDER CARDIA LF 6X6MM,210444.0,210444.0,23148.84,210444.0,57
CDM,284064,SPACER SPNL 7MM,44293.0,44293.0,4872.23,44293.0,57
CDM,284065,ALLOGRAFT BN RT FRZN,142252.0,142252.0,15647.72,142252.0,57
CDM,284113,CMPNT HIP CSTM,468520.0,468520.0,51537.2,468520.0,57
CDM,284207,CATH BLNDIL 5.00X15MM,2811.0,2811.0,196.77,2811.0,71
CDM,284253,INS PPM GEN ONLY SGL LD,18315.87,18315.87,2014.75,18315.87,37
CDM,284253,Insertion of pacemaker pulse generator only; with existing single lead ,18315.87,18315.87,2369.0,177296.0,39
CDM,284253,Insertion of pacemaker pulse generator only; with existing single lead Age 21+,18315.87,18315.87,6049.91,6049.91,4
CDM,284253,Insertion of pacemaker pulse generator only; with existing single lead Age Under 21,18315.87,18315.87,6159.91,6159.91,4
CDM,284254,INS PPM GEN ONLY DUAL LD,18315.87,18315.87,2014.75,18315.87,37
CDM,284254,Insertion of pacemaker pulse generator only; with existing dual leads ,18315.87,18315.87,2369.0,177296.0,39
CDM,284254,Insertion of pacemaker pulse generator only; with existing dual leads Age 21+,18315.87,18315.87,7081.25,7081.25,4
CDM,284254,Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21,18315.87,18315.87,7210.0,7210.0,4
CDM,284255,INS ICD GEN ONLY SGL LD,25622.43,25622.43,2818.47,25622.43,37
CDM,284255,Insertion of implantable defibrillator pulse generator only; with existing single lead ,25622.43,25622.43,2369.0,177450.0,39
CDM,284255,Insertion of implantable defibrillator pulse generator only; with existing single lead Age 21+,25622.43,25622.43,18319.61,18319.61,4
CDM,284255,Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21,25622.43,25622.43,18652.69,18652.69,4
CDM,284256,CATH 1 OR M 2ND OD RNLBI,25448.55,25448.55,2799.34,25448.55,37
CDM,284256,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",25448.55,25448.55,948.0,25655.0,32
CDM,284257,INS CVC NON-TUN CENT=>5Y,8302.16,8302.16,913.24,8302.16,37
CDM,284257,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,8302.16,8302.16,948.0,12897.0,47
CDM,284257,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older Age 21+,8302.16,8302.16,1230.04,1230.04,4
CDM,284257,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older Age Under 21,8302.16,8302.16,1252.41,1252.41,4
CDM,284258,INS CVAD W PORT CENT=>5Y,7998.69,7998.69,879.86,7998.69,37
CDM,284258,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",7998.69,7998.69,948.0,12897.0,47
CDM,284258,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age 21+",7998.69,7998.69,1230.04,1230.04,4
CDM,284258,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age Under 21",7998.69,7998.69,1252.41,1252.41,4
CDM,284260,REPL TUN CV CATH W/O P-P,7998.69,7998.69,879.86,7998.69,37
CDM,284260,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",7998.69,7998.69,948.0,12897.0,47
CDM,284260,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Age 21+",7998.69,7998.69,1625.55,1625.55,4
CDM,284260,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Age Under 21",7998.69,7998.69,1655.1,1655.1,4
CDM,284261,TUBE EARVNT COHN SIL,750.0,750.0,82.5,750.0,57
CDM,284263,REM TUN CVAD W/P-P,7338.96,7338.96,807.29,7338.96,37
CDM,284263,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",7338.96,7338.96,439.58,12897.0,47
CDM,284263,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion Age 21+",7338.96,7338.96,490.9,490.9,4
CDM,284263,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion Age Under 21",7338.96,7338.96,499.82,499.82,4
CDM,284264,CONT INJ EX CVAD W FLURO,683.62,683.62,75.2,683.62,37
CDM,284264,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",683.62,683.62,78.27,12897.0,47
CDM,284264,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report Age 21+",683.62,683.62,87.41,87.41,4
CDM,284264,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report Age Under 21",683.62,683.62,89.0,89.0,4
CDM,284265,CAROTD ART STNT W/DEP LT,43863.29,43863.29,4824.96,43863.29,43
CDM,284266,CAROTD ART STNT W/DEP RT,43863.29,43863.29,4824.96,43863.29,43
CDM,284267,CAROTD ART STNT W/DEP BI,65794.94,65794.94,7237.44,65794.94,43
CDM,284270,BIOPSY ENDOMYOCARDIAL,6008.46,6008.46,660.93,6008.46,35
CDM,284270,Endomyocardial biopsy ,6008.46,6008.46,2796.0,21768.0,27
CDM,284270,Endomyocardial biopsy with Cardiac Cath,6008.46,6008.46,7818.0,7818.0,5
CDM,284272,REVSC TIB/PER IVL ANG BI,92412.82,92412.82,6468.9,92412.82,45
CDM,284273,REVSC TIB/PER IVL ANG LT,61608.54,61608.54,4312.6,61608.54,45
CDM,284274,REVSC TIB/PER IVL ANG RT,61608.54,61608.54,4312.6,61608.54,45
CDM,284278,FLUZONE TRI 0.5 ML PF IM,93.96,93.96,6.58,93.96,42
CDM,284278,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",93.96,93.96,22.52,189.0,17
CDM,284278,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use Other Outpatient",93.96,93.96,,,0
CDM,284279,REVSC TIB/PER IVL/ATH,109908.8,109908.8,7693.62,109908.8,45
CDM,284279,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",109908.8,109908.8,8489.09,44979.2,35
CDM,284279,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed Age ",109908.8,109908.8,9480.21,9652.57,8
CDM,284400,BX TRANSCATH,3530.67,3530.67,388.37,3530.67,37
CDM,284400,Transcatheter biopsy ,3530.67,3530.67,948.0,21630.0,47
CDM,284400,Transcatheter biopsy Age 21+,3530.67,3530.67,2133.07,2133.07,4
CDM,284400,Transcatheter biopsy Age Under 21,3530.67,3530.67,2171.85,2171.85,4
CDM,284422,CMPNT HIP FEM CBLT SZ12,36120.0,36120.0,3973.2,36120.0,57
CDM,284576,PERC PLEUR DRN W/ IMG,5208.01,5208.01,572.88,5208.01,37
CDM,284576,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance ",5208.01,5208.01,181.11,6680.0,47
CDM,284576,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance Age 21+",5208.01,5208.01,490.9,490.9,4
CDM,284576,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance Age Under 21",5208.01,5208.01,499.82,499.82,4
CDM,284577,INS PPM GEN ONLY MULT LD,88341.98,88341.98,9717.62,88341.98,37
CDM,284577,Insertion of pacemaker pulse generator only; with existing multiple leads ,88341.98,88341.98,1995.0,85680.0,47
CDM,284577,Insertion of pacemaker pulse generator only; with existing multiple leads Age 21+,88341.98,88341.98,10855.33,10855.33,4
CDM,284577,Insertion of pacemaker pulse generator only; with existing multiple leads Age Under 21,88341.98,88341.98,11052.7,11052.7,4
CDM,284578,INS ICD GEN ONLY MULT LD,292001.93,292001.93,32120.21,292001.93,38
CDM,284578,Insertion of implantable defibrillator pulse generator only; with existing multiple leads ,292001.93,292001.93,2369.0,109000.0,38
CDM,284578,Insertion of implantable defibrillator pulse generator only; with existing multiple leads Age 21+,292001.93,292001.93,24051.39,24051.39,4
CDM,284578,Insertion of implantable defibrillator pulse generator only; with existing multiple leads Age Under 21,292001.93,292001.93,24488.69,24488.69,4
CDM,284579,REM SQ ICD ELECTRODE,15990.57,15990.57,1119.34,15990.57,43
CDM,284579,Removal of subcutaneous implantable defibrillator electrode ,15990.57,15990.57,3772.76,177296.0,20
CDM,284580,REPOS PREV SQ ICD ELECTR,15990.57,15990.57,1119.34,15990.57,43
CDM,284580,Repositioning of previously implanted subcutaneous implantable defibrillator electrode ,15990.57,15990.57,1404.06,12360.0,33
CDM,284580,Repositioning of previously implanted subcutaneous implantable defibrillator electrode Age 21+,15990.57,15990.57,1567.98,1567.98,4
CDM,284580,Repositioning of previously implanted subcutaneous implantable defibrillator electrode Age Under 21,15990.57,15990.57,1596.49,1596.49,4
CDM,284587,EVAS RPR INFR A-AO NORUP,22086.77,22086.77,2429.54,22086.77,43
CDM,284587,"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiolo",22086.77,22086.77,948.0,76895.0,31
CDM,284588,EVAS RPR INFR A-AO RUPT,22086.77,22086.77,2429.54,22086.77,43
CDM,284588,"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiolo",22086.77,22086.77,948.0,76895.0,31
CDM,284589,EVAS RPR A-UNILIAC NORUP,22086.77,22086.77,2429.54,22086.77,43
CDM,284589,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s),",22086.77,22086.77,948.0,76895.0,31
CDM,284590,EVAS RPR A-UNILIAC RUPT,22086.77,22086.77,2429.54,22086.77,43
CDM,284590,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s),",22086.77,22086.77,948.0,76895.0,31
CDM,284591,EVAS RPR A-BIILIAC NORUP,22086.77,22086.77,2429.54,22086.77,43
CDM,284591,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), ",22086.77,22086.77,948.0,76895.0,31
CDM,284596,EVAS RPR ABD AORT ADDL,12136.14,12136.14,1334.98,12136.14,43
CDM,284596,"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneury",12136.14,12136.14,948.0,25655.0,31
CDM,284597,DELAY PLC EXT PROSTH INI,12136.14,12136.14,1334.98,12136.14,43
CDM,284597,"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, inc",12136.14,12136.14,948.0,25655.0,31
CDM,284598,DELAY PLC EXT PROSTH ADD,12136.14,12136.14,1334.98,12136.14,43
CDM,284598,"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, inc",12136.14,12136.14,948.0,25655.0,31
CDM,284600,ACC/CLS FEM ART PERC ADD,2749.66,2749.66,302.46,2749.66,55
CDM,284600,"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilateral (List separately in ",2749.66,2749.66,948.0,6587.0,19
CDM,284603,CONDU OPEN AX/SC ART UNI,5073.34,5073.34,558.07,5073.34,55
CDM,284603,"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or supraclavicular incision",5073.34,5073.34,948.0,6587.0,19
CDM,284605,EVAS PLC ILI ART OCC DEV,3641.36,3641.36,400.55,3641.36,43
CDM,284605,Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) ,3641.36,3641.36,948.0,25655.0,27
CDM,284606,OPEN FEM ART EXPOSE UNI,5898.45,5898.45,648.83,5898.45,43
CDM,284606,"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure) ",5898.45,5898.45,948.0,25655.0,27
CDM,284607,PLC FEM GFT W/ AAA RPR,4198.81,4198.81,461.87,4198.81,43
CDM,284607,Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure) ,4198.81,4198.81,948.0,25655.0,27
CDM,284613,RPR LE BLDVSL DIRECT,23474.45,23474.45,2582.19,23474.45,37
CDM,284613,"Repair blood vessel, direct; lower extremity ",23474.45,23474.45,714.92,25655.0,32
CDM,284621,INS PICC WO P W IMG=>5Y,12431.05,12431.05,1367.42,12431.05,37
CDM,284621,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",12431.05,12431.05,439.58,12897.0,55
CDM,284625,DIALYSIS CIRC DX ANGIO,5816.62,5816.62,639.83,5816.62,37
CDM,284625,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",5816.62,5816.62,439.58,5932.0,55
CDM,284626,DIALYSIS CIRC BLN ANGIOP,41012.94,41012.94,4511.42,41012.94,37
CDM,284626,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",41012.94,41012.94,1738.42,25655.0,60
CDM,284627,DIALYSIS CIRC INTRV STNT,82890.17,82890.17,9117.92,82890.17,37
CDM,284627,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",82890.17,82890.17,948.0,27743.74,55
CDM,284628,DIALYSIS CIRC THRMB,41012.94,41012.94,4511.42,41012.94,37
CDM,284628,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",41012.94,41012.94,948.0,25655.0,55
CDM,284629,DIALYSIS CIRC THRMB/STNT,125640.26,125640.26,13820.43,125640.26,37
CDM,284629,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",125640.26,125640.26,948.0,44631.92,54
CDM,284630,DIAL SEG CTRL BLN ANGIOP,15422.89,15422.89,1696.52,15422.89,55
CDM,284630,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",15422.89,15422.89,1481.0,14397.0,24
CDM,284631,DIAL SEG CTRL INTRV STNT,15422.89,15422.89,1696.52,15422.89,55
CDM,284631,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",15422.89,15422.89,948.0,5932.0,19
CDM,284633,DIALYSIS CIRCUIT EMBOLJ,15422.89,15422.89,1696.52,15422.89,55
CDM,284633,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",15422.89,15422.89,948.0,5932.0,19
CDM,284634,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",40983.96,40983.96,948.0,33769.0,55
CDM,284634,VEN THRMB REPEAT SUB DAY,40983.96,40983.96,4508.24,40983.96,37
CDM,284636,CAROTID ART STENT WO DEP,43863.29,43863.29,4824.96,43863.29,43
CDM,284636,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",43863.29,43863.29,2369.0,100082.0,41
CDM,284640,VASC EMBOLIZ VENOUS,64359.53,64359.53,7079.55,64359.53,37
CDM,284640,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",64359.53,64359.53,1995.0,28151.19,55
CDM,284641,VASC EMBOLIZ ARTERIAL,64359.53,64359.53,7079.55,64359.53,37
CDM,284641,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",64359.53,64359.53,1995.0,27743.74,55
CDM,284644,VASC EMBOL ART VEN HEM,64359.53,64359.53,7079.55,64359.53,37
CDM,284644,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",64359.53,64359.53,1995.0,27743.74,32
CDM,284646,PB VALVUPLSTY PULMON VAL,39566.81,39566.81,4352.35,39566.81,36
CDM,284646,Percutaneous balloon valvuloplasty; pulmonary valve ,39566.81,39566.81,3933.0,100082.0,27
CDM,284646,Percutaneous balloon valvuloplasty; pulmonary valve with Cardiac Cath,39566.81,39566.81,7818.0,7818.0,5
CDM,284646,Percutaneous balloon valvuloplasty; pulmonary valve without Cardiac Cath,39566.81,39566.81,5591.0,5591.0,5
CDM,284647,INJ SELECT CA CONGENITAL,5493.61,5493.61,384.55,5493.61,54
CDM,284647,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",5493.61,5493.61,1481.0,21768.0,13
CDM,284648,INJ CATH SEL PUL ANG RT,3635.29,3635.29,254.47,3635.29,57
CDM,284649,INJ CATH SEL PUL ANG LT,3635.29,3635.29,254.47,3635.29,57
CDM,284650,RT LT CATH ANOM NNC,36081.05,36081.05,2525.67,36081.05,44
CDM,284650,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,36081.05,36081.05,7799.0,28286.0,21
CDM,284651,CAR OUTPUT THER CHD,502.68,502.68,35.19,502.68,56
CDM,284651,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",502.68,502.68,1481.0,9364.0,5
CDM,284653,INTVSC US NONCORN INIT,5586.47,5586.47,614.51,5586.47,55
CDM,284653,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",5586.47,5586.47,1481.0,5932.0,19
CDM,284655,FLUBLOK TRI PF IM,388.04,388.04,27.16,388.04,42
CDM,284655,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",388.04,388.04,95.22,702.63,17
CDM,284655,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Other Outpatient",388.04,388.04,,,0
CDM,284657,HUMULIN N 20 U INJ,4.82,4.82,0.34,4.82,55
CDM,284658,HUMULIN R 20 U INJ,4.82,4.82,0.34,4.82,55
CDM,284659,SEMGLEE 20 U INJ,6.8,6.8,0.48,6.8,55
CDM,284660,MYXREDLIN 100U/100ML INJ,189.0,189.0,13.23,189.0,55
CDM,284661,HUMULIN R 1 U/ML INJ,0.23,0.23,0.02,0.23,55
CDM,284663,FLUZONE HD PF IM,388.04,388.04,27.16,388.04,42
CDM,284712,INSERT TIB KN 10MM,19505.0,19505.0,2145.55,19505.0,57
CDM,284773,SCREW SCHANZ 5X55X250MM,3428.0,3428.0,239.96,3428.0,71
CDM,284774,STABILIZR BN 22/13X220MM,74227.0,74227.0,8164.97,74227.0,57
CDM,284775,PLATE BN 1.7X8MM 6 HL RT,3839.0,3839.0,422.29,3839.0,57
CDM,284776,PLATE MXLFCL LT 11HL 6MM,6893.0,6893.0,758.23,6893.0,57
CDM,284777,PLATE CRANIO 100D 8MM,4047.0,4047.0,445.17,4047.0,57
CDM,284903,REM LEADLESS PPM VENT,14954.09,14954.09,1046.79,14954.09,43
CDM,284903,"Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed ",14954.09,14954.09,2152.0,19415.0,20
CDM,284933,BURR WEDGE 2.9MM 13MM,8802.0,8802.0,616.14,8802.0,71
CDM,284934,BURR SURG 4.3MM 13MM,8802.0,8802.0,616.14,8802.0,71
CDM,284935,INSERT ACTB HIP 48X28MM,13481.0,13481.0,1482.91,13481.0,57
CDM,285004,REPL NON-TUN CVC W/O P-P,8302.16,8302.16,913.24,8302.16,37
CDM,285004,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",8302.16,8302.16,596.54,12897.0,47
CDM,285004,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Age 21+",8302.16,8302.16,666.18,666.18,4
CDM,285004,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Age Under 21",8302.16,8302.16,678.29,678.29,4
CDM,285008,REPO PREV PLCD CVC FLURO,8302.16,8302.16,913.24,8302.16,37
CDM,285008,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,8302.16,8302.16,439.58,12897.0,47
CDM,285008,Repositioning of previously placed central venous catheter under fluoroscopic guidance Age 21+,8302.16,8302.16,490.9,490.9,4
CDM,285008,Repositioning of previously placed central venous catheter under fluoroscopic guidance Age Under 21,8302.16,8302.16,499.82,499.82,4
CDM,285012,CVRT GASTR TO GSJEJ TUBE,8370.34,8370.34,920.74,8370.34,37
CDM,285012,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",8370.34,8370.34,556.5,5932.0,47
CDM,285012,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",8370.34,8370.34,621.47,621.47,4
CDM,285012,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",8370.34,8370.34,632.77,632.77,4
CDM,285013,RPLC GASTROJEJNSTY TUBE,3189.59,3189.59,350.85,3189.59,37
CDM,285013,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",3189.59,3189.59,329.93,5932.0,47
CDM,285013,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",3189.59,3189.59,368.44,368.44,4
CDM,285013,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",3189.59,3189.59,375.14,375.14,4
CDM,285026,STEM FEM HIP SZ5,49020.0,49020.0,5392.2,49020.0,57
CDM,285046,TMVR PERC ADDTL DEVICE,58573.58,58573.58,6443.09,58573.58,55
CDM,285046,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addition to code for primary ",58573.58,58573.58,948.0,2636.0,15
CDM,285051,CARDIOVERSION INTERNAL,5181.7,5181.7,362.72,5181.7,58
CDM,285051,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",5181.7,5181.7,1266.0,1314.0,3
CDM,285053,PB VALVUPLSTY MITRAL VAL,59315.38,59315.38,6524.69,59315.38,36
CDM,285053,Percutaneous balloon valvuloplasty; mitral valve ,59315.38,59315.38,3933.0,100082.0,27
CDM,285053,Percutaneous balloon valvuloplasty; mitral valve with Cardiac Cath,59315.38,59315.38,7818.0,7818.0,5
CDM,285053,Percutaneous balloon valvuloplasty; mitral valve without Cardiac Cath,59315.38,59315.38,5591.0,5591.0,5
CDM,285054,PERC TRANS CLOS PDA,37322.71,37322.71,2612.59,37322.71,42
CDM,285054,Percutaneous transcatheter closure of patent ductus arteriosus ,37322.71,37322.71,3933.0,77468.25,26
CDM,285055,ABLATION SEPTAL REDUCTN,42037.5,42037.5,2942.63,42037.5,49
CDM,285055,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",42037.5,42037.5,2152.0,46251.0,25
CDM,285056,VENGRPH CHD 2ND CL SVC,5222.23,5222.23,365.56,5222.23,52
CDM,285056,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",5222.23,5222.23,80.31,5932.0,10
CDM,285058,VENGRPH CHD AZYG VEN SYS,14823.08,14823.08,1037.62,14823.08,52
CDM,285058,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",14823.08,14823.08,75.68,5932.0,10
CDM,285059,VENGRPH CHD COR SINUS,14149.76,14149.76,990.48,14149.76,52
CDM,285059,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",14149.76,14149.76,95.64,5932.0,10
CDM,285060,VENGRPH CHD VVC =ABV HRT,10991.4,10991.4,769.4,10991.4,52
CDM,285060,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",10991.4,10991.4,141.14,5932.0,10
CDM,285061,VENGRPH CHD VVC BLW HRT,10991.4,10991.4,769.4,10991.4,52
CDM,285061,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",10991.4,10991.4,142.52,5932.0,10
CDM,285073,THORACENTESIS W/ IMAG,5208.01,5208.01,572.88,5208.01,37
CDM,285073,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance ",5208.01,5208.01,181.11,5932.0,47
CDM,285073,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance Age 21+",5208.01,5208.01,246.13,246.13,4
CDM,285073,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance Age Under 21",5208.01,5208.01,250.6,250.6,4
CDM,285095,COIL EMBL 24MM 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,285096,COIL EMBL 32MM 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,285129,THORACENTESIS W/O IMAG,5208.01,5208.01,572.88,5208.01,37
CDM,285129,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance ",5208.01,5208.01,181.11,5932.0,47
CDM,285129,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance Age 21+",5208.01,5208.01,246.13,246.13,4
CDM,285129,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance Age Under 21",5208.01,5208.01,250.6,250.6,4
CDM,285130,TPVI PERC APRCH,91623.6,91623.6,10078.6,91623.6,43
CDM,285130,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed ",91623.6,91623.6,948.0,30862.49,31
CDM,285131,TIS STNT CCA EA ADTL LOC,39139.38,39139.38,4305.33,39139.38,43
CDM,285131,"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when ",39139.38,39139.38,948.0,25655.0,31
CDM,285132,CATH PORTAL VN,9200.55,9200.55,1012.06,9200.55,55
CDM,285132,Percutaneous portal vein catheterization by any method ,9200.55,9200.55,948.0,5932.0,19
CDM,285133,INS CVC NON-TUN CENT <5Y,8302.16,8302.16,913.24,8302.16,37
CDM,285133,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,8302.16,8302.16,948.0,12897.0,47
CDM,285133,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age Age 21+,8302.16,8302.16,1230.04,1230.04,4
CDM,285133,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age Age Under 21,8302.16,8302.16,1252.41,1252.41,4
CDM,285134,INJ LYMPHANGIOGRAM BI,4421.29,4421.29,486.34,4421.29,55
CDM,285135,INJ LYMPHANGIOGRAM RT,2947.52,2947.52,324.23,2947.52,55
CDM,285136,INJ LYMPHANGIOGRAM LT,2947.52,2947.52,324.23,2947.52,55
CDM,285138,CONT INJ GS/ DU/ JJ/ GJ/,1362.1,1362.1,149.83,1362.1,37
CDM,285138,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",1362.1,1362.1,240.89,5932.0,32
CDM,285139,PULM ART ANG SGL VESS LT,31621.64,31621.64,3478.38,31621.64,36
CDM,285140,PULM ART ANG SGL VESS RT,31621.64,31621.64,3478.38,31621.64,36
CDM,285141,PULM ART ANG ADD VESS LT,31621.64,31621.64,3478.38,31621.64,49
CDM,285142,PULM ART ANG ADD VESS RT,31621.64,31621.64,3478.38,31621.64,49
CDM,285143,PHYSIO EXERCISE STUDY,5101.44,5101.44,357.1,5101.44,58
CDM,285143,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",5101.44,5101.44,449.96,875.37,6
CDM,285144,INJ SELECT GRFT CONGENTL,3043.62,3043.62,213.05,3043.62,54
CDM,285144,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",3043.62,3043.62,1481.0,21768.0,13
CDM,285145,INJ CATH PUL VEN EACH VN,3461.52,3461.52,242.31,3461.52,57
CDM,285145,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",3461.52,3461.52,1481.0,2174.0,4
CDM,285146,INJ CATH PUL VEN EACH VS,3461.52,3461.52,242.31,3461.52,57
CDM,285146,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",3461.52,3461.52,1481.0,2174.0,4
CDM,285148,RT CATH CHD ABNORMAL NA,36081.05,36081.05,2525.67,36081.05,44
CDM,285148,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,36081.05,36081.05,7799.0,28286.0,21
CDM,285149,LT CATH CHD NOR ABN,41126.47,41126.47,2878.85,41126.47,44
CDM,285149,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",41126.47,41126.47,7799.0,28286.0,21
CDM,285150,RT LT CATH ANOM ANC,36081.05,36081.05,2525.67,36081.05,44
CDM,285150,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,36081.05,36081.05,7799.0,28286.0,21
CDM,285151,REM RVAD PERC SEP SESS,31082.76,31082.76,3419.1,31082.76,43
CDM,285151,"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion ",31082.76,31082.76,948.0,25655.0,27
CDM,285152,INJ CATH SEL PUL ANG BI,5452.94,5452.94,381.71,5452.94,57
CDM,285152,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",5452.94,5452.94,1481.0,2174.0,4
CDM,285153,RT CATH CHD NORMAL NAT,36081.05,36081.05,2525.67,36081.05,44
CDM,285153,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,36081.05,36081.05,7799.0,28286.0,21
CDM,285211,IMPLANT BREAST 930CC,35449.0,35449.0,3899.39,35449.0,57
CDM,285242,TAU PHOSPHORYLATED EA,1200.0,1200.0,84.0,1200.0,57
CDM,285242,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",1200.0,1200.0,30.22,337.77,65
CDM,285242,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Age 21+",1200.0,1200.0,278.44,278.44,4
CDM,285242,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Age Under 21",1200.0,1200.0,283.51,283.51,4
CDM,285242,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient",1200.0,1200.0,135.37,135.37,6
CDM,285260,COMP HUM SHD HIGH OFST,7224.0,7224.0,794.64,7224.0,57
CDM,285264,BLADE SAW 13X.38MM,1563.0,1563.0,109.41,1563.0,71
CDM,285265,BLADE SAW 2.07X.025MM,2506.0,2506.0,175.42,2506.0,71
CDM,285266,BLADE SAW 11X90X1.19 4,1634.0,1634.0,114.38,1634.0,71
CDM,285268,KIT CATH 14.5FR 19CM,4273.0,4273.0,299.11,4273.0,71
CDM,285375,CLINIMIX 5/20 2L INJ,440.24,440.24,30.82,440.24,59
CDM,285394,SCREW BN 3.5MM 44MM,16132.0,16132.0,1774.52,16132.0,57
CDM,285411,REAMER SURG AUG S,6744.0,6744.0,472.08,6744.0,71
CDM,285451,HEAD GLND SHLDR STD 39MM,46440.0,46440.0,5108.4,46440.0,57
CDM,285466,IMPLANT BN 3MM 28MM,16132.0,16132.0,1774.52,16132.0,57
CDM,285468,IMPLANT BN 4MM 56MM,16132.0,16132.0,1774.52,16132.0,57
CDM,285469,SCREW BN 4.0X65MM,16954.0,16954.0,1864.94,16954.0,57
CDM,285470,SCREW BN 4.0X60MM,16954.0,16954.0,1864.94,16954.0,57
CDM,285471,NAIL BN HAND 4.5MM 55MM,16954.0,16954.0,1864.94,16954.0,57
CDM,285472,SCREW BN 4.0MM 50MM,16954.0,16954.0,1864.94,16954.0,57
CDM,285475,STAPLER STD 60MM,9490.0,9490.0,664.3,9490.0,71
CDM,285484,STAPLER CMPCT 60MM,9134.0,9134.0,639.38,9134.0,71
CDM,285505,DESMOPRES 0.5MCG/ML INJ,10.13,10.13,0.71,10.13,47
CDM,285513,RELOAD STPLR BLUE 60MM,3304.0,3304.0,363.44,3304.0,57
CDM,285514,RELOAD STPLR 60MM,3304.0,3304.0,363.44,3304.0,57
CDM,285515,RELOAD STAPLER BLK 60MM,3304.0,3304.0,363.44,3304.0,57
CDM,285516,RELOAD STAPLER WHT 60MM,3140.0,3140.0,345.4,3140.0,57
CDM,285517,SET STENT PANC 7FR 3CM,2306.0,2306.0,253.66,2306.0,57
CDM,285581,SUT MONO SZ +2-0 27IN,1321.0,1321.0,92.47,1321.0,71
CDM,285582,PLATE BN 2X2HL 12MM,4604.0,4604.0,506.44,4604.0,57
CDM,285583,PLATE BN 7HL 0.4MM,4511.0,4511.0,496.21,4511.0,57
CDM,285598,CEFDINIR 250MG/5ML LIQPO,37.22,37.22,2.61,37.22,67
CDM,285599,CEFIXIME LIQ PO,100.17,100.17,7.01,100.17,59
CDM,285600,CIPROFL 250MG/5ML LIQ PO,35.19,35.19,2.46,35.19,67
CDM,285601,CLINDAMY 75MG/5ML LIQ PO,13.95,13.95,0.98,13.95,67
CDM,285602,FAMOTID 20MG/2.5ML LIQPO,39.78,39.78,2.78,39.78,67
CDM,285603,PEN V K 250MG/5ML LIQ PO,2.48,2.48,0.17,2.48,67
CDM,285604,RIVAROXABAN LIQ PO,45.81,45.81,3.21,45.81,67
CDM,285605,RISPERID 1MG/ML LIQ PO,21.92,21.92,1.53,21.92,67
CDM,285606,SIMETH 40MG/0.6ML LIQ PO,0.23,0.23,0.02,0.23,67
CDM,285608,LINEZOL 100MG/5ML LIQPO,44.15,44.15,3.09,44.15,59
CDM,285627,CATH ANGIO 5FR 65CM,844.0,844.0,59.08,844.0,71
CDM,285723,STNT VASC 10X17MM 135CM,16251.0,16251.0,1787.61,16251.0,57
CDM,285724,COIL EMBL 3MM 15CM,20098.0,20098.0,2210.78,20098.0,57
CDM,285725,SCREW BN 2MM 4MM,1749.0,1749.0,192.39,1749.0,57
CDM,285763,MANNITOL 12.5G INJ,32.72,32.72,2.29,32.72,53
CDM,285764,MANNITOL 100G INJ,102.87,102.87,7.2,102.87,53
CDM,285766,FLUORESCEIN 500MG INJ,310.14,310.14,21.71,310.14,53
CDM,285766,"Injection, fluorescein, 1 mg ",310.14,310.14,1.31,2.11,6
CDM,285769,CCARBOPROST 0.25MG INJ,324.0,324.0,22.68,324.0,48
CDM,285769,"Injection, carboprost tromethamine, 0.1 mg ",324.0,324.0,25.67,279.72,9
CDM,285770,"Injection, tranexamic acid, 5 mg ",20.61,20.61,0.1,0.21,9
CDM,285770,TRANEXAMIC 1000MG INJ,20.61,20.61,1.44,20.61,53
CDM,285818,SCREW BN 3.5MM 38MM,16132.0,16132.0,1774.52,16132.0,57
CDM,285819,SCREW BN 4.0MM 46MM,16132.0,16132.0,1774.52,16132.0,57
CDM,285820,STEM FEM KN SZ44,36404.0,36404.0,4004.44,36404.0,57
CDM,285821,CMPNT FEM KN SM RT 60MM,155198.0,155198.0,17071.78,155198.0,57
CDM,285822,PLATE BN RT 2.5MM,21783.0,21783.0,2396.13,21783.0,57
CDM,285838,CIPROFLOXCN 0.3%2.5MLOPH,56.7,56.7,3.97,56.7,67
CDM,285841,OBINUTUZUMAB 1000 MG INJ,48601.58,48601.58,3402.11,48601.58,42
CDM,285842,OBINUTUZUMAB 10 MG INJJW,486.0,486.0,34.02,486.0,42
CDM,285874,PUTTY BN 5ML,17982.0,17982.0,1978.02,17982.0,57
CDM,285890,ATRIAL SEPTUM ANGIO,15899.36,15899.36,1748.93,15899.36,37
CDM,285912,DEVICE CLS WND +3-0 15CM,1432.0,1432.0,100.24,1432.0,71
CDM,285958,CLAMP PENIS STRL,610.0,610.0,42.7,610.0,71
CDM,285969,OSTEOTOME STRAIGHT 16MM,42254.0,42254.0,2957.78,42254.0,71
CDM,286016,GRAFT DURAL 10X7CM,13852.0,13852.0,1523.72,13852.0,57
CDM,286017,IMPLANT CRNL BN CSTM,258375.0,258375.0,28421.25,258375.0,57
CDM,286019,MODEL MNDB HINGE CSTM,39075.0,39075.0,2735.25,39075.0,71
CDM,286020,SCREW DNTL BRDG TEMP,9248.0,9248.0,1017.28,9248.0,57
CDM,286041,SCREW BN 3.5MM 48MM,16132.0,16132.0,1774.52,16132.0,57
CDM,286072,SCREW BN 3.5MM 62MM,16132.0,16132.0,1774.52,16132.0,57
CDM,286073,SCREW BN 4.0X52MM,16132.0,16132.0,1774.52,16132.0,57
CDM,286074,SCREW BN HDLS 7MM 100MM,14632.0,14632.0,1609.52,14632.0,57
CDM,286075,"Auditory osseointegrated device, includes all internal and external components ",165510.0,165510.0,5712.29,15429.08,42
CDM,286075,"Auditory osseointegrated device, includes all internal and external components Other Outpatient",165510.0,165510.0,6183.41,6183.41,6
CDM,286075,IMPLANT OTO TI,165510.0,165510.0,18206.1,165510.0,52
CDM,286089,PLATE BN 6H 60MM,83351.0,83351.0,9168.61,83351.0,57
CDM,286099,ECMO ICU,58756.36,58756.36,,,0
CDM,286121,HEAD FEM HIP CSTM 32MM,64501.0,64501.0,7095.11,64501.0,57
CDM,286132,GUIDE DENTAL SUPP CSTM,35129.0,35129.0,2459.03,35129.0,71
CDM,286133,KIT SCREW FX SPARE,6287.0,6287.0,440.09,6287.0,71
CDM,286148,SET INTRO 14FR 13CM,1649.0,1649.0,115.43,1649.0,71
CDM,286205,CROWN 7 2ND MLR UPPR LT,19056.0,19056.0,1333.92,19056.0,71
CDM,286206,INSERT TIB KN SZ 4 7MM,14190.0,14190.0,1560.9,14190.0,57
CDM,286207,PATELLA KN SZ 29MM,6450.0,6450.0,709.5,6450.0,57
CDM,286208,DILATOR SURG 7FR 20CM,543.0,543.0,38.01,543.0,71
CDM,286209,GRAFT STRETCH 12MM X 40,20735.0,20735.0,2280.85,20735.0,57
CDM,286225,QUETIAPINE ER 200 MG PO,5.9,5.9,0.41,5.9,67
CDM,286226,QUETIAPINE ER 50 MG PO,4.05,4.05,0.28,4.05,67
CDM,286227,QUETIAPINE 200 MG PO,5.13,5.13,0.36,5.13,67
CDM,286229,METRONIDAZOLE LIQ PO,1.8,1.8,0.13,1.8,67
CDM,286230,ISONIAZID 50MG/5ML LIQPO,22.32,22.32,1.56,22.32,67
CDM,286231,ETHACRYNIC 25 MG PO,12.15,12.15,0.85,12.15,67
CDM,286255,BN SCR CANCELLOUS 30MM,1131.0,1131.0,124.41,1131.0,57
CDM,286298,CATH URET 2W 18FR 30CC,255.0,255.0,17.85,255.0,71
CDM,286301,GRAFT DURAL 3X2CM,6350.0,6350.0,698.5,6350.0,57
CDM,286302,GRAFT DURAL 7X4CM,9917.0,9917.0,1090.87,9917.0,57
CDM,286309,IMPLANT BREAST 200CC,27229.0,27229.0,2995.19,27229.0,57
CDM,286310,TUBE CONNECT 7-10FR 30CM,615.0,615.0,43.05,615.0,71
CDM,286318,CATH URET 2W 22FR 30CC,254.0,254.0,17.78,254.0,71
CDM,286335,CATH VASC 6X 150CM,126595.0,126595.0,8861.65,126595.0,71
CDM,286375,COIL EMBL 40MM 70CM,65003.0,65003.0,7150.33,65003.0,57
CDM,286423,IMPLANT BN 3MM 30MM,16132.0,16132.0,1774.52,16132.0,57
CDM,286424,INSERT TIB KN 13MM,52220.0,52220.0,5744.2,52220.0,57
CDM,286425,STEM FEM HIP SZ 8,46440.0,46440.0,5108.4,46440.0,57
CDM,286426,OCCLUDER ASD 9MM,167181.0,167181.0,18389.91,167181.0,57
CDM,286427,SHEATH DEL SET 7F 79CM,6173.0,6173.0,432.11,6173.0,71
CDM,286429,BLADE BVL PRB 20K WD 25+,11433.0,11433.0,800.31,11433.0,71
CDM,286430,DRILL TWIST 1.5MM 17MM,5623.0,5623.0,393.61,5623.0,71
CDM,286431,SPLINT DNTL CSTM,6383.0,6383.0,446.81,6383.0,71
CDM,286432,SPLINT DNTL CSTM FINAL,19934.0,19934.0,1395.38,19934.0,71
CDM,286433,SPLINT DNTL CSTM FIXD,7802.0,7802.0,546.14,7802.0,71
CDM,286434,INSERT TIB KN SZ5 7MM,14190.0,14190.0,1560.9,14190.0,57
CDM,286435,STEM HIP SZ6 12/14 STNDR,49020.0,49020.0,5392.2,49020.0,57
CDM,286436,STEM FEM HIP STD SZ7,49020.0,49020.0,5392.2,49020.0,57
CDM,286437,SUTURE TP BLK/WHT 1.8MM,3711.0,3711.0,259.77,3711.0,71
CDM,286439,TRAY DRILL TAP,16570.0,16570.0,1159.9,16570.0,71
CDM,286567,TRAY CATH CV 5FR 55CM,5623.0,5623.0,393.61,5623.0,71
CDM,286569,STEM HUM 19MM 50MM,28380.0,28380.0,3121.8,28380.0,57
CDM,286570,TUBING IRR SUCTION,1458.0,1458.0,102.06,1458.0,71
CDM,286571,BURR SHVR 4MM,1599.0,1599.0,111.93,1599.0,71
CDM,286582,ANTACID/ANTIFLA 4G LIQPO,15.03,15.03,1.05,15.03,67
CDM,286583,BLINATUMOMAB 1 MCG INJJW,857.3,857.3,60.01,857.3,42
CDM,286584,CALASPAR 10 U INJ,1609.97,1609.97,112.7,1609.97,42
CDM,286585,CALASPAR 10 U INJ JW,1609.97,1609.97,112.7,1609.97,42
CDM,286586,CYSTOGRAFIN-D 18% 300 ML,174.78,174.78,12.23,174.78,46
CDM,286587,ESOMEPRAZOLE DR 20 MG PO,43.88,43.88,3.07,43.88,67
CDM,286589,ISOVUE 250 100 ML INJ,216.05,216.05,15.12,216.05,47
CDM,286590,ISOVUE 300 50 ML INJ,101.21,101.21,7.08,101.21,47
CDM,286645,LANSOPRAZOLE 15 MG PO,70.97,70.97,4.97,70.97,67
CDM,286646,LANSOPRAZOLE 30 MG PO,2.93,2.93,0.21,2.93,67
CDM,286647,ISOVUE-M 300 15 ML INJ,370.94,370.94,25.97,370.94,47
CDM,286649,ISOVUE-M 200 10 ML INJ,279.14,279.14,19.54,279.14,47
CDM,286651,OMEPRAZOLE 10 MG PO,0.59,0.59,0.04,0.59,67
CDM,286652,OMEPRAZOLE 20 MG PO,1.17,1.17,0.08,1.17,67
CDM,286653,"Injection, triptorelin pamoate, 3.75 mg ",29605.73,29605.73,455.3,4206.73,17
CDM,286653,TRIPTORELIN PAM 22.5 MG,29605.73,29605.73,2072.4,29605.73,42
CDM,286661,COIL EMBL 4MM 30CM,56307.0,56307.0,6193.77,56307.0,57
CDM,286668,JOINT FNGR SZ4,25439.0,25439.0,2798.29,25439.0,57
CDM,286670,RESTRATA 1SQCM,1839.0,1839.0,128.73,1839.0,47
CDM,286672,KIT ANCH W/DRV 3.85X17MM,11433.0,11433.0,800.31,11433.0,71
CDM,286673,SCREW BN HDLS 7.0X5.5MM,14632.0,14632.0,1609.52,14632.0,57
CDM,286674,SCREW BN 2MM 14MM,2000.0,2000.0,220.0,2000.0,57
CDM,286675,GUN DEL BNCMNT,2999.0,2999.0,209.93,2999.0,71
CDM,286708,SCREW MINI 2.0MM X 6MM C,1094.0,1094.0,120.34,1094.0,57
CDM,286766,BX VULVA/PERINEO SGL LSN,2612.0,2612.0,182.84,2612.0,64
CDM,286798,PROSTH PENL 18CM 12.5MM,198331.0,198331.0,21816.41,198331.0,57
CDM,286830,INDAPAMIDE 1.25 MG PO,3.02,3.02,0.21,3.02,67
CDM,286837,CEMENT BN RADPQ 40GR,3342.0,3342.0,367.62,3342.0,57
CDM,286858,GUIDE PIN ORTH 1.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,286864,SPACER SPN SM 10X10X28MM,50620.0,50620.0,5568.2,50620.0,57
CDM,286865,MESH SURG 16.5X20CM,91777.0,91777.0,10095.47,91777.0,57
CDM,286866,SCREW BN 4.3MM 40MM,5528.0,5528.0,608.08,5528.0,57
CDM,286947,LASER FIBER 300UM,11599.0,11599.0,811.93,11599.0,71
CDM,286961,CMPD MORPH 20MG 20S,2.34,2.34,0.16,2.34,59
CDM,286962,CMPD METHADNE 1MG 1S,11.07,11.07,0.77,11.07,59
CDM,286963,MIDAZOLAM 5 MG/5 ML INJ,6.12,6.12,0.43,6.12,47
CDM,286964,CMPD FENTPF 10MCG/ML 1S,0.45,0.45,0.03,0.45,59
CDM,286965,FENTANYL CIT 0.2 MG INJ,9.18,9.18,0.64,9.18,47
CDM,286975,COMP HUM SHDLR +1.5MM,7224.0,7224.0,794.64,7224.0,57
CDM,286976,CORD MNPLR STR 10FT,1099.0,1099.0,76.93,1099.0,71
CDM,286977,PROBE STIM 2X70MM,23944.0,23944.0,1676.08,23944.0,71
CDM,287010,ROD SPN 5.5MM 480MM,7593.0,7593.0,835.23,7593.0,57
CDM,287018,GRAFT PTCH CV 8X6CM,13273.0,13273.0,1460.03,13273.0,57
CDM,287043,BUR RND 6MM,4685.0,4685.0,327.95,4685.0,71
CDM,287044,BUR RND 4MM,4685.0,4685.0,327.95,4685.0,71
CDM,287045,TOOL DSCT 95MM 3.2MM,2474.0,2474.0,173.18,2474.0,71
CDM,287046,IMPLANT MNDB 45MM RT,80022.0,80022.0,8802.42,80022.0,57
CDM,287047,IMPL MNDB LT CCR MLB45MM,80022.0,80022.0,8802.42,80022.0,57
CDM,287049,SUTURE CV-8 TTC-9 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,287050,COIL EMBL 3MM 12CM,25781.0,25781.0,2835.91,25781.0,57
CDM,287051,COIL EMBL 4MM 8CM,25781.0,25781.0,2835.91,25781.0,57
CDM,287052,COIL EMBL 4MM 10CM,25781.0,25781.0,2835.91,25781.0,57
CDM,287053,COIL EMBL 4MM 15CM,25781.0,25781.0,2835.91,25781.0,57
CDM,287054,COIL EMBL 4MM 30CM,32581.0,32581.0,3583.91,32581.0,57
CDM,287079,TENECTEPLASE 25 MG INJ,46149.39,46149.39,3230.46,46149.39,42
CDM,287191,COIL EMBL 5MM 30CM,56307.0,56307.0,6193.77,56307.0,57
CDM,287239,DEVICE CLSR WND +0 60CM,1484.0,1484.0,103.88,1484.0,71
CDM,287240,BUR NEURO 4.0MM,2811.0,2811.0,196.77,2811.0,71
CDM,287241,BURR ORTH DISP 3.0MM,2811.0,2811.0,196.77,2811.0,71
CDM,287242,BLADE SAW 55X29MM,1087.0,1087.0,76.09,1087.0,71
CDM,287243,BLADE SAW 34.5X13MM,560.0,560.0,39.2,560.0,71
CDM,287244,BLADE SAW 34.5X12MM,560.0,560.0,39.2,560.0,71
CDM,287245,BLADE SAW 90X25MM,1586.0,1586.0,111.02,1586.0,71
CDM,287246,BLADE SAW 1.27X19X100MM,1599.0,1599.0,111.93,1599.0,71
CDM,287247,BLADE SAW .43IN 3.54IN,1586.0,1586.0,111.02,1586.0,71
CDM,287249,BLADE SAW 100X25MM,1586.0,1586.0,111.02,1586.0,71
CDM,287250,BLADE SAW 60X6.35MM,742.0,742.0,51.94,742.0,71
CDM,287251,BLADE SAW 60X18.5MM,1087.0,1087.0,76.09,1087.0,71
CDM,287252,KIT CATH CV 8FR 20CM,5240.0,5240.0,366.8,5240.0,71
CDM,287256,BASEPLATE KN SZ 8,24510.0,24510.0,2696.1,24510.0,57
CDM,287257,STEM FEM HIP SZ 7,49020.0,49020.0,5392.2,49020.0,57
CDM,287259,DRILL BIT NEURO 2.0MM,2811.0,2811.0,196.77,2811.0,71
CDM,287260,BLADE SAW 18.5X9MM,560.0,560.0,39.2,560.0,71
CDM,287261,BURR SURG 73MM 2.1MM,576.0,576.0,40.32,576.0,71
CDM,287262,BLADE SAW 77.5X11MM,1023.0,1023.0,71.61,1023.0,71
CDM,287263,BLADE SAW 80X29MM,1087.0,1087.0,76.09,1087.0,71
CDM,287264,BLADE SAW 100X18.5MM,1087.0,1087.0,76.09,1087.0,71
CDM,287265,COIL EMBL 28MM 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,287267,COIL EMBL 30CM,56307.0,56307.0,6193.77,56307.0,57
CDM,287269,COIL EMBL PACKING 45CM,56307.0,56307.0,6193.77,56307.0,57
CDM,287351,IMIPEN4/CILAS4/RELE2 INJ,13.64,13.64,0.95,13.64,47
CDM,287352,IMIPEN4/CILA4/REL2 INJJW,13.64,13.64,0.95,13.64,47
CDM,287356,AZTREO/AVI 7.5/2.5MG JW,8.82,8.82,0.62,8.82,48
CDM,287359,AZTREO/AVI 7.5/2.5MG INJ,8.82,8.82,0.62,8.82,48
CDM,287360,AZTREO/AVI 1.5/0.5G INJ,1765.8,1765.8,123.61,1765.8,48
CDM,287405,LINER TIB KN 17MM,48143.0,48143.0,5295.73,48143.0,57
CDM,287406,CMPNT FEM KN SZF 66X72MM,41280.0,41280.0,4540.8,41280.0,57
CDM,287465,GRAFT BN SUB 10ML,35963.0,35963.0,3955.93,35963.0,57
CDM,287540,PROSTHESIS PENL TTN PMP,102767.0,102767.0,11304.37,102767.0,57
CDM,287541,TRAY PELVIC HIP RECON,468520.0,468520.0,51537.2,468520.0,57
CDM,287578,GWIRE VASC 300CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,287592,SCREW BN 5MM 72MM,3530.0,3530.0,388.3,3530.0,57
CDM,287601,CMPNT FEM HIP SZ3,43860.0,43860.0,4824.6,43860.0,57
CDM,287602,INSERT TIB FIXD TH14 #5,14190.0,14190.0,1560.9,14190.0,57
CDM,287603,CATH BLNDIL 23MM 6X100CM,12755.0,12755.0,892.85,12755.0,71
CDM,287604,CATH BLNDIL 20MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,287605,CATH BLNDIL 22MM 5X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,287606,CATH BLNDIL 23MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,287607,CYTAL 1SQCM,274.0,274.0,19.18,274.0,53
CDM,287609,PLATE BN CRNFCL SM,174172.0,174172.0,19158.92,174172.0,57
CDM,287638,SCREW CRNFCL 10X1.2MM,1686.0,1686.0,185.46,1686.0,57
CDM,287641,505HS BORTEZ 2.5 MG INJ,1036.85,1036.85,72.58,1036.85,47
CDM,287641,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",1036.85,1036.85,1.22,44.07,17
CDM,287642,BOTULISM IG HUMAN IV,311850.0,311850.0,21829.5,311850.0,53
CDM,287642,"Botulism immune globulin, human, for intravenous use ",311850.0,311850.0,294713.96,416525.16,6
CDM,287664,CATH BLNDIL 6MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,287665,PLATE BN 4X2HL 1.0X25MM,22277.0,22277.0,2450.47,22277.0,57
CDM,287666,PLATE BN 4X2HL 1.0X21MM,21537.0,21537.0,2369.07,21537.0,57
CDM,287704,HYDROCORTISONE LIQ PO,0.5,0.5,0.04,0.5,67
CDM,287705,ESTROGEN CON 0.45 MG PO,36.27,36.27,2.54,36.27,67
CDM,287706,METHYLPHENID ER 18 MG PO,22.05,22.05,1.54,22.05,67
CDM,287707,CMPD METHIMAZ 3MG/ML PO,1.89,1.89,0.13,1.89,67
CDM,287709,VORICON 200MG/5ML LIQ PO,316.58,316.58,22.16,316.58,67
CDM,287710,DIANEAL 2.5%DEXT 2L INJ,180.0,180.0,12.6,180.0,59
CDM,287711,DIANEAL LC 1.5%DEX 3LINJ,270.0,270.0,18.9,270.0,59
CDM,287712,DIANEAL LC 4.25%DEX3LINJ,270.0,270.0,18.9,270.0,59
CDM,287713,DIANEAL 2.5%DEXT 6L INJ,540.0,540.0,37.8,540.0,59
CDM,287714,DIANEAL LC 1.5%DEX 6LINJ,540.0,540.0,37.8,540.0,59
CDM,287715,DIANEAL LC 2.5%DEX 3LINJ,270.0,270.0,18.9,270.0,59
CDM,287716,DIANEAL LC 2.5%DEX 6LINJ,540.0,540.0,37.8,540.0,59
CDM,287717,DIANEAL LC 4.25%DEX6LINJ,540.0,540.0,37.8,540.0,59
CDM,287719,HCTZ 5 MG PO,0.09,0.09,0.006,0.09,67
CDM,287757,ELECTRODE ESTIM MEDIUM,1599.0,1599.0,111.93,1599.0,71
CDM,287759,ELECTRODE ESTIM SMALL,1599.0,1599.0,111.93,1599.0,71
CDM,287760,CATH BLN 4MM 2CM 80CM,10275.0,10275.0,719.25,10275.0,71
CDM,287761,CATH BLN 5MM 2CM 80CM,10275.0,10275.0,719.25,10275.0,71
CDM,287762,CATH BLN 3MM 1CM 80CM,10275.0,10275.0,719.25,10275.0,71
CDM,287824,CATH BLNDIL 6MM 2X80CM,10275.0,10275.0,719.25,10275.0,71
CDM,287888,PLATE BN 1.5X90 2 HL,5452.0,5452.0,599.72,5452.0,57
CDM,287889,NADOLOL 20 MG PO,15.26,15.26,1.07,15.26,67
CDM,287968,SCREW BN 6.5MM 35MM,1566.0,1566.0,172.26,1566.0,57
CDM,288010,SIMETHICONE LIQ PO,0.39,0.39,0.03,0.39,67
CDM,288013,AMLODIPINE LIQ PO,23.72,23.72,1.66,23.72,67
CDM,288089,SCREW BN 4.0MM 50MM,16132.0,16132.0,1774.52,16132.0,57
CDM,288090,STENT COR 3.50 X 20MM,12759.0,12759.0,1403.49,12759.0,57
CDM,288091,STENT COR 3.50 X 24MM,12759.0,12759.0,1403.49,12759.0,57
CDM,288092,STENT COR 4.00 X 20MM,12759.0,12759.0,1403.49,12759.0,57
CDM,288093,STENT COR 4.00 X 24MM,12759.0,12759.0,1403.49,12759.0,57
CDM,288094,STENT COR 4.50 X 20MM,12759.0,12759.0,1403.49,12759.0,57
CDM,288095,STENT COR 4.50 X 24MM,12759.0,12759.0,1403.49,12759.0,57
CDM,288096,STENT COR 5.00 X 20MM,12759.0,12759.0,1403.49,12759.0,57
CDM,288097,STENT COR 5.00 X 24MM,12759.0,12759.0,1403.49,12759.0,57
CDM,288099,COIL EMBL 3D 2MM 4CM,13180.0,13180.0,1449.8,13180.0,57
CDM,288100,CATH MICRO 2.4FR 130CM,10082.0,10082.0,705.74,10082.0,71
CDM,288101,DEVICE CLSR WND 2-0 15CM,1484.0,1484.0,103.88,1484.0,71
CDM,288102,HANDLE AXIAL STRL 12CM,4086.0,4086.0,286.02,4086.0,71
CDM,288103,BAR PEC CONNCTR XSM 3.5,16440.0,16440.0,1808.4,16440.0,57
CDM,288104,BAR PECTUS TIT 30CM,90174.0,90174.0,9919.14,90174.0,57
CDM,288105,CATH BLN 8FR 10MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,288106,CATH BLN 8FR 12MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,288107,CATH BLN 8FR 14MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,288109,CATH BLN 8FR 20MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,288110,INSERT ARTC KN 4-11 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,288117,COIL EMBL 14MM 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,288119,COIL EMBL 16MM 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,288139,SUTURE UND BRD 3-0 27IN,279.0,279.0,19.53,279.0,71
CDM,288174,COMP AUG TIB KN SZ5 15MM,53148.0,53148.0,5846.28,53148.0,57
CDM,288175,COMP AUG FEM KN SZ1 15MM,53148.0,53148.0,5846.28,53148.0,57
CDM,288176,BURR SURG 2.2MM 12MM,7887.0,7887.0,552.09,7887.0,71
CDM,288183,SCREW BN 4MM 26MM,3530.0,3530.0,388.3,3530.0,57
CDM,288198,VALVE SHUNT CNTRL SM MD,16460.0,16460.0,1810.6,16460.0,57
CDM,288208,CATH DRN PRTN 2.5MM 90CM,5623.0,5623.0,393.61,5623.0,71
CDM,288244,PIN GUIDE 12.5MM 20MM,15751.0,15751.0,1102.57,15751.0,71
CDM,288266,COIL EMBL 15CM,43263.0,43263.0,4758.93,43263.0,57
CDM,288282,CYTAL 1SQCM,246.0,246.0,17.22,246.0,53
CDM,288283,GRAFT BN 3.0X24MM,12356.0,12356.0,1359.16,12356.0,57
CDM,288284,STEM FEM HIP 133D SZ15MM,65694.0,65694.0,7226.34,65694.0,57
CDM,288285,HEAD FEM HIP SM 32MM,42570.0,42570.0,4682.7,42570.0,57
CDM,288287,CATH BLNDIL 2MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288289,CATH BLNDIL 2MM 15MM,2811.0,2811.0,196.77,2811.0,71
CDM,288290,CATH BLNDIL 2.5MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,288291,CATH BLNDIL 2.5MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288292,CATH BLNDIL 3MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288293,CATH BLNDIL 3.5MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288294,CATH BLNDIL 4MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,288295,CATH BLNDIL 4MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288296,CATH BLNDIL 4.5MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,288297,CATH BLNDIL 4.5MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288299,CATH BLNDIL 4.5MM 20MM,2811.0,2811.0,196.77,2811.0,71
CDM,288300,CATH BLNDIL 5MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288301,CATH BLNDIL 5.5MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,288302,CATH BLNDIL 5.5MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288303,CATH BLNDIL 6MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,288304,CATH BLNDIL 6MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,288305,STEM FEM HIP SZ7,46440.0,46440.0,5108.4,46440.0,57
CDM,288308,BASKET RET 1.5CM 3.2MM,5742.0,5742.0,401.94,5742.0,71
CDM,288311,CATH BLNDIL 2.5MM 15MM,2811.0,2811.0,196.77,2811.0,71
CDM,288318,BASKET RET 2.0CM 3.2MM,5742.0,5742.0,401.94,5742.0,71
CDM,288394,KIT CATH PICC 4FR 55CM,5623.0,5623.0,393.61,5623.0,71
CDM,288395,KIT CATH PICC 5FR 55CM,6554.0,6554.0,458.78,6554.0,71
CDM,288397,TRAY CATH CV 4FR 55CM,6098.0,6098.0,426.86,6098.0,71
CDM,288447,RETRACTOR 7CM 17MM 15MM,13174.0,13174.0,922.18,13174.0,71
CDM,288450,RETRACTOR 7CM 17MM 11MM,13174.0,13174.0,922.18,13174.0,71
CDM,288464,CATH MICRO 2.4FR 150CM,10082.0,10082.0,705.74,10082.0,71
CDM,288465,KIT EX FIX FOOT SUPP,24441.0,24441.0,1710.87,24441.0,71
CDM,288489,505EN EPI NACL 5MG INJ,2101.05,2101.05,147.07,2101.05,53
CDM,288489,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",2101.05,2101.05,0.29,6.05,11
CDM,288500,BEADS FLEX IMPLT 5CC,20448.0,20448.0,2249.28,20448.0,57
CDM,288542,DEVICE HYAL 10MG,987.0,987.0,108.57,987.0,57
CDM,288558,GWIRE VASC 210CM,4440.0,4440.0,310.8,4440.0,71
CDM,288562,ELECTRODE ADLT NRV STIM,1599.0,1599.0,111.93,1599.0,71
CDM,288563,CATH ANGIO 4.1F 80CM,1151.0,1151.0,80.57,1151.0,71
CDM,288564,SCREW BN 4MM 60MM,16132.0,16132.0,1774.52,16132.0,57
CDM,288625,SCREW BN 3.0X30MM,16132.0,16132.0,1774.52,16132.0,57
CDM,288626,HEAD HIP +7MM 32MM,16267.0,16267.0,1789.37,16267.0,57
CDM,288659,IMPLANT BREAST 280CC,23633.0,23633.0,2599.63,23633.0,57
CDM,288699,CMPD FLECAINID 20MG/MLPO,9.09,9.09,0.64,9.09,67
CDM,288732,COIL EMBL 10MM 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,288733,COIL EMBL 8MM 55CM,65003.0,65003.0,7150.33,65003.0,57
CDM,288751,CMPD RIFAMPIN 25MG/ML PO,4.28,4.28,0.3,4.28,67
CDM,288762,TRAY CATH 20GA 10CM,4245.0,4245.0,297.15,4245.0,71
CDM,288763,TRAY CATH 20GA 8CM,4245.0,4245.0,297.15,4245.0,71
CDM,288783,SUTURE UND MON +3-0 18IN,453.0,453.0,31.71,453.0,71
CDM,288795,CATH MICRO STRT 2F 130CM,11433.0,11433.0,800.31,11433.0,71
CDM,288796,COIL EMBL 4MM 10CM,43263.0,43263.0,4758.93,43263.0,57
CDM,288825,"Injection, pentamidine isethionate, 1 mg ",527.58,527.58,0.16,1.44,11
CDM,288825,PENTAMIDINE 300MG INJ,527.58,527.58,36.93,527.58,53
CDM,288828,SCREW BN SPRCL 6.5X30MM,1182.0,1182.0,130.02,1182.0,57
CDM,288829,"Injection, liothyronine, 1 mcg ",2379.38,2379.38,64.83,246.53,9
CDM,288829,LIOTHYRONINE 10MCG INJ,2379.38,2379.38,166.56,2379.38,53
CDM,288869,SET 4 PCS EXFX STBLZR,74897.0,74897.0,5242.79,74897.0,71
CDM,288870,PLATE BN 4X2HLS 1MM 27MM,22277.0,22277.0,2450.47,22277.0,57
CDM,288885,"Injection, posaconazole, 1 mg ",1782.0,1782.0,0.34,2.16,11
CDM,288885,POSACONAZOLE 300MG INJ,1782.0,1782.0,124.74,1782.0,53
CDM,288910,PAD RUBBER CMPRSN 12MM,270.0,270.0,18.9,270.0,71
CDM,288929,CMPNT TIB KN SZ 8,24510.0,24510.0,2696.1,24510.0,57
CDM,288988,KIT HMDIAL 14FR 15CM,4329.0,4329.0,303.03,4329.0,71
CDM,288996,KIT IMPL FX PLVC FLR,28668.0,28668.0,3153.48,28668.0,57
CDM,289024,RVSC IVT ANG SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CDM,289025,RVSC IVT ANG SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CDM,289026,RVSC IVT ANG SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CDM,289027,RVSC IVT ANG SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CDM,289028,RVSC IVT ANG SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CDM,289029,RVSC IVT STN SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CDM,289030,RVSC IVT STN SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CDM,289031,RVSC IVT STN SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CDM,289033,RVSC IVT STNT SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CDM,289034,RVSC IVT STNT SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CDM,289035,RVSC FPVT ANG SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CDM,289036,RVSC FPVT ANG SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CDM,289037,RVSC FPVT ANG SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CDM,289038,RVSC  FPVT ANG SFL EA LT,34686.99,34686.99,3815.57,34686.99,57
CDM,289039,RVSC  FPVT ANG SFL EA RT,34686.99,34686.99,3815.57,34686.99,57
CDM,289040,RVSC FPVT STN SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CDM,289041,RVSC FPVT STN SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CDM,289043,RVSC FPVT STN SFL IN BI,164863.2,164863.2,18134.95,164863.2,51
CDM,289044,RVSC FPVT STN SFL EA LT,73638.9,73638.9,8100.28,73638.9,57
CDM,289045,RVSC FPVT STN SFL EA RT,73638.9,73638.9,8100.28,73638.9,57
CDM,289046,RVSC FPVT ATH SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CDM,289047,RVSC FPVT ATH SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CDM,289048,RVSC FPVT ATH SFL IN BI,164863.2,164863.2,18134.95,164863.2,51
CDM,289049,RVSC FPVT ATH SFL EA LT,73638.9,73638.9,8100.28,73638.9,57
CDM,289050,RVSC FPVT ATH SFL EA RT,73638.9,73638.9,8100.28,73638.9,57
CDM,289051,RV FPVT ST/ATH SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CDM,289053,RV FPVT ST/ATH SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CDM,289054,RV FPVT ST/ATH SFL IN BI,164863.2,164863.2,18134.95,164863.2,51
CDM,289055,RV FPVT ST/ATH SFL EA LT,73638.9,73638.9,8100.28,73638.9,57
CDM,289056,RV FPVT ST/ATH SFL EA RT,73638.9,73638.9,8100.28,73638.9,57
CDM,289057,RVSC TPVT ANG SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CDM,289058,RVSC TPVT ANG SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CDM,289059,RVSC TPVT ANG SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CDM,289060,RVSC TPVT ANG SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CDM,289061,RVSC TPVT ANG SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CDM,289063,RVSC TPVT STNT SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CDM,289064,RVSC TPVT STNT SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CDM,289065,RVSC TPVT STNT SFL IN BL,164863.2,164863.2,18134.95,164863.2,51
CDM,289066,RVSC TPVT STNT SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CDM,289067,RVSC TPVT STNT SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CDM,289068,RVSC TPVT ATH SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CDM,289069,RVSC TPVT ATH SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CDM,289070,RVSC TPVT ATH SFL IN BI,164863.2,164863.2,18134.95,164863.2,51
CDM,289071,RVSC TPVT ATH SFL EA LT,109908.8,109908.8,12089.97,109908.8,57
CDM,289073,RVSC TPVT ATH SFL EA RT,109908.8,109908.8,12089.97,109908.8,57
CDM,289074,RV TPVT ST/ATH SFL IN LT,76139.34,76139.34,8375.33,76139.34,51
CDM,289075,RV TPVT ST/ATH SFL IN RT,76139.34,76139.34,8375.33,76139.34,51
CDM,289076,RV TPVT ST/ATH SFL IN BI,114209.02,114209.02,12562.99,114209.02,51
CDM,289077,RV TPVT ST/ATH SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CDM,289078,RV TPVT ST/ATH SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CDM,289079,RVSC IMVT ANG SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CDM,289080,RVSC IMVT ANG SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CDM,289081,RVSC IMVT ANG SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CDM,289083,RVSC IMVT ANG SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CDM,289084,RVSC IMVT ANG SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CDM,289085,PTCA NCOR ST WANG 2+LSLD,67913.2,67913.2,7470.45,67913.2,44
CDM,289086,PTCA NCOR ST WANG 2+LSLC,67913.2,67913.2,7470.45,67913.2,44
CDM,289087,PTCA NCOR ST WANG 2+LSRC,67913.2,67913.2,7470.45,67913.2,44
CDM,289088,PTCA NCOR ST WANG 2+LSLM,67913.2,67913.2,7470.45,67913.2,44
CDM,289089,PTCA NCOR ST WANG 2+LSRI,67913.2,67913.2,7470.45,67913.2,44
CDM,289102,VALVE SHNT INLN 100MM,22283.0,22283.0,2451.13,22283.0,57
CDM,289151,INSERT TIB KN 18MM,52220.0,52220.0,5744.2,52220.0,57
CDM,289292,SCREW BN 3.5MM 80MM,2155.0,2155.0,237.05,2155.0,57
CDM,289304,STEM KN CSTM SZ 14/100MM,191340.0,191340.0,21047.4,191340.0,57
CDM,289329,CMPD SUCNYCHLN 200MG10S,137.67,137.67,9.64,137.67,59
CDM,289330,CMPD EPI 100 MCG 10S,42.08,42.08,2.95,42.08,59
CDM,289332,CATH DLYS 15FR 62.5CM,5400.0,5400.0,378.0,5400.0,71
CDM,289342,CATH DLYS INF LT 42CM,5623.0,5623.0,393.61,5623.0,71
CDM,289352,CATH THOR 16FR 20IN,329.0,329.0,23.03,329.0,71
CDM,289359,SCREW BN 2.3MM 10MM,1870.0,1870.0,205.7,1870.0,57
CDM,289360,PLATE BN CSTM W/CUT GDS,258428.0,258428.0,28427.08,258428.0,57
CDM,289388,SCREW BN 3.5MM 12MM,3648.0,3648.0,401.28,3648.0,57
CDM,289408,CMPD BUF LIDOC 1% 1S,32.49,32.49,2.27,32.49,59
CDM,289410,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,289416,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,65
CDM,289430,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,59
CDM,289433,SHUNT ENDO 10F 10MMX4CM,109679.0,109679.0,12064.69,109679.0,57
CDM,289461,TUBE TRACH 7.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,289541,IMPLANT MNDB 45MM NAR,80022.0,80022.0,8802.42,80022.0,57
CDM,289543,IMPL MNDB RT NAR 45MM,80022.0,80022.0,8802.42,80022.0,57
CDM,289544,CMPNT FEM KN RT SZ 2,189214.0,189214.0,20813.54,189214.0,57
CDM,289545,INSERT KN SZ 2/10MM,106300.0,106300.0,11693.0,106300.0,57
CDM,289546,CMPNT TIB KN SZ 2,106300.0,106300.0,11693.0,106300.0,57
CDM,289547,PLATE BN FSN REV LT,39045.0,39045.0,4294.95,39045.0,57
CDM,289548,CATH 4F JR2.5 .038 65CM,1599.0,1599.0,111.93,1599.0,71
CDM,289550,PLATE MXLFCL 6 HL CRV LC,5415.0,5415.0,595.65,5415.0,57
CDM,289553,DRESSING CLGN 2.2X2IN,435.0,435.0,30.45,435.0,71
CDM,289554,INSERT KN SZ 5 12.5MM,51600.0,51600.0,5676.0,51600.0,57
CDM,289555,CMPNT KN W/SFTY SCR RT,252990.0,252990.0,27828.9,252990.0,57
CDM,289557,MOLD SPACER KN G21 80MM,106300.0,106300.0,7441.0,106300.0,71
CDM,289563,CTA H&N W/CON+NONCON IMG,12842.46,12842.46,898.97,12842.46,49
CDM,289570,BEADS FLEX IMPLT 20CC,51786.0,51786.0,5696.46,51786.0,57
CDM,289571,GRAFT ST TISS 7CM 20CM,17551.0,17551.0,1930.61,17551.0,57
CDM,289572,SPACER FEM HIP MED 13MM,2288.0,2288.0,251.68,2288.0,57
CDM,289573,CMPNT TIB KN SZ 3,170080.0,170080.0,18708.8,170080.0,57
CDM,289574,CMPNT KN W/SFTY SCR LFT,252990.0,252990.0,27828.9,252990.0,57
CDM,289575,STEM KN SZ 11/125MM,157324.0,157324.0,17305.64,157324.0,57
CDM,289576,SHELL ACTB SZ5 60MM,38700.0,38700.0,4257.0,38700.0,57
CDM,289577,CEMENT BN ANBTC 1X40GR,3342.0,3342.0,367.62,3342.0,57
CDM,289583,CATH MICRO 2F 130CM,11433.0,11433.0,800.31,11433.0,71
CDM,289585,STEM HIP SZ10 115X40.5MM,49846.0,49846.0,5483.06,49846.0,57
CDM,289604,CMPD CARVED 1.25MG/ML PO,0.2,0.2,0.01,0.2,67
CDM,289643,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,289688,BASEPLATE TIB KN SZ4,36636.0,36636.0,4029.96,36636.0,57
CDM,289730,LISOCABTAGENE,9451728.5,9451728.5,661620.99,9451728.5,55
CDM,289730,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",9451728.5,9451728.5,545393.17,2268056.34,11
CDM,289770,KIT SYNDSMS FXN #5,60915.0,60915.0,6700.65,60915.0,57
CDM,289793,CMPNT KN PATELLA 29MM,49020.0,49020.0,5392.2,49020.0,57
CDM,289794,STEM FEM HIP 10MM,127560.0,127560.0,14031.6,127560.0,57
CDM,289803,CUP HIP ACTB SZ52/56/60,12900.0,12900.0,1419.0,12900.0,57
CDM,289813,RELOAD STAPLE 60MM,45498.0,45498.0,5004.78,45498.0,57
CDM,289814,RELOAD STPLR 45MM,5393.0,5393.0,593.23,5393.0,57
CDM,289815,STAPLE SURG 60MM,39564.0,39564.0,4352.04,39564.0,57
CDM,289843,MARKING GD W/PLAN CRN,61156.0,61156.0,4280.92,61156.0,71
CDM,289847,RELOAD STAPLE 45MM,32354.0,32354.0,3558.94,32354.0,57
CDM,289851,SCREW BN 7.0MM 15MM,28668.0,28668.0,3153.48,28668.0,57
CDM,289861,CARTRIDGE BRNH VALVE 5MM,50002.0,50002.0,5500.22,50002.0,57
CDM,289878,PLATE BN CRNL CUSTM,139923.0,139923.0,15391.53,139923.0,57
CDM,289894,TUBE JJNSTM 8FR 43CM,2638.0,2638.0,184.66,2638.0,71
CDM,289963,SHUNT ENDO 10F 10MMX5CM,109679.0,109679.0,12064.69,109679.0,57
CDM,289964,SHUNT ENDO 10F 10MMX6CM,109679.0,109679.0,12064.69,109679.0,57
CDM,289965,SHUNT ENDO 10F 6MMX7CM,109679.0,109679.0,12064.69,109679.0,57
CDM,289966,SHUNT ENDO 10F 6MMX8CM,109679.0,109679.0,12064.69,109679.0,57
CDM,289982,PLATE BN RT 3.5MM 50MM,4989.0,4989.0,548.79,4989.0,57
CDM,289987,CMPNT FEM KN SZ 6,36636.0,36636.0,4029.96,36636.0,57
CDM,289988,INSERT TIB KN SZ 4,13468.0,13468.0,1481.48,13468.0,57
CDM,289992,PLATE BN 11H 3.5MM 154MM,9537.0,9537.0,1049.07,9537.0,57
CDM,290070,OSTEOTOME STRT SZ16,43580.0,43580.0,3050.6,43580.0,71
CDM,290083,DRIVER T10 CANN,5623.0,5623.0,393.61,5623.0,71
CDM,290197,STIMULATOR GASTRIC LEAD,61650.0,61650.0,6781.5,61650.0,57
CDM,290198,SCREW BN 2.7MM 8MM,1480.0,1480.0,162.8,1480.0,57
CDM,290199,SCREW BN 2.7MM 5MM,1487.0,1487.0,163.57,1487.0,57
CDM,290200,PLATE BN 6HL 1.5MM 0.4MM,3165.0,3165.0,348.15,3165.0,57
CDM,290202,PLATE BN 5MM 178MM,68185.0,68185.0,7500.35,68185.0,57
CDM,290212,ANCHOR SUT 2.8MM,9864.0,9864.0,1085.04,9864.0,57
CDM,290213,PLATE BN 10HL 5X222MM,68185.0,68185.0,7500.35,68185.0,57
CDM,290231,CMPNT FEM 4 LT 3D KN NPO,43344.0,43344.0,4767.84,43344.0,57
CDM,290276,CT CER PER W CONC CT/CTA,6557.02,6557.02,458.99,6557.02,49
CDM,290276,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed with concurrent CT or CT angiography of the same anatomy (List separately in a",6557.02,6557.02,153.29,1013.0,10
CDM,290278,CMPD CLONAZ 0.1 MG/ML PO,0.67,0.67,0.05,0.67,67
CDM,290282,CLARITHROMYCIN LIQ PO,10.6,10.6,0.74,10.6,67
CDM,290385,CMPD MORPH 50MG 50S,44.51,44.51,3.12,44.51,59
CDM,290423,LOC GUID RAD TX DEL,680.48,680.48,74.85,680.48,49
CDM,290432,IMMZ ADM ANY RTE <18,81.0,81.0,5.67,81.0,65
CDM,290432,"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine o",81.0,81.0,39.66,77.15,6
CDM,290441,BAR PECTUS SUPPORT 7IN,32479.0,32479.0,3572.69,32479.0,57
CDM,290461,BAR PECTUS SUPP 11IN,34747.0,34747.0,3822.17,34747.0,57
CDM,290471,BAR PECTUS SUPP 12IN,32367.0,32367.0,3560.37,32367.0,57
CDM,290476,BIT DRILL 1.5MM 22MM,3534.0,3534.0,247.38,3534.0,71
CDM,290481,BAR PECTUS SUPPORT 13 IN,32367.0,32367.0,3560.37,32367.0,57
CDM,290491,BAR SUPP 14IN PECTUS SS,32367.0,32367.0,3560.37,32367.0,57
CDM,290501,BAR SUPP 15IN PECTUS SS,32367.0,32367.0,3560.37,32367.0,57
CDM,290511,BAR SUPP 16IN PECTUS SS,32367.0,32367.0,3560.37,32367.0,57
CDM,290514,SCREW BN 3.5MM 46MM,3648.0,3648.0,401.28,3648.0,57
CDM,290515,SCREW BN 3.5MM 44MM,3648.0,3648.0,401.28,3648.0,57
CDM,290517,SCREW BN 3.5MM 40MM,3648.0,3648.0,401.28,3648.0,57
CDM,290531,PLATE BN STR 6HL,3679.0,3679.0,404.69,3679.0,57
CDM,290536,TUBE TRACH 10.0MM,1599.0,1599.0,111.93,1599.0,71
CDM,290537,NAIL BN 11MM 440MM,27788.0,27788.0,3056.68,27788.0,57
CDM,290538,IMPLANT BREAST 160CC,23633.0,23633.0,2599.63,23633.0,57
CDM,290539,IMPLANT BREAST 185CC,23633.0,23633.0,2599.63,23633.0,57
CDM,290540,ELECTRODE CAUTRY 4IN,226.0,226.0,15.82,226.0,71
CDM,290542,SCREW BN 2X10MM,2405.0,2405.0,264.55,2405.0,57
CDM,290544,SCREW BN 3.5X28MM,1670.0,1670.0,183.7,1670.0,57
CDM,290545,SCREW BN 3.5X26MM,1670.0,1670.0,183.7,1670.0,57
CDM,290546,SCREW BN 3.5MM 24MM,1670.0,1670.0,183.7,1670.0,57
CDM,290548,PLATE BN 3.5MM 93MM,183910.0,183910.0,20230.1,183910.0,57
CDM,290551,PLATE BN Y XLNG 5HL,2631.0,2631.0,289.41,2631.0,57
CDM,290561,PLATE CRN 6H 1.5MM,6124.0,6124.0,673.64,6124.0,57
CDM,290568,SCREW BN 2.3MM 8MM,2405.0,2405.0,264.55,2405.0,57
CDM,290571,PLATE BN 2X3H 1.5MM,4760.0,4760.0,523.6,4760.0,57
CDM,290581,PLATE BN 2/4HL 1.5MM,7809.0,7809.0,858.99,7809.0,57
CDM,290612,PLATE BUR HL CVR 13MM,6576.0,6576.0,723.36,6576.0,57
CDM,290622,PLATE BURH LRG 5X18.5MM,6576.0,6576.0,723.36,6576.0,57
CDM,290632,PLATE BN 0.5MM 22MM,6576.0,6576.0,723.36,6576.0,57
CDM,290642,PLATE BN MED 2H 12MM,1357.0,1357.0,149.27,1357.0,57
CDM,290652,PLATE BN LNG 2HL 16MM,1357.0,1357.0,149.27,1357.0,57
CDM,290662,PLATE BN 1.5/0.5MM 35MM,2610.0,2610.0,287.1,2610.0,57
CDM,290672,PLATE LRNZ SM 8HL 38X.5,10686.0,10686.0,1175.46,10686.0,57
CDM,290680,SCREW BN NLCK 2.7MM 40MM,1277.0,1277.0,140.47,1277.0,57
CDM,290681,SCREW BN LCK 2.7MM 38MM,2518.0,2518.0,276.98,2518.0,57
CDM,290682,PLATE BN TMPRL 8HL 52MM,6289.0,6289.0,691.79,6289.0,57
CDM,290683,PLATE BN TIB RT 3H 49MM,15392.0,15392.0,1693.12,15392.0,57
CDM,290698,INSERT SHLDR SZ3/4 36MM,51084.0,51084.0,5619.24,51084.0,57
CDM,290748,ELECTRODE ESURG BLDE 2.5,154.0,154.0,10.78,154.0,71
CDM,290749,ELECTRODE HOOK GEN,1075.0,1075.0,75.25,1075.0,71
CDM,290792,SCREW LACTOSORB 1.5X5MM,8015.0,8015.0,881.65,8015.0,57
CDM,290802,SCREW LACTOSORB 1.5X4MM,2004.0,2004.0,220.44,2004.0,57
CDM,290815,GRASPER ENDO 115CM 2.8FR,8066.0,8066.0,564.62,8066.0,71
CDM,290816,PLATE BN CSTM PS,304538.0,304538.0,33499.18,304538.0,57
CDM,290834,CATH ABL CRV D-F 115CM,62966.0,62966.0,4407.62,62966.0,71
CDM,290844,SCREW BN 8MM,2240.0,2240.0,246.4,2240.0,57
CDM,290847,PLATE DIST RT 13HL 2.5,24044.0,24044.0,2644.84,24044.0,57
CDM,290912,CATH ANGIO 8F 35MM 110CM,18939.0,18939.0,1325.73,18939.0,71
CDM,290929,TEMPLATES PS CSTM,99420.0,99420.0,6959.4,99420.0,71
CDM,290932,CATH BLN 16MM 110CM,18939.0,18939.0,1325.73,18939.0,71
CDM,290941,TOOL FIXATION DISP,10059.0,10059.0,704.13,10059.0,71
CDM,290942,CATH ANGIO 8F 35MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,290948,CATH URTH PED 6FR 12IN,1570.0,1570.0,109.9,1570.0,71
CDM,290952,CATH BLN 18MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,290968,NEEDLE CRYO 1.5X175M,31401.0,31401.0,2198.07,31401.0,71
CDM,291002,OCCLUDER CV 12X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,291012,OCCLUDER CV 13X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,291022,OCCLUDER CV 14X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,291032,OCCULDER CV 15X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,291040,AMOX/CLAV 600MG/5ML LIQ,15.24,15.24,1.07,15.24,67
CDM,291042,OCCULDER CV 16X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,291043,MEROPENEM 2 G INJ,106.61,106.61,7.46,106.61,47
CDM,291052,OCCULDER CV 17X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,291062,OCCULDER CV 18X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,291110,PROSTHESIS TMJ BILAT,281139.0,281139.0,30925.29,281139.0,57
CDM,291122,CATH BLNDIL 40MM 70CM,7544.0,7544.0,528.08,7544.0,71
CDM,291192,CATH H/S STD 5FR,1599.0,1599.0,111.93,1599.0,71
CDM,291217,IMPLANT SPN PLVC 8.7X160,63282.0,63282.0,6961.02,63282.0,52
CDM,291242,DEVICE RGD SUC 21F .25IN,892.0,892.0,62.44,892.0,71
CDM,291253,CANNULA PRSN 17FR 17CM,1687.0,1687.0,118.09,1687.0,71
CDM,291254,SCREW BN CANN 5.5X40MM,8981.0,8981.0,987.91,8981.0,57
CDM,291354,SCREW BN 3.5MM 18MM,3648.0,3648.0,401.28,3648.0,57
CDM,291356,SCREW BN 3.5MM 22MM,1670.0,1670.0,183.7,1670.0,57
CDM,291366,HEAD FEM HIP SZ 28 55MM,11017.0,11017.0,1211.87,11017.0,57
CDM,291374,CAGE SPN 20D 28X40X17MM,50620.0,50620.0,5568.2,50620.0,57
CDM,291393,PLATE BN 1.5MM4H LVL1,2713.0,2713.0,298.43,2713.0,57
CDM,291398,ELECTRODE ESURG,264.0,264.0,18.48,264.0,71
CDM,291556,SCREW BN 3.5MM 34MM,1670.0,1670.0,183.7,1670.0,57
CDM,291559,SCREW BN 3.5MM 42MM,3083.0,3083.0,339.13,3083.0,57
CDM,291583,HEAD HUM SHLDR 46X17X4MM,104174.0,104174.0,11459.14,104174.0,57
CDM,291648,SHEATH URET 11/13FR 36CM,12428.0,12428.0,869.96,12428.0,71
CDM,291649,SHEATH URET 11/13FR 40CM,12428.0,12428.0,869.96,12428.0,71
CDM,291650,SHEATH URET 11/13FR 46CM,12428.0,12428.0,869.96,12428.0,71
CDM,291663,NAIL BN 130D 10X340MM,33559.0,33559.0,3691.49,33559.0,57
CDM,291704,505WG MEROPEN 2 G INJ,168.78,168.78,11.81,168.78,47
CDM,291704,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",168.78,168.78,1.44,13.85,17
CDM,291722,INTRO CATH PTFE 7FR,11433.0,11433.0,800.31,11433.0,71
CDM,291809,SCREW BN 1.5MM 4MM,928.0,928.0,102.08,928.0,57
CDM,291982,TRAY PRSS MNTR 3FR 8CM,3250.0,3250.0,227.5,3250.0,71
CDM,292006,SCREW BN 3.5MM 44MM,3083.0,3083.0,339.13,3083.0,57
CDM,292007,SCREW BN 2.7MM 30MM,3083.0,3083.0,339.13,3083.0,57
CDM,292011,PLATE BN 51MM 51MM,25750.0,25750.0,2832.5,25750.0,57
CDM,292012,SET PERICRDCTS 5FR 30CM,5075.0,5075.0,355.25,5075.0,71
CDM,292052,SHTH CTH 5FR 60CM,1599.0,1599.0,111.93,1599.0,71
CDM,292072,SHTH FLXR 6F 30-RB,2118.0,2118.0,148.26,2118.0,71
CDM,292092,CATH ANGIO 5FRX65CM,1266.0,1266.0,88.62,1266.0,71
CDM,292103,BLADE RASP SURG SM,8001.0,8001.0,560.07,8001.0,71
CDM,292124,SCREW BN CANC 35MM,1131.0,1131.0,124.41,1131.0,57
CDM,292159,INSERT HIP SZ48/60-70,14190.0,14190.0,1560.9,14190.0,57
CDM,292160,INSERT HIP SZ28/48,14190.0,14190.0,1560.9,14190.0,57
CDM,292184,361 HCT P SKN NOS,34046.0,34046.0,2383.22,34046.0,53
CDM,292246,IMPLANT BREAST 425CC,23633.0,23633.0,2599.63,23633.0,57
CDM,292252,INTRO FLXR 10FX80 LGCKFL,2324.0,2324.0,162.68,2324.0,71
CDM,292269,NAIL BN 9MM 270MM,24452.0,24452.0,2689.72,24452.0,57
CDM,292271,NAIL TIB 10MM 270MM,24452.0,24452.0,2689.72,24452.0,57
CDM,292294,STEM HUM DIST 9X90MM,64501.0,64501.0,7095.11,64501.0,57
CDM,292372,DILATOR VASC 10FR 20CM,543.0,543.0,38.01,543.0,71
CDM,292422,COIL EMBL 5-3MM 4.1CM,1732.0,1732.0,190.52,1732.0,57
CDM,292472,SHTH SET PLWY 5F,1987.0,1987.0,139.09,1987.0,71
CDM,292482,INTRO SHTH 5.5FR 65CM,1987.0,1987.0,139.09,1987.0,71
CDM,292672,CANNULA PRFSN 7.5IN 10FR,5623.0,5623.0,393.61,5623.0,71
CDM,292692,CANNULA PRFSN 7.5IN 14FR,5623.0,5623.0,393.61,5623.0,71
CDM,292722,BLN OCCL WDG 4F 60,4498.0,4498.0,314.86,4498.0,71
CDM,292732,BLN OCCL WDG 5F 60,4723.0,4723.0,330.61,4723.0,71
CDM,292752,CATH BLN WDG 6FR 110CM,3299.0,3299.0,230.93,3299.0,71
CDM,292833,TRAY CATH 4FR HPRALMN,3276.0,3276.0,229.32,3276.0,71
CDM,292883,SCREW BN TI L16MM OD2MM,1247.0,1247.0,137.17,1247.0,57
CDM,292893,SCREW 401.062,1332.0,1332.0,146.52,1332.0,57
CDM,292923,PLATE HUM 14H 3.5MM,22324.0,22324.0,2455.64,22324.0,57
CDM,293025,SCREW BN TI L8MM OD2.4MM,1315.0,1315.0,144.65,1315.0,57
CDM,293105,CATH BLNDIL 20MM 4X100CM,10737.0,10737.0,751.59,10737.0,71
CDM,293115,CATH BLNDIL 10MM 2X100CM,9962.0,9962.0,697.34,9962.0,71
CDM,293125,CATH BLN 13.5MM1.35X50CM,9835.0,9835.0,688.45,9835.0,71
CDM,293135,CATH BLNDIL 5MM 2X70CM,11064.0,11064.0,774.48,11064.0,71
CDM,293145,CATH BLNDIL 6MM 2X70CM,11433.0,11433.0,800.31,11433.0,71
CDM,293155,CATH BLNDIL 7MM 2X70CM,11433.0,11433.0,800.31,11433.0,71
CDM,293165,CATH BLNDIL 8MM 2X70CM,11433.0,11433.0,800.31,11433.0,71
CDM,293175,CATH BLNDIL 9MM 3X90CM,11433.0,11433.0,800.31,11433.0,71
CDM,293185,CATH BLNDIL 10MM 3X90CM,11433.0,11433.0,800.31,11433.0,71
CDM,293195,CATH BLNDIL 12MM 3X90CM,11433.0,11433.0,800.31,11433.0,71
CDM,293205,CATH BLNDIL 7MM 3X70CM,11433.0,11433.0,800.31,11433.0,71
CDM,293215,CATH BLNDIL 8MM 3X70CM,11433.0,11433.0,800.31,11433.0,71
CDM,293245,CATH BLNDIL 15MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,293255,CATH BLNDIL 16MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,293295,CATH BLNDIL 4MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
CDM,293305,CATH BLNDIL 5MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
CDM,293315,CATH BLNDIL 6MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
CDM,293325,CATH BLNDIL 7MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
CDM,293335,CATH BLNDIL 8MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
CDM,293345,SPLINT NSL VLCR 58X30MM,1298.0,1298.0,90.86,1298.0,71
CDM,293375,SCREW BN 6.5MM 30MM,4521.0,4521.0,497.31,4521.0,57
CDM,293385,SCREW BN 6.5X35X16MM,4521.0,4521.0,497.31,4521.0,57
CDM,293395,SCREW BN 6.5X40X16MM,4521.0,4521.0,497.31,4521.0,57
CDM,293405,SCREW BN 6.5X7.9X2.9X45,4639.0,4639.0,510.29,4639.0,57
CDM,293415,SCREW BN 6.5MM 50MM,4639.0,4639.0,510.29,4639.0,57
CDM,293425,SCREW BN 6.5X7.9X2.9X55,4521.0,4521.0,497.31,4521.0,57
CDM,293435,SCREW BN 6.5X16X60MM,4375.0,4375.0,481.25,4375.0,57
CDM,293445,SCREW BN 6.5X2.9MM 90MM,4521.0,4521.0,497.31,4521.0,57
CDM,293455,SCREW BN 6.5X2.9MM 95MM,4521.0,4521.0,497.31,4521.0,57
CDM,293465,SCREW BN 6.5MM 115MM,4530.0,4530.0,498.3,4530.0,57
CDM,293475,SCREW BN 6.5X120X16MM,4530.0,4530.0,498.3,4530.0,57
CDM,293495,SCREW BN 6.5X130X16MM,4530.0,4530.0,498.3,4530.0,57
CDM,293505,SCREW BN 6.5X16X135MM,4530.0,4530.0,498.3,4530.0,57
CDM,293515,SCREW BN CANN 6.5X140MM,4530.0,4530.0,498.3,4530.0,57
CDM,293525,SCREW BN 6.5X145X16MM,4186.0,4186.0,460.46,4186.0,57
CDM,293545,SCREW BN 6.5MM 150MM,4186.0,4186.0,460.46,4186.0,57
CDM,293555,SCREW BN 6.5MM 45MM 32MM,4521.0,4521.0,497.31,4521.0,57
CDM,293565,SCREW BN 6.5MM 50MM 32MM,4521.0,4521.0,497.31,4521.0,57
CDM,293575,SCREW BN 6.5MM 55MM,4521.0,4521.0,497.31,4521.0,57
CDM,293585,SCREW BN 6.5MM 60MM,4521.0,4521.0,497.31,4521.0,57
CDM,293595,SCREW BN 6.5X85X32MM,4521.0,4521.0,497.31,4521.0,57
CDM,293605,SCREW BN 6.5X32X115MM,4521.0,4521.0,497.31,4521.0,57
CDM,293615,SCREW BN 6.5X120X32MM,4530.0,4530.0,498.3,4530.0,57
CDM,293625,SCREW BN 6.5MM 130MM,4032.0,4032.0,443.52,4032.0,57
CDM,293635,SCREW BN 6.5MM 135MM,4186.0,4186.0,460.46,4186.0,57
CDM,293645,SCREW BN 6.5X140X32MM,4916.0,4916.0,540.76,4916.0,57
CDM,293665,SCREW BN CANN 6.5X145MM,4186.0,4186.0,460.46,4186.0,57
CDM,293675,SCREW BN 6.5X32X150MM,4186.0,4186.0,460.46,4186.0,57
CDM,293795,GWIRE URO .035IN 150CM,620.0,620.0,43.4,620.0,71
CDM,293805,SCREW BN LCK 3.5MM 65MM,1832.0,1832.0,201.52,1832.0,57
CDM,293825,SCREW BN 3.5MM 75MM,1810.0,1810.0,199.1,1810.0,57
CDM,293845,PLATE BN 18HL 4.5X332MM,14946.0,14946.0,1644.06,14946.0,57
CDM,293875,PLATE NAR 368X13.5X4.2MM,18921.0,18921.0,2081.31,18921.0,57
CDM,293885,PLATE BNE LCP SS NAR L40,20603.0,20603.0,2266.33,20603.0,57
CDM,294085,PLATE BN 4HL 2.7MM 41MM,1988.0,1988.0,218.68,1988.0,57
CDM,294095,PLATE BNE L31MM HIND/MID,4254.0,4254.0,467.94,4254.0,57
CDM,294105,PLATE BN 8HL 2.4X57MM,4569.0,4569.0,502.59,4569.0,57
CDM,294115,PLATE BN 8HL 2.4MM 67MM,5753.0,5753.0,632.83,5753.0,57
CDM,294132,INIT ECMO VENO-ARTERIAL,12785.65,12785.65,895.0,12785.65,64
CDM,294133,INIT ECMO VENO-VENOUS,12785.65,12785.65,895.0,12785.65,64
CDM,294134,INS ECMO PERC PERIPH=>6Y,35799.8,35799.8,2505.99,35799.8,64
CDM,294135,PIN PSTN THRDED CR 3.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,294142,REM ECMO PERC PERIPH=>6Y,9456.63,9456.63,661.96,9456.63,64
CDM,294151,REPOS ECMO PERC =>6Y,25393.81,25393.81,1777.57,25393.81,64
CDM,294154,CANNULA DLV 11GA 120MM,5715.0,5715.0,400.05,5715.0,71
CDM,294160,IMPLANT COCH C ELECTRDS,261763.0,261763.0,28793.93,261763.0,52
CDM,294194,SCREW BN 7X90MM,14632.0,14632.0,1609.52,14632.0,57
CDM,294268,PROSTHESIS PENL INF 24CM,183910.0,183910.0,20230.1,183910.0,57
CDM,294428,STEM FEM REV TI 100X14MM,13355.0,13355.0,1469.05,13355.0,57
CDM,294430,INSERT TIB KN SZ7 13MM,45430.0,45430.0,4997.3,45430.0,57
CDM,294452,KIT PROCCESSOR AUD XTRN,165678.0,165678.0,11597.46,165678.0,71
CDM,294453,TEMPLATE MXLLA CRANIUM,76085.0,76085.0,5325.95,76085.0,71
CDM,294454,SCREW SPN P-AX 7.5X55MM,12655.0,12655.0,1392.05,12655.0,57
CDM,294457,DISC SPN 0D 6MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294492,KIT HMSTC MTRX THRMB,5623.0,5623.0,393.61,5623.0,71
CDM,294537,CUP HIP CSTM 52MM,208348.0,208348.0,22918.28,208348.0,57
CDM,294540,SCREW BN CSTM 6.5/25MM,18290.0,18290.0,2011.9,18290.0,57
CDM,294541,INSERT HIP CSTM 36/44MM,80363.0,80363.0,8839.93,80363.0,57
CDM,294542,STEM HIP CSTM 13/150MM,183899.0,183899.0,20228.89,183899.0,57
CDM,294543,CMPNT HIP CSTM 40MM,164765.0,164765.0,18124.15,164765.0,57
CDM,294544,CMPNT HIP CSTM 135D/32MM,199844.0,199844.0,21982.84,199844.0,57
CDM,294546,SCREW BN CSTM M8/40MM,51375.0,51375.0,5651.25,51375.0,57
CDM,294577,STENT VASC 300MM 16MM,265344.0,265344.0,29187.84,265344.0,57
CDM,294578,STENT VASC 3.5MM 18MM,277295.0,277295.0,30502.45,277295.0,57
CDM,294580,STENT VASC 3.75MM 20MM,275399.0,275399.0,30293.89,275399.0,57
CDM,294638,INTO CATH 22GA,1599.0,1599.0,111.93,1599.0,71
CDM,294646,INTRO SHEATH 18FR 65CM,13124.0,13124.0,918.68,13124.0,71
CDM,294666,WEDGE KN TIB LO/RI 59X15,18343.0,18343.0,2017.73,18343.0,57
CDM,294714,INS ECMO PERC PERIPH <6Y,35799.8,35799.8,2505.99,35799.8,64
CDM,294716,REPOS ECMO PERC <6Y,25393.81,25393.81,1777.57,25393.81,64
CDM,294717,REM ECMO PERC PERIPH <6Y,9456.63,9456.63,661.96,9456.63,64
CDM,294722,505WG CAGLUC 2G/100MLINJ,213.3,213.3,14.93,213.3,47
CDM,294741,IMPLANT SPN SM 0D 5MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294742,IMPLANT SPN SM 6D 5MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294743,IMPLANT SPN SM 0D 6MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294744,IMPLANT SPN SM 6D 6MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294746,IMPLANT SPN MD 0D 5MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294747,IMPLANT SPN MD 6D 5MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294748,PIN DISTRACT 3.5X14MM,4685.0,4685.0,327.95,4685.0,71
CDM,294749,PIN DISTRACT 3.5X16MM,4685.0,4685.0,327.95,4685.0,71
CDM,294750,PIN DISTRACT 4X12MM,4685.0,4685.0,327.95,4685.0,71
CDM,294751,PIN DISTRACT 4X14MM,4685.0,4685.0,327.95,4685.0,71
CDM,294752,IMPLANT SPN MD 6D 6MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294753,IMPLANT SPN LG 0D 5MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294754,IMPLANT SPN LG 6D 5MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294756,IMPLANT SPN LG 0D 6MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294757,IMPLANT SPN LG 6D 6MM,105925.0,105925.0,11651.75,105925.0,57
CDM,294758,PIN DISTRACT 3.5X12MM,4685.0,4685.0,327.95,4685.0,71
CDM,294786,SP CHG TUBE/DRN W/C,1663.28,1663.28,116.43,1663.28,60
CDM,294791,PLUG VASC MED 5MM,46133.0,46133.0,5074.63,46133.0,57
CDM,294792,CATH MICRO 2.8FR 110CM,8459.0,8459.0,592.13,8459.0,71
CDM,294793,INSERT TIB BRN PSC 59X14,29670.0,29670.0,3263.7,29670.0,57
CDM,294794,COIL EMBL 2.8FR 5CM,33109.0,33109.0,3641.99,33109.0,57
CDM,294826,HEAD FEM HIP 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,294870,TOURNIQUET SURG HRT,1599.0,1599.0,111.93,1599.0,71
CDM,294872,TOURNIQUET VASC 10FR,1480.0,1480.0,103.6,1480.0,71
CDM,294899,LINER ACTB HIP 23X32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,294915,PLATE BN 12HL 1.5MM,6067.0,6067.0,667.37,6067.0,57
CDM,294922,FIBER OPTICAL 800UM,11433.0,11433.0,800.31,11433.0,71
CDM,294951,GRAFT BN HUM 100X20-25MM,12388.0,12388.0,1362.68,12388.0,57
CDM,294974,SEALER VESSL CRV,11948.0,11948.0,836.36,11948.0,71
CDM,295024,PLATE BN RECON ORTHO 1,160762.0,160762.0,17683.82,160762.0,57
CDM,295075,RESERV STD W/CATH 1.5CM,14252.0,14252.0,1567.72,14252.0,57
CDM,295099,CMPNT SHLDR +6MM 36MM,19737.0,19737.0,2171.07,19737.0,57
CDM,295125,VALVE FLUSH REG PRES MED,20530.0,20530.0,2258.3,20530.0,57
CDM,295136,GWIRE THRD 3.5MM 285MM,11433.0,11433.0,800.31,11433.0,71
CDM,295192,SCREW BN 3.5MM 22MM,3648.0,3648.0,401.28,3648.0,57
CDM,295208,SCREW BN 3.5MM 32MM,1670.0,1670.0,183.7,1670.0,57
CDM,295214,PLATE BN RT CLV2.7MM,20065.0,20065.0,2207.15,20065.0,57
CDM,295256,SHEATH URET ACC 13F 50CM,12428.0,12428.0,869.96,12428.0,71
CDM,295487,SCREW BN 70MM,9371.0,9371.0,1030.81,9371.0,57
CDM,295514,SCREW BN 2.5MM 15MM,3515.0,3515.0,386.65,3515.0,57
CDM,295523,CLIP LIGATING LG,553.0,553.0,60.83,553.0,57
CDM,295565,JOINT FINGER SZ3,18473.0,18473.0,2032.03,18473.0,57
CDM,295634,MIDAZOL/0.9NS 100 MG IV,33.64,33.64,2.35,33.64,47
CDM,295638,CMPD BETHANECOL 5MG/MLPO,4.51,4.51,0.32,4.51,67
CDM,295639,SUTURE SURG SZ 2-0 18IN,3164.0,3164.0,221.48,3164.0,71
CDM,295640,SUTURE SURG 18IN,3223.0,3223.0,225.61,3223.0,71
CDM,295671,SUTURE VIOL 60IN,1581.0,1581.0,110.67,1581.0,71
CDM,295679,SCREW BN 3.5MM 26MM,3648.0,3648.0,401.28,3648.0,57
CDM,295680,PLATE BN 7HL 95D 124MM,17065.0,17065.0,1877.15,17065.0,57
CDM,295681,HOOK SPN 4.5MM,7593.0,7593.0,835.23,7593.0,57
CDM,295682,SCREW BN SPN 3MM 8MM,12655.0,12655.0,1392.05,12655.0,57
CDM,295683,SCREW BN SPN 3MM 10MM,12655.0,12655.0,1392.05,12655.0,57
CDM,295711,PUMP FEEDING 500ML,178.0,178.0,12.46,178.0,71
CDM,295716,KIT TUBE JJNSTM 22FR,6782.0,6782.0,474.74,6782.0,71
CDM,295794,BIT DRL 2.25MM,1599.0,1599.0,111.93,1599.0,71
CDM,295796,PLATE BN 8HL,19531.0,19531.0,2148.41,19531.0,57
CDM,295813,STEM HIP FEM SZ8,49020.0,49020.0,5392.2,49020.0,57
CDM,295955,SCREW 2.0X9MM HT X-DRIVE,2055.0,2055.0,226.05,2055.0,57
CDM,296156,IMPLANT BREAST 350CC,15413.0,15413.0,1695.43,15413.0,57
CDM,296176,IMPLANT BREAST 375CC,15413.0,15413.0,1695.43,15413.0,57
CDM,296186,IMPLANT BREAST 400CC,15413.0,15413.0,1695.43,15413.0,57
CDM,296196,IMPLANT BREAST 425CC,15413.0,15413.0,1695.43,15413.0,57
CDM,296206,IMPLANT BREAST 450CC,20550.0,20550.0,2260.5,20550.0,57
CDM,296216,IMPLANT BREAST 500CC,13790.0,13790.0,1516.9,13790.0,57
CDM,296226,IMPLANT BREAST 550CC,13790.0,13790.0,1516.9,13790.0,57
CDM,296816,SCREW BN CANN 6.5X105MM,4521.0,4521.0,497.31,4521.0,57
CDM,296826,SCREW BN 6.5X16X110MM,4521.0,4521.0,497.31,4521.0,57
CDM,296836,SCREW BN 6.5MM 105MM,5383.0,5383.0,592.13,5383.0,57
CDM,296846,SCREW BN 6.5X2.9MM 110MM,3833.0,3833.0,421.63,3833.0,57
CDM,296866,SCREW BN 6.5MM 125MM,4530.0,4530.0,498.3,4530.0,57
CDM,297257,PLATE BN 6HL 2.7MM 59MM,7059.0,7059.0,776.49,7059.0,57
CDM,297267,PLATE BN 8HL 2.7MM 45MM,3957.0,3957.0,435.27,3957.0,57
CDM,297307,CATH LUBIN 7FR,1968.0,1968.0,137.76,1968.0,71
CDM,297407,KIT BNGF STD CURE 25CC,26202.0,26202.0,2882.22,26202.0,57
CDM,297437,SCREW MICRO 1.2 X 3MM OS,1317.0,1317.0,144.87,1317.0,57
CDM,297447,SCREW MICRO 1.2MM X 4MM,1317.0,1317.0,144.87,1317.0,57
CDM,297457,SCREW MAXI 2.4MM X 12MM,1028.0,1028.0,113.08,1028.0,57
CDM,297467,SCREW BNE 2.4X14,864.0,864.0,95.04,864.0,57
CDM,297477,SCREW BNE 2.4X16,781.0,781.0,85.91,781.0,57
CDM,297487,SCREW MAXI 2.4 X 18MM,864.0,864.0,95.04,864.0,57
CDM,297497,PLATE TI CHIN 6MM,4656.0,4656.0,512.16,4656.0,57
CDM,297507,SCREW BNE 1.6X4 ATDR,1063.0,1063.0,116.93,1063.0,57
CDM,297517,SCREW BN 1.6MM 5MM,1063.0,1063.0,116.93,1063.0,57
CDM,297527,SCREW BN 2MM 8MM,1162.0,1162.0,127.82,1162.0,57
CDM,297537,PLATE BN MICRO 18 HOLE,4936.0,4936.0,542.96,4936.0,57
CDM,297547,PLATE BN CUR MIDFACE45MM,2158.0,2158.0,237.38,2158.0,57
CDM,297927,RNG ANLPLS TRCSPD 26,51471.0,51471.0,5661.81,51471.0,57
CDM,298298,CATH PRFSN ATSPTM 5F 50,5623.0,5623.0,393.61,5623.0,71
CDM,298348,SCREW BN 2.0MM 8MM,11123.0,11123.0,1223.53,11123.0,57
CDM,298538,SCREW BN 11X1.2X1.6MM,1686.0,1686.0,185.46,1686.0,57
CDM,299369,CLIP ANRSM PERM 5MM,6030.0,6030.0,663.3,6030.0,57
CDM,299379,CLIP ANRSM PERM 7MM,5460.0,5460.0,600.6,5460.0,57
CDM,299399,CLIP ANRSM PERM 17.5MM,5850.0,5850.0,643.5,5850.0,57
CDM,299620,SET STENT URTH 7.2F 75CM,2053.0,2053.0,225.83,2053.0,57
CDM,299630,SET STENT URTH 7.2F 75CM,2084.0,2084.0,229.24,2084.0,57
CDM,299640,STENT URET 8FR 12CM,1120.0,1120.0,123.2,1120.0,57
CDM,299740,SHEET SIL 601-15,5623.0,5623.0,393.61,5623.0,71
CDM,300199,SET STNT PUR 3CM 7FR C,2364.0,2364.0,260.04,2364.0,57
CDM,300511,IMPLANT BREAST 500CC,13790.0,13790.0,1516.9,13790.0,57
CDM,300777,SHEATH GD 5FR 55CM,1893.0,1893.0,132.51,1893.0,71
CDM,300788,CATH GD 3.1FR 135CM,5622.0,5622.0,393.54,5622.0,71
CDM,300864,WASHER BN 13.5MM 4.0MM,2085.0,2085.0,229.35,2085.0,57
CDM,301554,CATH VASC STRT 6.0X150CM,17893.0,17893.0,1252.51,17893.0,71
CDM,301637,GUIDEWIRE VASC 145CM,3373.0,3373.0,236.11,3373.0,71
CDM,302046,GWIRE VASC 205CM,10637.0,10637.0,744.59,10637.0,71
CDM,302458,GWIRE VASC FLX 260CM,4309.0,4309.0,301.63,4309.0,71
CDM,302686,NEEDLE BX 11GA 6IN,780.0,780.0,54.6,780.0,71
CDM,302706,PLATE BN 18HL 3.5X307MM,55383.0,55383.0,6092.13,55383.0,57
CDM,302707,PLATE BN 11HL 3.5X181MM,21578.0,21578.0,2373.58,21578.0,57
CDM,302708,SCREW BN 2.7MM 65MM,3186.0,3186.0,350.46,3186.0,57
CDM,302725,GFT VSC SWL STRCH 40X8,15078.0,15078.0,1658.58,15078.0,57
CDM,302749,PLATE 6HL 130D 80MM,15256.0,15256.0,1678.16,15256.0,57
CDM,302824,PROBE LTHTRP 3.9X440MM,4685.0,4685.0,327.95,4685.0,71
CDM,302858,SHELL ACTB HIP SZ 66MM,23220.0,23220.0,2554.2,23220.0,57
CDM,302863,KIT IMPL TNODSIS 5.5MM,23116.0,23116.0,1618.12,23116.0,71
CDM,302865,PLATE BN XTRMLK 6H 109MM,32259.0,32259.0,3548.49,32259.0,57
CDM,302866,PLATE BN LFT 10HL 111MM,36233.0,36233.0,3985.63,36233.0,57
CDM,302867,SCREW BN NLCK 3.5X2MM,1996.0,1996.0,219.56,1996.0,57
CDM,302868,SCREW BN NLCK 3.5X40MM,2877.0,2877.0,316.47,2877.0,57
CDM,302872,SCRW NON LCKING 3.5X46MM,1996.0,1996.0,219.56,1996.0,57
CDM,302874,SCREW BN 3.5MM 48MM,3083.0,3083.0,339.13,3083.0,57
CDM,302875,SCREW BN NLCK 3.5MM 50MM,2877.0,2877.0,316.47,2877.0,57
CDM,302876,SCRW NON LCKING 3.5X55MM,2877.0,2877.0,316.47,2877.0,57
CDM,302878,SCREW BN NLCK 3.5MM 60MM,1996.0,1996.0,219.56,1996.0,57
CDM,302879,SCREW BN 5MM 86MM,3561.0,3561.0,391.71,3561.0,57
CDM,302957,GRAFT CV VLSLV 32MM 15CM,56513.0,56513.0,6216.43,56513.0,57
CDM,302959,GRAFT SKIN 2:1 1050 SQCM,37631.0,37631.0,2634.17,37631.0,53
CDM,302970,ELCTRD SURG 13CM 12X15MM,502.0,502.0,35.14,502.0,71
CDM,302971,ELECTRODE ESURG 13CM,502.0,502.0,35.14,502.0,71
CDM,302988,CATH HMDY 9F 12CM,2174.0,2174.0,152.18,2174.0,71
CDM,303084,IMPLANT BN CSTM MEDIUM,149356.0,149356.0,16429.16,149356.0,57
CDM,303089,ELECTRODE ESURG 9FR,4337.0,4337.0,303.59,4337.0,71
CDM,303102,COAGULATOR SUC 3MR 10FR,369.0,369.0,25.83,369.0,71
CDM,303110,GUIDE DNTL NO SZ,43911.0,43911.0,3073.77,43911.0,71
CDM,303112,KIT IMPLT DNTL,183910.0,183910.0,12873.7,183910.0,71
CDM,303118,SPLINT IMPL DNTL,10892.0,10892.0,762.44,10892.0,71
CDM,303130,CATH DRN 8FR 30CM,2287.0,2287.0,160.09,2287.0,71
CDM,303131,CATH DRAIN 10FR 30CM,2287.0,2287.0,160.09,2287.0,71
CDM,303134,CATH DRN NEPH 12FR 30CM,2287.0,2287.0,160.09,2287.0,71
CDM,303139,GRAFT TIS 150X3MM,2808.0,2808.0,308.88,2808.0,57
CDM,303236,SCREW BN 3.5MM 30MM,1670.0,1670.0,183.7,1670.0,57
CDM,303288,SPLINT FINAL DNTL IMPL,14648.0,14648.0,1025.36,14648.0,71
CDM,303289,MODEL PT CSTM,38443.0,38443.0,2691.01,38443.0,71
CDM,303291,MODEL PT CSTM MXLA,38443.0,38443.0,2691.01,38443.0,71
CDM,303292,MODEL CSTM MNDBL,50174.0,50174.0,3512.18,50174.0,71
CDM,303293,INSERT TIB KN SZ 3/15MM,64500.0,64500.0,7095.0,64500.0,57
CDM,303294,SCREW BN 110MM,183910.0,183910.0,20230.1,183910.0,57
CDM,303295,STEM FEM KN 120MM,164765.0,164765.0,18124.15,164765.0,57
CDM,303296,SCREW BN 3/10MM,29541.0,29541.0,3249.51,29541.0,57
CDM,303316,INSERT TIB KN SZ 3/15MM,64500.0,64500.0,7095.0,64500.0,57
CDM,303317,SPACER KN 3/10MM,64500.0,64500.0,7095.0,64500.0,57
CDM,303318,CMPNT TIB KN SZ 5,64501.0,64501.0,7095.11,64501.0,57
CDM,303319,SCREW BN SZ3,82200.0,82200.0,9042.0,82200.0,57
CDM,303388,ELECTRODE ESURG BLDE 2.8,192.0,192.0,13.44,192.0,71
CDM,303390,ELECTRODE ESURGNDL2.84IN,48.0,48.0,3.36,48.0,71
CDM,303397,ELECTRODE ESURG 10X10MM,502.0,502.0,35.14,502.0,71
CDM,303491,CMPNT FEM KN E 62X68MM,68032.0,68032.0,7483.52,68032.0,57
CDM,303492,INSRT KN RV TB2 13MM,52220.0,52220.0,5744.2,52220.0,57
CDM,303506,LINER SHLDR CUP STD 36MM,19737.0,19737.0,2171.07,19737.0,57
CDM,303507,FILLER BONE VOID 10CC,58415.0,58415.0,6425.65,58415.0,57
CDM,303557,SCREW BN 3.5MM 24MM,3648.0,3648.0,401.28,3648.0,57
CDM,303586,PLATE BN .6X6MM,3607.0,3607.0,396.77,3607.0,57
CDM,303605,OSTEOTOME CRVD SZ16,43580.0,43580.0,3050.6,43580.0,71
CDM,303606,CMPNT TIB KN SZE5-6 11MM,27090.0,27090.0,2979.9,27090.0,57
CDM,303607,BASEPLATE TIB KN 5 48X71,25800.0,25800.0,2838.0,25800.0,57
CDM,303779,SCREW BN 4X42MM,3530.0,3530.0,388.3,3530.0,57
CDM,303780,SCREW BN 2.4MM 40MM,836.0,836.0,91.96,836.0,57
CDM,303800,PLATE 35MM SS 2.4MM SCR,5956.0,5956.0,655.16,5956.0,57
CDM,303817,PLATE SPN 40MM,55277.0,55277.0,6080.47,55277.0,57
CDM,303818,GRAFT BN DST RT,100325.0,100325.0,11035.75,100325.0,57
CDM,303834,SCREW BN 1.5X5MM,928.0,928.0,102.08,928.0,57
CDM,303857,SCREW BN 3.5MM 20MM,3648.0,3648.0,401.28,3648.0,57
CDM,303936,PLATE BN MNDB 4HL 2MM,7040.0,7040.0,774.4,7040.0,57
CDM,303937,BIT DRILL 1.6MM 29MM,5175.0,5175.0,362.25,5175.0,71
CDM,303946,COIL EMBL 3MM 20CM,21747.0,21747.0,2392.17,21747.0,57
CDM,303947,COIL EMBL 2MM 12CM,21747.0,21747.0,2392.17,21747.0,57
CDM,303948,PECTUS HANDLE TRUTO 1.36,4086.0,4086.0,286.02,4086.0,71
CDM,303992,TUBE FD 14FR 1.5CM,21193.0,21193.0,1483.51,21193.0,71
CDM,304189,BLADE ELECTRODE 2.75,1599.0,1599.0,111.93,1599.0,71
CDM,304190,ELECTRODE ESURG BLDE 6.5,250.0,250.0,17.5,250.0,71
CDM,304193,ELECTRODE ESURG BLDE 4IN,219.0,219.0,15.33,219.0,71
CDM,304205,STEM TIBIAL 9X70MM,64501.0,64501.0,7095.11,64501.0,57
CDM,304207,COMP AUG FEM KN #2 12MM,31167.0,31167.0,3428.37,31167.0,57
CDM,304209,BAG DRN 500ML,118.0,118.0,8.26,118.0,71
CDM,304277,GRAFT ST TISS 0.5CM 16CM,49723.0,49723.0,5469.53,49723.0,57
CDM,304287,SHELL HIP ACTB SZ24MM,1863.0,1863.0,204.93,1863.0,57
CDM,304332,GW VASC INQ .021 180CM,601.0,601.0,42.07,601.0,71
CDM,304395,GWIRE ORTH 3MM 800MM,11433.0,11433.0,800.31,11433.0,71
CDM,304437,GWIRE VASC 260CM .035IN,959.0,959.0,67.13,959.0,71
CDM,304469,DILATOR VSC .38 L20 18F,543.0,543.0,38.01,543.0,71
CDM,304515,CTH PRK BLD SEPTMY 5F,37936.0,37936.0,2655.52,37936.0,71
CDM,304517,CATH GD 105CM,42192.0,42192.0,2953.44,42192.0,71
CDM,304519,STENT VASC 4.75MM 20MM,275399.0,275399.0,30293.89,275399.0,57
CDM,304520,STENT VASC 4X15MM,275399.0,275399.0,30293.89,275399.0,57
CDM,304524,ELECTRODE ESRG BLD 6.5IN,199.0,199.0,13.93,199.0,71
CDM,304526,ELECTRODE ESURG NDL 2.8,351.0,351.0,24.57,351.0,71
CDM,304536,CTH SET PNS-1 PERC N,2961.0,2961.0,207.27,2961.0,71
CDM,304537,ROD SPN 5.5MM 500MM,7593.0,7593.0,835.23,7593.0,57
CDM,304538,SCREW BN 1.5MM 11MM,1096.0,1096.0,120.56,1096.0,57
CDM,304545,ELECTRODE NDL 6.5MM,312.0,312.0,21.84,312.0,71
CDM,304546,GWIRE VASC .035IN 180CM,1278.0,1278.0,89.46,1278.0,71
CDM,304577,ADAPTER CATH CKFL 9FR,831.0,831.0,58.17,831.0,71
CDM,304586,COIL EMBOL 1.5MMX6CM,19111.0,19111.0,2102.21,19111.0,57
CDM,304664,GD WIRE 22GA 7FR 18CM,2567.0,2567.0,179.69,2567.0,71
CDM,304686,INTRO CATH 12FR 30CM,2305.0,2305.0,161.35,2305.0,71
CDM,304692,SCREW BN 100MM,68566.0,68566.0,7542.26,68566.0,57
CDM,304708,MODEL ANTM CLASSIC,36038.0,36038.0,2522.66,36038.0,71
CDM,304709,KIT OCCLUDER DLV SYS,12179.0,12179.0,852.53,12179.0,71
CDM,304748,CTH RXB SHTH 6F 032,1599.0,1599.0,111.93,1599.0,71
CDM,304802,STEM HUM REV 13MMX180MM,56760.0,56760.0,6243.6,56760.0,57
CDM,304803,INSERT TIB KN SZ 4 15MM,52220.0,52220.0,5744.2,52220.0,57
CDM,304844,CUP HUM SHLDR +3X36MM,19737.0,19737.0,2171.07,19737.0,57
CDM,304852,DEVICE TISSUE REMOVAL,11910.0,11910.0,833.7,11910.0,71
CDM,304854,DEVICE TISSUE REMOVAL,35729.0,35729.0,2501.03,35729.0,71
CDM,304905,PLATE BN 60MM 60MM,14280.0,14280.0,1570.8,14280.0,57
CDM,304907,SHEATH GD 6FR 45CM,2549.0,2549.0,178.43,2549.0,71
CDM,304928,SHEATH GD 7FR 45CM,2549.0,2549.0,178.43,2549.0,71
CDM,304949,SHEATH GD 7FR 80CM,2924.0,2924.0,204.68,2924.0,71
CDM,304968,CATH URET 2W 20FR 5CC,176.0,176.0,12.32,176.0,71
CDM,304969,SHEATH URET 12/14FR 36CM,7430.0,7430.0,520.1,7430.0,71
CDM,304975,KIT AOR TAVR 26MM,447320.0,447320.0,49205.2,447320.0,57
CDM,305000,GUIDE MARKING CSTM SZXL,27831.0,27831.0,1948.17,27831.0,71
CDM,305014,GWIRE SF-T TFE 038 80 3J,639.0,639.0,44.73,639.0,71
CDM,305026,GRAFT FEM SHAFT 70MM,11686.0,11686.0,1285.46,11686.0,57
CDM,305050,361 HCT P SKN NOS,20431.0,20431.0,1430.17,20431.0,53
CDM,305054,PURAPLY AM 1SQCM,3760.0,3760.0,263.2,3760.0,47
CDM,305085,KIT AOR TAVR 26MM,390000.0,390000.0,27300.0,390000.0,71
CDM,305117,SCREW BN 3.5MM 14MM,3165.0,3165.0,348.15,3165.0,57
CDM,305120,SCREW BN 2.0X10MM,1722.0,1722.0,189.42,1722.0,57
CDM,305122,SCREW BN 2MM 12MM,1722.0,1722.0,189.42,1722.0,57
CDM,305141,DRESSING WND 4.34X4.34IN,454.0,454.0,31.78,454.0,71
CDM,305172,BASKET RET .8X12MM 120CM,5624.0,5624.0,393.68,5624.0,71
CDM,305203,KIT AOR TAVR 23MM,447320.0,447320.0,49205.2,447320.0,57
CDM,305212,LINER REV SHLDR 36MM,19737.0,19737.0,2171.07,19737.0,57
CDM,305220,SUTURE PDS 3-0 18IN,892.0,892.0,62.44,892.0,71
CDM,305230,SCREW BN 1.5MM 7MM,1931.0,1931.0,212.41,1931.0,57
CDM,305231,MESH SURG 51X51MM,32409.0,32409.0,3564.99,32409.0,57
CDM,305255,SPLINT SPICA THB WRST MD,223.0,223.0,15.61,223.0,71
CDM,305286,SUTURE VIOL MON+4.0 14IN,252.0,252.0,17.64,252.0,71
CDM,305360,GWIRE SUPPORT 300CM,13349.0,13349.0,934.43,13349.0,71
CDM,305376,SYSTEM CLN STORAGE 3MTHS,13737.0,13737.0,961.59,13737.0,71
CDM,305390,GRAFT ST TIS 2X7,16685.0,16685.0,1835.35,16685.0,57
CDM,305405,PROBE LTHTRP 3.9X350MM,4685.0,4685.0,327.95,4685.0,71
CDM,305407,GRAFT BN WHOLE HUM RT,110496.0,110496.0,12154.56,110496.0,57
CDM,305408,DEV GUIDE 3D MODEL CSTM,82010.0,82010.0,5740.7,82010.0,71
CDM,305411,CATHETER BLN 3MMX15MM,21057.0,21057.0,1473.99,21057.0,71
CDM,305412,SUTURE UND MON +3-0 36IN,100.0,100.0,7.0,100.0,71
CDM,305478,SHEATH INTRO 60CM 2.25MM,3561.0,3561.0,249.27,3561.0,71
CDM,305491,SYSTEM VLVE TRNSCTH 23MM,447320.0,447320.0,49205.2,447320.0,57
CDM,305535,ELECTRODE ESURG NDL 3CM,3355.0,3355.0,234.85,3355.0,71
CDM,305568,PARTICLES EMB 500-710UM,1871.0,1871.0,205.81,1871.0,57
CDM,305580,CUP ACTB HIP G-SER 62MM,23220.0,23220.0,2554.2,23220.0,57
CDM,305588,KIT AOR TAVR 20MM,382850.0,382850.0,42113.5,382850.0,57
CDM,305607,SCREW BN 4.0MM 44MM,3530.0,3530.0,388.3,3530.0,57
CDM,305643,VALVE ENDOBR IMP 4.0,64527.0,64527.0,7097.97,64527.0,57
CDM,305647,SCREW SPN 4.5MM 14MM,1542.0,1542.0,169.62,1542.0,57
CDM,305674,SCREW MICRO 1.5MM X 6MM,1392.0,1392.0,153.12,1392.0,57
CDM,305684,SCREW BN MXLFCL 2.4X4MM,750.0,750.0,82.5,750.0,57
CDM,305694,SCREW 2.7 X 8MM SAFETY,1495.0,1495.0,164.45,1495.0,57
CDM,305708,PLATE BN 5HL 3.5MM 72MM,12716.0,12716.0,1398.76,12716.0,57
CDM,305715,PLATE BN 50MMX37MM MIC,8507.0,8507.0,935.77,8507.0,57
CDM,305726,PLATE MXLFCL 4H 214-0080,5129.0,5129.0,564.19,5129.0,57
CDM,305727,STEM SHRT W/COLR HIP SZ7,46440.0,46440.0,5108.4,46440.0,57
CDM,305735,VALVE HEART TRANSCATH,498000.0,498000.0,54780.0,498000.0,57
CDM,305736,VALVE HEART 20MM,447320.0,447320.0,49205.2,447320.0,57
CDM,305739,VALVE HEART 29MM,447320.0,447320.0,49205.2,447320.0,57
CDM,305768,STENT BIL 8X17X14MM 80CM,17449.0,17449.0,1919.39,17449.0,57
CDM,305771,GRAFT PA PTCH BRANCH,147102.0,147102.0,16181.22,147102.0,57
CDM,305774,NAIL BN 8.2MM 240MM,29839.0,29839.0,3282.29,29839.0,57
CDM,305775,NAIL FEM BN 8.2MM,29839.0,29839.0,3282.29,29839.0,57
CDM,305776,MAGTRACE STUDY DOSE,12975.0,12975.0,908.25,12975.0,48
CDM,305778,STENT BIL 8X17MM 135CM,14554.0,14554.0,1600.94,14554.0,57
CDM,305788,STNT BIL 10X20X16MM 80CM,14213.0,14213.0,1563.43,14213.0,57
CDM,305790,PLATE CRNFCL 6HL 1.5X.4,4939.0,4939.0,543.29,4939.0,57
CDM,305791,NAIL BN TIB 10MM 255MM,24451.0,24451.0,2689.61,24451.0,57
CDM,305792,NAIL FEM 8.2MM 280MM,29839.0,29839.0,3282.29,29839.0,57
CDM,305813,IMPLNT PRT JNT 50M,102767.0,102767.0,11304.37,102767.0,57
CDM,305816,GUIDE SURG MODEL HAND,84292.0,84292.0,5900.44,84292.0,71
CDM,305817,KIT SURG GUIDE DISP,56769.0,56769.0,3973.83,56769.0,71
CDM,305818,GUIDE SURG CUSTOM DISP,56769.0,56769.0,3973.83,56769.0,71
CDM,305823,GUIDE SURG CSTM DISP,170916.0,170916.0,11964.12,170916.0,71
CDM,305825,SPLINT DNTL EXFX CSTM,51069.0,51069.0,3574.83,51069.0,71
CDM,305879,VALVE AORT 13MM,217406.0,217406.0,23914.66,217406.0,57
CDM,305943,PROSTHESIS TMJ UNILAT,183910.0,183910.0,20230.1,183910.0,57
CDM,305952,BURR SRG MED L51MM OD0.9,940.0,940.0,65.8,940.0,71
CDM,305976,VALVE ENDOBR IMP 4.0,68264.0,68264.0,7509.04,68264.0,57
CDM,305977,VALVE ENDOBR IMP 5.5,68264.0,68264.0,7509.04,68264.0,57
CDM,305978,VALVE ENDOBR IMP 5.5,68264.0,68264.0,7509.04,68264.0,57
CDM,305979,CATH DLVRY ZEPHYR 4.0-J,11931.0,11931.0,835.17,11931.0,71
CDM,306008,PLATE BN 90D 0.8MM,6314.0,6314.0,694.54,6314.0,57
CDM,306011,PLATE MXL RT PRBNT.8X2MM,9478.0,9478.0,1042.58,9478.0,57
CDM,306012,PLATE MXL LT PRBNT.8X2MM,9478.0,9478.0,1042.58,9478.0,57
CDM,306013,PLATE BN 90D .8 TI 2X2H,6314.0,6314.0,694.54,6314.0,57
CDM,306037,CATH DLVRY 5.5-8.5MM 5.5,11931.0,11931.0,835.17,11931.0,71
CDM,306038,CATH DIL BLN 145CM 13MM,24789.0,24789.0,1735.23,24789.0,71
CDM,306039,CATH DLVRY ZEPHYR 4.0,11931.0,11931.0,835.17,11931.0,71
CDM,306111,BIT DRILL 1.6MM 17MM,5623.0,5623.0,393.61,5623.0,71
CDM,306123,TISS RETRIEVAL BAG 3100M,3747.0,3747.0,262.29,3747.0,71
CDM,306154,SCREW BN 4.5MM 42MM,6946.0,6946.0,764.06,6946.0,57
CDM,306161,SCREW SPN 4X16MM,1899.0,1899.0,208.89,1899.0,57
CDM,306164,IMPL SPN 0D 12X16MM,70195.0,70195.0,7721.45,70195.0,57
CDM,306174,WASHER SPN 16MM,750.0,750.0,82.5,750.0,57
CDM,306205,MESH SURG 2X3.2CM,1275.0,1275.0,140.25,1275.0,57
CDM,306219,SHEATH GD URET 13F 46CM,7430.0,7430.0,520.1,7430.0,71
CDM,306223,HOOK SPNL SS XPDM 179752,7593.0,7593.0,835.23,7593.0,57
CDM,306657,SHELL ACTB HIP 56MM,55589.0,55589.0,6114.79,55589.0,57
CDM,306825,VALVE AORTIC 25MM,78264.0,78264.0,8609.04,78264.0,57
CDM,307182,PATCH SFT TIS 1X10X1,15413.0,15413.0,1695.43,15413.0,57
CDM,307223,PATCH CV THK.4MM 9CMX2CM,4789.0,4789.0,526.79,4789.0,57
CDM,307234,PTCH CV 04X3X6,750.0,750.0,82.5,750.0,57
CDM,307938,GFT VSC SWL STRCH 10X40,15237.0,15237.0,1676.07,15237.0,57
CDM,308052,GFT VSC STRCH LGD 16X20,9392.0,9392.0,1033.12,9392.0,57
CDM,308074,GFT VSC STRCH LGD 18X20,9392.0,9392.0,1033.12,9392.0,57
CDM,308094,GFT VSC STRCH LGD 20X20,9392.0,9392.0,1033.12,9392.0,57
CDM,308114,GFT VSC STRCH LGD 22X20,9392.0,9392.0,1033.12,9392.0,57
CDM,308134,GFT VSC STRCH LGD 24X20,8426.0,8426.0,926.86,8426.0,57
CDM,308273,GRAFT VASC 20CM 14MM,9864.0,9864.0,1085.04,9864.0,57
CDM,308426,GFT VSC TW RNG 6X40X30,14632.0,14632.0,1609.52,14632.0,57
CDM,313159,SCREW BN 1.5MM 5MM,1295.0,1295.0,142.45,1295.0,57
CDM,313682,SCREW PLUS DRIVE 1.3 X 8,1559.0,1559.0,171.49,1559.0,57
CDM,313703,SCREW CORTL 1.3X4,1601.0,1601.0,176.11,1601.0,57
CDM,313713,SCREW 400.454,1601.0,1601.0,176.11,1601.0,57
CDM,313753,SCREW PLUS DRIVE 1.3 X 5,1601.0,1601.0,176.11,1601.0,57
CDM,313825,GWIRE VASC .035IN 145CM,1379.0,1379.0,96.53,1379.0,71
CDM,313877,GWIRE URO .038IN 150CM,578.0,578.0,40.46,578.0,71
CDM,313930,GWIRE URO .035IN 150CM,754.0,754.0,52.78,754.0,71
CDM,313990,GWIRE URO 150CM .035IN,1599.0,1599.0,111.93,1599.0,71
CDM,314089,SET CATH NPHS 24FR 35CM,2321.0,2321.0,162.47,2321.0,71
CDM,314151,SET CATH URET 6FR 70CM,1599.0,1599.0,111.93,1599.0,71
CDM,314306,BASKET STON RTR 3F 120CM,5512.0,5512.0,385.84,5512.0,71
CDM,314400,SYSTEM DILATR URET 6-14F,5432.0,5432.0,380.24,5432.0,71
CDM,314420,SET DILATION SHEATH 6FR,1599.0,1599.0,111.93,1599.0,71
CDM,314450,SHEATH RENAL 30FR 17CM,1599.0,1599.0,111.93,1599.0,71
CDM,314736,STENT URET 4.8FR 20CM,1842.0,1842.0,202.62,1842.0,57
CDM,314777,STENT URET 4.8FR 28CM,1842.0,1842.0,202.62,1842.0,57
CDM,314961,SHELL ACTB HIP SZ4 54MM,23220.0,23220.0,2554.2,23220.0,57
CDM,315156,GWIRE VASC .014IN 300CM,2427.0,2427.0,169.89,2427.0,71
CDM,315472,DRILL SURG 70MM TWST BOS,5623.0,5623.0,393.61,5623.0,71
CDM,315477,ANCHOR SUT 5.5MM 14.7MM,10440.0,10440.0,1148.4,10440.0,57
CDM,315623,GW PLTN+ 014 180,2427.0,2427.0,169.89,2427.0,71
CDM,315633,GWIRE VASC .014IN 300CM,2427.0,2427.0,169.89,2427.0,71
CDM,315724,PLATE LCP 222.660,32367.0,32367.0,3560.37,32367.0,57
CDM,316373,PLATE CNDYLR4.5 6H/170-L,29116.0,29116.0,3202.76,29116.0,57
CDM,316383,PLATE BN 5H 3.5MM 114MM,24888.0,24888.0,2737.68,24888.0,57
CDM,316393,PLATE CNDYL 4.5 8H/206-R,31220.0,31220.0,3434.2,31220.0,57
CDM,316613,SHEATH GD 4FR 10CM,640.0,640.0,44.8,640.0,71
CDM,316623,SHEATH GD 5FR 10CM,640.0,640.0,44.8,640.0,71
CDM,316643,SHEATH INTRO 5FR 10CM,640.0,640.0,44.8,640.0,71
CDM,316653,INTROSHTH 8F .038IN 10CM,640.0,640.0,44.8,640.0,71
CDM,316663,SHEATH INTRO 9FR 10CM,640.0,640.0,44.8,640.0,71
CDM,316673,SHTH PNCLP 10F 10 035,640.0,640.0,44.8,640.0,71
CDM,316683,INTRO SHTH 11FR 10CM,640.0,640.0,44.8,640.0,71
CDM,316703,SHEATH INTRO 5FR 10CM,633.0,633.0,44.31,633.0,71
CDM,317329,GRAFT PRCN 5.9X3.9IN,78705.0,78705.0,8657.55,78705.0,57
CDM,317331,GRAFT PRCN 9.8X7.9IN,200970.0,200970.0,22106.7,200970.0,57
CDM,317923,SYSTEM INTRO 4-6FR 60CM,2474.0,2474.0,173.18,2474.0,71
CDM,318483,CATHETER DRN 10FR 25CM,2249.0,2249.0,157.43,2249.0,71
CDM,318803,CATH ANGIO 5FR 65CM,2032.0,2032.0,142.24,2032.0,71
CDM,318813,CATH ANGIO 5FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,318823,CATH ANGIO 5FR 65CM,2032.0,2032.0,142.24,2032.0,71
CDM,318833,CATH ANGIO 5FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,318843,CATH ANGIO 5FR 65CM,2032.0,2032.0,142.24,2032.0,71
CDM,318883,CATH ANGIO 5FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,318903,CATH ANGIO 5FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,318923,CTHGD GLD JB2 5FR 100X40,1899.0,1899.0,132.93,1899.0,71
CDM,318953,CATH ANGIO 4FR 65CM,2032.0,2032.0,142.24,2032.0,71
CDM,318973,CATH ANGIO 4FR 65CM,2032.0,2032.0,142.24,2032.0,71
CDM,318983,CATH ANGIO 4FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,318993,CATH ANGIO C1 4FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,319013,CATH ANGIO C2 4FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,319033,CTHDX GLD 4F MPA,2032.0,2032.0,142.24,2032.0,71
CDM,319073,CATH ANGIO H1 4FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,319093,CATH ANGIO JB2 4FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,319143,GWIRE VASC .035IN 150CM,1599.0,1599.0,111.93,1599.0,71
CDM,319153,GWIRE VASC .035IN 180CM,1651.0,1651.0,115.57,1651.0,71
CDM,319163,GWIRE VASC .035IN 260CM,1845.0,1845.0,129.15,1845.0,71
CDM,319173,GWIRE VASC .035IN 150CM,1599.0,1599.0,111.93,1599.0,71
CDM,319383,GWIRE VASC .018IN 180CM,2234.0,2234.0,156.38,2234.0,71
CDM,319403,GWIRE VASC 3CM 180CM,1991.0,1991.0,139.37,1991.0,71
CDM,319413,GWIRE VAS ANG .025 180CM,2242.0,2242.0,156.94,2242.0,71
CDM,319433,GWIRE SURG 180CM .018IN,5013.0,5013.0,350.91,5013.0,71
CDM,319473,GWIRE VAS ANG .025 260CM,2397.0,2397.0,167.79,2397.0,71
CDM,319533,GWIRE VASC .035IN 180CM,1943.0,1943.0,136.01,1943.0,71
CDM,319543,GWIRE VASC .035IN 180CM,1816.0,1816.0,127.12,1816.0,71
CDM,319573,GWIRE VASC .035IN 260CM,2072.0,2072.0,145.04,2072.0,71
CDM,319713,GDWIRE VASC 7CM 180CM,1599.0,1599.0,111.93,1599.0,71
CDM,319733,GUIDEWIRE VASC 260CM,1599.0,1599.0,111.93,1599.0,71
CDM,319763,GWIRE VASC .035IN 145CM,1599.0,1599.0,111.93,1599.0,71
CDM,319783,GWIRE VASC .035IN 180CM,1599.0,1599.0,111.93,1599.0,71
CDM,319793,GWIRE VASC .035IN 260CM,1599.0,1599.0,111.93,1599.0,71
CDM,319813,GWIRE VASC .035IN 75CM,1599.0,1599.0,111.93,1599.0,71
CDM,319913,GWIRE VASC .018IN 180CM,2587.0,2587.0,181.09,2587.0,71
CDM,319943,GWIRE VASC 200CM 0.18IN,2736.0,2736.0,191.52,2736.0,71
CDM,319953,GWIRE VASC .018IN 300CM,2736.0,2736.0,191.52,2736.0,71
CDM,320261,CATH ABL 7FR 2.5MM 4MM,11433.0,11433.0,800.31,11433.0,71
CDM,320331,CATH ABL 7FR 2.5MM 4MM,11433.0,11433.0,800.31,11433.0,71
CDM,320397,CATH ABL 8/7FR 2.5MM 5MM,11433.0,11433.0,800.31,11433.0,71
CDM,320589,AUGMENT FEM KN SZ8 8MM,19866.0,19866.0,2185.26,19866.0,57
CDM,320591,PAIN EASE SPRAY 30ML,78.61,78.61,5.5,78.61,67
CDM,321023,TUBE VENT 1.14MM 1MM,750.0,750.0,82.5,750.0,57
CDM,321034,TUBE VNT EAR 1.27MM .5MM,750.0,750.0,82.5,750.0,57
CDM,321287,TUBE EAR 4.8MM,980.0,980.0,107.8,980.0,57
CDM,321297,TUBE EAR DURAVENT 1.27,980.0,980.0,107.8,980.0,57
CDM,321377,VALVE AORTIC 21MM,72829.0,72829.0,8011.19,72829.0,57
CDM,321467,BSKT RTRV NCRC 2.4X115X1,5623.0,5623.0,393.61,5623.0,71
CDM,321548,SCREW BN 2.4MM 12MM,755.0,755.0,83.05,755.0,57
CDM,321558,SCREW BN 2.4MM 14MM,836.0,836.0,91.96,836.0,57
CDM,321648,SCREW BN 2.4MM 18MM,750.0,750.0,82.5,750.0,57
CDM,324143,CANNULA PRFSN 7FR 14GA,950.0,950.0,66.5,950.0,71
CDM,324163,PED AOR ROOT CANN,878.0,878.0,61.46,878.0,71
CDM,324175,CANN PRFSN 13FR 13IN,1128.0,1128.0,78.96,1128.0,71
CDM,324186,CATH PRFSN 20FR 16IN,1307.0,1307.0,91.49,1307.0,71
CDM,324217,CATH VENT 16FR 16IN,1309.0,1309.0,91.63,1309.0,71
CDM,324227,CATH PRFSN 10FR 15IN,8049.0,8049.0,563.43,8049.0,71
CDM,324270,CANNULA PRFSN 12FR 6IN,955.0,955.0,66.85,955.0,71
CDM,324301,CANN PRFSN 7.5IN 10FR,1544.0,1544.0,108.08,1544.0,71
CDM,324333,CANNULA PRFSN 2MM 1.3IN,504.0,504.0,35.28,504.0,71
CDM,324682,CANNULA PRFSN 15IN 14FR,1343.0,1343.0,94.01,1343.0,71
CDM,324692,CANNULA PRFSN 15IN 20FR,1343.0,1343.0,94.01,1343.0,71
CDM,324766,CANN PRFSN 14IN 12FR VNS,1599.0,1599.0,111.93,1599.0,71
CDM,324776,CANN PRFSN 14IN 14FR VNS,1599.0,1599.0,111.93,1599.0,71
CDM,324786,CANN PRFSN 14IN 16FR VNS,1599.0,1599.0,111.93,1599.0,71
CDM,324796,CANN PRFSN 14IN 18FR VNS,1599.0,1599.0,111.93,1599.0,71
CDM,324890,CANNULA PRFSN 14IN 22FR,1599.0,1599.0,111.93,1599.0,71
CDM,324901,CANNLA PRFSN VNS 24F14IN,1599.0,1599.0,111.93,1599.0,71
CDM,325260,CANNULA PRFSN 15F 5.0MM,2888.0,2888.0,202.16,2888.0,71
CDM,326972,INTRODUCER SHTH 6FR 23CM,1471.0,1471.0,102.97,1471.0,71
CDM,327014,SHEATH INTRO 7FR 23CM,1471.0,1471.0,102.97,1471.0,71
CDM,327064,SHEATH INTRO 8F 23CM,1471.0,1471.0,102.97,1471.0,71
CDM,327084,SHTH BRTP 8F 55,1535.0,1535.0,107.45,1535.0,71
CDM,327094,SHEATH INTRO 9FR 23CM,1471.0,1471.0,102.97,1471.0,71
CDM,327104,SHEATH BRTP 9F 35MM 35CM,1471.0,1471.0,102.97,1471.0,71
CDM,327784,STAPLER SKN 3.9X6.9MM,316.0,316.0,22.12,316.0,71
CDM,327874,HEAD HIP TPR STD 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,327884,HEAD HIP TPR NCK-3X32MM,9030.0,9030.0,993.3,9030.0,57
CDM,327894,HEAD HIP TPR NCK-6X32MM,9450.0,9450.0,1039.5,9450.0,57
CDM,327904,HEAD HIP TPR NK+12X28MM,9030.0,9030.0,993.3,9030.0,57
CDM,327924,HEAD HIP TPR NK+3X28MM,9030.0,9030.0,993.3,9030.0,57
CDM,327934,HEAD HIP TPR NK-3X28MM,9030.0,9030.0,993.3,9030.0,57
CDM,327944,HEAD HIP TPR NK-6X28MM,9450.0,9450.0,1039.5,9450.0,57
CDM,327954,HEAD HIP TPR NK+6X28MM,9030.0,9030.0,993.3,9030.0,57
CDM,328094,CMPNT PSTNR HIP SZ13,2967.0,2967.0,326.37,2967.0,57
CDM,328514,BLNDIL ENDO 3.0CM 75CM,6630.0,6630.0,464.1,6630.0,71
CDM,328904,STENT URET 4.8FR 10CM,1880.0,1880.0,206.8,1880.0,57
CDM,328914,STENT URET 4.8FR 12CM,1880.0,1880.0,206.8,1880.0,57
CDM,328924,STENT URET 4.8FR 14CM,1842.0,1842.0,202.62,1842.0,57
CDM,328934,STENT URET 4.8FR 16CM,1842.0,1842.0,202.62,1842.0,57
CDM,328954,STENT URET 4.8FR 18CM,1842.0,1842.0,202.62,1842.0,57
CDM,328964,STENT URET 4.8FR 22CM,1880.0,1880.0,206.8,1880.0,57
CDM,328974,STENT URET 4.8FR 24CM,1842.0,1842.0,202.62,1842.0,57
CDM,328984,STENT URET 4.8FR 26CM,1842.0,1842.0,202.62,1842.0,57
CDM,329025,STENT URET 6FR 24CM,2084.0,2084.0,229.24,2084.0,57
CDM,329045,STENT URET 6FR 28CM,1842.0,1842.0,202.62,1842.0,57
CDM,329055,STENT URET 7FR 22CM,1880.0,1880.0,206.8,1880.0,57
CDM,329085,STENT URET 7FR 28CM,1880.0,1880.0,206.8,1880.0,57
CDM,329115,STENT URET 8FR 28CM,1880.0,1880.0,206.8,1880.0,57
CDM,331576,INSERT TAPER HIP +6MM,1987.0,1987.0,218.57,1987.0,57
CDM,331748,CMPNT HEAD HIP 47MM,11610.0,11610.0,1277.1,11610.0,57
CDM,331957,CMPNT ACTB HIP 28X52MM,12150.0,12150.0,1336.5,12150.0,57
CDM,331982,SHELL BIP HIP 50MM 28MM,12150.0,12150.0,1336.5,12150.0,57
CDM,331993,CUP ACTB HIP 28X49MM,11610.0,11610.0,1277.1,11610.0,57
CDM,332016,CUP ACTB HIP 28X48MM,11610.0,11610.0,1277.1,11610.0,57
CDM,332048,CUP ACTB HIP 28MM 46MM,11610.0,11610.0,1277.1,11610.0,57
CDM,332059,HEAD FEM HIP 28MM 45MM,12150.0,12150.0,1336.5,12150.0,57
CDM,332071,COMPNT ACTB HIP 44X28MM,12150.0,12150.0,1336.5,12150.0,57
CDM,332082,HEAD FEM HIP 28MM 43MM,12204.0,12204.0,1342.44,12204.0,57
CDM,332093,SHELL ACTB HIP 42MM 28MM,11610.0,11610.0,1277.1,11610.0,57
CDM,332103,HEAD FEM HIP 28MM 41MM,11610.0,11610.0,1277.1,11610.0,57
CDM,332177,HEAD FEM -6MM 28MM HIP,15584.0,15584.0,1714.24,15584.0,57
CDM,332243,CMPNT PTLA AP OD34MM,9030.0,9030.0,993.3,9030.0,57
CDM,335298,CATHETER EMB 6FR 40CM,2952.0,2952.0,206.64,2952.0,71
CDM,335406,CATHETER EMB 6FR 80CM,4054.0,4054.0,283.78,4054.0,71
CDM,335657,ANCHOR SUT 2.5MM 8MM,12495.0,12495.0,1374.45,12495.0,57
CDM,335681,CATH URET 12FE 5CC,448.0,448.0,31.36,448.0,71
CDM,335711,CATH URTH LBRCTH 2W 18FR,50.0,50.0,3.5,50.0,71
CDM,335721,CATH URTH LBRCTH 2W 20FR,63.0,63.0,4.41,63.0,71
CDM,335731,CATH URTH 2WY 22FR,384.0,384.0,26.88,384.0,71
CDM,335921,CATH URET 20FR 16IN,179.0,179.0,12.53,179.0,71
CDM,335931,CATH URET 22FR 16IN,231.0,231.0,16.17,231.0,71
CDM,338644,HEAD HIP FEM SZ40,16530.0,16530.0,1818.3,16530.0,57
CDM,338844,SCREW BN 5MM 4.4MM 65MM,2896.0,2896.0,318.56,2896.0,57
CDM,338874,SCREW BN 5MM 4.4MM 75MM,2967.0,2967.0,326.37,2967.0,57
CDM,338884,SCREW BN 5MM 4.4MM 80MM,3344.0,3344.0,367.84,3344.0,57
CDM,338925,SCREW BN CANN LCK 7.3X60,4694.0,4694.0,516.34,4694.0,57
CDM,338945,SCREW BN 7.3MM 5MM 90MM,4975.0,4975.0,547.25,4975.0,57
CDM,338955,SCREW BN 7.3MM 5MM 95MM,4965.0,4965.0,546.15,4965.0,57
CDM,339118,CATH DLYS 13.5F 45 2VTCF,5623.0,5623.0,393.61,5623.0,71
CDM,339148,CATH HEMODLYS 13.5F 36CM,5259.0,5259.0,368.13,5259.0,71
CDM,339168,KIT CATH 40CM 13.5FR,5259.0,5259.0,368.13,5259.0,71
CDM,339218,PORT IMPL INFSN TI 8.0FR,3391.0,3391.0,373.01,3391.0,57
CDM,339238,PORT IMPL INFSN TI 6.0FR,3391.0,3391.0,373.01,3391.0,57
CDM,339405,PLATE BN FIB 5HL,20550.0,20550.0,2260.5,20550.0,57
CDM,340127,DRESSING TRNS 7.5X10CM,257.0,257.0,17.99,257.0,71
CDM,340228,CATH EP 6FR 92CM,7018.0,7018.0,491.26,7018.0,71
CDM,340649,HEAD FEM HIP 28MM 40MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340659,HEAD FEM HIP 28MM 41MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340670,HEAD HIP 28MM 42MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340680,HEAD FEM HIP 28MM 43MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340700,HEAD FEM HIP 28X45MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340720,HEAD FEM HIP 28MM 47MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340730,HEAD FEM HIP 0D 28X48MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340740,HEAD FEM HIP 49MM 28MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340750,HEAD BIP HIP 28MM 50MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340760,HEAD FEM HIP 28MM 51MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340770,HEAD FEM HIP 28MM 52MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340780,HEAD FEM HIP 28X53MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340790,HEAD BIP HIP 28MM 54MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340800,HEAD FEM HIP 28X55MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340810,HEAD HIP 28MM 56MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340820,HEAD FEM HIP 28MM 57MM,11610.0,11610.0,1277.1,11610.0,57
CDM,340830,HEAD FEM HIP 28MM 59MM,11610.0,11610.0,1277.1,11610.0,57
CDM,341111,RING ACTB HIP 48MM,4290.0,4290.0,471.9,4290.0,57
CDM,341202,SCREW BN 5MM 30MM,1131.0,1131.0,124.41,1131.0,57
CDM,341222,SCREW BN 5MM 40MM HIP,1131.0,1131.0,124.41,1131.0,57
CDM,341232,SCREW BN 5MM 45MM,1131.0,1131.0,124.41,1131.0,57
CDM,341242,SCREW BN 5.0MM 50MM,1131.0,1131.0,124.41,1131.0,57
CDM,341252,SCREW BN 5MM 55MM,1131.0,1131.0,124.41,1131.0,57
CDM,341528,HEAD FEM HIP +1.5X28,9030.0,9030.0,993.3,9030.0,57
CDM,341538,HEAD FEM HIP 28MM +5MM,9030.0,9030.0,993.3,9030.0,57
CDM,341548,HEAD FEM HIP +8.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,341558,HEAD FEM HIP +12S 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,341568,HEAD FEM HIP 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,341578,HEAD FEM HIP +1 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,341598,HEAD FEM HIP +9 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,341608,HEAD FEM HIP +13 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,341628,HEAD HIP 12/14 22.225MM,9030.0,9030.0,993.3,9030.0,57
CDM,341638,HEAD FEM HIP +7 22.225MM,9030.0,9030.0,993.3,9030.0,57
CDM,341668,STEM CNTRLZR HIP 12MM,1419.0,1419.0,156.09,1419.0,57
CDM,341678,CMPNT FEM HIP 13MM,1419.0,1419.0,156.09,1419.0,57
CDM,341698,STEM HIP CEMENTE 16.0MM,1419.0,1419.0,156.09,1419.0,57
CDM,341728,CENTRALIZR STEM HIP 14MM,1419.0,1419.0,156.09,1419.0,57
CDM,341738,STEM CNTRLZR HIP 15MM,1419.0,1419.0,156.09,1419.0,57
CDM,341748,CNTRLZR STM HIP 10.5MM,1419.0,1419.0,156.09,1419.0,57
CDM,342114,CABLE MODULAR LVAD DVC,59400.0,59400.0,4158.0,59400.0,62
CDM,342280,STEM FEM CMNT 200MM,36120.0,36120.0,3973.2,36120.0,57
CDM,342310,STEM FEM HIP 145MM,64501.0,64501.0,7095.11,64501.0,57
CDM,343369,CILTACABTAGENE 100 MIL,9875728.5,9875728.5,691300.99,9875728.5,55
CDM,343369,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",9875728.5,9875728.5,570840.15,2570427.0,11
CDM,344748,BEDSIDE PROCEDURE LVL 1,965.95,965.95,67.62,965.95,64
CDM,344749,BEDSIDE PROCEDURE LVL 2,3000.0,3000.0,210.0,3000.0,64
CDM,344751,BEDSIDE PROCEDURE LVL 3,6000.0,6000.0,420.0,6000.0,64
CDM,344752,BEDSIDE PROCEDURE LVL 4,18378.52,18378.52,1286.5,18378.52,64
CDM,344755,BEDSIDE PROCEDURE LVL 5,43894.22,43894.22,3072.6,43894.22,64
CDM,346217,INSRT TIB KN DRTN XL 9MM,17149.0,17149.0,1886.39,17149.0,57
CDM,346557,MESH SURG 3IN 5IN,4704.0,4704.0,517.44,4704.0,57
CDM,346567,MESH SURG 3IN 5IN,4090.0,4090.0,449.9,4090.0,57
CDM,346797,CATH 7FR STRL FLX,1599.0,1599.0,111.93,1599.0,71
CDM,346837,SCREW SPN 4MM 16MM,2101.0,2101.0,231.11,2101.0,57
CDM,347037,CEMENT BN 40GM 20ML,10481.0,10481.0,1152.91,10481.0,57
CDM,347047,CEMENT BN PMMA FULL DOSE,1049.0,1049.0,115.39,1049.0,57
CDM,348364,RELOAD STPLR 100MM,3040.0,3040.0,334.4,3040.0,57
CDM,348374,STAPLER INT 100MM,5623.0,5623.0,393.61,5623.0,71
CDM,348384,STAPLER INT 100MM,5623.0,5623.0,393.61,5623.0,71
CDM,348394,RELOAD STPLR 100MM,3017.0,3017.0,331.87,3017.0,57
CDM,350386,TUBE TRACH 39MM 4.5MM 3M,1316.0,1316.0,92.12,1316.0,71
CDM,350416,TUBE TRCH NEONATAL 4.0,1599.0,1599.0,111.93,1599.0,71
CDM,350466,TUBE TRACH 5.5MM,1316.0,1316.0,92.12,1316.0,71
CDM,351112,ROD REAMER 3X950MM,3975.0,3975.0,278.25,3975.0,71
CDM,351173,CLAMP EX FIX 4MM,10175.0,10175.0,712.25,10175.0,71
CDM,351186,CAP PROTCT EX FIX 8MM,750.0,750.0,52.5,750.0,71
CDM,351200,ROD EX FIX 8MM 200MM,5336.0,5336.0,373.52,5336.0,71
CDM,351213,ROD CFBR EX FX 8X220MM,3842.0,3842.0,268.94,3842.0,71
CDM,351226,ROD CFBR EX FX 8X240MM,3419.0,3419.0,239.33,3419.0,71
CDM,353106,TRAY CATH 16FR 5CC,364.0,364.0,25.48,364.0,71
CDM,353622,CATH DLYS 15FR 62CM,1924.0,1924.0,134.68,1924.0,71
CDM,353632,CATHETER DLYS 15FR 60CM,1901.0,1901.0,133.07,1901.0,71
CDM,353642,CATH DLYS 15FR 57CM,1901.0,1901.0,133.07,1901.0,71
CDM,353812,CATH DLYS 15FR 39CM,1901.0,1901.0,133.07,1901.0,71
CDM,353904,CATH KIT SIL 36CM 19CM,4273.0,4273.0,299.11,4273.0,71
CDM,353914,CATH PERM 18GA 40CM,5917.0,5917.0,414.19,5917.0,71
CDM,354406,PLATE BN RT 3/8H 3.5X107,7091.0,7091.0,780.01,7091.0,57
CDM,354416,PLATE BN 3.5MM 85MM,6441.0,6441.0,708.51,6441.0,57
CDM,354426,PLATE BN CRV 8HL 3.5MM,12002.0,12002.0,1320.22,12002.0,57
CDM,354437,PLATE BN CRV 10HL 3.5MM,12576.0,12576.0,1383.36,12576.0,57
CDM,354447,PLATE BN CRV 12HL 3.5MM,13149.0,13149.0,1446.39,13149.0,57
CDM,354458,PLATE BN CRV 14HL 3.5MM,14793.0,14793.0,1627.23,14793.0,57
CDM,354676,ANCH SUT QANCHR EBND,11693.0,11693.0,1286.23,11693.0,57
CDM,354932,CANNULA VNS PED 10FRX28,1599.0,1599.0,111.93,1599.0,71
CDM,354942,CANN PRFSN 12F 4MM 28CM,1599.0,1599.0,111.93,1599.0,71
CDM,354963,CANNULA VNS PED 12FRX33,1599.0,1599.0,111.93,1599.0,71
CDM,354993,CANN PED 90D 16F,1599.0,1599.0,111.93,1599.0,71
CDM,355020,CANNULA PRFSN 28FR 15IN,1599.0,1599.0,111.93,1599.0,71
CDM,355650,GWIRE VASC 300CM .014IN,2652.0,2652.0,185.64,2652.0,71
CDM,355979,SCREW BN 3.0MM 8MM,4254.0,4254.0,467.94,4254.0,57
CDM,355989,SCREW CANN THRD 3.0X9M,4254.0,4254.0,467.94,4254.0,57
CDM,355999,SCREW CANN THRD 3.0 10,4254.0,4254.0,467.94,4254.0,57
CDM,356011,SCREW CANN THRD 3.0X11,4254.0,4254.0,467.94,4254.0,57
CDM,356022,SCREW CANN THRD 3.0X12,4254.0,4254.0,467.94,4254.0,57
CDM,356033,SCREW CANN THRD 3.0X13,4254.0,4254.0,467.94,4254.0,57
CDM,356094,NAIL BN IM 2.0MM 440MM,5460.0,5460.0,600.6,5460.0,57
CDM,356115,NAIL BN 2.5MM 440MM,5878.0,5878.0,646.58,5878.0,57
CDM,356137,NAIL BN 3MM 44MM,5496.0,5496.0,604.56,5496.0,57
CDM,356148,NAIL BN 3.0MM 440MM,6658.0,6658.0,732.38,6658.0,57
CDM,356158,NAIL BN 3.5MM 440MM,6567.0,6567.0,722.37,6567.0,57
CDM,356191,NAIL BN 4MM 440MM,7042.0,7042.0,774.62,7042.0,57
CDM,356201,NAIL BN 4MM 440MM,7426.0,7426.0,816.86,7426.0,57
CDM,359188,PLATE CNDYL 4.5 8H/206-L,27944.0,27944.0,3073.84,27944.0,57
CDM,359428,INSERT ACTB HIP 44MM,38700.0,38700.0,4257.0,38700.0,57
CDM,359798,ROTC EGIA 30 2.0,5623.0,5623.0,393.61,5623.0,71
CDM,359808,RELOAD STPLR 2.5X30MM,5038.0,5038.0,554.18,5038.0,57
CDM,359818,RELOAD STPLR 3.5X30MM,5623.0,5623.0,618.53,5623.0,57
CDM,359838,STAPLER INT 5MM,5623.0,5623.0,393.61,5623.0,71
CDM,359999,LEAD ENDO PACING,9473.0,9473.0,1042.03,9473.0,57
CDM,360168,STEM FEM HIP SZ3 108MM,36120.0,36120.0,3973.2,36120.0,57
CDM,360712,VALVE MITRAL 17MM,73472.0,73472.0,8081.92,73472.0,57
CDM,360724,VALVE MITRAL 19MM,73472.0,73472.0,8081.92,73472.0,57
CDM,360808,LINER ACTB HIP 65MM,40113.0,40113.0,4412.43,40113.0,57
CDM,360821,STEM FEM KN 10MM 100MM,86103.0,86103.0,9471.33,86103.0,57
CDM,360833,CAP END FEM LCK 8X3.5MM,3345.0,3345.0,367.95,3345.0,57
CDM,361527,BASEPLATE TIB KN 67MM,60825.0,60825.0,6690.75,60825.0,57
CDM,361606,SET CABLE/SLV 1.6 BEAD,4525.0,4525.0,497.75,4525.0,57
CDM,362411,SCREW BN 5MM 30MM,1131.0,1131.0,124.41,1131.0,57
CDM,362441,SCREW BN 5MM 25MM,1914.0,1914.0,210.54,1914.0,57
CDM,362501,HEAD HIP+12MM 11/13 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,363125,PIN FX ORTH LCK 5MM,1386.0,1386.0,152.46,1386.0,57
CDM,363265,SLEEVE FEM HIP 18F SM,13180.0,13180.0,1449.8,13180.0,57
CDM,363466,SLEEVE CNTRNG 12B SM,10320.0,10320.0,1135.2,10320.0,57
CDM,364540,CMPNT FEM KN 71MM 66MM,73689.0,73689.0,8105.79,73689.0,57
CDM,364550,COMPNT FEM KN 62X66MM,73689.0,73689.0,8105.79,73689.0,57
CDM,364560,CMPNT KN 66X62MM,73689.0,73689.0,8105.79,73689.0,57
CDM,364570,COMPNT FEM KN 6D 66X58MM,73689.0,73689.0,8105.79,73689.0,57
CDM,364580,BLK AUG FEM DIST 10MM,11198.0,11198.0,1231.78,11198.0,57
CDM,365150,STEM XTN FEM KN 30X13MM,11019.0,11019.0,1212.09,11019.0,57
CDM,365160,STEM FEM KN 13MM 60MM,13834.0,13834.0,1521.74,13834.0,57
CDM,365170,STEM TIB KN 30MM 15MM,13834.0,13834.0,1521.74,13834.0,57
CDM,365180,STEM CEMENTED 15MMX30MM,13834.0,13834.0,1521.74,13834.0,57
CDM,365752,CMPNT FEM 3RT CR NPOR,37410.0,37410.0,4115.1,37410.0,57
CDM,365972,COMPNT FEM LT SZ3 65X61,64501.0,64501.0,7095.11,64501.0,57
CDM,365982,CMPNT FEM KN SZ4,64501.0,64501.0,7095.11,64501.0,57
CDM,365992,CMPNT KNEE FEM 73X69,64501.0,64501.0,7095.11,64501.0,57
CDM,366002,COMPNT CRCTE LT KN 63X59,64501.0,64501.0,7095.11,64501.0,57
CDM,366012,COMPNT FEM RT KN 2 60X56,64501.0,64501.0,7095.11,64501.0,57
CDM,366022,CMPNT FEM KN RT SZ3,64501.0,64501.0,7095.11,64501.0,57
CDM,366032,COMPNT FEM 4 RT CS TC3,64501.0,64501.0,7095.11,64501.0,57
CDM,366042,CMPNT FEM KN RT SZ5,64501.0,64501.0,7095.11,64501.0,57
CDM,366052,COMPNT PTLR KN SZ3 32MM,5883.0,5883.0,647.13,5883.0,57
CDM,366062,CMPNT PTLA 35 96-0101,5883.0,5883.0,647.13,5883.0,57
CDM,366072,DOME PTELA 38 OVL 3PEG,5883.0,5883.0,647.13,5883.0,57
CDM,366082,COMPONENT FEM KN 4MM,5883.0,5883.0,647.13,5883.0,57
CDM,366766,CMPNT AGMNT 2X4 POST,11843.0,11843.0,1302.73,11843.0,57
CDM,367166,CATH URET 4FR 70CM,493.0,493.0,34.51,493.0,71
CDM,367176,CATH URET 5FR 70CM,484.0,484.0,33.88,484.0,71
CDM,367196,CATH URET 5FR 70CM,509.0,509.0,35.63,509.0,71
CDM,368026,PLATE BN CRV10HL.6X1.7MM,6441.0,6441.0,708.51,6441.0,57
CDM,368977,GWIRE VASC .035IN 150CM,895.0,895.0,62.65,895.0,71
CDM,368987,GWIRE VASC .035IN 260CM,1122.0,1122.0,78.54,1122.0,71
CDM,369338,STENT VASC 6X20MM 120CM,16824.0,16824.0,1850.64,16824.0,57
CDM,369598,PIN FX HDLS 1/8IN 3.5IN,7670.0,7670.0,536.9,7670.0,71
CDM,369618,CATH PA OPTI 4FX40CM,5623.0,5623.0,393.61,5623.0,71
CDM,369938,RNG ANLPLS TRCSPD 28,45020.0,45020.0,4952.2,45020.0,57
CDM,369948,RNG ANLPLS TRCSPD 30,42676.0,42676.0,4694.36,42676.0,57
CDM,369958,RNG ANLPLS TRCSPD 32,47720.0,47720.0,5249.2,47720.0,57
CDM,370897,PORT IMPL INFSN 7.0FR,5796.0,5796.0,637.56,5796.0,57
CDM,371347,KIT WND DRN 400CC 1/4IN,497.0,497.0,34.79,497.0,71
CDM,371357,KIT WND DRN RND12X3/15IN,1508.0,1508.0,105.56,1508.0,71
CDM,371397,DRAIN WND RND 15FR,266.0,266.0,18.62,266.0,71
CDM,371477,DRAIN WND 10IN 20IN,1243.0,1243.0,87.01,1243.0,71
CDM,371617,DRAIN INCSN CATL 12F 5IN,468.0,468.0,32.76,468.0,71
CDM,371627,TUBE T CATTEL 16FR,468.0,468.0,32.76,468.0,71
CDM,371697,DRAIN INCS .25IN 18IN,114.0,114.0,7.98,114.0,71
CDM,371737,DRAIN PENROSE 1 X18,23.0,23.0,1.61,23.0,71
CDM,371807,MESH PRFX XL 1.6IN 2IN,5455.0,5455.0,600.05,5455.0,57
CDM,372714,PLATE TIBIAL FIXED #2,25671.0,25671.0,2823.81,25671.0,57
CDM,374917,GWIRE VASC 190CM .035IN,2587.0,2587.0,181.09,2587.0,71
CDM,374997,GWIRE VASC 190CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,375010,GWIRE VASC 300CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,375261,GWIRE VASC 190CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,375781,INTRO GUID 8.5FR 67CM,1874.0,1874.0,131.18,1874.0,71
CDM,375791,INTRO SHTH 8FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,375801,INTRO GUID 8FR 67CM,4910.0,4910.0,343.7,4910.0,71
CDM,375821,INTRO GUID 8FR 67CM,4910.0,4910.0,343.7,4910.0,71
CDM,375831,INTRO GUID 8FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,375841,INTRO GUID 8FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,375851,INTRO GUID 8FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,375861,INTRO GUID 8FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,375871,INTRO GUID 8FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,375881,INTRO GUID 8.5FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,375901,INTRO SHTH GD 8.5FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,375931,INTRO GUID 8FR 60CM,4910.0,4910.0,343.7,4910.0,71
CDM,376491,LEAD PCNG 25CM,9143.0,9143.0,1005.73,9143.0,57
CDM,376511,LEAD PCNG 60CM,9691.0,9691.0,1066.01,9691.0,57
CDM,377211,STENT URET 8FR 20CM,2014.0,2014.0,221.54,2014.0,57
CDM,378063,CATH VASC DIAG 6F 110CM,1330.0,1330.0,93.1,1330.0,71
CDM,378644,CATH ANGIO FR4 6FR 100CM,443.0,443.0,31.01,443.0,71
CDM,378704,CATH ANGIO MPA1 6F 100CM,443.0,443.0,31.01,443.0,71
CDM,378814,CATH ANGIO IM 6FR 100CM,443.0,443.0,31.01,443.0,71
CDM,378834,CATH ANGIO FEM 6FR 100CM,443.0,443.0,31.01,443.0,71
CDM,378864,CATH ANGIO FL4 6FR 100CM,443.0,443.0,31.01,443.0,71
CDM,378884,CATH ANGIO FL4 6FR 100CM,512.0,512.0,35.84,512.0,71
CDM,379024,CATH ANGIO PIG 6FR 110CM,443.0,443.0,31.01,443.0,71
CDM,379104,CATH ANGIO AL1 6FR 100CM,443.0,443.0,31.01,443.0,71
CDM,37918,DOXYCYCLINE CAP 100MG,7.49,7.49,0.52,7.49,67
CDM,380317,GWIRE VASC .014IN 182CM,2502.0,2502.0,175.14,2502.0,71
CDM,380397,VALVE ANTI REFLUX SALEM,329.0,329.0,23.03,329.0,71
CDM,380527,SHTH BRTP F5 45,1535.0,1535.0,107.45,1535.0,71
CDM,380557,SHTH INT 7F 35MM 5.5CM,1119.0,1119.0,78.33,1119.0,71
CDM,380567,SHEATH INTRO 7FR 90CM,1599.0,1599.0,111.93,1599.0,71
CDM,380587,SHTH INTRO 4FR 11CM,512.0,512.0,35.84,512.0,71
CDM,380607,INTRO SHTH 5FR 11CM,512.0,512.0,35.84,512.0,71
CDM,380677,INTRO SHTH 11FR 11CM,512.0,512.0,35.84,512.0,71
CDM,381248,CTHDX TMP+ 4F PIG 65,1263.0,1263.0,88.41,1263.0,71
CDM,381398,CTHDX TMP+ 5F PIG 65,1263.0,1263.0,88.41,1263.0,71
CDM,381478,CATH ANGIO 5FR 100CM,1263.0,1263.0,88.41,1263.0,71
CDM,381528,CTHDX TMP+ 5FSDWNDR2 100,1263.0,1263.0,88.41,1263.0,71
CDM,381608,CATH ANGIO 5FR 65CM,1263.0,1263.0,88.41,1263.0,71
CDM,381748,GWIRE VASC .035IN 260CM,856.0,856.0,59.92,856.0,71
CDM,381878,GWIRE VASC .035IN 260CM,944.0,944.0,66.08,944.0,71
CDM,381988,GWIRE VASC .035IN 175CM,783.0,783.0,54.81,783.0,71
CDM,382108,GWIRE STRBL STR 180CM,2817.0,2817.0,197.19,2817.0,71
CDM,382118,GWIRE STR 300CM,2924.0,2924.0,204.68,2924.0,71
CDM,382228,SHEATH INTRO 4F 5.5CM,1183.0,1183.0,82.81,1183.0,71
CDM,382259,SHEATH INTRO 5F 5.5CM,1183.0,1183.0,82.81,1183.0,71
CDM,382299,SHEATH INTRO 6F 5.5CM,1183.0,1183.0,82.81,1183.0,71
CDM,382309,SHEATH INTRO 6F 23CM,1183.0,1183.0,82.81,1183.0,71
CDM,382329,SHEATH INTRO 7F 23CM,1183.0,1183.0,82.81,1183.0,71
CDM,382349,SHEATH INTRO OBT 8F 23CM,1183.0,1183.0,82.81,1183.0,71
CDM,382399,SHEATH INTRO GW 9F 11CM,502.0,502.0,35.14,502.0,71
CDM,382409,SHEATH INTRO 10F 23CM,1183.0,1183.0,82.81,1183.0,71
CDM,382519,GWIRE VASC .014IN 180CM,2654.0,2654.0,185.78,2654.0,71
CDM,382539,GWIRE VASC .014IN 300CM,2654.0,2654.0,185.78,2654.0,71
CDM,382759,CTHDX HFLO 7F NIHSH 100,483.0,483.0,33.81,483.0,71
CDM,383099,CTHDX INFN 5F RIM J 65,1263.0,1263.0,88.41,1263.0,71
CDM,383409,CTHDX ST+ 6F JL6 100,483.0,483.0,33.81,483.0,71
CDM,383429,CTHDX ST+ 6F JL4.5 100,525.0,525.0,36.75,525.0,71
CDM,383521,CTHDX ST+ 6F ARMOD 100,483.0,483.0,33.81,483.0,71
CDM,383601,CTHDX INFN 5F JL4.5 100,525.0,525.0,36.75,525.0,71
CDM,383611,CATH ANGIO 5FR 100CM,628.0,628.0,43.96,628.0,71
CDM,383621,CATH ANGIO 5FR 100CM,628.0,628.0,43.96,628.0,71
CDM,383631,CATH ANGIO 5FR 100CM,628.0,628.0,43.96,628.0,71
CDM,383641,CATH ANGIO 5FR 100CM,628.0,628.0,43.96,628.0,71
CDM,383704,CTHDX INFN 5F MPA2 65,628.0,628.0,43.96,628.0,71
CDM,383724,CATH ANGIO 5FR 100CM,628.0,628.0,43.96,628.0,71
CDM,383754,CATH ANGIO 5FR 100CM,628.0,628.0,43.96,628.0,71
CDM,383814,CATH ANGIO 5FR 110CM,628.0,628.0,43.96,628.0,71
CDM,383834,CATH ANGIO 5FR 100CM,628.0,628.0,43.96,628.0,71
CDM,384195,CTHDX INFN 6F SRC 100,483.0,483.0,33.81,483.0,71
CDM,384205,CATH ANGIO 6FR 100CM,628.0,628.0,43.96,628.0,71
CDM,384275,CATH ANGIO 4FR 100CM,614.0,614.0,42.98,614.0,71
CDM,384295,CATHDX ANGI JR4 F4 100CM,614.0,614.0,42.98,614.0,71
CDM,384355,CATH ANG AR1MD 4FR 100CM,614.0,614.0,42.98,614.0,71
CDM,384375,CATH ANGIO 4FR 100CM,614.0,614.0,42.98,614.0,71
CDM,384395,CATH ANGIO AL1 100CM,614.0,614.0,42.98,614.0,71
CDM,384405,CATH ANGIO AL2 100CM,614.0,614.0,42.98,614.0,71
CDM,384415,CATH ANGIO AL3 100CM,614.0,614.0,42.98,614.0,71
CDM,384465,CATH ANGO 4.0FR 100CM,614.0,614.0,42.98,614.0,71
CDM,384475,CATH ANGIO RCB 100CM,614.0,614.0,42.98,614.0,71
CDM,384505,CATH ANGIO 4FR 100CM,614.0,614.0,42.98,614.0,71
CDM,384545,GW SHNB 180 ST,2577.0,2577.0,180.39,2577.0,71
CDM,387723,PIN BUTTRESS 1.8X30MM,750.0,750.0,82.5,750.0,57
CDM,387783,CATH URET 2W 20FR 5CC,198.0,198.0,13.86,198.0,71
CDM,387803,HEAD FEM HIP 9X28MM,7193.0,7193.0,791.23,7193.0,57
CDM,388113,CATH ART 4LUM 7FR 110CM,2437.0,2437.0,170.59,2437.0,71
CDM,388123,CATH THERM 4LM 7FRX110,1599.0,1599.0,111.93,1599.0,71
CDM,388493,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,388513,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,388713,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,388833,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,388853,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,388953,SCREW BN 2X4MM,750.0,750.0,82.5,750.0,57
CDM,389173,PATCH HERN 4.3CM,10134.0,10134.0,1114.74,10134.0,57
CDM,389193,CANNULA IV 20GA 2IN,245.0,245.0,17.15,245.0,71
CDM,389353,CATH ANGIO 5FR 100CM,844.0,844.0,59.08,844.0,71
CDM,389483,CTHGD VBT 6X070JL4.5 100,1599.0,1599.0,111.93,1599.0,71
CDM,389803,SHEATH GD 7FR 45CM,2896.0,2896.0,202.72,2896.0,71
CDM,389873,PLATE PROX TIB 4.5LCP 19,8977.0,8977.0,987.47,8977.0,57
CDM,389913,WAX BN 2.5GM,240.0,240.0,16.8,240.0,71
CDM,389943,STAPLER INT 30MM,2549.0,2549.0,178.43,2549.0,71
CDM,389953,STAPLER INT 30MM,2529.0,2529.0,177.03,2529.0,71
CDM,389963,STAPLER INT 60MM,2558.0,2558.0,179.06,2558.0,71
CDM,389973,STAPLER INT 60MM,2610.0,2610.0,182.7,2610.0,71
CDM,389983,RELOAD STPLR 30MM,1599.0,1599.0,175.89,1599.0,57
CDM,389993,RELOAD STPLR 30MM,1599.0,1599.0,175.89,1599.0,57
CDM,390027,RELOAD STPLR 30MM,1599.0,1599.0,175.89,1599.0,57
CDM,390037,RELOAD STPLR 60MM,1599.0,1599.0,175.89,1599.0,57
CDM,390057,MESH VCRYL 12X12,15439.0,15439.0,1698.29,15439.0,57
CDM,390067,MESH PRLN MED 6X6,1276.0,1276.0,140.36,1276.0,57
CDM,390087,MESH SURG 15CM 15CM,7251.0,7251.0,797.61,7251.0,57
CDM,390097,APPLIER CLP PRLD 9.375IN,1599.0,1599.0,175.89,1599.0,57
CDM,390107,APPLIER CLP PRLD 9.375IN,1599.0,1599.0,175.89,1599.0,57
CDM,390127,APPLIER CLP PRLD 13IN,1599.0,1599.0,175.89,1599.0,57
CDM,390207,CLIP LIGACLIP MEDIUM,886.0,886.0,97.46,886.0,57
CDM,390217,CLIP LIGATION MED/LG,1222.0,1222.0,134.42,1222.0,57
CDM,390247,RELOAD STPLR 75MM,2002.0,2002.0,220.22,2002.0,57
CDM,390267,RELOAD STPLR 75MM,4088.0,4088.0,449.68,4088.0,57
CDM,390277,RELOAD STPLR 75MM,2041.0,2041.0,224.51,2041.0,57
CDM,390407,APPLIER CLP LOAD M/L,1371.0,1371.0,150.81,1371.0,57
CDM,390457,RELOAD STPLR 55MM,1599.0,1599.0,175.89,1599.0,57
CDM,390517,STAPLER INT CTR 55MM,1428.0,1428.0,99.96,1428.0,71
CDM,390527,RELOAD STPLR 55MM,2635.0,2635.0,289.85,2635.0,57
CDM,390547,STAPLER LNR CUT RLD 55MM,2669.0,2669.0,186.83,2669.0,71
CDM,390607,CLIP SUTURE LAPRATY,2084.0,2084.0,145.88,2084.0,71
CDM,391977,CATH PEZZER 10FR,681.0,681.0,47.67,681.0,71
CDM,391987,CATH NPHSTM PEZ 12FR,1411.0,1411.0,98.77,1411.0,71
CDM,391997,CATH DRN 2 EYE 14FR,1434.0,1434.0,100.38,1434.0,71
CDM,392007,CATH DRN 2 EYE 16FR,1431.0,1431.0,100.17,1431.0,71
CDM,392017,CATH URTH 18FR,1227.0,1227.0,85.89,1227.0,71
CDM,392027,DRAIN 22FR PEZZER,436.0,436.0,30.52,436.0,71
CDM,392047,CATH PEZZER DRAIN SZ26,440.0,440.0,30.8,440.0,71
CDM,392107,CATH PEZ LTX DRN 24FR,450.0,450.0,31.5,450.0,71
CDM,392127,CATH PEZZER 28FR,624.0,624.0,43.68,624.0,71
CDM,392137,CATH PEZZER 36FR,450.0,450.0,31.5,450.0,71
CDM,392147,CATH DRN PEZZER 40FR,511.0,511.0,35.77,511.0,71
CDM,392157,CATH MALECOT 10FR,1599.0,1599.0,111.93,1599.0,71
CDM,392167,CATH NPHSTM 12FR 4 WING,1599.0,1599.0,111.93,1599.0,71
CDM,392177,CATH DRAIN MLCT 14F,637.0,637.0,44.59,637.0,71
CDM,392187,CATH NPHSTM 16FR,637.0,637.0,44.59,637.0,71
CDM,392208,CATH MLCT 20FR 4-WING,637.0,637.0,44.59,637.0,71
CDM,392220,CATH URET 4FR 70CM,1304.0,1304.0,91.28,1304.0,71
CDM,392230,CATH URET 5FR 70CM,1304.0,1304.0,91.28,1304.0,71
CDM,392240,CATH URET 6FR 70CM,597.0,597.0,41.79,597.0,71
CDM,392270,CATH SPRL TIP 4FR. 137,894.0,894.0,62.58,894.0,71
CDM,392280,CTH URET SPRL TIP 5FR,519.0,519.0,36.33,519.0,71
CDM,392290,CATH SPRL TIP URET 6FR,1022.0,1022.0,71.54,1022.0,71
CDM,392310,CATH URET CONE 5FR 70CM,1304.0,1304.0,91.28,1304.0,71
CDM,392320,CATH URET CONE 6FR 70CM,704.0,704.0,49.28,704.0,71
CDM,392340,ADAPTER CATH URET 4-6FR,26.0,26.0,1.82,26.0,71
CDM,392600,CATH MLCT 4 WNG 22FR,540.0,540.0,37.8,540.0,71
CDM,392610,CATH MLCT 24FR 4-WING,637.0,637.0,44.59,637.0,71
CDM,392620,CATH MLCT 26FR 4-WING,618.0,618.0,43.26,618.0,71
CDM,392630,CATH NPHSTM 28FR,614.0,614.0,42.98,614.0,71
CDM,392640,CATH DRN MLCT 30F 4WNG,1599.0,1599.0,111.93,1599.0,71
CDM,393902,CATH XTRN MALE 32MM,67.0,67.0,4.69,67.0,71
CDM,394206,BAG DRN 2000ML,183.0,183.0,12.81,183.0,71
CDM,394296,TRAY CATH FOL 16FR IC,198.0,198.0,13.86,198.0,71
CDM,394877,CATH DRN 12FR 16IN,348.0,348.0,24.36,348.0,71
CDM,394887,CATH THOR DRN 16FR 16IN,349.0,349.0,24.43,349.0,71
CDM,394897,CATH DRN THOR 20FR 22IN,343.0,343.0,24.01,343.0,71
CDM,394957,CATH THOR RT ANG 28FR,400.0,400.0,28.0,400.0,71
CDM,395638,TUBE TRACH SIZE 7,1616.0,1616.0,113.12,1616.0,71
CDM,395668,TUBE LARYNGECTOMY 6,1599.0,1599.0,111.93,1599.0,71
CDM,395678,TUBE LARYNGECTOMY #8,1599.0,1599.0,111.93,1599.0,71
CDM,395688,TUBE LARYNGECTOMY #10,1599.0,1599.0,111.93,1599.0,71
CDM,395888,CATHETER CV 6.6FR,3186.0,3186.0,223.02,3186.0,71
CDM,395908,CATH CV 9.6FR 56CM,3186.0,3186.0,223.02,3186.0,71
CDM,395938,KIT CATH CV 7FR 34CM,3186.0,3186.0,223.02,3186.0,71
CDM,396038,CATH CV 12.5F 51CM,5060.0,5060.0,354.2,5060.0,71
CDM,396228,PORT IMP INFSN 10FR,5015.0,5015.0,551.65,5015.0,57
CDM,396318,PORT IMP INFSN 6.6FR,3391.0,3391.0,373.01,3391.0,57
CDM,396338,PORT IMPL INFSN 9.6FR,3391.0,3391.0,373.01,3391.0,57
CDM,396398,PORT IMPL INFSN 6.6FR,3391.0,3391.0,373.01,3391.0,57
CDM,396568,CATH CV 8F 1LM PRC INTRO,14913.0,14913.0,1043.91,14913.0,71
CDM,396608,CATH CV 8FR SNGL 4VTCF,5623.0,5623.0,393.61,5623.0,71
CDM,396638,CATH CV 9.5F 2LUM 4 VTCF,5623.0,5623.0,393.61,5623.0,71
CDM,397899,BUTTON GASTMY 18FX2.4,3711.0,3711.0,259.77,3711.0,71
CDM,397909,BUTTON GASTMY 18FX3.4,3711.0,3711.0,259.77,3711.0,71
CDM,397939,BUTTON GASTMY 24FX2.4,10996.0,10996.0,769.72,10996.0,71
CDM,398009,TUBE BOLUS FDNG 18FX10,317.0,317.0,22.19,317.0,71
CDM,398399,KIT PEG SIL 20F,2530.0,2530.0,177.1,2530.0,71
CDM,399611,VALVE MITRAL 29MM,78808.0,78808.0,8668.88,78808.0,57
CDM,399621,VALVE MITRAL 31MM,89134.0,89134.0,9804.74,89134.0,57
CDM,399631,VALVE MITRAL 33MM,73472.0,73472.0,8081.92,73472.0,57
CDM,399641,VALVE AORTIC 17MM,72829.0,72829.0,8011.19,72829.0,57
CDM,399651,VALVE AORTIC 19MM,72829.0,72829.0,8011.19,72829.0,57
CDM,399661,VALVE AORTIC 23MM,72829.0,72829.0,8011.19,72829.0,57
CDM,399671,VALVE AORTIC 25MM,79335.0,79335.0,8726.85,79335.0,57
CDM,399681,VALVE AORTIC 27MM,79335.0,79335.0,8726.85,79335.0,57
CDM,399691,MESH SURG 1X4IN,854.0,854.0,93.94,854.0,57
CDM,399711,MESH HRN GRN 10X14IN,4398.0,4398.0,483.78,4398.0,57
CDM,399721,MESH SURG 2X12IN,1396.0,1396.0,153.56,1396.0,57
CDM,399731,MESH SURG 3X6IN,1088.0,1088.0,119.68,1088.0,57
CDM,399741,MESH SURG 6X6IN,3083.0,3083.0,339.13,3083.0,57
CDM,399762,MESH HRN PP 4X1.8,1414.0,1414.0,155.54,1414.0,57
CDM,399782,PLUG SURG 1.55X1.3IN,3728.0,3728.0,410.08,3728.0,57
CDM,399792,MESH SURG PLG 1.9X1.6IN,4964.0,4964.0,546.04,4964.0,57
CDM,399812,MESH SURG LG 13.7X5.9CM,1539.0,1539.0,169.29,1539.0,57
CDM,399862,TRAY ANES EPDRL 18GA,282.0,282.0,19.74,282.0,71
CDM,400249,GRAFT VASC 10CM 4MM,2531.0,2531.0,278.41,2531.0,57
CDM,400312,GRAFT VASC 5MM 10CM,2713.0,2713.0,298.43,2713.0,57
CDM,400608,GRAFT CV PTFE 4X4X1.65MM,1453.0,1453.0,159.83,1453.0,57
CDM,400618,GRAFT CV 15.2X15.2CM,1776.0,1776.0,195.36,1776.0,57
CDM,401932,STAPLER INT 65MM,7469.0,7469.0,522.83,7469.0,71
CDM,401995,RETRACTOR 32CM 10MM,10606.0,10606.0,742.42,10606.0,71
CDM,402119,CANNULA PRFSN 14FR 6IN,1168.0,1168.0,81.76,1168.0,71
CDM,402129,CANNULA PRFSN 10FR 6IN,1168.0,1168.0,81.76,1168.0,71
CDM,402139,CANN PRFSN VSL2.5IN 3MM,284.0,284.0,19.88,284.0,71
CDM,402580,SURGICEL HEMO 2X3,396.0,396.0,27.72,396.0,71
CDM,403024,CATHETER EMB 2FR 60CM,5138.0,5138.0,359.66,5138.0,71
CDM,403256,CATH BIL BLN PR 5FRX23CM,1671.0,1671.0,116.97,1671.0,71
CDM,403478,PLATE BN RT 93MM 3.5MM,23529.0,23529.0,2588.19,23529.0,57
CDM,405270,LNR ACTB HIP +4 28X48MM,14190.0,14190.0,1560.9,14190.0,57
CDM,405707,GWIRE ORTH 2.8X350MM,1608.0,1608.0,112.56,1608.0,71
CDM,405727,CLAMP EXFX 6 PSTN LG,10175.0,10175.0,712.25,10175.0,71
CDM,405929,GRAFT CV 12X6MM 40CM,14169.0,14169.0,1558.59,14169.0,57
CDM,405999,GFT CV HMSH MCVL18X9X40,11046.0,11046.0,1215.06,11046.0,57
CDM,406171,GRAFT CV 18MM 60CM,7747.0,7747.0,852.17,7747.0,57
CDM,406921,CLIP ANRSM PERM 3MM,4670.0,4670.0,513.7,4670.0,57
CDM,406951,CLIP ANRSM PERM 5MM,4670.0,4670.0,513.7,4670.0,57
CDM,407004,CLIP ANRSM PERM 3MM,4766.0,4766.0,524.26,4766.0,57
CDM,407014,CLIP ANRSM PERM 5MM,4670.0,4670.0,513.7,4670.0,57
CDM,407084,CLIP ANRSM PERM 7MM,4670.0,4670.0,513.7,4670.0,57
CDM,407224,CLIP ANRSM PERM 7MM,4670.0,4670.0,513.7,4670.0,57
CDM,407294,CLIP ANRSM PERM 9MM,4670.0,4670.0,513.7,4670.0,57
CDM,407304,CLIP ANRSM PERM 12MM,4766.0,4766.0,524.26,4766.0,57
CDM,407484,CLIP ANRSM PERM 20MM,4766.0,4766.0,524.26,4766.0,57
CDM,407654,PIN DSTRCT 14MM,1599.0,1599.0,111.93,1599.0,71
CDM,407664,PIN DSTRCT 16MM,1599.0,1599.0,111.93,1599.0,71
CDM,407684,PIN DSTRCT 12MM,1599.0,1599.0,111.93,1599.0,71
CDM,408191,CLIP ANRSM PERM 9MM,5313.0,5313.0,584.43,5313.0,57
CDM,408222,CLIP ANRSM PERM 10MM,5313.0,5313.0,584.43,5313.0,57
CDM,408244,CLIP ANRSM PERM 6MM,5313.0,5313.0,584.43,5313.0,57
CDM,408264,CLIP ANRSM PERM 9MM,5313.0,5313.0,584.43,5313.0,57
CDM,408274,CLIP ANRSM PERM 7.5M,5313.0,5313.0,584.43,5313.0,57
CDM,408295,CLIP ANRSM PERM 10MM,5313.0,5313.0,584.43,5313.0,57
CDM,408305,CLIP ANRSM PERM 3MM,7352.0,7352.0,808.72,7352.0,57
CDM,408325,CLIP ANRSM PERM 5MM,7509.0,7509.0,825.99,7509.0,57
CDM,408346,CLIP ANRSM PERM 4MM,5460.0,5460.0,600.6,5460.0,57
CDM,408356,CLIP ANRSM PERM 3MM,7352.0,7352.0,808.72,7352.0,57
CDM,408387,CLIP ANRSM PERM 4.7MM,5313.0,5313.0,584.43,5313.0,57
CDM,408437,CLIP ANRSM PERM 7MM,5460.0,5460.0,600.6,5460.0,57
CDM,408457,CLIP ANRSM PERM 5MM,7509.0,7509.0,825.99,7509.0,57
CDM,408487,CLIP ANRSM PERM 7MM,5840.0,5840.0,642.4,5840.0,57
CDM,408497,CLIP ANRSM PERM 6.5MM,5313.0,5313.0,584.43,5313.0,57
CDM,408577,CLIP ANRSM PERM 9MM,5460.0,5460.0,600.6,5460.0,57
CDM,408587,CLIP ANRSM PERM 12MM,5313.0,5313.0,584.43,5313.0,57
CDM,408597,CLIP ANRSM PERM 11MM,5460.0,5460.0,600.6,5460.0,57
CDM,408637,CLIP ANRSM PERM 8MM,5313.0,5313.0,584.43,5313.0,57
CDM,408668,CLIP ANRSM PERM 13.7MM,5313.0,5313.0,584.43,5313.0,57
CDM,408750,CLIP ANRSM PERM 7MM,5313.0,5313.0,584.43,5313.0,57
CDM,408760,CLIP ANRSM PERM 9.3MM,5313.0,5313.0,584.43,5313.0,57
CDM,408770,CLIP ANRSM PERM 11.3MM,5313.0,5313.0,584.43,5313.0,57
CDM,408810,PLATE BN 3.5MM 267MM,14390.0,14390.0,1582.9,14390.0,57
CDM,408820,PLATE BN 22H 3.5X293MM,14410.0,14410.0,1585.1,14410.0,57
CDM,408830,PLATE BN 16HL 215X3.5MM,11560.0,11560.0,1271.6,11560.0,57
CDM,408840,PLATE BN 18HL 3.5X241MM,12970.0,12970.0,1426.7,12970.0,57
CDM,408850,CATH RED 8FR 2EYE,110.0,110.0,7.7,110.0,71
CDM,409081,RELOAD STPLR 60MM,1599.0,1599.0,175.89,1599.0,57
CDM,409131,STAPLER IN 30MM,2773.0,2773.0,194.11,2773.0,71
CDM,409191,PLATE CONDYLAR 2.4MM LFT,4740.0,4740.0,521.4,4740.0,57
CDM,409211,PLATE CONDYLAR 2.4MM RIG,4740.0,4740.0,521.4,4740.0,57
CDM,409221,PLATE TI 2.4 MM SCR 4 HL,5065.0,5065.0,557.15,5065.0,57
CDM,409231,PLATE TI 2.4 MM SCR 6 HL,7010.0,7010.0,771.1,7010.0,57
CDM,409241,PLATE TI 2.4 MM SCR 8 HL,6154.0,6154.0,676.94,6154.0,57
CDM,409251,PLATE TI 4HL 24X5.5X1.25,4456.0,4456.0,490.16,4456.0,57
CDM,409261,PLATE BN 2MM 36MM,7633.0,7633.0,839.63,7633.0,57
CDM,409271,PLATE BN 8H 2.0MM 48MM,4855.0,4855.0,534.05,4855.0,57
CDM,409281,PLATE BN RT 7HL 1.5X36MM,4846.0,4846.0,533.06,4846.0,57
CDM,409411,PLATE BN STR 6HL 35MM,6207.0,6207.0,682.77,6207.0,57
CDM,409421,PLATE BN H RT 1.5X22MM,4088.0,4088.0,449.68,4088.0,57
CDM,409431,PLATE BN LT 7HL 1.5X36MM,4846.0,4846.0,533.06,4846.0,57
CDM,409441,PLATE BN H LT 1.5X22MM,3593.0,3593.0,395.23,3593.0,57
CDM,409451,PLATE BN STR 29X3.8X.8MM,4384.0,4384.0,482.24,4384.0,57
CDM,409471,PLATE BN TI 12HL 2.4MM,5919.0,5919.0,651.09,5919.0,57
CDM,409481,PLATE STRAIGHT 2.0 12HX7,3937.0,3937.0,433.07,3937.0,57
CDM,409491,PLATE BN 12HL 1.5X59MM,3765.0,3765.0,414.15,3765.0,57
CDM,409501,ROD EXFIX CFBR 3MM 45MM,1599.0,1599.0,111.93,1599.0,71
CDM,409511,ROD EXFIX 3MM 75MM,1599.0,1599.0,111.93,1599.0,71
CDM,409521,CLAMP HLD EXFX 1.25MM,10962.0,10962.0,767.34,10962.0,71
CDM,409531,ROD EX FIX 3X60MM,1599.0,1599.0,111.93,1599.0,71
CDM,409541,ROD EX FIX 3MM ANG FXTR,1599.0,1599.0,111.93,1599.0,71
CDM,409551,CLAMP EXFIX HOLD 1.6MM,10962.0,10962.0,767.34,10962.0,71
CDM,409561,CLAMP EXFIX 3.0MM,10193.0,10193.0,713.51,10193.0,71
CDM,409571,ROD EXFX 3.0X25MM,1599.0,1599.0,111.93,1599.0,71
CDM,409601,KWIRE FX 100MM 1.25MM,1599.0,1599.0,111.93,1599.0,71
CDM,409611,KWIRE FX 100MM 1.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,409621,PLATE BNE L64MM ID2.7MM,6872.0,6872.0,755.92,6872.0,57
CDM,409631,PLATE BNE L72MM ID2.7MM,7119.0,7119.0,783.09,7119.0,57
CDM,409651,PLATE BN RT 7HL 2.0X39MM,4568.0,4568.0,502.48,4568.0,57
CDM,409661,PLATE BN LT 7HL 2.0X39MM,6751.0,6751.0,742.61,6751.0,57
CDM,409671,PLATE BN H LT 8HL 1.3MM,3593.0,3593.0,395.23,3593.0,57
CDM,409681,PLATE BN 3HL 1.3MM 32MM,3460.0,3460.0,380.6,3460.0,57
CDM,409691,PLATE BN 12HL 1.3X47MM,3765.0,3765.0,414.15,3765.0,57
CDM,409701,PLATE BN H RT 8HL 1.3MM,3593.0,3593.0,395.23,3593.0,57
CDM,409711,PLATE STRAIGHT 1.3 6HX23,2982.0,2982.0,328.02,2982.0,57
CDM,409731,SCREW BN ST 2.0MM 32MM,1203.0,1203.0,132.33,1203.0,57
CDM,409741,SCREW BN ST 2.0MM 22MM,1203.0,1203.0,132.33,1203.0,57
CDM,409761,SCREW CORT 2.0 16,750.0,750.0,82.5,750.0,57
CDM,409771,SCREW BN ST 2.0MM 28MM,903.0,903.0,99.33,903.0,57
CDM,409781,SCREW BN ST 2.0MM 18MM,1010.0,1010.0,111.1,1010.0,57
CDM,409791,SCREW BN ST 2.0MM 26MM,888.0,888.0,97.68,888.0,57
CDM,409801,SCREW CORT 2.0 14,750.0,750.0,82.5,750.0,57
CDM,409811,SCREW BN ST 2.0MM 30MM,903.0,903.0,99.33,903.0,57
CDM,409821,SCREW BN ST 2.0MM 20MM,790.0,790.0,86.9,790.0,57
CDM,409831,SCREW BN ST 2.0MM 24MM,1203.0,1203.0,132.33,1203.0,57
CDM,409841,SCREW BN 2MM 13MM,903.0,903.0,99.33,903.0,57
CDM,409851,SCREW BN ST 1.5MM 7MM,820.0,820.0,90.2,820.0,57
CDM,409891,SCREW BN ST 2.4MM 6MM,1224.0,1224.0,134.64,1224.0,57
CDM,409901,SCREW BN ST 1.5MM 24MM,822.0,822.0,90.42,822.0,57
CDM,409911,SCREW CRTX TI 1.5X13,822.0,822.0,90.42,822.0,57
CDM,409921,SCREW BN 1.5MM 6MM,921.0,921.0,101.31,921.0,57
CDM,409931,SCREW CRTX 1.3 TI TAP 13,1204.0,1204.0,132.44,1204.0,57
CDM,409941,SCREW TI CORT 2.4X7,1224.0,1224.0,134.64,1224.0,57
CDM,409961,SCREW BN ST 2.0MM 8MM,790.0,790.0,86.9,790.0,57
CDM,409971,SCREW BN 2MM 6MM,1203.0,1203.0,132.33,1203.0,57
CDM,409981,SCREW BN 2X3.5X10MM,750.0,750.0,82.5,750.0,57
CDM,409991,SCREW BN 1MM 7MM,903.0,903.0,99.33,903.0,57
CDM,410141,SCREW BN 2X3.5X9MM,750.0,750.0,82.5,750.0,57
CDM,410153,SCREW BN 2.4MM 8MM,1628.0,1628.0,179.08,1628.0,57
CDM,410186,SCREW TI CORT 2.4X19,1229.0,1229.0,135.19,1229.0,57
CDM,410208,SCREW 2.4 TI CORT,1224.0,1224.0,134.64,1224.0,57
CDM,410230,SCREW BN 2.4MM 13MM,1224.0,1224.0,134.64,1224.0,57
CDM,410274,SCREW BN 2.4MM 20MM,1628.0,1628.0,179.08,1628.0,57
CDM,410287,SCREW BN 2.4MM 22MM,1224.0,1224.0,134.64,1224.0,57
CDM,410323,SCREW BN 2.4X4.5X28MM,1628.0,1628.0,179.08,1628.0,57
CDM,410337,SCREW CORT TT ST 2.4 X 3,1224.0,1224.0,134.64,1224.0,57
CDM,410349,SCREW BN 2.4X32MM,1224.0,1224.0,134.64,1224.0,57
CDM,410403,SCREW TI CORT 1.0X9,1291.0,1291.0,142.01,1291.0,57
CDM,410417,SCREW CORTEX 1 TI TAP 13,1185.0,1185.0,130.35,1185.0,57
CDM,410428,SCREW CORTEX 1 TI TAP 9,1185.0,1185.0,130.35,1185.0,57
CDM,410439,SCREW CORT 1.3 SLFTAP16,1219.0,1219.0,134.09,1219.0,57
CDM,410450,SCREW CRTX 1.3 TI TAP 18,1204.0,1204.0,132.44,1204.0,57
CDM,410461,SCREW CRTX 1.3 TI TAP 11,1450.0,1450.0,159.5,1450.0,57
CDM,410472,SCREW CORTEX 1 TI TAP 11,1185.0,1185.0,130.35,1185.0,57
CDM,410676,KWIRE FX 150MM 1.25MM,561.0,561.0,39.27,561.0,71
CDM,410686,KWIRE FX 150MM 1.6MM,561.0,561.0,39.27,561.0,71
CDM,411135,SCREW CORTEX 1 TI TAP 6,1185.0,1185.0,130.35,1185.0,57
CDM,411402,SCREW CORT TI 1.0 TAP 7,1185.0,1185.0,130.35,1185.0,57
CDM,411644,SCREW CORTEX 1 TI TAP 8,1185.0,1185.0,130.35,1185.0,57
CDM,411744,SCREW BN 1.0MM 10MM,1185.0,1185.0,130.35,1185.0,57
CDM,411824,SCREW CORT 1.0 12,1365.0,1365.0,150.15,1365.0,57
CDM,411894,SCREW CORTEX 1 TI TAP 14,1185.0,1185.0,130.35,1185.0,57
CDM,411904,PLATE BTRS 177X17.5X6MM,13092.0,13092.0,1440.12,13092.0,57
CDM,411914,PLATE BTRS 249X17.5X6MM,13780.0,13780.0,1515.8,13780.0,57
CDM,411934,PLATE TT TUB W/COLR 1/3,1252.0,1252.0,137.72,1252.0,57
CDM,411945,PLATE TT TUB W/COLR 1/3,3527.0,3527.0,387.97,3527.0,57
CDM,411975,SCREW BN 1.3X6MM,1499.0,1499.0,164.89,1499.0,57
CDM,411985,SCREW BN 1.3X7MM,1291.0,1291.0,142.01,1291.0,57
CDM,411995,SCREW BN 1.3MM 8MM,1291.0,1291.0,142.01,1291.0,57
CDM,413115,SCREW BN 1.3MM 10MM,1219.0,1219.0,134.09,1219.0,57
CDM,413155,WASHER BN 7.0X3.5X4MM,750.0,750.0,82.5,750.0,57
CDM,413205,SCREW TI CORT 1.0X12,1219.0,1219.0,134.09,1219.0,57
CDM,413225,SCREW BN 6.5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,413235,SCREW BN 6.5MM 50MM,750.0,750.0,82.5,750.0,57
CDM,413245,SCREW BN 6.5MM 55MM,750.0,750.0,82.5,750.0,57
CDM,413265,SCREW BN 6.5MM 65MM,750.0,750.0,82.5,750.0,57
CDM,413365,SCREW CANC 6.5X115MM,750.0,750.0,82.5,750.0,57
CDM,413375,SCREW 6.5MM TI CAN BN 12,750.0,750.0,82.5,750.0,57
CDM,413516,SCREW CANC TT 6.5X110 PT,750.0,750.0,82.5,750.0,57
CDM,413526,SCREW CANCEL BONE TITAN,822.0,822.0,90.42,822.0,57
CDM,413536,SCREW 6.5MM TI CANC BONE,822.0,822.0,90.42,822.0,57
CDM,413546,SCREW 6.5MM TI CANC BONE,822.0,822.0,90.42,822.0,57
CDM,413556,SCREW 6.5MM TI CANC BONE,822.0,822.0,90.42,822.0,57
CDM,413566,SCREW 6.5MM TI CANC BONE,822.0,822.0,90.42,822.0,57
CDM,413586,SCREW BN 6.5MM 8MM,750.0,750.0,82.5,750.0,57
CDM,413606,SCREW BN 6.5MM 40MM,750.0,750.0,82.5,750.0,57
CDM,413616,SCREW BN 6.5MM 45MM,750.0,750.0,82.5,750.0,57
CDM,413626,SCREW BN 1.3MM 14MM,1204.0,1204.0,132.44,1204.0,57
CDM,413716,SCREW BN SLFTP 4.5X42MM,750.0,750.0,82.5,750.0,57
CDM,413726,SCREW BN SLFTP 4.5X44MM,750.0,750.0,82.5,750.0,57
CDM,414123,SCREW BN 4.5MM 14MM,750.0,750.0,82.5,750.0,57
CDM,414133,SCREW BN 4.5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,414143,SCRW CX TI 4.5X18MM,750.0,750.0,82.5,750.0,57
CDM,414154,SCREW BN 4.5MM 20MM,750.0,750.0,82.5,750.0,57
CDM,414174,SCREW BN 4.5MM 24MM,750.0,750.0,82.5,750.0,57
CDM,414184,SCREW BN 4.5MM 26MM,750.0,750.0,82.5,750.0,57
CDM,414194,SCREW BN 4.5MM 28MM,750.0,750.0,82.5,750.0,57
CDM,414204,SCREW BN 4.5MM 30MM,750.0,750.0,82.5,750.0,57
CDM,414224,SCRW CX TI 4.5X34MM,750.0,750.0,82.5,750.0,57
CDM,414234,SCRW CX TI 4.5X36MM,750.0,750.0,82.5,750.0,57
CDM,414244,SCREW BN 4.5MM 38MM,750.0,750.0,82.5,750.0,57
CDM,414254,SCREW BN 4.5MM 406MM,750.0,750.0,82.5,750.0,57
CDM,414264,SCREW BN 4.5MM 42MM,750.0,750.0,82.5,750.0,57
CDM,414274,SCREW BN 4.5MM 44MM,750.0,750.0,82.5,750.0,57
CDM,414284,SCREW BN 4.5MM 46MM,750.0,750.0,82.5,750.0,57
CDM,414294,SCREW BN 4.5MM 48MM,750.0,750.0,82.5,750.0,57
CDM,414304,SCREW BN 4.5MM 50MM,750.0,750.0,82.5,750.0,57
CDM,414374,SCRW CX TI 4.5X64MM,750.0,750.0,82.5,750.0,57
CDM,414400,SCREW BN 4.5MM 68MM,750.0,750.0,82.5,750.0,57
CDM,414410,SCREW BN 4.5MM 70MM,750.0,750.0,82.5,750.0,57
CDM,414424,SCREW BN ST 1.5MM 8MM,921.0,921.0,101.31,921.0,57
CDM,414524,SCREW BN 1.5MM 9MM,773.0,773.0,85.03,773.0,57
CDM,414714,SCREW 4.0 TI CANC BNE,750.0,750.0,82.5,750.0,57
CDM,414724,SCREW CANC TI 4.0X45,750.0,750.0,82.5,750.0,57
CDM,414734,SCREW 4.0 TI CANC BNE,750.0,750.0,82.5,750.0,57
CDM,414935,SCREW BN 3.5MM 6MM,750.0,750.0,82.5,750.0,57
CDM,414945,SCREW BN 3.5MM 14MM,750.0,750.0,82.5,750.0,57
CDM,414955,SCREW CORT F-T 3.5X6X16,750.0,750.0,82.5,750.0,57
CDM,414965,SCREW BN 3.5MM 18MM,750.0,750.0,82.5,750.0,57
CDM,415111,SCREW BN 3.5X55MM,750.0,750.0,82.5,750.0,57
CDM,415121,SCREW BN 4MM 6MM 10MM,750.0,750.0,82.5,750.0,57
CDM,415161,SCREW BN 4MM 18MM,750.0,750.0,82.5,750.0,57
CDM,415171,SCREW BN 4X20MM,750.0,750.0,82.5,750.0,57
CDM,415181,SCREW BN 4X22MM,750.0,750.0,82.5,750.0,57
CDM,415191,SCREW BN 4X24MM,750.0,750.0,82.5,750.0,57
CDM,415301,SCREW BN 4MM 60MM,750.0,750.0,82.5,750.0,57
CDM,415331,SCREW BN ST 1.5MM 10MM,921.0,921.0,101.31,921.0,57
CDM,415341,SCREW 3.5 TI CORT 10,750.0,750.0,82.5,750.0,57
CDM,415351,SCREW TI CORT 3.5X12,750.0,750.0,82.5,750.0,57
CDM,415411,SCRW CX TI 3.5X24MM S,750.0,750.0,82.5,750.0,57
CDM,415772,SCREW BN 2.7MM 10MM,750.0,750.0,82.5,750.0,57
CDM,415782,SCREW BN 2.7MM 12MM,750.0,750.0,82.5,750.0,57
CDM,415792,SCREW BN 2.7MM 14MM,750.0,750.0,82.5,750.0,57
CDM,415802,SCREW BN 2.7MM 16MM,750.0,750.0,82.5,750.0,57
CDM,415812,SCREW BN 2.7MM 18MM,750.0,750.0,82.5,750.0,57
CDM,415822,SCREW BN 2.7MM 20MM,750.0,750.0,82.5,750.0,57
CDM,415832,SCREW BN 2.7MM 22MM,1119.0,1119.0,123.09,1119.0,57
CDM,415842,SCREW BN 2.7MM 24MM,750.0,750.0,82.5,750.0,57
CDM,415872,SCREW BN ST 1.5MM 11MM,773.0,773.0,85.03,773.0,57
CDM,415942,SCREW BN 2.4MM 20MM,1128.0,1128.0,124.08,1128.0,57
CDM,416100,PIN BUTTRESS 1.8X12MM,913.0,913.0,100.43,913.0,57
CDM,416201,SCREW BN ST 1.5MM 12MM,921.0,921.0,101.31,921.0,57
CDM,416211,SCREW BN ST 1.5MM 14MM,822.0,822.0,90.42,822.0,57
CDM,416232,SCREW BN ST 1.5MM 16MM,1101.0,1101.0,121.11,1101.0,57
CDM,416252,SCREW BN 1.5MM 18MM,822.0,822.0,90.42,822.0,57
CDM,416272,SCREW BN ST 1.5MM 20MM,874.0,874.0,96.14,874.0,57
CDM,416282,SCREW BN ST 1.5MM 22MM,822.0,822.0,90.42,822.0,57
CDM,416512,CAP PRTC 11MM,750.0,750.0,52.5,750.0,71
CDM,416522,CAP PROTCT 4MM,244.0,244.0,17.08,244.0,71
CDM,416583,NUT SPRG LD EX FIX SEF,1599.0,1599.0,111.93,1599.0,71
CDM,416593,ROD CFBR EXFX 4X60MM,1599.0,1599.0,111.93,1599.0,71
CDM,416603,ROD CFBR EX FX 4X80MM,1599.0,1599.0,111.93,1599.0,71
CDM,416613,ROD CFBR EX FX 4X100MM,1599.0,1599.0,111.93,1599.0,71
CDM,416623,ROD CFBR EXFX 4X120MM,1599.0,1599.0,111.93,1599.0,71
CDM,416633,ROD EXFX 4.0MM 140MM,1599.0,1599.0,111.93,1599.0,71
CDM,416643,ROD CFBR EX FX 4X160MM,1599.0,1599.0,111.93,1599.0,71
CDM,416653,ROD CFBR EX FX 4X180MM,1599.0,1599.0,111.93,1599.0,71
CDM,416663,ROD CFBR EX FX 4X200MM,1599.0,1599.0,111.93,1599.0,71
CDM,416774,ROD EX FIX 11MM 300MM,5004.0,5004.0,350.28,5004.0,71
CDM,416785,ROD EX FIX 11MM 400MM,5004.0,5004.0,350.28,5004.0,71
CDM,416795,ROD EX FIX 11MM 450MM,5222.0,5222.0,365.54,5222.0,71
CDM,416805,ROD EX FIX 11MM 500MM,5222.0,5222.0,365.54,5222.0,71
CDM,416829,ROD EX FIX 11MM 400MM,5623.0,5623.0,393.61,5623.0,71
CDM,416839,ROD EX FIX 11MM 450MM,5623.0,5623.0,393.61,5623.0,71
CDM,417442,GWIRE ORTH 2.5MM 230MM,1599.0,1599.0,111.93,1599.0,71
CDM,417635,SCREW EXFX HIP 200X5MM,3784.0,3784.0,264.88,3784.0,71
CDM,417645,SCREW EXFX HIP 250X5MM,4452.0,4452.0,311.64,4452.0,71
CDM,417666,PIN EXFX 6MM 225MM,2877.0,2877.0,201.39,2877.0,71
CDM,417676,PLATE BN 95D 7H 70X124MM,15643.0,15643.0,1720.73,15643.0,57
CDM,417686,PIN EX FIX 4.5X180MM,4678.0,4678.0,327.46,4678.0,71
CDM,417696,PIN EXFX 4.5MM 200MM,4678.0,4678.0,327.46,4678.0,71
CDM,417836,SCREW EXFX 170X5X50MM,3094.0,3094.0,216.58,3094.0,71
CDM,417856,SCREW EXFX XLNG 200X5MM,2205.0,2205.0,154.35,2205.0,71
CDM,417866,SCREW EXFX 250X5X50MM,3582.0,3582.0,250.74,3582.0,71
CDM,417926,SCREW EXFX 150X4.5X18MM,2729.0,2729.0,191.03,2729.0,71
CDM,417976,SCREW EXFX HIP 4X60X20MM,4700.0,4700.0,329.0,4700.0,71
CDM,417986,SCREW EXFX HIP 80X4MM,3953.0,3953.0,276.71,3953.0,71
CDM,418404,SCREW EXFX HIP 125X4MM,5458.0,5458.0,382.06,5458.0,71
CDM,418448,SCREW EXFX HIP 150X4MM,5149.0,5149.0,360.43,5149.0,71
CDM,418596,GWIRE ORTH 1.1MM 150MM,1409.0,1409.0,98.63,1409.0,71
CDM,418606,GWIRE ORTH 1.1MM 150MM,1410.0,1410.0,98.7,1410.0,71
CDM,418616,GWIRE ORTH 2MM 230MM,1599.0,1599.0,111.93,1599.0,71
CDM,418626,GWIRE ORTH 2MM 230MM,1599.0,1599.0,111.93,1599.0,71
CDM,418636,GWIRE ORTH 2MM 230MM,1599.0,1599.0,111.93,1599.0,71
CDM,418646,GWIRE ORTH 2.8MM 300MM,1599.0,1599.0,111.93,1599.0,71
CDM,418666,KWIRE FX 150MM 1.6MM,906.0,906.0,63.42,906.0,71
CDM,418676,GWIRE ORTH 150MM 1.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,418857,WIRE CERC 1.25 W/EYE,750.0,750.0,82.5,750.0,57
CDM,418877,WIRE CERCLAGE 10X1.25,2241.0,2241.0,246.51,2241.0,57
CDM,418980,KWIRE FX 150MM 1.6MM,486.0,486.0,34.02,486.0,71
CDM,419142,KWIRE FX 150MM 1.6MM,574.0,574.0,40.18,574.0,71
CDM,419162,GWIRE ORTH 150X1.25MM,1599.0,1599.0,111.93,1599.0,71
CDM,419212,PLATE BN 95D 22HL 370MM,22762.0,22762.0,2503.82,22762.0,57
CDM,419242,WIRE CERCLAGE 280X1MM,750.0,750.0,82.5,750.0,57
CDM,419342,PLATE AO PLAD DCS 95 D,21080.0,21080.0,2318.8,21080.0,57
CDM,419432,PLATE BN 5HL 94MM,7817.0,7817.0,859.87,7817.0,57
CDM,419513,SCREW BN 12.7MM 8MM,6899.0,6899.0,758.89,6899.0,57
CDM,419523,SCREW BN CMPRS 36MM,792.0,792.0,87.12,792.0,57
CDM,419563,PLATE BRL 238X19X5.8MM,15118.0,15118.0,1662.98,15118.0,57
CDM,419593,PLATE BN 135D 6HL 110MM,7817.0,7817.0,859.87,7817.0,57
CDM,419723,SCREW BN 12.7X8X2.7X50MM,4950.0,4950.0,544.5,4950.0,57
CDM,419833,SCREW LAG SYNT 280.55 DH,4950.0,4950.0,544.5,4950.0,57
CDM,419843,SCREW BN 12.7X8X2.7X60MM,4950.0,4950.0,544.5,4950.0,57
CDM,419853,SCREW BN 12.7MM 65MM,4950.0,4950.0,544.5,4950.0,57
CDM,419863,SCREW BN 12.7X8X2.7MM,6899.0,6899.0,758.89,6899.0,57
CDM,419873,SCREW BN 12.7MM 75MM,6094.0,6094.0,670.34,6094.0,57
CDM,419883,SCREW BN 12.7MM 8MM,6094.0,6094.0,670.34,6094.0,57
CDM,419893,SCREW BN LAG 12.7MM 85MM,6094.0,6094.0,670.34,6094.0,57
CDM,419903,SCREW BN HIP 90X12.7MM,6094.0,6094.0,670.34,6094.0,57
CDM,419953,SCREW BN 12.7MM 105MM,4950.0,4950.0,544.5,4950.0,57
CDM,419963,SCREW BN 12.7MM 110MM,4950.0,4950.0,544.5,4950.0,57
CDM,419993,SCREW BN 12.7MM 125MM,4950.0,4950.0,544.5,4950.0,57
CDM,420564,SCREW BN 12.7MM 140MM,4950.0,4950.0,544.5,4950.0,57
CDM,420574,SCREW BN 12.7MM 145MM,4950.0,4950.0,544.5,4950.0,57
CDM,421189,PLATE 2.7 SS L 242.31,822.0,822.0,90.42,822.0,57
CDM,421199,PLATE 32MM SS 2.7MM SCR,822.0,822.0,90.42,822.0,57
CDM,421209,PLATE BN 3HL 2.7 34MM,822.0,822.0,90.42,822.0,57
CDM,421219,PLATE BN 3HL 2.7MM 34MM,903.0,903.0,99.33,903.0,57
CDM,421229,PLATE 57MM SS 2.7MM SCR,4377.0,4377.0,481.47,4377.0,57
CDM,421239,PLATE BN RT 57MM 2.7MM,4377.0,4377.0,481.47,4377.0,57
CDM,421249,PLATE BN 5HL 2.0MM 29MM,975.0,975.0,107.25,975.0,57
CDM,421259,PLATE STR 2.0MM L35X5.0,1080.0,1080.0,118.8,1080.0,57
CDM,421299,PLATE BN 2HL 20MM,2405.0,2405.0,264.55,2405.0,57
CDM,421359,PLATE 39X5X1.2MM 2MM SCR,4033.0,4033.0,443.63,4033.0,57
CDM,421369,PLATE 7HL DCP 39X5X1.2MM,4768.0,4768.0,524.48,4768.0,57
CDM,421379,PLATE 20MM SS 2.7MM SCR,1701.0,1701.0,187.11,1701.0,57
CDM,421389,PLT DCP 4 HL 36MM,1931.0,1931.0,212.41,1931.0,57
CDM,421399,PLT DCP 5 HL 44MM,2198.0,2198.0,241.78,2198.0,57
CDM,421409,PLT DCP 6 HL 52MM,2389.0,2389.0,262.79,2389.0,57
CDM,421419,PLATE AO DCP 2.7 7H 60M,2733.0,2733.0,300.63,2733.0,57
CDM,421499,PLATE 1/3 TBLR 73MM 6HL,1574.0,1574.0,173.14,1574.0,57
CDM,421509,PLATE BN 60X1.2MM,17390.0,17390.0,1912.9,17390.0,57
CDM,421519,PLATE BN 70X1.2MM,17511.0,17511.0,1926.21,17511.0,57
CDM,421529,PLATE BN 87X2MM,17642.0,17642.0,1940.62,17642.0,57
CDM,421969,PLATE BN 60MM 92MM,14838.0,14838.0,1632.18,14838.0,57
CDM,421979,PLATE COND 5H 70MM,17406.0,17406.0,1914.66,17406.0,57
CDM,421989,PLATE BN 5H 95D 80MM,14838.0,14838.0,1632.18,14838.0,57
CDM,422019,CATHETER ULTSND 8FR 90CM,17150.0,17150.0,1200.5,17150.0,71
CDM,422030,PLATE BN MED 7H 8MM,5812.0,5812.0,639.32,5812.0,57
CDM,422041,BASEPLATE TIB KN SZ6,33540.0,33540.0,3689.4,33540.0,57
CDM,422042,COMPNT PTLR KN 10X35MM,11094.0,11094.0,1220.34,11094.0,57
CDM,422050,CATH BLN 9FR 20MM 100CM,21884.0,21884.0,1531.88,21884.0,71
CDM,422051,CATH BLN 40MM 110CM,18072.0,18072.0,1265.04,18072.0,71
CDM,422052,CATH BLN 45MM 110CM,18072.0,18072.0,1265.04,18072.0,71
CDM,422053,CATH BLN 45MM 110CM,21884.0,21884.0,1531.88,21884.0,71
CDM,422054,CATH BLN 35MM 110CM,18939.0,18939.0,1325.73,18939.0,71
CDM,422055,CATH BLN 35MM 110CM,18072.0,18072.0,1265.04,18072.0,71
CDM,422056,CATH BLN 45MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,422063,PLATE BN 2HL 3.5MM 105MM,13549.0,13549.0,1490.39,13549.0,57
CDM,422071,DEVICE CMPR RADIAL 29CM,1599.0,1599.0,111.93,1599.0,71
CDM,422075,INSERT UNI ONLAY TIBIAL,24510.0,24510.0,2696.1,24510.0,57
CDM,422096,STEM FEM HIP 9MM 102.5MM,46440.0,46440.0,5108.4,46440.0,57
CDM,422109,IMPLANT BREAST 210CC,19420.0,19420.0,2136.2,19420.0,57
CDM,422115,PLATE BN LG STR .1MM,3438.0,3438.0,378.18,3438.0,57
CDM,422116,PLATE BN 1MMM,5812.0,5812.0,639.32,5812.0,57
CDM,422117,PLATE BN MDFC 4H .6MM,5812.0,5812.0,639.32,5812.0,57
CDM,422130,CATH BLNDIL 14X20MM 75CM,5990.0,5990.0,419.3,5990.0,71
CDM,422132,TUBE JJNSTM 16FR 45CM,6584.0,6584.0,460.88,6584.0,71
CDM,422137,SCREW BN 7MM 50MM,12655.0,12655.0,1392.05,12655.0,57
CDM,422145,PLATE MDFC 12 HL 0.6MM,7308.0,7308.0,803.88,7308.0,57
CDM,422220,CATH CHLGM PMI 16GA 76CM,1262.0,1262.0,88.34,1262.0,71
CDM,422240,KIT NRSTM LEAD SURG 50CM,82200.0,82200.0,9042.0,82200.0,57
CDM,422251,GWIRE VASC .014IN 200CM,5944.0,5944.0,416.08,5944.0,71
CDM,422258,WASHER BN 7.0MM F/SM,750.0,750.0,82.5,750.0,57
CDM,422262,GRAFT DURA CRANI 3X3IN,13682.0,13682.0,1505.02,13682.0,57
CDM,422268,WASHER BN 13.0MM,750.0,750.0,82.5,750.0,57
CDM,422312,PLATE BN 1/3TUB 6HL 71MM,8231.0,8231.0,905.41,8231.0,57
CDM,422315,PLATE BN 4HL 102MM,37905.0,37905.0,4169.55,37905.0,57
CDM,422326,CMPNT FEM KN SZ5,41280.0,41280.0,4540.8,41280.0,57
CDM,422327,INSERT TIB KN 5 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,422329,STEM FEM HIP 6MM 97.5MM,43860.0,43860.0,4824.6,43860.0,57
CDM,422339,INSERT KN BRNG SZ8 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,422365,LEAD NRSTM 2.8MM 65CM,102767.0,102767.0,11304.37,102767.0,57
CDM,422370,IMPLANT BREAST 295CC,19420.0,19420.0,2136.2,19420.0,57
CDM,422406,BASEPLATE GLND LG UNV,63210.0,63210.0,6953.1,63210.0,57
CDM,422413,KIT CNNSTR FAT GRAFT SYS,11433.0,11433.0,800.31,11433.0,71
CDM,422430,NEEDLE TRNSPTL 19GA 71CM,10745.0,10745.0,752.15,10745.0,71
CDM,422431,NEEDLE TRNSPTL 19GA 71CM,10745.0,10745.0,752.15,10745.0,71
CDM,422437,DRILL SURG 1.6MM 115MM,7528.0,7528.0,526.96,7528.0,71
CDM,422480,NET RETRIEVAL 3CM 5.5CM,3139.0,3139.0,219.73,3139.0,71
CDM,422492,SYSTEM NEG PRSS 13CM,5677.0,5677.0,397.39,5677.0,71
CDM,422506,KIT PMP RT HRT 22F 170CM,300000.0,300000.0,21000.0,300000.0,71
CDM,422515,DEVICE CMPR RADIAL 24CM,1599.0,1599.0,111.93,1599.0,71
CDM,422530,GWIRE VASC 0.014IN 300CM,3636.0,3636.0,254.52,3636.0,71
CDM,422553,STEM HUM SHLDR 70MM,78723.0,78723.0,8659.53,78723.0,57
CDM,422591,SCREW BN 6MM 75MM,1000.0,1000.0,110.0,1000.0,57
CDM,422594,PROBE ARTHSCP 60D 220MM,6538.0,6538.0,457.66,6538.0,71
CDM,422598,PLATE BN 10HL 199MM,28442.0,28442.0,3128.62,28442.0,57
CDM,422604,PLATE BN 7H 1/3 83MM,5376.0,5376.0,591.36,5376.0,57
CDM,422605,PLATE BN 6H 35MM,4992.0,4992.0,549.12,4992.0,57
CDM,422621,DRESSING WND CLEANSE SM,3123.0,3123.0,218.61,3123.0,71
CDM,422622,DRESSING WND CLEANSE MED,4206.0,4206.0,294.42,4206.0,71
CDM,422629,SCREW BN 6.5MM 8MM 25MM,750.0,750.0,82.5,750.0,57
CDM,422648,SCREW BN 6.5X30MM,1230.0,1230.0,135.3,1230.0,57
CDM,422650,SCREW BN 6.5MM 8MM 35MM,750.0,750.0,82.5,750.0,57
CDM,422653,CATH GD STDJR4 6FR 55CM,1768.0,1768.0,123.76,1768.0,71
CDM,422660,SCREW BN 6.5MM 40MM,750.0,750.0,82.5,750.0,57
CDM,422662,STENT EPRSTH 5MM 2.5CM,67699.0,67699.0,7446.89,67699.0,57
CDM,422670,SCREW BN 6.5MM 8MM,750.0,750.0,82.5,750.0,57
CDM,422680,SCREW BN 6.5MM 8MM,750.0,750.0,82.5,750.0,57
CDM,422683,PCMKR DR 4.45X5.02X.75CM,70367.0,70367.0,7740.37,70367.0,57
CDM,422686,SCREW BN 4.5MM 65MM,895.0,895.0,98.45,895.0,57
CDM,422690,SCREW BN 6.5MM 8MM,750.0,750.0,82.5,750.0,57
CDM,422698,INSERT CLAMP 45MM,1599.0,1599.0,111.93,1599.0,71
CDM,422699,INSERT TIB MED UNV 16MM,67655.0,67655.0,7442.05,67655.0,57
CDM,422700,SCREW BN 6.5MM 8MM,750.0,750.0,82.5,750.0,57
CDM,422704,STEM FEM KN 16MM 150MM,18164.0,18164.0,1998.04,18164.0,57
CDM,422709,SCREW BN 3.5MM 115MM,750.0,750.0,82.5,750.0,57
CDM,422710,SCREW CANC 6.5X65,750.0,750.0,82.5,750.0,57
CDM,422716,PLATE BN 10HL 3.5X130MM,9285.0,9285.0,1021.35,9285.0,57
CDM,422720,SCREW BN 6.5MM 8MM 70MM,750.0,750.0,82.5,750.0,57
CDM,422730,SCREW BN 6.5MM 8MM 75MM,750.0,750.0,82.5,750.0,57
CDM,422737,NAIL BN LT INTERTRO 42CM,52715.0,52715.0,5798.65,52715.0,57
CDM,422740,SCREW CANC 6.5X80,750.0,750.0,82.5,750.0,57
CDM,422747,PLATE BN 32MM,4850.0,4850.0,533.5,4850.0,57
CDM,422748,BLADE BONE MILL MED 5MM,5793.0,5793.0,405.51,5793.0,71
CDM,422751,INTRODCR SPLTBL 8FR 13CM,1768.0,1768.0,123.76,1768.0,71
CDM,422752,SHTH INTRO SPLT 9FR 13CM,1599.0,1599.0,111.93,1599.0,71
CDM,422762,EXPANDER TISS 250CC,19934.0,19934.0,2192.74,19934.0,57
CDM,422778,INSERT HUM SHLDR 36X+9MM,19638.0,19638.0,2160.18,19638.0,57
CDM,422783,SCREW BN 3MM 18MM,5138.0,5138.0,565.18,5138.0,57
CDM,422784,SCREW BN LCK LP 3X20MM,5138.0,5138.0,565.18,5138.0,57
CDM,422785,SCREW BN LCK 3X22MM,5138.0,5138.0,565.18,5138.0,57
CDM,422789,PLATE CRNMXF ORBT LT LG,45313.0,45313.0,4984.43,45313.0,57
CDM,422810,WASHER BN THRD 3.0MM,2738.0,2738.0,301.18,2738.0,57
CDM,422812,CMPNT FEM STD KN RT SZ12,41280.0,41280.0,4540.8,41280.0,57
CDM,422829,IMPLANT CRANIAL PLATE,111546.0,111546.0,12270.06,111546.0,57
CDM,422830,WASHER ORTH 8.0MM 3.2MM,1239.0,1239.0,136.29,1239.0,57
CDM,422850,WASHER ORTHO 13.5X5.5MM,2055.0,2055.0,226.05,2055.0,57
CDM,422860,NUT BN 4.5MM,750.0,750.0,82.5,750.0,57
CDM,422875,SOLUTION IRR 1.5% 3000CC,644.0,644.0,45.08,644.0,71
CDM,422880,WASHER BN 6.5MM 3.0MM,750.0,750.0,82.5,750.0,57
CDM,422890,SCREW BN 6.5X16X35MM,750.0,750.0,82.5,750.0,57
CDM,422894,SOLUTION IRR H2O 3000ML,507.0,507.0,35.49,507.0,71
CDM,422900,SCREW BN 6.5X16X40MM,750.0,750.0,82.5,750.0,57
CDM,422901,PLATE BN 14MM SS RT,8826.0,8826.0,970.86,8826.0,57
CDM,422902,FOOTPLATE BN 14MM LT ANT,8826.0,8826.0,970.86,8826.0,57
CDM,422910,SCREW BN 6.5X8X45MM,750.0,750.0,82.5,750.0,57
CDM,422913,LEAD PCNG 52CM,10659.0,10659.0,1172.49,10659.0,57
CDM,422920,SCREW BN 6.5X8X50MM,750.0,750.0,82.5,750.0,57
CDM,422924,SCREW CORTICAL 401.065E,1209.0,1209.0,132.99,1209.0,57
CDM,422926,SCREW SYN 2.4X6 EMER,1194.0,1194.0,131.34,1194.0,57
CDM,422928,SCREW BN MXLFCL 6X1.7MM,1523.0,1523.0,167.53,1523.0,57
CDM,422929,PLATE BN CRVLCK 8HL .8MM,3458.0,3458.0,380.38,3458.0,57
CDM,422930,SCREW BN 6.5X8X55MM,750.0,750.0,82.5,750.0,57
CDM,422931,SCREW BN 4MM 42MM,864.0,864.0,95.04,864.0,57
CDM,422940,SCREW BN 6.5MM 60MM,823.0,823.0,90.53,823.0,57
CDM,422950,SCREW BN 6.5X16X65MM,750.0,750.0,82.5,750.0,57
CDM,422952,MESH HRNIA VNTRL 14X12IN,47265.0,47265.0,5199.15,47265.0,57
CDM,422953,CMPNT FEM KN SZ5,41280.0,41280.0,4540.8,41280.0,57
CDM,422960,SCREW BN 6.5X16X70MM,750.0,750.0,82.5,750.0,57
CDM,422970,SCREW BN 6.5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,422973,BASEPLATE TIB KN SZ5-,25800.0,25800.0,2838.0,25800.0,57
CDM,422977,BASEPLATE TIB KN SZ5,25800.0,25800.0,2838.0,25800.0,57
CDM,422980,SCREW BN 6.5MM 16MM 80MM,750.0,750.0,82.5,750.0,57
CDM,422983,BURR SURG DMD RND 3MM,4212.0,4212.0,294.84,4212.0,71
CDM,422990,SCREW BN 6.5X8X85MM,750.0,750.0,82.5,750.0,57
CDM,423000,SCREW BN 6.5MM 16MM 90MM,750.0,750.0,82.5,750.0,57
CDM,423010,SCREW BN 6.5X16X95MM,750.0,750.0,82.5,750.0,57
CDM,423011,CONE KN AUG SMTR SZB,64501.0,64501.0,7095.11,64501.0,57
CDM,423020,SCREW BN 6.5X16X100MM,750.0,750.0,82.5,750.0,57
CDM,423030,SCREW BN 6.5X16X105MM,750.0,750.0,82.5,750.0,57
CDM,423033,CMPNT SHLDR 3G 40MM,41136.0,41136.0,4524.96,41136.0,57
CDM,423040,SCREW BN 6.5X16X115MM,750.0,750.0,82.5,750.0,57
CDM,423042,SCREW BN 3MM 14MM,5138.0,5138.0,565.18,5138.0,57
CDM,423043,SCREW BN 3MM 26MM,5138.0,5138.0,565.18,5138.0,57
CDM,423044,PLATE BN LOPRO 3HL 3MM,23489.0,23489.0,2583.79,23489.0,57
CDM,423047,DEVICE WNDCLS 30CM SZ3,1599.0,1599.0,111.93,1599.0,71
CDM,423050,SCREW BN CANC 6.5X115X16,789.0,789.0,86.79,789.0,57
CDM,423060,SCREW CANC 6.5X120X16,789.0,789.0,86.79,789.0,57
CDM,423097,SYS REFLUX MGMT BEAD 14,102767.0,102767.0,11304.37,102767.0,57
CDM,423098,CNNCTR WND DRN Y,98.0,98.0,6.86,98.0,71
CDM,423099,PLATE BN RT STD 4HL,9412.0,9412.0,1035.32,9412.0,57
CDM,423101,PEG FX 2.7MM 23MM,1747.0,1747.0,192.17,1747.0,57
CDM,423102,PEG THRD LCK 2.3X19MM,1727.0,1727.0,189.97,1727.0,57
CDM,423119,STEM FEM HIP 15MM 175MM,115295.0,115295.0,12682.45,115295.0,57
CDM,423120,SCREW BNE CANC 6.5X45,750.0,750.0,82.5,750.0,57
CDM,423130,SCREW BNE CANC 6.5X50,768.0,768.0,84.48,768.0,57
CDM,423140,SCREW BN 6.5X55MM,750.0,750.0,82.5,750.0,57
CDM,423150,SCREW BN 6.5X60MM,750.0,750.0,82.5,750.0,57
CDM,423154,MESH SURG 8X10IN,30620.0,30620.0,3368.2,30620.0,57
CDM,423155,PEG HI-COMP LCK 2.7X24MM,1747.0,1747.0,192.17,1747.0,57
CDM,423157,COIL EMBL 5MM 20CM,10275.0,10275.0,1130.25,10275.0,57
CDM,423158,COIL EMBL 7MM 30CM,10275.0,10275.0,1130.25,10275.0,57
CDM,423159,COIL EMBL 20MM 50CM,10275.0,10275.0,1130.25,10275.0,57
CDM,423160,SCREW BN 6.5X65MM,750.0,750.0,82.5,750.0,57
CDM,423161,COIL EMBL 12MM 30CM,10275.0,10275.0,1130.25,10275.0,57
CDM,423162,COIL EMBL 14MM 30CM,11150.0,11150.0,1226.5,11150.0,57
CDM,423170,SCREW BN 6.5MM 32MM,768.0,768.0,84.48,768.0,57
CDM,423171,BLADE OPTH DISP,560.0,560.0,39.2,560.0,71
CDM,423173,FORCEP OPTH 25+GA,5623.0,5623.0,393.61,5623.0,71
CDM,423175,VALVE PULM 22MM,108266.0,108266.0,11909.26,108266.0,57
CDM,423176,GRAFT VASC 14MM 20L,108266.0,108266.0,11909.26,108266.0,57
CDM,423180,SCREW BN 6.5MM 32MM,768.0,768.0,84.48,768.0,57
CDM,423190,SCREW BN 6.5MM 80MM,750.0,750.0,82.5,750.0,57
CDM,423200,SCREW BN 6.5MM 85MM,902.0,902.0,99.22,902.0,57
CDM,423210,SCREW BN 6.5MM 90MM,750.0,750.0,82.5,750.0,57
CDM,423212,FOOTPLATE BN 12MM TALL,17561.0,17561.0,1931.71,17561.0,57
CDM,423218,INSERT KN 11MM SZ7-8,16770.0,16770.0,1844.7,16770.0,57
CDM,423220,SCREW BN 6.5X95MM,750.0,750.0,82.5,750.0,57
CDM,423230,SCREW BN 6.5MM 100MM,750.0,750.0,82.5,750.0,57
CDM,423239,PLATE BN CRNFCL 2MM,163547.0,163547.0,17990.17,163547.0,57
CDM,423240,SCREW BN 6.2X32X105MM,750.0,750.0,82.5,750.0,57
CDM,423250,SCREW BN 6.5X32X110MM,750.0,750.0,82.5,750.0,57
CDM,423260,SCREW BN 6.5MM 115MM,789.0,789.0,86.79,789.0,57
CDM,423269,PLATE LINDORF 1 CP TITAN,4647.0,4647.0,511.17,4647.0,57
CDM,423270,SCREW BN 6.5MM 120MM,789.0,789.0,86.79,789.0,57
CDM,423291,PLATE BN 6X2H 36X1MM,9437.0,9437.0,1038.07,9437.0,57
CDM,423292,PLATE BN 26HL 2X2.5MM,37663.0,37663.0,4142.93,37663.0,57
CDM,423320,SCREW BN 4.5MM 8MM 38MM,750.0,750.0,82.5,750.0,57
CDM,423330,SCREW BN CORT 4.5X40MM,750.0,750.0,82.5,750.0,57
CDM,423333,SCREW BN 6.5MM 70MM,4521.0,4521.0,497.31,4521.0,57
CDM,423337,SLING PUBVGNL HMMCK,37338.0,37338.0,4107.18,37338.0,57
CDM,423340,SCREW BN 4.5MM 8MM 42MM,750.0,750.0,82.5,750.0,57
CDM,423349,BASEPLATE TIB 66X44.5MM,25800.0,25800.0,2838.0,25800.0,57
CDM,423350,SCREW BN 4.5MM 44MM,750.0,750.0,82.5,750.0,57
CDM,423360,SCREW BN 4.5MM 8MM 46MM,750.0,750.0,82.5,750.0,57
CDM,423367,PLATE BUR HL 12X.3X1.5MM,4805.0,4805.0,528.55,4805.0,57
CDM,423370,SCREW BN 4.5MM 48MM,750.0,750.0,82.5,750.0,57
CDM,423377,INSERT HUM SHLDR 36MM,17415.0,17415.0,1915.65,17415.0,57
CDM,423381,PLATE BN 6HL 71MM,5376.0,5376.0,591.36,5376.0,57
CDM,423390,SCREW BN 4.5MM 52MM,750.0,750.0,82.5,750.0,57
CDM,423410,SCREW BN 4.5MM 56MM,750.0,750.0,82.5,750.0,57
CDM,423420,SCREW BN 4.5MM 58MM,750.0,750.0,82.5,750.0,57
CDM,423426,CATH BLNDIL 6MM 135X8CM,3186.0,3186.0,223.02,3186.0,71
CDM,423430,SCREW BN 4.5MM 8MM 60MM,750.0,750.0,82.5,750.0,57
CDM,423440,SCREW BN 4.5MM 62MM,750.0,750.0,82.5,750.0,57
CDM,423450,SCREW BN 4.5MM 8MM 64MM,750.0,750.0,82.5,750.0,57
CDM,423453,KWIRE FX 2 .054IN 9IN,403.0,403.0,28.21,403.0,71
CDM,423454,ELECTRODE ESURG 2.3MM,10439.0,10439.0,730.73,10439.0,71
CDM,423460,SCREW BN 4.5MM 66MM,750.0,750.0,82.5,750.0,57
CDM,423470,SCREW BN CORT 4.5MM 68MM,750.0,750.0,82.5,750.0,57
CDM,423478,CEMENT BN GUN 8ML,6070.0,6070.0,424.9,6070.0,71
CDM,423480,SCREW BN 4.5MM 70MM,750.0,750.0,82.5,750.0,57
CDM,423491,PLATE BN SHRT 12HL RT,36271.0,36271.0,3989.81,36271.0,57
CDM,423492,SCREW BN 2.7MM 12MM,2612.0,2612.0,287.32,2612.0,57
CDM,423498,SCREW BN 3.5MM 12MM,4419.0,4419.0,486.09,4419.0,57
CDM,423499,SCREW BN 3.5MM 12MM VAR,1747.0,1747.0,192.17,1747.0,57
CDM,423500,SCREW BN 4.5MM 76MM,750.0,750.0,82.5,750.0,57
CDM,423502,CANNULATED DRILL 2.5,5715.0,5715.0,400.05,5715.0,71
CDM,423503,GUIDE PIN ORTH 1.5X150MM,1599.0,1599.0,111.93,1599.0,71
CDM,423504,BIT DRILL 1.9MM,1874.0,1874.0,131.18,1874.0,71
CDM,423505,DRILL SURG 2.5MM,1874.0,1874.0,131.18,1874.0,71
CDM,423510,SCREW BN 4.5MM 80MM,750.0,750.0,82.5,750.0,57
CDM,423520,SCREW BN 4.5MM 85MM,750.0,750.0,82.5,750.0,57
CDM,423530,SCREW BN SLFTP 4.5X90MM,750.0,750.0,82.5,750.0,57
CDM,423531,CATH BLNDIL 8FR 18X120X2,5990.0,5990.0,419.3,5990.0,71
CDM,423533,CATH BLN ATLS+9X20X120X2,8001.0,8001.0,560.07,8001.0,71
CDM,423534,CATH 7FX4X120CM 20MM,8001.0,8001.0,560.07,8001.0,71
CDM,423535,CATH BLNDL LG D 10FR 22,8001.0,8001.0,560.07,8001.0,71
CDM,423536,INTRODUCER SHTH 14FR MLN,3879.0,3879.0,271.53,3879.0,71
CDM,423537,INTRO SHTH 8FR 75CM,2680.0,2680.0,187.6,2680.0,71
CDM,423540,SCREW BN CORT 4.5X95MM,750.0,750.0,82.5,750.0,57
CDM,423550,SCREW BN 4.5MM 100MM,750.0,750.0,82.5,750.0,57
CDM,423559,PLATE BN 1LVL 1MM 5HL,2849.0,2849.0,313.39,2849.0,57
CDM,423560,SCREW BN 4.5MM 8MM 105MM,750.0,750.0,82.5,750.0,57
CDM,423561,BIT DRILL TWIST 1.5X7MM,5304.0,5304.0,371.28,5304.0,71
CDM,423564,SET TUBING CASS OFLW,1599.0,1599.0,111.93,1599.0,71
CDM,423567,STENT URET 4.7X12-18CM,5623.0,5623.0,618.53,5623.0,57
CDM,423568,PUNCH AORTIC 8IN 2.8MM,1477.0,1477.0,103.39,1477.0,71
CDM,423570,SCREW BN CORT 4.5X110MM,750.0,750.0,82.5,750.0,57
CDM,423580,SCREW BN 4.5MM 25MM,750.0,750.0,82.5,750.0,57
CDM,423587,CATH HMDIAL 12FR 16CM,2476.0,2476.0,173.32,2476.0,71
CDM,423589,BURR SURG 3.0MM 28MM,5360.0,5360.0,375.2,5360.0,71
CDM,423590,SCREW BN 4.5MM 30MM,750.0,750.0,82.5,750.0,57
CDM,423591,TUBE JJNSTM 18FR 45CM,6782.0,6782.0,474.74,6782.0,71
CDM,423596,KIT GSTRM DIALATOR 20FR,5623.0,5623.0,393.61,5623.0,71
CDM,423600,SCREW BN 4.5MM 35MM,750.0,750.0,82.5,750.0,57
CDM,423602,SCREW BONE 3.5MM X 44MM,5934.0,5934.0,652.74,5934.0,57
CDM,423610,SCREW BN 4.5MM 40MM,750.0,750.0,82.5,750.0,57
CDM,423613,MESH SURG 6IN 10IN,25893.0,25893.0,2848.23,25893.0,57
CDM,423615,CATH ANGIO 6FR 100CM,3369.0,3369.0,235.83,3369.0,71
CDM,423618,SCREW BN CMPR 4X50MM,8722.0,8722.0,959.42,8722.0,57
CDM,423620,SCREW BN 4.5MM 45MM,750.0,750.0,82.5,750.0,57
CDM,423621,BUTTON GSTRM 16FR 3.5CM,3299.0,3299.0,230.93,3299.0,71
CDM,423624,SCREW BN 4MM 34MM,7874.0,7874.0,866.14,7874.0,57
CDM,423626,IMPLANT BREAST 345CC,19420.0,19420.0,2136.2,19420.0,57
CDM,423630,SCREW BN 4.5MM 50MM,750.0,750.0,82.5,750.0,57
CDM,423640,SCREW BN 4.5MM 55MM,750.0,750.0,82.5,750.0,57
CDM,423644,PLATE BN OLCRN RT 65MM,16720.0,16720.0,1839.2,16720.0,57
CDM,423647,DEVICE WNDCLS 15CM SZ3,1599.0,1599.0,111.93,1599.0,71
CDM,423650,SCREW BN 4.5MM 60MM,750.0,750.0,82.5,750.0,57
CDM,423660,SCREW BN 4.5MM 65MM,750.0,750.0,82.5,750.0,57
CDM,423679,HEMOSTAT BN PUTTY,46217.0,46217.0,5083.87,46217.0,57
CDM,423680,SCREW BN CANC 6.5X30,750.0,750.0,82.5,750.0,57
CDM,423684,STABILIZER BN ORTH CUS,55369.0,55369.0,6090.59,55369.0,57
CDM,423697,SUTURE TNDN BN 1.2MM,1850.0,1850.0,203.5,1850.0,57
CDM,423700,SCREW BN 4.5MM 50MM,3494.0,3494.0,384.34,3494.0,57
CDM,423701,PLATE BN SMTB 11HL,13753.0,13753.0,1512.83,13753.0,57
CDM,423702,SCREW BN 3.5MM 16MM,4547.0,4547.0,500.17,4547.0,57
CDM,423703,SCREW BN 3.5MM 55MM,822.0,822.0,90.42,822.0,57
CDM,423705,SCREW BN 3.5MM 14MM,4419.0,4419.0,486.09,4419.0,57
CDM,423706,SCREW BN 3.5MM 40MM,5934.0,5934.0,652.74,5934.0,57
CDM,423708,CATH BLNOCC 4MM 15MM,19719.0,19719.0,1380.33,19719.0,71
CDM,423720,SCREW BN 4.5MM 54MM,3494.0,3494.0,384.34,3494.0,57
CDM,423727,CONN SHNT 1.8MM 1.2MM,7304.0,7304.0,803.44,7304.0,57
CDM,423729,BURR SURG CRBDE 4.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,423730,SCREW BN 4.5MM 56MM,3494.0,3494.0,384.34,3494.0,57
CDM,423739,DRILL ORTHO DISP 2.8MM,4822.0,4822.0,337.54,4822.0,71
CDM,423744,DRILL SRG QRLS MRK 2MM,4822.0,4822.0,337.54,4822.0,71
CDM,423754,PLATE BN FIB 4H RT 74MM,16004.0,16004.0,1760.44,16004.0,57
CDM,423765,SET STNT 3FR 8CM,3150.0,3150.0,346.5,3150.0,57
CDM,423766,SET STNT 3FR 10CM,3640.0,3640.0,400.4,3640.0,57
CDM,423767,SET STNT 16CM 3FR SFLX 2,4145.0,4145.0,455.95,4145.0,57
CDM,423769,INSERT SHD +4MM 32MM,14028.0,14028.0,1543.08,14028.0,57
CDM,423775,CATH BLNDIL 11MM 2X90CM,12755.0,12755.0,892.85,12755.0,71
CDM,423776,STENT URET 3FR 14CM,3640.0,3640.0,400.4,3640.0,57
CDM,423777,SET STNT 3FR 12CM,3640.0,3640.0,400.4,3640.0,57
CDM,423778,TRACH BIV 3.5CMX40MM CUF,6303.0,6303.0,441.21,6303.0,71
CDM,423779,TUBE TRCHOSTMY 41X6X4,6031.0,6031.0,422.17,6031.0,71
CDM,423795,CATH BLNDIL .035 5F 7X80,4123.0,4123.0,288.61,4123.0,71
CDM,423804,GJ TUBE LO 14F 1.2X22CM,10768.0,10768.0,753.76,10768.0,71
CDM,423805,CANNULA ARTHSCP 165MM,7613.0,7613.0,532.91,7613.0,71
CDM,423817,PLATE BN 5HL 100D 2MM,4327.0,4327.0,475.97,4327.0,57
CDM,423834,ROD SPN 5.5MM 50MM,4556.0,4556.0,501.16,4556.0,57
CDM,423837,ICD DEFIB CARD 66X51X13,192232.0,192232.0,21145.52,192232.0,57
CDM,423838,PATCH DURA 3IN 1IN,12672.0,12672.0,1393.92,12672.0,57
CDM,423851,SCREW CRNMXF 4X2MM,1101.0,1101.0,121.11,1101.0,57
CDM,423860,SCREW BN 4.5MM 36MM,3597.0,3597.0,395.67,3597.0,57
CDM,423866,FIBER LASER 320UM,13256.0,13256.0,927.92,13256.0,71
CDM,423876,COIL EMBL 16MMX40CM,10275.0,10275.0,1130.25,10275.0,57
CDM,423877,LINER ACTB HIP F 44MM,32224.0,32224.0,3544.64,32224.0,57
CDM,423884,SHELL ACTB HIP 54MM,64501.0,64501.0,7095.11,64501.0,57
CDM,423886,PLATE BN UPFC .5MM 10X10,23780.0,23780.0,2615.8,23780.0,57
CDM,423909,CATH GD IMA 6FR 90CM,1620.0,1620.0,113.4,1620.0,71
CDM,423920,SCREW BN 4.5MM 48MM,3597.0,3597.0,395.67,3597.0,57
CDM,423933,IMPLANT BREAST 385CC,11303.0,11303.0,1243.33,11303.0,57
CDM,423936,PLATE 7MM CRNFCL RT 2MM,5076.0,5076.0,558.36,5076.0,57
CDM,423937,PLATE BN 2X7MM,6417.0,6417.0,705.87,6417.0,57
CDM,423956,IMPLANT BREAST 520CC,19420.0,19420.0,2136.2,19420.0,57
CDM,423962,ROD SP495X5.5MM,53140.0,53140.0,5845.4,53140.0,57
CDM,423963,SCREW BN SPN 6.5MM 40MM,13921.0,13921.0,1531.31,13921.0,57
CDM,423965,SCREW MESA 2,13921.0,13921.0,1531.31,13921.0,57
CDM,423970,SCREW BN 4.5MM 60MM,3597.0,3597.0,395.67,3597.0,57
CDM,423983,SCREW BN PLT 2.7X16MM,3515.0,3515.0,386.65,3515.0,57
CDM,423994,BASEPLATE TIB KN SZ4,33540.0,33540.0,3689.4,33540.0,57
CDM,424010,SCREW SPN 6.5MM 45MM,15186.0,15186.0,1670.46,15186.0,57
CDM,424013,GWIRE VASC 175CM .014IN,11433.0,11433.0,800.31,11433.0,71
CDM,424014,CANNULA ARTHSCP 7MM 7CM,2006.0,2006.0,140.42,2006.0,71
CDM,424022,SCREW BN 4.5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,424032,SCREW BN ST 4.5MM 18MM,750.0,750.0,82.5,750.0,57
CDM,424042,SCREW BN 4.5MM 20MM,750.0,750.0,82.5,750.0,57
CDM,424052,SCREW BN 4.5MM 22MM,750.0,750.0,82.5,750.0,57
CDM,424062,SCREW BN 4.5MM 8MM 24MM,750.0,750.0,82.5,750.0,57
CDM,424071,DEVICE INFL 30ATM 20ML,1275.0,1275.0,89.25,1275.0,71
CDM,424082,SCREW BN 4.5MM 8MM 28MM,750.0,750.0,82.5,750.0,57
CDM,424086,SCREW BN 6MM 4.8MM 85MM,2137.0,2137.0,235.07,2137.0,57
CDM,424087,SEALER BIP 20CM 13MM,11433.0,11433.0,800.31,11433.0,71
CDM,424092,SCREW BN 4.5MM 8MM 30MM,750.0,750.0,82.5,750.0,57
CDM,424102,SCREW BN 4.5MM 8MM 32MM,750.0,750.0,82.5,750.0,57
CDM,424112,SCREW BN 4.5MM 8MM 34MM,750.0,750.0,82.5,750.0,57
CDM,424122,SCREW BN 4.5MM 8MM 36MM,750.0,750.0,82.5,750.0,57
CDM,424142,SCREW BN 4.5MM 28MM,750.0,750.0,82.5,750.0,57
CDM,424152,SCREW BN 4.5MM 30MM,750.0,750.0,82.5,750.0,57
CDM,424162,SCREW BN 4.5MM 32MM,750.0,750.0,82.5,750.0,57
CDM,424182,SCREW BN 4.5MM 36MM,750.0,750.0,82.5,750.0,57
CDM,424192,SCREW BN 4.5MM 38MM,750.0,750.0,82.5,750.0,57
CDM,424202,SCREW BN 4.5MM 40MM,750.0,750.0,82.5,750.0,57
CDM,424212,SCREW BN 4.5MM 42MM,750.0,750.0,82.5,750.0,57
CDM,424222,SCREW BN 4.5MM 44MM,750.0,750.0,82.5,750.0,57
CDM,424232,SCREW BN 4.5MM 46MM,750.0,750.0,82.5,750.0,57
CDM,424241,DEVICE REMOVAL 32CM,18536.0,18536.0,1297.52,18536.0,71
CDM,424242,SCREW BN 4.5MM 48MM,750.0,750.0,82.5,750.0,57
CDM,424244,DEVICE BX 15CM 11GA,4498.0,4498.0,314.86,4498.0,71
CDM,424252,SCREW BN 4.5MM 50MM,750.0,750.0,82.5,750.0,57
CDM,424263,CMPNT FEM KN 5-6 LNG10MM,20019.0,20019.0,2202.09,20019.0,57
CDM,424332,SCREW BN 4.5MM 32MM,3494.0,3494.0,384.34,3494.0,57
CDM,424351,PLATE BN LCK T8,38667.0,38667.0,4253.37,38667.0,57
CDM,424352,SCREW BN 4.5MM 36MM,3494.0,3494.0,384.34,3494.0,57
CDM,424353,SCREW BN 2.5MM 18MM,3062.0,3062.0,336.82,3062.0,57
CDM,424355,SCREW BN 2.5MM 16MM,3062.0,3062.0,336.82,3062.0,57
CDM,424362,SCREW BN 4.5MM 38MM,3494.0,3494.0,384.34,3494.0,57
CDM,424370,SCREWDRIVER SURG 2MM,5512.0,5512.0,385.84,5512.0,71
CDM,424380,SHELL ACTB HIP 48MM,64501.0,64501.0,7095.11,64501.0,57
CDM,424386,TEMPLATE SURG,3178.0,3178.0,222.46,3178.0,71
CDM,424393,PEG FX 2MM 16MM,1603.0,1603.0,176.33,1603.0,57
CDM,424402,SCREW BN 4.5X6.5X1.75MM,3494.0,3494.0,384.34,3494.0,57
CDM,424418,INSERT TIB KN SZ1-2 9MM,16770.0,16770.0,1844.7,16770.0,57
CDM,424419,INSERT KN RT SZ7-8 9MM,17220.0,17220.0,1894.2,17220.0,57
CDM,424424,SYS REFLUX MGMT BEAD 16,102767.0,102767.0,11304.37,102767.0,57
CDM,424497,IMPLANT BREAST 265CC,19420.0,19420.0,2136.2,19420.0,57
CDM,424501,BASEPLATE KN 72X49.5MM,25800.0,25800.0,2838.0,25800.0,57
CDM,424506,GWIRE ORTH FLUT 2.8X450,2847.0,2847.0,199.29,2847.0,71
CDM,424533,SCREW BN 6.5MM 40MM,750.0,750.0,82.5,750.0,57
CDM,424537,PLT MDFC 7HL YSHAPE1.0MM,5484.0,5484.0,603.24,5484.0,57
CDM,424551,SCREW BN 3.5MM 10MM,6320.0,6320.0,695.2,6320.0,57
CDM,424554,SCREW BN 3.5MM 16MM VAR,6320.0,6320.0,695.2,6320.0,57
CDM,424555,SCREW BN 3.5MM 14MM,6320.0,6320.0,695.2,6320.0,57
CDM,424569,CMPNT FEM STD KN RT SZ11,38700.0,38700.0,4257.0,38700.0,57
CDM,424574,BASEPLATE TIB KN SZ7,25800.0,25800.0,2838.0,25800.0,57
CDM,424675,SHELL ACTB HIP SZH 64MM,64501.0,64501.0,7095.11,64501.0,57
CDM,424678,SHELL ACTB HIP SZG 60MM,64501.0,64501.0,7095.11,64501.0,57
CDM,424688,CMPNT AUG KN SZ C,64501.0,64501.0,7095.11,64501.0,57
CDM,424705,TUBE BLDLN HMDIAL 2.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,424737,TUNNELER SURG MLBL TPR B,5098.0,5098.0,356.86,5098.0,71
CDM,424738,STEM FEM HIP 17MM 190MM,45467.0,45467.0,5001.37,45467.0,57
CDM,424789,BASEPLATE GLENOID SM,13649.0,13649.0,1501.39,13649.0,57
CDM,424791,STEM HUM 180MM 13MM CMNT,56760.0,56760.0,6243.6,56760.0,57
CDM,424806,PLATE BN SMALL,6434.0,6434.0,707.74,6434.0,57
CDM,424825,STEM HUM SHLDR 80MM 15MM,30263.0,30263.0,3328.93,30263.0,57
CDM,424826,INSERT TIB KN SZ7 8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,424828,MODEL ANTM CLR CRNM MXL,43005.0,43005.0,3010.35,43005.0,71
CDM,424829,GUIDE CRNM PTSPC,12188.0,12188.0,853.16,12188.0,71
CDM,424850,INSERT TIB KN 7 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,424851,CMPNT FEM KN SZ7,41280.0,41280.0,4540.8,41280.0,57
CDM,424852,SCREW BN 7.3MM 45MM,4501.0,4501.0,495.11,4501.0,57
CDM,424859,COMP GLENOID SHLDR SZS40,36120.0,36120.0,3973.2,36120.0,57
CDM,424862,SCREW BN 7.3MM 32MM,4530.0,4530.0,498.3,4530.0,57
CDM,424872,SCREW BN 7.3MM 55MM,4501.0,4501.0,495.11,4501.0,57
CDM,424877,BASEPLATE TIB KN SZ8,25800.0,25800.0,2838.0,25800.0,57
CDM,424878,CMPNT FEM KN SZ8,41280.0,41280.0,4540.8,41280.0,57
CDM,424879,INSERT TIB KN 8 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,424892,SCREW BN 7.3MM 32MM 65MM,4186.0,4186.0,460.46,4186.0,57
CDM,424902,SCREW BN 7.3MM 32MM 70MM,5383.0,5383.0,592.13,5383.0,57
CDM,424912,SCREW BN 7.3MM 75MM 32MM,4501.0,4501.0,495.11,4501.0,57
CDM,424918,SCREW BN 3.5MM 10MM,822.0,822.0,90.42,822.0,57
CDM,424919,GDWR UNTHRDED 3.2X20MM,2249.0,2249.0,157.43,2249.0,71
CDM,424924,SCREW BN 2MM 16MM,2296.0,2296.0,252.56,2296.0,57
CDM,424928,INSERT ARTC KN LT 11MM,13718.0,13718.0,1508.98,13718.0,57
CDM,424932,SCREW BN 7.3X32X85MM,4501.0,4501.0,495.11,4501.0,57
CDM,424942,SCREW BN 8.2X2.9MM 90MM,4501.0,4501.0,495.11,4501.0,57
CDM,424944,SCREW BN 3.0MM 32MM,4419.0,4419.0,486.09,4419.0,57
CDM,424952,SCREW BN 7.3MM 95MM,4299.0,4299.0,472.89,4299.0,57
CDM,424962,SCREW BN 7.3MM 100MM,4595.0,4595.0,505.45,4595.0,57
CDM,424972,SCREW BN 7.3MM 105MM,4791.0,4791.0,527.01,4791.0,57
CDM,424982,SCREW BN 7.3MM 110MM,3859.0,3859.0,424.49,3859.0,57
CDM,424985,IMPLANT BREAST 375CC,19420.0,19420.0,2136.2,19420.0,57
CDM,424992,SCREW BN 7.3X115X32MM,3818.0,3818.0,419.98,3818.0,57
CDM,425006,PLATE CHIN WNDW BN 10 MM,7687.0,7687.0,845.57,7687.0,57
CDM,425007,SCREW BN 7.3MM 120MM,3818.0,3818.0,419.98,3818.0,57
CDM,425020,SCREW BN 7.3X125X32MM,3818.0,3818.0,419.98,3818.0,57
CDM,425030,SCREW BN 7.3X130X32MM,3818.0,3818.0,419.98,3818.0,57
CDM,425040,SCREW BN 7.3X32X135MM,4916.0,4916.0,540.76,4916.0,57
CDM,425050,SCREW BN 7.3MM 140MM,4501.0,4501.0,495.11,4501.0,57
CDM,425060,SCREW BN 7.3X8.2X2.9X145,3826.0,3826.0,420.86,3826.0,57
CDM,425070,SCREW BN 7.3X32X150MM,4501.0,4501.0,495.11,4501.0,57
CDM,425071,CATH PICC 4F 60CM 1 LUM,3968.0,3968.0,277.76,3968.0,71
CDM,425098,INTR SHTH GW 3.3F .018IN,1874.0,1874.0,131.18,1874.0,71
CDM,425140,SCREW BN 7.3MM 45MM,3818.0,3818.0,419.98,3818.0,57
CDM,425160,SCREW BN 7.3MM 55MM,3818.0,3818.0,419.98,3818.0,57
CDM,425164,INSERT TIB SZ6 8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,425174,INSERT TIBIAL 8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,425190,SCREW BN 7.3MM 70MM,4501.0,4501.0,495.11,4501.0,57
CDM,425198,SCREW BN 7.3MM 170MM,3950.0,3950.0,434.5,3950.0,57
CDM,425200,SCREW BN 7.3MM 75MM,4501.0,4501.0,495.11,4501.0,57
CDM,425210,SCREW BN CANN 7.3 X80MM,3818.0,3818.0,419.98,3818.0,57
CDM,425219,INSERT HUM 9+MM 42MM,12900.0,12900.0,1419.0,12900.0,57
CDM,425220,SCREW BN CANN 7.3X85MM,4501.0,4501.0,495.11,4501.0,57
CDM,425221,ROD SPN 5.5MM 110MM,4556.0,4556.0,501.16,4556.0,57
CDM,425227,SYSTEM CATH ARTHRCM 1.5M,56256.0,56256.0,3937.92,56256.0,71
CDM,425228,CATH PERC 4X5FR 80X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,425230,SCREW BN CANN 7.3X90MM,4501.0,4501.0,495.11,4501.0,57
CDM,425233,DRILL SURG 3.5MM,5330.0,5330.0,373.1,5330.0,71
CDM,425266,BASEPLATE TIB KN #1,25800.0,25800.0,2838.0,25800.0,57
CDM,425267,BASEPLATE KN TIB SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,425270,SCREW BN 7.3MM 110MM,3818.0,3818.0,419.98,3818.0,57
CDM,425320,SCREW BN 7.3MM 55MM,4916.0,4916.0,540.76,4916.0,57
CDM,425321,COIL EMBL SOFT 60CM 20MM,25688.0,25688.0,2825.68,25688.0,57
CDM,425330,SCREW BN 7.3MM 60MM,4916.0,4916.0,540.76,4916.0,57
CDM,425333,INTRO SHEATH 22FR 33CM,11433.0,11433.0,800.31,11433.0,71
CDM,425340,SCREW BN 7.3MM 16MM 65MM,4595.0,4595.0,505.45,4595.0,57
CDM,425348,GRAFT CV 34MM 15CM,56513.0,56513.0,6216.43,56513.0,57
CDM,425350,SCREW BN CANN 7.3MM 70MM,4916.0,4916.0,540.76,4916.0,57
CDM,425370,SCREW BN 7.3MM 80MM,4501.0,4501.0,495.11,4501.0,57
CDM,425380,SCREW BN 7.3MM 85MM,4501.0,4501.0,495.11,4501.0,57
CDM,425390,SCREW BN 7.3X90MM,3818.0,3818.0,419.98,3818.0,57
CDM,425410,SCREW BN 7.3MM 100MM,4299.0,4299.0,472.89,4299.0,57
CDM,425420,SCREW BN 7.3X105MM,4501.0,4501.0,495.11,4501.0,57
CDM,425430,SCREW BN 7.3MM 110MM,4916.0,4916.0,540.76,4916.0,57
CDM,425440,SCREW BN 7.3MM 115MM,4595.0,4595.0,505.45,4595.0,57
CDM,425450,SCREW BN 7.3X120X16MM,4916.0,4916.0,540.76,4916.0,57
CDM,425451,PEG BN THRD LCK 2.3X22MM,1727.0,1727.0,189.97,1727.0,57
CDM,425452,SCREW BN 3.5X16MM,1603.0,1603.0,176.33,1603.0,57
CDM,425455,PLATE BN STD 4HL,9412.0,9412.0,1035.32,9412.0,57
CDM,425460,SCREW BN 7.3MM 125MM,4501.0,4501.0,495.11,4501.0,57
CDM,425467,BLN ADV 4FR 7MM 80X4CM,5623.0,5623.0,393.61,5623.0,71
CDM,425468,CATH .018IN 4FR 7MM 80CM,5623.0,5623.0,393.61,5623.0,71
CDM,425469,STEM FEM KN 150MM 16MM,86183.0,86183.0,9480.13,86183.0,57
CDM,425470,SCREW BN 7.3MM 130MM,4530.0,4530.0,498.3,4530.0,57
CDM,425471,INSERT TIB KN 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,425474,SYS REFLUX MGMT BEAD 15,102767.0,102767.0,11304.37,102767.0,57
CDM,425480,SCREW BN 7.3MM 135MM,4916.0,4916.0,540.76,4916.0,57
CDM,425490,SCREW BN 16MM 140MM,4375.0,4375.0,481.25,4375.0,57
CDM,425495,CMPNT HIP FEM 12MM 175MM,121954.0,121954.0,13414.94,121954.0,57
CDM,425496,PLATE BN 2.7/3.5MM 103MM,10010.0,10010.0,1101.1,10010.0,57
CDM,425500,SCREW BN 7.3X16X145MM,3818.0,3818.0,419.98,3818.0,57
CDM,425501,SCREW SPN 6.5MM 40MM,15186.0,15186.0,1670.46,15186.0,57
CDM,425505,CATH URET 3W 18FR 30CC,550.0,550.0,38.5,550.0,71
CDM,425510,SCREW BN 7.3MM 150MM,3818.0,3818.0,419.98,3818.0,57
CDM,425522,COIL EMBL .035 5MMX11CM,23592.0,23592.0,2595.12,23592.0,57
CDM,425543,SCREW BN 4.5MM 28MM,3856.0,3856.0,424.16,3856.0,57
CDM,425574,SUTURETAPE 1.3MM WH/BL,1874.0,1874.0,131.18,1874.0,71
CDM,425596,COIL EMBL 60CM,32950.0,32950.0,3624.5,32950.0,57
CDM,425597,COIL EMBL 60CM .02IN14MM,32950.0,32950.0,3624.5,32950.0,57
CDM,425598,COIL EMBL 60CM 12MM STD,25688.0,25688.0,2825.68,25688.0,57
CDM,425599,COIL EMBL 40CM 8MM,32950.0,32950.0,3624.5,32950.0,57
CDM,425601,COIL EMBL 60CM 32MM STD,25688.0,25688.0,2825.68,25688.0,57
CDM,425608,DEVICE CLS WND +2-0 45CM,1483.0,1483.0,103.81,1483.0,71
CDM,425615,PATCH DURA 5IN 5IN,24224.0,24224.0,2664.64,24224.0,57
CDM,425624,SCREW BN 6.5MM 20MM,5837.0,5837.0,642.07,5837.0,57
CDM,425656,DEVICE NAV SURG,6127.0,6127.0,428.89,6127.0,71
CDM,425659,STYLET 23CM VENTRI SHUNT,11433.0,11433.0,800.31,11433.0,71
CDM,425672,TRACER NVG PNTR DISP,11433.0,11433.0,800.31,11433.0,71
CDM,425804,SYSTEM FACIAL CLS 9.82IN,2999.0,2999.0,209.93,2999.0,71
CDM,425821,KIT UNIVERSAL APEX SUT,11433.0,11433.0,1257.63,11433.0,57
CDM,425835,PATCH SNSR DISP,314.0,314.0,21.98,314.0,71
CDM,425845,CATH DLV SYS 135CM 45D,11433.0,11433.0,800.31,11433.0,71
CDM,425866,FORCEP BIP STD 8.5IN,7888.0,7888.0,552.16,7888.0,71
CDM,425901,SCREW BN 2.5MM 20MM,3365.0,3365.0,370.15,3365.0,57
CDM,425902,SCREW BN 2.5MM 22MM,2487.0,2487.0,273.57,2487.0,57
CDM,425912,ICD-S 12.7MM 83.1X69.1MM,393343.0,393343.0,43267.73,393343.0,57
CDM,425915,SCREW BN 2.7MM 14MM,3515.0,3515.0,386.65,3515.0,57
CDM,425920,SCREW BN 7.3X30X16MM,4501.0,4501.0,495.11,4501.0,57
CDM,425926,SPACER HUM SHLDR +6X39MM,14385.0,14385.0,1582.35,14385.0,57
CDM,425927,CUP HUM SHLDR UNIV 39MM,64501.0,64501.0,7095.11,64501.0,57
CDM,425930,SCREW BN 7.3MM 35MM,4530.0,4530.0,498.3,4530.0,57
CDM,425936,CATH INFS .017IN 150CM,23198.0,23198.0,1623.86,23198.0,71
CDM,425937,CATH GD INFS 2.8FR 15CM,20713.0,20713.0,1449.91,20713.0,71
CDM,425940,SCREW BN 7.3MM 40MM,4530.0,4530.0,498.3,4530.0,57
CDM,425950,SCREW BN 7.3MM 16MM 45MM,4735.0,4735.0,520.85,4735.0,57
CDM,425957,GRAFT PRCN 3.9X3.9IN,70302.0,70302.0,7733.22,70302.0,57
CDM,425960,SCREW BN 7.3X50MM,5383.0,5383.0,592.13,5383.0,57
CDM,425969,TOOL DSCT L140MM OD9MM,3636.0,3636.0,254.52,3636.0,71
CDM,425970,SCREW BN 4MM 10MM,4421.0,4421.0,486.31,4421.0,57
CDM,425975,WASHER BN FLAT 7MM,2235.0,2235.0,245.85,2235.0,57
CDM,425980,SCREW BN 4MM 12MM,3432.0,3432.0,377.52,3432.0,57
CDM,425990,SCREW BN 4MM 14MM,3522.0,3522.0,387.42,3522.0,57
CDM,426032,SCREW BN 4MM 16MM,3055.0,3055.0,336.05,3055.0,57
CDM,426036,LINER HIP 10D +4X32X50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,426038,ADAPTER TBG SPK VNT LF I,40.0,40.0,2.8,40.0,71
CDM,426042,SCREW BN 4MM 18MM,4421.0,4421.0,486.31,4421.0,57
CDM,426047,GUIDE CRANIUM FRNTL,12188.0,12188.0,853.16,12188.0,71
CDM,426052,PLATE L LEFT 6 50-373-04,3407.0,3407.0,374.77,3407.0,57
CDM,426054,SCREW BN CANN 4.0X20MM,3432.0,3432.0,377.52,3432.0,57
CDM,426064,SHEATH INTR 6F 100CM.088,10402.0,10402.0,728.14,10402.0,71
CDM,426066,SCREW BN 4MM 5MM,3464.0,3464.0,381.04,3464.0,57
CDM,426076,SCREW BN 4.0MM 24MM,3432.0,3432.0,377.52,3432.0,57
CDM,426086,SCREW BN 4X26MM,3432.0,3432.0,377.52,3432.0,57
CDM,426092,STEM FEM HIP 13MM 115MM,55209.0,55209.0,6072.99,55209.0,57
CDM,426093,PLATE EXFX 10MM 60MM,5425.0,5425.0,379.75,5425.0,71
CDM,426096,SCREW BN 4MM 1.35MM 28MM,3055.0,3055.0,336.05,3055.0,57
CDM,426106,SCREW BN 4MM 30MM,3432.0,3432.0,377.52,3432.0,57
CDM,426116,SCREW BN 4MM 1.35MM 32MM,3432.0,3432.0,377.52,3432.0,57
CDM,426117,COIL EMBL 4CM 3MM,45149.0,45149.0,4966.39,45149.0,57
CDM,426118,COIL EMBL 2CM 1MM,43741.0,43741.0,4811.51,43741.0,57
CDM,426136,SCREW BN 4MM 1.35MM 36MM,3432.0,3432.0,377.52,3432.0,57
CDM,426137,CUP CERV LARGE 37MM,1853.0,1853.0,129.71,1853.0,71
CDM,426138,LINER ACTB KN 52MM,36765.0,36765.0,4044.15,36765.0,57
CDM,426143,CUP CERV MEDIUM 34MM,1853.0,1853.0,129.71,1853.0,71
CDM,426161,STAPLER INT PWR 60MM,7612.0,7612.0,532.84,7612.0,71
CDM,426166,SCREW BN 4MM 1.35MM 42MM,3432.0,3432.0,377.52,3432.0,57
CDM,426169,RELOAD STPLR 60MM,9098.0,9098.0,1000.78,9098.0,57
CDM,426193,PLATE BN 2X4HL 1X28MM,19817.0,19817.0,2179.87,19817.0,57
CDM,426196,SCREW BN 4MM 48MM,3432.0,3432.0,377.52,3432.0,57
CDM,426202,PLATE THK1.5MM 20 HL BN,20398.0,20398.0,2243.78,20398.0,57
CDM,426206,SCREW BN 4MM 1.35MM 50MM,3432.0,3432.0,377.52,3432.0,57
CDM,426216,SCREW BN 4MM 16MM,3432.0,3432.0,377.52,3432.0,57
CDM,426224,INTRO SHEATH 16FR 33CM,9602.0,9602.0,672.14,9602.0,71
CDM,426226,SCREW BN 4MM 18MM,3432.0,3432.0,377.52,3432.0,57
CDM,426236,SCREW BN 4.0MM 20MM,3432.0,3432.0,377.52,3432.0,57
CDM,426238,NAIL FEM CANN 12MM 420MM,39333.0,39333.0,4326.63,39333.0,57
CDM,426246,SCREW BN 4MM 22MM,3432.0,3432.0,377.52,3432.0,57
CDM,426247,BASEPLATE TIB KN SZ7,25800.0,25800.0,2838.0,25800.0,57
CDM,426256,SCREW BN 4.0MM 24MM,3062.0,3062.0,336.82,3062.0,57
CDM,426266,SCREW BN CANN 4.0X26MM,3432.0,3432.0,377.52,3432.0,57
CDM,426273,KIT DRILL 3.5MM 13.5MM,8984.0,8984.0,628.88,8984.0,71
CDM,426276,SCREW BN 4.0MM 28MM,3432.0,3432.0,377.52,3432.0,57
CDM,426286,SCREW BN 4X5X30MM,3432.0,3432.0,377.52,3432.0,57
CDM,426296,SCREW BN CANN 4MM 32MM,3432.0,3432.0,377.52,3432.0,57
CDM,426306,SCREW BN 4X5X1.35X34MM,3432.0,3432.0,377.52,3432.0,57
CDM,426316,SCREW BN 4X5X52MM,3432.0,3432.0,377.52,3432.0,57
CDM,426320,SYSTEM XTRT 14CM,19470.0,19470.0,1362.9,19470.0,71
CDM,426326,SCREW BN 4.5X38MM,3432.0,3432.0,377.52,3432.0,57
CDM,426334,"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable) ",24855.0,24855.0,21.25,31.98,6
CDM,426334,URTSCP FLX 9.5FR 2-50MM,24855.0,24855.0,1739.85,24855.0,65
CDM,426336,SCREW BN 4.0MM 40MM,3432.0,3432.0,377.52,3432.0,57
CDM,426341,POST SCREW BN 4.5X42.5MM,3690.0,3690.0,405.9,3690.0,57
CDM,426346,SCREW BN 4.0MM 42MM,3432.0,3432.0,377.52,3432.0,57
CDM,426362,PLATE BN DIST ULNA,16995.0,16995.0,1869.45,16995.0,57
CDM,426363,PEG BN LCK 2.3X24MM,1727.0,1727.0,189.97,1727.0,57
CDM,426370,PLATE BN 2X2HL 0.6MM,4603.0,4603.0,506.33,4603.0,57
CDM,426371,PLATE 2X2 BLUE BOX,3473.0,3473.0,382.03,3473.0,57
CDM,426372,GRAFT SURG BIODSGN CLGN,25090.0,25090.0,2759.9,25090.0,57
CDM,426376,SCREW BN CANN 4MM 48MM,3432.0,3432.0,377.52,3432.0,57
CDM,426386,SCREW BN 4MM 5MM,3432.0,3432.0,377.52,3432.0,57
CDM,426411,PROBE LASER 23GA,5623.0,5623.0,393.61,5623.0,71
CDM,426413,PROBE LASER 25GA,5623.0,5623.0,393.61,5623.0,71
CDM,426415,SCREW BN 4X38MM,4850.0,4850.0,533.5,4850.0,57
CDM,426446,SCREW BN 4MM 28MM,750.0,750.0,82.5,750.0,57
CDM,426453,LINER ACTB 50MM 28MM,14190.0,14190.0,1560.9,14190.0,57
CDM,426462,SCREW BN 3.5MM 44MM,864.0,864.0,95.04,864.0,57
CDM,426476,HEAD HUM ASC FLX 46X17MM,42672.0,42672.0,4693.92,42672.0,57
CDM,426479,SCREW BN 4MM 6MM 35MM,750.0,750.0,82.5,750.0,57
CDM,426489,SCREW BN CANC 4MM 36MM,750.0,750.0,82.5,750.0,57
CDM,426499,SCREW BN 4MM 6MM 40MM,750.0,750.0,82.5,750.0,57
CDM,426505,SHEARS ESURG 36CM 5MM,11433.0,11433.0,800.31,11433.0,71
CDM,426509,SCREW BN 4MM 6MM 45MM,750.0,750.0,82.5,750.0,57
CDM,426519,SCREW BN 4MM 6MM 50MM,750.0,750.0,82.5,750.0,57
CDM,426523,SCREW EXFX HIP 100X4MM,3953.0,3953.0,276.71,3953.0,71
CDM,426529,SCREW BN 4MM 6MM 55MM,750.0,750.0,82.5,750.0,57
CDM,426539,SCREW BN CANC SM 4X60MM,750.0,750.0,82.5,750.0,57
CDM,426561,PEG BN N-LCK 2.7X18MM,1562.0,1562.0,171.82,1562.0,57
CDM,426562,PLATE BN DRSL SHRT,23756.0,23756.0,2613.16,23756.0,57
CDM,426563,SCREW BN 3MM 12MM,1891.0,1891.0,208.01,1891.0,57
CDM,426567,INTRO SHEATH 18FR 33CM,11433.0,11433.0,800.31,11433.0,71
CDM,426586,MNPLT SURG CUP 2.5CM,2643.0,2643.0,185.01,2643.0,71
CDM,426590,INSERT TIB KN RT 23MM,67655.0,67655.0,7442.05,67655.0,57
CDM,426598,SCREW BN 5MM 20MM,2569.0,2569.0,282.59,2569.0,57
CDM,426602,DRILL TWST DIA 1.9X50MM,3711.0,3711.0,259.77,3711.0,71
CDM,426607,PLATE BN FEM LFT 14HL,35799.0,35799.0,3937.89,35799.0,57
CDM,426609,SCREW BN 4.0MM 10MM,750.0,750.0,82.5,750.0,57
CDM,426619,SCREW BN 4MM 12MM,750.0,750.0,82.5,750.0,57
CDM,426629,SCREW BN 4.0MM 14MM,750.0,750.0,82.5,750.0,57
CDM,426635,PLATE CRV BAR 6HL 4MM,5127.0,5127.0,563.97,5127.0,57
CDM,426637,MESH SURG 8X6IN,102767.0,102767.0,11304.37,102767.0,57
CDM,426639,SCREW BN CANC 4MM 16MM,750.0,750.0,82.5,750.0,57
CDM,426642,AUGMENT KN RT MDL L/L,64501.0,64501.0,7095.11,64501.0,57
CDM,426644,STENT BIL PERC 10MM 10CM,57294.0,57294.0,6302.34,57294.0,57
CDM,426646,SUTURE VIO MONO 1 36IN,168.0,168.0,11.76,168.0,71
CDM,426649,SCREW BN CANC 4MM 18MM,750.0,750.0,82.5,750.0,57
CDM,426656,LINER ACTB HIP10D36X54MM,14190.0,14190.0,1560.9,14190.0,57
CDM,426659,SCREW BN CANC 4MM 20MM,750.0,750.0,82.5,750.0,57
CDM,426669,SCREW BN CANC 4MM 22MM,750.0,750.0,82.5,750.0,57
CDM,426679,SCREW BN CANC 4MM 24MM,750.0,750.0,82.5,750.0,57
CDM,426689,SCREW BN CANC 4MM 26MM,750.0,750.0,82.5,750.0,57
CDM,426699,SCREW BN CANC 4MM 28MM,750.0,750.0,82.5,750.0,57
CDM,426709,SCREW BN 4.0MM 30MM,750.0,750.0,82.5,750.0,57
CDM,426719,SCREW BN 4MM 6MM 35MM,750.0,750.0,82.5,750.0,57
CDM,426729,SCREW BN 4MM 6MM 40MM,750.0,750.0,82.5,750.0,57
CDM,426739,SCREW BN 4MM 6MM 45MM,750.0,750.0,82.5,750.0,57
CDM,426749,SCREW BN 4MM 6MM 50MM,750.0,750.0,82.5,750.0,57
CDM,426759,SCREW BN CANN 4MM 55MM,750.0,750.0,82.5,750.0,57
CDM,426769,SCREW BN 4MM 6MM 60MM,750.0,750.0,82.5,750.0,57
CDM,426779,SCREW BN 4MM 65MM,750.0,750.0,82.5,750.0,57
CDM,426789,SCREW BONE CANCEL 4.0MM,750.0,750.0,82.5,750.0,57
CDM,426798,STEM FEM 20GRIT 190X18MM,55728.0,55728.0,6130.08,55728.0,57
CDM,426799,SCREW BNE CANC 4.0X75,750.0,750.0,82.5,750.0,57
CDM,426809,SCREW BN 2.7MM 80MM,750.0,750.0,82.5,750.0,57
CDM,426819,SCREW BN 4MM 85MM,750.0,750.0,82.5,750.0,57
CDM,426829,SCREW BONE CANCEL 4.0MM,750.0,750.0,82.5,750.0,57
CDM,426833,SCREW BN 5MM 1.9MM,1355.0,1355.0,149.05,1355.0,57
CDM,426839,SCREW BN 4MM 95MM,750.0,750.0,82.5,750.0,57
CDM,426849,SCREW BN 4MM 100MM,750.0,750.0,82.5,750.0,57
CDM,426859,SCREW BN 3.5MM 22MM,3299.0,3299.0,362.89,3299.0,57
CDM,426869,SCREW BN 3.5MM 24MM,3299.0,3299.0,362.89,3299.0,57
CDM,426879,SCREW CANN 3.5X26,3299.0,3299.0,362.89,3299.0,57
CDM,426882,SCREW BN 2.7MM 18MM,1634.0,1634.0,179.74,1634.0,57
CDM,426889,SCREW BN 3.5MM 28MM,3299.0,3299.0,362.89,3299.0,57
CDM,426893,CMPNT KN SEG 55MM,47524.0,47524.0,5227.64,47524.0,57
CDM,426894,DEVICE CLSR WND 4-0 45CM,1599.0,1599.0,111.93,1599.0,71
CDM,426899,SCREW BN 3.5MM 30MM,3299.0,3299.0,362.89,3299.0,57
CDM,426909,SCREW CANN 3.5X32,3299.0,3299.0,362.89,3299.0,57
CDM,426919,SCREW CANN 3.5X34,3299.0,3299.0,362.89,3299.0,57
CDM,426922,GAUGE CONTUR ADVNCE DISP,8001.0,8001.0,560.07,8001.0,71
CDM,426929,SCREW BN 3.5MM 36MM,3299.0,3299.0,362.89,3299.0,57
CDM,426939,SCREW BN 3.5X38MM,3299.0,3299.0,362.89,3299.0,57
CDM,426959,SCREW BN 3.5MM 42MM,3299.0,3299.0,362.89,3299.0,57
CDM,426969,SCREW BN 3.5MM 44MM,3299.0,3299.0,362.89,3299.0,57
CDM,426979,SCREW BN 3.5X46MM,3299.0,3299.0,362.89,3299.0,57
CDM,426983,CMPNT FEM KN SZ6,41280.0,41280.0,4540.8,41280.0,57
CDM,426989,SCREW CANN 3.5X48,3299.0,3299.0,362.89,3299.0,57
CDM,426990,BASEPLATE TIB KN SZ6,25800.0,25800.0,2838.0,25800.0,57
CDM,426999,SCREW BN 3.5MM 50MM,3299.0,3299.0,362.89,3299.0,57
CDM,427188,SCREW BN 3.5MM 10MM,3058.0,3058.0,336.38,3058.0,57
CDM,427198,SCREW BN 3.5MM 12MM,3058.0,3058.0,336.38,3058.0,57
CDM,42725,POLYMIXN B 500000 U,31.47,31.47,2.2,31.47,67
CDM,427264,SCREW CANN 3.5X14,3391.0,3391.0,373.01,3391.0,57
CDM,427274,SCREW BN 3.5MM 16MM,3391.0,3391.0,373.01,3391.0,57
CDM,427282,DRILL SURG 40MM 2.3MM,959.0,959.0,67.13,959.0,71
CDM,427284,SCREW BN 3.5X18MM,3391.0,3391.0,373.01,3391.0,57
CDM,427294,SCREW CANN 3.5X20,3391.0,3391.0,373.01,3391.0,57
CDM,427304,SCREW CANN 22X 3.5MM,3391.0,3391.0,373.01,3391.0,57
CDM,427314,SCREW BN 3.5MM 24MM,3391.0,3391.0,373.01,3391.0,57
CDM,427317,LINER ACTB SZA 28MM,19350.0,19350.0,2128.5,19350.0,57
CDM,427321,STEM FEM HIP STD 60MM,80284.0,80284.0,8831.24,80284.0,57
CDM,427324,SCREW CANN 3.5X26,3391.0,3391.0,373.01,3391.0,57
CDM,427334,SCREW CANN 28X3.5MM,3391.0,3391.0,373.01,3391.0,57
CDM,427344,SCREW BN 3.5MM 30MM,3391.0,3391.0,373.01,3391.0,57
CDM,427354,SCREW BN 3.5MM 32MM,3391.0,3391.0,373.01,3391.0,57
CDM,427362,BURR SURG 7.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,427364,SCREW BN 3.5MM 34MM,3391.0,3391.0,373.01,3391.0,57
CDM,427366,BURR SURG CRS DMND 5MM,4325.0,4325.0,302.75,4325.0,71
CDM,427367,CLIP ANRSM PERM 2MM,3733.0,3733.0,410.63,3733.0,57
CDM,427368,CLIP ANRSM PERM 5MM,3612.0,3612.0,397.32,3612.0,57
CDM,427374,SCREW CANN 36X3.5MM,3391.0,3391.0,373.01,3391.0,57
CDM,427380,PEG BN FX 2.7MM 24MM,1562.0,1562.0,171.82,1562.0,57
CDM,427381,PLATE BN LT 4H WIDE,9412.0,9412.0,1035.32,9412.0,57
CDM,427384,SCREW CANN 38X3.5MM,3391.0,3391.0,373.01,3391.0,57
CDM,427390,CMPNT STEM HIP 28MM 40MM,95670.0,95670.0,10523.7,95670.0,57
CDM,427394,SCREW BN CANN 3.5X40MM,3391.0,3391.0,373.01,3391.0,57
CDM,427404,SCREW BN 3.5MM 42MM,3391.0,3391.0,373.01,3391.0,57
CDM,427414,SCREW BN 3.5MM 44MM,3391.0,3391.0,373.01,3391.0,57
CDM,427424,SCREW BN 46MM 3.5MM,3391.0,3391.0,373.01,3391.0,57
CDM,427444,SCREW BN 3.5MM 50MM,3391.0,3391.0,373.01,3391.0,57
CDM,427446,LEAD PCNG 95CM,41030.0,41030.0,4513.3,41030.0,57
CDM,427454,SCREW BN 4MM 6MM 10MM,750.0,750.0,82.5,750.0,57
CDM,427462,CLIP ANRSM PERM 4MM,3613.0,3613.0,397.43,3613.0,57
CDM,427463,GRAFT BN ALGRF FRZN 44MM,18528.0,18528.0,2038.08,18528.0,57
CDM,427464,SCREW BN 4MM 6MM 12MM,750.0,750.0,82.5,750.0,57
CDM,427465,STENT BIL 3.8MM 36MM,15259.0,15259.0,1678.49,15259.0,57
CDM,427466,CLIP 3MM OPN MIC INT KOP,3612.0,3612.0,397.32,3612.0,57
CDM,427467,CLIP ANRSM PERM 5MM,3733.0,3733.0,410.63,3733.0,57
CDM,427469,DISTRACTOR XTRN DISP LNG,98912.0,98912.0,6923.84,98912.0,71
CDM,427470,STENT BLDR 1.5-3.5CM 5FR,4830.0,4830.0,531.3,4830.0,57
CDM,427474,SCREW BN 4MM 6MM 14MM,750.0,750.0,82.5,750.0,57
CDM,427481,INTRO SHEATH 10FR 33CM,9419.0,9419.0,659.33,9419.0,71
CDM,427484,SCREW BN 4MM 6MM 16MM,750.0,750.0,82.5,750.0,57
CDM,427494,SCREW BN 4MM 6MM 18MM,750.0,750.0,82.5,750.0,57
CDM,427502,LINER ACTB HIP 44X28MM,14190.0,14190.0,1560.9,14190.0,57
CDM,427509,PEG BN LCK 2.3X23MM,1727.0,1727.0,189.97,1727.0,57
CDM,427521,CUP CERV SMALL 32MM,1853.0,1853.0,129.71,1853.0,71
CDM,427524,SCREW BN 4MM 6MM 24MM,750.0,750.0,82.5,750.0,57
CDM,427534,SCREW BN 3.5MM 95MM,750.0,750.0,82.5,750.0,57
CDM,427544,SCREW BN 3.5X6X100MM,750.0,750.0,82.5,750.0,57
CDM,427552,PROSTHESIS PNLE 20CM,179432.0,179432.0,19737.52,179432.0,57
CDM,427554,SCREW BN 3.5MM 105MM,750.0,750.0,82.5,750.0,57
CDM,427557,RELOAD STAPLER 60MM,11433.0,11433.0,1257.63,11433.0,57
CDM,427558,RELOAD STPLR 60MM,10043.0,10043.0,1104.73,10043.0,57
CDM,427559,STENT BIL 3.8MM 36MM,15259.0,15259.0,1678.49,15259.0,57
CDM,427560,STENT BIL 3.8MM 26MM,15259.0,15259.0,1678.49,15259.0,57
CDM,427561,STENT BIL 3.8MM 16MM,15259.0,15259.0,1678.49,15259.0,57
CDM,427562,RELOAD STPLR 45MM,6506.0,6506.0,715.66,6506.0,57
CDM,427564,SCREW BN 3.5MM 110MM,750.0,750.0,82.5,750.0,57
CDM,427567,STENT BIL 3.8MM 26MM,15259.0,15259.0,1678.49,15259.0,57
CDM,427574,SCREW BN 3.5MM 6MM 10MM,750.0,750.0,82.5,750.0,57
CDM,427584,SCREW BN 3.5MM 6MM 12MM,750.0,750.0,82.5,750.0,57
CDM,427588,TIBIA BN WHOLE RT FRZ,116914.0,116914.0,12860.54,116914.0,57
CDM,427589,SCREW BN 3.5MM 24MM,2569.0,2569.0,282.59,2569.0,57
CDM,427594,SCREW BN 3.5MM 6MM 14MM,750.0,750.0,82.5,750.0,57
CDM,427604,SCREW BN S/T 3.5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,427609,PROBE 3.76MM 396MM,11433.0,11433.0,800.31,11433.0,71
CDM,427614,SCREW BN 3.5MM 6MM 18MM,750.0,750.0,82.5,750.0,57
CDM,427623,SHELL ACTB HIP 56MM,25800.0,25800.0,2838.0,25800.0,57
CDM,427624,SCREW BN 3.5MM 20MM,750.0,750.0,82.5,750.0,57
CDM,427627,INTRO 10FR SHTH,11433.0,11433.0,800.31,11433.0,71
CDM,427629,SYS REFLUX MGMT BEAD 17,102767.0,102767.0,11304.37,102767.0,57
CDM,427634,SCREW BN 3.5MM 6MM 22MM,750.0,750.0,82.5,750.0,57
CDM,427643,IMPLANT BREAST 335CC,19420.0,19420.0,2136.2,19420.0,57
CDM,427644,SCREW BN 3.5MM 6MM 24MM,750.0,750.0,82.5,750.0,57
CDM,427654,SCREW BN 3.5MM 6MM 26MM,750.0,750.0,82.5,750.0,57
CDM,427664,SCREW BN 3.5MM 6MM 28MM,750.0,750.0,82.5,750.0,57
CDM,427683,SCREW BN 3.5MM 22MM,3515.0,3515.0,386.65,3515.0,57
CDM,427684,SCREW BN 3.5MM 6MM 32MM,750.0,750.0,82.5,750.0,57
CDM,427689,SCREW BN 7MM 86MM 16MM,14632.0,14632.0,1609.52,14632.0,57
CDM,427694,SCREW BN 3.5MM 34MM,750.0,750.0,82.5,750.0,57
CDM,427704,SCREW BN 3.5MM 6MM 36MM,750.0,750.0,82.5,750.0,57
CDM,427724,SCREW BN 3.5MM 6MM 40MM,750.0,750.0,82.5,750.0,57
CDM,427734,SCREW BN 3.5MM 45MM,750.0,750.0,82.5,750.0,57
CDM,427744,SCREW BN 3.5MM 50MM,750.0,750.0,82.5,750.0,57
CDM,427774,SCREW BN 3.5MM 65MM,750.0,750.0,82.5,750.0,57
CDM,427784,SCREW BN 3.5MM 70MM,750.0,750.0,82.5,750.0,57
CDM,427794,SCREW BN 3.5MM 75MM,750.0,750.0,82.5,750.0,57
CDM,427804,SCREW BN 3.5X80MM,750.0,750.0,82.5,750.0,57
CDM,427812,PLATE BN STD LT 3HL,18619.0,18619.0,2048.09,18619.0,57
CDM,427814,SCREW BN 3.5MM 85MM,750.0,750.0,82.5,750.0,57
CDM,427821,RELOAD STPLR 60MM,8677.0,8677.0,954.47,8677.0,57
CDM,427825,PLATE BN 20HL 11MM 50MM,9673.0,9673.0,1064.03,9673.0,57
CDM,427827,RELOAD STPLR 30MM,5623.0,5623.0,618.53,5623.0,57
CDM,427831,BAG SPEC RETRVL 1550ML,4779.0,4779.0,334.53,4779.0,71
CDM,427834,SCREW BN 3.5X95MM,750.0,750.0,82.5,750.0,57
CDM,427835,SCREW BN 2.7MM 18MM,3515.0,3515.0,386.65,3515.0,57
CDM,427837,SCREW BN 3.5MM 22MM,2713.0,2713.0,298.43,2713.0,57
CDM,427843,SCREW BN 3.5MM 44MM,2569.0,2569.0,282.59,2569.0,57
CDM,427845,SCREW BN T10 3.5X34MM,2569.0,2569.0,282.59,2569.0,57
CDM,427846,SCREW BN 3.5MM 22MM,1510.0,1510.0,166.1,1510.0,57
CDM,427861,PLATE BN 7HL 3.5MM 99MM,15497.0,15497.0,1704.67,15497.0,57
CDM,427874,SCREW BN 3.5MM 10MM,3299.0,3299.0,362.89,3299.0,57
CDM,427884,SCREW BN 3.5X12MM,3058.0,3058.0,336.38,3058.0,57
CDM,427893,IMPLANT BREAST 470CC,27229.0,27229.0,2995.19,27229.0,57
CDM,427894,SCREW BN 3.5MM 14MM,3299.0,3299.0,362.89,3299.0,57
CDM,427904,SCREW BN 3.5MM 16MM,3299.0,3299.0,362.89,3299.0,57
CDM,427914,SCREW BN 3.5X5X18X6MM,3299.0,3299.0,362.89,3299.0,57
CDM,427924,SCREW BN 3.5X20MM,3299.0,3299.0,362.89,3299.0,57
CDM,427938,CATH GD VASC.058IN 115CM,28786.0,28786.0,2015.02,28786.0,71
CDM,427949,SHELL ACTB HIP SZG 58MM,25800.0,25800.0,2838.0,25800.0,57
CDM,427955,PEG BN LCK 2.3X26MM,1727.0,1727.0,189.97,1727.0,57
CDM,428141,ERCP SPHINCTEROTOMY,18750.56,18750.56,1312.54,18750.56,64
CDM,428142,ERCP STENT PLACEMENT,23573.3,23573.3,1650.13,23573.3,64
CDM,428143,ERCP STONE REMOVAL,18750.56,18750.56,1312.54,18750.56,64
CDM,428192,INTRO SHEATH 10FR 33CM,9419.0,9419.0,659.33,9419.0,71
CDM,428195,STENT BILI PERC 10MM 6CM,59595.0,59595.0,6555.45,59595.0,57
CDM,428196,RELOAD STPLR 45MM,7876.0,7876.0,866.36,7876.0,57
CDM,428203,ANCHOR SUT 3.5MM 8.5MM,14570.0,14570.0,1602.7,14570.0,57
CDM,428214,SCREW BN 5.5MM 495MM,28770.0,28770.0,3164.7,28770.0,57
CDM,428250,PASSER SUT 25D CRV LT,5623.0,5623.0,393.61,5623.0,71
CDM,428271,SCREW BN 3.5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,428281,SCREW BN 3.5MM 18MM,750.0,750.0,82.5,750.0,57
CDM,428283,GW VASC 260CM .035IN,1599.0,1599.0,111.93,1599.0,71
CDM,428286,CATH ANGIO 5FR 65CM,571.0,571.0,39.97,571.0,71
CDM,428287,CATH BLNDIL 8MM 3X100CM,9040.0,9040.0,632.8,9040.0,71
CDM,428289,CATH BLNDIL 20MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,428291,SCREW BN 3.5MM 20MM,750.0,750.0,82.5,750.0,57
CDM,428295,CATH BLNDIL 12MM 2X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,428299,SCREW BN 2MM 18MM,1234.0,1234.0,135.74,1234.0,57
CDM,428300,LINER HIP HIP SZE 42MM,16770.0,16770.0,1844.7,16770.0,57
CDM,428307,SCREW BN 4MM 50MM 15MM,855.0,855.0,94.05,855.0,57
CDM,428309,BIT DRILL 2MM 150MM,4417.0,4417.0,309.19,4417.0,71
CDM,428312,SCREW BN 5MM 40MM,8244.0,8244.0,906.84,8244.0,57
CDM,428313,NAIL BN 125D 10MM 400MM,39913.0,39913.0,4390.43,39913.0,57
CDM,428327,PLATE BN LCK 8H 1.8MM,12287.0,12287.0,1351.57,12287.0,57
CDM,428329,SCREW BN 2.3MM 9MM,1009.0,1009.0,110.99,1009.0,57
CDM,428331,SCREW BN 7.3MM 28MM,750.0,750.0,82.5,750.0,57
CDM,428332,LEAD SPN CLMN STIMU 50CM,10275.0,10275.0,1130.25,10275.0,57
CDM,428346,STENT BIL 8ZIG 3.4CM,131783.0,131783.0,14496.13,131783.0,57
CDM,428348,SCREW BN 2.7MM 40MM,1542.0,1542.0,169.62,1542.0,57
CDM,428349,BIT DRILL CALBRTD 2MM,4470.0,4470.0,312.9,4470.0,71
CDM,428407,SCREW BN 2.7MM 24MM,1510.0,1510.0,166.1,1510.0,57
CDM,428408,DRILL SPEEDGUIDE DIA 2MM,3114.0,3114.0,217.98,3114.0,71
CDM,428421,SCREW BN 3.5MM 55MM,750.0,750.0,82.5,750.0,57
CDM,428423,SCREW BN 2.7MM 22MM,2971.0,2971.0,326.81,2971.0,57
CDM,428431,SCREW BN 3.5MM 60MM,750.0,750.0,82.5,750.0,57
CDM,428441,SCREW BN 3.5MM 65MM,750.0,750.0,82.5,750.0,57
CDM,428447,BLADE STRT 1X10X60MM,11450.0,11450.0,801.5,11450.0,71
CDM,428449,PLATE BN 18HL 46X23MM,14387.0,14387.0,1582.57,14387.0,57
CDM,428451,SCREW BN 3.5MM 70MM,750.0,750.0,82.5,750.0,57
CDM,428461,SCREW BN SLFTP 3.5X75MM,750.0,750.0,82.5,750.0,57
CDM,428464,PEG BN 2.7MM 20MM,1562.0,1562.0,171.82,1562.0,57
CDM,428465,PEG BN THRD 2.7X24MM,1562.0,1562.0,171.82,1562.0,57
CDM,428466,PEG BN NLCKG 2.7MM 26MM,1562.0,1562.0,171.82,1562.0,57
CDM,428467,PLATE HK BN,8159.0,8159.0,897.49,8159.0,57
CDM,428468,PLATE HK BN + SCREW,1336.0,1336.0,146.96,1336.0,57
CDM,428471,SCREW BN 3.5MM 80MM,750.0,750.0,82.5,750.0,57
CDM,428474,CATH ANGIO DIL 5.50X8MM,2811.0,2811.0,196.77,2811.0,71
CDM,428481,SCREW BN 3.5MM 85MM,750.0,750.0,82.5,750.0,57
CDM,428490,TRAP EYE TRNS LID 1CHMBR,156.0,156.0,10.92,156.0,71
CDM,428491,SCREW BN 3.5X6X90MM,750.0,750.0,82.5,750.0,57
CDM,428497,CATH ANGIO DIL 6X8MM,2811.0,2811.0,196.77,2811.0,71
CDM,428498,COIL EMBL 4MM 7CM,30262.0,30262.0,3328.82,30262.0,57
CDM,428507,COIL EMBL 35D 4MM 5CM,28496.0,28496.0,3134.56,28496.0,57
CDM,428511,SCREW BN 3X27MM,4254.0,4254.0,467.94,4254.0,57
CDM,428519,COIL EMBL 6CM 3MM,47763.0,47763.0,5253.93,47763.0,57
CDM,428520,COIL EMBL 6CM 2MM,40648.0,40648.0,4471.28,40648.0,57
CDM,428521,SCREW BN CANN 3MM 28MM,3553.0,3553.0,390.83,3553.0,57
CDM,428522,COIL EMBL 3CM 2MM,45149.0,45149.0,4966.39,45149.0,57
CDM,428525,COIL EMBL 2CM 1.5MM,47763.0,47763.0,5253.93,47763.0,57
CDM,428531,SCREW BN 3X29MM,4254.0,4254.0,467.94,4254.0,57
CDM,428541,SCREW BN CANN 3MM 30MM,3453.0,3453.0,379.83,3453.0,57
CDM,428551,SCREW BN 3.0MM 32MM 14MM,3453.0,3453.0,379.83,3453.0,57
CDM,428561,SCREW BN 3X34MM,3453.0,3453.0,379.83,3453.0,57
CDM,428571,SCREW BN 3X4X1.2X36X16MM,3453.0,3453.0,379.83,3453.0,57
CDM,428581,SCREW BN 3X4X1.2X38X18MM,3453.0,3453.0,379.83,3453.0,57
CDM,428601,SCREW BN 2.7MM 5MM 6MM,750.0,750.0,82.5,750.0,57
CDM,428611,SCREW BN 2.7MM 5MM 8MM,750.0,750.0,82.5,750.0,57
CDM,428621,SCREW BN 2.7MM 10MM,750.0,750.0,82.5,750.0,57
CDM,428622,INSERT TIB KN SZ5 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,428629,DRESSING PWDR GRMCDL 2GM,397.0,397.0,27.79,397.0,71
CDM,428631,SCREW BN 2.7MM 12MM,750.0,750.0,82.5,750.0,57
CDM,428643,SCREW BN 32MM 4MM,4063.0,4063.0,446.93,4063.0,57
CDM,428661,SCREW BN 2.7MM 18MM,750.0,750.0,82.5,750.0,57
CDM,428665,STENT AOR 4.5CM 18MM,158208.0,158208.0,17402.88,158208.0,57
CDM,428687,CMPNT PTLR KN 9MM 29MM,11094.0,11094.0,1220.34,11094.0,57
CDM,428688,CMPNT KN TIB SZ2,33540.0,33540.0,3689.4,33540.0,57
CDM,428701,SCREW BN 2.7MM 5MM 26MM,750.0,750.0,82.5,750.0,57
CDM,428711,SCREW BN 2.7MM 5MM 28MM,750.0,750.0,82.5,750.0,57
CDM,428751,SCREW BN 2.7MM 36MM,750.0,750.0,82.5,750.0,57
CDM,428761,SCREW BN 2.7MM 38MM,750.0,750.0,82.5,750.0,57
CDM,428771,SCREW BN 2.7MM 40MM,750.0,750.0,82.5,750.0,57
CDM,428781,SCREW BN 2.7MM 45MM,750.0,750.0,82.5,750.0,57
CDM,428791,SCREW BN 2.7MM 50MM,750.0,750.0,82.5,750.0,57
CDM,428801,SCREW BN 2.7MM 55MM,750.0,750.0,82.5,750.0,57
CDM,428807,COIL EMBL 2MM 4CM,10275.0,10275.0,1130.25,10275.0,57
CDM,428808,COIL EMBL 4CM 3MM,13180.0,13180.0,1449.8,13180.0,57
CDM,428812,COIL EMBL 5MM 15CM,10275.0,10275.0,1130.25,10275.0,57
CDM,428829,PLUG VASC OCL 7MM,32880.0,32880.0,3616.8,32880.0,57
CDM,428832,COIL EMBL 6MM 20CM,10275.0,10275.0,1130.25,10275.0,57
CDM,428862,STENT EPRSTH 14FR 4.5CM,158208.0,158208.0,17402.88,158208.0,57
CDM,428868,SCREW BN 2.7X44MM,1542.0,1542.0,169.62,1542.0,57
CDM,428884,COIL EMBL 10CM 5MM XL TR,61779.0,61779.0,6795.69,61779.0,57
CDM,428888,IMPLANT BREAST 605CC,27229.0,27229.0,2995.19,27229.0,57
CDM,428942,LIGASURE CURV 18CM13.5MM,12740.0,12740.0,891.8,12740.0,71
CDM,428968,SCREW BN 3.5MM 40MM,864.0,864.0,95.04,864.0,57
CDM,428969,SCREW BN 3.5MM 32MM,1839.0,1839.0,202.29,1839.0,57
CDM,428970,PLATE BN 5H 59MM,5376.0,5376.0,591.36,5376.0,57
CDM,428977,OSTEO FLEX 12MM X 120MM,11599.0,11599.0,811.93,11599.0,71
CDM,429067,NAIL BN LT 8.5MM 255MM,25570.0,25570.0,2812.7,25570.0,57
CDM,429093,SCREW BN 2.4MM 24MM,864.0,864.0,95.04,864.0,57
CDM,429105,SCREW BN 3X4X14MM,4254.0,4254.0,467.94,4254.0,57
CDM,429115,SCREW BN 3X15MM,3230.0,3230.0,355.3,3230.0,57
CDM,429119,PLATE SPN 2LVL 38MM,24045.0,24045.0,2644.95,24045.0,57
CDM,429120,RELOAD STPLR 30 2.5MM,5623.0,5623.0,618.53,5623.0,57
CDM,429125,SCREW CANN THRD 3.0X16,3230.0,3230.0,355.3,3230.0,57
CDM,429126,MODEL ANTM CLR ACRYL MX,41130.0,41130.0,2879.1,41130.0,71
CDM,429135,SCREW BN 3X17MM,4254.0,4254.0,467.94,4254.0,57
CDM,429136,PLATE BN CHIN 2MM,5846.0,5846.0,643.06,5846.0,57
CDM,429145,SCREW BN 3X18MM,4254.0,4254.0,467.94,4254.0,57
CDM,429155,SCREW BN 3X19MM,4254.0,4254.0,467.94,4254.0,57
CDM,429165,SCREW CANN ST 3.0MMX20MM,4254.0,4254.0,467.94,4254.0,57
CDM,429166,CMPNT FEM KN RT SZ10,38700.0,38700.0,4257.0,38700.0,57
CDM,429189,SCREW BN 3X21MM,4254.0,4254.0,467.94,4254.0,57
CDM,429199,SCREW BN 3MM 22MM,4254.0,4254.0,467.94,4254.0,57
CDM,429208,CMPNT FEM KN SZ8,41280.0,41280.0,4540.8,41280.0,57
CDM,429209,SCREW BN 3X23MM,4254.0,4254.0,467.94,4254.0,57
CDM,429219,SCREW BN 3X24MM,4254.0,4254.0,467.94,4254.0,57
CDM,429229,SCREW BN 3X25MM,4254.0,4254.0,467.94,4254.0,57
CDM,429236,CMPNT SHLDR +6MM 3.5MM,26758.0,26758.0,2943.38,26758.0,57
CDM,429239,SCREW BN 3X26MM,4254.0,4254.0,467.94,4254.0,57
CDM,429248,SCREW BN 3.5X14MM,3515.0,3515.0,386.65,3515.0,57
CDM,429249,SCREW BN 3X27MM,4254.0,4254.0,467.94,4254.0,57
CDM,429259,SCREW BN 3X28MM,4254.0,4254.0,467.94,4254.0,57
CDM,429269,SCREW BN 3X29MM,4254.0,4254.0,467.94,4254.0,57
CDM,429278,DEVICE CLSR WND 2-0 30CM,1383.0,1383.0,96.81,1383.0,71
CDM,429279,SCREW BN 3X30MM,4254.0,4254.0,467.94,4254.0,57
CDM,429286,DEVICE CLSR WND 2-0 30CM,1383.0,1383.0,96.81,1383.0,71
CDM,429287,DEVICE CLSR WND 2-0 15CM,1432.0,1432.0,100.24,1432.0,71
CDM,429289,SCREW CANN THRD 3.0X32,3453.0,3453.0,379.83,3453.0,57
CDM,429293,BLADE CURVED FULL RADIUS,5623.0,5623.0,393.61,5623.0,71
CDM,429299,SCREW CANN THRD 3.0X34,3453.0,3453.0,379.83,3453.0,57
CDM,429309,SCREW BN 3X36MM,3765.0,3765.0,414.15,3765.0,57
CDM,429310,SCREW BN 2.5MM 12MM,12002.0,12002.0,1320.22,12002.0,57
CDM,429312,KWIRE FX 1.15MM 3MM,2636.0,2636.0,184.52,2636.0,71
CDM,429319,SCREW BN 3X38MM,3765.0,3765.0,414.15,3765.0,57
CDM,429329,SCREW BN 3MM 40MM,3765.0,3765.0,414.15,3765.0,57
CDM,429339,SCREW CANN THRD 3.0X14,4254.0,4254.0,467.94,4254.0,57
CDM,429349,SCREW BN 3X15MM,3536.0,3536.0,388.96,3536.0,57
CDM,429356,BLN ADV 4FR 7MM 80X2CM,5623.0,5623.0,393.61,5623.0,71
CDM,429359,SCREW CANN THRD 3.0X16,4254.0,4254.0,467.94,4254.0,57
CDM,429369,SCREW BN 3X17MM,3536.0,3536.0,388.96,3536.0,57
CDM,429371,IMPLANT ANCHOR FIXATION,58568.0,58568.0,6442.48,58568.0,57
CDM,429379,SCREW CANN L/T 3.0X18MM,4254.0,4254.0,467.94,4254.0,57
CDM,429383,IMPLANT BREAST 560CC,27229.0,27229.0,2995.19,27229.0,57
CDM,429389,SCREW BN 3X19MM,3230.0,3230.0,355.3,3230.0,57
CDM,429399,SCREW CANN THRD 3.0X20,4254.0,4254.0,467.94,4254.0,57
CDM,429409,SCREW BN 3X21MM,3536.0,3536.0,388.96,3536.0,57
CDM,429414,KIT BNCMNT 640X9X11MM,12228.0,12228.0,1345.08,12228.0,57
CDM,429417,CATH VASC 0.060INX132CM,41242.0,41242.0,2886.94,41242.0,71
CDM,429419,SCREW CANN THRD 3.0X22,3230.0,3230.0,355.3,3230.0,57
CDM,429420,STENT ERPSTH 8ZIG 4.5CM,171948.0,171948.0,18914.28,171948.0,57
CDM,429429,SCREW BN 3X23MM,3453.0,3453.0,379.83,3453.0,57
CDM,429439,SCREW BN 3X24MM,3453.0,3453.0,379.83,3453.0,57
CDM,429449,SCREW CANN THRD 3.0X25,3536.0,3536.0,388.96,3536.0,57
CDM,429459,SCREW BN 3X26MM,3453.0,3453.0,379.83,3453.0,57
CDM,429465,IMPLANT BREAST 745CC,27229.0,27229.0,2995.19,27229.0,57
CDM,429466,IPG NRSTM 5.3X4.8CM,195849.0,195849.0,21543.39,195849.0,57
CDM,429470,SEALNT DURA SPRY ABS,14640.0,14640.0,1024.8,14640.0,71
CDM,429472,NAIL BN 7MM 9.5MM 255MM,25570.0,25570.0,2812.7,25570.0,57
CDM,429557,PLATE CHIN GRFN 2X3MM,4402.0,4402.0,484.22,4402.0,57
CDM,429558,SHEATH INTRO 5FR 23CM,1471.0,1471.0,102.97,1471.0,71
CDM,429559,SCREW BN 2MM 6MM,750.0,750.0,82.5,750.0,57
CDM,429569,SCREW BN CORT 2MM 8MM,750.0,750.0,82.5,750.0,57
CDM,429579,SCREW BN 2MM 10MM,750.0,750.0,82.5,750.0,57
CDM,429589,SCREW BN CORT 2MM 12MM,750.0,750.0,82.5,750.0,57
CDM,429599,SCREW BN CORT 2MM 14MM,750.0,750.0,82.5,750.0,57
CDM,429608,BASEPLATE TIB KN SZ6,25800.0,25800.0,2838.0,25800.0,57
CDM,429609,SCREW BN CORT 2MM 16MM,750.0,750.0,82.5,750.0,57
CDM,429610,INSERT TIB KN 6 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,429611,NAIL FEM CANN 12MM 400MM,29864.0,29864.0,3285.04,29864.0,57
CDM,429619,SCREW BN CORT 2MM 18MM,750.0,750.0,82.5,750.0,57
CDM,429629,SCREW BN 2MM 20MM,750.0,750.0,82.5,750.0,57
CDM,429639,SCREW BN 2MM 22MM,750.0,750.0,82.5,750.0,57
CDM,429649,SCREW BN 2MM 24MM,750.0,750.0,82.5,750.0,57
CDM,429659,SCREW BN 2MM 26MM,750.0,750.0,82.5,750.0,57
CDM,429661,HOLDER PLATE THRD LARGE,5715.0,5715.0,400.05,5715.0,71
CDM,429663,IMPLANT BREAST 800CC,27229.0,27229.0,2995.19,27229.0,57
CDM,429669,SCREW BN 2.0MM 28MM,750.0,750.0,82.5,750.0,57
CDM,429670,SHELL ACTB HIP 4HL 60MM,25800.0,25800.0,2838.0,25800.0,57
CDM,429678,SCREW BN LCK 3.5MM 38MM,3246.0,3246.0,357.06,3246.0,57
CDM,429679,SCREW BN 2MM 30MM,750.0,750.0,82.5,750.0,57
CDM,429689,SCREW BN 2.0MM 32MM,750.0,750.0,82.5,750.0,57
CDM,429699,SCREW BN 2.0MM 34MM,750.0,750.0,82.5,750.0,57
CDM,429709,SCREW BN 2.0MM 36MM,750.0,750.0,82.5,750.0,57
CDM,429719,SCREW BN 2.0MM 38MM,750.0,750.0,82.5,750.0,57
CDM,429724,BIT DRILL 2.6MM 4MM,6185.0,6185.0,432.95,6185.0,71
CDM,429726,KWIRE FX 1.2MM 4MM,1599.0,1599.0,111.93,1599.0,71
CDM,429727,BIT DRILL 2.1MM,5623.0,5623.0,393.61,5623.0,71
CDM,42974,NAIL BN LRG 11.5MM 250MM,60541.0,60541.0,6659.51,60541.0,57
CDM,429745,SCREW BN 5.0MM 40MM,5713.0,5713.0,628.43,5713.0,57
CDM,429750,SCREW BN 5.0MM 80MM,5713.0,5713.0,628.43,5713.0,57
CDM,429757,COIL EMBL 1CM .02IN 2MM,16235.0,16235.0,1785.85,16235.0,57
CDM,429758,COIL EMBL 6CM .02IN 4MM,19770.0,19770.0,2174.7,19770.0,57
CDM,429760,COIL EMBL 20CM .02IN 6MM,19523.0,19523.0,2147.53,19523.0,57
CDM,429761,COIL EMBL 5CM .02IN 3MM,19770.0,19770.0,2174.7,19770.0,57
CDM,429762,COIL EMBL 12CM 3MM STD,19523.0,19523.0,2147.53,19523.0,57
CDM,429763,COIL EMBL 10CM .02IN 4MM,19523.0,19523.0,2147.53,19523.0,57
CDM,429765,COIL EMBL STD 35CM 10MM,25688.0,25688.0,2825.68,25688.0,57
CDM,429766,COIL EMBL 30CM 5MM,39544.0,39544.0,4349.84,39544.0,57
CDM,429767,COIL EMBL 50CM 6MM,39544.0,39544.0,4349.84,39544.0,57
CDM,429768,COIL EMBL 8MM 60CM,39544.0,39544.0,4349.84,39544.0,57
CDM,429770,WEDGE FEM KN SZ5 15MM,19026.0,19026.0,2092.86,19026.0,57
CDM,429788,RELOAD STPLR 30MM,6504.0,6504.0,715.44,6504.0,57
CDM,429793,IMPLANT BREAST 445CC,26715.0,26715.0,2938.65,26715.0,57
CDM,429796,SCREW BN P-T 3X28MM,4419.0,4419.0,486.09,4419.0,57
CDM,429811,MODEL ANTM PLANNED OUTCM,23928.0,23928.0,1674.96,23928.0,71
CDM,429920,SCREW BN CRTX 1.5X6MM,750.0,750.0,82.5,750.0,57
CDM,429930,SCREW BN CRTX 1.5X7MM,750.0,750.0,82.5,750.0,57
CDM,429932,KWIRE FX 1.6MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,429939,SHELL ACTB HIP SZE 52MM,25800.0,25800.0,2838.0,25800.0,57
CDM,429947,COIL EMBL 25CM .02IN 8MM,19523.0,19523.0,2147.53,19523.0,57
CDM,429950,SCREW BN CRTX 1.5X9MM,750.0,750.0,82.5,750.0,57
CDM,429964,DRILL TWIST 1.5X80,5304.0,5304.0,371.28,5304.0,71
CDM,429965,PLATE BN 1MM LVL 1,3568.0,3568.0,392.48,3568.0,57
CDM,429967,PLATE BN 1MM LVL1 2T CRN,3554.0,3554.0,390.94,3554.0,57
CDM,429968,ELCTRDE ESURG 50D 4.6MM,13240.0,13240.0,926.8,13240.0,71
CDM,429970,SCREW BN CRTX 1.5X11MM,750.0,750.0,82.5,750.0,57
CDM,429980,SCREW BN CRTX 1.5X12MM,750.0,750.0,82.5,750.0,57
CDM,429984,WASHER ORTH 6.5MM,1028.0,1028.0,113.08,1028.0,57
CDM,429990,SCREW BN CRTX 1.5X14MM,750.0,750.0,82.5,750.0,57
CDM,430324,SCREW BN CRTX 1.5X16MM,750.0,750.0,82.5,750.0,57
CDM,430337,SCREW BN 1.5MM 18MM,750.0,750.0,82.5,750.0,57
CDM,430347,DEVICE CLS WND +3-0 45CM,1487.0,1487.0,104.09,1487.0,71
CDM,430348,SCREW BN 1.5MM 20MM,750.0,750.0,82.5,750.0,57
CDM,430349,LEAD NRSTM 5-6-5 65CM,112179.0,112179.0,12339.69,112179.0,57
CDM,430370,NO COST EPIFIX,1.0,1.0,0.11,1.0,57
CDM,430399,BANDAGE COMP 4INX3.2YD,458.0,458.0,32.06,458.0,71
CDM,430549,KIT CATH 27CM 14.5F 360D,7144.0,7144.0,500.08,7144.0,71
CDM,430682,PIN BN TEMP 4MM 140MM,4288.0,4288.0,300.16,4288.0,71
CDM,430685,LIGASURE DVDR BIP 37CM,9064.0,9064.0,634.48,9064.0,71
CDM,430705,SET TUBING ADM 62IN,288.0,288.0,20.16,288.0,71
CDM,430712,SOL INTOCC .55ML,3383.0,3383.0,372.13,3383.0,57
CDM,430716,SUTURE UND BRD 2-0 27IN,132.0,132.0,9.24,132.0,71
CDM,430756,NAIL BN FEM 10MM 380MM,37113.0,37113.0,4082.43,37113.0,57
CDM,430797,DRILL BIT 2.5MMX127MM,1599.0,1599.0,111.93,1599.0,71
CDM,430817,ACL DISPOSABLE PACK BTB,7508.0,7508.0,525.56,7508.0,71
CDM,430830,PCMKR 46.6X50.8X7.4MM,73351.0,73351.0,8068.61,73351.0,57
CDM,430831,PCMKR SNGL 7.4 50.8X42.6,62872.0,62872.0,6915.92,62872.0,57
CDM,430832,KWIRE FX 2 .062IN 4IN,269.0,269.0,18.83,269.0,71
CDM,430844,CATH THOR 36FR RT ANG,690.0,690.0,48.3,690.0,71
CDM,430873,SET TUBING IRRIGATION,1087.0,1087.0,76.09,1087.0,71
CDM,430885,DRIVER EZ-IO 9058,6744.0,6744.0,472.08,6744.0,71
CDM,430895,SHELL ACTB HIP SZ 2 46MM,23220.0,23220.0,2554.2,23220.0,57
CDM,430896,PROBE KIT 17G 20MM,50618.0,50618.0,3543.26,50618.0,71
CDM,430910,MESH CRNFCL MED 15/17MM,37019.0,37019.0,4072.09,37019.0,57
CDM,430920,STENT URET 8FR 24CM,2014.0,2014.0,221.54,2014.0,57
CDM,430921,STENT URET 8FR 28CM,2014.0,2014.0,221.54,2014.0,57
CDM,430936,INSERT TIB KN 2.5 20MM,36491.0,36491.0,4014.01,36491.0,57
CDM,430938,STEM FEM HIP COLR 97MM,49020.0,49020.0,5392.2,49020.0,57
CDM,430942,STEM FEM HIP 12/14 SZ8,49020.0,49020.0,5392.2,49020.0,57
CDM,430943,STEM FEM HIP SZ9 113MM,49020.0,49020.0,5392.2,49020.0,57
CDM,430953,STEM FEM HIP 12/14MM SZ8,49020.0,49020.0,5392.2,49020.0,57
CDM,430955,STEM FEM HIP SZ9,49020.0,49020.0,5392.2,49020.0,57
CDM,430956,STEM FEM HIP SZ10,51600.0,51600.0,5676.0,51600.0,57
CDM,430981,INTRO VASC 18G 23CM 60CM,2174.0,2174.0,152.18,2174.0,71
CDM,430997,PLATE BN STRNL 10H,19590.0,19590.0,2154.9,19590.0,57
CDM,431009,SCREW BN 4X4MM 14MM,2569.0,2569.0,282.59,2569.0,57
CDM,431045,PROBE RF DISP 17G 15MM,50618.0,50618.0,3543.26,50618.0,71
CDM,431046,PROBE RF ABLAT 17GA 15MM,64710.0,64710.0,4529.7,64710.0,71
CDM,431048,SCR BN 4.5X20MM 3.5HX HD,1233.0,1233.0,135.63,1233.0,57
CDM,431113,GEN NRSTM 45X32X6.9MM,436779.0,436779.0,48045.69,436779.0,57
CDM,431188,CATH URTH 2W 24FR 30CC,920.0,920.0,64.4,920.0,71
CDM,431205,SCREW BN 3.0MM 24MM,5138.0,5138.0,565.18,5138.0,57
CDM,431234,SHEATH GD 6FR 45CM,2896.0,2896.0,202.72,2896.0,71
CDM,431264,PLATE BN 2HL 3.5MM 33MM,4109.0,4109.0,451.99,4109.0,57
CDM,431266,BLADE SAW GIGLI,2774.0,2774.0,194.18,2774.0,71
CDM,431274,PLATE BN 3HL 3.5X46MM,4262.0,4262.0,468.82,4262.0,57
CDM,431284,PLATE BN 4HL 3.5MM 59MM,4415.0,4415.0,485.65,4415.0,57
CDM,431294,PLATE BN 98X11X3.4MM,5539.0,5539.0,609.29,5539.0,57
CDM,431304,PLATE BN 3.5MM 150MM,5628.0,5628.0,619.08,5628.0,57
CDM,431314,PLATE BN 13H 3.5MM 176MM,8104.0,8104.0,891.44,8104.0,57
CDM,431324,PLATE BN 3.5MM 202MM,10932.0,10932.0,1202.52,10932.0,57
CDM,431505,SUTURE GRN BRD 4-0 24IN,318.0,318.0,22.26,318.0,71
CDM,431561,BURR SURG 48MM 6.5MM,940.0,940.0,65.8,940.0,71
CDM,431619,NAIL BN 12MM 200MM,38020.0,38020.0,4182.2,38020.0,57
CDM,431770,PLATE BN LAT RT 5HL,19770.0,19770.0,2174.7,19770.0,57
CDM,431810,HEAD FEM HIP 2.5MM 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,431835,DEVICE CLS WND +3-0 30CM,1346.0,1346.0,94.22,1346.0,71
CDM,432052,SCREW BN LCK 3.5X16.0MM,2011.0,2011.0,221.21,2011.0,57
CDM,432059,SCREW BN 4.5MM 85MM,1055.0,1055.0,116.05,1055.0,57
CDM,432115,BLDE SHVR 180X2.9MM SKMR,11433.0,11433.0,800.31,11433.0,71
CDM,432175,CURETTE VAC 8MM CRV,224.0,224.0,15.68,224.0,71
CDM,432180,KIT BN PRP INJ,31483.0,31483.0,2203.81,31483.0,71
CDM,432236,SCREW BN 5MM 75MM,2466.0,2466.0,271.26,2466.0,57
CDM,432281,RELOAD STPLR 45MM,2616.0,2616.0,287.76,2616.0,57
CDM,432288,STOPCOCK IV 3W 2 F DISP,415.0,415.0,29.05,415.0,71
CDM,432309,PROSTHESIS PENL TTN 11CM,169299.0,169299.0,18622.89,169299.0,57
CDM,432354,PLATE BN 10HL 4.5MM 19MM,27974.0,27974.0,3077.14,27974.0,57
CDM,432397,PUMP ELAS 270ML FLW RATE,641.0,641.0,44.87,641.0,71
CDM,432401,KWIRE FX 310MM 1.8MM,3206.0,3206.0,224.42,3206.0,71
CDM,432408,BASEPLATE SHLDR 25MM 35D,51600.0,51600.0,5676.0,51600.0,57
CDM,432418,BURR SURG 10.0MM 1.0MM,1113.0,1113.0,77.91,1113.0,71
CDM,432457,SCREW BN 2.7MM 26MM,864.0,864.0,95.04,864.0,57
CDM,432460,SCREW BN HEADED 3MM 14MM,3083.0,3083.0,339.13,3083.0,57
CDM,432461,SCREW SPN 4.5MM 15MM,1899.0,1899.0,208.89,1899.0,57
CDM,432474,STEM FEM HIP SZ7 133MM,36120.0,36120.0,3973.2,36120.0,57
CDM,432525,PIN FIX TEMP SPN,1599.0,1599.0,111.93,1599.0,71
CDM,432528,SCREW EXFX HIP 80X4X3MM,3518.0,3518.0,246.26,3518.0,71
CDM,432563,KWIRE FX 150MM 2MM,817.0,817.0,57.19,817.0,71
CDM,432566,KWIRE FX 285MM 2.5MM,605.0,605.0,42.35,605.0,71
CDM,432568,KWIRE FX 150MM 2MM,512.0,512.0,35.84,512.0,71
CDM,432570,SUTURE FIBERWIRE 38IN,5882.0,5882.0,647.02,5882.0,57
CDM,432588,HEMOSAT ABS 2X4IN,3051.0,3051.0,213.57,3051.0,71
CDM,432596,SCREW BN 5MM 42MM,4427.0,4427.0,486.97,4427.0,57
CDM,432606,DISTRACTOR 15MM SURG,5623.0,5623.0,393.61,5623.0,71
CDM,432610,GUIDE ORTH HEX 27MM,1827.0,1827.0,127.89,1827.0,71
CDM,432619,CATH THOR RT ANG 32FR,720.0,720.0,50.4,720.0,71
CDM,432649,COIL EMBL 8CM 8-4MM TRND,1732.0,1732.0,190.52,1732.0,57
CDM,432682,BIT DRILL 80MM .8MM 5MM,4828.0,4828.0,337.96,4828.0,71
CDM,432689,SHELL ACTB HIP 3 H 50MM,25800.0,25800.0,2838.0,25800.0,57
CDM,432724,SCREW BN 2.4X8MM,784.0,784.0,86.24,784.0,57
CDM,432734,SCREW BN 2.4MM 10MM,822.0,822.0,90.42,822.0,57
CDM,432744,SCREW BN 2.4MM 28MM,1018.0,1018.0,111.98,1018.0,57
CDM,432754,SCREW BN 2.4MM 32MM,755.0,755.0,83.05,755.0,57
CDM,432764,SCREW BN 2.4MM 36MM,755.0,755.0,83.05,755.0,57
CDM,432774,SCREW BN 2.4MM 38MM,755.0,755.0,83.05,755.0,57
CDM,432828,INSERT TIB MED UNV 14MM,67655.0,67655.0,7442.05,67655.0,57
CDM,432853,PLATE BN TI MTP LT,44841.0,44841.0,4932.51,44841.0,57
CDM,432854,PLATE BN 4.5MM 170MM,27437.0,27437.0,3018.07,27437.0,57
CDM,432888,BLADE SAW NARROW,5623.0,5623.0,393.61,5623.0,71
CDM,432914,SCREW BN 3.5X2.9X55MM,1832.0,1832.0,201.52,1832.0,57
CDM,432924,PLATE BN 10HL 4.5X242MM,30760.0,30760.0,3383.6,30760.0,57
CDM,432947,PLATE BN MDFC 16H .8X1.7,6913.0,6913.0,760.43,6913.0,57
CDM,433140,IMPLANT BREAST 235CC,15413.0,15413.0,1695.43,15413.0,57
CDM,433141,STEM HUM MED 116X10.5,103120.0,103120.0,11343.2,103120.0,57
CDM,433154,SYSTEM NEG PRSS PLS 90CM,7293.0,7293.0,510.51,7293.0,71
CDM,433165,BIT DRILL 1.5MM 7.0MM,5784.0,5784.0,404.88,5784.0,71
CDM,433167,BIT DRILL 1.5MM 7.0MM,5623.0,5623.0,393.61,5623.0,71
CDM,433173,SCREW BN 4MM 14MM,864.0,864.0,95.04,864.0,57
CDM,433179,SCREW BN 3.5MM 14MM,815.0,815.0,89.65,815.0,57
CDM,433197,INTRO SHTH 7FR 25CM,1599.0,1599.0,111.93,1599.0,71
CDM,433199,TUBE JJNSTM 4.5CM 14FR,5482.0,5482.0,383.74,5482.0,71
CDM,433200,TUBE NG JJN 14FR 5ML,5482.0,5482.0,383.74,5482.0,71
CDM,433278,INTRO SHEATH 24FR 33CM,11433.0,11433.0,800.31,11433.0,71
CDM,433300,SCREW BN 4MM 16MM,1747.0,1747.0,192.17,1747.0,57
CDM,433303,SCREW BN 3.5MM 2.5MM,1747.0,1747.0,192.17,1747.0,57
CDM,433306,CATH ANGIO 4FR 100CM,895.0,895.0,62.65,895.0,71
CDM,433312,TUBING IRR IPC LOPRO,3978.0,3978.0,278.46,3978.0,71
CDM,433348,INSERT ARTC 10-12 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,433349,BASEPLATE TIB KN 5D SZ G,20640.0,20640.0,2270.4,20640.0,57
CDM,433350,COMPNT FEM KN SZ12,41280.0,41280.0,4540.8,41280.0,57
CDM,433368,PLATE BN VAR 103MM 8 HL,11305.0,11305.0,1243.55,11305.0,57
CDM,433369,PLATE BN 9HL 115MM,11305.0,11305.0,1243.55,11305.0,57
CDM,433386,CATH ANGIO 4FR 40CM,985.0,985.0,68.95,985.0,71
CDM,433409,PLATE BN 6H 117MM 3.5MM,29736.0,29736.0,3270.96,29736.0,57
CDM,433423,LEAD NRSTM 5-6-5 90CM,112179.0,112179.0,12339.69,112179.0,57
CDM,433432,INTR SHTH PED 3.3FR5CM,5715.0,5715.0,400.05,5715.0,71
CDM,433442,RING EX FIX 160MM,21873.0,21873.0,1531.11,21873.0,71
CDM,433471,SCREW BN 3.5MM 42MM,1766.0,1766.0,194.26,1766.0,57
CDM,433495,PCMKR CRD 47X50X6MM,74754.0,74754.0,8222.94,74754.0,57
CDM,433544,GLENOID UNV SHLDR SZLG,64501.0,64501.0,7095.11,64501.0,57
CDM,433586,STEM FEM HIP 160MM 18MM,41280.0,41280.0,4540.8,41280.0,57
CDM,433588,COIL EMBL 3.5MM 8CM,47763.0,47763.0,5253.93,47763.0,57
CDM,433601,SCREW SPN 4.35X45MM,10275.0,10275.0,1130.25,10275.0,57
CDM,433633,PROBE ABL 30CM,67495.0,67495.0,4724.65,67495.0,71
CDM,433634,ANTENNA ABL 20CM,61863.0,61863.0,4330.41,61863.0,71
CDM,433635,DEVICE FACIAL CLOSURE,2136.0,2136.0,149.52,2136.0,71
CDM,433638,SCREW BN 4MM 40MM,1028.0,1028.0,113.08,1028.0,57
CDM,433646,STEM FEM HIP 30MM,38700.0,38700.0,4257.0,38700.0,57
CDM,433656,SROM STM STD30NK8X12X1,45029.0,45029.0,4953.19,45029.0,57
CDM,433804,SCREW BN 2.7MM 34MM,864.0,864.0,95.04,864.0,57
CDM,433845,PLATE BN CMF 4X6HL 0.8MM,5810.0,5810.0,639.1,5810.0,57
CDM,433847,SUTURE PASSER REACH,5623.0,5623.0,393.61,5623.0,71
CDM,433853,SCREW BN 2.7MM 20MM,1326.0,1326.0,145.86,1326.0,57
CDM,433862,SCREW BN EMG 2.3X8MM,1870.0,1870.0,205.7,1870.0,57
CDM,433905,IMPLANT BREAST 495CC,27229.0,27229.0,2995.19,27229.0,57
CDM,433921,ROD SPN 5.5MM 300MM,4556.0,4556.0,501.16,4556.0,57
CDM,433935,INTRO SUPRPUB 12FR 17CM,4528.0,4528.0,316.96,4528.0,71
CDM,433989,KWIRE FX 1.4MM 100MM,1622.0,1622.0,113.54,1622.0,71
CDM,433998,SCREW BN HEADED 3MM 12MM,3083.0,3083.0,339.13,3083.0,57
CDM,434085,PACKING NSL 5CM 1CM 2CM,1119.0,1119.0,78.33,1119.0,71
CDM,434107,IMPLANT BREAST 520CC,27229.0,27229.0,2995.19,27229.0,57
CDM,434117,WEDGE KN LLRM LT 5-6 5MM,21585.0,21585.0,2374.35,21585.0,57
CDM,434119,WEDGE TIB KN SZ5-6 5MM,21585.0,21585.0,2374.35,21585.0,57
CDM,434160,SCREW BN 3.5MM 34MM,1839.0,1839.0,202.29,1839.0,57
CDM,434212,PLATE BN TIB 3.5X117MM,29736.0,29736.0,3270.96,29736.0,57
CDM,434302,CUP HUM SHLDR REV 36MM,64501.0,64501.0,7095.11,64501.0,57
CDM,434307,GUIDEWIRE VASC 18CM .012,704.0,704.0,49.28,704.0,71
CDM,434319,SUTURE POLY SZ 0 36IN,1599.0,1599.0,111.93,1599.0,71
CDM,434339,SCREW BN 5X12MM,5287.0,5287.0,581.57,5287.0,57
CDM,434340,SCREW BN 5X14MM,5287.0,5287.0,581.57,5287.0,57
CDM,434341,SCREW BN 5MM 16MM,5287.0,5287.0,581.57,5287.0,57
CDM,434375,TUBE IRRIG RIO SYSTEM,3467.0,3467.0,242.69,3467.0,71
CDM,434376,SCREW SPN 4.0MM 15MM,1899.0,1899.0,208.89,1899.0,57
CDM,434377,SCREW SPN 4MM 13MM,1899.0,1899.0,208.89,1899.0,57
CDM,434395,NAIL BN 10MM 150MM,38020.0,38020.0,4182.2,38020.0,57
CDM,434422,CUP HUM SHLDR 39MM +2MM,64501.0,64501.0,7095.11,64501.0,57
CDM,434446,DRILL TWIST 115MM 1.9MM,5248.0,5248.0,367.36,5248.0,71
CDM,434450,CATH EP MD 2-5-2X110 6FR,6287.0,6287.0,440.09,6287.0,71
CDM,434474,PASSER SUTURE 2.3MM,5623.0,5623.0,393.61,5623.0,71
CDM,434477,INSERT TIB MD UNV 31MM,65396.0,65396.0,7193.56,65396.0,57
CDM,434483,SCREW BN LCK 15MM,1955.0,1955.0,215.05,1955.0,57
CDM,434484,SCREW BN LCK 20MM,1955.0,1955.0,215.05,1955.0,57
CDM,434526,HEAD FEM HIP 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,434539,SCREW BN 6.5MM 40MM,1480.0,1480.0,162.8,1480.0,57
CDM,434544,STEM SHLDR SZ14 108MM,116016.0,116016.0,12761.76,116016.0,57
CDM,434587,LINER HUM RVRS SMR 36MM,19737.0,19737.0,2171.07,19737.0,57
CDM,434589,STEM SHLDR 80MM 14MM,21569.0,21569.0,2372.59,21569.0,57
CDM,434639,SCREW BN 2.7MM 28MM,1572.0,1572.0,172.92,1572.0,57
CDM,434693,ADAPTER CRDPLG Y .25IN,449.0,449.0,31.43,449.0,71
CDM,434731,BURR SURG RND 3MM,5727.0,5727.0,400.89,5727.0,71
CDM,434740,NEEDLE BIOPSY FINE 25GA,8895.0,8895.0,622.65,8895.0,71
CDM,434745,BLADE BN SGTL SAW NAR,5623.0,5623.0,393.61,5623.0,71
CDM,434746,BLADE BN SAW STD,5623.0,5623.0,393.61,5623.0,71
CDM,434776,KWIRE FX 1 .035IN 9IN,803.0,803.0,56.21,803.0,71
CDM,434792,HEAD RADL ELB 26MM,26445.0,26445.0,2908.95,26445.0,57
CDM,434866,FORCEPS BIP 1MM 8IN,7888.0,7888.0,552.16,7888.0,71
CDM,434923,DETACHER COIL INSTNT,1702.0,1702.0,119.14,1702.0,71
CDM,434929,CATH DLYS 10FR 15CM ST,8687.0,8687.0,608.09,8687.0,71
CDM,434931,KIT UT ABL DEV CTRL ENDO,17250.0,17250.0,1207.5,17250.0,71
CDM,434941,DEVICE CLS WND +2-0 30CM,1346.0,1346.0,94.22,1346.0,71
CDM,434942,DEVICE CLS WND +2-0 15CM,1569.0,1569.0,109.83,1569.0,71
CDM,434943,STEM FEM HIP 12MM 115MM,55209.0,55209.0,6072.99,55209.0,57
CDM,434944,LINER ACTB HIP 66MM 40MM,17157.0,17157.0,1887.27,17157.0,57
CDM,434945,CORD SILCNE RETRCT 10PK,320.0,320.0,22.4,320.0,71
CDM,434947,CUP HUM SHLDR LT +2 36MM,64501.0,64501.0,7095.11,64501.0,57
CDM,434949,MODEL ANTM MXL ORBIT CLR,37416.0,37416.0,2619.12,37416.0,71
CDM,434950,SPLINT OTHGN INTRMD,16283.0,16283.0,1139.81,16283.0,71
CDM,435294,NEEDLE BIOPSY FINE 22GA,8895.0,8895.0,622.65,8895.0,71
CDM,435310,SCREW BN 2.7MM 16MM,1634.0,1634.0,179.74,1634.0,57
CDM,435311,PLATE STRNL LCK10HL1.8MM,12287.0,12287.0,1351.57,12287.0,57
CDM,435313,KIT INSRT PERC GDW 100CM,1949.0,1949.0,136.43,1949.0,71
CDM,435314,KIT INSRT PERC GDW 150CM,1949.0,1949.0,136.43,1949.0,71
CDM,435341,PLATE BN 3X3H 1.25MM,7606.0,7606.0,836.66,7606.0,57
CDM,435457,BASEPLATE TIB KN SZ3,33540.0,33540.0,3689.4,33540.0,57
CDM,435505,BASEPLATE TIB KN LT SZ2,64247.0,64247.0,7067.17,64247.0,57
CDM,435536,RELOAD STPLR 45MM,4632.0,4632.0,509.52,4632.0,57
CDM,435538,RELOAD STPLR 45MM,4771.0,4771.0,524.81,4771.0,57
CDM,435546,ELECTRODE ENDO 26FR,2230.0,2230.0,156.1,2230.0,71
CDM,435595,PIN STEIN 5/64 DMD,442.0,442.0,30.94,442.0,71
CDM,435774,IMPLANT BREAST 650CC,27229.0,27229.0,2995.19,27229.0,57
CDM,435814,NAIL HUM CANN 11MM 270MM,29917.0,29917.0,3290.87,29917.0,57
CDM,435842,STENT EPRSTH 5X8X19MM,56372.0,56372.0,6200.92,56372.0,57
CDM,435852,STENT EPRSTH 11X16X29MM,63742.0,63742.0,7011.62,63742.0,57
CDM,435853,STENT EPRSTH 11X16X39MM,60253.0,60253.0,6627.83,60253.0,57
CDM,435864,ELCTRD ESURG 12D.2IN 24F,2377.0,2377.0,166.39,2377.0,71
CDM,435868,SET ADM 30IN 20 GTT 5.9M,394.0,394.0,27.58,394.0,71
CDM,435870,SPIKE BG CLV VENT,181.0,181.0,12.67,181.0,71
CDM,435874,ANCHOR SUT 5.5MM 22MM,12495.0,12495.0,1374.45,12495.0,57
CDM,435889,NAIL BN 130D 10MM 38CM,35281.0,35281.0,3880.91,35281.0,57
CDM,435935,GWIRE VASC .018IN 300CM,3699.0,3699.0,258.93,3699.0,71
CDM,435942,PIN BN TEMP 4MM 100MM,2180.0,2180.0,152.6,2180.0,71
CDM,435961,STEM FEM HIP 6MM 97.5MM,47826.0,47826.0,5260.86,47826.0,57
CDM,435996,TRAY CATH 4FR P PICC,5865.0,5865.0,410.55,5865.0,71
CDM,435998,TRAY CATH 3FR P PICC,5706.0,5706.0,399.42,5706.0,71
CDM,436242,STENT COR 4.5MM 13MM,13444.0,13444.0,1478.84,13444.0,57
CDM,436260,PLATE MDFC 7HL .1MM,5484.0,5484.0,603.24,5484.0,57
CDM,436261,STENT NASAL RX,18495.0,18495.0,2034.45,18495.0,57
CDM,436272,STENT COR 5MM 13MM,13444.0,13444.0,1478.84,13444.0,57
CDM,436274,RETRACTOR SURG 7.5IN,6607.0,6607.0,462.49,6607.0,71
CDM,436305,KIT CATH CVC 2L 4F 8CM,2479.0,2479.0,173.53,2479.0,71
CDM,436307,LINER ACTB HIP G 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,436317,HEAD FEM COC +3.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,436370,ADAPTER CNRST INJ 3W,1599.0,1599.0,111.93,1599.0,71
CDM,436425,TUBE TRCHOSTMY 39X4.7MM,3294.0,3294.0,230.58,3294.0,71
CDM,436444,TUBE TRCHOSTMY 41X6X4,3238.0,3238.0,226.66,3238.0,71
CDM,436445,TUBE TRACH 3.5MM,6031.0,6031.0,422.17,6031.0,71
CDM,436470,TUBE CUSTOM TRACH PEDI,11517.0,11517.0,806.19,11517.0,71
CDM,436526,BARRIER AMNIOTIC 4X4CM,20069.0,20069.0,2207.59,20069.0,57
CDM,436558,PLATE BN 6HL 100D .6X8MM,4047.0,4047.0,445.17,4047.0,57
CDM,436570,IMPLANT BREAST 695CC,27229.0,27229.0,2995.19,27229.0,57
CDM,436576,PLATE BN 18HL 379MM,37997.0,37997.0,4179.67,37997.0,57
CDM,436610,TUBE TRCHOSTMY 40X5.3MM,3294.0,3294.0,230.58,3294.0,71
CDM,436619,HEAD FEM BLX D STRL,16770.0,16770.0,1844.7,16770.0,57
CDM,436623,SCREW BN 6.5MM 35MM,750.0,750.0,82.5,750.0,57
CDM,436636,CRT-P 59X46.5X11MM,129373.0,129373.0,14231.03,129373.0,57
CDM,436638,TUBE TRACH 2.5MM,6031.0,6031.0,422.17,6031.0,71
CDM,436639,TUBE TRACH 2.5MM 30MM,5623.0,5623.0,393.61,5623.0,71
CDM,436750,INSERT TIB KN SZ8 8MM,48401.0,48401.0,5324.11,48401.0,57
CDM,436763,PIN AXIS BOOM 2.5X55MM,5919.0,5919.0,651.09,5919.0,57
CDM,436843,HEAD BIP 44MM 22MM,11610.0,11610.0,1277.1,11610.0,57
CDM,436991,COIL EMBL 8CM 4MM,47763.0,47763.0,5253.93,47763.0,57
CDM,436994,PLUG OCL VO3 LF 9MM,32880.0,32880.0,3616.8,32880.0,57
CDM,437016,DRILL SURG 2.8MM,5715.0,5715.0,400.05,5715.0,71
CDM,437064,SCREW BN 5MM 28MM,2569.0,2569.0,282.59,2569.0,57
CDM,437067,CANNULA ART PRFSN 29FX40,1599.0,1599.0,111.93,1599.0,71
CDM,437078,BIT DRILL 2.8MM,7801.0,7801.0,546.07,7801.0,71
CDM,437080,INSERT ARTC KN 3-5 10MM,22319.0,22319.0,2455.09,22319.0,57
CDM,437087,SHEATH GD 63CM 10FR .038,3317.0,3317.0,232.19,3317.0,71
CDM,437092,CATH ANGIO 8F 45MM 110CM,20170.0,20170.0,1411.9,20170.0,71
CDM,437094,CATH ABL 108CM 7FR 6MM,20713.0,20713.0,1449.91,20713.0,71
CDM,437102,INSERT ARTC KN 6-9 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,437104,RETRIEIVER ENDO 4X30MM,113481.0,113481.0,7943.67,113481.0,71
CDM,437140,SCREW BN 3.5MM 20MM,4008.0,4008.0,440.88,4008.0,57
CDM,437146,INSERT TIB KN RT 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,437147,DRILL SURG CANN 7.5MM,7430.0,7430.0,520.1,7430.0,71
CDM,437195,PLATE BN XS 10HL RT,10789.0,10789.0,1186.79,10789.0,57
CDM,437196,CUP HUM SHLDR LT +2 39MM,64501.0,64501.0,7095.11,64501.0,57
CDM,437200,GWIRE ORTH 150MM 1.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,437358,SYSTEM GSTRC CLBRT 40FR,5623.0,5623.0,393.61,5623.0,71
CDM,437362,PLEDGET CV 4.8MM 9.5MM,750.0,750.0,82.5,750.0,57
CDM,437368,GUIDE PIN ORTH 1.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,437380,KIT SYNDSMS FXN #5 2.8MM,19235.0,19235.0,2115.85,19235.0,57
CDM,437384,SUTURE BLUE/WHT SINGLE,2208.0,2208.0,154.56,2208.0,71
CDM,437385,COIL EMBL 7-3MM 9CM,1732.0,1732.0,190.52,1732.0,57
CDM,437388,IPG RECHARGE 4.8CM 5.3CM,225913.0,225913.0,24850.43,225913.0,57
CDM,437390,CABLE LEAD TRAIL MULTI,3288.0,3288.0,230.16,3288.0,71
CDM,437391,TUBE ENDBR 65CM 5FR CATH,6410.0,6410.0,448.7,6410.0,71
CDM,437394,BLADE SAW STGL MD 31X9MM,1599.0,1599.0,111.93,1599.0,71
CDM,437399,MANIFOLD ANGIO 12 ML,458.0,458.0,32.06,458.0,71
CDM,437400,CLAMP SURG VSCST2+ 45D M,1874.0,1874.0,131.18,1874.0,71
CDM,437405,CANNULA BIOLNE COATD 23F,10243.0,10243.0,717.01,10243.0,71
CDM,437406,CANNULA ART 21FR 3/8IN,9945.0,9945.0,696.15,9945.0,71
CDM,437407,CANNULA ART 17FR 3/8IN,7279.0,7279.0,509.53,7279.0,71
CDM,437408,CANNULA ART 21FR 3/8IN,7279.0,7279.0,509.53,7279.0,71
CDM,437409,KIT ANGIO HAND CONTROL,1599.0,1599.0,111.93,1599.0,71
CDM,437416,CATH INFS 27FR 3/8IN,38940.0,38940.0,2725.8,38940.0,71
CDM,437429,GUIDE NDL 18GA 58X4IN 3D,10859.0,10859.0,760.13,10859.0,71
CDM,437436,KIT SURG SPR ACC STRL LF,27590.0,27590.0,1931.3,27590.0,71
CDM,437449,DEVICE LVAD OUTFLOW GRFT,104352.0,104352.0,11478.72,104352.0,57
CDM,437450,PIN FX 1/8IN DIAMOND,860.0,860.0,60.2,860.0,71
CDM,437451,DISTRACTOR ARM 20MM,114136.0,114136.0,12554.96,114136.0,57
CDM,437452,RETAINER NOSTRIL SZ 12,5623.0,5623.0,393.61,5623.0,71
CDM,437472,PROBE 2.3BALL 1.9X130MM,3936.0,3936.0,275.52,3936.0,71
CDM,437526,TIP IRR LAV DISP,548.0,548.0,38.36,548.0,71
CDM,437626,GWIRE ORTH 5.91X.078IN,1599.0,1599.0,111.93,1599.0,71
CDM,437642,POUCH FOR SMARTEZ PUMPS,170.0,170.0,11.9,170.0,71
CDM,437679,SCREW INTFR BCMPS 15X5.5,11899.0,11899.0,1308.89,11899.0,57
CDM,437692,KWIRE FX 285MM 2MM,605.0,605.0,42.35,605.0,71
CDM,437726,ANCHOR SUT TENDONS,18495.0,18495.0,2034.45,18495.0,57
CDM,437733,PLEDGET CV 9.5X8.4X1.5MM,235.0,235.0,16.45,235.0,71
CDM,437738,TUBE VNT EAR 2.75X1.27,750.0,750.0,82.5,750.0,57
CDM,437742,SCREW BN 3.5MM 42MM,3083.0,3083.0,339.13,3083.0,57
CDM,437761,INSERT TIB KN SZ7 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,437793,GWIRE ORTH .062IN 5MM,1612.0,1612.0,112.84,1612.0,71
CDM,437797,TUBING PRSS MNTR 72IN,217.0,217.0,15.19,217.0,71
CDM,437803,CATH VASC 19F 1CM 23CM,7279.0,7279.0,509.53,7279.0,71
CDM,437807,TUBING PRSS MNTR 6IN,479.0,479.0,33.53,479.0,71
CDM,437808,CATH VASC 25F20CM 55CM,10243.0,10243.0,717.01,10243.0,71
CDM,437812,SOL DLYST 140 MEQ NA,544.0,544.0,38.08,544.0,67
CDM,437817,CANNULA VEN 29FR 55CM,9945.0,9945.0,696.15,9945.0,71
CDM,437837,DEVICE SUT PASS UP 70D,6714.0,6714.0,469.98,6714.0,71
CDM,437843,CMPNT TIB TRAY ML63XAP41,45947.0,45947.0,5054.17,45947.0,57
CDM,437846,PIN FX 15MM 1.1MM,2999.0,2999.0,209.93,2999.0,71
CDM,437849,STAPLE BN 18X18X18MM,22971.0,22971.0,2526.81,22971.0,57
CDM,437858,APPLIER CLP LOAD LG,2045.0,2045.0,224.95,2045.0,57
CDM,437860,APPLIER CLP PRLD 11IN,1599.0,1599.0,175.89,1599.0,57
CDM,437872,COIL EMBL 14CM 12MM,1732.0,1732.0,190.52,1732.0,57
CDM,437873,COIL EMBL 14CM 10MM,2378.0,2378.0,261.58,2378.0,57
CDM,437875,COIL EMBL 14CM 6MM,2222.0,2222.0,244.42,2222.0,57
CDM,437878,BOLT BN FEM ALLOY 80MM,8138.0,8138.0,895.18,8138.0,57
CDM,437950,GWIRE VASC .01IN 200CM,11433.0,11433.0,800.31,11433.0,71
CDM,437951,GWIRE VASC 205CM .014IN,11433.0,11433.0,800.31,11433.0,71
CDM,438093,SCREW BN 2MM 12MM,1660.0,1660.0,182.6,1660.0,57
CDM,438114,STEM FEM HIP STD SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,438115,STEM FEM HIP 12/14 SZ7,49020.0,49020.0,5392.2,49020.0,57
CDM,438142,STEM FEM KN 16X155MM,18420.0,18420.0,2026.2,18420.0,57
CDM,438180,BODY BRCHD 175MM 13MM,118871.0,118871.0,13075.81,118871.0,57
CDM,438200,SYSTEM GSTRC CLBRT 32FR,5623.0,5623.0,393.61,5623.0,71
CDM,438234,NEEDLE BX 2 FLX 19GA 2MM,5898.0,5898.0,412.86,5898.0,71
CDM,438283,SCREW BN 3.5MM 48MM,2569.0,2569.0,282.59,2569.0,57
CDM,438359,KNIFE OPTH 3MM,627.0,627.0,43.89,627.0,71
CDM,438368,SCREW SPN 4MM 15MM,1899.0,1899.0,208.89,1899.0,57
CDM,438402,WEDGE KN AUG SZ E 5MM,15883.0,15883.0,1747.13,15883.0,57
CDM,438414,SPHERE SHLDR REV 36MM,43812.0,43812.0,4819.32,43812.0,57
CDM,438417,SCREW BN 5MM 26MM,1542.0,1542.0,169.62,1542.0,57
CDM,438418,SCREW BN 18MM 5MM,1542.0,1542.0,169.62,1542.0,57
CDM,438419,SCREW BN 14MM 5MM,1935.0,1935.0,212.85,1935.0,57
CDM,438432,BLOCK AUG KN SZE 10MM,15883.0,15883.0,1747.13,15883.0,57
CDM,438473,RELOAD STPLR 45MM,2616.0,2616.0,287.76,2616.0,57
CDM,438474,SCREW BN 5MM 38MM,2193.0,2193.0,241.23,2193.0,57
CDM,438476,SCREW BSPLT 6.5X30MM,7740.0,7740.0,851.4,7740.0,57
CDM,438477,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",5438.0,5438.0,360.93,974.88,42
CDM,438477,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each Other Outpatient",5438.0,5438.0,390.69,390.69,6
CDM,438477,DROP LOCK HIP JOINT,5438.0,5438.0,380.66,5438.0,57
CDM,438480,SCREW BN 2.7MM 20MM,1451.0,1451.0,159.61,1451.0,57
CDM,438519,ROD SPN LORD 5.5MM 35MM,4556.0,4556.0,501.16,4556.0,57
CDM,438554,APPLIER CLP PRLD 11IN,1599.0,1599.0,175.89,1599.0,57
CDM,438620,BEARING HUM SHLDR 36MM,45754.0,45754.0,5032.94,45754.0,57
CDM,438630,KWIRE FX 2 .045IN 9IN,403.0,403.0,28.21,403.0,71
CDM,438631,MODEL VSP OPS SKULL,50941.0,50941.0,3565.87,50941.0,71
CDM,438641,TUBE TRACH IC 7.5MM79MM,2427.0,2427.0,169.89,2427.0,71
CDM,438646,TUBE TRACH IC 9.0MM,1599.0,1599.0,111.93,1599.0,71
CDM,438649,TUBE TRACH NEO 4.5X36MM,1599.0,1599.0,111.93,1599.0,71
CDM,438653,INSERT H10MM SZGRN E-F,33199.0,33199.0,3651.89,33199.0,57
CDM,438661,DISTRACTOR ARM ACT 33MM,19306.0,19306.0,2123.66,19306.0,57
CDM,438663,INSERT ARTC E-F/5-6 12MM,41466.0,41466.0,4561.26,41466.0,57
CDM,438665,SCREW BN 5MM 42.5MM,2466.0,2466.0,271.26,2466.0,57
CDM,438679,BIT DRILL DISP 2.5X45MM,4074.0,4074.0,285.18,4074.0,71
CDM,438680,STEM FEM KN 10MM 60MM,25515.0,25515.0,2806.65,25515.0,57
CDM,438682,DISTRACTOR SUR 16HL 20MM,150713.0,150713.0,16578.43,150713.0,57
CDM,438683,INSERT ARTC KN 74X46X17,33199.0,33199.0,3651.89,33199.0,57
CDM,438688,SCREW SPNL 3.5MM 30MM,12655.0,12655.0,1392.05,12655.0,57
CDM,438702,GLOVE CMPR LT MED,303.0,303.0,21.21,303.0,71
CDM,438726,GWIRE .018IN 50CM 2MM,1607.0,1607.0,112.49,1607.0,71
CDM,438735,SYS ATF APHER THRP PLSM,5623.0,5623.0,393.61,5623.0,71
CDM,438780,CURETTE DERMAL DISP 4MM,135.0,135.0,9.45,135.0,71
CDM,438781,PADDING CAST 4YD X 4IN,91.0,91.0,6.37,91.0,71
CDM,438794,CAP CNSTR TRAC TBG SCR,89.0,89.0,6.23,89.0,71
CDM,438860,TOOL DSCT 26CM 3MM,4142.0,4142.0,289.94,4142.0,71
CDM,438862,NEEDLE SUT 8 2.008IN,305.0,305.0,21.35,305.0,71
CDM,438865,TUBING HIGH PRESURE 48IN,301.0,301.0,21.07,301.0,71
CDM,438878,DRSG LYOFMC 4X4 ADH BRDR,196.0,196.0,13.72,196.0,71
CDM,438879,RTRGD SET INTBT 70CM 3MM,5623.0,5623.0,393.61,5623.0,71
CDM,438896,SYS DRAIN BAG 500ML,1599.0,1599.0,111.93,1599.0,71
CDM,438898,KNIFE OPTH 15 DEGREE,638.0,638.0,44.66,638.0,71
CDM,438900,GLOVE CMPR RT MED,295.0,295.0,20.65,295.0,71
CDM,438901,SLEEVE COMP FNGR XL,2964.0,2964.0,207.48,2964.0,71
CDM,438902,SLEEVE CMPR FNGR MED,2964.0,2964.0,207.48,2964.0,71
CDM,438906,ELECTRODE ESURG NDL 16MM,1599.0,1599.0,111.93,1599.0,71
CDM,438935,NEEDLE BX 18GA 15CM,326.0,326.0,22.82,326.0,71
CDM,438939,TUBE CONN 30CM,681.0,681.0,47.67,681.0,71
CDM,438941,SENSOR MNTR LEAD 40IN,254.0,254.0,17.78,254.0,71
CDM,438944,SUMP INTRCRD 12FR 12IN,646.0,646.0,45.22,646.0,71
CDM,438945,TOURNIQT VASC SNR 5.5IN,327.0,327.0,22.89,327.0,71
CDM,438948,CEMENT PRESSURE FEM,786.0,786.0,55.02,786.0,71
CDM,438951,OBT CUSCP 17FR ELT2 SS,7407.0,7407.0,518.49,7407.0,71
CDM,438952,FCP FB 10FR 332S10,7544.0,7544.0,528.08,7544.0,71
CDM,438955,PROBE ULTRASONIC 27093LL,10790.0,10790.0,755.3,10790.0,71
CDM,438960,TROC ARTH 4.5X4.5 OP CAN,3013.0,3013.0,210.91,3013.0,71
CDM,438966,BLADE SHVR 27CM 4MM TRCT,11005.0,11005.0,770.35,11005.0,71
CDM,438969,BLADE SAW 27X6.4X.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,438971,FORCEPS BX DISP 2MM,1599.0,1599.0,111.93,1599.0,71
CDM,438974,FORCEPS BIPOLAR 5MM,1599.0,1599.0,111.93,1599.0,71
CDM,438975,SITE INJ IV ADPT,55.0,55.0,3.85,55.0,71
CDM,438982,BLD SW 12MM TPS ELT,1548.0,1548.0,108.36,1548.0,71
CDM,438988,PROBE LCRML 0.7X0.8MM,819.0,819.0,57.33,819.0,71
CDM,438989,PROBE LCRML 0.9X1.1MM,930.0,930.0,65.1,930.0,71
CDM,438990,PROBE LCRML 1.3X1.4MM,819.0,819.0,57.33,819.0,71
CDM,438991,PROBE LCRML 1.5X1.6MM,938.0,938.0,65.66,938.0,71
CDM,438992,PROBE LCRML 1.8X1.9MM,938.0,938.0,65.66,938.0,71
CDM,438994,HOOK 6MM 6.5IN SKN RETR,1309.0,1309.0,91.63,1309.0,71
CDM,439000,PLATE RT ANG 75X10X1.2MM,2772.0,2772.0,304.92,2772.0,57
CDM,439001,BUR ROUND 2.5MM,954.0,954.0,66.78,954.0,71
CDM,439005,HEAD FEM FEM HD NS,6708.0,6708.0,737.88,6708.0,57
CDM,439034,INSTR BX 16GA 20CM,1599.0,1599.0,111.93,1599.0,71
CDM,439035,CANNULA PRFSN 15IN 16FR,1599.0,1599.0,111.93,1599.0,71
CDM,439036,CANNULA PRFSN 15IN 14FR,1599.0,1599.0,111.93,1599.0,71
CDM,439037,BIT DRIL 1MM 51MM,959.0,959.0,67.13,959.0,71
CDM,439038,CANNULA .75IN 27GA 45D,911.0,911.0,63.77,911.0,71
CDM,439039,BURR SURG 3MM 48MM,2158.0,2158.0,151.06,2158.0,71
CDM,439040,GLV CMPR FF OW 7-8 SM RT,295.0,295.0,20.65,295.0,71
CDM,439042,STOPCOCK 1 WAY,959.0,959.0,67.13,959.0,71
CDM,439045,SHTH ENDO 20CM ATRM OUTR,11433.0,11433.0,800.31,11433.0,71
CDM,439049,FIBER LASER 550UM,16841.0,16841.0,1178.87,16841.0,71
CDM,439058,CATH NPHSTM 8FR 26CM,2837.0,2837.0,198.59,2837.0,71
CDM,439062,BAND RTNL 120X2.5X.6MM,750.0,750.0,82.5,750.0,57
CDM,439097,MCTH INFS 20CM 150CM,6365.0,6365.0,445.55,6365.0,71
CDM,439106,KWIRE FX 1 .045IN 9IN,803.0,803.0,56.21,803.0,71
CDM,439117,SET HUBER PLUS 22X.05 LL,329.0,329.0,23.03,329.0,71
CDM,439118,KIT CATH EXP 1IN 3.25IN,2212.0,2212.0,154.84,2212.0,71
CDM,439119,ELECTRODE ESURG 3.5MM AW,2668.0,2668.0,186.76,2668.0,71
CDM,439121,SET TUBING Y CONN STRL,1225.0,1225.0,85.75,1225.0,71
CDM,439128,BIT DRILL 40X1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,439134,DEVICE STOMA OTW,260.0,260.0,18.2,260.0,71
CDM,439137,GLIDEWIRE .018 260CM ANG,3088.0,3088.0,216.16,3088.0,71
CDM,439138,ESURG 50D OD3MM TRSTR SC,2463.0,2463.0,172.41,2463.0,71
CDM,439149,TAP 1.5X8MM STRL SURG,6599.0,6599.0,461.93,6599.0,71
CDM,439150,WIRE CERCLAGE 10X1,1229.0,1229.0,135.19,1229.0,57
CDM,439157,SEALANT FIBRN PREFL 2ML,3888.0,3888.0,272.16,3888.0,71
CDM,439185,CANNULA SET 5.5MM,1121.0,1121.0,78.47,1121.0,71
CDM,439345,BIT DRILL DS 3.2MM 180MM,6305.0,6305.0,441.35,6305.0,71
CDM,439346,SCREW BN NONLCK 4.5X35MM,1727.0,1727.0,189.97,1727.0,57
CDM,439498,STEM FEM HIP 16MM 190MM,55728.0,55728.0,6130.08,55728.0,57
CDM,439514,FILLER BN VOID 1CC CANC,6165.0,6165.0,678.15,6165.0,57
CDM,439520,KWIRE FX SS .028X4IN,6615.0,6615.0,463.05,6615.0,71
CDM,439522,IMPLANT FX MNSCL REPAIR,29223.0,29223.0,3214.53,29223.0,57
CDM,439527,KWIRE FX 2 .035IN 9IN,403.0,403.0,28.21,403.0,71
CDM,439528,BEARING SZE 28X42MM,19350.0,19350.0,2128.5,19350.0,57
CDM,439547,BLADE SHVR OD4.5MM TOMCA,499.0,499.0,34.93,499.0,71
CDM,439565,DSTRCT BDY MNDB 25MM,88016.0,88016.0,9681.76,88016.0,57
CDM,439566,DTSTRACTOR PIN 2X250MM,5623.0,5623.0,393.61,5623.0,71
CDM,439578,STAPLER SKN W/35MM STAP,1599.0,1599.0,111.93,1599.0,71
CDM,439620,PIN BN KN CMPNTRESS,3033.0,3033.0,333.63,3033.0,57
CDM,439625,SCREW GUIDE 33MM,1827.0,1827.0,127.89,1827.0,71
CDM,439664,SCREW TEMP 3.5X33MM,2549.0,2549.0,178.43,2549.0,71
CDM,439665,WIRE CRLGE 175MM .5MM,750.0,750.0,82.5,750.0,57
CDM,439670,BIT DRILL CANN 2X145MM,9629.0,9629.0,674.03,9629.0,71
CDM,439685,SCREW SPN 5.5MM 45MM,11390.0,11390.0,1252.9,11390.0,57
CDM,439687,SLEEVE TIB KN PRCT 61MM,59653.0,59653.0,6561.83,59653.0,57
CDM,439690,LEAD PCNG 45CM,10057.0,10057.0,1106.27,10057.0,57
CDM,439692,LEAD PACNG 52CM,10057.0,10057.0,1106.27,10057.0,57
CDM,439694,LEAD PACING 59CM,10057.0,10057.0,1106.27,10057.0,57
CDM,439697,COIL EMBL 2.6CM 4-3MM TR,1732.0,1732.0,190.52,1732.0,57
CDM,439712,PIN SKULL DISP BLUE,761.0,761.0,53.27,761.0,71
CDM,439722,ALLOGRAFT MESH 10CM 15CM,113332.0,113332.0,12466.52,113332.0,57
CDM,439785,PLATE BN LT 4HL 109MM,18436.0,18436.0,2027.96,18436.0,57
CDM,439835,LEAD NRSTM 0.170IN 28CM,62252.0,62252.0,6847.72,62252.0,57
CDM,439853,SCREW BN CORT 6.5X15MM,1240.0,1240.0,136.4,1240.0,57
CDM,439860,STENT EPRSTH 10MM 5CM,109679.0,109679.0,12064.69,109679.0,57
CDM,439861,STEM FEM HIP CMNT LG,42570.0,42570.0,4682.7,42570.0,57
CDM,439863,SCREW BN HIP 6.5MM 20MM,1131.0,1131.0,124.41,1131.0,57
CDM,439873,SCREW BN 6.5MM 25MM,1131.0,1131.0,124.41,1131.0,57
CDM,439893,SCREW BN 6.5MM 35MM,1305.0,1305.0,143.55,1305.0,57
CDM,439909,COIL EMBL 8-4MM 9.5CM,1732.0,1732.0,190.52,1732.0,57
CDM,439913,SCREW BN 6.5MM 50MM,1284.0,1284.0,141.24,1284.0,57
CDM,439914,BIT DRILL DISP 2X110MM,4536.0,4536.0,317.52,4536.0,71
CDM,439915,BIT DRILL DISP 2.7MM 45M,3546.0,3546.0,248.22,3546.0,71
CDM,439916,BIT DRILL DISP 2.8MM 45M,4008.0,4008.0,280.56,4008.0,71
CDM,439932,INSERT HUM SHLDR 9X39MM,12900.0,12900.0,1419.0,12900.0,57
CDM,439963,LINER XLPE 0D 32X48,14913.0,14913.0,1640.43,14913.0,57
CDM,440525,SCREW BN 6.5X15MM,1476.0,1476.0,162.36,1476.0,57
CDM,440535,SCREW BN 6.5MM 20MM,1476.0,1476.0,162.36,1476.0,57
CDM,440545,SCREW BN 6.5MM 25MM,1476.0,1476.0,162.36,1476.0,57
CDM,440555,SCREW BN 6.5MM 30MM,1476.0,1476.0,162.36,1476.0,57
CDM,440585,SCREW BN 6.5X50MM,1553.0,1553.0,170.83,1553.0,57
CDM,440915,BURR SURG OVL 10.2X5.5MM,768.0,768.0,53.76,768.0,71
CDM,440954,SIZER BREAST 575CC,1599.0,1599.0,111.93,1599.0,71
CDM,441004,BANDAGE ADH DRY 4X3.6IN,18.0,18.0,1.26,18.0,71
CDM,441110,CONTERSNK 3.5/4.0MM,9432.0,9432.0,660.24,9432.0,71
CDM,441123,COIL EMBL 14CM 8MM,2222.0,2222.0,244.42,2222.0,57
CDM,441489,STEM FEM HIP 9MM,1419.0,1419.0,156.09,1419.0,57
CDM,441499,STEM FEM HIP CNTRLZ 10MM,2041.0,2041.0,224.51,2041.0,57
CDM,441509,STEM FEM HIP 11MM,1419.0,1419.0,156.09,1419.0,57
CDM,441529,CENTRALIZER HIP FEM 13MM,1419.0,1419.0,156.09,1419.0,57
CDM,441562,WASHER FRAG SMALL,750.0,750.0,82.5,750.0,57
CDM,441571,KIT ELECTRODE MAPPING,16156.0,16156.0,1130.92,16156.0,71
CDM,441584,BOLT EXFX HINGE MEDIUM,3320.0,3320.0,232.4,3320.0,71
CDM,441607,PLATE BN LNG 15HL RT,40967.0,40967.0,4506.37,40967.0,57
CDM,441624,GRAFT EVAS 12MM 12CM,84255.0,84255.0,9268.05,84255.0,57
CDM,441634,CMPNT PTLR KN 10MM 32MM,11094.0,11094.0,1220.34,11094.0,57
CDM,441658,WEDGE TIB KN SHRT 20MM,64501.0,64501.0,7095.11,64501.0,57
CDM,441693,SCREW SPN PAX 5.5X40MM,11390.0,11390.0,1252.9,11390.0,57
CDM,441709,STEM FEM HIP 13X170MM,70892.0,70892.0,7798.12,70892.0,57
CDM,441730,BEARING HIP 22.2MM 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,441731,LINER ACTB HIP SZB 36MM,32224.0,32224.0,3544.64,32224.0,57
CDM,441733,SCREW BN 1.2MM 9MM 7MM,4143.0,4143.0,455.73,4143.0,57
CDM,441759,HEAD FEMORAL VERSYS 22MM,9030.0,9030.0,993.3,9030.0,57
CDM,441784,CMPNT FEM KN RT SZ5,32250.0,32250.0,3547.5,32250.0,57
CDM,441788,SCRW DRVR HANDLE,7039.0,7039.0,492.73,7039.0,71
CDM,441840,SCREW SPN 4MM 17MM,2700.0,2700.0,297.0,2700.0,57
CDM,441841,SCREW SPN S/T 4MM 19MM,2700.0,2700.0,297.0,2700.0,57
CDM,441843,PLATE SPN 3LVL 66MM,24045.0,24045.0,2644.95,24045.0,57
CDM,441845,TUBE JJNSTN 18FR 45CM,6782.0,6782.0,474.74,6782.0,71
CDM,441852,HEAD FEM HIP +3.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,441878,SUTURE SS 2 18IN,5623.0,5623.0,393.61,5623.0,71
CDM,441888,SHEATH INTRO 20FR 65CM,13124.0,13124.0,918.68,13124.0,71
CDM,441949,PLATE BN 8H 4.5MM 195MM,33200.0,33200.0,3652.0,33200.0,57
CDM,441972,HEAD FEM HIP 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,442066,SCREW BN 7MM 90MM,15606.0,15606.0,1716.66,15606.0,57
CDM,442071,PLATE BN 4HL 1.8MM,9106.0,9106.0,1001.66,9106.0,57
CDM,442260,GRAFT EVAS 12MM 14CM,84255.0,84255.0,9268.05,84255.0,57
CDM,442299,TUBE GASTM 14FR,1335.0,1335.0,93.45,1335.0,71
CDM,442325,CMPNT FEM NAR KN RT SZ8,38700.0,38700.0,4257.0,38700.0,57
CDM,442327,NAIL BN FEM 9MM 380MM,29839.0,29839.0,3282.29,29839.0,57
CDM,442346,PLATE ARCHON 44MM 2 LVL,24045.0,24045.0,2644.95,24045.0,57
CDM,442431,SNARE RND 2.8MM 240MM,959.0,959.0,67.13,959.0,71
CDM,442513,OCCLUDER CV 25X18MM,217292.0,217292.0,23902.12,217292.0,57
CDM,442540,MODEL SLM ORBITAL RIM IP,30189.0,30189.0,2113.23,30189.0,71
CDM,442555,SCREW BN 3.5MM 65MM,864.0,864.0,95.04,864.0,57
CDM,442565,GJ TUBE LO 14F 1.2X30CM,10768.0,10768.0,753.76,10768.0,71
CDM,442579,SUTURE CP 0 TC T-26 48IN,1588.0,1588.0,111.16,1588.0,71
CDM,442580,DEVICE CLS WND +4-0 70CM,1321.0,1321.0,92.47,1321.0,71
CDM,442619,SCREW SPN 5.5MM 35MM,12655.0,12655.0,1392.05,12655.0,57
CDM,442663,SCREW LCK HEAD 2.5X16MM,3525.0,3525.0,387.75,3525.0,57
CDM,442667,SCREW N-LCK DST 3.5X16MM,1568.0,1568.0,172.48,1568.0,57
CDM,442801,SCREW BN 2.7X20MM,864.0,864.0,95.04,864.0,57
CDM,442804,SCREW BN 2.7MM 22MM,864.0,864.0,95.04,864.0,57
CDM,442805,SCREW BN 2.7MM 24MM,864.0,864.0,95.04,864.0,57
CDM,442844,STEM FEM KN 150MM 12MM,86183.0,86183.0,9480.13,86183.0,57
CDM,442873,TUBING LIPO ASP 12FT,1055.0,1055.0,73.85,1055.0,71
CDM,442904,PROBE FLUSH TIP NERV100M,2999.0,2999.0,209.93,2999.0,71
CDM,442924,SCREW BN 3.6X26MM,3872.0,3872.0,425.92,3872.0,57
CDM,442929,FORCEPS BIP 8IN,8916.0,8916.0,624.12,8916.0,71
CDM,442957,HEAD BIP 53MM 28MM,11610.0,11610.0,1277.1,11610.0,57
CDM,442987,SCREW BN 2.7MM 26MM,2569.0,2569.0,282.59,2569.0,57
CDM,442993,HEAD FEM 12/14 0X40MM,16770.0,16770.0,1844.7,16770.0,57
CDM,443024,MESH SURG HERNIA 12X16CM,10409.0,10409.0,1144.99,10409.0,57
CDM,443091,SCREW BN LAG 3.6MM 24MM,3872.0,3872.0,425.92,3872.0,57
CDM,443095,STEM FEM HIP SZ3 135D,49020.0,49020.0,5392.2,49020.0,57
CDM,443097,HEAD FEM 40MM +9MM,9030.0,9030.0,993.3,9030.0,57
CDM,443111,DEV BN BX KTPHN KRV,3748.0,3748.0,262.36,3748.0,71
CDM,443112,KIT BNCMNT 13GA,12014.0,12014.0,840.98,12014.0,71
CDM,443117,SCREW BN 4MM 26MM,4850.0,4850.0,533.5,4850.0,57
CDM,443118,SCREW BN LCK 3X10MM,5138.0,5138.0,565.18,5138.0,57
CDM,443150,GWIRE VASC .032IN 260CM,944.0,944.0,66.08,944.0,71
CDM,443177,IMPLANT BREAST 295CC,22503.0,22503.0,2475.33,22503.0,57
CDM,443178,IMPLANT BREAST 335CC,27229.0,27229.0,2995.19,27229.0,57
CDM,443180,IMPLANT BREAST 365CC,27229.0,27229.0,2995.19,27229.0,57
CDM,443181,IMPLANT BREAST 385CC,27229.0,27229.0,2995.19,27229.0,57
CDM,443182,PLATE OSTEOTOMY CHILD 90,8312.0,8312.0,914.32,8312.0,57
CDM,443230,SPACER SPN ACIS STND 7MM,20248.0,20248.0,2227.28,20248.0,57
CDM,443231,CMPNT FEM KN 7 LT,87166.0,87166.0,9588.26,87166.0,57
CDM,443232,AUGMENT FEM KN 4MM 7,19866.0,19866.0,2185.26,19866.0,57
CDM,443233,AUGMENT FEM KN 4MM 7,19866.0,19866.0,2185.26,19866.0,57
CDM,443234,INSERT TIB KN SZ7 12MM,39732.0,39732.0,4370.52,39732.0,57
CDM,443236,GWIRE VASC 300CM .014IN,6699.0,6699.0,468.93,6699.0,71
CDM,443237,BSPLT TIB SZ5 80MM M/L,74160.0,74160.0,8157.6,74160.0,57
CDM,443238,STEM FEM KN XTN 17X100MM,27049.0,27049.0,2975.39,27049.0,57
CDM,443241,COMPNT FEM HIP 60MM,61023.0,61023.0,6712.53,61023.0,57
CDM,443257,MODEL MAXILLA CMF CSTM,39179.0,39179.0,2742.53,39179.0,71
CDM,443354,KIT DRILL 3MM,5623.0,5623.0,393.61,5623.0,71
CDM,443355,KIT DRLBT TMPLT,1923.0,1923.0,134.61,1923.0,71
CDM,443414,IRRIGATOR SUC 8MM,6361.0,6361.0,445.27,6361.0,71
CDM,443428,CATH ANGI 100CM 4FR FLSH,1263.0,1263.0,88.41,1263.0,71
CDM,443453,CATHETER ABL 8FR 115CM,31483.0,31483.0,2203.81,31483.0,71
CDM,443454,MESH CIRCULAR 6IN,27463.0,27463.0,3020.93,27463.0,57
CDM,443518,KNIFE OPTN 3MM,1044.0,1044.0,73.08,1044.0,71
CDM,443532,CMPNT FEM 4 KN LT CMNT,41280.0,41280.0,4540.8,41280.0,57
CDM,443574,SYSTEM INTRO 7FR ECHO,1599.0,1599.0,111.93,1599.0,71
CDM,443575,CATH ANG CORDIS 538440,596.0,596.0,41.72,596.0,71
CDM,443578,COIL EMBL 3MM 8CM,21405.0,21405.0,2354.55,21405.0,57
CDM,443608,KIT ARTHSCP FX ARTHX SUT,43895.0,43895.0,4828.45,43895.0,57
CDM,443630,KIT HRT IMPLANT LVAS,1151100.0,1151100.0,126621.0,1151100.0,57
CDM,443637,BURR SURG AU TMJ DMD CRS,8619.0,8619.0,603.33,8619.0,71
CDM,443642,IMPLANT MNDB MED LT FOSS,48560.0,48560.0,5341.6,48560.0,57
CDM,443644,IMPL MNDB LT CCR MLB55MM,80022.0,80022.0,8802.42,80022.0,57
CDM,443646,SCREW TI 7MM 2.3MM,1090.0,1090.0,119.9,1090.0,57
CDM,443667,PLATE MDFC RT 1X2MM 4HL,3637.0,3637.0,400.07,3637.0,57
CDM,443694,STENT VASC 6X20MM 120CM,19929.0,19929.0,2192.19,19929.0,57
CDM,443698,COIL EMBL POD J-SFT 5CM,25042.0,25042.0,2754.62,25042.0,57
CDM,443700,COIL EMBL 45CM,32950.0,32950.0,3624.5,32950.0,57
CDM,443703,COIL EMBL 15CM,25042.0,25042.0,2754.62,25042.0,57
CDM,443707,SUT MONO SZ 2-0 18IN,1321.0,1321.0,92.47,1321.0,71
CDM,443708,DEVICE CLS WND +3-0 45CM,1383.0,1383.0,96.81,1383.0,71
CDM,443711,SUT MONO SZ 3-0 24IN,1320.0,1320.0,92.4,1320.0,71
CDM,443712,DEVICE CLS WND +4-0 30CM,1346.0,1346.0,94.22,1346.0,71
CDM,443713,DEVICE CLS WND +3-0 30CM,1346.0,1346.0,94.22,1346.0,71
CDM,443716,INSERT TIB LPS 23MM,67655.0,67655.0,7442.05,67655.0,57
CDM,443717,CORD AC PWR MOBILE UNIT,1599.0,1599.0,111.93,1599.0,57
CDM,443717,"Monitor control cable for use with electric ventricular assist device, replacement only ",1599.0,1599.0,422.12,1140.17,42
CDM,443717,"Monitor control cable for use with electric ventricular assist device, replacement only Other Outpatient",1599.0,1599.0,456.94,456.94,6
CDM,443720,KIT HRTMT 3 CONTROLLER,91135.0,91135.0,6379.45,91135.0,65
CDM,443747,CABLE PWR UNIT HARTMATE3,64311.0,64311.0,4501.77,64311.0,65
CDM,443781,SCREW BN MXLFCL 2X6MM,1629.0,1629.0,179.19,1629.0,57
CDM,443786,SCREW BN CMPR 7X70MM,13175.0,13175.0,1449.25,13175.0,57
CDM,443793,SCREW BN 1.2MM 7MM 5MM,4143.0,4143.0,455.73,4143.0,57
CDM,443796,KIT HARVESTER LIPIV 60ML,3748.0,3748.0,262.36,3748.0,71
CDM,443797,LEAD NRSTM 30CMX10MM KIT,95969.0,95969.0,10556.59,95969.0,57
CDM,443798,PLATE BN CRNL L RT 18MM,3468.0,3468.0,381.48,3468.0,57
CDM,443847,SHEATH GD NDL BX MARKER,895.0,895.0,62.65,895.0,71
CDM,443855,BLADE SAW WIDE,5623.0,5623.0,393.61,5623.0,71
CDM,443894,CMPNT TIB KN SZ2,27090.0,27090.0,2979.9,27090.0,57
CDM,443938,PLATE BN TBLR 8HL 95MM,5590.0,5590.0,614.9,5590.0,57
CDM,444047,KIT IMPLANT ITTL CR IPOL,85040.0,85040.0,9354.4,85040.0,57
CDM,444063,SCREW BN 3.5MM 38MM,1483.0,1483.0,163.13,1483.0,57
CDM,444117,IMPLANT BREAST 770CC,27229.0,27229.0,2995.19,27229.0,57
CDM,444129,COMPNT SHLDR GLND SMLL,13649.0,13649.0,1501.39,13649.0,57
CDM,444166,STEM HUM SHLDR RVRS SZ6,75473.0,75473.0,8302.03,75473.0,57
CDM,444177,KIT BNCMNT CANN 13GA,10287.0,10287.0,720.09,10287.0,71
CDM,444179,KIT BN BX VRTBPL 15GA,5975.0,5975.0,418.25,5975.0,71
CDM,444196,SPACER HUM 8MM STRL,37439.0,37439.0,4118.29,37439.0,57
CDM,444210,GWIRE ARTH 2 END .86IN,1874.0,1874.0,131.18,1874.0,71
CDM,444211,ELVTR 45D 31.5X10IN,1599.0,1599.0,111.93,1599.0,71
CDM,444214,SCREW BN 1.6X5MM,1473.0,1473.0,162.03,1473.0,57
CDM,444215,SCREW BN MXLFCL 2X14MM,1629.0,1629.0,179.19,1629.0,57
CDM,444225,STEM FEM KN 25X17.5MM,92481.0,92481.0,10172.91,92481.0,57
CDM,444369,DRESSING WND 7.1X4.9IN,4745.0,4745.0,332.15,4745.0,71
CDM,444400,STEM FEM HIP SZ4 103MM,49020.0,49020.0,5392.2,49020.0,57
CDM,444459,SYSTEM SUCTION IRIGATION,5623.0,5623.0,393.61,5623.0,71
CDM,444480,KIT PRSS MNTR 14GA,11436.0,11436.0,800.52,11436.0,71
CDM,444481,PCMKR CRD 47X50X6MM,74754.0,74754.0,8222.94,74754.0,57
CDM,444482,PROBE STIMULATOR PRAS340,2999.0,2999.0,209.93,2999.0,71
CDM,444528,IMPLANT BREAST 405CC,27229.0,27229.0,2995.19,27229.0,57
CDM,444545,DEVICE CLS WND +3-0 30CM,1346.0,1346.0,94.22,1346.0,71
CDM,444552,CMPNT FEM KN PS RT SZ7,43086.0,43086.0,4739.46,43086.0,57
CDM,444574,SCREW BN 3.5MM 15MM,1603.0,1603.0,176.33,1603.0,57
CDM,444610,DRIVER SURG 3.5MM,1874.0,1874.0,131.18,1874.0,71
CDM,444628,BUTTON SUT WHT .5IN PP T,750.0,750.0,52.5,750.0,71
CDM,444630,MESH HRN PP 10X6IN,17756.0,17756.0,1953.16,17756.0,57
CDM,444633,IMPLANT BREAST 605CC,27229.0,27229.0,2995.19,27229.0,57
CDM,444670,SCREW BN 2.4MM 22MM,864.0,864.0,95.04,864.0,57
CDM,444671,SCREW BN 2.4MM 28MM,864.0,864.0,95.04,864.0,57
CDM,444674,SCREW BN 2.4MM 34MM,864.0,864.0,95.04,864.0,57
CDM,444687,CATH EP 6FR 110CM,6287.0,6287.0,440.09,6287.0,71
CDM,444689,IMPLANT BREAST 335CC,26715.0,26715.0,2938.65,26715.0,57
CDM,444693,IMPLANT BREAST 385CC,27229.0,27229.0,2995.19,27229.0,57
CDM,444699,COMPNT PTLA KN 32X8.5MM,6450.0,6450.0,709.5,6450.0,57
CDM,444727,OCCLUDER CV 35X18MM,183809.0,183809.0,20218.99,183809.0,57
CDM,444728,OCCLUDER CV 18X18MM,217292.0,217292.0,23902.12,217292.0,57
CDM,444798,PLATE BN LT STD 7HL,9741.0,9741.0,1071.51,9741.0,57
CDM,444802,IMPLANT BREAST 450CC,16646.0,16646.0,1831.06,16646.0,57
CDM,444805,PLATE 9MM CHIN MOD 2MMSC,5422.0,5422.0,596.42,5422.0,57
CDM,444823,ANCHOR SUT 4.75MM 14MM,9851.0,9851.0,1083.61,9851.0,57
CDM,444825,SCREW BN 5.5MM 50MM,1916.0,1916.0,210.76,1916.0,57
CDM,444828,PIN FX SPN TMP STD,1599.0,1599.0,111.93,1599.0,71
CDM,444831,SCREW BN 10MM 30MM,10888.0,10888.0,1197.68,10888.0,57
CDM,444851,STENT BIL 8.5FR 10X80MM,48581.0,48581.0,5343.91,48581.0,57
CDM,444865,IMPLANT BREAST 325CC,27229.0,27229.0,2995.19,27229.0,57
CDM,444887,INSERT TIB KN SZ8 12MM,48401.0,48401.0,5324.11,48401.0,57
CDM,444891,SLEEVE TIB KN PRCT 37MM,59653.0,59653.0,6561.83,59653.0,57
CDM,444904,KIT BN CMNT FX SEC FRAC,94530.0,94530.0,10398.3,94530.0,57
CDM,444966,SCREW BN 1.6X6MM,1277.0,1277.0,140.47,1277.0,57
CDM,445010,CEMENT BN CA PHS HA 10CC,62137.0,62137.0,6835.07,62137.0,57
CDM,445049,BIT DRILL 4.0MM 165MM,1874.0,1874.0,131.18,1874.0,71
CDM,445152,COIL EMBL 2.5MM 4CM,40648.0,40648.0,4471.28,40648.0,57
CDM,445153,COIL EMBL 6CM 3.5MM,47763.0,47763.0,5253.93,47763.0,57
CDM,445163,IPG NRSTM 57.1MM 47.2MM,309504.0,309504.0,34045.44,309504.0,57
CDM,445164,SYSTEM PROGRAMR CHARGING,14831.0,14831.0,1038.17,14831.0,71
CDM,445165,SYSTEM PROGRAMR CHARGING,24855.0,24855.0,1739.85,24855.0,71
CDM,445166,MESH HRN PLGLY 10X6CM,17756.0,17756.0,1953.16,17756.0,57
CDM,445195,SCREW BN 3MM 14MM,7925.0,7925.0,871.75,7925.0,57
CDM,445209,BIT DRILL 50MM .8MM 7MMS,3786.0,3786.0,265.02,3786.0,71
CDM,445212,SCREW BN 5MM 70MM,8244.0,8244.0,906.84,8244.0,57
CDM,445280,SET DILATORS W CATH 16CM,8175.0,8175.0,572.25,8175.0,71
CDM,445301,SCREW BN 3.5MM 12MM,750.0,750.0,82.5,750.0,57
CDM,445336,PLATE BN MEDIUM,147120.0,147120.0,16183.2,147120.0,57
CDM,445395,PLATE BN 6HL 16MM,6987.0,6987.0,768.57,6987.0,57
CDM,445480,SCREW BN 3.5MM 30MM,750.0,750.0,82.5,750.0,57
CDM,445511,CALR COMMON VAR IN EXON9,3301.24,3301.24,231.09,3301.24,47
CDM,445645,STEM FEM 134MM CMNT,36120.0,36120.0,3973.2,36120.0,57
CDM,445709,GUARD RETENTION 3X1,6311.0,6311.0,441.77,6311.0,71
CDM,445712,SCREW BN 3.5MM 8MM,1603.0,1603.0,176.33,1603.0,57
CDM,445726,CONN ROD SPN 20MM MTNR,8859.0,8859.0,974.49,8859.0,57
CDM,445742,INSERT TIB KN 80MM,12900.0,12900.0,1419.0,12900.0,57
CDM,445766,DEVICE CLSR WND 0 45CM,1483.0,1483.0,103.81,1483.0,71
CDM,445780,COMPONENT FEM LT SZ3,43086.0,43086.0,4739.46,43086.0,57
CDM,445783,INSERT TIB KN SZ5 10MM,48401.0,48401.0,5324.11,48401.0,57
CDM,445789,STEM FEM KN 22MM 60MM,27045.0,27045.0,2974.95,27045.0,57
CDM,445806,BLDE IM NL 100MM 10.35MM,15480.0,15480.0,1702.8,15480.0,57
CDM,445807,CATH MAP 13X13MM 105CM,32312.0,32312.0,2261.84,32312.0,71
CDM,445868,CUP HIP 46MM 54MM,30960.0,30960.0,3405.6,30960.0,57
CDM,445912,BLADE HELICAL 11MM 120MM,11319.0,11319.0,1245.09,11319.0,57
CDM,445968,NEEDLE BIOPSY FINE 19GA,11433.0,11433.0,800.31,11433.0,71
CDM,445975,SCREW BN 3.5MM 22MM,6597.0,6597.0,725.67,6597.0,57
CDM,445984,SCREW BONE TI L54MM OD5.,4772.0,4772.0,524.92,4772.0,57
CDM,445985,DSTRCT MNDB 70X2MM RT,102767.0,102767.0,11304.37,102767.0,57
CDM,445986,DSTRCT MNDB 70X2MM LT,102767.0,102767.0,11304.37,102767.0,57
CDM,445987,ANCHOR SUT 4.75MM 22MM,14570.0,14570.0,1602.7,14570.0,57
CDM,445988,SCREW BN 8X30MM,10111.0,10111.0,1112.21,10111.0,57
CDM,446071,SCREW BN TIT L58 MM OD5.,3792.0,3792.0,417.12,3792.0,57
CDM,446095,SCREW BN 3MM 32MM,7925.0,7925.0,871.75,7925.0,57
CDM,446193,NAIL 5.0 TI LOCK SCR 72-,5013.0,5013.0,551.43,5013.0,57
CDM,446211,STEM FEM HIP 126D SZ2,49020.0,49020.0,5392.2,49020.0,57
CDM,446273,SCREW BN 3.5MM 34MM,799.0,799.0,87.89,799.0,57
CDM,446290,DRILL SURG 2.5MM,4808.0,4808.0,336.56,4808.0,71
CDM,446308,STENT VASC COVRD 8X60MM,55377.0,55377.0,6091.47,55377.0,57
CDM,446312,STENT VASC 10MM 80MM,51275.0,51275.0,5640.25,51275.0,57
CDM,446313,STENT COVRD 10MM 100M,53326.0,53326.0,5865.86,53326.0,57
CDM,446334,KIT CYRABL 1.5MM 175MM,31401.0,31401.0,2198.07,31401.0,71
CDM,446336,NDL CRYALB 2.1MM 175MM,31401.0,31401.0,2198.07,31401.0,71
CDM,446366,SCREW BN LCK 2.4X18MM,2058.0,2058.0,226.38,2058.0,57
CDM,446406,SCREW BN 2.5X3.5X18MM,7925.0,7925.0,871.75,7925.0,57
CDM,446459,BALLOON GOLD DETACHABLE,9144.0,9144.0,640.08,9144.0,71
CDM,446461,STEM XTN SLOT 14X100MM,27049.0,27049.0,2975.39,27049.0,57
CDM,446462,STEM XTN FEM KN 16X100MM,27049.0,27049.0,2975.39,27049.0,57
CDM,446491,SCREW SPN 7MM 35MM,21514.0,21514.0,2366.54,21514.0,57
CDM,446501,GUIDEWIRE VASC 260CM,864.0,864.0,60.48,864.0,71
CDM,446502,STENT LCRML 2X.64X40MM,1782.0,1782.0,196.02,1782.0,57
CDM,446529,INSERT TIB KN 5-6 11MM,18383.0,18383.0,2022.13,18383.0,57
CDM,446608,STAPLER INT 12MM,25822.0,25822.0,1807.54,25822.0,71
CDM,446609,RELOAD STPLR 60 2.5MM,5623.0,5623.0,618.53,5623.0,57
CDM,446611,RELOAD STPLR 60 4.3MM,5623.0,5623.0,618.53,5623.0,57
CDM,446613,RELOAD STPLR 6ROW 4.6MM,5623.0,5623.0,618.53,5623.0,57
CDM,446630,SET DRN 25CM 8.3FR 18GA,1599.0,1599.0,111.93,1599.0,71
CDM,446692,HEAD FEM HIP +6MM 36MM,22720.0,22720.0,2499.2,22720.0,57
CDM,446734,HEMOSTAT ABS PWD 3GM,5561.0,5561.0,389.27,5561.0,71
CDM,446818,COMPNT DOME ANKL SIZE 1,110552.0,110552.0,12160.72,110552.0,57
CDM,446837,PLATE BN 2.7/3.5MM 147MM,20059.0,20059.0,2206.49,20059.0,57
CDM,446877,DEVICE WNDCLS 23CM SZ3,1599.0,1599.0,111.93,1599.0,71
CDM,446932,IMP URN CTRL 71-80CM,64042.0,64042.0,7044.62,64042.0,57
CDM,446941,HEAD FEM HIP 22.2MM,9030.0,9030.0,993.3,9030.0,57
CDM,446949,CANN VNS 8F 10CM,6721.0,6721.0,470.47,6721.0,71
CDM,446950,CANN VNS 10F22.9CM,6721.0,6721.0,470.47,6721.0,71
CDM,446951,CANN VNS 12F22.9CM,6721.0,6721.0,470.47,6721.0,71
CDM,446953,CANNULA PRFN 14FR 22.9CM,6721.0,6721.0,470.47,6721.0,71
CDM,446954,PLATE SPNL 60MM LEVEL 3,24045.0,24045.0,2644.95,24045.0,57
CDM,446955,BSPLT TIB SZ2 65MM M/L,74160.0,74160.0,8157.6,74160.0,57
CDM,446956,SCREW SPN 4MM 14MM S/T,2531.0,2531.0,278.41,2531.0,57
CDM,446961,KIT NEUROSTIM NRV STM,427732.0,427732.0,47050.52,427732.0,57
CDM,446962,PLATE 4.5 BROAD LCP 18 H,20049.0,20049.0,2205.39,20049.0,57
CDM,446963,SHELL ACTB HIP 5H 52MM,25800.0,25800.0,2838.0,25800.0,57
CDM,446964,SCREW BN 6.5MM 20MM,1480.0,1480.0,162.8,1480.0,57
CDM,446965,SHELL ACTB HIP 5H 58MM,25800.0,25800.0,2838.0,25800.0,57
CDM,446966,SCREW BN 6.5MM 25MM,1131.0,1131.0,124.41,1131.0,57
CDM,446969,MESH SURG 4X4IN,38326.0,38326.0,4215.86,38326.0,57
CDM,446972,PLATE BRD 368X17.5X5.2MM,20947.0,20947.0,2304.17,20947.0,57
CDM,446978,GUIDE ALGN CUSTM,22834.0,22834.0,1598.38,22834.0,71
CDM,446982,SCREW 401.061,1244.0,1244.0,136.84,1244.0,57
CDM,447030,SCREW LCK HD 2.5X18 PUR,3228.0,3228.0,355.08,3228.0,57
CDM,447040,SLEEVE FEM KN PRCT 45MM,52844.0,52844.0,5812.84,52844.0,57
CDM,447086,BLADE SAW 62MM 25MM,5623.0,5623.0,393.61,5623.0,71
CDM,447092,SCREW SPN 5MM 40MM,16452.0,16452.0,1809.72,16452.0,57
CDM,447093,DEVICE IPG SLEEP 51MM,241482.0,241482.0,26563.02,241482.0,57
CDM,447177,DRILL BIT 1.8MM DISP,10699.0,10699.0,748.93,10699.0,71
CDM,447214,HEAD FEM HIP 12/14 -3 28,16770.0,16770.0,1844.7,16770.0,57
CDM,447223,OCCLUDER CV .079X.207IN,178016.0,178016.0,19581.76,178016.0,57
CDM,447237,SCREW BN 2.7MM 10MM,1644.0,1644.0,180.84,1644.0,57
CDM,447241,PLATE BN STR 9HL,3494.0,3494.0,384.34,3494.0,57
CDM,447246,NAIL BN RT 12MM 440MM,41676.0,41676.0,4584.36,41676.0,57
CDM,447272,EXPANDER BRST 600CC,33538.0,33538.0,3689.18,33538.0,57
CDM,447275,EXPANDER BRST 475CC,33538.0,33538.0,3689.18,33538.0,57
CDM,447289,KIT IMPL 20MM 5.5MM,25126.0,25126.0,2763.86,25126.0,57
CDM,447340,BASEPLATE TIB KN SZ5,27090.0,27090.0,2979.9,27090.0,57
CDM,447353,NAIL BN TROCH 10MM 38CM,35281.0,35281.0,3880.91,35281.0,57
CDM,447376,MESH SURG 7.5X21.0CM,44183.0,44183.0,4860.13,44183.0,57
CDM,447382,GRAFT BN MTRX FRMBL LRG,48794.0,48794.0,5367.34,48794.0,57
CDM,447383,GRAFT BN MTRX FRMBL MED,28962.0,28962.0,3185.82,28962.0,57
CDM,447388,ELTROMBOPAG 25 MG PO,1305.86,1305.86,91.41,1305.86,59
CDM,447401,CATH DLV SYS 115CM 45TIP,11433.0,11433.0,800.31,11433.0,71
CDM,447403,NITROUS OXIDE PER HOUR,43.33,43.33,3.03,43.33,71
CDM,447497,STEM XTN SLOT 18X100MM,29980.0,29980.0,3297.8,29980.0,57
CDM,447498,STEM XTN KN 15X100MM,28284.0,28284.0,3111.24,28284.0,57
CDM,447584,SET INTRO SHTH 8FR 80CM,4742.0,4742.0,331.94,4742.0,71
CDM,447610,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,447611,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,447612,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,447618,DEXAMTH NAP 0.1MG/ML INJ,0.05,0.05,0.004,0.05,47
CDM,447621,CRYOPRESERVE CELL ACQUIS,241832.14,241832.14,16928.25,241832.14,71
CDM,447692,CNS DNA AMP PROB TY12-25,3736.48,3736.48,261.55,3736.48,47
CDM,447692,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",3736.48,3736.48,250.07,2245.15,67
CDM,447695,VENCLEXTA 100 MG PO,81.32,81.32,5.69,81.32,59
CDM,447712,CATH INTVN 2.8F 150CM,11433.0,11433.0,800.31,11433.0,71
CDM,447713,GRAFT VASC 10CM 6MM,10544.0,10544.0,1159.84,10544.0,57
CDM,447715,CATH EXT DRA VNTRC,5784.0,5784.0,404.88,5784.0,71
CDM,447716,SCREW SPN 4.5MM 16MM,1899.0,1899.0,208.89,1899.0,57
CDM,447721,CATH BLNDIL .035 5F 5X80,5622.0,5622.0,393.54,5622.0,71
CDM,447737,PEG BN FX 2.7MM 20MM,2179.0,2179.0,239.69,2179.0,57
CDM,447759,TUBING IRR CASS DISP,1755.0,1755.0,122.85,1755.0,71
CDM,447943,GRAFT BN CLLR BN MTRX 1C,6785.0,6785.0,746.35,6785.0,57
CDM,447945,KIT BN VOID FILLER 5CC,41100.0,41100.0,4521.0,41100.0,57
CDM,447946,AUGMENT FEM KN 4MM 4,19866.0,19866.0,2185.26,19866.0,57
CDM,447947,INSERT TIB KN SZ7 18MM,31647.0,31647.0,3481.17,31647.0,57
CDM,447948,CMPNT FEM KN SZ7,85951.0,85951.0,9454.61,85951.0,57
CDM,447949,SPACER SPNL 360D 8MM,20248.0,20248.0,2227.28,20248.0,57
CDM,448026,SYSTEM DRN CSF ICP MNTR,5623.0,5623.0,393.61,5623.0,71
CDM,448086,SPLINT NSL 3INX3IN,480.0,480.0,33.6,480.0,71
CDM,448096,SPLINT NASAL SMALL,276.0,276.0,19.32,276.0,71
CDM,448109,SCREW SPN 4.5MM 8MM,1899.0,1899.0,208.89,1899.0,57
CDM,448113,BIT DRILL 3.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,448147,PLATE BN 11MM 81X10X2MM,17539.0,17539.0,1929.29,17539.0,57
CDM,448179,PLATFORM TRANSVAG 5.5CM,14499.0,14499.0,1014.93,14499.0,71
CDM,448240,INS INSUL POSTS 4PC,1599.0,1599.0,111.93,1599.0,71
CDM,448243,SCREW BN 2.5X1.9X16MM,4549.0,4549.0,500.39,4549.0,57
CDM,448255,PLATE SPN 3LVL 68MM,24045.0,24045.0,2644.95,24045.0,57
CDM,448257,INS TIB KN SZ 7 10MM,39732.0,39732.0,4370.52,39732.0,57
CDM,448258,AUGMENT FEM KN 8MM 7,19866.0,19866.0,2185.26,19866.0,57
CDM,448259,SCREW BN 2.7X17MM LCK,3064.0,3064.0,337.04,3064.0,57
CDM,448261,STENT EPRSTH 7X11X79MM,65981.0,65981.0,7257.91,65981.0,57
CDM,448263,PLATE SPN 2LVL 36MM,24045.0,24045.0,2644.95,24045.0,57
CDM,448264,KIT SPLINT NASAL,26063.0,26063.0,1824.41,26063.0,71
CDM,448265,PLATE BN SCR 2.3X26MM,16922.0,16922.0,1861.42,16922.0,57
CDM,448267,INSERT TIB 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,448269,PLATE STRNL LCK 7HL MINI,15133.0,15133.0,1664.63,15133.0,57
CDM,448270,STEM KN 14X110MM,27045.0,27045.0,2974.95,27045.0,57
CDM,448288,DRILL SURG SM SHRT 2MM,2043.0,2043.0,143.01,2043.0,71
CDM,448290,SCREW BN 6.5MM 130MM,3864.0,3864.0,425.04,3864.0,57
CDM,448324,COIL EMBL 40CM 18MM,13180.0,13180.0,1449.8,13180.0,57
CDM,448325,COIL EMBL 40CM 16MM,10275.0,10275.0,1130.25,10275.0,57
CDM,448327,COIL EMBL 40CM 14MM,11817.0,11817.0,1299.87,11817.0,57
CDM,448328,COIL EMBL 40CM 12MM,10517.0,10517.0,1156.87,10517.0,57
CDM,448331,COIL EMBL 3D 7MM 30CM,11817.0,11817.0,1299.87,11817.0,57
CDM,448334,COIL EMBL 3D 4MM 12CM,10275.0,10275.0,1130.25,10275.0,57
CDM,448335,COIL EMBL 3D 4MM 10CM,11817.0,11817.0,1299.87,11817.0,57
CDM,448344,HEAD GLND 42MM UNIV 2.5,64501.0,64501.0,7095.11,64501.0,57
CDM,448345,CUP HUM SHLDR RT +2 42MM,64501.0,64501.0,7095.11,64501.0,57
CDM,448347,STEM HUM SHLDR RVRS SZ8,75473.0,75473.0,8302.03,75473.0,57
CDM,448367,PIN EXFX ANKL TRNSFX,106984.0,106984.0,7488.88,106984.0,71
CDM,448382,CYCLOPHOSPHAMIDE 50MG PO,83.38,83.38,5.84,83.38,47
CDM,448386,KIT INTRO 5FR 35CM,1599.0,1599.0,111.93,1599.0,71
CDM,448401,HYDRXYPRGSTR CPR250MGINJ,5120.27,5120.27,358.42,5120.27,53
CDM,448401,"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg ",5120.27,5120.27,84.17,118.96,6
CDM,448402,MILRINONE LAC 10 MG INJ,14.21,14.21,0.99,14.21,47
CDM,448403,MILRINONE LAC 20 MG INJ,35.58,35.58,2.49,35.58,47
CDM,448404,MILRINONE LAC 20 MG INJ,54.38,54.38,3.81,54.38,47
CDM,448411,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448412,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448413,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448414,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448415,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448417,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448418,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448419,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448420,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448421,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448422,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448423,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448424,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448425,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448427,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448428,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448429,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448430,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448431,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448432,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448433,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448434,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448435,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448437,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448438,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448439,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448440,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448441,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448442,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448443,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448444,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448447,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448448,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448449,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448450,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448451,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448452,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448454,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448455,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448457,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448458,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448459,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448460,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448461,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448462,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448463,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448464,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448465,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448467,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448468,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448469,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448470,PROCEDURE LEVEL I,1686.26,1686.26,185.49,1686.26,64
CDM,448471,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,448472,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,448501,WDG TIB 10MM 6 N STP MBL,26865.0,26865.0,2955.15,26865.0,57
CDM,448508,CEMENT BN HA INJ 5CC,24613.0,24613.0,2707.43,24613.0,57
CDM,448510,BLADE BN HLCL 85MM,12330.0,12330.0,1356.3,12330.0,57
CDM,448513,HEAD FEM HIP 12/14 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,448553,KIT FASTENER ENDO,102298.0,102298.0,11252.78,102298.0,57
CDM,448567,TUBE EMG ET ENT 7MM,5623.0,5623.0,393.61,5623.0,71
CDM,448634,KIT MONITOR REMOTE,49296.0,49296.0,3450.72,49296.0,71
CDM,448635,INSERT TIB KN SZ4 18MM,39732.0,39732.0,4370.52,39732.0,57
CDM,448648,INSERT TIB KN 26MM,67655.0,67655.0,7442.05,67655.0,57
CDM,448666,GW TFE 035 145 STR,767.0,767.0,53.69,767.0,71
CDM,448667,SCREW BN 3.5MM 38MM,2151.0,2151.0,236.61,2151.0,57
CDM,448703,IMPLANT BREAST 580CC,27229.0,27229.0,2995.19,27229.0,57
CDM,448729,KIT CATH VSC 1.65MM138CM,45568.0,45568.0,3189.76,45568.0,71
CDM,448730,SPHERE EYE 20MM,10327.0,10327.0,1135.97,10327.0,57
CDM,448756,STENT BIL C-L 7X5X170,2055.0,2055.0,226.05,2055.0,57
CDM,448766,STNT SET BIL C-L 7X7,2055.0,2055.0,226.05,2055.0,57
CDM,448773,STEM HUM SHLDR 10X100MM,98052.0,98052.0,10785.72,98052.0,57
CDM,448797,SCREW BN 7MM 30MM,10111.0,10111.0,1112.21,10111.0,57
CDM,448798,SHELL ACTB HIP 46MM,64501.0,64501.0,7095.11,64501.0,57
CDM,448812,DRILL BN BIT DISP 3.5MM,4953.0,4953.0,346.71,4953.0,71
CDM,448834,GRAFT BN DBM 1CC,1534.0,1534.0,168.74,1534.0,57
CDM,448843,PROBE ARTHSCP 360D,5623.0,5623.0,393.61,5623.0,71
CDM,448879,DEVICE CLSR WND +1 15CM,1599.0,1599.0,111.93,1599.0,71
CDM,448886,KIT CATH CHLGM 4FR 60CM,3629.0,3629.0,254.03,3629.0,71
CDM,448903,CAGE ACIS PROTI360 8MM,20248.0,20248.0,2227.28,20248.0,57
CDM,448904,CATH GD EBU3.5 5FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,448905,CATH GD EBU3 5FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,448907,TUBE JJNSTM 45CM 16FR,6782.0,6782.0,474.74,6782.0,71
CDM,448911,KIT IMPLANT ANKLE,26853.0,26853.0,2953.83,26853.0,57
CDM,449001,SUTURE VIO BRD 2-0 48IN,2053.0,2053.0,143.71,2053.0,71
CDM,449002,SUTURE BLU MONO 2-0 48IN,2099.0,2099.0,146.93,2099.0,71
CDM,449076,DILATOR VSC 8F 20CM,543.0,543.0,38.01,543.0,71
CDM,449089,STAPLER INT CRV 25MM,8001.0,8001.0,560.07,8001.0,71
CDM,449172,SCREW BN 3.5MM 20MM,6597.0,6597.0,725.67,6597.0,57
CDM,449182,SCREW SPN 5MM 50MM,17313.0,17313.0,1904.43,17313.0,57
CDM,449187,SHELL ACTB HIP 3H 50MM,25800.0,25800.0,2838.0,25800.0,57
CDM,449212,SCREW BN 1.5X5MM,802.0,802.0,88.22,802.0,57
CDM,449257,FIBER LASER 550UM,11430.0,11430.0,800.1,11430.0,71
CDM,449266,GWIRE VASC .014IN 190CM,3186.0,3186.0,223.02,3186.0,71
CDM,449279,PLATE BN LCK 2.7MM 14MM,14714.0,14714.0,1618.54,14714.0,57
CDM,449304,CAGE SPNL 9MM LORDOTIC,20248.0,20248.0,2227.28,20248.0,57
CDM,449325,SCREW BN 1LVL 1.8X5MM,802.0,802.0,88.22,802.0,57
CDM,449326,MESH SURG 4IN 6IN,5165.0,5165.0,568.15,5165.0,57
CDM,449328,SCREW BN 1.5MM 4MM,802.0,802.0,88.22,802.0,57
CDM,449336,MESH SURG 4IN 6IN,5165.0,5165.0,568.15,5165.0,57
CDM,449377,INSERT TIB KN SZ5 12MM,48401.0,48401.0,5324.11,48401.0,57
CDM,449438,GRAFT BN DBM 5CC,6385.0,6385.0,702.35,6385.0,57
CDM,449448,BASEPLATE TIB KN REV SZ3,66821.0,66821.0,7350.31,66821.0,57
CDM,449457,ROPIVACAINE 1 MG INJ,65.62,65.62,4.59,65.62,47
CDM,449458,MEPIVACAIN 1.5% 30ML INJ,70.15,70.15,4.91,70.15,47
CDM,449463,PENTAMIDI 300 MG INH,536.63,536.63,37.56,536.63,47
CDM,449463,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",536.63,536.63,71.36,833.61,17
CDM,449480,MRI BREAST WO CONT UNI,4986.02,4986.02,349.02,4986.02,43
CDM,449482,MRI BREAST WO CONT RT,4986.02,4986.02,349.02,4986.02,43
CDM,449483,MRI WO FOL WCON BR UN RT,6699.14,6699.14,468.94,6699.14,47
CDM,449484,MRI BREAST WO CONT LT,4986.02,4986.02,349.02,4986.02,43
CDM,449485,MRI WO FOL WCON BR UN LT,6699.14,6699.14,468.94,6699.14,47
CDM,449493,MRI BREAST WO CONT BI,7478.4,7478.4,523.49,7478.4,43
CDM,449493,"Magnetic resonance imaging, breast, without contrast material; bilateral ",7478.4,7478.4,293.63,1321.0,13
CDM,449495,MRI WO FOL W/CON BRST BI,10048.7,10048.7,703.41,10048.7,47
CDM,449495,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",10048.7,10048.7,523.13,1710.69,9
CDM,449500,INJ KNEE ARTHRO,4694.9,4694.9,328.64,4694.9,64
CDM,449501,FINE NDL ASP W/O IMG EAD,565.98,565.98,39.62,565.98,64
CDM,449502,FINE NDL ASP WUS 1ST LSN,4879.0,4879.0,341.53,4879.0,64
CDM,449503,FINE NDL ASP W US E ADD,2439.51,2439.51,170.77,2439.51,64
CDM,449504,FINE NDL ASP W FLURO 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,449505,FINE NDL ASP W FLURO EAD,2439.51,2439.51,170.77,2439.51,64
CDM,449507,FINE NDL ASP W CT 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,449508,FINE NDL ASP W CT EAD,2439.51,2439.51,170.77,2439.51,64
CDM,449509,FINE NDL ASP W MR 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,449510,FINE NDL ASP W MR EAD,2439.51,2439.51,170.77,2439.51,64
CDM,449511,IMPLANT LOOP RECORDER,12642.44,12642.44,884.97,12642.44,64
CDM,449512,RPLC GTUBE NO REVJ TRC,3196.41,3196.41,223.75,3196.41,64
CDM,449513,RPLC GTUBE REVJ GSTR TRC,3571.46,3571.46,250.0,3571.46,64
CDM,449514,DIL EX TRACT ENDOUR PRC,13346.0,13346.0,934.22,13346.0,64
CDM,449515,DIL EX TRACT ENDUR NW AC,13686.17,13686.17,958.03,13686.17,64
CDM,449517,FINE NDL ASP W/O IMG EAD,565.98,565.98,39.62,565.98,64
CDM,449518,FINE NDL ASP WUS 1ST LSN,4879.0,4879.0,341.53,4879.0,64
CDM,449519,FINE NDL ASP W US E ADD,2439.51,2439.51,170.77,2439.51,64
CDM,449520,FINE NDL ASP W FLURO 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,449521,FINE NDL ASP W FLURO EAD,2439.51,2439.51,170.77,2439.51,64
CDM,449522,FINE NDL ASP W CT 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,449523,FINE NDL ASP W CT EAD,2439.51,2439.51,170.77,2439.51,64
CDM,449524,FINE NDL ASP W MR 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,449525,FINE NDL ASP W MR EAD,2439.51,2439.51,170.77,2439.51,64
CDM,449544,WIRE BN SMOOTH 1.3MM,1599.0,1599.0,111.93,1599.0,71
CDM,449547,PLATE BN LCK 8H 1.1MM,9762.0,9762.0,1073.82,9762.0,57
CDM,449548,SCREW BN 2.5X20MM,3515.0,3515.0,386.65,3515.0,57
CDM,449550,SCREW BN LCK 2.5X24MM,3515.0,3515.0,386.65,3515.0,57
CDM,449555,ALGRFT BN DBM 2.5CC,13505.0,13505.0,1485.55,13505.0,57
CDM,449583,OUTPT PROCEDURE LVL III,2807.43,2807.43,308.82,2807.43,64
CDM,449587,SURG ICU PRIVATE W/TELE,19312.96,19312.96,,,0
CDM,449588,SURG PRIVATE,6647.47,6647.47,,,0
CDM,449589,SURG ICU-INTER OV PVT,16036.32,16036.32,,,0
CDM,449594,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",965.12,965.12,0.77,6.5,17
CDM,449594,RETACRIT BS 10000U ESRD,965.12,965.12,67.56,965.12,47
CDM,449625,RETACRIT BS 40000U NESRD,2525.43,2525.43,176.78,2525.43,42
CDM,449627,RETACRIT BS 10000U NESRD,631.36,631.36,44.2,631.36,42
CDM,449628,RETACRIT BS 4000U NESRD,252.52,252.52,17.68,252.52,42
CDM,449629,RETACRIT BS 2000U NESRD,126.27,126.27,8.84,126.27,42
CDM,449632,SP TRANSCATH BIOPSY,1466.73,1466.73,102.67,1466.73,60
CDM,449633,OUTPT PROCEDURE LVL III,2807.43,2807.43,308.82,2807.43,64
CDM,449732,PEDI ONCOLOGY,6390.9,6390.9,,,0
CDM,449733,PEDI BMTP-ONC PVT,15407.9,15407.9,,,0
CDM,449734,PEDI PRIVATE,6390.9,6390.9,,,0
CDM,449735,HEMLIBRA 60 MG INJ,41523.38,41523.38,2906.64,41523.38,42
CDM,449765,VARIBAR NECTAR 240 ML PO,90.63,90.63,6.34,90.63,59
CDM,449767,VARIBAR PUDDING 230ML PO,326.8,326.8,22.88,326.8,59
CDM,449862,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,449868,GADOTERATE MEG 5 ML,94.5,94.5,6.62,94.5,46
CDM,450092,PENTOBARB 50 MG/ML INJ,229.5,229.5,16.07,229.5,47
CDM,450093,DOCETAXEL 1 MG INJ,6.06,6.06,0.42,6.06,47
CDM,450094,HEPARIN 1000 U INJ,5.04,5.04,0.35,5.04,47
CDM,450097,MIDAZOLAM 1 MG INJ,2.25,2.25,0.16,2.25,47
CDM,450955,SCREW BN 3.5MM 28MM,2713.0,2713.0,298.43,2713.0,57
CDM,450962,GRAFT BN DBM 2.5CC,3551.0,3551.0,390.61,3551.0,57
CDM,450986,INS TIB KN SZ7 14MM,39732.0,39732.0,4370.52,39732.0,57
CDM,451135,LINER ACTB HIP SZB 32MM,38700.0,38700.0,4257.0,38700.0,57
CDM,451141,ANCHOR SUT 4.75MM 22MM,13543.0,13543.0,1489.73,13543.0,57
CDM,451148,SYSTEM URTH SUPP 2.7MM,33683.0,33683.0,3705.13,33683.0,57
CDM,451158,INSERT TIB KN SZ8 16MM,39732.0,39732.0,4370.52,39732.0,57
CDM,451159,AUGMNT TIB 5/6 KN L 5MM,22575.0,22575.0,2483.25,22575.0,57
CDM,451160,AUGMENT FEM KN 4MM 8,19866.0,19866.0,2185.26,19866.0,57
CDM,451161,COMPNT FEM KN 8 RT,88920.0,88920.0,9781.2,88920.0,57
CDM,451169,INSERT ACTB HIP 46X28MM,14190.0,14190.0,1560.9,14190.0,57
CDM,451185,GRAFT BN 4.1-5X1-2CM,13172.0,13172.0,1448.92,13172.0,57
CDM,451186,SIZER BREAST 425CC,4498.0,4498.0,314.86,4498.0,71
CDM,451196,SCREW BN SPN 3.5MM 20MM,11390.0,11390.0,1252.9,11390.0,57
CDM,451201,STEM FEM KN 14MM 50MM,15480.0,15480.0,1702.8,15480.0,57
CDM,451202,PLATE MXLFCL 16HL 1.5MM,4489.0,4489.0,493.79,4489.0,57
CDM,451204,PLATE BN 2HL 4X1.5MM,6833.0,6833.0,751.63,6833.0,57
CDM,451209,LASER C02 DUO FIBER OPTI,9811.0,9811.0,686.77,9811.0,71
CDM,451252,KWIRE FX .9MM 152MM,640.0,640.0,44.8,640.0,71
CDM,451260,DRIVER SURG 2.5MM,1874.0,1874.0,131.18,1874.0,71
CDM,451298,SCREW SPN 7MM 50MM,16452.0,16452.0,1809.72,16452.0,57
CDM,451299,BIT DRILL ORT 1.9MM,5623.0,5623.0,393.61,5623.0,71
CDM,451304,PIN AXIS BOOM 2.5X45MM,5919.0,5919.0,651.09,5919.0,57
CDM,451308,ASSEMBLY ORTH BSPLT,102767.0,102767.0,11304.37,102767.0,57
CDM,451351,SUT PASSOR GUIDE 10/12MM,991.0,991.0,69.37,991.0,71
CDM,451352,SUT PASSOR 180CM W/GUIDE,1247.0,1247.0,87.29,1247.0,71
CDM,451408,SCREW BN 5.0X10MM,5287.0,5287.0,581.57,5287.0,57
CDM,451431,PLATE BN LAPDS RT STD,28230.0,28230.0,3105.3,28230.0,57
CDM,451458,ROD SPN 3.5MM 60MM,4556.0,4556.0,501.16,4556.0,57
CDM,451468,COIL EMBL 10CM 4.5MM,45149.0,45149.0,4966.39,45149.0,57
CDM,451470,STEM HUM SHLDR SZ10,75473.0,75473.0,8302.03,75473.0,57
CDM,451471,FIBER LASER CO2,22035.0,22035.0,1542.45,22035.0,71
CDM,451472,SHELL ACTB HIP 5 SCR56MM,25800.0,25800.0,2838.0,25800.0,57
CDM,451521,BASEPLATE SHLD 15D 29MM,51600.0,51600.0,5676.0,51600.0,57
CDM,451525,SCREW BN 3MM 2.1MM 18MM,4549.0,4549.0,500.39,4549.0,57
CDM,451531,COMPNT FEM 9 80X75.8MM,38700.0,38700.0,4257.0,38700.0,57
CDM,451564,STEM FEM HIP SZ7,49020.0,49020.0,5392.2,49020.0,57
CDM,451578,CEMENT BN CA PHOS HA 3CC,11755.0,11755.0,1293.05,11755.0,57
CDM,451613,DRILL BIT 2.7X70MM,1874.0,1874.0,131.18,1874.0,71
CDM,451615,GRAFT HUMERUS DISTAL LT,135086.0,135086.0,14859.46,135086.0,57
CDM,451629,GRAFT BN COSTAL FRZN 3.5,9948.0,9948.0,1094.28,9948.0,57
CDM,451701,GUIDEWIRE VASC 300CM,11433.0,11433.0,800.31,11433.0,71
CDM,451705,ALLO REL DSMTC DONOR ACQ,238621.97,238621.97,16703.54,238621.97,71
CDM,451706,ALLO REL INTL DONOR ACQ,271517.81,271517.81,19006.25,271517.81,71
CDM,451723,CATHETER THRMB 120CM 5FR,4610.0,4610.0,322.7,4610.0,71
CDM,451725,DEVICE CLSR 6FR-12FR,4830.0,4830.0,531.3,4830.0,57
CDM,451727,GRAFT BN 2.5-3X1-2CM,9673.0,9673.0,1064.03,9673.0,57
CDM,451760,ISOFLURANE 250 ML,257.3,257.3,18.01,257.3,67
CDM,451771,FAST TRACK SEARCH,62146.21,62146.21,4350.23,62146.21,71
CDM,451783,IVIG PRIVIGEN 10G/100ML,10070.81,10070.81,704.96,10070.81,42
CDM,451791,DRILL SURG 3.5MM,5541.0,5541.0,387.87,5541.0,71
CDM,451848,PIN FX 5MM 300MM,2865.0,2865.0,200.55,2865.0,71
CDM,451894,COVER CLMP 5X3/8IN SFGRP,382.0,382.0,26.74,382.0,71
CDM,451895,GRAFT VASC ACC 30CM 6MM,30314.0,30314.0,3334.54,30314.0,57
CDM,451901,SCREW BN 5MM 18MM,2569.0,2569.0,282.59,2569.0,57
CDM,451936,KIT DRSSNG NEG PRSS 35CM,5822.0,5822.0,407.54,5822.0,71
CDM,451941,SCREW BN LV1 2X8MM,2296.0,2296.0,252.56,2296.0,57
CDM,451942,SCREW BN 3.5X18MM,2011.0,2011.0,221.21,2011.0,57
CDM,451947,PLATE BN LNG 4HL 1.5MM,11311.0,11311.0,1244.21,11311.0,57
CDM,451984,INSERT TIB KN SZ5-6 15MM,16770.0,16770.0,1844.7,16770.0,57
CDM,451986,MESH HRN PLGLY 12X10CM,35511.0,35511.0,3906.21,35511.0,57
CDM,451991,SEGMENT FEM 70MM,53713.0,53713.0,5908.43,53713.0,57
CDM,452009,FINE NDL ASP W/O IMG EAD,565.98,565.98,39.62,565.98,64
CDM,452011,FINE NDL ASP WUS 1ST LSN,4879.0,4879.0,341.53,4879.0,64
CDM,452012,FINE NDL ASP W US E ADD,2439.51,2439.51,170.77,2439.51,64
CDM,452013,FINE NDL ASP W FLURO 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,452014,FINE NDL ASP W FLURO EAD,2439.51,2439.51,170.77,2439.51,64
CDM,452015,FINE NDL ASP W CT 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,452016,FINE NDL ASP W CT EAD,2439.51,2439.51,170.77,2439.51,64
CDM,452017,FINE NDL ASP W MR 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,452018,FINE NDL ASP W MR EAD,2439.51,2439.51,170.77,2439.51,64
CDM,452082,REM LOOP RECORDER,8608.99,8608.99,602.63,8608.99,64
CDM,452083,CAD MRI BREAST,1714.39,1714.39,120.01,1714.39,53
CDM,452083,"Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretati",1714.39,1714.39,25.67,83.96,6
CDM,452084,PROG EVAL FUNC SGL PM,252.87,252.87,17.7,252.87,52
CDM,452084,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",252.87,252.87,99.69,1668.0,10
CDM,452086,PERIPROC EVAL/PROG PM,252.87,252.87,17.7,252.87,58
CDM,452087,INTEROGATION EVAL PM,252.87,252.87,17.7,252.87,52
CDM,452088,CHANGE GI TUBE W/O REV,3196.41,3196.41,223.75,3196.41,64
CDM,452089,CHANGE GI TUBE W/REV,3571.46,3571.46,250.0,3571.46,64
CDM,452092,INJ KNEE ARTHRO,4694.9,4694.9,328.64,4694.9,64
CDM,452107,BIOPSY SKIN TANG SGL,1486.54,1486.54,104.06,1486.54,64
CDM,452109,BIOPSY SKIN PUNCH SGL,1486.54,1486.54,104.06,1486.54,64
CDM,452110,BIOPSY SKIN PUNCH EA ADD,743.27,743.27,52.03,743.27,64
CDM,452116,US ELASTO EACH ORG,673.23,673.23,47.13,673.23,48
CDM,452117,US ELASTO 1ST TGT LES,673.23,673.23,47.13,673.23,48
CDM,452118,US ELASTO EACH ADD TGT L,337.25,337.25,23.61,337.25,54
CDM,452119,FINE NDL ASP W FLURO 1ST,4879.0,4879.0,341.53,4879.0,64
CDM,452120,FINE NDL ASP W FLURO EAD,2439.51,2439.51,170.77,2439.51,64
CDM,452122,INJ KNEE ARTHRO LT,4694.9,4694.9,328.64,4694.9,64
CDM,452123,INJ KNEE ARTHRO RT,4694.9,4694.9,328.64,4694.9,64
CDM,452124,CATH CV >5 PICC W/IMAG,12431.05,12431.05,870.17,12431.05,64
CDM,452125,BX EX LYMPH NODE OPEN,23709.69,23709.69,1659.68,23709.69,64
CDM,452126,ABLATION VEIN CHEM W/OCC,22240.21,22240.21,1556.81,22240.21,64
CDM,452127,CATH RT W/SENSOR,247030.55,247030.55,17292.14,247030.55,64
CDM,452128,CATH CV <5 PICC W/IMAG,12431.05,12431.05,870.17,12431.05,64
CDM,452129,BX EX LYMPH NODE OPEN,23709.69,23709.69,1659.68,23709.69,64
CDM,452130,US TGT MICROBUB INIT LS,1207.22,1207.22,84.51,1207.22,48
CDM,452132,US TGT MICROBUB EAD LS,604.24,604.24,42.3,604.24,54
CDM,452133,DIHYDROTESTOSTERONE DHT,953.59,953.59,66.75,953.59,47
CDM,452133,Dihydrotestosterone (DHT) ,953.59,953.59,17.57,157.0,74
CDM,452133,Dihydrotestosterone (DHT) Age 21+,953.59,953.59,27.06,27.06,4
CDM,452133,Dihydrotestosterone (DHT) Age Under 21,953.59,953.59,27.55,27.55,4
CDM,452133,Dihydrotestosterone (DHT) Other Outpatient,953.59,953.59,30.74,30.74,6
CDM,452137,CHANGE GI TUBE W/O REV,3196.41,3196.41,223.75,3196.41,64
CDM,452138,CHANGE GI TUBE W/REV,3571.46,3571.46,250.0,3571.46,64
CDM,452146,EVAL PPM WRLS LV SYS,284.69,284.69,19.93,284.69,64
CDM,452149,PROG EVAL FUNC ILR,252.87,252.87,17.7,252.87,52
CDM,452149,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",252.87,252.87,99.69,1668.0,10
CDM,452150,INTEROGATION EVAL ILR,252.87,252.87,17.7,252.87,52
CDM,452150,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",252.87,252.87,63.22,1668.0,10
CDM,452163,FINE NDL ASP W/O IMG EAD,565.98,565.98,39.62,565.98,64
CDM,452164,FINE NDL ASP WUS 1ST LSN,4879.0,4879.0,341.53,4879.0,64
CDM,452165,FINE NDL ASP W US E ADD,2439.51,2439.51,170.77,2439.51,64
CDM,452219,DRILL STR SHFT 35MM,5623.0,5623.0,393.61,5623.0,71
CDM,452228,TRAY CMPNT TIB KN SZ6,25800.0,25800.0,2838.0,25800.0,57
CDM,452256,SCREW SPN 6.5MM 40MM,11390.0,11390.0,1252.9,11390.0,57
CDM,452292,SYSTEM BNCMNT MX DLV SM,9350.0,9350.0,654.5,9350.0,71
CDM,452332,COMP ASST SURG NAV FLURO,2567.36,2567.36,179.72,2567.36,64
CDM,452382,BASEPLATE KN CMNT TIB 7,64500.0,64500.0,7095.0,64500.0,57
CDM,452384,STEM FEM 16MM 60MM,25515.0,25515.0,2806.65,25515.0,57
CDM,452385,AUGMENT FEM 8MM ATTUNE 4,19866.0,19866.0,2185.26,19866.0,57
CDM,452386,STEM FEM HIP 4MM 128MM,46440.0,46440.0,5108.4,46440.0,57
CDM,452389,CAGE SPN 10MM,20248.0,20248.0,2227.28,20248.0,57
CDM,452390,CAGE ACIS PRLL STD 6MM,20248.0,20248.0,2227.28,20248.0,57
CDM,452392,SCREW SPN 6.0MM 30MM,15186.0,15186.0,1670.46,15186.0,57
CDM,452394,STEM XTN KN 11X100MM,20051.0,20051.0,2205.61,20051.0,57
CDM,452395,SURF ARTC KN 6-9 11MM,19350.0,19350.0,2128.5,19350.0,57
CDM,452409,SHELL ACTB HIP 50MM,23220.0,23220.0,2554.2,23220.0,57
CDM,452414,LINER ACTB HIP SZ3 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,452424,SCREW BN 10.35X110MM,9836.0,9836.0,1081.96,9836.0,57
CDM,452430,COIL EMBL 36MM 60CM,25688.0,25688.0,2825.68,25688.0,57
CDM,452431,COVER BURR HOLE 1.5MM,3062.0,3062.0,336.82,3062.0,57
CDM,452433,HEAD FEM HIP 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,452459,INSERT ARTC KN 5-6 11MM,19350.0,19350.0,2128.5,19350.0,57
CDM,452463,IMP URN CTRL 61-70CM,70309.0,70309.0,7733.99,70309.0,57
CDM,452470,HEAD FEM 28MM +8.5MM,16770.0,16770.0,1844.7,16770.0,57
CDM,452492,PIN FX 110MM 4MM ORTHALI,1973.0,1973.0,138.11,1973.0,71
CDM,452494,UNIT NAVIGATION ORTHO AL,11433.0,11433.0,800.31,11433.0,71
CDM,452540,SCREW BN 10.35MM 80MM,10426.0,10426.0,1146.86,10426.0,57
CDM,452543,BLADE HLCL 11X100MM,10573.0,10573.0,1163.03,10573.0,57
CDM,452613,STENT BIL 10X30MM,18915.0,18915.0,2080.65,18915.0,57
CDM,452622,MESH SURG 25MMX.6MM,16797.0,16797.0,1847.67,16797.0,57
CDM,452624,WEDGE FEM KN SZ8 12MM,19866.0,19866.0,2185.26,19866.0,57
CDM,452635,STEM HUM SHLDR SZ13,75473.0,75473.0,8302.03,75473.0,57
CDM,452670,INTRO SHEATH 26FR 33CM,11433.0,11433.0,800.31,11433.0,71
CDM,452678,APPLICATOR SURG 10CM,2961.0,2961.0,207.27,2961.0,71
CDM,452761,NAIL ANKL IM TI 10X200MM,38020.0,38020.0,4182.2,38020.0,57
CDM,452810,DEVICE CLSR WND +1 30CM,1483.0,1483.0,103.81,1483.0,71
CDM,452862,STEM HUM W/SCR 6X100,98052.0,98052.0,10785.72,98052.0,57
CDM,452863,BODY HUM DSTL RT 60MM,126200.0,126200.0,13882.0,126200.0,57
CDM,452868,SCREW BN 4MM 50MM,15618.0,15618.0,1717.98,15618.0,57
CDM,452869,PLATE BN 5HL,16335.0,16335.0,1796.85,16335.0,57
CDM,452893,SCREW BN FEM 5.0MMX14MM,2569.0,2569.0,282.59,2569.0,57
CDM,452903,CATH BLNDIL 12MM 135X4CM,5622.0,5622.0,393.54,5622.0,71
CDM,452934,STEM FEM HIP 190X17MM,55728.0,55728.0,6130.08,55728.0,57
CDM,452938,BASEPLATE KN TIB SZ9,27090.0,27090.0,2979.9,27090.0,57
CDM,452941,CEMENT BN HVIS PMMA 40GM,3473.0,3473.0,382.03,3473.0,57
CDM,452953,KIT SUT 1.35-1.6MM DRL,8984.0,8984.0,628.88,8984.0,71
CDM,452954,ANCHOR SUT DX,13666.0,13666.0,1503.26,13666.0,57
CDM,452964,PLT MDFC 8HL TSHAPE1.0MM,5582.0,5582.0,614.02,5582.0,57
CDM,452967,COMPONENT PTRL 7X29MM,6450.0,6450.0,709.5,6450.0,57
CDM,452968,STEM KNEE ORT TIBIAL20MM,750.0,750.0,82.5,750.0,57
CDM,452970,CMNT KN TIB PLT #5,25671.0,25671.0,2823.81,25671.0,57
CDM,452971,INSERT TIB SZ2 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,453026,AUGMENT FEM ATUN SZ6 8MM,19866.0,19866.0,2185.26,19866.0,57
CDM,453028,INSERT TIB KN SZ6 10MM,48401.0,48401.0,5324.11,48401.0,57
CDM,453033,PLATE SMTH CHIN 5X2MM,4647.0,4647.0,511.17,4647.0,57
CDM,453034,CMPNT FEM KN SZ5,88920.0,88920.0,9781.2,88920.0,57
CDM,453037,STEM FEM HIP MED,42570.0,42570.0,4682.7,42570.0,57
CDM,453038,PLATE SPN 1LVL 20MM,22779.0,22779.0,2505.69,22779.0,57
CDM,453046,ROD SPN 30MM 3.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,453048,SCREW SPN SET STD M6,1266.0,1266.0,139.26,1266.0,57
CDM,453051,DRILL BIT DISP 2.4MM,1599.0,1599.0,111.93,1599.0,71
CDM,453055,DRILL QUICK CONNCT 2.7MM,5623.0,5623.0,393.61,5623.0,71
CDM,453058,CATH BLNDIL CQ7552,5623.0,5623.0,393.61,5623.0,71
CDM,453122,MR ELASTOGRAPHY,1379.69,1379.69,96.58,1379.69,43
CDM,453122,"Magnetic resonance (eg, vibration) elastography ",1379.69,1379.69,204.05,1321.0,28
CDM,453122,"Magnetic resonance (eg, vibration) elastography Age 21+",1379.69,1379.69,227.88,227.88,4
CDM,453122,"Magnetic resonance (eg, vibration) elastography Age Under 21",1379.69,1379.69,232.02,232.02,4
CDM,453134,INJ KNEE ARTHRO BI,7042.32,7042.32,492.96,7042.32,64
CDM,453202,NEEDLE IO 3CM 16GA,2014.0,2014.0,140.98,2014.0,71
CDM,453204,PLATE BN 5HL 17MM,4618.0,4618.0,507.98,4618.0,57
CDM,453205,PLATE BNE L3MM CHIN 10 H,4647.0,4647.0,511.17,4647.0,57
CDM,453206,PIN CRNL FX 7MM 2.1MM,11467.0,11467.0,1261.37,11467.0,57
CDM,453208,BASPLATE TIB KN SZ5,66821.0,66821.0,7350.31,66821.0,57
CDM,453228,SLEEVE TIB KN PRCT 53MM,59653.0,59653.0,6561.83,59653.0,57
CDM,453245,PROSTH PENL PS 10CM 18CM,177133.0,177133.0,19484.63,177133.0,57
CDM,453249,STENT EPRSTH 10MM 4CM,109679.0,109679.0,12064.69,109679.0,57
CDM,453256,INSERT TIB KN BRNG 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,453267,KIT STARTER WND SYSTEM,11433.0,11433.0,800.31,11433.0,71
CDM,453280,COMPONENT FEM 3 KN RT,41280.0,41280.0,4540.8,41280.0,57
CDM,453281,INSERT TIB 4 10MM KN RT,14190.0,14190.0,1560.9,14190.0,57
CDM,453310,NEEDLE CRYOSURG 90D,31401.0,31401.0,2198.07,31401.0,71
CDM,453321,MESH HRN PP 25X40IN,183910.0,183910.0,20230.1,183910.0,57
CDM,453326,PLATE BN SM 24H .6MM,7596.0,7596.0,835.56,7596.0,57
CDM,453327,PLATE BN MDFC LG L 6MM,5812.0,5812.0,639.32,5812.0,57
CDM,453337,STEM FEM HIP STD SZ2,49020.0,49020.0,5392.2,49020.0,57
CDM,453345,SCREW BONE TI 5.0 S 30MM,3625.0,3625.0,398.75,3625.0,57
CDM,453355,SCREW BNE TI 32X5.0 FEM/,3206.0,3206.0,352.66,3206.0,57
CDM,453359,REAMER SURG MTP 22MM,10287.0,10287.0,720.09,10287.0,71
CDM,453365,SCREW BONE LOCKING 42X45,3206.0,3206.0,352.66,3206.0,57
CDM,453371,CONN 3/8X3/8X1/4,187.0,187.0,13.09,187.0,71
CDM,453375,SCREW SYN 5.0X46 LOCKING,3206.0,3206.0,352.66,3206.0,57
CDM,453385,SCREW LOCK TFN 458.948,3206.0,3206.0,352.66,3206.0,57
CDM,453395,SCREW BN 5MM 50MM,3206.0,3206.0,352.66,3206.0,57
CDM,453405,SCREW BN 5MM 52MM NLEX T,3206.0,3206.0,352.66,3206.0,57
CDM,453406,KIT CANNULA INS VNS,2969.0,2969.0,207.83,2969.0,71
CDM,453415,SCREW BN F-T 5MM 54MM,3847.0,3847.0,423.17,3847.0,57
CDM,453425,SCREW TROCH F-T 5X8X56MM,3237.0,3237.0,356.07,3237.0,57
CDM,453555,BLADE SPIRAL 36MM,6589.0,6589.0,724.79,6589.0,57
CDM,453605,BLADE IM FX HUM 46MM,31936.0,31936.0,3512.96,31936.0,57
CDM,453615,BLADE IM FX HUM 48MM,6391.0,6391.0,703.01,6391.0,57
CDM,453626,BLADE FIXATION SPIRAL 50,9065.0,9065.0,997.15,9065.0,57
CDM,453630,CATHETER DUAL LUMEN 30FR,40597.0,40597.0,2841.79,40597.0,71
CDM,453639,PLATE ORT TIB #8 CMTD,25671.0,25671.0,2823.81,25671.0,57
CDM,453656,PATELLA PRSTHS 32X8.5MM,6450.0,6450.0,709.5,6450.0,57
CDM,453659,MESH GYN 25CM 30CM,197094.0,197094.0,21680.34,197094.0,57
CDM,453660,KNIFE ENDO DISP 1.9MM,11433.0,11433.0,800.31,11433.0,71
CDM,453699,ALGRFT BN DBM 1CC,5435.0,5435.0,597.85,5435.0,57
CDM,453715,ROD SPN 3.5MM 80MM,4556.0,4556.0,501.16,4556.0,57
CDM,453717,HEAD FEM +0MM OFST 28MM,7740.0,7740.0,851.4,7740.0,57
CDM,453723,PLATE LCP LT 9HL 3.5MM,20945.0,20945.0,2303.95,20945.0,57
CDM,453724,SHELL ACTB HIP 3H 48MM,25800.0,25800.0,2838.0,25800.0,57
CDM,453725,BASEPLATE KN TIB SZ3,27090.0,27090.0,2979.9,27090.0,57
CDM,453759,SPACER TIB KN PROX 15MM,21795.0,21795.0,2397.45,21795.0,57
CDM,453799,CANNULA ART 25FR 3/8IN,7016.0,7016.0,491.12,7016.0,71
CDM,453830,COMPONENT TIB KN SZ5,25800.0,25800.0,2838.0,25800.0,57
CDM,453868,PIN HLF APX EXFX 150X5MM,3936.0,3936.0,275.52,3936.0,71
CDM,453869,PLATE BN 12H 2MM 22MM,2183.0,2183.0,240.13,2183.0,57
CDM,453871,METHADONE 10 MG PO,2.09,2.09,0.15,2.09,46
CDM,453878,PIN HALF SLFDRL 5X180MM,3936.0,3936.0,275.52,3936.0,71
CDM,453917,PLATE BN BTTRS RT 1.6X15,5505.0,5505.0,605.55,5505.0,57
CDM,453919,PLATE BN BTTRS LT 1.6X15,5505.0,5505.0,605.55,5505.0,57
CDM,453969,HANDPIECE ESURG 35CM 5MM,11430.0,11430.0,800.1,11430.0,71
CDM,453971,PUMP INF CHEMO 270ML,991.0,991.0,69.37,991.0,71
CDM,453976,SCREW BN 7MM 74MM,14632.0,14632.0,1609.52,14632.0,57
CDM,454062,INSERT SHLDR SM +4 32MM,17415.0,17415.0,1915.65,17415.0,57
CDM,454074,STEM HUM SHLDR 8MM 150MM,98052.0,98052.0,10785.72,98052.0,57
CDM,454117,BOLT ORTH 38MM,7761.0,7761.0,853.71,7761.0,57
CDM,454141,GJ TUBE LO 14F 1.5X30CM,10768.0,10768.0,753.76,10768.0,71
CDM,454142,MESH CRNL 90X90X.6MM,104272.0,104272.0,11469.92,104272.0,57
CDM,454168,SCREW BN 2.7MM 16MM,2713.0,2713.0,298.43,2713.0,57
CDM,454208,SCREW BN 2.4MM 38MM,2569.0,2569.0,282.59,2569.0,57
CDM,454209,SCREW BN 2.4MM 36MM,864.0,864.0,95.04,864.0,57
CDM,454218,SCREW BN 3.5MM 70MM,1483.0,1483.0,163.13,1483.0,57
CDM,454245,DEVICE CLSR WND +1 60CM,1483.0,1483.0,103.81,1483.0,71
CDM,454263,STEM KN 130MM 14MM,15480.0,15480.0,1702.8,15480.0,57
CDM,454265,BSPLT GLND SHLDR15D 25MM,48680.0,48680.0,5354.8,48680.0,57
CDM,454266,BIT DRILL 3.2MM,3748.0,3748.0,262.36,3748.0,71
CDM,454267,BIT DRILL 3.5MM 200MM,3748.0,3748.0,262.36,3748.0,71
CDM,454268,GUIDE WIRE SHARP HUM NAI,4723.0,4723.0,330.61,4723.0,71
CDM,454276,IMPLANT BREAST 310CC,26715.0,26715.0,2938.65,26715.0,57
CDM,454279,IMPLANT BREAST 225CC,27229.0,27229.0,2995.19,27229.0,57
CDM,454323,STEM HUM 80MM 22MM FN CM,21569.0,21569.0,2372.59,21569.0,57
CDM,454326,COIL EMBL 40MM 60CM,25688.0,25688.0,2825.68,25688.0,57
CDM,454346,TISSEEL 10 ML TOPICAL,8669.0,8669.0,606.83,8669.0,59
CDM,454352,CEMENT BN PMMA GNTA 40GM,2440.0,2440.0,268.4,2440.0,57
CDM,454367,INSERT TIB KN SZ3-4 9MM,18383.0,18383.0,2022.13,18383.0,57
CDM,454385,INSERT ACTB 4 HIP 2 MBL,14190.0,14190.0,1560.9,14190.0,57
CDM,454386,LINR ACTB HIP SZ4,14190.0,14190.0,1560.9,14190.0,57
CDM,454394,GUIDE GLND PT SPECIFIC,5623.0,5623.0,393.61,5623.0,71
CDM,454402,KWIRE FX 1.6MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,454449,PROSTH PENL PS 10CM 18CM,172311.0,172311.0,18954.21,172311.0,57
CDM,454453,INSERT HUM SHLDR 32MM,17415.0,17415.0,1915.65,17415.0,57
CDM,454455,STEM HUM SHLDR SM108X6MM,123568.0,123568.0,13592.48,123568.0,57
CDM,454462,COMPNT FEM KN 3 RT,88920.0,88920.0,9781.2,88920.0,57
CDM,454463,AUGMNT FEM KN SZ3 4MM,19866.0,19866.0,2185.26,19866.0,57
CDM,454464,INSERT TIB KN SZ3 18MM,39732.0,39732.0,4370.52,39732.0,57
CDM,454465,SHELL HM SHLDR 12X108MM,116016.0,116016.0,12761.76,116016.0,57
CDM,454471,HEAD FEM HIP BIP 28X46MM,10800.0,10800.0,1188.0,10800.0,57
CDM,454523,SLEEVE TIB KN PRCT 29MM,59653.0,59653.0,6561.83,59653.0,57
CDM,454524,INSERT TIB KN SZ5 6MM,48401.0,48401.0,5324.11,48401.0,57
CDM,454537,FACT VIII NOVOEIGHT 1 IU,12.91,12.91,0.9,12.91,42
CDM,454539,PLATE BN 8HL 4.5MM 195MM,33200.0,33200.0,3652.0,33200.0,57
CDM,454543,SCREW BN FT 2.4X8MM,864.0,864.0,95.04,864.0,57
CDM,454559,CATH DRN W/MKR 14FR 35CM,2921.0,2921.0,204.47,2921.0,71
CDM,454622,SCREW MXFCL MIC 2.7X10,1770.0,1770.0,194.7,1770.0,57
CDM,454632,SCREW MXFCL MIC 2.7X12,2316.0,2316.0,254.76,2316.0,57
CDM,454637,SIROLIMUS 0.5 MG PO,40.41,40.41,2.83,40.41,47
CDM,454642,SCREW MXFCL MIC 2.7X14,1542.0,1542.0,169.62,1542.0,57
CDM,454647,CATHETER EP 4FR 120CM,925.0,925.0,64.75,925.0,71
CDM,454648,CATHETER EP 4FR 120CM,925.0,925.0,64.75,925.0,71
CDM,454650,CATH EP 6FR 105CM,3098.0,3098.0,216.86,3098.0,71
CDM,454652,SCREW MXFCL MIC 2.7X16,2316.0,2316.0,254.76,2316.0,57
CDM,454653,INSERT SCSR 1 SERRATE NO,7070.0,7070.0,494.9,7070.0,71
CDM,454662,SCREW MXFCL MIC 2.7X18,1542.0,1542.0,169.62,1542.0,57
CDM,454672,SCREW MXFCL EMER 3.2X12,1336.0,1336.0,146.96,1336.0,57
CDM,454702,PLATE BN 3X2H LT 23X.7MM,3584.0,3584.0,394.24,3584.0,57
CDM,454712,PLATE BN RT 4X3HL 28X0.7,3584.0,3584.0,394.24,3584.0,57
CDM,454722,PLATE BN 2MM 39MM,3957.0,3957.0,435.27,3957.0,57
CDM,454759,GUIDE CSTM CUT DISP XL,54156.0,54156.0,3790.92,54156.0,71
CDM,454761,MESH SURG HRN 6X4IN,42520.0,42520.0,4677.2,42520.0,57
CDM,454763,GUIDE CSTM CUT DISP XS,30586.0,30586.0,2141.02,30586.0,71
CDM,454803,STENT TRCHBR 18X60X5.1MM,60623.0,60623.0,6668.53,60623.0,57
CDM,454813,NAIL BN HUM 130MM 8MM,41100.0,41100.0,4521.0,41100.0,57
CDM,454815,SCREW BN 6.5MM 45MM,9912.0,9912.0,1090.32,9912.0,57
CDM,454816,INSERT REV SHLDR +6X39MM,10275.0,10275.0,1130.25,10275.0,57
CDM,454817,CMPNT SHLDR GLND 39MM,34902.0,34902.0,3839.22,34902.0,57
CDM,454818,BASEPLATE SHLDR 29MM,24660.0,24660.0,2712.6,24660.0,57
CDM,454819,SCREW BN DIST 5MM 40MM,5343.0,5343.0,587.73,5343.0,57
CDM,454820,SCREW BN DIST 4.3MM 28MM,4110.0,4110.0,452.1,4110.0,57
CDM,454823,SCREW BN 5MM 44MM,5343.0,5343.0,587.73,5343.0,57
CDM,454877,KIT LEAD SURG NRSTM 50CM,37575.0,37575.0,4133.25,37575.0,57
CDM,454918,STENT BIL PGTL 7FR 5CM,1053.0,1053.0,115.83,1053.0,57
CDM,454957,SCREW BN LCK ST 5X40MM,4427.0,4427.0,486.97,4427.0,57
CDM,454975,CMPNT GLND SHLDR 15D SM,46440.0,46440.0,5108.4,46440.0,57
CDM,454976,PIN GUIDE 220MM 2.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,454977,CATH BLNDIL 4.5MM 6MM,2811.0,2811.0,196.77,2811.0,71
CDM,454978,CATH ANGIO DIL 6X15MM,3936.0,3936.0,275.52,3936.0,71
CDM,454980,TUBE FD 14FR 1X22CM,10768.0,10768.0,753.76,10768.0,71
CDM,454981,HEAD HUM ASC FLEX 39X14,56275.0,56275.0,6190.25,56275.0,57
CDM,454983,STEM HUM SHLDR 78MM,64501.0,64501.0,7095.11,64501.0,57
CDM,454984,SURF ARTC KN 3-5 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,454985,SCREW BN 6.5MM 30MM,1480.0,1480.0,162.8,1480.0,57
CDM,454996,DRILL SURG SM SHRT 2.7MM,2043.0,2043.0,143.01,2043.0,71
CDM,455047,PIN BN FEM FX AXL SZ2,36709.0,36709.0,4037.99,36709.0,57
CDM,455091,INTRO SHTH 5.3MM 70CM,3692.0,3692.0,258.44,3692.0,71
CDM,455117,CATH MICRO VASC 2F 130CM,13919.0,13919.0,974.33,13919.0,71
CDM,455122,LINER ACTB HIP 56MM 36MM,24056.0,24056.0,2646.16,24056.0,57
CDM,455123,SCREW BN 4.5MM 26MM,864.0,864.0,95.04,864.0,57
CDM,455124,PLATE BN P-AXL LCK RT T8,38667.0,38667.0,4253.37,38667.0,57
CDM,455130,SHELL ACTB HIP 5H 54MM,25800.0,25800.0,2838.0,25800.0,57
CDM,455131,BASEPLATE GLND SHLDR15MM,8656.0,8656.0,952.16,8656.0,57
CDM,455132,SCREW BN GLND 5.0X34MM,1542.0,1542.0,169.62,1542.0,57
CDM,455133,SCREW BN 5MM 30MM,2193.0,2193.0,241.23,2193.0,57
CDM,455141,PLATE BN 8HL 194MM 3.5MM,27682.0,27682.0,3045.02,27682.0,57
CDM,455144,STEM FEM 92-112MM TRIFIT,51600.0,51600.0,5676.0,51600.0,57
CDM,455204,MESH SURG 6X4IN,56640.0,56640.0,6230.4,56640.0,57
CDM,455229,PLATE BN RT 12HL 266MM,31479.0,31479.0,3462.69,31479.0,57
CDM,455237,SCREW BN 3.5MM 42MM,2034.0,2034.0,223.74,2034.0,57
CDM,455287,CTHGD VBT 6F 070 JR4 55,1981.0,1981.0,138.67,1981.0,71
CDM,455304,CEMENT BN HVIS PMMA 40GM,1213.0,1213.0,133.43,1213.0,57
CDM,455307,CATH BLND 9.5MM .95X50CM,9835.0,9835.0,688.45,9835.0,71
CDM,455311,RELOAD STPLR BLUE 3.5MM,4963.0,4963.0,545.93,4963.0,57
CDM,455314,IMPLANT BREAST 770CC,27229.0,27229.0,2995.19,27229.0,57
CDM,455344,SCREW SPN 7MM 45MM,16452.0,16452.0,1809.72,16452.0,57
CDM,455346,CRT-P 11X19.9X46.5,129373.0,129373.0,14231.03,129373.0,57
CDM,455370,SCREW ST SPN FLAT CONN,1266.0,1266.0,139.26,1266.0,57
CDM,455374,SCREW SPN 3.5MM 16MM,15186.0,15186.0,1670.46,15186.0,57
CDM,455433,BOLT BN FEM NK SYS 90MM,8138.0,8138.0,895.18,8138.0,57
CDM,455461,DRIVER SURG,5583.0,5583.0,390.81,5583.0,71
CDM,455500,STEM LIMB 12X120MM,140210.0,140210.0,15423.1,140210.0,57
CDM,455502,STEM LIMB 11X120MM,114298.0,114298.0,12572.78,114298.0,57
CDM,455512,PLATE BN 1/3TBLR 107MM,7501.0,7501.0,825.11,7501.0,57
CDM,455634,PLATE SPN 2LVL 34MM,24045.0,24045.0,2644.95,24045.0,57
CDM,455635,EXPANDER TISS 5X10CM 175,22153.0,22153.0,2436.83,22153.0,57
CDM,455636,CATH ABLAT BI-D FJ CURVE,48053.0,48053.0,3363.71,48053.0,71
CDM,455638,CATH ABL 8GA 115CM,48053.0,48053.0,3363.71,48053.0,71
CDM,455640,NAIL BN LT 9X380MM,41470.0,41470.0,4561.7,41470.0,57
CDM,455649,MESH HRN PP 8X4IN,9470.0,9470.0,1041.7,9470.0,57
CDM,455656,CATH CV 20GA 2.6FR 60CM,2196.0,2196.0,153.72,2196.0,71
CDM,455671,PLATE BN LT 35X0.5MM,29986.0,29986.0,3298.46,29986.0,57
CDM,455739,SCREW BN FEM STRL 90MM,5487.0,5487.0,603.57,5487.0,57
CDM,455745,BOLT BN FEM ALLOY 95MM,8138.0,8138.0,895.18,8138.0,57
CDM,455746,PLATE BN 2.4MM 145MM,31619.0,31619.0,3478.09,31619.0,57
CDM,455762,BIT DRILL LCK 4.2MM 360M,4948.0,4948.0,346.36,4948.0,71
CDM,455764,SCREW BN LCK 5MM 40MM,3322.0,3322.0,365.42,3322.0,57
CDM,455768,HEAD FEM HIP OFFST5X28MM,7740.0,7740.0,851.4,7740.0,57
CDM,455769,BIT DRL 185MM 4.2MM,4948.0,4948.0,346.36,4948.0,71
CDM,455778,HEAD FEM HIP -3.0MM 28MM,7740.0,7740.0,851.4,7740.0,57
CDM,455780,CATH DLV SYS 5FR 120CM,4610.0,4610.0,322.7,4610.0,71
CDM,455786,INSERT TIB KN SZ4 12MM,48401.0,48401.0,5324.11,48401.0,57
CDM,455791,BURR SURG 3.1X13MM,8939.0,8939.0,625.73,8939.0,71
CDM,455838,SPACER FEM HIP OMFT 9MM,1580.0,1580.0,173.8,1580.0,57
CDM,455858,SPACER FEM HIP OMFT 11MM,1589.0,1589.0,174.79,1589.0,57
CDM,455871,E-Z-PAQUE POWD 169GM PO,28.01,28.01,1.96,28.01,59
CDM,455872,E-Z-HD POWD 334GM PO,37.87,37.87,2.65,37.87,59
CDM,455873,READI-CAT 2 450ML PO,26.57,26.57,1.86,26.57,59
CDM,455874,DTAP VAC <7YRS IM,177.78,177.78,12.44,177.78,47
CDM,455874,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",177.78,177.78,31.98,283.41,17
CDM,455876,HEPA VAC ADULT IM,511.84,511.84,35.83,511.84,47
CDM,455876,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",511.84,511.84,71.52,778.92,17
CDM,455877,HIB VAC PRP-T 4 DOSE IM,120.97,120.97,8.47,120.97,47
CDM,455877,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",120.97,120.97,14.11,126.14,17
CDM,455902,BOSENTAN 125MG PO,1696.27,1696.27,118.74,1696.27,59
CDM,455903,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,455904,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,455905,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,455906,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,456142,MOD SED DIF MD EADD 15,71.12,71.12,4.98,71.12,65
CDM,456142,Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therape,71.12,71.12,180.37,350.91,6
CDM,456143,MOD SED DIF MD 1ST15>5YR,140.64,140.64,9.84,140.64,65
CDM,456143,Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therape,140.64,140.64,222.01,431.91,6
CDM,456144,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,456146,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,456164,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,456166,NIVOLUMAB 240 MG INJ,45414.44,45414.44,3179.01,45414.44,42
CDM,456167,MENB-FHBP 2 OR 3 DOSE IM,1154.93,1154.93,80.85,1154.93,47
CDM,456167,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",1154.93,1154.93,222.72,1985.77,17
CDM,456189,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,456204,BRONC/TBNA EA AD,9053.93,9053.93,633.78,9053.93,64
CDM,456213,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,456219,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,456220,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,456221,COENZYME Q10 200MG CAP,4.71,4.71,0.33,4.71,67
CDM,456271,RIG IMOGAM-HT 150 U IMSQ,6643.71,6643.71,465.06,6643.71,42
CDM,456271,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",6643.71,6643.71,581.53,4334.84,15
CDM,456277,OBS PER HOUR,1031.49,1031.49,113.46,1031.49,42
CDM,456279,CARBOPLATIN 50 MG INJ,65.62,65.62,4.59,65.62,47
CDM,456280,CARBOPLATIN 50 MG INJ,65.62,65.62,4.59,65.62,47
CDM,456281,CISPLATIN 10MG INJ,32.9,32.9,2.3,32.9,47
CDM,456281,"Injection, cisplatin, powder or solution, 10 mg ",32.9,32.9,2.1,16.68,17
CDM,456283,"Injection, mesna, 200 mg ",45.85,45.85,1.29,39.29,17
CDM,456283,MESNA 200 MG INJ,45.85,45.85,3.21,45.85,47
CDM,456286,TRIAMCINOLN ACE NOS 10MG,83.99,83.99,5.88,83.99,47
CDM,456287,"Injection, succinylcholine chloride, up to 20 mg ",40.21,40.21,2.46,7.38,15
CDM,456287,SUCCINYLCHOL UP TO 20 MG,40.21,40.21,2.81,40.21,47
CDM,456341,MESH HRN PP 12CM 18CM,53346.0,53346.0,5868.06,53346.0,57
CDM,456344,CATH BLNOCC 34FR 100CM,4513.0,4513.0,315.91,4513.0,71
CDM,456350,SEALANT DURA MATER,16399.0,16399.0,1803.89,16399.0,57
CDM,456353,PLATE 130D 65MMX94MM,19739.0,19739.0,2171.29,19739.0,57
CDM,456369,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,456545,SCREW BN 6.5X15MM,1705.0,1705.0,187.55,1705.0,57
CDM,456555,SCREW BN 6.5X20MM,1266.0,1266.0,139.26,1266.0,57
CDM,456565,SCREW BN 6.5X25MM,1266.0,1266.0,139.26,1266.0,57
CDM,456585,SCREW BN 6.5X35MM,1131.0,1131.0,124.41,1131.0,57
CDM,457735,STEM HIP 8.9MM 110MM,39286.0,39286.0,4321.46,39286.0,57
CDM,457745,STEM HIP 9.6MM 120MM,36120.0,36120.0,3973.2,36120.0,57
CDM,458927,ABL RENL TUMRS CRYO LT,42311.97,42311.97,2961.84,42311.97,64
CDM,458928,ABL RENL TUMRS CRYO RT,42311.97,42311.97,2961.84,42311.97,64
CDM,458930,ABL RENL TUMRS CRYO BI,57829.55,57829.55,4048.07,57829.55,64
CDM,458942,DAUNO/CYT 44/100 MG INJ,61764.64,61764.64,4323.52,61764.64,42
CDM,458942,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",61764.64,61764.64,253.36,2181.53,17
CDM,458964,STEM EXT KN 80MM 12MM,15790.0,15790.0,1736.9,15790.0,57
CDM,458969,TBO-FILGRASTIM 1 MCG INJ,4.73,4.73,0.33,4.73,42
CDM,459016,RITUXIMAB 10 MG INJ,822.06,822.06,57.54,822.06,42
CDM,459018,ECMO ECLS VENO-VENOUS,12785.65,12785.65,895.0,12785.65,64
CDM,459035,NICORETTE 2MG GUM,4.88,4.88,0.34,4.88,67
CDM,459043,SCREW BN 3.5X16M,3515.0,3515.0,386.65,3515.0,57
CDM,459059,OXYMETAZOLINE 0.05% 30ML,15.62,15.62,1.09,15.62,67
CDM,459071,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,459073,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",1507.02,1507.02,115.2,1034.95,72
CDM,459073,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Age 21+",1507.02,1507.02,177.41,177.41,4
CDM,459073,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Age Under 21",1507.02,1507.02,180.63,180.63,4
CDM,459073,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Other Outpatient",1507.02,1507.02,201.6,201.6,6
CDM,459073,SEPT9 PROMOTER METHYLATE,1507.02,1507.02,105.49,1507.02,47
CDM,459074,EXOME SEQUENCE ANALYSIS,37483.51,37483.51,2623.85,37483.51,47
CDM,459074,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",37483.51,37483.51,2868.0,25748.15,61
CDM,459074,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Other Outpatient",37483.51,37483.51,5019.0,5019.0,6
CDM,459088,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,459101,FILLER BN VOID 5CC CANC,18267.0,18267.0,2009.37,18267.0,57
CDM,459102,DOCETAXEL 80 MG INJ,486.54,486.54,34.06,486.54,47
CDM,459103,ETOPOSIDE 100 MG INJ,83.14,83.14,5.82,83.14,47
CDM,459104,RUXOLITINIB 5 MG PO,1977.8,1977.8,138.45,1977.8,59
CDM,459106,OLOPATADNE 0.1% 5ML OP,512.75,512.75,35.89,512.75,59
CDM,459108,OMEGAVEN 10 G INJ,507.04,507.04,35.49,507.04,53
CDM,459150,BOLT BN FEM ALLOY 85MM,8138.0,8138.0,895.18,8138.0,57
CDM,459151,SCREW BN FEM STRL 85MM,5487.0,5487.0,603.57,5487.0,57
CDM,459166,STEM FEM KN 12MM 60MM,25515.0,25515.0,2806.65,25515.0,57
CDM,459169,NAIL BN 9MM 170MM,25000.0,25000.0,2750.0,25000.0,57
CDM,459172,CANNULA PORTAL SKID MENI,2811.0,2811.0,196.77,2811.0,71
CDM,459185,CAGE SPN 7D 8X15X12MM,20248.0,20248.0,2227.28,20248.0,57
CDM,459255,SCREW BN 3.5MM 70MM,1003.0,1003.0,110.33,1003.0,57
CDM,459282,SHELL ACTB HIP SZ52 E,54858.0,54858.0,6034.38,54858.0,57
CDM,459290,DEVICE CLSE WND 2-0 23CM,1397.0,1397.0,97.79,1397.0,71
CDM,459355,GRAFT PRCN 11X7.5IN,231597.0,231597.0,25475.67,231597.0,57
CDM,459443,GRAFT DURA CRANI 5X4IN,22477.0,22477.0,2472.47,22477.0,57
CDM,459534,ALLODERM 982128,46091.0,46091.0,5070.01,46091.0,45
CDM,459730,INSRT ARTC KN 10-11 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,459731,COMPNT FEM KN RT SZ11,41280.0,41280.0,4540.8,41280.0,57
CDM,459733,STEM KN 14MM 152MM,73475.0,73475.0,8082.25,73475.0,57
CDM,459815,STENT COR RX 4.5X24MM,13872.0,13872.0,1525.92,13872.0,57
CDM,459875,PLATE BN FEM NK 1HL,16461.0,16461.0,1810.71,16461.0,57
CDM,459879,SCREW BN SLFTP 5X38MM,4427.0,4427.0,486.97,4427.0,57
CDM,459908,SEALER CURV JAW 45CM,10676.0,10676.0,747.32,10676.0,71
CDM,459930,MESH HRN PP 25X30IN S,183910.0,183910.0,20230.1,183910.0,57
CDM,459977,SLEEVE FEM HIP -3MM,3122.0,3122.0,343.42,3122.0,57
CDM,461253,CATH EP 5FR 110CM,6287.0,6287.0,440.09,6287.0,71
CDM,461295,SCREW SPN 6MM 55MM,13921.0,13921.0,1531.31,13921.0,57
CDM,461298,COMPNT GLND SHLDR RT 15D,46440.0,46440.0,5108.4,46440.0,57
CDM,461302,INSERT TIB KN LT3-4 15MM,19350.0,19350.0,2128.5,19350.0,57
CDM,461310,SYSTEM FX WHT 30MM,6127.0,6127.0,428.89,6127.0,71
CDM,461391,SCREW BN 5MM 50MM,3322.0,3322.0,365.42,3322.0,57
CDM,461463,INSERT TIB KN SZ7 6MM,48401.0,48401.0,5324.11,48401.0,57
CDM,461594,SCREW BN 5MM 85MM,2466.0,2466.0,271.26,2466.0,57
CDM,461599,ROD EX FIX 9.5MM 250MM,5623.0,5623.0,393.61,5623.0,71
CDM,461605,CATH BLNDIL 28X4.5X110,12842.0,12842.0,898.94,12842.0,71
CDM,461606,CATH BLNDL 21MM 110CM,11566.0,11566.0,809.62,11566.0,71
CDM,461607,CATH BLNDL 23MM 110CM,11566.0,11566.0,809.62,11566.0,71
CDM,461725,ALTEPLASE RECOMB 1 MGJW,611.31,611.31,42.79,611.31,42
CDM,461728,PLUG BNCMNT SZ1 11.0MM,1131.0,1131.0,124.41,1131.0,57
CDM,461729,TIROFIBAN 0.25 MG INJJW,22.65,22.65,1.59,22.65,47
CDM,461738,PLUG BNCMNT SZ2 12.5MM,1131.0,1131.0,124.41,1131.0,57
CDM,461747,KIT GSTRM DIALATOR 18FR,5623.0,5623.0,393.61,5623.0,71
CDM,461748,PLUG BNCMNT SZ3 14.0MM,1131.0,1131.0,124.41,1131.0,57
CDM,461751,INSERT TIB KN 16MM,53314.0,53314.0,5864.54,53314.0,57
CDM,461754,SCREW BN INTFR 9X30MM,10111.0,10111.0,1112.21,10111.0,57
CDM,461755,KIT ORTHOGNATHIC CRNMXF,44305.0,44305.0,3101.35,44305.0,71
CDM,461758,PLUG BNCMNT SZ4 15.5MM,1131.0,1131.0,124.41,1131.0,57
CDM,461763,STENT BIL 8.5FR 10X40MM,48581.0,48581.0,5343.91,48581.0,57
CDM,461767,CATH VASC 2.4F 125CM,40365.0,40365.0,2825.55,40365.0,71
CDM,461768,PLUG BNCMNT SZ5 17.0MM,1131.0,1131.0,124.41,1131.0,57
CDM,461778,PLUG BNCMNT SZ6 18.0MM,1131.0,1131.0,124.41,1131.0,57
CDM,461788,PLUG BNCMNT SZ7 20.0MM,1131.0,1131.0,124.41,1131.0,57
CDM,461791,SYSTEM PRESS 20CM 10CM,5623.0,5623.0,393.61,5623.0,71
CDM,461798,PLUG BNCMNT SZ8 21.5MM,1131.0,1131.0,124.41,1131.0,57
CDM,461818,HEAD FEM HIP BIP 22X40MM,10320.0,10320.0,1135.2,10320.0,57
CDM,461826,DEVICE CLSE WND 2-0 23CM,1397.0,1397.0,97.79,1397.0,71
CDM,461839,HEAD BIP 42MM 26MM,10800.0,10800.0,1188.0,10800.0,57
CDM,461843,IMPLANT BREAST 600CC,27229.0,27229.0,2995.19,27229.0,57
CDM,461844,IMPLANT BREAST 560CC,27229.0,27229.0,2995.19,27229.0,57
CDM,461921,INS REV SHLDR +9MM 36MM,35243.0,35243.0,3876.73,35243.0,57
CDM,461922,STENT PANC 29MM 146MM,101108.0,101108.0,11121.88,101108.0,57
CDM,461926,HEAD HIP 44MM 28MM,10320.0,10320.0,1135.2,10320.0,57
CDM,461929,SCREW BN 7.3MM 160MM,3950.0,3950.0,434.5,3950.0,57
CDM,461937,IMPLANT BREAST 195CC,27229.0,27229.0,2995.19,27229.0,57
CDM,461946,HEAD HIP 45MM 28MM,10800.0,10800.0,1188.0,10800.0,57
CDM,461976,HEAD FEM HIP BIP 28X47MM,10800.0,10800.0,1188.0,10800.0,57
CDM,461988,SCREW BN FEM STRL 80MM,6758.0,6758.0,743.38,6758.0,57
CDM,462036,SCREW BN FEM STRL 95MM,5487.0,5487.0,603.57,5487.0,57
CDM,462183,GJ TUBE LO 14F 1.2X30CM,10768.0,10768.0,753.76,10768.0,71
CDM,462186,HEAD HIP 50MM 28MM,10800.0,10800.0,1188.0,10800.0,57
CDM,462196,HEAD HIP 51MM 28MM,10800.0,10800.0,1188.0,10800.0,57
CDM,462216,HEAD BIP HIP 52MM 28MM,10800.0,10800.0,1188.0,10800.0,57
CDM,462239,INTRO SHEATH 15FR 33CM,9419.0,9419.0,659.33,9419.0,71
CDM,462241,IMPLANT BREAST 545CC,22503.0,22503.0,2475.33,22503.0,57
CDM,462244,INSERT SCISSOR 36CM,1599.0,1599.0,111.93,1599.0,71
CDM,462254,KIT FLD MGMT HYSCP,5634.0,5634.0,394.38,5634.0,71
CDM,462255,CMPNT TTL ELB 70MM SML,64501.0,64501.0,7095.11,64501.0,57
CDM,462258,CONN ROD SPNE 13MM,10124.0,10124.0,1113.64,10124.0,57
CDM,462266,CMPNT FEM HIP 28MM 54M,10320.0,10320.0,1135.2,10320.0,57
CDM,462296,HEAD BIP HIP 56MM 28MM,10800.0,10800.0,1188.0,10800.0,57
CDM,462316,HEAD HIP 58MM 28MM,10800.0,10800.0,1188.0,10800.0,57
CDM,462326,HEAD HIP 28MM 61MM,10800.0,10800.0,1188.0,10800.0,57
CDM,462409,NAIL BN 10MM 400MM,40426.0,40426.0,4446.86,40426.0,57
CDM,462415,TROCAR LAPSCP 10-12MM,11318.0,11318.0,792.26,11318.0,71
CDM,462451,DEVICE ENDO DLV 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,462457,SHEATH INTRO 6FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
CDM,462458,CRT-P CRD 59X46.5X11MM,129373.0,129373.0,14231.03,129373.0,57
CDM,462484,SCREW BN LCKG 5X55MM,2466.0,2466.0,271.26,2466.0,57
CDM,462490,SCREW BN 5MM 75MM,2466.0,2466.0,271.26,2466.0,57
CDM,462540,COIL EMBL 60CM 18MM,32950.0,32950.0,3624.5,32950.0,57
CDM,462545,SCREW BN 3.5MM 75MM,2970.0,2970.0,326.7,2970.0,57
CDM,462548,PEG FX BN 2.3MM 24MM,1583.0,1583.0,174.13,1583.0,57
CDM,462550,COIL EMBL 60CM .02IN16MM,32950.0,32950.0,3624.5,32950.0,57
CDM,462551,COIL EMBL 60CM 28MM .02,25688.0,25688.0,2825.68,25688.0,57
CDM,462554,SCREW BN 2.7MM 18MM,2179.0,2179.0,239.69,2179.0,57
CDM,462572,SUTURE 2 W-NDL 38IN,1599.0,1599.0,111.93,1599.0,71
CDM,462589,LINER HIP SZ3,14190.0,14190.0,1560.9,14190.0,57
CDM,462652,CAGE SPN 10D 17X14X7MM,46191.0,46191.0,5081.01,46191.0,57
CDM,462654,SCREW SPN 4MM 12MM,1899.0,1899.0,208.89,1899.0,57
CDM,462673,IMPLANT BREAST 755CC,19009.0,19009.0,2090.99,19009.0,57
CDM,462679,INSERT TIB6 KN 6MM,48401.0,48401.0,5324.11,48401.0,57
CDM,462685,PLATE BN MXLFCL,140489.0,140489.0,15453.79,140489.0,57
CDM,462695,SLING MALE ADVANCE XP,136158.0,136158.0,14977.38,136158.0,57
CDM,462713,CRT-P MR 15MM,129373.0,129373.0,14231.03,129373.0,57
CDM,462742,INSERT CLAMP ULTRA 66MM,1599.0,1599.0,111.93,1599.0,71
CDM,462743,IMPLANT BREAST 415CC,16646.0,16646.0,1831.06,16646.0,57
CDM,462745,SCREW BN 3.5MM 36MM,822.0,822.0,90.42,822.0,57
CDM,462751,SCREW BN 3.5MM 16MM,822.0,822.0,90.42,822.0,57
CDM,462753,SCREW BN 3.5MM 20MM,822.0,822.0,90.42,822.0,57
CDM,462773,PUNCH 8IN 4.8MM BLT TIP,1599.0,1599.0,111.93,1599.0,71
CDM,462837,SCREW BN 3.5MM 40MM,799.0,799.0,87.89,799.0,57
CDM,462910,SCREW BN 3.5MM 16MM,2179.0,2179.0,239.69,2179.0,57
CDM,462913,SCREW BN 3.5MM 38MM,2179.0,2179.0,239.69,2179.0,57
CDM,462919,KWIRE FX 1.4MM,640.0,640.0,44.8,640.0,71
CDM,462964,DRILL SURG SM SHRT 2.5MM,4027.0,4027.0,281.89,4027.0,71
CDM,463175,PLATE BN LT 4MM 1.6X4MM,5675.0,5675.0,624.25,5675.0,57
CDM,463197,PLATE BN RT 4MM 1.6X4MM,5675.0,5675.0,624.25,5675.0,57
CDM,463199,LINER ACTB HIP 50MM,17220.0,17220.0,1894.2,17220.0,57
CDM,463286,SCREW BN 2.4MM 14MM,2569.0,2569.0,282.59,2569.0,57
CDM,463297,TC99M PYROPHOS DX 25MCI,186.51,186.51,13.06,186.51,54
CDM,463297,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",186.51,186.51,171.81,558.7,12
CDM,463297,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries Max of 2 Units",186.51,186.51,70.0,70.0,1
CDM,463300,PLERIXAFOR 1 MG INJ,126.41,126.41,8.85,126.41,42
CDM,463363,STEM HIP/KN 13MM 152MM,72305.0,72305.0,7953.55,72305.0,57
CDM,463399,INS ARTC KN SZ1-2 13MM,19350.0,19350.0,2128.5,19350.0,57
CDM,463407,FIBER LASER 550UM,11430.0,11430.0,800.1,11430.0,71
CDM,463453,SUTURE PASSER SWIFT STIT,9144.0,9144.0,640.08,9144.0,71
CDM,463461,STEM RADL 10X0X35MM,52245.0,52245.0,5746.95,52245.0,57
CDM,463479,SCREW BN 4.7MM 14MM,1519.0,1519.0,167.09,1519.0,57
CDM,463481,SCREW BN 3.5MM 28MM,750.0,750.0,82.5,750.0,57
CDM,463520,SCREW BN 3.5X18MM,822.0,822.0,90.42,822.0,57
CDM,463567,TRAY CATH PICC 3FR 1LUM,5623.0,5623.0,393.61,5623.0,71
CDM,463588,INSERT BRNG KN TIB6 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,463686,HEAD RADL ELB 22MM,26445.0,26445.0,2908.95,26445.0,57
CDM,463692,SCREW BN 2.5MM 22MM,6597.0,6597.0,725.67,6597.0,57
CDM,463754,HEAD FEM HIP +7MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,463756,HEAD FEM HIP 0MM 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,463759,BOLT FEM TI ALLOY 100MM,8138.0,8138.0,895.18,8138.0,57
CDM,463775,AUGMENT TIB KN RT 10MM,22575.0,22575.0,2483.25,22575.0,57
CDM,463776,INS TIB 4 22MM KN,39732.0,39732.0,4370.52,39732.0,57
CDM,463818,NAIL BN LT 8.5MM 285MM,25570.0,25570.0,2812.7,25570.0,57
CDM,463820,PLATE SPINAL 50MM 3 LVL,24045.0,24045.0,2644.95,24045.0,57
CDM,463840,CATH CHLGM DLV ACC,40597.0,40597.0,2841.79,40597.0,71
CDM,463841,CATH ANGIO MIV 5F125 6SP,1175.0,1175.0,82.25,1175.0,71
CDM,463845,DISSECTOR LGSR 21CM,11008.0,11008.0,770.56,11008.0,71
CDM,463846,SYSTEM LIMB 12X152MM,74870.0,74870.0,8235.7,74870.0,57
CDM,463847,SCREW CRNMXF 13x1.5MM,1195.0,1195.0,131.45,1195.0,57
CDM,463849,INSERT TIB 4 9MM KN BRNG,24510.0,24510.0,2696.1,24510.0,57
CDM,463850,DEVICE THRMB 4.5MM 26MM,82685.0,82685.0,5787.95,82685.0,71
CDM,463876,PLATE BN 10HL 199MM,28442.0,28442.0,3128.62,28442.0,57
CDM,463889,MOEDL ANATOMIC TWO PC,19523.0,19523.0,2147.53,19523.0,57
CDM,463891,SUTURE AUTOCAPTURE,2107.0,2107.0,147.49,2107.0,71
CDM,463903,CLAMP EX FIX SM,6138.0,6138.0,429.66,6138.0,71
CDM,463913,RELOAD STPLR 2.5X60MM,11433.0,11433.0,1257.63,11433.0,57
CDM,463916,STENT VASC 8FR 8MM 60MM,48915.0,48915.0,5380.65,48915.0,57
CDM,463925,STEM FEM HIP CMNTLS 135D,49020.0,49020.0,5392.2,49020.0,57
CDM,463976,PLATE BN RT 2MM 1.6X2MM,5675.0,5675.0,624.25,5675.0,57
CDM,463979,CATH HMDIAL 14.5FR 33CM,6721.0,6721.0,470.47,6721.0,71
CDM,463980,FILLER BN VOID 10CC,18101.0,18101.0,1991.11,18101.0,57
CDM,464047,CMPNT FEM ORT COATED #4,41280.0,41280.0,4540.8,41280.0,57
CDM,464048,DRILL SURG 4MM 165MM,5716.0,5716.0,400.12,5716.0,71
CDM,464053,LINER ORT TIB 4 LT 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,464056,CMPNT PLATE TIB SZ4,25671.0,25671.0,2823.81,25671.0,57
CDM,464087,EXPANDER BRST 850CC,33538.0,33538.0,3689.18,33538.0,57
CDM,464096,SCREW SPN 3.5MM 12MM,12655.0,12655.0,1392.05,12655.0,57
CDM,464098,STENT VASC COVRD 7X60MM,55377.0,55377.0,6091.47,55377.0,57
CDM,464101,GRAFT BN 3.5-4X1-2CM,11436.0,11436.0,1257.96,11436.0,57
CDM,464140,SCREW BN 3.5MM 16MM,2446.0,2446.0,269.06,2446.0,57
CDM,464143,SCREW BN 3X4.3X40MM T9,7925.0,7925.0,871.75,7925.0,57
CDM,464261,STBLZR BN 17X280MM,64733.0,64733.0,7120.63,64733.0,57
CDM,464262,GWIRE BALL TIP 2.0MM,1931.0,1931.0,135.17,1931.0,71
CDM,464395,SCREW BN 1.7MM 5MM,1396.0,1396.0,153.56,1396.0,57
CDM,464396,SCREW BN 6MM 1.7MM,1419.0,1419.0,156.09,1419.0,57
CDM,464397,INSERT TIB 5 9MM KN BRNG,24510.0,24510.0,2696.1,24510.0,57
CDM,464398,GUIDES CUTTING/MARK VSP,22068.0,22068.0,1544.76,22068.0,71
CDM,464399,SCREW BN 1.7X10MM,1396.0,1396.0,153.56,1396.0,57
CDM,464475,MESH GYN 14IN 14IN,232480.0,232480.0,25572.8,232480.0,57
CDM,464511,COIL EMBL 35CM .02IN 4MM,25688.0,25688.0,2825.68,25688.0,57
CDM,464513,COIL EMBL 20CM .02IN 6MM,25042.0,25042.0,2754.62,25042.0,57
CDM,464516,COIL EMBL 30CM .02IN 5MM,25688.0,25688.0,2825.68,25688.0,57
CDM,464519,CRT-D CRD 5.37X8.18CM,234906.0,234906.0,25839.66,234906.0,57
CDM,464524,SCREW BN 3.5MM 18MM,1727.0,1727.0,189.97,1727.0,57
CDM,464526,SCREW BN 3.5MM 16MM,1727.0,1727.0,189.97,1727.0,57
CDM,464541,LEAD SENSING RESP,69357.0,69357.0,7629.27,69357.0,57
CDM,464554,SCREW BN 2.5MM 14MM,2713.0,2713.0,298.43,2713.0,57
CDM,464579,PIN FX STRL 3.2X140MM,4288.0,4288.0,300.16,4288.0,71
CDM,464598,COIL EMBL 30CM 6MM,32950.0,32950.0,3624.5,32950.0,57
CDM,464609,INSERT TIB 8 6MM,39732.0,39732.0,4370.52,39732.0,57
CDM,464640,FILLER BN VOID 3CC CANC,14694.0,14694.0,1616.34,14694.0,57
CDM,464669,PLATE FT MTRSL LT 5HL,14427.0,14427.0,1586.97,14427.0,57
CDM,464718,KIT SCREW BN 0MM,14899.0,14899.0,1638.89,14899.0,57
CDM,464719,STEM HUM SHLDR 13X90MM,77047.0,77047.0,8475.17,77047.0,57
CDM,464720,STEM HUM SHLDR 13MM,91333.0,91333.0,10046.63,91333.0,57
CDM,464731,STAPLER INT CIR 23MM,8068.0,8068.0,564.76,8068.0,71
CDM,464742,SCREW BN 3MM 36MM,7925.0,7925.0,871.75,7925.0,57
CDM,464761,IMPLANT BREAST 270CC,23633.0,23633.0,2599.63,23633.0,57
CDM,464771,ROD SPN 3.5MM 25MM,4556.0,4556.0,501.16,4556.0,57
CDM,464777,ICU PVT OV 3D,19312.96,19312.96,,,0
CDM,464778,ICU-TELE OVERFLOW,16036.32,16036.32,,,0
CDM,464781,SPLINT DENTAL SGL JAW,17632.0,17632.0,1234.24,17632.0,71
CDM,464850,PLATE BN CMG LVL1 7HL,7000.0,7000.0,770.0,7000.0,57
CDM,464886,SCREW BN 8MM 2.7MM,987.0,987.0,108.57,987.0,57
CDM,464889,SCREW 10MM 2.7MM,1871.0,1871.0,205.81,1871.0,57
CDM,464890,SCREW BN 9MM 2MM,1090.0,1090.0,119.9,1090.0,57
CDM,464893,SCREW BN CRNFCL 2X7MM,1973.0,1973.0,217.03,1973.0,57
CDM,464894,DRILL TWIST 1.5MM 50MM,5623.0,5623.0,393.61,5623.0,71
CDM,464900,PLATE BN RT 6MM 1.6X6MM,5675.0,5675.0,624.25,5675.0,57
CDM,464901,PLATE BN LT 6MM 1.6X6MM,5675.0,5675.0,624.25,5675.0,57
CDM,464902,PLATE CRNMXF CSTM 3PLATE,159428.0,159428.0,17537.08,159428.0,57
CDM,464906,BURR ORT 2MM 12MM,7864.0,7864.0,550.48,7864.0,71
CDM,464907,PACK INSTRUMENT ORTHO ST,6401.0,6401.0,448.07,6401.0,71
CDM,464908,TUBING IRRIGATION SURG,2849.0,2849.0,199.43,2849.0,71
CDM,464911,SCREW BN 5MM 32.5MM,2466.0,2466.0,271.26,2466.0,57
CDM,464912,SCREW BN 2.5MM 26MM,7925.0,7925.0,871.75,7925.0,57
CDM,464948,CATH GD STDJL3 5FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,464949,CATH GD STDJR4 5FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,464959,COIL EMBL 20CM 4MM,25042.0,25042.0,2754.62,25042.0,57
CDM,464965,STEM FEM HIP 110MM,49846.0,49846.0,5483.06,49846.0,57
CDM,464972,IMPLANT BREAST 700CC,19009.0,19009.0,2090.99,19009.0,57
CDM,464973,ANCHOR SUT BN #1,12495.0,12495.0,1374.45,12495.0,57
CDM,464974,SCREW BN 1.9MM 5MM,1568.0,1568.0,172.48,1568.0,57
CDM,464975,STEM HUM SHLDR 10X108MM,123568.0,123568.0,13592.48,123568.0,57
CDM,464976,STENT BIL 10X50MM,18915.0,18915.0,2080.65,18915.0,57
CDM,464993,CATH GD 2.1FR 156CM,13716.0,13716.0,960.12,13716.0,71
CDM,464994,CATH GD 5FR 125CM,21661.0,21661.0,1516.27,21661.0,71
CDM,465008,CMPNT HUM R/SHRLDR 40MM,32250.0,32250.0,3547.5,32250.0,57
CDM,465016,MESH HRN PP 12X10CM,35511.0,35511.0,3906.21,35511.0,57
CDM,465031,INSERT KN RT SZ3-4 13MM,19350.0,19350.0,2128.5,19350.0,57
CDM,465053,SYSTEM LIMB 15X52MM,71021.0,71021.0,7812.31,71021.0,57
CDM,465058,PROBE CRYO TIP 11IN 8MM,40597.0,40597.0,2841.79,40597.0,71
CDM,465060,SHUNT ATRL VLV SPHNGD SM,85488.0,85488.0,9403.68,85488.0,57
CDM,465062,PLATE BN RIB 18HL,26715.0,26715.0,2938.65,26715.0,57
CDM,465081,BSCP FLX DSP SLM 3.8MM,7979.0,7979.0,558.53,7979.0,71
CDM,465091,MESH SURG 4X3IN,29529.0,29529.0,3248.19,29529.0,57
CDM,465104,SCREW BN 5MM 52.5MM,2466.0,2466.0,271.26,2466.0,57
CDM,465105,SCREW BN LCK 5MM 60MM,2466.0,2466.0,271.26,2466.0,57
CDM,465108,STEM FEM HIP SZ4 114MM,36120.0,36120.0,3973.2,36120.0,57
CDM,465126,GUIDE DRILL 4.8MM,6058.0,6058.0,424.06,6058.0,71
CDM,465154,HEAD FEM HIP TAPER 12/14,16770.0,16770.0,1844.7,16770.0,57
CDM,465160,PLATE BN LT 4HL 88MM,14416.0,14416.0,1585.76,14416.0,57
CDM,465162,SCREW BN 2.5MM 16MM,3165.0,3165.0,348.15,3165.0,57
CDM,465163,SCREW BN 2.5MM 14MM,4700.0,4700.0,517.0,4700.0,57
CDM,465165,SCREW BN 3.5MM 12MM,750.0,750.0,82.5,750.0,57
CDM,465167,SCREW BN LNG 4.0X50M,4275.0,4275.0,470.25,4275.0,57
CDM,465182,INSERT ACTB HIP SZ2,14190.0,14190.0,1560.9,14190.0,57
CDM,465183,LNER ACTB HIP SZ2,14190.0,14190.0,1560.9,14190.0,57
CDM,465184,HEAD ACB -2MM 12/14 22MM,9030.0,9030.0,993.3,9030.0,57
CDM,465196,CLAMP EX FX 5.0MM PIN,11767.0,11767.0,823.69,11767.0,71
CDM,465199,NUT EX FIX SMALL,3205.0,3205.0,224.35,3205.0,71
CDM,465209,ROD EX FX 5MM 250MM,7150.0,7150.0,500.5,7150.0,71
CDM,465210,POST EX FX HEX BENT,7876.0,7876.0,551.32,7876.0,71
CDM,465212,CLAMP MLTIPIN EX FX SM,11433.0,11433.0,800.31,11433.0,71
CDM,465234,SCREW BN LCKNG 5X80MM,2466.0,2466.0,271.26,2466.0,57
CDM,465238,SCREW BN 5MM 70MM,2466.0,2466.0,271.26,2466.0,57
CDM,465245,CMPNT PTLA KN 26MM 8MM,6450.0,6450.0,709.5,6450.0,57
CDM,465246,COMP FEM KN RT SZ4,41280.0,41280.0,4540.8,41280.0,57
CDM,465258,PLATE CHIN 8X2MM TI,4402.0,4402.0,484.22,4402.0,57
CDM,465259,SCRDRVR STL SIL STRNL TL,5154.0,5154.0,360.78,5154.0,71
CDM,465262,PLATE BN STRNL 17MM,24315.0,24315.0,2674.65,24315.0,57
CDM,465263,CMPNT AUG KN SZ7 12MM,19866.0,19866.0,2185.26,19866.0,57
CDM,465264,AUGMENT FEM ATTUNE 7 8MM,19866.0,19866.0,2185.26,19866.0,57
CDM,465265,MESH SURG VNTR 15X10CM,19704.0,19704.0,2167.44,19704.0,57
CDM,465266,STEM KN 130MM 16MM,15480.0,15480.0,1702.8,15480.0,57
CDM,465268,PLATE BN SZ2,144438.0,144438.0,15888.18,144438.0,57
CDM,465272,SYSTEM NEG PRSS 125MMHG,7009.0,7009.0,490.63,7009.0,71
CDM,465304,NAIL BN 7MM 9.5MM 270MM,25570.0,25570.0,2812.7,25570.0,57
CDM,465324,SCREW BN 5MM 75MM,3380.0,3380.0,371.8,3380.0,57
CDM,465325,SCREW BN 5MM 80MM TI PED,2994.0,2994.0,329.34,2994.0,57
CDM,465327,MODEL FULL SKULL CSTM,89735.0,89735.0,6281.45,89735.0,71
CDM,465332,INSERT TIB KN SZ2 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,465365,CMPNT TIB KN TRAY SZ4,25800.0,25800.0,2838.0,25800.0,57
CDM,465376,GRAFT MDFCE 47X28X3MM,9748.0,9748.0,1072.28,9748.0,57
CDM,465386,FILLER BN VOID 10CC CANC,28848.0,28848.0,3173.28,28848.0,57
CDM,465397,STEM FEM TIB EXT 11X120,64501.0,64501.0,7095.11,64501.0,57
CDM,465405,IMPLANT BREAST 440CC,23633.0,23633.0,2599.63,23633.0,57
CDM,465407,INSTRUMENT REDCN DISP,8024.0,8024.0,561.68,8024.0,71
CDM,465457,PLATE BN STRT HLS 6H,16335.0,16335.0,1796.85,16335.0,57
CDM,465459,PLATE BN 11MM,41166.0,41166.0,4528.26,41166.0,57
CDM,465481,CATHETER ULTSND 9FR,33338.0,33338.0,2333.66,33338.0,71
CDM,465497,ANCHOR SUT 2.9MM,13152.0,13152.0,1446.72,13152.0,57
CDM,465505,DEVICE CLSR VASC 6/7FR,5404.0,5404.0,594.44,5404.0,57
CDM,465531,IMPLANT BREAST 605CC,23633.0,23633.0,2599.63,23633.0,57
CDM,465541,COIL EMBL 60CM 10-12MM,39544.0,39544.0,4349.84,39544.0,57
CDM,465542,COIL EMBL 60CM 8-10MM,39544.0,39544.0,4349.84,39544.0,57
CDM,465545,CATH DLV SYS 150CM 45TIP,11433.0,11433.0,800.31,11433.0,71
CDM,465552,STENT VASC 8MM 80MM,51275.0,51275.0,5640.25,51275.0,57
CDM,465555,STENT VASC 8FR 7MM 60MM,49224.0,49224.0,5414.64,49224.0,57
CDM,465587,SCREW BN 4.5MM 120MM,750.0,750.0,82.5,750.0,57
CDM,465614,SCREW BN 4.5MM 115MM,750.0,750.0,82.5,750.0,57
CDM,465636,INSERT KN SZ1 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,465641,FIBER LASER 100UM,22664.0,22664.0,1586.48,22664.0,71
CDM,465642,INSERT TIB KN SZ5 18MM,39732.0,39732.0,4370.52,39732.0,57
CDM,465646,PLATE BN LT 8MM 1.6X8MM,5675.0,5675.0,624.25,5675.0,57
CDM,465653,INSERT TIB KN LT 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,465656,GRAFT MDFCE 47X28X3MM,9748.0,9748.0,1072.28,9748.0,57
CDM,465670,BODY BRCHD 175MM 11MM,46440.0,46440.0,5108.4,46440.0,57
CDM,465687,GUIDE SURG REV SHLDR,5623.0,5623.0,393.61,5623.0,71
CDM,465691,PUNCH BIOPSY DISP 3MM,1034.0,1034.0,72.38,1034.0,71
CDM,465711,PUNCH BIOPSY STRL 4MM,1867.0,1867.0,130.69,1867.0,71
CDM,465713,IMPLANT BREAST 685CC,19009.0,19009.0,2090.99,19009.0,57
CDM,465734,MESH GYN RND 8CM,28777.0,28777.0,3165.47,28777.0,57
CDM,465799,KWIRE TROCAR 1.4MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,465854,LEAD ICD SC DF4 59CM,97187.0,97187.0,10690.57,97187.0,57
CDM,465855,SPHRE GLNOD SHLDR 42MM,46440.0,46440.0,5108.4,46440.0,57
CDM,465856,SCREW BN GLND 6.5X40MM,12494.0,12494.0,1374.34,12494.0,57
CDM,465911,SHAFT SCRDRVR 2-2.4MM,5482.0,5482.0,383.74,5482.0,71
CDM,465927,INSERT ACTB BRNG 50X28MM,13481.0,13481.0,1482.91,13481.0,57
CDM,465966,INSERT TIB KN 10MM,38495.0,38495.0,4234.45,38495.0,57
CDM,465969,SCREW BN 7X20MM,8673.0,8673.0,954.03,8673.0,57
CDM,465973,IMPLANT BREAST 485CC,27229.0,27229.0,2995.19,27229.0,57
CDM,465976,IMPLANT BREAST 520CC,27229.0,27229.0,2995.19,27229.0,57
CDM,466058,PLATE BN LT 2MM 1.6X2MM,5675.0,5675.0,624.25,5675.0,57
CDM,466089,SPACER SPN 360D 7MM,20248.0,20248.0,2227.28,20248.0,57
CDM,466307,PROSTHES PENL INFL 18CM,183910.0,183910.0,20230.1,183910.0,57
CDM,466322,NAIL BN 10MM 345MM,26859.0,26859.0,2954.49,26859.0,57
CDM,466335,SCREW BN 5.5MM 38MM,8981.0,8981.0,987.91,8981.0,57
CDM,466340,SCREW BN 5.5MM 42MM,8981.0,8981.0,987.91,8981.0,57
CDM,466352,MESH SURG 6.4X18.5CM,42128.0,42128.0,4634.08,42128.0,57
CDM,466386,SCREW BN 3.5MM 40MM,4547.0,4547.0,500.17,4547.0,57
CDM,466388,PLATE BN STR 11HL,19266.0,19266.0,2119.26,19266.0,57
CDM,466392,SCREW BN 5MM 95MM,6813.0,6813.0,749.43,6813.0,57
CDM,466476,LINER ACTB 28MM 47MM,14190.0,14190.0,1560.9,14190.0,57
CDM,466500,TISSUE EXPANDER SMOOTH,31853.0,31853.0,3503.83,31853.0,57
CDM,466535,IMPLANT BREAST 240CC,23633.0,23633.0,2599.63,23633.0,57
CDM,466538,STAPLER INT STD 31MM,9911.0,9911.0,693.77,9911.0,71
CDM,466556,PLATE BN PRBNT 1.6X10MM,6231.0,6231.0,685.41,6231.0,57
CDM,466557,PLATE BN PRBNT RT 1.6X10,6231.0,6231.0,685.41,6231.0,57
CDM,466559,SCREW BN 1.7MM 4MM,1562.0,1562.0,171.82,1562.0,57
CDM,466560,SCRW BN 1.7MM 5MM SLFDRL,1562.0,1562.0,171.82,1562.0,57
CDM,466562,KWIRE FX .062IN 9IN,929.0,929.0,65.03,929.0,71
CDM,466611,SCREW BN 2.4MM 24MM,2910.0,2910.0,320.1,2910.0,57
CDM,466623,SCREW LCK MINI 2.7X12MM,3679.0,3679.0,404.69,3679.0,57
CDM,466646,STENT EPRSTH 7X11X59MM,60959.0,60959.0,6705.49,60959.0,57
CDM,466651,SCREW BN 2.5MM 14MM,3515.0,3515.0,386.65,3515.0,57
CDM,466652,SCREW BN 2.5MM 12MM,2713.0,2713.0,298.43,2713.0,57
CDM,466653,SCREW BN LCK 2.5X12MM,3515.0,3515.0,386.65,3515.0,57
CDM,466654,SCREW BN 2.5MM 10MM,3515.0,3515.0,386.65,3515.0,57
CDM,466659,SCREW BN 2.5MM 8MM,3515.0,3515.0,386.65,3515.0,57
CDM,466660,SCREW BN NLCK 2.5X10MM,2713.0,2713.0,298.43,2713.0,57
CDM,466672,PLATE SPN SM,37965.0,37965.0,4176.15,37965.0,57
CDM,466674,SCREW SPN 4.5MM 6MM,1899.0,1899.0,208.89,1899.0,57
CDM,466728,SCREW BN 3.5MM 28MM,2117.0,2117.0,232.87,2117.0,57
CDM,466797,PIN RUSH 4.8 DX203,1942.0,1942.0,213.62,1942.0,57
CDM,466807,PIN FX 222MM 4.8MM RUSH,1942.0,1942.0,213.62,1942.0,57
CDM,466811,SCREW BN 5MM 37MM,2466.0,2466.0,271.26,2466.0,57
CDM,466817,PIN RUSH 4.8 DX241,1942.0,1942.0,213.62,1942.0,57
CDM,466818,SCREW BN 100MM,5487.0,5487.0,603.57,5487.0,57
CDM,466827,PIN RUSH 4.8 DX260,1942.0,1942.0,213.62,1942.0,57
CDM,466837,PIN RUSH 4.8 DX279,1942.0,1942.0,213.62,1942.0,57
CDM,466845,PLATE BN HUM 10H 173MM,23516.0,23516.0,2586.76,23516.0,57
CDM,466847,PIN FX 29.8CM 4.8MM,1942.0,1942.0,213.62,1942.0,57
CDM,466854,SCREW BN 2.4MM 26MM,864.0,864.0,95.04,864.0,57
CDM,466856,SCREW BN CMPR 3X8MM,1891.0,1891.0,208.01,1891.0,57
CDM,466857,PIN FX 318MM 4.8MM RUSH,1942.0,1942.0,213.62,1942.0,57
CDM,466858,SCREW BN 3MM 8MM,1891.0,1891.0,208.01,1891.0,57
CDM,466866,CATCHER STONE ACCESSORY,2551.0,2551.0,178.57,2551.0,71
CDM,466867,PIN RUSH 4.8 DX337,1942.0,1942.0,213.62,1942.0,57
CDM,466868,KIT PLATE BN LDR STRNL,51355.0,51355.0,5649.05,51355.0,57
CDM,466876,KIT NPHSTM 30F 10MM 15CM,5623.0,5623.0,393.61,5623.0,71
CDM,466877,PIN MDLRY RUSH 4.8X35.6,1942.0,1942.0,213.62,1942.0,57
CDM,466897,ROD MDLRY SS L375MM OD4.,2261.0,2261.0,248.71,2261.0,57
CDM,466900,HEAD HUM SHLDR 25X45MM,64500.0,64500.0,7095.0,64500.0,57
CDM,466907,ROD MDLRY RUSH 394X4.8,2261.0,2261.0,248.71,2261.0,57
CDM,466914,SCREW BN 2.5MM 12MM,3062.0,3062.0,336.82,3062.0,57
CDM,466917,ROD MDLRY SS L413MM OD4.,1942.0,1942.0,213.62,1942.0,57
CDM,466927,ROD MDLRY SS L432MM OD4.,1942.0,1942.0,213.62,1942.0,57
CDM,466935,STEM FEM HIP 12/14 125MM,49020.0,49020.0,5392.2,49020.0,57
CDM,466937,ROD MDLRY SS L451MM OD4.,1942.0,1942.0,213.62,1942.0,57
CDM,466947,PIN BN 4.8MM 47CM,1942.0,1942.0,213.62,1942.0,57
CDM,466957,PIN FX 114MM 3.2MM RUSH,1597.0,1597.0,175.67,1597.0,57
CDM,466967,PIN FX 127MM 3.2MM RUSH,1597.0,1597.0,175.67,1597.0,57
CDM,466977,PIN RUSH 1 3/32 1 1/2,1597.0,1597.0,175.67,1597.0,57
CDM,466987,PIN RUSH 3.2 DX152,1597.0,1597.0,175.67,1597.0,57
CDM,466988,SCREW BN CMPR 3X14MM,1891.0,1891.0,208.01,1891.0,57
CDM,466990,NAIL BN 11MM 360MM,26859.0,26859.0,2954.49,26859.0,57
CDM,466991,NAIL BN 11MM 375MM,26859.0,26859.0,2954.49,26859.0,57
CDM,466997,PIN RUSH MDLRY 3.2,1597.0,1597.0,175.67,1597.0,57
CDM,467040,LOMUSTINE 10 MG PO,795.94,795.94,55.72,795.94,46
CDM,467040,"Lomustine, oral, 10 mg ",795.94,795.94,298.49,1059.76,12
CDM,467042,PIN RUSH MDLRY 178X3.2MM,1597.0,1597.0,175.67,1597.0,57
CDM,467051,LOKELMA PWDR PKT 10GM,212.99,212.99,14.91,212.99,67
CDM,467052,NAIL FX H 19.1CM 3.2MM,1597.0,1597.0,175.67,1597.0,57
CDM,467055,BERINERT 500 U INJ,20284.59,20284.59,1419.92,20284.59,42
CDM,467055,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",20284.59,20284.59,73.77,648.75,17
CDM,467062,PIN RUSH 3.2MM 20.3CM,1597.0,1597.0,175.67,1597.0,57
CDM,467072,PIN RUSH 3.2 DX216,1597.0,1597.0,175.67,1597.0,57
CDM,467082,PIN RUSH 1 3/32X2 1/2,1597.0,1597.0,175.67,1597.0,57
CDM,467085,AMINOLEVULINC 1500 MG PO,20322.07,20322.07,1422.54,20322.07,59
CDM,467092,PIN RUSH 1 3/32X2 3/4,1597.0,1597.0,175.67,1597.0,57
CDM,467096,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,59
CDM,467097,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,59
CDM,467098,INJECTION IM OR SQ,259.85,259.85,18.19,259.85,59
CDM,467099,IVP SINGLE/INITIAL DRUG,529.23,529.23,37.05,529.23,59
CDM,467100,IVP EA ADD SEQ NEW DRUG,529.23,529.23,37.05,529.23,59
CDM,467102,IVP EA ADD SEQ SAME DRUG,529.23,529.23,37.05,529.23,65
CDM,467103,PIN FX 254MM 3.2MM RUSH,1597.0,1597.0,175.67,1597.0,57
CDM,467104,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,467105,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,467110,ICU PRIVATE,17397.06,17397.06,,,0
CDM,467111,PICU PRIVATE,17397.06,17397.06,,,0
CDM,467113,PIN MD D1/8X10-1/2IN,1597.0,1597.0,175.67,1597.0,57
CDM,467179,RETRIEVER ENDO 6X25MM,113481.0,113481.0,7943.67,113481.0,71
CDM,467213,PROSTH PNL W/PMP 18CM,183910.0,183910.0,20230.1,183910.0,57
CDM,467218,TIP ULTSNC IQ 12CM,14223.0,14223.0,995.61,14223.0,71
CDM,467219,TIP SERRATED IQ LG 12CM,17006.0,17006.0,1190.42,17006.0,71
CDM,467220,TIP ASP STANDARD 12CM,13000.0,13000.0,910.0,13000.0,71
CDM,467221,TIP ULTSNC MICRO 12CM,13929.0,13929.0,975.03,13929.0,71
CDM,467222,KNIFE HNDPC APEX 11CM,14980.0,14980.0,1048.6,14980.0,71
CDM,467223,TIP SURG ULTRSNC 12CM,14706.0,14706.0,1029.42,14706.0,71
CDM,467256,STENT INTRCR 3.0MM 21MM,152611.0,152611.0,16787.21,152611.0,57
CDM,467257,STENT INTRCR 3.0MM 24MM,180411.0,180411.0,19845.21,180411.0,57
CDM,467258,STENT INTRCR 4.0MM 21MM,180411.0,180411.0,19845.21,180411.0,57
CDM,467259,STENT INTRCR 4.0MM 24MM,180411.0,180411.0,19845.21,180411.0,57
CDM,467260,STENT VASC 4.5MM 21MM,180411.0,180411.0,19845.21,180411.0,57
CDM,467263,SP PLASMABUTTON,9437.0,9437.0,660.59,9437.0,71
CDM,467265,ELECTRODE 24FR 12/16IN,9007.0,9007.0,630.49,9007.0,71
CDM,467266,LOOP MEDIUM 12,9007.0,9007.0,630.49,9007.0,71
CDM,467307,DECITABINE 1 MG INJ,160.35,160.35,11.22,160.35,47
CDM,467345,PLATE BN RT 1.5X35X35MM,28842.0,28842.0,3172.62,28842.0,57
CDM,467349,SURFACE ARTC KN 14MM,27090.0,27090.0,2979.9,27090.0,57
CDM,467380,PROBE SUC 3.5MM 180MM,8207.0,8207.0,574.49,8207.0,71
CDM,467382,KIT SURG SFTY MEDIUM,19243.0,19243.0,1347.01,19243.0,71
CDM,467385,BURR RND 8 FLUT 5.5MM,2100.0,2100.0,147.0,2100.0,71
CDM,467408,NAIL BN 8.5MM 285MM,25570.0,25570.0,2812.7,25570.0,57
CDM,467439,BASEPLATE SHLDR 29MM,46440.0,46440.0,5108.4,46440.0,57
CDM,467456,SCREW BN 2.7MM 22MM,3246.0,3246.0,357.06,3246.0,57
CDM,467505,SCREW BN FT 10 2.7X65MM,864.0,864.0,95.04,864.0,57
CDM,467522,AUGMENT FEM KN 8MM 5,19866.0,19866.0,2185.26,19866.0,57
CDM,467569,CONE FEM HIP SZB 70MM,80284.0,80284.0,8831.24,80284.0,57
CDM,467596,SCREW BN 9.5MM 30MM,6165.0,6165.0,678.15,6165.0,57
CDM,467609,SHELL ACTB HIP 56MM,25800.0,25800.0,2838.0,25800.0,57
CDM,467630,SCREW BN 10.35MM 115MM,9090.0,9090.0,999.9,9090.0,57
CDM,467637,STEM FEM HIP SZ5 105MM,49020.0,49020.0,5392.2,49020.0,57
CDM,467639,STAPLER INT 5.2X1.5-2.2,7955.0,7955.0,556.85,7955.0,71
CDM,467688,TUBE FD 14FR 1.5CM 22CM,10768.0,10768.0,753.76,10768.0,71
CDM,467715,NAIL FEM IM 10MM 38CM,49156.0,49156.0,5407.16,49156.0,57
CDM,467740,SCREW BN 6.5MM 35MM,1145.0,1145.0,125.95,1145.0,57
CDM,467752,MESH SURG 15CM 20CM,39467.0,39467.0,4341.37,39467.0,57
CDM,467758,TRAY BX BNMRW 15CM 10GA,8462.0,8462.0,592.34,8462.0,71
CDM,467766,MESH SURG HRN 8X6IN,83752.0,83752.0,9212.72,83752.0,57
CDM,467810,ALGRFT DBM PUTTY ICC,5582.0,5582.0,614.02,5582.0,57
CDM,467836,IMPLANT BREAST 790CC,19009.0,19009.0,2090.99,19009.0,57
CDM,467872,PLATE ORTH ANC C-TUBE 12,4573.0,4573.0,503.03,4573.0,57
CDM,467873,PIN FEM KN FX AXL SZ3,56786.0,56786.0,6246.46,56786.0,57
CDM,467876,SCREW BN MNDB 3.2X10MM,1460.0,1460.0,160.6,1460.0,57
CDM,467880,SCREW BN MXLFCL 8MM,2437.0,2437.0,268.07,2437.0,57
CDM,467882,HEAD BIP 54MM 28MM,11610.0,11610.0,1277.1,11610.0,57
CDM,467904,COUPLING EXFX 5MM 3-4MM,8318.0,8318.0,582.26,8318.0,71
CDM,467905,IMPLANT BREAST 150CC,16646.0,16646.0,1831.06,16646.0,57
CDM,467927,IMPLANT BREAST 755CC,19009.0,19009.0,2090.99,19009.0,57
CDM,467930,MESH SURG CIRCLE 11CM,23462.0,23462.0,2580.82,23462.0,57
CDM,467931,IMP COCHLEAR CI632,343976.0,343976.0,37837.36,343976.0,52
CDM,467934,POST EX FIX 5MM,3009.0,3009.0,210.63,3009.0,71
CDM,468103,BEVACIZUMAB 10 MG INJ,757.0,757.0,52.99,757.0,42
CDM,468103,"Injection, bevacizumab, 10 mg ",757.0,757.0,72.13,624.72,17
CDM,468119,SCREW BN SHLDR 30MM,14899.0,14899.0,1638.89,14899.0,57
CDM,468133,PIN FX 280MM 6MM,2055.0,2055.0,226.05,2055.0,57
CDM,468147,IMPLANT BREAST 215CC,23633.0,23633.0,2599.63,23633.0,57
CDM,468148,IMPLANT BREAST 190CC,17428.0,17428.0,1917.08,17428.0,57
CDM,468153,BIT DRILL 2.5MM,9762.0,9762.0,683.34,9762.0,71
CDM,468154,SCREW BN 2.7MM 20MM,822.0,822.0,90.42,822.0,57
CDM,468155,SCREW BN 2.7MM 18MM,822.0,822.0,90.42,822.0,57
CDM,468220,COMPT HUM TRAY +3 STD 4,32250.0,32250.0,3547.5,32250.0,57
CDM,468225,CANN PRFSN FEM 7.5IN 10F,6785.0,6785.0,474.95,6785.0,71
CDM,468226,CANNULA PRFSN 7.5IN 8FR,6785.0,6785.0,474.95,6785.0,71
CDM,468228,CANN ART FEM 12FR 7.5IN,6785.0,6785.0,474.95,6785.0,71
CDM,468229,CANNULA PERFSN 12FR 7.5I,5623.0,5623.0,393.61,5623.0,71
CDM,468230,CANN VNS FEM 7.5IN 14FR,5623.0,5623.0,393.61,5623.0,71
CDM,468238,NAIL BN 10MM 330MM,26859.0,26859.0,2954.49,26859.0,57
CDM,468288,SCREW BN MED 35MM,135627.0,135627.0,14918.97,135627.0,57
CDM,468289,SCREW BN SHDR LG 40MM,116262.0,116262.0,12788.82,116262.0,57
CDM,468293,SCREW BN 1.7MM 8MM,1419.0,1419.0,156.09,1419.0,57
CDM,468294,CMPNT SHLDR GLND MED,64501.0,64501.0,7095.11,64501.0,57
CDM,468296,SHELL ACTB HIP 54MM,25800.0,25800.0,2838.0,25800.0,57
CDM,468297,CATH DRN 12FR 25CM,2324.0,2324.0,162.68,2324.0,71
CDM,468299,DEVICE CLSR WND +1 60CM,1483.0,1483.0,103.81,1483.0,71
CDM,468353,ANCHOR SUT 3.4MM,12228.0,12228.0,1345.08,12228.0,57
CDM,468371,PROSTHESIS SHLDR 43MM,137925.0,137925.0,15171.75,137925.0,57
CDM,468406,GRAFT TIS SYN INJ 12CC,19439.0,19439.0,2138.29,19439.0,57
CDM,468444,INSERT TIB KN 10MM SZ4,48401.0,48401.0,5324.11,48401.0,57
CDM,468447,BURR SURG 2MM 20MM,7864.0,7864.0,550.48,7864.0,71
CDM,468458,PLATE BN ORT VAR 11MM,25290.0,25290.0,2781.9,25290.0,57
CDM,468464,GAUGE SURG DEPTH DISP D,5023.0,5023.0,351.61,5023.0,71
CDM,468465,DRIVER HEX 2.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,468469,INSTRMNT 1ST MET TRNSLTR,5135.0,5135.0,359.45,5135.0,71
CDM,468471,DRIVER HEX 2MM,5623.0,5623.0,393.61,5623.0,71
CDM,468492,INSERT TIB KN 23MM SZE,45773.0,45773.0,5035.03,45773.0,57
CDM,468533,CMPNT FEM KN SZ9,41280.0,41280.0,4540.8,41280.0,57
CDM,468535,PLATE BN ANKL 7HL 83MM,5275.0,5275.0,580.25,5275.0,57
CDM,468539,TISSUE EXPANDR SMTH 13-T,31853.0,31853.0,3503.83,31853.0,57
CDM,468545,ANCHOR SUT 2.3MM,9916.0,9916.0,1090.76,9916.0,57
CDM,468569,MESH CRNL 120X120X0.3MM,99627.0,99627.0,10958.97,99627.0,57
CDM,468619,SCREW SPN INTLK 4X13MM,1899.0,1899.0,208.89,1899.0,57
CDM,468620,CAGE SPN 10D 8X17X14MM,46191.0,46191.0,5081.01,46191.0,57
CDM,468625,PIN DSTRCT 2.5X100MM,2437.0,2437.0,170.59,2437.0,71
CDM,468637,VALVE SHUNT 12X21X44MM,83253.0,83253.0,9157.83,83253.0,57
CDM,468655,SCREW BN 2.7MM 20MM,2679.0,2679.0,294.69,2679.0,57
CDM,468673,SCREW BN 2.7MM 20MM,866.0,866.0,95.26,866.0,57
CDM,468691,BIT DRILL 1.9MM,1874.0,1874.0,131.18,1874.0,71
CDM,468695,SHELL ACTB HIP SZE 52MM,25800.0,25800.0,2838.0,25800.0,57
CDM,468698,SCREW BN 2.4MM 10MM,3304.0,3304.0,363.44,3304.0,57
CDM,468700,SCREW P-AX LCK 2.4X12MM,3304.0,3304.0,363.44,3304.0,57
CDM,468701,SCREW BN NON LCK2.4X10MM,2657.0,2657.0,292.27,2657.0,57
CDM,468704,CANNULA PRFSN 15IN 12FR,6969.0,6969.0,487.83,6969.0,71
CDM,468710,HEAD BIP 46MM 28MM,11610.0,11610.0,1277.1,11610.0,57
CDM,468717,SCREW BN 2.5X20MM,6597.0,6597.0,725.67,6597.0,57
CDM,468719,PEG BN HI CMPR 2.7X14,1747.0,1747.0,192.17,1747.0,57
CDM,468806,NAIL BN TIB 10MM 360MM,26859.0,26859.0,2954.49,26859.0,57
CDM,468807,SCREW BN TIB 5.5MM,2466.0,2466.0,271.26,2466.0,57
CDM,468817,PROBE LTHTRP 1.9FR 375CM,21804.0,21804.0,1526.28,21804.0,71
CDM,468820,SCREW BN 3.5MM 46MM,822.0,822.0,90.42,822.0,57
CDM,468821,LEAD PCNG VNS 78CM,38831.0,38831.0,4271.41,38831.0,57
CDM,468823,TRIAL GLENOID SHLDR SM,64501.0,64501.0,7095.11,64501.0,57
CDM,468824,SCREW BN 3.5MM 48MM,822.0,822.0,90.42,822.0,57
CDM,468825,SCREW BN 20MM 6MM,10888.0,10888.0,1197.68,10888.0,57
CDM,468826,SCREW BN 3.5MM 28MM,822.0,822.0,90.42,822.0,57
CDM,468827,SCREW BN 3.5MM 34MM,822.0,822.0,90.42,822.0,57
CDM,468828,SCREW BN 3.5MM 44MM,822.0,822.0,90.42,822.0,57
CDM,468829,SCREW BN 3.5MM 42MM,822.0,822.0,90.42,822.0,57
CDM,468830,SCREW BN 3.5MM 20MM,1747.0,1747.0,192.17,1747.0,57
CDM,468831,SCREW BN 3.5MM 24MM,1747.0,1747.0,192.17,1747.0,57
CDM,468833,SCREW BN 3.5MM 26MM,1747.0,1747.0,192.17,1747.0,57
CDM,468834,SCREW BN 3.5MM 42MM,1747.0,1747.0,192.17,1747.0,57
CDM,468835,SCREW BN VAR 3.5X44MM,1747.0,1747.0,192.17,1747.0,57
CDM,468837,ADAPTER LD CHANNEL 10CM,20448.0,20448.0,2249.28,20448.0,57
CDM,468839,CUFF URTH SPHNCR AB 10CM,130842.0,130842.0,14392.62,130842.0,57
CDM,468888,IMPLANT BREAST 420CC,27229.0,27229.0,2995.19,27229.0,57
CDM,468890,SCREW BN 3.5MM 30MM,2117.0,2117.0,232.87,2117.0,57
CDM,468892,OCCULDER CV 9X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,468894,AGENT HMSTC 1.65GRM,5623.0,5623.0,393.61,5623.0,71
CDM,468896,STEM FEM HIP 17X152MM,73475.0,73475.0,8082.25,73475.0,57
CDM,468897,IMPLANT BREAST 125CC,27229.0,27229.0,2995.19,27229.0,57
CDM,468902,OCCLUDER CV 11X4MM,129650.0,129650.0,14261.5,129650.0,57
CDM,468905,INJ OTH PERIPH NRV/BRNCH,2642.16,2642.16,184.95,2642.16,64
CDM,468921,BSPLTE GLND SHLDR 25MM,43812.0,43812.0,4819.32,43812.0,57
CDM,468923,SCREW BN 5MM 42MM,1542.0,1542.0,169.62,1542.0,57
CDM,468926,STEM FEM HIP MOD MED,41280.0,41280.0,4540.8,41280.0,57
CDM,468928,ANCHOR BN SHLD,20550.0,20550.0,2260.5,20550.0,57
CDM,468941,FENTANYL 10 MCG/ML INJ,32.58,32.58,2.28,32.58,47
CDM,468951,INJ NEPH EXIST ACCESS BI,4273.15,4273.15,299.12,4273.15,64
CDM,468958,CALR COMMON VAR IN EXON9,3301.24,3301.24,231.09,3301.24,47
CDM,468974,ROD SPN TI 3.5MM 065MM,4556.0,4556.0,501.16,4556.0,57
CDM,468988,LINER ACTB HIP 28X53MM,14190.0,14190.0,1560.9,14190.0,57
CDM,469074,CUP ACETB TRBCLR MTL OD4,21274.0,21274.0,2340.14,21274.0,57
CDM,469084,CUP ACTB HIP 50MM,45111.0,45111.0,4962.21,45111.0,57
CDM,469337,IMPLANT BREAST 465CC,23633.0,23633.0,2599.63,23633.0,57
CDM,469341,STEM HUM SHLDR 11MM,91333.0,91333.0,10046.63,91333.0,57
CDM,469382,SCREW BN 2.7MM 14MM,2679.0,2679.0,294.69,2679.0,57
CDM,469383,SCREW BN 2.7MM 16MM,2679.0,2679.0,294.69,2679.0,57
CDM,469384,SCREW BN 2.7MM 18MM,2679.0,2679.0,294.69,2679.0,57
CDM,469386,SCREW BN 2.7MM 16MM,866.0,866.0,95.26,866.0,57
CDM,469402,SCREW BN 5MM 90MM,6813.0,6813.0,749.43,6813.0,57
CDM,469423,SCREW BN 2.7MM 46MM,1542.0,1542.0,169.62,1542.0,57
CDM,469429,PLATE BN CNRNFCL LF,183910.0,183910.0,20230.1,183910.0,57
CDM,469432,SPHERE EMBL 700UM 2ML,3186.0,3186.0,350.46,3186.0,57
CDM,469463,BASEPLATE TIB KN SZ8,27090.0,27090.0,2979.9,27090.0,57
CDM,469493,AGENT HMSTC MTRX 5ML,4954.0,4954.0,346.78,4954.0,71
CDM,469496,INSERT TIB KN SZ3 15MM,12926.0,12926.0,1421.86,12926.0,57
CDM,469522,SCREWDRIVER 1.2MM,5066.0,5066.0,354.62,5066.0,71
CDM,469550,SCREW BN 3.5X34MM,4521.0,4521.0,497.31,4521.0,57
CDM,469558,SCREW LNG 2.8X20MM SOLID,4378.0,4378.0,481.58,4378.0,57
CDM,469561,BIT DRL FOR SCREW 3.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,469562,GUIDEWIRE ORTH 1.4MM,832.0,832.0,58.24,832.0,71
CDM,469563,DRIVER CANN T15,5623.0,5623.0,393.61,5623.0,71
CDM,469567,BIT DRL SLD W/STOP 2.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,469569,DRILL POST/PEG GOLD 4.2M,5623.0,5623.0,393.61,5623.0,71
CDM,469570,PLANTAR COMPR POST-16 MM,25318.0,25318.0,2784.98,25318.0,57
CDM,469592,STEM FEM HIP 12/14 SZ2,49020.0,49020.0,5392.2,49020.0,57
CDM,469679,BASE TIB KN SZ9,27090.0,27090.0,2979.9,27090.0,57
CDM,469697,INSERT TIB KN SZ1 22MM,24510.0,24510.0,2696.1,24510.0,57
CDM,469700,INSERT TIB KN SZ3 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,469714,SCREW BN 2.4MM 12MM,2657.0,2657.0,292.27,2657.0,57
CDM,469717,PLATE BN HK 5TH LT 6H,29798.0,29798.0,3277.78,29798.0,57
CDM,469720,GWIRE ORTH 150X1.4MM,1599.0,1599.0,111.93,1599.0,71
CDM,469721,SCREW BN 4MM 32MM,4850.0,4850.0,533.5,4850.0,57
CDM,469737,ENDCAP SPN 15MM 12MM,26584.0,26584.0,2924.24,26584.0,57
CDM,469746,DRIVER RETAIN T7,6098.0,6098.0,426.86,6098.0,71
CDM,469747,PIN FIX MINI 1.1 X10MM,3918.0,3918.0,274.26,3918.0,71
CDM,469748,DRILL SURG 1.7MM,5623.0,5623.0,393.61,5623.0,71
CDM,469800,IMPLANT BREAST 375CC,27229.0,27229.0,2995.19,27229.0,57
CDM,469801,IMPLANT BREAST 405CC,27229.0,27229.0,2995.19,27229.0,57
CDM,469830,SCREW BN 3MM 34MM,7925.0,7925.0,871.75,7925.0,57
CDM,469890,MESH SURG HRN 10X10CM,26798.0,26798.0,2947.78,26798.0,57
CDM,469906,NEEDLE ASP BRONCH 21GA,5623.0,5623.0,393.61,5623.0,71
CDM,469907,KIT TNDNS GFT SZ W/FL ST,11248.0,11248.0,787.36,11248.0,71
CDM,469908,SET IMPL ARTHSCP 4.75MM,51211.0,51211.0,5633.21,51211.0,57
CDM,469910,STEM FEM HIP 18MM 160MM,13355.0,13355.0,1469.05,13355.0,57
CDM,469911,STAPLE BN 18WX15L,85468.0,85468.0,9401.48,85468.0,57
CDM,469918,CONN ROD SPN MED,8859.0,8859.0,974.49,8859.0,57
CDM,469924,SCREW BN 2.7MM 70MM,864.0,864.0,95.04,864.0,57
CDM,469954,KIT STRNL PLT CBL RIGID,18495.0,18495.0,2034.45,18495.0,57
CDM,469977,INSERT ARTC 1-2 11MM RT,19350.0,19350.0,2128.5,19350.0,57
CDM,470547,KIT BN VOID FILLER 10CC,71925.0,71925.0,7911.75,71925.0,57
CDM,470652,BEARING SHLDR STD 36MM,18705.0,18705.0,2057.55,18705.0,57
CDM,470661,SCREW BN 5MM 37.5MM,2466.0,2466.0,271.26,2466.0,57
CDM,470665,STENT VASC 9MM 60MM,49224.0,49224.0,5414.64,49224.0,57
CDM,470690,KIT PROBE 3.9MMX350MM,12286.0,12286.0,860.02,12286.0,71
CDM,470696,LEAD CRT PACING 88CM,38898.0,38898.0,4278.78,38898.0,57
CDM,470764,KIT INST RCUF DISP,7430.0,7430.0,520.1,7430.0,71
CDM,470770,SUTURE MXBRD#2 MO-6-NDL,2699.0,2699.0,188.93,2699.0,71
CDM,470772,EXPANDER TISS BRST 750CC,33538.0,33538.0,3689.18,33538.0,57
CDM,470799,TISSUE XPNDR BRST SMTH,31853.0,31853.0,3503.83,31853.0,57
CDM,470824,ELECTRODE ESURG CURVE XL,9396.0,9396.0,657.72,9396.0,71
CDM,470829,BODY HUM SHLDR FIN RVRS,62436.0,62436.0,6867.96,62436.0,57
CDM,470831,CONN SHLDR SML SZ S-R,6812.0,6812.0,749.32,6812.0,57
CDM,470833,SCREW BN 6.5MM 35MM,6212.0,6212.0,683.32,6212.0,57
CDM,470843,SCREW BN 6.5MM 15MM,1675.0,1675.0,184.25,1675.0,57
CDM,470845,COIL EMBL 14CM 8MM,2222.0,2222.0,244.42,2222.0,57
CDM,470852,SCREW BN 2.5MM 11MM,12002.0,12002.0,1320.22,12002.0,57
CDM,470885,HEAD BIP HIP 28MM 48MM,11610.0,11610.0,1277.1,11610.0,57
CDM,470925,HEAD FEM HIP MED 22.2MM,9030.0,9030.0,993.3,9030.0,57
CDM,470945,VAGINAL CUFF BX,2780.44,2780.44,194.63,2780.44,64
CDM,470946,BX TISS FOOT/TOES,5673.43,5673.43,397.14,5673.43,64
CDM,470972,CLOSURE SPLIT WOUND,3605.22,3605.22,252.37,3605.22,64
CDM,471007,ECMO ECLS ARTER VENOU,12785.65,12785.65,895.0,12785.65,64
CDM,471008,INS ECMO A/V CAN PERC 6+,35799.8,35799.8,2505.99,35799.8,64
CDM,471144,ERAVACYCLINE 50 MG INJ,306.73,306.73,21.47,306.73,47
CDM,471147,CEBPA FULL GENE SEQ ANAL,3323.83,3323.83,232.67,3323.83,47
CDM,471160,LEVEL III NEWBORN,20373.34,20373.34,,,0
CDM,471210,SHELL ACTB CLSTRH E 52M,20640.0,20640.0,2270.4,20640.0,57
CDM,471222,OCCLUDER CV .157X.207IN,178016.0,178016.0,19581.76,178016.0,57
CDM,471224,OCCLUDER CV .157X.157IN,178016.0,178016.0,19581.76,178016.0,57
CDM,471226,CATH DLV SYS 4F 1.4X1.17,12179.0,12179.0,852.53,12179.0,71
CDM,471227,STEM FEM HIP STD SZ5,49020.0,49020.0,5392.2,49020.0,57
CDM,471230,STEM HUM SHLDR 2 132X5MM,111615.0,111615.0,12277.65,111615.0,57
CDM,471233,BLADE SAW 25.5X9.5MM 100,335.0,335.0,23.45,335.0,71
CDM,471289,METAL HEAD 28 +0,8566.0,8566.0,942.26,8566.0,57
CDM,471291,STEM HIP 12/14 105MM SZ5,46440.0,46440.0,5108.4,46440.0,57
CDM,471296,EXTENDER CATH DLYS PRTNL,3498.0,3498.0,244.86,3498.0,71
CDM,471297,MARKER FID EXT 10MM,2462.0,2462.0,172.34,2462.0,71
CDM,471299,VALVE SHUNT REG,88933.0,88933.0,9782.63,88933.0,57
CDM,471300,BIT DRILL TWST 2.4X254MM,8459.0,8459.0,592.13,8459.0,71
CDM,471301,STEM FEM HIP 231X11.5MM,42570.0,42570.0,4682.7,42570.0,57
CDM,471309,SCREW NLCK MINI 2.7X18MM,3104.0,3104.0,341.44,3104.0,57
CDM,471317,VALVE AORTIC 15MM,197400.0,197400.0,21714.0,197400.0,57
CDM,471319,VALVE MITRAL 23MM,73472.0,73472.0,8081.92,73472.0,57
CDM,471320,VALVE MITRAL 25MM,72829.0,72829.0,8011.19,72829.0,57
CDM,471321,VALVE MITRAL 27MM,72829.0,72829.0,8011.19,72829.0,57
CDM,471332,LINER ACTB HIP SZ5,14190.0,14190.0,1560.9,14190.0,57
CDM,471346,BIT DRILL 10MM 2.5MM,2811.0,2811.0,196.77,2811.0,71
CDM,471347,OCCLUDER CV .079X.157IN,178016.0,178016.0,19581.76,178016.0,57
CDM,471354,GWIRE ENDO .035IN 450CM,5623.0,5623.0,393.61,5623.0,71
CDM,471363,DRESSING FOM 8X4IN,4400.0,4400.0,308.0,4400.0,71
CDM,471374,SCREW BN CMPR 2.5X44MM,10275.0,10275.0,1130.25,10275.0,57
CDM,471384,BLADE TUBESET 20MM,11433.0,11433.0,800.31,11433.0,71
CDM,471425,SCREW BN 3.5MM 36MM,10275.0,10275.0,1130.25,10275.0,57
CDM,471426,BIT DRILL 5MM,5623.0,5623.0,393.61,5623.0,71
CDM,471427,SCREW BN 7MM 65MM,20407.0,20407.0,2244.77,20407.0,57
CDM,471429,SCREW BN CMPR F-T 7X80MM,20407.0,20407.0,2244.77,20407.0,57
CDM,471430,GWIRE ORTH 9.25IN 2.4MM,1375.0,1375.0,96.25,1375.0,71
CDM,471431,GWIRE ORTH .09IN 7MM,1612.0,1612.0,112.84,1612.0,71
CDM,471444,SLEEVE IRRIGATION 7CM,2680.0,2680.0,187.6,2680.0,71
CDM,471445,SLEEVE IRRIGATION 12CM,2643.0,2643.0,185.01,2643.0,71
CDM,471446,SCREW BN 3.5MM 32MM,822.0,822.0,90.42,822.0,57
CDM,471452,SCREW BN 3.5MM 32MM LCK,1747.0,1747.0,192.17,1747.0,57
CDM,471453,SCREW BN 4MM 38MM,750.0,750.0,82.5,750.0,57
CDM,471454,BIT DRL CANN 2.5MM,5715.0,5715.0,400.05,5715.0,71
CDM,471457,STEM SHLDR 90X13MM,64501.0,64501.0,7095.11,64501.0,57
CDM,471480,ARTIFICIAL TEARS OS 15ML,12.51,12.51,0.88,12.51,67
CDM,471484,PETROLATUM WHITE 16.8G,5.55,5.55,0.39,5.55,67
CDM,471485,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",2286.34,2286.34,250.07,2245.15,88
CDM,471485,NAT GI MULT 12-25 TARGET,2286.34,2286.34,160.04,2286.34,47
CDM,471522,IMPLANT BREAST 405CC,23633.0,23633.0,2599.63,23633.0,57
CDM,471523,IMPLANT BREAST 325CC,23633.0,23633.0,2599.63,23633.0,57
CDM,471535,COIL EMBL 4MM 14CM,1732.0,1732.0,190.52,1732.0,57
CDM,471537,KIT ANCH MNSCL REPR ROOT,40957.0,40957.0,4505.27,40957.0,57
CDM,471568,SUTURE FIBERWIRE 38IN,780.0,780.0,85.8,780.0,57
CDM,471572,SCREW BN LCK 5MM 35MM,2466.0,2466.0,271.26,2466.0,57
CDM,471576,SCREW BN 5MM 47.5MM,2466.0,2466.0,271.26,2466.0,57
CDM,471577,SCREW BN LCK 5X45MM,3322.0,3322.0,365.42,3322.0,57
CDM,471601,MESH HRN CIR 11CM,46815.0,46815.0,5149.65,46815.0,57
CDM,471619,CUP UNV REV SHLDR SZ42,64501.0,64501.0,7095.11,64501.0,57
CDM,471622,BAG LEG DRAIN W/FLIP,126.0,126.0,8.82,126.0,71
CDM,471624,MODEL MNDB MXL 2 PC LF C,72945.0,72945.0,5106.15,72945.0,71
CDM,471625,BURR CUT STRL DISP 6MM,2454.0,2454.0,171.78,2454.0,71
CDM,471627,CLIP IRR MICS STRL,3467.0,3467.0,242.69,3467.0,71
CDM,471633,SCREW SPN SET,1028.0,1028.0,113.08,1028.0,57
CDM,471634,INSERT TIBIAL KN 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,471635,SCREW SPN 3.5MM 16MM,10275.0,10275.0,1130.25,10275.0,57
CDM,471647,TISSUE EXP 11CM 10CM,31853.0,31853.0,3503.83,31853.0,57
CDM,471682,HEAD CERAMIC 28 +0,16267.0,16267.0,1789.37,16267.0,57
CDM,471683,STEM STANDARD #9,49020.0,49020.0,5392.2,49020.0,57
CDM,471740,IMPLANT BREAST 630CC,21064.0,21064.0,2317.04,21064.0,57
CDM,471743,CMPNT PTLR KN E 29MM,6450.0,6450.0,709.5,6450.0,57
CDM,471746,INSERT KN TIB SZ6 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,471757,IMPLANT BREAST 560CC,23633.0,23633.0,2599.63,23633.0,57
CDM,471759,SCREW SPN 3.5MM 20MM,12655.0,12655.0,1392.05,12655.0,57
CDM,471790,STEM FEM HIP 0D 28X46MM,11017.0,11017.0,1211.87,11017.0,57
CDM,471826,PLATE BN MXLFCL 2HL 10X6,750.0,750.0,82.5,750.0,57
CDM,471837,CATH THRMB 115CM,33555.0,33555.0,2348.85,33555.0,71
CDM,471847,GWIRE VASC 300CM .14IN,13349.0,13349.0,934.43,13349.0,71
CDM,471853,SCREW BN 105MM,11471.0,11471.0,1261.81,11471.0,57
CDM,471859,IMPLANT BREAST 370CC,23633.0,23633.0,2599.63,23633.0,57
CDM,471869,SCREW BN LK 5X45MM,2466.0,2466.0,271.26,2466.0,57
CDM,471870,SCREW BN 5MM 65MM,2466.0,2466.0,271.26,2466.0,57
CDM,471894,SCREW BN 7.3X8.2MM 165MM,3950.0,3950.0,434.5,3950.0,57
CDM,471899,CMPNT PTLR KN 8X29MM,9804.0,9804.0,1078.44,9804.0,57
CDM,471924,BIT DRILL DISP 2MM 60MM,5047.0,5047.0,353.29,5047.0,71
CDM,471925,BIT DRILL DISP 2.5X80MM,4816.0,4816.0,337.12,4816.0,71
CDM,471930,SCREW BN 3.5MM 22MM,2117.0,2117.0,232.87,2117.0,57
CDM,471960,INSERT TIB FX 9MM SZ6,14190.0,14190.0,1560.9,14190.0,57
CDM,471975,SEALANT FIBRN PREFL 10ML,10099.0,10099.0,706.93,10099.0,71
CDM,471977,SHELL ACTB HIP 58MM,25800.0,25800.0,2838.0,25800.0,57
CDM,471991,CEMENT BN PMMA 40GM,1052.0,1052.0,115.72,1052.0,57
CDM,472016,BOLT BN FEM 105MM,8138.0,8138.0,895.18,8138.0,57
CDM,472017,SCREW BN FEM STRL 105MM,5487.0,5487.0,603.57,5487.0,57
CDM,472174,COIL EMBL 20CM 8MM,45149.0,45149.0,4966.39,45149.0,57
CDM,472177,COIL EMBL 360D 98MM 30CM,45149.0,45149.0,4966.39,45149.0,57
CDM,472178,COIL EMBL 30CM 10MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472180,COIL EMBL 30CM 12MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472182,COIL EMBL 30CM 14MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472187,COIL EMBL DTCH 3MM 10CM,47763.0,47763.0,5253.93,47763.0,57
CDM,472190,COIL EMBL 10CM 4MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472197,COIL EMBL 15CM 6MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472198,COIL EMBL 6MM 20CM,47763.0,47763.0,5253.93,47763.0,57
CDM,472202,COIL EMBL 30CM 7MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472203,COIL EMBL 20CM 8MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472209,COIL EMBL 20CM 7MM,61779.0,61779.0,6795.69,61779.0,57
CDM,472210,COIL EMBL DTCH 3MM 6CM,47763.0,47763.0,5253.93,47763.0,57
CDM,472211,COIL EMBL 3CM 2MM,45149.0,45149.0,4966.39,45149.0,57
CDM,472213,COIL EMBL 4CM 2.5MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472214,COIL EMBL DTCH 3MM 4CM,47763.0,47763.0,5253.93,47763.0,57
CDM,472217,COIL EMBL 8CM 3MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472219,COIL EMBL 6CM 4MM,45149.0,45149.0,4966.39,45149.0,57
CDM,472221,COIL EMBL 10CM 4MM,45149.0,45149.0,4966.39,45149.0,57
CDM,472222,COIL EMBL 10CM 5MM,45149.0,45149.0,4966.39,45149.0,57
CDM,472223,COIL EMBL 15CM 5MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472228,COIL EMBL 6CM 2MM,37588.0,37588.0,4134.68,37588.0,57
CDM,472239,COIL EMBL 30CM 12MM 360D,47763.0,47763.0,5253.93,47763.0,57
CDM,472250,COIL EMBL 20CM 6MM,47763.0,47763.0,5253.93,47763.0,57
CDM,472269,SCREW BN 75MM,9371.0,9371.0,1030.81,9371.0,57
CDM,472278,RETRIEVER 20MM 4MM ENDO,113481.0,113481.0,7943.67,113481.0,71
CDM,472279,SCREW BN 3.5MM 30MM,2192.0,2192.0,241.12,2192.0,57
CDM,472292,SCREW SPN P-AX 3.5X14MM,11390.0,11390.0,1252.9,11390.0,57
CDM,472293,SCREW SPN 4.5MM 24MM,12655.0,12655.0,1392.05,12655.0,57
CDM,472294,SCREW SPN 4.5X26MM,12655.0,12655.0,1392.05,12655.0,57
CDM,472295,SCREW SPN 5.0X26MM,15186.0,15186.0,1670.46,15186.0,57
CDM,472318,BEARING HUM SHLDR 36MM,18705.0,18705.0,2057.55,18705.0,57
CDM,472324,SCREW SPN 3.5MM 12MM,12655.0,12655.0,1392.05,12655.0,57
CDM,472325,SCREW SPN 4.5MM 28MM,12655.0,12655.0,1392.05,12655.0,57
CDM,472332,SYSTEM ANCHOR LIGMNT RPR,43895.0,43895.0,4828.45,43895.0,57
CDM,472365,ESG PLSMLP 24F MD 24-30D,8536.0,8536.0,597.52,8536.0,71
CDM,472369,SET TBG IRR HYSTEROSCOPY,3973.0,3973.0,278.11,3973.0,71
CDM,472374,CATH THRMB 140CM .044IN,29826.0,29826.0,2087.82,29826.0,71
CDM,472378,INSERT TIB KN BRG 3 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,472408,SPACER SHLDR 15MM 20MM,63546.0,63546.0,6990.06,63546.0,57
CDM,472409,SCREW SHOULDER FX 50MM,14899.0,14899.0,1638.89,14899.0,57
CDM,472420,TISSUE EXPNDR SMTH 600CC,31853.0,31853.0,3503.83,31853.0,57
CDM,472433,STEM KN CMNTD 13X120MM,64501.0,64501.0,7095.11,64501.0,57
CDM,472434,STEM HIP 15X120MM,64501.0,64501.0,7095.11,64501.0,57
CDM,472459,STEM STANDARD #10,49020.0,49020.0,5392.2,49020.0,57
CDM,472460,LINER STD 32-48MM,18835.0,18835.0,2071.85,18835.0,57
CDM,472461,SCREW BONE 6.5X20MM,1342.0,1342.0,147.62,1342.0,57
CDM,472462,SHELL 48-3H,22059.0,22059.0,2426.49,22059.0,57
CDM,472463,STEM HIP STANDARD SZ4,46440.0,46440.0,5108.4,46440.0,57
CDM,472464,STEM BIPOLAR 44MM OD,11017.0,11017.0,1211.87,11017.0,57
CDM,472494,SCREW BN 5MM 42MM,2466.0,2466.0,271.26,2466.0,57
CDM,472495,DRILL BIT 03.2MMX230MM,5623.0,5623.0,393.61,5623.0,71
CDM,472508,SHELL HIP 3H 56MM,22059.0,22059.0,2426.49,22059.0,57
CDM,472511,STEM HIP SZ6.5 109MM,46440.0,46440.0,5108.4,46440.0,57
CDM,472519,COMPONENT SHLDR REV 40MM,44273.0,44273.0,4870.03,44273.0,57
CDM,472532,SHELL ACTB CLSTR3H D 48M,20640.0,20640.0,2270.4,20640.0,57
CDM,472561,BIT DRILL DISP 2.8MM 110,4459.0,4459.0,312.13,4459.0,71
CDM,472569,IMPLANT BREAST 235CC,19009.0,19009.0,2090.99,19009.0,57
CDM,472598,INSERT TIB KN SZ6 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,472599,INSERT TIB KN SZ7 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,472605,SCREW SPN 4MM 14MM,1899.0,1899.0,208.89,1899.0,57
CDM,472609,NEEDLE MED SUT PSS,5623.0,5623.0,393.61,5623.0,71
CDM,472627,STEM FEM 110MM 22MM,27045.0,27045.0,2974.95,27045.0,57
CDM,472639,STEM CMNT 17MM 152MM,64501.0,64501.0,7095.11,64501.0,57
CDM,472653,ANCHOR SUT 3-0,14570.0,14570.0,1602.7,14570.0,57
CDM,472654,IMPLANT BREAST 650CC,16646.0,16646.0,1831.06,16646.0,57
CDM,472658,PLATE BN RT 1.6X8MM,5675.0,5675.0,624.25,5675.0,57
CDM,472659,PLATE BN LT 1.6X5MM,5675.0,5675.0,624.25,5675.0,57
CDM,472660,STEM CNL FILL SGMNT,71021.0,71021.0,7812.31,71021.0,57
CDM,472662,INSERT HUM SHLDR 42X+6MM,37410.0,37410.0,4115.1,37410.0,57
CDM,472663,MESH GYN RND 11CM,44691.0,44691.0,4916.01,44691.0,57
CDM,472665,IMPLANT BREAST 295CC,23633.0,23633.0,2599.63,23633.0,57
CDM,472672,SCREW SPN 4MM 14MM,15186.0,15186.0,1670.46,15186.0,57
CDM,472705,CMPNT PTLA SMTR 9X33MM,9804.0,9804.0,1078.44,9804.0,57
CDM,472718,PLATE CRNMXF L1 1X11MM,6502.0,6502.0,715.22,6502.0,57
CDM,472727,BLADE ARTHSCP ENDOBLADE,24723.0,24723.0,1730.61,24723.0,71
CDM,472730,WASHER BN 7MM 4MM,1028.0,1028.0,113.08,1028.0,57
CDM,472732,SCREW TEMP 3.5X27MM,5623.0,5623.0,393.61,5623.0,71
CDM,472733,SCREW TEMP 3.5X48MM,8687.0,8687.0,608.09,8687.0,71
CDM,472737,STEM FEM KN 14MM +75MM,37385.0,37385.0,4112.35,37385.0,57
CDM,472756,RING SPN RND 2.5D 15MM,2772.0,2772.0,304.92,2772.0,57
CDM,472758,SCW BN 1.5X14.5X10MM,2437.0,2437.0,268.07,2437.0,57
CDM,472760,IMPLANT NAIL SYSTEM KIT,23982.0,23982.0,2638.02,23982.0,57
CDM,472771,SCREW SPN 7MM 55MM,15411.0,15411.0,1695.21,15411.0,57
CDM,472785,INSERT TIB KN 3 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,472802,SCREW SPNL 4MM 30MM,15186.0,15186.0,1670.46,15186.0,57
CDM,472805,SCREW SPN PLY 4.5X30MM,12655.0,12655.0,1392.05,12655.0,57
CDM,472835,PEG BN FX 2MM 26MM,1603.0,1603.0,176.33,1603.0,57
CDM,472868,KIT INTERNAL BRACE W CC,43895.0,43895.0,4828.45,43895.0,57
CDM,472875,SCREW BN 5MM 44MM TI T15,13954.0,13954.0,1534.94,13954.0,57
CDM,472877,SCREW BN 5X55MM,13954.0,13954.0,1534.94,13954.0,57
CDM,472882,HEAD FEM HIP NTRL SZ22MM,8566.0,8566.0,942.26,8566.0,57
CDM,472883,STEM FEM HIP SZ6 107MM,46440.0,46440.0,5108.4,46440.0,57
CDM,472935,REAMER LONG CANN 3.2MM,5623.0,5623.0,393.61,5623.0,71
CDM,472975,HEMIN 350 MG INJ,59828.09,59828.09,4187.97,59828.09,42
CDM,472975,"Injection, hemin, 1 mg ",59828.09,59828.09,34.25,292.22,17
CDM,472977,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",662.48,662.48,34.71,503.22,17
CDM,472977,OGIVRI BS 10 MG INJ,662.48,662.48,46.37,662.48,42
CDM,473050,OMEGAVEN 5 G INJ,354.94,354.94,24.85,354.94,53
CDM,473052,MMR VAC LIVE SQ,575.51,575.51,40.29,575.51,47
CDM,473052,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",575.51,575.51,99.45,911.81,17
CDM,473053,ETHIODIZED OIL INJ,780.17,780.17,54.61,780.17,59
CDM,473054,LACOSAMIDE 200 MG INJ,228.96,228.96,16.03,228.96,53
CDM,473056,CEFTOLOZ TAZOBACT 1.5 G,869.77,869.77,60.88,869.77,42
CDM,473056,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",869.77,869.77,8.57,78.08,17
CDM,473057,BENZTROPINE 2 MG INJ,1540.94,1540.94,107.87,1540.94,47
CDM,473057,"Injection, benztropine mesylate, per 1 mg ",1540.94,1540.94,13.11,147.69,17
CDM,473075,UNLISTED CARDIO SERVICE,43892.95,43892.95,3072.51,43892.95,52
CDM,473078,SCREW BN EXFX 80X4X2.5,3518.0,3518.0,246.26,3518.0,71
CDM,473098,DRILL SURG 4.3MM,6104.0,6104.0,427.28,6104.0,71
CDM,473107,GLND SPHERE SHLDR 39MM,38700.0,38700.0,4257.0,38700.0,57
CDM,473109,CMPNT HD HIP 28MM 45MM,11017.0,11017.0,1211.87,11017.0,57
CDM,473116,PLATE ORT TIB #6 CMTD,20448.0,20448.0,2249.28,20448.0,57
CDM,473143,CHANGE GI TUBE W/O REV,3196.41,3196.41,223.75,3196.41,64
CDM,473151,SOD BICARB 4.2% 5ML VIA,169.16,169.16,11.84,169.16,67
CDM,473161,LEVETIRACTM 15 MG/ML INJ,0.81,0.81,0.06,0.81,47
CDM,473232,VENCLEXTA 50 MG PO,406.53,406.53,28.46,406.53,67
CDM,473235,BIKTARVY PO,785.76,785.76,55.0,785.76,59
CDM,473236,TAMOXIFEN 10 MG PO,87.66,87.66,6.14,87.66,46
CDM,473236,"Tamoxifen citrate, oral, 10 mg ",87.66,87.66,1.21,3.05,12
CDM,473237,PCNG K 20MILLION U INJ,524.73,524.73,36.73,524.73,47
CDM,473238,PCNG K 5 MILLION U INJ,385.46,385.46,26.98,385.46,47
CDM,473241,PCNG K 1 MILLION U INJ,170.41,170.41,11.93,170.41,47
CDM,473245,FOSCARNET 6000 MG INJ,2060.64,2060.64,144.24,2060.64,47
CDM,473259,MEROPENEM 1 G INJ,27.19,27.19,1.9,27.19,47
CDM,473260,MEROPENEM 500 MG INJ,12.59,12.59,0.88,12.59,47
CDM,473264,"Injection, pentamidine isethionate, 300 mg ",536.63,536.63,602.98,852.21,6
CDM,473264,PENTAMIDINE 300 MG INJ,536.63,536.63,37.56,536.63,52
CDM,473265,METHYLNLTRXONE 12 MG INJ,934.35,934.35,65.4,934.35,47
CDM,473281,AGENT HMSTC MTRX 10ML,5623.0,5623.0,393.61,5623.0,71
CDM,473299,CMPNT PTLR KN 10X35MM,9804.0,9804.0,1078.44,9804.0,57
CDM,473300,INSERT TIB KN BRNG 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,473310,INSERT TIB KN SZ6 12MM,48401.0,48401.0,5324.11,48401.0,57
CDM,473311,RETRIEVER ENDO 3MM 20MM,113481.0,113481.0,7943.67,113481.0,71
CDM,473323,SPINE PUNC DX W FLUR CT,6655.31,6655.31,465.87,6655.31,64
CDM,473323,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",6655.31,6655.31,258.92,712.64,14
CDM,473323,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance Age 21+",6655.31,6655.31,289.15,289.15,4
CDM,473323,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance Age Under 21",6655.31,6655.31,294.4,294.4,4
CDM,473331,XR ESOPH DOUBL CONT,1307.31,1307.31,91.51,1307.31,48
CDM,473332,XRAY SM INTEST W MLT IMG,3288.23,3288.23,230.18,3288.23,60
CDM,473333,NM TUMOR SNG AREA SD IMG,7312.33,7312.33,511.86,7312.33,48
CDM,473333,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",7312.33,7312.33,429.5,1942.3,33
CDM,473334,NM TUMOR MIN 2 SD>2 DAY,7667.47,7667.47,536.72,7667.47,48
CDM,473334,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",7667.47,7667.47,642.45,2883.6,33
CDM,473335,NM TUMOR SPECT W CT 2 AR,8295.99,8295.99,580.72,8295.99,48
CDM,473335,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",8295.99,8295.99,811.6,3807.1,33
CDM,473337,NM QUAN MEAS SGL AREA,1007.94,1007.94,70.56,1007.94,54
CDM,473337,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) ,1007.94,1007.94,87.87,372.96,25
CDM,473337,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) Age 21+,1007.94,1007.94,98.13,98.13,4
CDM,473337,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) Age Under 21,1007.94,1007.94,99.92,99.92,4
CDM,473338,DUP SCAN ART PREOP BI,2853.89,2853.89,199.77,2853.89,49
CDM,473339,DUP SCAN ART PREOP UN LT,1902.6,1902.6,133.18,1902.6,49
CDM,473341,EEG CONT MIN 8 CHNLS,1806.88,1806.88,126.48,1806.88,59
CDM,473341,"Electroencephalogram (EEG) continuous recording, with video when performed, setup, patient education, and takedown when performed, administered in person by EEG technologist, minimum of 8 channels ",1806.88,1806.88,696.02,1354.08,6
CDM,473368,SPINE PUNC DX W FLUR CT,7055.97,7055.97,493.92,7055.97,64
CDM,473370,SPINE PUNC TX CSF FLU CT,5340.28,5340.28,373.82,5340.28,64
CDM,473378,MYOCARD STRAIN IMAGE,1161.41,1161.41,81.3,1161.41,58
CDM,473378,Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) ,1161.41,1161.41,16.78,54.88,6
CDM,473395,INFLIXIMAB,911.63,911.63,63.81,911.63,47
CDM,473395,Infliximab ,911.63,911.63,23.14,208.09,74
CDM,473395,Infliximab Age 21+,911.63,911.63,35.64,35.64,4
CDM,473395,Infliximab Age Under 21,911.63,911.63,36.29,36.29,4
CDM,473395,Infliximab Other Outpatient,911.63,911.63,40.5,40.5,6
CDM,473398,VORICONAZOLE,416.28,416.28,29.14,416.28,47
CDM,473398,Voriconazole ,416.28,416.28,16.27,146.0,74
CDM,473398,Voriconazole Age 21+,416.28,416.28,25.05,25.05,4
CDM,473398,Voriconazole Age Under 21,416.28,416.28,25.5,25.5,4
CDM,473398,Voriconazole Other Outpatient,416.28,416.28,28.47,28.47,6
CDM,473399,DUP SCAN ART PREOP BI,2853.89,2853.89,199.77,2853.89,49
CDM,473401,DUP SCAN ART PREOP UNI,1902.6,1902.6,133.18,1902.6,49
CDM,473440,XR ESOPH DOUBL CONT,1307.31,1307.31,91.51,1307.31,48
CDM,473441,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; with concurrently a",26221.67,26221.67,117.01,3982.75,10
CDM,473441,PET MYOCARD MET SGL W CT,26221.67,26221.67,1835.52,26221.67,43
CDM,473442,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",26221.67,26221.67,111.09,3982.75,10
CDM,473442,PET MYOCARD PER SGL W CT,26221.67,26221.67,1835.52,26221.67,43
CDM,473443,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",32368.92,32368.92,129.36,3982.75,10
CDM,473443,PET MYOCARD PER MTL W CT,32368.92,32368.92,2265.82,32368.92,43
CDM,473444,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",21509.03,21509.03,137.75,3982.75,10
CDM,473444,PET MYOCARD PER DUAL TRC,21509.03,21509.03,1505.63,21509.03,43
CDM,473445,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",28057.42,28057.42,150.59,3982.75,10
CDM,473445,PET MYOCARD PER DUAL CT,28057.42,28057.42,1964.02,28057.42,43
CDM,473447,COG SKLS DVLPMNT INT 15M,415.01,415.01,29.05,415.01,44
CDM,473448,COG SKLS DVLPMNT INT 15M,415.01,415.01,29.05,415.01,44
CDM,473449,COG SKLS DVLPMNT EA 15M,119.42,119.42,8.36,119.42,44
CDM,473450,COG SKLS DVLPMNT EA 15M,119.42,119.42,8.36,119.42,44
CDM,473453,I131 IOBENGUANE 1 MCI,1635.99,1635.99,114.52,1635.99,55
CDM,473453,"Iodine i-131, iobenguane, 1 millicurie ",1635.99,1635.99,1037.73,2794.79,12
CDM,473475,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; unmonitored ",4074.16,4074.16,696.02,1354.08,6
CDM,473475,VEEG 2-12 HR UNMONITORED,4074.16,4074.16,285.19,4074.16,59
CDM,473477,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance ",5646.49,5646.49,696.02,1354.08,6
CDM,473477,VEEG 2-12 HR W INT MON,5646.49,5646.49,395.25,5646.49,59
CDM,473478,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance ",6266.98,6266.98,1335.43,2598.01,6
CDM,473478,VEEG 2-12 HR W CONT MON,6266.98,6266.98,438.69,6266.98,59
CDM,473479,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitored ",8147.07,8147.07,1335.43,2598.01,6
CDM,473479,VEEG 12-26 HR UNMONITOR,8147.07,8147.07,570.29,8147.07,59
CDM,473480,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenance ",8891.66,8891.66,1335.43,2598.01,6
CDM,473480,VEEG 12-26 W INT MON,8891.66,8891.66,622.42,8891.66,59
CDM,473481,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenance ",9512.15,9512.15,2499.61,4862.88,6
CDM,473481,VEEG 12-26 HR CONT,9512.15,9512.15,665.85,9512.15,59
CDM,473492,BIOFDBK TRN INT 15 MN,585.0,585.0,40.95,585.0,59
CDM,473492,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",585.0,585.0,71.8,242.94,100
CDM,473493,BIOFDBK TRN EA 15 MN,195.0,195.0,13.65,195.0,59
CDM,473493,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",195.0,195.0,28.61,134.98,100
CDM,473500,ROD SPN STR 3.5X240MM,4556.0,4556.0,501.16,4556.0,57
CDM,473501,HEAD FEM HIP -3.5MM 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,473502,HEAD FEM HIP +7MM 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,473553,SPACER SHLDR 11MM 20MM,63546.0,63546.0,6990.06,63546.0,57
CDM,473563,SCREW BN 5MM 35MM,2466.0,2466.0,271.26,2466.0,57
CDM,473565,SCREW BN 5MM 40MM,4578.0,4578.0,503.58,4578.0,57
CDM,473569,IMPLANT COLLAGEN MEDIUM,51155.0,51155.0,5627.05,51155.0,57
CDM,473593,CATH THRMB 16MM 105CM,79454.0,79454.0,5561.78,79454.0,71
CDM,473594,SHEATH CLOTREM 13FR,19884.0,19884.0,1391.88,19884.0,71
CDM,473597,SYSTEM MECH THRMB,149130.0,149130.0,10439.1,149130.0,71
CDM,473599,CMPNT PTLA SMTR 10X36MM,9804.0,9804.0,1078.44,9804.0,57
CDM,473601,CMPNT PTLR KN 9X31MM,9804.0,9804.0,1078.44,9804.0,57
CDM,473605,CATH DRN 6F 2.1X150MM,3787.0,3787.0,265.09,3787.0,71
CDM,473607,CATH DRN 6F 2.1X250MM,4725.0,4725.0,330.75,4725.0,71
CDM,473609,INSERT TIB KN FX SZ5,14190.0,14190.0,1560.9,14190.0,57
CDM,473610,CATH DRN 8F 2.7X350MM,3787.0,3787.0,265.09,3787.0,71
CDM,473617,INTRO SHEATH 22FR 65CM,13124.0,13124.0,918.68,13124.0,71
CDM,473628,APPLICATOR HEMOSTAT PWD,1128.0,1128.0,78.96,1128.0,71
CDM,473629,STAPLER INT CRV 29MM,8003.0,8003.0,560.21,8003.0,71
CDM,473631,RELOAD STPLR 45MM,5623.0,5623.0,618.53,5623.0,57
CDM,473632,RELOAD STPLR 45MM,5623.0,5623.0,618.53,5623.0,57
CDM,473633,RELOAD STPLR 45MM,5623.0,5623.0,618.53,5623.0,57
CDM,473634,RELOAD STPLR 45MM,5623.0,5623.0,618.53,5623.0,57
CDM,473638,INSERT TIB KN BRNG 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,473668,NEEDLE SUT 2-0 MINI,5623.0,5623.0,393.61,5623.0,71
CDM,473688,OCCLUDER CARD AMPLTZ 5X4,178016.0,178016.0,19581.76,178016.0,57
CDM,473705,SCREW SPN 5.5X30MM,13921.0,13921.0,1531.31,13921.0,57
CDM,473709,SCREW SPN 6.5MM 35MM,15522.0,15522.0,1707.42,15522.0,57
CDM,473714,SCREW SPN PAX 5.5X30MM,10275.0,10275.0,1130.25,10275.0,57
CDM,473725,SUTURE TP WHPBLK 1.3MM,4086.0,4086.0,286.02,4086.0,71
CDM,473727,IMPLANT BREAST 160CC,21064.0,21064.0,2317.04,21064.0,57
CDM,473730,INSERT TIB KN SZ4 14MM,39732.0,39732.0,4370.52,39732.0,57
CDM,473731,AUGMENT FEM KN 8MM 4,19866.0,19866.0,2185.26,19866.0,57
CDM,473733,STEM FEM KN 110MM 12MM,25515.0,25515.0,2806.65,25515.0,57
CDM,473742,INSRT ARTC KNL SZ7-8 9MM,19350.0,19350.0,2128.5,19350.0,57
CDM,473743,PROBE SUC 135MM 3.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,473750,IMPLANT BREAST 560CC,13422.0,13422.0,1476.42,13422.0,57
CDM,473769,CATH GD 5.5FR 150CM,8573.0,8573.0,600.11,8573.0,71
CDM,473801,NDL INJ 35CM RGD 23GA,2999.0,2999.0,209.93,2999.0,71
CDM,473809,SCREW BN 2.7MM 20MM,3515.0,3515.0,386.65,3515.0,57
CDM,473811,MESH SURG 23X18CM ELIPSE,47286.0,47286.0,5201.46,47286.0,57
CDM,473812,MESH VNTRLT 2-20X25CM,54259.0,54259.0,5968.49,54259.0,57
CDM,473818,INSERT TIB SZ6 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,473841,CEMENT BN GV 40GM,14667.0,14667.0,1613.37,14667.0,57
CDM,473855,STEM FEM ENDRN SZ3,36120.0,36120.0,3973.2,36120.0,57
CDM,473859,CATH EP 5FR 110CM,6858.0,6858.0,480.06,6858.0,71
CDM,473860,CATH EP 5FR 110CM,6858.0,6858.0,480.06,6858.0,71
CDM,473861,CATH EP J 2-5-2X120 5FR,3224.0,3224.0,225.68,3224.0,71
CDM,473867,SCREW BN 2.7MM 22MM,1510.0,1510.0,166.1,1510.0,57
CDM,473868,SCREW SPN 2.7MM 26MM,1063.0,1063.0,116.93,1063.0,57
CDM,473869,SCREW BN 2.7MM 28MM,1998.0,1998.0,219.78,1998.0,57
CDM,473870,SCREW BN 2.7MM 30MM,1451.0,1451.0,159.61,1451.0,57
CDM,473897,TOOL DSCT MTCH 14CM 3MM,3818.0,3818.0,267.26,3818.0,71
CDM,473917,INSERT HIP SZ3,14190.0,14190.0,1560.9,14190.0,57
CDM,473919,CMPNT FEM HIP SZ135 40MM,58505.0,58505.0,6435.55,58505.0,57
CDM,473920,STEM FEM 200MM 18MM,13355.0,13355.0,1469.05,13355.0,57
CDM,473923,HEAD FEM HIP -5MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,473932,MESH RCTNG 20X25CM,152203.0,152203.0,16742.33,152203.0,57
CDM,473937,PLATE BN TI SYNDSMS 2HL,24969.0,24969.0,2746.59,24969.0,57
CDM,473942,GRAFT TIS ACHL TN FRZN,44614.0,44614.0,4907.54,44614.0,57
CDM,473943,BASEPLATE SHLDR STD 25MM,30960.0,30960.0,3405.6,30960.0,57
CDM,473944,PIN FX 3.2MM 110MM,4288.0,4288.0,300.16,4288.0,71
CDM,473949,COMPNT PTLR KN 9MM 29MM,9804.0,9804.0,1078.44,9804.0,57
CDM,473952,INSERT TIB KN SZ3 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,473978,CAPSULE ENDO CF DEV,16296.0,16296.0,1140.72,16296.0,71
CDM,473987,SCREW LOCKING 2.7MM 14MM,3525.0,3525.0,387.75,3525.0,57
CDM,473989,SCREW BN DST NLCK 3.5X14,1727.0,1727.0,189.97,1727.0,57
CDM,473992,KWIRE PRX HUM PLT 1.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,474001,HEAD FEM HIP +0MM 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,474012,SCREW SPN P-AX 6.5X40MM,10665.0,10665.0,1173.15,10665.0,57
CDM,474013,SCREW BN 5.5X40MM,10275.0,10275.0,1130.25,10275.0,57
CDM,474014,SCREW SPN 5.5MM 35MM,12655.0,12655.0,1392.05,12655.0,57
CDM,474015,SCREW SPN 5.5MM 40MM,13134.0,13134.0,1444.74,13134.0,57
CDM,474017,HOOK SPN VRST LG LMR NS,7593.0,7593.0,835.23,7593.0,57
CDM,474018,HOOK SPN VRST SM PDCL N,8859.0,8859.0,974.49,8859.0,57
CDM,474021,SCREW SPN P-AX 6.5X45MM,13921.0,13921.0,1531.31,13921.0,57
CDM,474052,TOOL DSCT 9CM 3MM,3936.0,3936.0,275.52,3936.0,71
CDM,474053,TOOL DSCT BALL 10CM 5MM,3818.0,3818.0,267.26,3818.0,71
CDM,474057,TOOL DSCT BALL 10CM 2MM,3818.0,3818.0,267.26,3818.0,71
CDM,474068,SYS SURG BLDE 25MM,11433.0,11433.0,800.31,11433.0,71
CDM,474073,SCREW BN SPN 3.5MM 26MM,11390.0,11390.0,1252.9,11390.0,57
CDM,474097,NAIL BN TIB IM 9MM 315MM,26859.0,26859.0,2954.49,26859.0,57
CDM,474100,GWIRE ORTH 2.4MM 70CM,5326.0,5326.0,372.82,5326.0,71
CDM,474112,SCREW BN 2.4MM 20MM,1425.0,1425.0,156.75,1425.0,57
CDM,474118,TISSUE EXPNDR SMTH 500CC,31853.0,31853.0,3503.83,31853.0,57
CDM,474123,SCREW BN 3.5MM 16MM,864.0,864.0,95.04,864.0,57
CDM,474130,SCREW BN 5MM 30MM,2466.0,2466.0,271.26,2466.0,57
CDM,474170,PLATE BN 4HL 2.7X72MM,12695.0,12695.0,1396.45,12695.0,57
CDM,474182,COMPNT FEM MIDSECT 110MM,61023.0,61023.0,6712.53,61023.0,57
CDM,474244,SCREW SPN PAX 6.5X40MM,11390.0,11390.0,1252.9,11390.0,57
CDM,474245,INSERT TIB KN SZ5 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,474259,CATH THRMB 8FR,53770.0,53770.0,3763.9,53770.0,71
CDM,474269,INSERT TIB KN SZ4 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,474279,STAPLER ROBTC 45MM,11042.0,11042.0,772.94,11042.0,71
CDM,474283,INSR TIB KN SZ4 16MM,39245.0,39245.0,4316.95,39245.0,57
CDM,474288,CATH THRMB 8FR 115CM,53770.0,53770.0,3763.9,53770.0,71
CDM,474291,STEM BIP IMPL 51M OD28MM,11017.0,11017.0,1211.87,11017.0,57
CDM,474405,SCREW BN 4MM 38MM 14MM,864.0,864.0,95.04,864.0,57
CDM,474413,STEM BOWED 32X15MM,64501.0,64501.0,7095.11,64501.0,57
CDM,474424,BIT DRILL DISP 3.5X60MM,2375.0,2375.0,166.25,2375.0,71
CDM,474442,GRAFT VASC 3.5MM 10CM,2179.0,2179.0,239.69,2179.0,57
CDM,474443,GRAFT BN GREATER 1.3MM,11190.0,11190.0,1230.9,11190.0,57
CDM,474444,CMPNT GLND SHLDR SZ30,41136.0,41136.0,4524.96,41136.0,57
CDM,474445,FIBER LASER 272UM,5623.0,5623.0,393.61,5623.0,71
CDM,474447,SHELL HIP 3H SZ52,22059.0,22059.0,2426.49,22059.0,57
CDM,474448,LINER STD FLAT 36-52/54,13468.0,13468.0,1481.48,13468.0,57
CDM,474449,HEAD CERAMIC 36 +0,16267.0,16267.0,1789.37,16267.0,57
CDM,474451,SCREW BN LCK HIP 70MM,1816.0,1816.0,199.76,1816.0,57
CDM,474453,STEM FEM HIP 19X160MM,13355.0,13355.0,1469.05,13355.0,57
CDM,474455,CMPNT LT 135D 70X32X90MM,58505.0,58505.0,6435.55,58505.0,57
CDM,474458,SCREW SPN 4 SHFT 3.5X28,12655.0,12655.0,1392.05,12655.0,57
CDM,474462,HEAD HUM SHLDR 16X43MM,53283.0,53283.0,5861.13,53283.0,57
CDM,474463,KIT ATF40 W/AT3 10L&PRC,5459.0,5459.0,382.13,5459.0,71
CDM,474467,NAIL BN TIB 11MM 345MM,26859.0,26859.0,2954.49,26859.0,57
CDM,474468,SCREW BN 5MM 50MM,2466.0,2466.0,271.26,2466.0,57
CDM,474475,GWIRE ORTH 3.2MM 350MM,4172.0,4172.0,292.04,4172.0,71
CDM,474515,BEARING FEM KN RT SZC4,25416.0,25416.0,2795.76,25416.0,57
CDM,474518,SHELL ACTB HIP 50MM,25800.0,25800.0,2838.0,25800.0,57
CDM,474524,SCREW SPN 3.5MM 30MM,12655.0,12655.0,1392.05,12655.0,57
CDM,474532,STEM HIP FEM OFS 9X125,43860.0,43860.0,4824.6,43860.0,57
CDM,474560,SCREW BN 3.5MM 36MM VAR,1747.0,1747.0,192.17,1747.0,57
CDM,474561,SCREW BN 3.5MM 26MM,822.0,822.0,90.42,822.0,57
CDM,474568,GWIRE ORTH 1.5MM 230MM,1599.0,1599.0,111.93,1599.0,71
CDM,474587,SCREW BN 40MM,1526.0,1526.0,167.86,1526.0,57
CDM,474588,STEM UNV HIP 150MM 18MM,18164.0,18164.0,1998.04,18164.0,57
CDM,474605,KIT DILATOR DISP,4685.0,4685.0,327.95,4685.0,71
CDM,474607,RESERVOIR SHNT 5CM,8102.0,8102.0,891.22,8102.0,57
CDM,474608,IMPLANT BREAST 490CC,23633.0,23633.0,2599.63,23633.0,57
CDM,474610,INSERT TIB KN SZ2 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,474615,CMPNT ASYM PTLR KN 11X38,9804.0,9804.0,1078.44,9804.0,57
CDM,474617,SCREW BN 3.5MM 22MM,750.0,750.0,82.5,750.0,57
CDM,474634,GWIRE BN DISP 0.8X100MM,2008.0,2008.0,140.56,2008.0,71
CDM,474660,BOLT ANCHOR DRL 2.4MM,5623.0,5623.0,393.61,5623.0,71
CDM,474661,NAIL BN 10MM 315MM,29458.0,29458.0,3240.38,29458.0,57
CDM,474667,STEM HIP SZ 10 117MM,46440.0,46440.0,5108.4,46440.0,57
CDM,474675,OCCLUDER CV .079X.256IN,178016.0,178016.0,19581.76,178016.0,57
CDM,474677,NDL CRYALB 1.5MM 175MM,31401.0,31401.0,2198.07,31401.0,71
CDM,474707,SCREW BN LCK 25MM,1955.0,1955.0,215.05,1955.0,57
CDM,474731,CATH BLNDL 25MM 110CM,11566.0,11566.0,809.62,11566.0,71
CDM,474769,ANCHOR SUT BLUE 36MM,2103.0,2103.0,231.33,2103.0,57
CDM,474773,CANN PRFSN 5F 16GA 5.5IN,950.0,950.0,66.5,950.0,71
CDM,474774,DEVICE RTRVL DAKOTA NTNL,5623.0,5623.0,393.61,5623.0,71
CDM,474775,INSERT TIB KN BRN 7 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,474842,NAIL FEM 10MM 420MM,45786.0,45786.0,5036.46,45786.0,57
CDM,474854,TIP CUSA CLAR TISS 23KHZ,105971.0,105971.0,7417.97,105971.0,71
CDM,474855,WRENCH CLARITY 23KHZ,4519.0,4519.0,316.33,4519.0,71
CDM,474858,PLATE BN 2.7MM 147MM,14653.0,14653.0,1611.83,14653.0,57
CDM,474878,STEM FEM HIP 22MM 150MM,45467.0,45467.0,5001.37,45467.0,57
CDM,474891,ELCTRD GRID 10 CNTCT 2X5,17681.0,17681.0,1237.67,17681.0,71
CDM,474892,ELECTRODE SUBDURAL 3MM,23818.0,23818.0,2619.98,23818.0,57
CDM,474893,ELCTRD GRID 16 CNTCT 4X4,21541.0,21541.0,1507.87,21541.0,71
CDM,474894,ELCTRD GRID 32 CNTCT 4X8,26032.0,26032.0,1822.24,26032.0,71
CDM,474895,ELCTRD GRID 64 CNTCT 8X8,35278.0,35278.0,2469.46,35278.0,71
CDM,474900,RESERVOIR SHNT 4CM,8102.0,8102.0,891.22,8102.0,57
CDM,474901,RESERVOIR SHNT 6CM,8289.0,8289.0,911.79,8289.0,57
CDM,474903,DRL DNTL TWST STP 1.5X34,4933.0,4933.0,345.31,4933.0,71
CDM,474904,SCREW BN CANC 6.5X15MM,4439.0,4439.0,488.29,4439.0,57
CDM,474905,SCREW BN CANC 6.5X35MM,4439.0,4439.0,488.29,4439.0,57
CDM,474907,SCREW BN 6.5MM 25MM,4439.0,4439.0,488.29,4439.0,57
CDM,474908,SCREW CANC 6.5X20MM,4439.0,4439.0,488.29,4439.0,57
CDM,474913,STEM FEM HIP SZ2,51600.0,51600.0,5676.0,51600.0,57
CDM,474953,SCREW BN 3.5MM 22MM,3206.0,3206.0,352.66,3206.0,57
CDM,474954,SCREW BN 3.5MM 24MM,3206.0,3206.0,352.66,3206.0,57
CDM,474955,SCREW BN 3.5MM 42MM,3206.0,3206.0,352.66,3206.0,57
CDM,474957,SCREW BN LCKG 3.5X40MM,3206.0,3206.0,352.66,3206.0,57
CDM,474958,SCREW BN 3.5MM 36MM,3206.0,3206.0,352.66,3206.0,57
CDM,474959,SCREW BN LCKG 3.5X32MM,3206.0,3206.0,352.66,3206.0,57
CDM,474960,SCREW BN LCKG 3.5X30MM,3206.0,3206.0,352.66,3206.0,57
CDM,474961,SCREW BN 3.5MM 28MM,3206.0,3206.0,352.66,3206.0,57
CDM,474962,SCREW BN 3.5MM 22MM,3206.0,3206.0,352.66,3206.0,57
CDM,474963,PIN FX 1.6MM 150MM,1837.0,1837.0,128.59,1837.0,71
CDM,474984,SCREW BN 3.5MM 26MM,5261.0,5261.0,578.71,5261.0,57
CDM,474992,SCREW BN 3.5MM 50MM,3206.0,3206.0,352.66,3206.0,57
CDM,474993,SCREW BN 3.5MM 30MM,3206.0,3206.0,352.66,3206.0,57
CDM,475025,ANCHOR SUTURE 2-0,14550.0,14550.0,1600.5,14550.0,57
CDM,475034,PLATE BN 110MM,45416.0,45416.0,4995.76,45416.0,57
CDM,475048,SYSTEM ANCHR PTLA 4.75MM,24845.0,24845.0,2732.95,24845.0,57
CDM,475057,SCREW BN 3.5MM 50MM,4547.0,4547.0,500.17,4547.0,57
CDM,475069,STENT EPRSTH 10X13X29MM,63742.0,63742.0,7011.62,63742.0,57
CDM,475088,SUTURE W/MO-7 NDL 36IN,3836.0,3836.0,268.52,3836.0,71
CDM,475090,GRAFT PRCN 9.8X7.9IN,193322.0,193322.0,21265.42,193322.0,57
CDM,475091,GRAFT PRCN 2.4X2.4IN,16831.0,16831.0,1851.41,16831.0,57
CDM,475095,PLATE BN T 5HL 2X34MM,10954.0,10954.0,1204.94,10954.0,57
CDM,475098,SCREW BN 2.0MM 20MM,2569.0,2569.0,282.59,2569.0,57
CDM,475101,SYSTEM MIXER BNCMNT,3651.0,3651.0,255.57,3651.0,71
CDM,475143,COIL EMBL 4CM 3MM,2347.0,2347.0,258.17,2347.0,57
CDM,475168,COMPNT FEM N-POR RT SZ4,38700.0,38700.0,4257.0,38700.0,57
CDM,475171,CATH DRN 10.2FR 60CM,4404.0,4404.0,308.28,4404.0,71
CDM,475174,GLENOSPHERE SMR ECC 36MM,44273.0,44273.0,4870.03,44273.0,57
CDM,475199,SCREW BN 5MM 30MM,5143.0,5143.0,565.73,5143.0,57
CDM,475217,BHVRL HLTH ASSMT/REASS,604.0,604.0,42.28,604.0,55
CDM,475217,"Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) ",604.0,604.0,215.99,420.19,6
CDM,475252,SCREW BN 5MMMM 40MM,2466.0,2466.0,271.26,2466.0,57
CDM,475261,RIBAVIRIN 200 MG PO,39.45,39.45,2.76,39.45,67
CDM,475282,SCREW BN 5MM 25MM,2466.0,2466.0,271.26,2466.0,57
CDM,475286,INTERF BETA1B 0.3MG INJ,3837.02,3837.02,268.59,3837.02,47
CDM,475286,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",3837.02,3837.02,992.52,6198.23,15
CDM,475292,SCREW BN 5MM 30MM,2734.0,2734.0,300.74,2734.0,57
CDM,475295,SHELL HIP 46-3H,22059.0,22059.0,2426.49,22059.0,57
CDM,475298,PHOSPHOLIPASE A2 R AB IA,1290.81,1290.81,90.36,1290.81,47
CDM,475299,PHOSPHOLIPASE A2 R AB IA,1290.81,1290.81,90.36,1290.81,47
CDM,475312,SCREW BN LCK 5X40,2683.0,2683.0,295.13,2683.0,57
CDM,475322,SCREW BN 5MM 45MM,3268.0,3268.0,359.48,3268.0,57
CDM,475332,SCREW BN 5X50MM,3268.0,3268.0,359.48,3268.0,57
CDM,475338,INOTUZUMAB OZ 0.1 MG INJ,17858.98,17858.98,1250.13,17858.98,42
CDM,475342,SCREW T2 F/T LCK 5X55,3696.0,3696.0,406.56,3696.0,57
CDM,475352,SCREW BNE 5.0X60 LCK,3268.0,3268.0,359.48,3268.0,57
CDM,475368,POLATUZUMAB 140 MG INJ,106531.71,106531.71,7457.22,106531.71,42
CDM,475370,TOCILIZUMAB 1 MG INJ,37.97,37.97,2.66,37.97,42
CDM,475377,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,475378,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,475379,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,475382,SCREW BN 5X75MM,2789.0,2789.0,306.79,2789.0,57
CDM,475385,COVID-19 DNA/RNA AMP,56.89,56.89,3.98,56.89,57
CDM,475388,RAMUCIRUMAB 100 MG INJ,9638.41,9638.41,674.69,9638.41,42
CDM,475392,SCREW BN 5X80MM,3021.0,3021.0,332.31,3021.0,57
CDM,475397,VECURONIUM 1 MG/ML INJ,76.27,76.27,5.34,76.27,67
CDM,475398,CLOTRIMAZOLE SOL1% 30ML,558.82,558.82,39.12,558.82,67
CDM,475400,SCREW BN 5MM 32MM,2466.0,2466.0,271.26,2466.0,57
CDM,475401,SCREW BN LCK 5X57MM,2466.0,2466.0,271.26,2466.0,57
CDM,475421,SCREW BN NLCK 2.5X16MM,2934.0,2934.0,322.74,2934.0,57
CDM,475463,FIBER LSR CRSVA 1000HPWR,7876.0,7876.0,551.32,7876.0,71
CDM,475480,STEM HUM SHLDR 8MM 100MM,98052.0,98052.0,10785.72,98052.0,57
CDM,475489,IMPLANT BREAST 445CC,20550.0,20550.0,2260.5,20550.0,57
CDM,475497,STEM FEM HIP STDCLR SZ3,49020.0,49020.0,5392.2,49020.0,57
CDM,475503,HEAD HIP CERM 28 -3.5MM,16267.0,16267.0,1789.37,16267.0,57
CDM,475504,STEM STD 12/14 #7 111MM,46440.0,46440.0,5108.4,46440.0,57
CDM,475505,COMP FEM BIP OD-28X48MM,11017.0,11017.0,1211.87,11017.0,57
CDM,475507,MESH HRN PP 20X20IN,105927.0,105927.0,11651.97,105927.0,57
CDM,475512,SCREW BN 4MM 30MM,3054.0,3054.0,335.94,3054.0,57
CDM,475514,SCREW BN 2.7MM 38MM,2569.0,2569.0,282.59,2569.0,57
CDM,475517,SCREW BN 2.7MM 36MM,1425.0,1425.0,156.75,1425.0,57
CDM,475518,SCREW BN 2.7MM 38MM,864.0,864.0,95.04,864.0,57
CDM,475530,SCREW HDLS CMPR 4X42MM,8101.0,8101.0,891.11,8101.0,57
CDM,475546,INSERT KN BRNG TIB6 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,475580,PATCH SLNT 4.8CMX4.8CM,7964.0,7964.0,557.48,7964.0,71
CDM,475590,KIT GUIDE MAND OTHGN,15177.0,15177.0,1062.39,15177.0,71
CDM,475628,BIT DRILL 3.3MM 25MM,6173.0,6173.0,432.11,6173.0,71
CDM,475629,BASEPLATE TIB KN SZ10,27090.0,27090.0,2979.9,27090.0,57
CDM,475639,SCREW BN 3.5MM 40MM,10275.0,10275.0,1130.25,10275.0,57
CDM,475647,SEALANT FIBRN PREFL 4ML,5623.0,5623.0,393.61,5623.0,71
CDM,475651,TENDON POSTR TIB 22CM,31165.0,31165.0,3428.15,31165.0,57
CDM,475668,INSERT TIB KN SZ5 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,475679,SCREW BN ATDR 1.6X4MM,1053.0,1053.0,115.83,1053.0,57
CDM,475698,WIRE PCNG TEMP 26MM 64MM,888.0,888.0,62.16,888.0,71
CDM,475766,NAIL FEM IM 10MM 36CM,22605.0,22605.0,2486.55,22605.0,57
CDM,475769,ROD EX FIX 9.5MM 200MM,5623.0,5623.0,393.61,5623.0,71
CDM,475770,CLAMP EX FIX 4MM SHRT,10287.0,10287.0,720.09,10287.0,71
CDM,475773,SCREW BN 3.5MM 38MM,4110.0,4110.0,452.1,4110.0,57
CDM,475775,SCREW BN HDLS 6.5X75MM,12538.0,12538.0,1379.18,12538.0,57
CDM,475777,IMPLANT BREAST 300CC,20550.0,20550.0,2260.5,20550.0,57
CDM,475784,SHELL ACTB TPR SZ5 64MM,80788.0,80788.0,8886.68,80788.0,57
CDM,475785,KIT HEMDIAL 15.5F 20CM,7561.0,7561.0,529.27,7561.0,71
CDM,475786,STEM STD 12/14 #8 113MM,46440.0,46440.0,5108.4,46440.0,57
CDM,475787,SCREW SPN 6.5MM 35MM,13921.0,13921.0,1531.31,13921.0,57
CDM,475834,COIL EMBL 7CM 4MM DTCH,15830.0,15830.0,1741.3,15830.0,57
CDM,475878,PLEDGT CV PTFE SFT 7X3MM,425.0,425.0,46.75,425.0,57
CDM,475995,KIT INJ ORAL NDL 1CC,13974.0,13974.0,1537.14,13974.0,52
CDM,476214,VALVE PULMONARY SM,187391.0,187391.0,20613.01,187391.0,57
CDM,476215,CANNULA PRFSN 8FR 9IN,3333.0,3333.0,233.31,3333.0,71
CDM,476217,STEM REM HIP STD SZ 13,51600.0,51600.0,5676.0,51600.0,57
CDM,476218,TIBIAL INSERT 5/10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,476219,STEM HIP HO #5,46440.0,46440.0,5108.4,46440.0,57
CDM,476220,HEAD HIP 12/14 SZ36MM,16267.0,16267.0,1789.37,16267.0,57
CDM,476247,PLATE BN 2.7X108MM,15577.0,15577.0,1713.47,15577.0,57
CDM,476259,SCREW BN 2.7MM 40MM,1697.0,1697.0,186.67,1697.0,57
CDM,476261,SCREW BN 2.4MM 38MM,864.0,864.0,95.04,864.0,57
CDM,476275,GRAFT VASC. THIN WALL 6M,23633.0,23633.0,2599.63,23633.0,57
CDM,476286,SCREW BN 6.5MM 40MM,2985.0,2985.0,328.35,2985.0,57
CDM,476290,SCREW BN 3MM 10MM,1891.0,1891.0,208.01,1891.0,57
CDM,476296,SCREW BN 6.5MM 45MM,2985.0,2985.0,328.35,2985.0,57
CDM,476306,SCREW BN 6.5MM 50MM,2985.0,2985.0,328.35,2985.0,57
CDM,476316,SCREW BN 6.5MM 55MM,2985.0,2985.0,328.35,2985.0,57
CDM,476326,SCREW BN 6.5MM 60MM,2985.0,2985.0,328.35,2985.0,57
CDM,476329,STENT TRCHBR 14X40X4MM,60623.0,60623.0,6668.53,60623.0,57
CDM,476330,STENT TRCHBR 14X30X4MM,60623.0,60623.0,6668.53,60623.0,57
CDM,476331,STENT TRCHBR 12X40X4MM,60623.0,60623.0,6668.53,60623.0,57
CDM,476336,SCREW BN 6.5X65X20MM,2985.0,2985.0,328.35,2985.0,57
CDM,476356,SCREW BN 6.5MM 75MM,5025.0,5025.0,552.75,5025.0,57
CDM,476357,SET INFS 19GA 1IN,317.0,317.0,22.19,317.0,71
CDM,476366,SCREW BN 6.5MM 80MM,5759.0,5759.0,633.49,5759.0,57
CDM,476367,SEAL LOK CERVICAL,3850.0,3850.0,269.5,3850.0,71
CDM,476368,CATH PRFSN 15FR 15IN,1359.0,1359.0,95.13,1359.0,71
CDM,476369,CANNULA PRFSN 18FR 12IN,1599.0,1599.0,111.93,1599.0,71
CDM,476376,SCREW BN 6.5MM 85MM,3864.0,3864.0,425.04,3864.0,57
CDM,476386,SCREW BN 6.5MM 90MM 20MM,5428.0,5428.0,597.08,5428.0,57
CDM,476396,SCREW BN 6.5X95X20MM,4741.0,4741.0,521.51,4741.0,57
CDM,476406,SCREW BN 6.5MM 100MM,5646.0,5646.0,621.06,5646.0,57
CDM,476416,SCREW BN 6.5MM 105MM,4859.0,4859.0,534.49,4859.0,57
CDM,476426,SCREW BN 6.5MM 110MM,5108.0,5108.0,561.88,5108.0,57
CDM,476436,SCREW BN 6.5MM 115MM,5108.0,5108.0,561.88,5108.0,57
CDM,476444,PIN FX AXIS IJS 50X2.5MM,5919.0,5919.0,651.09,5919.0,57
CDM,476446,SCREW BN 6.5MM 120MM,5857.0,5857.0,644.27,5857.0,57
CDM,476453,STEM HIP INITIA STD 6.5,46440.0,46440.0,5108.4,46440.0,57
CDM,476454,SHELL INITIA 50-3H,22059.0,22059.0,2426.49,22059.0,57
CDM,476455,LINER STDHO 36-50,13468.0,13468.0,1481.48,13468.0,57
CDM,476457,STEM HIP SZ3 99MM,46440.0,46440.0,5108.4,46440.0,57
CDM,476458,LINER STD 36-50,13468.0,13468.0,1481.48,13468.0,57
CDM,476459,PROS PTLA 26MMX7MM,6450.0,6450.0,709.5,6450.0,57
CDM,476463,CMPNT SHLDR 36MM,46440.0,46440.0,5108.4,46440.0,57
CDM,476464,IMPLANT CRNL CUSTOM,102767.0,102767.0,11304.37,102767.0,57
CDM,476475,IMPLANT BREAST 545CC,23633.0,23633.0,2599.63,23633.0,57
CDM,476491,PLATE BN 90MM,45416.0,45416.0,4995.76,45416.0,57
CDM,476493,SCREW PLT LCKG 3.5X18MM,3206.0,3206.0,352.66,3206.0,57
CDM,476495,SCREW BN 3.5MM 38MM,3206.0,3206.0,352.66,3206.0,57
CDM,476498,SCREW BN 3.5MM 42MM,3206.0,3206.0,352.66,3206.0,57
CDM,476499,SCREW BN 3.5MM 46MM,3206.0,3206.0,352.66,3206.0,57
CDM,476500,SCREW BN 3.5MM 48MM,3206.0,3206.0,352.66,3206.0,57
CDM,476507,PLATE BN CRV NAR 18H 3.5,16061.0,16061.0,1766.71,16061.0,57
CDM,476538,DEVICE COLLECTOR TISSUE,11433.0,11433.0,800.31,11433.0,71
CDM,476566,SCREW BN 6.5X100X40MM,4859.0,4859.0,534.49,4859.0,57
CDM,476576,SCREW BN 3 6.5X105X40MM,4325.0,4325.0,475.75,4325.0,57
CDM,476709,INSERT KN BRNG 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,476710,SILDENAFIL CIT 20 MG PO,211.66,211.66,14.82,211.66,46
CDM,476711,SILDENAFIL CIT 10 MG INJ,1273.43,1273.43,89.14,1273.43,46
CDM,476713,CLOZAPINE 25 MG PO,76.02,76.02,5.32,76.02,46
CDM,476714,CLOZAPINE 100 MG PO,204.42,204.42,14.31,204.42,46
CDM,476715,FINASTERIDE 5 MG PO,35.32,35.32,2.47,35.32,46
CDM,476715,"Finasteride, 5 mg ",35.32,35.32,0.48,1.28,12
CDM,476716,SCREW BN 80MM 6.5MM,3864.0,3864.0,425.04,3864.0,57
CDM,476717,MINOXIDIL 10 MG PO,46.92,46.92,3.28,46.92,46
CDM,476717,"Minoxidil, 10 mg ",46.92,46.92,1.28,4.02,12
CDM,476718,CALCITROL 0.25 MCG PO,41.01,41.01,2.87,41.01,47
CDM,476723,MICAFUNGIN 1 MG/ML INJ,3.33,3.33,0.23,3.33,47
CDM,476724,IMATINIB 100 MG PO,431.49,431.49,30.2,431.49,46
CDM,476724,"Imatinib, 100 mg ",431.49,431.49,18.33,72.82,12
CDM,476725,FONDAPARINUX 2.5 MG INJ,990.71,990.71,69.35,990.71,47
CDM,476726,SCREW BN 6.5MM 85MM,3864.0,3864.0,425.04,3864.0,57
CDM,476727,FONDAPARINUX 7.5 MG INJ,1408.32,1408.32,98.58,1408.32,47
CDM,476729,FONDAPARINUX 5 MG INJ,1408.32,1408.32,98.58,1408.32,47
CDM,476735,METHOTREXATE 1 G INJ,201.74,201.74,14.12,201.74,47
CDM,476736,SCREW BN 6.5MM 90MM,3864.0,3864.0,425.04,3864.0,57
CDM,476737,METHOTREXATE 100 MG INJ,186.41,186.41,13.05,186.41,47
CDM,476738,"Injection, papaverine hcl, up to 60 mg ",287.63,287.63,75.8,327.11,15
CDM,476738,PAPAVERINE UP TO 60MG,287.63,287.63,20.13,287.63,47
CDM,476742,VARICELLA-ZOSTER IG IM,13145.31,13145.31,920.17,13145.31,42
CDM,476742,"Varicella-zoster immune globulin, human, for intramuscular use ",13145.31,13145.31,3899.36,21845.66,15
CDM,476744,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",182.02,182.02,2.32,18.64,17
CDM,476744,NA FERRIC GLUCON 62.5 MG,182.02,182.02,12.74,182.02,47
CDM,476756,SCREW BN 6.5MM 100MM,3864.0,3864.0,425.04,3864.0,57
CDM,476770,GRAFT PULM ART PT3-8X2-5,84716.0,84716.0,9318.76,84716.0,57
CDM,476771,SHEETING SIL IMPL 3X2IN,925.0,925.0,101.75,925.0,57
CDM,476773,IMIGLUCERASE 400 U INJ,42694.98,42694.98,2988.65,42694.98,42
CDM,476773,"Injection, imiglucerase, 10 units ",42694.98,42694.98,41.55,370.22,17
CDM,476774,INDOCYANINE-GN 25 MG INJ,1214.82,1214.82,85.04,1214.82,42
CDM,476781,TOBRAMYCIN 10 MG/ML INJ,1.39,1.39,0.1,1.39,47
CDM,476793,FLUCONAZOLE 2 MG/ML INJ,35.26,35.26,2.47,35.26,47
CDM,476832,STEM HUM 80X18MM FN CMNT,21569.0,21569.0,2372.59,21569.0,57
CDM,476834,CATH PRFSN 13FR 15IN,8049.0,8049.0,563.43,8049.0,71
CDM,476860,CATH EP 5FR 110CM,6287.0,6287.0,440.09,6287.0,71
CDM,476873,SCREW BN 2.0MM 16MM,864.0,864.0,95.04,864.0,57
CDM,476877,PROSTHESIS PENL 13MM,183910.0,183910.0,20230.1,183910.0,57
CDM,476889,VALVE HYDRO RA ONLY,77681.0,77681.0,8544.91,77681.0,57
CDM,476897,LINER ACTB HIP CUP 52MM,23220.0,23220.0,2554.2,23220.0,57
CDM,476899,LINER ACTB 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,476953,SCREW BN 3.5MM 50MM,3206.0,3206.0,352.66,3206.0,57
CDM,476974,STENT BIL 4X16MM 135CM,20550.0,20550.0,2260.5,20550.0,57
CDM,476975,STENT BIL 4X20MM 135CM,19390.0,19390.0,2132.9,19390.0,57
CDM,476977,STENT BIL 5X12MM 135CM,18290.0,18290.0,2011.9,18290.0,57
CDM,476978,STENT BIL 5X16MM 135CM,18290.0,18290.0,2011.9,18290.0,57
CDM,476979,STENT BIL 5X20MM 135CM,19390.0,19390.0,2132.9,19390.0,57
CDM,477044,LINER HIGH WALL 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,477046,HEAD FEM SM,16770.0,16770.0,1844.7,16770.0,57
CDM,477047,GRAFT HUM PROX LT W/CUFF,67619.0,67619.0,7438.09,67619.0,57
CDM,477048,SUTURE SS 2 BRD 2-0 24IN,537.0,537.0,37.59,537.0,71
CDM,477054,SCREW BN ELB 2.7X14MM,866.0,866.0,95.26,866.0,57
CDM,477067,STEM TIB KN MED,47730.0,47730.0,5250.3,47730.0,57
CDM,477107,ANCHOR BN 4.75MM,14750.0,14750.0,1622.5,14750.0,57
CDM,477116,ROD SPN 3.5MM 80MM,4556.0,4556.0,501.16,4556.0,57
CDM,477144,KIT SURG GD CUT CSTM,106495.0,106495.0,7454.65,106495.0,71
CDM,477149,AUGMENT FEM KN SZ6 8MM,19866.0,19866.0,2185.26,19866.0,57
CDM,477150,CMPNT AUG KN SZ6 12MM,19866.0,19866.0,2185.26,19866.0,57
CDM,477155,INSERT TIB KN SZ6 16MM,48401.0,48401.0,5324.11,48401.0,57
CDM,477159,KIT JOINT PREP INST ORTH,5623.0,5623.0,393.61,5623.0,71
CDM,477163,GUIDEWIRE VASC 180CM 3MM,831.0,831.0,58.17,831.0,71
CDM,477167,SCREW BN 5MM 18MM,3213.0,3213.0,353.43,3213.0,57
CDM,477170,STEM HIP STD SZ2,46440.0,46440.0,5108.4,46440.0,57
CDM,477171,PEG BN LCK SMTH 2X17MM,1975.0,1975.0,217.25,1975.0,57
CDM,477184,SCREW BN 4MM 36MM,8101.0,8101.0,891.11,8101.0,57
CDM,477185,SCREW BN LT HDLS 40MM,8101.0,8101.0,891.11,8101.0,57
CDM,477201,NAIL 9MM 360MM RT FEM NL,26558.0,26558.0,2921.38,26558.0,57
CDM,477210,DEVICE CLSR WND 2-0 23CM,1484.0,1484.0,103.88,1484.0,71
CDM,477215,SCREW BN CANN 2.5X18MM,7441.0,7441.0,818.51,7441.0,57
CDM,477301,MONITORED SEMI PVT,15436.42,15436.42,,,0
CDM,477315,LINER HIP 32-46,13468.0,13468.0,1481.48,13468.0,57
CDM,477316,HEAD HIP CERAMIC 32-3.5,16267.0,16267.0,1789.37,16267.0,57
CDM,477321,DRES CHG NOT BURN W/ANES,3752.48,3752.48,262.67,3752.48,64
CDM,477476,GWIRE ORTH 1000MM 2.5MM,4697.0,4697.0,328.79,4697.0,71
CDM,477480,GWIRE ORTH 2.4MM 950MM,3647.0,3647.0,255.29,3647.0,71
CDM,477481,PLATE FEM 243MM 10 HL,39976.0,39976.0,4397.36,39976.0,57
CDM,477485,SCREW BN 4.5MM 32.5MM,1727.0,1727.0,189.97,1727.0,57
CDM,477486,SCREW BN 4.5MM 37.5MM,1727.0,1727.0,189.97,1727.0,57
CDM,477489,SCREW BN 4.5MM 40MM,1727.0,1727.0,189.97,1727.0,57
CDM,477490,SCREW BN NLCK 4.5X47.5MM,1727.0,1727.0,189.97,1727.0,57
CDM,477495,FIBER LASER 272UM,5622.0,5622.0,393.54,5622.0,71
CDM,477519,INSERT TIB KN SZ5 14MM,48401.0,48401.0,5324.11,48401.0,57
CDM,477529,BEARING HUM SHLDR 36MM,32250.0,32250.0,3547.5,32250.0,57
CDM,477541,SCREW BN 4.5X45MM DPHSL,1727.0,1727.0,189.97,1727.0,57
CDM,477557,PEG HI-COMP LCK 2.7X19MM,1747.0,1747.0,192.17,1747.0,57
CDM,477565,VALVE PULM MED 17-21MM,253012.0,253012.0,27831.32,253012.0,57
CDM,477580,SCREW BN LCK 5MM 30MM,3525.0,3525.0,387.75,3525.0,57
CDM,477588,SCREW BN LCKING 5X40MM,3525.0,3525.0,387.75,3525.0,57
CDM,477589,SCRWW BN LCK NS 5X42.5MM,3525.0,3525.0,387.75,3525.0,57
CDM,477590,SCREW BN 5MM 60MM,3525.0,3525.0,387.75,3525.0,57
CDM,477594,GWIRE BN DISP 1.6X220MM,1676.0,1676.0,117.32,1676.0,71
CDM,477619,SCREW BN NLCK 2.5X14MM,1480.0,1480.0,162.8,1480.0,57
CDM,477620,SCREW BN 2.5MM 20MM,3494.0,3494.0,384.34,3494.0,57
CDM,477621,SCREW BN LCK 2.5X22MM,3494.0,3494.0,384.34,3494.0,57
CDM,477623,IMPLANT BIPLR OD-28X52MM,11017.0,11017.0,1211.87,11017.0,57
CDM,477636,GRAFT VASC HEP 15CM 3MM,27907.0,27907.0,3069.77,27907.0,57
CDM,477637,BDY HUM SMR RVRVS TI LCK,62436.0,62436.0,6867.96,62436.0,57
CDM,477638,STEM FIN SHLDR DIA 16MM,21569.0,21569.0,2372.59,21569.0,57
CDM,477643,STEM EXT KN 175MM,23530.0,23530.0,2588.3,23530.0,57
CDM,477652,SCREW CORT S/T 3.5X16MM,864.0,864.0,95.04,864.0,57
CDM,477672,SCREW CORT S/T 3.5X20MM,750.0,750.0,82.5,750.0,57
CDM,477679,STENT VASC 7X20MM 120MM,19929.0,19929.0,2192.19,19929.0,57
CDM,477685,STENT VASC 8X20MM 120CM,19929.0,19929.0,2192.19,19929.0,57
CDM,477692,SCREW CORT S/T 3.5X24MM,864.0,864.0,95.04,864.0,57
CDM,477702,SCREW CORT S/T 3.5X26MM,864.0,864.0,95.04,864.0,57
CDM,477712,SCREW BNE 3.5X28 CORT,864.0,864.0,95.04,864.0,57
CDM,477722,SCREW BN 3.5MM 30MM,864.0,864.0,95.04,864.0,57
CDM,477728,NAIL BN 12MM 420MM,41676.0,41676.0,4584.36,41676.0,57
CDM,477732,SCREW CORT S/T 3.5X32MM,750.0,750.0,82.5,750.0,57
CDM,477734,LINER STD HIP 32-46,13468.0,13468.0,1481.48,13468.0,57
CDM,477735,HEAD CERAMIC 32 +0,18835.0,18835.0,2071.85,18835.0,57
CDM,477736,STEM STD HO HIP SIZE 4,46440.0,46440.0,5108.4,46440.0,57
CDM,477742,SCREW BN CORT 3.5X34MM,864.0,864.0,95.04,864.0,57
CDM,477748,STENT BILI PERC 10MM 8CM,57294.0,57294.0,6302.34,57294.0,57
CDM,477752,SCREW BN CORT 3.5X36MM,864.0,864.0,95.04,864.0,57
CDM,477757,NAIL BN FEM 9MM 340MM,29839.0,29839.0,3282.29,29839.0,57
CDM,477762,SCREW CORT S/T 3.5X38MM,750.0,750.0,82.5,750.0,57
CDM,477772,SCREW CORT S/T 3.5X40MM,864.0,864.0,95.04,864.0,57
CDM,477779,DEVICE BIOPSY 18GA 15CM,1987.0,1987.0,139.09,1987.0,71
CDM,477780,DEVICE BIOPSY 18GA 10CM,1987.0,1987.0,139.09,1987.0,71
CDM,477781,PUSHER CUTTER SUT KNOT,8390.0,8390.0,587.3,8390.0,71
CDM,477787,SPACER SHLDR HUM 13X20MM,63546.0,63546.0,6990.06,63546.0,57
CDM,477788,CAP BN LOCKING FLEX,8241.0,8241.0,906.51,8241.0,57
CDM,477792,SCREW CORT S/T 3.5X46MM,750.0,750.0,82.5,750.0,57
CDM,477802,SCREW BN CORT 3.5X50MM,864.0,864.0,95.04,864.0,57
CDM,477812,SCREW CORT S/T 3.5X55MM,750.0,750.0,82.5,750.0,57
CDM,477821,STEM EXT STR 13X140MM,11430.0,11430.0,1257.3,11430.0,57
CDM,477825,HEAD FEM TPR +0X28MM,9030.0,9030.0,993.3,9030.0,57
CDM,477840,PLATE BN NAR 6HL 2.4MM,16370.0,16370.0,1800.7,16370.0,57
CDM,477860,LINER ACTB HIP SZG 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,477900,I131 SOD IOD CAP TX MCI,387.07,387.07,27.09,387.07,48
CDM,477900,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",387.07,387.07,71.38,696.05,12
CDM,477907,MS PVT OVERFLOW,6647.47,6647.47,,,0
CDM,477972,SCREW CORT S/T 4.5X20MM,750.0,750.0,82.5,750.0,57
CDM,478080,CMPD BUPI/KETOR/KETM 50S,303.83,303.83,21.27,303.83,59
CDM,478083,DESMOPRESSIN 4 MCG INJ,10106.23,10106.23,707.44,10106.23,47
CDM,478084,DESMOPRESSIN 4 MCG INJ,666.94,666.94,46.69,666.94,47
CDM,478098,HYDROXYUREA 500 MG PO,3.2,3.2,0.22,3.2,46
CDM,478100,ENALAPRILAT 25MCG/ML INJ,0.5,0.5,0.04,0.5,59
CDM,478104,DEXAMETHASONE 6 MG PO,8.49,8.49,0.59,8.49,47
CDM,478116,AMPICIL/SULBAC 3 G INJ,114.98,114.98,8.05,114.98,47
CDM,478120,DAPAGLIFLOZIN 10 MG TAB,154.71,154.71,10.83,154.71,67
CDM,478163,"Injection, omadacycline, 1 mg ",2578.82,2578.82,4.01,34.98,17
CDM,478163,OMADACYCLINE 100 MG INJ,2578.82,2578.82,180.52,2578.82,42
CDM,478171,NIMODIPINE 30 MG/5 ML PO,315.82,315.82,22.11,315.82,67
CDM,478172,KETAMINE 50 MG INJ,1.94,1.94,0.14,1.94,67
CDM,478173,KETAMINE 100 MG INJ,8.96,8.96,0.63,8.96,67
CDM,478175,DOXAPRAM 20 MG INJ,213.29,213.29,14.93,213.29,67
CDM,478184,DEXMEDETOMID 400 MCG INJ,188.35,188.35,13.18,188.35,67
CDM,478185,DEXMEDETOMID 200 MCG INJ,19.77,19.77,1.38,19.77,67
CDM,478339,SCREW BN 4.5MM 120MM,864.0,864.0,95.04,864.0,57
CDM,478679,SCREW BN 6.5X130X32X3.5,750.0,750.0,82.5,750.0,57
CDM,479610,KWIRE FX 1.25MM 150MM,411.0,411.0,28.77,411.0,71
CDM,479620,KWIRE FX 150MM 1.6MM,384.0,384.0,26.88,384.0,71
CDM,479630,KWIRE TROC 2.0MM 150MM,1023.0,1023.0,71.61,1023.0,71
CDM,479650,PLATE BN 6H 90.5MM,7707.0,7707.0,847.77,7707.0,57
CDM,479670,PLATE BN HIP 10H 154.5MM,9433.0,9433.0,1037.63,9433.0,57
CDM,479711,PLATE BN 4H 58.5MM,8549.0,8549.0,940.39,8549.0,57
CDM,479811,PLATE BN 6H 90.5MM,8549.0,8549.0,940.39,8549.0,57
CDM,479891,PLATE BN 8HL 94.5MM,9864.0,9864.0,1085.04,9864.0,57
CDM,480104,SCREW BN 1.2X4MM SLF TAP,1505.0,1505.0,165.55,1505.0,57
CDM,480250,SCREW BN LV 1 2X8X6MM,21167.0,21167.0,2328.37,21167.0,57
CDM,480270,SCREW SPN 3.5MM 26MM,12655.0,12655.0,1392.05,12655.0,57
CDM,480271,ROD SPN 3.5MM 25MM,4556.0,4556.0,501.16,4556.0,57
CDM,480277,KIT BN HARVEST 520MM,39719.0,39719.0,2780.33,39719.0,71
CDM,480315,SYSTEM ANCHOR UCL 3.5MM,34627.0,34627.0,3808.97,34627.0,57
CDM,480328,BURR SURG MED TMJ DMD,7270.0,7270.0,508.9,7270.0,71
CDM,480334,LINER ACTB HIP SZC 32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,480342,PLATE BASE SHLDR GLENOID,50348.0,50348.0,5538.28,50348.0,57
CDM,480344,LINER ACTB HIP SZD 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,480349,CANN VNS RTN 18F 90D,1599.0,1599.0,111.93,1599.0,71
CDM,480350,CANN VNS RTN 22F 90D,1599.0,1599.0,111.93,1599.0,71
CDM,480351,CANN VNS RTN OPN TIP,1599.0,1599.0,111.93,1599.0,71
CDM,480357,MESH HRN 9X9CM,20001.0,20001.0,2200.11,20001.0,57
CDM,480376,STEM XTN HIP 15X120MM,74028.0,74028.0,8143.08,74028.0,57
CDM,480378,STEM FEM REVSN 16X120MM,81426.0,81426.0,8956.86,81426.0,57
CDM,480418,PLATE MNDB BN TI MIDFACE,66798.0,66798.0,7347.78,66798.0,57
CDM,480420,IMPLANT BN CRNL MDFC 76,143537.0,143537.0,15789.07,143537.0,57
CDM,480430,CAGE SPN 7D 7X15X12MM,20248.0,20248.0,2227.28,20248.0,57
CDM,480437,DRSNG WND CLLN 4X5IN,20713.0,20713.0,1449.91,20713.0,71
CDM,480445,PLATE T BN NAR 2.4MM,12783.0,12783.0,1406.13,12783.0,57
CDM,480451,SCREW BN LCK 2.7X10MM,2569.0,2569.0,282.59,2569.0,57
CDM,480453,BIT DRILL 5MM 215MM,9230.0,9230.0,646.1,9230.0,71
CDM,480463,CATH THRMB 8FR,76189.0,76189.0,5333.23,76189.0,71
CDM,480491,PERC PLEUR DRN W/ IMG,5208.01,5208.01,364.56,5208.01,64
CDM,480492,SARSCOV CORONAVIRU AG IA,71.85,71.85,5.03,71.85,57
CDM,480512,MRI WO&W CON&CAD BRST BI,11763.1,11763.1,823.42,11763.1,49
CDM,480512,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",11763.1,11763.1,369.18,1321.0,13
CDM,480514,MRI WO&W CON&CAD BRST RT,8413.52,8413.52,588.95,8413.52,49
CDM,480515,MRI WO&W CON&CAD BRST LT,8413.52,8413.52,588.95,8413.52,49
CDM,480516,DOXERCALCIFEROL 1 MCG,97.22,97.22,6.81,97.22,47
CDM,480516,"Injection, doxercalciferol, 1 mcg ",97.22,97.22,0.3,3.83,17
CDM,480528,AMLODIPINE 1 MG/1ML PO,23.68,23.68,1.66,23.68,67
CDM,480535,PROCEDURE LEVEL II,2173.59,2173.59,239.09,2173.59,64
CDM,480541,GRAFT VASC 15CMX4M,23263.0,23263.0,2558.93,23263.0,57
CDM,480542,GRAFT VASC HEP 15CM 5MM,27907.0,27907.0,3069.77,27907.0,57
CDM,480543,GRAFT VASC 10CM 3MM,2179.0,2179.0,239.69,2179.0,57
CDM,480545,STEM FEM HIP ACT SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,480584,BIT DRILL DISP 2.8MM 80M,4766.0,4766.0,333.62,4766.0,71
CDM,480603,SLEEVE FEM KN PRCT 30MM,52844.0,52844.0,5812.84,52844.0,57
CDM,480617,SCREW BN 6.5x30MM,1069.0,1069.0,117.59,1069.0,57
CDM,480648,LINER ACTB HIP SZE 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,480650,LINER ACTB HIP G7 C 32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,480651,LEAD NRSTM 35CM 10MM,93092.0,93092.0,10240.12,93092.0,57
CDM,480652,KIT TMPLT NRSTRM DRVR,9945.0,9945.0,696.15,9945.0,71
CDM,480653,CANNULA PRFSN 10FR 9IN,3027.0,3027.0,211.89,3027.0,71
CDM,480654,SCREW BN 4.5X30MM MESA 2,16452.0,16452.0,1809.72,16452.0,57
CDM,480656,SCREW SPN P-AX 4.5X35MM,16452.0,16452.0,1809.72,16452.0,57
CDM,480660,HOOK SPN TRNSV PRC MED,8859.0,8859.0,974.49,8859.0,57
CDM,480673,SEALER INSTRMNT 8MM,12005.0,12005.0,840.35,12005.0,71
CDM,480703,PLATE BN 6HL RT 36X3.5MM,22865.0,22865.0,2515.15,22865.0,57
CDM,480710,ROD SPN 5.5MM 495MM,32903.0,32903.0,3619.33,32903.0,57
CDM,480718,NEEDLE BIOPSY 11GA 6IN,3186.0,3186.0,223.02,3186.0,71
CDM,480751,LINER ACTB HIP SZ-E 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,480774,SCREW SPNL 3.5MM 14MM,12655.0,12655.0,1392.05,12655.0,57
CDM,480780,INSERT KN R/HNG XSM 12MM,84987.0,84987.0,9348.57,84987.0,57
CDM,480799,SET TIB ANK SCREW SML,26102.0,26102.0,2871.22,26102.0,57
CDM,480802,INSERT TIB KN 20MM,32766.0,32766.0,3604.26,32766.0,57
CDM,480839,PLATE BN LT 5H,20550.0,20550.0,2260.5,20550.0,57
CDM,480840,PLATE BN STR 2CBL/NDL 4H,13772.0,13772.0,1514.92,13772.0,57
CDM,480868,PUMP EZ 100ML/2HR,672.0,672.0,47.04,672.0,71
CDM,480873,WEDGE BN 18X18X8MM,34865.0,34865.0,3835.15,34865.0,57
CDM,480880,DRILL BIT 3.2MM,5623.0,5623.0,393.61,5623.0,71
CDM,480914,STEM-TI SHLDR 11MM,64501.0,64501.0,7095.11,64501.0,57
CDM,480918,SEAL CAP RETRACTOR 9.5CM,13256.0,13256.0,927.92,13256.0,71
CDM,480919,SCREW BN 3.5MM 28MM,12002.0,12002.0,1320.22,12002.0,57
CDM,480941,IMPLANT COCH STRT ELCTRD,331250.0,331250.0,36437.5,331250.0,52
CDM,480942,WRENCH TRQ ACC 4IN,2062.0,2062.0,144.34,2062.0,71
CDM,480943,COMPNT FEM N-POR LT SZ4,38700.0,38700.0,4257.0,38700.0,57
CDM,480950,ALGRFT DBM PUTTY 2.5CC,11554.0,11554.0,1270.94,11554.0,57
CDM,480960,ACTB LINER 55MM 28MM,14190.0,14190.0,1560.9,14190.0,57
CDM,480961,LINER ACTB HIP SZG 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,480967,LINER ACTB HIP SZC 28X38,19350.0,19350.0,2128.5,19350.0,57
CDM,480981,SCREW BN LCK 5MM 47MM,2466.0,2466.0,271.26,2466.0,57
CDM,480989,SCREW BN 3.5MM 24MM,3515.0,3515.0,386.65,3515.0,57
CDM,480999,INSERT TIB KN SZ4 6MM,48401.0,48401.0,5324.11,48401.0,57
CDM,481030,MESH PERM CIRC 12X12CM,35564.0,35564.0,3912.04,35564.0,57
CDM,481037,STEM KN MED,47730.0,47730.0,5250.3,47730.0,57
CDM,481047,SCREW BN 3.5MM 34MM,1747.0,1747.0,192.17,1747.0,57
CDM,481048,SCREW BN 3.5MM 38MM,1747.0,1747.0,192.17,1747.0,57
CDM,481049,SCREW BN 3.5MM 40MM,1747.0,1747.0,192.17,1747.0,57
CDM,481052,SCREW BN VAR 3.5MM 50MM,1747.0,1747.0,192.17,1747.0,57
CDM,481053,SCREW BN VAR 3.5MM 55MM,1747.0,1747.0,192.17,1747.0,57
CDM,481058,COMP AUG SHLDR 25D LG,64500.0,64500.0,7095.0,64500.0,57
CDM,481065,STEM SGMNTL 13MMX120MM,72901.0,72901.0,8019.11,72901.0,57
CDM,481067,TAP 4.5MM,1906.0,1906.0,133.42,1906.0,71
CDM,481068,TAP 5.5MM,1906.0,1906.0,133.42,1906.0,71
CDM,481069,TAP 3.5MM,1906.0,1906.0,133.42,1906.0,71
CDM,481072,HEAD FEM HIP ACTB 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,481074,SCREW BN 6.5MM 180MM,3959.0,3959.0,435.49,3959.0,57
CDM,481084,CATH DRN 16FR 16IN RT,397.0,397.0,27.79,397.0,71
CDM,481089,STEM SGMNTL 11MMX152MM,73475.0,73475.0,8082.25,73475.0,57
CDM,481097,PLATE CRNF LT L 10MM,2980.0,2980.0,327.8,2980.0,57
CDM,481098,PLATE CRNF LT L 4H 10MM,2980.0,2980.0,327.8,2980.0,57
CDM,481099,PLATE CRNF RT L 4H 12MM,2980.0,2980.0,327.8,2980.0,57
CDM,481102,PLATE CRNF LT L 4H 12MM,2980.0,2980.0,327.8,2980.0,57
CDM,481121,REAMER HEAD STRL 10MM,11433.0,11433.0,800.31,11433.0,71
CDM,481122,REAMER HEAD STRL 11.5MM,11433.0,11433.0,800.31,11433.0,71
CDM,481124,KIT BN HARVST STR 520MM,33406.0,33406.0,2338.42,33406.0,71
CDM,481125,PLATE PERI CLCNL LFT SM,48046.0,48046.0,5285.06,48046.0,57
CDM,481128,SCREW BN 2.5MM 20MM,7441.0,7441.0,818.51,7441.0,57
CDM,481136,CANNULA PRFSN 8FR,9230.0,9230.0,646.1,9230.0,71
CDM,481137,FORCEP GRASP 4.5MM 180CM,3139.0,3139.0,219.73,3139.0,71
CDM,481143,DRILL SURG 2.7MM 50MM,1599.0,1599.0,111.93,1599.0,71
CDM,481144,WASHER BN HIP SZ3 7MM,750.0,750.0,82.5,750.0,57
CDM,481149,INSERT TIB KN SZ5 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,481154,SCREW BN 2.0MM 12MM,864.0,864.0,95.04,864.0,57
CDM,481155,SCREW BN 10MM 2MM,2569.0,2569.0,282.59,2569.0,57
CDM,481157,SCREW BN 2.0X12MM,2569.0,2569.0,282.59,2569.0,57
CDM,481186,VALVE SHNT STR 100MM,22508.0,22508.0,2475.88,22508.0,57
CDM,481200,SCREW BN 2.5MM 22MM,8101.0,8101.0,891.11,8101.0,57
CDM,481208,GRAFT TENDON 5MM 230MM,10231.0,10231.0,1125.41,10231.0,57
CDM,481209,SCREW BN 5.0MM 85MM,3412.0,3412.0,375.32,3412.0,57
CDM,481210,SCREW BN 5.0MM 90MM,3412.0,3412.0,375.32,3412.0,57
CDM,481215,SCREW BN 5MM 48MM,3084.0,3084.0,339.24,3084.0,57
CDM,481234,SCREW BN 3.5MM 70MM,3063.0,3063.0,336.93,3063.0,57
CDM,481297,LEAD PCNG 6FR 58CM,9143.0,9143.0,1005.73,9143.0,57
CDM,481300,LINER SHLDR 40MM,19737.0,19737.0,2171.07,19737.0,57
CDM,481371,SHEATH CLOTREM 16FR,19884.0,19884.0,1391.88,19884.0,71
CDM,481395,SET TUBING INSUFFLATION,1918.0,1918.0,134.26,1918.0,71
CDM,481398,KIT IMPL NEUROSTIM,275190.0,275190.0,30270.9,275190.0,57
CDM,481404,INSERT SHLDR 7.5D 36MM,12900.0,12900.0,1419.0,12900.0,57
CDM,481406,IMPLANT BREAST 340ML,20550.0,20550.0,2260.5,20550.0,57
CDM,481422,NAIL BN FEM 14MM 380MM,29864.0,29864.0,3285.04,29864.0,57
CDM,481424,INSERT XLPE HIP 28/42MM,14190.0,14190.0,1560.9,14190.0,57
CDM,481425,LINER ACTB HIP 42/54MM,25800.0,25800.0,2838.0,25800.0,57
CDM,481435,SCREW BN 5.0MM 37.5MM,2775.0,2775.0,305.25,2775.0,57
CDM,481436,SCREW BN 5.0MM 40MM,2775.0,2775.0,305.25,2775.0,57
CDM,481440,GUIDEWIRE 3.0X1000MM,5622.0,5622.0,393.54,5622.0,71
CDM,481441,KWIRE THD 3.2 X 450 MM,2999.0,2999.0,209.93,2999.0,71
CDM,481444,CMPNT FEM HIP 28MM 50MM,11017.0,11017.0,1211.87,11017.0,57
CDM,481445,CANN PRFSN PED .25X9X14,2263.0,2263.0,158.41,2263.0,71
CDM,481474,CATH THRMB 12FR 115CM,110854.0,110854.0,7759.78,110854.0,71
CDM,481533,NAIL BN 10MM 13MM 28CM,41846.0,41846.0,4603.06,41846.0,57
CDM,481534,GWIRE ORTH 2.4MM 100CM,5623.0,5623.0,393.61,5623.0,71
CDM,481535,SCREW BN 6MM 60MM,3928.0,3928.0,432.08,3928.0,57
CDM,481536,SCREW BN 3MM 18MM,8101.0,8101.0,891.11,8101.0,57
CDM,481539,KIT GUIDE CSTM ORTHG IPS,14593.0,14593.0,1021.51,14593.0,71
CDM,481540,PLATE MNDB BN CUSTOM,38649.0,38649.0,4251.39,38649.0,57
CDM,481541,SPLINT IPS SUPPLEMENTAL,6957.0,6957.0,486.99,6957.0,71
CDM,481543,SCREW BN 3.5MM 16MM,3525.0,3525.0,387.75,3525.0,57
CDM,481544,BIT DRILL 2.8MM 115MM,5623.0,5623.0,393.61,5623.0,71
CDM,481545,PLATE DVR 4H RT PICCOLO,26469.0,26469.0,2911.59,26469.0,57
CDM,481546,SCREW BN 3.5MM 14MM,3525.0,3525.0,387.75,3525.0,57
CDM,481548,DRILL BIT PLT 3.0X115MM,4513.0,4513.0,315.91,4513.0,71
CDM,481552,INSERT TIB KN SZ5 8MM,48401.0,48401.0,5324.11,48401.0,57
CDM,481553,FIBER LASER 800UM,14913.0,14913.0,1043.91,14913.0,71
CDM,481554,IMPLANT CSTM PCTS BAR,74184.0,74184.0,5192.88,74184.0,71
CDM,481555,COIL EMBL 60CM 12X14MM,39544.0,39544.0,4349.84,39544.0,57
CDM,481556,FIBER LASER 200UM,9903.0,9903.0,693.21,9903.0,71
CDM,481559,FIBER LASER 365UM,7781.0,7781.0,544.67,7781.0,71
CDM,481560,FIBER LASER 550UM,10610.0,10610.0,742.7,10610.0,71
CDM,481564,GWIRE BN DISP 1.1X150MM,2429.0,2429.0,170.03,2429.0,71
CDM,481610,SCREW BN 5.0MM 40MM,3412.0,3412.0,375.32,3412.0,57
CDM,481611,SCREW BN 5.0MM 65MM,3084.0,3084.0,339.24,3084.0,57
CDM,481612,SCREW BN S/TP 5MM 70MM,3412.0,3412.0,375.32,3412.0,57
CDM,481613,SCREW BN 5.0MM 80MM,3412.0,3412.0,375.32,3412.0,57
CDM,481675,SCREW CANN P-AX 6.5X35MM,16452.0,16452.0,1809.72,16452.0,57
CDM,481689,PLATE BN MXLFCL 6HL 16X6,2238.0,2238.0,246.18,2238.0,57
CDM,481730,SCREW BN 5.0MM 36MM,3084.0,3084.0,339.24,3084.0,57
CDM,481735,SCREW BN 5.0MM 75MM,3412.0,3412.0,375.32,3412.0,57
CDM,481744,HEAD CRMC 12/14 3.5 36MM,16267.0,16267.0,1789.37,16267.0,57
CDM,481745,INSERT TIB KN 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,481746,INSERT TIB SZ6 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,481748,CANNULA PRFSN 12FR 9IN,2093.0,2093.0,146.51,2093.0,71
CDM,481754,SCREW BN 2.5MM 22MM,1871.0,1871.0,205.81,1871.0,57
CDM,481758,INSERT TIB KN SZ6 18MM,48401.0,48401.0,5324.11,48401.0,57
CDM,481781,STEM SEG 16X152MM,73475.0,73475.0,8082.25,73475.0,57
CDM,481793,COMPONENT TIB ELEOS HNG,58644.0,58644.0,6450.84,58644.0,57
CDM,481808,TRUNODE GAMA PROBE,6836.0,6836.0,478.52,6836.0,71
CDM,481838,STENT URET 6FR 26CM,3888.0,3888.0,427.68,3888.0,57
CDM,481839,SCREW BN LCK 5X60MM,2466.0,2466.0,271.26,2466.0,57
CDM,481851,INSERT KN BRNG SZ2 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,481872,NAIL ANKL RT 12MM 30CM,38020.0,38020.0,4182.2,38020.0,57
CDM,481878,BEARING TIB KN 10MM 67MM,19350.0,19350.0,2128.5,19350.0,57
CDM,481879,PLATE BN IPS CSTM 6AL-4V,38649.0,38649.0,4251.39,38649.0,57
CDM,481880,ANTENNA THRMO ABL 15CM,59051.0,59051.0,4133.57,59051.0,71
CDM,481881,LINER ACTB HIP 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,481882,INSERT TIB KN SZ7 8MM,48401.0,48401.0,5324.11,48401.0,57
CDM,481883,XLINK SPN MED 30-40MM,10124.0,10124.0,1113.64,10124.0,57
CDM,481884,FLEX ALLOPATCH HD 1SQCM,486.0,486.0,34.02,486.0,53
CDM,481922,SPACER HUM SHLDR 11X30MM,63546.0,63546.0,6990.06,63546.0,57
CDM,481925,STEM FEM HIP SZ4,49020.0,49020.0,5392.2,49020.0,57
CDM,481940,KIT ACCESS HIP DISP,7636.0,7636.0,534.52,7636.0,71
CDM,481955,SCREW BN LCK 5X65MM,4647.0,4647.0,511.17,4647.0,57
CDM,481956,SCREW BN 5MM 50MM,4768.0,4768.0,524.48,4768.0,57
CDM,481958,SCREW BN 5.0MM 32.5MM,4768.0,4768.0,524.48,4768.0,57
CDM,481960,NAIL 10D 12.5MM 21.5CM,214955.0,214955.0,23645.05,214955.0,57
CDM,481961,DRILL BIT 3.5X152MM,5623.0,5623.0,393.61,5623.0,71
CDM,481962,BIT DRILL 11MM,9813.0,9813.0,686.91,9813.0,71
CDM,481964,BIT DRILL LONG 4.3 DISP,5623.0,5623.0,393.61,5623.0,71
CDM,481974,BIT DRILL 4MM 152MM,5623.0,5623.0,393.61,5623.0,71
CDM,481979,GWIRE BALL NSD 3X900MM,8573.0,8573.0,600.11,8573.0,71
CDM,481990,IMPLANT BREAST 380CC,16646.0,16646.0,1831.06,16646.0,57
CDM,481992,LINER HIP 28D 46MM SZG,19350.0,19350.0,2128.5,19350.0,57
CDM,481996,GDWIRE VASC 185CM,11433.0,11433.0,800.31,11433.0,71
CDM,482007,STAPLER CRVD TIP 45MM,11433.0,11433.0,800.31,11433.0,71
CDM,482033,HEAD HIP FEM 0D M 40MM,16770.0,16770.0,1844.7,16770.0,57
CDM,482052,BEARING HUM SHLDR 36MM,37410.0,37410.0,4115.1,37410.0,57
CDM,482055,GRAFT VASC THIN 90CM 5MM,63130.0,63130.0,6944.3,63130.0,57
CDM,482056,LNR ACTB HIP SZF 28X44MM,19350.0,19350.0,2128.5,19350.0,57
CDM,482057,INSRT TIB3 30MM KN UHMWP,36491.0,36491.0,4014.01,36491.0,57
CDM,482058,PLATE BN LT 0MM 1.6X22MM,5081.0,5081.0,558.91,5081.0,57
CDM,482059,PLATE BN RT 0MM 1.6X22MM,5081.0,5081.0,558.91,5081.0,57
CDM,482077,PLATE BN 6HL 1.1MM,9762.0,9762.0,1073.82,9762.0,57
CDM,482085,INSERT TIB KN SZ5 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,482095,PROCEDURE LEVEL III,2807.43,2807.43,308.82,2807.43,64
CDM,482107,ABL TUMOR / LESION,1977.52,1977.52,138.43,1977.52,64
CDM,482334,PLATE BN 4HL,173522.0,173522.0,19087.42,173522.0,57
CDM,482335,BIT DRILL DNT 1.5X29.2MM,4885.0,4885.0,341.95,4885.0,71
CDM,482336,SCREW BN 1.9MM 7MM,1568.0,1568.0,172.48,1568.0,57
CDM,482338,SCREW BN SLFDRL 1.7X6MM,1591.0,1591.0,175.01,1591.0,57
CDM,482339,SHELL ACTB HIP 9HL 48MM,54858.0,54858.0,6034.38,54858.0,57
CDM,482348,TIBIA SEG LT 135D 98MM,114549.0,114549.0,12600.39,114549.0,57
CDM,482354,CATH MICRO .021IN 162CM,16752.0,16752.0,1172.64,16752.0,71
CDM,482383,LINER ACTB 28MM 49MM,14190.0,14190.0,1560.9,14190.0,57
CDM,482394,TOOL DSCT 10CM 2.2MM,3464.0,3464.0,242.48,3464.0,71
CDM,482439,PLATE LVL1 RT 1.5M,9178.0,9178.0,1009.58,9178.0,57
CDM,482440,PRSTH MDBLR LT 7X29X59MM,13443.0,13443.0,1478.73,13443.0,57
CDM,482441,TISSUE SYN 60X40X4MM,9748.0,9748.0,1072.28,9748.0,57
CDM,482443,MESH SURG PRTNL 16X20CM,90700.0,90700.0,9977.0,90700.0,57
CDM,482461,SCREW BN 3.5MMX26MM,4624.0,4624.0,508.64,4624.0,57
CDM,482462,SCREW BN 3.5MM 36MM,1028.0,1028.0,113.08,1028.0,57
CDM,482463,SCREW BN 3.5MMX28MM,4624.0,4624.0,508.64,4624.0,57
CDM,482465,SCREW BN 4.0MMX40MM,4624.0,4624.0,508.64,4624.0,57
CDM,482466,SCREW BN 4.0MMX36MM,4624.0,4624.0,508.64,4624.0,57
CDM,482496,STENT URET 6FR 22CM,3888.0,3888.0,427.68,3888.0,57
CDM,482499,STENT URET 6FR 28CM,3888.0,3888.0,427.68,3888.0,57
CDM,482501,PLATE BN R 6H 114MM,19852.0,19852.0,2183.72,19852.0,57
CDM,482511,INSERT TIB KN SZ2 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,482514,LINER ACTB HIP 36MM 54MM,14190.0,14190.0,1560.9,14190.0,57
CDM,482516,REAMER HEAD STRL 12.5MM,11433.0,11433.0,800.31,11433.0,71
CDM,482520,SCREW BN 5.0MM 30MM,3412.0,3412.0,375.32,3412.0,57
CDM,482521,SCREW BN 5.0MM 32MM,3084.0,3084.0,339.24,3084.0,57
CDM,482522,SCREW BN 5.0MM 34MM,3084.0,3084.0,339.24,3084.0,57
CDM,482523,SCREW BN 5.0MM 38MM,3412.0,3412.0,375.32,3412.0,57
CDM,482550,SYSTEM BLNDIL TUBE EUST,27778.0,27778.0,1944.46,27778.0,71
CDM,482553,KIT LEAD PERC EXT 4.32MM,3992.0,3992.0,439.12,3992.0,57
CDM,482554,KIT NRSTM PT PROGRAMMER,24193.0,24193.0,1693.51,24193.0,71
CDM,482559,STEM FEM 150MM 21MM TPR,45467.0,45467.0,5001.37,45467.0,57
CDM,482565,SCREW BN 4MM 36MM,7925.0,7925.0,871.75,7925.0,57
CDM,482568,SCREW BN XL 7X70MM,20407.0,20407.0,2244.77,20407.0,57
CDM,482573,DRILL TIP GWIRE 3X320MM,5623.0,5623.0,393.61,5623.0,71
CDM,482575,KWIRE FX 2.0MM 200MM,1599.0,1599.0,111.93,1599.0,71
CDM,482576,KWIRE FX 2.3MM 300MM,1599.0,1599.0,111.93,1599.0,71
CDM,482579,STENT URET 6FR 24CM,3888.0,3888.0,427.68,3888.0,57
CDM,482583,STEM HUM SHLDR 11MM 90MM,64501.0,64501.0,7095.11,64501.0,57
CDM,482589,DRILL TROCAR TP 3.8X250,7944.0,7944.0,556.08,7944.0,71
CDM,482590,DRILL SQ CONN 4.6X300MM,11517.0,11517.0,806.19,11517.0,71
CDM,482592,SCREW BN 5.0MM 20MM,3084.0,3084.0,339.24,3084.0,57
CDM,482625,CANNULA PRFSN 12FR 9IN,6360.0,6360.0,445.2,6360.0,71
CDM,482631,BASEPLATE GLND SHLDR SM,27743.0,27743.0,3051.73,27743.0,57
CDM,482632,GLENOSPHERE SHLDR 40MM,32895.0,32895.0,3618.45,32895.0,57
CDM,482633,LINER HUM 0MM OFST 40MM,20640.0,20640.0,2270.4,20640.0,57
CDM,482695,AUG ACTB HIP 18X62MM,24405.0,24405.0,2684.55,24405.0,57
CDM,482722,SCREW BN 3.5MM 30MM,750.0,750.0,82.5,750.0,57
CDM,482724,GWIRE ENDO 210CM,1874.0,1874.0,131.18,1874.0,71
CDM,482729,FORCEPS DISP 9IN 0.5MM,8852.0,8852.0,619.64,8852.0,71
CDM,482730,FORCEPS DISP 8IN 1MM,8852.0,8852.0,619.64,8852.0,71
CDM,482731,IMPL HIP STPL AUGM 12X62,19439.0,19439.0,2138.29,19439.0,57
CDM,482739,INSERT TIB 6 12MM,39732.0,39732.0,4370.52,39732.0,57
CDM,482750,SCREW BN CANC 4X36MM,4624.0,4624.0,508.64,4624.0,57
CDM,482751,SCREW BN CANC 4X38MM,4624.0,4624.0,508.64,4624.0,57
CDM,482754,ENDCAP SPN PRLL 15X13MM,5991.0,5991.0,659.01,5991.0,57
CDM,482759,CMPNT STEM KN EXT 100MM,23530.0,23530.0,2588.3,23530.0,57
CDM,482760,CMPNT TIB KN STEMMED SM,47730.0,47730.0,5250.3,47730.0,57
CDM,482761,COMPNT STEM FEM SMALL,47730.0,47730.0,5250.3,47730.0,57
CDM,482781,DEVICE TISS RMVL DISP,15633.0,15633.0,1094.31,15633.0,71
CDM,482788,APPLICATOR HEMO LAP,1599.0,1599.0,111.93,1599.0,71
CDM,482810,SCREW BN 4MM 60MM,2762.0,2762.0,303.82,2762.0,57
CDM,482817,STAPLE BN ISTR 15X15MM,73261.0,73261.0,8058.71,73261.0,57
CDM,482833,INSERT TIB KN SZ5 11MM,39245.0,39245.0,4316.95,39245.0,57
CDM,482842,COMPNT ANK TIB STD SZ2,152520.0,152520.0,16777.2,152520.0,57
CDM,482844,COMPNT DOME ANK SZ1,251604.0,251604.0,27676.44,251604.0,57
CDM,482862,LINER ACTB HI SZB 32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,482874,PLATE BN 4HL 1MM,2908.0,2908.0,319.88,2908.0,57
CDM,482894,INSERT TIB TAB+ KN 3 9MM,39245.0,39245.0,4316.95,39245.0,57
CDM,482926,STEM EXT MIDSECTN 140MM,34211.0,34211.0,3763.21,34211.0,57
CDM,482943,HEAD FEM HIP MD RMD 60MM,42570.0,42570.0,4682.7,42570.0,57
CDM,482945,MNPLT SURG CUP 4.0CM,2643.0,2643.0,185.01,2643.0,71
CDM,483108,PLATE BN T CMPR 4HL,22544.0,22544.0,2479.84,22544.0,57
CDM,483109,SCREW BN 2.7MM 28MM,2713.0,2713.0,298.43,2713.0,57
CDM,483115,SCREW BN LCK 2.5X16MM,2713.0,2713.0,298.43,2713.0,57
CDM,483116,SET CATH NDL GD 16FR,11433.0,11433.0,800.31,11433.0,71
CDM,483119,SCREW BN 5.0MM 16MM,4874.0,4874.0,536.14,4874.0,57
CDM,483121,CANNULA PERFSN 10FR 7.5I,5623.0,5623.0,393.61,5623.0,71
CDM,483135,MESH HRN LG 10X16CM,8597.0,8597.0,945.67,8597.0,57
CDM,483136,SUTURE SS 6X18IN,5623.0,5623.0,393.61,5623.0,71
CDM,483152,PLATE BN 5HL LEFT,9762.0,9762.0,1073.82,9762.0,57
CDM,483154,SCREW BN CANN 5X80MM,4619.0,4619.0,508.09,4619.0,57
CDM,483158,INSERT TIB KN SZ8 10MM,48401.0,48401.0,5324.11,48401.0,57
CDM,483196,SCREW BN 2.0MM 28MM,7441.0,7441.0,818.51,7441.0,57
CDM,483202,COIL EMBL 9CM 6MM,30262.0,30262.0,3328.82,30262.0,57
CDM,483206,STAPLE LN REFRCMNT 60MM,4213.0,4213.0,463.43,4213.0,57
CDM,483216,INSERT TIB KN SZ4 24MM,48401.0,48401.0,5324.11,48401.0,57
CDM,483228,IMP COCH ULTRA MID-SC,226515.0,226515.0,24916.65,226515.0,52
CDM,483244,SCREW BN 12MM 2.7MM,866.0,866.0,95.26,866.0,57
CDM,483245,INSERT TIB KN SM 12MM,84987.0,84987.0,9348.57,84987.0,57
CDM,483251,MESH HRN LG 10X16CM,8597.0,8597.0,945.67,8597.0,57
CDM,483252,SCREW SPN 4.5MM 18MM,1899.0,1899.0,208.89,1899.0,57
CDM,483258,CATH THRMB 10FR 100CM,110854.0,110854.0,7759.78,110854.0,71
CDM,483259,CMPNT TIB KN LT SZD,59211.0,59211.0,6513.21,59211.0,57
CDM,483261,SCREW SPNMESA2 620-07545,13921.0,13921.0,1531.31,13921.0,57
CDM,483273,KIT SURG JOINT IMPL,9144.0,9144.0,640.08,9144.0,71
CDM,483274,TRAY TIBIAL KN CR CMNT,30935.0,30935.0,3402.85,30935.0,57
CDM,483275,CMPNT FEM KN COCR CMNT,38700.0,38700.0,4257.0,38700.0,57
CDM,483279,STEM TIB EXT TI 12X20MM,6450.0,6450.0,709.5,6450.0,57
CDM,483414,INSERT TIB 5 11MM KN BRN,24510.0,24510.0,2696.1,24510.0,57
CDM,483416,NAIL BN 10MM 300MM,26859.0,26859.0,2954.49,26859.0,57
CDM,483436,PATELLA VIT E SZ1 27X8MM,6115.0,6115.0,672.65,6115.0,57
CDM,483438,BASEPLT TIB LT CMNT SZ3,24510.0,24510.0,2696.1,24510.0,57
CDM,483439,CMPNT FEM LT CMNT SZ3,36636.0,36636.0,4029.96,36636.0,57
CDM,483440,INSERT TIBIA LEFT 10MM,13468.0,13468.0,1481.48,13468.0,57
CDM,483444,PATELLA VIT E SZ3 34X9MM,6115.0,6115.0,672.65,6115.0,57
CDM,483448,BASEPLATE TIB LT SZ5,24510.0,24510.0,2696.1,24510.0,57
CDM,483449,CMPNT FEM LT CMNT SZ5,36636.0,36636.0,4029.96,36636.0,57
CDM,483479,TOOL DSCT 7.5CM 1MM,3748.0,3748.0,262.36,3748.0,71
CDM,483480,TOOL DSCT 7.5CM 4MM,3748.0,3748.0,262.36,3748.0,71
CDM,483481,BUR BALL SNG 7.5CM 1.5MM,3599.0,3599.0,251.93,3599.0,71
CDM,483482,TOOL DSCT 7.5CM 5MM,4468.0,4468.0,312.76,4468.0,71
CDM,483483,PASSER SUTURE STD,8001.0,8001.0,560.07,8001.0,71
CDM,483491,BODY PROX SHLDR 17MM,91333.0,91333.0,10046.63,91333.0,57
CDM,483492,INSERT TIB KN SZ5 20MM,48401.0,48401.0,5324.11,48401.0,57
CDM,483493,SPACER SHLDR 17MM 20MM,63546.0,63546.0,6990.06,63546.0,57
CDM,483495,STEM HUM SHLDR 13X30MM,63546.0,63546.0,6990.06,63546.0,57
CDM,483515,NAIL SCREW 5X34MM,8981.0,8981.0,987.91,8981.0,57
CDM,483533,BURR ORTHO 3MM 20MM,7819.0,7819.0,547.33,7819.0,71
CDM,483571,CATH THRMB 150CM,29412.0,29412.0,2058.84,29412.0,71
CDM,483580,MESH HRN PP 16CMX20CM,94695.0,94695.0,10416.45,94695.0,57
CDM,483607,STAPLE BN 22X15MM,85468.0,85468.0,9401.48,85468.0,57
CDM,483608,STAPLE BN 25WX20L,85468.0,85468.0,9401.48,85468.0,57
CDM,483612,KIT LIPO FAT GRAFT,7430.0,7430.0,520.1,7430.0,71
CDM,483624,MESH HRN PLGLY 20X20IN,105927.0,105927.0,11651.97,105927.0,57
CDM,483649,BLN URE URMX 6-4X6X75,5623.0,5623.0,393.61,5623.0,71
CDM,483674,ELECTRODE LAP 28CM,1167.0,1167.0,81.69,1167.0,71
CDM,483683,SCREW BN LCK 5.5MM 20MM,1654.0,1654.0,181.94,1654.0,57
CDM,483688,KIT CATH CANN PRFSN,165678.0,165678.0,11597.46,165678.0,71
CDM,483697,LINER ACTB HIP 28X50MM,19350.0,19350.0,2128.5,19350.0,57
CDM,483700,STEM ULN ELB RT SZ5 115M,98869.0,98869.0,10875.59,98869.0,57
CDM,483709,BLN URE URMX 6-10X6X75,5623.0,5623.0,393.61,5623.0,71
CDM,483729,BSKT RTRV 3FR 16MM 120CM,5512.0,5512.0,385.84,5512.0,71
CDM,483739,BSKT RTRV 3FR 16MM 90CM,5623.0,5623.0,393.61,5623.0,71
CDM,483743,PLATE BN LT 7HL 126MM,25929.0,25929.0,2852.19,25929.0,57
CDM,483744,SCREW BN 2.5MM 18MM,3165.0,3165.0,348.15,3165.0,57
CDM,483759,BSKT RTR 2.4F 16MM 120CM,5402.0,5402.0,378.14,5402.0,71
CDM,483778,GLNSPH SHLDR 42MM,26715.0,26715.0,2938.65,26715.0,57
CDM,483785,PIN BN FIX SM,5715.0,5715.0,400.05,5715.0,71
CDM,483799,BSKT RTRV 4.5F 20MM 90CM,5623.0,5623.0,393.61,5623.0,71
CDM,483819,BSKT RTR 2.4F 12MM 90CM,5623.0,5623.0,393.61,5623.0,71
CDM,483822,TRIATHON TRITANIUM ASYM,64501.0,64501.0,7095.11,64501.0,57
CDM,483823,INSERT TIB KN SZ4 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,483824,INS TIB KN SZ5 16MM,39732.0,39732.0,4370.52,39732.0,57
CDM,483845,SCREW BN 2.7MM 28MM,2569.0,2569.0,282.59,2569.0,57
CDM,483850,SCREW BN 2.7MM L55MM,864.0,864.0,95.04,864.0,57
CDM,483870,STAPLE BN 20WX20L,73261.0,73261.0,8058.71,73261.0,57
CDM,483900,SCREW SPN 3.5MM 18MM,12655.0,12655.0,1392.05,12655.0,57
CDM,483901,SCREW SPN 4PLY 5X24MM,12655.0,12655.0,1392.05,12655.0,57
CDM,483902,CMPNT PTLR KN 8X27MM,9804.0,9804.0,1078.44,9804.0,57
CDM,483903,INSERT TIB KN SZ1 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,483909,SUTURE PP CP SZ 0 36IN,1993.0,1993.0,139.51,1993.0,71
CDM,483921,COMPNT PTLR 11X39MM,9804.0,9804.0,1078.44,9804.0,57
CDM,483930,KIT INTRO 6FR 20CM,2024.0,2024.0,141.68,2024.0,71
CDM,483933,SYSTEM URETHRAL BULKING,42128.0,42128.0,4634.08,42128.0,52
CDM,483952,PEG FX STRL LF,2477.0,2477.0,272.47,2477.0,57
CDM,483953,INSERT TIB 4 10MM KN,14190.0,14190.0,1560.9,14190.0,57
CDM,483954,SCREW BN SLFTP 1.7X12MM,1396.0,1396.0,153.56,1396.0,57
CDM,483955,STENT TRCHBR 12X30X4MM,60623.0,60623.0,6668.53,60623.0,57
CDM,483960,INSTRMNT KIT HIP CLSD TP,14218.0,14218.0,995.26,14218.0,71
CDM,483961,NEEDLE DEL 8G 23CM,9807.0,9807.0,686.49,9807.0,71
CDM,483963,COMPONENT FEM KN RT # 4,38804.0,38804.0,4268.44,38804.0,57
CDM,483967,MESH HRN MED LT 8X14CM,8112.0,8112.0,892.32,8112.0,57
CDM,483968,KIT DBM 5.0CC,39350.0,39350.0,4328.5,39350.0,57
CDM,484005,LINER TIB RT #3 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,484006,COMPONENT FEM KN RT #4,41280.0,41280.0,4540.8,41280.0,57
CDM,484012,SUTURE BLU/BLK 39IN SZ 2,1599.0,1599.0,111.93,1599.0,71
CDM,484023,SCREW BN 2.4MM L6MM,2569.0,2569.0,282.59,2569.0,57
CDM,484025,SCREW BN 2.4MM 40MM,864.0,864.0,95.04,864.0,57
CDM,484047,PLATE ORT TIB #3 CMTD,25671.0,25671.0,2823.81,25671.0,57
CDM,484049,CATH THRMB 12FR 100MM,110854.0,110854.0,7759.78,110854.0,71
CDM,484064,KIT GD SURG FEM CSTM,11433.0,11433.0,800.31,11433.0,71
CDM,484065,GUIDEROD SUT LOOP 8MM,8433.0,8433.0,590.31,8433.0,71
CDM,484085,COUNTERSINK 4.5/5.5MM,10126.0,10126.0,708.82,10126.0,71
CDM,484100,CUFF URTH SPHNCR AB 11CM,119975.0,119975.0,13197.25,119975.0,57
CDM,484101,BASEPLATE GLND RVS SML,64501.0,64501.0,7095.11,64501.0,57
CDM,484103,STEM HUM SHLDR SZ11,75473.0,75473.0,8302.03,75473.0,57
CDM,484105,CUFF URTH SPNCR 11CM,132410.0,132410.0,14565.1,132410.0,57
CDM,484131,STENT EPRSTH 9MM 5CM,64547.0,64547.0,7100.17,64547.0,57
CDM,484137,IPG NRSTM 17MM 47MM,211962.0,211962.0,23315.82,211962.0,57
CDM,484143,CHARGER NEUROSTIM,16570.0,16570.0,1159.9,16570.0,71
CDM,484162,SCREW BN 3.5MM 20MM,3515.0,3515.0,386.65,3515.0,57
CDM,484163,SCREW BN 3.5MM 20MM,2713.0,2713.0,298.43,2713.0,57
CDM,484187,TIP ULTSNC SURG ASP 12CM,15725.0,15725.0,1100.75,15725.0,71
CDM,484217,HEAD HIP +3.5 12/14 32MM,16267.0,16267.0,1789.37,16267.0,57
CDM,484244,NAIL BN TIB IM 9X375MM,26859.0,26859.0,2954.49,26859.0,57
CDM,484267,MODEL ANTM SKULL CUSTM,57081.0,57081.0,3995.67,57081.0,71
CDM,484275,SCREW BN 2.0MM 8MM,2569.0,2569.0,282.59,2569.0,57
CDM,484276,SCREW BN 2.0X10MM,864.0,864.0,95.04,864.0,57
CDM,484294,INSERT SHLDR 12.5D 42X+9,12900.0,12900.0,1419.0,12900.0,57
CDM,484311,KIT RETR LP 64X60X76CM,9885.0,9885.0,691.95,9885.0,71
CDM,484326,SCREW BN 4.0MM 34MM,6494.0,6494.0,714.34,6494.0,57
CDM,484327,SCREW P-AX LCK 2.7X16MM,3679.0,3679.0,404.69,3679.0,57
CDM,484337,TAP BN DISP D/GA 2MM,3407.0,3407.0,238.49,3407.0,71
CDM,484339,GUIDE ORTHO CUTTING,49032.0,49032.0,3432.24,49032.0,71
CDM,484400,CRTD HF MRI IS1 DF1,276939.0,276939.0,30463.29,276939.0,57
CDM,484420,TIP ASP CS CLAR MCTIP,12493.0,12493.0,874.51,12493.0,71
CDM,484422,GUIDEWIRE ORTH 2.0MM,1599.0,1599.0,111.93,1599.0,71
CDM,484447,SCREW BN HDLS 2.5X40MM,8101.0,8101.0,891.11,8101.0,57
CDM,484455,KIT CATH 2.6FR 20CM,5623.0,5623.0,393.61,5623.0,71
CDM,484456,KIT CATH VASC 2.6FR 50CM,5623.0,5623.0,393.61,5623.0,71
CDM,484460,STEM FEM KN 110MM 10MM,27045.0,27045.0,2974.95,27045.0,57
CDM,484501,IMPLANT BREAST 645CC,23633.0,23633.0,2599.63,23633.0,57
CDM,484502,CANNULA PRFSN 16FR 9IN,2093.0,2093.0,146.51,2093.0,71
CDM,484505,ICM 45.1X8.0X4.2MM,96526.0,96526.0,10617.86,96526.0,57
CDM,484506,INSERT TIB KN XLNK 3 8MM,12926.0,12926.0,1421.86,12926.0,57
CDM,484507,HEAD FEM 12/14 +3.5 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,484511,INSERT TIB KN SZ5 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,484522,DEVICE CLOSURE 14FR,26229.0,26229.0,2885.19,26229.0,57
CDM,484524,NDL INSFL 70MM 14GA,1599.0,1599.0,111.93,1599.0,71
CDM,484525,SCREW SP UNIPLANR 5X35MM,13921.0,13921.0,1531.31,13921.0,57
CDM,484526,TROCAR LAPSCP 5MM 55MM,2174.0,2174.0,152.18,2174.0,71
CDM,484527,SCREW SPNL UNI 4.5MM X 3,13921.0,13921.0,1531.31,13921.0,57
CDM,484529,SCREW BN 5.5MM 30MM MESA,13921.0,13921.0,1531.31,13921.0,57
CDM,484530,SYSTEM XPND SL 5/10 10MM,5623.0,5623.0,393.61,5623.0,71
CDM,484533,SCREW BN 2.5MM 24MM,3802.0,3802.0,418.22,3802.0,57
CDM,484882,VALVE AORTIC 23MM,173812.0,173812.0,19119.32,173812.0,57
CDM,484886,STEM FEM KN 14X80MM,15480.0,15480.0,1702.8,15480.0,57
CDM,484887,COUPLER ANSTM 3.5MM,19523.0,19523.0,2147.53,19523.0,57
CDM,484892,KIT IMPLANT ANKLE,43895.0,43895.0,4828.45,43895.0,57
CDM,484897,ICD ELECTRODE DEFIB 45CM,103480.0,103480.0,11382.8,103480.0,57
CDM,484899,MODEL ANTM IPS HLF MNDB,15813.0,15813.0,1106.91,15813.0,71
CDM,484912,ROD SPN 5.5MM 45MM,3699.0,3699.0,406.89,3699.0,57
CDM,484913,ROD SPN LORD 5.5MM 40MM,4556.0,4556.0,501.16,4556.0,57
CDM,484929,SCREW BN 2.5X13MM,1568.0,1568.0,172.48,1568.0,57
CDM,484936,COUPLER ANSTM 4MM,19523.0,19523.0,2147.53,19523.0,57
CDM,484965,CUP HIM REV 42MM LT +2MM,64501.0,64501.0,7095.11,64501.0,57
CDM,485023,WASHER BN BTN 2.7MM 5MM,822.0,822.0,90.42,822.0,57
CDM,485031,STEM FEM TPR STRT 14X190,55728.0,55728.0,6130.08,55728.0,57
CDM,485064,TRAY FEM TIBIAL DISP,2905.0,2905.0,203.35,2905.0,71
CDM,485071,CUP ACTB HIP REV 70MM,52031.0,52031.0,5723.41,52031.0,57
CDM,485072,SCREW BN 5.0MM 65MM,1419.0,1419.0,156.09,1419.0,57
CDM,485111,FORCEPS SURG MICROCEPS S,5623.0,5623.0,393.61,5623.0,71
CDM,485113,SCREW BN 4.5MM 38MM,5138.0,5138.0,565.18,5138.0,57
CDM,485156,PLATE BN 16HL 3.5MM,14264.0,14264.0,1569.04,14264.0,57
CDM,485455,SCREW BN 3X1.75X12MM,5116.0,5116.0,562.76,5116.0,57
CDM,485465,SCREW BN 3MM 1.75MM 16MM,4915.0,4915.0,540.65,4915.0,57
CDM,485475,SCREW BN 3MM 18MM,4915.0,4915.0,540.65,4915.0,57
CDM,485485,SCREW BN 3MM 20MM,4915.0,4915.0,540.65,4915.0,57
CDM,485495,SCREW BN 3MM 22MM,4915.0,4915.0,540.65,4915.0,57
CDM,485505,SCREW BN 3MM 24MM,4915.0,4915.0,540.65,4915.0,57
CDM,485515,SCREW BN 3MM 1.75MM 26MM,5165.0,5165.0,568.15,5165.0,57
CDM,485525,SCREW BN 3MM 1.75MM 28MM,4915.0,4915.0,540.65,4915.0,57
CDM,485535,SCREW BN 3MM 30MM,4915.0,4915.0,540.65,4915.0,57
CDM,485545,GD WRE CLBRT 471161-05,1453.0,1453.0,101.71,1453.0,71
CDM,485565,SCREW BN 4.7MM 32MM,1166.0,1166.0,128.26,1166.0,57
CDM,485575,SCREW BN 4.7MM 38MM,811.0,811.0,89.21,811.0,57
CDM,485585,SCREW BN CMPRSS 4.7X44.4,811.0,811.0,89.21,811.0,57
CDM,485595,SCREW BN SPN 4.7MM 9.4MM,811.0,811.0,89.21,811.0,57
CDM,486133,SCREW BN 4.5X28MM,750.0,750.0,82.5,750.0,57
CDM,486175,SCREW BN CORTL 4.5X32MM,750.0,750.0,82.5,750.0,57
CDM,486185,SCREW BN CORTL 4.5X34MM,750.0,750.0,82.5,750.0,57
CDM,486205,SCREW CORT ST 4.5X36,750.0,750.0,82.5,750.0,57
CDM,486275,SCREW CORT SS LG 4.5X46,750.0,750.0,82.5,750.0,57
CDM,487415,WIRE SPN CLS 1.22MM 30CM,1228.0,1228.0,135.08,1228.0,57
CDM,487425,WIRE SPN 1.22MM 30CM,1228.0,1228.0,135.08,1228.0,57
CDM,487435,WIRE SPN OPN .97MM 30CM,1228.0,1228.0,135.08,1228.0,57
CDM,487505,CABLE FXTN 1.8MM 91CM,10466.0,10466.0,1151.26,10466.0,57
CDM,489264,STENT BIL PIG 10FR 5CM,987.0,987.0,108.57,987.0,57
CDM,489944,STENT BIL DB 7FR 12CM,1853.0,1853.0,203.83,1853.0,57
CDM,490442,GWIRE ENDO .025IN 450CM,3840.0,3840.0,268.8,3840.0,71
CDM,490503,GWIRE ENDO .038IN 260CM,3452.0,3452.0,241.64,3452.0,71
CDM,490547,DILATOR ENDO 6-7-8MM,5623.0,5623.0,393.61,5623.0,71
CDM,490642,BLNDIL ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,490654,BLNDIL ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,490788,CATH HMST 2.8MM 210CM,5623.0,5623.0,393.61,5623.0,71
CDM,490798,CATH HMST 25GA 201CM,5623.0,5623.0,393.61,5623.0,71
CDM,491244,KIT DCMPRS 14FR 175CM,4873.0,4873.0,341.11,4873.0,71
CDM,491636,CATH DYLS 62.5CM,5623.0,5623.0,393.61,5623.0,71
CDM,491756,HEAD FEM HIP 36X+15.5MM,9030.0,9030.0,993.3,9030.0,57
CDM,492068,KIT PROSTH PENL ACC,13664.0,13664.0,1503.04,13664.0,57
CDM,492138,TROCAR ENDO 10.5MM,3044.0,3044.0,213.08,3044.0,71
CDM,492218,GW ATW MRK 014 300 ST,2654.0,2654.0,185.78,2654.0,71
CDM,492338,CATH INFS 4FR 65CM,3748.0,3748.0,262.36,3748.0,71
CDM,492358,CATH INFS 4FR 65X20MM,3748.0,3748.0,262.36,3748.0,71
CDM,492398,CATH INFS 4FR 135CM,3748.0,3748.0,262.36,3748.0,71
CDM,492418,CTHGD INFS CRMC 5X5X100,3374.0,3374.0,236.18,3374.0,71
CDM,492618,CANN PRFSN 28FR 12-15IN,1599.0,1599.0,111.93,1599.0,71
CDM,492628,CANNULA PRFSN 32F 15IN,1599.0,1599.0,111.93,1599.0,71
CDM,492638,PIN RUSH 3.2 DX102,1597.0,1597.0,175.67,1597.0,57
CDM,492818,SCREW 2.0X7MM,1809.0,1809.0,198.99,1809.0,57
CDM,492848,SCREW BN 4.5MM 42MM,750.0,750.0,82.5,750.0,57
CDM,492858,CABLE GRP MED 2MM,12357.0,12357.0,1359.27,12357.0,57
CDM,492868,SET CABLE/SLV 1.6MM,4230.0,4230.0,465.3,4230.0,57
CDM,492928,CATH DRN BIL 10.2FR 40CM,2624.0,2624.0,183.68,2624.0,71
CDM,492938,DILATOR VASC 8FR 20CM,895.0,895.0,62.65,895.0,71
CDM,492958,GWIRE VASC 180X4.5CM,735.0,735.0,51.45,735.0,71
CDM,492998,GWRE 038 145,1539.0,1539.0,107.73,1539.0,71
CDM,493168,INTRO SHTH 22FR 20X13CM,2061.0,2061.0,144.27,2061.0,71
CDM,493198,CATH DRN 8.5FR 25CM,2399.0,2399.0,167.93,2399.0,71
CDM,493338,CATH ANGIO WDG 5F 110CM,4498.0,4498.0,314.86,4498.0,71
CDM,493358,CTHDX BRMN 6F 60,5248.0,5248.0,367.36,5248.0,71
CDM,493378,CTHDX BRMN 4F 50,5623.0,5623.0,393.61,5623.0,71
CDM,493388,CATH ANGIO 5F 80CM,5623.0,5623.0,393.61,5623.0,71
CDM,493558,KIT CATH 2LUM 4FR 8CM,1599.0,1599.0,111.93,1599.0,71
CDM,493618,GWIRE VASC 26X.035IN,586.0,586.0,41.02,586.0,71
CDM,493628,SET INTRO SHTH 5FR 45CM,3509.0,3509.0,245.63,3509.0,71
CDM,493678,SET INTRO SHTH 7FR 45CM,3561.0,3561.0,249.27,3561.0,71
CDM,493718,SET INTRO SHTH 8FR 45CM,3261.0,3261.0,228.27,3261.0,71
CDM,493768,SET INTRO SHTH 7FR 11CM,1599.0,1599.0,111.93,1599.0,71
CDM,493788,KIT CATH CHLGM 4FR 60CM,3629.0,3629.0,254.03,3629.0,71
CDM,493818,TUBE JJUNOST 10FR 108IN,7182.0,7182.0,502.74,7182.0,71
CDM,494098,GWIRE ENDO .035IN 260CM,4523.0,4523.0,316.61,4523.0,71
CDM,494348,PLATE MXFCL LNG LT Z.6MM,3931.0,3931.0,432.41,3931.0,57
CDM,494358,PLATE MXFCL LNG RT Z.6MM,3931.0,3931.0,432.41,3931.0,57
CDM,494923,KIT W/ 3 IMPS 1 CONN,3928.0,3928.0,432.08,3928.0,57
CDM,494954,PROSTH PENL 16CM 12.5MM,198331.0,198331.0,21816.41,198331.0,57
CDM,495180,GUIDE PIN NITINOL 3.4MM,1599.0,1599.0,111.93,1599.0,71
CDM,495190,GUIDE PIN SUT EYE 2.4MM,3655.0,3655.0,255.85,3655.0,71
CDM,495381,SCREW ARTRX AR-1391,2795.0,2795.0,307.45,2795.0,57
CDM,495762,PLUG BNCMNT XL 18-21MM,1953.0,1953.0,214.83,1953.0,57
CDM,496073,RESTRCTOR CMNT HIP 24MM,1672.0,1672.0,183.92,1672.0,57
CDM,496314,SCREW CORTEX 1.0X2,1706.0,1706.0,187.66,1706.0,57
CDM,496334,SCREW CORTEX 1.0X4,1418.0,1418.0,155.98,1418.0,57
CDM,496364,SCREW BN 1.2MM 4MM,1131.0,1131.0,124.41,1131.0,57
CDM,496374,SCREW TI CRNFCL 5X1.2MM,1131.0,1131.0,124.41,1131.0,57
CDM,496514,SCREW BN 2.4MM 12MM,1162.0,1162.0,127.82,1162.0,57
CDM,496524,SCREW BN 2.4MM 14MM,1316.0,1316.0,144.76,1316.0,57
CDM,496534,SCREW SELF TAP 2.4X16MM,1090.0,1090.0,119.9,1090.0,57
CDM,496544,SCREW BN 2.4MM 18MM,1162.0,1162.0,127.82,1162.0,57
CDM,496584,SCREW BN MNDB 2.7X8MM,802.0,802.0,88.22,802.0,57
CDM,496594,SCREW BN 2.7X8MM,1429.0,1429.0,157.19,1429.0,57
CDM,496604,SCREW BN 2.4X4X10MM,1429.0,1429.0,157.19,1429.0,57
CDM,496614,SCREW BN 2.4X4X14MM,956.0,956.0,105.16,956.0,57
CDM,496724,PLATE BN 30HL 2X193MM,6268.0,6268.0,689.48,6268.0,57
CDM,496814,SCREW BN 2.4MM 8MM,2097.0,2097.0,230.67,2097.0,57
CDM,496824,SCREW BN 2.4MM 10MM,2097.0,2097.0,230.67,2097.0,57
CDM,496834,SCREW BN 2.4MM 12MM,2487.0,2487.0,273.57,2487.0,57
CDM,496844,SCREW BN 2.4MM 14MM,2097.0,2097.0,230.67,2097.0,57
CDM,496864,SCREW BN 2.4MM 18MM,2487.0,2487.0,273.57,2487.0,57
CDM,496884,SCREW BN 3MM 10MM,2302.0,2302.0,253.22,2302.0,57
CDM,496894,SCREW BN 3MM 12MM,2302.0,2302.0,253.22,2302.0,57
CDM,496904,SCREW BN 3MM 14MM,2898.0,2898.0,318.78,2898.0,57
CDM,496914,SCREW BN 3MM 16MM,2898.0,2898.0,318.78,2898.0,57
CDM,496924,SCREW BN 3MM 18MM,2302.0,2302.0,253.22,2302.0,57
CDM,497377,CATH PERI 18GA 1.75IN,660.0,660.0,46.2,660.0,71
CDM,497397,SCREW BN 5MM 120MM,3064.0,3064.0,337.04,3064.0,57
CDM,497427,CATH BLNDIL 9MM 3X70CM,11064.0,11064.0,774.48,11064.0,71
CDM,497637,SPONGE COLLAGEN 3X4,8563.0,8563.0,599.41,8563.0,71
CDM,497677,PASSER SURG SHRT 36CM,3200.0,3200.0,224.0,3200.0,71
CDM,497727,KIT PROC MCSNSR 14GA,12124.0,12124.0,848.68,12124.0,71
CDM,498222,TUBE TRCH BVN #9,4299.0,4299.0,300.93,4299.0,71
CDM,498462,CATH ENDO 170CM 10FR,1599.0,1599.0,111.93,1599.0,71
CDM,498582,CATH ANGIO 5FR 65CM,844.0,844.0,59.08,844.0,71
CDM,498602,CATH ANGIO 5FR 40CM,959.0,959.0,67.13,959.0,71
CDM,499132,BSKT RTRV 1.9FR 12CM,5623.0,5623.0,393.61,5623.0,71
CDM,499532,SUTURE FIBERWIRE 38IN,892.0,892.0,98.12,892.0,57
CDM,499742,RELOAD STPLR 60MM,2815.0,2815.0,309.65,2815.0,57
CDM,499994,KIT REPAIR CV HICKMAN 7F,8070.0,8070.0,564.9,8070.0,71
CDM,501116,SCREW BN LCK 2.4MM 6MM,1720.0,1720.0,189.2,1720.0,57
CDM,501159,SCREW BN ST 2.4MM 8MM,1720.0,1720.0,189.2,1720.0,57
CDM,501198,SCREW BN 2.4MM 1.9MM,2004.0,2004.0,220.44,2004.0,57
CDM,501221,SCREW BN 2.4MM 1.9MM,2004.0,2004.0,220.44,2004.0,57
CDM,501245,SCREW BN 2.4MM 16MM,2374.0,2374.0,261.14,2374.0,57
CDM,501269,SCREW BN 2.4MM 18MM,2004.0,2004.0,220.44,2004.0,57
CDM,501349,SCREW BN 2.4MM 24MM,2004.0,2004.0,220.44,2004.0,57
CDM,501415,SCREW BN 2.4MM 28MM,2004.0,2004.0,220.44,2004.0,57
CDM,503685,RELOAD STPLR 4.8X45MM,5623.0,5623.0,618.53,5623.0,57
CDM,503846,STAPLER CLIP PISTOL APPL,10288.0,10288.0,720.16,10288.0,71
CDM,503858,APPLIER INT W/CLP 10MM,9340.0,9340.0,1027.4,9340.0,57
CDM,503919,SPONGE ABS HEMO 6X2CM,248.0,248.0,17.36,248.0,71
CDM,504343,HEAD FEM HIP 12/14 32MM,18154.0,18154.0,1996.94,18154.0,57
CDM,504357,HEAD FEM HIP 11/13 36MM,27163.0,27163.0,2987.93,27163.0,57
CDM,504411,HEAD HIP +5 12/14 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,504637,TUBE GASTM 18FR,1335.0,1335.0,93.45,1335.0,71
CDM,504647,TUBE GASTM 20FR,1335.0,1335.0,93.45,1335.0,71
CDM,504677,BUTTON GSTRM 14FR 1.0CM,3398.0,3398.0,237.86,3398.0,71
CDM,504698,BUTTON GSTRM 14FR 1.7CM,3398.0,3398.0,237.86,3398.0,71
CDM,504708,BUTTON GSTRM 18FR 2.0CM,3398.0,3398.0,237.86,3398.0,71
CDM,504718,BUTTON GSTRM 18FR 4.5CM,3299.0,3299.0,230.93,3299.0,71
CDM,504768,TUBE JJNSTM 16FR 45CM,4322.0,4322.0,302.54,4322.0,71
CDM,504778,TUBE JJNSTM 18FR,4322.0,4322.0,302.54,4322.0,71
CDM,504788,TUBE JJNSTM 20FR 51CM,4116.0,4116.0,288.12,4116.0,71
CDM,504818,TUBE GSTRM 30FR,1214.0,1214.0,84.98,1214.0,71
CDM,504828,TUBE JJNSTM 14FR,5623.0,5623.0,393.61,5623.0,71
CDM,504878,SET CBL SLV STNLS 2.0,4525.0,4525.0,497.75,4525.0,57
CDM,504898,PLATE DLMLS 7HL 8X4.5,7892.0,7892.0,868.12,7892.0,57
CDM,505041,PACKING NASAL 4CM 4CM,3014.0,3014.0,210.98,3014.0,71
CDM,505116,SET INTUB .016IN .025IN,3673.0,3673.0,257.11,3673.0,71
CDM,505141,ADAPTER ARWY ET 15X3.5 S,56.0,56.0,3.92,56.0,71
CDM,505187,DILATOR VASC 6FR 20CM,543.0,543.0,38.01,543.0,71
CDM,505202,CATH URET CK URE 6F 02,1087.0,1087.0,76.09,1087.0,71
CDM,505443,STNT NEPH 8.5X26,1680.0,1680.0,184.8,1680.0,57
CDM,505470,GW RDRN 35 180 SS ANG,1599.0,1599.0,111.93,1599.0,71
CDM,505536,GWIRE VASC .018IN 60CM,1599.0,1599.0,111.93,1599.0,71
CDM,505703,CATH DRN BIL 8.5F 40,2624.0,2624.0,183.68,2624.0,71
CDM,505713,CATH DRN 8.5FR 25CM,2567.0,2567.0,179.69,2567.0,71
CDM,505821,INTRO CATH 6FR 55CM,1893.0,1893.0,132.51,1893.0,71
CDM,505841,DILATOR VASC 9FR 20CM,543.0,543.0,38.01,543.0,71
CDM,506067,INTRO SHTH 20FR 13CM,2061.0,2061.0,144.27,2061.0,71
CDM,506077,INTRO SHTH 24FR 13CM,2061.0,2061.0,144.27,2061.0,71
CDM,506087,SHTH PLWY 9FR .038IN30CM,2324.0,2324.0,162.68,2324.0,71
CDM,506149,GDCATH LIVER 41CM 10FR,11433.0,11433.0,800.31,11433.0,71
CDM,506262,GWIRE VASC 80CM .035IN,1183.0,1183.0,82.81,1183.0,71
CDM,506313,CATH DRN 12FR 25CM,2567.0,2567.0,179.69,2567.0,71
CDM,506323,CATH DRN 14FR 25CM MCLC,2567.0,2567.0,179.69,2567.0,71
CDM,506396,SET PRSS MNT 2.5FR 2.5CM,1599.0,1599.0,111.93,1599.0,71
CDM,506406,SHTH PLWY DNY 6F 9,1987.0,1987.0,139.09,1987.0,71
CDM,506427,CONNECTOR PRFSN .5X3/8,149.0,149.0,10.43,149.0,71
CDM,506507,CATH PERI 16GA 1.75IN,699.0,699.0,48.93,699.0,71
CDM,506587,KIT SUPRAPUBIC 12FR,5623.0,5623.0,393.61,5623.0,71
CDM,506628,PATCH KUGEL 10-101,4628.0,4628.0,509.08,4628.0,57
CDM,507317,KIT SHNT CATH 14CM 120CM,11433.0,11433.0,1257.63,11433.0,57
CDM,507327,GFT VSC HMSH PTCH .3X3,1566.0,1566.0,172.26,1566.0,57
CDM,507377,BAG TISS CLSR 5CM LD,9533.0,9533.0,667.31,9533.0,71
CDM,507437,CATH THRMB 5FR 90CM,5623.0,5623.0,393.61,5623.0,71
CDM,507749,PLATE L-SHAPE LT MED,4071.0,4071.0,447.81,4071.0,57
CDM,507759,PLATE L-SHAPE LT LNG,3842.0,3842.0,422.62,3842.0,57
CDM,507769,PLATE BN 1.5MM,4071.0,4071.0,447.81,4071.0,57
CDM,507779,PLATE L-SHAPE RT LNG,3842.0,3842.0,422.62,3842.0,57
CDM,507789,PLATE LT L100X1.5MM,3842.0,3842.0,422.62,3842.0,57
CDM,507799,PLATE BN CRNL 1.5MM,3842.0,3842.0,422.62,3842.0,57
CDM,507839,PLATE MED LT 2-1MM,3931.0,3931.0,432.41,3931.0,57
CDM,508791,PLATE BN ORBT CRV 8HL,2549.0,2549.0,280.39,2549.0,57
CDM,508971,IMPLANT BREAST 200CC,9741.0,9741.0,1071.51,9741.0,57
CDM,509023,IMPLANT BREAST 350CC,12330.0,12330.0,1356.3,12330.0,57
CDM,509089,DISTRACTOR BN IMPLT 40MM,18682.0,18682.0,2055.02,18682.0,57
CDM,509382,CATH VENTRCLR SM L18,5898.0,5898.0,412.86,5898.0,71
CDM,509497,WRAP CMPRSN FACIAL MED,1112.0,1112.0,77.84,1112.0,71
CDM,509939,PLUG BNCMNT SM 8-10MM,1253.0,1253.0,137.83,1253.0,57
CDM,509949,PLUG BNCMNT MD 11-13MM,1201.0,1201.0,132.11,1201.0,57
CDM,509969,COMPNT TIB KN LCK BAR,1131.0,1131.0,124.41,1131.0,57
CDM,510638,CATH CHLGM 4.5FR 18IN,1599.0,1599.0,111.93,1599.0,71
CDM,510822,VALVE SPEAK 15MM 23MM,4442.0,4442.0,310.94,4442.0,57
CDM,511316,SCREW BN LCK 4MM 26MM,2137.0,2137.0,235.07,2137.0,57
CDM,511326,SCREW LCK STRDR 4X3.3X40,2137.0,2137.0,235.07,2137.0,57
CDM,511416,SCREW 400.455,1454.0,1454.0,159.94,1454.0,57
CDM,511438,SCREW EMERGENCY 1.7X4MM,1618.0,1618.0,177.98,1618.0,57
CDM,511449,CAP END ANKLE 4MM,2713.0,2713.0,298.43,2713.0,57
CDM,511923,KIT SNRE CATH 20MM 120CM,5944.0,5944.0,416.08,5944.0,71
CDM,511933,KIT SNARE 25MM 120CM,5944.0,5944.0,416.08,5944.0,71
CDM,511943,KIT SNARE 4FR 5MM 120CM,5944.0,5944.0,416.08,5944.0,71
CDM,512831,STENT URET 6FR 24CM,3258.0,3258.0,358.38,3258.0,57
CDM,512841,STENT URET 6FR 26CM,2245.0,2245.0,246.95,2245.0,57
CDM,513225,CATH ANGIO 5FR 40CM,1266.0,1266.0,88.62,1266.0,71
CDM,513550,ADAPTER ARWY ET 15X3MM S,56.0,56.0,3.92,56.0,71
CDM,513836,STNT URE KWRT 6X24 SET,3189.0,3189.0,350.79,3189.0,57
CDM,513857,STNT URE KWRT 6X26 SET,3189.0,3189.0,350.79,3189.0,57
CDM,514269,CMPNT KN FEM PROX RT 7CM,81696.0,81696.0,8986.56,81696.0,57
CDM,514474,PIN FX EX FIX 5MM 150MM,3936.0,3936.0,275.52,3936.0,71
CDM,514584,PIN HALF 3MM 80MM,2287.0,2287.0,160.09,2287.0,71
CDM,514884,RELOAD STPLR 3.5X60MM,5094.0,5094.0,560.34,5094.0,57
CDM,514998,STEM FEM HIP SZ6 127MM,36120.0,36120.0,3973.2,36120.0,57
CDM,515082,SCREW BN 6.5MM 160MM,4521.0,4521.0,497.31,4521.0,57
CDM,515286,DRSG GRMCDL POWDER 10GM,1081.0,1081.0,75.67,1081.0,71
CDM,515348,CLIP ANRSM PERM 20MM,5850.0,5850.0,643.5,5850.0,57
CDM,515531,CATH ULTSND 3.4FR 135CM,11433.0,11433.0,800.31,11433.0,71
CDM,516132,PLATE BN 224X13.5X4.2MM,11261.0,11261.0,1238.71,11261.0,57
CDM,516222,VALVE SPEAK 15MM 22MM,2759.0,2759.0,193.13,2759.0,57
CDM,516364,DEVICE SUTURE .035MM,836.0,836.0,91.96,836.0,57
CDM,516475,ADAPTER CATH 9FR CKFL,1279.0,1279.0,89.53,1279.0,71
CDM,516495,KIT REPR BRVC 1.0 LUM,9853.0,9853.0,689.71,9853.0,71
CDM,517422,INTRO CATH 14FR 30CM,3692.0,3692.0,258.44,3692.0,71
CDM,517442,CATH DRN BIL 12FR 40CM,2624.0,2624.0,183.68,2624.0,71
CDM,517542,GRAFT TIS 7X10CM,20982.0,20982.0,2308.02,20982.0,57
CDM,517562,SET SHEATH 12FR 13CM,1649.0,1649.0,115.43,1649.0,71
CDM,517582,PLATE BN CRNFCL LT 5MM,6135.0,6135.0,674.85,6135.0,57
CDM,517602,PLATE L5MM LNDRF RT,6135.0,6135.0,674.85,6135.0,57
CDM,517802,SCREW BN 1.2MM 6MM,750.0,750.0,82.5,750.0,57
CDM,517812,SCREW BN 1.2MM 7MM,1049.0,1049.0,115.39,1049.0,57
CDM,517822,SCREW BN 1.2MM 8MM,1049.0,1049.0,115.39,1049.0,57
CDM,517952,CATH BLNDIL 16MM 4X100CM,11993.0,11993.0,839.51,11993.0,71
CDM,517962,CATH BLNDIL 18MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,517972,GWIRE ORTH 1.4MM 150MM,2065.0,2065.0,144.55,2065.0,71
CDM,517992,PARTICLES EMB 355-500UM,1866.0,1866.0,205.26,1866.0,57
CDM,518012,CONN SHUNT STR 11MM,1745.0,1745.0,191.95,1745.0,57
CDM,518162,CATH ANGIO 5FR 100CM,1023.0,1023.0,71.61,1023.0,71
CDM,518182,BUTTON GSTRM 20FR 3.5CM,3299.0,3299.0,230.93,3299.0,71
CDM,518262,PLATE BN CRNL Z LT 13X15,1665.0,1665.0,183.15,1665.0,57
CDM,518272,SCREW BN 2MM 5MM,1162.0,1162.0,127.82,1162.0,57
CDM,518282,SCREW BN 2MM 6MM,1162.0,1162.0,127.82,1162.0,57
CDM,518422,SCREW BIOABS 30X10X1.5MM,2997.0,2997.0,329.67,2997.0,57
CDM,518523,CATH ANGIO 5FR 100CM,1023.0,1023.0,71.61,1023.0,71
CDM,518533,CATH ANGIO 5FR 65CM,895.0,895.0,62.65,895.0,71
CDM,518543,CATH ANGIO 4FR 80CM,1023.0,1023.0,71.61,1023.0,71
CDM,519076,CATH PRTNL DLYS 62.5CM,5623.0,5623.0,393.61,5623.0,71
CDM,519136,PLATE BN 4.5X188MM,9315.0,9315.0,1024.65,9315.0,57
CDM,519467,TRAY TIB KN REV SZ2,64500.0,64500.0,7095.0,64500.0,57
CDM,519547,COMPONENT TIB KN 5X80MM,64501.0,64501.0,7095.11,64501.0,57
CDM,519557,LEAD CRT PCNG 88CM,34292.0,34292.0,3772.12,34292.0,57
CDM,521063,WEDGE TIB MBT STEP 2 H5,26865.0,26865.0,2955.15,26865.0,57
CDM,521164,TRIAL WEDGE TIB 10MM,26865.0,26865.0,2955.15,26865.0,57
CDM,521205,WEDGE TIB KN 2.5X5MM,26865.0,26865.0,2955.15,26865.0,57
CDM,521255,WEDGE TIB MBT 2.5X10,26865.0,26865.0,2955.15,26865.0,57
CDM,521265,WEDGE TIB 3 H5 MBT STEP,26865.0,26865.0,2955.15,26865.0,57
CDM,521348,WEDGE TIB KN MBT 3 10MM,26865.0,26865.0,2955.15,26865.0,57
CDM,521507,WDG TIB 4 H5 MBT STEP,26865.0,26865.0,2955.15,26865.0,57
CDM,521517,WEDGE TIB 10MM PFC SGM,26865.0,26865.0,2955.15,26865.0,57
CDM,521679,WEDGE TIBIAL 5 H5MM MBT,26865.0,26865.0,2955.15,26865.0,57
CDM,521965,HEAD FEM HIP -3.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,521975,HEAD FEM HIP +3.5MM,9030.0,9030.0,993.3,9030.0,57
CDM,522117,SCREW 1.5X7 LORNZ,2014.0,2014.0,221.54,2014.0,57
CDM,522929,SHEATH TEFLON 30FR./20CM,1599.0,1599.0,111.93,1599.0,71
CDM,523274,SCREW BN 9MM 25MM,2980.0,2980.0,327.8,2980.0,57
CDM,523606,SET INTRO SHTH 7FR 80CM,4723.0,4723.0,330.61,4723.0,71
CDM,524161,INSERT TIB KN SZ3 15MM,36491.0,36491.0,4014.01,36491.0,57
CDM,524191,PACKING WND XRY 1IN 3YD,344.0,344.0,24.08,344.0,71
CDM,524241,DILATOR VASC 22FR 20CM,991.0,991.0,69.37,991.0,71
CDM,524251,INSERT TIB KN SZ3 17.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,524332,BOOT UNIV ANKL,4144.0,4144.0,290.08,4144.0,57
CDM,524332,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",4144.0,4144.0,201.18,543.39,48
CDM,524353,INSRT TIB KN SZ4 15MM,36491.0,36491.0,4014.01,36491.0,57
CDM,524781,INSERT TIB KN SZ4 17.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,524791,INSERT TIB 4 H25.0MM TC3,36491.0,36491.0,4014.01,36491.0,57
CDM,524801,INSERT TIB KN SZ 5 10MM,34426.0,34426.0,3786.86,34426.0,57
CDM,524811,INSERT TIB KN 22.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,525043,STENT BIL 10X40MM,18915.0,18915.0,2080.65,18915.0,57
CDM,525249,SLEEVE TIB 53X31X40MM,37358.0,37358.0,4109.38,37358.0,57
CDM,525312,HEAD FEM HIP 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,525332,SHELL ACTB HIP 46MM,23220.0,23220.0,2554.2,23220.0,57
CDM,525353,STEM FEM HIP SZ2 12/14,36120.0,36120.0,3973.2,36120.0,57
CDM,525363,STEM FEM SZ8 12/14 139MM,36120.0,36120.0,3973.2,36120.0,57
CDM,525434,STEM FEM CMNT SZ5 120MM,36120.0,36120.0,3973.2,36120.0,57
CDM,525632,GUARD PIN .045IN,512.0,512.0,35.84,512.0,71
CDM,525642,GUARD PIN .054-.062IN,512.0,512.0,35.84,512.0,71
CDM,525652,GUARD PIN 3/32IN,405.0,405.0,28.35,405.0,71
CDM,525663,GUARD PIN 5/64IN,491.0,491.0,34.37,491.0,71
CDM,525956,CATH ANGIO 5FR 100CM,844.0,844.0,59.08,844.0,71
CDM,526507,GWIRE VASC .035IN 180CM,768.0,768.0,53.76,768.0,71
CDM,526568,SHTH CATH 6FR 7CM,1599.0,1599.0,111.93,1599.0,71
CDM,526610,ADHESIVE SURGICAL TUBE,750.0,750.0,82.5,750.0,57
CDM,526630,CATH ANGIO 6FR 90CM,5623.0,5623.0,393.61,5623.0,71
CDM,526922,KIT BNGF FAST CURE 25CC,19076.0,19076.0,2098.36,19076.0,57
CDM,526952,SCREW SAFETY 1.9MM 4MM,1355.0,1355.0,149.05,1355.0,57
CDM,527299,CATH EP 5FR 5X120CM,3224.0,3224.0,225.68,3224.0,71
CDM,527668,SCREW PLUS DRIVE 1.3MM X,1559.0,1559.0,171.49,1559.0,57
CDM,528016,CATH DRN 10.2FR 25CM,2567.0,2567.0,179.69,2567.0,71
CDM,528036,CATH ANGIO 4FR 65CM,895.0,895.0,62.65,895.0,71
CDM,528239,SCREW BN 2MM 14MM,1094.0,1094.0,120.34,1094.0,57
CDM,528249,SCREW ORHTO 2.0X12,1094.0,1094.0,120.34,1094.0,57
CDM,528259,PLATE BNE TI STR 10 HLE,4196.0,4196.0,461.56,4196.0,57
CDM,528269,PLATE CHIN 4MM 210-,4656.0,4656.0,512.16,4656.0,57
CDM,528379,COMPNT TIB LT KN XS-XL,50091.0,50091.0,5510.01,50091.0,57
CDM,528389,SLEEVE KN TIBTRY ROT HNG,8785.0,8785.0,966.35,8785.0,57
CDM,528399,BASEPLATE TIB S1 KN MRH,51613.0,51613.0,5677.43,51613.0,57
CDM,528410,INSERT TIB KN 13XSM/SM,19505.0,19505.0,2145.55,19505.0,57
CDM,528663,PATCH CV 6X1CM,4194.0,4194.0,461.34,4194.0,57
CDM,528684,SCREW BN 6.5MM 90MM,3391.0,3391.0,373.01,3391.0,57
CDM,528744,RELOAD ENDOGIA 45MM BLUE,5623.0,5623.0,393.61,5623.0,71
CDM,528775,TUBE JJNSTM 16FR 45CM,5623.0,5623.0,393.61,5623.0,71
CDM,528785,TUBE JJNSTM 18FR 45CM,5623.0,5623.0,393.61,5623.0,71
CDM,528835,CANNULA PRFSN SAPH VEIN,992.0,992.0,69.44,992.0,71
CDM,528955,MESH SURG 11X14CM,5524.0,5524.0,607.64,5524.0,57
CDM,529259,PIN GUIDE ORTH 2.4MM 30C,1725.0,1725.0,120.75,1725.0,71
CDM,529581,TUBE GSTRM 18FRX18IN,6287.0,6287.0,440.09,6287.0,71
CDM,529641,SCREW CORTEX 1.0X6,750.0,750.0,82.5,750.0,57
CDM,529781,HEAD FEM HIP +0X12/14X28,9030.0,9030.0,993.3,9030.0,57
CDM,529891,CATH CONNCTR URET 3-6FR,354.0,354.0,24.78,354.0,71
CDM,529901,CATH DRN BLNDL 12F 25CM,5623.0,5623.0,393.61,5623.0,71
CDM,529991,KIT CRTD SHNT 6IN,1599.0,1599.0,111.93,1599.0,71
CDM,530916,RELOAD STPLR 2.5X45MM,5634.0,5634.0,619.74,5634.0,57
CDM,531048,SCREW BN 2.7MM 42MM,750.0,750.0,82.5,750.0,57
CDM,531058,SCREW BN 3.5MM 6MM 42MM,750.0,750.0,82.5,750.0,57
CDM,531068,SCREW BN SLFTAP 3.5X44MM,750.0,750.0,82.5,750.0,57
CDM,531078,SCREW BN CORT 3.5X6X46MM,750.0,750.0,82.5,750.0,57
CDM,531088,SCREW BN CORT 3.5X6X48MM,750.0,750.0,82.5,750.0,57
CDM,531098,SCREW BN 4.0MM 24MM,750.0,750.0,82.5,750.0,57
CDM,531109,SCREW BN 4.0MM 26MM,750.0,750.0,82.5,750.0,57
CDM,531119,SCREW BN LCP HEX4X6X28MM,750.0,750.0,82.5,750.0,57
CDM,531130,SCREW BN 4.0X30MM,750.0,750.0,82.5,750.0,57
CDM,531140,SCREW BN 4.0MM 32MM,750.0,750.0,82.5,750.0,57
CDM,531150,SCREW BN 4.0MM 34MM,750.0,750.0,82.5,750.0,57
CDM,531161,SCREW BN ST 4.0MM 36MM,750.0,750.0,82.5,750.0,57
CDM,531171,SCREW BN 4.0MM 38MM,750.0,750.0,82.5,750.0,57
CDM,531181,SCREW BN SLFTP 4X40MM,750.0,750.0,82.5,750.0,57
CDM,531191,SCREW BN 4MM 42MM,750.0,750.0,82.5,750.0,57
CDM,531201,SCREW BN CORT 4MM 44MM,750.0,750.0,82.5,750.0,57
CDM,531211,SCREW BN 4MM 46MM,750.0,750.0,82.5,750.0,57
CDM,531221,SCREW BN 4MM 6MM 48MM,750.0,750.0,82.5,750.0,57
CDM,531231,SCREW BN 4.0MM 50MM,750.0,750.0,82.5,750.0,57
CDM,531241,SCREW BN SS CORT 52X4MM,750.0,750.0,82.5,750.0,57
CDM,531251,SCREW BN 4.0MM 54MM,750.0,750.0,82.5,750.0,57
CDM,531261,SCREW BN 4MM 56MM,750.0,750.0,82.5,750.0,57
CDM,531271,SCREW BNE L58MM OD4.0MM,750.0,750.0,82.5,750.0,57
CDM,531281,SCREW BN 4X6X60MM,750.0,750.0,82.5,750.0,57
CDM,531291,SCREW BN SS 4.0X65MM,750.0,750.0,82.5,750.0,57
CDM,531302,SCREW BN 4MM 70MM,750.0,750.0,82.5,750.0,57
CDM,531312,SCREW BN 4MM 75MM,798.0,798.0,87.78,798.0,57
CDM,531322,SCREW BN 4MM 80MM,798.0,798.0,87.78,798.0,57
CDM,531332,SCREW BN 4.0MM 85MM,798.0,798.0,87.78,798.0,57
CDM,531342,SCREW BN 4.0MM 90MM,798.0,798.0,87.78,798.0,57
CDM,531352,SCREW BN CORT 4MM 95MM,1082.0,1082.0,119.02,1082.0,57
CDM,531467,SCREW BN SPN 5MM 40MM,16849.0,16849.0,1853.39,16849.0,57
CDM,532268,CAP PROTCT EXFX 5.0MM,209.0,209.0,14.63,209.0,71
CDM,532471,HEAD FEM HIP 36MM,9030.0,9030.0,993.3,9030.0,57
CDM,532481,SCREW ORTH L10XW2.0,1094.0,1094.0,120.34,1094.0,57
CDM,532511,SCREW BN 2.4MM 8MM,1333.0,1333.0,146.63,1333.0,57
CDM,532521,SCREW BN 2.4MM 10MM,1333.0,1333.0,146.63,1333.0,57
CDM,532601,PLATE BN CHIN 2X7MM,4700.0,4700.0,517.0,4700.0,57
CDM,532631,PLATE BNE L13MM MAXLFCL,3626.0,3626.0,398.86,3626.0,57
CDM,532641,PLATE L BN LT 1.6X22MM,3553.0,3553.0,390.83,3553.0,57
CDM,533036,COMPNT KN RT 68X61.5MM,94420.0,94420.0,10386.2,94420.0,57
CDM,534088,CENTRALIZR STEM HIP 10MM,1419.0,1419.0,156.09,1419.0,57
CDM,534159,HEAD HIP TPR STD NK 28MM,9030.0,9030.0,993.3,9030.0,57
CDM,534431,TRAY TIB KN RP SZ4,64500.0,64500.0,7095.0,64500.0,57
CDM,534442,SLEEVE TIB 37X27X40MM,39519.0,39519.0,4347.09,39519.0,57
CDM,534454,OCCULDER CV 8X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,534465,OCCLUDER CV 10X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,535364,GWIRE ORTH HIP 300X3.2MM,1740.0,1740.0,121.8,1740.0,71
CDM,535384,GWIRE VASC 0.018IN 80CM,1912.0,1912.0,133.84,1912.0,71
CDM,535528,ANCHOR SUT 5MM 15.5MM,4344.0,4344.0,477.84,4344.0,57
CDM,535808,PLATE 142X11X3.7MM 6H,24884.0,24884.0,2737.24,24884.0,57
CDM,536293,CENTRALIZR STM HIP 8.5MM,1419.0,1419.0,156.09,1419.0,57
CDM,536851,CANN PRFSN 17IN 17FR,5623.0,5623.0,393.61,5623.0,71
CDM,536891,PATCH DURAL BOV 4X4CM,6922.0,6922.0,761.42,6922.0,57
CDM,537429,KIT SHTH 4FR 11CM,1586.0,1586.0,111.02,1586.0,71
CDM,537449,KIT SHTH 6FR 11CM,1485.0,1485.0,103.95,1485.0,71
CDM,539243,CMPNT KN SEG 25MM,43654.0,43654.0,4801.94,43654.0,57
CDM,539744,SCREW SPN 5.7MM 20MM,2700.0,2700.0,297.0,2700.0,57
CDM,540170,STAPLE SPN L20MM,11390.0,11390.0,1252.9,11390.0,57
CDM,541506,STAPLER INT 4.8X60MM,9443.0,9443.0,661.01,9443.0,71
CDM,541538,CATH ANGIO 6F 65CM,844.0,844.0,59.08,844.0,71
CDM,541709,HEAD FEM HIP +5MM 36MM,7740.0,7740.0,851.4,7740.0,57
CDM,542129,GWIRE VASC .018IN 180CM,2687.0,2687.0,188.09,2687.0,71
CDM,542570,HEAD FEM HIP +10MM 36MM,8100.0,8100.0,891.0,8100.0,57
CDM,543269,SCREW BN 4X32MM,3411.0,3411.0,375.21,3411.0,57
CDM,543289,SCREW BN 4MM 36MM,3021.0,3021.0,332.31,3021.0,57
CDM,543299,SCREW BN 4MM 38MM,3411.0,3411.0,375.21,3411.0,57
CDM,543309,SCREW BN CANN 4MM 40MM,3616.0,3616.0,397.76,3616.0,57
CDM,543379,SCREW BN 4MM 60MM,3021.0,3021.0,332.31,3021.0,57
CDM,543399,SCREW BN 4MM 70MM,3021.0,3021.0,332.31,3021.0,57
CDM,543761,GWIRE URO .035IN 150CM,3936.0,3936.0,275.52,3936.0,71
CDM,544092,PLATE BN 3.5MM 168MM,25132.0,25132.0,2764.52,25132.0,57
CDM,544102,PLATE BN 3.5MM 168MM,25132.0,25132.0,2764.52,25132.0,57
CDM,544534,RNG ANLPLS TRCSPD 34,42676.0,42676.0,4694.36,42676.0,57
CDM,544544,RNG ANLPLS TRCSPD 36,47720.0,47720.0,5249.2,47720.0,57
CDM,544709,LIGATOR ENDO 7BAND 2.8MM,4133.0,4133.0,289.31,4133.0,71
CDM,545051,PROSTHESIS HIP 36MM,22720.0,22720.0,2499.2,22720.0,57
CDM,545061,LINER ACTB HIP 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,545393,CEMENT BN PMMA FULL DOSE,5076.0,5076.0,558.36,5076.0,57
CDM,548611,GWIRE URO .038IN 150CM,1599.0,1599.0,111.93,1599.0,71
CDM,548792,CATH ANG 80CM 5FR GD-LUB,1874.0,1874.0,131.18,1874.0,71
CDM,548922,CATH ABL 108 7FR 6MM MED,20713.0,20713.0,1449.91,20713.0,71
CDM,549061,HEAD FEM HIP 36MM,7740.0,7740.0,851.4,7740.0,57
CDM,549773,CEMENT BN PMMA FULL DOSE,5085.0,5085.0,559.35,5085.0,57
CDM,550638,SCREW BN 5MM 4.4MM 16MM,2189.0,2189.0,240.79,2189.0,57
CDM,550648,SCREW BN LCK 5X18MM,2189.0,2189.0,240.79,2189.0,57
CDM,550658,SCREW BN 5MM 4.4MM 20MM,2498.0,2498.0,274.78,2498.0,57
CDM,550668,SCREW BN 5MM 22MM,2498.0,2498.0,274.78,2498.0,57
CDM,550678,SCREW BN 5MM 4.4MM 24MM,2498.0,2498.0,274.78,2498.0,57
CDM,550698,SCREW BN LCK 5X28MM,2189.0,2189.0,240.79,2189.0,57
CDM,550718,SCREW BN LCK 5X34MM,2189.0,2189.0,240.79,2189.0,57
CDM,550728,SCREW BN LCK 5X36MM,2189.0,2189.0,240.79,2189.0,57
CDM,550738,SCREW BN 5MM 4.4MM 38MM,2189.0,2189.0,240.79,2189.0,57
CDM,550748,SCREW BN 5MM 4.4MM 42MM,2189.0,2189.0,240.79,2189.0,57
CDM,550758,SCREW BN LCK 5X46MM,2498.0,2498.0,274.78,2498.0,57
CDM,550768,SCREW BN 5MM 48MM,2189.0,2189.0,240.79,2189.0,57
CDM,550778,SCREW BN LCK 5MM 50MM,2498.0,2498.0,274.78,2498.0,57
CDM,550788,SCREW BN LCK 5MM 55MM,2498.0,2498.0,274.78,2498.0,57
CDM,550798,SCREW BN LCK 5X60MM,2498.0,2498.0,274.78,2498.0,57
CDM,550808,SCREW BN LCK 5X65MM,2498.0,2498.0,274.78,2498.0,57
CDM,550818,SCREW BN LCK 5MM 75MM,2498.0,2498.0,274.78,2498.0,57
CDM,550899,PLATE BN 5HL 4.5X98MM,5541.0,5541.0,609.51,5541.0,57
CDM,550909,PLATE BN 6HL 4.5X116MM,5828.0,5828.0,641.08,5828.0,57
CDM,550919,PLATE BN LCP 11HL 4.5MM,10112.0,10112.0,1112.32,10112.0,57
CDM,550929,PLATE BN 6HL 4.5X116MM,6634.0,6634.0,729.74,6634.0,57
CDM,550939,PLATE BN 4.5MM 170MM,10020.0,10020.0,1102.2,10020.0,57
CDM,550949,PLATE BN 11HL 4.5X206MM,10217.0,10217.0,1123.87,10217.0,57
CDM,550959,PLATE BN 12HL 4.5X224MM,12730.0,12730.0,1400.3,12730.0,57
CDM,550969,PLATE BN 14H 4.5MM 260MM,14173.0,14173.0,1559.03,14173.0,57
CDM,550979,PLATE BN 16H 4.5MM 296MM,16464.0,16464.0,1811.04,16464.0,57
CDM,550989,PLATE BN 3.5MM 116MM,26769.0,26769.0,2944.59,26769.0,57
CDM,550999,PLATE BN 3.5MM 116MM,26769.0,26769.0,2944.59,26769.0,57
CDM,551242,IMPLANT BREAST 200CC,10275.0,10275.0,1130.25,10275.0,57
CDM,551492,STEM FEM HIP CNTRL9.25MM,1419.0,1419.0,156.09,1419.0,57
CDM,551672,DRESSING WOUND 3 1/2INX3,503.0,503.0,35.21,503.0,71
CDM,551882,SCREW BN CANN 6.5X100MM,4521.0,4521.0,497.31,4521.0,57
CDM,552173,GRAFT CV 10MM 30CM,10737.0,10737.0,1181.07,10737.0,57
CDM,552224,GRAFT CV 12MM 30CM,9300.0,9300.0,1023.0,9300.0,57
CDM,552234,GRAFT CV 14MM 30CM,8773.0,8773.0,965.03,8773.0,57
CDM,552244,GRAFT CV 16MM 30CM,8773.0,8773.0,965.03,8773.0,57
CDM,552254,GRAFT CV 18MM 30CM,8773.0,8773.0,965.03,8773.0,57
CDM,552264,GRAFT CV 20MM 30CM,8773.0,8773.0,965.03,8773.0,57
CDM,553262,GWIRE VASC 150CM .021IN,1426.0,1426.0,99.82,1426.0,71
CDM,553272,CTH URET 8FR DIL,5623.0,5623.0,393.61,5623.0,71
CDM,553393,GWIRE VASC 190CM .014IN,3299.0,3299.0,230.93,3299.0,71
CDM,553868,PLATE BN 3.5MM 194MM,25400.0,25400.0,2794.0,25400.0,57
CDM,553898,GWIRE ENDO .035IN 180CM,4404.0,4404.0,308.28,4404.0,71
CDM,553918,BLNDIL ENDO 5.5CM 75CM,6630.0,6630.0,464.1,6630.0,71
CDM,553928,BLNDIL ENDO 5.5CM 75CM,6630.0,6630.0,464.1,6630.0,71
CDM,553938,BLNDIL ENDO 3.0CM 75CM,6630.0,6630.0,464.1,6630.0,71
CDM,553948,BLNDIL ENDO 3.0CM 75CM,6630.0,6630.0,464.1,6630.0,71
CDM,553968,HEAD FEM HIP +4 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,554139,HEAD FEM 12/14 36MM,22960.0,22960.0,2525.6,22960.0,57
CDM,554240,PLATE BN 7H 4.5MM 134MM,7921.0,7921.0,871.31,7921.0,57
CDM,554250,PLATE BN 3.5MM 142MM,24884.0,24884.0,2737.24,24884.0,57
CDM,554673,PORT IMPL INFSN 8FR,4876.0,4876.0,536.36,4876.0,57
CDM,554743,INTRO SHTH 9FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
CDM,554813,SCREW BN 1.5MM 4MM,1511.0,1511.0,166.21,1511.0,57
CDM,554943,GWIRE VASC 300CM .014IN,3186.0,3186.0,223.02,3186.0,71
CDM,554987,PLATE BN 2.4MM 57MM,5586.0,5586.0,614.46,5586.0,57
CDM,555184,PLATE BN 4HL 115MM,22133.0,22133.0,2434.63,22133.0,57
CDM,555602,HEAD FEM HIP 12/14 +8 28,16770.0,16770.0,1844.7,16770.0,57
CDM,555638,GRAFT DURA CRANI 3X3IN,13974.0,13974.0,1537.14,13974.0,57
CDM,556568,EXTENSION FEM HIP 50MM,50826.0,50826.0,5590.86,50826.0,57
CDM,556876,CATH BLN 50MM 110CM,18939.0,18939.0,1325.73,18939.0,71
CDM,556886,CATH BLN 50MM 110CM,15819.0,15819.0,1107.33,15819.0,71
CDM,556928,SET INTRO SHTH 9FR 90CM,5154.0,5154.0,360.78,5154.0,71
CDM,557111,CTHGD 4F JR2 SFT 100,1599.0,1599.0,111.93,1599.0,71
CDM,557596,PLATE BN 2MM 65MM,5586.0,5586.0,614.46,5586.0,57
CDM,557626,SHEATH ACC 12-14FR 20CM,4404.0,4404.0,308.28,4404.0,71
CDM,557676,DEVICE CMPR 24CM,2210.0,2210.0,154.7,2210.0,71
CDM,557706,GWIRE VASC 180CM .014IN,2624.0,2624.0,183.68,2624.0,71
CDM,557746,DRAIN WND RND 10FR,819.0,819.0,57.33,819.0,71
CDM,557828,DRAIN WND W/TROCAR 10F,327.0,327.0,22.89,327.0,71
CDM,557838,DRAIN WND 15FR 3/4IN,812.0,812.0,56.84,812.0,71
CDM,558993,PLATE LT 7HL RT,4057.0,4057.0,446.27,4057.0,57
CDM,559020,PLATE BN 1.5MM,5859.0,5859.0,644.49,5859.0,57
CDM,559030,PLATE LNG LT 3X3 HL,3827.0,3827.0,420.97,3827.0,57
CDM,559040,PLATE RT 7HL,3828.0,3828.0,421.08,3828.0,57
CDM,559059,PLATE BN LNG RT 3X3,4273.0,4273.0,470.03,4273.0,57
CDM,559112,SCREW MXFCL MIC 1.5X7,1425.0,1425.0,156.75,1425.0,57
CDM,559124,PLATE BN MXFCL 9HL .75MM,3584.0,3584.0,394.24,3584.0,57
CDM,559547,CANN PRFSN 15IN 20FR VNS,1599.0,1599.0,111.93,1599.0,71
CDM,559691,CANN PRFSN 18FR 12-15IN,1599.0,1599.0,111.93,1599.0,71
CDM,559701,CANN PRFSN 22FR 12-15IN,1599.0,1599.0,111.93,1599.0,71
CDM,559871,DRAIN WND 19FR 2.5IN,812.0,812.0,56.84,812.0,71
CDM,559881,DRAIN WND RND 24FR,3564.0,3564.0,249.48,3564.0,71
CDM,560581,CATHETER DLYS 38.9CM,3333.0,3333.0,233.31,3333.0,71
CDM,560676,CATH BLNDIL 12MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,560687,CATH BLNDIL 12MM 4X100CM,11993.0,11993.0,839.51,11993.0,71
CDM,560697,CATH BLNDIL 14MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,560708,CATH BLNDIL 15MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,560719,CATH BLNDIL 15MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,560809,GWIRE VASC 180CM .014IN,2437.0,2437.0,170.59,2437.0,71
CDM,560900,SCREW BN IM 10.5X90MM,7974.0,7974.0,877.14,7974.0,57
CDM,560910,SCREW BN 10.5MM 100MM,10623.0,10623.0,1168.53,10623.0,57
CDM,560920,SCREW BN 10.5MM 105MM,9488.0,9488.0,1043.68,9488.0,57
CDM,560931,SCREW BN 10.5MM 110MM,9488.0,9488.0,1043.68,9488.0,57
CDM,562499,TRAY MBT REV CEM TIB 2.5,64500.0,64500.0,7095.0,64500.0,57
CDM,563028,PLATE BN RT 3.5MM 100MM,9690.0,9690.0,1065.9,9690.0,57
CDM,563042,PLATE BN 8HL 2MM 51MM,5393.0,5393.0,593.23,5393.0,57
CDM,563587,INSERT TIB KN SZ3 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,563766,HEAD HIP FEM 36MM +1.5MM,18154.0,18154.0,1996.94,18154.0,57
CDM,563788,SCREW BN 6.5X7.9X2.9X80,4521.0,4521.0,497.31,4521.0,57
CDM,563874,SHEATH GD 7FR 90CM,4157.0,4157.0,290.99,4157.0,71
CDM,564286,CTH ANGIO 3FR MCDB3CE60,5623.0,5623.0,393.61,5623.0,71
CDM,564476,CATH DRN PRTNL 2.2X1MM,2831.0,2831.0,311.41,2831.0,57
CDM,564913,GWIRE VASC NTNL 40CM,1243.0,1243.0,87.01,1243.0,71
CDM,565865,PATCH CV .8CM 7.6CM,2117.0,2117.0,232.87,2117.0,57
CDM,566067,GWIRE VASC 180CM .014IN,2999.0,2999.0,209.93,2999.0,71
CDM,566147,CATH ANGIO 4FR 65CM,1023.0,1023.0,71.61,1023.0,71
CDM,566637,SHTH CATH 6FR 63CM,2680.0,2680.0,187.6,2680.0,71
CDM,566667,GWIRE URO .035IN 145CM,1599.0,1599.0,111.93,1599.0,71
CDM,566802,CONE BDY HIP 23+20,84625.0,84625.0,9308.75,84625.0,57
CDM,566940,CTH URET PLLK 5F,1279.0,1279.0,89.53,1279.0,71
CDM,567685,SET RTRVL 6.3F 11F 80CM,6172.0,6172.0,432.04,6172.0,71
CDM,568661,STENT BIL 6FR 5MM 15MM,14667.0,14667.0,1613.37,14667.0,57
CDM,568672,STENT BIL 6FR 6MM 14MM,14667.0,14667.0,1613.37,14667.0,57
CDM,568682,STENT BIL 6FR 5MM 19MM,13358.0,13358.0,1469.38,13358.0,57
CDM,568692,STENT BIL 6FR 6MM 18MM,13358.0,13358.0,1469.38,13358.0,57
CDM,568744,VALVE SHNT SM 14GA 91CM,48211.0,48211.0,5303.21,48211.0,57
CDM,568818,TRAY MOD TIB CEM COCR 3,23478.0,23478.0,2582.58,23478.0,57
CDM,569157,PEG BN FX THRD 2.3X20MM,1727.0,1727.0,189.97,1727.0,57
CDM,569371,CMPNT FEM KN RT 60MM,57263.0,57263.0,6298.93,57263.0,57
CDM,569402,CMPNT KN FEM RT 70MM,44638.0,44638.0,4910.18,44638.0,57
CDM,570638,STENT BIL 7X7X170MM,2466.0,2466.0,271.26,2466.0,57
CDM,570742,SCREW CORTX RESORB 1.5X8,1643.0,1643.0,180.73,1643.0,57
CDM,571371,SHTH PLVTW 10FR 30CM,2324.0,2324.0,162.68,2324.0,71
CDM,571444,CLIP ANRSM PERM 4MM,3612.0,3612.0,397.32,3612.0,57
CDM,571484,INTRO SHTH 7FR 30CM,1893.0,1893.0,132.51,1893.0,71
CDM,571784,HEAD FEM HIP STD 36MM,9450.0,9450.0,1039.5,9450.0,57
CDM,572646,KIT LD CAP 4FR 3.2MM,750.0,750.0,82.5,750.0,57
CDM,575016,CATH VASC 90D 6.0X150CM,17893.0,17893.0,1252.51,17893.0,71
CDM,575087,WASHER BN ORTHO,1007.0,1007.0,110.77,1007.0,57
CDM,575188,VALVE SHUNT 8X16X32MM,77761.0,77761.0,8553.71,77761.0,57
CDM,576076,SCREW CORTICAL 3.5 X 16,987.0,987.0,108.57,987.0,57
CDM,576186,CMPNT KN LT SZ4,35346.0,35346.0,3888.06,35346.0,57
CDM,576196,CMPNT KN FEM CMNT RT 5,35346.0,35346.0,3888.06,35346.0,57
CDM,576473,COVER BUR HL 0.5X10MM,4300.0,4300.0,473.0,4300.0,57
CDM,576484,CVR BUR HL 1.5 14,4831.0,4831.0,531.41,4831.0,57
CDM,576494,COVER BN BURR HL 20MM,5341.0,5341.0,587.51,5341.0,57
CDM,576837,NAIL BN 11X180MM,24127.0,24127.0,2653.97,24127.0,57
CDM,576887,SCREW BN IM 10.5X95MM,9579.0,9579.0,1053.69,9579.0,57
CDM,577013,BSCP FLX DSP REG 5.0MM,7979.0,7979.0,558.53,7979.0,71
CDM,577033,REAMER CANN LNG 4.0MM,7361.0,7361.0,515.27,7361.0,71
CDM,577488,CATH GD 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,577964,EXTENSION GLOBAL MRS 60M,50826.0,50826.0,5590.86,50826.0,57
CDM,578037,INSERT KN TIB STD 18MM,19548.0,19548.0,2150.28,19548.0,57
CDM,578166,BASKET RET 3.0CM 3.2MM,5742.0,5742.0,401.94,5742.0,71
CDM,578176,SCREW BN ST 2.4MM 14MM,2004.0,2004.0,220.44,2004.0,57
CDM,578516,MESH PROCEED 20X25CM,26286.0,26286.0,2891.46,26286.0,57
CDM,578623,GRAFT DURAL PRCN 7X4CM,12947.0,12947.0,1424.17,12947.0,57
CDM,578636,GRAFT DURAL PRCN 20X7CM,22914.0,22914.0,2520.54,22914.0,57
CDM,579352,SCREW BN 2.7MM 10MM,1721.0,1721.0,189.31,1721.0,57
CDM,579375,SCREW BN LCK 2.7MM 12MM,1802.0,1802.0,198.22,1802.0,57
CDM,579385,SCREW BN LCK 2.7MM 14MM,1721.0,1721.0,189.31,1721.0,57
CDM,579431,SCREW BN 2.7MM 24MM,1700.0,1700.0,187.0,1700.0,57
CDM,579548,SCREW BN 2.7MM 38MM,1721.0,1721.0,189.31,1721.0,57
CDM,579595,PLATE LCP DIST HUM 3.5,18328.0,18328.0,2016.08,18328.0,57
CDM,579608,PLATE BN RT 5H 3.5MM,20493.0,20493.0,2254.23,20493.0,57
CDM,580407,STENT BIL 6FR 4MM 19MM,13358.0,13358.0,1469.38,13358.0,57
CDM,580478,CLIP HEMOSTATIC SF 2.6MM,750.0,750.0,82.5,750.0,57
CDM,580630,GRAFT DBM PTTY 2.5CC,5138.0,5138.0,565.18,5138.0,57
CDM,580851,SCREW PLUS DRIVE 2.0X5MM,1151.0,1151.0,126.61,1151.0,57
CDM,580861,SCREW BONE TI RECESS 2.0,1133.0,1133.0,124.63,1133.0,57
CDM,581006,LINER HIP STD 0D 40X58MM,19350.0,19350.0,2128.5,19350.0,57
CDM,581065,PLATE MSH RSRBX 126X11,17959.0,17959.0,1975.49,17959.0,57
CDM,581075,PLATE MSH RSRBX 126X126,79529.0,79529.0,8748.19,79529.0,57
CDM,581106,SCREW R/R CORTX 1.5 X 5M,1275.0,1275.0,140.25,1275.0,57
CDM,581736,BLNCUT FLXTM 2.75X10,13256.0,13256.0,927.92,13256.0,71
CDM,582447,PLATE BN 12HL 4.5X229MM,12174.0,12174.0,1339.14,12174.0,57
CDM,582467,PLATE BN 14HL 4.5X264MM,15175.0,15175.0,1669.25,15175.0,57
CDM,582507,PLATE BN 18HL 4.5MM,19383.0,19383.0,2132.13,19383.0,57
CDM,582517,PLATE BN 3.5MM 185MM,23622.0,23622.0,2598.42,23622.0,57
CDM,582877,SCREW BN 2.7MM 12MM,750.0,750.0,82.5,750.0,57
CDM,582907,SCREW BN CORT 2.7MM 18MM,750.0,750.0,82.5,750.0,57
CDM,582917,SCREW BN 2.7MM 20MM,750.0,750.0,82.5,750.0,57
CDM,582978,SCREW BN 3.5X2.9X16MM,2387.0,2387.0,262.57,2387.0,57
CDM,582988,SCREW BN 3.5X2.9X18MM,2387.0,2387.0,262.57,2387.0,57
CDM,583019,SCREW BN 3.5MM 24MM,2387.0,2387.0,262.57,2387.0,57
CDM,583140,PLATE BN 14H 3.5MM 189MM,11359.0,11359.0,1249.49,11359.0,57
CDM,583554,GRAFT DURAL PRCN 10X7CM,18084.0,18084.0,1989.24,18084.0,57
CDM,583645,SCREW CORTEX 1.5 X 6MM R,1643.0,1643.0,180.73,1643.0,57
CDM,583685,CMPNT FEM KN LT SZ2,35346.0,35346.0,3888.06,35346.0,57
CDM,583836,SYSTEM BNCMNT MIXER,5754.0,5754.0,402.78,5754.0,71
CDM,583996,NAIL HUM CANN 9MM 260MM,21513.0,21513.0,2366.43,21513.0,57
CDM,584116,GWIRE VASC 300CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,584126,STENT URT 6FR 22CM,3258.0,3258.0,358.38,3258.0,57
CDM,584136,LEAD SUBQ 6996SQ41,56914.0,56914.0,6260.54,56914.0,57
CDM,584389,GWIRE ORTH 240X2MM,1321.0,1321.0,92.47,1321.0,71
CDM,584690,SHEATH GD 5FR 45CM,2549.0,2549.0,178.43,2549.0,71
CDM,584793,GRAFT TIS 10X7CM,24578.0,24578.0,2703.58,24578.0,57
CDM,584826,MESH PLATE 100MM,56923.0,56923.0,6261.53,56923.0,57
CDM,585424,PUMP INFS PAIN 20ML,182061.0,182061.0,20026.71,182061.0,57
CDM,585625,SCREW BN 2.4MM 6MM,957.0,957.0,105.27,957.0,57
CDM,585635,SCREW CORTEX 2.4 X 8MM,957.0,957.0,105.27,957.0,57
CDM,585645,SCREW BN 2.4X24MM,957.0,957.0,105.27,957.0,57
CDM,585657,SCREW BN 2.4MM 26MM,957.0,957.0,105.27,957.0,57
CDM,585667,SCREW BN 2.4MM 4MM 28MM,957.0,957.0,105.27,957.0,57
CDM,585677,SCREW BN 2.7MM 5MM 12MM,750.0,750.0,82.5,750.0,57
CDM,585717,PLATE BN 3.5MM 107MM,27357.0,27357.0,3009.27,27357.0,57
CDM,585727,PLATE BN 6HL 107MM,27357.0,27357.0,3009.27,27357.0,57
CDM,585737,PLATE T 2.4 LCP 3H/4H,7702.0,7702.0,847.22,7702.0,57
CDM,585747,PLATE BN 48X6.3X1.6MM,8675.0,8675.0,954.25,8675.0,57
CDM,585777,PLATE BN 5HL 61MM,17016.0,17016.0,1871.76,17016.0,57
CDM,585788,PLATE BN 7.5X1.6MM 2.4MM,16054.0,16054.0,1765.94,16054.0,57
CDM,585798,PLATE DISTAL RADIUS VOLA,17016.0,17016.0,1871.76,17016.0,57
CDM,585808,PLATE L 2.4 LCP 2H/4H -9,8456.0,8456.0,930.16,8456.0,57
CDM,585818,PLATE BN SS +90D LCP,8434.0,8434.0,927.74,8434.0,57
CDM,585828,PLATE L 2.4 LCP 2H/4H +9,8812.0,8812.0,969.32,8812.0,57
CDM,585838,PLATE L 2.4 LCP 3H/3H +9,7798.0,7798.0,857.78,7798.0,57
CDM,585848,PLATE 2.4 DIS RAD L-PT +,7511.0,7511.0,826.21,7511.0,57
CDM,585858,PLATE DRSL 3 HL 2.4,7148.0,7148.0,786.28,7148.0,57
CDM,585868,PLATE 2.4 DIS RAD L-PT -,7511.0,7511.0,826.21,7511.0,57
CDM,585878,PLATE LCP 2.4MM 242.508,7148.0,7148.0,786.28,7148.0,57
CDM,585888,PLATE 2.4 DIS RAD L-PT +,10339.0,10339.0,1137.29,10339.0,57
CDM,585898,CATH HMDIAL 8FX12 2LUM,2999.0,2999.0,209.93,2999.0,71
CDM,585928,SCREW BN 2.4MM 4MM 14MM,816.0,816.0,89.76,816.0,57
CDM,585968,SCREW BN 2.4MM 4MM 22MM,957.0,957.0,105.27,957.0,57
CDM,585998,SCREW BN 2.7X5MM 14MM,750.0,750.0,82.5,750.0,57
CDM,586020,SCREW BN 2.7MM 5MM 18MM,750.0,750.0,82.5,750.0,57
CDM,586030,SCREW BN 2.7MM 20MM,750.0,750.0,82.5,750.0,57
CDM,586050,SCREW BN SLFTP 2.7X24MM,750.0,750.0,82.5,750.0,57
CDM,586060,SCREW BN CORT 2.7MM 26MM,750.0,750.0,82.5,750.0,57
CDM,586070,SCREW BN 2.7MM 28MM,750.0,750.0,82.5,750.0,57
CDM,586080,SCREW BN 2.7MM 30MM,750.0,750.0,82.5,750.0,57
CDM,586090,PLATE BN L-90D 2X3HL 2.4,7953.0,7953.0,874.83,7953.0,57
CDM,586100,PLTE BNE 316L SS-20DD 2.,7148.0,7148.0,786.28,7148.0,57
CDM,586110,PLATE BN 2.4MM,8199.0,8199.0,901.89,8199.0,57
CDM,586280,SCREW BN 1.5MM 6MM,1511.0,1511.0,166.21,1511.0,57
CDM,586290,SCREW CRANI 8MM X 1.5MM,1511.0,1511.0,166.21,1511.0,57
CDM,586990,SCREW BN 2.7MM 26MM,2024.0,2024.0,222.64,2024.0,57
CDM,587000,PLATE BN 5HL LT 90MM,18260.0,18260.0,2008.6,18260.0,57
CDM,587030,PLATE HUM LCP 208X3.5,22324.0,22324.0,2455.64,22324.0,57
CDM,587510,SCREW BN 2.7MM 44MM,2024.0,2024.0,222.64,2024.0,57
CDM,587720,SCREW CORT S/D 1.5 6,1377.0,1377.0,151.47,1377.0,57
CDM,587880,HEAD FEM HIP +5MM 36MM,25351.0,25351.0,2788.61,25351.0,57
CDM,588310,SHEATH GD 5FR 45CM,2549.0,2549.0,178.43,2549.0,71
CDM,588370,NAIL HUM CANN 9MM 250MM,27617.0,27617.0,3037.87,27617.0,57
CDM,588682,CAP END TI HUM NAIL 0MM,2939.0,2939.0,323.29,2939.0,57
CDM,588692,SCREW BN 10.5MM 85MM,9579.0,9579.0,1053.69,9579.0,57
CDM,588802,INSERT TIB KN STD 22MM,19548.0,19548.0,2150.28,19548.0,57
CDM,588812,NAIL- IM L285 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
CDM,588822,NAIL- IM L300 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
CDM,588832,NAIL BN 8MM 315MM,25770.0,25770.0,2834.7,25770.0,57
CDM,588842,NAIL BN TIB 8MM 330MM,19130.0,19130.0,2104.3,19130.0,57
CDM,588852,NAIL- IM L345 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
CDM,588862,NAIL BN TIB 8MM 360MM,18946.0,18946.0,2084.06,18946.0,57
CDM,588872,NAIL- IM L375 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
CDM,588882,NAIL- IM L390 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
CDM,588892,NAIL- IM L285 OD9 TIB,25927.0,25927.0,2851.97,25927.0,57
CDM,588902,NAIL IM CANN TIB 9MMX300,25770.0,25770.0,2834.7,25770.0,57
CDM,588912,NAIL BN CANN 9MM 315MM,22936.0,22936.0,2522.96,22936.0,57
CDM,588922,NAIL TIB CANN TI 9X330MM,28927.0,28927.0,3181.97,28927.0,57
CDM,588942,NAIL- IM L360 OD9 TIB,18946.0,18946.0,2084.06,18946.0,57
CDM,588952,NAIL BN CANN 9MM 375MM,18946.0,18946.0,2084.06,18946.0,57
CDM,588962,NAIL BN TIB 9MM 390MM,24406.0,24406.0,2684.66,24406.0,57
CDM,588972,NAIL- IM L285 OD10 TIB,28927.0,28927.0,3181.97,28927.0,57
CDM,588992,NAIL BN TIB 10MM 315MM,19130.0,19130.0,2104.3,19130.0,57
CDM,589012,NAIL BN TIB 10MM 345MM,25770.0,25770.0,2834.7,25770.0,57
CDM,589032,NAIL BN TIB 10MM 375MM,27558.0,27558.0,3031.38,27558.0,57
CDM,589042,NAIL- IM L390 OD10 TIB,25763.0,25763.0,2833.93,25763.0,57
CDM,589052,NAIL BN TIB 11MM 300MM,26189.0,26189.0,2880.79,26189.0,57
CDM,589062,NAIL BN TIB 11MM 315MM,24406.0,24406.0,2684.66,24406.0,57
CDM,589072,NAIL- IM L330 OD11 TIB,27558.0,27558.0,3031.38,27558.0,57
CDM,589082,NAIL TIB IM 11MM 34.5CM,30924.0,30924.0,3401.64,30924.0,57
CDM,589092,NAIL TIBIAL 04.004.552S,30924.0,30924.0,3401.64,30924.0,57
CDM,589102,NAIL- IM L375 OD11 TIB,24406.0,24406.0,2684.66,24406.0,57
CDM,589112,NAIL- IM L390 OD11 TIB,24406.0,24406.0,2684.66,24406.0,57
CDM,589122,PLATE 3.5 3H-RT 241.262,18477.0,18477.0,2032.47,18477.0,57
CDM,589142,PLATE BN RT 5H 3.5MM,20493.0,20493.0,2254.23,20493.0,57
CDM,589152,PLATE BN 2.5X11X116MM,21438.0,21438.0,2358.18,21438.0,57
CDM,589962,SYSTEM URTH SUPP BLU,32085.0,32085.0,3529.35,32085.0,57
CDM,590064,SHTH CATH 10FR 75CM,3280.0,3280.0,229.6,3280.0,71
CDM,590337,SCREW BN 2.7MM 28MM,2024.0,2024.0,222.64,2024.0,57
CDM,590347,SCREW BN 2.7MM 42MM,1700.0,1700.0,187.0,1700.0,57
CDM,590357,PLATE 3.5 DIS HUM SUP 7H,19876.0,19876.0,2186.36,19876.0,57
CDM,590367,PLATE 116X11X2.5MM 3.5MM,19876.0,19876.0,2186.36,19876.0,57
CDM,590387,PLATE DISTAL HUMERUS 3.5,17645.0,17645.0,1940.95,17645.0,57
CDM,590397,PLATE BN LT 3HL 3.5MM,19753.0,19753.0,2172.83,19753.0,57
CDM,590408,PLATE BN 7HL RT 3.5MM,22546.0,22546.0,2480.06,22546.0,57
CDM,590708,MESH SURG 30X30 ULTRA,4888.0,4888.0,537.68,4888.0,57
CDM,590984,CANNULA ART 15FR 18CM,5623.0,5623.0,393.61,5623.0,71
CDM,591106,INTRO SHTH 10F 20X15.5CM,2061.0,2061.0,144.27,2061.0,71
CDM,591867,SCREW SPN 5MM 40MM,12655.0,12655.0,1392.05,12655.0,57
CDM,591877,SCREW SPN 6MM 35MM,12655.0,12655.0,1392.05,12655.0,57
CDM,591907,HK SPNL TI 5.5 XPDM,7593.0,7593.0,835.23,7593.0,57
CDM,592180,INTRO SHTH 16FR 30CM,2324.0,2324.0,162.68,2324.0,71
CDM,592232,SCREW BN 1.5MM 2.9MM 6MM,1225.0,1225.0,134.75,1225.0,57
CDM,592273,ADAPTER INTRO SEAL 9FR,1599.0,1599.0,111.93,1599.0,71
CDM,592321,IMPLANT BREAST 200CC,13790.0,13790.0,1516.9,13790.0,57
CDM,592561,SCREW SPN 5.5MM 6MM 50MM,12655.0,12655.0,1392.05,12655.0,57
CDM,592791,LEAD PCNG RT VNTRC 52CM,9473.0,9473.0,1042.03,9473.0,57
CDM,593101,MESH SURG 3X6IN,1917.0,1917.0,210.87,1917.0,57
CDM,593356,VALVE SHUNT 7X13X33MM,77761.0,77761.0,8553.71,77761.0,57
CDM,593387,RELOAD STPLR 3.8X80MM,7291.0,7291.0,802.01,7291.0,57
CDM,593447,BAR VERTICAL GEARED,65103.0,65103.0,4557.21,65103.0,71
CDM,593617,PLATE BN CMF DBL Y 7H,4046.0,4046.0,445.06,4046.0,57
CDM,593699,SCREW BN 2.3MM 16MM,3946.0,3946.0,434.06,3946.0,57
CDM,593709,SCREW BN 2.3MM 18MM,2693.0,2693.0,296.23,2693.0,57
CDM,593910,PLATE BN 20HL 6MM 82MM,5949.0,5949.0,654.39,5949.0,57
CDM,594556,SCREW BN 2.3MM 14MM,2248.0,2248.0,247.28,2248.0,57
CDM,594656,NAIL HUM CANN 9MM 270MM,29037.0,29037.0,3194.07,29037.0,57
CDM,594706,PATCH DURA BVN 5X4IN,15554.0,15554.0,1710.94,15554.0,57
CDM,594858,CANN DL STG 29/37FR 37CM,1599.0,1599.0,111.93,1599.0,71
CDM,595393,CMPNT FEM KN LT SZ3,35346.0,35346.0,3888.06,35346.0,57
CDM,595413,CMPNT KN CMNT LT SZ6,35346.0,35346.0,3888.06,35346.0,57
CDM,595423,CMPNT KN RT SZ6,35346.0,35346.0,3888.06,35346.0,57
CDM,596042,HEAD FEM HIP 36MM,22386.0,22386.0,2462.46,22386.0,57
CDM,596092,SCREW EXFX LNG DISP,7599.0,7599.0,531.93,7599.0,71
CDM,596242,CATH BLNDIL 14MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,597580,PLATE BN 10HL ORBT 1.2MM,4524.0,4524.0,497.64,4524.0,57
CDM,597590,PLATE BN CRNMXF 24HL,9650.0,9650.0,1061.5,9650.0,57
CDM,597610,PLATE MDFC 5H Y LCK 8MM,4314.0,4314.0,474.54,4314.0,57
CDM,597620,PLATE BN LCK 5HL 2MM,4051.0,4051.0,445.61,4051.0,57
CDM,597860,CLIP ANRSM PERM 3MM,3733.0,3733.0,410.63,3733.0,57
CDM,597870,CLIP ANRSM PERM 5MM,3733.0,3733.0,410.63,3733.0,57
CDM,598030,IMPLANT BREAST 150CC,15413.0,15413.0,1695.43,15413.0,57
CDM,598050,IMPLANT BREAST 350CC,15413.0,15413.0,1695.43,15413.0,57
CDM,598894,SYS DRN W/ANTFX BG 700ML,6104.0,6104.0,427.28,6104.0,71
CDM,599548,SCREW BN 4MM 22MM,2761.0,2761.0,303.71,2761.0,57
CDM,599559,SCREW BN 4MM 24MM,2761.0,2761.0,303.71,2761.0,57
CDM,599569,INTRO SHTH 10FR 40CM,2324.0,2324.0,162.68,2324.0,71
CDM,599729,HEAD FEM HIP 36MM,22720.0,22720.0,2499.2,22720.0,57
CDM,599780,PIN BN FX 2.1MM 4MM,11467.0,11467.0,1261.37,11467.0,57
CDM,600263,ENDCAP FEM NAIL 0MM,2549.0,2549.0,280.39,2549.0,57
CDM,600468,TUBE EAR CLR BTN1.5X1.27,891.0,891.0,98.01,891.0,57
CDM,600513,CMPNT KN FEM CMN LT SZ5,35346.0,35346.0,3888.06,35346.0,57
CDM,601053,PLATE LCP DIST RADIUS 5,15314.0,15314.0,1684.54,15314.0,57
CDM,601068,PLATE BN 4HL RT 47MM,14162.0,14162.0,1557.82,14162.0,57
CDM,601105,PLATE BONE LCP 2.4 X 65M,13780.0,13780.0,1515.8,13780.0,57
CDM,601332,PLATE BN DIST RAD 4HL,14445.0,14445.0,1588.95,14445.0,57
CDM,602082,SCREW BN T25 5X8MM,3272.0,3272.0,359.92,3272.0,57
CDM,602117,STENT URET 5FR 18CM,2475.0,2475.0,272.25,2475.0,57
CDM,602130,STENT URET 5FR 20CM,2475.0,2475.0,272.25,2475.0,57
CDM,602148,STENT URET 5FR 22CM,2425.0,2425.0,266.75,2425.0,57
CDM,602160,STENT URET 5FR 24CM,2425.0,2425.0,266.75,2425.0,57
CDM,602172,STENT URET 5FR 26CM,2475.0,2475.0,272.25,2475.0,57
CDM,602191,STENT URET 5FR 28CM,2425.0,2425.0,266.75,2425.0,57
CDM,602204,STENT URET 6FR 20CM,2475.0,2475.0,272.25,2475.0,57
CDM,602218,STENT URET 6FR 22CM,2425.0,2425.0,266.75,2425.0,57
CDM,602236,STENT URET 6FR 24CM,2425.0,2425.0,266.75,2425.0,57
CDM,602256,STENT URET 6FR 26CM,2425.0,2425.0,266.75,2425.0,57
CDM,602266,STENT URET 6FR 28CM,2475.0,2475.0,272.25,2475.0,57
CDM,602288,STENT URET 6FR 30CM,2425.0,2425.0,266.75,2425.0,57
CDM,602301,STENT URET 7FR 20CM,2475.0,2475.0,272.25,2475.0,57
CDM,602333,STENT URET 7FR 24CM,2425.0,2425.0,266.75,2425.0,57
CDM,602346,STENT URET 7FR 26CM,2425.0,2425.0,266.75,2425.0,57
CDM,602376,STENT URET 7FR 28CM,2425.0,2425.0,266.75,2425.0,57
CDM,602429,STENT URET 8FR 22CM,2475.0,2475.0,272.25,2475.0,57
CDM,602441,STENT URET 8FR 24CM,2475.0,2475.0,272.25,2475.0,57
CDM,602453,STENT URET 8FR 26CM,2425.0,2425.0,266.75,2425.0,57
CDM,602464,STENT URET 8FR 28CM,2475.0,2475.0,272.25,2475.0,57
CDM,602474,STENT URET 8FR 30CM,2475.0,2475.0,272.25,2475.0,57
CDM,602579,CAP END TI HUM NAIL 0MM,1727.0,1727.0,189.97,1727.0,57
CDM,602681,CMPNT FEM RT KN 3,35346.0,35346.0,3888.06,35346.0,57
CDM,602832,SCREW BN 2.3MM 26MM,2693.0,2693.0,296.23,2693.0,57
CDM,604244,SCREW L10 OD2MM,1994.0,1994.0,219.34,1994.0,57
CDM,604394,SCREW LOCK PP 5.0MMX12MM,3676.0,3676.0,404.36,3676.0,57
CDM,607031,PIN FX 1/8IN STNM SS,207.0,207.0,14.49,207.0,71
CDM,607076,CMPNT FEM KN LT #2,36613.0,36613.0,4027.43,36613.0,57
CDM,607099,CMPNT FEM KN CMNT SZ2,35346.0,35346.0,3888.06,35346.0,57
CDM,607674,SCREW 8MM PLUS DRIVE,1151.0,1151.0,126.61,1151.0,57
CDM,607951,SCREW BNE TI L6MM OD2MM,1151.0,1151.0,126.61,1151.0,57
CDM,607972,SCREW 10MM PLUS DRIVE,1151.0,1151.0,126.61,1151.0,57
CDM,609008,SCREW BN CRANI 1.5MM 4MM,1643.0,1643.0,180.73,1643.0,57
CDM,609020,SCREW BN CRANI 1.5MM 4MM,1643.0,1643.0,180.73,1643.0,57
CDM,609111,KWIRE FX 6IN 0.7MM,269.0,269.0,18.83,269.0,71
CDM,609148,KWIRE FX 1 .062IN 6IN,269.0,269.0,18.83,269.0,71
CDM,609199,KWIRE FX 2 .035IN 4IN,269.0,269.0,18.83,269.0,71
CDM,609369,GWIRE ORTH 3.2MM 300MM,1650.0,1650.0,115.5,1650.0,71
CDM,609435,PACK EAR 12MM 15MM,521.0,521.0,36.47,521.0,71
CDM,609602,PACKING NSL 1.5X2X8CM,711.0,711.0,49.77,711.0,71
CDM,609848,PACKING NSL 1.5X3X8CM,1028.0,1028.0,71.96,1028.0,71
CDM,610062,CMPNT KN CMNT RT SZ1,35346.0,35346.0,3888.06,35346.0,57
CDM,610081,CMPNT KN CMNT LT SZ8,35346.0,35346.0,3888.06,35346.0,57
CDM,610603,SPLNT NSL IMP TEMP,1599.0,1599.0,111.93,1599.0,71
CDM,610657,NAS SPL STD THK 5,1202.0,1202.0,84.14,1202.0,71
CDM,610847,TUBE TYMPANIC FLUID ASP,634.0,634.0,44.38,634.0,71
CDM,611075,TUBE VNT 5MM 1.14MM,750.0,750.0,82.5,750.0,57
CDM,611086,CATH DRN L30CM OD6.5FR,2324.0,2324.0,162.68,2324.0,71
CDM,611098,CATH DRN 8FR 30CM,2324.0,2324.0,162.68,2324.0,71
CDM,611109,CATH DRN L30CM OD10FR,2324.0,2324.0,162.68,2324.0,71
CDM,611127,CATH DRN L30CM OD12FR,2324.0,2324.0,162.68,2324.0,71
CDM,611297,TUBE TYMP 4.5MM 1.14MM,750.0,750.0,82.5,750.0,57
CDM,611318,TUBE VNT EAR 1.14MM,750.0,750.0,82.5,750.0,57
CDM,611340,TUBE EARVNT 1.52X4.45MM,750.0,750.0,82.5,750.0,57
CDM,611555,COMPNT FEM LT KN SZ4,35346.0,35346.0,3888.06,35346.0,57
CDM,612054,SCREW BN 5.0MM 14MM,1377.0,1377.0,151.47,1377.0,57
CDM,612066,SCREW BN 5MM 22MM,1377.0,1377.0,151.47,1377.0,57
CDM,612094,DEVICE CLSR VASC 6FR,4316.0,4316.0,474.76,4316.0,57
CDM,612361,PLATE BN LCP 2.4MM 65MM,15455.0,15455.0,1700.05,15455.0,57
CDM,612696,SCREW BN TI 5X85MM,2762.0,2762.0,303.82,2762.0,57
CDM,612753,STEM FEM HIP SZ6 120MM,49846.0,49846.0,5483.06,49846.0,57
CDM,612804,STEM FEM HIP SZ8 30MM,53140.0,53140.0,5845.4,53140.0,57
CDM,612816,STEM FEM HIP 127D 9 35MM,49846.0,49846.0,5483.06,49846.0,57
CDM,612991,NUT LCK FOR RED SCRW,5623.0,5623.0,393.61,5623.0,71
CDM,613297,NAIL IM TI L315MM OD12MM,18946.0,18946.0,2084.06,18946.0,57
CDM,613309,NAIL BN TIB 12MM 330MM,18946.0,18946.0,2084.06,18946.0,57
CDM,613319,NAIL BN 12MM 345MM,18946.0,18946.0,2084.06,18946.0,57
CDM,613334,NAIL IM TI 12MM 360MM TI,25927.0,25927.0,2851.97,25927.0,57
CDM,613348,NAIL TIBIAL 04.004.655S,25927.0,25927.0,2851.97,25927.0,57
CDM,613363,SCREW BN STRL LCK 5X26MM,2762.0,2762.0,303.82,2762.0,57
CDM,613386,SCREW BN STRL LCK 5X30MM,2680.0,2680.0,294.8,2680.0,57
CDM,613429,SCREW BN STRL LCK 5X38MM,2719.0,2719.0,299.09,2719.0,57
CDM,613471,SCREW BN STRL LCK 5X46MM,2762.0,2762.0,303.82,2762.0,57
CDM,613481,SCREW BN STRL LCK 5X48MM,3154.0,3154.0,346.94,3154.0,57
CDM,613503,SCREW BN 5MM 52MM,3154.0,3154.0,346.94,3154.0,57
CDM,613528,SCREW BN STRL LCK 5X56MM,3354.0,3354.0,368.94,3354.0,57
CDM,613580,SCREW LOCKING 5.0 X 70MM,3154.0,3154.0,346.94,3154.0,57
CDM,613600,CAP END 0MM T40 XTD LCK,2050.0,2050.0,225.5,2050.0,57
CDM,613611,BLADE ORTHO TI L100MM,6639.0,6639.0,730.29,6639.0,57
CDM,613621,NAIL BN FEM 10MM 360MM,21974.0,21974.0,2417.14,21974.0,57
CDM,613631,NAIL FEM 10MM 380MM,21974.0,21974.0,2417.14,21974.0,57
CDM,613661,NAIL IM TI 11X380MM FEM,18041.0,18041.0,1984.51,18041.0,57
CDM,613754,DRSG WND HMSTS 4X4CM,4153.0,4153.0,290.71,4153.0,71
CDM,620391,CUBE CIRC EX FIX 2 HL,5623.0,5623.0,393.61,5623.0,71
CDM,620905,ROD THD SLTD 60MM,1024.0,1024.0,71.68,1024.0,71
CDM,621568,ROD GRAD TELES 150 MM LG,6925.0,6925.0,484.75,6925.0,71
CDM,621651,BOLT EX FX WIRE CANN,1599.0,1599.0,111.93,1599.0,71
CDM,621683,ROD TELESCOPIC LG 100M,10864.0,10864.0,760.48,10864.0,71
CDM,621919,STAPLER INT 3.8X100MM,11270.0,11270.0,788.9,11270.0,71
CDM,621931,STAPLER INT 3.8X80MM,10962.0,10962.0,767.34,10962.0,71
CDM,622674,COMPNT FEM RT KN SZ7,35346.0,35346.0,3888.06,35346.0,57
CDM,622685,SCREW BN 1.7MM 5MM,1252.0,1252.0,137.72,1252.0,57
CDM,622979,SCREW SPN 4.5MM 10MM,1899.0,1899.0,208.89,1899.0,57
CDM,623605,HEAD FEM HIP 12/14 36MM,14175.0,14175.0,1559.25,14175.0,57
CDM,623688,SCREW 12MM PLUS DRIVE,1049.0,1049.0,115.39,1049.0,57
CDM,623701,SCREW BNE TI 2.0X14MM CO,1151.0,1151.0,126.61,1151.0,57
CDM,623906,KWIRE FX .045IN 4IN,269.0,269.0,18.83,269.0,71
CDM,624091,CMPNT FEM KN LT SZ7,35346.0,35346.0,3888.06,35346.0,57
CDM,624105,GWDX NTRX 035 260 INT A,1912.0,1912.0,133.84,1912.0,71
CDM,624127,SYSTEM SEALANT 5ML,14457.0,14457.0,1590.27,14457.0,57
CDM,624348,PLATE BN 100D 12MM,3917.0,3917.0,430.87,3917.0,57
CDM,624359,PLATE BN MDFC 6H 12MM,3917.0,3917.0,430.87,3917.0,57
CDM,624422,CMPNT FEM KN LT SZ6,35346.0,35346.0,3888.06,35346.0,57
CDM,624535,SCREW BN 5MM 40MM,3656.0,3656.0,402.16,3656.0,57
CDM,624711,CAP END TI T40 5MM,2755.0,2755.0,303.05,2755.0,57
CDM,624737,SCREW BN 4MM 36MM,2137.0,2137.0,235.07,2137.0,57
CDM,624758,SCRW BN 4MM 46MM,2321.0,2321.0,255.31,2321.0,57
CDM,624768,SCREW BN 4MM 52MM,2867.0,2867.0,315.37,2867.0,57
CDM,624780,SCREW BN 4MM 54MM,2137.0,2137.0,235.07,2137.0,57
CDM,624791,SCREW BN 56MM 4MM,2963.0,2963.0,325.93,2963.0,57
CDM,624802,SCREW BN 4MM 58MM,2982.0,2982.0,328.02,2982.0,57
CDM,624904,SCREW BN 4MM 70MM,2926.0,2926.0,321.86,2926.0,57
CDM,625049,KIT HMDIAL 15.5FR 36CM,7201.0,7201.0,504.07,7201.0,71
CDM,625357,PIN NVG PRCSN 150X3MM,5738.0,5738.0,401.66,5738.0,71
CDM,625996,INSRT TIB X3 SZ11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,626029,ADAPTER WND DRN 19-32FR,109.0,109.0,7.63,109.0,71
CDM,626135,INSERT TIB PST SZ5 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,626319,INSERT KN TIB SZ4 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,626382,DEVICE BALLOON INFLATION,992.0,992.0,69.44,992.0,71
CDM,626637,INSRT TRTHN CR TIB,24510.0,24510.0,2696.1,24510.0,57
CDM,626648,CMPNT KN 10MM 35MM,9804.0,9804.0,1078.44,9804.0,57
CDM,626659,PLATE LCP 3.5 X 142MM 6,28353.0,28353.0,3118.83,28353.0,57
CDM,627299,CMPNT KN FEM CMNT RT 2,35346.0,35346.0,3888.06,35346.0,57
CDM,627321,CMPNT KN RT SZ3,35346.0,35346.0,3888.06,35346.0,57
CDM,627333,CMPNT FEM KN LT SZ5,35346.0,35346.0,3888.06,35346.0,57
CDM,627343,CMPTN KN LT SZ7,35346.0,35346.0,3888.06,35346.0,57
CDM,627355,CMPNT KN CMNT RT SZ7,35346.0,35346.0,3888.06,35346.0,57
CDM,627959,SLEEVE TIB 29X26X40MM,37358.0,37358.0,4109.38,37358.0,57
CDM,628827,RELOAD STPLR 3.8X60MM,5623.0,5623.0,618.53,5623.0,57
CDM,628898,STENT TRCHBR 7FR 8X38MM,49760.0,49760.0,5473.6,49760.0,57
CDM,628919,STENT TRCHBR 7FR 10X38MM,49760.0,49760.0,5473.6,49760.0,57
CDM,630229,LINER ACTB HIP SZ26 28MM,19350.0,19350.0,2128.5,19350.0,57
CDM,630360,INSERT TIB KN SZ3 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,630371,INSERT TIB KN SZ3 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,630434,INSRT TRTHN CR TIB,24510.0,24510.0,2696.1,24510.0,57
CDM,630466,INSERT TIB 9MM TRIATH X3,24510.0,24510.0,2696.1,24510.0,57
CDM,630555,INSRT TIB X3 TRTHN 9,24510.0,24510.0,2696.1,24510.0,57
CDM,630701,INSERT TIB BEAR SZ6,24510.0,24510.0,2696.1,24510.0,57
CDM,630734,INSERT KN BEAR SZ7-9,24510.0,24510.0,2696.1,24510.0,57
CDM,630784,COMPNT PTLR ASYM 10X32MM,9804.0,9804.0,1078.44,9804.0,57
CDM,630906,SCREW BNE EXPEDIUM TI L4,11554.0,11554.0,1270.94,11554.0,57
CDM,630916,SCREW SPN 5.5X6X45MM,12506.0,12506.0,1375.66,12506.0,57
CDM,631878,BASEPLATE KN LT SZ6,46655.0,46655.0,5132.05,46655.0,57
CDM,632232,SCREW SPN 5.5X7.5X45MM,12655.0,12655.0,1392.05,12655.0,57
CDM,632665,STAPLER RELOAD CRV 40MM,5623.0,5623.0,618.53,5623.0,57
CDM,632903,SCREW BN 1.2MM 3MM,1696.0,1696.0,186.56,1696.0,57
CDM,632913,SCREW BN SLF DRL 1.2X4MM,1658.0,1658.0,182.38,1658.0,57
CDM,632923,SCREW BN MXLFCL 1.7X4MM,1252.0,1252.0,137.72,1252.0,57
CDM,632934,SCREW BN MDFC 6X1.7 XPN,1252.0,1252.0,137.72,1252.0,57
CDM,632947,SCREW BN 1.9MM 5MM,1288.0,1288.0,141.68,1288.0,57
CDM,632969,SCREW BN 2MM 5MM,1364.0,1364.0,150.04,1364.0,57
CDM,632990,SCREW BN 2MM 8MM,1254.0,1254.0,137.94,1254.0,57
CDM,633003,SCREW BN 2.0MM 12MM,1254.0,1254.0,137.94,1254.0,57
CDM,633017,SCREW BN 2.3MM 6MM,1567.0,1567.0,172.37,1567.0,57
CDM,633060,HEAD HUM SHLDR 32MM,14385.0,14385.0,1582.35,14385.0,57
CDM,633560,PLATE BN 18HL,10152.0,10152.0,1116.72,10152.0,57
CDM,633570,PLATE BN 5H 4MM,3239.0,3239.0,356.29,3239.0,57
CDM,633580,PLATE BN 6HL MDFC .6MM,5006.0,5006.0,550.66,5006.0,57
CDM,633590,PLATE BN .6X1.2MM 8HL,4804.0,4804.0,528.44,4804.0,57
CDM,633600,PLATE BN 6X2H .6MM,8227.0,8227.0,904.97,8227.0,57
CDM,633611,PLATE BN DBL Y 7H,3218.0,3218.0,353.98,3218.0,57
CDM,633631,PLATE MDFC 6H L LT 8MM,3809.0,3809.0,418.99,3809.0,57
CDM,633641,PLATE MDFC 6H L RT 8MM,3809.0,3809.0,418.99,3809.0,57
CDM,633671,PLATE CHIN BN TI 6MM,3934.0,3934.0,432.74,3934.0,57
CDM,633691,PIN MXFCL FX 2.1X5 SNWLD,10563.0,10563.0,1161.93,10563.0,57
CDM,634006,PEG BN CORT LCK 2.3X18MM,3720.0,3720.0,409.2,3720.0,57
CDM,634016,PEG BN CORT 2.3MM 24MM,8284.0,8284.0,911.24,8284.0,57
CDM,634873,PLATE BN 3.5MM 119MM,24338.0,24338.0,2677.18,24338.0,57
CDM,634894,SCREW BN 4MM 14MM,1899.0,1899.0,208.89,1899.0,57
CDM,635299,SCREW BN 5X4.4X10MM,3676.0,3676.0,404.36,3676.0,57
CDM,635614,CATH BLNDIL 4MM 100MM,5623.0,5623.0,393.61,5623.0,71
CDM,635678,COMPNT PTLR TRI X3 8X29,9804.0,9804.0,1078.44,9804.0,57
CDM,636666,NAIL TROCH 10MM 36CM,28770.0,28770.0,3164.7,28770.0,57
CDM,637071,STEM FEM KN 120X15MM,37362.0,37362.0,4109.82,37362.0,57
CDM,637738,SCREW BN LCK 5X18MM,1377.0,1377.0,151.47,1377.0,57
CDM,637758,PLATE BN 4.5MM 277MM,30753.0,30753.0,3382.83,30753.0,57
CDM,637800,CATH PICC 30CM,1599.0,1599.0,111.93,1599.0,71
CDM,637963,SCREW BONE TI ORT 2.0X8,1233.0,1233.0,135.63,1233.0,57
CDM,638198,GRAFT PTLR 8-13X10-10.5,40374.0,40374.0,4441.14,40374.0,57
CDM,638500,PEG BN FEM KN MOD,1131.0,1131.0,124.41,1131.0,57
CDM,639372,SCREW LAG 10.5MM 80MM,12084.0,12084.0,1329.24,12084.0,57
CDM,640273,COMPNT PTLA KN RND 35MM,6750.0,6750.0,742.5,6750.0,57
CDM,641152,DEVICE CLSR 6FR .035IN,5138.0,5138.0,565.18,5138.0,57
CDM,641172,CMPNT KN LT SZ7,87888.0,87888.0,9667.68,87888.0,57
CDM,641182,CMPNT FEM CMNTLS RT SZ6,43086.0,43086.0,4739.46,43086.0,57
CDM,641363,STEM FEM HIP 13MM 138MM,46794.0,46794.0,5147.34,46794.0,57
CDM,641926,STENT BIL 5X17X14MM,15495.0,15495.0,1704.45,15495.0,57
CDM,642192,SCREW BN NS LCK 5X32MM,2073.0,2073.0,228.03,2073.0,57
CDM,642203,SCREW BN NS LCK 5X34MM,2137.0,2137.0,235.07,2137.0,57
CDM,642213,SCREW BN NS LCK 5X36MM,2073.0,2073.0,228.03,2073.0,57
CDM,642223,SCREW BN NS LCK 5X38MM,2073.0,2073.0,228.03,2073.0,57
CDM,642234,SCREW BN NS LCK 5X40MM,2137.0,2137.0,235.07,2137.0,57
CDM,642245,SCREW BN NS LCK 5X42MM,2926.0,2926.0,321.86,2926.0,57
CDM,642256,SCREW BN NS LCK 5X44MM,2137.0,2137.0,235.07,2137.0,57
CDM,642266,SCREW BN NS LCK 5X48MM,2073.0,2073.0,228.03,2073.0,57
CDM,642277,SCREW BN NS LCK 5X50MM,2321.0,2321.0,255.31,2321.0,57
CDM,642287,SCREW BN NS LCK 5X56MM,2664.0,2664.0,293.04,2664.0,57
CDM,642297,SCREW BN 5.0MM 60MM,2321.0,2321.0,255.31,2321.0,57
CDM,642308,SCREW BN 5MM 4.3MM 70MM,3126.0,3126.0,343.86,3126.0,57
CDM,642318,SCREW BN 5MM 80MM,2321.0,2321.0,255.31,2321.0,57
CDM,642349,SCREW BN NS LCK 5X52MM,2137.0,2137.0,235.07,2137.0,57
CDM,642469,NAIL IM TI L255MM OD9MM,28927.0,28927.0,3181.97,28927.0,57
CDM,642479,NAIL IM TI L270MM OD9MM,28927.0,28927.0,3181.97,28927.0,57
CDM,642490,NAIL IM TI L405MM OD9MM,25770.0,25770.0,2834.7,25770.0,57
CDM,642500,NAIL IM NAIL-EX TI L270M,24406.0,24406.0,2684.66,24406.0,57
CDM,642510,NAIL IM TI L405MM OD10MM,24406.0,24406.0,2684.66,24406.0,57
CDM,643485,PLATE BN LT 4H 3.5X112MM,18589.0,18589.0,2044.79,18589.0,57
CDM,644178,DRESSING WND 19.1 SQ IN,1388.0,1388.0,97.16,1388.0,71
CDM,644228,CATH DRN L30CM OD14FR,2324.0,2324.0,162.68,2324.0,71
CDM,644400,BSPLT KN TIB RT REV SZ3,46655.0,46655.0,5132.05,46655.0,57
CDM,645035,ROD SPN MTNR 3.5X60MM,4556.0,4556.0,501.16,4556.0,57
CDM,645066,CMPNT PTLA 3PEG STD31X8,6450.0,6450.0,709.5,6450.0,57
CDM,645437,BASEPLT TIB KN LT SZ4,22059.0,22059.0,2426.49,22059.0,57
CDM,645567,SCREW BN 1.5MM 5MM,1225.0,1225.0,134.75,1225.0,57
CDM,645578,SCREW 400.058,1225.0,1225.0,134.75,1225.0,57
CDM,645660,TRAY CATH PICC 6FR 50CM,5622.0,5622.0,393.54,5622.0,71
CDM,646079,BLADE SHAVER SOFT PLUS,9535.0,9535.0,667.45,9535.0,71
CDM,646493,SCREW BN 1.7MM 6MM,1618.0,1618.0,177.98,1618.0,57
CDM,646953,SCREW BN 115MM 110MM,12741.0,12741.0,1401.51,12741.0,57
CDM,647687,CEMENT BN 40GR 20ML,1496.0,1496.0,164.56,1496.0,57
CDM,647697,CMPNT FEM KN RT SZ5,83493.0,83493.0,9184.23,83493.0,57
CDM,647998,PLATE BN SS L168MM LCP R,26279.0,26279.0,2890.69,26279.0,57
CDM,648022,PLATE DISTAL TIBIAL 194M,28927.0,28927.0,3181.97,28927.0,57
CDM,648042,PLT LCP DI TIB 12 HL LT,27281.0,27281.0,3000.91,27281.0,57
CDM,648082,BIT DRILL 3.2MM 270MM,6305.0,6305.0,441.35,6305.0,71
CDM,648394,CANNULA ARTERIL 8FR,5623.0,5623.0,393.61,5623.0,71
CDM,648404,CANNULA ARTERIL 10FR,5623.0,5623.0,393.61,5623.0,71
CDM,648585,PLATE BN 3.5MM 171MM,24912.0,24912.0,2740.32,24912.0,57
CDM,648605,HEAD HUM SHLDR 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,648937,SYSTEM PUMP 2ML/HR 100ML,3471.0,3471.0,242.97,3471.0,71
CDM,648978,VALVE AORTIC 19MM,78264.0,78264.0,8609.04,78264.0,57
CDM,649214,BUTTON GSTRM 12FR 1.5CM,3398.0,3398.0,237.86,3398.0,71
CDM,649335,BUTTON GSTRM 12FR 1.7CM,3398.0,3398.0,237.86,3398.0,71
CDM,649526,MESH PLATE 100X100X0.5MM,51430.0,51430.0,5657.3,51430.0,57
CDM,649747,INSERT TIB KN SZ5-6 9MM,33916.0,33916.0,3730.76,33916.0,57
CDM,649778,SCREW SLR TPNG 2.0MM 8MM,2376.0,2376.0,261.36,2376.0,57
CDM,649788,SLEEVE TIB 29X26X40MM,29756.0,29756.0,3273.16,29756.0,57
CDM,649878,CLAMP EXFX 3-4MM,7407.0,7407.0,518.49,7407.0,71
CDM,649888,POST EXFX 30D HFMN2,2324.0,2324.0,162.68,2324.0,71
CDM,650235,BUTTON GSTRM 12FR 1.0CM,3423.0,3423.0,239.61,3423.0,71
CDM,650278,SCREW DRIVE PLUS 1.3MM X,1542.0,1542.0,169.62,1542.0,57
CDM,650293,SCREW DRIVE PLUS 1.3MM X,1559.0,1559.0,171.49,1559.0,57
CDM,650435,BASEPLATE TIB KN RT SZ3,22059.0,22059.0,2426.49,22059.0,57
CDM,650445,BASEPLT KN RT SZ4,23220.0,23220.0,2554.2,23220.0,57
CDM,650566,STENT URTH 6FR 12CM,950.0,950.0,104.5,950.0,57
CDM,651689,COMPNT FEM KN LT SZ6,87888.0,87888.0,9667.68,87888.0,57
CDM,651699,WEDGE FEM KN SZ5 5MM,20019.0,20019.0,2202.09,20019.0,57
CDM,651892,STEM FEM KN 120MM 11MM,20485.0,20485.0,2253.35,20485.0,57
CDM,652422,COVER BUR HL 17MM,3420.0,3420.0,376.2,3420.0,57
CDM,652432,COVER BUR HL MTRX 24MM,3237.0,3237.0,356.07,3237.0,57
CDM,652442,PLATE BN CRNMXF 2HL 12MM,1507.0,1507.0,165.77,1507.0,57
CDM,652452,PLATE BN 4H 0.4MM,3820.0,3820.0,420.2,3820.0,57
CDM,652462,PLATE BN 6H 0.4MM 18MM,3343.0,3343.0,367.73,3343.0,57
CDM,652472,PLATE BN CRNL 7H,6149.0,6149.0,676.39,6149.0,57
CDM,652482,PLATE BN .4MM 20HL,3909.0,3909.0,429.99,3909.0,57
CDM,652493,PLATE BN 4H 10X16X.4MM,3183.0,3183.0,350.13,3183.0,57
CDM,652503,PLATE BN BLU 2X3HL 9MM,6615.0,6615.0,727.65,6615.0,57
CDM,652513,PLATE BN 2X4H 34X14X.4MM,9410.0,9410.0,1035.1,9410.0,57
CDM,652533,SCREW BN 4MM,1478.0,1478.0,162.58,1478.0,57
CDM,652709,BASEPLATE TIB KN RT SZ6,22059.0,22059.0,2426.49,22059.0,57
CDM,653427,GRAFT CHIN 53X36X7MM,9854.0,9854.0,1083.94,9854.0,57
CDM,653668,SCREW LCK DPHSL SEG,2075.0,2075.0,228.25,2075.0,57
CDM,654724,SLEEVE TIBAL SIZE 3,64501.0,64501.0,7095.11,64501.0,57
CDM,656007,CTH MINI L60,8024.0,8024.0,561.68,8024.0,71
CDM,656157,SCREW BNE TI L18MM OD2MM,2343.0,2343.0,257.73,2343.0,57
CDM,656640,SYSTEM BNCMNT MIXER,1599.0,1599.0,111.93,1599.0,71
CDM,656751,SUTURE FBSWR 18IN,750.0,750.0,82.5,750.0,57
CDM,656761,SUTURE FIBERWIRE 38IN,750.0,750.0,82.5,750.0,57
CDM,67622,EKG TRACING ONLY,291.76,291.76,20.42,291.76,55
CDM,700197,BX BREAST NDL CORE,3404.39,3404.39,238.31,3404.39,64
CDM,700221,AMNIOCENTESIS,2245.17,2245.17,157.16,2245.17,64
CDM,700246,ASP ABS/CYST SKIN,1014.32,1014.32,71.0,1014.32,64
CDM,700249,ASP CYST BREAST INI,2933.89,2933.89,205.37,2933.89,64
CDM,700254,ASP/INJ CYST REN/PEL,3078.78,3078.78,215.51,3078.78,64
CDM,700311,BX ABD/RETROPERITO,2751.48,2751.48,192.6,2751.48,64
CDM,700313,BX BONE SUPERFICIAL,2780.44,2780.44,194.63,2780.44,64
CDM,700327,CATH HYSTEROSALPING,894.7,894.7,62.63,894.7,64
CDM,700340,INJ ARTHRO ANKLE,1520.63,1520.63,106.44,1520.63,64
CDM,700341,INJ ARTHRO ELBOW,4694.9,4694.9,328.64,4694.9,64
CDM,700342,INJ ARTHRO HIP W/ANS,1539.39,1539.39,107.76,1539.39,64
CDM,700343,INJ ARTHRO HIP W/O AN,1218.89,1218.89,85.32,1218.89,64
CDM,700345,INJ ARTHRO SHOULDER,3201.54,3201.54,224.11,3201.54,64
CDM,700349,INJ ARTHRO TMJ,4694.9,4694.9,328.64,4694.9,64
CDM,700350,INJ ARTHRO WRIST,3605.55,3605.55,252.39,3605.55,64
CDM,700351,INJ BLOOD PATCH,4728.26,4728.26,330.98,4728.26,64
CDM,700353,INJ CATH ABS/CYST,971.72,971.72,68.02,971.72,64
CDM,700355,INJ CIST/CERV C1-C2,3039.56,3039.56,212.77,3039.56,64
CDM,700372,INJ MYELOGRAM SPINE,10508.1,10508.1,735.57,10508.1,64
CDM,700374,INJ PERITONEAL CAVITY,5722.85,5722.85,400.6,5722.85,64
CDM,700377,INJ SHUNTOGRAM,2359.38,2359.38,165.16,2359.38,64
CDM,700378,INJ SIALOGRAM,2780.44,2780.44,194.63,2780.44,64
CDM,700379,INJ SINUS TRACT DX,1510.42,1510.42,105.73,1510.42,64
CDM,700387,INJ URETER,660.17,660.17,46.21,660.17,64
CDM,700388,INJ URETHROCYST RET,1236.44,1236.44,86.55,1236.44,64
CDM,700389,INJ VENOGRAM,2142.89,2142.89,150.0,2142.89,64
CDM,700391,INTRO LONG GI TUBE,1486.54,1486.54,104.06,1486.54,64
CDM,700418,PLACE GI TUBE,8377.16,8377.16,586.4,8377.16,64
CDM,700425,PUNCTURE LUMBAR DX,4858.56,4858.56,340.1,4858.56,64
CDM,700426,PUNCTURE SHUNT,5155.42,5155.42,360.88,5155.42,64
CDM,700441,THORACOSTOMY TUBE,7349.17,7349.17,514.44,7349.17,64
CDM,700517,USG NDL PLACEMENT,2167.9,2167.9,151.75,2167.9,54
CDM,700526,XR ABSCESS/FIST/SIN,1173.25,1173.25,82.13,1173.25,48
CDM,700528,XR AC JNTS BI W/WO WT,1031.17,1031.17,72.18,1031.17,48
CDM,700542,XR CONT ENEMA W/WO KUB,2282.61,2282.61,159.78,2282.61,48
CDM,700543,THER ENEMA W/CONT OR AIR,1578.68,1578.68,110.51,1578.68,48
CDM,700544,XR ENEMA W/ AIR,1297.74,1297.74,90.84,1297.74,48
CDM,700568,XR CHOLANG INTRAOP,2234.72,2234.72,156.43,2234.72,60
CDM,700569,XR CHOLANG INTRAOP ADL,1154.08,1154.08,80.79,1154.08,60
CDM,700571,XR CHOLECYST ORAL,1559.52,1559.52,109.17,1559.52,48
CDM,700573,XR CINERADIOGRAPHY,2790.22,2790.22,195.32,2790.22,48
CDM,700583,XR C-SPINE 2-3 VIEWS,983.29,983.29,68.83,983.29,48
CDM,700584,XR C-SPINE 4-5 V,1629.76,1629.76,114.08,1629.76,48
CDM,700586,XR C-SPINE 6 + V,1703.18,1703.18,119.22,1703.18,48
CDM,700587,XR CYSTOGRAM 3 + V,1795.77,1795.77,125.7,1795.77,48
CDM,700588,XR CYSTOURETHRO RETRO,1893.12,1893.12,132.52,1893.12,48
CDM,700589,XR CYSTOURETHRO VDNG,2071.91,2071.91,145.03,2071.91,48
CDM,700591,XR DIL BILE DUCT W/WO ST,4839.78,4839.78,338.78,4839.78,60
CDM,700601,XR ERCP,2954.63,2954.63,206.82,2954.63,60
CDM,700602,XR ERCP BILIARY ONLY,2451.81,2451.81,171.63,2451.81,60
CDM,700603,XR ERCP PANCREAS ONLY,2440.64,2440.64,170.84,2440.64,60
CDM,700604,XR ESOPH FB REMOVAL,4140.64,4140.64,289.84,4140.64,60
CDM,700605,XR ESOPHAGUS,1573.89,1573.89,110.17,1573.89,48
CDM,700607,XR FACIAL BONES < 3 V,1059.9,1059.9,74.19,1059.9,48
CDM,700608,XR FACIAL BONES 3 + V,1075.86,1075.86,75.31,1075.86,48
CDM,700617,XR FLUOROSCOPY 0-60 MIN,1216.32,1216.32,85.14,1216.32,48
CDM,700630,XR HYSTROSALPNGOGRAM,1798.97,1798.97,125.93,1798.97,48
CDM,700633,XR INTRO LONG GI TUBE,1224.32,1224.32,85.7,1224.32,60
CDM,700636,XR IVP INFUSION,4284.29,4284.29,299.9,4284.29,48
CDM,700637,XR IVP W OR W/O TOMO,2282.61,2282.61,159.78,2282.61,48
CDM,700638,XR IVP W/NEPHROTOMO,2426.28,2426.28,169.84,2426.28,48
CDM,700644,XR KNEE AP STAND BI,1123.75,1123.75,78.66,1123.75,48
CDM,700648,XR L-SPINE 4 + VIEWS,1623.36,1623.36,113.64,1623.36,48
CDM,700649,XR L-SPINE 2/3 VIEWS,1383.94,1383.94,96.88,1383.94,48
CDM,700650,XR L-SPINE BEND ONLY,3869.27,3869.27,270.85,3869.27,48
CDM,700651,XR L-SPINE W/BEND VIEW,5583.64,5583.64,390.85,5583.64,48
CDM,700655,XR MANDIBLE < 4 V,1045.55,1045.55,73.19,1045.55,48
CDM,700656,XR MANDIBLE 4 + V,1037.56,1037.56,72.63,1037.56,48
CDM,700658,XR MASTOIDS 3+V PER SIDE,683.19,683.19,47.82,683.19,48
CDM,700660,XR MYELOGRAM C-SPINE,4806.27,4806.27,336.44,4806.27,48
CDM,700661,XR MYELOGRAM L-SPINE,3591.53,3591.53,251.41,3591.53,48
CDM,700662,XR MYELOGR SPINE 2/M REG,4785.5,4785.5,334.99,4785.5,48
CDM,700664,XR NASAL BONES COMP,871.54,871.54,61.01,871.54,48
CDM,700667,XR NECK SOFT TISSUE,775.76,775.76,54.3,775.76,48
CDM,700668,XR OPTIC FORAMINA,2164.49,2164.49,151.51,2164.49,48
CDM,700669,XR ORBITS 4 + V,1395.11,1395.11,97.66,1395.11,48
CDM,700670,XR ORTHOPANTOGRAM,257.0,257.0,17.99,257.0,48
CDM,700673,XR PELVIS 1/2 VIEWS,747.04,747.04,52.29,747.04,48
CDM,700674,XR PELVIS 3 + V,2451.81,2451.81,171.63,2451.81,48
CDM,700675,XR PERINEOGRAM,1556.33,1556.33,108.94,1556.33,48
CDM,700681,XR RIBS BI 3 V,1189.2,1189.2,83.24,1189.2,48
CDM,700682,XR RIBS BI W/CXR 4 + V,1773.43,1773.43,124.14,1773.43,48
CDM,700685,XR SACRUM/COCCYX 2 + V,877.92,877.92,61.45,877.92,48
CDM,700686,XR SALIVARY GLAND CALC,2020.82,2020.82,141.46,2020.82,48
CDM,700688,XR SC JOINTS 3 + V,983.29,983.29,68.83,983.29,48
CDM,700690,XR SELLA TURCICA,1814.93,1814.93,127.05,1814.93,48
CDM,700694,XR SI JOINTS 3 + V,1256.23,1256.23,87.94,1256.23,48
CDM,700695,XR SIALOGRAM,1792.56,1792.56,125.48,1792.56,48
CDM,700696,XR SINUSES < 3 V,855.58,855.58,59.89,855.58,48
CDM,700697,XR SINUSES 3 + V,1556.33,1556.33,108.94,1556.33,48
CDM,700699,XR SKULL < 4 V,973.71,973.71,68.16,973.71,48
CDM,700700,XR SKULL 4 + V,1818.1,1818.1,127.27,1818.1,48
CDM,700702,XR SMALL BOWEL/ENTERO,5845.4,5845.4,409.18,5845.4,48
CDM,700703,XR SMALL INTESTINE,2068.71,2068.71,144.81,2068.71,48
CDM,700704,XR SPEECH EV COMPLEX,1476.52,1476.52,103.36,1476.52,48
CDM,700705,XR SPINE 1 V SPEC LEVEL,381.5,381.5,26.7,381.5,48
CDM,700707,XR STERNUM 2 + V,1010.42,1010.42,70.73,1010.42,48
CDM,700713,XR SWLW FUNC W/C&V,2261.87,2261.87,158.33,2261.87,48
CDM,700714,XR TEETH 1 VIEW,477.27,477.27,33.41,477.27,48
CDM,700715,XR TEETH FULL MOUTH,909.87,909.87,63.69,909.87,48
CDM,700719,XR T-L-SPINE 2 VIEWS,1971.35,1971.35,137.99,1971.35,48
CDM,700728,XR TMJ BI,1181.22,1181.22,82.69,1181.22,48
CDM,700731,XR TOMOGRAM SGL PLANE,2440.64,2440.64,170.84,2440.64,48
CDM,700732,XR T-SPINE 4 + VIEWS,1597.83,1597.83,111.85,1597.83,48
CDM,700733,XR T-SPINE 2 VIEWS,1248.25,1248.25,87.38,1248.25,48
CDM,700735,XR T-SPINE 3 VIEWS,1422.26,1422.26,99.56,1422.26,48
CDM,700738,XR UGI DBL CONTRAST,2304.97,2304.97,161.35,2304.97,48
CDM,700741,XR UGI SNGL CONTRAST,2121.39,2121.39,148.5,2121.39,48
CDM,700744,XR UROGRAM ANTEGRADE,842.82,842.82,59.0,842.82,48
CDM,700746,XR UROGRAM RETRO,2946.66,2946.66,206.27,2946.66,48
CDM,700748,XR WHOLE BODY FB 1 V,1015.2,1015.2,71.06,1015.2,48
CDM,700757,DOP TRANSCRANIAL COMP,2287.44,2287.44,160.12,2287.44,49
CDM,700761,DUP AB/PEL/SC COMP,1151.05,1151.05,80.57,1151.05,49
CDM,700776,BX LIVER,3063.45,3063.45,214.44,3063.45,64
CDM,700780,BX MUSCLE PERC,6227.45,6227.45,435.92,6227.45,64
CDM,700781,BX PANCREAS,4757.95,4757.95,333.06,4757.95,64
CDM,700782,BX PLEURA PERC,3157.21,3157.21,221.0,3157.21,64
CDM,700783,BX RENAL,3805.02,3805.02,266.35,3805.02,64
CDM,700784,SC BX SUP LYMPH NODE PND,6230.88,6230.88,436.16,6230.88,64
CDM,700785,BX THYROID,3404.39,3404.39,238.31,3404.39,64
CDM,700786,US ABDOMEN COMPLETE,2144.91,2144.91,150.14,2144.91,48
CDM,700787,US ABDOMEN LTD,1849.81,1849.81,129.49,1849.81,48
CDM,700792,US CHST W/MEDIASTINUM,1541.93,1541.93,107.94,1541.93,48
CDM,700793,US ENCEPHALOGRAM,2234.33,2234.33,156.4,2234.33,48
CDM,700796,US FETAL BIOPHYS PROF,1558.53,1558.53,109.1,1558.53,48
CDM,700804,US GUIDANCE TISSUE ABLAT,4245.1,4245.1,297.16,4245.1,54
CDM,700805,US HEAD AND NECK,1539.37,1539.37,107.76,1539.37,48
CDM,700807,US INFANT HIP DYNAM,530.15,530.15,37.11,530.15,48
CDM,700808,US INFANT HIP STATIC,530.15,530.15,37.11,530.15,48
CDM,700819,US PELVIC COMPLETE,2005.65,2005.65,140.4,2005.65,48
CDM,700820,US PELVIC LTD OR FU,1849.81,1849.81,129.49,1849.81,48
CDM,700821,US PRG AFT 1ST TRI AD,3367.46,3367.46,235.72,3367.46,54
CDM,700822,US PREG AFTER 1ST TRI,2194.72,2194.72,153.63,2194.72,48
CDM,700824,US PREGNANCY LTD,1089.69,1089.69,76.28,1089.69,48
CDM,700828,US RETRO LTD,1598.13,1598.13,111.87,1598.13,48
CDM,700829,US RETROPERITONEAL COM,1918.77,1918.77,134.31,1918.77,48
CDM,700830,US SCROTUM AND CNTS,1810.21,1810.21,126.71,1810.21,48
CDM,700831,US SPINAL CANAL,1936.67,1936.67,135.57,1936.67,48
CDM,700832,US TRANSRECTAL,1856.18,1856.18,129.93,1856.18,48
CDM,700833,US TRANSVAGINAL,1601.96,1601.96,112.14,1601.96,48
CDM,702882,INJ SINUS TRACT TH,5398.94,5398.94,377.93,5398.94,64
CDM,704355,"Brain imaging, positron emission tomography (PET); perfusion evaluation ",27565.58,27565.58,96.26,6566.0,13
CDM,704355,PET BRAIN PERFUSION EV,27565.58,27565.58,1929.59,27565.58,49
CDM,704358,"Brain imaging, positron emission tomography (PET); metabolic evaluation ",18377.91,18377.91,1442.53,6566.0,26
CDM,704358,"Brain imaging, positron emission tomography (PET); metabolic evaluation Age 21+",18377.91,18377.91,1610.95,1610.95,4
CDM,704358,"Brain imaging, positron emission tomography (PET); metabolic evaluation Age Under 21",18377.91,18377.91,1640.24,1640.24,4
CDM,704358,PET BRAIN METABOLIC EV,18377.91,18377.91,1286.45,18377.91,43
CDM,70436,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",23259.18,23259.18,225.0,6566.0,11
CDM,70436,PET MYOCARD MULTI R/S,23259.18,23259.18,1628.14,23259.18,43
CDM,704366,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",21509.03,21509.03,225.0,6566.0,11
CDM,704366,PET MYOCARD SGL R/S,21509.03,21509.03,1505.63,21509.03,43
CDM,704377,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; ",21509.03,21509.03,225.0,6566.0,11
CDM,704377,PET MYOCARDIAL MET EV,21509.03,21509.03,1505.63,21509.03,43
CDM,70439,PET TUMOR WHOLE BODY,28057.42,28057.42,1964.02,28057.42,43
CDM,70439,Positron emission tomography (PET) imaging; whole body ,28057.42,28057.42,1467.01,6566.0,25
CDM,70439,Positron emission tomography (PET) imaging; whole body Age 21+,28057.42,28057.42,1638.29,1638.29,4
CDM,70439,Positron emission tomography (PET) imaging; whole body Age Under 21,28057.42,28057.42,1668.07,1668.07,4
CDM,704403,CT ABDOMEN W&WO CONT,6421.22,6421.22,449.49,6421.22,43
CDM,704404,CT ABDOMEN W/CONT,5356.56,5356.56,374.96,5356.56,43
CDM,704405,CT ABDOMEN W/O CONT,4888.94,4888.94,342.23,4888.94,43
CDM,70441,CT CHEST W&W/O CONT,6927.29,6927.29,484.91,6927.29,43
CDM,704411,CT CHEST W/CONTRAST,5209.24,5209.24,364.65,5209.24,43
CDM,704412,CT CHEST W/O CONTRAST,4259.9,4259.9,298.19,4259.9,43
CDM,704413,CT C-SPINE W&W/O CONT,6026.62,6026.62,421.86,6026.62,43
CDM,704414,CT C-SPINE W/CONTRAST,5496.23,5496.23,384.74,5496.23,43
CDM,704415,CT C-SPINE W/O CONTRAST,4883.82,4883.82,341.87,4883.82,43
CDM,704418,CT HD/BR W&W/O CONT,5888.27,5888.27,412.18,5888.27,43
CDM,704419,CT HEAD/BRAIN W/CONT,4595.57,4595.57,321.69,4595.57,43
CDM,70442,CT HEAD/BRAIN W/O CONT,3789.7,3789.7,265.28,3789.7,43
CDM,704423,CT L-SPINE W&W/O CONT,6043.28,6043.28,423.03,6043.28,43
CDM,704424,CT L-SPINE W/CONTRAST,5593.59,5593.59,391.55,5593.59,43
CDM,704425,CT L-SPINE W/O CONTRAST,5123.4,5123.4,358.64,5123.4,43
CDM,704426,CT LTD/LOC,2081.92,2081.92,145.73,2081.92,43
CDM,704428,CT MAXIFAC W&W/O CONT,5433.44,5433.44,380.34,5433.44,43
CDM,704429,CT MAXIFAC W/CONTRAST,4159.95,4159.95,291.2,4159.95,43
CDM,70443,CT MAXIFAC W/O CNT,3999.82,3999.82,279.99,3999.82,43
CDM,704430,CT NECK W&W/O CONT,5532.09,5532.09,387.25,5532.09,43
CDM,704431,CT NECK W/CONTRAST,5096.48,5096.48,356.75,5096.48,43
CDM,704433,CT NECK W/O CONTRAST,4671.15,4671.15,326.98,4671.15,43
CDM,704434,CT ORBIT/SELLA/IAC W,4462.31,4462.31,312.36,4462.31,43
CDM,704435,CT ORBIT/SELLA/IAC W&WO,4576.33,4576.33,320.34,4576.33,43
CDM,704436,CT ORBIT/SELLA/IAC WO,4147.15,4147.15,290.3,4147.15,43
CDM,704437,CT PELVIS W&W/O CONT,6272.62,6272.62,439.08,6272.62,43
CDM,704438,CT PELVIS W/CONTRAST,4969.67,4969.67,347.88,4969.67,43
CDM,704439,CT PELVIS W/O CONTRAST,4248.36,4248.36,297.39,4248.36,43
CDM,704441,CT T-SPINE W&W/O CONT,5410.38,5410.38,378.73,5410.38,43
CDM,704442,CT T-SPINE W/CONTRAST,4883.82,4883.82,341.87,4883.82,43
CDM,704444,CT T-SPINE W/O CONTRAST,5888.27,5888.27,412.18,5888.27,43
CDM,704448,CTA ABD AORTA IF LWEX RO,3980.59,3980.59,278.64,3980.59,43
CDM,704449,CTA ABDOMEN,5849.82,5849.82,409.49,5849.82,43
CDM,70445,CTA CHEST,6259.81,6259.81,438.19,6259.81,43
CDM,704450,CTA HEAD,6557.02,6557.02,458.99,6557.02,43
CDM,704451,CTA LOW EXTREMITY RT,2026.82,2026.82,141.88,2026.82,43
CDM,704452,CTA NECK,6285.44,6285.44,439.98,6285.44,43
CDM,704455,CTA UPPER EXTREMITY,2126.75,2126.75,148.87,2126.75,43
CDM,704457,INJ NEURO EPI LUMB SACR,4939.5,4939.5,345.76,4939.5,64
CDM,704462,BX ABD/RETROPERITO,3196.41,3196.41,223.75,3196.41,64
CDM,704463,BX BONE DEEP,3706.14,3706.14,259.43,3706.14,64
CDM,704464,BX BONE SUPERFICIAL,2780.44,2780.44,194.63,2780.44,64
CDM,704466,BX LIVER,3063.45,3063.45,214.44,3063.45,64
CDM,704467,BX LIVER W/OTHER PROC,4159.6,4159.6,291.17,4159.6,64
CDM,704469,BX MUSCLE PERC,2780.44,2780.44,194.63,2780.44,64
CDM,70447,BX PANCREAS,6094.48,6094.48,426.61,6094.48,64
CDM,704470,BX PLEURA PERC,2771.92,2771.92,194.03,2771.92,64
CDM,704471,BX RENAL,3805.02,3805.02,266.35,3805.02,64
CDM,704472,BX THYROID,1756.79,1756.79,122.98,1756.79,64
CDM,70449,SP PERC DRAIN,3716.02,3716.02,260.12,3716.02,60
CDM,704495,MRA HD W&WO CONTRAST,6188.13,6188.13,433.17,6188.13,43
CDM,704495,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",6188.13,6188.13,335.05,1630.5,25
CDM,704495,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",6188.13,6188.13,374.17,374.17,4
CDM,704495,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",6188.13,6188.13,380.97,380.97,4
CDM,704496,MRA HD W/CONTRAST,5115.05,5115.05,358.05,5115.05,43
CDM,704496,"Magnetic resonance angiography, head; with contrast material(s) ",5115.05,5115.05,230.72,1630.5,25
CDM,704496,"Magnetic resonance angiography, head; with contrast material(s) Age 21+",5115.05,5115.05,257.65,257.65,4
CDM,704496,"Magnetic resonance angiography, head; with contrast material(s) Age Under 21",5115.05,5115.05,262.34,262.34,4
CDM,704497,MRA HD W/O CONT,4084.13,4084.13,285.89,4084.13,43
CDM,704497,"Magnetic resonance angiography, head; without contrast material(s) ",4084.13,4084.13,218.87,1321.0,25
CDM,704497,"Magnetic resonance angiography, head; without contrast material(s) Age 21+",4084.13,4084.13,244.42,244.42,4
CDM,704497,"Magnetic resonance angiography, head; without contrast material(s) Age Under 21",4084.13,4084.13,248.86,248.86,4
CDM,704499,MRA NECK W&WO CONT,5259.41,5259.41,368.16,5259.41,43
CDM,704499,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",5259.41,5259.41,350.85,1630.5,25
CDM,704499,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",5259.41,5259.41,391.81,391.81,4
CDM,704499,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",5259.41,5259.41,398.93,398.93,4
CDM,70450,MRA NECK W/CONTRAST,5062.68,5062.68,354.39,5062.68,43
CDM,70450,"Magnetic resonance angiography, neck; with contrast material(s) ",5062.68,5062.68,249.8,1630.5,25
CDM,70450,"Magnetic resonance angiography, neck; with contrast material(s) Age 21+",5062.68,5062.68,278.96,278.96,4
CDM,70450,"Magnetic resonance angiography, neck; with contrast material(s) Age Under 21",5062.68,5062.68,284.03,284.03,4
CDM,704500,MRA NECK W/O CONT,3674.04,3674.04,257.18,3674.04,43
CDM,704500,"Magnetic resonance angiography, neck; without contrast material(s) ",3674.04,3674.04,219.2,1321.0,25
CDM,704500,"Magnetic resonance angiography, neck; without contrast material(s) Age 21+",3674.04,3674.04,244.79,244.79,4
CDM,704500,"Magnetic resonance angiography, neck; without contrast material(s) Age Under 21",3674.04,3674.04,249.24,249.24,4
CDM,704502,MRA WO FOL W CONT PELVIS,4779.08,4779.08,334.54,4779.08,47
CDM,704502,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",4779.08,4779.08,523.13,1710.69,6
CDM,704503,MRA SPINE W/WO CONT,3470.93,3470.93,242.97,3470.93,49
CDM,704503,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",3470.93,3470.93,402.78,1364.99,10
CDM,704504,MRA UP EXT W/WO CONT,3470.93,3470.93,242.97,3470.93,49
CDM,704504,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",3470.93,3470.93,387.79,1321.0,10
CDM,704505,MRA W/CONT ABD,4422.65,4422.65,309.59,4422.65,47
CDM,704505,"Magnetic resonance angiography with contrast, abdomen ",4422.65,4422.65,523.13,1710.69,6
CDM,704506,MRA W/CONT CHEST,4555.52,4555.52,318.89,4555.52,47
CDM,704506,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",4555.52,4555.52,523.13,1710.69,6
CDM,704508,MRA W/O CONT ABD,3992.14,3992.14,279.45,3992.14,47
CDM,704508,"Magnetic resonance angiography without contrast, abdomen ",3992.14,3992.14,319.26,1044.02,6
CDM,704509,MRA W/O CONT CHEST,7224.18,7224.18,505.69,7224.18,47
CDM,704509,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",7224.18,7224.18,319.26,1044.02,6
CDM,704510,MRA W/O FOL W/CONT ABD,5365.45,5365.45,375.58,5365.45,47
CDM,704510,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",5365.45,5365.45,523.13,1710.69,6
CDM,704511,MRA W/O FOL W/CONT CHEST,5028.19,5028.19,351.97,5028.19,47
CDM,704511,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",5028.19,5028.19,523.13,1710.69,6
CDM,704514,MRI ABDOMEN W&WO CONT,8373.93,8373.93,586.18,8373.93,43
CDM,704514,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",8373.93,8373.93,343.27,1630.5,26
CDM,704514,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences Age 21+",8373.93,8373.93,383.35,383.35,4
CDM,704514,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences Age Under 21",8373.93,8373.93,390.32,390.32,4
CDM,704515,MRI ABDOMEN W/CONT,7224.18,7224.18,505.69,7224.18,43
CDM,704515,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",7224.18,7224.18,307.07,1630.5,26
CDM,704515,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) Age 21+",7224.18,7224.18,342.93,342.93,4
CDM,704515,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) Age Under 21",7224.18,7224.18,349.16,349.16,4
CDM,704516,MRI ABDOMEN W/O CONT,6541.99,6541.99,457.94,6541.99,43
CDM,704516,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",6541.99,6541.99,198.78,1321.0,26
CDM,704516,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age 21+",6541.99,6541.99,221.99,221.99,4
CDM,704516,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age Under 21",6541.99,6541.99,226.03,226.03,4
CDM,704519,MRI BRAIN W&WO CONT,8746.95,8746.95,612.29,8746.95,43
CDM,704519,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",8746.95,8746.95,323.19,1630.5,26
CDM,704519,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences Age 21+",8746.95,8746.95,360.92,360.92,4
CDM,704519,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences Age Under 21",8746.95,8746.95,367.48,367.48,4
CDM,70452,MRI BRAIN W/CONTRAST,7438.8,7438.8,520.72,7438.8,43
CDM,70452,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",7438.8,7438.8,274.48,1630.5,26
CDM,70452,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) Age 21+",7438.8,7438.8,306.53,306.53,4
CDM,70452,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) Age Under 21",7438.8,7438.8,312.1,312.1,4
CDM,704520,MRI BRAIN W/O CONTRAST,6582.88,6582.88,460.8,6582.88,43
CDM,704520,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",6582.88,6582.88,199.12,1321.0,26
CDM,704520,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age 21+",6582.88,6582.88,222.37,222.37,4
CDM,704520,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age Under 21",6582.88,6582.88,226.41,226.41,4
CDM,704524,CAR MRI MRP FN WO/W CM,7224.18,7224.18,505.69,7224.18,43
CDM,704524,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",7224.18,7224.18,360.92,1710.69,25
CDM,704524,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; Age 21+",7224.18,7224.18,403.06,403.06,4
CDM,704524,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; Age Under 21",7224.18,7224.18,410.39,410.39,4
CDM,704525,CAR MRI MORPH FUNC WO CM,3634.45,3634.45,254.41,3634.45,43
CDM,704525,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,3634.45,3634.45,229.97,1321.0,25
CDM,704525,Cardiac magnetic resonance imaging for morphology and function without contrast material; Age 21+,3634.45,3634.45,256.82,256.82,4
CDM,704525,Cardiac magnetic resonance imaging for morphology and function without contrast material; Age Under 21,3634.45,3634.45,261.49,261.49,4
CDM,704527,MRI CHEST W&WO CONT,7548.66,7548.66,528.41,7548.66,43
CDM,704527,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",7548.66,7548.66,360.92,1630.5,26
CDM,704527,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences Age 2",7548.66,7548.66,403.06,403.06,4
CDM,704527,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences Age U",7548.66,7548.66,410.39,410.39,4
CDM,704528,MRI CHEST W/CONTRAST,8439.06,8439.06,590.73,8439.06,43
CDM,704528,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",8439.06,8439.06,379.47,2907.1,26
CDM,704528,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) Age 21+",8439.06,8439.06,423.78,423.78,4
CDM,704528,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) Age Under 21",8439.06,8439.06,431.48,431.48,4
CDM,704529,MRI CHEST W/O CONT,5290.08,5290.08,370.31,5290.08,43
CDM,704529,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",5290.08,5290.08,229.97,1321.0,26
CDM,704529,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) Age 21+",5290.08,5290.08,256.82,256.82,4
CDM,704529,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) Age Under 21",5290.08,5290.08,261.49,261.49,4
CDM,70453,MRI C-SPINE W&W/O CONT,8587.26,8587.26,601.11,8587.26,43
CDM,70453,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",8587.26,8587.26,324.84,1630.5,26
CDM,70453,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical Age 21+",8587.26,8587.26,362.77,362.77,4
CDM,70453,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical Age Under 21",8587.26,8587.26,369.36,369.36,4
CDM,704530,MRI C-SPINE W/CONTRAST,7326.39,7326.39,512.85,7326.39,43
CDM,704530,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",7326.39,7326.39,279.75,1630.5,26
CDM,704530,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) Age 21+",7326.39,7326.39,312.41,312.41,4
CDM,704530,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) Age Under 21",7326.39,7326.39,318.09,318.09,4
CDM,704531,MRI C-SPINE W/O CONT,6305.67,6305.67,441.4,6305.67,43
CDM,704531,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",6305.67,6305.67,193.53,1321.0,26
CDM,704531,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material Age 21+",6305.67,6305.67,216.13,216.13,4
CDM,704531,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material Age Under 21",6305.67,6305.67,220.06,220.06,4
CDM,704536,MRI L-SPINE W&W/O CONT,8740.56,8740.56,611.84,8740.56,43
CDM,704536,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",8740.56,8740.56,324.19,1630.5,26
CDM,704536,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar Age 21+",8740.56,8740.56,362.04,362.04,4
CDM,704536,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar Age Under 21",8740.56,8740.56,368.63,368.63,4
CDM,704537,MRI L-SPINE W/CONT,7603.6,7603.6,532.25,7603.6,43
CDM,704537,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",7603.6,7603.6,274.81,1630.5,26
CDM,704537,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) Age 21+",7603.6,7603.6,306.9,306.9,4
CDM,704537,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) Age Under 21",7603.6,7603.6,312.48,312.48,4
CDM,704538,MRI L-SPINE W/O CONT,6871.61,6871.61,481.01,6871.61,43
CDM,704538,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",6871.61,6871.61,194.18,1321.0,26
CDM,704538,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age 21+",6871.61,6871.61,216.85,216.85,4
CDM,704538,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age Under 21",6871.61,6871.61,220.8,220.8,4
CDM,704541,MRI OR/FCE/NCK W&WO,6934.19,6934.19,485.39,6934.19,43
CDM,704541,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",6934.19,6934.19,343.92,1630.5,26
CDM,704541,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",6934.19,6934.19,384.08,384.08,4
CDM,704541,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",6934.19,6934.19,391.06,391.06,4
CDM,704542,MRI OR/FCE/NCK W/CONT,8235.95,8235.95,576.52,8235.95,43
CDM,704542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",8235.95,8235.95,272.51,1630.5,26
CDM,704542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Age 21+",8235.95,8235.95,304.33,304.33,4
CDM,704542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Age Under 21",8235.95,8235.95,309.86,309.86,4
CDM,704543,MRI OR/FCE/NCK W/O CONT,6457.7,6457.7,452.04,6457.7,43
CDM,704543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",6457.7,6457.7,229.73,1321.0,26
CDM,704543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age 21+",6457.7,6457.7,256.55,256.55,4
CDM,704543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age Under 21",6457.7,6457.7,261.22,261.22,4
CDM,704544,MRI PELVIS W&WO CONT,7224.18,7224.18,505.69,7224.18,43
CDM,704544,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",7224.18,7224.18,341.95,1630.5,26
CDM,704544,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",7224.18,7224.18,381.88,381.88,4
CDM,704544,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",7224.18,7224.18,388.82,388.82,4
CDM,704546,MRI PELVIS W/CONTRAST,6692.75,6692.75,468.49,6692.75,43
CDM,704546,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",6692.75,6692.75,272.51,1630.5,26
CDM,704546,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) Age 21+",6692.75,6692.75,304.33,304.33,4
CDM,704546,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) Age Under 21",6692.75,6692.75,309.86,309.86,4
CDM,704547,MRI PELVIS W/O CONT,5233.86,5233.86,366.37,5233.86,43
CDM,704547,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",5233.86,5233.86,229.97,1321.0,26
CDM,704547,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age 21+",5233.86,5233.86,256.82,256.82,4
CDM,704547,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age Under 21",5233.86,5233.86,261.49,261.49,4
CDM,704548,MRI SPECTROSCOPY,5465.08,5465.08,382.56,5465.08,43
CDM,704548,Magnetic resonance spectroscopy ,5465.08,5465.08,469.07,1589.64,10
CDM,70455,MRI T-SPINE W&W/O CONT,8652.42,8652.42,605.67,8652.42,43
CDM,70455,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",8652.42,8652.42,325.49,1630.5,26
CDM,70455,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic Age 21+",8652.42,8652.42,363.5,363.5,4
CDM,70455,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic Age Under 21",8652.42,8652.42,370.1,370.1,4
CDM,704550,MRI T-SPINE W/CONTRAST,7146.26,7146.26,500.24,7146.26,43
CDM,704550,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",7146.26,7146.26,277.12,1630.5,26
CDM,704550,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) Age 21+",7146.26,7146.26,309.47,309.47,4
CDM,704550,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) Age Under 21",7146.26,7146.26,315.1,315.1,4
CDM,704551,MRI T-SPINE W/O CONT,7070.9,7070.9,494.96,7070.9,43
CDM,704551,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",7070.9,7070.9,193.2,1321.0,26
CDM,704551,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material Age 21+",7070.9,7070.9,215.75,215.75,4
CDM,704551,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material Age Under 21",7070.9,7070.9,219.68,219.68,4
CDM,704570,Acute gastrointestinal blood loss imaging ,4116.06,4116.06,319.91,1399.82,25
CDM,704570,Acute gastrointestinal blood loss imaging Age 21+,4116.06,4116.06,357.26,357.26,4
CDM,704570,Acute gastrointestinal blood loss imaging Age Under 21,4116.06,4116.06,363.75,363.75,4
CDM,704570,NM ACUTE GI BLOOD LOSS,4116.06,4116.06,288.12,4116.06,48
CDM,704572,"Adrenal imaging, cortex and/or medulla ",6986.57,6986.57,409.1,1927.79,25
CDM,704572,"Adrenal imaging, cortex and/or medulla Age 21+",6986.57,6986.57,456.86,456.86,4
CDM,704572,"Adrenal imaging, cortex and/or medulla Age Under 21",6986.57,6986.57,465.17,465.17,4
CDM,704572,NM ADRENAL,6986.57,6986.57,489.06,6986.57,48
CDM,704577,Bone and/or joint imaging; 3 phase study ,6665.91,6665.91,317.94,1382.04,25
CDM,704577,Bone and/or joint imaging; 3 phase study Age 21+,6665.91,6665.91,355.06,355.06,4
CDM,704577,Bone and/or joint imaging; 3 phase study Age Under 21,6665.91,6665.91,361.51,361.51,4
CDM,704577,NM BONE 3 PHASE,6665.91,6665.91,466.61,6665.91,48
CDM,704579,Bone and/or joint imaging; limited area ,3640.82,3640.82,209.0,928.35,25
CDM,704579,Bone and/or joint imaging; limited area Age 21+,3640.82,3640.82,233.4,233.4,4
CDM,704579,Bone and/or joint imaging; limited area Age Under 21,3640.82,3640.82,237.64,237.64,4
CDM,704579,NM BONE LIMITED,3640.82,3640.82,254.86,3640.82,48
CDM,70458,Bone marrow imaging; limited area ,2299.48,2299.48,159.95,668.42,25
CDM,70458,Bone marrow imaging; limited area Age 21+,2299.48,2299.48,178.63,178.63,4
CDM,70458,Bone marrow imaging; limited area Age Under 21,2299.48,2299.48,181.88,181.88,4
CDM,70458,NM BONE MARROW LTD,2299.48,2299.48,160.96,2299.48,48
CDM,704580,Bone marrow imaging; multiple areas ,2250.93,2250.93,171.79,850.89,25
CDM,704580,Bone marrow imaging; multiple areas Age 21+,2250.93,2250.93,191.85,191.85,4
CDM,704580,Bone marrow imaging; multiple areas Age Under 21,2250.93,2250.93,195.34,195.34,4
CDM,704580,NM BONE MARROW MULTI,2250.93,2250.93,157.57,2250.93,48
CDM,704581,Bone marrow imaging; whole body ,4193.99,4193.99,231.04,976.82,25
CDM,704581,Bone marrow imaging; whole body Age 21+,4193.99,4193.99,258.02,258.02,4
CDM,704581,Bone marrow imaging; whole body Age Under 21,4193.99,4193.99,262.71,262.71,4
CDM,704581,NM BONE MARROW W BDY,4193.99,4193.99,293.58,4193.99,48
CDM,704582,Bone and/or joint imaging; multiple areas ,3934.65,3934.65,254.08,1115.65,25
CDM,704582,Bone and/or joint imaging; multiple areas Age 21+,3934.65,3934.65,283.75,283.75,4
CDM,704582,Bone and/or joint imaging; multiple areas Age Under 21,3934.65,3934.65,288.9,288.9,4
CDM,704582,NM BONE MULTIPLE,3934.65,3934.65,275.43,3934.65,48
CDM,704584,Bone and/or joint imaging; whole body ,4841.67,4841.67,271.53,1212.51,25
CDM,704584,Bone and/or joint imaging; whole body Age 21+,4841.67,4841.67,303.23,303.23,4
CDM,704584,Bone and/or joint imaging; whole body Age Under 21,4841.67,4841.67,308.74,308.74,4
CDM,704584,NM BONE WHOLE BODY,4841.67,4841.67,338.92,4841.67,48
CDM,704585,"Brain imaging, minimum 4 static views; ",2139.8,2139.8,186.27,804.03,25
CDM,704585,"Brain imaging, minimum 4 static views; Age 21+",2139.8,2139.8,208.02,208.02,4
CDM,704585,"Brain imaging, minimum 4 static views; Age Under 21",2139.8,2139.8,211.8,211.8,4
CDM,704585,NM BRAIN MIN 4 STATIC,2139.8,2139.8,149.79,2139.8,48
CDM,704587,"Brain imaging, minimum 4 static views; with vascular flow ",2792.59,2792.59,300.16,1390.14,25
CDM,704587,"Brain imaging, minimum 4 static views; with vascular flow Age 21+",2792.59,2792.59,335.2,335.2,4
CDM,704587,"Brain imaging, minimum 4 static views; with vascular flow Age Under 21",2792.59,2792.59,341.3,341.3,4
CDM,704587,NM BRAIN MIN 4 STATIC VF,2792.59,2792.59,195.48,2792.59,48
CDM,704588,"Brain imaging, less than 4 static views; ",2005.65,2005.65,167.85,757.21,25
CDM,704588,"Brain imaging, less than 4 static views; Age 21+",2005.65,2005.65,187.45,187.45,4
CDM,704588,"Brain imaging, less than 4 static views; Age Under 21",2005.65,2005.65,190.86,190.86,4
CDM,704588,NM BRAIN < 4 STATIC,2005.65,2005.65,140.4,2005.65,48
CDM,70459,"Brain imaging, less than 4 static views; with vascular flow ",1649.24,1649.24,199.77,892.86,25
CDM,70459,"Brain imaging, less than 4 static views; with vascular flow Age 21+",1649.24,1649.24,223.09,223.09,4
CDM,70459,"Brain imaging, less than 4 static views; with vascular flow Age Under 21",1649.24,1649.24,227.15,227.15,4
CDM,70459,NM BRAIN < 4 STATIC V FL,1649.24,1649.24,115.45,1649.24,48
CDM,704593,Cardiac shunt detection ,904.46,904.46,173.11,681.36,25
CDM,704593,Cardiac shunt detection Age 21+,904.46,904.46,193.33,193.33,4
CDM,704593,Cardiac shunt detection Age Under 21,904.46,904.46,196.84,196.84,4
CDM,704593,NM CARD SHUNT DTCTION,904.46,904.46,63.31,904.46,48
CDM,704594,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",6437.26,6437.26,221.17,778.22,34
CDM,704594,NM CARDIAC PL MULT R/S,6437.26,6437.26,450.61,6437.26,48
CDM,704595,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",3332.96,3332.96,164.24,595.75,34
CDM,704595,NM CARDIAC PL SGL R/S,3332.96,3332.96,233.31,3332.96,48
CDM,704596,"Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass technique (List separately in addition to code for primary procedure) ",4034.3,4034.3,27.65,90.41,10
CDM,704596,NM CARDIAC PL SGL W/EF,4034.3,4034.3,282.4,4034.3,54
CDM,704597,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",4960.46,4960.46,210.97,784.67,25
CDM,704597,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing Age 21+",4960.46,4960.46,235.6,235.6,4
CDM,704597,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing Age Under 21",4960.46,4960.46,239.88,239.88,4
CDM,704597,NM CARDIAC POOL SPECT,4960.46,4960.46,347.23,4960.46,48
CDM,704598,"Brain imaging, vascular flow only ",3220.54,3220.54,162.58,744.31,25
CDM,704598,"Brain imaging, vascular flow only Age 21+",3220.54,3220.54,181.57,181.57,4
CDM,704598,"Brain imaging, vascular flow only Age Under 21",3220.54,3220.54,184.87,184.87,4
CDM,704598,NM BRAIN VASC FLOW,3220.54,3220.54,225.44,3220.54,48
CDM,70460,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",4526.13,4526.13,309.38,1417.56,25
CDM,70460,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography Age 21+",4526.13,4526.13,345.5,345.5,4
CDM,70460,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography Age Under 21",4526.13,4526.13,351.78,351.78,4
CDM,70460,NM CISTERNOGRAM,4526.13,4526.13,316.83,4526.13,48
CDM,704600,Cerebrospinal fluid leakage detection and localization ,4239.97,4239.97,248.81,1157.63,25
CDM,704600,Cerebrospinal fluid leakage detection and localization Age 21+,4239.97,4239.97,277.86,277.86,4
CDM,704600,Cerebrospinal fluid leakage detection and localization Age Under 21,4239.97,4239.97,282.91,282.91,4
CDM,704600,NM CSF LEAKAGE LOCAL,4239.97,4239.97,296.8,4239.97,48
CDM,704601,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",2577.97,2577.97,295.88,1385.31,25
CDM,704601,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation Age 21+",2577.97,2577.97,330.43,330.43,4
CDM,704601,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation Age Under 21",2577.97,2577.97,336.44,336.44,4
CDM,704601,NM CSF SHUNT EVAL,2577.97,2577.97,180.46,2577.97,48
CDM,704604,NM DACRYOSYSTOGRAM,1355.41,1355.41,94.88,1355.41,48
CDM,704604,Radiopharmaceutical dacryocystography ,1355.41,1355.41,141.85,728.18,25
CDM,704604,Radiopharmaceutical dacryocystography Age 21+,1355.41,1355.41,158.41,158.41,4
CDM,704604,Radiopharmaceutical dacryocystography Age Under 21,1355.41,1355.41,161.29,161.29,4
CDM,704607,Gastroesophageal reflux study ,2553.68,2553.68,227.09,970.32,25
CDM,704607,Gastroesophageal reflux study Age 21+,2553.68,2553.68,253.61,253.61,4
CDM,704607,Gastroesophageal reflux study Age Under 21,2553.68,2553.68,258.22,258.22,4
CDM,704607,NM GASTRESOPHAG RFLX,2553.68,2553.68,178.76,2553.68,48
CDM,704608,"Gastric emptying imaging study (eg, solid, liquid, or both); ",5518.74,5518.74,303.46,1380.42,25
CDM,704608,"Gastric emptying imaging study (eg, solid, liquid, or both); Age 21+",5518.74,5518.74,338.89,338.89,4
CDM,704608,"Gastric emptying imaging study (eg, solid, liquid, or both); Age Under 21",5518.74,5518.74,345.05,345.05,4
CDM,704608,NM GASTRIC EMPTYING,5518.74,5518.74,386.31,5518.74,48
CDM,704613,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",3681.71,3681.71,303.12,1385.31,25
CDM,704613,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) Age 21+",3681.71,3681.71,338.51,338.51,4
CDM,704613,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) Age Under 21",3681.71,3681.71,344.67,344.67,4
CDM,704613,NM INTESTINE IMAGING,3681.71,3681.71,257.72,3681.71,48
CDM,704618,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",3516.91,3516.91,168.36,550.55,25
CDM,704618,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) Age 21+",3516.91,3516.91,191.13,191.13,4
CDM,704618,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) Age Under 21",3516.91,3516.91,194.6,194.6,4
CDM,704618,NM KDNEY FLW&FNC W/RX,3516.91,3516.91,246.18,3516.91,48
CDM,704619,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",6986.57,6986.57,215.25,867.01,25
CDM,704619,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age 21+",6986.57,6986.57,240.38,240.38,4
CDM,704619,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under 21",6986.57,6986.57,244.75,244.75,4
CDM,704619,NM KDNEY SCAN FLW&FNC,6986.57,6986.57,489.06,6986.57,48
CDM,704621,"Kidney function study, non-imaging radioisotopic study ",2942.05,2942.05,111.25,418.16,25
CDM,704621,"Kidney function study, non-imaging radioisotopic study Age 21+",2942.05,2942.05,124.23,124.23,4
CDM,704621,"Kidney function study, non-imaging radioisotopic study Age Under 21",2942.05,2942.05,126.49,126.49,4
CDM,704621,NM KIDNEY FNC ONLY,2942.05,2942.05,205.94,2942.05,48
CDM,704622,Kidney imaging morphology; ,2569.01,2569.01,158.3,694.27,25
CDM,704622,Kidney imaging morphology; Age 21+,2569.01,2569.01,176.78,176.78,4
CDM,704622,Kidney imaging morphology; Age Under 21,2569.01,2569.01,180.0,180.0,4
CDM,704622,NM KIDNEY SCAN,2569.01,2569.01,179.83,2569.01,48
CDM,704623,Kidney imaging morphology; with vascular flow ,3265.26,3265.26,208.01,899.32,25
CDM,704623,Kidney imaging morphology; with vascular flow Age 21+,3265.26,3265.26,232.3,232.3,4
CDM,704623,Kidney imaging morphology; with vascular flow Age Under 21,3265.26,3265.26,236.52,236.52,4
CDM,704623,NM KIDNEY SCAN W/FLOW,3265.26,3265.26,228.57,3265.26,48
CDM,704628,Liver imaging; static only ,2309.69,2309.69,176.41,789.51,25
CDM,704628,Liver imaging; static only Age 21+,2309.69,2309.69,197.01,197.01,4
CDM,704628,Liver imaging; static only Age Under 21,2309.69,2309.69,200.59,200.59,4
CDM,704628,NM LIVER,2309.69,2309.69,161.68,2309.69,48
CDM,704629,Liver and spleen imaging; static only ,3403.23,3403.23,181.67,794.35,25
CDM,704629,Liver and spleen imaging; static only Age 21+,3403.23,3403.23,202.88,202.88,4
CDM,704629,Liver and spleen imaging; static only Age Under 21,3403.23,3403.23,206.57,206.57,4
CDM,704629,NM LIVER & SPLEEN,3403.23,3403.23,238.23,3403.23,48
CDM,704632,Liver imaging; with vascular flow ,2995.69,2995.69,192.53,831.49,25
CDM,704632,Liver imaging; with vascular flow Age 21+,2995.69,2995.69,215.01,215.01,4
CDM,704632,Liver imaging; with vascular flow Age Under 21,2995.69,2995.69,218.92,218.92,4
CDM,704632,NM LIVER W/FLOW,2995.69,2995.69,209.7,2995.69,48
CDM,704634,Liver and spleen imaging; with vascular flow ,3476.04,3476.04,126.71,468.2,25
CDM,704634,Liver and spleen imaging; with vascular flow Age 21+,3476.04,3476.04,141.5,141.5,4
CDM,704634,Liver and spleen imaging; with vascular flow Age Under 21,3476.04,3476.04,144.08,144.08,4
CDM,704634,NM LVR & SPLN W/FLOW,3476.04,3476.04,243.32,3476.04,48
CDM,704635,Lymphatics and lymph nodes imaging ,4190.16,4190.16,324.84,1388.53,25
CDM,704635,Lymphatics and lymph nodes imaging Age 21+,4190.16,4190.16,362.77,362.77,4
CDM,704635,Lymphatics and lymph nodes imaging Age Under 21,4190.16,4190.16,369.36,369.36,4
CDM,704635,NM LYMPHIMAG,4190.16,4190.16,293.31,4190.16,48
CDM,704636,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",8220.62,8220.62,225.0,1017.18,34
CDM,704636,NM MUGA R/S MULT,8220.62,8220.62,575.44,8220.62,48
CDM,704637,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",4960.46,4960.46,209.65,842.78,34
CDM,704637,NM MUGA R/S SINGLE,4960.46,4960.46,347.23,4960.46,48
CDM,70464,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",3511.81,3511.81,171.48,755.6,26
CDM,70464,"Myocardial imaging, infarct avid, planar; qualitative or quantitative Age 21+",3511.81,3511.81,191.5,191.5,4
CDM,70464,"Myocardial imaging, infarct avid, planar; qualitative or quantitative Age Under 21",3511.81,3511.81,194.98,194.98,4
CDM,70464,NM MYOCARD IMAGE,3511.81,3511.81,245.83,3511.81,48
CDM,704640,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",2081.04,2081.04,180.35,768.54,26
CDM,704640,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Age 21+",2081.04,2081.04,201.41,201.41,4
CDM,704640,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Age Under 21",2081.04,2081.04,205.07,205.07,4
CDM,704640,NM MYOCARD IMAGE W/EF,2081.04,2081.04,145.67,2081.04,48
CDM,704643,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",4102.01,4102.01,225.0,841.16,11
CDM,704643,NM MYOCARD SPECT IMG,4102.01,4102.01,287.14,4102.01,48
CDM,704644,NM PLANAR PARATHYROID,3993.41,3993.41,279.54,3993.41,48
CDM,704644,"Parathyroid planar imaging (including subtraction, when performed); ",3993.41,3993.41,269.55,1210.9,25
CDM,704644,"Parathyroid planar imaging (including subtraction, when performed); Age 21+",3993.41,3993.41,301.01,301.01,4
CDM,704644,"Parathyroid planar imaging (including subtraction, when performed); Age Under 21",3993.41,3993.41,306.49,306.49,4
CDM,704652,NM PULM PERF PARTIC,5518.74,5518.74,386.31,5518.74,48
CDM,704652,"Pulmonary perfusion imaging (eg, particulate) ",5518.74,5518.74,217.88,941.29,25
CDM,704652,"Pulmonary perfusion imaging (eg, particulate) Age 21+",5518.74,5518.74,243.32,243.32,4
CDM,704652,"Pulmonary perfusion imaging (eg, particulate) Age Under 21",5518.74,5518.74,247.74,247.74,4
CDM,704665,NM RBC SURVIVAL,4434.15,4434.15,310.39,4434.15,48
CDM,704665,Red cell survival study ,4434.15,4434.15,121.45,458.53,25
CDM,704665,Red cell survival study Age 21+,4434.15,4434.15,135.63,135.63,4
CDM,704665,Red cell survival study Age Under 21,4434.15,4434.15,138.1,138.1,4
CDM,704666,NM RBC VOLUME MULTI,6522.84,6522.84,456.6,6522.84,48
CDM,704666,Red cell volume determination (separate procedure); multiple samplings ,6522.84,6522.84,75.7,297.07,25
CDM,704666,Red cell volume determination (separate procedure); multiple samplings Age 21+,6522.84,6522.84,84.53,84.53,4
CDM,704666,Red cell volume determination (separate procedure); multiple samplings Age Under 21,6522.84,6522.84,86.07,86.07,4
CDM,704667,NM RBC VOLUME SINGLE,3926.99,3926.99,274.89,3926.99,48
CDM,704667,Red cell volume determination (separate procedure); single sampling ,3926.99,3926.99,69.44,284.17,25
CDM,704667,Red cell volume determination (separate procedure); single sampling Age 21+,3926.99,3926.99,77.55,77.55,4
CDM,704667,Red cell volume determination (separate procedure); single sampling Age Under 21,3926.99,3926.99,78.96,78.96,4
CDM,704668,NM SALIVARY GLAND,3111.96,3111.96,217.84,3111.96,48
CDM,704668,Salivary gland imaging; ,3111.96,3111.96,163.9,707.17,25
CDM,704668,Salivary gland imaging; Age 21+,3111.96,3111.96,183.04,183.04,4
CDM,704668,Salivary gland imaging; Age Under 21,3111.96,3111.96,186.37,186.37,4
CDM,70467,NM SALIVARY GLND FUNCT,2401.68,2401.68,168.12,2401.68,48
CDM,70467,Salivary gland function study ,2401.68,2401.68,100.38,381.02,25
CDM,70467,Salivary gland function study Age 21+,2401.68,2401.68,112.1,112.1,4
CDM,70467,Salivary gland function study Age Under 21,2401.68,2401.68,114.14,114.14,4
CDM,704673,NM SHUNT PATENCY,1305.59,1305.59,91.39,1305.59,48
CDM,704673,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",1305.59,1305.59,242.24,997.79,25
CDM,704673,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) Age 21+",1305.59,1305.59,270.52,270.52,4
CDM,704673,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) Age Under 21",1305.59,1305.59,275.44,275.44,4
CDM,704674,NM SPLEEN W&W/O FLOW,1829.35,1829.35,128.05,1829.35,48
CDM,704674,"Spleen imaging only, with or without vascular flow ",1829.35,1829.35,156.0,708.78,25
CDM,704674,"Spleen imaging only, with or without vascular flow Age 21+",1829.35,1829.35,174.22,174.22,4
CDM,704674,"Spleen imaging only, with or without vascular flow Age Under 21",1829.35,1829.35,177.39,177.39,4
CDM,704676,NM TESTICULAR W/FLOW,2768.3,2768.3,193.78,2768.3,48
CDM,704676,Testicular imaging with vascular flow ,2768.3,2768.3,197.15,818.59,25
CDM,704676,Testicular imaging with vascular flow Age 21+,2768.3,2768.3,220.17,220.17,4
CDM,704676,Testicular imaging with vascular flow Age Under 21,2768.3,2768.3,224.17,224.17,4
CDM,704679,NM THYROID METS ADDL,807.37,807.37,56.52,807.37,48
CDM,704679,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",807.37,807.37,254.42,1154.41,25
CDM,704679,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Age 21+",807.37,807.37,284.12,284.12,4
CDM,704679,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Age Under 21",807.37,807.37,289.28,289.28,4
CDM,70468,NM THYROID METS LTD,2818.14,2818.14,197.27,2818.14,48
CDM,70468,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",2818.14,2818.14,212.95,891.25,25
CDM,70468,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Age 21+",2818.14,2818.14,237.81,237.81,4
CDM,70468,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Age Under 21",2818.14,2818.14,242.13,242.13,4
CDM,704680,NM THYROID METS UPTAKE,947.9,947.9,66.35,947.9,54
CDM,704680,Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure) ,947.9,947.9,79.98,261.54,10
CDM,704682,NM THYROID METS W BDY,4366.45,4366.45,305.65,4366.45,48
CDM,704682,Thyroid carcinoma metastases imaging; whole body ,4366.45,4366.45,286.34,1269.05,25
CDM,704682,Thyroid carcinoma metastases imaging; whole body Age 21+,4366.45,4366.45,319.77,319.77,4
CDM,704682,Thyroid carcinoma metastases imaging; whole body Age Under 21,4366.45,4366.45,325.58,325.58,4
CDM,704690,NM TUMOR LCL SPECT,8132.48,8132.48,569.27,8132.48,48
CDM,704690,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",8132.48,8132.48,349.86,1344.94,33
CDM,704691,NM TUMOR LC WHBD SGL DAY,5051.19,5051.19,353.58,5051.19,48
CDM,704691,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",5051.19,5051.19,284.36,1309.41,33
CDM,704693,NM TUMOR LOCAL LTD,3849.06,3849.06,269.43,3849.06,48
CDM,704693,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",3849.06,3849.06,229.09,749.15,33
CDM,704694,NM TUMOR LOCAL MULT,4480.15,4480.15,313.61,4480.15,48
CDM,704694,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",4480.15,4480.15,251.78,1017.18,33
CDM,704697,NM URETERAL REFLUX,2930.56,2930.56,205.14,2930.56,48
CDM,704697,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,2930.56,2930.56,200.77,889.64,25
CDM,704697,Ureteral reflux study (radiopharmaceutical voiding cystogram) Age 21+,2930.56,2930.56,224.21,224.21,4
CDM,704697,Ureteral reflux study (radiopharmaceutical voiding cystogram) Age Under 21,2930.56,2930.56,228.29,228.29,4
CDM,704698,NM VASCULAR FLOW,1217.43,1217.43,85.22,1217.43,48
CDM,704698,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",1217.43,1217.43,193.85,753.98,25
CDM,704698,"Non-cardiac vascular flow imaging (ie, angiography, venography) Age 21+",1217.43,1217.43,216.48,216.48,4
CDM,704698,"Non-cardiac vascular flow imaging (ie, angiography, venography) Age Under 21",1217.43,1217.43,220.42,220.42,4
CDM,704699,NM VENOGRAM BI,1992.88,1992.88,139.5,1992.88,48
CDM,704699,"Venous thrombosis imaging, venogram; bilateral ",1992.88,1992.88,192.53,749.15,25
CDM,704699,"Venous thrombosis imaging, venogram; bilateral Age 21+",1992.88,1992.88,215.01,215.01,4
CDM,704699,"Venous thrombosis imaging, venogram; bilateral Age Under 21",1992.88,1992.88,218.92,218.92,4
CDM,704700,NM VENOGRAM UNI,4538.91,4538.91,317.72,4538.91,48
CDM,704700,"Venous thrombosis imaging, venogram; unilateral ",4538.91,4538.91,154.68,712.01,25
CDM,704700,"Venous thrombosis imaging, venogram; unilateral Age 21+",4538.91,4538.91,172.74,172.74,4
CDM,704700,"Venous thrombosis imaging, venogram; unilateral Age Under 21",4538.91,4538.91,175.88,175.88,4
CDM,704702,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",3916.77,3916.77,310.03,1435.35,25
CDM,704702,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Age 21+",3916.77,3916.77,346.23,346.23,4
CDM,704702,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Age Under 21",3916.77,3916.77,352.52,352.52,4
CDM,704702,NM VENTRICULOGRAM,3916.77,3916.77,274.17,3916.77,48
CDM,704711,RAD HAND/LOAD,817.59,817.59,57.23,817.59,54
CDM,704718,ABSCESS DRAINAGE LIVER,5456.92,5456.92,381.98,5456.92,64
CDM,704719,ABSCESS DRNGE PERITONEAL,3464.05,3464.05,242.48,3464.05,64
CDM,704722,ANESTH LUMBAR/THORC,5284.73,5284.73,369.93,5284.73,64
CDM,704726,ARTH JNT BRS INT WO US,2517.91,2517.91,176.25,2517.91,64
CDM,704728,ASP ABS/CYST SKIN,1055.24,1055.24,73.87,1055.24,64
CDM,704731,ARTH JNTBRS MJR WO US,2550.32,2550.32,178.52,2550.32,64
CDM,704733,ASP/INJ CYST REN/PEL,3092.43,3092.43,216.47,3092.43,64
CDM,704751,BLOCK L-SPINE ADDL,6152.66,6152.66,430.69,6152.66,64
CDM,704752,BLOCK L-SPINE SGL,6152.66,6152.66,430.69,6152.66,64
CDM,704753,BRONCH TRAC DIL WO/STNT,5883.1,5883.1,411.82,5883.1,64
CDM,704754,BRONCH TRACH DIL W/STNT,5883.1,5883.1,411.82,5883.1,64
CDM,704757,BX ABD/RETROPERITO,3196.41,3196.41,223.75,3196.41,64
CDM,704758,BX BONE DEEP,3721.46,3721.46,260.5,3721.46,64
CDM,704759,BX BONE MARROW NDL,12659.49,12659.49,886.16,12659.49,64
CDM,704760,BX LIVER,3077.09,3077.09,215.4,3077.09,64
CDM,704762,BX LIVER W/OTHER PROC,3172.55,3172.55,222.08,3172.55,64
CDM,704765,BX MUSCLE PERC,6227.45,6227.45,435.92,6227.45,64
CDM,704769,BX RENAL,7442.96,7442.96,521.01,7442.96,64
CDM,704774,BX TRANSCATH,4253.35,4253.35,297.73,4253.35,64
CDM,704775,CATH 1ST OD LOW ART,4955.72,4955.72,346.9,4955.72,64
CDM,704776,CATH 1ST ORD UP ART,4974.47,4974.47,348.21,4974.47,64
CDM,704777,CATH 1ST ORDER VEN,3547.6,3547.6,248.33,3547.6,64
CDM,704778,CATH 2ND OD LOW ART,5670.02,5670.02,396.9,5670.02,64
CDM,704779,CATH 2ND ORD UP ART,5306.89,5306.89,371.48,5306.89,64
CDM,704780,CATH 2ND ORDER VEN,4248.24,4248.24,297.38,4248.24,64
CDM,704781,CATH 3RD OD LOW ART,6345.09,6345.09,444.16,6345.09,64
CDM,704782,CATH 3RD ORD UP ART,6365.55,6365.55,445.59,6365.55,64
CDM,704784,CATH AORTA,9693.24,9693.24,678.53,9693.24,64
CDM,704787,CATH EA ADDL LOW ART,1443.91,1443.91,101.07,1443.91,64
CDM,704788,CATH EA ADDL UP ART,1416.65,1416.65,99.17,1416.65,64
CDM,704789,CATH FALLOPIAN TUBE,4658.35,4658.35,326.08,4658.35,64
CDM,704791,CATH IVC/SVC,3042.99,3042.99,213.01,3042.99,64
CDM,704792,CATH PORTAL VN,9200.55,9200.55,644.04,9200.55,64
CDM,704793,CATH PLM ART SEG/SUB,4253.35,4253.35,297.73,4253.35,64
CDM,704795,CATH PULM ART UNI,3895.35,3895.35,272.67,3895.35,64
CDM,704797,CATH RT HRT/PULM ART,4084.59,4084.59,285.92,4084.59,64
CDM,704798,CATH VN BLD SMPL,2828.17,2828.17,197.97,2828.17,64
CDM,704804,CHG URETEROSTMY TB,13683.08,13683.08,957.82,13683.08,64
CDM,704805,CHLECYSTOSTMY PERC,2446.32,2446.32,171.24,2446.32,64
CDM,704810,DECLOTTING W/BALLOON CAN,7741.29,7741.29,541.89,7741.29,64
CDM,704840,EMBLZ INTRACRAN/SP,13456.28,13456.28,941.94,13456.28,64
CDM,704842,EMBOLIZATION GDC,53622.99,53622.99,3753.61,53622.99,64
CDM,704843,EMBOLIZE EXTRACRAN,18742.2,18742.2,1311.95,18742.2,64
CDM,704853,EST NEPHRSTMY TRCT,4636.93,4636.93,324.59,4636.93,64
CDM,704855,EXCHG CATH ABS/CYS,1283.69,1283.69,89.86,1283.69,64
CDM,704856,EXCHG CYSTOTOMY COMP,4132.32,4132.32,289.26,4132.32,64
CDM,704857,EXCHG CYSTOTOMY SIMP,2016.71,2016.71,141.17,2016.71,64
CDM,704859,FINE NDL ASP WUS 1ST LSN,2148.22,2148.22,150.38,2148.22,64
CDM,704860,FNA WO IMAGE,1130.24,1130.24,79.12,1130.24,64
CDM,704871,INJ BLOOD PATCH,5559.28,5559.28,389.15,5559.28,64
CDM,704872,INJ CATH ABS/CYST,971.72,971.72,68.02,971.72,64
CDM,704875,INJ CORPORA CAVERN,3479.41,3479.41,243.56,3479.41,64
CDM,704878,INJ DISKOGRAM L-SPIN,3147.0,3147.0,220.29,3147.0,64
CDM,704879,INJ DISKOGRAM C/T SPI,2822.35,2822.35,197.56,2822.35,64
CDM,704884,INJ ILEAL CONDUIT,726.25,726.25,50.84,726.25,64
CDM,704887,INJ LYMPHANGIOGRAM,2947.52,2947.52,206.33,2947.52,64
CDM,704888,INJ MYELOGRAM SPINE,3293.02,3293.02,230.51,3293.02,64
CDM,704892,INJ PERC EXTREM PSEAN,2098.53,2098.53,146.9,2098.53,64
CDM,704893,INJ PERITONEAL CAVITY,5748.44,5748.44,402.39,5748.44,64
CDM,704898,INJ SHUNTOGRAM,821.71,821.71,57.52,821.71,64
CDM,704901,INJ SINUS TRACT DX,1515.53,1515.53,106.09,1515.53,64
CDM,704902,INJ SINUS TRACT TH,5398.94,5398.94,377.93,5398.94,64
CDM,704904,INJ SPLNOPORTOGRM,2466.77,2466.77,172.67,2466.77,64
CDM,704907,INJ S/M TRG PT 1OR2 MUS,2011.62,2011.62,140.81,2011.62,64
CDM,704911,INJ URETER,661.71,661.71,46.32,661.71,64
CDM,704913,INJ VENOGRAM,2153.1,2153.1,150.72,2153.1,64
CDM,704915,INS PERITONEAL CATH PERM,30774.19,30774.19,2154.19,30774.19,64
CDM,704917,ASPR BLDDR INSRT SUPRCTH,19033.58,19033.58,1332.35,19033.58,64
CDM,704927,MANOMETRIC STUDY,1634.86,1634.86,114.44,1634.86,64
CDM,704928,NDL/INCTH AO TRNLMB,4084.59,4084.59,285.92,4084.59,64
CDM,704931,NDL/INCATH EXT ART,3862.98,3862.98,270.41,3862.98,64
CDM,704935,NEPHROS >2 CM,19655.66,19655.66,1375.9,19655.66,64
CDM,704936,NEPHROS UP TO 2CM,16800.18,16800.18,1176.01,16800.18,64
CDM,704945,PLACE GI TUBE,4979.6,4979.6,348.57,4979.6,64
CDM,704959,PUNCTURE LUMBAR DX,4880.7,4880.7,341.65,4880.7,64
CDM,704961,PUNCTURE SHUNT,5180.27,5180.27,362.62,5180.27,64
CDM,704963,REM FB MSCL/TEN SMP,7702.08,7702.08,539.15,7702.08,64
CDM,704964,REPOSITION CENT VEN CATH,8302.16,8302.16,581.15,8302.16,64
CDM,704966,REPOSITION GI TUBE,2001.39,2001.39,140.1,2001.39,64
CDM,704968,RMVL PERITONEAL CTH PERM,14580.74,14580.74,1020.65,14580.74,64
CDM,704969,BIL ENDO DILATE,3707.82,3707.82,259.55,3707.82,64
CDM,704970,BIL ENDO DILATE W/ST,4834.67,4834.67,338.43,4834.67,64
CDM,704971,INJ CIST/CERV C1-C2,3053.21,3053.21,213.72,3053.21,64
CDM,704975,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,170.16,12415.33,31
CDM,704975,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation Age 21+",5010.57,5010.57,190.03,190.03,4
CDM,704975,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation Age Under 21",5010.57,5010.57,193.48,193.48,4
CDM,704975,SP ANGIO ADREN SEL BI,5010.57,5010.57,350.74,5010.57,48
CDM,704977,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,151.39,540.63,31
CDM,704977,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation Age 21+",5010.57,5010.57,169.07,169.07,4
CDM,704977,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation Age Under 21",5010.57,5010.57,172.14,172.14,4
CDM,704977,SP ANG ADREN SEL UNI,5010.57,5010.57,350.74,5010.57,48
CDM,704979,SP ANG INTRN MAMMARY,5010.57,5010.57,350.74,5010.57,48
CDM,704980,SP ANG VISC SEL W/WO F,20607.36,20607.36,1442.52,20607.36,48
CDM,704981,SP ANGIO ADDL VESSEL,10541.53,10541.53,737.91,10541.53,60
CDM,704989,SP ANGIO EXT BI,5508.6,5508.6,385.6,5508.6,48
CDM,704990,SP ANGIO EXT UNI,4567.52,4567.52,319.73,4567.52,48
CDM,704993,SP ANGIO PELVIC,20607.36,20607.36,1442.52,20607.36,48
CDM,704994,SP ANGIO PULM NS,6231.7,6231.7,436.22,6231.7,48
CDM,704995,SP ANGIO PULM SEL BI,6231.7,6231.7,436.22,6231.7,48
CDM,704996,SP ANGIO PULM SEL UNI,5010.57,5010.57,350.74,5010.57,48
CDM,705003,"Angiography, spinal, selective, radiological supervision and interpretation ",20607.36,20607.36,247.18,20590.93,31
CDM,705003,"Angiography, spinal, selective, radiological supervision and interpretation Age 21+",20607.36,20607.36,276.03,276.03,4
CDM,705003,"Angiography, spinal, selective, radiological supervision and interpretation Age Under 21",20607.36,20607.36,281.05,281.05,4
CDM,705003,SP ANGIO SPINAL SELECT,20607.36,20607.36,1442.52,20607.36,48
CDM,705006,SP AORTOGM ABD W/FILM,6324.28,6324.28,442.7,6324.28,48
CDM,705007,SP AORTOGM ABD W/RNF,5010.57,5010.57,350.74,5010.57,48
CDM,705008,SP AORTOGM TH W/FILM,20607.36,20607.36,1442.52,20607.36,48
CDM,705017,SP CHG TUBE/DRN W/C,1663.28,1663.28,116.43,1663.28,60
CDM,705021,"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation ",914.63,914.63,82.95,271.26,10
CDM,705021,SP RMV OBSTR MAT CV LUM,914.63,914.63,64.02,914.63,60
CDM,705025,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",1985.72,1985.72,280.38,2824.68,31
CDM,705025,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Age 21+",1985.72,1985.72,313.12,313.12,4
CDM,705025,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Age Under 21",1985.72,1985.72,318.81,318.81,4
CDM,705025,SP LYMPHANG EXT UNI,1985.72,1985.72,139.0,1985.72,48
CDM,705026,SP PERC DRAIN,3733.58,3733.58,261.35,3733.58,60
CDM,705027,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation ",1822.89,1822.89,244.39,799.19,10
CDM,705027,SP RMV OBSTR MAT CV DEV,1822.89,1822.89,127.6,1822.89,60
CDM,705029,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",6383.33,6383.33,117.5,400.81,31
CDM,705029,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation Age 21+",6383.33,6383.33,151.43,151.43,4
CDM,705029,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation Age Under 21",6383.33,6383.33,154.18,154.18,4
CDM,705029,SP PORTGM W/O HEMDYN,6383.33,6383.33,446.83,6383.33,48
CDM,705030,SP PORTOGM W/HEMODYN,5644.29,5644.29,395.1,5644.29,48
CDM,705037,SP PUNC THERA DRN,3338.06,3338.06,233.66,3338.06,64
CDM,705039,SP SPLENOPORTOGRAM,5010.57,5010.57,350.74,5010.57,48
CDM,705039,"Splenoportography, radiological supervision and interpretation ",5010.57,5010.57,603.4,8275.26,31
CDM,705039,"Splenoportography, radiological supervision and interpretation Age 21+",5010.57,5010.57,673.85,673.85,4
CDM,705039,"Splenoportography, radiological supervision and interpretation Age Under 21",5010.57,5010.57,686.1,686.1,4
CDM,705041,SP TRANSCATH ANGIO F/U,2959.43,2959.43,207.16,2959.43,48
CDM,705042,SP TRANSCATH BIOPSY,3765.5,3765.5,263.58,3765.5,60
CDM,705045,SP TRANSCTH THPY EMBL,7813.56,7813.56,546.95,7813.56,60
CDM,705049,SP VENOCAVAGM INF,5641.09,5641.09,394.88,5641.09,48
CDM,705051,SP VENOCAVAGM SUP,5125.51,5125.51,358.79,5125.51,48
CDM,705052,SP VENOGM ADRENAL BI,20607.36,20607.36,1442.52,20607.36,64
CDM,705052,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation ",20607.36,20607.36,156.66,198.81,15
CDM,705052,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation Age 21+",20607.36,20607.36,174.96,174.96,4
CDM,705052,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation Age Under 21",20607.36,20607.36,178.14,178.14,4
CDM,705053,SP VENOGM ADRENAL UNI,6277.98,6277.98,439.46,6277.98,48
CDM,705053,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",6277.98,6277.98,126.71,12415.33,31
CDM,705053,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation Age 21+",6277.98,6277.98,141.5,141.5,4
CDM,705053,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation Age Under 21",6277.98,6277.98,144.08,144.08,4
CDM,705055,SP VENOGM EPIDURAL,5010.57,5010.57,350.74,5010.57,48
CDM,705055,"Venography, epidural, radiological supervision and interpretation ",5010.57,5010.57,126.71,2824.68,31
CDM,705055,"Venography, epidural, radiological supervision and interpretation Age 21+",5010.57,5010.57,141.5,141.5,4
CDM,705055,"Venography, epidural, radiological supervision and interpretation Age Under 21",5010.57,5010.57,144.08,144.08,4
CDM,705056,SP VENOGM HEP W/O DYN,6780.81,6780.81,474.66,6780.81,48
CDM,705058,SP VENOGM HEP W/DYN,5730.48,5730.48,401.13,5730.48,48
CDM,705060,SP VENOGM RENAL BI,5010.57,5010.57,350.74,5010.57,48
CDM,705060,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,146.12,12415.33,31
CDM,705060,"Venography, renal, bilateral, selective, radiological supervision and interpretation Age 21+",5010.57,5010.57,163.19,163.19,4
CDM,705060,"Venography, renal, bilateral, selective, radiological supervision and interpretation Age Under 21",5010.57,5010.57,166.15,166.15,4
CDM,705061,SP VENOGM RENAL UNI,5010.57,5010.57,350.74,5010.57,48
CDM,705062,SP VENOGM SP SAG SNS,2249.09,2249.09,157.44,2249.09,48
CDM,705062,"Venography, superior sagittal sinus, radiological supervision and interpretation ",2249.09,2249.09,153.36,560.27,31
CDM,705062,"Venography, superior sagittal sinus, radiological supervision and interpretation Age 21+",2249.09,2249.09,171.27,171.27,4
CDM,705062,"Venography, superior sagittal sinus, radiological supervision and interpretation Age Under 21",2249.09,2249.09,174.38,174.38,4
CDM,705063,SP VENOGM SIN/JUG CATH,5010.57,5010.57,350.74,5010.57,48
CDM,705064,SP VENOGRAM EXT BI,5288.31,5288.31,370.18,5288.31,48
CDM,705066,SP VENOUS SAMP CATH,20607.36,20607.36,1442.52,20607.36,48
CDM,705066,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",20607.36,20607.36,103.67,20590.93,31
CDM,705066,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation Age 21+",20607.36,20607.36,115.78,115.78,4
CDM,705066,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation Age Under 21",20607.36,20607.36,117.88,117.88,4
CDM,705072,TC STNT XCRANIAL CERB EA,4411.89,4411.89,308.83,4411.89,64
CDM,705073,TC STNT XCRNIAL CERB 1ST,43863.29,43863.29,3070.43,43863.29,64
CDM,705077,THORACOSTOMY TUBE,3566.35,3566.35,249.64,3566.35,64
CDM,705078,DCLT IVAD/CATH B TA,2444.62,2444.62,171.12,2444.62,64
CDM,705090,USG NDL PLACEMENT,2169.17,2169.17,151.84,2169.17,54
CDM,705101,XR ABSCESS/FIST/SIN,2081.49,2081.49,145.7,2081.49,48
CDM,705114,XR CYSTOURETHRO RETRO,1829.27,1829.27,128.05,1829.27,48
CDM,705116,XR DIL BILE DUCT W/WO ST,3289.84,3289.84,230.29,3289.84,60
CDM,705117,"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation ",1712.76,1712.76,39.5,241.9,10
CDM,705117,XR DILAT INTRALUM,1712.76,1712.76,119.89,1712.76,60
CDM,705118,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",8637.23,8637.23,117.84,7936.54,31
CDM,705118,"Dilation of ureter(s) or urethra, radiological supervision and interpretation Age 21+",8637.23,8637.23,131.59,131.59,4
CDM,705118,"Dilation of ureter(s) or urethra, radiological supervision and interpretation Age Under 21",8637.23,8637.23,133.99,133.99,4
CDM,705118,XR DILAT URET OR URETHRA,8637.23,8637.23,604.61,8637.23,48
CDM,705119,"Discography, cervical or thoracic, radiological supervision and interpretation ",13746.76,13746.76,130.33,7702.69,31
CDM,705119,"Discography, cervical or thoracic, radiological supervision and interpretation Age 21+",13746.76,13746.76,145.54,145.54,4
CDM,705119,"Discography, cervical or thoracic, radiological supervision and interpretation Age Under 21",13746.76,13746.76,148.19,148.19,4
CDM,705119,XR DISKGRPHY CERV/THOR,13746.76,13746.76,962.27,13746.76,48
CDM,705120,XR DISKOGRAPHY LUMBAR,13746.76,13746.76,962.27,13746.76,48
CDM,705125,"Transcervical catheterization of fallopian tube, radiological supervision and interpretation ",1902.71,1902.71,43.44,155.04,10
CDM,705125,XR FALLOPIAN TUBE CATH,1902.71,1902.71,133.19,1902.71,60
CDM,705129,XR FLUOROSCOPY 0-60 MIN,1221.13,1221.13,85.48,1221.13,48
CDM,705132,XR INTRO LONG GI TUBE,1224.32,1224.32,85.7,1224.32,60
CDM,705135,XR MYELOGRAM C-SPINE,4806.27,4806.27,336.44,4806.27,48
CDM,705136,XR MYELOGRAM L-SPINE,5286.72,5286.72,370.07,5286.72,48
CDM,705139,XR MYELOGR SPINE 2/M REG,4806.27,4806.27,336.44,4806.27,48
CDM,705140,"Myelography, thoracic, radiological supervision and interpretation ",3497.36,3497.36,106.31,3050.07,31
CDM,705140,"Myelography, thoracic, radiological supervision and interpretation Age 21+",3497.36,3497.36,118.72,118.72,4
CDM,705140,"Myelography, thoracic, radiological supervision and interpretation Age Under 21",3497.36,3497.36,120.88,120.88,4
CDM,705140,XR MYELOGRAM T-SPINE,3497.36,3497.36,244.82,3497.36,48
CDM,705141,XR PERINEOGRAM,1556.33,1556.33,108.94,1556.33,48
CDM,705142,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",2470.98,2470.98,79.82,2157.48,31
CDM,705142,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation Age 21+",2470.98,2470.98,89.14,89.14,4
CDM,705142,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation Age Under 21",2470.98,2470.98,90.76,90.76,4
CDM,705142,XR PERITONEOGRAM,2470.98,2470.98,172.97,2470.98,48
CDM,705143,"Percutaneous placement of enteroclysis tube, radiological supervision and interpretation ",1800.55,1800.55,53.32,279.19,10
CDM,705143,XR PLACE ENTERO TUBE,1800.55,1800.55,126.04,1800.55,60
CDM,705145,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",2057.53,2057.53,80.13,2157.48,31
CDM,705145,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation Age 21+",2057.53,2057.53,89.48,89.48,4
CDM,705145,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation Age Under 21",2057.53,2057.53,91.11,91.11,4
CDM,705145,XR RENAL CYST STUDY,2057.53,2057.53,144.03,2057.53,48
CDM,705146,XR UROGRAM ANTEGRADE,846.01,846.01,59.22,846.01,48
CDM,705149,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",1452.56,1452.56,96.1,1044.02,31
CDM,705149,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation Age 21+",1452.56,1452.56,107.32,107.32,4
CDM,705149,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation Age Under 21",1452.56,1452.56,109.27,109.27,4
CDM,705149,XR VAS/VES/EPID,1452.56,1452.56,101.68,1452.56,48
CDM,705611,TL201 THALLOUS CL DX MCI,826.54,826.54,57.86,826.54,54
CDM,705611,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",826.54,826.54,201.56,842.49,12
CDM,705611,"Thallium tl-201 thallous chloride, diagnostic, per millicurie Max of 2 Units",826.54,826.54,70.0,70.0,1
CDM,705612,I123 SOD DX 100-999 UCI,636.2,636.2,44.53,636.2,54
CDM,705612,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",636.2,636.2,621.45,999.72,12
CDM,705612,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries Max of 2 Units",636.2,636.2,70.0,70.0,1
CDM,705614,RADIOPHARM DX NOC,1193.17,1193.17,83.52,1193.17,67
CDM,705620,STRONTIUM SR89 CL TX MCI,44063.03,44063.03,3084.41,44063.03,48
CDM,705620,"Strontium sr-89 chloride, therapeutic, per millicurie ",44063.03,44063.03,6631.56,32711.4,12
CDM,705635,IN111 CAPRO PEN DX 10MCI,22596.16,22596.16,1581.73,22596.16,54
CDM,705635,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",22596.16,22596.16,15105.55,38346.57,12
CDM,705635,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries Max of 2 Units",22596.16,22596.16,70.0,70.0,1
CDM,705639,I131 IOBENGUAN DX 0.5MCI,817.99,817.99,57.26,817.99,54
CDM,705639,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",817.99,817.99,2539.82,7492.15,12
CDM,705639,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie Max of 2 Units",817.99,817.99,70.0,70.0,1
CDM,705669,RADIOPHARM DX NOC,4466.08,4466.08,312.63,4466.08,67
CDM,705687,SP VENOGRAM EXT UNI,2775.84,2775.84,194.31,2775.84,48
CDM,705688,SP ANGIO EXT UNI,5010.57,5010.57,350.74,5010.57,48
CDM,705691,ASP ABS/CYST SKIN,1055.24,1055.24,73.87,1055.24,64
CDM,705694,STRESS TEST,5101.44,5101.44,357.1,5101.44,55
CDM,705705,MESH BN CRNL 100X100MM,48895.0,48895.0,5378.45,48895.0,57
CDM,705707,MESH BN CRNL 45X38X.4MM,10202.0,10202.0,1122.22,10202.0,57
CDM,705708,MESH BN CRNL 45X38X.4MM,15545.0,15545.0,1709.95,15545.0,57
CDM,705786,SCREW BN TI SLF DRL 4MM,1548.0,1548.0,170.28,1548.0,57
CDM,705788,SCREW BN 6.0MM,1548.0,1548.0,170.28,1548.0,57
CDM,705789,SCREW BN 1.55X2.65X6MM,1578.0,1578.0,173.58,1578.0,57
CDM,705880,SCREW BN NS LCK 5X28MM,2137.0,2137.0,235.07,2137.0,57
CDM,705881,SCREW BN NS LCK 5X26MM,2137.0,2137.0,235.07,2137.0,57
CDM,705882,SCREW BN NS LCK 5X54MM,2300.0,2300.0,253.0,2300.0,57
CDM,705883,SCREW BN 5MM 4.3MM 58MM,2300.0,2300.0,253.0,2300.0,57
CDM,705885,SCREW BNE TI L64MM OD5MM,2137.0,2137.0,235.07,2137.0,57
CDM,705910,SCREW BN 4MM 3.4MM 14MM,2610.0,2610.0,287.1,2610.0,57
CDM,705912,SCREW BN 4MM 3.4MM 16MM,2447.0,2447.0,269.17,2447.0,57
CDM,705913,SCREW BN 4MM 18MM,2428.0,2428.0,267.08,2428.0,57
CDM,705914,SCREW BN 4MM 26MM,2447.0,2447.0,269.17,2447.0,57
CDM,705915,SCREW BN 4MM 30MM,2534.0,2534.0,278.74,2534.0,57
CDM,705916,SCREW BN 4MM 34MM,2428.0,2428.0,267.08,2428.0,57
CDM,705920,SCREW CORTICAL 3.5X22,987.0,987.0,108.57,987.0,57
CDM,705942,SET DRN PCV 41CM 18FR,3636.0,3636.0,254.52,3636.0,71
CDM,705949,PIN TEMP SPN 200X50MM,1599.0,1599.0,111.93,1599.0,71
CDM,705953,SCREW BN LCK 4MM 42MM,2762.0,2762.0,303.82,2762.0,57
CDM,706256,CATH BLN 20X4CM ZMEDX,11756.0,11756.0,822.92,11756.0,71
CDM,706280,CATH BLNDIL 4MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,706282,CATH BLNDIL 4MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,706292,CATH BLNDIL 6MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,706294,CATH BLNDIL 6MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,706298,CATH BLNDIL 7MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,706301,CATH BLNDIL 8MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,706302,CATH BLNDIL 8MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,706303,CATH BLNDIL 9MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,706304,CATH BLNDIL 9MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,706305,CATH BLNDIL 10MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,706306,CATH BLNDIL 10MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,706350,SCREW BN 7MM 45MM XPDM T,12529.0,12529.0,1378.19,12529.0,57
CDM,706444,GRAFT HEMI PULM ART RT,78705.0,78705.0,8657.55,78705.0,57
CDM,706542,HEAD HIP+12MM 12/14 40MM,9450.0,9450.0,1039.5,9450.0,57
CDM,706543,INSERT TRTHN TIB G-416,24510.0,24510.0,2696.1,24510.0,57
CDM,706588,PLATE BN 6HL 3.5X160MM,26128.0,26128.0,2874.08,26128.0,57
CDM,706642,PLATE 8-PLT 2HL 12MM PED,7144.0,7144.0,785.84,7144.0,57
CDM,706684,PLATE BN ADP 20H 4MM,13021.0,13021.0,1432.31,13021.0,57
CDM,706709,CATH URET 2LUM 10FR,2040.0,2040.0,142.8,2040.0,71
CDM,706711,KIT BNCMNT BIOPRP INST,3267.0,3267.0,228.69,3267.0,71
CDM,706807,PLATE CHIN 11MM GNPLST,4158.0,4158.0,457.38,4158.0,57
CDM,706811,CATH GLYS 15FR 59CM,3233.0,3233.0,226.31,3233.0,71
CDM,706812,CATHETER DLYS 15FR 43CM,3233.0,3233.0,226.31,3233.0,71
CDM,706815,PLATE BN CRV 6HL 2X33X1,3842.0,3842.0,422.62,3842.0,57
CDM,706825,SCREW BN 3.5MM 18MM MTNR,9248.0,9248.0,1017.28,9248.0,57
CDM,706826,SCREW BNE MFA 3.5X16,11390.0,11390.0,1252.9,11390.0,57
CDM,706827,CMPNT PTLR KN 38MM,6128.0,6128.0,674.08,6128.0,57
CDM,706828,BASEPLT TIB KN RT SZ7,22960.0,22960.0,2525.6,22960.0,57
CDM,706833,CAP PROTCT 6.0MM,213.0,213.0,14.91,213.0,71
CDM,706838,PLATE BN 4.5MM 211MM,21229.0,21229.0,2335.19,21229.0,57
CDM,706839,PLATE DISTAL RADIUS 48MM,15314.0,15314.0,1684.54,15314.0,57
CDM,706855,PROSTH PENL PUMP PS 15CM,177133.0,177133.0,19484.63,177133.0,57
CDM,706857,PLATE ORBT FLR 12HL .7MM,3391.0,3391.0,373.01,3391.0,57
CDM,706858,PLATE BN 3X2H RT 23X.7MM,3301.0,3301.0,363.11,3301.0,57
CDM,706893,PLATE BN QTR 7HL 55MM,1290.0,1290.0,141.9,1290.0,57
CDM,706894,PLATE BN QTR 8HL 63MM,1376.0,1376.0,151.36,1376.0,57
CDM,706987,SCREW BN 5MM 4.4MM 90MM,2951.0,2951.0,324.61,2951.0,57
CDM,706988,SCREW BN 5MM 4.4MM 95MM,2951.0,2951.0,324.61,2951.0,57
CDM,707000,SCREW LOCKING 7.0MMX50MM,5197.0,5197.0,571.67,5197.0,57
CDM,707002,SCREW BN 7.3MM 5MM 65MM,4419.0,4419.0,486.09,4419.0,57
CDM,707006,SCREW BN 7.3MM 5MM 85MM,4360.0,4360.0,479.6,4360.0,57
CDM,707016,SCREW BN NS LCK 5X46MM,2073.0,2073.0,228.03,2073.0,57
CDM,707017,SCREW BN 5MM 4.3MM 66MM,2321.0,2321.0,255.31,2321.0,57
CDM,707018,SCREW BN NS LCK 5X30MM,2321.0,2321.0,255.31,2321.0,57
CDM,707033,LEAD PCNG 4.1FR 69CM,9143.0,9143.0,1005.73,9143.0,57
CDM,707044,GRAFT VASC THIN 80CM 8MM,67829.0,67829.0,7461.19,67829.0,57
CDM,707046,PLATE SPN 1LVL 16MM,24045.0,24045.0,2644.95,24045.0,57
CDM,707047,PLATE SPN 2LVL 30MM,24045.0,24045.0,2644.95,24045.0,57
CDM,707064,SCREW BN 7.3MM 125MM,4202.0,4202.0,462.22,4202.0,57
CDM,707084,BASEPLATETIB KN LGN RT,46655.0,46655.0,5132.05,46655.0,57
CDM,707103,COUPLER FEM KN OFST 6MM,21009.0,21009.0,2310.99,21009.0,57
CDM,707104,COUPLER FEM KN OFST 4MM,21009.0,21009.0,2310.99,21009.0,57
CDM,707174,AXLE FEM KN 648-1-120,17506.0,17506.0,1925.66,17506.0,57
CDM,707181,BUSHNG FEM KN ROT HNG,4069.0,4069.0,447.59,4069.0,57
CDM,707213,SCREW BN 3.5MM 52MM,2151.0,2151.0,236.61,2151.0,57
CDM,707240,NAIL IM TIBIAL 12X390,18946.0,18946.0,2084.06,18946.0,57
CDM,707243,POST EX FIX 11MM,3135.0,3135.0,219.45,3135.0,71
CDM,707280,CATH EP 6FR 105CM,8459.0,8459.0,592.13,8459.0,71
CDM,707291,PLATE BN 7HL 4.5MM 134MM,6748.0,6748.0,742.28,6748.0,57
CDM,707301,GWIRE VASC 260CM 3MM,1279.0,1279.0,89.53,1279.0,71
CDM,707315,HEAD FEM HIP -3MM 36MM,9450.0,9450.0,1039.5,9450.0,57
CDM,707316,MESH SURG 4.3X2.4IN,1884.0,1884.0,207.24,1884.0,57
CDM,707317,PLATE VOLAR DIS RAD EX-A,15022.0,15022.0,1652.42,15022.0,57
CDM,707321,BASEPLT KN TIB SZ7,23220.0,23220.0,2554.2,23220.0,57
CDM,707326,PLATE BN MIDFCE .3MM,24021.0,24021.0,2642.31,24021.0,57
CDM,707329,SCREW BN 1.5X8X1.5MM,1578.0,1578.0,173.58,1578.0,57
CDM,707339,SCREW BN 1.85X5MM,1578.0,1578.0,173.58,1578.0,57
CDM,707342,PLATE BN 20H 0.7MM,13021.0,13021.0,1432.31,13021.0,57
CDM,707346,PLATE T 2.4 2 HOLE HEAD,4052.0,4052.0,445.72,4052.0,57
CDM,707359,PLATE BN 3HL 3.5MM 90MM,24872.0,24872.0,2735.92,24872.0,57
CDM,707433,CATH ATHRCM 0.9MM 150CM,40597.0,40597.0,2841.79,40597.0,71
CDM,707444,SCREW BN 4MM 3.4MM 42MM,2428.0,2428.0,267.08,2428.0,57
CDM,707447,PROS TSTCLR SAL FIL LG,49547.0,49547.0,5450.17,49547.0,57
CDM,707448,PORT IMPL INFSN 8FR,5015.0,5015.0,551.65,5015.0,57
CDM,707454,DSTRCT BDY MNDB 25MM,93133.0,93133.0,10244.63,93133.0,57
CDM,707455,DSTRCT CMF MESH 1.5MM,13936.0,13936.0,1532.96,13936.0,57
CDM,707456,DSTRCT CMF MESH 1.5MM,13936.0,13936.0,1532.96,13936.0,57
CDM,707461,TENDON ACHILLES W/CALC,26562.0,26562.0,2921.82,26562.0,57
CDM,707469,PORT IMP INFSN 14.3FR,3391.0,3391.0,373.01,3391.0,57
CDM,707500,PLATE 65X11X2.5MM 3.5MM,21177.0,21177.0,2329.47,21177.0,57
CDM,707516,NAIL BN FEM 12MM 380MM,20693.0,20693.0,2276.23,20693.0,57
CDM,707520,STENT COR RX 2.75X15MM,13579.0,13579.0,1493.69,13579.0,57
CDM,707523,STEM FEM HIP 170MM,49020.0,49020.0,5392.2,49020.0,57
CDM,707547,KIT INST ARTHSCP DISP,6679.0,6679.0,734.69,6679.0,57
CDM,707549,PACEMAKER IMPLANT DDDR,63667.0,63667.0,7003.37,63667.0,57
CDM,707574,INSERT KN TIB 71MM 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,707578,CMPNT KN FEM LT STD 7CM,102465.0,102465.0,11271.15,102465.0,57
CDM,707586,SCREW BN 1.85X265X8MM,1578.0,1578.0,173.58,1578.0,57
CDM,707588,SCREW BN 1.85X2.65X4MM,1702.0,1702.0,187.22,1702.0,57
CDM,707592,KIT CATH GW 18GA .038IN,2032.0,2032.0,142.24,2032.0,71
CDM,707600,DEVICE TROCH REATT STD,34257.0,34257.0,3768.27,34257.0,57
CDM,707612,RELOAD STPLR 55MM,1599.0,1599.0,175.89,1599.0,57
CDM,707656,BAR ARCH EX FIX 1MR,1343.0,1343.0,94.01,1343.0,71
CDM,707665,SCREW BN 7MM 45MM 16MM,18049.0,18049.0,1985.39,18049.0,57
CDM,707669,PLATE BN 8-PLT 16MM 2HL,7144.0,7144.0,785.84,7144.0,57
CDM,707675,KIT BIOPSY GUIDE,26032.0,26032.0,1822.24,26032.0,71
CDM,707687,LINER ACTB HIP 32MM 54MM,40113.0,40113.0,4412.43,40113.0,57
CDM,707704,STAPLER INT CIR 3.5X21MM,15718.0,15718.0,1100.26,15718.0,71
CDM,707705,STAPLER INT CIR 3.5X25MM,11433.0,11433.0,800.31,11433.0,71
CDM,707716,PLATE BN 4.5 6H 115MM,14870.0,14870.0,1635.7,14870.0,57
CDM,707725,HEAD FEM HIP -4 40MM,8100.0,8100.0,891.0,8100.0,57
CDM,707734,PLATE GLENOID RVRS,34830.0,34830.0,3831.3,34830.0,57
CDM,707735,SCREW BN 4.5MM 26MM,2055.0,2055.0,226.05,2055.0,57
CDM,707738,SCREW BN GLND PLATE LT,2055.0,2055.0,226.05,2055.0,57
CDM,707741,TRAY RVRS HUM +0,43860.0,43860.0,4824.6,43860.0,57
CDM,707743,SCREW SHLDR RVRS,7398.0,7398.0,813.78,7398.0,57
CDM,707766,PLATE BN 4HL 3.5X81MM,24097.0,24097.0,2650.67,24097.0,57
CDM,707767,PLATE BN 8HL 152MM,7144.0,7144.0,785.84,7144.0,57
CDM,707770,PLATE BN PROX 4.5X118MM,23738.0,23738.0,2611.18,23738.0,57
CDM,707773,PLATE PELVIC 3.5 X 7 X 8,6638.0,6638.0,730.18,6638.0,57
CDM,707776,PLATE T 2.4 LCP 3H/3H,7377.0,7377.0,811.47,7377.0,57
CDM,707777,PLATE T 3X8HL54X6.3X1.25,4320.0,4320.0,475.2,4320.0,57
CDM,707792,KIT LAPSCP FALOPIAN RING,2289.0,2289.0,251.79,2289.0,57
CDM,707806,PLATE BN 3.5MM 246MM,25992.0,25992.0,2859.12,25992.0,57
CDM,707874,SCREW BN 2.7MM 40MM,1700.0,1700.0,187.0,1700.0,57
CDM,708021,INSERT ACTB HIP X3 22D,38700.0,38700.0,4257.0,38700.0,57
CDM,708030,STEM FEM KN 127MM 11MM,47653.0,47653.0,5241.83,47653.0,57
CDM,708036,SCREW BN 7X35 XPDM SPN,10450.0,10450.0,1149.5,10450.0,57
CDM,708063,SCREW BN 2.4MM 40MM,816.0,816.0,89.76,816.0,57
CDM,708073,PROSTH OSS 4.5MM 0.2MM,6823.0,6823.0,477.61,6823.0,57
CDM,708091,ADAPTER FEM 5D,25800.0,25800.0,2838.0,25800.0,57
CDM,708092,BOLT ORTH NEUT FEM ADPR,3612.0,3612.0,397.32,3612.0,57
CDM,708093,STEM FEM KN 11MM 150MM,86183.0,86183.0,9480.13,86183.0,57
CDM,708149,CATH BLNDIL 4MM 30MM,5623.0,5623.0,393.61,5623.0,71
CDM,708150,CATH BLNDIL 5MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,708192,STEM FEM KN 75X18MM,18164.0,18164.0,1998.04,18164.0,57
CDM,708219,COIL EMBL 5CM 8MM,1686.0,1686.0,185.46,1686.0,57
CDM,708222,CATH GD MP1 6FR 100CM,1874.0,1874.0,131.18,1874.0,71
CDM,708223,CATH GD MP1 6FR 100CM,1874.0,1874.0,131.18,1874.0,71
CDM,708225,SIZER BREAST 630CC,3748.0,3748.0,262.36,3748.0,71
CDM,708231,NRSTM IMP 44MM 51MM,174797.0,174797.0,19227.67,174797.0,57
CDM,708275,KIT HIP PREP KIT,18575.0,18575.0,1300.25,18575.0,71
CDM,708277,CUP ACTB HIP HH 54MM,40023.0,40023.0,4402.53,40023.0,57
CDM,708279,STEM FEM KN 12MM 115MM,18164.0,18164.0,1998.04,18164.0,57
CDM,708282,CMPNT FEM 2.5 RT CS TC3,64501.0,64501.0,7095.11,64501.0,57
CDM,708315,INSERT ARTC KN 74X44X20,45773.0,45773.0,5035.03,45773.0,57
CDM,708316,INSERT TIB KN 24MM,24292.0,24292.0,2672.12,24292.0,57
CDM,708320,WEDGE FEM KN SZ5 10X5MM,22501.0,22501.0,2475.11,22501.0,57
CDM,708330,PROSTH PENL PUMP PS 18CM,183910.0,183910.0,20230.1,183910.0,57
CDM,708341,SCREW BN 1.2MM 5MM,1063.0,1063.0,116.93,1063.0,57
CDM,708342,PLATE 12 HOLE CURVED,3857.0,3857.0,424.27,3857.0,57
CDM,708344,INTRODUCER LD 13CM 8FR S,2437.0,2437.0,170.59,2437.0,71
CDM,708384,CATH BLNDIL 4MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,708393,STENT CTD 8MM 40MM,32588.0,32588.0,3584.68,32588.0,57
CDM,708396,STENT CTD 7MM 40MM,39540.0,39540.0,4349.4,39540.0,57
CDM,708397,STENT CTD 7MM 30MM,32588.0,32588.0,3584.68,32588.0,57
CDM,708399,STENT CTD 6MM 40MM,39540.0,39540.0,4349.4,39540.0,57
CDM,708400,STENT CTD 6MM 30MM,31088.0,31088.0,3419.68,31088.0,57
CDM,708404,STENT CTD 5MM 30MM,39540.0,39540.0,4349.4,39540.0,57
CDM,708408,PLATE OLCRN 3.5 X 86MM R,16999.0,16999.0,1869.89,16999.0,57
CDM,708435,SCREW BN 5MM 68MM,2926.0,2926.0,321.86,2926.0,57
CDM,708454,PLATE BN LT 15MM 18MM,3626.0,3626.0,398.86,3626.0,57
CDM,708455,PLATE BN RT 15MM 18MM,3626.0,3626.0,398.86,3626.0,57
CDM,708456,PCMKR DR 45.4X52.3X7.5MM,63667.0,63667.0,7003.37,63667.0,57
CDM,708457,GWIRE VASC 3CM 80CM,1877.0,1877.0,131.39,1877.0,71
CDM,708490,CATH ABL 8FR 110CM,19470.0,19470.0,1362.9,19470.0,71
CDM,708536,INSERT ARTC KN 7-8 11MM,33916.0,33916.0,3730.76,33916.0,57
CDM,708568,STAPLE BN 18X15MM,26374.0,26374.0,2901.14,26374.0,57
CDM,708569,STAPLE BN 18X14MM,26374.0,26374.0,2901.14,26374.0,57
CDM,708575,SCREW BN 2.0MM 10MM,1134.0,1134.0,124.74,1134.0,57
CDM,708576,PLATE BN MXLFCL 6HL 6MM,6156.0,6156.0,677.16,6156.0,57
CDM,708596,SCREW BN LCK 11X100MM,10851.0,10851.0,1193.61,10851.0,57
CDM,708610,DRAIN CHEST 500ML,2467.0,2467.0,172.69,2467.0,71
CDM,708617,LINER ACTB HIP 56X36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,708653,PLATE BN SS 86MM LCP 2,17813.0,17813.0,1959.43,17813.0,57
CDM,708660,RECORDER ICM DX,61548.0,61548.0,6770.28,61548.0,57
CDM,708694,PLATE 1.5 TI T/3 HL 40,4809.0,4809.0,528.99,4809.0,57
CDM,708699,NEUROSTM IMPL 35CM,53944.0,53944.0,5933.84,53944.0,57
CDM,708705,SCREW BN 6.5MM 55MM,1131.0,1131.0,124.41,1131.0,57
CDM,708707,STEM FEM KN 75MM 20MM,18164.0,18164.0,1998.04,18164.0,57
CDM,708717,STEM FEM HIP SZ4 140MM,51600.0,51600.0,5676.0,51600.0,57
CDM,708737,STEM FEM KN 20X115MM,18164.0,18164.0,1998.04,18164.0,57
CDM,708745,STEM FEM HIP SZ3 200MM,64501.0,64501.0,7095.11,64501.0,57
CDM,708759,BLOCK TIB TRBCLR MTL SZ,30651.0,30651.0,3371.61,30651.0,57
CDM,708767,SCREW BN LCK 4MM 30MM,2762.0,2762.0,303.82,2762.0,57
CDM,708783,WDG TIB MBT 5 H10 STEP,26865.0,26865.0,2955.15,26865.0,57
CDM,708785,INSERT TIB KN #2.5 15MM,36491.0,36491.0,4014.01,36491.0,57
CDM,708786,INSERT TIB KN SZ5 17.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,708822,STEM FEM KN 75MM 16MM,18164.0,18164.0,1998.04,18164.0,57
CDM,708825,CMPNT FEM KN RT XS,197001.0,197001.0,21670.11,197001.0,57
CDM,708911,STAPLER INT CIR 4.8X28MM,27954.0,27954.0,1956.78,27954.0,71
CDM,708930,PLATE BN MINI MD 6HL 2MM,3842.0,3842.0,422.62,3842.0,57
CDM,708935,SCREW CRNMXF 1.5X2.9X8,1182.0,1182.0,130.02,1182.0,57
CDM,708941,CUFF URTH SPHNCR AB 5.5C,137575.0,137575.0,15133.25,137575.0,57
CDM,708963,SCREW BN 2MM 8MM,750.0,750.0,82.5,750.0,57
CDM,708966,SCREW BN 2MM 14MM,750.0,750.0,82.5,750.0,57
CDM,708967,SCREW BN CORT 2MM 16MM,750.0,750.0,82.5,750.0,57
CDM,708968,SCREW BN 2MM 18MM,750.0,750.0,82.5,750.0,57
CDM,708969,SCREW BN CORT T6 2X20MM,750.0,750.0,82.5,750.0,57
CDM,708974,SCREW BN 2MM 28MM,750.0,750.0,82.5,750.0,57
CDM,708975,SCREW BN 2MM 30MM,750.0,750.0,82.5,750.0,57
CDM,708987,SCREW BN 2.4MM 34MM,957.0,957.0,105.27,957.0,57
CDM,708988,SCREW BN 2.4MM 4MM 36MM,957.0,957.0,105.27,957.0,57
CDM,708990,SCREW BN 2.4MM 4MM 38MM,957.0,957.0,105.27,957.0,57
CDM,708993,SCREW BN 2X6MM,1714.0,1714.0,188.54,1714.0,57
CDM,709003,SCREW BN 2.7MM 48MM,1669.0,1669.0,183.59,1669.0,57
CDM,709009,SCREW BN 2.7MM 32MM,750.0,750.0,82.5,750.0,57
CDM,709010,SCREW BN 2.7MM 34MM,750.0,750.0,82.5,750.0,57
CDM,709011,SCREW BN 2.7MM 36MM,750.0,750.0,82.5,750.0,57
CDM,709012,SCREW BN 2.7MM 38MM,750.0,750.0,82.5,750.0,57
CDM,709015,SCREW BN 2.7MM 40MM,750.0,750.0,82.5,750.0,57
CDM,709016,SCREW BN 2.7MM 42MM,750.0,750.0,82.5,750.0,57
CDM,709018,SCREW BN 2.7MM 44MM,750.0,750.0,82.5,750.0,57
CDM,709024,SCREW BN 2.7MM 46MM,750.0,750.0,82.5,750.0,57
CDM,709025,SCREW BN 2.7MM 5MM,750.0,750.0,82.5,750.0,57
CDM,709026,SCREW BN 2.7MM 50MM,750.0,750.0,82.5,750.0,57
CDM,709027,SCREW BN 2.7MM 55MM,750.0,750.0,82.5,750.0,57
CDM,709061,TRAY TIB REV SZ2 25MM,100179.0,100179.0,11019.69,100179.0,57
CDM,709072,SCREW BN 5.0MM 50MM,7866.0,7866.0,865.26,7866.0,57
CDM,709074,STEM FEM KN 75MM 10MM,18164.0,18164.0,1998.04,18164.0,57
CDM,709124,SCREW BN TI L20MM OD3.5M,11390.0,11390.0,1252.9,11390.0,57
CDM,709127,PLATE SPN 3.5 37MM,37965.0,37965.0,4176.15,37965.0,57
CDM,709128,SCREW BNE L12 OD4.5 OC,2700.0,2700.0,297.0,2700.0,57
CDM,709149,CATH SHUNT PRNTL 120CM,3207.0,3207.0,352.77,3207.0,57
CDM,709152,PLATE BN 5HL 2.0MM 38MM,4381.0,4381.0,481.91,4381.0,57
CDM,709159,PLATE BN SS 88X12,6937.0,6937.0,763.07,6937.0,57
CDM,709160,PLATE BN 2.7MM 97MM,7794.0,7794.0,857.34,7794.0,57
CDM,709165,PLATE BN 8H 2.4X68MM,6687.0,6687.0,735.57,6687.0,57
CDM,709168,PLATE BN 2.7MM 49MM,7059.0,7059.0,776.49,7059.0,57
CDM,709169,PLATE BN 6H 58MM 2.7MM,7059.0,7059.0,776.49,7059.0,57
CDM,709170,PLATE BN 7HL 2.7MM 67MM,6283.0,6283.0,691.13,6283.0,57
CDM,709171,PLATE BN 2.7X66MM,9501.0,9501.0,1045.11,9501.0,57
CDM,709180,IMPLANT BREAST 450CC,15413.0,15413.0,1695.43,15413.0,57
CDM,709207,PACKING WND 72X2IN,199.0,199.0,13.93,199.0,71
CDM,709218,INTRO SHTH MLN 12F 85,3317.0,3317.0,232.19,3317.0,71
CDM,709231,BASEPLATE TIB KN UNV SZ8,25800.0,25800.0,2838.0,25800.0,57
CDM,709268,STEM FEM KN 75MM 12MM,18164.0,18164.0,1998.04,18164.0,57
CDM,709270,STEM FEM KN 12MM 125MM,86103.0,86103.0,9471.33,86103.0,57
CDM,709510,STEM FEM 14X115MM PFC HI,18164.0,18164.0,1998.04,18164.0,57
CDM,709529,STEM HIP 132D SZ5 145MM,36120.0,36120.0,3973.2,36120.0,57
CDM,709554,SHELL HIP ACTB 52MM,25800.0,25800.0,2838.0,25800.0,57
CDM,709555,LINER ACTB HIP 36X52MM,14190.0,14190.0,1560.9,14190.0,57
CDM,709564,CATH SLITTER ADJ SHTH,1599.0,1599.0,111.93,1599.0,71
CDM,709566,SHEATH INTRO 11F 30CM,1183.0,1183.0,82.81,1183.0,71
CDM,709567,SCREW BN SPRCL 6.5X20MM,1275.0,1275.0,140.25,1275.0,57
CDM,709574,CMPNT FEM KN SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,709577,CMPNT FEM KN SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,709581,SHELL ACTB HIP HEMI 54MM,51173.0,51173.0,5629.03,51173.0,57
CDM,709586,STEM FEM KN STD OD 10MM,108076.0,108076.0,11888.36,108076.0,57
CDM,709596,STEM XTN KN GMRS 80MM,50826.0,50826.0,5590.86,50826.0,57
CDM,709601,PERFORATOR CRNL 14MM,10504.0,10504.0,735.28,10504.0,71
CDM,709641,GRAFT VASC THIN 50CM 6MM,38429.0,38429.0,4227.19,38429.0,57
CDM,709727,TRAY PROC 12 - 18 FR,11169.0,11169.0,781.83,11169.0,71
CDM,709751,LINER ACTB HIP+4 28X48MM,38700.0,38700.0,4257.0,38700.0,57
CDM,709757,STEM FM 115MM 10MM HIP F,20165.0,20165.0,2218.15,20165.0,57
CDM,709764,PLATE BN 12HL .5MM,6701.0,6701.0,737.11,6701.0,57
CDM,709778,CUP PLVC ACTB HIP 48MM,42423.0,42423.0,4666.53,42423.0,57
CDM,709779,STEM POR STD 11.5X100,92481.0,92481.0,10172.91,92481.0,57
CDM,709797,CUP HIP ACTB MLH 62MM,42423.0,42423.0,4666.53,42423.0,57
CDM,709802,RESTRICTOR BNCMNT 25MM,5160.0,5160.0,567.6,5160.0,57
CDM,709811,HEAD HIP +0MM 40MM,18060.0,18060.0,1986.6,18060.0,57
CDM,709895,SHELL ACTB HIP 50MM,25800.0,25800.0,2838.0,25800.0,57
CDM,709898,GWIRE ORTHO .062X5.75IN,2849.0,2849.0,199.43,2849.0,71
CDM,709912,PLATE OLECRANON 4HOLE LC,18662.0,18662.0,2052.82,18662.0,57
CDM,709913,PLATE BN SS L138MM LCP R,19254.0,19254.0,2117.94,19254.0,57
CDM,709948,STENT VASC 7X20MM 120CM,17912.0,17912.0,1970.32,17912.0,57
CDM,709950,STENT VASC 8X20MM 120CM,20037.0,20037.0,2204.07,20037.0,57
CDM,709953,BUTTON SUTURE 3.5MM,2075.0,2075.0,228.25,2075.0,57
CDM,709964,BLADE HLCL 11X110,10573.0,10573.0,1163.03,10573.0,57
CDM,709968,SCREW LOCKING 5.0X34,3206.0,3206.0,352.66,3206.0,57
CDM,710013,SLEEVE ADPT HIP 5.0MM,1419.0,1419.0,156.09,1419.0,57
CDM,710025,PLATE MICRO T 19MM,3953.0,3953.0,434.83,3953.0,57
CDM,710027,CLIP LIGATING MED,750.0,750.0,82.5,750.0,57
CDM,710191,SCREW BN 3.5MM 22MM,1832.0,1832.0,201.52,1832.0,57
CDM,710192,SCREW BN 3.5MM 26MM,1832.0,1832.0,201.52,1832.0,57
CDM,710208,PLATE BN 5H 3.5MM 72MM,5015.0,5015.0,551.65,5015.0,57
CDM,710216,PLATE BN RT 3.5MM 52MM,5677.0,5677.0,624.47,5677.0,57
CDM,710217,PLATE BN T 3H 3.5MM 74MM,5725.0,5725.0,629.75,5725.0,57
CDM,710218,PLATE BN T 3H 3.5MM 96MM,7565.0,7565.0,832.15,7565.0,57
CDM,710219,PLATE BN T 3.5MM 3H 50MM,5400.0,5400.0,594.0,5400.0,57
CDM,710221,PLATE BN 3.5MM 56MM,4834.0,4834.0,531.74,4834.0,57
CDM,710222,PLATE BN T 3HL 3.5X67MM,6113.0,6113.0,672.43,6113.0,57
CDM,710224,PLATE BN 3HL 3.5X87MM,9466.0,9466.0,1041.26,9466.0,57
CDM,710225,PLATE BN 57X9X1MM,2573.0,2573.0,283.03,2573.0,57
CDM,710226,GWIRE ORTHO 1.4X150MM,2024.0,2024.0,141.68,2024.0,71
CDM,710229,PLATE BN L 3H 3.5MM 52MM,6381.0,6381.0,701.91,6381.0,57
CDM,710231,PLATE T BN LT 3.5MM 74MM,6616.0,6616.0,727.76,6616.0,57
CDM,710232,PLATE T BN LT 3.5MM 96MM,7170.0,7170.0,788.7,7170.0,57
CDM,710233,PLATE BN 5HL 3.5MM 70MM,6398.0,6398.0,703.78,6398.0,57
CDM,710235,PLATE BN 3.5MM 98MM,7754.0,7754.0,852.94,7754.0,57
CDM,710237,PLATE BN 10H 3.5MM 140MM,9751.0,9751.0,1072.61,9751.0,57
CDM,710239,NEEDLE INTSTM 5IN 20GA,1599.0,1599.0,111.93,1599.0,71
CDM,710248,IMPLANT BREAST 300CC,15413.0,15413.0,1695.43,15413.0,57
CDM,710249,IMPLANT BREAST 400CC,13790.0,13790.0,1516.9,13790.0,57
CDM,710263,HEAD FEM HIP 11/13 +12MM,22960.0,22960.0,2525.6,22960.0,57
CDM,710267,GRAFT BN SUB 100X25X4MM,25315.0,25315.0,2784.65,25315.0,57
CDM,710291,CANN PRFSN 12.5IN 15FR,2888.0,2888.0,202.16,2888.0,71
CDM,710292,INSERT TIB KN SZ5-6 13MM,33916.0,33916.0,3730.76,33916.0,57
CDM,710373,SLEEVE HIP ADPTR 4MM,2524.0,2524.0,277.64,2524.0,57
CDM,710378,PLATE BN T 3H 3.5MM 63MM,5963.0,5963.0,655.93,5963.0,57
CDM,710379,PLATE T BN LT 3.5MM 63MM,6696.0,6696.0,736.56,6696.0,57
CDM,710396,BASEPLT KN LT SZ5,23220.0,23220.0,2554.2,23220.0,57
CDM,710399,SCREW LCK 4.0X80,817.0,817.0,89.87,817.0,57
CDM,710414,PLATE BN TBLR 141X9X1MM,3213.0,3213.0,353.43,3213.0,57
CDM,710435,SCREW BN 4X3.5X36MM,2806.0,2806.0,308.66,2806.0,57
CDM,710464,BSKT RTRV NCMPS 1.5X115,7430.0,7430.0,520.1,7430.0,71
CDM,710467,SLEEVE HIP ADPT +0MM,1419.0,1419.0,156.09,1419.0,57
CDM,710501,PLATE BN 2Y 18MM,3731.0,3731.0,410.41,3731.0,57
CDM,710520,CUP ACTB DOME 56MM,40023.0,40023.0,4402.53,40023.0,57
CDM,710521,STEM FEM 115MM 18MM,18164.0,18164.0,1998.04,18164.0,57
CDM,710523,INSERT TIB KN SZ4 20MM,36491.0,36491.0,4014.01,36491.0,57
CDM,710542,STEM FEMORAL 75X22,17025.0,17025.0,1872.75,17025.0,57
CDM,710549,INSERT TIB KN SZ4 10MM,36491.0,36491.0,4014.01,36491.0,57
CDM,710607,PIN NVG ORTH 3X100 EX FX,5738.0,5738.0,401.66,5738.0,71
CDM,710614,PLATE 2.4 TI 3X8 56MM,4186.0,4186.0,460.46,4186.0,57
CDM,710615,PLATE BN 8HL 2MM 53MM,3937.0,3937.0,433.07,3937.0,57
CDM,710616,PLATE BN 8HL 2MM 48MM,4867.0,4867.0,535.37,4867.0,57
CDM,710617,PLATE BN 2H 8H 2MM,5013.0,5013.0,551.43,5013.0,57
CDM,710618,PLATE BN 8HL 1.5MM 44MM,3593.0,3593.0,395.23,3593.0,57
CDM,710622,PLATE BN 4HL 1.3MM 32MM,3593.0,3593.0,395.23,3593.0,57
CDM,710623,PLATE BN Y 3X8HL 1.3X32,3460.0,3460.0,380.6,3460.0,57
CDM,710629,PLATE 3.5 RECON 245.18,6422.0,6422.0,706.42,6422.0,57
CDM,710636,PLATE SF TUB 1/3X4X49,994.0,994.0,109.34,994.0,57
CDM,710670,SCREW BN 2MM 12MM,8220.0,8220.0,904.2,8220.0,57
CDM,710693,CABLE FXTN 1.8MM 635CM,9063.0,9063.0,996.93,9063.0,57
CDM,710694,CABLE BN 1.8MM 635MM,4589.0,4589.0,504.79,4589.0,57
CDM,710699,BLOCK AUGMT SR KN 5MM,11198.0,11198.0,1231.78,11198.0,57
CDM,710704,COMPONENT FEM KN 71X66MM,73689.0,73689.0,8105.79,73689.0,57
CDM,710711,SCREW BN 5.0MM 78MM,2762.0,2762.0,303.82,2762.0,57
CDM,710716,SCREW CANCELLAUS 6 X24,1899.0,1899.0,208.89,1899.0,57
CDM,710742,GEN NRSTM 1.8X1.3X.27IN,366720.0,366720.0,40339.2,366720.0,57
CDM,710747,PLATE BN 4H 3.5MM 93MM,26423.0,26423.0,2906.53,26423.0,57
CDM,710752,GFT VSC TW RNG 6X80X60,25339.0,25339.0,2787.29,25339.0,57
CDM,710763,GRAFT SFT TIS ASEP 26CM,23870.0,23870.0,2625.7,23870.0,57
CDM,710764,RELOAD STPLR 45MM,4632.0,4632.0,509.52,4632.0,57
CDM,710787,SHELL ACTB HIP 0D 60MM,25800.0,25800.0,2838.0,25800.0,57
CDM,710790,STEM FEM KN 14MM 120MM,22501.0,22501.0,2475.11,22501.0,57
CDM,710793,COMPNT FEM 6 LT KN PST S,38700.0,38700.0,4257.0,38700.0,57
CDM,710849,INSERT TIB KN 3-4 21MM,33916.0,33916.0,3730.76,33916.0,57
CDM,710869,PORT IMPL INFSN TI 8.0FR,5015.0,5015.0,551.65,5015.0,57
CDM,710874,BASKET RTRV 1.7FR 115CM,7935.0,7935.0,555.45,7935.0,71
CDM,710904,SCREW BN 5X70MM,2789.0,2789.0,306.79,2789.0,57
CDM,710912,NO COST DEVICE,1.0,1.0,0.07,1.0,71
CDM,710929,PLATE BN 6H 3.5MM 158MM,23714.0,23714.0,2608.54,23714.0,57
CDM,710930,WEDGE FEM KN 5DX5P LGN,22501.0,22501.0,2475.11,22501.0,57
CDM,710940,STEM EXT KN 30MM,48724.0,48724.0,5359.64,48724.0,57
CDM,710961,STEM FEM KN 13X120MM,20485.0,20485.0,2253.35,20485.0,57
CDM,710965,SEALER BIP .137IN .226IN,7887.0,7887.0,552.09,7887.0,71
CDM,710969,HALTER TRAC HALO CERV LG,33060.0,33060.0,2314.2,33060.0,71
CDM,710988,GWIRE VASC .014IN 180CM,3186.0,3186.0,223.02,3186.0,71
CDM,710997,OCCLUDER CV 5X4MM,99401.0,99401.0,10934.11,99401.0,57
CDM,711011,SCREW CRTX ROD RES 6X2MM,1643.0,1643.0,180.73,1643.0,57
CDM,711014,SCREW BN 3.5MM 90MM,3126.0,3126.0,343.86,3126.0,57
CDM,711016,SYSTEM CBL HIP 23X53MM,26411.0,26411.0,2905.21,26411.0,57
CDM,711019,CAP END ULNAR SM,24691.0,24691.0,2716.01,24691.0,57
CDM,711041,SHEATH INTRO 6FR 65CM,4007.0,4007.0,280.49,4007.0,71
CDM,711074,SCREW LOCK 4MM ST WSTARD,2534.0,2534.0,278.74,2534.0,57
CDM,711089,PLATE MINI STRAIGHT 24MM,3229.0,3229.0,355.19,3229.0,57
CDM,711091,PLATE MICRO ORBITAL,9684.0,9684.0,1065.24,9684.0,57
CDM,711093,SLEEVE CNTRNG KN 2.5MM,2524.0,2524.0,277.64,2524.0,57
CDM,711094,HEAD HIP +0MM 28MM,18060.0,18060.0,1986.6,18060.0,57
CDM,711098,NAIL FEM 10MM 320MM,20693.0,20693.0,2276.23,20693.0,57
CDM,711119,STENT BIL 5X20MM 120CM,20037.0,20037.0,2204.07,20037.0,57
CDM,711125,HEAD FM HIP CCR+1.5X40MM,18154.0,18154.0,1996.94,18154.0,57
CDM,711126,CUP ACTB HIP PNCL 56MM,25800.0,25800.0,2838.0,25800.0,57
CDM,711129,HEAD FEM HIP +3M 36MM,24962.0,24962.0,2745.82,24962.0,57
CDM,711131,PLATE 23MM RIGHT L MINI,3295.0,3295.0,362.45,3295.0,57
CDM,711137,INSERT ARTC KN 5-6 11MM,32220.0,32220.0,3544.2,32220.0,57
CDM,711138,CMPNT KN LGN 10X5MM,22501.0,22501.0,2475.11,22501.0,57
CDM,711140,WEDGE TIB SZ5-6 10MM,26692.0,26692.0,2936.12,26692.0,57
CDM,711187,PIN DRILL 1.5MM 100MM,7797.0,7797.0,857.67,7797.0,57
CDM,711230,STEM FEM KN 15MM 90MM,13834.0,13834.0,1521.74,13834.0,57
CDM,711260,SLEEVE TIB 45X27X40MM,37358.0,37358.0,4109.38,37358.0,57
CDM,711344,ELECTRODE EMG 12MM,3697.0,3697.0,258.79,3697.0,71
CDM,711356,CMPNT ADPT HIP UNV 0MM,2025.0,2025.0,222.75,2025.0,57
CDM,711358,SCREW SPN 5.5MM 5MM 50MM,12655.0,12655.0,1392.05,12655.0,57
CDM,711378,SUTURE TGRLP 20IN,1874.0,1874.0,206.14,1874.0,57
CDM,711379,SUTURE FIBERLOOP 20IN,2032.0,2032.0,142.24,2032.0,71
CDM,711380,SUTURE FIBERWIRE 38IN,1070.0,1070.0,117.7,1070.0,57
CDM,711404,SCREW BN 2.4X26MM,1058.0,1058.0,116.38,1058.0,57
CDM,711409,PLATE SPN 1LVL 14MM,24045.0,24045.0,2644.95,24045.0,57
CDM,711424,WASHER BN ORTH 6.5/8MM,750.0,750.0,82.5,750.0,57
CDM,711439,STEM FEM KN 15MM 150MM,86183.0,86183.0,9480.13,86183.0,57
CDM,711440,SYSTEM PUMP 1ML/HR 100ML,3291.0,3291.0,230.37,3291.0,71
CDM,711441,PLATE BN 4HL 3.5MM 81MM,27096.0,27096.0,2980.56,27096.0,57
CDM,711457,INSERT TIB KN SZ4 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,711484,CMPNT KN FEM RT ELP 7CM,117946.0,117946.0,12974.06,117946.0,57
CDM,711485,CMPNT TIB KN RS 160X10,60030.0,60030.0,6603.3,60030.0,57
CDM,711488,SYSTEM PROX SEAL 3.8MM,11433.0,11433.0,800.31,11433.0,71
CDM,711503,GRAFT BN XS 1.4CC 1X2IN,29119.0,29119.0,3203.09,29119.0,57
CDM,711524,BASEPLT TIB KN LT SZ6,18495.0,18495.0,2034.45,18495.0,57
CDM,711535,TAP BN 1.5MM 4MM,6599.0,6599.0,461.93,6599.0,71
CDM,711538,STEM FEM HIP 15MM 155MM,50523.0,50523.0,5557.53,50523.0,57
CDM,711539,BODY CONE HIP +10MM 21MM,84625.0,84625.0,9308.75,84625.0,57
CDM,711547,PEG BN CORT LCK 2.3X20MM,3720.0,3720.0,409.2,3720.0,57
CDM,711596,COUPLER FEM HIP LGN 2MM,21009.0,21009.0,2310.99,21009.0,57
CDM,711609,STEM FEM HIP 17MM 155MM,53074.0,53074.0,5838.14,53074.0,57
CDM,711612,CMPNT PTLA 3PG STD34X8.5,6450.0,6450.0,709.5,6450.0,57
CDM,711685,PLATE MINI L RT 15MM,1665.0,1665.0,183.15,1665.0,57
CDM,711686,PLATE MINI SHORT Y,3432.0,3432.0,377.52,3432.0,57
CDM,711721,INSERT TIB KN SZ7-8 9MM,33916.0,33916.0,3730.76,33916.0,57
CDM,711725,BAR PECTUS SUPP 8IN,32367.0,32367.0,3560.37,32367.0,57
CDM,711732,COVER BURR HOLE 15MM,5706.0,5706.0,627.66,5706.0,57
CDM,711735,TRAY TIBIAL REV SZ4,95670.0,95670.0,10523.7,95670.0,57
CDM,711739,CUP ACTB HIP 64MM,40023.0,40023.0,4402.53,40023.0,57
CDM,711742,OCCLUDER CV 18X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,711743,OCCLUDER CV 25X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,711744,OCCLUDER CV 30X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,711745,OCCLUDER CV 35X3MM,129650.0,129650.0,14261.5,129650.0,57
CDM,711750,STNT URE SET SFLX 4.7X10,3640.0,3640.0,400.4,3640.0,57
CDM,711751,PLATE BN L11 MAXLFCL LT,3698.0,3698.0,406.78,3698.0,57
CDM,711771,SCREW SPN 5MM 45MM,12655.0,12655.0,1392.05,12655.0,57
CDM,711876,RELOAD STPLR 55MM,1599.0,1599.0,175.89,1599.0,57
CDM,711877,SYSTEM PUMP DRG 400ML,5793.0,5793.0,405.51,5793.0,71
CDM,711883,SLEEVE CNTRNG HIP 34MM,42857.0,42857.0,4714.27,42857.0,57
CDM,711884,TRAY TIB KN SZ2 15MM,100179.0,100179.0,11019.69,100179.0,57
CDM,711885,STEM EXT TIB KN 90X13MM,13834.0,13834.0,1521.74,13834.0,57
CDM,711896,DEVICE CLSR VASC 6FR,3597.0,3597.0,395.67,3597.0,57
CDM,711926,PLATE BN 6H 1.5MM,3186.0,3186.0,350.46,3186.0,57
CDM,711933,STEM L100MM OD14MM,11430.0,11430.0,1257.3,11430.0,57
CDM,711973,APPLIER INT W/CLP 5MM,11247.0,11247.0,1237.17,11247.0,57
CDM,711978,GRAFT BN STRIP 22X60MM,16200.0,16200.0,1782.0,16200.0,57
CDM,711984,CMPNT TIB KN SZA,32895.0,32895.0,3618.45,32895.0,57
CDM,712139,GRAFT ART ST TIS 6-32MM,312438.0,312438.0,34368.18,312438.0,57
CDM,712151,SCREW BN 105MM 4.5MM,12741.0,12741.0,1401.51,12741.0,57
CDM,712152,CUP ACTB HIP DOME 52MM,42423.0,42423.0,4666.53,42423.0,57
CDM,712166,LINER ACTB HIP 48/32MM,14190.0,14190.0,1560.9,14190.0,57
CDM,712171,SLEEVE CNTRNG HIP 31MM,42854.0,42854.0,4713.94,42854.0,57
CDM,712172,COMPNT TIB KN REV 3 15MM,100179.0,100179.0,11019.69,100179.0,57
CDM,712173,COMPNT AGMNT 4X8 DIST LT,11843.0,11843.0,1302.73,11843.0,57
CDM,712267,INSERT BUMPER KN 0D,8364.0,8364.0,920.04,8364.0,57
CDM,712272,CUP ACTB HIP MLH 50MM,42423.0,42423.0,4666.53,42423.0,57
CDM,712274,BAR PECTUS SUPPORT 17IN,34747.0,34747.0,3822.17,34747.0,57
CDM,712282,INSERT ARTC KN SZ3-4 9MM,33916.0,33916.0,3730.76,33916.0,57
CDM,712292,CEMENT BN ANBTC 40GM,7268.0,7268.0,799.48,7268.0,57
CDM,712294,CLIP LIGATING SM,750.0,750.0,82.5,750.0,57
CDM,712327,LINER ACTB 56X36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,712328,SHELL ACTB HIP 66MM,42423.0,42423.0,4666.53,42423.0,57
CDM,712330,STEM FEM 8 TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
CDM,712345,PLATE BN DISTRD 5H/5H RT,16018.0,16018.0,1761.98,16018.0,57
CDM,712347,PLATE BN DISTRD 5H/3H LT,17411.0,17411.0,1915.21,17411.0,57
CDM,712348,PLATE BN 5H/5H 2.4X66MM,25741.0,25741.0,2831.51,25741.0,57
CDM,712349,PLATE VOLAR DIST RAD 4 H,18397.0,18397.0,2023.67,18397.0,57
CDM,712350,SCREW BN LCK 2.4 8MM,2327.0,2327.0,255.97,2327.0,57
CDM,712351,SCREW BN 2.4MM 10MM,2195.0,2195.0,241.45,2195.0,57
CDM,712352,SCREW BN 2.4X12MM,2140.0,2140.0,235.4,2140.0,57
CDM,712353,SCREW BN 2.4MM 14MM SS,2140.0,2140.0,235.4,2140.0,57
CDM,712354,SCREW BN 2.4MM 24MM SS,2327.0,2327.0,255.97,2327.0,57
CDM,712355,SCREW BN 2.4MM 26MM SS,2327.0,2327.0,255.97,2327.0,57
CDM,712356,SCREW BN 2.4MM 28MM,2327.0,2327.0,255.97,2327.0,57
CDM,712370,SCREW BN 2.7MM 12MM,2236.0,2236.0,245.96,2236.0,57
CDM,712371,SCREW BN 2.7MM 14MM,2236.0,2236.0,245.96,2236.0,57
CDM,712373,PLATE QUAD MCRO 212-0040,5357.0,5357.0,589.27,5357.0,57
CDM,712374,PLATE BN STRT 5H 21MM,1953.0,1953.0,214.83,1953.0,57
CDM,712380,PLATE BN 4HL 2.4MM 65MM,25741.0,25741.0,2831.51,25741.0,57
CDM,712381,PLATE BN RT 4HL 3HL,17411.0,17411.0,1915.21,17411.0,57
CDM,712382,SCREW BN 2.4MM 16MM,2140.0,2140.0,235.4,2140.0,57
CDM,712383,SCREW BN 2.4MM 18MM,2140.0,2140.0,235.4,2140.0,57
CDM,712384,SCREW BN 2.4MM 20MM SS,2140.0,2140.0,235.4,2140.0,57
CDM,712385,SCREW BN 2.4MM 22MM SS,2140.0,2140.0,235.4,2140.0,57
CDM,712411,STEM EXT KN 80MM 10MM,14187.0,14187.0,1560.57,14187.0,57
CDM,712541,STENT VASC 8X27MM 135CM,16251.0,16251.0,1787.61,16251.0,57
CDM,712607,NAIL BN 9MM 280MM,21513.0,21513.0,2366.43,21513.0,57
CDM,712608,LEAD PCNING 58CM,27164.0,27164.0,2988.04,27164.0,57
CDM,712636,TUNNELER VGUS NRV STIM 2,11433.0,11433.0,800.31,11433.0,71
CDM,712638,PARTICLES EMBL 500-700UM,5302.0,5302.0,583.22,5302.0,57
CDM,712640,PLATE BN LPS LAPIDUS,30661.0,30661.0,3372.71,30661.0,57
CDM,712641,SCREW BN LOCK 3.5X14MM,4419.0,4419.0,486.09,4419.0,57
CDM,712651,SLEEVE ADPT HIP 2.5MM,1419.0,1419.0,156.09,1419.0,57
CDM,712725,HEAD FEM HIP +8MM 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,712749,PROSTH OSS 4.0MM 3.25MM,7830.0,7830.0,548.1,7830.0,62
CDM,712776,STEM FEM 5 TRLK HIP OFST,51600.0,51600.0,5676.0,51600.0,57
CDM,712777,CUP ACTB HIP 0D 62MM,25800.0,25800.0,2838.0,25800.0,57
CDM,712791,DISSECTOR BLN PRTNEAL,6073.0,6073.0,425.11,6073.0,71
CDM,712797,BASEPLATE TIB KN SZ7,25800.0,25800.0,2838.0,25800.0,57
CDM,712847,SCREW BN 5MM 80MM,2965.0,2965.0,326.15,2965.0,57
CDM,712860,GW VASC XS .035IN 80CM,1278.0,1278.0,89.46,1278.0,71
CDM,712880,SCREW BN 5MMMM 45MM,2747.0,2747.0,302.17,2747.0,57
CDM,712890,PUSHER COIL .41MM 177CM,5248.0,5248.0,367.36,5248.0,71
CDM,712899,CLIP SCALP DISP,1138.0,1138.0,79.66,1138.0,71
CDM,712911,OCCLUDER CV 8X6MM,99401.0,99401.0,10934.11,99401.0,57
CDM,712912,OCCLUDER CV 10X8MM,99401.0,99401.0,10934.11,99401.0,57
CDM,712916,OCCLUDER CV 6X4MM,99401.0,99401.0,10934.11,99401.0,57
CDM,712933,STEM FEM HIP SZ4 103MM,51600.0,51600.0,5676.0,51600.0,57
CDM,712949,COIL EMBL 14CM 6MM,1749.0,1749.0,192.39,1749.0,57
CDM,712967,MESH SURG LG CIR 3.2IN,15561.0,15561.0,1711.71,15561.0,57
CDM,712996,PROBE PH 2 CHANNEL 15CM,2399.0,2399.0,167.93,2399.0,71
CDM,713007,SCREW BN 3.5MM 40MM,2921.0,2921.0,321.31,2921.0,57
CDM,713010,SCREW BN 5MM 50MM,2881.0,2881.0,316.91,2881.0,57
CDM,713011,SCREW BN 5MM 55MM,3237.0,3237.0,356.07,3237.0,57
CDM,713029,SCREW BN 3.5MM 95MM,2714.0,2714.0,298.54,2714.0,57
CDM,713080,GWIRE ORTH 1.25MM 150MM,1409.0,1409.0,98.63,1409.0,71
CDM,713140,GRAFT BN XXS .7CC .5X2IN,14560.0,14560.0,1601.6,14560.0,57
CDM,713176,PLATE BN 8HL 133MM,24661.0,24661.0,2712.71,24661.0,57
CDM,713191,STNT URE SET SFLX 4.7X8,4053.0,4053.0,445.83,4053.0,57
CDM,713202,PLATE MXFCL RTNT DEV 1.8,21973.0,21973.0,2417.03,21973.0,57
CDM,713203,COUPLER ANSTM 1.5MM,8118.0,8118.0,892.98,8118.0,57
CDM,713281,PLATE BN RT 9HL,27712.0,27712.0,3048.32,27712.0,57
CDM,713286,PLATE BN 3.5MM,5780.0,5780.0,635.8,5780.0,57
CDM,713290,PLATE BN RECON LPRO 9H,10303.0,10303.0,1133.33,10303.0,57
CDM,713310,NDL ENDO 22G 5.4F 2.8MM,5623.0,5623.0,393.61,5623.0,71
CDM,713314,LINER ACTB HIP 3X58X36MM,13481.0,13481.0,1482.91,13481.0,57
CDM,713315,SHELL HIP 58MM,22059.0,22059.0,2426.49,22059.0,57
CDM,713326,IMPLANT BREAST 275CC,17468.0,17468.0,1921.48,17468.0,57
CDM,713377,PLATE BN MXLFCL 5HL 15MM,3723.0,3723.0,409.53,3723.0,57
CDM,713415,PLATE BN 8HL 3.5MM 196MM,28799.0,28799.0,3167.89,28799.0,57
CDM,713427,CUP ACTB HIP DOME 58MM,42423.0,42423.0,4666.53,42423.0,57
CDM,713431,CATH BL 7.5X8X20MM 110CM,5285.0,5285.0,369.95,5285.0,71
CDM,713446,CLIP LIGATING LG,841.0,841.0,92.51,841.0,57
CDM,713459,BEARING MNSCL KN 4MM,21285.0,21285.0,2341.35,21285.0,57
CDM,713465,BASEPLT TIB KN LT SZ2,23220.0,23220.0,2554.2,23220.0,57
CDM,713522,SHELL ACTB HIP 54MM,25800.0,25800.0,2838.0,25800.0,57
CDM,713525,STEM FEM HIP SZ8 160MM,49020.0,49020.0,5392.2,49020.0,57
CDM,713526,HEAD FEM HIP 12/14 40MM,25800.0,25800.0,2838.0,25800.0,57
CDM,713527,COMPNT FEM KN 45MM,43654.0,43654.0,4801.94,43654.0,57
CDM,713528,CMPNT KN SEGMENTAL 125MM,43654.0,43654.0,4801.94,43654.0,57
CDM,713529,COMPNT SEG KN LPS 40MM,43654.0,43654.0,4801.94,43654.0,57
CDM,713532,LINER ACTB HIP +4 58X36,38700.0,38700.0,4257.0,38700.0,57
CDM,713533,SHELL ACTB HIP 60MM,30425.0,30425.0,3346.75,30425.0,57
CDM,713534,LINER HIP ACTB 36X60MM,13481.0,13481.0,1482.91,13481.0,57
CDM,713537,STEM FEM 7 TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
CDM,713539,STEM TIB KN 12MM 150MM,18164.0,18164.0,1998.04,18164.0,57
CDM,713540,SLEEVE CNTRNG HIP 46MM,42857.0,42857.0,4714.27,42857.0,57
CDM,713559,MESH HRN PLGCPRN 3X3,5321.0,5321.0,585.31,5321.0,57
CDM,713571,KIT IMPLANT ANKLE,14550.0,14550.0,1600.5,14550.0,57
CDM,713577,MESH HRN CMPSX 10.2X13.2,49039.0,49039.0,5394.29,49039.0,57
CDM,713608,BASEPLATE TIB KN LT SZ5,46655.0,46655.0,5132.05,46655.0,57
CDM,713617,SCREW BN 3.5MM 42MM,2921.0,2921.0,321.31,2921.0,57
CDM,713623,ANCHOR SUT CP-2 2.8MM,14236.0,14236.0,1565.96,14236.0,57
CDM,713624,PLATE BN 3.5MM 246MM,26395.0,26395.0,2903.45,26395.0,57
CDM,713634,PLATE BN TI RT STD,26284.0,26284.0,2891.24,26284.0,57
CDM,713673,INSERT ARTC 7-8 15MM,32220.0,32220.0,3544.2,32220.0,57
CDM,713691,STEM FEM HIP 7MM 120MM,28380.0,28380.0,3121.8,28380.0,57
CDM,713739,GWIRE ST ARTH .062IN,1599.0,1599.0,111.93,1599.0,71
CDM,713793,WEDGE FEM KN LGN 5-6,20019.0,20019.0,2202.09,20019.0,57
CDM,713795,STAPLER INT 35.5X5MM,6260.0,6260.0,438.2,6260.0,71
CDM,713799,NAIL FEM 12MM 360MM,20693.0,20693.0,2276.23,20693.0,57
CDM,713812,BASEPLATE TIB UNV SZ6,25800.0,25800.0,2838.0,25800.0,57
CDM,713813,INSERT TIB KN SZ6 16MM,60103.0,60103.0,6611.33,60103.0,57
CDM,713952,PLATE BN SHORT 4HL 25MM,5129.0,5129.0,564.19,5129.0,57
CDM,713985,LINER ACTB HIP 32MM 48MM,14190.0,14190.0,1560.9,14190.0,57
CDM,713986,SHELL ACTB HIP 48MM,23220.0,23220.0,2554.2,23220.0,57
CDM,713987,HEAD FEM HIP +4MM 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,714025,STEM FEM HIP SZ7 109MM,51600.0,51600.0,5676.0,51600.0,57
CDM,714076,SCREW SPN 5X30MM,12506.0,12506.0,1375.66,12506.0,57
CDM,714077,SCREW SPN 5X35MM,11390.0,11390.0,1252.9,11390.0,57
CDM,714099,SHELL ACTB HIP BIP SZ48,11610.0,11610.0,1277.1,11610.0,57
CDM,714178,EXTRACTOR STONE 115CM,5623.0,5623.0,393.61,5623.0,71
CDM,714202,PLUG VASC 18MM 22MM,21088.0,21088.0,2319.68,21088.0,57
CDM,714241,PLUG VASC 7MM 10MM,21932.0,21932.0,2412.52,21932.0,57
CDM,714354,GRAFT CV 32MM 15CM,56513.0,56513.0,6216.43,56513.0,57
CDM,714377,SHELL FEM HIP HD SZ44,14088.0,14088.0,1549.68,14088.0,57
CDM,714387,GWIRE ORTH 2 1.45MM,1599.0,1599.0,111.93,1599.0,71
CDM,714414,AUGMNT HIP LT PST RT ANT,46435.0,46435.0,5107.85,46435.0,57
CDM,714447,PIN TIB HEAD TEMPLATE,2388.0,2388.0,262.68,2388.0,57
CDM,714537,SCREW BN LCK 4MM 38MM,2137.0,2137.0,235.07,2137.0,57
CDM,714604,SCREW BN 6.5MM 30MM,1131.0,1131.0,124.41,1131.0,57
CDM,714654,BSKT RTRV 1.3FR 12CM,5623.0,5623.0,393.61,5623.0,71
CDM,714656,PLATE BN 3HL 62MM,11227.0,11227.0,1234.97,11227.0,57
CDM,714659,BASEPLATE TIB KN SZ5,22960.0,22960.0,2525.6,22960.0,57
CDM,714689,OCCLUDER CV VSD 7X4MM,156132.0,156132.0,17174.52,156132.0,57
CDM,714690,OCCLUDER CV VSD 7X6MM,156132.0,156132.0,17174.52,156132.0,57
CDM,714691,OCCLUDER VSD 7X8X16MM,156132.0,156132.0,17174.52,156132.0,57
CDM,714692,OCLDR AGA VSD 6F 10,156132.0,156132.0,17174.52,156132.0,57
CDM,714693,OCLDR AGA VSD 8F 14,156132.0,156132.0,17174.52,156132.0,57
CDM,714706,SCREW BN TI 3MM 18MM,3247.0,3247.0,357.17,3247.0,57
CDM,714707,SCREW BN CORT 3X14MM,3247.0,3247.0,357.17,3247.0,57
CDM,714708,SCREW BN 3MM 12MM,3247.0,3247.0,357.17,3247.0,57
CDM,714709,HOLDER PLATE TEMP DISP,2032.0,2032.0,142.24,2032.0,71
CDM,714711,SCREW BN TITANIUM L50MM,12655.0,12655.0,1392.05,12655.0,57
CDM,714713,HEAD FEM 0 HIP COCR 28MM,7740.0,7740.0,851.4,7740.0,57
CDM,714721,SCREW BN 95MM 90MM,14279.0,14279.0,1570.69,14279.0,57
CDM,714730,SCREW BN 3.5MM 36MM,2921.0,2921.0,321.31,2921.0,57
CDM,714731,SCREW BN 3.5MM 38MM,2921.0,2921.0,321.31,2921.0,57
CDM,714732,SCREW BN 3.5MM 44MM,2921.0,2921.0,321.31,2921.0,57
CDM,714733,SCREW BN 3.5MM 48MM,2921.0,2921.0,321.31,2921.0,57
CDM,714736,MESH PATCH VENTRL MED,8569.0,8569.0,942.59,8569.0,57
CDM,714737,MESH PATCH VNTRL PRC SM,7165.0,7165.0,788.15,7165.0,57
CDM,714750,SHELL ACTB HIP MLH 60MM,42423.0,42423.0,4666.53,42423.0,57
CDM,714765,STEM FEM HIP SZ3 101MM,51600.0,51600.0,5676.0,51600.0,57
CDM,714780,SPINAL HOOK WIDE BLD 8.0,7593.0,7593.0,835.23,7593.0,57
CDM,714781,SCREW BN 4.35MM 30MM XPD,11390.0,11390.0,1252.9,11390.0,57
CDM,714782,SCREW DEPUY 4.35X35,12655.0,12655.0,1392.05,12655.0,57
CDM,714783,SCREW BN 1.5MM 400.057,1349.0,1349.0,148.39,1349.0,57
CDM,714815,SCREW BN ST 6.5MM 90MM,3650.0,3650.0,401.5,3650.0,57
CDM,714816,SCREW BN 6.5MM 100MM,3466.0,3466.0,381.26,3466.0,57
CDM,714819,SCREW BN 6.5MM 75MM,2849.0,2849.0,313.39,2849.0,57
CDM,714820,SCREW BN 6.5MM 85MM,2763.0,2763.0,303.93,2763.0,57
CDM,714825,HEAD FEM HIP 12/14 40MM,9450.0,9450.0,1039.5,9450.0,57
CDM,714852,WEDGE FEM KN 5MM,20019.0,20019.0,2202.09,20019.0,57
CDM,714856,STEM FEM FLUTD 115X16MM,18164.0,18164.0,1998.04,18164.0,57
CDM,714880,BASEPLATE TIB KN SZ5,25800.0,25800.0,2838.0,25800.0,57
CDM,714899,INSERT TIB SZ5 11MM,57199.0,57199.0,6291.89,57199.0,57
CDM,714908,RELOAD STPLR 2X45MM,4176.0,4176.0,459.36,4176.0,57
CDM,714912,REAMER SURG 10.0MM,5623.0,5623.0,393.61,5623.0,71
CDM,714932,SCREW BN 3.5MM 125MM,750.0,750.0,82.5,750.0,57
CDM,714938,CUP ACTB 27MM,28380.0,28380.0,3121.8,28380.0,57
CDM,714941,PLATE BN RT 9HL 142MM,22881.0,22881.0,2516.91,22881.0,57
CDM,714942,SYSTM EMBL 18 6% 1.5ML,43911.0,43911.0,3073.77,43911.0,71
CDM,714943,INSERT TIB KN SZ3 16MM,24510.0,24510.0,2696.1,24510.0,57
CDM,714946,STEM FEM HIP STD 107MM,51600.0,51600.0,5676.0,51600.0,57
CDM,714962,SCREW BN 5MM 26MM,5551.0,5551.0,610.61,5551.0,57
CDM,714969,LINER ACTB HIP +4 52X32,38700.0,38700.0,4257.0,38700.0,57
CDM,714976,CATH ANGIO 6FR 80CM,11433.0,11433.0,800.31,11433.0,71
CDM,714992,STEM FEM KN FLUT12X150MM,23089.0,23089.0,2539.79,23089.0,57
CDM,715000,PLATE BN ORBT FL .4MM,31158.0,31158.0,3427.38,31158.0,57
CDM,715001,GWIRE ORTH 1.6MM 150MM,1410.0,1410.0,98.7,1410.0,71
CDM,715087,CMPNT FEM KN RT SZ5,88437.0,88437.0,9728.07,88437.0,57
CDM,715088,AUG FEM KN POST SZ5 10MM,20337.0,20337.0,2237.07,20337.0,57
CDM,715094,STEM KN CMNT 15MM 100MM,19623.0,19623.0,2158.53,19623.0,57
CDM,715119,REAMER CORING CANN 12MM,5349.0,5349.0,374.43,5349.0,71
CDM,715236,LINER HIP 36MM 54MM,19516.0,19516.0,2146.76,19516.0,57
CDM,715238,SHELL ACTB HIP 3H 54MM,22693.0,22693.0,2496.23,22693.0,57
CDM,715250,PROBE ESURG 2.3MM 220CM,10786.0,10786.0,755.02,10786.0,71
CDM,715281,STEM FEM 1 STD TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
CDM,715283,SET CABLE ORTHO 2.0MM,12357.0,12357.0,1359.27,12357.0,57
CDM,715336,INSERT ACTB 48MM 36MM 22,38700.0,38700.0,4257.0,38700.0,57
CDM,715466,ANCHOR SUT SZ2-0,12146.0,12146.0,1336.06,12146.0,57
CDM,715468,NEEDLE PASSER SUTURE,5623.0,5623.0,393.61,5623.0,71
CDM,715494,CEMENT BN PMMA GMV 40GM,2898.0,2898.0,318.78,2898.0,57
CDM,715593,LINER HIP 20D 52MM 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,715594,SHELL ACTB HIP 3H 52MM,22693.0,22693.0,2496.23,22693.0,57
CDM,715597,INTRO SHTH 6F 6CM 95CM,11433.0,11433.0,800.31,11433.0,71
CDM,715682,CUP ACTB HIP 68MM,49458.0,49458.0,5440.38,49458.0,57
CDM,715684,SCREW BN 5MM 60MM HIP,1131.0,1131.0,124.41,1131.0,57
CDM,715699,BAG TISS CLSR 4CM,9076.0,9076.0,635.32,9076.0,71
CDM,715735,CATH BLNDIL 1.5MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,715737,CATH BLNDIL 145CM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,715738,CATH BLNDIL 145CM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,715739,CATH BLNDIL 145CM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,715748,IMPLANT BREAST 325CC,20550.0,20550.0,2260.5,20550.0,57
CDM,715749,IMPLANT BREAST 250CC,20550.0,20550.0,2260.5,20550.0,57
CDM,715786,STEM FEM KN 13X120MM,13834.0,13834.0,1521.74,13834.0,57
CDM,715813,SCREW BN 2MM 2.9MM 6MM,1326.0,1326.0,145.86,1326.0,57
CDM,715814,EXTENSION ARM FLX 40MM,16368.0,16368.0,1800.48,16368.0,57
CDM,715884,EXTENSION ARM RGD 30MM,17660.0,17660.0,1942.6,17660.0,57
CDM,715887,HEAD ADPTR OFST HIP 2MM,19497.0,19497.0,2144.67,19497.0,57
CDM,715918,CATH DRN BIL 14FR 40CM,2624.0,2624.0,183.68,2624.0,71
CDM,715920,STENT URO 8.5FR 24CM,1860.0,1860.0,204.6,1860.0,57
CDM,715935,BASEPLATE KN TIB LT SZ7,44323.0,44323.0,4875.53,44323.0,57
CDM,715941,OCCLUD CV 7MM 16MM MSC,156132.0,156132.0,17174.52,156132.0,57
CDM,715947,PLUG VASC 3MM 6MM,21932.0,21932.0,2412.52,21932.0,57
CDM,715949,PLUG VASC 4MM 6MM,21932.0,21932.0,2412.52,21932.0,57
CDM,715950,PLUG VASC 6MM 6MM,21932.0,21932.0,2412.52,21932.0,57
CDM,715951,PLUG VASC 7MM 8MM,21932.0,21932.0,2412.52,21932.0,57
CDM,715952,PLUG VASC 9MM 12MM,21932.0,21932.0,2412.52,21932.0,57
CDM,715953,PLUG VASC 10MM 14MM,21932.0,21932.0,2412.52,21932.0,57
CDM,715955,CATH BLN SZNG 20MM,7544.0,7544.0,528.08,7544.0,71
CDM,715965,STEM FEM KN 14MM 75MM,18164.0,18164.0,1998.04,18164.0,57
CDM,715971,GWIRE ORTH 1.25MM 150MM,1410.0,1410.0,98.7,1410.0,71
CDM,715988,PIN GUIDE 3.2MM 300MM,1599.0,1599.0,111.93,1599.0,71
CDM,716014,DISTRACTOR TLSCP LT 30MM,147629.0,147629.0,16239.19,147629.0,57
CDM,716015,DISTRACTOR TLSCP RT 30MM,147629.0,147629.0,16239.19,147629.0,57
CDM,716022,BOLT TIB KN RETAINING,1728.0,1728.0,190.08,1728.0,57
CDM,716026,SCREW SPN 3MM 16MM,1899.0,1899.0,208.89,1899.0,57
CDM,716039,SCREW BN 6.5MM 80MM,2849.0,2849.0,313.39,2849.0,57
CDM,716041,SYSTEM URTH SUPP 2.7MM,33683.0,33683.0,3705.13,33683.0,57
CDM,716047,PLATE BN 10H LT 230MM,26644.0,26644.0,2930.84,26644.0,57
CDM,716050,INSERT TIB KN SZ4 12.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,716058,LIGATOR DUET 5F9.5- 13MM,5944.0,5944.0,416.08,5944.0,71
CDM,716071,CATH ABL 8FR 110CM,19470.0,19470.0,1362.9,19470.0,71
CDM,716077,INTRO GUID 8.5FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,716078,INTRO GUID 8.5FR 63CM,4910.0,4910.0,343.7,4910.0,71
CDM,716084,NEEDLE TRNSPTL 18GA 71CM,5623.0,5623.0,393.61,5623.0,71
CDM,716102,SYSTEM URTH SUPP 9CM,41833.0,41833.0,4601.63,41833.0,57
CDM,716121,MSH HRN EPTFE 4.5IN LRG,16219.0,16219.0,1784.09,16219.0,57
CDM,716132,LINER ACTB HIP 32MM 52MM,38700.0,38700.0,4257.0,38700.0,57
CDM,716163,SHTH MPNCH 5.0 10CM,1599.0,1599.0,111.93,1599.0,71
CDM,716178,SHELL ACTB HIP PNCL 58MM,25800.0,25800.0,2838.0,25800.0,57
CDM,716242,SCREW SPN SET IMPL,1266.0,1266.0,139.26,1266.0,57
CDM,716331,SCREW EXFX 190X6MM,1921.0,1921.0,134.47,1921.0,71
CDM,716338,LINER ACTB HIP 3X56X36,14190.0,14190.0,1560.9,14190.0,57
CDM,716339,SHELL HIP R3 POR 56MM,24682.0,24682.0,2715.02,24682.0,57
CDM,716346,SCREW BN 3MM 14MM,4008.0,4008.0,440.88,4008.0,57
CDM,716357,REAMER CORING CANN 7MM,6698.0,6698.0,468.86,6698.0,71
CDM,716389,CATH BLN 3.5X60MM 140CM,11433.0,11433.0,800.31,11433.0,71
CDM,716419,DEVICE VNTRC ASST GOGEAR,5623.0,5623.0,393.61,5623.0,57
CDM,716420,DEVICE LVAD VEST SM,6451.0,6451.0,451.57,6451.0,57
CDM,716421,DEVICE LVAD VEST MED,6451.0,6451.0,451.57,6451.0,57
CDM,716422,DEVICE LVAD VEST LG,9030.0,9030.0,632.1,9030.0,57
CDM,716435,CATH BLNDIL 22MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,716440,CMPNT FEM KN LT SZ5,88437.0,88437.0,9728.07,88437.0,57
CDM,716443,PLATE 4 HOLE STRAIGHT,3194.0,3194.0,351.34,3194.0,57
CDM,716467,STEM FLTD UNIV 10X150MM,21374.0,21374.0,2351.14,21374.0,57
CDM,716476,REAMER SURG 9.0MM,5623.0,5623.0,393.61,5623.0,71
CDM,716478,TUBE SPLNT ACC BLN 132CM,5623.0,5623.0,393.61,5623.0,71
CDM,716481,INSERT TRTHN TIB G-416,39245.0,39245.0,4316.95,39245.0,57
CDM,716496,MESH HRN GRN 12X8CM,5700.0,5700.0,627.0,5700.0,57
CDM,716500,CLAMP EXFX 10HL 4-6MM,13035.0,13035.0,912.45,13035.0,71
CDM,716524,STENT VASC 9X27MM 135CM,16251.0,16251.0,1787.61,16251.0,57
CDM,716528,STENT VASC 10X27MM 135CM,16251.0,16251.0,1787.61,16251.0,57
CDM,716544,HEAD FEM HIP BLX D 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,716557,IMPLANT 40X40X2.5X.45MM,11693.0,11693.0,1286.23,11693.0,57
CDM,716632,STEM EXT KN 80MM 11MM,14187.0,14187.0,1560.57,14187.0,57
CDM,716644,PIN FX INSTR HP THRD,4842.0,4842.0,338.94,4842.0,71
CDM,716656,INSERT LNR HIP 56X40MM,17157.0,17157.0,1887.27,17157.0,57
CDM,716658,HEAD FEM HIP +8.5X40MM,25800.0,25800.0,2838.0,25800.0,57
CDM,716693,PLATE BN LT 4HL 86MM,10855.0,10855.0,1194.05,10855.0,57
CDM,716713,COMPNT TIB KN LT SZD,32895.0,32895.0,3618.45,32895.0,57
CDM,716722,CATH BLNDIL 6MM 75CM,5623.0,5623.0,393.61,5623.0,71
CDM,716723,CATH BLNDIL 8MM 75X4CM,5623.0,5623.0,393.61,5623.0,71
CDM,716778,ROD SPN 5.5MM 500MM,4556.0,4556.0,501.16,4556.0,57
CDM,716913,SCREW BN 5MM 46MM,6600.0,6600.0,726.0,6600.0,57
CDM,716914,SCREW BN 5MM 36MM,750.0,750.0,82.5,750.0,57
CDM,716924,NAIL TIB 12MM 360MM,20283.0,20283.0,2231.13,20283.0,57
CDM,716931,ROD SPNL 50MM,4556.0,4556.0,501.16,4556.0,57
CDM,716949,LINER ACTB HIP 40X56X+4,14190.0,14190.0,1560.9,14190.0,57
CDM,716950,HEAD FEM HIP +15.5X40MM,9030.0,9030.0,993.3,9030.0,57
CDM,716978,PLATE SPN 1LV 26MM,24045.0,24045.0,2644.95,24045.0,57
CDM,716992,STEM FEM HIP SZ5 105MM,51600.0,51600.0,5676.0,51600.0,57
CDM,717034,PRTCL EMBL 100-300 SPHR,34935.0,34935.0,3842.85,34935.0,57
CDM,717038,SCREW BN 6.5X55MM,2706.0,2706.0,297.66,2706.0,57
CDM,717059,SUTURE FBSWR 7IN,1716.0,1716.0,188.76,1716.0,57
CDM,717083,SCREW SPN 5.5X6X45MM,11390.0,11390.0,1252.9,11390.0,57
CDM,717088,PLATE BN SM LT .4MM,30128.0,30128.0,3314.08,30128.0,57
CDM,717127,CATH ABL 7FR 115CM,11433.0,11433.0,800.31,11433.0,71
CDM,717129,PLATE BN 6HL 2.4MM 45MM,15558.0,15558.0,1711.38,15558.0,57
CDM,717177,KWIRE FX 2MM 285MM,2699.0,2699.0,188.93,2699.0,71
CDM,717207,CATH EP 6FR 105CM,8459.0,8459.0,592.13,8459.0,71
CDM,717218,GRAFT TIS SYN INJ 20CC,39200.0,39200.0,4312.0,39200.0,57
CDM,717226,LINER ACTB HIP 32MM 50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,717232,CMPNT FEM KN SZ3,64501.0,64501.0,7095.11,64501.0,57
CDM,717240,FILTER VAC ASP ASMBLY,8450.0,8450.0,591.5,8450.0,71
CDM,717285,APPLICTR 65MM FLEX ERBE,11433.0,11433.0,800.31,11433.0,71
CDM,717286,CARTRIDGE PLS LAV,4536.0,4536.0,317.52,4536.0,71
CDM,717289,KIT INST ACL TRT BLD SAW,5623.0,5623.0,393.61,5623.0,71
CDM,717317,MESH SURG 12X8CM,4320.0,4320.0,475.2,4320.0,57
CDM,717318,MESH HRN GRN 15X9CM,5365.0,5365.0,590.15,5365.0,57
CDM,717327,SCREW BN 5MM 76MM,2926.0,2926.0,321.86,2926.0,57
CDM,717328,SCREW BN 5MM 4.3MM 74MM,2321.0,2321.0,255.31,2321.0,57
CDM,717338,WEDGE KN SZ6 5MM 5MM,22501.0,22501.0,2475.11,22501.0,57
CDM,717339,INS TIB KN SZ3 10MM,36491.0,36491.0,4014.01,36491.0,57
CDM,717344,GWIRE VASC 100CM .018IN,1599.0,1599.0,111.93,1599.0,71
CDM,717345,KIT SHTH 7FR 11CM,1485.0,1485.0,103.95,1485.0,71
CDM,717348,PLATE BN 7HL 2.4MM 55MM,18804.0,18804.0,2068.44,18804.0,57
CDM,717353,CANNULA PRFSN 7.5IN 12FR,5623.0,5623.0,393.61,5623.0,71
CDM,717355,REAMER RIA TUBE 520MM,11298.0,11298.0,790.86,11298.0,71
CDM,717358,REAMER SURG 12MM DISP,9362.0,9362.0,655.34,9362.0,71
CDM,717383,INSERT TIB KN SZ3 12.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,717434,SCREW BN 6.5MM 125MM,4530.0,4530.0,498.3,4530.0,57
CDM,717494,SLEEVE CNTRNG 14B,10320.0,10320.0,1135.2,10320.0,57
CDM,717496,SLEEVE CNTRNG 16D,13180.0,13180.0,1449.8,13180.0,57
CDM,717497,SHELL ACTB HIP 48MM,25800.0,25800.0,2838.0,25800.0,57
CDM,717498,LINER ACTB HIP 36MM 56MM,14190.0,14190.0,1560.9,14190.0,57
CDM,717500,PIN BN PSTN 4.5MM,3237.0,3237.0,356.07,3237.0,57
CDM,717511,HEAD FEM SROM 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,717526,CEMENTRALIZER HIP 17MM,1419.0,1419.0,156.09,1419.0,57
CDM,717534,PIN ACTB HIP 66MM,25800.0,25800.0,2838.0,25800.0,57
CDM,717547,LINER ACTB HIP 36MM 56MM,14190.0,14190.0,1560.9,14190.0,57
CDM,717549,SHELL ACTB HIP 64MM,25800.0,25800.0,2838.0,25800.0,57
CDM,717552,CUP ACTB HIP PNCL 44MM,25800.0,25800.0,2838.0,25800.0,57
CDM,717553,CUP ACTB HIP 46MM,25800.0,25800.0,2838.0,25800.0,57
CDM,717554,LINER ACTB HIP10D36X52MM,14190.0,14190.0,1560.9,14190.0,57
CDM,717556,HEAD HIP 28MM 39MM,11610.0,11610.0,1277.1,11610.0,57
CDM,717558,INSERT TIB SZ4 22.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,717587,LINER ACTB HIP 40X58MM,14190.0,14190.0,1560.9,14190.0,57
CDM,717607,LINER ACTB HIP+4X40X60MM,17157.0,17157.0,1887.27,17157.0,57
CDM,717658,STEM FEM 0 BPS TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
CDM,717659,STEM FEM HIP SZ1 97MM,51600.0,51600.0,5676.0,51600.0,57
CDM,717660,STEM FEM HIP SZ2 99MM,51600.0,51600.0,5676.0,51600.0,57
CDM,717661,STEM FEM 9 STD TRLK OFST,61920.0,61920.0,6811.2,61920.0,57
CDM,717662,STEM FM 10 STD TRLK OFST,61920.0,61920.0,6811.2,61920.0,57
CDM,717664,STEM FEM 0 STD TRLK OFST,61920.0,61920.0,6811.2,61920.0,57
CDM,717665,STEM FEM 2 STD TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
CDM,717666,STEM FEM 5 COCR TRLK HI,51600.0,51600.0,5676.0,51600.0,57
CDM,717667,STEM FEM HIP SZ6 107MM,51600.0,51600.0,5676.0,51600.0,57
CDM,717668,STEM FEM 9 TRLK COCR,51600.0,51600.0,5676.0,51600.0,57
CDM,717672,STEM FEM HIP SZ10 170MM,51600.0,51600.0,5676.0,51600.0,57
CDM,717673,STEM FEM HIP SZ1 125MM,49020.0,49020.0,5392.2,49020.0,57
CDM,717674,STEM FEM HIP 130MM,49020.0,49020.0,5392.2,49020.0,57
CDM,717675,STEM FEM HIP SZ9 12/14,49020.0,49020.0,5392.2,49020.0,57
CDM,717709,HEAD FEM HIP SZ50,11610.0,11610.0,1277.1,11610.0,57
CDM,717710,SCREW BN 5MM 32MM,4948.0,4948.0,544.28,4948.0,57
CDM,717729,VALVE AORTIC 21MM,143376.0,143376.0,15771.36,143376.0,57
CDM,717732,REAMER SURG 14.5MM,9362.0,9362.0,655.34,9362.0,71
CDM,717733,GRAFT BN TNDN PTLA 8CM,75080.0,75080.0,8258.8,75080.0,57
CDM,717736,VALVE AORTIC 23MM,143376.0,143376.0,15771.36,143376.0,57
CDM,717768,STEM FEM KN XTN 12X100MM,86103.0,86103.0,9471.33,86103.0,57
CDM,717769,CMPNT FEM KN RT XXSM,197001.0,197001.0,21670.11,197001.0,57
CDM,717772,REAMER SHFT STRL 8X448MM,5623.0,5623.0,393.61,5623.0,71
CDM,717774,PLATE CHIN L2MM,2179.0,2179.0,239.69,2179.0,57
CDM,717781,PORT IMP INFSN MRI 9.5FR,6165.0,6165.0,678.15,6165.0,57
CDM,717793,VALVE AORTIC 25MM,156735.0,156735.0,17240.85,156735.0,57
CDM,717810,CUFF URTH SPHNCR AB 4.5C,137575.0,137575.0,15133.25,137575.0,57
CDM,717811,CATH BLNDIL 3MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,717816,SCREW BN 5MM 34MM,750.0,750.0,82.5,750.0,57
CDM,717817,PLATE BN 6HL 2.4MM 45MM,13884.0,13884.0,1527.24,13884.0,57
CDM,717821,STEM FEM HIP SZ3 101MM,51600.0,51600.0,5676.0,51600.0,57
CDM,717825,CATH ANGIO 5FR 65CM,985.0,985.0,68.95,985.0,71
CDM,717850,SHELL ACTB HIP 3HL 50MM,23220.0,23220.0,2554.2,23220.0,57
CDM,717851,LINER ACTB HIP 32MM 50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,717883,DRESSING GEL 3X10G,509.0,509.0,35.63,509.0,71
CDM,717889,REAMER SURG 8MM,5623.0,5623.0,393.61,5623.0,71
CDM,717901,GRAFT SFTTIS 20-38X3-10,17708.0,17708.0,1947.88,17708.0,57
CDM,717909,SCREW BN CRNMXF 2.7MM,4230.0,4230.0,465.3,4230.0,57
CDM,717930,NAIL IM TI L40CM OD13MM,22808.0,22808.0,2508.88,22808.0,57
CDM,717943,SCREW BN LCK 5MM 40MM,3656.0,3656.0,402.16,3656.0,57
CDM,717960,SCREW SPN 4.5MM 6MM,1899.0,1899.0,208.89,1899.0,57
CDM,717972,STEM FEM KN 100MM 12MM,20553.0,20553.0,2260.83,20553.0,57
CDM,718025,BLN CONQ 4X5.5X75,5623.0,5623.0,393.61,5623.0,71
CDM,718034,VALVE AORTIC 27MM,143376.0,143376.0,15771.36,143376.0,57
CDM,718073,MESH HRN 7.6CM 3IN,11231.0,11231.0,1235.41,11231.0,57
CDM,718074,MESH SURG 4.7X3.1IN HRN,13703.0,13703.0,1507.33,13703.0,57
CDM,718075,MESH HRN EPTFE 4.3 OVL M,21128.0,21128.0,2324.08,21128.0,57
CDM,718076,MESH HRN 7X5.4 OVL,26755.0,26755.0,2943.05,26755.0,57
CDM,718100,PLATE BN 4HL 2.7X3.5MM,10855.0,10855.0,1194.05,10855.0,57
CDM,718140,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",13068.0,13068.0,562.11,1518.26,42
CDM,718140,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",13068.0,13068.0,608.46,608.46,6
CDM,718140,DEVICE VNTRC ASST BTRY,13068.0,13068.0,914.76,13068.0,57
CDM,718145,DEVICE VNTRC ASST CTRLR,54000.0,54000.0,3780.0,54000.0,57
CDM,718146,DEVICE LVAD VEST SMALL,6451.0,6451.0,451.57,6451.0,57
CDM,718149,DEVICE LVAD VEST MED,6451.0,6451.0,451.57,6451.0,57
CDM,718151,DEVICE LVAD VEST LG,6451.0,6451.0,451.57,6451.0,57
CDM,718152,DEVICE LVAD BELT SM/MED,5634.0,5634.0,394.38,5634.0,57
CDM,718153,DEVICE LVAD BELT LARGE,5634.0,5634.0,394.38,5634.0,57
CDM,718158,TUNNLER SHTH 17GA 8IN,1599.0,1599.0,111.93,1599.0,71
CDM,718171,PLATE BN 2.7MM 99MM,10996.0,10996.0,1209.56,10996.0,57
CDM,718180,SCREW CORT BN 3X16MM,3247.0,3247.0,357.17,3247.0,57
CDM,718204,COIL EMBL 2CM 3-2MM,1732.0,1732.0,190.52,1732.0,57
CDM,718216,PLATE BN 6HL 2.4MM 54MM,14888.0,14888.0,1637.68,14888.0,57
CDM,718231,SCREW BN TI L40 OD7 EXPD,12655.0,12655.0,1392.05,12655.0,57
CDM,718233,SCREW BN TI L40 OD5 EXPD,12655.0,12655.0,1392.05,12655.0,57
CDM,718234,SCREW BN TI L35 XPDM SPN,11390.0,11390.0,1252.9,11390.0,57
CDM,718235,SCREW BN TI L40 OD5 XPDM,11554.0,11554.0,1270.94,11554.0,57
CDM,718253,ROD EX FIX 11MM 500MM,5623.0,5623.0,393.61,5623.0,71
CDM,718287,SCREW BN 1.85MM 5MM,2250.0,2250.0,247.5,2250.0,57
CDM,718288,PLATE BN PRBNT 4X.8MM,8541.0,8541.0,939.51,8541.0,57
CDM,718295,BURR SURG 4MM LNG TPR SH,3374.0,3374.0,236.18,3374.0,71
CDM,718308,GWIRE 2.4MM ARTHX,1599.0,1599.0,111.93,1599.0,71
CDM,718314,REAMER CORING CANN 8MM,6698.0,6698.0,468.86,6698.0,71
CDM,718327,DSTRCT BDY MNDB 20MM,93750.0,93750.0,10312.5,93750.0,57
CDM,718331,SCREW BN 1.85X4MM,1609.0,1609.0,176.99,1609.0,57
CDM,718332,PLATE BN CRNMXF 20H .5MM,13021.0,13021.0,1432.31,13021.0,57
CDM,718338,STENT ESPH 18.5FR 23MM,47111.0,47111.0,5182.21,47111.0,57
CDM,718342,PLATE THK8 3X3 HL L BN,5359.0,5359.0,589.49,5359.0,57
CDM,718343,SCREW BN 1.85X2.65X6,2250.0,2250.0,247.5,2250.0,57
CDM,718346,PLATE BN 7H 2.7X3.5,10074.0,10074.0,1108.14,10074.0,57
CDM,718350,PLATE BN 2.7MM 73MM,10664.0,10664.0,1173.04,10664.0,57
CDM,718359,PLATE BN RT 247MM 4.5MM,25799.0,25799.0,2837.89,25799.0,57
CDM,718376,SCREW BN 6.5X70MM,2763.0,2763.0,303.93,2763.0,57
CDM,718377,GRIP TROCH W/CABLES MED,18311.0,18311.0,2014.21,18311.0,57
CDM,718406,STEM FEM KN 120MM 16MM,22501.0,22501.0,2475.11,22501.0,57
CDM,718407,CATH EP L160 HALO ABLT,26628.0,26628.0,1863.96,26628.0,71
CDM,718436,HEAD FEM HIP +8 36MM,44478.0,44478.0,4892.58,44478.0,57
CDM,718458,RESERVOIR SHNT CSF SHLW,5261.0,5261.0,578.71,5261.0,57
CDM,718481,SEALER TISSUE LINK 13101,14251.0,14251.0,997.57,14251.0,71
CDM,718502,LINER HIP +4 58X40MM,17157.0,17157.0,1887.27,17157.0,57
CDM,718596,PLATE BN 3HL73X2.7/3.5MM,9491.0,9491.0,1044.01,9491.0,57
CDM,718607,CMPNT TIBTRY 4 KN CMNT M,100179.0,100179.0,11019.69,100179.0,57
CDM,718670,SYSTEM EMB 5.0MM 190CM,24027.0,24027.0,1681.89,24027.0,71
CDM,718685,ELECTROD SUBDERM NRV MNT,5371.0,5371.0,375.97,5371.0,71
CDM,718725,PLATE BN 7HL 2.4MM,16182.0,16182.0,1780.02,16182.0,57
CDM,718742,PATCH CV .1MM 12X12CM,20489.0,20489.0,2253.79,20489.0,57
CDM,718781,GWIRE VASC .035IN 260CM,5626.0,5626.0,393.82,5626.0,71
CDM,718809,PLATE BN 4HL 10MM 10MM,5482.0,5482.0,603.02,5482.0,57
CDM,718810,STNT URET MTL 6X22,24455.0,24455.0,2690.05,24455.0,57
CDM,718823,LEAD PCNG 58CM,110963.0,110963.0,12205.93,110963.0,57
CDM,718824,LEAD PCNG 65CM,110963.0,110963.0,12205.93,110963.0,57
CDM,718828,MESH PLT 1.5/.2 85MM,6597.0,6597.0,725.67,6597.0,57
CDM,718835,VALVE AORTIC 19MM,143376.0,143376.0,15771.36,143376.0,57
CDM,718836,VALVE AORTIC 29MM,143376.0,143376.0,15771.36,143376.0,57
CDM,718840,PLATE BN 2.7/3.5X125MM,11319.0,11319.0,1245.09,11319.0,57
CDM,718844,GWIRE VASC .035IN 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,718850,SCREW BN 5MM 42MM,4051.0,4051.0,445.61,4051.0,57
CDM,718860,STEM FEM KN 17MM 125MM,86103.0,86103.0,9471.33,86103.0,57
CDM,718884,STENT BIL 10X20MM 80CM,16251.0,16251.0,1787.61,16251.0,57
CDM,718894,STENT BIL 9X20MM 120CM,12670.0,12670.0,1393.7,12670.0,57
CDM,718895,STENT BIL 9X30MM 120CM,12670.0,12670.0,1393.7,12670.0,57
CDM,718900,STENT VASC 8X20MM 80CM,17912.0,17912.0,1970.32,17912.0,57
CDM,718904,SCREW BN 3.5MM 44MM,1832.0,1832.0,201.52,1832.0,57
CDM,718905,SCREW BN 3.5X2.9MM 46MM,1832.0,1832.0,201.52,1832.0,57
CDM,718914,CMPNT KN PST SZ4 10MM,19388.0,19388.0,2132.68,19388.0,57
CDM,718920,KIT CATH CV 4FR 5CM,1599.0,1599.0,111.93,1599.0,71
CDM,718921,PLATE BN 6H 2.4MM,18474.0,18474.0,2032.14,18474.0,57
CDM,719059,GRAFT HMDIAL 6MM 53CM,28996.0,28996.0,3189.56,28996.0,57
CDM,719060,KIT ACCESSORY CPMNT,11433.0,11433.0,800.31,11433.0,71
CDM,719115,STEM FEM KN 13X150MM,13834.0,13834.0,1521.74,13834.0,57
CDM,719124,DILATOR VASC 20FR 20CM,991.0,991.0,69.37,991.0,71
CDM,719129,PLATE BN 6HL 2.4MM 54MM,14888.0,14888.0,1637.68,14888.0,57
CDM,719173,SCREW TI CORT CRNFC 4X1,1669.0,1669.0,183.59,1669.0,57
CDM,719174,DSTRCT CMF MESH 1.0MM,13936.0,13936.0,1532.96,13936.0,57
CDM,719175,DSTRCT CMF MESH 1.0MM,13936.0,13936.0,1532.96,13936.0,57
CDM,719184,LINER ACTB HIP 36X52MM,15547.0,15547.0,1710.17,15547.0,57
CDM,719202,SCREW BN 3.5MM 54MM,2368.0,2368.0,260.48,2368.0,57
CDM,719203,SCREW BN 3.5MM 56MM,2030.0,2030.0,223.3,2030.0,57
CDM,719204,SCREW BN 3.5MM 58MM,2155.0,2155.0,237.05,2155.0,57
CDM,719207,PLATE BN 85X2.4MM 6X3H,18397.0,18397.0,2023.67,18397.0,57
CDM,719208,PLATE BN 54X2.4MM,17793.0,17793.0,1957.23,17793.0,57
CDM,719244,SYS CATH DLV 8FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,719254,PLATE BN 3.5X133MM,30729.0,30729.0,3380.19,30729.0,57
CDM,719292,SCREW BN 4.5MM 30MM,2364.0,2364.0,260.04,2364.0,57
CDM,719297,BIT DRILL 4.2MM 300MM,4948.0,4948.0,346.36,4948.0,71
CDM,719298,BIT DRILL 4.2MM 180MM,4948.0,4948.0,346.36,4948.0,71
CDM,719324,SCREW BN 3MM 16MM,4008.0,4008.0,440.88,4008.0,57
CDM,719347,SCREW BN 2.0MM 7MM,1460.0,1460.0,160.6,1460.0,57
CDM,719358,SCREW BN TI L55 OD7.5 XP,12655.0,12655.0,1392.05,12655.0,57
CDM,719375,SYSTEM RETR SCROTAL,9328.0,9328.0,652.96,9328.0,71
CDM,719424,GRAFT TISS 1X1CM SCLERA,7604.0,7604.0,836.44,7604.0,57
CDM,719437,PLATE BN CRNF 4HL 1X6MM,6682.0,6682.0,735.02,6682.0,57
CDM,719440,SCREW BN 1.85MM 6MM,1503.0,1503.0,165.33,1503.0,57
CDM,719443,SCREW BN 1.85MM 8MM,1535.0,1535.0,168.85,1535.0,57
CDM,719444,SCREW BN 3MM 12MM,2018.0,2018.0,221.98,2018.0,57
CDM,719446,SCREW BN 1.85MM 10MM,2018.0,2018.0,221.98,2018.0,57
CDM,719451,PLATE PREBNT RT MXL 6MM,8594.0,8594.0,945.34,8594.0,57
CDM,719468,PLATE BN 3.5MM 88MM,10797.0,10797.0,1187.67,10797.0,57
CDM,719598,GWIRE ORTH 1.4MM,1215.0,1215.0,85.05,1215.0,71
CDM,719623,EBB IDE#G070168/S002,7024.0,7024.0,491.68,7024.0,71
CDM,719624,CUFF AP IDE#G070168/S002,5403.0,5403.0,378.21,5403.0,71
CDM,719625,OF CNDT IDE#G070168/S002,9726.0,9726.0,680.82,9726.0,71
CDM,719627,IC 60M IDE#G070168/S002,13508.0,13508.0,945.56,13508.0,71
CDM,719628,IC 60L IDE#G070168/S002,13508.0,13508.0,945.56,13508.0,71
CDM,719631,CASE IDE#G070168/S002,3358.0,3358.0,235.06,3358.0,71
CDM,719637,DH PUMP IDE#G070168/S002,237021.0,237021.0,16591.47,237021.0,71
CDM,719638,AP PNCH IDE#G070168/S002,5944.0,5944.0,416.08,5944.0,71
CDM,719645,GRAFT PRCN 5.9X3.9IN,59970.0,59970.0,6596.7,59970.0,57
CDM,719650,COMPNT TIB KN 71/75X12MM,35776.0,35776.0,3935.36,35776.0,57
CDM,719695,BLADE SURG OSTME 52MM,13008.0,13008.0,910.56,13008.0,71
CDM,719713,SCREW 3.5X28 188320328,12655.0,12655.0,1392.05,12655.0,57
CDM,719732,SCREW BN 5MM 44MM,5551.0,5551.0,610.61,5551.0,57
CDM,719738,HEAD FEM HIP 32MM,18154.0,18154.0,1996.94,18154.0,57
CDM,719743,GRAFT PRCN 13.8X7.5IN,249272.0,249272.0,27419.92,249272.0,57
CDM,719767,SCREW BN 3.5MM 28MM,1768.0,1768.0,194.48,1768.0,57
CDM,719768,SCREW BN 3.5MM 30MM,2055.0,2055.0,226.05,2055.0,57
CDM,719770,SCREW BN 4MM 26MM,1768.0,1768.0,194.48,1768.0,57
CDM,719780,PLATE BN 9HL 2.7-3.5X151,13039.0,13039.0,1434.29,13039.0,57
CDM,719783,HEAD FEM HIP UNIV 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,719788,SCREW BN 5MM 44MM,3658.0,3658.0,402.38,3658.0,57
CDM,719854,PLATE LCP 4H 3.5MM 122MM,20734.0,20734.0,2280.74,20734.0,57
CDM,719857,SCREW BN LCK 3.5MM 85MM,2034.0,2034.0,223.74,2034.0,57
CDM,719873,DEVICE SUT TROC CLS 10MM,1447.0,1447.0,101.29,1447.0,71
CDM,719890,SCREW BN 5MM 85MM,5830.0,5830.0,641.3,5830.0,57
CDM,719938,CATH ABL 7FR 2.5MM 4MM,11433.0,11433.0,800.31,11433.0,71
CDM,720017,INSERT TIB KN X3 2 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,720024,STEM FEM HIP SZ9 130MM,28380.0,28380.0,3121.8,28380.0,57
CDM,720032,NO COST DEVICE,1.0,1.0,0.07,1.0,71
CDM,720033,NO COST DEVICE,1.0,1.0,0.07,1.0,71
CDM,720035,CAP END ORTHO 3/4MM,1673.0,1673.0,184.03,1673.0,57
CDM,720046,PIN FX SPN 5X2.1MM,44855.0,44855.0,4934.05,44855.0,57
CDM,720063,COUPLER ANSTM 3.5MM,10173.0,10173.0,1119.03,10173.0,57
CDM,720064,CLAMP VASC 3CM 17MM,1599.0,1599.0,111.93,1599.0,71
CDM,720068,SCREW BN SLF TP 1.2X3,1332.0,1332.0,146.52,1332.0,57
CDM,720069,SCREW BN 1.2X4MM,1257.0,1257.0,138.27,1257.0,57
CDM,720070,PLATE BN CRVD UP 10HL,5062.0,5062.0,556.82,5062.0,57
CDM,720071,PLATE BN ORBT 4H 1.2MM,2506.0,2506.0,275.66,2506.0,57
CDM,720073,PLATE BN .6X1.2MM 7HL,3366.0,3366.0,370.26,3366.0,57
CDM,720074,SCREW BN 1.7MM 3MM,1252.0,1252.0,137.72,1252.0,57
CDM,720075,PLATE BN 7HL 1.7MM,5493.0,5493.0,604.23,5493.0,57
CDM,720076,PLATE BN MDFC 8H .8X1.7,5027.0,5027.0,552.97,5027.0,57
CDM,720077,PLATE BN L LCK 6H 8MM,4527.0,4527.0,497.97,4527.0,57
CDM,720082,HEAD HUM SHLDR 3D 46/18,64500.0,64500.0,7095.0,64500.0,57
CDM,720089,PLATE BN STR 16HL,8693.0,8693.0,956.23,8693.0,57
CDM,720094,AGENT BULK URTH 2.5ML,11529.0,11529.0,1268.19,11529.0,52
CDM,720099,CUP ACTB PNCL 56MM,25800.0,25800.0,2838.0,25800.0,57
CDM,720129,BUR 2.3MM TPR 8CM,2437.0,2437.0,170.59,2437.0,71
CDM,720132,SCREW BN 3.5MM 46MM,2921.0,2921.0,321.31,2921.0,57
CDM,720309,BIT DRILL 4.0MM,4961.0,4961.0,347.27,4961.0,71
CDM,720321,HEAD FEM HP 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,720390,GWIRE NEUR 0.010IN 200CM,11433.0,11433.0,800.31,11433.0,71
CDM,720407,STENT WINGSPAN 3.5X20,81505.0,81505.0,8965.55,81505.0,57
CDM,720506,SCREW BN 85MM/90MM,19671.0,19671.0,2163.81,19671.0,57
CDM,720519,PLATE BN 6H 2.4MM 75MM,16428.0,16428.0,1807.08,16428.0,57
CDM,720557,AUGMENT FEM LT SZ2 5MM,18458.0,18458.0,2030.38,18458.0,57
CDM,720582,STEM EXT KN 12MM 80MM,14339.0,14339.0,1577.29,14339.0,57
CDM,720585,SYSTEM BLNDIL 14X40MM,12742.0,12742.0,891.94,12742.0,71
CDM,720596,CMPNT FEM KN RT SZ4,43086.0,43086.0,4739.46,43086.0,57
CDM,720604,PLATE BN 7HL 3.5X100MM,16192.0,16192.0,1781.12,16192.0,57
CDM,720617,SCREW BN TI L40 XPDM SPN,11390.0,11390.0,1252.9,11390.0,57
CDM,720618,SCREW BN TI L35 XPDM SPN,11390.0,11390.0,1252.9,11390.0,57
CDM,720621,HANDLE CATH SINUS,2062.0,2062.0,144.34,2062.0,71
CDM,720622,CATH GD SINUS TIP M-110,8797.0,8797.0,615.79,8797.0,71
CDM,720624,CATH GD SINUS TIP S-0,8459.0,8459.0,592.13,8459.0,71
CDM,720625,CATH GD SINUS TIP F-70C,8797.0,8797.0,615.79,8797.0,71
CDM,720639,ROD SPN 5.5MM 300MM,7593.0,7593.0,835.23,7593.0,57
CDM,720663,SET ENDO INST HIP GW NDL,5623.0,5623.0,393.61,5623.0,71
CDM,720669,PLATE BN 3/7HL 2MM,6416.0,6416.0,705.76,6416.0,57
CDM,720670,NAIL IM 420X11 FEM CNULA,21974.0,21974.0,2417.14,21974.0,57
CDM,720704,NAIL BN 10MM 37.5CM,52896.0,52896.0,5818.56,52896.0,57
CDM,720712,BIT DRILL 4.0MM,3610.0,3610.0,252.7,3610.0,71
CDM,720813,GWIRE CATH .027IN 130CM,11433.0,11433.0,800.31,11433.0,71
CDM,720862,GWIRE ENDO .035IN 450CM,5623.0,5623.0,393.61,5623.0,71
CDM,720894,COMPNT KN TIB F 67MM,22960.0,22960.0,2525.6,22960.0,57
CDM,720928,PLATE MAXILAARY RT 4MM,8541.0,8541.0,939.51,8541.0,57
CDM,720929,GRAFT FEM CORT STRT 10CM,8287.0,8287.0,911.57,8287.0,57
CDM,720946,CATH BLNDIL 6MM 60MM,5623.0,5623.0,393.61,5623.0,71
CDM,720971,CANNULA BTN 10MM 2CM,2006.0,2006.0,140.42,2006.0,71
CDM,720978,PLATE BN LT 6HL 112MM,11168.0,11168.0,1228.48,11168.0,57
CDM,720985,STEM KN FEM GB EXT 14X80,22993.0,22993.0,2529.23,22993.0,57
CDM,720997,HNDPC STRL DISP 10FTCRD,2465.0,2465.0,172.55,2465.0,71
CDM,721042,BIT DRILL 340MM 4.2MM,4948.0,4948.0,346.36,4948.0,71
CDM,721046,BIT SURG DRILL SM 1.7MM,4236.0,4236.0,296.52,4236.0,71
CDM,721047,MESH HRN GROIN 6X6IN,5533.0,5533.0,608.63,5533.0,57
CDM,721058,MESH HRN RT 6.2X4.1IN,7347.0,7347.0,808.17,7347.0,57
CDM,721060,HEAD HUM UNIV2 21X48,64500.0,64500.0,7095.0,64500.0,57
CDM,721079,DILATOR VASC 24FR 20CM,991.0,991.0,69.37,991.0,71
CDM,721110,SCREW SPN 6X30X5.5MM,12330.0,12330.0,1356.3,12330.0,57
CDM,721111,PLATE INF DSPLCE 90X7X25,8545.0,8545.0,939.95,8545.0,57
CDM,721128,CATH BLNDIL BRNCH 5X24MM,12008.0,12008.0,840.56,12008.0,71
CDM,721140,SCREW BN LCK 3.5X24MM,4419.0,4419.0,486.09,4419.0,57
CDM,721141,SCREW CANN LOPRO 4X28MM,1768.0,1768.0,194.48,1768.0,57
CDM,721150,INSRT ACTB 46MM HOP CNST,38700.0,38700.0,4257.0,38700.0,57
CDM,721151,COMPNT GLND 27MM,32250.0,32250.0,3547.5,32250.0,57
CDM,721153,SCREW BN 4.5MM 24MM,2190.0,2190.0,240.9,2190.0,57
CDM,721154,SCREW BN 4.5MM 18MM,2055.0,2055.0,226.05,2055.0,57
CDM,721197,CATH SYS 130CM 5FR .04IN,4610.0,4610.0,322.7,4610.0,71
CDM,721199,CATH VASC MCR 5F 130CM,4610.0,4610.0,322.7,4610.0,71
CDM,721203,CATH DLY SYS 5FR 130CM,4610.0,4610.0,322.7,4610.0,71
CDM,721211,SCREW BN LCK 2.7MM 8MM,2236.0,2236.0,245.96,2236.0,57
CDM,721214,NEEDLE PASSIVE BIOPSY,14483.0,14483.0,1013.81,14483.0,71
CDM,721265,NAIL- IM L285 OD11 TIB,18946.0,18946.0,2084.06,18946.0,57
CDM,721274,SCREW SPN 7X50MM,12655.0,12655.0,1392.05,12655.0,57
CDM,721292,SCREW BN 2.7MM 18MM,2236.0,2236.0,245.96,2236.0,57
CDM,721293,SCREW BN HUM 3.5MM 18MM,750.0,750.0,82.5,750.0,57
CDM,721303,STAPLER INT 3.8X100MM,14341.0,14341.0,1003.87,14341.0,71
CDM,721304,RELOAD STPLR 3.8X100MM,7370.0,7370.0,810.7,7370.0,57
CDM,721309,GWIRE .038IN FLEX TIP,5623.0,5623.0,393.61,5623.0,71
CDM,721310,CAP ENDO ABL THRPY HL,5702.0,5702.0,399.14,5702.0,71
CDM,721325,KIT CATH EXP 5IN 6IN,1740.0,1740.0,121.8,1740.0,71
CDM,721326,BIT DRLL 2.7X100 DISP US,1599.0,1599.0,111.93,1599.0,71
CDM,721344,STEM EXT KN 80MM 13MM,14187.0,14187.0,1560.57,14187.0,57
CDM,721346,PLATE MXFCL RT 9HL .75MM,3584.0,3584.0,394.24,3584.0,57
CDM,721379,SHTH INTRO 7FR 11CM,512.0,512.0,35.84,512.0,71
CDM,721380,SHTH INTRO 8FR 11CM,512.0,512.0,35.84,512.0,71
CDM,721381,SHEATH 402-609X,512.0,512.0,35.84,512.0,71
CDM,721386,SYSTEM EMBL PLUG LQ 1GM,59593.0,59593.0,4171.51,59593.0,71
CDM,721387,CATH GD 6FR 100CM,9218.0,9218.0,645.26,9218.0,71
CDM,721397,SCREW MNTR 4.35X30,11390.0,11390.0,1252.9,11390.0,57
CDM,721424,SYSTEM BLNDIL 7X24MM,12008.0,12008.0,840.56,12008.0,71
CDM,721434,GRAFT BN 30X12MM SPNE,41318.0,41318.0,4544.98,41318.0,57
CDM,721439,MESH HRN LT 5.3X3.1IN,6895.0,6895.0,758.45,6895.0,57
CDM,721497,SCREW BN TI L35 OD5 EXPD,11390.0,11390.0,1252.9,11390.0,57
CDM,721499,HOOK SPNL SS XPDM 179752,7593.0,7593.0,835.23,7593.0,57
CDM,721500,ROD SPN 480MM 5.5MM,7593.0,7593.0,835.23,7593.0,57
CDM,721533,PLATE MXFCL 90D .5MM 2HL,5109.0,5109.0,561.99,5109.0,57
CDM,721550,SCREW SPN 4MM 16MM,1926.0,1926.0,211.86,1926.0,57
CDM,721552,CATHETER G08153,496.0,496.0,34.72,496.0,71
CDM,721553,PRTCL EMB BL 300-500 2ML,5302.0,5302.0,583.22,5302.0,57
CDM,721598,SCREW BN 2.4MM 20MM,2363.0,2363.0,259.93,2363.0,57
CDM,721599,SCREW BN LCK 2.4MM 22MM,2210.0,2210.0,243.1,2210.0,57
CDM,721608,SCREW BN 1.85MM 8MM,1580.0,1580.0,173.8,1580.0,57
CDM,721611,PLATE .8MM LT MXL PRBNT,8541.0,8541.0,939.51,8541.0,57
CDM,721655,HANDPIECE ESURG 1.7X10MM,7342.0,7342.0,513.94,7342.0,71
CDM,721803,HEAD FEM HIP -4MM 28MM,18060.0,18060.0,1986.6,18060.0,57
CDM,721805,HEAD HIP -5MM 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,721806,HEAD FEM HIP 0MM 28MM,18060.0,18060.0,1986.6,18060.0,57
CDM,721809,HEAD FEM HIP 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,721810,HEAD HIP +4MM 28MM,23492.0,23492.0,2584.12,23492.0,57
CDM,721812,HEAD FEM HIP +8MM 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,721815,HEAD HIP -2.5X36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,721816,HEAD FEM HIP +2.5MM 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,721817,HEAD FEM HIP +7.5MM 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,721836,INSERT TIB KN SZ5 15MM,36491.0,36491.0,4014.01,36491.0,57
CDM,721839,PLATE BN MXF 3X4HL 0.7MM,6025.0,6025.0,662.75,6025.0,57
CDM,721862,SCREW BN 2.0MM 9MM,1460.0,1460.0,160.6,1460.0,57
CDM,721896,STEM FEM HIP 11MM 140MM,28380.0,28380.0,3121.8,28380.0,57
CDM,721901,SCREW BN 5MM 4.4MM 50MM,3782.0,3782.0,416.02,3782.0,57
CDM,721924,GWIRE VASC .014 335CM,5622.0,5622.0,393.54,5622.0,71
CDM,721968,CATH GD MP2 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
CDM,721969,SCREW BN 5.0MM 38MM,6600.0,6600.0,726.0,6600.0,57
CDM,721996,KIT ARTH FX BLD HIP DISP,11152.0,11152.0,780.64,11152.0,71
CDM,721998,SCREW BN 2.5MM 18MM,3802.0,3802.0,418.22,3802.0,57
CDM,722040,GRAFT BN CANC 12MM 36MM,16276.0,16276.0,1790.36,16276.0,57
CDM,722060,SCREW BN 2.1MM 8MM,1709.0,1709.0,187.99,1709.0,57
CDM,722061,SCREW BN 2.1MM 6MM,2123.0,2123.0,233.53,2123.0,57
CDM,722068,SCREW BN 4.75MM 15MM,9248.0,9248.0,1017.28,9248.0,57
CDM,722080,KWIRE FX .9MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,722082,KIT DRN PLR W/CATH,11433.0,11433.0,800.31,11433.0,71
CDM,722090,STEM FEM KN 125X16.5MM,92481.0,92481.0,10172.91,92481.0,57
CDM,722092,TUBE GASTM 24FR,1346.0,1346.0,94.22,1346.0,71
CDM,722094,HEAD HIP 28MM 46MM,11610.0,11610.0,1277.1,11610.0,57
CDM,722131,PLATE BN 4.5MM 296MM,13137.0,13137.0,1445.07,13137.0,57
CDM,722145,PLATE BN 4H 89MM,18436.0,18436.0,2027.96,18436.0,57
CDM,722172,CATH DRN ATRIAL 48CM,3688.0,3688.0,405.68,3688.0,57
CDM,722175,PLATE BN 3.5MM 130MM,12678.0,12678.0,1394.58,12678.0,57
CDM,722188,PLATE BN 6HL 3.5X85MM,15789.0,15789.0,1736.79,15789.0,57
CDM,722196,HEAD FEM HIP +8.5MM 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,722210,PLATE BN OBLG R.8MM 2X3,5382.0,5382.0,592.02,5382.0,57
CDM,722215,INSERT TIB KN STD 15MM,17622.0,17622.0,1938.42,17622.0,57
CDM,722223,ELECTRODE ESURG HRMN SCP,5623.0,5623.0,393.61,5623.0,71
CDM,722255,CLIP SURG CLS STRL,4273.0,4273.0,299.11,4273.0,71
CDM,722273,PLATE BN 4HL 89MM,14402.0,14402.0,1584.22,14402.0,57
CDM,722290,MESH HRN RT 5.3X3.1IN,6895.0,6895.0,758.45,6895.0,57
CDM,722295,COMPNT SHLDR STD 36MM,25800.0,25800.0,2838.0,25800.0,57
CDM,722302,PLATE LNG 13MMX.8MM MDFC,4967.0,4967.0,546.37,4967.0,57
CDM,722336,SCREW BN 7MM 85MM,5032.0,5032.0,553.52,5032.0,57
CDM,722384,CATH LEONARD 10FR 60063,3778.0,3778.0,264.46,3778.0,71
CDM,722437,STEM TIB ANKLE 14MM,17725.0,17725.0,1949.75,17725.0,57
CDM,722439,STEM BASE ANKL EXT 16MM,19299.0,19299.0,2122.89,19299.0,57
CDM,722440,STEM TIB ANKLE 14MM,18912.0,18912.0,2080.32,18912.0,57
CDM,722441,STEM ANKLE LG 10MM,36353.0,36353.0,3998.83,36353.0,57
CDM,722455,SCREW BN 2.5MM 14MM,1871.0,1871.0,205.81,1871.0,57
CDM,722456,SCREW BN CORT 2.5X20MM,1871.0,1871.0,205.81,1871.0,57
CDM,722457,SCREW BN 2.5MM 14MM,3062.0,3062.0,336.82,3062.0,57
CDM,722458,SCREW BN 2.5MM 20MM,3062.0,3062.0,336.82,3062.0,57
CDM,722459,SCREW BN 2.5MM 22MM,3062.0,3062.0,336.82,3062.0,57
CDM,722469,KWIRE FX 150MM 1.1MM,1599.0,1599.0,111.93,1599.0,71
CDM,722473,SPONGE ABS 8X12.5CMX10MM,1207.0,1207.0,84.49,1207.0,71
CDM,722488,STEM EXT KN 100MM,50826.0,50826.0,5590.86,50826.0,57
CDM,722489,PLATE BN 4HL 8MM,8104.0,8104.0,891.44,8104.0,57
CDM,722491,SCREW BN 1.85MM 2.65MM,1503.0,1503.0,165.33,1503.0,57
CDM,722495,NAIL IM TI 300MM 12MM TI,18946.0,18946.0,2084.06,18946.0,57
CDM,722514,PLATE BN 5H 2.7/3.5X99MM,10996.0,10996.0,1209.56,10996.0,57
CDM,722518,SCREW BM 8-PLT 32MM PED,3979.0,3979.0,437.69,3979.0,57
CDM,722519,GFT PTCH TIS 2 10X15,26633.0,26633.0,2929.63,26633.0,57
CDM,722539,GUIDE ROD 3MM 100MM,4569.0,4569.0,319.83,4569.0,71
CDM,722542,DRILL TWIST 1.9MM 27MM,2699.0,2699.0,188.93,2699.0,71
CDM,722559,DISTRACTOR MNDB 25MM,122114.0,122114.0,13432.54,122114.0,57
CDM,722560,DISTRACTOR ARM 30MM,13929.0,13929.0,1532.19,13929.0,57
CDM,722588,SCREW BN 3.5MM 12MM,750.0,750.0,82.5,750.0,57
CDM,722596,TUBE VNT EAR .76X2.2MM,750.0,750.0,82.5,750.0,57
CDM,722603,NAIL BN 13X18X125,40731.0,40731.0,4480.41,40731.0,57
CDM,722613,CONN ROD SPN 5.5X36MM,8859.0,8859.0,974.49,8859.0,57
CDM,722614,SCREW BN TI L50 OD4.35,12655.0,12655.0,1392.05,12655.0,57
CDM,722618,PLATE BN 7H 3.5MM 100MM,16192.0,16192.0,1781.12,16192.0,57
CDM,722629,COMPNT SEG KN 35MM,43654.0,43654.0,4801.94,43654.0,57
CDM,722630,STEM FEM KN LT 15D 70MM,108076.0,108076.0,11888.36,108076.0,57
CDM,722663,KIT VASC ACC 100CM,4311.0,4311.0,301.77,4311.0,71
CDM,722670,PARTIAL CREDIT DEVICE,1.0,1.0,0.07,1.0,71
CDM,722671,PARTIAL CREDIT DEVICE,1.0,1.0,0.07,1.0,71
CDM,722706,NAIL FEM 10MM 300MM,20693.0,20693.0,2276.23,20693.0,57
CDM,722798,CATH BLNDIL 2MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,722817,CATHETER GD 6FR 150CM,8573.0,8573.0,600.11,8573.0,71
CDM,722841,INSERT KN SZE-F 23MM,33199.0,33199.0,3651.89,33199.0,57
CDM,722855,INSERT TIB KN SZ5 12.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,722894,INSTR BX 18GA 20CM,1599.0,1599.0,111.93,1599.0,71
CDM,722898,SYSTEM PLTL CONC STD,17747.0,17747.0,1242.29,17747.0,71
CDM,722908,SCREW BN 4MM 3.4MM 22MM,2610.0,2610.0,287.1,2610.0,57
CDM,722916,PLATE BN 3.5X50MM,2122.0,2122.0,233.42,2122.0,57
CDM,722921,PLATE 116MM TI 3.5MM SCR,2772.0,2772.0,304.92,2772.0,57
CDM,722951,CATH GD 1.5FR 150CM,7875.0,7875.0,551.25,7875.0,71
CDM,722965,CATH GD QCKCX 3.2F 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,722993,PLATE BN 5HL 101X10X2MM,14402.0,14402.0,1584.22,14402.0,57
CDM,723018,BLOCKER SPN ROD CLSR,1266.0,1266.0,139.26,1266.0,57
CDM,723029,SCREW BN T55MM 4.5MM,5138.0,5138.0,565.18,5138.0,57
CDM,723042,PROBE LTHTRP 3.8MM 403MM,9793.0,9793.0,685.51,9793.0,71
CDM,723043,CATH BLNDIL 30FR 12CM,5623.0,5623.0,393.61,5623.0,71
CDM,723068,PROSTHESIS PENL 27 13MM,87338.0,87338.0,9607.18,87338.0,57
CDM,723074,STENT BIL 7FR 10MM 6CM,28873.0,28873.0,3176.03,28873.0,57
CDM,723075,DEVICE BX MN MARROWSTIM,17747.0,17747.0,1242.29,17747.0,71
CDM,723107,SYSTM EMBL 34 8% 1.5ML,43911.0,43911.0,3073.77,43911.0,71
CDM,723122,RELOAD STPLR 60MM,7336.0,7336.0,806.96,7336.0,57
CDM,723123,RELOAD STPLR 60MM,7336.0,7336.0,806.96,7336.0,57
CDM,723124,RELOAD STPLR 45MM,10786.0,10786.0,1186.46,10786.0,57
CDM,723175,SCREW BN 7MM 90MM,4008.0,4008.0,440.88,4008.0,57
CDM,723206,PLATE BN 4H 89MM,23937.0,23937.0,2633.07,23937.0,57
CDM,723210,PLATE BN 6H 2.7/3.5X112,11168.0,11168.0,1228.48,11168.0,57
CDM,723237,NEEDLE BSCP 22GA 13MM,1599.0,1599.0,111.93,1599.0,71
CDM,723247,CUP ACTB 54MM PNCL GRPTN,25800.0,25800.0,2838.0,25800.0,57
CDM,723252,CUP ACTB 60 PNCL GRPTN 1,25800.0,25800.0,2838.0,25800.0,57
CDM,723296,IMPLANT BREAST 425CC,13790.0,13790.0,1516.9,13790.0,57
CDM,723318,COIL EMBL 14.2CM 10-4MM,1854.0,1854.0,203.94,1854.0,57
CDM,723337,PIN FX INSTR HIP DRILL,4127.0,4127.0,288.89,4127.0,71
CDM,723395,CATH BLN 10MM 75CM 5.8FR,5623.0,5623.0,393.61,5623.0,71
CDM,723453,STEM FEM PFC UNV HIP,18164.0,18164.0,1998.04,18164.0,57
CDM,723477,SCREW BN 2MM 5MM,1929.0,1929.0,212.19,1929.0,57
CDM,723478,SCREW BN TI 4MM 2MM,1698.0,1698.0,186.78,1698.0,57
CDM,723481,PLATE BN MXLFCL STR 4HL,2844.0,2844.0,312.84,2844.0,57
CDM,723499,SHELL ACTB HIP 0D 58MM,25800.0,25800.0,2838.0,25800.0,57
CDM,723506,SCREW BN 34MM 4.5MM,2055.0,2055.0,226.05,2055.0,57
CDM,723509,VALVE AORTIC 19MM,111961.0,111961.0,12315.71,111961.0,57
CDM,723510,VALVE MITRAL 25MM,76743.0,76743.0,8441.73,76743.0,57
CDM,723512,PLATE BN 42MM 41MM,17126.0,17126.0,1883.86,17126.0,57
CDM,723520,SCREW BN 6.0MM 2.0MM,1929.0,1929.0,212.19,1929.0,57
CDM,723552,SCREW BN 4MM 18MM,1768.0,1768.0,194.48,1768.0,57
CDM,723561,SHELL ACETAB 56MM,46247.0,46247.0,5087.17,46247.0,57
CDM,723592,SCREW BN 3.5MM 20MM,5138.0,5138.0,565.18,5138.0,57
CDM,723596,GFT SFT TISS SYN 10X7CM,6885.0,6885.0,757.35,6885.0,57
CDM,723645,CUP ACTB 50 PNCL GRPTN 1,25800.0,25800.0,2838.0,25800.0,57
CDM,723679,SYSTEM LAPSCP ACCESS,13256.0,13256.0,927.92,13256.0,71
CDM,723694,GUIDEWIRE VASC 300CM .03,1279.0,1279.0,89.53,1279.0,71
CDM,723703,FILTER EMBL 35MM JUG 30M,18074.0,18074.0,1988.14,18074.0,57
CDM,723759,STENT BIL 8F 8X16MM 80CM,43546.0,43546.0,4790.06,43546.0,57
CDM,723761,STENT BIL 8F 8X24MM 80CM,18290.0,18290.0,2011.9,18290.0,57
CDM,723762,STENT BIL 8F 8X30MM 80CM,18002.0,18002.0,1980.22,18002.0,57
CDM,723784,BLN ADV 4FR 6MM 80X4CM,5623.0,5623.0,393.61,5623.0,71
CDM,723792,SYRINGE INFL STRL DISP,1599.0,1599.0,111.93,1599.0,71
CDM,723802,BIT DRILL 3.5X130MM,4948.0,4948.0,346.36,4948.0,71
CDM,723803,BIT DRILL 3.5MM 230MM,4948.0,4948.0,346.36,4948.0,71
CDM,723817,CATH BLNDIL 22MM 5X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,723831,CATH ULTSND 8FR 90CM,42503.0,42503.0,2975.21,42503.0,71
CDM,723835,SCREW CORT 2.0X8MM,1643.0,1643.0,180.73,1643.0,57
CDM,723845,STENT ESPH 18.5FR 23MM,44532.0,44532.0,4898.52,44532.0,57
CDM,723856,HEAD FEM HIP MOD 40MM,22960.0,22960.0,2525.6,22960.0,57
CDM,723869,CUP ACTB PNCL GRPTN 48MM,25800.0,25800.0,2838.0,25800.0,57
CDM,723907,CATH BLNDIL 150CM 150MM,6058.0,6058.0,424.06,6058.0,71
CDM,723908,INSERT TIB KN 2 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,723909,LINER ACTB HIP 40MM 56MM,14190.0,14190.0,1560.9,14190.0,57
CDM,723948,CUP HUM 38MM +6MM,24669.0,24669.0,2713.59,24669.0,57
CDM,723954,BIT DRILL 4.2MM 130MM,4948.0,4948.0,346.36,4948.0,71
CDM,723977,CATH BLNDIL 25MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,724048,SLEEVE TAPER HIP NK +0,3500.0,3500.0,385.0,3500.0,57
CDM,724055,CUP ACTB 52 PNCL GRPTN 1,25800.0,25800.0,2838.0,25800.0,57
CDM,724087,BUTTON GSTRM 18FR 3.0CM,3423.0,3423.0,239.61,3423.0,71
CDM,724124,PATCH SURG MFL 6.4CM,12133.0,12133.0,1334.63,12133.0,57
CDM,724144,PARTICLES EMBL 700-900UM,5302.0,5302.0,583.22,5302.0,57
CDM,724191,FORCEP BX 1 PRNH URO,5784.0,5784.0,404.88,5784.0,71
CDM,724241,SCREW LOCK 4MM ST WSTARD,2534.0,2534.0,278.74,2534.0,57
CDM,724246,SCREW LOCK 4MM ST WSTARD,2534.0,2534.0,278.74,2534.0,57
CDM,724247,SCREW LOCK 4MM ST WSTARD,2534.0,2534.0,278.74,2534.0,57
CDM,724269,CATH CV BRVC 2.7FR VITCF,10928.0,10928.0,764.96,10928.0,71
CDM,724279,WEDGE FEM KN LT SZ5 5MM,18458.0,18458.0,2030.38,18458.0,57
CDM,724325,COIL EMBL 18D 4MMX10CM,17036.0,17036.0,1873.96,17036.0,57
CDM,724327,CONTROLLER DETACH EMBL,5623.0,5623.0,393.61,5623.0,71
CDM,724346,STAPLER INT 12MM,5102.0,5102.0,357.14,5102.0,71
CDM,724368,PLATE BN CRNL Z LT 2X18,3399.0,3399.0,373.89,3399.0,57
CDM,724496,PLATE MINI 9HOLE CURVED,7106.0,7106.0,781.66,7106.0,57
CDM,724521,HEAD FEM HIP 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,724547,SYS CATH DLV 5FR 60CM,12179.0,12179.0,852.53,12179.0,71
CDM,724548,SYS CATH DLV 6FR 60CM,12179.0,12179.0,852.53,12179.0,71
CDM,724549,SYS CATH DLV 6FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,724551,SYS CATH DLV 6FR 60CM,12179.0,12179.0,852.53,12179.0,71
CDM,724553,SYS CATH DLV 7FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,724554,SYS CATH DLV 7FR 60CM,13567.0,13567.0,949.69,13567.0,71
CDM,724555,SYS CATH DLV 7FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,724558,SYS CATH DLV 5FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,724559,SYS CATH DLV 9FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,724562,SYS CATH DLV 10FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,724567,SYSTEM BLNDIL 14MM 40MM,12742.0,12742.0,891.94,12742.0,71
CDM,724569,CONN SHNT RTANG 1X1.9MM,1714.0,1714.0,188.54,1714.0,57
CDM,724576,SYSTEM CBL HIP 23X121MM,41947.0,41947.0,4614.17,41947.0,57
CDM,724577,SCREW BN TI L45 XPDM SPN,12655.0,12655.0,1392.05,12655.0,57
CDM,724603,CLIP LIGATING MICROCLIP,105.0,105.0,11.55,105.0,57
CDM,724608,PLATE MINI 4HOLE COMP,4984.0,4984.0,548.24,4984.0,57
CDM,724611,SCREW BN 3.5MM 12MM,1028.0,1028.0,113.08,1028.0,57
CDM,724613,SCREW BN 3.5MM 14MM,1028.0,1028.0,113.08,1028.0,57
CDM,724614,SCREW BN 3.5X16MM,1203.0,1203.0,132.33,1203.0,57
CDM,724616,SCREW BN 3.5MM 18MM,1203.0,1203.0,132.33,1203.0,57
CDM,724619,SCREW BN 3.5MM 12MM,3391.0,3391.0,373.01,3391.0,57
CDM,724621,SCREW BN 3.5MM 14MM,3946.0,3946.0,434.06,3946.0,57
CDM,724624,GWIRE ORTH 1.35X150MM,1599.0,1599.0,111.93,1599.0,71
CDM,724625,PLATE BN 5H 91MM,19091.0,19091.0,2100.01,19091.0,57
CDM,724679,CATHETER DRN 5FR 10CM 1S,1009.0,1009.0,70.63,1009.0,71
CDM,724688,STEM HIP FEM STD 9X125,43860.0,43860.0,4824.6,43860.0,57
CDM,724698,PLATE BN 20HL 0.8MM,11928.0,11928.0,1312.08,11928.0,57
CDM,724717,GUIDE PIN ORTH 2.5MM,2062.0,2062.0,144.34,2062.0,71
CDM,724730,CMPNT TIB KN RT SZ B,32895.0,32895.0,3618.45,32895.0,57
CDM,724741,CMPNT FEM KN LT XX-SM,197001.0,197001.0,21670.11,197001.0,57
CDM,724742,COMPONENT KN PS LPS 85MM,43654.0,43654.0,4801.94,43654.0,57
CDM,724744,STEM FEM EXT 150X13.5MM,92003.0,92003.0,10120.33,92003.0,57
CDM,724745,INSERT TIB KN 2XS 12MM,67655.0,67655.0,7442.05,67655.0,57
CDM,724748,STEM HUM SHLDR 3D 9,111615.0,111615.0,12277.65,111615.0,57
CDM,724804,NEEDLE BPSY 22GA 25CM,738.0,738.0,51.66,738.0,71
CDM,724806,INTRODUCER SHTH16FR 15.5,2061.0,2061.0,144.27,2061.0,71
CDM,724810,NEEDLE CATH 5FR 15CM,927.0,927.0,64.89,927.0,71
CDM,724816,NDL ANG TW 20GAX2.5CM,256.0,256.0,17.92,256.0,71
CDM,724858,PERFORATOR 6MM 9MM,9487.0,9487.0,664.09,9487.0,71
CDM,724861,LEAD NRSTM 3MM 60CM,65760.0,65760.0,7233.6,65760.0,57
CDM,724865,PLATE BN 6HL 85MM 3.5MM,15789.0,15789.0,1736.79,15789.0,57
CDM,724912,STEM KN FEM GB EXT 16X80,22993.0,22993.0,2529.23,22993.0,57
CDM,724913,COMPNT TIB PSC 71/75X14,35776.0,35776.0,3935.36,35776.0,57
CDM,725001,SCREW BN 4.5MM 45MM,5138.0,5138.0,565.18,5138.0,57
CDM,725007,BIT DRILL LNG 4MM,3520.0,3520.0,246.4,3520.0,71
CDM,725013,CMPNT SEG KN 65MM,43654.0,43654.0,4801.94,43654.0,57
CDM,725014,CMPNT FEM KN XS,197001.0,197001.0,21670.11,197001.0,57
CDM,725015,INSERT TIB KN UNV 12MM,67655.0,67655.0,7442.05,67655.0,57
CDM,725019,BIT DRILL 4MM 200MM,2699.0,2699.0,188.93,2699.0,71
CDM,725041,SCREW BN 4.5MM,2867.0,2867.0,315.37,2867.0,57
CDM,725056,CAP END TIB XTN T40 10MM,2769.0,2769.0,304.59,2769.0,57
CDM,725061,PLATE BN LT 6/4HL 66MM,18474.0,18474.0,2032.14,18474.0,57
CDM,725103,SCREW BN 6.5X40MM,4439.0,4439.0,488.29,4439.0,57
CDM,725176,CMPNT FEM HIP +4 SZ12/14,3421.0,3421.0,376.31,3421.0,57
CDM,725192,BIT DRILL 4.5X365MM,5623.0,5623.0,393.61,5623.0,71
CDM,725193,GWIRE ENTRY 3.2X320MM,4247.0,4247.0,297.29,4247.0,71
CDM,725196,LEAD PCNG 52CM,9345.0,9345.0,1027.95,9345.0,57
CDM,725198,LEAD PACING 6FR 58CM,9345.0,9345.0,1027.95,9345.0,57
CDM,725205,SCREW BN 2.4MM 18MM,2363.0,2363.0,259.93,2363.0,57
CDM,725219,STENT URET 6FR 22-30CM,2107.0,2107.0,231.77,2107.0,57
CDM,725220,PLATE BN 2MM 2MM,3984.0,3984.0,438.24,3984.0,57
CDM,725221,PLATE BN STRT 6HL 2MM,4669.0,4669.0,513.59,4669.0,57
CDM,725224,SCREW BN MXLFCL 4MM 2MM,1287.0,1287.0,141.57,1287.0,57
CDM,725225,SCREW BN 5MM 2MM,1287.0,1287.0,141.57,1287.0,57
CDM,725226,SCREW BN 2MM 6MM,1215.0,1215.0,133.65,1215.0,57
CDM,725234,STEM FEM KN 150X16MM,31178.0,31178.0,3429.58,31178.0,57
CDM,725241,SCREW BN 5MM 30MM,5713.0,5713.0,628.43,5713.0,57
CDM,725247,NAIL ENDCAP ANKL,4357.0,4357.0,479.27,4357.0,57
CDM,725249,WIRE FX 1.8X400MM,5623.0,5623.0,393.61,5623.0,71
CDM,725250,WIRE BN EXFX 1.8MM 400MM,5623.0,5623.0,393.61,5623.0,71
CDM,725309,STEM KN FEM GB EXT 14X40,22993.0,22993.0,2529.23,22993.0,57
CDM,725310,CMPNT KN FEM RT 8.5CM,112849.0,112849.0,12413.39,112849.0,57
CDM,725319,COUPLER VASC ANSTM 4MM,8765.0,8765.0,964.15,8765.0,57
CDM,725339,SNARE POLY OVAL SM,841.0,841.0,58.87,841.0,71
CDM,725357,INTRO SHTH 8.5FR 63CM,5623.0,5623.0,393.61,5623.0,71
CDM,725443,SCREW BN 2.7MM 5MM 24MM,750.0,750.0,82.5,750.0,57
CDM,725448,PLATE BN MXLFCL 16HL,10542.0,10542.0,1159.62,10542.0,57
CDM,725453,PLATE BN 8H 137MM,22832.0,22832.0,2511.52,22832.0,57
CDM,725468,LEAD PCNG 46CM,9345.0,9345.0,1027.95,9345.0,57
CDM,725491,RELOAD STPLR 45MM,10786.0,10786.0,1186.46,10786.0,57
CDM,725519,SCREW SPN 4MM 14MM,2700.0,2700.0,297.0,2700.0,57
CDM,725537,LINER HIP 50MM 32MM,14190.0,14190.0,1560.9,14190.0,57
CDM,725540,CUP HUM SHLDR 42MM +6MM,21930.0,21930.0,2412.3,21930.0,57
CDM,725593,ADAPTER SLV KN +10MM,12377.0,12377.0,1361.47,12377.0,57
CDM,725646,SCREW SPN P-AX 4.35X25MM,11554.0,11554.0,1270.94,11554.0,57
CDM,725656,SCREW BN 2MM 16MM,3685.0,3685.0,405.35,3685.0,57
CDM,725658,STEM FEM HIP SZ3 108MM,36120.0,36120.0,3973.2,36120.0,57
CDM,725663,CATH GD 6FR 100CM,3149.0,3149.0,220.43,3149.0,71
CDM,725685,CANN PRFSN QKDRW VNS22F,11430.0,11430.0,800.1,11430.0,71
CDM,725694,SHEATH GD 8FR 45CM,3411.0,3411.0,238.77,3411.0,71
CDM,725707,PLATE BN 3HL 77MM,10502.0,10502.0,1155.22,10502.0,57
CDM,725734,STENT ESPH 18.5FR 23MM,45544.0,45544.0,5009.84,45544.0,57
CDM,725782,COIL EMBL 6-3MM 5.8CM,1732.0,1732.0,190.52,1732.0,57
CDM,725786,STAPLER INT 12MM,10786.0,10786.0,755.02,10786.0,71
CDM,725787,SCREW BN 2MM 1.5MM,1580.0,1580.0,173.8,1580.0,57
CDM,725789,HEAD FEM HIP 32MM,18060.0,18060.0,1986.6,18060.0,57
CDM,725794,PLATE BN TIB 3.5MM 93MM,24016.0,24016.0,2641.76,24016.0,57
CDM,725828,NAIL BN 10MM 150MM,60541.0,60541.0,6659.51,60541.0,57
CDM,725832,KWIRE FX ORTH 3MM,1599.0,1599.0,111.93,1599.0,71
CDM,725833,GWIRE FX BEADED 3.0MM,5623.0,5623.0,393.61,5623.0,71
CDM,725864,DEVICE FLOW CTRL 1050PI,280.0,280.0,19.6,280.0,71
CDM,725867,SET INFS 20GA 1.5IN,385.0,385.0,26.95,385.0,71
CDM,725873,BG PRSS INFSR 1000ML,136.0,136.0,9.52,136.0,71
CDM,725883,SUTURE FS-1 3-0 1X30IN,77.0,77.0,5.39,77.0,71
CDM,725885,SUTURE BLK BRD 1 30IN,78.0,78.0,5.46,78.0,71
CDM,725887,SUTURE NYLON 3-0 18IN,176.0,176.0,12.32,176.0,71
CDM,725890,SUTURE BLU MONO 1 30IN,121.0,121.0,8.47,121.0,71
CDM,725892,SUTURE PS-2 4-0 1X18IN,237.0,237.0,16.59,237.0,71
CDM,725893,SUTURE BLU MONO 2-0 18IN,132.0,132.0,9.24,132.0,71
CDM,725914,NEEDLE BX CHBA 22GA 20CM,831.0,831.0,58.17,831.0,71
CDM,725932,TUBE CONN 14FR 30CM,543.0,543.0,38.01,543.0,71
CDM,725934,DEVICE TORQUE .010-.038,424.0,424.0,29.68,424.0,71
CDM,725939,CATH INFS MIC 90D 14IN,11433.0,11433.0,800.31,11433.0,71
CDM,725955,KWIRE FX 1.4MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,727258,CUFF URTH SPHNC AB 3.5CM,125255.0,125255.0,13778.05,125255.0,57
CDM,727259,CATH ULTSND 5FR 150CM,11848.0,11848.0,829.36,11848.0,71
CDM,727269,PLATE EXFX DBL ROW 160MM,20050.0,20050.0,1403.5,20050.0,71
CDM,727273,BOLT EXFX 126MM,282.0,282.0,19.74,282.0,71
CDM,727279,BOLT EXFX UNV WIRE,4453.0,4453.0,311.71,4453.0,71
CDM,727283,ROD THRD 165MM TRUELOK E,2474.0,2474.0,173.18,2474.0,71
CDM,727284,PLATE EX FIX 160MM,12103.0,12103.0,847.21,12103.0,71
CDM,727344,PIN EXFX POST 3HL,5623.0,5623.0,393.61,5623.0,71
CDM,727371,BIT DRILL 2.3MM 20MM,2399.0,2399.0,167.93,2399.0,71
CDM,727391,SUTURE VIOL MON 3-0 27IN,130.0,130.0,9.1,130.0,71
CDM,727392,SUTURE VIOL MON 2-0 27IN,128.0,128.0,8.96,128.0,71
CDM,727393,SUTURE VIOL MON+2-0 27IN,135.0,135.0,9.45,135.0,71
CDM,727395,SUTURE VIOL MON +0 27IN,134.0,134.0,9.38,134.0,71
CDM,727406,SUTURE VIOL MON+6-0 27IN,163.0,163.0,11.41,163.0,71
CDM,727408,SUTURE VIOL MON+5-0 18IN,275.0,275.0,19.25,275.0,71
CDM,727409,SUTURE VIOL MON+4-0 18IN,258.0,258.0,18.06,258.0,71
CDM,727417,SUTURE VIOL MON+3-0 18IN,256.0,256.0,17.92,256.0,71
CDM,727419,SUTURE VIOL MON +1 96IN,241.0,241.0,16.87,241.0,71
CDM,727428,GWIRE VASC .035IN 260CM,5623.0,5623.0,393.61,5623.0,71
CDM,727444,SLR/DVDR LAPSCP 37CM,7734.0,7734.0,541.38,7734.0,71
CDM,727455,PERFORATOR CRANI 11X7MM,7300.0,7300.0,511.0,7300.0,71
CDM,727485,SCREW BN S-T 1.5MM 13MM,750.0,750.0,82.5,750.0,57
CDM,727493,BAG TISS CLSR 3CM,8642.0,8642.0,604.94,8642.0,71
CDM,727517,SCREW BN LOPRO 3.5X20MM,1768.0,1768.0,194.48,1768.0,57
CDM,727519,NDL INFS 16G 3CM,2811.0,2811.0,196.77,2811.0,71
CDM,727521,BLADE IM FX HUM 40MM,6589.0,6589.0,724.79,6589.0,57
CDM,727525,DRILL SURG DISP 35MM,12030.0,12030.0,842.1,12030.0,71
CDM,727527,BIT DRILL 25MM,12030.0,12030.0,842.1,12030.0,71
CDM,727540,BURR RND 4MM 125MM,1599.0,1599.0,111.93,1599.0,71
CDM,727541,BURR SURG 4MM,1599.0,1599.0,111.93,1599.0,71
CDM,727554,BLADE SHVR ANG 4MM,1599.0,1599.0,111.93,1599.0,71
CDM,727558,BLADE SHVR 4MM 125MM,1599.0,1599.0,111.93,1599.0,71
CDM,727559,CUTTER ARTHRSCP 125MM,1599.0,1599.0,111.93,1599.0,71
CDM,727560,BURR SURG OVL 10.2X5.5MM,736.0,736.0,51.52,736.0,71
CDM,727600,BLDE SAW SGTL S6 90X1,2154.0,2154.0,150.78,2154.0,71
CDM,727616,FILTER SMKEVC 45CM,1599.0,1599.0,111.93,1599.0,71
CDM,727617,BLADE SURG OSTME 62MM,14085.0,14085.0,985.95,14085.0,71
CDM,727649,BIT DRILL 4.0MM,5623.0,5623.0,393.61,5623.0,71
CDM,727665,WAND BIP SLR 2.3MM 5IN,7887.0,7887.0,552.09,7887.0,71
CDM,727676,CATH URTH 2W 22FR 30CC,920.0,920.0,64.4,920.0,71
CDM,727682,SPHNTM CANN 30MM 260CM,6733.0,6733.0,471.31,6733.0,71
CDM,727686,PIN STEIN NONSTRL 7/64,460.0,460.0,32.2,460.0,71
CDM,727718,SYSTEM O.A.T.S. 10MM,14367.0,14367.0,1005.69,14367.0,71
CDM,727735,TOOL DSCT 100MM 2MM,3524.0,3524.0,246.68,3524.0,71
CDM,727737,TOOL DSCT 3MM 10CM,3524.0,3524.0,246.68,3524.0,71
CDM,727739,TOOL DSCT 100MM 4MM,3636.0,3636.0,254.52,3636.0,71
CDM,727754,RETRCTR WND SM 2.5-6CM,2324.0,2324.0,162.68,2324.0,71
CDM,727764,TRANSCUCER PRSS 3ML/HR,566.0,566.0,39.62,566.0,71
CDM,727789,BURR PFJ MILLING STD,4498.0,4498.0,314.86,4498.0,71
CDM,727794,STENT ESPH 18.5FR 18MM,44532.0,44532.0,4898.52,44532.0,57
CDM,727805,KWIRE FX 100MM .8MM,1599.0,1599.0,111.93,1599.0,71
CDM,727815,TIP APPLICATOR 35CM,1957.0,1957.0,136.99,1957.0,71
CDM,727824,BIT DRILL TWST 1.6X40,5623.0,5623.0,393.61,5623.0,71
CDM,727825,PIN STEIN NONSTRL 3/32,460.0,460.0,32.2,460.0,71
CDM,727830,STAPLER INT CIR 4.8X21MM,28770.0,28770.0,2013.9,28770.0,71
CDM,727841,WIRE FX ORTH LIGATRE 6MM,147.0,147.0,10.29,147.0,71
CDM,727873,SUTURE UND BRD +1 27IN,94.0,94.0,6.58,94.0,71
CDM,727876,SUTURE CT-2 1 1X27IN,87.0,87.0,6.09,87.0,71
CDM,727880,CLIP LIGATING MD LG,750.0,750.0,82.5,750.0,57
CDM,727893,SHTH INTRO 7FR 23CM,13715.0,13715.0,960.05,13715.0,71
CDM,727907,INS SUT HLD OCTOUS SYS,8962.0,8962.0,627.34,8962.0,71
CDM,727909,SUTURE CTX 1 8X18IN,201.0,201.0,14.07,201.0,71
CDM,727913,SUTURE CT-1 SZ1 8X18IN,358.0,358.0,25.06,358.0,71
CDM,727918,SUTURE ANBCTRL +2 27IN,406.0,406.0,28.42,406.0,71
CDM,727922,SUTURE ANBCTRL +1 36IN,96.0,96.0,6.72,96.0,71
CDM,727934,MANIPULATOR UTERINE SM,1853.0,1853.0,129.71,1853.0,71
CDM,727955,PLATE BN 12H 2MM 81MM,6135.0,6135.0,674.85,6135.0,57
CDM,727956,PLATE BN 2.4MM 58MM,10665.0,10665.0,1173.15,10665.0,57
CDM,727965,SPACER FEM HIP MED 14MM,1131.0,1131.0,124.41,1131.0,57
CDM,728016,ADAPTOR SGM FEM 7D,25800.0,25800.0,2838.0,25800.0,57
CDM,728022,GWIRE KNIFE 5.5FR 200CM,5623.0,5623.0,393.61,5623.0,71
CDM,728028,SCREW BN 6.5MM 60MM,1131.0,1131.0,124.41,1131.0,57
CDM,728043,BURR SURG 17MM 7MM,2405.0,2405.0,168.35,2405.0,71
CDM,728052,STYLET LD 52CM .014IN KT,1599.0,1599.0,111.93,1599.0,71
CDM,728055,DRILL TWIST 1.1X50,5174.0,5174.0,362.18,5174.0,71
CDM,728065,SET SPRAY COSEAL SEALANT,1855.0,1855.0,129.85,1855.0,71
CDM,728080,BLADE SAW 31X9MM,560.0,560.0,39.2,560.0,71
CDM,728084,BIT DRILL 5/64IN 5IN,530.0,530.0,37.1,530.0,71
CDM,728106,WIRE PCNG TEMP 26MM 89MM,1220.0,1220.0,85.4,1220.0,71
CDM,728114,PLATE BN RT 9HL 136MM,26041.0,26041.0,2864.51,26041.0,57
CDM,728134,GUARD PIN .035IN,352.0,352.0,24.64,352.0,71
CDM,728144,SNARE POLY OVAL MED,448.0,448.0,31.36,448.0,71
CDM,728163,INSTR BX 14GA 16CM,1599.0,1599.0,111.93,1599.0,71
CDM,728178,RETRACTOR SURG LIGHT,5623.0,5623.0,393.61,5623.0,71
CDM,728198,BIT DRILL TWIST 2.2X70,5484.0,5484.0,383.88,5484.0,71
CDM,728202,STOPCOCK 3-W 1050 PSI,128.0,128.0,8.96,128.0,71
CDM,728206,ELECTRODE ESURG 2CM 12CM,1599.0,1599.0,111.93,1599.0,71
CDM,728209,TROCAR LAPSCP 100MM,1367.0,1367.0,95.69,1367.0,71
CDM,728210,TROCAR LAPSCP 65MM,1367.0,1367.0,95.69,1367.0,71
CDM,728214,CANNULA ENDO 5MM,4806.0,4806.0,336.42,4806.0,71
CDM,728217,TRAY DRN 12FR 22CM,5623.0,5623.0,393.61,5623.0,71
CDM,728218,BIT DRILL 70MM 1.9MM TWS,5371.0,5371.0,375.97,5371.0,71
CDM,728219,BIT DRILL TWIST 1.9X105M,4041.0,4041.0,282.87,4041.0,71
CDM,728220,BAG SPEC RETRVL 224ML,1599.0,1599.0,111.93,1599.0,71
CDM,728262,STEM FEM HIP127D 2 124MM,36120.0,36120.0,3973.2,36120.0,57
CDM,728263,STEM HIP 127D SZ3 131MM,36120.0,36120.0,3973.2,36120.0,57
CDM,728264,STEM FEM 127D SZ5 145MM,36120.0,36120.0,3973.2,36120.0,57
CDM,728269,STEM HIP 132D SZ6 158MM,36120.0,36120.0,3973.2,36120.0,57
CDM,728270,BIT DRILL 2.5MM 170MM,2713.0,2713.0,189.91,2713.0,71
CDM,728283,PLATE BN LG 5X45MM,8734.0,8734.0,960.74,8734.0,57
CDM,728290,NEEDLE INSFL 14GA 100MM,1599.0,1599.0,111.93,1599.0,71
CDM,728301,CATH 19G 5FR 20CM,927.0,927.0,64.89,927.0,71
CDM,728307,SCREW BN TI L5MM OD2.4MM,3314.0,3314.0,364.54,3314.0,57
CDM,728343,PLATE BN SS L76MM LCP,6127.0,6127.0,673.97,6127.0,57
CDM,728350,BIT DRILL 1.3MM 12MM,5623.0,5623.0,393.61,5623.0,71
CDM,728351,DRL ORTH L1.6 JLTCH,5623.0,5623.0,393.61,5623.0,71
CDM,728357,DRILL TWIST 1MM 50MM,5039.0,5039.0,352.73,5039.0,71
CDM,728358,PLATE BN 4.5X5MM,9594.0,9594.0,1055.34,9594.0,57
CDM,728361,TROCAR ESCP L100X11 11LT,1094.0,1094.0,76.58,1094.0,71
CDM,728369,TROCAR LAPSCP 12MM 100MM,1094.0,1094.0,76.58,1094.0,71
CDM,728383,SLEEVE LAPSCP 12MM 100MM,2115.0,2115.0,148.05,2115.0,71
CDM,728384,SLEEVE LAPSCP 5MM 100MM,766.0,766.0,53.62,766.0,71
CDM,728386,TROCAR LAPSCP 12MM 100MM,1094.0,1094.0,76.58,1094.0,71
CDM,728403,BLADE SAW SGTL 90X21MM,2052.0,2052.0,143.64,2052.0,71
CDM,728404,CANNULA ARTHSCP 7CM,1599.0,1599.0,111.93,1599.0,71
CDM,728411,BLADE SURG OSTME 50MM,13008.0,13008.0,910.56,13008.0,71
CDM,728412,BLADE SURG OSTME 50MM,13008.0,13008.0,910.56,13008.0,71
CDM,728416,BLADE SURG OSTME 60MM,14085.0,14085.0,985.95,14085.0,71
CDM,728417,BLADE SURG OSTME 60MM,14085.0,14085.0,985.95,14085.0,71
CDM,728445,SIZER BREAST 325CC,1599.0,1599.0,111.93,1599.0,71
CDM,728454,DRILL TWIST 1.6MM 7MM,5065.0,5065.0,354.55,5065.0,71
CDM,728473,BIT DRILL 2.0MM,3186.0,3186.0,223.02,3186.0,71
CDM,728510,CATH SFT FLX SHFT TP 7FR,1151.0,1151.0,80.57,1151.0,71
CDM,728552,ADAPTER CONN PERF 1/4IN,253.0,253.0,17.71,253.0,71
CDM,728556,CANNULA PRFSN 4MM 2.3IN,504.0,504.0,35.28,504.0,71
CDM,728557,CANNULA PRFSN 5MM 2.3IN,521.0,521.0,36.47,521.0,71
CDM,728583,SET ANGIO TBG MULT PT,1599.0,1599.0,111.93,1599.0,71
CDM,728590,UNIT ESURG CBL 10FT,1802.0,1802.0,126.14,1802.0,71
CDM,728632,NOZZLE BNCMNT 200MM,957.0,957.0,66.99,957.0,71
CDM,728639,BLADE SAW 70X12.6X.64MM,1599.0,1599.0,111.93,1599.0,71
CDM,728641,BLADE SAW 11.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,728645,BIT DRILL 3.00 NEURO LNG,2948.0,2948.0,206.36,2948.0,71
CDM,728681,HEAD FEM HIP 61MM,11610.0,11610.0,1277.1,11610.0,57
CDM,728688,INSERT ARTC KN 1-2 11MM,19350.0,19350.0,2128.5,19350.0,57
CDM,728717,KNIFE BLADE STRAIGHT,4069.0,4069.0,284.83,4069.0,71
CDM,728718,ELECTRODE ESURG 90D 24FR,2987.0,2987.0,209.09,2987.0,71
CDM,728719,LOOP ENDO .012IN 24FR,2194.0,2194.0,153.58,2194.0,71
CDM,728720,LOOP ENDO .012IN 26FR,1889.0,1889.0,132.23,1889.0,71
CDM,728721,ELCTRD LOOP TUR 28,1889.0,1889.0,132.23,1889.0,71
CDM,728725,ELECTRODE ESURG 24-28FR,4426.0,4426.0,309.82,4426.0,71
CDM,728729,GWIRE ENDO .035IN 260CM,5623.0,5623.0,393.61,5623.0,71
CDM,728740,CANN ARTHSCP 8MM 76MM,952.0,952.0,66.64,952.0,71
CDM,728750,BLADE SHVR FULL 3.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,728751,BLADE SHVR YELLOW 4.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,728752,BLADE SHVR FULL 5.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,728753,BLADE CUTR 3.5MM ARTHSCP,1599.0,1599.0,111.93,1599.0,71
CDM,728763,BURR SURG DISP 4MM,1599.0,1599.0,111.93,1599.0,71
CDM,728764,BLADE SHVR BLK 5.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,728765,BLADE SHVR MAUVE 4MM,1599.0,1599.0,111.93,1599.0,71
CDM,728770,BLADE SHVR LME GRN 4.5MM,2062.0,2062.0,144.34,2062.0,71
CDM,728772,BLADE SHVR YLW 4.5MM,2549.0,2549.0,178.43,2549.0,71
CDM,728773,BLADE SHVR DSP 4.5X180MM,2549.0,2549.0,178.43,2549.0,71
CDM,728799,TUBING IRR SYS PK,1599.0,1599.0,111.93,1599.0,71
CDM,728816,BURR SURG RND 51MM 2MM,800.0,800.0,56.0,800.0,71
CDM,728817,BURR SURG RND 4MM 8MM,943.0,943.0,66.01,943.0,71
CDM,728824,DSCTNG HOOK ESURG 5MM HR,5534.0,5534.0,387.38,5534.0,71
CDM,728832,CATH DLYS 15FR 31CM,1599.0,1599.0,111.93,1599.0,71
CDM,728887,STAPLER INT CIR 4.8X31MM,30208.0,30208.0,2114.56,30208.0,71
CDM,728942,PENCIL ELECSURG SS 10FT,192.0,192.0,13.44,192.0,71
CDM,728949,CATH BLNDIL 3MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,728957,TROCAR LAPSCP 5-11MM,5623.0,5623.0,393.61,5623.0,71
CDM,728958,CANNULA ENDO 12X100MM,5304.0,5304.0,371.28,5304.0,71
CDM,728975,PIN FX 2.1X4MM,45868.0,45868.0,5045.48,45868.0,57
CDM,728976,RING RETR CLIP 77GM,3064.0,3064.0,214.48,3064.0,71
CDM,728997,TUBE ENDBR BLCKR 7F 65CM,5921.0,5921.0,414.47,5921.0,71
CDM,729018,COMPNT KN FEM 60X56MM,64501.0,64501.0,7095.11,64501.0,57
CDM,729062,BIT DRILL 54MM 1.4MM 12M,4940.0,4940.0,345.8,4940.0,71
CDM,729069,CONN M CCU 42411-01,10.0,10.0,0.7,10.0,71
CDM,729082,STENT CLN 22X90MM 270CM,50504.0,50504.0,5555.44,50504.0,57
CDM,729085,STENT URET 8FR 26CM,2014.0,2014.0,221.54,2014.0,57
CDM,729093,BIT DRILL QFIX 1.3X2MM,5623.0,5623.0,393.61,5623.0,71
CDM,729110,CATH TEMP SIM 2 4F 100CM,1263.0,1263.0,88.41,1263.0,71
CDM,729112,FORCP BX 7F 2.2 104 JAW,5830.0,5830.0,408.1,5830.0,71
CDM,729116,CATH BIOPTOME 5.5F 104,5830.0,5830.0,408.1,5830.0,71
CDM,729132,BIT DRILL 2.3MM 30MM,2399.0,2399.0,167.93,2399.0,71
CDM,729147,SUT SURG L4.375 RSB5,1172.0,1172.0,82.04,1172.0,71
CDM,729150,SUTURE NONDL 2-0 2X60IN,60.0,60.0,4.2,60.0,71
CDM,729152,SUTURE SH 3-0 8X18IN,380.0,380.0,26.6,380.0,71
CDM,729155,SUTURE SS 1 18IN,312.0,312.0,21.84,312.0,71
CDM,729156,SUTURE SS 0 18IN,324.0,324.0,22.68,324.0,71
CDM,729158,SUTURE SS 6 18IN,692.0,692.0,48.44,692.0,71
CDM,729159,SUTURE SS 2-0 24IN,530.0,530.0,37.1,530.0,71
CDM,729160,SUTURE CT-1 1 8X18IN,507.0,507.0,35.49,507.0,71
CDM,729161,SUTURE SS 2-0 24IN,1028.0,1028.0,71.96,1028.0,71
CDM,729163,SUTURE GRN BRD 5 30IN,839.0,839.0,58.73,839.0,71
CDM,729164,SUTURE GRN BRD 2-0 30IN,2092.0,2092.0,146.44,2092.0,71
CDM,729167,SUTURE V-37 2 4X30IN,754.0,754.0,52.78,754.0,71
CDM,729171,SUTURE GRN BRD 2-0 36IN,1662.0,1662.0,116.34,1662.0,71
CDM,729176,SUTURE POLY SZ 0 18IN,1599.0,1599.0,111.93,1599.0,71
CDM,729177,SUTURE POLY SZ 0 18IN,1508.0,1508.0,105.56,1508.0,71
CDM,729183,SUTURE GUT 3-0 54IN,163.0,163.0,11.41,163.0,71
CDM,729184,SUTURE GUT 2-0 54IN,169.0,169.0,11.83,169.0,71
CDM,729185,SUT CHRM 0 MFL ABS 54IN,167.0,167.0,11.69,167.0,71
CDM,729186,SUTURE GUT 0 54IN,139.0,139.0,9.73,139.0,71
CDM,729192,SUTURE BLK BRD 4-0 18IN,91.0,91.0,6.37,91.0,71
CDM,729193,SUTURE NONDL 3-0 12X18IN,78.0,78.0,5.46,78.0,71
CDM,729197,SUTURE CT-1 SZ0 8X18IN,459.0,459.0,32.13,459.0,71
CDM,729201,SUTURE CT-1 0 8X18IN,514.0,514.0,35.98,514.0,71
CDM,729202,SUTURE RB-1 5-0 1X27IN,152.0,152.0,10.64,152.0,71
CDM,729203,SUTURE RB-1 4-0 1X27IN,152.0,152.0,10.64,152.0,71
CDM,729204,SUTURE GUT 3-0 27IN,151.0,151.0,10.57,151.0,71
CDM,729209,SUTURE UNDYE 3-0 1X27IN,89.0,89.0,6.23,89.0,71
CDM,729210,SUTURE UND BRD 3-0 27IN,82.0,82.0,5.74,82.0,71
CDM,729215,SUTURE GUT 2-0 27IN,179.0,179.0,12.53,179.0,71
CDM,729216,SUTURE GUT 0 27IN,179.0,179.0,12.53,179.0,71
CDM,729232,SUTURE BLK BRD 3-0 30IN,131.0,131.0,9.17,131.0,71
CDM,729233,SUTURE VIO MONO 7-0 24IN,856.0,856.0,59.92,856.0,71
CDM,729234,SUTURE NONDL 2-0 12X30IN,116.0,116.0,8.12,116.0,71
CDM,729240,SUTURE VIO MONO 4-0 27IN,128.0,128.0,8.96,128.0,71
CDM,729243,SUTURE SH 2-0 1X27IN,116.0,116.0,8.12,116.0,71
CDM,729245,SUTURE CT-2 2-0 1X27IN,123.0,123.0,8.61,123.0,71
CDM,729247,SUTURE CT-2 0 1X27IN,121.0,121.0,8.47,121.0,71
CDM,729248,SUTURE VIO BRD 1 27IN,81.0,81.0,5.67,81.0,71
CDM,729250,SUTURE CT-1 3-0 1X27IN,78.0,78.0,5.46,78.0,71
CDM,729251,SUTURE CT-1 2-0 1X27IN,114.0,114.0,7.98,114.0,71
CDM,729259,SUTURE VIO MONO 0 36IN,123.0,123.0,8.61,123.0,71
CDM,729265,SUTURE VIO BRD 2-0 27IN,98.0,98.0,6.86,98.0,71
CDM,729270,SUTURE GRN BRD 0 30IN,81.0,81.0,5.67,81.0,71
CDM,729277,SUTURE CT-1 1 1X30IN,1693.0,1693.0,118.51,1693.0,71
CDM,729280,SUTURE ABS 27IN 19MM,195.0,195.0,13.65,195.0,71
CDM,729282,SUTURE VIO MONO 6-0 27IN,147.0,147.0,10.29,147.0,71
CDM,729283,SUTURE RB-1 4-0 1X27IN,115.0,115.0,8.05,115.0,71
CDM,729291,SUTURE UND BRD 2-0 27IN,110.0,110.0,7.7,110.0,71
CDM,729292,SUTURE BLK MONO 2 20IN,96.0,96.0,6.72,96.0,71
CDM,729297,SUTURE CLR MONO 6-0 18IN,273.0,273.0,19.11,273.0,71
CDM,729298,SUTURE LR 2 1X30IN,151.0,151.0,10.57,151.0,71
CDM,729299,SUTURE VCL ABS 6-0 18IN,210.0,210.0,14.7,210.0,71
CDM,729300,SUTURE UND MONO 5-0 18IN,251.0,251.0,17.57,251.0,71
CDM,729304,SUTURE PDS 4-0 18IN,232.0,232.0,16.24,232.0,71
CDM,729307,SUTURE UND BRD 5-0 18IN,195.0,195.0,13.65,195.0,71
CDM,729308,SUTURE CLR MONO 4-0 18IN,250.0,250.0,17.5,250.0,71
CDM,729314,SUTURE BLK MONO 5 30IN,178.0,178.0,12.46,178.0,71
CDM,729327,SUTURE GRN BRD 2-0 36IN,202.0,202.0,14.14,202.0,71
CDM,729333,SUTURE VIO BRD 6-0 18IN,694.0,694.0,48.58,694.0,71
CDM,729336,SUTURE BLK BRD 0 30IN,167.0,167.0,11.69,167.0,71
CDM,729337,SUTURE GRN BRD 4-0 30IN,201.0,201.0,14.07,201.0,71
CDM,729348,SUTURE KS 2-0 1X30IN,69.0,69.0,4.83,69.0,71
CDM,729354,SUTURE WHT BRD 4-0 18IN,94.0,94.0,6.58,94.0,71
CDM,729362,SUTURE BLK BRD 6-0 18IN,176.0,176.0,12.32,176.0,71
CDM,729363,SUTURE P-3 5-0 1X18IN,169.0,169.0,11.83,169.0,71
CDM,729364,SUTURE P-3 4-0 1X18IN,170.0,170.0,11.9,170.0,71
CDM,729367,SUTURE WHT BRD 3-0 18IN,96.0,96.0,6.72,96.0,71
CDM,729368,SUTURE TP-1 SZ2 4X27IN,754.0,754.0,52.78,754.0,71
CDM,729370,SUTURE SS 5 18IN,676.0,676.0,47.32,676.0,71
CDM,729371,SUTURE KS 4-0 1X27IN,102.0,102.0,7.14,102.0,71
CDM,729378,SUTURE FS 2-0 1X18IN,74.0,74.0,5.18,74.0,71
CDM,729381,SUTURE BLK MONO 5-0 18IN,156.0,156.0,10.92,156.0,71
CDM,729387,SUTURE P-3 4-0 1X18IN,163.0,163.0,11.41,163.0,71
CDM,729391,SUTURE SH 2-0 8X18IN,383.0,383.0,26.81,383.0,71
CDM,729392,SUTURE SILK BRD 0 18IN,392.0,392.0,27.44,392.0,71
CDM,729396,SUTURE VIOL SZ0 18IN,901.0,901.0,63.07,901.0,71
CDM,729399,SUTURE G-1 6-0 1X18IN,758.0,758.0,53.06,758.0,71
CDM,729403,SUTURE BLK BRD 6-0 18IN,475.0,475.0,33.25,475.0,71
CDM,729411,SUTURE BLU MONO 0 18IN,755.0,755.0,52.85,755.0,71
CDM,729418,SUTURE SH 2-0 1X30IN,59.0,59.0,4.13,59.0,71
CDM,729420,SUTURE SH 0 1X30IN,60.0,60.0,4.2,60.0,71
CDM,729422,SUTURE CT-1 3-0 1X27IN,146.0,146.0,10.22,146.0,71
CDM,729423,SUTURE BLK BRD 0 30IN,60.0,60.0,4.2,60.0,71
CDM,729424,SUTURE UND BRD 4-0 27IN,217.0,217.0,15.19,217.0,71
CDM,729428,SUTURE SH 3-0 8X18IN,552.0,552.0,38.64,552.0,71
CDM,729431,SUTURE BLK BRD 5-0 30IN,78.0,78.0,5.46,78.0,71
CDM,729433,SUTURE GRN BRD 3-0 30IN,101.0,101.0,7.07,101.0,71
CDM,729435,SUTURE GRN BRD 2-0 30IN,101.0,101.0,7.07,101.0,71
CDM,729436,SUTURE UR6 2-0 1X27IN,167.0,167.0,11.69,167.0,71
CDM,729437,SUTURE GUT 2-0 27IN,143.0,143.0,10.01,143.0,71
CDM,729438,SUTURE CT-2 0 1X27IN,143.0,143.0,10.01,143.0,71
CDM,729455,SUTURE PS-1 4-0 1X27IN,1867.0,1867.0,130.69,1867.0,71
CDM,729463,SUTURE UND BRD 1 36IN,85.0,85.0,5.95,85.0,71
CDM,729465,SUTURE UND MONO 4-0 18IN,141.0,141.0,9.87,141.0,71
CDM,729474,SUTURE UND MONO 2-0 36IN,103.0,103.0,7.21,103.0,71
CDM,729482,SUTURE PS-2 5-0 1X18IN,159.0,159.0,11.13,159.0,71
CDM,729485,SUTURE BLK MONO 5-0 18IN,160.0,160.0,11.2,160.0,71
CDM,729489,SUTURE BLK BRD 3-0 18IN,168.0,168.0,11.76,168.0,71
CDM,729490,SUTURE BLK MONO 7-0 18IN,183.0,183.0,12.81,183.0,71
CDM,729491,SUTURE PS-3 6-0 1X18IN,144.0,144.0,10.08,144.0,71
CDM,729493,SUTURE PLN ABS 6-0 18IN,999.0,999.0,69.93,999.0,71
CDM,729494,SUTURE BLK MONO 5-0 18IN,493.0,493.0,34.51,493.0,71
CDM,729496,SUTURE BLK MONO 8-0 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,729498,SUTURE GUT 4-0 18IN,149.0,149.0,10.43,149.0,71
CDM,729499,SUTURE SC-1 4-0 1X18IN,292.0,292.0,20.44,292.0,71
CDM,729501,SUTURE UND MONO 5-0 18IN,247.0,247.0,17.29,247.0,71
CDM,729502,SUTURE UND MONO 4-0 18IN,260.0,260.0,18.2,260.0,71
CDM,729507,SUTURE PC-1 5-0 1X18IN,318.0,318.0,22.26,318.0,71
CDM,729508,SUTURE NYLON 4-0 18IN,174.0,174.0,12.18,174.0,71
CDM,729509,SUTURE BLK MONO 5-0 18IN,178.0,178.0,12.46,178.0,71
CDM,729510,SUTURE BLK MONO 6-0 18IN,178.0,178.0,12.46,178.0,71
CDM,729514,SUTURE BLK MONO 8-0 5IN,629.0,629.0,44.03,629.0,71
CDM,729515,SUTURE BLK MONO 9-0 5IN,629.0,629.0,44.03,629.0,71
CDM,729525,SUTURE BLU MONO 2-0 30IN,128.0,128.0,8.96,128.0,71
CDM,729529,SUTURE BLU MONO 0 30IN,128.0,128.0,8.96,128.0,71
CDM,729530,SUTURE BLU MONO 0 30IN,165.0,165.0,11.55,165.0,71
CDM,729531,SUTURE BLU MONO 2-0 30IN,129.0,129.0,9.03,129.0,71
CDM,729534,SUTURE BLU MONO 0 30IN,116.0,116.0,8.12,116.0,71
CDM,729536,SUTURE SH 3-0 1X36IN,266.0,266.0,18.62,266.0,71
CDM,729537,SUTURE SH 2-0 1X36IN,267.0,267.0,18.69,267.0,71
CDM,729539,SUTURE RB-1 5-0 1X36IN,273.0,273.0,19.11,273.0,71
CDM,729540,SUTURE BLK MONO 4-0 36IN,2552.0,2552.0,178.64,2552.0,71
CDM,729541,SUTURE RB-1 4-0 1X36IN,272.0,272.0,19.04,272.0,71
CDM,729542,SUTURE BLU MONO 3-0 36IN,270.0,270.0,18.9,270.0,71
CDM,729543,SUTURE BLU MONO 5-0 36IN,304.0,304.0,21.28,304.0,71
CDM,729545,SUTUREBLU MONO 2-0 30IN,132.0,132.0,9.24,132.0,71
CDM,729548,SUTURE BLU MONO 4-0 18IN,270.0,270.0,18.9,270.0,71
CDM,729549,SUTURE BLU MONO 5-0 18IN,260.0,260.0,18.2,260.0,71
CDM,729552,SUTURE BLU MONO 6-0 18IN,249.0,249.0,17.43,249.0,71
CDM,729553,SUTURE BLU MONO 5-0 18IN,214.0,214.0,14.98,214.0,71
CDM,729556,SUTURE PS-2 5-0 1X18IN,227.0,227.0,15.89,227.0,71
CDM,729560,SUTURE BLU MONO 7-0 18IN,259.0,259.0,18.13,259.0,71
CDM,729563,SUTURE P-3 4-0 1X18IN,236.0,236.0,16.52,236.0,71
CDM,729564,SUTURE BLU MONO 7-0 18IN,624.0,624.0,43.68,624.0,71
CDM,729565,SUTURE BLK MONO 7-0 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,729566,SUTURE BLU MONO 7-0 24IN,622.0,622.0,43.54,622.0,71
CDM,729567,SUTURE BLK MONO 7-0 30IN,1599.0,1599.0,111.93,1599.0,71
CDM,729570,SUTURE BLK MONO 6-0 30IN,1599.0,1599.0,111.93,1599.0,71
CDM,729571,SUTURE C-1 6-0 1X30IN,489.0,489.0,34.23,489.0,71
CDM,729572,SUTURE BV-1 6-0 1X30IN,4281.0,4281.0,299.67,4281.0,71
CDM,729573,SUTURE BLK MONO 5-0 30IN,346.0,346.0,24.22,346.0,71
CDM,729574,SUTURE BLK MONO 6-0 30IN,1081.0,1081.0,75.67,1081.0,71
CDM,729575,SUTURE BLU MONO 6-0 30IN,279.0,279.0,19.53,279.0,71
CDM,729576,SUTURE BLK MONO 5-0 36IN,1599.0,1599.0,111.93,1599.0,71
CDM,729580,SUTURE BLU MONO 5-0 24IN,479.0,479.0,33.53,479.0,71
CDM,729581,SUTURE BLU MONO 6-0 30IN,621.0,621.0,43.47,621.0,71
CDM,729582,SUTURE BLK MONO 6-0 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,729583,SUTURE BV-1 6-0 1X24IN,616.0,616.0,43.12,616.0,71
CDM,729594,SUTURE BLK BRD 4-0 18IN,524.0,524.0,36.68,524.0,71
CDM,729596,SUTURE NYLON 0 18IN,500.0,500.0,35.0,500.0,71
CDM,729597,SUTURE NYLON 4-0 18IN,567.0,567.0,39.69,567.0,71
CDM,729598,SUTURE TF 4-0 8X18IN,1860.0,1860.0,130.2,1860.0,71
CDM,729611,SUTURE GRN BRD 2-0 30IN,1754.0,1754.0,122.78,1754.0,71
CDM,729612,SUTURE WHT BRD 4-0 18IN,181.0,181.0,12.67,181.0,71
CDM,729614,SUTURE UND BRD 2-0 36IN,141.0,141.0,9.87,141.0,71
CDM,729615,SUTURE UND MONO 5-0 27IN,102.0,102.0,7.14,102.0,71
CDM,729621,SUTURE RB-2 5-0 1X30IN,289.0,289.0,20.23,289.0,71
CDM,729631,SUTURE BLK MONO 3-0 30IN,165.0,165.0,11.55,165.0,71
CDM,729634,SUTURE UND BRD 2-0 27IN,197.0,197.0,13.79,197.0,71
CDM,729639,SUTURE UND BRD 4-0 18IN,276.0,276.0,19.32,276.0,71
CDM,729642,FORCEPS BBCK ENDO BOWEL,1623.0,1623.0,113.61,1623.0,71
CDM,729644,NEEDLE INSFL 14GA 120MM,576.0,576.0,40.32,576.0,71
CDM,729645,NEEDLE INSFL 14GA 150MM,576.0,576.0,40.32,576.0,71
CDM,729682,BLADE BX BVR CERV SURG S,567.0,567.0,39.69,567.0,71
CDM,729685,BLADE MYRNGTM NAR,567.0,567.0,39.69,567.0,71
CDM,729700,BAG DRN AERSL 750ML 22MM,51.0,51.0,3.57,51.0,71
CDM,729718,CATH NPHSTM 36FR,1599.0,1599.0,111.93,1599.0,71
CDM,729720,TRAY CATH W/O CATH 10CC,121.0,121.0,8.47,121.0,71
CDM,729746,CATH TRC CHST 24F,423.0,423.0,29.61,423.0,71
CDM,729852,SYS IRR/SX 1.75IN,1599.0,1599.0,111.93,1599.0,71
CDM,729868,INSERT SFJW FGRTY SPRG,629.0,629.0,44.03,629.0,71
CDM,729881,RASP SURG 11X5MM,3477.0,3477.0,243.39,3477.0,71
CDM,729882,RASP SURG 14X7MM,3477.0,3477.0,243.39,3477.0,71
CDM,729888,NEEDLE TIP 3CM,4648.0,4648.0,325.36,4648.0,71
CDM,729889,WIRE FX BLNT LGTURE 16CM,64.0,64.0,4.48,64.0,71
CDM,729890,PLATE BN ORB FLR LG .3MM,18244.0,18244.0,2006.84,18244.0,57
CDM,729891,PLATE ORBT MED 32X30X.3,17115.0,17115.0,1882.65,17115.0,57
CDM,729892,PLATE ORBTL FLR 1.2 SM,16041.0,16041.0,1764.51,16041.0,57
CDM,729893,PLATE ORBT LG 32X30X.4,18244.0,18244.0,2006.84,18244.0,57
CDM,729894,PLATE BN .4MM MED,17128.0,17128.0,1884.08,17128.0,57
CDM,729897,BIT DRILL DISP 1.4X27MM,2699.0,2699.0,188.93,2699.0,71
CDM,729900,SUCT/IRR SURG DISP,1599.0,1599.0,111.93,1599.0,71
CDM,729917,RETRCTR WND LG 9-14CM,3224.0,3224.0,225.68,3224.0,71
CDM,729925,PLATE BN 3.5MM 81MM,13946.0,13946.0,1534.06,13946.0,57
CDM,729938,SUTURE VIO MONO 2-0 27IN,108.0,108.0,7.56,108.0,71
CDM,729941,SUTURE VIO MONO 2-0 27IN,91.0,91.0,6.37,91.0,71
CDM,729977,SCREW BN CORT 4.5MM 24MM,750.0,750.0,82.5,750.0,57
CDM,730081,PLATE BN 130D 5HL 94MM,10245.0,10245.0,1126.95,10245.0,57
CDM,730089,SYSTEM BNCMNT MIXER,3437.0,3437.0,240.59,3437.0,71
CDM,730091,BUR RND FLUT 3.0 LNG,2936.0,2936.0,205.52,2936.0,71
CDM,730092,RND FLTD BUR LNG 4.0,2936.0,2936.0,205.52,2936.0,71
CDM,730093,BURR SURG LNG 5MM,2936.0,2936.0,205.52,2936.0,71
CDM,730109,BLADE SAW 18.5X9MM,666.0,666.0,46.62,666.0,71
CDM,730113,BLADE SAG MICRO TPS 25MM,1349.0,1349.0,94.43,1349.0,71
CDM,730114,BLADE SAW 18.5X7MM,1571.0,1571.0,109.97,1571.0,71
CDM,730115,BLADE SAW 5.5MM,1571.0,1571.0,109.97,1571.0,71
CDM,730116,BLADE SAW SGTL25X5.5X.38,1571.0,1571.0,109.97,1571.0,71
CDM,730119,BLADE SAW SGTL 35.2MM,1388.0,1388.0,97.16,1388.0,71
CDM,730120,BLADE SAW SAGITTAL NARW,1388.0,1388.0,97.16,1388.0,71
CDM,730122,BLADE SAW SAGITTAL THCK,1388.0,1388.0,97.16,1388.0,71
CDM,730128,SGTL BLD-WIDE MED LNG,1388.0,1388.0,97.16,1388.0,71
CDM,730129,BLADE SAW 73X25X.89MM,1388.0,1388.0,97.16,1388.0,71
CDM,730130,BLADE SAW 84.5X21MM,1388.0,1388.0,97.16,1388.0,71
CDM,730131,BLADE SURG 60X30MM,1388.0,1388.0,97.16,1388.0,71
CDM,730133,BURR SURG 54MM 2MM,1736.0,1736.0,121.52,1736.0,71
CDM,730136,BURR RD DMD 5.0,2031.0,2031.0,142.17,2031.0,71
CDM,730139,BUR RND FST CUT 2.4,1599.0,1599.0,111.93,1599.0,71
CDM,730142,BIT DRILL LNDMN 2.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,730143,BIT DRILL 2MM 67MM,1599.0,1599.0,111.93,1599.0,71
CDM,730147,SUTURE SH 2-0 8X30IN,429.0,429.0,30.03,429.0,71
CDM,730160,TOOL DSCT L80MM OD1.5MM,2437.0,2437.0,170.59,2437.0,71
CDM,730169,SUTURE SH 3-0 8X30IN,424.0,424.0,29.68,424.0,71
CDM,730204,BLADE SURG OSTME 54MM,14085.0,14085.0,985.95,14085.0,71
CDM,730205,BLADE SURG OSTME 54MM,14085.0,14085.0,985.95,14085.0,71
CDM,730211,PLATE BN 2HL 46MM,9634.0,9634.0,1059.74,9634.0,57
CDM,730227,SYSTEM BNCMNT MXR STRL D,2546.0,2546.0,178.22,2546.0,71
CDM,730244,NEEDLE PERC 7CM 18G,224.0,224.0,15.68,224.0,71
CDM,730251,BLADE DRMTN 1.25-4.25,1599.0,1599.0,111.93,1599.0,71
CDM,730253,CABLE ORTHO 1.7X750MM,8662.0,8662.0,952.82,8662.0,57
CDM,730287,DUPLO CATH 35 MIS,1912.0,1912.0,133.84,1912.0,71
CDM,730329,SUTURE VIO MONO 0 36IN,156.0,156.0,10.92,156.0,71
CDM,730330,TOOL DSCT 100X4MM,3524.0,3524.0,246.68,3524.0,71
CDM,730334,KWIRE FX 1 .062IN 9IN,403.0,403.0,28.21,403.0,71
CDM,730363,SCREW BN 5MM 22MM,2921.0,2921.0,321.31,2921.0,57
CDM,730397,PLATE BN 138MM,9562.0,9562.0,1051.82,9562.0,57
CDM,730406,BIT DRILL L300 OD3.2,2970.0,2970.0,207.9,2970.0,71
CDM,730428,CLAMP SURG PP 10MM,417.0,417.0,29.19,417.0,71
CDM,730445,DILATOR BLN 8X180CM,4971.0,4971.0,347.97,4971.0,71
CDM,730459,BAG TISS CLSR 10CM,11433.0,11433.0,800.31,11433.0,71
CDM,730467,DEVICE END ISFL TUBING,2249.0,2249.0,157.43,2249.0,71
CDM,730474,KIT PCKMR WRENCH,1599.0,1599.0,111.93,1599.0,71
CDM,730490,KNIFE ACL GFT 9MM,5623.0,5623.0,393.61,5623.0,71
CDM,730491,KNIFE ACL GFT 11MM,5623.0,5623.0,393.61,5623.0,71
CDM,730499,DISK DRILL ULT DR 11MM,13256.0,13256.0,927.92,13256.0,71
CDM,730533,INSERT CLAMP 60MM,1599.0,1599.0,111.93,1599.0,71
CDM,730546,WIRE GHIATA 20GAX5CM,396.0,396.0,27.72,396.0,71
CDM,730547,WIRE GHIATA 20GAX7CM,453.34,453.34,31.73,453.34,71
CDM,730571,TROCAR LAPSCP 8MM 100MM,1151.0,1151.0,80.57,1151.0,71
CDM,730586,RETRACTOR SG 32.5X18.3CM,2191.0,2191.0,153.37,2191.0,71
CDM,730604,DRESSING FOM 8X6IN,412.0,412.0,28.84,412.0,71
CDM,730612,RETRCTR WND MED 5-9CM,2324.0,2324.0,162.68,2324.0,71
CDM,730619,TUBING IRR W BLB,1599.0,1599.0,111.93,1599.0,71
CDM,730629,MANIPULATOR UTRN BLN TIP,1533.0,1533.0,107.31,1533.0,71
CDM,730631,TIP MNPLT 5.1MM 6CM,1599.0,1599.0,111.93,1599.0,71
CDM,730633,TIP MNPLT 6.7MM 6.0CM,1599.0,1599.0,111.93,1599.0,71
CDM,730642,NEEDLE BX 18GA 15CM,895.0,895.0,62.65,895.0,71
CDM,730643,NEEDLE BX 18G 20CM,895.0,895.0,62.65,895.0,71
CDM,730644,CATH IU 5FX35CM,5623.0,5623.0,393.61,5623.0,71
CDM,730666,BAG TISS CLSR 7.5CM,11248.0,11248.0,787.36,11248.0,71
CDM,730669,ELECTRODE ESURG 24-26FR,3202.0,3202.0,224.14,3202.0,71
CDM,730672,BURR SURG RND 4.0MM,672.0,672.0,47.04,672.0,71
CDM,730675,BURR SURG OVL 4.0X8.0MM,832.0,832.0,58.24,832.0,71
CDM,730678,BURR SURG RND 3.0MM,672.0,672.0,47.04,672.0,71
CDM,730679,BURR SURG RND 5.0MM,832.0,832.0,58.24,832.0,71
CDM,730685,BURR SURG 73MM 3MM,691.0,691.0,48.37,691.0,71
CDM,730686,BURR SURG 73MM 4MM,768.0,768.0,53.76,768.0,71
CDM,730688,BURR SURG 44.5X9.5X4.0MM,927.0,927.0,64.89,927.0,71
CDM,730695,DRILL TWIST 1.5X50,3937.0,3937.0,275.59,3937.0,71
CDM,730696,DRILL TWIST KLS 1.1X50,3937.0,3937.0,275.59,3937.0,71
CDM,730702,BIT DRILL 1.0 01-7139,3411.0,3411.0,238.77,3411.0,71
CDM,730704,KIT FLD TRNSF ASEP 48X60,1687.0,1687.0,118.09,1687.0,71
CDM,730757,NEEDLE BX 22GA 15CM,831.0,831.0,58.17,831.0,71
CDM,730759,BLADE SHVR +3.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,730763,BLADE SHVR 4MM 125MM,1599.0,1599.0,111.93,1599.0,71
CDM,730770,CUTTER ASCPC ANG 4.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,730786,SUTURE UND BRD +2-0 27IN,48.0,48.0,3.36,48.0,71
CDM,730787,SUTURE SH 2-0 1X27IN,86.0,86.0,6.02,86.0,71
CDM,730790,SUTURE UND BRD +4-0 27IN,217.0,217.0,15.19,217.0,71
CDM,730794,SUTURE VIO BRD +2-0 27IN,107.0,107.0,7.49,107.0,71
CDM,730795,SUTURE VCL+ 2-0 CT2 18IN,589.0,589.0,41.23,589.0,71
CDM,730797,SUTURE ABS SZ2-0 18IN,592.0,592.0,41.44,592.0,71
CDM,730799,SUTURE SH 3-0 8X18IN,610.0,610.0,42.7,610.0,71
CDM,730800,SUTURE PS-1 3-0 1X36IN,236.0,236.0,16.52,236.0,71
CDM,730805,SUTURE ANTIBACT +0 27IN,624.0,624.0,43.68,624.0,71
CDM,730829,NEEDLE BX ESCP 5.2FR 25G,5623.0,5623.0,393.61,5623.0,71
CDM,730830,TRAY TIB 6 MBT RVSN,64501.0,64501.0,7095.11,64501.0,57
CDM,730834,SLEEVE TIB 61X34X40MM,37358.0,37358.0,4109.38,37358.0,57
CDM,730846,INSERT CLAMP MEDIUM,1599.0,1599.0,111.93,1599.0,71
CDM,730858,INSERT TIB KN SZ2.5 10MM,36491.0,36491.0,4014.01,36491.0,57
CDM,730871,INTRO SHTH 26FR 13CM,2061.0,2061.0,144.27,2061.0,71
CDM,730874,CATH PRTNL 42CM,5400.0,5400.0,378.0,5400.0,71
CDM,730882,BLADE SAW 29.5X7MM,560.0,560.0,39.2,560.0,71
CDM,730892,BIT DRILL 3.2MM 30MM,5623.0,5623.0,393.61,5623.0,71
CDM,730893,BIT DRILL 3.2MM 45MM,5623.0,5623.0,393.61,5623.0,71
CDM,730905,SCREW BN 5X42.5MM,3268.0,3268.0,359.48,3268.0,57
CDM,730906,SCREW BN LCK F-T6.5X95MM,4123.0,4123.0,453.53,4123.0,57
CDM,730914,HOOK RETR LNSTR 5MM,2174.0,2174.0,152.18,2174.0,71
CDM,730947,SET IRR OTOLOGIC STRL,1599.0,1599.0,111.93,1599.0,71
CDM,730951,KWIRE FX 1 .035IN 9IN,403.0,403.0,28.21,403.0,71
CDM,730962,BLADE SAW 25.7X9.5MM,429.0,429.0,30.03,429.0,71
CDM,730969,TUBE SET COOLNT HISPD DR,2174.0,2174.0,152.18,2174.0,71
CDM,730988,BUR SURG L75 OD1,4558.0,4558.0,319.06,4558.0,71
CDM,730989,BURR RND FLUT CRV 76X1MM,7956.0,7956.0,556.92,7956.0,71
CDM,730993,BIT DRIL .9X46 4 STP,4772.0,4772.0,334.04,4772.0,71
CDM,731002,TOOL DSCT MTCH HD120X2.5,3636.0,3636.0,254.52,3636.0,71
CDM,731020,SUTURE UND BRD +5-0 27IN,89.0,89.0,6.23,89.0,71
CDM,731026,SUTURE ANBCTRL +3-0 27IN,122.0,122.0,8.54,122.0,71
CDM,731028,SUTURE ANBCTRL +4-0 18IN,704.0,704.0,49.28,704.0,71
CDM,731033,SPACER FEM HIP SM 10MM,1131.0,1131.0,124.41,1131.0,57
CDM,731050,SUTURE UND BRD -0 27IN,92.0,92.0,6.44,92.0,71
CDM,731062,SPACER FEM HIP LG 14MM,2818.0,2818.0,309.98,2818.0,57
CDM,731079,SUTURE UND BRD +3-0 18IN,447.0,447.0,31.29,447.0,71
CDM,731081,SUTURE UND BRD 2-0 18IN,456.0,456.0,31.92,456.0,71
CDM,731082,SUTURE ANBCTRL +3-0 27IN,97.0,97.0,6.79,97.0,71
CDM,731083,SUTURE ANBCTRL +3-0 27IN,99.0,99.0,6.93,99.0,71
CDM,731084,SUTURE UND BRD 0 54IN,113.0,113.0,7.91,113.0,71
CDM,731085,SUTURE UND BRD +5-0 18IN,266.0,266.0,18.62,266.0,71
CDM,731086,SUTURE UND BRD -4-0 18IN,266.0,266.0,18.62,266.0,71
CDM,731099,BUR LNG DIA 2.0X75,4738.0,4738.0,331.66,4738.0,71
CDM,731100,BUR LNG DIA 3.0X75,4738.0,4738.0,331.66,4738.0,71
CDM,731101,BUR LNG CUT 2.0X75,2609.0,2609.0,182.63,2609.0,71
CDM,731102,DRAIN WND SIL 10FR 1/8IN,819.0,819.0,57.33,819.0,71
CDM,731111,ADAPTER ESURG HRMN SYNRG,1599.0,1599.0,111.93,1599.0,71
CDM,731145,GRASPER LAPSCP 5MM,1912.0,1912.0,133.84,1912.0,71
CDM,731166,BURR BN 3MM 10CM,3374.0,3374.0,236.18,3374.0,71
CDM,731183,BURR SHVR 5.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,731194,PLATE BN 4.5MM 247MM,22074.0,22074.0,2428.14,22074.0,57
CDM,731207,GWIRE VASC .035IN 180CM,6848.0,6848.0,479.36,6848.0,71
CDM,731237,SUTURE CT-2 2-0 1X27IN,91.0,91.0,6.37,91.0,71
CDM,731238,SUTURE ANBCTRL +0 27IN,89.0,89.0,6.23,89.0,71
CDM,731239,SUTURE UND BRD,89.0,89.0,6.23,89.0,71
CDM,731240,SUTURE ANBCTRL +3-0 36IN,93.0,93.0,6.51,93.0,71
CDM,731245,BIT DRILL CENTRAL 3.2MM,3561.0,3561.0,249.27,3561.0,71
CDM,731246,BIT DRILL PERIPH 2.7MM,3561.0,3561.0,249.27,3561.0,71
CDM,731268,TAP SURG 3MM SLDFRL HEX,5623.0,5623.0,393.61,5623.0,71
CDM,731310,KWIRE FX 2MM 315MM,2699.0,2699.0,188.93,2699.0,71
CDM,731330,PLATE BN 8HL 3.5MM,9930.0,9930.0,1092.3,9930.0,57
CDM,731332,PLATE BN CRV 6HL 88MM,7925.0,7925.0,871.75,7925.0,57
CDM,731356,PLATE DISTAL HUMERUS 3.5,17338.0,17338.0,1907.18,17338.0,57
CDM,731361,SPIROMETER VOL 4LTR BALL,76.0,76.0,5.32,76.0,71
CDM,731375,BURR SURG RND 1MM,4325.0,4325.0,302.75,4325.0,71
CDM,731380,BLADE SHVR 2MM 11CM,5623.0,5623.0,393.61,5623.0,71
CDM,731386,BLADE SHVR ORTH 2.9MM,5623.0,5623.0,393.61,5623.0,71
CDM,731388,BLADE SHVR SNUS TRCT11CM,5623.0,5623.0,393.61,5623.0,71
CDM,731389,BLADE SHVR 4MM 11CM,5623.0,5623.0,393.61,5623.0,71
CDM,731410,BIT DRILL 1.4MM 150MM,5488.0,5488.0,384.16,5488.0,71
CDM,731422,PLATE CORT 338MM 4.5MM,21768.0,21768.0,2394.48,21768.0,57
CDM,731423,PLATE BN 95D 8HL 146MM,13723.0,13723.0,1509.53,13723.0,57
CDM,731426,SCREW EMERG TI 2.0X4,1326.0,1326.0,145.86,1326.0,57
CDM,731430,PLATE BN SHRT 4HL 78MM,10245.0,10245.0,1126.95,10245.0,57
CDM,731431,PLATE BN 4HL 150D 78MM,7817.0,7817.0,859.87,7817.0,57
CDM,731433,PLATE BN 95D 10HL 178MM,13723.0,13723.0,1509.53,13723.0,57
CDM,731435,PLATE BN 95D 14HL 242MM,15481.0,15481.0,1702.91,15481.0,57
CDM,731436,PLATE BN 95D 16HL 274MM,16532.0,16532.0,1818.52,16532.0,57
CDM,731438,PLATE BN 95D 6HL 114MM,13723.0,13723.0,1509.53,13723.0,57
CDM,731441,PLATE BN 5HL 94MM,7817.0,7817.0,859.87,7817.0,57
CDM,731442,PLATE BN 6HL 110MM,7817.0,7817.0,859.87,7817.0,57
CDM,731446,PLATE BN 145D 4HL 78MM,10245.0,10245.0,1126.95,10245.0,57
CDM,731448,PLATE BN 6HL 110MM,7817.0,7817.0,859.87,7817.0,57
CDM,731451,PLATE BN 4H 78MM,7817.0,7817.0,859.87,7817.0,57
CDM,731452,PLATE BN 150D 5HL 94MM,7817.0,7817.0,859.87,7817.0,57
CDM,731453,PLATE BN 6HL 150D 110MM,7817.0,7817.0,859.87,7817.0,57
CDM,731461,PLATE BN 4HL 135D 78MM,10245.0,10245.0,1126.95,10245.0,57
CDM,731462,PLATE BN 5HL 135D 94MM,7817.0,7817.0,859.87,7817.0,57
CDM,731465,PLATE BN 1STP 135D 270MM,13875.0,13875.0,1526.25,13875.0,57
CDM,731466,PLATE BN 8HL 142MM,10416.0,10416.0,1145.76,10416.0,57
CDM,731469,SUTURE SZ4-0 10IN,1599.0,1599.0,111.93,1599.0,71
CDM,731504,SCREW BN 12.7MM 100MM,6492.0,6492.0,714.12,6492.0,57
CDM,731509,SCREW BN 12.7MM 115MM,4950.0,4950.0,544.5,4950.0,57
CDM,731510,SCREW BN 12.7MM 120MM,6492.0,6492.0,714.12,6492.0,57
CDM,731512,SCREW BN 12.7MM 130MM,4950.0,4950.0,544.5,4950.0,57
CDM,731513,SCREW BN 12.7MM 135MM,4950.0,4950.0,544.5,4950.0,57
CDM,731519,INSERT TIB KN SZ5 12.5MM,12926.0,12926.0,1421.86,12926.0,57
CDM,731547,STYLET LD .014IN 45CM,1599.0,1599.0,111.93,1599.0,71
CDM,731553,TROCAR LAPSCP 12MM 150MM,1378.0,1378.0,96.46,1378.0,71
CDM,731560,KWIRE FX 1 .045IN 9IN,403.0,403.0,28.21,403.0,71
CDM,731561,DEVICE ENCORE 26 5PK URO,1761.0,1761.0,123.27,1761.0,71
CDM,731565,STIMULATOR NRV LOCATOR,1948.0,1948.0,136.36,1948.0,71
CDM,731571,BUR SKTR ORNG 1.O,5623.0,5623.0,393.61,5623.0,71
CDM,731576,BURR DIA FLEX 2.3MM,5537.0,5537.0,387.59,5537.0,71
CDM,731583,WICK EAR POPE 15MM,142.0,142.0,9.94,142.0,71
CDM,731602,SCREW BN 2MM 12MM,2918.0,2918.0,320.98,2918.0,57
CDM,731603,BIT DRILL 1.6MM 58MM,5623.0,5623.0,393.61,5623.0,71
CDM,731608,NAIL BN FEM 9MM 300MM,20693.0,20693.0,2276.23,20693.0,57
CDM,731618,PIN EXFX 9INX3.2MM,3186.0,3186.0,223.02,3186.0,71
CDM,731647,SUTURE UND BRD +5-0 18IN,210.0,210.0,14.7,210.0,71
CDM,731659,BIT DRIL 1X50 6 STP,5623.0,5623.0,393.61,5623.0,71
CDM,731703,BUR STRAIGHT FINE DIAMON,4558.0,4558.0,319.06,4558.0,71
CDM,731704,BUR STR FN DMD 6 LO,4558.0,4558.0,319.06,4558.0,71
CDM,731712,GRASPER LAPSCP 38CM 5MM,4498.0,4498.0,314.86,4498.0,71
CDM,731716,SYSTEM BNCMNT VAC MX,5138.0,5138.0,359.66,5138.0,71
CDM,731725,SCREW BN 6.5MM 30MM,768.0,768.0,84.48,768.0,57
CDM,731727,INSERT TRTHN TIB G-419,24510.0,24510.0,2696.1,24510.0,57
CDM,731739,BIT DRIL 1X54 12 STP,4726.0,4726.0,330.82,4726.0,71
CDM,731752,SCREW BN EMER 3X1.4MM,1247.0,1247.0,137.17,1247.0,57
CDM,731753,SCREW BN 1.7MM 3MM,1523.0,1523.0,167.53,1523.0,57
CDM,731754,SCREW BN 1.7MM 4MM,1523.0,1523.0,167.53,1523.0,57
CDM,731755,SCREW MXLFCL SD 1.7X5,1523.0,1523.0,167.53,1523.0,57
CDM,731756,SCREW MXLFCL ST 1.9X3,1406.0,1406.0,154.66,1406.0,57
CDM,731757,SCREW BN 2MM 8MM,2918.0,2918.0,320.98,2918.0,57
CDM,731758,SCREW BN MXLFCL 2X14MM,1134.0,1134.0,124.74,1134.0,57
CDM,731767,TMPLT SZ SM ORBT FLR M,1599.0,1599.0,111.93,1599.0,71
CDM,731769,PLATE BN STRT.6MM 1.7MM,5034.0,5034.0,553.74,5034.0,57
CDM,731771,PLATE BN RT 5H 100D 2MM,3516.0,3516.0,386.76,3516.0,57
CDM,731772,PLATE 100D 5MM LT MDFC,3921.0,3921.0,431.31,3921.0,57
CDM,731782,BIT DRIL TWST 2.0MM 62MM,5544.0,5544.0,388.08,5544.0,71
CDM,731821,BIT DRILL DISP 4MM 280MM,1874.0,1874.0,131.18,1874.0,71
CDM,731834,SCREW BN 4.5MM 70MM,750.0,750.0,82.5,750.0,57
CDM,731848,BLADE SHVR 2.9MM 11CM,5623.0,5623.0,393.61,5623.0,71
CDM,731853,BURR STR DMD 4MM,4738.0,4738.0,331.66,4738.0,71
CDM,731856,BUR STR STL FLUT 4 LO,2537.0,2537.0,177.59,2537.0,71
CDM,731857,BUR STL FLUT LNG 5.0,2537.0,2537.0,177.59,2537.0,71
CDM,731858,BURR STRGHT STEEL FLUTE,2537.0,2537.0,177.59,2537.0,71
CDM,731864,PLATE BN W BAR 4H 2.4MM,2879.0,2879.0,316.69,2879.0,57
CDM,731873,FORCEP NDL 2.4MM 240CM,516.0,516.0,36.12,516.0,71
CDM,731880,CMPNT FEM CMNTLS LT SZ4,43086.0,43086.0,4739.46,43086.0,57
CDM,731891,BLADE SHVR 5.5MM 18CM,2549.0,2549.0,178.43,2549.0,71
CDM,731893,DEVICE PH CATH VNID05CM,2399.0,2399.0,167.93,2399.0,71
CDM,731894,CATHDX VFLEX 4.7X10,2399.0,2399.0,167.93,2399.0,71
CDM,731895,SCREW BN 4.5MM 34MM,750.0,750.0,82.5,750.0,57
CDM,731917,SUTURE UND MON +4-0 27IN,105.0,105.0,7.35,105.0,71
CDM,731923,SUTURE UND MONO +5-0 18N,273.0,273.0,19.11,273.0,71
CDM,731924,SUTURE PS-2 4-0 1X18IN,269.0,269.0,18.83,269.0,71
CDM,731956,TROCAR LAPSCP 12MM 100MM,1471.0,1471.0,102.97,1471.0,71
CDM,731957,TROCAR LAPSCP 100MM 5MM,1094.0,1094.0,76.58,1094.0,71
CDM,731959,TROCAR LAPSCP 11MM 100MM,1509.0,1509.0,105.63,1509.0,71
CDM,731973,SCREW BN 7.3MM 60MM,4186.0,4186.0,460.46,4186.0,57
CDM,732018,SCREW BN 4MM 52MM,3432.0,3432.0,377.52,3432.0,57
CDM,732019,SCREW BN 4MM 54MM,3432.0,3432.0,377.52,3432.0,57
CDM,732022,SCREW BN 4X5X1.35X60MM,3432.0,3432.0,377.52,3432.0,57
CDM,732038,PLATE TIBIAL DISTAL W/O,25992.0,25992.0,2859.12,25992.0,57
CDM,732039,NEEDLE REPOSE HYOID,576.0,576.0,40.32,576.0,71
CDM,732041,PLATE MED DISTAL TIBIAL,29611.0,29611.0,3257.21,29611.0,57
CDM,732054,ELCTRD ESURG J-HOOK 33CM,6854.0,6854.0,479.78,6854.0,71
CDM,732080,BASKET SPEC RTRVL195X3.2,7430.0,7430.0,520.1,7430.0,71
CDM,732094,BIT DRL MINI QC 2.3,3114.0,3114.0,217.98,3114.0,71
CDM,732125,CATHETER BIL ULTSND BLN,6324.0,6324.0,442.68,6324.0,71
CDM,732156,BIT DRILL 2.7MM CANN,1599.0,1599.0,111.93,1599.0,71
CDM,732169,TROCAR LAP 15MM 100MM,1599.0,1599.0,111.93,1599.0,71
CDM,732177,POUCH SPEC RET 15MM,8591.0,8591.0,601.37,8591.0,71
CDM,732189,BIT DRILL 3.2MM 8-PLT QC,5623.0,5623.0,393.61,5623.0,71
CDM,732212,CANNISTER INFOVAC 500ML,412.0,412.0,28.84,412.0,71
CDM,732255,SCREW BN 3.5MM 6MM 30MM,750.0,750.0,82.5,750.0,57
CDM,732258,GWIRE VASC .014IN 300CM,2924.0,2924.0,204.68,2924.0,71
CDM,732259,SCREW BN CORT 3.5MM 38MM,750.0,750.0,82.5,750.0,57
CDM,732263,SCREW BN 3.5MM 6MM 55MM,750.0,750.0,82.5,750.0,57
CDM,732264,SCREW BN 3.5MM 6MM 60MM,750.0,750.0,82.5,750.0,57
CDM,732300,SCREW BN 3.5MM 24MM,750.0,750.0,82.5,750.0,57
CDM,732301,SCREW BN 7.3MM 155MM,750.0,750.0,82.5,750.0,57
CDM,732303,SCREW BN 3.5MM 30MM,750.0,750.0,82.5,750.0,57
CDM,732304,SCREW BN 3.5MM 32MM,750.0,750.0,82.5,750.0,57
CDM,732305,SCREW SHAFT 204.234,750.0,750.0,82.5,750.0,57
CDM,732306,SCREW BN 3.5MM 36MM,750.0,750.0,82.5,750.0,57
CDM,732307,SCREW BN 3.5MM 38MM,750.0,750.0,82.5,750.0,57
CDM,732328,SCREW BN 3X40MM,3453.0,3453.0,379.83,3453.0,57
CDM,732334,SCREW BN 2.7MM 5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,732336,SCREW BN 2.7MM 5MM 20MM,750.0,750.0,82.5,750.0,57
CDM,732462,IMPLANT BREAST 525CC,13790.0,13790.0,1516.9,13790.0,57
CDM,732492,SCREW BN 2MM 8MM,1229.0,1229.0,135.19,1229.0,57
CDM,732493,SCREW BN 2MM 10MM,1302.0,1302.0,143.22,1302.0,57
CDM,732494,SCREW BN 2MM 12MM,1287.0,1287.0,141.57,1287.0,57
CDM,732552,HEAD FEM HIP 11/13 +12MM,16770.0,16770.0,1844.7,16770.0,57
CDM,732558,PUSHER URET MTL TIP 6FR,590.0,590.0,41.3,590.0,71
CDM,732567,PATCH REF EXTERNAL,9693.0,9693.0,678.51,9693.0,71
CDM,732624,NAIL BN LT 11MM 200MM,38020.0,38020.0,4182.2,38020.0,57
CDM,732625,SCREW BN 8MM 14.5MM,2754.0,2754.0,302.94,2754.0,57
CDM,732626,SCREW BN LCK 5X32.5MM,2875.0,2875.0,316.25,2875.0,57
CDM,732627,SCREW BN 5X37.5MM,3268.0,3268.0,359.48,3268.0,57
CDM,732628,GWIRE ORTH 3MM 800MM,4798.0,4798.0,335.86,4798.0,71
CDM,732719,DRILL CTRSINK 3.5MM,4204.0,4204.0,294.28,4204.0,71
CDM,732766,SCREW BN 4.75MM 25MM,1542.0,1542.0,169.62,1542.0,57
CDM,732787,STEM HUM SHLDR 83MM 11MM,120278.0,120278.0,13230.58,120278.0,57
CDM,732831,CATH ANGIO .038IN 1 5FR,1948.0,1948.0,136.36,1948.0,71
CDM,732834,INTRODUCER SHTH 5FR 10CM,726.0,726.0,50.82,726.0,71
CDM,732836,SHEATH 7FR 10CM PINNACLE,704.0,704.0,49.28,704.0,71
CDM,732878,SCREW BN 3MM,1661.0,1661.0,182.71,1661.0,57
CDM,732879,SCREW BN 4.0MM,1799.0,1799.0,197.89,1799.0,57
CDM,732909,BIT DRILL 2.3MM 20MM,2729.0,2729.0,191.03,2729.0,71
CDM,732926,HEAD FEM HIP SZ12/14+1MM,18255.0,18255.0,2008.05,18255.0,57
CDM,732928,SCREW BN 6.5X45MM,4439.0,4439.0,488.29,4439.0,57
CDM,732931,SCREW BN CANN 6.5X50MM,1131.0,1131.0,124.41,1131.0,57
CDM,732937,SCREW BN CORT 2.7MM 30MM,750.0,750.0,82.5,750.0,57
CDM,732938,SCREW BN 2.7MM 5MM 34MM,750.0,750.0,82.5,750.0,57
CDM,732956,STEM TIB ANKLE 16MM,18060.0,18060.0,1986.6,18060.0,57
CDM,732976,STENT BIL PGTL 7FR 7CM,1053.0,1053.0,115.83,1053.0,57
CDM,733015,SYSTEM DLV 7FR 202.5CM,2961.0,2961.0,207.27,2961.0,71
CDM,733075,CATH ANGIO 5FR 110CM,1599.0,1599.0,111.93,1599.0,71
CDM,733079,ADAPTER VALVE HEMOSTASIS,404.0,404.0,28.28,404.0,71
CDM,733125,SEALANT PLR PROGL 4ML,14499.0,14499.0,1014.93,14499.0,71
CDM,733246,ANCHOR SUT 2.4X8.5MM,9556.0,9556.0,1051.16,9556.0,57
CDM,733247,KIT SUT MNI ASCP 7X2.4MM,5715.0,5715.0,400.05,5715.0,71
CDM,733298,INSERT ORTH 18MM XS UNV,67655.0,67655.0,7442.05,67655.0,57
CDM,733311,COMPNT SHLDR HUM SZ1 RT,47730.0,47730.0,5250.3,47730.0,57
CDM,733324,STENT URET 6FRX18CM,2853.0,2853.0,313.83,2853.0,57
CDM,733383,TOOL DRL DSCT 9CM 25.4MM,3748.0,3748.0,262.36,3748.0,71
CDM,733397,BLADE SAW RT .38X10MM,2672.0,2672.0,187.04,2672.0,71
CDM,733398,BLADE SAW LT .38X10MM,2711.0,2711.0,189.77,2711.0,71
CDM,733419,SUTURE BLK MONO 4-0 30IN,5937.0,5937.0,415.59,5937.0,71
CDM,733432,PUNCH AORTIC RTNG 4.0MM,1501.0,1501.0,105.07,1501.0,71
CDM,733433,SCREW BN HIP 6.5MM 60MM,1131.0,1131.0,124.41,1131.0,57
CDM,733440,TOOL DSCT 21CM 9MM,3636.0,3636.0,254.52,3636.0,71
CDM,733441,TOOL DSCT 26CM 9MM,3841.0,3841.0,268.87,3841.0,71
CDM,733443,TOOL DSCT 90MM 5MM,3636.0,3636.0,254.52,3636.0,71
CDM,733444,TOOL DSCT 90MM 9MM,3636.0,3636.0,254.52,3636.0,71
CDM,733446,PLATE BN 3HL RT 57X3.5MM,5180.0,5180.0,569.8,5180.0,57
CDM,733447,PLATE BN 1.5X10X77MM,6670.0,6670.0,733.7,6670.0,57
CDM,733448,PLATE BN 9HL 105MM,3112.0,3112.0,342.32,3112.0,57
CDM,733465,PLATE BN 23MM LT L RGD,3391.0,3391.0,373.01,3391.0,57
CDM,733467,PLATE BN 55X10.1X3.5MM,12347.0,12347.0,1358.17,12347.0,57
CDM,733468,PLATE BN 6HL 3.5MM,13366.0,13366.0,1470.26,13366.0,57
CDM,733470,VALVE FARREL 9.6ML,395.0,395.0,27.65,395.0,71
CDM,733483,GRASPER SUT 30D,8939.0,8939.0,625.73,8939.0,71
CDM,733527,ELECTRODE ESURG 24/25FR,1793.0,1793.0,125.51,1793.0,71
CDM,733531,BIT DRILL 2.2MM 100MM,2699.0,2699.0,188.93,2699.0,71
CDM,733538,BLADE SAW 31X9MM,560.0,560.0,39.2,560.0,71
CDM,733545,NEEDLE SUT 2.5 1.102IN,416.0,416.0,29.12,416.0,71
CDM,733550,BIT DRL STRL 50X1.1MM,5623.0,5623.0,393.61,5623.0,71
CDM,733563,RETAINER NS 16X23X7MM,5623.0,5623.0,393.61,5623.0,71
CDM,733564,RETAINER NS 17X24X8MM,5623.0,5623.0,393.61,5623.0,71
CDM,733565,SPLINT NSL 25X20X9MM 3,5623.0,5623.0,393.61,5623.0,71
CDM,733566,SPLINT NSL 26X19X9MM,5623.0,5623.0,393.61,5623.0,71
CDM,733567,RETAINER NS 20X27X10MM,5623.0,5623.0,393.61,5623.0,71
CDM,733569,SPLINT NSL 29X23X13MM 7,5623.0,5623.0,393.61,5623.0,71
CDM,733570,RETAINER NS 24X30X13MM,5623.0,5623.0,393.61,5623.0,71
CDM,733571,RETAINER NSL 25X31X14MM,5623.0,5623.0,393.61,5623.0,71
CDM,733574,RETAINER NS 27X33X16MM,5623.0,5623.0,393.61,5623.0,71
CDM,733576,RETAINER NOSTRIL SZ 13,5623.0,5623.0,393.61,5623.0,71
CDM,733579,SUTURE GRN BRD 0 60IN,1599.0,1599.0,111.93,1599.0,71
CDM,733583,BANDAG CLMN 10YDX4IN,429.0,429.0,30.03,429.0,71
CDM,733594,BIT SURG DRILL 3.0X120MM,5623.0,5623.0,393.61,5623.0,71
CDM,733595,NEEDLE MAYO GUT SZ 5,416.0,416.0,29.12,416.0,71
CDM,733617,CATH SURG OCLDR 6FR,2060.0,2060.0,144.2,2060.0,71
CDM,733621,BIT DRL 50MM 1.1MM,5623.0,5623.0,393.61,5623.0,71
CDM,733622,DRILL TWST STP 50X1.1MM,5623.0,5623.0,393.61,5623.0,71
CDM,733623,PLATE BN 25MM .5MM,8734.0,8734.0,960.74,8734.0,57
CDM,733632,CANN PRFSN ART PED 10FR,5623.0,5623.0,393.61,5623.0,71
CDM,733633,BUR SURG ROUND 2.0MM,3949.0,3949.0,276.43,3949.0,71
CDM,733634,BURR RND DMD 20MM,4212.0,4212.0,294.84,4212.0,71
CDM,733636,BURR RND DMD 30MM,4325.0,4325.0,302.75,4325.0,71
CDM,733637,BURR SURG DMND 4.0MM,4325.0,4325.0,302.75,4325.0,71
CDM,733651,PLATE BN L RT 2X3HL 2MM,4365.0,4365.0,480.15,4365.0,57
CDM,733677,NEEDLE TATTOO 7/28GA,1949.0,1949.0,136.43,1949.0,71
CDM,733689,PLATE MINI 15MM LF ZED,3638.0,3638.0,400.18,3638.0,57
CDM,733690,PLATE BN MINI 10-HL STR,4196.0,4196.0,461.56,4196.0,57
CDM,733702,CLIP XTRN SCALP TEMP,146.0,146.0,10.22,146.0,71
CDM,733725,CATHETER EP PRSS PLC,1599.0,1599.0,111.93,1599.0,71
CDM,733726,CATH PRFSN 5FR 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,733729,BLADE SAW 70X12.5MM,742.0,742.0,51.94,742.0,71
CDM,733755,NOZZLE BNCMNT HIVAC HUM,931.0,931.0,65.17,931.0,71
CDM,733756,NOZZLE BNCMNT THN FLX ST,957.0,957.0,66.99,957.0,71
CDM,733758,PRESSURIZER FEM CANAL MD,884.0,884.0,61.88,884.0,71
CDM,733763,BRUSH FMCNL 32CM 19MM,721.0,721.0,50.47,721.0,71
CDM,733776,CLIP LIGATING SM,750.0,750.0,82.5,750.0,57
CDM,733779,STAY ELASTIC RETR 12MM,2174.0,2174.0,152.18,2174.0,71
CDM,733786,ELECTRD ESURG TPR 5F58CM,2618.0,2618.0,183.26,2618.0,71
CDM,733790,PORT SEALS LL Y CONN,392.0,392.0,27.44,392.0,71
CDM,733792,ELCTRD BALL TIP FLEX 6FR,3205.0,3205.0,224.35,3205.0,71
CDM,733824,BLADE SHVR LME GRN 4.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,733825,BLADE SHVR ACRZR BRN 5.5,1599.0,1599.0,111.93,1599.0,71
CDM,733830,CANNULA SHOULDR 7MM,688.0,688.0,48.16,688.0,71
CDM,733869,TIP FEMORAL CANAL W/SUCT,392.0,392.0,27.44,392.0,71
CDM,733878,BLADE SAW 0.4MM 25.5MM,336.0,336.0,23.52,336.0,71
CDM,733879,BLADE SAW 0.4MM 38MM,336.0,336.0,23.52,336.0,71
CDM,733889,BLADE SAW 35X10MM,716.0,716.0,50.12,716.0,71
CDM,733892,BURR SURG RND 6.5MM 10MM,1357.0,1357.0,94.99,1357.0,71
CDM,733895,BURR SURG 1.5MM 19MM,1357.0,1357.0,94.99,1357.0,71
CDM,733907,NEEDLE PORT LAPBAND 20GA,333.0,333.0,23.31,333.0,71
CDM,733921,BLADE OPTH 15D 1.52MM,358.0,358.0,25.06,358.0,71
CDM,733970,PLEDGET CV 7X3.5X1.5MM,750.0,750.0,52.5,750.0,71
CDM,733973,SUTURE SS 2 18IN,300.0,300.0,21.0,300.0,71
CDM,733974,SUTURE SS 0 18IN,291.0,291.0,20.37,291.0,71
CDM,733975,SUTURE SS 2-0 18IN,284.0,284.0,19.88,284.0,71
CDM,733984,SUTURE BP-1 0 1X27IN,493.0,493.0,34.51,493.0,71
CDM,733989,SUTURE NO NDL 1 13X24IN,106.0,106.0,7.42,106.0,71
CDM,733994,SUTURE BLK BRD 1 30IN,101.0,101.0,7.07,101.0,71
CDM,733996,SUTURE BLK BRD 4-0 18IN,559.0,559.0,39.13,559.0,71
CDM,734000,SUTURE GUT 2-0 54IN,145.0,145.0,10.15,145.0,71
CDM,734020,SUTURE BLK BRD 5-0 18IN,78.0,78.0,5.46,78.0,71
CDM,734023,SUT EBND 1XLH 2 BRD 30IN,316.0,316.0,22.12,316.0,71
CDM,734028,SUTURE NO NDL 4-0 1X36IN,133.0,133.0,9.31,133.0,71
CDM,734029,SUTURE VIO MONO 6-0 30IN,817.0,817.0,57.19,817.0,71
CDM,734030,SUTURE VIO BRD 4-0 27IN,81.0,81.0,5.67,81.0,71
CDM,734044,SUTURE VIO MONO 2-0 36IN,128.0,128.0,8.96,128.0,71
CDM,734050,SUTURE VIO BRD 8-0 9IN,912.0,912.0,63.84,912.0,71
CDM,734053,SUTURE GRN BRD 2-0 30IN,81.0,81.0,5.67,81.0,71
CDM,734057,SUTURE GRN BRD 0 30IN,94.0,94.0,6.58,94.0,71
CDM,734058,SUTURE UND BRD 5-0 27IN,100.0,100.0,7.0,100.0,71
CDM,734061,SUTURE CLR MONO 2-0 27IN,162.0,162.0,11.34,162.0,71
CDM,734069,SUTURE LR 2 1X30IN,172.0,172.0,12.04,172.0,71
CDM,734075,SUTURE GRN BRD 0 30IN,117.0,117.0,8.19,117.0,71
CDM,734081,SUTURE TG140-8 7-0 18IN,693.0,693.0,48.51,693.0,71
CDM,734083,SUTURE VIO BRD 6-0 18IN,687.0,687.0,48.09,687.0,71
CDM,734087,SUTURE BLK BRD 4-0 24IN,162.0,162.0,11.34,162.0,71
CDM,734088,SUTURE VIOL BRD 7-0 18IN,713.0,713.0,49.91,713.0,71
CDM,734089,SUTURE VIO BRD 6-0 8IN,681.0,681.0,47.67,681.0,71
CDM,734095,SUTURE VIO BRD 4-0 18IN,231.0,231.0,16.17,231.0,71
CDM,734103,SUTURE BLK BRD 3-0 18IN,78.0,78.0,5.46,78.0,71
CDM,734104,SUTURE BLU MONO 5-0 24IN,325.0,325.0,22.75,325.0,71
CDM,734109,SUTURE SS 4 18IN,607.0,607.0,42.49,607.0,71
CDM,734114,SUTURE SS 1 18IN,564.0,564.0,39.48,564.0,71
CDM,734122,SUTURE SS 2-0 18IN,435.0,435.0,30.45,435.0,71
CDM,734123,SUTURE UND MONO 3-0 18IN,275.0,275.0,19.25,275.0,71
CDM,734127,SUTURE BLK MONO 6-0 18IN,183.0,183.0,12.81,183.0,71
CDM,734129,SUTURE BLK MONO 4-0 18IN,175.0,175.0,12.25,175.0,71
CDM,734138,SUTURE BLK BRD 4-0 18IN,384.0,384.0,26.88,384.0,71
CDM,734143,SUTURE GUT 4-0 18IN,740.0,740.0,51.8,740.0,71
CDM,734148,SUTURE BLK MON 10-0 12IN,798.0,798.0,55.86,798.0,71
CDM,734151,SUTURE GRN BRD 0 30IN,101.0,101.0,7.07,101.0,71
CDM,734155,SUTURE BLK BRD 2-0 30IN,66.0,66.0,4.62,66.0,71
CDM,734158,SUTURE BLK BRD 2 30IN,91.0,91.0,6.37,91.0,71
CDM,734159,SUTURE BLK BRD 3-0 30IN,69.0,69.0,4.83,69.0,71
CDM,734162,SUTURE UND BRD 2-0 27IN,85.0,85.0,5.95,85.0,71
CDM,734190,SUT NYLN 8-0 M-PT 2 12IN,537.0,537.0,37.59,537.0,71
CDM,734194,SUTURE BLK BRD 6-018IN,530.0,530.0,37.1,530.0,71
CDM,734196,SUTURE GUT 5-0 12IN,789.0,789.0,55.23,789.0,71
CDM,734198,SUTURE GUT 7-0 18IN,1210.0,1210.0,84.7,1210.0,71
CDM,734199,SUTURE BLK MONO 6-0 18IN,180.0,180.0,12.6,180.0,71
CDM,734203,SUTURE BLK MONO 9-0 5IN,817.0,817.0,57.19,817.0,71
CDM,734204,SUTURE BLK MONO 10-0 5IN,878.0,878.0,61.46,878.0,71
CDM,734207,SUTURE BLK MONO 9-0 12IN,670.0,670.0,46.9,670.0,71
CDM,734208,SUTURE BLK MONO 3-0 36IN,399.0,399.0,27.93,399.0,71
CDM,734210,SUTURE BLU MONO 4-0 24IN,326.0,326.0,22.82,326.0,71
CDM,734212,SUTURE BLU MONO 3-0 30IN,132.0,132.0,9.24,132.0,71
CDM,734213,SUTURE PRLN 2-0 8433H,126.0,126.0,8.82,126.0,71
CDM,734215,SUTURE BLU MONO 2 20IN,482.0,482.0,33.74,482.0,71
CDM,734216,SUTURE BV-1 5-0 1X24IN,1022.0,1022.0,71.54,1022.0,71
CDM,734218,SUTURE RB-1 2-0 1X36IN,279.0,279.0,19.53,279.0,71
CDM,734220,SUTURE BLU MONO 6-0 18IN,270.0,270.0,18.9,270.0,71
CDM,734225,SUTURE BLU MONO 3-0 48IN,270.0,270.0,18.9,270.0,71
CDM,734230,SUTURE BLU MONO 0 30IN,146.0,146.0,10.22,146.0,71
CDM,734232,SUTURE BLU MONO 5-0 30IN,268.0,268.0,18.76,268.0,71
CDM,734234,SUTURE BLU MONO 6-0 18IN,609.0,609.0,42.63,609.0,71
CDM,734238,SUTURE BLU MONO 2-0 36IN,291.0,291.0,20.37,291.0,71
CDM,734239,SUTURE PRO 4-0 30IN,796.0,796.0,55.72,796.0,71
CDM,734242,SUTURE SH 3-0 8X18IN,506.0,506.0,35.42,506.0,71
CDM,734246,SUTURE BLK BRD 3-0 18IN,495.0,495.0,34.65,495.0,71
CDM,734250,SUTURE UND BRD 3-0 27IN,132.0,132.0,9.24,132.0,71
CDM,734252,SUTURE UND MONO 3-0 27IN,103.0,103.0,7.21,103.0,71
CDM,734253,SUTURE VIO MONO 1 18IN,880.0,880.0,61.6,880.0,71
CDM,734254,SUTURE GRN BRD 3-0 30IN,1599.0,1599.0,111.93,1599.0,71
CDM,734255,SUTURE BLK MONO 10-0 5IN,941.0,941.0,65.87,941.0,71
CDM,734257,SUTURE BLK BRD 0 18IN,165.0,165.0,11.55,165.0,71
CDM,734260,SUTURE BLU MONO 7-0 30IN,1305.0,1305.0,91.35,1305.0,71
CDM,734277,BLADE OPTH DISP 15D 5MM,591.0,591.0,41.37,591.0,71
CDM,734279,BLADE TYMP 2.5MM,1175.0,1175.0,82.25,1175.0,71
CDM,734311,DEVICE ENDO SZ2-0 48IN,3075.0,3075.0,215.25,3075.0,71
CDM,734313,PUNCH AOR LNG HNDL 4.4MM,1044.0,1044.0,73.08,1044.0,71
CDM,734316,ELECTROD ESURG 11IN STRL,1181.0,1181.0,82.67,1181.0,71
CDM,734319,BLADE SAW MED 18.5X9X.51,1548.0,1548.0,108.36,1548.0,71
CDM,734320,BLADE XLNG WD 34.5X13,1548.0,1548.0,108.36,1548.0,71
CDM,734321,BLADE SAW MED 25X9X.51MM,1571.0,1571.0,109.97,1571.0,71
CDM,734322,BLADE SAG SAW 18.5MM,1571.0,1571.0,109.97,1571.0,71
CDM,734327,BLADE SAW RECIP W 22.5,2214.0,2214.0,154.98,2214.0,71
CDM,734328,BLADE SAW 27MM 0.38MM,2166.0,2166.0,151.62,2166.0,71
CDM,734347,CANNULA SUCT/IRR,6127.0,6127.0,428.89,6127.0,71
CDM,734364,SUTURE BLK MONO 3-0 30IN,163.0,163.0,11.41,163.0,71
CDM,734367,SUTURE UND MONO 6-0 18IN,260.0,260.0,18.2,260.0,71
CDM,734368,SUTURE VIO MONO 2-0 27IN,94.0,94.0,6.58,94.0,71
CDM,734369,SUTURE SS 2 18IN,540.0,540.0,37.8,540.0,71
CDM,734370,SUTURE BLK BRD 3-0 18IN,383.0,383.0,26.81,383.0,71
CDM,734371,SUTURE BLK BRD 4-0 18IN,392.0,392.0,27.44,392.0,71
CDM,734379,PLT ANG 4X4 HL 56MM,2217.0,2217.0,243.87,2217.0,57
CDM,734382,PLATE TT TUB 441.35,1813.0,1813.0,199.43,1813.0,57
CDM,734387,PLATE TI-T 4 HOLES,4205.0,4205.0,462.55,4205.0,57
CDM,734392,PLATE NAR 142MM TI 4.5MM,2714.0,2714.0,298.54,2714.0,57
CDM,734402,PLATE BRD 160X17.5X5.2MM,4492.0,4492.0,494.12,4492.0,57
CDM,734452,PLATE CNDRL 7HL 1.5X36MM,4301.0,4301.0,473.11,4301.0,57
CDM,734456,PLATE FRAG 44X13X1.2MM,1013.0,1013.0,111.43,1013.0,57
CDM,734467,PLATE 109MM SS 4.5MM SCR,9456.0,9456.0,1040.16,9456.0,57
CDM,734478,MCR SAG BLAD ZIM 505331,666.0,666.0,46.62,666.0,71
CDM,734481,BLADE SAW SGTL 41X14X.38,666.0,666.0,46.62,666.0,71
CDM,734482,BLADE SAW .38X9.5X25.5MM,764.0,764.0,53.48,764.0,71
CDM,734483,BLADE HALL MICRO SAG,666.0,666.0,46.62,666.0,71
CDM,734484,BLADE HALL 5301-30-63,666.0,666.0,46.62,666.0,71
CDM,734489,BURR RND LNG 5.0,1395.0,1395.0,97.65,1395.0,71
CDM,734493,RASP SURG 3.2MM 18.3MM,4254.0,4254.0,297.78,4254.0,71
CDM,734494,BLADE LNG NAR 29.5X7.0,1571.0,1571.0,109.97,1571.0,71
CDM,734495,BLADE SAW SGTL 31X9X.38,1571.0,1571.0,109.97,1571.0,71
CDM,734496,BLDE SAW SGTL .38X9X31MM,1548.0,1548.0,108.36,1548.0,71
CDM,734497,BLDE SAW SGTL .38X11.5MM,1548.0,1548.0,108.36,1548.0,71
CDM,734498,BLADE SAW 18X2.5MM,1571.0,1571.0,109.97,1571.0,71
CDM,734500,BLADE SAG NAR/X.THN/SHRT,1388.0,1388.0,97.16,1388.0,71
CDM,734503,BLADE SAW 18.5X83.5MM,1388.0,1388.0,97.16,1388.0,71
CDM,734504,BLADE SAGGITAL 25.4X6X70,1388.0,1388.0,97.16,1388.0,71
CDM,734505,BLADE SGTL W THK 2108-,1388.0,1388.0,97.16,1388.0,71
CDM,734506,BLADE SAW SAGTL 19X70X0.,1388.0,1388.0,97.16,1388.0,71
CDM,734507,BLADE SAW 60.5X18.5X64MM,1388.0,1388.0,97.16,1388.0,71
CDM,734508,BLADE SAW17.2X.64X48.4MM,1388.0,1388.0,97.16,1388.0,71
CDM,734511,BURR RD DMD 3.5MM,2031.0,2031.0,142.17,2031.0,71
CDM,734512,BURR FST CUT 3.2,1599.0,1599.0,111.93,1599.0,71
CDM,734513,BUR RND FST CUT 4.8,1599.0,1599.0,111.93,1599.0,71
CDM,734514,BURR SURG 9.5MM 4MM,1599.0,1599.0,111.93,1599.0,71
CDM,734515,BURRS CRBDE TPR SD 1.2MM,618.0,618.0,43.26,618.0,71
CDM,734518,WIRE DRL PSR 1.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,734519,BURR SURG WRPS 65X1.1MM,1599.0,1599.0,111.93,1599.0,71
CDM,734522,BUR 3MM 14CM,3636.0,3636.0,254.52,3636.0,71
CDM,734523,BUR DISP TPR 14CM 3MM,3748.0,3748.0,262.36,3748.0,71
CDM,734524,TOOL DSCT 6MM 90MM,3636.0,3636.0,254.52,3636.0,71
CDM,734526,TOOL DSCT FLUT 90MM 6MM,3636.0,3636.0,254.52,3636.0,71
CDM,734527,TOOL DSCT FLUT 90MM7.5MM,3636.0,3636.0,254.52,3636.0,71
CDM,734547,NEEDLE SUT 6.5 .0975IN,416.0,416.0,29.12,416.0,71
CDM,734555,PLATE BN RT 3/8H 3.5X197,9690.0,9690.0,1065.9,9690.0,57
CDM,734569,PIN FX STEIN 250X5MM,3370.0,3370.0,235.9,3370.0,71
CDM,734578,PLATE BN 9H 3.5MM 126MM,8964.0,8964.0,986.04,8964.0,57
CDM,734581,TOOL DSCT 14CM 6.0MM,3748.0,3748.0,262.36,3748.0,71
CDM,734582,TOOL DSCT 14CM 5MM,3636.0,3636.0,254.52,3636.0,71
CDM,734583,BUR 3MM 9CM,3636.0,3636.0,254.52,3636.0,71
CDM,734585,TOOL DSCT 3CM 90MM,2437.0,2437.0,170.59,2437.0,71
CDM,734593,SET IRR HIGH FLW,1599.0,1599.0,111.93,1599.0,71
CDM,734596,TOOL DSCT 6.4MM 1.6MM,3748.0,3748.0,262.36,3748.0,71
CDM,734609,BIT DRILL 1.5MM 10CM,1599.0,1599.0,111.93,1599.0,71
CDM,734615,BIT DRL 12.7CM 3.2MM,3100.0,3100.0,217.0,3100.0,71
CDM,734646,CANNULA ERCP XL 195CM,2105.0,2105.0,147.35,2105.0,71
CDM,734653,TRAY GSTRC LAV 34FR 36IN,661.0,661.0,46.27,661.0,71
CDM,734660,TOOL PCMKR WRNCH-SCREW,1599.0,1599.0,111.93,1599.0,71
CDM,734663,BLADE SAGTL FULL 11/90MM,1634.0,1634.0,114.38,1634.0,71
CDM,734664,BLADE SAW 90X18X1.27MM,1634.0,1634.0,114.38,1634.0,71
CDM,734665,BLADE SAW 25MM DUAL CUT,1634.0,1634.0,114.38,1634.0,71
CDM,734666,BLADE SAW 25X1.13X1.27MM,1634.0,1634.0,114.38,1634.0,71
CDM,734673,KNIFE ACL GFT 10MM,7775.0,7775.0,544.25,7775.0,71
CDM,734688,INSERT CLAMP 90MM,1599.0,1599.0,111.93,1599.0,71
CDM,734698,RETRIEVR RNG NRYL RSN SM,2191.0,2191.0,153.37,2191.0,71
CDM,734700,STAY ELASTIC RETR 5MM,442.0,442.0,30.94,442.0,71
CDM,734703,GRASPER LAPSCP SPNLK 31C,7561.0,7561.0,529.27,7561.0,71
CDM,734705,SHEARS MNPLR ROTC 5MM,8019.0,8019.0,561.33,8019.0,71
CDM,734719,BLADE SRG OSC 4MM 11CM,5623.0,5623.0,393.61,5623.0,71
CDM,734728,TIP MNPLT 6.7MM 8CM,1599.0,1599.0,111.93,1599.0,71
CDM,734729,TIP MNPLT 6.7MM 10CM,1599.0,1599.0,111.93,1599.0,71
CDM,734732,SUTURE CV-2 THX-26 36IN,1599.0,1599.0,111.93,1599.0,71
CDM,734745,NEEDLE NASHOLD BX DISP,12014.0,12014.0,840.98,12014.0,71
CDM,734750,DRILL TWIST L105X1.5,5484.0,5484.0,383.88,5484.0,71
CDM,734752,BIT DRILL SURG 1.1X50MM,2587.0,2587.0,181.09,2587.0,71
CDM,734764,FIBER LASER 300UM,11433.0,11433.0,800.31,11433.0,71
CDM,734770,DEVICE PSTN PLW PRN ANES,306.0,306.0,21.42,306.0,71
CDM,734786,NEEDLE SUT REG .5 CIRC,400.0,400.0,28.0,400.0,71
CDM,734791,INSTR BX 20GA 20CM,1599.0,1599.0,111.93,1599.0,71
CDM,734795,TROCAR LAP 11.5X50MM,2962.0,2962.0,207.34,2962.0,71
CDM,734796,TROCAR LAPSC 5.5MM,2856.0,2856.0,199.92,2856.0,71
CDM,734814,SUTURE UR-6 1 1X36IN,105.0,105.0,7.35,105.0,71
CDM,734821,BIT DRILL 3MM,3949.0,3949.0,276.43,3949.0,71
CDM,734830,SUTURE CV-4 TT-17 36IN,4851.0,4851.0,339.57,4851.0,71
CDM,734849,SUTURE CV-6 TTC-9 24IN,5355.0,5355.0,374.85,5355.0,71
CDM,734873,PLATE BN CRNMXF 10H 44MM,3663.0,3663.0,402.93,3663.0,57
CDM,734882,BURR LGND 14CM 7.5MM,3636.0,3636.0,254.52,3636.0,71
CDM,734883,TOOL DSCT 140MM 3.1MM,3748.0,3748.0,262.36,3748.0,71
CDM,734884,TOOL DSCT ACRN 90MM 9MM,3636.0,3636.0,254.52,3636.0,71
CDM,734894,SUTURE ANBCTRL +4-0 27IN,7.0,7.0,0.49,7.0,71
CDM,734897,PLATE BN 14HL 4.5X260MM,12623.0,12623.0,1388.53,12623.0,57
CDM,734901,TOOL DSCT 7.6CM 3MM,3748.0,3748.0,262.36,3748.0,71
CDM,734907,PLATE BNE LCP L107MM LT,7091.0,7091.0,780.01,7091.0,57
CDM,734924,SET INTBT .064CM 17.7CM,5623.0,5623.0,393.61,5623.0,71
CDM,734926,PACK EAR 15CM 20CM,436.0,436.0,30.52,436.0,71
CDM,734942,BIT DRILL 4.8MM,5483.0,5483.0,383.81,5483.0,71
CDM,734977,PROBE DPLR 275MM,9304.0,9304.0,651.28,9304.0,71
CDM,734992,BLADE ORTHO RT & LT STRL,6630.0,6630.0,464.1,6630.0,71
CDM,735070,SCREW BN 6.5MM 150MM,3959.0,3959.0,435.49,3959.0,57
CDM,735086,SYSTEM SYR VAC 10ML,1599.0,1599.0,111.93,1599.0,71
CDM,735168,SUTURE GRN BRD 3-0 30IN,101.0,101.0,7.07,101.0,71
CDM,735239,SUTURE UND BRD 0 27IN,85.0,85.0,5.95,85.0,71
CDM,735272,BIT DRILL TWST 1.5X50MM,2811.0,2811.0,196.77,2811.0,71
CDM,735355,TUBING PRSS MNTR 72IN,525.0,525.0,36.75,525.0,71
CDM,735529,NEEDLE TRNSPTL 18GA 71CM,5623.0,5623.0,393.61,5623.0,71
CDM,735554,SUTURE VIO BRD 2-0 27IN,79.0,79.0,5.53,79.0,71
CDM,735573,SUTURE PS-4 5-0 1X18IN,195.0,195.0,13.65,195.0,71
CDM,735575,SUTURE VIO MONO 4-0 18IN,259.0,259.0,18.13,259.0,71
CDM,735594,SUTURE VIO BRD 5-0 18IN,683.0,683.0,47.81,683.0,71
CDM,735596,SUTURE VIO BRD 2-0 18IN,560.0,560.0,39.2,560.0,71
CDM,735603,SUTURE C-1 4-0 1X18IN,298.0,298.0,20.86,298.0,71
CDM,735616,SUTURE GRN BRD 2-0 30IN,100.0,100.0,7.0,100.0,71
CDM,735660,SUTURE UND MONO 2-0 27IN,91.0,91.0,6.37,91.0,71
CDM,735714,SUTURE VIO BRD 8-0 12IN,911.0,911.0,63.77,911.0,71
CDM,735723,SUTURE CLR MONO 2-0 27IN,114.0,114.0,7.98,114.0,71
CDM,735749,SUTURE UND MONO 4-0 27IN,91.0,91.0,6.37,91.0,71
CDM,735752,SUTURE VIO BRD 6-0 12IN,702.0,702.0,49.14,702.0,71
CDM,735893,NEEDLE BX 20G 15CM,831.0,831.0,58.17,831.0,71
CDM,735992,SUTURE PS-1 3-0 1X18IN,212.0,212.0,14.84,212.0,71
CDM,735999,SUTURE BLK MONO 4-0 18IN,163.0,163.0,11.41,163.0,71
CDM,736080,CATH DUCT .012IN 30CM,2437.0,2437.0,170.59,2437.0,71
CDM,736159,RETRACTOR ENDO 12MM 46CM,11433.0,11433.0,800.31,11433.0,71
CDM,736175,KNIFE OPTN 2.3MM,860.0,860.0,60.2,860.0,71
CDM,736197,SUTURE VIO BRD 8-0 12IN,699.0,699.0,48.93,699.0,71
CDM,736225,SUTURE VIO BRD 2-0 18IN,544.0,544.0,38.08,544.0,71
CDM,736227,SUTURE UND BRD 3-0 36IN,141.0,141.0,9.87,141.0,71
CDM,736230,SUTURE UND MONO 4-0 27IN,96.0,96.0,6.72,96.0,71
CDM,736282,BLADE SRG OSC 4.5MM 13CM,5623.0,5623.0,393.61,5623.0,71
CDM,736299,REAMR ACL 6MM ACRN 1406,3387.0,3387.0,237.09,3387.0,71
CDM,736360,NEEDLE OTH 23GA 1.5IN,408.0,408.0,28.56,408.0,71
CDM,736373,SUTURE UND BRD 0 27IN,80.0,80.0,5.6,80.0,71
CDM,736374,SUTURE VIO BRD 2-0 27IN,109.0,109.0,7.63,109.0,71
CDM,736385,SUTURE WHT BRD 4-0 18IN,616.0,616.0,43.12,616.0,71
CDM,736414,POUCH ONLY OSF WHITE,288.0,288.0,20.16,288.0,71
CDM,736460,TROCAR LAPSCP SHRT 2/3MM,5304.0,5304.0,371.28,5304.0,71
CDM,736481,CUTTER ASCPC LNG HIP 4MM,2287.0,2287.0,160.09,2287.0,71
CDM,736494,BURR TAPERED 1.7 X 25,3723.0,3723.0,260.61,3723.0,71
CDM,736537,BLADE SAW 25X147X90,1599.0,1599.0,111.93,1599.0,71
CDM,736551,TOOL DSCT 21CM 3MM,3636.0,3636.0,254.52,3636.0,71
CDM,736575,SCISSOR CUR GRSHBR 23G,5463.0,5463.0,382.41,5463.0,71
CDM,736603,SUTURE CV-7 TTC-9 24IN,5403.0,5403.0,378.21,5403.0,71
CDM,736727,PLATE REG STRG 4HL MED,2987.0,2987.0,328.57,2987.0,57
CDM,736808,ADAPTER Y VNT CLR,537.0,537.0,37.59,537.0,71
CDM,736988,CATHETER ULTSND 8FR 90CM,25337.0,25337.0,1773.59,25337.0,71
CDM,737065,SUTURE VIO BRD 4-0 18IN,231.0,231.0,16.17,231.0,71
CDM,737082,SUTURE BLK MONO 9-0 6IN,810.0,810.0,56.7,810.0,71
CDM,737087,SUTURE BLK MONO 8-0 5IN,646.0,646.0,45.22,646.0,71
CDM,737103,SUTURE UND MONO 5-0 18IN,260.0,260.0,18.2,260.0,71
CDM,737170,SUTURE VIO MONO 2-0 36IN,105.0,105.0,7.35,105.0,71
CDM,737173,SUTURE UND MONO 6-0 27IN,117.0,117.0,8.19,117.0,71
CDM,737383,NEEDLE INSFL 14GA,1599.0,1599.0,111.93,1599.0,71
CDM,737438,SPONE ABS PWD GEL 1GM,2143.0,2143.0,150.01,2143.0,71
CDM,737482,SCREW BN 6.5X105X20MM,4765.0,4765.0,524.15,4765.0,57
CDM,737496,SUTURE UND BRD 0 18IN,269.0,269.0,18.83,269.0,71
CDM,737512,SUTURE ANBCTRL +0 36IN,94.0,94.0,6.58,94.0,71
CDM,737653,BURR TAPERED 1.7 X 16,3723.0,3723.0,260.61,3723.0,71
CDM,737690,BIT DRILL OD5 CANN,6230.0,6230.0,436.1,6230.0,71
CDM,737694,CANNULA VNS 15IN 30FR,1599.0,1599.0,111.93,1599.0,71
CDM,737766,CATH BLNDIL 2.75MM 8MM,4123.0,4123.0,288.61,4123.0,71
CDM,737795,PLATE BN RT 10HL 154MM,25300.0,25300.0,2783.0,25300.0,57
CDM,737798,SCREW BN 6.5X70X20MM,2985.0,2985.0,328.35,2985.0,57
CDM,737811,NAIL BN 10MM 36CM,68329.0,68329.0,7516.19,68329.0,57
CDM,737821,CATH BLNDIL 10MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,737822,CATH BLNDIL 12MM 4X100CM,10737.0,10737.0,751.59,10737.0,71
CDM,737825,CATH BLNDIL 12MM 4X90CM,11433.0,11433.0,800.31,11433.0,71
CDM,737826,CATH BLNDIL 15MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,737827,CATH BLNDIL 15MM 5X100CM,11064.0,11064.0,774.48,11064.0,71
CDM,737832,CATH BLN 50MM 110CM,16610.0,16610.0,1162.7,16610.0,71
CDM,737833,CATH BLN 50MM 110CM,15066.0,15066.0,1054.62,15066.0,71
CDM,737848,SCREW BN 5MM 70MM,5551.0,5551.0,610.61,5551.0,57
CDM,737892,SUTURE BLK MONO 8-0 24IN,3211.0,3211.0,224.77,3211.0,71
CDM,737901,SET ANGIO FLD LONG 65IN,1599.0,1599.0,111.93,1599.0,71
CDM,737903,PLATE BN LT 4HL 3.5X76MM,25313.0,25313.0,2784.43,25313.0,57
CDM,737989,INSERT ARTC GRN G 12MM,29670.0,29670.0,3263.7,29670.0,57
CDM,738016,GWIRE ORTHO .062IN 6IN,895.0,895.0,62.65,895.0,71
CDM,738043,SET GSTRM ANCH FASTENER,3569.0,3569.0,249.83,3569.0,71
CDM,738046,SCREW BN NLCK 3.5MM 32MM,1277.0,1277.0,140.47,1277.0,57
CDM,738098,NEEDLE HUBER 20GAX5/8IN,405.0,405.0,28.35,405.0,71
CDM,738177,INTRDCR CATH 55CM 4FR,1599.0,1599.0,111.93,1599.0,71
CDM,738178,INTRDCR SHTH ANSL 45 4FR,2680.0,2680.0,187.6,2680.0,71
CDM,738179,INTRO SHTH 5FR 45CM,2942.0,2942.0,205.94,2942.0,71
CDM,738186,PLATE BN CRNFCL 6HL 1X35,4071.0,4071.0,447.81,4071.0,57
CDM,738187,PLATE BN 4H 1MM 30MM,2331.0,2331.0,256.41,2331.0,57
CDM,738197,BLADE SAW 20X6.4X.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,738201,VALVE AORTIC 16MM,108266.0,108266.0,11909.26,108266.0,57
CDM,738205,PIN DISTRAC STR 60X7MM,7695.0,7695.0,538.65,7695.0,71
CDM,738217,NEEDLE ENDO 370MM,1799.0,1799.0,125.93,1799.0,71
CDM,738265,LPS UNIV TIB HIN INS MED,67655.0,67655.0,7442.05,67655.0,57
CDM,738287,HEAD FM CRM HIP 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,738309,SHEATH GD 5FR 45CM,3486.0,3486.0,244.02,3486.0,71
CDM,738435,TUBING INSUFLATION 10FT,566.0,566.0,39.62,566.0,71
CDM,738468,CATH BLN DL4X120MM 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,738477,PLATE BN NAR RT,40813.0,40813.0,4489.43,40813.0,57
CDM,738494,CATH BLNDIL 4X20MM 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,738532,BLADE SAW 11X1.23X77.5MM,1511.0,1511.0,105.77,1511.0,71
CDM,738543,PLATE BN LT 2.4X77MM,17411.0,17411.0,1915.21,17411.0,57
CDM,738560,BLN CATH RTRV 9-12MM,5243.0,5243.0,367.01,5243.0,71
CDM,738561,BLN CATH RTRV 12-15MM,5243.0,5243.0,367.01,5243.0,71
CDM,738562,BLN CATH RTRV 15-18MM,5243.0,5243.0,367.01,5243.0,71
CDM,738639,HEMOSTAT BN PUTTY 2GM,5623.0,5623.0,393.61,5623.0,71
CDM,738649,SUT STL NABS 1 KC-2 18IN,2473.0,2473.0,173.11,2473.0,71
CDM,738650,SUT STL NABS 2 KC-6 18IN,2614.0,2614.0,182.98,2614.0,71
CDM,738654,SUTURE UND MON +2-0 27IN,101.0,101.0,7.07,101.0,71
CDM,738656,BURR DMD RD 2X48MM,2158.0,2158.0,151.06,2158.0,71
CDM,738657,BURR CARBIDE RD 6.5X48,1940.0,1940.0,135.8,1940.0,71
CDM,738658,BURR SURG RND 48X3MM,1859.0,1859.0,130.13,1859.0,71
CDM,738659,BURR 55X4MM RND 16 FLUT,1599.0,1599.0,111.93,1599.0,71
CDM,738660,BURR TPR FLT END 44.5MM,436.0,436.0,30.52,436.0,71
CDM,738661,BURR SURG WHT 2.1MM,436.0,436.0,30.52,436.0,71
CDM,738664,ROD EX FIX 11MM 250MM,4723.0,4723.0,330.61,4723.0,71
CDM,738671,BIT DRILL 9MM,5623.0,5623.0,393.61,5623.0,71
CDM,738693,SUTURE UND MON +4-0 27IN,107.0,107.0,7.49,107.0,71
CDM,738697,SCREW BN 2.7MM 10MM,2109.0,2109.0,231.99,2109.0,57
CDM,738702,CONNECTOR PRFSN 3/8X1/4,149.0,149.0,10.43,149.0,71
CDM,738711,CONN Y 3/8X3/8X3/8,81.0,81.0,5.67,81.0,71
CDM,738712,CONNECTOR IV .5 X .5 X.5,187.0,187.0,13.09,187.0,71
CDM,738715,PLATE BN RT 7/5H 2.4X77,17411.0,17411.0,1915.21,17411.0,57
CDM,738716,PLATE BN 6HL 2.4MM 75MM,17411.0,17411.0,1915.21,17411.0,57
CDM,738732,IMPLANT CRANIAL PEEK,144325.0,144325.0,15875.75,144325.0,57
CDM,738741,CUP OCCLDR 2.5CM,3284.0,3284.0,229.88,3284.0,71
CDM,738742,CUP OCCLDR 3.0CM,3284.0,3284.0,229.88,3284.0,71
CDM,738743,CUP OCCLDR 3.5CM,3284.0,3284.0,229.88,3284.0,71
CDM,738744,CUP OCCLDR 4.0CM,3284.0,3284.0,229.88,3284.0,71
CDM,738745,CLAMP SURG 2 MAXI,1599.0,1599.0,111.93,1599.0,71
CDM,738759,ELCTRD MICRO 10X102MM,5098.0,5098.0,356.86,5098.0,71
CDM,738760,ELECTRODE NDL 45D 102MM,4723.0,4723.0,330.61,4723.0,71
CDM,738762,SCREW BN CANN 4.5X50MM,5138.0,5138.0,565.18,5138.0,57
CDM,738770,PLATE BN STD RT,40813.0,40813.0,4489.43,40813.0,57
CDM,738776,BUR CROSS CUT 702 FISSUR,692.0,692.0,48.44,692.0,71
CDM,738794,NEEDLE TRNSPTL 18GA 98CM,5623.0,5623.0,393.61,5623.0,71
CDM,738811,SYSTEM FX HRN TK30 5MM,13457.0,13457.0,941.99,13457.0,71
CDM,738818,DEVICE WNDCLS 30CM SZ2,1639.0,1639.0,114.73,1639.0,71
CDM,738819,HEAD FEM HIP +8.5X40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,738822,LINER ACTB MED 42MM ALPH,21785.0,21785.0,2396.35,21785.0,57
CDM,738823,PLATE BN NAR LT,38080.0,38080.0,4188.8,38080.0,57
CDM,738832,GRAFT ST TIS 12X8CM,56464.0,56464.0,6211.04,56464.0,57
CDM,738869,BIT DRILL RX TWST 50X1.6,5623.0,5623.0,393.61,5623.0,71
CDM,738879,ROD SPN 6MM 70MM,4556.0,4556.0,501.16,4556.0,57
CDM,738882,SUTURE VIO MONO 5-0 30IN,292.0,292.0,20.44,292.0,71
CDM,738898,DEVICE WNDCLS 23CM SZ2,1599.0,1599.0,111.93,1599.0,71
CDM,738908,BURR SURG RND 4.0MM,4011.0,4011.0,280.77,4011.0,71
CDM,738909,NOZZLE BNCMNT 12MM,5623.0,5623.0,393.61,5623.0,71
CDM,738911,PLATE BN MXLFCL 8HL 6MM,4838.0,4838.0,532.18,4838.0,57
CDM,738918,PLATE BN NRRW 12HL 3.5MM,11405.0,11405.0,1254.55,11405.0,57
CDM,738942,SUTURE VIO BRD +2-0 27IN,607.0,607.0,42.49,607.0,71
CDM,738973,BIT DRILL SURG 1MM,5623.0,5623.0,393.61,5623.0,71
CDM,738978,CATH ANGIO CRV 6FR 4MM,1599.0,1599.0,111.93,1599.0,71
CDM,738997,STAPLER INT CRV 21MM,5623.0,5623.0,393.61,5623.0,71
CDM,738998,STAPLER INT ENDO 25MM,5623.0,5623.0,393.61,5623.0,71
CDM,739010,INSERT KN 3-4 11MM,16770.0,16770.0,1844.7,16770.0,57
CDM,739018,DEVICE WNDCLS 15CM SZ3,1599.0,1599.0,111.93,1599.0,71
CDM,739021,SCREW BN 3.5X2.9X65MM,2445.0,2445.0,268.95,2445.0,57
CDM,739022,SCREW BN 3.5MM 70MM,2351.0,2351.0,258.61,2351.0,57
CDM,739023,SCREW BN 3.5X70MM,2445.0,2445.0,268.95,2445.0,57
CDM,739024,SCREW BN 3.5X75MM,2276.0,2276.0,250.36,2276.0,57
CDM,739026,SCREW BN 3.5X2.9MM 75MM,2445.0,2445.0,268.95,2445.0,57
CDM,739028,SCREW BN 3.5MM 80MM,2351.0,2351.0,258.61,2351.0,57
CDM,739029,SCREW BN 3.5X2.9MM 80MM,2445.0,2445.0,268.95,2445.0,57
CDM,739030,SCREW BN 3.5X2.9X85MM,2351.0,2351.0,258.61,2351.0,57
CDM,739031,SCREW BN 3.5MM 85MM,2347.0,2347.0,258.17,2347.0,57
CDM,739032,SCREW BN 3.5MM 90MM,2445.0,2445.0,268.95,2445.0,57
CDM,739033,SCREW BN 3.5MM 90MM,2445.0,2445.0,268.95,2445.0,57
CDM,739034,SCREW BN 3.5MM 95MM,2445.0,2445.0,268.95,2445.0,57
CDM,739035,SCREW BN 3.5X95MM,2445.0,2445.0,268.95,2445.0,57
CDM,739036,PLATE BN 3.5MM 76MM,25313.0,25313.0,2784.43,25313.0,57
CDM,739037,PLATE BN LT 102MM 3.5MM,27357.0,27357.0,3009.27,27357.0,57
CDM,739038,PLATE BN 3.5MM 128MM,29112.0,29112.0,3202.32,29112.0,57
CDM,739039,PLATE BN LFT 8HL 128MM,27669.0,27669.0,3043.59,27669.0,57
CDM,739040,PLATE BN 3.5MM 154MM,25300.0,25300.0,2783.0,25300.0,57
CDM,739041,PLATE BN 3.5MM 180MM,29796.0,29796.0,3277.56,29796.0,57
CDM,739042,PLATE PROX TIB 3.5MM LCP,29796.0,29796.0,3277.56,29796.0,57
CDM,739043,PLATE BN 3.5MM 206MM,30129.0,30129.0,3314.19,30129.0,57
CDM,739044,PLATE BN 14HL 206X3.5MM,30129.0,30129.0,3314.19,30129.0,57
CDM,739045,PLATE BN 16HL 3.5X232MM,31202.0,31202.0,3432.22,31202.0,57
CDM,739046,PLATE BN 16HL 232X3.5MM,31202.0,31202.0,3432.22,31202.0,57
CDM,739047,PLATE BN 3.5MM 93MM,26540.0,26540.0,2919.4,26540.0,57
CDM,739048,PLATE LCP 8HL 145X3.5MM,23891.0,23891.0,2628.01,23891.0,57
CDM,739049,PLATE BN 3.5MM 145MM,30690.0,30690.0,3375.9,30690.0,57
CDM,739050,PLATE BN 3.5X171MM,24912.0,24912.0,2740.32,24912.0,57
CDM,739051,PLATE BN 3.5MM 197MM,31393.0,31393.0,3453.23,31393.0,57
CDM,739052,PLATE BN TIB 14HL 223MM,31744.0,31744.0,3491.84,31744.0,57
CDM,739053,PLATE BN 223MM 3.5MM,25486.0,25486.0,2803.46,25486.0,57
CDM,739054,PLATE BN 16HL 3.5X249MM,26756.0,26756.0,2943.16,26756.0,57
CDM,739055,PLATE BN 3.5MM 249MM,32857.0,32857.0,3614.27,32857.0,57
CDM,739058,HEAD FEM HIP BIOLOX 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,739059,MESH HERNIA MED 6.4CM,14036.0,14036.0,1543.96,14036.0,57
CDM,739088,CEMENT BONE INJECT FLX,11433.0,11433.0,800.31,11433.0,71
CDM,739127,GDWIRE 2.67F 180CM,4498.0,4498.0,314.86,4498.0,71
CDM,739216,BURR ROUND 6.0X55,1599.0,1599.0,111.93,1599.0,71
CDM,739259,DILATOR BLN 8-9-10MM,5623.0,5623.0,393.61,5623.0,71
CDM,739260,DILATOR BLN 8X180CM,5623.0,5623.0,393.61,5623.0,71
CDM,739261,DILATOR BLN 8X180CM,5623.0,5623.0,393.61,5623.0,71
CDM,739262,DILATOR BLN 8X180CM,5623.0,5623.0,393.61,5623.0,71
CDM,739267,HEAD HUM SHLDR 19MM 48MM,64500.0,64500.0,7095.0,64500.0,57
CDM,739288,SCREW BN 6MM 2.3MM,1391.0,1391.0,153.01,1391.0,57
CDM,739291,HEAD FEM HIP 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,739294,INSERT FEM HIP TYPE1 0MM,2777.0,2777.0,305.47,2777.0,57
CDM,739295,ANCH STPL BN 12X10X10,19470.0,19470.0,2141.7,19470.0,57
CDM,739298,DEVICE WNDCLS 45CM SZ3,1808.0,1808.0,126.56,1808.0,71
CDM,739303,SET COB THRP PLSM EXCH,5623.0,5623.0,393.61,5623.0,71
CDM,739402,TROCAR LAPSCP 5MM 100MM,457.0,457.0,31.99,457.0,71
CDM,739414,STENT NPHURSTM 24CM,1860.0,1860.0,204.6,1860.0,57
CDM,739420,WRENCH SURG SCKT HEX DIS,11433.0,11433.0,800.31,11433.0,71
CDM,739421,SCRDRVR HEX CMPLT SURG D,11433.0,11433.0,800.31,11433.0,71
CDM,739433,SCREW BN 1.2MM 6MM,1117.0,1117.0,122.87,1117.0,57
CDM,739582,SCREW INTFR BCMOS 23X6MM,6905.0,6905.0,759.55,6905.0,57
CDM,739840,SCREW SELF TAP 2.4X8MM,1418.0,1418.0,155.98,1418.0,57
CDM,739841,SCREW BN 2.4MM 10MM,1552.0,1552.0,170.72,1552.0,57
CDM,739859,TUBE ENDBR 9FR 78CM 7MM,5623.0,5623.0,393.61,5623.0,71
CDM,739869,STYLET LD TPR .014IN,1599.0,1599.0,111.93,1599.0,71
CDM,739885,SCREW BN 6MM 4.8MM 72MM,2073.0,2073.0,228.03,2073.0,57
CDM,739890,KIT DCMPRS 15CC,88682.0,88682.0,9755.02,88682.0,57
CDM,739892,SCREW BN 1.2MM 5MM,1332.0,1332.0,146.52,1332.0,57
CDM,739902,PLATE MINI STRAIGHT 4H,3432.0,3432.0,377.52,3432.0,57
CDM,740133,BAG SPEC RETRVL 235ML,1599.0,1599.0,111.93,1599.0,71
CDM,740151,SUTURE ANBCTRL +4-0 18IN,22.0,22.0,1.54,22.0,71
CDM,740173,SUTURE VIOL MON+6-0 30IN,889.0,889.0,62.23,889.0,71
CDM,740208,PROBE DPLR 17.4CM,11433.0,11433.0,800.31,11433.0,71
CDM,740226,DEVICE WNDCLS 30CM SZ2-0,1639.0,1639.0,114.73,1639.0,71
CDM,740232,BOLT BN FX LGN 18MM,11729.0,11729.0,1290.19,11729.0,57
CDM,740233,CMPNT FEM LT KN SZ4,105929.0,105929.0,11652.19,105929.0,57
CDM,740234,WEDGE TIB KN LGN SZ3-4,22721.0,22721.0,2499.31,22721.0,57
CDM,740235,WEDGE TIB KN RL LT SZ3-4,22721.0,22721.0,2499.31,22721.0,57
CDM,740238,SHEATH ACC 30CM 30FR AMP,1743.0,1743.0,122.01,1743.0,71
CDM,740242,VLV CNDT CV 12MM HNCK,108266.0,108266.0,11909.26,108266.0,57
CDM,740243,GRAFT VASC 14MM 21L,108266.0,108266.0,11909.26,108266.0,57
CDM,740244,NEEDLE ENDO NEUR 6F 20GA,5623.0,5623.0,393.61,5623.0,71
CDM,740275,GRAFT VASC HEP 10MM 5MM,19852.0,19852.0,2183.72,19852.0,57
CDM,740276,GRAFT VASC HEP 6MM 15CM,21783.0,21783.0,2396.13,21783.0,57
CDM,740277,GRAFT VASC 10CM 3.5MM,19852.0,19852.0,2183.72,19852.0,57
CDM,740278,GRAFT VASC 3MM 10CM,19852.0,19852.0,2183.72,19852.0,57
CDM,740279,GRAFT VASC HEP 10CM 4MM,19852.0,19852.0,2183.72,19852.0,57
CDM,740282,COMPONENT FEM KN RT SZ8,83493.0,83493.0,9184.23,83493.0,57
CDM,740295,GWIRE VASC .032IN 180CM,1151.0,1151.0,80.57,1151.0,71
CDM,740307,PLATE BN VDR LT NAR,40813.0,40813.0,4489.43,40813.0,57
CDM,740308,NAIL TROCH 11MM 39MM,56996.0,56996.0,6269.56,56996.0,57
CDM,740310,GRAFT ST TIS HEMI PA,120941.0,120941.0,13303.51,120941.0,57
CDM,740313,NEEDLE OPTH CLK 4MM 25GA,1324.0,1324.0,92.68,1324.0,71
CDM,740317,SLEEVE KN ADPT LGN 13MM,14725.0,14725.0,1619.75,14725.0,57
CDM,740323,CURRETTE SPNE TIP,8745.0,8745.0,612.15,8745.0,71
CDM,740326,BATTERY LVAD BACKUP,1489.0,1489.0,104.23,1489.0,57
CDM,740326,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",1489.0,1489.0,1800.2,4862.41,42
CDM,740326,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",1489.0,1489.0,1948.67,1948.67,6
CDM,740331,BEARING HIP E1 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,740357,STAPLE BN 8MM 8MM,19470.0,19470.0,2141.7,19470.0,57
CDM,740369,SCREW BN 1.5X7MM,1344.0,1344.0,147.84,1344.0,57
CDM,740370,PLATE BN RT 1.5MM 9MM,6502.0,6502.0,715.22,6502.0,57
CDM,740371,PLATE MIC 7MM LT MXLFCL,6502.0,6502.0,715.22,6502.0,57
CDM,740383,NEEDLE 19GA ECHOTIP ULTR,7659.0,7659.0,536.13,7659.0,71
CDM,740385,RETRCTR WND MED 5-9CM,2437.0,2437.0,170.59,2437.0,71
CDM,740388,MESH CIR LRG WSTRP 3.2IN,17990.0,17990.0,1978.9,17990.0,57
CDM,740393,KWIRE FX 150MM 1MM,384.0,384.0,26.88,384.0,71
CDM,740400,STEM HIP FEM OFS 11X135,46440.0,46440.0,5108.4,46440.0,57
CDM,740409,CATH ATHRCM 1.50MM 145CM,56256.0,56256.0,3937.92,56256.0,71
CDM,740410,INTRODUCER SHTH 10FR 11C,512.0,512.0,35.84,512.0,71
CDM,740418,DEVICE STPLR 5MM 15 TACK,6364.0,6364.0,700.04,6364.0,57
CDM,740423,CATH BLN 5.5FR 7MM 75CM,5623.0,5623.0,393.61,5623.0,71
CDM,740426,PLATE BN MDFC 6H 1MM,4000.0,4000.0,440.0,4000.0,57
CDM,740429,LASER SURG DEVICE,21459.0,21459.0,1502.13,21459.0,71
CDM,740472,CATH BLNDIL 7MM 2X100CM,9040.0,9040.0,632.8,9040.0,71
CDM,740473,CATH BLNDIL 8MM 2X100CM,9040.0,9040.0,632.8,9040.0,71
CDM,740482,CATH XTRN CSF DRN 1.9MM,11433.0,11433.0,800.31,11433.0,71
CDM,740488,CONE FEM HIP C STD 60MM,80284.0,80284.0,8831.24,80284.0,57
CDM,740489,STEM FEM HIP 150X15MM,45467.0,45467.0,5001.37,45467.0,57
CDM,740491,CMPNT BEARING RT MED 3MM,21285.0,21285.0,2341.35,21285.0,57
CDM,740520,TROCAR OPTW BLDLS 5X75MM,1094.0,1094.0,76.58,1094.0,71
CDM,740521,TROCAR OPTVW DLTIP 5X100,1094.0,1094.0,76.58,1094.0,71
CDM,740522,TROCAR LAPSCP 150X5MM,1102.0,1102.0,77.14,1102.0,71
CDM,740524,TROCAR LPSCP 5X100MM,1094.0,1094.0,76.58,1094.0,71
CDM,740525,SLEEVE LAPSCP 5MM 75MM,766.0,766.0,53.62,766.0,71
CDM,740526,SLEEVE LAPSCP 5MM 100MM,766.0,766.0,53.62,766.0,71
CDM,740529,PLATE BN CP LAPIDUS LT,31960.0,31960.0,3515.6,31960.0,57
CDM,740532,KWIRE FX 1.2MM 70MM,1599.0,1599.0,111.93,1599.0,71
CDM,740546,SUTURE GUT 3-0 18IN,140.0,140.0,9.8,140.0,71
CDM,740553,HEAD HIP 12/14 40MM +12,25800.0,25800.0,2838.0,25800.0,57
CDM,740575,SCREW BN 5X52.5MM,3624.0,3624.0,398.64,3624.0,57
CDM,740576,REAMER SURG 510MM,5647.0,5647.0,395.29,5647.0,71
CDM,740588,PLATE MLFCL 123X123X.8MM,72570.0,72570.0,7982.7,72570.0,57
CDM,740591,SCREW BN 2MM 9MM,1195.0,1195.0,131.45,1195.0,57
CDM,740592,SCREW BN 2X7MM,1188.0,1188.0,130.68,1188.0,57
CDM,740593,SCREW BN 2X5MM,1335.0,1335.0,146.85,1335.0,57
CDM,740595,PLATE 10X.6X2MM CHIN BAR,5349.0,5349.0,588.39,5349.0,57
CDM,740609,TRACH TUBE 24-28FR,10905.0,10905.0,763.35,10905.0,71
CDM,740610,TRAY CGL TRACH TUBE SZ8,10905.0,10905.0,763.35,10905.0,71
CDM,740619,SCREW BN 5MM 2MM MAX/D,3995.0,3995.0,439.45,3995.0,57
CDM,740639,KIT PHOTOPHORESIS DISP,49545.0,49545.0,3468.15,49545.0,71
CDM,740643,ELECTRODE 12D 30D 24-28F,2364.0,2364.0,165.48,2364.0,71
CDM,740682,RING ANLPLS 30MM,42937.0,42937.0,4723.07,42937.0,57
CDM,740683,TOOL DSCT 21CM 3MM,4056.0,4056.0,283.92,4056.0,71
CDM,740685,MESH SURG 4X6IN,12409.0,12409.0,1364.99,12409.0,57
CDM,740694,PLATE BN 50X50X.6MM,33291.0,33291.0,3662.01,33291.0,57
CDM,740713,SCREW BN 3.5MM 26MM,2055.0,2055.0,226.05,2055.0,57
CDM,740731,SUTURE UND MONO 4-0 18IN,160.0,160.0,11.2,160.0,71
CDM,740755,BLADE SAW 1.27X18X100MM,1783.0,1783.0,124.81,1783.0,71
CDM,740782,SITE INJ IV ADPT,60.0,60.0,4.2,60.0,71
CDM,740796,PUNCH AORTIC 4.8MM,1501.0,1501.0,105.07,1501.0,71
CDM,740830,SCREW BN LCK 2.7MM 16MM,2518.0,2518.0,276.98,2518.0,57
CDM,740831,SCREW BN LCK 2.7MM 18MM,2518.0,2518.0,276.98,2518.0,57
CDM,740833,SCREW BN LCK 3.5MM 10MM,3741.0,3741.0,411.51,3741.0,57
CDM,740835,SCREW BN LCK 3.5MM 12MM,4419.0,4419.0,486.09,4419.0,57
CDM,740849,BEARING TIB E1 28X44MM,28230.0,28230.0,3105.3,28230.0,57
CDM,740865,GWIRE ORTH .045IN 6IN,1471.0,1471.0,102.97,1471.0,71
CDM,740878,HEAD FEM HIP 28MM +12MM,16770.0,16770.0,1844.7,16770.0,57
CDM,740882,SCREW BN CORT 3.5X24MM,1028.0,1028.0,113.08,1028.0,57
CDM,740887,PLUG BNCMNT LG 14-17MM,1450.0,1450.0,159.5,1450.0,57
CDM,740914,DISSECTOR LPSCP 5MM 40CM,396.0,396.0,27.72,396.0,71
CDM,740922,SUTURE UND MONO +0 36IN,110.0,110.0,7.7,110.0,71
CDM,740929,PROSTH RESRVOIR 125ML,46012.0,46012.0,5061.32,46012.0,57
CDM,740988,TOOL DSCT 9CM 7.5MM,3636.0,3636.0,254.52,3636.0,71
CDM,741005,SUTURE VIO BRD +0 18IN,592.0,592.0,41.44,592.0,71
CDM,741036,STENT ESPH 18.5FR 23MM,45544.0,45544.0,5009.84,45544.0,57
CDM,741039,SCREW BN 5MM 47.5MM,3918.0,3918.0,430.98,3918.0,57
CDM,741059,BUTTON GSTRM 12FR 3.0CM,3323.0,3323.0,232.61,3323.0,71
CDM,741067,SCREW BN 3.5MM 12MM,4304.0,4304.0,473.44,4304.0,57
CDM,741100,NEEDLE TRNSPTL 18GA 71CM,5623.0,5623.0,393.61,5623.0,71
CDM,741135,GRAFT SYN 47X40X6.3MM,13614.0,13614.0,1497.54,13614.0,57
CDM,741137,SCREW BN TI L45 XPDM SPN,12655.0,12655.0,1392.05,12655.0,57
CDM,741140,BIT DRILL OSTPWR .9MM,4091.0,4091.0,286.37,4091.0,71
CDM,741141,PLATE BN STR 10HL,3858.0,3858.0,424.38,3858.0,57
CDM,741143,BLADE SCRDRVR 58X1.5,5623.0,5623.0,393.61,5623.0,71
CDM,741162,SCREW BN MDFC 12X1.7MM,1252.0,1252.0,137.72,1252.0,57
CDM,741173,FORCEP BX 2.4MM 240CM,713.0,713.0,49.91,713.0,71
CDM,741179,SUTURE UND BRD +2-0 27IN,210.0,210.0,14.7,210.0,71
CDM,741180,SUTURE UND MON +5-0 27IN,112.0,112.0,7.84,112.0,71
CDM,741184,SCREW BN 4MM 18MM,1028.0,1028.0,113.08,1028.0,57
CDM,741245,CATH THRMB PRNT 5.5FR,7293.0,7293.0,510.51,7293.0,71
CDM,741259,SCREW BN 1.7MM 8MM,1252.0,1252.0,137.72,1252.0,57
CDM,741260,BIT DRILL 1.4MM 54MM,5623.0,5623.0,393.61,5623.0,71
CDM,741294,SCREW BN 16MM 2MM,966.0,966.0,106.26,966.0,57
CDM,741295,SCREW BN 14MM 2MM,1287.0,1287.0,141.57,1287.0,57
CDM,741319,PLATE BN 6HL 2.4MM 51MM,13848.0,13848.0,1523.28,13848.0,57
CDM,741334,CATH BLNDIL 8MM 4X70CM,12755.0,12755.0,892.85,12755.0,71
CDM,741335,CATH ANGIO CRD352931,1263.0,1263.0,88.41,1263.0,71
CDM,741347,HEAD FEM HIP 12/14 36MM,18255.0,18255.0,2008.05,18255.0,57
CDM,741348,STENT BIL 8FR 8X100MM,33399.0,33399.0,3673.89,33399.0,57
CDM,741353,SCREW BN 1.2X10MM,1117.0,1117.0,122.87,1117.0,57
CDM,741358,CATH BLNDIL 12MM 75X4CM,5623.0,5623.0,393.61,5623.0,71
CDM,741360,CATH BLNDIL 3MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741373,CATH BLNDIL 4MM 60MM,5304.0,5304.0,371.28,5304.0,71
CDM,741374,CATH BLNDIL 4MM 80MM,5304.0,5304.0,371.28,5304.0,71
CDM,741404,BLADE SAW 27MM,2102.0,2102.0,147.14,2102.0,71
CDM,741408,CATH BLNDIL 8MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741409,CATH BLNDIL 8MM 40MM,5623.0,5623.0,393.61,5623.0,71
CDM,741416,CATH BLNDIL 9MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741417,CATH BLNDIL 9MM 40MM,4910.0,4910.0,343.7,4910.0,71
CDM,741420,CATH BLNDIL 10MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741421,CATH BLNDIL 10MM 40MM,4910.0,4910.0,343.7,4910.0,71
CDM,741433,KWIRE FX 4IN .062IN,269.0,269.0,18.83,269.0,71
CDM,741444,TROCAR LAPSCP 15MM 100MM,3374.0,3374.0,236.18,3374.0,71
CDM,741507,FORCEP BX 1.8MM 160CM,1599.0,1599.0,111.93,1599.0,71
CDM,741510,SNARE POLY HEX SM,448.0,448.0,31.36,448.0,71
CDM,741523,INSERT KN ART PST 3-4X15,16770.0,16770.0,1844.7,16770.0,57
CDM,741524,MESH SURG 7.7X9.7IN,43616.0,43616.0,4797.76,43616.0,57
CDM,741526,MESH SURG 6.1X10.1UB,57471.0,57471.0,6321.81,57471.0,57
CDM,741527,PLATE L RT 6MM 50-371-04,3611.0,3611.0,397.21,3611.0,57
CDM,741528,PLATE CHIN GNPLSTY 9X2MM,4417.0,4417.0,485.87,4417.0,57
CDM,741529,INTRODUCER SHTH MLN 5FR,2680.0,2680.0,187.6,2680.0,71
CDM,741530,TISSUE SYN 50X38X1.5MM,9556.0,9556.0,1051.16,9556.0,57
CDM,741531,PLATE BN HUM 6H 116MM,17900.0,17900.0,1969.0,17900.0,57
CDM,741548,INSERT ARTC 5-6 9MM DSH,18864.0,18864.0,2075.04,18864.0,57
CDM,741561,MESH HERNIA SM CRC 1.7IN,11720.0,11720.0,1289.2,11720.0,57
CDM,741566,STAPLE BN 12MM 15MM,26374.0,26374.0,2901.14,26374.0,57
CDM,741577,CATH BLNDIL 8MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741578,CATH MUST 8MM 40MM 75CM,4910.0,4910.0,343.7,4910.0,71
CDM,741580,CATH BLNDIL 9MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741581,CATH BLNDIL 9X40MM 75CM,4910.0,4910.0,343.7,4910.0,71
CDM,741582,CATH BLNDIL 10X40MM 75CM,4910.0,4910.0,343.7,4910.0,71
CDM,741583,CATH BLNDIL 4MM 40MM,4910.0,4910.0,343.7,4910.0,71
CDM,741584,CATH BLNDIL 4MM 200MM,5623.0,5623.0,393.61,5623.0,71
CDM,741585,CATH BLNDIL 5MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741586,CATH BLNDIL 5MM 40MM,4910.0,4910.0,343.7,4910.0,71
CDM,741591,CATH BLNDIL 6MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741592,CATH BLNDIL 6MM 40MM,4910.0,4910.0,343.7,4910.0,71
CDM,741597,CATH BLNDIL 7MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741598,CATH BLNDIL 7MM 40MM,4910.0,4910.0,343.7,4910.0,71
CDM,741647,SCREW BN 5MM 95MM,3021.0,3021.0,332.31,3021.0,57
CDM,741660,LINER ACTB XLNK 2X36MM,23633.0,23633.0,2599.63,23633.0,57
CDM,741664,PROTECTOR WND MED,5623.0,5623.0,393.61,5623.0,71
CDM,741667,PLATE BN STR 24HL,9606.0,9606.0,1056.66,9606.0,57
CDM,741670,BONE TAMP KIT KPX203RB F,43082.0,43082.0,3015.74,43082.0,71
CDM,741681,BAG SPEC RETRVL 1550ML,3983.0,3983.0,278.81,3983.0,71
CDM,741683,RELOAD STPLR 60MM,8664.0,8664.0,953.04,8664.0,57
CDM,741684,DEVICE WNDCLS 23CM SZ3,1599.0,1599.0,111.93,1599.0,71
CDM,741689,TROCAR LAPSCP 5MM 100MM,7956.0,7956.0,556.92,7956.0,71
CDM,741694,KIT BONE TAMP,43082.0,43082.0,3015.74,43082.0,71
CDM,741695,CATH BLNDIL 6MM 40MM,4951.0,4951.0,346.57,4951.0,71
CDM,741727,CATH BLNDIL 6MM 60MM,5304.0,5304.0,371.28,5304.0,71
CDM,741729,CATH BLNDIL 6MM 60MM,4910.0,4910.0,343.7,4910.0,71
CDM,741730,CATH BLNDIL 6MM 80MM,4951.0,4951.0,346.57,4951.0,71
CDM,741731,CATH BLNDIL 6MM 80MM,4910.0,4910.0,343.7,4910.0,71
CDM,741734,CATH BLNDIL 7MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741741,CATH BLNDIL 4MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741742,CATH BLNDIL 5MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,741743,CATH MUST 5MM 40MM 135CM,4951.0,4951.0,346.57,4951.0,71
CDM,741744,CATH BLNDIL 5MM 60MM,4910.0,4910.0,343.7,4910.0,71
CDM,741745,CATH BLNDIL 5MM 80MM,4951.0,4951.0,346.57,4951.0,71
CDM,741746,CATH BLNDIL 5MM 80MM,4910.0,4910.0,343.7,4910.0,71
CDM,741747,CATH BLNDIL 5MM 100MM,4910.0,4910.0,343.7,4910.0,71
CDM,741749,CATH BLNDIL 7MM 60MM,4910.0,4910.0,343.7,4910.0,71
CDM,741750,CATH BLNDIL 7MM 80MM,4910.0,4910.0,343.7,4910.0,71
CDM,741752,CATH BLNDIL 10MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741755,CATH BLNDIL 12MM 40MM,4910.0,4910.0,343.7,4910.0,71
CDM,741756,DEVICE VNTRC ASST HLSTR,5623.0,5623.0,393.61,5623.0,57
CDM,741759,STEM FEM CMNTKN 160X12MM,22501.0,22501.0,2475.11,22501.0,57
CDM,741789,MESH SURG CIRC LG 4.5IN,19533.0,19533.0,2148.63,19533.0,57
CDM,741804,RING ANLPLS 32MM,42937.0,42937.0,4723.07,42937.0,57
CDM,741819,NEEDLE SUT XOR EW 3,7801.0,7801.0,546.07,7801.0,71
CDM,741829,CATH BLNDIL 5MM 60MM,4951.0,4951.0,346.57,4951.0,71
CDM,741830,CATH BLNDIL 6MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,741836,SCREW BN 1.2MM 6MM,1117.0,1117.0,122.87,1117.0,57
CDM,741837,DRILL TWIST 1MM 54MM,4314.0,4314.0,301.98,4314.0,71
CDM,741867,MESH SURG 9CM,6395.0,6395.0,703.45,6395.0,57
CDM,741872,PLATE SPN LCP 10HL 3.5MM,9244.0,9244.0,1016.84,9244.0,57
CDM,741873,CATH BLNDIL 12MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,741888,VALVE PULM LARGE 22+MM,217406.0,217406.0,23914.66,217406.0,57
CDM,741890,NEUROSCP 4.5X3.12MM,18890.0,18890.0,1322.3,18890.0,71
CDM,741916,VALVE AORTIC 21MM,88700.0,88700.0,9757.0,88700.0,57
CDM,741924,SUTURE VIOL MON+2-0 27IN,126.0,126.0,8.82,126.0,71
CDM,741931,STAPLER INT 30MM,7376.0,7376.0,516.32,7376.0,71
CDM,741933,STAPLER INT 4.8X30MM,8739.0,8739.0,611.73,8739.0,71
CDM,741938,GWIRE ORTH SURG 1.35MM,1599.0,1599.0,111.93,1599.0,71
CDM,741939,BIT DRILL CANN 2.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,741940,SCREW BN 3.5MM 16MM,1624.0,1624.0,178.64,1624.0,57
CDM,741971,BURR SURG RND 2.5MM,4011.0,4011.0,280.77,4011.0,71
CDM,742010,CATH BLN .018 5X150X80,5623.0,5623.0,393.61,5623.0,71
CDM,742029,SCREW BN 2.7MM 50M,2427.0,2427.0,266.97,2427.0,57
CDM,742030,SCREW BN S/T LCK2.7X16MM,2427.0,2427.0,266.97,2427.0,57
CDM,742031,SCREW BN 2.7MM 22MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,742032,SCREW BN 2.7MM 28MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,742038,SCREW SPN 3.5 X 32 LS,12655.0,12655.0,1392.05,12655.0,57
CDM,742043,ROD SPN 5.5X500,7593.0,7593.0,835.23,7593.0,57
CDM,742056,KWIRE FX 200MM 2.8MM,1599.0,1599.0,111.93,1599.0,71
CDM,742094,INSERT TIB KN 16MM,67655.0,67655.0,7442.05,67655.0,57
CDM,742113,DRESSING PETRO .5X72IN,48.0,48.0,3.36,48.0,71
CDM,742134,DRESSING HDRCLD 9X15CM,1369.0,1369.0,95.83,1369.0,71
CDM,742135,DRESSING HDRCLD 9X25CM,1599.0,1599.0,111.93,1599.0,71
CDM,742141,SCREW BN 1.5X4MM,1312.0,1312.0,144.32,1312.0,57
CDM,742179,PLATE BN LT 6 HL,30258.0,30258.0,3328.38,30258.0,57
CDM,742180,SCREW BN LCK 3.5X10MM,4217.0,4217.0,463.87,4217.0,57
CDM,742181,SCREW BN 3.5MM 14MM,4304.0,4304.0,473.44,4304.0,57
CDM,742200,NEEDLE BX 17GA 7.8CM,1026.0,1026.0,71.82,1026.0,71
CDM,742206,STEM FEM KN 160MM 16MM,22501.0,22501.0,2475.11,22501.0,57
CDM,742224,HEAD FEM HIP +0X32MM,17005.0,17005.0,1870.55,17005.0,57
CDM,742231,CMPNT TIB TRAY ML63XAP41,34032.0,34032.0,3743.52,34032.0,57
CDM,742234,CMPNT KN FEM LT 62.5MM,99006.0,99006.0,10890.66,99006.0,57
CDM,742255,DRESSING CLGN 4.5X4.2IN,1217.0,1217.0,85.19,1217.0,71
CDM,742284,RING ANLPLS 26MM,42937.0,42937.0,4723.07,42937.0,57
CDM,742309,AWL SURG 3.8MM TPR DISP,1725.0,1725.0,120.75,1725.0,71
CDM,742355,NAIL TIB 9MM 345MM,20283.0,20283.0,2231.13,20283.0,57
CDM,742366,COMPNT TIBTRY 61.8X40.7,64501.0,64501.0,7095.11,64501.0,57
CDM,742497,PLATE BN UNV 8HL,19831.0,19831.0,2181.41,19831.0,57
CDM,742515,PLATE BN RT 12HL 324MM,27404.0,27404.0,3014.44,27404.0,57
CDM,742542,GUIDEWIRE ARTHSCP .045IN,1599.0,1599.0,111.93,1599.0,71
CDM,742557,STEM HUM UNIVERS SHLDR 7,111615.0,111615.0,12277.65,111615.0,57
CDM,742570,COUPLER VASC ANSTM 3.5MM,9205.0,9205.0,1012.55,9205.0,57
CDM,742585,SUTURE TIGERTAPE 18IN,750.0,750.0,82.5,750.0,57
CDM,742607,SCREW BN 2MM 6MM,1234.0,1234.0,135.74,1234.0,57
CDM,742610,SCREW BN 2.4MM 14MM,1765.0,1765.0,194.15,1765.0,57
CDM,742629,SUTURE VIO BRD +3-0 18IN,616.0,616.0,43.12,616.0,71
CDM,742635,BIT DRILL 1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,742645,INSRT TIB HNG SM 23MM,67655.0,67655.0,7442.05,67655.0,57
CDM,742655,SCREW BNE 3.5 30 MTNR TI,12655.0,12655.0,1392.05,12655.0,57
CDM,742658,DEVICE WNDCLS 45CM SZ2,1599.0,1599.0,111.93,1599.0,71
CDM,742665,FILLER BN VOID 10CC,24455.0,24455.0,2690.05,24455.0,57
CDM,742668,GRAFT ST TIS STPL LN RNF,3884.0,3884.0,427.24,3884.0,57
CDM,742669,RING ANNULPLSTY 28X5200,42937.0,42937.0,4723.07,42937.0,57
CDM,742674,HOLDER PLT BB-TAK THRD,5323.0,5323.0,372.61,5323.0,71
CDM,742696,BLADE SHVR 80MM 4MM HMR,5623.0,5623.0,393.61,5623.0,71
CDM,742699,PACK SINUS XFRM 8CM,6395.0,6395.0,447.65,6395.0,71
CDM,742700,KIT THRMB 6FR 120CM,69346.0,69346.0,4854.22,69346.0,71
CDM,742702,CMPNT KN SLV 11MM,14725.0,14725.0,1619.75,14725.0,57
CDM,742704,NEEDLE BX 11GA 6IN,1146.0,1146.0,80.22,1146.0,71
CDM,742738,PROSTHESIS PNL 75ML,34422.0,34422.0,3786.42,34422.0,57
CDM,742775,TOOL DISCT 6MM ACRN FLUT,3636.0,3636.0,254.52,3636.0,71
CDM,742798,SYSTEM LUB ARTHRCM 100ML,3149.0,3149.0,220.43,3149.0,71
CDM,742818,STAPLER INT 4.8X33MM,9078.0,9078.0,635.46,9078.0,71
CDM,742896,CMPNT TIB KN TRAY 67MM,45947.0,45947.0,5054.17,45947.0,57
CDM,742915,STENT DUODENAL 22MM 60MM,50504.0,50504.0,5555.44,50504.0,57
CDM,742936,INSERT KN HNG XS 28MM,67655.0,67655.0,7442.05,67655.0,57
CDM,742990,NUT EX FIX 10MM,1979.0,1979.0,138.53,1979.0,71
CDM,742993,STRUT EXFX SHRT 77MM,20196.0,20196.0,1413.72,20196.0,71
CDM,743004,GRAFT MNDBL 47X37X3MM,14180.0,14180.0,1559.8,14180.0,57
CDM,743017,GRASPER ENDO 220CM,12246.0,12246.0,857.22,12246.0,71
CDM,743024,CMPNT FEM KN SZ3,64501.0,64501.0,7095.11,64501.0,57
CDM,743025,MESH SURG 4.3X5.5IN,25519.0,25519.0,2807.09,25519.0,57
CDM,743026,MESH SURG 5.4X7IN,32552.0,32552.0,3580.72,32552.0,57
CDM,743027,MESH SURG OVL 10.7X8.7IN,57590.0,57590.0,6334.9,57590.0,57
CDM,743030,GWIRE ORTH .062IN,1599.0,1599.0,111.93,1599.0,71
CDM,743034,SCREW BN 5X1.5MM,1391.0,1391.0,153.01,1391.0,57
CDM,743035,SCREW BN 1.8MM 7MM,1398.0,1398.0,153.78,1398.0,57
CDM,743036,SET ART CNULA L19CMXW.25,5623.0,5623.0,393.61,5623.0,71
CDM,743043,CATH HMDIAL 10FR L24CM,8687.0,8687.0,608.09,8687.0,71
CDM,743063,BURR SURG 6MM 65MM,2114.0,2114.0,147.98,2114.0,71
CDM,743074,CATH BLNDIL 18MM 5X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,743077,CATH BLNDIL 18MM 5X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,743080,CATH BLNDIL 18MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,743092,DILATOR SURG MED 3MM,4123.0,4123.0,288.61,4123.0,71
CDM,743093,BIT DRILL 1.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,743101,HEAD HIP TPR STD NK 22MM,9030.0,9030.0,993.3,9030.0,57
CDM,743108,SUTURE ANBCTRL +2-0 27IN,93.0,93.0,6.51,93.0,71
CDM,743113,CATH BRNCHL THERMO 5MM,41425.0,41425.0,2899.75,41425.0,71
CDM,743123,RING ANLPLS 34MM,42937.0,42937.0,4723.07,42937.0,57
CDM,743134,LINER ACTB HIP 48X32MM,14190.0,14190.0,1560.9,14190.0,57
CDM,743140,INSERT TIB KN 21MM,67655.0,67655.0,7442.05,67655.0,57
CDM,743164,CATH XTRN CSF DRN 1.9MM,11433.0,11433.0,800.31,11433.0,71
CDM,743176,PLATE BN 3H 3.5MM 62MM,11037.0,11037.0,1214.07,11037.0,57
CDM,743226,HEAD HIP 36MM +12 12/14,16770.0,16770.0,1844.7,16770.0,57
CDM,743282,BURR SURG 5.1MM 4MM,2948.0,2948.0,206.36,2948.0,71
CDM,743283,BURR SURG LNG BRL 6MM,3108.0,3108.0,217.56,3108.0,71
CDM,743293,PLATE BN 8HL 4.5MM 152MM,9264.0,9264.0,1019.04,9264.0,57
CDM,743323,PLATE CRNFCL 24HL,9404.0,9404.0,1034.44,9404.0,57
CDM,743386,INSERT TIB KN 2.5 12.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,743387,STENT BIL 10FR 7CM,2612.0,2612.0,287.32,2612.0,57
CDM,743388,STENT BIL 10FR 9CM,2612.0,2612.0,287.32,2612.0,57
CDM,743389,STENT BIL 10FR 12CM,2612.0,2612.0,287.32,2612.0,57
CDM,743390,STENT BIL 10FR 15CM,2612.0,2612.0,287.32,2612.0,57
CDM,743391,STENT BIL 7FR 7CM,2612.0,2612.0,287.32,2612.0,57
CDM,743392,STENT BIL 7FR 9CM,2612.0,2612.0,287.32,2612.0,57
CDM,743393,STENT BIL 7FR 12CM,2612.0,2612.0,287.32,2612.0,57
CDM,743394,STENT BIL 7FR 15CM,2612.0,2612.0,287.32,2612.0,57
CDM,743423,DRESSING HDRCLD ROPE12IN,151.0,151.0,10.57,151.0,71
CDM,743435,BLADE SHAVER 2.9MM 7CM,1687.0,1687.0,118.09,1687.0,71
CDM,743437,BLADE SHVR 2.9MM 7CM,1687.0,1687.0,118.09,1687.0,71
CDM,743448,SCREW BN EMER 2.3X7MM,1521.0,1521.0,167.31,1521.0,57
CDM,743449,PLATE BN 6HL,4661.0,4661.0,512.71,4661.0,57
CDM,743461,STEM HIP FEM STD 10X130,45920.0,45920.0,5051.2,45920.0,57
CDM,743482,INSERT TIB SZ5 22MM,43344.0,43344.0,4767.84,43344.0,57
CDM,743486,TUBE FEEDING 16X2X22CM,6782.0,6782.0,474.74,6782.0,71
CDM,743493,CLIP ANRSM PERM 7MM,5313.0,5313.0,584.43,5313.0,57
CDM,743499,CEMENT BN CA PHOS 5.0ML,26618.0,26618.0,2927.98,26618.0,57
CDM,743510,HEAD FEM HIP DL MBL 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,743516,NAIL BN 9.5MM 11MM 160MM,24541.0,24541.0,2699.51,24541.0,57
CDM,743518,SCREW BN 4.5MM 38MM,3856.0,3856.0,424.16,3856.0,57
CDM,743537,PLATE MDFC 2X6 HL 3D MLB,10002.0,10002.0,1100.22,10002.0,57
CDM,743538,SCREW SPN 3.5 X 34 LS,12655.0,12655.0,1392.05,12655.0,57
CDM,743546,SLEEVE LAPSCP 12MM 100MM,332.0,332.0,23.24,332.0,71
CDM,743549,SHEARS ESURG 36CM 5MM,5743.0,5743.0,402.01,5743.0,71
CDM,743586,SUTURE VIOL BRD+2-0 18IN,610.0,610.0,42.7,610.0,71
CDM,743602,PLATE BN MDFC LCKM 2X6H,11250.0,11250.0,1237.5,11250.0,57
CDM,743629,HMATRIX 1SQCM,1714.0,1714.0,119.98,1714.0,53
CDM,743629,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1714.0,1714.0,980.75,1386.11,6
CDM,743642,STENT ESPH 18.5FR 18MM,45544.0,45544.0,5009.84,45544.0,57
CDM,743695,HEAD HIP 12/14 +9 32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,743712,SCREW BN 2.7MM 24MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,743713,SCREW BN 2.7MM 26MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,743741,CASSETTE MED RSRV 8IN,443.0,443.0,31.01,443.0,71
CDM,743743,RELOAD STPLR 45MM,6150.0,6150.0,676.5,6150.0,57
CDM,743750,CATH EP 3.3FR 165CM,12428.0,12428.0,869.96,12428.0,71
CDM,743767,TROCAR LAPSCP 5MM 75MM,3673.0,3673.0,257.11,3673.0,71
CDM,743775,GRAFT VASC HEP 60CM 6MM,31894.0,31894.0,3508.34,31894.0,57
CDM,743780,STENT ESPH 18.5FR 18MM,45544.0,45544.0,5009.84,45544.0,57
CDM,743798,SCREW BN 3MM 18MM,1028.0,1028.0,113.08,1028.0,57
CDM,743799,GWIRE ORTH 150MM .053IN,1599.0,1599.0,111.93,1599.0,71
CDM,743820,SCREW BN 3.5MM 20MM,3108.0,3108.0,341.88,3108.0,57
CDM,743822,SCREW BN NLCK 3.5X22MM,2910.0,2910.0,320.1,2910.0,57
CDM,743824,SCREW BN 2.7MM 12MM,2427.0,2427.0,266.97,2427.0,57
CDM,743825,INSERT TIB KN 12MM,67655.0,67655.0,7442.05,67655.0,57
CDM,743855,VALVE AORTIC 23MM,88700.0,88700.0,9757.0,88700.0,57
CDM,743868,SCREW BN 4.5MM 40MM,4028.0,4028.0,443.08,4028.0,57
CDM,743869,SCREW BN 4.5MM 36MM,4028.0,4028.0,443.08,4028.0,57
CDM,743881,STEM FEM 100X9MM,86103.0,86103.0,9471.33,86103.0,57
CDM,743887,CATH GD MIC 135CM,16156.0,16156.0,1130.92,16156.0,71
CDM,743908,CATH INFS 2.8FR 3.2FR,16156.0,16156.0,1130.92,16156.0,71
CDM,743912,PLATE BN 1.25MM,6466.0,6466.0,711.26,6466.0,57
CDM,743913,SCREW BN MNDB 10X2.0MM,2296.0,2296.0,252.56,2296.0,57
CDM,743931,PLATE BN 5HL 91MM,19091.0,19091.0,2100.01,19091.0,57
CDM,743947,CATH BLNDIL 14MM 4CM,5990.0,5990.0,419.3,5990.0,71
CDM,743979,DEV TREPHINE 16MM 8IN,36935.0,36935.0,2585.45,36935.0,71
CDM,743985,CMPNT SEG HNG KN 30MM,43654.0,43654.0,4801.94,43654.0,57
CDM,744029,SYRINGE INFL BLN,3846.0,3846.0,269.22,3846.0,71
CDM,744031,CEMENT BN W-MXR,4677.0,4677.0,514.47,4677.0,57
CDM,744033,DRESSING HDRCLD 9X35CM,1599.0,1599.0,111.93,1599.0,71
CDM,744038,CATH BLNDIL SINUS 5X16MM,13459.0,13459.0,942.13,13459.0,71
CDM,744039,CATH BLNDIL SINUS 6X16MM,13459.0,13459.0,942.13,13459.0,71
CDM,744040,CATH BLNDIL SINUS 7X16MM,13459.0,13459.0,942.13,13459.0,71
CDM,744055,CMPNT BRNG KN LT MED 5MM,21285.0,21285.0,2341.35,21285.0,57
CDM,744080,CLIP SURG 12MM 12MM,1599.0,1599.0,111.93,1599.0,71
CDM,744084,LEAD NRSTM 28CM,59287.0,59287.0,6521.57,59287.0,57
CDM,744098,MESH PTEX PROGRP 30X15CM,9335.0,9335.0,1026.85,9335.0,57
CDM,744105,PLATE BN CRNMXF 3D 2X2HL,3984.0,3984.0,438.24,3984.0,57
CDM,744113,SCREW BN MXFCL 1.8X4MM,1398.0,1398.0,153.78,1398.0,57
CDM,744114,SCR BLDE SELF DRL HEX1.5,3870.0,3870.0,425.7,3870.0,57
CDM,744120,SCREW EXP TI POLY 8X50,15186.0,15186.0,1670.46,15186.0,57
CDM,744145,INSERT KN TIB STD 12MM,19548.0,19548.0,2150.28,19548.0,57
CDM,744146,CMPNT KN HINGED ROTATE,5146.0,5146.0,566.06,5146.0,57
CDM,744147,CMPNT KN FEM BSHNG STD,5334.0,5334.0,586.74,5334.0,57
CDM,744149,CMPNT KN TIB AXLE,7807.0,7807.0,858.77,7807.0,57
CDM,744174,KIT JJNSTM 18FR 30CM,6782.0,6782.0,474.74,6782.0,71
CDM,744175,TUBE JJNSTM 18FR 30CM,6782.0,6782.0,474.74,6782.0,71
CDM,744180,RASP SURG 18.3MM 3.2MM,4560.0,4560.0,319.2,4560.0,71
CDM,744215,PLATE BN 1MM 34MM,3432.0,3432.0,377.52,3432.0,57
CDM,744216,HEAD FEM OFST+9X36MM,22720.0,22720.0,2499.2,22720.0,57
CDM,744244,KIT INST DISP BIT 2.4MM,5623.0,5623.0,393.61,5623.0,71
CDM,744250,PLATE BN EXFX 30MM,5607.0,5607.0,392.49,5607.0,71
CDM,744251,SET ENDO 10.5-12MM 165CM,11583.0,11583.0,810.81,11583.0,71
CDM,744252,GRASPER SINGLE 165CM,11433.0,11433.0,800.31,11433.0,71
CDM,744257,STEM KN FEM GB EXT 16X40,22993.0,22993.0,2529.23,22993.0,57
CDM,744266,SCREW BN 8MM 55MM XPDM,15070.0,15070.0,1657.7,15070.0,57
CDM,744271,INSERT LPS UNIV SM 12MM,67655.0,67655.0,7442.05,67655.0,57
CDM,744297,HEAD FEM HIP -4MM 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,744306,CMPNT FEM KN TWN PEG MD,33540.0,33540.0,3689.4,33540.0,57
CDM,744407,CATH BLNDIL 2MM 100MM,5623.0,5623.0,393.61,5623.0,71
CDM,744411,CATH BLNDIL 2MM 150MM,5623.0,5623.0,393.61,5623.0,71
CDM,744415,CATH BLNDIL 2.5MM 60MM,5623.0,5623.0,393.61,5623.0,71
CDM,744427,CATH BLNDIL 2.5MM 220MM,5623.0,5623.0,393.61,5623.0,71
CDM,744434,CATH BLNDIL 3MM 100MM,5623.0,5623.0,393.61,5623.0,71
CDM,744440,CATH BLNDIL 3MM 220MM,5623.0,5623.0,393.61,5623.0,71
CDM,744452,CATH BLNDIL 3.5MM 220MM,5623.0,5623.0,393.61,5623.0,71
CDM,744464,CATH BLNDIL 4MM 220MM,5623.0,5623.0,393.61,5623.0,71
CDM,744551,FORCEP BX 2.2MM 240CM,1599.0,1599.0,111.93,1599.0,71
CDM,744557,COVER BURR HOLE LP 14MM,6037.0,6037.0,664.07,6037.0,57
CDM,744583,BURR TPS ELT 1.5X12,3723.0,3723.0,260.61,3723.0,71
CDM,744594,CATH BRONCHOSCOPE 4FR,1599.0,1599.0,111.93,1599.0,71
CDM,744599,SCREW BN 5MM 55MM,3102.0,3102.0,341.22,3102.0,57
CDM,744600,SCREW BN 5MM 85MM,3102.0,3102.0,341.22,3102.0,57
CDM,744602,SCREW BN 5MM 40MM,3102.0,3102.0,341.22,3102.0,57
CDM,744603,SCREW BN 5.0X30MM,3102.0,3102.0,341.22,3102.0,57
CDM,744604,PLATE BN 8H 195MM 4.5MM,30179.0,30179.0,3319.69,30179.0,57
CDM,744605,SCREW BN 5MM 46MM,3102.0,3102.0,341.22,3102.0,57
CDM,744607,SCREW BN 3.5X26MM,4419.0,4419.0,486.09,4419.0,57
CDM,744626,LINER ACTB HIP SZ25 36MM,30960.0,30960.0,3405.6,30960.0,57
CDM,744653,SCREW BN 3.5MM 28MM,4419.0,4419.0,486.09,4419.0,57
CDM,744665,INTRO SHTH 12FR 4.1MM 80,2324.0,2324.0,162.68,2324.0,71
CDM,744700,PLATE MDFC 24 HL STR MLB,11794.0,11794.0,1297.34,11794.0,57
CDM,744703,PASSER SUT 90D CRV STR,6104.0,6104.0,427.28,6104.0,71
CDM,744705,SHELL ACTB HIP 54MM,23220.0,23220.0,2554.2,23220.0,57
CDM,744707,SCREW BN 6.5MM 20MM,1131.0,1131.0,124.41,1131.0,57
CDM,744716,PLATE BN 3.5MM 91MM,7029.0,7029.0,773.19,7029.0,57
CDM,744717,SCREW BN LCK 5X32MM,2498.0,2498.0,274.78,2498.0,57
CDM,744724,SCREW BN VAR 5X50MM,3102.0,3102.0,341.22,3102.0,57
CDM,744727,PLATE BN 6HL 4.5MM 159MM,29595.0,29595.0,3255.45,29595.0,57
CDM,744728,SCREW BN 5MM 90MM,3102.0,3102.0,341.22,3102.0,57
CDM,744729,SCREW BN 5.0MM 36MM,3102.0,3102.0,341.22,3102.0,57
CDM,744731,SCREW BN 5MM 80MM,3102.0,3102.0,341.22,3102.0,57
CDM,744732,ROD SPNL XPDM 600X5.5,4556.0,4556.0,501.16,4556.0,57
CDM,744736,PLATE SPN 1 LV 20MM,24045.0,24045.0,2644.95,24045.0,57
CDM,744738,PLATE MICRO CALVARIUM LG,6042.0,6042.0,664.62,6042.0,57
CDM,744739,SHEATH CATH GW 7FR 55CM,2661.0,2661.0,186.27,2661.0,71
CDM,744759,SCREW BN 6.5MM 80MM 20MM,4765.0,4765.0,524.15,4765.0,57
CDM,744760,SCREW BN 6.5MM 85MM 20MM,4812.0,4812.0,529.32,4812.0,57
CDM,744770,HEAD FEM HIP 16/18 32MM,16770.0,16770.0,1844.7,16770.0,57
CDM,744774,BURR SURG DMD L20MM CRSE,4212.0,4212.0,294.84,4212.0,71
CDM,744785,DISTRACTOR ARM XTN,17553.0,17553.0,1228.71,17553.0,71
CDM,744803,STEM FEM KN 14.5X125MM,92481.0,92481.0,10172.91,92481.0,57
CDM,744804,INSERT TIB KN XS 16MM,67655.0,67655.0,7442.05,67655.0,57
CDM,744807,ELECTRDE ESURG LOOP FRNT,10312.0,10312.0,721.84,10312.0,71
CDM,744818,SHELL ACTB HIP SZ3 52MM,23220.0,23220.0,2554.2,23220.0,57
CDM,744819,SCREW BN 6.5MM 40MM,1542.0,1542.0,169.62,1542.0,57
CDM,744820,HEAD FEM HIP 36MM,17600.0,17600.0,1936.0,17600.0,57
CDM,744839,INSERT TIB KN 18MM,67655.0,67655.0,7442.05,67655.0,57
CDM,744847,LINER ACTB HIP 36X52MM,14190.0,14190.0,1560.9,14190.0,57
CDM,744875,BURR SURG RND 3.0MM,4011.0,4011.0,280.77,4011.0,71
CDM,744876,SCREW BN 2MM 8MM,2776.0,2776.0,305.36,2776.0,57
CDM,744877,GRAFT CV 22MM 30CM,8773.0,8773.0,965.03,8773.0,57
CDM,744901,SCREW BN TI L35 XPDM SPN,12506.0,12506.0,1375.66,12506.0,57
CDM,745024,CLAMP DBL MED 30GF 1-2MM,2695.0,2695.0,188.65,2695.0,71
CDM,745028,HEAD HIP +12 12/14 36MM,17794.0,17794.0,1957.34,17794.0,57
CDM,745030,HEAD FEM HIP +0 28MM,43389.0,43389.0,4772.79,43389.0,57
CDM,745046,CMPNT TIB KN SZ360 79MM,45947.0,45947.0,5054.17,45947.0,57
CDM,745050,SCREW BN 5MM 65MM,2785.0,2785.0,306.35,2785.0,57
CDM,745051,SCREW BN 5MM 70MM,3102.0,3102.0,341.22,3102.0,57
CDM,745052,SCREW BN 5MM 75MM,3102.0,3102.0,341.22,3102.0,57
CDM,745053,SCREW BN ANGL 5.0X34MM,3102.0,3102.0,341.22,3102.0,57
CDM,745294,INSERT HD HIP 3MM,2777.0,2777.0,305.47,2777.0,57
CDM,745295,BEARING ARTC HIP E1 46MM,19350.0,19350.0,2128.5,19350.0,57
CDM,745298,PLATE BN 3.5MM 122MM,20734.0,20734.0,2280.74,20734.0,57
CDM,745317,BIT DRILL 1.7MM CANNULAT,5623.0,5623.0,393.61,5623.0,71
CDM,745320,GRAFT ST TIS 4X24MM,17982.0,17982.0,1978.02,17982.0,57
CDM,745325,PLATE BN CRNMXF 6H 24MM,3913.0,3913.0,430.43,3913.0,57
CDM,745326,PLATE BN MXFCL20HL .75MM,5088.0,5088.0,559.68,5088.0,57
CDM,745327,SCREW BN 13X2MM,1127.0,1127.0,123.97,1127.0,57
CDM,745395,SHELL ACTB HIP TPR 56MM,23220.0,23220.0,2554.2,23220.0,57
CDM,745397,HEAD FEM HIP +4X40MM,16770.0,16770.0,1844.7,16770.0,57
CDM,745426,SCREW BN 27.5MM 5MM,2466.0,2466.0,271.26,2466.0,57
CDM,745487,LINER ACTB HIP 50X28MM,38700.0,38700.0,4257.0,38700.0,57
CDM,745496,GWIRE VASC 300CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,745503,CEMENT BN CRTDG 8ML,3374.0,3374.0,236.18,3374.0,71
CDM,745506,REAMER SURG 6.5MM,82360.0,82360.0,5765.2,82360.0,71
CDM,745510,CMPNT HIP FEM 9MM 137MM,43860.0,43860.0,4824.6,43860.0,57
CDM,745536,IMPLANT BREAST 475CC,20550.0,20550.0,2260.5,20550.0,57
CDM,745537,VALVE AORTIC =16MM,217406.0,217406.0,23914.66,217406.0,57
CDM,745544,COMP FEM KN RT V40,70392.0,70392.0,7743.12,70392.0,57
CDM,745564,SUTURE PC-1 5-0 1X18IN,299.0,299.0,20.93,299.0,71
CDM,745583,HEAD FEM HIP 12/14 32MM,19350.0,19350.0,2128.5,19350.0,57
CDM,745596,BURR SURG 3MM 3.8MM,4212.0,4212.0,294.84,4212.0,71
CDM,745603,SCREW BN 1.6MM 5MM,1152.0,1152.0,126.72,1152.0,57
CDM,745609,SYSTEM BLNDIL 16X40MM,12742.0,12742.0,891.94,12742.0,71
CDM,745624,SCREW BN MXLFCL 1.2X12MM,1542.0,1542.0,169.62,1542.0,57
CDM,745633,CANNULA BTN 10MM 4CM,1627.0,1627.0,113.89,1627.0,71
CDM,745645,SCREW BN 4.5MM 44MM,4028.0,4028.0,443.08,4028.0,57
CDM,745671,DRESSING WND ALG 9X30CM,1599.0,1599.0,111.93,1599.0,71
CDM,745687,SCISSORS MNPLR 33CM 5MM,2250.0,2250.0,157.5,2250.0,71
CDM,745688,CATHGD CX 2.6FR 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,745691,CATH GD 4FR 135CM,5623.0,5623.0,393.61,5623.0,71
CDM,745733,MESH SURG CIRCL 4.5IN,16071.0,16071.0,1767.81,16071.0,57
CDM,745771,PIN STEIN NONSTRL 5/64,460.0,460.0,32.2,460.0,71
CDM,745772,KWIRE FX 3 .028IN 9IN,403.0,403.0,28.21,403.0,71
CDM,745790,STEM FEM HIP 140MM 10MM,43860.0,43860.0,4824.6,43860.0,57
CDM,745805,SCREW BN 2.4MM 16MM,2210.0,2210.0,243.1,2210.0,57
CDM,745812,INTRODUCER SHTH 5FR 10CM,2512.0,2512.0,175.84,2512.0,71
CDM,745860,IMPLANT BREAST 325CC,9741.0,9741.0,1071.51,9741.0,57
CDM,745864,SCREW BN 5MM 60MM,3102.0,3102.0,341.22,3102.0,57
CDM,745865,INTRO SHTH ANSL 6FR 55CM,2661.0,2661.0,186.27,2661.0,71
CDM,745866,INTRO SHTH ANSL 5FR 55CM,2661.0,2661.0,186.27,2661.0,71
CDM,745868,INTRO SHTH ANSL 8FR 55CM,2661.0,2661.0,186.27,2661.0,71
CDM,745886,SCREW BN 6.5MM 35MM,1131.0,1131.0,124.41,1131.0,57
CDM,745897,CMPNT FEM KN RT XS,73689.0,73689.0,8105.79,73689.0,57
CDM,745921,COMPNT TIB PSC 63/67X12,35776.0,35776.0,3935.36,35776.0,57
CDM,745923,STEM KN FEM GB EXT 12X80,22993.0,22993.0,2529.23,22993.0,57
CDM,745927,PLATE BN RT SML 0.4MM,32242.0,32242.0,3546.62,32242.0,57
CDM,745935,BURR SURG RND 6.5MM,4011.0,4011.0,280.77,4011.0,71
CDM,745937,SCREW BN 2.7MM 32MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,745938,SCREW BN 2.7MM 38MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,745940,SCREW BN 2.7MM 40MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,745952,MESH SURG 20MM 15MM,6702.0,6702.0,737.22,6702.0,57
CDM,746184,CATH BLNOCC 8-14FR 80CM,11411.0,11411.0,798.77,11411.0,71
CDM,746194,CATH BLNDIL 20MM 5X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,746195,CATH BLNDIL 20MM 5X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,746218,EXPANDER TISS 3X4CM 25,19934.0,19934.0,2192.74,19934.0,57
CDM,746237,STAPLER INT 3.5X30MM,8137.0,8137.0,569.59,8137.0,71
CDM,746240,STAPLER INT 3.5X60MM,6649.0,6649.0,465.43,6649.0,71
CDM,746242,STAPLER INT 2.5X60MM,10222.0,10222.0,715.54,10222.0,71
CDM,746243,RELOAD STPLR 2.5X60MM,6080.0,6080.0,668.8,6080.0,57
CDM,746244,APPLIER CLP MED 9.75IN,5623.0,5623.0,393.61,5623.0,71
CDM,746245,APLR CLP ENDO 13IN LG,5623.0,5623.0,393.61,5623.0,71
CDM,746246,APLR CLP ENDO 11.5IN MED,5623.0,5623.0,393.61,5623.0,71
CDM,746247,STAPLER INT CIR 4.8X33MM,29008.0,29008.0,2030.56,29008.0,71
CDM,746258,CATH BLNDIL 4MM 170X8CM,6858.0,6858.0,480.06,6858.0,71
CDM,746324,ANCHOR SUT 4.75MM 19.1MM,13810.0,13810.0,1519.1,13810.0,57
CDM,746325,ANCHOR SUT 4.75MM 19.1MM,13810.0,13810.0,1519.1,13810.0,57
CDM,746433,SPHNTM ENDO 7FR 200CM,7887.0,7887.0,552.09,7887.0,71
CDM,746437,SPACER SPN 12X12X5MM,27841.0,27841.0,3062.51,27841.0,57
CDM,746461,DRILL SURG LNG,5623.0,5623.0,393.61,5623.0,71
CDM,746468,VALVE MITRAL 25MM,130440.0,130440.0,14348.4,130440.0,57
CDM,746469,VALVE MITRAL 27MM,130440.0,130440.0,14348.4,130440.0,57
CDM,746470,VALVE MTRAL 29MM,130440.0,130440.0,14348.4,130440.0,57
CDM,746492,SCREW BN 5MM 70MM,7861.0,7861.0,864.71,7861.0,57
CDM,746493,SCREW BN 5MM 75MM,750.0,750.0,82.5,750.0,57
CDM,746494,DEVICE WNDCLS 15CM SZ3,1599.0,1599.0,111.93,1599.0,71
CDM,746579,CATH ABL FOCL UL L 4X160,35775.0,35775.0,2504.25,35775.0,71
CDM,746582,SCREW BN 4MM 55MM,4850.0,4850.0,533.5,4850.0,57
CDM,746584,LINER HIP 48MM,21027.0,21027.0,2312.97,21027.0,57
CDM,746612,SCREW SPN BRKOF 4.75MM,1266.0,1266.0,139.26,1266.0,57
CDM,746628,PLATE BN LT MED BAR 4HL,3984.0,3984.0,438.24,3984.0,57
CDM,746629,PLATE RT MDFC 4 HL,3984.0,3984.0,438.24,3984.0,57
CDM,746632,VALVE AORTIC 18MM,108266.0,108266.0,11909.26,108266.0,57
CDM,746634,LINER ACTB HIP+4X60X36MM,57007.0,57007.0,6270.77,57007.0,57
CDM,746655,TROCAR LAPSCP 12MM 100MM,4123.0,4123.0,288.61,4123.0,71
CDM,746666,CATH BLNDIL 2.5MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,746780,STOPCOCK IV W/SWIVEL,51.0,51.0,3.57,51.0,71
CDM,746814,NEEDLE SUT 5.5 1.102IN,381.0,381.0,26.67,381.0,71
CDM,746819,CLIP SURG APPLICATOR 6MM,1599.0,1599.0,111.93,1599.0,71
CDM,746820,TROCAR 2/3MM 100MM,4480.0,4480.0,313.6,4480.0,71
CDM,746845,TROCAR LAPSCP 12MM 130MM,4123.0,4123.0,288.61,4123.0,71
CDM,746914,HEAD FEM HIP 44MM,15932.0,15932.0,1752.52,15932.0,57
CDM,746919,LINER ACTB HIP 20X56X40,13996.0,13996.0,1539.56,13996.0,57
CDM,746935,GRAFT SYN 78X50X7MM,9983.0,9983.0,1098.13,9983.0,57
CDM,746942,DISTRACTOR MNDB 30MM,142455.0,142455.0,15670.05,142455.0,57
CDM,746943,SCRDRVR STD DSTRCT 1.5 S,9670.0,9670.0,676.9,9670.0,71
CDM,746951,INSERT TIB KN 21MM,67655.0,67655.0,7442.05,67655.0,57
CDM,746977,NAIL HUM LT 8MM 260MM,26859.0,26859.0,2954.49,26859.0,57
CDM,746996,SCREW BN 5MM 34MM,3656.0,3656.0,402.16,3656.0,57
CDM,746998,SPACER TIB KN TMFX 5X5MM,1672.0,1672.0,183.92,1672.0,57
CDM,747005,GFT STRUTTIB CORT 3-15MM,11476.0,11476.0,1262.36,11476.0,57
CDM,747039,NEEDLE TRNSPTL 18GA 71CM,5623.0,5623.0,393.61,5623.0,71
CDM,747135,RETRACTOR SCROTAL DISP,9853.0,9853.0,689.71,9853.0,71
CDM,747152,NAIL RT FEM NLEX 9X380MM,29839.0,29839.0,3282.29,29839.0,57
CDM,747187,AGENT HMSTC MTRX 8ML,3848.0,3848.0,269.36,3848.0,71
CDM,747190,SET HYSCP SEAL OFLW,532.0,532.0,37.24,532.0,71
CDM,747195,STEM FEM HIP SZ7 30MM,49846.0,49846.0,5483.06,49846.0,57
CDM,747214,SCREW BN 2.7MM 18MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,747217,SCREW BN 2.7MM 20MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,747239,APPLIER INT W/CLP 9IN,1025.0,1025.0,112.75,1025.0,57
CDM,747248,STEM FEM KN 125X14MM,86103.0,86103.0,9471.33,86103.0,57
CDM,747316,SCREW SPN 7X45MM,12655.0,12655.0,1392.05,12655.0,57
CDM,747344,BIT DRILL SS 11MM,2025.0,2025.0,141.75,2025.0,71
CDM,747345,COIL EMBL 5CM 8MM,1686.0,1686.0,185.46,1686.0,57
CDM,747356,SCREW BN 10MM 1.7MM,1252.0,1252.0,137.72,1252.0,57
CDM,747374,CATH INTVN .014IN 135CM,14831.0,14831.0,1038.17,14831.0,71
CDM,747415,EXTRACT STON 1.5FR 115CM,8331.0,8331.0,583.17,8331.0,71
CDM,747419,CMPNT SHD INTSEG 30MM,182560.0,182560.0,20081.6,182560.0,57
CDM,747422,CMPNT SHD PRXBDY TM 51,123649.0,123649.0,13601.39,123649.0,57
CDM,747434,LEAD PCNG 4.7FR 86CM,40671.0,40671.0,4473.81,40671.0,57
CDM,747441,GRAFT NRV 3-4MM 70MM,133435.0,133435.0,14677.85,133435.0,57
CDM,747443,BUR 7.5MM 14CM,3748.0,3748.0,262.36,3748.0,71
CDM,747463,COIL EMBL 3CM 2MM,1686.0,1686.0,185.46,1686.0,57
CDM,747464,COIL EMBL 5CM 3MM,1686.0,1686.0,185.46,1686.0,57
CDM,747467,COIL EMBL 4CM 3MM,1686.0,1686.0,185.46,1686.0,57
CDM,747468,COIL EMBL 5CM 3MM,1686.0,1686.0,185.46,1686.0,57
CDM,747469,COIL EMBL 5CM 5MM,1686.0,1686.0,185.46,1686.0,57
CDM,747482,SCREW BN 5MM 38MM,3102.0,3102.0,341.22,3102.0,57
CDM,747483,SCREW BN 5X42MM,3102.0,3102.0,341.22,3102.0,57
CDM,747485,SCREW BN 5MM 70MM,3772.0,3772.0,414.92,3772.0,57
CDM,747486,SCREW CANN LCK 5X75MM,3772.0,3772.0,414.92,3772.0,57
CDM,747487,SCREW BN 5MM 3.5MM 65MM,3772.0,3772.0,414.92,3772.0,57
CDM,747502,TUBE GSTRM LP 14FR 2.7CM,3398.0,3398.0,237.86,3398.0,71
CDM,747503,BUTTON GSTRM 28FR 3.0CM,3299.0,3299.0,230.93,3299.0,71
CDM,747504,TUBE GSTRM 16FR 3.5CM,3299.0,3299.0,230.93,3299.0,71
CDM,747509,TRAY MYELOGRAM 22GX3.5IN,1301.0,1301.0,91.07,1301.0,71
CDM,747513,SUTURE VIOL BRD+4-0 27IN,90.0,90.0,6.3,90.0,71
CDM,747514,SUTURE UND MON +4-0 18IN,289.0,289.0,20.23,289.0,71
CDM,747537,CLIP ANRSM PERM 3MM,6030.0,6030.0,663.3,6030.0,57
CDM,747538,CLIP ANRSM PERM 5MM,5313.0,5313.0,584.43,5313.0,57
CDM,747539,CLIP ANRSM PERM 7.5MM,5313.0,5313.0,584.43,5313.0,57
CDM,747540,CLIP ANRSM PERM 12MM,5313.0,5313.0,584.43,5313.0,57
CDM,747541,CLIP ANRSM PERM 3MM,6198.0,6198.0,681.78,6198.0,57
CDM,747543,CLIP ANRSM PERM 5MM,5460.0,5460.0,600.6,5460.0,57
CDM,747550,SCREW BN NLCK 3.5MM 14MM,2097.0,2097.0,230.67,2097.0,57
CDM,747552,SCREW BN LCK 3.5MM 16MM,4419.0,4419.0,486.09,4419.0,57
CDM,747587,INSERT TIB BRN AS 75X16,19350.0,19350.0,2128.5,19350.0,57
CDM,747594,CMPNT KN AUGM OFST 7.5,14094.0,14094.0,1550.34,14094.0,57
CDM,747597,SYSTEM NEG PRSS 15.2CM,9665.0,9665.0,676.55,9665.0,71
CDM,747612,SUTURE BLK MONO 2 30IN,4032.0,4032.0,282.24,4032.0,71
CDM,747627,SCREW BN 2.4MM 12MM,2210.0,2210.0,243.1,2210.0,57
CDM,747628,INSERT ACTB HIP 62X40MM,38700.0,38700.0,4257.0,38700.0,57
CDM,747630,SET ATF OUTLT RSVR 55ML,5247.0,5247.0,367.29,5247.0,71
CDM,747631,SET ATF OUTLT RSVR 225ML,5247.0,5247.0,367.29,5247.0,71
CDM,747647,SUTURE VIOL MON +1 27IN,142.0,142.0,9.94,142.0,71
CDM,747658,BLDE SAW 38X12MM,5021.0,5021.0,351.47,5021.0,71
CDM,747659,SCREW BN SPN 5MM 35MM,11390.0,11390.0,1252.9,11390.0,57
CDM,747740,SYSTEM BNCMNT SIZE 2,6070.0,6070.0,424.9,6070.0,71
CDM,747767,SYSTEM EBB COMPLETE TAMP,1599.0,1599.0,111.93,1599.0,71
CDM,747778,NAIL IM TI L285MM OD12MM,25927.0,25927.0,2851.97,25927.0,57
CDM,747799,SCREW BN 2.0MM 14MM,1234.0,1234.0,135.74,1234.0,57
CDM,747801,SCREW BN 4.5MM 30MM,3856.0,3856.0,424.16,3856.0,57
CDM,747822,APPLIER INT W/CLP 9.75IN,1025.0,1025.0,112.75,1025.0,57
CDM,747826,DEVICE UNIT SUT FASTNER,884.0,884.0,97.24,884.0,57
CDM,747844,PIN MNDB EXFX 42X2MM,6035.0,6035.0,422.45,6035.0,71
CDM,747856,INSERT TIB XS UNV 31MM H,67655.0,67655.0,7442.05,67655.0,57
CDM,747894,PLATE BN 4H 2/2.5MM 4MM,6692.0,6692.0,736.12,6692.0,57
CDM,747906,LINER ACTB HIP 32MM 50MM,14190.0,14190.0,1560.9,14190.0,57
CDM,747990,SCREW BN 2.4MM 4MM 16MM,957.0,957.0,105.27,957.0,57
CDM,747991,SCREW BN 2.4MM 4MM 18MM,957.0,957.0,105.27,957.0,57
CDM,748064,PLATE BN 14HL 4.5X301MM,34398.0,34398.0,3783.78,34398.0,57
CDM,748065,SCREW BN 5MM 14MM,4431.0,4431.0,487.41,4431.0,57
CDM,748071,TROCR LAPSCP 100X7-8MM,4267.0,4267.0,298.69,4267.0,71
CDM,748072,DRESSING SINUS NSL 4CM,5623.0,5623.0,393.61,5623.0,71
CDM,748089,PLATE BN CRV 266MM 4.5MM,32243.0,32243.0,3546.73,32243.0,57
CDM,748090,SCREW BN VAR 5X12MM,4431.0,4431.0,487.41,4431.0,57
CDM,748113,SPHNTM GWIRE 30MM 260CM,8782.0,8782.0,614.74,8782.0,71
CDM,748282,CATH BLNDIL 18FR 4CM,5623.0,5623.0,393.61,5623.0,71
CDM,748283,STEM FEM HIP 150MM 12MM,78874.0,78874.0,8676.14,78874.0,57
CDM,748287,SCREW BN 3.5X30MM,4419.0,4419.0,486.09,4419.0,57
CDM,748288,SCREW BN 3.5MM 34MM,4419.0,4419.0,486.09,4419.0,57
CDM,748304,CATH VNTRC NBTC 23CM,6828.0,6828.0,751.08,6828.0,57
CDM,748315,WIRE CRLGE 175MM .6MM,750.0,750.0,82.5,750.0,57
CDM,748316,PLATE BN 3H 0.5MM,5791.0,5791.0,637.01,5791.0,57
CDM,748319,HEAD FEM OPTN TYPE1 +6MM,2777.0,2777.0,305.47,2777.0,57
CDM,748408,HEAD FEM HIP 0MM 22MM,7740.0,7740.0,851.4,7740.0,57
CDM,748427,STEM FEM HIP 140X10MM,45385.0,45385.0,4992.35,45385.0,57
CDM,748432,SUTURE CT-1 3-0 8X18IN,604.0,604.0,42.28,604.0,71
CDM,748441,BLADE SURG STRL DISP 15,2137.0,2137.0,149.59,2137.0,71
CDM,748467,MESH SURG 6X6IN,2410.0,2410.0,265.1,2410.0,57
CDM,748477,LINER ACTB HIP 54MM 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,748484,LEAD ANCH SLV KT 4/6/9FR,489.0,489.0,53.79,489.0,57
CDM,748489,BURR SURG 5MM,5623.0,5623.0,393.61,5623.0,71
CDM,748503,STEM FEM HIP 12MM 144MM,45385.0,45385.0,4992.35,45385.0,57
CDM,748510,STENT BIL 8FR 10X80MM,33399.0,33399.0,3673.89,33399.0,57
CDM,748555,SUTURE VIOL MON+2-0 27IN,176.0,176.0,12.32,176.0,71
CDM,748556,SUTURE VIOL MON+4-0 18IN,286.0,286.0,20.02,286.0,71
CDM,748557,SUTURE VIOL BRD+2-0 27IN,90.0,90.0,6.3,90.0,71
CDM,748585,SCREW SPN 7MM 40MM,12655.0,12655.0,1392.05,12655.0,57
CDM,748589,ROD SPN 5.5MM 480MM,4556.0,4556.0,501.16,4556.0,57
CDM,748601,RETRACTOR HOOK DISP 20MM,959.0,959.0,67.13,959.0,71
CDM,748603,BURR SURG 5MM,2948.0,2948.0,206.36,2948.0,71
CDM,748604,BURR SURG DMD LNG 3MM,3576.0,3576.0,250.32,3576.0,71
CDM,748605,BUR SRG 5 LNG RND DMD ST,3428.0,3428.0,239.96,3428.0,71
CDM,748606,BUR SURG BRL LNG 5MM,3108.0,3108.0,217.56,3108.0,71
CDM,748634,WEDGE REV MBT10MM 1.5MM,26865.0,26865.0,2955.15,26865.0,57
CDM,748640,PLATE ORBT RT 42X41X1MM,23386.0,23386.0,2572.46,23386.0,57
CDM,748644,SCREW BN 3.5MM 12MM,4797.0,4797.0,527.67,4797.0,57
CDM,748645,SCREW BN 3.5MM 14MM,4590.0,4590.0,504.9,4590.0,57
CDM,748646,SCREW BN 3.5MM 16MM,1747.0,1747.0,192.17,1747.0,57
CDM,748647,SCREW BN 4MM 18MM,1747.0,1747.0,192.17,1747.0,57
CDM,748648,BIT DRL 2.5MMX60MM,2512.0,2512.0,175.84,2512.0,71
CDM,748654,SCREW BN 3.5MM 10MM,1747.0,1747.0,192.17,1747.0,57
CDM,748698,PLATE BN 4.5MM 266MM,32243.0,32243.0,3546.73,32243.0,57
CDM,748709,SCREW BN 2.7MM 10MM,4797.0,4797.0,527.67,4797.0,57
CDM,748718,SCREW BN 4.5MM 42MM,4149.0,4149.0,456.39,4149.0,57
CDM,748727,BIT DRILL 50MM .7MM 7MM,5484.0,5484.0,383.88,5484.0,71
CDM,748733,BIT DRILL 105MM 1.5MM TW,4461.0,4461.0,312.27,4461.0,71
CDM,748769,BURR SURG 4MM 8MM,5623.0,5623.0,393.61,5623.0,71
CDM,748771,PORT ACC 12MM 120MM,3061.0,3061.0,214.27,3061.0,71
CDM,748774,PLATE BN 8HL 108X2MM,8106.0,8106.0,891.66,8106.0,57
CDM,748829,CATH KIT ANTIMCRBL SPN,11092.0,11092.0,1220.12,11092.0,57
CDM,748836,PLATE BN LT 2.8MM,44183.0,44183.0,4860.13,44183.0,57
CDM,748843,COIL EMBL 8CM 4MM,39145.0,39145.0,4305.95,39145.0,57
CDM,748856,HIP HEAD FEM +0 12/14 22,18154.0,18154.0,1996.94,18154.0,57
CDM,748942,SYSTEM RETRIEVAL 5MM,5623.0,5623.0,393.61,5623.0,71
CDM,748991,BIT DRILL DISP 4MM 165MM,6287.0,6287.0,440.09,6287.0,71
CDM,748999,DRILL SURG DISP 6MM,7064.0,7064.0,494.48,7064.0,71
CDM,749024,CATH INTVN 2.4-2.9FR,8459.0,8459.0,592.13,8459.0,71
CDM,749039,ROD COCR DD 3.5-5.5X600,7593.0,7593.0,835.23,7593.0,57
CDM,749078,SCREW BN 6.5X95MM,4521.0,4521.0,497.31,4521.0,57
CDM,749131,SET INTR 70CM 16FR 20-35,7258.0,7258.0,508.06,7258.0,71
CDM,749202,SCREW BN 6MM 14MM,3375.0,3375.0,371.25,3375.0,57
CDM,749208,SCREW BN 3.5MM 25MM,3784.0,3784.0,416.24,3784.0,57
CDM,749213,SCREW BN 2.7MM 30MM,2427.0,2427.0,266.97,2427.0,57
CDM,749223,SCREW BN 4MM 40MM,4850.0,4850.0,533.5,4850.0,57
CDM,749226,INSRT TIB 2 20 KN UHMWPE,54855.0,54855.0,6034.05,54855.0,57
CDM,749228,PIN FX 2.4MM 229MM,1599.0,1599.0,111.93,1599.0,71
CDM,749229,INST BN REMOVER SCREW,5623.0,5623.0,393.61,5623.0,71
CDM,749280,SCREW BN 3.5MM 10MM,3391.0,3391.0,373.01,3391.0,57
CDM,749286,GWIRE VASC 180CM,1278.0,1278.0,89.46,1278.0,71
CDM,749294,IMPL EYLD WGHT SPHR 1GM,6207.0,6207.0,682.77,6207.0,57
CDM,749300,CMPNT RAD ELB 24MM,21064.0,21064.0,2317.04,21064.0,57
CDM,749302,COMP FEM KN LT SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,749303,CANNULA PRFSN 7.5IN 8FR,5623.0,5623.0,393.61,5623.0,71
CDM,749405,CATH BLNDIL 6MM 3X70CM,12755.0,12755.0,892.85,12755.0,71
CDM,749423,SCREW BN 5MM 65MM,4134.0,4134.0,454.74,4134.0,57
CDM,749448,ADAPTER Y TUBING,5623.0,5623.0,393.61,5623.0,71
CDM,749452,CLIP SURG 6MM,1599.0,1599.0,111.93,1599.0,71
CDM,749457,KIT DRN CHST TUBE INS,2515.0,2515.0,176.05,2515.0,71
CDM,749478,SCRW T25 TI 5.0 X 80 MM,4352.0,4352.0,478.72,4352.0,57
CDM,749488,PIN HLD ORTH 5X180MM,4386.0,4386.0,307.02,4386.0,71
CDM,749501,KIT CATH EXP 2.5IN 3.25I,1599.0,1599.0,111.93,1599.0,71
CDM,749509,MESH HRN LT 6.2X4.1IN,7279.0,7279.0,800.69,7279.0,57
CDM,749540,CMPNT FEM KN RT SZ5,35346.0,35346.0,3888.06,35346.0,57
CDM,749587,BURR SURG 7.5MM,3076.0,3076.0,215.32,3076.0,71
CDM,749594,SET ATF OUTLT RSVR 125ML,5247.0,5247.0,367.29,5247.0,71
CDM,749595,BLADE SAW PRCSN 105X19.5,10002.0,10002.0,700.14,10002.0,71
CDM,749599,LINER ACTB HIP SZ2,14190.0,14190.0,1560.9,14190.0,57
CDM,749610,BLADE SAW 85X12.7X1.2MM,1388.0,1388.0,97.16,1388.0,71
CDM,749615,BLADE SAW 60X.64X6.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,749633,AUGMENT ACTB 10 61/64MM,32250.0,32250.0,3547.5,32250.0,57
CDM,749634,LINER ACTB HIP +4X64MM,38700.0,38700.0,4257.0,38700.0,57
CDM,749682,PLATE BN 8HL 4.5MM 230MM,31588.0,31588.0,3474.68,31588.0,57
CDM,749693,STEM FEM KN LPS 16X125MM,86103.0,86103.0,9471.33,86103.0,57
CDM,749723,INSERT TIB 2XS UNV 14MM,67655.0,67655.0,7442.05,67655.0,57
CDM,749781,FORCEPS RET 10MM 115CM,5623.0,5623.0,393.61,5623.0,71
CDM,749785,SCREW BN 5MM 20MM,3102.0,3102.0,341.22,3102.0,57
CDM,749790,REAMER LOPRO 7.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,749797,CATH BLNDIL 18FR 10CM,6516.0,6516.0,456.12,6516.0,71
CDM,749798,SCREW SPN 6MM 45MM,15186.0,15186.0,1670.46,15186.0,57
CDM,749799,SCREW SPN 5.5MM 45MM,18700.0,18700.0,2057.0,18700.0,57
CDM,749803,BLADE SAW 25X9MM,560.0,560.0,39.2,560.0,71
CDM,749804,BLADE SAW 18X5.5MM,560.0,560.0,39.2,560.0,71
CDM,749829,BURR SURG 5.5MM LNG OVL,1294.0,1294.0,90.58,1294.0,71
CDM,749831,BURR RND LONG 3MM,1198.0,1198.0,83.86,1198.0,71
CDM,749838,STENT TRCHBR 25MM 16FR,32963.0,32963.0,3625.93,32963.0,57
CDM,749857,SCREW BN 4MM 38MM 13MM,3021.0,3021.0,332.31,3021.0,57
CDM,749873,KWIRE FX 2 .045IN 4IN,269.0,269.0,18.83,269.0,71
CDM,749883,DEVICE CLSR VASC 6/7FR,4213.0,4213.0,463.43,4213.0,57
CDM,749889,DRSG WND CAALG 2IN 2IN,254.0,254.0,17.78,254.0,71
CDM,749890,DRSG WND CAALG 4IN 5IN,543.0,543.0,38.01,543.0,71
CDM,749896,PLATE BN 8HL 4.5MM 195MM,30179.0,30179.0,3319.69,30179.0,57
CDM,749898,SCREW BN 5MM 80MM,3772.0,3772.0,414.92,3772.0,57
CDM,749910,CATH ANGIO 4FR 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,749917,SHEATH GD 5FR 55CM,2661.0,2661.0,186.27,2661.0,71
CDM,749918,INTRODUCER SHTH 6FR 55CM,2661.0,2661.0,186.27,2661.0,71
CDM,749919,INTRODUCER SHTH 7FR 55CM,2661.0,2661.0,186.27,2661.0,71
CDM,749926,INTRO SHEATH 12FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
CDM,749928,INTRO SHTH 038 14F 10CM,2061.0,2061.0,144.27,2061.0,71
CDM,749934,SYSTEM TGHTRP ANKL STBLZ,13214.0,13214.0,1453.54,13214.0,57
CDM,749940,SCREW BN 7X2.7MM,3064.0,3064.0,337.04,3064.0,57
CDM,749941,SCREW MXFCL LCK 2.7X9,3064.0,3064.0,337.04,3064.0,57
CDM,749942,SCREW BN 13X2.7MM,3208.0,3208.0,352.88,3208.0,57
CDM,749943,SCREW TI MNDB 15X2.7,3064.0,3064.0,337.04,3064.0,57
CDM,749944,SCREW BN 2.7MM 11MM,3208.0,3208.0,352.88,3208.0,57
CDM,749945,SCREW ALOY LCK 19X2.7MM,2775.0,2775.0,305.25,2775.0,57
CDM,749946,TRAY URIMETER 4 MALE,385.0,385.0,26.95,385.0,71
CDM,749947,BLN ULTR ENDOSC BFUC160F,6823.0,6823.0,477.61,6823.0,71
CDM,749995,STENT BIL 8.5FR 60X10MM,45654.0,45654.0,5021.94,45654.0,57
CDM,750004,COIL EMBL 15CM 5MM,47763.0,47763.0,5253.93,47763.0,57
CDM,750010,COIL EMBL 7.0MM 20CM,47763.0,47763.0,5253.93,47763.0,57
CDM,750013,COIL EMB 3CM 2MM,47763.0,47763.0,5253.93,47763.0,57
CDM,750014,COIL EMBL 4CM 2MM,45149.0,45149.0,4966.39,45149.0,57
CDM,750016,COIL EMBL 6CM 3MM,45149.0,45149.0,4966.39,45149.0,57
CDM,750018,COIL EMBL 6.0CM 4.0MM,45149.0,45149.0,4966.39,45149.0,57
CDM,750019,COIL EMBL 8CM 4MM,45149.0,45149.0,4966.39,45149.0,57
CDM,750020,COIL EMBL 10CM X 4.0MM,45149.0,45149.0,4966.39,45149.0,57
CDM,750021,COIL EMBL 10CM X 5.0MM,40648.0,40648.0,4471.28,40648.0,57
CDM,750022,COIL EMB 1CM 2MM TARGET,25688.0,25688.0,2825.68,25688.0,57
CDM,750024,COIL EMBL TRGT 2MMX3CM,37588.0,37588.0,4134.68,37588.0,57
CDM,750027,COIL EMBL 4CM 3MM,29304.0,29304.0,3223.44,29304.0,57
CDM,750028,COIL EMBL 6CM 4MM,29304.0,29304.0,3223.44,29304.0,57
CDM,750029,COIL EMBL 10CM 4MM 360D,45149.0,45149.0,4966.39,45149.0,57
CDM,750031,COIL EMBL 15CM 6MM,45149.0,45149.0,4966.39,45149.0,57
CDM,750033,COIL EMBL 20CM 7MM,55607.0,55607.0,6116.77,55607.0,57
CDM,750036,COIL EMBL 30CM 10MM,55607.0,55607.0,6116.77,55607.0,57
CDM,750039,COIL EMBL 40CM 15MM,45149.0,45149.0,4966.39,45149.0,57
CDM,750040,COIL EMBL 2.0MM 4CM,47763.0,47763.0,5253.93,47763.0,57
CDM,750041,COIL EMBL 3.0MM 6CM,47763.0,47763.0,5253.93,47763.0,57
CDM,750042,COIL EMB 8CM 3MM TARGET,38354.0,38354.0,4218.94,38354.0,57
CDM,750043,COIL EMBL 8CM 4MM,47763.0,47763.0,5253.93,47763.0,57
CDM,750044,COIL EMBL 10CM 5MM,47763.0,47763.0,5253.93,47763.0,57
CDM,750050,HANDPIECE DISP 45D 14MM,10402.0,10402.0,728.14,10402.0,71
CDM,750093,SUTURE VIOL MON 6-0 30IN,826.0,826.0,57.82,826.0,71
CDM,750094,SUTURE VIOL MON+5-0 30IN,322.0,322.0,22.54,322.0,71
CDM,750095,STEM FEM HIP 132D 111MM,49846.0,49846.0,5483.06,49846.0,57
CDM,750139,STEM FEM SZ4 105MM,49846.0,49846.0,5483.06,49846.0,57
CDM,750142,STEM FEM HIP SZ3 102MM,49846.0,49846.0,5483.06,49846.0,57
CDM,750257,DRESSING ABS 8X5IN,451.0,451.0,31.57,451.0,71
CDM,750401,COIL EMBL 10CM 6MM,47763.0,47763.0,5253.93,47763.0,57
CDM,750434,SCREW BN 5MM 25MM,7152.0,7152.0,786.72,7152.0,57
CDM,750478,KWIRE FX 150MM 1.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,750479,BURR SURG 25.4MM .8MM,3756.0,3756.0,262.92,3756.0,71
CDM,750487,SCREW CORT HEX 4.5X32MM,750.0,750.0,82.5,750.0,57
CDM,750508,CATH SWAN S-TIP,2488.0,2488.0,174.16,2488.0,71
CDM,750521,DILATOR VASC 7FR 20CM,895.0,895.0,62.65,895.0,71
CDM,750526,COIL EMBL 3CM 3MM,1472.0,1472.0,161.92,1472.0,57
CDM,750527,COIL EMBL 3.7LP 7CM 6MM,1696.0,1696.0,186.56,1696.0,57
CDM,750535,SCREW BN S/T 2MM 10MM,1234.0,1234.0,135.74,1234.0,57
CDM,750549,STEM FEM HIP 17X140MM,50672.0,50672.0,5573.92,50672.0,57
CDM,750550,BAR ASSMBLY TENSYL RECLM,13986.0,13986.0,979.02,13986.0,71
CDM,750551,BODY HIP RED 24X105MM,60605.0,60605.0,6666.55,60605.0,57
CDM,750596,SCREW BN 5MMX16MM,3976.0,3976.0,437.36,3976.0,57
CDM,750597,SCREW BN 5MM 18MM,3976.0,3976.0,437.36,3976.0,57
CDM,750617,SCREW BN NLCK 3.5MM 18MM,2240.0,2240.0,246.4,2240.0,57
CDM,750619,SCREW BN NLCK 3.5MM 16MM,2240.0,2240.0,246.4,2240.0,57
CDM,750621,ANCHOR SUT 8.0MM 19.5MM,14899.0,14899.0,1638.89,14899.0,57
CDM,750622,SCREW BN 4MM 40MM,4850.0,4850.0,533.5,4850.0,57
CDM,750623,SCREW BN 3.0MM 16MM,1028.0,1028.0,113.08,1028.0,57
CDM,750636,BIT DRILL 105MM 2.2MM TW,5221.0,5221.0,365.47,5221.0,71
CDM,750637,ROD BN EXFX 2 5X200,3014.0,3014.0,210.98,3014.0,71
CDM,750644,RETRACTOR 7CMX17MMX11MM,11517.0,11517.0,806.19,11517.0,71
CDM,750646,RETRACTOR 7CMX21MMX15MM,11517.0,11517.0,806.19,11517.0,71
CDM,750661,NAIL LNG 125D 10X380MM,45578.0,45578.0,5013.58,45578.0,57
CDM,750662,COUPLING EX FIX ROD,11433.0,11433.0,800.31,11433.0,71
CDM,750674,NAIL BN HUM 9MM 290MM,25137.0,25137.0,2765.07,25137.0,57
CDM,750697,STEM FEM SZ4 105MM,49846.0,49846.0,5483.06,49846.0,57
CDM,750717,GWIRE ORTH 3.2MM 300MM,5068.0,5068.0,354.76,5068.0,71
CDM,750719,DEVICE CLSR VASC 5FR,4213.0,4213.0,463.43,4213.0,57
CDM,750723,STEM FEM HIP 140MM 10MM,51600.0,51600.0,5676.0,51600.0,57
CDM,750726,SCREW BN 1.6MM 4MM,1082.0,1082.0,119.02,1082.0,57
CDM,750727,PLATE BN CVR BUR LG 27MM,3651.0,3651.0,401.61,3651.0,57
CDM,750764,PLATE BN 10HL 4.5X230MM,31588.0,31588.0,3474.68,31588.0,57
CDM,750769,RETRACTOR 5CMX17MMX11MM,11517.0,11517.0,806.19,11517.0,71
CDM,750771,RETRACTOR 5CMX21MMX15MM,11517.0,11517.0,806.19,11517.0,71
CDM,750776,CATH GD 4FR 135CM,5623.0,5623.0,393.61,5623.0,71
CDM,750817,DRSG WND FM NADH 10X10CM,153.0,153.0,10.71,153.0,71
CDM,750826,POST EX FX 11MM,4086.0,4086.0,286.02,4086.0,71
CDM,750831,ROD CONN EX FX 11X500,6058.0,6058.0,424.06,6058.0,71
CDM,750837,SCREW BNE TI L30MM OD5MM,12655.0,12655.0,1392.05,12655.0,57
CDM,750844,PLT BN MDFC 4X6HL .7MM,5810.0,5810.0,639.1,5810.0,57
CDM,750909,CATH BLNDIL 2MM 8MM LUM,3936.0,3936.0,275.52,3936.0,71
CDM,750911,CATH BLNDIL 2.5MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,750912,CATH BLNDIL 2.75MM 8MM,3936.0,3936.0,275.52,3936.0,71
CDM,750913,CATH BLNDIL 3MM 8MM LUM,2811.0,2811.0,196.77,2811.0,71
CDM,750915,CATH BLNDIL 3.5MM 8MM,3936.0,3936.0,275.52,3936.0,71
CDM,750917,CATH BLNDIL 4MM 8MM LUM,3936.0,3936.0,275.52,3936.0,71
CDM,750918,CATH BLNDIL 2MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,750920,CATH BLNDIL 2.5MM 12MM,3713.0,3713.0,259.91,3713.0,71
CDM,750922,CATH BLNDIL 3MM 12MM,3503.0,3503.0,245.21,3503.0,71
CDM,750924,CATH BLNDIL 3.5MM 12MM,3936.0,3936.0,275.52,3936.0,71
CDM,750926,CATH BLNDIL 4MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,750927,CATH BLNDIL 2MM 15MM,2811.0,2811.0,196.77,2811.0,71
CDM,750929,CATH BLNDIL 2.5MM 15MM,3713.0,3713.0,259.91,3713.0,71
CDM,750931,CATH BLNDIL 3MM 15MM,3936.0,3936.0,275.52,3936.0,71
CDM,750933,CATH BLNDIL 3.5MM 15MM,3936.0,3936.0,275.52,3936.0,71
CDM,750935,CATH BLNDIL 15MM 4.00MM,2811.0,2811.0,196.77,2811.0,71
CDM,750936,CATH BLNDIL 2MM0MM,2811.0,2811.0,196.77,2811.0,71
CDM,750938,CATH BLNDIL 2.5MM0MM,2811.0,2811.0,196.77,2811.0,71
CDM,750940,CATH BLNDIL 3MM0MM,2811.0,2811.0,196.77,2811.0,71
CDM,750942,CATH BLNDIL 3.5MM0MM,3936.0,3936.0,275.52,3936.0,71
CDM,750944,CATH BLNDIL 4MM0MM,2811.0,2811.0,196.77,2811.0,71
CDM,750945,CATH BLNDIL 2MM 30MM,2811.0,2811.0,196.77,2811.0,71
CDM,750947,CATH BLNDIL 2.5MM 30MM,2811.0,2811.0,196.77,2811.0,71
CDM,750949,CATH BLNDIL 3MM 30MM,3936.0,3936.0,275.52,3936.0,71
CDM,750951,CATH BLNDIL 3.5MM 30MM,2811.0,2811.0,196.77,2811.0,71
CDM,750957,SCREW BN 3.5MM 50MM,1203.0,1203.0,132.33,1203.0,57
CDM,750959,SCREW BN 3.5MM 42MM,1028.0,1028.0,113.08,1028.0,57
CDM,751000,STENT BIL 7FR 5CM,2612.0,2612.0,287.32,2612.0,57
CDM,751039,SNARE POLY HEX MED,448.0,448.0,31.36,448.0,71
CDM,751087,NAIL TIB 11MM 300MM,18946.0,18946.0,2084.06,18946.0,57
CDM,751098,CMPNT SHD PRXBDY TM 71MM,106957.0,106957.0,11765.27,106957.0,57
CDM,751118,SCREW SPN 5.5/6MM 50MM,15186.0,15186.0,1670.46,15186.0,57
CDM,751122,HANDPIECE WTRJET 14X.1MM,11433.0,11433.0,800.31,11433.0,71
CDM,751138,TUBE JJNSTM 30CM 16FR,6634.0,6634.0,464.38,6634.0,71
CDM,751142,STEM FEM HIP 127D,49846.0,49846.0,5483.06,49846.0,57
CDM,751146,FORCEP BX 5MM 115MM,1417.0,1417.0,99.19,1417.0,71
CDM,751184,CMPNT FEM KN SZ6,35346.0,35346.0,3888.06,35346.0,57
CDM,751218,SCREW BN 4MM 34MM,4419.0,4419.0,486.09,4419.0,57
CDM,751219,SCREW BN 4X28MM,4850.0,4850.0,533.5,4850.0,57
CDM,751221,SCREW BN 3MM 20MM,4419.0,4419.0,486.09,4419.0,57
CDM,751234,WEDGE KN TIB AUG 63X10,18343.0,18343.0,2017.73,18343.0,57
CDM,751237,WEDGE KN CRCTE AUG SML,11094.0,11094.0,1220.34,11094.0,57
CDM,751253,PLEDGET CV .25X1/8IN,750.0,750.0,82.5,750.0,57
CDM,751264,ANCHOR SUT 1.0MM,6068.0,6068.0,667.48,6068.0,57
CDM,751272,SCREW SPN 6.5MM 45MM,12506.0,12506.0,1375.66,12506.0,57
CDM,751277,SCREW SPN 5MM 40MM,16368.0,16368.0,1800.48,16368.0,57
CDM,751286,PLATE BN MDFC 8H .5MM,5980.0,5980.0,657.8,5980.0,57
CDM,751299,BLADE CHSL 2.5IN 8MM,3256.0,3256.0,227.92,3256.0,71
CDM,751334,HEAD HIP 12/14 +12X28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,751371,COIL EMBL 15CM 4MM,45149.0,45149.0,4966.39,45149.0,57
CDM,751394,COIL EMBL 30CM 13MM SFT,41272.0,41272.0,4539.92,41272.0,57
CDM,751399,COIL EMBL 3CM 1MM,45149.0,45149.0,4966.39,45149.0,57
CDM,751417,PLATE MI .5 18 HL STRUT,12402.0,12402.0,1364.22,12402.0,57
CDM,751432,STENT NSL IMPLANT 23MM,3597.0,3597.0,395.67,3597.0,57
CDM,751445,SCREW SET SPN 5.5MM,1350.0,1350.0,148.5,1350.0,57
CDM,751448,COIL EMB 20CM 5MM,35963.0,35963.0,3955.93,35963.0,57
CDM,751455,COIL EMBL 30CM 11MM SFT,38881.0,38881.0,4276.91,38881.0,57
CDM,751510,HEAD FEM HIP 8.5MM 28MM,18255.0,18255.0,2008.05,18255.0,57
CDM,751577,SCREW BN 3.5MM 28MM MTNR,13191.0,13191.0,1451.01,13191.0,57
CDM,751657,SCREW BN 2.7X12,3391.0,3391.0,373.01,3391.0,57
CDM,751659,SUTURE WND 3-0 6IN,1599.0,1599.0,111.93,1599.0,71
CDM,751690,BIT DRILL 50MM 1.5MM 5MM,5174.0,5174.0,362.18,5174.0,71
CDM,751691,NAIL TROCH 12MM 20CM,32524.0,32524.0,3577.64,32524.0,57
CDM,751700,STENT BIL 8.5FR 5CM,2651.0,2651.0,291.61,2651.0,57
CDM,751701,STENT BIL 8.5FR 7CM,2651.0,2651.0,291.61,2651.0,57
CDM,751702,STENT BIL 8.5FR 9CM,2612.0,2612.0,287.32,2612.0,57
CDM,751703,STENT BIL 8.5FR 12CM,2612.0,2612.0,287.32,2612.0,57
CDM,751704,STENT BIL 8.5FR 15CM,2612.0,2612.0,287.32,2612.0,57
CDM,751706,STENT BIL 10FR 5CM,2612.0,2612.0,287.32,2612.0,57
CDM,751727,CATH SUPP 135CM 12MM,5623.0,5623.0,393.61,5623.0,71
CDM,751728,CATHETER GD VASC 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,751731,SET PUMP ASST 2.5IN,240000.0,240000.0,16800.0,240000.0,71
CDM,751756,CATH MICRO 5FR 115CM,21707.0,21707.0,1519.49,21707.0,71
CDM,751827,STEM FEM SZ5 108MM,49846.0,49846.0,5483.06,49846.0,57
CDM,751835,BURR SURG RND 4.0MM,927.0,927.0,64.89,927.0,71
CDM,751849,SCREW BN 2.4MM 10MM,2636.0,2636.0,289.96,2636.0,57
CDM,751859,CMPNT PTLR KN 9X29MM,9804.0,9804.0,1078.44,9804.0,57
CDM,751887,PLATE MICRO 7MM 5030207,4417.0,4417.0,485.87,4417.0,57
CDM,751890,REAMER SURG 8IN 12MM,36935.0,36935.0,2585.45,36935.0,71
CDM,751891,REAMER SURG 8IN 14MM,6510.0,6510.0,455.7,6510.0,71
CDM,751904,ROD EX FIX 11MM 150MM,5623.0,5623.0,393.61,5623.0,71
CDM,751905,ROD EX FIX 200X11 CRBN,5623.0,5623.0,393.61,5623.0,71
CDM,751908,TROCAR LAPSCP 12MM 100MM,2549.0,2549.0,178.43,2549.0,71
CDM,751954,PLATE BN 3.5MM 65MM,6465.0,6465.0,711.15,6465.0,57
CDM,751983,TRACKER NVG INST DISP,5508.0,5508.0,385.56,5508.0,71
CDM,751989,STEM FEM HIP 15MM 150MM,43860.0,43860.0,4824.6,43860.0,57
CDM,751998,PLATE BN 10HL 3.5X230MM,26154.0,26154.0,2876.94,26154.0,57
CDM,752075,STEM FEM KN 11X100MM,86103.0,86103.0,9471.33,86103.0,57
CDM,752095,DEVICE UNIT SUT FASTNER,5282.0,5282.0,581.02,5282.0,57
CDM,752133,SYSTEM IMP FX MINI SUT,37504.0,37504.0,4125.44,37504.0,57
CDM,752163,STEM FEM HIP SZ3 102MM,49846.0,49846.0,5483.06,49846.0,57
CDM,752229,SCREW BN 2MM 12MM,1234.0,1234.0,135.74,1234.0,57
CDM,752231,SCREW BN 2.4MM 6MM,1765.0,1765.0,194.15,1765.0,57
CDM,752237,NDL SCLRTX 25GA INJ PRJ,1599.0,1599.0,111.93,1599.0,71
CDM,752297,CABLE DLMLS HIP SS 1.6MM,5280.0,5280.0,580.8,5280.0,57
CDM,752325,SEALER LAPRSCPC 5MM 35CM,7916.0,7916.0,554.12,7916.0,71
CDM,752351,STEM FEM KN 12X150MM,19623.0,19623.0,2158.53,19623.0,57
CDM,752359,ROD SPN 40MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,752436,SCREW SPN 6MM 40MM,15186.0,15186.0,1670.46,15186.0,57
CDM,752460,NEEDLE BX 21GA 65.5CM,2474.0,2474.0,173.18,2474.0,71
CDM,752467,STEM FEM HIP 16MM 152MM,45385.0,45385.0,4992.35,45385.0,57
CDM,752497,SCREW BN 6.5MM 20MM,1228.0,1228.0,135.08,1228.0,57
CDM,752499,HUM REV BDYEXT SHLDR SMR,21785.0,21785.0,2396.35,21785.0,57
CDM,752500,COMPNT HUM SHLDR SMR,62436.0,62436.0,6867.96,62436.0,57
CDM,752501,SCREW BN 6.5X25MM,1228.0,1228.0,135.08,1228.0,57
CDM,752503,COMPNT PIN KN XX-SM,12810.0,12810.0,1409.1,12810.0,57
CDM,752518,MANIFOLD SGL 1 PORT,954.0,954.0,66.78,954.0,71
CDM,752573,CMPNT GLND STD,18154.0,18154.0,1996.94,18154.0,57
CDM,752577,LINER HUM 36MMSMR+3MM,19737.0,19737.0,2171.07,19737.0,57
CDM,752600,STEM FEM SZ8 117MM,49846.0,49846.0,5483.06,49846.0,57
CDM,752619,BANDAGE CMPR 2.9YDX4IN,665.0,665.0,46.55,665.0,71
CDM,752620,BUR DIA CRV FN 1X98,5623.0,5623.0,393.61,5623.0,71
CDM,752629,CATH THRMB 139CM,23861.0,23861.0,1670.27,23861.0,71
CDM,752654,SCREW BN 6.5MM 25MM TRN,1954.0,1954.0,214.94,1954.0,57
CDM,752675,SCREW BN 2.4MM 8MM,1765.0,1765.0,194.15,1765.0,57
CDM,752726,ROD EXFX 11MM 350MM,7409.0,7409.0,518.63,7409.0,71
CDM,752745,INSERT TIB KN SZ2 17.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,752746,INSERT TIB 2 12.5MM TC3,36491.0,36491.0,4014.01,36491.0,57
CDM,752759,CATH BLNDIL LG DIA 8,5990.0,5990.0,419.3,5990.0,71
CDM,752760,CATH BLNDIL 16MM 40MM,5990.0,5990.0,419.3,5990.0,71
CDM,752807,STENT URET L14CM OD3.7FR,4019.0,4019.0,442.09,4019.0,57
CDM,752810,TUBE JJNSTM 12FR 45CM,4322.0,4322.0,302.54,4322.0,71
CDM,752814,GRAFT OPTH 100MIC 2X3CM,11160.0,11160.0,1227.6,11160.0,57
CDM,752822,BASEPLAT GLND 25MM,38700.0,38700.0,4257.0,38700.0,57
CDM,752823,PLATE BN 6HL 104MM,21290.0,21290.0,2341.9,21290.0,57
CDM,752824,SCREW BN 2.7MM 10MM LCK,3391.0,3391.0,373.01,3391.0,57
CDM,752826,BURR 4 CRSE DMD RND,4212.0,4212.0,294.84,4212.0,71
CDM,752842,SCREW BN CRNMXF 5MM,1453.0,1453.0,159.83,1453.0,57
CDM,752858,GRAFT TIS DBM 50X20X6MM,21249.0,21249.0,2337.39,21249.0,57
CDM,752867,CATH EP LG 2-5-2X110 6FR,6858.0,6858.0,480.06,6858.0,71
CDM,752871,CATH EP J 2-5-2X120 6FR,3224.0,3224.0,225.68,3224.0,71
CDM,752918,SCREW 8X40MM VPR TI P-AX,14899.0,14899.0,1638.89,14899.0,57
CDM,752919,SCREW VIPR PLOY 8X45 TI,14899.0,14899.0,1638.89,14899.0,57
CDM,752923,PIN DRL KN ACL 4MM,5079.0,5079.0,355.53,5079.0,71
CDM,752932,STOPCOCK DBL MALE LL 4W,768.0,768.0,53.76,768.0,71
CDM,752943,PUNCH AOR LNG HNDL 4MM,3673.0,3673.0,257.11,3673.0,71
CDM,752944,PUNCH LNG CNCL TIP 4.4MM,3673.0,3673.0,257.11,3673.0,71
CDM,753083,BODY CONE HIP STD 60MM,80284.0,80284.0,8831.24,80284.0,57
CDM,753115,STEM FEM 125X18.5MM LPS,92481.0,92481.0,10172.91,92481.0,57
CDM,753198,BLADE SAW 26.3X0.4 LNG,1744.0,1744.0,122.08,1744.0,71
CDM,753203,STENT URET 6FR 12X100CM,2216.0,2216.0,243.76,2216.0,57
CDM,753206,COIL EMBL 5CM 3MM,2179.0,2179.0,239.69,2179.0,57
CDM,753207,COIL EMBL 3CM 3MM 3LP DT,2179.0,2179.0,239.69,2179.0,57
CDM,753208,COIL EMBL 8CM 5MM,2179.0,2179.0,239.69,2179.0,57
CDM,753209,GRAFT MNDBL 79X32X5MM,14180.0,14180.0,1559.8,14180.0,57
CDM,753237,RELOAD STPLR 2X45MM,6522.0,6522.0,717.42,6522.0,57
CDM,753245,SEALER LAPRSCPC 5MM 45CM,9104.0,9104.0,637.28,9104.0,71
CDM,753277,HANDPIECE ESURG PNCL SGL,2274.0,2274.0,159.18,2274.0,71
CDM,753300,CATH FOL 2W 10F 3ML,427.0,427.0,29.89,427.0,71
CDM,753302,STEM FEM SZ5 108MM,49846.0,49846.0,5483.06,49846.0,57
CDM,753303,ROD EX FIX 11MM 250MM,6079.0,6079.0,425.53,6079.0,71
CDM,753306,ROD EXFX 11X400MM,6785.0,6785.0,474.95,6785.0,71
CDM,753333,SCREW SPN 5MM 35MM,15518.0,15518.0,1706.98,15518.0,57
CDM,753336,CATH ANGIO 4FR 150CM,5623.0,5623.0,393.61,5623.0,71
CDM,753338,PLATE BN 90D 8MM 38MM,10672.0,10672.0,1173.92,10672.0,57
CDM,753358,GRAFT MNDBL 79X32X4MM,13443.0,13443.0,1478.73,13443.0,57
CDM,753364,STYLET LEAD BLL TIP 45CM,1599.0,1599.0,111.93,1599.0,71
CDM,753366,CATH EP 6FR 105CM,3253.0,3253.0,227.71,3253.0,71
CDM,753368,CATHETER MAP BI-DIR,4511.0,4511.0,315.77,4511.0,71
CDM,753389,SCREW SPNL 5.5MM,15518.0,15518.0,1706.98,15518.0,57
CDM,753391,SCREWDRVR SHFT LNG 1.2MM,4956.0,4956.0,346.92,4956.0,71
CDM,753408,STEM FEM HIP 12MM 144MM,45385.0,45385.0,4992.35,45385.0,57
CDM,753413,PLUG VASC 4MM 10MM,24779.0,24779.0,2725.69,24779.0,57
CDM,753414,PLUG VASC 6MM 11MM,24779.0,24779.0,2725.69,24779.0,57
CDM,753415,PLUG VASC 7MM 12.5MM,24779.0,24779.0,2725.69,24779.0,57
CDM,753416,PLUG VASC 8MM 13.5MM,24779.0,24779.0,2725.69,24779.0,57
CDM,753421,PLUG VASC 5MM 10.5MM,24779.0,24779.0,2725.69,24779.0,57
CDM,753430,WIRE FX 2.5MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,753452,CATH PWRFLX 6X20MM 80CM,4986.0,4986.0,349.02,4986.0,71
CDM,753489,LEAD CRT PCNG 55CM,77542.0,77542.0,8529.62,77542.0,57
CDM,753490,LEAD CRT PCNG 62CM,77542.0,77542.0,8529.62,77542.0,57
CDM,753556,PLATE BN 12H 0.8MM,6701.0,6701.0,737.11,6701.0,57
CDM,753581,CATH PWRFLX 7X20MM 80CM,4597.0,4597.0,321.79,4597.0,71
CDM,753597,CATH PWRFLX 8X20MM 80CM,4986.0,4986.0,349.02,4986.0,71
CDM,753609,CATH PWRFLX 9X20MM 80CM,4873.0,4873.0,341.11,4873.0,71
CDM,753628,CATH PWRFLX 10X20MM 80CM,4986.0,4986.0,349.02,4986.0,71
CDM,753647,TRAY CATH HKMN 12FR 27CM,5623.0,5623.0,393.61,5623.0,71
CDM,753681,SCREW BN NLCK 3.5MM 12MM,2097.0,2097.0,230.67,2097.0,57
CDM,753682,SCREW BN 7MM 55MM TI COR,16368.0,16368.0,1800.48,16368.0,57
CDM,753686,INTRO SHEATH 15F 15.5CM,2061.0,2061.0,144.27,2061.0,71
CDM,753701,HEMOSTAT ABS NWVN 4X4IN,3705.0,3705.0,259.35,3705.0,71
CDM,753702,STENT BIL 7X16MM 135CM,19390.0,19390.0,2132.9,19390.0,57
CDM,753751,SCREW SPN 5MM 30MM,15186.0,15186.0,1670.46,15186.0,57
CDM,753755,NEEDLE SUT REG 2.457IN,8889.0,8889.0,622.23,8889.0,71
CDM,753761,CATHETER EP 120CM 6FR,971.0,971.0,67.97,971.0,71
CDM,753764,STEM HIP FEM 7MM 134MM,43860.0,43860.0,4824.6,43860.0,57
CDM,753766,WEDGE ACTB 20X50MM,39268.0,39268.0,4319.48,39268.0,57
CDM,753780,GRAFT FSTL PLUG 9.5X.6CM,22667.0,22667.0,2493.37,22667.0,57
CDM,753807,CATH VASC 6CM 150CM,16589.0,16589.0,1161.23,16589.0,71
CDM,753818,SCREW BN 2MM 15MM,2172.0,2172.0,238.92,2172.0,57
CDM,753819,SCREW BN 11MM 2MM,2403.0,2403.0,264.33,2403.0,57
CDM,753821,SCREW BN LV1 2X7MM,2511.0,2511.0,276.21,2511.0,57
CDM,753834,NAIL BN FEMCANN 13X400MM,20693.0,20693.0,2276.23,20693.0,57
CDM,753844,BURR SURG RND 48X2MM,1899.0,1899.0,132.93,1899.0,71
CDM,753845,BURR SURG RND 48X4MM,1859.0,1859.0,130.13,1859.0,71
CDM,753850,STENT NPHURET 8.5FR 26CM,1860.0,1860.0,204.6,1860.0,57
CDM,753852,DEVICE VNTRC AST POW MOD,20514.0,20514.0,1435.98,20514.0,57
CDM,753852,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",20514.0,20514.0,931.63,2516.35,42
CDM,753852,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",20514.0,20514.0,1008.46,1008.46,6
CDM,753854,SCREW SPN CORT 7X50MM,15186.0,15186.0,1670.46,15186.0,57
CDM,753858,PLATE BN 4H 2.7MM 108MM,20059.0,20059.0,2206.49,20059.0,57
CDM,753867,NEEDLE PORT 16GA 1IN,1599.0,1599.0,111.93,1599.0,71
CDM,753871,SCREW BN 2.7MM 30MM,786.0,786.0,86.46,786.0,57
CDM,753872,PLATE BN 2HL 90MM,18881.0,18881.0,2076.91,18881.0,57
CDM,753901,SCREW BN 1.5MM 5MM,1228.0,1228.0,135.08,1228.0,57
CDM,753905,BLADE SAW 13X90MM,1870.0,1870.0,130.9,1870.0,71
CDM,753912,SCREW SPN CORT 8X50MM,15411.0,15411.0,1695.21,15411.0,57
CDM,753948,STENT VASC 7X20MM 80CM,16824.0,16824.0,1850.64,16824.0,57
CDM,753949,SCREW BN 5MM 60MM,3772.0,3772.0,414.92,3772.0,57
CDM,753951,SCREW BN 5.0MM 32MM,3102.0,3102.0,341.22,3102.0,57
CDM,753968,PLATE PED HIP 02.108.331,9637.0,9637.0,1060.07,9637.0,57
CDM,753987,CATH ANGIO 5FR 130CM,4123.0,4123.0,288.61,4123.0,71
CDM,753989,BUTTON BN FX IMPL,12002.0,12002.0,1320.22,12002.0,57
CDM,754008,CATH BLN CATH 5FR,4266.0,4266.0,298.62,4266.0,71
CDM,754029,SCREW BN 2.7MM 34MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,754042,SYSTEM BLNDIL 85X24MM,12008.0,12008.0,840.56,12008.0,71
CDM,754050,CMPNT FEM KN RM/LL SZ3,35346.0,35346.0,3888.06,35346.0,57
CDM,754052,BASEPLT TIB KN RM/LL SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,754077,SCREW BN 3.5MM 36MM,1203.0,1203.0,132.33,1203.0,57
CDM,754087,KIT JJNSTM 30CM 16FR,6584.0,6584.0,460.88,6584.0,71
CDM,754119,BIT DRILL SIZE 2,5623.0,5623.0,393.61,5623.0,71
CDM,754120,CMPNT TIB ANKLE RT SZ2,52736.0,52736.0,5800.96,52736.0,57
CDM,754121,WIRE FX KRSH 228X1.4MM,1599.0,1599.0,111.93,1599.0,71
CDM,754131,SCREW BN 2.7X28MM,750.0,750.0,82.5,750.0,57
CDM,754134,BUTTON GSTRM 12FR 1.5CM,3786.0,3786.0,265.02,3786.0,71
CDM,754135,BUTTON GSTRM 12FR 1.7CM,3786.0,3786.0,265.02,3786.0,71
CDM,754136,BUTTON GSTRM 14FR 1.5CM,3786.0,3786.0,265.02,3786.0,71
CDM,754137,BUTTON GSTRM 14FR 1.7CM,3786.0,3786.0,265.02,3786.0,71
CDM,754140,SCREW BN 1.85MM 14MM,2018.0,2018.0,221.98,2018.0,57
CDM,754165,CATH TEMPO 4 4F VERT,1263.0,1263.0,88.41,1263.0,71
CDM,754169,NEEDLE PROC 19GA 7CM,113.0,113.0,7.91,113.0,71
CDM,754172,CMPNT FEM KN LM/RL SZ7,35346.0,35346.0,3888.06,35346.0,57
CDM,754173,BASPLT TIB KN LM/RL SZ7,25800.0,25800.0,2838.0,25800.0,57
CDM,754175,CMPNT FEM KN LM/RL SZ6,35346.0,35346.0,3888.06,35346.0,57
CDM,754176,BASEPLATE TIB KN SZ5,25800.0,25800.0,2838.0,25800.0,57
CDM,754210,SCREW BN 2.7MM 14MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,754211,SCREW BN 2.7MM 18MM,786.0,786.0,86.46,786.0,57
CDM,754212,SCREW BN ELB T8 2.7MM,750.0,750.0,82.5,750.0,57
CDM,754213,SCREW BN 2.7MM 22MM,750.0,750.0,82.5,750.0,57
CDM,754224,AUGMENT ACTB 10 50/52MM,33815.0,33815.0,3719.65,33815.0,57
CDM,754252,PLATE BN CRNFCL 9MM 14MM,3494.0,3494.0,384.34,3494.0,57
CDM,754254,PLATE BN CMF 2HL 17MM,1219.0,1219.0,134.09,1219.0,57
CDM,754307,STENT BIL 10MM 80MM,49218.0,49218.0,5413.98,49218.0,57
CDM,754309,FORCEPS SPEC RET 230CM,2384.0,2384.0,166.88,2384.0,71
CDM,754330,SCREW BN 1.4MM 5MM,1505.0,1505.0,165.55,1505.0,57
CDM,754332,BURR SURG EGG STRL 6MM,1599.0,1599.0,111.93,1599.0,71
CDM,754335,DLTR VSC AQ 6F 20 038,895.0,895.0,62.65,895.0,71
CDM,754342,SCREW BN 3.5MM 32MM,3946.0,3946.0,434.06,3946.0,57
CDM,754343,SCREW BN LCK 3.5X32MM,3946.0,3946.0,434.06,3946.0,57
CDM,754355,STENT VSC 10X29MM 135CM,21088.0,21088.0,2319.68,21088.0,57
CDM,754403,CMPNT FEM KN RT SZ5,105929.0,105929.0,11652.19,105929.0,57
CDM,754404,WEDGE FEM KN SZ5 10MM,19026.0,19026.0,2092.86,19026.0,57
CDM,754407,WEDGE TIB KN SZ3-4 10MM,25424.0,25424.0,2796.64,25424.0,57
CDM,754444,SCREW FEM STEM FIX 25MM,41100.0,41100.0,4521.0,41100.0,57
CDM,754453,LINER ACTB HIP+4X40X66MM,38700.0,38700.0,4257.0,38700.0,57
CDM,754473,CATH INTVN MIC 2.8FR 150,8246.0,8246.0,577.22,8246.0,71
CDM,754479,SCREW BN 3.5MM 32MM,3482.0,3482.0,383.02,3482.0,57
CDM,754509,STAPLE BN 2MM,33304.0,33304.0,3663.44,33304.0,57
CDM,754539,PLATE BN LCK 7HL 125MM,12705.0,12705.0,1397.55,12705.0,57
CDM,754553,GWIRE VASC MIC.014 300CM,5060.0,5060.0,354.2,5060.0,71
CDM,754629,CATH XTRN DRN .7X1.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,754631,TUBE JJNSTM 14FR 1.7CM,5623.0,5623.0,393.61,5623.0,71
CDM,754642,CMPNT SHD AUGM W/SCR SM,98434.0,98434.0,10827.74,98434.0,57
CDM,754645,CMPNT SHD PRXBDY TM 61,106957.0,106957.0,11765.27,106957.0,57
CDM,754665,CATH ULTSND 9FR 90CM,34797.0,34797.0,2435.79,34797.0,71
CDM,761382,CMPNT FEM KN 5DX5P SZ7,22501.0,22501.0,2475.11,22501.0,57
CDM,764664,FOLIC ACID 50 MG MDV,208.69,208.69,14.61,208.69,47
CDM,764667,AMINOCAPROIC 5 G MDV,56.24,56.24,3.94,56.24,47
CDM,764675,SMX/TMP 2400/480MG MDV,217.57,217.57,15.23,217.57,47
CDM,764715,EPI NOS 10 MG MDV,515.16,515.16,36.06,515.16,47
CDM,764716,EPI NOS 30 MG MDV,1087.56,1087.56,76.13,1087.56,47
CDM,764717,NALOX NOS 4 MG MDV,400.68,400.68,28.05,400.68,47
CDM,764719,VANCO 10 G MDV,343.44,343.44,24.04,343.44,47
CDM,764737,LIDO 1% 200MG/20ML MDV,19.37,19.37,1.36,19.37,47
CDM,764739,LIDO 1% 500MG/50ML MDV,15.93,15.93,1.12,15.93,47
CDM,764746,LIDO 2% 400MG/20ML MDV,13.36,13.36,0.94,13.36,47
CDM,764751,LIDO 250MG/EPI0.25MG MDV,22.09,22.09,1.55,22.09,47
CDM,764753,LIDO 100MG/EPI 0.1MG MDV,19.84,19.84,1.39,19.84,47
CDM,764754,LIDO 200MG/EPI 0.2MG MDV,28.1,28.1,1.97,28.1,47
CDM,764756,LIDO 500MG/EPI 0.5MG MDV,65.35,65.35,4.57,65.35,47
CDM,764758,LIDO 600MG/EPI 0.3MG MDV,29.96,29.96,2.1,29.96,47
CDM,764819,BALFAXAR 640 U IX INJ,11539.58,11539.58,807.77,11539.58,42
CDM,764822,METHOTREXATE 250 MG MDV,203.82,203.82,14.27,203.82,47
CDM,764827,METHYLPRED SS 500 MG MDV,125.93,125.93,8.82,125.93,47
CDM,764828,METHYLPRED SS 1 G MDV,186.03,186.03,13.02,186.03,47
CDM,764871,BUMETANIDE 2.5 MG MDV,13.32,13.32,0.93,13.32,47
CDM,764896,PHENYLEPHRINE 50 MG MDV,29.82,29.82,2.09,29.82,47
CDM,764906,PHENYLEPHRINE 100 MG MDV,57.24,57.24,4.01,57.24,47
CDM,764950,HUMATE-P 600 IU VWF:RCO,5066.31,5066.31,354.64,5066.31,42
CDM,764952,HUMATE-P 1200IU VWF:RCO,10132.62,10132.62,709.28,10132.62,42
CDM,764953,HUMATE-P 2400IU VWF:RCO,20265.25,20265.25,1418.57,20265.25,42
CDM,764975,PROFILNINE 500 U INJ,4196.65,4196.65,293.77,4196.65,42
CDM,764976,PROFILNINE 1000 U INJ,8191.04,8191.04,573.37,8191.04,42
CDM,764977,BENEFIX 500 U INJ,4398.89,4398.89,307.92,4398.89,42
CDM,764985,BENEFIX 1000 U INJ,8797.79,8797.79,615.85,8797.79,42
CDM,765157,THROMBATE III 500 U INJ,12741.62,12741.62,891.91,12741.62,42
CDM,765349,NOVOEIGHT 500 U INJ,6269.69,6269.69,438.88,6269.69,42
CDM,766612,KWIRE FX 1.4MM 150MM,1434.0,1434.0,100.38,1434.0,71
CDM,772258,FLUMAZENIL 5 ML MDV,45.44,45.44,3.18,45.44,67
CDM,772291,DESMOPRESSIN 40 MCG MDV,810.0,810.0,56.7,810.0,47
CDM,772303,ENOXAPARIN 300 MG MDV,183.17,183.17,12.82,183.17,47
CDM,772498,KETAMINE 500 MG MDV,19.53,19.53,1.37,19.53,59
CDM,772499,LABETALOL 100 MG MDV,12.12,12.12,0.85,12.12,47
CDM,777460,LORAZEPAM 20 MG MDV,57.24,57.24,4.01,57.24,47
CDM,778657,METHADONE 200 MG MDV,2214.0,2214.0,154.98,2214.0,47
CDM,782395,OCTREOTID ND 1000MCG MDV,107.33,107.33,7.51,107.33,55
CDM,783831,PENTOBARBITAL 1000MG MDV,4590.0,4590.0,321.3,4590.0,47
CDM,785987,"Injection, procainamide hcl, up to 1 gm ",558.57,558.57,208.37,1661.82,14
CDM,785987,PROCAINAMIDE 1 G MDV,558.57,558.57,39.1,558.57,42
CDM,786362,ROCURONIUM 100 MG MDV,38.06,38.06,2.66,38.06,59
CDM,786365,ROCURONIUM 50 MG MDV,20.03,20.03,1.4,20.03,59
CDM,786436,ANAKINRA 100MG INJ,1247.4,1247.4,87.32,1247.4,59
CDM,786884,XACDURO 1 G/1 G INJ,855.0,855.0,59.85,855.0,59
CDM,796767,LIVTENCITY 200 MG PO,1124.1,1124.1,78.69,1124.1,59
CDM,800045,ALK 1 PER 1ST AB,927.76,927.76,64.94,927.76,48
CDM,800081,BCL6 PER 1ST AB,927.76,927.76,64.94,927.76,48
CDM,800084,BONE MARROW TECH ASSIST,840.64,840.64,58.84,840.64,48
CDM,800103,CD10 (CALLA) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800108,CD2 (LEU5B) PEROX AB,503.41,503.41,35.24,503.41,48
CDM,800109,CD21 PEROX AB,1973.33,1973.33,138.13,1973.33,48
CDM,800113,CD23 (LEU 20) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800117,CD31 PEROX AB,503.41,503.41,35.24,503.41,48
CDM,800118,CD34 PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800121,CD4 (LEU3 A+B) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800123,CD43 (MTI) PEROX AB,1973.33,1973.33,138.13,1973.33,48
CDM,800129,CD45RO (UCHL1) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800130,CD5 (LEU 1) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800150,CD68 MACROPH PEROX AB,503.41,503.41,35.24,503.41,48
CDM,800152,CD79A PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800153,CD8 (LEU 2A) PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800155,CELL CRYOPRESERV DIAG,801.92,801.92,56.13,801.92,47
CDM,800155,"Cryopreservation, freezing and storage of cells, each cell line ",801.92,801.92,7.84,71.22,74
CDM,800155,"Cryopreservation, freezing and storage of cells, each cell line Age 21+",801.92,801.92,12.08,12.08,4
CDM,800155,"Cryopreservation, freezing and storage of cells, each cell line Age Under 21",801.92,801.92,12.3,12.3,4
CDM,800155,"Cryopreservation, freezing and storage of cells, each cell line Other Outpatient",801.92,801.92,13.72,13.72,6
CDM,800259,CELL THAWING DIAG,671.23,671.23,46.99,671.23,47
CDM,800259,"Thawing and expansion of frozen cells, each aliquot ",671.23,671.23,7.25,65.72,74
CDM,800259,"Thawing and expansion of frozen cells, each aliquot Age 21+",671.23,671.23,11.18,11.18,4
CDM,800259,"Thawing and expansion of frozen cells, each aliquot Age Under 21",671.23,671.23,11.38,11.38,4
CDM,800259,"Thawing and expansion of frozen cells, each aliquot Other Outpatient",671.23,671.23,12.69,12.69,6
CDM,800264,CHROM & KARY 15-20 2 KAR,3764.33,3764.33,263.5,3764.33,47
CDM,800266,CHROM & KARY IN SITU AMN,4651.76,4651.76,325.62,4651.76,47
CDM,800267,CHROM COUNT 5 KARY W BND,4611.43,4611.43,322.8,4611.43,47
CDM,800269,CHROM & KARYOTYPE 5 BM,13190.47,13190.47,923.33,13190.47,47
CDM,800270,CHROM & KARYOTYPE 5 TISS,8466.1,8466.1,592.63,8466.1,47
CDM,800271,CHROM ADDTL KARYOTYPE,2415.43,2415.43,169.08,2415.43,47
CDM,800272,CHROM ANAL 20-25 CELLS,4705.0,4705.0,329.35,4705.0,47
CDM,800274,CHROM ANAL ADDTL CELLS,576.02,576.02,40.32,576.02,47
CDM,800275,CHROM ANAL ADDTL HR,964.88,964.88,67.54,964.88,47
CDM,800278,CHROM BREAKAGE SCORE 100,4843.77,4843.77,339.06,4843.77,47
CDM,800279,CHROM BREAKAGE 25 CELLS,4164.48,4164.48,291.51,4164.48,47
CDM,800293,CYTO FWB SMEAR & INTERP,677.68,677.68,47.44,677.68,48
CDM,800298,CYTOGEN DNA ISH PROBE EA,648.63,648.63,45.4,648.63,47
CDM,800299,CYTOGEN IN SITU 10-30,972.95,972.95,68.11,972.95,47
CDM,800300,CYTOGEN IN SITU 3-5,877.74,877.74,61.44,877.74,47
CDM,800304,CYTOGEN I P ISH 100-300,1214.97,1214.97,85.05,1214.97,47
CDM,800308,CYTOGEN I P ISH 25-99,1053.63,1053.63,73.75,1053.63,47
CDM,800318,CYTOPATH EXTENDED,1389.23,1389.23,97.25,1389.23,48
CDM,800319,CYTOLOGY CONC & INTERP,1227.89,1227.89,85.95,1227.89,48
CDM,800329,EM DIAGNOSTIC,10796.01,10796.01,755.72,10796.01,48
CDM,800332,EMA PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800339,FNA INTERP & REPORT,2408.99,2408.99,168.63,2408.99,48
CDM,800341,FNA SAMPLE ADEQUACY IMM,935.83,935.83,65.51,935.83,48
CDM,800346,GFAP PEROX AB,503.41,503.41,35.24,503.41,48
CDM,800359,HISTOCHEM STAIN & FS,751.89,751.89,52.63,751.89,54
CDM,800364,HMB 45 PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800374,TISSUE BIOPSY DIF AB INI,4654.97,4654.97,325.85,4654.97,48
CDM,800376,IHC AB STAIN,1600.6,1600.6,112.04,1600.6,48
CDM,800383,KER 7 (CK7) PEROX AB,503.41,503.41,35.24,503.41,48
CDM,800386,KI67 FRZN PEROX AB,503.41,503.41,35.24,503.41,48
CDM,800387,KI67 PEROX AB,927.76,927.76,64.94,927.76,48
CDM,800397,MIB 1 PEROX AB,503.41,503.41,35.24,503.41,48
CDM,800408,NERVE TEASING PREP,1581.24,1581.24,110.69,1581.24,48
CDM,800408,Nerve teasing preparations ,1581.24,1581.24,130.58,1382.04,16
CDM,800415,P53 PEROX AB STAIN,503.41,503.41,35.24,503.41,48
CDM,800429,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",424.35,424.35,12.16,109.54,74
CDM,800429,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Age 21+",424.35,424.35,18.72,18.72,4
CDM,800429,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Age Under 21",424.35,424.35,19.06,19.06,4
CDM,800429,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Other Outpatient",424.35,424.35,21.27,21.27,6
CDM,800429,PAPDX TCSC NORSC TH,424.35,424.35,29.7,424.35,47
CDM,800430,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",298.49,298.49,10.66,93.1,74
CDM,800430,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Age 21+",298.49,298.49,16.41,16.41,4
CDM,800430,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Age Under 21",298.49,298.49,16.71,16.71,4
CDM,800430,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Other Outpatient",298.49,298.49,19.47,19.47,6
CDM,800430,PAPDX TCSC NRSC BETH,298.49,298.49,20.89,298.49,47
CDM,800446,PATH CONS EXTENDED REF,846.1,846.1,59.23,846.1,48
CDM,800447,PATH CONS PREP SLIDES,2544.51,2544.51,178.12,2544.51,48
CDM,800449,PATH CONSULT FS 1 SPEC,1805.53,1805.53,126.39,1805.53,48
CDM,800450,PATH CONSULT FS EA ADDTL,1863.61,1863.61,130.45,1863.61,54
CDM,800452,PATH CONSULT REF SLIDES,648.63,648.63,45.4,648.63,48
CDM,800453,PATH CONSULT SURGERY,592.17,592.17,41.45,592.17,48
CDM,800455,PATH DECALCIFICATION,495.34,495.34,34.67,495.34,54
CDM,800462,PATH ESTERASE STAIN,1440.87,1440.87,100.86,1440.87,48
CDM,800515,PATH STAIN GROUP 1,842.26,842.26,58.96,842.26,48
CDM,800516,PATH STAIN GROUP 2,1240.79,1240.79,86.86,1240.79,48
CDM,800550,SURG PATH LEVEL 1,593.77,593.77,41.56,593.77,48
CDM,800551,SURG PATH LEVEL 2,1113.33,1113.33,77.93,1113.33,48
CDM,800552,SURG PATH LEVEL 3,1260.15,1260.15,88.21,1260.15,48
CDM,800553,SURG PATH LEVEL 4,1958.81,1958.81,137.12,1958.81,48
CDM,800554,SURG PATH LEVEL 5,2986.61,2986.61,209.06,2986.61,48
CDM,800555,SURG PATH LEVEL 6,3396.44,3396.44,237.75,3396.44,48
CDM,800565,TISS CULT CHROM AM FL NM,4119.3,4119.3,288.35,4119.3,47
CDM,800565,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,4119.3,4119.3,90.18,810.47,74
CDM,800565,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Age 21+,4119.3,4119.3,138.88,138.88,4
CDM,800565,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Age Under 21,4119.3,4119.3,141.4,141.4,4
CDM,800565,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient,4119.3,4119.3,157.82,157.82,6
CDM,800566,TISS CULT CHROM BLD NM,3519.06,3519.06,246.33,3519.06,47
CDM,800566,Tissue culture for non-neoplastic disorders; lymphocyte ,3519.06,3519.06,69.89,627.9,74
CDM,800566,Tissue culture for non-neoplastic disorders; lymphocyte Age 21+,3519.06,3519.06,107.64,107.64,4
CDM,800566,Tissue culture for non-neoplastic disorders; lymphocyte Age Under 21,3519.06,3519.06,109.59,109.59,4
CDM,800566,Tissue culture for non-neoplastic disorders; lymphocyte Other Outpatient,3519.06,3519.06,122.31,122.31,6
CDM,800567,TISS CULT CHROM BX NM,4251.6,4251.6,297.61,4251.6,47
CDM,800567,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,4251.6,4251.6,84.44,757.51,74
CDM,800567,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Age 21+,4251.6,4251.6,130.03,130.03,4
CDM,800567,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Age Under 21,4251.6,4251.6,132.4,132.4,4
CDM,800567,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient,4251.6,4251.6,147.77,147.77,6
CDM,800568,TISS CULT NEOPLAS BM BLD,3815.96,3815.96,267.12,3815.96,47
CDM,800568,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",3815.96,3815.96,86.25,773.96,74
CDM,800568,"Tissue culture for neoplastic disorders; bone marrow, blood cells Age 21+",3815.96,3815.96,132.83,132.83,4
CDM,800568,"Tissue culture for neoplastic disorders; bone marrow, blood cells Age Under 21",3815.96,3815.96,135.24,135.24,4
CDM,800568,"Tissue culture for neoplastic disorders; bone marrow, blood cells Other Outpatient",3815.96,3815.96,150.94,150.94,6
CDM,800569,TISS CULT NEOPLAS TUMOR,4456.53,4456.53,311.96,4456.53,47
CDM,800569,Tissue culture for neoplastic disorders; solid tumor ,4456.53,4456.53,88.51,794.03,74
CDM,800569,Tissue culture for neoplastic disorders; solid tumor Age 21+,4456.53,4456.53,136.31,136.31,4
CDM,800569,Tissue culture for neoplastic disorders; solid tumor Age Under 21,4456.53,4456.53,138.79,138.79,4
CDM,800569,Tissue culture for neoplastic disorders; solid tumor Other Outpatient,4456.53,4456.53,154.9,154.9,6
CDM,800571,ISH/FISH INITIAL PROBE,3005.97,3005.97,210.42,3005.97,48
CDM,800573,TTF 1 PEROX AB,503.41,503.41,35.24,503.41,48
CDM,800581,17 HYDROXYCORT (17OH),613.14,613.14,42.92,613.14,47
CDM,800581,"Hydroxycorticosteroids, 17- (17-OHCS) ",613.14,613.14,10.74,96.73,74
CDM,800581,"Hydroxycorticosteroids, 17- (17-OHCS) Age 21+",613.14,613.14,16.54,16.54,4
CDM,800581,"Hydroxycorticosteroids, 17- (17-OHCS) Age Under 21",613.14,613.14,16.84,16.84,4
CDM,800581,"Hydroxycorticosteroids, 17- (17-OHCS) Other Outpatient",613.14,613.14,18.79,18.79,6
CDM,800582,17 HYDROXYPREGNEN,1124.62,1124.62,78.72,1124.62,47
CDM,800582,17-hydroxypregnenolone ,1124.62,1124.62,13.69,122.3,74
CDM,800582,17-hydroxypregnenolone Age 21+,1124.62,1124.62,21.08,21.08,4
CDM,800582,17-hydroxypregnenolone Age Under 21,1124.62,1124.62,21.46,21.46,4
CDM,800582,17-hydroxypregnenolone Other Outpatient,1124.62,1124.62,23.95,23.95,6
CDM,800584,17 KETOSTEROIDS TOTAL,1223.04,1223.04,85.61,1223.04,47
CDM,800584,"Ketosteroids, 17- (17-KS); total ",1223.04,1223.04,7.68,69.34,74
CDM,800584,"Ketosteroids, 17- (17-KS); total Age 21+",1223.04,1223.04,11.83,11.83,4
CDM,800584,"Ketosteroids, 17- (17-KS); total Age Under 21",1223.04,1223.04,12.04,12.04,4
CDM,800584,"Ketosteroids, 17- (17-KS); total Other Outpatient",1223.04,1223.04,13.44,13.44,6
CDM,800594,5 HIAA,1574.79,1574.79,110.24,1574.79,47
CDM,800594,"Hydroxyindolacetic acid, 5-(HIAA) ",1574.79,1574.79,7.74,69.34,74
CDM,800594,"Hydroxyindolacetic acid, 5-(HIAA) Age 21+",1574.79,1574.79,11.92,11.92,4
CDM,800594,"Hydroxyindolacetic acid, 5-(HIAA) Age Under 21",1574.79,1574.79,12.14,12.14,4
CDM,800594,"Hydroxyindolacetic acid, 5-(HIAA) Other Outpatient",1574.79,1574.79,13.55,13.55,6
CDM,800596,6TG METABOLITE QN,961.65,961.65,67.32,961.65,47
CDM,800599,A-1-ANTITRYPSIN PHENO,630.87,630.87,44.16,630.87,47
CDM,800599,Alpha-1-antitrypsin; phenotype ,630.87,630.87,8.68,78.47,74
CDM,800599,Alpha-1-antitrypsin; phenotype Age 21+,630.87,630.87,13.37,13.37,4
CDM,800599,Alpha-1-antitrypsin; phenotype Age Under 21,630.87,630.87,13.61,13.61,4
CDM,800599,Alpha-1-antitrypsin; phenotype Other Outpatient,630.87,630.87,15.18,15.18,6
CDM,800600,A-1-ANTITRYPSIN TOT,585.69,585.69,41.0,585.69,47
CDM,800600,Alpha-1-antitrypsin; total ,585.69,585.69,8.06,73.03,74
CDM,800600,Alpha-1-antitrypsin; total Age 21+,585.69,585.69,12.42,12.42,4
CDM,800600,Alpha-1-antitrypsin; total Age Under 21,585.69,585.69,12.64,12.64,4
CDM,800600,Alpha-1-antitrypsin; total Other Outpatient,585.69,585.69,14.11,14.11,6
CDM,800602,ABO TYPE,540.52,540.52,37.84,540.52,47
CDM,800603,ABO TYPE CORD BLOOD,714.79,714.79,50.04,714.79,47
CDM,800609,ACETAZOLAMIDE DIAMOX QN,895.49,895.49,62.68,895.49,47
CDM,800616,ACETONE BLD QN,585.69,585.69,41.0,585.69,47
CDM,800626,ACETYLCHOLINESTERASE,1536.05,1536.05,107.52,1536.05,47
CDM,800626,Acetylcholinesterase ,1536.05,1536.05,7.37,65.72,74
CDM,800626,Acetylcholinesterase Age 21+,1536.05,1536.05,11.35,11.35,4
CDM,800626,Acetylcholinesterase Age Under 21,1536.05,1536.05,11.56,11.56,4
CDM,800626,Acetylcholinesterase Other Outpatient,1536.05,1536.05,12.9,12.9,6
CDM,800628,ACID HEMOLYSIN,714.79,714.79,50.04,714.79,47
CDM,800628,"Hemolysin, acid ",714.79,714.79,5.32,47.46,74
CDM,800628,"Hemolysin, acid Age 21+",714.79,714.79,8.2,8.2,4
CDM,800628,"Hemolysin, acid Age Under 21",714.79,714.79,8.34,8.34,4
CDM,800628,"Hemolysin, acid Other Outpatient",714.79,714.79,9.31,9.31,6
CDM,800632,ACID PHOSPHATASE PROST,548.61,548.61,38.4,548.61,47
CDM,800632,"Phosphatase, acid; prostatic ",548.61,548.61,5.8,52.96,74
CDM,800632,"Phosphatase, acid; prostatic Age 21+",548.61,548.61,8.92,8.92,4
CDM,800632,"Phosphatase, acid; prostatic Age Under 21",548.61,548.61,9.08,9.08,4
CDM,800632,"Phosphatase, acid; prostatic Other Outpatient",548.61,548.61,10.14,10.14,6
CDM,800634,ACID PHOSPHATASE TOT,459.84,459.84,32.19,459.84,47
CDM,800634,"Phosphatase, acid; total ",459.84,459.84,4.58,41.96,74
CDM,800634,"Phosphatase, acid; total Age 21+",459.84,459.84,7.06,7.06,4
CDM,800634,"Phosphatase, acid; total Age Under 21",459.84,459.84,7.19,7.19,4
CDM,800634,"Phosphatase, acid; total Other Outpatient",459.84,459.84,8.02,8.02,6
CDM,800636,ACT CLOT TIME,643.78,643.78,45.06,643.78,47
CDM,800636,Coagulation time; activated ,643.78,643.78,2.57,23.76,74
CDM,800636,Coagulation time; activated Age 21+,643.78,643.78,3.96,3.96,4
CDM,800636,Coagulation time; activated Age Under 21,643.78,643.78,4.03,4.03,4
CDM,800636,Coagulation time; activated Other Outpatient,643.78,643.78,4.49,4.49,6
CDM,800638,ACTH QN,2633.24,2633.24,184.33,2633.24,47
CDM,800638,Adrenocorticotropic hormone (ACTH) ,2633.24,2633.24,23.17,208.09,74
CDM,800638,Adrenocorticotropic hormone (ACTH) Age 21+,2633.24,2633.24,35.68,35.68,4
CDM,800638,Adrenocorticotropic hormone (ACTH) Age Under 21,2633.24,2633.24,36.33,36.33,4
CDM,800638,Adrenocorticotropic hormone (ACTH) Other Outpatient,2633.24,2633.24,40.55,40.55,6
CDM,800646,ACTV PROT C RESISTANCE,1669.98,1669.98,116.9,1669.98,47
CDM,800647,ACUTE HEPATITIS PANEL,2671.98,2671.98,187.04,2671.98,47
CDM,800648,ACYCLOVIR QN,643.78,643.78,45.06,643.78,47
CDM,800652,ACYLCARNITINES QL EA SP,1413.44,1413.44,98.94,1413.44,47
CDM,800652,"Acylcarnitines; qualitative, each specimen ",1413.44,1413.44,9.89,89.42,74
CDM,800652,"Acylcarnitines; qualitative, each specimen Age 21+",1413.44,1413.44,15.24,15.24,4
CDM,800652,"Acylcarnitines; qualitative, each specimen Age Under 21",1413.44,1413.44,15.51,15.51,4
CDM,800652,"Acylcarnitines; qualitative, each specimen Other Outpatient",1413.44,1413.44,17.31,17.31,6
CDM,800653,ACYLCARNITINES QN EA SP,940.68,940.68,65.85,940.68,47
CDM,800653,"Acylcarnitines; quantitative, each specimen ",940.68,940.68,10.12,91.29,74
CDM,800653,"Acylcarnitines; quantitative, each specimen Age 21+",940.68,940.68,15.59,15.59,4
CDM,800653,"Acylcarnitines; quantitative, each specimen Age Under 21",940.68,940.68,15.87,15.87,4
CDM,800653,"Acylcarnitines; quantitative, each specimen Other Outpatient",940.68,940.68,17.71,17.71,6
CDM,800654,AD 21 HYDROXYLASE AB RIA,577.63,577.63,40.43,577.63,47
CDM,800656,ADENOVIRUS AB QL,619.58,619.58,43.37,619.58,47
CDM,800656,Antibody; adenovirus ,619.58,619.58,7.72,69.34,74
CDM,800656,Antibody; adenovirus Age 21+,619.58,619.58,11.89,11.89,4
CDM,800656,Antibody; adenovirus Age Under 21,619.58,619.58,12.11,12.11,4
CDM,800656,Antibody; adenovirus Other Outpatient,619.58,619.58,13.51,13.51,6
CDM,800658,ADENOVIRUS AGTY40/41 EIA,940.68,940.68,65.85,940.68,47
CDM,800658,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",940.68,940.68,7.19,63.9,88
CDM,800659,ADENOVIRUS AG IFT,337.23,337.23,23.61,337.23,47
CDM,800659,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,337.23,337.23,8.66,78.47,74
CDM,800659,Infectious agent antigen detection by immunofluorescent technique; adenovirus Age 21+,337.23,337.23,13.33,13.33,4
CDM,800659,Infectious agent antigen detection by immunofluorescent technique; adenovirus Age Under 21,337.23,337.23,13.57,13.57,4
CDM,800659,Infectious agent antigen detection by immunofluorescent technique; adenovirus Other Outpatient,337.23,337.23,15.15,15.15,6
CDM,800662,ADH (VASOPRESSIN),2865.6,2865.6,200.59,2865.6,47
CDM,800662,"Vasopressin (antidiuretic hormone, ADH) ",2865.6,2865.6,20.36,182.52,74
CDM,800662,"Vasopressin (antidiuretic hormone, ADH) Age 21+",2865.6,2865.6,31.36,31.36,4
CDM,800662,"Vasopressin (antidiuretic hormone, ADH) Age Under 21",2865.6,2865.6,31.93,31.93,4
CDM,800662,"Vasopressin (antidiuretic hormone, ADH) Other Outpatient",2865.6,2865.6,35.64,35.64,6
CDM,800664,ADRENAL FA AB TIT,1001.99,1001.99,70.14,1001.99,47
CDM,800665,AEROBIC ORG ID,772.88,772.88,54.1,772.88,47
CDM,800667,AFB CONCENTRATION,224.28,224.28,15.7,224.28,47
CDM,800668,AFB IDENTIFICATION,332.38,332.38,23.27,332.38,47
CDM,800669,AFB IDENTIFICATION,332.38,332.38,23.27,332.38,47
CDM,800677,ALBUMIN SERUM QN,797.07,797.07,55.79,797.07,47
CDM,800678,ALBUMIN OTHER QN,913.25,913.25,63.93,913.25,47
CDM,800678,"Albumin; other source, quantitative, each specimen ",913.25,913.25,4.67,41.96,74
CDM,800678,"Albumin; other source, quantitative, each specimen Age 21+",913.25,913.25,7.19,7.19,4
CDM,800678,"Albumin; other source, quantitative, each specimen Age Under 21",913.25,913.25,7.32,7.32,4
CDM,800678,"Albumin; other source, quantitative, each specimen Other Outpatient",913.25,913.25,8.17,8.17,6
CDM,800686,ALDOLASE,1048.78,1048.78,73.41,1048.78,47
CDM,800686,Aldolase ,1048.78,1048.78,5.83,52.96,74
CDM,800686,Aldolase Age 21+,1048.78,1048.78,8.98,8.98,4
CDM,800686,Aldolase Age Under 21,1048.78,1048.78,9.14,9.14,4
CDM,800686,Aldolase Other Outpatient,1048.78,1048.78,10.2,10.2,6
CDM,800687,ALDOSTERONE QN,1799.07,1799.07,125.93,1799.07,47
CDM,800687,Aldosterone ,1799.07,1799.07,24.45,219.03,74
CDM,800687,Aldosterone Age 21+,1799.07,1799.07,37.65,37.65,4
CDM,800687,Aldosterone Age Under 21,1799.07,1799.07,38.34,38.34,4
CDM,800687,Aldosterone Other Outpatient,1799.07,1799.07,42.79,42.79,6
CDM,800691,ALK PHOS (ALP),977.8,977.8,68.45,977.8,47
CDM,800693,ALK PHOS ISOENZYMES,1440.87,1440.87,100.86,1440.87,47
CDM,800693,"Phosphatase, alkaline; isoenzymes ",1440.87,1440.87,8.87,80.29,74
CDM,800693,"Phosphatase, alkaline; isoenzymes Age 21+",1440.87,1440.87,13.66,13.66,4
CDM,800693,"Phosphatase, alkaline; isoenzymes Age Under 21",1440.87,1440.87,13.91,13.91,4
CDM,800693,"Phosphatase, alkaline; isoenzymes Other Outpatient",1440.87,1440.87,15.52,15.52,6
CDM,800695,ALLERGEN IGE EACH,161.35,161.35,11.29,161.35,47
CDM,800696,ALLERGEN IGG EACH,317.86,317.86,22.25,317.86,47
CDM,800696,"Allergen specific IgG quantitative or semiquantitative, each allergen ",317.86,317.86,4.69,41.96,74
CDM,800696,"Allergen specific IgG quantitative or semiquantitative, each allergen Age 21+",317.86,317.86,7.23,7.23,4
CDM,800696,"Allergen specific IgG quantitative or semiquantitative, each allergen Age Under 21",317.86,317.86,7.36,7.36,4
CDM,800696,"Allergen specific IgG quantitative or semiquantitative, each allergen Other Outpatient",317.86,317.86,8.21,8.21,6
CDM,800701,ALPHA 1 GLYCOPROTEIN,569.57,569.57,39.87,569.57,47
CDM,800703,ALPHA 2 MACRO NEPHELOM,1303.73,1303.73,91.26,1303.73,47
CDM,800703,"Nephelometry, each analyte not elsewhere specified ",1303.73,1303.73,8.16,73.03,74
CDM,800703,"Nephelometry, each analyte not elsewhere specified Age 21+",1303.73,1303.73,12.56,12.56,4
CDM,800703,"Nephelometry, each analyte not elsewhere specified Age Under 21",1303.73,1303.73,12.79,12.79,4
CDM,800703,"Nephelometry, each analyte not elsewhere specified Other Outpatient",1303.73,1303.73,14.28,14.28,6
CDM,800704,ALPHA FETOPROT AMN FL,1715.16,1715.16,120.06,1715.16,47
CDM,800704,Alpha-fetoprotein (AFP); amniotic fluid ,1715.16,1715.16,10.2,91.29,74
CDM,800704,Alpha-fetoprotein (AFP); amniotic fluid Age 21+,1715.16,1715.16,15.71,15.71,4
CDM,800704,Alpha-fetoprotein (AFP); amniotic fluid Age Under 21,1715.16,1715.16,15.99,15.99,4
CDM,800704,Alpha-fetoprotein (AFP); amniotic fluid Other Outpatient,1715.16,1715.16,17.85,17.85,6
CDM,800706,ALPHA FETOPROT OTH IA QN,1715.16,1715.16,120.06,1715.16,47
CDM,800707,ALPHA FETOPROT SERUM,387.26,387.26,27.11,387.26,47
CDM,800708,ALPHA FETOPROT SERUM MAT,387.26,387.26,27.11,387.26,47
CDM,800712,ALPHA GALACTOSIDASE NRAS,1490.88,1490.88,104.36,1490.88,47
CDM,800717,ALPHA SUBUNIT PIT GPH RI,380.78,380.78,26.65,380.78,47
CDM,800718,ALPHA-2 ANTIPLASMIN,1952.35,1952.35,136.66,1952.35,47
CDM,800718,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,1952.35,1952.35,4.63,41.96,74
CDM,800718,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Age 21+,1952.35,1952.35,7.13,7.13,4
CDM,800718,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Age Under 21,1952.35,1952.35,7.26,7.26,4
CDM,800718,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Other Outpatient,1952.35,1952.35,8.1,8.1,6
CDM,800723,ALT (SGPT),1035.88,1035.88,72.51,1035.88,47
CDM,800725,ALUMINUM,535.68,535.68,37.5,535.68,47
CDM,800725,Aluminum ,535.68,535.68,15.29,136.87,74
CDM,800725,Aluminum Age 21+,535.68,535.68,23.54,23.54,4
CDM,800725,Aluminum Age Under 21,535.68,535.68,23.97,23.97,4
CDM,800725,Aluminum Other Outpatient,535.68,535.68,26.75,26.75,6
CDM,800729,AMIKACIN QUANT,721.23,721.23,50.49,721.23,47
CDM,800729,Amikacin ,721.23,721.23,9.05,82.16,74
CDM,800729,Amikacin Age 21+,721.23,721.23,13.94,13.94,4
CDM,800729,Amikacin Age Under 21,721.23,721.23,14.19,14.19,4
CDM,800729,Amikacin Other Outpatient,721.23,721.23,15.83,15.83,6
CDM,800736,AMINO ACID SINGLE QN,1072.99,1072.99,75.11,1072.99,47
CDM,800738,AMINO ACIDS QN 2-5 TESTS,857.86,857.86,60.05,857.86,47
CDM,800738,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",857.86,857.86,11.77,105.86,74
CDM,800738,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Age 21+",857.86,857.86,18.12,18.12,4
CDM,800738,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Age Under 21",857.86,857.86,18.45,18.45,4
CDM,800738,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Other Outpatient",857.86,857.86,20.59,20.59,6
CDM,800739,AMINO ACIDS QN 6 OR MORE,1029.41,1029.41,72.06,1029.41,47
CDM,800739,"Amino acids, 6 or more amino acids, quantitative, each specimen ",1029.41,1029.41,10.12,91.29,74
CDM,800739,"Amino acids, 6 or more amino acids, quantitative, each specimen Age 21+",1029.41,1029.41,15.59,15.59,4
CDM,800739,"Amino acids, 6 or more amino acids, quantitative, each specimen Age Under 21",1029.41,1029.41,15.87,15.87,4
CDM,800739,"Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient",1029.41,1029.41,17.71,17.71,6
CDM,800743,AMINO ACIDS MULTIPLE QL,1048.78,1048.78,73.41,1048.78,47
CDM,800743,"Amino acids; multiple, qualitative, each specimen ",1048.78,1048.78,8.32,74.84,74
CDM,800743,"Amino acids; multiple, qualitative, each specimen Age 21+",1048.78,1048.78,12.82,12.82,4
CDM,800743,"Amino acids; multiple, qualitative, each specimen Age Under 21",1048.78,1048.78,13.05,13.05,4
CDM,800743,"Amino acids; multiple, qualitative, each specimen Other Outpatient",1048.78,1048.78,14.56,14.56,6
CDM,800744,AMINOLEVULINIC ACID ALA,1589.3,1589.3,111.25,1589.3,47
CDM,800744,"Aminolevulinic acid, delta (ALA) ",1589.3,1589.3,9.87,89.42,74
CDM,800744,"Aminolevulinic acid, delta (ALA) Age 21+",1589.3,1589.3,15.2,15.2,4
CDM,800744,"Aminolevulinic acid, delta (ALA) Age Under 21",1589.3,1589.3,15.48,15.48,4
CDM,800744,"Aminolevulinic acid, delta (ALA) Other Outpatient",1589.3,1589.3,17.27,17.27,6
CDM,800748,AMMONIA,663.16,663.16,46.42,663.16,47
CDM,800753,AMOEBIC AB,1287.59,1287.59,90.13,1287.59,47
CDM,800754,AMOXAPINE ASENDIN QN,1029.41,1029.41,72.06,1029.41,47
CDM,800767,AMYLASE BLD,1214.97,1214.97,85.05,1214.97,47
CDM,800768,AMYLASE FL,964.88,964.88,67.54,964.88,47
CDM,800769,AMYLASE ISOENZYMES ELP,1703.87,1703.87,119.27,1703.87,47
CDM,800772,AMYLASE UR,1214.97,1214.97,85.05,1214.97,47
CDM,800773,ANA QUAL SCREEN,772.88,772.88,54.1,772.88,47
CDM,800773,Antinuclear antibodies (ANA); ,772.88,772.88,7.25,65.72,74
CDM,800773,Antinuclear antibodies (ANA); Age 21+,772.88,772.88,11.18,11.18,4
CDM,800773,Antinuclear antibodies (ANA); Age Under 21,772.88,772.88,11.38,11.38,4
CDM,800773,Antinuclear antibodies (ANA); Other Outpatient,772.88,772.88,12.69,12.69,6
CDM,800774,ANA QUANT TITER,1779.71,1779.71,124.58,1779.71,47
CDM,800774,Antinuclear antibodies (ANA); titer ,1779.71,1779.71,6.7,60.22,74
CDM,800774,Antinuclear antibodies (ANA); titer Age 21+,1779.71,1779.71,10.31,10.31,4
CDM,800774,Antinuclear antibodies (ANA); titer Age Under 21,1779.71,1779.71,10.49,10.49,4
CDM,800774,Antinuclear antibodies (ANA); titer Other Outpatient,1779.71,1779.71,11.72,11.72,6
CDM,800778,ANAEROBIC ORG ID,271.07,271.07,18.97,271.07,47
CDM,800778,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",271.07,271.07,4.85,43.83,74
CDM,800778,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Age 21+",271.07,271.07,7.47,7.47,4
CDM,800778,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Age Under 21",271.07,271.07,7.6,7.6,4
CDM,800778,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other Outpatient",271.07,271.07,8.48,8.48,6
CDM,800792,ANDROSTENEDIONE,1991.08,1991.08,139.38,1991.08,47
CDM,800792,Androstenedione ,1991.08,1991.08,17.57,157.0,74
CDM,800792,Androstenedione Age 21+,1991.08,1991.08,27.06,27.06,4
CDM,800792,Androstenedione Age Under 21,1991.08,1991.08,27.55,27.55,4
CDM,800792,Androstenedione Other Outpatient,1991.08,1991.08,30.74,30.74,6
CDM,800795,ANGIOTENSIN I CONV ENZ,1368.27,1368.27,95.78,1368.27,47
CDM,800795,Angiotensin I - converting enzyme (ACE) ,1368.27,1368.27,8.76,78.47,74
CDM,800795,Angiotensin I - converting enzyme (ACE) Age 21+,1368.27,1368.27,13.49,13.49,4
CDM,800795,Angiotensin I - converting enzyme (ACE) Age Under 21,1368.27,1368.27,13.73,13.73,4
CDM,800795,Angiotensin I - converting enzyme (ACE) Other Outpatient,1368.27,1368.27,15.33,15.33,6
CDM,800802,ANTI MICROSOMAL AB,1298.88,1298.88,90.92,1298.88,47
CDM,800804,ANTIBODY ELUTION EA,1445.7,1445.7,101.2,1445.7,48
CDM,800804,"Antibody elution (RBC), each elution ",1445.7,1445.7,36.85,315.7,16
CDM,800806,ANTIBODY ID EA,2031.42,2031.42,142.2,2031.42,48
CDM,800806,"Antibody identification, RBC antibodies, each panel for each serum technique ",2031.42,2031.42,50.46,623.5,16
CDM,800812,ANTIBODY SCREEN EA,971.32,971.32,67.99,971.32,47
CDM,800812,"Antibody screen, RBC, each serum technique ",971.32,971.32,5.86,108.83,59
CDM,800812,"Antibody screen, RBC, each serum technique Other Outpatient",971.32,971.32,10.26,10.26,6
CDM,800814,ANTIBODY TITER EA INDIR,1331.14,1331.14,93.18,1331.14,47
CDM,800814,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",1331.14,1331.14,3.11,315.7,72
CDM,800814,"Antihuman globulin test (Coombs test); indirect, each antibody titer Age 21+",1331.14,1331.14,4.79,4.79,4
CDM,800814,"Antihuman globulin test (Coombs test); indirect, each antibody titer Age Under 21",1331.14,1331.14,4.87,4.87,4
CDM,800814,"Antihuman globulin test (Coombs test); indirect, each antibody titer Other Outpatient",1331.14,1331.14,5.44,5.44,6
CDM,800815,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",868.07,868.07,2.3,623.5,72
CDM,800815,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Age 21+",868.07,868.07,3.54,3.54,4
CDM,800815,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Age Under 21",868.07,868.07,3.61,3.61,4
CDM,800815,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Other Outpatient",868.07,868.07,4.02,4.02,6
CDM,800815,RBC ANTIGEN TYPING EA,868.07,868.07,60.76,868.07,47
CDM,800819,ANTIMONY QN,550.21,550.21,38.51,550.21,47
CDM,800821,ANTITHROMBIN 3 ACT,1403.75,1403.75,98.26,1403.75,47
CDM,800821,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",1403.75,1403.75,7.11,63.9,74
CDM,800821,"Clotting inhibitors or anticoagulants; antithrombin III, activity Age 21+",1403.75,1403.75,10.95,10.95,4
CDM,800821,"Clotting inhibitors or anticoagulants; antithrombin III, activity Age Under 21",1403.75,1403.75,11.14,11.14,4
CDM,800821,"Clotting inhibitors or anticoagulants; antithrombin III, activity Other Outpatient",1403.75,1403.75,12.44,12.44,6
CDM,800823,APC RESISTANCE,1131.08,1131.08,79.18,1131.08,47
CDM,800824,APOLIPOPROTEIN A1,521.16,521.16,36.48,521.16,47
CDM,800825,APOLIPOPROTEIN B,521.16,521.16,36.48,521.16,47
CDM,800827,APOLIPOPROTEIN E,316.24,316.24,22.14,316.24,47
CDM,800830,ARSENIC BLD,811.61,811.61,56.81,811.61,47
CDM,800831,ARSENIC HAIR,4622.72,4622.72,323.59,4622.72,47
CDM,800833,ARSENIC UR,496.96,496.96,34.79,496.96,47
CDM,800834,ARYLSULFATASE A NRS,1110.1,1110.1,77.71,1110.1,47
CDM,800837,ASIALO-GM1 AB IA QN,1019.74,1019.74,71.38,1019.74,47
CDM,800838,ASIALO-GM1 AB QN IGG IA,624.43,624.43,43.71,624.43,47
CDM,800839,ASIALO-GM1 AB QN IGM IA,624.43,624.43,43.71,624.43,47
CDM,800842,ASO QUAL SCREEN,940.68,940.68,65.85,940.68,47
CDM,800842,Antistreptolysin 0; screen ,940.68,940.68,3.46,31.01,74
CDM,800842,Antistreptolysin 0; screen Age 21+,940.68,940.68,5.33,5.33,4
CDM,800842,Antistreptolysin 0; screen Age Under 21,940.68,940.68,5.43,5.43,4
CDM,800842,Antistreptolysin 0; screen Other Outpatient,940.68,940.68,6.06,6.06,6
CDM,800843,ANTISTREPTOLYSIN O QN,1048.78,1048.78,73.41,1048.78,47
CDM,800843,Antistreptolysin 0; titer ,1048.78,1048.78,4.38,40.14,74
CDM,800843,Antistreptolysin 0; titer Age 21+,1048.78,1048.78,6.74,6.74,4
CDM,800843,Antistreptolysin 0; titer Age Under 21,1048.78,1048.78,6.87,6.87,4
CDM,800843,Antistreptolysin 0; titer Other Outpatient,1048.78,1048.78,7.67,7.67,6
CDM,800846,ASPERGILLUS AB,250.09,250.09,17.51,250.09,47
CDM,800849,ASPERGILLUS FLAVUS AB,406.6,406.6,28.46,406.6,47
CDM,800853,ASPERGILLUS FUMI IGG,645.4,645.4,45.18,645.4,47
CDM,800855,ASPERGILLUS FUMIGATUS AB,406.6,406.6,28.46,406.6,47
CDM,800856,ASPERGILLUS FUMIGATUS GD,188.78,188.78,13.21,188.78,47
CDM,800859,ASPERGILLUS NIGER AB,406.6,406.6,28.46,406.6,47
CDM,800866,AST (SGOT),1035.88,1035.88,72.51,1035.88,47
CDM,800871,AUREOBASIDIUM PULLULA GD,188.78,188.78,13.21,188.78,47
CDM,800875,AVIAN GD,188.78,188.78,13.21,188.78,47
CDM,800878,AZTREONAM (AZACTAM) QN,626.04,626.04,43.82,626.04,47
CDM,800882,B723 PER 1ST AB,2131.44,2131.44,149.2,2131.44,48
CDM,800886,BACLOFEN QN,1261.77,1261.77,88.32,1261.77,47
CDM,800888,INFECT AGENT AG NOS OIA,251.72,251.72,17.62,251.72,47
CDM,800895,BARTONELLA H&Q AMP PROBE,1429.56,1429.56,100.07,1429.56,47
CDM,800895,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",1429.56,1429.56,21.05,189.83,74
CDM,800895,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Age 21+",1429.56,1429.56,32.43,32.43,4
CDM,800895,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Age Under 21",1429.56,1429.56,33.02,33.02,4
CDM,800895,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Other Outpatient",1429.56,1429.56,36.84,36.84,6
CDM,800897,BARTONELLA H IGG,1029.41,1029.41,72.06,1029.41,47
CDM,800898,BARTONELLA H IGM,1029.41,1029.41,72.06,1029.41,47
CDM,800899,BARTONELLA Q IGG,214.59,214.59,15.02,214.59,47
CDM,800901,BARTONELLA Q IGM,214.59,214.59,15.02,214.59,47
CDM,800915,BETA 2 GLYCOPROT1 AB IGA,251.72,251.72,17.62,251.72,47
CDM,800916,BETA 2 GLYCOPROT1 AB IGG,251.72,251.72,17.62,251.72,47
CDM,800917,BETA 2 GLYCOPROT1 AB IGM,251.72,251.72,17.62,251.72,47
CDM,800919,BETA 2 MICROGLOBULIN,419.51,419.51,29.37,419.51,47
CDM,800919,Beta-2 microglobulin ,419.51,419.51,9.71,87.6,74
CDM,800919,Beta-2 microglobulin Age 21+,419.51,419.51,14.95,14.95,4
CDM,800919,Beta-2 microglobulin Age Under 21,419.51,419.51,15.22,15.22,4
CDM,800919,Beta-2 microglobulin Other Outpatient,419.51,419.51,16.99,16.99,6
CDM,800922,BETA2 TRNSFER OTH FLD IF,1950.74,1950.74,136.55,1950.74,47
CDM,800923,BETA GALACTOSIDASE NRS,1176.25,1176.25,82.34,1176.25,47
CDM,800925,BETA GLUCOSIDASE,1131.08,1131.08,79.18,1131.08,47
CDM,800925,"Glucosidase, beta ",1131.08,1131.08,12.89,114.99,74
CDM,800925,"Glucosidase, beta Age 21+",1131.08,1131.08,19.84,19.84,4
CDM,800925,"Glucosidase, beta Age Under 21",1131.08,1131.08,20.2,20.2,4
CDM,800925,"Glucosidase, beta Other Outpatient",1131.08,1131.08,22.55,22.55,6
CDM,800928,BETA HYDROXYBUTYRATE,784.17,784.17,54.89,784.17,47
CDM,800931,BILE ACIDS TOT,490.52,490.52,34.34,490.52,47
CDM,800931,Bile acids; total ,490.52,490.52,10.27,93.1,74
CDM,800931,Bile acids; total Age 21+,490.52,490.52,15.82,15.82,4
CDM,800931,Bile acids; total Age Under 21,490.52,490.52,16.11,16.11,4
CDM,800931,Bile acids; total Other Outpatient,490.52,490.52,17.98,17.98,6
CDM,800932,BILIRUBIN DIRECT,521.16,521.16,36.48,521.16,47
CDM,800933,BILIRUBIN DIRECT FL,337.23,337.23,23.61,337.23,47
CDM,800936,BILIRUBIN TOT BLD,940.68,940.68,65.85,940.68,47
CDM,800937,BILIRUBIN TOT FL,940.68,940.68,65.85,940.68,47
CDM,800944,BIOTIN VIT B 7,669.61,669.61,46.87,669.61,47
CDM,800945,BIOTINIDASE EA SPEC,1253.7,1253.7,87.76,1253.7,47
CDM,800945,"Biotinidase, each specimen ",1253.7,1253.7,10.12,91.29,74
CDM,800945,"Biotinidase, each specimen Age 21+",1253.7,1253.7,15.59,15.59,4
CDM,800945,"Biotinidase, each specimen Age Under 21",1253.7,1253.7,15.87,15.87,4
CDM,800945,"Biotinidase, each specimen Other Outpatient",1253.7,1253.7,17.71,17.71,6
CDM,800953,Antibody; Blastomyces ,250.09,250.09,7.74,69.34,74
CDM,800953,Antibody; Blastomyces Age 21+,250.09,250.09,11.92,11.92,4
CDM,800953,Antibody; Blastomyces Age Under 21,250.09,250.09,12.14,12.14,4
CDM,800953,Antibody; Blastomyces Other Outpatient,250.09,250.09,13.55,13.55,6
CDM,800953,BLASTOMYCES AB QUAL,250.09,250.09,17.51,250.09,47
CDM,800955,BLEEDING TIME,605.07,605.07,42.35,605.07,47
CDM,800955,Bleeding time ,605.07,605.07,2.89,25.57,74
CDM,800955,Bleeding time Age 21+,605.07,605.07,4.46,4.46,4
CDM,800955,Bleeding time Age Under 21,605.07,605.07,4.54,4.54,4
CDM,800955,Bleeding time Other Outpatient,605.07,605.07,5.06,5.06,6
CDM,800962,BORD PERTUSSIS AG IFT,364.66,364.66,25.53,364.66,47
CDM,800962,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,364.66,364.66,7.19,63.9,74
CDM,800962,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Age 21+,364.66,364.66,11.07,11.07,4
CDM,800962,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Age Under 21,364.66,364.66,11.27,11.27,4
CDM,800962,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Other Outpatient,364.66,364.66,12.58,12.58,6
CDM,800964,BORDETELLA AB QL,1337.62,1337.62,93.63,1337.62,47
CDM,800965,BORDETELLA PERTUSSIS IGA,926.14,926.14,64.83,926.14,47
CDM,800966,BORDETELLA PERTUSSIS IGG,926.14,926.14,64.83,926.14,47
CDM,800967,BORDETELLA PERTUSSIS IGM,926.14,926.14,64.83,926.14,47
CDM,800972,BORRELIA BURGDORFERI AMP,1061.7,1061.7,74.32,1061.7,47
CDM,800972,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",1061.7,1061.7,21.05,189.83,74
CDM,800972,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Age 21+",1061.7,1061.7,32.43,32.43,4
CDM,800972,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Age Under 21",1061.7,1061.7,33.02,33.02,4
CDM,800972,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other Outpatient",1061.7,1061.7,36.84,36.84,6
CDM,800985,BRUCELLA AB QL IGG,230.73,230.73,16.15,230.73,47
CDM,800987,BRUCELLA AB QL IGM,230.73,230.73,16.15,230.73,47
CDM,800989,BRUCELLA AB QUAL,311.41,311.41,21.8,311.41,47
CDM,800992,BRUCELLA ABORT AGG,232.36,232.36,16.27,232.36,47
CDM,800997,BUN,740.6,740.6,51.84,740.6,47
CDM,801003,BUPROPION WELLBUTRIN QN,693.81,693.81,48.57,693.81,47
CDM,801009,BUSULFAN MYLERAN QN,1034.26,1034.26,72.4,1034.26,47
CDM,801016,C DIFFICILE TOXIN TC,1600.6,1600.6,112.04,1600.6,47
CDM,801016,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",1600.6,1600.6,11.84,105.86,74
CDM,801016,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Age 21+",1600.6,1600.6,18.24,18.24,4
CDM,801016,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Age Under 21",1600.6,1600.6,18.57,18.57,4
CDM,801016,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient",1600.6,1600.6,20.73,20.73,6
CDM,801018,C DIFFICILE TOXIN AG EIA,432.43,432.43,30.27,432.43,47
CDM,801022,C1Q BINDING IMM COMP,766.42,766.42,53.65,766.42,47
CDM,801024,CA 125 QN,1158.51,1158.51,81.1,1158.51,47
CDM,801025,CA 15-3 QN,2633.24,2633.24,184.33,2633.24,47
CDM,801026,CA 19-9 QN,2626.8,2626.8,183.88,2626.8,47
CDM,801026,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",2626.8,2626.8,12.49,111.36,74
CDM,801026,"Immunoassay for tumor antigen, quantitative; CA 19-9 Age 21+",2626.8,2626.8,19.23,19.23,4
CDM,801026,"Immunoassay for tumor antigen, quantitative; CA 19-9 Age Under 21",2626.8,2626.8,19.58,19.58,4
CDM,801026,"Immunoassay for tumor antigen, quantitative; CA 19-9 Other Outpatient",2626.8,2626.8,21.85,21.85,6
CDM,801027,CA 27-29 QN,1413.44,1413.44,98.94,1413.44,47
CDM,801029,CA 72 4 IA QN,1566.72,1566.72,109.67,1566.72,47
CDM,801030,CADMIUM,1318.25,1318.25,92.28,1318.25,47
CDM,801030,Cadmium ,1318.25,1318.25,14.18,127.75,74
CDM,801030,Cadmium Age 21+,1318.25,1318.25,21.85,21.85,4
CDM,801030,Cadmium Age Under 21,1318.25,1318.25,22.24,22.24,4
CDM,801030,Cadmium Other Outpatient,1318.25,1318.25,24.82,24.82,6
CDM,801034,CALCITONIN,727.7,727.7,50.94,727.7,47
CDM,801034,Calcitonin ,727.7,727.7,16.07,144.19,74
CDM,801034,Calcitonin Age 21+,727.7,727.7,24.75,24.75,4
CDM,801034,Calcitonin Age Under 21,727.7,727.7,25.2,25.2,4
CDM,801034,Calcitonin Other Outpatient,727.7,727.7,28.13,28.13,6
CDM,801038,CALCIUM IONIZED,1048.78,1048.78,73.41,1048.78,47
CDM,801039,CALCIUM TOTAL,861.61,861.61,60.31,861.61,47
CDM,801040,CALCIUM UR TIMED QN,1203.67,1203.67,84.26,1203.67,47
CDM,801040,"Calcium; urine quantitative, timed specimen ",1203.67,1203.67,3.62,32.83,74
CDM,801040,"Calcium; urine quantitative, timed specimen Age 21+",1203.67,1203.67,5.58,5.58,4
CDM,801040,"Calcium; urine quantitative, timed specimen Age Under 21",1203.67,1203.67,5.68,5.68,4
CDM,801040,"Calcium; urine quantitative, timed specimen Other Outpatient",1203.67,1203.67,6.33,6.33,6
CDM,801042,Antibody; Campylobacter ,861.61,861.61,7.87,71.22,74
CDM,801042,Antibody; Campylobacter Age 21+,861.61,861.61,12.12,12.12,4
CDM,801042,Antibody; Campylobacter Age Under 21,861.61,861.61,12.34,12.34,4
CDM,801042,Antibody; Campylobacter Other Outpatient,861.61,861.61,13.78,13.78,6
CDM,801042,CAMPYLOBACT AB QUAL,861.61,861.61,60.31,861.61,47
CDM,801045,CANDIDA AB QUAL,1587.71,1587.71,111.14,1587.71,47
CDM,801046,CANDIDA AG EIA,587.33,587.33,41.11,587.33,47
CDM,801048,CANDIDA AMP PROBE,1082.66,1082.66,75.79,1082.66,47
CDM,801048,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",1082.66,1082.66,21.05,189.83,74
CDM,801048,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Age 21+",1082.66,1082.66,32.43,32.43,4
CDM,801048,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Age Under 21",1082.66,1082.66,33.02,33.02,4
CDM,801048,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Other Outpatient",1082.66,1082.66,36.84,36.84,6
CDM,801057,CARBAMAZEPINE TOTAL,1471.53,1471.53,103.01,1471.53,47
CDM,801058,CARBO DEF TRANSFERRIN,1479.6,1479.6,103.57,1479.6,47
CDM,801058,Carbohydrate deficient transferrin ,1479.6,1479.6,10.84,96.73,74
CDM,801058,Carbohydrate deficient transferrin Age 21+,1479.6,1479.6,16.69,16.69,4
CDM,801058,Carbohydrate deficient transferrin Age Under 21,1479.6,1479.6,16.99,16.99,4
CDM,801058,Carbohydrate deficient transferrin Other Outpatient,1479.6,1479.6,18.96,18.96,6
CDM,801062,CARBON DIOXIDE,138.75,138.75,9.71,138.75,47
CDM,801065,CARBON DIOXIDE UR,138.75,138.75,9.71,138.75,47
CDM,801067,CARBOXYHEMOGLOBIN QN,772.88,772.88,54.1,772.88,47
CDM,801067,Carboxyhemoglobin; quantitative ,772.88,772.88,7.39,65.72,74
CDM,801067,Carboxyhemoglobin; quantitative Age 21+,772.88,772.88,11.38,11.38,4
CDM,801067,Carboxyhemoglobin; quantitative Age Under 21,772.88,772.88,11.59,11.59,4
CDM,801067,Carboxyhemoglobin; quantitative Other Outpatient,772.88,772.88,12.94,12.94,6
CDM,801069,CARDIOLIPIN AB IGA,1303.73,1303.73,91.26,1303.73,47
CDM,801071,CARDIOLIPIN AB IGG,730.92,730.92,51.16,730.92,47
CDM,801072,CARDIOLIPIN AB IGM,730.92,730.92,51.16,730.92,47
CDM,801076,CARNITINE TOT & FREE QN,3262.52,3262.52,228.38,3262.52,47
CDM,801076,"Carnitine (total and free), quantitative, each specimen ",3262.52,3262.52,10.12,91.29,74
CDM,801076,"Carnitine (total and free), quantitative, each specimen Age 21+",3262.52,3262.52,15.59,15.59,4
CDM,801076,"Carnitine (total and free), quantitative, each specimen Age Under 21",3262.52,3262.52,15.87,15.87,4
CDM,801076,"Carnitine (total and free), quantitative, each specimen Other Outpatient",3262.52,3262.52,17.71,17.71,6
CDM,801077,CAROTENE,951.97,951.97,66.64,951.97,47
CDM,801077,Carotene ,951.97,951.97,5.53,49.27,74
CDM,801077,Carotene Age 21+,951.97,951.97,8.51,8.51,4
CDM,801077,Carotene Age Under 21,951.97,951.97,8.67,8.67,4
CDM,801077,Carotene Other Outpatient,951.97,951.97,9.68,9.68,6
CDM,801078,CATECHOL FRACTION BLD,2518.7,2518.7,176.31,2518.7,47
CDM,801079,CATECHOL FRACTION UR,1805.53,1805.53,126.39,1805.53,47
CDM,801081,CATECHOLAMINES TOT UR,1921.68,1921.68,134.52,1921.68,47
CDM,801081,Catecholamines; total urine ,1921.68,1921.68,16.38,147.87,74
CDM,801081,Catecholamines; total urine Age 21+,1921.68,1921.68,25.22,25.22,4
CDM,801081,Catecholamines; total urine Age Under 21,1921.68,1921.68,25.68,25.68,4
CDM,801081,Catecholamines; total urine Other Outpatient,1921.68,1921.68,28.67,28.67,6
CDM,801094,CEA,822.9,822.9,57.6,822.9,47
CDM,801094,Carcinoembryonic antigen (CEA) ,822.9,822.9,11.38,102.23,74
CDM,801094,Carcinoembryonic antigen (CEA) Age 21+,822.9,822.9,17.52,17.52,4
CDM,801094,Carcinoembryonic antigen (CEA) Age Under 21,822.9,822.9,17.84,17.84,4
CDM,801094,Carcinoembryonic antigen (CEA) Other Outpatient,822.9,822.9,19.91,19.91,6
CDM,801103,CELL COUNT BODY FLD,432.43,432.43,30.27,432.43,47
CDM,801103,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",432.43,432.43,2.83,25.57,74
CDM,801103,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Age 21+",432.43,432.43,4.36,4.36,4
CDM,801103,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Age Under 21",432.43,432.43,4.44,4.44,4
CDM,801103,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Other Outpatient",432.43,432.43,4.96,4.96,6
CDM,801105,CELL CT & DIFF CSF,1021.35,1021.35,71.49,1021.35,47
CDM,801106,CELL CT&DIFF BODY FL,1021.35,1021.35,71.49,1021.35,47
CDM,801107,CENTROMERE AB,484.05,484.05,33.88,484.05,47
CDM,801112,CEPHALOTHIN KEFLIN QN,1001.99,1001.99,70.14,1001.99,47
CDM,801114,CERULOPLASMIN,1048.78,1048.78,73.41,1048.78,47
CDM,801114,Ceruloplasmin ,1048.78,1048.78,6.44,58.4,74
CDM,801114,Ceruloplasmin Age 21+,1048.78,1048.78,9.92,9.92,4
CDM,801114,Ceruloplasmin Age Under 21,1048.78,1048.78,10.1,10.1,4
CDM,801114,Ceruloplasmin Other Outpatient,1048.78,1048.78,11.28,11.28,6
CDM,801126,CHLAMYDIA TRACH AG IFT,387.26,387.26,27.11,387.26,47
CDM,801126,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,387.26,387.26,7.19,63.9,74
CDM,801126,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Age 21+,387.26,387.26,11.07,11.07,4
CDM,801126,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Age Under 21,387.26,387.26,11.27,11.27,4
CDM,801126,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Other Outpatient,387.26,387.26,12.58,12.58,6
CDM,801128,CHLAMYDIA P AMP PROBE,984.23,984.23,68.9,984.23,47
CDM,801128,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",984.23,984.23,21.05,189.83,74
CDM,801128,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Age 21+",984.23,984.23,32.43,32.43,4
CDM,801128,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Age Under 21",984.23,984.23,33.02,33.02,4
CDM,801128,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Other Outpatient",984.23,984.23,36.84,36.84,6
CDM,801129,CHLAMYDIA P DIR PROBE,1163.35,1163.35,81.43,1163.35,47
CDM,801129,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",1163.35,1163.35,12.03,107.67,74
CDM,801129,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Age 21+",1163.35,1163.35,18.52,18.52,4
CDM,801129,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Age Under 21",1163.35,1163.35,18.86,18.86,4
CDM,801129,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Other Outpatient",1163.35,1163.35,21.05,21.05,6
CDM,801132,CHLAMYDIA PNEUMO IGA,303.33,303.33,21.23,303.33,47
CDM,801133,CHLAMYDIA PNEUMO IGG,272.69,272.69,19.09,272.69,47
CDM,801134,CHLAMYDIA PNEUMO IGM,272.69,272.69,19.09,272.69,47
CDM,801137,CHLAMYDIA PSITTACI IGA,303.33,303.33,21.23,303.33,47
CDM,801138,CHLAMYDIA PSITTACI IGG,303.33,303.33,21.23,303.33,47
CDM,801139,CHLAMYDIA PSITTACI IGM,303.33,303.33,21.23,303.33,47
CDM,801144,CHLAMYDIA T AMP PROBE,984.23,984.23,68.9,984.23,47
CDM,801148,CHLAMYDIA T DNA QN,1163.35,1163.35,81.43,1163.35,47
CDM,801148,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",1163.35,1163.35,32.08,288.38,74
CDM,801148,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Age 21+",1163.35,1163.35,49.4,49.4,4
CDM,801148,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Age Under 21",1163.35,1163.35,50.3,50.3,4
CDM,801148,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Other Outpatient",1163.35,1163.35,56.14,56.14,6
CDM,801150,CHLAMYDIA TRACH IGA,303.33,303.33,21.23,303.33,47
CDM,801151,CHLAMYDIA TRACH IGG,303.33,303.33,21.23,303.33,47
CDM,801152,CHLAMYDIA TRACH IGM,303.33,303.33,21.23,303.33,47
CDM,801155,CHLORAMPHENICOL,406.6,406.6,28.46,406.6,47
CDM,801155,Chloramphenicol ,406.6,406.6,7.6,67.53,74
CDM,801155,Chloramphenicol Age 21+,406.6,406.6,11.7,11.7,4
CDM,801155,Chloramphenicol Age Under 21,406.6,406.6,11.92,11.92,4
CDM,801155,Chloramphenicol Other Outpatient,406.6,406.6,13.3,13.3,6
CDM,801157,CHLORIDE BLD,342.07,342.07,23.94,342.07,47
CDM,801158,CHLORIDE CSF,227.51,227.51,15.93,227.51,47
CDM,801159,CHLORIDE OTHER,227.51,227.51,15.93,227.51,47
CDM,801162,CHLORIDE UR,367.88,367.88,25.75,367.88,47
CDM,801162,Chloride; urine ,367.88,367.88,3.45,31.01,74
CDM,801162,Chloride; urine Age 21+,367.88,367.88,5.31,5.31,4
CDM,801162,Chloride; urine Age Under 21,367.88,367.88,5.41,5.41,4
CDM,801162,Chloride; urine Other Outpatient,367.88,367.88,6.04,6.04,6
CDM,801168,CHOLESTEROL BLD,856.79,856.79,59.98,856.79,47
CDM,801169,CHOLESTEROL OTHER SPEC,856.79,856.79,59.98,856.79,47
CDM,801172,CHOLINESTERASE RBC,348.52,348.52,24.4,348.52,47
CDM,801172,Cholinesterase; RBC ,348.52,348.52,5.89,52.96,74
CDM,801172,Cholinesterase; RBC Age 21+,348.52,348.52,9.06,9.06,4
CDM,801172,Cholinesterase; RBC Age Under 21,348.52,348.52,9.23,9.23,4
CDM,801172,Cholinesterase; RBC Other Outpatient,348.52,348.52,10.3,10.3,6
CDM,801177,CHROMIUM,1318.25,1318.25,92.28,1318.25,47
CDM,801177,Chromium ,1318.25,1318.25,12.17,109.54,74
CDM,801177,Chromium Age 21+,1318.25,1318.25,18.74,18.74,4
CDM,801177,Chromium Age Under 21,1318.25,1318.25,19.08,19.08,4
CDM,801177,Chromium Other Outpatient,1318.25,1318.25,21.29,21.29,6
CDM,801181,CHROMOGRANIN A IA QN,692.19,692.19,48.45,692.19,47
CDM,801188,CIPROFLOXACIN CIPRO QN,945.52,945.52,66.19,945.52,47
CDM,801192,CIRCULAT ANTICOAG-PTT,861.61,861.61,60.31,861.61,47
CDM,801195,CITRATE,2094.34,2094.34,146.6,2094.34,47
CDM,801195,Citrate ,2094.34,2094.34,16.68,149.69,74
CDM,801195,Citrate Age 21+,2094.34,2094.34,25.69,25.69,4
CDM,801195,Citrate Age Under 21,2094.34,2094.34,26.15,26.15,4
CDM,801195,Citrate Other Outpatient,2094.34,2094.34,29.19,29.19,6
CDM,801199,CK MB FRACTION,1445.7,1445.7,101.2,1445.7,47
CDM,801201,CK-ISOENZYMES,1516.7,1516.7,106.17,1516.7,47
CDM,801201,"Creatine kinase (CK), (CPK); isoenzymes ",1516.7,1516.7,8.03,73.03,74
CDM,801201,"Creatine kinase (CK), (CPK); isoenzymes Age 21+",1516.7,1516.7,12.38,12.38,4
CDM,801201,"Creatine kinase (CK), (CPK); isoenzymes Age Under 21",1516.7,1516.7,12.6,12.6,4
CDM,801201,"Creatine kinase (CK), (CPK); isoenzymes Other Outpatient",1516.7,1516.7,14.06,14.06,6
CDM,801207,CLINDAMYCIN CLEOCIN QN,1452.15,1452.15,101.65,1452.15,47
CDM,801214,CLOMIPRAMINE ANAFRANL QN,1382.78,1382.78,96.79,1382.78,47
CDM,801216,CLONIDINE CATAPRES QN,3126.99,3126.99,218.89,3126.99,47
CDM,801219,CLOT LYSIS TIME,129.08,129.08,9.04,129.08,47
CDM,801219,"Clot lysis time, whole blood dilution ",129.08,129.08,12.22,109.54,74
CDM,801219,"Clot lysis time, whole blood dilution Age 21+",129.08,129.08,18.82,18.82,4
CDM,801219,"Clot lysis time, whole blood dilution Age Under 21",129.08,129.08,19.16,19.16,4
CDM,801219,"Clot lysis time, whole blood dilution Other Outpatient",129.08,129.08,21.39,21.39,6
CDM,801225,CMV AMP PROBE,2844.63,2844.63,199.12,2844.63,47
CDM,801228,CMV DNA QN,3404.51,3404.51,238.32,3404.51,47
CDM,801230,Antibody; cytomegalovirus (CMV) ,1223.04,1223.04,8.63,76.66,74
CDM,801230,Antibody; cytomegalovirus (CMV) Age 21+,1223.04,1223.04,13.3,13.3,4
CDM,801230,Antibody; cytomegalovirus (CMV) Age Under 21,1223.04,1223.04,13.54,13.54,4
CDM,801230,Antibody; cytomegalovirus (CMV) Other Outpatient,1223.04,1223.04,15.11,15.11,6
CDM,801230,CMV IGG QUAL,1223.04,1223.04,85.61,1223.04,47
CDM,801232,"Antibody; cytomegalovirus (CMV), IgM ",1223.04,1223.04,10.11,91.29,74
CDM,801232,"Antibody; cytomegalovirus (CMV), IgM Age 21+",1223.04,1223.04,15.57,15.57,4
CDM,801232,"Antibody; cytomegalovirus (CMV), IgM Age Under 21",1223.04,1223.04,15.85,15.85,4
CDM,801232,"Antibody; cytomegalovirus (CMV), IgM Other Outpatient",1223.04,1223.04,17.69,17.69,6
CDM,801232,CMV IGM QUAL,1223.04,1223.04,85.61,1223.04,47
CDM,801233,COAG INTERPRETATION,179.1,179.1,12.54,179.1,47
CDM,801233,"Fibrinolysins or coagulopathy screen, interpretation and report ",179.1,179.1,9.29,83.97,74
CDM,801233,"Fibrinolysins or coagulopathy screen, interpretation and report Age 21+",179.1,179.1,14.3,14.3,4
CDM,801233,"Fibrinolysins or coagulopathy screen, interpretation and report Age Under 21",179.1,179.1,14.56,14.56,4
CDM,801233,"Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient",179.1,179.1,16.25,16.25,6
CDM,801238,COCCIDIOID AB QUAL,250.09,250.09,17.51,250.09,47
CDM,801239,COCCIDIOID AG CF,1426.35,1426.35,99.84,1426.35,47
CDM,801242,COCCIDIOIDES AB QL IGG,198.48,198.48,13.89,198.48,47
CDM,801243,COCCIDIOIDES AB QL IGM,198.48,198.48,13.89,198.48,47
CDM,801252,COLD AGGLUTININ TITER,445.33,445.33,31.17,445.33,47
CDM,801252,Cold agglutinin; titer ,445.33,445.33,4.84,43.83,74
CDM,801252,Cold agglutinin; titer Age 21+,445.33,445.33,7.45,7.45,4
CDM,801252,Cold agglutinin; titer Age Under 21,445.33,445.33,7.58,7.58,4
CDM,801252,Cold agglutinin; titer Other Outpatient,445.33,445.33,8.46,8.46,6
CDM,801253,COLLAGEN CROSS LINKS,727.7,727.7,50.94,727.7,47
CDM,801266,COMPLEMENT C1 EST ACT,1529.62,1529.62,107.07,1529.62,47
CDM,801267,COMPLEMENT C1 EST INHIBI,253.31,253.31,17.73,253.31,47
CDM,801269,COMPLEMENT C1 Q,598.61,598.61,41.9,598.61,47
CDM,801276,COMPLEMENT C2,1471.53,1471.53,103.01,1471.53,47
CDM,801279,COMPLEMENT C3,900.34,900.34,63.02,900.34,47
CDM,801283,COMPLEMENT C3 ACT,535.68,535.68,37.5,535.68,47
CDM,801285,COMPLEMENT C4,253.31,253.31,17.73,253.31,47
CDM,801288,COMPLEMENT C5,1471.53,1471.53,103.01,1471.53,47
CDM,801293,COMPLEMENT C6,1426.35,1426.35,99.84,1426.35,47
CDM,801295,COMPLEMENT C7,1426.35,1426.35,99.84,1426.35,47
CDM,801298,COMPLEMENT C8,1426.35,1426.35,99.84,1426.35,47
CDM,801336,COMPLEMENT C9,1426.35,1426.35,99.84,1426.35,47
CDM,801342,COMPLEMENT TOT CH50,1669.98,1669.98,116.9,1669.98,47
CDM,801342,Complement; total hemolytic (CH50) ,1669.98,1669.98,12.19,109.54,74
CDM,801342,Complement; total hemolytic (CH50) Age 21+,1669.98,1669.98,18.78,18.78,4
CDM,801342,Complement; total hemolytic (CH50) Age Under 21,1669.98,1669.98,19.12,19.12,4
CDM,801342,Complement; total hemolytic (CH50) Other Outpatient,1669.98,1669.98,21.34,21.34,6
CDM,801345,COPPER BLD,1331.14,1331.14,93.18,1331.14,47
CDM,801346,COPPER OTHER,1908.79,1908.79,133.62,1908.79,47
CDM,801347,COPPER URINE,374.33,374.33,26.2,374.33,47
CDM,801352,CORTISOL FREE,1505.41,1505.41,105.38,1505.41,47
CDM,801353,CORTISOL FREE URINE,506.64,506.64,35.46,506.64,47
CDM,801354,CORTISOL TOTAL,1516.7,1516.7,106.17,1516.7,47
CDM,801354,Cortisol; total ,1516.7,1516.7,9.78,87.6,74
CDM,801354,Cortisol; total Age 21+,1516.7,1516.7,15.06,15.06,4
CDM,801354,Cortisol; total Age Under 21,1516.7,1516.7,15.33,15.33,4
CDM,801354,Cortisol; total Other Outpatient,1516.7,1516.7,17.12,17.12,6
CDM,801366,COXIELLA B AB PH1 IGM,214.59,214.59,15.02,214.59,47
CDM,801369,COXIELLA B AB PH2 IGM,214.59,214.59,15.02,214.59,47
CDM,801373,COXSACKIE A10 AB QUAL,314.64,314.64,22.02,314.64,47
CDM,801374,COXSACKIE A16 AB QUAL,314.64,314.64,22.02,314.64,47
CDM,801375,COXSACKIE A2 AB QUAL,314.64,314.64,22.02,314.64,47
CDM,801377,COXSACKIE A4 AB QUAL,314.64,314.64,22.02,314.64,47
CDM,801378,COXSACKIE A7 AB QUAL,314.64,314.64,22.02,314.64,47
CDM,801379,COXSACKIE A9 AB QUAL,314.64,314.64,22.02,314.64,47
CDM,801383,COXSACKIE B1 AB QUAL,727.7,727.7,50.94,727.7,47
CDM,801384,COXSACKIE B2 AB QUAL,727.7,727.7,50.94,727.7,47
CDM,801385,COXSACKIE B3 AB QUAL,727.7,727.7,50.94,727.7,47
CDM,801386,COXSACKIE B4 AB QUAL,727.7,727.7,50.94,727.7,47
CDM,801387,COXSACKIE B5 AB QUAL,727.7,727.7,50.94,727.7,47
CDM,801388,COXSACKIE B6 AB QUAL,727.7,727.7,50.94,727.7,47
CDM,801394,C-PEPTIDE,1413.44,1413.44,98.94,1413.44,47
CDM,801394,C-peptide ,1413.44,1413.44,12.49,111.36,74
CDM,801394,C-peptide Age 21+,1413.44,1413.44,19.23,19.23,4
CDM,801394,C-peptide Age Under 21,1413.44,1413.44,19.58,19.58,4
CDM,801394,C-peptide Other Outpatient,1413.44,1413.44,21.85,21.85,6
CDM,801395,C-REACTIVE PROTEIN,887.44,887.44,62.12,887.44,47
CDM,801396,C-REACTIVE PROTEIN HS,579.25,579.25,40.55,579.25,47
CDM,801396,C-reactive protein; high sensitivity (hsCRP) ,579.25,579.25,7.77,69.34,74
CDM,801396,C-reactive protein; high sensitivity (hsCRP) Age 21+,579.25,579.25,11.97,11.97,4
CDM,801396,C-reactive protein; high sensitivity (hsCRP) Age Under 21,579.25,579.25,12.19,12.19,4
CDM,801396,C-reactive protein; high sensitivity (hsCRP) Other Outpatient,579.25,579.25,13.6,13.6,6
CDM,801397,CREATINE BLOOD,516.33,516.33,36.14,516.33,47
CDM,801398,CREAT KINASE (CK) TOTAL,958.43,958.43,67.09,958.43,47
CDM,801399,CREATINE URINE,913.25,913.25,63.93,913.25,47
CDM,801401,CREATININE BLD,784.17,784.17,54.89,784.17,47
CDM,801402,CREATININE CLEARANCE,1406.99,1406.99,98.49,1406.99,47
CDM,801402,Creatinine; clearance ,1406.99,1406.99,5.68,51.09,74
CDM,801402,Creatinine; clearance Age 21+,1406.99,1406.99,8.75,8.75,4
CDM,801402,Creatinine; clearance Age Under 21,1406.99,1406.99,8.9,8.9,4
CDM,801402,Creatinine; clearance Other Outpatient,1406.99,1406.99,9.93,9.93,6
CDM,801403,CREATININE OTHER,413.06,413.06,28.91,413.06,47
CDM,801404,CREATININE UR,682.52,682.52,47.78,682.52,47
CDM,801406,CROSSMATCH AHG,2805.9,2805.9,196.41,2805.9,48
CDM,801408,CROSSMATCH IMM SPIN,395.32,395.32,27.67,395.32,48
CDM,801408,Compatibility test each unit; immediate spin technique ,395.32,395.32,40.85,315.7,16
CDM,801413,PLATELET UNIT POOLING,375.35,375.35,26.27,375.35,48
CDM,801414,CRYOFIBRINOGEN,475.99,475.99,33.32,475.99,47
CDM,801414,Cryofibrinogen ,475.99,475.99,8.48,76.66,74
CDM,801414,Cryofibrinogen Age 21+,475.99,475.99,13.07,13.07,4
CDM,801414,Cryofibrinogen Age Under 21,475.99,475.99,13.31,13.31,4
CDM,801414,Cryofibrinogen Other Outpatient,475.99,475.99,14.85,14.85,6
CDM,801416,CRYOGLOBULINS QL SQN,792.24,792.24,55.46,792.24,47
CDM,801416,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",792.24,792.24,3.88,34.7,74
CDM,801416,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Age 21+",792.24,792.24,5.97,5.97,4
CDM,801416,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Age Under 21",792.24,792.24,6.08,6.08,4
CDM,801416,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Other Outpatient",792.24,792.24,6.79,6.79,6
CDM,801419,Antibody; Cryptococcus ,1029.41,1029.41,8.65,78.47,74
CDM,801419,Antibody; Cryptococcus Age 21+,1029.41,1029.41,13.31,13.31,4
CDM,801419,Antibody; Cryptococcus Age Under 21,1029.41,1029.41,13.55,13.55,4
CDM,801419,Antibody; Cryptococcus Other Outpatient,1029.41,1029.41,15.13,15.13,6
CDM,801419,CRYPTOCOC AB BLD QUAL,1029.41,1029.41,72.06,1029.41,47
CDM,801424,CRYPTOCOC AG CF,1208.52,1208.52,84.6,1208.52,47
CDM,801426,CRYPTOCOCCUS AG OIA,277.52,277.52,19.43,277.52,47
CDM,801429,CRYPTOSPORIDIUM AG EIA,492.12,492.12,34.45,492.12,47
CDM,801429,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",492.12,492.12,8.29,74.84,88
CDM,801433,CRYSTALS BODY FL,740.6,740.6,51.84,740.6,47
CDM,801437,CULT AFB,1356.97,1356.97,94.99,1356.97,47
CDM,801437,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",1356.97,1356.97,6.48,58.4,74
CDM,801437,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Age 21+",1356.97,1356.97,9.98,9.98,4
CDM,801437,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Age Under 21",1356.97,1356.97,10.16,10.16,4
CDM,801437,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Other Outpatient",1356.97,1356.97,11.34,11.34,6
CDM,801443,CULT BORDETELLA PERT SCR,613.14,613.14,42.92,613.14,47
CDM,801444,CULT BRUCELLA SCR,238.8,238.8,16.72,238.8,47
CDM,801445,CULT C DIFF ANAER SCR,677.68,677.68,47.44,677.68,47
CDM,801446,CULT CAMPY SCR,792.24,792.24,55.46,792.24,47
CDM,801447,CULT CHLAMYDIA,1723.25,1723.25,120.63,1723.25,47
CDM,801447,"Culture, chlamydia, any source ",1723.25,1723.25,11.76,105.86,74
CDM,801447,"Culture, chlamydia, any source Age 21+",1723.25,1723.25,18.11,18.11,4
CDM,801447,"Culture, chlamydia, any source Age Under 21",1723.25,1723.25,18.44,18.44,4
CDM,801447,"Culture, chlamydia, any source Other Outpatient",1723.25,1723.25,20.58,20.58,6
CDM,801452,CULT COLONY COUNT UR,1195.6,1195.6,83.69,1195.6,47
CDM,801452,"Culture, bacterial; quantitative colony count, urine ",1195.6,1195.6,4.84,43.83,74
CDM,801452,"Culture, bacterial; quantitative colony count, urine Age 21+",1195.6,1195.6,7.46,7.46,4
CDM,801452,"Culture, bacterial; quantitative colony count, urine Age Under 21",1195.6,1195.6,7.59,7.59,4
CDM,801452,"Culture, bacterial; quantitative colony count, urine Other Outpatient",1195.6,1195.6,8.47,8.47,6
CDM,801456,CULT DIPHTHERIA SCR,1356.97,1356.97,94.99,1356.97,47
CDM,801462,CULT ENVIRON EPIDEMI,311.41,311.41,21.8,311.41,47
CDM,801464,CULT FUNGUS OTHER SRC,1394.08,1394.08,97.59,1394.08,47
CDM,801464,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",1394.08,1394.08,5.05,45.64,74
CDM,801464,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Age 21+",1394.08,1394.08,7.77,7.77,4
CDM,801464,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Age Under 21",1394.08,1394.08,7.91,7.91,4
CDM,801464,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Other Outpatient",1394.08,1394.08,8.83,8.83,6
CDM,801465,CULT FUNGUS BLOOD,1394.08,1394.08,97.59,1394.08,47
CDM,801465,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",1394.08,1394.08,12.28,109.54,74
CDM,801465,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Age 21+",1394.08,1394.08,18.91,18.91,4
CDM,801465,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Age Under 21",1394.08,1394.08,19.25,19.25,4
CDM,801465,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Other Outpatient",1394.08,1394.08,21.48,21.48,6
CDM,801470,CULT GC SCR,1344.06,1344.06,94.08,1344.06,47
CDM,801471,CULT H PYLORI SCR,1356.97,1356.97,94.99,1356.97,47
CDM,801473,CULT HERPES SIMP 1&2,730.92,730.92,51.16,730.92,47
CDM,801477,CULT LEGIONELLA SCR,1131.08,1131.08,79.18,1131.08,47
CDM,801478,CULT LEPTOSPIRA SCR,576.02,576.02,40.32,576.02,47
CDM,801483,CULT MYCOPLASMA,1413.44,1413.44,98.94,1413.44,47
CDM,801484,CULT NASOPHARYNGEAL,1356.97,1356.97,94.99,1356.97,47
CDM,801485,CULT NOSE,1356.97,1356.97,94.99,1356.97,47
CDM,801492,CULT QN WOUND,311.41,311.41,21.8,311.41,47
CDM,801492,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",311.41,311.41,5.93,52.96,74
CDM,801492,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Age 21+",311.41,311.41,9.14,9.14,4
CDM,801492,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Age Under 21",311.41,311.41,9.31,9.31,4
CDM,801492,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Other Outpatient",311.41,311.41,10.38,10.38,6
CDM,801502,CULT STREP GROUP B SCR,317.86,317.86,22.25,317.86,47
CDM,801503,CULT THROAT,1143.99,1143.99,80.08,1143.99,47
CDM,801506,CULT TYPING IFT,141.97,141.97,9.94,141.97,47
CDM,801506,"Culture, typing; immunofluorescent method, each antiserum ",141.97,141.97,3.34,29.2,74
CDM,801506,"Culture, typing; immunofluorescent method, each antiserum Age 21+",141.97,141.97,5.15,5.15,4
CDM,801506,"Culture, typing; immunofluorescent method, each antiserum Age Under 21",141.97,141.97,5.24,5.24,4
CDM,801506,"Culture, typing; immunofluorescent method, each antiserum Other Outpatient",141.97,141.97,5.85,5.85,6
CDM,801508,CULT TYPING DIRECT PROBE,674.45,674.45,47.21,674.45,47
CDM,801508,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",674.45,674.45,12.03,107.67,74
CDM,801508,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Age 21+",674.45,674.45,18.52,18.52,4
CDM,801508,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Age Under 21",674.45,674.45,18.86,18.86,4
CDM,801508,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Other Outpatient",674.45,674.45,21.05,21.05,6
CDM,801509,CULT VARICELLA ZOSTER,682.52,682.52,47.78,682.52,47
CDM,801512,CULT VIBRIO SCR,951.97,951.97,66.64,951.97,47
CDM,801513,CULT VIRUS CPE,2184.7,2184.7,152.93,2184.7,47
CDM,801516,CULT VIRUS SHELL VIAL,490.52,490.52,34.34,490.52,47
CDM,801519,CULT W PRESUMPTIVE ID UR,271.07,271.07,18.97,271.07,47
CDM,801519,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",271.07,271.07,4.85,43.83,74
CDM,801519,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Age 21+",271.07,271.07,7.48,7.48,4
CDM,801519,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Age Under 21",271.07,271.07,7.62,7.62,4
CDM,801519,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Other Outpatient",271.07,271.07,8.49,8.49,6
CDM,801523,CULT YERSINIA SCR,1223.04,1223.04,85.61,1223.04,47
CDM,801525,CULTURE ABSCESS,1356.97,1356.97,94.99,1356.97,47
CDM,801532,CULTURE ANAEROBIC,1779.71,1779.71,124.58,1779.71,47
CDM,801532,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",1779.71,1779.71,5.68,51.09,74
CDM,801532,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Age 21+",1779.71,1779.71,8.75,8.75,4
CDM,801532,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Age Under 21",1779.71,1779.71,8.9,8.9,4
CDM,801532,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Other Outpatient",1779.71,1779.71,9.94,9.94,6
CDM,801536,CULTURE BLOOD,1440.87,1440.87,100.86,1440.87,47
CDM,801536,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",1440.87,1440.87,6.19,54.77,74
CDM,801536,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age 21+",1440.87,1440.87,9.54,9.54,4
CDM,801536,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age Under 21",1440.87,1440.87,9.71,9.71,4
CDM,801536,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Other Outpatient",1440.87,1440.87,10.84,10.84,6
CDM,801537,CULTURE BODY FLUID,1356.97,1356.97,94.99,1356.97,47
CDM,801538,CULTURE BONE MARROW,1356.97,1356.97,94.99,1356.97,47
CDM,801545,CULTURE BRONCH WASH,1356.97,1356.97,94.99,1356.97,47
CDM,801546,CULTURE BRONCHIAL,1356.97,1356.97,94.99,1356.97,47
CDM,801548,CULTURE CATHETER TIP,1356.97,1356.97,94.99,1356.97,47
CDM,801549,CULTURE CERVICAL,1356.97,1356.97,94.99,1356.97,47
CDM,801553,CULTURE CSF,1402.15,1402.15,98.15,1402.15,47
CDM,801554,CULTURE DRAIN,1356.97,1356.97,94.99,1356.97,47
CDM,801556,CULTURE EAR,1356.97,1356.97,94.99,1356.97,47
CDM,801557,CULTURE EYE,1356.97,1356.97,94.99,1356.97,47
CDM,801558,CULTURE GASTRIC,1356.97,1356.97,94.99,1356.97,47
CDM,801559,CULTURE GENITAL,1356.97,1356.97,94.99,1356.97,47
CDM,801562,CULTURE PLACENTA,1356.97,1356.97,94.99,1356.97,47
CDM,801563,CULTURE RESPIRATORY,1356.97,1356.97,94.99,1356.97,47
CDM,801565,CULTURE SINUS,1356.97,1356.97,94.99,1356.97,47
CDM,801567,CULTURE SPUTUM,1356.97,1356.97,94.99,1356.97,47
CDM,801569,CULTURE STOOL,1413.44,1413.44,98.94,1413.44,47
CDM,801569,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",1413.44,1413.44,5.66,51.09,74
CDM,801569,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Age 21+",1413.44,1413.44,8.72,8.72,4
CDM,801569,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Age Under 21",1413.44,1413.44,8.88,8.88,4
CDM,801569,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Other Outpatient",1413.44,1413.44,9.91,9.91,6
CDM,801570,CULTURE SURGICAL SPEC,1356.97,1356.97,94.99,1356.97,47
CDM,801572,CULTURE TISSUE,1356.97,1356.97,94.99,1356.97,47
CDM,801573,CULTURE TRACHEA,1356.97,1356.97,94.99,1356.97,47
CDM,801575,CULTURE UREAPLASMA,1240.79,1240.79,86.86,1240.79,47
CDM,801577,CULTURE WOUND,1356.97,1356.97,94.99,1356.97,47
CDM,801579,CV2 AB WB-BD,3599.75,3599.75,251.98,3599.75,47
CDM,801581,CYANIDE,516.33,516.33,36.14,516.33,47
CDM,801581,Cyanide ,516.33,516.33,11.64,104.04,74
CDM,801581,Cyanide Age 21+,516.33,516.33,17.93,17.93,4
CDM,801581,Cyanide Age Under 21,516.33,516.33,18.26,18.26,4
CDM,801581,Cyanide Other Outpatient,516.33,516.33,20.37,20.37,6
CDM,801582,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",2145.97,2145.97,15.48,138.74,74
CDM,801582,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Age 21+",2145.97,2145.97,23.84,23.84,4
CDM,801582,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Age Under 21",2145.97,2145.97,24.27,24.27,4
CDM,801582,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Other Outpatient",2145.97,2145.97,27.09,27.09,6
CDM,801582,CYCLIC AMP,2145.97,2145.97,150.22,2145.97,47
CDM,801592,CYSTICERCUS AB,1119.77,1119.77,78.38,1119.77,47
CDM,801593,CYSTICERCUS AB WB-BD,692.19,692.19,48.45,692.19,47
CDM,801594,CYSTICERCUS IGG AB,354.98,354.98,24.85,354.98,47
CDM,801597,CYSTINE QN,474.38,474.38,33.21,474.38,47
CDM,801604,DARKFIELD EXAM & COLL,906.79,906.79,63.48,906.79,47
CDM,801604,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",906.79,906.79,6.44,58.4,74
CDM,801604,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Age 21+",906.79,906.79,9.92,9.92,4
CDM,801604,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Age Under 21",906.79,906.79,10.1,10.1,4
CDM,801604,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Other Outpatient",906.79,906.79,11.28,11.28,6
CDM,801607,D-DIMER SEMI,658.31,658.31,46.08,658.31,47
CDM,801608,DENGUE VIRUS AB IGM QL,475.99,475.99,33.32,475.99,47
CDM,801613,DEOXYCORTISOL 11,695.43,695.43,48.68,695.43,47
CDM,801613,"Deoxycortisol, 11- ",695.43,695.43,17.57,157.0,74
CDM,801613,"Deoxycortisol, 11- Age 21+",695.43,695.43,27.06,27.06,4
CDM,801613,"Deoxycortisol, 11- Age Under 21",695.43,695.43,27.55,27.55,4
CDM,801613,"Deoxycortisol, 11- Other Outpatient",695.43,695.43,30.74,30.74,6
CDM,801626,DHEA,951.97,951.97,66.64,951.97,47
CDM,801626,Dehydroepiandrosterone (DHEA) ,951.97,951.97,15.16,136.87,74
CDM,801626,Dehydroepiandrosterone (DHEA) Age 21+,951.97,951.97,23.35,23.35,4
CDM,801626,Dehydroepiandrosterone (DHEA) Age Under 21,951.97,951.97,23.78,23.78,4
CDM,801626,Dehydroepiandrosterone (DHEA) Other Outpatient,951.97,951.97,26.53,26.53,6
CDM,801627,DHEA-S,951.97,951.97,66.64,951.97,47
CDM,801627,Dehydroepiandrosterone-sulfate (DHEA-S) ,951.97,951.97,13.34,120.49,74
CDM,801627,Dehydroepiandrosterone-sulfate (DHEA-S) Age 21+,951.97,951.97,20.54,20.54,4
CDM,801627,Dehydroepiandrosterone-sulfate (DHEA-S) Age Under 21,951.97,951.97,20.91,20.91,4
CDM,801627,Dehydroepiandrosterone-sulfate (DHEA-S) Other Outpatient,951.97,951.97,23.34,23.34,6
CDM,801630,DIBUCAINE INHIBITOR,509.87,509.87,35.69,509.87,47
CDM,801630,Dibucaine number ,509.87,509.87,7.35,65.72,74
CDM,801630,Dibucaine number Age 21+,509.87,509.87,11.32,11.32,4
CDM,801630,Dibucaine number Age Under 21,509.87,509.87,11.52,11.52,4
CDM,801630,Dibucaine number Other Outpatient,509.87,509.87,12.86,12.86,6
CDM,801638,DIGITOXIN QN,658.31,658.31,46.08,658.31,47
CDM,801651,DIPHENHYDRAMINE BENAD QN,945.52,945.52,66.19,945.52,47
CDM,801652,DIPHTHERIA AB QN,455.0,455.0,31.85,455.0,47
CDM,801656,DIRECT COOMBS AHG EA,772.88,772.88,54.1,772.88,47
CDM,801657,DIRECT COOMBS COMP EA,164.58,164.58,11.52,164.58,47
CDM,801658,DIRECT COOMBS IGG EA,164.58,164.58,11.52,164.58,47
CDM,801659,DIRECT COOMBS NB EA,843.87,843.87,59.07,843.87,47
CDM,801662,DISOPYRAMIDE NORPACE QN,296.9,296.9,20.78,296.9,47
CDM,801669,DS DNA AB,1368.27,1368.27,95.78,1368.27,47
CDM,801669,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,1368.27,1368.27,8.24,74.84,74
CDM,801669,Deoxyribonucleic acid (DNA) antibody; native or double stranded Age 21+,1368.27,1368.27,12.69,12.69,4
CDM,801669,Deoxyribonucleic acid (DNA) antibody; native or double stranded Age Under 21,1368.27,1368.27,12.92,12.92,4
CDM,801669,Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient,1368.27,1368.27,14.43,14.43,6
CDM,801670,DNA ANTIBODY SINGLE,759.96,759.96,53.2,759.96,47
CDM,801670,Deoxyribonucleic acid (DNA) antibody; single stranded ,759.96,759.96,7.27,65.72,74
CDM,801670,Deoxyribonucleic acid (DNA) antibody; single stranded Age 21+,759.96,759.96,11.19,11.19,4
CDM,801670,Deoxyribonucleic acid (DNA) antibody; single stranded Age Under 21,759.96,759.96,11.39,11.39,4
CDM,801670,Deoxyribonucleic acid (DNA) antibody; single stranded Other Outpatient,759.96,759.96,12.72,12.72,6
CDM,801671,DNASE ANTIBODY,643.78,643.78,45.06,643.78,47
CDM,801671,"Deoxyribonuclease, antibody ",643.78,643.78,7.95,71.22,74
CDM,801671,"Deoxyribonuclease, antibody Age 21+",643.78,643.78,12.24,12.24,4
CDM,801671,"Deoxyribonuclease, antibody Age Under 21",643.78,643.78,12.47,12.47,4
CDM,801671,"Deoxyribonuclease, antibody Other Outpatient",643.78,643.78,13.91,13.91,6
CDM,801672,DONATH LANDSTEINER TEST,580.87,580.87,40.66,580.87,47
CDM,801672,Hemolysins and agglutinins; incubated ,580.87,580.87,7.27,65.72,74
CDM,801672,Hemolysins and agglutinins; incubated Age 21+,580.87,580.87,11.19,11.19,4
CDM,801672,Hemolysins and agglutinins; incubated Age Under 21,580.87,580.87,11.39,11.39,4
CDM,801672,Hemolysins and agglutinins; incubated Other Outpatient,580.87,580.87,12.72,12.72,6
CDM,801694,D-XYLOSE ABSORPTION,1394.08,1394.08,97.59,1394.08,47
CDM,801694,"Xylose absorption test, blood and/or urine ",1394.08,1394.08,7.75,69.34,74
CDM,801694,"Xylose absorption test, blood and/or urine Age 21+",1394.08,1394.08,11.92,11.92,4
CDM,801694,"Xylose absorption test, blood and/or urine Age Under 21",1394.08,1394.08,12.14,12.14,4
CDM,801694,"Xylose absorption test, blood and/or urine Other Outpatient",1394.08,1394.08,13.56,13.56,6
CDM,801704,E COLI 0157 AG EIA,1600.6,1600.6,112.04,1600.6,47
CDM,801704,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1600.6,1600.6,7.6,67.53,88
CDM,801707,E HISTOLYTICA GRP AG EIA,301.73,301.73,21.12,301.73,47
CDM,801707,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",301.73,301.73,7.19,63.9,88
CDM,801712,E HISTOLYTICA IGG AB,250.09,250.09,17.51,250.09,47
CDM,801714,E HISTOLYTICA TOTAL AB,645.4,645.4,45.18,645.4,47
CDM,801716,EB VIRUS DNA QN,1424.73,1424.73,99.73,1424.73,47
CDM,801717,EBV AMP PROBE,918.07,918.07,64.26,918.07,47
CDM,801718,EBV CAPSID AB QUAL,1139.15,1139.15,79.74,1139.15,47
CDM,801719,EBV CAPSID IGG QUAL,1139.15,1139.15,79.74,1139.15,47
CDM,801722,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",1139.15,1139.15,7.87,71.22,74
CDM,801722,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Age 21+",1139.15,1139.15,12.12,12.12,4
CDM,801722,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Age Under 21",1139.15,1139.15,12.34,12.34,4
CDM,801722,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Other Outpatient",1139.15,1139.15,13.78,13.78,6
CDM,801722,EBV EARLY AB QUAL,1139.15,1139.15,79.74,1139.15,47
CDM,801725,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",1139.15,1139.15,9.17,82.16,74
CDM,801725,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Age 21+",1139.15,1139.15,14.12,14.12,4
CDM,801725,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Age Under 21",1139.15,1139.15,14.38,14.38,4
CDM,801725,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Other Outpatient",1139.15,1139.15,16.05,16.05,6
CDM,801725,EBV NUCLEAR AG AB QUAL,1139.15,1139.15,79.74,1139.15,47
CDM,801728,ECHINOCOCCUS AB,2531.6,2531.6,177.21,2531.6,47
CDM,801734,ECHOVIRUS TYPE 11 AB,797.07,797.07,55.79,797.07,47
CDM,801738,ECHOVIRUS TYPE 30 AB,797.07,797.07,55.79,797.07,47
CDM,801739,ECHOVIRUS TYPE 4 AB,797.07,797.07,55.79,797.07,47
CDM,801741,ECHOVIRUS TYPE 6 AB,797.07,797.07,55.79,797.07,47
CDM,801742,ECHOVIRUS TYPE 7 AB,797.07,797.07,55.79,797.07,47
CDM,801743,ECHOVIRUS TYPE 9 AB,797.07,797.07,55.79,797.07,47
CDM,801745,EHRLICHIA AB QL IGG,958.43,958.43,67.09,958.43,47
CDM,801746,EHRLICHIA AB QL IGM,958.43,958.43,67.09,958.43,47
CDM,801747,EHRLICHIA AB QN,1139.15,1139.15,79.74,1139.15,47
CDM,801749,ELASTASE PANCREAT QL SQN,145.23,145.23,10.17,145.23,47
CDM,801749,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",145.23,145.23,6.92,62.09,74
CDM,801749,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Age 21+",145.23,145.23,10.66,10.66,4
CDM,801749,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Age Under 21",145.23,145.23,10.85,10.85,4
CDM,801749,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Other Outpatient",145.23,145.23,12.11,12.11,6
CDM,801759,ENCEPH E EQUINE AB QUAL,818.05,818.05,57.26,818.05,47
CDM,801762,ENCEPH E EQUINE ABQL IGG,250.09,250.09,17.51,250.09,47
CDM,801763,ENCEPH E EQUINE ABQL IGM,250.09,250.09,17.51,250.09,47
CDM,801764,ENCEPH LACROSSE AB QUAL,919.7,919.7,64.38,919.7,47
CDM,801765,ENCEPH LACROSSE ABQL IGG,250.09,250.09,17.51,250.09,47
CDM,801766,ENCEPH LACROSSE ABQL IGM,250.09,250.09,17.51,250.09,47
CDM,801767,ENCEPH ST LOUIS AB QUAL,2016.89,2016.89,141.18,2016.89,47
CDM,801768,ENCEPH ST LOUIS ABQL IGG,250.09,250.09,17.51,250.09,47
CDM,801769,ENCEPH ST LOUIS ABQL IGM,250.09,250.09,17.51,250.09,47
CDM,801773,ENCEPH W EQUINE AB QUAL,919.7,919.7,64.38,919.7,47
CDM,801774,ENCEPH W EQUINE ABQL IGG,250.09,250.09,17.51,250.09,47
CDM,801775,ENCEPH W EQUINE ABQL IGM,250.09,250.09,17.51,250.09,47
CDM,801799,EOSINOPHIL COUNT BLD AUT,471.15,471.15,32.98,471.15,47
CDM,801808,EPIDERM DERM FA AB TIT,1163.35,1163.35,81.43,1163.35,47
CDM,801812,ERYTHROPOIETIN QN,1566.72,1566.72,109.67,1566.72,47
CDM,801812,Erythropoietin ,1566.72,1566.72,11.27,100.42,74
CDM,801812,Erythropoietin Age 21+,1566.72,1566.72,17.36,17.36,4
CDM,801812,Erythropoietin Age Under 21,1566.72,1566.72,17.67,17.67,4
CDM,801812,Erythropoietin Other Outpatient,1566.72,1566.72,19.73,19.73,6
CDM,801814,ESTRADIOL TOTAL,2062.06,2062.06,144.34,2062.06,47
CDM,801814,Estradiol; total ,2062.06,2062.06,16.76,149.69,74
CDM,801814,Estradiol; total Age 21+,2062.06,2062.06,25.82,25.82,4
CDM,801814,Estradiol; total Age Under 21,2062.06,2062.06,26.29,26.29,4
CDM,801814,Estradiol; total Other Outpatient,2062.06,2062.06,29.34,29.34,6
CDM,801817,ESTRIOL,637.35,637.35,44.61,637.35,47
CDM,801817,Estriol ,637.35,637.35,14.51,129.62,74
CDM,801817,Estriol Age 21+,637.35,637.35,22.34,22.34,4
CDM,801817,Estriol Age Under 21,637.35,637.35,22.75,22.75,4
CDM,801817,Estriol Other Outpatient,637.35,637.35,25.39,25.39,6
CDM,801819,ESTROGEN RECEPTOR (ERA),509.87,509.87,35.69,509.87,47
CDM,801819,Receptor assay; estrogen ,509.87,509.87,52.73,472.76,74
CDM,801819,Receptor assay; estrogen Age 21+,509.87,509.87,81.2,81.2,4
CDM,801819,Receptor assay; estrogen Age Under 21,509.87,509.87,82.68,82.68,4
CDM,801819,Receptor assay; estrogen Other Outpatient,509.87,509.87,92.27,92.27,6
CDM,801822,ESTROGEN TOTAL,2191.15,2191.15,153.38,2191.15,47
CDM,801822,Estrogens; total ,2191.15,2191.15,13.02,116.8,74
CDM,801822,Estrogens; total Age 21+,2191.15,2191.15,20.05,20.05,4
CDM,801822,Estrogens; total Age Under 21,2191.15,2191.15,20.42,20.42,4
CDM,801822,Estrogens; total Other Outpatient,2191.15,2191.15,22.79,22.79,6
CDM,801825,ESTRONE,2191.15,2191.15,153.38,2191.15,47
CDM,801825,Estrone ,2191.15,2191.15,14.97,135.06,74
CDM,801825,Estrone Age 21+,2191.15,2191.15,23.06,23.06,4
CDM,801825,Estrone Age Under 21,2191.15,2191.15,23.48,23.48,4
CDM,801825,Estrone Other Outpatient,2191.15,2191.15,26.2,26.2,6
CDM,801826,ETHAMBUTOL MYAMBUTOL QN,1519.94,1519.94,106.4,1519.94,47
CDM,801834,ETHOTOIN PEGANONE QN,361.41,361.41,25.3,361.41,47
CDM,801837,ETHYLENE GLYCOL,521.16,521.16,36.48,521.16,47
CDM,801837,Ethylene glycol ,521.16,521.16,8.94,80.29,74
CDM,801837,Ethylene glycol Age 21+,521.16,521.16,13.77,13.77,4
CDM,801837,Ethylene glycol Age Under 21,521.16,521.16,14.02,14.02,4
CDM,801837,Ethylene glycol Other Outpatient,521.16,521.16,15.65,15.65,6
CDM,801842,EXTRACTABLE NUC AG SCR,377.57,377.57,26.43,377.57,47
CDM,801844,Clotting; factor X (Stuart-Prower) ,964.88,964.88,10.74,96.73,74
CDM,801844,Clotting; factor X (Stuart-Prower) Age 21+,964.88,964.88,16.54,16.54,4
CDM,801844,Clotting; factor X (Stuart-Prower) Age Under 21,964.88,964.88,16.84,16.84,4
CDM,801844,Clotting; factor X (Stuart-Prower) Other Outpatient,964.88,964.88,18.79,18.79,6
CDM,801844,FACTOR 10 ASSAY,964.88,964.88,67.54,964.88,47
CDM,801846,Clotting; factor XI (PTA) ,1703.87,1703.87,10.74,96.73,74
CDM,801846,Clotting; factor XI (PTA) Age 21+,1703.87,1703.87,16.54,16.54,4
CDM,801846,Clotting; factor XI (PTA) Age Under 21,1703.87,1703.87,16.84,16.84,4
CDM,801846,Clotting; factor XI (PTA) Other Outpatient,1703.87,1703.87,18.79,18.79,6
CDM,801846,FACTOR 11 ACTIVITY,1703.87,1703.87,119.27,1703.87,47
CDM,801847,Clotting; factor XII (Hageman) ,1010.06,1010.06,11.61,104.04,74
CDM,801847,Clotting; factor XII (Hageman) Age 21+,1010.06,1010.06,17.88,17.88,4
CDM,801847,Clotting; factor XII (Hageman) Age Under 21,1010.06,1010.06,18.2,18.2,4
CDM,801847,Clotting; factor XII (Hageman) Other Outpatient,1010.06,1010.06,20.32,20.32,6
CDM,801847,FACTOR 12 ASSAY,1010.06,1010.06,70.7,1010.06,47
CDM,801848,Clotting; factor XIII (fibrin stabilizing) ,1010.06,1010.06,9.8,87.6,74
CDM,801848,Clotting; factor XIII (fibrin stabilizing) Age 21+,1010.06,1010.06,15.1,15.1,4
CDM,801848,Clotting; factor XIII (fibrin stabilizing) Age Under 21,1010.06,1010.06,15.38,15.38,4
CDM,801848,Clotting; factor XIII (fibrin stabilizing) Other Outpatient,1010.06,1010.06,17.16,17.16,6
CDM,801848,FACTOR 13 ACTIVITY QN,1010.06,1010.06,70.7,1010.06,47
CDM,801852,"Clotting; factor II, prothrombin, specific ",1021.35,1021.35,7.79,69.34,74
CDM,801852,"Clotting; factor II, prothrombin, specific Age 21+",1021.35,1021.35,11.99,11.99,4
CDM,801852,"Clotting; factor II, prothrombin, specific Age Under 21",1021.35,1021.35,12.21,12.21,4
CDM,801852,"Clotting; factor II, prothrombin, specific Other Outpatient",1021.35,1021.35,13.63,13.63,6
CDM,801852,FACTOR 2 PROTHROMBIN,1021.35,1021.35,71.49,1021.35,47
CDM,801854,"Clotting; factor V (AcG or proaccelerin), labile factor ",1021.35,1021.35,10.59,94.92,74
CDM,801854,"Clotting; factor V (AcG or proaccelerin), labile factor Age 21+",1021.35,1021.35,16.31,16.31,4
CDM,801854,"Clotting; factor V (AcG or proaccelerin), labile factor Age Under 21",1021.35,1021.35,16.61,16.61,4
CDM,801854,"Clotting; factor V (AcG or proaccelerin), labile factor Other Outpatient",1021.35,1021.35,18.53,18.53,6
CDM,801854,FACTOR 5 LABILE,1021.35,1021.35,71.49,1021.35,47
CDM,801855,"Clotting; factor VII (proconvertin, stable factor) ",1021.35,1021.35,10.74,96.73,74
CDM,801855,"Clotting; factor VII (proconvertin, stable factor) Age 21+",1021.35,1021.35,16.54,16.54,4
CDM,801855,"Clotting; factor VII (proconvertin, stable factor) Age Under 21",1021.35,1021.35,16.84,16.84,4
CDM,801855,"Clotting; factor VII (proconvertin, stable factor) Other Outpatient",1021.35,1021.35,18.79,18.79,6
CDM,801855,FACTOR 7 STABLE,1021.35,1021.35,71.49,1021.35,47
CDM,801856,"Clotting; factor VIII (AHG), 1-stage ",1021.35,1021.35,10.74,96.73,74
CDM,801856,"Clotting; factor VIII (AHG), 1-stage Age 21+",1021.35,1021.35,16.54,16.54,4
CDM,801856,"Clotting; factor VIII (AHG), 1-stage Age Under 21",1021.35,1021.35,16.84,16.84,4
CDM,801856,"Clotting; factor VIII (AHG), 1-stage Other Outpatient",1021.35,1021.35,18.79,18.79,6
CDM,801856,FACTOR 8 ACTIVITY 1STAGE,1021.35,1021.35,71.49,1021.35,47
CDM,801857,FACTOR 8 INHIBITOR,1169.79,1169.79,81.89,1169.79,47
CDM,801859,FACTOR 8 RISTOCETIN,2234.72,2234.72,156.43,2234.72,47
CDM,801862,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",1016.52,1016.52,13.76,124.12,74
CDM,801862,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Age 21+",1016.52,1016.52,21.2,21.2,4
CDM,801862,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Age Under 21",1016.52,1016.52,21.58,21.58,4
CDM,801862,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient",1016.52,1016.52,24.09,24.09,6
CDM,801862,FACTOR 8 VW MULTIMERS,1016.52,1016.52,71.16,1016.52,47
CDM,801863,"Clotting; factor VIII, VW factor antigen ",926.14,926.14,13.76,124.12,74
CDM,801863,"Clotting; factor VIII, VW factor antigen Age 21+",926.14,926.14,21.2,21.2,4
CDM,801863,"Clotting; factor VIII, VW factor antigen Age Under 21",926.14,926.14,21.58,21.58,4
CDM,801863,"Clotting; factor VIII, VW factor antigen Other Outpatient",926.14,926.14,24.09,24.09,6
CDM,801863,FACTOR 8 VW AG,926.14,926.14,64.83,926.14,47
CDM,801864,Clotting; factor IX (PTC or Christmas) ,663.16,663.16,11.42,102.23,74
CDM,801864,Clotting; factor IX (PTC or Christmas) Age 21+,663.16,663.16,17.59,17.59,4
CDM,801864,Clotting; factor IX (PTC or Christmas) Age Under 21,663.16,663.16,17.91,17.91,4
CDM,801864,Clotting; factor IX (PTC or Christmas) Other Outpatient,663.16,663.16,19.99,19.99,6
CDM,801864,FACTOR 9 ACTIVITY,663.16,663.16,46.42,663.16,47
CDM,801865,FACTOR 9 INHIBITOR ASSAY,1035.88,1035.88,72.51,1035.88,47
CDM,801867,FAT STAIN,598.61,598.61,41.9,598.61,47
CDM,801867,"Fat stain, feces, urine, or respiratory secretions ",598.61,598.61,3.53,31.01,74
CDM,801867,"Fat stain, feces, urine, or respiratory secretions Age 21+",598.61,598.61,5.43,5.43,4
CDM,801867,"Fat stain, feces, urine, or respiratory secretions Age Under 21",598.61,598.61,5.53,5.53,4
CDM,801867,"Fat stain, feces, urine, or respiratory secretions Other Outpatient",598.61,598.61,6.17,6.17,6
CDM,801869,FATTY ACIDS NON EST,784.17,784.17,54.89,784.17,47
CDM,801869,"Fatty acids, nonesterified ",784.17,784.17,11.26,100.42,74
CDM,801869,"Fatty acids, nonesterified Age 21+",784.17,784.17,17.35,17.35,4
CDM,801869,"Fatty acids, nonesterified Age Under 21",784.17,784.17,17.66,17.66,4
CDM,801869,"Fatty acids, nonesterified Other Outpatient",784.17,784.17,19.71,19.71,6
CDM,801875,FDP SEMIQUANT,1529.62,1529.62,107.07,1529.62,47
CDM,801875,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",1529.62,1529.62,4.13,36.51,74
CDM,801875,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Age 21+",1529.62,1529.62,6.37,6.37,4
CDM,801875,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Age Under 21",1529.62,1529.62,6.48,6.48,4
CDM,801875,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Other Outpatient",1529.62,1529.62,7.23,7.23,6
CDM,801877,FECAL FAT QUAL,598.61,598.61,41.9,598.61,47
CDM,801877,"Fat or lipids, feces; qualitative ",598.61,598.61,3.06,27.39,74
CDM,801877,"Fat or lipids, feces; qualitative Age 21+",598.61,598.61,4.71,4.71,4
CDM,801877,"Fat or lipids, feces; qualitative Age Under 21",598.61,598.61,4.79,4.79,4
CDM,801877,"Fat or lipids, feces; qualitative Other Outpatient",598.61,598.61,5.35,5.35,6
CDM,801878,FECAL FAT QUANT,2844.63,2844.63,199.12,2844.63,47
CDM,801878,"Fat or lipids, feces; quantitative ",2844.63,2844.63,10.08,91.29,74
CDM,801878,"Fat or lipids, feces; quantitative Age 21+",2844.63,2844.63,15.52,15.52,4
CDM,801878,"Fat or lipids, feces; quantitative Age Under 21",2844.63,2844.63,15.8,15.8,4
CDM,801878,"Fat or lipids, feces; quantitative Other Outpatient",2844.63,2844.63,17.64,17.64,6
CDM,801886,FERRITIN,1356.97,1356.97,94.99,1356.97,47
CDM,801886,Ferritin ,1356.97,1356.97,8.18,73.03,74
CDM,801886,Ferritin Age 21+,1356.97,1356.97,12.6,12.6,4
CDM,801886,Ferritin Age Under 21,1356.97,1356.97,12.82,12.82,4
CDM,801886,Ferritin Other Outpatient,1356.97,1356.97,14.31,14.31,6
CDM,801887,FETAL FIBRONECTIN SQN,2126.61,2126.61,148.86,2126.61,47
CDM,801887,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",2126.61,2126.61,38.65,346.83,74
CDM,801887,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Age 21+",2126.61,2126.61,59.51,59.51,4
CDM,801887,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Age Under 21",2126.61,2126.61,60.59,60.59,4
CDM,801887,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Other Outpatient",2126.61,2126.61,67.63,67.63,6
CDM,801893,FETAL LUNG MAT LS RATIO,2820.42,2820.42,197.43,2820.42,47
CDM,801893,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,2820.42,2820.42,13.19,118.67,74
CDM,801893,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Age 21+,2820.42,2820.42,20.32,20.32,4
CDM,801893,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Age Under 21,2820.42,2820.42,20.69,20.69,4
CDM,801893,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Other Outpatient,2820.42,2820.42,23.09,23.09,6
CDM,801894,FETAL SCREEN (ROSETTE),246.88,246.88,17.28,246.88,47
CDM,801894,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",246.88,246.88,5.62,51.09,74
CDM,801894,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Age 21+",246.88,246.88,8.65,8.65,4
CDM,801894,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Age Under 21",246.88,246.88,8.8,8.8,4
CDM,801894,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Other Outpatient",246.88,246.88,9.83,9.83,6
CDM,801895,FFP THAW EA UNIT,1836.56,1836.56,128.56,1836.56,48
CDM,801895,"Fresh frozen plasma, thawing, each unit ",1836.56,1836.56,22.7,104.04,16
CDM,801896,FIBRINOGEN ACTIVITY,271.07,271.07,18.97,271.07,47
CDM,801897,FIBRINOGEN ANTIGEN,740.6,740.6,51.84,740.6,47
CDM,801897,Fibrinogen; antigen ,740.6,740.6,8.68,78.47,74
CDM,801897,Fibrinogen; antigen Age 21+,740.6,740.6,13.37,13.37,4
CDM,801897,Fibrinogen; antigen Age Under 21,740.6,740.6,13.61,13.61,4
CDM,801897,Fibrinogen; antigen Other Outpatient,740.6,740.6,15.18,15.18,6
CDM,801902,FILARIA AB IGG,495.34,495.34,34.67,495.34,47
CDM,801908,FLUCONAZOLE DIFLUCAN QN,663.16,663.16,46.42,663.16,47
CDM,801912,FLUCYTOSINE ANCOBON QN,555.04,555.04,38.85,555.04,47
CDM,801917,FLUORIDE,748.67,748.67,52.41,748.67,47
CDM,801917,Fluoride ,748.67,748.67,11.12,100.42,74
CDM,801917,Fluoride Age 21+,748.67,748.67,17.13,17.13,4
CDM,801917,Fluoride Age Under 21,748.67,748.67,17.44,17.44,4
CDM,801917,Fluoride Other Outpatient,748.67,748.67,19.47,19.47,6
CDM,801922,FLUOXETINE PROZAC QN,529.23,529.23,37.05,529.23,47
CDM,801927,FLUPHENAZINE PROLIXIN QN,1818.42,1818.42,127.29,1818.42,47
CDM,801934,FOLATE (FOLIC ACID) SER,1266.6,1266.6,88.66,1266.6,47
CDM,801934,Folic acid; serum ,1266.6,1266.6,8.82,78.47,74
CDM,801934,Folic acid; serum Age 21+,1266.6,1266.6,13.59,13.59,4
CDM,801934,Folic acid; serum Age Under 21,1266.6,1266.6,13.83,13.83,4
CDM,801934,Folic acid; serum Other Outpatient,1266.6,1266.6,15.44,15.44,6
CDM,801935,FOLATE RBC,964.88,964.88,67.54,964.88,47
CDM,801935,Folic acid; RBC ,964.88,964.88,10.59,94.92,74
CDM,801935,Folic acid; RBC Age 21+,964.88,964.88,16.31,16.31,4
CDM,801935,Folic acid; RBC Age Under 21,964.88,964.88,16.61,16.61,4
CDM,801935,Folic acid; RBC Other Outpatient,964.88,964.88,18.53,18.53,6
CDM,801938,Antibody; Francisella tularensis ,759.96,759.96,8.5,76.66,74
CDM,801938,Antibody; Francisella tularensis Age 21+,759.96,759.96,13.08,13.08,4
CDM,801938,Antibody; Francisella tularensis Age Under 21,759.96,759.96,13.32,13.32,4
CDM,801938,Antibody; Francisella tularensis Other Outpatient,759.96,759.96,14.87,14.87,6
CDM,801938,FRAN TULAREN AB QUAL,759.96,759.96,53.2,759.96,47
CDM,801939,FRANCISELLA AGG,542.14,542.14,37.95,542.14,47
CDM,801944,FRUCTOSAMINE,445.33,445.33,31.17,445.33,47
CDM,801946,FSH,2131.44,2131.44,149.2,2131.44,47
CDM,801946,Gonadotropin; follicle stimulating hormone (FSH) ,2131.44,2131.44,11.15,100.42,74
CDM,801946,Gonadotropin; follicle stimulating hormone (FSH) Age 21+,2131.44,2131.44,17.17,17.17,4
CDM,801946,Gonadotropin; follicle stimulating hormone (FSH) Age Under 21,2131.44,2131.44,17.48,17.48,4
CDM,801946,Gonadotropin; follicle stimulating hormone (FSH) Other Outpatient,2131.44,2131.44,19.51,19.51,6
CDM,801951,FUROSEMIDE LASIX QN,877.74,877.74,61.44,877.74,47
CDM,801955,G-6-PD QUANT,753.52,753.52,52.75,753.52,47
CDM,801955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,753.52,753.52,5.82,52.96,74
CDM,801955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Age 21+,753.52,753.52,8.97,8.97,4
CDM,801955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Age Under 21,753.52,753.52,9.13,9.13,4
CDM,801955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Other Outpatient,753.52,753.52,10.19,10.19,6
CDM,801963,GALACTOSE 1 PUT QUAL,1581.24,1581.24,110.69,1581.24,47
CDM,801963,Galactose-1-phosphate uridyl transferase; screen ,1581.24,1581.24,7.04,63.9,74
CDM,801963,Galactose-1-phosphate uridyl transferase; screen Age 21+,1581.24,1581.24,10.85,10.85,4
CDM,801963,Galactose-1-phosphate uridyl transferase; screen Age Under 21,1581.24,1581.24,11.04,11.04,4
CDM,801963,Galactose-1-phosphate uridyl transferase; screen Other Outpatient,1581.24,1581.24,12.33,12.33,6
CDM,801964,GALACTOSE 1 PUT QUANT,1581.24,1581.24,110.69,1581.24,47
CDM,801964,Galactose-1-phosphate uridyl transferase; quantitative ,1581.24,1581.24,12.64,113.17,74
CDM,801964,Galactose-1-phosphate uridyl transferase; quantitative Age 21+,1581.24,1581.24,19.47,19.47,4
CDM,801964,Galactose-1-phosphate uridyl transferase; quantitative Age Under 21,1581.24,1581.24,19.82,19.82,4
CDM,801964,Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient,1581.24,1581.24,22.12,22.12,6
CDM,801966,GALOP AUTO AB IA QN,298.49,298.49,20.89,298.49,47
CDM,801967,GAMMA GT,1001.99,1001.99,70.14,1001.99,47
CDM,801990,GASTRIN,1477.97,1477.97,103.46,1477.97,47
CDM,801990,Gastrin ,1477.97,1477.97,10.58,94.92,74
CDM,801990,Gastrin Age 21+,1477.97,1477.97,16.29,16.29,4
CDM,801990,Gastrin Age Under 21,1477.97,1477.97,16.59,16.59,4
CDM,801990,Gastrin Other Outpatient,1477.97,1477.97,18.51,18.51,6
CDM,801992,GC AMP PROBE,984.23,984.23,68.9,984.23,47
CDM,801993,GC DIR PROBE,1247.25,1247.25,87.31,1247.25,47
CDM,801993,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",1247.25,1247.25,16.13,144.19,74
CDM,801993,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Age 21+",1247.25,1247.25,24.84,24.84,4
CDM,801993,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Age Under 21",1247.25,1247.25,25.29,25.29,4
CDM,801993,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient",1247.25,1247.25,28.22,28.22,6
CDM,801994,GC DNA QN,1247.25,1247.25,87.31,1247.25,47
CDM,801994,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",1247.25,1247.25,25.7,229.98,74
CDM,801994,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Age 21+",1247.25,1247.25,39.59,39.59,4
CDM,801994,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Age Under 21",1247.25,1247.25,40.31,40.31,4
CDM,801994,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Other Outpatient",1247.25,1247.25,44.98,44.98,6
CDM,802001,GC MS QUANTITATIVE,940.68,940.68,65.85,940.68,47
CDM,802003,GD1A AB IA QN IGG,624.43,624.43,43.71,624.43,47
CDM,802004,GD1A AB IA QN IGM,624.43,624.43,43.71,624.43,47
CDM,802005,GD1A AB IA QN,298.49,298.49,20.89,298.49,47
CDM,802007,GD1B AB IA QN IGG,624.43,624.43,43.71,624.43,47
CDM,802008,GD1B AB IA QN IGM,624.43,624.43,43.71,624.43,47
CDM,802009,GD1B AB IA QN,1019.74,1019.74,71.38,1019.74,47
CDM,802019,Antibody; Giardia lamblia ,1029.41,1029.41,8.83,78.47,74
CDM,802019,Antibody; Giardia lamblia Age 21+,1029.41,1029.41,13.6,13.6,4
CDM,802019,Antibody; Giardia lamblia Age Under 21,1029.41,1029.41,13.84,13.84,4
CDM,802019,Antibody; Giardia lamblia Other Outpatient,1029.41,1029.41,15.46,15.46,6
CDM,802019,GIARDIA AB QL SQN,1029.41,1029.41,72.06,1029.41,47
CDM,802038,GLOMERULAR BM FA AB TIT,2415.43,2415.43,169.08,2415.43,47
CDM,802043,GLUCAGON,997.16,997.16,69.8,997.16,47
CDM,802043,Glucagon ,997.16,997.16,8.57,76.66,74
CDM,802043,Glucagon Age 21+,997.16,997.16,13.2,13.2,4
CDM,802043,Glucagon Age Under 21,997.16,997.16,13.44,13.44,4
CDM,802043,Glucagon Other Outpatient,997.16,997.16,15.0,15.0,6
CDM,802048,GLUCOSE 2 HR W GLUCOLA,1363.42,1363.42,95.44,1363.42,47
CDM,802048,Glucose; post glucose dose (includes glucose) ,1363.42,1363.42,2.85,25.57,74
CDM,802048,Glucose; post glucose dose (includes glucose) Age 21+,1363.42,1363.42,4.39,4.39,4
CDM,802048,Glucose; post glucose dose (includes glucose) Age Under 21,1363.42,1363.42,4.47,4.47,4
CDM,802048,Glucose; post glucose dose (includes glucose) Other Outpatient,1363.42,1363.42,4.99,4.99,6
CDM,802051,GLUCOSE BLD QN,605.07,605.07,42.35,605.07,47
CDM,802053,GLUCOSE BODY FLD QN,753.52,753.52,52.75,753.52,47
CDM,802057,GLUT ACID DECARBOX AB RI,380.78,380.78,26.65,380.78,47
CDM,802067,GLYCATED PROTEIN,688.96,688.96,48.23,688.96,47
CDM,802068,GLYCINE QN,1348.9,1348.9,94.42,1348.9,47
CDM,802071,GM1 AB IA QN,1019.74,1019.74,71.38,1019.74,47
CDM,802072,GM1 AB IA QN IGA,624.43,624.43,43.71,624.43,47
CDM,802073,GM1 AB IA QN IGG,624.43,624.43,43.71,624.43,47
CDM,802074,GM1 AB IA QN IGM,624.43,624.43,43.71,624.43,47
CDM,802076,GQ1B AB IA QN,1902.35,1902.35,133.16,1902.35,47
CDM,802077,GRAM STAIN PRIMARY SRCE,540.52,540.52,37.84,540.52,47
CDM,802087,GTT 1ST 3 SPECIMENS,1523.16,1523.16,106.62,1523.16,47
CDM,802087,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",1523.16,1523.16,7.72,69.34,74
CDM,802087,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Age 21+",1523.16,1523.16,11.89,11.89,4
CDM,802087,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Age Under 21",1523.16,1523.16,12.11,12.11,4
CDM,802087,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Other Outpatient",1523.16,1523.16,13.51,13.51,6
CDM,802092,GTT 3 HR SERUM,1523.16,1523.16,106.62,1523.16,47
CDM,802097,GTT 4 HR SERUM,1749.05,1749.05,122.43,1749.05,47
CDM,802101,GTT 5 HR SERUM,2131.44,2131.44,149.2,2131.44,47
CDM,802104,GTT 6 HR SERUM,2131.44,2131.44,149.2,2131.44,47
CDM,802112,H INFLU AB QUAL,861.61,861.61,60.31,861.61,47
CDM,802113,H INFLUENZA AG OIA,232.36,232.36,16.27,232.36,47
CDM,802114,H PYLORI AB QL IGA,876.15,876.15,61.33,876.15,47
CDM,802115,H PYLORI AB QL IGG,1100.41,1100.41,77.03,1100.41,47
CDM,802118,H PYLORI AB QUAL,1184.32,1184.32,82.9,1184.32,47
CDM,802122,H PYLORI AG EIA STOOL,692.19,692.19,48.45,692.19,47
CDM,802122,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",692.19,692.19,8.63,76.66,88
CDM,802125,H PYLORI UREASE (BIOPSY),516.33,516.33,36.14,516.33,47
CDM,802131,HANDLING CHARGE,119.39,119.39,8.36,119.39,65
CDM,802131,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,119.39,119.39,21.44,26.95,6
CDM,802132,HANDLING CHARGE OTHER,254.93,254.93,17.85,254.93,65
CDM,802132,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,254.93,254.93,10.73,13.49,6
CDM,802133,HANTAVIRUS AB IGG QL,638.94,638.94,44.73,638.94,47
CDM,802134,HANTAVIRUS AB IGM QL,761.58,761.58,53.31,761.58,47
CDM,802145,HAPTOGLOBIN QUANT,658.31,658.31,46.08,658.31,47
CDM,802145,Haptoglobin; quantitative ,658.31,658.31,7.55,67.53,74
CDM,802145,Haptoglobin; quantitative Age 21+,658.31,658.31,11.63,11.63,4
CDM,802145,Haptoglobin; quantitative Age Under 21,658.31,658.31,11.84,11.84,4
CDM,802145,Haptoglobin; quantitative Other Outpatient,658.31,658.31,13.21,13.21,6
CDM,802146,HEPATITIS BE AB QL,619.58,619.58,43.37,619.58,47
CDM,802146,Hepatitis Be antibody (HBeAb) ,619.58,619.58,6.94,62.09,74
CDM,802146,Hepatitis Be antibody (HBeAb) Age 21+,619.58,619.58,10.69,10.69,4
CDM,802146,Hepatitis Be antibody (HBeAb) Age Under 21,619.58,619.58,10.89,10.89,4
CDM,802146,Hepatitis Be antibody (HBeAb) Other Outpatient,619.58,619.58,12.15,12.15,6
CDM,802147,HB S AB QN,316.24,316.24,22.14,316.24,47
CDM,802148,HEP B SURFACE AB QUAL,1124.62,1124.62,78.72,1124.62,47
CDM,802148,Hepatitis B surface antibody (HBsAb) ,1124.62,1124.62,6.44,58.4,74
CDM,802148,Hepatitis B surface antibody (HBsAb) Age 21+,1124.62,1124.62,9.92,9.92,4
CDM,802148,Hepatitis B surface antibody (HBsAb) Age Under 21,1124.62,1124.62,10.1,10.1,4
CDM,802148,Hepatitis B surface antibody (HBsAb) Other Outpatient,1124.62,1124.62,11.28,11.28,6
CDM,802150,HCG BETA QUANTITATIVE,1042.33,1042.33,72.96,1042.33,47
CDM,802152,HCG QUALITATIVE SERUM,1085.9,1085.9,76.01,1085.9,47
CDM,802153,HCG QUANT CSF,2031.42,2031.42,142.2,2031.42,47
CDM,802157,HDL CHOLESTEROL DM,1100.41,1100.41,77.03,1100.41,47
CDM,802158,HEAVY METAL BLD MULTI AN,1348.9,1348.9,94.42,1348.9,47
CDM,802162,HEAVY METAL UR MULTI ANA,559.89,559.89,39.19,559.89,47
CDM,802167,HEMATOCRIT,330.78,330.78,23.15,330.78,47
CDM,802169,HEMOGLOBIN,348.52,348.52,24.4,348.52,47
CDM,802172,HEMOGLOBIN A1C,759.96,759.96,53.2,759.96,47
CDM,802174,HEMOGLOBIN A2 EP,1061.7,1061.7,74.32,1061.7,47
CDM,802178,HEMOGLOBIN ELECTRO,1093.97,1093.97,76.58,1093.97,47
CDM,802181,HEMOGLOBIN FETAL CHEM,663.16,663.16,46.42,663.16,47
CDM,802181,"Hemoglobin; F (fetal), chemical ",663.16,663.16,6.44,58.4,74
CDM,802181,"Hemoglobin; F (fetal), chemical Age 21+",663.16,663.16,9.92,9.92,4
CDM,802181,"Hemoglobin; F (fetal), chemical Age Under 21",663.16,663.16,10.1,10.1,4
CDM,802181,"Hemoglobin; F (fetal), chemical Other Outpatient",663.16,663.16,11.28,11.28,6
CDM,802184,HEMOGLOBIN FETAL QL,150.07,150.07,10.5,150.07,47
CDM,802184,"Hemoglobin; F (fetal), qualitative ",150.07,150.07,4.8,43.83,74
CDM,802184,"Hemoglobin; F (fetal), qualitative Age 21+",150.07,150.07,7.39,7.39,4
CDM,802184,"Hemoglobin; F (fetal), qualitative Age Under 21",150.07,150.07,7.53,7.53,4
CDM,802184,"Hemoglobin; F (fetal), qualitative Other Outpatient",150.07,150.07,8.4,8.4,6
CDM,802186,HEMOGLOBIN PLASMA,734.15,734.15,51.39,734.15,47
CDM,802186,Hemoglobin; plasma ,734.15,734.15,4.39,40.14,74
CDM,802186,Hemoglobin; plasma Age 21+,734.15,734.15,6.75,6.75,4
CDM,802186,Hemoglobin; plasma Age Under 21,734.15,734.15,6.88,6.88,4
CDM,802186,Hemoglobin; plasma Other Outpatient,734.15,734.15,7.68,7.68,6
CDM,802190,HEMOGLOBIN UR QUANT,424.35,424.35,29.7,424.35,47
CDM,802190,Hemoglobin; urine ,424.35,424.35,2.37,21.89,74
CDM,802190,Hemoglobin; urine Age 21+,424.35,424.35,3.65,3.65,4
CDM,802190,Hemoglobin; urine Age Under 21,424.35,424.35,3.72,3.72,4
CDM,802190,Hemoglobin; urine Other Outpatient,424.35,424.35,4.15,4.15,6
CDM,802192,CBC AUTOMATED,1234.34,1234.34,86.4,1234.34,47
CDM,802193,HEMOSIDERIN QUAL,658.31,658.31,46.08,658.31,47
CDM,802193,"Hemosiderin, qualitative ",658.31,658.31,2.85,25.57,74
CDM,802193,"Hemosiderin, qualitative Age 21+",658.31,658.31,4.39,4.39,4
CDM,802193,"Hemosiderin, qualitative Age Under 21",658.31,658.31,4.47,4.47,4
CDM,802193,"Hemosiderin, qualitative Other Outpatient",658.31,658.31,4.99,4.99,6
CDM,802195,HEP A AB IGM QUAL,1158.51,1158.51,81.1,1158.51,47
CDM,802195,"Hepatitis A antibody (HAAb), IgM antibody ",1158.51,1158.51,6.76,60.22,74
CDM,802195,"Hepatitis A antibody (HAAb), IgM antibody Age 21+",1158.51,1158.51,10.41,10.41,4
CDM,802195,"Hepatitis A antibody (HAAb), IgM antibody Age Under 21",1158.51,1158.51,10.6,10.6,4
CDM,802195,"Hepatitis A antibody (HAAb), IgM antibody Other Outpatient",1158.51,1158.51,11.82,11.82,6
CDM,802196,HEP A AB TOTAL,721.23,721.23,50.49,721.23,47
CDM,802196,Hepatitis A antibody (HAAb) ,721.23,721.23,7.43,67.53,74
CDM,802196,Hepatitis A antibody (HAAb) Age 21+,721.23,721.23,11.45,11.45,4
CDM,802196,Hepatitis A antibody (HAAb) Age Under 21,721.23,721.23,11.66,11.66,4
CDM,802196,Hepatitis A antibody (HAAb) Other Outpatient,721.23,721.23,13.01,13.01,6
CDM,802197,HEP B AMP PROBE,1184.32,1184.32,82.9,1184.32,47
CDM,802197,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",1184.32,1184.32,21.05,189.83,74
CDM,802197,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Age 21+",1184.32,1184.32,32.43,32.43,4
CDM,802197,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Age Under 21",1184.32,1184.32,33.02,33.02,4
CDM,802197,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Other Outpatient",1184.32,1184.32,36.84,36.84,6
CDM,802198,HEP B CORE AB IGM QL,1203.67,1203.67,84.26,1203.67,47
CDM,802198,Hepatitis B core antibody (HBcAb); IgM antibody ,1203.67,1203.67,7.06,63.9,74
CDM,802198,Hepatitis B core antibody (HBcAb); IgM antibody Age 21+,1203.67,1203.67,10.88,10.88,4
CDM,802198,Hepatitis B core antibody (HBcAb); IgM antibody Age Under 21,1203.67,1203.67,11.08,11.08,4
CDM,802198,Hepatitis B core antibody (HBcAb); IgM antibody Other Outpatient,1203.67,1203.67,12.36,12.36,6
CDM,802199,HEP B CORE AB TOTAL,721.23,721.23,50.49,721.23,47
CDM,802199,Hepatitis B core antibody (HBcAb); total ,721.23,721.23,7.23,65.72,74
CDM,802199,Hepatitis B core antibody (HBcAb); total Age 21+,721.23,721.23,11.13,11.13,4
CDM,802199,Hepatitis B core antibody (HBcAb); total Age Under 21,721.23,721.23,11.33,11.33,4
CDM,802199,Hepatitis B core antibody (HBcAb); total Other Outpatient,721.23,721.23,12.65,12.65,6
CDM,802202,HEP B DNA QN,2492.89,2492.89,174.5,2492.89,47
CDM,802202,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",2492.89,2492.89,25.7,229.98,74
CDM,802202,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Age 21+",2492.89,2492.89,39.59,39.59,4
CDM,802202,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Age Under 21",2492.89,2492.89,40.31,40.31,4
CDM,802202,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Other Outpatient",2492.89,2492.89,44.98,44.98,6
CDM,802203,HEP BE AG EIA,811.61,811.61,56.81,811.61,47
CDM,802203,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",811.61,811.61,6.92,62.09,88
CDM,802204,HEP B S AG EIA QL,316.24,316.24,22.14,316.24,47
CDM,802204,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",316.24,316.24,6.2,54.77,88
CDM,802205,HEP C AMP PROBE AMP,2286.34,2286.34,160.04,2286.34,47
CDM,802205,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",2286.34,2286.34,21.05,189.83,74
CDM,802205,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Age 21+",2286.34,2286.34,32.43,32.43,4
CDM,802205,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Age Under 21",2286.34,2286.34,33.02,33.02,4
CDM,802205,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Other Outpatient",2286.34,2286.34,36.84,36.84,6
CDM,802208,HEP C GENOTYPE,3941.81,3941.81,275.93,3941.81,47
CDM,802208,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,3941.81,3941.81,154.47,1387.28,74
CDM,802208,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Age 21+,3941.81,3941.81,237.89,237.89,4
CDM,802208,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Age Under 21,3941.81,3941.81,242.21,242.21,4
CDM,802208,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Other Outpatient,3941.81,3941.81,270.32,270.32,6
CDM,802214,HEP G AMP PROBE,1668.37,1668.37,116.79,1668.37,47
CDM,802214,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",1668.37,1668.37,23.56,211.72,74
CDM,802214,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Age 21+",1668.37,1668.37,36.28,36.28,4
CDM,802214,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Age Under 21",1668.37,1668.37,36.94,36.94,4
CDM,802214,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Other Outpatient",1668.37,1668.37,41.22,41.22,6
CDM,802217,HEPARIN ANTI XA,1523.16,1523.16,106.62,1523.16,47
CDM,802218,HEPARIN ASSAY,1523.16,1523.16,106.62,1523.16,47
CDM,802219,HEPARIN COFACTOR II CSA,766.42,766.42,53.65,766.42,47
CDM,802225,HEPATITIS C AB QUAL,1928.16,1928.16,134.97,1928.16,47
CDM,802225,Hepatitis C antibody; ,1928.16,1928.16,8.56,76.66,74
CDM,802225,Hepatitis C antibody; Age 21+,1928.16,1928.16,13.19,13.19,4
CDM,802225,Hepatitis C antibody; Age Under 21,1928.16,1928.16,13.43,13.43,4
CDM,802225,Hepatitis C antibody; Other Outpatient,1928.16,1928.16,14.98,14.98,6
CDM,802226,HEPATITIS C CONFIRM,2504.17,2504.17,175.29,2504.17,47
CDM,802226,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",2504.17,2504.17,9.29,83.97,74
CDM,802226,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Age 21+",2504.17,2504.17,14.31,14.31,4
CDM,802226,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Age Under 21",2504.17,2504.17,14.57,14.57,4
CDM,802226,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient",2504.17,2504.17,16.26,16.26,6
CDM,802227,"Antibody; hepatitis, delta agent ",1740.98,1740.98,10.3,93.1,74
CDM,802227,"Antibody; hepatitis, delta agent Age 21+",1740.98,1740.98,15.85,15.85,4
CDM,802227,"Antibody; hepatitis, delta agent Age Under 21",1740.98,1740.98,16.14,16.14,4
CDM,802227,"Antibody; hepatitis, delta agent Other Outpatient",1740.98,1740.98,18.02,18.02,6
CDM,802227,HEPATITIS DELTA AB QUAL,1740.98,1740.98,121.87,1740.98,47
CDM,802229,HEPATITIS E AB QL IGG,1715.16,1715.16,120.06,1715.16,47
CDM,802230,HEPATITIS E AB QL IGM,1363.42,1363.42,95.44,1363.42,47
CDM,802233,HERPES 6 DNA QN,1548.97,1548.97,108.43,1548.97,47
CDM,802234,HERPES 6 HUMAN AB IGG QL,509.87,509.87,35.69,509.87,47
CDM,802235,HERPES 6 HUMAN AB IGM QL,509.87,509.87,35.69,509.87,47
CDM,802241,HERPES SIMP AMP PROBE,1061.7,1061.7,74.32,1061.7,47
CDM,802243,HERPES SIMP DNA QN,747.05,747.05,52.29,747.05,47
CDM,802243,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",747.05,747.05,25.7,229.98,74
CDM,802243,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Age 21+",747.05,747.05,39.59,39.59,4
CDM,802243,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Age Under 21",747.05,747.05,40.31,40.31,4
CDM,802243,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient",747.05,747.05,44.98,44.98,6
CDM,802245,HERPES SIMPLEX 1 AB IGG,372.73,372.73,26.09,372.73,47
CDM,802246,HERPES SIMPLEX 1 AB IGM,1587.71,1587.71,111.14,1587.71,47
CDM,802247,HERPES SIMPLEX 1 AG IFT,1695.8,1695.8,118.71,1695.8,47
CDM,802247,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,1695.8,1695.8,7.19,63.9,74
CDM,802247,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Age 21+,1695.8,1695.8,11.07,11.07,4
CDM,802247,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Age Under 21,1695.8,1695.8,11.27,11.27,4
CDM,802247,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Other Outpatient,1695.8,1695.8,12.58,12.58,6
CDM,802248,HERPES SIMPLEX 2 AB IGG,542.14,542.14,37.95,542.14,47
CDM,802249,HERPES SIMPLEX 2 AB IGM,1505.41,1505.41,105.38,1505.41,47
CDM,802250,HERPES SIMPLEX 2 AB QL,432.43,432.43,30.27,432.43,47
CDM,802251,HERPES SIMPLEX 2 AG IFT,1695.8,1695.8,118.71,1695.8,47
CDM,802251,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,1695.8,1695.8,7.19,63.9,74
CDM,802251,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Age 21+,1695.8,1695.8,11.07,11.07,4
CDM,802251,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Age Under 21,1695.8,1695.8,11.27,11.27,4
CDM,802251,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Other Outpatient,1695.8,1695.8,12.58,12.58,6
CDM,802252,HERPES SIMPLEX AB QUAL,435.65,435.65,30.5,435.65,47
CDM,802254,HEXOSAMINIDASE A EACH,1189.17,1189.17,83.24,1189.17,47
CDM,802256,HEXOSAMINIDASE TOT EACH,450.17,450.17,31.51,450.17,47
CDM,802262,HISTAMINE BLOOD,1486.03,1486.03,104.02,1486.03,47
CDM,802263,HISTAMINE URINE,2954.34,2954.34,206.8,2954.34,47
CDM,802270,HISTOPLASMA AB IGG SQN,417.91,417.91,29.25,417.91,47
CDM,802271,HISTOPLASMA AB IGM SQN,417.91,417.91,29.25,417.91,47
CDM,802272,HISTOPLASMA AB QL,250.09,250.09,17.51,250.09,47
CDM,802273,HISTOPLASMA CAPS AG EIA,1921.68,1921.68,134.52,1921.68,47
CDM,802273,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1921.68,1921.68,7.95,71.22,88
CDM,802275,HISTOPLASMA MYCEL AB QL,206.52,206.52,14.46,206.52,47
CDM,802276,HISTOPLASMA YEAST AB QL,206.52,206.52,14.46,206.52,47
CDM,802281,HIV 1 GENOTYPE RT & PROT,2768.79,2768.79,193.82,2768.79,47
CDM,802281,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",2768.79,2768.79,154.47,1387.28,74
CDM,802281,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Age 21+",2768.79,2768.79,237.89,237.89,4
CDM,802281,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Age Under 21",2768.79,2768.79,242.21,242.21,4
CDM,802281,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Other Outpatient",2768.79,2768.79,270.32,270.32,6
CDM,802282,HIV 1 P24 AG IA,337.23,337.23,23.61,337.23,47
CDM,802282,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",337.23,337.23,14.44,129.62,88
CDM,802283,HIV 1 PHENO & 1-10 DRUGS,8645.22,8645.22,605.17,8645.22,47
CDM,802283,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",8645.22,8645.22,293.2,2632.13,74
CDM,802283,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Age 21+",8645.22,8645.22,451.52,451.52,4
CDM,802283,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Age Under 21",8645.22,8645.22,459.73,459.73,4
CDM,802283,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Other Outpatient",8645.22,8645.22,513.09,513.09,6
CDM,802284,HIV 1 PHENO EA ADD DRUG,613.14,613.14,42.92,613.14,47
CDM,802284,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",613.14,613.14,15.64,140.56,88
CDM,802285,HIV 1 RNA QN,1818.42,1818.42,127.29,1818.42,47
CDM,802285,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",1818.42,1818.42,51.06,458.14,74
CDM,802285,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Age 21+",1818.42,1818.42,78.63,78.63,4
CDM,802285,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Age Under 21",1818.42,1818.42,80.06,80.06,4
CDM,802285,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Other Outpatient",1818.42,1818.42,89.36,89.36,6
CDM,802286,HIV 1&2 AB QUAL,359.81,359.81,25.19,359.81,47
CDM,802287,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",2473.52,2473.52,11.61,104.04,74
CDM,802287,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Age 21+",2473.52,2473.52,17.88,17.88,4
CDM,802287,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Age Under 21",2473.52,2473.52,18.2,18.2,4
CDM,802287,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Other Outpatient",2473.52,2473.52,20.32,20.32,6
CDM,802287,HIV AB WESTERN BLOT,2473.52,2473.52,173.15,2473.52,47
CDM,802289,Antibody; HIV-1 ,1260.15,1260.15,5.33,47.46,74
CDM,802289,Antibody; HIV-1 Age 21+,1260.15,1260.15,8.22,8.22,4
CDM,802289,Antibody; HIV-1 Age Under 21,1260.15,1260.15,8.37,8.37,4
CDM,802289,Antibody; HIV-1 Other Outpatient,1260.15,1260.15,9.33,9.33,6
CDM,802289,HIV-1 AB QUAL,1260.15,1260.15,88.21,1260.15,47
CDM,802291,HIV-1 AMP PROBE,2016.89,2016.89,141.18,2016.89,47
CDM,802291,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",2016.89,2016.89,21.05,189.83,74
CDM,802291,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Age 21+",2016.89,2016.89,32.43,32.43,4
CDM,802291,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Age Under 21",2016.89,2016.89,33.02,33.02,4
CDM,802291,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Other Outpatient",2016.89,2016.89,36.84,36.84,6
CDM,802293,Antibody; HIV-2 ,1432.8,1432.8,8.11,73.03,74
CDM,802293,Antibody; HIV-2 Age 21+,1432.8,1432.8,12.5,12.5,4
CDM,802293,Antibody; HIV-2 Age Under 21,1432.8,1432.8,12.72,12.72,4
CDM,802293,Antibody; HIV-2 Other Outpatient,1432.8,1432.8,14.2,14.2,6
CDM,802293,HIV-2 AB QUAL,1432.8,1432.8,100.3,1432.8,47
CDM,802295,HIV-2 AMP PROBE,1645.78,1645.78,115.2,1645.78,47
CDM,802295,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",1645.78,1645.78,21.05,189.83,74
CDM,802295,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Age 21+",1645.78,1645.78,32.43,32.43,4
CDM,802295,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Age Under 21",1645.78,1645.78,33.02,33.02,4
CDM,802295,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Other Outpatient",1645.78,1645.78,36.84,36.84,6
CDM,802299,HLA A B C MULT AG DNR,2633.24,2633.24,184.33,2633.24,47
CDM,802301,HLA A B C MULT AG REC,2447.69,2447.69,171.34,2447.69,47
CDM,802304,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",637.35,637.35,15.49,138.74,74
CDM,802304,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Age 21+",637.35,637.35,23.85,23.85,4
CDM,802304,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Age Under 21",637.35,637.35,24.28,24.28,4
CDM,802304,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Other Outpatient",637.35,637.35,27.1,27.1,6
CDM,802304,TYPING SINGLE AG,637.35,637.35,44.61,637.35,47
CDM,802306,HLA DR DQ MULTIPLE DNR,3294.79,3294.79,230.64,3294.79,47
CDM,802307,HLA DR DQ MULTIPLE REC,3294.79,3294.79,230.64,3294.79,47
CDM,802316,HLA PHENOTYPING MULTI AG,5097.09,5097.09,356.8,5097.09,47
CDM,802318,HOMOCYSTEINE QN,2305.71,2305.71,161.4,2305.71,47
CDM,802318,Homocysteine ,2305.71,2305.71,10.75,96.73,74
CDM,802318,Homocysteine Age 21+,2305.71,2305.71,16.56,16.56,4
CDM,802318,Homocysteine Age Under 21,2305.71,2305.71,16.86,16.86,4
CDM,802318,Homocysteine Other Outpatient,2305.71,2305.71,18.82,18.82,6
CDM,802322,HOMOGENIZATION TISSUE,198.48,198.48,13.89,198.48,47
CDM,802322,"Homogenization, tissue, for culture ",198.48,198.48,3.53,31.01,74
CDM,802322,"Homogenization, tissue, for culture Age 21+",198.48,198.48,5.43,5.43,4
CDM,802322,"Homogenization, tissue, for culture Age Under 21",198.48,198.48,5.53,5.53,4
CDM,802322,"Homogenization, tissue, for culture Other Outpatient",198.48,198.48,6.17,6.17,6
CDM,802324,HOMOVANILLIC ACID UR,1240.79,1240.79,86.86,1240.79,47
CDM,802324,Homovanillic acid (HVA) ,1240.79,1240.79,13.45,120.49,74
CDM,802324,Homovanillic acid (HVA) Age 21+,1240.79,1240.79,20.7,20.7,4
CDM,802324,Homovanillic acid (HVA) Age Under 21,1240.79,1240.79,21.08,21.08,4
CDM,802324,Homovanillic acid (HVA) Other Outpatient,1240.79,1240.79,23.53,23.53,6
CDM,802328,HPLC MS QUANTITATIVE,1027.82,1027.82,71.95,1027.82,47
CDM,802337,Antibody; HTLV-I ,538.93,538.93,5.45,49.27,74
CDM,802337,Antibody; HTLV-I Age 21+,538.93,538.93,8.4,8.4,4
CDM,802337,Antibody; HTLV-I Age Under 21,538.93,538.93,8.56,8.56,4
CDM,802337,Antibody; HTLV-I Other Outpatient,538.93,538.93,9.54,9.54,6
CDM,802337,HTLV 1 AB QUAL,538.93,538.93,37.73,538.93,47
CDM,802339,HTLV1 AMP PROBE,1415.03,1415.03,99.05,1415.03,47
CDM,802342,Antibody; HTLV-II ,538.93,538.93,8.4,74.84,74
CDM,802342,Antibody; HTLV-II Age 21+,538.93,538.93,12.94,12.94,4
CDM,802342,Antibody; HTLV-II Age Under 21,538.93,538.93,13.17,13.17,4
CDM,802342,Antibody; HTLV-II Other Outpatient,538.93,538.93,14.7,14.7,6
CDM,802342,HTLV2 AB QUAL,538.93,538.93,37.73,538.93,47
CDM,802343,HTLV2 AMP PROBE,1415.03,1415.03,99.05,1415.03,47
CDM,802348,HUMAN ANTIMOUSE AB IGG,790.63,790.63,55.34,790.63,47
CDM,802349,HUMAN CHIMERIC AB HACA,1502.17,1502.17,105.15,1502.17,47
CDM,802362,HYDROXYPROG 17D,1079.44,1079.44,75.56,1079.44,47
CDM,802362,"Hydroxyprogesterone, 17-d ",1079.44,1079.44,16.3,146.0,74
CDM,802362,"Hydroxyprogesterone, 17-d Age 21+",1079.44,1079.44,25.1,25.1,4
CDM,802362,"Hydroxyprogesterone, 17-d Age Under 21",1079.44,1079.44,25.56,25.56,4
CDM,802362,"Hydroxyprogesterone, 17-d Other Outpatient",1079.44,1079.44,28.53,28.53,6
CDM,802364,HYDROXYPROLINE FREE,2107.25,2107.25,147.51,2107.25,47
CDM,802364,Hydroxyproline; free ,2107.25,2107.25,13.59,122.3,74
CDM,802364,Hydroxyproline; free Age 21+,2107.25,2107.25,20.93,20.93,4
CDM,802364,Hydroxyproline; free Age Under 21,2107.25,2107.25,21.31,21.31,4
CDM,802364,Hydroxyproline; free Other Outpatient,2107.25,2107.25,23.78,23.78,6
CDM,802365,HYDROXYPROLINE TOTAL,2107.25,2107.25,147.51,2107.25,47
CDM,802365,Hydroxyproline; total ,2107.25,2107.25,14.58,131.43,74
CDM,802365,Hydroxyproline; total Age 21+,2107.25,2107.25,22.45,22.45,4
CDM,802365,Hydroxyproline; total Age Under 21,2107.25,2107.25,22.86,22.86,4
CDM,802365,Hydroxyproline; total Other Outpatient,2107.25,2107.25,25.52,25.52,6
CDM,802366,HYDROXYZINE VISTARIL QN,1234.34,1234.34,86.4,1234.34,47
CDM,802368,IBUPROFEN ADVIL QN,598.61,598.61,41.9,598.61,47
CDM,802372,IDURONATE SULFATASE RS,379.18,379.18,26.54,379.18,47
CDM,802373,IGA EA,913.25,913.25,63.93,913.25,47
CDM,802375,IGD EA,913.25,913.25,63.93,913.25,47
CDM,802376,Gammaglobulin (immunoglobulin); IgE ,498.57,498.57,9.88,89.42,74
CDM,802376,Gammaglobulin (immunoglobulin); IgE Age 21+,498.57,498.57,15.21,15.21,4
CDM,802376,Gammaglobulin (immunoglobulin); IgE Age Under 21,498.57,498.57,15.49,15.49,4
CDM,802376,Gammaglobulin (immunoglobulin); IgE Other Outpatient,498.57,498.57,17.28,17.28,6
CDM,802376,IGE,498.57,498.57,34.9,498.57,47
CDM,802377,IGG EA,913.25,913.25,63.93,913.25,47
CDM,802379,IGG CSF EA,913.25,913.25,63.93,913.25,47
CDM,802382,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",127.47,127.47,4.81,43.83,74
CDM,802382,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Age 21+",127.47,127.47,7.41,7.41,4
CDM,802382,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Age Under 21",127.47,127.47,7.55,7.55,4
CDM,802382,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Other Outpatient",127.47,127.47,8.42,8.42,6
CDM,802382,IGG SUBCLASSES EA,127.47,127.47,8.92,127.47,47
CDM,802384,IGM EA,913.25,913.25,63.93,913.25,47
CDM,802385,IGM CSF EA,913.25,913.25,63.93,913.25,47
CDM,802389,IMMUNOELECT BLD/SERUM,535.68,535.68,37.5,535.68,47
CDM,802389,Immunoelectrophoresis; serum ,535.68,535.68,17.95,160.63,74
CDM,802389,Immunoelectrophoresis; serum Age 21+,535.68,535.68,27.64,27.64,4
CDM,802389,Immunoelectrophoresis; serum Age Under 21,535.68,535.68,28.15,28.15,4
CDM,802389,Immunoelectrophoresis; serum Other Outpatient,535.68,535.68,31.42,31.42,6
CDM,802393,IMMUNOELECT CSF,669.61,669.61,46.87,669.61,47
CDM,802395,IMMUNOELECT UR,574.41,574.41,40.21,574.41,47
CDM,802406,INF AGENT CONCENTRATION,224.28,224.28,15.7,224.28,47
CDM,802407,INF AG MULT ORG DFA,337.23,337.23,23.61,337.23,47
CDM,802408,INFECT AGENT AMP PROBE,1789.38,1789.38,125.26,1789.38,47
CDM,802409,INFECTIOUS AGENT PROBE,714.79,714.79,50.04,714.79,47
CDM,802413,INFLUENZA A AG EIA,227.51,227.51,15.93,227.51,47
CDM,802414,INFLUENZA A AG IFT,337.23,337.23,23.61,337.23,47
CDM,802415,INFLUENZA A VIRUS AB,766.42,766.42,53.65,766.42,47
CDM,802419,INFLUENZA B AG EIA,227.51,227.51,15.93,227.51,47
CDM,802422,INFLUENZA B AG IFT,337.23,337.23,23.61,337.23,47
CDM,802423,INFLUENZA B VIRUS AB,766.42,766.42,53.65,766.42,47
CDM,802425,INFLUENZA B VIRUS AB IGG,380.78,380.78,26.65,380.78,47
CDM,802432,INHIBIN A,1066.53,1066.53,74.66,1066.53,47
CDM,802432,Inhibin A ,1066.53,1066.53,9.35,83.97,74
CDM,802432,Inhibin A Age 21+,1066.53,1066.53,14.41,14.41,4
CDM,802432,Inhibin A Age Under 21,1066.53,1066.53,14.67,14.67,4
CDM,802432,Inhibin A Other Outpatient,1066.53,1066.53,16.37,16.37,6
CDM,802434,INHIBIN B IA QN,1152.05,1152.05,80.64,1152.05,47
CDM,802436,INSULIN AB,585.69,585.69,41.0,585.69,47
CDM,802436,Insulin antibodies ,585.69,585.69,12.85,114.99,74
CDM,802436,Insulin antibodies Age 21+,585.69,585.69,19.78,19.78,4
CDM,802436,Insulin antibodies Age Under 21,585.69,585.69,20.14,20.14,4
CDM,802436,Insulin antibodies Other Outpatient,585.69,585.69,22.48,22.48,6
CDM,802443,INSULIN TOTAL,1368.27,1368.27,95.78,1368.27,47
CDM,802443,Insulin; total ,1368.27,1368.27,6.86,62.09,74
CDM,802443,Insulin; total Age 21+,1368.27,1368.27,10.56,10.56,4
CDM,802443,Insulin; total Age Under 21,1368.27,1368.27,10.75,10.75,4
CDM,802443,Insulin; total Other Outpatient,1368.27,1368.27,12.0,12.0,6
CDM,802444,INSULIN LIKE GFBP 3 RIA,1298.88,1298.88,90.92,1298.88,47
CDM,802452,INTERLEUKIN 1 BETA IA QN,268.66,268.66,18.81,268.66,47
CDM,802454,INTERLEUKIN 2 IA QN,230.73,230.73,16.15,230.73,47
CDM,802455,INTERLEUKIN 2 REC EIA QN,1966.87,1966.87,137.68,1966.87,47
CDM,802459,INTERLEUKIN 5 IA QN,435.65,435.65,30.5,435.65,47
CDM,802467,INTRINSIC FACT AB,1042.33,1042.33,72.96,1042.33,47
CDM,802467,Intrinsic factor antibodies ,1042.33,1042.33,9.05,82.16,74
CDM,802467,Intrinsic factor antibodies Age 21+,1042.33,1042.33,13.94,13.94,4
CDM,802467,Intrinsic factor antibodies Age Under 21,1042.33,1042.33,14.19,14.19,4
CDM,802467,Intrinsic factor antibodies Other Outpatient,1042.33,1042.33,15.83,15.83,6
CDM,802477,IRON,868.07,868.07,60.76,868.07,47
CDM,802479,IRON BINDING (TIBC),964.88,964.88,67.54,964.88,47
CDM,802479,Iron binding capacity ,964.88,964.88,5.24,47.46,74
CDM,802479,Iron binding capacity Age 21+,964.88,964.88,8.07,8.07,4
CDM,802479,Iron binding capacity Age Under 21,964.88,964.88,8.22,8.22,4
CDM,802479,Iron binding capacity Other Outpatient,964.88,964.88,9.18,9.18,6
CDM,802482,IRON STAIN PERIPH,1753.89,1753.89,122.77,1753.89,47
CDM,802482,"Iron stain, peripheral blood ",1753.89,1753.89,4.13,36.51,74
CDM,802482,"Iron stain, peripheral blood Age 21+",1753.89,1753.89,6.36,6.36,4
CDM,802482,"Iron stain, peripheral blood Age Under 21",1753.89,1753.89,6.47,6.47,4
CDM,802482,"Iron stain, peripheral blood Other Outpatient",1753.89,1753.89,7.22,7.22,6
CDM,802483,IRRADIATION BLD EA,251.37,251.37,17.6,251.37,48
CDM,802483,"Irradiation of blood product, each unit ",251.37,251.37,34.05,153.32,16
CDM,802484,ISLET CELL AB,887.44,887.44,62.12,887.44,47
CDM,802487,ISONIAZID TUBIZID QN,1060.08,1060.08,74.21,1060.08,47
CDM,802496,JO-1 ANTIBODY,663.16,663.16,46.42,663.16,47
CDM,802499,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",882.59,882.59,4.64,41.96,74
CDM,802499,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Age 21+",882.59,882.59,7.14,7.14,4
CDM,802499,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Age Under 21",882.59,882.59,7.27,7.27,4
CDM,802499,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Other Outpatient",882.59,882.59,8.12,8.12,6
CDM,802499,KB STAIN (FETAL BLEED),882.59,882.59,61.78,882.59,47
CDM,802505,KETOCONAZOLE NIZORAL QN,797.07,797.07,55.79,797.07,47
CDM,802507,KETOGENIC STEROID FRAC,1223.04,1223.04,85.61,1223.04,47
CDM,802507,"Ketogenic steroids, fractionation ",1223.04,1223.04,9.28,83.97,74
CDM,802507,"Ketogenic steroids, fractionation Age 21+",1223.04,1223.04,14.29,14.29,4
CDM,802507,"Ketogenic steroids, fractionation Age Under 21",1223.04,1223.04,14.55,14.55,4
CDM,802507,"Ketogenic steroids, fractionation Other Outpatient",1223.04,1223.04,16.24,16.24,6
CDM,802515,KOH PREP TISSUE,367.88,367.88,25.75,367.88,47
CDM,802518,LACTASE SPECT,537.29,537.29,37.61,537.29,47
CDM,802519,LACTIC ACID,2139.52,2139.52,149.77,2139.52,47
CDM,802522,LACTIC ACID,1176.25,1176.25,82.34,1176.25,47
CDM,802523,LACTIC ACID BODY FL,1184.32,1184.32,82.9,1184.32,47
CDM,802525,LACTOGEN HPL,1247.25,1247.25,87.31,1247.25,47
CDM,802525,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",1247.25,1247.25,12.13,109.54,74
CDM,802525,"Lactogen, human placental (HPL) human chorionic somatomammotropin Age 21+",1247.25,1247.25,18.68,18.68,4
CDM,802525,"Lactogen, human placental (HPL) human chorionic somatomammotropin Age Under 21",1247.25,1247.25,19.02,19.02,4
CDM,802525,"Lactogen, human placental (HPL) human chorionic somatomammotropin Other Outpatient",1247.25,1247.25,21.23,21.23,6
CDM,802536,LDH (LD),803.53,803.53,56.25,803.53,47
CDM,802537,LDH (LD) BODY FLUID,803.53,803.53,56.25,803.53,47
CDM,802539,LDH ISOENZYMES,1773.25,1773.25,124.13,1773.25,47
CDM,802539,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",1773.25,1773.25,7.67,69.34,74
CDM,802539,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Age 21+",1773.25,1773.25,11.81,11.81,4
CDM,802539,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Age Under 21",1773.25,1773.25,12.03,12.03,4
CDM,802539,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Other Outpatient",1773.25,1773.25,13.43,13.43,6
CDM,802544,LEAD BLOOD,1066.53,1066.53,74.66,1066.53,47
CDM,802546,LEAD URINE,977.8,977.8,68.45,977.8,47
CDM,802550,LEGIONELLA AB IGG QUAL,435.65,435.65,30.5,435.65,47
CDM,802551,LEGIONELLA AB IGM QUAL,435.65,435.65,30.5,435.65,47
CDM,802552,LEGIONELLA AB QUAL,919.7,919.7,64.38,919.7,47
CDM,802588,LEGIONELLA AG EIA,892.27,892.27,62.46,892.27,47
CDM,802589,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",1440.87,1440.87,21.05,189.83,74
CDM,802589,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Age 21+",1440.87,1440.87,32.43,32.43,4
CDM,802589,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Age Under 21",1440.87,1440.87,33.02,33.02,4
CDM,802589,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Other Outpatient",1440.87,1440.87,36.84,36.84,6
CDM,802589,LEGIONELLA AMP PROBE,1440.87,1440.87,100.86,1440.87,47
CDM,802594,LEISHMANIA AB QUAL,642.18,642.18,44.95,642.18,47
CDM,802597,Antibody; Leptospira ,1287.59,1287.59,9.72,87.6,74
CDM,802597,Antibody; Leptospira Age 21+,1287.59,1287.59,14.97,14.97,4
CDM,802597,Antibody; Leptospira Age Under 21,1287.59,1287.59,15.24,15.24,4
CDM,802597,Antibody; Leptospira Other Outpatient,1287.59,1287.59,17.01,17.01,6
CDM,802597,LEPTOSPIRA AB QUAL,1287.59,1287.59,90.13,1287.59,47
CDM,802598,LEUC AMINOPEPTIDASE,311.41,311.41,21.8,311.41,47
CDM,802598,Leucine aminopeptidase (LAP) ,311.41,311.41,5.89,52.96,74
CDM,802598,Leucine aminopeptidase (LAP) Age 21+,311.41,311.41,9.06,9.06,4
CDM,802598,Leucine aminopeptidase (LAP) Age Under 21,311.41,311.41,9.23,9.23,4
CDM,802598,Leucine aminopeptidase (LAP) Other Outpatient,311.41,311.41,10.3,10.3,6
CDM,802604,LEUK PHAGOCYTOSIS,209.76,209.76,14.68,209.76,47
CDM,802604,Leukocyte phagocytosis ,209.76,209.76,6.23,56.59,74
CDM,802604,Leukocyte phagocytosis Age 21+,209.76,209.76,9.6,9.6,4
CDM,802604,Leukocyte phagocytosis Age Under 21,209.76,209.76,9.78,9.78,4
CDM,802604,Leukocyte phagocytosis Other Outpatient,209.76,209.76,10.91,10.91,6
CDM,802605,LEUKO ALK PHOS STAIN,316.24,316.24,22.14,316.24,47
CDM,802605,Leukocyte alkaline phosphatase with count ,316.24,316.24,5.16,45.64,74
CDM,802605,Leukocyte alkaline phosphatase with count Age 21+,316.24,316.24,7.94,7.94,4
CDM,802605,Leukocyte alkaline phosphatase with count Age Under 21,316.24,316.24,8.09,8.09,4
CDM,802605,Leukocyte alkaline phosphatase with count Other Outpatient,316.24,316.24,9.03,9.03,6
CDM,802615,LH,1715.16,1715.16,120.06,1715.16,47
CDM,802616,LH URINE,2165.33,2165.33,151.57,2165.33,47
CDM,802624,LIPASE,1061.7,1061.7,74.32,1061.7,47
CDM,802633,LIPOPROTEIN ELECTRO BLD,1163.35,1163.35,81.43,1163.35,47
CDM,802633,"Lipoprotein, blood; electrophoretic separation and quantitation ",1163.35,1163.35,6.76,60.22,74
CDM,802633,"Lipoprotein, blood; electrophoretic separation and quantitation Age 21+",1163.35,1163.35,10.41,10.41,4
CDM,802633,"Lipoprotein, blood; electrophoretic separation and quantitation Age Under 21",1163.35,1163.35,10.6,10.6,4
CDM,802633,"Lipoprotein, blood; electrophoretic separation and quantitation Other Outpatient",1163.35,1163.35,11.82,11.82,6
CDM,802636,Antibody; Listeria monocytogenes ,1035.88,1035.88,7.91,71.22,74
CDM,802636,Antibody; Listeria monocytogenes Age 21+,1035.88,1035.88,12.19,12.19,4
CDM,802636,Antibody; Listeria monocytogenes Age Under 21,1035.88,1035.88,12.41,12.41,4
CDM,802636,Antibody; Listeria monocytogenes Other Outpatient,1035.88,1035.88,13.85,13.85,6
CDM,802636,LISTERIA MONOCYTOGENE AB,1035.88,1035.88,72.51,1035.88,47
CDM,802641,LIVER-KIDNEY MICRO AB,1363.42,1363.42,95.44,1363.42,47
CDM,802651,LYME AB IGG WESTERN BLOT,921.32,921.32,64.49,921.32,47
CDM,802652,LYME AB IGM WESTERN BLOT,921.32,921.32,64.49,921.32,47
CDM,802654,LYME DISEASE AB IGG QL,1413.44,1413.44,98.94,1413.44,47
CDM,802655,LYME DISEASE AB IGM QL,1413.44,1413.44,98.94,1413.44,47
CDM,802656,LYME DISEASE AB QL,516.33,516.33,36.14,516.33,47
CDM,802657,LYMPH CHORIO AB QUAL,250.09,250.09,17.51,250.09,47
CDM,802658,LYMPH CHORIO AB QUAL IGG,471.15,471.15,32.98,471.15,47
CDM,802659,LYMPH CHORIO AB QUAL IGM,471.15,471.15,32.98,471.15,47
CDM,802663,LYMPH TRANSFORM,1371.49,1371.49,96.0,1371.49,47
CDM,802667,LYMPHOCYTOX XM W/TITER,2439.64,2439.64,170.77,2439.64,47
CDM,802669,LYSOSOMAL ENZYME SCR NRS,3378.71,3378.71,236.51,3378.71,47
CDM,802673,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",748.67,748.67,21.05,189.83,74
CDM,802673,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Age 21+",748.67,748.67,32.43,32.43,4
CDM,802673,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Age Under 21",748.67,748.67,33.02,33.02,4
CDM,802673,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Other Outpatient",748.67,748.67,36.84,36.84,6
CDM,802673,M AVIUM-INTRAC AMP PROBE,748.67,748.67,52.41,748.67,47
CDM,802677,MA TA AB WB-BD,2191.15,2191.15,153.38,2191.15,47
CDM,802682,MAG AB ELISA QN,1214.97,1214.97,85.05,1214.97,47
CDM,802683,MAG IGM AB IA QN,671.23,671.23,46.99,671.23,47
CDM,802684,MAGNESIUM BLD,951.97,951.97,66.64,951.97,47
CDM,802686,MAGNESIUM OTHER,1440.87,1440.87,100.86,1440.87,47
CDM,802688,MAGNESIUM URINE,951.97,951.97,66.64,951.97,47
CDM,802691,MALTASE SPECT,537.29,537.29,37.61,537.29,47
CDM,802692,MANGANESE,1093.97,1093.97,76.58,1093.97,47
CDM,802692,Manganese ,1093.97,1093.97,15.99,144.19,74
CDM,802692,Manganese Age 21+,1093.97,1093.97,24.63,24.63,4
CDM,802692,Manganese Age Under 21,1093.97,1093.97,25.08,25.08,4
CDM,802692,Manganese Other Outpatient,1093.97,1093.97,27.98,27.98,6
CDM,802694,MANNOSE BIND PROT IA QN,772.88,772.88,54.1,772.88,47
CDM,802695,"Blood count; blood smear, microscopic examination with manual differential WBC count ",593.77,593.77,2.28,20.07,74
CDM,802695,"Blood count; blood smear, microscopic examination with manual differential WBC count Age 21+",593.77,593.77,3.51,3.51,4
CDM,802695,"Blood count; blood smear, microscopic examination with manual differential WBC count Age Under 21",593.77,593.77,3.57,3.57,4
CDM,802695,"Blood count; blood smear, microscopic examination with manual differential WBC count Other Outpatient",593.77,593.77,3.99,3.99,6
CDM,802695,MANUAL DIFFERENTIAL,593.77,593.77,41.56,593.77,47
CDM,802699,MASS SPEC QN EACH SPEC,508.26,508.26,35.58,508.26,47
CDM,802702,MELANIN MELANOGEN UR QL,179.1,179.1,12.54,179.1,47
CDM,802705,MEPHENYTOIN HYDANTOIN QN,1100.41,1100.41,77.03,1100.41,47
CDM,802714,MERCURY BLD QUANT,1189.17,1189.17,83.24,1189.17,47
CDM,802716,MERCURY UR QUANT,451.79,451.79,31.63,451.79,47
CDM,802721,METANEPHRINES,1066.53,1066.53,74.66,1066.53,47
CDM,802722,METANEPHRINES FRACT,1353.73,1353.73,94.76,1353.73,47
CDM,802738,"Hemoglobin; methemoglobin, quantitative ",613.14,613.14,4.92,43.83,74
CDM,802738,"Hemoglobin; methemoglobin, quantitative Age 21+",613.14,613.14,7.58,7.58,4
CDM,802738,"Hemoglobin; methemoglobin, quantitative Age Under 21",613.14,613.14,7.72,7.72,4
CDM,802738,"Hemoglobin; methemoglobin, quantitative Other Outpatient",613.14,613.14,8.61,8.61,6
CDM,802738,METHEMOGLOBIN QUANT,613.14,613.14,42.92,613.14,47
CDM,802747,METHYLMALONIC ACID QN,5521.44,5521.44,386.5,5521.44,47
CDM,802748,METHYLMALONIC ACID QN UR,380.78,380.78,26.65,380.78,47
CDM,802750,METHYLPHENIDATE RITAL QN,797.07,797.07,55.79,797.07,47
CDM,802762,MEXILETINE MEXITIL QN,1292.42,1292.42,90.47,1292.42,47
CDM,802767,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",971.32,971.32,3.74,32.83,74
CDM,802767,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Age 21+",971.32,971.32,5.75,5.75,4
CDM,802767,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Age Under 21",971.32,971.32,5.86,5.86,4
CDM,802767,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient",971.32,971.32,6.54,6.54,6
CDM,802767,MICROALBUMIN SEMIQN,971.32,971.32,67.99,971.32,47
CDM,802768,"Albumin; urine (eg, microalbumin), quantitative ",400.15,400.15,3.47,31.01,74
CDM,802768,"Albumin; urine (eg, microalbumin), quantitative Age 21+",400.15,400.15,5.35,5.35,4
CDM,802768,"Albumin; urine (eg, microalbumin), quantitative Age Under 21",400.15,400.15,5.44,5.44,4
CDM,802768,"Albumin; urine (eg, microalbumin), quantitative Other Outpatient",400.15,400.15,6.07,6.07,6
CDM,802768,MICROALBUMIN QN,400.15,400.15,28.01,400.15,47
CDM,802769,MICROPOLYSPORA FAENI GD,188.78,188.78,13.21,188.78,47
CDM,802785,"Culture, fungi, definitive identification, each organism; mold ",848.71,848.71,6.19,54.77,74
CDM,802785,"Culture, fungi, definitive identification, each organism; mold Age 21+",848.71,848.71,9.54,9.54,4
CDM,802785,"Culture, fungi, definitive identification, each organism; mold Age Under 21",848.71,848.71,9.71,9.71,4
CDM,802785,"Culture, fungi, definitive identification, each organism; mold Other Outpatient",848.71,848.71,10.84,10.84,6
CDM,802785,MOLD ID,848.71,848.71,59.41,848.71,47
CDM,802812,MONO SCR (HETEROPHILE),861.61,861.61,60.31,861.61,47
CDM,802822,MUCOPOLYSAC ACID QUANT,1085.9,1085.9,76.01,1085.9,47
CDM,802822,"Mucopolysaccharides, acid, quantitative ",1085.9,1085.9,17.1,153.32,74
CDM,802822,"Mucopolysaccharides, acid, quantitative Age 21+",1085.9,1085.9,26.33,26.33,4
CDM,802822,"Mucopolysaccharides, acid, quantitative Age Under 21",1085.9,1085.9,26.81,26.81,4
CDM,802822,"Mucopolysaccharides, acid, quantitative Other Outpatient",1085.9,1085.9,29.93,29.93,6
CDM,802825,MUMPS AB QUAL,579.25,579.25,40.55,579.25,47
CDM,802827,MUMPS IGG QUAL,396.91,396.91,27.78,396.91,47
CDM,802828,MUMPS IGM QUAL,396.91,396.91,27.78,396.91,47
CDM,802829,MURAMIDASE LYSOZYME,1124.62,1124.62,78.72,1124.62,47
CDM,802829,Muramidase ,1124.62,1124.62,11.25,100.42,74
CDM,802829,Muramidase Age 21+,1124.62,1124.62,17.33,17.33,4
CDM,802829,Muramidase Age Under 21,1124.62,1124.62,17.64,17.64,4
CDM,802829,Muramidase Other Outpatient,1124.62,1124.62,19.69,19.69,6
CDM,802837,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",3733.67,3733.67,28.94,259.18,74
CDM,802837,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Age 21+",3733.67,3733.67,44.57,44.57,4
CDM,802837,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Age Under 21",3733.67,3733.67,45.38,45.38,4
CDM,802837,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Other Outpatient",3733.67,3733.67,50.65,50.65,6
CDM,802837,MYCOBACT SP AMP PROBE,3733.67,3733.67,261.36,3733.67,47
CDM,802845,MYCOPLASMA AB IGG QL,1331.14,1331.14,93.18,1331.14,47
CDM,802846,MYCOPLASMA AB IGM QL,1331.14,1331.14,93.18,1331.14,47
CDM,802848,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",1061.7,1061.7,21.05,189.83,74
CDM,802848,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Age 21+",1061.7,1061.7,32.43,32.43,4
CDM,802848,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Age Under 21",1061.7,1061.7,33.02,33.02,4
CDM,802848,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Other Outpatient",1061.7,1061.7,36.84,36.84,6
CDM,802848,MYCOPLASMA PNEU AMP PR,1061.7,1061.7,74.32,1061.7,47
CDM,802858,MYELIN BASIC PROT CSF,1344.06,1344.06,94.08,1344.06,47
CDM,802858,"Myelin basic protein, cerebrospinal fluid ",1344.06,1344.06,10.32,93.1,74
CDM,802858,"Myelin basic protein, cerebrospinal fluid Age 21+",1344.06,1344.06,15.9,15.9,4
CDM,802858,"Myelin basic protein, cerebrospinal fluid Age Under 21",1344.06,1344.06,16.18,16.18,4
CDM,802858,"Myelin basic protein, cerebrospinal fluid Other Outpatient",1344.06,1344.06,18.06,18.06,6
CDM,802859,MYELOPEROXIDASE AB,495.34,495.34,34.67,495.34,47
CDM,802863,MYOCARDIAL FA AB TIT,574.41,574.41,40.21,574.41,47
CDM,802864,MYOGLOBIN BLD,1445.7,1445.7,101.2,1445.7,47
CDM,802865,MYOGLOBIN URINE,2087.9,2087.9,146.15,2087.9,47
CDM,802867,N MENINGITIDIS AG OIA,232.36,232.36,16.27,232.36,47
CDM,802868,N TELOPEPTIDE UR,380.78,380.78,26.65,380.78,47
CDM,802875,NASAL OR SPUTUM EOS SMR,342.07,342.07,23.94,342.07,47
CDM,802875,Nasal smear for eosinophils ,342.07,342.07,3.47,31.01,74
CDM,802875,Nasal smear for eosinophils Age 21+,342.07,342.07,5.35,5.35,4
CDM,802875,Nasal smear for eosinophils Age Under 21,342.07,342.07,5.44,5.44,4
CDM,802875,Nasal smear for eosinophils Other Outpatient,342.07,342.07,6.08,6.08,6
CDM,802879,NEISSERIA MEN AG CF,148.44,148.44,10.39,148.44,47
CDM,802886,NETILMYCINE NETRMYCIN QN,1029.41,1029.41,72.06,1029.41,47
CDM,802887,NEUR NUC AB 1 HU WB&BAND,782.56,782.56,54.78,782.56,47
CDM,802893,NEURON AB ANNA2 TIT,338.85,338.85,23.72,338.85,47
CDM,802895,HU AB EIA QN,4148.33,4148.33,290.38,4148.33,47
CDM,802896,NEURON NUC AB 1 HU TIT,338.85,338.85,23.72,338.85,47
CDM,802899,NEURON SPEC ENOLASE QN,629.28,629.28,44.05,629.28,47
CDM,802903,NEURONAL NUC FA AB QL,709.96,709.96,49.7,709.96,47
CDM,802904,NEURONAL NUC FA AB TIT,682.52,682.52,47.78,682.52,47
CDM,802907,NEUTROPHIL AB,1510.24,1510.24,105.72,1510.24,47
CDM,802915,NEWBORN SCREEN (PKU),776.1,776.1,54.33,776.1,47
CDM,802915,"Phenylalanine (PKU), blood ",776.1,776.1,3.3,29.2,74
CDM,802915,"Phenylalanine (PKU), blood Age 21+",776.1,776.1,5.08,5.08,4
CDM,802915,"Phenylalanine (PKU), blood Age Under 21",776.1,776.1,5.17,5.17,4
CDM,802915,"Phenylalanine (PKU), blood Other Outpatient",776.1,776.1,5.78,5.78,6
CDM,802916,NIACIN VIT B 3,730.92,730.92,51.16,730.92,47
CDM,802929,NITROBLUE T DYE,1331.14,1331.14,93.18,1331.14,47
CDM,802929,Nitroblue tetrazolium dye test (NTD) ,1331.14,1331.14,8.17,73.03,74
CDM,802929,Nitroblue tetrazolium dye test (NTD) Age 21+,1331.14,1331.14,12.57,12.57,4
CDM,802929,Nitroblue tetrazolium dye test (NTD) Age Under 21,1331.14,1331.14,12.8,12.8,4
CDM,802929,Nitroblue tetrazolium dye test (NTD) Other Outpatient,1331.14,1331.14,14.29,14.29,6
CDM,802936,NUCLEOTIDASE 5'-,316.24,316.24,22.14,316.24,47
CDM,802936,Nucleotidase 5'- ,316.24,316.24,6.69,60.22,74
CDM,802936,Nucleotidase 5'- Age 21+,316.24,316.24,10.31,10.31,4
CDM,802936,Nucleotidase 5'- Age Under 21,316.24,316.24,10.49,10.49,4
CDM,802936,Nucleotidase 5'- Other Outpatient,316.24,316.24,11.71,11.71,6
CDM,802937,O&P SMEAR CONC ID,206.52,206.52,14.46,206.52,47
CDM,802937,"Ova and parasites, direct smears, concentration and identification ",206.52,206.52,5.34,47.46,74
CDM,802937,"Ova and parasites, direct smears, concentration and identification Age 21+",206.52,206.52,8.23,8.23,4
CDM,802937,"Ova and parasites, direct smears, concentration and identification Age Under 21",206.52,206.52,8.38,8.38,4
CDM,802937,"Ova and parasites, direct smears, concentration and identification Other Outpatient",206.52,206.52,9.35,9.35,6
CDM,802939,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",361.41,361.41,3.19,29.2,74
CDM,802939,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Age 21+",361.41,361.41,4.92,4.92,4
CDM,802939,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Age Under 21",361.41,361.41,5.01,5.01,4
CDM,802939,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Other Outpatient",361.41,361.41,5.59,5.59,6
CDM,802939,OCC BLD PEROX OTH SOURCE,361.41,361.41,25.3,361.41,47
CDM,802942,OCCULT BLD SCN 3 SPEC,354.98,354.98,24.85,354.98,47
CDM,802947,OLIGOCLONAL BANDS,1029.41,1029.41,72.06,1029.41,47
CDM,802947,Oligoclonal immune (oligoclonal bands) ,1029.41,1029.41,16.43,147.87,74
CDM,802947,Oligoclonal immune (oligoclonal bands) Age 21+,1029.41,1029.41,25.31,25.31,4
CDM,802947,Oligoclonal immune (oligoclonal bands) Age Under 21,1029.41,1029.41,25.77,25.77,4
CDM,802947,Oligoclonal immune (oligoclonal bands) Other Outpatient,1029.41,1029.41,28.76,28.76,6
CDM,802959,ORGANIC ACIDS QL EA SPEC,4616.27,4616.27,323.14,4616.27,47
CDM,802959,"Organic acids; qualitative, each specimen ",4616.27,4616.27,9.87,89.42,74
CDM,802959,"Organic acids; qualitative, each specimen Age 21+",4616.27,4616.27,15.2,15.2,4
CDM,802959,"Organic acids; qualitative, each specimen Age Under 21",4616.27,4616.27,15.48,15.48,4
CDM,802959,"Organic acids; qualitative, each specimen Other Outpatient",4616.27,4616.27,17.27,17.27,6
CDM,802962,ORGANIC ACIDS TOTAL QN,1127.83,1127.83,78.95,1127.83,47
CDM,802962,"Organic acids; total, quantitative, each specimen ",1127.83,1127.83,14.16,127.75,74
CDM,802962,"Organic acids; total, quantitative, each specimen Age 21+",1127.83,1127.83,21.8,21.8,4
CDM,802962,"Organic acids; total, quantitative, each specimen Age Under 21",1127.83,1127.83,22.2,22.2,4
CDM,802962,"Organic acids; total, quantitative, each specimen Other Outpatient",1127.83,1127.83,24.78,24.78,6
CDM,802971,OSMOLALITY BLD,926.14,926.14,64.83,926.14,47
CDM,802971,Osmolality; blood ,926.14,926.14,3.97,36.51,74
CDM,802971,Osmolality; blood Age 21+,926.14,926.14,6.11,6.11,4
CDM,802971,Osmolality; blood Age Under 21,926.14,926.14,6.22,6.22,4
CDM,802971,Osmolality; blood Other Outpatient,926.14,926.14,6.94,6.94,6
CDM,802974,OSMOLALITY UR,926.14,926.14,64.83,926.14,47
CDM,802974,Osmolality; urine ,926.14,926.14,4.09,36.51,74
CDM,802974,Osmolality; urine Age 21+,926.14,926.14,6.3,6.3,4
CDM,802974,Osmolality; urine Age Under 21,926.14,926.14,6.42,6.42,4
CDM,802974,Osmolality; urine Other Outpatient,926.14,926.14,7.16,7.16,6
CDM,802977,OSTEOCALCIN,1042.33,1042.33,72.96,1042.33,47
CDM,802977,Osteocalcin (bone g1a protein) ,1042.33,1042.33,17.91,160.63,74
CDM,802977,Osteocalcin (bone g1a protein) Age 21+,1042.33,1042.33,27.58,27.58,4
CDM,802977,Osteocalcin (bone g1a protein) Age Under 21,1042.33,1042.33,28.08,28.08,4
CDM,802977,Osteocalcin (bone g1a protein) Other Outpatient,1042.33,1042.33,31.34,31.34,6
CDM,802980,OXALATE,995.54,995.54,69.69,995.54,47
CDM,802980,Oxalate ,995.54,995.54,8.67,78.47,74
CDM,802980,Oxalate Age 21+,995.54,995.54,13.35,13.35,4
CDM,802980,Oxalate Age Under 21,995.54,995.54,13.6,13.6,4
CDM,802980,Oxalate Other Outpatient,995.54,995.54,15.17,15.17,6
CDM,802989,PANCREATIC POLY RIA QN,874.53,874.53,61.22,874.53,47
CDM,803009,PARAINFLUENZA 1 AB QL,212.98,212.98,14.91,212.98,47
CDM,803012,PARAINFLUENZA 1 AG IFT,337.23,337.23,23.61,337.23,47
CDM,803013,PARAINFLUENZA 2 AB QL,212.98,212.98,14.91,212.98,47
CDM,803014,PARAINFLUENZA 2 AG IFT,337.23,337.23,23.61,337.23,47
CDM,803015,PARAINFLUENZA 3 AB QL,212.98,212.98,14.91,212.98,47
CDM,803016,PARAINFLUENZA 3 AG IFT,337.23,337.23,23.61,337.23,47
CDM,803019,PARATHORMONE (PTH),2851.08,2851.08,199.58,2851.08,47
CDM,803022,PARATYPHOID A AGG,232.36,232.36,16.27,232.36,47
CDM,803023,PARATYPHOID B AGG,232.36,232.36,16.27,232.36,47
CDM,803025,PARIETAL FA AB QL,496.96,496.96,34.79,496.96,47
CDM,803026,PARIETAL FA AB TIT,792.24,792.24,55.46,792.24,47
CDM,803029,PARVO VIRUS AMP PROBE,1061.7,1061.7,74.32,1061.7,47
CDM,803033,PARVOVIRUS IGG,605.07,605.07,42.35,605.07,47
CDM,803034,PARVOVIRUS IGM,605.07,605.07,42.35,605.07,47
CDM,803062,PH UR AUTO,258.16,258.16,18.07,258.16,47
CDM,803065,PHENCYCLIDINE QUANT,1071.37,1071.37,75.0,1071.37,54
CDM,803065,Phencyclidine (PCP) ,1071.37,1071.37,0.02,198.96,31
CDM,803065,Phencyclidine (PCP) Age 21+,1071.37,1071.37,15.52,15.52,4
CDM,803065,Phencyclidine (PCP) Age Under 21,1071.37,1071.37,15.8,15.8,4
CDM,803093,PHOSPHATIDYLGLY (PG),1844.26,1844.26,129.1,1844.26,47
CDM,803093,Phosphatidylglycerol ,1844.26,1844.26,9.91,89.42,74
CDM,803093,Phosphatidylglycerol Age 21+,1844.26,1844.26,15.27,15.27,4
CDM,803093,Phosphatidylglycerol Age Under 21,1844.26,1844.26,15.55,15.55,4
CDM,803093,Phosphatidylglycerol Other Outpatient,1844.26,1844.26,17.35,17.35,6
CDM,803095,PHOSPHATIDYLSER AB IGA,461.47,461.47,32.3,461.47,47
CDM,803096,PHOSPHATIDYLSER AB IGG,461.47,461.47,32.3,461.47,47
CDM,803097,PHOSPHATIDYLSER AB IGM,461.47,461.47,32.3,461.47,47
CDM,803102,PHOSPHOLIPIDS ELECT,246.88,246.88,17.28,246.88,47
CDM,803103,PHOSPHOLIPIDS SPECTRO,246.88,246.88,17.28,246.88,47
CDM,803104,PHOSPHORUS BLD,559.89,559.89,39.19,559.89,47
CDM,803105,PHOSPHORUS OTHER,135.54,135.54,9.49,135.54,47
CDM,803106,PHOSPHORUS UR,1868.46,1868.46,130.79,1868.46,47
CDM,803106,Phosphorus inorganic (phosphate); urine ,1868.46,1868.46,3.47,31.01,74
CDM,803106,Phosphorus inorganic (phosphate); urine Age 21+,1868.46,1868.46,5.35,5.35,4
CDM,803106,Phosphorus inorganic (phosphate); urine Age Under 21,1868.46,1868.46,5.44,5.44,4
CDM,803106,Phosphorus inorganic (phosphate); urine Other Outpatient,1868.46,1868.46,6.07,6.07,6
CDM,803113,PINWORM EXAM,292.05,292.05,20.44,292.05,47
CDM,803113,"Pinworm exam (eg, cellophane tape prep) ",292.05,292.05,2.56,23.76,74
CDM,803113,"Pinworm exam (eg, cellophane tape prep) Age 21+",292.05,292.05,3.95,3.95,4
CDM,803113,"Pinworm exam (eg, cellophane tape prep) Age Under 21",292.05,292.05,4.02,4.02,4
CDM,803113,"Pinworm exam (eg, cellophane tape prep) Other Outpatient",292.05,292.05,4.48,4.48,6
CDM,803123,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",1169.79,1169.79,3.92,34.7,74
CDM,803123,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Age 21+",1169.79,1169.79,6.04,6.04,4
CDM,803123,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Age Under 21",1169.79,1169.79,6.15,6.15,4
CDM,803123,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Other Outpatient",1169.79,1169.79,6.86,6.86,6
CDM,803123,PLASMINOGEN ACTIVITY,1169.79,1169.79,81.89,1169.79,47
CDM,803124,PLASMINOGEN ACT INHIB,1908.79,1908.79,133.62,1908.79,47
CDM,803125,PLASMINOGEN ACTIVATOR,1348.9,1348.9,94.42,1348.9,47
CDM,803126,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",2805.9,2805.9,6.11,54.77,74
CDM,803126,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Age 21+",2805.9,2805.9,9.41,9.41,4
CDM,803126,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Age Under 21",2805.9,2805.9,9.58,9.58,4
CDM,803126,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Other Outpatient",2805.9,2805.9,10.69,10.69,6
CDM,803126,PLASMINOGEN ANTIGENIC,2805.9,2805.9,196.41,2805.9,47
CDM,803128,PLATELET AGGREGATION,637.35,637.35,44.61,637.35,47
CDM,803129,PLATELET ANTIBODIES,1803.92,1803.92,126.27,1803.92,47
CDM,803136,PLATELET ASSOC AB IGA,387.26,387.26,27.11,387.26,47
CDM,803137,PLATELET ASSOC AB IGG,387.26,387.26,27.11,387.26,47
CDM,803138,PLATELET ASSOC AB IGM,387.26,387.26,27.11,387.26,47
CDM,803148,PLATELET CROSSMATCH AHG,1889.42,1889.42,132.26,1889.42,48
CDM,803153,PLATELET UNIT POOLING,375.35,375.35,26.27,375.35,48
CDM,803154,PLT AB HEPARIN INDUCED,1214.97,1214.97,85.05,1214.97,47
CDM,803155,PLT AGGREGATE A ACID,601.85,601.85,42.13,601.85,47
CDM,803156,PLT AGGREGATE A ACID ATP,495.34,495.34,34.67,495.34,47
CDM,803157,PLT AGGREGATE ADP,561.5,561.5,39.3,561.5,47
CDM,803158,PLT AGGREGATE ADP ATP,601.85,601.85,42.13,601.85,47
CDM,803162,PLT AGGREGATE COLLAGE,450.17,450.17,31.51,450.17,47
CDM,803163,PLT AGGREGATE EPI,561.5,561.5,39.3,561.5,47
CDM,803165,PLT AGGREGATE RIST HI,758.37,758.37,53.09,758.37,47
CDM,803166,PLT AGGREGATE RIST LOW,758.37,758.37,53.09,758.37,47
CDM,803168,PLT NEUTRALIZATION,311.41,311.41,21.8,311.41,47
CDM,803168,Phospholipid neutralization; platelet ,311.41,311.41,10.79,96.73,74
CDM,803168,Phospholipid neutralization; platelet Age 21+,311.41,311.41,16.61,16.61,4
CDM,803168,Phospholipid neutralization; platelet Age Under 21,311.41,311.41,16.91,16.91,4
CDM,803168,Phospholipid neutralization; platelet Other Outpatient,311.41,311.41,18.88,18.88,6
CDM,803176,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,537.29,537.29,7.19,63.9,74
CDM,803176,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Age 21+,537.29,537.29,11.07,11.07,4
CDM,803176,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Age Under 21,537.29,537.29,11.27,11.27,4
CDM,803176,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient,537.29,537.29,12.58,12.58,6
CDM,803176,PNEUMOCYSTIS CARINII IFT,537.29,537.29,37.61,537.29,47
CDM,803179,POLIOVIRUS I AB,354.98,354.98,24.85,354.98,47
CDM,803182,POLIOVIRUS II AB,354.98,354.98,24.85,354.98,47
CDM,803183,POLIOVIRUS III AB,354.98,354.98,24.85,354.98,47
CDM,803189,PORPHOBILINOGEN UR QUAN,1021.35,1021.35,71.49,1021.35,47
CDM,803189,"Porphobilinogen, urine; quantitative ",1021.35,1021.35,5.06,45.64,74
CDM,803189,"Porphobilinogen, urine; quantitative Age 21+",1021.35,1021.35,7.8,7.8,4
CDM,803189,"Porphobilinogen, urine; quantitative Age Under 21",1021.35,1021.35,7.94,7.94,4
CDM,803189,"Porphobilinogen, urine; quantitative Other Outpatient",1021.35,1021.35,8.86,8.86,6
CDM,803193,PORPHYRINS FECES QUANT,1122.98,1122.98,78.61,1122.98,47
CDM,803193,"Porphyrins, feces, quantitative ",1122.98,1122.98,23.47,209.9,74
CDM,803193,"Porphyrins, feces, quantitative Age 21+",1122.98,1122.98,36.14,36.14,4
CDM,803193,"Porphyrins, feces, quantitative Age Under 21",1122.98,1122.98,36.79,36.79,4
CDM,803193,"Porphyrins, feces, quantitative Other Outpatient",1122.98,1122.98,41.07,41.07,6
CDM,803196,PORPHYRINS TOTAL RBC QN,1545.75,1545.75,108.2,1545.75,47
CDM,803198,PORPHYRINS UR QN + FRACT,1208.52,1208.52,84.6,1208.52,47
CDM,803198,"Porphyrins, urine; quantitation and fractionation ",1208.52,1208.52,8.83,78.47,74
CDM,803198,"Porphyrins, urine; quantitation and fractionation Age 21+",1208.52,1208.52,13.6,13.6,4
CDM,803198,"Porphyrins, urine; quantitation and fractionation Age Under 21",1208.52,1208.52,13.84,13.84,4
CDM,803198,"Porphyrins, urine; quantitation and fractionation Other Outpatient",1208.52,1208.52,15.45,15.45,6
CDM,803203,POTASSIUM BLD,714.79,714.79,50.04,714.79,47
CDM,803206,POTASSIUM UR,714.79,714.79,50.04,714.79,47
CDM,803206,Potassium; urine ,714.79,714.79,2.84,25.57,74
CDM,803206,Potassium; urine Age 21+,714.79,714.79,4.37,4.37,4
CDM,803206,Potassium; urine Age Under 21,714.79,714.79,4.45,4.45,4
CDM,803206,Potassium; urine Other Outpatient,714.79,714.79,4.97,4.97,6
CDM,803207,PRA CYTOTOX SCR QUICK,743.84,743.84,52.07,743.84,47
CDM,803207,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,743.84,743.84,17.81,160.63,74
CDM,803207,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Age 21+,743.84,743.84,27.42,27.42,4
CDM,803207,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Age Under 21,743.84,743.84,27.92,27.92,4
CDM,803207,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Other Outpatient,743.84,743.84,31.16,31.16,6
CDM,803208,PRA CYTOTOX SCR STD METH,2081.43,2081.43,145.7,2081.43,47
CDM,803212,PREALBUMIN,555.04,555.04,38.85,555.04,47
CDM,803212,Prealbumin ,555.04,555.04,8.75,78.47,74
CDM,803212,Prealbumin Age 21+,555.04,555.04,13.49,13.49,4
CDM,803212,Prealbumin Age Under 21,555.04,555.04,13.73,13.73,4
CDM,803212,Prealbumin Other Outpatient,555.04,555.04,15.32,15.32,6
CDM,803214,PREG URINE QUAL BY DOO,503.41,503.41,35.24,503.41,47
CDM,803215,PREGNANEDIOL,475.99,475.99,33.32,475.99,47
CDM,803215,Pregnanediol ,475.99,475.99,12.76,114.99,74
CDM,803215,Pregnanediol Age 21+,475.99,475.99,19.66,19.66,4
CDM,803215,Pregnanediol Age Under 21,475.99,475.99,20.01,20.01,4
CDM,803215,Pregnanediol Other Outpatient,475.99,475.99,22.33,22.33,6
CDM,803216,PREGNANETRIOL,1055.24,1055.24,73.87,1055.24,47
CDM,803216,Pregnanetriol ,1055.24,1055.24,12.63,113.17,74
CDM,803216,Pregnanetriol Age 21+,1055.24,1055.24,19.45,19.45,4
CDM,803216,Pregnanetriol Age Under 21,1055.24,1055.24,19.8,19.8,4
CDM,803216,Pregnanetriol Other Outpatient,1055.24,1055.24,22.1,22.1,6
CDM,803217,PREGNENOLONE,1749.05,1749.05,122.43,1749.05,47
CDM,803217,Pregnenolone ,1749.05,1749.05,12.4,111.36,74
CDM,803217,Pregnenolone Age 21+,1749.05,1749.05,19.1,19.1,4
CDM,803217,Pregnenolone Age Under 21,1749.05,1749.05,19.44,19.44,4
CDM,803217,Pregnenolone Other Outpatient,1749.05,1749.05,21.7,21.7,6
CDM,803223,PRETREAT SERUM ABSORP EA,2031.42,2031.42,142.2,2031.42,48
CDM,803223,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",2031.42,2031.42,40.85,184.33,16
CDM,803232,PROGESTERONE,887.44,887.44,62.12,887.44,47
CDM,803232,Progesterone ,887.44,887.44,12.52,113.17,74
CDM,803232,Progesterone Age 21+,887.44,887.44,19.27,19.27,4
CDM,803232,Progesterone Age Under 21,887.44,887.44,19.62,19.62,4
CDM,803232,Progesterone Other Outpatient,887.44,887.44,21.9,21.9,6
CDM,803233,PROGEST REC ASSAY NOT AB,509.87,509.87,35.69,509.87,47
CDM,803233,Receptor assay; progesterone ,509.87,509.87,38.93,348.65,74
CDM,803233,Receptor assay; progesterone Age 21+,509.87,509.87,59.95,59.95,4
CDM,803233,Receptor assay; progesterone Age Under 21,509.87,509.87,61.04,61.04,4
CDM,803233,Receptor assay; progesterone Other Outpatient,509.87,509.87,68.12,68.12,6
CDM,803234,PROINSULIN,1458.62,1458.62,102.1,1458.62,47
CDM,803234,Proinsulin ,1458.62,1458.62,16.01,144.19,74
CDM,803234,Proinsulin Age 21+,1458.62,1458.62,24.66,24.66,4
CDM,803234,Proinsulin Age Under 21,1458.62,1458.62,25.11,25.11,4
CDM,803234,Proinsulin Other Outpatient,1458.62,1458.62,28.02,28.02,6
CDM,803235,PROLACTIN,1947.51,1947.51,136.33,1947.51,47
CDM,803235,Prolactin ,1947.51,1947.51,11.63,104.04,74
CDM,803235,Prolactin Age 21+,1947.51,1947.51,17.91,17.91,4
CDM,803235,Prolactin Age Under 21,1947.51,1947.51,18.23,18.23,4
CDM,803235,Prolactin Other Outpatient,1947.51,1947.51,20.35,20.35,6
CDM,803248,PROS SPEC AG (PSA) TOTAL,556.67,556.67,38.97,556.67,47
CDM,803248,Prostate specific antigen (PSA); total ,556.67,556.67,11.03,98.54,74
CDM,803248,Prostate specific antigen (PSA); total Age 21+,556.67,556.67,17.0,17.0,4
CDM,803248,Prostate specific antigen (PSA); total Age Under 21,556.67,556.67,17.3,17.3,4
CDM,803248,Prostate specific antigen (PSA); total Other Outpatient,556.67,556.67,19.31,19.31,6
CDM,803253,PROS SPEC AG FREE,556.67,556.67,38.97,556.67,47
CDM,803253,Prostate specific antigen (PSA); free ,556.67,556.67,11.03,98.54,74
CDM,803253,Prostate specific antigen (PSA); free Age 21+,556.67,556.67,17.0,17.0,4
CDM,803253,Prostate specific antigen (PSA); free Age Under 21,556.67,556.67,17.3,17.3,4
CDM,803253,Prostate specific antigen (PSA); free Other Outpatient,556.67,556.67,19.31,19.31,6
CDM,803256,"Clotting inhibitors or anticoagulants; protein C, activity ",363.05,363.05,8.3,74.84,74
CDM,803256,"Clotting inhibitors or anticoagulants; protein C, activity Age 21+",363.05,363.05,12.79,12.79,4
CDM,803256,"Clotting inhibitors or anticoagulants; protein C, activity Age Under 21",363.05,363.05,13.03,13.03,4
CDM,803256,"Clotting inhibitors or anticoagulants; protein C, activity Other Outpatient",363.05,363.05,14.53,14.53,6
CDM,803256,PROTEIN C ACTIVITY,363.05,363.05,25.41,363.05,47
CDM,803257,"Clotting inhibitors or anticoagulants; protein C, antigen ",738.99,738.99,7.21,63.9,74
CDM,803257,"Clotting inhibitors or anticoagulants; protein C, antigen Age 21+",738.99,738.99,11.1,11.1,4
CDM,803257,"Clotting inhibitors or anticoagulants; protein C, antigen Age Under 21",738.99,738.99,11.3,11.3,4
CDM,803257,"Clotting inhibitors or anticoagulants; protein C, antigen Other Outpatient",738.99,738.99,12.61,12.61,6
CDM,803257,PROTEIN C AG,738.99,738.99,51.73,738.99,47
CDM,803258,PROTEIN ELECTRO SER,2050.77,2050.77,143.55,2050.77,47
CDM,803258,"Protein; electrophoretic fractionation and quantitation, serum ",2050.77,2050.77,6.44,58.4,74
CDM,803258,"Protein; electrophoretic fractionation and quantitation, serum Age 21+",2050.77,2050.77,9.92,9.92,4
CDM,803258,"Protein; electrophoretic fractionation and quantitation, serum Age Under 21",2050.77,2050.77,10.1,10.1,4
CDM,803258,"Protein; electrophoretic fractionation and quantitation, serum Other Outpatient",2050.77,2050.77,11.28,11.28,6
CDM,803259,PROTEIN ELECTRO BODY FL,671.23,671.23,46.99,671.23,47
CDM,803262,PROTEIN ELECTRO CSF,2492.89,2492.89,174.5,2492.89,47
CDM,803263,PROTEIN ELECTRO URINE,467.92,467.92,32.75,467.92,47
CDM,803264,PROTEIN S FREE,782.56,782.56,54.78,782.56,47
CDM,803265,PROTEIN S ANTIGEN FREE,1695.8,1695.8,118.71,1695.8,47
CDM,803266,"Clotting inhibitors or anticoagulants; protein S, total ",782.56,782.56,6.97,62.09,74
CDM,803266,"Clotting inhibitors or anticoagulants; protein S, total Age 21+",782.56,782.56,10.73,10.73,4
CDM,803266,"Clotting inhibitors or anticoagulants; protein S, total Age Under 21",782.56,782.56,10.92,10.92,4
CDM,803266,"Clotting inhibitors or anticoagulants; protein S, total Other Outpatient",782.56,782.56,12.19,12.19,6
CDM,803266,PROTEIN S ANTIGEN TOTAL,782.56,782.56,54.78,782.56,47
CDM,803267,PROTEIN UR QUAL AUTO,258.16,258.16,18.07,258.16,47
CDM,803272,PROTEUS OX19 AGG,232.36,232.36,16.27,232.36,47
CDM,803273,PROTEUS OX2 AGG,232.36,232.36,16.27,232.36,47
CDM,803274,PROTEUS OXK AGG,232.36,232.36,16.27,232.36,47
CDM,803275,PROTIME,753.52,753.52,52.75,753.52,47
CDM,803277,PROTOPORPHYRIN RBC QUANT,1387.61,1387.61,97.13,1387.61,47
CDM,803278,PROTOPORPHYRIN ZINC QN,1387.61,1387.61,97.13,1387.61,47
CDM,803283,Cholinesterase; serum ,509.87,509.87,4.72,41.96,74
CDM,803283,Cholinesterase; serum Age 21+,509.87,509.87,7.27,7.27,4
CDM,803283,Cholinesterase; serum Age Under 21,509.87,509.87,7.4,7.4,4
CDM,803283,Cholinesterase; serum Other Outpatient,509.87,509.87,8.26,8.26,6
CDM,803283,PSEUDOCHOLINESTERASE,509.87,509.87,35.69,509.87,47
CDM,803286,PT SUBSTITUTION MIXING,753.52,753.52,52.75,753.52,47
CDM,803286,"Prothrombin time; substitution, plasma fractions, each ",753.52,753.52,2.36,21.89,74
CDM,803286,"Prothrombin time; substitution, plasma fractions, each Age 21+",753.52,753.52,3.64,3.64,4
CDM,803286,"Prothrombin time; substitution, plasma fractions, each Age Under 21",753.52,753.52,3.71,3.71,4
CDM,803286,"Prothrombin time; substitution, plasma fractions, each Other Outpatient",753.52,753.52,4.14,4.14,6
CDM,803287,PTH C TERMINAL,2115.31,2115.31,148.07,2115.31,47
CDM,803289,PTH INTACT,2550.97,2550.97,178.57,2550.97,47
CDM,803292,PTH MID MOLECULE,2626.8,2626.8,183.88,2626.8,47
CDM,803294,PTH RELATED PROTEIN RIA,1611.9,1611.9,112.83,1611.9,47
CDM,803295,PTT,882.59,882.59,61.78,882.59,47
CDM,803296,PTT SUBSTITUTION MIXING,171.03,171.03,11.97,171.03,47
CDM,803301,PURK CELL (YO) FA AB TIT,682.52,682.52,47.78,682.52,47
CDM,803302,PURK CELL (YO) FA AB QL,366.26,366.26,25.64,366.26,47
CDM,803316,PYRUVIC ACID (PYRUVATE),688.96,688.96,48.23,688.96,47
CDM,803316,Pyruvate ,688.96,688.96,8.69,78.47,74
CDM,803316,Pyruvate Age 21+,688.96,688.96,13.38,13.38,4
CDM,803316,Pyruvate Age Under 21,688.96,688.96,13.62,13.62,4
CDM,803316,Pyruvate Other Outpatient,688.96,688.96,15.2,15.2,6
CDM,803317,Q FEVER AB IGG,438.87,438.87,30.72,438.87,47
CDM,803319,Q FEVER AB QUAL,484.05,484.05,33.88,484.05,47
CDM,803326,RA FACTOR QUAL,900.34,900.34,63.02,900.34,47
CDM,803327,RA QN,772.88,772.88,54.1,772.88,47
CDM,803327,Rheumatoid factor; quantitative ,772.88,772.88,3.4,31.01,74
CDM,803327,Rheumatoid factor; quantitative Age 21+,772.88,772.88,5.24,5.24,4
CDM,803327,Rheumatoid factor; quantitative Age Under 21,772.88,772.88,5.33,5.33,4
CDM,803327,Rheumatoid factor; quantitative Other Outpatient,772.88,772.88,5.95,5.95,6
CDM,803329,RABIES AB QL,446.94,446.94,31.29,446.94,47
CDM,803331,RABIES AB QN,598.61,598.61,41.9,598.61,47
CDM,803332,RAJI IMMUNE COMP,643.78,643.78,45.06,643.78,47
CDM,803336,"Blood count; red blood cell (RBC), automated ",251.72,251.72,1.81,16.44,74
CDM,803336,"Blood count; red blood cell (RBC), automated Age 21+",251.72,251.72,2.79,2.79,4
CDM,803336,"Blood count; red blood cell (RBC), automated Age Under 21",251.72,251.72,2.84,2.84,4
CDM,803336,"Blood count; red blood cell (RBC), automated Other Outpatient",251.72,251.72,3.17,3.17,6
CDM,803336,RBC COUNT BLD AUTO,251.72,251.72,17.62,251.72,47
CDM,803337,RBC ENZYME ACTIVITY NRS,1690.96,1690.96,118.37,1690.96,47
CDM,803338,RBC ENZYME ACTIVITY RS,1690.96,1690.96,118.37,1690.96,47
CDM,803344,REDUCING SUBST UR,406.6,406.6,28.46,406.6,47
CDM,803347,RENIN,1973.33,1973.33,138.13,1973.33,47
CDM,803347,Renin ,1973.33,1973.33,13.19,118.67,74
CDM,803347,Renin Age 21+,1973.33,1973.33,20.32,20.32,4
CDM,803347,Renin Age Under 21,1973.33,1973.33,20.69,20.69,4
CDM,803347,Renin Other Outpatient,1973.33,1973.33,23.09,23.09,6
CDM,803350,REPTILASE,1792.62,1792.62,125.48,1792.62,47
CDM,803354,"Blood count; reticulocyte, manual ",605.07,605.07,2.59,23.76,74
CDM,803354,"Blood count; reticulocyte, manual Age 21+",605.07,605.07,3.98,3.98,4
CDM,803354,"Blood count; reticulocyte, manual Age Under 21",605.07,605.07,4.05,4.05,4
CDM,803354,"Blood count; reticulocyte, manual Other Outpatient",605.07,605.07,4.53,4.53,6
CDM,803354,RETIC COUNT MANUAL,605.07,605.07,42.35,605.07,47
CDM,803358,RETICULIN FA AB IGA SCR,1021.35,1021.35,71.49,1021.35,47
CDM,803359,RETICULIN FA AB IGG SCR,1021.35,1021.35,71.49,1021.35,47
CDM,803363,RETICULIN FA AB QL,1021.35,1021.35,71.49,1021.35,47
CDM,803367,RH TYPE,540.52,540.52,37.84,540.52,47
CDM,803368,RH TYPE CORD BLOOD,540.52,540.52,37.84,540.52,47
CDM,803373,RIBOSOMAL P AB IA QN,529.23,529.23,37.05,529.23,47
CDM,803374,RICKETTSIA AB IGG QL,738.99,738.99,51.73,738.99,47
CDM,803375,RICKETTSIA AB IGM QL,738.99,738.99,51.73,738.99,47
CDM,803385,RNP ANTIBODY,505.03,505.03,35.35,505.03,47
CDM,803387,ROCKY MTN SF AB IGG QL,643.78,643.78,45.06,643.78,47
CDM,803388,ROCKY MTN SF AB IGM QL,643.78,643.78,45.06,643.78,47
CDM,803392,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",940.68,940.68,7.19,63.9,88
CDM,803392,ROTAVIRUS AG EIA,940.68,940.68,65.85,940.68,47
CDM,803394,RPR QUAL,792.24,792.24,55.46,792.24,47
CDM,803395,RPR QUANT,792.24,792.24,55.46,792.24,47
CDM,803396,Antibody; respiratory syncytial virus ,1240.79,1240.79,9.53,85.79,74
CDM,803396,Antibody; respiratory syncytial virus Age 21+,1240.79,1240.79,14.69,14.69,4
CDM,803396,Antibody; respiratory syncytial virus Age Under 21,1240.79,1240.79,14.95,14.95,4
CDM,803396,Antibody; respiratory syncytial virus Other Outpatient,1240.79,1240.79,16.68,16.68,6
CDM,803396,RSV AB QUAL,1240.79,1240.79,86.86,1240.79,47
CDM,803397,RSV AG IFT,337.23,337.23,23.61,337.23,47
CDM,803399,RSV DIRECT AG CF,1574.79,1574.79,110.24,1574.79,47
CDM,803401,RUBELLA AB QUAL,1143.99,1143.99,80.08,1143.99,47
CDM,803403,RUBELLA IGG,332.38,332.38,23.27,332.38,47
CDM,803404,RUBELLA IGM,332.38,332.38,23.27,332.38,47
CDM,803406,RUBEOLA AB QUAL,1093.97,1093.97,76.58,1093.97,47
CDM,803408,RUBEOLA IGG,390.47,390.47,27.33,390.47,47
CDM,803409,RUBEOLA IGM,390.47,390.47,27.33,390.47,47
CDM,803412,RUSSELL VIPER DILUTED,895.49,895.49,62.68,895.49,47
CDM,803412,Russell viper venom time (includes venom); diluted ,895.49,895.49,5.75,51.09,74
CDM,803412,Russell viper venom time (includes venom); diluted Age 21+,895.49,895.49,8.86,8.86,4
CDM,803412,Russell viper venom time (includes venom); diluted Age Under 21,895.49,895.49,9.02,9.02,4
CDM,803412,Russell viper venom time (includes venom); diluted Other Outpatient,895.49,895.49,10.06,10.06,6
CDM,803416,SACCHAROMYCES AB IGA,971.32,971.32,67.99,971.32,47
CDM,803418,SACCHAROMYCES AB IGG,971.32,971.32,67.99,971.32,47
CDM,803423,Antibody; Salmonella ,2691.34,2691.34,7.91,71.22,74
CDM,803423,Antibody; Salmonella Age 21+,2691.34,2691.34,12.19,12.19,4
CDM,803423,Antibody; Salmonella Age Under 21,2691.34,2691.34,12.41,12.41,4
CDM,803423,Antibody; Salmonella Other Outpatient,2691.34,2691.34,13.85,13.85,6
CDM,803423,SALMONELLA AB QUAL,2691.34,2691.34,188.39,2691.34,47
CDM,803425,SALMONELLA TYPING AGG,172.63,172.63,12.08,172.63,47
CDM,803427,SCHISTOSOMA AB QUAL IGG,555.04,555.04,38.85,555.04,47
CDM,803428,SCLERODERMA 70 AB,593.77,593.77,41.56,593.77,47
CDM,803435,SED RATE AUTO,630.87,630.87,44.16,630.87,47
CDM,803436,SED RATE MANUAL,630.87,630.87,44.16,630.87,47
CDM,803438,SED RATE WESTERGREN,624.43,624.43,43.71,624.43,47
CDM,803443,SELENIUM,1163.35,1163.35,81.43,1163.35,47
CDM,803443,Selenium ,1163.35,1163.35,15.32,136.87,74
CDM,803443,Selenium Age 21+,1163.35,1163.35,23.6,23.6,4
CDM,803443,Selenium Age Under 21,1163.35,1163.35,24.02,24.02,4
CDM,803443,Selenium Other Outpatient,1163.35,1163.35,26.81,26.81,6
CDM,803446,SEMEN ANAL PRES &/OR MOT,311.41,311.41,21.8,311.41,47
CDM,803446,"Semen analysis; sperm presence and motility of sperm, if performed ",311.41,311.41,7.23,65.72,61
CDM,803446,"Semen analysis; sperm presence and motility of sperm, if performed Other Outpatient",311.41,311.41,12.65,12.65,6
CDM,803455,SERAMEBA AB QUAL,818.05,818.05,57.26,818.05,47
CDM,803462,SEROTONIN,2068.52,2068.52,144.8,2068.52,47
CDM,803462,Serotonin ,2068.52,2068.52,18.59,166.13,74
CDM,803462,Serotonin Age 21+,2068.52,2068.52,28.62,28.62,4
CDM,803462,Serotonin Age Under 21,2068.52,2068.52,29.14,29.14,4
CDM,803462,Serotonin Other Outpatient,2068.52,2068.52,32.53,32.53,6
CDM,803465,SERUM CIDAL LEVEL,406.6,406.6,28.46,406.6,47
CDM,803465,Serum bactericidal titer (Schlichter test) ,406.6,406.6,9.01,80.29,74
CDM,803465,Serum bactericidal titer (Schlichter test) Age 21+,406.6,406.6,13.88,13.88,4
CDM,803465,Serum bactericidal titer (Schlichter test) Age Under 21,406.6,406.6,14.13,14.13,4
CDM,803465,Serum bactericidal titer (Schlichter test) Other Outpatient,406.6,406.6,15.77,15.77,6
CDM,803466,SEX HORMONE BG,1139.15,1139.15,79.74,1139.15,47
CDM,803466,Sex hormone binding globulin (SHBG) ,1139.15,1139.15,13.04,116.8,74
CDM,803466,Sex hormone binding globulin (SHBG) Age 21+,1139.15,1139.15,20.08,20.08,4
CDM,803466,Sex hormone binding globulin (SHBG) Age Under 21,1139.15,1139.15,20.44,20.44,4
CDM,803466,Sex hormone binding globulin (SHBG) Other Outpatient,1139.15,1139.15,22.82,22.82,6
CDM,803467,SGPG AB IGM QN IA,671.23,671.23,46.99,671.23,47
CDM,803468,SGPG AB QN IA,1214.97,1214.97,85.05,1214.97,47
CDM,803473,SHIGELLA TYPING AGG,172.63,172.63,12.08,172.63,47
CDM,803474,SIALIC ACID,529.23,529.23,37.05,529.23,47
CDM,803474,Sialic acid ,529.23,529.23,8.06,73.03,74
CDM,803474,Sialic acid Age 21+,529.23,529.23,12.42,12.42,4
CDM,803474,Sialic acid Age Under 21,529.23,529.23,12.64,12.64,4
CDM,803474,Sialic acid Other Outpatient,529.23,529.23,14.11,14.11,6
CDM,803475,SICKLE CELL PREP,117.79,117.79,8.25,117.79,47
CDM,803476,SICKLE CELL SCREEN,650.24,650.24,45.52,650.24,47
CDM,803481,SJOGRENS A AB (SSA),579.25,579.25,40.55,579.25,47
CDM,803482,SJOGRENS B AB (SSB),579.25,579.25,40.55,579.25,47
CDM,803499,SMEAR ACRIDINE ORANGE,180.71,180.71,12.65,180.71,47
CDM,803501,SMEAR AFB,1287.59,1287.59,90.13,1287.59,47
CDM,803506,SMEAR CYCLOSPORA STAIN,129.08,129.08,9.04,129.08,47
CDM,803507,SMEAR EOSINOPHILS STAIN,797.07,797.07,55.79,797.07,47
CDM,803514,SMEAR FUNGUS STAIN,521.16,521.16,36.48,521.16,47
CDM,803516,SMEAR HERPES TZANCK STN,663.16,663.16,46.42,663.16,47
CDM,803517,SMEAR INDIA INK,669.61,669.61,46.87,669.61,47
CDM,803518,SMR LEGIONEL FLUOR STAIN,1986.24,1986.24,139.04,1986.24,47
CDM,803519,SMEAR MALARIA STAIN,708.33,708.33,49.58,708.33,47
CDM,803522,SMEAR MICROSPORIDIUM STN,432.43,432.43,30.27,432.43,47
CDM,803524,SMEAR MODIFIED KINYON,605.07,605.07,42.35,605.07,47
CDM,803526,SMEAR PERTUSSIS STAIN,555.04,555.04,38.85,555.04,47
CDM,803530,SMEAR WET MOUNT,521.16,521.16,36.48,521.16,47
CDM,803532,SMITH ANTIBODY,505.03,505.03,35.35,505.03,47
CDM,803537,SODIUM BLD,374.33,374.33,26.2,374.33,47
CDM,803543,SODIUM UR,169.42,169.42,11.86,169.42,47
CDM,803543,Sodium; urine ,169.42,169.42,3.04,27.39,74
CDM,803543,Sodium; urine Age 21+,169.42,169.42,4.68,4.68,4
CDM,803543,Sodium; urine Age Under 21,169.42,169.42,4.76,4.76,4
CDM,803543,Sodium; urine Other Outpatient,169.42,169.42,5.31,5.31,6
CDM,803545,Receptor assay; non-endocrine (specify receptor) ,1026.2,1026.2,21.94,197.15,74
CDM,803545,Receptor assay; non-endocrine (specify receptor) Age 21+,1026.2,1026.2,33.79,33.79,4
CDM,803545,Receptor assay; non-endocrine (specify receptor) Age Under 21,1026.2,1026.2,34.41,34.41,4
CDM,803545,Receptor assay; non-endocrine (specify receptor) Other Outpatient,1026.2,1026.2,38.4,38.4,6
CDM,803545,SOLUBLE TRANSFER REC QN,1026.2,1026.2,71.83,1026.2,47
CDM,803548,SOMATOMEDIN C IGF-1,2318.63,2318.63,162.3,2318.63,47
CDM,803548,Somatomedin ,2318.63,2318.63,12.76,114.99,74
CDM,803548,Somatomedin Age 21+,2318.63,2318.63,19.65,19.65,4
CDM,803548,Somatomedin Age Under 21,2318.63,2318.63,20.0,20.0,4
CDM,803548,Somatomedin Other Outpatient,2318.63,2318.63,22.32,22.32,6
CDM,803549,SOMATOSTATIN,990.69,990.69,69.35,990.69,47
CDM,803549,Somatostatin ,990.69,990.69,10.97,98.54,74
CDM,803549,Somatostatin Age 21+,990.69,990.69,16.9,16.9,4
CDM,803549,Somatostatin Age Under 21,990.69,990.69,17.2,17.2,4
CDM,803549,Somatostatin Other Outpatient,990.69,990.69,19.19,19.19,6
CDM,803553,SP GRAV BDY FLUID NOT UR,361.41,361.41,25.3,361.41,47
CDM,803553,Specific gravity (except urine) ,361.41,361.41,1.97,18.26,74
CDM,803553,Specific gravity (except urine) Age 21+,361.41,361.41,3.04,3.04,4
CDM,803553,Specific gravity (except urine) Age Under 21,361.41,361.41,3.09,3.09,4
CDM,803553,Specific gravity (except urine) Other Outpatient,361.41,361.41,3.44,3.44,6
CDM,803556,SPEC GRAV UR AUTO,258.16,258.16,18.07,258.16,47
CDM,803571,SPLITTING OF PRODUCT,898.17,898.17,62.87,898.17,48
CDM,803571,"Splitting of blood or blood products, each unit ",898.17,898.17,30.04,315.7,16
CDM,803585,Calculus; infrared spectroscopy ,335.6,335.6,7.74,69.34,74
CDM,803585,Calculus; infrared spectroscopy Age 21+,335.6,335.6,11.92,11.92,4
CDM,803585,Calculus; infrared spectroscopy Age Under 21,335.6,335.6,12.14,12.14,4
CDM,803585,Calculus; infrared spectroscopy Other Outpatient,335.6,335.6,13.55,13.55,6
CDM,803585,STONE ANALYSIS INFRARED,335.6,335.6,23.49,335.6,47
CDM,803587,"Calculus; quantitative analysis, chemical ",1223.04,1223.04,7.72,69.34,74
CDM,803587,"Calculus; quantitative analysis, chemical Age 21+",1223.04,1223.04,11.89,11.89,4
CDM,803587,"Calculus; quantitative analysis, chemical Age Under 21",1223.04,1223.04,12.11,12.11,4
CDM,803587,"Calculus; quantitative analysis, chemical Other Outpatient",1223.04,1223.04,13.51,13.51,6
CDM,803587,STONE ANALYSIS QN CHEM,1223.04,1223.04,85.61,1223.04,47
CDM,803595,STREP A OPTICAL IA,1273.06,1273.06,89.11,1273.06,47
CDM,803596,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",822.9,822.9,7.64,69.34,74
CDM,803596,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Age 21+",822.9,822.9,11.76,11.76,4
CDM,803596,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Age Under 21",822.9,822.9,11.97,11.97,4
CDM,803596,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Other Outpatient",822.9,822.9,13.37,13.37,6
CDM,803596,STREP GR B OPTICAL IA,822.9,822.9,57.6,822.9,47
CDM,803599,STREP PNEUMO AB QN,116.17,116.17,8.13,116.17,47
CDM,803602,STREP PNEUMO AG EIA,727.7,727.7,50.94,727.7,47
CDM,803603,STREP PNEUMO AG OIA,642.18,642.18,44.95,642.18,47
CDM,803607,STRIATED MUSC AB IA QN,1064.92,1064.92,74.54,1064.92,47
CDM,803608,STRIATED MUSC FA AB SCR,366.26,366.26,25.64,366.26,47
CDM,803609,STRIATED MUSC FA AB TIT,316.24,316.24,22.14,316.24,47
CDM,803613,STRONGYLOIDES AB QUAL,566.34,566.34,39.64,566.34,47
CDM,803618,SUCCINYL ACETONE QN,1668.37,1668.37,116.79,1668.37,47
CDM,803619,SUCRASE SPECT,537.29,537.29,37.61,537.29,47
CDM,803624,SUGARS SINGLE QL,1103.65,1103.65,77.26,1103.65,47
CDM,803624,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",1103.65,1103.65,3.3,29.2,74
CDM,803624,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Age 21+",1103.65,1103.65,5.08,5.08,4
CDM,803624,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Age Under 21",1103.65,1103.65,5.17,5.17,4
CDM,803624,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Other Outpatient",1103.65,1103.65,5.78,5.78,6
CDM,803633,SULFATIDE AB IA QN,298.49,298.49,20.89,298.49,47
CDM,803646,SUSC 1-12 DISKS,926.14,926.14,64.83,926.14,47
CDM,803647,SUSC AFB PROP EA AGENT,1558.65,1558.65,109.11,1558.65,47
CDM,803647,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",1558.65,1558.65,4.39,40.14,74
CDM,803647,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Age 21+",1558.65,1558.65,6.75,6.75,4
CDM,803647,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Age Under 21",1558.65,1558.65,6.88,6.88,4
CDM,803647,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Other Outpatient",1558.65,1558.65,7.68,7.68,6
CDM,803648,SUSC AGAR DIL EACH AGENT,171.03,171.03,11.97,171.03,47
CDM,803649,SUSC BETA LACTAM,161.35,161.35,11.29,161.35,47
CDM,803649,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",161.35,161.35,2.85,25.57,74
CDM,803649,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Age 21+",161.35,161.35,4.39,4.39,4
CDM,803649,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Age Under 21",161.35,161.35,4.47,4.47,4
CDM,803649,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Other Outpatient",161.35,161.35,4.99,4.99,6
CDM,803650,SUSC MACROBROTH EA AGENT,203.31,203.31,14.23,203.31,47
CDM,803650,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",203.31,203.31,3.98,36.51,74
CDM,803650,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Age 21+",203.31,203.31,6.14,6.14,4
CDM,803650,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Age Under 21",203.31,203.31,6.25,6.25,4
CDM,803650,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient",203.31,203.31,6.97,6.97,6
CDM,803651,SUSC MIC,856.79,856.79,59.98,856.79,47
CDM,803651,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",856.79,856.79,5.19,47.46,74
CDM,803651,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Age 21+",856.79,856.79,8.0,8.0,4
CDM,803651,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Age Under 21",856.79,856.79,8.14,8.14,4
CDM,803651,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Other Outpatient",856.79,856.79,9.08,9.08,6
CDM,803653,SWEAT TEST BY IONTOPH,1413.44,1413.44,98.94,1413.44,48
CDM,803653,Sweat collection by iontophoresis ,1413.44,1413.44,2.61,108.83,16
CDM,803655,T CELLS CD4 8 RATIO,1126.24,1126.24,78.84,1126.24,47
CDM,803656,T CELLS CD4 COUNT,613.14,613.14,42.92,613.14,47
CDM,803657,T CELLS TOTAL,1778.08,1778.08,124.47,1778.08,47
CDM,803658,T GONDII AMP PROBE,734.15,734.15,51.39,734.15,47
CDM,803662,T WHIPPLEI AMP PROBE,2449.32,2449.32,171.45,2449.32,47
CDM,803663,T3 FREE,2115.31,2115.31,148.07,2115.31,47
CDM,803663,Triiodothyronine T3; free ,2115.31,2115.31,10.16,91.29,74
CDM,803663,Triiodothyronine T3; free Age 21+,2115.31,2115.31,15.65,15.65,4
CDM,803663,Triiodothyronine T3; free Age Under 21,2115.31,2115.31,15.94,15.94,4
CDM,803663,Triiodothyronine T3; free Other Outpatient,2115.31,2115.31,17.79,17.79,6
CDM,803664,T3 REVERSE,1921.68,1921.68,134.52,1921.68,47
CDM,803664,Triiodothyronine T3; reverse ,1921.68,1921.68,9.46,85.79,74
CDM,803664,Triiodothyronine T3; reverse Age 21+,1921.68,1921.68,14.56,14.56,4
CDM,803664,Triiodothyronine T3; reverse Age Under 21,1921.68,1921.68,14.83,14.83,4
CDM,803664,Triiodothyronine T3; reverse Other Outpatient,1921.68,1921.68,16.55,16.55,6
CDM,803665,T3 TOTAL,1292.42,1292.42,90.47,1292.42,47
CDM,803665,Triiodothyronine T3; total (TT-3) ,1292.42,1292.42,8.51,76.66,74
CDM,803665,Triiodothyronine T3; total (TT-3) Age 21+,1292.42,1292.42,13.1,13.1,4
CDM,803665,Triiodothyronine T3; total (TT-3) Age Under 21,1292.42,1292.42,13.34,13.34,4
CDM,803665,Triiodothyronine T3; total (TT-3) Other Outpatient,1292.42,1292.42,14.89,14.89,6
CDM,803666,T3 UPTAKE,958.43,958.43,67.09,958.43,47
CDM,803666,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,958.43,958.43,3.88,34.7,74
CDM,803666,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Age 21+,958.43,958.43,5.97,5.97,4
CDM,803666,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Age Under 21,958.43,958.43,6.08,6.08,4
CDM,803666,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Other Outpatient,958.43,958.43,6.79,6.79,6
CDM,803667,T4 FREE,1266.6,1266.6,88.66,1266.6,47
CDM,803667,Thyroxine; free ,1266.6,1266.6,5.41,49.27,74
CDM,803667,Thyroxine; free Age 21+,1266.6,1266.6,8.34,8.34,4
CDM,803667,Thyroxine; free Age Under 21,1266.6,1266.6,8.49,8.49,4
CDM,803667,Thyroxine; free Other Outpatient,1266.6,1266.6,9.47,9.47,6
CDM,803668,THYROXINE T4 NEONATAL,1061.7,1061.7,74.32,1061.7,47
CDM,803668,"Thyroxine; requiring elution (eg, neonatal) ",1061.7,1061.7,3.88,34.7,74
CDM,803668,"Thyroxine; requiring elution (eg, neonatal) Age 21+",1061.7,1061.7,5.97,5.97,4
CDM,803668,"Thyroxine; requiring elution (eg, neonatal) Age Under 21",1061.7,1061.7,6.08,6.08,4
CDM,803668,"Thyroxine; requiring elution (eg, neonatal) Other Outpatient",1061.7,1061.7,6.79,6.79,6
CDM,803669,THYROXINE T4 TOTAL,1131.08,1131.08,79.18,1131.08,47
CDM,803669,Thyroxine; total ,1131.08,1131.08,4.12,36.51,74
CDM,803669,Thyroxine; total Age 21+,1131.08,1131.08,6.35,6.35,4
CDM,803669,Thyroxine; total Age Under 21,1131.08,1131.08,6.46,6.46,4
CDM,803669,Thyroxine; total Other Outpatient,1131.08,1131.08,7.21,7.21,6
CDM,803676,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",1639.32,1639.32,25.01,224.53,74
CDM,803676,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Age 21+",1639.32,1639.32,38.51,38.51,4
CDM,803676,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Age Under 21",1639.32,1639.32,39.21,39.21,4
CDM,803676,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other Outpatient",1639.32,1639.32,43.76,43.76,6
CDM,803676,MTB AMP PROBE,1639.32,1639.32,114.75,1639.32,47
CDM,803679,TB GAMMA INTERFERON RESP,1871.67,1871.67,131.02,1871.67,47
CDM,803679,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",1871.67,1871.67,37.19,334.02,74
CDM,803679,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age 21+",1871.67,1871.67,57.27,57.27,4
CDM,803679,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age Under 21",1871.67,1871.67,58.31,58.31,4
CDM,803679,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient",1871.67,1871.67,65.08,65.08,6
CDM,803681,Immunodiffusion; not elsewhere specified ,830.98,830.98,8.43,74.84,74
CDM,803681,Immunodiffusion; not elsewhere specified Age 21+,830.98,830.98,12.98,12.98,4
CDM,803681,Immunodiffusion; not elsewhere specified Age Under 21,830.98,830.98,13.22,13.22,4
CDM,803681,Immunodiffusion; not elsewhere specified Other Outpatient,830.98,830.98,14.75,14.75,6
CDM,803681,TEICHOIC ACID AB ID,830.98,830.98,58.17,830.98,47
CDM,803684,TESTOSTERONE FREE,3114.07,3114.07,217.98,3114.07,47
CDM,803684,Testosterone; free ,3114.07,3114.07,15.28,136.87,74
CDM,803684,Testosterone; free Age 21+,3114.07,3114.07,23.53,23.53,4
CDM,803684,Testosterone; free Age Under 21,3114.07,3114.07,23.96,23.96,4
CDM,803684,Testosterone; free Other Outpatient,3114.07,3114.07,26.74,26.74,6
CDM,803685,TESTOSTERONE TOTAL,2204.05,2204.05,154.28,2204.05,47
CDM,803686,TESTOSTERONE TOTAL UR,1566.72,1566.72,109.67,1566.72,47
CDM,803687,TETANUS AB QN,455.0,455.0,31.85,455.0,47
CDM,803691,THALLIUM BLD QN,574.41,574.41,40.21,574.41,47
CDM,803699,THERAPEUTIC PHLEB,355.08,355.08,24.86,355.08,65
CDM,803704,THERMOACTINOMYCES GD,188.78,188.78,13.21,188.78,47
CDM,803707,THIOCYANATES,990.69,990.69,69.35,990.69,47
CDM,803707,Thiocyanate ,990.69,990.69,6.98,62.09,74
CDM,803707,Thiocyanate Age 21+,990.69,990.69,10.75,10.75,4
CDM,803707,Thiocyanate Age Under 21,990.69,990.69,10.94,10.94,4
CDM,803707,Thiocyanate Other Outpatient,990.69,990.69,12.21,12.21,6
CDM,803712,THIOPURINE METHTRAN NRS,1173.02,1173.02,82.11,1173.02,51
CDM,803712,Thiopurine S-methyltransferase (TPMT) ,1173.02,1173.02,13.3,118.67,70
CDM,803712,Thiopurine S-methyltransferase (TPMT) Age 21+,1173.02,1173.02,20.48,20.48,4
CDM,803712,Thiopurine S-methyltransferase (TPMT) Age Under 21,1173.02,1173.02,20.85,20.85,4
CDM,803712,Thiopurine S-methyltransferase (TPMT) Other Outpatient,1173.02,1173.02,23.28,23.28,6
CDM,803719,THROMBIN TIME,613.14,613.14,42.92,613.14,47
CDM,803719,Thrombin time; plasma ,613.14,613.14,3.46,31.01,74
CDM,803719,Thrombin time; plasma Age 21+,613.14,613.14,5.33,5.33,4
CDM,803719,Thrombin time; plasma Age Under 21,613.14,613.14,5.43,5.43,4
CDM,803719,Thrombin time; plasma Other Outpatient,613.14,613.14,6.06,6.06,6
CDM,803721,THROMBIN ANTITHROM 3 COM,1466.69,1466.69,102.67,1466.69,47
CDM,803725,THYROGLOB AB QL,1882.98,1882.98,131.81,1882.98,47
CDM,803726,THYROGLOBULIN,1458.62,1458.62,102.1,1458.62,47
CDM,803726,Thyroglobulin ,1458.62,1458.62,9.64,85.79,74
CDM,803726,Thyroglobulin Age 21+,1458.62,1458.62,14.84,14.84,4
CDM,803726,Thyroglobulin Age Under 21,1458.62,1458.62,15.11,15.11,4
CDM,803726,Thyroglobulin Other Outpatient,1458.62,1458.62,16.86,16.86,6
CDM,803727,THYROGLOBULIN AB QUANT,958.43,958.43,67.09,958.43,47
CDM,803728,THYROID MICROSOMAL AB,1542.53,1542.53,107.98,1542.53,47
CDM,803729,THYROID PEROXIDASE AB,1113.33,1113.33,77.93,1113.33,47
CDM,803731,THYROID STIM IMMUNO TSI,5040.62,5040.62,352.84,5040.62,47
CDM,803731,Thyroid stimulating immune globulins (TSI) ,5040.62,5040.62,30.52,273.8,74
CDM,803731,Thyroid stimulating immune globulins (TSI) Age 21+,5040.62,5040.62,46.99,46.99,4
CDM,803731,Thyroid stimulating immune globulins (TSI) Age Under 21,5040.62,5040.62,47.85,47.85,4
CDM,803731,Thyroid stimulating immune globulins (TSI) Other Outpatient,5040.62,5040.62,53.4,53.4,6
CDM,803732,THYROTROPIN REC AB RIA,2805.9,2805.9,196.41,2805.9,47
CDM,803733,THYROTROPIN REL HORM RIA,1252.08,1252.08,87.65,1252.08,47
CDM,803734,THYROXINE BG (TBG),1303.73,1303.73,91.26,1303.73,47
CDM,803734,Thyroxine binding globulin (TBG) ,1303.73,1303.73,8.87,80.29,74
CDM,803734,Thyroxine binding globulin (TBG) Age 21+,1303.73,1303.73,13.66,13.66,4
CDM,803734,Thyroxine binding globulin (TBG) Age Under 21,1303.73,1303.73,13.91,13.91,4
CDM,803734,Thyroxine binding globulin (TBG) Other Outpatient,1303.73,1303.73,15.52,15.52,6
CDM,803755,TOTAL LIPIDS SPECT,1734.53,1734.53,121.42,1734.53,47
CDM,803756,TOTAL PROTEIN BLD,708.33,708.33,49.58,708.33,47
CDM,803757,TOT PROTEIN BODY FLDS QN,708.33,708.33,49.58,708.33,47
CDM,803758,TOTAL PROTEIN CSF QN,708.33,708.33,49.58,708.33,47
CDM,803762,"Protein, total, except by refractometry; urine ",98.42,98.42,2.2,20.07,74
CDM,803762,"Protein, total, except by refractometry; urine Age 21+",98.42,98.42,3.39,3.39,4
CDM,803762,"Protein, total, except by refractometry; urine Age Under 21",98.42,98.42,3.45,3.45,4
CDM,803762,"Protein, total, except by refractometry; urine Other Outpatient",98.42,98.42,3.85,3.85,6
CDM,803762,TOTAL PROTEIN URINE QN,98.42,98.42,6.89,98.42,47
CDM,803764,TOXIC SHOCK SYNDROME AB,705.11,705.11,49.36,705.11,47
CDM,803767,TOXO AB IGG QN,1079.44,1079.44,75.56,1079.44,47
CDM,803768,TOXOCARA C AB,816.44,816.44,57.15,816.44,47
CDM,803774,Antibody; Toxoplasma ,1079.44,1079.44,8.63,76.66,74
CDM,803774,Antibody; Toxoplasma Age 21+,1079.44,1079.44,13.3,13.3,4
CDM,803774,Antibody; Toxoplasma Age Under 21,1079.44,1079.44,13.54,13.54,4
CDM,803774,Antibody; Toxoplasma Other Outpatient,1079.44,1079.44,15.11,15.11,6
CDM,803774,TOXOPLASMA IGG QUAL,1079.44,1079.44,75.56,1079.44,47
CDM,803775,"Antibody; Toxoplasma, IgM ",1079.44,1079.44,8.65,78.47,74
CDM,803775,"Antibody; Toxoplasma, IgM Age 21+",1079.44,1079.44,13.31,13.31,4
CDM,803775,"Antibody; Toxoplasma, IgM Age Under 21",1079.44,1079.44,13.55,13.55,4
CDM,803775,"Antibody; Toxoplasma, IgM Other Outpatient",1079.44,1079.44,15.13,15.13,6
CDM,803775,TOXOPLASMA IGM QUAL,1079.44,1079.44,75.56,1079.44,47
CDM,803779,TRANSFERRIN,861.61,861.61,60.31,861.61,47
CDM,803779,Transferrin ,861.61,861.61,7.66,69.34,74
CDM,803779,Transferrin Age 21+,861.61,861.61,11.79,11.79,4
CDM,803779,Transferrin Age Under 21,861.61,861.61,12.01,12.01,4
CDM,803779,Transferrin Other Outpatient,861.61,861.61,13.4,13.4,6
CDM,803797,Antibody; Trichinella ,1363.42,1363.42,7.54,67.53,74
CDM,803797,Antibody; Trichinella Age 21+,1363.42,1363.42,11.61,11.61,4
CDM,803797,Antibody; Trichinella Age Under 21,1363.42,1363.42,11.82,11.82,4
CDM,803797,Antibody; Trichinella Other Outpatient,1363.42,1363.42,13.19,13.19,6
CDM,803797,TRICHINELLA AB QUAL,1363.42,1363.42,95.44,1363.42,47
CDM,803816,TRIGLYCERIDES,945.52,945.52,66.19,945.52,47
CDM,803817,TRIGLYCERIDES OTHER,945.52,945.52,66.19,945.52,47
CDM,803827,TROPONIN QUANT,1445.7,1445.7,101.2,1445.7,47
CDM,803828,TRYPANOSOMA CRUZI IGG,250.09,250.09,17.51,250.09,47
CDM,803829,TRYPANOSOMA CRUZI IGM,250.09,250.09,17.51,250.09,47
CDM,803834,TRYPSIN FECES QUAL,1581.24,1581.24,110.69,1581.24,47
CDM,803834,"Trypsin; feces, qualitative ",1581.24,1581.24,4.38,40.14,74
CDM,803834,"Trypsin; feces, qualitative Age 21+",1581.24,1581.24,6.74,6.74,4
CDM,803834,"Trypsin; feces, qualitative Age Under 21",1581.24,1581.24,6.87,6.87,4
CDM,803834,"Trypsin; feces, qualitative Other Outpatient",1581.24,1581.24,7.67,7.67,6
CDM,803835,TRYPSIN FECES QUANT,577.63,577.63,40.43,577.63,47
CDM,803835,"Trypsin; feces, quantitative, 24-hour collection ",577.63,577.63,5.96,52.96,74
CDM,803835,"Trypsin; feces, quantitative, 24-hour collection Age 21+",577.63,577.63,9.17,9.17,4
CDM,803835,"Trypsin; feces, quantitative, 24-hour collection Age Under 21",577.63,577.63,9.34,9.34,4
CDM,803835,"Trypsin; feces, quantitative, 24-hour collection Other Outpatient",577.63,577.63,10.43,10.43,6
CDM,803836,TRYPSIN LIKE IMMUNOREACT,1379.55,1379.55,96.57,1379.55,47
CDM,803837,TRYPTASE IA QN,1997.52,1997.52,139.83,1997.52,47
CDM,803839,TSH,1850.69,1850.69,129.55,1850.69,47
CDM,803843,TULAREMIA AGG,232.36,232.36,16.27,232.36,47
CDM,803846,TUMOR NECROSIS FAC IA QN,1611.9,1611.9,112.83,1611.9,47
CDM,803848,TYPHOID H AGG,246.88,246.88,17.28,246.88,47
CDM,803849,TYPHOID O AGG,246.88,246.88,17.28,246.88,47
CDM,803851,TYPHUS FEVER AB IGG QL,1516.7,1516.7,106.17,1516.7,47
CDM,803852,TYPHUS FEVER AB IGM QL,1516.7,1516.7,106.17,1516.7,47
CDM,803857,UA W MICRO AUTO,701.88,701.88,49.13,701.88,47
CDM,803859,UA W O MICRO AUTO,395.32,395.32,27.67,395.32,47
CDM,803865,UREA NITROGEN OTHER,579.25,579.25,40.55,579.25,47
CDM,803866,URIC ACID BLD,811.61,811.61,56.81,811.61,47
CDM,803867,URIC ACID BODY FLD,811.61,811.61,56.81,811.61,47
CDM,803868,URIC ACID UR,811.61,811.61,56.81,811.61,47
CDM,803871,URINE UREA NITROGEN,643.78,643.78,45.06,643.78,47
CDM,803871,"Urea nitrogen, urine ",643.78,643.78,3.34,29.2,74
CDM,803871,"Urea nitrogen, urine Age 21+",643.78,643.78,5.14,5.14,4
CDM,803871,"Urea nitrogen, urine Age Under 21",643.78,643.78,5.23,5.23,4
CDM,803871,"Urea nitrogen, urine Other Outpatient",643.78,643.78,5.84,5.84,6
CDM,803876,UROBILINOGEN UR QUANT,1413.44,1413.44,98.94,1413.44,47
CDM,803876,"Urobilinogen, urine; quantitative, timed specimen ",1413.44,1413.44,5.73,51.09,74
CDM,803876,"Urobilinogen, urine; quantitative, timed specimen Age 21+",1413.44,1413.44,8.82,8.82,4
CDM,803876,"Urobilinogen, urine; quantitative, timed specimen Age Under 21",1413.44,1413.44,8.98,8.98,4
CDM,803876,"Urobilinogen, urine; quantitative, timed specimen Other Outpatient",1413.44,1413.44,10.03,10.03,6
CDM,803887,VARIC ZOSTER AB QUAL,1368.27,1368.27,95.78,1368.27,47
CDM,803888,VARIC ZOSTER IGG,250.09,250.09,17.51,250.09,47
CDM,803889,VARIC ZOSTER IGM,250.09,250.09,17.51,250.09,47
CDM,803891,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,887.44,887.44,8.05,73.03,74
CDM,803891,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Age 21+,887.44,887.44,12.4,12.4,4
CDM,803891,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Age Under 21,887.44,887.44,12.62,12.62,4
CDM,803891,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Other Outpatient,887.44,887.44,14.09,14.09,6
CDM,803891,VARICELLA ZOSTER AG IFT,887.44,887.44,62.12,887.44,47
CDM,803892,VASO INTEST PEPTIDE(VIP),413.06,413.06,28.91,413.06,47
CDM,803892,Vasoactive intestinal peptide (VIP) ,413.06,413.06,21.2,189.83,74
CDM,803892,Vasoactive intestinal peptide (VIP) Age 21+,413.06,413.06,32.65,32.65,4
CDM,803892,Vasoactive intestinal peptide (VIP) Age Under 21,413.06,413.06,33.24,33.24,4
CDM,803892,Vasoactive intestinal peptide (VIP) Other Outpatient,413.06,413.06,37.1,37.1,6
CDM,803893,VDRL BLD QUAL,329.17,329.17,23.04,329.17,47
CDM,803895,VDRL CSF QUAL,669.61,669.61,46.87,669.61,47
CDM,803896,VDRL CSF QN,669.61,669.61,46.87,669.61,47
CDM,803903,VERY LONG CHAIN FATTY AC,1048.78,1048.78,73.41,1048.78,47
CDM,803903,Very long chain fatty acids ,1048.78,1048.78,11.85,105.86,74
CDM,803903,Very long chain fatty acids Age 21+,1048.78,1048.78,18.25,18.25,4
CDM,803903,Very long chain fatty acids Age Under 21,1048.78,1048.78,18.58,18.58,4
CDM,803903,Very long chain fatty acids Other Outpatient,1048.78,1048.78,20.74,20.74,6
CDM,803905,VIRUS ISO ADD STUDIES,1637.71,1637.71,114.64,1637.71,47
CDM,803905,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",1637.71,1637.71,12.12,109.54,74
CDM,803905,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Age 21+",1637.71,1637.71,18.67,18.67,4
CDM,803905,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Age Under 21",1637.71,1637.71,19.01,19.01,4
CDM,803905,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Other Outpatient",1637.71,1637.71,21.21,21.21,6
CDM,803906,VISCOSITY,303.33,303.33,21.23,303.33,47
CDM,803906,Viscosity ,303.33,303.33,7.0,62.09,74
CDM,803906,Viscosity Age 21+,303.33,303.33,10.78,10.78,4
CDM,803906,Viscosity Age Under 21,303.33,303.33,10.98,10.98,4
CDM,803906,Viscosity Other Outpatient,303.33,303.33,12.25,12.25,6
CDM,803908,"Ascorbic acid (Vitamin C), blood ",5443.99,5443.99,5.93,52.96,74
CDM,803908,"Ascorbic acid (Vitamin C), blood Age 21+",5443.99,5443.99,9.14,9.14,4
CDM,803908,"Ascorbic acid (Vitamin C), blood Age Under 21",5443.99,5443.99,9.31,9.31,4
CDM,803908,"Ascorbic acid (Vitamin C), blood Other Outpatient",5443.99,5443.99,10.38,10.38,6
CDM,803908,VIT C ASCORBIC ACID,5443.99,5443.99,381.08,5443.99,47
CDM,803909,VITAMIN A,1908.79,1908.79,133.62,1908.79,47
CDM,803909,Vitamin A ,1908.79,1908.79,6.97,62.09,74
CDM,803909,Vitamin A Age 21+,1908.79,1908.79,10.73,10.73,4
CDM,803909,Vitamin A Age Under 21,1908.79,1908.79,10.92,10.92,4
CDM,803909,Vitamin A Other Outpatient,1908.79,1908.79,12.19,12.19,6
CDM,803913,Thiamine (Vitamin B-1) ,2107.25,2107.25,12.74,114.99,74
CDM,803913,Thiamine (Vitamin B-1) Age 21+,2107.25,2107.25,19.61,19.61,4
CDM,803913,Thiamine (Vitamin B-1) Age Under 21,2107.25,2107.25,19.97,19.97,4
CDM,803913,Thiamine (Vitamin B-1) Other Outpatient,2107.25,2107.25,22.29,22.29,6
CDM,803913,VITAMIN B1 THIAMINE,2107.25,2107.25,147.51,2107.25,47
CDM,803914,Cyanocobalamin (Vitamin B-12); ,1184.32,1184.32,9.05,82.16,74
CDM,803914,Cyanocobalamin (Vitamin B-12); Age 21+,1184.32,1184.32,13.94,13.94,4
CDM,803914,Cyanocobalamin (Vitamin B-12); Age Under 21,1184.32,1184.32,14.19,14.19,4
CDM,803914,Cyanocobalamin (Vitamin B-12); Other Outpatient,1184.32,1184.32,15.83,15.83,6
CDM,803914,VITAMIN B12,1184.32,1184.32,82.9,1184.32,47
CDM,803915,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,2736.52,2736.52,8.59,76.66,74
CDM,803915,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Age 21+,2736.52,2736.52,13.23,13.23,4
CDM,803915,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Age Under 21,2736.52,2736.52,13.47,13.47,4
CDM,803915,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Other Outpatient,2736.52,2736.52,15.04,15.04,6
CDM,803915,VITAMIN B12 BIND CAP,2736.52,2736.52,191.56,2736.52,47
CDM,803916,Riboflavin (Vitamin B-2) ,2839.78,2839.78,12.14,109.54,74
CDM,803916,Riboflavin (Vitamin B-2) Age 21+,2839.78,2839.78,18.7,18.7,4
CDM,803916,Riboflavin (Vitamin B-2) Age Under 21,2839.78,2839.78,19.04,19.04,4
CDM,803916,Riboflavin (Vitamin B-2) Other Outpatient,2839.78,2839.78,21.25,21.25,6
CDM,803916,VITAMIN B2 (RIBOFL),2839.78,2839.78,198.78,2839.78,47
CDM,803917,PYRIDOXAL 5 PHOS VIT B6,1022.97,1022.97,71.61,1022.97,47
CDM,803917,Pyridoxal phosphate (Vitamin B-6) ,1022.97,1022.97,16.86,151.5,74
CDM,803917,Pyridoxal phosphate (Vitamin B-6) Age 21+,1022.97,1022.97,25.96,25.96,4
CDM,803917,Pyridoxal phosphate (Vitamin B-6) Age Under 21,1022.97,1022.97,26.43,26.43,4
CDM,803917,Pyridoxal phosphate (Vitamin B-6) Other Outpatient,1022.97,1022.97,29.51,29.51,6
CDM,803919,VITAMIN D 1-25 W/WO FRAC,1006.83,1006.83,70.48,1006.83,47
CDM,803919,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",1006.83,1006.83,23.1,208.09,74
CDM,803919,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Age 21+",1006.83,1006.83,35.57,35.57,4
CDM,803919,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Age Under 21",1006.83,1006.83,36.22,36.22,4
CDM,803919,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient",1006.83,1006.83,40.43,40.43,6
CDM,803922,VITAMIN D3 25-OH,711.56,711.56,49.81,711.56,47
CDM,803922,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",711.56,711.56,17.76,158.82,74
CDM,803922,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Age 21+",711.56,711.56,27.35,27.35,4
CDM,803922,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Age Under 21",711.56,711.56,27.84,27.84,4
CDM,803922,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Other Outpatient",711.56,711.56,31.08,31.08,6
CDM,803923,Tocopherol alpha (Vitamin E) ,2383.15,2383.15,8.51,76.66,74
CDM,803923,Tocopherol alpha (Vitamin E) Age 21+,2383.15,2383.15,13.1,13.1,4
CDM,803923,Tocopherol alpha (Vitamin E) Age Under 21,2383.15,2383.15,13.34,13.34,4
CDM,803923,Tocopherol alpha (Vitamin E) Other Outpatient,2383.15,2383.15,14.89,14.89,6
CDM,803923,VITAMIN E,2383.15,2383.15,166.82,2383.15,47
CDM,803924,VITAMIN K,2960.79,2960.79,207.26,2960.79,47
CDM,803924,Vitamin K ,2960.79,2960.79,8.23,73.03,74
CDM,803924,Vitamin K Age 21+,2960.79,2960.79,12.67,12.67,4
CDM,803924,Vitamin K Age Under 21,2960.79,2960.79,12.9,12.9,4
CDM,803924,Vitamin K Other Outpatient,2960.79,2960.79,14.41,14.41,6
CDM,803926,VMA URINE,1626.42,1626.42,113.85,1626.42,47
CDM,803926,"Vanillylmandelic acid (VMA), urine ",1626.42,1626.42,9.3,83.97,74
CDM,803926,"Vanillylmandelic acid (VMA), urine Age 21+",1626.42,1626.42,14.32,14.32,4
CDM,803926,"Vanillylmandelic acid (VMA), urine Age Under 21",1626.42,1626.42,14.58,14.58,4
CDM,803926,"Vanillylmandelic acid (VMA), urine Other Outpatient",1626.42,1626.42,16.28,16.28,6
CDM,803927,VOLATILES,653.47,653.47,45.74,653.47,47
CDM,803928,IGG ANTI IGA AB RIA QN,3843.38,3843.38,269.04,3843.38,47
CDM,803929,VOLUME MEASUREMENT UR,174.27,174.27,12.2,174.27,47
CDM,803929,"Volume measurement for timed collection, each ",174.27,174.27,2.18,20.07,74
CDM,803929,"Volume measurement for timed collection, each Age 21+",174.27,174.27,3.37,3.37,4
CDM,803929,"Volume measurement for timed collection, each Age Under 21",174.27,174.27,3.43,3.43,4
CDM,803929,"Volume measurement for timed collection, each Other Outpatient",174.27,174.27,3.82,3.82,6
CDM,803932,WBC COUNT BLD AUTO,432.43,432.43,30.27,432.43,47
CDM,803936,WEST NILE VIR AMP PROBE,3314.16,3314.16,231.99,3314.16,47
CDM,803937,WESTERN BLOT BODY FLUID,446.94,446.94,31.29,446.94,47
CDM,803938,WESTERN BLOT PROBE B ID,4148.33,4148.33,290.38,4148.33,47
CDM,803941,"Culture, fungi, definitive identification, each organism; yeast ",345.3,345.3,6.19,54.77,74
CDM,803941,"Culture, fungi, definitive identification, each organism; yeast Age 21+",345.3,345.3,9.54,9.54,4
CDM,803941,"Culture, fungi, definitive identification, each organism; yeast Age Under 21",345.3,345.3,9.71,9.71,4
CDM,803941,"Culture, fungi, definitive identification, each organism; yeast Other Outpatient",345.3,345.3,10.84,10.84,6
CDM,803941,YEAST ID,345.3,345.3,24.17,345.3,47
CDM,803942,YERSINIA AB IGA,319.49,319.49,22.36,319.49,47
CDM,803943,YERSINIA AB IGG,319.49,319.49,22.36,319.49,47
CDM,803944,YERSINIA AB IGM,319.49,319.49,22.36,319.49,47
CDM,803945,YERSINIA AB QUAL,188.78,188.78,13.21,188.78,47
CDM,803946,YO AB WB BAND ID,4087.02,4087.02,286.09,4087.02,47
CDM,803949,ZINC BLOOD,1184.32,1184.32,82.9,1184.32,47
CDM,803951,ZINC URINE,1331.14,1331.14,93.18,1331.14,47
CDM,803987,BLOOD UNIT POOLING,375.35,375.35,26.27,375.35,48
CDM,803988,CRYOPRECIPITATE,916.6,916.6,64.16,916.6,61
CDM,803992,CRYOPRECIPITATE AUTO,1364.01,1364.01,95.48,1364.01,61
CDM,803993,CRYOPRECIPITATE DD,1364.01,1364.01,95.48,1364.01,61
CDM,803994,FFP,1080.83,1080.83,75.66,1080.83,61
CDM,803995,FFP APH,1080.83,1080.83,75.66,1080.83,61
CDM,803998,FFP APH 500ML,1811.42,1811.42,126.8,1811.42,61
CDM,804001,FFP AUTO,1442.77,1442.77,100.99,1442.77,61
CDM,804002,FFP SD,1442.77,1442.77,100.99,1442.77,61
CDM,804005,GRANULOCYTES PH EACH UN,25135.33,25135.33,1759.47,25135.33,67
CDM,804007,PLASMA CRYO REDUCED,997.04,997.04,69.79,997.04,61
CDM,804007,"Plasma, cryoprecipitate reduced, each unit ",997.04,997.04,120.41,152.44,4
CDM,804014,PLASMA UNIT POOLING,375.35,375.35,26.27,375.35,48
CDM,804021,PLTS PHERESIS EACH UNIT,10424.46,10424.46,729.71,10424.46,61
CDM,804023,PLTS PHERESIS EACH UNIT,11741.55,11741.55,821.91,11741.55,61
CDM,804024,PLTS PH IRRADIATED EA UN,10672.46,10672.46,747.07,10672.46,61
CDM,804024,"Platelets, pheresis, irradiated, each unit ",10672.46,10672.46,879.9,1113.91,4
CDM,804026,PLTS PHERESIS LR EA UNIT,10424.46,10424.46,729.71,10424.46,61
CDM,804027,PLTS APH LR CMV NEG,10623.86,10623.86,743.67,10623.86,61
CDM,804029,PLTS PH LR DD EACH UNIT,10871.87,10871.87,761.03,10871.87,61
CDM,804031,PLTS LR PHER HLA,11741.55,11741.55,821.91,11741.55,61
CDM,804031,"Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit ",11741.55,11741.55,928.61,1175.58,4
CDM,804033,PLTS PH LR IRR EA UNIT,10672.46,10672.46,747.07,10672.46,61
CDM,804034,PLTS PH LR IRR DD EA UN,11119.88,11119.88,778.39,11119.88,61
CDM,804036,PLTS CONC,976.92,976.92,68.38,976.92,61
CDM,804037,PLTS CONC AUTO,1424.34,1424.34,99.7,1424.34,61
CDM,804038,PLTS CONC DD,1424.34,1424.34,99.7,1424.34,61
CDM,804039,PLTS IR,1224.93,1224.93,85.75,1224.93,61
CDM,804039,"Platelets, irradiated, each unit ",1224.93,1224.93,87.65,110.96,4
CDM,804042,PRBC,3579.27,3579.27,250.55,3579.27,61
CDM,804049,PRBC AUTO,4026.68,4026.68,281.87,4026.68,61
CDM,804052,PRBC CMV NEG,3778.68,3778.68,264.51,3778.68,61
CDM,804054,PRBC DD,4026.68,4026.68,281.87,4026.68,61
CDM,804055,RBC DEGLYCEROLIZED EA UN,5367.23,5367.23,375.71,5367.23,61
CDM,804055,"Red blood cells, deglycerolized, each unit ",5367.23,5367.23,374.06,473.55,4
CDM,804056,RBC IRRADIATED EACH UNIT,3827.28,3827.28,267.91,3827.28,61
CDM,804057,RBC IRRAD CMV NEG EA UN,4026.68,4026.68,281.87,4026.68,61
CDM,804058,PRBC LR,4174.14,4174.14,292.19,4174.14,61
CDM,804059,PRBC LR AUTO,4621.55,4621.55,323.51,4621.55,61
CDM,804061,PRBC LR CMV NEG EA UNIT,4373.55,4373.55,306.15,4373.55,61
CDM,804063,WB LR CMV NEG,4820.94,4820.94,337.47,4820.94,61
CDM,804065,PRBC LR DD,4621.55,4621.55,323.51,4621.55,61
CDM,804066,WB/RBC LR FZ DEGLY WASH,5962.1,5962.1,417.35,5962.1,61
CDM,804066,"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit ",5962.1,5962.1,258.63,327.42,4
CDM,804067,RBC LEUKOREDUC IRR EA UN,4422.15,4422.15,309.55,4422.15,61
CDM,804068,RBC LEUKORED IRR DD EAUN,4869.56,4869.56,340.87,4869.56,61
CDM,804070,PRBC LR PEDI WASH,1617.04,1617.04,113.19,1617.04,61
CDM,804071,PRBC LR WASH,5167.83,5167.83,361.75,5167.83,61
CDM,804072,PRBC PEDI,3780.35,3780.35,264.62,3780.35,61
CDM,804073,PRBC PEDI DD,1278.54,1278.54,89.5,1278.54,61
CDM,804074,PRBC WASH,4572.96,4572.96,320.11,4572.96,61
CDM,804075,SPLIT PROD SPECIFY AMT,2796.74,2796.74,195.77,2796.74,61
CDM,804081,WB AUTO TRANSF PER UNIT,6161.5,6161.5,431.31,6161.5,61
CDM,804082,WB AUTO TRANSF PER UNIT,6608.92,6608.92,462.62,6608.92,61
CDM,804083,WB CMV NEG TRANSF P/UNIT,6360.91,6360.91,445.26,6360.91,61
CDM,804084,WB CMV NEG DD TRANSFUS,6806.64,6806.64,476.46,6806.64,61
CDM,804085,WB DD TRANSFUSION P/UNIT,6608.92,6608.92,462.62,6608.92,61
CDM,804086,WB LR,7054.65,7054.65,493.83,7054.65,61
CDM,804087,WB LR CMV NEG,7254.05,7254.05,507.78,7254.05,61
CDM,804089,WB LR CMV NEG DD,7701.46,7701.46,539.1,7701.46,61
CDM,804091,WB PHERESIS IRR EA UNIT,7302.66,7302.66,511.19,7302.66,61
CDM,804092,WB LR IRR DD,7750.06,7750.06,542.5,7750.06,61
CDM,804115,C-REACTIVE PROTEIN,887.44,887.44,62.12,887.44,47
CDM,804156,GLUCOSE BLD QN,605.07,605.07,42.35,605.07,47
CDM,804157,GRAM STAIN PRIMARY SRCE,540.52,540.52,37.84,540.52,47
CDM,804159,HCG BETA QUANTITATIVE,1042.33,1042.33,72.96,1042.33,47
CDM,804162,HCG QUALITATIVE SERUM,1085.9,1085.9,76.01,1085.9,47
CDM,804164,HEMATOCRIT,330.78,330.78,23.15,330.78,47
CDM,804166,HEMOGLOBIN,348.52,348.52,24.4,348.52,47
CDM,804168,CBC AUTOMATED,1234.34,1234.34,86.4,1234.34,47
CDM,804182,OCCULT BLD SCN 3 SPEC,354.98,354.98,24.85,354.98,47
CDM,804190,POTASSIUM BLD,714.79,714.79,50.04,714.79,47
CDM,804191,PREG URINE QUAL BY DOO,503.41,503.41,35.24,503.41,47
CDM,804193,PROTIME,753.52,753.52,52.75,753.52,47
CDM,804194,PTT,882.59,882.59,61.78,882.59,47
CDM,804201,SED RATE AUTO,630.87,630.87,44.16,630.87,47
CDM,804209,UA W MICRO AUTO,701.88,701.88,49.13,701.88,47
CDM,804213,UA W O MICRO AUTO,395.32,395.32,27.67,395.32,47
CDM,804236,HEMOGLOBIN FRACT HPLC,379.18,379.18,26.54,379.18,47
CDM,804236,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",379.18,379.18,10.84,96.73,74
CDM,804236,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Age 21+",379.18,379.18,16.69,16.69,4
CDM,804236,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Age Under 21",379.18,379.18,16.99,16.99,4
CDM,804236,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Other Outpatient",379.18,379.18,18.96,18.96,6
CDM,804238,NATRIURETIC PEPTIDE,772.88,772.88,54.1,772.88,47
CDM,80424,SOLUBL LIVER AG AB IA QN,721.23,721.23,50.49,721.23,47
CDM,804252,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",630.87,630.87,2.59,23.76,74
CDM,804252,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Age 21+",630.87,630.87,3.98,3.98,4
CDM,804252,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Age Under 21",630.87,630.87,4.05,4.05,4
CDM,804252,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Other Outpatient",630.87,630.87,4.53,4.53,6
CDM,804252,MANUAL PLATELET COUNT,630.87,630.87,44.16,630.87,47
CDM,804253,FECAL WBC COUNT QL,613.14,613.14,42.92,613.14,47
CDM,804253,"Leukocyte assessment, fecal, qualitative or semiquantitative ",613.14,613.14,2.56,23.76,74
CDM,804253,"Leukocyte assessment, fecal, qualitative or semiquantitative Age 21+",613.14,613.14,3.95,3.95,4
CDM,804253,"Leukocyte assessment, fecal, qualitative or semiquantitative Age Under 21",613.14,613.14,4.02,4.02,4
CDM,804253,"Leukocyte assessment, fecal, qualitative or semiquantitative Other Outpatient",613.14,613.14,4.48,4.48,6
CDM,804254,PLT PHER L/R CMV IRRAD,11865.57,11865.57,830.59,11865.57,61
CDM,804254,"Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit ",11865.57,11865.57,1033.4,1308.24,4
CDM,804255,RBC FRZ/DEG/WSH L/R IRRD,6210.11,6210.11,434.71,6210.11,61
CDM,804255,"Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit ",6210.11,6210.11,1019.11,1290.15,4
CDM,804256,PRBC LR CMV NEG IRRAD,4621.55,4621.55,323.51,4621.55,61
CDM,804256,"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit ",4621.55,4621.55,135.17,171.12,4
CDM,804257,"Fresh frozen plasma between 8-24 hours of collection, each unit ",1080.83,1080.83,104.98,132.9,4
CDM,804257,PLASMA FRZ WITHIN 24 HRS,1080.83,1080.83,75.66,1080.83,61
CDM,804258,VARICELLA ZOSTER DNA AMP,1287.59,1287.59,90.13,1287.59,47
CDM,804267,PLTS L/R WASHED,2446.51,2446.51,171.26,2446.51,61
CDM,804277,LACTOFERRIN STOOL IA QL,411.44,411.44,28.8,411.44,47
CDM,804277,"Lactoferrin, fecal; qualitative ",411.44,411.44,11.82,105.86,74
CDM,804277,"Lactoferrin, fecal; qualitative Age 21+",411.44,411.44,18.21,18.21,4
CDM,804277,"Lactoferrin, fecal; qualitative Age Under 21",411.44,411.44,18.54,18.54,4
CDM,804277,"Lactoferrin, fecal; qualitative Other Outpatient",411.44,411.44,20.68,20.68,6
CDM,804278,14-3-3 PROTEIN IA QL,377.57,377.57,26.43,377.57,47
CDM,804281,PARIETAL CELL AB IA QL,342.07,342.07,23.94,342.07,47
CDM,804285,PLATELET AUTOMATED,630.87,630.87,44.16,630.87,47
CDM,804287,PTT-LA MIXING STUDY,459.84,459.84,32.19,459.84,47
CDM,804288,DRVV MIXING STUDY EA PTT,459.84,459.84,32.19,459.84,47
CDM,804305,CMV DFA,1195.6,1195.6,83.69,1195.6,47
CDM,804305,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",1195.6,1195.6,8.05,73.03,74
CDM,804305,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Age 21+",1195.6,1195.6,12.4,12.4,4
CDM,804305,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Age Under 21",1195.6,1195.6,12.62,12.62,4
CDM,804305,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Other Outpatient",1195.6,1195.6,14.09,14.09,6
CDM,804306,J C VIRUS AMP PROBE,2652.6,2652.6,185.68,2652.6,47
CDM,804313,C1 ESTERASE INHIBITOR IA,566.34,566.34,39.64,566.34,47
CDM,804336,ELASTSE PANCREATC SER QN,1185.92,1185.92,83.01,1185.92,47
CDM,804339,ADENOVIRUS AMP PROBE,1578.02,1578.02,110.46,1578.02,47
CDM,804385,MUSCLE SPEC ACTIN AB IHC,927.76,927.76,64.94,927.76,48
CDM,804393,SMOOTH MUSCLE ACT AB IHC,927.76,927.76,64.94,927.76,48
CDM,804415,PLT AGGREGATE COLL/ADP,495.34,495.34,34.67,495.34,47
CDM,804416,PLT AGGREGATE COLL/EPI,495.34,495.34,34.67,495.34,47
CDM,804418,DENGUE VIRUS AB IGG QL,475.99,475.99,33.32,475.99,47
CDM,804423,CMV RAPID CULTURE,511.49,511.49,35.8,511.49,47
CDM,804425,BABESIOSIS AMP PROBE,1468.28,1468.28,102.78,1468.28,47
CDM,804435,PLATELET CONC VOL RED,976.92,976.92,68.38,976.92,61
CDM,804444,SODIUM BODY FLUID,367.88,367.88,25.75,367.88,47
CDM,804445,SODIUM STOOL,169.42,169.42,11.86,169.42,47
CDM,804446,HISTO MYCEL IGG AB SQN,250.09,250.09,17.51,250.09,47
CDM,804447,HISTO YEAST AB SQN,250.09,250.09,17.51,250.09,47
CDM,804455,PLATELET AUTOMATED,630.87,630.87,44.16,630.87,47
CDM,804458,IRON LIVER TISSUE QN,2210.52,2210.52,154.74,2210.52,47
CDM,804462,CA 125 FLUID QN,868.07,868.07,60.76,868.07,47
CDM,804470,MUSK ANTIBODY RIA QN,3341.57,3341.57,233.91,3341.57,47
CDM,804473,H INFLU AB IGG QN,314.64,314.64,22.02,314.64,47
CDM,804496,NRNP AB,469.53,469.53,32.87,469.53,47
CDM,804504,GALACTOMAN ASPERG AG EIA,598.61,598.61,41.9,598.61,47
CDM,804515,COBALT QN,542.14,542.14,37.95,542.14,47
CDM,804528,ADENOVIRUS AMP QN,2000.77,2000.77,140.05,2000.77,47
CDM,804531,PLTS APH LR CMV NEG WASH,11617.56,11617.56,813.23,11617.56,61
CDM,804532,PLTS PH LR VOL REDUCED,2981.06,2981.06,208.67,2981.06,61
CDM,804533,PLTS PH LR WASHED EAUNIT,11418.14,11418.14,799.27,11418.14,61
CDM,804538,SALMONELLA H GRP D TYP H,198.48,198.48,13.89,198.48,47
CDM,804539,SALMONELLA H PARATYP B,198.48,198.48,13.89,198.48,47
CDM,804541,SALMONELLA H PARATYPH A,198.48,198.48,13.89,198.48,47
CDM,804542,SALMONELLA O GRP D TYP O,198.48,198.48,13.89,198.48,47
CDM,804543,SALMONELLA O PARATYPH A,198.48,198.48,13.89,198.48,47
CDM,804544,SALMONELLA O PARATYPH B,198.48,198.48,13.89,198.48,47
CDM,804547,BK POLYOMA VIRUS AMP QN,1424.73,1424.73,99.73,1424.73,47
CDM,804549,IMMUNE CELL FUNCTION CA,429.2,429.2,30.04,429.2,47
CDM,804551,CHYLOMICRON SCN FLD ELCT,653.47,653.47,45.74,653.47,47
CDM,804552,ANTI-CCP,432.43,432.43,30.27,432.43,47
CDM,804552,"Cyclic citrullinated peptide (CCP), antibody ",432.43,432.43,7.77,69.34,74
CDM,804552,"Cyclic citrullinated peptide (CCP), antibody Age 21+",432.43,432.43,11.97,11.97,4
CDM,804552,"Cyclic citrullinated peptide (CCP), antibody Age Under 21",432.43,432.43,12.19,12.19,4
CDM,804552,"Cyclic citrullinated peptide (CCP), antibody Other Outpatient",432.43,432.43,13.6,13.6,6
CDM,804559,ENCEPH LACRSS AB IGG CSF,250.09,250.09,17.51,250.09,47
CDM,804561,ENCEPH LACRSS AB IGM CSF,250.09,250.09,17.51,250.09,47
CDM,804562,ENCEPH E EQN AB IGG CSF,250.09,250.09,17.51,250.09,47
CDM,804563,ENCEPH E EQN AB IGM CSF,250.09,250.09,17.51,250.09,47
CDM,804564,ENCEPH ST LOU AB IGG CSF,250.09,250.09,17.51,250.09,47
CDM,804565,ENCEPH ST LOU AB IGM CSF,250.09,250.09,17.51,250.09,47
CDM,804566,ENCEP W EQUIN AB IGG CSF,250.09,250.09,17.51,250.09,47
CDM,804567,ENCEP W EQUIN AB IGM CSF,250.09,250.09,17.51,250.09,47
CDM,804574,IHC AB STAIN,503.41,503.41,35.24,503.41,48
CDM,804587,PLT FUNCTION-ASPIRIN ASA,601.85,601.85,42.13,601.85,47
CDM,804588,IMMUKNOW ATP STIM,1481.22,1481.22,103.69,1481.22,47
CDM,804592,HISTOCHM ENZYME STAIN EA,3707.85,3707.85,259.55,3707.85,48
CDM,804607,TOTAL PROTEIN OTH SRC QN,79.06,79.06,5.53,79.06,47
CDM,804610,VISCOELASTIC CLOT INT/RP,818.05,818.05,57.26,818.05,54
CDM,804614,CULT STL ADD'L PATHOGENS,316.24,316.24,22.14,316.24,47
CDM,804614,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",316.24,316.24,5.66,51.09,74
CDM,804614,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Age 21+",316.24,316.24,8.72,8.72,4
CDM,804614,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Age Under 21",316.24,316.24,8.88,8.88,4
CDM,804614,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Other Outpatient",316.24,316.24,9.91,9.91,6
CDM,804623,IHC ER QN/SQN COMP ASST,766.42,766.42,53.65,766.42,48
CDM,804624,IHC HER-2NEU QN/SQN COMP,2163.71,2163.71,151.46,2163.71,48
CDM,804625,IHC KI-67QNSQN COMP ASST,766.42,766.42,53.65,766.42,48
CDM,804627,IHC PR AB QN/SQN COMP,766.42,766.42,53.65,766.42,48
CDM,804628,IHC QN/SQN EA AB COMP,2318.63,2318.63,162.3,2318.63,48
CDM,804654,COMPLEMENT FACTOR H,900.34,900.34,63.02,900.34,47
CDM,804656,ISOLATE MRSA SCREEN AGG,172.63,172.63,12.08,172.63,47
CDM,804676,CAM 5.2 PER FIRST AB,503.41,503.41,35.24,503.41,48
CDM,804685,PORPH DEAMINASE RBC NRS,1097.18,1097.18,76.8,1097.18,47
CDM,804698,IA2 AUTOANTIBODY,1305.33,1305.33,91.37,1305.33,47
CDM,804722,SRP AB QL RIPA IA,703.49,703.49,49.24,703.49,47
CDM,804727,H INFLUENZA B IGG,913.25,913.25,63.93,913.25,47
CDM,804733,HERPES VIRUS 8 AMP PROBE,1176.25,1176.25,82.34,1176.25,47
CDM,804741,CRYOPRECIPITATE POOLED,5962.1,5962.1,417.35,5962.1,61
CDM,804748,JC POLYOMA VIRUS AMP QN,1424.73,1424.73,99.73,1424.73,47
CDM,804767,CAR AUTO AB WB-BD,3782.07,3782.07,264.74,3782.07,47
CDM,804797,ANTI TSH AUTO AB RIA,477.6,477.6,33.43,477.6,47
CDM,804810,THYROTROPIN REC AB QN IA,369.5,369.5,25.86,369.5,47
CDM,804812,THROMBOELASTOGRAPHY TEG,1952.35,1952.35,136.66,1952.35,54
CDM,804815,PARAGONIMIASIS AB QL,722.85,722.85,50.6,722.85,47
CDM,804828,ANTI68 KD (HSP-70) AB WB,650.24,650.24,45.52,650.24,47
CDM,804839,B CELLS TOTAL COUNT,1140.75,1140.75,79.85,1140.75,47
CDM,804840,CD57 (NK CELL) TOT CT,722.85,722.85,50.6,722.85,47
CDM,804841,STEM CELLS TOTAL CT,1140.75,1140.75,79.85,1140.75,47
CDM,804852,MOR AN IHC AB QT/SQT MAN,1127.83,1127.83,78.95,1127.83,48
CDM,804854,MORPH ANAL CMP INI PROBE,3372.24,3372.24,236.06,3372.24,48
CDM,804855,MORPH ANAL MAN INI PROBE,2195.99,2195.99,153.72,2195.99,48
CDM,804871,LEPTOSPIRAL FLUOR STAIN,576.02,576.02,40.32,576.02,47
CDM,804874,HERPES VIRUS-7 AMP QN,1063.3,1063.3,74.43,1063.3,47
CDM,804881,CD 1 1ST MARK,1161.72,1161.72,81.32,1161.72,48
CDM,804905,CD 56 1ST MARK,1539.29,1539.29,107.75,1539.29,48
CDM,805018,PERFORIN FC 1ST MARK,2149.19,2149.19,150.44,2149.19,48
CDM,805029,CD 10 ADD,174.27,174.27,12.2,174.27,54
CDM,805031,CD 117 ADD,174.27,174.27,12.2,174.27,54
CDM,805036,CD 15 ADD,174.27,174.27,12.2,174.27,54
CDM,805039,CD 20 ADD,174.27,174.27,12.2,174.27,54
CDM,805044,CD 3 ADD,174.27,174.27,12.2,174.27,54
CDM,805045,CD 33 ADD,174.27,174.27,12.2,174.27,54
CDM,805046,CD 36 ADD,174.27,174.27,12.2,174.27,54
CDM,805047,CD 38 ADD,174.27,174.27,12.2,174.27,54
CDM,805048,CD 45 ADD,174.27,174.27,12.2,174.27,54
CDM,805049,CD 5 ADD,174.27,174.27,12.2,174.27,54
CDM,805050,CD 55 ADD,174.27,174.27,12.2,174.27,54
CDM,805051,CD 56 ADD,174.27,174.27,12.2,174.27,54
CDM,805054,CD 7 ADD,174.27,174.27,12.2,174.27,54
CDM,805055,CD 71 ADD,174.27,174.27,12.2,174.27,54
CDM,805058,CD14 ADD,174.27,174.27,12.2,174.27,54
CDM,805063,CD 11 B ADHEREN ADD,174.27,174.27,12.2,174.27,54
CDM,805064,CD 11 C ADHEREN ADD,174.27,174.27,12.2,174.27,54
CDM,805066,CD 13 ADD,174.27,174.27,12.2,174.27,54
CDM,805067,CD 16 ADD,174.27,174.27,12.2,174.27,54
CDM,805069,CD 19 ADD,174.27,174.27,12.2,174.27,54
CDM,805071,CD 22 ADD,174.27,174.27,12.2,174.27,54
CDM,805072,CD 23 ADD,174.27,174.27,12.2,174.27,54
CDM,805073,CD 24 ADD,174.27,174.27,12.2,174.27,54
CDM,805076,CD 30 ADD,174.27,174.27,12.2,174.27,54
CDM,805078,CD 34 ADD,174.27,174.27,12.2,174.27,54
CDM,805091,CD 59 ADD,174.27,174.27,12.2,174.27,54
CDM,805094,CD 64 ADD,174.27,174.27,12.2,174.27,54
CDM,805113,CD4 HELPER INDUC ADD,174.27,174.27,12.2,174.27,54
CDM,805118,CD8 SUPPRESSOR ADD,174.27,174.27,12.2,174.27,54
CDM,805121,CELL MARKER CD2 ADD,174.27,174.27,12.2,174.27,54
CDM,805123,CELL MRK FMC 7 ADD,174.27,174.27,12.2,174.27,54
CDM,805124,CELL MRK HLADR ADD,174.27,174.27,12.2,174.27,54
CDM,805132,CELL MRK KAPPA ADD,174.27,174.27,12.2,174.27,54
CDM,805133,CELL MRK LAMBDA ADD,174.27,174.27,12.2,174.27,54
CDM,805135,CELL MRK TDT ADD,174.27,174.27,12.2,174.27,54
CDM,805153,FC ADD,174.27,174.27,12.2,174.27,54
CDM,805207,HERPES (HHV) 8 AMP QN,1063.3,1063.3,74.43,1063.3,47
CDM,805237,GROWTH HORMONE (HGH),1273.06,1273.06,89.11,1273.06,47
CDM,805237,"Growth hormone, human (HGH) (somatotropin) ",1273.06,1273.06,10.0,89.42,74
CDM,805237,"Growth hormone, human (HGH) (somatotropin) Age 21+",1273.06,1273.06,15.4,15.4,4
CDM,805237,"Growth hormone, human (HGH) (somatotropin) Age Under 21",1273.06,1273.06,15.68,15.68,4
CDM,805237,"Growth hormone, human (HGH) (somatotropin) Other Outpatient",1273.06,1273.06,17.5,17.5,6
CDM,805238,PROTEIN ELECTRO 24HR UR,467.92,467.92,32.75,467.92,47
CDM,805244,H INFLU TYPE B LATEX,232.36,232.36,16.27,232.36,47
CDM,805245,N MENINGTDS GRP A/Y LATX,232.36,232.36,16.27,232.36,47
CDM,805246,N MENINGTDS GRP B/E LATX,232.36,232.36,16.27,232.36,47
CDM,805247,N MENINGTDS GRP C/W LATX,232.36,232.36,16.27,232.36,47
CDM,805248,STREP GROUP B LATEX,232.36,232.36,16.27,232.36,47
CDM,805249,STREP PNEUMO LATEX,232.36,232.36,16.27,232.36,47
CDM,805259,INTERLEUKIN-10 IA QN,2686.57,2686.57,188.06,2686.57,47
CDM,805279,N TELOPEPTIDE SERUM,1087.5,1087.5,76.13,1087.5,47
CDM,805284,SOLUBLE IL-2 RU IA QN,1271.44,1271.44,89.0,1271.44,47
CDM,805299,AMPHIPHYSIN AB FA,1214.97,1214.97,85.05,1214.97,47
CDM,805301,CRMP-5 IGG BY FA,366.26,366.26,25.64,366.26,47
CDM,805307,ACHR GANGLIONIC AB RIA,4635.64,4635.64,324.49,4635.64,47
CDM,805308,ALPHA GLUCOSIDASE NRAS,1490.88,1490.88,104.36,1490.88,47
CDM,805310,PROTEIN S FUNCTIONAL,361.41,361.41,25.3,361.41,47
CDM,805316,FUNGITELL BETA-D-GLUCAN,1014.9,1014.9,71.04,1014.9,47
CDM,805319,ANNA-2 ANTI-RI QL IA,1377.95,1377.95,96.46,1377.95,47
CDM,805340,VANCOMYCIN SUSCEPT,161.35,161.35,11.29,161.35,47
CDM,805341,D ZONE TEST,230.73,230.73,16.15,230.73,47
CDM,805343,ALIQUOT IRRAD LR RBC,899.84,899.84,62.99,899.84,61
CDM,805352,MATA AB (MA1/MA2) WB-BD,5794.13,5794.13,405.59,5794.13,47
CDM,805353,COLLAGEN BINDING IA QL,614.75,614.75,43.03,614.75,47
CDM,805354,COCCIDIODES GD,314.64,314.64,22.02,314.64,47
CDM,805361,HSV 1/2 IGG SQN,435.65,435.65,30.5,435.65,47
CDM,805362,HSV 1/2 IGM SQN,435.65,435.65,30.5,435.65,47
CDM,805367,NEUTRP FNCT OXI BRST NRS,1142.36,1142.36,79.97,1142.36,47
CDM,805391,PLT GP IA/IIA AUTO AB,209.76,209.76,14.68,209.76,47
CDM,805392,PLT GP IB/IX AUTO AB,209.76,209.76,14.68,209.76,47
CDM,805393,PLT GP IIB/IIIA AUTO AB,209.76,209.76,14.68,209.76,47
CDM,805395,C DIFFICIL TOXIN A&B EIA,345.3,345.3,24.17,345.3,47
CDM,805398,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",354.98,354.98,2.54,21.89,74
CDM,805398,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Age 21+",354.98,354.98,3.91,3.91,4
CDM,805398,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Age Under 21",354.98,354.98,3.98,3.98,4
CDM,805398,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Other Outpatient",354.98,354.98,4.44,4.44,6
CDM,805398,OCCBLD PEROX 1-3 DIAG,354.98,354.98,24.85,354.98,47
CDM,805405,LDL CHOLESTEROL NMR BLD,672.83,672.83,47.1,672.83,47
CDM,805429,O&P SPECIAL STAIN,422.74,422.74,29.59,422.74,47
CDM,805429,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",422.74,422.74,10.79,96.73,74
CDM,805429,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Age 21+",422.74,422.74,16.61,16.61,4
CDM,805429,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Age Under 21",422.74,422.74,16.91,16.91,4
CDM,805429,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Other Outpatient",422.74,422.74,18.88,18.88,6
CDM,805433,TOUCH PREP INITIAL SITE,1631.26,1631.26,114.19,1631.26,48
CDM,805434,TOUCH PREP EA ADD SITE,955.21,955.21,66.86,955.21,54
CDM,805442,WB LR AUTOLOGOUS,7502.05,7502.05,525.14,7502.05,61
CDM,805465,ADAMTS13 INHIBITOR,361.41,361.41,25.3,361.41,47
CDM,805466,ALPHA-FETOPROTEIN FLD QN,396.91,396.91,27.78,396.91,47
CDM,805479,OXACILLIN SINGLE DISK,230.73,230.73,16.15,230.73,47
CDM,805491,GMCSF IA QN,1571.56,1571.56,110.01,1571.56,47
CDM,805497,PLT AGGREGATE P2Y12,601.85,601.85,42.13,601.85,47
CDM,805503,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",316.24,316.24,9.66,87.6,74
CDM,805503,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Age 21+",316.24,316.24,14.87,14.87,4
CDM,805503,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Age Under 21",316.24,316.24,15.14,15.14,4
CDM,805503,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other Outpatient",316.24,316.24,16.91,16.91,6
CDM,805503,TOXIC SHOCK SYN AG IF,316.24,316.24,22.14,316.24,47
CDM,805511,EOSINPHIL CATION PROT QN,651.86,651.86,45.63,651.86,47
CDM,805512,14C-SEROTONIN RELEASE,2260.54,2260.54,158.24,2260.54,47
CDM,805523,BLASTOMYCES AG EIA,842.26,842.26,58.96,842.26,47
CDM,805533,MAG AB IGM ELISA SQN,403.38,403.38,28.24,403.38,47
CDM,805536,HLA ANTIBODY TITER FLOW,1527.99,1527.99,106.96,1527.99,64
CDM,805537,NOROVIRUS AMP PROBE,808.38,808.38,56.59,808.38,47
CDM,805539,ANTI CBIR1 IA QN,392.11,392.11,27.45,392.11,47
CDM,805541,NEUROMYELITIS OPTICA AB,2221.8,2221.8,155.53,2221.8,47
CDM,805551,VGKC AB RIA,4879.26,4879.26,341.55,4879.26,47
CDM,805555,RI AB WB BAND ID,3477.13,3477.13,243.4,3477.13,47
CDM,805556,ZIC4 AB WB BAND ID,3538.44,3538.44,247.69,3538.44,47
CDM,805564,DIRECT COOMBS POLYVALENT,772.88,772.88,54.1,772.88,47
CDM,805566,MYCOPLASMA/UREAPLASM AMP,1494.11,1494.11,104.59,1494.11,47
CDM,805585,ENCEPH WEST NILE AB IGM,250.09,250.09,17.51,250.09,47
CDM,805586,ENCP WST NIL AB IGM TIT,727.7,727.7,50.94,727.7,47
CDM,805589,ENCEPH WEST NILE AB IGG,435.65,435.65,30.5,435.65,47
CDM,805592,ENCP WST NIL AB IGG TIT,727.7,727.7,50.94,727.7,47
CDM,805594,ASPERGILLUS AG EIA,813.21,813.21,56.92,813.21,47
CDM,805594,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",813.21,813.21,7.19,63.9,88
CDM,805595,ENTEROVIRUS AMP/REVERS T,1452.15,1452.15,101.65,1452.15,47
CDM,805595,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",1452.15,1452.15,21.05,189.83,74
CDM,805595,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Age 21+",1452.15,1452.15,32.43,32.43,4
CDM,805595,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Age Under 21",1452.15,1452.15,33.02,33.02,4
CDM,805595,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Other Outpatient",1452.15,1452.15,36.84,36.84,6
CDM,805597,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",1260.15,1260.15,21.05,189.83,74
CDM,805597,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Age 21+",1260.15,1260.15,32.43,32.43,4
CDM,805597,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Age Under 21",1260.15,1260.15,33.02,33.02,4
CDM,805597,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Other Outpatient",1260.15,1260.15,36.84,36.84,6
CDM,805597,STAPH AUREUS MRSA AMP,1260.15,1260.15,88.21,1260.15,47
CDM,805602,NEWBORN METABOLIC SCR,670.8,670.8,46.96,670.8,67
CDM,805602,"Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;  hydroxyprogest",670.8,670.8,129.02,195.52,6
CDM,805612,ALIQ CMV NEG IR LR PLATE,899.84,899.84,62.99,899.84,61
CDM,805613,ALIQ CMV NEG IRR PLATEL,899.84,899.84,62.99,899.84,61
CDM,805614,ALIQ CMV NEG LR PLATELET,899.84,899.84,62.99,899.84,61
CDM,805615,ALIQ CMV NEG PLATELETS,899.84,899.84,62.99,899.84,61
CDM,805616,ALIQ CMVSICNEG IR LR RBC,899.84,899.84,62.99,899.84,61
CDM,805617,ALIQUOT CMVSICNEG LR RBC,899.84,899.84,62.99,899.84,61
CDM,805618,ALIQUOT FFP,899.84,899.84,62.99,899.84,61
CDM,805619,ALIQUOT IRR LR PLATELETS,899.84,899.84,62.99,899.84,61
CDM,805621,ALIQUOT IRR PLATELETS,899.84,899.84,62.99,899.84,61
CDM,805622,ALIQUOT LR PLATELETS,899.84,899.84,62.99,899.84,61
CDM,805623,ALIQUOT LR RBC,899.84,899.84,62.99,899.84,61
CDM,805624,ALIQUOT PLATELETS,899.84,899.84,62.99,899.84,61
CDM,805628,MITO MYOPATHY SCN NRS,830.98,830.98,58.17,830.98,47
CDM,805637,ANTI-RNA POLYMER IA QN,890.66,890.66,62.35,890.66,47
CDM,805641,ANNA-1 (ANTI-HU) SCR FA,640.56,640.56,44.84,640.56,47
CDM,805642,ANNA-1 (ANTI-R) SCR FA,279.13,279.13,19.54,279.13,47
CDM,805652,E COLI VEROTOXIN 2 OIA,337.23,337.23,23.61,337.23,47
CDM,805653,E COLI VEROTOXIN 1 OIA,337.23,337.23,23.61,337.23,47
CDM,805663,CD59R ADD,174.27,174.27,12.2,174.27,54
CDM,805665,ICCD 79A ADD,174.27,174.27,12.2,174.27,54
CDM,805666,ICCD 22 ADD,174.27,174.27,12.2,174.27,54
CDM,805667,ICCD 3 ADD,174.27,174.27,12.2,174.27,54
CDM,805668,CLL MK MPO ADD,174.27,174.27,12.2,174.27,54
CDM,805669,CD45RO ADD,174.27,174.27,12.2,174.27,54
CDM,805673,DIRECT PLT AB IIB/IIIA,124.23,124.23,8.7,124.23,47
CDM,805674,DIRECT PLT AB IBIX,124.23,124.23,8.7,124.23,47
CDM,805675,DIRECT PLT AB IA/IIA,124.23,124.23,8.7,124.23,47
CDM,805684,SILICA CLOTTING TIME,861.61,861.61,60.31,861.61,47
CDM,805686,HSV CULTURE/TYPING ELVIS,847.09,847.09,59.3,847.09,47
CDM,805686,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",847.09,847.09,20.32,182.52,74
CDM,805686,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Age 21+",847.09,847.09,31.28,31.28,4
CDM,805686,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Age Under 21",847.09,847.09,31.85,31.85,4
CDM,805686,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Other Outpatient",847.09,847.09,35.55,35.55,6
CDM,805689,INTERCELLULAR SUB AB SCN,5001.89,5001.89,350.13,5001.89,47
CDM,805694,EHRLICHIOSIS AMP PROBE,1468.28,1468.28,102.78,1468.28,47
CDM,805695,ROCKY MT SF AMP PROBE,1758.73,1758.73,123.11,1758.73,47
CDM,805696,IHC EGFR QN/SQN COMP,2163.71,2163.71,151.46,2163.71,48
CDM,805703,P2Y12 TRAP (PRU) AGONIST,601.85,601.85,42.13,601.85,47
CDM,805716,ALIQUOT WHOLE BLOOD,899.84,899.84,62.99,899.84,61
CDM,805717,ALIQUOT PLATELET PHER,697.08,697.08,48.8,697.08,61
CDM,805719,ALPH SUB UNIT FREE IA QN,645.4,645.4,45.18,645.4,47
CDM,805725,ALIQUOT RBC,899.84,899.84,62.99,899.84,61
CDM,805729,CYSTATIN C,351.74,351.74,24.62,351.74,47
CDM,805729,Cystatin C ,351.74,351.74,11.11,100.42,74
CDM,805729,Cystatin C Age 21+,351.74,351.74,17.12,17.12,4
CDM,805729,Cystatin C Age Under 21,351.74,351.74,17.43,17.43,4
CDM,805729,Cystatin C Other Outpatient,351.74,351.74,19.45,19.45,6
CDM,805732,CALPROTECTIN FECAL,1137.51,1137.51,79.63,1137.51,47
CDM,805732,"Calprotectin, fecal ",1137.51,1137.51,11.78,105.86,74
CDM,805732,"Calprotectin, fecal Age 21+",1137.51,1137.51,18.14,18.14,4
CDM,805732,"Calprotectin, fecal Age Under 21",1137.51,1137.51,18.47,18.47,4
CDM,805732,"Calprotectin, fecal Other Outpatient",1137.51,1137.51,20.61,20.61,6
CDM,805748,SIN NOMBRE VIRUS IGG,206.52,206.52,14.46,206.52,47
CDM,805749,SIN NOMBRE VIRUS IGM,206.52,206.52,14.46,206.52,47
CDM,805752,PLASMODIUM SP AMP,1366.65,1366.65,95.67,1366.65,47
CDM,805763,ANNA2 ANTIRI SCN ELSA QN,640.56,640.56,44.84,640.56,47
CDM,805768,BKV AB IGG QL,868.07,868.07,60.76,868.07,47
CDM,805771,LYSOSOMAL ENZYME SCR RS,3932.13,3932.13,275.25,3932.13,47
CDM,805772,NIEMANN PICKS TYPE C RS,3932.13,3932.13,275.25,3932.13,47
CDM,805775,ALIQ PLT PHER LR CMV IR,727.26,727.26,50.91,727.26,61
CDM,805784,IHC HMLH-1 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,48
CDM,805785,IHC HMSH-3 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,48
CDM,805786,IHC HMSH-6 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,48
CDM,805787,IHC HPMS-1 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,48
CDM,805802,IHC HMSH-2 AB QN/SQ COMP,766.42,766.42,53.65,766.42,48
CDM,805803,IHC HPMS-2 AB QN/SQ COMP,766.42,766.42,53.65,766.42,48
CDM,805807,LACTIC ACID,1160.12,1160.12,81.21,1160.12,47
CDM,805825,COCCIDIOIDES AG EIA QL,751.89,751.89,52.63,751.89,47
CDM,805840,AMMONIATED LATEX EXT IGE,250.09,250.09,17.51,250.09,47
CDM,805841,NONAMMONIATED LTX IGE,250.09,250.09,17.51,250.09,47
CDM,805842,GLOVE LATEX EXT IGE,250.09,250.09,17.51,250.09,47
CDM,805844,NEOPTERIN QL IA,934.23,934.23,65.4,934.23,47
CDM,805845,ADAMTS-13,877.74,877.74,61.44,877.74,47
CDM,805846,BILIRUBIN TRANSCUTANEOUS,150.07,150.07,10.5,150.07,47
CDM,805846,"Bilirubin, total, transcutaneous ",150.07,150.07,3.01,27.39,74
CDM,805846,"Bilirubin, total, transcutaneous Age 21+",150.07,150.07,4.64,4.64,4
CDM,805846,"Bilirubin, total, transcutaneous Age Under 21",150.07,150.07,4.73,4.73,4
CDM,805846,"Bilirubin, total, transcutaneous Other Outpatient",150.07,150.07,5.27,5.27,6
CDM,805856,HISTONE FA AB TIT,1247.25,1247.25,87.31,1247.25,47
CDM,805857,PLT CONC LR,9724.01,9724.01,680.68,9724.01,61
CDM,805858,PLT CONC LR IRR,10699.28,10699.28,748.95,10699.28,61
CDM,805858,"Platelets, leukocytes reduced, irradiated, each unit ",10699.28,10699.28,645.93,817.72,4
CDM,805869,IMMUNKNOW CON A,1281.13,1281.13,89.68,1281.13,47
CDM,805870,IMMUNKNOW C ALBICANS,1281.13,1281.13,89.68,1281.13,47
CDM,805871,IMMUNKNOW MUMPS,1281.13,1281.13,89.68,1281.13,47
CDM,805872,IMMUNKNOW TUBERCULIN PPD,1281.13,1281.13,89.68,1281.13,47
CDM,805873,IMMUNKNOW VARICEL ZOST,1281.13,1281.13,89.68,1281.13,47
CDM,805877,ALPHA LACTOALBUMIN BY GD,314.64,314.64,22.02,314.64,47
CDM,805879,CASEIN BY GD,314.64,314.64,22.02,314.64,47
CDM,805881,MILK COW BY GD,314.64,314.64,22.02,314.64,47
CDM,805882,BOVINE SERUM ALB BY GD,314.64,314.64,22.02,314.64,47
CDM,805883,C DIFFICILE AMP PROBE,918.07,918.07,64.26,918.07,47
CDM,805934,ABO TYPE,540.52,540.52,37.84,540.52,47
CDM,805937,ACETONE BLD QN,585.69,585.69,41.0,585.69,47
CDM,805939,ALBUMIN SERUM QN,797.07,797.07,55.79,797.07,47
CDM,805940,ALK PHOS (ALP),977.8,977.8,68.45,977.8,47
CDM,805942,ALT (SGPT),1035.88,1035.88,72.51,1035.88,47
CDM,805945,AMYLASE BLD,1214.97,1214.97,85.05,1214.97,47
CDM,805947,AST (SGOT),1035.88,1035.88,72.51,1035.88,47
CDM,805950,BILIRUBIN DIRECT,521.16,521.16,36.48,521.16,47
CDM,805951,BILIRUBIN TOT,940.68,940.68,65.85,940.68,47
CDM,805955,BUN,740.6,740.6,51.84,740.6,47
CDM,805959,CALCIUM TOTAL,861.61,861.61,60.31,861.61,47
CDM,805961,CARBON DIOXIDE,138.75,138.75,9.71,138.75,47
CDM,805964,CELL CT&DIFF BODY FL,1021.35,1021.35,71.49,1021.35,47
CDM,805965,CHLAMYDIA T AMP PROBE,1163.35,1163.35,81.43,1163.35,47
CDM,805967,CHLORIDE BLD,342.07,342.07,23.94,342.07,47
CDM,805968,CHOLESTEROL BLD,856.79,856.79,59.98,856.79,47
CDM,805969,CK MB FRACTION,1445.7,1445.7,101.2,1445.7,47
CDM,805971,CREAT KINASE (CK) TOTAL,958.43,958.43,67.09,958.43,47
CDM,805972,CREATININE BLD,784.17,784.17,54.89,784.17,47
CDM,805975,CREATININE UR,682.52,682.52,47.78,682.52,47
CDM,805979,CRYSTALS BODY FL,740.6,740.6,51.84,740.6,47
CDM,805991,D-DIMER QUANT,658.31,658.31,46.08,658.31,47
CDM,805991,"Fibrin degradation products, D-dimer; quantitative ",658.31,658.31,6.11,54.77,74
CDM,805991,"Fibrin degradation products, D-dimer; quantitative Age 21+",658.31,658.31,9.41,9.41,4
CDM,805991,"Fibrin degradation products, D-dimer; quantitative Age Under 21",658.31,658.31,9.58,9.58,4
CDM,805991,"Fibrin degradation products, D-dimer; quantitative Other Outpatient",658.31,658.31,10.69,10.69,6
CDM,805995,EOSINOPHIL COUNT BLD AUT,471.15,471.15,32.98,471.15,47
CDM,805998,FIBRINOGEN ACTIVITY,271.07,271.07,18.97,271.07,47
CDM,805999,GC AMP PROBE,984.23,984.23,68.9,984.23,47
CDM,806003,GLUCOSE BODY FLD QN,753.52,753.52,52.75,753.52,47
CDM,806004,GLYCOHEMOGLOBIN,124.23,124.23,8.7,124.23,47
CDM,806006,HIV 1&2 AB QUAL,359.81,359.81,25.19,359.81,47
CDM,806009,KOH PREP TISSUE,367.88,367.88,25.75,367.88,47
CDM,806010,LACTIC ACID,1176.25,1176.25,82.34,1176.25,47
CDM,806011,LDH (LD),803.53,803.53,56.25,803.53,47
CDM,806013,LIPASE,1061.7,1061.7,74.32,1061.7,47
CDM,806016,MAGNESIUM BLD,951.97,951.97,66.64,951.97,47
CDM,806019,MONO SCR (HETEROPHILE),861.61,861.61,60.31,861.61,47
CDM,806020,MYOGLOBIN BLD,1445.7,1445.7,101.2,1445.7,47
CDM,806023,NATRIURETIC PEPTIDE,772.88,772.88,54.1,772.88,47
CDM,806030,PHOSPHORUS BLD,559.89,559.89,39.19,559.89,47
CDM,806033,RA FACTOR QUAL,900.34,900.34,63.02,900.34,47
CDM,806035,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",227.51,227.51,8.35,74.84,88
CDM,806035,RSV AG IA,227.51,227.51,15.93,227.51,47
CDM,806037,RH TYPE,540.52,540.52,37.84,540.52,47
CDM,806040,SED RATE MANUAL,630.87,630.87,44.16,630.87,47
CDM,806042,SMEAR INDIA INK,669.61,669.61,46.87,669.61,47
CDM,806044,SMEAR WET MOUNT,521.16,521.16,36.48,521.16,47
CDM,806045,SODIUM BLD,374.33,374.33,26.2,374.33,47
CDM,806047,STREP A AG IA,227.51,227.51,15.93,227.51,47
CDM,806055,TOTAL PROTEIN BLD,708.33,708.33,49.58,708.33,47
CDM,806056,TOTAL PROTEIN CSF QN,708.33,708.33,49.58,708.33,47
CDM,806059,TRIGLYCERIDES,945.52,945.52,66.19,945.52,47
CDM,806060,TROPONIN QUANT,1445.7,1445.7,101.2,1445.7,47
CDM,806061,TSH,1850.69,1850.69,129.55,1850.69,47
CDM,806063,URIC ACID BLD,811.61,811.61,56.81,811.61,47
CDM,806076,AMYLASE PANCREATIC,490.52,490.52,34.34,490.52,47
CDM,806081,IMMUKNOW PHYTOHEMAGG AG,1148.83,1148.83,80.42,1148.83,47
CDM,806082,SODIUM BLD,367.88,367.88,25.75,367.88,47
CDM,806083,POTASSIUM BLD,705.11,705.11,49.36,705.11,47
CDM,806093,OUT MEMBR PROT IGA QL IA,411.44,411.44,28.8,411.44,47
CDM,806095,IMMUKNOW POKEWEED AG,1148.83,1148.83,80.42,1148.83,47
CDM,806098,TOXO GONDII AMP QN,1603.83,1603.83,112.27,1603.83,47
CDM,806109,MHA TP CONFIRM,338.85,338.85,23.72,338.85,47
CDM,806110,T PALLIDUM AB IGG,456.62,456.62,31.96,456.62,47
CDM,806111,T PALLIDUM AB IGM,456.62,456.62,31.96,456.62,47
CDM,806112,PROCALCITONIN PCT,1140.75,1140.75,79.85,1140.75,47
CDM,806112,Procalcitonin (PCT) ,1140.75,1140.75,16.33,146.0,74
CDM,806112,Procalcitonin (PCT) Age 21+,1140.75,1140.75,25.15,25.15,4
CDM,806112,Procalcitonin (PCT) Age Under 21,1140.75,1140.75,25.6,25.6,4
CDM,806112,Procalcitonin (PCT) Other Outpatient,1140.75,1140.75,28.58,28.58,6
CDM,806113,C DIFF TOX GENE AMP PROB,918.07,918.07,64.26,918.07,47
CDM,806153,TP PA CONFIRMATION,430.8,430.8,30.16,430.8,47
CDM,806154,FTA AB CONFIRM,936.98,936.98,65.59,936.98,47
CDM,806194,ABG WITH CALC O2 SAT,3264.14,3264.14,228.49,3264.14,47
CDM,806195,ABG WITH MEAS O2 SAT,3157.63,3157.63,221.03,3157.63,47
CDM,806201,CELL CT & DIFF CSF,1021.35,1021.35,71.49,1021.35,47
CDM,806219,PH BODY FLUID,346.91,346.91,24.28,346.91,47
CDM,806224,MYELIN AB FA QL,640.56,640.56,44.84,640.56,47
CDM,806226,OUT MEMBRANE PORIN C AB,392.11,392.11,27.45,392.11,47
CDM,806231,ANTI SACCHRMYC CERVS IGA,392.11,392.11,27.45,392.11,47
CDM,806232,ANTI SACCHRMYC CERVS IGG,392.11,392.11,27.45,392.11,47
CDM,806291,ENOXAPARIN HIGH DOSE,693.81,693.81,48.57,693.81,47
CDM,806292,ENOXAPARIN LOW DOSE,693.81,693.81,48.57,693.81,47
CDM,806293,UNFRACT HEPARIN HI DOSE,693.81,693.81,48.57,693.81,47
CDM,806294,UNFRACT HEPARIN LOW DOSE,693.81,693.81,48.57,693.81,47
CDM,806295,LYMPHYCYTOTOX XM WO/TIT,2439.64,2439.64,170.77,2439.64,47
CDM,806295,"Lymphocytotoxicity assay, visual crossmatch; without titration ",2439.64,2439.64,28.55,255.55,74
CDM,806295,"Lymphocytotoxicity assay, visual crossmatch; without titration Age 21+",2439.64,2439.64,43.98,43.98,4
CDM,806295,"Lymphocytotoxicity assay, visual crossmatch; without titration Age Under 21",2439.64,2439.64,44.78,44.78,4
CDM,806295,"Lymphocytotoxicity assay, visual crossmatch; without titration Other Outpatient",2439.64,2439.64,49.97,49.97,6
CDM,806302,ARRAY WHOLE GENOME HYBRD,558.28,558.28,39.08,558.28,52
CDM,806302,Unlisted surgical pathology procedure ,558.28,558.28,86.57,184.79,12
CDM,806313,BURKHOLDERIA AB IGG,503.41,503.41,35.24,503.41,47
CDM,806314,BURKHOLDERIA AB IGM,503.41,503.41,35.24,503.41,47
CDM,806341,ADAMTS 13 AB IA QN,298.49,298.49,20.89,298.49,47
CDM,806348,AFP-L3 FRA ISO + TOT AFP,1345.67,1345.67,94.2,1345.67,47
CDM,806348,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,1345.67,1345.67,38.65,346.83,74
CDM,806348,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Age 21+,1345.67,1345.67,59.51,59.51,4
CDM,806348,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Age Under 21,1345.67,1345.67,60.59,60.59,4
CDM,806348,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Other Outpatient,1345.67,1345.67,67.63,67.63,6
CDM,806352,PEROXISOMAL PLAS SYN RS,379.18,379.18,26.54,379.18,47
CDM,806365,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",13122.71,13122.71,312.0,2801.89,53
CDM,806365,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores Other Outpatient",13122.71,13122.71,546.0,546.0,6
CDM,806365,TISSUE ORGIN CA >2KG ALG,13122.71,13122.71,918.59,13122.71,53
CDM,806408,COXSACKIE A24 IGG AB,329.17,329.17,23.04,329.17,47
CDM,806409,COXSACKIE A24 IGM AB,329.17,329.17,23.04,329.17,47
CDM,806431,HUMAN EPIDIDYMIS PROT. 4,1213.36,1213.36,84.94,1213.36,47
CDM,806431,Human epididymis protein 4 (HE4) ,1213.36,1213.36,12.49,111.36,74
CDM,806431,Human epididymis protein 4 (HE4) Age 21+,1213.36,1213.36,19.23,19.23,4
CDM,806431,Human epididymis protein 4 (HE4) Age Under 21,1213.36,1213.36,19.58,19.58,4
CDM,806431,Human epididymis protein 4 (HE4) Other Outpatient,1213.36,1213.36,21.85,21.85,6
CDM,806432,MACRO EXAM PREP EA SPEC,4738.89,4738.89,331.72,4738.89,54
CDM,806436,GAD AB QL IA,3659.44,3659.44,256.16,3659.44,47
CDM,806437,AMPHIPHYSIN AB WB,3599.75,3599.75,251.98,3599.75,47
CDM,806439,NMDA RECEPTOR NR1 IFA,5124.52,5124.52,358.72,5124.52,47
CDM,806514,ASPERGILLUS FUMIGAT AMP,887.44,887.44,62.12,887.44,47
CDM,806515,ASPERGILLUS FUMIGAT AMP,887.44,887.44,62.12,887.44,47
CDM,806747,AG SC DON BLD REA SER EA,868.07,868.07,60.76,868.07,47
CDM,806747,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",868.07,868.07,3.81,623.5,72
CDM,806747,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Age 21+",868.07,868.07,5.86,5.86,4
CDM,806747,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Age Under 21",868.07,868.07,5.97,5.97,4
CDM,806747,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient",868.07,868.07,6.67,6.67,6
CDM,806777,HEXAGONAL PHOSPHOLIPID,380.78,380.78,26.65,380.78,47
CDM,806777,Phospholipid neutralization; hexagonal phospholipid ,380.78,380.78,10.79,96.73,74
CDM,806777,Phospholipid neutralization; hexagonal phospholipid Age 21+,380.78,380.78,16.61,16.61,4
CDM,806777,Phospholipid neutralization; hexagonal phospholipid Age Under 21,380.78,380.78,16.91,16.91,4
CDM,806777,Phospholipid neutralization; hexagonal phospholipid Other Outpatient,380.78,380.78,18.88,18.88,6
CDM,806778,TB TEST CMIA EGIP T-CELL,1185.92,1185.92,83.01,1185.92,47
CDM,806778,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",1185.92,1185.92,60.0,538.48,74
CDM,806778,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Age 21+",1185.92,1185.92,92.4,92.4,4
CDM,806778,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Age Under 21",1185.92,1185.92,94.08,94.08,4
CDM,806778,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Other Outpatient",1185.92,1185.92,105.0,105.0,6
CDM,806780,FLU SINGLE TYPE/SUBTY AM,1360.2,1360.2,95.21,1360.2,47
CDM,806780,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",1360.2,1360.2,30.79,275.62,74
CDM,806780,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Age 21+",1360.2,1360.2,47.41,47.41,4
CDM,806780,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Age Under 21",1360.2,1360.2,48.27,48.27,4
CDM,806780,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Other Outpatient",1360.2,1360.2,53.88,53.88,6
CDM,806784,HIV-1 OTHER REGION,6210.41,6210.41,434.73,6210.41,47
CDM,806784,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",6210.41,6210.41,77.24,693.61,74
CDM,806784,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Age 21+",6210.41,6210.41,118.94,118.94,4
CDM,806784,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Age Under 21",6210.41,6210.41,121.11,121.11,4
CDM,806784,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Other Outpatient",6210.41,6210.41,135.17,135.17,6
CDM,806810,STOOL REDUCING SUBT MULT,98.42,98.42,6.89,98.42,47
CDM,806810,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",98.42,98.42,3.3,29.2,74
CDM,806810,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Age 21+",98.42,98.42,5.08,5.08,4
CDM,806810,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Age Under 21",98.42,98.42,5.17,5.17,4
CDM,806810,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Other Outpatient",98.42,98.42,5.78,5.78,6
CDM,806822,CHIKUNGUNYA AB TITER,471.15,471.15,32.98,471.15,47
CDM,806823,SOLUBLE CD 163 ELISA QN,2873.68,2873.68,201.16,2873.68,47
CDM,806824,A-IDURONIDASE NRS EA SP,1392.46,1392.46,97.47,1392.46,47
CDM,806830,DES-GAMMA-CARBOXY DCP,1345.67,1345.67,94.2,1345.67,47
CDM,806830,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,1345.67,1345.67,38.65,346.83,74
CDM,806830,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Age 21+,1345.67,1345.67,59.51,59.51,4
CDM,806830,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Age Under 21,1345.67,1345.67,60.59,60.59,4
CDM,806830,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Other Outpatient,1345.67,1345.67,67.63,67.63,6
CDM,806831,LACTOFERRIN FECAL QN,230.73,230.73,16.15,230.73,47
CDM,806831,"Lactoferrin, fecal; quantitative ",230.73,230.73,11.78,105.86,74
CDM,806831,"Lactoferrin, fecal; quantitative Age 21+",230.73,230.73,18.14,18.14,4
CDM,806831,"Lactoferrin, fecal; quantitative Age Under 21",230.73,230.73,18.47,18.47,4
CDM,806831,"Lactoferrin, fecal; quantitative Other Outpatient",230.73,230.73,20.61,20.61,6
CDM,806833,MICRODISSECTION MANUAL,2734.9,2734.9,191.44,2734.9,54
CDM,806850,ANTICHITOBIO CARB IA QL,438.87,438.87,30.72,438.87,47
CDM,806851,ANTILAMINARI CARB IA QL,438.87,438.87,30.72,438.87,47
CDM,806852,ANTIMANNOBIO CARB IA QL,438.87,438.87,30.72,438.87,47
CDM,806868,INTERLEUKIN 8 IA QN,2149.19,2149.19,150.44,2149.19,47
CDM,806869,T PROTEIN SPHING ASE WBC,4032.16,4032.16,282.25,4032.16,47
CDM,806871,FAC8 VW ACTIVITY RIST CO,614.75,614.75,43.03,614.75,47
CDM,806874,INSULIN LIKE GFBP 1 RIA,732.54,732.54,51.28,732.54,47
CDM,806875,INSULIN LIKE GFBP 2 RIA,647.03,647.03,45.29,647.03,47
CDM,806890,MUCOPOLYSACCHARIDES ELEC,548.61,548.61,38.4,548.61,47
CDM,806895,RNA POLYMERASE III IGGAB,490.52,490.52,34.34,490.52,47
CDM,806903,ECARIN CLOTTING TIME,626.04,626.04,43.82,626.04,47
CDM,806911,HEMOLYTIC ASSAY COMP ACT,253.31,253.31,17.73,253.31,47
CDM,806912,PRION WB PROBE BAND ID,551.82,551.82,38.63,551.82,47
CDM,806922,PRION INF AGENT QN IA,551.82,551.82,38.63,551.82,47
CDM,806934,ANTIGLIAL NUC AB FA TIT,356.58,356.58,24.96,356.58,47
CDM,806936,COLLAPSIN RMP5 AB FA TIT,356.58,356.58,24.96,356.58,47
CDM,806940,CELL FUNCT STIM DET BIO,2839.78,2839.78,198.78,2839.78,47
CDM,806943,AMMONIA,663.16,663.16,46.42,663.16,47
CDM,806953,PH STOOL,432.43,432.43,30.27,432.43,47
CDM,806956,CANDIDA AB IGA,230.73,230.73,16.15,230.73,47
CDM,806957,CANDIDA AB IGG,230.73,230.73,16.15,230.73,47
CDM,806958,CANDIDA AB IGM,230.73,230.73,16.15,230.73,47
CDM,806975,ANTI IGA AB IA QN,722.85,722.85,50.6,722.85,47
CDM,806982,ICAM BY CLA,271.07,271.07,18.97,271.07,47
CDM,806984,VCAM BY CLA,271.07,271.07,18.97,271.07,47
CDM,806994,INTERLEUKIN 17 IA QN,4567.15,4567.15,319.7,4567.15,47
CDM,806995,INTERLEUKIN-18 QN IA,1302.29,1302.29,91.16,1302.29,47
CDM,807000,VWF CLEAVING PROTEASE,1048.78,1048.78,73.41,1048.78,47
CDM,807003,HIV-1AG HIV-1/2AB SINGLE,463.08,463.08,32.42,463.08,47
CDM,807003,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",463.08,463.08,14.45,129.62,88
CDM,807006,ANTI ENTEROCYTE IGG IIFA,667.99,667.99,46.76,667.99,47
CDM,807007,ANTI ENTEROCYTE IGA IIFA,667.99,667.99,46.76,667.99,47
CDM,807008,ANTI ENTEROCYTE IGM IIFA,667.99,667.99,46.76,667.99,47
CDM,807015,ASCA IGA ELISA QN,248.49,248.49,17.39,248.49,47
CDM,807017,ASCA IGG ELISA QN,248.49,248.49,17.39,248.49,47
CDM,807018,ANTI-OMPC IGA ELISA QN,248.49,248.49,17.39,248.49,47
CDM,807019,ANTI-A4 FLA2 IGG ELIS QN,248.49,248.49,17.39,248.49,47
CDM,807020,ANTI-FLAX IGG ELISA QN,248.49,248.49,17.39,248.49,47
CDM,807022,AUTO ANTIBODY ELISA QN,248.49,248.49,17.39,248.49,47
CDM,807024,SAA BY CLA,271.07,271.07,18.97,271.07,47
CDM,807025,INDIRECT IFA IGG AB,232.36,232.36,16.27,232.36,47
CDM,807052,PLT ABS CIR HLA CLS 1 AB,209.76,209.76,14.68,209.76,47
CDM,807071,HDL CHOLESTEROL DM,1100.41,1100.41,77.03,1100.41,47
CDM,807074,ANTI-U3 RNP FIBRILLARIN,684.11,684.11,47.89,684.11,47
CDM,807078,HEMATOCRIT,324.32,324.32,22.7,324.32,47
CDM,807083,BCR/ABL1 MAJOR BREAKPT,10441.03,10441.03,730.87,10441.03,47
CDM,807084,BCR/ABL1 MINOR BREAKPT,2234.72,2234.72,156.43,2234.72,47
CDM,807087,BRAF V600 VARIANTS,3301.24,3301.24,231.09,3301.24,47
CDM,807096,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",1660.32,1660.32,333.96,2999.03,74
CDM,807096,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Age 21+",1660.32,1660.32,514.29,514.29,4
CDM,807096,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Age Under 21",1660.32,1660.32,523.64,523.64,4
CDM,807096,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Other Outpatient",1660.32,1660.32,584.43,584.43,6
CDM,807096,CFTR COMMON VARIANTS,1660.32,1660.32,116.22,1660.32,47
CDM,807098,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",12077.14,12077.14,261.04,2343.75,74
CDM,807098,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Age 21+",12077.14,12077.14,402.01,402.01,4
CDM,807098,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Age Under 21",12077.14,12077.14,409.32,409.32,4
CDM,807098,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Other Outpatient",12077.14,12077.14,456.82,456.82,6
CDM,807098,CFTR DUP/DEL VARIANTS,12077.14,12077.14,845.4,12077.14,47
CDM,807099,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",15492.95,15492.95,299.4,2688.71,74
CDM,807099,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Age 21+",15492.95,15492.95,461.08,461.08,4
CDM,807099,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Age Under 21",15492.95,15492.95,469.46,469.46,4
CDM,807099,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Other Outpatient",15492.95,15492.95,523.95,523.95,6
CDM,807099,CFTR FULL GENE SEQ,15492.95,15492.95,1084.51,15492.95,47
CDM,807102,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",2134.67,2134.67,101.25,909.01,74
CDM,807102,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Age 21+",2134.67,2134.67,155.93,155.93,4
CDM,807102,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Age Under 21",2134.67,2134.67,158.76,158.76,4
CDM,807102,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Other Outpatient",2134.67,2134.67,177.19,177.19,6
CDM,807102,CFTR INTRON 8POLY-T ANAL,2134.67,2134.67,149.43,2134.67,47
CDM,807103,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",3178.61,3178.61,174.82,1569.8,72
CDM,807103,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Age 21+",3178.61,3178.61,269.21,269.21,4
CDM,807103,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Age Under 21",3178.61,3178.61,274.11,274.11,4
CDM,807103,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Other Outpatient",3178.61,3178.61,305.93,305.93,6
CDM,807103,CYP2C19 COMMON VARIANTS,3178.61,3178.61,222.5,3178.61,47
CDM,807106,CYTOGEN MARRAY COPY NO,16770.84,16770.84,1173.96,16770.84,47
CDM,807106,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",16770.84,16770.84,540.0,4848.08,65
CDM,807107,CYTOGEN MA COPY NO & SNP,18295.61,18295.61,1280.69,18295.61,47
CDM,807108,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",4603.35,4603.35,39.41,354.09,74
CDM,807108,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Age 21+",4603.35,4603.35,60.7,60.7,4
CDM,807108,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Age Under 21",4603.35,4603.35,61.8,61.8,4
CDM,807108,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Other Outpatient",4603.35,4603.35,68.97,68.97,6
CDM,807108,F2 GENE 20210G>A VARIANT,4603.35,4603.35,322.23,4603.35,47
CDM,807109,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",4603.35,4603.35,44.02,396.11,74
CDM,807109,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Age 21+",4603.35,4603.35,67.79,67.79,4
CDM,807109,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Age Under 21",4603.35,4603.35,69.03,69.03,4
CDM,807109,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Other Outpatient",4603.35,4603.35,77.04,77.04,6
CDM,807109,F5 GENE LEIDEN VARIANT,4603.35,4603.35,322.23,4603.35,47
CDM,807112,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",3206.06,3206.06,21.97,197.15,72
CDM,807112,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Age 21+",3206.06,3206.06,33.84,33.84,4
CDM,807112,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Age Under 21",3206.06,3206.06,34.45,34.45,4
CDM,807112,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Other Outpatient",3206.06,3206.06,38.45,38.45,6
CDM,807112,FANCC COMMON VARIANT,3206.06,3206.06,224.42,3206.06,47
CDM,807113,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",2694.56,2694.56,34.22,306.63,72
CDM,807113,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Age 21+",2694.56,2694.56,52.7,52.7,4
CDM,807113,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Age Under 21",2694.56,2694.56,53.66,53.66,4
CDM,807113,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",2694.56,2694.56,59.89,59.89,6
CDM,807113,FMR1 DETECT ABN ALLELES,2694.56,2694.56,188.62,2694.56,47
CDM,807115,FLT3 INTERNAL TANDEM DUP,3415.8,3415.8,239.11,3415.8,47
CDM,807119,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",918.07,918.07,39.22,352.28,72
CDM,807119,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Age 21+",918.07,918.07,60.39,60.39,4
CDM,807119,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Age Under 21",918.07,918.07,61.49,61.49,4
CDM,807119,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Other Outpatient",918.07,918.07,68.63,68.63,6
CDM,807119,HFE COM VAR C282Y H63D,918.07,918.07,64.26,918.07,47
CDM,807123,IGH REARRANGE AMPLIFIED,2744.59,2744.59,192.12,2744.59,47
CDM,807123,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",2744.59,2744.59,118.79,1066.02,86
CDM,807125,IGH VAR REG SOMATIC MUT,1833.37,1833.37,128.34,1833.37,47
CDM,807125,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",1833.37,1833.37,176.71,1586.24,72
CDM,807125,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Age 21+",1833.37,1833.37,272.14,272.14,4
CDM,807125,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Age Under 21",1833.37,1833.37,277.09,277.09,4
CDM,807125,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Other Outpatient",1833.37,1833.37,309.25,309.25,6
CDM,807127,STR MARKERS SPECIMEN ANA,2623.58,2623.58,183.65,2623.58,47
CDM,807129,CHIMERISM W/OUT CELL SEL,2623.58,2623.58,183.65,2623.58,47
CDM,807129,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",2623.58,2623.58,124.48,1117.1,72
CDM,807129,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Age 21+",2623.58,2623.58,191.7,191.7,4
CDM,807129,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Age Under 21",2623.58,2623.58,195.18,195.18,4
CDM,807129,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Other Outpatient",2623.58,2623.58,217.83,217.83,6
CDM,807131,CHIMERISM W/ CELL SELECT,2623.58,2623.58,183.65,2623.58,47
CDM,807131,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",2623.58,2623.58,156.47,1405.48,86
CDM,807132,JAK2 V617F VARIANT,4269.35,4269.35,298.85,4269.35,47
CDM,807138,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",4603.35,4603.35,39.2,352.28,72
CDM,807138,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Age 21+",4603.35,4603.35,60.38,60.38,4
CDM,807138,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Age Under 21",4603.35,4603.35,61.48,61.48,4
CDM,807138,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Other Outpatient",4603.35,4603.35,68.61,68.61,6
CDM,807138,MTHFR COMMON VARIANTS,4603.35,4603.35,322.23,4603.35,47
CDM,807151,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",17346.88,17346.88,184.8,1659.21,72
CDM,807151,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age 21+",17346.88,17346.88,284.59,284.59,4
CDM,807151,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age Under 21",17346.88,17346.88,289.77,289.77,4
CDM,807151,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Other Outpatient",17346.88,17346.88,323.4,323.4,6
CDM,807151,MSH6 KNOWN FAM VARIANTS,17346.88,17346.88,1214.28,17346.88,47
CDM,807154,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",13906.88,13906.88,316.72,2843.85,72
CDM,807154,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Age 21+",13906.88,13906.88,487.75,487.75,4
CDM,807154,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Age Under 21",13906.88,13906.88,496.62,496.62,4
CDM,807154,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Other Outpatient",13906.88,13906.88,554.26,554.26,6
CDM,807154,MECP2 FULL SEQ ANALYSIS,13906.88,13906.88,973.48,13906.88,47
CDM,807156,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",6099.07,6099.07,90.0,808.6,72
CDM,807156,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Age 21+",6099.07,6099.07,138.6,138.6,4
CDM,807156,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Age Under 21",6099.07,6099.07,141.12,141.12,4
CDM,807156,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Other Outpatient",6099.07,6099.07,157.5,157.5,6
CDM,807156,MECP2 DUP/DEL VARIANTS,6099.07,6099.07,426.93,6099.07,47
CDM,807157,NPM1 EXON 12 VARIANTS,3659.44,3659.44,256.16,3659.44,47
CDM,807158,PML/RARA COMMON BREAKPT,4269.35,4269.35,298.85,4269.35,47
CDM,807158,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",4269.35,4269.35,124.39,1117.1,86
CDM,807166,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",4269.35,4269.35,30.64,275.62,72
CDM,807166,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Age 21+",4269.35,4269.35,47.19,47.19,4
CDM,807166,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Age Under 21",4269.35,4269.35,48.05,48.05,4
CDM,807166,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Other Outpatient",4269.35,4269.35,53.62,53.62,6
CDM,807166,SNRPN/UBE3A METHYLATION,4269.35,4269.35,298.85,4269.35,47
CDM,807168,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",1404.56,1404.56,125.35,1126.23,72
CDM,807168,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) A",1404.56,1404.56,193.04,196.55,8
CDM,807168,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) O",1404.56,1404.56,219.37,219.37,6
CDM,807168,TRB@REARRANGE AMPLIFY,1404.56,1404.56,98.32,1404.56,47
CDM,807172,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",2684.88,2684.88,120.9,1086.09,72
CDM,807172,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Age 21+",2684.88,2684.88,186.19,186.19,4
CDM,807172,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Age Under 21",2684.88,2684.88,189.57,189.57,4
CDM,807172,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Other Outpatient",2684.88,2684.88,211.58,211.58,6
CDM,807172,TRG@REARRANGE ABNCLONAL,2684.88,2684.88,187.94,2684.88,47
CDM,807176,HLA CLASS 1&2 TYPING LR,2920.45,2920.45,204.43,2920.45,45
CDM,807176,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",2920.45,2920.45,241.27,2166.68,74
CDM,807176,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Age 21+",2920.45,2920.45,371.56,371.56,4
CDM,807176,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Age Under 21",2920.45,2920.45,378.31,378.31,4
CDM,807176,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Other Outpatient",2920.45,2920.45,422.23,422.23,6
CDM,807178,HLA 1 TYPING COMPLETE LR,5489.17,5489.17,384.24,5489.17,46
CDM,807179,HLA 1 TYPE 1 LOCUS LR EA,3049.55,3049.55,213.47,3049.55,46
CDM,807184,HLA CLASS 2 TYPING LR,5489.17,5489.17,384.24,5489.17,46
CDM,807185,HLA 2 TYPE 1 LOCUS LR EA,3049.55,3049.55,213.47,3049.55,46
CDM,807186,HLA 2 TYP 1 AG EQV LR EA,1365.02,1365.02,95.55,1365.02,46
CDM,807186,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",1365.02,1365.02,56.84,511.09,74
CDM,807186,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Age 21+",1365.02,1365.02,87.54,87.54,4
CDM,807186,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Age Under 21",1365.02,1365.02,89.13,89.13,4
CDM,807186,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Other Outpatient",1365.02,1365.02,99.48,99.48,6
CDM,807189,HLA 1 TYP A LOC HR EA,4269.35,4269.35,298.85,4269.35,46
CDM,807190,HLA 1 TYP 1 ALLELE HR EA,1952.35,1952.35,136.66,1952.35,46
CDM,807190,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",1952.35,1952.35,101.94,914.51,74
CDM,807190,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Age 21+",1952.35,1952.35,156.99,156.99,4
CDM,807190,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Age Under 21",1952.35,1952.35,159.85,159.85,4
CDM,807190,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Other Outpatient",1952.35,1952.35,178.4,178.4,6
CDM,807191,HLA 2 TYPE 1 LOCUS HR EA,4635.64,4635.64,324.49,4635.64,46
CDM,807192,HLA 2 TYP 1 ALLELE HR EA,1623.19,1623.19,113.62,1623.19,46
CDM,807192,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",1623.19,1623.19,65.48,587.75,74
CDM,807192,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Age 21+",1623.19,1623.19,100.84,100.84,4
CDM,807192,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Age Under 21",1623.19,1623.19,102.67,102.67,4
CDM,807192,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Other Outpatient",1623.19,1623.19,114.59,114.59,6
CDM,807307,COMPLEMENT FACTOR I,900.34,900.34,63.02,900.34,47
CDM,807312,CYTOPATH PROC UNLISTED,918.07,918.07,64.26,918.07,52
CDM,807312,Unlisted cytopathology procedure ,918.07,918.07,86.57,184.79,12
CDM,807315,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",6226.54,6226.54,115.95,1040.44,74
CDM,807315,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Age 21+",6226.54,6226.54,178.56,178.56,4
CDM,807315,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Age Under 21",6226.54,6226.54,181.81,181.81,4
CDM,807315,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Other Outpatient",6226.54,6226.54,202.91,202.91,6
CDM,807315,KRAS VAR EXN2 CODON12&13,6226.54,6226.54,435.86,6226.54,47
CDM,807322,MICRODISSECTION MANUAL,860.01,860.01,60.2,860.01,54
CDM,807337,CD16/CD56 NK CELLS TOTAL,722.85,722.85,50.6,722.85,47
CDM,807394,VEGF IA QN,248.49,248.49,17.39,248.49,47
CDM,807545,UNLISTED MOLPATH & GSP,3690.1,3690.1,258.31,3690.1,58
CDM,807546,MOLPATH TIER 2 LEVEL 1,3465.83,3465.83,242.61,3465.83,47
CDM,807546,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",3465.83,3465.83,38.38,344.96,86
CDM,807548,MOLPATH TIER 2 LEVEL 6,4051.54,4051.54,283.61,4051.54,47
CDM,807549,MOLPATH TIER 2 LEVEL 2,3964.4,3964.4,277.51,3964.4,47
CDM,807549,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",3964.4,3964.4,82.2,737.44,86
CDM,807550,MOLPATH TIER 2 LEVEL 9,9939.23,9939.23,695.75,9939.23,47
CDM,807550,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",9939.23,9939.23,1200.0,10773.11,86
CDM,807551,MOLPATH TIER 2 LEVEL 5,1574.79,1574.79,110.24,1574.79,47
CDM,807552,MOLPATH TIER 2 LEVEL 4,1574.79,1574.79,110.24,1574.79,47
CDM,807553,CMV GENOTYPE ANAL,13518.01,13518.01,946.26,13518.01,47
CDM,807553,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,13518.01,13518.01,154.47,1387.28,74
CDM,807553,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Age 21+,13518.01,13518.01,237.89,237.89,4
CDM,807553,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Age Under 21,13518.01,13518.01,242.21,242.21,4
CDM,807553,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Other Outpatient,13518.01,13518.01,270.32,270.32,6
CDM,807554,HLA ANTIBODY TITER FLOW,774.47,774.47,54.21,774.47,64
CDM,807555,HLA CX NONCYTOTOXIC,774.47,774.47,54.21,774.47,47
CDM,807555,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",774.47,774.47,65.69,589.57,74
CDM,807555,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Age 21+",774.47,774.47,101.17,101.17,4
CDM,807555,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Age Under 21",774.47,774.47,103.01,103.01,4
CDM,807555,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Other Outpatient",774.47,774.47,114.96,114.96,6
CDM,807556,HLA CS NONCYTOTOX EA ADD,774.47,774.47,54.21,774.47,47
CDM,807556,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",774.47,774.47,21.92,197.15,74
CDM,807556,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Age 21+",774.47,774.47,33.76,33.76,4
CDM,807556,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Age Under 21",774.47,774.47,34.37,34.37,4
CDM,807556,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Other Outpatient",774.47,774.47,38.36,38.36,6
CDM,807557,HLA 1 TYPE 1 LOCUS LR EA,3049.55,3049.55,213.47,3049.55,46
CDM,807558,HLA 1&2 TYPE VERIFY LR,2076.6,2076.6,145.36,2076.6,46
CDM,807558,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",2076.6,2076.6,242.71,2179.43,74
CDM,807558,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Age 21+",2076.6,2076.6,373.78,373.78,4
CDM,807558,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Age Under 21",2076.6,2076.6,380.58,380.58,4
CDM,807558,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Other Outpatient",2076.6,2076.6,424.75,424.75,6
CDM,807559,HLA 2 TYPE 1 LOCUS HR EA,4635.64,4635.64,324.49,4635.64,46
CDM,807560,HLA 2 TYPE 1 LOCUS LR EA,3049.55,3049.55,213.47,3049.55,46
CDM,807561,HLA CLASS 2 TYPING LR,5489.17,5489.17,384.24,5489.17,46
CDM,807562,HLA 1 TYPING COMPLETE HR,2373.47,2373.47,166.14,2373.47,46
CDM,807562,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",2373.47,2373.47,201.23,1807.09,74
CDM,807562,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Age 21+",2373.47,2373.47,309.89,309.89,4
CDM,807562,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Age Under 21",2373.47,2373.47,315.53,315.53,4
CDM,807562,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Other Outpatient",2373.47,2373.47,352.15,352.15,6
CDM,807565,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",21224.16,21224.16,468.0,4201.92,72
CDM,807565,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Age 21+",21224.16,21224.16,720.72,720.72,4
CDM,807565,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Age Under 21",21224.16,21224.16,733.82,733.82,4
CDM,807565,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Other Outpatient",21224.16,21224.16,819.0,819.0,6
CDM,807565,APC FULL GENE SEQ,21224.16,21224.16,1485.69,21224.16,47
CDM,807567,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",12077.14,12077.14,120.0,1076.96,72
CDM,807567,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Age 21+",12077.14,12077.14,184.8,184.8,4
CDM,807567,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Age Under 21",12077.14,12077.14,188.16,188.16,4
CDM,807567,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Other Outpatient",12077.14,12077.14,210.0,210.0,6
CDM,807567,APC DUP/DEL VARIANTS,12077.14,12077.14,845.4,12077.14,47
CDM,807569,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",6099.07,6099.07,60.67,543.92,72
CDM,807569,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Age 21+",6099.07,6099.07,93.43,93.43,4
CDM,807569,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Age Under 21",6099.07,6099.07,95.13,95.13,4
CDM,807569,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Other Outpatient",6099.07,6099.07,106.18,106.18,6
CDM,807569,GJB2 FULL GENE SEQ,6099.07,6099.07,426.93,6099.07,47
CDM,807571,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",4269.35,4269.35,21.0,188.02,72
CDM,807571,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Age 21+",4269.35,4269.35,32.34,32.34,4
CDM,807571,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Age Under 21",4269.35,4269.35,32.93,32.93,4
CDM,807571,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Other Outpatient",4269.35,4269.35,36.75,36.75,6
CDM,807571,GJB6 COMMON VARIANTS,4269.35,4269.35,298.85,4269.35,47
CDM,807573,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",13663.24,13663.24,360.0,3232.69,72
CDM,807573,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Age 21+",13663.24,13663.24,554.4,554.4,4
CDM,807573,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Age Under 21",13663.24,13663.24,564.48,564.48,4
CDM,807573,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Other Outpatient",13663.24,13663.24,630.0,630.0,6
CDM,807573,PTEN FULL SEQ ANALYSIS,13663.24,13663.24,956.43,13663.24,47
CDM,807579,MOLPATH TIER 2 LEVEL 3,3415.8,3415.8,239.11,3415.8,47
CDM,807581,MOLPATH TIER 2 LEVEL 7,14129.52,14129.52,989.07,14129.52,47
CDM,807582,MOLPATH TIER 2 LEVEL 8,42690.33,42690.33,2988.32,42690.33,47
CDM,807582,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",42690.33,42690.33,507.76,4557.89,86
CDM,807583,UNLISTED MOLPATH & GSP,17922.9,17922.9,1254.6,17922.9,58
CDM,807593,IMMUKNOW ATP ICFA TRANSP,2279.89,2279.89,159.59,2279.89,47
CDM,807595,HLA TYP AB QL CL1&CL2,2725.22,2725.22,190.77,2725.22,47
CDM,807596,HLA TYP AB QL CL1 OR CL2,2725.22,2725.22,190.77,2725.22,47
CDM,807599,HLA TYPAB IDHIDEF QL CL1,2725.22,2725.22,190.77,2725.22,47
CDM,807601,HLA TYPAB IDHIDEF QL CL2,2725.22,2725.22,190.77,2725.22,47
CDM,807602,HLA TYP AB SEMIQN PAN C1,6099.07,6099.07,426.93,6099.07,47
CDM,807603,HLA TYP AB SEMIQN PAN C2,6099.07,6099.07,426.93,6099.07,47
CDM,807611,HEPATITIS B GENOTYPE,4269.35,4269.35,298.85,4269.35,47
CDM,807611,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,4269.35,4269.35,154.47,1387.28,74
CDM,807611,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Age 21+,4269.35,4269.35,237.89,237.89,4
CDM,807611,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Age Under 21,4269.35,4269.35,242.21,242.21,4
CDM,807611,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Other Outpatient,4269.35,4269.35,270.32,270.32,6
CDM,807614,HLA 1 TYPING COMPLETE LR,5489.17,5489.17,384.24,5489.17,46
CDM,807619,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",17561.47,17561.47,194.75,1748.68,72
CDM,807619,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Age 21+",17561.47,17561.47,299.92,299.92,4
CDM,807619,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Age Under 21",17561.47,17561.47,305.37,305.37,4
CDM,807619,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Other Outpatient",17561.47,17561.47,340.81,340.81,6
CDM,807619,EGFR COMMON VARIANTS,17561.47,17561.47,1229.3,17561.47,47
CDM,807621,MICROSATELLITE INSTABILI,7806.17,7806.17,546.43,7806.17,47
CDM,807621,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",7806.17,7806.17,209.14,1878.24,86
CDM,807622,BRAF V600 VARIANTS,3301.24,3301.24,231.09,3301.24,47
CDM,807623,HLA 1 TYP A LOC HR EA,4269.35,4269.35,298.85,4269.35,46
CDM,807625,UNLISTED MOLPATH & GSP,3659.44,3659.44,256.16,3659.44,58
CDM,807626,MOLPATH TIER 2 LEVEL 3,3415.8,3415.8,239.11,3415.8,47
CDM,807627,PM/SCL-100 AB QL IA,880.98,880.98,61.67,880.98,47
CDM,807628,FIBRILLARIN U3 RNP QL IA,1552.21,1552.21,108.65,1552.21,47
CDM,807629,JAK2 V617F VARIANT,4269.35,4269.35,298.85,4269.35,47
CDM,807649,HLA 2 TP DQA 1 LOC HR EA,2975.32,2975.32,208.27,2975.32,46
CDM,807653,HLA 2 TP DQB 1 LOC HR EA,2975.32,2975.32,208.27,2975.32,46
CDM,807673,CHROMATIN AB,111.62,111.62,7.81,111.62,47
CDM,807678,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",446.94,446.94,21.05,189.83,74
CDM,807678,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Age 21+",446.94,446.94,32.43,32.43,4
CDM,807678,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Age Under 21",446.94,446.94,33.02,33.02,4
CDM,807678,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Other Outpatient",446.94,446.94,36.84,36.84,6
CDM,807678,STREP GROUP A AMP PROBE,446.94,446.94,31.29,446.94,47
CDM,807687,ORGANISM ID AMP PROB MUL,3367.4,3367.4,235.72,3367.4,47
CDM,807689,STR MARKERS SPECIMEN ANA,2623.58,2623.58,183.65,2623.58,47
CDM,807691,ACETONE BLD QL,56.47,56.47,3.95,56.47,47
CDM,807691,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",56.47,56.47,2.71,23.76,74
CDM,807691,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Age 21+",56.47,56.47,4.18,4.18,4
CDM,807691,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Age Under 21",56.47,56.47,4.26,4.26,4
CDM,807691,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Other Outpatient",56.47,56.47,4.75,4.75,6
CDM,807692,GRANULOCYTES BUFFY IR EA,13303.31,13303.31,931.23,13303.31,67
CDM,807693,MOLPATH TIER 2 LEVEL 5,3293.17,3293.17,230.52,3293.17,47
CDM,807694,MOLPATH TIER 2 LEVEL 4,2349.27,2349.27,164.45,2349.27,47
CDM,807703,ATG16L1 1SNP (RS2241880),482.45,482.45,33.77,482.45,58
CDM,807705,ECM1 SNP (RS3737240),482.45,482.45,33.77,482.45,58
CDM,807711,NKX2-3 SNP (RS10883365),482.45,482.45,33.77,482.45,58
CDM,807719,CAMPYLOBACTER AMP PRO,490.52,490.52,34.34,490.52,47
CDM,807722,CLOST DIFF TOX A/B AMP P,490.52,490.52,34.34,490.52,47
CDM,807723,CRYPTOSPORIDIUM AMP P,490.52,490.52,34.34,490.52,47
CDM,807724,E COLI O157 AMP PRO,490.52,490.52,34.34,490.52,47
CDM,807725,ENTEROTOX E COLI AMP PR,490.52,490.52,34.34,490.52,47
CDM,807726,GIARDIA LAMBLIA AMP PRO,490.52,490.52,34.34,490.52,47
CDM,807729,NOROVIRUS GI/GII AMP PRO,490.52,490.52,34.34,490.52,47
CDM,807733,ROTAVIRUS A AMP PRO,490.52,490.52,34.34,490.52,47
CDM,807734,SALMONELLA AMP PRO,490.52,490.52,34.34,490.52,47
CDM,807735,SHIGA TOXIN STEC AMP PRO,490.52,490.52,34.34,490.52,47
CDM,807736,SHIGELLA AMP PRO,490.52,490.52,34.34,490.52,47
CDM,807777,GAMMA GT,1001.99,1001.99,70.14,1001.99,47
CDM,807793,"Blood count; reticulocyte, automated ",605.07,605.07,2.39,21.89,74
CDM,807793,"Blood count; reticulocyte, automated Age 21+",605.07,605.07,3.69,3.69,4
CDM,807793,"Blood count; reticulocyte, automated Age Under 21",605.07,605.07,3.75,3.75,4
CDM,807793,"Blood count; reticulocyte, automated Other Outpatient",605.07,605.07,4.19,4.19,6
CDM,807793,RETIC COUNT AUTO,605.07,605.07,42.35,605.07,47
CDM,807794,RSV AG IFT,337.23,337.23,23.61,337.23,47
CDM,807815,ANTI-INFLIXIMAB AB CLA,271.07,271.07,18.97,271.07,47
CDM,807820,PATH CONS EXTENDED REF,982.63,982.63,68.78,982.63,48
CDM,807846,HLA TYP AB QL CL1&CL2,2725.22,2725.22,190.77,2725.22,47
CDM,807848,HLA TYP AB QL CL1 OR CL2,2725.22,2725.22,190.77,2725.22,47
CDM,807858,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",1026.2,1026.2,168.0,1507.71,72
CDM,807858,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Age 21+",1026.2,1026.2,258.72,258.72,4
CDM,807858,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Age Under 21",1026.2,1026.2,263.42,263.42,4
CDM,807858,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Other Outpatient",1026.2,1026.2,294.0,294.0,6
CDM,807858,APC KNOWN FAM VARIANTS,1026.2,1026.2,71.83,1026.2,47
CDM,807859,FLT3 INTERNAL TANDEM DUP,3415.8,3415.8,239.11,3415.8,47
CDM,807861,NPM1 EXON 12 VARIANTS,3659.44,3659.44,256.16,3659.44,47
CDM,807862,MOLPATH TIER 2 LEVEL 6,4051.54,4051.54,283.61,4051.54,47
CDM,807863,TARGETED MUT GENE SEQ,4685.64,4685.64,327.99,4685.64,58
CDM,807867,PROSTATE BIOP ANY METHOD,2258.92,2258.92,158.12,2258.92,49
CDM,807867,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",2258.92,2258.92,278.3,1013.4,16
CDM,807915,MUT FULL GENE SEQ,5445.61,5445.61,381.19,5445.61,47
CDM,807917,HLA TYPAB IDHIDEF QL CL1,2725.22,2725.22,190.77,2725.22,47
CDM,807918,HLA TYPAB IDHIDEF QL CL2,2725.22,2725.22,190.77,2725.22,47
CDM,807935,"Gastric acid analysis, includes pH if performed, each specimen ",475.99,475.99,4.03,36.51,74
CDM,807935,"Gastric acid analysis, includes pH if performed, each specimen Age 21+",475.99,475.99,6.2,6.2,4
CDM,807935,"Gastric acid analysis, includes pH if performed, each specimen Age Under 21",475.99,475.99,6.32,6.32,4
CDM,807935,"Gastric acid analysis, includes pH if performed, each specimen Other Outpatient",475.99,475.99,7.05,7.05,6
CDM,807935,PH GASTRIC FLUID,475.99,475.99,33.32,475.99,47
CDM,807943,HLA AB SCN FLOW,1527.99,1527.99,106.96,1527.99,47
CDM,807944,HLA AB SCN FLOW,774.47,774.47,54.21,774.47,47
CDM,807945,NK FUNCTION,2020.11,2020.11,141.41,2020.11,47
CDM,807947,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",984.23,984.23,21.05,189.83,74
CDM,807947,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age 21+",984.23,984.23,32.43,32.43,4
CDM,807947,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age Under 21",984.23,984.23,33.02,33.02,4
CDM,807947,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Other Outpatient",984.23,984.23,36.84,36.84,6
CDM,807947,TRICH VAGINALIS AMP PRBE,984.23,984.23,68.9,984.23,47
CDM,807950,CULT TYPING SEQ EA ISO,1715.16,1715.16,120.06,1715.16,47
CDM,807950,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",1715.16,1715.16,69.22,620.64,74
CDM,807950,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Age 21+",1715.16,1715.16,106.59,106.59,4
CDM,807950,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Age Under 21",1715.16,1715.16,108.53,108.53,4
CDM,807950,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Other Outpatient",1715.16,1715.16,121.13,121.13,6
CDM,807954,CHIKUNGUNYA AB IGG,1000.37,1000.37,70.03,1000.37,47
CDM,807955,CHIKUNGUNYA AB IGM,1000.37,1000.37,70.03,1000.37,47
CDM,807957,INSERT TEMP BLADDER CATH,868.29,868.29,60.78,868.29,64
CDM,807958,CULT TYPING AMP PROBE,522.77,522.77,36.59,522.77,47
CDM,807958,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",522.77,522.77,21.05,189.83,74
CDM,807958,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Age 21+",522.77,522.77,32.43,32.43,4
CDM,807958,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Age Under 21",522.77,522.77,33.02,33.02,4
CDM,807958,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Other Outpatient",522.77,522.77,36.84,36.84,6
CDM,807989,IHC EA ADD AB ST SPEC,1600.6,1600.6,112.04,1600.6,54
CDM,808056,MORPH ANAL MAN MLP PROBE,1410.2,1410.2,98.71,1410.2,48
CDM,808059,BUTANE OR ISOBUTANE QN,705.11,705.11,49.36,705.11,47
CDM,808146,MORPH ANAL CMP MLP PROBE,1190.76,1190.76,83.35,1190.76,48
CDM,808164,IMMUKNOW TETANUS AG,1211.76,1211.76,84.82,1211.76,47
CDM,808188,DRUG TEST DEF 1-7 CLASS,748.67,748.67,52.41,748.67,48
CDM,808189,DRUG TEST DEF 15-21 CLAS,1552.21,1552.21,108.65,1552.21,48
CDM,808190,DRUG TEST DEF 22OR> CLAS,2012.05,2012.05,140.84,2012.05,48
CDM,808191,DRUG TEST DEF 8-14 CLASS,1150.43,1150.43,80.53,1150.43,48
CDM,808201,ABL1 VARS KINASE DOMAIN,3301.24,3301.24,231.09,3301.24,47
CDM,808202,KIT TARGET SEQ ANAL GIST,5048.68,5048.68,353.41,5048.68,47
CDM,808203,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",1076.22,1076.22,74.92,671.72,72
CDM,808203,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Age 21+",1076.22,1076.22,115.38,115.38,4
CDM,808203,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Age Under 21",1076.22,1076.22,117.48,117.48,4
CDM,808203,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Other Outpatient",1076.22,1076.22,131.11,131.11,6
CDM,808203,KIT GENE ANAL D816 VAR'S,1076.22,1076.22,75.34,1076.22,47
CDM,808205,TIS BSMNT MIGIF IND ADDL,824.5,824.5,57.72,824.5,54
CDM,808206,IF PER SPEC EA ADDL AB S,1642.56,1642.56,114.98,1642.56,54
CDM,808207,TISS NEUT AB IGG IFA IND,864.86,864.86,60.54,864.86,54
CDM,808208,TISS NEUT AB IGG IFA IND,864.86,864.86,60.54,864.86,54
CDM,808212,RODENTICIDE QL HPLC,903.55,903.55,63.25,903.55,47
CDM,808213,ORGANOPHOSPHT SCR TLC,519.56,519.56,36.37,519.56,47
CDM,808214,THIN LAYER CHROM QL,1862.0,1862.0,130.34,1862.0,64
CDM,808215,GC MS QUALITATIVE,1082.66,1082.66,75.79,1082.66,47
CDM,808216,GC MS ISOTOPE SINGLE QN,2725.22,2725.22,190.77,2725.22,47
CDM,808217,GC MS ISOTOPE MULTI QN,822.9,822.9,57.6,822.9,47
CDM,808218,ACYLGLYCINES UA SID MULT,2060.45,2060.45,144.23,2060.45,47
CDM,808219,MASS SPEC QL EACH SPEC,2213.73,2213.73,154.96,2213.73,47
CDM,808220,HOLO-TC VIT B QN,1518.31,1518.31,106.28,1518.31,47
CDM,808239,SCLEROTHRPY FLD COLLECT,8286.81,8286.81,580.08,8286.81,64
CDM,808240,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",4564.63,4564.63,177.47,1593.5,59
CDM,808240,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) Other Outpatient",4564.63,4564.63,310.58,310.58,6
CDM,808240,NRAS EXON 2&3 VARIANTS,4564.63,4564.63,319.52,4564.63,47
CDM,808246,DONOR HIV-1/HCV/HBV NAT,472.09,472.09,33.05,472.09,47
CDM,808309,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",838.13,838.13,74.78,671.72,72
CDM,808309,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Age 21+",838.13,838.13,115.17,115.17,4
CDM,808309,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Age Under 21",838.13,838.13,117.26,117.26,4
CDM,808309,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Other Outpatient",838.13,838.13,130.87,130.87,6
CDM,808309,MGMT PROMOTER METHLATED,838.13,838.13,58.67,838.13,47
CDM,842989,INSERT TIB KN SZ4 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,844146,CMPNT PTLR KN 10MM 32MM,9804.0,9804.0,1078.44,9804.0,57
CDM,844154,INSERT BRNG KN TIB4 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,844155,INSERT TIB KN SZ4 11MM,24510.0,24510.0,2696.1,24510.0,57
CDM,848920,BLN AVTR+ RX 5X2X142,5623.0,5623.0,393.61,5623.0,71
CDM,848953,BLN AVTR+ RX 4X2X142,5623.0,5623.0,393.61,5623.0,71
CDM,848972,PLATE BN MINI 4H,3432.0,3432.0,377.52,3432.0,57
CDM,848976,SCREW BN 8-PLATE16MM,3979.0,3979.0,437.69,3979.0,57
CDM,848983,INSERT TIBIAL CON 6/19,11655.0,11655.0,1282.05,11655.0,57
CDM,849009,CMPNT FEM KN XL,27336.0,27336.0,3006.96,27336.0,57
CDM,849012,INSERT TIB KN SZ3 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,849044,CMPNT FEM HIP 28MM 43MM,11610.0,11610.0,1277.1,11610.0,57
CDM,849047,BEARING E1 40MM RNGLC 26,19350.0,19350.0,2128.5,19350.0,57
CDM,849050,SCREW BN NLCK 3.5MM 26MM,1277.0,1277.0,140.47,1277.0,57
CDM,849053,STEM FEM HIP 8MM 136MM,43860.0,43860.0,4824.6,43860.0,57
CDM,849054,STEM FEM HIP 14MM 148MM,45385.0,45385.0,4992.35,45385.0,57
CDM,849062,GRAFT HMDIAL 5MM 40CM,52176.0,52176.0,5739.36,52176.0,57
CDM,849070,SCREW BN 6.5MM 30MM,1542.0,1542.0,169.62,1542.0,57
CDM,849073,STYLET LD KIT ACC 17CM,1599.0,1599.0,111.93,1599.0,71
CDM,849101,CMPNT KN FEM LM/RL SZ5,35346.0,35346.0,3888.06,35346.0,57
CDM,849129,SCREW BN 3MM 22MM,3247.0,3247.0,357.17,3247.0,57
CDM,849133,MESH PLATE 78X78X1.2MM,42920.0,42920.0,4721.2,42920.0,57
CDM,849134,MESH PLATE 48X48X1.2MM,27484.0,27484.0,3023.24,27484.0,57
CDM,849167,SCREW BN 2.7MM 24MM,750.0,750.0,82.5,750.0,57
CDM,849175,TROCAR LAPSCP 5MM 100MM,2174.0,2174.0,152.18,2174.0,71
CDM,849191,COIL EMBL 7CM 3MM PLTN,1696.0,1696.0,186.56,1696.0,57
CDM,849214,TRAY TIB KN DISP,1599.0,1599.0,111.93,1599.0,71
CDM,849216,SHELL ACTB HIP TPR4 58MM,23220.0,23220.0,2554.2,23220.0,57
CDM,849220,TROCAR LAPSCP 11MM 100MM,2549.0,2549.0,178.43,2549.0,71
CDM,849234,SCREW BN SPN 6.5MM 45MM,21514.0,21514.0,2366.54,21514.0,57
CDM,849262,DEVICE VNTRC AST POW MOD,131235.0,131235.0,9186.45,131235.0,57
CDM,849263,DEVICE VNTRC ASST BTRY,118111.0,118111.0,8267.77,118111.0,57
CDM,849265,BATTERY REPL LVAD,11433.0,11433.0,800.31,11433.0,57
CDM,849266,BAG TRANSPORT MEDIUM,7430.0,7430.0,520.1,7430.0,57
CDM,849280,RASP SURG 11X5.5MM,3104.0,3104.0,217.28,3104.0,71
CDM,849285,HEAD FEM HIP 0D 28X44MM,95670.0,95670.0,10523.7,95670.0,57
CDM,849290,CATH 2FLW SET 9FX12CM,2174.0,2174.0,152.18,2174.0,71
CDM,849291,CATH 2FLW SET 9FX15CM,2174.0,2174.0,152.18,2174.0,71
CDM,849292,CATH BLNDIL 1.5MM 8MM,3713.0,3713.0,259.91,3713.0,71
CDM,849293,CATH BLNDIL 1.5MM 12MM,3713.0,3713.0,259.91,3713.0,71
CDM,849294,CATH BLNDIL 15MM 1.50MM,3936.0,3936.0,275.52,3936.0,71
CDM,849301,STEM FEM KN 120MM 12MM,22501.0,22501.0,2475.11,22501.0,57
CDM,849310,RELOAD STPLR 30MM,5623.0,5623.0,618.53,5623.0,57
CDM,849311,HALO VEST MED,45651.0,45651.0,3195.57,45651.0,71
CDM,849314,PLATE MXLFCL 4 HL STR 8M,2962.0,2962.0,325.82,2962.0,57
CDM,849315,GRAFT SFT TSS PRNS 22CM,19337.0,19337.0,2127.07,19337.0,57
CDM,849327,SCREW BN 2.3MM 11MM,1009.0,1009.0,110.99,1009.0,57
CDM,849328,SCREW BN LCK 2.3X13MM,1009.0,1009.0,110.99,1009.0,57
CDM,849329,PLATE BN LG 15F 317MM,28807.0,28807.0,3168.77,28807.0,57
CDM,849348,PLATE BN 0.6X100X100M,29218.0,29218.0,3213.98,29218.0,57
CDM,849355,PLATE BN 2H 2.7/3.5X90MM,18881.0,18881.0,2076.91,18881.0,57
CDM,849371,PLATE BN PRX HUM 3 H,30248.0,30248.0,3327.28,30248.0,57
CDM,849376,SCREW BN 4.0MM 50MM,5179.0,5179.0,569.69,5179.0,57
CDM,849381,STEM FEM KN 14X150MM,86183.0,86183.0,9480.13,86183.0,57
CDM,849404,GUARD PIN .035IN,512.0,512.0,35.84,512.0,71
CDM,849407,SCREW BN LCK 2.7MM 12MM,2518.0,2518.0,276.98,2518.0,57
CDM,849409,NEEDLE ASP 21G 20-40MM,4236.0,4236.0,296.52,4236.0,71
CDM,849460,TAMP BONE INFL 10/2,14833.0,14833.0,1038.31,14833.0,71
CDM,849461,DEVICE BN BX SZ2 10GA,4386.0,4386.0,307.02,4386.0,71
CDM,849474,SCREW BN 3.5MM 30MM,750.0,750.0,82.5,750.0,57
CDM,849480,PLATE BN 8HL 104MM,8600.0,8600.0,946.0,8600.0,57
CDM,849487,DEVICE ENDO SZ0 48IN,3133.0,3133.0,219.31,3133.0,71
CDM,849498,HEAD FEM HIP 3MM 32MM,22960.0,22960.0,2525.6,22960.0,57
CDM,849501,STENT TRCHBR 6FR 5X16MM,49238.0,49238.0,5416.18,49238.0,57
CDM,849505,STENT TRCHBR 6FR 6X22MM,48580.0,48580.0,5343.8,48580.0,57
CDM,849507,STENT TRCHBR 7FR 7X16MM,46543.0,46543.0,5119.73,46543.0,57
CDM,849535,SCREW BN 1.5MM 5MM,1793.0,1793.0,197.23,1793.0,57
CDM,849541,PROSTH ACTB HIP H PLUG,1131.0,1131.0,124.41,1131.0,57
CDM,849546,CATH BLNDIL 26MM 4X100CM,11993.0,11993.0,839.51,11993.0,71
CDM,849570,BASEPLATE TIB UNV SZ1,25800.0,25800.0,2838.0,25800.0,57
CDM,849677,PLATE BN 170X13.5X4.2MM,8570.0,8570.0,942.7,8570.0,57
CDM,849682,STEM CMNT KN 12X100MM,19623.0,19623.0,2158.53,19623.0,57
CDM,849683,BASEPLATE TIB UNV SZ4,25800.0,25800.0,2838.0,25800.0,57
CDM,849743,INSERT KN ARTC 5-6 15MM,33916.0,33916.0,3730.76,33916.0,57
CDM,849744,BASEPLATE TIB KN RT SZ6,56712.0,56712.0,6238.32,56712.0,57
CDM,849745,COMPNT FEM KN RT SZ6,87888.0,87888.0,9667.68,87888.0,57
CDM,849749,INSERT TIB KN SZ5 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,849755,HEMOSTAT ABS 1GM,3561.0,3561.0,249.27,3561.0,71
CDM,849780,LIGATOR FLSH CLIP 4MM,3321.0,3321.0,365.31,3321.0,57
CDM,849793,PIN FX STNM 9/32IN 9IN,460.0,460.0,32.2,460.0,71
CDM,849794,PIN FX STMN 1/8IN 9IN,221.0,221.0,15.47,221.0,71
CDM,849796,PIN FX 3/16IN 9IN,280.0,280.0,19.6,280.0,71
CDM,849797,PIN STEIN 5/32 9IN,694.0,694.0,48.58,694.0,71
CDM,849798,PIN STEIN 7/64 9IN,460.0,460.0,32.2,460.0,71
CDM,849799,PIN EXFX STNMN 9X9/64IN,574.0,574.0,40.18,574.0,71
CDM,849832,SUTURE STEEL CCS 7-0,707.0,707.0,49.49,707.0,71
CDM,849837,DEVICE SUT LAP 10MM 15IN,11433.0,11433.0,800.31,11433.0,71
CDM,849838,DEVICE ENDO SZ2-0 48IN,2730.0,2730.0,191.1,2730.0,71
CDM,849839,DEVICE ENDO SZ0 48IN,3096.0,3096.0,216.72,3096.0,71
CDM,849912,DEVICE INFL 20CC,2585.0,2585.0,180.95,2585.0,71
CDM,849963,STENT BILI 8X30MM 120CM,13964.0,13964.0,1536.04,13964.0,57
CDM,849975,CATH BLNDIL 5MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,849976,CATH BLNDIL 5MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,849977,CATH BLNDIL 7MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,849996,IMPLANT BREAST 550CC,13790.0,13790.0,1516.9,13790.0,57
CDM,849998,IMPLANT BREAST 700CC,13790.0,13790.0,1516.9,13790.0,57
CDM,850059,ANCHOR SUT SZ2 36IN,12968.0,12968.0,1426.48,12968.0,57
CDM,850061,DEVICE CLSR 8FR .038IN,5138.0,5138.0,565.18,5138.0,57
CDM,850092,SCREW BN 1.5MM 4MM,1182.0,1182.0,130.02,1182.0,57
CDM,850105,GRAFT BN FIB SHFT14-18MM,4161.0,4161.0,457.71,4161.0,57
CDM,850136,CATH ANGIO 7FR 110CM,5623.0,5623.0,393.61,5623.0,71
CDM,850152,BIT DRILL 1.1MM,5623.0,5623.0,393.61,5623.0,71
CDM,850154,PLATE BN SS L197MM,25342.0,25342.0,2787.62,25342.0,57
CDM,850160,SCREW BN 2.7MM 50MM,2024.0,2024.0,222.64,2024.0,57
CDM,850177,CLAMP EX FIX LG,7241.0,7241.0,506.87,7241.0,71
CDM,850254,AGENT HEMOSTAT PLANT 5GM,5623.0,5623.0,393.61,5623.0,71
CDM,850307,ENDOSCOPE DISP WKG,23281.0,23281.0,1629.67,23281.0,71
CDM,850311,DEVICE SUR FAST 5MM 31CM,5623.0,5623.0,393.61,5623.0,71
CDM,850371,SCREW BN 4MM 3.4MM 38MM,2849.0,2849.0,313.39,2849.0,57
CDM,850377,INSERT FEM HIP 3 28MM,38700.0,38700.0,4257.0,38700.0,57
CDM,850384,BASEPLATE TIB KN UNV SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,850387,STEM CMNT 12X50MM,19623.0,19623.0,2158.53,19623.0,57
CDM,850392,DRESSING ABS ANMC 4X4IN,417.0,417.0,29.19,417.0,71
CDM,850430,STEM FEM KN 18MM 120MM,20485.0,20485.0,2253.35,20485.0,57
CDM,850439,DRESSING GEL 40G,1599.0,1599.0,111.93,1599.0,71
CDM,850570,BANDAGE ZINC OX 4INX10YD,136.0,136.0,9.52,136.0,71
CDM,850579,COIL EMBL 14CM 4MM,1854.0,1854.0,203.94,1854.0,57
CDM,850595,BLADE HLCL 11X115,10646.0,10646.0,1171.06,10646.0,57
CDM,850596,PLATE BN 18MM RT L SHP,3432.0,3432.0,377.52,3432.0,57
CDM,850598,PLATE MIC LNDRF L3MM,4647.0,4647.0,511.17,4647.0,57
CDM,850604,PLATE BN TI LT L P 18MM,3432.0,3432.0,377.52,3432.0,57
CDM,850612,PLATE T BN 3HL 32MM,3625.0,3625.0,398.75,3625.0,57
CDM,850613,PLATE BN 3HL 17MM,5096.0,5096.0,560.56,5096.0,57
CDM,850614,PLATE BN 4HL 23MM,908.0,908.0,99.88,908.0,57
CDM,850615,PLATE BN RT 2HL 20MM,2262.0,2262.0,248.82,2262.0,57
CDM,850616,PLATE T BN 2HL 18MM,822.0,822.0,90.42,822.0,57
CDM,850618,PLATE 1/3 TUBLR 5HL 25MM,1642.0,1642.0,180.62,1642.0,57
CDM,850620,PLATE 1/3 TBLR 97MM 8HL,1753.0,1753.0,192.83,1753.0,57
CDM,850621,PLATE BN QTR 4HL 31MM,1042.0,1042.0,114.62,1042.0,57
CDM,850622,PLATE BN QTR 5HL 39MM,1224.0,1224.0,134.64,1224.0,57
CDM,850623,PLATE BN QTR 6HL 47MM,1842.0,1842.0,202.62,1842.0,57
CDM,850624,SCREW MXFCL MIC 2.7X8,2532.0,2532.0,278.52,2532.0,57
CDM,850628,PLATE MINI REG 16HL 2MM,3103.0,3103.0,341.33,3103.0,57
CDM,850629,PLATE BN MXFCL RT 2.0MM,3584.0,3584.0,394.24,3584.0,57
CDM,850630,PLATE BN MXFCL .6MM,3301.0,3301.0,363.11,3301.0,57
CDM,850631,PLATE BN MXFCL LNG 0.6MM,3584.0,3584.0,394.24,3584.0,57
CDM,850632,PLATE BN MXFCL LNG 0.6MM,3584.0,3584.0,394.24,3584.0,57
CDM,850634,PLATE BN MXFCL REG .6MM,3931.0,3931.0,432.41,3931.0,57
CDM,850637,PLATE MED F/1.5 SCRW,1906.0,1906.0,209.66,1906.0,57
CDM,850639,PLATE MXFCL 8HL F1.5SC,2117.0,2117.0,232.87,2117.0,57
CDM,850642,PLATE REG X MICRO MXFCL,4402.0,4402.0,484.22,4402.0,57
CDM,850644,PLATE BN 8HL 49MM,2412.0,2412.0,265.32,2412.0,57
CDM,850716,SCREW BN 2.3MM 6MM,1230.0,1230.0,135.3,1230.0,57
CDM,850718,PLATE R RIGID 23MM,3391.0,3391.0,373.01,3391.0,57
CDM,850732,SCREW BN 2MM 10MM,750.0,750.0,82.5,750.0,57
CDM,850733,PLATE BN 6HL 2MM 45MM,3802.0,3802.0,418.22,3802.0,57
CDM,850783,CLSRE FMSTP CMPRSS GLD,3374.0,3374.0,236.18,3374.0,71
CDM,850789,KIT STIMULATOR PROGRAMME,18725.0,18725.0,1310.75,18725.0,71
CDM,850793,BLADE IM 12.5MM 65MM,7417.0,7417.0,815.87,7417.0,57
CDM,850812,INSERT TIB KN 13MM,24510.0,24510.0,2696.1,24510.0,57
CDM,850817,CATH DRN MEDIASTIN 9MM,943.0,943.0,66.01,943.0,71
CDM,850823,APPLIER INT CLIP MD/LG,3058.0,3058.0,336.38,3058.0,57
CDM,850842,KWIRE FX 150MM 1.4MM,384.0,384.0,26.88,384.0,71
CDM,850903,PLATE Y 8HL 3LF 1.5TI,3460.0,3460.0,380.6,3460.0,57
CDM,850908,CLIP LIGATING LG,750.0,750.0,82.5,750.0,57
CDM,850909,CLIP LIGATING MED,750.0,750.0,82.5,750.0,57
CDM,850911,CLIP LIGATING MED LG,750.0,750.0,82.5,750.0,57
CDM,850912,CLIP LIGATING SM,750.0,750.0,82.5,750.0,57
CDM,850920,PLATE T BN 2X7HL 2X53MM,6416.0,6416.0,705.76,6416.0,57
CDM,850922,PLATE BN 3H 2.4MM 58MM,12285.0,12285.0,1351.35,12285.0,57
CDM,850973,CATH XTRN CSF DRN 1.5MM,10790.0,10790.0,755.3,10790.0,71
CDM,850979,SUMP CARDIAC SUC 20FR,698.0,698.0,48.86,698.0,71
CDM,850981,GWIRE SNSR ENDO .035X150,1599.0,1599.0,111.93,1599.0,71
CDM,850983,STAPLER CUTTER 75MM,3754.0,3754.0,262.78,3754.0,71
CDM,850993,BASEPLATE TIB KN UNV SZ2,25800.0,25800.0,2838.0,25800.0,57
CDM,851023,RESERV BURR HLE6.4X0.8MM,5323.0,5323.0,585.53,5323.0,57
CDM,851024,PLATE BN 4H 12MM,6248.0,6248.0,687.28,6248.0,57
CDM,851028,PLATE ORTHO LEFT L13MM,3626.0,3626.0,398.86,3626.0,57
CDM,851029,PLATE BN MXLFCL 22MM,3626.0,3626.0,398.86,3626.0,57
CDM,851035,STAPLE REINF STRL 60MM,5623.0,5623.0,393.61,5623.0,71
CDM,851036,PLATE BN HUM 8HL 194MM,22587.0,22587.0,2484.57,22587.0,57
CDM,851089,PLATE MXLFCL LT 210-0048,3781.0,3781.0,415.91,3781.0,57
CDM,851092,PLATE BN MXLFCL 7HL Y,3689.0,3689.0,405.79,3689.0,57
CDM,851094,SUTURE BLK MONO 7-0 24IN,3061.0,3061.0,214.27,3061.0,71
CDM,851104,STNT SFA VBHN 5X2.5X120,16671.0,16671.0,1833.81,16671.0,57
CDM,851134,GWIRE ANGL 0.038IN 180CM,1651.0,1651.0,115.57,1651.0,71
CDM,851144,SCREW BNE TI L10MM OD2.4,1315.0,1315.0,144.65,1315.0,57
CDM,851163,PLATE ZED MIDFACE RT 9MM,3698.0,3698.0,406.78,3698.0,57
CDM,851166,COUPLER ANSTM 2.5MM,8118.0,8118.0,892.98,8118.0,57
CDM,851228,PLATE BN 8HL 3.5X194MM,25174.0,25174.0,2769.14,25174.0,57
CDM,851242,SCREW BN 4X10MM,750.0,750.0,82.5,750.0,57
CDM,851243,SCREW BN 4X12MM,750.0,750.0,82.5,750.0,57
CDM,851250,SCREW 4.0 TI CANC BNE,750.0,750.0,82.5,750.0,57
CDM,851265,NAIL BN 1.5MM 300MM,5143.0,5143.0,565.73,5143.0,57
CDM,851270,CUFF URTH SPHNCR AB 4CM,137575.0,137575.0,15133.25,137575.0,57
CDM,851271,KIT ACCESSORY CONN,24699.0,24699.0,1728.93,24699.0,71
CDM,851272,PUMP CONTRL URN AB SYS,132470.0,132470.0,14571.7,132470.0,57
CDM,851280,SCREW TAP 1.5X4MM RESORB,5932.0,5932.0,652.52,5932.0,57
CDM,851281,PLATE BN 36HL 11MM 90MM,11982.0,11982.0,1318.02,11982.0,57
CDM,851282,COMPNT TIB BRG S71/75X18,35776.0,35776.0,3935.36,35776.0,57
CDM,851284,STEM FEM HIP 11X167MM,63105.0,63105.0,6941.55,63105.0,57
CDM,851337,STENT TRCHBR 14MM 40MMM,43155.0,43155.0,4747.05,43155.0,57
CDM,851344,INSERT ACTB 5.9MM 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,851345,PROSTH OSS 3.0MM 0.2MM,6987.0,6987.0,489.09,6987.0,57
CDM,851357,SLING URTH 0.3MM,16954.0,16954.0,1864.94,16954.0,57
CDM,851373,HELIOX PER HOUR,104.29,104.29,7.3,104.29,71
CDM,851390,BASEPLT TIB KN RT SZ2,23534.0,23534.0,2588.74,23534.0,57
CDM,851401,SUTURE FBRLNK SZ 2 26IN,1131.0,1131.0,124.41,1131.0,57
CDM,851419,GRAFT VASC STD 40CM 6MM,21331.0,21331.0,2346.41,21331.0,57
CDM,851483,DRSNG ADH FOAM PD 8X12IN,1599.0,1599.0,111.93,1599.0,71
CDM,851499,STEM FEM HIP 139MM,36120.0,36120.0,3973.2,36120.0,57
CDM,851508,PLATE SPN 12MM,24045.0,24045.0,2644.95,24045.0,57
CDM,851510,RESTRCTR ELBW CMNT 13MM,3612.0,3612.0,397.32,3612.0,57
CDM,851514,PLATE MICRO 16MM RIGHT L,3781.0,3781.0,415.91,3781.0,57
CDM,851515,PLATE MICRO 13MM LEFT L,3781.0,3781.0,415.91,3781.0,57
CDM,851516,PLATE MICRO 13MM RIGHT L,3781.0,3781.0,415.91,3781.0,57
CDM,851530,PLATE BN HUM 6H 3.5MM,23714.0,23714.0,2608.54,23714.0,57
CDM,851549,SCREW BN 5MM 4.3MM 64MM,2762.0,2762.0,303.82,2762.0,57
CDM,851555,SET INTRO ENDO 12FR 4MM,4498.0,4498.0,314.86,4498.0,71
CDM,851568,IMPLANT BREAST 100CC,20550.0,20550.0,2260.5,20550.0,57
CDM,851611,PERIGUARD PTH PC-0404SN,8390.0,8390.0,922.9,8390.0,57
CDM,851612,GWIRE VASC 265CM .024IN,14085.0,14085.0,985.95,14085.0,71
CDM,851613,CATH EP COAXIAL BMC,6858.0,6858.0,480.06,6858.0,71
CDM,851614,OCLDR AGA VSD 7F 12,156132.0,156132.0,17174.52,156132.0,57
CDM,851634,STEM TIB ANKLE 16MM,18912.0,18912.0,2080.32,18912.0,57
CDM,851635,STEM TIB ANKLE 18MM,19660.0,19660.0,2162.6,19660.0,57
CDM,851658,SCREW BN ACTB 25MM,1524.0,1524.0,167.64,1524.0,57
CDM,851662,SCREW TI 2.0 12 40136297,244.0,244.0,26.84,244.0,57
CDM,851679,CEMENT BN CA PHOS 10ML,38487.0,38487.0,4233.57,38487.0,57
CDM,851692,INSERT TIB KN 9MM,24510.0,24510.0,2696.1,24510.0,57
CDM,851697,SUTURE GRN BRD 2-0 30IN,1599.0,1599.0,111.93,1599.0,71
CDM,851707,STENT URE 6FR 26CM,24455.0,24455.0,2690.05,24455.0,57
CDM,851708,STENT URET 6F 24CM,24455.0,24455.0,2690.05,24455.0,57
CDM,851724,STEM FEM KN 150X12MM,31178.0,31178.0,3429.58,31178.0,57
CDM,851754,PACKING WND 1IN 5YD,120.0,120.0,8.4,120.0,71
CDM,851829,SCREW 35X50 CANC MXLCK,1304.0,1304.0,143.44,1304.0,57
CDM,851834,SCREW BN TEMP 48MM,1827.0,1827.0,127.89,1827.0,71
CDM,851840,SUTURE FBRTP 2MM 36IN,3936.0,3936.0,432.96,3936.0,57
CDM,851858,SCREW BN 6.5MM 80MM,4521.0,4521.0,497.31,4521.0,57
CDM,851859,SCREW BN CANN 6.5X90MM,4521.0,4521.0,497.31,4521.0,57
CDM,851866,COUPLER VASC ANSTM 2MM,10413.0,10413.0,1145.43,10413.0,57
CDM,851898,COMPNT FEM SZ1,64501.0,64501.0,7095.11,64501.0,57
CDM,851915,STAPLER INT CIR 4.8X25MM,10922.0,10922.0,764.54,10922.0,71
CDM,851922,STENT DUODENAL 22MM 90MM,53428.0,53428.0,5877.08,53428.0,57
CDM,851947,BUSHNG KN FEM SM,5289.0,5289.0,581.79,5289.0,57
CDM,851957,CABLE BN CRMP 1MM 750MM,8662.0,8662.0,952.82,8662.0,57
CDM,851966,CEMENT BN CA PHOS 15ML,56132.0,56132.0,6174.52,56132.0,57
CDM,851992,CATH PERITONEAL 14CM,6118.0,6118.0,672.98,6118.0,57
CDM,852002,STEM FEM HIP 19MM,64501.0,64501.0,7095.11,64501.0,57
CDM,852003,INSERT ACTB 3.9MM 36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,852009,BAR PETUS STABLE ELONG,13778.0,13778.0,1515.58,13778.0,57
CDM,852010,GRAFT CV 28MM 15CM,56513.0,56513.0,6216.43,56513.0,57
CDM,852011,GRAFT CV 30MM 15CM,56513.0,56513.0,6216.43,56513.0,57
CDM,852029,PLATE BN 6HL 3.5MM 119MM,25468.0,25468.0,2801.48,25468.0,57
CDM,852032,SCREW BN 3.5MM 65MM,2445.0,2445.0,268.95,2445.0,57
CDM,852042,SET DIL 8FR 2.7MM,5623.0,5623.0,393.61,5623.0,71
CDM,852043,DEVICE SUMP PRICRD .25IN,789.0,789.0,55.23,789.0,71
CDM,852149,SCR BN 5MM 4.3MM 66MM,2762.0,2762.0,303.82,2762.0,57
CDM,852157,TUBE ORTH 52 TFLN DISP,5623.0,5623.0,393.61,5623.0,71
CDM,852176,SNARE VASC 2-4MM 175CM,11433.0,11433.0,800.31,11433.0,71
CDM,852177,SNARE VASC 4-8MM 175CM,11433.0,11433.0,800.31,11433.0,71
CDM,852178,SNARE VASC 6F-20X120,7208.0,7208.0,504.56,7208.0,71
CDM,852179,SNARE ESCPC 18-30X120 7F,7208.0,7208.0,504.56,7208.0,71
CDM,852228,STEM FEM KN SHRT 14X80MM,13622.0,13622.0,1498.42,13622.0,57
CDM,852230,INSERT ARTC KN 1-2 15MM,33916.0,33916.0,3730.76,33916.0,57
CDM,852264,PLATE DISTAL RADIUS 66MM,14538.0,14538.0,1599.18,14538.0,57
CDM,852265,SHEATH URET 12/14 L25CM,5299.0,5299.0,370.93,5299.0,71
CDM,852266,CATH ANGIO 5FR 1000CM,3089.0,3089.0,216.23,3089.0,71
CDM,852268,COIL EMBL 2CM 3MM,1686.0,1686.0,185.46,1686.0,57
CDM,852269,COIL EMBL 5CM 5MM,1686.0,1686.0,185.46,1686.0,57
CDM,852270,COIL EMBL 4CM 3MM,1686.0,1686.0,185.46,1686.0,57
CDM,852271,COIL EMBL 3CM 3MM,1771.0,1771.0,194.81,1771.0,57
CDM,852272,COIL EMB MREYE 4X3 2.4LP,1686.0,1686.0,185.46,1686.0,57
CDM,852273,COIL EMBL 3CM 5MM,2163.0,2163.0,237.93,2163.0,57
CDM,852276,SPACER PEEK CRNT40X18X10,47172.0,47172.0,5188.92,47172.0,57
CDM,852324,STEM FEM HIP SZ1 27X96MM,49846.0,49846.0,5483.06,49846.0,57
CDM,852325,BLADE SHAVER SOFT MINI,11433.0,11433.0,800.31,11433.0,71
CDM,852331,BSEPLT TIB KN LM/RL SZ4,25800.0,25800.0,2838.0,25800.0,57
CDM,852333,TROCAR LAPSCP 5MM 100MM,3673.0,3673.0,257.11,3673.0,71
CDM,852376,BIT DRILL 50X1.5X7MM STP,3937.0,3937.0,275.59,3937.0,71
CDM,852383,NAIL BN 8.5MM 255MM,25570.0,25570.0,2812.7,25570.0,57
CDM,852385,REAMER SURG LOPRO 8.5MM,7430.0,7430.0,520.1,7430.0,71
CDM,852450,SCREW BN 5X42MM,3656.0,3656.0,402.16,3656.0,57
CDM,852451,PLATE CRV 3.5MM SCR 14H,13202.0,13202.0,1452.22,13202.0,57
CDM,852455,CEMENT BN CA PHOS 10ML,61237.0,61237.0,6736.07,61237.0,57
CDM,852457,CATH ULTSND 8.5FR 90CM,15742.0,15742.0,1101.94,15742.0,71
CDM,852465,"Collagen based wound filler, dry form, sterile, per gram of collagen ",17247.0,17247.0,37.78,115.65,48
CDM,852465,"Collagen based wound filler, dry form, sterile, per gram of collagen Other Outpatient",17247.0,17247.0,46.35,46.35,6
CDM,852465,STEM HUM 80X18MM CMNTLS,17247.0,17247.0,1207.29,17247.0,59
CDM,852481,SPACER SPN LRDTC 8MM,48089.0,48089.0,5289.79,48089.0,57
CDM,852492,STENT BIL DB 7FR 5CM,1053.0,1053.0,115.83,1053.0,57
CDM,852498,STEN BIL DB 8.5FR 7CM,1069.0,1069.0,117.59,1069.0,57
CDM,852499,STEN BIL DB 8.5FR 9CM,1053.0,1053.0,115.83,1053.0,57
CDM,852504,STEN BIL DB 10FR 5CM,1053.0,1053.0,115.83,1053.0,57
CDM,852510,STENT BIL PGTL 10FR 5CM,1053.0,1053.0,115.83,1053.0,57
CDM,852512,ELECTRODE ESURG LOOP 12D,9986.0,9986.0,699.02,9986.0,71
CDM,852522,STENT VASC 7X27MM 135CM,16251.0,16251.0,1787.61,16251.0,57
CDM,852526,FORCEP BX 1.7MM 110CM,5128.0,5128.0,358.96,5128.0,71
CDM,852544,LAMP SCP 25CM HNDL 240MM,2081.0,2081.0,145.67,2081.0,71
CDM,852552,SCREW SLF TPNG 5X38MM,3656.0,3656.0,402.16,3656.0,57
CDM,852574,STENT BIL PGTL 10FR 7CM,1053.0,1053.0,115.83,1053.0,57
CDM,852576,FORCEP BX 2.8MM 240CM,1502.0,1502.0,105.14,1502.0,71
CDM,852606,CLAMP X-FX HFFMN 5HL PIN,11433.0,11433.0,800.31,11433.0,71
CDM,852611,NEEDLE ASP 1.8MM 130MM,5405.0,5405.0,378.35,5405.0,71
CDM,852612,CATH GD 1.8FR 135CM,7875.0,7875.0,551.25,7875.0,71
CDM,852624,CMPNT FEM CMNT SZ3 LT,41280.0,41280.0,4540.8,41280.0,57
CDM,852634,IMPLANT BREAST 475CC,15413.0,15413.0,1695.43,15413.0,57
CDM,852665,PORT FLX 5MM 12MM,10287.0,10287.0,720.09,10287.0,71
CDM,852672,ELECTRODE ESURG 2CM,1599.0,1599.0,111.93,1599.0,71
CDM,852675,STEM HIP FEM 99MM,49846.0,49846.0,5483.06,49846.0,57
CDM,852724,SYSTEM DLV 8.5FR 202.5CM,2961.0,2961.0,207.27,2961.0,71
CDM,852733,SCREW BN 4MM 44MM,4850.0,4850.0,533.5,4850.0,57
CDM,852735,POWDER COLGN TYPE1 5GM,22370.0,22370.0,1565.9,22370.0,71
CDM,852737,BASEPLATE TIB KN RT SZ2,25800.0,25800.0,2838.0,25800.0,57
CDM,852743,BASEPLATE TIN KN RT SZ6,25800.0,25800.0,2838.0,25800.0,57
CDM,852744,CMPNT FEM KN RM/LL SZ6,35346.0,35346.0,3888.06,35346.0,57
CDM,852805,SCREW BN 5MM 80MM,4134.0,4134.0,454.74,4134.0,57
CDM,852814,STEM FEM KN 20M 150MM,18164.0,18164.0,1998.04,18164.0,57
CDM,852816,PLATE BN CRNMXF 14.5MM,3593.0,3593.0,395.23,3593.0,57
CDM,852836,SCREW BN 3.5MM 20MM,750.0,750.0,82.5,750.0,57
CDM,852843,RELOAD STPLER 45MM,5623.0,5623.0,618.53,5623.0,57
CDM,852844,RELOAD STPLR 60MM,6459.0,6459.0,710.49,6459.0,57
CDM,852903,OSTEOTOME SURG 3IN 12MM,18675.0,18675.0,1307.25,18675.0,71
CDM,852908,PLATE BN 72MM 2.7/3.5MM,20703.0,20703.0,2277.33,20703.0,57
CDM,852909,PLATE BN 2H 73MM,16786.0,16786.0,1846.46,16786.0,57
CDM,852910,SCREW BN 2.7MM 36MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,852911,SCREW BN 2.7MM 54MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,852913,CATH GD 2.5FR 150CM,7943.0,7943.0,556.01,7943.0,71
CDM,852958,CLAMP EX FIX 5HL,12097.0,12097.0,846.79,12097.0,71
CDM,852959,ROD EXFX HFMN3 450X11MM,5623.0,5623.0,393.61,5623.0,71
CDM,852960,GRAFT VASC 15CM 3.5MM,27907.0,27907.0,3069.77,27907.0,57
CDM,852968,SET BX TLAB 18GA,9830.0,9830.0,688.1,9830.0,71
CDM,852997,CATHETER PH MNTR DIGITRP,18227.0,18227.0,1275.89,18227.0,71
CDM,853024,PLATE BN 2.7/3.5MM 111MM,20703.0,20703.0,2277.33,20703.0,57
CDM,853025,SCREW BN 2.7MM 60MM,2427.0,2427.0,266.97,2427.0,57
CDM,853038,GRFAT MNDBL 79X32X10MM,13443.0,13443.0,1478.73,13443.0,57
CDM,853061,CMPNT PTLA KN DOME 38MM,9030.0,9030.0,993.3,9030.0,57
CDM,853062,CMPNT FEM KN SZ6,32250.0,32250.0,3547.5,32250.0,57
CDM,853063,INSERT TIB KN SZ6 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,853065,INSERT TIB KN SZ8 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,853067,CMPNT KN PTLA DOME 41MM,9030.0,9030.0,993.3,9030.0,57
CDM,853068,COMPNT FEM LT KN SZ8,32250.0,32250.0,3547.5,32250.0,57
CDM,853072,TUBE JJNSTM 16FR 30CM,6634.0,6634.0,464.38,6634.0,71
CDM,853073,KIT JJNSTM 22FR 45CM,6782.0,6782.0,474.74,6782.0,71
CDM,853084,CMPNT FEM KN LM/RL SZ4,35346.0,35346.0,3888.06,35346.0,57
CDM,853085,BASEPLT TIB KN LM/RL SZ2,25800.0,25800.0,2838.0,25800.0,57
CDM,853087,CMPNT FEM KN RM/LL SZ7,35346.0,35346.0,3888.06,35346.0,57
CDM,853088,BPLT TIB STD RM/LL SZ7 O,25800.0,25800.0,2838.0,25800.0,57
CDM,853118,ANCHOR SUT 5.5MM 14.7MM,9988.0,9988.0,1098.68,9988.0,57
CDM,853146,SET DRN PLR ASEPT 1000ML,460.0,460.0,32.2,460.0,71
CDM,853156,SCREW BN 3.5MM 16MM,5672.0,5672.0,623.92,5672.0,57
CDM,853157,SCREW BN 3.5MM 20MM,5713.0,5713.0,628.43,5713.0,57
CDM,853169,CMPNT PTL FEM KN LT SZ4,44118.0,44118.0,4852.98,44118.0,57
CDM,853173,CATH BLNDIL 9MM 60MM,4910.0,4910.0,343.7,4910.0,71
CDM,853196,PIN FX DIST FEM SMTH QRL,5622.0,5622.0,393.54,5622.0,71
CDM,853198,STEM FEM HIP 142MM 11MM,45385.0,45385.0,4992.35,45385.0,57
CDM,853215,PLATE BN 14H 3.5MM,26744.0,26744.0,2941.84,26744.0,57
CDM,853283,CMPNT FEM KN SZ8,30425.0,30425.0,3346.75,30425.0,57
CDM,853285,COMPNT FEM KN SZ6,30425.0,30425.0,3346.75,30425.0,57
CDM,853286,INSERT TIB SZ6 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,853294,CLAMP VASC 2.5MM 14.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,853305,WEDGE KN TIB AUG 59X10,18343.0,18343.0,2017.73,18343.0,57
CDM,853307,CMPNT FEM KN RM/LL SZ4,35346.0,35346.0,3888.06,35346.0,57
CDM,853316,STEM FEM HIP 12MM 144MM,45385.0,45385.0,4992.35,45385.0,57
CDM,853317,SCREW BN 2.7MM 12MM,786.0,786.0,86.46,786.0,57
CDM,853447,BUTTON GSTRM 14FR 1.0CM,3786.0,3786.0,265.02,3786.0,71
CDM,853452,BUTTON GSTRM 12FR 1.0CM,3786.0,3786.0,265.02,3786.0,71
CDM,853473,CMPNT FEM HIP LT 15D,70392.0,70392.0,7743.12,70392.0,57
CDM,853491,GWIRE VASC 300CM .014IN,2624.0,2624.0,183.68,2624.0,71
CDM,853492,SCREW BN LCK 2.4MM 14MM,2210.0,2210.0,243.1,2210.0,57
CDM,853503,INTRO SHTH NRN MP 4X90,10402.0,10402.0,728.14,10402.0,71
CDM,853540,SCREW BN 2.0X5MM,1234.0,1234.0,135.74,1234.0,57
CDM,853548,SUTURE UND MONO +6-0 18N,284.0,284.0,19.88,284.0,71
CDM,853563,RELOAD STPLR 4.8X60MM,5094.0,5094.0,560.34,5094.0,57
CDM,853575,DEVICE FSTFX MNSCL,9661.0,9661.0,1062.71,9661.0,57
CDM,853576,DEVICE FX FSTFX 360D,9661.0,9661.0,1062.71,9661.0,57
CDM,853577,PUSHER CANN KNT FSTFX 36,4756.0,4756.0,332.92,4756.0,71
CDM,853586,CATHETER CRYABL FRZR MAX,25684.0,25684.0,1797.88,25684.0,71
CDM,853943,PLATE BN 1/3 4HL 47MM,7707.0,7707.0,847.77,7707.0,57
CDM,853955,PLATE BN HUM RT 4H 105MM,18436.0,18436.0,2027.96,18436.0,57
CDM,853956,PLATE BN HUM 4H 92MM,18818.0,18818.0,2069.98,18818.0,57
CDM,853968,KIT PEG 20FR,3280.0,3280.0,229.6,3280.0,71
CDM,853980,PORT IMPL INFSN TI 8.0FR,5015.0,5015.0,551.65,5015.0,57
CDM,853981,PORT IMPL INFSN 8FR,5015.0,5015.0,551.65,5015.0,57
CDM,853999,KIT BIT DRILL 2MM 3.2MM,8859.0,8859.0,620.13,8859.0,71
CDM,854025,SCREW BN 5MM 60MM,750.0,750.0,82.5,750.0,57
CDM,854042,INSERT FEM HIP TYP1 -6MM,2777.0,2777.0,305.47,2777.0,57
CDM,854043,HEAD FEM HIP 40MM,16770.0,16770.0,1844.7,16770.0,57
CDM,854065,REAMER SURG SHDR DISP,11433.0,11433.0,800.31,11433.0,71
CDM,854092,NAIL BN 125D 10MM 170MM,29773.0,29773.0,3275.03,29773.0,57
CDM,854095,SUTURE VIOL SZ2 36X36CM,1073.0,1073.0,75.11,1073.0,71
CDM,854106,NEEDLE TRNSPTL 18GA 98CM,5623.0,5623.0,393.61,5623.0,71
CDM,854108,CATHETER ULTSND 8FR 90CM,37814.0,37814.0,2646.98,37814.0,71
CDM,854121,GRAFT BN ILIAC 16-18MM,14146.0,14146.0,1556.06,14146.0,57
CDM,854134,CAGE SPNL 12X14X22MM,63282.0,63282.0,6961.02,63282.0,57
CDM,854139,STEM FEM HIP SZ8 111MM,51600.0,51600.0,5676.0,51600.0,57
CDM,854171,WRE STRQ .035 180 MJ,1779.0,1779.0,124.53,1779.0,71
CDM,854172,GDWIRE VASC STRT 300CM,2372.0,2372.0,166.04,2372.0,71
CDM,854314,HEAD CERM HIP 40X1.5 12,18255.0,18255.0,2008.05,18255.0,57
CDM,854332,INSERT ACTB 42MM 48MM,21785.0,21785.0,2396.35,21785.0,57
CDM,854340,PIN HDLSS 3.2MM 75MM,3471.0,3471.0,242.97,3471.0,71
CDM,854375,CUFF URTH SPHNCR AB 5CM,137575.0,137575.0,15133.25,137575.0,57
CDM,854381,STEM FEM KN 125MM 15MM,86103.0,86103.0,9471.33,86103.0,57
CDM,854384,HEAD HUM SHDLR 8MM 143MM,111615.0,111615.0,12277.65,111615.0,57
CDM,854409,CATHETER DLV SYS 80X.041,5435.0,5435.0,380.45,5435.0,71
CDM,854411,CATH ANGIO 8F 25MM 110CM,18072.0,18072.0,1265.04,18072.0,71
CDM,854422,BLADE SURG OSTME 52MM,13008.0,13008.0,910.56,13008.0,71
CDM,854438,CEMENT BN PMMA 10%,4258.0,4258.0,468.38,4258.0,57
CDM,854472,INSERT TIB KN 14MM,67655.0,67655.0,7442.05,67655.0,57
CDM,854488,CATH EP 6FR 92CM,4372.0,4372.0,306.04,4372.0,71
CDM,854521,DEVICE CRNFCL ARM 25MM,17076.0,17076.0,1195.32,17076.0,71
CDM,854525,WASHER SPN 2MM,11390.0,11390.0,1252.9,11390.0,57
CDM,854563,GWIRE LAU ANGL .035X150,1599.0,1599.0,111.93,1599.0,71
CDM,854568,RELOAD STPLR 2.6X60M,4587.0,4587.0,504.57,4587.0,57
CDM,854593,FORCEPS BX CURV 7FR 50CM,5623.0,5623.0,393.61,5623.0,71
CDM,854602,STAPLER INT 12MM,6893.0,6893.0,482.51,6893.0,71
CDM,854622,HEAD FEM HIP -3MM 36MM,22720.0,22720.0,2499.2,22720.0,57
CDM,854647,INTRO GUID 10FR 63CM,5623.0,5623.0,393.61,5623.0,71
CDM,854656,VALVE HMSTS GW INST TOOL,1599.0,1599.0,111.93,1599.0,71
CDM,854662,SUTURE ANBCTRL 3-0 27IN,217.0,217.0,15.19,217.0,71
CDM,854665,CATH ANGIO 5FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,854666,CATH ANGIO 2.0MM 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,854667,CATH ANGIO 5FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,854672,STENT BIL 8FR 10X60MM,33399.0,33399.0,3673.89,33399.0,57
CDM,854675,SUTURE VIOL MON+4-0 27IN,126.0,126.0,8.82,126.0,71
CDM,854676,SUTURE VIOL MON+4-0 27IN,141.0,141.0,9.87,141.0,71
CDM,854677,SUTURE VIOL MON+5-0 30IN,325.0,325.0,22.75,325.0,71
CDM,854679,SUTURE VIOL MON +0 36IN,1641.0,1641.0,114.87,1641.0,71
CDM,854680,SUTURE VIOL MON +6 18IN,301.0,301.0,21.07,301.0,71
CDM,854691,SUTURE UND BRD +1 27IN,89.0,89.0,6.23,89.0,71
CDM,854700,SUTURE VIOL MON+2-0 27IN,64.0,64.0,4.48,64.0,71
CDM,854710,PLATE BN 135D 3 HL 62MM,11272.0,11272.0,1239.92,11272.0,57
CDM,854721,CATH CV OXM PEDIASAT,10242.0,10242.0,716.94,10242.0,71
CDM,854726,BURR BRL 4MM 125MM,1599.0,1599.0,111.93,1599.0,71
CDM,854727,GRAFT BN DBM STRP50X20X7,26524.0,26524.0,2917.64,26524.0,57
CDM,854736,SUTURE UND MON +2-0 36IN,112.0,112.0,7.84,112.0,71
CDM,854737,SUTURE UND BRD +4-0 18IN,236.0,236.0,16.52,236.0,71
CDM,854738,SUTURE VIOL BRD +0 27IN,101.0,101.0,7.07,101.0,71
CDM,854746,SCREW BN TI L40 XPDM SPN,12655.0,12655.0,1392.05,12655.0,57
CDM,854761,STENT ESPH 18.5FR 18MM,45544.0,45544.0,5009.84,45544.0,57
CDM,854788,STEM HIP FEMSTD 10X130,53140.0,53140.0,5845.4,53140.0,57
CDM,854835,SUTURE BLK MONO 5-0 18IN,176.0,176.0,12.32,176.0,71
CDM,854838,SUTURE BLK MONO 2-0 30IN,1599.0,1599.0,111.93,1599.0,71
CDM,854839,SUTURE UND MON +2-0 27IN,100.0,100.0,7.0,100.0,71
CDM,854840,SUTURE VIO MONO 1 27IN,121.0,121.0,8.47,121.0,71
CDM,854841,SUTURE GRN 0 SH 48IN,1599.0,1599.0,111.93,1599.0,71
CDM,854842,SUTURE UND BRD 3-0 27IN,5623.0,5623.0,393.61,5623.0,71
CDM,854843,SUTURE PDS2 2-0 CT1 18IN,891.0,891.0,62.37,891.0,71
CDM,854844,SUTURE VIOL BRD+3-0 27IN,85.0,85.0,5.95,85.0,71
CDM,854845,SUTURE CT-1 SZ1 8X18IN,474.0,474.0,33.18,474.0,71
CDM,854847,SUTURE CR 1 CT1 3-27IN,413.0,413.0,28.91,413.0,71
CDM,854848,SUTURE VIO BRD +3-0 18IN,860.0,860.0,60.2,860.0,71
CDM,854849,SUTURE CT-1 3-0 1X27IN,87.0,87.0,6.09,87.0,71
CDM,854881,NAIL BN RT 11MM 200MM,38020.0,38020.0,4182.2,38020.0,57
CDM,854885,PLATFORM ACC 10MM 12MM,12428.0,12428.0,869.96,12428.0,71
CDM,854908,SUTURE BLK BRD 5-0 18IN,3601.0,3601.0,252.07,3601.0,71
CDM,854910,SUTURE SS 0 24IN,494.0,494.0,34.58,494.0,71
CDM,854914,SUTURE UND MONO +5-0 18N,289.0,289.0,20.23,289.0,71
CDM,854915,SUTURE BLU MONO 4-0 14IN,278.0,278.0,19.46,278.0,71
CDM,854916,SUTURE GUT 3-0 18IN,295.0,295.0,20.65,295.0,71
CDM,854917,SUTURE CLR MONO 4-0 18IN,296.0,296.0,20.72,296.0,71
CDM,854919,PLEDGETT CV 7.9X7.9CM,750.0,750.0,82.5,750.0,57
CDM,854921,CATH VC 4.5F 2LUM 8CM,10242.0,10242.0,716.94,10242.0,71
CDM,854922,CATH PEDISAT OXIM 4.5CM,10242.0,10242.0,716.94,10242.0,71
CDM,854932,SCREW TI 6MM 1.2MM,1901.0,1901.0,209.11,1901.0,57
CDM,854980,BIT DRILL 1.6MM,4313.0,4313.0,301.91,4313.0,71
CDM,854981,BURR/BLADE/BITS G01,692.0,692.0,48.44,692.0,71
CDM,855014,HEAD SHLDR UNIV 19X50MM,51375.0,51375.0,5651.25,51375.0,57
CDM,855017,LINER ACTB HIP 10D 32MM,14190.0,14190.0,1560.9,14190.0,57
CDM,855018,SCREW BN 5MM 25MM,1131.0,1131.0,124.41,1131.0,57
CDM,855166,STAPLE BN 2.5X1.6X2MM,37367.0,37367.0,4110.37,37367.0,57
CDM,855170,SCREW BN CORT 3.5X18MM,4419.0,4419.0,486.09,4419.0,57
CDM,855185,CUTTER UNIV ACUITY RMVR,1875.0,1875.0,131.25,1875.0,71
CDM,855212,DISTRACTOR MXL RGD 35MM,17674.0,17674.0,1944.14,17674.0,57
CDM,855213,DISTRACTOR MNDB 30MM,142455.0,142455.0,15670.05,142455.0,57
CDM,855222,SUTURE UND BRD 4-0 27IN,271.0,271.0,18.97,271.0,71
CDM,855223,SUTURE UND BRD 5-0 18IN,301.0,301.0,21.07,301.0,71
CDM,855239,KIT STYL BALL TIP 58CM,1599.0,1599.0,111.93,1599.0,71
CDM,855254,HANDPIECE ESURG CBLTN,8498.0,8498.0,594.86,8498.0,71
CDM,855281,SCREW BN 2.7MM 18MM,3391.0,3391.0,373.01,3391.0,57
CDM,855320,SUTURE BLU MONO 5-0 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,855324,SUTURE PC-5 4-0 1-18IN,179.0,179.0,12.53,179.0,71
CDM,855325,SUTURE VIO BRD 8-0 8IN,735.0,735.0,51.45,735.0,71
CDM,855326,SUTURE UND MONO 6-0 27IN,1599.0,1599.0,111.93,1599.0,71
CDM,855327,SUTURE UND MON +2-0 27IN,108.0,108.0,7.56,108.0,71
CDM,855329,SUTURE BLK MONO 4-0 18IN,175.0,175.0,12.25,175.0,71
CDM,855330,SUTURE VIO MONO 3-0 18IN,899.0,899.0,62.93,899.0,71
CDM,855337,NDL HUB GRIP 22GA .75IN,291.0,291.0,20.37,291.0,71
CDM,855338,NEEDLE GRIPPER 22G XSS,292.0,292.0,20.44,292.0,71
CDM,855357,CABLE TRAILNG EKG LD10MM,5623.0,5623.0,393.61,5623.0,71
CDM,855377,SCREW BN 3.5MM 20MM,1028.0,1028.0,113.08,1028.0,57
CDM,855386,SCRDRVR PT SURG 3D XTRN,8534.0,8534.0,597.38,8534.0,71
CDM,855390,BUR EGG SHAPE 10MM,2379.0,2379.0,166.53,2379.0,71
CDM,855408,PLATE BN 4 HL .55X1.7MM,2151.0,2151.0,236.61,2151.0,57
CDM,855411,STEM FEM KN 17X150MM,86183.0,86183.0,9480.13,86183.0,57
CDM,855459,STENT COR 3X9MM,15296.0,15296.0,1682.56,15296.0,57
CDM,855460,STENT COR 3X12MM,15296.0,15296.0,1682.56,15296.0,57
CDM,855461,STENT COR 3X15MM,15296.0,15296.0,1682.56,15296.0,57
CDM,855491,SCREW BN 3MM 20MM,3247.0,3247.0,357.17,3247.0,57
CDM,855505,BIT DRILL CLBRT 5.0MM,5427.0,5427.0,379.89,5427.0,71
CDM,855571,SUTURE CT-1 2-0 1X36IN,92.0,92.0,6.44,92.0,71
CDM,855578,SUTURE CV-5 TTC-13 24IN,5103.0,5103.0,357.21,5103.0,71
CDM,855605,SUTURE CT-2 1 8X18IN,605.0,605.0,42.35,605.0,71
CDM,855614,SUTURE UND MONO 6-0 18IN,260.0,260.0,18.2,260.0,71
CDM,855616,SUTURE PS-2 5-0 1X18IN,217.0,217.0,15.19,217.0,71
CDM,855623,SUTURE UND BRD 2-0 54IN,114.0,114.0,7.98,114.0,71
CDM,855641,TUBE JJNSTM 16FR 22CM,6782.0,6782.0,474.74,6782.0,71
CDM,855646,DEVICE FX 25 STRAP 5MM,9698.0,9698.0,1066.78,9698.0,57
CDM,855656,BLADE ARTHSCP 4MM 125MM,1599.0,1599.0,111.93,1599.0,71
CDM,855659,CMPNT KN LT CNSTR SZ8,83493.0,83493.0,9184.23,83493.0,57
CDM,855663,SUTURE UND BRD,110.0,110.0,7.7,110.0,71
CDM,855664,SUTURE UND BRD 3-0 54IN,112.0,112.0,7.84,112.0,71
CDM,855666,SUTURE UND MON +4-0 27IN,101.0,101.0,7.07,101.0,71
CDM,855690,BIT DRILL 79MM 1.3MM 12M,4630.0,4630.0,324.1,4630.0,71
CDM,855691,GRAFT SYN 47X40X6.3MM,13614.0,13614.0,1497.54,13614.0,57
CDM,855694,BIT DRILL 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,855696,PLATE 8MM TI 4 HL L BAR,3921.0,3921.0,431.31,3921.0,57
CDM,855697,BIT DRILL 50X1.5X5.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,855698,PLATE L CMF SHRT 4H LT,3637.0,3637.0,400.07,3637.0,57
CDM,855699,SUTURE ANBCTRL +3-0 27IN,118.0,118.0,8.26,118.0,71
CDM,855700,TROCAR LAPSCP 12MM 100MM,8801.0,8801.0,616.07,8801.0,71
CDM,855701,SUTURE VIO MONO 3-0 27IN,127.0,127.0,8.89,127.0,71
CDM,855702,SUTURE UND BRD +4-0 18IN,470.0,470.0,32.9,470.0,71
CDM,855704,SUTURE CT-1 3-0 8X18IN,604.0,604.0,42.28,604.0,71
CDM,855705,SUTURE CR 6-0 G-6 18IN,885.0,885.0,61.95,885.0,71
CDM,855710,BLADE STRN 6.3MM 32MM,1270.0,1270.0,88.9,1270.0,71
CDM,855714,SUTURE UND MON +2-0 27IN,846.0,846.0,59.22,846.0,71
CDM,855766,BIT DRILL TWST STRL 8MM,5623.0,5623.0,393.61,5623.0,71
CDM,855767,BIT DRILL 107MM 1.5MM 20,5448.0,5448.0,381.36,5448.0,71
CDM,855768,PLATE BN 8MM,5121.0,5121.0,563.31,5121.0,57
CDM,855769,PLATE BN RT LNG BAR 5HL,4243.0,4243.0,466.73,4243.0,57
CDM,855772,PLATE LT MDFC L BAR 4HL,3921.0,3921.0,431.31,3921.0,57
CDM,855775,SUTURE GRN BRD 1 18IN,3902.0,3902.0,273.14,3902.0,71
CDM,855776,SUTURE BLK MONO 6-0 30IN,1599.0,1599.0,111.93,1599.0,71
CDM,855792,SUTURE ANBCTRL +0 27IN,96.0,96.0,6.72,96.0,71
CDM,855795,SUTURE SH-1 4-0 1X27IN,91.0,91.0,6.37,91.0,71
CDM,855808,PLATE LNG LT 5HL MNDB,4243.0,4243.0,466.73,4243.0,57
CDM,855811,BIT DRILL 1.6MM,4202.0,4202.0,294.14,4202.0,71
CDM,855812,BURR SURG 59MM TPR,692.0,692.0,48.44,692.0,71
CDM,855824,HEAD FEM HIP 40MM +5MM,16770.0,16770.0,1844.7,16770.0,57
CDM,855835,ROD PSTN EZCLP INST 2MM,4123.0,4123.0,288.61,4123.0,71
CDM,855859,PLATE BN TIB 3.5MM 102MM,25620.0,25620.0,2818.2,25620.0,57
CDM,855864,SUTURE VIO MONO 6-0 30IN,751.0,751.0,52.57,751.0,71
CDM,855877,KWIRE FX 1.6MM 100MM,1599.0,1599.0,111.93,1599.0,71
CDM,855911,BLADE ULTSNC CMBN HK,5623.0,5623.0,393.61,5623.0,71
CDM,855915,ROD SPNL 600MM 3.5/5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,855936,SUTURE BLU MON 0 18IN,755.0,755.0,52.85,755.0,71
CDM,855940,SUTURE UND BRD 3-0 18IN,276.0,276.0,19.32,276.0,71
CDM,855954,BLADE 3MM SPAT TIP 1 EA,6527.0,6527.0,456.89,6527.0,71
CDM,855993,CATH BLNDIL 6X20MM 90CM,11517.0,11517.0,806.19,11517.0,71
CDM,856023,CATH HCKMN 12F 23CM,5623.0,5623.0,393.61,5623.0,71
CDM,856024,SUTURE NYLON 1 18IN,474.0,474.0,33.18,474.0,71
CDM,856025,SUTURE ANBCTRL +3-0 18IN,233.0,233.0,16.31,233.0,71
CDM,856086,SET ANGIO FLD DLV 135IN,1852.0,1852.0,129.64,1852.0,71
CDM,856088,NEEDLE FIST 16 GA X 1 IN,38.0,38.0,2.66,38.0,71
CDM,856089,NEEDLE FIST 17 GA X 1 IN,50.0,50.0,3.5,50.0,71
CDM,856091,NEEDLE FIST 15 GA X 1 IN,73.0,73.0,5.11,73.0,71
CDM,856092,NEEDLE FIST 17G X 1 1/4,32.0,32.0,2.24,32.0,71
CDM,856093,NEEDLE FSTL 16GA 1IN,144.0,144.0,10.08,144.0,71
CDM,856126,CATH BLNDIL 9MM 3X100CM,9158.0,9158.0,641.06,9158.0,71
CDM,856127,LINER ACTB 10D +4X58X36,38700.0,38700.0,4257.0,38700.0,57
CDM,856160,STEM FEM HIP SZ12,51600.0,51600.0,5676.0,51600.0,57
CDM,856169,BIT DRILL 2.3MM 20MM,2399.0,2399.0,167.93,2399.0,71
CDM,856174,SUTURE UND MONO +0 27IN,108.0,108.0,7.56,108.0,71
CDM,856175,SUTURE SURG STEEL # 1,404.0,404.0,28.28,404.0,71
CDM,856177,SUTURE NYLON 2-0 18IN,496.0,496.0,34.72,496.0,71
CDM,856178,SUTURE BLU MONO 2-0 30IN,162.0,162.0,11.34,162.0,71
CDM,856180,SUTURE BLK BRD 2-0 27IN,165.0,165.0,11.55,165.0,71
CDM,856181,SUTURE ANBCTRL +2-0 18IN,771.0,771.0,53.97,771.0,71
CDM,856183,SUTURE ANBCTRL +4-0 18IN,255.0,255.0,17.85,255.0,71
CDM,856184,SUTURE UND BRD +5-0 18IN,212.0,212.0,14.84,212.0,71
CDM,856186,SUTURE BLK MONO 6-0 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,856187,SUTURE BLK BRD 6-0 30IN,185.0,185.0,12.95,185.0,71
CDM,856191,NDL SUT 0 18 3/8 CRC DMD,1445.0,1445.0,101.15,1445.0,71
CDM,856192,SUTURE GRN BRD 2-0 30IN,202.0,202.0,14.14,202.0,71
CDM,856193,SUTURE VIO BRD +2-0 18IN,946.0,946.0,66.22,946.0,71
CDM,856194,SUTURE VIO BRD +2-0 18IN,601.0,601.0,42.07,601.0,71
CDM,856196,SUTURE GUT 6-0 18IN,1235.0,1235.0,86.45,1235.0,71
CDM,856197,SUTURE BLK MONO 7-0 24IN,1599.0,1599.0,111.93,1599.0,71
CDM,856228,ELECTRODE ESURE BTN FRNT,10803.0,10803.0,756.21,10803.0,71
CDM,856246,SCREW BN ANKL 3.5X16MM,4304.0,4304.0,473.44,4304.0,57
CDM,856247,SCREW BN ANKL 3.5X16MM,5065.0,5065.0,557.15,5065.0,57
CDM,856249,SCREW BN ANKL 3.5X24MM,4217.0,4217.0,463.87,4217.0,57
CDM,856259,GFT SFT TISS 48X31IN,1683.0,1683.0,185.13,1683.0,57
CDM,856260,SCREW BN 6.5MM 45MM,1674.0,1674.0,184.14,1674.0,57
CDM,856262,SCREW BN 6.5MM 40MM,1555.0,1555.0,171.05,1555.0,57
CDM,856294,NEEDLE ART 18GA 3.8CM,959.0,959.0,67.13,959.0,71
CDM,856349,PLT ZED MIDFACE RT 11MM,3698.0,3698.0,406.78,3698.0,57
CDM,856353,PLT BN MIIC 18.5H STR,3883.0,3883.0,427.13,3883.0,57
CDM,856356,PLATE BN 4.5X404MM,25106.0,25106.0,2761.66,25106.0,57
CDM,856358,PLATE BN CRNL T 22MM,3782.0,3782.0,416.02,3782.0,57
CDM,856361,PLATE BN CRANI STR 4HL,4249.0,4249.0,467.39,4249.0,57
CDM,856391,GWIRE ORTH 1.6MM 200MM,1599.0,1599.0,111.93,1599.0,71
CDM,856397,PLATE MINI 5HOLE CURVED,6964.0,6964.0,766.04,6964.0,57
CDM,856400,PLATE 2.0 7HOLE CURVED,6964.0,6964.0,766.04,6964.0,57
CDM,856406,PLT ZED MIDFACE LT 9MM,3698.0,3698.0,406.78,3698.0,57
CDM,856451,TAP BN SLFDRL 1.5MM,9807.0,9807.0,686.49,9807.0,71
CDM,856455,SUTURE VIO MONO 4-0 27IN,100.0,100.0,7.0,100.0,71
CDM,856470,CMPNT KN 105MM,43654.0,43654.0,4801.94,43654.0,57
CDM,856477,TUBE JJNST 15CM 16FR 1.,6782.0,6782.0,474.74,6782.0,71
CDM,856478,TUBE JJNSTM 16FR 22CM,6634.0,6634.0,464.38,6634.0,71
CDM,856519,GRAFT BN CANC 10MM 36MM,15217.0,15217.0,1673.87,15217.0,57
CDM,856524,RESERVOIR PENL 100MM,51844.0,51844.0,5702.84,51844.0,57
CDM,856547,STEM FEM HIP SZ12 140MM,43860.0,43860.0,4824.6,43860.0,57
CDM,856549,STEM FEM HIP 155MM,51600.0,51600.0,5676.0,51600.0,57
CDM,856572,PLATE BN CRNMXF 25X25X6,11288.0,11288.0,1241.68,11288.0,57
CDM,856609,BURR OVAL 4.0X59MM,1599.0,1599.0,111.93,1599.0,71
CDM,856624,NAIL BN 11MM 330MM,24176.0,24176.0,2659.36,24176.0,57
CDM,856750,PLATE BN TUBE 7HL 85MM,7501.0,7501.0,825.11,7501.0,57
CDM,856751,BIT DRILL 3.5MM,2961.0,2961.0,207.27,2961.0,71
CDM,856753,BIT DRILL 2.5MM,3186.0,3186.0,223.02,3186.0,71
CDM,856754,SCREW BN 2.7MM 14MM,3391.0,3391.0,373.01,3391.0,57
CDM,856755,SCREW BN NLCK 2.7X16MM,3391.0,3391.0,373.01,3391.0,57
CDM,856756,SCREW BN 4MM 50MM,4850.0,4850.0,533.5,4850.0,57
CDM,856757,BIT DRILL 2.5MM,3186.0,3186.0,223.02,3186.0,71
CDM,856758,BIT DRILL 2.0MM,3561.0,3561.0,249.27,3561.0,71
CDM,856773,BLADE SHVR 4MM 11CM,6856.0,6856.0,479.92,6856.0,71
CDM,856789,PLATE BN 3 HL 61MM,28257.0,28257.0,3108.27,28257.0,57
CDM,856829,CATH BLN ANGIO 2.50X08MM,4123.0,4123.0,288.61,4123.0,71
CDM,856853,KIT DRN PLR W/CATH,11433.0,11433.0,800.31,11433.0,71
CDM,856860,SLEEVE FEM KN CMNT 20MM,36364.0,36364.0,4000.04,36364.0,57
CDM,856862,PLATE BN 6H 113MM,11952.0,11952.0,1314.72,11952.0,57
CDM,856878,CLIP HEMOSTATIC SPRFN,9226.0,9226.0,1014.86,9226.0,57
CDM,856897,PLUG FISTULA .7CM,23016.0,23016.0,2531.76,23016.0,57
CDM,856912,LEAD NRSTM 2X8CM 70CM,71925.0,71925.0,7911.75,71925.0,57
CDM,856936,STENT BIL 10MM 40MM,33399.0,33399.0,3673.89,33399.0,57
CDM,856939,STENT ESPH 18.5FR 23MM,45544.0,45544.0,5009.84,45544.0,57
CDM,856940,STENT DUODENAL 22X120MM,50504.0,50504.0,5555.44,50504.0,57
CDM,856954,BLADE SAW 25.5MMX.25MM,1359.0,1359.0,95.13,1359.0,71
CDM,856966,BIT DRILL 2.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,856971,SCISSOR MINI TIP ENDOCUT,1599.0,1599.0,111.93,1599.0,71
CDM,856982,SUTURE TAPE 1X36IN,4781.0,4781.0,334.67,4781.0,71
CDM,857046,COMPNT SHLDR 36MM +3MM,64500.0,64500.0,7095.0,64500.0,57
CDM,857048,CMPNT FEM KN LM/RL SZ3,35346.0,35346.0,3888.06,35346.0,57
CDM,857074,STEM FEM KN 125MM 13MM,86103.0,86103.0,9471.33,86103.0,57
CDM,857115,STENT BIL 4X12MM 80CM,19390.0,19390.0,2132.9,19390.0,57
CDM,857196,PASSER SUT 25D CRV RT,5623.0,5623.0,393.61,5623.0,71
CDM,857285,SCREW SPN 3.5X34 MTNR,15186.0,15186.0,1670.46,15186.0,57
CDM,857286,CAGE SPNL BRGD 20D 16X34,114845.0,114845.0,12632.95,114845.0,57
CDM,857288,INTRODUCR 16X20F17X20CM,4528.0,4528.0,316.96,4528.0,71
CDM,857290,NEEDLE BX CHBA 25GA 20CM,441.0,441.0,30.87,441.0,71
CDM,857291,GW VASC BNTSN .038X150,576.0,576.0,40.32,576.0,71
CDM,857313,CATH ABL FOCL 60 4X160,21359.0,21359.0,1495.13,21359.0,71
CDM,857324,TUBE GASTM 22FR,1335.0,1335.0,93.45,1335.0,71
CDM,857343,SCREW BN 2MM 13MM 6MM,3375.0,3375.0,371.25,3375.0,57
CDM,857353,SHEATH INTRO 4FR 10CM,1599.0,1599.0,111.93,1599.0,71
CDM,857414,DEVICE WNDCLS 30CM SZ2,1639.0,1639.0,114.73,1639.0,71
CDM,857416,HEAD FEM HIP +9X32MM,18154.0,18154.0,1996.94,18154.0,57
CDM,857423,PLATE BN RT 2HL 85MM,20703.0,20703.0,2277.33,20703.0,57
CDM,857438,SCREW BN 3.5X32MM,1624.0,1624.0,178.64,1624.0,57
CDM,857439,BIT DRILL DIST ANKL 2.5M,3186.0,3186.0,223.02,3186.0,71
CDM,857446,CMPNT FEM KN LT SZ7,37410.0,37410.0,4115.1,37410.0,57
CDM,857447,INSERT TIB KN PST 7 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857448,INSERT TIB KN POST 5 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857449,COMP FEM KN RT SZ5,37410.0,37410.0,4115.1,37410.0,57
CDM,857457,PLTE BN 9H 153X2.7X3.5MM,20059.0,20059.0,2206.49,20059.0,57
CDM,857461,BASEPLATE TIB KN 5D SZ E,20640.0,20640.0,2270.4,20640.0,57
CDM,857462,COMPNT PTLR KN 32MM,6450.0,6450.0,709.5,6450.0,57
CDM,857463,SCREW GD 2.5MM 5MM,2109.0,2109.0,147.63,2109.0,71
CDM,857464,CMPNT FEM KN LT SZ8,38700.0,38700.0,4257.0,38700.0,57
CDM,857525,CAP BIP HIP 28X48MM,11610.0,11610.0,1277.1,11610.0,57
CDM,857535,SCREW BN 4MM 42MM 14MM,3021.0,3021.0,332.31,3021.0,57
CDM,857536,SCREW BN 5MM 55MM,3190.0,3190.0,350.9,3190.0,57
CDM,857544,PLATE BN FLR SM .3MM,24802.0,24802.0,2728.22,24802.0,57
CDM,857563,CATH VASC 10MCR 150CM,11433.0,11433.0,800.31,11433.0,71
CDM,857571,CMPNT FEM KN RM/LL SZ5,35346.0,35346.0,3888.06,35346.0,57
CDM,857572,BPLT KN TIB RM/LL SZ5,25800.0,25800.0,2838.0,25800.0,57
CDM,857579,BLADE MNI RD TP SHRP 1SD,91.0,91.0,6.37,91.0,71
CDM,857588,GWIRE VASC 260CM .035IN,1599.0,1599.0,111.93,1599.0,71
CDM,857589,GWIRE VASC 180CM .035IN,1599.0,1599.0,111.93,1599.0,71
CDM,857590,GDWR LRT 180CM ANGLED,1599.0,1599.0,111.93,1599.0,71
CDM,857591,GWIRE VASC 180CM .035IN,1599.0,1599.0,111.93,1599.0,71
CDM,857592,GWIRE VASC 260CM .035IN,1599.0,1599.0,111.93,1599.0,71
CDM,857593,GWIRE VASC STRT 180CM,1599.0,1599.0,111.93,1599.0,71
CDM,857594,GDWR LRTE STFF 260CM STR,1599.0,1599.0,111.93,1599.0,71
CDM,857602,BAG DRN ANRFLX CSF 700ML,4059.0,4059.0,284.13,4059.0,71
CDM,857603,SYS DRN W/O ANTFX 700ML,6104.0,6104.0,427.28,6104.0,71
CDM,857626,GWIRE VASC 300CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,857628,SCREW BN 4.5MM 32MM,3856.0,3856.0,424.16,3856.0,57
CDM,857653,PLATE BN WRST SHRT 118MM,24591.0,24591.0,2705.01,24591.0,57
CDM,857661,COMP FEM KN RT SZ6,30425.0,30425.0,3346.75,30425.0,57
CDM,857662,COMPNT PTLR KN DOME 35MM,9030.0,9030.0,993.3,9030.0,57
CDM,857663,CMPNT FEM KN RT SZ7,30425.0,30425.0,3346.75,30425.0,57
CDM,857664,INSERT TIB KN SZ7 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857666,INSERT TIB KN SZ4 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857667,CMPNT FEM KN SZ4,37410.0,37410.0,4115.1,37410.0,57
CDM,857668,INSERT TIB KN SZ5 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857669,COMP FEM KN RT SZ5,31770.0,31770.0,3494.7,31770.0,57
CDM,857671,PLATE BN 4HL 3.5X87MM,26735.0,26735.0,2940.85,26735.0,57
CDM,857672,SCREW BN 3.5MM 80MM,2578.0,2578.0,283.58,2578.0,57
CDM,857673,SCREW BN LCK 3.5MM 75MM,2578.0,2578.0,283.58,2578.0,57
CDM,857674,SCREW BN 3.5MM 65MM,2578.0,2578.0,283.58,2578.0,57
CDM,857675,SCREW BN 3.5MM 60MM,2578.0,2578.0,283.58,2578.0,57
CDM,857677,STEM TIB RT KN D 5D,20640.0,20640.0,2270.4,20640.0,57
CDM,857679,CMPNT PTLR KN 35MM,6450.0,6450.0,709.5,6450.0,57
CDM,857685,COMPNT FEM KN RT SZ8,38700.0,38700.0,4257.0,38700.0,57
CDM,857686,BASEPLATE TIB KN 5D SZ F,20640.0,20640.0,2270.4,20640.0,57
CDM,857694,CMPNT FEM NAR KN RT SZ6,38700.0,38700.0,4257.0,38700.0,57
CDM,857695,BASEPLATE TIB KN 5D SZC,20640.0,20640.0,2270.4,20640.0,57
CDM,857696,BASEPLATE TIB KN 5D SZC,20640.0,20640.0,2270.4,20640.0,57
CDM,857765,SCREW SPN SET GRY,1266.0,1266.0,139.26,1266.0,57
CDM,857776,SCREW BN 5MM 45MM,3758.0,3758.0,413.38,3758.0,57
CDM,857783,SCREW BN VAR 5X10MM,3976.0,3976.0,437.36,3976.0,57
CDM,857800,BASEPLATE TIB KN 5D,20640.0,20640.0,2270.4,20640.0,57
CDM,857809,GRAFT BN CHP 1-4MM 30CC,5515.0,5515.0,606.65,5515.0,57
CDM,857828,CMPNT FEM KN LT SZ5,29670.0,29670.0,3263.7,29670.0,57
CDM,857829,INSERT TIB KN 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857834,DRESSING WND OPEN ABD,10179.0,10179.0,712.53,10179.0,71
CDM,857844,CATH EP 4FR 120CM,5435.0,5435.0,380.45,5435.0,71
CDM,857847,CATH EP MD 5X110 5FR,6287.0,6287.0,440.09,6287.0,71
CDM,857864,CATH SUPPORT 12MM 90CM,5623.0,5623.0,393.61,5623.0,71
CDM,857877,CMPNT TIB KN 5D SZD,20640.0,20640.0,2270.4,20640.0,57
CDM,857878,COMPNT PTLR ALPLY 29MM,6450.0,6450.0,709.5,6450.0,57
CDM,857880,INSERT TIB KN SZ5 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857883,INSERT TIB KN SZ8 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857896,STEM FEM HIP 9MM 137MM,43860.0,43860.0,4824.6,43860.0,57
CDM,857898,KWIRE FX 1.2MM 65MM,3524.0,3524.0,246.68,3524.0,71
CDM,857926,INSERT TIB KN SZ8 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,857928,INSERT TIB KN SZ5 14MM,24510.0,24510.0,2696.1,24510.0,57
CDM,857932,KIT DRN STRT 1000ML,6044.0,6044.0,423.08,6044.0,71
CDM,857934,PLATE BN RT 3.5MM 87MM,26735.0,26735.0,2940.85,26735.0,57
CDM,857935,SCREW BN 3.5MM 70MM,2578.0,2578.0,283.58,2578.0,57
CDM,857953,SCREW BN 2.7MM 42MM,2427.0,2427.0,266.97,2427.0,57
CDM,857955,PIN STNM NON-STRL 1/8,574.0,574.0,40.18,574.0,71
CDM,857978,CMPNT FEM HIP 28MM 45MM,10320.0,10320.0,1135.2,10320.0,57
CDM,857982,SUB BNGF FOAM 2.5CC,7193.0,7193.0,791.23,7193.0,57
CDM,857998,LINER HUM 42MM +2.5MM,20640.0,20640.0,2270.4,20640.0,57
CDM,858027,INSERT TIB KN SZ5 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,858028,CMPNT FEM KN SZ5N,31770.0,31770.0,3494.7,31770.0,57
CDM,858063,CATH IT 4FR 114CM .5MM,18495.0,18495.0,2034.45,18495.0,57
CDM,858065,SCREW BN LKNG 3.5X22MM,5138.0,5138.0,565.18,5138.0,57
CDM,858066,PLATE BN SML 1.4MM,23489.0,23489.0,2583.79,23489.0,57
CDM,858092,COMPNT FEM KN LT SZ6,38700.0,38700.0,4257.0,38700.0,57
CDM,858098,DEVICE INFLTN BIG60 60ML,1599.0,1599.0,111.93,1599.0,71
CDM,858099,COUPLER ANSTM 2.5MM,22544.0,22544.0,2479.84,22544.0,57
CDM,858104,NEEDLE ASP PREMRKED 21G,5623.0,5623.0,393.61,5623.0,71
CDM,858108,SCREW BN 2.7MM 16MM,1747.0,1747.0,192.17,1747.0,57
CDM,858109,SCREW BN 3.5MM 12MM,1766.0,1766.0,194.26,1766.0,57
CDM,858110,SCREW BN 3.5MM 2.5MM,2151.0,2151.0,236.61,2151.0,57
CDM,858153,HALTER TRAC HALO SM ADJ,43994.0,43994.0,3079.58,43994.0,71
CDM,858155,SUTURE SURG 38INCH,1599.0,1599.0,111.93,1599.0,71
CDM,858161,PLATE BN 3.5MM 185MM,28327.0,28327.0,3115.97,28327.0,57
CDM,858171,SUB BNGF FOAM 5CC,14385.0,14385.0,1582.35,14385.0,57
CDM,858175,FILLER BONE VOID NRN 5ML,24698.0,24698.0,2716.78,24698.0,57
CDM,858212,INSERT TIB PST ST 6 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,858216,BLADE ANG SHRP OPTH RND,623.0,623.0,43.61,623.0,71
CDM,858218,MODEL ANTM MNDB ADLT,45772.0,45772.0,3204.04,45772.0,71
CDM,858226,COMPNT FEM NAR KN RT 10,41280.0,41280.0,4540.8,41280.0,57
CDM,858227,BASEPLATE TIB KN 5D SZG,20640.0,20640.0,2270.4,20640.0,57
CDM,858231,COMPNT FEM KN SZ9,41280.0,41280.0,4540.8,41280.0,57
CDM,858242,KIT INST 1 SPLNT CSTM PT,30450.0,30450.0,2131.5,30450.0,71
CDM,858243,GD CSTM PTSPC DSTRCT 2X,12108.0,12108.0,847.56,12108.0,71
CDM,858258,BASEPLATE TIB SZ3,25800.0,25800.0,2838.0,25800.0,57
CDM,858275,PLATE BN 9HL,6434.0,6434.0,707.74,6434.0,57
CDM,858276,SCREW BN 2MM 6MM,2935.0,2935.0,322.85,2935.0,57
CDM,858279,SCREW BN 5MM 40MM,4577.0,4577.0,503.47,4577.0,57
CDM,858312,ANCHOR SUT 4.75MM 15.8MM,11755.0,11755.0,1293.05,11755.0,57
CDM,858317,SCREW BN 5MM 32MM,4384.0,4384.0,482.24,4384.0,57
CDM,858319,SCREW BN 5.0MM 50MM,3921.0,3921.0,431.31,3921.0,57
CDM,858327,PLATE BN CRNFCL RT 0MM,6502.0,6502.0,715.22,6502.0,57
CDM,858328,SCREW BN 5MM 1.5MM,1311.0,1311.0,144.21,1311.0,57
CDM,858330,PLATE BN 2MM 5MM,4402.0,4402.0,484.22,4402.0,57
CDM,858331,SCREW BN 2MM 11MM,1195.0,1195.0,131.45,1195.0,57
CDM,858334,CATH ABL 7FR 115CM,16885.0,16885.0,1181.95,16885.0,71
CDM,858340,HEAD FEM HIP 28MM +1.5MM,18154.0,18154.0,1996.94,18154.0,57
CDM,858345,SCREW BN 8MM 2MM,2935.0,2935.0,322.85,2935.0,57
CDM,858358,PLATE BN 4H LT MD 88MM,20059.0,20059.0,2206.49,20059.0,57
CDM,858360,SCREW BN 2.7MM 40MM,786.0,786.0,86.46,786.0,57
CDM,858457,GWIRE VASC 300CM .014IN,5060.0,5060.0,354.2,5060.0,71
CDM,858459,GWIRE VASC 300CM .014IN,5060.0,5060.0,354.2,5060.0,71
CDM,858469,SUB BNGF FOAM 10CC,28094.0,28094.0,3090.34,28094.0,57
CDM,858493,STEM FEM HIP 11MM 142MM,43860.0,43860.0,4824.6,43860.0,57
CDM,858501,SHELL ACTB HIP SZ2 48MM,23220.0,23220.0,2554.2,23220.0,57
CDM,858508,SCREW BN STRNL 2.7X16,1372.0,1372.0,150.92,1372.0,57
CDM,858509,SCREW BN STRNL 2.7X14,1372.0,1372.0,150.92,1372.0,57
CDM,858510,SCREW BN STRNL 2.7X12,1372.0,1372.0,150.92,1372.0,57
CDM,858511,PLATE BN STRNL 2CBL 6H,13650.0,13650.0,1501.5,13650.0,57
CDM,858548,HEAD SHD EAS 44X17MM,64501.0,64501.0,7095.11,64501.0,57
CDM,858576,DEVICE CLSR WND 7X7CM,780.0,780.0,54.6,780.0,71
CDM,858577,DEVICE CLSR WND 14X14CM,1066.0,1066.0,74.62,1066.0,71
CDM,858593,BLADE CRV SHRP 1SD MINI,275.0,275.0,19.25,275.0,71
CDM,858629,WASHER BN 12.7MM,1694.0,1694.0,186.34,1694.0,57
CDM,858649,PLATE LINDORF 50-280-09,6494.0,6494.0,714.34,6494.0,57
CDM,858650,PLATE MICRO 5MM 5030205,4647.0,4647.0,511.17,4647.0,57
CDM,858656,GWIRE VASC .035IN 145CM,2149.0,2149.0,150.43,2149.0,71
CDM,858677,CATH BLNDIL 3MM 20MM,4910.0,4910.0,343.7,4910.0,71
CDM,858678,CATH BLNDIL 3MM 40MM,4910.0,4910.0,343.7,4910.0,71
CDM,858679,CATH BLNDIL 8MM 60MM,4910.0,4910.0,343.7,4910.0,71
CDM,858682,CMPNT FEM KN 6 LT,30425.0,30425.0,3346.75,30425.0,57
CDM,858699,GRAFT TENDON 26CM,29119.0,29119.0,3203.09,29119.0,57
CDM,858711,SUTURE UND MONO +6-0 18N,289.0,289.0,20.23,289.0,71
CDM,858724,PIN BN TEMP 4MM 170MM,2144.0,2144.0,150.08,2144.0,71
CDM,858726,LINER ACTB HIP SZ24 40MM,19350.0,19350.0,2128.5,19350.0,57
CDM,858741,MESH SURG HERNIA 10X15CM,11717.0,11717.0,1288.87,11717.0,57
CDM,858750,LINER HIP SZ-JJ 28MM,38700.0,38700.0,4257.0,38700.0,57
CDM,858753,PIN ALGN 2.5X200MM,1599.0,1599.0,111.93,1599.0,71
CDM,858756,INTRO SHTH 8FR 63CM,4348.0,4348.0,304.36,4348.0,71
CDM,858761,KIT GSTRM DIALATOR 16FR,5623.0,5623.0,393.61,5623.0,71
CDM,858764,BAG XTRN DRN MNTRC ICP,1987.0,1987.0,139.09,1987.0,71
CDM,858815,HEAD FEM HIP 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,858821,POWDER COLGN TYPE1 1GM,8344.0,8344.0,584.08,8344.0,71
CDM,858847,STEM FEM HIP 9MM 137MM,43860.0,43860.0,4824.6,43860.0,57
CDM,858871,BODY FEM HIP 20MM 75MM,60605.0,60605.0,6666.55,60605.0,57
CDM,858872,STEM FEM HIP 16X140MM,50672.0,50672.0,5573.92,50672.0,57
CDM,858880,DEVICE VNTRCL MODL DSPLY,33600.0,33600.0,2352.0,33600.0,57
CDM,858880,"Monitor/display module for use with electric ventricular assist device, replacement only ",33600.0,33600.0,22513.89,60810.72,42
CDM,858880,"Monitor/display module for use with electric ventricular assist device, replacement only Other Outpatient",33600.0,33600.0,24370.71,24370.71,6
CDM,858886,BAG TRANSPORT SMALL,5308.0,5308.0,371.56,5308.0,57
CDM,858909,WIRE FX 2MM .079IN,1964.0,1964.0,137.48,1964.0,71
CDM,858914,ROD EX FX 11MM 600MM,6904.0,6904.0,483.28,6904.0,71
CDM,858926,DSTRCT BDY MNDB 20MM,88879.0,88879.0,9776.69,88879.0,57
CDM,858939,STENT BIL 14X20MM 120CM,12670.0,12670.0,1393.7,12670.0,57
CDM,858941,STENT BIL 14X40MM 120CM,16251.0,16251.0,1787.61,16251.0,57
CDM,858952,INSERT TIB KN SZ7 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,858960,SCREW BN 3.5MM 36MM,2910.0,2910.0,320.1,2910.0,57
CDM,858961,BURR SRG HEURO 5.1MM 4MM,4212.0,4212.0,294.84,4212.0,71
CDM,858973,MESH SURG HERNIA 10X15CM,11717.0,11717.0,1288.87,11717.0,57
CDM,858995,CATH EP 6FR 92CM,2618.0,2618.0,183.26,2618.0,71
CDM,858997,CONE FEM HIP B SZ60MM,80284.0,80284.0,8831.24,80284.0,57
CDM,859006,CMPNT FEM KN ST SZ4,41280.0,41280.0,4540.8,41280.0,57
CDM,859009,INSERT TIB KN SM 14MM,67655.0,67655.0,7442.05,67655.0,57
CDM,859030,NAIL BN FEMCANN 11X400MM,20693.0,20693.0,2276.23,20693.0,57
CDM,859031,PLATE BN 2H 2.7/3.5X73MM,16786.0,16786.0,1846.46,16786.0,57
CDM,859038,GWIRE URO .035IN 150CM,1599.0,1599.0,111.93,1599.0,71
CDM,859049,DRESSING AQCL AG X 6X6IN,334.0,334.0,23.38,334.0,71
CDM,859070,GWIRE URO .025IN 150CM,1599.0,1599.0,111.93,1599.0,71
CDM,859071,GWIRE URO .035IN 150CM,1693.0,1693.0,118.51,1693.0,71
CDM,859073,STEM FEM HIP TPR 150X13,45467.0,45467.0,5001.37,45467.0,57
CDM,859099,CMPNT FEM KN LT SZ4,38700.0,38700.0,4257.0,38700.0,57
CDM,859104,INSERT TIB KN 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,859113,PLATE BN 6X2HL 1.7MM,8320.0,8320.0,915.2,8320.0,57
CDM,859118,GWIRE VASC 150CM .032IN,1599.0,1599.0,111.93,1599.0,71
CDM,859121,GWIRE URO .035IN 150CM,1693.0,1693.0,118.51,1693.0,71
CDM,859124,BODY PROX HIP 20MM 85MM,60605.0,60605.0,6666.55,60605.0,57
CDM,859127,INSERT TIB KN SZ7 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,859138,GRAFT BN CANC 30ML 4-10M,5515.0,5515.0,606.65,5515.0,57
CDM,859139,GRAFT BN CANC 15ML 4-10M,2758.0,2758.0,303.38,2758.0,57
CDM,859141,STEM FEM HIP 13MM 146MM,45385.0,45385.0,4992.35,45385.0,57
CDM,859147,INTRODUCER SUPRPUB 10FR,4528.0,4528.0,316.96,4528.0,71
CDM,859160,CATH BLNDIL 25MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,859161,BURR SHVR 3.6MM 13CM,6191.0,6191.0,433.37,6191.0,71
CDM,859169,SCREW BN MTRSL 2.7X48MM,786.0,786.0,86.46,786.0,57
CDM,859220,COMPNT FEM RT KN SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,859223,INSERT TIB KN SZ3-4 11MM,16770.0,16770.0,1844.7,16770.0,57
CDM,859232,INSERT TAPER HIP +3MM,1987.0,1987.0,218.57,1987.0,57
CDM,859235,PLATE BN UPPRFCL 10X10HL,25127.0,25127.0,2763.97,25127.0,57
CDM,859236,CATH GD MP1 6FR 55CM,1768.0,1768.0,123.76,1768.0,71
CDM,859237,CATH GD MP1 7FR 55CM,1732.0,1732.0,121.24,1732.0,71
CDM,859257,GRAFT CV 7MM 40CM,44546.0,44546.0,4900.06,44546.0,57
CDM,859263,STEM FEM HIP 135D SZ5,49020.0,49020.0,5392.2,49020.0,57
CDM,859289,INS HIP OPTN TYP 1 +3MM,2777.0,2777.0,305.47,2777.0,57
CDM,859291,KIT SURG KN TRK STRL,5623.0,5623.0,393.61,5623.0,71
CDM,859299,CLIP ANRSM PERM 4MM,3733.0,3733.0,410.63,3733.0,57
CDM,859300,CLIP ANRSM 4MM CRV DISP,3733.0,3733.0,410.63,3733.0,57
CDM,859301,CLIP ANRSM PERM 5MM,3613.0,3613.0,397.43,3613.0,57
CDM,859317,PLATE BN 1HL LT SHT 69MM,17414.0,17414.0,1915.54,17414.0,57
CDM,859318,SCREW BN 2.7MM 26MM,786.0,786.0,86.46,786.0,57
CDM,859319,PLATE BN 2.7/3.5MM 89MM,16615.0,16615.0,1827.65,16615.0,57
CDM,859324,STENT BIL 7X20MM 80CM,18166.0,18166.0,1998.26,18166.0,57
CDM,859331,LIGHT FBROP WIDE/FLAT,6287.0,6287.0,440.09,6287.0,71
CDM,859350,VALVE AOR 17-21MM,217406.0,217406.0,23914.66,217406.0,57
CDM,859372,CATH INFS 5FR 135CM,4835.0,4835.0,338.45,4835.0,71
CDM,859415,COMPONENT FEM KN RT SZ5,36765.0,36765.0,4044.15,36765.0,57
CDM,859416,INSERT TIB KN SZ3-4 10MM,16770.0,16770.0,1844.7,16770.0,57
CDM,859417,CMPNT FEM KN LT SZ6,41328.0,41328.0,4546.08,41328.0,57
CDM,859418,INSERT TIB KN SZ5-6 10MM,16770.0,16770.0,1844.7,16770.0,57
CDM,859437,KIT GWIRE ACC W/CO-PIL,1599.0,1599.0,111.93,1599.0,71
CDM,859438,SUTURE FBRTP 7INX2MM,2220.0,2220.0,244.2,2220.0,57
CDM,859445,CMPNT FEM KN LT SZ4,37410.0,37410.0,4115.1,37410.0,57
CDM,859454,INSERT TIB KN 2XS 16MM,67655.0,67655.0,7442.05,67655.0,57
CDM,859464,SUB BNGF FOAM 1.2CC,3453.0,3453.0,379.83,3453.0,57
CDM,859485,CTH MUSHROOM 20FR 064020,1301.0,1301.0,91.07,1301.0,71
CDM,859495,COIL EMBL 7CM 8MM,1593.0,1593.0,175.23,1593.0,57
CDM,859496,COIL EMBL 7CM 4MM,1696.0,1696.0,186.56,1696.0,57
CDM,859543,STEM FEM HIP 11MM 142MM,45385.0,45385.0,4992.35,45385.0,57
CDM,859544,CMPNT FEM KN RT SZ4,41280.0,41280.0,4540.8,41280.0,57
CDM,859595,BURR SURG OVL8.0MM 4.0MM,768.0,768.0,53.76,768.0,71
CDM,859597,CMPNT FEM KN LT SZ5,41280.0,41280.0,4540.8,41280.0,57
CDM,859599,BLADE SHAVER DENSE PLUS,11734.0,11734.0,821.38,11734.0,71
CDM,859600,INSERT ARTC KN LT 10MM,18255.0,18255.0,2008.05,18255.0,57
CDM,859604,COMPNT FEM KN LT SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,859616,SCREW BN 4MM 50MM 17MM,3054.0,3054.0,335.94,3054.0,57
CDM,859621,PLATE BN 14HL 4.5X301MM,34398.0,34398.0,3783.78,34398.0,57
CDM,859622,IMPLNT URO1ML DEFLUX INJ,53965.0,53965.0,5936.15,53965.0,57
CDM,859637,PLATE BN 4H LT LNG 111MM,20703.0,20703.0,2277.33,20703.0,57
CDM,859639,SCREW BN 2.7MM 70MM,786.0,786.0,86.46,786.0,57
CDM,859640,SCREW BN 2.7X58MM,2160.0,2160.0,237.6,2160.0,57
CDM,859709,STEM FEM HIP 14MM 148MM,45385.0,45385.0,4992.35,45385.0,57
CDM,859764,STEM FEM HIP 12MM 144MM,43860.0,43860.0,4824.6,43860.0,57
CDM,859765,INSERT TIB KN STAB 7 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,859784,SCREW BN 2.7MM 56MM,2160.0,2160.0,237.6,2160.0,57
CDM,859790,INSERT KN ARTC SZ3-4 9MM,17220.0,17220.0,1894.2,17220.0,57
CDM,859791,CMPNT FEM KN RT SZ6,45920.0,45920.0,5051.2,45920.0,57
CDM,859792,INSERT KN 11MM SZ5-6,16770.0,16770.0,1844.7,16770.0,57
CDM,859796,CMPNT FEM KN RT SZ2,35346.0,35346.0,3888.06,35346.0,57
CDM,859808,CATH GD 5FR 150CM,26430.0,26430.0,1850.1,26430.0,71
CDM,859820,CATH BLNDIL 10MM 4X100CM,6614.0,6614.0,462.98,6614.0,71
CDM,859830,CMPNT FEM KN SZ8,57400.0,57400.0,6314.0,57400.0,57
CDM,859831,INSERT TIB KN SZ5-6 12MM,16770.0,16770.0,1844.7,16770.0,57
CDM,859832,INSERT TIB SZ7-8 10MM,16770.0,16770.0,1844.7,16770.0,57
CDM,859852,STEM FEM HIP 6MM 132MM,46440.0,46440.0,5108.4,46440.0,57
CDM,859853,MESH SURG 3.1X4.7IN,16927.0,16927.0,1861.97,16927.0,57
CDM,859866,KIT CRICO SYT NDL,5623.0,5623.0,393.61,5623.0,71
CDM,859874,CANNULA ARTH 2.6X 305MM,1599.0,1599.0,111.93,1599.0,71
CDM,859887,CMPNT FEM KN SZ8,45920.0,45920.0,5051.2,45920.0,57
CDM,859914,DEV PSTN FNGR TRP MED,1158.0,1158.0,81.06,1158.0,71
CDM,859918,BLADE SHVR 180X2.9 ANG2,8619.0,8619.0,603.33,8619.0,71
CDM,859919,BLADE SHVR 22.5CM 4MM,9879.0,9879.0,691.53,9879.0,71
CDM,859920,TUBING IRR LG,2070.0,2070.0,144.9,2070.0,71
CDM,859927,GWIRE VASC 300CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,859931,SCREW BN T8 2.7X38MM,786.0,786.0,86.46,786.0,57
CDM,859939,CATH BLN ANG 2X137X10,11599.0,11599.0,811.93,11599.0,71
CDM,859940,CATH BLN ANG 2X137X15,11599.0,11599.0,811.93,11599.0,71
CDM,859942,CATH BLN ANG 2.5X137X10,11723.0,11723.0,820.61,11723.0,71
CDM,859943,CATH BLN ANG 2.5X137X15,11599.0,11599.0,811.93,11599.0,71
CDM,859945,CATH BLN ANG 3X137X10,11599.0,11599.0,811.93,11599.0,71
CDM,859946,CATH BLN ANGSCLPT 15X3.0,12428.0,12428.0,869.96,12428.0,71
CDM,859948,CATH BLN ANG 3.5X137X10,11599.0,11599.0,811.93,11599.0,71
CDM,859949,CATH BLN 3.5MM 15MM,11723.0,11723.0,820.61,11723.0,71
CDM,859953,INSERT ARTC KN 12MM,16770.0,16770.0,1844.7,16770.0,57
CDM,859987,KIT FILTER IVC 5FR 70CM,25688.0,25688.0,2825.68,25688.0,57
CDM,859992,INSERT TIB KN SZ3-4 12MM,16770.0,16770.0,1844.7,16770.0,57
CDM,860013,SCREW BN MTPHSL 2.7X42MM,786.0,786.0,86.46,786.0,57
CDM,860014,SCREW BN 2.7MM 44MM,786.0,786.0,86.46,786.0,57
CDM,860037,GRAFT EVAS 16MM 9.5CM,84255.0,84255.0,9268.05,84255.0,57
CDM,860039,BIT DRILL 2MM,5623.0,5623.0,393.61,5623.0,71
CDM,860047,FILLER BN CA PHOS 10ML,51845.0,51845.0,5702.95,51845.0,57
CDM,860057,SCREW BN 3.5MM 30MM,2578.0,2578.0,283.58,2578.0,57
CDM,860058,SCREW BN 3.5MM 34MM,2578.0,2578.0,283.58,2578.0,57
CDM,860059,SCREW BN 3.5X36MM,2578.0,2578.0,283.58,2578.0,57
CDM,860060,SCREW BN 3.5X38MM,2578.0,2578.0,283.58,2578.0,57
CDM,860061,SCREW BN 3.5X40MM,2578.0,2578.0,283.58,2578.0,57
CDM,860062,SCREW BN 3.5MM 42MM,2578.0,2578.0,283.58,2578.0,57
CDM,860063,SCREW BN 3.5MM 44MM,2578.0,2578.0,283.58,2578.0,57
CDM,860064,SCREW BN 3.5MM 46MM,2578.0,2578.0,283.58,2578.0,57
CDM,860065,SCREW BN 3.5MM 48MM,2578.0,2578.0,283.58,2578.0,57
CDM,860067,SCREW BN 3.5X50MM,2578.0,2578.0,283.58,2578.0,57
CDM,860069,SCREW BN 3.5MM 54MM,2578.0,2578.0,283.58,2578.0,57
CDM,860070,SCREW BN 3.5MM 56MM,2578.0,2578.0,283.58,2578.0,57
CDM,860071,SCREW BN 3.5MM 58MM,2578.0,2578.0,283.58,2578.0,57
CDM,860073,PLATE BN 142MM 2.7/3.5MM,27188.0,27188.0,2990.68,27188.0,57
CDM,860074,PLATE BN 2.7/3.5X172MM,27470.0,27470.0,3021.7,27470.0,57
CDM,860079,PLATE BN 6HL 2.7/3.5MM,32442.0,32442.0,3568.62,32442.0,57
CDM,860080,PLATE BN 2.7/3.5X172MM,22649.0,22649.0,2491.39,22649.0,57
CDM,860083,PLATE BN 14HL 262MM,30693.0,30693.0,3376.23,30693.0,57
CDM,860085,PLATE BN 4HL LT 2.7MM,11358.0,11358.0,1249.38,11358.0,57
CDM,860087,PLATE BN 5H 2.7MM 105MM,14873.0,14873.0,1636.03,14873.0,57
CDM,860088,PLATE BN 118MM 2.7MM,14742.0,14742.0,1621.62,14742.0,57
CDM,860108,CATH BLNDIL 2MM 12MM,3936.0,3936.0,275.52,3936.0,71
CDM,860117,CMPNT FEM KN SZ5,38700.0,38700.0,4257.0,38700.0,57
CDM,860129,STEM FEM HIP 17MM 150MM,45467.0,45467.0,5001.37,45467.0,57
CDM,860140,PLATE BN 6HL 117X3.5MM,27027.0,27027.0,2972.97,27027.0,57
CDM,860141,PLATE BN 6HL 3.5X117MM,27027.0,27027.0,2972.97,27027.0,57
CDM,860142,CONE FEM HIP C 70MM,80284.0,80284.0,8831.24,80284.0,57
CDM,860154,SCREW BN 3.5MM 32MM,2578.0,2578.0,283.58,2578.0,57
CDM,860159,PLATE BN CRNFCL 4HL 19MM,3083.0,3083.0,339.13,3083.0,57
CDM,860166,INSERT ARTC KN SZ2-4 9MM,17220.0,17220.0,1894.2,17220.0,57
CDM,860168,INSERT KN LT SZ5-6 9MM,16770.0,16770.0,1844.7,16770.0,57
CDM,860175,BIT DRILL 2.4MM 78MM,5185.0,5185.0,362.95,5185.0,71
CDM,860183,SCREW BN 5MM 70MM,5713.0,5713.0,628.43,5713.0,57
CDM,860189,SLING GYN 7.75CM,25111.0,25111.0,2762.21,25111.0,57
CDM,860192,CATH BALLN OTW 12X1.5MM,3936.0,3936.0,275.52,3936.0,71
CDM,860193,CATH BLNDIL 15MM 1.5MM,2811.0,2811.0,196.77,2811.0,71
CDM,860202,INSERT ARTC KN LT 11MM,17220.0,17220.0,1894.2,17220.0,57
CDM,860218,FORCEP BX 1.8MM 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,860219,STENT BIL 8.5FR 80X10MM,43155.0,43155.0,4747.05,43155.0,57
CDM,86022,PLT GLYCOPROTEIN IV AB,209.76,209.76,14.68,209.76,47
CDM,860227,GUIDEWIRE ARTHSCP .86MM,1375.0,1375.0,96.25,1375.0,71
CDM,860229,PLATE BN CRNL 90X65X.25,20367.0,20367.0,2240.37,20367.0,57
CDM,860237,PIN CRNL FX 2.1X9MM,7787.0,7787.0,856.57,7787.0,57
CDM,860243,COIL EMBL 8CM 4MM 360D,45149.0,45149.0,4966.39,45149.0,57
CDM,860255,SCREW BN 4MM 46MM 15.5MM,3222.0,3222.0,354.42,3222.0,57
CDM,860262,SCREW BN 2.7MM 14MM,786.0,786.0,86.46,786.0,57
CDM,860263,LEAD PCNG 65CM 6FR ENDOC,9764.0,9764.0,1074.04,9764.0,57
CDM,860282,CATH BLNDIL 6MM 30MM,5304.0,5304.0,371.28,5304.0,71
CDM,860334,PIN SPED RIM STRL 45MM,1599.0,1599.0,111.93,1599.0,71
CDM,860357,BLADE SAW 85X25MM,1087.0,1087.0,76.09,1087.0,71
CDM,860362,PLATE BN 10HL 3.5X177MM,31105.0,31105.0,3421.55,31105.0,57
CDM,860363,SCREW BN 3.5MM 85MM,2578.0,2578.0,283.58,2578.0,57
CDM,860384,PLATE BN 2HL 2.4MM 42MM,14313.0,14313.0,1574.43,14313.0,57
CDM,860390,SCREW BN 2.7MM 44MM,2427.0,2427.0,266.97,2427.0,57
CDM,860397,INSERT TIB KN SZ6 5MM,23123.0,23123.0,2543.53,23123.0,57
CDM,860406,BLADE SAW 19X90X1.27MM,1599.0,1599.0,111.93,1599.0,71
CDM,860425,COMPNT FEM RT KN SZ4,45920.0,45920.0,5051.2,45920.0,57
CDM,860439,SCREW BN S/T 3.5X14MM,750.0,750.0,82.5,750.0,57
CDM,860445,NEEDLE PRFSN AIR ASP 16G,731.0,731.0,51.17,731.0,71
CDM,860458,SHEATH GD 6FR 70CM,3148.0,3148.0,220.36,3148.0,71
CDM,860461,CMPNT FEM TXTR LCS SM RT,8889.0,8889.0,977.79,8889.0,57
CDM,860478,SCREW BN 3.5X22MM,750.0,750.0,82.5,750.0,57
CDM,860479,SCREW BN 3.5MM 24MM SS,750.0,750.0,82.5,750.0,57
CDM,860480,SCREW BN 3.5MM 26MM SS,750.0,750.0,82.5,750.0,57
CDM,860481,SCREW BN 3.5MM 30MM SS,750.0,750.0,82.5,750.0,57
CDM,860499,SHEATH NVGRT 12/14F 46CM,3658.0,3658.0,256.06,3658.0,71
CDM,860503,SHEATH NVGRT 12/14F 36CM,3658.0,3658.0,256.06,3658.0,71
CDM,860506,BIT DRILL 50 1.1 7 STP,5174.0,5174.0,362.18,5174.0,71
CDM,860546,CABLE SPN W/CBL PLT 4H,11005.0,11005.0,1210.55,11005.0,57
CDM,860578,INSERT TIB KN RT 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,860579,INSERT ARTC KN 6-9 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,860602,SCREW BN 2.55MM 1.55MM,1266.0,1266.0,139.26,1266.0,57
CDM,860603,STENT NASAL MINI RX,18495.0,18495.0,2034.45,18495.0,57
CDM,860618,NEEDLE RAD 17GA 20CM,4809.0,4809.0,528.99,4809.0,57
CDM,860674,PLATE BN 6 HL 84MM,8508.0,8508.0,935.88,8508.0,57
CDM,860683,PLATE BN 8HL 3.5X147MM,30753.0,30753.0,3382.83,30753.0,57
CDM,860692,SCREW BN SPN 7.5MM 40MM,22779.0,22779.0,2505.69,22779.0,57
CDM,860693,SCREW BN SPN 7.5MM 45MM,21514.0,21514.0,2366.54,21514.0,57
CDM,860697,PLATE BN 3HL 2.4MM 66MM,5604.0,5604.0,616.44,5604.0,57
CDM,860702,BAG EQUIP CONSOLIDATION,7361.0,7361.0,515.27,7361.0,57
CDM,860705,BATTERY VAD BKUP 11V,11316.0,11316.0,792.12,11316.0,57
CDM,860706,VEST HOLSTER MEDIUM,8939.0,8939.0,625.73,8939.0,57
CDM,860707,VEST HOLSTER LG,8939.0,8939.0,625.73,8939.0,57
CDM,860708,DEVICE VNTRC ASST HLSTR,8939.0,8939.0,625.73,8939.0,57
CDM,860709,BAG EQUIP SHOWER,10196.0,10196.0,713.72,10196.0,57
CDM,860711,CONTROLLER PCKT VNTRC AS,90224.0,90224.0,6315.68,90224.0,57
CDM,860713,SUTURE BLK BRD 6-0 24IN,2033.0,2033.0,142.31,2033.0,71
CDM,860734,LINER ACTB HIP 36MM 58MM,14190.0,14190.0,1560.9,14190.0,57
CDM,860757,SCREW BN 4.5MM 46MM,3856.0,3856.0,424.16,3856.0,57
CDM,860759,SCREW BN 4.5MM 34MM,4028.0,4028.0,443.08,4028.0,57
CDM,860779,SCREW BN 4MM 36MM,3484.0,3484.0,383.24,3484.0,57
CDM,860782,HEAD FEM HIP +0MM 36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,860812,INSERT ARTC KN 1-2 10MM,16770.0,16770.0,1844.7,16770.0,57
CDM,860844,KIT MODL MNDB ORBT CHLD,53277.0,53277.0,3729.39,53277.0,71
CDM,860848,SUTURE SS 4-0 14UB,3782.0,3782.0,264.74,3782.0,71
CDM,860849,CONN Y SGL TOOL 9.5FR,1599.0,1599.0,111.93,1599.0,71
CDM,860851,BURR SURG RND LNG 72X3.5,2405.0,2405.0,168.35,2405.0,71
CDM,860852,BURR SURG RND DMD 75X1.5,4558.0,4558.0,319.06,4558.0,71
CDM,860853,TOOL DSCT 80X1.7MM,2999.0,2999.0,209.93,2999.0,71
CDM,860854,BURR SURG 48MM .5MM,2158.0,2158.0,151.06,2158.0,71
CDM,860855,BURR SURG RND DMD 48X1.5,2158.0,2158.0,151.06,2158.0,71
CDM,860856,BURR SURG RND FLUT 48X.5,1893.0,1893.0,132.51,1893.0,71
CDM,860857,BURR SURG RND 48X1.5MM,1899.0,1899.0,132.93,1899.0,71
CDM,860858,BURR SURG RND 48X1MM,1899.0,1899.0,132.93,1899.0,71
CDM,860895,GRAFT BN CANC 30ML 1-4MM,7660.0,7660.0,842.6,7660.0,57
CDM,860896,GRFT BN CRSH .1-4MM 60ML,12744.0,12744.0,1401.84,12744.0,57
CDM,860897,GRFT BN CANC SHIPS 30CC,5695.0,5695.0,626.45,5695.0,57
CDM,860898,GRAFT BN CANC CHIP 15CC,3463.0,3463.0,380.93,3463.0,57
CDM,860899,GFT BN CORT CHP 30ML,5348.0,5348.0,588.28,5348.0,57
CDM,860901,BURR SURG RND 5.0MM,4011.0,4011.0,280.77,4011.0,71
CDM,860905,KIT VAD WEAR ACCESSORY,5623.0,5623.0,393.61,5623.0,57
CDM,860917,INSERT TIB KN 18MM,67655.0,67655.0,7442.05,67655.0,57
CDM,860923,SCREW BN 3.5X24MM,2578.0,2578.0,283.58,2578.0,57
CDM,860924,SCREW BN 3.5MM 22MM,2578.0,2578.0,283.58,2578.0,57
CDM,860925,SCREW BN 3.5MM 34MM,750.0,750.0,82.5,750.0,57
CDM,860926,CEMENT BN CA PHOS 5ML,14385.0,14385.0,1582.35,14385.0,57
CDM,860934,SCREW BN 2.7MM 48MM SS,2427.0,2427.0,266.97,2427.0,57
CDM,860940,KIT BLADE SIZE 1,5623.0,5623.0,393.61,5623.0,71
CDM,860942,SCREW BN 2.7MM 50MM,786.0,786.0,86.46,786.0,57
CDM,860949,STEM FEM HIP 16MM 152MM,46440.0,46440.0,5108.4,46440.0,57
CDM,860954,DEVICE CLSR WND 14X14CM,1574.0,1574.0,110.18,1574.0,71
CDM,860959,BURR RND MED 3MM,860.0,860.0,60.2,860.0,71
CDM,860979,BSPLT TIB KN RM/LL SZ8,25800.0,25800.0,2838.0,25800.0,57
CDM,860988,HEAD FEM HIP 12/14 28MM,16770.0,16770.0,1844.7,16770.0,57
CDM,861017,COUPLER ANSTM 2MM,19523.0,19523.0,2147.53,19523.0,57
CDM,861019,CATH IA BLN 8FR 50CC,15430.0,15430.0,1080.1,15430.0,71
CDM,861055,CONN DRN 3/16-3/18IN,373.0,373.0,26.11,373.0,71
CDM,861076,SCREW BN 18MM 2MM,2296.0,2296.0,252.56,2296.0,57
CDM,861132,GWIRE VASC 145CM .014IN,2849.0,2849.0,199.43,2849.0,71
CDM,861152,INSERT TIB KN SZ4 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,861153,CMPNT FEM KN LT SZ4,45150.0,45150.0,4966.5,45150.0,57
CDM,861175,TOOL DSCT 90MM 7.5MM,3748.0,3748.0,262.36,3748.0,71
CDM,861176,BURR SURG 48MM 1MM,2158.0,2158.0,151.06,2158.0,71
CDM,861177,BURR SURG 5.5MM 10MM,2896.0,2896.0,202.72,2896.0,71
CDM,861178,BURR SURG 2MM LNG CRBDE,1294.0,1294.0,90.58,1294.0,71
CDM,861179,BURR RND FLUT 10MM LNG,3076.0,3076.0,215.32,3076.0,71
CDM,861182,SCREW BN 3.5MM 28MM,2578.0,2578.0,283.58,2578.0,57
CDM,861202,STEM FEM 146MM 13MM,43860.0,43860.0,4824.6,43860.0,57
CDM,861204,STEM FEM HIP 132MM 6MM,45385.0,45385.0,4992.35,45385.0,57
CDM,861209,BLADE SAW 70X25MM,1087.0,1087.0,76.09,1087.0,71
CDM,861211,BLADE SAW 70X25MM,1087.0,1087.0,76.09,1087.0,71
CDM,861213,PORT ACC 8MM 120MM,2874.0,2874.0,201.18,2874.0,71
CDM,861216,BLADE SAW 53.5X.38X32MM,1599.0,1599.0,111.93,1599.0,71
CDM,861239,SPECULUM VAG KLNSPC LG,108.0,108.0,7.56,108.0,71
CDM,861244,BURR SURG RND 38X5MM,2158.0,2158.0,151.06,2158.0,71
CDM,861245,BUR DMD RD 4X48 LIN,2158.0,2158.0,151.06,2158.0,71
CDM,861246,BURR SURG RND 38X5MM,1940.0,1940.0,135.8,1940.0,71
CDM,861247,TOOL DSCT ACRN 10CMX6MM,3636.0,3636.0,254.52,3636.0,71
CDM,861254,BURR SURG RND 1.5MM,4011.0,4011.0,280.77,4011.0,71
CDM,861263,PERFORATOR CRNL 11MM,9122.0,9122.0,638.54,9122.0,71
CDM,861266,COMP FEM KN LT SZ5,41280.0,41280.0,4540.8,41280.0,57
CDM,861273,RESERVOIR ATF DISP 3L,5623.0,5623.0,393.61,5623.0,71
CDM,861317,CATH BLNDIL 2MM 15MM,3936.0,3936.0,275.52,3936.0,71
CDM,861349,CATH BLNDIL 1.5MM 15MM,3936.0,3936.0,275.52,3936.0,71
CDM,861350,CATH BLNDIL 1.5MM 20MM,3936.0,3936.0,275.52,3936.0,71
CDM,861353,CATH BLNDIL 1.5MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,861354,CATH BLNDIL 20MM 1.5MM,3936.0,3936.0,275.52,3936.0,71
CDM,861371,SCREW BN STRNL 3X12MM,1372.0,1372.0,150.92,1372.0,57
CDM,861372,PLATE STRNL BN 4HL,12854.0,12854.0,1413.94,12854.0,57
CDM,861384,CATH BLNDIL 1.5MM 12MM,3936.0,3936.0,275.52,3936.0,71
CDM,861397,PLATE BN CRNFCL LT 1MM,6135.0,6135.0,674.85,6135.0,57
CDM,861398,SCREW BN 1.8MM 5MM,1398.0,1398.0,153.78,1398.0,57
CDM,861405,BIT DRILL HLX ACP 13MM,1599.0,1599.0,111.93,1599.0,71
CDM,861406,KIT ANCHOR GASTROINTESTI,3542.0,3542.0,247.94,3542.0,71
CDM,861473,PLATE BN 8HL 3.5X147MM,30753.0,30753.0,3382.83,30753.0,57
CDM,861475,KIT TAMP BN BLN,43082.0,43082.0,3015.74,43082.0,71
CDM,861477,KIT BONE TAMP,43082.0,43082.0,3015.74,43082.0,71
CDM,861478,KIT BONE TAMP,43082.0,43082.0,3015.74,43082.0,71
CDM,861479,KIT BONE TAMP,26512.0,26512.0,1855.84,26512.0,71
CDM,861482,KIT BONE TAMP,26512.0,26512.0,1855.84,26512.0,71
CDM,861494,DEVICE SUT 3X1.2MM,11433.0,11433.0,800.31,11433.0,71
CDM,861497,BLADE SAW 80X21MM,1087.0,1087.0,76.09,1087.0,71
CDM,861498,BLADE SAW 70X25MM,1087.0,1087.0,76.09,1087.0,71
CDM,861502,DRESSING NADH 4X4IN,423.0,423.0,29.61,423.0,71
CDM,861507,CMPNT FEM KN LT SZ5,41280.0,41280.0,4540.8,41280.0,57
CDM,861525,STENT NPHURSTM 28CM,1860.0,1860.0,204.6,1860.0,57
CDM,861526,STENT URET 10.2FR 28CM,1860.0,1860.0,204.6,1860.0,57
CDM,861537,GRAFT ST TIS 30X30CM,29058.0,29058.0,3196.38,29058.0,57
CDM,861540,PORT IMP INFSN 6.0FR,3786.0,3786.0,416.46,3786.0,57
CDM,861544,CATH JJNSTM 13G 30CM,4685.0,4685.0,327.95,4685.0,71
CDM,861546,CATH DIAG 4FRX100 MPA-1,1873.0,1873.0,131.11,1873.0,71
CDM,861549,GWIRE VASC .014IN 200CM,11433.0,11433.0,800.31,11433.0,71
CDM,861551,SIM2 M 67025290,9218.0,9218.0,645.26,9218.0,71
CDM,861553,DEVICE CLSR WND +1 45CM,1483.0,1483.0,103.81,1483.0,71
CDM,861556,SCREW BN LCK 2X12MM,2296.0,2296.0,252.56,2296.0,57
CDM,861572,CATH HMDLYS TS 6.5F 29CM,7544.0,7544.0,528.08,7544.0,71
CDM,861573,CATH CV TRF 19CM 12FR,5623.0,5623.0,393.61,5623.0,71
CDM,861575,TUBE JJNSTM 14FR 1.5CM,5523.0,5523.0,386.61,5523.0,71
CDM,861576,TUBE JJNSTM 18FR 30CM,6782.0,6782.0,474.74,6782.0,71
CDM,861579,TUBE JJNSTM 16FR 30CM,6584.0,6584.0,460.88,6584.0,71
CDM,861580,TUBE JJNSTN 18FR 30CM,6832.0,6832.0,478.24,6832.0,71
CDM,861582,TUBE JJNSTM 14FR 2.0CM,5523.0,5523.0,386.61,5523.0,71
CDM,861583,TUBE JJNSTM 18FR 22CM,6634.0,6634.0,464.38,6634.0,71
CDM,861599,CATH VASC 3.8F 153CM,23861.0,23861.0,1670.27,23861.0,71
CDM,861607,SET INTRO SHTH 6FR 65CM,3823.0,3823.0,267.61,3823.0,71
CDM,861611,COIL EMBL 14CM 14MM,2222.0,2222.0,244.42,2222.0,57
CDM,861625,RSRV SHNT 6MLL REG BUR,3494.0,3494.0,384.34,3494.0,57
CDM,861632,PLATE BN 1H 69MM,17414.0,17414.0,1915.54,17414.0,57
CDM,861634,PLATE MED .3MM ANTM ORBT,24974.0,24974.0,2747.14,24974.0,57
CDM,861695,BURR SURG 6.4MM 2.0MM,1113.0,1113.0,77.91,1113.0,71
CDM,861703,SUTURE PP CP SZ 0 48IN,1993.0,1993.0,139.51,1993.0,71
CDM,861714,STEM FEM HIP 18MM 140MM,50672.0,50672.0,5573.92,50672.0,57
CDM,861726,DEVICE CLSR WND 30X30CM,1291.0,1291.0,90.37,1291.0,71
CDM,861737,SCREW BN 6.5MM 100MM,3833.0,3833.0,421.63,3833.0,57
CDM,861762,STEM FEM HIP SM 100MM,15589.0,15589.0,1714.79,15589.0,57
CDM,861766,ROD SPN 90MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,861775,STEM HIP FEM OFS 14X150,53140.0,53140.0,5845.4,53140.0,57
CDM,861792,DEVICE CLSR WND 14X14CM,1021.0,1021.0,71.47,1021.0,71
CDM,861807,SCREW BN 4.5MM 48MM,3856.0,3856.0,424.16,3856.0,57
CDM,861821,PLATFORM ACC 10MM 12MM,12428.0,12428.0,869.96,12428.0,71
CDM,861894,STEM FEM HIP 15X140MM,50672.0,50672.0,5573.92,50672.0,57
CDM,861900,BURR SURG 6.9MM 1.5MM,1113.0,1113.0,77.91,1113.0,71
CDM,861920,BLADE SHVR BNCTR REPRO,3261.0,3261.0,228.27,3261.0,71
CDM,861960,GRAFT EVAS 35X14.5M 16CM,183809.0,183809.0,20218.99,183809.0,57
CDM,861979,IMPLANT MNDBL 79X32X10MM,13443.0,13443.0,1478.73,13443.0,57
CDM,861980,IMPLANT ORBITAL 18MM,1439.0,1439.0,158.29,1439.0,57
CDM,861981,IMPLANT ORBT SPHR 16MM,1439.0,1439.0,158.29,1439.0,57
CDM,861989,KWIRE FX 0.9MM 6IN,3599.0,3599.0,251.93,3599.0,71
CDM,861990,SCREW BN 2.5MM 3.4MM12MM,7925.0,7925.0,871.75,7925.0,57
CDM,862025,SUTURE DVC 2-0 7X7,693.0,693.0,48.51,693.0,71
CDM,862026,PLATE BN CRNL L RT 15MM,2870.0,2870.0,315.7,2870.0,57
CDM,862027,PLATE 18MM LEFT L MINI,3468.0,3468.0,381.48,3468.0,57
CDM,862029,SCREW BN 4MM 30MM,4419.0,4419.0,486.09,4419.0,57
CDM,862032,COMPNT TIB KN 71/75X16MM,35776.0,35776.0,3935.36,35776.0,57
CDM,862033,SCREW BN 3.5X26MM,2578.0,2578.0,283.58,2578.0,57
CDM,862045,CMPNT FEM KN RT #3,41280.0,41280.0,4540.8,41280.0,57
CDM,862056,STENT VASC 9X17MM 135CM,16251.0,16251.0,1787.61,16251.0,57
CDM,862073,INTRO SHTH 12F 45CM,2661.0,2661.0,186.27,2661.0,71
CDM,862103,SHELL ACTB 46MM,23220.0,23220.0,2554.2,23220.0,57
CDM,862105,CATH ENDO 135CM 2.8MM,29064.0,29064.0,2034.48,29064.0,71
CDM,862116,SCREW BN 4X40MM 13.5MM,3021.0,3021.0,332.31,3021.0,57
CDM,862126,SCREW SPN 5.5X8X40MM,12655.0,12655.0,1392.05,12655.0,57
CDM,862128,GRAFT TIS 20X7CM,25236.0,25236.0,2775.96,25236.0,57
CDM,862146,DEVICE CLSR WND 23X23CM,1132.0,1132.0,79.24,1132.0,71
CDM,862152,FIBER LASER,16570.0,16570.0,1159.9,16570.0,71
CDM,862154,EXTENSION GW 155CM,1599.0,1599.0,111.93,1599.0,71
CDM,862162,RING ANLPLS 24MM,45654.0,45654.0,5021.94,45654.0,57
CDM,862163,RING ANLPLS 36MM,42937.0,42937.0,4723.07,42937.0,57
CDM,862169,INTRO SHTH 6FR 85CM,2680.0,2680.0,187.6,2680.0,71
CDM,862172,NAIL TIB 12MM 375MM,24109.0,24109.0,2651.99,24109.0,57
CDM,862186,DEVICE CLSR WND 30X30CM,1200.0,1200.0,84.0,1200.0,71
CDM,862255,SYSTEM URTH SUPP 22CM,35935.0,35935.0,3952.85,35935.0,57
CDM,862257,GRAFT BN FRZ SM,7316.0,7316.0,804.76,7316.0,57
CDM,862263,DEVICE CLSR WND 10X10CM,1574.0,1574.0,110.18,1574.0,71
CDM,862265,PLATE BN MED MNDB 4HL,3140.0,3140.0,345.4,3140.0,57
CDM,862268,SCREW BN 2.7MM 46MM,2427.0,2427.0,266.97,2427.0,57
CDM,862275,SCREW BN 3.5MM 28MM MTNR,12506.0,12506.0,1375.66,12506.0,57
CDM,862276,PLATE BN MXLFCL 1.5X.6MM,4032.0,4032.0,443.52,4032.0,57
CDM,862277,PLATE BN 2X3HL 21MM,5050.0,5050.0,555.5,5050.0,57
CDM,862283,BLADE SURG DBRDR 7MM,1599.0,1599.0,111.93,1599.0,71
CDM,862299,STEM FEM 190MM 15MM,45467.0,45467.0,5001.37,45467.0,57
CDM,862314,NAIL BN LT 12MM 20CM,38020.0,38020.0,4182.2,38020.0,57
CDM,862402,CATH GD 7FR 43CM,5623.0,5623.0,393.61,5623.0,71
CDM,862433,SCREW BN 3.5MM 90MM,2295.0,2295.0,252.45,2295.0,57
CDM,862444,PORT ACC 5MM 120MM,2886.0,2886.0,202.02,2886.0,71
CDM,862449,GRAFT DBM PTTY 5ML,8353.0,8353.0,918.83,8353.0,57
CDM,862450,PLATE STAB 14MM XS TI 1,25992.0,25992.0,2859.12,25992.0,57
CDM,862473,STEM FEM HIP SZA 50MM,80284.0,80284.0,8831.24,80284.0,57
CDM,862532,SCREW BN CORT 3.5X24MM,1768.0,1768.0,194.48,1768.0,57
CDM,862547,CLIP ANRSM PERM STD 8MM,5522.0,5522.0,607.42,5522.0,57
CDM,862563,CATH GD 9FR 50CM,11433.0,11433.0,800.31,11433.0,71
CDM,862575,CONE FEM HIP STD 70MM,80284.0,80284.0,8831.24,80284.0,57
CDM,862583,SCREW BN MXLFCL 6X1.6MM,1152.0,1152.0,126.72,1152.0,57
CDM,862585,VALVE SHNT BURR HL 25MM,77761.0,77761.0,8553.71,77761.0,57
CDM,862589,INTRODUCR SHTH 14FR 85CM,3692.0,3692.0,258.44,3692.0,71
CDM,862644,NEEDLE BX 18GA 9CM,113.0,113.0,7.91,113.0,71
CDM,862666,PLATE BN T 2X2HL 24MM,5663.0,5663.0,622.93,5663.0,57
CDM,862667,PLATE LNG 1MM RT L LCK B,5663.0,5663.0,622.93,5663.0,57
CDM,862668,SCREW BN 2.3MM 5MM,1574.0,1574.0,173.14,1574.0,57
CDM,862669,ICD DEFIB CARD 51X68MM,203732.0,203732.0,22410.52,203732.0,57
CDM,862698,PLATE BN STRNL LV1 14MM,24315.0,24315.0,2674.65,24315.0,57
CDM,862710,SET VNTRC 17.4X13.8IN,300000.0,300000.0,21000.0,300000.0,71
CDM,862716,SCREW BN 4.5MM 24MM,2055.0,2055.0,226.05,2055.0,57
CDM,862729,SCREW BN 6.5MM 50MM,4521.0,4521.0,497.31,4521.0,57
CDM,862735,TUBING HYSTERSCPE OFLW,4239.0,4239.0,296.73,4239.0,71
CDM,862772,SCREW BN 3.0X14MM,1372.0,1372.0,150.92,1372.0,57
CDM,862780,TOOL DSCT 100MM 1MM,3240.0,3240.0,226.8,3240.0,71
CDM,862791,ELECTRODE ESURG 3.75MM,9850.0,9850.0,689.5,9850.0,71
CDM,862802,SCREW BN 3.5MM 18MM,1747.0,1747.0,192.17,1747.0,57
CDM,862803,SCREW BN 3.5MM 22MM,1747.0,1747.0,192.17,1747.0,57
CDM,862812,SCREW SPN 6MM 35MM,16368.0,16368.0,1800.48,16368.0,57
CDM,862843,ENVELOPE MESH 2.9X3.3IN,23154.0,23154.0,2546.94,23154.0,57
CDM,862862,GWIRE 2.8X300MM,2986.0,2986.0,209.02,2986.0,71
CDM,862863,BIT DRILL 2.4MM,5623.0,5623.0,393.61,5623.0,71
CDM,862865,SCREW BN CORT 4.0X34,1624.0,1624.0,178.64,1624.0,57
CDM,862867,PLATE BN 4HL 3X4MM,23489.0,23489.0,2583.79,23489.0,57
CDM,862909,IMPLANT ORBITAL 14MM,1439.0,1439.0,158.29,1439.0,57
CDM,862913,CONFORMER OCULAR SMALL,1439.0,1439.0,158.29,1439.0,57
CDM,862922,CEMENT BN 40GM 20ML,7781.0,7781.0,855.91,7781.0,57
CDM,862923,CEMENT BN PMMA GNTA 40GM,2987.0,2987.0,328.57,2987.0,57
CDM,862925,SCREW SPN MTNR 3.5X30MM,12655.0,12655.0,1392.05,12655.0,57
CDM,862927,PROGRAMER PT FOR NRSTM,14831.0,14831.0,1038.17,14831.0,71
CDM,862928,SYSTEM PROGRAMR CHARGING,24855.0,24855.0,1739.85,24855.0,71
CDM,862943,INSERT TIB KN SZ4 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,862948,PLATE BN 10HL 3.5X177MM,31105.0,31105.0,3421.55,31105.0,57
CDM,863010,DEVICE CLSR WND 30X30CM,1136.0,1136.0,79.52,1136.0,71
CDM,863034,PORT IMPL INFSN 8.0FR,5652.0,5652.0,621.72,5652.0,57
CDM,863035,SCREW SPN 7.5MM 50MM,17468.0,17468.0,1921.48,17468.0,57
CDM,863073,DEVICE INFLATION 20ML,1599.0,1599.0,111.93,1599.0,71
CDM,863083,STEM FEM HIP 10MM 140MM,45385.0,45385.0,4992.35,45385.0,57
CDM,863084,VALVE SHUNT BURR 24MM,84652.0,84652.0,9311.72,84652.0,57
CDM,863086,SCREW SPN 4.35MM 40MM,13191.0,13191.0,1451.01,13191.0,57
CDM,863087,CAP BIPOLAR HIP 28X47MM,9030.0,9030.0,993.3,9030.0,57
CDM,863116,INSERT TIB KN PST 4 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,863143,SUTURE UND BRD +5-0 27IN,108.0,108.0,7.56,108.0,71
CDM,863145,DSTRCT CMF MESH 1.3MM,16995.0,16995.0,1869.45,16995.0,57
CDM,863146,DSTRCT CMF MESH 1.3MM,16995.0,16995.0,1869.45,16995.0,57
CDM,863147,VLV SHNT STRT2 BUR HL,75498.0,75498.0,8304.78,75498.0,57
CDM,863148,REAMER SURG 8IN 11MM,36935.0,36935.0,2585.45,36935.0,71
CDM,863159,TREPHINE 15.5X203MM,36935.0,36935.0,2585.45,36935.0,71
CDM,863161,DEV TREPHINE 16.5MM8IN,36935.0,36935.0,2585.45,36935.0,71
CDM,863180,OSTEOTOME SURG 3INX8MM,18062.0,18062.0,1264.34,18062.0,71
CDM,863181,OSTEOTOME 3INX10MM CRV F,18675.0,18675.0,1307.25,18675.0,71
CDM,863182,OSRTOTM 20 FLX THN SHFT,18426.0,18426.0,1289.82,18426.0,71
CDM,863188,BLADE CHSL 2.5INX12MM,3739.0,3739.0,261.73,3739.0,71
CDM,863272,BLADE SAW 70X18.5MM,1087.0,1087.0,76.09,1087.0,71
CDM,863314,SCREW BN 4.75MM 15MM,1295.0,1295.0,142.45,1295.0,57
CDM,863323,CATH ANGIO 5FR 100CM,1599.0,1599.0,111.93,1599.0,71
CDM,863345,OCCLUDER CV 3X4MM,99401.0,99401.0,10934.11,99401.0,57
CDM,863346,OCCLUDER CV 4X4MM,99401.0,99401.0,10934.11,99401.0,57
CDM,863347,OCCLUDER CV 5X4MM,99401.0,99401.0,10934.11,99401.0,57
CDM,863348,OCCLUDER CV 6X4MM,99401.0,99401.0,10934.11,99401.0,57
CDM,863352,OCCLUDER CV 3X6MM,99401.0,99401.0,10934.11,99401.0,57
CDM,863353,OCCLUDER CV 4X6MM,99401.0,99401.0,10934.11,99401.0,57
CDM,863354,OCCLUDER CV 5X6MM,99401.0,99401.0,10934.11,99401.0,57
CDM,863355,OCCLUDER VAS 6X12X6.25MM,99401.0,99401.0,10934.11,99401.0,57
CDM,863359,GRAFT BN TRN MED 5.3CC,23610.0,23610.0,2597.1,23610.0,57
CDM,863365,KT INTRO SHTH 6FR 10CM,2062.0,2062.0,144.34,2062.0,71
CDM,863380,DRILL SURG SHRT,5623.0,5623.0,393.61,5623.0,71
CDM,863387,COMPNT PTLR KN 32MM,8170.0,8170.0,898.7,8170.0,57
CDM,863398,DRILL SURG LARGE 10.3MM,5715.0,5715.0,400.05,5715.0,71
CDM,863402,SCREW BN 3.5MM 18MM,2578.0,2578.0,283.58,2578.0,57
CDM,863428,BUTTON GSTRM 14FR 2.5CM,3636.0,3636.0,254.52,3636.0,71
CDM,863431,SCREW BN 3.5MM 45MM,780.0,780.0,85.8,780.0,57
CDM,863432,SCREW BN 3.5MM 55MM,780.0,780.0,85.8,780.0,57
CDM,863448,SCREW BN 4.75MM 20MM,1295.0,1295.0,142.45,1295.0,57
CDM,863449,SCREW BN 4.75MM 30MM,1372.0,1372.0,150.92,1372.0,57
CDM,863455,KIT FORCEP INSUL 121MM,1696.0,1696.0,118.72,1696.0,71
CDM,863456,FORCEP BIP DISP 7 1/8IN,1599.0,1599.0,111.93,1599.0,71
CDM,863466,BODY FEM HIP 20X95MM,60605.0,60605.0,6666.55,60605.0,57
CDM,863491,SHEATH TPR 13FR 11FR 2,3658.0,3658.0,256.06,3658.0,71
CDM,863494,CATH BLNDIL 8MM 4X100CM,10421.0,10421.0,729.47,10421.0,71
CDM,863495,CATH TRAY LBRSL 16FR 5ML,1041.0,1041.0,72.87,1041.0,71
CDM,863522,BSPLT TIB KN LM/RL SZ6,25800.0,25800.0,2838.0,25800.0,57
CDM,863534,SCREW BN 2.0MM 7MM,1101.0,1101.0,121.11,1101.0,57
CDM,863555,KIT CATH INTRO 6FR 10CM,3524.0,3524.0,246.68,3524.0,71
CDM,863565,PLATE BN .7MM 3X3H,5359.0,5359.0,589.49,5359.0,57
CDM,863572,CATH ANGIO 5FR 125CM,691.0,691.0,48.37,691.0,71
CDM,863588,LINER ACTB HIP 60X36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,863590,STENT PANC 5FR 3CM,1069.0,1069.0,117.59,1069.0,57
CDM,863609,SCREW BN 6.5MM 95MM,2849.0,2849.0,313.39,2849.0,57
CDM,863621,SUTURE VIOL MON+4-0 18IN,319.0,319.0,22.33,319.0,71
CDM,863625,NEEDLE SUT REG .024IN,293.0,293.0,20.51,293.0,71
CDM,863626,SUTURE UND BRD +0 27IN,87.0,87.0,6.09,87.0,71
CDM,863628,SUTURE UND MON +2-0 27IN,118.0,118.0,8.26,118.0,71
CDM,863637,MODEL ANTM MNDB,89882.0,89882.0,6291.74,89882.0,71
CDM,863649,PUNCH AOR ROTATE 4.0MM,1516.0,1516.0,106.12,1516.0,71
CDM,863687,ROD SPN 6X40MM,4556.0,4556.0,501.16,4556.0,57
CDM,863689,SCREW BN 2.7MM 36MM,786.0,786.0,86.46,786.0,57
CDM,863703,SCREW BN 2.7MM 32MM,750.0,750.0,82.5,750.0,57
CDM,863704,SCREW BN 2.7MM 34MM,786.0,786.0,86.46,786.0,57
CDM,863716,SYSTEM INTRO REG NDL 4FR,1599.0,1599.0,111.93,1599.0,71
CDM,863765,CATH BLNDIL 20X4.5X110,12842.0,12842.0,898.94,12842.0,71
CDM,863766,CATH BLN 22X4.5X110MM,11566.0,11566.0,809.62,11566.0,71
CDM,863776,CATH GD 5FR 90CM,9218.0,9218.0,645.26,9218.0,71
CDM,863781,STEM FEM HIP TPR LAT SZ4,49020.0,49020.0,5392.2,49020.0,57
CDM,863826,CMPNT KN FEM LT 57.5MM,99006.0,99006.0,10890.66,99006.0,57
CDM,863831,AUGMENT TIB KN 15MM 59MM,18343.0,18343.0,2017.73,18343.0,57
CDM,863834,GWIRE URO .035IN 150CM,1599.0,1599.0,111.93,1599.0,71
CDM,863852,ELECTRODE EEG CONTACT 6,5715.0,5715.0,400.05,5715.0,71
CDM,863855,VALVE TAVR 29MM,447250.0,447250.0,49197.5,447250.0,57
CDM,863892,COVER BUR HL 17MM,5706.0,5706.0,627.66,5706.0,57
CDM,863921,GRAFT NRV 1-2MM 30MM,91859.0,91859.0,10104.49,91859.0,57
CDM,863922,GRAFT NRV 1-2MM 50MM,34161.0,34161.0,3757.71,34161.0,57
CDM,863929,COIL EMBL 30CM 9MM,65357.0,65357.0,7189.27,65357.0,57
CDM,863932,COIL EMBL 45CM 12MM,55903.0,55903.0,6149.33,55903.0,57
CDM,863963,CAGE SPNL ACIF 10D 8MM,15405.0,15405.0,1694.55,15405.0,57
CDM,863976,STEM FEM HIP 15MM 150MM,45385.0,45385.0,4992.35,45385.0,57
CDM,863989,INTRO SHTH NRN MP 4X80,10402.0,10402.0,728.14,10402.0,71
CDM,864024,TRAY BX 11GA 102MM,5179.0,5179.0,362.53,5179.0,71
CDM,864029,HEMOSTAT BN PUTTY 2GM,3092.0,3092.0,216.44,3092.0,71
CDM,864039,CMPNT TIB TRAY ML59XAP38,45947.0,45947.0,5054.17,45947.0,57
CDM,864046,SCREW SPNL 7X35MM,12655.0,12655.0,1392.05,12655.0,57
CDM,864083,MESH CRNL 50X76X.85MM,24845.0,24845.0,2732.95,24845.0,57
CDM,864093,NDL PSS SBDRL 13GA 3.5IN,5450.0,5450.0,381.5,5450.0,71
CDM,864104,LINER ACTB HIP 62MM 36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,864233,SCREW BN HUM 3.5MM 16MM,750.0,750.0,82.5,750.0,57
CDM,864240,COIL EMBL 35CM 5MM 3LP,2179.0,2179.0,239.69,2179.0,57
CDM,864260,PLATE BN 6HL 2.4MM,15744.0,15744.0,1731.84,15744.0,57
CDM,864289,CATH GD 7.1FR 65CM,5623.0,5623.0,393.61,5623.0,71
CDM,864327,PLATE BN STRNL SM 17MM,24315.0,24315.0,2674.65,24315.0,57
CDM,864328,PLATE STRNL SGL 17MM,24315.0,24315.0,2674.65,24315.0,57
CDM,864361,TUBE ET NIM EMG 6MM,7224.0,7224.0,505.68,7224.0,71
CDM,864362,TUBE ET NIM EMG 7MM,7224.0,7224.0,505.68,7224.0,71
CDM,864363,TUBE ET NIM EMG 8MM,7224.0,7224.0,505.68,7224.0,71
CDM,864364,COMPNT FEM KN RT SZ4,37410.0,37410.0,4115.1,37410.0,57
CDM,864380,PLATE BN 6HL 2.4MM 51MM,14888.0,14888.0,1637.68,14888.0,57
CDM,864402,SCREW BN NLCK 3.5MM 10MM,2179.0,2179.0,239.69,2179.0,57
CDM,864405,STEM HIP FEMSTD 14X150,46440.0,46440.0,5108.4,46440.0,57
CDM,864409,STEM FEM HIP 11MM 140MM,28380.0,28380.0,3121.8,28380.0,57
CDM,864428,PLATE BN 3.5MM 15MM,16937.0,16937.0,1863.07,16937.0,57
CDM,864474,CATH ANGIO 4FR 100CM,2032.0,2032.0,142.24,2032.0,71
CDM,864475,VALVE AORTIC CRYO 22+MM,215114.0,215114.0,23662.54,215114.0,57
CDM,864485,SCREW BN 5.0X24MM,3102.0,3102.0,341.22,3102.0,57
CDM,864508,COIL EMBL 20CM 6MM,65357.0,65357.0,7189.27,65357.0,57
CDM,864515,CATH URTH 14FR 34CM 2W,288.0,288.0,20.16,288.0,71
CDM,864519,CATH BLNOCC 4MM 10MM,27601.0,27601.0,1932.07,27601.0,71
CDM,864537,K-WIRE FX 150MM 2MM,927.0,927.0,64.89,927.0,71
CDM,864542,SCREW BN 4MM 14MM,1768.0,1768.0,194.48,1768.0,57
CDM,864560,TUBE JJNSTM 18FR 30CM,6782.0,6782.0,474.74,6782.0,71
CDM,864575,COIL EMBL 50CM 14MM,61779.0,61779.0,6795.69,61779.0,57
CDM,864577,COIL EMBL 50CM 14MM,61779.0,61779.0,6795.69,61779.0,57
CDM,864580,GWIRE ORTHO .054X6IN,1471.0,1471.0,102.97,1471.0,71
CDM,864605,STEM FEM HIP 13MM 146MM,45385.0,45385.0,4992.35,45385.0,57
CDM,864618,NAIL FEM 10MM 340MM,20693.0,20693.0,2276.23,20693.0,57
CDM,864635,PLATE BN RT 3HL,9248.0,9248.0,1017.28,9248.0,57
CDM,864637,PEG LCK SMOOTH 2X20MM,2054.0,2054.0,225.94,2054.0,57
CDM,864638,PEG BN 2.7MM 20MM,2209.0,2209.0,242.99,2209.0,57
CDM,864639,SCREW BN POLY 3.5X12MM,2002.0,2002.0,220.22,2002.0,57
CDM,864640,SCREW BN 3.5MM 14MM,1603.0,1603.0,176.33,1603.0,57
CDM,864641,KWIRE FX 1.5MM 127MM,832.0,832.0,58.24,832.0,71
CDM,864642,DRILL SURG DISP 2MM 40MM,3279.0,3279.0,229.53,3279.0,71
CDM,864643,DRILL SURG DISP 2.5X40MM,3350.0,3350.0,234.5,3350.0,71
CDM,864664,SCREW BN 2.7MM 16MM,2236.0,2236.0,245.96,2236.0,57
CDM,864690,PLATE BN 82MM 2.7/3.5MM,17853.0,17853.0,1963.83,17853.0,57
CDM,864694,SCREW BN 2MM 20MM,3375.0,3375.0,371.25,3375.0,57
CDM,864695,BIT DRILL 1.7MM,5623.0,5623.0,393.61,5623.0,71
CDM,864696,ROD SPN PRELRD 45X5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,864719,INSERT TIB KN SZ8 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,864724,PLATE BN 6HL 2.7X90MM,13209.0,13209.0,1452.99,13209.0,57
CDM,864736,GWIRE ORTH SURG 1.1MM,1375.0,1375.0,96.25,1375.0,71
CDM,864740,SCREW BN 3MM 26MM,3247.0,3247.0,357.17,3247.0,57
CDM,864741,SCREW BN 3MM 28MM,3247.0,3247.0,357.17,3247.0,57
CDM,864754,SCREW BN 4.5MM 38M,864.0,864.0,95.04,864.0,57
CDM,864755,SCREW BN 5MM 36MM,2569.0,2569.0,282.59,2569.0,57
CDM,864756,SCREW BN 5MM 34MM,2569.0,2569.0,282.59,2569.0,57
CDM,864758,SCREW BN 5.0MM 80MM,2569.0,2569.0,282.59,2569.0,57
CDM,864759,SCREW BN 5MM 85MM,3799.0,3799.0,417.89,3799.0,57
CDM,864771,CATH BALLOON 4MM 7M,25673.0,25673.0,1797.11,25673.0,71
CDM,864818,SET SHTH URT 11-14F 28CM,3658.0,3658.0,256.06,3658.0,71
CDM,864819,SET SHTH URT 11-13F 36CM,3733.0,3733.0,261.31,3733.0,71
CDM,864822,NUT BN ORTH SHRT,1243.0,1243.0,87.01,1243.0,71
CDM,864823,NUT CON EXFX RNG M6 6MM,1289.0,1289.0,90.23,1289.0,71
CDM,864824,WIRE FX DMD OLV 1.8MM,3967.0,3967.0,277.69,3967.0,71
CDM,864827,STRUT EX FIX 138-201MM,27452.0,27452.0,1921.64,27452.0,71
CDM,864828,STRUT EXFX 119-161MM,27452.0,27452.0,1921.64,27452.0,71
CDM,864832,CATH BLNOCC 9FR 120CM,10127.0,10127.0,708.89,10127.0,71
CDM,864837,MESH SURG CIRCLE 6IN,17252.0,17252.0,1897.72,17252.0,57
CDM,864854,SCREW BN 6.5MM 75MM 20MM,4765.0,4765.0,524.15,4765.0,57
CDM,864855,BOLT EX FIX 1.5-2MM,3644.0,3644.0,255.08,3644.0,71
CDM,864867,ARCH EXFIX FOOT 180MM,30089.0,30089.0,2106.23,30089.0,71
CDM,864868,STRUT EX FIX 60MM,3158.0,3158.0,221.06,3158.0,71
CDM,864869,RING EXFX FOOT LNG 180MM,34599.0,34599.0,2421.93,34599.0,71
CDM,864876,CATH BLNDIL 5MM 150MM,6058.0,6058.0,424.06,6058.0,71
CDM,864878,CATH BLNDIL 5MM 220MM,5623.0,5623.0,393.61,5623.0,71
CDM,864883,GWIRE VASC 200CM,11433.0,11433.0,800.31,11433.0,71
CDM,864884,CTHGD TRVO18 2.7F 150CM,11604.0,11604.0,812.28,11604.0,71
CDM,864887,BASEPLT GLND MED UNV STR,63210.0,63210.0,6953.1,63210.0,57
CDM,864889,SCREW PERPH LCK 30MM UNV,4110.0,4110.0,452.1,4110.0,57
CDM,864890,SCREW BN 4.5MM 36MM,4110.0,4110.0,452.1,4110.0,57
CDM,864891,SCREW BN 6.5MM 20MM,4994.0,4994.0,549.34,4994.0,57
CDM,864895,HEAD GLND SHLDR 39MM,64501.0,64501.0,7095.11,64501.0,57
CDM,864899,GWIRE VASC 180CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,864902,GWIRE VASC 190CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,864930,GUIDE SURG MNDB CSTM,12793.0,12793.0,895.51,12793.0,71
CDM,864964,ROD SPN 5.5MM 55MM,4556.0,4556.0,501.16,4556.0,57
CDM,864968,BIT DRL 5MM CLBRT STRL,9830.0,9830.0,688.1,9830.0,71
CDM,864990,NEEDLE ENDO 22GA 35CM,1599.0,1599.0,111.93,1599.0,71
CDM,865013,STEM FEM HIP TPR SZ5,49020.0,49020.0,5392.2,49020.0,57
CDM,865015,STEM STD SIZE 3,51600.0,51600.0,5676.0,51600.0,57
CDM,865016,STEM FEM TRIFIT STD SZ4,49020.0,49020.0,5392.2,49020.0,57
CDM,865021,STNT EVOLVE IDE# G120123,1.0,1.0,0.07,1.0,71
CDM,865022,INOVATE STIM IDE#G080113,1.0,1.0,0.07,1.0,71
CDM,865023,CSL 2.50 IDE# G080113,1.0,1.0,0.07,1.0,71
CDM,865024,CSL 2.75 IDE# G080113,1.0,1.0,0.07,1.0,71
CDM,865025,CSL 3.00 IDE# G080113,1.0,1.0,0.07,1.0,71
CDM,865026,CSL 3.25 IDE# G080113,1.0,1.0,0.07,1.0,71
CDM,865027,INOVATE RVL IDE# G080113,1.0,1.0,0.07,1.0,71
CDM,865028,NO COST IDE # G080113,1.0,1.0,0.07,1.0,71
CDM,865036,BOLT EX FIX STRUT,1289.0,1289.0,90.23,1289.0,71
CDM,865043,STENT PANC SPRL 5FR 3CM,2466.0,2466.0,271.26,2466.0,57
CDM,865047,NEEDLE BSCP 22GA SYR STR,2751.0,2751.0,192.57,2751.0,71
CDM,865054,INTRO SHEATH NTNL 6FR,1599.0,1599.0,111.93,1599.0,71
CDM,865076,STEM FEM HIP 11MM 142MM,46440.0,46440.0,5108.4,46440.0,57
CDM,865105,CMPNT FEM NAR KN RT SZ6,41280.0,41280.0,4540.8,41280.0,57
CDM,865129,BOLT EX FIX 1.5-2MM,3864.0,3864.0,270.48,3864.0,71
CDM,865130,WIRE EX FIX 1.8MM 450MM,3266.0,3266.0,228.62,3266.0,71
CDM,865132,BOLT EX FIX 1.5-2MM,3644.0,3644.0,255.08,3644.0,71
CDM,865133,WASHER BN UNIV 7MM,1728.0,1728.0,120.96,1728.0,71
CDM,865138,SCREW BN 3.5X32MM,4419.0,4419.0,486.09,4419.0,57
CDM,865139,PLATE BN TI RIGHT MED,23489.0,23489.0,2583.79,23489.0,57
CDM,865146,RING SPN 0D 15MM,2772.0,2772.0,304.92,2772.0,57
CDM,865152,CATH ANGIO 5FR 65CM,674.0,674.0,47.18,674.0,71
CDM,865154,SCREW BN 5MM 44MM,2569.0,2569.0,282.59,2569.0,57
CDM,865158,DRIVER TRQ SURG ELB,6150.0,6150.0,430.5,6150.0,71
CDM,865179,SCREW BN 2.7MM 14MM,4797.0,4797.0,527.67,4797.0,57
CDM,865184,STEM FEM HIP 7MM 134MM,46440.0,46440.0,5108.4,46440.0,57
CDM,865198,CUTTER BN PLATINUM 5.5MM,3261.0,3261.0,228.27,3261.0,71
CDM,865203,DEVICE WNDCLS 15CM SZ0,4024.0,4024.0,281.68,4024.0,71
CDM,865205,TAP 3MM SURG 3MM SCR,2535.0,2535.0,177.45,2535.0,71
CDM,865221,COIL EMBL 40CM 10MM,65357.0,65357.0,7189.27,65357.0,57
CDM,865224,COIL EMBL 30CM 8MM,65357.0,65357.0,7189.27,65357.0,57
CDM,865227,COIL EMBL 50CM 24MM XL,50964.0,50964.0,5606.04,50964.0,57
CDM,865228,COIL EMBL 50CM 22MM,61779.0,61779.0,6795.69,61779.0,57
CDM,865314,BRACHYTX NS YTTRIUM 90,198750.0,198750.0,21862.5,198750.0,46
CDM,865314,"Brachytherapy source, non-stranded, yttrium-90, per source ",198750.0,198750.0,59820.49,88363.42,6
CDM,865320,INSERT HUM SHLDR 39MM,37410.0,37410.0,4115.1,37410.0,57
CDM,865325,NAIL BN 7MM 9.5MM 240MM,26581.0,26581.0,2923.91,26581.0,57
CDM,865326,ROD SPN 5.5MM 85MM,4556.0,4556.0,501.16,4556.0,57
CDM,865347,COIL EMBL 50CM 16MM,65357.0,65357.0,7189.27,65357.0,57
CDM,865352,SET INFS .75IN 19GA 12IN,31.0,31.0,2.17,31.0,71
CDM,865357,CATH BLNDIL 6MM 150MM,6058.0,6058.0,424.06,6058.0,71
CDM,865359,CATH BLNDIL 7MM 120MM,5623.0,5623.0,393.61,5623.0,71
CDM,865365,GRAFT VASC 6CM 40CM,33899.0,33899.0,3728.89,33899.0,57
CDM,865439,SCREW BN SPN 8.5MM 45MM,22779.0,22779.0,2505.69,22779.0,57
CDM,865468,SCREW BN HUM,6668.0,6668.0,733.48,6668.0,57
CDM,865469,CMPNT ULN ELB SZ5/6,27903.0,27903.0,3069.33,27903.0,57
CDM,865470,SCREW BN CRTCL 4.5X40MM,864.0,864.0,95.04,864.0,57
CDM,865477,CATH HMD 40CM 14.5FR,9602.0,9602.0,672.14,9602.0,71
CDM,865497,PLATE BN LT 9HL 151MM,11882.0,11882.0,1307.02,11882.0,57
CDM,865516,GWIRE VASC 180CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,865521,SHEATH STPLR DISP 45MM,1343.0,1343.0,94.01,1343.0,71
CDM,865529,COMPNT PTLA DOME 32MM,9030.0,9030.0,993.3,9030.0,57
CDM,865595,ANCHOR SUT 6.25MM 19.1MM,14057.0,14057.0,1546.27,14057.0,57
CDM,865642,GRAFT BN DBM PTTY 10ML,13379.0,13379.0,1471.69,13379.0,57
CDM,865655,PLATE 90D 1.8MM,79270.0,79270.0,8719.7,79270.0,57
CDM,865686,SCREW BN 3.5MM 36MM,1624.0,1624.0,178.64,1624.0,57
CDM,865687,SCREW BN 3.5MM 38MM,1624.0,1624.0,178.64,1624.0,57
CDM,865688,SCREW BN 3.5MM 42MM,1624.0,1624.0,178.64,1624.0,57
CDM,865693,DEVICE WNDCLS 15CM SZ3,1599.0,1599.0,111.93,1599.0,71
CDM,865696,CATH ATHRCM 145CM 1.25MM,56256.0,56256.0,3937.92,56256.0,71
CDM,865704,LINER ACTB HIP 28MM 44MM,14190.0,14190.0,1560.9,14190.0,57
CDM,865717,SCREW BN 3.5MM 36MM,4419.0,4419.0,486.09,4419.0,57
CDM,865779,CATHETER TRNS OCC 3X10MM,24377.0,24377.0,1706.39,24377.0,71
CDM,865780,CATHETER TRNS OCC 4X10MM,27601.0,27601.0,1932.07,27601.0,71
CDM,865794,STEM FEM HIP 19MM 150MM,45467.0,45467.0,5001.37,45467.0,57
CDM,865802,PIN HLF EXFX 150X5MM,9807.0,9807.0,686.49,9807.0,71
CDM,865803,PLATE BN LNG,32161.0,32161.0,3537.71,32161.0,57
CDM,865822,CMPNT FEM KN CMNT RT,41280.0,41280.0,4540.8,41280.0,57
CDM,865825,NAIL BN LT 130D 11X360MM,33559.0,33559.0,3691.49,33559.0,57
CDM,865826,INSERT TIB KN 7 12MM,23220.0,23220.0,2554.2,23220.0,57
CDM,865834,COIL EMBL 6CM 3MM,45149.0,45149.0,4966.39,45149.0,57
CDM,865880,PLATE BN MDFC .6MM,3108.0,3108.0,341.88,3108.0,57
CDM,865881,PLATE BN ORBT 12HL .6MM,5755.0,5755.0,633.05,5755.0,57
CDM,865905,INTRDCR TWY PED 2FR,1599.0,1599.0,111.93,1599.0,71
CDM,865906,INTRDCR TWY MSLD3F.018IN,1599.0,1599.0,111.93,1599.0,71
CDM,865907,GWIRE VASC .014IN 40CM,1599.0,1599.0,111.93,1599.0,71
CDM,865908,NDL ECHGN MCSLD 24F 4CM,498.0,498.0,34.86,498.0,71
CDM,865909,TRAY CATH 1LUM 1.9F 20CM,3186.0,3186.0,223.02,3186.0,71
CDM,865912,CATH VASC 100CM 5F 5.4MM,37283.0,37283.0,2609.81,37283.0,71
CDM,865913,STEM FEM HIP 135D SZ8,51600.0,51600.0,5676.0,51600.0,57
CDM,865914,STEM FEM HIP 135D SZ16,51600.0,51600.0,5676.0,51600.0,57
CDM,865921,HEAD FEM HIP 12/14 28MM,18154.0,18154.0,1996.94,18154.0,57
CDM,865923,HEAD FEM HIP +5MM 32MM,18154.0,18154.0,1996.94,18154.0,57
CDM,865924,HEAD FEM HIP 12/14+12X36,16770.0,16770.0,1844.7,16770.0,57
CDM,865925,LINER ACTB HIP 46X28MM,14190.0,14190.0,1560.9,14190.0,57
CDM,865950,GWIRE VASC .016IN 180CM,5647.0,5647.0,395.29,5647.0,71
CDM,865956,CMPNT KN RT SZ3,29670.0,29670.0,3263.7,29670.0,57
CDM,865957,CMPNT FEM KN 9 RT,37410.0,37410.0,4115.1,37410.0,57
CDM,865958,COMPONENT FEM KN RT SZ10,45150.0,45150.0,4966.5,45150.0,57
CDM,865959,COMPONENT FEM KN CMNT 3,45150.0,45150.0,4966.5,45150.0,57
CDM,865963,CMPNT DOME KN 29MM,9030.0,9030.0,993.3,9030.0,57
CDM,865965,INSERT KN TIB SZ3 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,865966,INSERT TIB KN SZ3 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,865969,INSERT TIB KN SZ4 10MM,24510.0,24510.0,2696.1,24510.0,57
CDM,865971,INSERT BRNG KN SZ4 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,865991,CMPNT FEM KN LT CMNT 3,37410.0,37410.0,4115.1,37410.0,57
CDM,865992,COMPNT FEM KN RT SZ9,77194.0,77194.0,8491.34,77194.0,57
CDM,865993,COMPONENT FEM KN SZ10,29670.0,29670.0,3263.7,29670.0,57
CDM,865994,COMPNT FEM NAR KN LT 3,32250.0,32250.0,3547.5,32250.0,57
CDM,865996,ROD SPN PRLRD 65MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,866003,STEM TIB KN LT 5D SZF,20640.0,20640.0,2270.4,20640.0,57
CDM,866007,CMPNT FEM KN STD LT SZ11,38700.0,38700.0,4257.0,38700.0,57
CDM,866009,CMPNT PTLR KN 38MM,6450.0,6450.0,709.5,6450.0,57
CDM,866013,HEAD FEM HIP 12/14 22MM,15932.0,15932.0,1752.52,15932.0,57
CDM,866023,CATH DRN 15CM 2.54X127MM,7043.0,7043.0,774.73,7043.0,57
CDM,866033,INSERT TIB KN 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866035,INSERT TIB KN SZ5 12MM,23220.0,23220.0,2554.2,23220.0,57
CDM,866036,INSERT TIB KN SZ6 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866038,INSERT TIB KN SZ8 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866043,INSERT TIB KN SZ9 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866044,INSERT TIB KN SZ9 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866045,INSERT TIB KN SZ9 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866047,INSERT TIB KN SZ9 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866048,INSERT TIB KN SZ9 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866049,INSERT KN SZ9 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866052,INSERT TIB KN SZ9 14MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866053,INSERT TIB KN SZ10 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866055,INSERT TIB KN SZ10 7MM,24510.0,24510.0,2696.1,24510.0,57
CDM,866057,INSERT TIB KN 10MM,23220.0,23220.0,2554.2,23220.0,57
CDM,866078,CMPNT FEM KN SZ2,29670.0,29670.0,3263.7,29670.0,57
CDM,866107,PIN FX KN XS/SM,6222.0,6222.0,684.42,6222.0,57
CDM,866108,CEMENT BN 20ML 40.8GM,3165.0,3165.0,348.15,3165.0,57
CDM,866128,SCREW BN 4.75MM 30MM,1131.0,1131.0,124.41,1131.0,57
CDM,866146,SCREW BN 10.5MM 110MM,15690.0,15690.0,1725.9,15690.0,57
CDM,866153,INSERT TIB KN SZ3 8MM,24510.0,24510.0,2696.1,24510.0,57
CDM,866155,INSERT TIB KN 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866163,CEMENT BN 20ML 40GM,1049.0,1049.0,115.39,1049.0,57
CDM,866166,INSERT TIB KN SZ6 12MM,23220.0,23220.0,2554.2,23220.0,57
CDM,866176,SHOE EXFX LNG LRG,29697.0,29697.0,2078.79,29697.0,71
CDM,866177,ROD EXFX THRD 6X100MM,2564.0,2564.0,179.48,2564.0,71
CDM,866178,ROD EXFIX THRD 120MM,2688.0,2688.0,188.16,2688.0,71
CDM,866186,PLT BN MDFC 6H DBL/Y 1MM,5280.0,5280.0,580.8,5280.0,57
CDM,866204,KIT SPLINT DNTL SURG,23077.0,23077.0,1615.39,23077.0,71
CDM,866226,SCREW BN CRNFCL 2.3X5MM,2384.0,2384.0,262.24,2384.0,57
CDM,866227,SCREW BN 2.3MM 7MM,2384.0,2384.0,262.24,2384.0,57
CDM,866228,SCREW BN 2.3X9MM,2316.0,2316.0,254.76,2316.0,57
CDM,866235,COIL EMBL 35D 4MM 15CM,34400.0,34400.0,3784.0,34400.0,57
CDM,866263,DRILL SURG 1.6MM 110MM,7775.0,7775.0,544.25,7775.0,71
CDM,866272,CMPNT FEM STD KN LT SZ9,38700.0,38700.0,4257.0,38700.0,57
CDM,866278,STYLET LD .014IN KIT XTN,844.0,844.0,59.08,844.0,71
CDM,866294,SCREW BN SPN 8.5MM 50MM,21514.0,21514.0,2366.54,21514.0,57
CDM,866324,RING EX FIX LONG 155MM,34599.0,34599.0,2421.93,34599.0,71
CDM,866327,ARCH EXFIX FOOT 155MM,30089.0,30089.0,2106.23,30089.0,71
CDM,866331,RING EXFX 155MM,24637.0,24637.0,1724.59,24637.0,71
CDM,866334,SHOE EXFX LNG MED,28144.0,28144.0,1970.08,28144.0,71
CDM,866346,MARKER RAD 17GA 20CM,4809.0,4809.0,528.99,4809.0,57
CDM,866354,COIL EMBL 15CM 6MM,47763.0,47763.0,5253.93,47763.0,57
CDM,866365,KWIRE FX 3.2MM 400MM,5623.0,5623.0,393.61,5623.0,71
CDM,866367,SCREW BN 3.5MM 12MM,2295.0,2295.0,252.45,2295.0,57
CDM,866368,SCREW BN 3.5MM 14MM,2295.0,2295.0,252.45,2295.0,57
CDM,866369,SCREW BN 3.5MM 16MM,2578.0,2578.0,283.58,2578.0,57
CDM,866374,STEM FEM LPS 15.5X125MM,92481.0,92481.0,10172.91,92481.0,57
CDM,866406,STEM FEM HIP SZ6,49020.0,49020.0,5392.2,49020.0,57
CDM,866407,STEM TRIFIT TS STD SZ1,49020.0,49020.0,5392.2,49020.0,57
CDM,866409,LINER ACTB HIP SZ3 4X36,14190.0,14190.0,1560.9,14190.0,57
CDM,866411,PUNCH SURG 2.8MM Y-KNT,3003.0,3003.0,210.21,3003.0,71
CDM,866413,CATHETER DRN 18FR 40CM,3317.0,3317.0,232.19,3317.0,71
CDM,866442,GRAFT CV 8MM 30CM,10737.0,10737.0,1181.07,10737.0,57
CDM,866482,GRAFT ST TIS 35.4CM,24908.0,24908.0,2739.88,24908.0,57
CDM,866498,PLATE BN 6HL RT .8X12MM,4120.0,4120.0,453.2,4120.0,57
CDM,866516,SCREW BN L-T 4X54MM,2914.0,2914.0,320.54,2914.0,57
CDM,866517,SCREW BN 4MM 58MM,2914.0,2914.0,320.54,2914.0,57
CDM,866532,INTRO CATH 7FR 110CM,9602.0,9602.0,672.14,9602.0,71
CDM,866598,SURF ARTC KN 6-9 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866614,DRILL CANN 2.9X140MM,1599.0,1599.0,111.93,1599.0,71
CDM,866632,NAIL BN 10MM 18CM,29798.0,29798.0,3277.78,29798.0,57
CDM,866675,BIT DRILL CALI 4.3X320MM,5623.0,5623.0,393.61,5623.0,71
CDM,866725,CMPNT HIP 28MM 52MM,11610.0,11610.0,1277.1,11610.0,57
CDM,866728,SCREW BN 2X8X12MM,2382.0,2382.0,262.02,2382.0,57
CDM,866733,PLATE BN 13MM 20MM,7593.0,7593.0,835.23,7593.0,57
CDM,866749,MESH DYNMC .6MM STD CNTR,42666.0,42666.0,4693.26,42666.0,57
CDM,866751,MESH CRNFCL .6MM,82211.0,82211.0,9043.21,82211.0,57
CDM,866752,COVER BURR HL CONT .3X22,3856.0,3856.0,424.16,3856.0,57
CDM,866753,SCREW BN 4X1.5MM,1482.0,1482.0,163.02,1482.0,57
CDM,866766,STENT VASC 5.5MM 80MM,39544.0,39544.0,4349.84,39544.0,57
CDM,866789,SCREW BN CANN 2.5X30MM,7925.0,7925.0,871.75,7925.0,57
CDM,866809,PLATE BN 2.7/3.5X142MM,27601.0,27601.0,3036.11,27601.0,57
CDM,866822,TUBE JJNSTM 14FR,4322.0,4322.0,302.54,4322.0,71
CDM,866849,STEM FEM HIP 8MM 136MM,45385.0,45385.0,4992.35,45385.0,57
CDM,866886,STEM FEM HIP 4MM 93MM,45385.0,45385.0,4992.35,45385.0,57
CDM,866892,KWIRE FX 1.4MM 150MM,1599.0,1599.0,111.93,1599.0,71
CDM,866893,KWIRE FX 150MM 1.6MM,1599.0,1599.0,111.93,1599.0,71
CDM,866903,INSERT TIB PST SZ5 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,866915,SCREW SPN 4MM 12MM,2700.0,2700.0,297.0,2700.0,57
CDM,866917,CATH INTVN MCTH 2.8-3FR,11433.0,11433.0,800.31,11433.0,71
CDM,866932,RING EX FIX 180MM,27082.0,27082.0,1895.74,27082.0,71
CDM,866959,VALVE AORTIC 27/29MM,73980.0,73980.0,8137.8,73980.0,57
CDM,866961,VALVE AORTIC 21MM,78264.0,78264.0,8609.04,78264.0,57
CDM,866962,VALVE AORTIC 23MM,78264.0,78264.0,8609.04,78264.0,57
CDM,866963,VALVE AORTIC 19MM,78264.0,78264.0,8609.04,78264.0,57
CDM,866964,VALVE AORTIC 21MM,78264.0,78264.0,8609.04,78264.0,57
CDM,866966,VALVE AORTIC 25MM,78264.0,78264.0,8609.04,78264.0,57
CDM,866967,VALVE AORTIC 27/29MM,78264.0,78264.0,8609.04,78264.0,57
CDM,866968,VALVE AORTIC 27/29MM,78264.0,78264.0,8609.04,78264.0,57
CDM,866970,VALVE MITRAL 27-29MM,76743.0,76743.0,8441.73,76743.0,57
CDM,866972,VALVE MITRAL 31-33MM,88700.0,88700.0,9757.0,88700.0,57
CDM,866973,VALVE MITRAL 23/25MM,76743.0,76743.0,8441.73,76743.0,57
CDM,867021,VALVE AORTIC 25MM,78264.0,78264.0,8609.04,78264.0,57
CDM,867032,SCREW 3.5X46 SS CORT CLV,750.0,750.0,82.5,750.0,57
CDM,867069,SCREW BN 4.5MM 24MM,4110.0,4110.0,452.1,4110.0,57
CDM,867075,PLATE BN 12H 202MM,27622.0,27622.0,3038.42,27622.0,57
CDM,867084,DEVICE WNDCLS 45CM SZ0,1808.0,1808.0,126.56,1808.0,71
CDM,867106,NAIL BN 125D 10X340MM,39913.0,39913.0,4390.43,39913.0,57
CDM,867157,SCREW BN 4.5MM 38MM,3244.0,3244.0,356.84,3244.0,57
CDM,867179,MESH SURG COMP 9CM,6608.0,6608.0,726.88,6608.0,57
CDM,867200,GWIRE ORTH .034IN,1599.0,1599.0,111.93,1599.0,71
CDM,867224,SCREW BN 3.5MM 10MM,2295.0,2295.0,252.45,2295.0,57
CDM,867249,PORT ACC 8MM 100MM,2843.0,2843.0,199.01,2843.0,71
CDM,867261,STEM FEM HIP 5MM 130MM,46440.0,46440.0,5108.4,46440.0,57
CDM,867279,BIT DRL 7MM X 200MM CANN,6448.0,6448.0,451.36,6448.0,71
CDM,867285,MESH SURG 12X10IN,183910.0,183910.0,20230.1,183910.0,57
CDM,867289,STEM FEM HIP 150MM 16MM,45467.0,45467.0,5001.37,45467.0,57
CDM,867298,PIN TRNFX EXFX 300X40,3636.0,3636.0,254.52,3636.0,71
CDM,867313,CATH BLNDIL 5MM 100MM,4910.0,4910.0,343.7,4910.0,71
CDM,867314,CATH BLNDIL 6MM 100MM,4910.0,4910.0,343.7,4910.0,71
CDM,867316,CATH BLNDIL 10MM 60MM,4910.0,4910.0,343.7,4910.0,71
CDM,867332,FILLER BN 10ML,36202.0,36202.0,3982.22,36202.0,57
CDM,867381,GUIDEWIRE BEAD TIP 2.6MM,5623.0,5623.0,393.61,5623.0,71
CDM,867388,INSERT TIB KN SZ6 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,867405,SUT CLS LP WHT/BLK 26IN,2235.0,2235.0,245.85,2235.0,57
CDM,867406,CATH DRN 6.3FR 25CM DW,2399.0,2399.0,167.93,2399.0,71
CDM,867418,SYSTEM CALIB 36FR 107CM,5623.0,5623.0,393.61,5623.0,71
CDM,867499,SCREW BN 4.75MM 25MM,1542.0,1542.0,169.62,1542.0,57
CDM,867500,SCREW BN 4.75MM 35MM,1372.0,1372.0,150.92,1372.0,57
CDM,867506,PIN TEMP FIX SM 1.4MM,1759.0,1759.0,123.13,1759.0,71
CDM,867518,SCREW BN 4MM 44MM 15MM,2960.0,2960.0,325.6,2960.0,57
CDM,867522,TRAY NDL 10/12GA 10/14CM,8462.0,8462.0,592.34,8462.0,71
CDM,867524,DRESSING WND CLEANSE MED,3838.0,3838.0,268.66,3838.0,71
CDM,867535,BIT DRILL 2.5MM,2549.0,2549.0,178.43,2549.0,71
CDM,867538,SUTURE VIOL MON +1 27IN,148.0,148.0,10.36,148.0,71
CDM,867547,BIT DRILL 2.7MM,3186.0,3186.0,223.02,3186.0,71
CDM,867550,SHELL ACTB HIP SZ E 52MM,20640.0,20640.0,2270.4,20640.0,57
CDM,867555,PLATE BN 82MM 2.7/3.5MM,25462.0,25462.0,2800.82,25462.0,57
CDM,867568,PLATE BN 2.7/3.5MM 121MM,20059.0,20059.0,2206.49,20059.0,57
CDM,867589,MESH SURG 6X8IN,23516.0,23516.0,2586.76,23516.0,57
CDM,867594,BASEPLATE GLND SHLDR SM,63210.0,63210.0,6953.1,63210.0,57
CDM,867611,BIT DRILL STRL 1.7MM,3210.0,3210.0,224.7,3210.0,71
CDM,867612,SCREW BN 3.5MM 12MM,1768.0,1768.0,194.48,1768.0,57
CDM,867613,SCREW 3.5X12 LOPRO LCK,4419.0,4419.0,486.09,4419.0,57
CDM,867614,SCREW BN 2.4X20MM,4110.0,4110.0,452.1,4110.0,57
CDM,867615,SCREW BN 2.4MM 18MM,4809.0,4809.0,528.99,4809.0,57
CDM,867648,CANNULA END DEL 120 11G,8573.0,8573.0,600.11,8573.0,71
CDM,867686,COIL EMBL 5CM 3MM,1560.0,1560.0,171.6,1560.0,57
CDM,867689,COIL EMBL .035IN 7CM 4MM,1593.0,1593.0,175.23,1593.0,57
CDM,867692,COIL EMBL 6MM 7CM,1593.0,1593.0,175.23,1593.0,57
CDM,867696,INSERT TIB KN SZ7 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,867697,INSERT KN PS SZ6 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,867703,SCREW BN 2MM 11MM,7049.0,7049.0,775.39,7049.0,57
CDM,867728,SCREW BN 2.4MM 18MM,4901.0,4901.0,539.11,4901.0,57
CDM,867732,NAIL BN TROCH 10MM 18CM,29798.0,29798.0,3277.78,29798.0,57
CDM,867734,INSERT TIB KN SZ7 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,867741,CONTROLLER VNTRC NS LF,118476.0,118476.0,8293.32,118476.0,57
CDM,867744,PACK PATIENT ACCESSORY,9716.0,9716.0,680.12,9716.0,65
CDM,867746,CHARGER BTRY NS LF DISP,101077.0,101077.0,7075.39,101077.0,57
CDM,867747,BATTERY LI NS LF DISP,12428.0,12428.0,869.96,12428.0,57
CDM,867748,BAG EQUIP SHOWER DISP,6858.0,6858.0,480.06,6858.0,57
CDM,867752,PACK WAIST PATIENT ACCES,9716.0,9716.0,680.12,9716.0,57
CDM,867753,PACK SHOULDER PATIENT AC,10287.0,10287.0,720.09,10287.0,57
CDM,867800,PLATE BN 4H LT LNG 108MM,17414.0,17414.0,1915.54,17414.0,57
CDM,867804,SCREWDRVR BATT-PWR,3478.0,3478.0,243.46,3478.0,71
CDM,867835,SCREW BN CMPR 2.5X30MM,10275.0,10275.0,1130.25,10275.0,57
CDM,867889,MICROCATH 2.95FR 160CM,17167.0,17167.0,1201.69,17167.0,71
CDM,867892,HEAD FEM HIP +10X28MM,15821.0,15821.0,1740.31,15821.0,57
CDM,867905,CATH BLN 7FR 12MM 120CM,5990.0,5990.0,419.3,5990.0,71
CDM,867907,CATH BLN 7F 14MM 120CM,5990.0,5990.0,419.3,5990.0,71
CDM,867908,CATH BLN 7FR 14MM 120CM,5990.0,5990.0,419.3,5990.0,71
CDM,867913,CATH BLN .035IN 8FR 16MM,7193.0,7193.0,503.51,7193.0,71
CDM,867915,CATH BLN 8FR 18MM 120CM,5990.0,5990.0,419.3,5990.0,71
CDM,867916,CATH BLNDIL 18MM 40MM,6615.0,6615.0,463.05,6615.0,71
CDM,867918,CATH BLNDIL 20MM 20MM,8001.0,8001.0,560.07,8001.0,71
CDM,867919,CATH BLN 9FR 20MM,8001.0,8001.0,560.07,8001.0,71
CDM,867921,CATH BLNDIL 22MM 20MM,8001.0,8001.0,560.07,8001.0,71
CDM,867922,CATH BLN 10FR 22MM,8001.0,8001.0,560.07,8001.0,71
CDM,867924,CATH BLNDIL 24MM 20MM,9716.0,9716.0,680.12,9716.0,71
CDM,867925,CATH BLNDIL 24MM 40MM,9716.0,9716.0,680.12,9716.0,71
CDM,867926,CATH BLN 12FR 26MM 120CM,9716.0,9716.0,680.12,9716.0,71
CDM,867927,CATH BLN 12FR 26MM 120CM,9716.0,9716.0,680.12,9716.0,71
CDM,867941,INSERT TIB KN SZ5 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,867974,SCREW EMERGENCY TI 3MM M,7704.0,7704.0,847.44,7704.0,57
CDM,868004,STENT BIL 8FR 8X60MM,33399.0,33399.0,3673.89,33399.0,57
CDM,868006,PLATE BN 237MM 3.5MM,32143.0,32143.0,3535.73,32143.0,57
CDM,868011,IMPLANT CARTRIDGE PROST,20550.0,20550.0,2260.5,20550.0,57
CDM,868015,BEARING TIB KN 12X79,19350.0,19350.0,2128.5,19350.0,57
CDM,868017,DILATOR SURG 4.75MM,5623.0,5623.0,393.61,5623.0,71
CDM,868022,CATH BLN .035IN 7FR 12MM,6850.0,6850.0,479.5,6850.0,71
CDM,868023,CATH BLN 8F 16MM 120CM,6615.0,6615.0,463.05,6615.0,71
CDM,868043,STEM ULN ELB RT SZ4 75MM,74836.0,74836.0,8231.96,74836.0,57
CDM,868058,SCREW BN 2.4MM 16MM TI L,4110.0,4110.0,452.1,4110.0,57
CDM,868059,SCREW BN 3.5MM 14MM,1768.0,1768.0,194.48,1768.0,57
CDM,868063,ROD SPNL 400MM,7593.0,7593.0,835.23,7593.0,57
CDM,868068,COIL EMBL DTCH 10MM 30CM,40648.0,40648.0,4471.28,40648.0,57
CDM,868069,COIL EMBL 10MM 5MM,47763.0,47763.0,5253.93,47763.0,57
CDM,868071,COIL EMBL 15CM 7MM,43002.0,43002.0,4730.22,43002.0,57
CDM,868072,COIL EMBL DTCH 8MM 25CM,40648.0,40648.0,4471.28,40648.0,57
CDM,868082,SCREW BN 2.5MMX24MM,10275.0,10275.0,1130.25,10275.0,57
CDM,868083,CMPNT PTLA KN E+ 8X32MM,6450.0,6450.0,709.5,6450.0,57
CDM,868084,DOME KN E-+ 3 PEG 9X35MM,6450.0,6450.0,709.5,6450.0,57
CDM,868099,SHELL ACTB HIP 58MM,20640.0,20640.0,2270.4,20640.0,57
CDM,868128,SCREW BN 4.5MM 42MM UNIV,3535.0,3535.0,388.85,3535.0,57
CDM,868144,LINER ACTB SZE 36MM,21256.0,21256.0,2338.16,21256.0,57
CDM,868180,CANNULA PRFSN 9FR 9MM,4035.0,4035.0,282.45,4035.0,71
CDM,868187,CANNULA PRFSN 15IN 30FR,1343.0,1343.0,94.01,1343.0,71
CDM,868197,SCREW BN 2.4MM 10MM,3247.0,3247.0,357.17,3247.0,57
CDM,868209,CMPNT FEM STD KN RT SZ9,38700.0,38700.0,4257.0,38700.0,57
CDM,868211,GWIRE ORTHO 3MM 900MM,5973.0,5973.0,418.11,5973.0,71
CDM,868238,DISTRACTOR BD SURG 3.5MM,3271.0,3271.0,359.81,3271.0,57
CDM,868248,FOOTPLATE BN 10MM LT ANT,8826.0,8826.0,970.86,8826.0,57
CDM,868249,FOOTPLATE BN 10MM RT ANT,8826.0,8826.0,970.86,8826.0,57
CDM,868268,STEM HUM SHLDR 60X10MM,147949.0,147949.0,16274.39,147949.0,57
CDM,868276,BIT DRL 2.7MM 3.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,868277,SHELL ACTB HIP 50MM,20640.0,20640.0,2270.4,20640.0,57
CDM,868288,DRESSING FOAM LG 15X10CM,683.0,683.0,47.81,683.0,71
CDM,868291,KWIRE FX 3.0MM 285MM,3149.0,3149.0,220.43,3149.0,71
CDM,868293,STEM FEM EXT 150X12.5MM,92003.0,92003.0,10120.33,92003.0,57
CDM,868348,HEAD FEM HIP +0 12/14 36,16770.0,16770.0,1844.7,16770.0,57
CDM,868365,ROD SPNL LN 75MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,868382,SCREW BN 2X15MM,1195.0,1195.0,131.45,1195.0,57
CDM,868383,SCREW BN 2X17MM,1194.0,1194.0,131.34,1194.0,57
CDM,868417,GWIRE ORTH .045IN CL,1599.0,1599.0,111.93,1599.0,71
CDM,868429,SYSTEM DLV 5FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,868430,SYSTEM DLV 4FR 80CM,12179.0,12179.0,852.53,12179.0,71
CDM,868431,SYSTEM DLV 5FR 60CM,12179.0,12179.0,852.53,12179.0,71
CDM,868433,SYSTEM DLV 4FR 60CM,12179.0,12179.0,852.53,12179.0,71
CDM,868512,REAMER CANN ENTRY 13.5MM,11202.0,11202.0,784.14,11202.0,71
CDM,868525,GWIRE ORTH .034IN,1599.0,1599.0,111.93,1599.0,71
CDM,868550,INSERT TIB KN SZ9 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868552,INSERT KN TIB SZ9 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868570,INSERT KN PS RP SZ8 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868572,INSERT KN PS RP SZ8 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868573,INSRT TIB8 7MM PSTSTBATN,19350.0,19350.0,2128.5,19350.0,57
CDM,868582,INSERT TIB KN SZ9 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868586,INSERT TIB KN SZ6 6MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868587,INSERT KN TIB SZ6 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868588,INSERT TIB 6 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868594,INSERT TIB 7 8MM PST STB,19350.0,19350.0,2128.5,19350.0,57
CDM,868596,INSERT KN POST SZ7 10MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868618,INSERT TIB KN SZ4 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868620,INSERT TIB KN SZ4 8MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868623,INSERT TIB KN SZ4 12MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868628,INSERT TIB KN 5 7MM,19350.0,19350.0,2128.5,19350.0,57
CDM,868651,PLATE 6 HOLE CURVD GAP 4,5258.0,5258.0,578.38,5258.0,57
CDM,868657,TOOL TUNNELING 35CM,2811.0,2811.0,196.77,2811.0,71
CDM,868661,SHELL HIP ACTB 48MM,20640.0,20640.0,2270.4,20640.0,57
CDM,868664,SCREW BN 2.3MM 11MM,2532.0,2532.0,278.52,2532.0,57
CDM,868665,SCREW BN 2.3MM 13MM,2384.0,2384.0,262.24,2384.0,57
CDM,868667,BIT DRILL TWST 115X1.5MM,5304.0,5304.0,371.28,5304.0,71
CDM,868671,SCREW BN 5.5X30MM,1201.0,1201.0,132.11,1201.0,57
CDM,868676,DRILL TWST 1.5X115MM,5332.0,5332.0,373.24,5332.0,71
CDM,868682,SCREW BN 5X40MM,3336.0,3336.0,366.96,3336.0,57
CDM,868683,SCREW BN 5MM 42MM,2569.0,2569.0,282.59,2569.0,57
CDM,868686,SCREW BN 5X90MM,4027.0,4027.0,442.97,4027.0,57
CDM,868687,PLATE BN SGTL MED 28MM,4503.0,4503.0,495.33,4503.0,57
CDM,868688,DRILL SURG 10MM,5623.0,5623.0,393.61,5623.0,71
CDM,868694,BASEPLATE TIB KN RT SZ5,61035.0,61035.0,6713.85,61035.0,57
CDM,868717,SHEARS LAPSCP CRV TIP AD,9921.0,9921.0,694.47,9921.0,71
CDM,868721,GWIRE VASC 300CM .014IN,4498.0,4498.0,314.86,4498.0,71
CDM,868726,MESH SURG 12CM,8995.0,8995.0,989.45,8995.0,57
CDM,868748,PLATE BN 16HL 4.5X339MM,35083.0,35083.0,3859.13,35083.0,57
CDM,868756,MATRIX TISS 7X10CM,24805.0,24805.0,2728.55,24805.0,57
CDM,868775,CAPSULE ENDO 11.4X26.2MM,11433.0,11433.0,800.31,11433.0,71
CDM,868784,SHEARS ESURG 9CM,8231.0,8231.0,576.17,8231.0,71
CDM,868794,NAIL BN LT 10MM 40CM,60777.0,60777.0,6685.47,60777.0,57
CDM,868837,SCREW BN 6.5MM 20MM,2969.0,2969.0,326.59,2969.0,57
CDM,868879,SCREW BN CRNL 2.3X11MM,1521.0,1521.0,167.31,1521.0,57
CDM,868880,SCREW BN 2.3MM 13MM,1668.0,1668.0,183.48,1668.0,57
CDM,868881,SCREW BN 2.3MM 15MM,1612.0,1612.0,177.32,1612.0,57
CDM,868893,STEM HUM SHLDR 6X60MM,147949.0,147949.0,16274.39,147949.0,57
CDM,868910,ROD EXFX CIRC 220X11MM,5875.0,5875.0,411.25,5875.0,71
CDM,868942,SCREW BN 3.5MM 18MM,1768.0,1768.0,194.48,1768.0,57
CDM,868943,SCREW BN 2.4MM 14MM,4110.0,4110.0,452.1,4110.0,57
CDM,868944,SCREW BN 2.4MM 22MM,3247.0,3247.0,357.17,3247.0,57
CDM,868946,HEAD GLND +4MM 39MM,64501.0,64501.0,7095.11,64501.0,57
CDM,868947,INSRT HUM SHLDR 36X+3MM,43654.0,43654.0,4801.94,43654.0,57
CDM,868952,SCREW BN 2.4MM 22MM,4110.0,4110.0,452.1,4110.0,57
CDM,868964,PLATE BN 2H 2.7/3.5X82MM,20059.0,20059.0,2206.49,20059.0,57
CDM,868969,SLEEVE NAIL INS 8-11MM,3336.0,3336.0,233.52,3336.0,71
CDM,869005,CONFORMER OCULAR LARGE,1439.0,1439.0,158.29,1439.0,57
CDM,869007,LINE ASP ANTICOAG 1/4,878.0,878.0,61.46,878.0,71
CDM,869009,PLATE BN 3HL,23345.0,23345.0,2567.95,23345.0,57
CDM,869015,BIT DRLL 8MM,6378.0,6378.0,446.46,6378.0,71
CDM,869021,SCREW BN 4MM 35MM,2727.0,2727.0,299.97,2727.0,57
CDM,869062,COMPONENT PROXIMAL TIB,177245.0,177245.0,19496.95,177245.0,57
CDM,869086,STEM FEM KN 150X17.5MM,92003.0,92003.0,10120.33,92003.0,57
CDM,869097,FILTER VENACAV 49MM 65CM,23065.0,23065.0,2537.15,23065.0,57
CDM,869118,DRILL GUIDE NASION,12188.0,12188.0,853.16,12188.0,71
CDM,869120,DISTRACTOR BDY SURG 20MM,59726.0,59726.0,6569.86,59726.0,57
CDM,869153,PLATE BN NRW LT 3HL,9248.0,9248.0,1017.28,9248.0,57
CDM,869154,PEG BN THRD LCK 2.3X14MM,1727.0,1727.0,189.97,1727.0,57
CDM,869156,PEG BN THRD LCK 2.3X18MM,1727.0,1727.0,189.97,1727.0,57
CDM,869158,SCREW BN 3.5MM 10MM,1603.0,1603.0,176.33,1603.0,57
CDM,869159,SCREW BN 3.5X11MM,2002.0,2002.0,220.22,2002.0,57
CDM,869164,SHELL ACTB HIP 54MM,20640.0,20640.0,2270.4,20640.0,57
CDM,869178,GRAFT BN FRZN 30CC,5695.0,5695.0,626.45,5695.0,57
CDM,869183,SCREW CRNFCL SFTY 1.9X6,1355.0,1355.0,149.05,1355.0,57
CDM,869184,SCREW CRNFCL SFTY 1.9X8,1355.0,1355.0,149.05,1355.0,57
CDM,869186,SCREW BN NLCK 3.5MM 34MM,1277.0,1277.0,140.47,1277.0,57
CDM,869188,PLATE BN QUD MD 2X4H 18,5076.0,5076.0,558.36,5076.0,57
CDM,869203,PLATE BN 134X2.7/3.5MM,20059.0,20059.0,2206.49,20059.0,57
CDM,869239,PLATE BN CRNL- 2 HL 9MM,1450.0,1450.0,159.5,1450.0,57
CDM,869253,SYSTEM IMPLNT TNPDSIS,23119.0,23119.0,2543.09,23119.0,57
CDM,869257,COMPNT FEM STD SIZE 7,38700.0,38700.0,4257.0,38700.0,57
CDM,869297,KIT PIN DRL TRMT 2X100MM,7797.0,7797.0,857.67,7797.0,57
CDM,869455,SCREW BN 6.5MM 25MM,1372.0,1372.0,150.92,1372.0,57
CDM,869463,DRILL SURG CANN FULL 9MM,7430.0,7430.0,520.1,7430.0,71
CDM,869464,PLATE BN .6X1.2MM 2HL,4297.0,4297.0,472.67,4297.0,57
CDM,869465,STEM LPS PC BOW 11.5X150,87188.0,87188.0,9590.68,87188.0,57
CDM,869469,SCREW BN SF LCK 2.3X10MM,1230.0,1230.0,135.3,1230.0,57
CDM,869470,SCREW ATDR MXL 1.6X8MM,1063.0,1063.0,116.93,1063.0,57
CDM,869478,PLATE BN 3D SQ 3X2HL,4669.0,4669.0,513.59,4669.0,57
CDM,869545,CATH INFS 1.5/2.7F 1.5CM,29744.0,29744.0,2082.08,29744.0,71
CDM,869546,CATH VASC 2.7F 165CM,29744.0,29744.0,2082.08,29744.0,71
CDM,869555,SCREW SPN CORT 8X45MM,15186.0,15186.0,1670.46,15186.0,57
CDM,869579,PLATE BN 6H 10.1MM,5456.0,5456.0,600.16,5456.0,57
CDM,869586,SCREW BN 6.5MM 30MM,3257.0,3257.0,358.27,3257.0,57
CDM,869594,GRAFT PRCN 7.9X5.9IN,127191.0,127191.0,13991.01,127191.0,57
CDM,869608,SUTURE VIOL MON 3-0 18IN,674.0,674.0,47.18,674.0,71
CDM,869611,PIN FX STNM 5/64IN 9IN,460.0,460.0,32.2,460.0,71
CDM,869659,SUTURE UND BRD 4-0 27IN,140.0,140.0,9.8,140.0,71
CDM,869663,BLADE SAW 70X12.5MM,1087.0,1087.0,76.09,1087.0,71
CDM,869665,DEVICE BLNDL 6MM 20MM,25601.0,25601.0,1792.07,25601.0,71
CDM,869697,CATH ANGIO 5FR 70X20CM,4311.0,4311.0,301.77,4311.0,71
CDM,869777,SHEATH NVGRT 11/13F 46CM,3658.0,3658.0,256.06,3658.0,71
CDM,869818,COVER BN BURR HL 14M,4774.0,4774.0,525.14,4774.0,57
CDM,869820,BOLT ORTH 34MM,7761.0,7761.0,853.71,7761.0,57
CDM,869822,STEM FEM HIP 190MM 16MM,45467.0,45467.0,5001.37,45467.0,57
CDM,869842,STENT URET 8FR 22CM,2014.0,2014.0,221.54,2014.0,57
CDM,869888,CATH CV 4FR 55CM,5623.0,5623.0,393.61,5623.0,71
CDM,869889,CATH CV 3FR 45CM,5623.0,5623.0,393.61,5623.0,71
CDM,869890,CANNULA OPTH 20GA 2.5IN,1599.0,1599.0,111.93,1599.0,71
CDM,869962,BLADE SHVR BLK 5.5MM,1599.0,1599.0,111.93,1599.0,71
CDM,869969,PLATE BN MDFC 11H .5MM,5915.0,5915.0,650.65,5915.0,57
CDM,870042,SCREW BN 1.5MM 11MM,1101.0,1101.0,121.11,1101.0,57
CDM,870046,HINGE FEM KN SZMED,6222.0,6222.0,684.42,6222.0,57
CDM,870052,COIL EMBL 20CM .02IN 3MM,25042.0,25042.0,2754.62,25042.0,57
CDM,870053,COIL EMBL 15CM .02IN 3MM,19523.0,19523.0,2147.53,19523.0,57
CDM,870054,COIL EMBL 4CM 2MM SOFT,17083.0,17083.0,1879.13,17083.0,57
CDM,870055,COIL EMBL 2CM 2MM SOFT,17083.0,17083.0,1879.13,17083.0,57
CDM,870056,COIL EMBL 5CM 3MM SOFT,15413.0,15413.0,1695.43,15413.0,57
CDM,870079,DEVICE WNDCLS 15CM SZ2,1599.0,1599.0,111.93,1599.0,71
CDM,870082,PORT ACC 5MM 150MM,3093.0,3093.0,216.51,3093.0,71
CDM,870089,PLATE BN 2H 2.7/3.5X82MM,17853.0,17853.0,1963.83,17853.0,57
CDM,870092,SCREW SPN 5.5MM 40MM,12655.0,12655.0,1392.05,12655.0,57
CDM,870114,SCREW BN 6.5MM 60MM,4521.0,4521.0,497.31,4521.0,57
CDM,870115,MESH SURG SYMBTX 20X12CM,14429.0,14429.0,1587.19,14429.0,57
CDM,870116,SHELL ACTB HIP B 46MM,20640.0,20640.0,2270.4,20640.0,57
CDM,870117,LINER ACTB HIP 32MM SZB,19350.0,19350.0,2128.5,19350.0,57
CDM,870133,PLATE BN STRNL 14MM,24315.0,24315.0,2674.65,24315.0,57
CDM,870167,SCREW BN 2.3X17MM,1264.0,1264.0,139.04,1264.0,57
CDM,870205,SCREW BN 2.5MMX20MM,10275.0,10275.0,1130.25,10275.0,57
CDM,870215,PLATE MDFC 6HL .6MM,3611.0,3611.0,397.21,3611.0,57
CDM,870216,PLATE MDFC 4HL XSHP .8MM,4287.0,4287.0,471.57,4287.0,57
CDM,870217,PLATE BN MDFC 12H 0.8MM,6313.0,6313.0,694.43,6313.0,57
CDM,870253,SUTURE FIBERWIRE 38IN,750.0,750.0,82.5,750.0,57
CDM,870257,SCREW BN 2.4X24MM,3247.0,3247.0,357.17,3247.0,57
CDM,870266,STEM FEM HIP 140MM 19MM,50672.0,50672.0,5573.92,50672.0,57
CDM,870279,PLATE LOW 5 HOLE PROF,20407.0,20407.0,2244.77,20407.0,57
CDM,870321,SCREW BN CORT L36 OD4,1768.0,1768.0,194.48,1768.0,57
CDM,870329,PLATE BN MC DB Y 6H 13MM,3456.0,3456.0,380.16,3456.0,57
CDM,870345,STEM FEM HIP 140X14MM,40361.0,40361.0,4439.71,40361.0,57
CDM,870349,PLATE BN STR 10D 112MM,28457.0,28457.0,3130.27,28457.0,57
CDM,870353,SCREW BN 35MM 5.5MM,1201.0,1201.0,132.11,1201.0,57
CDM,870354,SCREW BN 5.5MM 45MM,1131.0,1131.0,124.41,1131.0,57
CDM,870397,INTRO PW 18F 15.5CM,2061.0,2061.0,144.27,2061.0,71
CDM,870398,CATH BLNDIL 10 ATM 9,8001.0,8001.0,560.07,8001.0,71
CDM,870437,GRAFT EVAS 23X12MM 14CM,183809.0,183809.0,20218.99,183809.0,57
CDM,870447,PLATE BN 87MM 3.5MM,29413.0,29413.0,3235.43,29413.0,57
CDM,870498,TRAY CATH CV 5FR 8CM,5623.0,5623.0,393.61,5623.0,71
CDM,870513,DEVICE CLSR 6FR-7FR,16159.0,16159.0,1777.49,16159.0,57
CDM,870515,DEVICE CLSR 5FR,17125.0,17125.0,1883.75,17125.0,57
CDM,870524,SCREW BN 3.5MM 20MM,2578.0,2578.0,283.58,2578.0,57
CDM,870535,ENVELOPE MESH 2.5X2.7IN,23154.0,23154.0,2546.94,23154.0,57
CDM,870536,FABRIC CV 4X2IN 0.61MM,5504.0,5504.0,605.44,5504.0,57
CDM,870568,PLATE BN 16HL 4.5X339MM,35083.0,35083.0,3859.13,35083.0,57
CDM,870587,COIL EMBL 30CM 3.25-4MM,39544.0,39544.0,4349.84,39544.0,57
CDM,870592,SCREW BN 2.7X24MM,1326.0,1326.0,145.86,1326.0,57
CDM,870593,STEM FEM HIP 14MM 148MM,46440.0,46440.0,5108.4,46440.0,57
CDM,870646,SCREW BN 6.5MM 35MM,4871.0,4871.0,535.81,4871.0,57
CDM,870673,SHEATH GD 6FR 45CM,3486.0,3486.0,244.02,3486.0,71
CDM,870702,PLATE BN 18H 375MM 4.5MM,32885.0,32885.0,3617.35,32885.0,57
CDM,870716,STEM HIP P2 POR COATD 10,51600.0,51600.0,5676.0,51600.0,57
CDM,870724,BIT DRILL 2.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,870732,SCREW BN 3.5MM 34M,2877.0,2877.0,316.47,2877.0,57
CDM,870749,STENT EPRSTH 7MM 15CM,83504.0,83504.0,9185.44,83504.0,57
CDM,870752,STENT ERPSTH 5CM,56851.0,56851.0,6253.61,56851.0,57
CDM,870753,STENT EPRSTH 8MM 10CM,66134.0,66134.0,7274.74,66134.0,57
CDM,870754,STENT EPRSTH 8MM 15CM,83504.0,83504.0,9185.44,83504.0,57
CDM,870763,STENT EPRSTH 6MM 10CM,75134.0,75134.0,8264.74,75134.0,57
CDM,870765,STENT EPRSTH 7MM 5.0CM,63807.0,63807.0,7018.77,63807.0,57
CDM,870766,STENT EPRSTH 7MM 10CM,72938.0,72938.0,8023.18,72938.0,57
CDM,870767,STENT EPRSTH 7MM 15CM,89504.0,89504.0,9845.44,89504.0,57
CDM,870770,STENT EPRSTH 8MM 5.0CM,63807.0,63807.0,7018.77,63807.0,57
CDM,870771,STENT EPRSTH 8MM 10CM,77786.0,77786.0,8556.46,77786.0,57
CDM,870772,STENT EPRSTH 8MM 15CM,89504.0,89504.0,9845.44,89504.0,57
CDM,870792,CONNECTOR PRFSN RDC LL 3,181.0,181.0,12.67,181.0,71
CDM,870795,GRAFT HUM FRZN RT,92823.0,92823.0,10210.53,92823.0,57
CDM,870812,HEAD FEM HIP +4 36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,870815,BUTTON SPT NSL 3CM,2405.0,2405.0,168.35,2405.0,71
CDM,870832,CONN PRFSN RDCR 3/16IN,199.0,199.0,13.93,199.0,71
CDM,870843,PLATE BN CHIN 2X8MM,4656.0,4656.0,512.16,4656.0,57
CDM,870845,SCREW BN 2MM 6MM,750.0,750.0,82.5,750.0,57
CDM,870847,PLATE BN 6HL 31MM,5287.0,5287.0,581.57,5287.0,57
CDM,870909,CATH BLN 3MM 15MM,3936.0,3936.0,275.52,3936.0,71
CDM,870934,CATH BLN 4MM 20MM,3936.0,3936.0,275.52,3936.0,71
CDM,870968,DEVICE DRN CSF LVL3,1599.0,1599.0,111.93,1599.0,71
CDM,870997,CATH BLNDIL.035 5FR 5X4,4123.0,4123.0,288.61,4123.0,71
CDM,871004,SCREW BN 6.5MM 140MM,3959.0,3959.0,435.49,3959.0,57
CDM,871011,CATH BLNDL 10X40MM120CM,5623.0,5623.0,393.61,5623.0,71
CDM,871012,CATH BLNDL 6FR 8MM 120X4,5623.0,5623.0,393.61,5623.0,71
CDM,871014,SCREW BN 4MM 20MM,1028.0,1028.0,113.08,1028.0,57
CDM,871059,PLATE BN RT 26H 193MM,43951.0,43951.0,4834.61,43951.0,57
CDM,871067,GWIRE ORTH 3.2MM 230MM,2444.0,2444.0,171.08,2444.0,71
CDM,871147,WIRE ORTHO 1.4MM,2859.0,2859.0,200.13,2859.0,71
CDM,871183,PIN FX SS STNM,750.0,750.0,82.5,750.0,57
CDM,871184,SHEETING SIL 8X6X.125IN,4974.0,4974.0,547.14,4974.0,57
CDM,871247,CATH BLN 5MM 75CM 5.5FR,5623.0,5623.0,393.61,5623.0,71
CDM,871281,SCREW BN 4MM 34MM 11.5MM,2960.0,2960.0,325.6,2960.0,57
CDM,871286,PLATE BN MNDB 12H 1.25MM,14184.0,14184.0,1560.24,14184.0,57
CDM,871288,SCREW BN 2MM 8MM,1234.0,1234.0,135.74,1234.0,57
CDM,871292,LEAD CRT PCNG 5.3FR 88CM,34292.0,34292.0,3772.12,34292.0,57
CDM,871337,KIT INST CRKSCR 4.5/14MM,3156.0,3156.0,220.92,3156.0,71
CDM,871352,SCREW BN 6.5MM 65MM,4521.0,4521.0,497.31,4521.0,57
CDM,871355,COVER CMF BUR H 10MM,5359.0,5359.0,589.49,5359.0,57
CDM,871360,CAGE SPN LRDTC 7MM,48089.0,48089.0,5289.79,48089.0,57
CDM,871368,DEV SURG SLV OUTR 12MM,2414.0,2414.0,168.98,2414.0,71
CDM,871379,PLATE BN SHRT TR 20MM,5184.0,5184.0,570.24,5184.0,57
CDM,871391,LINER ACTB SZF 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,871392,BLADE RECIP 26.3X4MM,1830.0,1830.0,128.1,1830.0,71
CDM,871462,KIT INSTR BX 18GA 10CM,1827.0,1827.0,127.89,1827.0,71
CDM,871463,KIT INSTR BX 20GA 20CM,1827.0,1827.0,127.89,1827.0,71
CDM,871509,HEAD BIP 63MM 28MM SLFCN,11610.0,11610.0,1277.1,11610.0,57
CDM,871525,STENT EPRSTH 8MM 25CM,143767.0,143767.0,15814.37,143767.0,57
CDM,871540,TUBE TRCH 95MM 6MM,1906.0,1906.0,133.42,1906.0,71
CDM,871546,ELECTRODE ESURG 30D 3MM,5623.0,5623.0,393.61,5623.0,71
CDM,871548,PACKING SINUS 3.5MMX2MM,575.0,575.0,40.25,575.0,71
CDM,871608,INSERT HUM SHLDR 39MM,37410.0,37410.0,4115.1,37410.0,57
CDM,871614,STEM FEM HIP 17MM 154MM,46440.0,46440.0,5108.4,46440.0,57
CDM,871628,LINER ACTB HIP SZD 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,871632,DEV SURG SLV OUTR 14.5MM,2320.0,2320.0,162.4,2320.0,71
CDM,871637,CONE FEM HIP SZA 80MM,80284.0,80284.0,8831.24,80284.0,57
CDM,871652,IMPL BN H2O SOL 2.5GM,1575.0,1575.0,173.25,1575.0,57
CDM,871661,CHNNL WKG 180D 1069.5MM,11765.0,11765.0,823.55,11765.0,71
CDM,871662,ADAPTER EDGE PROC BRONCH,3673.0,3673.0,257.11,3673.0,71
CDM,871663,LEECH MED JMB HIRUDO,81.68,81.68,5.72,81.68,71
CDM,871667,LIGHT FBROP NARROW/FLAT,6287.0,6287.0,440.09,6287.0,71
CDM,871681,DRILL TWST 50MM .7MM SS,4041.0,4041.0,282.87,4041.0,71
CDM,871686,SCREW BN 4MM 40MM,10275.0,10275.0,1130.25,10275.0,57
CDM,871692,PLATE BN STRNL SM 11MM,24315.0,24315.0,2674.65,24315.0,57
CDM,871693,KIT NRSTM CHARGING,24855.0,24855.0,1739.85,24855.0,71
CDM,871705,KIT COMBO DEVICE/FASTNER,12229.0,12229.0,856.03,12229.0,71
CDM,871707,SCREW BN 2.7MM 10MM,750.0,750.0,82.5,750.0,57
CDM,871711,SHEATH GD 10FR 75CM,11433.0,11433.0,800.31,11433.0,71
CDM,871713,SHEATH GD 12FR 75CM,3692.0,3692.0,258.44,3692.0,71
CDM,871764,SCREW BN 4MMX65MM,3652.0,3652.0,401.72,3652.0,57
CDM,871765,SCREW BN 4MM 26MM,3579.0,3579.0,393.69,3579.0,57
CDM,871767,SCREW BN 3.5MM 30M,815.0,815.0,89.65,815.0,57
CDM,871773,SCREW BN 4MM 30MM,3871.0,3871.0,425.81,3871.0,57
CDM,871775,SCREW BN 3.5MM 24MM,864.0,864.0,95.04,864.0,57
CDM,871785,ROD SPN 35MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,871788,SCREW BN 4MM 28MM,4022.0,4022.0,442.42,4022.0,57
CDM,871789,SCREW BN 4MM 60MM,2569.0,2569.0,282.59,2569.0,57
CDM,871801,BUTTON GSTRM 12FR 2.0CM,3636.0,3636.0,254.52,3636.0,71
CDM,871812,RESERVOIR X ATF,1023.0,1023.0,71.61,1023.0,71
CDM,871891,CATH VENT 8FR 100CM,10389.0,10389.0,727.23,10389.0,71
CDM,871932,IMPL GEL VOC CRD INJ 1ML,11848.0,11848.0,829.36,11848.0,57
CDM,871958,SET PIN UNIV REVERSE ART,11433.0,11433.0,800.31,11433.0,71
CDM,871979,LEAD NRSTM 60CM,15618.0,15618.0,1717.98,15618.0,57
CDM,871982,CATH BLN 20MM 80CM,6599.0,6599.0,461.93,6599.0,71
CDM,871983,CATH BLNDIL 3X30X80CM,6599.0,6599.0,461.93,6599.0,71
CDM,871985,CATH BLN 30MM 110CM,16610.0,16610.0,1162.7,16610.0,71
CDM,872006,STEM FEM HIP 14MM 115MM,55209.0,55209.0,6072.99,55209.0,57
CDM,872007,PUNCH 2.7 SCANLAN,1994.0,1994.0,139.58,1994.0,71
CDM,872011,ROD SPN CBLT 6.75X500MM,4556.0,4556.0,501.16,4556.0,57
CDM,872035,STEM FEM 150MM 15MM,45385.0,45385.0,4992.35,45385.0,57
CDM,872037,STEM FEM HIP 5MM 130MM,46440.0,46440.0,5108.4,46440.0,57
CDM,872041,SET RECTOVAG PLUG 0.4CM,23016.0,23016.0,2531.76,23016.0,57
CDM,872042,SCREW BN 1.2X12MM,1204.0,1204.0,132.44,1204.0,57
CDM,872075,CATH ANGIO 5FR 80CM,2754.0,2754.0,192.78,2754.0,71
CDM,872083,SCREW BN 6.5MM 25MM,1131.0,1131.0,124.41,1131.0,57
CDM,872089,PLATE BN 14H 218MM,22832.0,22832.0,2511.52,22832.0,57
CDM,872132,ELCTRD EMG RSPN 18ML,4442.0,4442.0,310.94,4442.0,71
CDM,872133,PROBE STIM TIP 1.3MM,4485.0,4485.0,313.95,4485.0,71
CDM,872135,LEAD STIM SLEEP APNEA,40073.0,40073.0,4408.03,40073.0,57
CDM,872142,CATH HYDRPHL CTD 125CM,1947.0,1947.0,136.29,1947.0,71
CDM,872146,LEAD NRSTM 50CM,30825.0,30825.0,3390.75,30825.0,57
CDM,872178,KIT ENDBRNCHL EDGE 90,30738.0,30738.0,2151.66,30738.0,71
CDM,872179,KIT ENDBRNCHL EDGE 45,30738.0,30738.0,2151.66,30738.0,71
CDM,872190,NRSTM IMPL 2.4INX2.2IN,183910.0,183910.0,20230.1,183910.0,57
CDM,872219,CATH BLNDIL 3.5MM 20MM,5623.0,5623.0,393.61,5623.0,71
CDM,872262,SCREW BN 2.4MM 12MM TI L,4110.0,4110.0,452.1,4110.0,57
CDM,872263,SCREW BN 2.4MM 10MM TI L,4110.0,4110.0,452.1,4110.0,57
CDM,872269,STAPLER INT LNG 60MM,7654.0,7654.0,535.78,7654.0,71
CDM,872271,RELOAD STPLR 60MM,5288.0,5288.0,581.68,5288.0,57
CDM,872273,RELOAD STPLR 60MM,5288.0,5288.0,581.68,5288.0,57
CDM,872274,RELOAD STPLR 60MM,5288.0,5288.0,581.68,5288.0,57
CDM,872275,RELOAD STPLR 60MM,4639.0,4639.0,510.29,4639.0,57
CDM,872282,IMPLANT ORBITAL 20MM,1439.0,1439.0,158.29,1439.0,57
CDM,872283,CONFORMER OCULAR MEDIUM,1439.0,1439.0,158.29,1439.0,57
CDM,872307,PROBE CRYOABLTN 10CM 3,37697.0,37697.0,2638.79,37697.0,71
CDM,872314,CMPNT FEM KN64X49.3X10.5,41280.0,41280.0,4540.8,41280.0,57
CDM,872316,CMPNT TIB KN CMNT 70MM,12900.0,12900.0,1419.0,12900.0,57
CDM,872317,CMPNT TIB KN 42X72X25MM,42570.0,42570.0,4682.7,42570.0,57
CDM,872327,INSERT HUM SHLDR +6X36MM,43654.0,43654.0,4801.94,43654.0,57
CDM,872366,CATH INFS MIC 150CM,19654.0,19654.0,1375.78,19654.0,71
CDM,872373,STEM FEM CMNTLS LAT HIP,49020.0,49020.0,5392.2,49020.0,57
CDM,872405,STAPLER INT 21MM,5623.0,5623.0,393.61,5623.0,71
CDM,872441,SCREW BN 3.7X16 ZERO-P,1542.0,1542.0,169.62,1542.0,57
CDM,872442,SCREW SPN 3.7MM 14MM,1899.0,1899.0,208.89,1899.0,57
CDM,872446,ROD SPN 80MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
CDM,872493,LEAD CRT PCNG 88CM,36347.0,36347.0,3998.17,36347.0,57
CDM,872529,CANNULA OPTH 32MM 23GA,1432.0,1432.0,100.24,1432.0,71
CDM,872530,CANN OPTH RTNL 25GA 1MM,1458.0,1458.0,102.06,1458.0,71
CDM,872532,SCRAPER OPTH 23GA STD,3374.0,3374.0,236.18,3374.0,71
CDM,872533,SCRAPER OPTH 25GA,3374.0,3374.0,236.18,3374.0,71
CDM,872537,PROBE LASER CRV 23GA,3898.0,3898.0,272.86,3898.0,71
CDM,872538,PROBE LASER CRV 23GA,2849.0,2849.0,199.43,2849.0,71
CDM,872540,PROBE LASER CRV 27GA,3936.0,3936.0,275.52,3936.0,71
CDM,872542,PAK FRGMTTN 20GA,2693.0,2693.0,188.51,2693.0,71
CDM,872543,PROBE VITRTM 23GA,3082.0,3082.0,215.74,3082.0,71
CDM,872544,CANNULA 23G VLVD 7500CPM,11433.0,11433.0,800.31,11433.0,71
CDM,872545,CANNULA 25+ VLVD 7500CPM,11433.0,11433.0,800.31,11433.0,71
CDM,872546,PACK VITRTM 20-25GA,2424.0,2424.0,169.68,2424.0,71
CDM,872547,PROBE VITRTM 25GA,3082.0,3082.0,215.74,3082.0,71
CDM,872548,PROBE VITRTM 23GA,1816.0,1816.0,127.12,1816.0,71
CDM,872553,FORCEP OPTH 23GA,4281.0,4281.0,299.67,4281.0,71
CDM,872555,SCISSOR OPTHAL 25GA,5623.0,5623.0,393.61,5623.0,71
CDM,872556,FORCEP OPTH 25+GA,5623.0,5623.0,393.61,5623.0,71
CDM,872557,FORCEP ORTH 23GA,5300.0,5300.0,371.0,5300.0,71
CDM,872564,WAND ESURG 3X195MM,11204.0,11204.0,784.28,11204.0,71
CDM,872567,SYSTEM BLN 6MM 20MM,27224.0,27224.0,1905.68,27224.0,71
CDM,872568,STEM FEM 150MM 15MM,45385.0,45385.0,4992.35,45385.0,57
CDM,872602,PLATE CRNMXF BN 12MM,2487.0,2487.0,273.57,2487.0,57
CDM,872638,CANNULA OPTH SHRT SF 23G,1151.0,1151.0,80.57,1151.0,71
CDM,872640,CANNULA OPTH 27GA 0.8MM,1407.0,1407.0,98.49,1407.0,71
CDM,872642,PROBE TIP DISP 27+,4089.0,4089.0,286.23,4089.0,71
CDM,872645,CANNULA OPTH DISP 27+,3186.0,3186.0,223.02,3186.0,71
CDM,872646,PROBE LASER 27+,5623.0,5623.0,393.61,5623.0,71
CDM,872647,SCRAPER ORTH DISP 27GA,5210.0,5210.0,364.7,5210.0,71
CDM,872648,SUTURE BLK MONO 5-0 18IN,485.0,485.0,33.95,485.0,71
CDM,872659,OASIS WND MATRX 1SQCM JW,118.43,118.43,8.29,118.43,47
CDM,872661,OASIS WND MTRX 1SQCM JW,118.43,118.43,8.29,118.43,47
CDM,872675,SCREW BN 6.5MM 75MM,4521.0,4521.0,497.31,4521.0,57
CDM,872687,CATH HMDIAL 14.5FR 28CM,6721.0,6721.0,470.47,6721.0,71
CDM,872697,SCREW BN 6MM 55MM,3928.0,3928.0,432.08,3928.0,57
CDM,872702,DRILL BIT 00249007243,1933.0,1933.0,135.31,1933.0,71
CDM,872706,TUBE FD 14FR 1.2CM 15CM,10768.0,10768.0,753.76,10768.0,71
CDM,872708,PLT MC.5MM ORB MSH 1.5/2,5654.0,5654.0,621.94,5654.0,57
CDM,872712,NAIL BN 9MM 34.5CM,45385.0,45385.0,4992.35,45385.0,57
CDM,872713,INTRO ORTH BONE ACCESS,12486.0,12486.0,874.02,12486.0,71
CDM,872721,STAPLER INT CTR 60MM,7968.0,7968.0,557.76,7968.0,71
CDM,872731,CATH BLNDIL 7MM 100MM,4910.0,4910.0,343.7,4910.0,71
CDM,872760,BLADE SAW 70X12.5X1.2MM,1937.0,1937.0,135.59,1937.0,71
CDM,872795,SCREW BN HDLSS 7X85MM,13175.0,13175.0,1449.25,13175.0,57
CDM,872820,COMP PTLR SM 8MM 29MM,7440.0,7440.0,818.4,7440.0,57
CDM,872824,BUTTON CBL HEX LCK 2.5MM,4208.0,4208.0,462.88,4208.0,57
CDM,872853,VALVE PULM 16MM,447320.0,447320.0,49205.2,447320.0,57
CDM,872854,VALVE PULM 18MM,447320.0,447320.0,49205.2,447320.0,57
CDM,872861,SCREW BN 4.5MM 46MM,864.0,864.0,95.04,864.0,57
CDM,872862,SCREW BN 30MM 5MM,2569.0,2569.0,282.59,2569.0,57
CDM,872893,CEMENT BN PMMA VERT,4957.0,4957.0,545.27,4957.0,57
CDM,872907,BURR SURG 6MM LNG BRL AG,3108.0,3108.0,217.56,3108.0,71
CDM,872922,TRAY CATH CV 4F 22GA 15C,5623.0,5623.0,393.61,5623.0,71
CDM,872930,PLATE BN MLBL 2X2HL,4129.0,4129.0,454.19,4129.0,57
CDM,872934,HEAD HIP MOD 54MM,42570.0,42570.0,4682.7,42570.0,57
CDM,872935,STEM FEM 16.5MM 227MM,42570.0,42570.0,4682.7,42570.0,57
CDM,872937,INTRO SHTH TRAW 5F 5CM,5623.0,5623.0,393.61,5623.0,71
CDM,872944,VALVE AORTIC 23MM,78264.0,78264.0,8609.04,78264.0,57
CDM,872946,SCREW BN 2.7MM 60MM,786.0,786.0,86.46,786.0,57
CDM,872958,SYSTEM XTRT 17CM,8573.0,8573.0,600.11,8573.0,71
CDM,872963,LEAD NRSTEM 25CM 10MM,93092.0,93092.0,10240.12,93092.0,57
CDM,872964,BURR HL CVR 14MM,6679.0,6679.0,734.69,6679.0,57
CDM,872986,CMPNT FEM KN LM/RL SZ2,35346.0,35346.0,3888.06,35346.0,57
CDM,872994,SHELL ACTB HIP SZF 56MM,20640.0,20640.0,2270.4,20640.0,57
CDM,873008,DEVICE WNDCLS 45CM SZ3,1808.0,1808.0,126.56,1808.0,71
CDM,873018,INTRO SHEATH NTNL 5FR,1599.0,1599.0,111.93,1599.0,71
CDM,873022,PLATE BN MNDBL 4H 1X24MM,6675.0,6675.0,734.25,6675.0,57
CDM,873023,GRAFT BN GRAN CANC 30ML,5515.0,5515.0,606.65,5515.0,57
CDM,873031,CAP END 0MM FEM T40 STRD,2331.0,2331.0,256.41,2331.0,57
CDM,873043,CATH DIL 12MMX2CM 100CM,11566.0,11566.0,809.62,11566.0,71
CDM,873054,INSERT TIB KN 2.5 17.5MM,36491.0,36491.0,4014.01,36491.0,57
CDM,873093,IMPLNT CRNL 100-150SQCM,183910.0,183910.0,20230.1,183910.0,57
CDM,873102,STEM FEM HIP 10MM 105MM,46750.0,46750.0,5142.5,46750.0,57
CDM,873104,KIT PERMCATH DUAL LUMEN,4273.0,4273.0,299.11,4273.0,71
CDM,873112,CLIP ANRSM PERM 2MM,3612.0,3612.0,397.32,3612.0,57
CDM,873119,COUPLER ANSTM 3MM,8118.0,8118.0,892.98,8118.0,57
CDM,873144,CMPNT KN FEM STD LT SZ8,38700.0,38700.0,4257.0,38700.0,57
CDM,873146,MESH HRN 15X10CM,7788.0,7788.0,856.68,7788.0,57
CDM,873190,GRAFT BN OSTEO 3ML,43616.0,43616.0,4797.76,43616.0,57
CDM,873231,PLATE BN 8HL 49MM,17124.0,17124.0,1883.64,17124.0,57
CDM,873233,PLATE BN 10HL 49MM,17124.0,17124.0,1883.64,17124.0,57
CDM,873234,PLATE BN 10HL 49MM,17124.0,17124.0,1883.64,17124.0,57
CDM,873235,PLATE BN STRNL AUX 4H,11005.0,11005.0,1210.55,11005.0,57
CDM,873268,TRAY BN MRRW BX 102MM,5510.0,5510.0,385.7,5510.0,71
CDM,873297,BURR SURG 2MM 3.1MM,4212.0,4212.0,294.84,4212.0,71
CDM,873300,SCREW BN 4MM 48MM,2960.0,2960.0,325.6,2960.0,57
CDM,873303,PLATE BN 3HL 40.5MM,7152.0,7152.0,786.72,7152.0,57
CDM,873316,SCREW BN 5MM 16MM,2569.0,2569.0,282.59,2569.0,57
CDM,873379,KIT IMPL UNI TMJ CSTM,183910.0,183910.0,20230.1,183910.0,57
CDM,873380,NAIL FEM LT 9MM 34CM,36448.0,36448.0,4009.28,36448.0,57
CDM,873383,PEG BN THRD 2.7MM 16MM,1562.0,1562.0,171.82,1562.0,57
CDM,873384,SCREW BN 2.5MM 16MM,2487.0,2487.0,273.57,2487.0,57
CDM,873385,PEG FX 2.3MM 16MM,1727.0,1727.0,189.97,1727.0,57
CDM,873386,KWIRE FX 0.9MM 152MM,880.0,880.0,61.6,880.0,71
CDM,873387,DRILL SURG DISP 2MM 40MM,3398.0,3398.0,237.86,3398.0,71
CDM,873393,PLATE BN 18MM PRFL ZERO,3715.0,3715.0,408.65,3715.0,57
CDM,873402,STAPLER INT VASC 35MM,9486.0,9486.0,664.02,9486.0,71
CDM,873403,RELOAD STPLR 35MM,5402.0,5402.0,594.22,5402.0,57
CDM,873436,PROBE TIP DISP 25GA,4336.0,4336.0,303.52,4336.0,71
CDM,873437,PROSTHESIS PENILE TITAN,179432.0,179432.0,19737.52,179432.0,57
CDM,873473,SCREW BN 3MM 24MM,3247.0,3247.0,357.17,3247.0,57
CDM,873474,SCREW BN 3MM 30MM,3782.0,3782.0,416.02,3782.0,57
CDM,873475,SCREW BN 3MM 34MM,3247.0,3247.0,357.17,3247.0,57
CDM,873494,CATH INTVN.021 5FR 100CM,7943.0,7943.0,556.01,7943.0,71
CDM,873495,CATH INTVN MIC 2.8FR 100,8246.0,8246.0,577.22,8246.0,71
CDM,873504,CATH BLNDIL 14MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,873505,CATH BLNDIL 16MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,873506,CATH BLNDIL 18MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,873507,STEM FEM 150MM 18.5 BOW,92003.0,92003.0,10120.33,92003.0,57
CDM,873547,BASEPLATE HUM SHLDR 30MM,32250.0,32250.0,3547.5,32250.0,57
CDM,873576,PATCH WNDCLS 40X20CM,145816.0,145816.0,10207.12,145816.0,71
CDM,873601,CATH EMBL 5FR 80CM,5623.0,5623.0,393.61,5623.0,71
CDM,873605,KIT CATH RDS 1.75X20GA,2309.0,2309.0,161.63,2309.0,71
CDM,873609,DRILL SURG 2.9MM PSHLK,6676.0,6676.0,467.32,6676.0,71
CDM,873623,CATH URET 5FR 70CM,5623.0,5623.0,393.61,5623.0,71
CDM,873636,SUTURE ANBCTRL +2-0 18IN,583.0,583.0,40.81,583.0,71
CDM,873641,STEM FEM HIP SZ2,49020.0,49020.0,5392.2,49020.0,57
CDM,873667,NAIL BN FEM 11MM 170MM,23579.0,23579.0,2593.69,23579.0,57
CDM,873669,SPACER HUM SHLDR +6X36MM,18060.0,18060.0,1986.6,18060.0,57
CDM,873670,HEAD GLND 36MM +2.5MM,74410.0,74410.0,8185.1,74410.0,57
CDM,873675,BIT DRILL 1.3MM 16MM,5623.0,5623.0,393.61,5623.0,71
CDM,873676,BIT DRILL 1.3MM,5623.0,5623.0,393.61,5623.0,71
CDM,873699,LINER ACTB HIP 56MM 40MM,14190.0,14190.0,1560.9,14190.0,57
CDM,873700,SYSTEM IMPLNT ACH MID SB,28627.0,28627.0,3148.97,28627.0,57
CDM,873706,CATH BDL 4MM 80CM 8CM,5622.0,5622.0,393.54,5622.0,71
CDM,873727,NEEDLE ASP 22GA 1.83MM,5623.0,5623.0,393.61,5623.0,71
CDM,873729,BOLT ORTH 30MM,7761.0,7761.0,853.71,7761.0,57
CDM,873730,STEM FEM HIP 18MM 150MM,45467.0,45467.0,5001.37,45467.0,57
CDM,873748,NAIL FEM CANN 11MM 360MM,33027.0,33027.0,3632.97,33027.0,57
CDM,873749,KNIFE OPTH LANCE 1.3MM,1121.0,1121.0,78.47,1121.0,71
CDM,873750,BLADE OPTH 23GA,1599.0,1599.0,111.93,1599.0,71
CDM,873751,BLADE OPTH 25GA,1434.0,1434.0,100.38,1434.0,71
CDM,873758,KIT CATH 7FR 18GA 30CM,1599.0,1599.0,111.93,1599.0,71
CDM,873771,SET CATH URTH 13.35IN,8022.0,8022.0,561.54,8022.0,71
CDM,873827,HEAD GLND 36MM,74410.0,74410.0,8185.1,74410.0,57
CDM,873848,COMP PTLR KN XS 7X26MM,6450.0,6450.0,709.5,6450.0,57
CDM,873852,SCREW BN 3.5MM 2.5MM,2433.0,2433.0,267.63,2433.0,57
CDM,873859,BAND SCLR STY 40 2MM,1087.0,1087.0,76.09,1087.0,71
CDM,873860,SLEEVE RTNL RND 30MM 2.1,750.0,750.0,82.5,750.0,57
CDM,873861,SLEEVE RTNL RND 30MM 2.4,750.0,750.0,82.5,750.0,57
CDM,873969,DEVICE WNDCLS SZ0 6IN,1599.0,1599.0,111.93,1599.0,71
CDM,873972,PLATE BN NAR LT 4H,9412.0,9412.0,1035.32,9412.0,57
CDM,873973,PEG BN LCK 2.7MM 16MM,1747.0,1747.0,192.17,1747.0,57
CDM,873974,PEG BN HI-CMPR 2.7X18MM,1747.0,1747.0,192.17,1747.0,57
CDM,873975,PEG BN THRD LCK 2.3X12MM,1727.0,1727.0,189.97,1727.0,57
CDM,873977,SCREW BN COCR 2.5X18MM,2487.0,2487.0,273.57,2487.0,57
CDM,873978,SCREW BN 3.5MM 12MM,1603.0,1603.0,176.33,1603.0,57
CDM,874005,STRIP RTNL 4MM SIL STY 4,750.0,750.0,82.5,750.0,57
CDM,874009,DRILL SURG CANN 10.5MM,6287.0,6287.0,440.09,6287.0,71
CDM,874014,GCATH BENCHMARK 071IN 6F,14831.0,14831.0,1038.17,14831.0,71
CDM,874024,CONE FEM HIP BDY SZA 70,80284.0,80284.0,8831.24,80284.0,57
CDM,874028,RETRACTR SURG EIGR 12FR,5830.0,5830.0,408.1,5830.0,71
CDM,874062,CATH BLNDIL 22MM 75CM,8001.0,8001.0,560.07,8001.0,71
CDM,874078,SPONGE OVAL 100X5X3MM,1320.0,1320.0,145.2,1320.0,57
CDM,874080,SPONGE SCLR HF OVL 511,987.0,987.0,108.57,987.0,57
CDM,874087,LEAD NRSTM 44CMX10MM RNS,93092.0,93092.0,10240.12,93092.0,57
CDM,874088,INTRDCR T34C KYPHON,7379.0,7379.0,516.53,7379.0,71
CDM,874091,CATH CCSTM 10.2FR 24CM,6310.0,6310.0,441.7,6310.0,71
CDM,874095,SCREW BN CORT 36X4.5MM,895.0,895.0,98.45,895.0,57
CDM,874113,PLATE BN CNTR 3HL,23345.0,23345.0,2567.95,23345.0,57
CDM,874115,DRILL TWIST 2.2MM 70MM,4011.0,4011.0,280.77,4011.0,71
CDM,874119,SCREW BN LOPRO 3.5X56MM,750.0,750.0,82.5,750.0,57
CDM,874129,SCREW BN 2MM 5MM,1101.0,1101.0,121.11,1101.0,57
CDM,874143,NEEDLE ASP 22GA 1.65MM,5623.0,5623.0,393.61,5623.0,71
CDM,874161,SHEATH INTRO 4F 7.5CM,1183.0,1183.0,82.81,1183.0,71
CDM,874162,SHEATH INTRO 5F 7.5CM,1183.0,1183.0,82.81,1183.0,71
CDM,874163,SHEATH INTRO 6F 7.5CM,1183.0,1183.0,82.81,1183.0,71
CDM,874167,PLATE 1.6 PRBNT 6 RT,6231.0,6231.0,685.41,6231.0,57
CDM,874168,SCREW BN 7MM 1.5MM,1038.0,1038.0,114.18,1038.0,57
CDM,874187,COIL EMBL 60CM 24MM,32950.0,32950.0,3624.5,32950.0,57
CDM,874188,COIL EMBL 20MM 60CM,25688.0,25688.0,2825.68,25688.0,57
CDM,874189,COIL EMBL SOFT 50CM 16MM,25688.0,25688.0,2825.68,25688.0,57
CDM,874190,COIL EMBL 8MM 60MM,32950.0,32950.0,3624.5,32950.0,57
CDM,874191,COIL EMBL 35CM 8MM,26304.0,26304.0,2893.44,26304.0,57
CDM,874205,CMPNT FEM KN LT SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,874206,COMPNT FEM KN RT SZ5,38700.0,38700.0,4257.0,38700.0,57
CDM,874207,AUGMNT ACTB 10MM 54/56MM,32250.0,32250.0,3547.5,32250.0,57
CDM,874214,SCREW EXFX CRNL55MM RED2,5623.0,5623.0,393.61,5623.0,71
CDM,874215,SCREW BN CRNFCL 1.MM 9MM,1195.0,1195.0,131.45,1195.0,57
CDM,874216,NAIL BN FEM 11MM 360MM,39333.0,39333.0,4326.63,39333.0,57
CDM,874232,KIT MINTRDCR 4FR 10CM,1151.0,1151.0,80.57,1151.0,71
CDM,874246,CATH BLNDIL 4MM 40MM,20713.0,20713.0,1449.91,20713.0,71
CDM,874329,STEM FEM HIP 18MM 115MM,55209.0,55209.0,6072.99,55209.0,57
CDM,874371,CAP END 0MM HNDFT XTND,2856.0,2856.0,314.16,2856.0,57
CDM,874372,LINER ACTB HIP 4 4X36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,874374,NAIL BN CANN 11MM 380MM,37113.0,37113.0,4082.43,37113.0,57
CDM,874386,SCREW EXFX 4/3X100MM,4857.0,4857.0,339.99,4857.0,71
CDM,874412,CATH URTH 6FR LL ADPTR,415.0,415.0,29.05,415.0,71
CDM,874465,SLING URTH 0.3MM,15105.0,15105.0,1661.55,15105.0,57
CDM,874473,GD PIN 3.2MMX343MM,3882.0,3882.0,271.74,3882.0,71
CDM,874476,PLATE BN STD 3HL,23345.0,23345.0,2567.95,23345.0,57
CDM,874479,CATH VASC MCR 6F 105CM,14831.0,14831.0,1038.17,14831.0,71
CDM,874525,PUTTY DBM 10CC,13379.0,13379.0,1471.69,13379.0,57
CDM,874534,MESH SURG SYMBTX 17X10CM,8995.0,8995.0,989.45,8995.0,57
CDM,874542,ILUM OPTH 25+,4807.0,4807.0,336.49,4807.0,71
CDM,874543,ILUM OPTH 23GA,4300.0,4300.0,301.0,4300.0,71
CDM,874544,RETRCTR OPTH FLXB STRL,2522.0,2522.0,176.54,2522.0,71
CDM,874576,STEM RADL ELBW 9X0X33MM,52245.0,52245.0,5746.95,52245.0,57
CDM,874582,BSPLT TIB KN RM/LL SZ1,25800.0,25800.0,2838.0,25800.0,57
CDM,874607,MATRIX EXTRACELLULAR 1CC,33579.0,33579.0,3693.69,33579.0,57
CDM,874631,PLATE MXLFCL 8MM STEP RT,6231.0,6231.0,685.41,6231.0,57
CDM,874633,PLATE BN Y 11H 22MM,3699.0,3699.0,406.89,3699.0,57
CDM,874634,CATH CCSTM 10.2FR 28CM,5695.0,5695.0,398.65,5695.0,71
CDM,874635,PLATE MXLFCL Y 210-0236,3032.0,3032.0,333.52,3032.0,57
CDM,874641,MCTH CRBR 150CM 1.7-2.4F,17893.0,17893.0,1252.51,17893.0,71
CDM,874642,MESH CRNL 100MM 100MM,32295.0,32295.0,3552.45,32295.0,57
CDM,874643,NAIL FEM CANN 11MM 420MM,39333.0,39333.0,4326.63,39333.0,57
CDM,874650,CATH BLNDIL 3.75MM 30MM,3936.0,3936.0,275.52,3936.0,71
CDM,874652,CATH BLNDIL 3.25MM 15MM,2811.0,2811.0,196.77,2811.0,71
CDM,874653,CATH BLNDIL 3.5MM 15MM,3713.0,3713.0,259.91,3713.0,71
CDM,874655,CATH BLNDIL 4MM 15MM,2811.0,2811.0,196.77,2811.0,71
CDM,874656,CATH BLNDIL 4.5MM 15MM,2811.0,2811.0,196.77,2811.0,71
CDM,874657,CATH BLNDIL 5MM 15MM,3936.0,3936.0,275.52,3936.0,71
CDM,874658,CATH BLNDIL 2MM 20MM,3936.0,3936.0,275.52,3936.0,71
CDM,874659,CATH BLNDIL 2.25MM 20MM,2811.0,2811.0,196.77,2811.0,71
CDM,874660,CATH BLNDIL 2.50X20MM,3936.0,3936.0,275.52,3936.0,71
CDM,874661,CATH BLNDIL 2.75MM 20MM,3936.0,3936.0,275.52,3936.0,71
CDM,874662,CATH BLNDIL 3MM 20MM,2811.0,2811.0,196.77,2811.0,71
CDM,874664,CATH BLNDIL 3.5MM 20MM,3713.0,3713.0,259.91,3713.0,71
CDM,874665,CATH BLNDIL 3.75MM 20MM,3713.0,3713.0,259.91,3713.0,71
CDM,874666,CATH BLNDIL 4MM 20MM,2811.0,2811.0,196.77,2811.0,71
CDM,874668,CATH BLNDIL 5MM 20MM,3936.0,3936.0,275.52,3936.0,71
CDM,874670,CATH BLNDIL 2MM 6MM,3936.0,3936.0,275.52,3936.0,71
CDM,874671,CATH BLNDIL 2.25MM 6MM,3936.0,3936.0,275.52,3936.0,71
CDM,874673,CATH BLNDIL 2.75MM 6MM,2811.0,2811.0,196.77,2811.0,71
CDM,874676,CATH BLNDIL 3.5MM 6MM,2811.0,2811.0,196.77,2811.0,71
CDM,874678,CATH BLNDIL 4MM 6MM,3936.0,3936.0,275.52,3936.0,71
CDM,874679,CATH BLNDIL 2MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,874681,CATH BLNDIL 2.5MM 8MM,3936.0,3936.0,275.52,3936.0,71
CDM,874683,CATH BLNDIL 3MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,874685,CATH BLNDIL 3.5MM 8MM,3713.0,3713.0,259.91,3713.0,71
CDM,874686,CATH BLNDIL 3.75MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,874687,CATH BLNDIL 4MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,874688,CATH BLNDIL 4.5MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,874689,CATH BLNDIL 5MM 8MM,2811.0,2811.0,196.77,2811.0,71
CDM,874692,CATH BLNDIL 2.5MM 6MM,2811.0,2811.0,196.77,2811.0,71
CDM,874694,CATH BLNDIL 3MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,874696,CATH BLNDIL 3.5MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,874697,CATH BLNDIL 3.75MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,874698,CATH BLNDIL 4MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,874699,CATH BLNDIL 4.5MM 12MM,3936.0,3936.0,275.52,3936.0,71
CDM,874701,CATH BLNDIL 5MM 12MM,3713.0,3713.0,259.91,3713.0,71
CDM,874702,CATH BLNDIL 2MM 15MM,3936.0,3936.0,275.52,3936.0,71
CDM,874706,CATH BLNDIL 3MM 15MM,3713.0,3713.0,259.91,3713.0,71
CDM,874716,PLATE BN RT 6H 166MM,47295.0,47295.0,5202.45,47295.0,57
CDM,874717,SCREW BN 4.5MM 28M,864.0,864.0,95.04,864.0,57
CDM,874718,SCREW BN CORT 30MMX4.5MM,864.0,864.0,95.04,864.0,57
CDM,874719,SCREW BN 4.5MM 32M,864.0,864.0,95.04,864.0,57
CDM,874722,SCREW BN 5MMX70MM,2569.0,2569.0,282.59,2569.0,57
CDM,874726,BLADE SAW 77.5X11X1.23MM,1566.0,1566.0,109.62,1566.0,71
CDM,874727,GDWIRE VASC EXTSTF 260CM,1599.0,1599.0,111.93,1599.0,71
CDM,874736,KIT BX 10CM 20GA 19GA,1827.0,1827.0,127.89,1827.0,71
CDM,874737,KIT BX 20GA 16CM,1827.0,1827.0,127.89,1827.0,71
CDM,874738,KIT BX 18GA 16CM,1827.0,1827.0,127.89,1827.0,71
CDM,874739,KIT INSTR BX 18GA 20CM,1827.0,1827.0,127.89,1827.0,71
CDM,874742,PLATE BN STD 2.4MM,27168.0,27168.0,2988.48,27168.0,57
CDM,874765,COIL EMBL 7CM 8MM,2044.0,2044.0,224.84,2044.0,57
CDM,874766,COIL EMBL 2.2LP 7CM 10MM,1593.0,1593.0,175.23,1593.0,57
CDM,874773,KWIRE FX 2 .062IN 9IN,403.0,403.0,28.21,403.0,71
CDM,874780,NEEDLE BX 25GA 5.2FR 0-8,7659.0,7659.0,536.13,7659.0,71
CDM,874803,SCREW BN 2.4MM X 26MM,3247.0,3247.0,357.17,3247.0,57
CDM,874805,SCREW BN 2.4X26MM,4110.0,4110.0,452.1,4110.0,57
CDM,874819,ROD EXFX THRD 85MM,2144.0,2144.0,150.08,2144.0,71
CDM,874837,SCREW BN LV1 2X5MM,2172.0,2172.0,238.92,2172.0,57
CDM,874839,STEM FEM EXT 150X14.5MM,92003.0,92003.0,10120.33,92003.0,57
CDM,874840,CATH BLNDIL 15MM 5X100CM,11433.0,11433.0,800.31,11433.0,71
CDM,874841,CATH BLNDIL 12MM 5X100CM,10737.0,10737.0,751.59,10737.0,71
CDM,874843,CATH BLNDIL 9MM 2X100CM,9040.0,9040.0,632.8,9040.0,71
CDM,874844,CATH BLNDIL 9MM 2X110CM,11433.0,11433.0,800.31,11433.0,71
CDM,874847,CATH BLNDIL 12MM 2X100CM,10737.0,10737.0,751.59,10737.0,71
CDM,874848,CATH ANGIO 8F 40MM 110CM,21884.0,21884.0,1531.88,21884.0,71
CDM,874849,CATH BLN 50MM 110CM,15819.0,15819.0,1107.33,15819.0,71
CDM,874865,SCREW BN 3.5X38MM,815.0,815.0,89.65,815.0,57
CDM,874866,SCREW BN 3.5MM 34MM,864.0,864.0,95.04,864.0,57
CDM,874868,SCREW BN 4X70MM,3652.0,3652.0,401.72,3652.0,57
CDM,874869,SCREW BN 4MM 50MM,3651.0,3651.0,401.61,3651.0,57
CDM,874870,SCREW BN 4MM 46MM,3651.0,3651.0,401.61,3651.0,57
CDM,874874,BUTTON GSTRM 12FR 0.8CM,3299.0,3299.0,230.93,3299.0,71
CDM,874875,BUTTON GSTRM 12FR 2.3CM,3786.0,3786.0,265.02,3786.0,71
CDM,874881,BUTTON GSTRM 14FR 2.0CM,3636.0,3636.0,254.52,3636.0,71
CDM,874882,BUTTON GSTRM 14FR 2.3CM,3636.0,3636.0,254.52,3636.0,71
CDM,874927,IMPLANT BREAST 800CC,15413.0,15413.0,1695.43,15413.0,57
CDM,874932,SCREW BN 4.5MM 42MM,864.0,864.0,95.04,864.0,57
CDM,874933,SCREW BN 4.5MM 34M,864.0,864.0,95.04,864.0,57
CDM,874934,SCREW BN 5MM 10MM,2569.0,2569.0,282.59,2569.0,57
CDM,874935,SCREW BN 5MM 12MM,2569.0,2569.0,282.59,2569.0,57
CDM,874936,SCREW BN CORT 5X75MM,2569.0,2569.0,282.59,2569.0,57
CDM,874938,SCREW BN 6MM 70MM,1000.0,1000.0,110.0,1000.0,57
CDM,874945,PLATE MXLFCL 10 HL 1.6MM,3965.0,3965.0,436.15,3965.0,57
CDM,874946,PLATE BN QU SHRT 2X4H 17,3962.0,3962.0,435.82,3962.0,57
CDM,874947,PLATE BN CRNL L LT 15MM,2870.0,2870.0,315.7,2870.0,57
CDM,874948,BLADE SAW RECIP QC,5549.0,5549.0,388.43,5549.0,71
CDM,875025,SCREW BN 4MM 30MM,3054.0,3054.0,335.94,3054.0,57
CDM,875026,GRAFT CV 6MM 40CM,46285.0,46285.0,5091.35,46285.0,57
CDM,875027,BUTTON GSTRM 14FR 2.7CM,3299.0,3299.0,230.93,3299.0,71
CDM,875028,BUTTON GSTRM 14FR 3.0CM,3089.0,3089.0,216.23,3089.0,71
CDM,875029,BUTTON GSTRM 14FR 3.5CM,3786.0,3786.0,265.02,3786.0,71
CDM,875039,BUTTON GSTRM 16FR 1.7CM,3636.0,3636.0,254.52,3636.0,71
CDM,875040,BUTTON GSTRM 16FR 2.0CM,3786.0,3786.0,265.02,3786.0,71
CDM,875041,BUTTON GSTRM 16FR 2.3CM,3299.0,3299.0,230.93,3299.0,71
CDM,875078,NAIL BN FEM 11MM 380MM,29864.0,29864.0,3285.04,29864.0,57
CDM,875113,PORT IMP INFS 8.0FR 66CM,10518.0,10518.0,1156.98,10518.0,57
CDM,875119,STRIP FASCIA 2X150MM,4234.0,4234.0,465.74,4234.0,57
CDM,875153,SCREW BN 5MM 26MM,3102.0,3102.0,341.22,3102.0,57
CDM,875167,PLATE BN CLAV LFT THIRD,24969.0,24969.0,2746.59,24969.0,57
CDM,875193,NAIL BN FEM 11MM 400MM,41729.0,41729.0,4590.19,41729.0,57
CDM,875198,NAIL BN 130D 10MM 235MM,22092.0,22092.0,2430.12,22092.0,57
CDM,875223,IMPL CRNL LG,237136.0,237136.0,26084.96,237136.0,57
CDM,875247,SHEATH 8FX75X.039,15742.0,15742.0,1101.94,15742.0,71
CDM,875251,KIT SHTH 6FR 13CM,2299.0,2299.0,160.93,2299.0,71
CDM,875310,SCREW BN 2MM 12MM,8355.0,8355.0,919.05,8355.0,57
CDM,875320,LINER ACTB SZE 36MM,38700.0,38700.0,4257.0,38700.0,57
CDM,875330,GRAFT BN DBM CRSH 5ML,14953.0,14953.0,1644.83,14953.0,57
CDM,875340,STAPLE BN 20MM 20MM,33304.0,33304.0,3663.44,33304.0,57
CDM,875348,SCREW BN 2.7MM 18MM,1326.0,1326.0,145.86,1326.0,57
CDM,875359,KIT CATH 4FR 145CM,3711.0,3711.0,259.77,3711.0,71
CDM,875360,KIT CATH 3FR 70CM,3186.0,3186.0,223.02,3186.0,71
CDM,875361,KIT CATH 5FR 70CM,3186.0,3186.0,223.02,3186.0,71
CDM,875384,PLATE BN 3.5MM 237MM,24135.0,24135.0,2654.85,24135.0,57
CDM,875402,COMPONENT FEM KN LT SZ6,38700.0,38700.0,4257.0,38700.0,57
CDM,875423,MODEL ANTM ACRYL BN,23928.0,23928.0,1674.96,23928.0,71
CDM,875438,TRAY REV SHLDR +0 3.5MM,22853.0,22853.0,2513.83,22853.0,57
CDM,875439,INSERT SHLDR 12.5D 42X+6,33236.0,33236.0,3655.96,33236.0,57
CDM,875440,STEM SHLDR 132.5D 86MM,60012.0,60012.0,6601.32,60012.0,57
CDM,875444,INSERT HUM SHLDR 36MM,37410.0,37410.0,4115.1,37410.0,57
CDM,875479,STEM HIP FEM 140X20MM,50672.0,50672.0,5573.92,50672.0,57
CDM,875483,SCREW BN 3.5MM 24MM,4322.0,4322.0,475.42,4322.0,57
CDM,875486,SCREW BN 3.5MM 24MM,1747.0,1747.0,192.17,1747.0,57
CDM,875488,PLATE BN RT 2.7MM 70MM,16877.0,16877.0,1856.47,16877.0,57
CDM,875496,STENT BIL 4.5MM 36MM,15259.0,15259.0,1678.49,15259.0,57
CDM,875515,PLATE BN 2H 0.4MM 16MM,3466.0,3466.0,381.26,3466.0,57
CDM,875516,COVER BUR HL 0.4X7MM,4774.0,4774.0,525.14,4774.0,57
CDM,875517,PLATE BN 237MM 3.5MM,36220.0,36220.0,3984.2,36220.0,57
CDM,875521,KIT ADM IV STD 1LN 126IN,647.0,647.0,45.29,647.0,71
CDM,875522,KIT 5FR 7FR 17.5GA 145CM,3186.0,3186.0,223.02,3186.0,71
CDM,875523,NAIL BN FEM 130D 10MM,22466.0,22466.0,2471.26,22466.0,57
CDM,875527,STEM FEM HIP 13X146MM,45385.0,45385.0,4992.35,45385.0,57
CDM,875539,SCREW BN 6.5MM 50MM,1674.0,1674.0,184.14,1674.0,57
CDM,875542,SCREW BN 3.5X150MM,1551.0,1551.0,170.61,1551.0,57
CDM,875559,NAIL BN FEM 12MM 360MM,29864.0,29864.0,3285.04,29864.0,57
CDM,875589,PLATE BN CRNFCL 32 6X2HL,8349.0,8349.0,918.39,8349.0,57
CDM,875606,NAIL BN FEM 12MM 170MM,24994.0,24994.0,2749.34,24994.0,57
CDM,875612,GWIRE URO 3X150CM,1599.0,1599.0,111.93,1599.0,71
CDM,875641,STEM HUM SHLDR 78MM,61920.0,61920.0,6811.2,61920.0,57
CDM,875642,TRAY HUM SHLDR +0X1.5MM,22853.0,22853.0,2513.83,22853.0,57
CDM,875643,INSERT SHLDR +6 36MM,14647.0,14647.0,1611.17,14647.0,57
CDM,875647,NAIL FEM CANN 10MM 400MM,39333.0,39333.0,4326.63,39333.0,57
CDM,875648,SCREW BN 6.5MM 15MM,5837.0,5837.0,642.07,5837.0,57
CDM,875649,SCREW PERIPHRL 4.5X30MM,3535.0,3535.0,388.85,3535.0,57
CDM,875693,CATH PTCA BLN 3.0MMX15MM,3936.0,3936.0,275.52,3936.0,71
CDM,875724,PLATE BN 4HL 71MM,23140.0,23140.0,2545.4,23140.0,57
CDM,875725,PLATE BN 2HL 95MM,32059.0,32059.0,3526.49,32059.0,57
CDM,875726,SCREW BN 3.5MM 40MM,815.0,815.0,89.65,815.0,57
CDM,875727,SCREW BN CANC 4X70MM,864.0,864.0,95.04,864.0,57
CDM,875729,SCREW BN 4MM 85MM,2569.0,2569.0,282.59,2569.0,57
CDM,875730,SCREW BN 4X80MM,3871.0,3871.0,425.81,3871.0,57
CDM,875737,NAIL FEM CANN 10MM 380MM,37113.0,37113.0,4082.43,37113.0,57
CDM,875738,TRAY BX 11G 152MM,5179.0,5179.0,362.53,5179.0,71
CDM,875755,TUBE TEAR DCTJNS3.5X12FR,2220.0,2220.0,244.2,2220.0,57
CDM,875756,TUBE TEAR DCTJNS3.5X14FR,2220.0,2220.0,244.2,2220.0,57
CDM,875757,TUBE TEAR DCTJNS3.5X15FR,2220.0,2220.0,244.2,2220.0,57
CDM,875758,TUBE TEAR DCTJNS3.5X17FR,2220.0,2220.0,244.2,2220.0,57
CDM,875759,TUBE TEAR DCTJNS3.5X18FR,2220.0,2220.0,244.2,2220.0,57
CDM,875772,SNARE RND 2.8MM 240MM,795.0,795.0,55.65,795.0,71
CDM,875870,NAIL BN FEM 10MM 340MM,33027.0,33027.0,3632.97,33027.0,57
CDM,875894,SCREW BN 8.5MM 35MM XPDM,13191.0,13191.0,1451.01,13191.0,57
CDM,875918,MODEL ANTM MXL ACRYL ABL,39951.0,39951.0,2796.57,39951.0,71
CDM,875920,SCREW BN 6MM 80MM,1000.0,1000.0,110.0,1000.0,57
CDM,875950,TUBING IIR STRL LF,3036.0,3036.0,212.52,3036.0,71
CDM,875953,KIT GSTRM DIALATOR 22FR,5623.0,5623.0,393.61,5623.0,71
CDM,875975,PLATE BN 4HL 2.4MM,23818.0,23818.0,2619.98,23818.0,57
CDM,876054,SCR BN 6X2.4X3.5MM CORT,750.0,750.0,82.5,750.0,57
CDM,876059,DEVICE REMOVAL 32CM,11454.0,11454.0,801.78,11454.0,71
CDM,876060,GFT BN RT PROX HUM FRZN,142130.0,142130.0,15634.3,142130.0,57
CDM,876062,SHELL ACTB HIP 48MM,44799.0,44799.0,4927.89,44799.0,57
CDM,876074,NAIL BN FEM 10MM 360MM,35008.0,35008.0,3850.88,35008.0,57
CDM,876078,SCREW BN 4X44MM,3870.0,3870.0,425.7,3870.0,57
CDM,876079,SCREW BN 4X42MM,3871.0,3871.0,425.81,3871.0,57
CDM,876081,SCREW BN 4X24MM,3870.0,3870.0,425.7,3870.0,57
CDM,876082,SCREW BN 4MM 40MM,3652.0,3652.0,401.72,3652.0,57
CDM,876083,SCREW BN 4MM 22MM,3870.0,3870.0,425.7,3870.0,57
CDM,876087,KWIRE FX 234MM 2MM,2699.0,2699.0,188.93,2699.0,71
CDM,876113,STEM FEM 150X15.5MM BOW,92003.0,92003.0,10120.33,92003.0,57
CDM,876122,TUBE JJNSTM 45CM 18FR,6584.0,6584.0,460.88,6584.0,71
CDM,876123,TUBE JJNSTM 14FR 1.0CM,5482.0,5482.0,383.74,5482.0,71
CDM,876124,TUBE JJNSTM 14FR 0.8CM,5482.0,5482.0,383.74,5482.0,71
CDM,876179,STNT URT 12CM 8.5F DBL J,2281.0,2281.0,250.91,2281.0,57
CDM,876180,STENT URE AMPLZ 8.5FR 10,1930.0,1930.0,212.3,1930.0,57
CDM,876189,SCREW BN STERNAL 3X16MM,1372.0,1372.0,150.92,1372.0,57
CDM,876212,GWIRE ORTH 2MM 150MM,2249.0,2249.0,157.43,2249.0,71
CDM,876228,COIL EMBL 12CM .02IN 5MM,19523.0,19523.0,2147.53,19523.0,57
CDM,876230,COIL EMBL 15CM 4MM,25042.0,25042.0,2754.62,25042.0,57
CDM,876258,GRAFT PRCN 7.9X5.9IN,142252.0,142252.0,15647.72,142252.0,57
CDM,876276,CANNULA PRFSN 20FR 12IN,1599.0,1599.0,111.93,1599.0,71
CDM,876279,CATH BLNDIL 30MM 4X100CM,11993.0,11993.0,839.51,11993.0,71
CDM,876282,INTRO SHTH 8.5F 94CM,11433.0,11433.0,800.31,11433.0,71
CDM,876315,LINER HIP ACTB 62X40MM,17157.0,17157.0,1887.27,17157.0,57
CDM,876316,LINER HIP 10D +4X64X40MM,17157.0,17157.0,1887.27,17157.0,57
CDM,876317,LINER ACTB 10D+4X66X40MM,16187.0,16187.0,1780.57,16187.0,57
CDM,876318,LINER ACTB HIP 40MM,17157.0,17157.0,1887.27,17157.0,57
CDM,876324,BLD SHVR SKM 225MM 2.9MM,11433.0,11433.0,800.31,11433.0,71
CDM,876345,PLATE BN 15MM,6081.0,6081.0,668.91,6081.0,57
CDM,876346,PLATE BN BUTTRS LT 15MM,6081.0,6081.0,668.91,6081.0,57
CDM,876375,NAIL FEM CANN 10MM 340MM,39333.0,39333.0,4326.63,39333.0,57
CDM,876392,SCREW BN 3MM 32MM,3247.0,3247.0,357.17,3247.0,57
CDM,876397,PLT MXLFCL LOPRO 8H .75,5100.0,5100.0,561.0,5100.0,57
CDM,876399,PLATE 120X120MM TI BN,42494.0,42494.0,4674.34,42494.0,57
CDM,876400,SCREW BN 5MM 1.5MM,1344.0,1344.0,147.84,1344.0,57
CDM,876401,IMPLANT SLSTC SM CHIN AN,4727.0,4727.0,519.97,4727.0,57
CDM,876403,GRAFT MNDBL 65X35X7MM,13443.0,13443.0,1478.73,13443.0,57
CDM,876404,GRAFT MNDBL 65X35X11MM,14180.0,14180.0,1559.8,14180.0,57
CDM,876405,GRAFT MNDBL 79X32X5MM,13443.0,13443.0,1478.73,13443.0,57
CDM,876408,IMPLANT SLSTC MED CHIN A,4932.0,4932.0,542.52,4932.0,57
CDM,876428,KIT LPRSCPC DILTR 24FR,5623.0,5623.0,393.61,5623.0,71
CDM,876433,PLT 6 HL DBL Y W/BAR N12,4631.0,4631.0,509.41,4631.0,57
CDM,876434,SCREW 2X18 MXLFCL,1453.0,1453.0,159.83,1453.0,57
CDM,876435,SCREW BN 2.3X16MM MXLFCL,1680.0,1680.0,184.8,1680.0,57
CDM,876437,RETRIEVER VASC 6FR 90CM,11433.0,11433.0,800.31,11433.0,71
CDM,876464,PLATE BN 6HL 3.5MM 194MM,27682.0,27682.0,3045.02,27682.0,57
CDM,876466,SCREW BN 1.8MM 4MM,1482.0,1482.0,163.02,1482.0,57
CDM,876474,BURR SURG 45MM 2.1MM CRB,503.0,503.0,35.21,503.0,71
CDM,876487,REAMER METATARSAL 22MM,11433.0,11433.0,800.31,11433.0,71
CDM,876488,REAMER SURG 22MM,11433.0,11433.0,800.31,11433.0,71
CDM,876502,SCREW BN LCK 3X12MM,5138.0,5138.0,565.18,5138.0,57
CDM,876503,SCREW BN LCK 3X16MM,5138.0,5138.0,565.18,5138.0,57
CDM,876511,INSERT KN ARTC SZ5-6 9MM,17220.0,17220.0,1894.2,17220.0,57
CDM,876515,IMPLANT BREAST 770CC,19420.0,19420.0,2136.2,19420.0,57
CDM,876548,STEM FEM REV 15X250MM,55209.0,55209.0,6072.99,55209.0,57
CDM,876554,CMPNT FEM STD KN LT SZ10,38944.0,38944.0,4283.84,38944.0,57
CDM,876555,KIT MINTRDCR 5FR .018IN,1212.0,1212.0,84.84,1212.0,71
CDM,876556,CATH ULTSND 8FR 90CM,41657.0,41657.0,2915.99,41657.0,71
CDM,876575,NAIL BN 8.5MM 225MM,25570.0,25570.0,2812.7,25570.0,57
CDM,876576,NAIL BN 8.5MM 240MM,25570.0,25570.0,2812.7,25570.0,57
CDM,876578,PLATE BN MD VAR 4HL 88MM,17973.0,17973.0,1977.03,17973.0,57
CDM,876590,DRILL TWST JLTCH 105X1.1,3786.0,3786.0,265.02,3786.0,71
CDM,876591,REAMER ACTB 41MM,15228.0,15228.0,1065.96,15228.0,71
CDM,876592,PLATE BN CRNL Y 26MM,3468.0,3468.0,381.48,3468.0,57
CDM,876597,SCREW BN 2MM 19MM,1311.0,1311.0,144.21,1311.0,57
CDM,876608,ANCH SUT 3.5MM,4090.0,4090.0,449.9,4090.0,57
CDM,876617,KIT AOR VLV 14FR 29MM,447320.0,447320.0,49205.2,447320.0,57
CDM,876620,PIN STEIN 7/64 DMD,860.0,860.0,60.2,860.0,71
CDM,876622,PIN FX 9IN STNM 9/64IN,574.0,574.0,40.18,574.0,71
CDM,876623,PIN FX 9/64IN DMD,860.0,860.0,60.2,860.0,71
CDM,876624,PIN FX STNM 9 5/32IN,694.0,694.0,48.58,694.0,71
CDM,876625,PIN FX 3/16IN DMD,860.0,860.0,60.2,860.0,71
CDM,876626,PIN STEIN PLN 3/16 DMD,694.0,694.0,48.58,694.0,71
CDM,876639,IMPL FX HMRTOE 0D MED,16625.0,16625.0,1828.75,16625.0,57
CDM,876682,STAPLER INT 25MM,5623.0,5623.0,393.61,5623.0,71
CDM,876713,PLATE BN 100MM CRNMX TI3,10886.0,10886.0,1197.46,10886.0,57
CDM,876714,SCR BN CRNFCL 7X1X1.6MM,1618.0,1618.0,177.98,1618.0,57
CDM,876715,SCREW CORTEX 400.509,1618.0,1618.0,177.98,1618.0,57
CDM,876717,SCREW CRNFCL 14X1X1.6MM,1618.0,1618.0,177.98,1618.0,57
CDM,876718,SCR BN S/T PLSDR 1.3MM,1621.0,1621.0,178.31,1621.0,57
CDM,876719,SCREWBN 1.7MM 3MM,1618.0,1618.0,177.98,1618.0,57
CDM,876720,SCR BN CRNFCL 8X1.7MM,1618.0,1618.0,177.98,1618.0,57
CDM,876722,SCR BN CRNMXF 18X1.5X2.9,1129.0,1129.0,124.19,1129.0,57
CDM,876723,SCR BN CRNMXF 14X2X2.9MM,1188.0,1188.0,130.68,1188.0,57
CDM,876724,SCR BN CRNMXF 16X2X2.9,1188.0,1188.0,130.68,1188.0,57
CDM,876725,SCREW BN TI 5X2MM MNDB S,2376.0,2376.0,261.36,2376.0,57
CDM,876727,ILUM OPTH 25GA,4724.0,4724.0,330.68,4724.0,71
CDM,876728,LINER ACTB HIP 60X40MM,17157.0,17157.0,1887.27,17157.0,57
CDM,876735,BUTTON GSTRM 18FR 2.5CM,3786.0,3786.0,265.02,3786.0,71
CDM,876736,BUTTON GASTRO 14FR 1.2CM,5623.0,5623.0,393.61,5623.0,71
CDM,876738,EXPANDER TISS BRST 500ML,33538.0,33538.0,3689.18,33538.0,57
CDM,876739,EXPANDER BRST HP 600CC,33538.0,33538.0,3689.18,33538.0,57
CDM,876740,EXPANDER BRST TISS 300C,33538.0,33538.0,3689.18,33538.0,57
CDM,876741,EXPANDER BRST 375CC,37504.0,37504.0,4125.44,37504.0,57
CDM,876748,INTRODUCER SUPRPUB 14FR,4528.0,4528.0,316.96,4528.0,71
CDM,876782,CANN PRFSN 30 15FR FEM V,5623.0,5623.0,393.61,5623.0,71
CDM,876783,SCREW BN TI L6MM OD2MM C,2376.0,2376.0,261.36,2376.0,57
CDM,876784,SCREW BNE L12MM OD2MM LO,2376.0,2376.0,261.36,2376.0,57
CDM,876785,SCREW BNE TI L14MM OD2MM,2376.0,2376.0,261.36,2376.0,57
CDM,876786,SCREW BNE TI L16MM OD2MM,2376.0,2376.0,261.36,2376.0,57
CDM,876787,SCREW BN CORT 2X18MM,1247.0,1247.0,137.17,1247.0,57
CDM,876788,SCREW BNE TI L12MM OD2MM,1315.0,1315.0,144.65,1315.0,57
CDM,876789,SCREW BN TI L12MM OD2.4M,1315.0,1315.0,144.65,1315.0,57
CDM,876790,SCREW CNRMXF 2.4X3.5X14,1315.0,1315.0,144.65,1315.0,57
CDM,876791,SCREW BNE MATRIXNEURO 3M,1126.0,1126.0,123.86,1126.0,57
CDM,876793,SCREW BN 2.4X4X18MM,1989.0,1989.0,218.79,1989.0,57
CDM,876794,SCREW TI EMER 2.7X18,1989.0,1989.0,218.79,1989.0,57
CDM,876795,STNT TRCHBR 10X30X4.0MM,60623.0,60623.0,6668.53,60623.0,57
CDM,876797,DEVICE INFL 40ATM 30CC,1599.0,1599.0,111.93,1599.0,71
CDM,876809,NAIL BN FEM 11MM 340MM,41729.0,41729.0,4590.19,41729.0,57
CDM,876819,SUB BNGF FOAM 10CC,28094.0,28094.0,3090.34,28094.0,57
CDM,876831,DISTRACTOR BODY MAX 15MM,56122.0,56122.0,3928.54,56122.0,71
CDM,876832,PLATE PSTR FOOT SHRT 7MM,19312.0,19312.0,2124.32,19312.0,57
CDM,876840,INTRODUCER ENDO 19FR,8236.0,8236.0,576.52,8236.0,71
CDM,876842,SCR BN 1.5X14MM S/T,1129.0,1129.0,124.19,1129.0,57
CDM,876861,CATH URTH FL 16F 16IN 2W,351.0,351.0,24.57,351.0,71
CDM,876886,SCREW BN LV1 2X9MM,2622.0,2622.0,288.42,2622.0,57
CDM,876888,SYS DRN PE CONT REINFUS,2214.0,2214.0,154.98,2214.0,71
CDM,876889,SYSTEM DRN THRX 1 CHMBR,5183.0,5183.0,362.81,5183.0,71
CDM,876909,LINER ACTB HIP 54X36MM,19350.0,19350.0,2128.5,19350.0,57
CDM,876926,GDWR .014IN 200CM 35CM,11433.0,11433.0,800.31,11433.0,71
CDM,876928,STEM FEM KN 30MM 14MM,18420.0,18420.0,2026.2,18420.0,57
CDM,876959,KIT TAMP BN,60802.0,60802.0,4256.14,60802.0,71
CDM,876975,TEMPLATE BN/ORGN CUSTOM,12108.0,12108.0,847.56,12108.0,71
CDM,877000,FOOTPLATE BN SHRT 7MM,17561.0,17561.0,1931.71,17561.0,57
CDM,877031,COIL EMBL 4MM 13CM,21405.0,21405.0,2354.55,21405.0,57
CDM,877036,INSERT TIB KN RT 3-4 13,16770.0,16770.0,1844.7,16770.0,57
CDM,877039,SCREW BN 2.4X32MM,3247.0,3247.0,357.17,3247.0,57
CDM,877058,GWIRE VASC 230CM .025IN,5623.0,5623.0,393.61,5623.0,71
CDM,877061,INTRO SHTH 8.5F 45D 63CM,5623.0,5623.0,393.61,5623.0,71
CDM,877067,DRILL SURG .9MM 5MM,5368.0,5368.0,375.76,5368.0,71
CDM,877069,GWIRE VASC 260CM .035IN,1279.0,1279.0,89.53,1279.0,71
CDM,877074,OCCLUDER CV 20MM,167349.0,167349.0,18408.39,167349.0,57
CDM,877075,OCCLUDER CV 25MM,167349.0,167349.0,18408.39,167349.0,57
CDM,877076,OCCLUDER CV 30MM,167349.0,167349.0,18408.39,167349.0,57
CDM,877079,STEM FEM 94-114MM TRIFIT,49020.0,49020.0,5392.2,49020.0,57
CDM,877107,STOPCOCK ANGIO 1050 PI1,102.0,102.0,7.14,102.0,71
CDM,877164,CUP ACTB HIP SZ50 36MM,37114.0,37114.0,4082.54,37114.0,57
CDM,877173,BLADE SAW 12X11.5MM,3306.0,3306.0,231.42,3306.0,71
CDM,877181,PLUG OCL 12X5.3X3MM,32880.0,32880.0,3616.8,32880.0,57
CDM,877182,PLUG OCL 12X6.5X5MM,32880.0,32880.0,3616.8,32880.0,57
CDM,877194,NAIL KN RT 11MM 340MM,29864.0,29864.0,3285.04,29864.0,57
CDM,877205,CATH PGTL .030 3.3FR 80,4685.0,4685.0,327.95,4685.0,71
CDM,877206,CATH ANGIO A-3JB1-80 3.3,2811.0,2811.0,196.77,2811.0,71
CDM,877207,CATH ANGIO A-3JR1-80 3.3,2811.0,2811.0,196.77,2811.0,71
CDM,877208,CATH ANGIO A-3JL1-80 3.3,2811.0,2811.0,196.77,2811.0,71
CDM,877210,CATH ANGIO A-3COB-80,4685.0,4685.0,327.95,4685.0,71
CDM,877213,RING EX FIX 155MM,25854.0,25854.0,1809.78,25854.0,71
CDM,877218,SYSTEM CLSR FACIAL,4086.0,4086.0,286.02,4086.0,71
CDM,877220,NAIL FEM CANN 12MM 380MM,33027.0,33027.0,3632.97,33027.0,57
CDM,877233,SCREW BN 2MM 7MM,1603.0,1603.0,176.33,1603.0,57
CDM,877234,SCREW BN 2MM 9MM,1603.0,1603.0,176.33,1603.0,57
CDM,877245,FORCEPS GRSP 8MM 230CM,3186.0,3186.0,223.02,3186.0,71
CDM,877247,FORCPS ENDO GRSP 6.5X2.4,2811.0,2811.0,196.77,2811.0,71
CDM,877254,DEVICE BRST IMPLNT DLVRY,5458.0,5458.0,382.06,5458.0,71
CDM,877261,ROD SPN PREBNT 5.5X120MM,4556.0,4556.0,501.16,4556.0,57
CDM,877262,PROBE VITRTM 25+ GA,1849.0,1849.0,129.43,1849.0,71
CDM,877263,PLUG OPTH 23GA,1644.0,1644.0,115.08,1644.0,71
CDM,877282,PORT ACC 12MM 120MM,3061.0,3061.0,214.27,3061.0,71
CDM,877295,NAIL BN FEM 12MM 380MM,29284.0,29284.0,3221.24,29284.0,57
CDM,877298,COVER BURHL 17X.3X1.5MM,3956.0,3956.0,435.16,3956.0,57
CDM,877300,SCREW BN 7.3MM 175MM,3950.0,3950.0,434.5,3950.0,57
CDM,877303,KIT ANCHOR INST 2.9MM,5623.0,5623.0,393.61,5623.0,71
CDM,877350,BIT DRILL 6MM 1.3MM 6MM,5398.0,5398.0,377.86,5398.0,71
CDM,877361,GDPIN HEADLESS 65MM,2249.0,2249.0,157.43,2249.0,71
CDM,877362,GDPIN HEADLESS 46MM,3360.0,3360.0,235.2,3360.0,71
CDM,877366,INSERT TIB KN 13MM SZ1-2,16770.0,16770.0,1844.7,16770.0,57
CDM,877369,SCREW BN 3.5MM 20MM,1747.0,1747.0,192.17,1747.0,57
CDM,877370,BIT DRILL 30MM 2MM,3564.0,3564.0,249.48,3564.0,71
CDM,877381,PLATE BN 2MM 2.7MM,12731.0,12731.0,1400.41,12731.0,57
CDM,877388,PROSTHESIS TMJ PT CSTM,250982.0,250982.0,27608.02,250982.0,57
CDM,877400,COIL EMBL 8CM 4MM,13180.0,13180.0,1449.8,13180.0,57
CDM,877401,COIL EMBL 4MM 10CM,12935.0,12935.0,1422.85,12935.0,57
CDM,877402,COIL EMBL 30CM 8MM,10275.0,10275.0,1130.25,10275.0,57
CDM,877428,SCREW BN 4MM 34MM,4348.0,4348.0,478.28,4348.0,57
CDM,877430,SCREW BN 4MM 36MM,3652.0,3652.0,401.72,3652.0,57
CDM,877437,CATH BLNDIL 8MM 60MM,5623.0,5623.0,393.61,5623.0,71
CDM,877441,SCREW BN T10 3.5X22MM,2569.0,2569.0,282.59,2569.0,57
CDM,877442,SCREW BN LCK 3.5MM 36MM,2889.0,2889.0,317.79,2889.0,57
CDM,877446,SCREW BN 4MM 46MM,8551.0,8551.0,940.61,8551.0,57
CDM,877458,VALVE SHUNT PRGM REG,87197.0,87197.0,9591.67,87197.0,57
CDM,877477,SCREW BN 6MM 65MM,1023.0,1023.0,112.53,1023.0,57
CDM,877478,SCREW BN 4.5MM 44MM,864.0,864.0,95.04,864.0,57
CDM,877512,NAIL FEM CANN 12MM 400MM,29864.0,29864.0,3285.04,29864.0,57
CDM,877518,GWIRE VASC 335CM .014IN,5622.0,5622.0,393.54,5622.0,71
CDM,877519,BIT DRILL 1.6MM 19MM,4519.0,4519.0,316.33,4519.0,71
CDM,877541,KWIRE FX 150MM 1.2MM,1599.0,1599.0,111.93,1599.0,71
CDM,877563,SUTURE PC-1 5-0 1X18IN,179.0,179.0,12.53,179.0,71
CDM,877564,CMPNT FEM HIP 24MM 85MM,60605.0,60605.0,6666.55,60605.0,57
CDM,877566,PROBE NRV STIM 0.5MM,3983.0,3983.0,278.81,3983.0,71
CDM,877581,STEM FEM HIP 20MM 190MM,55728.0,55728.0,6130.08,55728.0,57
CDM,877586,ANCHOR SUT 5.5MM,9958.0,9958.0,1095.38,9958.0,57
CDM,877594,NAIL BN 130D 12MM 235MM,32285.0,32285.0,3551.35,32285.0,57
CDM,877604,PIN GUIDE 3MM 75MM,2268.0,2268.0,158.76,2268.0,71
CDM,877605,HEAD HUM SHLDR SZ2,58681.0,58681.0,6454.91,58681.0,57
CDM,877624,SHELL ACTB HIP SZG 60MM,20640.0,20640.0,2270.4,20640.0,57
CDM,877644,CATH BLNOCC 4MM 10MM,19719.0,19719.0,1380.33,19719.0,71
CDM,877650,MESH SURG 30X30CM,1939.0,1939.0,213.29,1939.0,57
CDM,877667,GRAFT ST TIS 24X3CM,24645.0,24645.0,2710.95,24645.0,57
CDM,877697,PLATE BN RT 3HL NAR,9248.0,9248.0,1017.28,9248.0,57
CDM,877698,PLATE BN 4HL,9412.0,9412.0,1035.32,9412.0,57
CDM,877701,SCREW BN 3.5MM 10MM,1603.0,1603.0,176.33,1603.0,57
CDM,877703,SCREW BN 2.3X7MM,1521.0,1521.0,167.31,1521.0,57
CDM,877729,SCREW BN 3.5MM 34MM,10275.0,10275.0,1130.25,10275.0,57
CDM,877730,SCREW BN 3X24MM,4419.0,4419.0,486.09,4419.0,57
CDM,877732,PLATE BN SS L139 LCP 242,22280.0,22280.0,2450.8,22280.0,57
CDM,877733,SCREW BN CRANI 1.5MM 5MM,1643.0,1643.0,180.73,1643.0,57
CDM,877734,TAP BN 1.5MM 5MM,6599.0,6599.0,461.93,6599.0,71
CDM,877745,PLATE MESH 80X80MM .3MM,31460.0,31460.0,3460.6,31460.0,57
CDM,877746,PLATE BN 80X80X.6MM,29950.0,29950.0,3294.5,29950.0,57
CDM,877748,SCREW BN 2.3X5MM,1521.0,1521.0,167.31,1521.0,57
CDM,877750,SCREW BN 2.3X9MM,1612.0,1612.0,177.32,1612.0,57
CDM,877752,SCREW BN 2MM 13MM,2511.0,2511.0,276.21,2511.0,57
CDM,877753,SCREW BN 2MM 17MM,2755.0,2755.0,303.05,2755.0,57
CDM,877754,SCREW BN 2MM 19MM,2755.0,2755.0,303.05,2755.0,57
CDM,877758,PLATE BN 6HL 1MM 33MM,8747.0,8747.0,962.17,8747.0,57
CDM,877760,PLATE BN LCK 4HL 2X28MM,9264.0,9264.0,1019.04,9264.0,57
CDM,877762,PLATE BN LCK 6HL 43MM,12731.0,12731.0,1400.41,12731.0,57
CDM,877763,PLATE BN LCK CRVD 2MM,12013.0,12013.0,1321.43,12013.0,57
CDM,877774,PLATE PRBNT LT 3MM 26HL,39717.0,39717.0,4368.87,39717.0,57
CDM,877776,PLATE BN LT 26HL 193MM,44807.0,44807.0,4928.77,44807.0,57
CDM,877785,SCREW BN 2X12MM 16MM,2382.0,2382.0,262.02,2382.0,57
CDM,877788,BLOCK 120X70X1.5CM SIL,1619.0,1619.0,178.09,1619.0,57
CDM,877790,KIT ARTHSCP FX TGHTRP RT,7604.0,7604.0,836.44,7604.0,57
CDM,877796,SCREW BN 3.5MM 11MM,1603.0,1603.0,176.33,1603.0,57
CDM,877797,SCREW BN 3.5X13MM,1603.0,1603.0,176.33,1603.0,57
CDM,877798,SCREW BN 2.5MM 12MM,2487.0,2487.0,273.57,2487.0,57
CDM,877805,PLATE BN 4HL 121MM,38996.0,38996.0,4289.56,38996.0,57
CDM,877808,SCREW BN CANC F/T 4X65MM,855.0,855.0,94.05,855.0,57
CDM,877809,SCREW BN 3.5MM 36M,864.0,864.0,95.04,864.0,57
CDM,877817,INSERT TIB MED UNV 23MM,67655.0,67655.0,7442.05,67655.0,57
CDM,877820,PEG BN 2.7MM 21MM,1747.0,1747.0,192.17,1747.0,57
CDM,877821,PEG HI-COMP LCK 2.7X22MM,2209.0,2209.0,242.99,2209.0,57
CDM,877822,PEG BN THRD LCK 2.3X21MM,1727.0,1727.0,189.97,1727.0,57
CDM,877823,SCREW BN N-LCK 3.5X13MM,1603.0,1603.0,176.33,1603.0,57
CDM,877829,SEPARATOR THRMB 150CM,29744.0,29744.0,2082.08,29744.0,71
CDM,877837,DISTRACTOR BDY MXL 25MM,69602.0,69602.0,7656.22,69602.0,57
CDM,877838,SCREW BN SLFDRL 2X6MM,1359.0,1359.0,149.49,1359.0,57
CDM,877839,NAIL BN FEM LT 12MM 34CM,39333.0,39333.0,4326.63,39333.0,57
CDM,877840,CATH BLNDIL 6MM 100MM,5623.0,5623.0,393.61,5623.0,71
CDM,877841,CATH BLNDIL 7MM 60MM,5623.0,5623.0,393.61,5623.0,71
CDM,877842,CATH BLNDIL 7MM 100MM,5623.0,5623.0,393.61,5623.0,71
CDM,877843,CATH BLNDIL 9MM 60MM,5623.0,5623.0,393.61,5623.0,71
CDM,877846,RETRCTR WND XXSM 1-3CM,2324.0,2324.0,162.68,2324.0,71
CDM,877865,STEM FEM 104-124MM LAT,51600.0,51600.0,5676.0,51600.0,57
CDM,877876,EXPANDER TISS BRST 500ML,42539.0,42539.0,4679.29,42539.0,57
CDM,877879,BAND SCLR CIRC STY 2.5MM,750.0,750.0,82.5,750.0,57
CDM,877909,SCREW BN 4.0MMX48MM,2569.0,2569.0,282.59,2569.0,57
CDM,877912,SCREW BN 3.5MM 44MM,864.0,864.0,95.04,864.0,57
CDM,877939,CMPNT FEM KN LT SZ1,144568.0,144568.0,15902.48,144568.0,57
CDM,877957,SCREW CRNMXF 1.5X2.9X10,1129.0,1129.0,124.19,1129.0,57
CDM,877964,GRAFT CHIN 57X68X9MM,9823.0,9823.0,1080.53,9823.0,57
CDM,878014,CATH GD VASC 165CM,12030.0,12030.0,842.1,12030.0,71
CDM,878056,VALVE SHUNT PRGM REG,77681.0,77681.0,8544.91,77681.0,57
CDM,878067,INTRO SHTH 8FR 81CM,5623.0,5623.0,393.61,5623.0,71
CDM,878107,STEM FEM HIP 17MM 115MM,55209.0,55209.0,6072.99,55209.0,57
CDM,878109,MNTNR ANTR CHMBR 20G9/16,1762.0,1762.0,123.34,1762.0,71
CDM,878110,TRACH BIV 30CMX39MM CUFF,6303.0,6303.0,441.21,6303.0,71
CDM,878111,BAND SCLR 30D SIL TYP 41,750.0,750.0,82.5,750.0,57
CDM,878112,SPONGE RTNL 5X3MM,750.0,750.0,82.5,750.0,57
CDM,878115,SHEET SYN 50X38X.4MM,8220.0,8220.0,904.2,8220.0,57
CDM,878116,SHEET SYN 50X38X.3MM,8220.0,8220.0,904.2,8220.0,57
CDM,878117,SHEET SYN 50X38X.5MM,8220.0,8220.0,904.2,8220.0,57
CDM,878122,SPHERE EYE 16MM,8015.0,8015.0,881.65,8015.0,57
CDM,878123,SPHERE EYE 18MM,8015.0,8015.0,881.65,8015.0,57
CDM,878124,SPHERE EYE 20MM,8015.0,8015.0,881.65,8015.0,57
CDM,878125,SPHERE EYE 22MM,8015.0,8015.0,881.65,8015.0,57
CDM,878131,NAIL BN CANN 10MM 360MM,39333.0,39333.0,4326.63,39333.0,57
CDM,878132,NAIL BN FEM 10MM 400MM,35008.0,35008.0,3850.88,35008.0,57
CDM,878134,STEM FEM HIP 14X135MM,36120.0,36120.0,3973.2,36120.0,57
CDM,878136,NEEDLE BX BM 11GA 4IN,780.0,780.0,54.6,780.0,71
CDM,878139,TRAY CATH 16FR 5CC,856.0,856.0,59.92,856.0,71
CDM,878143,NAIL FEM CANN 11MM 400MM,39333.0,39333.0,4326.63,39333.0,57
CDM,878153,TIP IRR FEM COAX LNG,688.0,688.0,48.16,688.0,71
CDM,878165,SET BX TLAB 19GA,9830.0,9830.0,688.1,9830.0,71
CDM,878213,NAIL BN 125D 11MM 170MM,28082.0,28082.0,3089.02,28082.0,57
CDM,878234,MESH PLATE 100X100X.5MM,51430.0,51430.0,5657.3,51430.0,57
CDM,878267,CATH ULTSND 5FR 150CM,12014.0,12014.0,840.98,12014.0,71
CDM,878269,STENT TRCHBR 7FR 7X22MM,48580.0,48580.0,5343.8,48580.0,57
CDM,878273,NAIL BN 12MM 420MM,39333.0,39333.0,4326.63,39333.0,57
CDM,878309,PLATE BN MXLFCL 2HL 15X6,1022.0,1022.0,112.42,1022.0,57
CDM,878311,PLATE BN 6HL 1MM 8MM,6929.0,6929.0,762.19,6929.0,57
CDM,878312,TROCAR LPSCP 2/3MM,3153.0,3153.0,220.71,3153.0,71
CDM,878314,TROCAR LAPSCP 5MM 70MM,3323.0,3323.0,232.61,3323.0,71
CDM,878317,GAUGE STRL DISP STR,8253.0,8253.0,577.71,8253.0,71
CDM,878318,ADHESIVE SKNCLS STRL TOP,975.0,975.0,68.25,975.0,71
CDM,878320,GWIRE VASC 275X2.9X3.2CM,5889.0,5889.0,412.23,5889.0,71
CDM,878326,COMP PTLR DOME 8MM 30,32250.0,32250.0,3547.5,32250.0,57
CDM,878328,SCREW BN 3.5MM 130MM,1551.0,1551.0,170.61,1551.0,57
CDM,878333,SCREW SPN 5.5MM,1266.0,1266.0,139.26,1266.0,57
CDM,878363,TUBE ET NIM EMG 5MM,7224.0,7224.0,505.68,7224.0,71
CDM,878365,CANNLA OPTH 39GA,6858.0,6858.0,480.06,6858.0,71
CDM,878366,CANNLA LPSCTN 42GA RGD,6858.0,6858.0,480.06,6858.0,71
CDM,878367,PLATE BN 3X2HL 23MM,5063.0,5063.0,556.93,5063.0,57
CDM,878369,PLATE BN 0.6MM 30MM,5898.0,5898.0,648.78,5898.0,57
CDM,878371,RELOAD STPLR 2MM 20CM,7716.0,7716.0,848.76,7716.0,57
CDM,878372,STAPLER INT 25X2MM SHFT,11433.0,11433.0,800.31,11433.0,71
CDM,878374,PLATE T 47MM LMBR ANTGRA,63275.0,63275.0,6960.25,63275.0,57
CDM,878390,CATH ABL 8FR 115CM,28169.0,28169.0,1971.83,28169.0,71
CDM,878402,BLADE SURG EAR PROS,985.0,985.0,68.95,985.0,71
CDM,878413,STEM FEM 150X16.5MM BOW,92003.0,92003.0,10120.33,92003.0,57
CDM,878414,PACK SURG 1.1MM SPD LPRO,57787.0,57787.0,6356.57,57787.0,57
CDM,878415,STEM HUM SHLDR132.5D82MM,61920.0,61920.0,6811.2,61920.0,57
CDM,878441,CANNULA PRFSN 24FR 20CM,1548.0,1548.0,108.36,1548.0,71
CDM,878454,NAIL BN 130D 12X360MM,29864.0,29864.0,3285.04,29864.0,57
CDM,878475,MNPLT SURG CUP 3.0CM,2643.0,2643.0,185.01,2643.0,71
CDM,878476,MNPLT SURG CUP 3.5CM,2643.0,2643.0,185.01,2643.0,71
CDM,878477,MNPLT SURG CUP 4.0CM,2643.0,2643.0,185.01,2643.0,71
CDM,878478,SCREW BN 5.5MM 40MM,1527.0,1527.0,167.97,1527.0,57
CDM,878512,PLATE BN ANTMCL 3D .4MM,17396.0,17396.0,1913.56,17396.0,57
CDM,878515,LINER ACTB HIP 36MM 58MM,14190.0,14190.0,1560.9,14190.0,57
CDM,878539,CONE FEM HIP 50MM,80284.0,80284.0,8831.24,80284.0,57
CDM,878546,STEM FEM 100-120MM LAT 6,51600.0,51600.0,5676.0,51600.0,57
CDM,878547,STEM FEM HIP SZ7 122MM,49020.0,49020.0,5392.2,49020.0,57
CDM,878548,STEM FEM 106-126MM LAT,49020.0,49020.0,5392.2,49020.0,57
CDM,878618,SCREW BN 3.5XL32MM,861.0,861.0,94.71,861.0,57
CDM,878620,SCREW BN 3.5MMX26MM,864.0,864.0,95.04,864.0,57
CDM,878621,SCREW BN 3.5MM 95M,864.0,864.0,95.04,864.0,57
CDM,878643,APPLIER INT W/CLP 9IN,4133.0,4133.0,454.63,4133.0,57
CDM,878673,CATH CCSTM CHT 0-6CM,5623.0,5623.0,393.61,5623.0,71
CDM,878683,DEVICE SUTURE 14GA 15CM,576.0,576.0,40.32,576.0,71
CDM,878698,TAP SURG SLF DRL DISP 4M,6599.0,6599.0,461.93,6599.0,71
CDM,878699,LINER SCTB HIP 40MM 58MM,16187.0,16187.0,1780.57,16187.0,57
CDM,878700,PROBE LASER 25GA,4252.0,4252.0,297.64,4252.0,71
CDM,878736,CATH IMP DRN PRTNL 120CM,7043.0,7043.0,774.73,7043.0,57
CDM,878738,IMPLANT BREAST 325CC,19420.0,19420.0,2136.2,19420.0,57
CDM,878746,PLATE BN MDFC 7HL .6MM,4686.0,4686.0,515.46,4686.0,57
CDM,878749,REAMER SURG 8.0MM,7819.0,7819.0,547.33,7819.0,71
CDM,878754,SCREW BN 3.5MM 26MM,10275.0,10275.0,1130.25,10275.0,57
CDM,878756,TRAY REV SHLDR CNTR +0MM,22013.0,22013.0,2421.43,22013.0,57
CDM,878764,STEM FEM CMNT SZ13 130MM,36120.0,36120.0,3973.2,36120.0,57
CDM,878765,GUIDEWIRE ORTH 1.4X150MM,4086.0,4086.0,286.02,4086.0,71
CDM,878766,BIT DRILL 2.7MM,6378.0,6378.0,446.46,6378.0,71
CDM,878823,PROBE SUC 4X135MM,5623.0,5623.0,393.61,5623.0,71
CDM,878835,IMPLANT BREAST 415CC,19420.0,19420.0,2136.2,19420.0,57
CDM,878836,PATCH CV 10X1CM,7172.0,7172.0,788.92,7172.0,57
CDM,878842,SCREW BN 1.5MM 5MM,1634.0,1634.0,179.74,1634.0,57
CDM,878854,SCREW BN 4MM 60MM,855.0,855.0,94.05,855.0,57
CDM,878855,SCREW BN 3.5MM 70MM,864.0,864.0,95.04,864.0,57
CDM,878872,SCREW BN 3.5X42MM,815.0,815.0,89.65,815.0,57
CDM,878878,SCREW BN 6.5MM 55MM,4521.0,4521.0,497.31,4521.0,57
CDM,878882,SCREW BN 3.5MM 75MM,864.0,864.0,95.04,864.0,57
CDM,878884,SCREW BN 4X75MM,3652.0,3652.0,401.72,3652.0,57
CDM,878917,ANCHOR SUT 2.9MM 12.5MM,9356.0,9356.0,1029.16,9356.0,57
CDM,878943,NAIL FEM CANN 12MM 420MM,33027.0,33027.0,3632.97,33027.0,57
CDM,878946,BIT DRILL 1.3MM 4MM,5241.0,5241.0,366.87,5241.0,71
CDM,878956,SYSTEM INTRO 7FR 19.5CM,1949.0,1949.0,136.43,1949.0,71
CDM,878965,NEEDLE BX 22GA 20CM,269.0,269.0,18.83,269.0,71
CDM,879008,STEM HUM SHLDR 66MM,85266.0,85266.0,9379.26,85266.0,57
CDM,879011,SCREW BN 2.0MM 6MM,1209.0,1209.0,132.99,1209.0,57
CDM,879016,INTRODUCER SHTH 8.5FR,14731.0,14731.0,1031.17,14731.0,71
CDM,879024,NEEDLE BX INST 14GA 6CM,959.0,959.0,67.13,959.0,71
CDM,879027,BLADE SAW OSCIL SNG USE,7544.0,7544.0,528.08,7544.0,71
CDM,879032,LEAD NRSTM 3MM 60CM,65760.0,65760.0,7233.6,65760.0,57
CDM,879053,SCREW BN CANN 6.5X170MM,3959.0,3959.0,435.49,3959.0,57
CDM,879065,WEDGE FEM KN 5MM,20019.0,20019.0,2202.09,20019.0,57
CDM,879068,COMPNT FEM KN RT SZ7,105683.0,105683.0,11625.13,105683.0,57
CDM,879076,PLATE BN 82X11-14X3.5MM,24640.0,24640.0,2710.4,24640.0,57
CDM,879099,KIT IMPL KN LT/RT CUSTOM,80788.0,80788.0,8886.68,80788.0,57
CDM,879101,BURR FLUTED DRUM 35X5,3965.0,3965.0,277.55,3965.0,71
CDM,879123,PATCH FBRN SEALANT 2X4IN,13819.0,13819.0,967.33,13819.0,71
CDM,879146,HEAD BIP 43MM 22MM,12708.0,12708.0,1397.88,12708.0,57
CDM,879148,CEMENT BN CA PHOS 10ML,69289.0,69289.0,7621.79,69289.0,57
CDM,879160,NRSTM LAMITRODE 16 CHNL,5623.0,5623.0,393.61,5623.0,71
CDM,879161,PLT BN SM .5X.5MM,4690.0,4690.0,515.9,4690.0,57
CDM,879165,IMPLANT EYELID WT 1.2GM,9042.0,9042.0,994.62,9042.0,57
CDM,879166,GRAFT SYN 59X29X7X11MM,10296.0,10296.0,1132.56,10296.0,57
CDM,879168,LINER HIP 62MM 40MM,17157.0,17157.0,1887.27,17157.0,57
CDM,879178,PLATE BN MNDBL 12H 2.0MM,16946.0,16946.0,1864.06,16946.0,57
CDM,879193,SCREW BN 4MM 32MM,3652.0,3652.0,401.72,3652.0,57
CDM,879194,SCREW BN P-AX 5MM 30MM,815.0,815.0,89.65,815.0,57
CDM,879225,SCREW BN 4MM 50MM,864.0,864.0,95.04,864.0,57
CDM,879235,SCREW BN 3.5MM 50M,864.0,864.0,95.04,864.0,57
CDM,879236,SCREW BN 3.5MM 55MM,864.0,864.0,95.04,864.0,57
CDM,879237,SCREW BN 3.5MM 46MM,864.0,864.0,95.04,864.0,57
CDM,879246,SYSTEM GS IMPL ANRFLX,102767.0,102767.0,11304.37,102767.0,57
CDM,879248,CATHETER PRFSN 18FR 15IN,1217.0,1217.0,85.19,1217.0,71
CDM,879251,HEAD FEM 28MM HIP COCR+3,9030.0,9030.0,993.3,9030.0,57
CDM,879256,CATH SIL THORACIC 24FR,979.0,979.0,68.53,979.0,71
CDM,879257,CATH 28F ST THORIAC,1320.0,1320.0,92.4,1320.0,71
CDM,879259,PLATE 10MM .8MM RT MXL,8541.0,8541.0,939.51,8541.0,57
CDM,879268,DRESSING PETRO 3X36IN,43.0,43.0,3.01,43.0,71
CDM,879308,CONNECTOR NRV 2X15MM,43977.0,43977.0,4837.47,43977.0,57
CDM,879331,TOOL DSCT 7.5CM 3MM,3748.0,3748.0,262.36,3748.0,71
CDM,879332,TUBING IRR DISP,2212.0,2212.0,154.84,2212.0,71
CDM,879338,SCREW BN 6.5MM 25MM,5837.0,5837.0,642.07,5837.0,57
CDM,879343,SCREW BN 5MM 36MM,8244.0,8244.0,906.84,8244.0,57
CDM,879344,STAPLE BN 1.3MM 1.8MM,26374.0,26374.0,2901.14,26374.0,57
CDM,879361,PLATE BN RT 7H STD,9741.0,9741.0,1071.51,9741.0,57
CDM,879362,PEG BN THRD 2.3MM 10MM,1727.0,1727.0,189.97,1727.0,57
CDM,879363,PEG BN THRD 2.7MM 10MM,1562.0,1562.0,171.82,1562.0,57
CDM,879364,PEG BN THRD 2.7MM 12MM,1562.0,1562.0,171.82,1562.0,57
CDM,879365,PEG BN THRD 2.7MM 14MM,1562.0,1562.0,171.82,1562.0,57
CDM,879370,PLATE BN .8MM 1.5MM,11755.0,11755.0,1293.05,11755.0,57
CDM,879371,DRILL TWIST 1.2MM 81MM,4011.0,4011.0,280.77,4011.0,71
CDM,879377,PORT IMPL INFSN 8FR,5853.0,5853.0,643.83,5853.0,57
CDM,879387,GRAFT NRV 1-2MM 70MM,147767.0,147767.0,16254.37,147767.0,57
CDM,879388,CONNECTOR NRV 3X15MM,42542.0,42542.0,4679.62,42542.0,57
CDM,879390,CONNECTOR NRV 5X15MM,42703.0,42703.0,4697.33,42703.0,57
CDM,879428,COMP HIP BODY 24X95X95MM,60605.0,60605.0,6666.55,60605.0,57
CDM,879429,STEM FEM HIP 15MM 190MM,55728.0,55728.0,6130.08,55728.0,57
CDM,879434,SET INST 6MM 3.9MM,28169.0,28169.0,1971.83,28169.0,71
CDM,879442,CMPNT FEM KN RT SZ7,38944.0,38944.0,4283.84,38944.0,57
CDM,879443,CMPNT TIB KN 7 UNITY,25800.0,25800.0,2838.0,25800.0,57
CDM,879445,DOME PTLR KN SZ4 9MM,6450.0,6450.0,709.5,6450.0,57
CDM,879446,CMPNT FEM HIP RT SZ6,38700.0,38700.0,4257.0,38700.0,57
CDM,879447,CMPNT TIB KN SZ5,25800.0,25800.0,2838.0,25800.0,57
CDM,879449,CMPNT PATLA KN SZ2 8MM,6450.0,6450.0,709.5,6450.0,57
CDM,879453,COMP DOME PTLA KN3 8.5MM,7262.0,7262.0,798.82,7262.0,57
CDM,879456,CMPNT TIB KN 6 UNITY,25800.0,25800.0,2838.0,25800.0,57
CDM,879469,SCREW BN 1.5MM 4MM,1455.0,1455.0,160.05,1455.0,57
CDM,879498,STEM FEM 103MM CMNT,36120.0,36120.0,3973.2,36120.0,57
CDM,879502,PLATE BN PRBNT LT 1.6X2,6231.0,6231.0,685.41,6231.0,57
CDM,879512,PLATE MXLFCL DBL RW 6MM,6681.0,6681.0,734.91,6681.0,57
CDM,879526,INSERT KN SZ4-5 11MM,31743.0,31743.0,3491.73,31743.0,57
CDM,879528,EXPANDER BRST 750CC 50RH,41922.0,41922.0,4611.42,41922.0,57
CDM,879568,DEVICE INTRODUCER DST25,1599.0,1599.0,111.93,1599.0,71
CDM,879575,HEAD BIP 45MM 28MM,11610.0,11610.0,1277.1,11610.0,57
CDM,879576,CATH BLNDIL 5.5MM 12MM,2811.0,2811.0,196.77,2811.0,71
CDM,879587,SCREW BN 4.5MM 40MM 80MM,895.0,895.0,98.45,895.0,57
CDM,879608,KIT THRMB CATH 8FR 105CM,47225.0,47225.0,3305.75,47225.0,71
CDM,879629,HEAD FEM COCR +0MM 28MM,10893.0,10893.0,1198.23,10893.0,57
CDM,879633,CMPNT FEM 5 KN LT CMNT,41280.0,41280.0,4540.8,41280.0,57
CDM,879647,BURR ROUTER 2.3MM,4080.0,4080.0,285.6,4080.0,71
CDM,879648,SCREW BN 4MM 36MM,7874.0,7874.0,866.14,7874.0,57
CDM,879652,PENCIL CAUT BIPLR 18GA,71.0,71.0,4.97,71.0,71
CDM,879656,SCREW BN 4.5MM 75MM,864.0,864.0,95.04,864.0,57
CDM,879657,SCREW BN 4.5MM 50MM,864.0,864.0,95.04,864.0,57
CDM,879658,SCREW BN 4.5MM 70MM,864.0,864.0,95.04,864.0,57
CDM,879665,STEM FEM KN 13MM 150MM,86183.0,86183.0,9480.13,86183.0,57
CDM,879724,CATHETER GD 115CM 5FR,21661.0,21661.0,1516.27,21661.0,71
CDM,879729,NAIL BN RT 10MM 150MM,19281.0,19281.0,2120.91,19281.0,57
CDM,879749,MESH SURG 12MM 16MM,10409.0,10409.0,1144.99,10409.0,57
CDM,879751,COMP FEM 6 STD KN LT,38700.0,38700.0,4257.0,38700.0,57
CDM,879767,KNIFE ELCTRD 24-28FR,2364.0,2364.0,165.48,2364.0,71
CDM,879779,CMPNT TIB KN FX SZ8,25800.0,25800.0,2838.0,25800.0,57
CDM,879860,NAIL BN FEM 11MM 340MM,39333.0,39333.0,4326.63,39333.0,57
CDM,879887,BLADE WIDE FLARED W/THIC,1388.0,1388.0,97.16,1388.0,71
CDM,879971,PACK SURG 175MM 200MM,5623.0,5623.0,393.61,5623.0,71
CDM,879972,CATH BLN SINUS 6MM 16MM,33604.0,33604.0,2352.28,33604.0,71
CDM,879973,CATH BLN SINUS 5MM 16MM,33604.0,33604.0,2352.28,33604.0,71
CDM,879981,ELECTROD ESURG BLDE PNCL,1599.0,1599.0,111.93,1599.0,71
CDM,879984,IMPL EYLD WGHT SPHR1.2GM,6679.0,6679.0,734.69,6679.0,57
CDM,879989,CNTRSNK DRL 1.7MM 47MM,3561.0,3561.0,249.27,3561.0,71
CDM,879992,PLATE BN 5H 112MM,27764.0,27764.0,3054.04,27764.0,57
CDM,880003,IMPLANT ORBITAL 22MM,1439.0,1439.0,158.29,1439.0,52
CDM,880003,Ocular implant ,1439.0,1439.0,787.78,2127.81,42
CDM,880003,Ocular implant Other Outpatient,1439.0,1439.0,852.75,852.75,6
CDM,880004,TAP 4MM SRG MNTNR,3080.0,3080.0,215.6,3080.0,71
CDM,880005,BLADE SAW DUAL,1388.0,1388.0,97.16,1388.0,71
CDM,880014,SYS CRD MNTR IMPL,111112.0,111112.0,12222.32,111112.0,57
CDM,880018,STEM FEM HIP 125MM 11MM,65481.0,65481.0,7202.91,65481.0,57
CDM,880048,SCREW BN 2.5MM 12MM,1871.0,1871.0,205.81,1871.0,57
CDM,880052,DRILL TWIST 2MM 91MM,4011.0,4011.0,280.77,4011.0,71
CDM,880065,KIT ASMBL PROS PENL TTN,11433.0,11433.0,800.31,11433.0,71
CDM,880069,FORCEPS OPTH GRSHBR 25GA,4273.0,4273.0,299.11,4273.0,71
CDM,880072,HEAD GLND 39MM +2.5MM,61650.0,61650.0,6781.5,61650.0,57
CDM,880113,NAIL 10MM 42CM RT INTRTN,39785.0,39785.0,4376.35,39785.0,57
CDM,880128,SUTURE CTB-1 2-0 1X27IN,108.0,108.0,7.56,108.0,71
CDM,880131,CATH ART LN 5FR 100CM,4123.0,4123.0,288.61,4123.0,71
CDM,880148,SHELL ACTB HIP SZF 56MM,64501.0,64501.0,7095.11,64501.0,57
CDM,880172,IMPLANT BREAST 365CC,19420.0,19420.0,2136.2,19420.0,57
CDM,880175,PLATE BN PRBNT LT 1.6X6,6231.0,6231.0,685.41,6231.0,57
CDM,880195,SCREW BN 3.5X48MM,864.0,864.0,95.04,864.0,57
CDM,880225,TUBING ROT M LL F 20IN,275.0,275.0,19.25,275.0,71
CDM,880227,SHELL HIP ACTB 52MM,64501.0,64501.0,7095.11,64501.0,57
CDM,880240,SCREW BN CORT L40 OD4,1768.0,1768.0,194.48,1768.0,57
CDM,880258,NAIL BN FEM 12MM 420MM,39333.0,39333.0,4326.63,39333.0,57
CDM,880267,BLNDIL ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,880268,BLNDIL ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,880269,BLNDIL ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,880270,BLNDIL ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,880271,BLNDIL ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,880272,DILATOR ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,71
CDM,880273,BLNDIL ENDO 7.5FR 240CM,5623.0,5623.0,393.61,5623.0,71
CDM,880274,BLNDIL ENDO 7.5FR 240CM,5623.0,5623.0,393.61,5623.0,71
CDM,880275,BLNDIL ENDO 7.5FR 240CM,5623.0,5623.0,393.61,5623.0,71
CDM,880276,BLNDIL ENDO 7.5FR 240CM,5623.0,5623.0,393.61,5623.0,71
CDM,880277,BLNDIL ENDO 7.5FR 240CM,5623.0,5623.0,393.61,5623.0,71
CDM,880279,PLATE BN 8HL 202MM,48360.0,48360.0,5319.6,48360.0,57
CDM,880280,SCREW BN 4.5MM 55MM,939.0,939.0,103.29,939.0,57
CDM,880282,INTRODUCER SHTH 16F 45CM,3692.0,3692.0,258.44,3692.0,71
CDM,880290,CMPNT FEM KN LT SZ5,105929.0,105929.0,11652.19,105929.0,57
CDM,880321,BLNDIL ENDO 7.5FR 240CM,5623.0,5623.0,393.61,5623.0,71
CDM,880344,NEEDLE ENDO 25GA 1.52MM,5623.0,5623.0,393.61,5623.0,71
CDM,880370,CATH TRNPK LP 150CM MLTS,6311.0,6311.0,441.77,6311.0,71
CDM,880371,KIT HEMDIAL 15.5F 24CM,7561.0,7561.0,529.27,7561.0,71
CDM,880372,KIT HEMDIAL 15.5F 28CM,7561.0,7561.0,529.27,7561.0,71
CDM,880373,KIT HEMDIAL 15.5F 32CM,7561.0,7561.0,529.27,7561.0,71
CDM,880374,KIT HEMDIAL 15.5F 48CM,7561.0,7561.0,529.27,7561.0,71
CDM,880393,CMPNT TIB KN SZ4 FXD,25800.0,25800.0,2838.0,25800.0,57
CDM,880395,STEM FEM 106-126MM TRI,49020.0,49020.0,5392.2,49020.0,57
CDM,880398,PROBE RF ABLAT 17GA 10MM,64710.0,64710.0,4529.7,64710.0,71
CDM,880399,KIT SURG BN ACCESS 10GA,8642.0,8642.0,604.94,8642.0,71
CDM,880404,MESH DYNMC CRNM .6MM,42666.0,42666.0,4693.26,42666.0,57
CDM,880405,PLATE BN 4HL 0.6MM 20MM,1784.0,1784.0,196.24,1784.0,57
CDM,880406,PLATE REG 4HL 1.5MM,1784.0,1784.0,196.24,1784.0,57
CDM,880424,SCREW BN 120MM 6.5MM,3833.0,3833.0,421.63,3833.0,57
CDM,880430,TUBE TEAR DCT 22MM JNS,4065.0,4065.0,447.15,4065.0,57
CDM,880432,IMPLANT BREAST 275CC,20550.0,20550.0,2260.5,20550.0,57
CDM,880440,GRASPER LAPSCP 5MM,2169.0,2169.0,151.83,2169.0,71
CDM,880475,MODEL ANTM MNDB,51866.0,51866.0,3630.62,51866.0,71
CDM,880516,GRAFT BN FIB 100X12-13MM,10106.0,10106.0,1111.66,10106.0,57
CDM,880519,KWIRE FX 100MM .8MM,1599.0,1599.0,111.93,1599.0,71
CDM,880528,SCREW BN T10 3.5/L16MM,864.0,864.0,95.04,864.0,57
CDM,880529,SCREW BN T10 3.5X18MM,1483.0,1483.0,163.13,1483.0,57
CDM,880530,SCREW BN T10 3.5X20MM,1483.0,1483.0,163.13,1483.0,57
CDM,880531,SCREW BN LCK THRD 3.5X12,2774.0,2774.0,305.14,2774.0,57
CDM,880532,SCREW BN 3.5MM 16MM,2774.0,2774.0,305.14,2774.0,57
CDM,880533,SCREW BN 3.5X18MM,2774.0,2774.0,305.14,2774.0,57
CDM,880539,CATH MLCT 12FR SIL,1599.0,1599.0,111.93,1599.0,71
CDM,880545,NDL ENDO 8CM 19GA 1.83MM,5623.0,5623.0,393.61,5623.0,71
CDM,880552,MCTH INFS 2.4FR 130CM,11430.0,11430.0,800.1,11430.0,71
CDM,880570,NDL ASP 8CM 19GA 1.83MM,5623.0,5623.0,393.61,5623.0,71
CDM,880571,NEEDLE ASP 25GA 1.52MM,5623.0,5623.0,393.61,5623.0,71
CDM,880578,SCREW BN 2.3MM 8MM,1465.0,1465.0,161.15,1465.0,57
CDM,880579,OBTURATOR BLDLSS 8MM,1599.0,1599.0,111.93,1599.0,71
CDM,880583,CMPNT FEM KN LT SZ5,38700.0,38700.0,4257.0,38700.0,57
CDM,880596,SCREW BN 4.5MM 30MM,2055.0,2055.0,226.05,2055.0,57
CDM,880611,DEVICE WNDCLS SZ3 23CM,1639.0,1639.0,114.73,1639.0,71
CDM,880613,CMPNT FEM KN CR #5 RT,38700.0,38700.0,4257.0,38700.0,57
CDM,880615,INTRO SHTH 7FR 13CM,1768.0,1768.0,123.76,1768.0,71
CDM,880632,OVERTUBE ENDO50CM 19.5MM,5623.0,5623.0,393.61,5623.0,71
CDM,880641,KIT ANCHOR SPN 4CM,6946.0,6946.0,764.06,6946.0,57
CDM,880655,SCREW BN 2.7MM 12MM,1451.0,1451.0,159.61,1451.0,57
CDM,880656,SCREW BN 2.7X20MM,2971.0,2971.0,326.81,2971.0,57
CDM,880657,SCREW BN 2.7MM 12MM,2569.0,2569.0,282.59,2569.0,57
CDM,880658,SCREW BN THRD 2.7 14MM,2590.0,2590.0,284.9,2590.0,57
CDM,880659,SCREW BN 2.7X18MM,2590.0,2590.0,284.9,2590.0,57
CDM,880660,SCREW BN FULL 2.7X16MM,6572.0,6572.0,722.92,6572.0,57
CDM,880671,SCREW BN THRD T10 3.5X26,1803.0,1803.0,198.33,1803.0,57
CDM,880673,SCREW BN LCK 3.5X46MM,3246.0,3246.0,357.06,3246.0,57
CDM,880674,SCREW BN 3.5MM 28MM,2889.0,2889.0,317.79,2889.0,57
CDM,880684,COIL EMBL 30CM .02IN 6MM,25688.0,25688.0,2825.68,25688.0,57
CDM,880687,COIL EMBL 25CM .02IN 7MM,25042.0,25042.0,2754.62,25042.0,57
CDM,880695,PLATE MED STR MNDB 4 HL,4863.0,4863.0,534.93,4863.0,57
CDM,880699,GENERATOR NRSTM 5 IPG,215724.0,215724.0,23729.64,215724.0,57
CDM,880700,RELOAD STPLR 30MM,5623.0,5623.0,618.53,5623.0,57
CDM,880702,SCREW BN 3.5X28MM,1803.0,1803.0,198.33,1803.0,57
CDM,880703,SCREW BN 3.5MM 30MM,1839.0,1839.0,202.29,1839.0,57
CDM,880705,SCREW BN T10 3.5X20MM,2774.0,2774.0,305.14,2774.0,57
CDM,880706,SCREW BN FL THRD 3.5X26,2889.0,2889.0,317.79,2889.0,57
CDM,880707,SCREW BN 2.7MM 14MM,1510.0,1510.0,166.1,1510.0,57
CDM,880708,SCREW BN NLCKG 2.7X18MM,1451.0,1451.0,159.61,1451.0,57
CDM,880712,CATH HMDIAL 12FR 16CM,2624.0,2624.0,183.68,2624.0,71
CDM,880716,PROBE RF ABL 17GA 20MM,64710.0,64710.0,4529.7,64710.0,71
CDM,880719,GUIDE PIN ORTH,6450.0,6450.0,451.5,6450.0,71
CDM,880732,CATH BLNDIL 14MM 120CM,5990.0,5990.0,419.3,5990.0,71
CDM,880733,CATH BLNDIL 7F 14X120X2,5990.0,5990.0,419.3,5990.0,71
CDM,880734,PIN FX .125IN PRLD,3144.0,3144.0,220.08,3144.0,71
CDM,880741,DRILL SURG CANN 7MM,7430.0,7430.0,520.1,7430.0,71
CDM,880755,CATH BLNDIL 10X150CM 7MM,5623.0,5623.0,393.61,5623.0,71
CDM,880762,KIT LENS SPRVW BIOM PK,1870.0,1870.0,130.9,1870.0,71
CDM,880765,GUIDE PIN 3.2X330MM,4198.0,4198.0,293.86,4198.0,71
CDM,880774,STENT VASC 6X40MM 125CM,30973.0,30973.0,3407.03,30973.0,57
CDM,880775,STENT VASC 6X60MM 125CM,39409.0,39409.0,4334.99,39409.0,57
CDM,880776,STENT VASC 6X80MM 125CM,39544.0,39544.0,4349.84,39544.0,57
CDM,880820,PROGRAMMER NRSTM PATIENT,11430.0,11430.0,800.1,11430.0,71
CDM,880824,RELOAD STPLR 30 4.3MM,3688.0,3688.0,405.68,3688.0,57
CDM,880830,PIN SET UNIVERS II ECLIP,10493.0,10493.0,734.51,10493.0,71
CDM,880837,AUG ACTB PNCL 20X54/56MM,33815.0,33815.0,3719.65,33815.0,57
CDM,880842,GWIRE VASC 200CM .014IN,11433.0,11433.0,800.31,11433.0,71
CDM,880845,CATH EP Q C5-5-5X120 4FR,5435.0,5435.0,380.45,5435.0,71
CDM,880865,DRL SURG 280MM 4MM CLBRT,5973.0,5973.0,418.11,5973.0,71
CDM,880867,MODEL ANTM MNDB FULL,41130.0,41130.0,2879.1,41130.0,71
CDM,880868,SCREW BN 2MM 4MM,1332.0,1332.0,146.52,1332.0,57
CDM,880870,STEM FEM KN 14X160MM,22501.0,22501.0,2475.11,22501.0,57
CDM,880872,TAP SLFDRL DISP 6MM,6599.0,6599.0,461.93,6599.0,71
CDM,880877,PATCH DURA BVN 3X3IN,8103.0,8103.0,891.33,8103.0,57
CDM,880878,SCREW 1.6X6MM AUTODRIVE,1063.0,1063.0,116.93,1063.0,57
CDM,880881,CATH SHUNT VNTRC 23CM,2729.0,2729.0,300.19,2729.0,57
CDM,880887,PROBE ESURG 1.5MM 150CM,5793.0,5793.0,405.51,5793.0,71
CDM,880893,STENT PANC 24MM 146MM,89064.0,89064.0,9797.04,89064.0,57
CDM,880896,NAIL BN FEM RT 9MM 17CM,23579.0,23579.0,2593.69,23579.0,57
CDM,880899,COMP PTLA KN 29MM 8MM,6450.0,6450.0,709.5,6450.0,57
CDM,880900,BASEPLATE TIB KN SZ4,25800.0,25800.0,2838.0,25800.0,57
CDM,880901,CMPNT FEM KN SZ4,41280.0,41280.0,4540.8,41280.0,57
CDM,880914,SCREW BN 3.5MM 60MM,1483.0,1483.0,163.13,1483.0,57
CDM,880915,SCREW BN 3.5MM 55MM,1839.0,1839.0,202.29,1839.0,57
CDM,880943,BURR SURG 8MM 16 FLUT RN,1599.0,1599.0,111.93,1599.0,71
CDM,880944,VALVE AOR 150X25MM CNDT,108266.0,108266.0,11909.26,108266.0,57
CDM,880960,COIL EMBL 30CM 10MM,10275.0,10275.0,1130.25,10275.0,57
CDM,880961,COIL EMBL 9MM 30CM,10275.0,10275.0,1130.25,10275.0,57
CDM,880962,CATH MIC 2.4-2.9F .022IN,8459.0,8459.0,592.13,8459.0,71
CDM,880964,KIT INTRO 5FR 21GA 10CM,2062.0,2062.0,144.34,2062.0,71
CDM,880984,HEAD HUM SHLDR 18MM 48MM,28380.0,28380.0,3121.8,28380.0,57
CDM,880987,INSERT TIB KN SZ5 5MM,19350.0,19350.0,2128.5,19350.0,57
CDM,880995,CATH PH MNTR 1CM,3936.0,3936.0,275.52,3936.0,71
CDM,880997,SCREW BN 4X4MM/L20MM,2569.0,2569.0,282.59,2569.0,57
CDM,880998,SCREW BN 3.5X60MM,790.0,790.0,86.9,790.0,57
CDM,881021,SCREW BN LCK 3.5MM 14MM,1483.0,1483.0,163.13,1483.0,57
CDM,881022,SCREW BN 3.5MM 14MM,2774.0,2774.0,305.14,2774.0,57
CDM,881026,STEM FEM TAPRD LAT SZ10,51600.0,51600.0,5676.0,51600.0,57
CDM,881045,SUTURE VIO MONO 1 27IN,128.0,128.0,8.96,128.0,71
CDM,881046,SUTURE UND BRD 2-0 27IN,80.0,80.0,5.6,80.0,71
CDM,881076,SCREW BN 6.5MM 160MM,3959.0,3959.0,435.49,3959.0,57
CDM,881102,CMPNT FEM KN SZ6,41280.0,41280.0,4540.8,41280.0,57
CDM,881114,SCREW BN 2.5X9MM,1295.0,1295.0,142.45,1295.0,57
CDM,881119,GRAFT BVN PERICRDM 6X8CM,18516.0,18516.0,2036.76,18516.0,57
CDM,881129,BITDRL 2.5MM APO LAB SUT,11433.0,11433.0,800.31,11433.0,71
CDM,881156,BIT DRILL BIT 4.0MM CALI,3186.0,3186.0,223.02,3186.0,71
CDM,881157,CATH ABL 4CM 8CM,45253.0,45253.0,3167.71,45253.0,71
CDM,881160,SCREW SPN 5.5MM,1266.0,1266.0,139.26,1266.0,57
CDM,881164,PLATE BN 2.7X40MM,15447.0,15447.0,1699.17,15447.0,57
CDM,881171,WEDGE FEM KN SZ5 5MM,19026.0,19026.0,2092.86,19026.0,57
CDM,881177,PLATE MXL 1.8MM,17700.0,17700.0,1947.0,17700.0,57
CDM,881179,SCR BN 45MM EXFX,5623.0,5623.0,393.61,5623.0,71
CDM,881185,LINER ACTB HIP SZG 46MM,32224.0,32224.0,3544.64,32224.0,57
CDM,881188,TOOL IMPL SUC CUP,5248.0,5248.0,367.36,5248.0,71
CDM,881193,SHELL ACTB 58MM HIP MLH,64501.0,64501.0,7095.11,64501.0,57
CDM,881212,LINER ACTB HIP 64X36MM,14190.0,14190.0,1560.9,14190.0,57
CDM,881220,COMP FEM KN LT SZ7,41280.0,41280.0,4540.8,41280.0,57
CDM,881221,INSERT TIB KN 7 10MM,14190.0,14190.0,1560.9,14190.0,57
CDM,881236,SCREW BN LCK 2.7X12MM,3246.0,3246.0,357.06,3246.0,57
CDM,881238,TRACKER PT NINVS DISP,5623.0,5623.0,393.61,5623.0,71
CDM,881243,INSERT TIB KN MED 18MM,67655.0,67655.0,7442.05,67655.0,57
CDM,881246,BURR SURG RND CRS,4666.0,4666.0,326.62,4666.0,71
CDM,881247,CMPNT CMNT FEM #4 RT,38944.0,38944.0,4283.84,38944.0,57
CDM,881269,ELECTRODE ESURG 105CM 3F,3421.0,3421.0,239.47,3421.0,71
CDM,881271,ELCTRD LNG 3FR 105CM,2618.0,2618.0,183.26,2618.0,71
CDM,881298,SYSTEM RETR 17CM,19470.0,19470.0,1362.9,19470.0,71
CDM,881299,SYSTEM RETR 6500ML,13671.0,13671.0,956.97,13671.0,71
CDM,881324,SCREW BN 2.7 X 14MM,1959.0,1959.0,215.49,1959.0,57
CDM,881326,SCREW BN LCK 3.5MN 12MM,1483.0,1483.0,163.13,1483.0,57
CDM,881337,DEVICE CLS WND +3-0 23CM,1380.0,1380.0,96.6,1380.0,71
CDM,881352,PIN HALF EXFX 5X180X50MM,7032.0,7032.0,492.24,7032.0,71
CDM,881353,CLAMP EX FIX ROD 5MM,8001.0,8001.0,560.07,8001.0,71
CDM,881354,ROD EX FIX 9.5MM 200MM,5623.0,5623.0,393.61,5623.0,71
CDM,881356,CLAMP ROD TO ROD 9.5MM,8001.0,8001.0,560.07,8001.0,71
CDM,881359,CMPNT FEM KN SZ7,32250.0,32250.0,3547.5,32250.0,57
CDM,881362,ANCHOR SUT 4.75MM,9394.0,9394.0,1033.34,9394.0,57
CDM,881385,OBTURATOR BLDLSS 8MM,1599.0,1599.0,111.93,1599.0,71
CDM,881390,SHELL ACTB HIP 50MM,64501.0,64501.0,7095.11,64501.0,57
CDM,881391,CATH ABL 8FR 115CM,28169.0,28169.0,1971.83,28169.0,71
CDM,881408,STEM FEM HIP 13X190MM,45467.0,45467.0,5001.37,45467.0,57
CDM,881409,INTRO SHTH 6FR 13CM,1599.0,1599.0,111.93,1599.0,71
CDM,881418,PLATE BN TIB 2HL 95MM,40548.0,40548.0,4460.28,40548.0,57
CDM,881423,SCREW BN 3.5X65MM,864.0,864.0,95.04,864.0,57
CDM,881499,SCREW BN 6MM 50MM,12655.0,12655.0,1392.05,12655.0,57
CDM,881524,NAIL BN 10MM 235MM,22092.0,22092.0,2430.12,22092.0,57
CDM,881534,PLATE BN 5H 2.7MM 121MM,20059.0,20059.0,2206.49,20059.0,57
CDM,881536,CMPNT FEM KN SZ7,38700.0,38700.0,4257.0,38700.0,57
CDM,881541,SYSTEM DTCH STRL DISP,5693.0,5693.0,398.51,5693.0,71
CDM,881544,PLATE BN PRBNT LT 1.6X12,6231.0,6231.0,685.41,6231.0,57
CDM,881549,PROBE LASER 23GA,4252.0,4252.0,297.64,4252.0,71
CDM,881593,CATH ANGIO 5FR 65CM,739.0,739.0,51.73,739.0,71
CDM,881604,SCREW BN 3.5MM 48MM,1839.0,1839.0,202.29,1839.0,57
CDM,881605,SCREW BN NLCKG 3.5X46MM,2039.0,2039.0,224.29,2039.0,57
CDM,881606,SCREW BN CNDRL 5X22MM,3102.0,3102.0,341.22,3102.0,57
CDM,881609,ANCHOR SUT 4.75MM,9394.0,9394.0,1033.34,9394.0,57
CDM,881610,SCREW BN LCK 3.5X10MM,2889.0,2889.0,317.79,2889.0,57
CDM,881615,SCREW BN 4MM 48MM,873.0,873.0,96.03,873.0,57
CDM,881621,SCREW BN THRD T10 3.5X24,864.0,864.0,95.04,864.0,57
CDM,881622,SCREW BN 3.5MM 10MM,1803.0,1803.0,198.33,1803.0,57
CDM,881623,SUTURE WHT NABS SINGLE,2208.0,2208.0,154.56,2208.0,71
CDM,881646,STEM FEM HIP 125MM 16MM,65481.0,65481.0,7202.91,65481.0,57
CDM,881647,PLATE BN 10HL 2MM 63MM,13519.0,13519.0,1487.09,13519.0,57
CDM,881652,KIT BN SURG 13GA,8642.0,8642.0,604.94,8642.0,71
CDM,881655,SYST BN ACCESS 28G 180MM,9722.0,9722.0,680.54,9722.0,71
CDM,881656,PROBE RF ABLAT 17GA 7MM,64710.0,64710.0,4529.7,64710.0,71
CDM,881657,PROBE ABL 17GA 10MM,50618.0,50618.0,3543.26,50618.0,71
CDM,881658,KIT PROBE ABL 17G 7MM,50618.0,50618.0,3543.26,50618.0,71
CDM,881702,PLATE BN 4HL 1.5MM,22318.0,22318.0,2454.98,22318.0,57
CDM,881718,SCREW BN 2X8MM,2542.0,2542.0,279.62,2542.0,57
CDM,881719,SCREW BN SLFTP 2MM 8MM,1660.0,1660.0,182.6,1660.0,57
CDM,881721,SCREW BN 2MM 10MM,1660.0,1660.0,182.6,1660.0,57
CDM,881723,SCRW BN 2MM 12MM ICN ANG,2900.0,2900.0,319.0,2900.0,57
CDM,881724,SCRW BN 2MM 10MM ICN ANG,2900.0,2900.0,319.0,2900.0,57
CDM,881743,RING SPT KN FEM/TIB 18MM,16125.0,16125.0,1773.75,16125.0,57
CDM,881758,SCREW BN 3.5MM 50MM,1572.0,1572.0,172.92,1572.0,57
CDM,881811,INSERT TIB KN 5-6 13MM,19350.0,19350.0,2128.5,19350.0,57
CDM,881815,PLATE BN 12H 1.0M,5323.0,5323.0,585.53,5323.0,57
CDM,881850,PLATE BN 10HL 3.5X232MM,29857.0,29857.0,3284.27,29857.0,57
CDM,881874,SCREW BN 2.4X18MM,2590.0,2590.0,284.9,2590.0,57
CDM,881875,SCREW BN T8 2.7/L16MM,1451.0,1451.0,159.61,1451.0,57
CDM,881882,CMPNT FEM KN LRG,3870.0,3870.0,425.7,3870.0,57
CDM,881885,SCREW BN 2.4MM 16MM,2590.0,2590.0,284.9,2590.0,57
CDM,881886,SCREW BN 2.4MM 18MM,1903.0,1903.0,209.33,1903.0,57
CDM,881890,CMPNT STEM HIP 28MM 50MM,95670.0,95670.0,10523.7,95670.0,57
CDM,881946,BLADE SHVR RND 110X4MM,5623.0,5623.0,393.61,5623.0,71
CDM,881947,PLATE BN T 6X4HL 33MM,4460.0,4460.0,490.6,4460.0,57
CDM,881950,STEM SHLDR SZ12 108MM,116016.0,116016.0,12761.76,116016.0,57
CDM,881951,STEM FEM HIP 12MM 150MM,45467.0,45467.0,5001.37,45467.0,57
CDM,881960,STEM FEM HIP STD SZ8,49020.0,49020.0,5392.2,49020.0,57
CDM,881963,STEM STD SZ7 TRI-FT TS,49020.0,49020.0,5392.2,49020.0,57
CDM,881964,HEAD HIP HIP +1X36MM,16770.0,16770.0,1844.7,16770.0,57
CDM,881965,CATH ANGIO PGTL 5FR 65CM,3089.0,3089.0,216.23,3089.0,71
CDM,881986,STEM FEM HIP 12MM 125MM,65481.0,65481.0,7202.91,65481.0,57
CDM,882010,SCREW BN 4MM 34MM,864.0,864.0,95.04,864.0,57
CDM,882328,SUTURE FIBERWIRE 38IN,892.0,892.0,98.12,892.0,57
CDM,882349,GWIRE URO .018IN 150CM,1668.0,1668.0,116.76,1668.0,71
CDM,882378,RETRACTOR HOOK 12MM,927.0,927.0,64.89,927.0,71
CDM,882425,PLATE BN 2X5MM,6417.0,6417.0,705.87,6417.0,57
CDM,882426,PLATE BN LT 3MM,5076.0,5076.0,558.36,5076.0,57
CDM,882432,SCRW BN 7X5X1.5MM HX ZUR,4143.0,4143.0,455.73,4143.0,57
CDM,882433,SCRW BN 9X7X1.5MM HX ZUR,4143.0,4143.0,455.73,4143.0,57
CDM,882468,IMPLANT BREAST 440CC,21208.0,21208.0,2332.88,21208.0,57
CDM,882469,IMPLANT BREAST 495CC,32367.0,32367.0,3560.37,32367.0,57
CDM,882476,FORCEPT ESURG ENT DISP,5623.0,5623.0,393.61,5623.0,71
CDM,882499,ELECTRODE ESURG CUT,8304.0,8304.0,581.28,8304.0,71
CDM,900005,WOMEN'S SERV. PRV,6647.47,6647.47,,,0
CDM,900007,WOMEN'S SERV. PRV,3120.72,3120.72,,,0
CDM,900031,WOMEN'S SERV. SUITE,3829.3,3829.3,,,0
CDM,900037,LEVEL I NEWBORN,3383.9,3383.9,,,0
CDM,900039,LEVEL II NEWBORN,13692.8,13692.8,,,0
CDM,900040,LEVEL III NEWBORN,20373.34,20373.34,,,0
CDM,900042,LEVEL IV NEWBORN,20373.34,20373.34,,,0
CDM,900044,LEVEL II NEWBORN,13692.8,13692.8,,,0
CDM,900061,MEDICAL PRIVATE,6647.47,6647.47,,,0
CDM,900083,SURG-BARIATRIC PRIVATE,6647.47,6647.47,,,0
CDM,900093,ORTHO PRIVATE,6647.47,6647.47,,,0
CDM,900156,ONC PRIVATE,6647.47,6647.47,,,0
CDM,900206,OH/TP ICU PRIVATE W/TELE,19312.96,19312.96,,,0
CDM,900222,PEDI PRIVATE,6390.9,6390.9,,,0
CDM,900238,PEDI ICU PRIVATE W/TELE,19312.96,19312.96,,,0
CDM,900253,ICU/CCU PRIVATE W/TELE,19312.96,19312.96,,,0
CDM,900264,SURG ICU PRIVATE W/TELE,19312.96,19312.96,,,0
CDM,900321,REHAB PRIVATE,6647.47,6647.47,,,0
CDM,900327,WOMENS SERV PRV NON-MONR,6647.47,6647.47,,,0
CDM,900330,OBS PER HOUR,278.06,278.06,30.59,278.06,42
CDM,900335,PEDI PRIVATE,6390.9,6390.9,,,0
CDM,990308,GWIRE ORTH SURG 1.35MM,1375.0,1375.0,96.25,1375.0,71
CPT,0001U,"Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported ",,,432.0,3878.85,120
CPT,0001U,"Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported Other Outpatient",,,756.0,756.0,6
CPT,0002M,"Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo",,,302.04,2712.47,95
CPT,0002U,"Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LCMS/MS) using multiple r",,,15.0,135.06,124
CPT,0003M,"Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo",,,302.04,2712.47,95
CPT,0003U,"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing serum, algorithm reported as a ",,,570.0,5116.44,124
CPT,0004M,"Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score ",,,47.4,425.31,89
CPT,0004M,"Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score Other Outpatient",,,82.95,82.95,6
CPT,0005U,"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score ",,,456.0,4094.25,122
CPT,0005U,"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score Other Outpatient",,,798.0,798.0,6
CPT,0006M,"Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk classifier ",,,90.0,808.6,89
CPT,0006M,"Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk classifier Other Outpatient",,,157.5,157.5,6
CPT,0007M,"Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole peripheral blood, algorithm reported as a nomogram of tumor disease index ",,,225.0,2020.62,89
CPT,0007M,"Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole peripheral blood, algorithm reported as a nomogram of tumor disease index Other Outpat",,,393.75,393.75,6
CPT,0007U,"Drug test(s), presumptive, with definitive confirmation of positive results, any number of drug classes, urine, includes specimen verification including DNA authentication in comparison to buccal DNA,",,,68.66,616.95,128
CPT,0008U,"Helicobacter pylori detection and antibiotic resistance, DNA, 16S and 23S rRNA, gyrA, pbp1, rdxA and rpoB, next generation sequencing, formalin-fixed paraffin embedded or fresh tissue, predictive, rep",,,358.75,3219.88,128
CPT,0009U,"Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting, reported as ERBB2 gene ",,,64.2,576.81,128
CPT,0010U,"Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate ",,,256.36,2301.74,122
CPT,0010U,"Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate Other Outpatient",,,448.62,448.62,6
CPT,0011M,"Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and urine, algorithms to predict high-grade prostate cancer risk ",,,456.0,4094.25,118
CPT,0011M,"Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and urine, algorithms to predict high-grade prostate cancer risk Other ",,,798.0,798.0,6
CPT,0011U,"Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds a",,,68.66,616.95,130
CPT,0012M,"Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo",,,456.0,4094.25,124
CPT,0013M,"Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo",,,456.0,4094.25,124
CPT,0014M,"LIVER DISEASE, ANALYSIS OF 3 BIOMARKERS (HYALURONIC ACID ºHA», PROCOLLAGEN III AMINO TERMINAL PEPTIDE ºPIIINP», TISSUE INHIBITOR OF METALLOPROTEINASE 1 ºTIMP-1»), USING IMMUNOASSAYS, UTILIZING SERUM, ",,,671.44,949.16,6
CPT,0015M,"Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical ster",,,783.22,7031.2,124
CPT,0016M,"Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, b",,,1330.0,18797.3,124
CPT,0016U,"Oncology (hematolymphoid neoplasia), RNA, BCR/ABL1 major and minor breakpoint fusion transcripts, quantitative PCR amplification, blood or bone marrow, report of fusion not detected or detected with q",,,98.38,883.44,128
CPT,0017M,"Oncology (diffuse large B-cell lymphoma ºDLBCL»), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin-embedded tissue, algorithm reported as cell of",,,1506.13,13522.1,126
CPT,0017U,"Oncology (hematolymphoid neoplasia), JAK2 mutation, DNA, PCR amplification of exons 12-14 and sequence analysis, blood or bone marrow, report of JAK2 mutation not detected or detected ",,,55.0,492.84,122
CPT,0017U,"Oncology (hematolymphoid neoplasia), JAK2 mutation, DNA, PCR amplification of exons 12-14 and sequence analysis, blood or bone marrow, report of JAK2 mutation not detected or detected Other Outpatient",,,96.24,96.24,6
CPT,0018M,"Transplantation medicine (allograft rejection, renal), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection ",,,384.44,7128.0,124
CPT,0018U,"Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy ",,,1801.25,16170.61,118
CPT,0018U,"Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy Othe",,,3152.19,3152.19,6
CPT,0019M,"Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populations ",,,44.89,1866.49,110
CPT,0019M,"Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populations Other Outpatient",,,748.02,748.02,6
CPT,0019T,EXTRACORP SHOCK WV TX MS NOS ,,,2636.0,6054.0,42
CPT,0019U,"Oncology, RNA, gene expression by whole transcriptome sequencing, formalin-fixed paraffin embedded tissue or fresh frozen tissue, predictive algorithm reported as potential targets for therapeutic age",,,2205.0,19795.73,124
CPT,0020M,"Oncology (central nervous system), analysis of 30,000 DNA methylation loci by methylation array, utilizing DNA extracted from tumor tissue, diagnostic algorithm reported as probability of matching a r",,,262.5,6550.0,116
CPT,0021U,"Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm ",,,456.0,4094.25,124
CPT,0022U,"Targeted genomic sequence analysis panel, cholangiocarcinoma and non-small cell lung neoplasia, DNA and RNA analysis, 1-23 genes, interrogation for sequence variants and rearrangements, reported as pr",,,153.78,5109.0,126
CPT,0023U,"Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or nondetection of FLT3 mutation and indication fo",,,149.11,1337.95,126
CPT,0024U,"Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative ",,,20.51,184.33,122
CPT,0024U,"Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative Other Outpatient",,,35.9,35.9,6
CPT,0025U,"Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative ",,,51.46,461.82,122
CPT,0025U,"Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative Other Outpatient",,,120.15,120.15,6
CPT,0026U,"Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result (""Positive, high probability of",,,2160.0,19390.55,128
CPT,0027U,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 ",,,73.15,657.1,122
CPT,0027U,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 Other Outpatient",,,128.01,128.01,6
CPT,0029U,"Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823) ",,,445.36,3997.46,52
CPT,0030U,"Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823) ",,,80.48,722.81,122
CPT,0030U,"Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823) Other Outpatient",,,140.84,140.84,6
CPT,0031U,"CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F, *1K, *6, *7) ",,,104.89,941.9,52
CPT,0032U,"COMT (catechol-O-methyltransferase) (eg, drug metabolism) gene analysis, c.472G>A (rs4680) variant ",,,104.89,941.9,122
CPT,0032U,"COMT (catechol-O-methyltransferase) (eg, drug metabolism) gene analysis, c.472G>A (rs4680) variant Other Outpatient",,,183.55,183.55,6
CPT,0033U,"HTR2A (5-hydroxytryptamine receptor 2A), HTR2C (5-hydroxytryptamine receptor 2C) (eg, citalopram metabolism) gene analysis, common variants (ie, HTR2A rs7997012 [c.614-2211T>C], HTR2C rs3813929 [c.-75",,,209.77,1883.74,8
CPT,0034U,"TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5) ",,,279.7,2511.64,122
CPT,0034U,"TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5) Ot",,,489.48,489.48,6
CPT,0035U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative ",2164.0,2164.0,324.59,2913.25,122
CPT,0035U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative Other Outpatient",2164.0,2164.0,568.04,568.04,6
CPT,0035U,PRION PROTEIN RT-QULC QL,2164.0,2164.0,151.48,2164.0,48
CPT,0036U,"Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses ",,,2868.0,25748.15,122
CPT,0036U,"Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses Other Outpatient",,,5019.0,5019.0,6
CPT,0037U,"Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instabiit",,,2100.0,18852.07,130
CPT,0038U,"Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative ",,,17.76,158.82,124
CPT,0038U,"Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative Other Outpatient",,,31.08,31.08,6
CPT,0039U,"Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity ",,,8.24,74.84,122
CPT,0039U,"Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity Other Outpatient",,,14.43,14.43,6
CPT,0040U,"BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative ",,,245.94,2208.64,124
CPT,0040U,"BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative Other Outpatient",,,430.39,430.39,6
CPT,0041U,"Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM ",,,10.33,93.1,122
CPT,0041U,"Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM Other Outpatient",,,18.07,18.07,6
CPT,0042T,CT CEREBRAL PERF ANAL,6557.02,6557.02,458.99,6557.02,55
CPT,0042T,"Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and m",6557.02,6557.02,801.0,1013.0,4
CPT,0042U,"Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG ",,,10.33,93.1,122
CPT,0042U,"Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG Other Outpatient",,,18.07,18.07,6
CPT,0043U,"Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM ",,,8.92,80.29,122
CPT,0043U,"Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM Other Outpatient",,,15.6,15.6,6
CPT,0044U,"Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG ",,,8.92,80.29,122
CPT,0044U,"Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG Other Outpatient",,,15.6,15.6,6
CPT,0045U,"Oncology (breast ductal carcinoma in situ), mRNA, gene expression progiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm",,,2323.8,20861.74,124
CPT,0046U,"FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants, quantitative ",,,244.46,2194.06,118
CPT,0046U,"FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants, quantitative Other Outpatient",,,427.8,427.8,6
CPT,0047U,"Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm report as a risk scor",,,2323.8,20861.74,124
CPT,0048U,"Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes, including interrogation for somatic mutations and microsatellite instability, matched",,,1751.76,15727.11,126
CPT,0049U,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative ",,,166.5,2194.06,118
CPT,0049U,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient",,,427.8,427.8,6
CPT,0050U,"Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements ",,,1749.96,15710.66,118
CPT,0050U,"Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements Other Outpatient",,,3062.43,3062.43,6
CPT,0051T,HImplantation of a total replacement heart system (artificial heart) with recipient cardiectomy ,,,2152.0,16144.0,32
CPT,0051U,"Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative results, detected or not-detected, per date of service ",,,116.23,1044.07,118
CPT,0051U,"Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative results, detected or not-detected, per date of service Other Outpatient",,,259.27,259.27,6
CPT,0052T,HReplacement or repair of thoracic unit of a total replacement heart system (artificial heart) ,,,2152.0,16144.0,32
CPT,0052U,"Lipoprotein, blood, high resolution fractionation and quantitation of lipoproteins, including all five major lipoprotein classes and subclasses of HDL, LDL, and VLDL by vertical auto profile ultracent",,,20.32,182.52,124
CPT,0053T,"HReplacement or repair of implantable component or components of total replacement heart system (artificial heart), excluding thoracic unit ",,,2152.0,16144.0,32
CPT,0053U,"Oncology (prostate cancer), FISH analysis of 4 genes, needle biopsy specimen, algorithm reported as probability of higher tumor grade ",,,7734.61,10933.74,6
CPT,0054T,"Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,86
CPT,0054U,"Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with chromatography, capillary blood, quantitative report with therapeutic and toxic range",,,89.38,803.16,124
CPT,0055T,"Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,86
CPT,0055U,"Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma ",,,1944.0,17452.03,118
CPT,0055U,"Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma Other Outpatient",,,3402.0,3402.0,6
CPT,0058U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative ",,,193.78,1739.56,118
CPT,0058U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative Other Outpatient",,,339.11,339.11,6
CPT,0059U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative ",,,193.78,1739.56,118
CPT,0059U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative Other Outpatient",,,339.11,339.11,6
CPT,0060U,"Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal blood ",,,455.43,4088.75,118
CPT,0060U,"Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal blood Other Outpatient",,,797.0,797.0,6
CPT,0061U,"Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis ",,,15.06,135.06,118
CPT,0061U,"Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis Other Outpatient",,,26.36,26.36,6
CPT,0062U,"Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score ",,,16.28,2049.88,118
CPT,0062U,"Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score Other Outpatient",,,399.76,399.76,6
CPT,0063U,"Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder ",,,190.8,4039.48,118
CPT,0063U,"Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder Other Outpatient",,,787.5,787.5,6
CPT,0064U,"Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative ",,,18.8,167.95,120
CPT,0064U,"Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient",,,32.9,32.9,6
CPT,0065U,"Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) ",,,10.85,96.73,120
CPT,0065U,"Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient",,,18.99,18.99,6
CPT,0066U,"Placental alpha-micro globulin-1 (PAMG-1), immunoassay with direct optical observation, cervico-vaginal fluid, each specimen ",,,9.17,82.16,8
CPT,0067U,"Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1], carcinoembryonic antigen-related cell adhesion molecule 6 [CEACAM6], hyaluron",,,124.88,10218.25,124
CPT,0068U,"Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified probe technique with qualitative report of the presence or absence of each species",,,85.58,768.46,126
CPT,0069U,"Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue, algorithm reported as an expression score ",,,228.0,2046.19,118
CPT,0069U,"Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue, algorithm reported as an expression score Other Outpatient",,,399.0,399.0,6
CPT,0070U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, common and select rare variants (ie, *2, *3, *4, *4N, *5, *6, *7, *8, *9, *10, *11, *12, *13, *14A, ",,,405.82,3643.37,124
CPT,0071T,"Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue ",,,3796.0,12915.18,128
CPT,0071U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, full gene sequence (List separately in addition to code for primary procedure) ",,,360.0,3232.69,118
CPT,0071U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, full gene sequence (List separately in addition to code for primary procedure) Other Outpatient",,,630.0,630.0,6
CPT,0072T,"Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue ",,,3796.0,12915.18,128
CPT,0072U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, CYP2D6-2D7 hybrid gene) (List separately in addition to code for pri",,,270.55,2429.54,124
CPT,0073U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, CYP2D7-2D6 hybrid gene) (List separately in addition to code for pri",,,270.55,2429.54,124
CPT,0074U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, nonduplicated gene when duplication/multiplication is trans) (List s",,,270.55,2429.54,124
CPT,0075T,TC EXT VERT ART STNT INI,43863.29,43863.29,3070.43,43863.29,50
CPT,0075T,"Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel ",43863.29,43863.29,2152.0,25655.0,160
CPT,0075U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, 5? gene duplication/multiplication) (List separately in addition to ",,,270.55,2429.54,124
CPT,0076T,TC STNT XCRANIAL CERB EA,4411.89,4411.89,308.83,4411.89,50
CPT,0076T,"Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; each additional vessel (List separately in addition to cod",4411.89,4411.89,2152.0,25655.0,160
CPT,0076U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, 3? gene duplication/multiplication) (List separately in addition to ",,,270.55,2429.54,124
CPT,0077U,"Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype ",,,26.06,233.66,120
CPT,0077U,"Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype Other Outpatient",,,45.6,45.6,6
CPT,0078U,"Pain management (opioid-use disorder) genotyping panel, 16 common variants (ie, ABCB1, COMT, DAT1, DBH, DOR, DRD1, DRD2, DRD4, GABA, GAL, HTR2A, HTTLPR, MTHFR, MUOR, OPRK1, OPRM1), buccal swab or othe",,,270.55,2429.54,8
CPT,0079U,"Comparative Deoxyribonucleic Acid (DNA) analysis using multiple selected Single-Nucleotide Polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification ",,,44.89,56.43,6
CPT,0080U,"Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diamet",,,2112.0,18959.74,128
CPT,0082U,"Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and presumptive, any number of drug classes, by instrument chemistry analyzer (utilizing imm",,,148.15,1330.69,128
CPT,0083U,"Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as likelihood of sensitivity or resistance to drugs or drug combinations ",,,38.5,901.7,122
CPT,0083U,"Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as likelihood of sensitivity or resistance to drugs or drug combinations Other Outpatient",,,175.72,175.72,6
CPT,0084U,"Red blood cell antigen typing, DNA, genotyping of 10 blood groups with phenotype pdediction of 37 red blood cell antigens ",,,432.0,3878.85,120
CPT,0084U,"Red blood cell antigen typing, DNA, genotyping of 10 blood groups with phenotype pdediction of 37 red blood cell antigens Other Outpatient",,,756.0,756.0,6
CPT,0085T,BREATH TEST FOR HEART TRANSPLANT REJECTION ,,,,,0
CPT,0086U,"Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism targets, reported as positive or negative with phenotypic minimum inhibitory conc",,,35.8,1076.96,126
CPT,0087U,"Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue, allograft rejection and injury algorithm reported as a probability score ",,,1895.65,17017.6,118
CPT,0087U,"Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue, allograft rejection and injury algorithm reported as a probability score Other Outp",,,3317.39,3317.39,6
CPT,0088U,"Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection ",,,1895.65,17017.6,118
CPT,0088U,"Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection O",,,3317.39,3317.39,6
CPT,0089U,"Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es) ",,,456.0,4094.25,118
CPT,0089U,"Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es) Other Outpatient",,,798.0,798.0,6
CPT,0090U,"Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a categori",,,1170.0,9453.42,124
CPT,0091U,"Oncology (colorectal) screening, cell enumeration of circulating tumor cells, utilizing whole blood, algorithm, for the presence of adenoma or cancer, reported as a positive or negative result ",,,438.87,551.72,6
CPT,0092U,"Oncology (lung), three protein biomarkers, immunoassay using Q4 magnetic nanosensor technology, plasma, algorithm reported as risk score for likelihood of malignancy ",,,1492.8,13401.61,118
CPT,0092U,"Oncology (lung), three protein biomarkers, immunoassay using Q4 magnetic nanosensor technology, plasma, algorithm reported as risk score for likelihood of malignancy Other Outpatient",,,2612.4,2612.4,6
CPT,0093U,"Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not detected ",,,37.28,334.02,118
CPT,0093U,"Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not detected Other Outpatient",,,65.25,65.25,6
CPT,0094U,"Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis ",,,4549.32,40841.86,118
CPT,0094U,"Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis Other Outpatient",,,7961.31,7961.31,6
CPT,0095T,"Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure) ",,,4693.0,25655.0,140
CPT,0095U,"Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2, pro eosinophil major basic protein]), specim",,,161.46,4158.09,124
CPT,0096U,"Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine ",,,21.05,189.83,118
CPT,0096U,"Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine Other Outpatient",,,36.84,36.84,6
CPT,0098T,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure) ",,,4693.0,25655.0,140
CPT,0100T,"Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intraocular retinal electrode array, with vitrectomy ",,,8024.0,427001.4,206
CPT,0101T,"Extracorporeal shock wave involving musculoskeletal system, not otherwise specified ",,,5694.0,12499.0,170
CPT,0101U,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination A of NGS, San",,,1046.37,9393.15,124
CPT,0102T,"Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle ",,,5694.0,12499.0,170
CPT,0102U,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, San",,,782.37,7023.88,124
CPT,0103U,"Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with MRNA analyti",,,1046.37,9393.15,124
CPT,0105U,"Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KI",,,570.0,5116.44,124
CPT,0106T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation ",,,91.93,178.85,6
CPT,0106U,"Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rat",,,42.19,4711.2,126
CPT,0107T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation ",,,91.93,178.85,6
CPT,0107U,"Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method ",,,9.6,85.79,118
CPT,0107U,"Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method Other Outpatient",,,16.8,16.8,6
CPT,0108T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia ",,,151.28,294.3,6
CPT,0108U,"Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-",,,251.13,26662.66,124
CPT,0109T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia ",,,91.93,178.85,6
CPT,0109U,"Infectious disease (Aspergillus species), real-time PCR for detection of DNA from 4 species (A. fumigatus, A. terreus, A. niger, and A. flavus), blood, lavage fluid, or tissue, qualitative reporting o",,,85.58,768.46,124
CPT,0110T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation ",,,299.83,583.31,6
CPT,0110U,"Prescription drug monitoring, one or more oral oncology drug(s) and substances, definitive tandem mass spectrometry  with chromatography, serum or plasma from capillary blood or venous blood, quantita",,,16.27,146.0,124
CPT,0111U,"Oncology (colon cancer), targeted KRAS (codons 12, 13, and 61) and NRAS (codons 12, 13, and 61) gene analysis, utilizing formalin-fixed paraffin-embedded tissue ",,,409.37,3674.39,120
CPT,0111U,"Oncology (colon cancer), targeted KRAS (codons 12, 13, and 61) and NRAS (codons 12, 13, and 61) gene analysis, utilizing formalin-fixed paraffin-embedded tissue Other Outpatient",,,716.4,716.4,6
CPT,0112U,"Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene ",,,61.41,1918.44,118
CPT,0112U,"Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene Other Outpatient",,,373.94,373.94,6
CPT,0113U,"Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score ",,,456.0,4094.25,124
CPT,0114U,"Gastroenterology (Barrett's esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett's esophagus ",,,251.13,10439.09,118
CPT,0114U,"Gastroenterology (Barrett's esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett's esophagus Other Outpatient",,,2034.91,2034.91,6
CPT,0115U,"Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial targets, amplified probe technique, including multiplex reverse transcription for RNA ",,,61.41,1484.01,124
CPT,0116U,"Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm results reported as a patient-compliance measurement with risk of drug to drug inter",,,148.15,1330.69,124
CPT,0117U,"Pain management, analysis of 11 endogenous analytes (methymalonic acid, xanthurenic acid, homocysteine, proglutamic acid, vanilmandelate, 5-hydroxyindoleacetic acidm, hydroxymethyglutarate, ethylmalon",,,20.18,4528.63,124
CPT,0118U,"Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donoe-derived cell-free DNA in the total cell-f",,,1651.95,14830.85,124
CPT,0119U,"Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events ",,,42.16,450.88,118
CPT,0119U,"Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events Other Outpatient",,,87.95,87.95,6
CPT,0120U,"Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixed paraffin-embedded tissu",,,1506.13,13522.1,124
CPT,0121U,"Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood ",,,9.64,2743.49,118
CPT,0121U,"Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood Other Outpatient",,,534.66,534.66,6
CPT,0122U,"Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood ",,,9.64,2834.72,118
CPT,0122U,"Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood Other Outpatient",,,552.54,552.54,6
CPT,0123U,"Mechanical fragility, RBC, shear stress and spectral analysis profiling ",,,15.05,1925.7,118
CPT,0123U,"Mechanical fragility, RBC, shear stress and spectral analysis profiling Other Outpatient",,,375.51,375.51,6
CPT,0129U,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and eletion/duplication analysis panel (A",,,782.37,7023.88,124
CPT,0130U,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), targeted mRNA sequence analysis panel (APC, CDH1, CHEK2, MLH1, MSH2, ",,,350.94,3150.54,124
CPT,0131U,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel (13 genes) (List separately i",,,426.0,3824.07,8
CPT,0132U,"Hereditary ovarian cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel (17 genes) (List separately ",,,444.98,3995.65,8
CPT,0133U,"Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure) ",,,414.17,8520.6,118
CPT,0133U,"Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure) Other Outpatient",,,724.8,724.8,6
CPT,0134U,"Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (18 genes) (List separately in addi",,,449.03,8520.6,124
CPT,0135U,"Hereditary gynecological cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (12 genes) (List separate",,,420.34,3772.99,8
CPT,0136U,"ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,244.46,4400.0,118
CPT,0136U,"ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure) Other Outpatient",,,427.8,427.8,6
CPT,0137U,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in additional to code for primary procedure) ",,,169.73,1524.15,118
CPT,0137U,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in additional to code for primary procedure) Other Outpatient",,,297.02,297.02,6
CPT,0138U,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) mRNA sequence analysis (List separately in addition to code for primary procedure)",,,281.0,4014.74,124
CPT,0140U,"Infectious disease (fungi), fungal pathogen identification, DNA (15 fungal targets), blood culture, amplified probe technique, each target reported as detected or not detected ",,,61.41,845.11,120
CPT,0140U,"Infectious disease (fungi), fungal pathogen identification, DNA (15 fungal targets), blood culture, amplified probe technique, each target reported as detected or not detected Other Outpatient",,,164.59,164.59,6
CPT,0141U,"Infectious disease (bacteria and fungi), gram-positive organism identification and drug resistance element detection, DNA (20 gram-positive bacterial targets, 4 resistance genes, 1 pan gram-negative b",,,61.41,845.11,126
CPT,0142U,"Infectious disease (bacteria and fungi), gram-negative bacterial identification and drug resistance element detection, DNA (21 gram-negative bacterial targets, 6 resistance genes, 1 pan gram-positive ",,,61.41,845.11,126
CPT,0143U,"Drug assay, definitive, 120 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or meta",,,436.44,616.95,6
CPT,0144U,"Drug assay, definitive, 160 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or meta",,,436.44,616.95,6
CPT,0145U,"Drug assay, definitive, 65 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metab",,,436.44,616.95,6
CPT,0146U,"Drug assay, definitive, 80 or more drugs or metabolites, urine, by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or me",,,436.44,616.95,6
CPT,0147U,"Drug assay, definitive, 85 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metab",,,436.44,616.95,6
CPT,0148U,"Drug assay, definitive, 100 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or meta",,,436.44,616.95,6
CPT,0149U,"Drug assay, definitive, 60 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metab",,,436.44,616.95,6
CPT,0150U,"Drug assay, definitive, 120 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or meta",,,436.44,616.95,6
CPT,0152U,"Infectious disease (bacteria, fungi, parasites, and DNA viruses), DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens ",11389.52,11389.52,35.8,11452.15,124
CPT,0152U,NFCT DS DNA UNTRGT NGS,11389.52,11389.52,797.27,11389.52,52
CPT,0153U,"Oncology (breast), mRNA, gene expression profiling by next-generation sequencing of 101 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a triple negative breast cancer ",,,1895.65,17017.6,124
CPT,0154U,FGFR3 (fibroblast growth factor receptor 3) gene analysis ,,,239.75,2597.43,120
CPT,0154U,FGFR3 (fibroblast growth factor receptor 3) gene analysis Other Outpatient,,,506.25,506.25,6
CPT,0155U,"PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis ",,,164.9,1480.32,120
CPT,0155U,"PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis Other Outpatient",,,288.57,288.57,6
CPT,0156U,"Copy number (eg, intellectual disability, dysmorphology), sequence analysis ",,,1044.0,9373.08,118
CPT,0156U,"Copy number (eg, intellectual disability, dysmorphology), sequence analysis Other Outpatient",,,1827.0,1827.0,6
CPT,0157U,"APC (APC regulator of WNT signaling pathway) (eg, familial adenomatosis polyposis [FAP]) mRNA sequence analysis ",,,169.73,1716.0,118
CPT,0157U,"APC (APC regulator of WNT signaling pathway) (eg, familial adenomatosis polyposis [FAP]) mRNA sequence analysis Other Outpatient",,,297.02,297.02,6
CPT,0158U,"MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,169.73,1524.15,118
CPT,0158U,"MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) Other Outpatient",,,297.02,297.02,6
CPT,0159U,"MSH2 (mutS homolog 2) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,169.73,1524.15,118
CPT,0159U,"MSH2 (mutS homolog 2) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) Other Outpatient",,,297.02,297.02,6
CPT,0160U,"MSH6 (mutS homolog 6) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,169.73,1524.15,118
CPT,0160U,"MSH6 (mutS homolog 6) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) Other Outpatient",,,297.02,297.02,6
CPT,0161U,"PMS2 (PMS1 homolog 2, mismatch repair system component) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedur",,,169.73,1524.15,124
CPT,0162U,"Hereditary colon cancer (Lynch syndrome), targeted mRNA sequence analysis panel (MLH1, MSH2, MSH6, PMS2) (List separately in addition to code for primary procedure) ",,,291.92,2621.18,118
CPT,0162U,"Hereditary colon cancer (Lynch syndrome), targeted mRNA sequence analysis panel (MLH1, MSH2, MSH6, PMS2) (List separately in addition to code for primary procedure) Other Outpatient",,,510.87,510.87,6
CPT,0163T,"TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), EACH ADDITIONAL INTERSPACE, LUMBAR (LIST SEPARATELY IN ADDITION",,,2152.0,16144.0,32
CPT,0163U,"Oncology (colorectal) screening, biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins(teratocarcinoma derived growth factor-1 [TDGF-1, Cropto-1], carcinoembryonic antige",,,234.45,2104.59,124
CPT,0164T,"Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure) ",,,1481.0,25655.0,204
CPT,0164U,"Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results ",,,30.22,604.2,118
CPT,0164U,"Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results Other Outpatient",,,117.62,117.62,6
CPT,0165T,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure) ",,,1481.0,25655.0,204
CPT,0165U,"Peanut allergen-specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA), blood, individual epitope results and interpretation ",,,31.38,2498.88,118
CPT,0165U,"Peanut allergen-specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA), blood, individual epitope results and interpretation Other Outpatient",,,486.95,486.95,6
CPT,0166U,"Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utili",,,302.04,2712.47,124
CPT,0167U,"Gonadotropin, chorionic (hCG), immunoassay with direct optical observation, blood ",,,4.51,40.14,8
CPT,0169T,PLACE STEREO CATH BRAIN ,,,2152.0,16144.0,32
CPT,0169U,"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants ",,,279.7,2511.64,118
CPT,0169U,"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants Other Outpatient",,,489.48,489.48,6
CPT,0170U,"Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis ",,,190.8,9453.42,118
CPT,0170U,"Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis Other Outpatient",,,2047.5,2047.5,6
CPT,0171T,LUMBAR SPINE PROCES DISTRACT ,,,8858.0,9417.0,32
CPT,0171U,"Targeted genomic sequence analysis panel, acute myeloid leukemia, myelodysplastic syndrome, and myeloproliferative neoplasms, DNA analysis, 23 genes, interrogation for sequence variants, rearrangement",,,911.44,8183.0,124
CPT,0172U,"Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous recombination deficiency pathways, DNA, formalin-fixed paraffin-embedded tissue, a",,,44.89,16320.3,126
CPT,0173U,"Psychiatry (ie, depression, anxiety), genomic analysis panel, includes variant analysis of 14 genes ",,,44.89,2511.64,118
CPT,0173U,"Psychiatry (ie, depression, anxiety), genomic analysis panel, includes variant analysis of 14 genes Other Outpatient",,,489.48,489.48,6
CPT,0174T,"Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of fil",,,25.67,83.96,6
CPT,0174U,"Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 che",,,783.22,7031.2,124
CPT,0175T,"Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of fil",,,25.67,83.96,6
CPT,0175U,"Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes ",,,44.89,7197.27,118
CPT,0175U,"Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes Other Outpatient",,,1402.89,1402.89,6
CPT,0176U,"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA) ",,,24.92,344.96,118
CPT,0176U,"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA) Other Outpatient",,,67.4,67.4,6
CPT,0177U,"Oncology (breast cancer), DNA, PIK3CA gene analysis of 11 gene variants utilizing plasma, reported as PIK3CA gene mutation status ",,,164.9,1480.32,120
CPT,0177U,"Oncology (breast cancer), DNA, PIK3CA gene analysis of 11 gene variants utilizing plasma, reported as PIK3CA gene mutation status Other Outpatient",,,288.57,288.57,6
CPT,0178U,"Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA), blood, report of minimum eliciting exposure for a clinical reaction ",,,38.75,2477.0,118
CPT,0178U,"Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA), blood, report of minimum eliciting exposure for a clinical reaction Other Outpati",,,482.85,482.85,6
CPT,0179U,"Oncology (non-small cell lung cancer), cell-free DNA, targeted sesquence analysis of 23 gene (single nucleotide variations, insertions and deletions, fusions without prior knowledge of partner/breakpo",,,568.01,10466.48,124
CPT,0180U,"Red cell antigen (ABO blood group) genotyping (ABO), gene analysis Sanger/chain termination/conventional sequencing, ABO gene, including subtyping, 7 exons ",,,32.99,1480.32,118
CPT,0180U,"Red cell antigen (ABO blood group) genotyping (ABO), gene analysis Sanger/chain termination/conventional sequencing, ABO gene, including subtyping, 7 exons Other Outpatient",,,288.57,288.57,6
CPT,0181T,CORNEAL HYSTERESIS ,,,8024.0,8024.0,10
CPT,0181U,"Red cell antigen (colton blood group) genotyping (CO), gene analysis, AQP1 (aquaporin 1) exon 1 ",,,32.99,998.43,118
CPT,0181U,"Red cell antigen (colton blood group) genotyping (CO), gene analysis, AQP1 (aquaporin 1) exon 1 Other Outpatient",,,194.46,194.46,6
CPT,0182T,HDR ELECT BRACHYTHERAPY ,,,2636.0,2636.0,10
CPT,0182U,"Red cell antigen (cromlton blood group) genotyping (CROM), gene analysis, CD55 (CD55 molecule) exons 1-10 ",,,32.99,1622.7,118
CPT,0182U,"Red cell antigen (cromlton blood group) genotyping (CROM), gene analysis, CD55 (CD55 molecule) exons 1-10 Other Outpatient",,,316.42,316.42,6
CPT,0183U,"Red cell antigen (Diego blood group) genotyping (DI), gene analysis, SLC4A1 (solute carrier family 4 member 1) exon 19 ",,,32.99,998.43,118
CPT,0183U,"Red cell antigen (Diego blood group) genotyping (DI), gene analysis, SLC4A1 (solute carrier family 4 member 1) exon 19 Other Outpatient",,,194.46,194.46,6
CPT,0184T,"Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness) ",,,5694.0,25655.0,214
CPT,0184U,"Red cell antigen (Dombrock blood group) genotyping (DO), gene analysis ART4 (ADP-ribosyltransferase 4) exon 2 ",,,32.99,998.43,118
CPT,0184U,"Red cell antigen (Dombrock blood group) genotyping (DO), gene analysis ART4 (ADP-ribosyltransferase 4) exon 2 Other Outpatient",,,194.46,194.46,6
CPT,0185U,"Red cell antigen (H blood group) genotyping (FUT1), gene analysis, FUT1 (fucosyltransferase) exon 4 ",,,32.99,998.43,118
CPT,0185U,"Red cell antigen (H blood group) genotyping (FUT1), gene analysis, FUT1 (fucosyltransferase) exon 4 Other Outpatient",,,194.46,194.46,6
CPT,0186U,"Red cell antigen (H blood group) genotyping (FUT2), gene analysis, FUT2 (fycosyltransferase 2) exon 2 ",,,32.99,998.43,118
CPT,0186U,"Red cell antigen (H blood group) genotyping (FUT2), gene analysis, FUT2 (fycosyltransferase 2) exon 2 Other Outpatient",,,194.46,194.46,6
CPT,0187U,"Red cell antigen (Duffy blood group) genotyping (FY), gene analysis, ACKR1 (atypical chemokine receptor 1) exons 1-2 ",,,32.99,1480.32,118
CPT,0187U,"Red cell antigen (Duffy blood group) genotyping (FY), gene analysis, ACKR1 (atypical chemokine receptor 1) exons 1-2 Other Outpatient",,,288.57,288.57,6
CPT,0188U,"Red cell antigen (Gerbich blood group) genotyping (GE), gene analysis, GYPC (glycophorin C) exons 1-4 ",,,32.99,1480.32,118
CPT,0188U,"Red cell antigen (Gerbich blood group) genotyping (GE), gene analysis, GYPC (glycophorin C) exons 1-4 Other Outpatient",,,288.57,288.57,6
CPT,0189U,"Red cell antigen (MNS blood group) genotyping (GYPA), gene analysis, GYPA (flycophorin A) introns 1, 5, exon 2 ",,,32.99,1480.32,118
CPT,0189U,"Red cell antigen (MNS blood group) genotyping (GYPA), gene analysis, GYPA (flycophorin A) introns 1, 5, exon 2 Other Outpatient",,,288.57,288.57,6
CPT,0190T,PLACEMENT OF INTRAOCULAR RADIATION SOURCE APPLICATOR (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) ,,,2636.0,2636.0,10
CPT,0190U,"Red cell antigen (MNS blood group) genotyping (GYPB), gene analysis, GYPB (glycophorin B) introns 1, 5, pseudoexon 3 ",,,32.99,1480.32,118
CPT,0190U,"Red cell antigen (MNS blood group) genotyping (GYPB), gene analysis, GYPB (glycophorin B) introns 1, 5, pseudoexon 3 Other Outpatient",,,288.57,288.57,6
CPT,0191T,"INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVOIR, INTERNAL APPROACH, INTO THE TRABECULAR MESHWORK; INITIAL INSERTION ",,,7592.0,8072.0,42
CPT,0191U,"Red cell antigen (Indian blood group) genotyping (IN), gene analysis CD44 (CD44 molecule) exons 2, 3, 6 ",,,32.99,1480.32,118
CPT,0191U,"Red cell antigen (Indian blood group) genotyping (IN), gene analysis CD44 (CD44 molecule) exons 2, 3, 6 Other Outpatient",,,288.57,288.57,6
CPT,0192U,"Red cell antigen (Kidd blood group) genotyping (JK), gene analysis, SLC14A1 (solute carrier family 14 member 1) gene promoter, exon 9 ",,,32.99,1480.32,118
CPT,0192U,"Red cell antigen (Kidd blood group) genotyping (JK), gene analysis, SLC14A1 (solute carrier family 14 member 1) gene promoter, exon 9 Other Outpatient",,,288.57,288.57,6
CPT,0193U,"Red cell antigen (JR blood group) genotyping (JR), gene analysis, ABCG2 (ATP binding cassette subfamily G member 2) exons 2-26 ",,,32.99,1524.15,118
CPT,0193U,"Red cell antigen (JR blood group) genotyping (JR), gene analysis, ABCG2 (ATP binding cassette subfamily G member 2) exons 2-26 Other Outpatient",,,297.02,297.02,6
CPT,0194U,"Red cell antigen (Kell blood group) genotyping (KEL), gene analysis, KEL (Kell metallo-endopeptidase) exon 8 ",,,32.99,998.43,118
CPT,0194U,"Red cell antigen (Kell blood group) genotyping (KEL), gene analysis, KEL (Kell metallo-endopeptidase) exon 8 Other Outpatient",,,194.46,194.46,6
CPT,0195T,"ARTHRODESIS, PRE-SACRAL INTERBODY TECHNIQUE, DISC SPACE PREPARATION, DISCECTOMY, WITHOUT INSTRUMENTATION, WITH IMAGE GUIDANCE, INCLUDES BONE GRAFT WHEN PERFORMED; L5-S1 INTERSPACE ",,,2152.0,16144.0,32
CPT,0195U,"KLF1 (Kruppel-like factor 1), targeted sequencing (ie, exon 13) ",,,32.99,2020.62,118
CPT,0195U,"KLF1 (Kruppel-like factor 1), targeted sequencing (ie, exon 13) Other Outpatient",,,394.01,394.01,6
CPT,0196T,"ARTHRODESIS, PRE-SACRAL INTERBODY TECHNIQUE, DISC SPACE PREPARATION, DISCECTOMY, WITHOUT INSTRUMENTATION, WITH IMAGE GUIDANCE, INCLUDES BONE GRAFT WHEN PERFORMED; L4-L5 INTERSPACE (LIST SEPARATELY IN ",,,2152.0,16144.0,32
CPT,0196U,"Red cell antigen (Lutheran blood group) genotyping (LU), gene analysis, BCAM (basal cell adhesion molecule) exon 3 ",,,32.99,998.43,118
CPT,0196U,"Red cell antigen (Lutheran blood group) genotyping (LU), gene analysis, BCAM (basal cell adhesion molecule) exon 3 Other Outpatient",,,194.46,194.46,6
CPT,0197U,"Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW), gene analysis, ICAM4 (intercellular adhesion molecule 4) exon 1 ",,,32.99,998.43,118
CPT,0197U,"Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW), gene analysis, ICAM4 (intercellular adhesion molecule 4) exon 1 Other Outpatient",,,194.46,194.46,6
CPT,0198T,"Measurement of ocular blood flow by repetitive intraocular pressure sampling, with interpretation and report ",,,237.69,305.28,48
CPT,0198U,"Red cell antigen (RH blood group) genotyping (RHD and RHCE), gene analysis Sanger/chain termination/conventional sequencing, RHD (Rh blood group D antigen) exons 1-10 and RHCE (Rhblood group CcEe anti",,,32.99,1524.15,124
CPT,0199U,"Red cell antigen (Scianna blood group) genotyping (SC), gene analysis, ERMAP (erythroblast membrane associated protein) exons 4, 12 ",,,32.99,1480.32,118
CPT,0199U,"Red cell antigen (Scianna blood group) genotyping (SC), gene analysis, ERMAP (erythroblast membrane associated protein) exons 4, 12 Other Outpatient",,,288.57,288.57,6
CPT,0200T,"Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, w",,,5694.0,18747.0,170
CPT,0200U,"Red cell antigen (Kx blood group) genotyping (XK), gene analysis, XK (X-linked Kx blood group) exons 1-3 ",,,32.99,1480.32,118
CPT,0200U,"Red cell antigen (Kx blood group) genotyping (XK), gene analysis, XK (X-linked Kx blood group) exons 1-3 Other Outpatient",,,288.57,288.57,6
CPT,0201T,"Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when",,,5694.0,16749.46,170
CPT,0201U,"Red cell antigen (Yt blood group) genotyping (YT), gene analysis, ACHE (acetylcholinesterase (Cartwright blood group)) exon 2 ",,,32.99,998.43,118
CPT,0201U,"Red cell antigen (Yt blood group) genotyping (YT), gene analysis, ACHE (acetylcholinesterase (Cartwright blood group)) exon 2 Other Outpatient",,,194.46,194.46,6
CPT,0202T,"Posterior vertebral joint(s) arthroplasty (eg, facet jointºs» replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, i",,,2152.0,76895.0,204
CPT,0202U,"Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua",,,250.07,1091.96,120
CPT,0203U,Azutoimmun IBD mRNA gen Xprsn PRFL 17 Gen Whl Bld ,,,456.0,4094.25,118
CPT,0203U,Azutoimmun IBD mRNA gen Xprsn PRFL 17 Gen Whl Bld Other Outpatient,,,798.0,798.0,6
CPT,0204U,Onc Thyr mRNA Gene Xprsn Alys 593 Genes FNA ,,,1751.76,15727.11,8
CPT,0205T,"INTRAVASCULAR CATHETER-BASED CORONARY VESSEL OR GRAFT SPECTROSCOPY (EG, INFRARED) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION INCLUDING IMAGING SUPERVISION, INTERPRETATION, AND REPORT",,,2636.0,2636.0,10
CPT,0205U,Oph Age-related Mac Degeneration Alys 3 Gen Vrnt ,,,28.2,301.4,118
CPT,0205U,Oph Age-related Mac Degeneration Alys 3 Gen Vrnt Other Outpatient,,,49.35,49.35,6
CPT,0206U,Neurology Alzheimer Disease Cell Aggregation ,,,239.75,11934.05,118
CPT,0206U,Neurology Alzheimer Disease Cell Aggregation Other Outpatient,,,2326.17,2326.17,6
CPT,0207T,"Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral ",,,119.92,5932.0,134
CPT,0207U,Neurology Alzheimer Disease Quantitative Imaging ,,,239.75,2754.43,118
CPT,0207U,Neurology Alzheimer Disease Quantitative Imaging Other Outpatient,,,536.76,536.76,6
CPT,0208T,"Pure tone audiometry (threshold), automated; air only ",,,91.93,178.85,6
CPT,0209T,"Pure tone audiometry (threshold), automated; air and bone ",,,91.93,178.85,6
CPT,0209U,Cytog Const Alys Interrog Gen Reg F/Copy Number ,,,472.29,4240.25,118
CPT,0209U,Cytog Const Alys Interrog Gen Reg F/Copy Number Other Outpatient,,,826.51,826.51,6
CPT,0210T,"Speech audiometry threshold, automated; ",,,91.93,178.85,6
CPT,0210U,Syphilis Tst Non-Treponemal Antibody IA Quan Rpr ,,,11.18,100.42,120
CPT,0210U,Syphilis Tst Non-Treponemal Antibody IA Quan Rpr Other Outpatient,,,19.56,19.56,6
CPT,0211T,"Speech audiometry threshold, automated; with speech recognition ",,,91.93,178.85,6
CPT,0211U,Onc Pan-Tumor DNA & RNA Next-Generation Sequencing ,,,239.75,45542.06,120
CPT,0211U,Onc Pan-Tumor DNA & RNA Next-Generation Sequencing Other Outpatient,,,8877.75,8877.75,6
CPT,0212T,"Comprehensive audiometry threshold evaluation and speech recognition (0209T, 0211T combined), automated ",,,380.46,740.17,6
CPT,0212U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Proband ,,,747.7,29491.94,118
CPT,0212U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Proband Other Outpatient,,,5748.96,5748.96,6
CPT,0213T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; single level ",,,1266.0,3293.0,170
CPT,0213U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Ea Cmprtr ,,,747.7,14597.19,118
CPT,0213U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Ea Cmprtr Other Outpatient,,,2845.45,2845.45,6
CPT,0214T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; second level (List separatel",,,1481.0,2636.0,42
CPT,0214U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Proband ,,,747.7,28142.99,118
CPT,0214U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Proband Other Outpatient,,,5485.83,5485.83,6
CPT,0215T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; third and any additional lev",,,1481.0,2636.0,42
CPT,0215U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Ea Cmprtr ,,,747.7,13868.88,118
CPT,0215U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Ea Cmprtr Other Outpatient,,,2703.38,2703.38,6
CPT,0216T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; single level ",,,1266.0,5932.0,214
CPT,0216U,Neuro Inh Ataxia Genomic DNA Seq Alys 12 Bld/Slv ,,,527.36,8279.73,118
CPT,0216U,Neuro Inh Ataxia Genomic DNA Seq Alys 12 Bld/Slv Other Outpatient,,,1613.87,1613.87,6
CPT,0217T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; second level (List separately in",,,1481.0,5932.0,76
CPT,0217U,Neuro Inh Ataxia Genomic DNA Seq Alys 51 Bld/Slv ,,,527.36,11840.94,118
CPT,0217U,Neuro Inh Ataxia Genomic DNA Seq Alys 51 Bld/Slv Other Outpatient,,,2308.27,2308.27,6
CPT,0218T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; third and any additional level(s",,,1481.0,5932.0,86
CPT,0218U,Neuro Muscular Dystrophy Dmd Seq Alys Bld/Saliva ,,,527.36,12275.38,118
CPT,0218U,Neuro Muscular Dystrophy Dmd Seq Alys Bld/Saliva Other Outpatient,,,2392.95,2392.95,6
CPT,0219T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical ",,,2152.0,25655.0,204
CPT,0219U,Nfct Agent HIV Trgt Viral Next-Gnrj Seq Alys Alg ,,,435.0,3904.36,120
CPT,0219U,Nfct Agent HIV Trgt Viral Next-Gnrj Seq Alys Alg Other Outpatient,,,761.25,761.25,6
CPT,0220T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic ",,,2152.0,25655.0,204
CPT,0220U,Onc Brst CA Image Alys w/ AI Assmt 12 Features ,,,124.88,3804.0,118
CPT,0220U,Onc Brst CA Image Alys w/ AI Assmt 12 Features Other Outpatient,,,741.56,741.56,6
CPT,0221T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar ",,,5694.0,18490.0,214
CPT,0221U,Abo Gnotyp Gene Alys Next-Generation Seq Abo Gen ,,,164.9,1480.32,118
CPT,0221U,Abo Gnotyp Gene Alys Next-Generation Seq Abo Gen Other Outpatient,,,288.57,288.57,6
CPT,0222T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List ",,,1481.0,5932.0,86
CPT,0222U,RHD & RHCE Gnotyp Next-Genrj Seq RH Prox Promoter ,,,169.73,1524.15,118
CPT,0222U,RHD & RHCE Gnotyp Next-Genrj Seq RH Prox Promoter Other Outpatient,,,297.02,297.02,6
CPT,0223U,"Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua",,,250.07,1091.96,120
CPT,0224U,"Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes titer(s), when performed ",,,30.86,134.75,114
CPT,0224U,"Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes titer(s), when performed Other Outpatient",,,54.0,54.0,6
CPT,0225U,"Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory syndrome coronavirus 2(SARS- CoV-2), amplified probe technique,including multiple ",,,250.07,1091.96,114
CPT,0225U,"Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory syndrome coronavirus 2(SARS- CoV-2), amplified probe technique,including multiple Othe",,,437.62,437.62,6
CPT,0226U,"Surrogate viral neutralization test (sVNT), severe acute respiratory s yndrome coronavirus 2 (SARS-CoV-2) (Corornavirus disease (COVID-19)), ( ELISA, plasma, serum ",,,25.37,110.77,114
CPT,0226U,"Surrogate viral neutralization test (sVNT), severe acute respiratory s yndrome coronavirus 2 (SARS-CoV-2) (Corornavirus disease (COVID-19)), ( ELISA, plasma, serum Other Outpatient",,,44.39,44.39,6
CPT,0227U,"Drug Assay, presumptive, 30 or more drugs or metabolites, urine, liquid chromatography with tandem mass spectrometry using multiple reaction monitoring w drug or metabolite description, incl simple va",,,37.28,334.02,124
CPT,0228T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, CERVICAL OR THORACIC; SINGLE LEVEL ",,,1266.0,3293.0,42
CPT,0228U,"Oncology (prostate), multianalyte molecular progile by photometric detection of macromolecules absorbed on nanosponge array slides w machine learning, utilizing first morning voided urine, algorithm r",,,44.89,932.77,124
CPT,0229T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, CERVICAL OR THORACIC; EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE",,,2636.0,2636.0,10
CPT,0229U,"BCAT1 or IKZF1 (eg, colorectal cancer) promoter methylation analysis ",,,192.0,2068.08,118
CPT,0229U,"BCAT1 or IKZF1 (eg, colorectal cancer) promoter methylation analysis Other Outpatient",,,403.2,403.2,6
CPT,0230T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, LUMBAR OR SACRAL; SINGLE LEVEL ",,,1266.0,3293.0,42
CPT,0230U,"AR (androgen receptor), full sequence analyis, including small sequence changes in exonic and intronic regions, deletions, duplications, short tandem repeat (STR) expansions, mobile element insertions",,,180.81,1622.7,124
CPT,0231T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, LUMBAR OR SACRAL; EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2636.0,2636.0,10
CPT,0231U,"CACNA1A, full gene analysis, including small sequence changes in exonic and intronic regions, deletions duplications, Short Tandem Requests (STR) gene expansions, mobile element insertions, and varian",,,239.75,4557.89,124
CPT,0232T,"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed ",,,792.63,5932.0,182
CPT,0232U,"CSTB (cystatin B), full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, Short Tandem Requests (STR) expansions, mobile element insertions, and ",,,164.9,1480.32,124
CPT,0233U,"FXN (frataxin), gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, short tandem requests (STR) expansions, mobile element insertions, and variants",,,164.9,1480.32,124
CPT,0234T,ATHERECTOMY RENAL ART,87467.44,87467.44,6122.72,87467.44,43
CPT,0234T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; renal artery ",87467.44,87467.44,7008.0,27743.74,214
CPT,0234U,"MECP2 (methyl CpG binding protein 2) full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element insertions, and variants in non-unique",,,316.72,2843.85,124
CPT,0235T,ATHERECTOMY REN/VIS,8689.13,8689.13,608.24,8689.13,50
CPT,0235T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; visceral artery (except renal), each vessel ",8689.13,8689.13,2152.0,25655.0,160
CPT,0235U,"PTEN (Phosphatase and tensin monolog) full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element insertions and variants in non-unique",,,360.0,3232.69,124
CPT,0236T,ATHERECTOMY AORTA,87467.44,87467.44,6122.72,87467.44,43
CPT,0236T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta ",87467.44,87467.44,7008.0,27743.74,214
CPT,0236U,"SMN1 (survival of motor neuton 1, telomeric) and SMN2 (survival of motor neuron 2, centromeric) full gene analysis, including small sequence changes in exonic and intronic regions, duplications and de",,,239.75,3247.27,124
CPT,0237T,ATHERECTOMY BRAC,87467.44,87467.44,6122.72,87467.44,43
CPT,0237T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel ",87467.44,87467.44,7008.0,27743.74,214
CPT,0237U,"Cardiac ion channelopathies, genomic sequence analysis panel including ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, RYR2, and SCN5A, including small sequence changes in exonic and intronic re",,,350.94,3150.54,124
CPT,0238T,PERIPH ATH ILI ART EA LT,87467.44,87467.44,6122.72,87467.44,43
CPT,0238T,PERIPH ATH ILI ART EA RT,87467.44,87467.44,6122.72,87467.44,43
CPT,0238T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel ",,,7008.0,44631.92,214
CPT,0238U,"Oncology (Lynch syndrome), genomic DNA sequence analysis of MLH1, MSH2, MSH6, PMS2, and EPCAM, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element ",,,350.94,3150.54,124
CPT,0239U,"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants, including substitutions, insertions, deletions, selec",,,2100.0,18852.07,126
CPT,0240U,"Inf dis, pathogen spec DNA/RNA, 21 targets, SARS-CoV-2, ampol probe tec, incl multplx rev tx to RNA targ, ea analyte rep as det or not det ",,,85.58,85.58,2
CPT,0241U,"Inf dis, pathogen-spec RNA, 4 targ SARS-CoV-2, Influ A, B, RSV, Upper  resp spec, ea pathogen rep as det or not det ",,,85.58,85.58,2
CPT,0242U,"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplifications, and gene rearra",,,1046.34,26932.78,126
CPT,0243U,"Obstetrics (preeclampsia), biochemical assay of placental-growth factor, time-resolved fluorescence immunoassay, maternal serum, predictive algorithm reported as a risk score for preeclampsia ",,,38.65,346.83,118
CPT,0243U,"Obstetrics (preeclampsia), biochemical assay of placental-growth factor, time-resolved fluorescence immunoassay, maternal serum, predictive algorithm reported as a risk score for preeclampsia Other Ou",,,67.63,67.63,6
CPT,0244U,"Oncology (solid organ), DNA, comprehensive genomic profiling, 257 genes, interrogation for single-nucleotide variants, insertions/deletions, copy number alterations, gene rearrangements, tumor-mutatio",,,2100.0,18852.07,124
CPT,0245U,"Oncology (thyroid), mutation analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers using next-generation sequencing, fine needle aspirate, report includes associated risk of maligna",,,759.64,6604.6,124
CPT,0246U,"Red blood cell antigen typing, DNA, genotyping of at least 16 blood groups with phenotype prediction of at least 51 red blood cell antigens ",,,432.0,3878.85,118
CPT,0246U,"Red blood cell antigen typing, DNA, genotyping of at least 16 blood groups with phenotype prediction of at least 51 red blood cell antigens Other Outpatient",,,756.0,756.0,6
CPT,0247U,"Obstetrics (preterm birth), insulin-like growth factor-binding protein 4 (IBP4), sex hormone-binding globulin (SHBG), quantitative measurement by LC-MS/MS, utilizing maternal serum, combined with clin",,,55.65,4039.48,124
CPT,0248U,"Oncology, spheroid cell culture in 3D microenvironment, 12 drug panel, response prediction for each drug ",,,1014.06,16342.19,118
CPT,0248U,"Oncology, spheroid cell culture in 3D microenvironment, 12 drug panel, response prediction for each drug Other Outpatient",,,3185.55,3185.55,6
CPT,0249T,"LIGATION, HEMORRHOIDAL VASCULAR BUNDLE(S), INCLUDING ULTRASOUND GUIDANCE ",,,5694.0,7168.0,42
CPT,0249U,"Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, incl laser capture microdissection, w algorithmic analysis and interpretative report ",,,495.97,11954.12,118
CPT,0249U,"Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, incl laser capture microdissection, w algorithmic analysis and interpretative report Other Outpatient",,,2330.09,2330.09,6
CPT,0250U,"Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden ",,,1751.76,15727.11,120
CPT,0250U,"Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden Other Outpatient",,,3065.58,3065.58,6
CPT,0251U,"Hepcidin-25, enzyme-linked immunosorbent assay (ELISA), serum or plasma ",,,10.36,93.1,118
CPT,0251U,"Hepcidin-25, enzyme-linked immunosorbent assay (ELISA), serum or plasma Other Outpatient",,,18.13,18.13,6
CPT,0252U,"Fetal aneuploidy short tandem-repeat comparative analysis, fetal DNA from products of conception, reported as normal, monosomy, trisomy, or partial deletion/duplications, mosaicism, and segmental ane ",,,455.43,4088.75,124
CPT,0253T,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space ",,,7592.0,17510.0,170
CPT,0253U,"Reproductive medicine, RNA gene expression profile 238 genes by next-generation sequencing, endometrial tissue, predictive algorithm reported as endometrial window of implantation ",,,86.57,17017.6,118
CPT,0253U,"Reproductive medicine, RNA gene expression profile 238 genes by next-generation sequencing, endometrial tissue, predictive algorithm reported as endometrial window of implantation Other Outpatient",,,3317.39,3317.39,6
CPT,0254T,"ENDOVASCULAR REPAIR OF ILIAC ARTERY BIFURCATION (EG, ANEURYSM, PSEUDOANEURYSM, ARTERIOVENOUS MALFORMATION, TRAUMA, DISSECTION) USING BIFURCATED ENDOGRAFT FROM THE COMMON ILIAC ARTERY INTO BOTH THE EXT",,,2152.0,16144.0,32
CPT,0254U,"Reproductive medicine, analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy, and a mitochondrial DNA score in euploid embryos, results reported as normal, monosomy, ",,,86.57,4088.75,124
CPT,0255T,"HEndovascular repair of iliac artery bifurcation (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using bifurcated endoprosthesis from the common iliac artery into both the external ",,,2152.0,16144.0,32
CPT,0255U,"Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of capacitated sperm and prob",,,18.96,169.76,124
CPT,0256U,"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, tandem mass spectrometry (MS/MS), urine, with algorithmic analysis and interpretive report ",,,42.19,861.56,118
CPT,0256U,"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, tandem mass spectrometry (MS/MS), urine, with algorithmic analysis and interpretive report Other Outpatient",,,167.95,167.95,6
CPT,0257U,"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood ",,,38.8,3836.83,118
CPT,0257U,"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood Other Outpatient",,,748.09,748.09,6
CPT,0258U,"Autoimmune (psoriasis), mRNA, next-generation sequencing, gene expression profiling of 50- 100 genes, skin-surface collection using adhesive patch, algorithm reported as likelihood of response to psor",,,2205.0,19795.73,124
CPT,0259U,"Nephrology (chronic kidney disease), nuclear magnetic resonance spectroscopy measurement of myo-inositol, valine, and creatinine, algorithmically combined with cystatin C and demographic data to deter",,,31.63,284.75,124
CPT,0260U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping ",,,44.89,6806.66,118
CPT,0260U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping Other Outp",,,1326.71,1326.71,6
CPT,0261U,"Oncology (colorectal cancer), image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border and tumor core), tissue, r",,,124.88,26662.66,124
CPT,0262U,"Oncology (solid tumor), gene expression profiling by real-time RT-PCR of 7 gene pathways (ER, AR, PI3K, MAPK, HH, TGFB, Notch), formalin-fixed paraffin-embedded (FFPE), algorithm reported as gene path",,,1920.0,17236.63,124
CPT,0263T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure including unilater",,,7168.0,25655.0,170
CPT,0263U,"Neurology (autism spectrum disorder [ASD]), quantitative measurements of 16 central carbon metabolites , liquid chromatography tandem mass spectrometry (LC-MS/MS), plasma, algorithmic analysis with re",,,190.8,4039.48,124
CPT,0264T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone mar",,,7168.0,25655.0,170
CPT,0264U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping ",,,44.89,6806.66,118
CPT,0264U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping Other Outp",,,1326.71,1326.71,6
CPT,0265T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; unilateral or bilateral bone marrow h",,,7168.0,25655.0,170
CPT,0265U,"Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen and formalin-fixed paraffin-embedded (FFPE) tissue, saliva, buccal swabs or cell ",,,747.7,29495.57,124
CPT,0266T,"Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programmin",,,2152.0,25655.0,80
CPT,0266U,"Unexplained constitutional or other heritable disorders or syndromes, tissue-specific gene expression by whole-transcriptome and next-generation sequencing, blood, formalin-fixed paraffin-embedded (FF",,,44.89,17236.63,124
CPT,0267T,"Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,5381.0,25655.0,98
CPT,0267U,"Rare constitutional and other heritable disorders, identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping and whole g",,,4043.6,36302.23,124
CPT,0268T,"Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,7668.0,25655.0,90
CPT,0268U,"Hematology (atypical hemolytic uremic syndrome [aHUS]), genomic sequence analysis of 15 genes, blood, buccal swab, or amniotic fluid ",,,364.9,3276.47,118
CPT,0268U,"Hematology (atypical hemolytic uremic syndrome [aHUS]), genomic sequence analysis of 15 genes, blood, buccal swab, or amniotic fluid Other Outpatient",,,638.58,638.58,6
CPT,0269T,"Revision or removal of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and r",,,7168.0,25655.0,98
CPT,0269U,"Hematology (autosomal dominant congenital thrombocytopenia), genomic sequence analysis of 14 genes, blood, buccal swab, or amniotic fluid ",,,364.9,3276.47,118
CPT,0269U,"Hematology (autosomal dominant congenital thrombocytopenia), genomic sequence analysis of 14 genes, blood, buccal swab, or amniotic fluid Other Outpatient",,,638.58,638.58,6
CPT,0270T,"Revision or removal of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,5381.0,25655.0,98
CPT,0270U,"Hematology (congenital coagulation disorders), genomic sequence analysis of 20 genes, blood, buccal swab, or amniotic fluid ",,,364.9,3276.47,118
CPT,0270U,"Hematology (congenital coagulation disorders), genomic sequence analysis of 20 genes, blood, buccal swab, or amniotic fluid Other Outpatient",,,638.58,638.58,6
CPT,0271T,"Revision or removal of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,5381.0,25655.0,98
CPT,0271U,"Hematology (congenital neutropenia), genomic sequence analysis of 23 genes, blood, buccal swab, or amniotic fluid ",,,364.9,3276.47,118
CPT,0271U,"Hematology (congenital neutropenia), genomic sequence analysis of 23 genes, blood, buccal swab, or amniotic fluid Other Outpatient",,,638.58,638.58,6
CPT,0272U,"Hematology (genetic bleeding disorders), genomic sequence analysis of 51 genes, blood, buccal swab, or amniotic fluid, comprehensive ",,,364.9,3276.47,118
CPT,0272U,"Hematology (genetic bleeding disorders), genomic sequence analysis of 51 genes, blood, buccal swab, or amniotic fluid, comprehensive Other Outpatient",,,638.58,638.58,6
CPT,0273U,"Hematology (genetic hyperfibrinolysis, delayed bleeding), genomic sequence analysis of 8 genes (F13A1, F13B, FGA, FGB, FGG, SERPINA1, SERPINE1, SERPINF2, PLAU), blood, buccal swab, or amniotic fluid ",,,44.89,3276.47,118
CPT,0273U,"Hematology (genetic hyperfibrinolysis, delayed bleeding), genomic sequence analysis of 8 genes (F13A1, F13B, FGA, FGB, FGG, SERPINA1, SERPINE1, SERPINF2, PLAU), blood, buccal swab, or amniotic fluid O",,,638.58,638.58,6
CPT,0274T,"Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde",,,8024.0,21630.0,128
CPT,0274U,"Hematology (genetic platelet disorders), genomic sequence analysis of 43 genes, blood, buccal swab, or amniotic fluid ",,,364.9,3276.47,118
CPT,0274U,"Hematology (genetic platelet disorders), genomic sequence analysis of 43 genes, blood, buccal swab, or amniotic fluid Other Outpatient",,,638.58,638.58,6
CPT,0275T,"Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde",,,8024.0,19952.0,56
CPT,0275U,"Hematology (heparin-induced thrombocytopenia), platelet antibody reactivity by flow cytometry, serum ",,,11.02,98.54,118
CPT,0275U,"Hematology (heparin-induced thrombocytopenia), platelet antibody reactivity by flow cytometry, serum Other Outpatient",,,19.29,19.29,6
CPT,0276U,"Hematology (inherited thrombocytopenia), geonomic sequence analysis of 42 genes, blood, buccal swab, or amniotic fluid ",,,44.89,13189.84,118
CPT,0276U,"Hematology (inherited thrombocytopenia), geonomic sequence analysis of 42 genes, blood, buccal swab, or amniotic fluid Other Outpatient",,,2570.99,2570.99,6
CPT,0277U,"Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic fluid ",,,364.9,3276.47,118
CPT,0277U,"Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic fluid Other Outpatient",,,638.58,638.58,6
CPT,0278T,"Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes) ",,,301.6,2636.0,90
CPT,0278U,"Hematology (genetic thrombosis), genomic sequence analysis of 12 genes, blood, buccal swab, or amniotic fluid ",,,44.89,3276.47,118
CPT,0278U,"Hematology (genetic thrombosis), genomic sequence analysis of 12 genes, blood, buccal swab, or amniotic fluid Other Outpatient",,,638.58,638.58,6
CPT,0279U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen III binding ",,,6.92,62.09,118
CPT,0279U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen III binding Other Outpatient",,,12.11,12.11,6
CPT,0280U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen IV binding ",,,10.36,93.1,118
CPT,0280U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen IV binding Other Outpatient",,,18.13,18.13,6
CPT,0281T,LAA CLOSURE W/IMPLANT ,,,2152.0,16144.0,32
CPT,0281U,"Hematology (von Willebrand disease [VWD]), von Willebrand propeptide, enzyme-linked immunosorbent assays (ELISA), plasma, diagnostic report of von Willebrand factor (VWF) propeptide antigen level ",,,10.36,93.1,118
CPT,0281U,"Hematology (von Willebrand disease [VWD]), von Willebrand propeptide, enzyme-linked immunosorbent assays (ELISA), plasma, diagnostic report of von Willebrand factor (VWF) propeptide antigen level Othe",,,18.13,18.13,6
CPT,0282T,PERIPH FIELD STIMUL TRIAL ,,,8024.0,9417.0,42
CPT,0282U,"Red blood cell antigen typing, DNA, genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes ",,,432.0,3878.85,118
CPT,0282U,"Red blood cell antigen typing, DNA, genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes Other Outpatient",,,756.0,756.0,6
CPT,0283T,PERIPH FIELD STIMUL PERM ,,,8325.0,16144.0,42
CPT,0283U,"von Willebrand factor (VWF), type 2B, platelet-binding evaluation, radioimmunoassay, plasma ",,,11.04,98.54,118
CPT,0283U,"von Willebrand factor (VWF), type 2B, platelet-binding evaluation, radioimmunoassay, plasma Other Outpatient",,,19.32,19.32,6
CPT,0284T,PERIPH FIELD STIMUL REVISE ,,,5381.0,6054.0,42
CPT,0284U,"von Willebrand factor (VWF), type 2N, factor VIII and VWF binding evaluation, enzyme-linked immunosorbent assays (ELISA), plasma ",,,10.36,93.1,118
CPT,0284U,"von Willebrand factor (VWF), type 2N, factor VIII and VWF binding evaluation, enzyme-linked immunosorbent assays (ELISA), plasma Other Outpatient",,,18.13,18.13,6
CPT,0285U,"Oncology, disease progression and response monitoring to radiation, chemotherapy, or other systemic cancer treatments, cell-free DNA, quantitative branced chain DNA amplification, plasma, reporting ",,,44.89,1161.47,112
CPT,0285U,"Oncology, disease progression and response monitoring to radiation, chemotherapy, or other systemic cancer treatments, cell-free DNA, quantitative branced chain DNA amplification, plasma, reporting Ot",,,465.48,465.48,6
CPT,0286U,"CEP72 (centrosomal protein, 72-Kda) NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) gene analysis, conmmon variants ",,,80.48,1025.57,118
CPT,0286U,"CEP72 (centrosomal protein, 72-Kda) NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) gene analysis, conmmon variants Other Outpatient",,,140.84,140.84,6
CPT,0287U,"Oncology (thyroid), DNA and mRNA, next generation sequencing analysis of 112 genes, fine needle aspirate or formalin-fixed paraffin-embedded (FFPE) tissue, algorithmic prediction of cancer recurrence,",,,2160.0,19390.55,124
CPT,0288T,ANOSCOPY W/RF DELIVERY ,,,5694.0,7168.0,42
CPT,0288U,"Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1,BRCA1,CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3, SH3BGR, WNT3A) and 3 reference genes (ESD, TBP, YAP1), formalin-fixed paraffin emb",,,44.89,20861.74,124
CPT,0289T,LASER INC FOR PKP/LKP DONOR ,,,2636.0,2636.0,10
CPT,0289U,"Neurology (Alzheimer Disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm reported as predictive risk score ",,,239.75,4094.25,118
CPT,0289U,"Neurology (Alzheimer Disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm reported as predictive risk score Other Outpatient",,,798.0,798.0,6
CPT,0290T,"CORNEAL INCISIONS IN THE RECIPIENT CORNEA CREATED USING A LASER, IN PREPARATION FOR PENETRATING OR LAMELLAR KERATOPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2636.0,2636.0,10
CPT,0290U,"Pain management, mRNA, gene expression profiling by RNA sequencing of 36 genes, whole blood, algorithm reported as predictive risk score ",,,20.18,4094.25,118
CPT,0290U,"Pain management, mRNA, gene expression profiling by RNA sequencing of 36 genes, whole blood, algorithm reported as predictive risk score Other Outpatient",,,798.0,798.0,6
CPT,0291T,IV OCT FOR PROC INIT VESSEL ,,,2636.0,2636.0,10
CPT,0291U,"Psychiatry (mood disorders), mRNA, gene expression profiling by RNA sequencing of 144 genes, whole blood, algorithm reported as predictive risk score ",,,44.89,4598.1,112
CPT,0291U,"Psychiatry (mood disorders), mRNA, gene expression profiling by RNA sequencing of 144 genes, whole blood, algorithm reported as predictive risk score Other Outpatient",,,1842.75,1842.75,6
CPT,0292T,IV OCT FOR PROC ADDL VESSEL ,,,2636.0,2636.0,10
CPT,0292U,"Psychiatry (stress disorders), mRNA, gene expression profiling by RNA sequencing of 72 genes, whole blood, algorithm reported as predictive risk score ",,,44.89,4598.1,112
CPT,0292U,"Psychiatry (stress disorders), mRNA, gene expression profiling by RNA sequencing of 72 genes, whole blood, algorithm reported as predictive risk score Other Outpatient",,,1842.75,1842.75,6
CPT,0293T,"HInsertion of left atrial hemodynamic monitor; complete system, includes implanted communication module and pressure sensor lead in left atrium including transseptal access, radiological supervision ",,,2152.0,16144.0,32
CPT,0293U,"Psychiatry (suicidial ideation), mRNA, gene expression profiling by RNA sequencing of 54 genes, whole blood, algorithm reported as predictive risk score ",,,44.89,4094.25,118
CPT,0293U,"Psychiatry (suicidial ideation), mRNA, gene expression profiling by RNA sequencing of 54 genes, whole blood, algorithm reported as predictive risk score Other Outpatient",,,798.0,798.0,6
CPT,0294T,HInsertion of left atrial hemodynamic monitor; pressure sensor lead at time of insertion of pacing cardioverter-defibrillator pulse generator including radiological supervision and interpretation and ,,,2152.0,16144.0,32
CPT,0294U,"Longevity and mortality risk, mRNA, gene expression profiling by RNA sequencing of 18 genes, whole blood, algorithm reported as predictive risk score ",,,262.5,4094.25,118
CPT,0294U,"Longevity and mortality risk, mRNA, gene expression profiling by RNA sequencing of 18 genes, whole blood, algorithm reported as predictive risk score Other Outpatient",,,798.0,798.0,6
CPT,0295U,"Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2, FOXA1, HER2, Ki-67, p16, PR, SIAH2), with 4 clinicpathologic factors, utilizing fo",,,187.25,14239.7,124
CPT,0296U,"Oncology (oral and/or oropharyngeal cancer), gene expression profiling by RNA sequencing at least 20 molecular features, saliva, algorithm reported as positive or negative for signature associated wit",,,262.5,9453.42,124
CPT,0297U,"Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed paraffin-embedded (FFPE) tissue, blood or bone marrow, comparative sequence analyses ",,,239.75,7649.35,118
CPT,0298U,"Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed paraffin-embedded (FFPE) tissue, blood or bone marrow, comparative sequence analyses ",,,239.75,15727.11,124
CPT,0299T,"HExtracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; initial wound ",,,2636.0,2636.0,10
CPT,0299U,"Oncology (pan tumor), whole genome optical genome mapping of paired malignant and normal DNA specimens, fresh frozen tissue, blood, or bone marrow, comparative structural variant identification ",,,239.75,4881.64,112
CPT,0299U,"Oncology (pan tumor), whole genome optical genome mapping of paired malignant and normal DNA specimens, fresh frozen tissue, blood, or bone marrow, comparative structural variant identification Other ",,,1956.38,1956.38,6
CPT,0300T,"HExtracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; each additional wound (List separately in addition to code for primary proced ",,,2636.0,2636.0,10
CPT,0300U,"Oncology (pan tumor), whole genome sequencing and optical genome mapping of paired malignant and normal DNA specimens, comparative sequecne analyses and variant identification ",,,239.75,10959.8,112
CPT,0300U,"Oncology (pan tumor), whole genome sequencing and optical genome mapping of paired malignant and normal DNA specimens, comparative sequecne analyses and variant identification Other Outpatient",,,4392.29,4392.29,6
CPT,0301T,"HDestruction/reduction of malignant breast tumor with externally applied focused microwave, including interstitial placement of disposable catheter with combined temperature monitoring probe and micr ",,,5381.0,6054.0,42
CPT,0301U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); ",,,61.41,688.33,112
CPT,0301U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); Other Outpatient",,,275.86,275.86,6
CPT,0302T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,7008.0,10763.0,42
CPT,0302U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); following liquid enrichment ",,,61.41,946.79,112
CPT,0302U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); following liquid enrichment Other Outpatient",,,379.44,379.44,6
CPT,0303T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,8024.0,9417.0,42
CPT,0303U,"Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood with algorithmic analysis and result reported as an RBC adhesion index; h",,,13.6,5768.24,118
CPT,0304T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,7008.0,10763.0,42
CPT,0304U,"Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood with algorithmic analysis and result reported as an RBC adhesion index; n",,,13.6,5438.6,118
CPT,0305U,"Hematology, red blood cell (RBC) functionality and deformity as a function of shear stress, whole blood, reported as a maximum elongation index ",,,23.38,1735.96,112
CPT,0305U,"Hematology, red blood cell (RBC) functionality and deformity as a function of shear stress, whole blood, reported as a maximum elongation index Other Outpatient",,,695.71,695.71,6
CPT,0306U,"Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis, cell-free DNA, initial (baseline) assessment to determine a patient specific panel for future comparisons to ev",,,44.89,10161.54,118
CPT,0307T,HRemoval of intracardiac ischemia monitoring device ,,,5694.0,7168.0,42
CPT,0307U,"Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis of a patient-specific panel, cell-free DNA, subsequent assessment with comparison to previously analyzed patient",,,44.89,2081.56,118
CPT,0308T,Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis ,,,5286.0,57891.74,206
CPT,0308U,"Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD ",,,44.89,2104.59,118
CPT,0308U,"Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD Other Outpatient",,,410.29,410.29,6
CPT,0309T,"HArthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft, when performed, lumbar, L4-L5 int ",,,2152.0,16144.0,32
CPT,0309U,"Cardiology (cardiovascular disease), analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of metalloproteinase-1 [TIMP-1], and kidney injury molecule-1 [KIM-1]), plasma, algorithm reported",,,44.89,2104.59,124
CPT,0310U,"Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NTproBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD ",,,234.45,2104.59,118
CPT,0310U,"Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NTproBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD Other Outpatient",,,410.29,410.29,6
CPT,0311U,"Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)??based antimicrobial susceptibility for each organisms identifi",,,4.85,43.83,126
CPT,0312T,"VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); LAPAROSCOPIC IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, ANTERIOR AND POSTERIOR VAGAL TRUNKS ADJACENT TO ESOPHAGOGASTRIC JUNCTION (EGJ), WITH IMPLAN",,,12654.0,13453.0,32
CPT,0312U,"Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA), fl",,,504.39,4528.63,124
CPT,0313T,"VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); LAPAROSCOPIC REVISION OR REPLACEMENT OF VAGAL TRUNK NEUROSTIMULATOR ELECTRODE ARRAY, INCLUDING CONNECTION TO EXISTING PULSE GENERATOR ",,,5381.0,6054.0,42
CPT,0313U,"Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, ",,,2160.0,19390.55,124
CPT,0314T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); LAPAROSCOPIC REMOVAL OF VAGAL TRUNK NEUROSTIMULATOR ELECTRODE ARRAY AND PULSE GENERATOR ,,,5381.0,6054.0,42
CPT,0314U,"Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as a c",,,1170.0,5109.0,118
CPT,0315T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); REMOVAL OF PULSE GENERATOR ,,,5381.0,6054.0,42
CPT,0315U,"Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm ",,,3412.5,22270.0,118
CPT,0316T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); REPLACEMENT OF PULSE GENERATOR ,,,7668.0,13453.0,42
CPT,0316U,"Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine ",,,11.2,100.42,118
CPT,0316U,"Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine Other Outpatient",,,19.59,19.59,6
CPT,0317U,"Oncology (lung cancer), four-probe FISH (3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive algorithmgenerated evaluation reported as decreased or increased risk for lung cancer ",,,1218.0,10933.74,118
CPT,0317U,"Oncology (lung cancer), four-probe FISH (3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive algorithmgenerated evaluation reported as decreased or increased risk for lung cancer Other Outpat",,,2131.5,2131.5,6
CPT,0318T,REPLACE AORTIC VALVE TTHORAC ,,,2636.0,2636.0,10
CPT,0318U,"Pediatrics (congenital epigenetic disorders), whole genome methylation analysis by microarray for 50 or more genes, blood ",,,82.69,4638.66,112
CPT,0318U,"Pediatrics (congenital epigenetic disorders), whole genome methylation analysis by microarray for 50 or more genes, blood Other Outpatient",,,1859.0,1859.0,6
CPT,0319U,"""Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using pretransplant peripheral blood, algorithm reported as a risk scorefor early acute rejection"" ",,,1590.0,7128.0,112
CPT,0319U,"""Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using pretransplant peripheral blood, algorithm reported as a risk scorefor early acute rejection"" Other Outpatient",,,2782.5,2782.5,6
CPT,0320U,"Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection ",,,1590.0,7128.0,112
CPT,0320U,"Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection Other Outpatien",,,2782.5,2782.5,6
CPT,0321U,"Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogens, identification of 20 bacterial and fungal organisms and identification of 16 associated antibiotic-resistance genes, m",,,61.41,3418.84,124
CPT,0322U,"Neurology (autism spectrum disorder [ASD]), quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites, liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma, ",,,190.8,4039.48,124
CPT,0323U,"Infectious agent detection by nucleic acid (DNA/RNA), central nervous system pathogen, metagenomic next-generation sequencing , cerebrospinal fluid (CSF), identification of pathogenic bacteria, viruse",,,729.37,11452.15,124
CPT,0326U,"Target genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes, iterrogation for sequence variants, gene copy number amplifications, gene rearrang",,,3000.0,13100.0,120
CPT,0327U,"Fetal aneuploidy (trisomy 13, 18, and 21), DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy, includes sex reporting, if performed ",,,477.0,4282.21,118
CPT,0327U,"Fetal aneuploidy (trisomy 13, 18, and 21), DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy, includes sex reporting, if performed Ot",,,834.75,834.75,6
CPT,0328U,"Drug assay, definitive, 120 or more drugs and metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS), includes specimen validity and algorithmic analysis descr",,,68.66,616.95,124
CPT,0329U,"Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications and deletions, gene rearrangements, microsatellite instability and tumor mutation",,,44.89,9007.51,118
CPT,0330T,"Tear film imaging, unilateral or bilateral, with interpretation and report ",,,45.8,149.77,6
CPT,0330U,"Infectious agent detection by nucleic acid (DNA/RNA), vaginal pathogen panel, identification of 27 organisms, amplified probe technique, vaginal swab ",,,61.41,2245.15,118
CPT,0330U,"Infectious agent detection by nucleic acid (DNA/RNA), vaginal pathogen panel, identification of 27 organisms, amplified probe technique, vaginal swab Other Outpatient",,,437.62,437.62,6
CPT,0331T,"Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; ",,,1742.9,5699.41,6
CPT,0331U,"Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations ",,,44.89,4881.64,112
CPT,0331U,"Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations Ot",,,1956.38,1956.38,6
CPT,0332T,"Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; with tomographic SPECT ",,,1742.9,5699.41,6
CPT,0332U,"Oncology (pan-tumor), genetic profiling of 8 DNA-regulatory markers by qPCR, whole blood, reported as a high or low probability of responding to immune checkpoint-inhibitor therapy ",,,685.24,8250.0,112
CPT,0332U,"Oncology (pan-tumor), genetic profiling of 8 DNA-regulatory markers by qPCR, whole blood, reported as a high or low probability of responding to immune checkpoint-inhibitor therapy Other Outpatient",,,1199.16,1199.16,6
CPT,0333U,"Oncology (liver), surveillance for HCC in high-rish patients, analysis of methylation patterns on circulating cfDNA plus measurement of serum of APF/APF-L3 and oncoprotein DCP, algorithm reported as n",,,397.39,1735.28,118
CPT,0334U,"Oncology (solid organ), target geonomic sequence analysis, FFPE tumor tissue, DNA analysis, 84 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements,",,,2919.6,15727.11,122
CPT,0335T,Insertion of sinus tarsi implant ,,,3796.0,12499.0,166
CPT,0335U,"Rare diseases, whole genome sequence analysis, incl small sequence changes, copy number variants, deletions, duplications, mobile element insertions, UPD, inversions, aneuploidy, mitochondrial genome ",,,747.7,28142.99,124
CPT,0336T,LAP ABLAT UTERINE FIBROIDS ,,,7008.0,10763.0,42
CPT,0336U,"Rare diseases, whole genome sequence analysis, incl small sequence changes, copy number variants, deletions, duplications, mobile element insertions, UPD, inversions, aneuploidy, mitochondrial genome ",,,747.7,13868.88,124
CPT,0337U,"Oncology (Plasma cell disorders and myeloma), circulating plasma cell immunologic selection, id, morphological characterization, and enumeration of plasma cells based on differential CD138, CD38, CD19",,,1461.0,6379.7,118
CPT,0338T,"Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r",,,5694.0,23113.0,214
CPT,0338U,"Oncology (Solid Tumor), circulating tumor cell selection, id, morphological characterization, detection and enumeration based on differential EpCAM, cytokeratins 8, 18 and 19, and CD45 protein biomark",,,44.89,6379.7,120
CPT,0339T,"Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r",,,5694.0,23113.0,214
CPT,0339U,"Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first void urine following digital rectal examination, algorithn reporteed a",,,456.0,8520.6,124
CPT,0340T,"HAblation, pulmonary tumor(s), including pleura or chest wall when involved by tumor extension, percutaneous, cryoablation, unilateral, includes imaging guidance ",,,8024.0,9417.0,42
CPT,0340U,"Oncology (pan-cancer), analysis of MRD from plasma, with assays personalized to each patient based on prior next generation sequencing of the patient's tumor and germline DNA, reported as absence or p",,,2154.0,21115.48,124
CPT,0341U,"Fetal aneuploidy DNA sequencing comparative analysis, fetal DNA from products of conception, reported as normal (euploidy), monosomy, trisomy, or partial deletion/duplication, mosaicism and segmental ",,,1140.12,4978.52,118
CPT,0342T,Therapeutic apheresis with selective HDL delipidation and plasma reinfusion ,,,7168.0,25655.0,170
CPT,0342U,"Oncology (pancreatic cancer), multiplex immonoassay of C5, C4, Cystatin C, factor B, osteoprotegerin, gelsolin, IGFBP3, CA125 and multiplex electrochemiluminescent immunoassay for CA19-9, serum, diagn",,,36.42,4831.63,124
CPT,0343U,"Oncology (prostate), exosome-based analysis of 442 small noncoding RNAs by quantitative reverse transcription polymerase chain reaction, urine, reported as molecular evidence of no-, low-, intermediat",,,456.0,8520.6,126
CPT,0344U,"Hepatology (nonalcoholic fatty liver disease), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectometry, serum, reported as at-risk for nonalcoholic steato",,,44.89,2075.49,118
CPT,0345T,PC TRNCTH MVR VIA CSINUS,58573.58,58573.58,4100.15,58573.58,50
CPT,0345T,Transcatheter mitral valve repair percutaneous approach via the coronary sinus ,58573.58,58573.58,2152.0,32867.14,160
CPT,0345U,"Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 ",,,44.89,7197.27,118
CPT,0345U,"Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 Other Outpatient",,,1402.89,1402.89,6
CPT,0346U,"Beta amyloid, AB40 and AB42 by liquid chromatography with tandem mass spectromety, ratio, plasma ",,,55.96,55.96,2
CPT,0347T,Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) ,,,119.92,6680.0,134
CPT,0347U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes ",,,789.09,7197.27,118
CPT,0347U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes Other Outpatient",,,1402.89,1402.89,6
CPT,0348T,"Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when performed) ",,,153.55,549.88,40
CPT,0348U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes ",,,445.36,3997.46,118
CPT,0348U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes Other Outpatient",,,779.38,779.38,6
CPT,0349T,"Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist, when performed) ",,,153.55,842.07,40
CPT,0349U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions ",,,445.36,3997.46,124
CPT,0350T,"Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed) ",,,83.86,732.25,40
CPT,0350U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis and reported phenotypes ",,,789.09,7197.27,118
CPT,0350U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis and reported phenotypes Other Outpatient",,,1402.89,1402.89,6
CPT,0351T,"Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; real-time intraoperative ",,,2791.82,3529.43,4
CPT,0351U,"Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor related apoptosis-inducing ligand interferon gamma induced protein-10, and C-reactive protein, serum, algorithm repor",,,156.3,1403.67,126
CPT,0352T,"Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred ",,,1311.42,3529.43,28
CPT,0352U,"Infectious disease (bact vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis-assoc bacteria, algorithm reported as detected or not detected and separate",,,85.58,768.46,8
CPT,0353U,"Infectious agent detection by nucleic acid, Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technque, urine, vaginal, pharyngeal or rectal, each pathogen reported as detecte",,,42.11,377.85,8
CPT,0354T,"Optical coherence tomography of breast, surgical cavity; interpretation and report, real-time or referred ",,,1311.42,3529.43,28
CPT,0354U,"Human papilloma virus, high-risk types (ie, 16, 18, 31, 33, 45, 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction ",,,21.05,189.83,8
CPT,0355T,"GASTROINTESTINAL TRACT IMAGING, INTRALUMINAL (EG, CAPSULE ENDOSCOPY), COLON, WITH INTERPRETATION AND REPORT ",,,2214.0,4723.0,42
CPT,0355U,"Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants ",,,82.2,2090.0,112
CPT,0355U,"Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants Other Outpatient",,,143.85,143.85,6
CPT,0356T,"INSERTION OF DRUG-ELUTING IMPLANT (INCLUDING PUNCTAL DILATION AND IMPLANT REMOVAL WHEN PERFORMED) INTO LACRIMAL CANALICULUS, EACH ",,,2636.0,2636.0,10
CPT,0356U,"Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence ",,,262.5,4716.0,110
CPT,0356U,"Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence Other Outpatient",,,1890.0,1890.0,6
CPT,0358T,"Bioelectrical impedance analysis whole body composition assessment, with interpretation and report ",,,63.22,123.0,6
CPT,0358U,"Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative ",,,156.3,1190.18,112
CPT,0358U,"Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative Other Outpat",,,273.53,273.53,6
CPT,0359U,"Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer ",,,456.0,1991.2,112
CPT,0359U,"Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer Other Outpatient",,,798.0,798.0,6
CPT,0360U,"Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy ",,,504.39,6316.2,112
CPT,0360U,"Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy Other Outpatient",,,882.68,882.68,6
CPT,0362U,"Oncology (papillary thyroid cancer), gene-expression profiling via targeted hybrid capture-enrichment rna sequencing of 82 content genes and 10 housekeeping genes, formalin-fixed paraffin embedded (ff",,,2160.0,9432.0,118
CPT,0363U,"Oncology (urothelial), mrna, gene expression profiling by real-time quantitative pcr of 5 genes (mdk, hoxa13, cdc2 ºcdk1», igfbp5, and cxcr2), utilizing urine, algorithm incorporates age, sex, smoking",,,456.0,1991.2,118
CPT,0364U,"Oncology (hematolymphoid neoplasm), genomic seq anal using multiplex (PCR) & next gen seq w altorithm, quantification of dominatnt clonal sequ, reported as presence or absence of minimal residual dise",,,1997.21,8250.0,118
CPT,0365U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer ",,,538.2,2350.14,112
CPT,0365U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer Other Outpatient",,,941.85,941.85,6
CPT,0366U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer ",,,538.2,2350.14,112
CPT,0366U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer Other Outpatient",,,941.85,941.85,6
CPT,0367U,"Oncology (Bladder), analysis of 10 protein biomarkers by immunoassays, urine, diagnostic algorithm reported as a risk score for probability of rapid recurrence of recurrent or persistent cancer follow",,,541.31,2363.71,118
CPT,0368U,"Oncology (colorectal cancer), eval for mutations of APC, BRAF, CTNNB1, KRAS, NRAS, IPK3CA, SMAD4, and TP53, and methylation markers, multiplex quantitative polymerase chain reaction (qPCR), circulatin",,,124.88,1091.96,116
CPT,0369U,"Infection agent detection by nucleic acid, gastrointestinal pathogens, 31 bacterial, viral, and parasitic organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified",,,250.07,250.07,2
CPT,0370U,"Infectious agent detection by nucleic acid, surgical wound patogens, 34 microorganisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified probe technique, wound swab ",,,250.07,250.07,2
CPT,0371U,"Infectious agent detection by nucleic a3cid, genitourinary pathogen, semiquantitative identification, DNA from 16 bacterial organisms and 1 fungal organism, multiplex amplified probe technique via qua",,,61.41,1091.96,118
CPT,0372U,"Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe technique, urine, reported as an antimicrobial stewardship risk score ",,,249.6,1091.96,112
CPT,0372U,"Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe technique, urine, reported as an antimicrobial stewardship risk score Other Outpatient",,,437.62,437.62,6
CPT,0373U,"Infectious agent detection by nucleic acid, respiratory tract infection, 17 bacteria, 8 fungus, 13 virus, and 16 antibiotic-resistance genes, multiples amplified probe technique, upper or lower respir",,,250.07,250.07,2
CPT,0374U,"Infectious agent detection by nucleic acid, genitourinary pathogens, identification 21 bacterial and fungal organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplifi",,,250.07,250.07,2
CPT,0375T,"TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTOMY WITH END PLATE PREPARATION (INCLUDES OSTEOPHYTECTOMY FOR NERVE ROOT OR SPINAL CORD DECOMPRESSION AND MICRODISSECTION)",,,2152.0,16144.0,32
CPT,0375U,"Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prea0lbumin, and cancer antigen 1",,,538.2,2350.14,120
CPT,0376T,"INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVOIR, INTERNAL APPROACH, INTO THE TRABECULAR MESHWORK; EACH ADDITIONAL DEVICE INSERTION (LIST SEPARATELY IN ADDITION TO ",,,2636.0,2636.0,10
CPT,0376U,"Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific morta",,,423.75,8520.6,118
CPT,0377T,ANOSCOPY WITH DIRECTED SUBMUCOSAL INJECTION OF BULKING AGENT FOR FECAL INCONTINENCE ,,,5694.0,7168.0,42
CPT,0377U,"Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance spectrometry with report of a lipoprotein profile (incl 23 variables) ",,,28.55,124.66,114
CPT,0377U,"Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance spectrometry with report of a lipoprotein profile (incl 23 variables) Other Outpat",,,49.96,49.96,6
CPT,0378U,"RFC1 repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab ",,,44.89,358.94,112
CPT,0378U,"RFC1 repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab Other Outpatient",,,143.85,143.85,6
CPT,0379T,"Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical suppor",,,91.93,178.85,6
CPT,0379U,"Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq, interrogation for sequence variants, gene copy number amplifications, gene rearrange",,,3272.07,8615.9,116
CPT,0380U,"Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication anaylsis with reported genotype and phenotype ",,,250.07,250.07,2
CPT,0381U,"Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of allo-isoleucine, leucine, isoleucine, and valine, liquid chromatography with tandem mass spectr",,,43.9,208.98,116
CPT,0382U,"Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and tyrosine, liquid chromatography with tandem mass spectrometry ",,,51.38,239.87,110
CPT,0382U,"Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and tyrosine, liquid chromatography with tandem mass spectrometry Other Outpatient",,,54.22,54.22,6
CPT,0383U,"Tyrosinemia typr I monitoring by patient-collected blood card sample, quantitative measurement of tyrosine, phenylalanine, methionine, succinylacetone, nitisinone, liquid chromatography with tandem ma",,,51.79,239.87,116
CPT,0384U,"Nephrology (chronic kidney disease), carboxymethyllysine, methylglyoxal hydroimidazolone, and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry and HbA1c and estimated glomeru",,,450.0,2090.0,118
CPT,0385U,"Nephrology (chronic kidney disease), apolipoprotein A4, CD5 antigen-like, and insulin-like growth factor binding protein 3 by enzyme-linked immunoassay, plasma, algorithm, combining results with HDL, ",,,234.45,2090.0,118
CPT,0387T,"TRANSCATHETER INSERTION OR REPLACEMENT OF PERMANENT LEADLESS PACEMAKER, VENTRICULAR ",,,7668.0,13453.0,42
CPT,0387U,"Oncology, autophagy and beclin 1 revulator 1 and loricrin by immunohistochemistry, formalinfixed paraffin-embedded tissue, report for risk of progression ",,,569.1,4290.0,112
CPT,0387U,"Oncology, autophagy and beclin 1 revulator 1 and loricrin by immunohistochemistry, formalinfixed paraffin-embedded tissue, report for risk of progression Other Outpatient",,,995.93,995.93,6
CPT,0388T,"TRANSCATHETER REMOVAL OF PERMANENT LEADLESS PACEMAKER, VENTRICULAR ",,,5694.0,7168.0,42
CPT,0388U,"Oncology, next-generation sequencing with ident of single nucleotide variants, copy number variants, insertions and deletions, and scructural variants in 37 cancer related genes, plasma, with report f",,,568.01,9170.0,116
CPT,0389U,"Pediatric febrile illness (Kawasaki disease) interferon alphainducible protein 27 and mast cell-expressed membraine protein 1, RNA, using reverse transcription polymerase chain reaction, blood, report",,,69.85,1107.48,116
CPT,0390U,"Obstetrics (preeclampsia), kinase insert domain receptor, Endoglin, and retinol-binding protein 4, by immunoassay, serum, algorithm reported as a risk score ",,,38.65,168.75,112
CPT,0390U,"Obstetrics (preeclampsia), kinase insert domain receptor, Endoglin, and retinol-binding protein 4, by immunoassay, serum, algorithm reported as a risk score Other Outpatient",,,67.63,67.63,6
CPT,0391U,"Oncology, DNA and RNA by nex-gen sequencing, utilizing FFPE tissue, 437 genes, interpretive report for single nucleotide variants, splicesite variants, inserts/deletions, copy number alterations, gene",,,2160.0,9432.0,118
CPT,0392T,Lap es sph augment dev place ,,,7008.0,10763.0,42
CPT,0392U,"Drug metabolism (ADHD), gene-drug interactions, variant analysis of 16 genes, including deletion/duplication analysis of CYP2D6, reported as impact of gene-drug interaction for each drug ",,,789.09,3500.56,112
CPT,0392U,"Drug metabolism (ADHD), gene-drug interactions, variant analysis of 16 genes, including deletion/duplication analysis of CYP2D6, reported as impact of gene-drug interaction for each drug Other Outpati",,,1402.89,1402.89,6
CPT,0393T,Es sph augmnt device removal ,,,8024.0,9417.0,42
CPT,0393U,"Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative ",,,324.59,1417.39,114
CPT,0393U,"Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative Other Outpatient",,,568.04,568.04,6
CPT,0394U,"Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative ",,,42.16,520.7,112
CPT,0394U,"Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative Other Outpatient",,,208.68,208.68,6
CPT,0395T,"High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed ",,,1014.51,3317.53,6
CPT,0395U,"Oncology (lung), multi-omics, plasma, algorithm reported as malignancy risk for lung nodules in early-stage disease ",,,793.46,4466.0,110
CPT,0395U,"Oncology (lung), multi-omics, plasma, algorithm reported as malignancy risk for lung nodules in early-stage disease Other Outpatient",,,837.32,837.32,6
CPT,0396T,INTRA-OPERATIVE USE OF KINETIC BALANCE SENSOR FOR IMPLANT STABILITY DURING KNEE REPLACEMENT ARTHROPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ,,,2636.0,2636.0,10
CPT,0397T,"Endoscopic retrograde cholangiopancreatography (ERCP), with optical endomicroscopy (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,134
CPT,0398T,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when ",,,2152.0,25655.0,88
CPT,0398U,"Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm reported as risk score for progression to high-grade dysplasia or cancer ",,,251.13,4598.1,112
CPT,0398U,"Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm reported as risk score for progression to high-grade dysplasia or cancer Other O",,,1842.75,1842.75,6
CPT,0399U,"Neurology (cerebral folate deficiency), serum, detection of anti-human folate receptor IgGbinding antibody and blocking antibodies by enzyme-linked immunoassay, qualitative and blocking autoantibodies",,,25.72,786.0,116
CPT,0400U,"Obstetrics (exp carrier screen), 145 genes by nextgeneration sequencing, fragment analysis and multiplex ligationdependent probe amplification, DNA, reported as carrier positive or negative ",,,1449.6,5386.83,110
CPT,0400U,"Obstetrics (exp carrier screen), 145 genes by nextgeneration sequencing, fragment analysis and multiplex ligationdependent probe amplification, DNA, reported as carrier positive or negative Other Outp",,,1529.72,1529.72,6
CPT,0401U,"Cardiology (CAD), 9 genes (12 variants), targeted variant genotyping, blood, saliva, or buccal swab, algorithm reported as a genetic risk score for a coronary event ",,,44.89,1282.96,110
CPT,0401U,"Cardiology (CAD), 9 genes (12 variants), targeted variant genotyping, blood, saliva, or buccal swab, algorithm reported as a genetic risk score for a coronary event Other Outpatient",,,514.16,514.16,6
CPT,0402T,"Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative pachymetry, when performed ",,,1266.0,8858.0,214
CPT,0402U,"Infectious agent, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, multiples amplified probe technique, vaginal, endocervical, or male urine, each pathogen r",,,61.41,373.69,120
CPT,0403T,"Preventive behavior change, intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per",,,44.6,86.78,6
CPT,0403U,"Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer ",,,44.89,1991.2,112
CPT,0403U,"Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer Other Outpatient",,,798.0,798.0,6
CPT,0404T,"TRANSCERVICAL UTERINE FIBROID(S) ABLATION WITH ULTRASOUND GUIDANCE, RADIOFREQUENCY ",,,7592.0,8072.0,50
CPT,0404U,"Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression ",,,193.78,846.16,114
CPT,0404U,"Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression Other Outpatient",,,339.11,339.11,6
CPT,0405U,"Oncology (pancreatic), 59 methylation haplotype block markers, next-generation sequencing, plasma, reported as cancer signal detected or not detected ",,,36.42,4638.66,112
CPT,0405U,"Oncology (pancreatic), 59 methylation haplotype block markers, next-generation sequencing, plasma, reported as cancer signal detected or not detected Other Outpatient",,,1859.0,1859.0,6
CPT,0406T,"NASAL ENDOSCOPY, SURGICAL, ETHMOID SINUS, PLACEMENT OF DRUG ELUTING IMPLANT; ",,,2636.0,2636.0,10
CPT,0406U,"Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer ",,,456.0,6316.2,112
CPT,0406U,"Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer Other Outpatient",,,798.0,798.0,6
CPT,0407T,"NASAL ENDOSCOPY, SURGICAL, ETHMOID SINUS, PLACEMENT OF DRUG ELUTING IMPLANT; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT ",,,2636.0,2636.0,10
CPT,0407U,"Nephrology (diabetic chronic kidney disease), multiplex electrochiluminescent immunoassay of soluble tumor necrosis factor receptor 1, 2, and kidney injury molecule 1 combined with clinical data, plas",,,456.0,2489.0,120
CPT,0408T,INS/REPL CCM SYSTEM,158496.77,158496.77,11094.77,158496.77,43
CPT,0408T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator",158496.77,158496.77,8325.0,63596.09,166
CPT,0408U,"Infectious agent antigen detection by bulk acoustic  wave biosensor immumoassay, severe acute reporatory syndrome conronavirus 2 (COVID-19) ",,,14.06,99.51,110
CPT,0408U,"Infectious agent antigen detection by bulk acoustic  wave biosensor immumoassay, severe acute reporatory syndrome conronavirus 2 (COVID-19) Other Outpatient",,,14.84,14.84,6
CPT,0409T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator",,,8325.0,63596.09,206
CPT,0409U,"Oncology (solid tumor), DNA (80 genes) & RNA (36 genes), by next-generation sequencing from plasma, including single nucleotide variants, insertions, deletions, copy number alterations, microsatellite",,,1751.76,8250.0,118
CPT,0410T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; atrial electrod",,,7668.0,25750.0,174
CPT,0410U,"Oncology (pancreatic), DNA, whole genome sequencing with 5-hydrosymethylcytosine enrichment, whole blood or plasma, algorithm reported as cancer detected or not detected ",,,36.42,3039.2,112
CPT,0410U,"Oncology (pancreatic), DNA, whole genome sequencing with 5-hydrosymethylcytosine enrichment, whole blood or plasma, algorithm reported as cancer detected or not detected Other Outpatient",,,1218.0,1218.0,6
CPT,0411T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; ventricular ele",,,7668.0,25750.0,174
CPT,0411U,"Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 ",,,44.89,3500.56,112
CPT,0411U,"Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 Other Outpatient",,,1402.89,1402.89,6
CPT,0412T,Removal of permanent cardiac contractility modulation system; pulse generator only ,,,5694.0,12499.0,214
CPT,0412U,"Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry and  ApoE isoform-specific peotyotyping, plasma combined with age ",,,42.16,1965.0,112
CPT,0412U,"Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry and  ApoE isoform-specific peotyotyping, plasma combined with age Other Outpat",,,787.5,787.5,6
CPT,0413T,Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular) ,,,5694.0,21768.0,174
CPT,0413U,"Oncology (hematolymphoid neoplasm), optical genome mapping for ocpy number alterations, aneuploidy, and balanced/complex structural rearrangements, DNA from blood or bone marrow, report of clinically ",,,44.89,3310.45,118
CPT,0414T,Removal and replacement of permanent cardiac contractility modulation system pulse generator only ,,,8325.0,63596.09,206
CPT,0414U,"Oncology (lung), augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK, BRAF, EGFR, ERBB2, MET, NTRK1-3, RET, ROSI), and KRAS G12C and PL-L1, if performed, formalin-fixed",,,44.89,1850.38,118
CPT,0415T,Repositioning of previously implanted cardiac contractility modulation transvenous electrode (atrial or ventricular lead) ,,,1374.51,21768.0,174
CPT,0415U,"Cardiovascular disease , IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by immunoassay combined with age, sex, family history, and personal history of diabetes, blood, algorithm reported as a 5",,,44.89,1023.76,118
CPT,0416T,Relocation of skin pocket for implanted cardiac contractility modulation pulse generator ,,,2214.0,18747.0,214
CPT,0416U,"Infectious agent detection by nucleic acid (DNA), genitourinary pathogens, identification of 20 bacterial and fungal organisms, incl identification of 20 associated antibiotic-resistance genes, if per",,,250.07,250.07,2
CPT,0417T,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including",,,99.69,193.94,6
CPT,0417U,"Rare diseases (constitutional/heritable disorders), whole mitochordrial genome sequence with heteroplasmy detection and deletion analysis, nuclear-encoded mitochrondrial gene analysis of 335 nuclear g",,,747.7,7447.43,116
CPT,0418T,"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, implantable cardiac contractility modulation syste",,,99.69,193.94,6
CPT,0418U,"Oncology (breast), augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features, reported as a recurrence score ",,,124.88,1850.38,112
CPT,0418U,"Oncology (breast), augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features, reported as a recurrence score Other Outpatient",,,741.56,741.56,6
CPT,0419T,"Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas ",,,1481.0,5932.0,182
CPT,0419U,"Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or buccal swab, report of each gene phenotype ",,,44.89,3500.56,112
CPT,0419U,"Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or buccal swab, report of each gene phenotype Other Outpatient",,,1402.89,1402.89,6
CPT,0420T,"Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas ",,,1481.0,5932.0,182
CPT,0420U,"Oncology (urothelial), mRNA expression profiling by real-time quantitative PCR of MDK HOXA13, CDC2, IGFBP5, and CXCR2 in combination with droplet digital PCR analysis of 6 single-nucleotide polymorphi",,,1321.68,3480.2,116
CPT,0421T,"Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,2152.0,25655.0,88
CPT,0421U,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 8 RNA markers and fecal hemoglobin, algorithm reported as a positive or negative for colorectal cancer risk ",,,506.33,1333.24,110
CPT,0421U,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 8 RNA markers and fecal hemoglobin, algorithm reported as a positive or negative for colorectal cancer risk O",,,534.31,534.31,6
CPT,0422T,"Tactile breast imaging by computer-aided tactile sensors, unilateral or bilateral ",,,83.86,357.55,30
CPT,0422U,"Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment cell-free circulating D",,,239.75,5091.21,116
CPT,0423U,"Psychiatry (eg, depression, anxiety), geonomic analysis panel, including variant analysis of 26 genes, buccal swab, report including metabolizer status and risk of drug toxicity by condition ",,,44.89,1083.63,40
CPT,0424T,"INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; COMPLETE SYSTEM (TRANSVENOUS PLACEMENT OF RIGHT OR LEFT STIMULATION LEAD, SENSING LEAD, IMPLANTABLE PULSE GENER",,,8325.0,16144.0,42
CPT,0424U,"Oncology (prostate), exosome-based analysis of 53 small noncoding RNAs by quantitative reverse transcription polymerase chain reaction, urine, reported as no molecular evidence, low-, moderate- or ele",,,756.2,8520.6,116
CPT,0425T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,7008.0,9417.0,50
CPT,0425U,"Genome, rapid sequence analysis, each comparator genome ",,,4073.92,11068.64,110
CPT,0425U,"Genome, rapid sequence analysis, each comparator genome Other Outpatient",,,4299.11,4299.11,6
CPT,0426T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,8325.0,13453.0,50
CPT,0426U,"Genome, ultra-rapid sequence analysis ",,,7544.29,19865.36,110
CPT,0426U,"Genome, ultra-rapid sequence analysis Other Outpatient",,,7961.31,7961.31,6
CPT,0427T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; PULSE GENERATOR ONLY ,,,8325.0,13453.0,42
CPT,0427U,"Monocyte distribution width, whole blood ",,,4.46,15.66,112
CPT,0427U,"Monocyte distribution width, whole blood Other Outpatient",,,4.7,4.7,6
CPT,0428T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; PULSE GENERATOR ONLY ,,,5694.0,7168.0,50
CPT,0429T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,5694.0,7168.0,50
CPT,0429U,"Human papillomavirus (HPV), oropharyngeal swab, 14 high-risk types ",,,34.91,91.94,110
CPT,0429U,"Human papillomavirus (HPV), oropharyngeal swab, 14 high-risk types Other Outpatient",,,36.84,36.84,6
CPT,0430T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,5694.0,7168.0,50
CPT,0430U,"Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative ",,,40.2,161.23,110
CPT,0430U,"Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative Other Outpatient",,,64.62,64.62,6
CPT,0431T,"REMOVAL AND REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA, PULSE GENERATOR ONLY ",,,8325.0,13453.0,42
CPT,0431U,"Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative ",,,21.09,95.81,110
CPT,0431U,"Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient",,,38.4,38.4,6
CPT,0432T,REPOSITIONING OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,5694.0,7168.0,50
CPT,0432U,"Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative ",,,21.09,95.81,110
CPT,0432U,"Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient",,,38.4,38.4,6
CPT,0433T,REPOSITIONING OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,5694.0,7168.0,50
CPT,0433U,"Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific antigen, reported as likelihood of cancer ",,,756.2,1991.2,110
CPT,0433U,"Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific antigen, reported as likelihood of cancer Other Outpatient",,,798.0,798.0,6
CPT,0434U,"Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with reported phenotypes ",,,414.7,1632.99,110
CPT,0434U,"Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with reported phenotypes Other Outpatient",,,437.62,437.62,6
CPT,0435U,"Oncology, chemotherapeutic drug cytotoxicity assay of cancer stem cells, from culturedCSCs and primary tumor cells, categorical drug response reported based on cytotoxicity percentage observed, minimu",,,86.57,7948.71,116
CPT,0436U,"Oncology (lung), plasma analysis of 388 proteins, using aptamer-based proteomics technology, predictive algorithm reported as clinical benefit from immune checkpoint inhibitor therapy ",,,1496.72,8250.0,110
CPT,0436U,"Oncology (lung), plasma analysis of 388 proteins, using aptamer-based proteomics technology, predictive algorithm reported as clinical benefit from immune checkpoint inhibitor therapy Other Outpatient",,,1579.45,1579.45,6
CPT,0437T,"Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,86
CPT,0437U,"Psychiatry (anxiety disorders), mRNA, gene expression profiling by RNA sequencing of 15 biomarkers, whole blood, algorithm reported as predictive risk score ",,,44.89,1991.2,110
CPT,0437U,"Psychiatry (anxiety disorders), mRNA, gene expression profiling by RNA sequencing of 15 biomarkers, whole blood, algorithm reported as predictive risk score Other Outpatient",,,798.0,798.0,6
CPT,0438T,"HTransperineal placement of biodegradable material, peri-prostatic (via needle), single or multiple, includes image guidance ",,,7168.0,7168.0,10
CPT,0438U,"Drug metabolism (adverse drug reactions and drug response), buccal specimen, gene-drug interactions, variant analysis of 33 genes, including deletion/duplication analysis of CYP2D6, including reported",,,414.7,1091.96,116
CPT,0439T,"Myocardial contrast perfusion echocardiography, at rest or with stress, for assessment of myocardial ischemia or viability (List separately in addition to code for primary procedure) ",,,266.61,518.68,6
CPT,0439U,"Cardiology (Coronary Heart Disease), DNA, analysis of 5 single-nucleotide polymorphisms and 3 DNA methylation markers, qPCR and digital PCR, whole blood, algorighm reported as a 4-tiered risk score fo",,,44.89,2237.48,116
CPT,0440T,"Ablation, percutaneous, cryoablation, includes imaging guidance; upper extremity distal/peripheral nerve ",,,3748.18,25655.0,182
CPT,0440U,"Cardiology (Coronary Heart Disease), DNA, analysis of 10 single-necleotide polymorphisms (SNPs) and 6 DNA methylation markers, qPCD and digital PCR, whole blood, algorithm reported as detected for CHD",,,44.89,2237.48,116
CPT,0441T,"Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve ",,,3748.18,25655.0,182
CPT,0441U,"Infectious disease (bacterial, fungal or viral infection), semiquantitative biomechanical assessment, whole blood with algorighmic analysis and result reported as an Index ",,,31.66,1163.49,112
CPT,0441U,"Infectious disease (bacterial, fungal or viral infection), semiquantitative biomechanical assessment, whole blood with algorighmic analysis and result reported as an Index Other Outpatient",,,466.28,466.28,6
CPT,0442T,"Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve) ",,,5286.0,25655.0,182
CPT,0442U,"Infectious disease (respiratory infection), Myxovirus resistance protein A and C-reactive protein, fingerstick whole blood specimen, each biomarker reported as present or absent ",,,41.17,108.42,112
CPT,0442U,"Infectious disease (respiratory infection), Myxovirus resistance protein A and C-reactive protein, fingerstick whole blood specimen, each biomarker reported as present or absent Other Outpatient",,,43.45,43.45,6
CPT,0443T,"Real-time spectral analysis of prostate tissue by fluorescence spectroscopy, including imaging guidance (List separately in addition to code for primary procedure) ",,,74.92,2636.0,46
CPT,0443U,"Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid ",,,30.22,304.52,112
CPT,0443U,"Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient",,,122.04,122.04,6
CPT,0444T,"Initial placement of a drug-eluting ocular insert under one or more eyelids, including fitting, training, and insertion, unilateral or bilateral ",,,1481.0,9908.0,86
CPT,0444U,"Oncology (solid organ neoplasia), targeted genomic sequence analysis panel of 361 genes, interrogation for gene fusions, translocations, or other rearrangements, using DNA from formalin-fixed paraffin",,,2905.0,7649.35,116
CPT,0445T,"Subsequent placement of a drug-eluting ocular insert under one or more eyelids, including re-training, and removal of existing insert, unilateral or bilateral ",,,1481.0,9908.0,86
CPT,0445U,"B-amyloid and phosphotau, electrochemiluminescent immunoassay, cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology ",,,259.2,1190.18,112
CPT,0445U,"B-amyloid and phosphotau, electrochemiluminescent immunoassay, cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology Other Outpatient",,,273.53,273.53,6
CPT,0446T,"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training ",,,1083.5,6680.0,182
CPT,0446U,"Autoimmune diseases (systemic lupus erythematosus), analysis of 10 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components reported with an algorithmic risk score for curren",,,16.28,2202.5,116
CPT,0447T,Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision ,,,380.91,5932.0,182
CPT,0447U,"Autoimmune diseases, analysis of 11 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components reported with an algorithmic prognostic risk score for developing a clinical flar",,,16.28,2202.5,116
CPT,0448T,"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor, including system activation ",,,1083.5,6680.0,182
CPT,0449T,"Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device ",,,7799.0,25655.0,182
CPT,0449U,"Carrier screening for severe inherited conditions (CF, spinal musc atrophy, beta hemoglobinopathies), regardless of race or self-identified ancestry, genomic sequence analysis panel, must include anal",,,1815.76,5386.83,118
CPT,0450T,"Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; each additional device (List separately in addition to code for primary procedur",,,1481.0,5932.0,86
CPT,0452U,"Oncology (bladder),methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTR-qMSP),urine reported as likelihood of bladder cancer ",,,191.04,1672.0,110
CPT,0452U,"Oncology (bladder),methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTR-qMSP),urine reported as likelihood of bladder cancer Other Outpatient",,,201.6,201.6,6
CPT,0453U,"Oncology (colorectal cancer),cellfree DNA (cfDNA),methylationbased quantitative PCR assay (SEPTIN9,IKZF1,BCATI,Septin9-2,VAV3,BCAN),plasma,reported as presence or absence of circulating tumor DNA ",,,124.88,503.04,110
CPT,0453U,"Oncology (colorectal cancer),cellfree DNA (cfDNA),methylationbased quantitative PCR assay (SEPTIN9,IKZF1,BCATI,Septin9-2,VAV3,BCAN),plasma,reported as presence or absence of circulating tumor DNA Othe",,,201.6,201.6,6
CPT,0454U,"Rare diseases (constitutional/heritable disorders),identification of copy number variations,inversions,insertions,translocations,and other structural variants by optical genome mapping ",,,44.89,3310.45,110
CPT,0454U,"Rare diseases (constitutional/heritable disorders),identification of copy number variations,inversions,insertions,translocations,and other structural variants by optical genome mapping Other Outpatien",,,1326.71,1326.71,6
CPT,0455U,"Infectious agents (Sexually transmitted infection),Chlamydia tracomatic, Neisseria gonorrhoeae,and Trichomonas vaginalis,multiples amplified probe technique,vaginal,endocervical,gynecological specimen",,,61.41,373.69,118
CPT,0457U,"Perfluoroalkyl substances (PFAS) (eg perfluorooctanoic acid, perflurooctaine sulfonic acid),9 PFAS compounds by LC-MS/MS,plasma or serum, quantitative ",,,42.16,520.7,110
CPT,0457U,"Perfluoroalkyl substances (PFAS) (eg perfluorooctanoic acid, perflurooctaine sulfonic acid),9 PFAS compounds by LC-MS/MS,plasma or serum, quantitative Other Outpatient",,,208.68,208.68,6
CPT,0458U,"Oncology (breast cancer),S100A8 and S100A9,by enzymelinked immunosorbent assay (ELISA),terafluid with age, algorithm reported as a risk score ",,,259.2,6316.2,110
CPT,0458U,"Oncology (breast cancer),S100A8 and S100A9,by enzymelinked immunosorbent assay (ELISA),terafluid with age, algorithm reported as a risk score Other Outpatient",,,273.53,273.53,6
CPT,0459U,"B-amyloid (Abeta42) and total tau (tTau), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology ",,,259.2,1190.18,112
CPT,0459U,"B-amyloid (Abeta42) and total tau (tTau), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology Other Outpatient",,,273.53,273.53,6
CPT,0460U,"Oncology, whole blood or buccal,DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes, with variant analysis and reported phenotypes ",,,44.89,2402.75,110
CPT,0460U,"Oncology, whole blood or buccal,DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes, with variant analysis and reported phenotypes Other Outpatient",,,962.93,962.93,6
CPT,0461U,"Oncology,parmacogenomic analysis of single-necleotide polymorphism (SNP)genotyping by real time PCR of 24 genes,whole blood or buccal swab,with variant analysis, incl impacted gene-drug interactions ",,,789.09,2402.75,110
CPT,0461U,"Oncology,parmacogenomic analysis of single-necleotide polymorphism (SNP)genotyping by real time PCR of 24 genes,whole blood or buccal swab,with variant analysis, incl impacted gene-drug interactions O",,,962.93,962.93,6
CPT,0462U,"Melatonin levels test,sleep study,7 or 9 sample melatonin profile (cortisol optional),enzyme-linked immunosorbent assay (ELISA),saliva screening/preliminary ",,,17.18,45.25,104
CPT,0462U,"Melatonin levels test,sleep study,7 or 9 sample melatonin profile (cortisol optional),enzyme-linked immunosorbent assay (ELISA),saliva screening/preliminary Other Outpatient",,,18.13,18.13,6
CPT,0463U,"Oncology (cervix),mRNA gene expression profiling of 14 biomarkers (E6&E7 of the highest-risk human papillomavirus (HPV) types 16,18,31,33,42,52,58),by real time nucleic acid sequence-based amplifica ",,,756.2,2090.0,110
CPT,0463U,"Oncology (cervix),mRNA gene expression profiling of 14 biomarkers (E6&E7 of the highest-risk human papillomavirus (HPV) types 16,18,31,33,42,52,58),by real time nucleic acid sequence-based amplifica O",,,798.0,798.0,6
CPT,0464T,"Visual evoked potential, testing for glaucoma, with interpretation and report ",,,242.11,304.37,6
CPT,0464U,"Oncology (colorectal) screening,quantitative real-time target and signal amplification,methylated DNA markers,incl LASS4,LRRC4 and PPP24RC,a reference marker ZDHHC1,and a protein marker (fecal hemoglo",,,588.96,1550.83,118
CPT,0465T,SUPRACHOROIDAL INJECTION OF A PHARMACOLOGIC AGENT (DOES NOT INCLUDE SUPPLY OF MEDICATION) ,,,1672.0,1672.0,8
CPT,0465U,"Oncology (urothelial carcinoma),DNA,quantitative methylationspecific PCR of 2 genes (ONECUT2,VIM),algorithmic analysis reported as positive or negative ",,,1330.0,5077.59,112
CPT,0465U,"Oncology (urothelial carcinoma),DNA,quantitative methylationspecific PCR of 2 genes (ONECUT2,VIM),algorithmic analysis reported as positive or negative Other Outpatient",,,2034.91,2034.91,6
CPT,0466U,"Cardiology (Coronary artery disease (CAD)),DNA,genomewide association studies (564856 single-nucleotide polymorphisms (SNPs),targeted variant genotyping),patient lifestyle & clinical data,buccal swab,",,,44.89,905.03,116
CPT,0467U,"Oncology (bladder),DNA,nextgeneration sequencing (NGS) of 60 genes and whole genome aneuploidy,urine,altorighms reported as minimal residual disease (MRD) status positive or negative and quantitative ",,,44.89,3979.94,116
CPT,0468U,"Hepatology (nonalcoholic steatohepatitis(NASH)),miR-34a5p,alpha 2-macroglobulin, YKL40, HbA1c, serum and whole blood, algorithm reported as a single score for NASH activity & fibrosis ",,,44.89,659.45,110
CPT,0468U,"Hepatology (nonalcoholic steatohepatitis(NASH)),miR-34a5p,alpha 2-macroglobulin, YKL40, HbA1c, serum and whole blood, algorithm reported as a single score for NASH activity & fibrosis Other Outpatient",,,264.29,264.29,6
CPT,0469T,"Retinal polarization scan, ocular screening with on-site automated results, bilateral ",,,15.87,30.87,6
CPT,0469U,"Rare diseases (constitutional/heritble disorders),whole genome seq analysis for chromosonal abnormalities, copy number variants,duplications,deletions,inversions,unbalanced translocations,regions of ",,,747.7,3138.6,110
CPT,0469U,"Rare diseases (constitutional/heritble disorders),whole genome seq analysis for chromosonal abnormalities, copy number variants,duplications,deletions,inversions,unbalanced translocations,regions of O",,,1257.84,1257.84,6
CPT,0470U,"Oncology (oropharyngeal),detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets,cell-free HPV 15 and 18 DNA from plasma ",,,262.5,1566.52,110
CPT,0470U,"Oncology (oropharyngeal),detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets,cell-free HPV 15 and 18 DNA from plasma Other Outpatie",,,627.81,627.81,6
CPT,0471U,"Oncology (colorectal cancer),qualitative real-time PCR of 35 variants of KRAS & NRAS genes (exons 2,3,4),formalinfixed paraffine-embedded (FFPE),predictive,identification of detected mutations ",,,124.88,1991.2,112
CPT,0471U,"Oncology (colorectal cancer),qualitative real-time PCR of 35 variants of KRAS & NRAS genes (exons 2,3,4),formalinfixed paraffine-embedded (FFPE),predictive,identification of detected mutations Other O",,,798.0,798.0,6
CPT,0472T,"Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal prosthesis), in person, with iterative adjustment of the implantable device to test functi",,,474.09,596.0,6
CPT,0472U,"Carbonic anhydrase VI (CA VI),paraotid specific/secretory protein (PSP) and salivary protein (SP1 IgG,IgM,IgA antibodies, enzyme-linked immunosorbent assay (ELISA), semiqualitative,blood,reported as ",,,27.76,73.1,110
CPT,0472U,"Carbonic anhydrase VI (CA VI),paraotid specific/secretory protein (PSP) and salivary protein (SP1 IgG,IgM,IgA antibodies, enzyme-linked immunosorbent assay (ELISA), semiqualitative,blood,reported as O",,,29.29,29.29,6
CPT,0473T,"Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person, including reprogramming and visual training, when performed, with review and report by a",,,198.5,249.55,6
CPT,0473U,"Oncology (solid tumor),nextgeneration sequencing (NGS) of DNA from formalin-fixed paraffinembedded (FFPE) tissue with comparative sequence analysis from a matched normal specimen (blood or saliva), 68",,,4477.5,11790.0,118
CPT,0474T,"Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space ",,,7799.0,25655.0,172
CPT,0474U,"Hereditary pan-cancer (eg, Hereditary sarcomas, hereditary endocrine tumors, hereditary cutaneous melanoma),genomic sequence analysis panel of 88 genes with 20 duplications/deletions using nextgen ",,,1297.43,8520.6,110
CPT,0474U,"Hereditary pan-cancer (eg, Hereditary sarcomas, hereditary endocrine tumors, hereditary cutaneous melanoma),genomic sequence analysis panel of 88 genes with 20 duplications/deletions using nextgen Oth",,,1369.15,1369.15,6
CPT,0475U,"Hereditary prostate cancer-related disorders,genomic sequence analysis panel using next-generation sequencing (NGS),Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA),and array",,,1297.43,3416.35,116
CPT,0476U,"Drug metabolism, psychiatry (eg major depressive disorder, general anxiety disorder, ADHD, schizophrenia), whole blood, buccal swab, and pharmacogenomic genotyping of 14 genes and CYP2D6 copy number v",,,414.7,1091.96,116
CPT,0477U,"Drug metabolism, psychiatry (ev major depressive disorder, general anxiety disorder, ADHD, schizophrenia), whole blood buccal swab, and pharmacogenomic genotyping of 14 genes and CYP2D6 copy number va",,,414.7,1091.96,116
CPT,0478U,"Oncology (non-small cell lung cancer), DNA and RNA, digital PCR analysis of 9 genes (EGFR, KRAS, BRAF, ALK, ROS1, RET, NTRK 1/2/3, ERBB2, and Met) in formalin-fixed paraffin-embedded (FFPE) tissue, in",,,550.23,1501.04,116
CPT,0479T,"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children ",,,696.53,5932.0,172
CPT,0479U,"Tau, phosphorylated, pTau217 ",,,17.18,45.25,110
CPT,0479U,"Tau, phosphorylated, pTau217 Other Outpatient",,,18.13,18.13,6
CPT,0480T,"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part ther",,,1481.0,5932.0,76
CPT,0480U,"Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation sequencing (DNA and RNA), bioinformatic analysis, with positive pathogen identification ",,,729.37,5570.64,110
CPT,0480U,"Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation sequencing (DNA and RNA), bioinformatic analysis, with positive pathogen identification O",,,2232.51,2232.51,6
CPT,0481T,"Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed ",,,792.63,5932.0,172
CPT,0481U,"IDH1, IDH2, and TERT promoter (eg, central nervous system tumors), next-generatin sequencing (single-nucleotide variants (SNV), deletions, and insertions) ",,,338.19,1766.51,110
CPT,0481U,"IDH1, IDH2, and TERT promoter (eg, central nervous system tumors), next-generatin sequencing (single-nucleotide variants (SNV), deletions, and insertions) Other Outpatient",,,707.95,707.95,6
CPT,0482U,"Obstetrics (preeclampsia), biochemical assay of suoluble fms-like tyrosine kinasi 1 and placental growth factor, serum, ratio reported for sFIt-1/PIGF, with risk of progression for preeclampsia with s",,,55.65,337.51,116
CPT,0483T,"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed ",,,10868.0,40707.22,86
CPT,0483U,"Infectios disease (Neisseria gonorrhoeae), sensitivity, ciprofloxacin resistance (gyrA S91F point mutation), oral, rectal, or vaginal swab, algorithm reported as probability of fluoroquinolone resista",,,34.91,91.94,116
CPT,0484T,"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical) ",,,10868.0,40707.22,86
CPT,0484U,"Infectious disease (Mycoplasma genitalium), macrolide sensitivity (23S rRNA point mutation), oral, rectal or vaginal sway, algorithm reported as probability of macrolide resistance ",,,34.91,91.94,110
CPT,0484U,"Infectious disease (Mycoplasma genitalium), macrolide sensitivity (23S rRNA point mutation), oral, rectal or vaginal sway, algorithm reported as probability of macrolide resistance Other Outpatient",,,36.84,36.84,6
CPT,0485T,"Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral ",,,45.8,149.77,6
CPT,0485U,"Oncology (solid tumor), cell-free DNA and RNA by next-generation sequencing, interpretative report for germline mutations, clonal hematopoiesis of indeterminate potential, and tumor-derived single-nuc",,,239.75,9561.64,116
CPT,0486T,"Optical coherence tomography (OCT) of middle ear, with interpretation and report; bilateral ",,,45.8,149.77,6
CPT,0486U,"Oncology (pan-solid tumor), next-generation sequencing analysis of tumor methylation markers present in cell-free circulating tumor DNA, algorithm reported as quantitative measurement of methylation a",,,239.75,4307.94,116
CPT,0487U,"Oncology (solid tumor), cell-free circulating DNA, targeted, genomic sequence analysis panel of 84 genes, interrogation for sequence variants, aneuploidy-corrected gene copy number amplifications and ",,,1046.34,7649.35,116
CPT,0488T,"Preventive behavior change, online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum, provided to an individual, per 30 day",,,44.6,86.78,6
CPT,0488U,"Obstetrics (fetal antigen noninvasive prenatal test), cell-free DNA sequence analysis for detection of fetal presence or absence of 1 or more of the Rh, C, c, D, E, Duffy, or Kell antigen in alloimmun",,,755.25,5386.83,116
CPT,0489T,"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting, isolation and preparation of harvested cells including incubation with cell dissociation e",,,2899.05,25655.0,172
CPT,0489U,"Obstetrics (single gene noninvasive prenatal test), cell-free DNA sequence analysis of 1 or more targets to identify paternally inherited pathogenic variants, and relative mutation-dosage analysis bas",,,1147.85,5386.83,116
CPT,0490T,Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands ,,,3450.57,25655.0,172
CPT,0490U,"Oncology (cutaneous or uveal melanoma), circulating tumor cell selection, morphological characterization and enumeration based on differential CD146, high molecular-weight melanoma- associated antigen",,,44.89,6379.7,116
CPT,0491U,"Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule, cytokeratins 8, 18 & 19, CD45 protein ",,,44.89,6379.7,118
CPT,0492U,"Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule (EpCAM), cytokeratins 8, 18 & 19, CD45 ",,,44.89,6379.7,118
CPT,0493U,"Transplantation medicine, quantification of donor-derived cell-free DNA (cfDNA) using next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA ",,,2739.48,7213.52,110
CPT,0493U,"Transplantation medicine, quantification of donor-derived cell-free DNA (cfDNA) using next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA Other Outpatient",,,2890.91,2890.91,6
CPT,0494T,"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservatio",,,10868.0,25655.0,128
CPT,0494U,"Red blood cell antigen (fetal RhD gene analysis), next-generation sequencing of circulating cell-free DNA (cfDNA) of blood in pregnant individuals known to be RhD negative, reported as positive or neg",,,747.7,1988.71,116
CPT,0495T,"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu",,,10868.0,23307.22,80
CPT,0495U,"Oncology (prostate), analysis of circulating plasma proteins (tPSA, fPSA, KLK2, PSP94 and GDF15), germline polygenic risk score (60 variants), clinical information (age, family history of prostate can",,,44.89,1991.2,116
CPT,0496T,"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu",,,10868.0,23307.22,80
CPT,0496U,"Oncology (colorectal), cell-free DNA, 8 genes for mutations, 7 genes for methylation by real-time RT-PCR, and 4 proteins by enzyme-linked immunosorbent assay, blood, reported positive or negative for ",,,124.88,1272.95,116
CPT,0497U,"Oncology (prostate), mRNA gene-expression profiling by real-time RT-PCR of 6 genes (FOXM1, MCM3, MTUS1, TTC21B, ALAS1, PPP2CA), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm repo",,,3853.63,10147.26,116
CPT,0498U,"Oncology (colorectal), next-generation seequencing for mutation detection in 43 genes and methylation pattern in 45 genes, blood and formalin-fixed paraffin-embedded (FFPE) tissue, report of variants ",,,1194.01,3524.71,116
CPT,0499T,"CYSTOURETHROSCOPY, WITH MECHANICAL DILATION AND URETHRAL THERAPEUTIC DRUG DELIVERY FOR URETHRAL STRICTURE OR STENOSIS, INCLUDING FLUOROSCOPY, WHEN PERFORMED ",,,4807.0,4807.0,8
CPT,0499U,"Oncology (colorectal and lung), DNA from formalin-fixed paraffin-embedded (FFPE) tissue, next-generation sequencing of 8 genes (NRAS, EGFR, CTNNB1, PIK3CA, APC, BRAF, KRAS and TP53), mutation detectio",,,594.92,1566.52,116
CPT,0500U,"Autoinflammatory disease (VEXAS syndrome), DNA, UBA1 gene mutations, targeted variant analysis (M41T, M41V, M41L, c. 118-2A>C, c.118-1G>C, c.118-9_118-2del, S56F, S621C) ",,,44.89,459.55,110
CPT,0500U,"Autoinflammatory disease (VEXAS syndrome), DNA, UBA1 gene mutations, targeted variant analysis (M41T, M41V, M41L, c. 118-2A>C, c.118-1G>C, c.118-9_118-2del, S56F, S621C) Other Outpatient",,,184.17,184.17,6
CPT,0501U,"Oncology (colorectal), blood, quantitative measurement of cell-free DNA (cfDNA) ",,,124.88,503.04,110
CPT,0501U,"Oncology (colorectal), blood, quantitative measurement of cell-free DNA (cfDNA) Other Outpatient",,,201.6,201.6,6
CPT,0502U,"Human papillomavirus (HPC), E6/E7 markers for high-risk types (16,18,31,33,35,39,45,51,52,56,58,59,66 and 68), cervical cells, branched-chain capture hybridization, reported as negative or positive fo",,,34.91,91.94,116
CPT,0503U,"Neurology (Lazheimer disease), beta amyloid (AB40,AB42,AB42/40 ratio) and tau-protein (ptau217, np-tau217, ptau217/np-tau217 ratio), blood, immunoprecipitation with quantitation by liquid chomatograph",,,239.75,1965.0,116
CPT,0504U,"Infectious disease (urinary tract infection), identification of 17 pathologic organisms, urine, real-time PCR, reported as positive or negative for each organism ",,,14.16,1091.96,112
CPT,0504U,"Infectious disease (urinary tract infection), identification of 17 pathologic organisms, urine, real-time PCR, reported as positive or negative for each organism Other Outpatient",,,437.62,437.62,6
CPT,0505T,"Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultraso",,,9875.0,27743.74,172
CPT,0505U,"Infectious disease (vaginal infection), identification of 32 pathogenic organisms, swab, real-time PCR, reported as positive or negative for each organism ",,,249.6,1781.0,110
CPT,0505U,"Infectious disease (vaginal infection), identification of 32 pathogenic organisms, swab, real-time PCR, reported as positive or negative for each organism Other Outpatient",,,713.76,713.76,6
CPT,0506T,"Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with interpretation and report ",,,96.27,121.02,6
CPT,0506U,"Gastroenterology (Barrett's esophagus), esophageal cells, DNA methylation analysis by next-generation sequencing of at least 89 differentially methylated genomic regions, algorithm reported as likelih",,,251.13,5077.59,116
CPT,0507T,"Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or bilateral, with interpretation and report ",,,75.36,246.44,6
CPT,0507U,"Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected ",,,627.9,3039.2,110
CPT,0507U,"Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected Other Outpatient",,,1218.0,1218.0,6
CPT,0508T,"PULSE-ECHO ULTRASOUND BONE DENSITY MEASUREMENT RESULTING IN INDICATOR OF AXIAL BONE MINERAL DENSITY, TIBIA ",,,37.78,53.41,6
CPT,0509T,"Electroretinography (ERG) with interpretation and report, pattern (PERG) ",,,102.17,128.44,6
CPT,0510T,Removal of sinus tarsi implant ,,,5849.0,25655.0,172
CPT,0510U,"Oncology (pancreatic cancer), augumentative algorithmic analysis of 16 genes from previously sequenced RNA whole-transcriptome data, reported as probability of predicted molecular subtype ",,,471.54,8250.0,110
CPT,0510U,"Oncology (pancreatic cancer), augumentative algorithmic analysis of 16 genes from previously sequenced RNA whole-transcriptome data, reported as probability of predicted molecular subtype Other Outpat",,,497.61,497.61,6
CPT,0511T,Removal and reinsertion of sinus tarsi implant ,,,4807.0,25655.0,172
CPT,0511U,"Oncology (solid tumor), tumor cell culture in 3D microenvironment, 36 or more drug panel, reported as tumor-response prediction for each drug ",,,1014.06,7948.71,110
CPT,0511U,"Oncology (solid tumor), tumor cell culture in 3D microenvironment, 36 or more drug panel, reported as tumor-response prediction for each drug Other Outpatient",,,3185.55,3185.55,6
CPT,0512T,"Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound ",,,878.65,3092.0,86
CPT,0512U,"Oncology (prostate), augmentative algorithmic analysis of digitized whole-slide imaging of histologic features for microsatellite instability (MSI) status, formalin-fixed paraffin-embedded (FFPE) tiss",,,44.89,1850.38,116
CPT,0513T,"Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure) ",,,1481.0,14645.36,38
CPT,0513U,"Oncology (prostate), augmentative algorighmic analysis of digitized whole-slide imaging of histologic features for microsatellite instability (MSI) and homologous recombination deficience (HRD) status",,,44.89,1850.38,116
CPT,0514U,"Gastroenterology (irritable bowel disease (IBD), immunoassay for quantitative determination of adalimumab (ADL) levels in venous serum in patients undergoing adalimumab therapy, results reported as a ",,,30.22,101.05,116
CPT,0515T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (inclu",,,15362.0,63596.09,164
CPT,0515U,"Gastoenterology (irritable bowel disease (IBD)), immunoassay for quantitative determination of infliximab (IFX) levels in venous serum in patients undergoing infliximab therapy, results reported as a ",,,30.22,101.05,116
CPT,0516T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; electrode only ",,,9875.0,25750.0,172
CPT,0516U,"Drug metabolism, whole blood, pharmacogenomic genotyping of 40 genes and CYP2D6 copy number variant analysis, reported as metabolizer status ",,,414.7,1632.99,110
CPT,0516U,"Drug metabolism, whole blood, pharmacogenomic genotyping of 40 genes and CYP2D6 copy number variant analysis, reported as metabolizer status Other Outpatient",,,437.62,437.62,6
CPT,0517T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pul",,,9875.0,25750.0,172
CPT,0517U,"Therapeutic drug monitoring, 80 or more psychoactive drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therapeutic minimally and maximally effective dose of prescribed and non-prescr",,,245.69,646.93,116
CPT,0518T,Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; battery component only ,,,5849.0,25655.0,172
CPT,0518U,"Therapeutic drug monitoring, 90 or more pain and mental health drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic minimally effective range of prescribed and non-prescribed",,,245.69,646.93,116
CPT,0519T,"Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; both components (battery and transmitter) ",,,5849.0,25655.0,172
CPT,0519U,"Therapeutic drug monitoring, medications specific to pain, depression, and anxiety, LC-MS/MS, plasma, 110 or more drugs or substances, qualitative and quantitative therpeutic minimally effective range",,,245.69,646.93,116
CPT,0520T,"Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only ",,,15362.0,63596.09,164
CPT,0520U,"Therapeutic drug monitoring, 200 or more drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic minimally effective range of prescribed and non-prescribed medications ",,,245.69,646.93,110
CPT,0520U,"Therapeutic drug monitoring, 200 or more drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic minimally effective range of prescribed and non-prescribed medications Other Out",,,259.27,259.27,6
CPT,0521T,"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording, and disconnection per patient encounter, wireless cardiac stimulator for left ventricular ",,,40.23,50.58,6
CPT,0522T,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including",,,63.44,79.75,6
CPT,0523T,"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interp",,,1481.0,2174.0,32
CPT,0524T,"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation, diagnostic imaging, ima",,,5849.0,25655.0,172
CPT,0525T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system ",,,9875.0,33769.0,172
CPT,0526T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; electrode only ",,,9875.0,25750.0,172
CPT,0527T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; implantable moni",,,9875.0,25750.0,172
CPT,0528T,"Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values, with analysis, review, and report ",,,63.44,79.75,6
CPT,0529T,EVAL PPM IIM SYS,284.69,284.69,19.93,284.69,52
CPT,0529T,"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report ",284.69,284.69,63.44,79.75,6
CPT,0530T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; complete system (electrode and implantable monitor) ",,,5849.0,25655.0,172
CPT,0531T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; electrode only ",,,5849.0,25655.0,172
CPT,0531U,"Infectious disease (acid-fast bacteria and invasive fungi), DNA (673 organisms), next-generation sequencing, plasma ",,,35.8,45.01,6
CPT,0532T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; implantable monitor only ",,,5849.0,25655.0,172
CPT,0532U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome and mitochondrial DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations ",,,747.7,13181.74,110
CPT,0532U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome and mitochondrial DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations Other Outp",,,5282.76,5282.76,6
CPT,0533U,"Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19, CYP2C, CYP2D6, CYP3A5, CYP4F2, DPYD, G6PD, GGCX, NUDT15, SLCO1B1, TPMT, ",,,414.7,1632.99,110
CPT,0533U,"Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19, CYP2C, CYP2D6, CYP3A5, CYP4F2, DPYD, G6PD, GGCX, NUDT15, SLCO1B1, TPMT, Other Ou",,,437.62,437.62,6
CPT,0534U,"Oncology (prostate), microRNA, singlenucleotide polymorphisms (SNPs) analysis by RT-PCR of 32 variants, using buccal swab, algorithm reported as a risk score ",,,1330.0,1672.0,6
CPT,0535U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma or serum, quantitative ",,,42.16,162.81,110
CPT,0535U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma or serum, quantitative Other Out",,,65.25,65.25,6
CPT,0536U,"Red blood cell antigen (fetal RhD), PCR analysis of exon 4 of RHD gene and housekeeping control gene GAPDH from whole blood in pregnant individuals at 10+ weeks gestation ",,,191.04,939.97,110
CPT,0536U,"Red blood cell antigen (fetal RhD), PCR analysis of exon 4 of RHD gene and housekeeping control gene GAPDH from whole blood in pregnant individuals at 10+ weeks gestation Other Outpatient",,,201.6,201.6,6
CPT,0537U,"Oncology (colorectal cancer), analysis of cell-free DNA for epigenomic patterns, nextgeneration sequencing, >2500 differentially methylated regions (DMRs), plasma, algorithm reported as pos or neg ",,,124.88,3916.9,110
CPT,0537U,"Oncology (colorectal cancer), analysis of cell-free DNA for epigenomic patterns, nextgeneration sequencing, >2500 differentially methylated regions (DMRs), plasma, algorithm reported as pos or neg Oth",,,1569.75,1569.75,6
CPT,0538U,"Oncology (solid tumor), nextgeneration targeted sequencing analysis, formalin-fixed paraffinembedded (FFPE) tumor tissue, DNA analysis of 600 genes, interrogation for singlenucleotide variants, inse ",,,2974.6,7832.62,116
CPT,0539U,"Oncology (solid tumor), cell-free circulating tumor DNA (ctDNA), 152 genes, next-generation sequencing, interrogation for single-nucleotide variants, insertions/deletions, gene rearrangements ",,,1046.34,8615.9,110
CPT,0539U,"Oncology (solid tumor), cell-free circulating tumor DNA (ctDNA), 152 genes, next-generation sequencing, interrogation for single-nucleotide variants, insertions/deletions, gene rearrangements Other Ou",,,3452.94,3452.94,6
CPT,0540U,"Transplantation medicine, quantification of donorderived cell-free DNA using next-generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine ",,,2739.48,7213.52,110
CPT,0540U,"Transplantation medicine, quantification of donorderived cell-free DNA using next-generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine Other Ou",,,2890.91,2890.91,6
CPT,0541T,"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum 36 channel grid, generation of magnetic-field time-series images, quantitative an",,,1320.0,2598.01,10
CPT,0541U,"Cardiovascular disease (HDL reverse cholesterol transport), cholesterol efflux capacity, LCMS/MS, quantitative measurement of 5 distinct HDL-bound apolipoproteins (apolipoproteins A1, C1, C2, C3, ",,,44.89,56.43,6
CPT,0542T,"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum 36 channel grid, generation of magnetic-field time-series images, quantitative an",,,1320.0,19833.52,10
CPT,0542U,"Nephrology (renal transplant), urine, nuclear magnetic resonance (NMR) spectroscopy measurement of 84 urinary metabolites, combined with patient data, quantification of BK virus (human polyo ",,,5670.0,7128.0,6
CPT,0543T,"Transapical mitral valve repair, including transthoracic echocardiography, when performed, with placement of artificial chordae tendineae ",,,10868.0,25655.0,132
CPT,0543U,"Oncology (solid tumor), next-generation sequencing of DNA from formalin-fixed paraffinembedded (FFPE) tissue of 517 genes, interrogation for single-nucleotide variants, multinucleotide variants ",,,2974.6,7832.62,112
CPT,0543U,"Oncology (solid tumor), next-generation sequencing of DNA from formalin-fixed paraffinembedded (FFPE) tissue of 517 genes, interrogation for single-nucleotide variants, multinucleotide variants Othe",,,3139.03,3139.03,6
CPT,0544T,"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture ",,,10868.0,46251.0,90
CPT,0545T,"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach ",,,10868.0,46251.0,90
CPT,0545U,"Acetylcholine receptor (AChR), antibody identification by immunofluorescence, using live cells, reported as positive or negative ",,,32.2,98.85,112
CPT,0545U,"Acetylcholine receptor (AChR), antibody identification by immunofluorescence, using live cells, reported as positive or negative Other Outpatient",,,39.62,39.62,6
CPT,0546T,"Radiofrequency spectroscopy, real time, intraoperative margin assessment, at the time of partial mastectomy, with report ",,,57.27,187.26,6
CPT,0546U,"Low-density lipoprotein receptor-related protein 4 (LRP4), antibody identification by immunofluorescence, using live cells, reported as positive or negative ",,,21.09,98.85,110
CPT,0546U,"Low-density lipoprotein receptor-related protein 4 (LRP4), antibody identification by immunofluorescence, using live cells, reported as positive or negative Other Outpatient",,,39.62,39.62,6
CPT,0547T,"Bone-material quality testing by microindentation(s) of the tibia(s), with results reported as a score ",,,196.14,5932.0,74
CPT,0547U,"Neurofilament light chain (NfL), chemiluminescent enzyme immunoassay, plasma, quantitative ",,,30.22,304.52,110
CPT,0547U,"Neurofilament light chain (NfL), chemiluminescent enzyme immunoassay, plasma, quantitative Other Outpatient",,,122.04,122.04,6
CPT,0548U,"Glial fibrillary acidic protein (GFAP), chemiluminescent enzyme immunoassay, using plasma ",,,115.65,315.7,110
CPT,0548U,"Glial fibrillary acidic protein (GFAP), chemiluminescent enzyme immunoassay, using plasma Other Outpatient",,,122.04,122.04,6
CPT,0549U,"Oncology (urothelial), DNA, quantitative methylated real-time PCR of TRNA-Cys, SIM2, and NKX1-1, using urine, diagnostic algorithm reported as a probability index for bladder cancer ",,,756.2,1991.2,110
CPT,0549U,"Oncology (urothelial), DNA, quantitative methylated real-time PCR of TRNA-Cys, SIM2, and NKX1-1, using urine, diagnostic algorithm reported as a probability index for bladder cancer Other Outpatient",,,798.0,798.0,6
CPT,0552T,"Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional ",,,61.27,3092.0,54
CPT,0552U,"Reproductive medicine (preimplantation genetic assessment), analysis for known genetic disorders from trophectoderm biopsy, linkage analysis of diseasecausing locus, and when possible, targeted muta ",,,86.57,108.83,6
CPT,0553T,"Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessa",,,12018.0,25655.0,56
CPT,0553U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrangements, aneuploidy, and ",,,86.57,1988.71,110
CPT,0553U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrangements, aneuploidy, and O",,,797.0,797.0,6
CPT,0554T,"Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; retrieval and transmission of the scan data, a",,,52.62,268.49,30
CPT,0554U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from trophectoderm biopsy for aneuploidy, ploidy, a mitochondrial DNA score ",,,86.57,1988.71,110
CPT,0554U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from trophectoderm biopsy for aneuploidy, ploidy, a mitochondrial DNA score O",,,797.0,797.0,6
CPT,0555T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; retrieval and transmission of the scan data ,,,23.18,129.79,36
CPT,0555U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural arrangements ",,,86.57,1988.71,110
CPT,0555U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural arrangements Other Outpatient",,,797.0,797.0,6
CPT,0556T,BN STRNTH&FX ASSMT,1324.72,1324.72,92.73,1324.72,47
CPT,0556T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; assessment of bone strength and fracture risk ,1324.72,1324.72,311.26,1209.01,36
CPT,0556U,"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific DNA and RNA by real-time PCR, 12 targets, nasopharyngeal or oropharyngeal swab, including multiplex reverse ",,,141.92,916.92,110
CPT,0556U,"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific DNA and RNA by real-time PCR, 12 targets, nasopharyngeal or oropharyngeal swab, including multiplex reverse Other",,,149.76,149.76,6
CPT,0557T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; interpretation and report ,,,13.15,502.12,30
CPT,0557U,"Infectious disease (bacterial vaginosis and vaginitis), realtime amplification of DNA markers for Atopobium vaginae, Gardnerella vaginalis, Megasphaera types 1 and 2, bacterial vaginosis associated ",,,261.68,689.03,110
CPT,0557U,"Infectious disease (bacterial vaginosis and vaginitis), realtime amplification of DNA markers for Atopobium vaginae, Gardnerella vaginalis, Megasphaera types 1 and 2, bacterial vaginosis associated Ot",,,276.14,276.14,6
CPT,0558T,Computed tomography scan taken for the purpose of biomechanical computed tomography analysis ,,,84.11,357.55,18
CPT,0558U,"Oncology (colorectal), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted colorectal cancer protein marker (BF7 antigen), using serum, result reported as indicative of response ",,,20.71,1119.51,110
CPT,0558U,"Oncology (colorectal), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted colorectal cancer protein marker (BF7 antigen), using serum, result reported as indicative of response Other ",,,21.85,21.85,6
CPT,0559T,Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure ,,,75.47,294.3,30
CPT,0559U,"Oncology (breast), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted breast cancer protein marker (BF9 antigen), serum, result reported as indicative of response ",,,20.71,623.5,110
CPT,0559U,"Oncology (breast), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted breast cancer protein marker (BF9 antigen), serum, result reported as indicative of response Other Outpatient",,,21.85,21.85,6
CPT,0560T,Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code for primary procedure) ,,,65.15,126.74,6
CPT,0560U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood and tumor tissue, baseline assessment for design and construction of a personalized variant panel to ",,,44.89,10161.54,110
CPT,0560U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood and tumor tissue, baseline assessment for design and construction of a personalized variant panel to Ot",,,4072.37,4072.37,6
CPT,0561T,Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide ,,,75.47,294.3,30
CPT,0561U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood, subsequent assessment with comparison to initial assessment to evaluate for MRD ",,,44.89,2081.56,110
CPT,0561U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood, subsequent assessment with comparison to initial assessment to evaluate for MRD Other Outpatient",,,834.21,834.21,6
CPT,0562T,Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure) ,,,65.15,126.74,6
CPT,0562U,"Oncology (solid tumor), targeted genomic sequence analysis, 33 genes, detection of single-nucleotide variants (SNVs), insertions and deletions, copy-number amplifications, and translocations in human ",,,594.92,7700.0,118
CPT,0563T,"Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral ",,,119.92,5932.0,172
CPT,0563U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 11 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respi ",,,414.7,1091.96,112
CPT,0563U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 11 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respi Other Ou",,,437.62,437.62,6
CPT,0564T,"Oncology, chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs), from cultured CSCs and primary tumor cells, categorical drug response reported based on percent of cytotoxicity observed",,,2.41,3.4,6
CPT,0564U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 10 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respiratory sp",,,414.7,1091.96,118
CPT,0565T,Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; tissue harvesting and cellular implant creation ,,,119.92,9908.0,172
CPT,0565U,"Oncology (hepatocellular carcinoma), next-generation sequencing methylation pattern assay to detect 6626 epigenetic alterations, cellfree DNA, plasma, algorithm reported as ",,,890.52,3039.2,110
CPT,0565U,"Oncology (hepatocellular carcinoma), next-generation sequencing methylation pattern assay to detect 6626 epigenetic alterations, cellfree DNA, plasma, algorithm reported as Other Outpatient",,,1218.0,1218.0,6
CPT,0566T,"Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; injection of cellular implant into knee joint including ultrasound guidance, unilateral ",,,809.49,5932.0,172
CPT,0566U,"Oncology (lung), qPCRbased analysis of 13 differentially methylated regions (CCDC181, HOXA7, LRRC8A, MARCHF11, MIR129-2, NCOR2, PANTR1, PRKCB, SLC9A3, TBR1_2, TRAP1, VWC2, ZNF781), pleural fluid, ",,,44.89,1091.96,110
CPT,0566U,"Oncology (lung), qPCRbased analysis of 13 differentially methylated regions (CCDC181, HOXA7, LRRC8A, MARCHF11, MIR129-2, NCOR2, PANTR1, PRKCB, SLC9A3, TBR1_2, TRAP1, VWC2, ZNF781), pleural fluid, Othe",,,437.62,437.62,6
CPT,0567T,"Permanent fallopian tube occlusion with degradable biopolymer implant, transcervical approach, including transvaginal ultrasound ",,,12018.0,25655.0,56
CPT,0567U,"Rare diseases (constitutional/heritable disorders), whole-genome sequence analysis combination of short and long reads, for single-nucleotide variants, insertions/deletions and characterized intronic ",,,747.7,13181.74,116
CPT,0568T,"Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes, transcervical approach, including transvaginal ultrasound and pelvic ultrasound ",,,2187.0,12018.0,56
CPT,0568U,"Neurology (dementia), beta amyloid (A?40, A?42, A?42/40 ratio), tau-protein phosphorylated at residue (eg, pTau217), neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP), ",,,239.75,2350.14,112
CPT,0568U,"Neurology (dementia), beta amyloid (A?40, A?42, A?42/40 ratio), tau-protein phosphorylated at residue (eg, pTau217), neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP), Other ",,,941.85,941.85,6
CPT,0569T,"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis ",,,10868.0,46251.0,90
CPT,0569U,"Oncology (solid tumor), nextgeneration sequencing analysis of tumor methylation markers (>20000 differentially methylated regions) present in cell-free circulating tumor DNA (ctDNA), whole blood, ",,,2616.25,3289.0,6
CPT,0570T,"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure) ",,,10868.0,46251.0,90
CPT,0570U,"Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxylterminal hydrolase L1 (UCHL1), immunoassay, whole blood or plasma, individual components ",,,199.85,682.51,112
CPT,0570U,"Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxylterminal hydrolase L1 (UCHL1), immunoassay, whole blood or plasma, individual components Ot",,,273.53,273.53,6
CPT,0571T,"Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation thre",,,18151.0,90391.39,164
CPT,0571U,"Oncology (solid tumor), DNA (80 genes) and RNA (10 genes), by next-generation sequencing, plasma, including single-nucleotide variants, insertions/deletions, copy-number alterations, microsatellite in",,,2905.0,8250.0,116
CPT,0572T,Insertion of substernal implantable defibrillator electrode ,,,7839.0,25750.0,172
CPT,0572U,"Oncology (prostate), highthroughput telomere length quantification by FISH, whole blood, diagnostic algorithm reported as risk of prostate cancer ",,,3552.5,4466.0,6
CPT,0573T,Removal of substernal implantable defibrillator electrode ,,,5849.0,25655.0,172
CPT,0573U,"Oncology (pancreas), 3 biomarkers (glucose, carcinoembryonic antigen, and gastricsin), pancreatic cyst lesion fluid, algorithm reported as categorical mucinous or non-mucinous ",,,6300.0,7920.0,6
CPT,0574T,Repositioning of previously implanted substernal implantable defibrillator-pacing electrode ,,,5849.0,25655.0,172
CPT,0574U,"Mycobacterium tuberculosis, culture filtrate protein?10-kDa (CFP-10), serum or plasma, liquid chromatography mass spectrometry (LC-MS) ",,,74.97,94.25,6
CPT,0575T,"Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with iterative adjustment of the implantable device to test the function of the de",,,63.44,79.75,6
CPT,0575U,"Transplantation medicine (liver allograft rejection), miRNA gene expression profiling by RT-PCR of 4 genes (miR-122, miR-885, miR-23a housekeeping, spike-in control), ",,,378.1,1409.61,112
CPT,0575U,"Transplantation medicine (liver allograft rejection), miRNA gene expression profiling by RT-PCR of 4 genes (miR-122, miR-885, miR-23a housekeeping, spike-in control), Other Outpatient",,,399.0,399.0,6
CPT,0576T,"Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with analysis, review and report by a physician or other qualified health care p",,,63.44,79.75,6
CPT,0576U,"Transplantation medicine (liver allograft rejection), quantitative donor-derived cell-free DNA (cfDNA) by whole genome nextgeneration sequencing, ",,,1121.28,8488.8,110
CPT,0576U,"Transplantation medicine (liver allograft rejection), quantitative donor-derived cell-free DNA (cfDNA) by whole genome nextgeneration sequencing, Other Outpatient",,,3402.0,3402.0,6
CPT,0577T,"Electrophysiologic evaluation of implantable cardioverter-defibrillator system with substernal electrode (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing f",,,2715.79,5283.45,6
CPT,0577U,"Oncology (ovarian), serum, analysis of 39 glycoproteins by liquid chromatography with tandem mass spectrometry (LC-MS/MS) in multiple reaction ",,,246.92,1973.4,40
CPT,0578T,"Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualifi",,,86.21,167.72,6
CPT,0578U,"Oncology (cutaneous melanoma), RNA, gene expression profiling by realtime qPCR of 10 genes (8 content and 2 housekeeping), utilizing formalin-fixed ",,,3853.63,15824.6,110
CPT,0578U,"Oncology (cutaneous melanoma), RNA, gene expression profiling by realtime qPCR of 10 genes (8 content and 2 housekeeping), utilizing formalin-fixed Other Outpatient",,,4066.65,4066.65,6
CPT,0579T,"Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, t",,,63.44,79.75,6
CPT,0579U,"Nephrology (diabetic chronic kidney disease), enzymelinked immunosorbent assay (ELISA) of apolipoprotein A4 (APOA4), CD5 antigen-like (CD5L) combined ",,,388.8,2090.0,110
CPT,0579U,"Nephrology (diabetic chronic kidney disease), enzymelinked immunosorbent assay (ELISA) of apolipoprotein A4 (APOA4), CD5 antigen-like (CD5L) combined Other Outpatient",,,410.29,410.29,6
CPT,0580T,Removal of substernal implantable defibrillator pulse generator only ,,,5849.0,25655.0,172
CPT,0580U,"Borrelia burgdorferi, antibody detection of 24 recombinant protein groups, by immunoassay, IgG ",,,17.12,45.09,112
CPT,0580U,"Borrelia burgdorferi, antibody detection of 24 recombinant protein groups, by immunoassay, IgG Other Outpatient",,,18.07,18.07,6
CPT,0581T,"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral ",,,4807.0,25655.0,172
CPT,0581U,"Transplantation medicine, antibody to non-human leukocyte antigens (nonHLA), blood specimen, flow cytometry, single-antigen bead technology, 39 targets ",,,324.17,6057.15,110
CPT,0581U,"Transplantation medicine, antibody to non-human leukocyte antigens (nonHLA), blood specimen, flow cytometry, single-antigen bead technology, 39 targets Other Outpatient",,,342.09,342.09,6
CPT,0582T,"Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative imaging and needle guidance ",,,5286.0,25750.0,172
CPT,0582U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome DNA sequencing for singlenucleotide variants, insertions/deletions, copy number variations, blood, ",,,7544.29,19865.36,110
CPT,0582U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome DNA sequencing for singlenucleotide variants, insertions/deletions, copy number variations, blood, Other Outpatient",,,7961.31,7961.31,6
CPT,0583T,"Tympanostomy (requiring insertion of ventilating tube), using an automated tube delivery system, iontophoresis local anesthesia ",,,2187.0,23307.22,172
CPT,0583U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome comparator DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations ",,,3772.14,12045.44,110
CPT,0583U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome comparator DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations Other Outpatient",,,3980.66,3980.66,6
CPT,0584T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; percutaneous ",,,10868.0,25655.0,128
CPT,0584U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quakinginduced conformational conversion, qualitative ",,,538.29,1417.39,110
CPT,0584U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quakinginduced conformational conversion, qualitative Other Outpatient",,,568.04,568.04,6
CPT,0585T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; laparoscopic ",,,10868.0,25655.0,128
CPT,0585U,"Targeted genomic sequence analysis panel, solid organ neoplasm, circulating cell-free DNA (cfDNA) analysis from plasma of 521 genes, interrogation for sequence variants, ",,,2905.0,7649.35,110
CPT,0585U,"Targeted genomic sequence analysis panel, solid organ neoplasm, circulating cell-free DNA (cfDNA) analysis from plasma of 521 genes, interrogation for sequence variants, Other Outpatient",,,3065.58,3065.58,6
CPT,0586T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; open ",,,10868.0,25655.0,128
CPT,0586U,"Oncology, mRNA, gene expression profiling of 216 genes (204 targeted and 12 housekeeping genes), RNA expression analysis, formalinfixed paraffin-embedded ",,,2905.0,8085.0,110
CPT,0586U,"Oncology, mRNA, gene expression profiling of 216 genes (204 targeted and 12 housekeeping genes), RNA expression analysis, formalinfixed paraffin-embedded Other Outpatient",,,3065.58,3065.58,6
CPT,0587T,"Percutaneous implantation or replacement of integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, prog",,,1362.61,5932.0,172
CPT,0587U,"Therapeutic drug monitoring, 60-150 drugs and metabolites, urine, saliva, quantitative liquid chromatography with tandem mass spectrometry (LCMS/MS), ",,,113.86,543.22,110
CPT,0587U,"Therapeutic drug monitoring, 60-150 drugs and metabolites, urine, saliva, quantitative liquid chromatography with tandem mass spectrometry (LCMS/MS), Other Outpatient",,,120.15,120.15,6
CPT,0588T,"Revision or removal of percutaneously placed integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, pro",,,809.49,12360.0,172
CPT,0588U,"Infectious disease (bacterial or viral), 32 genes (29 informative and 3 housekeeping), immune response mRNA, gene expression profiling by splitwell multiplex infection ",,,455.88,1991.2,112
CPT,0588U,"Infectious disease (bacterial or viral), 32 genes (29 informative and 3 housekeeping), immune response mRNA, gene expression profiling by splitwell multiplex infection Other Outpatient",,,798.0,798.0,6
CPT,0589T,"Electronic analysis with simple programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse wid",,,198.5,249.55,6
CPT,0589U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 24 PFAS compounds by high-performance liquid chromatography ",,,197.75,520.7,110
CPT,0589U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 24 PFAS compounds by high-performance liquid chromatography Other Outpatient",,,208.68,208.68,6
CPT,0590T,"Electronic analysis with complex programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse wi",,,198.5,249.55,6
CPT,0590U,"Infectious disease (bacterial and fungal), DNA of 44 organisms (34 bacteria, 10 fungi), urine, next-generation sequencing, reported as positive or negative ",,,350.0,440.0,6
CPT,0591T,"Health and well-being coaching face-to-face; individual, initial assessment ",,,69.38,134.98,6
CPT,0591U,"Oncology (prostate cancer), biochemical analysis of 3 proteins (total PSA, free PSA, and HE4), plasma, serum, prognostic algorithm incorporating 3 proteins and digital ",,,756.2,1991.2,110
CPT,0591U,"Oncology (prostate cancer), biochemical analysis of 3 proteins (total PSA, free PSA, and HE4), plasma, serum, prognostic algorithm incorporating 3 proteins and digital Other Outpatient",,,798.0,798.0,6
CPT,0592T,"Health and well-being coaching face-to-face; individual, follow-up session, at least 30 minutes ",,,140.75,273.81,6
CPT,0592U,"Oncology (hematolymphoid neoplasms), DNA, targeted genomic sequence of 417 genes, interrogation for gene fusions, translocations, rearrangements ",,,160.41,7649.35,110
CPT,0592U,"Oncology (hematolymphoid neoplasms), DNA, targeted genomic sequence of 417 genes, interrogation for gene fusions, translocations, rearrangements Other Outpatient",,,3065.58,3065.58,6
CPT,0593T,"Health and well-being coaching face-to-face; group (2 or more individuals), at least 30 minutes ",,,21.81,42.43,6
CPT,0593U,"Infectious disease (genitourinary pathogens), DNA, 46 targets (28 pathogens, 18 resistance genes), RT-PCR amplified probe technique, urine, each ",,,631.67,1663.28,110
CPT,0593U,"Infectious disease (genitourinary pathogens), DNA, 46 targets (28 pathogens, 18 resistance genes), RT-PCR amplified probe technique, urine, each Other Outpatient",,,666.58,666.58,6
CPT,0594T,"Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including intraoperative imaging, initial and subsequent alignment assessments, computations of adjust",,,8778.0,25655.0,172
CPT,0594U,"Infectious disease (sepsis), semiquantitative measurement of pancreatic stone protein concentration, whole blood, reported as risk of sepsis ",,,11.69,14.7,6
CPT,0595U,"Infectious disease (tropical fever pathogens), vectorborne and zoonotic pathogens, including 2 viruses (Chikungunya virus and Dengue virus serotypes 1, 2, 3, and 4), ",,,261.68,916.92,112
CPT,0595U,"Infectious disease (tropical fever pathogens), vectorborne and zoonotic pathogens, including 2 viruses (Chikungunya virus and Dengue virus serotypes 1, 2, 3, and 4), Other Outpatient",,,276.14,276.14,6
CPT,0596T,"Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement ",,,1721.01,5932.0,172
CPT,0596U,"Neurology (Alzheimer disease), plasma, 3 distinct isoform-specific peptides (APOE2, APOE3, and APOE4) by liquid chromatography with tandem mass spectrometry ",,,894.6,1124.64,6
CPT,0597T,"Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement ",,,1721.01,5932.0,172
CPT,0597U,"Oncology (breast), RNA expression profiling of 329 genes by targeted nextgeneration sequencing and 20 proteins by multiplex immunofluorescence, formalin-fixed ",,,1235.94,1553.75,6
CPT,0598T,"Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; first anatomic site (eg, lower extremity, right leg)",,,341.69,1133.89,30
CPT,0598U,"Gastroenterology (irritable bowel syndrome), IgG antibodies to 18 food items by microarray-based immunoassay, whole blood or serum, report as elevated ",,,196.03,786.0,110
CPT,0598U,"Gastroenterology (irritable bowel syndrome), IgG antibodies to 18 food items by microarray-based immunoassay, whole blood or serum, report as elevated Other Outpatient",,,315.0,315.0,6
CPT,0599U,"Oncology (pancreatic cancer), multiplex immunoassay of ICAM1, TIMP1, CTSD, THBS1, and CA 19-9, serum, diagnostic algorithm reported as positive or negative ",,,892.51,2350.14,110
CPT,0599U,"Oncology (pancreatic cancer), multiplex immunoassay of ICAM1, TIMP1, CTSD, THBS1, and CA 19-9, serum, diagnostic algorithm reported as positive or negative Other Outpatient",,,941.85,941.85,6
CPT,0600T,"Ablation, irreversible electroporation; 1 or more tumors per organ, other than liver or prostate, including imaging guidance, when performed, percutaneous ",,,8778.0,25655.0,172
CPT,0601T,"Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open ",,,8778.0,25655.0,172
CPT,0602T,"Glomerular filtration rate (GFR) measurement(s), transdermal, including sensor placement and administration of a single dose of fluorescent pyrazine agent ",,,271.8,452.99,12
CPT,0603T,"Glomerular filtration rate (GFR) monitoring, transdermal, including sensor placement and administration of more than one dose of fluorescent pyrazine agent, each 24 hours ",,,685.85,1143.09,12
CPT,0604T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; initial device provision, set-up and pa",,,156.51,519.37,30
CPT,0605T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; remote surveillance center technical su",,,48.94,162.4,30
CPT,0606T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; review, interpretation and report by th",,,39.1,250.7,30
CPT,0607T,"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture, ",,,318.81,620.23,6
CPT,0608T,"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture, ",,,99.69,193.94,6
CPT,0609T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); acquisition of single voxel data, per disc, on biomarkers (ie, lactic acid, carbohyd",,,310.68,1725.2,18
CPT,0610T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); transmission of biomarker data for software analysis ",,,231.75,1725.2,14
CPT,0611T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); postprocessing for algorithmic analysis of biomarker data for determination of relat",,,310.68,1725.2,18
CPT,0612T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); interpretation and report ",,,38.15,1725.2,18
CPT,0613T,"Percutaneous transcatheter implantation of interatrial septal shunt device, including right and left heart catheterization, intracardiac echocardiography, and imaging guidance by the proceduralist, wh",,,3459.33,46251.0,90
CPT,0614T,Removal and replacement of substernal implantable defibrillator pulse generator ,,,18151.0,76895.0,164
CPT,0615T,"Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and pupillary dynamics for the assessment of concussion, with interpretation and report ",,,190.8,239.87,6
CPT,0616T,"Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, without insertion of intraocular lens ",,,4807.0,8552.0,56
CPT,0617T,"Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with removal of crystalline lens and insertion of intraocular lens ",,,6051.0,8552.0,56
CPT,0618T,"Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with secondary intraocular lens placement or intraocular lens exchange ",,,6051.0,8552.0,56
CPT,0619T,"Cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery, including transrectal ultrasound and fluoroscopy, when performed ",,,4807.0,12499.0,56
CPT,0620T,"Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ul",,,9875.0,44979.2,172
CPT,0621T,Trabeculostomy ab interno by laser; ,,,9944.0,67046.86,172
CPT,0622T,Trabeculostomy ab interno by laser; with use of ophthalmic endoscope ,,,10868.0,67046.86,172
CPT,0624T,AUTO QUANT PLAQ DATA,429.92,429.92,30.09,429.92,118
CPT,0625T,AUTO QUANT PLAQ ANLYS,491.35,491.35,34.39,491.35,106
CPT,0627T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level ",,,4693.0,34481.33,172
CPT,0628T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; each additional level (List separ",,,1481.0,5932.0,76
CPT,0629T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level ",,,4693.0,34481.33,172
CPT,0630T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; each additional level (List separately in a",,,1481.0,5932.0,76
CPT,0632T,"Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance ",,,9875.0,46251.0,90
CPT,0633T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material ",,,147.11,488.19,18
CPT,0634T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) ",,,241.04,799.9,18
CPT,0635T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast material(s) ",,,241.04,799.9,18
CPT,0636T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) ",,,310.68,1030.98,18
CPT,0637T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) ",,,496.96,1649.18,18
CPT,0638T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s) ",,,496.96,1649.18,18
CPT,0639T,"Wireless skin sensor thermal anisotropy measurement(s) and assessment of flow in cerebrospinal fluid shunt, including ultrasound guidance, when performed ",,,113.52,5932.0,74
CPT,0640T,"Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), other than for screening for peripheral arterial disease, image acquisit",,,13.74,44.93,6
CPT,0641T,"NONCONTACT NEAR-INFRARED SPECTROSCOPY STUDIES OF FLAP OR WOUND (EG, FOR MEASUREMENT OF DEOXYHEMOGLOBIN, OXYHEMOGLOBIN, AND RATIO OF TISSUE OXYGENATION ºSTO2»); IMAGE ACQUISITION ONLY, EACH FLAP OR WOU",,,123.58,174.69,6
CPT,0643T,"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach ",,,3459.33,28286.0,90
CPT,0644T,"Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach, with intraoperative reinfusion of aspirated bloo",,,8778.0,28286.0,90
CPT,0645T,"Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart catheterization, venous angiography, coronary sinus angiography, imaging guidance, and ",,,3459.33,33769.0,130
CPT,0646T,TTVI PERC APRCH,91623.6,91623.6,6413.65,91623.6,51
CPT,0646T,"Transcatheter tricuspid valve implantation (TTVI)/replacement with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ve",91623.6,91623.6,3459.33,28286.0,90
CPT,0647T,"Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report ",,,2270.0,18747.0,172
CPT,0648T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,310.68,1030.98,30
CPT,0649T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,315.28,1030.98,6
CPT,0650T,"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the implantable device to test the function of the device and select optimal permanen",,,65.01,81.73,6
CPT,0651T,"Magnetically controlled capsule endoscopy, esophagus through stomach, including intraprocedural positioning of capsule, with interpretation and report ",,,1109.15,9868.0,86
CPT,0652T,"Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1764.93,9868.0,172
CPT,0653T,"Esophagogastroduodenoscopy, flexible, transnasal; with biopsy, single or multiple ",,,1764.93,9868.0,172
CPT,0654T,"Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter ",,,2270.0,18747.0,172
CPT,0655T,"Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging ",,,4807.0,12499.0,172
CPT,0656T,Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments ,,,12018.0,76895.0,172
CPT,0657T,Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments ,,,12018.0,76895.0,172
CPT,0658T,Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score ,,,75.14,125.24,30
CPT,0659T,"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction, including catheter placement, imaging guid",,,3459.33,46251.0,86
CPT,0660T,"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach ",,,6051.0,23307.22,172
CPT,0661T,Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant ,,,6051.0,23307.22,172
CPT,0664T,"Donor hysterectomy (including cold preservation); open, from cadaver donor ",,,10868.0,25655.0,172
CPT,0665T,"Donor hysterectomy (including cold preservation); open, from living donor ",,,10868.0,25655.0,172
CPT,0666T,"Donor hysterectomy (including cold preservation); laparoscopic or robotic, from living donor ",,,10868.0,25655.0,172
CPT,0667T,Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor ,,,10868.0,25655.0,128
CPT,0668T,"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparation of uterine vein(s) an",,,10868.0,25655.0,128
CPT,0669T,"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each ",,,10868.0,25655.0,128
CPT,0670T,"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each ",,,10868.0,25655.0,128
CPT,0671T,"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more ",,,4623.47,12499.0,172
CPT,0672T,"Endovaginal cryogen-cooled, monopolar radiofrequency remodeling of the tissues surrounding the female bladder neck and proximal urethra for urinary incontinence ",,,7839.0,25655.0,172
CPT,0673T,"Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance ",,,2270.0,18747.0,172
CPT,0674T,"Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including an implantable pulse generator and d",,,7839.0,35530.0,172
CPT,0675T,"Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to",,,7839.0,25750.0,172
CPT,0676T,"Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to",,,1481.0,25655.0,172
CPT,0677T,"Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse",,,5286.0,25655.0,172
CPT,0678T,"Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse",,,1481.0,25655.0,172
CPT,0679T,"Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function ",,,5286.0,25655.0,172
CPT,0680T,"Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing lead(s) ",,,7839.0,25750.0,172
CPT,0681T,"Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing dual leads ",,,5286.0,25655.0,172
CPT,0682T,"Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function ",,,5286.0,25655.0,172
CPT,0683T,"Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,99.69,193.94,6
CPT,0684T,"Peri-procedural device evaluation (in-person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review, and report by a physician or other qualif",,,55.49,107.96,6
CPT,0685T,"Interrogation device evaluation (in-person) with analysis, review and report by a physician or other qualified health care professional, including connection, recording and disconnection per patient e",,,99.69,193.94,6
CPT,0686T,HISTOTRIPSY HEPATIC,78752.25,78752.25,5512.66,78752.25,46
CPT,0686T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance ",78752.25,78752.25,15362.0,35001.4,167
CPT,0687T,"Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session ",,,151.28,294.3,6
CPT,0688T,"Treatment of amblyopia using an online digital program; assessment of patient performance and program data by physician or other qualified health care professional, with report, per calendar month ",,,151.28,294.3,6
CPT,0689T,QUAN US CHARA W/O DX US,1894.7,1894.7,132.63,1894.7,96
CPT,0689T,"Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained without diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tiss",,,111.52,446.97,15
CPT,0690T,QUAN US CHARA W/DX US,1894.7,1894.7,132.63,1894.7,108
CPT,0690T,"Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained with diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tissue,",,,189.54,619.81,6
CPT,0691T,AUTO ALYS CT STD VRT FX,1705.23,1705.23,119.37,1705.23,106
CPT,0691T,"Automated analysis of an existing computed tomography study for vertebral fracture(s), including assessment of bone density when performed, data preparation, interpretation, and report ",,,11.43,74.28,30
CPT,0692T,Therapeutic ultrafiltration ,,,1114.77,2168.73,6
CPT,0693T,Comprehensive full body computer-based markerless 3D kinematic and kinetic motion analysis and report ,,,473.18,1570.24,30
CPT,0694T,"3-dimensional volumetric imaging and reconstruction of breast or axillary lymph node tissue, each excised specimen, 3-dimensional automatic specimen reorientation, interpretation and report, real-time",,,43.44,142.06,6
CPT,0695T,"Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, d",,,1728.23,2172.63,6
CPT,0696T,"Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, d",,,66.55,83.67,6
CPT,0697T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,317.25,1052.8,30
CPT,0698T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,315.28,1030.98,6
CPT,0699T,"Injection, posterior chamber of eye, medication ",,,4623.47,12499.0,128
CPT,0700T,Molecular fluorescent imaging of suspicious nevus; first lesion ,,,48.03,1133.89,30
CPT,0701T,Molecular fluorescent imaging of suspicious nevus; each additional lesion (List separately in addition to code for primary procedure) ,,,14.19,23.65,24
CPT,0704T,Remote treatment of amblyopia using an eye tracking device; device supply with initial set-up and patient education on use of equipment ,,,151.28,294.3,6
CPT,0705T,"Remote treatment of amblyopia using an eye tracking device; surveillance center technical support including data transmission with analysis, with a minimum of 18 training hours, each 30 days ",,,151.28,294.3,6
CPT,0706T,"Remote treatment of amblyopia using an eye tracking device; interpretation and report by physician or other qualified health care professional, per calendar month ",,,151.28,294.3,6
CPT,0707T,"Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance a",,,5286.0,12499.0,172
CPT,0708T,Intradermal cancer immunotherapy; preparation and initial injection ,,,166.29,12875.0,38
CPT,0709T,Intradermal cancer immunotherapy; each additional injection (List separately in addition to code for primary procedure) ,,,166.29,12875.0,38
CPT,0710T,"Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; including data preparation and transmission, quantification of the structu",,,189.54,619.81,6
CPT,0711T,Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data preparation and transmission ,,,189.54,619.81,6
CPT,0712T,N-NVS ARTL PLAQ ALYS QUA,1705.23,1705.23,119.37,1705.23,94
CPT,0712T,Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and ass,,,113.18,370.09,6
CPT,0713T,"Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data review, interpretation and report ",,,189.54,619.81,6
CPT,0714T,"Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume less than 50 mL ",,,4807.0,25655.0,172
CPT,0715T,PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ,,,1672.0,46251.0,14
CPT,0716T,Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score ,,,99.49,2174.0,38
CPT,0717T,"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, including incubation with ",,,7083.0,25655.0,172
CPT,0718T,"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilateral ",,,4693.0,25655.0,172
CPT,0719T,"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment ",,,10868.0,76895.0,172
CPT,0720T,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,2613.0,2613.0,8
CPT,0721T,"Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without concurrent CT examination of any structure contained in previously acquired diagnos",,,878.18,2914.24,18
CPT,0722T,"Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained with concurrent CT examination of any structure contained in the concurrently acquired diag",,,189.54,619.81,6
CPT,0723T,QUANT MRCP WO MRI,1705.23,1705.23,119.37,1705.23,47
CPT,0723T,"Quantitative magnetic resonance cholangiopancreatography (QMRCP), including data preparation and transmission, interpretation and report, obtained without diagnostic magnetic resonance imaging (MRI) e",1705.23,1705.23,1283.18,4258.24,30
CPT,0724T,QUANT MRCP W MRI,1705.23,1705.23,119.37,1705.23,47
CPT,0724T,"Quantitative magnetic resonance cholangiopancreatography (QMRCP), including data preparation and transmission, interpretation and report, obtained with diagnostic magnetic resonance imaging (MRI) exam",1705.23,1705.23,189.54,619.81,6
CPT,0725T,"Vestibular device implantation, unilateral ",,,10868.0,25655.0,172
CPT,0726T,"Removal of implanted vestibular device, unilateral ",,,7839.0,25655.0,172
CPT,0727T,"Removal and replacement of implanted vestibular device, unilateral ",,,10868.0,25655.0,172
CPT,0730T,"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance ",,,9944.0,25655.0,172
CPT,0731T,Augmentative AI-based facial phenotype analysis with report ,,,156.34,304.15,6
CPT,0732T,"Immunotherapy administration with electroporation, intramuscular ",,,166.29,12875.0,38
CPT,0733T,"Remote real-time, motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health care professional; supply and technical support, per 30 days ",,,104.58,203.46,6
CPT,0734T,"Remote real-time, motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or other qualified h",,,963.88,1875.17,6
CPT,0735T,"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately in addition to code for pr",,,1481.0,5932.0,76
CPT,0736T,"Colonic lavage, 35 or more liters of water, gravity-fed, with induced defecation, including insertion of rectal catheter ",,,123.93,5932.0,124
CPT,0737T,Xenograft implantation into the articular surface ,,,5286.0,25655.0,172
CPT,0738T,"Treatment planning for magnetic field induction ablation of malignant prostate tissue, using data from previously performed magnetic resonance imaging (MRI) examination ",,,256.06,378.24,6
CPT,0739T,"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and intraprocedural temperature ",,,5286.0,25655.0,172
CPT,0740T,Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education ,,,100.59,126.46,6
CPT,0741T,"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software, data collection, transmission, and storage, each 30 days ",,,61.25,77.0,6
CPT,0742T,"Absolute quantitation of myocardial blood flow (AQMBF), single-photon emission computed tomography (SPECT), with exercise or pharmacologic stress, and at rest, when performed (List separately in addit",,,43.44,142.06,6
CPT,0743T,"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD), with concurrent vertebral fracture assessment, utilizing data from a computed tomograph",,,82.1,543.87,30
CPT,0744T,"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, polyester, ePTFE, bovine peri",,,8778.0,76895.0,172
CPT,0745T,"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus), derived from anatomical image data (eg, CT, MRI, or myoca",,,3459.33,25655.0,128
CPT,0746T,Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiation treatment plan ,,,3459.33,25655.0,128
CPT,0747T,"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy, arrhythmia ",,,3459.33,25655.0,128
CPT,0748T,"Injections of stem cell product into perianal perifistular soft tissue, including fistula preparation (eg, removal of setons, fistula curettage, closure of internal openings) ",,,4693.0,25655.0,172
CPT,0749T,"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digital X ray, retrieval and t",,,82.1,268.49,6
CPT,0750T,"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digital X ray, retrieval and t",,,82.1,268.49,6
CPT,0751T,"Digitization of glass microscope slides for level II, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,40.23,50.58,6
CPT,0752T,"Digitization of glass microscope slides for level III, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,86.57,108.83,6
CPT,0753T,"Digitization of glass microscope slides for level IV, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,86.57,108.83,6
CPT,0754T,"Digitization of glass microscope slides for level V, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,495.97,623.5,6
CPT,0755T,"Digitization of glass microscope slides for level VI, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,1099.35,1382.04,6
CPT,0756T,"Digitization of glass microscope slides for special stain, including interpretation and report, group I, for microorganisms (eg, acid fast, methenamine silver) (List separately in addition to code for",,,86.57,108.83,6
CPT,0757T,"Digitization of glass microscope slides for special stain, including interpretation and report, group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituen",,,58.5,73.55,6
CPT,0758T,"Digitization of glass microscope slides for special stain, including interpretation and report, histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ",,,122.99,154.62,6
CPT,0759T,"Digitization of glass microscope slides for special stain, including interpretation and report, group III, for enzyme constituents (List separately in addition to code for primary procedure) ",,,1099.35,1382.04,6
CPT,0760T,"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, per specimen, initial single antibody stain procedure (List separately in addition to code for primary procedur",,,251.13,315.7,6
CPT,0761T,"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, per specimen, each additional single antibody stain procedure (List separately in addition to code for primary ",,,112.89,141.92,6
CPT,0762T,"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, per specimen, each multiplex antibody stain procedure (List separately in addition to code for primary procedur",,,495.97,623.5,6
CPT,0763T,"Digitization of glass microscope slides for morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, ",,,251.13,315.7,6
CPT,0764T,"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction, pulmonary hypertension, hypertrophic cardiomyopathy); related to concurrently performe",,,15.14,19.03,6
CPT,0765T,"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction, pulmonary hypertension, hypertrophic cardiomyopathy); related to previously performed ",,,15.14,19.03,6
CPT,0766T,"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, with identification and mapping of the treatment location, including noninvasive electroneurograph",,,399.93,778.05,6
CPT,0767T,"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, with identification and mapping of the treatment location, including noninvasive electroneurograph",,,505.45,983.33,6
CPT,0771T,Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural,,,215.99,420.19,6
CPT,0772T,Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural,,,58.47,113.74,6
CPT,0773T,Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performin,,,215.99,420.19,6
CPT,0774T,Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performin,,,58.47,113.74,6
CPT,0775T,"ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS, WITH IMAGE GUIDANCE, INCLUDES PLACEMENT OF INTRA-ARTICULAR IMPLANT(S) (EG, BONE ALLOGRAFTºS», SYNTHETIC DEVICEºS») ",,,9875.0,9875.0,8
CPT,0776T,"Therapeutic induction of intra-brain hypothermia, including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head, including monitoring (eg, vital signs an",,,41.64,81.0,6
CPT,0777T,Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure) ,,,102.2,5932.0,50
CPT,0778T,"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion, posture, gait, and muscle function ",,,196.33,327.22,30
CPT,0779T,"Gastrointestinal myoelectrical activity study, stomach through colon, with interpretation and report ",,,662.3,2165.77,6
CPT,0780T,Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract ,,,1481.0,25655.0,172
CPT,0781T,"Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; ",,,7839.0,23307.22,172
CPT,0782T,"Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; ",,,7839.0,23307.22,172
CPT,0783T,"Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment ",,,317.04,407.2,48
CPT,0784T,"Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging guidance, when performed ",,,7839.0,36341.06,164
CPT,0785T,"Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator ",,,4693.0,12499.0,164
CPT,0786T,"Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed ",,,7839.0,36341.06,164
CPT,0787T,"Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator ",,,4693.0,12499.0,164
CPT,0788T,"Electronic analysis with simple programming of implanted integrated neurostimulation system (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/o",,,161.4,202.91,6
CPT,0789T,"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/",,,161.4,202.91,6
CPT,0790T,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed ",,,17031.0,78439.38,120
CPT,0791T,"Motor-cognitive, semi-immersive virtual reality-facilitated gait training, each 15 minutes (List separately in addition to code for primary procedure) ",,,85.22,165.8,6
CPT,0792T,"Application of silver diamine fluoride 38%, by a physician or other qualified health care professional ",,,28.74,55.91,6
CPT,0793T,"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance ",,,9875.0,83483.14,132
CPT,0794T,"Patient-specific, assistive, rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient's tumor-specific cancer marker information obtained from prior molecular pathol",,,158.07,2174.0,38
CPT,0795T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,12018.0,25750.0,132
CPT,0796T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,12018.0,25750.0,132
CPT,0797T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,9875.0,48097.28,132
CPT,0798T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,7083.0,23307.22,132
CPT,0799T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,7083.0,23307.22,132
CPT,0800T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,5849.0,21768.0,132
CPT,0801T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,12018.0,25750.0,132
CPT,0802T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,12018.0,25750.0,132
CPT,0803T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,9875.0,48097.28,132
CPT,0804T,"Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values, with analysis, review, and r",,,61.25,77.0,6
CPT,0805T,"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie, caval valve implantation ºCAVI»); percutaneous femoral vein approach ",,,10868.0,25655.0,132
CPT,0806T,"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie, caval valve implantation ºCAVI»); open femoral vein approach ",,,10868.0,25655.0,132
CPT,0807T,"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed tomography (CT) images, ",,,196.33,651.53,30
CPT,0808T,Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) images taken for the purpose,,,378.08,1254.67,30
CPT,0809T,"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, placement of transfixing device and intra-articular implant, including allograft or synthetic device ",,,9875.0,9875.0,8
CPT,0810T,"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies ",,,8843.0,23307.22,172
CPT,0811T,"Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of equipment ",,,346.36,673.83,6
CPT,0812T,"Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report generation, up to 10 days ",,,98.81,192.23,6
CPT,0813T,"Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric bariatric balloon ",,,1882.84,9868.0,164
CPT,0814T,"Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral ",,,4693.0,78439.38,164
CPT,0815T,"Ultrasound-based radiofrequency echographic multi-spectrometry (REMS), bone-density study and fracture-risk assessment, 1 or more sites, hips, pelvis, or spine ",,,6.43,21.01,6
CPT,0816T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,5286.0,58359.95,164
CPT,0817T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,5286.0,58359.95,164
CPT,0818T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous ",,,4693.0,12499.0,164
CPT,0819T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subfascial ",,,4693.0,12499.0,164
CPT,0820T,"Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention), as needed, during psychedelic medication therapy; first physician or other qualified health care professional",,,436.07,848.35,6
CPT,0821T,"Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention), as needed, during psychedelic medication therapy; second physician or other qualified health care professiona",,,216.07,420.35,6
CPT,0822T,"Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention), as needed, during psychedelic medication therapy; clinical staff under the direction of a physician or other ",,,216.07,420.35,6
CPT,0823T,INS LEADLESS PPM ATRIAL,56192.07,56192.07,3933.44,56192.07,46
CPT,0823T,"Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculogr",56192.07,56192.07,17031.0,90227.6,124
CPT,0824T,"Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculograp",,,7083.0,21768.0,124
CPT,0825T,"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or righ",,,17031.0,90227.6,124
CPT,0826T,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,62.88,79.05,6
CPT,0827T,"Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears with interpretation (List separately in addition to code for primary proce",,,86.57,108.83,6
CPT,0828T,"Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical or vaginal; simple filter method with interpretation (List separately in addition to code for",,,86.57,108.83,6
CPT,0829T,"Digitization of glass microscope slides for cytopathology, concentration technique, smears, and interpretation (eg, Saccomanno technique) (List separately in addition to code for primary procedure) ",,,86.57,108.83,6
CPT,0830T,"Digitization of glass microscope slides for cytopathology, selective-cellular enhancement technique with interpretation (eg, liquid-based slide preparation method), except cervical or vaginal (List se",,,86.57,108.83,6
CPT,0831T,"Digitization of glass microscope slides for cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician (List separately in addition to code for primary procedure)",,,86.57,108.83,6
CPT,0832T,"Digitization of glass microscope slides for cytopathology, smears, any other source; screening and interpretation (List separately in addition to code for primary procedure) ",,,86.57,108.83,6
CPT,0833T,"Digitization of glass microscope slides for cytopathology, smears, any other source; preparation, screening and interpretation (List separately in addition to code for primary procedure) ",,,86.57,108.83,6
CPT,0834T,"Digitization of glass microscope slides for cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition to code for primary proc",,,86.57,108.83,6
CPT,0835T,"Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site (",,,86.57,108.83,6
CPT,0836T,"Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation e",,,86.57,108.83,6
CPT,0837T,"Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary procedure) ",,,86.57,108.83,6
CPT,0838T,Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure) ,,,58.5,73.55,6
CPT,0839T,Digitization of glass microscope slides for consultation and report on referred material requiring preparation of slides (List separately in addition to code for primary procedure) ,,,86.57,108.83,6
CPT,0840T,"Digitization of glass microscope slides for consultation, comprehensive, with review of records and specimens, with report on referred material (List separately in addition to code for primary procedu",,,86.57,108.83,6
CPT,0841T,"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (List separately in addition to code for primary procedur",,,40.23,50.58,6
CPT,0842T,Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,40.23,50.58,6
CPT,0843T,"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg, touch preparation, squash preparation), initial site (List separately in addition to code ",,,40.23,50.58,6
CPT,0844T,"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg, touch preparation, squash preparation), each additional site (List separately in addition ",,,40.23,50.58,6
CPT,0845T,"Digitization of glass microscope slides for immunofluorescence, per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedure) ",,,251.13,315.7,6
CPT,0846T,"Digitization of glass microscope slides for immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,251.13,315.7,6
CPT,0847T,"Digitization of glass microscope slides for examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) (List separately ",,,40.23,50.58,6
CPT,0848T,"Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; initial single probe stain procedure (List separately in addition to code for primary procedure) ",,,251.13,315.7,6
CPT,0849T,"Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,251.13,315.7,6
CPT,0850T,"Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure (List separately in addition to code for primary procedure) ",,,251.13,315.7,6
CPT,0851T,"Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative), manual, per specimen; initial single probe stain procedure (List separately",,,251.13,315.7,6
CPT,0852T,"Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative), manual, per specimen; each additional single probe stain procedure (List se",,,251.13,315.7,6
CPT,0853T,"Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative), manual, per specimen; each multiplex probe stain procedure (List separately",,,251.13,315.7,6
CPT,0854T,"Digitization of glass microscope slides for blood smear, peripheral, interpretation by physician with written report (List separately in addition to code for primary procedure) ",,,44.15,55.51,6
CPT,0855T,"Digitization of glass microscope slides for bone marrow, smear interpretation (List separately in addition to code for primary procedure) ",,,1099.35,1382.04,6
CPT,0856T,"Digitization of glass microscope slides for electron microscopy, diagnostic (List separately in addition to code for primary procedure) ",,,1099.35,1382.04,6
CPT,0857T,"Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition to code for primary proced",,,141.41,469.28,9
CPT,0858T,Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with automated report ,,,505.45,983.33,6
CPT,0859T,"Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), other than for screening for peripheral arterial disease, image acquisit",,,13.74,44.93,6
CPT,0860T,"Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), for screening for peripheral arterial disease, including provocative man",,,13.74,44.93,6
CPT,0861T,Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter) ,,,7083.0,19415.0,164
CPT,0862T,"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only ",,,2270.0,12499.0,164
CPT,0863T,"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; transmitter component only ",,,2270.0,12499.0,164
CPT,0864T,"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy ",,,784.58,5932.0,140
CPT,0865T,"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion identification, characterization, and quantification, wi",,,294.17,996.92,30
CPT,0866T,"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion detection, characterization, and quantification, with br",,,294.17,996.92,30
CPT,0867T,"Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater or equal to 50 mL ",,,5146.0,13804.22,116
CPT,0868T,"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling, with interpretation and report ",,,699.63,2287.85,6
CPT,0869T,"Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed ",,,5286.0,12360.0,116
CPT,0870T,"Implantation of subcutaneous peritoneal ascites pump system, percutaneous, including pump-pocket creation, insertion of tunneled indwelling bladder and peritoneal catheters with pump connections, incl",,,5286.0,78439.38,116
CPT,0871T,"Replacement of a subcutaneous peritoneal ascites pump, including reconnection between pump and indwelling bladder and peritoneal catheters, including initial programming and imaging, when performed ",,,5286.0,78439.38,116
CPT,0872T,"Replacement of indwelling bladder and peritoneal catheters, including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump, including imaging and programming, when",,,5286.0,78439.38,116
CPT,0873T,"Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated peritoneal catheter, associated bladder catheter), including imaging and programming, whe",,,5286.0,78439.38,116
CPT,0874T,"Removal of a peritoneal ascites pump system, including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters ",,,4693.0,78439.38,116
CPT,0875T,Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional ,,,99.69,193.94,6
CPT,0876T,"Duplex scan of hemodialysis fistula, computer-aided, limited (volume flow, diameter, and depth, including only body of fistula) ",,,153.55,502.12,6
CPT,0881T,"Cryotherapy of the oral cavity using temperature regulated fluid cooling system, including placement of an oral device, monitoring of patient tolerance to treatment, and removal of the oral device ",,,1043.98,2031.02,6
CPT,0882T,"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; initial nerve (List s",,,1481.0,5932.0,68
CPT,0883T,"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; each additional nerve",,,1481.0,5932.0,68
CPT,0884T,"Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for esophageal s",,,5146.0,10217.09,116
CPT,0885T,"Colonoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, includ",,,5146.0,9908.0,116
CPT,0886T,"Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, incl",,,5146.0,8858.0,116
CPT,0888T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance ",,,15362.0,49001.4,140
CPT,0889T,"Personalized target development for accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state functional MRI, including d",,,2613.88,5085.17,6
CPT,0890T,"Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including target assessment, initial motor threshold determination, neuronavigation, delivery and manageme",,,6188.88,12040.17,6
CPT,0891T,"Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent treatment day ",,,6188.88,12040.17,6
CPT,0892T,"Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent motor threshold redetermination with delive",,,6188.88,12040.17,6
CPT,0893T,"Noninvasive assessment of blood oxygenation, gas exchange efficiency, and cardiorespiratory status, with physician or other qualified health care professional interpretation and report ",,,160.27,311.8,6
CPT,0894T,Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion ,,,10868.0,78439.38,72
CPT,0895T,"Connection of liver allograft to normothermic machine perfusion device, hemostasis control; initial 4 hours of monitoring time, including hourly physiological and laboratory assessments (eg, perfusate",,,71381.29,78439.38,48
CPT,0896T,"Connection of liver allograft to normothermic machine perfusion device, hemostasis control; each additional hour, including physiological and laboratory assessments (eg, perfusate temperature, perfusa",,,71381.29,78439.38,48
CPT,0897T,"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations, based on selected intervals of interest from 12-lead electrocardiogram and uploaded",,,1364.77,4462.89,6
CPT,0898T,"Noninvasive prostate cancer estimation map, derived from augmentative analysis of image-guided fusion biopsy and pathology, including visualization of margin volume and location, with margin determina",,,1364.77,4462.89,6
CPT,0899T,"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF), derived from augmentative algorithmic analysis of the dataset acquired via contrast cardiac magnetic resonance (CMR",,,1210.78,3959.33,6
CPT,0900T,"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF), derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnetic resonance (CMR), pharm",,,1210.78,3959.33,6
CPT,0901T,"Placement of bone marrow sampling port, including imaging guidance when performed ",,,4693.0,78439.38,116
CPT,0902T,"QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile ECG device ",,,225.58,1668.0,10
CPT,0903T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; with interpretation and report ",,,30.28,1668.0,10
CPT,0904T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only ",,,103.95,1668.0,10
CPT,0905T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; interpretation and report only ",,,15.14,1668.0,10
CPT,0906T,"Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; first application, total wound(s) surface area less than or equal to 50 sq cm ",,,546.42,1063.04,6
CPT,0907T,"Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; each additional application, total wound(s) surface area less than or equal to 50 sq cm (List separately",,,878.65,1709.38,6
CPT,0908T,"Open implantation of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed ",,,5286.0,78439.38,116
CPT,0909T,"Replacement of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed ",,,5286.0,78439.38,116
CPT,0910T,"Removal of integrated neurostimulation system, vagus nerve ",,,4693.0,78439.38,116
CPT,0911T,"Electronic analysis of implanted integrated neurostimulation system, vagus nerve; without programming by physician or other qualified health care professional ",,,190.8,239.87,6
CPT,0912T,"Electronic analysis of implanted integrated neurostimulation system, vagus nerve; with simple programming by physician or other qualified health care professional ",,,73.8,92.77,6
CPT,0913T,"Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting), including mechanical dilation by nondrug-delivery balloon angioplasty, endo",,,12210.0,67846.0,76
CPT,0914T,"Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting) performed on a separate target lesion from the target lesion treated with ba",,,1481.0,67846.0,28
CPT,0915T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse",,,18288.0,89772.42,116
CPT,0916T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse",,,7839.0,62849.33,116
CPT,0917T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; singl",,,15362.0,25750.0,116
CPT,0918T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; dual ",,,15362.0,25750.0,116
CPT,0919T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); pulse generator only ,,,7083.0,19415.0,116
CPT,0920T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous pacing lead only ,,,7083.0,19415.0,116
CPT,0921T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous defibrillation lead only ,,,7083.0,19415.0,116
CPT,0922T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); dual (pacing and defibrillation) transvenous leads only ,,,7083.0,19415.0,116
CPT,0923T,Removal and replacement of permanent cardiac contractility modulation-defibrillation pulse generator only ,,,7839.0,62849.33,116
CPT,0924T,"Repositioning of previously implanted cardiac contractility modulation-defibrillation transvenous electrode(s)/lead(s), including fluoroscopic guidance and programming of sensing and therapeutic param",,,1347.81,6680.0,116
CPT,0925T,Relocation of skin pocket for implanted cardiac contractility modulation-defibrillation pulse generator ,,,2270.0,6680.0,116
CPT,0926T,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including",,,65.26,82.04,6
CPT,0927T,"Interrogation device evaluation (in person) with analysis, review, and report, including connection, recording, and disconnection, per patient encounter, implantable cardiac contractility modulation-d",,,65.26,82.04,6
CPT,0928T,"Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation-defibrillation system with interim analysis and report(s) by a physician or other qualified health care profes",,,54.86,68.97,6
CPT,0929T,"Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation-defibrillation system, remote data acquisition(s), receipt of transmissions, technician review, technical supp",,,65.26,82.04,6
CPT,0930T,"Electrophysiologic evaluation of cardiac contractility modulation-defibrillator leads, including defibrillation-threshold evaluation (induction of arrhythmia, evaluation of sensing and therapy for arr",,,2124.48,5932.0,74
CPT,0931T,"Electrophysiologic evaluation of cardiac contractility modulation-defibrillator leads, including defibrillation-threshold evaluation (induction of arrhythmia, evaluation of sensing and therapy for arr",,,2124.48,6680.0,74
CPT,0932T,"Noninvasive detection of heart failure derived from augmentative analysis of an echocardiogram that demonstrated preserved ejection fraction, with interpretation and report by a physician or other qua",,,410.88,1343.6,6
CPT,0933T,"Transcatheter implantation of wireless left atrial pressure sensor for long-term left atrial pressure monitoring, including sensor calibration and deployment, right heart catheterization, transseptal ",,,9944.0,21768.0,76
CPT,0934T,"Remote monitoring of a wireless left atrial pressure sensor for up to 30 days, including data from daily uploads of left atrial pressure recordings, interpretation(s) and trend analysis, with adjustme",,,101.09,196.67,6
CPT,0935T,"Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement of ureteral sheath(s) and mul",,,7839.0,78439.38,116
CPT,0936T,"Photobiomodulation therapy of retina, single session ",,,71381.29,78439.38,48
CPT,0937T,"External electrocardiographic recording for greater than 15 days up to 30 days by continuous rhythm recording and storage; including recording, scanning analysis with report, review and interpretation",,,189.11,237.73,6
CPT,0938T,External electrocardiographic recording for greater than 15 days up to 30 days by continuous rhythm recording and storage; recording (including connection and initial recording) ,,,97.41,122.45,6
CPT,0939T,External electrocardiographic recording for greater than 15 days up to 30 days by continuous rhythm recording and storage; scanning analysis with report ,,,195.91,246.29,6
CPT,0940T,External electrocardiographic recording for greater than 15 days up to 30 days by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care profe,,,49.82,62.63,6
CPT,0941T,"Cystourethroscopy, flexible; with insertion and expansion of prostatic urethral scaffold using integrated cystoscopic visualization ",,,7839.0,78439.38,116
CPT,0942T,"Cystourethroscopy, flexible; with removal and replacement of prostatic urethral scaffold ",,,7839.0,78439.38,116
CPT,0943T,"Cystourethroscopy, flexible; with removal of prostatic urethral scaffold ",,,5286.0,78439.38,116
CPT,0944T,3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwave ablation ,,,326.32,676.82,72
CPT,0945T,"Intraoperative assessment for abnormal (tumor) tissue, in-vivo, following partial mastectomy (eg, lumpectomy) using computer-aided fluorescence imaging (List separately in addition to code for primary",,,57.27,12875.0,74
CPT,0946T,"Orthopedic implant movement analysis using paired computed tomography (CT) examination of the target structure, including data acquisition, data preparation and transmission, interpretation and report",,,143.56,476.4,30
CPT,0947T,"Magnetic resonance image guided low intensity focused ultrasound (MRgFUS), stereotactic blood-brain barrier disruption using microbubble resonators to increase the concentration of blood-based biomark",,,7839.0,56002.24,50
CPT,0948T,"Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system with interim analysis, review, and report(s) by a physician or other qualified health care professional",,,54.86,68.97,6
CPT,0949T,"Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data acquisition(s), receipt of transmissions, technician review, technical support, and distri",,,65.26,82.04,6
CPT,0950T,"Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,5146.0,25892.02,116
CPT,0951T,"Totally implantable active middle ear hearing implant; initial placement, including mastoidectomy, placement of and attachment to sound processor ",,,7839.0,78439.38,116
CPT,0952T,"Totally implantable active middle ear hearing implant; revision or replacement, with mastoidectomy and replacement of sound processor ",,,7839.0,78439.38,116
CPT,0953T,"Totally implantable active middle ear hearing implant; revision or replacement, without mastoidectomy and replacement of sound processor ",,,7839.0,78439.38,116
CPT,0954T,"Totally implantable active middle ear hearing implant; replacement of sound processor only, with attachment to existing transducers ",,,7839.0,78439.38,116
CPT,0955T,"Totally implantable active middle ear hearing implant; removal, including removal of sound processor and all implant components ",,,5286.0,78439.38,116
CPT,0956T,"Partial craniectomy, channel creation, and tunneling of electrode for sub-scalp implantation of an electrode array, receiver, and telemetry unit for continuous bilateral electroencephalography monitor",,,7839.0,63001.4,116
CPT,0957T,"Revision of sub-scalp implanted electrode array, receiver, and telemetry unit for electrode, when required, including imaging guidance ",,,2270.0,6680.0,116
CPT,0958T,"Removal of sub-scalp implanted electrode array, receiver, and telemetry unit for continuous bilateral electroencephalography monitoring system, including imaging guidance ",,,5286.0,12360.0,116
CPT,0959T,"Removal or replacement of magnet from coil assembly that is connected to continuous bilateral electroencephalography monitoring system, including imaging guidance ",,,3532.12,6680.0,92
CPT,0960T,"Replacement of sub-scalp implanted electrode array, receiver, and telemetry unit with tunneling of electrode for continuous bilateral electroencephalography monitoring system, including imaging guidan",,,5286.0,63001.4,116
CPT,0961T,"Shortwave infrared radiation imaging, surgical pathology specimen, to assist gross examination for lymph node localization in fibroadipose tissue, per specimen (List separately in addition to code for",,,85.14,107.03,6
CPT,0962T,"Assistive algorithmic analysis of acoustic and electrocardiogram recording for detection of cardiac dysfunction (eg, reduced ejection fraction, cardiac murmurs, atrial fibrillation), with review and i",,,225.58,1668.0,10
CPT,0963T,Anoscopy with directed submucosal injection of bulking agent into anal canal ,,,2570.39,5932.0,92
CPT,0964T,"Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial adjustment; single arch, without mandibular advancement mechanism ",,,7069.89,9080.6,48
CPT,0965T,"Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial adjustment; dual arch, with additional mandibular advancement, non-fixed hinge mechani",,,7069.89,9080.6,48
CPT,0966T,"Impression and custom preparation of jaw expansion oral prosthesis for obstructive sleep apnea, including initial adjustment; dual arch, with additional mandibular advancement, fixed hinge mechanism ",,,7069.89,9080.6,48
CPT,0967T,"Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring component and flexible sheath connected to external vacuum source and monitoring syste",,,2270.0,6680.0,116
CPT,0968T,"Insertion or replacement of epicranial neurostimulator system, including electrode array and pulse generator, with connection to electrode array ",,,5286.0,78439.38,116
CPT,0969T,Removal of epicranial neurostimulator system ,,,4693.0,78439.38,116
CPT,0970T,"Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each tumor ",,,5146.0,10721.98,116
CPT,0971T,"Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral ",,,5146.0,10721.98,116
CPT,0972T,"Assistive algorithmic classification of burn healing (ie, healing or nonhealing) by noninvasive multispectral imaging, including system set-up and acquisition, selection, and transmission of images, w",,,15.14,19.03,6
CPT,0973T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs;",,,870.98,5932.0,116
CPT,0974T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs;",,,1481.0,5932.0,68
CPT,0975T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands",,,870.98,5932.0,116
CPT,0976T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands",,,1481.0,5932.0,68
CPT,0977T,"Upper gastrointestinal blood detection, sensor capsule, with interpretation and report ",,,1284.46,4200.27,6
CPT,0978T,"Submucosal cryolysis therapy; soft palate, base of tongue, and lingual tonsil ",,,1043.98,6680.0,50
CPT,0979T,Submucosal cryolysis therapy; soft palate only ,,,1043.98,6680.0,50
CPT,0980T,Submucosal cryolysis therapy; base of tongue and lingual tonsil only ,,,1043.98,6680.0,50
CPT,0981T,"Transcatheter implantation of wireless inferior vena cava sensor for long-term hemodynamic monitoring, including deployment of the sensor, radiological supervision and interpretation, right heart cath",,,17223.0,50278.82,52
CPT,0982T,"Remote monitoring of implantable inferior vena cava sensor, physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial set-up and patient education on use of",,,354.39,689.45,6
CPT,0983T,"Remote monitoring of an implanted inferior vena cava sensor for up to 30 days, including at least weekly downloads of inferior vena cava area recordings, interpretation(s), trend analysis, and report(",,,102.55,199.5,6
CPT,0984T,"Intravascular imaging of extracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,137.75,5932.0,50
CPT,0985T,"Intravascular imaging of extracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,109.61,5932.0,50
CPT,0986T,"Intravascular imaging of intracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,137.75,5932.0,50
CPT,0987T,"Intravascular imaging of intracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,109.61,5932.0,50
CPT,0988T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,5286.0,78439.38,116
CPT,0989T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous and subfascial ",,,4693.0,12360.0,116
CPT,0990T,"Transcervical instillation of biodegradable hydrogel materials, intrauterine ",,,4693.0,78439.38,116
CPT,0991T,"Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging ",,,5146.0,27080.2,76
CPT,0992T,"Noninvasive assessment of cardiac risk derived from augmentative software analysis of perivascular fat without concurrent computed tomography (CT) scan of the heart, including patient-specific clinica",,,333.96,1092.09,6
CPT,0993T,"Noninvasive assessment of cardiac risk derived from augmentative software analysis of perivascular fat with concurrent computed tomography scan of the heart, including patient-specific clinical factor",,,333.96,1092.09,6
CPT,0994T,"Endovascular delivery of aortic wall stabilization drug therapy through a sheath positioned within an abdominal aortic aneurysm, with aortic roadmapping, balloon occlusion, imaging guidance, and radio",,,10868.0,78439.38,116
CPT,0995T,"Endovascular delivery of aortic wall stabilization drug therapy through a sheath positioned within an abdominal aortic aneurysm, with aortic roadmapping, balloon occlusion, imaging guidance, and radio",,,10868.0,78439.38,116
CPT,0996T,"Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy, including removal of crystalline lens or dislocated intraocular lens prosthesis,",,,5140.03,18490.0,116
CPT,0997T,"Precuneus magnetic stimulation; treatment planning using magnetic resonance imaging-guided neuronavigation to determine optimal location, dose, and intensity for magnetic stimulation therapy, derived ",,,2613.88,5085.17,6
CPT,0998T,"Precuneus magnetic stimulation; personalized treatment delivery of magnetic stimulation therapy to a prespecified target area derived from analysis of evoked potentials within the precuneus, utilizing",,,10313.88,20065.17,6
CPT,0999T,"Autologous muscle cell therapy, harvesting of muscle progenitor cells, including ultrasound guidance, when performed ",,,5286.0,78439.38,116
CPT,10004,"Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,118
CPT,10005,"Fine needle aspiration biopsy, including ultrasound guidance; first lesion ",,,253.74,6587.0,242
CPT,10005,"Fine needle aspiration biopsy, including ultrasound guidance; first lesion Age 21+",,,283.36,283.36,4
CPT,10005,"Fine needle aspiration biopsy, including ultrasound guidance; first lesion Age Under 21",,,288.51,288.51,4
CPT,10006,"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,118
CPT,10007,"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion ",,,191.16,6587.0,242
CPT,10007,"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion Age 21+",,,213.48,213.48,4
CPT,10007,"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion Age Under 21",,,217.36,217.36,4
CPT,10008,"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,118
CPT,10009,"Fine needle aspiration biopsy, including CT guidance; first lesion ",,,253.74,6587.0,242
CPT,10009,"Fine needle aspiration biopsy, including CT guidance; first lesion Age 21+",,,283.36,283.36,4
CPT,10009,"Fine needle aspiration biopsy, including CT guidance; first lesion Age Under 21",,,288.51,288.51,4
CPT,1000T,"Autologous muscle cell therapy, administration of muscle progenitor cells into the urethral sphincter, including cystoscopy and post-void residual ultrasound, when performed ",,,5286.0,78439.38,116
CPT,10010,"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,10011,"Fine needle aspiration biopsy, including MR guidance; first lesion ",,,253.74,6587.0,266
CPT,10011,"Fine needle aspiration biopsy, including MR guidance; first lesion Age 21+",,,283.36,283.36,4
CPT,10011,"Fine needle aspiration biopsy, including MR guidance; first lesion Age Under 21",,,288.51,288.51,4
CPT,10012,"Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,1001T,"Autologous muscle cell therapy, injection of muscle progenitor cells into the external anal sphincter, including ultrasound guidance, when performed ",,,5286.0,78439.38,116
CPT,10021,"Fine needle aspiration biopsy, without imaging guidance; first lesion ",,,50.99,5932.0,266
CPT,10021,"Fine needle aspiration biopsy, without imaging guidance; first lesion Age 21+",,,56.95,56.95,4
CPT,10021,"Fine needle aspiration biopsy, without imaging guidance; first lesion Age Under 21",,,57.98,57.98,4
CPT,10022,FINE NEEDLE ASPIRATION; WITH IMAGING GUIDANCE ,,,1266.0,3293.0,42
CPT,1002T,"Air displacement plethysmography, whole-body composition assessment, with interpretation and report ",,,81.26,158.09,6
CPT,10030,IMG GD FLD COLL SOFT TIS,1585.44,1585.44,174.4,1585.44,37
CPT,10030,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous ",,,253.74,6680.0,266
CPT,10030,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous Age 21+",,,283.36,283.36,4
CPT,10030,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous Age Under 21",,,288.51,288.51,4
CPT,10030,PERC CATHDRN SFT TISS,1585.44,1585.44,174.4,1585.44,37
CPT,10035,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion ",,,714.92,6680.0,239
CPT,10036,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in additi",,,948.0,5932.0,142
CPT,1003T,"Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement (eg, first carpometacarpal total joint) ",,,12210.0,36726.93,116
CPT,10040,"Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) ",,,202.56,2636.0,195
CPT,1004T,"Electronic analysis of implanted sub-scalp continuous bilateral electroencephalography monitoring system (eg, contact groupºs», gain, bandpass filters) by physician or other qualified health care prof",,,237.88,299.05,6
CPT,1005T,"Electronic analysis of implanted sub-scalp continuous bilateral electroencephalography monitoring system (eg, contact groupºs», gain, bandpass filters) by physician or other qualified health care prof",,,169.98,213.69,6
CPT,10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single ",,,64.08,5932.0,266
CPT,10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single Age 21+",,,71.57,71.57,4
CPT,10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single Age Under 21",,,72.87,72.87,4
CPT,10061,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple ",,,96.81,5932.0,266
CPT,10061,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple Age 21+",,,108.11,108.11,4
CPT,10061,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple Age Under 21",,,110.07,110.07,4
CPT,1006T,"Electronic analysis of implanted sub-scalp continuous bilateral electroencephalography monitoring system (eg, contact groupºs», gain, bandpass filters) by physician or other qualified health care prof",,,75.92,95.44,6
CPT,10080,Incision and drainage of pilonidal cyst; simple ,,,171.53,5932.0,266
CPT,10080,Incision and drainage of pilonidal cyst; simple Age 21+,,,191.55,191.55,4
CPT,10080,Incision and drainage of pilonidal cyst; simple Age Under 21,,,195.04,195.04,4
CPT,10081,Incision and drainage of pilonidal cyst; complicated ,,,206.16,5932.0,266
CPT,10081,Incision and drainage of pilonidal cyst; complicated Age 21+,,,230.23,230.23,4
CPT,10081,Incision and drainage of pilonidal cyst; complicated Age Under 21,,,234.42,234.42,4
CPT,1008T,"Remote monitoring of sub-scalp implanted continuous bilateral electroencephalography monitoring system, device fitting, initial set-up, and patient education in wearing of system and use of equipment ",,,374.06,727.71,6
CPT,1009T,"Remote monitoring of a sub-scalp implanted continuous bilateral electroencephalography monitoring system, physician or other qualified health care professional review of recorded events, analysis of s",,,102.55,199.5,6
CPT,1010T,"Computerized ophthalmic analysis of monocular eye movements using retinal-based eye-tracking without spatial calibration, including fixation, microsaccades, drift, and horizontal saccades, when perfor",,,237.88,299.05,6
CPT,1011T,"Photobiomodulation (PBM) therapy of oral cavity, including placement of an oral device, monitoring of patient tolerance to treatment, and removal of the oral device ",,,1097.36,2134.86,6
CPT,10120,"Incision and removal of foreign body, subcutaneous tissues; simple ",,,85.08,5932.0,266
CPT,10120,"Incision and removal of foreign body, subcutaneous tissues; simple Age 21+",,,95.02,95.02,4
CPT,10120,"Incision and removal of foreign body, subcutaneous tissues; simple Age Under 21",,,96.75,96.75,4
CPT,10121,"Incision and removal of foreign body, subcutaneous tissues; complicated ",,,479.15,6680.0,266
CPT,10121,"Incision and removal of foreign body, subcutaneous tissues; complicated Age 21+",,,535.1,535.1,4
CPT,10121,"Incision and removal of foreign body, subcutaneous tissues; complicated Age Under 21",,,544.82,544.82,4
CPT,1012T,"Motorized ab interno trephination of sclera (sclerostomy), or trabecular meshwork (trabeculostomy), 1 or more, including injection of antifibrotic agents, when performed ",,,9206.03,19415.0,116
CPT,1013T,"Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and neurostimulator pulse generator or receiver, requiring pocket creation and connecti",,,14630.0,55496.87,116
CPT,10140,I&D HEMOTM/SERMA/FLD COL,11619.57,11619.57,1278.15,11619.57,37
CPT,10140,"Incision and drainage of hematoma, seroma or fluid collection ",11619.57,11619.57,89.45,5932.0,266
CPT,10140,"Incision and drainage of hematoma, seroma or fluid collection Age 21+",11619.57,11619.57,99.89,99.89,4
CPT,10140,"Incision and drainage of hematoma, seroma or fluid collection Age Under 21",11619.57,11619.57,101.71,101.71,4
CPT,1014T,"Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes ",,,15362.0,31875.31,116
CPT,1015T,"Revision or removal, lower esophageal sphincter neurostimulator pulse generator or receiver ",,,7083.0,19415.0,116
CPT,10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst ",,,66.81,5932.0,266
CPT,10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst Age 21+",,,74.61,74.61,4
CPT,10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst Age Under 21",,,75.97,75.97,4
CPT,1016T,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of waveform, battery status, electrode selectability, output modulation, ",,,79.47,99.9,6
CPT,1017T,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of waveform, battery status, electrode selectability, output modulation, ",,,105.47,132.59,6
CPT,10180,I&D COMPLX PST-OP INFECT,18240.87,18240.87,2006.5,18240.87,37
CPT,10180,"Incision and drainage, complex, postoperative wound infection ",18240.87,18240.87,802.97,8858.0,266
CPT,10180,"Incision and drainage, complex, postoperative wound infection Age 21+",18240.87,18240.87,896.72,896.72,4
CPT,10180,"Incision and drainage, complex, postoperative wound infection Age Under 21",18240.87,18240.87,913.02,913.02,4
CPT,1018T,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of waveform, battery status, electrode selectability, output modulation, ",,,66.73,83.89,6
CPT,1019T,"Lymphovenous bypass, including robotic assistance, when performed, per extremity ",,,7839.0,18995.17,116
CPT,1020T,"Raman spectroscopy of 1 or more skin lesions, with probability score for malignant risk derived by algorithmic analysis of data from each lesion ",,,81.36,135.61,30
CPT,1021T,Active thoracic irrigation (separate procedure) ,,,1397.14,6680.0,116
CPT,1022T,"Percutaneous tissue displacement, any method, including imaging guidance; intra-abdominal/pelvic structures (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,68
CPT,1023T,"Percutaneous tissue displacement, any method, including imaging guidance; intrathoracic structures (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,68
CPT,1024T,"Percutaneous tissue displacement, any method, including imaging guidance; soft tissue (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,68
CPT,1025T,"Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific array layouts, and placement verification ",,,240.31,302.1,6
CPT,1026T,"Transvaginal laser photobiomodulation therapy of pelvis, provided by a physician or other qualified health care professional ",,,7839.0,12875.0,68
CPT,1027T,"Percutaneous insertion or replacement of neurostimulation catheter via left subclavian or left jugular vein into the superior vena cava, with verification of capture of phrenic nerves, mapping and ",,,10868.0,12875.0,24
CPT,1037T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant pancreatic tissue, including imaging guidance ",,,15362.0,19415.0,44
CPT,1038T,"Autologous muscle cell therapy, injection(s) of muscle progenitor cells into the tongue, including esophagoscopy, when performed ",,,4693.0,12875.0,68
CPT,1040T,"Bronchoscopy, flexible, with bronchial cryotherapy, 1 lung, including trachea, when performed ",,,5286.0,12875.0,68
CPT,1042T,Implantation of absorbable urologic scaffold for prostatic urethra restoration of reconstructed bladder neck and urethral anastomosis (List separately in addition to code for primary procedure) ,,,4693.0,12875.0,68
CPT,1044T,"Harvest of full-thickness skin for autologous heterogeneous skin construct graft, including direct closure of donor site; first 5 sq cm or less ",,,5286.0,12875.0,68
CPT,1045T,"Harvest of full-thickness skin for autologous heterogeneous skin construct graft, including direct closure of donor site; each additional 5 sq cm, or part thereof (List separately in addition ",,,4693.0,12875.0,68
CPT,1046T,"Autologous heterogeneous skin construct graft application, trunk, arms, legs; first 50 sq cm or less, or 0.5% of body area of infants and children ",,,5286.0,12875.0,68
CPT,1047T,"Autologous heterogeneous skin construct graft application, trunk, arms, legs; each additional 50 sq cm, or each additional 0.5% of body area of infants and children, or part thereof (List separately ",,,4693.0,12875.0,68
CPT,1048T,"Autologous heterogeneous skin construct graft application, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 50 sq cm or less, or 0.5% of ",,,5286.0,12875.0,68
CPT,1049T,"Autologous heterogeneous skin construct graft application, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 50 sq cm, or each additional",,,4693.0,12875.0,68
CPT,1050T,"Insertion, subcutaneous heart failure decompensation monitor, containing sensors that measure, at a minimum, heart rate, impedance, respiration rate, physical activity, heart sounds ",,,4693.0,12875.0,68
CPT,1051T,Removal of subcutaneous heart failure decompensation monitor ,,,10868.0,12875.0,24
CPT,11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface ,,,28.55,5932.0,266
CPT,11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface Age 21+,,,31.88,31.88,4
CPT,11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface Age Under 21,,,32.46,32.46,4
CPT,11001,"Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,11004,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum ",,,948.0,25655.0,194
CPT,11005,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure ",,,948.0,25655.0,194
CPT,11006,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure ",,,948.0,25655.0,194
CPT,11008,"Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary",,,948.0,25655.0,194
CPT,11010,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues ",,,253.74,6680.0,266
CPT,11010,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues Age 21+",,,283.36,283.36,4
CPT,11010,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues Age Under 21",,,288.51,288.51,4
CPT,11011,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle ",,,253.74,6680.0,266
CPT,11011,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle Age 21+",,,283.36,283.36,4
CPT,11011,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle Age Unde",,,288.51,288.51,4
CPT,11012,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone ",,,802.97,6680.0,266
CPT,11012,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone Ag",,,896.72,913.02,8
CPT,11040,"DEBRIDE SKIN, PARTIAL ",,,2152.0,6587.0,34
CPT,11041,"DEBRIDE SKIN, FULL ",,,2152.0,6587.0,34
CPT,11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less ",,,168.94,6680.0,266
CPT,11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less Age 21+",,,188.66,188.66,4
CPT,11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less Age Under 21",,,192.09,192.09,4
CPT,11043,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less ",,,258.69,6680.0,266
CPT,11043,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less Age 21+",,,288.89,288.89,4
CPT,11043,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less Age Under 21",,,294.15,294.15,4
CPT,11044,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less ",,,558.12,6680.0,266
CPT,11044,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less Age 21+",,,623.28,623.28,4
CPT,11044,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less Age Under 21",,,634.61,634.61,4
CPT,11045,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,11046,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary proced",,,948.0,5932.0,142
CPT,11047,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary proc",,,948.0,5932.0,142
CPT,11055,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion ",,,202.56,5932.0,239
CPT,11056,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions ",,,202.56,5932.0,239
CPT,11057,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions ",,,54.82,5932.0,266
CPT,11057,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age 21+",,,61.22,61.22,4
CPT,11057,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21",,,62.33,62.33,4
CPT,11100,"BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS OTHERWISE LISTED; SINGLE LESION ",,,2152.0,2636.0,34
CPT,11101,"BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS OTHERWISE LISTED; EACH SEPARATE/ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED ",,,2152.0,2636.0,34
CPT,11102,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion ",,,63.27,6587.0,266
CPT,11102,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion Age 21+",,,70.65,70.65,4
CPT,11102,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion Age Under 21",,,71.94,71.94,4
CPT,11103,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,11104,"Punch biopsy of skin (including simple closure, when performed); single lesion ",,,78.27,6587.0,266
CPT,11104,"Punch biopsy of skin (including simple closure, when performed); single lesion Age 21+",,,87.41,87.41,4
CPT,11104,"Punch biopsy of skin (including simple closure, when performed); single lesion Age Under 21",,,89.0,89.0,4
CPT,11105,"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,11106,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion ",,,97.35,6587.0,266
CPT,11106,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion Age 21+",,,108.71,108.71,4
CPT,11106,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion Age Under 21",,,110.69,110.69,4
CPT,11107,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,11200,"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions ",,,202.56,5932.0,239
CPT,11201,"Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure) ",,,948.0,2636.0,98
CPT,11300,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less ",,,380.91,2636.0,195
CPT,11301,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm ",,,202.56,2636.0,195
CPT,11302,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm ",,,202.56,2636.0,195
CPT,11303,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm ",,,410.41,2636.0,195
CPT,11305,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less ",,,202.56,2636.0,195
CPT,11306,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm ",,,202.56,2636.0,195
CPT,11307,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm ",,,73.22,2636.0,222
CPT,11307,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm Age 21+",,,81.77,81.77,4
CPT,11307,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm Age Under 21",,,83.26,83.26,4
CPT,11308,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm ",,,410.41,2636.0,195
CPT,11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less ",,,70.9,2636.0,222
CPT,11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less Age 21+",,,79.18,79.18,4
CPT,11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less Age Under 21",,,80.62,80.62,4
CPT,11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm ",,,73.22,2636.0,222
CPT,11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm Age 21+",,,81.77,81.77,4
CPT,11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm Age Under 21",,,83.26,83.26,4
CPT,11312,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm ",,,88.08,2636.0,222
CPT,11312,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm Age 21+",,,98.36,98.36,4
CPT,11312,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm Age Under 21",,,100.15,100.15,4
CPT,11313,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm ",,,97.08,2636.0,222
CPT,11313,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm Age 21+",,,108.42,108.42,4
CPT,11313,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm Age Under 21",,,110.39,110.39,4
CPT,11400,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less ",,,76.62,5932.0,266
CPT,11400,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less Age 21+",,,85.57,85.57,4
CPT,11400,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less Age Under 21",,,87.12,87.12,4
CPT,11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm ",,,87.8,5932.0,266
CPT,11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm Age 21+",,,98.05,98.05,4
CPT,11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm Age Under 21",,,99.84,99.84,4
CPT,11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm ",,,95.17,5932.0,266
CPT,11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm Age 21+",,,106.28,106.28,4
CPT,11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm Age Under 21",,,108.21,108.21,4
CPT,11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm ",,,103.62,5932.0,266
CPT,11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm Age 21+",,,115.72,115.72,4
CPT,11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm Age Under 21",,,117.82,117.82,4
CPT,11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm ",,,479.15,5932.0,266
CPT,11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm Age 21+",,,535.1,535.1,4
CPT,11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm Age Under 21",,,544.82,544.82,4
CPT,11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm ",,,479.15,6680.0,266
CPT,11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm Age 21+",,,535.1,535.1,4
CPT,11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm Age Under 21",,,544.82,544.82,4
CPT,11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less ",,,73.08,6680.0,266
CPT,11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less Age 21+",,,81.61,81.61,4
CPT,11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less Age Under 21",,,83.09,83.09,4
CPT,11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm ",,,85.36,6680.0,266
CPT,11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm Age 21+",,,95.33,95.33,4
CPT,11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm Age Under 21",,,97.06,97.06,4
CPT,11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm ",,,94.35,5932.0,266
CPT,11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm Age 21+",,,105.37,105.37,4
CPT,11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm Age Under 21",,,107.28,107.28,4
CPT,11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm ",,,102.81,5932.0,266
CPT,11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm Age 21+",,,114.82,114.82,4
CPT,11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm Age Under 21",,,116.91,116.91,4
CPT,11424,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm ",,,479.15,6680.0,266
CPT,11424,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm Age 21+",,,535.1,535.1,4
CPT,11424,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm Age Under 21",,,544.82,544.82,4
CPT,11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm ",,,802.97,8858.0,266
CPT,11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age 21+",,,896.72,896.72,4
CPT,11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age Under 21",,,913.02,913.02,4
CPT,11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less ",,,85.08,6680.0,266
CPT,11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less Age 21+",,,95.02,95.02,4
CPT,11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less Age Under 21",,,96.75,96.75,4
CPT,11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm ",,,94.62,6680.0,266
CPT,11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm Age 21+",,,105.67,105.67,4
CPT,11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm Age Under 21",,,107.59,107.59,4
CPT,11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm ",,,102.26,5932.0,266
CPT,11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm Age 21+",,,114.2,114.2,4
CPT,11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm Age Under 21",,,116.28,116.28,4
CPT,11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm ",,,112.62,5932.0,266
CPT,11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm Age 21+",,,125.77,125.77,4
CPT,11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm Age Under 21",,,128.06,128.06,4
CPT,11444,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm ",,,479.15,5932.0,266
CPT,11444,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm Age 21+",,,535.1,535.1,4
CPT,11444,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm Age Under 21",,,544.82,544.82,4
CPT,11446,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm ",,,802.97,8858.0,266
CPT,11446,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm Age 21+",,,896.72,896.72,4
CPT,11446,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm Age Under 21",,,913.02,913.02,4
CPT,11450,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair ",,,802.97,8858.0,266
CPT,11450,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair Age 21+",,,896.72,896.72,4
CPT,11450,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair Age Under 21",,,913.02,913.02,4
CPT,11451,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair ",,,802.97,8858.0,266
CPT,11451,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age 21+",,,896.72,896.72,4
CPT,11451,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21",,,913.02,913.02,4
CPT,11462,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair ",,,802.97,8858.0,266
CPT,11462,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age 21+",,,896.72,896.72,4
CPT,11462,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21",,,913.02,913.02,4
CPT,11463,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair ",,,802.97,8858.0,266
CPT,11463,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair Age 21+",,,896.72,896.72,4
CPT,11463,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair Age Under 21",,,913.02,913.02,4
CPT,11470,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair ",,,802.97,8858.0,266
CPT,11470,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair Age 21+",,,896.72,896.72,4
CPT,11470,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair Age Under 21",,,913.02,913.02,4
CPT,11471,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair ",,,802.97,8858.0,266
CPT,11471,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age 21+",,,896.72,896.72,4
CPT,11471,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age Under 21",,,913.02,913.02,4
CPT,11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less ",,,110.99,5932.0,266
CPT,11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less Age 21+",,,123.95,123.95,4
CPT,11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less Age Under 21",,,126.2,126.2,4
CPT,11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm ",,,122.44,5932.0,266
CPT,11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm Age 21+",,,136.73,136.73,4
CPT,11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm Age Under 21",,,139.22,139.22,4
CPT,11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm ",,,129.25,5932.0,266
CPT,11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm Age 21+",,,144.34,144.34,4
CPT,11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm Age Under 21",,,146.97,146.97,4
CPT,11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm ",,,139.35,5932.0,266
CPT,11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm Age 21+",,,155.62,155.62,4
CPT,11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm Age Under 21",,,158.45,158.45,4
CPT,11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm ",,,253.74,6680.0,266
CPT,11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm Age 21+",,,283.36,283.36,4
CPT,11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm Age Under 21",,,288.51,288.51,4
CPT,11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm ",,,479.15,6680.0,266
CPT,11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age 21+",,,535.1,535.1,4
CPT,11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21",,,544.82,544.82,4
CPT,11620,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less ",,,111.26,5932.0,266
CPT,11620,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less Age 21+",,,124.25,124.25,4
CPT,11620,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less Age Under 21",,,126.5,126.5,4
CPT,11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm ",,,122.71,5932.0,266
CPT,11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm Age 21+",,,137.04,137.04,4
CPT,11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm Age Under 21",,,139.53,139.53,4
CPT,11622,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm ",,,131.44,5932.0,266
CPT,11622,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm Age 21+",,,146.78,146.78,4
CPT,11622,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm Age Under 21",,,149.45,149.45,4
CPT,11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm ",,,144.26,5932.0,266
CPT,11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm Age 21+",,,161.11,161.11,4
CPT,11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm Age Under 21",,,164.04,164.04,4
CPT,11624,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm ",,,479.15,6680.0,266
CPT,11624,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm Age 21+",,,535.1,535.1,4
CPT,11624,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm Age Under 21",,,544.82,544.82,4
CPT,11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm ",,,802.97,8858.0,266
CPT,11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age 21+",,,896.72,896.72,4
CPT,11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age Under 21",,,913.02,913.02,4
CPT,11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less ",,,114.26,6680.0,266
CPT,11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age 21+",,,127.6,127.6,4
CPT,11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age Under 21",,,129.92,129.92,4
CPT,11641,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm ",,,125.98,6680.0,266
CPT,11641,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age 21+",,,140.69,140.69,4
CPT,11641,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under 21",,,143.25,143.25,4
CPT,11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm ",,,136.9,6680.0,266
CPT,11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm Age 21+",,,152.88,152.88,4
CPT,11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm Age Under 21",,,155.66,155.66,4
CPT,11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm ",,,149.98,6680.0,266
CPT,11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age 21+",,,167.49,167.49,4
CPT,11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under 21",,,170.53,170.53,4
CPT,11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm ",,,479.15,6680.0,266
CPT,11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age 21+",,,535.1,535.1,4
CPT,11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under 21",,,544.82,544.82,4
CPT,11646,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm ",,,802.97,8858.0,266
CPT,11646,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm Age 21+",,,896.72,896.72,4
CPT,11646,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm Age Under 21",,,913.02,913.02,4
CPT,11719,"Trimming of nondystrophic nails, any number ",,,59.56,6587.0,195
CPT,11720,Debridement of nail(s) by any method(s); 1 to 5 ,,,59.56,6587.0,239
CPT,11721,Debridement of nail(s) by any method(s); 6 or more ,,,59.56,6587.0,239
CPT,11730,"Avulsion of nail plate, partial or complete, simple; single ",,,202.56,6587.0,239
CPT,11732,"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,11740,Evacuation of subungual hematoma ,,,134.32,6587.0,239
CPT,11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal ",,,83.44,6587.0,266
CPT,11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal Age 21+",,,93.18,93.18,4
CPT,11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal Age Under 21",,,94.88,94.88,4
CPT,11752,REMOVE NAIL BED/TIP ,,,3796.0,6587.0,42
CPT,11755,"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) ",,,63.27,6587.0,266
CPT,11755,"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) Age 21+",,,70.65,70.65,4
CPT,11755,"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) Age Under 21",,,71.94,71.94,4
CPT,11760,Repair of nail bed ,,,103.62,6587.0,266
CPT,11760,Repair of nail bed Age 21+,,,115.72,115.72,4
CPT,11760,Repair of nail bed Age Under 21,,,117.82,117.82,4
CPT,11762,Reconstruction of nail bed with graft ,,,146.71,6680.0,266
CPT,11762,Reconstruction of nail bed with graft Age 21+,,,163.83,163.83,4
CPT,11762,Reconstruction of nail bed with graft Age Under 21,,,166.81,166.81,4
CPT,11765,"Wedge excision of skin of nail fold (eg, for ingrown toenail) ",,,410.41,6587.0,239
CPT,11770,Excision of pilonidal cyst or sinus; simple ,,,802.97,9908.0,266
CPT,11770,Excision of pilonidal cyst or sinus; simple Age 21+,,,896.72,896.72,4
CPT,11770,Excision of pilonidal cyst or sinus; simple Age Under 21,,,913.02,913.02,4
CPT,11771,Excision of pilonidal cyst or sinus; extensive ,,,802.97,9908.0,266
CPT,11771,Excision of pilonidal cyst or sinus; extensive Age 21+,,,896.72,896.72,4
CPT,11771,Excision of pilonidal cyst or sinus; extensive Age Under 21,,,913.02,913.02,4
CPT,11772,Excision of pilonidal cyst or sinus; complicated ,,,802.97,9908.0,266
CPT,11772,Excision of pilonidal cyst or sinus; complicated Age 21+,,,896.72,896.72,4
CPT,11772,Excision of pilonidal cyst or sinus; complicated Age Under 21,,,913.02,913.02,4
CPT,11900,"Injection, intralesional; up to and including 7 lesions ",,,202.56,5932.0,239
CPT,11901,"Injection, intralesional; more than 7 lesions ",,,202.56,5932.0,239
CPT,11920,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less ",,,106.9,5932.0,266
CPT,11920,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less Age 21+",,,119.38,119.38,4
CPT,11920,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less Age Under 21",,,121.55,121.55,4
CPT,11921,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm ",,,118.07,5932.0,266
CPT,11921,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm Age 21+",,,131.86,131.86,4
CPT,11921,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm Age Under 21",,,134.25,134.25,4
CPT,11922,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition",,,948.0,5932.0,142
CPT,11950,"Subcutaneous injection of filling material (eg, collagen); 1 cc or less ",,,37.9,3293.0,222
CPT,11950,"Subcutaneous injection of filling material (eg, collagen); 1 cc or less Age 21+",,,42.33,42.33,4
CPT,11950,"Subcutaneous injection of filling material (eg, collagen); 1 cc or less Age Under 21",,,43.1,43.1,4
CPT,11951,"Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc ",,,48.27,3293.0,222
CPT,11951,"Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Age 21+",,,53.9,53.9,4
CPT,11951,"Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Age Under 21",,,54.88,54.88,4
CPT,11952,"Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc ",,,61.36,3293.0,222
CPT,11952,"Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Age 21+",,,68.52,68.52,4
CPT,11952,"Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Age Under 21",,,69.76,69.76,4
CPT,11954,"Subcutaneous injection of filling material (eg, collagen); over 10.0 cc ",,,67.91,2636.0,222
CPT,11954,"Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Age 21+",,,75.83,75.83,4
CPT,11954,"Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Age Under 21",,,77.21,77.21,4
CPT,11960,"Insertion of tissue expander(s) for other than breast, including subsequent expansion ",,,948.0,12360.0,266
CPT,11960,"Insertion of tissue expander(s) for other than breast, including subsequent expansion Age 21+",,,1603.38,1603.38,4
CPT,11960,"Insertion of tissue expander(s) for other than breast, including subsequent expansion Age Under 21",,,1632.53,1632.53,4
CPT,11970,Replacement of tissue expander with permanent implant ,,,948.0,17510.0,266
CPT,11970,Replacement of tissue expander with permanent implant Age 21+,,,3419.89,3419.89,4
CPT,11970,Replacement of tissue expander with permanent implant Age Under 21,,,3482.07,3482.07,4
CPT,11971,Removal of tissue expander without insertion of implant ,,,802.97,8858.0,266
CPT,11971,Removal of tissue expander without insertion of implant Age 21+,,,896.72,896.72,4
CPT,11971,Removal of tissue expander without insertion of implant Age Under 21,,,913.02,913.02,4
CPT,11975,INSERT CONTRACEPTIVE CAP ,,,146.75,6587.0,39
CPT,11976,"Removal, implantable contraceptive capsules ",,,60.81,5932.0,266
CPT,11976,"Removal, implantable contraceptive capsules Age 21+",,,67.91,67.91,4
CPT,11976,"Removal, implantable contraceptive capsules Age Under 21",,,69.15,69.15,4
CPT,11977,REMOVAL/REINSERT CONTRA CAP ,,,2152.0,6587.0,34
CPT,11980,Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) ,,,451.0,5932.0,239
CPT,11981,"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) ",,,45.68,5932.0,266
CPT,11981,"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) Age 21+",,,51.02,51.02,4
CPT,11981,"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) Age Under 21",,,51.95,51.95,4
CPT,11982,"Removal, non-biodegradable drug delivery implant ",,,53.6,5932.0,266
CPT,11982,"Removal, non-biodegradable drug delivery implant Age 21+",,,59.86,59.86,4
CPT,11982,"Removal, non-biodegradable drug delivery implant Age Under 21",,,60.95,60.95,4
CPT,11983,"Removal with reinsertion, non-biodegradable drug delivery implant ",,,74.86,5932.0,266
CPT,11983,"Removal with reinsertion, non-biodegradable drug delivery implant Age 21+",,,83.6,83.6,4
CPT,11983,"Removal with reinsertion, non-biodegradable drug delivery implant Age Under 21",,,85.12,85.12,4
CPT,12001,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less ",,,202.56,5932.0,239
CPT,12002,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm ",,,202.56,2636.0,195
CPT,12004,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm ",,,202.56,5932.0,239
CPT,12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm ",,,140.93,6680.0,266
CPT,12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm Age 21+",,,157.39,157.39,4
CPT,12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm Age Under 21",,,160.25,160.25,4
CPT,12006,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm ",,,140.93,6680.0,266
CPT,12006,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm Age 21+",,,157.39,157.39,4
CPT,12006,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm Age Under 21",,,160.25,160.25,4
CPT,12007,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm ",,,73.22,6680.0,266
CPT,12007,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm Age 21+",,,81.77,81.77,4
CPT,12007,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm Age Under 21",,,83.26,83.26,4
CPT,12011,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less ",,,202.56,2636.0,195
CPT,12013,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm ",,,202.56,2636.0,195
CPT,12014,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm ",,,202.56,5932.0,239
CPT,12015,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm ",,,73.22,5932.0,266
CPT,12015,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm Age 21+",,,81.77,81.77,4
CPT,12015,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm Age Under 21",,,83.26,83.26,4
CPT,12016,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm ",,,140.93,6680.0,266
CPT,12016,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm Age 21+",,,157.39,157.39,4
CPT,12016,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm Age Under 21",,,160.25,160.25,4
CPT,12017,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm ",,,140.93,6680.0,266
CPT,12017,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm Age 21+",,,157.39,157.39,4
CPT,12017,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm Age Under 21",,,160.25,160.25,4
CPT,12018,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm ",,,73.22,6680.0,266
CPT,12018,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm Age 21+",,,81.77,81.77,4
CPT,12018,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm Age Under 21",,,83.26,83.26,4
CPT,12020,Treatment of superficial wound dehiscence; simple closure ,,,213.55,5932.0,266
CPT,12020,Treatment of superficial wound dehiscence; simple closure Age 21+,,,238.48,238.48,4
CPT,12020,Treatment of superficial wound dehiscence; simple closure Age Under 21,,,242.82,242.82,4
CPT,12021,Treatment of superficial wound dehiscence; with packing ,,,140.93,5932.0,266
CPT,12021,Treatment of superficial wound dehiscence; with packing Age 21+,,,157.39,157.39,4
CPT,12021,Treatment of superficial wound dehiscence; with packing Age Under 21,,,160.25,160.25,4
CPT,12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less ",,,140.93,5932.0,266
CPT,12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less Age 21+",,,157.39,157.39,4
CPT,12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less Age Under 21",,,160.25,160.25,4
CPT,12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm ",,,140.93,5932.0,266
CPT,12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm Age 21+",,,157.39,157.39,4
CPT,12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm Age Under 21",,,160.25,160.25,4
CPT,12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm ",,,140.93,6680.0,266
CPT,12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm Age 21+",,,157.39,157.39,4
CPT,12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm Age Under 21",,,160.25,160.25,4
CPT,12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm ",,,140.93,6680.0,266
CPT,12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm Age 21+",,,157.39,157.39,4
CPT,12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm Age Under 21",,,160.25,160.25,4
CPT,12036,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm ",,,213.55,6680.0,266
CPT,12036,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm Age 21+",,,238.48,238.48,4
CPT,12036,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm Age Under 21",,,242.82,242.82,4
CPT,12037,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm ",,,698.37,6680.0,266
CPT,12037,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm Age 21+",,,779.91,779.91,4
CPT,12037,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm Age Under 21",,,794.09,794.09,4
CPT,12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less ",,,140.93,5932.0,266
CPT,12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less Age 21+",,,157.39,157.39,4
CPT,12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less Age Under 21",,,160.25,160.25,4
CPT,12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm ",,,140.93,5932.0,266
CPT,12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm Age 21+",,,157.39,157.39,4
CPT,12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm Age Under 21",,,160.25,160.25,4
CPT,12044,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm ",,,213.55,6680.0,266
CPT,12044,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm Age 21+",,,238.48,238.48,4
CPT,12044,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm Age Under 21",,,242.82,242.82,4
CPT,12045,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm ",,,213.55,6680.0,266
CPT,12045,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm Age 21+",,,238.48,238.48,4
CPT,12045,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm Age Under 21",,,242.82,242.82,4
CPT,12046,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm ",,,213.55,6680.0,266
CPT,12046,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm Age 21+",,,238.48,238.48,4
CPT,12046,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm Age Under 21",,,242.82,242.82,4
CPT,12047,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm ",,,698.37,6680.0,266
CPT,12047,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm Age 21+",,,779.91,779.91,4
CPT,12047,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm Age Under 21",,,794.09,794.09,4
CPT,12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less ",,,140.93,5932.0,266
CPT,12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less Age 21+",,,157.39,157.39,4
CPT,12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less Age Under 21",,,160.25,160.25,4
CPT,12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm ",,,140.93,5932.0,266
CPT,12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm Age 21+",,,157.39,157.39,4
CPT,12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm Age Under 21",,,160.25,160.25,4
CPT,12053,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm ",,,140.93,5932.0,266
CPT,12053,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm Age 21+",,,157.39,157.39,4
CPT,12053,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm Age Under 21",,,160.25,160.25,4
CPT,12054,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm ",,,140.93,6680.0,266
CPT,12054,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm Age 21+",,,157.39,157.39,4
CPT,12054,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm Age Under 21",,,160.25,160.25,4
CPT,12055,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm ",,,140.93,6680.0,266
CPT,12055,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm Age 21+",,,157.39,157.39,4
CPT,12055,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm Age Under 21",,,160.25,160.25,4
CPT,12056,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm ",,,140.93,6680.0,266
CPT,12056,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm Age 21+",,,157.39,157.39,4
CPT,12056,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm Age Under 21",,,160.25,160.25,4
CPT,12057,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm ",,,140.93,6680.0,266
CPT,12057,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm Age 21+",,,157.39,157.39,4
CPT,12057,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm Age Under 21",,,160.25,160.25,4
CPT,13100,"Repair, complex, trunk; 1.1 cm to 2.5 cm ",,,213.55,6680.0,266
CPT,13100,"Repair, complex, trunk; 1.1 cm to 2.5 cm Age 21+",,,238.48,238.48,4
CPT,13100,"Repair, complex, trunk; 1.1 cm to 2.5 cm Age Under 21",,,242.82,242.82,4
CPT,13101,"Repair, complex, trunk; 2.6 cm to 7.5 cm ",,,213.55,9908.0,266
CPT,13101,"Repair, complex, trunk; 2.6 cm to 7.5 cm Age 21+",,,238.48,238.48,4
CPT,13101,"Repair, complex, trunk; 2.6 cm to 7.5 cm Age Under 21",,,242.82,242.82,4
CPT,13102,"Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,13120,"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm ",,,213.55,6680.0,266
CPT,13120,"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm Age 21+",,,238.48,238.48,4
CPT,13120,"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm Age Under 21",,,242.82,242.82,4
CPT,13121,"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm ",,,213.55,9908.0,266
CPT,13121,"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm Age 21+",,,238.48,238.48,4
CPT,13121,"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm Age Under 21",,,242.82,242.82,4
CPT,13122,"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,13131,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm ",,,140.93,6680.0,266
CPT,13131,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm Age 21+",,,157.39,157.39,4
CPT,13131,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm Age Under 21",,,160.25,160.25,4
CPT,13132,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm ",,,213.55,9908.0,266
CPT,13132,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm Age 21+",,,238.48,238.48,4
CPT,13132,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm Age Under 21",,,242.82,242.82,4
CPT,13133,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,13150,CMPLX RPR E/N/E/L 1.0 CM/< ,,,2152.0,6587.0,34
CPT,13151,"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm ",,,213.55,9908.0,266
CPT,13151,"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm Age 21+",,,238.48,238.48,4
CPT,13151,"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm Age Under 21",,,242.82,242.82,4
CPT,13152,"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm ",,,213.55,9908.0,266
CPT,13152,"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm Age 21+",,,238.48,238.48,4
CPT,13152,"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm Age Under 21",,,242.82,242.82,4
CPT,13153,"Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,948.0,9908.0,142
CPT,13160,"Secondary closure of surgical wound or dehiscence, extensive or complicated ",,,698.37,6680.0,266
CPT,13160,"Secondary closure of surgical wound or dehiscence, extensive or complicated Age 21+",,,779.91,779.91,4
CPT,13160,"Secondary closure of surgical wound or dehiscence, extensive or complicated Age Under 21",,,794.09,794.09,4
CPT,13300,Comp unusual REP >7.5 cm ,,,2152.0,6587.0,34
CPT,14000,"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less ",,,698.37,6680.0,266
CPT,14000,"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age 21+",,,779.91,779.91,4
CPT,14000,"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,14001,"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm ",,,698.37,9908.0,266
CPT,14001,"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age 21+",,,779.91,779.91,4
CPT,14001,"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21",,,794.09,794.09,4
CPT,14020,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less ",,,698.37,9908.0,266
CPT,14020,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less Age 21+",,,779.91,779.91,4
CPT,14020,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,14021,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm ",,,698.37,9908.0,266
CPT,14021,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age 21+",,,779.91,779.91,4
CPT,14021,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21",,,794.09,794.09,4
CPT,14040,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less ",,,698.37,6680.0,266
CPT,14040,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less Age 21+",,,779.91,779.91,4
CPT,14040,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,14041,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm ",,,698.37,9908.0,266
CPT,14041,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm Age 21+",,,779.91,779.91,4
CPT,14041,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm Age Under 21",,,794.09,794.09,4
CPT,14060,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less ",,,698.37,9908.0,266
CPT,14060,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age 21+",,,779.91,779.91,4
CPT,14060,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,14061,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm ",,,698.37,9908.0,266
CPT,14061,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm Age 21+",,,779.91,779.91,4
CPT,14061,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm Age Under 21",,,794.09,794.09,4
CPT,14300,SKIN TISSUE REARRANGEMENT ,,,2152.0,6587.0,34
CPT,14301,"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm ",,,948.0,12499.0,266
CPT,14301,"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age 21+",,,1603.38,1603.38,4
CPT,14301,"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21",,,1632.53,1632.53,4
CPT,14302,"Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,14350,"Filleted finger or toe flap, including preparation of recipient site ",,,698.37,9908.0,266
CPT,14350,"Filleted finger or toe flap, including preparation of recipient site Age 21+",,,779.91,779.91,4
CPT,14350,"Filleted finger or toe flap, including preparation of recipient site Age Under 21",,,794.09,794.09,4
CPT,15000,"WOUND PREP, 1ST 100 SQ CM ",,,2152.0,6587.0,34
CPT,15001,"WOUND PREP, ADDL 100 SQ CM ",,,2152.0,6587.0,34
CPT,15002,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; firs",,,773.1,6680.0,274
CPT,15003,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each",,,948.0,5932.0,142
CPT,15004,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, m",,,258.69,6680.0,274
CPT,15005,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, m",,,948.0,5932.0,142
CPT,15011,Harvest of skin for skin cell suspension autograft; first 25 sq cm or less ,,,948.0,6680.0,159
CPT,15012,Harvest of skin for skin cell suspension autograft; each additional 25 sq cm or part thereof (List separately in addition to code for primary procedure) ,,,948.0,6587.0,110
CPT,15013,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin ",,,948.0,22582.18,115
CPT,15014,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; each additional 25 sq cm of harvested skin or part thereo",,,948.0,6587.0,66
CPT,15015,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less ",,,948.0,6680.0,159
CPT,15016,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; each additional 480 sq cm or part thereof (List separately in addi",,,948.0,6587.0,110
CPT,15017,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multi",,,948.0,6680.0,159
CPT,15018,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multi",,,948.0,6587.0,110
CPT,15040,"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less ",,,773.1,6680.0,266
CPT,15040,"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less Age 21+",,,863.36,863.36,4
CPT,15040,"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less Age Under 21",,,879.05,879.05,4
CPT,15050,"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter ",,,258.69,6680.0,266
CPT,15050,"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter Age 21+",,,288.89,288.89,4
CPT,15050,"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter Age Under 21",,,294.15,294.15,4
CPT,15100,"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) ",,,698.37,7168.0,266
CPT,15100,"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) Age 21+",,,779.91,779.91,4
CPT,15100,"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) Age Under 21",,,794.09,794.09,4
CPT,15101,"Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary pr",,,948.0,9908.0,142
CPT,15110,"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children ",,,698.37,6680.0,266
CPT,15110,"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age 21+",,,779.91,779.91,4
CPT,15110,"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21",,,794.09,794.09,4
CPT,15111,"Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedur",,,948.0,5932.0,142
CPT,15115,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children ",,,698.37,6680.0,266
CPT,15115,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children Age 21+",,,779.91,779.91,4
CPT,15115,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21",,,794.09,794.09,4
CPT,15116,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and child",,,948.0,5932.0,142
CPT,15120,"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except ",,,948.0,12360.0,274
CPT,15121,"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and",,,948.0,9908.0,142
CPT,15130,"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children ",,,698.37,8858.0,266
CPT,15130,"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age 21+",,,779.91,779.91,4
CPT,15130,"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21",,,794.09,794.09,4
CPT,15131,"Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,15135,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children ",,,948.0,12360.0,266
CPT,15135,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children Age 21+",,,1603.38,1603.38,4
CPT,15135,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21",,,1632.53,1632.53,4
CPT,15136,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children",,,948.0,5932.0,142
CPT,15150,"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less ",,,698.37,6680.0,266
CPT,15150,"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Age 21+",,,779.91,779.91,4
CPT,15150,"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,15151,"Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,15152,"Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for prima",,,948.0,5932.0,142
CPT,15155,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less ",,,948.0,12360.0,266
CPT,15155,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less Age 21+",,,1603.38,1603.38,4
CPT,15155,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less Age Under 21",,,1632.53,1632.53,4
CPT,15156,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for",,,948.0,5932.0,142
CPT,15157,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infant",,,948.0,5932.0,142
CPT,15170,ACELL GRAFT TRUNK/ARMS/LEGS ,,,2152.0,6587.0,34
CPT,15171,ACELL GRAFT T/ARM/LEG ADD-ON ,,,2152.0,6587.0,34
CPT,15175,ACELLULAR GRAFT F/N/HF/G ,,,2152.0,6587.0,34
CPT,15176,ACELL GRAFT F/N/HF/G ADD-ON ,,,2152.0,6587.0,34
CPT,15200,"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less ",,,698.37,9908.0,266
CPT,15200,"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age 21+",,,779.91,779.91,4
CPT,15200,"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,15201,"Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,948.0,6680.0,142
CPT,15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less ",,,698.37,6680.0,266
CPT,15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age 21+",,,779.91,779.91,4
CPT,15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,15221,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,948.0,6680.0,142
CPT,15240,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less ",,,698.37,9908.0,266
CPT,15240,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less Age 21+",,,779.91,779.91,4
CPT,15240,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,15241,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separat",,,948.0,9908.0,142
CPT,15260,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less ",,,698.37,6680.0,266
CPT,15260,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less Age 21+",,,779.91,779.91,4
CPT,15260,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less Age Under 21",,,794.09,794.09,4
CPT,15261,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedu",,,948.0,6680.0,142
CPT,15271,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,773.1,6680.0,266
CPT,15271,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area Age 21+",,,863.36,863.36,4
CPT,15271,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area Age Under 21",,,879.05,879.05,4
CPT,15272,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code f",,,948.0,5932.0,142
CPT,15273,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children ",,,948.0,8858.0,266
CPT,15273,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children A",,,1722.45,1753.76,8
CPT,15274,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additiona",,,948.0,5932.0,142
CPT,15275,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or les",,,70.09,6680.0,274
CPT,15276,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq",,,948.0,5932.0,142
CPT,15277,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; fi",,,773.1,6680.0,274
CPT,15278,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; ea",,,948.0,5932.0,142
CPT,15300,APPLY SKINALLOGRFT T/ARM/LG ,,,2152.0,6587.0,34
CPT,15301,APPLY SKNALLOGRFT T/A/L ADDL ,,,2152.0,6587.0,34
CPT,15320,APPLY SKIN ALLOGRFT F/N/HF/G ,,,2152.0,6587.0,34
CPT,15321,APLY SKNALLOGRFT F/N/HFG ADD ,,,2152.0,6587.0,34
CPT,15330,APLY ACELL ALOGRFT T/ARM/LEG ,,,2152.0,6587.0,34
CPT,15331,APLY ACELL GRFT T/A/L ADD-ON ,,,2152.0,6587.0,34
CPT,15335,APPLY ACELL GRAFT F/N/HF/G ,,,2152.0,6587.0,34
CPT,15336,APLY ACELL GRFT F/N/HF/G ADD ,,,2152.0,6587.0,34
CPT,15340,APPLY CULT SKIN SUBSTITUTE ,,,2152.0,6587.0,34
CPT,15341,APPLY CULT SKIN SUB ADD-ON ,,,2152.0,6587.0,34
CPT,15342,"CULTURED SKIN GRAFT, 25 CM ",,,2152.0,6587.0,34
CPT,15343,CULTURE SKN GRAFT ADDL 25 CM ,,,2152.0,6587.0,34
CPT,15350,SKIN HOMOGRAFT ,,,2152.0,6587.0,34
CPT,15351,SKIN HOMOGRAFT ADD-ON ,,,2152.0,6587.0,34
CPT,15360,APPLY CULT DERM SUB T/A/L ,,,2152.0,6587.0,34
CPT,15361,APLY CULT DERM SUB T/A/L ADD ,,,2152.0,6587.0,34
CPT,15365,APPLY CULT DERM SUB F/N/HF/G ,,,2152.0,6587.0,34
CPT,15366,APPLY CULT DERM F/HF/G ADD ,,,2152.0,6587.0,34
CPT,15400,APPLY SKIN XENOGRAFT T/A/L ,,,2152.0,6587.0,34
CPT,15401,APPLY SKN XENOGRFT T/A/L ADD ,,,2152.0,6587.0,34
CPT,15420,APPLY SKIN XGRAFT F/N/HF/G ,,,2152.0,6587.0,34
CPT,15421,APPLY SKN XGRFT F/N/HF/G ADD ,,,2152.0,6587.0,34
CPT,15430,APPLY ACELLULAR XENOGRAFT ,,,2152.0,6587.0,34
CPT,15431,APPLY ACELLULAR XGRAFT ADD ,,,2152.0,6587.0,34
CPT,15570,"Formation of direct or tubed pedicle, with or without transfer; trunk ",,,698.37,9908.0,266
CPT,15570,"Formation of direct or tubed pedicle, with or without transfer; trunk Age 21+",,,779.91,779.91,4
CPT,15570,"Formation of direct or tubed pedicle, with or without transfer; trunk Age Under 21",,,794.09,794.09,4
CPT,15572,"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs ",,,948.0,12360.0,266
CPT,15572,"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Age 21+",,,1603.38,1603.38,4
CPT,15572,"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Age Under 21",,,1632.53,1632.53,4
CPT,15574,"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet ",,,698.37,9908.0,266
CPT,15574,"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet Age 21+",,,779.91,779.91,4
CPT,15574,"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet Age Under 21",,,794.09,794.09,4
CPT,15576,"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral ",,,698.37,9908.0,266
CPT,15576,"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Age 21+",,,779.91,779.91,4
CPT,15576,"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Age Under 21",,,794.09,794.09,4
CPT,15580,Cross finger flap ,,,2152.0,6587.0,34
CPT,15600,Delay of flap or sectioning of flap (division and inset); at trunk ,,,948.0,12360.0,266
CPT,15600,Delay of flap or sectioning of flap (division and inset); at trunk Age 21+,,,1603.38,1603.38,4
CPT,15600,Delay of flap or sectioning of flap (division and inset); at trunk Age Under 21,,,1632.53,1632.53,4
CPT,15610,"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs ",,,698.37,9908.0,266
CPT,15610,"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Age 21+",,,779.91,779.91,4
CPT,15610,"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Age Under 21",,,794.09,794.09,4
CPT,15620,"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet ",,,698.37,19415.0,266
CPT,15620,"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet Age 21+",,,779.91,779.91,4
CPT,15620,"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet Age Under 21",,,794.09,794.09,4
CPT,15625,Section cross fing flap ,,,2152.0,6587.0,34
CPT,15630,"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips ",,,698.37,9908.0,266
CPT,15630,"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Age 21+",,,779.91,779.91,4
CPT,15630,"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Age Under 21",,,794.09,794.09,4
CPT,15650,"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location ",,,698.37,18490.0,266
CPT,15650,"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Age 21+",,,779.91,779.91,4
CPT,15650,"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Age Under 21",,,794.09,794.09,4
CPT,15730,"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) ",,,948.0,12499.0,266
CPT,15730,"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) Age 21+",,,1603.38,1603.38,4
CPT,15730,"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) Age Under 21",,,1632.53,1632.53,4
CPT,15731,"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) ",,,948.0,12360.0,266
CPT,15731,"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age 21+",,,1603.38,1603.38,4
CPT,15731,"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age Under 21",,,1632.53,1632.53,4
CPT,15732,"HMuscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae) ",,,2214.0,4723.0,42
CPT,15733,"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) ",,,948.0,12499.0,266
CPT,15733,"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) Age 21+",,,1603.38,1603.38,4
CPT,15733,"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) Age Under 21",,,1632.53,1632.53,4
CPT,15734,"Muscle, myocutaneous, or fasciocutaneous flap; trunk ",,,948.0,12360.0,266
CPT,15734,"Muscle, myocutaneous, or fasciocutaneous flap; trunk Age 21+",,,1603.38,1603.38,4
CPT,15734,"Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21",,,1632.53,1632.53,4
CPT,15736,"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity ",,,698.37,9908.0,266
CPT,15736,"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age 21+",,,779.91,779.91,4
CPT,15736,"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age Under 21",,,794.09,794.09,4
CPT,15738,"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity ",,,948.0,12360.0,266
CPT,15738,"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age 21+",,,1603.38,1603.38,4
CPT,15738,"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age Under 21",,,1632.53,1632.53,4
CPT,15740,Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel ,,,698.37,6680.0,266
CPT,15740,Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel Age 21+,,,779.91,779.91,4
CPT,15740,Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel Age Under 21,,,794.09,794.09,4
CPT,15750,Flap; neurovascular pedicle ,,,948.0,12360.0,266
CPT,15750,Flap; neurovascular pedicle Age 21+,,,1603.38,1603.38,4
CPT,15750,Flap; neurovascular pedicle Age Under 21,,,1632.53,1632.53,4
CPT,15756,Free muscle or myocutaneous flap with microvascular anastomosis ,,,948.0,51445.39,238
CPT,15757,Free skin flap with microvascular anastomosis ,,,948.0,50901.44,238
CPT,15758,Free fascial flap with microvascular anastomosis ,,,948.0,51352.04,238
CPT,15760,"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area ",,,698.37,6680.0,266
CPT,15760,"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Age 21+",,,779.91,779.91,4
CPT,15760,"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Age Under 21",,,794.09,794.09,4
CPT,15769,"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) ",,,948.0,19415.0,266
CPT,15769,"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age 21+",,,1603.38,1603.38,4
CPT,15769,"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21",,,1632.53,1632.53,4
CPT,15770,Graft; derma-fat-fascia ,,,948.0,12360.0,266
CPT,15770,Graft; derma-fat-fascia Age 21+,,,1603.38,1603.38,4
CPT,15770,Graft; derma-fat-fascia Age Under 21,,,1632.53,1632.53,4
CPT,15771,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate ",,,948.0,19415.0,266
CPT,15771,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate Age 21+",,,1603.38,1603.38,4
CPT,15771,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate Age Under 21",,,1632.53,1632.53,4
CPT,15772,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for pri",,,948.0,6587.0,142
CPT,15773,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate ",,,698.37,12499.0,266
CPT,15773,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate Age 21+",,,779.91,779.91,4
CPT,15773,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate Age Under 21",,,794.09,794.09,4
CPT,15774,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; each additional 25 cc injectate, or part thereof (List separat",,,948.0,6587.0,142
CPT,15775,Punch graft for hair transplant; 1 to 15 punch grafts ,,,410.41,9908.0,239
CPT,15776,Punch graft for hair transplant; more than 15 punch grafts ,,,410.41,9908.0,239
CPT,15777,"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,15778,"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma ",,,948.0,25655.0,238
CPT,15780,"Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis) ",,,948.0,25655.0,195
CPT,15781,"Dermabrasion; segmental, face ",,,714.92,3293.0,195
CPT,15782,"Dermabrasion; regional, other than face ",,,948.0,3293.0,195
CPT,15783,"Dermabrasion; superficial, any site (eg, tattoo removal) ",,,410.41,3092.0,195
CPT,15786,"Abrasion; single lesion (eg, keratosis, scar) ",,,202.56,2636.0,195
CPT,15787,Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure) ,,,948.0,2636.0,98
CPT,15788,"Chemical peel, facial; epidermal ",,,380.91,2636.0,195
CPT,15789,"Chemical peel, facial; dermal ",,,746.15,2636.0,195
CPT,15792,"Chemical peel, nonfacial; epidermal ",,,696.53,2636.0,195
CPT,15793,"Chemical peel, nonfacial; dermal ",,,410.41,2636.0,195
CPT,15810,SALABRASION ,,,2152.0,6587.0,34
CPT,15811,SALABRASION ,,,2152.0,6587.0,34
CPT,15819,Cervicoplasty ,,,2214.0,4723.0,42
CPT,15820,"Blepharoplasty, lower eyelid; ",,,698.37,9908.0,266
CPT,15820,"Blepharoplasty, lower eyelid; Age 21+",,,779.91,779.91,4
CPT,15820,"Blepharoplasty, lower eyelid; Age Under 21",,,794.09,794.09,4
CPT,15821,"Blepharoplasty, lower eyelid; with extensive herniated fat pad ",,,698.37,9908.0,266
CPT,15821,"Blepharoplasty, lower eyelid; with extensive herniated fat pad Age 21+",,,779.91,779.91,4
CPT,15821,"Blepharoplasty, lower eyelid; with extensive herniated fat pad Age Under 21",,,794.09,794.09,4
CPT,15822,"Blepharoplasty, upper eyelid; ",,,698.37,9908.0,266
CPT,15822,"Blepharoplasty, upper eyelid; Age 21+",,,779.91,779.91,4
CPT,15822,"Blepharoplasty, upper eyelid; Age Under 21",,,794.09,794.09,4
CPT,15823,"Blepharoplasty, upper eyelid; with excessive skin weighting down lid ",,,698.37,18490.0,266
CPT,15823,"Blepharoplasty, upper eyelid; with excessive skin weighting down lid Age 21+",,,779.91,779.91,4
CPT,15823,"Blepharoplasty, upper eyelid; with excessive skin weighting down lid Age Under 21",,,794.09,794.09,4
CPT,15824,Rhytidectomy; forehead ,,,698.37,9908.0,266
CPT,15824,Rhytidectomy; forehead Age 21+,,,779.91,779.91,4
CPT,15824,Rhytidectomy; forehead Age Under 21,,,794.09,794.09,4
CPT,15825,"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) ",,,948.0,12360.0,266
CPT,15825,"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) Age 21+",,,1603.38,1603.38,4
CPT,15825,"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) Age Under 21",,,1632.53,1632.53,4
CPT,15826,Rhytidectomy; glabellar frown lines ,,,948.0,12360.0,266
CPT,15826,Rhytidectomy; glabellar frown lines Age 21+,,,1603.38,1603.38,4
CPT,15826,Rhytidectomy; glabellar frown lines Age Under 21,,,1632.53,1632.53,4
CPT,15828,"Rhytidectomy; cheek, chin, and neck ",,,948.0,12360.0,266
CPT,15828,"Rhytidectomy; cheek, chin, and neck Age 21+",,,1603.38,1603.38,4
CPT,15828,"Rhytidectomy; cheek, chin, and neck Age Under 21",,,1632.53,1632.53,4
CPT,15829,Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap ,,,948.0,18490.0,266
CPT,15829,Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap Age 21+,,,1603.38,1603.38,4
CPT,15829,Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap Age Under 21,,,1632.53,1632.53,4
CPT,15830,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy ",,,948.0,17510.0,266
CPT,15830,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age 21+",,,2029.73,2029.73,4
CPT,15830,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under 21",,,2066.64,2066.64,4
CPT,15831,EXCISE EXCESSIVE SKIN TISSUE ,,,2152.0,6587.0,34
CPT,15832,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh ",,,948.0,9908.0,239
CPT,15833,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg ",,,948.0,9908.0,239
CPT,15834,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip ",,,948.0,9908.0,239
CPT,15835,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock ",,,948.0,9908.0,239
CPT,15836,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm ",,,948.0,9908.0,239
CPT,15837,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand ",,,948.0,25655.0,239
CPT,15838,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad ",,,948.0,25655.0,239
CPT,15839,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area ",,,948.0,9908.0,239
CPT,15840,Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) ,,,948.0,19415.0,266
CPT,15840,Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Age 21+,,,1603.38,1603.38,4
CPT,15840,Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Age Under 21,,,1632.53,1632.53,4
CPT,15841,Graft for facial nerve paralysis; free muscle graft (including obtaining graft) ,,,948.0,19415.0,266
CPT,15841,Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Age 21+,,,1603.38,1603.38,4
CPT,15841,Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Age Under 21,,,1632.53,1632.53,4
CPT,15842,Graft for facial nerve paralysis; free muscle flap by microsurgical technique ,,,698.37,19415.0,266
CPT,15842,Graft for facial nerve paralysis; free muscle flap by microsurgical technique Age 21+,,,779.91,779.91,4
CPT,15842,Graft for facial nerve paralysis; free muscle flap by microsurgical technique Age Under 21,,,794.09,794.09,4
CPT,15845,Graft for facial nerve paralysis; regional muscle transfer ,,,948.0,19415.0,266
CPT,15845,Graft for facial nerve paralysis; regional muscle transfer Age 21+,,,1603.38,1603.38,4
CPT,15845,Graft for facial nerve paralysis; regional muscle transfer Age Under 21,,,1632.53,1632.53,4
CPT,15847,"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for pr",,,948.0,9908.0,142
CPT,15850,"REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON ",,,2214.0,4723.0,42
CPT,15851,"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) ",,,61.36,5932.0,266
CPT,15851,"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age 21+",,,68.52,68.52,4
CPT,15851,"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21",,,69.76,69.76,4
CPT,15852,Dressing change (for other than burns) under anesthesia (other than local) ,,,746.15,5932.0,239
CPT,15853,Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code) ,,,948.0,6587.0,142
CPT,15854,Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code) ,,,948.0,6587.0,142
CPT,15860,"Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft ",,,451.0,5932.0,239
CPT,15876,Suction assisted lipectomy; head and neck ,,,948.0,12360.0,239
CPT,15877,Suction assisted lipectomy; trunk ,,,948.0,12360.0,239
CPT,15878,Suction assisted lipectomy; upper extremity ,,,948.0,9908.0,239
CPT,15879,Suction assisted lipectomy; lower extremity ,,,948.0,12360.0,239
CPT,15920,"Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture ",,,802.97,9908.0,266
CPT,15920,"Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Age 21+",,,896.72,896.72,4
CPT,15920,"Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Age Under 21",,,913.02,913.02,4
CPT,15922,"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure ",,,948.0,19415.0,266
CPT,15922,"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Age 21+",,,1603.38,1603.38,4
CPT,15922,"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Age Under 21",,,1632.53,1632.53,4
CPT,15931,"Excision, sacral pressure ulcer, with primary suture; ",,,802.97,9908.0,266
CPT,15931,"Excision, sacral pressure ulcer, with primary suture; Age 21+",,,896.72,896.72,4
CPT,15931,"Excision, sacral pressure ulcer, with primary suture; Age Under 21",,,913.02,913.02,4
CPT,15933,"Excision, sacral pressure ulcer, with primary suture; with ostectomy ",,,802.97,9908.0,266
CPT,15933,"Excision, sacral pressure ulcer, with primary suture; with ostectomy Age 21+",,,896.72,896.72,4
CPT,15933,"Excision, sacral pressure ulcer, with primary suture; with ostectomy Age Under 21",,,913.02,913.02,4
CPT,15934,"Excision, sacral pressure ulcer, with skin flap closure; ",,,948.0,12360.0,266
CPT,15934,"Excision, sacral pressure ulcer, with skin flap closure; Age 21+",,,1603.38,1603.38,4
CPT,15934,"Excision, sacral pressure ulcer, with skin flap closure; Age Under 21",,,1632.53,1632.53,4
CPT,15935,"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy ",,,948.0,19415.0,266
CPT,15935,"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Age 21+",,,1603.38,1603.38,4
CPT,15935,"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Age Under 21",,,1632.53,1632.53,4
CPT,15936,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; ",,,698.37,19415.0,266
CPT,15936,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age 21+",,,779.91,779.91,4
CPT,15936,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age Under 21",,,794.09,794.09,4
CPT,15937,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy ",,,698.37,19415.0,266
CPT,15937,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy Age 21+",,,779.91,779.91,4
CPT,15937,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy Age Under 21",,,794.09,794.09,4
CPT,15940,"Excision, ischial pressure ulcer, with primary suture; ",,,802.97,9908.0,266
CPT,15940,"Excision, ischial pressure ulcer, with primary suture; Age 21+",,,896.72,896.72,4
CPT,15940,"Excision, ischial pressure ulcer, with primary suture; Age Under 21",,,913.02,913.02,4
CPT,15941,"Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) ",,,802.97,9908.0,266
CPT,15941,"Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Age 21+",,,896.72,896.72,4
CPT,15941,"Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Age Under 21",,,913.02,913.02,4
CPT,15944,"Excision, ischial pressure ulcer, with skin flap closure; ",,,948.0,12360.0,266
CPT,15944,"Excision, ischial pressure ulcer, with skin flap closure; Age 21+",,,1603.38,1603.38,4
CPT,15944,"Excision, ischial pressure ulcer, with skin flap closure; Age Under 21",,,1632.53,1632.53,4
CPT,15945,"Excision, ischial pressure ulcer, with skin flap closure; with ostectomy ",,,698.37,19415.0,266
CPT,15945,"Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Age 21+",,,779.91,779.91,4
CPT,15945,"Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Age Under 21",,,794.09,794.09,4
CPT,15946,"Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure ",,,698.37,19415.0,266
CPT,15946,"Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure Age 21+",,,779.91,779.91,4
CPT,15946,"Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure Age Under 21",,,794.09,794.09,4
CPT,15950,"Excision, trochanteric pressure ulcer, with primary suture; ",,,479.15,9908.0,266
CPT,15950,"Excision, trochanteric pressure ulcer, with primary suture; Age 21+",,,535.1,535.1,4
CPT,15950,"Excision, trochanteric pressure ulcer, with primary suture; Age Under 21",,,544.82,544.82,4
CPT,15951,"Excision, trochanteric pressure ulcer, with primary suture; with ostectomy ",,,802.97,19415.0,266
CPT,15951,"Excision, trochanteric pressure ulcer, with primary suture; with ostectomy Age 21+",,,896.72,896.72,4
CPT,15951,"Excision, trochanteric pressure ulcer, with primary suture; with ostectomy Age Under 21",,,913.02,913.02,4
CPT,15952,"Excision, trochanteric pressure ulcer, with skin flap closure; ",,,698.37,9908.0,266
CPT,15952,"Excision, trochanteric pressure ulcer, with skin flap closure; Age 21+",,,779.91,779.91,4
CPT,15952,"Excision, trochanteric pressure ulcer, with skin flap closure; Age Under 21",,,794.09,794.09,4
CPT,15953,"Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy ",,,948.0,19415.0,266
CPT,15953,"Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Age 21+",,,1603.38,1603.38,4
CPT,15953,"Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Age Under 21",,,1632.53,1632.53,4
CPT,15956,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; ",,,698.37,9908.0,266
CPT,15956,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age 21+",,,779.91,779.91,4
CPT,15956,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age Under 21",,,794.09,794.09,4
CPT,15958,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy ",,,948.0,19415.0,266
CPT,15958,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy Age 21+",,,1603.38,1603.38,4
CPT,15958,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy Age Under 21",,,1632.53,1632.53,4
CPT,15999,"Unlisted procedure, excision pressure ulcer ",,,714.92,25655.0,195
CPT,16000,"Initial treatment, first degree burn, when no more than local treatment is required ",,,202.56,2636.0,195
CPT,16010,TREATMENT OF BURN(S) ,,,2152.0,6587.0,34
CPT,16015,TREATMENT OF BURN(S) ,,,2152.0,6587.0,34
CPT,16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) ",,,43.65,5932.0,266
CPT,16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) Age 21+",,,48.74,48.74,4
CPT,16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) Age Under 21",,,49.63,49.63,4
CPT,16025,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) ",,,84.14,6680.0,266
CPT,16025,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) Age 21+",,,93.96,93.96,4
CPT,16025,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) Age Under 21",,,95.67,95.67,4
CPT,16030,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) ",,,168.94,6680.0,266
CPT,16030,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) Age 21+",,,188.66,188.66,4
CPT,16030,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) Age Under 21",,,192.09,192.09,4
CPT,16035,Escharotomy; initial incision ,,,140.93,25655.0,266
CPT,16035,Escharotomy; initial incision Age 21+,,,157.39,157.39,4
CPT,16035,Escharotomy; initial incision Age Under 21,,,160.25,160.25,4
CPT,16036,Escharotomy; each additional incision (List separately in addition to code for primary procedure) ,,,948.0,25655.0,194
CPT,17000,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion ",,,202.56,6587.0,239
CPT,17003,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addi",,,948.0,6587.0,142
CPT,17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions ",,,95.72,6587.0,266
CPT,17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions Age 21+",,,106.9,106.9,4
CPT,17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions Age Under 21",,,108.84,108.84,4
CPT,17106,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm ",,,140.93,6587.0,266
CPT,17106,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age 21+",,,157.39,157.39,4
CPT,17106,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21",,,160.25,160.25,4
CPT,17107,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm ",,,212.7,6587.0,266
CPT,17107,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age 21+",,,237.53,237.53,4
CPT,17107,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21",,,241.85,241.85,4
CPT,17108,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm ",,,276.24,6587.0,266
CPT,17108,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age 21+",,,308.5,308.5,4
CPT,17108,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21",,,314.1,314.1,4
CPT,17110,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions ",,,202.56,6587.0,239
CPT,17111,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions",,,202.56,6587.0,239
CPT,17250,"Chemical cauterization of granulation tissue (ie, proud flesh) ",,,202.56,6587.0,239
CPT,17260,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less ",,,202.56,6587.0,239
CPT,17261,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm ",,,202.56,6587.0,239
CPT,17262,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm ",,,202.56,6587.0,239
CPT,17263,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm ",,,202.56,6587.0,239
CPT,17264,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm ",,,107.44,6587.0,266
CPT,17264,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm Age 21+",,,119.99,119.99,4
CPT,17264,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm Age Under 21",,,122.17,122.17,4
CPT,17266,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm ",,,118.35,6680.0,266
CPT,17266,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm Age 21+",,,132.17,132.17,4
CPT,17266,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm Age Under 21",,,134.57,134.57,4
CPT,17270,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less ",,,73.22,6587.0,266
CPT,17270,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less Age 21+",,,81.77,81.77,4
CPT,17270,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less Age Under 21",,,83.26,83.26,4
CPT,17271,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm ",,,73.22,6587.0,266
CPT,17271,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm Age 21+",,,81.77,81.77,4
CPT,17271,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm Age Under 21",,,83.26,83.26,4
CPT,17272,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm ",,,202.56,6587.0,239
CPT,17273,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm ",,,105.81,6587.0,266
CPT,17273,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm Age 21+",,,118.16,118.16,4
CPT,17273,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm Age Under 21",,,120.31,120.31,4
CPT,17274,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm ",,,118.35,6587.0,266
CPT,17274,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm Age 21+",,,132.17,132.17,4
CPT,17274,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm Age Under 21",,,134.57,134.57,4
CPT,17276,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm ",,,131.71,6680.0,266
CPT,17276,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm Age 21+",,,147.09,147.09,4
CPT,17276,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm Age Under 21",,,149.77,149.77,4
CPT,17280,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less ",,,202.56,6587.0,239
CPT,17281,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm ",,,92.18,6587.0,266
CPT,17281,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm Age ",,,102.94,104.81,8
CPT,17282,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm ",,,103.36,6587.0,266
CPT,17282,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm Age ",,,115.42,117.52,8
CPT,17283,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm ",,,115.34,6587.0,266
CPT,17283,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm Age ",,,128.81,131.15,8
CPT,17284,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm ",,,126.81,6587.0,266
CPT,17284,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm Age ",,,141.61,144.19,8
CPT,17286,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm ",,,151.08,6680.0,266
CPT,17286,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm Age 21",,,168.72,168.72,4
CPT,17286,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm Age Un",,,171.79,171.79,4
CPT,17304,"1 STAGE MOHS, UP TO 5 SPEC ",,,2152.0,6587.0,34
CPT,17305,"2 STAGE MOHS, UP TO 5 SPEC ",,,2152.0,6587.0,34
CPT,17306,"3 STAGE MOHS, UP TO 5 SPEC ",,,2152.0,6587.0,34
CPT,17307,MOHS ADDL STAGE UP TO 5 SPEC ,,,2152.0,6587.0,34
CPT,17310,MOHS ANY STAGE > 5 SPEC EACH ,,,2152.0,6587.0,34
CPT,17311,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,213.55,6680.0,274
CPT,17312,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,948.0,6587.0,142
CPT,17313,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,213.55,6680.0,274
CPT,17314,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,948.0,6587.0,142
CPT,17315,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,948.0,6587.0,142
CPT,17340,"Cryotherapy (CO2 slush, liquid N2) for acne ",,,59.56,6587.0,195
CPT,17360,"Chemical exfoliation for acne (eg, acne paste, acid) ",,,202.56,6587.0,195
CPT,17380,"Electrolysis epilation, each 30 minutes ",,,746.15,6587.0,195
CPT,17999,"Unlisted procedure, skin, mucous membrane and subcutaneous tissue ",,,202.56,25655.0,239
CPT,19000,Puncture aspiration of cyst of breast; ,,,58.36,5932.0,266
CPT,19000,Puncture aspiration of cyst of breast; Age 21+,,,65.18,65.18,4
CPT,19000,Puncture aspiration of cyst of breast; Age Under 21,,,66.36,66.36,4
CPT,19001,Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) ,,,948.0,5932.0,142
CPT,19020,"Mastotomy with exploration or drainage of abscess, deep ",,,479.15,8858.0,266
CPT,19020,"Mastotomy with exploration or drainage of abscess, deep Age 21+",,,535.1,535.1,4
CPT,19020,"Mastotomy with exploration or drainage of abscess, deep Age Under 21",,,544.82,544.82,4
CPT,19030,Injection procedure only for mammary ductogram or galactogram ,,,948.0,5932.0,142
CPT,19081,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including s",,,479.15,8485.0,274
CPT,19082,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,948.0,5932.0,142
CPT,19083,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including u",,,479.15,8485.0,274
CPT,19084,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,948.0,5932.0,142
CPT,19085,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including m",,,479.15,9908.0,274
CPT,19086,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,948.0,5932.0,142
CPT,19100,"Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) ",,,479.15,5932.0,266
CPT,19100,"Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age 21+",,,535.1,535.1,4
CPT,19100,"Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21",,,544.82,544.82,4
CPT,19101,"Biopsy of breast; open, incisional ",,,948.0,8858.0,266
CPT,19101,"Biopsy of breast; open, incisional Age 21+",,,1060.03,1060.03,4
CPT,19101,"Biopsy of breast; open, incisional Age Under 21",,,1079.3,1079.3,4
CPT,19102,BX BREAST PERCUT W/IMAGE ,,,2152.0,6587.0,34
CPT,19103,BX BREAST PERCUT W/DEVICE ,,,2152.0,6587.0,34
CPT,19105,"Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma ",,,948.0,19415.0,239
CPT,19110,"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct ",,,948.0,8858.0,266
CPT,19110,"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age 21+",,,1060.03,1060.03,4
CPT,19110,"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age Under 21",,,1079.3,1079.3,4
CPT,19112,Excision of lactiferous duct fistula ,,,948.0,9908.0,266
CPT,19112,Excision of lactiferous duct fistula Age 21+,,,1060.03,1060.03,4
CPT,19112,Excision of lactiferous duct fistula Age Under 21,,,1079.3,1079.3,4
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions ",,,949.21,9908.0,251
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions Age 21+",,,1060.03,1060.03,4
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions Age Under 21",,,1079.3,1079.3,4
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion ",,,949.21,9908.0,251
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age 21+",,,1060.03,1060.03,4
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21",,,1079.3,1079.3,4
CPT,19126,"Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addi",,,1481.0,9908.0,127
CPT,19140,REMOVAL OF BREAST TISSUE ,,,2152.0,6587.0,34
CPT,19160,PARTIAL MASTECTOMY ,,,2152.0,6587.0,34
CPT,19162,P-MASTECTOMY W/LN REMOVAL ,,,2152.0,6587.0,34
CPT,19180,REMOVAL OF BREAST ,,,2152.0,6587.0,34
CPT,19182,REMOVAL OF BREAST ,,,2152.0,6587.0,34
CPT,19200,REMOVAL OF BREAST ,,,2152.0,6587.0,34
CPT,19220,REMOVAL OF BREAST ,,,2152.0,6587.0,34
CPT,19240,REMOVAL OF BREAST ,,,2152.0,6587.0,34
CPT,19260,EXCISION OF CHEST WALL TUMOR INCLUDING RIBS ,,,2214.0,4723.0,42
CPT,19271,"EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITHOUT MEDIASTINAL LYMPHADENECTOMY ",,,2152.0,16144.0,42
CPT,19272,"EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITH MEDIASTINAL LYMPHADENECTOMY ",,,2152.0,16144.0,42
CPT,19281,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance ",,,948.0,6680.0,239
CPT,19282,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in additi",,,948.0,5932.0,142
CPT,19283,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance ",,,714.92,6680.0,239
CPT,19284,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance (List separately in additi",,,948.0,5932.0,142
CPT,19285,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance ",,,714.92,6680.0,239
CPT,19286,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition",,,948.0,5932.0,142
CPT,19287,"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance ",,,714.92,9908.0,239
CPT,19288,"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in a",,,948.0,5932.0,142
CPT,19290,PLACE NEEDLE WIRE BREAST ,,,2152.0,6587.0,34
CPT,19291,PLACE NEEDLE WIRE BREAST ,,,2152.0,6587.0,34
CPT,19294,"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for pr",,,948.0,6587.0,142
CPT,19295,PLACE BREAST CLIP PERCUT ,,,2152.0,6587.0,34
CPT,19296,"Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; o",,,948.0,33769.0,274
CPT,19297,"Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; c",,,948.0,33769.0,142
CPT,19298,Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) pa,,,948.0,76895.0,274
CPT,19300,Mastectomy for gynecomastia ,,,949.21,19415.0,251
CPT,19300,Mastectomy for gynecomastia Age 21+,,,1060.03,1060.03,4
CPT,19300,Mastectomy for gynecomastia Age Under 21,,,1079.3,1079.3,4
CPT,19301,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); ",,,949.21,9908.0,251
CPT,19301,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); Age 21+",,,1060.03,1060.03,4
CPT,19301,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); Age Under 21",,,1079.3,1079.3,4
CPT,19302,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy ",,,1817.53,23113.0,251
CPT,19302,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy Age 21+",,,2029.73,2029.73,4
CPT,19302,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy Age Under 21",,,2066.64,2066.64,4
CPT,19303,"Mastectomy, simple, complete ",,,1817.53,19415.0,251
CPT,19303,"Mastectomy, simple, complete Age 21+",,,2029.73,2029.73,4
CPT,19303,"Mastectomy, simple, complete Age Under 21",,,2066.64,2066.64,4
CPT,19304,"MASTECTOMY, SUBCUTANEOUS ",,,2369.0,7168.0,47
CPT,19305,"Mastectomy, radical, including pectoral muscles, axillary lymph nodes ",,,1995.0,25655.0,179
CPT,19306,"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) ",,,1995.0,26946.55,179
CPT,19307,"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle ",,,1995.0,18490.0,224
CPT,19316,Mastopexy ,,,1817.53,19415.0,251
CPT,19316,Mastopexy Age 21+,,,2029.73,2029.73,4
CPT,19316,Mastopexy Age Under 21,,,2066.64,2066.64,4
CPT,19318,Breast reduction ,,,1817.53,19415.0,251
CPT,19318,Breast reduction Age 21+,,,2029.73,2029.73,4
CPT,19318,Breast reduction Age Under 21,,,2066.64,2066.64,4
CPT,19324,"MAMMAPLASTY, AUGMENTATION; WITHOUT PROSTHETIC IMPLANT ",,,2369.0,8072.0,47
CPT,19325,Breast augmentation with implant ,,,1995.0,33769.0,251
CPT,19325,Breast augmentation with implant Age 21+,,,2509.9,2509.9,4
CPT,19325,Breast augmentation with implant Age Under 21,,,2555.54,2555.54,4
CPT,19328,Removal of intact breast implant ,,,949.21,12360.0,251
CPT,19328,Removal of intact breast implant Age 21+,,,1060.03,1060.03,4
CPT,19328,Removal of intact breast implant Age Under 21,,,1079.3,1079.3,4
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) ",,,949.21,12360.0,251
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age 21+",,,1060.03,1060.03,4
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21",,,1079.3,1079.3,4
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) ",,,1817.53,22990.0,251
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) Age 21+",,,2029.73,2029.73,4
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) Age Under 21",,,2066.64,2066.64,4
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy ,,,1995.0,22990.0,251
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy Age 21+,,,2509.9,2509.9,4
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy Age Under 21,,,2555.54,2555.54,4
CPT,19350,Nipple/areola reconstruction ,,,949.21,19415.0,251
CPT,19350,Nipple/areola reconstruction Age 21+,,,1060.03,1060.03,4
CPT,19350,Nipple/areola reconstruction Age Under 21,,,1079.3,1079.3,4
CPT,19355,Correction of inverted nipples ,,,949.21,19415.0,251
CPT,19355,Correction of inverted nipples Age 21+,,,1060.03,1060.03,4
CPT,19355,Correction of inverted nipples Age Under 21,,,1079.3,1079.3,4
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) ",,,1995.0,38789.32,251
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) Age 21+",,,5049.83,5049.83,4
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) Age Under 21",,,5141.64,5141.64,4
CPT,19361,Breast reconstruction; with latissimus dorsi flap ,,,1995.0,35136.12,179
CPT,19364,"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) ",,,1995.0,61546.47,223
CPT,19366,BREAST RECONSTRUCTION WITH OTHER TECHNIQUE ,,,2369.0,7168.0,47
CPT,19367,Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap ,,,1995.0,39891.39,179
CPT,19368,"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging) ",,,1995.0,49122.09,179
CPT,19369,Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap ,,,1995.0,45594.44,179
CPT,19370,"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy ",,,949.21,19415.0,251
CPT,19370,"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy Age 21+",,,1060.03,1060.03,4
CPT,19370,"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy Age Under 21",,,1079.3,1079.3,4
CPT,19371,"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents ",,,949.21,19415.0,251
CPT,19371,"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age 21+",,,1060.03,1060.03,4
CPT,19371,"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21",,,1079.3,1079.3,4
CPT,19380,"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue exc",,,1817.53,18490.0,259
CPT,19396,Preparation of moulage for custom breast implant ,,,949.21,25655.0,251
CPT,19396,Preparation of moulage for custom breast implant Age 21+,,,1060.03,1060.03,4
CPT,19396,Preparation of moulage for custom breast implant Age Under 21,,,1079.3,1079.3,4
CPT,19499,"Unlisted procedure, breast ",,,1995.0,25655.0,224
CPT,20000,INCISION OF ABSCESS ,,,2152.0,6587.0,34
CPT,20005,"INCISION AND DRAINAGE OF SOFT TISSUE ABSCESS, SUBFASCIAL (IE, INVOLVES THE SOFT TISSUE BELOW THE DEEP FASCIA) ",,,1266.0,3293.0,42
CPT,20100,Exploration of penetrating wound (separate procedure); neck ,,,544.5,3293.0,195
CPT,20101,Exploration of penetrating wound (separate procedure); chest ,,,948.0,25655.0,195
CPT,20102,Exploration of penetrating wound (separate procedure); abdomen/flank/back ,,,948.0,25655.0,195
CPT,20103,Exploration of penetrating wound (separate procedure); extremity ,,,253.74,5932.0,266
CPT,20103,Exploration of penetrating wound (separate procedure); extremity Age 21+,,,283.36,283.36,4
CPT,20103,Exploration of penetrating wound (separate procedure); extremity Age Under 21,,,288.51,288.51,4
CPT,20150,"Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision ",,,948.0,25655.0,222
CPT,20150,"Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Age 21+",,,1197.1,1197.1,4
CPT,20150,"Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Age Under 21",,,1218.86,1218.86,4
CPT,20200,"Biopsy, muscle; superficial ",,,479.15,6680.0,266
CPT,20200,"Biopsy, muscle; superficial Age 21+",,,535.1,535.1,4
CPT,20200,"Biopsy, muscle; superficial Age Under 21",,,544.82,544.82,4
CPT,20205,"Biopsy, muscle; deep ",,,802.97,9908.0,266
CPT,20205,"Biopsy, muscle; deep Age 21+",,,896.72,896.72,4
CPT,20205,"Biopsy, muscle; deep Age Under 21",,,913.02,913.02,4
CPT,20206,"Biopsy, muscle, percutaneous needle ",,,479.15,5932.0,266
CPT,20206,"Biopsy, muscle, percutaneous needle Age 21+",,,535.1,535.1,4
CPT,20206,"Biopsy, muscle, percutaneous needle Age Under 21",,,544.82,544.82,4
CPT,20220,"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) ",,,479.15,5932.0,266
CPT,20220,"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age 21+",,,535.1,535.1,4
CPT,20220,"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21",,,544.82,544.82,4
CPT,20225,"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) ",,,479.15,6680.0,266
CPT,20225,"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) Age 21+",,,535.1,535.1,4
CPT,20225,"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) Age Under 21",,,544.82,544.82,4
CPT,20240,"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) ",,,802.97,8858.0,266
CPT,20240,"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) Age 21+",,,896.72,896.72,4
CPT,20240,"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) Age Under 21",,,913.02,913.02,4
CPT,20245,"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) ",,,802.97,9908.0,266
CPT,20245,"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age 21+",,,896.72,896.72,4
CPT,20245,"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21",,,913.02,913.02,4
CPT,20250,"Biopsy, vertebral body, open; thoracic ",,,948.0,12360.0,266
CPT,20250,"Biopsy, vertebral body, open; thoracic Age 21+",,,1659.63,1659.63,4
CPT,20250,"Biopsy, vertebral body, open; thoracic Age Under 21",,,1689.8,1689.8,4
CPT,20251,"Biopsy, vertebral body, open; lumbar or cervical ",,,948.0,16749.46,266
CPT,20251,"Biopsy, vertebral body, open; lumbar or cervical Age 21+",,,2638.37,2638.37,4
CPT,20251,"Biopsy, vertebral body, open; lumbar or cervical Age Under 21",,,2686.34,2686.34,4
CPT,20500,Injection of sinus tract; therapeutic (separate procedure) ,,,59.72,5932.0,266
CPT,20500,Injection of sinus tract; therapeutic (separate procedure) Age 21+,,,66.69,66.69,4
CPT,20500,Injection of sinus tract; therapeutic (separate procedure) Age Under 21,,,67.91,67.91,4
CPT,20501,Injection of sinus tract; diagnostic (sinogram) ,,,948.0,5932.0,142
CPT,20520,Removal of foreign body in muscle or tendon sheath; simple ,,,118.07,6680.0,266
CPT,20520,Removal of foreign body in muscle or tendon sheath; simple Age 21+,,,131.86,131.86,4
CPT,20520,Removal of foreign body in muscle or tendon sheath; simple Age Under 21,,,134.25,134.25,4
CPT,20525,Removal of foreign body in muscle or tendon sheath; deep or complicated ,,,802.97,9908.0,266
CPT,20525,Removal of foreign body in muscle or tendon sheath; deep or complicated Age 21+,,,896.72,896.72,4
CPT,20525,Removal of foreign body in muscle or tendon sheath; deep or complicated Age Under 21,,,913.02,913.02,4
CPT,20526,"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel ",,,35.99,5932.0,266
CPT,20526,"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel Age 21+",,,40.19,40.19,4
CPT,20526,"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel Age Under 21",,,40.92,40.92,4
CPT,20527,"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) ",,,37.9,5932.0,266
CPT,20527,"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) Age 21+",,,42.33,42.33,4
CPT,20527,"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) Age Under 21",,,43.1,43.1,4
CPT,20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) ",,,23.19,5932.0,266
CPT,20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) Age 21+",,,25.89,25.89,4
CPT,20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) Age Under 21",,,26.36,26.36,4
CPT,20551,Injection(s); single tendon origin/insertion ,,,23.99,5932.0,266
CPT,20551,Injection(s); single tendon origin/insertion Age 21+,,,26.8,26.8,4
CPT,20551,Injection(s); single tendon origin/insertion Age Under 21,,,27.28,27.28,4
CPT,20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) ",,,22.91,5932.0,266
CPT,20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) Age 21+",,,25.59,25.59,4
CPT,20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) Age Under 21",,,26.05,26.05,4
CPT,20553,"Injection(s); single or multiple trigger point(s), 3 or more muscles ",,,26.72,5932.0,266
CPT,20553,"Injection(s); single or multiple trigger point(s), 3 or more muscles Age 21+",,,29.84,29.84,4
CPT,20553,"Injection(s); single or multiple trigger point(s), 3 or more muscles Age Under 21",,,30.39,30.39,4
CPT,20555,Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) ,,,948.0,12499.0,239
CPT,20560,Needle insertion(s) without injection(s); 1 or 2 muscle(s) ,,,29.2,6587.0,197
CPT,20561,Needle insertion(s) without injection(s); 3 or more muscles ,,,29.2,6587.0,197
CPT,20600,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance ",,,22.36,5932.0,266
CPT,20600,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance Age 21+",,,24.97,24.97,4
CPT,20600,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance Age Under 21",,,25.42,25.42,4
CPT,20604,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting ",,,39.26,5932.0,266
CPT,20604,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting Age 21+",,,43.85,43.85,4
CPT,20604,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting Age Under 21",,,44.64,44.64,4
CPT,20605,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance ",,,23.19,5932.0,266
CPT,20605,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance Age 21+",,,25.89,25.89,4
CPT,20605,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance Age Under 21",,,26.36,26.36,4
CPT,20606,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent re",,,41.72,5932.0,274
CPT,20610,ARTH JNTBRS MJR WO US BI,3825.47,3825.47,420.8,3825.47,37
CPT,20610,ARTH JNTBRS MJR WO US LT,2550.32,2550.32,280.54,2550.32,37
CPT,20610,ARTH JNTBRS MJR WO US RT,2550.32,2550.32,280.54,2550.32,37
CPT,20610,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance ",,,27.54,5932.0,266
CPT,20610,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance Age 21+",,,30.76,30.76,4
CPT,20610,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance Age Under 21",,,31.32,31.32,4
CPT,20611,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting ",,,46.63,5932.0,266
CPT,20611,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting Age 21+",,,52.07,52.07,4
CPT,20611,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting Age Under 21",,,53.02,53.02,4
CPT,20612,Aspiration and/or injection of ganglion cyst(s) any location ,,,30.0,5932.0,266
CPT,20612,Aspiration and/or injection of ganglion cyst(s) any location Age 21+,,,33.51,33.51,4
CPT,20612,Aspiration and/or injection of ganglion cyst(s) any location Age Under 21,,,34.12,34.12,4
CPT,20615,Aspiration and injection for treatment of bone cyst ,,,133.63,5932.0,266
CPT,20615,Aspiration and injection for treatment of bone cyst Age 21+,,,149.23,149.23,4
CPT,20615,Aspiration and injection for treatment of bone cyst Age Under 21,,,151.94,151.94,4
CPT,20650,"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) ",,,948.0,12360.0,266
CPT,20650,"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,20650,"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,20660,"Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) ",,,948.0,25655.0,239
CPT,20661,"Application of halo, including removal; cranial ",,,948.0,25655.0,238
CPT,20662,"Application of halo, including removal; pelvic ",,,584.14,9908.0,266
CPT,20662,"Application of halo, including removal; pelvic Age 21+",,,652.34,652.34,4
CPT,20662,"Application of halo, including removal; pelvic Age Under 21",,,664.2,664.2,4
CPT,20663,"Application of halo, including removal; femoral ",,,948.0,12360.0,266
CPT,20663,"Application of halo, including removal; femoral Age 21+",,,1197.1,1197.1,4
CPT,20663,"Application of halo, including removal; femoral Age Under 21",,,1218.86,1218.86,4
CPT,20664,"Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) ",,,948.0,25655.0,238
CPT,20665,Removal of tongs or halo applied by another individual ,,,110.65,5932.0,266
CPT,20665,Removal of tongs or halo applied by another individual Age 21+,,,123.57,123.57,4
CPT,20665,Removal of tongs or halo applied by another individual Age Under 21,,,125.82,125.82,4
CPT,20670,"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) ",,,479.15,5932.0,266
CPT,20670,"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) Age 21+",,,535.1,535.1,4
CPT,20670,"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) Age Under 21",,,544.82,544.82,4
CPT,20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) ",,,802.97,9908.0,266
CPT,20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) Age 21+",,,896.72,896.72,4
CPT,20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) Age Under 21",,,913.02,913.02,4
CPT,20690,"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system ",,,948.0,16749.46,266
CPT,20690,"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system Age 21+",,,3764.41,3764.41,4
CPT,20690,"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system Age Under 21",,,3832.85,3832.85,4
CPT,20692,"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) ",,,948.0,33321.99,266
CPT,20692,"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) Age 21+",,,8193.38,8193.38,4
CPT,20692,"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) Age Under 21",,,8342.35,8342.35,4
CPT,20693,"Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs» or barºs») ",,,948.0,99076.0,226
CPT,20693,"Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs» or barºs») Age 21+",,,2638.37,2638.37,4
CPT,20693,"Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs» or barºs») Age Under 21",,,2686.34,2686.34,4
CPT,20694,"Removal, under anesthesia, of external fixation system ",,,584.14,99076.0,226
CPT,20694,"Removal, under anesthesia, of external fixation system Age 21+",,,652.34,652.34,4
CPT,20694,"Removal, under anesthesia, of external fixation system Age Under 21",,,664.2,664.2,4
CPT,20696,"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequ",,,948.0,44649.02,274
CPT,20697,"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, remov",,,584.14,18747.0,274
CPT,20700,"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,20701,"Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,20702,"Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,20703,"Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,20704,"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,20705,"Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,20802,"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation ",,,948.0,61919.46,194
CPT,20805,"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation ",,,948.0,73729.81,194
CPT,20808,"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation ",,,948.0,89192.21,194
CPT,20816,"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation ",,,948.0,46371.46,194
CPT,20822,"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation ",,,584.14,8858.0,222
CPT,20822,"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation Age 21+",,,652.34,652.34,4
CPT,20822,"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation Age Under 21",,,664.2,664.2,4
CPT,20824,"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation ",,,948.0,46449.3,194
CPT,20827,"Replantation, thumb (includes distal tip to MP joint), complete amputation ",,,948.0,40691.7,194
CPT,20838,"Replantation, foot, complete amputation ",,,948.0,62696.26,194
CPT,20900,"Bone graft, any donor area; minor or small (eg, dowel or button) ",,,948.0,16749.46,266
CPT,20900,"Bone graft, any donor area; minor or small (eg, dowel or button) Age 21+",,,3434.79,3434.79,4
CPT,20900,"Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21",,,3497.24,3497.24,4
CPT,20902,"Bone graft, any donor area; major or large ",,,948.0,19415.0,266
CPT,20902,"Bone graft, any donor area; major or large Age 21+",,,2638.37,2638.37,4
CPT,20902,"Bone graft, any donor area; major or large Age Under 21",,,2686.34,2686.34,4
CPT,20910,Cartilage graft; costochondral ,,,213.55,9908.0,266
CPT,20910,Cartilage graft; costochondral Age 21+,,,238.48,238.48,4
CPT,20910,Cartilage graft; costochondral Age Under 21,,,242.82,242.82,4
CPT,20912,Cartilage graft; nasal septum ,,,948.0,12360.0,266
CPT,20912,Cartilage graft; nasal septum Age 21+,,,1603.38,1603.38,4
CPT,20912,Cartilage graft; nasal septum Age Under 21,,,1632.53,1632.53,4
CPT,20920,Fascia lata graft; by stripper ,,,698.37,19415.0,266
CPT,20920,Fascia lata graft; by stripper Age 21+,,,779.91,779.91,4
CPT,20920,Fascia lata graft; by stripper Age Under 21,,,794.09,794.09,4
CPT,20922,"Fascia lata graft; by incision and area exposure, complex or sheet ",,,698.37,9908.0,266
CPT,20922,"Fascia lata graft; by incision and area exposure, complex or sheet Age 21+",,,779.91,779.91,4
CPT,20922,"Fascia lata graft; by incision and area exposure, complex or sheet Age Under 21",,,794.09,794.09,4
CPT,20924,"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) ",,,948.0,19415.0,266
CPT,20924,"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age 21+",,,3475.38,3475.38,4
CPT,20924,"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21",,,3538.57,3538.57,4
CPT,20926,"TISSUE GRAFTS, OTHER (EG, PARATENON, FAT, DERMIS) ",,,5694.0,7168.0,42
CPT,20930,"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,20931,"Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,20932,"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for prima",,,948.0,6587.0,142
CPT,20933,"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary proce",,,948.0,6587.0,142
CPT,20934,"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,20936,"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary p",,,948.0,12360.0,142
CPT,20937,Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) ,,,948.0,12360.0,142
CPT,20938,"Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary pro",,,948.0,12360.0,142
CPT,20939,"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,20950,"Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome ",,,253.74,5932.0,266
CPT,20950,"Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome Age 21+",,,283.36,283.36,4
CPT,20950,"Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome Age Under 21",,,288.51,288.51,4
CPT,20955,Bone graft with microvascular anastomosis; fibula ,,,948.0,55703.28,238
CPT,20956,Bone graft with microvascular anastomosis; iliac crest ,,,948.0,59145.55,238
CPT,20957,Bone graft with microvascular anastomosis; metatarsal ,,,948.0,61950.5,238
CPT,20962,"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal ",,,948.0,59860.26,238
CPT,20969,"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe ",,,948.0,61491.92,238
CPT,20970,Free osteocutaneous flap with microvascular anastomosis; iliac crest ,,,948.0,64009.48,238
CPT,20972,Free osteocutaneous flap with microvascular anastomosis; metatarsal ,,,948.0,21630.0,266
CPT,20972,Free osteocutaneous flap with microvascular anastomosis; metatarsal Age 21+,,,2638.37,2638.37,4
CPT,20972,Free osteocutaneous flap with microvascular anastomosis; metatarsal Age Under 21,,,2686.34,2686.34,4
CPT,20973,Free osteocutaneous flap with microvascular anastomosis; great toe with web space ,,,948.0,21630.0,266
CPT,20973,Free osteocutaneous flap with microvascular anastomosis; great toe with web space Age 21+,,,2638.37,2638.37,4
CPT,20973,Free osteocutaneous flap with microvascular anastomosis; great toe with web space Age Under 21,,,2686.34,2686.34,4
CPT,20974,Electrical stimulation to aid bone healing; noninvasive (nonoperative) ,,,91.5,2636.0,265
CPT,20974,Electrical stimulation to aid bone healing; noninvasive (nonoperative) Other Outpatient,,,99.05,99.05,6
CPT,20975,Electrical stimulation to aid bone healing; invasive (operative) ,,,948.0,6680.0,142
CPT,20979,"Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) ",,,29.2,2636.0,195
CPT,20982,"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when p",,,948.0,25655.0,274
CPT,20983,"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when p",,,948.0,25655.0,239
CPT,20985,"Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,20986,CPTR-ASST DIR MS PX IO IMG ,,,2152.0,6587.0,34
CPT,20987,CPTR-ASST DIR MS PX  PRE IMG ,,,2152.0,6587.0,34
CPT,20999,"Unlisted procedure, musculoskeletal system, general ",,,249.03,25655.0,239
CPT,21010,"Arthrotomy, temporomandibular joint ",,,873.32,8858.0,266
CPT,21010,"Arthrotomy, temporomandibular joint Age 21+",,,975.28,975.28,4
CPT,21010,"Arthrotomy, temporomandibular joint Age Under 21",,,993.01,993.01,4
CPT,21011,"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm ",,,208.61,5932.0,266
CPT,21011,"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age 21+",,,232.97,232.97,4
CPT,21011,"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21",,,237.2,237.2,4
CPT,21012,"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater ",,,479.15,5932.0,266
CPT,21012,"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater Age 21+",,,535.1,535.1,4
CPT,21012,"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater Age Under 21",,,544.82,544.82,4
CPT,21013,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm ",,,262.88,5932.0,266
CPT,21013,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm Age 21+",,,293.57,293.57,4
CPT,21013,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm Age Under 21",,,298.91,298.91,4
CPT,21014,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater ",,,802.97,6691.91,266
CPT,21014,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age 21+",,,896.72,896.72,4
CPT,21014,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21",,,913.02,913.02,4
CPT,21015,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm ",,,802.97,9908.0,266
CPT,21015,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Age 21+",,,896.72,896.72,4
CPT,21015,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Age Under 21",,,913.02,913.02,4
CPT,21016,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater ",,,802.97,12499.0,266
CPT,21016,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Age 21+",,,896.72,896.72,4
CPT,21016,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Age Under 21",,,913.02,913.02,4
CPT,21025,"Excision of bone (eg, for osteomyelitis or bone abscess); mandible ",,,948.0,17510.0,266
CPT,21025,"Excision of bone (eg, for osteomyelitis or bone abscess); mandible Age 21+",,,2149.64,2149.64,4
CPT,21025,"Excision of bone (eg, for osteomyelitis or bone abscess); mandible Age Under 21",,,2188.73,2188.73,4
CPT,21026,"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) ",,,948.0,13581.48,266
CPT,21026,"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) Age 21+",,,2149.64,2149.64,4
CPT,21026,"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) Age Under 21",,,2188.73,2188.73,4
CPT,21029,"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) ",,,873.32,8858.0,266
CPT,21029,"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Age 21+",,,975.28,975.28,4
CPT,21029,"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Age Under 21",,,993.01,993.01,4
CPT,21030,Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage ,,,228.24,25655.0,266
CPT,21030,Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Age 21+,,,254.89,254.89,4
CPT,21030,Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Age Under 21,,,259.53,259.53,4
CPT,21031,Excision of torus mandibularis ,,,213.79,25655.0,266
CPT,21031,Excision of torus mandibularis Age 21+,,,238.76,238.76,4
CPT,21031,Excision of torus mandibularis Age Under 21,,,243.1,243.1,4
CPT,21032,Excision of maxillary torus palatinus ,,,201.8,25655.0,266
CPT,21032,Excision of maxillary torus palatinus Age 21+,,,225.36,225.36,4
CPT,21032,Excision of maxillary torus palatinus Age Under 21,,,229.45,229.45,4
CPT,21034,Excision of malignant tumor of maxilla or zygoma ,,,948.0,17510.0,266
CPT,21034,Excision of malignant tumor of maxilla or zygoma Age 21+,,,2149.64,2149.64,4
CPT,21034,Excision of malignant tumor of maxilla or zygoma Age Under 21,,,2188.73,2188.73,4
CPT,21040,"Excision of benign tumor or cyst of mandible, by enucleation and/or curettage ",,,873.32,8858.0,266
CPT,21040,"Excision of benign tumor or cyst of mandible, by enucleation and/or curettage Age 21+",,,975.28,975.28,4
CPT,21040,"Excision of benign tumor or cyst of mandible, by enucleation and/or curettage Age Under 21",,,993.01,993.01,4
CPT,21041,Removal of jaw bone lesion ,,,2152.0,6587.0,34
CPT,21044,Excision of malignant tumor of mandible; ,,,948.0,19415.0,266
CPT,21044,Excision of malignant tumor of mandible; Age 21+,,,2149.64,2149.64,4
CPT,21044,Excision of malignant tumor of mandible; Age Under 21,,,2188.73,2188.73,4
CPT,21045,Excision of malignant tumor of mandible; radical resection ,,,948.0,27288.28,238
CPT,21046,"Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») ",,,948.0,17510.0,266
CPT,21046,"Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») Age 21+",,,2149.64,2149.64,4
CPT,21046,"Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») Age Under 21",,,2188.73,2188.73,4
CPT,21047,"Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesionºs») ",,,948.0,17510.0,266
CPT,21047,"Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesionºs») Age 21+",,,2149.64,2149.64,4
CPT,21047,"Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesionºs») Age Under 21",,,2188.73,2188.73,4
CPT,21048,"Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») ",,,948.0,17510.0,266
CPT,21048,"Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») Age 21+",,,2149.64,2149.64,4
CPT,21048,"Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») Age Under 21",,,2188.73,2188.73,4
CPT,21049,"Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesionºs») ",,,948.0,17510.0,239
CPT,21050,"Condylectomy, temporomandibular joint (separate procedure) ",,,948.0,17510.0,266
CPT,21050,"Condylectomy, temporomandibular joint (separate procedure) Age 21+",,,2149.64,2149.64,4
CPT,21050,"Condylectomy, temporomandibular joint (separate procedure) Age Under 21",,,2188.73,2188.73,4
CPT,21060,"Meniscectomy, partial or complete, temporomandibular joint (separate procedure) ",,,948.0,17510.0,266
CPT,21060,"Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Age 21+",,,2149.64,2149.64,4
CPT,21060,"Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Age Under 21",,,2188.73,2188.73,4
CPT,21070,Coronoidectomy (separate procedure) ,,,948.0,17510.0,266
CPT,21070,Coronoidectomy (separate procedure) Age 21+,,,2149.64,2149.64,4
CPT,21070,Coronoidectomy (separate procedure) Age Under 21,,,2188.73,2188.73,4
CPT,21073,"Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) ",,,200.98,5932.0,266
CPT,21073,"Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) Age 21+",,,224.44,224.44,4
CPT,21073,"Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) Age Under 21",,,228.52,228.52,4
CPT,21076,Impression and custom preparation; surgical obturator prosthesis ,,,289.88,25655.0,222
CPT,21076,Impression and custom preparation; surgical obturator prosthesis Age 21+,,,323.72,323.72,4
CPT,21076,Impression and custom preparation; surgical obturator prosthesis Age Under 21,,,329.6,329.6,4
CPT,21077,Impression and custom preparation; orbital prosthesis ,,,948.0,25655.0,195
CPT,21079,Impression and custom preparation; interim obturator prosthesis ,,,497.41,25655.0,222
CPT,21079,Impression and custom preparation; interim obturator prosthesis Age 21+,,,555.48,555.48,4
CPT,21079,Impression and custom preparation; interim obturator prosthesis Age Under 21,,,565.58,565.58,4
CPT,21080,Impression and custom preparation; definitive obturator prosthesis ,,,597.48,25655.0,222
CPT,21080,Impression and custom preparation; definitive obturator prosthesis Age 21+,,,667.24,667.24,4
CPT,21080,Impression and custom preparation; definitive obturator prosthesis Age Under 21,,,679.37,679.37,4
CPT,21081,Impression and custom preparation; mandibular resection prosthesis ,,,552.49,25655.0,222
CPT,21081,Impression and custom preparation; mandibular resection prosthesis Age 21+,,,616.99,616.99,4
CPT,21081,Impression and custom preparation; mandibular resection prosthesis Age Under 21,,,628.21,628.21,4
CPT,21082,Impression and custom preparation; palatal augmentation prosthesis ,,,512.12,25655.0,222
CPT,21082,Impression and custom preparation; palatal augmentation prosthesis Age 21+,,,571.91,571.91,4
CPT,21082,Impression and custom preparation; palatal augmentation prosthesis Age Under 21,,,582.31,582.31,4
CPT,21083,Impression and custom preparation; palatal lift prosthesis ,,,948.0,25655.0,195
CPT,21084,Impression and custom preparation; speech aid prosthesis ,,,948.0,25655.0,195
CPT,21085,Impression and custom preparation; oral surgical splint ,,,86.27,25655.0,222
CPT,21085,Impression and custom preparation; oral surgical splint Age 21+,,,96.34,96.34,4
CPT,21085,Impression and custom preparation; oral surgical splint Age Under 21,,,98.09,98.09,4
CPT,21086,Impression and custom preparation; auricular prosthesis ,,,521.4,25655.0,222
CPT,21086,Impression and custom preparation; auricular prosthesis Age 21+,,,582.27,582.27,4
CPT,21086,Impression and custom preparation; auricular prosthesis Age Under 21,,,592.86,592.86,4
CPT,21087,Impression and custom preparation; nasal prosthesis ,,,521.4,25655.0,222
CPT,21087,Impression and custom preparation; nasal prosthesis Age 21+,,,582.27,582.27,4
CPT,21087,Impression and custom preparation; nasal prosthesis Age Under 21,,,592.86,592.86,4
CPT,21088,Impression and custom preparation; facial prosthesis ,,,948.0,25655.0,195
CPT,21089,Unlisted maxillofacial prosthetic procedure ,,,239.12,25655.0,195
CPT,21100,"Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) ",,,948.0,17510.0,266
CPT,21100,"Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) Age 21+",,,2149.64,2149.64,4
CPT,21100,"Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) Age Under 21",,,2188.73,2188.73,4
CPT,21110,"Application of interdental fixation device for conditions other than fracture or dislocation, includes removal ",,,414.33,5932.0,266
CPT,21110,"Application of interdental fixation device for conditions other than fracture or dislocation, includes removal Age 21+",,,462.7,462.7,4
CPT,21110,"Application of interdental fixation device for conditions other than fracture or dislocation, includes removal Age Under 21",,,471.12,471.12,4
CPT,21116,Injection procedure for temporomandibular joint arthrography ,,,948.0,5932.0,142
CPT,21120,"Genioplasty; augmentation (autograft, allograft, prosthetic material) ",,,948.0,23113.0,239
CPT,21121,"Genioplasty; sliding osteotomy, single piece ",,,873.32,23113.0,266
CPT,21121,"Genioplasty; sliding osteotomy, single piece Age 21+",,,975.28,975.28,4
CPT,21121,"Genioplasty; sliding osteotomy, single piece Age Under 21",,,993.01,993.01,4
CPT,21122,"Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) ",,,948.0,23113.0,266
CPT,21122,"Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) Age 21+",,,2149.64,2149.64,4
CPT,21122,"Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) Age Under 21",,,2188.73,2188.73,4
CPT,21123,"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) ",,,873.32,23113.0,266
CPT,21123,"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Age 21+",,,975.28,975.28,4
CPT,21123,"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Age Under 21",,,993.01,993.01,4
CPT,21125,"Augmentation, mandibular body or angle; prosthetic material ",,,948.0,23113.0,266
CPT,21125,"Augmentation, mandibular body or angle; prosthetic material Age 21+",,,2149.64,2149.64,4
CPT,21125,"Augmentation, mandibular body or angle; prosthetic material Age Under 21",,,2188.73,2188.73,4
CPT,21127,"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) ",,,948.0,76895.0,266
CPT,21127,"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) Age 21+",,,2149.64,2149.64,4
CPT,21127,"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) Age Under 21",,,2188.73,2188.73,4
CPT,21137,Reduction forehead; contouring only ,,,873.32,25655.0,266
CPT,21137,Reduction forehead; contouring only Age 21+,,,975.28,975.28,4
CPT,21137,Reduction forehead; contouring only Age Under 21,,,993.01,993.01,4
CPT,21138,Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) ,,,948.0,25655.0,266
CPT,21138,Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) Age 21+,,,2149.64,2149.64,4
CPT,21138,Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) Age Under 21,,,2188.73,2188.73,4
CPT,21139,Reduction forehead; contouring and setback of anterior frontal sinus wall ,,,948.0,25655.0,222
CPT,21139,Reduction forehead; contouring and setback of anterior frontal sinus wall Age 21+,,,2149.64,2149.64,4
CPT,21139,Reduction forehead; contouring and setback of anterior frontal sinus wall Age Under 21,,,2188.73,2188.73,4
CPT,21141,"Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft ",,,948.0,30660.48,239
CPT,21142,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft ",,,948.0,31515.33,239
CPT,21143,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft ",,,948.0,32882.67,239
CPT,21145,"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) ",,,948.0,35928.66,238
CPT,21146,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft) ",,,948.0,37358.31,238
CPT,21147,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteoto",,,948.0,39502.88,238
CPT,21150,"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) ",,,948.0,25655.0,239
CPT,21151,"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) ",,,948.0,40777.07,238
CPT,21154,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I ",,,948.0,43869.64,238
CPT,21155,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I ",,,948.0,48671.48,238
CPT,21159,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I ",,,948.0,58345.24,238
CPT,21160,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I ",,,948.0,63286.79,238
CPT,21172,"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) ",,,948.0,25655.0,239
CPT,21175,"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining au",,,948.0,25655.0,239
CPT,21179,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) ",,,948.0,33877.23,238
CPT,21180,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) ",,,948.0,38119.8,238
CPT,21181,"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial ",,,948.0,23113.0,266
CPT,21181,"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial Age 21+",,,2149.64,2149.64,4
CPT,21181,"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial Age Under 21",,,2188.73,2188.73,4
CPT,21182,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,948.0,47405.05,238
CPT,21183,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,948.0,51864.95,238
CPT,21184,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,948.0,55835.44,238
CPT,21188,"Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) ",,,948.0,37342.78,238
CPT,21193,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft ",,,948.0,25655.0,239
CPT,21194,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft) ",,,948.0,32937.21,239
CPT,21195,"Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation ",,,948.0,25655.0,239
CPT,21196,"Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation ",,,948.0,32774.0,239
CPT,21198,"Osteotomy, mandible, segmental; ",,,948.0,25655.0,266
CPT,21198,"Osteotomy, mandible, segmental; Age 21+",,,2149.64,2149.64,4
CPT,21198,"Osteotomy, mandible, segmental; Age Under 21",,,2188.73,2188.73,4
CPT,21199,"Osteotomy, mandible, segmental; with genioglossus advancement ",,,948.0,25655.0,266
CPT,21199,"Osteotomy, mandible, segmental; with genioglossus advancement Age 21+",,,2807.75,2807.75,4
CPT,21199,"Osteotomy, mandible, segmental; with genioglossus advancement Age Under 21",,,2858.8,2858.8,4
CPT,21206,"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) ",,,948.0,18490.0,266
CPT,21206,"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Age 21+",,,2149.64,2149.64,4
CPT,21206,"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Age Under 21",,,2188.73,2188.73,4
CPT,21208,"Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) ",,,948.0,23113.0,266
CPT,21208,"Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Age 21+",,,2976.68,2976.68,4
CPT,21208,"Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Age Under 21",,,3030.8,3030.8,4
CPT,21209,"Osteoplasty, facial bones; reduction ",,,948.0,18490.0,266
CPT,21209,"Osteoplasty, facial bones; reduction Age 21+",,,2149.64,2149.64,4
CPT,21209,"Osteoplasty, facial bones; reduction Age Under 21",,,2188.73,2188.73,4
CPT,21210,"Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) ",,,948.0,23113.0,266
CPT,21210,"Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) Age 21+",,,2149.64,2149.64,4
CPT,21210,"Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) Age Under 21",,,2188.73,2188.73,4
CPT,21215,"Graft, bone; mandible (includes obtaining graft) ",,,948.0,23113.0,266
CPT,21215,"Graft, bone; mandible (includes obtaining graft) Age 21+",,,3066.9,3066.9,4
CPT,21215,"Graft, bone; mandible (includes obtaining graft) Age Under 21",,,3122.66,3122.66,4
CPT,21230,"Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) ",,,948.0,23113.0,266
CPT,21230,"Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) Age 21+",,,2149.64,2149.64,4
CPT,21230,"Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) Age Under 21",,,2188.73,2188.73,4
CPT,21235,"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) ",,,948.0,23113.0,266
CPT,21235,"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age 21+",,,2149.64,2149.64,4
CPT,21235,"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21",,,2188.73,2188.73,4
CPT,21240,"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) ",,,948.0,19415.0,266
CPT,21240,"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Age 21+",,,2149.64,2149.64,4
CPT,21240,"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Age Under 21",,,2188.73,2188.73,4
CPT,21242,"Arthroplasty, temporomandibular joint, with allograft ",,,948.0,18490.0,266
CPT,21242,"Arthroplasty, temporomandibular joint, with allograft Age 21+",,,2149.64,2149.64,4
CPT,21242,"Arthroplasty, temporomandibular joint, with allograft Age Under 21",,,2188.73,2188.73,4
CPT,21243,"Arthroplasty, temporomandibular joint, with prosthetic joint replacement ",,,948.0,44649.02,266
CPT,21243,"Arthroplasty, temporomandibular joint, with prosthetic joint replacement Age 21+",,,10701.7,10701.7,4
CPT,21243,"Arthroplasty, temporomandibular joint, with prosthetic joint replacement Age Under 21",,,10896.28,10896.28,4
CPT,21244,"Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) ",,,948.0,23113.0,266
CPT,21244,"Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Age 21+",,,2957.0,2957.0,4
CPT,21244,"Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Age Under 21",,,3010.76,3010.76,4
CPT,21245,"Reconstruction of mandible or maxilla, subperiosteal implant; partial ",,,948.0,23113.0,266
CPT,21245,"Reconstruction of mandible or maxilla, subperiosteal implant; partial Age 21+",,,2798.55,2798.55,4
CPT,21245,"Reconstruction of mandible or maxilla, subperiosteal implant; partial Age Under 21",,,2849.44,2849.44,4
CPT,21246,"Reconstruction of mandible or maxilla, subperiosteal implant; complete ",,,948.0,23113.0,266
CPT,21246,"Reconstruction of mandible or maxilla, subperiosteal implant; complete Age 21+",,,2149.64,2149.64,4
CPT,21246,"Reconstruction of mandible or maxilla, subperiosteal implant; complete Age Under 21",,,2188.73,2188.73,4
CPT,21247,"Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia) ",,,948.0,36550.24,238
CPT,21248,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial ",,,948.0,23113.0,239
CPT,21249,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete ",,,948.0,23113.0,239
CPT,21255,Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) ,,,948.0,31608.47,239
CPT,21256,"Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) ",,,948.0,25655.0,195
CPT,21260,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach ",,,948.0,25655.0,195
CPT,21261,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach ",,,948.0,25655.0,195
CPT,21263,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement ",,,948.0,25655.0,195
CPT,21267,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach ",,,948.0,23113.0,266
CPT,21267,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Age 21+",,,3345.51,3345.51,4
CPT,21267,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Age Under 21",,,3406.33,3406.33,4
CPT,21268,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach ",,,948.0,45773.17,238
CPT,21270,"Malar augmentation, prosthetic material ",,,948.0,18490.0,266
CPT,21270,"Malar augmentation, prosthetic material Age 21+",,,2149.64,2149.64,4
CPT,21270,"Malar augmentation, prosthetic material Age Under 21",,,2188.73,2188.73,4
CPT,21275,Secondary revision of orbitocraniofacial reconstruction ,,,948.0,23113.0,266
CPT,21275,Secondary revision of orbitocraniofacial reconstruction Age 21+,,,2149.64,2149.64,4
CPT,21275,Secondary revision of orbitocraniofacial reconstruction Age Under 21,,,2188.73,2188.73,4
CPT,21280,Medial canthopexy (separate procedure) ,,,873.32,18490.0,266
CPT,21280,Medial canthopexy (separate procedure) Age 21+,,,975.28,975.28,4
CPT,21280,Medial canthopexy (separate procedure) Age Under 21,,,993.01,993.01,4
CPT,21282,Lateral canthopexy ,,,873.32,18490.0,266
CPT,21282,Lateral canthopexy Age 21+,,,975.28,975.28,4
CPT,21282,Lateral canthopexy Age Under 21,,,993.01,993.01,4
CPT,21295,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach ",,,414.33,5932.0,266
CPT,21295,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Age 21+",,,462.7,462.7,4
CPT,21295,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Age Under 21",,,471.12,471.12,4
CPT,21296,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach ",,,873.32,8858.0,266
CPT,21296,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Age 21+",,,975.28,975.28,4
CPT,21296,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Age Under 21",,,993.01,993.01,4
CPT,21299,Unlisted craniofacial and maxillofacial procedure ,,,239.12,25655.0,195
CPT,21300,TREATMENT OF SKULL FRACTURE ,,,2152.0,6587.0,34
CPT,21310,CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION ,,,2152.0,2636.0,34
CPT,21315,Closed treatment of nasal bone fracture with manipulation; without stabilization ,,,414.33,6680.0,266
CPT,21315,Closed treatment of nasal bone fracture with manipulation; without stabilization Age 21+,,,462.7,462.7,4
CPT,21315,Closed treatment of nasal bone fracture with manipulation; without stabilization Age Under 21,,,471.12,471.12,4
CPT,21320,Closed treatment of nasal bone fracture with manipulation; with stabilization ,,,873.32,7334.01,266
CPT,21320,Closed treatment of nasal bone fracture with manipulation; with stabilization Age 21+,,,975.28,975.28,4
CPT,21320,Closed treatment of nasal bone fracture with manipulation; with stabilization Age Under 21,,,993.01,993.01,4
CPT,21325,Open treatment of nasal fracture; uncomplicated ,,,873.32,19415.0,266
CPT,21325,Open treatment of nasal fracture; uncomplicated Age 21+,,,975.28,975.28,4
CPT,21325,Open treatment of nasal fracture; uncomplicated Age Under 21,,,993.01,993.01,4
CPT,21330,"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation ",,,948.0,18490.0,266
CPT,21330,"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Age 21+",,,2149.64,2149.64,4
CPT,21330,"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Age Under 21",,,2188.73,2188.73,4
CPT,21335,Open treatment of nasal fracture; with concomitant open treatment of fractured septum ,,,873.32,23113.0,266
CPT,21335,Open treatment of nasal fracture; with concomitant open treatment of fractured septum Age 21+,,,975.28,975.28,4
CPT,21335,Open treatment of nasal fracture; with concomitant open treatment of fractured septum Age Under 21,,,993.01,993.01,4
CPT,21336,"Open treatment of nasal septal fracture, with or without stabilization ",,,948.0,19415.0,266
CPT,21336,"Open treatment of nasal septal fracture, with or without stabilization Age 21+",,,1197.1,1197.1,4
CPT,21336,"Open treatment of nasal septal fracture, with or without stabilization Age Under 21",,,1218.86,1218.86,4
CPT,21337,"Closed treatment of nasal septal fracture, with or without stabilization ",,,873.32,7334.01,266
CPT,21337,"Closed treatment of nasal septal fracture, with or without stabilization Age 21+",,,975.28,975.28,4
CPT,21337,"Closed treatment of nasal septal fracture, with or without stabilization Age Under 21",,,993.01,993.01,4
CPT,21338,Open treatment of nasoethmoid fracture; without external fixation ,,,948.0,19415.0,266
CPT,21338,Open treatment of nasoethmoid fracture; without external fixation Age 21+,,,3133.04,3133.04,4
CPT,21338,Open treatment of nasoethmoid fracture; without external fixation Age Under 21,,,3190.01,3190.01,4
CPT,21339,Open treatment of nasoethmoid fracture; with external fixation ,,,948.0,18490.0,266
CPT,21339,Open treatment of nasoethmoid fracture; with external fixation Age 21+,,,2149.64,2149.64,4
CPT,21339,Open treatment of nasoethmoid fracture; with external fixation Age Under 21,,,2188.73,2188.73,4
CPT,21340,"Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus ",,,873.32,19415.0,266
CPT,21340,"Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus Age 21+",,,975.28,975.28,4
CPT,21340,"Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus Age Under 21",,,993.01,993.01,4
CPT,21343,Open treatment of depressed frontal sinus fracture ,,,948.0,25655.0,238
CPT,21344,"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches ",,,948.0,30815.92,238
CPT,21345,"Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint ",,,414.33,23113.0,266
CPT,21345,"Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint Age 21+",,,462.7,462.7,4
CPT,21345,"Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint Age Under 21",,,471.12,471.12,4
CPT,21346,Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation ,,,948.0,25655.0,239
CPT,21347,Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches ,,,948.0,25655.0,239
CPT,21348,Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) ,,,948.0,25655.0,238
CPT,21355,"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation ",,,873.32,17510.0,266
CPT,21355,"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Age 21+",,,975.28,975.28,4
CPT,21355,"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Age Under 21",,,993.01,993.01,4
CPT,21356,"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) ",,,948.0,13581.48,266
CPT,21356,"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Age 21+",,,2149.64,2149.64,4
CPT,21356,"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Age Under 21",,,2188.73,2188.73,4
CPT,21360,"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod ",,,948.0,19415.0,266
CPT,21360,"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Age 21+",,,2149.64,2149.64,4
CPT,21360,"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Age Under 21",,,2188.73,2188.73,4
CPT,21365,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical ap",,,948.0,18747.0,239
CPT,21366,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) ",,,948.0,28430.53,239
CPT,21385,Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) ,,,948.0,18490.0,239
CPT,21386,Open treatment of orbital floor blowout fracture; periorbital approach ,,,948.0,25655.0,239
CPT,21387,Open treatment of orbital floor blowout fracture; combined approach ,,,948.0,25655.0,239
CPT,21390,"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant ",,,948.0,23113.0,266
CPT,21390,"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Age 21+",,,2149.64,2149.64,4
CPT,21390,"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Age Under 21",,,2188.73,2188.73,4
CPT,21395,Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) ,,,948.0,25655.0,239
CPT,21400,"Closed treatment of fracture of orbit, except blowout; without manipulation ",,,184.41,6680.0,266
CPT,21400,"Closed treatment of fracture of orbit, except blowout; without manipulation Age 21+",,,205.94,205.94,4
CPT,21400,"Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21",,,209.69,209.69,4
CPT,21401,"Closed treatment of fracture of orbit, except blowout; with manipulation ",,,540.4,9908.0,266
CPT,21401,"Closed treatment of fracture of orbit, except blowout; with manipulation Age 21+",,,603.49,603.49,4
CPT,21401,"Closed treatment of fracture of orbit, except blowout; with manipulation Age Under 21",,,614.47,614.47,4
CPT,21406,"Open treatment of fracture of orbit, except blowout; without implant ",,,948.0,19415.0,266
CPT,21406,"Open treatment of fracture of orbit, except blowout; without implant Age 21+",,,2149.64,2149.64,4
CPT,21406,"Open treatment of fracture of orbit, except blowout; without implant Age Under 21",,,2188.73,2188.73,4
CPT,21407,"Open treatment of fracture of orbit, except blowout; with implant ",,,948.0,18490.0,266
CPT,21407,"Open treatment of fracture of orbit, except blowout; with implant Age 21+",,,2149.64,2149.64,4
CPT,21407,"Open treatment of fracture of orbit, except blowout; with implant Age Under 21",,,2188.73,2188.73,4
CPT,21408,"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) ",,,948.0,17510.0,195
CPT,21421,"Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint ",,,873.32,19415.0,266
CPT,21421,"Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint Age 21+",,,975.28,975.28,4
CPT,21421,"Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint Age Under 21",,,993.01,993.01,4
CPT,21422,Open treatment of palatal or maxillary fracture (LeFort I type); ,,,948.0,25655.0,239
CPT,21423,"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches ",,,948.0,25655.0,238
CPT,21431,Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint ,,,948.0,25655.0,238
CPT,21432,Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation ,,,948.0,25655.0,238
CPT,21433,"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches ",,,948.0,38982.2,238
CPT,21435,"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation) ",,,948.0,31336.6,238
CPT,21436,"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) ",,,948.0,45718.84,238
CPT,21440,Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) ,,,461.95,9908.0,266
CPT,21440,Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Age 21+,,,515.88,515.88,4
CPT,21440,Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Age Under 21,,,525.26,525.26,4
CPT,21445,Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) ,,,948.0,19415.0,266
CPT,21445,Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Age 21+,,,2840.62,2840.62,4
CPT,21445,Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Age Under 21,,,2892.27,2892.27,4
CPT,21450,Closed treatment of mandibular fracture; without manipulation ,,,247.08,9908.0,266
CPT,21450,Closed treatment of mandibular fracture; without manipulation Age 21+,,,275.92,275.92,4
CPT,21450,Closed treatment of mandibular fracture; without manipulation Age Under 21,,,280.94,280.94,4
CPT,21451,Closed treatment of mandibular fracture; with manipulation ,,,414.33,19415.0,266
CPT,21451,Closed treatment of mandibular fracture; with manipulation Age 21+,,,462.7,462.7,4
CPT,21451,Closed treatment of mandibular fracture; with manipulation Age Under 21,,,471.12,471.12,4
CPT,21452,"Percutaneous treatment of mandibular fracture, with external fixation ",,,948.0,13581.48,266
CPT,21452,"Percutaneous treatment of mandibular fracture, with external fixation Age 21+",,,2830.37,2830.37,4
CPT,21452,"Percutaneous treatment of mandibular fracture, with external fixation Age Under 21",,,2881.83,2881.83,4
CPT,21453,Closed treatment of mandibular fracture with interdental fixation ,,,948.0,17510.0,266
CPT,21453,Closed treatment of mandibular fracture with interdental fixation Age 21+,,,2149.64,2149.64,4
CPT,21453,Closed treatment of mandibular fracture with interdental fixation Age Under 21,,,2188.73,2188.73,4
CPT,21454,Open treatment of mandibular fracture with external fixation ,,,948.0,18490.0,266
CPT,21454,Open treatment of mandibular fracture with external fixation Age 21+,,,2925.6,2925.6,4
CPT,21454,Open treatment of mandibular fracture with external fixation Age Under 21,,,2978.8,2978.8,4
CPT,21461,Open treatment of mandibular fracture; without interdental fixation ,,,948.0,19415.0,266
CPT,21461,Open treatment of mandibular fracture; without interdental fixation Age 21+,,,2904.46,2904.46,4
CPT,21461,Open treatment of mandibular fracture; without interdental fixation Age Under 21,,,2957.27,2957.27,4
CPT,21462,Open treatment of mandibular fracture; with interdental fixation ,,,948.0,18490.0,266
CPT,21462,Open treatment of mandibular fracture; with interdental fixation Age 21+,,,3070.03,3070.03,4
CPT,21462,Open treatment of mandibular fracture; with interdental fixation Age Under 21,,,3125.85,3125.85,4
CPT,21465,Open treatment of mandibular condylar fracture ,,,948.0,19415.0,266
CPT,21465,Open treatment of mandibular condylar fracture Age 21+,,,2882.29,2882.29,4
CPT,21465,Open treatment of mandibular condylar fracture Age Under 21,,,2934.69,2934.69,4
CPT,21470,"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints ",,,948.0,18490.0,239
CPT,21480,Closed treatment of temporomandibular dislocation; initial or subsequent ,,,84.04,5932.0,266
CPT,21480,Closed treatment of temporomandibular dislocation; initial or subsequent Age 21+,,,93.85,93.85,4
CPT,21480,Closed treatment of temporomandibular dislocation; initial or subsequent Age Under 21,,,95.56,95.56,4
CPT,21485,"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent ",,,414.33,6680.0,266
CPT,21485,"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent Age 21+",,,462.7,462.7,4
CPT,21485,"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent Age Under 21",,,471.12,471.12,4
CPT,21490,Open treatment of temporomandibular dislocation ,,,873.32,17510.0,266
CPT,21490,Open treatment of temporomandibular dislocation Age 21+,,,975.28,975.28,4
CPT,21490,Open treatment of temporomandibular dislocation Age Under 21,,,993.01,993.01,4
CPT,21493,TREAT HYOID BONE FRACTURE ,,,2152.0,6587.0,34
CPT,21494,TREAT HYOID BONE FRACTURE ,,,2152.0,6587.0,34
CPT,21495,TREAT HYOID BONE FRACTURE ,,,2214.0,4723.0,42
CPT,21497,"Interdental wiring, for condition other than fracture ",,,414.33,6680.0,266
CPT,21497,"Interdental wiring, for condition other than fracture Age 21+",,,462.7,462.7,4
CPT,21497,"Interdental wiring, for condition other than fracture Age Under 21",,,471.12,471.12,4
CPT,21499,"Unlisted musculoskeletal procedure, head ",,,239.12,25655.0,195
CPT,21501,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; ",,,802.97,8858.0,266
CPT,21501,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; Age 21+",,,896.72,896.72,4
CPT,21501,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; Age Under 21",,,913.02,913.02,4
CPT,21502,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy ",,,948.0,8858.0,266
CPT,21502,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy Age 21+",,,1197.1,1197.1,4
CPT,21502,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy Age Under 21",,,1218.86,1218.86,4
CPT,21510,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax ",,,948.0,25655.0,238
CPT,21550,"Biopsy, soft tissue of neck or thorax ",,,479.15,5932.0,266
CPT,21550,"Biopsy, soft tissue of neck or thorax Age 21+",,,535.1,535.1,4
CPT,21550,"Biopsy, soft tissue of neck or thorax Age Under 21",,,544.82,544.82,4
CPT,21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater ",,,802.97,12499.0,266
CPT,21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,21554,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater ",,,802.97,12499.0,266
CPT,21554,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,21554,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,21555,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm ",,,479.15,6680.0,266
CPT,21555,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm Age 21+",,,535.1,535.1,4
CPT,21555,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,21556,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm ",,,802.97,8858.0,266
CPT,21556,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm Age 21+",,,896.72,896.72,4
CPT,21556,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,21557,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm ",,,802.97,25655.0,266
CPT,21557,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Age 21+",,,896.72,896.72,4
CPT,21557,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,21558,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater ",,,802.97,12499.0,266
CPT,21558,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,21558,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,21600,"Excision of rib, partial ",,,948.0,16749.46,266
CPT,21600,"Excision of rib, partial Age 21+",,,2638.37,2638.37,4
CPT,21600,"Excision of rib, partial Age Under 21",,,2686.34,2686.34,4
CPT,21601,Excision of chest wall tumor including rib(s) ,,,948.0,25655.0,239
CPT,21602,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy ",,,948.0,35610.01,238
CPT,21603,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy ",,,948.0,39409.52,238
CPT,21610,Costotransversectomy (separate procedure) ,,,948.0,12360.0,266
CPT,21610,Costotransversectomy (separate procedure) Age 21+,,,1197.1,1197.1,4
CPT,21610,Costotransversectomy (separate procedure) Age Under 21,,,1218.86,1218.86,4
CPT,21615,Excision first and/or cervical rib; ,,,948.0,25655.0,238
CPT,21616,Excision first and/or cervical rib; with sympathectomy ,,,948.0,25655.0,238
CPT,21620,"Ostectomy of sternum, partial ",,,948.0,25655.0,238
CPT,21627,Sternal debridement ,,,948.0,25655.0,238
CPT,21630,Radical resection of sternum ,,,948.0,27529.32,238
CPT,21632,Radical resection of sternum; with mediastinal lymphadenectomy ,,,2152.0,16144.0,42
CPT,21685,Hyoid myotomy and suspension ,,,948.0,13581.48,266
CPT,21685,Hyoid myotomy and suspension Age 21+,,,2793.74,2793.74,4
CPT,21685,Hyoid myotomy and suspension Age Under 21,,,2844.53,2844.53,4
CPT,21700,Division of scalenus anticus; without resection of cervical rib ,,,948.0,16749.46,266
CPT,21700,Division of scalenus anticus; without resection of cervical rib Age 21+,,,2638.37,2638.37,4
CPT,21700,Division of scalenus anticus; without resection of cervical rib Age Under 21,,,2686.34,2686.34,4
CPT,21705,Division of scalenus anticus; with resection of cervical rib ,,,948.0,25655.0,238
CPT,21720,"Division of sternocleidomastoid for torticollis, open operation; without cast application ",,,948.0,9908.0,266
CPT,21720,"Division of sternocleidomastoid for torticollis, open operation; without cast application Age 21+",,,1197.1,1197.1,4
CPT,21720,"Division of sternocleidomastoid for torticollis, open operation; without cast application Age Under 21",,,1218.86,1218.86,4
CPT,21725,"Division of sternocleidomastoid for torticollis, open operation; with cast application ",,,253.74,9908.0,266
CPT,21725,"Division of sternocleidomastoid for torticollis, open operation; with cast application Age 21+",,,283.36,283.36,4
CPT,21725,"Division of sternocleidomastoid for torticollis, open operation; with cast application Age Under 21",,,288.51,288.51,4
CPT,21740,Reconstructive repair of pectus excavatum or carinatum; open ,,,948.0,25655.0,238
CPT,21742,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy ",,,948.0,76895.0,239
CPT,21743,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy ",,,948.0,76895.0,239
CPT,21750,Closure of median sternotomy separation with or without debridement (separate procedure) ,,,948.0,25655.0,238
CPT,21800,TREATMENT OF RIB FRACTURE ,,,2152.0,5381.0,34
CPT,21805,TREATMENT OF RIB FRACTURE ,,,2152.0,6587.0,34
CPT,21810,TREATMENT OF RIB FRACTURE(S) ,,,2152.0,6587.0,34
CPT,21811,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs ",,,948.0,16749.46,239
CPT,21812,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs ",,,948.0,16749.46,239
CPT,21813,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs ",,,948.0,12499.0,239
CPT,21820,Closed treatment of sternum fracture ,,,84.04,5932.0,266
CPT,21820,Closed treatment of sternum fracture Age 21+,,,93.85,93.85,4
CPT,21820,Closed treatment of sternum fracture Age Under 21,,,95.56,95.56,4
CPT,21825,Open treatment of sternum fracture with or without skeletal fixation ,,,948.0,25655.0,238
CPT,21899,"Unlisted procedure, neck or thorax ",,,239.12,25655.0,195
CPT,21920,"Biopsy, soft tissue of back or flank; superficial ",,,146.16,5932.0,266
CPT,21920,"Biopsy, soft tissue of back or flank; superficial Age 21+",,,163.23,163.23,4
CPT,21920,"Biopsy, soft tissue of back or flank; superficial Age Under 21",,,166.2,166.2,4
CPT,21925,"Biopsy, soft tissue of back or flank; deep ",,,479.15,8858.0,266
CPT,21925,"Biopsy, soft tissue of back or flank; deep Age 21+",,,535.1,535.1,4
CPT,21925,"Biopsy, soft tissue of back or flank; deep Age Under 21",,,544.82,544.82,4
CPT,21930,"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm ",,,479.15,6680.0,266
CPT,21930,"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm Age 21+",,,535.1,535.1,4
CPT,21930,"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,21931,"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater ",,,479.15,12499.0,266
CPT,21931,"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater Age 21+",,,535.1,535.1,4
CPT,21931,"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater Age Under 21",,,544.82,544.82,4
CPT,21932,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm ",,,802.97,18747.0,266
CPT,21932,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm Age 21+",,,896.72,896.72,4
CPT,21932,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,21933,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater ",,,802.97,12499.0,266
CPT,21933,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,21933,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,21935,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm ",,,802.97,9908.0,266
CPT,21935,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Age 21+",,,896.72,896.72,4
CPT,21935,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,21936,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater ",,,802.97,12499.0,266
CPT,21936,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,21936,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,22010,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic ",,,948.0,25655.0,238
CPT,22015,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral ",,,948.0,25655.0,238
CPT,22100,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical ",,,948.0,21630.0,197
CPT,22101,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic ",,,948.0,21630.0,197
CPT,22102,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar ",,,948.0,21630.0,224
CPT,22102,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar Age 21+",,,2638.37,2638.37,4
CPT,22102,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar Age Under 21",,,2686.34,2686.34,4
CPT,22103,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to co",,,948.0,19952.0,148
CPT,22110,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical ",,,948.0,25655.0,238
CPT,22112,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic ",,,948.0,25655.0,238
CPT,22114,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar ",,,948.0,25655.0,238
CPT,22116,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (List separately in ad",,,948.0,25655.0,238
CPT,22206,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic ",,,948.0,55423.65,238
CPT,22207,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar ",,,948.0,54304.68,238
CPT,22208,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment (List separately in addition to cod",,,948.0,25655.0,238
CPT,22210,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical ",,,948.0,40450.87,238
CPT,22212,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic ",,,948.0,33582.07,238
CPT,22214,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar ",,,948.0,33722.0,238
CPT,22216,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure) ",,,948.0,25655.0,238
CPT,22220,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical ",,,948.0,36550.24,238
CPT,22222,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic ",,,948.0,38873.54,238
CPT,22224,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar ",,,948.0,35664.34,238
CPT,22226,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure) ",,,948.0,25655.0,238
CPT,22305,CLOSED TX SPINE PROCESS FX ,,,2152.0,2636.0,34
CPT,22310,"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing ",,,84.04,5932.0,266
CPT,22310,"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing Age 21+",,,93.85,93.85,4
CPT,22310,"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing Age Under 21",,,95.56,95.56,4
CPT,22315,"Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction ",,,948.0,7664.86,266
CPT,22315,"Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction Age 21+",,,1197.1,1197.1,4
CPT,22315,"Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction Age Under 21",,,1218.86,1218.86,4
CPT,22318,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting ",,,948.0,76895.0,238
CPT,22319,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting ",,,948.0,76895.0,238
CPT,22325,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar ",,,948.0,76895.0,235
CPT,22326,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical ",,,948.0,76895.0,235
CPT,22327,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic ",,,2369.0,76895.0,220
CPT,22328,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment",,,1481.0,25655.0,220
CPT,22505,"Manipulation of spine requiring anesthesia, any region ",,,584.14,6680.0,248
CPT,22505,"Manipulation of spine requiring anesthesia, any region Age 21+",,,652.34,652.34,4
CPT,22505,"Manipulation of spine requiring anesthesia, any region Age Under 21",,,664.2,664.2,4
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic ",,,1071.95,26520.0,248
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic Age 21+",,,1197.1,1197.1,4
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic Age Under 21",,,1218.86,1218.86,4
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral ",,,1071.95,26520.0,248
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral Age 21+",,,1197.1,1197.1,4
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral Age Under 21",,,1218.86,1218.86,4
CPT,22512,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacra",,,1481.0,12499.0,172
CPT,22513,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,2362.54,26520.0,256
CPT,22514,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,2362.54,26520.0,256
CPT,22515,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,1672.0,26520.0,172
CPT,22520,PERCUT VERTEBROPLASTY THOR ,,,2152.0,6587.0,39
CPT,22521,PERCUT VERTEBROPLASTY LUMB ,,,2152.0,6587.0,39
CPT,22522,PERCUT VERTEBROPLASTY ADDL ,,,2152.0,6587.0,39
CPT,22523,PERCUT KYPHOPLASTY THOR ,,,2152.0,6587.0,39
CPT,22524,PERCUT KYPHOPLASTY LUMBAR ,,,2152.0,6587.0,39
CPT,22525,PERCUT KYPHOPLASTY ADD-ON ,,,2152.0,6587.0,39
CPT,22526,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level ",,,2369.0,12499.0,220
CPT,22527,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure) ",,,2369.0,12499.0,220
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic ",,,2152.0,105582.0,115
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic Spinal Fusion except Cervical",,,35974.0,35974.0,1
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar ",,,2152.0,105582.0,115
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar Spinal Fusion except Cervical",,,35974.0,35974.0,1
CPT,22534,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately ",,,1481.0,35974.0,214
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process ",,,2369.0,66017.0,115
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process Cervical Spinal Fusion",,,30723.0,30723.0,1
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 ",,,2369.0,66017.0,143
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 Age 21+",,,7694.04,7694.04,4
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 Age Under 21",,,7833.93,7833.93,4
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 Cervical Spinal Fusion",,,30723.0,30723.0,1
CPT,22552,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List ",,,2369.0,66017.0,75
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 ",,,2369.0,66017.0,143
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 Age 21+",,,7646.63,7646.63,4
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 Age Under 21",,,7785.66,7785.66,4
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 Cervical Spinal Fusion",,,30723.0,30723.0,1
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic ",,,2152.0,105582.0,115
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic Spinal Fusion except Cervical",,,35974.0,35974.0,1
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar ",,,2152.0,105582.0,115
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar Spinal Fusion except Cervical",,,35974.0,35974.0,1
CPT,22585,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primar",,,2369.0,35974.0,75
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace ",,,2152.0,105582.0,115
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace Spi",,,35974.0,35974.0,1
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) ",,,2152.0,66017.0,115
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) Cervical Spinal Fusion",,,30723.0,30723.0,1
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) ",,,2152.0,66017.0,115
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) Cervical Spinal Fusion",,,30723.0,30723.0,1
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment ",,,2152.0,66017.0,115
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Cervical Spinal Fusion",,,30723.0,30723.0,1
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) ",,,2152.0,105582.0,122
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) Spinal Fusion except Cervical",,,35974.0,35974.0,1
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) ",,,2369.0,105582.0,143
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) Age 21+",,,7756.39,7756.39,4
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) Age Under 21",,,7897.41,7897.41,4
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) Spinal Fusion except Cervical",,,35974.0,35974.0,1
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) ",,,1481.0,19500.0,117
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) Spinal Fusion except Cervical",,,35974.0,35974.0,1
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; ",,,2152.0,105582.0,116
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; Spinal Fusion except Cervical",,,35974.0,35974.0,1
CPT,22632,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List se",,,1481.0,105582.0,172
CPT,22633,"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), ",,,2152.0,105582.0,117
CPT,22634,"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), ",,,1481.0,105582.0,68
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments ",,,2152.0,105582.0,115
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Spinal Fusion w/complications",,,45980.0,45980.0,1
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments ",,,2152.0,105582.0,115
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Spinal Fusion w/complications",,,45980.0,45980.0,1
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments ",,,2152.0,105582.0,115
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Spinal Fusion w/complications",,,45980.0,45980.0,1
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments ",,,2152.0,105582.0,115
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Spinal Fusion w/complications",,,45980.0,45980.0,1
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments ",,,2152.0,105582.0,115
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Spinal Fusion w/complications",,,45980.0,45980.0,1
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments ",,,2152.0,105582.0,115
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Spinal Fusion w/complications",,,45980.0,45980.0,1
CPT,22818,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments ",,,2152.0,76895.0,220
CPT,22819,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments ",,,2152.0,76895.0,220
CPT,22830,Exploration of spinal fusion ,,,2152.0,105582.0,178
CPT,22836,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments ",,,948.0,76895.0,227
CPT,22837,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments ",,,948.0,76895.0,227
CPT,22838,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed ",,,948.0,76895.0,227
CPT,22840,"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) ",,,1481.0,16144.0,124
CPT,22841,Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) ,,,1672.0,60180.0,220
CPT,22842,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) ",,,1672.0,60180.0,124
CPT,22843,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) ",,,1672.0,60180.0,220
CPT,22844,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for primary procedure",,,1672.0,60180.0,220
CPT,22845,Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) ,,,2369.0,60180.0,124
CPT,22846,Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) ,,,2369.0,60180.0,220
CPT,22847,Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) ,,,2369.0,60180.0,220
CPT,22848,Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) ,,,1672.0,60180.0,220
CPT,22849,Reinsertion of spinal fixation device ,,,2152.0,76895.0,220
CPT,22850,"Removal of posterior nonsegmental instrumentation (eg, Harrington rod) ",,,2152.0,76895.0,220
CPT,22851,APPLY SPINE PROSTH DEVICE ,,,2152.0,2636.0,39
CPT,22852,Removal of posterior segmental instrumentation ,,,2152.0,76895.0,220
CPT,22853,"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc spac",,,1481.0,5932.0,124
CPT,22854,"Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectom",,,1481.0,5932.0,124
CPT,22855,Removal of anterior instrumentation ,,,2152.0,76895.0,220
CPT,22856,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection)",,,2369.0,76895.0,256
CPT,22857,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar ",,,2152.0,84703.51,220
CPT,22858,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection)",,,1481.0,16144.0,124
CPT,22859,"Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous ",,,1481.0,5932.0,124
CPT,22860,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separately in addition to code ",,,1481.0,25655.0,220
CPT,22861,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical ",,,2152.0,76895.0,220
CPT,22862,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar ",,,2152.0,76895.0,213
CPT,22864,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical ",,,2152.0,76895.0,213
CPT,22865,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar ",,,2152.0,76895.0,220
CPT,22867,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level ",,,2152.0,44649.02,214
CPT,22868,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately",,,1481.0,5932.0,124
CPT,22869,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level ",,,2152.0,33321.99,221
CPT,22870,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in",,,1481.0,5932.0,124
CPT,22899,"Unlisted procedure, spine ",,,249.03,25655.0,221
CPT,22900,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm ",,,802.97,19415.0,266
CPT,22900,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm Age 21+",,,896.72,896.72,4
CPT,22900,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,22901,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater ",,,802.97,12499.0,266
CPT,22901,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,22901,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,22902,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm ",,,479.15,18747.0,266
CPT,22902,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm Age 21+",,,535.1,535.1,4
CPT,22902,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,22903,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater ",,,802.97,12499.0,266
CPT,22903,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,22903,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,22904,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm ",,,802.97,18747.0,266
CPT,22904,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Age 21+",,,896.72,896.72,4
CPT,22904,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,22905,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater ",,,802.97,12499.0,266
CPT,22905,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,22905,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,22999,"Unlisted procedure, abdomen, musculoskeletal system ",,,249.03,25655.0,239
CPT,23000,"Removal of subdeltoid calcareous deposits, open ",,,802.97,6680.0,266
CPT,23000,"Removal of subdeltoid calcareous deposits, open Age 21+",,,896.72,896.72,4
CPT,23000,"Removal of subdeltoid calcareous deposits, open Age Under 21",,,913.02,913.02,4
CPT,23020,"Capsular contracture release (eg, Sever type procedure) ",,,948.0,12360.0,266
CPT,23020,"Capsular contracture release (eg, Sever type procedure) Age 21+",,,1197.1,1197.1,4
CPT,23020,"Capsular contracture release (eg, Sever type procedure) Age Under 21",,,1218.86,1218.86,4
CPT,23030,"Incision and drainage, shoulder area; deep abscess or hematoma ",,,802.97,8858.0,266
CPT,23030,"Incision and drainage, shoulder area; deep abscess or hematoma Age 21+",,,896.72,896.72,4
CPT,23030,"Incision and drainage, shoulder area; deep abscess or hematoma Age Under 21",,,913.02,913.02,4
CPT,23031,"Incision and drainage, shoulder area; infected bursa ",,,802.97,9908.0,266
CPT,23031,"Incision and drainage, shoulder area; infected bursa Age 21+",,,896.72,896.72,4
CPT,23031,"Incision and drainage, shoulder area; infected bursa Age Under 21",,,913.02,913.02,4
CPT,23035,"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area ",,,584.14,9908.0,266
CPT,23035,"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Age 21+",,,652.34,652.34,4
CPT,23035,"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Age Under 21",,,664.2,664.2,4
CPT,23040,"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body ",,,948.0,12360.0,266
CPT,23040,"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Age 21+",,,1197.1,1197.1,4
CPT,23040,"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Age Under 21",,,1218.86,1218.86,4
CPT,23044,"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body ",,,948.0,19415.0,266
CPT,23044,"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body Age 21+",,,1197.1,1197.1,4
CPT,23044,"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body Age Under 21",,,1218.86,1218.86,4
CPT,23065,"Biopsy, soft tissue of shoulder area; superficial ",,,112.9,5932.0,266
CPT,23065,"Biopsy, soft tissue of shoulder area; superficial Age 21+",,,126.08,126.08,4
CPT,23065,"Biopsy, soft tissue of shoulder area; superficial Age Under 21",,,128.37,128.37,4
CPT,23066,"Biopsy, soft tissue of shoulder area; deep ",,,802.97,8858.0,266
CPT,23066,"Biopsy, soft tissue of shoulder area; deep Age 21+",,,896.72,896.72,4
CPT,23066,"Biopsy, soft tissue of shoulder area; deep Age Under 21",,,913.02,913.02,4
CPT,23071,"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater ",,,479.15,12499.0,266
CPT,23071,"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater Age 21+",,,535.1,535.1,4
CPT,23071,"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater Age Under 21",,,544.82,544.82,4
CPT,23073,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater ",,,802.97,12499.0,266
CPT,23073,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,23073,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,23075,"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm ",,,479.15,6680.0,266
CPT,23075,"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age 21+",,,535.1,535.1,4
CPT,23075,"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,23076,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm ",,,802.97,6680.0,266
CPT,23076,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm Age 21+",,,896.72,896.72,4
CPT,23076,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,23077,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm ",,,802.97,9908.0,266
CPT,23077,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm Age 21+",,,896.72,896.72,4
CPT,23077,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,23078,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater ",,,802.97,12499.0,266
CPT,23078,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,23078,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,23100,"Arthrotomy, glenohumeral joint, including biopsy ",,,948.0,8858.0,266
CPT,23100,"Arthrotomy, glenohumeral joint, including biopsy Age 21+",,,1197.1,1197.1,4
CPT,23100,"Arthrotomy, glenohumeral joint, including biopsy Age Under 21",,,1218.86,1218.86,4
CPT,23101,"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage ",,,948.0,23113.0,266
CPT,23101,"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage Age 21+",,,1197.1,1197.1,4
CPT,23101,"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage Age Under 21",,,1218.86,1218.86,4
CPT,23105,"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy ",,,948.0,19415.0,266
CPT,23105,"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Age 21+",,,2638.37,2638.37,4
CPT,23105,"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Age Under 21",,,2686.34,2686.34,4
CPT,23106,"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy ",,,948.0,19415.0,266
CPT,23106,"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Age 21+",,,1197.1,1197.1,4
CPT,23106,"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Age Under 21",,,1218.86,1218.86,4
CPT,23107,"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body ",,,948.0,19415.0,266
CPT,23107,"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Age 21+",,,2638.37,2638.37,4
CPT,23107,"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Age Under 21",,,2686.34,2686.34,4
CPT,23120,Claviculectomy; partial ,,,948.0,18490.0,266
CPT,23120,Claviculectomy; partial Age 21+,,,1197.1,1197.1,4
CPT,23120,Claviculectomy; partial Age Under 21,,,1218.86,1218.86,4
CPT,23125,Claviculectomy; total ,,,948.0,18490.0,266
CPT,23125,Claviculectomy; total Age 21+,,,1197.1,1197.1,4
CPT,23125,Claviculectomy; total Age Under 21,,,1218.86,1218.86,4
CPT,23130,"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release ",,,948.0,18490.0,266
CPT,23130,"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age 21+",,,1197.1,1197.1,4
CPT,23130,"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21",,,1218.86,1218.86,4
CPT,23140,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; ,,,948.0,19415.0,266
CPT,23140,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Age 21+,,,1197.1,1197.1,4
CPT,23140,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Age Under 21,,,1218.86,1218.86,4
CPT,23145,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) ,,,948.0,18490.0,266
CPT,23145,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) Age 21+,,,1197.1,1197.1,4
CPT,23145,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) Age Under 21,,,1218.86,1218.86,4
CPT,23146,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft ,,,948.0,18490.0,266
CPT,23146,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Age 21+,,,2638.37,2638.37,4
CPT,23146,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Age Under 21,,,2686.34,2686.34,4
CPT,23150,Excision or curettage of bone cyst or benign tumor of proximal humerus; ,,,948.0,19415.0,266
CPT,23150,Excision or curettage of bone cyst or benign tumor of proximal humerus; Age 21+,,,1197.1,1197.1,4
CPT,23150,Excision or curettage of bone cyst or benign tumor of proximal humerus; Age Under 21,,,1218.86,1218.86,4
CPT,23155,Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) ,,,948.0,18490.0,266
CPT,23155,Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) Age 21+,,,2638.37,2638.37,4
CPT,23155,Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) Age Under 21,,,2686.34,2686.34,4
CPT,23156,Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft ,,,948.0,18490.0,266
CPT,23156,Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Age 21+,,,3434.79,3434.79,4
CPT,23156,Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Age Under 21,,,3497.24,3497.24,4
CPT,23170,"Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle ",,,948.0,12360.0,266
CPT,23170,"Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Age 21+",,,1197.1,1197.1,4
CPT,23170,"Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Age Under 21",,,1218.86,1218.86,4
CPT,23172,"Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula ",,,948.0,12360.0,266
CPT,23172,"Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Age 21+",,,1197.1,1197.1,4
CPT,23172,"Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Age Under 21",,,1218.86,1218.86,4
CPT,23174,"Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck ",,,948.0,16749.46,266
CPT,23174,"Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck Age 21+",,,2638.37,2638.37,4
CPT,23174,"Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck Age Under 21",,,2686.34,2686.34,4
CPT,23180,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle ",,,948.0,19415.0,266
CPT,23180,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle Age 21+",,,2638.37,2638.37,4
CPT,23180,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle Age Under 21",,,2686.34,2686.34,4
CPT,23182,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula ",,,948.0,19415.0,266
CPT,23182,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Age 21+",,,2638.37,2638.37,4
CPT,23182,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Age Under 21",,,2686.34,2686.34,4
CPT,23184,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus ",,,948.0,19415.0,266
CPT,23184,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Age 21+",,,2638.37,2638.37,4
CPT,23184,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Age Under 21",,,2686.34,2686.34,4
CPT,23190,"Ostectomy of scapula, partial (eg, superior medial angle) ",,,948.0,19415.0,266
CPT,23190,"Ostectomy of scapula, partial (eg, superior medial angle) Age 21+",,,1197.1,1197.1,4
CPT,23190,"Ostectomy of scapula, partial (eg, superior medial angle) Age Under 21",,,1218.86,1218.86,4
CPT,23195,"Resection, humeral head ",,,948.0,18490.0,266
CPT,23195,"Resection, humeral head Age 21+",,,2638.37,2638.37,4
CPT,23195,"Resection, humeral head Age Under 21",,,2686.34,2686.34,4
CPT,23200,Radical resection of tumor; clavicle ,,,948.0,33908.49,238
CPT,23210,Radical resection of tumor; scapula ,,,948.0,39829.08,238
CPT,23220,"Radical resection of tumor, proximal humerus ",,,948.0,43768.52,238
CPT,23221,PARTIAL REMOVAL OF HUMERUS ,,,2152.0,6587.0,34
CPT,23222,PARTIAL REMOVAL OF HUMERUS ,,,2152.0,6587.0,34
CPT,23330,"Removal of foreign body, shoulder; subcutaneous ",,,253.74,5932.0,266
CPT,23330,"Removal of foreign body, shoulder; subcutaneous Age 21+",,,283.36,283.36,4
CPT,23330,"Removal of foreign body, shoulder; subcutaneous Age Under 21",,,288.51,288.51,4
CPT,23331,REMOVE SHOULDER FOREIGN BODY ,,,2152.0,6587.0,34
CPT,23332,REMOVE SHOULDER FOREIGN BODY ,,,2152.0,6587.0,34
CPT,23333,"Removal of foreign body, shoulder; deep (subfascial or intramuscular) ",,,802.97,8485.0,266
CPT,23333,"Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age 21+",,,896.72,896.72,4
CPT,23333,"Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21",,,913.02,913.02,4
CPT,23334,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component ",,,802.97,12499.0,266
CPT,23334,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Age 21+",,,896.72,896.72,4
CPT,23334,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Age Under 21",,,913.02,913.02,4
CPT,23335,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder) ",,,948.0,28640.3,238
CPT,23350,Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography ,,,948.0,5932.0,142
CPT,23395,"Muscle transfer, any type, shoulder or upper arm; single ",,,948.0,18490.0,266
CPT,23395,"Muscle transfer, any type, shoulder or upper arm; single Age 21+",,,2638.37,2638.37,4
CPT,23395,"Muscle transfer, any type, shoulder or upper arm; single Age Under 21",,,2686.34,2686.34,4
CPT,23397,"Muscle transfer, any type, shoulder or upper arm; multiple ",,,948.0,23113.0,266
CPT,23397,"Muscle transfer, any type, shoulder or upper arm; multiple Age 21+",,,2638.37,2638.37,4
CPT,23397,"Muscle transfer, any type, shoulder or upper arm; multiple Age Under 21",,,2686.34,2686.34,4
CPT,23400,"Scapulopexy (eg, Sprengels deformity or for paralysis) ",,,948.0,23113.0,266
CPT,23400,"Scapulopexy (eg, Sprengels deformity or for paralysis) Age 21+",,,2638.37,2638.37,4
CPT,23400,"Scapulopexy (eg, Sprengels deformity or for paralysis) Age Under 21",,,2686.34,2686.34,4
CPT,23405,"Tenotomy, shoulder area; single tendon ",,,948.0,16749.46,266
CPT,23405,"Tenotomy, shoulder area; single tendon Age 21+",,,2638.37,2638.37,4
CPT,23405,"Tenotomy, shoulder area; single tendon Age Under 21",,,2686.34,2686.34,4
CPT,23406,"Tenotomy, shoulder area; multiple tendons through same incision ",,,948.0,16749.46,266
CPT,23406,"Tenotomy, shoulder area; multiple tendons through same incision Age 21+",,,3412.71,3412.71,4
CPT,23406,"Tenotomy, shoulder area; multiple tendons through same incision Age Under 21",,,3474.76,3474.76,4
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute ",,,2362.54,18490.0,248
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age 21+",,,2638.37,2638.37,4
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21",,,2686.34,2686.34,4
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic ",,,2362.54,23113.0,248
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age 21+",,,2638.37,2638.37,4
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21",,,2686.34,2686.34,4
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty ",,,2362.54,18490.0,248
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty Age 21+",,,2638.37,2638.37,4
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty Age Under 21",,,2686.34,2686.34,4
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) ",,,2362.54,18747.0,208
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age 21+",,,2638.37,2638.37,4
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21",,,2686.34,2686.34,4
CPT,23430,Tenodesis of long tendon of biceps ,,,2362.54,19415.0,248
CPT,23430,Tenodesis of long tendon of biceps Age 21+,,,2638.37,2638.37,4
CPT,23430,Tenodesis of long tendon of biceps Age Under 21,,,2686.34,2686.34,4
CPT,23440,Resection or transplantation of long tendon of biceps ,,,2369.0,19415.0,248
CPT,23440,Resection or transplantation of long tendon of biceps Age 21+,,,3541.93,3541.93,4
CPT,23440,Resection or transplantation of long tendon of biceps Age Under 21,,,3606.33,3606.33,4
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation ",,,2369.0,21630.0,248
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Age 21+",,,3730.25,3730.25,4
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Age Under 21",,,3798.08,3798.08,4
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) ",,,2369.0,23113.0,248
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Age 21+",,,3551.44,3551.44,4
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Age Under 21",,,3616.01,3616.01,4
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block ",,,2369.0,21630.0,248
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block Age 21+",,,4118.7,4118.7,4
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block Age Under 21",,,4193.58,4193.58,4
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer ",,,2362.54,23113.0,248
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer Age 21+",,,2638.37,2638.37,4
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21",,,2686.34,2686.34,4
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block ",,,2362.54,18490.0,248
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Age 21+",,,2638.37,2638.37,4
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Age Under 21",,,2686.34,2686.34,4
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability ",,,2362.54,23113.0,248
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Age 21+",,,2638.37,2638.37,4
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Age Under 21",,,2686.34,2686.34,4
CPT,23470,"Arthroplasty, glenohumeral joint; hemiarthroplasty ",,,948.0,77013.0,149
CPT,23472,"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) ",,,948.0,77013.0,149
CPT,23473,"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component ",,,948.0,77013.0,149
CPT,23474,"Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component ",,,948.0,84170.47,134
CPT,23480,"Osteotomy, clavicle, with or without internal fixation; ",,,948.0,19415.0,266
CPT,23480,"Osteotomy, clavicle, with or without internal fixation; Age 21+",,,2638.37,2638.37,4
CPT,23480,"Osteotomy, clavicle, with or without internal fixation; Age Under 21",,,2686.34,2686.34,4
CPT,23485,"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) ",,,948.0,33321.99,266
CPT,23485,"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) Age 21+",,,7432.77,7432.77,4
CPT,23485,"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) Age Under 21",,,7567.91,7567.91,4
CPT,23490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle ",,,948.0,21630.0,266
CPT,23490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle Age 21+",,,3808.61,3808.61,4
CPT,23490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle Age Under 21",,,3877.85,3877.85,4
CPT,23491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus ",,,948.0,33321.99,266
CPT,23491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus Age 21+",,,7057.09,7057.09,4
CPT,23491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus Age Under 21",,,7185.4,7185.4,4
CPT,23500,Closed treatment of clavicular fracture; without manipulation ,,,84.04,5932.0,266
CPT,23500,Closed treatment of clavicular fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,23500,Closed treatment of clavicular fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,23505,Closed treatment of clavicular fracture; with manipulation ,,,584.14,5932.0,266
CPT,23505,Closed treatment of clavicular fracture; with manipulation Age 21+,,,652.34,652.34,4
CPT,23505,Closed treatment of clavicular fracture; with manipulation Age Under 21,,,664.2,664.2,4
CPT,23515,"Open treatment of clavicular fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,23515,"Open treatment of clavicular fracture, includes internal fixation, when performed Age 21+",,,3623.88,3623.88,4
CPT,23515,"Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21",,,3689.77,3689.77,4
CPT,23520,Closed treatment of sternoclavicular dislocation; without manipulation ,,,584.14,5932.0,266
CPT,23520,Closed treatment of sternoclavicular dislocation; without manipulation Age 21+,,,652.34,652.34,4
CPT,23520,Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21,,,664.2,664.2,4
CPT,23525,Closed treatment of sternoclavicular dislocation; with manipulation ,,,84.04,5932.0,266
CPT,23525,Closed treatment of sternoclavicular dislocation; with manipulation Age 21+,,,93.85,93.85,4
CPT,23525,Closed treatment of sternoclavicular dislocation; with manipulation Age Under 21,,,95.56,95.56,4
CPT,23530,"Open treatment of sternoclavicular dislocation, acute or chronic; ",,,948.0,21630.0,266
CPT,23530,"Open treatment of sternoclavicular dislocation, acute or chronic; Age 21+",,,2638.37,2638.37,4
CPT,23530,"Open treatment of sternoclavicular dislocation, acute or chronic; Age Under 21",,,2686.34,2686.34,4
CPT,23532,"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) ",,,948.0,19415.0,266
CPT,23532,"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age 21+",,,3650.09,3650.09,4
CPT,23532,"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age Under 21",,,3716.45,3716.45,4
CPT,23540,Closed treatment of acromioclavicular dislocation; without manipulation ,,,84.04,5932.0,266
CPT,23540,Closed treatment of acromioclavicular dislocation; without manipulation Age 21+,,,93.85,93.85,4
CPT,23540,Closed treatment of acromioclavicular dislocation; without manipulation Age Under 21,,,95.56,95.56,4
CPT,23545,Closed treatment of acromioclavicular dislocation; with manipulation ,,,84.04,5932.0,266
CPT,23545,Closed treatment of acromioclavicular dislocation; with manipulation Age 21+,,,93.85,93.85,4
CPT,23545,Closed treatment of acromioclavicular dislocation; with manipulation Age Under 21,,,95.56,95.56,4
CPT,23550,"Open treatment of acromioclavicular dislocation, acute or chronic; ",,,948.0,21630.0,266
CPT,23550,"Open treatment of acromioclavicular dislocation, acute or chronic; Age 21+",,,3470.76,3470.76,4
CPT,23550,"Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21",,,3533.87,3533.87,4
CPT,23552,"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) ",,,948.0,21630.0,266
CPT,23552,"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age 21+",,,3516.5,3516.5,4
CPT,23552,"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age Under 21",,,3580.44,3580.44,4
CPT,23570,Closed treatment of scapular fracture; without manipulation ,,,84.04,5932.0,266
CPT,23570,Closed treatment of scapular fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,23570,Closed treatment of scapular fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,23575,"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) ",,,584.14,5932.0,266
CPT,23575,"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) Age 21+",,,652.34,652.34,4
CPT,23575,"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) Age Under 21",,,664.2,664.2,4
CPT,23585,"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,23585,"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age 21+",,,3604.36,3604.36,4
CPT,23585,"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21",,,3669.89,3669.89,4
CPT,23600,Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation ,,,84.04,5932.0,266
CPT,23600,Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,23600,Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,23605,"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction ",,,584.14,8858.0,266
CPT,23605,"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction Age 21+",,,652.34,652.34,4
CPT,23605,"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction Age Under 21",,,664.2,664.2,4
CPT,23615,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; ",,,948.0,33321.99,266
CPT,23615,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; Age 21+",,,7601.79,7601.79,4
CPT,23615,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; Age Under 21",,,7740.01,7740.01,4
CPT,23616,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral prostheti",,,948.0,44649.02,274
CPT,23620,Closed treatment of greater humeral tuberosity fracture; without manipulation ,,,84.04,5932.0,266
CPT,23620,Closed treatment of greater humeral tuberosity fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,23620,Closed treatment of greater humeral tuberosity fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,23625,Closed treatment of greater humeral tuberosity fracture; with manipulation ,,,584.14,6680.0,266
CPT,23625,Closed treatment of greater humeral tuberosity fracture; with manipulation Age 21+,,,652.34,652.34,4
CPT,23625,Closed treatment of greater humeral tuberosity fracture; with manipulation Age Under 21,,,664.2,664.2,4
CPT,23630,"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,23630,"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age 21+",,,3434.79,3434.79,4
CPT,23630,"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21",,,3497.24,3497.24,4
CPT,23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia ",,,84.04,5932.0,266
CPT,23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia Age 21+",,,93.85,93.85,4
CPT,23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia Age Under 21",,,95.56,95.56,4
CPT,23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia ",,,584.14,5932.0,266
CPT,23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia Age 21+",,,652.34,652.34,4
CPT,23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia Age Under 21",,,664.2,664.2,4
CPT,23660,Open treatment of acute shoulder dislocation ,,,948.0,21630.0,266
CPT,23660,Open treatment of acute shoulder dislocation Age 21+,,,2638.37,2638.37,4
CPT,23660,Open treatment of acute shoulder dislocation Age Under 21,,,2686.34,2686.34,4
CPT,23665,"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation ",,,584.14,6680.0,266
CPT,23665,"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age 21+",,,652.34,652.34,4
CPT,23665,"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21",,,664.2,664.2,4
CPT,23670,"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,23670,"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed Age 21+",,,2638.37,2638.37,4
CPT,23670,"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed Age Under 21",,,2686.34,2686.34,4
CPT,23675,"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation ",,,584.14,6680.0,266
CPT,23675,"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation Age 21+",,,652.34,652.34,4
CPT,23675,"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation Age Under 21",,,664.2,664.2,4
CPT,23680,"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed ",,,948.0,33321.99,266
CPT,23680,"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed Age 21+",,,8288.2,8288.2,4
CPT,23680,"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed Age Under 21",,,8438.9,8438.9,4
CPT,23700,"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) ",,,584.14,5932.0,266
CPT,23700,"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age 21+",,,652.34,652.34,4
CPT,23700,"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age Under 21",,,664.2,664.2,4
CPT,23800,"Arthrodesis, glenohumeral joint; ",,,948.0,21630.0,266
CPT,23800,"Arthrodesis, glenohumeral joint; Age 21+",,,2638.37,2638.37,4
CPT,23800,"Arthrodesis, glenohumeral joint; Age Under 21",,,2686.34,2686.34,4
CPT,23802,"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) ",,,948.0,33321.99,266
CPT,23802,"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) Age 21+",,,5292.12,5292.12,4
CPT,23802,"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) Age Under 21",,,5388.34,5388.34,4
CPT,23900,Interthoracoscapular amputation (forequarter) ,,,948.0,31056.75,194
CPT,23920,Disarticulation of shoulder; ,,,948.0,25655.0,194
CPT,23921,Disarticulation of shoulder; secondary closure or scar revision ,,,698.37,9908.0,266
CPT,23921,Disarticulation of shoulder; secondary closure or scar revision Age 21+,,,779.91,779.91,4
CPT,23921,Disarticulation of shoulder; secondary closure or scar revision Age Under 21,,,794.09,794.09,4
CPT,23929,"Unlisted procedure, shoulder ",,,249.03,25655.0,239
CPT,23930,"Incision and drainage, upper arm or elbow area; deep abscess or hematoma ",,,802.97,8858.0,266
CPT,23930,"Incision and drainage, upper arm or elbow area; deep abscess or hematoma Age 21+",,,896.72,896.72,4
CPT,23930,"Incision and drainage, upper arm or elbow area; deep abscess or hematoma Age Under 21",,,913.02,913.02,4
CPT,23931,"Incision and drainage, upper arm or elbow area; bursa ",,,479.15,6680.0,266
CPT,23931,"Incision and drainage, upper arm or elbow area; bursa Age 21+",,,535.1,535.1,4
CPT,23931,"Incision and drainage, upper arm or elbow area; bursa Age Under 21",,,544.82,544.82,4
CPT,23935,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow ",,,948.0,8858.0,266
CPT,23935,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Age 21+",,,1197.1,1197.1,4
CPT,23935,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Age Under 21",,,1218.86,1218.86,4
CPT,24000,"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body ",,,948.0,19415.0,266
CPT,24000,"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age 21+",,,1197.1,1197.1,4
CPT,24000,"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21",,,1218.86,1218.86,4
CPT,24006,"Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) ",,,948.0,19415.0,266
CPT,24006,"Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,24006,"Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,24065,"Biopsy, soft tissue of upper arm or elbow area; superficial ",,,147.26,5932.0,266
CPT,24065,"Biopsy, soft tissue of upper arm or elbow area; superficial Age 21+",,,164.45,164.45,4
CPT,24065,"Biopsy, soft tissue of upper arm or elbow area; superficial Age Under 21",,,167.44,167.44,4
CPT,24066,"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) ",,,802.97,6680.0,266
CPT,24066,"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age 21+",,,896.72,896.72,4
CPT,24066,"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21",,,913.02,913.02,4
CPT,24071,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater ",,,802.97,12499.0,266
CPT,24071,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,24071,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,24073,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater ",,,802.97,12499.0,266
CPT,24073,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,24073,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,24075,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm ",,,479.15,6680.0,266
CPT,24075,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age 21+",,,535.1,535.1,4
CPT,24075,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,24076,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm ",,,802.97,6680.0,266
CPT,24076,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm Age 21+",,,896.72,896.72,4
CPT,24076,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,24077,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm ",,,802.97,9908.0,266
CPT,24077,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Age 21+",,,896.72,896.72,4
CPT,24077,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,24079,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater ",,,802.97,12499.0,266
CPT,24079,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,24079,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,24100,"Arthrotomy, elbow; with synovial biopsy only ",,,948.0,8858.0,266
CPT,24100,"Arthrotomy, elbow; with synovial biopsy only Age 21+",,,1197.1,1197.1,4
CPT,24100,"Arthrotomy, elbow; with synovial biopsy only Age Under 21",,,1218.86,1218.86,4
CPT,24101,"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,948.0,19415.0,266
CPT,24101,"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age 21+",,,1197.1,1197.1,4
CPT,24101,"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age Under 21",,,1218.86,1218.86,4
CPT,24102,"Arthrotomy, elbow; with synovectomy ",,,948.0,19415.0,266
CPT,24102,"Arthrotomy, elbow; with synovectomy Age 21+",,,1197.1,1197.1,4
CPT,24102,"Arthrotomy, elbow; with synovectomy Age Under 21",,,1218.86,1218.86,4
CPT,24105,"Excision, olecranon bursa ",,,948.0,9908.0,266
CPT,24105,"Excision, olecranon bursa Age 21+",,,1197.1,1197.1,4
CPT,24105,"Excision, olecranon bursa Age Under 21",,,1218.86,1218.86,4
CPT,24110,"Excision or curettage of bone cyst or benign tumor, humerus; ",,,948.0,8858.0,266
CPT,24110,"Excision or curettage of bone cyst or benign tumor, humerus; Age 21+",,,1197.1,1197.1,4
CPT,24110,"Excision or curettage of bone cyst or benign tumor, humerus; Age Under 21",,,1218.86,1218.86,4
CPT,24115,"Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) ",,,948.0,16749.46,266
CPT,24115,"Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Age 21+",,,2638.37,2638.37,4
CPT,24115,"Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Age Under 21",,,2686.34,2686.34,4
CPT,24116,"Excision or curettage of bone cyst or benign tumor, humerus; with allograft ",,,948.0,16749.46,266
CPT,24116,"Excision or curettage of bone cyst or benign tumor, humerus; with allograft Age 21+",,,3434.79,3434.79,4
CPT,24116,"Excision or curettage of bone cyst or benign tumor, humerus; with allograft Age Under 21",,,3497.24,3497.24,4
CPT,24120,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; ,,,948.0,9908.0,266
CPT,24120,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Age 21+,,,1197.1,1197.1,4
CPT,24120,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Age Under 21,,,1218.86,1218.86,4
CPT,24125,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) ,,,948.0,12360.0,266
CPT,24125,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) Age 21+,,,1197.1,1197.1,4
CPT,24125,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) Age Under 21,,,1218.86,1218.86,4
CPT,24126,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft ,,,948.0,16749.46,266
CPT,24126,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft Age 21+,,,4277.22,4277.22,4
CPT,24126,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft Age Under 21,,,4354.99,4354.99,4
CPT,24130,"Excision, radial head ",,,948.0,12360.0,266
CPT,24130,"Excision, radial head Age 21+",,,1197.1,1197.1,4
CPT,24130,"Excision, radial head Age Under 21",,,1218.86,1218.86,4
CPT,24134,"Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus ",,,948.0,16749.46,266
CPT,24134,"Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Age 21+",,,2638.37,2638.37,4
CPT,24134,"Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Age Under 21",,,2686.34,2686.34,4
CPT,24136,"Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck ",,,948.0,12360.0,266
CPT,24136,"Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Age 21+",,,1197.1,1197.1,4
CPT,24136,"Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Age Under 21",,,1218.86,1218.86,4
CPT,24138,"Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process ",,,948.0,16749.46,266
CPT,24138,"Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process Age 21+",,,2638.37,2638.37,4
CPT,24138,"Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process Age Under 21",,,2686.34,2686.34,4
CPT,24140,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus ",,,948.0,12360.0,266
CPT,24140,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Age 21+",,,1197.1,1197.1,4
CPT,24140,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Age Under 21",,,1218.86,1218.86,4
CPT,24145,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck ",,,948.0,16749.46,266
CPT,24145,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Age 21+",,,2638.37,2638.37,4
CPT,24145,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Age Under 21",,,2686.34,2686.34,4
CPT,24147,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process ",,,948.0,12360.0,266
CPT,24147,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age 21+",,,1197.1,1197.1,4
CPT,24147,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under 21",,,1218.86,1218.86,4
CPT,24149,"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) ",,,948.0,25655.0,266
CPT,24149,"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) Age 21+",,,2638.37,2638.37,4
CPT,24149,"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) Age Under 21",,,2686.34,2686.34,4
CPT,24150,"Radical resection of tumor, shaft or distal humerus ",,,948.0,17510.0,239
CPT,24151,EXTENSIVE HUMERUS SURGERY ,,,2152.0,6587.0,34
CPT,24152,"Radical resection of tumor, radial head or neck ",,,948.0,17510.0,266
CPT,24152,"Radical resection of tumor, radial head or neck Age 21+",,,2638.37,2638.37,4
CPT,24152,"Radical resection of tumor, radial head or neck Age Under 21",,,2686.34,2686.34,4
CPT,24153,EXTENSIVE RADIUS SURGERY ,,,2152.0,6587.0,34
CPT,24155,Resection of elbow joint (arthrectomy) ,,,948.0,12360.0,266
CPT,24155,Resection of elbow joint (arthrectomy) Age 21+,,,1197.1,1197.1,4
CPT,24155,Resection of elbow joint (arthrectomy) Age Under 21,,,1218.86,1218.86,4
CPT,24160,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components ",,,948.0,12360.0,266
CPT,24160,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Age 21+",,,1197.1,1197.1,4
CPT,24160,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Age Under 21",,,1218.86,1218.86,4
CPT,24164,"Removal of prosthesis, includes debridement and synovectomy when performed; radial head ",,,948.0,12360.0,266
CPT,24164,"Removal of prosthesis, includes debridement and synovectomy when performed; radial head Age 21+",,,1197.1,1197.1,4
CPT,24164,"Removal of prosthesis, includes debridement and synovectomy when performed; radial head Age Under 21",,,1218.86,1218.86,4
CPT,24200,"Removal of foreign body, upper arm or elbow area; subcutaneous ",,,121.62,3293.0,222
CPT,24200,"Removal of foreign body, upper arm or elbow area; subcutaneous Age 21+",,,135.82,135.82,4
CPT,24200,"Removal of foreign body, upper arm or elbow area; subcutaneous Age Under 21",,,138.29,138.29,4
CPT,24201,"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) ",,,802.97,6680.0,266
CPT,24201,"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) Age 21+",,,896.72,896.72,4
CPT,24201,"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21",,,913.02,913.02,4
CPT,24220,Injection procedure for elbow arthrography ,,,948.0,5932.0,142
CPT,24300,"Manipulation, elbow, under anesthesia ",,,584.14,9012.0,266
CPT,24300,"Manipulation, elbow, under anesthesia Age 21+",,,652.34,652.34,4
CPT,24300,"Manipulation, elbow, under anesthesia Age Under 21",,,664.2,664.2,4
CPT,24301,"Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) ",,,948.0,19415.0,266
CPT,24301,"Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Age 21+",,,2638.37,2638.37,4
CPT,24301,"Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Age Under 21",,,2686.34,2686.34,4
CPT,24305,"Tendon lengthening, upper arm or elbow, each tendon ",,,948.0,19415.0,266
CPT,24305,"Tendon lengthening, upper arm or elbow, each tendon Age 21+",,,1197.1,1197.1,4
CPT,24305,"Tendon lengthening, upper arm or elbow, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,24310,"Tenotomy, open, elbow to shoulder, each tendon ",,,948.0,9908.0,266
CPT,24310,"Tenotomy, open, elbow to shoulder, each tendon Age 21+",,,1197.1,1197.1,4
CPT,24310,"Tenotomy, open, elbow to shoulder, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,24320,"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) ",,,948.0,16749.46,266
CPT,24320,"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) Age 21+",,,2638.37,2638.37,4
CPT,24320,"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) Age Under 21",,,2686.34,2686.34,4
CPT,24330,"Flexor-plasty, elbow (eg, Steindler type advancement); ",,,948.0,21630.0,266
CPT,24330,"Flexor-plasty, elbow (eg, Steindler type advancement); Age 21+",,,2638.37,2638.37,4
CPT,24330,"Flexor-plasty, elbow (eg, Steindler type advancement); Age Under 21",,,2686.34,2686.34,4
CPT,24331,"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement ",,,948.0,17510.0,266
CPT,24331,"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Age 21+",,,2638.37,2638.37,4
CPT,24331,"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Age Under 21",,,2686.34,2686.34,4
CPT,24332,"Tenolysis, triceps ",,,948.0,12360.0,266
CPT,24332,"Tenolysis, triceps Age 21+",,,1197.1,1197.1,4
CPT,24332,"Tenolysis, triceps Age Under 21",,,1218.86,1218.86,4
CPT,24340,Tenodesis of biceps tendon at elbow (separate procedure) ,,,948.0,17510.0,266
CPT,24340,Tenodesis of biceps tendon at elbow (separate procedure) Age 21+,,,2638.37,2638.37,4
CPT,24340,Tenodesis of biceps tendon at elbow (separate procedure) Age Under 21,,,2686.34,2686.34,4
CPT,24341,"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) ",,,948.0,17510.0,266
CPT,24341,"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age 21+",,,2638.37,2638.37,4
CPT,24341,"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age Under 21",,,2686.34,2686.34,4
CPT,24342,"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft ",,,948.0,17510.0,266
CPT,24342,"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age 21+",,,2638.37,2638.37,4
CPT,24342,"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21",,,2686.34,2686.34,4
CPT,24343,"Repair lateral collateral ligament, elbow, with local tissue ",,,948.0,19415.0,266
CPT,24343,"Repair lateral collateral ligament, elbow, with local tissue Age 21+",,,1197.1,1197.1,4
CPT,24343,"Repair lateral collateral ligament, elbow, with local tissue Age Under 21",,,1218.86,1218.86,4
CPT,24344,"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) ",,,948.0,33769.0,266
CPT,24344,"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age 21+",,,3447.13,3447.13,4
CPT,24344,"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21",,,3509.8,3509.8,4
CPT,24345,"Repair medial collateral ligament, elbow, with local tissue ",,,948.0,16749.46,266
CPT,24345,"Repair medial collateral ligament, elbow, with local tissue Age 21+",,,2638.37,2638.37,4
CPT,24345,"Repair medial collateral ligament, elbow, with local tissue Age Under 21",,,2686.34,2686.34,4
CPT,24346,"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) ",,,948.0,33321.99,266
CPT,24346,"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age 21+",,,5292.12,5292.12,4
CPT,24346,"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21",,,5388.34,5388.34,4
CPT,24350,REPAIR OF TENNIS ELBOW ,,,2152.0,6587.0,34
CPT,24351,REPAIR OF TENNIS ELBOW ,,,2152.0,6587.0,34
CPT,24352,REPAIR OF TENNIS ELBOW ,,,2152.0,6587.0,34
CPT,24354,REPAIR OF TENNIS ELBOW ,,,2152.0,6587.0,34
CPT,24356,REVISION OF TENNIS ELBOW ,,,2152.0,6587.0,34
CPT,24357,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous ",,,948.0,12499.0,266
CPT,24357,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous Age 21+",,,1197.1,1197.1,4
CPT,24357,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous Age Under 21",,,1218.86,1218.86,4
CPT,24358,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open ",,,948.0,12499.0,266
CPT,24358,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open Age 21+",,,1197.1,1197.1,4
CPT,24358,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open Age Under 21",,,1218.86,1218.86,4
CPT,24359,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment ",,,948.0,12499.0,266
CPT,24359,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment Age 21+",,,1197.1,1197.1,4
CPT,24359,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment Age Under 21",,,1218.86,1218.86,4
CPT,24360,"Arthroplasty, elbow; with membrane (eg, fascial) ",,,948.0,44269.0,231
CPT,24360,"Arthroplasty, elbow; with membrane (eg, fascial) Age 21+",,,3415.02,3415.02,4
CPT,24360,"Arthroplasty, elbow; with membrane (eg, fascial) Age Under 21",,,3477.11,3477.11,4
CPT,24361,"Arthroplasty, elbow; with distal humeral prosthetic replacement ",,,948.0,63807.0,231
CPT,24361,"Arthroplasty, elbow; with distal humeral prosthetic replacement Age 21+",,,11215.74,11215.74,4
CPT,24361,"Arthroplasty, elbow; with distal humeral prosthetic replacement Age Under 21",,,11419.67,11419.67,4
CPT,24362,"Arthroplasty, elbow; with implant and fascia lata ligament reconstruction ",,,948.0,63807.0,204
CPT,24363,"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) ",,,948.0,77013.0,191
CPT,24363,"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Age 21+",,,11084.17,11084.17,4
CPT,24363,"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Age Under 21",,,11285.7,11285.7,4
CPT,24365,"Arthroplasty, radial head; ",,,948.0,33321.99,266
CPT,24365,"Arthroplasty, radial head; Age 21+",,,7853.79,7853.79,4
CPT,24365,"Arthroplasty, radial head; Age Under 21",,,7996.59,7996.59,4
CPT,24366,"Arthroplasty, radial head; with implant ",,,948.0,77013.0,226
CPT,24366,"Arthroplasty, radial head; with implant Age 21+",,,8193.38,8193.38,4
CPT,24366,"Arthroplasty, radial head; with implant Age Under 21",,,8342.35,8342.35,4
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component ",,,948.0,77013.0,191
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component Age 21+",,,7275.6,7275.6,4
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component Age Under 21",,,7407.88,7407.88,4
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component ",,,948.0,77013.0,191
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component Age 21+",,,9959.97,9959.97,4
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component Age Under 21",,,10141.06,10141.06,4
CPT,24400,"Osteotomy, humerus, with or without internal fixation ",,,948.0,19415.0,266
CPT,24400,"Osteotomy, humerus, with or without internal fixation Age 21+",,,2638.37,2638.37,4
CPT,24400,"Osteotomy, humerus, with or without internal fixation Age Under 21",,,2686.34,2686.34,4
CPT,24410,"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) ",,,948.0,33321.99,266
CPT,24410,"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Age 21+",,,5292.12,5292.12,4
CPT,24410,"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Age Under 21",,,5388.34,5388.34,4
CPT,24420,"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) ",,,948.0,17510.0,266
CPT,24420,"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) Age 21+",,,3434.79,3434.79,4
CPT,24420,"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) Age Under 21",,,3497.24,3497.24,4
CPT,24430,"Repair of nonunion or malunion, humerus; without graft (eg, compression technique) ",,,948.0,33321.99,266
CPT,24430,"Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age 21+",,,7397.21,7397.21,4
CPT,24430,"Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21",,,7531.71,7531.71,4
CPT,24435,"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) ",,,948.0,33321.99,266
CPT,24435,"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age 21+",,,7379.7,7379.7,4
CPT,24435,"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21",,,7513.88,7513.88,4
CPT,24470,"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) ",,,948.0,17510.0,266
CPT,24470,"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) Age 21+",,,1197.1,1197.1,4
CPT,24470,"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) Age Under 21",,,1218.86,1218.86,4
CPT,24495,"Decompression fasciotomy, forearm, with brachial artery exploration ",,,948.0,16749.46,266
CPT,24495,"Decompression fasciotomy, forearm, with brachial artery exploration Age 21+",,,2638.37,2638.37,4
CPT,24495,"Decompression fasciotomy, forearm, with brachial artery exploration Age Under 21",,,2686.34,2686.34,4
CPT,24498,"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft ",,,948.0,33321.99,266
CPT,24498,"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft Age 21+",,,7098.85,7098.85,4
CPT,24498,"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft Age Under 21",,,7227.92,7227.92,4
CPT,24500,Closed treatment of humeral shaft fracture; without manipulation ,,,84.04,5932.0,266
CPT,24500,Closed treatment of humeral shaft fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,24500,Closed treatment of humeral shaft fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,24505,"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction ",,,584.14,5932.0,266
CPT,24505,"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction Age 21+",,,652.34,652.34,4
CPT,24505,"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction Age Under 21",,,664.2,664.2,4
CPT,24515,"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage ",,,948.0,33321.99,266
CPT,24515,"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage Age 21+",,,7234.37,7234.37,4
CPT,24515,"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage Age Under 21",,,7365.9,7365.9,4
CPT,24516,"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws ",,,948.0,33321.99,266
CPT,24516,"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws Age 21+",,,7397.21,7397.21,4
CPT,24516,"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws Age Under 21",,,7531.71,7531.71,4
CPT,24530,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation ",,,84.04,5932.0,266
CPT,24530,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation Age 21+",,,93.85,93.85,4
CPT,24530,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation Age Under 21",,,95.56,95.56,4
CPT,24535,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction ",,,584.14,5932.0,266
CPT,24535,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction Age 21+",,,652.34,652.34,4
CPT,24535,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction Age Under 21",,,664.2,664.2,4
CPT,24538,"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension ",,,948.0,16749.46,266
CPT,24538,"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension Age 21+",,,2638.37,2638.37,4
CPT,24538,"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension Age Under 21",,,2686.34,2686.34,4
CPT,24545,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension ",,,948.0,33321.99,266
CPT,24545,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension Age 21+",,,7467.81,7467.81,4
CPT,24545,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension Age Under 21",,,7603.59,7603.59,4
CPT,24546,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension ",,,948.0,44649.02,266
CPT,24546,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension Age 21+",,,10083.37,10083.37,4
CPT,24546,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension Age Under 21",,,10266.7,10266.7,4
CPT,24560,"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation ",,,84.04,5932.0,266
CPT,24560,"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Age 21+",,,93.85,93.85,4
CPT,24560,"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Age Under 21",,,95.56,95.56,4
CPT,24565,"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation ",,,584.14,6680.0,266
CPT,24565,"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation Age 21+",,,652.34,652.34,4
CPT,24565,"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation Age Under 21",,,664.2,664.2,4
CPT,24566,"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation ",,,584.14,8858.0,266
CPT,24566,"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Age 21+",,,652.34,652.34,4
CPT,24566,"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Age Under 21",,,664.2,664.2,4
CPT,24575,"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed ",,,948.0,33321.99,266
CPT,24575,"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age 21+",,,7270.96,7270.96,4
CPT,24575,"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21",,,7403.16,7403.16,4
CPT,24576,"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation ",,,84.04,5932.0,266
CPT,24576,"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation Age 21+",,,93.85,93.85,4
CPT,24576,"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation Age Under 21",,,95.56,95.56,4
CPT,24577,"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation ",,,584.14,5932.0,266
CPT,24577,"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation Age 21+",,,652.34,652.34,4
CPT,24577,"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation Age Under 21",,,664.2,664.2,4
CPT,24579,"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed ",,,948.0,33321.99,266
CPT,24579,"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age 21+",,,6978.77,6978.77,4
CPT,24579,"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21",,,7105.66,7105.66,4
CPT,24582,"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation ",,,948.0,16749.46,266
CPT,24582,"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Age 21+",,,2638.37,2638.37,4
CPT,24582,"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Age Under 21",,,2686.34,2686.34,4
CPT,24586,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); ,,,948.0,33321.99,266
CPT,24586,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); Age 21+,,,7504.4,7504.4,4
CPT,24586,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); Age Under 21,,,7640.84,7640.84,4
CPT,24587,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty ,,,948.0,33321.99,266
CPT,24587,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty Age 21+,,,7988.79,7988.79,4
CPT,24587,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty Age Under 21,,,8134.04,8134.04,4
CPT,24600,Treatment of closed elbow dislocation; without anesthesia ,,,84.04,5932.0,266
CPT,24600,Treatment of closed elbow dislocation; without anesthesia Age 21+,,,93.85,93.85,4
CPT,24600,Treatment of closed elbow dislocation; without anesthesia Age Under 21,,,95.56,95.56,4
CPT,24605,Treatment of closed elbow dislocation; requiring anesthesia ,,,584.14,6680.0,266
CPT,24605,Treatment of closed elbow dislocation; requiring anesthesia Age 21+,,,652.34,652.34,4
CPT,24605,Treatment of closed elbow dislocation; requiring anesthesia Age Under 21,,,664.2,664.2,4
CPT,24615,Open treatment of acute or chronic elbow dislocation ,,,948.0,21630.0,266
CPT,24615,Open treatment of acute or chronic elbow dislocation Age 21+,,,3682.46,3682.46,4
CPT,24615,Open treatment of acute or chronic elbow dislocation Age Under 21,,,3749.41,3749.41,4
CPT,24620,"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation ",,,584.14,6680.0,266
CPT,24620,"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation Age 21+",,,652.34,652.34,4
CPT,24620,"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation Age Under 21",,,664.2,664.2,4
CPT,24635,"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,24635,"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed Age 21+",,,3655.99,3655.99,4
CPT,24635,"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed Age Under 21",,,3722.47,3722.47,4
CPT,24640,"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation ",,,48.27,3092.0,222
CPT,24640,"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation Age 21+",,,53.9,53.9,4
CPT,24640,"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation Age Under 21",,,54.88,54.88,4
CPT,24650,Closed treatment of radial head or neck fracture; without manipulation ,,,84.04,5932.0,266
CPT,24650,Closed treatment of radial head or neck fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,24650,Closed treatment of radial head or neck fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,24655,Closed treatment of radial head or neck fracture; with manipulation ,,,584.14,5932.0,266
CPT,24655,Closed treatment of radial head or neck fracture; with manipulation Age 21+,,,652.34,652.34,4
CPT,24655,Closed treatment of radial head or neck fracture; with manipulation Age Under 21,,,664.2,664.2,4
CPT,24665,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; ",,,948.0,21630.0,266
CPT,24665,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; Age 21+",,,2638.37,2638.37,4
CPT,24665,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; Age Under 21",,,2686.34,2686.34,4
CPT,24666,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement ",,,948.0,33321.99,266
CPT,24666,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement Age 21+",,,8245.44,8245.44,4
CPT,24666,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement Age Under 21",,,8395.35,8395.35,4
CPT,24670,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); without manipulation ",,,84.04,5932.0,266
CPT,24670,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); without manipulation Age 21+",,,93.85,93.85,4
CPT,24670,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); without manipulation Age Under 21",,,95.56,95.56,4
CPT,24675,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); with manipulation ",,,584.14,5932.0,266
CPT,24675,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); with manipulation Age 21+",,,652.34,652.34,4
CPT,24675,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); with manipulation Age Under 21",,,664.2,664.2,4
CPT,24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation, when performed Age 21+",,,3490.81,3490.81,4
CPT,24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation, when performed Age Under 21",,,3554.28,3554.28,4
CPT,24800,"Arthrodesis, elbow joint; local ",,,948.0,19415.0,266
CPT,24800,"Arthrodesis, elbow joint; local Age 21+",,,2638.37,2638.37,4
CPT,24800,"Arthrodesis, elbow joint; local Age Under 21",,,2686.34,2686.34,4
CPT,24802,"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) ",,,948.0,33321.99,266
CPT,24802,"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Age 21+",,,5292.12,5292.12,4
CPT,24802,"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Age Under 21",,,5388.34,5388.34,4
CPT,24900,"Amputation, arm through humerus; with primary closure ",,,948.0,25655.0,194
CPT,24920,"Amputation, arm through humerus; open, circular (guillotine) ",,,948.0,25655.0,194
CPT,24925,"Amputation, arm through humerus; secondary closure or scar revision ",,,948.0,9908.0,266
CPT,24925,"Amputation, arm through humerus; secondary closure or scar revision Age 21+",,,1197.1,1197.1,4
CPT,24925,"Amputation, arm through humerus; secondary closure or scar revision Age Under 21",,,1218.86,1218.86,4
CPT,24930,"Amputation, arm through humerus; re-amputation ",,,948.0,25655.0,194
CPT,24931,"Amputation, arm through humerus; with implant ",,,948.0,25655.0,194
CPT,24935,"Stump elongation, upper extremity ",,,948.0,25655.0,195
CPT,24940,"Cineplasty, upper extremity, complete procedure ",,,948.0,25655.0,238
CPT,24999,"Unlisted procedure, humerus or elbow ",,,249.03,25655.0,239
CPT,25000,"Incision, extensor tendon sheath, wrist (eg, de Quervains disease) ",,,584.14,9908.0,266
CPT,25000,"Incision, extensor tendon sheath, wrist (eg, de Quervains disease) Age 21+",,,652.34,652.34,4
CPT,25000,"Incision, extensor tendon sheath, wrist (eg, de Quervains disease) Age Under 21",,,664.2,664.2,4
CPT,25001,"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) ",,,948.0,8858.0,266
CPT,25001,"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Age 21+",,,1197.1,1197.1,4
CPT,25001,"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Age Under 21",,,1218.86,1218.86,4
CPT,25020,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve ",,,584.14,12360.0,266
CPT,25020,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve Age 21+",,,652.34,652.34,4
CPT,25020,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve Age Under 21",,,664.2,664.2,4
CPT,25023,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve ",,,948.0,12360.0,266
CPT,25023,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve Age 21+",,,1197.1,1197.1,4
CPT,25023,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve Age Under 21",,,1218.86,1218.86,4
CPT,25024,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve ",,,948.0,12360.0,266
CPT,25024,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve Age 21+",,,1197.1,1197.1,4
CPT,25024,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve Age Under 21",,,1218.86,1218.86,4
CPT,25025,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve ",,,584.14,9908.0,266
CPT,25025,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve Age 21+",,,652.34,652.34,4
CPT,25025,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve Age Under 21",,,664.2,664.2,4
CPT,25028,"Incision and drainage, forearm and/or wrist; deep abscess or hematoma ",,,948.0,8858.0,266
CPT,25028,"Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age 21+",,,1197.1,1197.1,4
CPT,25028,"Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21",,,1218.86,1218.86,4
CPT,25031,"Incision and drainage, forearm and/or wrist; bursa ",,,584.14,8858.0,266
CPT,25031,"Incision and drainage, forearm and/or wrist; bursa Age 21+",,,652.34,652.34,4
CPT,25031,"Incision and drainage, forearm and/or wrist; bursa Age Under 21",,,664.2,664.2,4
CPT,25035,"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) ",,,948.0,16749.46,266
CPT,25035,"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Age 21+",,,2638.37,2638.37,4
CPT,25035,"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Age Under 21",,,2686.34,2686.34,4
CPT,25040,"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body ",,,948.0,18490.0,266
CPT,25040,"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Age 21+",,,1197.1,1197.1,4
CPT,25040,"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Age Under 21",,,1218.86,1218.86,4
CPT,25065,"Biopsy, soft tissue of forearm and/or wrist; superficial ",,,147.26,5932.0,266
CPT,25065,"Biopsy, soft tissue of forearm and/or wrist; superficial Age 21+",,,164.45,164.45,4
CPT,25065,"Biopsy, soft tissue of forearm and/or wrist; superficial Age Under 21",,,167.44,167.44,4
CPT,25066,"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) ",,,802.97,8858.0,266
CPT,25066,"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Age 21+",,,896.72,896.72,4
CPT,25066,"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Age Under 21",,,913.02,913.02,4
CPT,25071,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater ",,,479.15,12499.0,266
CPT,25071,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater Age 21+",,,535.1,535.1,4
CPT,25071,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater Age Under 21",,,544.82,544.82,4
CPT,25073,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater ",,,802.97,12499.0,266
CPT,25073,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,25073,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,25075,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm ",,,479.15,6680.0,266
CPT,25075,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm Age 21+",,,535.1,535.1,4
CPT,25075,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,25076,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm ",,,479.15,9908.0,266
CPT,25076,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age 21+",,,535.1,535.1,4
CPT,25076,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,25077,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm ",,,802.97,9908.0,266
CPT,25077,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Age 21+",,,896.72,896.72,4
CPT,25077,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Age Under 21",,,913.02,913.02,4
CPT,25078,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater ",,,802.97,12499.0,266
CPT,25078,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,25078,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,25085,"Capsulotomy, wrist (eg, contracture) ",,,948.0,9908.0,266
CPT,25085,"Capsulotomy, wrist (eg, contracture) Age 21+",,,1197.1,1197.1,4
CPT,25085,"Capsulotomy, wrist (eg, contracture) Age Under 21",,,1218.86,1218.86,4
CPT,25100,"Arthrotomy, wrist joint; with biopsy ",,,948.0,8858.0,266
CPT,25100,"Arthrotomy, wrist joint; with biopsy Age 21+",,,1197.1,1197.1,4
CPT,25100,"Arthrotomy, wrist joint; with biopsy Age Under 21",,,1218.86,1218.86,4
CPT,25101,"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,948.0,12360.0,266
CPT,25101,"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age 21+",,,1197.1,1197.1,4
CPT,25101,"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age Under 21",,,1218.86,1218.86,4
CPT,25105,"Arthrotomy, wrist joint; with synovectomy ",,,948.0,19415.0,266
CPT,25105,"Arthrotomy, wrist joint; with synovectomy Age 21+",,,1197.1,1197.1,4
CPT,25105,"Arthrotomy, wrist joint; with synovectomy Age Under 21",,,1218.86,1218.86,4
CPT,25107,"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex ",,,948.0,12360.0,266
CPT,25107,"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age 21+",,,1197.1,1197.1,4
CPT,25107,"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age Under 21",,,1218.86,1218.86,4
CPT,25109,"Excision of tendon, forearm and/or wrist, flexor or extensor, each ",,,948.0,19415.0,266
CPT,25109,"Excision of tendon, forearm and/or wrist, flexor or extensor, each Age 21+",,,1197.1,1197.1,4
CPT,25109,"Excision of tendon, forearm and/or wrist, flexor or extensor, each Age Under 21",,,1218.86,1218.86,4
CPT,25110,"Excision, lesion of tendon sheath, forearm and/or wrist ",,,584.14,9908.0,266
CPT,25110,"Excision, lesion of tendon sheath, forearm and/or wrist Age 21+",,,652.34,652.34,4
CPT,25110,"Excision, lesion of tendon sheath, forearm and/or wrist Age Under 21",,,664.2,664.2,4
CPT,25111,"Excision of ganglion, wrist (dorsal or volar); primary ",,,584.14,9908.0,266
CPT,25111,"Excision of ganglion, wrist (dorsal or volar); primary Age 21+",,,652.34,652.34,4
CPT,25111,"Excision of ganglion, wrist (dorsal or volar); primary Age Under 21",,,664.2,664.2,4
CPT,25112,"Excision of ganglion, wrist (dorsal or volar); recurrent ",,,584.14,19415.0,266
CPT,25112,"Excision of ganglion, wrist (dorsal or volar); recurrent Age 21+",,,652.34,652.34,4
CPT,25112,"Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21",,,664.2,664.2,4
CPT,25115,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors ",,,584.14,19415.0,266
CPT,25115,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors Age 21+",,,652.34,652.34,4
CPT,25115,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors Age Under 21",,,664.2,664.2,4
CPT,25116,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal r",,,948.0,19415.0,274
CPT,25118,"Synovectomy, extensor tendon sheath, wrist, single compartment; ",,,584.14,8858.0,266
CPT,25118,"Synovectomy, extensor tendon sheath, wrist, single compartment; Age 21+",,,652.34,652.34,4
CPT,25118,"Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21",,,664.2,664.2,4
CPT,25119,"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna ",,,948.0,12360.0,266
CPT,25119,"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Age 21+",,,1197.1,1197.1,4
CPT,25119,"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Age Under 21",,,1218.86,1218.86,4
CPT,25120,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); ,,,948.0,12360.0,266
CPT,25120,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); Age 21+,,,1197.1,1197.1,4
CPT,25120,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); Age Under 21,,,1218.86,1218.86,4
CPT,25125,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) ,,,584.14,9908.0,266
CPT,25125,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) Age 21+,,,652.34,652.34,4
CPT,25125,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) Age Under 21,,,664.2,664.2,4
CPT,25126,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft ,,,948.0,12360.0,266
CPT,25126,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft Age 21+,,,1197.1,1197.1,4
CPT,25126,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft Age Under 21,,,1218.86,1218.86,4
CPT,25130,Excision or curettage of bone cyst or benign tumor of carpal bones; ,,,948.0,12360.0,266
CPT,25130,Excision or curettage of bone cyst or benign tumor of carpal bones; Age 21+,,,1197.1,1197.1,4
CPT,25130,Excision or curettage of bone cyst or benign tumor of carpal bones; Age Under 21,,,1218.86,1218.86,4
CPT,25135,Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) ,,,948.0,16749.46,266
CPT,25135,Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Age 21+,,,2638.37,2638.37,4
CPT,25135,Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Age Under 21,,,2686.34,2686.34,4
CPT,25136,Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft ,,,948.0,16749.46,266
CPT,25136,Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Age 21+,,,2638.37,2638.37,4
CPT,25136,Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Age Under 21,,,2686.34,2686.34,4
CPT,25145,"Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist ",,,948.0,12360.0,266
CPT,25145,"Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Age 21+",,,1197.1,1197.1,4
CPT,25145,"Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Age Under 21",,,1218.86,1218.86,4
CPT,25150,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna ",,,948.0,12360.0,266
CPT,25150,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Age 21+",,,1197.1,1197.1,4
CPT,25150,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Age Under 21",,,1218.86,1218.86,4
CPT,25151,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius ",,,948.0,12360.0,266
CPT,25151,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Age 21+",,,1197.1,1197.1,4
CPT,25151,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Age Under 21",,,1218.86,1218.86,4
CPT,25170,"Radical resection of tumor, radius or ulna ",,,948.0,16749.46,239
CPT,25210,Carpectomy; 1 bone ,,,948.0,12360.0,266
CPT,25210,Carpectomy; 1 bone Age 21+,,,1197.1,1197.1,4
CPT,25210,Carpectomy; 1 bone Age Under 21,,,1218.86,1218.86,4
CPT,25215,Carpectomy; all bones of proximal row ,,,948.0,19415.0,266
CPT,25215,Carpectomy; all bones of proximal row Age 21+,,,1197.1,1197.1,4
CPT,25215,Carpectomy; all bones of proximal row Age Under 21,,,1218.86,1218.86,4
CPT,25230,Radial styloidectomy (separate procedure) ,,,948.0,19415.0,266
CPT,25230,Radial styloidectomy (separate procedure) Age 21+,,,1197.1,1197.1,4
CPT,25230,Radial styloidectomy (separate procedure) Age Under 21,,,1218.86,1218.86,4
CPT,25240,"Excision distal ulna partial or complete (eg, Darrach type or matched resection) ",,,948.0,19415.0,266
CPT,25240,"Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age 21+",,,1197.1,1197.1,4
CPT,25240,"Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21",,,1218.86,1218.86,4
CPT,25246,Injection procedure for wrist arthrography ,,,948.0,5932.0,142
CPT,25248,"Exploration with removal of deep foreign body, forearm or wrist ",,,584.14,8858.0,266
CPT,25248,"Exploration with removal of deep foreign body, forearm or wrist Age 21+",,,652.34,652.34,4
CPT,25248,"Exploration with removal of deep foreign body, forearm or wrist Age Under 21",,,664.2,664.2,4
CPT,25250,Removal of wrist prosthesis; (separate procedure) ,,,584.14,7168.0,266
CPT,25250,Removal of wrist prosthesis; (separate procedure) Age 21+,,,652.34,652.34,4
CPT,25250,Removal of wrist prosthesis; (separate procedure) Age Under 21,,,664.2,664.2,4
CPT,25251,"Removal of wrist prosthesis; complicated, including total wrist ",,,948.0,12360.0,266
CPT,25251,"Removal of wrist prosthesis; complicated, including total wrist Age 21+",,,1197.1,1197.1,4
CPT,25251,"Removal of wrist prosthesis; complicated, including total wrist Age Under 21",,,1218.86,1218.86,4
CPT,25259,"Manipulation, wrist, under anesthesia ",,,584.14,8485.0,266
CPT,25259,"Manipulation, wrist, under anesthesia Age 21+",,,652.34,652.34,4
CPT,25259,"Manipulation, wrist, under anesthesia Age Under 21",,,664.2,664.2,4
CPT,25260,"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle ",,,948.0,19415.0,266
CPT,25260,"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle Age 21+",,,1197.1,1197.1,4
CPT,25260,"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle Age Under 21",,,1218.86,1218.86,4
CPT,25263,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle ",,,948.0,16749.46,266
CPT,25263,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Age 21+",,,2638.37,2638.37,4
CPT,25263,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21",,,2686.34,2686.34,4
CPT,25265,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle ",,,948.0,12360.0,266
CPT,25265,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle Age 21+",,,1197.1,1197.1,4
CPT,25265,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle Age Under 21",,,1218.86,1218.86,4
CPT,25270,"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle ",,,948.0,19415.0,266
CPT,25270,"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle Age 21+",,,1197.1,1197.1,4
CPT,25270,"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle Age Under 21",,,1218.86,1218.86,4
CPT,25272,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle ",,,948.0,12360.0,266
CPT,25272,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Age 21+",,,1197.1,1197.1,4
CPT,25272,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21",,,1218.86,1218.86,4
CPT,25274,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle ",,,948.0,19415.0,266
CPT,25274,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle Age 21+",,,1197.1,1197.1,4
CPT,25274,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle Age Under 21",,,1218.86,1218.86,4
CPT,25275,"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) ",,,948.0,19415.0,266
CPT,25275,"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) Age 21+",,,1197.1,1197.1,4
CPT,25275,"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) Age Under 21",,,1218.86,1218.86,4
CPT,25280,"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,948.0,19415.0,266
CPT,25280,"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Age 21+",,,1197.1,1197.1,4
CPT,25280,"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,25290,"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,948.0,12360.0,266
CPT,25290,"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age 21+",,,1197.1,1197.1,4
CPT,25290,"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,25295,"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,948.0,9908.0,266
CPT,25295,"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age 21+",,,1197.1,1197.1,4
CPT,25295,"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,25300,Tenodesis at wrist; flexors of fingers ,,,948.0,12360.0,266
CPT,25300,Tenodesis at wrist; flexors of fingers Age 21+,,,1197.1,1197.1,4
CPT,25300,Tenodesis at wrist; flexors of fingers Age Under 21,,,1218.86,1218.86,4
CPT,25301,Tenodesis at wrist; extensors of fingers ,,,948.0,12360.0,266
CPT,25301,Tenodesis at wrist; extensors of fingers Age 21+,,,1197.1,1197.1,4
CPT,25301,Tenodesis at wrist; extensors of fingers Age Under 21,,,1218.86,1218.86,4
CPT,25310,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon ",,,948.0,12360.0,266
CPT,25310,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age 21+",,,1197.1,1197.1,4
CPT,25310,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21",,,1218.86,1218.86,4
CPT,25312,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon ",,,948.0,19415.0,266
CPT,25312,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon Age 21+",,,1197.1,1197.1,4
CPT,25312,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon Age Under 21",,,1218.86,1218.86,4
CPT,25315,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; ",,,948.0,16749.46,266
CPT,25315,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; Age 21+",,,2638.37,2638.37,4
CPT,25315,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; Age Under 21",,,2686.34,2686.34,4
CPT,25316,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer ",,,948.0,21630.0,266
CPT,25316,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer Age 21+",,,2638.37,2638.37,4
CPT,25316,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer Age Under 21",,,2686.34,2686.34,4
CPT,25320,"Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability ",,,948.0,17510.0,266
CPT,25320,"Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability Age 21+",,,2638.37,2638.37,4
CPT,25320,"Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability Age Under 21",,,2686.34,2686.34,4
CPT,25332,"Arthroplasty, wrist, with or without interposition, with or without external or internal fixation ",,,948.0,18490.0,266
CPT,25332,"Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Age 21+",,,1197.1,1197.1,4
CPT,25332,"Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Age Under 21",,,1218.86,1218.86,4
CPT,25335,"Centralization of wrist on ulna (eg, radial club hand) ",,,948.0,17510.0,266
CPT,25335,"Centralization of wrist on ulna (eg, radial club hand) Age 21+",,,1197.1,1197.1,4
CPT,25335,"Centralization of wrist on ulna (eg, radial club hand) Age Under 21",,,1218.86,1218.86,4
CPT,25337,"Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without o",,,948.0,18490.0,274
CPT,25350,"Osteotomy, radius; distal third ",,,948.0,17510.0,266
CPT,25350,"Osteotomy, radius; distal third Age 21+",,,3724.59,3724.59,4
CPT,25350,"Osteotomy, radius; distal third Age Under 21",,,3792.31,3792.31,4
CPT,25355,"Osteotomy, radius; middle or proximal third ",,,948.0,17510.0,266
CPT,25355,"Osteotomy, radius; middle or proximal third Age 21+",,,1197.1,1197.1,4
CPT,25355,"Osteotomy, radius; middle or proximal third Age Under 21",,,1218.86,1218.86,4
CPT,25360,Osteotomy; ulna ,,,948.0,17510.0,266
CPT,25360,Osteotomy; ulna Age 21+,,,3445.59,3445.59,4
CPT,25360,Osteotomy; ulna Age Under 21,,,3508.23,3508.23,4
CPT,25365,Osteotomy; radius AND ulna ,,,948.0,33321.99,266
CPT,25365,Osteotomy; radius AND ulna Age 21+,,,5292.12,5292.12,4
CPT,25365,Osteotomy; radius AND ulna Age Under 21,,,5388.34,5388.34,4
CPT,25370,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna ",,,948.0,17510.0,266
CPT,25370,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Age 21+",,,1197.1,1197.1,4
CPT,25370,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Age Under 21",,,1218.86,1218.86,4
CPT,25375,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna ",,,948.0,19415.0,266
CPT,25375,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Age 21+",,,1197.1,1197.1,4
CPT,25375,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Age Under 21",,,1218.86,1218.86,4
CPT,25390,"Osteoplasty, radius OR ulna; shortening ",,,948.0,17510.0,266
CPT,25390,"Osteoplasty, radius OR ulna; shortening Age 21+",,,3636.23,3636.23,4
CPT,25390,"Osteoplasty, radius OR ulna; shortening Age Under 21",,,3702.34,3702.34,4
CPT,25391,"Osteoplasty, radius OR ulna; lengthening with autograft ",,,948.0,33321.99,266
CPT,25391,"Osteoplasty, radius OR ulna; lengthening with autograft Age 21+",,,7549.75,7549.75,4
CPT,25391,"Osteoplasty, radius OR ulna; lengthening with autograft Age Under 21",,,7687.02,7687.02,4
CPT,25392,"Osteoplasty, radius AND ulna; shortening (excluding 64876) ",,,948.0,16749.46,266
CPT,25392,"Osteoplasty, radius AND ulna; shortening (excluding 64876) Age 21+",,,2638.37,2638.37,4
CPT,25392,"Osteoplasty, radius AND ulna; shortening (excluding 64876) Age Under 21",,,2686.34,2686.34,4
CPT,25393,"Osteoplasty, radius AND ulna; lengthening with autograft ",,,948.0,19415.0,266
CPT,25393,"Osteoplasty, radius AND ulna; lengthening with autograft Age 21+",,,3471.02,3471.02,4
CPT,25393,"Osteoplasty, radius AND ulna; lengthening with autograft Age Under 21",,,3534.13,3534.13,4
CPT,25394,"Osteoplasty, carpal bone, shortening ",,,948.0,18490.0,266
CPT,25394,"Osteoplasty, carpal bone, shortening Age 21+",,,1197.1,1197.1,4
CPT,25394,"Osteoplasty, carpal bone, shortening Age Under 21",,,1218.86,1218.86,4
CPT,25400,"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) ",,,948.0,17510.0,266
CPT,25400,"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age 21+",,,3698.39,3698.39,4
CPT,25400,"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21",,,3765.63,3765.63,4
CPT,25405,"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) ",,,948.0,21630.0,266
CPT,25405,"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age 21+",,,3641.61,3641.61,4
CPT,25405,"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21",,,3707.82,3707.82,4
CPT,25415,"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) ",,,948.0,21630.0,266
CPT,25415,"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) Age 21+",,,3918.31,3918.31,4
CPT,25415,"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) Age Under 21",,,3989.55,3989.55,4
CPT,25420,"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) ",,,948.0,21630.0,266
CPT,25420,"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Age 21+",,,3774.96,3774.96,4
CPT,25420,"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Age Under 21",,,3843.59,3843.59,4
CPT,25425,Repair of defect with autograft; radius OR ulna ,,,948.0,17510.0,266
CPT,25425,Repair of defect with autograft; radius OR ulna Age 21+,,,2638.37,2638.37,4
CPT,25425,Repair of defect with autograft; radius OR ulna Age Under 21,,,2686.34,2686.34,4
CPT,25426,Repair of defect with autograft; radius AND ulna ,,,948.0,19415.0,266
CPT,25426,Repair of defect with autograft; radius AND ulna Age 21+,,,1628.51,1628.51,4
CPT,25426,Repair of defect with autograft; radius AND ulna Age Under 21,,,1658.12,1658.12,4
CPT,25430,"Insertion of vascular pedicle into carpal bone (eg, Hori procedure) ",,,948.0,17510.0,266
CPT,25430,"Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Age 21+",,,1197.1,1197.1,4
CPT,25430,"Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Age Under 21",,,1218.86,1218.86,4
CPT,25431,"Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone ",,,948.0,17510.0,266
CPT,25431,"Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone Age 21+",,,2638.37,2638.37,4
CPT,25431,"Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone Age Under 21",,,2686.34,2686.34,4
CPT,25440,"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) ",,,948.0,19415.0,266
CPT,25440,"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) Age 21+",,,2638.37,2638.37,4
CPT,25440,"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) Age Under 21",,,2686.34,2686.34,4
CPT,25441,Arthroplasty with prosthetic replacement; distal radius ,,,948.0,33321.99,266
CPT,25441,Arthroplasty with prosthetic replacement; distal radius Age 21+,,,8418.06,8418.06,4
CPT,25441,Arthroplasty with prosthetic replacement; distal radius Age Under 21,,,8571.11,8571.11,4
CPT,25442,Arthroplasty with prosthetic replacement; distal ulna ,,,948.0,44649.02,266
CPT,25442,Arthroplasty with prosthetic replacement; distal ulna Age 21+,,,11476.85,11476.85,4
CPT,25442,Arthroplasty with prosthetic replacement; distal ulna Age Under 21,,,11685.52,11685.52,4
CPT,25443,Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) ,,,948.0,18490.0,266
CPT,25443,Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Age 21+,,,3943.74,3943.74,4
CPT,25443,Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Age Under 21,,,4015.45,4015.45,4
CPT,25444,Arthroplasty with prosthetic replacement; lunate ,,,948.0,33321.99,266
CPT,25444,Arthroplasty with prosthetic replacement; lunate Age 21+,,,8223.27,8223.27,4
CPT,25444,Arthroplasty with prosthetic replacement; lunate Age Under 21,,,8372.78,8372.78,4
CPT,25445,Arthroplasty with prosthetic replacement; trapezium ,,,948.0,18490.0,266
CPT,25445,Arthroplasty with prosthetic replacement; trapezium Age 21+,,,3972.52,3972.52,4
CPT,25445,Arthroplasty with prosthetic replacement; trapezium Age Under 21,,,4044.75,4044.75,4
CPT,25446,Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) ,,,948.0,44649.02,266
CPT,25446,Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Age 21+,,,11799.32,11799.32,4
CPT,25446,Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Age Under 21,,,12013.85,12013.85,4
CPT,25447,"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) ",,,948.0,18490.0,266
CPT,25447,"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) Age 21+",,,1197.1,1197.1,4
CPT,25447,"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) Age Under 21",,,1218.86,1218.86,4
CPT,25448,"Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed ",,,948.0,18490.0,159
CPT,25449,"Revision of arthroplasty, including removal of implant, wrist joint ",,,948.0,18490.0,266
CPT,25449,"Revision of arthroplasty, including removal of implant, wrist joint Age 21+",,,2638.37,2638.37,4
CPT,25449,"Revision of arthroplasty, including removal of implant, wrist joint Age Under 21",,,2686.34,2686.34,4
CPT,25450,Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna ,,,948.0,17510.0,266
CPT,25450,Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Age 21+,,,1197.1,1197.1,4
CPT,25450,Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Age Under 21,,,1218.86,1218.86,4
CPT,25455,Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna ,,,948.0,17510.0,266
CPT,25455,Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Age 21+,,,1197.1,1197.1,4
CPT,25455,Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Age Under 21,,,1218.86,1218.86,4
CPT,25490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius ",,,948.0,17510.0,266
CPT,25490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius Age 21+",,,2638.37,2638.37,4
CPT,25490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius Age Under 21",,,2686.34,2686.34,4
CPT,25491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna ",,,948.0,33321.99,266
CPT,25491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna Age 21+",,,6889.63,6889.63,4
CPT,25491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna Age Under 21",,,7014.9,7014.9,4
CPT,25492,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna ",,,948.0,17510.0,266
CPT,25492,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna Age 21+",,,1197.1,1197.1,4
CPT,25492,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna Age Under 21",,,1218.86,1218.86,4
CPT,25500,Closed treatment of radial shaft fracture; without manipulation ,,,84.04,5932.0,266
CPT,25500,Closed treatment of radial shaft fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,25500,Closed treatment of radial shaft fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,25505,Closed treatment of radial shaft fracture; with manipulation ,,,584.14,5932.0,266
CPT,25505,Closed treatment of radial shaft fracture; with manipulation Age 21+,,,652.34,652.34,4
CPT,25505,Closed treatment of radial shaft fracture; with manipulation Age Under 21,,,664.2,664.2,4
CPT,25515,"Open treatment of radial shaft fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,25515,"Open treatment of radial shaft fracture, includes internal fixation, when performed Age 21+",,,3549.13,3549.13,4
CPT,25515,"Open treatment of radial shaft fracture, includes internal fixation, when performed Age Under 21",,,3613.66,3613.66,4
CPT,25520,Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) ,,,584.14,5932.0,266
CPT,25520,Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) Age 21+,,,652.34,652.34,4
CPT,25520,Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) Age Under 21,,,664.2,664.2,4
CPT,25525,"Open treatment of radial shaft fracture, includes internal fixation, when performed, and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes percutaneous",,,948.0,21630.0,274
CPT,25526,"Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixat",,,948.0,21630.0,274
CPT,25530,Closed treatment of ulnar shaft fracture; without manipulation ,,,84.04,5932.0,266
CPT,25530,Closed treatment of ulnar shaft fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,25530,Closed treatment of ulnar shaft fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,25535,Closed treatment of ulnar shaft fracture; with manipulation ,,,84.04,5932.0,266
CPT,25535,Closed treatment of ulnar shaft fracture; with manipulation Age 21+,,,93.85,93.85,4
CPT,25535,Closed treatment of ulnar shaft fracture; with manipulation Age Under 21,,,95.56,95.56,4
CPT,25545,"Open treatment of ulnar shaft fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,25545,"Open treatment of ulnar shaft fracture, includes internal fixation, when performed Age 21+",,,3476.15,3476.15,4
CPT,25545,"Open treatment of ulnar shaft fracture, includes internal fixation, when performed Age Under 21",,,3539.36,3539.36,4
CPT,25560,Closed treatment of radial and ulnar shaft fractures; without manipulation ,,,84.04,5932.0,266
CPT,25560,Closed treatment of radial and ulnar shaft fractures; without manipulation Age 21+,,,93.85,93.85,4
CPT,25560,Closed treatment of radial and ulnar shaft fractures; without manipulation Age Under 21,,,95.56,95.56,4
CPT,25565,Closed treatment of radial and ulnar shaft fractures; with manipulation ,,,584.14,6680.0,266
CPT,25565,Closed treatment of radial and ulnar shaft fractures; with manipulation Age 21+,,,652.34,652.34,4
CPT,25565,Closed treatment of radial and ulnar shaft fractures; with manipulation Age Under 21,,,664.2,664.2,4
CPT,25574,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna ",,,948.0,21630.0,266
CPT,25574,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age 21+",,,3766.21,3766.21,4
CPT,25574,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under 21",,,3834.69,3834.69,4
CPT,25575,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna ",,,948.0,21630.0,266
CPT,25575,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age 21+",,,3674.49,3674.49,4
CPT,25575,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age Under 21",,,3741.3,3741.3,4
CPT,25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation ",,,84.04,5932.0,266
CPT,25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation Age 21+",,,93.85,93.85,4
CPT,25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation Age Under 2",,,95.56,95.56,4
CPT,25605,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation ",,,584.14,9908.0,266
CPT,25605,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation Age 21+",,,652.34,652.34,4
CPT,25605,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation Age Under 21",,,664.2,664.2,4
CPT,25606,Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation ,,,948.0,9908.0,266
CPT,25606,Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation Age 21+,,,1197.1,1197.1,4
CPT,25606,Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation Age Under 21,,,1218.86,1218.86,4
CPT,25607,"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation ",,,948.0,21630.0,266
CPT,25607,"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation Age 21+",,,3788.57,3788.57,4
CPT,25607,"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation Age Under 21",,,3857.45,3857.45,4
CPT,25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments ,,,948.0,21630.0,266
CPT,25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments Age 21+,,,3781.12,3781.12,4
CPT,25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments Age Under 21,,,3849.87,3849.87,4
CPT,25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments ,,,948.0,21630.0,266
CPT,25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments Age 21+,,,3797.82,3797.82,4
CPT,25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments Age Under 21,,,3866.87,3866.87,4
CPT,25611,TREAT FRACTURE RADIUS/ULNA ,,,2152.0,6587.0,34
CPT,25620,TREAT FRACTURE RADIUS/ULNA ,,,2152.0,6587.0,34
CPT,25622,Closed treatment of carpal scaphoid (navicular) fracture; without manipulation ,,,84.04,2636.0,222
CPT,25622,Closed treatment of carpal scaphoid (navicular) fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,25622,Closed treatment of carpal scaphoid (navicular) fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,25624,Closed treatment of carpal scaphoid (navicular) fracture; with manipulation ,,,584.14,6680.0,266
CPT,25624,Closed treatment of carpal scaphoid (navicular) fracture; with manipulation Age 21+,,,652.34,652.34,4
CPT,25624,Closed treatment of carpal scaphoid (navicular) fracture; with manipulation Age Under 21,,,664.2,664.2,4
CPT,25628,"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,25628,"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age 21+",,,2638.37,2638.37,4
CPT,25628,"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21",,,2686.34,2686.34,4
CPT,25630,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); without manipulation, each bone ",,,84.04,5932.0,266
CPT,25630,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); without manipulation, each bone Age 21+",,,93.85,93.85,4
CPT,25630,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); without manipulation, each bone Age Under 21",,,95.56,95.56,4
CPT,25635,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); with manipulation, each bone ",,,584.14,5932.0,266
CPT,25635,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); with manipulation, each bone Age 21+",,,652.34,652.34,4
CPT,25635,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); with manipulation, each bone Age Under 21",,,664.2,664.2,4
CPT,25645,"Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone ",,,948.0,21630.0,266
CPT,25645,"Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age 21+",,,1197.1,1197.1,4
CPT,25645,"Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21",,,1218.86,1218.86,4
CPT,25650,Closed treatment of ulnar styloid fracture ,,,84.04,2636.0,222
CPT,25650,Closed treatment of ulnar styloid fracture Age 21+,,,93.85,93.85,4
CPT,25650,Closed treatment of ulnar styloid fracture Age Under 21,,,95.56,95.56,4
CPT,25651,Percutaneous skeletal fixation of ulnar styloid fracture ,,,948.0,8858.0,266
CPT,25651,Percutaneous skeletal fixation of ulnar styloid fracture Age 21+,,,1197.1,1197.1,4
CPT,25651,Percutaneous skeletal fixation of ulnar styloid fracture Age Under 21,,,1218.86,1218.86,4
CPT,25652,Open treatment of ulnar styloid fracture ,,,948.0,21630.0,266
CPT,25652,Open treatment of ulnar styloid fracture Age 21+,,,3433.25,3433.25,4
CPT,25652,Open treatment of ulnar styloid fracture Age Under 21,,,3495.68,3495.68,4
CPT,25660,"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation ",,,84.04,5932.0,266
CPT,25660,"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation Age 21+",,,93.85,93.85,4
CPT,25660,"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation Age Under 21",,,95.56,95.56,4
CPT,25670,"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones ",,,948.0,16749.46,266
CPT,25670,"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Age 21+",,,4115.87,4115.87,4
CPT,25670,"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Age Under 21",,,4190.7,4190.7,4
CPT,25671,Percutaneous skeletal fixation of distal radioulnar dislocation ,,,948.0,8858.0,266
CPT,25671,Percutaneous skeletal fixation of distal radioulnar dislocation Age 21+,,,1197.1,1197.1,4
CPT,25671,Percutaneous skeletal fixation of distal radioulnar dislocation Age Under 21,,,1218.86,1218.86,4
CPT,25675,Closed treatment of distal radioulnar dislocation with manipulation ,,,84.04,5932.0,266
CPT,25675,Closed treatment of distal radioulnar dislocation with manipulation Age 21+,,,93.85,93.85,4
CPT,25675,Closed treatment of distal radioulnar dislocation with manipulation Age Under 21,,,95.56,95.56,4
CPT,25676,"Open treatment of distal radioulnar dislocation, acute or chronic ",,,948.0,16749.46,266
CPT,25676,"Open treatment of distal radioulnar dislocation, acute or chronic Age 21+",,,2638.37,2638.37,4
CPT,25676,"Open treatment of distal radioulnar dislocation, acute or chronic Age Under 21",,,2686.34,2686.34,4
CPT,25680,"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation ",,,84.04,6680.0,266
CPT,25680,"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation Age 21+",,,93.85,93.85,4
CPT,25680,"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation Age Under 21",,,95.56,95.56,4
CPT,25685,Open treatment of trans-scaphoperilunar type of fracture dislocation ,,,948.0,16749.46,266
CPT,25685,Open treatment of trans-scaphoperilunar type of fracture dislocation Age 21+,,,2638.37,2638.37,4
CPT,25685,Open treatment of trans-scaphoperilunar type of fracture dislocation Age Under 21,,,2686.34,2686.34,4
CPT,25690,"Closed treatment of lunate dislocation, with manipulation ",,,584.14,5932.0,266
CPT,25690,"Closed treatment of lunate dislocation, with manipulation Age 21+",,,652.34,652.34,4
CPT,25690,"Closed treatment of lunate dislocation, with manipulation Age Under 21",,,664.2,664.2,4
CPT,25695,Open treatment of lunate dislocation ,,,948.0,16749.46,266
CPT,25695,Open treatment of lunate dislocation Age 21+,,,2638.37,2638.37,4
CPT,25695,Open treatment of lunate dislocation Age Under 21,,,2686.34,2686.34,4
CPT,25800,"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) ",,,948.0,21630.0,266
CPT,25800,"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) Age 21+",,,3610.78,3610.78,4
CPT,25800,"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) Age Under 21",,,3676.43,3676.43,4
CPT,25805,"Arthrodesis, wrist; with sliding graft ",,,948.0,21630.0,266
CPT,25805,"Arthrodesis, wrist; with sliding graft Age 21+",,,3757.23,3757.23,4
CPT,25805,"Arthrodesis, wrist; with sliding graft Age Under 21",,,3825.54,3825.54,4
CPT,25810,"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) ",,,948.0,33321.99,266
CPT,25810,"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age 21+",,,7499.25,7499.25,4
CPT,25810,"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21",,,7635.6,7635.6,4
CPT,25820,"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) ",,,948.0,19415.0,266
CPT,25820,"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age 21+",,,3611.04,3611.04,4
CPT,25820,"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21",,,3676.69,3676.69,4
CPT,25825,"Arthrodesis, wrist; with autograft (includes obtaining graft) ",,,948.0,21630.0,266
CPT,25825,"Arthrodesis, wrist; with autograft (includes obtaining graft) Age 21+",,,3649.83,3649.83,4
CPT,25825,"Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21",,,3716.19,3716.19,4
CPT,25830,"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) ",,,948.0,18490.0,266
CPT,25830,"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) Age 21+",,,2638.37,2638.37,4
CPT,25830,"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) Age Under 21",,,2686.34,2686.34,4
CPT,25900,"Amputation, forearm, through radius and ulna; ",,,948.0,25655.0,194
CPT,25905,"Amputation, forearm, through radius and ulna; open, circular (guillotine) ",,,948.0,25655.0,194
CPT,25907,"Amputation, forearm, through radius and ulna; secondary closure or scar revision ",,,948.0,9908.0,266
CPT,25907,"Amputation, forearm, through radius and ulna; secondary closure or scar revision Age 21+",,,1197.1,1197.1,4
CPT,25907,"Amputation, forearm, through radius and ulna; secondary closure or scar revision Age Under 21",,,1218.86,1218.86,4
CPT,25909,"Amputation, forearm, through radius and ulna; re-amputation ",,,948.0,25655.0,239
CPT,25915,Krukenberg procedure ,,,948.0,26285.95,194
CPT,25920,Disarticulation through wrist; ,,,948.0,25655.0,194
CPT,25922,Disarticulation through wrist; secondary closure or scar revision ,,,584.14,9908.0,266
CPT,25922,Disarticulation through wrist; secondary closure or scar revision Age 21+,,,652.34,652.34,4
CPT,25922,Disarticulation through wrist; secondary closure or scar revision Age Under 21,,,664.2,664.2,4
CPT,25924,Disarticulation through wrist; re-amputation ,,,948.0,25655.0,194
CPT,25927,Transmetacarpal amputation; ,,,948.0,25655.0,238
CPT,25929,Transmetacarpal amputation; secondary closure or scar revision ,,,698.37,9908.0,266
CPT,25929,Transmetacarpal amputation; secondary closure or scar revision Age 21+,,,779.91,779.91,4
CPT,25929,Transmetacarpal amputation; secondary closure or scar revision Age Under 21,,,794.09,794.09,4
CPT,25931,Transmetacarpal amputation; re-amputation ,,,948.0,25655.0,195
CPT,25999,"Unlisted procedure, forearm or wrist ",,,249.03,25655.0,239
CPT,26010,Drainage of finger abscess; simple ,,,73.22,2636.0,222
CPT,26010,Drainage of finger abscess; simple Age 21+,,,81.77,81.77,4
CPT,26010,Drainage of finger abscess; simple Age Under 21,,,83.26,83.26,4
CPT,26011,"Drainage of finger abscess; complicated (eg, felon) ",,,479.15,5932.0,266
CPT,26011,"Drainage of finger abscess; complicated (eg, felon) Age 21+",,,535.1,535.1,4
CPT,26011,"Drainage of finger abscess; complicated (eg, felon) Age Under 21",,,544.82,544.82,4
CPT,26020,"Drainage of tendon sheath, digit and/or palm, each ",,,948.0,7664.86,266
CPT,26020,"Drainage of tendon sheath, digit and/or palm, each Age 21+",,,1197.1,1197.1,4
CPT,26020,"Drainage of tendon sheath, digit and/or palm, each Age Under 21",,,1218.86,1218.86,4
CPT,26025,"Drainage of palmar bursa; single, bursa ",,,948.0,7664.86,266
CPT,26025,"Drainage of palmar bursa; single, bursa Age 21+",,,1197.1,1197.1,4
CPT,26025,"Drainage of palmar bursa; single, bursa Age Under 21",,,1218.86,1218.86,4
CPT,26030,Drainage of palmar bursa; multiple bursa ,,,948.0,7664.86,266
CPT,26030,Drainage of palmar bursa; multiple bursa Age 21+,,,1197.1,1197.1,4
CPT,26030,Drainage of palmar bursa; multiple bursa Age Under 21,,,1218.86,1218.86,4
CPT,26034,"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) ",,,584.14,6680.0,266
CPT,26034,"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) Age 21+",,,652.34,652.34,4
CPT,26034,"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) Age Under 21",,,664.2,664.2,4
CPT,26035,"Decompression fingers and/or hand, injection injury (eg, grease gun) ",,,948.0,19415.0,266
CPT,26035,"Decompression fingers and/or hand, injection injury (eg, grease gun) Age 21+",,,1197.1,1197.1,4
CPT,26035,"Decompression fingers and/or hand, injection injury (eg, grease gun) Age Under 21",,,1218.86,1218.86,4
CPT,26037,"Decompressive fasciotomy, hand (excludes 26035) ",,,948.0,19415.0,266
CPT,26037,"Decompressive fasciotomy, hand (excludes 26035) Age 21+",,,1197.1,1197.1,4
CPT,26037,"Decompressive fasciotomy, hand (excludes 26035) Age Under 21",,,1218.86,1218.86,4
CPT,26040,"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous ",,,584.14,19415.0,266
CPT,26040,"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous Age 21+",,,652.34,652.34,4
CPT,26040,"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous Age Under 21",,,664.2,664.2,4
CPT,26045,"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial ",,,948.0,12360.0,266
CPT,26045,"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age 21+",,,1197.1,1197.1,4
CPT,26045,"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21",,,1218.86,1218.86,4
CPT,26055,"Tendon sheath incision (eg, for trigger finger) ",,,584.14,6680.0,266
CPT,26055,"Tendon sheath incision (eg, for trigger finger) Age 21+",,,652.34,652.34,4
CPT,26055,"Tendon sheath incision (eg, for trigger finger) Age Under 21",,,664.2,664.2,4
CPT,26060,"Tenotomy, percutaneous, single, each digit ",,,584.14,6680.0,266
CPT,26060,"Tenotomy, percutaneous, single, each digit Age 21+",,,652.34,652.34,4
CPT,26060,"Tenotomy, percutaneous, single, each digit Age Under 21",,,664.2,664.2,4
CPT,26070,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint ",,,584.14,6680.0,266
CPT,26070,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint Age 21+",,,652.34,652.34,4
CPT,26070,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint Age Under 21",,,664.2,664.2,4
CPT,26075,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each ",,,948.0,19415.0,266
CPT,26075,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age 21+",,,1197.1,1197.1,4
CPT,26075,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under 21",,,1218.86,1218.86,4
CPT,26080,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each ",,,584.14,19415.0,266
CPT,26080,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each Age 21+",,,652.34,652.34,4
CPT,26080,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each Age Under 21",,,664.2,664.2,4
CPT,26100,"Arthrotomy with biopsy; carpometacarpal joint, each ",,,948.0,7664.86,266
CPT,26100,"Arthrotomy with biopsy; carpometacarpal joint, each Age 21+",,,1197.1,1197.1,4
CPT,26100,"Arthrotomy with biopsy; carpometacarpal joint, each Age Under 21",,,1218.86,1218.86,4
CPT,26105,"Arthrotomy with biopsy; metacarpophalangeal joint, each ",,,948.0,7664.86,266
CPT,26105,"Arthrotomy with biopsy; metacarpophalangeal joint, each Age 21+",,,1197.1,1197.1,4
CPT,26105,"Arthrotomy with biopsy; metacarpophalangeal joint, each Age Under 21",,,1218.86,1218.86,4
CPT,26110,"Arthrotomy with biopsy; interphalangeal joint, each ",,,584.14,5932.0,266
CPT,26110,"Arthrotomy with biopsy; interphalangeal joint, each Age 21+",,,652.34,652.34,4
CPT,26110,"Arthrotomy with biopsy; interphalangeal joint, each Age Under 21",,,664.2,664.2,4
CPT,26111,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater ",,,479.15,12499.0,266
CPT,26111,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater Age 21+",,,535.1,535.1,4
CPT,26111,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater Age Under 21",,,544.82,544.82,4
CPT,26113,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater ",,,479.15,12499.0,266
CPT,26113,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater Age 21+",,,535.1,535.1,4
CPT,26113,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater Age Under 21",,,544.82,544.82,4
CPT,26115,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm ",,,479.15,6680.0,266
CPT,26115,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm Age 21+",,,535.1,535.1,4
CPT,26115,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm Age Under 21",,,544.82,544.82,4
CPT,26116,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm ",,,479.15,6680.0,266
CPT,26116,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm Age 21+",,,535.1,535.1,4
CPT,26116,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm Age Under 21",,,544.82,544.82,4
CPT,26117,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm ",,,802.97,9908.0,266
CPT,26117,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Age 21+",,,896.72,896.72,4
CPT,26117,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Age Under 21",,,913.02,913.02,4
CPT,26118,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater ",,,802.97,12499.0,266
CPT,26118,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,26118,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,26121,"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) ",,,948.0,19415.0,266
CPT,26121,"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) Age 21+",,,1197.1,1197.1,4
CPT,26121,"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) Age Under 21",,,1218.86,1218.86,4
CPT,26123,"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graf",,,948.0,19415.0,274
CPT,26125,"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graf",,,948.0,19415.0,142
CPT,26130,"Synovectomy, carpometacarpal joint ",,,948.0,9908.0,266
CPT,26130,"Synovectomy, carpometacarpal joint Age 21+",,,1197.1,1197.1,4
CPT,26130,"Synovectomy, carpometacarpal joint Age Under 21",,,1218.86,1218.86,4
CPT,26135,"Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit ",,,948.0,19415.0,266
CPT,26135,"Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Age 21+",,,1197.1,1197.1,4
CPT,26135,"Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Age Under 21",,,1218.86,1218.86,4
CPT,26140,"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint ",,,584.14,6680.0,266
CPT,26140,"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Age 21+",,,652.34,652.34,4
CPT,26140,"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Age Under 21",,,664.2,664.2,4
CPT,26145,"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon ",,,584.14,9908.0,266
CPT,26145,"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon Age 21+",,,652.34,652.34,4
CPT,26145,"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon Age Under 21",,,664.2,664.2,4
CPT,26160,"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger ",,,584.14,9908.0,266
CPT,26160,"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger Age 21+",,,652.34,652.34,4
CPT,26160,"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger Age Under 21",,,664.2,664.2,4
CPT,26170,"Excision of tendon, palm, flexor or extensor, single, each tendon ",,,584.14,9908.0,266
CPT,26170,"Excision of tendon, palm, flexor or extensor, single, each tendon Age 21+",,,652.34,652.34,4
CPT,26170,"Excision of tendon, palm, flexor or extensor, single, each tendon Age Under 21",,,664.2,664.2,4
CPT,26180,"Excision of tendon, finger, flexor or extensor, each tendon ",,,584.14,9908.0,266
CPT,26180,"Excision of tendon, finger, flexor or extensor, each tendon Age 21+",,,652.34,652.34,4
CPT,26180,"Excision of tendon, finger, flexor or extensor, each tendon Age Under 21",,,664.2,664.2,4
CPT,26185,"Sesamoidectomy, thumb or finger (separate procedure) ",,,584.14,19415.0,266
CPT,26185,"Sesamoidectomy, thumb or finger (separate procedure) Age 21+",,,652.34,652.34,4
CPT,26185,"Sesamoidectomy, thumb or finger (separate procedure) Age Under 21",,,664.2,664.2,4
CPT,26200,Excision or curettage of bone cyst or benign tumor of metacarpal; ,,,584.14,6680.0,266
CPT,26200,Excision or curettage of bone cyst or benign tumor of metacarpal; Age 21+,,,652.34,652.34,4
CPT,26200,Excision or curettage of bone cyst or benign tumor of metacarpal; Age Under 21,,,664.2,664.2,4
CPT,26205,Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) ,,,948.0,16749.46,266
CPT,26205,Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) Age 21+,,,2638.37,2638.37,4
CPT,26205,Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) Age Under 21,,,2686.34,2686.34,4
CPT,26210,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; ",,,584.14,6680.0,266
CPT,26210,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age 21+",,,652.34,652.34,4
CPT,26210,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21",,,664.2,664.2,4
CPT,26215,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) ",,,948.0,9908.0,266
CPT,26215,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) Age 21+",,,1197.1,1197.1,4
CPT,26215,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) Age Under 21",,,1218.86,1218.86,4
CPT,26230,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal ",,,948.0,23113.0,266
CPT,26230,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal Age 21+",,,1197.1,1197.1,4
CPT,26230,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal Age Under 21",,,1218.86,1218.86,4
CPT,26235,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger ",,,584.14,9908.0,266
CPT,26235,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger Age 21+",,,652.34,652.34,4
CPT,26235,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger Age Under 21",,,664.2,664.2,4
CPT,26236,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger ",,,584.14,9908.0,266
CPT,26236,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger Age 21+",,,652.34,652.34,4
CPT,26236,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger Age Under 21",,,664.2,664.2,4
CPT,26250,"Radical resection of tumor, metacarpal ",,,948.0,9908.0,266
CPT,26250,"Radical resection of tumor, metacarpal Age 21+",,,1197.1,1197.1,4
CPT,26250,"Radical resection of tumor, metacarpal Age Under 21",,,1218.86,1218.86,4
CPT,26255,EXTENSIVE HAND SURGERY ,,,2152.0,6587.0,34
CPT,26260,"Radical resection of tumor, proximal or middle phalanx of finger ",,,948.0,9908.0,266
CPT,26260,"Radical resection of tumor, proximal or middle phalanx of finger Age 21+",,,1197.1,1197.1,4
CPT,26260,"Radical resection of tumor, proximal or middle phalanx of finger Age Under 21",,,1218.86,1218.86,4
CPT,26261,EXTENSIVE FINGER SURGERY ,,,2152.0,6587.0,34
CPT,26262,"Radical resection of tumor, distal phalanx of finger ",,,584.14,6680.0,266
CPT,26262,"Radical resection of tumor, distal phalanx of finger Age 21+",,,652.34,652.34,4
CPT,26262,"Radical resection of tumor, distal phalanx of finger Age Under 21",,,664.2,664.2,4
CPT,26320,Removal of implant from finger or hand ,,,479.15,6680.0,266
CPT,26320,Removal of implant from finger or hand Age 21+,,,535.1,535.1,4
CPT,26320,Removal of implant from finger or hand Age Under 21,,,544.82,544.82,4
CPT,26340,"Manipulation, finger joint, under anesthesia, each joint ",,,584.14,5932.0,266
CPT,26340,"Manipulation, finger joint, under anesthesia, each joint Age 21+",,,652.34,652.34,4
CPT,26340,"Manipulation, finger joint, under anesthesia, each joint Age Under 21",,,664.2,664.2,4
CPT,26341,"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord ",,,65.72,5932.0,266
CPT,26341,"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord Age 21+",,,73.39,73.39,4
CPT,26341,"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord Age Under 21",,,74.73,74.73,4
CPT,26350,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon ",,,948.0,12360.0,266
CPT,26350,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26350,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26352,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon ",,,948.0,19415.0,266
CPT,26352,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon Age 21+",,,2638.37,2638.37,4
CPT,26352,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon Age Under 21",,,2686.34,2686.34,4
CPT,26356,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon ",,,948.0,19415.0,266
CPT,26356,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26356,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26357,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon ",,,948.0,19415.0,266
CPT,26357,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26357,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26358,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon ",,,948.0,19415.0,266
CPT,26358,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon Age 21+",,,2638.37,2638.37,4
CPT,26358,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon Age Under 21",,,2686.34,2686.34,4
CPT,26370,"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon ",,,948.0,19415.0,266
CPT,26370,"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26370,"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26372,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon ",,,948.0,19415.0,266
CPT,26372,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon Age 21+",,,2638.37,2638.37,4
CPT,26372,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon Age Under 21",,,2686.34,2686.34,4
CPT,26373,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon ",,,948.0,12360.0,266
CPT,26373,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26373,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26390,"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod ",,,948.0,19415.0,266
CPT,26390,"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age 21+",,,3522.14,3522.14,4
CPT,26390,"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age Under 21",,,3586.18,3586.18,4
CPT,26392,"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod ",,,948.0,16749.46,266
CPT,26392,"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod Age 21+",,,2638.37,2638.37,4
CPT,26392,"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod Age Under 21",,,2686.34,2686.34,4
CPT,26410,"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon ",,,584.14,9908.0,266
CPT,26410,"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon Age 21+",,,652.34,652.34,4
CPT,26410,"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon Age Under 21",,,664.2,664.2,4
CPT,26412,"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon ",,,948.0,12360.0,266
CPT,26412,"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon Age 21+",,,1197.1,1197.1,4
CPT,26412,"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26415,"Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod ",,,948.0,19415.0,266
CPT,26415,"Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age 21+",,,1197.1,1197.1,4
CPT,26415,"Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age Under 21",,,1218.86,1218.86,4
CPT,26416,"Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod ",,,948.0,12360.0,239
CPT,26418,"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon ",,,584.14,19415.0,266
CPT,26418,"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon Age 21+",,,652.34,652.34,4
CPT,26418,"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon Age Under 21",,,664.2,664.2,4
CPT,26420,"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon ",,,948.0,19415.0,266
CPT,26420,"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age 21+",,,1197.1,1197.1,4
CPT,26420,"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26426,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger ",,,948.0,12360.0,266
CPT,26426,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger Age 21+",,,1197.1,1197.1,4
CPT,26426,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger Age Under 21",,,1218.86,1218.86,4
CPT,26428,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger ",,,948.0,12360.0,266
CPT,26428,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger Age 21+",,,1197.1,1197.1,4
CPT,26428,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger Age Under 21",,,1218.86,1218.86,4
CPT,26432,"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) ",,,584.14,9908.0,266
CPT,26432,"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age 21+",,,652.34,652.34,4
CPT,26432,"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age Under 21",,,664.2,664.2,4
CPT,26433,"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) ",,,948.0,9908.0,266
CPT,26433,"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) Age 21+",,,1197.1,1197.1,4
CPT,26433,"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) Age Under 21",,,1218.86,1218.86,4
CPT,26434,"Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) ",,,948.0,12360.0,266
CPT,26434,"Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Age 21+",,,1197.1,1197.1,4
CPT,26434,"Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Age Under 21",,,1218.86,1218.86,4
CPT,26437,"Realignment of extensor tendon, hand, each tendon ",,,948.0,9908.0,266
CPT,26437,"Realignment of extensor tendon, hand, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26437,"Realignment of extensor tendon, hand, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26440,"Tenolysis, flexor tendon; palm OR finger, each tendon ",,,584.14,9908.0,266
CPT,26440,"Tenolysis, flexor tendon; palm OR finger, each tendon Age 21+",,,652.34,652.34,4
CPT,26440,"Tenolysis, flexor tendon; palm OR finger, each tendon Age Under 21",,,664.2,664.2,4
CPT,26442,"Tenolysis, flexor tendon; palm AND finger, each tendon ",,,948.0,12360.0,266
CPT,26442,"Tenolysis, flexor tendon; palm AND finger, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26442,"Tenolysis, flexor tendon; palm AND finger, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26445,"Tenolysis, extensor tendon, hand OR finger, each tendon ",,,948.0,9908.0,266
CPT,26445,"Tenolysis, extensor tendon, hand OR finger, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26445,"Tenolysis, extensor tendon, hand OR finger, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26449,"Tenolysis, complex, extensor tendon, finger, including forearm, each tendon ",,,948.0,12360.0,266
CPT,26449,"Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26449,"Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26450,"Tenotomy, flexor, palm, open, each tendon ",,,948.0,9908.0,266
CPT,26450,"Tenotomy, flexor, palm, open, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26450,"Tenotomy, flexor, palm, open, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26455,"Tenotomy, flexor, finger, open, each tendon ",,,584.14,9908.0,266
CPT,26455,"Tenotomy, flexor, finger, open, each tendon Age 21+",,,652.34,652.34,4
CPT,26455,"Tenotomy, flexor, finger, open, each tendon Age Under 21",,,664.2,664.2,4
CPT,26460,"Tenotomy, extensor, hand or finger, open, each tendon ",,,584.14,9908.0,266
CPT,26460,"Tenotomy, extensor, hand or finger, open, each tendon Age 21+",,,652.34,652.34,4
CPT,26460,"Tenotomy, extensor, hand or finger, open, each tendon Age Under 21",,,664.2,664.2,4
CPT,26471,"Tenodesis; of proximal interphalangeal joint, each joint ",,,948.0,7664.86,266
CPT,26471,"Tenodesis; of proximal interphalangeal joint, each joint Age 21+",,,1197.1,1197.1,4
CPT,26471,"Tenodesis; of proximal interphalangeal joint, each joint Age Under 21",,,1218.86,1218.86,4
CPT,26474,"Tenodesis; of distal joint, each joint ",,,584.14,6680.0,266
CPT,26474,"Tenodesis; of distal joint, each joint Age 21+",,,652.34,652.34,4
CPT,26474,"Tenodesis; of distal joint, each joint Age Under 21",,,664.2,664.2,4
CPT,26476,"Lengthening of tendon, extensor, hand or finger, each tendon ",,,948.0,7664.86,266
CPT,26476,"Lengthening of tendon, extensor, hand or finger, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26476,"Lengthening of tendon, extensor, hand or finger, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26477,"Shortening of tendon, extensor, hand or finger, each tendon ",,,948.0,7664.86,266
CPT,26477,"Shortening of tendon, extensor, hand or finger, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26477,"Shortening of tendon, extensor, hand or finger, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26478,"Lengthening of tendon, flexor, hand or finger, each tendon ",,,948.0,7664.86,266
CPT,26478,"Lengthening of tendon, flexor, hand or finger, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26478,"Lengthening of tendon, flexor, hand or finger, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26479,"Shortening of tendon, flexor, hand or finger, each tendon ",,,948.0,7664.86,266
CPT,26479,"Shortening of tendon, flexor, hand or finger, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26479,"Shortening of tendon, flexor, hand or finger, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26480,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon ",,,948.0,12360.0,266
CPT,26480,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26480,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26483,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon ",,,948.0,12360.0,266
CPT,26483,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon Age 21+",,,1197.1,1197.1,4
CPT,26483,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26485,"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon ",,,948.0,12360.0,266
CPT,26485,"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26485,"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26489,"Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon ",,,948.0,12360.0,266
CPT,26489,"Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Age 21+",,,1197.1,1197.1,4
CPT,26489,"Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26490,"Opponensplasty; superficialis tendon transfer type, each tendon ",,,948.0,12360.0,266
CPT,26490,"Opponensplasty; superficialis tendon transfer type, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26490,"Opponensplasty; superficialis tendon transfer type, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26492,"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon ",,,948.0,12360.0,266
CPT,26492,"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Age 21+",,,1197.1,1197.1,4
CPT,26492,"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26494,Opponensplasty; hypothenar muscle transfer ,,,948.0,12360.0,266
CPT,26494,Opponensplasty; hypothenar muscle transfer Age 21+,,,1197.1,1197.1,4
CPT,26494,Opponensplasty; hypothenar muscle transfer Age Under 21,,,1218.86,1218.86,4
CPT,26496,Opponensplasty; other methods ,,,948.0,12360.0,266
CPT,26496,Opponensplasty; other methods Age 21+,,,1197.1,1197.1,4
CPT,26496,Opponensplasty; other methods Age Under 21,,,1218.86,1218.86,4
CPT,26497,Transfer of tendon to restore intrinsic function; ring and small finger ,,,948.0,12360.0,266
CPT,26497,Transfer of tendon to restore intrinsic function; ring and small finger Age 21+,,,1197.1,1197.1,4
CPT,26497,Transfer of tendon to restore intrinsic function; ring and small finger Age Under 21,,,1218.86,1218.86,4
CPT,26498,Transfer of tendon to restore intrinsic function; all 4 fingers ,,,948.0,19415.0,266
CPT,26498,Transfer of tendon to restore intrinsic function; all 4 fingers Age 21+,,,1197.1,1197.1,4
CPT,26498,Transfer of tendon to restore intrinsic function; all 4 fingers Age Under 21,,,1218.86,1218.86,4
CPT,26499,"Correction claw finger, other methods ",,,948.0,9908.0,266
CPT,26499,"Correction claw finger, other methods Age 21+",,,1197.1,1197.1,4
CPT,26499,"Correction claw finger, other methods Age Under 21",,,1218.86,1218.86,4
CPT,26500,"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) ",,,948.0,19415.0,266
CPT,26500,"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Age 21+",,,2638.37,2638.37,4
CPT,26500,"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Age Under 21",,,2686.34,2686.34,4
CPT,26502,"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) ",,,948.0,19415.0,266
CPT,26502,"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,26502,"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,26504,HAND TENDON RECONSTRUCTION ,,,2152.0,6587.0,34
CPT,26508,"Release of thenar muscle(s) (eg, thumb contracture) ",,,948.0,9908.0,266
CPT,26508,"Release of thenar muscle(s) (eg, thumb contracture) Age 21+",,,1197.1,1197.1,4
CPT,26508,"Release of thenar muscle(s) (eg, thumb contracture) Age Under 21",,,1218.86,1218.86,4
CPT,26510,"Cross intrinsic transfer, each tendon ",,,948.0,12360.0,266
CPT,26510,"Cross intrinsic transfer, each tendon Age 21+",,,1197.1,1197.1,4
CPT,26510,"Cross intrinsic transfer, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,26516,"Capsulodesis, metacarpophalangeal joint; single digit ",,,948.0,12360.0,266
CPT,26516,"Capsulodesis, metacarpophalangeal joint; single digit Age 21+",,,1548.43,1548.43,4
CPT,26516,"Capsulodesis, metacarpophalangeal joint; single digit Age Under 21",,,1576.58,1576.58,4
CPT,26517,"Capsulodesis, metacarpophalangeal joint; 2 digits ",,,948.0,12360.0,266
CPT,26517,"Capsulodesis, metacarpophalangeal joint; 2 digits Age 21+",,,1197.1,1197.1,4
CPT,26517,"Capsulodesis, metacarpophalangeal joint; 2 digits Age Under 21",,,1218.86,1218.86,4
CPT,26518,"Capsulodesis, metacarpophalangeal joint; 3 or 4 digits ",,,948.0,16749.46,266
CPT,26518,"Capsulodesis, metacarpophalangeal joint; 3 or 4 digits Age 21+",,,3434.79,3434.79,4
CPT,26518,"Capsulodesis, metacarpophalangeal joint; 3 or 4 digits Age Under 21",,,3497.24,3497.24,4
CPT,26520,"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint ",,,948.0,9908.0,266
CPT,26520,"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age 21+",,,1197.1,1197.1,4
CPT,26520,"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21",,,1218.86,1218.86,4
CPT,26525,"Capsulectomy or capsulotomy; interphalangeal joint, each joint ",,,584.14,9908.0,266
CPT,26525,"Capsulectomy or capsulotomy; interphalangeal joint, each joint Age 21+",,,652.34,652.34,4
CPT,26525,"Capsulectomy or capsulotomy; interphalangeal joint, each joint Age Under 21",,,664.2,664.2,4
CPT,26530,"Arthroplasty, metacarpophalangeal joint; each joint ",,,948.0,17510.0,266
CPT,26530,"Arthroplasty, metacarpophalangeal joint; each joint Age 21+",,,3472.82,3472.82,4
CPT,26530,"Arthroplasty, metacarpophalangeal joint; each joint Age Under 21",,,3535.96,3535.96,4
CPT,26531,"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint ",,,948.0,23113.0,266
CPT,26531,"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age 21+",,,3850.47,3850.47,4
CPT,26531,"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21",,,3920.48,3920.48,4
CPT,26535,"Arthroplasty, interphalangeal joint; each joint ",,,948.0,18490.0,266
CPT,26535,"Arthroplasty, interphalangeal joint; each joint Age 21+",,,1197.1,1197.1,4
CPT,26535,"Arthroplasty, interphalangeal joint; each joint Age Under 21",,,1218.86,1218.86,4
CPT,26536,"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint ",,,948.0,18490.0,266
CPT,26536,"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age 21+",,,3620.03,3620.03,4
CPT,26536,"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age Under 21",,,3685.85,3685.85,4
CPT,26540,"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint ",,,948.0,19415.0,266
CPT,26540,"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint Age 21+",,,1197.1,1197.1,4
CPT,26540,"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint Age Under 21",,,1218.86,1218.86,4
CPT,26541,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) ",,,948.0,23113.0,266
CPT,26541,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) Age 21+",,,1197.1,1197.1,4
CPT,26541,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) Age Under 21",,,1218.86,1218.86,4
CPT,26542,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) ",,,948.0,19415.0,266
CPT,26542,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) Age 21+",,,1197.1,1197.1,4
CPT,26542,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) Age Under 21",,,1218.86,1218.86,4
CPT,26545,"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint ",,,948.0,19415.0,266
CPT,26545,"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Age 21+",,,1197.1,1197.1,4
CPT,26545,"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Age Under 21",,,1218.86,1218.86,4
CPT,26546,"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) ",,,948.0,19415.0,266
CPT,26546,"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) Age 21+",,,2638.37,2638.37,4
CPT,26546,"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) Age Under 21",,,2686.34,2686.34,4
CPT,26548,"Repair and reconstruction, finger, volar plate, interphalangeal joint ",,,948.0,19415.0,266
CPT,26548,"Repair and reconstruction, finger, volar plate, interphalangeal joint Age 21+",,,1197.1,1197.1,4
CPT,26548,"Repair and reconstruction, finger, volar plate, interphalangeal joint Age Under 21",,,1218.86,1218.86,4
CPT,26550,Pollicization of a digit ,,,948.0,12360.0,266
CPT,26550,Pollicization of a digit Age 21+,,,1197.1,1197.1,4
CPT,26550,Pollicization of a digit Age Under 21,,,1218.86,1218.86,4
CPT,26551,"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft ",,,948.0,73527.79,238
CPT,26553,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single ",,,948.0,73038.38,238
CPT,26554,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double ",,,948.0,85252.77,238
CPT,26555,"Transfer, finger to another position without microvascular anastomosis ",,,948.0,16749.46,266
CPT,26555,"Transfer, finger to another position without microvascular anastomosis Age 21+",,,2638.37,2638.37,4
CPT,26555,"Transfer, finger to another position without microvascular anastomosis Age Under 21",,,2686.34,2686.34,4
CPT,26556,"Transfer, free toe joint, with microvascular anastomosis ",,,948.0,75905.43,238
CPT,26560,Repair of syndactyly (web finger) each web space; with skin flaps ,,,584.14,6680.0,266
CPT,26560,Repair of syndactyly (web finger) each web space; with skin flaps Age 21+,,,652.34,652.34,4
CPT,26560,Repair of syndactyly (web finger) each web space; with skin flaps Age Under 21,,,664.2,664.2,4
CPT,26561,Repair of syndactyly (web finger) each web space; with skin flaps and grafts ,,,948.0,12360.0,266
CPT,26561,Repair of syndactyly (web finger) each web space; with skin flaps and grafts Age 21+,,,1197.1,1197.1,4
CPT,26561,Repair of syndactyly (web finger) each web space; with skin flaps and grafts Age Under 21,,,1218.86,1218.86,4
CPT,26562,"Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) ",,,948.0,19415.0,266
CPT,26562,"Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) Age 21+",,,1197.1,1197.1,4
CPT,26562,"Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) Age Under 21",,,1218.86,1218.86,4
CPT,26565,"Osteotomy; metacarpal, each ",,,948.0,18490.0,266
CPT,26565,"Osteotomy; metacarpal, each Age 21+",,,1197.1,1197.1,4
CPT,26565,"Osteotomy; metacarpal, each Age Under 21",,,1218.86,1218.86,4
CPT,26567,"Osteotomy; phalanx of finger, each ",,,948.0,18490.0,266
CPT,26567,"Osteotomy; phalanx of finger, each Age 21+",,,1197.1,1197.1,4
CPT,26567,"Osteotomy; phalanx of finger, each Age Under 21",,,1218.86,1218.86,4
CPT,26568,"Osteoplasty, lengthening, metacarpal or phalanx ",,,948.0,16749.46,266
CPT,26568,"Osteoplasty, lengthening, metacarpal or phalanx Age 21+",,,3434.79,3434.79,4
CPT,26568,"Osteoplasty, lengthening, metacarpal or phalanx Age Under 21",,,3497.24,3497.24,4
CPT,26580,Repair cleft hand ,,,948.0,18490.0,266
CPT,26580,Repair cleft hand Age 21+,,,1197.1,1197.1,4
CPT,26580,Repair cleft hand Age Under 21,,,1218.86,1218.86,4
CPT,26585,REPAIR FINGER DEFORMITY ,,,2152.0,6587.0,34
CPT,26587,"Reconstruction of polydactylous digit, soft tissue and bone ",,,948.0,18490.0,266
CPT,26587,"Reconstruction of polydactylous digit, soft tissue and bone Age 21+",,,1197.1,1197.1,4
CPT,26587,"Reconstruction of polydactylous digit, soft tissue and bone Age Under 21",,,1218.86,1218.86,4
CPT,26590,"Repair macrodactylia, each digit ",,,584.14,18490.0,266
CPT,26590,"Repair macrodactylia, each digit Age 21+",,,652.34,652.34,4
CPT,26590,"Repair macrodactylia, each digit Age Under 21",,,664.2,664.2,4
CPT,26591,"Repair, intrinsic muscles of hand, each muscle ",,,948.0,9908.0,266
CPT,26591,"Repair, intrinsic muscles of hand, each muscle Age 21+",,,1197.1,1197.1,4
CPT,26591,"Repair, intrinsic muscles of hand, each muscle Age Under 21",,,1218.86,1218.86,4
CPT,26593,"Release, intrinsic muscles of hand, each muscle ",,,948.0,9908.0,266
CPT,26593,"Release, intrinsic muscles of hand, each muscle Age 21+",,,1197.1,1197.1,4
CPT,26593,"Release, intrinsic muscles of hand, each muscle Age Under 21",,,1218.86,1218.86,4
CPT,26596,"Excision of constricting ring of finger, with multiple Z-plasties ",,,948.0,7664.86,266
CPT,26596,"Excision of constricting ring of finger, with multiple Z-plasties Age 21+",,,1197.1,1197.1,4
CPT,26596,"Excision of constricting ring of finger, with multiple Z-plasties Age Under 21",,,1218.86,1218.86,4
CPT,26597,RELEASE OF SCAR CONTRACTURE ,,,2152.0,6587.0,34
CPT,26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone ",,,84.04,2636.0,222
CPT,26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone Age 21+",,,93.85,93.85,4
CPT,26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone Age Under 21",,,95.56,95.56,4
CPT,26605,"Closed treatment of metacarpal fracture, single; with manipulation, each bone ",,,84.04,6680.0,266
CPT,26605,"Closed treatment of metacarpal fracture, single; with manipulation, each bone Age 21+",,,93.85,93.85,4
CPT,26605,"Closed treatment of metacarpal fracture, single; with manipulation, each bone Age Under 21",,,95.56,95.56,4
CPT,26607,"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone ",,,948.0,7664.86,266
CPT,26607,"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age 21+",,,1197.1,1197.1,4
CPT,26607,"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21",,,1218.86,1218.86,4
CPT,26608,"Percutaneous skeletal fixation of metacarpal fracture, each bone ",,,948.0,19415.0,266
CPT,26608,"Percutaneous skeletal fixation of metacarpal fracture, each bone Age 21+",,,1197.1,1197.1,4
CPT,26608,"Percutaneous skeletal fixation of metacarpal fracture, each bone Age Under 21",,,1218.86,1218.86,4
CPT,26615,"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone ",,,948.0,21630.0,266
CPT,26615,"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone Age 21+",,,1197.1,1197.1,4
CPT,26615,"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone Age Under 21",,,1218.86,1218.86,4
CPT,26641,"Closed treatment of carpometacarpal dislocation, thumb, with manipulation ",,,84.04,2636.0,222
CPT,26641,"Closed treatment of carpometacarpal dislocation, thumb, with manipulation Age 21+",,,93.85,93.85,4
CPT,26641,"Closed treatment of carpometacarpal dislocation, thumb, with manipulation Age Under 21",,,95.56,95.56,4
CPT,26645,"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation ",,,584.14,5932.0,266
CPT,26645,"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age 21+",,,652.34,652.34,4
CPT,26645,"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age Under 21",,,664.2,664.2,4
CPT,26650,"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation ",,,948.0,8858.0,266
CPT,26650,"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age 21+",,,1197.1,1197.1,4
CPT,26650,"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age Under 21",,,1218.86,1218.86,4
CPT,26665,"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,26665,"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed Age 21+",,,1197.1,1197.1,4
CPT,26665,"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed Age Under 21",,,1218.86,1218.86,4
CPT,26670,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia ",,,84.04,2636.0,222
CPT,26670,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia Age 21+",,,93.85,93.85,4
CPT,26670,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia Age Under 21",,,95.56,95.56,4
CPT,26675,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia ",,,584.14,6680.0,266
CPT,26675,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia Age 21+",,,652.34,652.34,4
CPT,26675,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia Age Under 21",,,664.2,664.2,4
CPT,26676,"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint ",,,948.0,8858.0,266
CPT,26676,"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age 21+",,,1197.1,1197.1,4
CPT,26676,"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age Under 21",,,1218.86,1218.86,4
CPT,26685,"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint ",,,948.0,9908.0,266
CPT,26685,"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint Age 21+",,,1197.1,1197.1,4
CPT,26685,"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint Age Under 21",,,1218.86,1218.86,4
CPT,26686,"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction ",,,948.0,21630.0,266
CPT,26686,"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction Age 21+",,,1197.1,1197.1,4
CPT,26686,"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction Age Under 21",,,1218.86,1218.86,4
CPT,26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia ",,,84.04,2636.0,222
CPT,26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia Age 21+",,,93.85,93.85,4
CPT,26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia Age Under 21",,,95.56,95.56,4
CPT,26705,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia ",,,584.14,6680.0,266
CPT,26705,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age 21+",,,652.34,652.34,4
CPT,26705,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21",,,664.2,664.2,4
CPT,26706,"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation ",,,948.0,7664.86,266
CPT,26706,"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Age 21+",,,1197.1,1197.1,4
CPT,26706,"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Age Under 21",,,1218.86,1218.86,4
CPT,26715,"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed ",,,948.0,19415.0,266
CPT,26715,"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed Age 21+",,,1197.1,1197.1,4
CPT,26715,"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed Age Under 21",,,1218.86,1218.86,4
CPT,26720,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each ",,,84.04,5932.0,266
CPT,26720,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each Age 21+",,,93.85,93.85,4
CPT,26720,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each Age Under 21",,,95.56,95.56,4
CPT,26725,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each ",,,84.04,6680.0,266
CPT,26725,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each Age 21+",,,93.85,93.85,4
CPT,26725,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each Age Under 21",,,95.56,95.56,4
CPT,26727,"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each ",,,948.0,23113.0,266
CPT,26727,"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each Age 21+",,,1197.1,1197.1,4
CPT,26727,"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each Age Under 21",,,1218.86,1218.86,4
CPT,26735,"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each ",,,948.0,19415.0,266
CPT,26735,"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each Age 21+",,,1197.1,1197.1,4
CPT,26735,"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each Age Under 21",,,1218.86,1218.86,4
CPT,26740,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each ",,,84.04,5932.0,266
CPT,26740,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each Age 21+",,,93.85,93.85,4
CPT,26740,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each Age Under 21",,,95.56,95.56,4
CPT,26742,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each ",,,584.14,6680.0,266
CPT,26742,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each Age 21+",,,652.34,652.34,4
CPT,26742,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each Age Under 21",,,664.2,664.2,4
CPT,26746,"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each ",,,948.0,18490.0,266
CPT,26746,"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each Age 21+",,,1197.1,1197.1,4
CPT,26746,"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each Age Under 21",,,1218.86,1218.86,4
CPT,26750,"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each ",,,84.04,2636.0,222
CPT,26750,"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each Age 21+",,,93.85,93.85,4
CPT,26750,"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each Age Under 21",,,95.56,95.56,4
CPT,26755,"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each ",,,84.04,2636.0,222
CPT,26755,"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each Age 21+",,,93.85,93.85,4
CPT,26755,"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each Age Under 21",,,95.56,95.56,4
CPT,26756,"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each ",,,948.0,8858.0,266
CPT,26756,"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each Age 21+",,,1197.1,1197.1,4
CPT,26756,"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each Age Under 21",,,1218.86,1218.86,4
CPT,26765,"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each ",,,948.0,19415.0,266
CPT,26765,"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each Age 21+",,,1197.1,1197.1,4
CPT,26765,"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each Age Under 21",,,1218.86,1218.86,4
CPT,26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia ",,,84.04,2636.0,222
CPT,26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia Age 21+",,,93.85,93.85,4
CPT,26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia Age Under 21",,,95.56,95.56,4
CPT,26775,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia ",,,98.36,25655.0,222
CPT,26775,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia Age 21+",,,109.85,109.85,4
CPT,26775,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia Age Under 21",,,111.84,111.84,4
CPT,26776,"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation ",,,948.0,8858.0,266
CPT,26776,"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation Age 21+",,,1197.1,1197.1,4
CPT,26776,"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation Age Under 21",,,1218.86,1218.86,4
CPT,26785,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single ",,,948.0,8858.0,266
CPT,26785,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single Age 21+",,,1197.1,1197.1,4
CPT,26785,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single Age Under 21",,,1218.86,1218.86,4
CPT,26820,"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) ",,,948.0,18490.0,266
CPT,26820,"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Age 21+",,,3683.75,3683.75,4
CPT,26820,"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Age Under 21",,,3750.72,3750.72,4
CPT,26841,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; ",,,948.0,19415.0,266
CPT,26841,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; Age 21+",,,2638.37,2638.37,4
CPT,26841,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; Age Under 21",,,2686.34,2686.34,4
CPT,26842,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) ",,,948.0,19415.0,266
CPT,26842,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) Age 21+",,,2638.37,2638.37,4
CPT,26842,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) Age Under 21",,,2686.34,2686.34,4
CPT,26843,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; ",,,948.0,16749.46,266
CPT,26843,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; Age 21+",,,3576.61,3576.61,4
CPT,26843,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; Age Under 21",,,3641.64,3641.64,4
CPT,26844,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) ",,,948.0,16749.46,266
CPT,26844,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Age 21+",,,4102.77,4102.77,4
CPT,26844,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Age Under 21",,,4177.36,4177.36,4
CPT,26850,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; ",,,948.0,19415.0,266
CPT,26850,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age 21+",,,2638.37,2638.37,4
CPT,26850,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21",,,2686.34,2686.34,4
CPT,26852,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) ",,,948.0,19415.0,266
CPT,26852,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age 21+",,,2638.37,2638.37,4
CPT,26852,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age Under 21",,,2686.34,2686.34,4
CPT,26860,"Arthrodesis, interphalangeal joint, with or without internal fixation; ",,,948.0,12360.0,266
CPT,26860,"Arthrodesis, interphalangeal joint, with or without internal fixation; Age 21+",,,1197.1,1197.1,4
CPT,26860,"Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21",,,1218.86,1218.86,4
CPT,26861,"Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure) ",,,948.0,6680.0,142
CPT,26862,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) ",,,948.0,19415.0,266
CPT,26862,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age 21+",,,1197.1,1197.1,4
CPT,26862,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age Under 21",,,1218.86,1218.86,4
CPT,26863,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure) ",,,948.0,9908.0,142
CPT,26910,"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer ",,,948.0,12360.0,266
CPT,26910,"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer Age 21+",,,1197.1,1197.1,4
CPT,26910,"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer Age Under 21",,,1218.86,1218.86,4
CPT,26951,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure ",,,948.0,7664.86,266
CPT,26951,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure Age 21+",,,1197.1,1197.1,4
CPT,26951,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure Age Under 21",,,1218.86,1218.86,4
CPT,26952,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) ",,,948.0,19415.0,266
CPT,26952,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) Age 21+",,,1197.1,1197.1,4
CPT,26952,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) Age Under 21",,,1218.86,1218.86,4
CPT,26989,"Unlisted procedure, hands or fingers ",,,249.03,25655.0,239
CPT,26990,"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma ",,,948.0,8858.0,266
CPT,26990,"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age 21+",,,1197.1,1197.1,4
CPT,26990,"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21",,,1218.86,1218.86,4
CPT,26991,"Incision and drainage, pelvis or hip joint area; infected bursa ",,,584.14,8858.0,266
CPT,26991,"Incision and drainage, pelvis or hip joint area; infected bursa Age 21+",,,652.34,652.34,4
CPT,26991,"Incision and drainage, pelvis or hip joint area; infected bursa Age Under 21",,,664.2,664.2,4
CPT,26992,"Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) ",,,948.0,25655.0,238
CPT,27000,"Tenotomy, adductor of hip, percutaneous (separate procedure) ",,,584.14,8858.0,266
CPT,27000,"Tenotomy, adductor of hip, percutaneous (separate procedure) Age 21+",,,652.34,652.34,4
CPT,27000,"Tenotomy, adductor of hip, percutaneous (separate procedure) Age Under 21",,,664.2,664.2,4
CPT,27001,"Tenotomy, adductor of hip, open ",,,948.0,12360.0,266
CPT,27001,"Tenotomy, adductor of hip, open Age 21+",,,1197.1,1197.1,4
CPT,27001,"Tenotomy, adductor of hip, open Age Under 21",,,1218.86,1218.86,4
CPT,27003,"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy ",,,948.0,16749.46,266
CPT,27003,"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Age 21+",,,2638.37,2638.37,4
CPT,27003,"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Age Under 21",,,2686.34,2686.34,4
CPT,27005,"Tenotomy, hip flexor(s), open (separate procedure) ",,,948.0,25655.0,238
CPT,27006,"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) ",,,948.0,25655.0,239
CPT,27025,"Fasciotomy, hip or thigh, any type ",,,948.0,25655.0,238
CPT,27027,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral ",,,948.0,16749.46,239
CPT,27030,"Arthrotomy, hip, with drainage (eg, infection) ",,,948.0,25655.0,238
CPT,27033,"Arthrotomy, hip, including exploration or removal of loose or foreign body ",,,948.0,17510.0,266
CPT,27033,"Arthrotomy, hip, including exploration or removal of loose or foreign body Age 21+",,,2638.37,2638.37,4
CPT,27033,"Arthrotomy, hip, including exploration or removal of loose or foreign body Age Under 21",,,2686.34,2686.34,4
CPT,27035,"Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves ",,,948.0,19415.0,266
CPT,27035,"Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves Age 21+",,,1197.1,1197.1,4
CPT,27035,"Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves Age Under 21",,,1218.86,1218.86,4
CPT,27036,"Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius,",,,948.0,25655.0,238
CPT,27040,"Biopsy, soft tissue of pelvis and hip area; superficial ",,,479.15,5932.0,266
CPT,27040,"Biopsy, soft tissue of pelvis and hip area; superficial Age 21+",,,535.1,535.1,4
CPT,27040,"Biopsy, soft tissue of pelvis and hip area; superficial Age Under 21",,,544.82,544.82,4
CPT,27041,"Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular ",,,479.15,6680.0,266
CPT,27041,"Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age 21+",,,535.1,535.1,4
CPT,27041,"Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21",,,544.82,544.82,4
CPT,27043,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater ",,,802.97,12499.0,266
CPT,27043,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,27043,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27045,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater ",,,802.97,12499.0,266
CPT,27045,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,27045,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27047,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm ",,,802.97,6680.0,266
CPT,27047,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm Age 21+",,,896.72,896.72,4
CPT,27047,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm Age Under 21",,,913.02,913.02,4
CPT,27048,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm ",,,802.97,9908.0,266
CPT,27048,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm Age 21+",,,896.72,896.72,4
CPT,27048,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,27049,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm ",,,802.97,9908.0,266
CPT,27049,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm Age 21+",,,896.72,896.72,4
CPT,27049,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,27050,"Arthrotomy, with biopsy; sacroiliac joint ",,,584.14,9908.0,266
CPT,27050,"Arthrotomy, with biopsy; sacroiliac joint Age 21+",,,652.34,652.34,4
CPT,27050,"Arthrotomy, with biopsy; sacroiliac joint Age Under 21",,,664.2,664.2,4
CPT,27052,"Arthrotomy, with biopsy; hip joint ",,,584.14,9908.0,266
CPT,27052,"Arthrotomy, with biopsy; hip joint Age 21+",,,652.34,652.34,4
CPT,27052,"Arthrotomy, with biopsy; hip joint Age Under 21",,,664.2,664.2,4
CPT,27054,"Arthrotomy with synovectomy, hip joint ",,,948.0,25655.0,238
CPT,27057,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle) with debridement of nonviable muscle, unilater",,,948.0,12499.0,239
CPT,27059,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater ",,,802.97,12499.0,266
CPT,27059,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,27059,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27060,Excision; ischial bursa ,,,948.0,18490.0,266
CPT,27060,Excision; ischial bursa Age 21+,,,2638.37,2638.37,4
CPT,27060,Excision; ischial bursa Age Under 21,,,2686.34,2686.34,4
CPT,27062,Excision; trochanteric bursa or calcification ,,,948.0,18490.0,266
CPT,27062,Excision; trochanteric bursa or calcification Age 21+,,,1197.1,1197.1,4
CPT,27062,Excision; trochanteric bursa or calcification Age Under 21,,,1218.86,1218.86,4
CPT,27065,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed ",,,948.0,18490.0,266
CPT,27065,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed Age 21+",,,2638.37,2638.37,4
CPT,27065,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed Age Under 21",,,2686.34,2686.34,4
CPT,27066,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed ",,,948.0,18490.0,266
CPT,27066,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed Age 21+",,,1197.1,1197.1,4
CPT,27066,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed Age Under 21",,,1218.86,1218.86,4
CPT,27067,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision ",,,948.0,18490.0,266
CPT,27067,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision Age 21+",,,2638.37,2638.37,4
CPT,27067,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision Age Under 21",,,2686.34,2686.34,4
CPT,27070,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial ",,,948.0,25655.0,238
CPT,27071,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular) ",,,948.0,25655.0,238
CPT,27075,"Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis ",,,948.0,47055.35,238
CPT,27076,"Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum ",,,948.0,56954.41,238
CPT,27077,"Radical resection of tumor; innominate bone, total ",,,948.0,63768.66,238
CPT,27078,Radical resection of tumor; ischial tuberosity and greater trochanter of femur ,,,948.0,46394.75,238
CPT,27079,EXTENSIVE HIP SURGERY ,,,2152.0,6587.0,34
CPT,27080,"Coccygectomy, primary ",,,948.0,12360.0,266
CPT,27080,"Coccygectomy, primary Age 21+",,,1197.1,1197.1,4
CPT,27080,"Coccygectomy, primary Age Under 21",,,1218.86,1218.86,4
CPT,27086,"Removal of foreign body, pelvis or hip; subcutaneous tissue ",,,802.97,6492.89,266
CPT,27086,"Removal of foreign body, pelvis or hip; subcutaneous tissue Age 21+",,,896.72,896.72,4
CPT,27086,"Removal of foreign body, pelvis or hip; subcutaneous tissue Age Under 21",,,913.02,913.02,4
CPT,27087,"Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) ",,,948.0,9908.0,266
CPT,27087,"Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age 21+",,,1197.1,1197.1,4
CPT,27087,"Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21",,,1218.86,1218.86,4
CPT,27090,Removal of hip prosthesis; (separate procedure) ,,,948.0,25655.0,238
CPT,27091,"Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer ",,,948.0,35796.5,238
CPT,27093,Injection procedure for hip arthrography; without anesthesia ,,,948.0,5932.0,142
CPT,27095,Injection procedure for hip arthrography; with anesthesia ,,,948.0,5932.0,142
CPT,27096,"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed ",,,948.0,5932.0,238
CPT,27097,"Release or recession, hamstring, proximal ",,,948.0,12360.0,266
CPT,27097,"Release or recession, hamstring, proximal Age 21+",,,1197.1,1197.1,4
CPT,27097,"Release or recession, hamstring, proximal Age Under 21",,,1218.86,1218.86,4
CPT,27098,"Transfer, adductor to ischium ",,,948.0,9908.0,266
CPT,27098,"Transfer, adductor to ischium Age 21+",,,1197.1,1197.1,4
CPT,27098,"Transfer, adductor to ischium Age Under 21",,,1218.86,1218.86,4
CPT,27100,Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) ,,,948.0,19415.0,266
CPT,27100,Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Age 21+,,,3573.27,3573.27,4
CPT,27100,Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Age Under 21,,,3638.24,3638.24,4
CPT,27105,Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) ,,,948.0,19415.0,266
CPT,27105,Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Age 21+,,,1197.1,1197.1,4
CPT,27105,Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Age Under 21,,,1218.86,1218.86,4
CPT,27110,Transfer iliopsoas; to greater trochanter of femur ,,,948.0,19415.0,266
CPT,27110,Transfer iliopsoas; to greater trochanter of femur Age 21+,,,3893.64,3893.64,4
CPT,27110,Transfer iliopsoas; to greater trochanter of femur Age Under 21,,,3964.43,3964.43,4
CPT,27111,Transfer iliopsoas; to femoral neck ,,,948.0,19415.0,266
CPT,27111,Transfer iliopsoas; to femoral neck Age 21+,,,1197.1,1197.1,4
CPT,27111,Transfer iliopsoas; to femoral neck Age Under 21,,,1218.86,1218.86,4
CPT,27120,"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type) ",,,948.0,62182.54,238
CPT,27122,"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure) ",,,948.0,70440.0,196
CPT,27125,"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) ",,,948.0,77013.0,158
CPT,27130,"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft ",,,948.0,77013.0,150
CPT,27132,"Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft ",,,948.0,80505.82,143
CPT,27134,"Revision of total hip arthroplasty; both components, with or without autograft or allograft ",,,948.0,92082.8,143
CPT,27137,"Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft ",,,948.0,77013.0,143
CPT,27138,"Revision of total hip arthroplasty; femoral component only, with or without allograft ",,,948.0,77013.0,143
CPT,27140,Osteotomy and transfer of greater trochanter of femur (separate procedure) ,,,948.0,25655.0,238
CPT,27146,"Osteotomy, iliac, acetabular or innominate bone; ",,,948.0,28624.78,238
CPT,27147,"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip ",,,948.0,32618.56,238
CPT,27151,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy ",,,948.0,35718.88,238
CPT,27156,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip ",,,948.0,38026.45,238
CPT,27158,"Osteotomy, pelvis, bilateral (eg, congenital malformation) ",,,948.0,30917.04,238
CPT,27161,"Osteotomy, femoral neck (separate procedure) ",,,948.0,27195.14,238
CPT,27165,"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast ",,,948.0,30652.71,238
CPT,27170,"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) ",,,948.0,26278.19,238
CPT,27175,"Treatment of slipped femoral epiphysis; by traction, without reduction ",,,948.0,25655.0,238
CPT,27176,"Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ ",,,948.0,25655.0,238
CPT,27177,Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) ,,,948.0,25655.0,238
CPT,27178,Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning ,,,948.0,25655.0,238
CPT,27179,Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) ,,,948.0,25655.0,195
CPT,27181,Open treatment of slipped femoral epiphysis; osteotomy and internal fixation ,,,948.0,25655.0,238
CPT,27185,"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur ",,,948.0,25655.0,238
CPT,27187,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur ",,,948.0,25655.0,238
CPT,27193,TREAT PELVIC RING FRACTURE ,,,2152.0,2636.0,34
CPT,27194,TREAT PELVIC RING FRACTURE ,,,2152.0,3293.0,34
CPT,27197,"Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or d",,,84.04,5932.0,274
CPT,27198,"Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or d",,,84.04,5932.0,274
CPT,27200,Closed treatment of coccygeal fracture ,,,84.04,5932.0,266
CPT,27200,Closed treatment of coccygeal fracture Age 21+,,,93.85,93.85,4
CPT,27200,Closed treatment of coccygeal fracture Age Under 21,,,95.56,95.56,4
CPT,27202,Open treatment of coccygeal fracture ,,,948.0,21630.0,266
CPT,27202,Open treatment of coccygeal fracture Age 21+,,,1197.1,1197.1,4
CPT,27202,Open treatment of coccygeal fracture Age Under 21,,,1218.86,1218.86,4
CPT,27215,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fracture patterns that do not disrupt the pelvic ring, includes internal fixation, when pe",,,948.0,25655.0,194
CPT,27216,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or",,,948.0,25655.0,194
CPT,27217,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis ",,,948.0,25655.0,194
CPT,27218,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral il",,,948.0,26907.53,194
CPT,27220,Closed treatment of acetabulum (hip socket) fracture(s); without manipulation ,,,84.04,2636.0,222
CPT,27220,Closed treatment of acetabulum (hip socket) fracture(s); without manipulation Age 21+,,,93.85,93.85,4
CPT,27220,Closed treatment of acetabulum (hip socket) fracture(s); without manipulation Age Under 21,,,95.56,95.56,4
CPT,27222,"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction ",,,948.0,25655.0,238
CPT,27226,"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation ",,,948.0,25655.0,238
CPT,27227,"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation ",,,948.0,37257.19,238
CPT,27228,"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse",,,948.0,42237.98,238
CPT,27230,"Closed treatment of femoral fracture, proximal end, neck; without manipulation ",,,84.04,5932.0,266
CPT,27230,"Closed treatment of femoral fracture, proximal end, neck; without manipulation Age 21+",,,93.85,93.85,4
CPT,27230,"Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21",,,95.56,95.56,4
CPT,27232,"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction ",,,948.0,25655.0,238
CPT,27235,"Percutaneous skeletal fixation of femoral fracture, proximal end, neck ",,,948.0,25655.0,239
CPT,27236,"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement ",,,948.0,26798.86,238
CPT,27238,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation ",,,584.14,5932.0,266
CPT,27238,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age 21+",,,652.34,652.34,4
CPT,27238,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age Under 21",,,664.2,664.2,4
CPT,27240,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction ",,,948.0,25655.0,238
CPT,27244,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage ",,,948.0,27591.41,238
CPT,27245,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage ",,,948.0,27575.89,238
CPT,27246,"Closed treatment of greater trochanteric fracture, without manipulation ",,,84.04,5932.0,266
CPT,27246,"Closed treatment of greater trochanteric fracture, without manipulation Age 21+",,,93.85,93.85,4
CPT,27246,"Closed treatment of greater trochanteric fracture, without manipulation Age Under 21",,,95.56,95.56,4
CPT,27248,"Open treatment of greater trochanteric fracture, includes internal fixation, when performed ",,,948.0,25655.0,238
CPT,27250,"Closed treatment of hip dislocation, traumatic; without anesthesia ",,,84.04,5932.0,266
CPT,27250,"Closed treatment of hip dislocation, traumatic; without anesthesia Age 21+",,,93.85,93.85,4
CPT,27250,"Closed treatment of hip dislocation, traumatic; without anesthesia Age Under 21",,,95.56,95.56,4
CPT,27252,"Closed treatment of hip dislocation, traumatic; requiring anesthesia ",,,584.14,6680.0,266
CPT,27252,"Closed treatment of hip dislocation, traumatic; requiring anesthesia Age 21+",,,652.34,652.34,4
CPT,27252,"Closed treatment of hip dislocation, traumatic; requiring anesthesia Age Under 21",,,664.2,664.2,4
CPT,27253,"Open treatment of hip dislocation, traumatic, without internal fixation ",,,948.0,25655.0,238
CPT,27254,"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation ",,,948.0,28329.62,238
CPT,27256,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation ",,,84.04,6680.0,266
CPT,27256,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation Age 21+",,,93.85,93.85,4
CPT,27256,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation Age Under 21",,,95.56,95.56,4
CPT,27257,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia ",,,584.14,9908.0,266
CPT,27257,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia Age 21+",,,652.34,652.34,4
CPT,27257,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia Age Under 21",,,664.2,664.2,4
CPT,27258,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); ",,,948.0,25655.0,238
CPT,27259,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening ",,,948.0,34825.22,238
CPT,27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia ,,,84.04,5932.0,266
CPT,27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia Age 21+,,,93.85,93.85,4
CPT,27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia Age Under 21,,,95.56,95.56,4
CPT,27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia ,,,584.14,6680.0,266
CPT,27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia Age 21+,,,652.34,652.34,4
CPT,27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia Age Under 21,,,664.2,664.2,4
CPT,27267,"Closed treatment of femoral fracture, proximal end, head; without manipulation ",,,948.0,7664.86,266
CPT,27267,"Closed treatment of femoral fracture, proximal end, head; without manipulation Age 21+",,,1197.1,1197.1,4
CPT,27267,"Closed treatment of femoral fracture, proximal end, head; without manipulation Age Under 21",,,1218.86,1218.86,4
CPT,27268,"Closed treatment of femoral fracture, proximal end, head; with manipulation ",,,948.0,25655.0,238
CPT,27269,"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed ",,,948.0,27847.76,238
CPT,27275,"Manipulation, hip joint, requiring general anesthesia ",,,584.14,6680.0,266
CPT,27275,"Manipulation, hip joint, requiring general anesthesia Age 21+",,,652.34,652.34,4
CPT,27275,"Manipulation, hip joint, requiring general anesthesia Age Under 21",,,664.2,664.2,4
CPT,27278,"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of intra-articular device(s), without cortic",,,948.0,49717.58,266
CPT,27279,"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of transarticular device(s) and/or intra-art",,,948.0,44649.02,239
CPT,27280,"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed ",,,948.0,76895.0,238
CPT,27282,"Arthrodesis, symphysis pubis (including obtaining graft) ",,,948.0,25655.0,238
CPT,27284,"Arthrodesis, hip joint (including obtaining graft); ",,,948.0,76895.0,238
CPT,27286,"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy ",,,948.0,76895.0,238
CPT,27290,Interpelviabdominal amputation (hindquarter amputation) ,,,948.0,36449.12,194
CPT,27295,Disarticulation of hip ,,,948.0,28251.79,194
CPT,27299,"Unlisted procedure, pelvis or hip joint ",,,249.03,25655.0,239
CPT,27301,"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region ",,,802.97,9908.0,266
CPT,27301,"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region Age 21+",,,896.72,896.72,4
CPT,27301,"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region Age Under 21",,,913.02,913.02,4
CPT,27303,"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) ",,,948.0,25655.0,238
CPT,27305,"Fasciotomy, iliotibial (tenotomy), open ",,,948.0,8858.0,266
CPT,27305,"Fasciotomy, iliotibial (tenotomy), open Age 21+",,,1197.1,1197.1,4
CPT,27305,"Fasciotomy, iliotibial (tenotomy), open Age Under 21",,,1218.86,1218.86,4
CPT,27306,"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) ",,,948.0,9908.0,266
CPT,27306,"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,27306,"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,27307,"Tenotomy, percutaneous, adductor or hamstring; multiple tendons ",,,948.0,12360.0,266
CPT,27307,"Tenotomy, percutaneous, adductor or hamstring; multiple tendons Age 21+",,,1197.1,1197.1,4
CPT,27307,"Tenotomy, percutaneous, adductor or hamstring; multiple tendons Age Under 21",,,1218.86,1218.86,4
CPT,27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) ",,,948.0,19415.0,266
CPT,27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) Age 21+",,,1197.1,1197.1,4
CPT,27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) Age Under 21",,,1218.86,1218.86,4
CPT,27315,"PARTIAL REMOVAL, THIGH NERVE ",,,2152.0,6587.0,34
CPT,27320,"PARTIAL REMOVAL, THIGH NERVE ",,,2152.0,6587.0,34
CPT,27323,"Biopsy, soft tissue of thigh or knee area; superficial ",,,479.15,5932.0,266
CPT,27323,"Biopsy, soft tissue of thigh or knee area; superficial Age 21+",,,535.1,535.1,4
CPT,27323,"Biopsy, soft tissue of thigh or knee area; superficial Age Under 21",,,544.82,544.82,4
CPT,27324,"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) ",,,802.97,8858.0,266
CPT,27324,"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age 21+",,,896.72,896.72,4
CPT,27324,"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age Under 21",,,913.02,913.02,4
CPT,27325,"Neurectomy, hamstring muscle ",,,650.04,6680.0,266
CPT,27325,"Neurectomy, hamstring muscle Age 21+",,,725.93,725.93,4
CPT,27325,"Neurectomy, hamstring muscle Age Under 21",,,739.13,739.13,4
CPT,27326,"Neurectomy, popliteal (gastrocnemius) ",,,650.04,6680.0,266
CPT,27326,"Neurectomy, popliteal (gastrocnemius) Age 21+",,,725.93,725.93,4
CPT,27326,"Neurectomy, popliteal (gastrocnemius) Age Under 21",,,739.13,739.13,4
CPT,27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm ",,,479.15,8858.0,266
CPT,27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm Age 21+",,,535.1,535.1,4
CPT,27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,27328,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm ",,,802.97,9908.0,266
CPT,27328,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age 21+",,,896.72,896.72,4
CPT,27328,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,27329,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm ",,,802.97,19415.0,266
CPT,27329,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Age 21+",,,896.72,896.72,4
CPT,27329,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,27330,"Arthrotomy, knee; with synovial biopsy only ",,,948.0,19415.0,266
CPT,27330,"Arthrotomy, knee; with synovial biopsy only Age 21+",,,1197.1,1197.1,4
CPT,27330,"Arthrotomy, knee; with synovial biopsy only Age Under 21",,,1218.86,1218.86,4
CPT,27331,"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies ",,,948.0,19415.0,266
CPT,27331,"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age 21+",,,1197.1,1197.1,4
CPT,27331,"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21",,,1218.86,1218.86,4
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral ",,,1071.95,19415.0,251
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Age 21+",,,1197.1,1197.1,4
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Age Under 21",,,1218.86,1218.86,4
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral ",,,1071.95,19415.0,251
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Age 21+",,,1197.1,1197.1,4
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Age Under 21",,,1218.86,1218.86,4
CPT,27334,"Arthrotomy, with synovectomy, knee; anterior OR posterior ",,,948.0,19415.0,266
CPT,27334,"Arthrotomy, with synovectomy, knee; anterior OR posterior Age 21+",,,1197.1,1197.1,4
CPT,27334,"Arthrotomy, with synovectomy, knee; anterior OR posterior Age Under 21",,,1218.86,1218.86,4
CPT,27335,"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area ",,,948.0,19415.0,266
CPT,27335,"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Age 21+",,,2638.37,2638.37,4
CPT,27335,"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Age Under 21",,,2686.34,2686.34,4
CPT,27337,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater ",,,802.97,12499.0,266
CPT,27337,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,27337,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27339,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater ",,,802.97,12499.0,266
CPT,27339,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,27339,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27340,"Excision, prepatellar bursa ",,,948.0,9908.0,266
CPT,27340,"Excision, prepatellar bursa Age 21+",,,1197.1,1197.1,4
CPT,27340,"Excision, prepatellar bursa Age Under 21",,,1218.86,1218.86,4
CPT,27345,"Excision of synovial cyst of popliteal space (eg, Baker's cyst) ",,,948.0,19415.0,266
CPT,27345,"Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age 21+",,,1197.1,1197.1,4
CPT,27345,"Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21",,,1218.86,1218.86,4
CPT,27347,"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee ",,,948.0,19415.0,266
CPT,27347,"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age 21+",,,1197.1,1197.1,4
CPT,27347,"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21",,,1218.86,1218.86,4
CPT,27350,Patellectomy or hemipatellectomy ,,,948.0,19415.0,266
CPT,27350,Patellectomy or hemipatellectomy Age 21+,,,2638.37,2638.37,4
CPT,27350,Patellectomy or hemipatellectomy Age Under 21,,,2686.34,2686.34,4
CPT,27355,Excision or curettage of bone cyst or benign tumor of femur; ,,,948.0,12360.0,266
CPT,27355,Excision or curettage of bone cyst or benign tumor of femur; Age 21+,,,1197.1,1197.1,4
CPT,27355,Excision or curettage of bone cyst or benign tumor of femur; Age Under 21,,,1218.86,1218.86,4
CPT,27356,Excision or curettage of bone cyst or benign tumor of femur; with allograft ,,,948.0,33321.99,266
CPT,27356,Excision or curettage of bone cyst or benign tumor of femur; with allograft Age 21+,,,6889.63,6889.63,4
CPT,27356,Excision or curettage of bone cyst or benign tumor of femur; with allograft Age Under 21,,,7014.9,7014.9,4
CPT,27357,Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) ,,,948.0,18490.0,266
CPT,27357,Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Age 21+,,,3434.79,3434.79,4
CPT,27357,Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Age Under 21,,,3497.24,3497.24,4
CPT,27358,Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure) ,,,948.0,18490.0,142
CPT,27360,"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) ",,,948.0,18490.0,266
CPT,27360,"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) Age 21+",,,1197.1,1197.1,4
CPT,27360,"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) Age Under 21",,,1218.86,1218.86,4
CPT,27364,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater ",,,802.97,12499.0,266
CPT,27364,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,27364,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27365,"Radical resection of tumor, femur or knee ",,,948.0,46332.66,238
CPT,27369,Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography ,,,948.0,6587.0,142
CPT,27370,INJECTION OF CONTRAST FOR KNEE ARTHROGRAPHY ,,,2152.0,2636.0,34
CPT,27372,"Removal of foreign body, deep, thigh region or knee area ",,,802.97,23113.0,266
CPT,27372,"Removal of foreign body, deep, thigh region or knee area Age 21+",,,896.72,896.72,4
CPT,27372,"Removal of foreign body, deep, thigh region or knee area Age Under 21",,,913.02,913.02,4
CPT,27380,Suture of infrapatellar tendon; primary ,,,948.0,16749.46,266
CPT,27380,Suture of infrapatellar tendon; primary Age 21+,,,2638.37,2638.37,4
CPT,27380,Suture of infrapatellar tendon; primary Age Under 21,,,2686.34,2686.34,4
CPT,27381,"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft ",,,948.0,16749.46,266
CPT,27381,"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Age 21+",,,3475.65,3475.65,4
CPT,27381,"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Age Under 21",,,3538.84,3538.84,4
CPT,27385,Suture of quadriceps or hamstring muscle rupture; primary ,,,948.0,16749.46,266
CPT,27385,Suture of quadriceps or hamstring muscle rupture; primary Age 21+,,,2638.37,2638.37,4
CPT,27385,Suture of quadriceps or hamstring muscle rupture; primary Age Under 21,,,2686.34,2686.34,4
CPT,27386,"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft ",,,948.0,16749.46,266
CPT,27386,"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age 21+",,,2638.37,2638.37,4
CPT,27386,"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under 21",,,2686.34,2686.34,4
CPT,27390,"Tenotomy, open, hamstring, knee to hip; single tendon ",,,948.0,8858.0,266
CPT,27390,"Tenotomy, open, hamstring, knee to hip; single tendon Age 21+",,,1197.1,1197.1,4
CPT,27390,"Tenotomy, open, hamstring, knee to hip; single tendon Age Under 21",,,1218.86,1218.86,4
CPT,27391,"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg ",,,948.0,8858.0,266
CPT,27391,"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Age 21+",,,1197.1,1197.1,4
CPT,27391,"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Age Under 21",,,1218.86,1218.86,4
CPT,27392,"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral ",,,948.0,12360.0,266
CPT,27392,"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral Age 21+",,,1197.1,1197.1,4
CPT,27392,"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral Age Under 21",,,1218.86,1218.86,4
CPT,27393,Lengthening of hamstring tendon; single tendon ,,,948.0,16749.46,266
CPT,27393,Lengthening of hamstring tendon; single tendon Age 21+,,,2638.37,2638.37,4
CPT,27393,Lengthening of hamstring tendon; single tendon Age Under 21,,,2686.34,2686.34,4
CPT,27394,"Lengthening of hamstring tendon; multiple tendons, 1 leg ",,,948.0,16749.46,266
CPT,27394,"Lengthening of hamstring tendon; multiple tendons, 1 leg Age 21+",,,2638.37,2638.37,4
CPT,27394,"Lengthening of hamstring tendon; multiple tendons, 1 leg Age Under 21",,,2686.34,2686.34,4
CPT,27395,"Lengthening of hamstring tendon; multiple tendons, bilateral ",,,948.0,17510.0,266
CPT,27395,"Lengthening of hamstring tendon; multiple tendons, bilateral Age 21+",,,1197.1,1197.1,4
CPT,27395,"Lengthening of hamstring tendon; multiple tendons, bilateral Age Under 21",,,1218.86,1218.86,4
CPT,27396,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon ",,,948.0,16749.46,266
CPT,27396,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon Age 21+",,,2638.37,2638.37,4
CPT,27396,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon Age Under 21",,,2686.34,2686.34,4
CPT,27397,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons ",,,948.0,17510.0,266
CPT,27397,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Age 21+",,,2638.37,2638.37,4
CPT,27397,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Age Under 21",,,2686.34,2686.34,4
CPT,27400,"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) ",,,948.0,17510.0,266
CPT,27400,"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Age 21+",,,2638.37,2638.37,4
CPT,27400,"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Age Under 21",,,2686.34,2686.34,4
CPT,27403,"Arthrotomy with meniscus repair, knee ",,,948.0,19415.0,266
CPT,27403,"Arthrotomy with meniscus repair, knee Age 21+",,,3434.79,3434.79,4
CPT,27403,"Arthrotomy with meniscus repair, knee Age Under 21",,,3497.24,3497.24,4
CPT,27405,"Repair, primary, torn ligament and/or capsule, knee; collateral ",,,948.0,19415.0,266
CPT,27405,"Repair, primary, torn ligament and/or capsule, knee; collateral Age 21+",,,2638.37,2638.37,4
CPT,27405,"Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21",,,2686.34,2686.34,4
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate ",,,1995.0,21630.0,251
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate Age 21+",,,3434.79,3434.79,4
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate Age Under 21",,,3497.24,3497.24,4
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments ",,,1995.0,19415.0,251
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Age 21+",,,2638.37,2638.37,4
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Age Under 21",,,2686.34,2686.34,4
CPT,27412,"Autologous chondrocyte implantation, knee ",,,1995.0,25655.0,224
CPT,27415,"Osteochondral allograft, knee, open ",,,1995.0,33321.99,211
CPT,27415,"Osteochondral allograft, knee, open Age 21+",,,9142.61,9142.61,4
CPT,27415,"Osteochondral allograft, knee, open Age Under 21",,,9308.84,9308.84,4
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») ",,,1995.0,19415.0,251
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») Age 21+",,,2638.37,2638.37,4
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») Age Under 21",,,2686.34,2686.34,4
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) ",,,1995.0,17510.0,251
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) Age 21+",,,2638.37,2638.37,4
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) Age Under 21",,,2686.34,2686.34,4
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) ",,,1995.0,17510.0,251
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) Age 21+",,,2638.37,2638.37,4
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) Age Under 21",,,2686.34,2686.34,4
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) ",,,1995.0,23113.0,251
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) Age 21+",,,2638.37,2638.37,4
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) Age Under 21",,,2686.34,2686.34,4
CPT,27424,Reconstruction of dislocating patella; with patellectomy ,,,1995.0,17510.0,251
CPT,27424,Reconstruction of dislocating patella; with patellectomy Age 21+,,,2638.37,2638.37,4
CPT,27424,Reconstruction of dislocating patella; with patellectomy Age Under 21,,,2686.34,2686.34,4
CPT,27425,"Lateral retinacular release, open ",,,1071.95,23113.0,251
CPT,27425,"Lateral retinacular release, open Age 21+",,,1197.1,1197.1,4
CPT,27425,"Lateral retinacular release, open Age Under 21",,,1218.86,1218.86,4
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular ",,,1995.0,21630.0,251
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular Age 21+",,,3487.98,3487.98,4
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular Age Under 21",,,3551.4,3551.4,4
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) ",,,1995.0,33321.99,251
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) Age 21+",,,6889.63,6889.63,4
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) Age Under 21",,,7014.9,7014.9,4
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular ",,,1995.0,77013.0,211
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Age 21+",,,9323.49,9323.49,4
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Age Under 21",,,9493.01,9493.01,4
CPT,27430,"Quadricepsplasty (eg, Bennett or Thompson type) ",,,948.0,19415.0,266
CPT,27430,"Quadricepsplasty (eg, Bennett or Thompson type) Age 21+",,,2638.37,2638.37,4
CPT,27430,"Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21",,,2686.34,2686.34,4
CPT,27435,"Capsulotomy, posterior capsular release, knee ",,,948.0,19415.0,266
CPT,27435,"Capsulotomy, posterior capsular release, knee Age 21+",,,1197.1,1197.1,4
CPT,27435,"Capsulotomy, posterior capsular release, knee Age Under 21",,,1218.86,1218.86,4
CPT,27437,"Arthroplasty, patella; without prosthesis ",,,948.0,77013.0,192
CPT,27437,"Arthroplasty, patella; without prosthesis Age 21+",,,2638.37,2638.37,4
CPT,27437,"Arthroplasty, patella; without prosthesis Age Under 21",,,2686.34,2686.34,4
CPT,27438,"Arthroplasty, patella; with prosthesis ",,,948.0,77013.0,198
CPT,27438,"Arthroplasty, patella; with prosthesis Age 21+",,,7329.71,7329.71,4
CPT,27438,"Arthroplasty, patella; with prosthesis Age Under 21",,,7462.97,7462.97,4
CPT,27440,"Arthroplasty, knee, tibial plateau; ",,,948.0,77013.0,198
CPT,27440,"Arthroplasty, knee, tibial plateau; Age 21+",,,7271.99,7271.99,4
CPT,27440,"Arthroplasty, knee, tibial plateau; Age Under 21",,,7404.21,7404.21,4
CPT,27441,"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy ",,,948.0,77013.0,232
CPT,27441,"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Age 21+",,,5292.12,5292.12,4
CPT,27441,"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Age Under 21",,,5388.34,5388.34,4
CPT,27442,"Arthroplasty, femoral condyles or tibial plateau(s), knee; ",,,948.0,77013.0,232
CPT,27442,"Arthroplasty, femoral condyles or tibial plateau(s), knee; Age 21+",,,7771.34,7771.34,4
CPT,27442,"Arthroplasty, femoral condyles or tibial plateau(s), knee; Age Under 21",,,7912.63,7912.63,4
CPT,27443,"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy ",,,948.0,77013.0,232
CPT,27443,"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Age 21+",,,7399.79,7399.79,4
CPT,27443,"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Age Under 21",,,7534.33,7534.33,4
CPT,27445,"Arthroplasty, knee, hinge prosthesis (eg, Walldius type) ",,,8024.0,77013.0,54
CPT,27446,"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment ",,,948.0,77013.0,177
CPT,27446,"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age 21+",,,7781.13,7781.13,4
CPT,27446,"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21",,,7922.6,7922.6,4
CPT,27447,"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) ",,,948.0,77013.0,150
CPT,27448,"Osteotomy, femur, shaft or supracondylar; without fixation ",,,948.0,25655.0,238
CPT,27450,"Osteotomy, femur, shaft or supracondylar; with fixation ",,,948.0,70440.0,196
CPT,27454,"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) ",,,948.0,29036.58,238
CPT,27455,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); before epiphyseal closure ",,,948.0,25655.0,238
CPT,27457,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); after epiphyseal closure ",,,948.0,25655.0,238
CPT,27458,"Osteotomy(ies), femur, unilateral, with insertion of an externally controlled intramedullary lengthening device, including iliotibial band release when performed, imaging, alignment assessments, compu",,,948.0,21630.0,148
CPT,27465,"Osteoplasty, femur; shortening (excluding 64876) ",,,948.0,28096.35,238
CPT,27466,"Osteoplasty, femur; lengthening ",,,948.0,26449.16,238
CPT,27468,"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer ",,,2152.0,16144.0,42
CPT,27470,"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) ",,,948.0,26371.55,238
CPT,27472,"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) ",,,948.0,28298.36,238
CPT,27475,"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur ",,,948.0,25655.0,266
CPT,27475,"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Age 21+",,,2638.37,2638.37,4
CPT,27475,"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Age Under 21",,,2686.34,2686.34,4
CPT,27477,"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal ",,,948.0,25655.0,239
CPT,27479,"Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula ",,,948.0,25655.0,266
CPT,27479,"Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Age 21+",,,2638.37,2638.37,4
CPT,27479,"Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Age Under 21",,,2686.34,2686.34,4
CPT,27485,"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) ",,,948.0,25655.0,239
CPT,27486,"Revision of total knee arthroplasty, with or without allograft; 1 component ",,,948.0,77013.0,143
CPT,27487,"Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component ",,,948.0,84503.62,143
CPT,27488,"Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee ",,,948.0,26915.29,238
CPT,27495,"Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur ",,,948.0,25655.0,238
CPT,27496,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); ",,,948.0,18490.0,266
CPT,27496,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Age 21+",,,1197.1,1197.1,4
CPT,27496,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Age Under 21",,,1218.86,1218.86,4
CPT,27497,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve ",,,948.0,9908.0,266
CPT,27497,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve Age 21+",,,1197.1,1197.1,4
CPT,27497,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve Age Under 21",,,1218.86,1218.86,4
CPT,27498,"Decompression fasciotomy, thigh and/or knee, multiple compartments; ",,,584.14,12360.0,266
CPT,27498,"Decompression fasciotomy, thigh and/or knee, multiple compartments; Age 21+",,,652.34,652.34,4
CPT,27498,"Decompression fasciotomy, thigh and/or knee, multiple compartments; Age Under 21",,,664.2,664.2,4
CPT,27499,"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve ",,,948.0,16749.46,266
CPT,27499,"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve Age 21+",,,2638.37,2638.37,4
CPT,27499,"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve Age Under 21",,,2686.34,2686.34,4
CPT,27500,"Closed treatment of femoral shaft fracture, without manipulation ",,,84.04,5932.0,266
CPT,27500,"Closed treatment of femoral shaft fracture, without manipulation Age 21+",,,93.85,93.85,4
CPT,27500,"Closed treatment of femoral shaft fracture, without manipulation Age Under 21",,,95.56,95.56,4
CPT,27501,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation ",,,84.04,6680.0,266
CPT,27501,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation Age 21+",,,93.85,93.85,4
CPT,27501,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation Age Under 21",,,95.56,95.56,4
CPT,27502,"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction ",,,584.14,6680.0,266
CPT,27502,"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age 21+",,,652.34,652.34,4
CPT,27502,"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21",,,664.2,664.2,4
CPT,27503,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction ",,,584.14,9908.0,266
CPT,27503,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction Age 21+",,,652.34,652.34,4
CPT,27503,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction Age Under 21",,,664.2,664.2,4
CPT,27506,"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws ",,,948.0,29992.33,238
CPT,27507,"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage ",,,948.0,25655.0,238
CPT,27508,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation ",,,84.04,5932.0,266
CPT,27508,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation Age 21+",,,93.85,93.85,4
CPT,27508,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation Age Under 21",,,95.56,95.56,4
CPT,27509,"Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or transcondylar, with or without intercondylar extension, or distal femoral epiphyseal sepa",,,948.0,16749.46,274
CPT,27510,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation ",,,584.14,5932.0,266
CPT,27510,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age 21+",,,652.34,652.34,4
CPT,27510,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21",,,664.2,664.2,4
CPT,27511,"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed ",,,948.0,25655.0,238
CPT,27513,"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed ",,,948.0,27824.47,238
CPT,27514,"Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed ",,,948.0,25655.0,238
CPT,27516,Closed treatment of distal femoral epiphyseal separation; without manipulation ,,,84.04,5932.0,266
CPT,27516,Closed treatment of distal femoral epiphyseal separation; without manipulation Age 21+,,,93.85,93.85,4
CPT,27516,Closed treatment of distal femoral epiphyseal separation; without manipulation Age Under 21,,,95.56,95.56,4
CPT,27517,"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction ",,,584.14,6587.0,266
CPT,27517,"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction Age 21+",,,652.34,652.34,4
CPT,27517,"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction Age Under 21",,,664.2,664.2,4
CPT,27519,"Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed ",,,948.0,25655.0,238
CPT,27520,"Closed treatment of patellar fracture, without manipulation ",,,84.04,5932.0,266
CPT,27520,"Closed treatment of patellar fracture, without manipulation Age 21+",,,93.85,93.85,4
CPT,27520,"Closed treatment of patellar fracture, without manipulation Age Under 21",,,95.56,95.56,4
CPT,27524,"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair ",,,948.0,21630.0,266
CPT,27524,"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair Age 21+",,,2638.37,2638.37,4
CPT,27524,"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair Age Under 21",,,2686.34,2686.34,4
CPT,27530,"Closed treatment of tibial fracture, proximal (plateau); without manipulation ",,,84.04,5932.0,266
CPT,27530,"Closed treatment of tibial fracture, proximal (plateau); without manipulation Age 21+",,,93.85,93.85,4
CPT,27530,"Closed treatment of tibial fracture, proximal (plateau); without manipulation Age Under 21",,,95.56,95.56,4
CPT,27532,"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction ",,,948.0,7664.86,266
CPT,27532,"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction Age 21+",,,1197.1,1197.1,4
CPT,27532,"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction Age Under 21",,,1218.86,1218.86,4
CPT,27535,"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed ",,,948.0,25655.0,238
CPT,27536,"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation ",,,948.0,26643.42,238
CPT,27538,"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation ",,,84.04,5932.0,266
CPT,27538,"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation Age 21+",,,93.85,93.85,4
CPT,27538,"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation Age Under 21",,,95.56,95.56,4
CPT,27540,"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed ",,,948.0,25655.0,238
CPT,27550,Closed treatment of knee dislocation; without anesthesia ,,,84.04,5932.0,266
CPT,27550,Closed treatment of knee dislocation; without anesthesia Age 21+,,,93.85,93.85,4
CPT,27550,Closed treatment of knee dislocation; without anesthesia Age Under 21,,,95.56,95.56,4
CPT,27552,Closed treatment of knee dislocation; requiring anesthesia ,,,584.14,5932.0,266
CPT,27552,Closed treatment of knee dislocation; requiring anesthesia Age 21+,,,652.34,652.34,4
CPT,27552,Closed treatment of knee dislocation; requiring anesthesia Age Under 21,,,664.2,664.2,4
CPT,27556,"Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction ",,,948.0,25655.0,238
CPT,27557,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair ",,,948.0,25655.0,238
CPT,27558,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction ",,,948.0,26635.66,238
CPT,27560,Closed treatment of patellar dislocation; without anesthesia ,,,84.04,5932.0,266
CPT,27560,Closed treatment of patellar dislocation; without anesthesia Age 21+,,,93.85,93.85,4
CPT,27560,Closed treatment of patellar dislocation; without anesthesia Age Under 21,,,95.56,95.56,4
CPT,27562,Closed treatment of patellar dislocation; requiring anesthesia ,,,84.04,5932.0,266
CPT,27562,Closed treatment of patellar dislocation; requiring anesthesia Age 21+,,,93.85,93.85,4
CPT,27562,Closed treatment of patellar dislocation; requiring anesthesia Age Under 21,,,95.56,95.56,4
CPT,27566,"Open treatment of patellar dislocation, with or without partial or total patellectomy ",,,948.0,21630.0,266
CPT,27566,"Open treatment of patellar dislocation, with or without partial or total patellectomy Age 21+",,,2638.37,2638.37,4
CPT,27566,"Open treatment of patellar dislocation, with or without partial or total patellectomy Age Under 21",,,2686.34,2686.34,4
CPT,27570,Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) ,,,584.14,5932.0,266
CPT,27570,Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age 21+,,,652.34,652.34,4
CPT,27570,Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age Under 21,,,664.2,664.2,4
CPT,27580,"Arthrodesis, knee, any technique ",,,948.0,32307.88,238
CPT,27590,"Amputation, thigh, through femur, any level; ",,,948.0,25750.0,194
CPT,27591,"Amputation, thigh, through femur, any level; immediate fitting technique including first cast ",,,948.0,25750.0,194
CPT,27592,"Amputation, thigh, through femur, any level; open, circular (guillotine) ",,,948.0,25750.0,194
CPT,27594,"Amputation, thigh, through femur, any level; secondary closure or scar revision ",,,948.0,9908.0,266
CPT,27594,"Amputation, thigh, through femur, any level; secondary closure or scar revision Age 21+",,,1197.1,1197.1,4
CPT,27594,"Amputation, thigh, through femur, any level; secondary closure or scar revision Age Under 21",,,1218.86,1218.86,4
CPT,27596,"Amputation, thigh, through femur, any level; re-amputation ",,,948.0,25655.0,194
CPT,27598,Disarticulation at knee ,,,948.0,25655.0,194
CPT,27599,"Unlisted procedure, femur or knee ",,,249.03,25655.0,239
CPT,27600,"Decompression fasciotomy, leg; anterior and/or lateral compartments only ",,,948.0,9908.0,266
CPT,27600,"Decompression fasciotomy, leg; anterior and/or lateral compartments only Age 21+",,,1197.1,1197.1,4
CPT,27600,"Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21",,,1218.86,1218.86,4
CPT,27601,"Decompression fasciotomy, leg; posterior compartment(s) only ",,,948.0,9908.0,266
CPT,27601,"Decompression fasciotomy, leg; posterior compartment(s) only Age 21+",,,1197.1,1197.1,4
CPT,27601,"Decompression fasciotomy, leg; posterior compartment(s) only Age Under 21",,,1218.86,1218.86,4
CPT,27602,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) ",,,948.0,12360.0,266
CPT,27602,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) Age 21+",,,1197.1,1197.1,4
CPT,27602,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) Age Under 21",,,1218.86,1218.86,4
CPT,27603,"Incision and drainage, leg or ankle; deep abscess or hematoma ",,,802.97,8858.0,266
CPT,27603,"Incision and drainage, leg or ankle; deep abscess or hematoma Age 21+",,,896.72,896.72,4
CPT,27603,"Incision and drainage, leg or ankle; deep abscess or hematoma Age Under 21",,,913.02,913.02,4
CPT,27604,"Incision and drainage, leg or ankle; infected bursa ",,,948.0,8858.0,266
CPT,27604,"Incision and drainage, leg or ankle; infected bursa Age 21+",,,1197.1,1197.1,4
CPT,27604,"Incision and drainage, leg or ankle; infected bursa Age Under 21",,,1218.86,1218.86,4
CPT,27605,"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia ",,,584.14,8858.0,266
CPT,27605,"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia Age 21+",,,652.34,652.34,4
CPT,27605,"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia Age Under 21",,,664.2,664.2,4
CPT,27606,"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia ",,,948.0,8858.0,266
CPT,27606,"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Age 21+",,,1197.1,1197.1,4
CPT,27606,"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Age Under 21",,,1218.86,1218.86,4
CPT,27607,"Incision (eg, osteomyelitis or bone abscess), leg or ankle ",,,948.0,8858.0,266
CPT,27607,"Incision (eg, osteomyelitis or bone abscess), leg or ankle Age 21+",,,1197.1,1197.1,4
CPT,27607,"Incision (eg, osteomyelitis or bone abscess), leg or ankle Age Under 21",,,1218.86,1218.86,4
CPT,27610,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body ",,,948.0,12360.0,266
CPT,27610,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body Age 21+",,,1197.1,1197.1,4
CPT,27610,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body Age Under 21",,,1218.86,1218.86,4
CPT,27612,"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening ",,,948.0,12360.0,266
CPT,27612,"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Age 21+",,,1197.1,1197.1,4
CPT,27612,"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Age Under 21",,,1218.86,1218.86,4
CPT,27613,"Biopsy, soft tissue of leg or ankle area; superficial ",,,137.45,5932.0,266
CPT,27613,"Biopsy, soft tissue of leg or ankle area; superficial Age 21+",,,153.49,153.49,4
CPT,27613,"Biopsy, soft tissue of leg or ankle area; superficial Age Under 21",,,156.28,156.28,4
CPT,27614,"Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) ",,,802.97,8858.0,266
CPT,27614,"Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) Age 21+",,,896.72,896.72,4
CPT,27614,"Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) Age Under 21",,,913.02,913.02,4
CPT,27615,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm ",,,802.97,9908.0,266
CPT,27615,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm Age 21+",,,896.72,896.72,4
CPT,27615,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,27616,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater ",,,802.97,12499.0,266
CPT,27616,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,27616,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27618,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm ",,,479.15,6680.0,266
CPT,27618,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm Age 21+",,,535.1,535.1,4
CPT,27618,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm Age Under 21",,,544.82,544.82,4
CPT,27619,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm ",,,802.97,9908.0,266
CPT,27619,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Age 21+",,,896.72,896.72,4
CPT,27619,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Age Under 21",,,913.02,913.02,4
CPT,27620,"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,948.0,19415.0,266
CPT,27620,"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age 21+",,,1197.1,1197.1,4
CPT,27620,"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age Under 21",,,1218.86,1218.86,4
CPT,27625,"Arthrotomy, with synovectomy, ankle; ",,,948.0,19415.0,266
CPT,27625,"Arthrotomy, with synovectomy, ankle; Age 21+",,,1197.1,1197.1,4
CPT,27625,"Arthrotomy, with synovectomy, ankle; Age Under 21",,,1218.86,1218.86,4
CPT,27626,"Arthrotomy, with synovectomy, ankle; including tenosynovectomy ",,,948.0,19415.0,266
CPT,27626,"Arthrotomy, with synovectomy, ankle; including tenosynovectomy Age 21+",,,1197.1,1197.1,4
CPT,27626,"Arthrotomy, with synovectomy, ankle; including tenosynovectomy Age Under 21",,,1218.86,1218.86,4
CPT,27630,"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle ",,,948.0,9908.0,266
CPT,27630,"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age 21+",,,1197.1,1197.1,4
CPT,27630,"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21",,,1218.86,1218.86,4
CPT,27632,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater ",,,802.97,12499.0,266
CPT,27632,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,27632,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27634,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater ",,,802.97,12499.0,266
CPT,27634,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age 21+",,,896.72,896.72,4
CPT,27634,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,27635,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; ",,,948.0,12360.0,266
CPT,27635,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age 21+",,,1197.1,1197.1,4
CPT,27635,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21",,,1218.86,1218.86,4
CPT,27637,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) ",,,948.0,16749.46,266
CPT,27637,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Age 21+",,,3707.64,3707.64,4
CPT,27637,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Age Under 21",,,3775.05,3775.05,4
CPT,27638,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft ",,,948.0,16749.46,266
CPT,27638,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Age 21+",,,2638.37,2638.37,4
CPT,27638,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Age Under 21",,,2686.34,2686.34,4
CPT,27640,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia ",,,948.0,12360.0,266
CPT,27640,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia Age 21+",,,1197.1,1197.1,4
CPT,27640,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia Age Under 21",,,1218.86,1218.86,4
CPT,27641,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula ",,,948.0,12360.0,266
CPT,27641,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age 21+",,,1197.1,1197.1,4
CPT,27641,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age Under 21",,,1218.86,1218.86,4
CPT,27645,Radical resection of tumor; tibia ,,,948.0,39891.39,238
CPT,27646,Radical resection of tumor; fibula ,,,948.0,34467.76,238
CPT,27647,Radical resection of tumor; talus or calcaneus ,,,948.0,12360.0,266
CPT,27647,Radical resection of tumor; talus or calcaneus Age 21+,,,1197.1,1197.1,4
CPT,27647,Radical resection of tumor; talus or calcaneus Age Under 21,,,1218.86,1218.86,4
CPT,27648,Injection procedure for ankle arthrography ,,,948.0,5932.0,142
CPT,27650,"Repair, primary, open or percutaneous, ruptured Achilles tendon; ",,,948.0,17510.0,266
CPT,27650,"Repair, primary, open or percutaneous, ruptured Achilles tendon; Age 21+",,,2638.37,2638.37,4
CPT,27650,"Repair, primary, open or percutaneous, ruptured Achilles tendon; Age Under 21",,,2686.34,2686.34,4
CPT,27652,"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) ",,,948.0,17510.0,266
CPT,27652,"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) Age 21+",,,3720.74,3720.74,4
CPT,27652,"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) Age Under 21",,,3788.39,3788.39,4
CPT,27654,"Repair, secondary, Achilles tendon, with or without graft ",,,948.0,17510.0,266
CPT,27654,"Repair, secondary, Achilles tendon, with or without graft Age 21+",,,3434.79,3434.79,4
CPT,27654,"Repair, secondary, Achilles tendon, with or without graft Age Under 21",,,3497.24,3497.24,4
CPT,27656,"Repair, fascial defect of leg ",,,948.0,8858.0,266
CPT,27656,"Repair, fascial defect of leg Age 21+",,,1765.7,1765.7,4
CPT,27656,"Repair, fascial defect of leg Age Under 21",,,1797.8,1797.8,4
CPT,27658,"Repair, flexor tendon, leg; primary, without graft, each tendon ",,,948.0,8858.0,266
CPT,27658,"Repair, flexor tendon, leg; primary, without graft, each tendon Age 21+",,,1197.1,1197.1,4
CPT,27658,"Repair, flexor tendon, leg; primary, without graft, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,27659,"Repair, flexor tendon, leg; secondary, with or without graft, each tendon ",,,948.0,16749.46,266
CPT,27659,"Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age 21+",,,2638.37,2638.37,4
CPT,27659,"Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21",,,2686.34,2686.34,4
CPT,27664,"Repair, extensor tendon, leg; primary, without graft, each tendon ",,,948.0,16749.46,266
CPT,27664,"Repair, extensor tendon, leg; primary, without graft, each tendon Age 21+",,,2638.37,2638.37,4
CPT,27664,"Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21",,,2686.34,2686.34,4
CPT,27665,"Repair, extensor tendon, leg; secondary, with or without graft, each tendon ",,,948.0,16749.46,266
CPT,27665,"Repair, extensor tendon, leg; secondary, with or without graft, each tendon Age 21+",,,2638.37,2638.37,4
CPT,27665,"Repair, extensor tendon, leg; secondary, with or without graft, each tendon Age Under 21",,,2686.34,2686.34,4
CPT,27675,"Repair, dislocating peroneal tendons; without fibular osteotomy ",,,948.0,8858.0,266
CPT,27675,"Repair, dislocating peroneal tendons; without fibular osteotomy Age 21+",,,1197.1,1197.1,4
CPT,27675,"Repair, dislocating peroneal tendons; without fibular osteotomy Age Under 21",,,1218.86,1218.86,4
CPT,27676,"Repair, dislocating peroneal tendons; with fibular osteotomy ",,,948.0,16749.46,266
CPT,27676,"Repair, dislocating peroneal tendons; with fibular osteotomy Age 21+",,,2638.37,2638.37,4
CPT,27676,"Repair, dislocating peroneal tendons; with fibular osteotomy Age Under 21",,,2686.34,2686.34,4
CPT,27680,"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon ",,,948.0,12360.0,266
CPT,27680,"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon Age 21+",,,1197.1,1197.1,4
CPT,27680,"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,27681,"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») ",,,948.0,12360.0,266
CPT,27681,"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Age 21+",,,1197.1,1197.1,4
CPT,27681,"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Age Under 21",,,1218.86,1218.86,4
CPT,27685,"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) ",,,948.0,12360.0,266
CPT,27685,"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,27685,"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,27686,"Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each ",,,948.0,12360.0,266
CPT,27686,"Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Age 21+",,,1197.1,1197.1,4
CPT,27686,"Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Age Under 21",,,1218.86,1218.86,4
CPT,27687,"Gastrocnemius recession (eg, Strayer procedure) ",,,948.0,12360.0,266
CPT,27687,"Gastrocnemius recession (eg, Strayer procedure) Age 21+",,,1197.1,1197.1,4
CPT,27687,"Gastrocnemius recession (eg, Strayer procedure) Age Under 21",,,1218.86,1218.86,4
CPT,27690,"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) ",,,948.0,19415.0,266
CPT,27690,"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) Age 21+",,,2638.37,2638.37,4
CPT,27690,"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) Age Under 21",,,2686.34,2686.34,4
CPT,27691,"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longu",,,948.0,19415.0,274
CPT,27692,Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure) ,,,948.0,9908.0,142
CPT,27695,"Repair, primary, disrupted ligament, ankle; collateral ",,,948.0,16749.46,266
CPT,27695,"Repair, primary, disrupted ligament, ankle; collateral Age 21+",,,3452.01,3452.01,4
CPT,27695,"Repair, primary, disrupted ligament, ankle; collateral Age Under 21",,,3514.77,3514.77,4
CPT,27696,"Repair, primary, disrupted ligament, ankle; both collateral ligaments ",,,948.0,16749.46,266
CPT,27696,"Repair, primary, disrupted ligament, ankle; both collateral ligaments Age 21+",,,3434.79,3434.79,4
CPT,27696,"Repair, primary, disrupted ligament, ankle; both collateral ligaments Age Under 21",,,3497.24,3497.24,4
CPT,27698,"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) ",,,948.0,16749.46,266
CPT,27698,"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age 21+",,,3434.02,3434.02,4
CPT,27698,"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21",,,3496.46,3496.46,4
CPT,27700,"Arthroplasty, ankle; ",,,948.0,28115.17,266
CPT,27700,"Arthroplasty, ankle; Age 21+",,,3425.55,3425.55,4
CPT,27700,"Arthroplasty, ankle; Age Under 21",,,3487.84,3487.84,4
CPT,27702,"Arthroplasty, ankle; with implant (total ankle) ",,,948.0,77013.0,164
CPT,27703,"Arthroplasty, ankle; revision, total ankle ",,,948.0,77013.0,157
CPT,27704,Removal of ankle implant ,,,948.0,12360.0,266
CPT,27704,Removal of ankle implant Age 21+,,,1197.1,1197.1,4
CPT,27704,Removal of ankle implant Age Under 21,,,1218.86,1218.86,4
CPT,27705,Osteotomy; tibia ,,,948.0,17510.0,266
CPT,27705,Osteotomy; tibia Age 21+,,,3427.61,3427.61,4
CPT,27705,Osteotomy; tibia Age Under 21,,,3489.93,3489.93,4
CPT,27707,Osteotomy; fibula ,,,948.0,12360.0,266
CPT,27707,Osteotomy; fibula Age 21+,,,1197.1,1197.1,4
CPT,27707,Osteotomy; fibula Age Under 21,,,1218.86,1218.86,4
CPT,27709,Osteotomy; tibia and fibula ,,,948.0,33321.99,266
CPT,27709,Osteotomy; tibia and fibula Age 21+,,,6971.04,6971.04,4
CPT,27709,Osteotomy; tibia and fibula Age Under 21,,,7097.79,7097.79,4
CPT,27712,"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) ",,,948.0,25655.0,238
CPT,27713,"Osteotomy(ies), tibia, including fibula when performed, unilateral, with insertion of an externally controlled intramedullary lengthening device, including imaging, alignment assessments, computations",,,948.0,21630.0,148
CPT,27715,"Osteoplasty, tibia and fibula, lengthening or shortening ",,,948.0,25655.0,238
CPT,27720,"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) ",,,948.0,21630.0,266
CPT,27720,"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Age 21+",,,3812.71,3812.71,4
CPT,27720,"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Age Under 21",,,3882.03,3882.03,4
CPT,27722,"Repair of nonunion or malunion, tibia; with sliding graft ",,,948.0,21630.0,239
CPT,27724,"Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) ",,,948.0,28352.91,238
CPT,27725,"Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method ",,,948.0,27264.99,238
CPT,27726,Repair of fibula nonunion and/or malunion with internal fixation ,,,948.0,21630.0,266
CPT,27726,Repair of fibula nonunion and/or malunion with internal fixation Age 21+,,,3561.97,3561.97,4
CPT,27726,Repair of fibula nonunion and/or malunion with internal fixation Age Under 21,,,3626.73,3626.73,4
CPT,27727,"Repair of congenital pseudarthrosis, tibia ",,,948.0,25655.0,238
CPT,27730,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia ",,,948.0,12360.0,266
CPT,27730,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia Age 21+",,,1197.1,1197.1,4
CPT,27730,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia Age Under 21",,,1218.86,1218.86,4
CPT,27732,"Arrest, epiphyseal (epiphysiodesis), open; distal fibula ",,,948.0,12360.0,266
CPT,27732,"Arrest, epiphyseal (epiphysiodesis), open; distal fibula Age 21+",,,1197.1,1197.1,4
CPT,27732,"Arrest, epiphyseal (epiphysiodesis), open; distal fibula Age Under 21",,,1218.86,1218.86,4
CPT,27734,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula ",,,948.0,12360.0,266
CPT,27734,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula Age 21+",,,1197.1,1197.1,4
CPT,27734,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula Age Under 21",,,1218.86,1218.86,4
CPT,27740,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; ",,,948.0,12360.0,266
CPT,27740,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Age 21+",,,1197.1,1197.1,4
CPT,27740,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Age Under 21",,,1218.86,1218.86,4
CPT,27742,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur ",,,948.0,17510.0,266
CPT,27742,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur Age 21+",,,1197.1,1197.1,4
CPT,27742,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur Age Under 21",,,1218.86,1218.86,4
CPT,27745,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia ",,,948.0,21630.0,266
CPT,27745,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia Age 21+",,,3675.52,3675.52,4
CPT,27745,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia Age Under 21",,,3742.35,3742.35,4
CPT,27750,Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation ,,,84.04,5932.0,266
CPT,27750,Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation Age 21+,,,93.85,93.85,4
CPT,27750,Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation Age Under 21,,,95.56,95.56,4
CPT,27752,"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction ",,,584.14,5932.0,266
CPT,27752,"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction Age 21+",,,652.34,652.34,4
CPT,27752,"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction Age Under 21",,,664.2,664.2,4
CPT,27756,"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) ",,,948.0,16749.46,266
CPT,27756,"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age 21+",,,3434.79,3434.79,4
CPT,27756,"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age Under 21",,,3497.24,3497.24,4
CPT,27758,"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage ",,,948.0,33321.99,266
CPT,27758,"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage Age 21+",,,7470.9,7470.9,4
CPT,27758,"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage Age Under 21",,,7606.74,7606.74,4
CPT,27759,"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage ",,,948.0,33321.99,266
CPT,27759,"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage Age 21+",,,7296.21,7296.21,4
CPT,27759,"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage Age Under 21",,,7428.87,7428.87,4
CPT,27760,Closed treatment of medial malleolus fracture; without manipulation ,,,84.04,5932.0,266
CPT,27760,Closed treatment of medial malleolus fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,27760,Closed treatment of medial malleolus fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,27762,"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction ",,,584.14,5932.0,266
CPT,27762,"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age 21+",,,652.34,652.34,4
CPT,27762,"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21",,,664.2,664.2,4
CPT,27766,"Open treatment of medial malleolus fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,27766,"Open treatment of medial malleolus fracture, includes internal fixation, when performed Age 21+",,,2638.37,2638.37,4
CPT,27766,"Open treatment of medial malleolus fracture, includes internal fixation, when performed Age Under 21",,,2686.34,2686.34,4
CPT,27767,Closed treatment of posterior malleolus fracture; without manipulation ,,,84.04,5932.0,266
CPT,27767,Closed treatment of posterior malleolus fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,27767,Closed treatment of posterior malleolus fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,27768,Closed treatment of posterior malleolus fracture; with manipulation ,,,837.27,5932.0,266
CPT,27768,Closed treatment of posterior malleolus fracture; with manipulation Age 21+,,,935.02,935.02,4
CPT,27768,Closed treatment of posterior malleolus fracture; with manipulation Age Under 21,,,952.02,952.02,4
CPT,27769,"Open treatment of posterior malleolus fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,27769,"Open treatment of posterior malleolus fracture, includes internal fixation, when performed Age 21+",,,3434.79,3434.79,4
CPT,27769,"Open treatment of posterior malleolus fracture, includes internal fixation, when performed Age Under 21",,,3497.24,3497.24,4
CPT,27780,Closed treatment of proximal fibula or shaft fracture; without manipulation ,,,84.04,5932.0,266
CPT,27780,Closed treatment of proximal fibula or shaft fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,27780,Closed treatment of proximal fibula or shaft fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,27781,Closed treatment of proximal fibula or shaft fracture; with manipulation ,,,584.14,5932.0,266
CPT,27781,Closed treatment of proximal fibula or shaft fracture; with manipulation Age 21+,,,652.34,652.34,4
CPT,27781,Closed treatment of proximal fibula or shaft fracture; with manipulation Age Under 21,,,664.2,664.2,4
CPT,27784,"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,27784,"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age 21+",,,2638.37,2638.37,4
CPT,27784,"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21",,,2686.34,2686.34,4
CPT,27786,Closed treatment of distal fibular fracture (lateral malleolus); without manipulation ,,,84.04,5932.0,266
CPT,27786,Closed treatment of distal fibular fracture (lateral malleolus); without manipulation Age 21+,,,93.85,93.85,4
CPT,27786,Closed treatment of distal fibular fracture (lateral malleolus); without manipulation Age Under 21,,,95.56,95.56,4
CPT,27788,Closed treatment of distal fibular fracture (lateral malleolus); with manipulation ,,,84.04,5932.0,266
CPT,27788,Closed treatment of distal fibular fracture (lateral malleolus); with manipulation Age 21+,,,93.85,93.85,4
CPT,27788,Closed treatment of distal fibular fracture (lateral malleolus); with manipulation Age Under 21,,,95.56,95.56,4
CPT,27792,"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,27792,"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed Age 21+",,,3524.2,3524.2,4
CPT,27792,"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed Age Under 21",,,3588.28,3588.28,4
CPT,27808,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation ",,,84.04,5932.0,266
CPT,27808,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation Age 21+",,,93.85,93.85,4
CPT,27808,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation Age Under 21",,,95.56,95.56,4
CPT,27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation ",,,584.14,5932.0,266
CPT,27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation Age 21+",,,652.34,652.34,4
CPT,27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation Age Under 21",,,664.2,664.2,4
CPT,27814,"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,27814,"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed Age 21+",,,3543.98,3543.98,4
CPT,27814,"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed Age Unde",,,3608.42,3608.42,4
CPT,27816,Closed treatment of trimalleolar ankle fracture; without manipulation ,,,84.04,5932.0,266
CPT,27816,Closed treatment of trimalleolar ankle fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,27816,Closed treatment of trimalleolar ankle fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,27818,Closed treatment of trimalleolar ankle fracture; with manipulation ,,,584.14,5932.0,266
CPT,27818,Closed treatment of trimalleolar ankle fracture; with manipulation Age 21+,,,652.34,652.34,4
CPT,27818,Closed treatment of trimalleolar ankle fracture; with manipulation Age Under 21,,,664.2,664.2,4
CPT,27822,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip ",,,948.0,21630.0,266
CPT,27822,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip Age 21+",,,3547.07,3547.07,4
CPT,27822,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip Age Under 21",,,3611.56,3611.56,4
CPT,27823,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip ",,,948.0,21630.0,266
CPT,27823,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip Age 21+",,,3510.08,3510.08,4
CPT,27823,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip Age Under 21",,,3573.9,3573.9,4
CPT,27824,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation ",,,84.04,5932.0,266
CPT,27824,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation Age 21+",,,93.85,93.85,4
CPT,27824,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation Age Under 21",,,95.56,95.56,4
CPT,27825,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation ",,,584.14,6680.0,266
CPT,27825,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation Age 21+",,,652.34,652.34,4
CPT,27825,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation Age Und",,,664.2,664.2,4
CPT,27826,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only ",,,948.0,21630.0,266
CPT,27826,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only Age 21+",,,3514.18,3514.18,4
CPT,27826,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only Age Under 21",,,3578.08,3578.08,4
CPT,27827,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only ",,,948.0,33321.99,266
CPT,27827,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only Age 21+",,,7529.65,7529.65,4
CPT,27827,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only Age Under 21",,,7666.56,7666.56,4
CPT,27828,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula ",,,948.0,33321.99,266
CPT,27828,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula Age 21+",,,7479.14,7479.14,4
CPT,27828,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula Age Under 21",,,7615.13,7615.13,4
CPT,27829,"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,27829,"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age 21+",,,3577.89,3577.89,4
CPT,27829,"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age Under 21",,,3642.95,3642.95,4
CPT,27830,Closed treatment of proximal tibiofibular joint dislocation; without anesthesia ,,,84.04,5932.0,266
CPT,27830,Closed treatment of proximal tibiofibular joint dislocation; without anesthesia Age 21+,,,93.85,93.85,4
CPT,27830,Closed treatment of proximal tibiofibular joint dislocation; without anesthesia Age Under 21,,,95.56,95.56,4
CPT,27831,Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia ,,,948.0,7664.86,266
CPT,27831,Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Age 21+,,,1197.1,1197.1,4
CPT,27831,Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Age Under 21,,,1218.86,1218.86,4
CPT,27832,"Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula ",,,948.0,21630.0,266
CPT,27832,"Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula Age 21+",,,3648.55,3648.55,4
CPT,27832,"Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula Age Under 21",,,3714.88,3714.88,4
CPT,27840,Closed treatment of ankle dislocation; without anesthesia ,,,84.04,5932.0,266
CPT,27840,Closed treatment of ankle dislocation; without anesthesia Age 21+,,,93.85,93.85,4
CPT,27840,Closed treatment of ankle dislocation; without anesthesia Age Under 21,,,95.56,95.56,4
CPT,27842,"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation ",,,774.19,5932.0,266
CPT,27842,"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age 21+",,,864.58,864.58,4
CPT,27842,"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21",,,880.3,880.3,4
CPT,27846,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation ",,,948.0,21630.0,266
CPT,27846,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation Age 21+",,,2638.37,2638.37,4
CPT,27846,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation Age Under 21",,,2686.34,2686.34,4
CPT,27848,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation ",,,948.0,21630.0,266
CPT,27848,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation Age 21+",,,3466.65,3466.65,4
CPT,27848,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation Age Under 21",,,3529.68,3529.68,4
CPT,27860,Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) ,,,948.0,7664.86,266
CPT,27860,Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Age 21+,,,1197.1,1197.1,4
CPT,27860,Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Age Under 21,,,1218.86,1218.86,4
CPT,27870,"Arthrodesis, ankle, open ",,,948.0,33321.99,266
CPT,27870,"Arthrodesis, ankle, open Age 21+",,,7832.66,7832.66,4
CPT,27870,"Arthrodesis, ankle, open Age Under 21",,,7975.07,7975.07,4
CPT,27871,"Arthrodesis, tibiofibular joint, proximal or distal ",,,948.0,33321.99,266
CPT,27871,"Arthrodesis, tibiofibular joint, proximal or distal Age 21+",,,8152.67,8152.67,4
CPT,27871,"Arthrodesis, tibiofibular joint, proximal or distal Age Under 21",,,8300.9,8300.9,4
CPT,27880,"Amputation, leg, through tibia and fibula; ",,,948.0,25750.0,194
CPT,27881,"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast ",,,948.0,25655.0,194
CPT,27882,"Amputation, leg, through tibia and fibula; open, circular (guillotine) ",,,948.0,25655.0,194
CPT,27884,"Amputation, leg, through tibia and fibula; secondary closure or scar revision ",,,948.0,9908.0,266
CPT,27884,"Amputation, leg, through tibia and fibula; secondary closure or scar revision Age 21+",,,1197.1,1197.1,4
CPT,27884,"Amputation, leg, through tibia and fibula; secondary closure or scar revision Age Under 21",,,1218.86,1218.86,4
CPT,27886,"Amputation, leg, through tibia and fibula; re-amputation ",,,948.0,25655.0,194
CPT,27888,"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves ",,,948.0,25655.0,194
CPT,27889,Ankle disarticulation ,,,948.0,16749.46,266
CPT,27889,Ankle disarticulation Age 21+,,,2638.37,2638.37,4
CPT,27889,Ankle disarticulation Age Under 21,,,2686.34,2686.34,4
CPT,27892,"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve ",,,948.0,12360.0,266
CPT,27892,"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve Age 21+",,,1197.1,1197.1,4
CPT,27892,"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve Age Under 21",,,1218.86,1218.86,4
CPT,27893,"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve ",,,948.0,16749.46,266
CPT,27893,"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Age 21+",,,2638.37,2638.37,4
CPT,27893,"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Age Under 21",,,2686.34,2686.34,4
CPT,27894,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve ",,,948.0,12360.0,266
CPT,27894,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve Age 21+",,,1197.1,1197.1,4
CPT,27894,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve Age Under 21",,,1218.86,1218.86,4
CPT,27899,"Unlisted procedure, leg or ankle ",,,249.03,25655.0,239
CPT,28001,"Incision and drainage, bursa, foot ",,,81.26,25655.0,266
CPT,28001,"Incision and drainage, bursa, foot Age 21+",,,90.75,90.75,4
CPT,28001,"Incision and drainage, bursa, foot Age Under 21",,,92.4,92.4,4
CPT,28002,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space ",,,584.14,9908.0,266
CPT,28002,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age 21+",,,652.34,652.34,4
CPT,28002,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21",,,664.2,664.2,4
CPT,28003,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas ",,,948.0,9908.0,266
CPT,28003,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas Age 21+",,,1197.1,1197.1,4
CPT,28003,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas Age Under 21",,,1218.86,1218.86,4
CPT,28005,"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot ",,,948.0,9908.0,266
CPT,28005,"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot Age 21+",,,1197.1,1197.1,4
CPT,28005,"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot Age Under 21",,,1218.86,1218.86,4
CPT,28008,"Fasciotomy, foot and/or toe ",,,1071.95,9908.0,248
CPT,28008,"Fasciotomy, foot and/or toe Age 21+",,,1197.1,1197.1,4
CPT,28008,"Fasciotomy, foot and/or toe Age Under 21",,,1218.86,1218.86,4
CPT,28010,"Tenotomy, percutaneous, toe; single tendon ",,,98.99,25655.0,266
CPT,28010,"Tenotomy, percutaneous, toe; single tendon Age 21+",,,110.55,110.55,4
CPT,28010,"Tenotomy, percutaneous, toe; single tendon Age Under 21",,,112.56,112.56,4
CPT,28011,"Tenotomy, percutaneous, toe; multiple tendons ",,,584.14,9908.0,266
CPT,28011,"Tenotomy, percutaneous, toe; multiple tendons Age 21+",,,652.34,652.34,4
CPT,28011,"Tenotomy, percutaneous, toe; multiple tendons Age Under 21",,,664.2,664.2,4
CPT,28020,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint ",,,948.0,8858.0,266
CPT,28020,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint Age 21+",,,1197.1,1197.1,4
CPT,28020,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint Age Under 21",,,1218.86,1218.86,4
CPT,28022,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint ",,,948.0,8858.0,266
CPT,28022,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint Age 21+",,,1197.1,1197.1,4
CPT,28022,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint Age Under 21",,,1218.86,1218.86,4
CPT,28024,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint ",,,584.14,8858.0,266
CPT,28024,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint Age 21+",,,652.34,652.34,4
CPT,28024,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint Age Under 21",,,664.2,664.2,4
CPT,28030,REMOVAL OF FOOT NERVE ,,,2152.0,6587.0,34
CPT,28035,"Release, tarsal tunnel (posterior tibial nerve decompression) ",,,650.04,19415.0,266
CPT,28035,"Release, tarsal tunnel (posterior tibial nerve decompression) Age 21+",,,725.93,725.93,4
CPT,28035,"Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21",,,739.13,739.13,4
CPT,28039,"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater ",,,802.97,8858.0,266
CPT,28039,"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater Age 21+",,,896.72,896.72,4
CPT,28039,"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,28041,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater ",,,802.97,9908.0,266
CPT,28041,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater Age 21+",,,896.72,896.72,4
CPT,28041,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater Age Under 21",,,913.02,913.02,4
CPT,28043,"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm ",,,479.15,6680.0,266
CPT,28043,"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm Age 21+",,,535.1,535.1,4
CPT,28043,"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm Age Under 21",,,544.82,544.82,4
CPT,28045,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm ",,,802.97,9908.0,266
CPT,28045,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm Age 21+",,,896.72,896.72,4
CPT,28045,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm Age Under 21",,,913.02,913.02,4
CPT,28046,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm ",,,802.97,9908.0,266
CPT,28046,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Age 21+",,,896.72,896.72,4
CPT,28046,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Age Under 21",,,913.02,913.02,4
CPT,28047,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater ",,,802.97,12499.0,266
CPT,28047,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Age 21+",,,896.72,896.72,4
CPT,28047,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Age Under 21",,,913.02,913.02,4
CPT,28050,Arthrotomy with biopsy; intertarsal or tarsometatarsal joint ,,,948.0,8858.0,266
CPT,28050,Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Age 21+,,,1197.1,1197.1,4
CPT,28050,Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Age Under 21,,,1218.86,1218.86,4
CPT,28052,Arthrotomy with biopsy; metatarsophalangeal joint ,,,948.0,8858.0,266
CPT,28052,Arthrotomy with biopsy; metatarsophalangeal joint Age 21+,,,1197.1,1197.1,4
CPT,28052,Arthrotomy with biopsy; metatarsophalangeal joint Age Under 21,,,1218.86,1218.86,4
CPT,28054,Arthrotomy with biopsy; interphalangeal joint ,,,948.0,8858.0,266
CPT,28054,Arthrotomy with biopsy; interphalangeal joint Age 21+,,,1197.1,1197.1,4
CPT,28054,Arthrotomy with biopsy; interphalangeal joint Age Under 21,,,1218.86,1218.86,4
CPT,28055,"Neurectomy, intrinsic musculature of foot ",,,650.04,19415.0,266
CPT,28055,"Neurectomy, intrinsic musculature of foot Age 21+",,,725.93,725.93,4
CPT,28055,"Neurectomy, intrinsic musculature of foot Age Under 21",,,739.13,739.13,4
CPT,28060,"Fasciectomy, plantar fascia; partial (separate procedure) ",,,948.0,8858.0,266
CPT,28060,"Fasciectomy, plantar fascia; partial (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,28060,"Fasciectomy, plantar fascia; partial (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28062,"Fasciectomy, plantar fascia; radical (separate procedure) ",,,948.0,9908.0,266
CPT,28062,"Fasciectomy, plantar fascia; radical (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,28062,"Fasciectomy, plantar fascia; radical (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28070,"Synovectomy; intertarsal or tarsometatarsal joint, each ",,,948.0,16749.46,266
CPT,28070,"Synovectomy; intertarsal or tarsometatarsal joint, each Age 21+",,,2638.37,2638.37,4
CPT,28070,"Synovectomy; intertarsal or tarsometatarsal joint, each Age Under 21",,,2686.34,2686.34,4
CPT,28072,"Synovectomy; metatarsophalangeal joint, each ",,,948.0,9908.0,266
CPT,28072,"Synovectomy; metatarsophalangeal joint, each Age 21+",,,1197.1,1197.1,4
CPT,28072,"Synovectomy; metatarsophalangeal joint, each Age Under 21",,,1218.86,1218.86,4
CPT,28080,"Excision, interdigital (Morton) neuroma, single, each ",,,584.14,9908.0,266
CPT,28080,"Excision, interdigital (Morton) neuroma, single, each Age 21+",,,652.34,652.34,4
CPT,28080,"Excision, interdigital (Morton) neuroma, single, each Age Under 21",,,664.2,664.2,4
CPT,28086,"Synovectomy, tendon sheath, foot; flexor ",,,948.0,8858.0,266
CPT,28086,"Synovectomy, tendon sheath, foot; flexor Age 21+",,,1197.1,1197.1,4
CPT,28086,"Synovectomy, tendon sheath, foot; flexor Age Under 21",,,1218.86,1218.86,4
CPT,28088,"Synovectomy, tendon sheath, foot; extensor ",,,948.0,8858.0,266
CPT,28088,"Synovectomy, tendon sheath, foot; extensor Age 21+",,,1197.1,1197.1,4
CPT,28088,"Synovectomy, tendon sheath, foot; extensor Age Under 21",,,1218.86,1218.86,4
CPT,28090,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot ",,,584.14,9908.0,266
CPT,28090,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot Age 21+",,,652.34,652.34,4
CPT,28090,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot Age Under 21",,,664.2,664.2,4
CPT,28092,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each ",,,584.14,9908.0,266
CPT,28092,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each Age 21+",,,652.34,652.34,4
CPT,28092,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each Age Under 21",,,664.2,664.2,4
CPT,28100,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; ",,,948.0,8858.0,266
CPT,28100,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age 21+",,,1197.1,1197.1,4
CPT,28100,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21",,,1218.86,1218.86,4
CPT,28102,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) ",,,948.0,21630.0,266
CPT,28102,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) Age 21+",,,3434.79,3434.79,4
CPT,28102,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) Age Under 21",,,3497.24,3497.24,4
CPT,28103,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft ",,,948.0,21630.0,266
CPT,28103,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Age 21+",,,3738.21,3738.21,4
CPT,28103,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Age Under 21",,,3806.17,3806.17,4
CPT,28104,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; ",,,948.0,8858.0,266
CPT,28104,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age 21+",,,1197.1,1197.1,4
CPT,28104,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21",,,1218.86,1218.86,4
CPT,28106,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) ",,,948.0,21630.0,266
CPT,28106,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) Age 21+",,,2638.37,2638.37,4
CPT,28106,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) Age Under 21",,,2686.34,2686.34,4
CPT,28107,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft ",,,948.0,21630.0,266
CPT,28107,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft Age 21+",,,3663.45,3663.45,4
CPT,28107,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft Age Under 21",,,3730.06,3730.06,4
CPT,28108,"Excision or curettage of bone cyst or benign tumor, phalanges of foot ",,,584.14,8858.0,266
CPT,28108,"Excision or curettage of bone cyst or benign tumor, phalanges of foot Age 21+",,,652.34,652.34,4
CPT,28108,"Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21",,,664.2,664.2,4
CPT,28110,"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) ",,,948.0,9908.0,266
CPT,28110,"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,28110,"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28111,"Ostectomy, complete excision; first metatarsal head ",,,948.0,9908.0,266
CPT,28111,"Ostectomy, complete excision; first metatarsal head Age 21+",,,1197.1,1197.1,4
CPT,28111,"Ostectomy, complete excision; first metatarsal head Age Under 21",,,1218.86,1218.86,4
CPT,28112,"Ostectomy, complete excision; other metatarsal head (second, third or fourth) ",,,948.0,9908.0,266
CPT,28112,"Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age 21+",,,1197.1,1197.1,4
CPT,28112,"Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21",,,1218.86,1218.86,4
CPT,28113,"Ostectomy, complete excision; fifth metatarsal head ",,,948.0,9908.0,266
CPT,28113,"Ostectomy, complete excision; fifth metatarsal head Age 21+",,,1197.1,1197.1,4
CPT,28113,"Ostectomy, complete excision; fifth metatarsal head Age Under 21",,,1218.86,1218.86,4
CPT,28114,"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) ",,,948.0,9908.0,266
CPT,28114,"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) Age 21+",,,1197.1,1197.1,4
CPT,28114,"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28116,"Ostectomy, excision of tarsal coalition ",,,948.0,9908.0,266
CPT,28116,"Ostectomy, excision of tarsal coalition Age 21+",,,1197.1,1197.1,4
CPT,28116,"Ostectomy, excision of tarsal coalition Age Under 21",,,1218.86,1218.86,4
CPT,28118,"Ostectomy, calcaneus; ",,,948.0,19415.0,266
CPT,28118,"Ostectomy, calcaneus; Age 21+",,,1197.1,1197.1,4
CPT,28118,"Ostectomy, calcaneus; Age Under 21",,,1218.86,1218.86,4
CPT,28119,"Ostectomy, calcaneus; for spur, with or without plantar fascial release ",,,948.0,19415.0,266
CPT,28119,"Ostectomy, calcaneus; for spur, with or without plantar fascial release Age 21+",,,1197.1,1197.1,4
CPT,28119,"Ostectomy, calcaneus; for spur, with or without plantar fascial release Age Under 21",,,1218.86,1218.86,4
CPT,28120,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus ",,,948.0,23113.0,266
CPT,28120,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus Age 21+",,,1197.1,1197.1,4
CPT,28120,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus Age Under 21",,,1218.86,1218.86,4
CPT,28122,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus ",,,948.0,9908.0,266
CPT,28122,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus Age 21+",,,1197.1,1197.1,4
CPT,28122,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus Age Under 21",,,1218.86,1218.86,4
CPT,28124,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe ",,,234.79,8858.0,266
CPT,28124,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe Age 21+",,,262.21,262.21,4
CPT,28124,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe Age Under 21",,,266.97,266.97,4
CPT,28126,"Resection, partial or complete, phalangeal base, each toe ",,,948.0,9908.0,266
CPT,28126,"Resection, partial or complete, phalangeal base, each toe Age 21+",,,1197.1,1197.1,4
CPT,28126,"Resection, partial or complete, phalangeal base, each toe Age Under 21",,,1218.86,1218.86,4
CPT,28130,Talectomy (astragalectomy) ,,,948.0,16749.46,266
CPT,28130,Talectomy (astragalectomy) Age 21+,,,3511.35,3511.35,4
CPT,28130,Talectomy (astragalectomy) Age Under 21,,,3575.2,3575.2,4
CPT,28140,Metatarsectomy ,,,948.0,9908.0,266
CPT,28140,Metatarsectomy Age 21+,,,1197.1,1197.1,4
CPT,28140,Metatarsectomy Age Under 21,,,1218.86,1218.86,4
CPT,28150,"Phalangectomy, toe, each toe ",,,948.0,9908.0,266
CPT,28150,"Phalangectomy, toe, each toe Age 21+",,,1197.1,1197.1,4
CPT,28150,"Phalangectomy, toe, each toe Age Under 21",,,1218.86,1218.86,4
CPT,28153,"Resection, condyle(s), distal end of phalanx, each toe ",,,948.0,9908.0,266
CPT,28153,"Resection, condyle(s), distal end of phalanx, each toe Age 21+",,,1197.1,1197.1,4
CPT,28153,"Resection, condyle(s), distal end of phalanx, each toe Age Under 21",,,1218.86,1218.86,4
CPT,28160,"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each ",,,948.0,9908.0,266
CPT,28160,"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Age 21+",,,1197.1,1197.1,4
CPT,28160,"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Age Under 21",,,1218.86,1218.86,4
CPT,28171,Radical resection of tumor; tarsal (except talus or calcaneus) ,,,948.0,9908.0,266
CPT,28171,Radical resection of tumor; tarsal (except talus or calcaneus) Age 21+,,,1197.1,1197.1,4
CPT,28171,Radical resection of tumor; tarsal (except talus or calcaneus) Age Under 21,,,1218.86,1218.86,4
CPT,28173,Radical resection of tumor; metatarsal ,,,948.0,9908.0,266
CPT,28173,Radical resection of tumor; metatarsal Age 21+,,,1197.1,1197.1,4
CPT,28173,Radical resection of tumor; metatarsal Age Under 21,,,1218.86,1218.86,4
CPT,28175,Radical resection of tumor; phalanx of toe ,,,584.14,9908.0,266
CPT,28175,Radical resection of tumor; phalanx of toe Age 21+,,,652.34,652.34,4
CPT,28175,Radical resection of tumor; phalanx of toe Age Under 21,,,664.2,664.2,4
CPT,28190,"Removal of foreign body, foot; subcutaneous ",,,136.9,6680.0,266
CPT,28190,"Removal of foreign body, foot; subcutaneous Age 21+",,,152.88,152.88,4
CPT,28190,"Removal of foreign body, foot; subcutaneous Age Under 21",,,155.66,155.66,4
CPT,28192,"Removal of foreign body, foot; deep ",,,479.15,6680.0,266
CPT,28192,"Removal of foreign body, foot; deep Age 21+",,,535.1,535.1,4
CPT,28192,"Removal of foreign body, foot; deep Age Under 21",,,544.82,544.82,4
CPT,28193,"Removal of foreign body, foot; complicated ",,,479.15,19415.0,266
CPT,28193,"Removal of foreign body, foot; complicated Age 21+",,,535.1,535.1,4
CPT,28193,"Removal of foreign body, foot; complicated Age Under 21",,,544.82,544.82,4
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon ",,,1071.95,9908.0,248
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age 21+",,,1197.1,1197.1,4
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) ",,,2369.0,16749.46,248
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Age 21+",,,3416.56,3416.56,4
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21",,,3478.68,3478.68,4
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon ",,,1071.95,9908.0,248
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon Age 21+",,,1197.1,1197.1,4
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21",,,1218.86,1218.86,4
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) ",,,2369.0,21630.0,248
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Age 21+",,,3472.05,3472.05,4
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21",,,3535.18,3535.18,4
CPT,28220,"Tenolysis, flexor, foot; single tendon ",,,223.61,25655.0,248
CPT,28220,"Tenolysis, flexor, foot; single tendon Age 21+",,,249.72,249.72,4
CPT,28220,"Tenolysis, flexor, foot; single tendon Age Under 21",,,254.26,254.26,4
CPT,28222,"Tenolysis, flexor, foot; multiple tendons ",,,1071.95,8858.0,248
CPT,28222,"Tenolysis, flexor, foot; multiple tendons Age 21+",,,1197.1,1197.1,4
CPT,28222,"Tenolysis, flexor, foot; multiple tendons Age Under 21",,,1218.86,1218.86,4
CPT,28225,"Tenolysis, extensor, foot; single tendon ",,,1071.95,8858.0,248
CPT,28225,"Tenolysis, extensor, foot; single tendon Age 21+",,,1197.1,1197.1,4
CPT,28225,"Tenolysis, extensor, foot; single tendon Age Under 21",,,1218.86,1218.86,4
CPT,28226,"Tenolysis, extensor, foot; multiple tendons ",,,1071.95,8858.0,248
CPT,28226,"Tenolysis, extensor, foot; multiple tendons Age 21+",,,1197.1,1197.1,4
CPT,28226,"Tenolysis, extensor, foot; multiple tendons Age Under 21",,,1218.86,1218.86,4
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) ",,,218.43,25655.0,248
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) Age 21+",,,243.94,243.94,4
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) Age Under 21",,,248.37,248.37,4
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) ",,,200.7,25655.0,248
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age 21+",,,224.14,224.14,4
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21",,,228.21,228.21,4
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon ",,,584.14,8858.0,248
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon Age 21+",,,652.34,652.34,4
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon Age Under 21",,,664.2,664.2,4
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) ",,,2362.54,21630.0,248
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) Age 21+",,,2638.37,2638.37,4
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) Age Under 21",,,2686.34,2686.34,4
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle ",,,1071.95,8858.0,248
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle Age 21+",,,1197.1,1197.1,4
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle Age Under 21",,,1218.86,1218.86,4
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) ",,,1071.95,9908.0,248
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) ",,,1071.95,9908.0,248
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening ",,,584.14,9908.0,248
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening Age 21+",,,652.34,652.34,4
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening Age Under 21",,,664.2,664.2,4
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) ",,,2362.54,19415.0,248
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) Age 21+",,,2638.37,2638.37,4
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) Age Under 21",,,2686.34,2686.34,4
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) ",,,584.14,17510.0,248
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) Age 21+",,,652.34,652.34,4
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) Age Under 21",,,664.2,664.2,4
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) ",,,1071.95,9908.0,248
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) ",,,193.35,25655.0,248
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) Age 21+",,,215.92,215.92,4
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21",,,219.84,219.84,4
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) ",,,1071.95,8858.0,248
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) Age 21+",,,1197.1,1197.1,4
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) ",,,1071.95,9908.0,248
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) Age 21+",,,1197.1,1197.1,4
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) Age Under 21",,,1218.86,1218.86,4
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) ",,,1071.95,19415.0,248
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) Age 21+",,,1197.1,1197.1,4
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head ",,,1071.95,9908.0,248
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age 21+",,,1197.1,1197.1,4
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21",,,1218.86,1218.86,4
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant ",,,1071.95,9908.0,248
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant Age 21+",,,1197.1,1197.1,4
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant Age Under 21",,,1218.86,1218.86,4
CPT,28290,CORRECTION OF BUNION ,,,2369.0,7168.0,47
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant ",,,2152.0,25655.0,248
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant Age 21+",,,3986.38,3986.38,4
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant Age Under 21",,,4058.86,4058.86,4
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method ",,,1071.95,12360.0,248
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method Age 21+",,,1197.1,1197.1,4
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method Age Under 21",,,1218.86,1218.86,4
CPT,28293,CORRECTION OF BUNION ,,,2369.0,7168.0,47
CPT,28294,CORRECTION OF BUNION ,,,2369.0,7168.0,47
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method ",,,1071.95,12360.0,248
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method Age 21+",,,1197.1,1197.1,4
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method Age Under 21",,,1218.86,1218.86,4
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method ",,,1071.95,12360.0,248
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method Age 21+",,,1197.1,1197.1,4
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method Age Under 21",,,1218.86,1218.86,4
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method ",,,2369.0,16749.46,248
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method Age 21+",,,3859.22,3859.22,4
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method Age Under 21",,,3929.39,3929.39,4
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method ",,,2369.0,16749.46,248
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method Age 21+",,,3413.48,3413.48,4
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method Age Under 21",,,3475.54,3475.54,4
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method ",,,2369.0,18490.0,248
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age 21+",,,3445.84,3445.84,4
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age Under 21",,,3508.49,3508.49,4
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation ",,,2369.0,21630.0,248
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age 21+",,,3721.0,3721.0,4
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21",,,3788.66,3788.66,4
CPT,28302,Osteotomy; talus ,,,2369.0,16749.46,248
CPT,28302,Osteotomy; talus Age 21+,,,3434.79,3434.79,4
CPT,28302,Osteotomy; talus Age Under 21,,,3497.24,3497.24,4
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; ",,,2362.54,21630.0,248
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; Age 21+",,,2638.37,2638.37,4
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; Age Under 21",,,2686.34,2686.34,4
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) ",,,2369.0,21630.0,248
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) Age 21+",,,3793.19,3793.19,4
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) Age Under 21",,,3862.15,3862.15,4
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal ",,,2362.54,19415.0,248
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age 21+",,,2638.37,2638.37,4
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age Under 21",,,2686.34,2686.34,4
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) ",,,2362.54,19415.0,248
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) Age 21+",,,2638.37,2638.37,4
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) Age Under 21",,,2686.34,2686.34,4
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each ",,,1071.95,8858.0,248
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each Age 21+",,,1197.1,1197.1,4
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each Age Under 21",,,1218.86,1218.86,4
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) ",,,2369.0,21630.0,248
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) Age 21+",,,3580.21,3580.21,4
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) Age Under 21",,,3645.31,3645.31,4
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) ",,,2362.54,16749.46,248
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age 21+",,,2638.37,2638.37,4
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age Under 21",,,2686.34,2686.34,4
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe ",,,1071.95,9908.0,248
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Age 21+",,,1197.1,1197.1,4
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Age Under 21",,,1218.86,1218.86,4
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) ",,,1071.95,8858.0,248
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) Age 21+",,,1197.1,1197.1,4
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) Age Under 21",,,1218.86,1218.86,4
CPT,28315,"Sesamoidectomy, first toe (separate procedure) ",,,1071.95,19415.0,248
CPT,28315,"Sesamoidectomy, first toe (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,28315,"Sesamoidectomy, first toe (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,28320,"Repair, nonunion or malunion; tarsal bones ",,,2369.0,33321.99,248
CPT,28320,"Repair, nonunion or malunion; tarsal bones Age 21+",,,7765.67,7765.67,4
CPT,28320,"Repair, nonunion or malunion; tarsal bones Age Under 21",,,7906.86,7906.86,4
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) ",,,2369.0,19415.0,248
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age 21+",,,3670.38,3670.38,4
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21",,,3737.12,3737.12,4
CPT,28340,"Reconstruction, toe, macrodactyly; soft tissue resection ",,,2369.0,19415.0,221
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection ",,,1071.95,19415.0,248
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection Age 21+",,,1197.1,1197.1,4
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection Age Under 21",,,1218.86,1218.86,4
CPT,28344,"Reconstruction, toe(s); polydactyly ",,,1071.95,19415.0,248
CPT,28344,"Reconstruction, toe(s); polydactyly Age 21+",,,1197.1,1197.1,4
CPT,28344,"Reconstruction, toe(s); polydactyly Age Under 21",,,1218.86,1218.86,4
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web ",,,584.14,19415.0,248
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web Age 21+",,,652.34,652.34,4
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web Age Under 21",,,664.2,664.2,4
CPT,28360,"Reconstruction, cleft foot ",,,2369.0,25655.0,177
CPT,28400,Closed treatment of calcaneal fracture; without manipulation ,,,84.04,5932.0,266
CPT,28400,Closed treatment of calcaneal fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,28400,Closed treatment of calcaneal fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,28405,Closed treatment of calcaneal fracture; with manipulation ,,,84.04,6680.0,266
CPT,28405,Closed treatment of calcaneal fracture; with manipulation Age 21+,,,93.85,93.85,4
CPT,28405,Closed treatment of calcaneal fracture; with manipulation Age Under 21,,,95.56,95.56,4
CPT,28406,"Percutaneous skeletal fixation of calcaneal fracture, with manipulation ",,,948.0,16749.46,266
CPT,28406,"Percutaneous skeletal fixation of calcaneal fracture, with manipulation Age 21+",,,2638.37,2638.37,4
CPT,28406,"Percutaneous skeletal fixation of calcaneal fracture, with manipulation Age Under 21",,,2686.34,2686.34,4
CPT,28415,"Open treatment of calcaneal fracture, includes internal fixation, when performed; ",,,948.0,21630.0,266
CPT,28415,"Open treatment of calcaneal fracture, includes internal fixation, when performed; Age 21+",,,3719.97,3719.97,4
CPT,28415,"Open treatment of calcaneal fracture, includes internal fixation, when performed; Age Under 21",,,3787.6,3787.6,4
CPT,28420,"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) ",,,948.0,33321.99,266
CPT,28420,"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) Age 21+",,,7303.42,7303.42,4
CPT,28420,"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) Age Under 21",,,7436.21,7436.21,4
CPT,28430,Closed treatment of talus fracture; without manipulation ,,,84.04,5932.0,266
CPT,28430,Closed treatment of talus fracture; without manipulation Age 21+,,,93.85,93.85,4
CPT,28430,Closed treatment of talus fracture; without manipulation Age Under 21,,,95.56,95.56,4
CPT,28435,Closed treatment of talus fracture; with manipulation ,,,584.14,6680.0,266
CPT,28435,Closed treatment of talus fracture; with manipulation Age 21+,,,652.34,652.34,4
CPT,28435,Closed treatment of talus fracture; with manipulation Age Under 21,,,664.2,664.2,4
CPT,28436,"Percutaneous skeletal fixation of talus fracture, with manipulation ",,,948.0,16749.46,266
CPT,28436,"Percutaneous skeletal fixation of talus fracture, with manipulation Age 21+",,,3434.79,3434.79,4
CPT,28436,"Percutaneous skeletal fixation of talus fracture, with manipulation Age Under 21",,,3497.24,3497.24,4
CPT,28445,"Open treatment of talus fracture, includes internal fixation, when performed ",,,948.0,21630.0,266
CPT,28445,"Open treatment of talus fracture, includes internal fixation, when performed Age 21+",,,3697.87,3697.87,4
CPT,28445,"Open treatment of talus fracture, includes internal fixation, when performed Age Under 21",,,3765.1,3765.1,4
CPT,28446,"Open osteochondral autograft, talus (includes obtaining graftºs») ",,,948.0,21630.0,266
CPT,28446,"Open osteochondral autograft, talus (includes obtaining graftºs») Age 21+",,,3434.79,3434.79,4
CPT,28446,"Open osteochondral autograft, talus (includes obtaining graftºs») Age Under 21",,,3497.24,3497.24,4
CPT,28450,"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each ",,,84.04,5932.0,266
CPT,28450,"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each Age 21+",,,93.85,93.85,4
CPT,28450,"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each Age Under 21",,,95.56,95.56,4
CPT,28455,"Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each ",,,137.17,5932.0,266
CPT,28455,"Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each Age 21+",,,153.19,153.19,4
CPT,28455,"Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each Age Under 21",,,155.97,155.97,4
CPT,28456,"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each ",,,948.0,16749.46,239
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each ",,,1995.0,21630.0,251
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each Age 21+",,,3488.75,3488.75,4
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each Age Under 21",,,3552.18,3552.18,4
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each ",,,84.04,5932.0,251
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each Age 21+",,,93.85,93.85,4
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each Age Under 21",,,95.56,95.56,4
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each ",,,84.04,5932.0,251
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each Age 21+",,,93.85,93.85,4
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each Age Under 21",,,95.56,95.56,4
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each ",,,1071.95,8858.0,251
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age 21+",,,1197.1,1197.1,4
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21",,,1218.86,1218.86,4
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each ",,,1995.0,21630.0,251
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each Age 21+",,,3549.9,3549.9,4
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each Age Under 21",,,3614.44,3614.44,4
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation ",,,77.99,5932.0,251
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation Age 21+",,,87.1,87.1,4
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation Age Under 21",,,88.68,88.68,4
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation ",,,84.04,5932.0,251
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation Age 21+",,,93.85,93.85,4
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation Age Under 21",,,95.56,95.56,4
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation ",,,1071.95,8858.0,251
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age 21+",,,1197.1,1197.1,4
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21",,,1218.86,1218.86,4
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed ",,,1071.95,9908.0,251
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age 21+",,,1197.1,1197.1,4
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21",,,1218.86,1218.86,4
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each ",,,61.91,5932.0,251
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each Age 21+",,,69.14,69.14,4
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each Age Under 21",,,70.39,70.39,4
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each ",,,84.04,5932.0,251
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each Age 21+",,,93.85,93.85,4
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each Age Under 21",,,95.56,95.56,4
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each ",,,1071.95,9908.0,251
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each Age 21+",,,1197.1,1197.1,4
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each Age Under 21",,,1218.86,1218.86,4
CPT,28530,Closed treatment of sesamoid fracture ,,,249.03,5932.0,224
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation ",,,1995.0,16749.46,251
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation Age 21+",,,2638.37,2638.37,4
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation Age Under 21",,,2686.34,2686.34,4
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia ",,,84.04,5932.0,251
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia Age 21+",,,93.85,93.85,4
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia Age Under 21",,,95.56,95.56,4
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia ",,,1071.95,8858.0,251
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia Age 21+",,,1197.1,1197.1,4
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia Age Under 21",,,1218.86,1218.86,4
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation ",,,584.14,8858.0,251
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Age 21+",,,652.34,652.34,4
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Age Under 21",,,664.2,664.2,4
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed ",,,1995.0,21630.0,251
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed Age 21+",,,3498.0,3498.0,4
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed Age Under 21",,,3561.6,3561.6,4
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia ,,,84.04,5932.0,251
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia Age 21+,,,93.85,93.85,4
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia Age Under 21,,,95.56,95.56,4
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia ,,,1071.95,7664.86,251
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia Age 21+,,,1197.1,1197.1,4
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21,,,1218.86,1218.86,4
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation ",,,1995.0,16749.46,251
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation Age 21+",,,2638.37,2638.37,4
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation Age Under 21",,,2686.34,2686.34,4
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed ",,,1995.0,16749.46,251
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Age 21+",,,3779.58,3779.58,4
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Age Under 21",,,3848.3,3848.3,4
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia ,,,84.04,5932.0,251
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia Age 21+,,,93.85,93.85,4
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia Age Under 21,,,95.56,95.56,4
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia ,,,84.04,5932.0,251
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia Age 21+,,,93.85,93.85,4
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia Age Under 21,,,95.56,95.56,4
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation ",,,1071.95,8858.0,251
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Age 21+",,,1197.1,1197.1,4
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Age Under 21",,,1218.86,1218.86,4
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed ",,,1995.0,21630.0,251
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed Age 21+",,,3610.78,3610.78,4
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed Age Under 21",,,3676.43,3676.43,4
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia ,,,69.54,5932.0,251
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia Age 21+,,,77.66,77.66,4
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia Age Under 21,,,79.07,79.07,4
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia ,,,584.14,5932.0,251
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia Age 21+,,,652.34,652.34,4
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia Age Under 21,,,664.2,664.2,4
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation ",,,1071.95,9908.0,251
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Age 21+",,,1197.1,1197.1,4
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Age Under 21",,,1218.86,1218.86,4
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed ",,,1071.95,9908.0,251
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Age 21+",,,1197.1,1197.1,4
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Age Under 21",,,1218.86,1218.86,4
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia ,,,58.36,5932.0,251
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia Age 21+,,,65.18,65.18,4
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia Age Under 21,,,66.36,66.36,4
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia ,,,98.36,5932.0,251
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia Age 21+,,,109.85,109.85,4
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia Age Under 21,,,111.84,111.84,4
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation ",,,1071.95,9908.0,251
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation Age 21+",,,1197.1,1197.1,4
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation Age Under 21",,,1218.86,1218.86,4
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed ",,,1071.95,9908.0,251
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed Age 21+",,,1197.1,1197.1,4
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed Age Under 21",,,1218.86,1218.86,4
CPT,28705,Arthrodesis; pantalar ,,,1995.0,44649.02,251
CPT,28705,Arthrodesis; pantalar Age 21+,,,10884.42,10884.42,4
CPT,28705,Arthrodesis; pantalar Age Under 21,,,11082.32,11082.32,4
CPT,28715,Arthrodesis; triple ,,,1995.0,33321.99,251
CPT,28715,Arthrodesis; triple Age 21+,,,8085.16,8085.16,4
CPT,28715,Arthrodesis; triple Age Under 21,,,8232.17,8232.17,4
CPT,28725,Arthrodesis; subtalar ,,,1995.0,33321.99,251
CPT,28725,Arthrodesis; subtalar Age 21+,,,7648.69,7648.69,4
CPT,28725,Arthrodesis; subtalar Age Under 21,,,7787.75,7787.75,4
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; ",,,1995.0,33321.99,251
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Age 21+",,,8120.21,8120.21,4
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Age Under 21",,,8267.85,8267.85,4
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) ",,,1995.0,33321.99,251
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Age 21+",,,8256.25,8256.25,4
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Age Under 21",,,8406.36,8406.36,4
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) ",,,1995.0,33321.99,251
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) Age 21+",,,8039.81,8039.81,4
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) Age Under 21",,,8185.99,8185.99,4
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint ",,,1995.0,21630.0,251
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint Age 21+",,,3960.19,3960.19,4
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21",,,4032.19,4032.19,4
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint ",,,1995.0,21630.0,251
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint Age 21+",,,3818.63,3818.63,4
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint Age Under 21",,,3888.06,3888.06,4
CPT,28755,"Arthrodesis, great toe; interphalangeal joint ",,,948.0,19415.0,266
CPT,28755,"Arthrodesis, great toe; interphalangeal joint Age 21+",,,2638.37,2638.37,4
CPT,28755,"Arthrodesis, great toe; interphalangeal joint Age Under 21",,,2686.34,2686.34,4
CPT,28760,"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) ",,,948.0,21630.0,266
CPT,28760,"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) Age 21+",,,3434.79,3434.79,4
CPT,28760,"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) Age Under 21",,,3497.24,3497.24,4
CPT,28800,"Amputation, foot; midtarsal (eg, Chopart type procedure) ",,,948.0,25655.0,198
CPT,28805,"Amputation, foot; transmetatarsal ",,,948.0,25655.0,199
CPT,28810,"Amputation, metatarsal, with toe, single ",,,948.0,10292.0,226
CPT,28810,"Amputation, metatarsal, with toe, single Age 21+",,,1197.1,1197.1,4
CPT,28810,"Amputation, metatarsal, with toe, single Age Under 21",,,1218.86,1218.86,4
CPT,28820,"Amputation, toe; metatarsophalangeal joint ",,,948.0,8858.0,266
CPT,28820,"Amputation, toe; metatarsophalangeal joint Age 21+",,,1197.1,1197.1,4
CPT,28820,"Amputation, toe; metatarsophalangeal joint Age Under 21",,,1218.86,1218.86,4
CPT,28825,"Amputation, toe; interphalangeal joint ",,,948.0,10292.0,226
CPT,28825,"Amputation, toe; interphalangeal joint Age 21+",,,1197.1,1197.1,4
CPT,28825,"Amputation, toe; interphalangeal joint Age Under 21",,,1218.86,1218.86,4
CPT,28890,"Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guidance, involving the planta",,,948.0,25655.0,239
CPT,28899,"Unlisted procedure, foot or toes ",,,249.03,25655.0,239
CPT,29000,Application of halo type body cast (see 20661-20663 for insertion) ,,,98.36,3092.0,222
CPT,29000,Application of halo type body cast (see 20661-20663 for insertion) Age 21+,,,109.85,109.85,4
CPT,29000,Application of halo type body cast (see 20661-20663 for insertion) Age Under 21,,,111.84,111.84,4
CPT,29010,"Application of Risser jacket, localizer, body; only ",,,98.36,2636.0,222
CPT,29010,"Application of Risser jacket, localizer, body; only Age 21+",,,109.85,109.85,4
CPT,29010,"Application of Risser jacket, localizer, body; only Age Under 21",,,111.84,111.84,4
CPT,29015,"Application of Risser jacket, localizer, body; including head ",,,98.36,2636.0,222
CPT,29015,"Application of Risser jacket, localizer, body; including head Age 21+",,,109.85,109.85,4
CPT,29015,"Application of Risser jacket, localizer, body; including head Age Under 21",,,111.84,111.84,4
CPT,29020,APPLICATION OF BODY CAST ,,,2152.0,6587.0,34
CPT,29025,APPLICATION OF BODY CAST ,,,2152.0,6587.0,34
CPT,29035,"Application of body cast, shoulder to hips; ",,,98.36,2636.0,222
CPT,29035,"Application of body cast, shoulder to hips; Age 21+",,,109.85,109.85,4
CPT,29035,"Application of body cast, shoulder to hips; Age Under 21",,,111.84,111.84,4
CPT,29040,"Application of body cast, shoulder to hips; including head, Minerva type ",,,98.36,2636.0,222
CPT,29040,"Application of body cast, shoulder to hips; including head, Minerva type Age 21+",,,109.85,109.85,4
CPT,29040,"Application of body cast, shoulder to hips; including head, Minerva type Age Under 21",,,111.84,111.84,4
CPT,29044,"Application of body cast, shoulder to hips; including 1 thigh ",,,57.6,2636.0,222
CPT,29044,"Application of body cast, shoulder to hips; including 1 thigh Age 21+",,,64.33,64.33,4
CPT,29044,"Application of body cast, shoulder to hips; including 1 thigh Age Under 21",,,65.5,65.5,4
CPT,29046,"Application of body cast, shoulder to hips; including both thighs ",,,98.36,2636.0,222
CPT,29046,"Application of body cast, shoulder to hips; including both thighs Age 21+",,,109.85,109.85,4
CPT,29046,"Application of body cast, shoulder to hips; including both thighs Age Under 21",,,111.84,111.84,4
CPT,29049,"Application, cast; figure-of-eight ",,,49.9,2636.0,222
CPT,29049,"Application, cast; figure-of-eight Age 21+",,,55.73,55.73,4
CPT,29049,"Application, cast; figure-of-eight Age Under 21",,,56.74,56.74,4
CPT,29055,"Application, cast; shoulder spica ",,,98.36,2636.0,222
CPT,29055,"Application, cast; shoulder spica Age 21+",,,109.85,109.85,4
CPT,29055,"Application, cast; shoulder spica Age Under 21",,,111.84,111.84,4
CPT,29058,"Application, cast; plaster Velpeau ",,,55.9,2636.0,222
CPT,29058,"Application, cast; plaster Velpeau Age 21+",,,62.43,62.43,4
CPT,29058,"Application, cast; plaster Velpeau Age Under 21",,,63.56,63.56,4
CPT,29065,"Application, cast; shoulder to hand (long arm) ",,,48.54,2636.0,222
CPT,29065,"Application, cast; shoulder to hand (long arm) Age 21+",,,54.21,54.21,4
CPT,29065,"Application, cast; shoulder to hand (long arm) Age Under 21",,,55.19,55.19,4
CPT,29075,"Application, cast; elbow to finger (short arm) ",,,44.45,2636.0,222
CPT,29075,"Application, cast; elbow to finger (short arm) Age 21+",,,49.64,49.64,4
CPT,29075,"Application, cast; elbow to finger (short arm) Age Under 21",,,50.55,50.55,4
CPT,29085,"Application, cast; hand and lower forearm (gauntlet) ",,,48.0,2636.0,222
CPT,29085,"Application, cast; hand and lower forearm (gauntlet) Age 21+",,,53.6,53.6,4
CPT,29085,"Application, cast; hand and lower forearm (gauntlet) Age Under 21",,,54.58,54.58,4
CPT,29086,"Application, cast; finger (eg, contracture) ",,,41.72,2636.0,222
CPT,29086,"Application, cast; finger (eg, contracture) Age 21+",,,46.6,46.6,4
CPT,29086,"Application, cast; finger (eg, contracture) Age Under 21",,,47.44,47.44,4
CPT,29105,Application of long arm splint (shoulder to hand) ,,,39.54,2636.0,222
CPT,29105,Application of long arm splint (shoulder to hand) Age 21+,,,44.15,44.15,4
CPT,29105,Application of long arm splint (shoulder to hand) Age Under 21,,,44.96,44.96,4
CPT,29125,APP SH ARM SPL STATIC OT,541.52,541.52,37.91,541.52,50
CPT,29125,Application of short arm splint (forearm to hand); static ,541.52,541.52,134.32,2636.0,195
CPT,29126,Application of short arm splint (forearm to hand); dynamic ,,,134.32,2636.0,195
CPT,29130,Application of finger splint; static ,,,119.92,2636.0,195
CPT,29131,Application of finger splint; dynamic ,,,59.56,2636.0,195
CPT,29200,Strapping; thorax ,,,15.54,2636.0,222
CPT,29200,Strapping; thorax Age 21+,,,17.36,17.36,4
CPT,29200,Strapping; thorax Age Under 21,,,17.67,17.67,4
CPT,29220,STRAPPING OF LOW BACK ,,,2152.0,6587.0,34
CPT,29240,"Strapping; shoulder (eg, Velpeau) ",,,134.32,2636.0,195
CPT,29260,Strapping; elbow or wrist ,,,59.56,2636.0,195
CPT,29280,Strapping; hand or finger ,,,59.56,2636.0,195
CPT,29305,Application of hip spica cast; 1 leg ,,,98.36,5932.0,266
CPT,29305,Application of hip spica cast; 1 leg Age 21+,,,109.85,109.85,4
CPT,29305,Application of hip spica cast; 1 leg Age Under 21,,,111.84,111.84,4
CPT,29325,Application of hip spica cast; 1 and one-half spica or both legs ,,,98.36,6680.0,266
CPT,29325,Application of hip spica cast; 1 and one-half spica or both legs Age 21+,,,109.85,109.85,4
CPT,29325,Application of hip spica cast; 1 and one-half spica or both legs Age Under 21,,,111.84,111.84,4
CPT,29345,Application of long leg cast (thigh to toes); ,,,62.71,5932.0,266
CPT,29345,Application of long leg cast (thigh to toes); Age 21+,,,70.04,70.04,4
CPT,29345,Application of long leg cast (thigh to toes); Age Under 21,,,71.31,71.31,4
CPT,29355,Application of long leg cast (thigh to toes); walker or ambulatory type ,,,63.81,2636.0,222
CPT,29355,Application of long leg cast (thigh to toes); walker or ambulatory type Age 21+,,,71.26,71.26,4
CPT,29355,Application of long leg cast (thigh to toes); walker or ambulatory type Age Under 21,,,72.55,72.55,4
CPT,29358,Application of long leg cast brace ,,,80.71,2636.0,222
CPT,29358,Application of long leg cast brace Age 21+,,,90.13,90.13,4
CPT,29358,Application of long leg cast brace Age Under 21,,,91.77,91.77,4
CPT,29365,Application of cylinder cast (thigh to ankle) ,,,59.44,2636.0,222
CPT,29365,Application of cylinder cast (thigh to ankle) Age 21+,,,66.39,66.39,4
CPT,29365,Application of cylinder cast (thigh to ankle) Age Under 21,,,67.59,67.59,4
CPT,29405,Application of short leg cast (below knee to toes); ,,,38.44,2636.0,222
CPT,29405,Application of short leg cast (below knee to toes); Age 21+,,,42.93,42.93,4
CPT,29405,Application of short leg cast (below knee to toes); Age Under 21,,,43.71,43.71,4
CPT,29425,Application of short leg cast (below knee to toes); walking or ambulatory type ,,,35.45,2636.0,222
CPT,29425,Application of short leg cast (below knee to toes); walking or ambulatory type Age 21+,,,39.59,39.59,4
CPT,29425,Application of short leg cast (below knee to toes); walking or ambulatory type Age Under 21,,,40.31,40.31,4
CPT,29435,Application of patellar tendon bearing (PTB) cast ,,,52.09,2636.0,222
CPT,29435,Application of patellar tendon bearing (PTB) cast Age 21+,,,58.17,58.17,4
CPT,29435,Application of patellar tendon bearing (PTB) cast Age Under 21,,,59.23,59.23,4
CPT,29440,Adding walker to previously applied cast ,,,16.91,2636.0,222
CPT,29440,Adding walker to previously applied cast Age 21+,,,18.89,18.89,4
CPT,29440,Adding walker to previously applied cast Age Under 21,,,19.23,19.23,4
CPT,29445,Application of rigid total contact leg cast ,,,49.19,2636.0,222
CPT,29445,Application of rigid total contact leg cast Age 21+,,,54.93,54.93,4
CPT,29445,Application of rigid total contact leg cast Age Under 21,,,55.93,55.93,4
CPT,29450,"Application of clubfoot cast with molding or manipulation, long or short leg ",,,53.17,2636.0,222
CPT,29450,"Application of clubfoot cast with molding or manipulation, long or short leg Age 21+",,,59.38,59.38,4
CPT,29450,"Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21",,,60.46,60.46,4
CPT,29505,Application of long leg splint (thigh to ankle or toes) ,,,47.72,2636.0,222
CPT,29505,Application of long leg splint (thigh to ankle or toes) Age 21+,,,53.3,53.3,4
CPT,29505,Application of long leg splint (thigh to ankle or toes) Age Under 21,,,54.26,54.26,4
CPT,29515,Application of short leg splint (calf to foot) ,,,33.82,2636.0,222
CPT,29515,Application of short leg splint (calf to foot) Age 21+,,,37.76,37.76,4
CPT,29515,Application of short leg splint (calf to foot) Age Under 21,,,38.45,38.45,4
CPT,29520,Strapping; hip ,,,119.92,2636.0,195
CPT,29530,Strapping; knee ,,,134.32,2636.0,195
CPT,29540,Strapping; ankle and/or foot ,,,10.64,2636.0,222
CPT,29540,Strapping; ankle and/or foot Age 21+,,,11.88,11.88,4
CPT,29540,Strapping; ankle and/or foot Age Under 21,,,12.1,12.1,4
CPT,29550,Strapping; toes ,,,59.56,2636.0,195
CPT,29580,Strapping; Unna boot ,883.07,883.07,32.62,2636.0,222
CPT,29580,Strapping; Unna boot Age 21+,883.07,883.07,36.43,36.43,4
CPT,29580,Strapping; Unna boot Age Under 21,883.07,883.07,37.09,37.09,4
CPT,29580,UNNA BOOT,883.07,883.07,97.14,883.07,37
CPT,29581,APPLY VEN WND COMP BK BI,1577.75,1577.75,173.55,1577.75,37
CPT,29581,APPLY VEN WND COMP BK LT,1051.83,1051.83,115.7,1051.83,37
CPT,29581,APPLY VEN WND COMP BK RT,1051.83,1051.83,115.7,1051.83,37
CPT,29581,"Application of multi-layer compression system; leg (below knee), including ankle and foot ",,,41.3,2636.0,222
CPT,29581,"Application of multi-layer compression system; leg (below knee), including ankle and foot Age 21+",,,56.93,56.93,4
CPT,29581,"Application of multi-layer compression system; leg (below knee), including ankle and foot Age Under 21",,,57.96,57.96,4
CPT,29582,"HApplication of multi-layer compression system; thigh and leg, including ankle and foot, when performed ",,,2152.0,2636.0,34
CPT,29583,HApplication of multi-layer compression system; upper arm and forearm ,,,2152.0,2636.0,34
CPT,29584,"Application of multi-layer compression system; upper arm, forearm, hand, and fingers ",,,57.27,2636.0,222
CPT,29584,"Application of multi-layer compression system; upper arm, forearm, hand, and fingers Age 21+",,,63.95,63.95,4
CPT,29584,"Application of multi-layer compression system; upper arm, forearm, hand, and fingers Age Under 21",,,65.12,65.12,4
CPT,29590,APPLICATION OF FOOT SPLINT ,,,2152.0,6587.0,34
CPT,29700,"Removal or bivalving; gauntlet, boot or body cast ",,,31.09,2636.0,222
CPT,29700,"Removal or bivalving; gauntlet, boot or body cast Age 21+",,,34.72,34.72,4
CPT,29700,"Removal or bivalving; gauntlet, boot or body cast Age Under 21",,,35.35,35.35,4
CPT,29705,Removal or bivalving; full arm or full leg cast ,,,26.72,2636.0,222
CPT,29705,Removal or bivalving; full arm or full leg cast Age 21+,,,29.84,29.84,4
CPT,29705,Removal or bivalving; full arm or full leg cast Age Under 21,,,30.39,30.39,4
CPT,29710,"Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. ",,,53.45,2636.0,222
CPT,29710,"Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. Age 21+",,,59.69,59.69,4
CPT,29710,"Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. Age Under 21",,,60.77,60.77,4
CPT,29715,REMOVAL/REVISION OF CAST ,,,2152.0,6587.0,34
CPT,29720,"Repair of spica, body cast or jacket ",,,45.54,2636.0,222
CPT,29720,"Repair of spica, body cast or jacket Age 21+",,,50.85,50.85,4
CPT,29720,"Repair of spica, body cast or jacket Age Under 21",,,51.78,51.78,4
CPT,29730,Windowing of cast ,,,27.27,2636.0,222
CPT,29730,Windowing of cast Age 21+,,,30.46,30.46,4
CPT,29730,Windowing of cast Age Under 21,,,31.01,31.01,4
CPT,29740,Wedging of cast (except clubfoot casts) ,,,42.27,2636.0,222
CPT,29740,Wedging of cast (except clubfoot casts) Age 21+,,,47.2,47.2,4
CPT,29740,Wedging of cast (except clubfoot casts) Age Under 21,,,48.06,48.06,4
CPT,29750,Wedging of clubfoot cast ,,,282.37,2636.0,195
CPT,29799,STRAPPING LOW BACK PT,540.34,540.34,37.82,540.34,50
CPT,29799,"Unlisted procedure, casting or strapping ",540.34,540.34,164.06,2636.0,195
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) ",,,1071.95,30876.0,208
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,29804,"Arthroscopy, temporomandibular joint, surgical ",,,1071.95,30876.0,208
CPT,29804,"Arthroscopy, temporomandibular joint, surgical Age 21+",,,1197.1,1197.1,4
CPT,29804,"Arthroscopy, temporomandibular joint, surgical Age Under 21",,,1218.86,1218.86,4
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) ",,,1071.95,30876.0,208
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy ",,,2362.54,30876.0,208
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy Age 21+",,,2638.37,2638.37,4
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21",,,2686.34,2686.34,4
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion ",,,2362.54,30876.0,208
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion Age 21+",,,2638.37,2638.37,4
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21",,,2686.34,2686.34,4
CPT,29815,SHOULDER ARTHROSCOPY ,,,2152.0,6587.0,39
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body ",,,1071.95,30876.0,208
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age 21+",,,1197.1,1197.1,4
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21",,,1218.86,1218.86,4
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial ",,,2362.54,30876.0,208
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial Age 21+",,,2638.37,2638.37,4
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial Age Under 21",,,2686.34,2686.34,4
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete ",,,1071.95,30876.0,208
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete Age 21+",,,1197.1,1197.1,4
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete Age Under 21",,,1218.86,1218.86,4
CPT,29822,"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps ancho",,,1071.95,30876.0,216
CPT,29823,"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps ",,,1071.95,30876.0,216
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) ",,,1071.95,30876.0,208
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age 21+",,,1197.1,1197.1,4
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under 21",,,1218.86,1218.86,4
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation ",,,1071.95,30876.0,208
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age 21+",,,1197.1,1197.1,4
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21",,,1218.86,1218.86,4
CPT,29826,"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for",,,1481.0,30876.0,132
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair ",,,2362.54,30876.0,208
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair Age 21+",,,2638.37,2638.37,4
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21",,,2686.34,2686.34,4
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis ",,,2362.54,30876.0,208
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis Age 21+",,,2638.37,2638.37,4
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis Age Under 21",,,2686.34,2686.34,4
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) ",,,1071.95,30876.0,208
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body ",,,1071.95,30876.0,208
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age 21+",,,1197.1,1197.1,4
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21",,,1218.86,1218.86,4
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial ",,,1071.95,30876.0,208
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial Age 21+",,,1197.1,1197.1,4
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial Age Under 21",,,1218.86,1218.86,4
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete ",,,2362.54,30876.0,208
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete Age 21+",,,2638.37,2638.37,4
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete Age Under 21",,,2686.34,2686.34,4
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited ",,,1071.95,30876.0,208
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited Age 21+",,,1197.1,1197.1,4
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited Age Under 21",,,1218.86,1218.86,4
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive ",,,1071.95,30876.0,208
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive Age 21+",,,1197.1,1197.1,4
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive Age Under 21",,,1218.86,1218.86,4
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) ",,,1071.95,30876.0,208
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage ",,,1071.95,30876.0,208
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage Age 21+",,,1197.1,1197.1,4
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage Age Under 21",,,1218.86,1218.86,4
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial ",,,1071.95,30876.0,208
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial Age 21+",,,1197.1,1197.1,4
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial Age Under 21",,,1218.86,1218.86,4
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete ",,,1071.95,30876.0,208
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete Age 21+",,,1197.1,1197.1,4
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete Age Under 21",,,1218.86,1218.86,4
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement ",,,1071.95,30876.0,208
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age 21+",,,1197.1,1197.1,4
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21",,,1218.86,1218.86,4
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability ",,,2362.54,30876.0,208
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability Age 21+",,,2638.37,2638.37,4
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability Age Under 21",,,2686.34,2686.34,4
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament ",,,584.14,30876.0,208
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament Age 21+",,,652.34,652.34,4
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament Age Under 21",,,664.2,664.2,4
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) ",,,584.14,44269.0,166
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) Age 21+",,,652.34,652.34,4
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) Age Und",,,664.2,664.2,4
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) ",,,584.14,44269.0,166
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) Age 21+",,,652.34,652.34,4
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) Age Under ",,,664.2,664.2,4
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) ",,,2369.0,44269.0,166
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) Age 21+",,,3994.87,3994.87,4
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) Age Under 21",,,4067.5,4067.5,4
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) ",,,2369.0,63807.0,166
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) Age 21+",,,7307.54,7307.54,4
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) Age Under 21",,,7440.41,7440.41,4
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) ",,,2362.54,44269.0,166
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Age 21+",,,2638.37,2638.37,4
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Age Under 21",,,2686.34,2686.34,4
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body ",,,2362.54,44269.0,166
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body Age 21+",,,2638.37,2638.37,4
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body Age Under 21",,,2686.34,2686.34,4
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum ",,,2362.54,44269.0,166
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum Age 21+",,,2638.37,2638.37,4
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum Age Under 21",,,2686.34,2686.34,4
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy ",,,1071.95,30876.0,166
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy Age 21+",,,1197.1,1197.1,4
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy Age Under 21",,,1218.86,1218.86,4
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») ",,,2362.54,44269.0,166
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») Age 21+",,,2638.37,2638.37,4
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») Age Under 21",,,2686.34,2686.34,4
CPT,29867,"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) ",,,2369.0,63807.0,139
CPT,29868,"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral ",,,2369.0,44269.0,139
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) ",,,1071.95,30876.0,166
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage ",,,1071.95,30876.0,166
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage Age 21+",,,1197.1,1197.1,4
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage Age Under 21",,,1218.86,1218.86,4
CPT,29873,"Arthroscopy, knee, surgical; with lateral release ",,,1071.95,30876.0,166
CPT,29873,"Arthroscopy, knee, surgical; with lateral release Age 21+",,,1197.1,1197.1,4
CPT,29873,"Arthroscopy, knee, surgical; with lateral release Age Under 21",,,1218.86,1218.86,4
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) ",,,1071.95,30876.0,166
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) Age 21+",,,1197.1,1197.1,4
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) Age Under 21",,,1218.86,1218.86,4
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) ",,,1071.95,30876.0,166
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) ",,,1071.95,30876.0,166
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) Age 21+",,,1197.1,1197.1,4
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) Age Under 21",,,1218.86,1218.86,4
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) ",,,1071.95,30876.0,166
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age 21+",,,1197.1,1197.1,4
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21",,,1218.86,1218.86,4
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture ",,,1071.95,30876.0,166
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture Age 21+",,,1197.1,1197.1,4
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture Age Under 21",,,1218.86,1218.86,4
CPT,29880,"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s",,,1071.95,30876.0,174
CPT,29881,"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s)",,,1071.95,30876.0,174
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) ",,,1071.95,30876.0,166
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age 21+",,,1197.1,1197.1,4
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21",,,1218.86,1218.86,4
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) ",,,1071.95,30876.0,166
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age 21+",,,1197.1,1197.1,4
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21",,,1218.86,1218.86,4
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) ",,,1071.95,30876.0,166
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age 21+",,,1197.1,1197.1,4
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21",,,1218.86,1218.86,4
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) ",,,2369.0,44269.0,166
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) Age 21+",,,3414.25,3414.25,4
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) Age Under 21",,,3476.32,3476.32,4
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion ",,,1071.95,30876.0,166
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Age 21+",,,1197.1,1197.1,4
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Age Under 21",,,1218.86,1218.86,4
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation ",,,2362.54,44269.0,166
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Age 21+",,,2638.37,2638.37,4
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Age Under 21",,,2686.34,2686.34,4
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction ,,,2369.0,44269.0,166
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age 21+,,,3630.06,3630.06,4
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21,,,3696.06,3696.06,4
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction ,,,2369.0,63807.0,166
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age 21+,,,7262.2,7262.2,4
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age Under 21,,,7394.24,7394.24,4
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect ",,,1071.95,30876.0,208
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect Age 21+",,,1197.1,1197.1,4
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect Age Under 21",,,1218.86,1218.86,4
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) ",,,2362.54,30876.0,208
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) Age 21+",,,2638.37,2638.37,4
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) Age Under 21",,,2686.34,2686.34,4
CPT,29893,Endoscopic plantar fasciotomy ,,,1071.95,30876.0,208
CPT,29893,Endoscopic plantar fasciotomy Age 21+,,,1197.1,1197.1,4
CPT,29893,Endoscopic plantar fasciotomy Age Under 21,,,1218.86,1218.86,4
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body ",,,1071.95,30876.0,208
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age 21+",,,1197.1,1197.1,4
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under 21",,,1218.86,1218.86,4
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial ",,,1071.95,30876.0,208
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age 21+",,,1197.1,1197.1,4
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age Under 21",,,1218.86,1218.86,4
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited ",,,1071.95,30876.0,208
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age 21+",,,1197.1,1197.1,4
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21",,,1218.86,1218.86,4
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive ",,,1071.95,30876.0,208
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age 21+",,,1197.1,1197.1,4
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21",,,1218.86,1218.86,4
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis ",,,2369.0,30876.0,208
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Age 21+",,,3524.97,3524.97,4
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Age Under 21",,,3589.06,3589.06,4
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy ",,,1071.95,30876.0,208
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Age 21+",,,1197.1,1197.1,4
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Age Under 21",,,1218.86,1218.86,4
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement ",,,1071.95,30876.0,208
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement Age 21+",,,1197.1,1197.1,4
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement Age Under 21",,,1218.86,1218.86,4
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) ",,,584.14,30876.0,208
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) Age 21+",,,652.34,652.34,4
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) Age Under 21",,,664.2,664.2,4
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body ",,,1071.95,30876.0,208
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Age 21+",,,1197.1,1197.1,4
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Age Under 21",,,1218.86,1218.86,4
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy ",,,2369.0,30876.0,208
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy Age 21+",,,3481.56,3481.56,4
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy Age Under 21",,,3544.86,3544.86,4
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement ",,,1071.95,30876.0,208
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement Age 21+",,,1197.1,1197.1,4
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement Age Under 21",,,1218.86,1218.86,4
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis ",,,2369.0,33321.99,208
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Age 21+",,,6889.63,6889.63,4
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Age Under 21",,,7014.9,7014.9,4
CPT,29909,ARTHROSCOPY OF JOINT ,,,2152.0,6587.0,39
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) ",,,2362.54,44269.0,166
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age 21+",,,2638.37,2638.37,4
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21",,,2686.34,2686.34,4
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) ",,,2362.54,44269.0,166
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Age 21+",,,2638.37,2638.37,4
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Age Under 21",,,2686.34,2686.34,4
CPT,29916,"Arthroscopy, hip, surgical; with labral repair ",,,2362.54,44269.0,166
CPT,29916,"Arthroscopy, hip, surgical; with labral repair Age 21+",,,2638.37,2638.37,4
CPT,29916,"Arthroscopy, hip, surgical; with labral repair Age Under 21",,,2686.34,2686.34,4
CPT,29999,"Unlisted procedure, arthroscopy ",,,249.03,30876.0,181
CPT,30000,"Drainage abscess or hematoma, nasal, internal approach ",,,86.27,5932.0,266
CPT,30000,"Drainage abscess or hematoma, nasal, internal approach Age 21+",,,96.34,96.34,4
CPT,30000,"Drainage abscess or hematoma, nasal, internal approach Age Under 21",,,98.09,98.09,4
CPT,30020,"Drainage abscess or hematoma, nasal septum ",,,177.53,5932.0,266
CPT,30020,"Drainage abscess or hematoma, nasal septum Age 21+",,,198.25,198.25,4
CPT,30020,"Drainage abscess or hematoma, nasal septum Age Under 21",,,201.86,201.86,4
CPT,30100,"Biopsy, intranasal ",,,87.54,5932.0,266
CPT,30100,"Biopsy, intranasal Age 21+",,,97.76,97.76,4
CPT,30100,"Biopsy, intranasal Age Under 21",,,99.53,99.53,4
CPT,30110,"Excision, nasal polyp(s), simple ",,,151.9,25655.0,266
CPT,30110,"Excision, nasal polyp(s), simple Age 21+",,,169.63,169.63,4
CPT,30110,"Excision, nasal polyp(s), simple Age Under 21",,,172.72,172.72,4
CPT,30115,"Excision, nasal polyp(s), extensive ",,,873.32,8858.0,266
CPT,30115,"Excision, nasal polyp(s), extensive Age 21+",,,975.28,975.28,4
CPT,30115,"Excision, nasal polyp(s), extensive Age Under 21",,,993.01,993.01,4
CPT,30117,"Excision or destruction (eg, laser), intranasal lesion; internal approach ",,,873.32,9908.0,266
CPT,30117,"Excision or destruction (eg, laser), intranasal lesion; internal approach Age 21+",,,975.28,975.28,4
CPT,30117,"Excision or destruction (eg, laser), intranasal lesion; internal approach Age Under 21",,,993.01,993.01,4
CPT,30118,"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) ",,,873.32,9908.0,266
CPT,30118,"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) Age 21+",,,975.28,975.28,4
CPT,30118,"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) Age Under 21",,,993.01,993.01,4
CPT,30120,Excision or surgical planing of skin of nose for rhinophyma ,,,873.32,8858.0,266
CPT,30120,Excision or surgical planing of skin of nose for rhinophyma Age 21+,,,975.28,975.28,4
CPT,30120,Excision or surgical planing of skin of nose for rhinophyma Age Under 21,,,993.01,993.01,4
CPT,30124,"Excision dermoid cyst, nose; simple, skin, subcutaneous ",,,414.33,5932.0,266
CPT,30124,"Excision dermoid cyst, nose; simple, skin, subcutaneous Age 21+",,,462.7,462.7,4
CPT,30124,"Excision dermoid cyst, nose; simple, skin, subcutaneous Age Under 21",,,471.12,471.12,4
CPT,30125,"Excision dermoid cyst, nose; complex, under bone or cartilage ",,,948.0,17510.0,266
CPT,30125,"Excision dermoid cyst, nose; complex, under bone or cartilage Age 21+",,,2149.64,2149.64,4
CPT,30125,"Excision dermoid cyst, nose; complex, under bone or cartilage Age Under 21",,,2188.73,2188.73,4
CPT,30130,"Excision inferior turbinate, partial or complete, any method ",,,873.32,9908.0,266
CPT,30130,"Excision inferior turbinate, partial or complete, any method Age 21+",,,975.28,975.28,4
CPT,30130,"Excision inferior turbinate, partial or complete, any method Age Under 21",,,993.01,993.01,4
CPT,30140,"Submucous resection inferior turbinate, partial or complete, any method ",,,873.32,8858.0,266
CPT,30140,"Submucous resection inferior turbinate, partial or complete, any method Age 21+",,,975.28,975.28,4
CPT,30140,"Submucous resection inferior turbinate, partial or complete, any method Age Under 21",,,993.01,993.01,4
CPT,30150,Rhinectomy; partial ,,,948.0,17510.0,266
CPT,30150,Rhinectomy; partial Age 21+,,,2149.64,2149.64,4
CPT,30150,Rhinectomy; partial Age Under 21,,,2188.73,2188.73,4
CPT,30160,Rhinectomy; total ,,,948.0,19415.0,266
CPT,30160,Rhinectomy; total Age 21+,,,2149.64,2149.64,4
CPT,30160,Rhinectomy; total Age Under 21,,,2188.73,2188.73,4
CPT,30200,"Injection into turbinate(s), therapeutic ",,,66.26,3293.0,222
CPT,30200,"Injection into turbinate(s), therapeutic Age 21+",,,74.0,74.0,4
CPT,30200,"Injection into turbinate(s), therapeutic Age Under 21",,,75.34,75.34,4
CPT,30210,Displacement therapy (Proetz type) ,,,88.08,5047.0,222
CPT,30210,Displacement therapy (Proetz type) Age 21+,,,98.36,98.36,4
CPT,30210,Displacement therapy (Proetz type) Age Under 21,,,100.15,100.15,4
CPT,30220,"Insertion, nasal septal prosthesis (button) ",,,414.33,9908.0,266
CPT,30220,"Insertion, nasal septal prosthesis (button) Age 21+",,,462.7,462.7,4
CPT,30220,"Insertion, nasal septal prosthesis (button) Age Under 21",,,471.12,471.12,4
CPT,30300,"Removal foreign body, intranasal; office type procedure ",,,134.32,2636.0,195
CPT,30310,"Removal foreign body, intranasal; requiring general anesthesia ",,,873.32,7334.01,266
CPT,30310,"Removal foreign body, intranasal; requiring general anesthesia Age 21+",,,975.28,975.28,4
CPT,30310,"Removal foreign body, intranasal; requiring general anesthesia Age Under 21",,,993.01,993.01,4
CPT,30320,"Removal foreign body, intranasal; by lateral rhinotomy ",,,414.33,6680.0,266
CPT,30320,"Removal foreign body, intranasal; by lateral rhinotomy Age 21+",,,462.7,462.7,4
CPT,30320,"Removal foreign body, intranasal; by lateral rhinotomy Age Under 21",,,471.12,471.12,4
CPT,30400,"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip ",,,948.0,19415.0,266
CPT,30400,"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Age 21+",,,2149.64,2149.64,4
CPT,30400,"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Age Under 21",,,2188.73,2188.73,4
CPT,30410,"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip ",,,948.0,18490.0,266
CPT,30410,"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip Age 21+",,,2149.64,2149.64,4
CPT,30410,"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip Age Under 21",,,2188.73,2188.73,4
CPT,30420,"Rhinoplasty, primary; including major septal repair ",,,1924.91,18490.0,248
CPT,30420,"Rhinoplasty, primary; including major septal repair Age 21+",,,2149.64,2149.64,4
CPT,30420,"Rhinoplasty, primary; including major septal repair Age Under 21",,,2188.73,2188.73,4
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) ",,,1924.91,13581.48,248
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) Age 21+",,,2149.64,2149.64,4
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) Age Under 21",,,2188.73,2188.73,4
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) ",,,1924.91,18490.0,248
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) Age 21+",,,2149.64,2149.64,4
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) Age Under 21",,,2188.73,2188.73,4
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) ",,,1924.91,23113.0,248
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) Age 21+",,,2149.64,2149.64,4
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) Age Under 21",,,2188.73,2188.73,4
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only ",,,1924.91,23113.0,248
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only Age 21+",,,2149.64,2149.64,4
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only Age Under 21",,,2188.73,2188.73,4
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies ",,,1924.91,23113.0,248
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies Age 21+",,,2149.64,2149.64,4
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies Age Under 21",,,2188.73,2188.73,4
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) ",,,1924.91,23113.0,248
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) Age 21+",,,2149.64,2149.64,4
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) Age Under 21",,,2188.73,2188.73,4
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) ,,,2152.0,23113.0,248
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Age 21+,,,3127.4,3127.4,4
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Age Under 21,,,3184.26,3184.26,4
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling ",,,2152.0,23113.0,248
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling Age 21+",,,3127.4,3127.4,4
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling Age Under 21",,,3184.26,3184.26,4
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft ",,,873.32,19415.0,248
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age 21+",,,975.28,975.28,4
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21",,,993.01,993.01,4
CPT,30540,Repair choanal atresia; intranasal ,,,1924.91,18490.0,248
CPT,30540,Repair choanal atresia; intranasal Age 21+,,,2149.64,2149.64,4
CPT,30540,Repair choanal atresia; intranasal Age Under 21,,,2188.73,2188.73,4
CPT,30545,Repair choanal atresia; transpalatine ,,,1924.91,18490.0,248
CPT,30545,Repair choanal atresia; transpalatine Age 21+,,,2149.64,2149.64,4
CPT,30545,Repair choanal atresia; transpalatine Age Under 21,,,2188.73,2188.73,4
CPT,30560,Lysis intranasal synechia ,,,184.41,6680.0,248
CPT,30560,Lysis intranasal synechia Age 21+,,,205.94,205.94,4
CPT,30560,Lysis intranasal synechia Age Under 21,,,209.69,209.69,4
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) ,,,1924.91,19415.0,248
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) Age 21+,,,2149.64,2149.64,4
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) Age Under 21,,,2188.73,2188.73,4
CPT,30600,Repair fistula; oronasal ,,,1924.91,19415.0,248
CPT,30600,Repair fistula; oronasal Age 21+,,,2149.64,2149.64,4
CPT,30600,Repair fistula; oronasal Age Under 21,,,2188.73,2188.73,4
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) ,,,1924.91,23113.0,248
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) Age 21+,,,2149.64,2149.64,4
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) Age Under 21,,,2188.73,2188.73,4
CPT,30630,Repair nasal septal perforations ,,,873.32,23113.0,248
CPT,30630,Repair nasal septal perforations Age 21+,,,975.28,975.28,4
CPT,30630,Repair nasal septal perforations Age Under 21,,,993.01,993.01,4
CPT,30801,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial ",,,414.33,5932.0,266
CPT,30801,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial Age 21+",,,462.7,462.7,4
CPT,30801,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial Age Under 21",,,471.12,471.12,4
CPT,30802,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) ",,,414.33,5932.0,266
CPT,30802,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) Age 21+",,,462.7,462.7,4
CPT,30802,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) Age Under 21",,,471.12,471.12,4
CPT,30901,"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method ",,,134.32,5932.0,239
CPT,30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method ",,,45.98,5932.0,266
CPT,30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method Age 21+",,,51.35,51.35,4
CPT,30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method Age Under 21",,,52.28,52.28,4
CPT,30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial ",,,45.98,5932.0,266
CPT,30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial Age 21+",,,51.35,51.35,4
CPT,30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial Age Under 21",,,52.28,52.28,4
CPT,30906,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent ",,,86.27,5932.0,266
CPT,30906,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent Age 21+",,,96.34,96.34,4
CPT,30906,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent Age Under 21",,,98.09,98.09,4
CPT,30915,Ligation arteries; ethmoidal ,,,948.0,12360.0,266
CPT,30915,Ligation arteries; ethmoidal Age 21+,,,1230.04,1230.04,4
CPT,30915,Ligation arteries; ethmoidal Age Under 21,,,1252.41,1252.41,4
CPT,30920,"Ligation arteries; internal maxillary artery, transantral ",,,948.0,12360.0,266
CPT,30920,"Ligation arteries; internal maxillary artery, transantral Age 21+",,,1230.04,1230.04,4
CPT,30920,"Ligation arteries; internal maxillary artery, transantral Age Under 21",,,1252.41,1252.41,4
CPT,30930,"Fracture nasal inferior turbinate(s), therapeutic ",,,873.32,19415.0,266
CPT,30930,"Fracture nasal inferior turbinate(s), therapeutic Age 21+",,,975.28,975.28,4
CPT,30930,"Fracture nasal inferior turbinate(s), therapeutic Age Under 21",,,993.01,993.01,4
CPT,30999,"Unlisted procedure, nose ",,,239.12,25655.0,239
CPT,31000,Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) ,,,86.27,5932.0,266
CPT,31000,Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) Age 21+,,,96.34,96.34,4
CPT,31000,Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) Age Under 21,,,98.09,98.09,4
CPT,31002,Lavage by cannulation; sphenoid sinus ,,,583.89,5932.0,266
CPT,31002,Lavage by cannulation; sphenoid sinus Age 21+,,,652.06,652.06,4
CPT,31002,Lavage by cannulation; sphenoid sinus Age Under 21,,,663.91,663.91,4
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal ",,,873.32,8858.0,248
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal Age 21+",,,975.28,975.28,4
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal Age Under 21",,,993.01,993.01,4
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps ",,,1924.91,17510.0,248
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Age 21+",,,2149.64,2149.64,4
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Age Under 21",,,2188.73,2188.73,4
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps ",,,1924.91,19415.0,248
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Age 21+",,,2149.64,2149.64,4
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Age Under 21",,,2188.73,2188.73,4
CPT,31040,"Pterygomaxillary fossa surgery, any approach ",,,1924.91,25655.0,204
CPT,31040,"Pterygomaxillary fossa surgery, any approach Age 21+",,,2149.64,2149.64,4
CPT,31040,"Pterygomaxillary fossa surgery, any approach Age Under 21",,,2188.73,2188.73,4
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; ",,,1924.91,17510.0,248
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; Age 21+",,,2149.64,2149.64,4
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; Age Under 21",,,2188.73,2188.73,4
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) ",,,1924.91,19415.0,248
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Age 21+",,,2149.64,2149.64,4
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Age Under 21",,,2188.73,2188.73,4
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) ",,,1924.91,13581.48,248
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) Age 21+",,,2149.64,2149.64,4
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) Age Under 21",,,2188.73,2188.73,4
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) ",,,1924.91,19415.0,248
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Age 21+",,,2149.64,2149.64,4
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Age Under 21",,,2188.73,2188.73,4
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) ",,,1924.91,19415.0,248
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Age 21+",,,2149.64,2149.64,4
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Age Under 21",,,2188.73,2188.73,4
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) ",,,1924.91,19415.0,248
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Age 21+",,,2149.64,2149.64,4
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Age Under 21",,,2188.73,2188.73,4
CPT,31084,"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision ",,,2369.0,19415.0,221
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision ",,,2369.0,19415.0,248
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Age 21+",,,3043.88,3043.88,4
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Age Under 21",,,3099.22,3099.22,4
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision ",,,1924.91,19415.0,248
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Age 21+",,,2149.64,2149.64,4
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Age Under 21",,,2188.73,2188.73,4
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision ",,,1924.91,19415.0,248
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Age 21+",,,2149.64,2149.64,4
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Age Under 21",,,2188.73,2188.73,4
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) ",,,1924.91,18490.0,248
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Age 21+",,,2149.64,2149.64,4
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Age Under 21",,,2188.73,2188.73,4
CPT,31200,"Ethmoidectomy; intranasal, anterior ",,,1924.91,17510.0,248
CPT,31200,"Ethmoidectomy; intranasal, anterior Age 21+",,,2149.64,2149.64,4
CPT,31200,"Ethmoidectomy; intranasal, anterior Age Under 21",,,2188.73,2188.73,4
CPT,31201,"Ethmoidectomy; intranasal, total ",,,414.33,18490.0,248
CPT,31201,"Ethmoidectomy; intranasal, total Age 21+",,,462.7,462.7,4
CPT,31201,"Ethmoidectomy; intranasal, total Age Under 21",,,471.12,471.12,4
CPT,31205,"Ethmoidectomy; extranasal, total ",,,873.32,9908.0,248
CPT,31205,"Ethmoidectomy; extranasal, total Age 21+",,,975.28,975.28,4
CPT,31205,"Ethmoidectomy; extranasal, total Age Under 21",,,993.01,993.01,4
CPT,31225,Maxillectomy; without orbital exenteration ,,,2152.0,41025.66,176
CPT,31230,Maxillectomy; with orbital exenteration (en bloc) ,,,2152.0,45338.09,176
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) ",,,67.12,6680.0,248
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age 21+",,,74.95,74.95,4
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21",,,76.32,76.32,4
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) ",,,153.26,6680.0,248
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Age 21+",,,171.15,171.15,4
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Age Under 21",,,174.26,174.26,4
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) ",,,517.82,6680.0,248
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) Age 21+",,,578.28,578.28,4
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) Age Under 21",,,588.8,588.8,4
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) ",,,517.82,6680.0,248
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age 21+",,,578.28,578.28,4
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21",,,588.8,588.8,4
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage ",,,517.82,6680.0,248
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age 21+",,,578.28,578.28,4
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21",,,588.8,588.8,4
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ",,,1046.31,19415.0,248
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Age 21+",,,1168.46,1168.46,4
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Age Under 21",,,1189.71,1189.71,4
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection ",,,517.82,8858.0,248
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection Age 21+",,,578.28,578.28,4
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection Age Under 21",,,588.8,588.8,4
CPT,31241,"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery ",,,1796.95,25655.0,221
CPT,31242,"Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation, posterior nasal nerve ",,,948.0,25655.0,228
CPT,31243,"Nasal/sinus endoscopy, surgical; with destruction by cryoablation, posterior nasal nerve ",,,948.0,25655.0,228
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed ",,,1605.67,18490.0,248
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed Age 21+",,,1793.13,1793.13,4
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed Age Under 21",,,1825.73,1825.73,4
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) ",,,1605.67,19415.0,248
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) Age 21+",,,1793.13,1793.13,4
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) Age Under 21",,,1825.73,1825.73,4
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) ",,,1605.67,18490.0,248
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age 21+",,,1793.13,1793.13,4
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21",,,1825.73,1825.73,4
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ",,,1046.31,9908.0,248
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age 21+",,,1168.46,1168.46,4
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21",,,1189.71,1189.71,4
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy ",,,1605.67,18490.0,248
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age 21+",,,1793.13,1793.13,4
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age Under 21",,,1825.73,1825.73,4
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus ",,,1605.67,18490.0,248
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus Age 21+",,,1793.13,1793.13,4
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus Age Under 21",,,1825.73,1825.73,4
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus ",,,1605.67,15233.01,248
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age 21+",,,1793.13,1793.13,4
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21",,,1825.73,1825.73,4
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed ",,,1605.67,15233.01,248
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed Age 21+",,,1793.13,1793.13,4
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed Age Under 21",,,1825.73,1825.73,4
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; ",,,1605.67,15233.01,248
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; Age 21+",,,1793.13,1793.13,4
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; Age Under 21",,,1825.73,1825.73,4
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus ",,,1605.67,15233.01,248
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age 21+",,,1793.13,1793.13,4
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age Under 21",,,1825.73,1825.73,4
CPT,31290,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region ",,,2152.0,25655.0,220
CPT,31291,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region ",,,2152.0,27156.33,220
CPT,31292,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall ",,,2369.0,25655.0,221
CPT,31293,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall ",,,2369.0,25655.0,221
CPT,31294,"Nasal/sinus endoscopy, surgical, with optic nerve decompression ",,,2369.0,25655.0,221
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa ",,,1329.67,12499.0,248
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa Age 21+",,,1484.91,1484.91,4
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa Age Under 21",,,1511.91,1511.91,4
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium ",,,1337.85,12499.0,248
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Age 21+",,,1494.04,1494.04,4
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Age Under 21",,,1521.21,1521.21,4
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium ",,,1326.4,12499.0,248
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium Age 21+",,,1481.26,1481.26,4
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium Age Under 21",,,1508.19,1508.19,4
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia ",,,1605.67,19415.0,248
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia Age 21+",,,1793.13,1793.13,4
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia Age Under 21",,,1825.73,1825.73,4
CPT,31299,"Unlisted procedure, accessory sinuses ",,,239.12,25655.0,177
CPT,31300,"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy ",,,873.32,18490.0,266
CPT,31300,"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Age 21+",,,975.28,975.28,4
CPT,31300,"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Age Under 21",,,993.01,993.01,4
CPT,31320,"HLaryngotomy (thyrotomy, laryngofissure); diagnostic ",,,7592.0,8072.0,42
CPT,31360,"Laryngectomy; total, without radical neck dissection ",,,948.0,46464.82,194
CPT,31365,"Laryngectomy; total, with radical neck dissection ",,,948.0,57358.44,194
CPT,31367,"Laryngectomy; subtotal supraglottic, without radical neck dissection ",,,948.0,49129.85,194
CPT,31368,"Laryngectomy; subtotal supraglottic, with radical neck dissection ",,,948.0,54569.01,194
CPT,31370,Partial laryngectomy (hemilaryngectomy); horizontal ,,,948.0,46200.49,194
CPT,31375,Partial laryngectomy (hemilaryngectomy); laterovertical ,,,948.0,43776.29,194
CPT,31380,Partial laryngectomy (hemilaryngectomy); anterovertical ,,,948.0,43216.8,194
CPT,31382,Partial laryngectomy (hemilaryngectomy); antero-latero-vertical ,,,948.0,47412.81,194
CPT,31390,"Pharyngolaryngectomy, with radical neck dissection; without reconstruction ",,,948.0,63636.5,194
CPT,31395,"Pharyngolaryngectomy, with radical neck dissection; with reconstruction ",,,948.0,67148.62,194
CPT,31400,"Arytenoidectomy or arytenoidopexy, external approach ",,,948.0,17510.0,266
CPT,31400,"Arytenoidectomy or arytenoidopexy, external approach Age 21+",,,2149.64,2149.64,4
CPT,31400,"Arytenoidectomy or arytenoidopexy, external approach Age Under 21",,,2188.73,2188.73,4
CPT,31420,Epiglottidectomy ,,,948.0,17510.0,266
CPT,31420,Epiglottidectomy Age 21+,,,2149.64,2149.64,4
CPT,31420,Epiglottidectomy Age Under 21,,,2188.73,2188.73,4
CPT,31500,"Intubation, endotracheal, emergency procedure ",,,86.27,5932.0,266
CPT,31500,"Intubation, endotracheal, emergency procedure Age 21+",,,96.34,96.34,4
CPT,31500,"Intubation, endotracheal, emergency procedure Age Under 21",,,98.09,98.09,4
CPT,31502,Tracheotomy tube change prior to establishment of fistula tract ,,,86.27,5932.0,266
CPT,31502,Tracheotomy tube change prior to establishment of fistula tract Age 21+,,,96.34,96.34,4
CPT,31502,Tracheotomy tube change prior to establishment of fistula tract Age Under 21,,,98.09,98.09,4
CPT,31505,"Laryngoscopy, indirect; diagnostic (separate procedure) ",,,55.36,2636.0,222
CPT,31505,"Laryngoscopy, indirect; diagnostic (separate procedure) Age 21+",,,61.82,61.82,4
CPT,31505,"Laryngoscopy, indirect; diagnostic (separate procedure) Age Under 21",,,62.94,62.94,4
CPT,31510,"Laryngoscopy, indirect; with biopsy ",,,948.0,8223.35,266
CPT,31510,"Laryngoscopy, indirect; with biopsy Age 21+",,,1168.46,1168.46,4
CPT,31510,"Laryngoscopy, indirect; with biopsy Age Under 21",,,1189.71,1189.71,4
CPT,31511,"Laryngoscopy, indirect; with removal of foreign body ",,,67.12,6680.0,266
CPT,31511,"Laryngoscopy, indirect; with removal of foreign body Age 21+",,,74.95,74.95,4
CPT,31511,"Laryngoscopy, indirect; with removal of foreign body Age Under 21",,,76.32,76.32,4
CPT,31512,"Laryngoscopy, indirect; with removal of lesion ",,,948.0,8858.0,266
CPT,31512,"Laryngoscopy, indirect; with removal of lesion Age 21+",,,1168.46,1168.46,4
CPT,31512,"Laryngoscopy, indirect; with removal of lesion Age Under 21",,,1189.71,1189.71,4
CPT,31513,"Laryngoscopy, indirect; with vocal cord injection ",,,153.26,6680.0,266
CPT,31513,"Laryngoscopy, indirect; with vocal cord injection Age 21+",,,171.15,171.15,4
CPT,31513,"Laryngoscopy, indirect; with vocal cord injection Age Under 21",,,174.26,174.26,4
CPT,31515,"Laryngoscopy direct, with or without tracheoscopy; for aspiration ",,,153.26,5932.0,266
CPT,31515,"Laryngoscopy direct, with or without tracheoscopy; for aspiration Age 21+",,,171.15,171.15,4
CPT,31515,"Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21",,,174.26,174.26,4
CPT,31520,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn ",,,153.26,5932.0,266
CPT,31520,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Age 21+",,,171.15,171.15,4
CPT,31520,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Age Under 21",,,174.26,174.26,4
CPT,31525,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn ",,,517.82,6680.0,266
CPT,31525,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn Age 21+",,,578.28,578.28,4
CPT,31525,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn Age Under 21",,,588.8,588.8,4
CPT,31526,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope ",,,517.82,6680.0,266
CPT,31526,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age 21+",,,578.28,578.28,4
CPT,31526,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21",,,588.8,588.8,4
CPT,31527,"Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator ",,,948.0,8858.0,266
CPT,31527,"Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Age 21+",,,1168.46,1168.46,4
CPT,31527,"Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Age Under 21",,,1189.71,1189.71,4
CPT,31528,"Laryngoscopy direct, with or without tracheoscopy; with dilation, initial ",,,948.0,8858.0,266
CPT,31528,"Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Age 21+",,,1168.46,1168.46,4
CPT,31528,"Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Age Under 21",,,1189.71,1189.71,4
CPT,31529,"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent ",,,948.0,8858.0,266
CPT,31529,"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Age 21+",,,1168.46,1168.46,4
CPT,31529,"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Age Under 21",,,1189.71,1189.71,4
CPT,31530,"Laryngoscopy, direct, operative, with foreign body removal; ",,,517.82,6680.0,266
CPT,31530,"Laryngoscopy, direct, operative, with foreign body removal; Age 21+",,,578.28,578.28,4
CPT,31530,"Laryngoscopy, direct, operative, with foreign body removal; Age Under 21",,,588.8,588.8,4
CPT,31531,"Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope ",,,948.0,9908.0,266
CPT,31531,"Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope Age 21+",,,1168.46,1168.46,4
CPT,31531,"Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope Age Under 21",,,1189.71,1189.71,4
CPT,31535,"Laryngoscopy, direct, operative, with biopsy; ",,,948.0,8858.0,266
CPT,31535,"Laryngoscopy, direct, operative, with biopsy; Age 21+",,,1168.46,1168.46,4
CPT,31535,"Laryngoscopy, direct, operative, with biopsy; Age Under 21",,,1189.71,1189.71,4
CPT,31536,"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope ",,,948.0,9908.0,266
CPT,31536,"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age 21+",,,1168.46,1168.46,4
CPT,31536,"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21",,,1189.71,1189.71,4
CPT,31540,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; ",,,948.0,9908.0,266
CPT,31540,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Age 21+",,,1168.46,1168.46,4
CPT,31540,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Age Under 21",,,1189.71,1189.71,4
CPT,31541,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope ",,,948.0,19415.0,266
CPT,31541,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope Age 21+",,,1168.46,1168.46,4
CPT,31541,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope Age Under 21",,,1189.71,1189.71,4
CPT,31545,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) ",,,948.0,19415.0,266
CPT,31545,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) Age 21+",,,1168.46,1168.46,4
CPT,31545,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) Age Under 21",,,1189.71,1189.71,4
CPT,31546,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft) ",,,948.0,19415.0,274
CPT,31551,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age ",,,948.0,25655.0,266
CPT,31551,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age Age 21+",,,2149.64,2149.64,4
CPT,31551,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age Age Under 21",,,2188.73,2188.73,4
CPT,31552,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older ",,,948.0,25655.0,266
CPT,31552,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older Age 21+",,,2149.64,2149.64,4
CPT,31552,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older Age Under 21",,,2188.73,2188.73,4
CPT,31553,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age ",,,948.0,25655.0,266
CPT,31553,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age Age 21+",,,2149.64,2149.64,4
CPT,31553,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age Age Under 21",,,2188.73,2188.73,4
CPT,31554,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older ",,,948.0,25655.0,266
CPT,31554,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older Age 21+",,,2149.64,2149.64,4
CPT,31554,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older Age Under 21",,,2188.73,2188.73,4
CPT,31560,"Laryngoscopy, direct, operative, with arytenoidectomy; ",,,948.0,18490.0,266
CPT,31560,"Laryngoscopy, direct, operative, with arytenoidectomy; Age 21+",,,1793.13,1793.13,4
CPT,31560,"Laryngoscopy, direct, operative, with arytenoidectomy; Age Under 21",,,1825.73,1825.73,4
CPT,31561,"Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope ",,,948.0,18490.0,266
CPT,31561,"Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Age 21+",,,1793.13,1793.13,4
CPT,31561,"Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Age Under 21",,,1825.73,1825.73,4
CPT,31570,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; ",,,948.0,8223.35,266
CPT,31570,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; Age 21+",,,1168.46,1168.46,4
CPT,31570,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; Age Under 21",,,1189.71,1189.71,4
CPT,31571,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope ",,,948.0,8858.0,266
CPT,31571,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age 21+",,,1168.46,1168.46,4
CPT,31571,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under 21",,,1189.71,1189.71,4
CPT,31572,"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral ",,,948.0,18747.0,266
CPT,31572,"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral Age 21+",,,1168.46,1168.46,4
CPT,31572,"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral Age Under 21",,,1189.71,1189.71,4
CPT,31573,"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral ",,,158.44,18747.0,266
CPT,31573,"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral Age 21+",,,176.94,176.94,4
CPT,31573,"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral Age Under 21",,,180.15,180.15,4
CPT,31574,"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral ",,,517.82,18747.0,266
CPT,31574,"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral Age 21+",,,578.28,578.28,4
CPT,31574,"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral Age Under 21",,,588.8,588.8,4
CPT,31575,"Laryngoscopy, flexible; diagnostic ",,,67.12,6680.0,266
CPT,31575,"Laryngoscopy, flexible; diagnostic Age 21+",,,74.95,74.95,4
CPT,31575,"Laryngoscopy, flexible; diagnostic Age Under 21",,,76.32,76.32,4
CPT,31576,"Laryngoscopy, flexible; with biopsy(ies) ",,,517.82,6680.0,266
CPT,31576,"Laryngoscopy, flexible; with biopsy(ies) Age 21+",,,578.28,578.28,4
CPT,31576,"Laryngoscopy, flexible; with biopsy(ies) Age Under 21",,,588.8,588.8,4
CPT,31577,"Laryngoscopy, flexible; with removal of foreign body(s) ",,,153.26,6680.0,266
CPT,31577,"Laryngoscopy, flexible; with removal of foreign body(s) Age 21+",,,171.15,171.15,4
CPT,31577,"Laryngoscopy, flexible; with removal of foreign body(s) Age Under 21",,,174.26,174.26,4
CPT,31578,"Laryngoscopy, flexible; with removal of lesion(s), non-laser ",,,948.0,8223.35,266
CPT,31578,"Laryngoscopy, flexible; with removal of lesion(s), non-laser Age 21+",,,1168.46,1168.46,4
CPT,31578,"Laryngoscopy, flexible; with removal of lesion(s), non-laser Age Under 21",,,1189.71,1189.71,4
CPT,31579,"Laryngoscopy, flexible or rigid telescopic, with stroboscopy ",,,103.08,6680.0,266
CPT,31579,"Laryngoscopy, flexible or rigid telescopic, with stroboscopy Age 21+",,,115.12,115.12,4
CPT,31579,"Laryngoscopy, flexible or rigid telescopic, with stroboscopy Age Under 21",,,117.21,117.21,4
CPT,31580,"Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion ",,,948.0,18490.0,266
CPT,31580,"Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Age 21+",,,2149.64,2149.64,4
CPT,31580,"Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Age Under 21",,,2188.73,2188.73,4
CPT,31582,REVISION OF LARYNX ,,,7592.0,8072.0,42
CPT,31584,"Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed ",,,948.0,25655.0,239
CPT,31585,TREAT LARYNX FRACTURE ,,,2152.0,6587.0,34
CPT,31586,TREAT LARYNX FRACTURE ,,,2152.0,6587.0,34
CPT,31587,"Laryngoplasty, cricoid split, without graft placement ",,,948.0,25655.0,239
CPT,31588,REVISION OF LARYNX ,,,7592.0,8072.0,42
CPT,31590,Laryngeal reinnervation by neuromuscular pedicle ,,,948.0,18490.0,266
CPT,31590,Laryngeal reinnervation by neuromuscular pedicle Age 21+,,,2149.64,2149.64,4
CPT,31590,Laryngeal reinnervation by neuromuscular pedicle Age Under 21,,,2188.73,2188.73,4
CPT,31591,"Laryngoplasty, medialization, unilateral ",,,948.0,25655.0,266
CPT,31591,"Laryngoplasty, medialization, unilateral Age 21+",,,2149.64,2149.64,4
CPT,31591,"Laryngoplasty, medialization, unilateral Age Under 21",,,2188.73,2188.73,4
CPT,31592,Cricotracheal resection ,,,948.0,25655.0,266
CPT,31592,Cricotracheal resection Age 21+,,,2149.64,2149.64,4
CPT,31592,Cricotracheal resection Age Under 21,,,2188.73,2188.73,4
CPT,31595,"SECTION RECURRENT LARYNGEAL NERVE, THERAPEUTIC (SEPARATE PROCEDURE), UNILATERAL ",,,7592.0,8072.0,42
CPT,31599,"Unlisted procedure, larynx ",,,239.12,25655.0,239
CPT,31600,"Tracheostomy, planned (separate procedure); ",,,948.0,8858.0,239
CPT,31601,"Tracheostomy, planned (separate procedure); younger than 2 years ",,,948.0,25655.0,195
CPT,31603,"Tracheostomy, emergency procedure; transtracheal ",,,414.33,5932.0,266
CPT,31603,"Tracheostomy, emergency procedure; transtracheal Age 21+",,,462.7,462.7,4
CPT,31603,"Tracheostomy, emergency procedure; transtracheal Age Under 21",,,471.12,471.12,4
CPT,31605,"Tracheostomy, emergency procedure; cricothyroid membrane ",,,86.27,5932.0,266
CPT,31605,"Tracheostomy, emergency procedure; cricothyroid membrane Age 21+",,,96.34,96.34,4
CPT,31605,"Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21",,,98.09,98.09,4
CPT,31610,"Tracheostomy, fenestration procedure with skin flaps ",,,948.0,25655.0,195
CPT,31611,"Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) ",,,873.32,9908.0,266
CPT,31611,"Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) Age 21+",,,975.28,975.28,4
CPT,31611,"Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) Age Under 21",,,993.01,993.01,4
CPT,31612,"Tracheal puncture, percutaneous with transtracheal aspiration and/or injection ",,,873.32,8858.0,266
CPT,31612,"Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Age 21+",,,975.28,975.28,4
CPT,31612,"Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Age Under 21",,,993.01,993.01,4
CPT,31613,"Tracheostoma revision; simple, without flap rotation ",,,873.32,8858.0,266
CPT,31613,"Tracheostoma revision; simple, without flap rotation Age 21+",,,975.28,975.28,4
CPT,31613,"Tracheostoma revision; simple, without flap rotation Age Under 21",,,993.01,993.01,4
CPT,31614,"Tracheostoma revision; complex, with flap rotation ",,,948.0,17510.0,266
CPT,31614,"Tracheostoma revision; complex, with flap rotation Age 21+",,,2149.64,2149.64,4
CPT,31614,"Tracheostoma revision; complex, with flap rotation Age Under 21",,,2188.73,2188.73,4
CPT,31615,Tracheobronchoscopy through established tracheostomy incision ,,,184.41,5932.0,266
CPT,31615,Tracheobronchoscopy through established tracheostomy incision Age 21+,,,205.94,205.94,4
CPT,31615,Tracheobronchoscopy through established tracheostomy incision Age Under 21,,,209.69,209.69,4
CPT,31620,ENDOBRONCHIAL US ADD-ON ,,,2152.0,6587.0,34
CPT,31622,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) ",,,517.82,6680.0,266
CPT,31622,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) Age 21+",,,578.28,578.28,4
CPT,31622,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) Age Under 21",,,588.8,588.8,4
CPT,31623,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings ",,,517.82,6680.0,266
CPT,31623,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings Age 21+",,,578.28,578.28,4
CPT,31623,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings Age Under 21",,,588.8,588.8,4
CPT,31624,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage ",,,517.82,6680.0,266
CPT,31624,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage Age 21+",,,578.28,578.28,4
CPT,31624,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage Age Under 21",,,588.8,588.8,4
CPT,31625,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites ",,,517.82,6680.0,266
CPT,31625,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites Age 21+",,,578.28,578.28,4
CPT,31625,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites Age Under 21",,,588.8,588.8,4
CPT,31626,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple ",,,948.0,15233.01,266
CPT,31626,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple Age 21+",,,1793.13,1793.13,4
CPT,31626,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple Age Under 21",,,1825.73,1825.73,4
CPT,31627,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedureºs») ",,,948.0,5932.0,142
CPT,31628,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe ",,,948.0,8223.35,266
CPT,31628,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe Age 21+",,,1168.46,1168.46,4
CPT,31628,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe Age Under 21",,,1189.71,1189.71,4
CPT,31629,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) ",,,948.0,12360.0,266
CPT,31629,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) Age 21+",,,1168.46,1168.46,4
CPT,31629,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) Age Under 21",,,1189.71,1189.71,4
CPT,31630,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture ",,,948.0,12360.0,266
CPT,31630,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture Age 21+",,,1168.46,1168.46,4
CPT,31630,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture Age Under 21",,,1189.71,1189.71,4
CPT,31631,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) ",,,948.0,15233.01,266
CPT,31631,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) Age 21+",,,1793.13,1793.13,4
CPT,31631,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) Age Under 21",,,1825.73,1825.73,4
CPT,31632,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure) ",,,948.0,6680.0,190
CPT,31633,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), each additional lobe (List separately in addition to code for primary",,,948.0,6680.0,190
CPT,31634,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessment of air leak, with administration of occlusive substance (eg, fibrin glue), if ",,,948.0,15233.01,274
CPT,31635,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body ",,,517.82,6680.0,266
CPT,31635,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body Age 21+",,,578.28,578.28,4
CPT,31635,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body Age Under 21",,,588.8,588.8,4
CPT,31636,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus ",,,948.0,15233.01,266
CPT,31636,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus Age 21+",,,2707.9,2707.9,4
CPT,31636,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus Age Under 21",,,2757.14,2757.14,4
CPT,31637,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; each additional major bronchus stented (List separately in addition to code for primary procedure) ",,,948.0,5932.0,190
CPT,31638,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as req",,,948.0,15233.01,274
CPT,31640,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor ",,,948.0,12360.0,266
CPT,31640,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor Age 21+",,,1168.46,1168.46,4
CPT,31640,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor Age Under 21",,,1189.71,1189.71,4
CPT,31641,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) ",,,948.0,12360.0,266
CPT,31641,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) Age",,,1168.46,1189.71,8
CPT,31643,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application ",,,517.82,25080.0,266
CPT,31643,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application Age 21+",,,578.28,578.28,4
CPT,31643,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application Age Under 21",,,588.8,588.8,4
CPT,31645,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial ",,,517.82,6680.0,266
CPT,31645,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial Age 21+",,,578.28,578.28,4
CPT,31645,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial Age Under 21",,,588.8,588.8,4
CPT,31646,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay ",,,153.26,5932.0,266
CPT,31646,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay Age 21+",,,171.15,171.15,4
CPT,31646,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay Age Under 21",,,174.26,174.26,4
CPT,31647,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), in",,,948.0,18747.0,274
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe ",,,948.0,18747.0,266
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe Age 21+",,,1168.46,1168.46,4
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe Age Under 21",,,1189.71,1189.71,4
CPT,31649,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) ",,,517.82,8485.0,266
CPT,31649,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) A",,,578.28,588.8,8
CPT,31651,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), ea",,,948.0,18747.0,190
CPT,31652,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspirationºs»/biopsyºies",,,948.0,12499.0,274
CPT,31653,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspirationºs»/biopsyºies",,,948.0,12499.0,274
CPT,31654,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) fo",,,948.0,5932.0,190
CPT,31656,BRONCHOSCOPY INJ FOR X-RAY ,,,2152.0,6587.0,34
CPT,31660,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe ",,,948.0,15233.01,239
CPT,31661,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes ",,,948.0,15233.01,239
CPT,31700,INSERTION OF AIRWAY CATHETER ,,,2152.0,6587.0,34
CPT,31708,INSTILL AIRWAY CONTRAST DYE ,,,2152.0,6587.0,34
CPT,31710,INSERTION OF AIRWAY CATHETER ,,,2152.0,6587.0,34
CPT,31715,INJECTION FOR BRONCHUS X-RAY ,,,2152.0,6587.0,34
CPT,31717,Catheterization with bronchial brush biopsy ,,,153.26,6587.0,266
CPT,31717,Catheterization with bronchial brush biopsy Age 21+,,,171.15,171.15,4
CPT,31717,Catheterization with bronchial brush biopsy Age Under 21,,,174.26,174.26,4
CPT,31720,Catheter aspiration (separate procedure); nasotracheal ,,,221.07,6587.0,239
CPT,31725,"Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside ",,,948.0,25655.0,238
CPT,31730,Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy ,,,517.82,6680.0,266
CPT,31730,Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age 21+,,,578.28,578.28,4
CPT,31730,Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under 21,,,588.8,588.8,4
CPT,31750,Tracheoplasty; cervical ,,,948.0,18490.0,266
CPT,31750,Tracheoplasty; cervical Age 21+,,,2149.64,2149.64,4
CPT,31750,Tracheoplasty; cervical Age Under 21,,,2188.73,2188.73,4
CPT,31755,"Tracheoplasty; tracheopharyngeal fistulization, each stage ",,,948.0,17510.0,266
CPT,31755,"Tracheoplasty; tracheopharyngeal fistulization, each stage Age 21+",,,2149.64,2149.64,4
CPT,31755,"Tracheoplasty; tracheopharyngeal fistulization, each stage Age Under 21",,,2188.73,2188.73,4
CPT,31760,Tracheoplasty; intrathoracic ,,,948.0,30753.83,194
CPT,31766,Carinal reconstruction ,,,948.0,40000.05,194
CPT,31770,Bronchoplasty; graft repair ,,,948.0,29751.51,194
CPT,31775,Bronchoplasty; excision stenosis and anastomosis ,,,948.0,31453.02,194
CPT,31780,Excision tracheal stenosis and anastomosis; cervical ,,,948.0,26651.18,194
CPT,31781,Excision tracheal stenosis and anastomosis; cervicothoracic ,,,948.0,30994.66,194
CPT,31785,Excision of tracheal tumor or carcinoma; cervical ,,,948.0,19415.0,239
CPT,31786,Excision of tracheal tumor or carcinoma; thoracic ,,,948.0,32432.06,194
CPT,31800,Suture of tracheal wound or injury; cervical ,,,948.0,25655.0,238
CPT,31805,Suture of tracheal wound or injury; intrathoracic ,,,948.0,25655.0,194
CPT,31820,Surgical closure tracheostomy or fistula; without plastic repair ,,,873.32,8858.0,266
CPT,31820,Surgical closure tracheostomy or fistula; without plastic repair Age 21+,,,975.28,975.28,4
CPT,31820,Surgical closure tracheostomy or fistula; without plastic repair Age Under 21,,,993.01,993.01,4
CPT,31825,Surgical closure tracheostomy or fistula; with plastic repair ,,,873.32,8858.0,266
CPT,31825,Surgical closure tracheostomy or fistula; with plastic repair Age 21+,,,975.28,975.28,4
CPT,31825,Surgical closure tracheostomy or fistula; with plastic repair Age Under 21,,,993.01,993.01,4
CPT,31830,Revision of tracheostomy scar ,,,873.32,8858.0,266
CPT,31830,Revision of tracheostomy scar Age 21+,,,975.28,975.28,4
CPT,31830,Revision of tracheostomy scar Age Under 21,,,993.01,993.01,4
CPT,31899,"Unlisted procedure, trachea, bronchi ",,,201.52,25655.0,239
CPT,32000,DRAINAGE OF CHEST ,,,2152.0,6587.0,34
CPT,32001,Total lung lavage ,,,2152.0,6587.0,34
CPT,32002,TREATMENT OF COLLAPSED LUNG ,,,2152.0,6587.0,34
CPT,32005,TREAT LUNG LINING CHEMICALLY ,,,2152.0,6587.0,34
CPT,32019,INSERT PLEURAL CATHETER ,,,2152.0,6587.0,34
CPT,32020,INSERTION OF CHEST TUBE ,,,2152.0,6587.0,34
CPT,32035,Thoracostomy; with rib resection for empyema ,,,948.0,25655.0,194
CPT,32036,Thoracostomy; with open flap drainage for empyema ,,,948.0,25655.0,194
CPT,32095,BIOPSY THROUGH CHEST WALL ,,,2152.0,6587.0,34
CPT,32096,"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral ",,,948.0,25655.0,194
CPT,32097,"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral ",,,948.0,25655.0,194
CPT,32098,"Thoracotomy, with biopsy(ies) of pleura ",,,948.0,25655.0,194
CPT,32100,Thoracotomy; with exploration ,,,948.0,25655.0,194
CPT,32110,Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear ,,,948.0,32976.02,194
CPT,32120,Thoracotomy; for postoperative complications ,,,948.0,25655.0,194
CPT,32124,Thoracotomy; with open intrapleural pneumonolysis ,,,948.0,25655.0,194
CPT,32140,"Thoracotomy; with cyst(s) removal, includes pleural procedure when performed ",,,948.0,25655.0,194
CPT,32141,"Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed ",,,948.0,34226.93,194
CPT,32150,Thoracotomy; with removal of intrapleural foreign body or fibrin deposit ,,,948.0,25655.0,194
CPT,32151,Thoracotomy; with removal of intrapulmonary foreign body ,,,948.0,25655.0,194
CPT,32160,Thoracotomy; with cardiac massage ,,,948.0,25655.0,194
CPT,32200,"Pneumonostomy, with open drainage of abscess or cyst ",,,948.0,25655.0,194
CPT,32201,DRAIN PERCUT LUNG LESION ,,,2152.0,6587.0,34
CPT,32215,Pleural scarification for repeat pneumothorax ,,,948.0,25655.0,194
CPT,32220,"Decortication, pulmonary (separate procedure); total ",,,948.0,35578.96,194
CPT,32225,"Decortication, pulmonary (separate procedure); partial ",,,948.0,25655.0,194
CPT,32310,"Pleurectomy, parietal (separate procedure) ",,,948.0,25655.0,194
CPT,32320,Decortication and parietal pleurectomy ,,,948.0,35843.07,194
CPT,32400,"Biopsy, pleura, percutaneous needle ",,,479.15,5932.0,266
CPT,32400,"Biopsy, pleura, percutaneous needle Age 21+",,,535.1,535.1,4
CPT,32400,"Biopsy, pleura, percutaneous needle Age Under 21",,,544.82,544.82,4
CPT,32402,OPEN BIOPSY CHEST LINING ,,,2152.0,6587.0,34
CPT,32405,"BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS NEEDLE ",,,2214.0,4723.0,42
CPT,32408,"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed ",,,479.15,18747.0,266
CPT,32408,"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed Age 21+",,,535.1,535.1,4
CPT,32408,"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed Age Under 21",,,544.82,544.82,4
CPT,32420,PUNCTURE/CLEAR LUNG ,,,2152.0,6587.0,34
CPT,32421,THORACENTESIS FOR ASPIRATION ,,,2152.0,6587.0,34
CPT,32422,THORACENTESIS W/TUBE INSERT ,,,2152.0,6587.0,34
CPT,32440,"Removal of lung, pneumonectomy; ",,,948.0,35097.31,194
CPT,32442,"Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) ",,,948.0,69075.65,194
CPT,32445,"Removal of lung, pneumonectomy; extrapleural ",,,948.0,79526.22,194
CPT,32480,"Removal of lung, other than pneumonectomy; single lobe (lobectomy) ",,,948.0,33154.75,194
CPT,32482,"Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) ",,,948.0,35454.56,194
CPT,32484,"Removal of lung, other than pneumonectomy; single segment (segmentectomy) ",,,948.0,32129.14,194
CPT,32486,"Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) ",,,948.0,52937.13,194
CPT,32488,"Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) ",,,948.0,53698.63,194
CPT,32491,"Removal of lung, other than pneumonectomy; with resection-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume reduction, sternal split or transthoracic approach, includes any p",,,948.0,33014.83,194
CPT,32500,PARTIAL REMOVAL OF LUNG ,,,2152.0,6587.0,34
CPT,32501,Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure) ,,,948.0,25655.0,194
CPT,32503,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s) ",,,948.0,40341.99,194
CPT,32504,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction ",,,948.0,46029.74,194
CPT,32505,"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial ",,,948.0,25655.0,194
CPT,32506,"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,32507,Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) ,,,948.0,25655.0,194
CPT,32520,REMOVE LUNG & REVISE CHEST ,,,2152.0,6587.0,34
CPT,32522,REMOVE LUNG & REVISE CHEST ,,,2152.0,6587.0,34
CPT,32525,REMOVE LUNG & REVISE CHEST ,,,2152.0,6587.0,34
CPT,32540,Extrapleural enucleation of empyema (empyemectomy) ,,,948.0,38609.22,194
CPT,32550,Insertion of indwelling tunneled pleural catheter with cuff ,,,948.0,12499.0,266
CPT,32550,Insertion of indwelling tunneled pleural catheter with cuff Age 21+,,,1706.65,1706.65,4
CPT,32550,Insertion of indwelling tunneled pleural catheter with cuff Age Under 21,,,1737.68,1737.68,4
CPT,32551,THORACOSTOMY TUBE,7349.17,7349.17,808.41,7349.17,37
CPT,32551,"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) ",7349.17,7349.17,948.0,6680.0,239
CPT,32552,Removal of indwelling tunneled pleural catheter with cuff ,,,220.39,5932.0,266
CPT,32552,Removal of indwelling tunneled pleural catheter with cuff Age 21+,,,246.13,246.13,4
CPT,32552,Removal of indwelling tunneled pleural catheter with cuff Age Under 21,,,250.6,250.6,4
CPT,32553,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple ",,,514.89,9868.0,266
CPT,32553,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple Age 21+",,,575.0,575.0,4
CPT,32553,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple Age Under 21",,,585.46,585.46,4
CPT,32554,THORACENTESIS W/O IMAG,5208.01,5208.01,572.88,5208.01,37
CPT,32554,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance ",5208.01,5208.01,181.11,5932.0,266
CPT,32554,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance Age 21+",5208.01,5208.01,246.13,246.13,4
CPT,32554,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance Age Under 21",5208.01,5208.01,250.6,250.6,4
CPT,32555,THORACENTESIS W/ IMAG,5208.01,5208.01,572.88,5208.01,37
CPT,32555,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance ",5208.01,5208.01,181.11,5932.0,266
CPT,32555,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance Age 21+",5208.01,5208.01,246.13,246.13,4
CPT,32555,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance Age Under 21",5208.01,5208.01,250.6,250.6,4
CPT,32556,PERC PLEUR DRN W/O IMG,5208.01,5208.01,572.88,5208.01,37
CPT,32556,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance ",5208.01,5208.01,181.11,6680.0,266
CPT,32556,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance Age 21+",5208.01,5208.01,621.47,621.47,4
CPT,32556,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance Age Under 21",5208.01,5208.01,632.77,632.77,4
CPT,32557,PERC PLEUR DRN W/ IMG,5208.01,5208.01,572.88,5208.01,37
CPT,32557,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance ",5208.01,5208.01,181.11,6680.0,266
CPT,32557,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance Age 21+",5208.01,5208.01,490.9,490.9,4
CPT,32557,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance Age Under 21",5208.01,5208.01,499.82,499.82,4
CPT,32560,"Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) ",,,633.31,6680.0,239
CPT,32561,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day ",,,633.31,5932.0,239
CPT,32562,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day ",,,633.31,5932.0,239
CPT,32601,"Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy ",,,948.0,25655.0,239
CPT,32602,THORACOSCOPY DIAGNOSTIC ,,,2152.0,6587.0,34
CPT,32603,THORACOSCOPY DIAGNOSTIC ,,,2152.0,6587.0,34
CPT,32604,"Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy ",,,948.0,25655.0,239
CPT,32605,THORACOSCOPY DIAGNOSTIC ,,,2152.0,6587.0,34
CPT,32606,"Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy ",,,948.0,25655.0,239
CPT,32607,"Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral ",,,948.0,17510.0,239
CPT,32608,"Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral ",,,948.0,17510.0,239
CPT,32609,Thoracoscopy; with biopsy(ies) of pleura ,,,948.0,17510.0,239
CPT,32650,"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) ",,,948.0,25750.0,194
CPT,32651,"Thoracoscopy, surgical; with partial pulmonary decortication ",,,948.0,25750.0,194
CPT,32652,"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis ",,,948.0,37272.93,194
CPT,32653,"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit ",,,948.0,25655.0,194
CPT,32654,"Thoracoscopy, surgical; with control of traumatic hemorrhage ",,,948.0,25866.39,194
CPT,32655,"Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed ",,,948.0,25750.0,194
CPT,32656,"Thoracoscopy, surgical; with parietal pleurectomy ",,,948.0,25750.0,194
CPT,32657,THORACOSCOPY SURGICAL ,,,2152.0,6587.0,34
CPT,32658,"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac ",,,948.0,25655.0,194
CPT,32659,"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage ",,,948.0,25655.0,194
CPT,32660,THORACOSCOPY SURGICAL ,,,2152.0,6587.0,34
CPT,32661,"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass ",,,948.0,25655.0,194
CPT,32662,"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass ",,,948.0,25655.0,194
CPT,32663,"Thoracoscopy, surgical; with lobectomy (single lobe) ",,,948.0,31406.45,194
CPT,32664,"Thoracoscopy, surgical; with thoracic sympathectomy ",,,948.0,25655.0,238
CPT,32665,"Thoracoscopy, surgical; with esophagomyotomy (Heller type) ",,,948.0,27420.44,194
CPT,32666,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral ",,,948.0,25655.0,194
CPT,32667,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,32668,"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,32669,"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy) ",,,948.0,30140.02,194
CPT,32670,"Thoracoscopy, surgical; with removal of two lobes (bilobectomy) ",,,948.0,35959.71,194
CPT,32671,"Thoracoscopy, surgical; with removal of lung (pneumonectomy) ",,,948.0,39704.9,194
CPT,32672,"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed ",,,948.0,34257.98,194
CPT,32673,"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral ",,,948.0,27210.66,194
CPT,32674,"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,32701,"Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment ",,,948.0,6587.0,114
CPT,32800,Repair lung hernia through chest wall ,,,948.0,25655.0,194
CPT,32810,Closure of chest wall following open flap drainage for empyema (Clagett type procedure) ,,,948.0,25655.0,194
CPT,32815,Open closure of major bronchial fistula ,,,948.0,62976.11,194
CPT,32820,"Major reconstruction, chest wall (posttraumatic) ",,,948.0,29821.36,194
CPT,32850,"Donor pneumonectomy(s) (including cold preservation), from cadaver donor ",,,948.0,25655.0,194
CPT,32851,"Lung transplant, single; without cardiopulmonary bypass ",,,948.0,74087.27,194
CPT,32852,"Lung transplant, single; with cardiopulmonary bypass ",,,948.0,80544.06,194
CPT,32853,"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass ",,,948.0,103745.43,194
CPT,32854,"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass ",,,948.0,110109.08,194
CPT,32855,"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmon",,,948.0,47809.08,194
CPT,32856,"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmon",,,948.0,52362.13,194
CPT,32900,"Resection of ribs, extrapleural, all stages ",,,948.0,31763.92,194
CPT,32905,"Thoracoplasty, Schede type or extrapleural (all stages); ",,,948.0,29735.98,194
CPT,32906,"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula ",,,948.0,36977.56,194
CPT,32940,"Pneumonolysis, extraperiosteal, including filling or packing procedures ",,,948.0,27521.34,194
CPT,32960,"Pneumothorax, therapeutic, intrapleural injection of air ",,,633.31,3293.0,195
CPT,32994,"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, ",,,948.0,25655.0,239
CPT,32997,Total lung lavage (unilateral) ,,,948.0,25655.0,194
CPT,32998,"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, ",,,948.0,21630.0,239
CPT,32999,"Unlisted procedure, lungs and pleura ",,,633.31,25655.0,195
CPT,33010,PERICARDIOCENTESIS; INITIAL ,,,1266.0,3293.0,42
CPT,33011,PERICARDIOCENTESIS; SUBSEQUENT ,,,1266.0,3293.0,42
CPT,33015,TUBE PERICARDIOSTOMY ,,,2152.0,16144.0,42
CPT,33016,PERICARD W GUIDANCE,13276.6,13276.6,1460.43,13276.6,37
CPT,33016,"Pericardiocentesis, including imaging guidance, when performed ",13276.6,13276.6,439.58,18747.0,266
CPT,33016,"Pericardiocentesis, including imaging guidance, when performed Age 21+",13276.6,13276.6,490.9,490.9,4
CPT,33016,"Pericardiocentesis, including imaging guidance, when performed Age Under 21",13276.6,13276.6,499.82,499.82,4
CPT,33017,PERICARD DRN=>6Y WO CHD,13276.6,13276.6,1460.43,13276.6,43
CPT,33017,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly ",13276.6,13276.6,948.0,25655.0,198
CPT,33018,PERICARD DRN<5Y OR W/CHD,13276.6,13276.6,1460.43,13276.6,43
CPT,33018,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; birth through 5 years of age or any age with congenital card",13276.6,13276.6,948.0,25655.0,198
CPT,33019,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance ",,,948.0,25655.0,198
CPT,33020,Pericardiotomy for removal of clot or foreign body (primary procedure) ,,,948.0,25655.0,194
CPT,33025,Creation of pericardial window or partial resection for drainage ,,,948.0,25655.0,194
CPT,33030,"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass ",,,948.0,44949.58,194
CPT,33031,"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass ",,,948.0,55610.14,194
CPT,33050,Resection of pericardial cyst or tumor ,,,948.0,25655.0,194
CPT,33120,"Excision of intracardiac tumor, resection with cardiopulmonary bypass ",,,948.0,47140.72,194
CPT,33130,Resection of external cardiac tumor ,,,948.0,30823.69,194
CPT,33140,"Transmyocardial laser revascularization, by thoracotomy; (separate procedure) ",,,948.0,35097.31,194
CPT,33141,"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33200,INSERTION OF HEART PACEMAKER ,,,2152.0,6587.0,34
CPT,33201,INSERTION OF HEART PACEMAKER ,,,2152.0,6587.0,34
CPT,33202,"Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) ",,,1995.0,177296.0,160
CPT,33203,"Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) ",,,1995.0,177296.0,160
CPT,33206,INS PACEMAKER ATRIAL,19297.8,19297.8,2122.76,19297.8,37
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial ,19297.8,19297.8,2369.0,177450.0,185
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial Age 21+,19297.8,19297.8,6859.23,6859.23,4
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial Age Under 21,19297.8,19297.8,6983.94,6983.94,4
CPT,33207,INS PACEMAKER VENT,19297.8,19297.8,2122.76,19297.8,37
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular ,19297.8,19297.8,2369.0,177450.0,185
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age 21+,19297.8,19297.8,6955.71,6955.71,4
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21,19297.8,19297.8,7082.17,7082.17,4
CPT,33208,INS PACEMAKER ATR/VENT,22512.98,22512.98,2476.43,22512.98,37
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular ,22512.98,22512.98,2369.0,177450.0,185
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age 21+,22512.98,22512.98,7095.99,7095.99,4
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age Under 21,22512.98,22512.98,7225.01,7225.01,4
CPT,33210,INS TEMP PACER SGL,8539.1,8539.1,939.3,8539.1,37
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) ,8539.1,8539.1,2369.0,177296.0,185
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) Age 21+,8539.1,8539.1,3652.65,3652.65,4
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) Age Under 21,8539.1,8539.1,3719.06,3719.06,4
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) ,,,2369.0,177296.0,185
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age 21+,,,5624.87,5624.87,4
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21,,,5727.14,5727.14,4
CPT,33212,INS PPM GEN ONLY SGL LD,18315.87,18315.87,2014.75,18315.87,37
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead ,18315.87,18315.87,2369.0,177296.0,185
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead Age 21+,18315.87,18315.87,6049.91,6049.91,4
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead Age Under 21,18315.87,18315.87,6159.91,6159.91,4
CPT,33213,INS PPM GEN ONLY DUAL LD,18315.87,18315.87,2014.75,18315.87,37
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads ,18315.87,18315.87,2369.0,177296.0,185
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads Age 21+,18315.87,18315.87,7081.25,7081.25,4
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21,18315.87,18315.87,7210.0,7210.0,4
CPT,33214,UPGRADE PPM SGL TO DUAL,37952.9,37952.9,4174.82,37952.9,38
CPT,33214,"Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lea",37952.9,37952.9,1995.0,177450.0,196
CPT,33215,REPOS PACER/DEFIB LEAD,26295.81,26295.81,2892.54,26295.81,38
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode ,26295.81,26295.81,1101.45,25655.0,228
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode Age 21+,26295.81,26295.81,1230.04,1230.04,4
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode Age Under 21,26295.81,26295.81,1252.41,1252.41,4
CPT,33216,INS PACER/DEFIB LEAD SGL,67985.53,67985.53,7478.41,67985.53,38
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator ",67985.53,67985.53,1995.0,25655.0,228
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator Age 21+",67985.53,67985.53,4992.13,4992.13,4
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator Age Under 21",67985.53,67985.53,5082.9,5082.9,4
CPT,33217,INS PACER/DEFIB 2 LEADS,67985.53,67985.53,7478.41,67985.53,38
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator ",67985.53,67985.53,1995.0,25655.0,228
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator Age 21+",67985.53,67985.53,6430.14,6430.14,4
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator Age Under 21",67985.53,67985.53,6547.05,6547.05,4
CPT,33218,REPAIR PACER/DEFIB LEAD,26295.81,26295.81,2892.54,26295.81,38
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator ",26295.81,26295.81,1404.06,25655.0,228
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator Age 21+",26295.81,26295.81,1567.98,1567.98,4
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator Age Under 21",26295.81,26295.81,1596.49,1596.49,4
CPT,33220,REPAIR PACER/DEFIB 2LEAD,26295.81,26295.81,2892.54,26295.81,38
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator ,26295.81,26295.81,1876.01,177450.0,188
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator Age 21+,26295.81,26295.81,2095.04,2095.04,4
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator Age Under 21,26295.81,26295.81,2133.13,2133.13,4
CPT,33221,INS PPM GEN ONLY MULT LD,88341.98,88341.98,9717.62,88341.98,37
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads ,88341.98,88341.98,1995.0,85680.0,228
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads Age 21+,88341.98,88341.98,10855.33,10855.33,4
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads Age Under 21,88341.98,88341.98,11052.7,11052.7,4
CPT,33222,RELOCATE PACER POCKET,16162.76,16162.76,1777.9,16162.76,38
CPT,33222,Relocation of skin pocket for pacemaker ,16162.76,16162.76,698.37,24035.0,228
CPT,33222,Relocation of skin pocket for pacemaker Age 21+,16162.76,16162.76,779.91,779.91,4
CPT,33222,Relocation of skin pocket for pacemaker Age Under 21,16162.76,16162.76,794.09,794.09,4
CPT,33223,RELOCATE ICD POCKET,16162.76,16162.76,1777.9,16162.76,38
CPT,33223,Relocation of skin pocket for implantable defibrillator ,16162.76,16162.76,698.37,24035.0,228
CPT,33223,Relocation of skin pocket for implantable defibrillator Age 21+,16162.76,16162.76,779.91,779.91,4
CPT,33223,Relocation of skin pocket for implantable defibrillator Age Under 21,16162.76,16162.76,794.09,794.09,4
CPT,33224,INS LV LD W EXST PPM/ICD,17869.22,17869.22,1965.61,17869.22,38
CPT,33224,"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of po",17869.22,17869.22,1995.0,85680.0,236
CPT,33225,"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber syste",9548.32,9548.32,2369.0,85680.0,149
CPT,33225,LV LEAD NEW/UPGD PPM/ICD,9548.32,9548.32,1050.32,9548.32,49
CPT,33226,REPOS LV LD EXST PPM/ICD,26295.81,26295.81,2892.54,26295.81,37
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) ",26295.81,26295.81,1101.45,25655.0,228
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) Age 21+",26295.81,26295.81,1230.04,1230.04,4
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) Age Under 21",26295.81,26295.81,1252.41,1252.41,4
CPT,33227,REPL PACEMAKER GEN SGL,80546.14,80546.14,8860.08,80546.14,38
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system ,80546.14,80546.14,1995.0,85680.0,228
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system Age 21+,80546.14,80546.14,5784.93,5784.93,4
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system Age Under 21,80546.14,80546.14,5890.11,5890.11,4
CPT,33228,REPL PACEMAKER GEN DUAL,88341.98,88341.98,9717.62,88341.98,38
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system ,88341.98,88341.98,1995.0,85680.0,228
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system Age 21+,88341.98,88341.98,6918.63,6918.63,4
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system Age Under 21,88341.98,88341.98,7044.42,7044.42,4
CPT,33229,REPL PACEMAKER GEN MULTI,88341.98,88341.98,9717.62,88341.98,38
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system ,88341.98,88341.98,1995.0,85680.0,228
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system Age 21+,88341.98,88341.98,10810.93,10810.93,4
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system Age Under 21,88341.98,88341.98,11007.49,11007.49,4
CPT,33230,INS ICD GEN ONLY DUAL LD,292001.93,292001.93,32120.21,292001.93,38
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads ,292001.93,292001.93,1995.0,109000.0,228
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads Age 21+,292001.93,292001.93,18692.41,18692.41,4
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads Age Under 21,292001.93,292001.93,19032.27,19032.27,4
CPT,33231,INS ICD GEN ONLY MULT LD,292001.93,292001.93,32120.21,292001.93,38
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads ,292001.93,292001.93,1995.0,109000.0,228
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads Age 21+,292001.93,292001.93,24051.39,24051.39,4
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads Age Under 21,292001.93,292001.93,24488.69,24488.69,4
CPT,33233,REMOVE PACER GENERATOR,26295.81,26295.81,2892.54,26295.81,38
CPT,33233,Removal of permanent pacemaker pulse generator only ,26295.81,26295.81,1995.0,24035.0,228
CPT,33233,Removal of permanent pacemaker pulse generator only Age 21+,26295.81,26295.81,5173.52,5173.52,4
CPT,33233,Removal of permanent pacemaker pulse generator only Age Under 21,26295.81,26295.81,5267.58,5267.58,4
CPT,33234,REM ELECTRODE SGL LD SYS,9062.47,9062.47,996.87,9062.47,38
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular ",9062.47,9062.47,1878.2,25655.0,228
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age 21+",9062.47,9062.47,2097.48,2097.48,4
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21",9062.47,9062.47,2135.62,2135.62,4
CPT,33235,REM ELECTRDE DUAL LD SYS,20122.89,20122.89,2213.52,20122.89,38
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system ,20122.89,20122.89,1842.52,25655.0,228
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system Age 21+,20122.89,20122.89,2057.64,2057.64,4
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21,20122.89,20122.89,2095.05,2095.05,4
CPT,33236,"Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular ",,,1995.0,25655.0,156
CPT,33237,Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system ,,,1995.0,25655.0,156
CPT,33238,Removal of permanent transvenous electrode(s) by thoracotomy ,,,1995.0,25655.0,156
CPT,33240,INS ICD GEN ONLY SGL LD,25622.43,25622.43,2818.47,25622.43,37
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead ,25622.43,25622.43,2369.0,177450.0,185
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead Age 21+,25622.43,25622.43,18319.61,18319.61,4
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21,25622.43,25622.43,18652.69,18652.69,4
CPT,33241,REMOVE ICD GENERATOR,8539.1,8539.1,939.3,8539.1,38
CPT,33241,Removal of implantable defibrillator pulse generator only ,8539.1,8539.1,1404.06,25655.0,228
CPT,33241,Removal of implantable defibrillator pulse generator only Age 21+,8539.1,8539.1,1567.98,1567.98,4
CPT,33241,Removal of implantable defibrillator pulse generator only Age Under 21,8539.1,8539.1,1596.49,1596.49,4
CPT,33242,REP ICD-generator/lead ,,,2152.0,2369.0,29
CPT,33243,Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy ,,,1995.0,177450.0,160
CPT,33244,REMOVE ICD LEAD EXTRACT,20122.89,20122.89,2213.52,20122.89,38
CPT,33244,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction ,20122.89,20122.89,1995.0,177450.0,161
CPT,33245,INSERT EPIC ELTRD PACE-DEFIB ,,,2152.0,2369.0,29
CPT,33246,INSERT EPIC ELTRD/GENERATOR ,,,2152.0,2369.0,29
CPT,33247,Insert ICD lead-oth appr ,,,2152.0,2369.0,29
CPT,33249,INS ICD LEAD/GENERATOR,46313.01,46313.01,5094.43,46313.01,38
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber ",46313.01,46313.01,1995.0,177450.0,188
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber Age 21+",46313.01,46313.01,24038.01,24038.01,4
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber Age Under 21",46313.01,46313.01,24475.07,24475.07,4
CPT,33250,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass ",,,948.0,32470.87,194
CPT,33251,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass ",,,948.0,36464.64,194
CPT,33253,RECONSTRUCT ATRIA ,,,2152.0,6587.0,34
CPT,33254,"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) ",,,948.0,30411.89,194
CPT,33255,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass ",,,948.0,36767.78,194
CPT,33256,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass ",,,948.0,43659.86,194
CPT,33257,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze procedure) (List separately in addition to code for primary proce",,,948.0,25655.0,194
CPT,33258,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition ",,,948.0,25655.0,194
CPT,33259,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to ",,,948.0,25655.0,194
CPT,33261,Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass ,,,948.0,36332.7,194
CPT,33262,REM/REPLACE ICD GEN SGL,292001.93,292001.93,20440.14,292001.93,43
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system ,292001.93,292001.93,948.0,177296.0,218
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system Age 21+,292001.93,292001.93,17795.87,17795.87,4
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system Age Under 21,292001.93,292001.93,18119.43,18119.43,4
CPT,33263,REM/REPLACE ICD GEN DUAL,292001.93,292001.93,20440.14,292001.93,43
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system ,292001.93,292001.93,948.0,177296.0,218
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system Age 21+,292001.93,292001.93,17970.11,17970.11,4
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system Age Under 21,292001.93,292001.93,18296.84,18296.84,4
CPT,33264,REM/REPLACE ICD GEN MULT,56330.13,56330.13,3943.11,56330.13,43
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system ,56330.13,56330.13,948.0,177296.0,218
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system Age 21+,56330.13,56330.13,23943.1,23943.1,4
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system Age Under 21,56330.13,56330.13,24378.42,24378.42,4
CPT,33265,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass ",,,948.0,30536.29,194
CPT,33266,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass ",,,948.0,41546.34,194
CPT,33267,"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) ",,,948.0,25655.0,194
CPT,33268,"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip",,,948.0,25655.0,194
CPT,33269,"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) ",,,948.0,25655.0,194
CPT,33270,INS/REPL SQ ICD W/ ELEC,56761.43,56761.43,3973.3,56761.43,43
CPT,33270,"Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of ",56761.43,56761.43,948.0,177296.0,226
CPT,33271,INS SQ ICD ELECTRODE,24227.94,24227.94,1695.96,24227.94,43
CPT,33271,Insertion of subcutaneous implantable defibrillator electrode ,24227.94,24227.94,948.0,177296.0,226
CPT,33271,Insertion of subcutaneous implantable defibrillator electrode Age 21+,24227.94,24227.94,6682.65,6682.65,4
CPT,33271,Insertion of subcutaneous implantable defibrillator electrode Age Under 21,24227.94,24227.94,6804.16,6804.16,4
CPT,33272,REM SQ ICD ELECTRODE,15990.57,15990.57,1119.34,15990.57,43
CPT,33272,Removal of subcutaneous implantable defibrillator electrode ,15990.57,15990.57,948.0,177296.0,199
CPT,33273,REPOS PREV SQ ICD ELECTR,15990.57,15990.57,1119.34,15990.57,43
CPT,33273,Repositioning of previously implanted subcutaneous implantable defibrillator electrode ,15990.57,15990.57,948.0,12499.0,266
CPT,33273,Repositioning of previously implanted subcutaneous implantable defibrillator electrode Age 21+,15990.57,15990.57,1567.98,1567.98,4
CPT,33273,Repositioning of previously implanted subcutaneous implantable defibrillator electrode Age Under 21,15990.57,15990.57,1596.49,1596.49,4
CPT,33274,INS/REPL LDLS PPM VENT,56192.07,56192.07,3933.44,56192.07,43
CPT,33274,"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and dev",56192.07,56192.07,948.0,44631.92,231
CPT,33275,REM LEADLESS PPM VENT,14954.09,14954.09,1046.79,14954.09,43
CPT,33275,"Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed ",14954.09,14954.09,948.0,19415.0,239
CPT,33276,"Insertion of phrenic nerve stimulator system (pulse generator and stimulating leadºs»), including vessel catheterization, all imaging guidance, and pulse generator initial analysis with diagnostic mod",,,948.0,126001.4,266
CPT,33277,Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure) ,,,948.0,6587.0,134
CPT,33278,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s) ",,,948.0,12499.0,258
CPT,33278,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s) Age 21+",,,1670.38,1670.38,4
CPT,33278,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s) Age Under ",,,1700.75,1700.75,4
CPT,33279,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) only ",,,948.0,12499.0,258
CPT,33279,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) only Age 21+",,,2103.66,2103.66,4
CPT,33279,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) only Age Unde",,,2141.91,2141.91,4
CPT,33280,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator only ",,,948.0,12499.0,258
CPT,33280,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator only Age 21+",,,1670.38,1670.38,4
CPT,33280,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator only Age Under 21",,,1700.75,1700.75,4
CPT,33281,Repositioning of phrenic nerve stimulator transvenous lead(s) ,,,948.0,12499.0,258
CPT,33281,Repositioning of phrenic nerve stimulator transvenous lead(s) Age 21+,,,1670.38,1670.38,4
CPT,33281,Repositioning of phrenic nerve stimulator transvenous lead(s) Age Under 21,,,1700.75,1700.75,4
CPT,33282,IMPLANTATION OF PATIENT-ACTIVATED CARDIAC EVENT RECORDER ,,,8024.0,9417.0,42
CPT,33284,"REMOVAL OF AN IMPLANTABLE, PATIENT-ACTIVATED CARDIAC EVENT RECORDER ",,,2214.0,4723.0,42
CPT,33285,INS SQ CARD RHYTHM MONTR,12642.44,12642.44,884.97,12642.44,43
CPT,33285,"Insertion, subcutaneous cardiac rhythm monitor, including programming ",12642.44,12642.44,948.0,25750.0,266
CPT,33285,"Insertion, subcutaneous cardiac rhythm monitor, including programming Age 21+",12642.44,12642.44,6336.23,6336.23,4
CPT,33285,"Insertion, subcutaneous cardiac rhythm monitor, including programming Age Under 21",12642.44,12642.44,6451.44,6451.44,4
CPT,33286,REM SQ CARD RHYTHM MONTR,8608.99,8608.99,602.63,8608.99,43
CPT,33286,"Removal, subcutaneous cardiac rhythm monitor ",8608.99,8608.99,253.74,6587.0,266
CPT,33286,"Removal, subcutaneous cardiac rhythm monitor Age 21+",8608.99,8608.99,283.36,283.36,4
CPT,33286,"Removal, subcutaneous cardiac rhythm monitor Age Under 21",8608.99,8608.99,288.51,288.51,4
CPT,33287,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator ",,,948.0,82841.61,258
CPT,33287,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator Age 21+",,,21261.42,21261.42,4
CPT,33287,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator Age Under 21",,,21647.99,21647.99,4
CPT,33288,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(",,,948.0,36341.06,266
CPT,33289,IMP WRLS P-ART PRES SNSR,247030.55,247030.55,27173.36,247030.55,37
CPT,33289,"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective",247030.55,247030.55,948.0,79860.28,191
CPT,33300,Repair of cardiac wound; without bypass ,,,948.0,55182.82,194
CPT,33305,Repair of cardiac wound; with cardiopulmonary bypass ,,,948.0,92517.84,194
CPT,33310,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass ",,,948.0,26348.26,194
CPT,33315,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass ",,,948.0,43014.79,194
CPT,33320,Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass ,,,948.0,25655.0,194
CPT,33321,Suture repair of aorta or great vessels; with shunt bypass ,,,948.0,26394.83,194
CPT,33322,Suture repair of aorta or great vessels; with cardiopulmonary bypass ,,,948.0,31095.56,194
CPT,33330,"Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass ",,,948.0,32121.38,194
CPT,33332,INSERT MAJOR VESSEL GRAFT ,,,2152.0,6587.0,34
CPT,33335,"Insertion of graft, aorta or great vessels; with cardiopulmonary bypass ",,,948.0,42432.24,194
CPT,33340,CLOSURE LAA W/ IMPLANT,201488.09,201488.09,22163.69,201488.09,43
CPT,33340,"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appen",201488.09,201488.09,948.0,25655.0,198
CPT,33361,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach ,,,948.0,30676.0,194
CPT,33362,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach ,,,948.0,33488.93,194
CPT,33363,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach ,,,948.0,34685.51,194
CPT,33364,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach ,,,948.0,35850.83,194
CPT,33365,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) ",,,948.0,40272.14,194
CPT,33366,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy) ",,,948.0,43535.46,194
CPT,33367,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separa",,,948.0,25655.0,194
CPT,33368,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg, femoral, iliac, axillary vessels) (Li",,,948.0,25655.0,194
CPT,33369,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List ",,,948.0,25655.0,194
CPT,33370,"Transcatheter placement and subsequent removal of cerebral embolic protection device(s), including arterial access, catheterization, imaging, and radiological supervision and interpretation, percutane",,,948.0,6587.0,142
CPT,33390,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) ",,,948.0,43418.82,194
CPT,33391,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) ",,,948.0,51383.3,194
CPT,33400,REPAIR OF AORTIC VALVE ,,,2152.0,16144.0,42
CPT,33401,VALVULOPLASTY OPEN ,,,2152.0,16144.0,42
CPT,33403,VALVULOPLASTY W/CP BYPASS ,,,2152.0,16144.0,42
CPT,33404,Construction of apical-aortic conduit ,,,948.0,39627.06,194
CPT,33405,"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve ",,,948.0,51041.36,194
CPT,33406,"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) ",,,948.0,64646.58,194
CPT,33410,"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve ",,,948.0,57226.28,194
CPT,33411,"Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus ",,,948.0,75641.32,194
CPT,33412,"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) ",,,948.0,70769.41,194
CPT,33413,"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) ",,,948.0,72074.86,194
CPT,33414,Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract ,,,948.0,48189.62,194
CPT,33415,Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis ,,,948.0,45672.27,194
CPT,33416,"Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) ",,,948.0,45532.35,194
CPT,33417,Aortoplasty (gusset) for supravalvular stenosis ,,,948.0,37420.4,194
CPT,33418,TMVR PERC INITIAL DEVICE,58573.58,58573.58,6443.09,58573.58,43
CPT,33418,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis ",58573.58,58573.58,948.0,40707.22,194
CPT,33419,TMVR PERC ADDTL DEVICE,58573.58,58573.58,6443.09,58573.58,55
CPT,33419,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addition to code for primary ",58573.58,58573.58,948.0,2636.0,98
CPT,33420,"Valvotomy, mitral valve; closed heart ",,,948.0,32867.14,194
CPT,33422,"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass ",,,948.0,37296.21,194
CPT,33425,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; ",,,948.0,61414.31,194
CPT,33426,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring ",,,948.0,53589.97,194
CPT,33427,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring ",,,948.0,55011.85,194
CPT,33430,"Replacement, mitral valve, with cardiopulmonary bypass ",,,948.0,62983.87,194
CPT,33440,"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmo",,,948.0,76224.09,194
CPT,33460,"Valvectomy, tricuspid valve, with cardiopulmonary bypass ",,,948.0,53978.48,194
CPT,33463,"Valvuloplasty, tricuspid valve; without ring insertion ",,,948.0,69549.54,194
CPT,33464,"Valvuloplasty, tricuspid valve; with ring insertion ",,,948.0,54941.78,194
CPT,33465,"Replacement, tricuspid valve, with cardiopulmonary bypass ",,,948.0,62090.21,194
CPT,33468,Tricuspid valve repositioning and plication for Ebstein anomaly ,,,948.0,54304.68,194
CPT,33470,"VALVOTOMY, PULMONARY VALVE, CLOSED HEART; TRANSVENTRICULAR ",,,2152.0,16144.0,42
CPT,33471,"Valvotomy, pulmonary valve, closed heart, via pulmonary artery ",,,2152.0,16144.0,42
CPT,33472,REVISION OF PULMONARY VALVE ,,,2152.0,6587.0,34
CPT,33474,"Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass ",,,948.0,49176.42,194
CPT,33475,"Replacement, pulmonary valve ",,,948.0,52525.33,194
CPT,33476,"Right ventricular resection for infundibular stenosis, with or without commissurotomy ",,,948.0,33574.31,194
CPT,33477,TPVI PERC APRCH,91623.6,91623.6,10078.6,91623.6,43
CPT,33477,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed ",91623.6,91623.6,948.0,30862.49,198
CPT,33478,"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection ",,,948.0,35244.78,194
CPT,33496,Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) ,,,948.0,37498.23,194
CPT,33500,Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass ,,,948.0,35019.48,194
CPT,33501,Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass ,,,948.0,25655.0,194
CPT,33502,Repair of anomalous coronary artery from pulmonary artery origin; by ligation ,,,948.0,28484.86,194
CPT,33503,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass ",,,948.0,29867.93,194
CPT,33504,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass ",,,948.0,32587.51,194
CPT,33505,Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) ,,,948.0,45423.69,194
CPT,33506,Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta ,,,948.0,44910.77,194
CPT,33507,"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation ",,,948.0,38624.74,194
CPT,33508,"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure) ",,,948.0,2636.0,98
CPT,33509,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic ",,,948.0,25655.0,194
CPT,33510,"Coronary artery bypass, vein only; single coronary venous graft ",,,948.0,43473.37,194
CPT,33511,"Coronary artery bypass, vein only; 2 coronary venous grafts ",,,948.0,47746.78,194
CPT,33512,"Coronary artery bypass, vein only; 3 coronary venous grafts ",,,948.0,54366.99,194
CPT,33513,"Coronary artery bypass, vein only; 4 coronary venous grafts ",,,948.0,55990.89,194
CPT,33514,"Coronary artery bypass, vein only; 5 coronary venous grafts ",,,948.0,58873.46,194
CPT,33516,"Coronary artery bypass, vein only; 6 or more coronary venous grafts ",,,948.0,60707.14,194
CPT,33517,"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33518,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33519,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33521,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33522,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33523,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33530,"Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33533,"Coronary artery bypass, using arterial graft(s); single arterial graft ",,,948.0,42027.99,194
CPT,33534,"Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts ",,,948.0,49432.98,194
CPT,33535,"Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts ",,,948.0,55151.77,194
CPT,33536,"Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts ",,,948.0,59137.79,194
CPT,33542,"Myocardial resection (eg, ventricular aneurysmectomy) ",,,948.0,59215.4,194
CPT,33545,"Repair of postinfarction ventricular septal defect, with or without myocardial resection ",,,948.0,69417.38,194
CPT,33548,"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) ",,,948.0,66620.18,194
CPT,33572,"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed in conjunction with coronary artery bypass graft procedure, each vessel (List sep",,,948.0,25655.0,194
CPT,33600,Closure of atrioventricular valve (mitral or tricuspid) by suture or patch ,,,948.0,38329.58,194
CPT,33602,Closure of semilunar valve (aortic or pulmonary) by suture or patch ,,,948.0,37187.33,194
CPT,33606,Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) ,,,948.0,40093.41,194
CPT,33608,Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery ,,,948.0,40606.1,194
CPT,33610,"Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect ",,,948.0,40038.86,194
CPT,33611,Repair of double outlet right ventricle with intraventricular tunnel repair; ,,,948.0,44063.9,194
CPT,33612,Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction ,,,948.0,45244.95,194
CPT,33615,"Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) ",,,948.0,45066.22,194
CPT,33617,"Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure ",,,948.0,47568.04,194
CPT,33619,"Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) ",,,948.0,61670.66,194
CPT,33620,"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) ",,,948.0,37070.91,194
CPT,33621,"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) ",,,948.0,25655.0,194
CPT,33622,"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia, creation of c",,,948.0,77708.06,194
CPT,33641,"Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch ",,,948.0,36814.35,194
CPT,33645,"Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage ",,,948.0,38764.66,194
CPT,33647,"Repair of atrial septal defect and ventricular septal defect, with direct or patch closure ",,,948.0,40520.73,194
CPT,33660,"Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair ",,,948.0,39300.86,194
CPT,33665,"Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair ",,,948.0,43216.8,194
CPT,33670,"Repair of complete atrioventricular canal, with or without prosthetic valve ",,,948.0,44599.88,194
CPT,33675,Closure of multiple ventricular septal defects; ,,,948.0,43776.29,194
CPT,33676,Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) ,,,948.0,45718.84,194
CPT,33677,"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset ",,,948.0,47482.67,194
CPT,33681,"Closure of single ventricular septal defect, with or without patch; ",,,948.0,41204.39,194
CPT,33684,"Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) ",,,948.0,42649.78,194
CPT,33688,"Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset ",,,948.0,42579.71,194
CPT,33690,Banding of pulmonary artery ,,,948.0,27024.17,194
CPT,33692,Complete repair tetralogy of Fallot without pulmonary atresia; ,,,948.0,44219.34,194
CPT,33694,Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch ,,,948.0,44063.9,194
CPT,33697,Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect ,,,948.0,46410.49,194
CPT,33702,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; ",,,948.0,34351.33,194
CPT,33710,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect ",,,948.0,46348.18,194
CPT,33720,"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass ",,,948.0,34708.8,194
CPT,33722,CLOSURE OF AORTICO-LEFT VENTRICULAR TUNNEL ,,,2152.0,16144.0,42
CPT,33724,"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) ",,,948.0,34351.33,194
CPT,33726,Repair of pulmonary venous stenosis ,,,948.0,45920.86,194
CPT,33730,"Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) ",,,948.0,44094.94,194
CPT,33732,Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane ,,,948.0,35299.33,194
CPT,33735,Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) ,,,948.0,29192.02,194
CPT,33736,Atrial septectomy or septostomy; open heart with cardiopulmonary bypass ,,,948.0,30784.88,194
CPT,33737,"Atrial septectomy or septostomy; open heart, with inflow occlusion ",,,2152.0,16144.0,42
CPT,33741,ATRIAL SEPTOSTOMY W S&I,36085.59,36085.59,2525.99,36085.59,49
CPT,33741,"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, any method (eg, Rashkind, S",36085.59,36085.59,948.0,25655.0,194
CPT,33745,TIS CG CAR ANOM 1ST SHNT,82975.48,82975.48,5808.28,82975.48,64
CPT,33745,"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when ",82975.48,82975.48,948.0,25655.0,198
CPT,33746,TIS STNT CCA EA ADTL LOC,39139.38,39139.38,4305.33,39139.38,43
CPT,33746,"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when ",39139.38,39139.38,948.0,25655.0,198
CPT,33750,Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) ,,,948.0,28461.57,194
CPT,33755,Shunt; ascending aorta to pulmonary artery (Waterston type operation) ,,,948.0,29665.91,194
CPT,33762,Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) ,,,948.0,28912.18,194
CPT,33764,"Shunt; central, with prosthetic graft ",,,948.0,29665.91,194
CPT,33766,Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) ,,,948.0,30054.42,194
CPT,33767,Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) ,,,948.0,32098.1,194
CPT,33768,"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure) ",,,948.0,25655.0,194
CPT,33770,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect ,,,948.0,47840.13,194
CPT,33771,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect ,,,948.0,49246.49,194
CPT,33774,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; ",,,948.0,40582.82,194
CPT,33775,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band ",,,948.0,41833.95,194
CPT,33776,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect ",,,948.0,42704.11,194
CPT,33777,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction ",,,948.0,42704.11,194
CPT,33778,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); ",,,948.0,53069.29,194
CPT,33779,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band ",,,948.0,52587.64,194
CPT,33780,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect ",,,948.0,51639.65,194
CPT,33781,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction ",,,948.0,52292.27,194
CPT,33782,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation ",,,948.0,73053.9,194
CPT,33783,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia ",,,948.0,78990.02,194
CPT,33786,"Total repair, truncus arteriosus (Rastelli type operation) ",,,948.0,51445.39,194
CPT,33788,Reimplantation of an anomalous pulmonary artery ,,,948.0,34584.4,194
CPT,33800,"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure) ",,,948.0,25655.0,194
CPT,33802,Division of aberrant vessel (vascular ring); ,,,948.0,25655.0,194
CPT,33803,Division of aberrant vessel (vascular ring); with reanastomosis ,,,948.0,25951.99,194
CPT,33813,Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass ,,,2152.0,16144.0,42
CPT,33814,"Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass ",,,948.0,34335.81,194
CPT,33820,Repair of patent ductus arteriosus; by ligation ,,,948.0,27170.0,194
CPT,33822,"Repair of patent ductus arteriosus; by division, younger than 18 years ",,,948.0,25750.0,194
CPT,33824,"Repair of patent ductus arteriosus; by division, 18 years and older ",,,948.0,27170.0,194
CPT,33840,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis ",,,948.0,27925.59,194
CPT,33845,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft ",,,948.0,29456.13,194
CPT,33851,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement ",,,948.0,28671.35,194
CPT,33852,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass ,,,948.0,29976.81,194
CPT,33853,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass ,,,948.0,40295.42,194
CPT,33858,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection ",,,948.0,76565.81,194
CPT,33859,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) ",,,948.0,54965.28,194
CPT,33860,"ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, INCLUDES VALVE SUSPENSION, WHEN PERFORMED ",,,2152.0,16144.0,42
CPT,33861,ASCENDING AORTIC GRAFT ,,,2152.0,6587.0,34
CPT,33863,"Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) ",,,948.0,71010.23,194
CPT,33864,"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) ",,,948.0,72743.01,194
CPT,33866,"Aortic hemiarch graft including isolation and control of the arch vessels, beveled open distal aortic anastomosis extending under one or more of the arch vessels, and total circulatory arrest or isola",,,948.0,6587.0,98
CPT,33870,"TRANSVERSE ARCH GRAFT, WITH CARDIOPULMONARY BYPASS ",,,2152.0,16144.0,42
CPT,33871,"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle",,,948.0,73613.17,194
CPT,33875,"Descending thoracic aorta graft, with or without bypass ",,,948.0,61942.74,194
CPT,33877,"Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass ",,,948.0,81701.84,194
CPT,33880,"Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment o",,,948.0,40411.85,194
CPT,33881,"Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment o",,,948.0,34685.51,194
CPT,33882,Endovascular repair of the thoracic aorta by deployment of a branched endograft multipiece system involving an aorto-aortic tube device with a fenestration for the left subclavian artery stent graft(s,,,948.0,38561.57,108
CPT,33883,"Delayed placement of proximal extension prosthesis(es) not involving coverage of the left subclavian artery origin, after endovascular repair of the thoracic aorta, including pre-procedure sizing and ",,,948.0,25655.0,194
CPT,33884,"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disrupti",,,2152.0,16144.0,42
CPT,33886,"Delayed placement of distal extension prosthesis(es) from the level of the left subclavian artery to the celiac artery, after endovascular repair of descending thoracic aorta, including pre-procedure ",,,948.0,25655.0,194
CPT,33889,"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral ",,,2152.0,16144.0,42
CPT,33891,"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision ",,,2152.0,16144.0,42
CPT,33894,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches ",89679.88,89679.88,948.0,25655.0,194
CPT,33894,STENT COARC AO W MSB,89679.88,89679.88,6277.59,89679.88,49
CPT,33895,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches ",89679.88,89679.88,948.0,25655.0,194
CPT,33895,STENT COARC AO WO MSB,89679.88,89679.88,6277.59,89679.88,49
CPT,33897,ANGIOPLSTY COARC AO,80178.95,80178.95,5612.53,80178.95,49
CPT,33897,Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta ,80178.95,80178.95,948.0,25655.0,194
CPT,33900,PERC PA STNT N INI UNI,50990.84,50990.84,5608.99,50990.84,37
CPT,33900,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral ",50990.84,50990.84,948.0,29722.87,266
CPT,33900,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral Age 21+",50990.84,50990.84,5871.9,5871.9,4
CPT,33900,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral Age Under 21",50990.84,50990.84,5978.66,5978.66,4
CPT,33901,PERC PA STNT N INI BIL,76486.27,76486.27,8413.49,76486.27,37
CPT,33901,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral ",76486.27,76486.27,948.0,29722.87,266
CPT,33901,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral Age 21+",76486.27,76486.27,5871.9,5871.9,4
CPT,33901,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral Age Under 21",76486.27,76486.27,5978.66,5978.66,4
CPT,33902,PERC PA STNT AB INI UNI,50990.84,50990.84,5608.99,50990.84,37
CPT,33902,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral ",50990.84,50990.84,948.0,48097.28,266
CPT,33902,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral Age 21+",50990.84,50990.84,5871.9,5871.9,4
CPT,33902,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral Age Under 21",50990.84,50990.84,5978.66,5978.66,4
CPT,33903,PERC PA STNT AB INI BIL,76486.27,76486.27,8413.49,76486.27,37
CPT,33903,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral ",76486.27,76486.27,948.0,33769.0,266
CPT,33903,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral Age 21+",76486.27,76486.27,5871.9,5871.9,4
CPT,33903,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral Age Under 21",76486.27,76486.27,5978.66,5978.66,4
CPT,33904,PERC PA STNT N AB ADD,32250.51,32250.51,3547.56,32250.51,55
CPT,33904,"Percutaneous pulmonary artery revascularization by stent placement, each additional vessel or separate lesion, normal or abnormal connections (List separately in addition to code for primary procedure",32250.51,32250.51,948.0,6587.0,142
CPT,33910,Pulmonary artery embolectomy; with cardiopulmonary bypass ,,,948.0,59223.16,194
CPT,33915,Pulmonary artery embolectomy; without cardiopulmonary bypass ,,,948.0,30885.78,194
CPT,33916,"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass ",,,948.0,95703.55,194
CPT,33917,Repair of pulmonary artery stenosis by reconstruction with patch or graft ,,,948.0,32704.15,194
CPT,33918,REPAIR PULMONARY ATRESIA ,,,2152.0,6587.0,34
CPT,33919,REPAIR PULMONARY ATRESIA ,,,2152.0,6587.0,34
CPT,33920,"Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery ",,,948.0,40878.19,194
CPT,33922,Transection of pulmonary artery with cardiopulmonary bypass ,,,948.0,31010.18,194
CPT,33924,"Ligation and takedown of a systemic-to-pulmonary artery shunt, performed in conjunction with a congenital heart procedure (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33925,Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass ,,,948.0,38780.19,194
CPT,33926,Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass ,,,948.0,54623.34,194
CPT,33927,Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy ,,,948.0,57707.93,194
CPT,33928,Removal and replacement of total replacement heart system (artificial heart) ,,,948.0,25655.0,194
CPT,33929,Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure) ,,,948.0,67599.22,194
CPT,33930,Donor cardiectomy-pneumonectomy (including cold preservation) ,,,948.0,25655.0,194
CPT,33933,"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inf",,,948.0,59192.12,194
CPT,33935,Heart-lung transplant with recipient cardiectomy-pneumonectomy ,,,948.0,111810.81,194
CPT,33940,Donor cardiectomy (including cold preservation) ,,,948.0,25655.0,194
CPT,33944,"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior",,,948.0,40979.09,194
CPT,33945,"Heart transplant, with or without recipient cardiectomy ",,,948.0,109821.68,194
CPT,33946,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous ",,,948.0,25655.0,194
CPT,33947,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial ",,,948.0,25655.0,194
CPT,33948,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous ",,,948.0,25655.0,194
CPT,33949,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial ",,,948.0,25655.0,194
CPT,33951,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of",,,948.0,25655.0,194
CPT,33952,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (inclu",,,948.0,25655.0,194
CPT,33953,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age ",35799.8,35799.8,948.0,25655.0,194
CPT,33953,INS ECMO A/V CAN OPEN <5,35799.8,35799.8,3937.98,35799.8,43
CPT,33954,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older ",,,948.0,25655.0,194
CPT,33955,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age ",35799.8,35799.8,948.0,25655.0,194
CPT,33955,INS ECMO CEN CAN OPEN <5,35799.8,35799.8,3937.98,35799.8,43
CPT,33956,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older ",,,948.0,25655.0,194
CPT,33957,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of a",,,948.0,25655.0,194
CPT,33958,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (include",,,948.0,25655.0,194
CPT,33959,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (incl",,,948.0,25655.0,194
CPT,33960,EXTERNAL CIRCULATION ASSIST ,,,2152.0,6587.0,34
CPT,33961,EXTERNAL CIRCULATION ASSIST ,,,2152.0,6587.0,34
CPT,33962,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, 6 years and older (includes fluoro",,,948.0,25655.0,194
CPT,33963,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age (includ",,,948.0,25655.0,194
CPT,33964,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition central cannula(e) by sternotomy or thoracotomy, 6 years and older (includes fluoroscopi",,,948.0,25655.0,194
CPT,33965,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of a",,,948.0,25655.0,194
CPT,33966,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older ",,,948.0,25655.0,194
CPT,33967,"Insertion of intra-aortic balloon assist device, percutaneous ",,,948.0,35530.0,190
CPT,33968,"Removal of intra-aortic balloon assist device, percutaneous ",,,692.98,35530.0,230
CPT,33969,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age ",,,948.0,25655.0,194
CPT,33970,"Insertion of intra-aortic balloon assist device through the femoral artery, open approach ",,,948.0,25655.0,194
CPT,33971,"Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft ",,,948.0,25655.0,194
CPT,33973,Insertion of intra-aortic balloon assist device through the ascending aorta ,,,948.0,25655.0,194
CPT,33974,"Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft ",,,948.0,25655.0,194
CPT,33975,"Insertion of ventricular assist device; extracorporeal, single ventricle ",,,948.0,29487.18,194
CPT,33976,"Insertion of ventricular assist device; extracorporeal, biventricular ",,,948.0,35951.95,194
CPT,33977,"Removal of ventricular assist device; extracorporeal, single ventricle ",,,948.0,25655.0,194
CPT,33978,"Removal of ventricular assist device; extracorporeal, biventricular ",,,948.0,30225.4,194
CPT,33979,"Insertion of ventricular assist device, implantable intracorporeal, single ventricle ",,,948.0,44032.85,194
CPT,33980,"Removal of ventricular assist device, implantable intracorporeal, single ventricle ",,,948.0,40264.38,194
CPT,33981,"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump ",,,948.0,25655.0,194
CPT,33982,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass ",,,948.0,44312.48,194
CPT,33983,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass ",,,948.0,52160.11,194
CPT,33984,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older ",,,948.0,25655.0,194
CPT,33985,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age ",,,948.0,25655.0,194
CPT,33986,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older ",,,948.0,25655.0,194
CPT,33987,"Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,33988,"Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS ",,,948.0,25655.0,194
CPT,33989,"Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS ",,,948.0,25655.0,194
CPT,33990,INS LVAD PERC ARTERIAL,31082.76,31082.76,3419.1,31082.76,43
CPT,33990,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only ",31082.76,31082.76,948.0,25655.0,194
CPT,33991,INS LVAD ART/VEN ACCESS,31082.76,31082.76,3419.1,31082.76,43
CPT,33991,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture ",31082.76,31082.76,948.0,25655.0,194
CPT,33992,REM LVAD PERC SEP SESS,31082.76,31082.76,3419.1,31082.76,43
CPT,33992,"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion ",31082.76,31082.76,948.0,25655.0,194
CPT,33993,REPOS VAD HEART SEP SESS,31082.76,31082.76,3419.1,31082.76,43
CPT,33993,Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion ,31082.76,31082.76,948.0,25655.0,194
CPT,33995,INS RVAD PERC VENOUS,31082.76,31082.76,3419.1,31082.76,43
CPT,33995,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only ",31082.76,31082.76,948.0,25655.0,194
CPT,33997,REM RVAD PERC SEP SESS,31082.76,31082.76,3419.1,31082.76,43
CPT,33997,"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion ",31082.76,31082.76,948.0,25655.0,194
CPT,33999,ATRIAL SEPTUM ANGIO,15899.36,15899.36,1748.93,15899.36,37
CPT,33999,LAA CLS DEV REV PERC,201488.09,201488.09,22163.69,201488.09,37
CPT,33999,PERC VAD INSERT VEIN,31082.76,31082.76,3419.1,31082.76,37
CPT,33999,"Unlisted procedure, cardiac surgery ",,,633.31,25655.0,195
CPT,34001,"Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision ",,,948.0,25655.0,194
CPT,34051,"Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision ",,,948.0,25655.0,194
CPT,34101,"Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision ",,,948.0,21630.0,239
CPT,34111,"Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision ",,,948.0,25655.0,195
CPT,34151,"Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision ",,,948.0,31390.93,194
CPT,34201,"Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision ",,,948.0,25655.0,195
CPT,34203,"Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision ",,,948.0,25655.0,195
CPT,34401,"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision ",,,948.0,32944.97,194
CPT,34421,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision ",,,948.0,25655.0,195
CPT,34451,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision ",,,948.0,31927.13,194
CPT,34471,"Thrombectomy, direct or with catheter; subclavian vein, by neck incision ",,,633.31,25655.0,195
CPT,34490,"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision ",,,948.0,25655.0,222
CPT,34490,"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision Age 21+",,,1230.04,1230.04,4
CPT,34490,"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision Age Under 21",,,1252.41,1252.41,4
CPT,34501,"Valvuloplasty, femoral vein ",,,948.0,25655.0,195
CPT,34502,"Reconstruction of vena cava, any method ",,,948.0,34716.56,194
CPT,34510,"Venous valve transposition, any vein donor ",,,948.0,25655.0,195
CPT,34520,Cross-over vein graft to venous system ,,,948.0,25655.0,195
CPT,34530,Saphenopopliteal vein anastomosis ,,,948.0,25655.0,195
CPT,34701,EVAS RPR INFR A-AO NORUP,22086.77,22086.77,2429.54,22086.77,43
CPT,34701,"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiolo",22086.77,22086.77,948.0,76895.0,238
CPT,34702,EVAS RPR INFR A-AO RUPT,22086.77,22086.77,2429.54,22086.77,43
CPT,34702,"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiolo",22086.77,22086.77,948.0,76895.0,238
CPT,34703,EVAS RPR A-UNILIAC NORUP,22086.77,22086.77,2429.54,22086.77,43
CPT,34703,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s),",22086.77,22086.77,948.0,76895.0,238
CPT,34704,EVAS RPR A-UNILIAC RUPT,22086.77,22086.77,2429.54,22086.77,43
CPT,34704,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s),",22086.77,22086.77,948.0,76895.0,238
CPT,34705,EVAS RPR A-BIILIAC NORUP,22086.77,22086.77,2429.54,22086.77,43
CPT,34705,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), ",22086.77,22086.77,948.0,76895.0,238
CPT,34706,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), ",,,948.0,76895.0,238
CPT,34707,"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological ",,,948.0,33769.0,238
CPT,34708,"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological ",,,948.0,41709.54,238
CPT,34709,EVAS RPR ABD AORT ADDL,12136.14,12136.14,1334.98,12136.14,43
CPT,34709,"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneury",12136.14,12136.14,948.0,25655.0,238
CPT,34710,DELAY PLC EXT PROSTH INI,12136.14,12136.14,1334.98,12136.14,43
CPT,34710,"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, inc",12136.14,12136.14,948.0,25655.0,238
CPT,34711,DELAY PLC EXT PROSTH ADD,12136.14,12136.14,1334.98,12136.14,43
CPT,34711,"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, inc",12136.14,12136.14,948.0,25655.0,238
CPT,34712,"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation ",,,948.0,25655.0,238
CPT,34713,ACC/CLS FEM ART PERC ADD,2749.66,2749.66,302.46,2749.66,55
CPT,34713,"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilateral (List separately in ",2749.66,2749.66,948.0,6587.0,142
CPT,34714,"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (List separately in addition",,,948.0,6587.0,142
CPT,34715,"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,34716,CONDU OPEN AX/SC ART UNI,5073.34,5073.34,558.07,5073.34,55
CPT,34716,"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or supraclavicular incision",5073.34,5073.34,948.0,6587.0,142
CPT,34717,"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and device selection, all ipsilate",,,948.0,25655.0,198
CPT,34718,"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, including pre-procedure sizing ",,,948.0,28034.25,198
CPT,34800,ENDO AAA W/AORTO-AORTIC,19851.84,19851.84,1389.63,19851.84,62
CPT,34800,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis ,19851.84,19851.84,2152.0,16144.0,42
CPT,34802,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb) ,,,2152.0,16144.0,42
CPT,34803,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs) ,,,2152.0,16144.0,42
CPT,34804,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis ,,,2152.0,16144.0,42
CPT,34805,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis ,,,2152.0,16144.0,42
CPT,34806,"HTranscatheter placement of wireless physiologic sensor in aneurysmal sac during endovascular repair, including radiological supervision and interpretation, instrument calibration, and collection of ",,,2152.0,16144.0,42
CPT,34808,EVAS PLC ILI ART OCC DEV,3641.36,3641.36,400.55,3641.36,43
CPT,34808,Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) ,3641.36,3641.36,948.0,25655.0,194
CPT,34812,OPEN FEM ART EXPOSE UNI,5898.45,5898.45,648.83,5898.45,43
CPT,34812,"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure) ",5898.45,5898.45,948.0,25655.0,194
CPT,34813,PLC FEM GFT W/ AAA RPR,4198.81,4198.81,461.87,4198.81,43
CPT,34813,Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure) ,4198.81,4198.81,948.0,25655.0,194
CPT,34820,"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List separately in addition to ",,,948.0,25655.0,194
CPT,34825,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel ",,,2152.0,16144.0,42
CPT,34826,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; each additional vessel (List separately ",,,2152.0,16144.0,42
CPT,34830,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis ",,,948.0,39471.83,194
CPT,34831,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis ",,,948.0,43504.41,194
CPT,34832,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis ",,,948.0,41927.09,194
CPT,34833,"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal incision, unilateral (List s",,,948.0,33769.0,238
CPT,34834,"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure) ",,,948.0,33769.0,238
CPT,34839,Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time ,,,948.0,6587.0,114
CPT,34841,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,948.0,25655.0,194
CPT,34842,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,948.0,25655.0,194
CPT,34843,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,948.0,25655.0,194
CPT,34844,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,948.0,25655.0,194
CPT,34845,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,948.0,25655.0,194
CPT,34846,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,948.0,25655.0,194
CPT,34847,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,948.0,25655.0,194
CPT,34848,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,948.0,25655.0,194
CPT,34900,"HEndovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis ",,,2152.0,16144.0,42
CPT,35001,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, carotid, subclavian artery, b",,,948.0,25655.0,194
CPT,35002,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision ",,,948.0,25655.0,194
CPT,35005,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, vertebral ar",,,948.0,25655.0,194
CPT,35011,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by ",,,948.0,25655.0,195
CPT,35013,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision ",,,948.0,28244.03,194
CPT,35021,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, ",,,948.0,28290.6,194
CPT,35022,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision ",,,948.0,31600.71,194
CPT,35045,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ul",,,948.0,25655.0,195
CPT,35081,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,948.0,39021.01,194
CPT,35082,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta ",,,948.0,49238.73,194
CPT,35091,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,948.0,40264.38,194
CPT,35092,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteri",,,948.0,58686.97,194
CPT,35102,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,948.0,42354.4,194
CPT,35103,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypo",,,948.0,50497.4,194
CPT,35111,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, splenic arte",,,948.0,29611.58,194
CPT,35112,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery ",,,948.0,36674.64,194
CPT,35121,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, cel",,,948.0,37529.28,194
CPT,35122,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery ",,,948.0,42447.76,194
CPT,35131,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery",,,948.0,31251.0,194
CPT,35132,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external) ",,,948.0,36526.95,194
CPT,35141,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femor",,,948.0,25655.0,194
CPT,35142,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial ",,,948.0,29922.48,194
CPT,35151,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, popliteal ar",,,948.0,27878.8,194
CPT,35152,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery ",,,948.0,31033.46,194
CPT,35161,REPAIR DEFECT OF ARTERY ,,,2152.0,6587.0,34
CPT,35162,REPAIR ARTERY RUPTURE ,,,2152.0,6587.0,34
CPT,35180,"Repair, congenital arteriovenous fistula; head and neck ",,,948.0,25655.0,195
CPT,35182,"Repair, congenital arteriovenous fistula; thorax and abdomen ",,,948.0,40334.23,194
CPT,35184,"Repair, congenital arteriovenous fistula; extremities ",,,948.0,25655.0,195
CPT,35188,"Repair, acquired or traumatic arteriovenous fistula; head and neck ",,,948.0,21630.0,266
CPT,35188,"Repair, acquired or traumatic arteriovenous fistula; head and neck Age 21+",,,2133.07,2133.07,4
CPT,35188,"Repair, acquired or traumatic arteriovenous fistula; head and neck Age Under 21",,,2171.85,2171.85,4
CPT,35189,"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen ",,,948.0,33582.07,194
CPT,35190,"Repair, acquired or traumatic arteriovenous fistula; extremities ",,,948.0,25655.0,195
CPT,35201,"Repair blood vessel, direct; neck ",,,948.0,25655.0,239
CPT,35206,"Repair blood vessel, direct; upper extremity ",,,948.0,25655.0,239
CPT,35207,"Repair blood vessel, direct; hand, finger ",,,948.0,19415.0,266
CPT,35207,"Repair blood vessel, direct; hand, finger Age 21+",,,1230.04,1230.04,4
CPT,35207,"Repair blood vessel, direct; hand, finger Age Under 21",,,1252.41,1252.41,4
CPT,35211,"Repair blood vessel, direct; intrathoracic, with bypass ",,,948.0,31111.3,194
CPT,35216,"Repair blood vessel, direct; intrathoracic, without bypass ",,,948.0,46394.75,194
CPT,35221,"Repair blood vessel, direct; intra-abdominal ",,,948.0,33007.07,194
CPT,35226,RPR LE BLDVSL DIRECT,23474.45,23474.45,2582.19,23474.45,37
CPT,35226,"Repair blood vessel, direct; lower extremity ",23474.45,23474.45,714.92,25655.0,239
CPT,35231,Repair blood vessel with vein graft; neck ,,,948.0,76895.0,239
CPT,35236,Repair blood vessel with vein graft; upper extremity ,,,948.0,76895.0,239
CPT,35241,"Repair blood vessel with vein graft; intrathoracic, with bypass ",,,948.0,32393.25,194
CPT,35246,"Repair blood vessel with vein graft; intrathoracic, without bypass ",,,948.0,35167.16,194
CPT,35251,Repair blood vessel with vein graft; intra-abdominal ,,,948.0,39160.94,194
CPT,35256,Repair blood vessel with vein graft; lower extremity ,,,948.0,76895.0,239
CPT,35261,Repair blood vessel with graft other than vein; neck ,,,948.0,76895.0,239
CPT,35266,Repair blood vessel with graft other than vein; upper extremity ,,,948.0,76895.0,239
CPT,35271,"Repair blood vessel with graft other than vein; intrathoracic, with bypass ",,,948.0,31095.56,194
CPT,35276,"Repair blood vessel with graft other than vein; intrathoracic, without bypass ",,,948.0,32874.9,194
CPT,35281,Repair blood vessel with graft other than vein; intra-abdominal ,,,948.0,36387.03,194
CPT,35286,Repair blood vessel with graft other than vein; lower extremity ,,,948.0,76895.0,239
CPT,35301,"Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision ",,,948.0,25655.0,194
CPT,35302,"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery ",,,948.0,25655.0,194
CPT,35303,"Thromboendarterectomy, including patch graft, if performed; popliteal artery ",,,948.0,27933.35,194
CPT,35304,"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery ",,,948.0,28764.71,194
CPT,35305,"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel ",,,948.0,27669.03,194
CPT,35306,"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,35311,"Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision ",,,948.0,35035.0,194
CPT,35321,"Thromboendarterectomy, including patch graft, if performed; axillary-brachial ",,,948.0,25655.0,239
CPT,35331,"Thromboendarterectomy, including patch graft, if performed; abdominal aorta ",,,948.0,32906.17,194
CPT,35341,"Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal ",,,948.0,31033.46,194
CPT,35351,"Thromboendarterectomy, including patch graft, if performed; iliac ",,,948.0,28819.04,194
CPT,35355,"Thromboendarterectomy, including patch graft, if performed; iliofemoral ",,,948.0,25655.0,194
CPT,35361,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliac ",,,948.0,34032.68,194
CPT,35363,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral ",,,948.0,36387.03,194
CPT,35371,"Thromboendarterectomy, including patch graft, if performed; common femoral ",,,948.0,25655.0,194
CPT,35372,"Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral ",,,948.0,25655.0,238
CPT,35381,RECHANNELING OF ARTERY ,,,2152.0,6587.0,34
CPT,35390,"Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,35400,Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure) ,,,948.0,25655.0,194
CPT,35450,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,16144.0,13
CPT,35452,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,16144.0,13
CPT,35454,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,2369.0,5
CPT,35456,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,2369.0,5
CPT,35458,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,9417.0,13
CPT,35459,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,2369.0,5
CPT,35460,REPAIR VENOUS BLOCKAGE ,,,2369.0,9417.0,13
CPT,35470,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,2369.0,5
CPT,35471,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,9417.0,13
CPT,35472,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,9417.0,13
CPT,35473,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,2369.0,5
CPT,35474,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,2369.0,5
CPT,35475,REPAIR ARTERIAL BLOCKAGE ,,,2369.0,9417.0,13
CPT,35476,REPAIR VENOUS BLOCKAGE ,,,2369.0,9417.0,13
CPT,35480,"ATHERECTOMY, OPEN ",,,2152.0,6587.0,34
CPT,35481,"ATHERECTOMY, OPEN ",,,2152.0,6587.0,34
CPT,35482,"ATHERECTOMY, OPEN ",,,2152.0,6587.0,34
CPT,35483,"ATHERECTOMY, OPEN ",,,2152.0,6587.0,34
CPT,35484,"ATHERECTOMY, OPEN ",,,2152.0,6587.0,34
CPT,35485,"ATHERECTOMY, OPEN ",,,2152.0,6587.0,34
CPT,35490,"ATHERECTOMY, PERCUTANEOUS ",,,2152.0,6587.0,34
CPT,35491,"ATHERECTOMY, PERCUTANEOUS ",,,2152.0,6587.0,34
CPT,35492,"ATHERECTOMY, PERCUTANEOUS ",,,2152.0,6587.0,34
CPT,35493,"ATHERECTOMY, PERCUTANEOUS ",,,2152.0,6587.0,34
CPT,35494,"ATHERECTOMY, PERCUTANEOUS ",,,2152.0,6587.0,34
CPT,35495,"ATHERECTOMY, PERCUTANEOUS ",,,2152.0,6587.0,34
CPT,35500,"Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure) ",,,948.0,2636.0,98
CPT,35501,"Bypass graft, with vein; common carotid-ipsilateral internal carotid ",,,948.0,33675.21,194
CPT,35506,"Bypass graft, with vein; carotid-subclavian or subclavian-carotid ",,,948.0,28469.33,194
CPT,35507,ARTERY BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35508,"Bypass graft, with vein; carotid-vertebral ",,,948.0,29339.71,194
CPT,35509,"Bypass graft, with vein; carotid-contralateral carotid ",,,948.0,31577.42,194
CPT,35510,"Bypass graft, with vein; carotid-brachial ",,,948.0,27451.49,194
CPT,35511,"Bypass graft, with vein; subclavian-subclavian ",,,948.0,25655.0,194
CPT,35512,"Bypass graft, with vein; subclavian-brachial ",,,948.0,27055.21,194
CPT,35515,"Bypass graft, with vein; subclavian-vertebral ",,,948.0,28181.94,194
CPT,35516,"Bypass graft, with vein; subclavian-axillary ",,,948.0,27373.87,194
CPT,35518,"Bypass graft, with vein; axillary-axillary ",,,948.0,25655.0,194
CPT,35521,"Bypass graft, with vein; axillary-femoral ",,,948.0,27443.72,194
CPT,35522,"Bypass graft, with vein; axillary-brachial ",,,948.0,27171.85,194
CPT,35523,"Bypass graft, with vein; brachial-ulnar or -radial ",,,948.0,28842.32,194
CPT,35525,"Bypass graft, with vein; brachial-brachial ",,,948.0,25703.19,194
CPT,35526,"Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid ",,,948.0,39238.55,194
CPT,35531,"Bypass graft, with vein; aortoceliac or aortomesenteric ",,,948.0,43628.82,194
CPT,35533,"Bypass graft, with vein; axillary-femoral-femoral ",,,948.0,33675.21,194
CPT,35535,"Bypass graft, with vein; hepatorenal ",,,948.0,42727.39,194
CPT,35536,"Bypass graft, with vein; splenorenal ",,,948.0,37941.07,194
CPT,35537,"Bypass graft, with vein; aortoiliac ",,,948.0,46441.53,194
CPT,35538,"Bypass graft, with vein; aortobi-iliac ",,,948.0,52098.02,194
CPT,35539,"Bypass graft, with vein; aortofemoral ",,,948.0,48881.26,194
CPT,35540,"Bypass graft, with vein; aortobifemoral ",,,948.0,54918.49,194
CPT,35541,ARTERY BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35546,ARTERY BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35548,ARTERY BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35549,ARTERY BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35551,ARTERY BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35556,"Bypass graft, with vein; femoral-popliteal ",,,948.0,31484.07,194
CPT,35558,"Bypass graft, with vein; femoral-femoral ",,,948.0,27684.55,194
CPT,35560,"Bypass graft, with vein; aortorenal ",,,948.0,37739.06,194
CPT,35563,"Bypass graft, with vein; ilioiliac ",,,948.0,29681.44,194
CPT,35565,"Bypass graft, with vein; iliofemoral ",,,948.0,29611.58,194
CPT,35566,"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels ",,,948.0,37575.85,194
CPT,35570,"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial ",,,948.0,33978.34,194
CPT,35571,"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels ",,,948.0,29798.08,194
CPT,35572,"Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure) ",,,948.0,2636.0,98
CPT,35582,VEIN BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35583,In-situ vein bypass; femoral-popliteal ,,,948.0,32509.89,194
CPT,35585,"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery ",,,948.0,37661.44,194
CPT,35587,"In-situ vein bypass; popliteal-tibial, peroneal ",,,948.0,30699.28,194
CPT,35600,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, open ",,,948.0,25655.0,194
CPT,35601,"Bypass graft, with other than vein; common carotid-ipsilateral internal carotid ",,,948.0,31453.02,194
CPT,35602,"Bypass graft, with other than vein; carotid-contralateral carotid ",,,948.0,25279.1,104
CPT,35606,"Bypass graft, with other than vein; carotid-subclavian ",,,948.0,26425.88,194
CPT,35612,"Bypass graft, with other than vein; subclavian-subclavian ",,,948.0,25655.0,194
CPT,35616,"Bypass graft, with other than vein; subclavian-axillary ",,,948.0,25655.0,194
CPT,35621,"Bypass graft, with other than vein; axillary-femoral ",,,948.0,25655.0,194
CPT,35623,"Bypass graft, with other than vein; axillary-popliteal or -tibial ",,,948.0,29394.04,194
CPT,35626,"Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid ",,,948.0,35749.93,194
CPT,35631,"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal ",,,948.0,41740.59,194
CPT,35632,"Bypass graft, with other than vein; ilio-celiac ",,,948.0,40186.55,194
CPT,35633,"Bypass graft, with other than vein; ilio-mesenteric ",,,948.0,44918.54,194
CPT,35634,"Bypass graft, with other than vein; iliorenal ",,,948.0,39518.4,194
CPT,35636,"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis) ",,,948.0,35780.98,194
CPT,35637,"Bypass graft, with other than vein; aortoiliac ",,,948.0,37109.72,194
CPT,35638,"Bypass graft, with other than vein; aortobi-iliac ",,,948.0,39564.97,194
CPT,35641,ARTERY BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35642,"Bypass graft, with other than vein; carotid-vertebral ",,,948.0,25655.0,194
CPT,35645,"Bypass graft, with other than vein; subclavian-vertebral ",,,948.0,25655.0,194
CPT,35646,"Bypass graft, with other than vein; aortobifemoral ",,,948.0,38648.02,194
CPT,35647,"Bypass graft, with other than vein; aortofemoral ",,,948.0,34988.43,194
CPT,35650,"Bypass graft, with other than vein; axillary-axillary ",,,948.0,25655.0,194
CPT,35651,ARTERY BYPASS GRAFT ,,,2152.0,6587.0,34
CPT,35654,"Bypass graft, with other than vein; axillary-femoral-femoral ",,,948.0,30823.69,194
CPT,35656,"Bypass graft, with other than vein; femoral-popliteal ",,,948.0,25655.0,194
CPT,35661,"Bypass graft, with other than vein; femoral-femoral ",,,948.0,25655.0,194
CPT,35663,"Bypass graft, with other than vein; ilioiliac ",,,948.0,27241.71,194
CPT,35665,"Bypass graft, with other than vein; iliofemoral ",,,948.0,26418.11,194
CPT,35666,"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery ",,,948.0,28469.33,194
CPT,35671,"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery ",,,948.0,25655.0,194
CPT,35681,"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,35682,"Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,35683,"Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,35685,"Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure) ",,,948.0,2636.0,98
CPT,35686,Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure) ,,,948.0,2636.0,98
CPT,35691,Transposition and/or reimplantation; vertebral to carotid artery ,,,948.0,25655.0,194
CPT,35693,Transposition and/or reimplantation; vertebral to subclavian artery ,,,948.0,25655.0,194
CPT,35694,Transposition and/or reimplantation; subclavian to carotid artery ,,,948.0,25655.0,194
CPT,35695,Transposition and/or reimplantation; carotid to subclavian artery ,,,948.0,25655.0,194
CPT,35697,"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,35700,"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery, or other distal vessels, more than 1 month after original operation (List separately in additi",,,948.0,25655.0,194
CPT,35701,"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian) ",,,948.0,25655.0,194
CPT,35702,"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar) ",,,948.0,25655.0,238
CPT,35703,"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal) ",,,948.0,25655.0,238
CPT,35721,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; FEMORAL ARTERY ",,,2152.0,16144.0,42
CPT,35741,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; POPLITEAL ARTERY ",,,2152.0,16144.0,42
CPT,35761,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; OTHER VESSELS ",,,5694.0,7168.0,42
CPT,35800,"Exploration for postoperative hemorrhage, thrombosis or infection; neck ",,,948.0,25655.0,238
CPT,35820,"Exploration for postoperative hemorrhage, thrombosis or infection; chest ",,,948.0,45314.81,194
CPT,35840,"Exploration for postoperative hemorrhage, thrombosis or infection; abdomen ",,,948.0,26915.29,194
CPT,35860,"Exploration for postoperative hemorrhage, thrombosis or infection; extremity ",,,948.0,25655.0,239
CPT,35870,Repair of graft-enteric fistula ,,,948.0,27808.95,194
CPT,35875,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); ,,,948.0,23113.0,266
CPT,35875,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age 21+,,,2133.07,2133.07,4
CPT,35875,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age Under 21,,,2171.85,2171.85,4
CPT,35876,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft ,,,948.0,23113.0,266
CPT,35876,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft Age 21+,,,2133.07,2133.07,4
CPT,35876,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft Age Under 21,,,2171.85,2171.85,4
CPT,35879,"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty ",,,948.0,25655.0,195
CPT,35881,"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition ",,,948.0,25655.0,195
CPT,35883,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium) ",,,948.0,21630.0,239
CPT,35884,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft ",,,948.0,21630.0,239
CPT,35901,Excision of infected graft; neck ,,,948.0,25655.0,194
CPT,35903,Excision of infected graft; extremity ,,,948.0,25655.0,195
CPT,35905,Excision of infected graft; thorax ,,,948.0,37521.51,194
CPT,35907,Excision of infected graft; abdomen ,,,948.0,42929.41,194
CPT,36000,"Introduction of needle or intracatheter, vein ",,,948.0,2287.0,64
CPT,36000,NDL/INCATH VEIN,493.96000000000004,493.96000000000004,43.88,588.99,292
CPT,36002,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm ",,,220.39,5932.0,266
CPT,36002,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm Age 21+",,,246.13,246.13,4
CPT,36002,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm Age Under 21",,,250.6,250.6,4
CPT,36005,INJ VENOGRAM BI,3229.65,3229.65,355.26,3229.65,55
CPT,36005,INJ VENOGRAM LT,2153.1,2153.1,236.84,2153.1,55
CPT,36005,INJ VENOGRAM RT,2153.1,2153.1,236.84,2153.1,55
CPT,36005,Injection procedure for extremity venography (including introduction of needle or intracatheter) ,,,948.0,5932.0,142
CPT,36010,CATH IVC/SVC,3042.99,3042.99,334.73,3042.99,55
CPT,36010,CATH IVC/SVC BI,4564.48,4564.48,502.09,4564.48,55
CPT,36010,"Introduction of catheter, superior or inferior vena cava ",,,948.0,5932.0,142
CPT,36011,CATH 1ST ORDER VEN BI,5321.4,5321.4,585.35,5321.4,55
CPT,36011,CATH 1ST ORDER VEN LT,3547.6,3547.6,390.24,3547.6,55
CPT,36011,CATH 1ST ORDER VEN RT,3547.6,3547.6,390.24,3547.6,55
CPT,36011,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) ",,,948.0,5932.0,142
CPT,36012,CATH 2ND ORDER VEN BI,6372.37,6372.37,700.96,6372.37,55
CPT,36012,CATH 2ND ORDER VEN LT,4248.24,4248.24,467.31,4248.24,55
CPT,36012,CATH 2ND ORDER VEN RT,4248.24,4248.24,467.31,4248.24,55
CPT,36012,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) ",,,948.0,5932.0,142
CPT,36013,CATH RT HRT/PULM ART,4084.59,4084.59,285.92,4084.59,55
CPT,36013,"Introduction of catheter, right heart or main pulmonary artery ",4084.59,4084.59,948.0,5932.0,142
CPT,36014,CATH PULM ART UNI BI,5843.88,5843.88,409.07,5843.88,55
CPT,36014,CATH PULM ART UNI LT,3895.35,3895.35,272.67,3895.35,55
CPT,36014,CATH PULM ART UNI RT,3895.35,3895.35,272.67,3895.35,55
CPT,36014,"Selective catheter placement, left or right pulmonary artery ",,,948.0,5932.0,142
CPT,36015,CATH PLM ART SEG/SUB BI,6380.03,6380.03,446.6,6380.03,55
CPT,36015,CATH PLM ART SEG/SUB LT,4253.35,4253.35,297.73,4253.35,55
CPT,36015,CATH PLM ART SEG/SUB RT,4253.35,4253.35,297.73,4253.35,55
CPT,36015,"Selective catheter placement, segmental or subsegmental pulmonary artery ",,,948.0,5932.0,142
CPT,36100,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,948.0,5932.0,142
CPT,36120,HIntroduction of needle or intracatheter; retrograde brachial artery ,,,2152.0,2636.0,34
CPT,36140,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,948.0,5932.0,142
CPT,36140,NDL/INCATH EXT ART,3862.98,3862.98,424.93,3862.98,55
CPT,36140,NDL/INCATH EXT ART 59,3862.98,3862.98,424.93,3862.98,55
CPT,36145,ARTERY TO VEIN SHUNT ,,,2152.0,6587.0,34
CPT,36147,ACCESS AV DIAL GRFT FOR EVAL ,,,2214.0,4723.0,42
CPT,36148,ACCESS AV DIAL GRFT FOR PROC ,,,2152.0,2636.0,34
CPT,36160,"Introduction of needle or intracatheter, aortic, translumbar ",,,948.0,6680.0,142
CPT,36200,CATH AORTA,9693.24,9693.24,678.53,9693.24,55
CPT,36200,"Introduction of catheter, aorta ",9693.24,9693.24,948.0,6680.0,142
CPT,36215,CATH 1ST ORD UP ART LT,4974.47,4974.47,348.21,4974.47,55
CPT,36215,CATH 1ST ORD UP ART RT,4974.47,4974.47,348.21,4974.47,55
CPT,36215,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,142
CPT,36216,CATH 2ND ORD UP ART LT,5306.89,5306.89,371.48,5306.89,55
CPT,36216,CATH 2ND ORD UP ART RT,5306.89,5306.89,371.48,5306.89,55
CPT,36216,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,142
CPT,36217,CATH 3RD ORD UP ART LT,6365.55,6365.55,445.59,6365.55,55
CPT,36217,CATH 3RD ORD UP ART RT,6365.55,6365.55,445.59,6365.55,55
CPT,36217,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,142
CPT,36218,CATH EA ADDL UP ART LT,1416.65,1416.65,99.17,1416.65,55
CPT,36218,CATH EA ADDL UP ART RT,1416.65,1416.65,99.17,1416.65,55
CPT,36218,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,948.0,6680.0,142
CPT,36221,NSP THOR AORT W/ ANGIO,24030.19,24030.19,2643.32,24030.19,37
CPT,36221,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",24030.19,24030.19,948.0,25655.0,239
CPT,36222,SP EX CAROTID ANGIO BI,36045.3,36045.3,3964.98,36045.3,37
CPT,36222,SP EX CAROTID ANGIO LT,24030.19,24030.19,2643.32,24030.19,37
CPT,36222,SP EX CAROTID ANGIO RT,24030.19,24030.19,2643.32,24030.19,37
CPT,36222,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,948.0,25655.0,239
CPT,36223,SP COM CAROTIDANGIO BI,36045.3,36045.3,3964.98,36045.3,37
CPT,36223,SP COM CAROTIDANGIO LT,24030.19,24030.19,2643.32,24030.19,37
CPT,36223,SP COM CAROTIDANGIO RT,24030.19,24030.19,2643.32,24030.19,37
CPT,36223,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,948.0,25655.0,239
CPT,36224,SP INT CAROTID ANGIO BI,63306.84,63306.84,6963.75,63306.84,37
CPT,36224,SP INT CAROTID ANGIO LT,42204.56,42204.56,4642.5,42204.56,37
CPT,36224,SP INT CAROTID ANGIO RT,42204.56,42204.56,4642.5,42204.56,37
CPT,36224,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,948.0,25655.0,239
CPT,36225,SP SUBCL ANGIO BI,36045.3,36045.3,3964.98,36045.3,37
CPT,36225,SP SUBCL ANGIO LT,24030.19,24030.19,2643.32,24030.19,37
CPT,36225,SP SUBCL ANGIO RT,24030.19,24030.19,2643.32,24030.19,37
CPT,36225,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,948.0,25655.0,239
CPT,36226,SP VERT ANGIO BI,63306.84,63306.84,6963.75,63306.84,37
CPT,36226,SP VERT ANGIO LT,42204.56,42204.56,4642.5,42204.56,37
CPT,36226,SP VERT ANGIO RT,42204.56,42204.56,4642.5,42204.56,37
CPT,36226,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,948.0,25655.0,239
CPT,36227,SP EX CARTIDANGIOBI ADD,9396.18,9396.18,1033.58,9396.18,49
CPT,36227,SP EX CARTIDANGIOUNI +LT,6283.74,6283.74,691.21,6283.74,49
CPT,36227,SP EX CARTIDANGIOUNI +RT,6283.74,6283.74,691.21,6283.74,49
CPT,36227,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,948.0,25655.0,190
CPT,36228,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,948.0,25655.0,190
CPT,36245,CATH 1ST OD LOW ART BI,7431.01,7431.01,817.41,7431.01,55
CPT,36245,CATH 1ST OD LOW ART LT,4955.72,4955.72,545.13,4955.72,55
CPT,36245,CATH 1ST OD LOW ART RT,4955.72,4955.72,545.13,4955.72,55
CPT,36245,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,142
CPT,36246,CATH 2ND OD LOW ART BI,8505.03,8505.03,935.55,8505.03,55
CPT,36246,CATH 2ND OD LOW ART LT,5670.02,5670.02,623.7,5670.02,55
CPT,36246,CATH 2ND OD LOW ART RT,5670.02,5670.02,623.7,5670.02,55
CPT,36246,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,142
CPT,36247,CATH 3RD OD LOW ART BI,8731.78,8731.78,960.5,8731.78,55
CPT,36247,CATH 3RD OD LOW ART LT,6345.09,6345.09,697.96,6345.09,55
CPT,36247,CATH 3RD OD LOW ART RT,6345.09,6345.09,697.96,6345.09,55
CPT,36247,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,142
CPT,36248,CATH EA ADDL LOW ART LT,1443.91,1443.91,158.83,1443.91,55
CPT,36248,CATH EA ADDL LOW ART RT,1443.91,1443.91,158.83,1443.91,55
CPT,36248,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,948.0,6680.0,142
CPT,36251,CATH 1ST OD RENAL LT,25448.55,25448.55,2799.34,25448.55,37
CPT,36251,CATH 1ST OD RENAL RT,25448.55,25448.55,2799.34,25448.55,37
CPT,36251,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,948.0,25655.0,239
CPT,36252,CATH 1ST OD RENAL BIL,25448.55,25448.55,2799.34,25448.55,37
CPT,36252,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",25448.55,25448.55,948.0,25655.0,239
CPT,36253,CATH 1 OR M 2ND OD RNLLT,25448.55,25448.55,2799.34,25448.55,37
CPT,36253,CATH 1 OR M 2ND OD RNLRT,25448.55,25448.55,2799.34,25448.55,37
CPT,36253,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,948.0,25655.0,239
CPT,36254,CATH 1 OR M 2ND OD RNLBI,25448.55,25448.55,2799.34,25448.55,37
CPT,36254,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",25448.55,25448.55,948.0,25655.0,239
CPT,36260,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,948.0,38760.0,266
CPT,36260,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Age 21+",,,2133.07,2133.07,4
CPT,36260,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Age Under 21",,,2171.85,2171.85,4
CPT,36261,Revision of implanted intra-arterial infusion pump ,,,948.0,12360.0,266
CPT,36261,Revision of implanted intra-arterial infusion pump Age 21+,,,2359.64,2359.64,4
CPT,36261,Revision of implanted intra-arterial infusion pump Age Under 21,,,2402.55,2402.55,4
CPT,36262,Removal of implanted intra-arterial infusion pump ,,,948.0,12360.0,266
CPT,36262,Removal of implanted intra-arterial infusion pump Age 21+,,,1567.98,1567.98,4
CPT,36262,Removal of implanted intra-arterial infusion pump Age Under 21,,,1596.49,1596.49,4
CPT,36299,"Unlisted procedure, vascular injection ",,,948.0,2636.0,90
CPT,36400,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,948.0,1995.0,24
CPT,36405,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,948.0,1995.0,24
CPT,36406,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,948.0,1995.0,24
CPT,36410,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",,,23.87,1995.0,30
CPT,36415,Collection of venous blood by venipuncture ,85.52,85.52,3.0,1995.0,137
CPT,36415,Collection of venous blood by venipuncture Other Outpatient,85.52,85.52,9.81,9.81,6
CPT,36415,VENIPUNCTURE,85.52,85.52,5.99,85.52,54
CPT,36416,COLL CAPILLARY BLOOD,85.52,85.52,5.99,85.52,61
CPT,36416,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",85.52,85.52,0.24,1995.0,63
CPT,36420,"Venipuncture, cutdown; younger than age 1 year ",,,119.92,2287.0,161
CPT,36425,"Venipuncture, cutdown; age 1 or over ",,,451.0,2287.0,161
CPT,36430,BLOOD TRANSFUSION,3847.385,3847.385,267.44,3874.19,2405
CPT,36430,"Transfusion, blood or blood components ",,,30.27,5932.0,266
CPT,36430,"Transfusion, blood or blood components Age 21+",,,33.8,33.8,4
CPT,36430,"Transfusion, blood or blood components Age Under 21",,,34.42,34.42,4
CPT,36440,"Push transfusion, blood, 2 years or younger ",,,445.4,5932.0,239
CPT,36450,"Exchange transfusion, blood; newborn ",,,161.84,5932.0,266
CPT,36450,"Exchange transfusion, blood; newborn Age 21+",,,180.73,180.73,4
CPT,36450,"Exchange transfusion, blood; newborn Age Under 21",,,184.02,184.02,4
CPT,36455,"Exchange transfusion, blood; other than newborn ",,,161.84,5932.0,266
CPT,36455,"Exchange transfusion, blood; other than newborn Age 21+",,,180.73,180.73,4
CPT,36455,"Exchange transfusion, blood; other than newborn Age Under 21",,,184.02,184.02,4
CPT,36456,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,445.4,6587.0,239
CPT,36460,"Transfusion, intrauterine, fetal ",,,445.4,5932.0,239
CPT,36465,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,698.37,12499.0,274
CPT,36466,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,698.37,12499.0,274
CPT,36468,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,380.91,5932.0,239
CPT,36469,INJECTION(S) SPIDER VEINS ,,,2152.0,6587.0,34
CPT,36470,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,69.54,5932.0,266
CPT,36470,Injection of sclerosant; single incompetent vein (other than telangiectasia) Age 21+,,,77.66,77.66,4
CPT,36470,Injection of sclerosant; single incompetent vein (other than telangiectasia) Age Under 21,,,79.07,79.07,4
CPT,36471,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,114.54,5932.0,266
CPT,36471,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg Age 21+",,,127.91,127.91,4
CPT,36471,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg Age Under 21",,,130.23,130.23,4
CPT,36473,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,921.17,12360.0,266
CPT,36473,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated Age 21+",,,1028.72,1028.72,4
CPT,36473,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated Age Under 21",,,1047.42,1047.42,4
CPT,36474,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,948.0,5932.0,142
CPT,36475,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,948.0,12499.0,266
CPT,36475,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated Age 21+",,,1230.04,1230.04,4
CPT,36475,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated Age Under 21",,,1252.41,1252.41,4
CPT,36476,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,948.0,5932.0,142
CPT,36478,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,948.0,12499.0,266
CPT,36478,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated Age 21+",,,1230.04,1230.04,4
CPT,36478,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated Age Under 21",,,1252.41,1252.41,4
CPT,36479,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,948.0,5932.0,142
CPT,36481,CATH PORTAL VN,9200.55,9200.55,1012.06,9200.55,55
CPT,36481,Percutaneous portal vein catheterization by any method ,9200.55,9200.55,948.0,5932.0,142
CPT,36482,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,948.0,25655.0,239
CPT,36483,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,948.0,6587.0,142
CPT,36488,"INSERTION OF CATHETER, VEIN ",,,2152.0,6587.0,34
CPT,36489,"INSERTION OF CATHETER, VEIN ",,,2152.0,6587.0,34
CPT,36490,"INSERTION OF CATHETER, VEIN ",,,2152.0,6587.0,34
CPT,36491,"INSERTION OF CATHETER, VEIN ",,,2152.0,6587.0,34
CPT,36493,REPOSITIONING OF CVC ,,,2152.0,6587.0,34
CPT,36500,Venous catheterization for selective organ blood sampling ,,,948.0,5932.0,142
CPT,36510,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,948.0,2636.0,98
CPT,36511,THER APHERESIS WBC,12133.035,12133.035,760.67,13399.35,167
CPT,36511,Therapeutic apheresis; for white blood cells ,,,556.15,25655.0,266
CPT,36511,Therapeutic apheresis; for white blood cells Age 21+,,,621.08,621.08,4
CPT,36511,Therapeutic apheresis; for white blood cells Age Under 21,,,632.37,632.37,4
CPT,36512,THER APHERESIS RBC,13399.35,13399.35,1473.93,13399.35,37
CPT,36512,Therapeutic apheresis; for red blood cells ,13399.35,13399.35,556.15,25655.0,266
CPT,36512,Therapeutic apheresis; for red blood cells Age 21+,13399.35,13399.35,621.08,621.08,4
CPT,36512,Therapeutic apheresis; for red blood cells Age Under 21,13399.35,13399.35,632.37,632.37,4
CPT,36513,THER APHERESIS PLT,13399.35,13399.35,1473.93,13399.35,37
CPT,36513,Therapeutic apheresis; for platelets ,13399.35,13399.35,161.84,25655.0,266
CPT,36513,Therapeutic apheresis; for platelets Age 21+,13399.35,13399.35,180.73,180.73,4
CPT,36513,Therapeutic apheresis; for platelets Age Under 21,13399.35,13399.35,184.02,184.02,4
CPT,36514,THER APHERESIS PLASMA,16530.875,16530.875,1036.39,18256.19,102
CPT,36514,Therapeutic apheresis; for plasma pheresis ,,,556.15,25655.0,266
CPT,36514,Therapeutic apheresis; for plasma pheresis Age 21+,,,621.08,621.08,4
CPT,36514,Therapeutic apheresis; for plasma pheresis Age Under 21,,,632.37,632.37,4
CPT,36515,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,7168.0,8072.0,42
CPT,36516,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,948.0,25655.0,266
CPT,36516,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion Age 21+",,,1608.24,1608.24,4
CPT,36516,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion Age Under 21",,,1637.48,1637.48,4
CPT,36520,Plasma and/or cell exchange ,,,2152.0,6587.0,34
CPT,36521,Apheresis w/ adsorp/reinfuse ,,,2152.0,6587.0,34
CPT,36522,PHOTOPHERESIS EXTRACORP,23808.58,23808.58,2618.94,23808.58,37
CPT,36522,"Photopheresis, extracorporeal ",23808.58,23808.58,948.0,25655.0,266
CPT,36522,"Photopheresis, extracorporeal Age 21+",23808.58,23808.58,1841.57,1841.57,4
CPT,36522,"Photopheresis, extracorporeal Age Under 21",23808.58,23808.58,1875.05,1875.05,4
CPT,36530,INSERTION OF INFUSION PUMP ,,,2152.0,6587.0,34
CPT,36531,REVISION OF INFUSION PUMP ,,,2152.0,6587.0,34
CPT,36532,REMOVAL OF INFUSION PUMP ,,,2152.0,6587.0,34
CPT,36533,INSERTION OF ACCESS DEVICE ,,,2152.0,6587.0,34
CPT,36534,REVISION OF ACCESS DEVICE ,,,2152.0,6587.0,34
CPT,36535,REMOVAL OF ACCESS DEVICE ,,,2152.0,6587.0,34
CPT,36540,COLLECT BLOOD VENOUS DEVICE ,,,2152.0,6587.0,34
CPT,36550,DECLOT VASCULAR DEVICE ,,,2152.0,6587.0,34
CPT,36555,INS CVC NON-TUN CENT <5Y,8302.16,8302.16,913.24,8302.16,37
CPT,36555,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,8302.16,8302.16,948.0,12897.0,257
CPT,36555,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age Age 21+,8302.16,8302.16,1230.04,1230.04,4
CPT,36555,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age Age Under 21,8302.16,8302.16,1252.41,1252.41,4
CPT,36556,INS CVC NON-TUN CENT=>5Y,8302.16,8302.16,913.24,8302.16,37
CPT,36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,8302.16,8302.16,948.0,12897.0,257
CPT,36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older Age 21+,8302.16,8302.16,1230.04,1230.04,4
CPT,36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older Age Under 21,8302.16,8302.16,1252.41,1252.41,4
CPT,36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,948.0,12897.0,257
CPT,36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age Age 21+",,,2782.15,2782.15,4
CPT,36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age Age Under 21",,,2832.74,2832.74,4
CPT,36558,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,948.0,12897.0,257
CPT,36558,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older Age 21+",,,1230.04,1230.04,4
CPT,36558,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older Age Under 21",,,1252.41,1252.41,4
CPT,36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,948.0,12897.0,257
CPT,36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age Age 21+",,,1230.04,1230.04,4
CPT,36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age Age Under 21",,,1252.41,1252.41,4
CPT,36561,INS CVAD W PORT CENT=>5Y,7998.69,7998.69,879.86,7998.69,37
CPT,36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",7998.69,7998.69,948.0,12897.0,257
CPT,36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age 21+",7998.69,7998.69,1230.04,1230.04,4
CPT,36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age Under 21",7998.69,7998.69,1252.41,1252.41,4
CPT,36563,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,948.0,12897.0,257
CPT,36563,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump Age 21+,,,3791.82,3791.82,4
CPT,36563,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump Age Under 21,,,3860.76,3860.76,4
CPT,36565,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,948.0,12897.0,257
CPT,36565,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) Age 21+",,,1230.04,1230.04,4
CPT,36565,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) Age Under 2",,,1252.41,1252.41,4
CPT,36566,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,948.0,18747.0,257
CPT,36566,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) Age 21+",,,2133.07,2133.07,4
CPT,36566,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) Age Under 21",,,2171.85,2171.85,4
CPT,36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,439.58,12897.0,257
CPT,36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age Age 21+",,,490.9,490.9,4
CPT,36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age Age Under 21",,,499.82,499.82,4
CPT,36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,439.58,12897.0,257
CPT,36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older Age 21+",,,490.9,490.9,4
CPT,36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older Age Under 21",,,499.82,499.82,4
CPT,36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,948.0,12897.0,257
CPT,36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age Age 21+",,,1230.04,1230.04,4
CPT,36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age Age Under 21",,,1252.41,1252.41,4
CPT,36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,948.0,12897.0,257
CPT,36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older Age 21+",,,1230.04,1230.04,4
CPT,36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older Age Under 21",,,1252.41,1252.41,4
CPT,36572,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,220.39,12897.0,265
CPT,36573,INS PICC WO P W IMG=>5Y,12431.05,12431.05,1367.42,12431.05,37
CPT,36573,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",12431.05,12431.05,439.58,12897.0,265
CPT,36575,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,220.39,12897.0,257
CPT,36575,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site Age 21+",,,246.13,246.13,4
CPT,36575,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site Age Under 21",,,250.6,250.6,4
CPT,36576,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,439.58,12897.0,257
CPT,36576,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Age 21+",,,490.9,490.9,4
CPT,36576,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Age Under 21",,,499.82,499.82,4
CPT,36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,948.0,12897.0,257
CPT,36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Age 21+",,,1651.18,1651.18,4
CPT,36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Age Under 21",,,1681.2,1681.2,4
CPT,36580,REPL NON-TUN CVC W/O P-P,8302.16,8302.16,913.24,8302.16,37
CPT,36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",8302.16,8302.16,596.54,12897.0,257
CPT,36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Age 21+",8302.16,8302.16,666.18,666.18,4
CPT,36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Age Under 21",8302.16,8302.16,678.29,678.29,4
CPT,36581,REPL TUN CV CATH W/O P-P,7998.69,7998.69,879.86,7998.69,37
CPT,36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",7998.69,7998.69,948.0,12897.0,257
CPT,36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Age 21+",7998.69,7998.69,1625.55,1625.55,4
CPT,36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Age Under 21",7998.69,7998.69,1655.1,1655.1,4
CPT,36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,948.0,12897.0,257
CPT,36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access Age 21+",,,1230.04,1230.04,4
CPT,36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access Age Under 21",,,1252.41,1252.41,4
CPT,36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,948.0,12897.0,257
CPT,36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access Age 21+",,,3673.01,3673.01,4
CPT,36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access Age Under 21",,,3739.79,3739.79,4
CPT,36584,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,439.58,12897.0,265
CPT,36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,948.0,12897.0,257
CPT,36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access Age 21+",,,1230.04,1230.04,4
CPT,36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access Age Under 21",,,1252.41,1252.41,4
CPT,36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,220.39,12897.0,257
CPT,36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump Age 21+",,,246.13,246.13,4
CPT,36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump Age Under 21",,,250.6,250.6,4
CPT,36590,REM TUN CVAD W/P-P,7338.96,7338.96,807.29,7338.96,37
CPT,36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",7338.96,7338.96,439.58,12897.0,257
CPT,36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion Age 21+",7338.96,7338.96,490.9,490.9,4
CPT,36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion Age Under 21",7338.96,7338.96,499.82,499.82,4
CPT,36591,COLL BLOOD IMPLANTED VAD,821.71,821.71,15.72,1103.25,116
CPT,36591,Collection of blood specimen from a completely implantable venous access device ,,,134.32,12897.0,120
CPT,36592,COLL BLOOD CATHETER NOS,373.33,373.33,37.42,593.83,116
CPT,36592,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,134.32,12897.0,120
CPT,36593,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,25.91,12897.0,257
CPT,36593,Declotting by thrombolytic agent of implanted vascular access device or catheter Age 21+,,,28.93,28.93,4
CPT,36593,Declotting by thrombolytic agent of implanted vascular access device or catheter Age Under 21,,,29.46,29.46,4
CPT,36595,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,948.0,19415.0,257
CPT,36595,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access Age 21+",,,1597.64,1597.64,4
CPT,36595,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access Age Under 21",,,1626.69,1626.69,4
CPT,36596,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,439.58,12897.0,257
CPT,36596,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen Age 21+,,,490.9,490.9,4
CPT,36596,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen Age Under 21,,,499.82,499.82,4
CPT,36597,REPO PREV PLCD CVC FLURO,8302.16,8302.16,913.24,8302.16,37
CPT,36597,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,8302.16,8302.16,439.58,12897.0,257
CPT,36597,Repositioning of previously placed central venous catheter under fluoroscopic guidance Age 21+,8302.16,8302.16,490.9,490.9,4
CPT,36597,Repositioning of previously placed central venous catheter under fluoroscopic guidance Age Under 21,8302.16,8302.16,499.82,499.82,4
CPT,36598,CONT INJ EX CVAD W FLURO,683.62,683.62,75.2,683.62,37
CPT,36598,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",683.62,683.62,78.27,12897.0,257
CPT,36598,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report Age 21+",683.62,683.62,87.41,87.41,4
CPT,36598,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report Age Under 21",683.62,683.62,89.0,89.0,4
CPT,36600,ARTERIAL PUNCTURE,642.03,642.03,44.94,642.03,60
CPT,36600,"Arterial puncture, withdrawal of blood for diagnosis ",642.03,642.03,134.32,12897.0,162
CPT,36620,ART CANULTN SAMP/MON/INF,3519.81,3519.81,387.18,3519.81,55
CPT,36620,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",3519.81,3519.81,948.0,12897.0,133
CPT,36625,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,948.0,12897.0,89
CPT,36640,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,948.0,12897.0,257
CPT,36640,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age 21+",,,1230.04,1230.04,4
CPT,36640,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age Under 21",,,1252.41,1252.41,4
CPT,36660,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,948.0,25655.0,185
CPT,36680,Placement of needle for intraosseous infusion ,,,451.0,12897.0,230
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,1910.06,12897.0,242
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Age 21+",,,2133.07,2133.07,4
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Age Under 21",,,2171.85,2171.85,4
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,1101.45,12897.0,242
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) Age 21+",,,1230.04,1230.04,4
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) Age Under 21",,,1252.41,1252.41,4
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,1910.06,12897.0,242
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure Age 21+",,,2133.07,2133.07,4
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure Age Under 21",,,2171.85,2171.85,4
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,1910.06,12897.0,242
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Age 21+",,,2133.07,2133.07,4
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Age Under 21",,,2171.85,2171.85,4
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,1910.06,12897.0,242
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition Age 21+",,,2133.07,2133.07,4
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition Age Under 21",,,2171.85,2171.85,4
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,1910.06,12897.0,242
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition Age 21+",,,2133.07,2133.07,4
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition Age Under 21",,,2171.85,2171.85,4
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,1101.45,12897.0,242
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Age 21+",,,1230.04,1230.04,4
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Age Under 21",,,1252.41,1252.41,4
CPT,36822,INSERTION OF CANNULA(S) ,,,2152.0,2369.0,29
CPT,36823,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,1995.0,31390.93,170
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,1910.06,19415.0,242
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft Age 21+,,,2133.07,2133.07,4
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft Age Under 21,,,2171.85,2171.85,4
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,1910.06,19415.0,242
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) Age 21+",,,2133.07,2133.07,4
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) Age Under 21",,,2171.85,2171.85,4
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1910.06,23113.0,242
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) Age 21+",,,2133.07,2133.07,4
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) Age Under 21",,,2171.85,2171.85,4
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1910.06,19415.0,242
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Age 21+",,,2133.07,2133.07,4
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Age Under 21",,,2171.85,2171.85,4
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1910.06,19415.0,242
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Age 21+",,,2133.07,2133.07,4
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Age Under 21",,,2171.85,2171.85,4
CPT,36834,REPAIR A-V ANEURYSM ,,,2152.0,2369.0,29
CPT,36835,Insertion of Thomas shunt (separate procedure) ,,,1639.22,19415.0,242
CPT,36835,Insertion of Thomas shunt (separate procedure) Age 21+,,,1830.6,1830.6,4
CPT,36835,Insertion of Thomas shunt (separate procedure) Age Under 21,,,1863.88,1863.88,4
CPT,36836,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,1910.06,48097.28,250
CPT,36837,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,1910.06,48097.28,250
CPT,36838,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,1995.0,25655.0,215
CPT,36860,External cannula declotting (separate procedure); without balloon catheter ,,,439.58,12897.0,242
CPT,36860,External cannula declotting (separate procedure); without balloon catheter Age 21+,,,490.9,490.9,4
CPT,36860,External cannula declotting (separate procedure); without balloon catheter Age Under 21,,,499.82,499.82,4
CPT,36861,External cannula declotting (separate procedure); with balloon catheter ,,,1995.0,12897.0,242
CPT,36861,External cannula declotting (separate procedure); with balloon catheter Age 21+,,,2997.56,2997.56,4
CPT,36861,External cannula declotting (separate procedure); with balloon catheter Age Under 21,,,3052.06,3052.06,4
CPT,36870,PERCUT THROMBECT AV FISTULA ,,,2369.0,8072.0,37
CPT,36901,DIALYSIS CIRC DX ANGIO,5816.62,5816.62,639.83,5816.62,37
CPT,36901,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",5816.62,5816.62,439.58,5932.0,274
CPT,36902,DIALYSIS CIRC BLN ANGIOP,41012.94,41012.94,4511.42,41012.94,37
CPT,36902,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",41012.94,41012.94,1738.42,25655.0,224
CPT,36903,DIALYSIS CIRC INTRV STNT,82890.17,82890.17,9117.92,82890.17,37
CPT,36903,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",82890.17,82890.17,948.0,27743.74,234
CPT,36904,DIALYSIS CIRC THRMB,41012.94,41012.94,4511.42,41012.94,37
CPT,36904,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",41012.94,41012.94,948.0,25655.0,234
CPT,36905,DIALYSIS CIRC THRMB/BLN,82890.17,82890.17,9117.92,82890.17,37
CPT,36905,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",82890.17,82890.17,1995.0,27743.74,224
CPT,36906,DIALYSIS CIRC THRMB/STNT,125640.26,125640.26,13820.43,125640.26,37
CPT,36906,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",125640.26,125640.26,948.0,44631.92,226
CPT,36907,DIAL SEG CTRL BLN ANGIOP,15422.89,15422.89,1696.52,15422.89,55
CPT,36907,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",15422.89,15422.89,1481.0,14397.0,92
CPT,36908,DIAL SEG CTRL INTRV STNT,15422.89,15422.89,1696.52,15422.89,55
CPT,36908,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",15422.89,15422.89,948.0,5932.0,142
CPT,36909,DIALYSIS CIRCUIT EMBOLJ,15422.89,15422.89,1696.52,15422.89,55
CPT,36909,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",15422.89,15422.89,948.0,5932.0,142
CPT,37140,"Venous anastomosis, open; portocaval ",,,948.0,52370.1,194
CPT,37145,"Venous anastomosis, open; renoportal ",,,948.0,48562.61,194
CPT,37160,"Venous anastomosis, open; caval-mesenteric ",,,948.0,49899.11,194
CPT,37180,"Venous anastomosis, open; splenorenal, proximal ",,,948.0,47964.32,194
CPT,37181,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,948.0,52370.1,194
CPT,37182,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,948.0,33769.0,238
CPT,37183,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,948.0,33769.0,239
CPT,37184,ART THRMB NCOR IN VSL BI,61475.93,61475.93,6762.35,61475.93,37
CPT,37184,ART THRMB NONCOR INI LT,40983.96,40983.96,4508.24,40983.96,37
CPT,37184,ART THRMB NONCOR INI RT,40983.96,40983.96,4508.24,40983.96,37
CPT,37184,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,948.0,33769.0,274
CPT,37185,ART THRMB NONCOR SUB VSL,16689.52,16689.52,1835.85,16689.52,55
CPT,37185,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",16689.52,16689.52,948.0,6680.0,142
CPT,37186,SEC ART THRMB NONCOR,16689.52,16689.52,1835.85,16689.52,55
CPT,37186,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",16689.52,16689.52,948.0,5932.0,142
CPT,37187,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,948.0,33769.0,266
CPT,37187,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance Age 21+",,,5883.49,5883.49,4
CPT,37187,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance Age Under 21",,,5990.47,5990.47,4
CPT,37187,VENOUS MECH THROMBECT BI,61475.93,61475.93,6762.35,61475.93,37
CPT,37187,VENOUS MECH THROMBECT LT,40983.96,40983.96,4508.24,40983.96,37
CPT,37187,VENOUS MECH THROMBECT RT,40983.96,40983.96,4508.24,40983.96,37
CPT,37188,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",40983.96,40983.96,948.0,33769.0,274
CPT,37188,VEN THRMB REPEAT SUB DAY,40983.96,40983.96,4508.24,40983.96,37
CPT,37191,INSRT IVC FILTER W IMAG,37809.69,37809.69,4159.07,37809.69,37
CPT,37191,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",37809.69,37809.69,948.0,25655.0,239
CPT,37192,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,948.0,25655.0,239
CPT,37193,REMOVAL IVCF ENDO APRCH,25948.03,25948.03,2854.28,25948.03,37
CPT,37193,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",25948.03,25948.03,948.0,25655.0,239
CPT,37195,"Thrombolysis, cerebral, by intravenous infusion ",,,333.47,4250.0,192
CPT,37197,TRANSCATH RTRV FB S&I,21215.65,21215.65,2333.72,21215.65,37
CPT,37197,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",21215.65,21215.65,948.0,12499.0,271
CPT,37200,BX TRANSCATH,3530.67,3530.67,388.37,3530.67,37
CPT,37200,Transcatheter biopsy ,3530.67,3530.67,948.0,21630.0,263
CPT,37200,Transcatheter biopsy Age 21+,3530.67,3530.67,2133.07,2133.07,4
CPT,37200,Transcatheter biopsy Age Under 21,3530.67,3530.67,2171.85,2171.85,4
CPT,37201,TRANSCATHETER THERAPY INFUSE ,,,2152.0,6587.0,34
CPT,37202,TRANSCATHETER THERAPY INFUSE ,,,2152.0,2235.0,24
CPT,37203,TRANSCATHETER RETRIEVAL ,,,2152.0,2235.0,24
CPT,37204,TRANSCATHETER OCCLUSION ,,,2152.0,2235.0,24
CPT,37205,TRANSCATH IV STENT PERCUT ,,,2152.0,8300.0,25
CPT,37206,TRANSCATH IV STENT/PERC ADDL ,,,2152.0,2235.0,24
CPT,37207,TRANSCATH IV STENT OPEN ,,,2152.0,2235.0,24
CPT,37208,TRANSCATH IV STENT/OPEN ADDL ,,,2152.0,2235.0,24
CPT,37209,CHANGE IV CATH AT THROMB TX ,,,2152.0,6587.0,34
CPT,37210,EMBOLIZATION UTERINE FIBROID ,,,2152.0,6587.0,34
CPT,37211,TRNSCTH TX ART INI DAYLT,8840.86,8840.86,972.49,8840.86,37
CPT,37211,TRNSCTH TX ART INI DAYRT,8840.86,8840.86,972.49,8840.86,37
CPT,37211,TRNSCTH TX ART INI DY BI,13261.27,13261.27,1458.74,13261.27,37
CPT,37211,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,2214.0,12897.0,239
CPT,37211,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day Age 21+",,,2785.49,2785.49,4
CPT,37211,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day Age Under 21",,,2836.13,2836.13,4
CPT,37212,TRNSCTH TX VEN INI DAYLT,8840.86,8840.86,972.49,8840.86,37
CPT,37212,TRNSCTH TX VEN INI DAYRT,8840.86,8840.86,972.49,8840.86,37
CPT,37212,TRNSCTH TX VN INI DAY BI,13261.27,13261.27,1458.74,13261.27,37
CPT,37212,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1496.15,12897.0,239
CPT,37212,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day Age 21+",,,1670.82,1670.82,4
CPT,37212,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day Age Under 21",,,1701.2,1701.2,4
CPT,37213,TRNSCTH TX ART/VEN SUB,14897.83,14897.83,1638.76,14897.83,37
CPT,37213,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",14897.83,14897.83,2012.0,12897.0,212
CPT,37214,TRNSCTH TX ART/VEN FINAL,14897.83,14897.83,1638.76,14897.83,37
CPT,37214,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",14897.83,14897.83,2012.0,12897.0,212
CPT,37215,CAROTD ART STNT W/DEP BI,65794.94,65794.94,7237.44,65794.94,43
CPT,37215,CAROTD ART STNT W/DEP LT,43863.29,43863.29,4824.96,43863.29,43
CPT,37215,CAROTD ART STNT W/DEP RT,43863.29,43863.29,4824.96,43863.29,43
CPT,37215,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,2369.0,100082.0,181
CPT,37216,CAROTID ART STENT WO DEP,43863.29,43863.29,4824.96,43863.29,43
CPT,37216,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",43863.29,43863.29,2369.0,100082.0,181
CPT,37217,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1995.0,43890.0,233
CPT,37218,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1995.0,43890.0,223
CPT,37220,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,2302.12,9417.0,50
CPT,37220,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty Age 21+",,,2570.9,2570.9,4
CPT,37220,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty Age Under 21",,,2617.64,2617.64,4
CPT,37221,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,2369.0,10763.0,50
CPT,37221,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed Age 2",,,5607.12,5607.12,4
CPT,37221,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed Age U",,,5709.07,5709.07,4
CPT,37222,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,2369.0,9417.0,23
CPT,37223,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,2369.0,9417.0,23
CPT,37224,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,2369.0,9417.0,50
CPT,37224,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty Age 21+",,,2764.28,2764.28,4
CPT,37224,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty Age Under 21",,,2814.54,2814.54,4
CPT,37225,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,2369.0,10763.0,50
CPT,37225,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed Age 21+",,,6072.73,6072.73,4
CPT,37225,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed Age Under 21",,,6183.14,6183.14,4
CPT,37226,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,2369.0,10763.0,50
CPT,37226,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed Age 2",,,5871.9,5871.9,4
CPT,37226,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed Age U",,,5978.66,5978.66,4
CPT,37227,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,2369.0,13453.0,58
CPT,37228,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,2369.0,9417.0,50
CPT,37228,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty Age 21+",,,5226.01,5226.01,4
CPT,37228,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty Age Under 21",,,5321.03,5321.03,4
CPT,37229,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,2369.0,10772.96,50
CPT,37229,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed Age 21+",,,9480.21,9480.21,4
CPT,37229,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed Age Under 21",,,9652.57,9652.57,4
CPT,37230,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,2369.0,10763.0,58
CPT,37231,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,2369.0,13453.0,58
CPT,37232,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,2369.0,9417.0,23
CPT,37233,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,2369.0,10763.0,23
CPT,37234,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,2369.0,9417.0,23
CPT,37235,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,2369.0,9417.0,23
CPT,37236,TRANSCTH STNT PLC IA BI,76486.27,76486.27,8413.49,76486.27,37
CPT,37236,TRANSCTH STNT PLC IA LT,50990.84,50990.84,5608.99,50990.84,37
CPT,37236,TRANSCTH STNT PLC IA RT,50990.84,50990.84,5608.99,50990.84,37
CPT,37236,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,1995.0,100082.0,229
CPT,37237,TRANSCTH STNT PLC AD BI,48375.76,48375.76,5321.33,48375.76,55
CPT,37237,TRANSCTH STNT PLC AD LT,32250.51,32250.51,3547.56,32250.51,55
CPT,37237,TRANSCTH STNT PLC AD RT,32250.51,32250.51,3547.56,32250.51,55
CPT,37237,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,1995.0,100082.0,87
CPT,37238,TRNSCTH STN PLC IN VN BI,75302.31,75302.31,8283.25,75302.31,37
CPT,37238,TRNSCTH STN PLC IN VN LT,50201.54,50201.54,5522.17,50201.54,37
CPT,37238,TRNSCTH STN PLC IN VN RT,50201.54,50201.54,5522.17,50201.54,37
CPT,37238,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1995.0,100082.0,229
CPT,37239,TRNSCTH STN PLC EA VN BI,48375.76,48375.76,5321.33,48375.76,55
CPT,37239,TRNSCTH STN PLC EA VN LT,32250.51,32250.51,3547.56,32250.51,55
CPT,37239,TRNSCTH STN PLC EA VN RT,32250.51,32250.51,3547.56,32250.51,55
CPT,37239,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,1995.0,100082.0,97
CPT,37241,VASC EMBOLIZ VENOUS,64359.53,64359.53,7079.55,64359.53,37
CPT,37241,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",64359.53,64359.53,1995.0,28151.19,259
CPT,37242,VASC EMBOLIZ ARTERIAL,64359.53,64359.53,7079.55,64359.53,37
CPT,37242,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",64359.53,64359.53,1995.0,27743.74,259
CPT,37243,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1995.0,27743.74,259
CPT,37244,VASC EMBOL ART VEN HEM,64359.53,64359.53,7079.55,64359.53,37
CPT,37244,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",64359.53,64359.53,1995.0,27743.74,224
CPT,37246,TRANS ANGIO SAME ART INT,41012.94,41012.94,4511.42,41012.94,37
CPT,37246,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",41012.94,41012.94,1995.0,25655.0,229
CPT,37247,TRANS ANGIO SAME ART EAD,15422.89,15422.89,1696.52,15422.89,55
CPT,37247,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",15422.89,15422.89,1481.0,14397.0,97
CPT,37248,TRANS BAL ANGIO EA IN BI,61519.41,61519.41,6767.14,61519.41,37
CPT,37248,TRANS BAL ANGIO EA IN LT,41012.94,41012.94,4511.42,41012.94,37
CPT,37248,TRANS BAL ANGIO EA IN RT,41012.94,41012.94,4511.42,41012.94,37
CPT,37248,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1738.42,25655.0,229
CPT,37249,TRANS BAL ANGIO EA AD BI,23134.33,23134.33,2544.78,23134.33,55
CPT,37249,TRANS BAL ANGIO EA AD LT,15422.89,15422.89,1696.52,15422.89,55
CPT,37249,TRANS BAL ANGIO EA AD RT,15422.89,15422.89,1696.52,15422.89,55
CPT,37249,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1481.0,14397.0,97
CPT,37250,IV US FIRST VESSEL ADD-ON ,,,2152.0,6587.0,39
CPT,37251,IV US EACH ADD VESSEL ADD-ON ,,,2152.0,6587.0,39
CPT,37252,INTVSC US NONCORN INIT,5586.47,5586.47,614.51,5586.47,55
CPT,37252,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",5586.47,5586.47,1481.0,5932.0,127
CPT,37253,INTVSC US NONCORN EADD,2794.07,2794.07,307.35,2794.07,55
CPT,37253,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",2794.07,2794.07,1481.0,5932.0,127
CPT,37254,RVSC IVT ANG SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CPT,37254,RVSC IVT ANG SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CPT,37254,RVSC IVT ANG SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CPT,37254,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,948.0,100082.0,108
CPT,37255,RVSC IVT ANG SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CPT,37255,RVSC IVT ANG SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CPT,37255,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,948.0,100082.0,60
CPT,37256,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,948.0,100082.0,108
CPT,37257,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,948.0,100082.0,60
CPT,37258,RVSC IVT STN SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CPT,37258,RVSC IVT STN SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CPT,37258,RVSC IVT STN SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CPT,37258,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,948.0,100082.0,108
CPT,37259,RVSC IVT STNT SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CPT,37259,RVSC IVT STNT SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CPT,37259,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,948.0,100082.0,60
CPT,37260,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,948.0,100082.0,108
CPT,37261,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,948.0,100082.0,60
CPT,37262,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,948.0,100082.0,60
CPT,37263,RVSC FPVT ANG SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CPT,37263,RVSC FPVT ANG SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CPT,37263,RVSC FPVT ANG SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CPT,37263,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,948.0,100082.0,108
CPT,37264,RVSC  FPVT ANG SFL EA LT,34686.99,34686.99,3815.57,34686.99,57
CPT,37264,RVSC  FPVT ANG SFL EA RT,34686.99,34686.99,3815.57,34686.99,57
CPT,37264,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,948.0,100082.0,60
CPT,37265,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,948.0,100082.0,108
CPT,37266,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,948.0,100082.0,60
CPT,37267,RVSC FPVT STN SFL IN BI,164863.2,164863.2,18134.95,164863.2,51
CPT,37267,RVSC FPVT STN SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CPT,37267,RVSC FPVT STN SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CPT,37267,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,948.0,100082.0,108
CPT,37268,RVSC FPVT STN SFL EA LT,73638.9,73638.9,8100.28,73638.9,57
CPT,37268,RVSC FPVT STN SFL EA RT,73638.9,73638.9,8100.28,73638.9,57
CPT,37268,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,948.0,100082.0,60
CPT,37269,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,948.0,100082.0,108
CPT,37270,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,948.0,100082.0,60
CPT,37271,RVSC FPVT ATH SFL IN BI,164863.2,164863.2,18134.95,164863.2,51
CPT,37271,RVSC FPVT ATH SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CPT,37271,RVSC FPVT ATH SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CPT,37271,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,948.0,100082.0,108
CPT,37272,RVSC FPVT ATH SFL EA LT,73638.9,73638.9,8100.28,73638.9,57
CPT,37272,RVSC FPVT ATH SFL EA RT,73638.9,73638.9,8100.28,73638.9,57
CPT,37272,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,948.0,100082.0,60
CPT,37273,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,948.0,100082.0,108
CPT,37274,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,948.0,100082.0,60
CPT,37275,RV FPVT ST/ATH SFL IN BI,164863.2,164863.2,18134.95,164863.2,51
CPT,37275,RV FPVT ST/ATH SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CPT,37275,RV FPVT ST/ATH SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CPT,37275,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,948.0,100082.0,108
CPT,37276,RV FPVT ST/ATH SFL EA LT,73638.9,73638.9,8100.28,73638.9,57
CPT,37276,RV FPVT ST/ATH SFL EA RT,73638.9,73638.9,8100.28,73638.9,57
CPT,37276,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,948.0,100082.0,60
CPT,37277,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,948.0,100082.0,108
CPT,37278,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,948.0,100082.0,60
CPT,37279,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,948.0,100082.0,60
CPT,37280,RVSC TPVT ANG SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CPT,37280,RVSC TPVT ANG SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CPT,37280,RVSC TPVT ANG SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CPT,37280,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,948.0,100082.0,108
CPT,37281,RVSC TPVT ANG SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CPT,37281,RVSC TPVT ANG SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CPT,37281,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,948.0,100082.0,60
CPT,37282,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,948.0,100082.0,108
CPT,37283,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,948.0,100082.0,60
CPT,37284,RVSC TPVT STNT SFL IN BL,164863.2,164863.2,18134.95,164863.2,51
CPT,37284,RVSC TPVT STNT SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CPT,37284,RVSC TPVT STNT SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CPT,37284,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,948.0,100082.0,108
CPT,37285,RVSC TPVT STNT SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CPT,37285,RVSC TPVT STNT SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CPT,37285,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,948.0,100082.0,60
CPT,37286,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,948.0,100082.0,108
CPT,37287,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,948.0,100082.0,60
CPT,37288,RVSC TPVT ATH SFL IN BI,164863.2,164863.2,18134.95,164863.2,51
CPT,37288,RVSC TPVT ATH SFL IN LT,109908.8,109908.8,12089.97,109908.8,51
CPT,37288,RVSC TPVT ATH SFL IN RT,109908.8,109908.8,12089.97,109908.8,51
CPT,37288,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,948.0,100082.0,108
CPT,37289,RVSC TPVT ATH SFL EA LT,109908.8,109908.8,12089.97,109908.8,57
CPT,37289,RVSC TPVT ATH SFL EA RT,109908.8,109908.8,12089.97,109908.8,57
CPT,37289,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,948.0,100082.0,60
CPT,37290,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,948.0,100082.0,108
CPT,37291,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,948.0,100082.0,60
CPT,37292,RV TPVT ST/ATH SFL IN BI,114209.02,114209.02,12562.99,114209.02,51
CPT,37292,RV TPVT ST/ATH SFL IN LT,76139.34,76139.34,8375.33,76139.34,51
CPT,37292,RV TPVT ST/ATH SFL IN RT,76139.34,76139.34,8375.33,76139.34,51
CPT,37292,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,948.0,100082.0,108
CPT,37293,RV TPVT ST/ATH SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CPT,37293,RV TPVT ST/ATH SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CPT,37293,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,948.0,100082.0,60
CPT,37294,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,948.0,100082.0,108
CPT,37295,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,948.0,100082.0,60
CPT,37296,RVSC IMVT ANG SFL IN BI,77657.43,77657.43,8542.32,77657.43,51
CPT,37296,RVSC IMVT ANG SFL IN LT,51771.62,51771.62,5694.88,51771.62,51
CPT,37296,RVSC IMVT ANG SFL IN RT,51771.62,51771.62,5694.88,51771.62,51
CPT,37296,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,948.0,100082.0,108
CPT,37297,RVSC IMVT ANG SFL EA LT,51771.62,51771.62,5694.88,51771.62,57
CPT,37297,RVSC IMVT ANG SFL EA RT,51771.62,51771.62,5694.88,51771.62,57
CPT,37297,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,948.0,100082.0,60
CPT,37298,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,948.0,100082.0,108
CPT,37299,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,948.0,100082.0,60
CPT,37500,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,1910.06,7168.0,74
CPT,37500,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) Age 21+",,,2133.07,2133.07,4
CPT,37500,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) Age Under 21",,,2171.85,2171.85,4
CPT,37501,Unlisted vascular endoscopy procedure ,,,633.31,25655.0,195
CPT,37565,"Ligation, internal jugular vein ",,,948.0,25655.0,195
CPT,37600,Ligation; external carotid artery ,,,948.0,25655.0,195
CPT,37605,Ligation; internal or common carotid artery ,,,948.0,25655.0,195
CPT,37606,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,948.0,25655.0,195
CPT,37607,Ligation or banding of angioaccess arteriovenous fistula ,,,948.0,12360.0,266
CPT,37607,Ligation or banding of angioaccess arteriovenous fistula Age 21+,,,1230.04,1230.04,4
CPT,37607,Ligation or banding of angioaccess arteriovenous fistula Age Under 21,,,1252.41,1252.41,4
CPT,37609,"Ligation or biopsy, temporal artery ",,,479.15,6680.0,266
CPT,37609,"Ligation or biopsy, temporal artery Age 21+",,,535.1,535.1,4
CPT,37609,"Ligation or biopsy, temporal artery Age Under 21",,,544.82,544.82,4
CPT,37615,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,948.0,25655.0,195
CPT,37616,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,948.0,25655.0,194
CPT,37617,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,948.0,30178.83,194
CPT,37618,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,948.0,25655.0,194
CPT,37619,Ligation of inferior vena cava ,,,948.0,25655.0,239
CPT,37620,REVISION OF MAJOR VEIN ,,,2152.0,6587.0,34
CPT,37650,Ligation of femoral vein ,,,948.0,12360.0,266
CPT,37650,Ligation of femoral vein Age 21+,,,1230.04,1230.04,4
CPT,37650,Ligation of femoral vein Age Under 21,,,1252.41,1252.41,4
CPT,37660,Ligation of common iliac vein ,,,948.0,29580.54,194
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,1101.45,12360.0,251
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Age 21+",,,1230.04,1230.04,4
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Age Under 21",,,1252.41,1252.41,4
CPT,37718,"Ligation, division, and stripping, short saphenous vein ",,,1101.45,12360.0,251
CPT,37718,"Ligation, division, and stripping, short saphenous vein Age 21+",,,1230.04,1230.04,4
CPT,37718,"Ligation, division, and stripping, short saphenous vein Age Under 21",,,1252.41,1252.41,4
CPT,37720,REMOVAL OF LEG VEIN ,,,2152.0,6587.0,39
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1101.45,12360.0,251
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Age 21+",,,1230.04,1230.04,4
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Age Under 21",,,1252.41,1252.41,4
CPT,37730,REMOVAL OF LEG VEINS ,,,2152.0,6587.0,39
CPT,37735,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1101.45,12360.0,259
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1101.45,12360.0,251
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg Age 21+",,,1230.04,1230.04,4
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg Age Under 21",,,1252.41,1252.41,4
CPT,37761,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,948.0,9908.0,266
CPT,37761,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Age 21+",,,1230.04,1230.04,4
CPT,37761,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Age Under 21",,,1252.41,1252.41,4
CPT,37765,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,191.98,12360.0,266
CPT,37765,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions Age 21+",,,214.39,214.39,4
CPT,37765,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions Age Under 21",,,218.29,218.29,4
CPT,37766,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,209.71,12360.0,266
CPT,37766,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions Age 21+",,,234.19,234.19,4
CPT,37766,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions Age Under 21",,,238.45,238.45,4
CPT,37780,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,948.0,9908.0,266
CPT,37780,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Age 21+,,,1230.04,1230.04,4
CPT,37780,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Age Under 21,,,1252.41,1252.41,4
CPT,37785,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,948.0,12360.0,266
CPT,37785,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age 21+",,,1230.04,1230.04,4
CPT,37785,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age Under 21",,,1252.41,1252.41,4
CPT,37788,"Penile revascularization, artery, with or without vein graft ",,,948.0,28422.76,194
CPT,37790,Penile venous occlusive procedure ,,,948.0,12360.0,239
CPT,37799,UL PROC VASC SURG,14336.98,14336.98,1577.07,14336.98,37
CPT,37799,"Unlisted procedure, vascular surgery ",14336.98,14336.98,633.31,25655.0,239
CPT,38100,Splenectomy; total (separate procedure) ,,,948.0,25990.8,194
CPT,38101,Splenectomy; partial (separate procedure) ,,,948.0,26060.65,194
CPT,38102,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,38115,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,948.0,28780.23,194
CPT,38120,"Laparoscopy, surgical, splenectomy ",,,1995.0,23556.71,184
CPT,38129,"Unlisted laparoscopy procedure, spleen ",,,1995.0,25655.0,184
CPT,38200,Injection procedure for splenoportography ,,,948.0,5932.0,142
CPT,38204,MGMT RCPT SRCH & ACQSTN,6481.79,6481.79,261.81,9223.39,284
CPT,38204,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,948.0,6587.0,66
CPT,38205,BLD/STEM HARVEST ALLOGEN,7259.16,7259.16,508.14,7259.16,71
CPT,38205,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",7259.16,7259.16,948.0,25655.0,194
CPT,38206,BLD/STEM HARVEST AUTOLOG,22039.04,22039.04,1542.73,22039.04,60
CPT,38206,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",22039.04,22039.04,556.15,25655.0,222
CPT,38206,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous Age 21+",22039.04,22039.04,621.08,621.08,4
CPT,38206,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous Age Under 21",22039.04,22039.04,632.37,632.37,4
CPT,38207,ALLO CRYO PRES/STOR THER,2114.2349999999997,2114.2349999999997,99.89,2801.43,130
CPT,38207,AUTO CRYO PRES/STOR THER,2874.21,2874.21,201.19,2874.21,60
CPT,38207,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,445.4,3092.0,195
CPT,38208,AUTO THAW CELLS THER,3042.99,3042.99,213.01,3042.99,60
CPT,38208,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",3042.99,3042.99,445.4,3092.0,195
CPT,38209,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",2979.91,2979.91,445.4,3092.0,195
CPT,38209,WASH OF HARVEST,2979.91,2979.91,208.59,2979.91,60
CPT,38210,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,445.4,3293.0,195
CPT,38211,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,445.4,3293.0,195
CPT,38212,RBC REMOVE,4219.26,4219.26,295.35,4219.26,60
CPT,38212,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,4219.26,4219.26,445.4,3293.0,195
CPT,38213,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,445.4,3293.0,195
CPT,38214,AUTO PLASMA VOL DEP,4219.26,4219.26,295.35,4219.26,60
CPT,38214,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,4219.26,4219.26,445.4,3293.0,195
CPT,38215,CELL CONCEN PLASMA,5098.91,5098.91,356.92,5098.91,60
CPT,38215,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",5098.91,5098.91,445.4,3293.0,195
CPT,38220,Diagnostic bone marrow; aspiration(s) ,,,91.35,5932.0,266
CPT,38220,Diagnostic bone marrow; aspiration(s) Age 21+,,,102.01,102.01,4
CPT,38220,Diagnostic bone marrow; aspiration(s) Age Under 21,,,103.87,103.87,4
CPT,38221,Diagnostic bone marrow; biopsy(ies) ,,,94.35,5932.0,266
CPT,38221,Diagnostic bone marrow; biopsy(ies) Age 21+,,,105.37,105.37,4
CPT,38221,Diagnostic bone marrow; biopsy(ies) Age Under 21,,,107.28,107.28,4
CPT,38222,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,802.97,6587.0,266
CPT,38222,Diagnostic bone marrow; biopsy(ies) and aspiration(s) Age 21+,,,896.72,896.72,4
CPT,38222,Diagnostic bone marrow; biopsy(ies) and aspiration(s) Age Under 21,,,913.02,913.02,4
CPT,38225,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,270.24,12875.0,72
CPT,38225,T-CELL CAR-T HRVST PRDAY,15146.27,15146.27,1060.24,15146.27,130
CPT,38226,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",7897.19,7897.19,109.04,12875.0,72
CPT,38226,T-CELL CAR-T PREP TRANSP,7897.19,7897.19,552.8,7897.19,65
CPT,38227,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,167887.71,167887.71,109.97,12875.0,72
CPT,38227,T-CELL CAR-T RECPT PREP,167887.71,167887.71,11752.14,167887.71,65
CPT,38228,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,333.47,6587.0,73
CPT,38228,T-CELL CAR-T ADMN INF,22945.42,22945.42,1606.18,22945.42,118
CPT,38230,Bone marrow harvesting for transplantation; allogeneic ,,,556.15,25655.0,266
CPT,38230,Bone marrow harvesting for transplantation; allogeneic Age 21+,,,621.08,621.08,4
CPT,38230,Bone marrow harvesting for transplantation; allogeneic Age Under 21,,,632.37,632.37,4
CPT,38231,Stem cell collection ,,,2152.0,6587.0,34
CPT,38232,Bone marrow harvesting for transplantation; autologous ,,,948.0,17510.0,266
CPT,38232,Bone marrow harvesting for transplantation; autologous Age 21+,,,1841.57,1841.57,4
CPT,38232,Bone marrow harvesting for transplantation; autologous Age Under 21,,,1875.05,1875.05,4
CPT,38240,HPC ALLO TRANSP PER DNR,19352.34,19352.34,1354.66,19352.34,59
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,19352.34,19352.34,948.0,104820.46,239
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Other Phases,19352.34,19352.34,63187.75,63187.75,1
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Phase 3,19352.34,19352.34,173766.31,173766.31,1
CPT,38241,HPC AUTO TRANSP PER DNR,30116.16,30116.16,2108.13,30116.16,55
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation ,30116.16,30116.16,556.15,124656.0,267
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Adult,30116.16,30116.16,131250.0,131250.0,1
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Age 21+,30116.16,30116.16,621.08,621.08,4
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Age Under 21,30116.16,30116.16,632.37,632.37,4
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Other Phases,30116.16,30116.16,1564.52,1564.52,1
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,30116.16,30116.16,133560.0,141750.0,2
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Phase 3,30116.16,30116.16,7040.36,7040.36,1
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Tandem Auto Auto Auto,30116.16,30116.16,222600.0,289380.0,2
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Tandem Autologous Autologous,30116.16,30116.16,166950.0,166950.0,1
CPT,38242,ALLO LYMPHOCYTE INFUS,11135.44,11135.44,1224.9,11135.44,33
CPT,38242,Allogeneic lymphocyte infusions ,11135.44,11135.44,556.15,25655.0,222
CPT,38242,Allogeneic lymphocyte infusions Age 21+,11135.44,11135.44,621.08,621.08,4
CPT,38242,Allogeneic lymphocyte infusions Age Under 21,11135.44,11135.44,632.37,632.37,4
CPT,38243,Hematopoietic progenitor cell (HPC); HPC boost ,,,556.15,5932.0,266
CPT,38243,Hematopoietic progenitor cell (HPC); HPC boost Age 21+,,,621.08,621.08,4
CPT,38243,Hematopoietic progenitor cell (HPC); HPC boost Age Under 21,,,632.37,632.37,4
CPT,38300,Drainage of lymph node abscess or lymphadenitis; simple ,,,802.97,6492.89,266
CPT,38300,Drainage of lymph node abscess or lymphadenitis; simple Age 21+,,,896.72,896.72,4
CPT,38300,Drainage of lymph node abscess or lymphadenitis; simple Age Under 21,,,913.02,913.02,4
CPT,38305,Drainage of lymph node abscess or lymphadenitis; extensive ,,,802.97,8858.0,266
CPT,38305,Drainage of lymph node abscess or lymphadenitis; extensive Age 21+,,,896.72,896.72,4
CPT,38305,Drainage of lymph node abscess or lymphadenitis; extensive Age Under 21,,,913.02,913.02,4
CPT,38308,Lymphangiotomy or other operations on lymphatic channels ,,,948.0,8858.0,266
CPT,38308,Lymphangiotomy or other operations on lymphatic channels Age 21+,,,1060.03,1060.03,4
CPT,38308,Lymphangiotomy or other operations on lymphatic channels Age Under 21,,,1079.3,1079.3,4
CPT,38380,Suture and/or ligation of thoracic duct; cervical approach ,,,948.0,25655.0,194
CPT,38381,Suture and/or ligation of thoracic duct; thoracic approach ,,,948.0,25655.0,194
CPT,38382,Suture and/or ligation of thoracic duct; abdominal approach ,,,948.0,25655.0,194
CPT,38500,"Biopsy or excision of lymph node(s); open, superficial ",,,948.0,8858.0,266
CPT,38500,"Biopsy or excision of lymph node(s); open, superficial Age 21+",,,1060.03,1060.03,4
CPT,38500,"Biopsy or excision of lymph node(s); open, superficial Age Under 21",,,1079.3,1079.3,4
CPT,38505,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,479.15,5932.0,266
CPT,38505,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) Age 21+",,,535.1,535.1,4
CPT,38505,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) Age Under 21",,,544.82,544.82,4
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,949.21,8858.0,251
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Age 21+",,,1060.03,1060.03,4
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Age Under 21",,,1079.3,1079.3,4
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,949.21,8858.0,251
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Age 21+",,,1060.03,1060.03,4
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Age Under 21",,,1079.3,1079.3,4
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,949.21,8858.0,251
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Age 21+",,,1060.03,1060.03,4
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Age Under 21",,,1079.3,1079.3,4
CPT,38530,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,948.0,8858.0,266
CPT,38530,"Biopsy or excision of lymph node(s); open, internal mammary node(s) Age 21+",,,1060.03,1060.03,4
CPT,38530,"Biopsy or excision of lymph node(s); open, internal mammary node(s) Age Under 21",,,1079.3,1079.3,4
CPT,38531,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,948.0,25655.0,239
CPT,38542,"Dissection, deep jugular node(s) ",,,948.0,21630.0,266
CPT,38542,"Dissection, deep jugular node(s) Age 21+",,,2077.74,2077.74,4
CPT,38542,"Dissection, deep jugular node(s) Age Under 21",,,2115.51,2115.51,4
CPT,38550,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,948.0,9908.0,266
CPT,38550,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Age 21+",,,1060.03,1060.03,4
CPT,38550,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Age Under 21",,,1079.3,1079.3,4
CPT,38555,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,948.0,19415.0,266
CPT,38555,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Age 21+",,,2029.73,2029.73,4
CPT,38555,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Age Under 21",,,2066.64,2066.64,4
CPT,38562,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,948.0,25655.0,194
CPT,38564,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,948.0,25655.0,194
CPT,38570,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1860.52,21630.0,211
CPT,38570,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age 21+",,,2077.74,2077.74,4
CPT,38570,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21",,,2115.51,2115.51,4
CPT,38571,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,1995.0,23556.71,211
CPT,38571,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age 21+",,,3421.01,3421.01,4
CPT,38571,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21",,,3483.21,3483.21,4
CPT,38572,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,1995.0,23556.71,211
CPT,38572,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Age 21+",,,3421.01,3421.01,4
CPT,38572,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Age Under 21",,,3483.21,3483.21,4
CPT,38573,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,1995.0,25655.0,219
CPT,38589,"Unlisted laparoscopy procedure, lymphatic system ",,,1995.0,25655.0,184
CPT,38700,Suprahyoid lymphadenectomy ,,,948.0,14664.41,266
CPT,38700,Suprahyoid lymphadenectomy Age 21+,,,2029.73,2029.73,4
CPT,38700,Suprahyoid lymphadenectomy Age Under 21,,,2066.64,2066.64,4
CPT,38720,Cervical lymphadenectomy (complete) ,,,948.0,25655.0,239
CPT,38724,Cervical lymphadenectomy (modified radical neck dissection) ,,,948.0,32377.73,238
CPT,38740,Axillary lymphadenectomy; superficial ,,,948.0,21630.0,266
CPT,38740,Axillary lymphadenectomy; superficial Age 21+,,,2077.74,2077.74,4
CPT,38740,Axillary lymphadenectomy; superficial Age Under 21,,,2115.51,2115.51,4
CPT,38745,Axillary lymphadenectomy; complete ,,,948.0,21630.0,266
CPT,38745,Axillary lymphadenectomy; complete Age 21+,,,2077.74,2077.74,4
CPT,38745,Axillary lymphadenectomy; complete Age Under 21,,,2115.51,2115.51,4
CPT,38746,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,38747,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,38760,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,948.0,14664.41,266
CPT,38760,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Age 21+",,,2029.73,2029.73,4
CPT,38760,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Age Under 21",,,2066.64,2066.64,4
CPT,38765,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,948.0,29238.59,194
CPT,38770,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,948.0,25655.0,194
CPT,38780,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,948.0,25655.0,194
CPT,38790,INJ LYMPHANGIOGRAM BI,4421.29,4421.29,486.34,4421.29,55
CPT,38790,INJ LYMPHANGIOGRAM LT,2947.52,2947.52,324.23,2947.52,55
CPT,38790,INJ LYMPHANGIOGRAM RT,2947.52,2947.52,324.23,2947.52,55
CPT,38790,Injection procedure; lymphangiography ,,,948.0,5932.0,142
CPT,38792,Injection procedure; radioactive tracer for identification of sentinel node ,,,403.6,5932.0,239
CPT,38794,"Cannulation, thoracic duct ",,,948.0,2636.0,98
CPT,38900,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,38999,"Unlisted procedure, hemic or lymphatic system ",,,445.4,25655.0,239
CPT,39000,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,948.0,25655.0,194
CPT,39010,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,948.0,25655.0,194
CPT,39200,Resection of mediastinal cyst ,,,948.0,25655.0,194
CPT,39220,Resection of mediastinal tumor ,,,948.0,25655.0,194
CPT,39400,MEDIASTINOSCOPY INCL BIOPSY ,,,2152.0,6587.0,34
CPT,39401,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,948.0,25655.0,239
CPT,39402,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,948.0,25655.0,239
CPT,39499,"Unlisted procedure, mediastinum ",,,948.0,25655.0,194
CPT,39501,"Repair, laceration of diaphragm, any approach ",,,948.0,25655.0,194
CPT,39502,REPAIR PARAESOPHAGEAL HERNIA ,,,2152.0,6587.0,34
CPT,39503,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,948.0,135035.45,194
CPT,39520,REPAIR OF DIAPHRAGM HERNIA ,,,2152.0,6587.0,34
CPT,39530,REPAIR OF DIAPHRAGM HERNIA ,,,2152.0,6587.0,34
CPT,39531,REPAIR OF DIAPHRAGM HERNIA ,,,2152.0,6587.0,34
CPT,39540,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,948.0,25655.0,194
CPT,39541,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,948.0,25655.0,194
CPT,39545,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,948.0,25655.0,194
CPT,39560,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,948.0,25655.0,194
CPT,39561,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,948.0,27917.61,194
CPT,39599,"Unlisted procedure, diaphragm ",,,948.0,25655.0,194
CPT,40490,Biopsy of lip ,,,63.27,2636.0,222
CPT,40490,Biopsy of lip Age 21+,,,70.65,70.65,4
CPT,40490,Biopsy of lip Age Under 21,,,71.94,71.94,4
CPT,40500,"Vermilionectomy (lip shave), with mucosal advancement ",,,873.32,7334.01,266
CPT,40500,"Vermilionectomy (lip shave), with mucosal advancement Age 21+",,,975.28,975.28,4
CPT,40500,"Vermilionectomy (lip shave), with mucosal advancement Age Under 21",,,993.01,993.01,4
CPT,40510,Excision of lip; transverse wedge excision with primary closure ,,,873.32,8858.0,266
CPT,40510,Excision of lip; transverse wedge excision with primary closure Age 21+,,,975.28,975.28,4
CPT,40510,Excision of lip; transverse wedge excision with primary closure Age Under 21,,,993.01,993.01,4
CPT,40520,Excision of lip; V-excision with primary direct linear closure ,,,873.32,7334.01,266
CPT,40520,Excision of lip; V-excision with primary direct linear closure Age 21+,,,975.28,975.28,4
CPT,40520,Excision of lip; V-excision with primary direct linear closure Age Under 21,,,993.01,993.01,4
CPT,40525,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,873.32,8858.0,266
CPT,40525,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Age 21+",,,975.28,975.28,4
CPT,40525,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Age Under 21",,,993.01,993.01,4
CPT,40527,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,948.0,13581.48,266
CPT,40527,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Age 21+",,,2149.64,2149.64,4
CPT,40527,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Age Under 21",,,2188.73,2188.73,4
CPT,40530,"Resection of lip, more than one-fourth, without reconstruction ",,,873.32,8858.0,266
CPT,40530,"Resection of lip, more than one-fourth, without reconstruction Age 21+",,,975.28,975.28,4
CPT,40530,"Resection of lip, more than one-fourth, without reconstruction Age Under 21",,,993.01,993.01,4
CPT,40650,"Repair lip, full thickness; vermilion only ",,,184.41,9908.0,266
CPT,40650,"Repair lip, full thickness; vermilion only Age 21+",,,205.94,205.94,4
CPT,40650,"Repair lip, full thickness; vermilion only Age Under 21",,,209.69,209.69,4
CPT,40652,"Repair lip, full thickness; up to half vertical height ",,,184.41,9908.0,266
CPT,40652,"Repair lip, full thickness; up to half vertical height Age 21+",,,205.94,205.94,4
CPT,40652,"Repair lip, full thickness; up to half vertical height Age Under 21",,,209.69,209.69,4
CPT,40654,"Repair lip, full thickness; over one-half vertical height, or complex ",,,414.33,9908.0,266
CPT,40654,"Repair lip, full thickness; over one-half vertical height, or complex Age 21+",,,462.7,462.7,4
CPT,40654,"Repair lip, full thickness; over one-half vertical height, or complex Age Under 21",,,471.12,471.12,4
CPT,40700,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,948.0,23113.0,266
CPT,40700,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Age 21+",,,2149.64,2149.64,4
CPT,40700,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Age Under 21",,,2188.73,2188.73,4
CPT,40701,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,948.0,23113.0,266
CPT,40701,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Age 21+",,,2149.64,2149.64,4
CPT,40701,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Age Under 21",,,2188.73,2188.73,4
CPT,40702,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,948.0,25655.0,266
CPT,40702,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Age 21+",,,2149.64,2149.64,4
CPT,40702,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Age Under 21",,,2188.73,2188.73,4
CPT,40720,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,873.32,23113.0,266
CPT,40720,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Age 21+",,,975.28,975.28,4
CPT,40720,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Age Under 21",,,993.01,993.01,4
CPT,40761,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,948.0,17510.0,266
CPT,40761,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle Age 21+",,,2149.64,2149.64,4
CPT,40761,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle Age Under 21",,,2188.73,2188.73,4
CPT,40799,"Unlisted procedure, lips ",,,239.12,25655.0,195
CPT,40800,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,129.8,2636.0,222
CPT,40800,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple Age 21+",,,144.96,144.96,4
CPT,40800,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple Age Under 21",,,147.59,147.59,4
CPT,40801,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,184.41,6680.0,266
CPT,40801,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated Age 21+",,,205.94,205.94,4
CPT,40801,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated Age Under 21",,,209.69,209.69,4
CPT,40804,"Removal of embedded foreign body, vestibule of mouth; simple ",,,915.67,5047.0,195
CPT,40805,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,148.35,6680.0,266
CPT,40805,"Removal of embedded foreign body, vestibule of mouth; complicated Age 21+",,,165.67,165.67,4
CPT,40805,"Removal of embedded foreign body, vestibule of mouth; complicated Age Under 21",,,168.68,168.68,4
CPT,40806,Incision of labial frenum (frenotomy) ,,,71.72,5932.0,266
CPT,40806,Incision of labial frenum (frenotomy) Age 21+,,,80.09,80.09,4
CPT,40806,Incision of labial frenum (frenotomy) Age Under 21,,,81.55,81.55,4
CPT,40808,"Biopsy, vestibule of mouth ",,,106.08,5932.0,266
CPT,40808,"Biopsy, vestibule of mouth Age 21+",,,118.47,118.47,4
CPT,40808,"Biopsy, vestibule of mouth Age Under 21",,,120.62,120.62,4
CPT,40810,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,135.53,25655.0,266
CPT,40810,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair Age 21+",,,151.35,151.35,4
CPT,40810,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair Age Under 21",,,154.1,154.1,4
CPT,40812,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,161.98,25655.0,266
CPT,40812,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair Age 21+",,,180.9,180.9,4
CPT,40812,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair Age Under 21",,,184.18,184.18,4
CPT,40814,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,873.32,8858.0,266
CPT,40814,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Age 21+",,,975.28,975.28,4
CPT,40814,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Age Under 21",,,993.01,993.01,4
CPT,40816,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,873.32,8858.0,266
CPT,40816,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Age 21+",,,975.28,975.28,4
CPT,40816,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Age Under 21",,,993.01,993.01,4
CPT,40818,Excision of mucosa of vestibule of mouth as donor graft ,,,184.41,5932.0,266
CPT,40818,Excision of mucosa of vestibule of mouth as donor graft Age 21+,,,205.94,205.94,4
CPT,40818,Excision of mucosa of vestibule of mouth as donor graft Age Under 21,,,209.69,209.69,4
CPT,40819,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,414.33,5932.0,266
CPT,40819,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) Age 21+",,,462.7,462.7,4
CPT,40819,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) Age Under 21",,,471.12,471.12,4
CPT,40820,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,175.62,5932.0,266
CPT,40820,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) Age 21+",,,196.12,196.12,4
CPT,40820,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) Age Under 21",,,199.68,199.68,4
CPT,40830,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,86.27,2636.0,222
CPT,40830,"Closure of laceration, vestibule of mouth; 2.5 cm or less Age 21+",,,96.34,96.34,4
CPT,40830,"Closure of laceration, vestibule of mouth; 2.5 cm or less Age Under 21",,,98.09,98.09,4
CPT,40831,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,184.41,5932.0,266
CPT,40831,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex Age 21+",,,205.94,205.94,4
CPT,40831,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex Age Under 21",,,209.69,209.69,4
CPT,40840,Vestibuloplasty; anterior ,,,948.0,13581.48,266
CPT,40840,Vestibuloplasty; anterior Age 21+,,,2149.64,2149.64,4
CPT,40840,Vestibuloplasty; anterior Age Under 21,,,2188.73,2188.73,4
CPT,40842,"Vestibuloplasty; posterior, unilateral ",,,948.0,13581.48,266
CPT,40842,"Vestibuloplasty; posterior, unilateral Age 21+",,,2149.64,2149.64,4
CPT,40842,"Vestibuloplasty; posterior, unilateral Age Under 21",,,2188.73,2188.73,4
CPT,40843,"Vestibuloplasty; posterior, bilateral ",,,948.0,13581.48,266
CPT,40843,"Vestibuloplasty; posterior, bilateral Age 21+",,,2149.64,2149.64,4
CPT,40843,"Vestibuloplasty; posterior, bilateral Age Under 21",,,2188.73,2188.73,4
CPT,40844,Vestibuloplasty; entire arch ,,,948.0,18490.0,266
CPT,40844,Vestibuloplasty; entire arch Age 21+,,,2149.64,2149.64,4
CPT,40844,Vestibuloplasty; entire arch Age Under 21,,,2188.73,2188.73,4
CPT,40845,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,948.0,18490.0,266
CPT,40845,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) Age 21+",,,2149.64,2149.64,4
CPT,40845,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) Age Under 21",,,2188.73,2188.73,4
CPT,40899,"Unlisted procedure, vestibule of mouth ",,,239.12,25655.0,239
CPT,41000,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,82.08,5932.0,266
CPT,41000,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual Age 21+",,,91.66,91.66,4
CPT,41000,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual Age Under 21",,,93.33,93.33,4
CPT,41005,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,86.27,5932.0,266
CPT,41005,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial Age 21+",,,96.34,96.34,4
CPT,41005,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial Age Under 21",,,98.09,98.09,4
CPT,41006,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,414.33,5932.0,266
CPT,41006,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid Age 21+",,,462.7,462.7,4
CPT,41006,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid Age Under 21",,,471.12,471.12,4
CPT,41007,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,414.33,5932.0,266
CPT,41007,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space Age 21+",,,462.7,462.7,4
CPT,41007,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space Age Under 21",,,471.12,471.12,4
CPT,41008,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,873.32,7334.01,266
CPT,41008,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space Age 21+",,,975.28,975.28,4
CPT,41008,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space Age Under 21",,,993.01,993.01,4
CPT,41009,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,184.41,5932.0,266
CPT,41009,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space Age 21+",,,205.94,205.94,4
CPT,41009,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space Age Under 21",,,209.69,209.69,4
CPT,41010,Incision of lingual frenum (frenotomy) ,,,414.33,5932.0,266
CPT,41010,Incision of lingual frenum (frenotomy) Age 21+,,,462.7,462.7,4
CPT,41010,Incision of lingual frenum (frenotomy) Age Under 21,,,471.12,471.12,4
CPT,41015,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,184.41,5932.0,266
CPT,41015,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Age 21+",,,205.94,205.94,4
CPT,41015,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Age Under 21",,,209.69,209.69,4
CPT,41016,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,948.0,13581.48,266
CPT,41016,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age 21+",,,2149.64,2149.64,4
CPT,41016,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age Under 21",,,2188.73,2188.73,4
CPT,41017,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,873.32,7334.01,266
CPT,41017,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age 21+",,,975.28,975.28,4
CPT,41017,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21",,,993.01,993.01,4
CPT,41018,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,414.33,5932.0,266
CPT,41018,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Age 21+",,,462.7,462.7,4
CPT,41018,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Age Under 21",,,471.12,471.12,4
CPT,41019,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,948.0,18747.0,239
CPT,41100,Biopsy of tongue; anterior two-thirds ,,,109.63,5932.0,266
CPT,41100,Biopsy of tongue; anterior two-thirds Age 21+,,,122.43,122.43,4
CPT,41100,Biopsy of tongue; anterior two-thirds Age Under 21,,,124.66,124.66,4
CPT,41105,Biopsy of tongue; posterior one-third ,,,107.99,6680.0,266
CPT,41105,Biopsy of tongue; posterior one-third Age 21+,,,120.59,120.59,4
CPT,41105,Biopsy of tongue; posterior one-third Age Under 21,,,122.79,122.79,4
CPT,41108,Biopsy of floor of mouth ,,,103.36,5932.0,266
CPT,41108,Biopsy of floor of mouth Age 21+,,,115.42,115.42,4
CPT,41108,Biopsy of floor of mouth Age Under 21,,,117.52,117.52,4
CPT,41110,Excision of lesion of tongue without closure ,,,140.17,5932.0,266
CPT,41110,Excision of lesion of tongue without closure Age 21+,,,156.53,156.53,4
CPT,41110,Excision of lesion of tongue without closure Age Under 21,,,159.38,159.38,4
CPT,41112,Excision of lesion of tongue with closure; anterior two-thirds ,,,873.32,7334.01,266
CPT,41112,Excision of lesion of tongue with closure; anterior two-thirds Age 21+,,,975.28,975.28,4
CPT,41112,Excision of lesion of tongue with closure; anterior two-thirds Age Under 21,,,993.01,993.01,4
CPT,41113,Excision of lesion of tongue with closure; posterior one-third ,,,873.32,7334.01,266
CPT,41113,Excision of lesion of tongue with closure; posterior one-third Age 21+,,,975.28,975.28,4
CPT,41113,Excision of lesion of tongue with closure; posterior one-third Age Under 21,,,993.01,993.01,4
CPT,41114,Excision of lesion of tongue with closure; with local tongue flap ,,,873.32,8858.0,266
CPT,41114,Excision of lesion of tongue with closure; with local tongue flap Age 21+,,,975.28,975.28,4
CPT,41114,Excision of lesion of tongue with closure; with local tongue flap Age Under 21,,,993.01,993.01,4
CPT,41115,Excision of lingual frenum (frenectomy) ,,,159.8,5932.0,266
CPT,41115,Excision of lingual frenum (frenectomy) Age 21+,,,178.45,178.45,4
CPT,41115,Excision of lingual frenum (frenectomy) Age Under 21,,,181.7,181.7,4
CPT,41116,"Excision, lesion of floor of mouth ",,,873.32,8858.0,266
CPT,41116,"Excision, lesion of floor of mouth Age 21+",,,975.28,975.28,4
CPT,41116,"Excision, lesion of floor of mouth Age Under 21",,,993.01,993.01,4
CPT,41120,Glossectomy; less than one-half tongue ,,,948.0,18490.0,266
CPT,41120,Glossectomy; less than one-half tongue Age 21+,,,2149.64,2149.64,4
CPT,41120,Glossectomy; less than one-half tongue Age Under 21,,,2188.73,2188.73,4
CPT,41130,Glossectomy; hemiglossectomy ,,,948.0,29596.06,194
CPT,41135,"Glossectomy; partial, with unilateral radical neck dissection ",,,948.0,48889.02,194
CPT,41140,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,948.0,48958.88,194
CPT,41145,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,948.0,62020.36,194
CPT,41150,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,948.0,49355.15,194
CPT,41153,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,948.0,53496.61,194
CPT,41155,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,948.0,67777.96,194
CPT,41250,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,237.69,6680.0,239
CPT,41251,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,86.27,6680.0,266
CPT,41251,Repair of laceration 2.5 cm or less; posterior one-third of tongue Age 21+,,,96.34,96.34,4
CPT,41251,Repair of laceration 2.5 cm or less; posterior one-third of tongue Age Under 21,,,98.09,98.09,4
CPT,41252,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,86.27,6680.0,266
CPT,41252,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex Age 21+",,,96.34,96.34,4
CPT,41252,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex Age Under 21",,,98.09,98.09,4
CPT,41500,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2214.0,4723.0,42
CPT,41510,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,873.32,7334.01,266
CPT,41510,Suture of tongue to lip for micrognathia (Douglas type procedure) Age 21+,,,975.28,975.28,4
CPT,41510,Suture of tongue to lip for micrognathia (Douglas type procedure) Age Under 21,,,993.01,993.01,4
CPT,41512,"Tongue base suspension, permanent suture technique ",,,948.0,17510.0,239
CPT,41520,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,873.32,17510.0,266
CPT,41520,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Age 21+",,,975.28,975.28,4
CPT,41520,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Age Under 21",,,993.01,993.01,4
CPT,41530,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,948.0,18747.0,239
CPT,41599,"Unlisted procedure, tongue, floor of mouth ",,,239.12,25655.0,195
CPT,41800,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,134.32,5932.0,239
CPT,41805,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,217.62,5932.0,266
CPT,41805,Removal of embedded foreign body from dentoalveolar structures; soft tissues Age 21+,,,243.02,243.02,4
CPT,41805,Removal of embedded foreign body from dentoalveolar structures; soft tissues Age Under 21,,,247.44,247.44,4
CPT,41806,Removal of embedded foreign body from dentoalveolar structures; bone ,,,255.52,5932.0,266
CPT,41806,Removal of embedded foreign body from dentoalveolar structures; bone Age 21+,,,285.35,285.35,4
CPT,41806,Removal of embedded foreign body from dentoalveolar structures; bone Age Under 21,,,290.54,290.54,4
CPT,41820,"Gingivectomy, excision gingiva, each quadrant ",,,873.32,8858.0,266
CPT,41820,"Gingivectomy, excision gingiva, each quadrant Age 21+",,,975.28,975.28,4
CPT,41820,"Gingivectomy, excision gingiva, each quadrant Age Under 21",,,993.01,993.01,4
CPT,41821,"Operculectomy, excision pericoronal tissues ",,,948.0,5932.0,239
CPT,41822,"Excision of fibrous tuberosities, dentoalveolar structures ",,,948.0,25655.0,239
CPT,41823,"Excision of osseous tuberosities, dentoalveolar structures ",,,948.0,25655.0,239
CPT,41825,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,137.45,25655.0,266
CPT,41825,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair Age 21+",,,153.49,153.49,4
CPT,41825,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair Age Under 21",,,156.28,156.28,4
CPT,41826,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,176.71,25655.0,266
CPT,41826,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Age 21+",,,197.34,197.34,4
CPT,41826,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Age Under 21",,,200.93,200.93,4
CPT,41827,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,948.0,17510.0,266
CPT,41827,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Age 21+",,,2149.64,2149.64,4
CPT,41827,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Age Under 21",,,2188.73,2188.73,4
CPT,41828,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,185.98,25655.0,266
CPT,41828,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) Age 21+",,,207.69,207.69,4
CPT,41828,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) Age Under 21",,,211.47,211.47,4
CPT,41830,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,271.88,25655.0,266
CPT,41830,"Alveolectomy, including curettage of osteitis or sequestrectomy Age 21+",,,303.62,303.62,4
CPT,41830,"Alveolectomy, including curettage of osteitis or sequestrectomy Age Under 21",,,309.14,309.14,4
CPT,41850,"Destruction of lesion (except excision), dentoalveolar structures ",,,414.33,25655.0,266
CPT,41850,"Destruction of lesion (except excision), dentoalveolar structures Age 21+",,,462.7,462.7,4
CPT,41850,"Destruction of lesion (except excision), dentoalveolar structures Age Under 21",,,471.12,471.12,4
CPT,41870,Periodontal mucosal grafting ,,,414.33,25655.0,266
CPT,41870,Periodontal mucosal grafting Age 21+,,,462.7,462.7,4
CPT,41870,Periodontal mucosal grafting Age Under 21,,,471.12,471.12,4
CPT,41872,"Gingivoplasty, each quadrant (specify) ",,,285.51,25655.0,222
CPT,41872,"Gingivoplasty, each quadrant (specify) Age 21+",,,318.85,318.85,4
CPT,41872,"Gingivoplasty, each quadrant (specify) Age Under 21",,,324.64,324.64,4
CPT,41874,"Alveoloplasty, each quadrant (specify) ",,,219.52,25655.0,266
CPT,41874,"Alveoloplasty, each quadrant (specify) Age 21+",,,245.15,245.15,4
CPT,41874,"Alveoloplasty, each quadrant (specify) Age Under 21",,,249.6,249.6,4
CPT,41899,"Unlisted procedure, dentoalveolar structures ",,,239.12,25655.0,248
CPT,42000,"Drainage of abscess of palate, uvula ",,,86.27,6680.0,266
CPT,42000,"Drainage of abscess of palate, uvula Age 21+",,,96.34,96.34,4
CPT,42000,"Drainage of abscess of palate, uvula Age Under 21",,,98.09,98.09,4
CPT,42100,"Biopsy of palate, uvula ",,,596.33,5932.0,239
CPT,42104,"Excision, lesion of palate, uvula; without closure ",,,124.9,6680.0,266
CPT,42104,"Excision, lesion of palate, uvula; without closure Age 21+",,,139.48,139.48,4
CPT,42104,"Excision, lesion of palate, uvula; without closure Age Under 21",,,142.02,142.02,4
CPT,42106,"Excision, lesion of palate, uvula; with simple primary closure ",,,145.62,6680.0,266
CPT,42106,"Excision, lesion of palate, uvula; with simple primary closure Age 21+",,,162.62,162.62,4
CPT,42106,"Excision, lesion of palate, uvula; with simple primary closure Age Under 21",,,165.58,165.58,4
CPT,42107,"Excision, lesion of palate, uvula; with local flap closure ",,,948.0,13581.48,266
CPT,42107,"Excision, lesion of palate, uvula; with local flap closure Age 21+",,,2149.64,2149.64,4
CPT,42107,"Excision, lesion of palate, uvula; with local flap closure Age Under 21",,,2188.73,2188.73,4
CPT,42120,Resection of palate or extensive resection of lesion ,,,948.0,19415.0,266
CPT,42120,Resection of palate or extensive resection of lesion Age 21+,,,2149.64,2149.64,4
CPT,42120,Resection of palate or extensive resection of lesion Age Under 21,,,2188.73,2188.73,4
CPT,42140,"Uvulectomy, excision of uvula ",,,873.32,7334.01,266
CPT,42140,"Uvulectomy, excision of uvula Age 21+",,,975.28,975.28,4
CPT,42140,"Uvulectomy, excision of uvula Age Under 21",,,993.01,993.01,4
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,1924.91,18490.0,248
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Age 21+",,,2149.64,2149.64,4
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Age Under 21",,,2188.73,2188.73,4
CPT,42160,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,133.63,5932.0,266
CPT,42160,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) Age 21+",,,149.23,149.23,4
CPT,42160,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) Age Under 21",,,151.94,151.94,4
CPT,42180,"Repair, laceration of palate; up to 2 cm ",,,184.41,5932.0,266
CPT,42180,"Repair, laceration of palate; up to 2 cm Age 21+",,,205.94,205.94,4
CPT,42180,"Repair, laceration of palate; up to 2 cm Age Under 21",,,209.69,209.69,4
CPT,42182,"Repair, laceration of palate; over 2 cm or complex ",,,948.0,13581.48,266
CPT,42182,"Repair, laceration of palate; over 2 cm or complex Age 21+",,,2149.64,2149.64,4
CPT,42182,"Repair, laceration of palate; over 2 cm or complex Age Under 21",,,2188.73,2188.73,4
CPT,42200,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,948.0,18490.0,266
CPT,42200,"Palatoplasty for cleft palate, soft and/or hard palate only Age 21+",,,2149.64,2149.64,4
CPT,42200,"Palatoplasty for cleft palate, soft and/or hard palate only Age Under 21",,,2188.73,2188.73,4
CPT,42205,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,873.32,18490.0,266
CPT,42205,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Age 21+",,,975.28,975.28,4
CPT,42205,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Age Under 21",,,993.01,993.01,4
CPT,42210,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,948.0,18490.0,266
CPT,42210,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) Age 21+",,,3424.42,3424.42,4
CPT,42210,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) Age Under 21",,,3486.68,3486.68,4
CPT,42215,Palatoplasty for cleft palate; major revision ,,,948.0,23113.0,266
CPT,42215,Palatoplasty for cleft palate; major revision Age 21+,,,2149.64,2149.64,4
CPT,42215,Palatoplasty for cleft palate; major revision Age Under 21,,,2188.73,2188.73,4
CPT,42220,Palatoplasty for cleft palate; secondary lengthening procedure ,,,948.0,18490.0,266
CPT,42220,Palatoplasty for cleft palate; secondary lengthening procedure Age 21+,,,2149.64,2149.64,4
CPT,42220,Palatoplasty for cleft palate; secondary lengthening procedure Age Under 21,,,2188.73,2188.73,4
CPT,42225,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,948.0,18490.0,266
CPT,42225,Palatoplasty for cleft palate; attachment pharyngeal flap Age 21+,,,2149.64,2149.64,4
CPT,42225,Palatoplasty for cleft palate; attachment pharyngeal flap Age Under 21,,,2188.73,2188.73,4
CPT,42226,"Lengthening of palate, and pharyngeal flap ",,,948.0,18490.0,266
CPT,42226,"Lengthening of palate, and pharyngeal flap Age 21+",,,2149.64,2149.64,4
CPT,42226,"Lengthening of palate, and pharyngeal flap Age Under 21",,,2188.73,2188.73,4
CPT,42227,"Lengthening of palate, with island flap ",,,948.0,25655.0,222
CPT,42227,"Lengthening of palate, with island flap Age 21+",,,2149.64,2149.64,4
CPT,42227,"Lengthening of palate, with island flap Age Under 21",,,2188.73,2188.73,4
CPT,42235,"Repair of anterior palate, including vomer flap ",,,948.0,18490.0,266
CPT,42235,"Repair of anterior palate, including vomer flap Age 21+",,,2149.64,2149.64,4
CPT,42235,"Repair of anterior palate, including vomer flap Age Under 21",,,2188.73,2188.73,4
CPT,42260,Repair of nasolabial fistula ,,,948.0,19415.0,266
CPT,42260,Repair of nasolabial fistula Age 21+,,,2149.64,2149.64,4
CPT,42260,Repair of nasolabial fistula Age Under 21,,,2188.73,2188.73,4
CPT,42280,Maxillary impression for palatal prosthesis ,,,544.5,5932.0,239
CPT,42281,Insertion of pin-retained palatal prosthesis ,,,948.0,13581.48,266
CPT,42281,Insertion of pin-retained palatal prosthesis Age 21+,,,2149.64,2149.64,4
CPT,42281,Insertion of pin-retained palatal prosthesis Age Under 21,,,2188.73,2188.73,4
CPT,42299,"Unlisted procedure, palate, uvula ",,,239.12,25655.0,195
CPT,42300,"Drainage of abscess; parotid, simple ",,,414.33,5932.0,266
CPT,42300,"Drainage of abscess; parotid, simple Age 21+",,,462.7,462.7,4
CPT,42300,"Drainage of abscess; parotid, simple Age Under 21",,,471.12,471.12,4
CPT,42305,"Drainage of abscess; parotid, complicated ",,,873.32,8858.0,266
CPT,42305,"Drainage of abscess; parotid, complicated Age 21+",,,975.28,975.28,4
CPT,42305,"Drainage of abscess; parotid, complicated Age Under 21",,,993.01,993.01,4
CPT,42310,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,184.41,5932.0,266
CPT,42310,"Drainage of abscess; submaxillary or sublingual, intraoral Age 21+",,,205.94,205.94,4
CPT,42310,"Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21",,,209.69,209.69,4
CPT,42320,"Drainage of abscess; submaxillary, external ",,,184.41,5932.0,266
CPT,42320,"Drainage of abscess; submaxillary, external Age 21+",,,205.94,205.94,4
CPT,42320,"Drainage of abscess; submaxillary, external Age Under 21",,,209.69,209.69,4
CPT,42325,CREATE SALIVARY CYST DRAIN ,,,2152.0,6587.0,34
CPT,42326,CREATE SALIVARY CYST DRAIN ,,,2152.0,6587.0,34
CPT,42330,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,119.99,25655.0,266
CPT,42330,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral Age 21+",,,134.0,134.0,4
CPT,42330,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral Age Under 21",,,136.44,136.44,4
CPT,42335,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,248.97,9908.0,266
CPT,42335,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral Age 21+",,,278.04,278.04,4
CPT,42335,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral Age Under 21",,,283.09,283.09,4
CPT,42340,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,873.32,7334.01,266
CPT,42340,"Sialolithotomy; parotid, extraoral or complicated intraoral Age 21+",,,975.28,975.28,4
CPT,42340,"Sialolithotomy; parotid, extraoral or complicated intraoral Age Under 21",,,993.01,993.01,4
CPT,42400,Biopsy of salivary gland; needle ,,,56.72,5932.0,266
CPT,42400,Biopsy of salivary gland; needle Age 21+,,,63.34,63.34,4
CPT,42400,Biopsy of salivary gland; needle Age Under 21,,,64.49,64.49,4
CPT,42405,Biopsy of salivary gland; incisional ,,,414.33,6680.0,266
CPT,42405,Biopsy of salivary gland; incisional Age 21+,,,462.7,462.7,4
CPT,42405,Biopsy of salivary gland; incisional Age Under 21,,,471.12,471.12,4
CPT,42408,Excision of sublingual salivary cyst (ranula) ,,,873.32,9908.0,266
CPT,42408,Excision of sublingual salivary cyst (ranula) Age 21+,,,975.28,975.28,4
CPT,42408,Excision of sublingual salivary cyst (ranula) Age Under 21,,,993.01,993.01,4
CPT,42409,Marsupialization of sublingual salivary cyst (ranula) ,,,873.32,9908.0,266
CPT,42409,Marsupialization of sublingual salivary cyst (ranula) Age 21+,,,975.28,975.28,4
CPT,42409,Marsupialization of sublingual salivary cyst (ranula) Age Under 21,,,993.01,993.01,4
CPT,42410,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,948.0,17510.0,266
CPT,42410,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Age 21+",,,2149.64,2149.64,4
CPT,42410,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Age Under 21",,,2188.73,2188.73,4
CPT,42415,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,948.0,23113.0,266
CPT,42415,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age 21+",,,2149.64,2149.64,4
CPT,42415,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21",,,2188.73,2188.73,4
CPT,42420,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,948.0,23113.0,266
CPT,42420,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age 21+",,,2149.64,2149.64,4
CPT,42420,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age Under 21",,,2188.73,2188.73,4
CPT,42425,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,948.0,23113.0,266
CPT,42425,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Age 21+",,,2149.64,2149.64,4
CPT,42425,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Age Under 21",,,2188.73,2188.73,4
CPT,42426,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,948.0,30155.54,194
CPT,42440,Excision of submandibular (submaxillary) gland ,,,948.0,17510.0,266
CPT,42440,Excision of submandibular (submaxillary) gland Age 21+,,,2149.64,2149.64,4
CPT,42440,Excision of submandibular (submaxillary) gland Age Under 21,,,2188.73,2188.73,4
CPT,42450,Excision of sublingual gland ,,,948.0,13581.48,266
CPT,42450,Excision of sublingual gland Age 21+,,,2149.64,2149.64,4
CPT,42450,Excision of sublingual gland Age Under 21,,,2188.73,2188.73,4
CPT,42500,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,948.0,13581.48,266
CPT,42500,"Plastic repair of salivary duct, sialodochoplasty; primary or simple Age 21+",,,2149.64,2149.64,4
CPT,42500,"Plastic repair of salivary duct, sialodochoplasty; primary or simple Age Under 21",,,2188.73,2188.73,4
CPT,42505,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,948.0,19415.0,266
CPT,42505,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated Age 21+",,,2149.64,2149.64,4
CPT,42505,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated Age Under 21",,,2188.73,2188.73,4
CPT,42507,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,948.0,17510.0,266
CPT,42507,"Parotid duct diversion, bilateral (Wilke type procedure); Age 21+",,,2149.64,2149.64,4
CPT,42507,"Parotid duct diversion, bilateral (Wilke type procedure); Age Under 21",,,2188.73,2188.73,4
CPT,42508,PAROTID DUCT DIVERSION ,,,2152.0,6587.0,34
CPT,42509,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,948.0,19415.0,266
CPT,42509,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Age 21+",,,2149.64,2149.64,4
CPT,42509,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Age Under 21",,,2188.73,2188.73,4
CPT,42510,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,873.32,19415.0,266
CPT,42510,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Age 21+",,,975.28,975.28,4
CPT,42510,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Age Under 21",,,993.01,993.01,4
CPT,42550,Injection procedure for sialography ,,,948.0,5932.0,142
CPT,42600,Closure salivary fistula ,,,873.32,7334.01,266
CPT,42600,Closure salivary fistula Age 21+,,,975.28,975.28,4
CPT,42600,Closure salivary fistula Age Under 21,,,993.01,993.01,4
CPT,42650,Dilation salivary duct ,,,36.82,5932.0,266
CPT,42650,Dilation salivary duct Age 21+,,,41.12,41.12,4
CPT,42650,Dilation salivary duct Age Under 21,,,41.87,41.87,4
CPT,42660,"Dilation and catheterization of salivary duct, with or without injection ",,,56.17,5932.0,266
CPT,42660,"Dilation and catheterization of salivary duct, with or without injection Age 21+",,,62.73,62.73,4
CPT,42660,"Dilation and catheterization of salivary duct, with or without injection Age Under 21",,,63.87,63.87,4
CPT,42665,"Ligation salivary duct, intraoral ",,,873.32,23113.0,266
CPT,42665,"Ligation salivary duct, intraoral Age 21+",,,975.28,975.28,4
CPT,42665,"Ligation salivary duct, intraoral Age Under 21",,,993.01,993.01,4
CPT,42699,"Unlisted procedure, salivary glands or ducts ",,,239.12,25655.0,239
CPT,42700,Incision and drainage abscess; peritonsillar ,,,86.27,5932.0,266
CPT,42700,Incision and drainage abscess; peritonsillar Age 21+,,,96.34,96.34,4
CPT,42700,Incision and drainage abscess; peritonsillar Age Under 21,,,98.09,98.09,4
CPT,42720,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,873.32,7334.01,266
CPT,42720,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach Age 21+",,,975.28,975.28,4
CPT,42720,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach Age Under 21",,,993.01,993.01,4
CPT,42725,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,948.0,17510.0,266
CPT,42725,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach Age 21+",,,2149.64,2149.64,4
CPT,42725,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach Age Under 21",,,2188.73,2188.73,4
CPT,42800,Biopsy; oropharynx ,,,84.26,25655.0,266
CPT,42800,Biopsy; oropharynx Age 21+,,,94.09,94.09,4
CPT,42800,Biopsy; oropharynx Age Under 21,,,95.8,95.8,4
CPT,42802,BIOPSY OF THROAT ,,,2152.0,6587.0,34
CPT,42804,"Biopsy; nasopharynx, visible lesion, simple ",,,873.32,7334.01,266
CPT,42804,"Biopsy; nasopharynx, visible lesion, simple Age 21+",,,975.28,975.28,4
CPT,42804,"Biopsy; nasopharynx, visible lesion, simple Age Under 21",,,993.01,993.01,4
CPT,42806,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,873.32,8858.0,266
CPT,42806,"Biopsy; nasopharynx, survey for unknown primary lesion Age 21+",,,975.28,975.28,4
CPT,42806,"Biopsy; nasopharynx, survey for unknown primary lesion Age Under 21",,,993.01,993.01,4
CPT,42808,"Excision or destruction of lesion of pharynx, any method ",,,873.32,8858.0,266
CPT,42808,"Excision or destruction of lesion of pharynx, any method Age 21+",,,975.28,975.28,4
CPT,42808,"Excision or destruction of lesion of pharynx, any method Age Under 21",,,993.01,993.01,4
CPT,42809,Removal of foreign body from pharynx ,,,451.0,5932.0,239
CPT,42810,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,873.32,9908.0,266
CPT,42810,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Age 21+",,,975.28,975.28,4
CPT,42810,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Age Under 21",,,993.01,993.01,4
CPT,42815,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,948.0,18490.0,266
CPT,42815,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Age 21+",,,2149.64,2149.64,4
CPT,42815,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Age Under 21",,,2188.73,2188.73,4
CPT,42820,Tonsillectomy and adenoidectomy; younger than age 12 ,,,948.0,13581.48,266
CPT,42820,Tonsillectomy and adenoidectomy; younger than age 12 Age 21+,,,2149.64,2149.64,4
CPT,42820,Tonsillectomy and adenoidectomy; younger than age 12 Age Under 21,,,2188.73,2188.73,4
CPT,42821,Tonsillectomy and adenoidectomy; age 12 or over ,,,873.32,18490.0,266
CPT,42821,Tonsillectomy and adenoidectomy; age 12 or over Age 21+,,,975.28,975.28,4
CPT,42821,Tonsillectomy and adenoidectomy; age 12 or over Age Under 21,,,993.01,993.01,4
CPT,42825,"Tonsillectomy, primary or secondary; younger than age 12 ",,,948.0,19415.0,266
CPT,42825,"Tonsillectomy, primary or secondary; younger than age 12 Age 21+",,,2149.64,2149.64,4
CPT,42825,"Tonsillectomy, primary or secondary; younger than age 12 Age Under 21",,,2188.73,2188.73,4
CPT,42826,"Tonsillectomy, primary or secondary; age 12 or over ",,,873.32,19415.0,266
CPT,42826,"Tonsillectomy, primary or secondary; age 12 or over Age 21+",,,975.28,975.28,4
CPT,42826,"Tonsillectomy, primary or secondary; age 12 or over Age Under 21",,,993.01,993.01,4
CPT,42830,"Adenoidectomy, primary; younger than age 12 ",,,873.32,19415.0,266
CPT,42830,"Adenoidectomy, primary; younger than age 12 Age 21+",,,975.28,975.28,4
CPT,42830,"Adenoidectomy, primary; younger than age 12 Age Under 21",,,993.01,993.01,4
CPT,42831,"Adenoidectomy, primary; age 12 or over ",,,873.32,19415.0,266
CPT,42831,"Adenoidectomy, primary; age 12 or over Age 21+",,,975.28,975.28,4
CPT,42831,"Adenoidectomy, primary; age 12 or over Age Under 21",,,993.01,993.01,4
CPT,42835,"Adenoidectomy, secondary; younger than age 12 ",,,873.32,19415.0,266
CPT,42835,"Adenoidectomy, secondary; younger than age 12 Age 21+",,,975.28,975.28,4
CPT,42835,"Adenoidectomy, secondary; younger than age 12 Age Under 21",,,993.01,993.01,4
CPT,42836,"Adenoidectomy, secondary; age 12 or over ",,,873.32,19415.0,266
CPT,42836,"Adenoidectomy, secondary; age 12 or over Age 21+",,,975.28,975.28,4
CPT,42836,"Adenoidectomy, secondary; age 12 or over Age Under 21",,,993.01,993.01,4
CPT,42842,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,948.0,25655.0,195
CPT,42844,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,948.0,25655.0,195
CPT,42845,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,948.0,49976.73,194
CPT,42860,Excision of tonsil tags ,,,873.32,9908.0,266
CPT,42860,Excision of tonsil tags Age 21+,,,975.28,975.28,4
CPT,42860,Excision of tonsil tags Age Under 21,,,993.01,993.01,4
CPT,42870,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,948.0,13581.48,266
CPT,42870,"Excision or destruction lingual tonsil, any method (separate procedure) Age 21+",,,2149.64,2149.64,4
CPT,42870,"Excision or destruction lingual tonsil, any method (separate procedure) Age Under 21",,,2188.73,2188.73,4
CPT,42890,Limited pharyngectomy ,,,948.0,23113.0,266
CPT,42890,Limited pharyngectomy Age 21+,,,2149.64,2149.64,4
CPT,42890,Limited pharyngectomy Age Under 21,,,2188.73,2188.73,4
CPT,42892,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,948.0,23113.0,266
CPT,42892,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls Age 21+",,,2149.64,2149.64,4
CPT,42892,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls Age Under 21",,,2188.73,2188.73,4
CPT,42894,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,948.0,53263.55,194
CPT,42900,Suture pharynx for wound or injury ,,,735.07,5932.0,266
CPT,42900,Suture pharynx for wound or injury Age 21+,,,820.89,820.89,4
CPT,42900,Suture pharynx for wound or injury Age Under 21,,,835.81,835.81,4
CPT,42950,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,948.0,13581.48,266
CPT,42950,Pharyngoplasty (plastic or reconstructive operation on pharynx) Age 21+,,,2149.64,2149.64,4
CPT,42950,Pharyngoplasty (plastic or reconstructive operation on pharynx) Age Under 21,,,2188.73,2188.73,4
CPT,42953,Pharyngoesophageal repair ,,,948.0,25655.0,194
CPT,42955,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,414.33,6680.0,266
CPT,42955,"Pharyngostomy (fistulization of pharynx, external for feeding) Age 21+",,,462.7,462.7,4
CPT,42955,"Pharyngostomy (fistulization of pharynx, external for feeding) Age Under 21",,,471.12,471.12,4
CPT,42960,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,184.41,5932.0,266
CPT,42960,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple Age 21+",,,205.94,205.94,4
CPT,42960,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple Age Under 21",,,209.69,209.69,4
CPT,42961,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,948.0,25655.0,194
CPT,42962,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,873.32,8858.0,266
CPT,42962,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention Age 21+",,,975.28,975.28,4
CPT,42962,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention Age Under 21",,,993.01,993.01,4
CPT,42970,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,86.27,5932.0,266
CPT,42970,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery Age 21+",,,96.34,96.34,4
CPT,42970,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery Age Under 21",,,98.09,98.09,4
CPT,42971,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,948.0,25655.0,194
CPT,42972,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,873.32,9908.0,266
CPT,42972,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention Age 21+",,,975.28,975.28,4
CPT,42972,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention Age Under 21",,,993.01,993.01,4
CPT,42975,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,67.12,6680.0,266
CPT,42975,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic Age 21+",,,74.95,74.95,4
CPT,42975,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic Age Under 21",,,76.32,76.32,4
CPT,42999,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,239.12,25655.0,239
CPT,43020,"Esophagotomy, cervical approach, with removal of foreign body ",,,948.0,5047.0,195
CPT,43030,Cricopharyngeal myotomy ,,,948.0,25655.0,222
CPT,43030,Cricopharyngeal myotomy Age 21+,,,2149.64,2149.64,4
CPT,43030,Cricopharyngeal myotomy Age Under 21,,,2188.73,2188.73,4
CPT,43045,"Esophagotomy, thoracic approach, with removal of foreign body ",,,948.0,29269.64,194
CPT,43100,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,948.0,25655.0,194
CPT,43101,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,948.0,25655.0,194
CPT,43107,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,948.0,67210.71,194
CPT,43108,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,948.0,100955.99,194
CPT,43112,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,948.0,78982.26,194
CPT,43113,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,948.0,98547.31,194
CPT,43116,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,948.0,113154.86,194
CPT,43117,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,948.0,73341.3,194
CPT,43118,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,948.0,82129.15,194
CPT,43121,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,948.0,63947.39,194
CPT,43122,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,948.0,57583.74,194
CPT,43123,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,948.0,101018.09,194
CPT,43124,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,948.0,85835.53,194
CPT,43130,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,948.0,25655.0,266
CPT,43130,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Age 21+",,,2149.64,2149.64,4
CPT,43130,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Age Under 21",,,2188.73,2188.73,4
CPT,43135,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,948.0,33061.4,194
CPT,43180,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,948.0,13581.48,274
CPT,43191,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,556.5,8485.0,266
CPT,43191,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) Age 21+",,,621.47,621.47,4
CPT,43191,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) Age Under 21",,,632.77,632.77,4
CPT,43192,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,556.5,9868.0,266
CPT,43192,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Age 21+",,,621.47,621.47,4
CPT,43192,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Age Under 21",,,632.77,632.77,4
CPT,43193,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,556.5,9868.0,266
CPT,43193,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple Age 21+",,,621.47,621.47,4
CPT,43193,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple Age Under 21",,,632.77,632.77,4
CPT,43194,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,556.5,9868.0,266
CPT,43194,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) Age 21+",,,621.47,621.47,4
CPT,43194,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) Age Under 21",,,632.77,632.77,4
CPT,43195,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,948.0,9868.0,266
CPT,43195,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) Age 21+",,,1231.19,1231.19,4
CPT,43195,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) Age Under 21",,,1253.57,1253.57,4
CPT,43196,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,948.0,9868.0,266
CPT,43196,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire Age 21+",,,1231.19,1231.19,4
CPT,43196,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire Age Under 21",,,1253.57,1253.57,4
CPT,43197,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,110.17,8485.0,266
CPT,43197,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age 21+",,,123.03,123.03,4
CPT,43197,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age Under 21",,,125.27,125.27,4
CPT,43198,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,118.07,8485.0,266
CPT,43198,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Age 21+",,,131.86,131.86,4
CPT,43198,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Age Under 21",,,134.25,134.25,4
CPT,43200,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,329.93,5932.0,266
CPT,43200,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age 21+",,,368.44,368.44,4
CPT,43200,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age Under 21",,,375.14,375.14,4
CPT,43201,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,556.5,5932.0,266
CPT,43201,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance Age 21+",,,621.47,621.47,4
CPT,43201,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance Age Under 21",,,632.77,632.77,4
CPT,43202,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,556.5,5932.0,266
CPT,43202,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple Age 21+",,,621.47,621.47,4
CPT,43202,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple Age Under 21",,,632.77,632.77,4
CPT,43204,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,556.5,5932.0,266
CPT,43204,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Age 21+",,,621.47,621.47,4
CPT,43204,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Age Under 21",,,632.77,632.77,4
CPT,43205,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,556.5,5932.0,266
CPT,43205,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Age 21+",,,621.47,621.47,4
CPT,43205,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Age Under 21",,,632.77,632.77,4
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,556.5,9868.0,266
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Age 21+",,,621.47,621.47,4
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Age Under 21",,,632.77,632.77,4
CPT,43210,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,948.0,23556.71,266
CPT,43210,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed Age 21+",,,4435.71,4435.71,4
CPT,43210,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed Age Under 21",,,4516.36,4516.36,4
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,556.5,8485.0,266
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Age 21+",,,621.47,621.47,4
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Age Under 21",,,632.77,632.77,4
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,266
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Age 21+",,,2934.29,2934.29,4
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Age Under 21",,,2987.64,2987.64,4
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,556.5,9868.0,266
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Age 21+",,,621.47,621.47,4
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Age Under 21",,,632.77,632.77,4
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,556.5,9868.0,266
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Age 21+",,,621.47,621.47,4
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Age Under 21",,,632.77,632.77,4
CPT,43215,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,556.5,5932.0,266
CPT,43215,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) Age 21+",,,621.47,621.47,4
CPT,43215,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) Age Under 21",,,632.77,632.77,4
CPT,43216,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,556.5,8858.0,266
CPT,43216,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age 21+",,,621.47,621.47,4
CPT,43216,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21",,,632.77,632.77,4
CPT,43217,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,556.5,6587.0,266
CPT,43217,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age 21+",,,621.47,621.47,4
CPT,43217,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21",,,632.77,632.77,4
CPT,43219,ESOPHAGUS ENDOSCOPY ,,,2152.0,6587.0,34
CPT,43220,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,556.5,6680.0,266
CPT,43220,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age 21+",,,621.47,621.47,4
CPT,43220,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21",,,632.77,632.77,4
CPT,43226,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,556.5,5932.0,266
CPT,43226,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age 21+",,,621.47,621.47,4
CPT,43226,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age Under 21",,,632.77,632.77,4
CPT,43227,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,556.5,6680.0,266
CPT,43227,"Esophagoscopy, flexible, transoral; with control of bleeding, any method Age 21+",,,621.47,621.47,4
CPT,43227,"Esophagoscopy, flexible, transoral; with control of bleeding, any method Age Under 21",,,632.77,632.77,4
CPT,43228,ESOPH ENDOSCOPY ABLATION ,,,2152.0,6587.0,34
CPT,43229,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,12499.0,266
CPT,43229,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Age 21+",,,1610.03,1610.03,4
CPT,43229,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Age Under 21",,,1639.3,1639.3,4
CPT,43231,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,556.5,6680.0,266
CPT,43231,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age 21+",,,621.47,621.47,4
CPT,43231,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21",,,632.77,632.77,4
CPT,43232,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,556.5,6680.0,266
CPT,43232,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) Age 21+",,,621.47,621.47,4
CPT,43232,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) Age Under 21",,,632.77,632.77,4
CPT,43233,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,556.5,9868.0,266
CPT,43233,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Age 21+",,,621.47,621.47,4
CPT,43233,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Age Under 21",,,632.77,632.77,4
CPT,43234,UPPER GI ENDOSCOPY EXAM ,,,2152.0,6587.0,34
CPT,43235,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,329.93,5932.0,266
CPT,43235,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age 21+",,,368.44,368.44,4
CPT,43235,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age Under 21",,,375.14,375.14,4
CPT,43236,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,329.93,6680.0,266
CPT,43236,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance Age 21+",,,368.44,368.44,4
CPT,43236,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance Age Under 21",,,375.14,375.14,4
CPT,43237,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,556.5,6680.0,266
CPT,43237,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures Age 21+",,,621.47,621.47,4
CPT,43237,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures Age Under 21",,,632.77,632.77,4
CPT,43238,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,556.5,6680.0,274
CPT,43239,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,329.93,6680.0,266
CPT,43239,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Age 21+",,,368.44,368.44,4
CPT,43239,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Age Under 21",,,375.14,375.14,4
CPT,43240,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,948.0,8858.0,274
CPT,43241,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,556.5,6680.0,266
CPT,43241,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter Age 21+",,,621.47,621.47,4
CPT,43241,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter Age Under 21",,,632.77,632.77,4
CPT,43242,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,556.5,6680.0,274
CPT,43243,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,556.5,6680.0,266
CPT,43243,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices Age 21+",,,621.47,621.47,4
CPT,43243,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices Age Under 21",,,632.77,632.77,4
CPT,43244,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,556.5,6680.0,266
CPT,43244,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age 21+",,,621.47,621.47,4
CPT,43244,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21",,,632.77,632.77,4
CPT,43245,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,556.5,6680.0,266
CPT,43245,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) Age 21+",,,621.47,621.47,4
CPT,43245,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) Age Under 21",,,632.77,632.77,4
CPT,43246,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,556.5,32258.0,224
CPT,43246,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube Age 21+",,,621.47,621.47,4
CPT,43246,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube Age Under 21",,,632.77,632.77,4
CPT,43247,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,329.93,6680.0,266
CPT,43247,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) Age 21+",,,368.44,368.44,4
CPT,43247,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) Age Under 21",,,375.14,375.14,4
CPT,43248,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,329.93,6680.0,266
CPT,43248,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire Age 21+",,,368.44,368.44,4
CPT,43248,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire Age Under 21",,,375.14,375.14,4
CPT,43249,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,556.5,6680.0,266
CPT,43249,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) Age 21+",,,621.47,621.47,4
CPT,43249,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) Age Under 21",,,632.77,632.77,4
CPT,43250,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,556.5,6680.0,266
CPT,43250,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age 21+",,,621.47,621.47,4
CPT,43250,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21",,,632.77,632.77,4
CPT,43251,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,556.5,6680.0,266
CPT,43251,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age 21+",,,621.47,621.47,4
CPT,43251,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21",,,632.77,632.77,4
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,948.0,9868.0,266
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Age 21+",,,1231.19,1231.19,4
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Age Under 21",,,1253.57,1253.57,4
CPT,43253,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,556.5,9908.0,274
CPT,43254,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,556.5,9908.0,266
CPT,43254,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection Age 21+",,,621.47,621.47,4
CPT,43254,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection Age Under 21",,,632.77,632.77,4
CPT,43255,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,556.5,6680.0,266
CPT,43255,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method Age 21+",,,621.47,621.47,4
CPT,43255,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method Age Under 21",,,632.77,632.77,4
CPT,43256,UPPR GI ENDOSCOPY W/STENT ,,,2152.0,6587.0,34
CPT,43257,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,948.0,9908.0,239
CPT,43258,OPERATIVE UPPER GI ENDOSCOPY ,,,2152.0,6587.0,34
CPT,43259,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,556.5,9908.0,274
CPT,43260,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,948.0,8858.0,266
CPT,43260,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age 21+",,,1231.19,1231.19,4
CPT,43260,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age Under 21",,,1253.57,1253.57,4
CPT,43261,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,948.0,8858.0,266
CPT,43261,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age 21+",,,1231.19,1231.19,4
CPT,43261,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21",,,1253.57,1253.57,4
CPT,43262,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,948.0,8858.0,266
CPT,43262,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age 21+,,,1231.19,1231.19,4
CPT,43262,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21,,,1253.57,1253.57,4
CPT,43263,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,948.0,8858.0,266
CPT,43263,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi Age 21+,,,1231.19,1231.19,4
CPT,43263,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi Age Under 21,,,1253.57,1253.57,4
CPT,43264,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,948.0,8858.0,266
CPT,43264,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) Age 21+,,,1231.19,1231.19,4
CPT,43264,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) Age Under 21,,,1253.57,1253.57,4
CPT,43265,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,948.0,13386.32,243
CPT,43265,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) Age 21+",,,1854.79,1854.79,4
CPT,43265,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) Age Under 21",,,1888.51,1888.51,4
CPT,43266,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,266
CPT,43266,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Age 21+",,,2992.09,2992.09,4
CPT,43266,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Age Under 21",,,3046.49,3046.49,4
CPT,43267,ENDO CHOLANGIOPANCREATOGRAPH ,,,2152.0,6587.0,34
CPT,43268,ENDO CHOLANGIOPANCREATOGRAPH ,,,2152.0,6587.0,34
CPT,43269,ENDO CHOLANGIOPANCREATOGRAPH ,,,2152.0,6587.0,34
CPT,43270,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,556.5,9908.0,266
CPT,43270,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Age 21+",,,621.47,621.47,4
CPT,43270,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Age Under 21",,,632.77,632.77,4
CPT,43271,ENDO CHOLANGIOPANCREATOGRAPH ,,,2152.0,6587.0,34
CPT,43272,ENDO CHOLANGIOPANCREATOGRAPH ,,,2152.0,6587.0,34
CPT,43273,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,948.0,12499.0,190
CPT,43274,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,948.0,13386.32,274
CPT,43275,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,948.0,12499.0,266
CPT,43275,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) Age 21+,,,1231.19,1231.19,4
CPT,43275,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) Age Under 21,,,1253.57,1253.57,4
CPT,43276,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,948.0,13386.32,274
CPT,43277,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,948.0,12499.0,274
CPT,43278,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,948.0,12499.0,266
CPT,43278,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed Age 21+",,,1231.19,1231.19,4
CPT,43278,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed Age Under 21",,,1253.57,1253.57,4
CPT,43279,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,948.0,29052.1,198
CPT,43280,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1995.0,23556.71,184
CPT,43281,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1995.0,25655.0,184
CPT,43282,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,1995.0,25655.0,184
CPT,43283,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1995.0,25655.0,183
CPT,43284,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1995.0,25655.0,184
CPT,43285,Removal of esophageal sphincter augmentation device ,,,1995.0,25655.0,184
CPT,43286,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,1995.0,70699.55,183
CPT,43287,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,1995.0,80917.05,183
CPT,43288,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,1995.0,84265.97,179
CPT,43289,"Unlisted laparoscopy procedure, esophagus ",,,1995.0,25655.0,184
CPT,43290,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,948.0,18747.0,239
CPT,43291,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,915.67,9868.0,239
CPT,43300,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,948.0,25655.0,194
CPT,43305,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,948.0,25655.0,194
CPT,43310,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,948.0,33349.01,194
CPT,43312,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,948.0,35850.83,194
CPT,43313,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,948.0,61631.85,194
CPT,43314,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,948.0,64071.58,194
CPT,43320,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,948.0,31437.5,194
CPT,43324,REVISE ESOPHAGUS & STOMACH ,,,2152.0,6587.0,34
CPT,43325,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,948.0,30582.86,194
CPT,43326,REVISE ESOPHAGUS & STOMACH ,,,2152.0,6587.0,34
CPT,43327,Esophagogastric fundoplasty partial or complete; laparotomy ,,,948.0,25655.0,194
CPT,43328,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,948.0,25655.0,194
CPT,43330,Esophagomyotomy (Heller type); abdominal approach ,,,948.0,30069.95,194
CPT,43331,Esophagomyotomy (Heller type); thoracic approach ,,,948.0,30093.23,194
CPT,43332,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,26099.46,194
CPT,43333,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,28422.76,194
CPT,43334,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,28135.37,194
CPT,43335,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,30100.99,194
CPT,43336,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,34048.2,194
CPT,43337,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,34646.49,194
CPT,43338,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,43340,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,948.0,30979.13,194
CPT,43341,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,948.0,31546.38,194
CPT,43350,SURGICAL OPENING ESOPHAGUS ,,,2152.0,6587.0,34
CPT,43351,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,948.0,29277.4,194
CPT,43352,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,948.0,25655.0,194
CPT,43360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,948.0,50683.89,194
CPT,43361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,948.0,60862.59,194
CPT,43400,"Ligation, direct, esophageal varices ",,,948.0,34374.62,194
CPT,43401,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES ",,,2152.0,16144.0,42
CPT,43405,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,948.0,32626.32,194
CPT,43410,Suture of esophageal wound or injury; cervical approach ,,,948.0,25655.0,194
CPT,43415,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,948.0,58011.06,194
CPT,43420,Closure of esophagostomy or fistula; cervical approach ,,,948.0,25655.0,239
CPT,43425,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,948.0,32354.45,194
CPT,43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,329.93,5932.0,266
CPT,43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age 21+",,,368.44,368.44,4
CPT,43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21",,,375.14,375.14,4
CPT,43453,"Dilation of esophagus, over guide wire ",,,556.5,5932.0,266
CPT,43453,"Dilation of esophagus, over guide wire Age 21+",,,621.47,621.47,4
CPT,43453,"Dilation of esophagus, over guide wire Age Under 21",,,632.77,632.77,4
CPT,43456,DILATE ESOPHAGUS ,,,2152.0,6587.0,34
CPT,43458,DILATE ESOPHAGUS ,,,2152.0,6587.0,34
CPT,43460,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,948.0,25655.0,194
CPT,43496,Free jejunum transfer with microvascular anastomosis ,,,948.0,48990.14,194
CPT,43497,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,948.0,12499.0,239
CPT,43499,"Unlisted procedure, esophagus ",,,915.67,25655.0,239
CPT,43500,Gastrotomy; with exploration or foreign body removal ,,,948.0,25655.0,194
CPT,43501,Gastrotomy; with suture repair of bleeding ulcer ,,,948.0,30334.27,194
CPT,43502,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,948.0,34188.12,194
CPT,43510,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,915.67,25655.0,195
CPT,43520,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,948.0,25655.0,194
CPT,43600,BIOPSY OF STOMACH ,,,2152.0,6587.0,34
CPT,43605,"Biopsy of stomach, by laparotomy ",,,948.0,25655.0,194
CPT,43610,"Excision, local; ulcer or benign tumor of stomach ",,,948.0,25655.0,194
CPT,43611,"Excision, local; malignant tumor of stomach ",,,948.0,27637.98,194
CPT,43620,"Gastrectomy, total; with esophagoenterostomy ",,,948.0,44289.2,194
CPT,43621,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,948.0,51274.42,194
CPT,43622,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,948.0,52059.21,194
CPT,43631,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,948.0,32704.15,194
CPT,43632,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,948.0,45905.34,194
CPT,43633,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,948.0,43364.49,194
CPT,43634,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,948.0,47770.06,194
CPT,43635,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,948.0,25655.0,194
CPT,43638,"REMOVAL OF STOMACH, PARTIAL ",,,2152.0,6587.0,34
CPT,43639,"REMOVAL OF STOMACH, PARTIAL ",,,2152.0,6587.0,34
CPT,43640,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,948.0,26565.8,194
CPT,43641,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,948.0,26915.29,194
CPT,43644,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,948.0,39036.54,133
CPT,43645,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,948.0,41779.4,133
CPT,43647,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,948.0,25750.0,199
CPT,43648,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,948.0,17510.0,199
CPT,43651,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1995.0,21630.0,184
CPT,43652,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1995.0,21630.0,184
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1860.52,21630.0,211
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Age 21+",,,2077.74,2077.74,4
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Age Under 21",,,2115.51,2115.51,4
CPT,43659,"Unlisted laparoscopy procedure, stomach ",,,1995.0,25655.0,184
CPT,43750,PLACE GASTROSTOMY TUBE ,,,2152.0,6587.0,34
CPT,43752,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,110.65,6680.0,266
CPT,43752,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) Age 21+",,,123.57,123.57,4
CPT,43752,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) Age Under 21",,,125.82,125.82,4
CPT,43753,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,217.99,5932.0,239
CPT,43754,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,217.99,5932.0,239
CPT,43755,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,129.91,5932.0,239
CPT,43756,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,915.67,5932.0,239
CPT,43757,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,329.93,5932.0,274
CPT,43760,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,2152.0,2636.0,34
CPT,43761,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,108.5,5932.0,266
CPT,43761,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age 21+",,,121.17,121.17,4
CPT,43761,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21",,,123.37,123.37,4
CPT,43762,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,108.5,6587.0,266
CPT,43762,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract Age 21+",,,121.17,121.17,4
CPT,43762,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract Age Under 21",,,123.37,123.37,4
CPT,43763,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,108.5,6587.0,266
CPT,43763,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract Age 21+",,,121.17,121.17,4
CPT,43763,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract Age Under 21",,,123.37,123.37,4
CPT,43770,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,948.0,34680.0,134
CPT,43771,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,948.0,34680.0,133
CPT,43772,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,948.0,34680.0,134
CPT,43773,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,948.0,34680.0,134
CPT,43774,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,948.0,34680.0,134
CPT,43775,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,948.0,32258.0,152
CPT,43800,Pyloroplasty ,,,948.0,25655.0,194
CPT,43810,Gastroduodenostomy ,,,948.0,25655.0,194
CPT,43820,Gastrojejunostomy; without vagotomy ,,,948.0,30279.73,194
CPT,43825,"Gastrojejunostomy; with vagotomy, any type ",,,948.0,29432.85,194
CPT,43830,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,948.0,25655.0,195
CPT,43831,"Gastrostomy, open; neonatal, for feeding ",,,915.67,25655.0,195
CPT,43832,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,948.0,25655.0,194
CPT,43840,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,948.0,30644.95,194
CPT,43842,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,948.0,32258.0,156
CPT,43843,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,948.0,32258.0,133
CPT,43845,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,948.0,43900.69,175
CPT,43846,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,948.0,36526.95,175
CPT,43847,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,948.0,40481.92,175
CPT,43848,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,948.0,43442.32,133
CPT,43850,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY ,,,2152.0,16144.0,42
CPT,43855,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY ,,,2152.0,16144.0,42
CPT,43860,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,948.0,36853.15,194
CPT,43865,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,948.0,38399.44,194
CPT,43870,"Closure of gastrostomy, surgical ",,,948.0,8858.0,266
CPT,43870,"Closure of gastrostomy, surgical Age 21+",,,1231.19,1231.19,4
CPT,43870,"Closure of gastrostomy, surgical Age Under 21",,,1253.57,1253.57,4
CPT,43880,Closure of gastrocolic fistula ,,,948.0,35882.09,194
CPT,43881,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,948.0,37568.08,194
CPT,43882,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,948.0,40163.26,194
CPT,43886,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,948.0,32258.0,224
CPT,43886,"Gastric restrictive procedure, open; revision of subcutaneous port component only Age 21+",,,1603.38,1603.38,4
CPT,43886,"Gastric restrictive procedure, open; revision of subcutaneous port component only Age Under 21",,,1632.53,1632.53,4
CPT,43887,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,698.37,32258.0,224
CPT,43887,"Gastric restrictive procedure, open; removal of subcutaneous port component only Age 21+",,,779.91,779.91,4
CPT,43887,"Gastric restrictive procedure, open; removal of subcutaneous port component only Age Under 21",,,794.09,794.09,4
CPT,43888,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,948.0,32258.0,224
CPT,43888,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Age 21+",,,1603.38,1603.38,4
CPT,43888,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Age Under 21",,,1632.53,1632.53,4
CPT,43889,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,948.0,30408.2,148
CPT,43999,"Unlisted procedure, stomach ",,,915.67,25655.0,216
CPT,44005,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,948.0,25655.0,238
CPT,44010,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,238
CPT,44015,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,948.0,25655.0,194
CPT,44020,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,238
CPT,44021,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,948.0,25655.0,194
CPT,44025,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,238
CPT,44050,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,948.0,76895.0,238
CPT,44055,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,948.0,33722.0,238
CPT,44100,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,329.93,5932.0,266
CPT,44100,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Age 21+",,,368.44,368.44,4
CPT,44100,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Age Under 21",,,375.14,375.14,4
CPT,44110,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,948.0,25655.0,194
CPT,44111,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,948.0,25655.0,194
CPT,44120,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,948.0,27568.13,194
CPT,44121,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,44125,"Enterectomy, resection of small intestine; with enterostomy ",,,948.0,26573.56,194
CPT,44126,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,948.0,55423.65,194
CPT,44127,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,948.0,64483.37,194
CPT,44128,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,948.0,25655.0,194
CPT,44130,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,948.0,29619.34,194
CPT,44132,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,948.0,25655.0,194
CPT,44133,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,948.0,43527.7,194
CPT,44135,Intestinal allotransplantation; from cadaver donor ,,,948.0,68912.44,194
CPT,44136,Intestinal allotransplantation; from living donor ,,,948.0,77723.58,194
CPT,44137,"Removal of transplanted intestinal allograft, complete ",,,948.0,35237.02,194
CPT,44139,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,948.0,25655.0,194
CPT,44140,"Colectomy, partial; with anastomosis ",,,948.0,30240.92,194
CPT,44141,"Colectomy, partial; with skin level cecostomy or colostomy ",,,948.0,41119.02,194
CPT,44143,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,948.0,37505.99,194
CPT,44144,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,948.0,39891.39,194
CPT,44145,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,948.0,37335.02,194
CPT,44146,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,948.0,47676.92,194
CPT,44147,"Colectomy, partial; abdominal and transanal approach ",,,948.0,43784.05,194
CPT,44150,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,948.0,42027.99,194
CPT,44151,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,948.0,48687.01,194
CPT,44152,REMOVAL OF COLON/ILEOSTOMY ,,,2152.0,6587.0,34
CPT,44153,REMOVAL OF COLON/ILEOSTOMY ,,,2152.0,6587.0,34
CPT,44155,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,948.0,46736.69,194
CPT,44156,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,948.0,51693.98,194
CPT,44157,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,948.0,49417.46,194
CPT,44158,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,948.0,50730.46,194
CPT,44160,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,948.0,27979.92,194
CPT,44180,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,948.0,21630.0,199
CPT,44186,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,948.0,21630.0,199
CPT,44187,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,948.0,25655.0,198
CPT,44188,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,948.0,27552.6,198
CPT,44200,"LAPAROSCOPY, ENTEROLYSIS ",,,2152.0,6587.0,34
CPT,44201,"LAPAROSCOPY, JEJUNOSTOMY ",,,2152.0,6587.0,34
CPT,44202,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1995.0,31181.15,183
CPT,44203,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,1995.0,25655.0,183
CPT,44204,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,1995.0,34662.01,183
CPT,44205,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1995.0,30116.73,183
CPT,44206,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1995.0,39386.24,183
CPT,44207,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,1995.0,40932.52,183
CPT,44208,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,1995.0,44607.64,183
CPT,44209,"Laparoscope proc, intestine ",,,2152.0,6587.0,39
CPT,44210,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,1995.0,40015.58,183
CPT,44211,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,948.0,48912.31,198
CPT,44212,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,948.0,45967.43,198
CPT,44213,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,948.0,25655.0,198
CPT,44227,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,948.0,37505.99,198
CPT,44238,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,948.0,25655.0,199
CPT,44239,"LAPAROSCOPE PROC, RECTUM ",,,2152.0,6587.0,34
CPT,44300,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,948.0,25655.0,238
CPT,44310,"Ileostomy or jejunostomy, non-tube ",,,948.0,25655.0,194
CPT,44312,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,948.0,12360.0,266
CPT,44312,Revision of ileostomy; simple (release of superficial scar) (separate procedure) Age 21+,,,1603.38,1603.38,4
CPT,44312,Revision of ileostomy; simple (release of superficial scar) (separate procedure) Age Under 21,,,1632.53,1632.53,4
CPT,44314,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,948.0,25655.0,238
CPT,44316,Continent ileostomy (Kock procedure) (separate procedure) ,,,948.0,31919.36,194
CPT,44320,Colostomy or skin level cecostomy; ,,,948.0,27078.5,194
CPT,44322,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,948.0,25655.0,194
CPT,44340,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,948.0,12360.0,266
CPT,44340,Revision of colostomy; simple (release of superficial scar) (separate procedure) Age 21+,,,1603.38,1603.38,4
CPT,44340,Revision of colostomy; simple (release of superficial scar) (separate procedure) Age Under 21,,,1632.53,1632.53,4
CPT,44345,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,948.0,25655.0,238
CPT,44346,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,948.0,26627.89,238
CPT,44360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,556.5,6680.0,274
CPT,44361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,556.5,6680.0,266
CPT,44361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple Age 21+",,,621.47,621.47,4
CPT,44361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple Age Under 21",,,632.77,632.77,4
CPT,44363,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,556.5,6680.0,266
CPT,44363,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) Age 21+",,,621.47,621.47,4
CPT,44363,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) Age Under 21",,,632.77,632.77,4
CPT,44364,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,556.5,6680.0,266
CPT,44364,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age 21+",,,621.47,621.47,4
CPT,44364,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21",,,632.77,632.77,4
CPT,44365,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,556.5,6680.0,266
CPT,44365,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery Age 21+",,,621.47,621.47,4
CPT,44365,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery Age Unde",,,632.77,632.77,4
CPT,44366,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,556.5,6680.0,274
CPT,44369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,556.5,6680.0,274
CPT,44370,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,948.0,18490.0,266
CPT,44370,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) Age 21+",,,3208.63,3208.63,4
CPT,44370,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) Age Under 21",,,3266.97,3266.97,4
CPT,44372,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,556.5,6680.0,266
CPT,44372,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube Age 21+",,,621.47,621.47,4
CPT,44372,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube Age Under 21",,,632.77,632.77,4
CPT,44373,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,556.5,6680.0,266
CPT,44373,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube Age 21+",,,621.47,621.47,4
CPT,44373,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube Age Under 21",,,632.77,632.77,4
CPT,44376,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,556.5,6680.0,266
CPT,44376,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Age 21+",,,621.47,621.47,4
CPT,44376,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Age Under ",,,632.77,632.77,4
CPT,44377,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,556.5,6680.0,266
CPT,44377,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple Age 21+",,,621.47,621.47,4
CPT,44377,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple Age Under 21",,,632.77,632.77,4
CPT,44378,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,556.5,6680.0,274
CPT,44379,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,948.0,18490.0,266
CPT,44379,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) Age 21+",,,1854.79,1854.79,4
CPT,44379,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) Age Under 21",,,1888.51,1888.51,4
CPT,44380,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,329.93,5932.0,266
CPT,44380,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age 21+",,,368.44,368.44,4
CPT,44380,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age Under 21",,,375.14,375.14,4
CPT,44381,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,556.5,9012.0,266
CPT,44381,"Ileoscopy, through stoma; with transendoscopic balloon dilation Age 21+",,,621.47,621.47,4
CPT,44381,"Ileoscopy, through stoma; with transendoscopic balloon dilation Age Under 21",,,632.77,632.77,4
CPT,44382,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,329.93,5932.0,266
CPT,44382,"Ileoscopy, through stoma; with biopsy, single or multiple Age 21+",,,368.44,368.44,4
CPT,44382,"Ileoscopy, through stoma; with biopsy, single or multiple Age Under 21",,,375.14,375.14,4
CPT,44383,ILEOSCOPY W/STENT ,,,2152.0,6587.0,34
CPT,44384,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,9012.0,239
CPT,44385,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,323.57,5932.0,274
CPT,44386,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,323.57,5932.0,266
CPT,44386,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple Age 21+",,,361.35,361.35,4
CPT,44386,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple Age Under 21",,,367.92,367.92,4
CPT,44388,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,323.57,5932.0,266
CPT,44388,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age 21+",,,361.35,361.35,4
CPT,44388,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age Under 21",,,367.92,367.92,4
CPT,44389,"Colonoscopy through stoma; with biopsy, single or multiple ",,,422.82,5932.0,266
CPT,44389,"Colonoscopy through stoma; with biopsy, single or multiple Age 21+",,,472.19,472.19,4
CPT,44389,"Colonoscopy through stoma; with biopsy, single or multiple Age Under 21",,,480.77,480.77,4
CPT,44390,Colonoscopy through stoma; with removal of foreign body(s) ,,,323.57,5932.0,266
CPT,44390,Colonoscopy through stoma; with removal of foreign body(s) Age 21+,,,361.35,361.35,4
CPT,44390,Colonoscopy through stoma; with removal of foreign body(s) Age Under 21,,,367.92,367.92,4
CPT,44391,"Colonoscopy through stoma; with control of bleeding, any method ",,,422.82,5932.0,266
CPT,44391,"Colonoscopy through stoma; with control of bleeding, any method Age 21+",,,472.19,472.19,4
CPT,44391,"Colonoscopy through stoma; with control of bleeding, any method Age Under 21",,,480.77,480.77,4
CPT,44392,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,422.82,5932.0,266
CPT,44392,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age 21+",,,472.19,472.19,4
CPT,44392,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21",,,480.77,480.77,4
CPT,44393,COLONOSCOPY LESION REMOVAL ,,,2152.0,6587.0,34
CPT,44394,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,422.82,5932.0,266
CPT,44394,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age 21+",,,472.19,472.19,4
CPT,44394,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21",,,480.77,480.77,4
CPT,44397,COLONOSCOPY W/STENT ,,,2152.0,6587.0,34
CPT,44401,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,948.0,9012.0,239
CPT,44402,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,239
CPT,44403,Colonoscopy through stoma; with endoscopic mucosal resection ,,,422.82,9012.0,266
CPT,44403,Colonoscopy through stoma; with endoscopic mucosal resection Age 21+,,,472.19,472.19,4
CPT,44403,Colonoscopy through stoma; with endoscopic mucosal resection Age Under 21,,,480.77,480.77,4
CPT,44404,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,422.82,9012.0,266
CPT,44404,"Colonoscopy through stoma; with directed submucosal injection(s), any substance Age 21+",,,472.19,472.19,4
CPT,44404,"Colonoscopy through stoma; with directed submucosal injection(s), any substance Age Under 21",,,480.77,480.77,4
CPT,44405,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,422.82,9012.0,266
CPT,44405,Colonoscopy through stoma; with transendoscopic balloon dilation Age 21+,,,472.19,472.19,4
CPT,44405,Colonoscopy through stoma; with transendoscopic balloon dilation Age Under 21,,,480.77,480.77,4
CPT,44406,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,422.82,9012.0,266
CPT,44406,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures Age 21+",,,472.19,472.19,4
CPT,44406,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures Age Under 21",,,480.77,480.77,4
CPT,44407,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,422.82,9012.0,274
CPT,44408,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,323.57,9012.0,266
CPT,44408,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Age 21+",,,361.35,361.35,4
CPT,44408,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Age Under 21",,,367.92,367.92,4
CPT,44500,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,329.93,5047.0,222
CPT,44500,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) Age 21+",,,368.44,368.44,4
CPT,44500,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) Age Under 21",,,375.14,375.14,4
CPT,44602,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,948.0,31826.01,194
CPT,44603,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,948.0,36526.95,194
CPT,44604,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,948.0,25655.0,194
CPT,44605,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,948.0,29355.23,194
CPT,44615,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,948.0,25655.0,194
CPT,44620,"Closure of enterostomy, large or small intestine; ",,,948.0,25655.0,194
CPT,44625,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,948.0,25655.0,194
CPT,44626,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,948.0,36076.35,194
CPT,44640,Closure of intestinal cutaneous fistula ,,,948.0,31585.18,194
CPT,44650,Closure of enteroenteric or enterocolic fistula ,,,948.0,32533.18,194
CPT,44660,Closure of enterovesical fistula; without intestinal or bladder resection ,,,948.0,30069.95,194
CPT,44661,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,948.0,34949.62,194
CPT,44680,Intestinal plication (separate procedure) ,,,948.0,25655.0,194
CPT,44700,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,948.0,25655.0,194
CPT,44701,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,948.0,2636.0,98
CPT,44705,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,948.0,6587.0,158
CPT,44715,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,948.0,25655.0,194
CPT,44720,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,948.0,25655.0,194
CPT,44721,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,948.0,25655.0,194
CPT,44799,"Unlisted procedure, small intestine ",,,915.67,25655.0,239
CPT,44800,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,948.0,25655.0,194
CPT,44820,Excision of lesion of mesentery (separate procedure) ,,,948.0,25655.0,194
CPT,44850,Suture of mesentery (separate procedure) ,,,948.0,25655.0,194
CPT,44899,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,948.0,25655.0,194
CPT,44900,"Incision and drainage of appendiceal abscess, open ",,,948.0,25655.0,194
CPT,44901,DRAIN APP ABSCESS PERCUT ,,,2152.0,6587.0,34
CPT,44950,Appendectomy; ,,,948.0,25655.0,239
CPT,44955,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,948.0,2636.0,98
CPT,44960,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,948.0,25655.0,194
CPT,44970,"Laparoscopy, surgical, appendectomy ",,,2369.0,21630.0,139
CPT,44979,"Unlisted laparoscopy procedure, appendix ",,,2369.0,17510.0,139
CPT,45000,Transrectal drainage of pelvic abscess ,,,422.82,5932.0,266
CPT,45000,Transrectal drainage of pelvic abscess Age 21+,,,472.19,472.19,4
CPT,45000,Transrectal drainage of pelvic abscess Age Under 21,,,480.77,480.77,4
CPT,45005,"Incision and drainage of submucosal abscess, rectum ",,,422.82,6680.0,266
CPT,45005,"Incision and drainage of submucosal abscess, rectum Age 21+",,,472.19,472.19,4
CPT,45005,"Incision and drainage of submucosal abscess, rectum Age Under 21",,,480.77,480.77,4
CPT,45020,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,925.83,6680.0,266
CPT,45020,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age 21+",,,1033.92,1033.92,4
CPT,45020,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age Under 21",,,1052.72,1052.72,4
CPT,45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,925.83,6563.7,266
CPT,45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) Age 21+",,,1033.92,1033.92,4
CPT,45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) Age Under 21",,,1052.72,1052.72,4
CPT,45108,Anorectal myomectomy ,,,925.83,8858.0,266
CPT,45108,Anorectal myomectomy Age 21+,,,1033.92,1033.92,4
CPT,45108,Anorectal myomectomy Age Under 21,,,1052.72,1052.72,4
CPT,45110,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,948.0,41437.67,194
CPT,45111,"Proctectomy; partial resection of rectum, transabdominal approach ",,,948.0,25655.0,194
CPT,45112,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,948.0,41973.65,194
CPT,45113,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,948.0,42494.33,194
CPT,45114,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,948.0,40878.19,194
CPT,45116,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,948.0,35058.28,194
CPT,45119,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,948.0,43473.37,194
CPT,45120,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,948.0,35773.21,194
CPT,45121,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,948.0,38826.76,194
CPT,45123,"Proctectomy, partial, without anastomosis, perineal approach ",,,948.0,25655.0,194
CPT,45126,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,948.0,62595.36,194
CPT,45130,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,948.0,25655.0,194
CPT,45135,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,948.0,29285.16,194
CPT,45136,Excision of ileoanal reservoir with ileostomy ,,,948.0,41476.48,194
CPT,45150,Division of stricture of rectum ,,,422.82,6680.0,266
CPT,45150,Division of stricture of rectum Age 21+,,,472.19,472.19,4
CPT,45150,Division of stricture of rectum Age Under 21,,,480.77,480.77,4
CPT,45160,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,925.83,8858.0,266
CPT,45160,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Age 21+",,,1033.92,1033.92,4
CPT,45160,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Age Under 21",,,1052.72,1052.72,4
CPT,45170,EXCISION OF RECTAL LESION ,,,2152.0,6587.0,34
CPT,45171,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,925.83,9868.0,266
CPT,45171,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) Age 21+",,,1033.92,1033.92,4
CPT,45171,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) Age Under 21",,,1052.72,1052.72,4
CPT,45172,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,925.83,12499.0,266
CPT,45172,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age 21+",,,1033.92,1033.92,4
CPT,45172,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21",,,1052.72,1052.72,4
CPT,45190,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,925.83,12499.0,266
CPT,45190,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach Age 21+",,,1033.92,1033.92,4
CPT,45190,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach Age Under 21",,,1052.72,1052.72,4
CPT,45300,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,81.26,5932.0,266
CPT,45300,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Age 21+",,,90.75,90.75,4
CPT,45300,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Age Under 21",,,92.4,92.4,4
CPT,45303,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,422.82,5932.0,266
CPT,45303,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Age 21+",,,472.19,472.19,4
CPT,45303,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Age Under 21",,,480.77,480.77,4
CPT,45305,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,422.82,5932.0,266
CPT,45305,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age 21+",,,472.19,472.19,4
CPT,45305,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21",,,480.77,480.77,4
CPT,45307,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,925.83,8858.0,266
CPT,45307,"Proctosigmoidoscopy, rigid; with removal of foreign body Age 21+",,,1033.92,1033.92,4
CPT,45307,"Proctosigmoidoscopy, rigid; with removal of foreign body Age Under 21",,,1052.72,1052.72,4
CPT,45308,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,925.83,6563.7,266
CPT,45308,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age 21+",,,1033.92,1033.92,4
CPT,45308,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21",,,1052.72,1052.72,4
CPT,45309,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,422.82,5932.0,266
CPT,45309,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Age 21+",,,472.19,472.19,4
CPT,45309,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21",,,480.77,480.77,4
CPT,45315,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,422.82,5932.0,266
CPT,45315,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Age 21+",,,472.19,472.19,4
CPT,45315,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Age Under 21",,,480.77,480.77,4
CPT,45317,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,422.82,6587.0,266
CPT,45317,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Age 21+",,,472.19,472.19,4
CPT,45317,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Age Under 21",,,480.77,480.77,4
CPT,45320,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,925.83,8858.0,266
CPT,45320,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) Age 21+",,,1033.92,1033.92,4
CPT,45320,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) Age Under 21",,,1052.72,1052.72,4
CPT,45321,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,925.83,8858.0,266
CPT,45321,"Proctosigmoidoscopy, rigid; with decompression of volvulus Age 21+",,,1033.92,1033.92,4
CPT,45321,"Proctosigmoidoscopy, rigid; with decompression of volvulus Age Under 21",,,1052.72,1052.72,4
CPT,45327,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,948.0,13386.32,266
CPT,45327,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Age 21+",,,2397.52,2397.52,4
CPT,45327,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Age Under 21",,,2441.11,2441.11,4
CPT,45330,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,128.71,5932.0,266
CPT,45330,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age 21+",,,143.74,143.74,4
CPT,45330,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age Under 21",,,146.35,146.35,4
CPT,45331,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,323.57,5932.0,266
CPT,45331,"Sigmoidoscopy, flexible; with biopsy, single or multiple Age 21+",,,361.35,361.35,4
CPT,45331,"Sigmoidoscopy, flexible; with biopsy, single or multiple Age Under 21",,,367.92,367.92,4
CPT,45332,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,422.82,5932.0,266
CPT,45332,"Sigmoidoscopy, flexible; with removal of foreign body(s) Age 21+",,,472.19,472.19,4
CPT,45332,"Sigmoidoscopy, flexible; with removal of foreign body(s) Age Under 21",,,480.77,480.77,4
CPT,45333,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,323.57,5932.0,266
CPT,45333,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age 21+",,,361.35,361.35,4
CPT,45333,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21",,,367.92,367.92,4
CPT,45334,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,422.82,5932.0,266
CPT,45334,"Sigmoidoscopy, flexible; with control of bleeding, any method Age 21+",,,472.19,472.19,4
CPT,45334,"Sigmoidoscopy, flexible; with control of bleeding, any method Age Under 21",,,480.77,480.77,4
CPT,45335,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,323.57,5932.0,266
CPT,45335,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age 21+",,,361.35,361.35,4
CPT,45335,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21",,,367.92,367.92,4
CPT,45337,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,323.57,5932.0,266
CPT,45337,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Age 21+",,,361.35,361.35,4
CPT,45337,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Age Under 21",,,367.92,367.92,4
CPT,45338,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,422.82,5932.0,266
CPT,45338,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age 21+",,,472.19,472.19,4
CPT,45338,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21",,,480.77,480.77,4
CPT,45339,SIGMOIDOSCOPY W/ABLATE TUMR ,,,2152.0,6587.0,34
CPT,45340,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,422.82,5932.0,266
CPT,45340,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age 21+",,,472.19,472.19,4
CPT,45340,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21",,,480.77,480.77,4
CPT,45341,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,323.57,5932.0,266
CPT,45341,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination Age 21+",,,361.35,361.35,4
CPT,45341,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination Age Under 21",,,367.92,367.92,4
CPT,45342,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,422.82,5932.0,266
CPT,45342,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) Age 21+",,,472.19,472.19,4
CPT,45342,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) Age Under 21",,,480.77,480.77,4
CPT,45345,SIGMOIDOSCOPY W/STENT ,,,2152.0,6587.0,34
CPT,45346,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,422.82,9012.0,266
CPT,45346,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Age 21+",,,472.19,472.19,4
CPT,45346,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Age Under 21",,,480.77,480.77,4
CPT,45347,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,266
CPT,45347,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Age 21+",,,3046.45,3046.45,4
CPT,45347,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Age Under 21",,,3101.84,3101.84,4
CPT,45349,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,925.83,9012.0,266
CPT,45349,"Sigmoidoscopy, flexible; with endoscopic mucosal resection Age 21+",,,1033.92,1033.92,4
CPT,45349,"Sigmoidoscopy, flexible; with endoscopic mucosal resection Age Under 21",,,1052.72,1052.72,4
CPT,45350,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,422.82,9012.0,266
CPT,45350,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Age 21+",,,472.19,472.19,4
CPT,45350,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Age Under 21",,,480.77,480.77,4
CPT,45355,SURGICAL COLONOSCOPY ,,,2152.0,6587.0,34
CPT,45378,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,323.57,6680.0,266
CPT,45378,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age 21+",,,361.35,361.35,4
CPT,45378,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Age Under 21",,,367.92,367.92,4
CPT,45379,"Colonoscopy, flexible; with removal of foreign body(s) ",,,422.82,6680.0,266
CPT,45379,"Colonoscopy, flexible; with removal of foreign body(s) Age 21+",,,472.19,472.19,4
CPT,45379,"Colonoscopy, flexible; with removal of foreign body(s) Age Under 21",,,480.77,480.77,4
CPT,45380,"Colonoscopy, flexible; with biopsy, single or multiple ",,,422.82,6680.0,266
CPT,45380,"Colonoscopy, flexible; with biopsy, single or multiple Age 21+",,,472.19,472.19,4
CPT,45380,"Colonoscopy, flexible; with biopsy, single or multiple Age Under 21",,,480.77,480.77,4
CPT,45381,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,422.82,6680.0,266
CPT,45381,"Colonoscopy, flexible; with directed submucosal injection(s), any substance Age 21+",,,472.19,472.19,4
CPT,45381,"Colonoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21",,,480.77,480.77,4
CPT,45382,"Colonoscopy, flexible; with control of bleeding, any method ",,,422.82,6680.0,266
CPT,45382,"Colonoscopy, flexible; with control of bleeding, any method Age 21+",,,472.19,472.19,4
CPT,45382,"Colonoscopy, flexible; with control of bleeding, any method Age Under 21",,,480.77,480.77,4
CPT,45383,LESION REMOVAL COLONOSCOPY ,,,2152.0,6587.0,34
CPT,45384,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,422.82,6680.0,266
CPT,45384,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age 21+",,,472.19,472.19,4
CPT,45384,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21",,,480.77,480.77,4
CPT,45385,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,422.82,6680.0,266
CPT,45385,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age 21+",,,472.19,472.19,4
CPT,45385,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21",,,480.77,480.77,4
CPT,45386,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,422.82,6680.0,266
CPT,45386,"Colonoscopy, flexible; with transendoscopic balloon dilation Age 21+",,,472.19,472.19,4
CPT,45386,"Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21",,,480.77,480.77,4
CPT,45387,COLONOSCOPY W/STENT ,,,2152.0,6587.0,34
CPT,45388,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,422.82,9012.0,266
CPT,45388,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Age 21+",,,472.19,472.19,4
CPT,45388,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Age Under 21",,,480.77,480.77,4
CPT,45389,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,266
CPT,45389,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) Age 21+",,,3082.04,3082.04,4
CPT,45389,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) Age Under 21",,,3138.07,3138.07,4
CPT,45390,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,925.83,9012.0,266
CPT,45390,"Colonoscopy, flexible; with endoscopic mucosal resection Age 21+",,,1033.92,1033.92,4
CPT,45390,"Colonoscopy, flexible; with endoscopic mucosal resection Age Under 21",,,1052.72,1052.72,4
CPT,45391,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,422.82,6680.0,266
CPT,45391,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures Age 21+",,,472.19,472.19,4
CPT,45391,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures Age Under 21",,,480.77,480.77,4
CPT,45392,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,422.82,6680.0,274
CPT,45393,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,422.82,9012.0,266
CPT,45393,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Age 21+",,,472.19,472.19,4
CPT,45393,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Age Under 21",,,480.77,480.77,4
CPT,45395,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,948.0,44390.1,198
CPT,45397,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,948.0,48290.73,198
CPT,45398,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,422.82,9012.0,266
CPT,45398,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Age 21+",,,472.19,472.19,4
CPT,45398,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Age Under 21",,,480.77,480.77,4
CPT,45399,"Unlisted procedure, colon ",,,938.87,9868.0,239
CPT,45400,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,948.0,25655.0,198
CPT,45402,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,948.0,34055.96,198
CPT,45499,"Unlisted laparoscopy procedure, rectum ",,,948.0,25655.0,199
CPT,45500,Proctoplasty; for stenosis ,,,925.83,8858.0,266
CPT,45500,Proctoplasty; for stenosis Age 21+,,,1033.92,1033.92,4
CPT,45500,Proctoplasty; for stenosis Age Under 21,,,1052.72,1052.72,4
CPT,45505,Proctoplasty; for prolapse of mucous membrane ,,,925.83,12360.0,266
CPT,45505,Proctoplasty; for prolapse of mucous membrane Age 21+,,,1033.92,1033.92,4
CPT,45505,Proctoplasty; for prolapse of mucous membrane Age Under 21,,,1052.72,1052.72,4
CPT,45520,Perirectal injection of sclerosing solution for prolapse ,,,938.87,5932.0,239
CPT,45540,"Proctopexy (eg, for prolapse); abdominal approach ",,,948.0,25655.0,194
CPT,45541,"Proctopexy (eg, for prolapse); perineal approach ",,,925.83,25655.0,266
CPT,45541,"Proctopexy (eg, for prolapse); perineal approach Age 21+",,,1033.92,1033.92,4
CPT,45541,"Proctopexy (eg, for prolapse); perineal approach Age Under 21",,,1052.72,1052.72,4
CPT,45550,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,948.0,32952.74,194
CPT,45560,Repair of rectocele (separate procedure) ,,,925.83,12360.0,266
CPT,45560,Repair of rectocele (separate procedure) Age 21+,,,1033.92,1033.92,4
CPT,45560,Repair of rectocele (separate procedure) Age Under 21,,,1052.72,1052.72,4
CPT,45562,"Exploration, repair, and presacral drainage for rectal injury; ",,,948.0,25655.0,194
CPT,45563,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,948.0,37086.43,194
CPT,45800,Closure of rectovesical fistula; ,,,948.0,28352.91,194
CPT,45805,Closure of rectovesical fistula; with colostomy ,,,948.0,33069.16,194
CPT,45820,Closure of rectourethral fistula; ,,,948.0,28515.9,194
CPT,45825,Closure of rectourethral fistula; with colostomy ,,,948.0,34530.06,194
CPT,45900,Reduction of procidentia (separate procedure) under anesthesia ,,,323.57,5932.0,266
CPT,45900,Reduction of procidentia (separate procedure) under anesthesia Age 21+,,,361.35,361.35,4
CPT,45900,Reduction of procidentia (separate procedure) under anesthesia Age Under 21,,,367.92,367.92,4
CPT,45905,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,422.82,5932.0,266
CPT,45905,Dilation of anal sphincter (separate procedure) under anesthesia other than local Age 21+,,,472.19,472.19,4
CPT,45905,Dilation of anal sphincter (separate procedure) under anesthesia other than local Age Under 21,,,480.77,480.77,4
CPT,45910,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,422.82,5932.0,266
CPT,45910,Dilation of rectal stricture (separate procedure) under anesthesia other than local Age 21+,,,472.19,472.19,4
CPT,45910,Dilation of rectal stricture (separate procedure) under anesthesia other than local Age Under 21,,,480.77,480.77,4
CPT,45915,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,422.82,5932.0,266
CPT,45915,Removal of fecal impaction or foreign body (separate procedure) under anesthesia Age 21+,,,472.19,472.19,4
CPT,45915,Removal of fecal impaction or foreign body (separate procedure) under anesthesia Age Under 21,,,480.77,480.77,4
CPT,45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,925.83,6680.0,266
CPT,45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age 21+",,,1033.92,1033.92,4
CPT,45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21",,,1052.72,1052.72,4
CPT,45999,"Unlisted procedure, rectum ",,,938.87,25655.0,195
CPT,46020,Placement of seton ,,,925.83,9908.0,266
CPT,46020,Placement of seton Age 21+,,,1033.92,1033.92,4
CPT,46020,Placement of seton Age Under 21,,,1052.72,1052.72,4
CPT,46030,"Removal of anal seton, other marker ",,,422.82,5932.0,266
CPT,46030,"Removal of anal seton, other marker Age 21+",,,472.19,472.19,4
CPT,46030,"Removal of anal seton, other marker Age Under 21",,,480.77,480.77,4
CPT,46040,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,422.82,9908.0,266
CPT,46040,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) Age 21+,,,472.19,472.19,4
CPT,46040,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) Age Under 21,,,480.77,480.77,4
CPT,46045,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,925.83,8858.0,266
CPT,46045,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age 21+",,,1033.92,1033.92,4
CPT,46045,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21",,,1052.72,1052.72,4
CPT,46050,"Incision and drainage, perianal abscess, superficial ",,,323.57,5932.0,266
CPT,46050,"Incision and drainage, perianal abscess, superficial Age 21+",,,361.35,361.35,4
CPT,46050,"Incision and drainage, perianal abscess, superficial Age Under 21",,,367.92,367.92,4
CPT,46060,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,925.83,6680.0,266
CPT,46060,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton Age 21+",,,1033.92,1033.92,4
CPT,46060,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton Age Under 21",,,1052.72,1052.72,4
CPT,46070,"Incision, anal septum (infant) ",,,925.83,25655.0,266
CPT,46070,"Incision, anal septum (infant) Age 21+",,,1033.92,1033.92,4
CPT,46070,"Incision, anal septum (infant) Age Under 21",,,1052.72,1052.72,4
CPT,46080,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,925.83,9908.0,266
CPT,46080,"Sphincterotomy, anal, division of sphincter (separate procedure) Age 21+",,,1033.92,1033.92,4
CPT,46080,"Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21",,,1052.72,1052.72,4
CPT,46083,"Incision of thrombosed hemorrhoid, external ",,,108.5,5932.0,266
CPT,46083,"Incision of thrombosed hemorrhoid, external Age 21+",,,121.17,121.17,4
CPT,46083,"Incision of thrombosed hemorrhoid, external Age Under 21",,,123.37,123.37,4
CPT,46200,"Fissurectomy, including sphincterotomy, when performed ",,,925.83,8858.0,266
CPT,46200,"Fissurectomy, including sphincterotomy, when performed Age 21+",,,1033.92,1033.92,4
CPT,46200,"Fissurectomy, including sphincterotomy, when performed Age Under 21",,,1052.72,1052.72,4
CPT,46210,REMOVAL OF ANAL CRYPT ,,,2152.0,6587.0,34
CPT,46211,REMOVAL OF ANAL CRYPTS ,,,2152.0,6587.0,34
CPT,46220,"Excision of single external papilla or tag, anus ",,,422.82,5932.0,266
CPT,46220,"Excision of single external papilla or tag, anus Age 21+",,,472.19,472.19,4
CPT,46220,"Excision of single external papilla or tag, anus Age Under 21",,,480.77,480.77,4
CPT,46221,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,161.17,5932.0,266
CPT,46221,"Hemorrhoidectomy, internal, by rubber band ligation(s) Age 21+",,,179.98,179.98,4
CPT,46221,"Hemorrhoidectomy, internal, by rubber band ligation(s) Age Under 21",,,183.25,183.25,4
CPT,46230,"Excision of multiple external papillae or tags, anus ",,,925.83,6563.7,266
CPT,46230,"Excision of multiple external papillae or tags, anus Age 21+",,,1033.92,1033.92,4
CPT,46230,"Excision of multiple external papillae or tags, anus Age Under 21",,,1052.72,1052.72,4
CPT,46250,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,925.83,9908.0,266
CPT,46250,"Hemorrhoidectomy, external, 2 or more columns/groups Age 21+",,,1033.92,1033.92,4
CPT,46250,"Hemorrhoidectomy, external, 2 or more columns/groups Age Under 21",,,1052.72,1052.72,4
CPT,46255,"Hemorrhoidectomy, internal and external, single column/group; ",,,925.83,9908.0,266
CPT,46255,"Hemorrhoidectomy, internal and external, single column/group; Age 21+",,,1033.92,1033.92,4
CPT,46255,"Hemorrhoidectomy, internal and external, single column/group; Age Under 21",,,1052.72,1052.72,4
CPT,46257,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,925.83,9908.0,266
CPT,46257,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy Age 21+",,,1033.92,1033.92,4
CPT,46257,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy Age Under 21",,,1052.72,1052.72,4
CPT,46258,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,925.83,9908.0,266
CPT,46258,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed Age 21+",,,1033.92,1033.92,4
CPT,46258,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed Age Under 21",,,1052.72,1052.72,4
CPT,46260,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,925.83,9908.0,266
CPT,46260,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; Age 21+",,,1033.92,1033.92,4
CPT,46260,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; Age Under 21",,,1052.72,1052.72,4
CPT,46261,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,925.83,19415.0,266
CPT,46261,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Age 21+",,,1033.92,1033.92,4
CPT,46261,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Age Under 21",,,1052.72,1052.72,4
CPT,46262,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,925.83,19415.0,266
CPT,46262,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed Age 21+",,,1033.92,1033.92,4
CPT,46262,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed Age Under 21",,,1052.72,1052.72,4
CPT,46270,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,925.83,9908.0,266
CPT,46270,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age 21+,,,1033.92,1033.92,4
CPT,46270,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21,,,1052.72,1052.72,4
CPT,46275,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,925.83,9908.0,266
CPT,46275,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age 21+,,,1033.92,1033.92,4
CPT,46275,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21,,,1052.72,1052.72,4
CPT,46280,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,925.83,19415.0,266
CPT,46280,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed Age 21+",,,1033.92,1033.92,4
CPT,46280,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed Age Under 21",,,1052.72,1052.72,4
CPT,46285,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,925.83,8858.0,266
CPT,46285,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age 21+,,,1033.92,1033.92,4
CPT,46285,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age Under 21,,,1052.72,1052.72,4
CPT,46288,Closure of anal fistula with rectal advancement flap ,,,925.83,19415.0,266
CPT,46288,Closure of anal fistula with rectal advancement flap Age 21+,,,1033.92,1033.92,4
CPT,46288,Closure of anal fistula with rectal advancement flap Age Under 21,,,1052.72,1052.72,4
CPT,46320,"Excision of thrombosed hemorrhoid, external ",,,123.8,5932.0,266
CPT,46320,"Excision of thrombosed hemorrhoid, external Age 21+",,,138.26,138.26,4
CPT,46320,"Excision of thrombosed hemorrhoid, external Age Under 21",,,140.77,140.77,4
CPT,46500,"Injection of sclerosing solution, hemorrhoids ",,,206.98,25655.0,222
CPT,46500,"Injection of sclerosing solution, hemorrhoids Age 21+",,,231.14,231.14,4
CPT,46500,"Injection of sclerosing solution, hemorrhoids Age Under 21",,,235.35,235.35,4
CPT,46505,Chemodenervation of internal anal sphincter ,,,422.82,5932.0,266
CPT,46505,Chemodenervation of internal anal sphincter Age 21+,,,472.19,472.19,4
CPT,46505,Chemodenervation of internal anal sphincter Age Under 21,,,480.77,480.77,4
CPT,46600,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,134.32,5932.0,239
CPT,46601,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,237.69,5932.0,239
CPT,46604,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,422.82,25655.0,266
CPT,46604,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age 21+",,,472.19,472.19,4
CPT,46604,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age Under 21",,,480.77,480.77,4
CPT,46606,"Anoscopy; with biopsy, single or multiple ",,,198.25,25655.0,266
CPT,46606,"Anoscopy; with biopsy, single or multiple Age 21+",,,221.4,221.4,4
CPT,46606,"Anoscopy; with biopsy, single or multiple Age Under 21",,,225.42,225.42,4
CPT,46607,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,948.0,9012.0,239
CPT,46608,Anoscopy; with removal of foreign body ,,,323.57,5932.0,266
CPT,46608,Anoscopy; with removal of foreign body Age 21+,,,361.35,361.35,4
CPT,46608,Anoscopy; with removal of foreign body Age Under 21,,,367.92,367.92,4
CPT,46610,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,925.83,8858.0,266
CPT,46610,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age 21+",,,1033.92,1033.92,4
CPT,46610,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21",,,1052.72,1052.72,4
CPT,46611,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,323.57,5932.0,266
CPT,46611,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Age 21+",,,361.35,361.35,4
CPT,46611,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21",,,367.92,367.92,4
CPT,46612,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,925.83,8858.0,266
CPT,46612,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Age 21+",,,1033.92,1033.92,4
CPT,46612,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Age Under 21",,,1052.72,1052.72,4
CPT,46614,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,108.8,25655.0,266
CPT,46614,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Age 21+",,,121.51,121.51,4
CPT,46614,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Age Under 21",,,123.72,123.72,4
CPT,46615,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,925.83,8858.0,266
CPT,46615,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique Age 21+",,,1033.92,1033.92,4
CPT,46615,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique Age Under 21",,,1052.72,1052.72,4
CPT,46700,"Anoplasty, plastic operation for stricture; adult ",,,925.83,9908.0,266
CPT,46700,"Anoplasty, plastic operation for stricture; adult Age 21+",,,1033.92,1033.92,4
CPT,46700,"Anoplasty, plastic operation for stricture; adult Age Under 21",,,1052.72,1052.72,4
CPT,46705,"Anoplasty, plastic operation for stricture; infant ",,,948.0,25655.0,194
CPT,46706,Repair of anal fistula with fibrin glue ,,,925.83,8858.0,266
CPT,46706,Repair of anal fistula with fibrin glue Age 21+,,,1033.92,1033.92,4
CPT,46706,Repair of anal fistula with fibrin glue Age Under 21,,,1052.72,1052.72,4
CPT,46707,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,948.0,12499.0,222
CPT,46707,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Age 21+",,,1357.3,1357.3,4
CPT,46707,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Age Under 21",,,1381.98,1381.98,4
CPT,46710,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,948.0,25655.0,238
CPT,46712,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,948.0,50303.15,238
CPT,46715,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,948.0,25655.0,194
CPT,46716,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,948.0,27288.28,194
CPT,46730,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,948.0,44328.01,194
CPT,46735,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,948.0,51157.78,194
CPT,46740,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,948.0,48446.18,194
CPT,46742,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,948.0,56122.84,194
CPT,46744,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,948.0,78671.58,194
CPT,46746,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,948.0,87855.71,194
CPT,46748,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,948.0,95361.6,194
CPT,46750,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,925.83,12360.0,266
CPT,46750,"Sphincteroplasty, anal, for incontinence or prolapse; adult Age 21+",,,1033.92,1033.92,4
CPT,46750,"Sphincteroplasty, anal, for incontinence or prolapse; adult Age Under 21",,,1052.72,1052.72,4
CPT,46751,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,948.0,25655.0,194
CPT,46753,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,925.83,9908.0,266
CPT,46753,Graft (Thiersch operation) for rectal incontinence and/or prolapse Age 21+,,,1033.92,1033.92,4
CPT,46753,Graft (Thiersch operation) for rectal incontinence and/or prolapse Age Under 21,,,1052.72,1052.72,4
CPT,46754,"Removal of Thiersch wire or suture, anal canal ",,,925.83,6680.0,266
CPT,46754,"Removal of Thiersch wire or suture, anal canal Age 21+",,,1033.92,1033.92,4
CPT,46754,"Removal of Thiersch wire or suture, anal canal Age Under 21",,,1052.72,1052.72,4
CPT,46760,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,925.83,12360.0,266
CPT,46760,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant Age 21+",,,1033.92,1033.92,4
CPT,46760,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant Age Under 21",,,1052.72,1052.72,4
CPT,46761,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,925.83,12360.0,266
CPT,46761,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Age 21+",,,1033.92,1033.92,4
CPT,46761,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Age Under 21",,,1052.72,1052.72,4
CPT,46762,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,5694.0,7168.0,42
CPT,46900,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,135.8,5932.0,266
CPT,46900,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Age 21+",,,151.66,151.66,4
CPT,46900,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Age Under 21",,,154.41,154.41,4
CPT,46910,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,157.62,25655.0,266
CPT,46910,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Age 21+",,,176.02,176.02,4
CPT,46910,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Age Under 21",,,179.22,179.22,4
CPT,46916,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,73.22,6680.0,266
CPT,46916,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Age 21+",,,81.77,81.77,4
CPT,46916,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Age Under 21",,,83.26,83.26,4
CPT,46917,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,925.83,8858.0,266
CPT,46917,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Age 21+",,,1033.92,1033.92,4
CPT,46917,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Age Under 21",,,1052.72,1052.72,4
CPT,46922,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,925.83,8858.0,266
CPT,46922,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Age 21+",,,1033.92,1033.92,4
CPT,46922,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Age Under 21",,,1052.72,1052.72,4
CPT,46924,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,925.83,8858.0,266
CPT,46924,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age 21+",,,1033.92,1033.92,4
CPT,46924,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21",,,1052.72,1052.72,4
CPT,46930,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,128.99,9868.0,266
CPT,46930,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) Age 21+",,,144.04,144.04,4
CPT,46930,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) Age Under 21",,,146.66,146.66,4
CPT,46934,DESTRUCTION OF HEMORRHOIDS ,,,2152.0,6587.0,34
CPT,46935,DESTRUCTION OF HEMORRHOIDS ,,,2152.0,6587.0,34
CPT,46936,DESTRUCTION OF HEMORRHOIDS ,,,2152.0,6587.0,34
CPT,46937,CRYOTHERAPY OF RECTAL LESION ,,,2152.0,6587.0,34
CPT,46938,CRYOTHERAPY OF RECTAL LESION ,,,2152.0,6587.0,34
CPT,46940,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,145.07,25655.0,266
CPT,46940,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age 21+",,,162.01,162.01,4
CPT,46940,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21",,,164.95,164.95,4
CPT,46942,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,938.87,5932.0,239
CPT,46945,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,925.83,25655.0,266
CPT,46945,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance Age 21+",,,1033.92,1033.92,4
CPT,46945,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance Age Under 21",,,1052.72,1052.72,4
CPT,46946,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,925.83,8858.0,266
CPT,46946,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance Age 21+",,,1033.92,1033.92,4
CPT,46946,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance Age Under 21",,,1052.72,1052.72,4
CPT,46947,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,948.0,23113.0,239
CPT,46948,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,925.83,18747.0,266
CPT,46948,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed Age 21+",,,1033.92,1033.92,4
CPT,46948,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed Age Under 21",,,1052.72,1052.72,4
CPT,46999,"Unlisted procedure, anus ",,,938.87,25655.0,239
CPT,47000,"Biopsy of liver, needle; percutaneous ",,,479.15,5932.0,266
CPT,47000,"Biopsy of liver, needle; percutaneous Age 21+",,,535.1,535.1,4
CPT,47000,"Biopsy of liver, needle; percutaneous Age Under 21",,,544.82,544.82,4
CPT,47001,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,47010,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,948.0,27327.3,194
CPT,47011,PERCUT DRAIN LIVER LESION ,,,2152.0,6587.0,34
CPT,47015,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,948.0,26254.91,194
CPT,47100,"Biopsy of liver, wedge ",,,948.0,25655.0,194
CPT,47120,"Hepatectomy, resection of liver; partial lobectomy ",,,948.0,52673.02,194
CPT,47122,"Hepatectomy, resection of liver; trisegmentectomy ",,,948.0,77443.95,194
CPT,47125,"Hepatectomy, resection of liver; total left lobectomy ",,,948.0,69572.83,194
CPT,47130,"Hepatectomy, resection of liver; total right lobectomy ",,,948.0,74747.66,194
CPT,47133,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,948.0,41352.08,194
CPT,47134,"PARTIAL REMOVAL, DONOR LIVER ",,,2152.0,6587.0,34
CPT,47135,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,948.0,121445.54,194
CPT,47136,TRANSPLANTATION OF LIVER ,,,2152.0,6587.0,34
CPT,47140,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,948.0,80544.06,194
CPT,47141,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,948.0,96418.26,194
CPT,47142,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,948.0,106092.02,194
CPT,47143,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,948.0,52362.13,194
CPT,47144,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,948.0,50085.6,194
CPT,47145,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,948.0,48951.12,194
CPT,47146,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,948.0,25655.0,194
CPT,47147,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,948.0,25655.0,194
CPT,47300,Marsupialization of cyst or abscess of liver ,,,948.0,25655.0,194
CPT,47350,Management of liver hemorrhage; simple suture of liver wound or injury ,,,948.0,30846.97,194
CPT,47360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,948.0,42331.12,194
CPT,47361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,948.0,68376.25,194
CPT,47362,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,948.0,32727.43,194
CPT,47370,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,948.0,25750.0,199
CPT,47371,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,948.0,25750.0,199
CPT,47379,"Unlisted laparoscopic procedure, liver ",,,948.0,25655.0,199
CPT,47380,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,948.0,32509.89,238
CPT,47381,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,948.0,32999.3,238
CPT,47382,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,948.0,25655.0,266
CPT,47382,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency Age 21+",,,2077.74,2077.74,4
CPT,47382,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency Age Under 21",,,2115.51,2115.51,4
CPT,47383,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,948.0,33769.0,266
CPT,47383,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation Age 21+",,,3095.2,3095.2,4
CPT,47383,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation Age Under 21",,,3151.48,3151.48,4
CPT,47384,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,948.0,30408.2,148
CPT,47399,"Unlisted procedure, liver ",,,714.92,25655.0,195
CPT,47400,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,948.0,48655.96,194
CPT,47420,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,948.0,30225.4,194
CPT,47425,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,948.0,30854.73,194
CPT,47460,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,948.0,28523.88,194
CPT,47480,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,948.0,25655.0,194
CPT,47490,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,948.0,25655.0,195
CPT,47500,INJECTION FOR LIVER X-RAYS ,,,2152.0,6587.0,34
CPT,47505,INJECTION FOR LIVER X-RAYS ,,,2152.0,6587.0,34
CPT,47510,INSERT CATHETER BILE DUCT ,,,2152.0,6587.0,34
CPT,47511,INSERT BILE DUCT DRAIN ,,,2152.0,6587.0,34
CPT,47525,CHANGE BILE DUCT CATHETER ,,,2152.0,6587.0,34
CPT,47530,REVISE/REINSERT BILE TUBE ,,,2152.0,6587.0,34
CPT,47531,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,948.0,12360.0,239
CPT,47532,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,948.0,12499.0,239
CPT,47533,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,948.0,12499.0,274
CPT,47534,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,948.0,12499.0,274
CPT,47535,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,948.0,12499.0,274
CPT,47536,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,948.0,12499.0,274
CPT,47537,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,329.93,5932.0,274
CPT,47538,PLCMT STNT BILE DUCT,29991.83,29991.83,3299.1,29991.83,37
CPT,47538,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",29991.83,29991.83,948.0,21630.0,274
CPT,47539,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,948.0,21630.0,274
CPT,47540,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,948.0,21630.0,274
CPT,47541,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,948.0,12499.0,274
CPT,47542,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,948.0,5932.0,142
CPT,47543,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,948.0,5932.0,142
CPT,47544,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,948.0,5932.0,142
CPT,47550,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,47552,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,948.0,12360.0,266
CPT,47552,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) Age 21+",,,1266.69,1266.69,4
CPT,47552,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) Age Under 21",,,1289.72,1289.72,4
CPT,47553,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,948.0,21630.0,266
CPT,47553,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age 21+",,,1266.69,1266.69,4
CPT,47553,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age Under 21",,,1289.72,1289.72,4
CPT,47554,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,948.0,21630.0,266
CPT,47554,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age 21+",,,2077.74,2077.74,4
CPT,47554,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21",,,2115.51,2115.51,4
CPT,47555,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,948.0,12360.0,266
CPT,47555,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent Age 21+",,,1715.04,1715.04,4
CPT,47555,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent Age Under 21",,,1746.23,1746.23,4
CPT,47556,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,948.0,21630.0,266
CPT,47556,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age 21+",,,3101.27,3101.27,4
CPT,47556,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age Under 21",,,3157.66,3157.66,4
CPT,47560,LAPAROSCOPY W/CHOLANGIO ,,,2152.0,6587.0,39
CPT,47561,LAPARO W/CHOLANGIO/BIOPSY ,,,2152.0,6587.0,39
CPT,47562,"Laparoscopy, surgical; cholecystectomy ",,,1860.52,21630.0,166
CPT,47562,"Laparoscopy, surgical; cholecystectomy Age 21+",,,2077.74,2077.74,4
CPT,47562,"Laparoscopy, surgical; cholecystectomy Age Under 21",,,2115.51,2115.51,4
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1860.52,21630.0,166
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography Age 21+",,,2077.74,2077.74,4
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21",,,2115.51,2115.51,4
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1860.52,21630.0,208
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct Age 21+",,,2077.74,2077.74,4
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21",,,2115.51,2115.51,4
CPT,47570,"Laparoscopy, surgical; cholecystoenterostomy ",,,2152.0,25655.0,180
CPT,47579,"Unlisted laparoscopy procedure, biliary tract ",,,2369.0,25655.0,181
CPT,47600,Cholecystectomy; ,,,2152.0,25655.0,220
CPT,47605,Cholecystectomy; with cholangiography ,,,2152.0,25655.0,220
CPT,47610,Cholecystectomy with exploration of common duct; ,,,948.0,76895.0,235
CPT,47612,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,948.0,76895.0,235
CPT,47620,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,948.0,30753.83,235
CPT,47630,REMOVE BILE DUCT STONE ,,,2152.0,6587.0,34
CPT,47700,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,948.0,25655.0,194
CPT,47701,"Portoenterostomy (eg, Kasai procedure) ",,,948.0,38508.32,194
CPT,47711,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,948.0,35066.05,194
CPT,47712,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,948.0,44972.87,194
CPT,47715,Excision of choledochal cyst ,,,948.0,29883.45,194
CPT,47716,FUSION OF BILE DUCT CYST ,,,2152.0,6587.0,34
CPT,47719,FUSION OF BILE DUCT CYST ,,,2152.0,6587.0,34
CPT,47720,Cholecystoenterostomy; direct ,,,948.0,25975.27,194
CPT,47721,Cholecystoenterostomy; with gastroenterostomy ,,,948.0,30575.1,194
CPT,47740,Cholecystoenterostomy; Roux-en-Y ,,,948.0,29339.71,194
CPT,47741,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,948.0,33232.37,194
CPT,47760,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,948.0,50870.39,194
CPT,47765,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,948.0,68352.96,194
CPT,47780,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,948.0,55858.73,194
CPT,47785,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,948.0,73380.11,194
CPT,47800,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,948.0,35392.46,194
CPT,47801,Placement of choledochal stent ,,,948.0,25655.0,194
CPT,47802,U-tube hepaticoenterostomy ,,,2152.0,16144.0,42
CPT,47900,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,948.0,30885.78,194
CPT,47999,"Unlisted procedure, biliary tract ",,,915.67,25655.0,195
CPT,48000,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,948.0,42494.33,194
CPT,48001,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,948.0,51802.86,194
CPT,48005,RESECT/DEBRIDE PANCREAS ,,,2152.0,6587.0,34
CPT,48020,Removal of pancreatic calculus ,,,948.0,26565.8,194
CPT,48100,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,948.0,25655.0,194
CPT,48102,"Biopsy of pancreas, percutaneous needle ",,,479.15,5932.0,266
CPT,48102,"Biopsy of pancreas, percutaneous needle Age 21+",,,535.1,535.1,4
CPT,48102,"Biopsy of pancreas, percutaneous needle Age Under 21",,,544.82,544.82,4
CPT,48105,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,948.0,64056.05,194
CPT,48120,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,948.0,25655.0,194
CPT,48140,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,948.0,35314.85,194
CPT,48145,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,948.0,36783.3,194
CPT,48146,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,948.0,42354.4,194
CPT,48148,Excision of ampulla of Vater ,,,948.0,28111.87,194
CPT,48150,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,948.0,70396.42,194
CPT,48152,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,948.0,65175.02,194
CPT,48153,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,948.0,70070.22,194
CPT,48154,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,948.0,65571.29,194
CPT,48155,"Pancreatectomy, total ",,,948.0,40924.76,194
CPT,48160,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,948.0,23307.22,146
CPT,48180,FUSE PANCREAS AND BOWEL ,,,2152.0,6587.0,34
CPT,48400,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,948.0,25655.0,194
CPT,48500,Marsupialization of pancreatic cyst ,,,948.0,25967.51,194
CPT,48510,"External drainage, pseudocyst of pancreas, open ",,,948.0,25655.0,194
CPT,48511,DRAIN PANCREATIC PSEUDOCYST ,,,2152.0,6587.0,34
CPT,48520,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,948.0,25655.0,194
CPT,48540,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,948.0,29417.33,194
CPT,48545,Pancreatorrhaphy for injury ,,,948.0,30233.16,194
CPT,48547,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,948.0,40326.47,194
CPT,48548,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,948.0,37467.18,194
CPT,48550,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,948.0,29386.28,162
CPT,48551,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,948.0,40979.09,162
CPT,48552,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,948.0,25655.0,162
CPT,48554,Transplantation of pancreatic allograft ,,,948.0,57420.53,162
CPT,48556,Removal of transplanted pancreatic allograft ,,,948.0,28710.16,162
CPT,48999,"Unlisted procedure, pancreas ",,,714.92,25655.0,195
CPT,49000,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,948.0,25655.0,238
CPT,49002,Reopening of recent laparotomy ,,,948.0,25655.0,194
CPT,49010,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,948.0,25655.0,238
CPT,49013,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,948.0,25655.0,194
CPT,49014,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,948.0,25655.0,194
CPT,49020,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,948.0,35843.07,194
CPT,49021,DRAIN ABDOMINAL ABSCESS ,,,2152.0,6587.0,34
CPT,49040,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,948.0,25655.0,194
CPT,49041,DRAIN PERCUT ABDOM ABSCESS ,,,2152.0,6587.0,34
CPT,49060,"Drainage of retroperitoneal abscess, open ",,,948.0,25655.0,194
CPT,49061,DRAIN PERCUT RETROPER ABSC ,,,2152.0,6587.0,34
CPT,49062,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,948.0,25655.0,194
CPT,49080,PUNCTURE PERITONEAL CAVITY ,,,2152.0,6587.0,34
CPT,49081,REMOVAL OF ABDOMINAL FLUID ,,,2152.0,6587.0,34
CPT,49082,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,329.93,6680.0,266
CPT,49082,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance Age 21+,,,368.44,368.44,4
CPT,49082,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance Age Under 21,,,375.14,375.14,4
CPT,49083,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,329.93,6680.0,266
CPT,49083,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance Age 21+,,,368.44,368.44,4
CPT,49083,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance Age Under 21,,,375.14,375.14,4
CPT,49084,"Peritoneal lavage, including imaging guidance, when performed ",,,329.93,6680.0,266
CPT,49084,"Peritoneal lavage, including imaging guidance, when performed Age 21+",,,368.44,368.44,4
CPT,49084,"Peritoneal lavage, including imaging guidance, when performed Age Under 21",,,375.14,375.14,4
CPT,49085,REMOVE ABDOMEN FOREIGN BODY ,,,2152.0,6587.0,34
CPT,49180,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,479.15,5932.0,266
CPT,49180,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age 21+",,,535.1,535.1,4
CPT,49180,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21",,,544.82,544.82,4
CPT,49185,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,948.0,18747.0,239
CPT,49186,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,948.0,28858.92,114
CPT,49187,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,948.0,36881.18,114
CPT,49188,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,948.0,44070.36,114
CPT,49189,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,948.0,51266.66,114
CPT,49190,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,948.0,63197.53,114
CPT,49200,REMOVAL OF ABDOMINAL LESION ,,,2152.0,6587.0,34
CPT,49201,"REMOVE ABDOM LESION, COMPLEX ",,,2152.0,6587.0,34
CPT,49203,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,3796.0,5381.0,42
CPT,49204,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8024.0,9417.0,42
CPT,49205,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8024.0,9417.0,42
CPT,49215,Excision of presacral or sacrococcygeal tumor ,,,948.0,49945.68,194
CPT,49220,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,2152.0,16144.0,42
CPT,49250,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,948.0,19415.0,266
CPT,49250,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age 21+",,,1266.69,1266.69,4
CPT,49250,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age Under 21",,,1289.72,1289.72,4
CPT,49255,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,948.0,25655.0,238
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1860.52,17510.0,211
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Age 21+",,,2077.74,2077.74,4
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Age Under 21",,,2115.51,2115.51,4
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1860.52,17510.0,208
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) Age 21+",,,2077.74,2077.74,4
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21",,,2115.51,2115.51,4
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1860.52,17510.0,208
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Age 21+",,,2077.74,2077.74,4
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Age Under 21",,,2115.51,2115.51,4
CPT,49323,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2369.0,17510.0,181
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1860.52,17510.0,208
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Age 21+",,,2077.74,2077.74,4
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Age Under 21",,,2115.51,2115.51,4
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1860.52,17510.0,208
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Age 21+",,,2077.74,2077.74,4
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Age Under 21",,,2115.51,2115.51,4
CPT,49326,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1481.0,12499.0,132
CPT,49327,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1481.0,12499.0,132
CPT,49329,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2369.0,25655.0,181
CPT,49400,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,948.0,5932.0,142
CPT,49402,Removal of peritoneal foreign body from peritoneal cavity ,,,948.0,12360.0,266
CPT,49402,Removal of peritoneal foreign body from peritoneal cavity Age 21+,,,1266.69,1266.69,4
CPT,49402,Removal of peritoneal foreign body from peritoneal cavity Age Under 21,,,1289.72,1289.72,4
CPT,49405,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,948.0,12499.0,239
CPT,49406,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,479.15,12499.0,266
CPT,49406,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous Age 21+",,,535.1,535.1,4
CPT,49406,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous Age Under 21",,,544.82,544.82,4
CPT,49407,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,479.15,9908.0,266
CPT,49407,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal Age 21+",,,535.1,535.1,4
CPT,49407,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal Age Under 21",,,544.82,544.82,4
CPT,49411,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,291.79,5932.0,274
CPT,49412,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,948.0,25655.0,194
CPT,49418,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,948.0,12499.0,274
CPT,49419,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,948.0,21630.0,266
CPT,49419,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) Age 21+",,,2133.07,2133.07,4
CPT,49419,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) Age Under 21",,,2171.85,2171.85,4
CPT,49420,"INSERT ABDOM DRAIN, TEMP ",,,2152.0,6587.0,34
CPT,49421,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,948.0,12360.0,266
CPT,49421,"Insertion of tunneled intraperitoneal catheter for dialysis, open Age 21+",,,1266.69,1266.69,4
CPT,49421,"Insertion of tunneled intraperitoneal catheter for dialysis, open Age Under 21",,,1289.72,1289.72,4
CPT,49422,Removal of tunneled intraperitoneal catheter ,,,948.0,12360.0,266
CPT,49422,Removal of tunneled intraperitoneal catheter Age 21+,,,1230.04,1230.04,4
CPT,49422,Removal of tunneled intraperitoneal catheter Age Under 21,,,1252.41,1252.41,4
CPT,49423,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,556.5,25655.0,266
CPT,49423,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) Age 21+,,,621.47,621.47,4
CPT,49423,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) Age Under 21,,,632.77,632.77,4
CPT,49424,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,948.0,5932.0,142
CPT,49425,Insertion of peritoneal-venous shunt ,,,948.0,25655.0,238
CPT,49426,Revision of peritoneal-venous shunt ,,,948.0,12360.0,266
CPT,49426,Revision of peritoneal-venous shunt Age 21+,,,1266.69,1266.69,4
CPT,49426,Revision of peritoneal-venous shunt Age Under 21,,,1289.72,1289.72,4
CPT,49427,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,948.0,5932.0,142
CPT,49428,Ligation of peritoneal-venous shunt ,,,948.0,25655.0,194
CPT,49429,Removal of peritoneal-venous shunt ,,,948.0,25655.0,266
CPT,49429,Removal of peritoneal-venous shunt Age 21+,,,1230.04,1230.04,4
CPT,49429,Removal of peritoneal-venous shunt Age Under 21,,,1252.41,1252.41,4
CPT,49435,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,948.0,5932.0,142
CPT,49436,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,556.5,8485.0,266
CPT,49436,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter Age 21+,,,621.47,621.47,4
CPT,49436,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter Age Under 21,,,632.77,632.77,4
CPT,49440,INS GASTRO TUBE PERC,8370.34,8370.34,920.74,8370.34,37
CPT,49440,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",8370.34,8370.34,556.5,6680.0,266
CPT,49440,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",8370.34,8370.34,621.47,621.47,4
CPT,49440,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",8370.34,8370.34,632.77,632.77,4
CPT,49441,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,556.5,6680.0,266
CPT,49441,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",,,621.47,621.47,4
CPT,49441,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",,,632.77,632.77,4
CPT,49442,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,422.82,9868.0,266
CPT,49442,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",,,472.19,472.19,4
CPT,49442,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",,,480.77,480.77,4
CPT,49446,CVRT GASTR TO GSJEJ TUBE,8370.34,8370.34,920.74,8370.34,37
CPT,49446,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",8370.34,8370.34,556.5,5932.0,266
CPT,49446,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",8370.34,8370.34,621.47,621.47,4
CPT,49446,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",8370.34,8370.34,632.77,632.77,4
CPT,49450,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,329.93,5932.0,266
CPT,49450,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",,,368.44,368.44,4
CPT,49450,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",,,375.14,375.14,4
CPT,49451,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,329.93,5932.0,266
CPT,49451,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",,,368.44,368.44,4
CPT,49451,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",,,375.14,375.14,4
CPT,49452,RPLC GASTROJEJNSTY TUBE,3189.59,3189.59,350.85,3189.59,37
CPT,49452,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",3189.59,3189.59,329.93,5932.0,266
CPT,49452,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age 21+",3189.59,3189.59,368.44,368.44,4
CPT,49452,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Age Under 21",3189.59,3189.59,375.14,375.14,4
CPT,49460,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,329.93,5932.0,274
CPT,49465,CONT INJ GS/ DU/ JJ/ GJ/,1362.1,1362.1,149.83,1362.1,37
CPT,49465,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",1362.1,1362.1,240.89,5932.0,239
CPT,49491,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,948.0,25655.0,239
CPT,49492,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,948.0,25655.0,239
CPT,49495,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,948.0,19415.0,274
CPT,49496,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,948.0,19415.0,274
CPT,49500,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,948.0,19415.0,266
CPT,49500,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Age 21+",,,1266.69,1266.69,4
CPT,49500,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Age Under 21",,,1289.72,1289.72,4
CPT,49501,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,948.0,19415.0,266
CPT,49501,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated Age 21+",,,1266.69,1266.69,4
CPT,49501,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated Age Under 21",,,1289.72,1289.72,4
CPT,49505,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1134.27,19415.0,248
CPT,49505,"Repair initial inguinal hernia, age 5 years or older; reducible Age 21+",,,1266.69,1266.69,4
CPT,49505,"Repair initial inguinal hernia, age 5 years or older; reducible Age Under 21",,,1289.72,1289.72,4
CPT,49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1134.27,19415.0,251
CPT,49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age 21+",,,1266.69,1266.69,4
CPT,49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21",,,1289.72,1289.72,4
CPT,49520,"Repair recurrent inguinal hernia, any age; reducible ",,,1134.27,19415.0,251
CPT,49520,"Repair recurrent inguinal hernia, any age; reducible Age 21+",,,1266.69,1266.69,4
CPT,49520,"Repair recurrent inguinal hernia, any age; reducible Age Under 21",,,1289.72,1289.72,4
CPT,49521,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1134.27,19415.0,251
CPT,49521,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age 21+",,,1266.69,1266.69,4
CPT,49521,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21",,,1289.72,1289.72,4
CPT,49525,"Repair inguinal hernia, sliding, any age ",,,1134.27,19415.0,251
CPT,49525,"Repair inguinal hernia, sliding, any age Age 21+",,,1266.69,1266.69,4
CPT,49525,"Repair inguinal hernia, sliding, any age Age Under 21",,,1289.72,1289.72,4
CPT,49540,Repair lumbar hernia ,,,1860.52,13534.39,251
CPT,49540,Repair lumbar hernia Age 21+,,,2077.74,2077.74,4
CPT,49540,Repair lumbar hernia Age Under 21,,,2115.51,2115.51,4
CPT,49550,"Repair initial femoral hernia, any age; reducible ",,,1134.27,18490.0,251
CPT,49550,"Repair initial femoral hernia, any age; reducible Age 21+",,,1266.69,1266.69,4
CPT,49550,"Repair initial femoral hernia, any age; reducible Age Under 21",,,1289.72,1289.72,4
CPT,49553,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1134.27,19415.0,251
CPT,49553,"Repair initial femoral hernia, any age; incarcerated or strangulated Age 21+",,,1266.69,1266.69,4
CPT,49553,"Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21",,,1289.72,1289.72,4
CPT,49555,Repair recurrent femoral hernia; reducible ,,,1134.27,18490.0,251
CPT,49555,Repair recurrent femoral hernia; reducible Age 21+,,,1266.69,1266.69,4
CPT,49555,Repair recurrent femoral hernia; reducible Age Under 21,,,1289.72,1289.72,4
CPT,49557,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1134.27,19415.0,251
CPT,49557,Repair recurrent femoral hernia; incarcerated or strangulated Age 21+,,,1266.69,1266.69,4
CPT,49557,Repair recurrent femoral hernia; incarcerated or strangulated Age Under 21,,,1289.72,1289.72,4
CPT,49560,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,2369.0,7168.0,47
CPT,49561,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,2369.0,7168.0,47
CPT,49565,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,2369.0,7168.0,47
CPT,49566,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,2369.0,7168.0,47
CPT,49568,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2152.0,2636.0,34
CPT,49570,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,5694.0,7168.0,42
CPT,49572,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,42
CPT,49580,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,5694.0,7168.0,42
CPT,49582,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,42
CPT,49585,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,5694.0,7168.0,42
CPT,49587,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,42
CPT,49590,REPAIR SPIGELIAN HERNIA ,,,5694.0,7168.0,42
CPT,49591,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,19415.0,274
CPT,49592,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,21630.0,274
CPT,49593,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,19415.0,274
CPT,49594,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,21630.0,274
CPT,49595,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,19415.0,274
CPT,49596,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,23698.54,238
CPT,49600,"Repair of small omphalocele, with primary closure ",,,948.0,19415.0,266
CPT,49600,"Repair of small omphalocele, with primary closure Age 21+",,,1266.69,1266.69,4
CPT,49600,"Repair of small omphalocele, with primary closure Age Under 21",,,1289.72,1289.72,4
CPT,49605,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,948.0,110738.41,238
CPT,49606,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,948.0,25655.0,194
CPT,49610,Repair of omphalocele (Gross type operation); first stage ,,,948.0,25655.0,194
CPT,49611,Repair of omphalocele (Gross type operation); second stage ,,,948.0,25655.0,194
CPT,49613,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,19415.0,274
CPT,49614,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,21630.0,274
CPT,49615,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,19415.0,274
CPT,49616,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,21630.0,238
CPT,49617,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,21630.0,238
CPT,49618,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,28718.14,238
CPT,49621,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,948.0,21630.0,238
CPT,49622,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,948.0,21630.0,238
CPT,49623,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,948.0,6587.0,142
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1860.52,21630.0,208
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia Age 21+",,,2077.74,2077.74,4
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia Age Under 21",,,2115.51,2115.51,4
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1860.52,21630.0,208
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia Age 21+",,,2077.74,2077.74,4
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia Age Under 21",,,2115.51,2115.51,4
CPT,49652,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,2369.0,9417.0,47
CPT,49653,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,2369.0,9417.0,47
CPT,49654,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,2369.0,9417.0,47
CPT,49655,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,2369.0,9417.0,47
CPT,49656,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,2369.0,9417.0,47
CPT,49657,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,2369.0,9417.0,47
CPT,49659,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,2369.0,25655.0,181
CPT,49900,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,948.0,25655.0,194
CPT,49904,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,948.0,31826.01,194
CPT,49905,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,49906,Free omental flap with microvascular anastomosis ,,,948.0,36425.84,194
CPT,49999,"Unlisted procedure, abdomen, peritoneum and omentum ",,,915.67,25655.0,239
CPT,50010,"Renal exploration, not necessitating other specific procedures ",,,948.0,25655.0,194
CPT,50020,"Drainage of perirenal or renal abscess, open ",,,948.0,25655.0,239
CPT,50021,RENAL ABSCESS PERCUT DRAIN ,,,2152.0,6587.0,34
CPT,50040,"Nephrostomy, nephrotomy with drainage ",,,948.0,25655.0,238
CPT,50045,"Nephrotomy, with exploration ",,,948.0,25655.0,194
CPT,50060,Nephrolithotomy; removal of calculus ,,,948.0,25655.0,194
CPT,50065,Nephrolithotomy; secondary surgical operation for calculus ,,,948.0,27179.61,194
CPT,50070,Nephrolithotomy; complicated by congenital kidney abnormality ,,,948.0,26658.94,194
CPT,50075,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,948.0,32735.19,194
CPT,50080,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,948.0,25655.0,251
CPT,50081,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,948.0,25655.0,251
CPT,50100,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,948.0,25655.0,194
CPT,50120,Pyelotomy; with exploration ,,,948.0,25655.0,194
CPT,50125,"Pyelotomy; with drainage, pyelostomy ",,,948.0,25655.0,194
CPT,50130,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,948.0,25655.0,194
CPT,50135,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,2152.0,16144.0,42
CPT,50200,"Renal biopsy; percutaneous, by trocar or needle ",,,479.15,5932.0,266
CPT,50200,"Renal biopsy; percutaneous, by trocar or needle Age 21+",,,535.1,535.1,4
CPT,50200,"Renal biopsy; percutaneous, by trocar or needle Age Under 21",,,544.82,544.82,4
CPT,50205,Renal biopsy; by surgical exposure of kidney ,,,948.0,25655.0,194
CPT,50220,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,948.0,25655.0,194
CPT,50225,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,948.0,27086.26,194
CPT,50230,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,948.0,28834.56,194
CPT,50234,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,948.0,29300.69,194
CPT,50236,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,948.0,32952.74,194
CPT,50240,"Nephrectomy, partial ",,,948.0,29798.08,194
CPT,50250,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,948.0,27335.06,238
CPT,50280,Excision or unroofing of cyst(s) of kidney ,,,948.0,25655.0,194
CPT,50290,Excision of perinephric cyst ,,,948.0,25655.0,194
CPT,50300,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,948.0,29168.74,194
CPT,50320,"Donor nephrectomy (including cold preservation); open, from living donor ",,,948.0,33760.8,194
CPT,50323,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,948.0,31872.58,194
CPT,50325,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,948.0,34149.32,194
CPT,50327,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,948.0,25655.0,194
CPT,50328,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,948.0,25655.0,194
CPT,50329,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,948.0,25655.0,194
CPT,50340,Recipient nephrectomy (separate procedure) ,,,948.0,25655.0,194
CPT,50360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,948.0,54444.61,194
CPT,50365,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,948.0,64499.11,194
CPT,50370,Removal of transplanted renal allograft ,,,948.0,27101.78,194
CPT,50380,"Renal autotransplantation, reimplantation of kidney ",,,948.0,44949.58,194
CPT,50382,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,643.01,8858.0,266
CPT,50382,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Age 21+",,,718.08,718.08,4
CPT,50382,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Age Under 21",,,731.14,731.14,4
CPT,50384,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,643.01,8858.0,266
CPT,50384,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Age 21+",,,718.08,718.08,4
CPT,50384,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Age Under 21",,,731.14,731.14,4
CPT,50385,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,643.01,9868.0,266
CPT,50385,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Age 21+",,,718.08,718.08,4
CPT,50385,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Age Under",,,731.14,731.14,4
CPT,50386,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,537.21,8858.0,266
CPT,50386,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Age 21+",,,599.93,599.93,4
CPT,50386,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Age Under 21",,,610.84,610.84,4
CPT,50387,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,643.01,5932.0,266
CPT,50387,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation Age 21+",,,718.08,718.08,4
CPT,50387,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation Age Under ",,,731.14,731.14,4
CPT,50389,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,234.58,5932.0,266
CPT,50389,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) Age 21+",,,261.97,261.97,4
CPT,50389,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) Age Under 21",,,266.73,266.73,4
CPT,50390,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,253.74,5932.0,266
CPT,50390,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age 21+",,,283.36,283.36,4
CPT,50390,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21",,,288.51,288.51,4
CPT,50391,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,40.91,5932.0,266
CPT,50391,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) Age 21+",,,45.68,45.68,4
CPT,50391,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) Age Under 21",,,46.51,46.51,4
CPT,50392,INSERT KIDNEY DRAIN ,,,2152.0,6587.0,34
CPT,50393,INSERT URETERAL TUBE ,,,2152.0,6587.0,34
CPT,50394,INJECTION FOR KIDNEY X-RAY ,,,2152.0,6587.0,34
CPT,50395,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,3796.0,5381.0,42
CPT,50396,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,234.58,5932.0,266
CPT,50396,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter Age 21+",,,261.97,261.97,4
CPT,50396,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter Age Under 21",,,266.73,266.73,4
CPT,50398,CHANGE KIDNEY TUBE ,,,2152.0,6587.0,34
CPT,50400,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,948.0,26076.17,194
CPT,50405,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,948.0,31367.64,194
CPT,50430,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,703.98,8485.0,239
CPT,50431,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,703.98,8485.0,239
CPT,50432,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,643.01,18747.0,274
CPT,50433,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,948.0,18747.0,274
CPT,50434,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,643.01,8485.0,274
CPT,50435,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,643.01,8485.0,274
CPT,50436,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,948.0,12499.0,274
CPT,50437,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,948.0,25655.0,274
CPT,50500,"Nephrorrhaphy, suture of kidney wound or injury ",,,948.0,28997.77,194
CPT,50520,Closure of nephrocutaneous or pyelocutaneous fistula ,,,948.0,26107.22,238
CPT,50525,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,948.0,33131.47,194
CPT,50526,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,948.0,35516.87,194
CPT,50540,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,948.0,25718.71,194
CPT,50541,"Laparoscopy, surgical; ablation of renal cysts ",,,1995.0,17510.0,184
CPT,50542,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,1995.0,25750.0,184
CPT,50543,"Laparoscopy, surgical; partial nephrectomy ",,,1995.0,25655.0,184
CPT,50544,"Laparoscopy, surgical; pyeloplasty ",,,1995.0,23556.71,184
CPT,50545,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1995.0,30124.49,183
CPT,50546,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1995.0,27078.5,183
CPT,50547,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1995.0,36122.92,183
CPT,50548,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1995.0,30295.25,183
CPT,50549,"Unlisted laparoscopy procedure, renal ",,,1995.0,25655.0,184
CPT,50551,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,11848.54,266
CPT,50551,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age 21+",,,1858.37,1858.37,4
CPT,50551,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age Under 21",,,1892.16,1892.16,4
CPT,50553,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,948.0,11848.54,274
CPT,50555,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,22590.2,266
CPT,50555,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Age 21+",,,3654.5,3654.5,4
CPT,50555,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Age Under 21",,,3720.94,3720.94,4
CPT,50557,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,948.0,22590.2,274
CPT,50559,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,6587.0,34
CPT,50561,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,948.0,11848.54,274
CPT,50562,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,948.0,22590.2,266
CPT,50562,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor Age 21+",,,3654.5,3654.5,4
CPT,50562,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor Age Under 21",,,3720.94,3720.94,4
CPT,50570,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,266
CPT,50570,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age 21+",,,1257.19,1257.19,4
CPT,50570,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age Under 21",,,1280.05,1280.05,4
CPT,50572,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,234.58,5932.0,274
CPT,50574,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,5932.0,266
CPT,50574,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Age 21+",,,1257.19,1257.19,4
CPT,50574,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Age Under 21",,,1280.05,1280.05,4
CPT,50575,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,948.0,25655.0,230
CPT,50576,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,948.0,25655.0,274
CPT,50578,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,6587.0,34
CPT,50580,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,25655.0,266
CPT,50580,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Age 21+",,,1858.37,1858.37,4
CPT,50580,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Age Under 21",,,1892.16,1892.16,4
CPT,50590,"Lithotripsy, extracorporeal shock wave ",,,1125.76,21630.0,485
CPT,50590,"Lithotripsy, extracorporeal shock wave Age 21+",,,1257.19,1257.19,4
CPT,50590,"Lithotripsy, extracorporeal shock wave Age Under 21",,,1280.05,1280.05,4
CPT,50592,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,948.0,21630.0,266
CPT,50592,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency Age 21+",,,2077.74,2077.74,4
CPT,50592,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency Age Under 21",,,2115.51,2115.51,4
CPT,50593,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,948.0,33769.0,266
CPT,50593,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy Age 21+",,,5109.93,5109.93,4
CPT,50593,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy Age Under 21",,,5202.84,5202.84,4
CPT,50600,Ureterotomy with exploration or drainage (separate procedure) ,,,948.0,25655.0,238
CPT,50605,"Ureterotomy for insertion of indwelling stent, all types ",,,948.0,25655.0,238
CPT,50606,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,948.0,5932.0,142
CPT,50610,Ureterolithotomy; upper one-third of ureter ,,,948.0,25655.0,238
CPT,50620,Ureterolithotomy; middle one-third of ureter ,,,948.0,25655.0,238
CPT,50630,Ureterolithotomy; lower one-third of ureter ,,,948.0,25655.0,238
CPT,50650,"Ureterectomy, with bladder cuff (separate procedure) ",,,948.0,76895.0,238
CPT,50660,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,948.0,76895.0,238
CPT,50684,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,948.0,5932.0,142
CPT,50686,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,56.92,2636.0,222
CPT,50686,Manometric studies through ureterostomy or indwelling ureteral catheter Age 21+,,,63.57,63.57,4
CPT,50686,Manometric studies through ureterostomy or indwelling ureteral catheter Age Under 21,,,64.72,64.72,4
CPT,50688,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,643.01,5932.0,266
CPT,50688,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit Age 21+,,,718.08,718.08,4
CPT,50688,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit Age Under 21,,,731.14,731.14,4
CPT,50690,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,948.0,5932.0,142
CPT,50693,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,948.0,12499.0,274
CPT,50694,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,948.0,12499.0,274
CPT,50695,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,948.0,12499.0,274
CPT,50700,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,948.0,25655.0,194
CPT,50705,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,948.0,5932.0,142
CPT,50706,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,948.0,5932.0,142
CPT,50715,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,948.0,27389.39,194
CPT,50722,Ureterolysis for ovarian vein syndrome ,,,948.0,25655.0,194
CPT,50725,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,948.0,25655.0,194
CPT,50727,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,948.0,25655.0,222
CPT,50727,Revision of urinary-cutaneous anastomosis (any type urostomy); Age 21+,,,1257.19,1257.19,4
CPT,50727,Revision of urinary-cutaneous anastomosis (any type urostomy); Age Under 21,,,1280.05,1280.05,4
CPT,50728,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,948.0,25655.0,194
CPT,50740,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,948.0,27568.13,194
CPT,50750,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,948.0,25944.23,194
CPT,50760,Ureteroureterostomy ,,,948.0,25655.0,194
CPT,50770,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,948.0,25912.96,194
CPT,50780,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,948.0,25655.0,194
CPT,50782,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,948.0,25655.0,194
CPT,50783,Ureteroneocystostomy; with extensive ureteral tailoring ,,,948.0,25655.0,194
CPT,50785,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,948.0,27303.8,194
CPT,50800,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,948.0,25655.0,194
CPT,50810,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,948.0,31523.09,194
CPT,50815,"Ureterocolon conduit, including intestine anastomosis ",,,948.0,27482.53,194
CPT,50820,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,948.0,29549.49,194
CPT,50825,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,948.0,37358.31,194
CPT,50830,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,948.0,40520.73,194
CPT,50840,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,948.0,27630.22,194
CPT,50845,Cutaneous appendico-vesicostomy ,,,948.0,28096.35,194
CPT,50860,"Ureterostomy, transplantation of ureter to skin ",,,948.0,25655.0,194
CPT,50900,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,948.0,25655.0,194
CPT,50920,Closure of ureterocutaneous fistula ,,,948.0,25655.0,194
CPT,50930,Closure of ureterovisceral fistula (including visceral repair) ,,,948.0,25655.0,194
CPT,50940,Deligation of ureter ,,,948.0,25655.0,194
CPT,50945,"Laparoscopy, surgical; ureterolithotomy ",,,948.0,21630.0,199
CPT,50947,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,948.0,21630.0,226
CPT,50947,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Age 21+",,,2077.74,2077.74,4
CPT,50947,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Age Under 21",,,2115.51,2115.51,4
CPT,50948,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,948.0,23556.71,226
CPT,50948,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Age 21+",,,3421.01,3421.01,4
CPT,50948,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Age Under 21",,,3483.21,3483.21,4
CPT,50949,"Unlisted laparoscopy procedure, ureter ",,,948.0,25655.0,199
CPT,50951,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,266
CPT,50951,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age 21+",,,1257.19,1257.19,4
CPT,50951,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age Under 21",,,1280.05,1280.05,4
CPT,50953,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,948.0,8451.91,274
CPT,50955,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,11848.54,266
CPT,50955,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Age 21+",,,1858.37,1858.37,4
CPT,50955,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Age Under 21",,,1892.16,1892.16,4
CPT,50957,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,948.0,11848.54,274
CPT,50959,URETER ENDOSCOPY & TRACER ,,,2152.0,6587.0,34
CPT,50961,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,11848.54,266
CPT,50961,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Age 21+",,,1858.37,1858.37,4
CPT,50961,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Age Unde",,,1892.16,1892.16,4
CPT,50970,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,266
CPT,50970,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age 21+",,,1257.19,1257.19,4
CPT,50970,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age Under 21",,,1280.05,1280.05,4
CPT,50972,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,948.0,8451.91,274
CPT,50974,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,11848.54,266
CPT,50974,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Age 21+",,,1858.37,1858.37,4
CPT,50974,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Age Under 21",,,1892.16,1892.16,4
CPT,50976,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,948.0,11848.54,266
CPT,50976,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy Age 2",,,1858.37,1858.37,4
CPT,50976,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy Age U",,,1892.16,1892.16,4
CPT,50978,URETER ENDOSCOPY & TRACER ,,,2152.0,6587.0,34
CPT,50980,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,11848.54,266
CPT,50980,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Age 21+",,,1858.37,1858.37,4
CPT,50980,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Age Under 21",,,1892.16,1892.16,4
CPT,51000,DRAINAGE OF BLADDER ,,,2152.0,6587.0,34
CPT,51005,DRAINAGE OF BLADDER ,,,2152.0,6587.0,34
CPT,51010,DRAINAGE OF BLADDER ,,,2152.0,6587.0,34
CPT,51020,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,948.0,19415.0,266
CPT,51020,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Age 21+",,,1257.19,1257.19,4
CPT,51020,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Age Under 21",,,1280.05,1280.05,4
CPT,51030,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,3796.0,5381.0,42
CPT,51040,"Cystostomy, cystotomy with drainage ",,,643.01,19415.0,266
CPT,51040,"Cystostomy, cystotomy with drainage Age 21+",,,718.08,718.08,4
CPT,51040,"Cystostomy, cystotomy with drainage Age Under 21",,,731.14,731.14,4
CPT,51045,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,643.01,19415.0,266
CPT,51045,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Age 21+",,,718.08,718.08,4
CPT,51045,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Age Under 21",,,731.14,731.14,4
CPT,51050,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,948.0,19415.0,266
CPT,51050,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Age 21+",,,1858.37,1858.37,4
CPT,51050,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Age Under 21",,,1892.16,1892.16,4
CPT,51060,Transvesical ureterolithotomy ,,,948.0,25655.0,195
CPT,51065,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,948.0,19415.0,266
CPT,51065,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus Age 21+",,,1257.19,1257.19,4
CPT,51065,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus Age Under 21",,,1280.05,1280.05,4
CPT,51080,Drainage of perivesical or prevesical space abscess ,,,802.97,6492.89,266
CPT,51080,Drainage of perivesical or prevesical space abscess Age 21+,,,896.72,896.72,4
CPT,51080,Drainage of perivesical or prevesical space abscess Age Under 21,,,913.02,913.02,4
CPT,51100,Aspiration of bladder; by needle ,,,35.99,5932.0,266
CPT,51100,Aspiration of bladder; by needle Age 21+,,,40.19,40.19,4
CPT,51100,Aspiration of bladder; by needle Age Under 21,,,40.92,40.92,4
CPT,51101,Aspiration of bladder; by trocar or intracatheter ,,,97.35,5932.0,266
CPT,51101,Aspiration of bladder; by trocar or intracatheter Age 21+,,,108.71,108.71,4
CPT,51101,Aspiration of bladder; by trocar or intracatheter Age Under 21,,,110.69,110.69,4
CPT,51102,Aspiration of bladder; with insertion of suprapubic catheter ,,,643.01,8858.0,266
CPT,51102,Aspiration of bladder; with insertion of suprapubic catheter Age 21+,,,718.08,718.08,4
CPT,51102,Aspiration of bladder; with insertion of suprapubic catheter Age Under 21,,,731.14,731.14,4
CPT,51500,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,948.0,19415.0,266
CPT,51500,"Excision of urachal cyst or sinus, with or without umbilical hernia repair Age 21+",,,2077.74,2077.74,4
CPT,51500,"Excision of urachal cyst or sinus, with or without umbilical hernia repair Age Under 21",,,2115.51,2115.51,4
CPT,51520,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,948.0,19415.0,266
CPT,51520,Cystotomy; for simple excision of vesical neck (separate procedure) Age 21+,,,1257.19,1257.19,4
CPT,51520,Cystotomy; for simple excision of vesical neck (separate procedure) Age Under 21,,,1280.05,1280.05,4
CPT,51525,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,948.0,25655.0,194
CPT,51530,Cystotomy; for excision of bladder tumor ,,,948.0,25655.0,194
CPT,51535,"Cystotomy for excision, incision, or repair of ureterocele ",,,948.0,25655.0,195
CPT,51550,"Cystectomy, partial; simple ",,,948.0,25655.0,194
CPT,51555,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,948.0,28508.14,194
CPT,51565,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,948.0,29176.5,194
CPT,51570,"Cystectomy, complete; (separate procedure) ",,,948.0,33131.47,194
CPT,51575,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,40994.62,194
CPT,51580,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,948.0,42556.42,194
CPT,51585,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,47436.1,194
CPT,51590,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,948.0,43488.89,194
CPT,51595,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,49223.2,194
CPT,51596,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,948.0,52968.39,194
CPT,51597,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,948.0,51561.82,194
CPT,51600,Injection procedure for cystography or voiding urethrocystography ,,,948.0,2636.0,98
CPT,51605,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,948.0,2636.0,98
CPT,51610,Injection procedure for retrograde urethrocystography ,,,948.0,2636.0,98
CPT,51700,"Bladder irrigation, simple, lavage and/or instillation ",,,43.64,6587.0,266
CPT,51700,"Bladder irrigation, simple, lavage and/or instillation Age 21+",,,48.73,48.73,4
CPT,51700,"Bladder irrigation, simple, lavage and/or instillation Age Under 21",,,49.62,49.62,4
CPT,51701,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,134.32,6587.0,239
CPT,51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,134.32,6587.0,239
CPT,51703,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,56.92,6587.0,266
CPT,51703,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) Age 21+",,,63.57,63.57,4
CPT,51703,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) Age Under 21",,,64.72,64.72,4
CPT,51705,Change of cystostomy tube; simple ,,,50.99,6587.0,266
CPT,51705,Change of cystostomy tube; simple Age 21+,,,56.95,56.95,4
CPT,51705,Change of cystostomy tube; simple Age Under 21,,,57.98,57.98,4
CPT,51710,Change of cystostomy tube; complicated ,,,234.58,6587.0,266
CPT,51710,Change of cystostomy tube; complicated Age 21+,,,261.97,261.97,4
CPT,51710,Change of cystostomy tube; complicated Age Under 21,,,266.73,266.73,4
CPT,51715,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,948.0,12360.0,266
CPT,51715,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age 21+,,,1717.85,1717.85,4
CPT,51715,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21,,,1749.08,1749.08,4
CPT,51720,Bladder instillation of anticarcinogenic agent (including retention time) ,,,44.18,6587.0,222
CPT,51720,Bladder instillation of anticarcinogenic agent (including retention time) Age 21+,,,49.34,49.34,4
CPT,51720,Bladder instillation of anticarcinogenic agent (including retention time) Age Under 21,,,50.23,50.23,4
CPT,51721,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,948.0,12875.0,158
CPT,51725,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,108.5,6587.0,266
CPT,51725,"Simple cystometrogram (CMG) (eg, spinal manometer) Age 21+",,,121.17,121.17,4
CPT,51725,"Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21",,,123.37,123.37,4
CPT,51726,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,108.5,6587.0,266
CPT,51726,"Complex cystometrogram (ie, calibrated electronic equipment); Age 21+",,,121.17,121.17,4
CPT,51726,"Complex cystometrogram (ie, calibrated electronic equipment); Age Under 21",,,123.37,123.37,4
CPT,51727,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,215.43,6587.0,266
CPT,51727,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique Age 21+",,,240.58,240.58,4
CPT,51727,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique Age Under 21",,,244.96,244.96,4
CPT,51728,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,219.24,6587.0,266
CPT,51728,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique Age 21+",,,244.84,244.84,4
CPT,51728,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique Age Under 21",,,249.29,249.29,4
CPT,51729,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,218.98,6587.0,274
CPT,51736,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,134.32,6587.0,195
CPT,51741,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,217.99,6587.0,195
CPT,51772,URETHRA PRESSURE PROFILE ,,,2152.0,6587.0,34
CPT,51784,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,21.81,6587.0,222
CPT,51784,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique Age 21+",,,24.35,24.35,4
CPT,51784,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique Age Under 21",,,24.8,24.8,4
CPT,51785,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,108.5,6587.0,266
CPT,51785,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique Age 21+",,,121.17,121.17,4
CPT,51785,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique Age Under 21",,,123.37,123.37,4
CPT,51792,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,59.56,6587.0,195
CPT,51795,URINE VOIDING PRESSURE STUDY ,,,2152.0,6587.0,34
CPT,51797,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,51798,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,59.56,6587.0,195
CPT,51800,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,948.0,25655.0,238
CPT,51820,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,948.0,25655.0,238
CPT,51840,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,948.0,25655.0,238
CPT,51841,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,948.0,25655.0,238
CPT,51845,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,948.0,25655.0,239
CPT,51860,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,948.0,25655.0,239
CPT,51865,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,948.0,25655.0,238
CPT,51880,Closure of cystostomy (separate procedure) ,,,948.0,8858.0,266
CPT,51880,Closure of cystostomy (separate procedure) Age 21+,,,1257.19,1257.19,4
CPT,51880,Closure of cystostomy (separate procedure) Age Under 21,,,1280.05,1280.05,4
CPT,51900,"Closure of vesicovaginal fistula, abdominal approach ",,,948.0,25655.0,238
CPT,51920,Closure of vesicouterine fistula; ,,,948.0,25655.0,238
CPT,51925,Closure of vesicouterine fistula; with hysterectomy ,,,948.0,25655.0,194
CPT,51940,"Closure, exstrophy of bladder ",,,948.0,36923.22,194
CPT,51960,"Enterocystoplasty, including intestinal anastomosis ",,,948.0,31119.06,194
CPT,51980,Cutaneous vesicostomy ,,,948.0,25655.0,194
CPT,51990,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1995.0,21630.0,184
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1995.0,18422.0,211
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Age 21+",,,2853.83,2853.83,4
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21",,,2905.72,2905.72,4
CPT,51999,"Unlisted laparoscopy procedure, bladder ",,,948.0,25655.0,199
CPT,52000,Cystourethroscopy (separate procedure) ,,,234.58,11120.0,226
CPT,52000,Cystourethroscopy (separate procedure) Age 21+,,,261.97,261.97,4
CPT,52000,Cystourethroscopy (separate procedure) Age Under 21,,,266.73,266.73,4
CPT,52001,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,948.0,8451.91,266
CPT,52001,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots Age 21+,,,1257.19,1257.19,4
CPT,52001,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots Age Under 21,,,1280.05,1280.05,4
CPT,52005,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,643.01,11120.0,226
CPT,52005,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age 21+",,,718.08,718.08,4
CPT,52005,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Age Under 21",,,731.14,731.14,4
CPT,52007,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,948.0,8858.0,266
CPT,52007,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis Age ",,,1257.19,1280.05,8
CPT,52010,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,234.58,6680.0,266
CPT,52010,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service Age 21+",,,261.97,261.97,4
CPT,52010,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service Age Under 21",,,266.73,266.73,4
CPT,52204,"Cystourethroscopy, with biopsy(s) ",,,643.01,8858.0,266
CPT,52204,"Cystourethroscopy, with biopsy(s) Age 21+",,,718.08,718.08,4
CPT,52204,"Cystourethroscopy, with biopsy(s) Age Under 21",,,731.14,731.14,4
CPT,52214,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,948.0,8858.0,266
CPT,52214,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands Age 21+",,,1257.19,1257.19,4
CPT,52214,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands Age Under 21",,,1280.05,1280.05,4
CPT,52224,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,948.0,8858.0,266
CPT,52224,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy Age 21+",,,1257.19,1257.19,4
CPT,52224,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy Age Under 21",,,1280.05,1280.05,4
CPT,52234,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,948.0,8858.0,266
CPT,52234,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) Age 21+",,,1257.19,1257.19,4
CPT,52234,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) Age Under 21",,,1280.05,1280.05,4
CPT,52235,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,948.0,9908.0,266
CPT,52235,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) Age 21+",,,1257.19,1257.19,4
CPT,52235,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) Age Under 21",,,1280.05,1280.05,4
CPT,52240,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,948.0,11848.54,266
CPT,52240,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) Age 21+",,,1858.37,1858.37,4
CPT,52240,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) Age Under 21",,,1892.16,1892.16,4
CPT,52250,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,948.0,25080.0,266
CPT,52250,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Age 21+",,,1257.19,1257.19,4
CPT,52250,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Age Under 21",,,1280.05,1280.05,4
CPT,52260,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,643.01,6680.0,266
CPT,52260,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age 21+",,,718.08,718.08,4
CPT,52260,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age Under 21",,,731.14,731.14,4
CPT,52265,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,219.79,6680.0,266
CPT,52265,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia Age 21+",,,245.45,245.45,4
CPT,52265,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia Age Under 21",,,249.92,249.92,4
CPT,52270,"Cystourethroscopy, with internal urethrotomy; female ",,,643.01,6680.0,266
CPT,52270,"Cystourethroscopy, with internal urethrotomy; female Age 21+",,,718.08,718.08,4
CPT,52270,"Cystourethroscopy, with internal urethrotomy; female Age Under 21",,,731.14,731.14,4
CPT,52275,"Cystourethroscopy, with internal urethrotomy; male ",,,643.01,8858.0,266
CPT,52275,"Cystourethroscopy, with internal urethrotomy; male Age 21+",,,718.08,718.08,4
CPT,52275,"Cystourethroscopy, with internal urethrotomy; male Age Under 21",,,731.14,731.14,4
CPT,52276,Cystourethroscopy with direct vision internal urethrotomy ,,,643.01,9908.0,266
CPT,52276,Cystourethroscopy with direct vision internal urethrotomy Age 21+,,,718.08,718.08,4
CPT,52276,Cystourethroscopy with direct vision internal urethrotomy Age Under 21,,,731.14,731.14,4
CPT,52277,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,948.0,8858.0,266
CPT,52277,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) Age 21+",,,1257.19,1257.19,4
CPT,52277,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) Age Under 21",,,1280.05,1280.05,4
CPT,52281,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,643.01,6680.0,266
CPT,52281,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female Age 21+",,,718.08,718.08,4
CPT,52281,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female Age Under 21",,,731.14,731.14,4
CPT,52282,"Cystourethroscopy, with insertion of permanent urethral stent ",,,948.0,12499.0,266
CPT,52282,"Cystourethroscopy, with insertion of permanent urethral stent Age 21+",,,1257.19,1257.19,4
CPT,52282,"Cystourethroscopy, with insertion of permanent urethral stent Age Under 21",,,1280.05,1280.05,4
CPT,52283,"Cystourethroscopy, with steroid injection into stricture ",,,643.01,8858.0,266
CPT,52283,"Cystourethroscopy, with steroid injection into stricture Age 21+",,,718.08,718.08,4
CPT,52283,"Cystourethroscopy, with steroid injection into stricture Age Under 21",,,731.14,731.14,4
CPT,52284,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,948.0,13804.22,231
CPT,52285,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,234.58,6680.0,274
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,643.01,9868.0,266
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Age 21+",,,718.08,718.08,4
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Age Under 21",,,731.14,731.14,4
CPT,52290,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,643.01,8858.0,266
CPT,52290,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Age 21+",,,718.08,718.08,4
CPT,52290,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Age Under 21",,,731.14,731.14,4
CPT,52300,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,948.0,8858.0,266
CPT,52300,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral Age 21+",,,1257.19,1257.19,4
CPT,52300,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral Age Under 21",,,1280.05,1280.05,4
CPT,52301,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,948.0,9908.0,266
CPT,52301,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Age 21+",,,1257.19,1257.19,4
CPT,52301,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Age Under 21",,,1280.05,1280.05,4
CPT,52305,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,948.0,11848.54,266
CPT,52305,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Age 21+",,,1858.37,1858.37,4
CPT,52305,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Age Under 21",,,1892.16,1892.16,4
CPT,52310,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,643.01,6680.0,266
CPT,52310,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple Age 21+",,,718.08,718.08,4
CPT,52310,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple Age Under 21",,,731.14,731.14,4
CPT,52315,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,643.01,8858.0,266
CPT,52315,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated Age 21+",,,718.08,718.08,4
CPT,52315,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated Age Under 21",,,731.14,731.14,4
CPT,52317,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,948.0,8858.0,266
CPT,52317,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) Age 21+,,,1257.19,1257.19,4
CPT,52317,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) Age Under 21,,,1280.05,1280.05,4
CPT,52318,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,948.0,8858.0,266
CPT,52318,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) Age 21+,,,1257.19,1257.19,4
CPT,52318,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) Age Under 21,,,1280.05,1280.05,4
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1125.76,18490.0,251
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Age 21+,,,1257.19,1257.19,4
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Age Under 21,,,1280.05,1280.05,4
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1664.09,19415.0,251
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) Age 21+",,,1858.37,1858.37,4
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) Age Under 21",,,1892.16,1892.16,4
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,1995.0,17510.0,251
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Age 21+,,,2671.79,2671.79,4
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Age Under 21,,,2720.37,2720.37,4
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,1125.76,8858.0,251
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Age 21+",,,1257.19,1257.19,4
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Age Under 21",,,1280.05,1280.05,4
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1125.76,11120.0,211
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Age 21+",,,1257.19,1257.19,4
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Age Under 21",,,1280.05,1280.05,4
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1125.76,9908.0,251
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Age 21+",,,1257.19,1257.19,4
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Age Under 21",,,1280.05,1280.05,4
CPT,52335,Cystourethroscopy ,,,2152.0,6587.0,39
CPT,52336,Cysto w rmvl/manip CAL ,,,2152.0,6587.0,39
CPT,52337,Cysto w lithotripsy ,,,2152.0,6587.0,39
CPT,52338,Cysto w Bx/fulgur les ,,,2152.0,6587.0,39
CPT,52339,Cysto w tumor resection ,,,2152.0,6587.0,39
CPT,52340,TUR cong post valve/fold ,,,2152.0,6587.0,39
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1125.76,9908.0,251
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Age 21+",,,1257.19,1257.19,4
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Age Under 21",,,1280.05,1280.05,4
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1125.76,9908.0,251
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Age 21+",,,1257.19,1257.19,4
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Age Under 21",,,1280.05,1280.05,4
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1125.76,9908.0,251
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Age 21+",,,1257.19,1257.19,4
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Age Under 21",,,1280.05,1280.05,4
CPT,52344,CYST/URETER STRICTURE TX,19282.57,19282.57,2121.08,19282.57,37
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",19282.57,19282.57,1125.76,9908.0,251
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Age 21+",19282.57,19282.57,1257.19,1257.19,4
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Age Under 21",19282.57,19282.57,1280.05,1280.05,4
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1125.76,9908.0,251
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Age 21+",,,1257.19,1257.19,4
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Age Under 21",,,1280.05,1280.05,4
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1664.09,11848.54,251
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Age 21+",,,1858.37,1858.37,4
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Age Under 21",,,1892.16,1892.16,4
CPT,52347,"CYSTOSCOPY, RESECT DUCTS ",,,2152.0,6587.0,39
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1125.76,9908.0,251
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age 21+",,,1257.19,1257.19,4
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21",,,1280.05,1280.05,4
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1125.76,19415.0,251
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Age 21+",,,1257.19,1257.19,4
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Age Under 21",,,1280.05,1280.05,4
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1664.09,17510.0,532
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age 21+",,,1858.37,1858.37,4
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age Under 21",,,1892.16,1892.16,4
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1664.09,19415.0,251
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Age 21+",,,1858.37,1858.37,4
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Age Under 21",,,1892.16,1892.16,4
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1664.09,19415.0,251
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Age 21+",,,1858.37,1858.37,4
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Age Under 21",,,1892.16,1892.16,4
CPT,52356,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,948.0,17510.0,226
CPT,52356,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Age 21+",,,1858.37,1858.37,4
CPT,52356,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Age Under 21",,,1892.16,1892.16,4
CPT,52400,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,948.0,9908.0,266
CPT,52400,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds Age 21+",,,1257.19,1257.19,4
CPT,52400,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds Age Under 21",,,1280.05,1280.05,4
CPT,52402,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,948.0,9908.0,239
CPT,52441,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,948.0,9908.0,190
CPT,52442,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,948.0,5932.0,190
CPT,52443,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,948.0,27080.2,148
CPT,52450,Transurethral incision of prostate ,,,948.0,9908.0,266
CPT,52450,Transurethral incision of prostate Age 21+,,,1257.19,1257.19,4
CPT,52450,Transurethral incision of prostate Age Under 21,,,1280.05,1280.05,4
CPT,52500,Transurethral resection of bladder neck (separate procedure) ,,,948.0,9908.0,266
CPT,52500,Transurethral resection of bladder neck (separate procedure) Age 21+,,,1257.19,1257.19,4
CPT,52500,Transurethral resection of bladder neck (separate procedure) Age Under 21,,,1280.05,1280.05,4
CPT,52510,DILATION PROSTATIC URETHRA ,,,2152.0,6587.0,34
CPT,52597,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,948.0,27080.2,148
CPT,52601,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1664.09,19415.0,259
CPT,52606,CONTROL POSTOP BLEEDING ,,,2152.0,6587.0,39
CPT,52612,"PROSTATECTOMY, FIRST STAGE ",,,2152.0,6587.0,39
CPT,52614,"PROSTATECTOMY, SECOND STAGE ",,,2152.0,6587.0,39
CPT,52620,REMOVE RESIDUAL PROSTATE ,,,2152.0,6587.0,39
CPT,52630,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,1664.09,17510.0,259
CPT,52640,Transurethral resection; of postoperative bladder neck contracture ,,,1125.76,8858.0,251
CPT,52640,Transurethral resection; of postoperative bladder neck contracture Age 21+,,,1257.19,1257.19,4
CPT,52640,Transurethral resection; of postoperative bladder neck contracture Age Under 21,,,1280.05,1280.05,4
CPT,52647,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1664.09,8072.0,82
CPT,52648,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1664.09,18490.0,259
CPT,52649,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,948.0,18490.0,274
CPT,52700,Transurethral drainage of prostatic abscess ,,,948.0,8858.0,266
CPT,52700,Transurethral drainage of prostatic abscess Age 21+,,,1257.19,1257.19,4
CPT,52700,Transurethral drainage of prostatic abscess Age Under 21,,,1280.05,1280.05,4
CPT,53000,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,643.01,8858.0,266
CPT,53000,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Age 21+",,,718.08,718.08,4
CPT,53000,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Age Under 21",,,731.14,731.14,4
CPT,53010,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,948.0,11848.54,266
CPT,53010,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Age 21+",,,1858.37,1858.37,4
CPT,53010,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Age Under 21",,,1892.16,1892.16,4
CPT,53020,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,643.01,8858.0,266
CPT,53020,"Meatotomy, cutting of meatus (separate procedure); except infant Age 21+",,,718.08,718.08,4
CPT,53020,"Meatotomy, cutting of meatus (separate procedure); except infant Age Under 21",,,731.14,731.14,4
CPT,53025,"Meatotomy, cutting of meatus (separate procedure); infant ",,,948.0,25655.0,239
CPT,53040,Drainage of deep periurethral abscess ,,,948.0,8858.0,266
CPT,53040,Drainage of deep periurethral abscess Age 21+,,,1257.19,1257.19,4
CPT,53040,Drainage of deep periurethral abscess Age Under 21,,,1280.05,1280.05,4
CPT,53060,Drainage of Skene's gland abscess or cyst ,,,501.35,25655.0,239
CPT,53080,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,234.58,9908.0,266
CPT,53080,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Age 21+,,,261.97,261.97,4
CPT,53080,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Age Under 21,,,266.73,266.73,4
CPT,53085,Drainage of perineal urinary extravasation; complicated ,,,948.0,25655.0,195
CPT,53200,Biopsy of urethra ,,,643.01,8858.0,266
CPT,53200,Biopsy of urethra Age 21+,,,718.08,718.08,4
CPT,53200,Biopsy of urethra Age Under 21,,,731.14,731.14,4
CPT,53210,"Urethrectomy, total, including cystostomy; female ",,,948.0,18490.0,266
CPT,53210,"Urethrectomy, total, including cystostomy; female Age 21+",,,1257.19,1257.19,4
CPT,53210,"Urethrectomy, total, including cystostomy; female Age Under 21",,,1280.05,1280.05,4
CPT,53215,"Urethrectomy, total, including cystostomy; male ",,,948.0,18490.0,266
CPT,53215,"Urethrectomy, total, including cystostomy; male Age 21+",,,1858.37,1858.37,4
CPT,53215,"Urethrectomy, total, including cystostomy; male Age Under 21",,,1892.16,1892.16,4
CPT,53220,Excision or fulguration of carcinoma of urethra ,,,948.0,12360.0,266
CPT,53220,Excision or fulguration of carcinoma of urethra Age 21+,,,1257.19,1257.19,4
CPT,53220,Excision or fulguration of carcinoma of urethra Age Under 21,,,1280.05,1280.05,4
CPT,53230,Excision of urethral diverticulum (separate procedure); female ,,,948.0,12360.0,266
CPT,53230,Excision of urethral diverticulum (separate procedure); female Age 21+,,,1858.37,1858.37,4
CPT,53230,Excision of urethral diverticulum (separate procedure); female Age Under 21,,,1892.16,1892.16,4
CPT,53235,Excision of urethral diverticulum (separate procedure); male ,,,948.0,11848.54,266
CPT,53235,Excision of urethral diverticulum (separate procedure); male Age 21+,,,1858.37,1858.37,4
CPT,53235,Excision of urethral diverticulum (separate procedure); male Age Under 21,,,1892.16,1892.16,4
CPT,53240,"Marsupialization of urethral diverticulum, male or female ",,,948.0,12360.0,266
CPT,53240,"Marsupialization of urethral diverticulum, male or female Age 21+",,,1257.19,1257.19,4
CPT,53240,"Marsupialization of urethral diverticulum, male or female Age Under 21",,,1280.05,1280.05,4
CPT,53250,Excision of bulbourethral gland (Cowper's gland) ,,,948.0,8858.0,266
CPT,53250,Excision of bulbourethral gland (Cowper's gland) Age 21+,,,1257.19,1257.19,4
CPT,53250,Excision of bulbourethral gland (Cowper's gland) Age Under 21,,,1280.05,1280.05,4
CPT,53260,"Excision or fulguration; urethral polyp(s), distal urethra ",,,948.0,8858.0,266
CPT,53260,"Excision or fulguration; urethral polyp(s), distal urethra Age 21+",,,1257.19,1257.19,4
CPT,53260,"Excision or fulguration; urethral polyp(s), distal urethra Age Under 21",,,1280.05,1280.05,4
CPT,53265,Excision or fulguration; urethral caruncle ,,,643.01,8858.0,266
CPT,53265,Excision or fulguration; urethral caruncle Age 21+,,,718.08,718.08,4
CPT,53265,Excision or fulguration; urethral caruncle Age Under 21,,,731.14,731.14,4
CPT,53270,Excision or fulguration; Skene's glands ,,,948.0,8858.0,266
CPT,53270,Excision or fulguration; Skene's glands Age 21+,,,1257.19,1257.19,4
CPT,53270,Excision or fulguration; Skene's glands Age Under 21,,,1280.05,1280.05,4
CPT,53275,Excision or fulguration; urethral prolapse ,,,948.0,8858.0,266
CPT,53275,Excision or fulguration; urethral prolapse Age 21+,,,1257.19,1257.19,4
CPT,53275,Excision or fulguration; urethral prolapse Age Under 21,,,1280.05,1280.05,4
CPT,53400,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,948.0,12360.0,266
CPT,53400,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Age 21+",,,1858.37,1858.37,4
CPT,53400,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Age Under 21",,,1892.16,1892.16,4
CPT,53405,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,948.0,12360.0,266
CPT,53405,"Urethroplasty; second stage (formation of urethra), including urinary diversion Age 21+",,,1858.37,1858.37,4
CPT,53405,"Urethroplasty; second stage (formation of urethra), including urinary diversion Age Under 21",,,1892.16,1892.16,4
CPT,53410,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,948.0,12360.0,266
CPT,53410,"Urethroplasty, 1-stage reconstruction of male anterior urethra Age 21+",,,1858.37,1858.37,4
CPT,53410,"Urethroplasty, 1-stage reconstruction of male anterior urethra Age Under 21",,,1892.16,1892.16,4
CPT,53415,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,948.0,25655.0,194
CPT,53420,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,948.0,12360.0,266
CPT,53420,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Age 21+",,,1858.37,1858.37,4
CPT,53420,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Age Under 21",,,1892.16,1892.16,4
CPT,53425,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,948.0,12360.0,266
CPT,53425,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Age 21+",,,1858.37,1858.37,4
CPT,53425,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Age Under 21",,,1892.16,1892.16,4
CPT,53430,"Urethroplasty, reconstruction of female urethra ",,,948.0,12360.0,266
CPT,53430,"Urethroplasty, reconstruction of female urethra Age 21+",,,1858.37,1858.37,4
CPT,53430,"Urethroplasty, reconstruction of female urethra Age Under 21",,,1892.16,1892.16,4
CPT,53431,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,948.0,12360.0,266
CPT,53431,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) Age 21+",,,1858.37,1858.37,4
CPT,53431,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) Age Under 21",,,1892.16,1892.16,4
CPT,53440,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,948.0,22590.2,266
CPT,53440,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Age 21+",,,8340.44,8340.44,4
CPT,53440,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Age Under 21",,,8492.09,8492.09,4
CPT,53442,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,948.0,12360.0,266
CPT,53442,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Age 21+",,,2437.99,2437.99,4
CPT,53442,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Age Under 21",,,2482.31,2482.31,4
CPT,53443,RECONSTRUCTION OF URETHRA ,,,2152.0,6587.0,34
CPT,53444,Insertion of tandem cuff (dual cuff) ,,,948.0,49207.09,266
CPT,53444,Insertion of tandem cuff (dual cuff) Age 21+,,,13375.53,13375.53,4
CPT,53444,Insertion of tandem cuff (dual cuff) Age Under 21,,,13618.72,13618.72,4
CPT,53445,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,948.0,49207.09,266
CPT,53445,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Age 21+",,,13993.36,13993.36,4
CPT,53445,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Age Under 21",,,14247.79,14247.79,4
CPT,53446,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,948.0,21630.0,266
CPT,53446,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age 21+",,,1858.37,1858.37,4
CPT,53446,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21",,,1892.16,1892.16,4
CPT,53447,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,948.0,49207.09,266
CPT,53447,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session Age 21+",,,13844.31,13844.31,4
CPT,53447,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session Age Under 21",,,14096.03,14096.03,4
CPT,53448,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,948.0,28733.66,194
CPT,53449,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,948.0,12360.0,266
CPT,53449,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age 21+",,,1858.37,1858.37,4
CPT,53449,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21",,,1892.16,1892.16,4
CPT,53450,"Urethromeatoplasty, with mucosal advancement ",,,948.0,12360.0,266
CPT,53450,"Urethromeatoplasty, with mucosal advancement Age 21+",,,1257.19,1257.19,4
CPT,53450,"Urethromeatoplasty, with mucosal advancement Age Under 21",,,1280.05,1280.05,4
CPT,53451,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,948.0,32843.89,239
CPT,53452,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,948.0,25655.0,239
CPT,53453,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,948.0,25655.0,239
CPT,53454,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,252.24,6587.0,239
CPT,53460,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,948.0,8858.0,266
CPT,53460,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Age 21+",,,1257.19,1257.19,4
CPT,53460,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Age Under 21",,,1280.05,1280.05,4
CPT,53500,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,948.0,25655.0,239
CPT,53502,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,948.0,8858.0,266
CPT,53502,"Urethrorrhaphy, suture of urethral wound or injury, female Age 21+",,,1257.19,1257.19,4
CPT,53502,"Urethrorrhaphy, suture of urethral wound or injury, female Age Under 21",,,1280.05,1280.05,4
CPT,53505,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,948.0,12360.0,266
CPT,53505,"Urethrorrhaphy, suture of urethral wound or injury; penile Age 21+",,,1858.37,1858.37,4
CPT,53505,"Urethrorrhaphy, suture of urethral wound or injury; penile Age Under 21",,,1892.16,1892.16,4
CPT,53510,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,948.0,11848.54,266
CPT,53510,"Urethrorrhaphy, suture of urethral wound or injury; perineal Age 21+",,,1858.37,1858.37,4
CPT,53510,"Urethrorrhaphy, suture of urethral wound or injury; perineal Age Under 21",,,1892.16,1892.16,4
CPT,53515,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,948.0,12360.0,266
CPT,53515,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Age 21+",,,1858.37,1858.37,4
CPT,53515,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Age Under 21",,,1892.16,1892.16,4
CPT,53520,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,948.0,12360.0,266
CPT,53520,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Age 21+",,,1858.37,1858.37,4
CPT,53520,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Age Under 21",,,1892.16,1892.16,4
CPT,53600,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,34.36,5932.0,266
CPT,53600,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age 21+",,,38.37,38.37,4
CPT,53600,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21",,,39.07,39.07,4
CPT,53601,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,38.48,5932.0,266
CPT,53601,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Age 21+",,,42.98,42.98,4
CPT,53601,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Age Under 21",,,43.76,43.76,4
CPT,53605,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,948.0,6680.0,266
CPT,53605,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia Age 21+",,,1257.19,1257.19,4
CPT,53605,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia Age Under 21",,,1280.05,1280.05,4
CPT,53620,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,91.07,25655.0,266
CPT,53620,"Dilation of urethral stricture by passage of filiform and follower, male; initial Age 21+",,,101.71,101.71,4
CPT,53620,"Dilation of urethral stricture by passage of filiform and follower, male; initial Age Under 21",,,103.56,103.56,4
CPT,53621,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,92.72,5932.0,266
CPT,53621,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent Age 21+",,,103.54,103.54,4
CPT,53621,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent Age Under 21",,,105.43,105.43,4
CPT,53660,Dilation of female urethra including suppository and/or instillation; initial ,,,39.0,5932.0,266
CPT,53660,Dilation of female urethra including suppository and/or instillation; initial Age 21+,,,43.55,43.55,4
CPT,53660,Dilation of female urethra including suppository and/or instillation; initial Age Under 21,,,44.34,44.34,4
CPT,53661,Dilation of female urethra including suppository and/or instillation; subsequent ,,,29.16,2636.0,222
CPT,53661,Dilation of female urethra including suppository and/or instillation; subsequent Age 21+,,,32.56,32.56,4
CPT,53661,Dilation of female urethra including suppository and/or instillation; subsequent Age Under 21,,,33.15,33.15,4
CPT,53665,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,643.01,8858.0,266
CPT,53665,"Dilation of female urethra, general or conduction (spinal) anesthesia Age 21+",,,718.08,718.08,4
CPT,53665,"Dilation of female urethra, general or conduction (spinal) anesthesia Age Under 21",,,731.14,731.14,4
CPT,53670,Insert urinary catheter ,,,2152.0,6587.0,34
CPT,53675,Insert urinary catheter ,,,2152.0,6587.0,34
CPT,53850,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,948.0,33769.0,266
CPT,53850,Transurethral destruction of prostate tissue; by microwave thermotherapy Age 21+,,,1142.61,1142.61,4
CPT,53850,Transurethral destruction of prostate tissue; by microwave thermotherapy Age Under 21,,,1163.39,1163.39,4
CPT,53852,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,948.0,25655.0,266
CPT,53852,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Age 21+,,,1092.37,1092.37,4
CPT,53852,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Age Under 21,,,1112.23,1112.23,4
CPT,53853,PROSTATIC WATER THERMOTHER ,,,2152.0,6587.0,34
CPT,53854,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,948.0,12499.0,266
CPT,53854,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy Age 21+,,,1257.19,1257.19,4
CPT,53854,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy Age Under 21,,,1280.05,1280.05,4
CPT,53855,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,503.67,5932.0,266
CPT,53855,"Insertion of a temporary prostatic urethral stent, including urethral measurement Age 21+",,,562.47,562.47,4
CPT,53855,"Insertion of a temporary prostatic urethral stent, including urethral measurement Age Under 21",,,572.7,572.7,4
CPT,53860,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,948.0,18747.0,239
CPT,53865,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,948.0,25892.02,159
CPT,53866,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,252.24,6587.0,159
CPT,53899,"Unlisted procedure, urinary system ",,,252.24,25655.0,239
CPT,54000,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,948.0,8858.0,266
CPT,54000,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn Age 21+",,,1257.19,1257.19,4
CPT,54000,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn Age Under 21",,,1280.05,1280.05,4
CPT,54001,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,643.01,8858.0,266
CPT,54001,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn Age 21+",,,718.08,718.08,4
CPT,54001,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn Age Under 21",,,731.14,731.14,4
CPT,54015,"Incision and drainage of penis, deep ",,,479.15,19415.0,266
CPT,54015,"Incision and drainage of penis, deep Age 21+",,,535.1,535.1,4
CPT,54015,"Incision and drainage of penis, deep Age Under 21",,,544.82,544.82,4
CPT,54050,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,410.41,2636.0,195
CPT,54055,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,71.99,25655.0,222
CPT,54055,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Age 21+",,,80.4,80.4,4
CPT,54055,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Age Under 21",,,81.86,81.86,4
CPT,54056,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,202.56,2636.0,195
CPT,54057,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,698.37,5932.0,266
CPT,54057,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Age 21+",,,779.91,779.91,4
CPT,54057,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Age Under 21",,,794.09,794.09,4
CPT,54060,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,698.37,5932.0,266
CPT,54060,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Age 21+",,,779.91,779.91,4
CPT,54060,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Age Under 21",,,794.09,794.09,4
CPT,54065,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,698.37,5932.0,266
CPT,54065,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age 21+",,,779.91,779.91,4
CPT,54065,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21",,,794.09,794.09,4
CPT,54100,Biopsy of penis; (separate procedure) ,,,479.15,5932.0,266
CPT,54100,Biopsy of penis; (separate procedure) Age 21+,,,535.1,535.1,4
CPT,54100,Biopsy of penis; (separate procedure) Age Under 21,,,544.82,544.82,4
CPT,54105,Biopsy of penis; deep structures ,,,802.97,8858.0,266
CPT,54105,Biopsy of penis; deep structures Age 21+,,,896.72,896.72,4
CPT,54105,Biopsy of penis; deep structures Age Under 21,,,913.02,913.02,4
CPT,54110,Excision of penile plaque (Peyronie disease); ,,,948.0,17510.0,266
CPT,54110,Excision of penile plaque (Peyronie disease); Age 21+,,,1257.19,1257.19,4
CPT,54110,Excision of penile plaque (Peyronie disease); Age Under 21,,,1280.05,1280.05,4
CPT,54111,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,948.0,17510.0,266
CPT,54111,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Age 21+,,,1858.37,1858.37,4
CPT,54111,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Age Under 21,,,1892.16,1892.16,4
CPT,54112,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,948.0,22590.2,266
CPT,54112,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Age 21+,,,3654.5,3654.5,4
CPT,54112,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Age Under 21,,,3720.94,3720.94,4
CPT,54115,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,802.97,8858.0,266
CPT,54115,"Removal foreign body from deep penile tissue (eg, plastic implant) Age 21+",,,896.72,896.72,4
CPT,54115,"Removal foreign body from deep penile tissue (eg, plastic implant) Age Under 21",,,913.02,913.02,4
CPT,54120,Amputation of penis; partial ,,,948.0,12360.0,266
CPT,54120,Amputation of penis; partial Age 21+,,,1257.19,1257.19,4
CPT,54120,Amputation of penis; partial Age Under 21,,,1280.05,1280.05,4
CPT,54125,Amputation of penis; complete ,,,948.0,25655.0,238
CPT,54130,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,948.0,26837.67,194
CPT,54135,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,34001.63,194
CPT,54150,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,643.01,8858.0,266
CPT,54150,"Circumcision, using clamp or other device with regional dorsal penile or ring block Age 21+",,,718.08,718.08,4
CPT,54150,"Circumcision, using clamp or other device with regional dorsal penile or ring block Age Under 21",,,731.14,731.14,4
CPT,54152,CIRCUMCISION ,,,2152.0,6587.0,34
CPT,54160,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,234.58,8858.0,266
CPT,54160,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age 21+",,,261.97,261.97,4
CPT,54160,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21",,,266.73,266.73,4
CPT,54161,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,643.01,8858.0,266
CPT,54161,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age 21+",,,718.08,718.08,4
CPT,54161,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21",,,731.14,731.14,4
CPT,54162,Lysis or excision of penile post-circumcision adhesions ,,,643.01,8858.0,266
CPT,54162,Lysis or excision of penile post-circumcision adhesions Age 21+,,,718.08,718.08,4
CPT,54162,Lysis or excision of penile post-circumcision adhesions Age Under 21,,,731.14,731.14,4
CPT,54163,Repair incomplete circumcision ,,,643.01,8858.0,266
CPT,54163,Repair incomplete circumcision Age 21+,,,718.08,718.08,4
CPT,54163,Repair incomplete circumcision Age Under 21,,,731.14,731.14,4
CPT,54164,Frenulotomy of penis ,,,643.01,8858.0,266
CPT,54164,Frenulotomy of penis Age 21+,,,718.08,718.08,4
CPT,54164,Frenulotomy of penis Age Under 21,,,731.14,731.14,4
CPT,54200,Injection procedure for Peyronie disease; ,,,59.18,3092.0,222
CPT,54200,Injection procedure for Peyronie disease; Age 21+,,,66.09,66.09,4
CPT,54200,Injection procedure for Peyronie disease; Age Under 21,,,67.29,67.29,4
CPT,54205,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,948.0,19415.0,266
CPT,54205,Injection procedure for Peyronie disease; with surgical exposure of plaque Age 21+,,,1858.37,1858.37,4
CPT,54205,Injection procedure for Peyronie disease; with surgical exposure of plaque Age Under 21,,,1892.16,1892.16,4
CPT,54220,Irrigation of corpora cavernosa for priapism ,,,108.5,5932.0,266
CPT,54220,Irrigation of corpora cavernosa for priapism Age 21+,,,121.17,121.17,4
CPT,54220,Irrigation of corpora cavernosa for priapism Age Under 21,,,123.37,123.37,4
CPT,54230,Injection procedure for corpora cavernosography ,,,948.0,5932.0,142
CPT,54231,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,252.24,25655.0,195
CPT,54235,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,34.63,2636.0,222
CPT,54235,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) Age 21+",,,38.68,38.68,4
CPT,54235,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) Age Under 21",,,39.38,39.38,4
CPT,54240,Penile plethysmography ,,,217.99,5932.0,239
CPT,54250,Nocturnal penile tumescence and/or rigidity test ,,,75.09,5932.0,239
CPT,54300,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,948.0,17510.0,266
CPT,54300,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Age 21+",,,1257.19,1257.19,4
CPT,54300,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Age Under 21",,,1280.05,1280.05,4
CPT,54304,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,948.0,17510.0,266
CPT,54304,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps Age 21+,,,1257.19,1257.19,4
CPT,54304,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps Age Under 21,,,1280.05,1280.05,4
CPT,54308,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,948.0,17510.0,266
CPT,54308,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Age 21+,,,1858.37,1858.37,4
CPT,54308,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Age Under 21,,,1892.16,1892.16,4
CPT,54312,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,948.0,12360.0,266
CPT,54312,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Age 21+,,,1257.19,1257.19,4
CPT,54312,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Age Under 21,,,1280.05,1280.05,4
CPT,54316,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,948.0,12360.0,266
CPT,54316,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia Age 21+,,,1858.37,1858.37,4
CPT,54316,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia Age Under 21,,,1892.16,1892.16,4
CPT,54318,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,948.0,12360.0,266
CPT,54318,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Age 21+",,,1257.19,1257.19,4
CPT,54318,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Age Under 21",,,1280.05,1280.05,4
CPT,54322,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,948.0,12360.0,266
CPT,54322,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) Age 21+",,,1257.19,1257.19,4
CPT,54322,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) Age Under 21",,,1280.05,1280.05,4
CPT,54324,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,948.0,17510.0,266
CPT,54324,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) Age 21+",,,1257.19,1257.19,4
CPT,54324,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) Age Under 21",,,1280.05,1280.05,4
CPT,54326,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,948.0,12360.0,266
CPT,54326,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra Age 21+,,,1257.19,1257.19,4
CPT,54326,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra Age Under 21,,,1280.05,1280.05,4
CPT,54328,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,948.0,17510.0,274
CPT,54332,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,948.0,25655.0,239
CPT,54336,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,948.0,25655.0,239
CPT,54340,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,948.0,12360.0,266
CPT,54340,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple Age 21+",,,1257.19,1257.19,4
CPT,54340,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple Age Under 21",,,1280.05,1280.05,4
CPT,54344,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,948.0,12360.0,266
CPT,54344,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft Age 21+",,,1858.37,1858.37,4
CPT,54344,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft Age Under 21",,,1892.16,1892.16,4
CPT,54348,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,948.0,12360.0,274
CPT,54352,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,948.0,17510.0,274
CPT,54360,Plastic operation on penis to correct angulation ,,,948.0,17510.0,266
CPT,54360,Plastic operation on penis to correct angulation Age 21+,,,1257.19,1257.19,4
CPT,54360,Plastic operation on penis to correct angulation Age Under 21,,,1280.05,1280.05,4
CPT,54380,Plastic operation on penis for epispadias distal to external sphincter; ,,,643.01,12360.0,266
CPT,54380,Plastic operation on penis for epispadias distal to external sphincter; Age 21+,,,718.08,718.08,4
CPT,54380,Plastic operation on penis for epispadias distal to external sphincter; Age Under 21,,,731.14,731.14,4
CPT,54385,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,643.01,12360.0,266
CPT,54385,Plastic operation on penis for epispadias distal to external sphincter; with incontinence Age 21+,,,718.08,718.08,4
CPT,54385,Plastic operation on penis for epispadias distal to external sphincter; with incontinence Age Under 21,,,731.14,731.14,4
CPT,54390,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,948.0,27917.61,194
CPT,54400,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,948.0,54082.0,236
CPT,54401,Insertion of penile prosthesis; inflatable (self-contained) ,,,2369.0,54082.0,221
CPT,54402,REMOVE PENIS PROSTHESIS ,,,2152.0,6587.0,39
CPT,54405,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,2369.0,54082.0,221
CPT,54406,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1125.76,12360.0,248
CPT,54406,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis Age 21+",,,1257.19,1257.19,4
CPT,54406,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis Age Under 21",,,1280.05,1280.05,4
CPT,54407,REMOVE MULTI-COMP PROSTHESIS ,,,2152.0,6587.0,39
CPT,54408,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,2369.0,17510.0,221
CPT,54409,REVISE PENIS PROSTHESIS ,,,2152.0,6587.0,39
CPT,54410,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,2369.0,54082.0,221
CPT,54411,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,948.0,54082.0,236
CPT,54415,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,948.0,12360.0,263
CPT,54415,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis Age 21+",,,1257.19,1257.19,4
CPT,54415,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis Age Under 21",,,1280.05,1280.05,4
CPT,54416,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,948.0,54082.0,236
CPT,54417,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,948.0,54082.0,236
CPT,54420,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,948.0,19415.0,263
CPT,54420,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral Age 21+",,,1257.19,1257.19,4
CPT,54420,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral Age Under 21",,,1280.05,1280.05,4
CPT,54430,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,948.0,25655.0,191
CPT,54435,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,948.0,19415.0,263
CPT,54435,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism Age 21+",,,1257.19,1257.19,4
CPT,54435,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism Age Under 21",,,1280.05,1280.05,4
CPT,54437,Repair of traumatic corporeal tear(s) ,,,948.0,18747.0,263
CPT,54437,Repair of traumatic corporeal tear(s) Age 21+,,,1257.19,1257.19,4
CPT,54437,Repair of traumatic corporeal tear(s) Age Under 21,,,1280.05,1280.05,4
CPT,54438,"Replantation, penis, complete amputation including urethral repair ",,,2152.0,16144.0,42
CPT,54440,Plastic operation of penis for injury ,,,948.0,19415.0,263
CPT,54440,Plastic operation of penis for injury Age 21+,,,1257.19,1257.19,4
CPT,54440,Plastic operation of penis for injury Age Under 21,,,1280.05,1280.05,4
CPT,54450,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,108.5,5932.0,266
CPT,54450,Foreskin manipulation including lysis of preputial adhesions and stretching Age 21+,,,121.17,121.17,4
CPT,54450,Foreskin manipulation including lysis of preputial adhesions and stretching Age Under 21,,,123.37,123.37,4
CPT,54500,"Biopsy of testis, needle (separate procedure) ",,,802.97,6492.89,266
CPT,54500,"Biopsy of testis, needle (separate procedure) Age 21+",,,896.72,896.72,4
CPT,54500,"Biopsy of testis, needle (separate procedure) Age Under 21",,,913.02,913.02,4
CPT,54505,"Biopsy of testis, incisional (separate procedure) ",,,948.0,8858.0,266
CPT,54505,"Biopsy of testis, incisional (separate procedure) Age 21+",,,1257.19,1257.19,4
CPT,54505,"Biopsy of testis, incisional (separate procedure) Age Under 21",,,1280.05,1280.05,4
CPT,54510,REMOVAL OF TESTIS LESION ,,,2152.0,6587.0,34
CPT,54512,Excision of extraparenchymal lesion of testis ,,,948.0,8858.0,266
CPT,54512,Excision of extraparenchymal lesion of testis Age 21+,,,1257.19,1257.19,4
CPT,54512,Excision of extraparenchymal lesion of testis Age Under 21,,,1280.05,1280.05,4
CPT,54520,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,948.0,12360.0,266
CPT,54520,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age 21+",,,1257.19,1257.19,4
CPT,54520,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age Under 21",,,1280.05,1280.05,4
CPT,54522,"Orchiectomy, partial ",,,948.0,9908.0,266
CPT,54522,"Orchiectomy, partial Age 21+",,,1257.19,1257.19,4
CPT,54522,"Orchiectomy, partial Age Under 21",,,1280.05,1280.05,4
CPT,54530,"Orchiectomy, radical, for tumor; inguinal approach ",,,948.0,19415.0,266
CPT,54530,"Orchiectomy, radical, for tumor; inguinal approach Age 21+",,,1266.69,1266.69,4
CPT,54530,"Orchiectomy, radical, for tumor; inguinal approach Age Under 21",,,1289.72,1289.72,4
CPT,54535,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,948.0,25655.0,195
CPT,54550,Exploration for undescended testis (inguinal or scrotal area) ,,,948.0,19415.0,266
CPT,54550,Exploration for undescended testis (inguinal or scrotal area) Age 21+,,,1266.69,1266.69,4
CPT,54550,Exploration for undescended testis (inguinal or scrotal area) Age Under 21,,,1289.72,1289.72,4
CPT,54560,Exploration for undescended testis with abdominal exploration ,,,643.01,25655.0,266
CPT,54560,Exploration for undescended testis with abdominal exploration Age 21+,,,718.08,718.08,4
CPT,54560,Exploration for undescended testis with abdominal exploration Age Under 21,,,731.14,731.14,4
CPT,54600,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,948.0,19415.0,266
CPT,54600,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age 21+",,,1257.19,1257.19,4
CPT,54600,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age Under 21",,,1280.05,1280.05,4
CPT,54620,Fixation of contralateral testis (separate procedure) ,,,948.0,9908.0,266
CPT,54620,Fixation of contralateral testis (separate procedure) Age 21+,,,1257.19,1257.19,4
CPT,54620,Fixation of contralateral testis (separate procedure) Age Under 21,,,1280.05,1280.05,4
CPT,54640,"Orchiopexy, inguinal or scrotal approach ",,,948.0,19415.0,266
CPT,54640,"Orchiopexy, inguinal or scrotal approach Age 21+",,,1266.69,1266.69,4
CPT,54640,"Orchiopexy, inguinal or scrotal approach Age Under 21",,,1289.72,1289.72,4
CPT,54650,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,948.0,25655.0,239
CPT,54660,Insertion of testicular prosthesis (separate procedure) ,,,948.0,11848.54,266
CPT,54660,Insertion of testicular prosthesis (separate procedure) Age 21+,,,2751.41,2751.41,4
CPT,54660,Insertion of testicular prosthesis (separate procedure) Age Under 21,,,2801.43,2801.43,4
CPT,54670,Suture or repair of testicular injury ,,,948.0,9908.0,266
CPT,54670,Suture or repair of testicular injury Age 21+,,,1257.19,1257.19,4
CPT,54670,Suture or repair of testicular injury Age Under 21,,,1280.05,1280.05,4
CPT,54680,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,948.0,9908.0,266
CPT,54680,Transplantation of testis(es) to thigh (because of scrotal destruction) Age 21+,,,1257.19,1257.19,4
CPT,54680,Transplantation of testis(es) to thigh (because of scrotal destruction) Age Under 21,,,1280.05,1280.05,4
CPT,54690,"Laparoscopy, surgical; orchiectomy ",,,1860.52,21630.0,211
CPT,54690,"Laparoscopy, surgical; orchiectomy Age 21+",,,2077.74,2077.74,4
CPT,54690,"Laparoscopy, surgical; orchiectomy Age Under 21",,,2115.51,2115.51,4
CPT,54692,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1860.52,21630.0,211
CPT,54692,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis Age 21+",,,2077.74,2077.74,4
CPT,54692,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis Age Under 21",,,2115.51,2115.51,4
CPT,54699,"Unlisted laparoscopy procedure, testis ",,,1995.0,25655.0,184
CPT,54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,643.01,8858.0,266
CPT,54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) Age 21+",,,718.08,718.08,4
CPT,54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) Age Under 21",,,731.14,731.14,4
CPT,54800,"Biopsy of epididymis, needle ",,,479.15,5932.0,266
CPT,54800,"Biopsy of epididymis, needle Age 21+",,,535.1,535.1,4
CPT,54800,"Biopsy of epididymis, needle Age Under 21",,,544.82,544.82,4
CPT,54820,EXPLORATION OF EPIDIDYMIS ,,,2152.0,6587.0,34
CPT,54830,Excision of local lesion of epididymis ,,,948.0,9908.0,266
CPT,54830,Excision of local lesion of epididymis Age 21+,,,1257.19,1257.19,4
CPT,54830,Excision of local lesion of epididymis Age Under 21,,,1280.05,1280.05,4
CPT,54840,"Excision of spermatocele, with or without epididymectomy ",,,643.01,19415.0,266
CPT,54840,"Excision of spermatocele, with or without epididymectomy Age 21+",,,718.08,718.08,4
CPT,54840,"Excision of spermatocele, with or without epididymectomy Age Under 21",,,731.14,731.14,4
CPT,54860,Epididymectomy; unilateral ,,,948.0,9908.0,266
CPT,54860,Epididymectomy; unilateral Age 21+,,,1257.19,1257.19,4
CPT,54860,Epididymectomy; unilateral Age Under 21,,,1280.05,1280.05,4
CPT,54861,Epididymectomy; bilateral ,,,948.0,19415.0,266
CPT,54861,Epididymectomy; bilateral Age 21+,,,1257.19,1257.19,4
CPT,54861,Epididymectomy; bilateral Age Under 21,,,1280.05,1280.05,4
CPT,54865,"Exploration of epididymis, with or without biopsy ",,,948.0,8858.0,266
CPT,54865,"Exploration of epididymis, with or without biopsy Age 21+",,,1257.19,1257.19,4
CPT,54865,"Exploration of epididymis, with or without biopsy Age Under 21",,,1280.05,1280.05,4
CPT,54900,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,948.0,19415.0,239
CPT,54901,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,948.0,19415.0,239
CPT,55000,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,53.45,3293.0,222
CPT,55000,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication Age 21+",,,59.69,59.69,4
CPT,55000,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication Age Under 21",,,60.77,60.77,4
CPT,55040,Excision of hydrocele; unilateral ,,,948.0,12360.0,266
CPT,55040,Excision of hydrocele; unilateral Age 21+,,,1266.69,1266.69,4
CPT,55040,Excision of hydrocele; unilateral Age Under 21,,,1289.72,1289.72,4
CPT,55041,Excision of hydrocele; bilateral ,,,948.0,18490.0,266
CPT,55041,Excision of hydrocele; bilateral Age 21+,,,1266.69,1266.69,4
CPT,55041,Excision of hydrocele; bilateral Age Under 21,,,1289.72,1289.72,4
CPT,55060,Repair of tunica vaginalis hydrocele (Bottle type) ,,,948.0,19415.0,266
CPT,55060,Repair of tunica vaginalis hydrocele (Bottle type) Age 21+,,,1257.19,1257.19,4
CPT,55060,Repair of tunica vaginalis hydrocele (Bottle type) Age Under 21,,,1280.05,1280.05,4
CPT,55100,Drainage of scrotal wall abscess ,,,479.15,5932.0,266
CPT,55100,Drainage of scrotal wall abscess Age 21+,,,535.1,535.1,4
CPT,55100,Drainage of scrotal wall abscess Age Under 21,,,544.82,544.82,4
CPT,55110,Scrotal exploration ,,,948.0,8858.0,266
CPT,55110,Scrotal exploration Age 21+,,,1257.19,1257.19,4
CPT,55110,Scrotal exploration Age Under 21,,,1280.05,1280.05,4
CPT,55120,Removal of foreign body in scrotum ,,,643.01,8858.0,266
CPT,55120,Removal of foreign body in scrotum Age 21+,,,718.08,718.08,4
CPT,55120,Removal of foreign body in scrotum Age Under 21,,,731.14,731.14,4
CPT,55150,Resection of scrotum ,,,948.0,8858.0,266
CPT,55150,Resection of scrotum Age 21+,,,1257.19,1257.19,4
CPT,55150,Resection of scrotum Age Under 21,,,1280.05,1280.05,4
CPT,55175,Scrotoplasty; simple ,,,948.0,17510.0,266
CPT,55175,Scrotoplasty; simple Age 21+,,,1257.19,1257.19,4
CPT,55175,Scrotoplasty; simple Age Under 21,,,1280.05,1280.05,4
CPT,55180,Scrotoplasty; complicated ,,,948.0,11848.54,266
CPT,55180,Scrotoplasty; complicated Age 21+,,,1858.37,1858.37,4
CPT,55180,Scrotoplasty; complicated Age Under 21,,,1892.16,1892.16,4
CPT,55200,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,948.0,8858.0,239
CPT,55250,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,643.01,8858.0,266
CPT,55250,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) Age 21+",,,718.08,718.08,4
CPT,55250,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) Age Under 21",,,731.14,731.14,4
CPT,55300,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,948.0,6680.0,142
CPT,55400,"Vasovasostomy, vasovasorrhaphy ",,,948.0,8858.0,239
CPT,55450,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,3796.0,5381.0,42
CPT,55500,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,948.0,12360.0,266
CPT,55500,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) Age 21+",,,1257.19,1257.19,4
CPT,55500,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) Age Under 21",,,1280.05,1280.05,4
CPT,55520,Excision of lesion of spermatic cord (separate procedure) ,,,948.0,19415.0,266
CPT,55520,Excision of lesion of spermatic cord (separate procedure) Age 21+,,,1257.19,1257.19,4
CPT,55520,Excision of lesion of spermatic cord (separate procedure) Age Under 21,,,1280.05,1280.05,4
CPT,55530,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,948.0,19415.0,266
CPT,55530,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Age 21+,,,1257.19,1257.19,4
CPT,55530,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Age Under 21,,,1280.05,1280.05,4
CPT,55535,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,948.0,19415.0,266
CPT,55535,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Age 21+,,,1266.69,1266.69,4
CPT,55535,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Age Under 21,,,1289.72,1289.72,4
CPT,55540,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,948.0,18490.0,266
CPT,55540,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Age 21+,,,1266.69,1266.69,4
CPT,55540,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Age Under 21,,,1289.72,1289.72,4
CPT,55550,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1860.52,21630.0,211
CPT,55550,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele Age 21+",,,2077.74,2077.74,4
CPT,55550,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele Age Under 21",,,2115.51,2115.51,4
CPT,55559,"Unlisted laparoscopy procedure, spermatic cord ",,,1995.0,25655.0,184
CPT,55600,Vesiculotomy; ,,,643.01,8858.0,266
CPT,55600,Vesiculotomy; Age 21+,,,718.08,718.08,4
CPT,55600,Vesiculotomy; Age Under 21,,,731.14,731.14,4
CPT,55605,Vesiculotomy; complicated ,,,948.0,25655.0,238
CPT,55650,"Vesiculectomy, any approach ",,,948.0,25655.0,238
CPT,55680,Excision of Mullerian duct cyst ,,,948.0,8858.0,266
CPT,55680,Excision of Mullerian duct cyst Age 21+,,,1257.19,1257.19,4
CPT,55680,Excision of Mullerian duct cyst Age Under 21,,,1280.05,1280.05,4
CPT,55700,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,643.01,4723.0,69
CPT,55700,"Biopsy, prostate; needle or punch, single or multiple, any approach Age 21+",,,718.08,718.08,4
CPT,55700,"Biopsy, prostate; needle or punch, single or multiple, any approach Age Under 21",,,731.14,731.14,4
CPT,55705,"Biopsy, prostate, any approach, nonimaging-guided ",,,948.0,6680.0,266
CPT,55705,"Biopsy, prostate, any approach, nonimaging-guided Age 21+",,,1257.19,1257.19,4
CPT,55705,"Biopsy, prostate, any approach, nonimaging-guided Age Under 21",,,1280.05,1280.05,4
CPT,55706,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,948.0,8485.0,266
CPT,55706,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance Age 21+",,,1257.19,1257.19,4
CPT,55706,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance Age Under 21",,,1280.05,1280.05,4
CPT,55707,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,948.0,10083.72,148
CPT,55708,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,948.0,10083.72,148
CPT,55709,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,948.0,10083.72,148
CPT,55710,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,948.0,10083.72,148
CPT,55711,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,948.0,10083.72,148
CPT,55712,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,948.0,10083.72,148
CPT,55713,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,948.0,15338.2,148
CPT,55714,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,948.0,15338.2,148
CPT,55715,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,948.0,5932.0,100
CPT,55720,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,948.0,8858.0,266
CPT,55720,"Prostatotomy, external drainage of prostatic abscess, any approach; simple Age 21+",,,1257.19,1257.19,4
CPT,55720,"Prostatotomy, external drainage of prostatic abscess, any approach; simple Age Under 21",,,1280.05,1280.05,4
CPT,55725,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,948.0,8858.0,266
CPT,55725,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated Age 21+",,,1257.19,1257.19,4
CPT,55725,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated Age Under 21",,,1280.05,1280.05,4
CPT,55801,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,948.0,25655.0,194
CPT,55810,"Prostatectomy, perineal radical; ",,,948.0,29541.73,194
CPT,55812,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,36192.77,194
CPT,55815,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,39526.16,194
CPT,55821,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,948.0,25655.0,194
CPT,55831,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,948.0,25655.0,194
CPT,55840,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,948.0,26348.26,194
CPT,55842,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,26371.55,194
CPT,55845,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,30676.0,238
CPT,55859,"PERCUT/NEEDLE INSERT, PROS ",,,2152.0,6587.0,34
CPT,55860,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,948.0,25655.0,266
CPT,55860,"Exposure of prostate, any approach, for insertion of radioactive substance; Age 21+",,,1858.37,1858.37,4
CPT,55860,"Exposure of prostate, any approach, for insertion of radioactive substance; Age Under 21",,,1892.16,1892.16,4
CPT,55862,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,25655.0,194
CPT,55865,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,29821.36,194
CPT,55866,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,948.0,25750.0,134
CPT,55867,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,948.0,25655.0,239
CPT,55868,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,948.0,30408.2,148
CPT,55869,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,948.0,30408.2,148
CPT,55870,Electroejaculation ,,,474.85,5932.0,239
CPT,55873,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,948.0,55080.0,199
CPT,55874,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,948.0,21630.0,266
CPT,55874,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed Age 21+",,,2646.09,2646.09,4
CPT,55874,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed Age Under 21",,,2694.2,2694.2,4
CPT,55875,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1664.09,25080.0,208
CPT,55875,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Age 21+",,,1858.37,1858.37,4
CPT,55875,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Age Under 21",,,1892.16,1892.16,4
CPT,55876,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,69.81,5932.0,266
CPT,55876,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple Age 21+",,,77.96,77.96,4
CPT,55876,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple Age Under 21",,,79.37,79.37,4
CPT,55877,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,948.0,30408.2,148
CPT,55880,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,948.0,12499.0,239
CPT,55881,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,948.0,12875.0,158
CPT,55882,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,948.0,36378.78,159
CPT,55899,"Unlisted procedure, male genital system ",,,252.24,25655.0,239
CPT,55920,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,948.0,12499.0,239
CPT,55970,Intersex surgery; male to female ,,,948.0,25655.0,163
CPT,55980,Intersex surgery; female to male ,,,948.0,25655.0,163
CPT,56300,Diagnostic laparoscopy ,,,2152.0,6587.0,34
CPT,56301,Laparoscopic fulgur FALL ,,,2152.0,6587.0,34
CPT,56302,Laparoscopic occl FALL ,,,2152.0,6587.0,34
CPT,56303,Laparoscopic fulgur les ,,,2152.0,6587.0,34
CPT,56304,Laparoscopy w ADHESIO ,,,2152.0,6587.0,34
CPT,56305,Laparoscopy w biopsy ,,,2152.0,6587.0,34
CPT,56306,Laparoscopic aspiration ,,,2152.0,6587.0,34
CPT,56307,Laparoscopic rmvl adnexa ,,,2152.0,6587.0,34
CPT,56308,LAVH ,,,2152.0,6587.0,34
CPT,56309,Lapscp rmvl leiomyomata ,,,2152.0,6587.0,34
CPT,56310,Laparoscopic enterolysis ,,,2152.0,6587.0,34
CPT,56311,Lapscp retroperit LN Bx ,,,2152.0,6587.0,34
CPT,56312,Lapscp bilat pelv LYMPH ,,,2152.0,6587.0,34
CPT,56313,Lapscp pelvic LYMPH & Bx ,,,2152.0,6587.0,34
CPT,56314,Lapscp lymphocele drain ,,,2152.0,6587.0,34
CPT,56315,Laparoscopic APPY ,,,2152.0,6587.0,34
CPT,56316,Lapscp REP init IH ,,,2152.0,6587.0,34
CPT,56317,Lapscp REP recur IH ,,,2152.0,6587.0,34
CPT,56318,Laparoscopic orchiectomy ,,,2152.0,6587.0,34
CPT,56320,Lapscp lig sperm vein ,,,2152.0,6587.0,34
CPT,56321,Lapscp adrenalectomy ,,,2152.0,6587.0,34
CPT,56322,Lapscp truncal vagotomy ,,,2152.0,6587.0,34
CPT,56323,Lapscp select vagotomy ,,,2152.0,6587.0,34
CPT,56324,Lapscp cholcystentstmy ,,,2152.0,6587.0,34
CPT,56340,Lapscp cholecystectomy ,,,2152.0,6587.0,34
CPT,56341,Lapscp CHOLE&cholangrphy ,,,2152.0,6587.0,34
CPT,56342,Lapscp CHOLE w CDE ,,,2152.0,6587.0,34
CPT,56343,Lapscp salpingostomy ,,,2152.0,6587.0,34
CPT,56344,Lapscp fimbrioplasty ,,,2152.0,6587.0,34
CPT,56345,Laparoscopic splenectomy ,,,2152.0,6587.0,34
CPT,56346,Lapscp temp gastrostomy ,,,2152.0,6587.0,34
CPT,56347,Laparoscopic jejunostomy ,,,2152.0,6587.0,34
CPT,56348,Lapscp intest resect ,,,2152.0,6587.0,34
CPT,56349,Lapscp EG fundoplasty ,,,2152.0,6587.0,34
CPT,56350,Diagnostic hysteroscopy ,,,2152.0,6587.0,34
CPT,56351,Hystscp w Bx/polypectomy ,,,2152.0,6587.0,34
CPT,56352,Hystscp IU ADHESIO ,,,2152.0,6587.0,34
CPT,56353,Hystscp div IU septum ,,,2152.0,6587.0,34
CPT,56354,Hystscp rmvl leiomyomata ,,,2152.0,6587.0,34
CPT,56355,Hystscp impacted FB rmvl ,,,2152.0,6587.0,34
CPT,56356,Hystscp w endomet ablat ,,,2152.0,6587.0,34
CPT,56362,Laparoscopic THC w/o Bx ,,,2152.0,6587.0,34
CPT,56363,Pertnscp cholangram w bx ,,,2152.0,6587.0,34
CPT,56399,Unlist px-laparascopy ,,,2152.0,6587.0,34
CPT,56405,Incision and drainage of vulva or perineal abscess ,,,74.45,6680.0,266
CPT,56405,Incision and drainage of vulva or perineal abscess Age 21+,,,83.14,83.14,4
CPT,56405,Incision and drainage of vulva or perineal abscess Age Under 21,,,84.65,84.65,4
CPT,56420,Incision and drainage of Bartholin's gland abscess ,,,69.46,5932.0,266
CPT,56420,Incision and drainage of Bartholin's gland abscess Age 21+,,,77.57,77.57,4
CPT,56420,Incision and drainage of Bartholin's gland abscess Age Under 21,,,78.98,78.98,4
CPT,56440,Marsupialization of Bartholin's gland cyst ,,,948.0,8858.0,266
CPT,56440,Marsupialization of Bartholin's gland cyst Age 21+,,,1169.87,1169.87,4
CPT,56440,Marsupialization of Bartholin's gland cyst Age Under 21,,,1191.14,1191.14,4
CPT,56441,Lysis of labial adhesions ,,,948.0,8858.0,266
CPT,56441,Lysis of labial adhesions Age 21+,,,1169.87,1169.87,4
CPT,56441,Lysis of labial adhesions Age Under 21,,,1191.14,1191.14,4
CPT,56442,"Hymenotomy, simple incision ",,,948.0,8858.0,266
CPT,56442,"Hymenotomy, simple incision Age 21+",,,1169.87,1169.87,4
CPT,56442,"Hymenotomy, simple incision Age Under 21",,,1191.14,1191.14,4
CPT,56501,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,109.35,25655.0,266
CPT,56501,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age 21+",,,122.12,122.12,4
CPT,56501,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21",,,124.34,124.34,4
CPT,56515,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,698.37,9908.0,266
CPT,56515,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age 21+",,,779.91,779.91,4
CPT,56515,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21",,,794.09,794.09,4
CPT,56605,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,44.18,5932.0,266
CPT,56605,Biopsy of vulva or perineum (separate procedure); 1 lesion Age 21+,,,49.34,49.34,4
CPT,56605,Biopsy of vulva or perineum (separate procedure); 1 lesion Age Under 21,,,50.23,50.23,4
CPT,56606,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,948.0,5932.0,142
CPT,56620,Vulvectomy simple; partial ,,,948.0,18490.0,266
CPT,56620,Vulvectomy simple; partial Age 21+,,,1169.87,1169.87,4
CPT,56620,Vulvectomy simple; partial Age Under 21,,,1191.14,1191.14,4
CPT,56625,Vulvectomy simple; complete ,,,948.0,76895.0,266
CPT,56625,Vulvectomy simple; complete Age 21+,,,1169.87,1169.87,4
CPT,56625,Vulvectomy simple; complete Age Under 21,,,1191.14,1191.14,4
CPT,56630,"Vulvectomy, radical, partial; ",,,948.0,25655.0,238
CPT,56631,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,948.0,26783.34,194
CPT,56632,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,948.0,31608.47,194
CPT,56633,"Vulvectomy, radical, complete; ",,,948.0,27474.77,194
CPT,56634,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,948.0,29440.61,194
CPT,56637,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,948.0,34133.79,194
CPT,56640,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,948.0,33877.23,194
CPT,56700,Partial hymenectomy or revision of hymenal ring ,,,948.0,8858.0,266
CPT,56700,Partial hymenectomy or revision of hymenal ring Age 21+,,,1169.87,1169.87,4
CPT,56700,Partial hymenectomy or revision of hymenal ring Age Under 21,,,1191.14,1191.14,4
CPT,56720,INCISION OF HYMEN ,,,2152.0,6587.0,34
CPT,56740,Excision of Bartholin's gland or cyst ,,,948.0,9908.0,266
CPT,56740,Excision of Bartholin's gland or cyst Age 21+,,,1169.87,1169.87,4
CPT,56740,Excision of Bartholin's gland or cyst Age Under 21,,,1191.14,1191.14,4
CPT,56800,Plastic repair of introitus ,,,948.0,9908.0,266
CPT,56800,Plastic repair of introitus Age 21+,,,1169.87,1169.87,4
CPT,56800,Plastic repair of introitus Age Under 21,,,1191.14,1191.14,4
CPT,56805,Clitoroplasty for intersex state ,,,948.0,25655.0,222
CPT,56805,Clitoroplasty for intersex state Age 21+,,,1169.87,1169.87,4
CPT,56805,Clitoroplasty for intersex state Age Under 21,,,1191.14,1191.14,4
CPT,56810,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,948.0,18490.0,266
CPT,56810,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) Age 21+",,,1169.87,1169.87,4
CPT,56810,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) Age Under 21",,,1191.14,1191.14,4
CPT,56820,Colposcopy of the vulva; ,,,54.27,5932.0,266
CPT,56820,Colposcopy of the vulva; Age 21+,,,60.61,60.61,4
CPT,56820,Colposcopy of the vulva; Age Under 21,,,61.71,61.71,4
CPT,56821,Colposcopy of the vulva; with biopsy(s) ,,,71.45,5932.0,266
CPT,56821,Colposcopy of the vulva; with biopsy(s) Age 21+,,,79.79,79.79,4
CPT,56821,Colposcopy of the vulva; with biopsy(s) Age Under 21,,,81.24,81.24,4
CPT,57000,Colpotomy; with exploration ,,,948.0,8858.0,266
CPT,57000,Colpotomy; with exploration Age 21+,,,1169.87,1169.87,4
CPT,57000,Colpotomy; with exploration Age Under 21,,,1191.14,1191.14,4
CPT,57010,Colpotomy; with drainage of pelvic abscess ,,,948.0,8858.0,266
CPT,57010,Colpotomy; with drainage of pelvic abscess Age 21+,,,1169.87,1169.87,4
CPT,57010,Colpotomy; with drainage of pelvic abscess Age Under 21,,,1191.14,1191.14,4
CPT,57020,Colpocentesis (separate procedure) ,,,948.0,11960.31,266
CPT,57020,Colpocentesis (separate procedure) Age 21+,,,1679.69,1679.69,4
CPT,57020,Colpocentesis (separate procedure) Age Under 21,,,1710.23,1710.23,4
CPT,57022,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,802.97,25655.0,266
CPT,57022,Incision and drainage of vaginal hematoma; obstetrical/postpartum Age 21+,,,896.72,896.72,4
CPT,57022,Incision and drainage of vaginal hematoma; obstetrical/postpartum Age Under 21,,,913.02,913.02,4
CPT,57023,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,802.97,8858.0,266
CPT,57023,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age 21+",,,896.72,896.72,4
CPT,57023,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age Under 21",,,913.02,913.02,4
CPT,57061,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,97.35,25655.0,266
CPT,57061,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age 21+",,,108.71,108.71,4
CPT,57061,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21",,,110.69,110.69,4
CPT,57065,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,948.0,8858.0,266
CPT,57065,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age 21+",,,1169.87,1169.87,4
CPT,57065,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21",,,1191.14,1191.14,4
CPT,57100,Biopsy of vaginal mucosa; simple (separate procedure) ,,,46.35,5932.0,266
CPT,57100,Biopsy of vaginal mucosa; simple (separate procedure) Age 21+,,,51.77,51.77,4
CPT,57100,Biopsy of vaginal mucosa; simple (separate procedure) Age Under 21,,,52.71,52.71,4
CPT,57105,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,948.0,8858.0,266
CPT,57105,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age 21+",,,1169.87,1169.87,4
CPT,57105,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21",,,1191.14,1191.14,4
CPT,57106,"Vaginectomy, partial removal of vaginal wall; ",,,948.0,25655.0,239
CPT,57107,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,948.0,25655.0,239
CPT,57109,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,948.0,25655.0,239
CPT,57110,"Vaginectomy, complete removal of vaginal wall; ",,,948.0,25655.0,238
CPT,57111,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,948.0,39611.54,238
CPT,57112,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,2152.0,16144.0,42
CPT,57120,Colpocleisis (Le Fort type) ,,,948.0,25655.0,266
CPT,57120,Colpocleisis (Le Fort type) Age 21+,,,1679.69,1679.69,4
CPT,57120,Colpocleisis (Le Fort type) Age Under 21,,,1710.23,1710.23,4
CPT,57130,Excision of vaginal septum ,,,948.0,8858.0,266
CPT,57130,Excision of vaginal septum Age 21+,,,1169.87,1169.87,4
CPT,57130,Excision of vaginal septum Age Under 21,,,1191.14,1191.14,4
CPT,57135,Excision of vaginal cyst or tumor ,,,948.0,8858.0,266
CPT,57135,Excision of vaginal cyst or tumor Age 21+,,,1169.87,1169.87,4
CPT,57135,Excision of vaginal cyst or tumor Age Under 21,,,1191.14,1191.14,4
CPT,57150,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,59.56,2636.0,195
CPT,57155,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,948.0,25080.0,266
CPT,57155,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy Age 21+,,,1679.69,1679.69,4
CPT,57155,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy Age Under 21,,,1710.23,1710.23,4
CPT,57156,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,114.99,6680.0,266
CPT,57156,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy Age 21+,,,128.41,128.41,4
CPT,57156,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy Age Under 21,,,130.75,130.75,4
CPT,57160,Fitting and insertion of pessary or other intravaginal support device ,,,33.0,2636.0,222
CPT,57160,Fitting and insertion of pessary or other intravaginal support device Age 21+,,,36.85,36.85,4
CPT,57160,Fitting and insertion of pessary or other intravaginal support device Age Under 21,,,37.52,37.52,4
CPT,57170,Diaphragm or cervical cap fitting with instructions ,,,35.17,6587.0,222
CPT,57170,Diaphragm or cervical cap fitting with instructions Age 21+,,,39.28,39.28,4
CPT,57170,Diaphragm or cervical cap fitting with instructions Age Under 21,,,40.0,40.0,4
CPT,57180,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,69.46,3092.0,222
CPT,57180,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) Age 21+,,,77.57,77.57,4
CPT,57180,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) Age Under 21,,,78.98,78.98,4
CPT,57200,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,948.0,8858.0,266
CPT,57200,"Colporrhaphy, suture of injury of vagina (nonobstetrical) Age 21+",,,1169.87,1169.87,4
CPT,57200,"Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21",,,1191.14,1191.14,4
CPT,57210,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,948.0,8858.0,266
CPT,57210,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) Age 21+",,,1169.87,1169.87,4
CPT,57210,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) Age Under 21",,,1191.14,1191.14,4
CPT,57220,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,948.0,17510.0,266
CPT,57220,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Age 21+",,,1679.69,1679.69,4
CPT,57220,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Age Under 21",,,1710.23,1710.23,4
CPT,57230,Plastic repair of urethrocele ,,,948.0,9908.0,266
CPT,57230,Plastic repair of urethrocele Age 21+,,,1169.87,1169.87,4
CPT,57230,Plastic repair of urethrocele Age Under 21,,,1191.14,1191.14,4
CPT,57240,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,948.0,18490.0,266
CPT,57240,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed Age 21+",,,1679.69,1679.69,4
CPT,57240,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed Age Under 21",,,1710.23,1710.23,4
CPT,57250,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,948.0,18490.0,266
CPT,57250,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age 21+",,,1679.69,1679.69,4
CPT,57250,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21",,,1710.23,1710.23,4
CPT,57260,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,948.0,18490.0,266
CPT,57260,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age 21+",,,1679.69,1679.69,4
CPT,57260,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21",,,1710.23,1710.23,4
CPT,57265,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,948.0,23113.0,266
CPT,57265,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age 21+",,,1679.69,1679.69,4
CPT,57265,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21",,,1710.23,1710.23,4
CPT,57267,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,948.0,23113.0,142
CPT,57268,"Repair of enterocele, vaginal approach (separate procedure) ",,,948.0,11960.31,266
CPT,57268,"Repair of enterocele, vaginal approach (separate procedure) Age 21+",,,1679.69,1679.69,4
CPT,57268,"Repair of enterocele, vaginal approach (separate procedure) Age Under 21",,,1710.23,1710.23,4
CPT,57270,"Repair of enterocele, abdominal approach (separate procedure) ",,,948.0,25655.0,194
CPT,57280,"Colpopexy, abdominal approach ",,,948.0,25655.0,238
CPT,57282,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,948.0,25655.0,239
CPT,57283,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,948.0,25655.0,239
CPT,57284,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,948.0,25655.0,239
CPT,57285,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,948.0,19415.0,239
CPT,57287,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,948.0,25655.0,266
CPT,57287,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age 21+",,,1169.87,1169.87,4
CPT,57287,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21",,,1191.14,1191.14,4
CPT,57288,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,948.0,18490.0,266
CPT,57288,"Sling operation for stress incontinence (eg, fascia or synthetic) Age 21+",,,2274.56,2274.56,4
CPT,57288,"Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21",,,2315.91,2315.91,4
CPT,57289,"Pereyra procedure, including anterior colporrhaphy ",,,948.0,18770.08,266
CPT,57289,"Pereyra procedure, including anterior colporrhaphy Age 21+",,,2504.48,2504.48,4
CPT,57289,"Pereyra procedure, including anterior colporrhaphy Age Under 21",,,2550.02,2550.02,4
CPT,57291,Construction of artificial vagina; without graft ,,,948.0,18490.0,266
CPT,57291,Construction of artificial vagina; without graft Age 21+,,,1679.69,1679.69,4
CPT,57291,Construction of artificial vagina; without graft Age Under 21,,,1710.23,1710.23,4
CPT,57292,Construction of artificial vagina; with graft ,,,948.0,25655.0,239
CPT,57295,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,948.0,9908.0,266
CPT,57295,Revision (including removal) of prosthetic vaginal graft; vaginal approach Age 21+,,,1169.87,1169.87,4
CPT,57295,Revision (including removal) of prosthetic vaginal graft; vaginal approach Age Under 21,,,1191.14,1191.14,4
CPT,57296,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,948.0,25655.0,194
CPT,57300,Closure of rectovaginal fistula; vaginal or transanal approach ,,,948.0,9908.0,266
CPT,57300,Closure of rectovaginal fistula; vaginal or transanal approach Age 21+,,,1169.87,1169.87,4
CPT,57300,Closure of rectovaginal fistula; vaginal or transanal approach Age Under 21,,,1191.14,1191.14,4
CPT,57305,Closure of rectovaginal fistula; abdominal approach ,,,948.0,25655.0,238
CPT,57307,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,948.0,25655.0,194
CPT,57308,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,948.0,25655.0,194
CPT,57310,Closure of urethrovaginal fistula; ,,,948.0,18770.08,266
CPT,57310,Closure of urethrovaginal fistula; Age 21+,,,2504.48,2504.48,4
CPT,57310,Closure of urethrovaginal fistula; Age Under 21,,,2550.02,2550.02,4
CPT,57311,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,948.0,25655.0,238
CPT,57320,Closure of vesicovaginal fistula; vaginal approach ,,,948.0,12360.0,266
CPT,57320,Closure of vesicovaginal fistula; vaginal approach Age 21+,,,1679.69,1679.69,4
CPT,57320,Closure of vesicovaginal fistula; vaginal approach Age Under 21,,,1710.23,1710.23,4
CPT,57330,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,948.0,25655.0,195
CPT,57335,Vaginoplasty for intersex state ,,,948.0,25655.0,239
CPT,57400,Dilation of vagina under anesthesia (other than local) ,,,948.0,8858.0,266
CPT,57400,Dilation of vagina under anesthesia (other than local) Age 21+,,,1169.87,1169.87,4
CPT,57400,Dilation of vagina under anesthesia (other than local) Age Under 21,,,1191.14,1191.14,4
CPT,57410,Pelvic examination under anesthesia (other than local) ,,,948.0,8858.0,266
CPT,57410,Pelvic examination under anesthesia (other than local) Age 21+,,,1169.87,1169.87,4
CPT,57410,Pelvic examination under anesthesia (other than local) Age Under 21,,,1191.14,1191.14,4
CPT,57415,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,948.0,8858.0,266
CPT,57415,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) Age 21+,,,1169.87,1169.87,4
CPT,57415,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) Age Under 21,,,1191.14,1191.14,4
CPT,57420,"Colposcopy of the entire vagina, with cervix if present; ",,,56.99,5932.0,266
CPT,57420,"Colposcopy of the entire vagina, with cervix if present; Age 21+",,,63.65,63.65,4
CPT,57420,"Colposcopy of the entire vagina, with cervix if present; Age Under 21",,,64.8,64.8,4
CPT,57421,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,75.0,5932.0,266
CPT,57421,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age 21+",,,83.75,83.75,4
CPT,57421,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21",,,85.28,85.28,4
CPT,57423,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,948.0,23556.71,239
CPT,57425,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,948.0,25655.0,199
CPT,57426,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,948.0,18770.08,226
CPT,57426,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Age 21+",,,2504.48,2504.48,4
CPT,57426,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Age Under 21",,,2550.02,2550.02,4
CPT,57452,Colposcopy of the cervix including upper/adjacent vagina; ,,,55.9,6680.0,266
CPT,57452,Colposcopy of the cervix including upper/adjacent vagina; Age 21+,,,62.43,62.43,4
CPT,57452,Colposcopy of the cervix including upper/adjacent vagina; Age Under 21,,,63.56,63.56,4
CPT,57454,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,64.08,6680.0,266
CPT,57454,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age 21+,,,71.57,71.57,4
CPT,57454,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age Under 21,,,72.87,72.87,4
CPT,57455,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,68.99,5932.0,266
CPT,57455,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age 21+,,,77.04,77.04,4
CPT,57455,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21,,,78.44,78.44,4
CPT,57456,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,65.44,5932.0,266
CPT,57456,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage Age 21+,,,73.08,73.08,4
CPT,57456,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage Age Under 21,,,74.41,74.41,4
CPT,57460,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,171.8,25655.0,266
CPT,57460,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age 21+,,,191.86,191.86,4
CPT,57460,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21,,,195.35,195.35,4
CPT,57461,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,182.44,9908.0,266
CPT,57461,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix Age 21+,,,203.74,203.74,4
CPT,57461,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix Age Under 21,,,207.45,207.45,4
CPT,57465,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,125.87,6587.0,104
CPT,57500,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,89.99,5932.0,266
CPT,57500,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) Age 21+",,,100.5,100.5,4
CPT,57500,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) Age Under 21",,,102.32,102.32,4
CPT,57505,Endocervical curettage (not done as part of a dilation and curettage) ,,,90.53,5932.0,266
CPT,57505,Endocervical curettage (not done as part of a dilation and curettage) Age 21+,,,101.1,101.1,4
CPT,57505,Endocervical curettage (not done as part of a dilation and curettage) Age Under 21,,,102.94,102.94,4
CPT,57510,Cautery of cervix; electro or thermal ,,,77.99,25655.0,266
CPT,57510,Cautery of cervix; electro or thermal Age 21+,,,87.1,87.1,4
CPT,57510,Cautery of cervix; electro or thermal Age Under 21,,,88.68,88.68,4
CPT,57511,"Cautery of cervix; cryocautery, initial or repeat ",,,103.36,5932.0,266
CPT,57511,"Cautery of cervix; cryocautery, initial or repeat Age 21+",,,115.42,115.42,4
CPT,57511,"Cautery of cervix; cryocautery, initial or repeat Age Under 21",,,117.52,117.52,4
CPT,57513,Cautery of cervix; laser ablation ,,,948.0,8858.0,266
CPT,57513,Cautery of cervix; laser ablation Age 21+,,,1169.87,1169.87,4
CPT,57513,Cautery of cervix; laser ablation Age Under 21,,,1191.14,1191.14,4
CPT,57520,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,948.0,8858.0,266
CPT,57520,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser Age 21+",,,1169.87,1169.87,4
CPT,57520,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser Age Under 21",,,1191.14,1191.14,4
CPT,57522,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,948.0,8858.0,266
CPT,57522,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision Age 21+",,,1169.87,1169.87,4
CPT,57522,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision Age Under 21",,,1191.14,1191.14,4
CPT,57530,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,948.0,11960.31,266
CPT,57530,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Age 21+",,,1679.69,1679.69,4
CPT,57530,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Age Under 21",,,1710.23,1710.23,4
CPT,57531,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,948.0,37195.1,194
CPT,57540,"Excision of cervical stump, abdominal approach; ",,,948.0,25655.0,194
CPT,57545,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,948.0,25655.0,194
CPT,57550,"Excision of cervical stump, vaginal approach; ",,,948.0,11960.31,266
CPT,57550,"Excision of cervical stump, vaginal approach; Age 21+",,,1679.69,1679.69,4
CPT,57550,"Excision of cervical stump, vaginal approach; Age Under 21",,,1710.23,1710.23,4
CPT,57555,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,948.0,25655.0,195
CPT,57556,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,948.0,18490.0,266
CPT,57556,"Excision of cervical stump, vaginal approach; with repair of enterocele Age 21+",,,1679.69,1679.69,4
CPT,57556,"Excision of cervical stump, vaginal approach; with repair of enterocele Age Under 21",,,1710.23,1710.23,4
CPT,57558,Dilation and curettage of cervical stump ,,,948.0,9908.0,266
CPT,57558,Dilation and curettage of cervical stump Age 21+,,,1169.87,1169.87,4
CPT,57558,Dilation and curettage of cervical stump Age Under 21,,,1191.14,1191.14,4
CPT,57700,"Cerclage of uterine cervix, nonobstetrical ",,,948.0,8858.0,239
CPT,57720,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,948.0,9908.0,266
CPT,57720,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach Age 21+",,,1169.87,1169.87,4
CPT,57720,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach Age Under 21",,,1191.14,1191.14,4
CPT,57800,"Dilation of cervical canal, instrumental (separate procedure) ",,,39.26,8858.0,266
CPT,57800,"Dilation of cervical canal, instrumental (separate procedure) Age 21+",,,43.85,43.85,4
CPT,57800,"Dilation of cervical canal, instrumental (separate procedure) Age Under 21",,,44.64,44.64,4
CPT,57820,D & C OF RESIDUAL CERVIX ,,,2152.0,6587.0,34
CPT,58100,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,45.27,5932.0,266
CPT,58100,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) Age 21+",,,50.56,50.56,4
CPT,58100,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) Age Under 21",,,51.48,51.48,4
CPT,58110,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,948.0,5932.0,142
CPT,58120,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,948.0,8858.0,266
CPT,58120,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) Age 21+",,,1169.87,1169.87,4
CPT,58120,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) Age Under 21",,,1191.14,1191.14,4
CPT,58140,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,948.0,25655.0,238
CPT,58145,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,948.0,18490.0,266
CPT,58145,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach Age 21+",,,1169.87,1169.87,4
CPT,58145,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach Age Under 21",,,1191.14,1191.14,4
CPT,58146,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,948.0,25655.0,194
CPT,58150,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,948.0,25655.0,238
CPT,58152,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,948.0,27653.5,238
CPT,58180,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,25655.0,223
CPT,58200,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,30854.73,223
CPT,58210,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,41507.53,223
CPT,58240,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1995.0,65905.47,179
CPT,58260,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1504.09,18490.0,251
CPT,58260,"Vaginal hysterectomy, for uterus 250 g or less; Age 21+",,,1679.69,1679.69,4
CPT,58260,"Vaginal hysterectomy, for uterus 250 g or less; Age Under 21",,,1710.23,1710.23,4
CPT,58262,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,948.0,18490.0,266
CPT,58262,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age 21+",,,1679.69,1679.69,4
CPT,58262,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21",,,1710.23,1710.23,4
CPT,58263,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,948.0,18490.0,239
CPT,58267,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,948.0,25655.0,194
CPT,58270,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,948.0,18490.0,239
CPT,58275,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,948.0,25655.0,194
CPT,58280,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,948.0,25655.0,194
CPT,58285,"Vaginal hysterectomy, radical (Schauta type operation) ",,,948.0,32525.42,194
CPT,58290,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,948.0,25655.0,239
CPT,58291,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,948.0,25655.0,239
CPT,58292,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,948.0,25655.0,239
CPT,58293,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,5694.0,7168.0,42
CPT,58294,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,948.0,25655.0,239
CPT,58300,Insertion of intrauterine device (IUD) ,,,35.87,5932.0,240
CPT,58301,Removal of intrauterine device (IUD) ,,,50.45,5932.0,266
CPT,58301,Removal of intrauterine device (IUD) Age 21+,,,56.34,56.34,4
CPT,58301,Removal of intrauterine device (IUD) Age Under 21,,,57.37,57.37,4
CPT,58321,Artificial insemination; intra-cervical ,,,267.26,3092.0,195
CPT,58322,Artificial insemination; intra-uterine ,,,204.11,3092.0,195
CPT,58323,Sperm washing for artificial insemination ,,,20.92,3092.0,199
CPT,58340,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,948.0,5932.0,142
CPT,58345,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,948.0,25655.0,239
CPT,58346,Insertion of Heyman capsules for clinical brachytherapy ,,,948.0,11960.31,266
CPT,58346,Insertion of Heyman capsules for clinical brachytherapy Age 21+,,,1679.69,1679.69,4
CPT,58346,Insertion of Heyman capsules for clinical brachytherapy Age Under 21,,,1710.23,1710.23,4
CPT,58350,"Chromotubation of oviduct, including materials ",,,948.0,12360.0,239
CPT,58353,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1504.09,18747.0,211
CPT,58353,"Endometrial ablation, thermal, without hysteroscopic guidance Age 21+",,,1679.69,1679.69,4
CPT,58353,"Endometrial ablation, thermal, without hysteroscopic guidance Age Under 21",,,1710.23,1710.23,4
CPT,58356,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,948.0,25655.0,226
CPT,58356,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Age 21+",,,1361.57,1361.57,4
CPT,58356,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Age Under 21",,,1386.32,1386.32,4
CPT,58400,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,948.0,25655.0,238
CPT,58410,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,948.0,25655.0,194
CPT,58520,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,948.0,25655.0,238
CPT,58540,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,948.0,25655.0,238
CPT,58541,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,948.0,23981.0,161
CPT,58541,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age 21+",,,2077.74,2077.74,4
CPT,58541,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age Under 21",,,2115.51,2115.51,4
CPT,58542,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,948.0,23981.0,161
CPT,58542,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age 21+",,,3421.01,3421.01,4
CPT,58542,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age Under 21",,,3483.21,3483.21,4
CPT,58543,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,948.0,23981.0,134
CPT,58544,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,948.0,23981.0,134
CPT,58545,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1860.52,17510.0,211
CPT,58545,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas Age 21+",,,2077.74,2077.74,4
CPT,58545,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas Age Under 21",,,2115.51,2115.51,4
CPT,58546,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,1995.0,23556.71,211
CPT,58546,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g Age 21+",,,3421.01,3421.01,4
CPT,58546,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g Age Under 21",,,3483.21,3483.21,4
CPT,58548,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,1995.0,42781.72,118
CPT,58550,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1860.52,23981.0,146
CPT,58550,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age 21+",,,2077.74,2077.74,4
CPT,58550,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21",,,2115.51,2115.51,4
CPT,58551,"Laparoscopy, remove myoma ",,,2152.0,6587.0,39
CPT,58552,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1995.0,23981.0,146
CPT,58552,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age 21+",,,3421.01,3421.01,4
CPT,58552,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age Under 21",,,3483.21,3483.21,4
CPT,58553,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,1995.0,23981.0,146
CPT,58553,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age 21+",,,3421.01,3421.01,4
CPT,58553,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21",,,3483.21,3483.21,4
CPT,58554,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1995.0,23981.0,146
CPT,58554,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Age 21+",,,3421.01,3421.01,4
CPT,58554,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Age Under 21",,,3483.21,3483.21,4
CPT,58555,"Hysteroscopy, diagnostic (separate procedure) ",,,1047.57,9831.0,211
CPT,58555,"Hysteroscopy, diagnostic (separate procedure) Age 21+",,,1169.87,1169.87,4
CPT,58555,"Hysteroscopy, diagnostic (separate procedure) Age Under 21",,,1191.14,1191.14,4
CPT,58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1047.57,9831.0,211
CPT,58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Age 21+",,,1169.87,1169.87,4
CPT,58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Age Under 21",,,1191.14,1191.14,4
CPT,58559,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,1504.09,11960.31,211
CPT,58559,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age 21+",,,1679.69,1679.69,4
CPT,58559,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21",,,1710.23,1710.23,4
CPT,58560,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1504.09,12360.0,211
CPT,58560,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age 21+",,,1679.69,1679.69,4
CPT,58560,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age Under 21",,,1710.23,1710.23,4
CPT,58561,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1504.09,12360.0,211
CPT,58561,"Hysteroscopy, surgical; with removal of leiomyomata Age 21+",,,1679.69,1679.69,4
CPT,58561,"Hysteroscopy, surgical; with removal of leiomyomata Age Under 21",,,1710.23,1710.23,4
CPT,58562,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1047.57,9831.0,211
CPT,58562,"Hysteroscopy, surgical; with removal of impacted foreign body Age 21+",,,1169.87,1169.87,4
CPT,58562,"Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21",,,1191.14,1191.14,4
CPT,58563,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1504.09,12499.0,211
CPT,58563,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Age 21+",,,1679.69,1679.69,4
CPT,58563,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Age Under 21",,,1710.23,1710.23,4
CPT,58565,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1958.12,17510.0,211
CPT,58565,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Age 21+",,,2186.73,2186.73,4
CPT,58565,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Age Under 21",,,2226.49,2226.49,4
CPT,58570,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,1995.0,23981.0,146
CPT,58570,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age 21+",,,3421.01,3421.01,4
CPT,58570,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21",,,3483.21,3483.21,4
CPT,58571,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1995.0,23981.0,146
CPT,58571,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age 21+",,,3421.01,3421.01,4
CPT,58571,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age Under 21",,,3483.21,3483.21,4
CPT,58572,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,1995.0,23981.0,119
CPT,58573,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1995.0,23981.0,146
CPT,58573,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Age 21+",,,3421.01,3421.01,4
CPT,58573,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Age Under 21",,,3483.21,3483.21,4
CPT,58575,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1995.0,42292.31,141
CPT,58578,"Unlisted laparoscopy procedure, uterus ",,,1995.0,25655.0,184
CPT,58579,"Unlisted hysteroscopy procedure, uterus ",,,204.11,25655.0,184
CPT,58580,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,948.0,25655.0,231
CPT,58600,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,948.0,9868.0,266
CPT,58600,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age 21+",,,1169.87,1169.87,4
CPT,58600,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21",,,1191.14,1191.14,4
CPT,58605,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,948.0,25655.0,238
CPT,58611,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,948.0,25655.0,238
CPT,58615,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,948.0,25655.0,266
CPT,58615,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Age 21+",,,1169.87,1169.87,4
CPT,58615,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Age Under 21",,,1191.14,1191.14,4
CPT,58660,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1860.52,21630.0,211
CPT,58660,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age 21+",,,2077.74,2077.74,4
CPT,58660,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21",,,2115.51,2115.51,4
CPT,58661,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1860.52,21630.0,211
CPT,58661,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age 21+",,,2077.74,2077.74,4
CPT,58661,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age Under 21",,,2115.51,2115.51,4
CPT,58662,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1860.52,21630.0,211
CPT,58662,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Age 21+",,,2077.74,2077.74,4
CPT,58662,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Age Under 21",,,2115.51,2115.51,4
CPT,58670,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1860.52,21630.0,211
CPT,58670,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age 21+",,,2077.74,2077.74,4
CPT,58670,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21",,,2115.51,2115.51,4
CPT,58671,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1860.52,21630.0,211
CPT,58671,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age 21+",,,2077.74,2077.74,4
CPT,58671,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21",,,2115.51,2115.51,4
CPT,58672,"Laparoscopy, surgical; with fimbrioplasty ",,,1860.52,21630.0,211
CPT,58672,"Laparoscopy, surgical; with fimbrioplasty Age 21+",,,2077.74,2077.74,4
CPT,58672,"Laparoscopy, surgical; with fimbrioplasty Age Under 21",,,2115.51,2115.51,4
CPT,58673,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1860.52,21630.0,211
CPT,58673,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age 21+",,,2077.74,2077.74,4
CPT,58673,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21",,,2115.51,2115.51,4
CPT,58674,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1995.0,25655.0,211
CPT,58674,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Age 21+",,,3421.01,3421.01,4
CPT,58674,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Age Under 21",,,3483.21,3483.21,4
CPT,58679,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1995.0,25655.0,184
CPT,58700,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,948.0,25655.0,238
CPT,58720,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,948.0,25655.0,238
CPT,58740,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,948.0,25655.0,238
CPT,58750,Tubotubal anastomosis ,,,948.0,25655.0,238
CPT,58752,Tubouterine implantation ,,,948.0,25655.0,238
CPT,58760,Fimbrioplasty ,,,948.0,25655.0,238
CPT,58770,Salpingostomy (salpingoneostomy) ,,,948.0,25655.0,239
CPT,58800,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,948.0,9908.0,266
CPT,58800,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach Age 21+",,,1169.87,1169.87,4
CPT,58800,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach Age Under 21",,,1191.14,1191.14,4
CPT,58805,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,948.0,25655.0,266
CPT,58805,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Age 21+",,,1169.87,1169.87,4
CPT,58805,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Age Under 21",,,1191.14,1191.14,4
CPT,58820,"Drainage of ovarian abscess; vaginal approach, open ",,,948.0,9908.0,266
CPT,58820,"Drainage of ovarian abscess; vaginal approach, open Age 21+",,,1169.87,1169.87,4
CPT,58820,"Drainage of ovarian abscess; vaginal approach, open Age Under 21",,,1191.14,1191.14,4
CPT,58822,Drainage of ovarian abscess; abdominal approach ,,,948.0,25655.0,238
CPT,58823,DRAIN PELVIC ABSCESS PERCUT ,,,2152.0,6587.0,34
CPT,58825,"Transposition, ovary(s) ",,,948.0,25655.0,238
CPT,58900,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,948.0,9908.0,266
CPT,58900,"Biopsy of ovary, unilateral or bilateral (separate procedure) Age 21+",,,1169.87,1169.87,4
CPT,58900,"Biopsy of ovary, unilateral or bilateral (separate procedure) Age Under 21",,,1191.14,1191.14,4
CPT,58920,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,948.0,25655.0,239
CPT,58925,"Ovarian cystectomy, unilateral or bilateral ",,,948.0,25655.0,239
CPT,58940,"Oophorectomy, partial or total, unilateral or bilateral; ",,,948.0,25655.0,238
CPT,58943,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,948.0,26565.8,194
CPT,58950,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,948.0,25655.0,194
CPT,58951,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,948.0,32750.72,194
CPT,58952,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,948.0,37156.29,194
CPT,58953,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,948.0,45780.94,194
CPT,58954,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,948.0,49712.62,194
CPT,58956,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,948.0,31064.51,194
CPT,58957,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,2152.0,16144.0,42
CPT,58958,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,948.0,39813.56,194
CPT,58960,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,948.0,25655.0,238
CPT,58970,"Follicle puncture for oocyte retrieval, any method ",,,929.87,5932.0,239
CPT,58974,"Embryo transfer, intrauterine ",,,929.87,5932.0,239
CPT,58976,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,307.65,5932.0,239
CPT,58999,"Unlisted procedure, female genital system (nonobstetrical) ",,,204.11,25655.0,239
CPT,59000,Amniocentesis; diagnostic ,,,48.82,5932.0,224
CPT,59000,Amniocentesis; diagnostic Age 21+,,,54.52,54.52,4
CPT,59000,Amniocentesis; diagnostic Age Under 21,,,55.51,55.51,4
CPT,59001,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,114.99,5932.0,224
CPT,59001,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) Age 21+,,,128.41,128.41,4
CPT,59001,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) Age Under 21,,,130.75,130.75,4
CPT,59012,"Cordocentesis (intrauterine), any method ",,,307.65,2636.0,195
CPT,59015,"Chorionic villus sampling, any method ",,,49.08,3293.0,222
CPT,59015,"Chorionic villus sampling, any method Age 21+",,,54.81,54.81,4
CPT,59015,"Chorionic villus sampling, any method Age Under 21",,,55.81,55.81,4
CPT,59020,Fetal contraction stress test ,,,23.99,2636.0,182
CPT,59020,Fetal contraction stress test Age 21+,,,29.84,29.84,4
CPT,59020,Fetal contraction stress test Age Under 21,,,30.39,30.39,4
CPT,59025,Fetal non-stress test ,,,15.54,2636.0,140
CPT,59025,Fetal non-stress test Age 21+,,,17.36,17.36,4
CPT,59025,Fetal non-stress test Age Under 21,,,17.67,17.67,4
CPT,59025,NON STRESS TEST,999.0,999.0,63.37,1092.68,106
CPT,59030,Fetal scalp blood sampling ,,,307.65,2636.0,195
CPT,59050,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,68.91,2636.0,148
CPT,59051,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,44.66,16144.0,148
CPT,59070,"Transabdominal amnioinfusion, including ultrasound guidance ",,,307.65,5932.0,239
CPT,59072,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,307.65,5932.0,239
CPT,59074,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,114.99,5932.0,266
CPT,59074,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Age 21+",,,128.41,128.41,4
CPT,59074,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Age Under 21",,,130.75,130.75,4
CPT,59076,"Fetal shunt placement, including ultrasound guidance ",,,307.65,5932.0,239
CPT,59100,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,948.0,12224.1,195
CPT,59120,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,948.0,25655.0,238
CPT,59121,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,948.0,25655.0,238
CPT,59130,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,948.0,25655.0,194
CPT,59135,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,2152.0,16144.0,42
CPT,59136,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,948.0,25655.0,194
CPT,59140,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,948.0,25655.0,194
CPT,59150,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1860.52,25655.0,211
CPT,59150,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age 21+,,,2077.74,2077.74,4
CPT,59150,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21,,,2115.51,2115.51,4
CPT,59151,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1860.52,25655.0,211
CPT,59151,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age 21+,,,2077.74,2077.74,4
CPT,59151,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21,,,2115.51,2115.51,4
CPT,59160,"Curettage, postpartum ",,,948.0,9908.0,266
CPT,59160,"Curettage, postpartum Age 21+",,,1169.87,1169.87,4
CPT,59160,"Curettage, postpartum Age Under 21",,,1191.14,1191.14,4
CPT,59200,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,307.65,5932.0,239
CPT,59300,"Episiotomy or vaginal repair, by other than attending ",,,684.71,25655.0,239
CPT,59320,"Cerclage of cervix, during pregnancy; vaginal ",,,948.0,8858.0,266
CPT,59320,"Cerclage of cervix, during pregnancy; vaginal Age 21+",,,1169.87,1169.87,4
CPT,59320,"Cerclage of cervix, during pregnancy; vaginal Age Under 21",,,1191.14,1191.14,4
CPT,59325,"Cerclage of cervix, during pregnancy; abdominal ",,,948.0,25655.0,238
CPT,59350,Hysterorrhaphy of ruptured uterus ,,,948.0,25655.0,162
CPT,59400,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,948.0,46954.23,114
CPT,59409,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,948.0,25655.0,239
CPT,59410,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,948.0,23263.46,158
CPT,59412,"External cephalic version, with or without tocolysis ",,,948.0,8858.0,195
CPT,59414,Delivery of placenta (separate procedure) ,,,948.0,25655.0,222
CPT,59414,Delivery of placenta (separate procedure) Age 21+,,,1169.87,1169.87,4
CPT,59414,Delivery of placenta (separate procedure) Age Under 21,,,1191.14,1191.14,4
CPT,59425,Antepartum care only; 4-6 visits ,,,948.0,7925.46,114
CPT,59426,Antepartum care only; 7 or more visits ,,,948.0,13978.21,114
CPT,59430,Postpartum care only (separate procedure) ,,,948.0,6587.0,158
CPT,59510,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,948.0,52059.21,114
CPT,59514,Cesarean delivery only; ,,,948.0,25655.0,186
CPT,59515,Cesarean delivery only; including postpartum care ,,,948.0,28282.84,182
CPT,59525,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,948.0,25655.0,162
CPT,59610,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,948.0,49269.77,114
CPT,59612,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,948.0,25655.0,239
CPT,59614,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,948.0,25376.98,114
CPT,59618,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,948.0,52742.87,114
CPT,59620,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,948.0,25655.0,162
CPT,59622,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,948.0,29129.93,114
CPT,59812,"Treatment of incomplete abortion, any trimester, completed surgically ",,,948.0,18490.0,266
CPT,59812,"Treatment of incomplete abortion, any trimester, completed surgically Age 21+",,,1169.87,1169.87,4
CPT,59812,"Treatment of incomplete abortion, any trimester, completed surgically Age Under 21",,,1191.14,1191.14,4
CPT,59820,"Treatment of missed abortion, completed surgically; first trimester ",,,948.0,18490.0,266
CPT,59820,"Treatment of missed abortion, completed surgically; first trimester Age 21+",,,1169.87,1169.87,4
CPT,59820,"Treatment of missed abortion, completed surgically; first trimester Age Under 21",,,1191.14,1191.14,4
CPT,59821,"Treatment of missed abortion, completed surgically; second trimester ",,,948.0,18490.0,266
CPT,59821,"Treatment of missed abortion, completed surgically; second trimester Age 21+",,,1169.87,1169.87,4
CPT,59821,"Treatment of missed abortion, completed surgically; second trimester Age Under 21",,,1191.14,1191.14,4
CPT,59830,"Treatment of septic abortion, completed surgically ",,,348.03,25655.0,240
CPT,59840,"Induced abortion, by dilation and curettage ",,,948.0,18490.0,266
CPT,59840,"Induced abortion, by dilation and curettage Age 21+",,,1169.87,1169.87,4
CPT,59840,"Induced abortion, by dilation and curettage Age Under 21",,,1191.14,1191.14,4
CPT,59841,"Induced abortion, by dilation and evacuation ",,,948.0,18490.0,266
CPT,59841,"Induced abortion, by dilation and evacuation Age 21+",,,1169.87,1169.87,4
CPT,59841,"Induced abortion, by dilation and evacuation Age Under 21",,,1191.14,1191.14,4
CPT,59850,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,948.0,16144.0,238
CPT,59851,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,948.0,16144.0,238
CPT,59852,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,948.0,25655.0,238
CPT,59855,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,948.0,25655.0,194
CPT,59856,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,948.0,25655.0,238
CPT,59857,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,948.0,25655.0,238
CPT,59866,Multifetal pregnancy reduction(s) (MPR) ,,,307.65,3092.0,195
CPT,59870,Uterine evacuation and curettage for hydatidiform mole ,,,948.0,18490.0,266
CPT,59870,Uterine evacuation and curettage for hydatidiform mole Age 21+,,,1169.87,1169.87,4
CPT,59870,Uterine evacuation and curettage for hydatidiform mole Age Under 21,,,1191.14,1191.14,4
CPT,59871,Removal of cerclage suture under anesthesia (other than local) ,,,948.0,18490.0,266
CPT,59871,Removal of cerclage suture under anesthesia (other than local) Age 21+,,,1169.87,1169.87,4
CPT,59871,Removal of cerclage suture under anesthesia (other than local) Age Under 21,,,1191.14,1191.14,4
CPT,59897,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,204.11,25655.0,239
CPT,59898,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1995.0,25655.0,224
CPT,59899,"Unlisted procedure, maternity care and delivery ",,,204.11,25655.0,239
CPT,60000,"Incision and drainage of thyroglossal duct cyst, infected ",,,414.33,5932.0,266
CPT,60000,"Incision and drainage of thyroglossal duct cyst, infected Age 21+",,,462.7,462.7,4
CPT,60000,"Incision and drainage of thyroglossal duct cyst, infected Age Under 21",,,471.12,471.12,4
CPT,60001,ASPIRATE/INJECT THYRIOD CYST ,,,2152.0,6587.0,34
CPT,60100,"Biopsy thyroid, percutaneous core needle ",,,41.99,5932.0,266
CPT,60100,"Biopsy thyroid, percutaneous core needle Age 21+",,,46.89,46.89,4
CPT,60100,"Biopsy thyroid, percutaneous core needle Age Under 21",,,47.75,47.75,4
CPT,60200,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,948.0,21630.0,266
CPT,60200,"Excision of cyst or adenoma of thyroid, or transection of isthmus Age 21+",,,2077.74,2077.74,4
CPT,60200,"Excision of cyst or adenoma of thyroid, or transection of isthmus Age Under 21",,,2115.51,2115.51,4
CPT,60210,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,948.0,25655.0,266
CPT,60210,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy Age 21+",,,2077.74,2077.74,4
CPT,60210,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21",,,2115.51,2115.51,4
CPT,60212,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,948.0,25655.0,266
CPT,60212,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Age 21+",,,2077.74,2077.74,4
CPT,60212,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Age Under 21",,,2115.51,2115.51,4
CPT,60220,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,948.0,21630.0,266
CPT,60220,"Total thyroid lobectomy, unilateral; with or without isthmusectomy Age 21+",,,2077.74,2077.74,4
CPT,60220,"Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21",,,2115.51,2115.51,4
CPT,60225,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,948.0,21630.0,266
CPT,60225,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Age 21+",,,2077.74,2077.74,4
CPT,60225,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Age Under 21",,,2115.51,2115.51,4
CPT,60240,"Thyroidectomy, total or complete ",,,948.0,25655.0,266
CPT,60240,"Thyroidectomy, total or complete Age 21+",,,2077.74,2077.74,4
CPT,60240,"Thyroidectomy, total or complete Age Under 21",,,2115.51,2115.51,4
CPT,60252,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,948.0,25655.0,239
CPT,60254,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,948.0,37404.88,238
CPT,60260,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,948.0,25655.0,239
CPT,60270,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,948.0,30644.95,194
CPT,60271,"Thyroidectomy, including substernal thyroid; cervical approach ",,,948.0,25655.0,239
CPT,60280,Excision of thyroglossal duct cyst or sinus; ,,,948.0,21630.0,266
CPT,60280,Excision of thyroglossal duct cyst or sinus; Age 21+,,,2077.74,2077.74,4
CPT,60280,Excision of thyroglossal duct cyst or sinus; Age Under 21,,,2115.51,2115.51,4
CPT,60281,Excision of thyroglossal duct cyst or sinus; recurrent ,,,948.0,21630.0,266
CPT,60281,Excision of thyroglossal duct cyst or sinus; recurrent Age 21+,,,2077.74,2077.74,4
CPT,60281,Excision of thyroglossal duct cyst or sinus; recurrent Age Under 21,,,2115.51,2115.51,4
CPT,60300,"Aspiration and/or injection, thyroid cyst ",,,58.63,5932.0,266
CPT,60300,"Aspiration and/or injection, thyroid cyst Age 21+",,,65.47,65.47,4
CPT,60300,"Aspiration and/or injection, thyroid cyst Age Under 21",,,66.66,66.66,4
CPT,60500,Parathyroidectomy or exploration of parathyroid(s); ,,,948.0,25655.0,266
CPT,60500,Parathyroidectomy or exploration of parathyroid(s); Age 21+,,,2149.64,2149.64,4
CPT,60500,Parathyroidectomy or exploration of parathyroid(s); Age Under 21,,,2188.73,2188.73,4
CPT,60502,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,948.0,23113.0,239
CPT,60505,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,948.0,31204.43,194
CPT,60512,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,948.0,9908.0,142
CPT,60520,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,948.0,25655.0,239
CPT,60521,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,948.0,25655.0,194
CPT,60522,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,948.0,30699.28,194
CPT,60540,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,948.0,25655.0,238
CPT,60545,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,948.0,27467.01,194
CPT,60600,Excision of carotid body tumor; without excision of carotid artery ,,,948.0,30792.64,194
CPT,60605,Excision of carotid body tumor; with excision of carotid artery ,,,948.0,37265.17,194
CPT,60650,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1995.0,26814.39,183
CPT,60659,"Unlisted laparoscopy procedure, endocrine system ",,,1995.0,25655.0,184
CPT,60660,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,948.0,6587.0,159
CPT,60661,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,948.0,6587.0,110
CPT,60699,"Unlisted procedure, endocrine system ",,,948.0,25655.0,239
CPT,61000,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,258.92,5932.0,266
CPT,61000,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Age 21+",,,289.15,289.15,4
CPT,61000,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Age Under 21",,,294.4,294.4,4
CPT,61001,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,258.92,5932.0,266
CPT,61001,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Age 21+",,,289.15,289.15,4
CPT,61001,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Age Under 21",,,294.4,294.4,4
CPT,61020,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,335.66,5932.0,266
CPT,61020,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection Age 21+",,,374.85,374.85,4
CPT,61020,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection Age Under 21",,,381.66,381.66,4
CPT,61026,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,258.92,5932.0,266
CPT,61026,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment Age 21+",,,289.15,289.15,4
CPT,61026,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment Age Under 2",,,294.4,294.4,4
CPT,61050,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,106.53,5932.0,266
CPT,61050,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age 21+,,,118.97,118.97,4
CPT,61050,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age Under 21,,,121.13,121.13,4
CPT,61055,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,106.53,5932.0,266
CPT,61055,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment Age 21+,,,118.97,118.97,4
CPT,61055,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment Age Under 21,,,121.13,121.13,4
CPT,61070,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,258.92,5932.0,266
CPT,61070,Puncture of shunt tubing or reservoir for aspiration or injection procedure Age 21+,,,289.15,289.15,4
CPT,61070,Puncture of shunt tubing or reservoir for aspiration or injection procedure Age Under 21,,,294.4,294.4,4
CPT,61105,Twist drill hole for subdural or ventricular puncture ,,,948.0,25655.0,194
CPT,61107,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,948.0,25655.0,194
CPT,61108,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,948.0,25655.0,194
CPT,61120,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,948.0,25655.0,194
CPT,61140,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,948.0,28702.4,194
CPT,61150,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,948.0,30924.8,194
CPT,61151,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,948.0,25655.0,194
CPT,61154,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,948.0,28857.84,194
CPT,61156,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,948.0,28376.19,194
CPT,61210,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,948.0,25655.0,194
CPT,61215,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,948.0,38760.0,266
CPT,61215,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Age 21+",,,2196.24,2196.24,4
CPT,61215,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Age Under 21",,,2236.17,2236.17,4
CPT,61250,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,948.0,25655.0,194
CPT,61253,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,948.0,25655.0,194
CPT,61304,"Craniectomy or craniotomy, exploratory; supratentorial ",,,948.0,37412.64,194
CPT,61305,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,948.0,45578.92,194
CPT,61312,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,948.0,47311.7,194
CPT,61313,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,948.0,45097.27,194
CPT,61314,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,948.0,41390.89,194
CPT,61315,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,948.0,46954.23,194
CPT,61316,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,948.0,25655.0,238
CPT,61320,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,948.0,43170.23,194
CPT,61321,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,948.0,47941.03,194
CPT,61322,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,948.0,54196.02,194
CPT,61323,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,948.0,54242.59,194
CPT,61330,"Decompression of orbit only, transcranial approach ",,,948.0,25655.0,195
CPT,61332,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,2152.0,16144.0,42
CPT,61333,"Exploration of orbit (transcranial approach), with removal of lesion ",,,948.0,46340.42,194
CPT,61334,EXPLORE ORBIT/REMOVE OBJECT ,,,2152.0,6587.0,34
CPT,61340,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,948.0,32183.47,194
CPT,61343,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,948.0,49782.69,194
CPT,61345,"Other cranial decompression, posterior fossa ",,,948.0,46355.94,194
CPT,61440,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,34
CPT,61450,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,948.0,43512.18,194
CPT,61458,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,948.0,45749.89,194
CPT,61460,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,948.0,47956.55,194
CPT,61470,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,34
CPT,61480,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,2152.0,16144.0,42
CPT,61490,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,34
CPT,61500,Craniectomy; with excision of tumor or other bone lesion of skull ,,,948.0,33769.0,238
CPT,61501,Craniectomy; for osteomyelitis ,,,948.0,25773.26,194
CPT,61510,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,948.0,49798.21,194
CPT,61512,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,948.0,58127.7,194
CPT,61514,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,948.0,43481.13,194
CPT,61516,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,948.0,42315.6,194
CPT,61517,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,948.0,25655.0,194
CPT,61518,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,948.0,62976.11,194
CPT,61519,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,948.0,67404.97,194
CPT,61520,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,948.0,85726.66,194
CPT,61521,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,948.0,72820.62,194
CPT,61522,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,948.0,48912.31,194
CPT,61524,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,948.0,47296.17,194
CPT,61526,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,948.0,76099.69,194
CPT,61530,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,948.0,70769.41,194
CPT,61531,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,948.0,27404.92,194
CPT,61533,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,948.0,34545.59,194
CPT,61534,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,948.0,36860.92,194
CPT,61535,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,948.0,25655.0,194
CPT,61536,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,948.0,58453.9,194
CPT,61537,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,948.0,56301.57,194
CPT,61538,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,948.0,60831.54,194
CPT,61539,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,948.0,54110.43,194
CPT,61540,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,948.0,49005.66,194
CPT,61541,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,948.0,48725.82,194
CPT,61542,REMOVAL OF BRAIN TISSUE ,,,2152.0,6587.0,34
CPT,61543,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,948.0,47956.55,194
CPT,61544,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,948.0,43512.18,194
CPT,61545,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,948.0,72276.88,194
CPT,61546,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,948.0,52408.91,194
CPT,61548,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,948.0,35625.53,194
CPT,61550,Craniectomy for craniosynostosis; single cranial suture ,,,948.0,25655.0,194
CPT,61552,Craniectomy for craniosynostosis; multiple cranial sutures ,,,948.0,33815.14,194
CPT,61556,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,948.0,38982.2,194
CPT,61557,Craniotomy for craniosynostosis; bifrontal bone flap ,,,948.0,38399.44,194
CPT,61558,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,948.0,42952.69,194
CPT,61559,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,948.0,51686.22,194
CPT,61563,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,948.0,44700.99,194
CPT,61564,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,948.0,55128.27,194
CPT,61566,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,948.0,50404.26,194
CPT,61567,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,948.0,56674.56,194
CPT,61570,Craniectomy or craniotomy; with excision of foreign body from brain ,,,948.0,42362.17,194
CPT,61571,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,948.0,44545.55,194
CPT,61575,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,948.0,57202.99,194
CPT,61576,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,948.0,94133.98,194
CPT,61580,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,948.0,54693.19,194
CPT,61581,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,948.0,59176.59,194
CPT,61582,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,948.0,68834.61,194
CPT,61583,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,948.0,65454.65,194
CPT,61584,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,948.0,65050.62,194
CPT,61585,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,948.0,73970.64,194
CPT,61586,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,948.0,54817.59,194
CPT,61590,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,948.0,68516.17,194
CPT,61591,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,948.0,69269.91,194
CPT,61592,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,948.0,71919.42,194
CPT,61595,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,948.0,52944.89,194
CPT,61596,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,948.0,54467.89,194
CPT,61597,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,948.0,66449.21,194
CPT,61598,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,948.0,64413.52,194
CPT,61600,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,948.0,47847.89,194
CPT,61601,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,948.0,54467.89,194
CPT,61605,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,948.0,48290.73,194
CPT,61606,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,948.0,66589.14,194
CPT,61607,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,948.0,60474.08,194
CPT,61608,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,948.0,74359.15,194
CPT,61609,TRANSECT ARTERY SINUS ,,,2152.0,6587.0,34
CPT,61610,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,42
CPT,61611,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,948.0,25655.0,194
CPT,61612,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,42
CPT,61613,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,948.0,75353.71,194
CPT,61615,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,948.0,63652.02,194
CPT,61616,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,948.0,75602.3,194
CPT,61618,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,948.0,29184.26,194
CPT,61619,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,948.0,32167.95,194
CPT,61623,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,948.0,76895.0,239
CPT,61624,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,948.0,26192.81,238
CPT,61626,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,948.0,76895.0,239
CPT,61630,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,948.0,31577.42,194
CPT,61635,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,948.0,33108.18,194
CPT,61640,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,948.0,16144.0,194
CPT,61641,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,948.0,16144.0,194
CPT,61642,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,948.0,16144.0,194
CPT,61645,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,948.0,76895.0,238
CPT,61650,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,948.0,25655.0,194
CPT,61651,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,948.0,25655.0,194
CPT,61680,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,948.0,51359.8,194
CPT,61682,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,948.0,95959.89,194
CPT,61684,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,948.0,64607.77,194
CPT,61686,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,948.0,106006.42,194
CPT,61690,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,948.0,49471.79,194
CPT,61692,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,948.0,84545.6,194
CPT,61697,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,948.0,97490.65,194
CPT,61698,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,948.0,108788.09,194
CPT,61700,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,948.0,78283.07,194
CPT,61702,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,948.0,91911.79,194
CPT,61703,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,948.0,30318.75,194
CPT,61705,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,948.0,57187.47,194
CPT,61708,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,948.0,58415.1,194
CPT,61710,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,948.0,49254.25,194
CPT,61711,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,948.0,58904.51,194
CPT,61715,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,948.0,64471.5,117
CPT,61720,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,948.0,25655.0,195
CPT,61735,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,948.0,36363.74,194
CPT,61736,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,948.0,25655.0,194
CPT,61737,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,948.0,25655.0,194
CPT,61750,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,948.0,32183.47,194
CPT,61751,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,948.0,31453.02,194
CPT,61760,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,948.0,35780.98,194
CPT,61770,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,948.0,17510.0,195
CPT,61781,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,948.0,41405.0,102
CPT,61782,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,948.0,41405.0,102
CPT,61783,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,948.0,41405.0,102
CPT,61790,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,650.04,9908.0,266
CPT,61790,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion Age 21+",,,725.93,725.93,4
CPT,61790,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion Age Under 21",,,739.13,739.13,4
CPT,61791,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,650.04,9908.0,266
CPT,61791,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract Age 21+",,,725.93,725.93,4
CPT,61791,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract Age Under 21",,,739.13,739.13,4
CPT,61793,FOCUS RADIATION BEAM ,,,2152.0,18000.0,40
CPT,61795,BRAIN SURGERY USING COMPUTER ,,,2152.0,6587.0,34
CPT,61796,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,1995.0,58176.0,77
CPT,61797,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,160.12,58176.0,94
CPT,61798,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,948.0,58176.0,94
CPT,61799,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,220.64,58176.0,94
CPT,61800,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,116.88,58176.0,94
CPT,61850,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,948.0,25655.0,194
CPT,61855,Impl subcort electrodes ,,,2152.0,6587.0,34
CPT,61860,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,948.0,35571.2,194
CPT,61862,"IMPLANT NEUROSTIMUL, SUBCORT ",,,2152.0,6587.0,34
CPT,61863,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,948.0,34172.6,194
CPT,61864,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,948.0,25655.0,194
CPT,61865,Impl cereb subcort elec ,,,2152.0,6587.0,34
CPT,61867,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,948.0,51966.07,194
CPT,61868,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,948.0,25655.0,194
CPT,61870,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,2152.0,16144.0,42
CPT,61875,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,34
CPT,61880,Revision or removal of intracranial neurostimulator electrodes ,,,948.0,25655.0,222
CPT,61880,Revision or removal of intracranial neurostimulator electrodes Age 21+,,,1649.68,1649.68,4
CPT,61880,Revision or removal of intracranial neurostimulator electrodes Age Under 21,,,1679.68,1679.68,4
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,948.0,77554.0,258
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Age 21+",,,16359.99,16359.99,4
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Age Under 21",,,16657.45,16657.45,4
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,948.0,81532.47,258
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Age 21+",,,21594.78,21594.78,4
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Age Under 21",,,21987.41,21987.41,4
CPT,61888,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,948.0,17323.96,266
CPT,61888,Revision or removal of cranial neurostimulator pulse generator or receiver Age 21+,,,9026.92,9026.92,4
CPT,61888,Revision or removal of cranial neurostimulator pulse generator or receiver Age Under 21,,,9191.04,9191.04,4
CPT,61889,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,948.0,27704.6,186
CPT,61891,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,948.0,58359.95,231
CPT,61892,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,948.0,12499.0,231
CPT,62000,"Elevation of depressed skull fracture; simple, extradural ",,,948.0,25655.0,195
CPT,62005,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,948.0,28477.09,194
CPT,62010,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,948.0,34755.37,194
CPT,62100,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,948.0,36068.59,194
CPT,62115,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,948.0,38236.23,194
CPT,62116,REDUCTION OF SKULL DEFECT ,,,2152.0,6587.0,34
CPT,62117,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,948.0,44941.82,194
CPT,62120,"Repair of encephalocele, skull vault, including cranioplasty ",,,948.0,48135.29,194
CPT,62121,"Craniotomy for repair of encephalocele, skull base ",,,948.0,35532.39,194
CPT,62140,Cranioplasty for skull defect; up to 5 cm diameter ,,,948.0,25655.0,194
CPT,62141,Cranioplasty for skull defect; larger than 5 cm diameter ,,,948.0,25788.78,194
CPT,62142,Removal of bone flap or prosthetic plate of skull ,,,948.0,25655.0,194
CPT,62143,Replacement of bone flap or prosthetic plate of skull ,,,948.0,25655.0,194
CPT,62145,Cranioplasty for skull defect with reparative brain surgery ,,,948.0,31880.34,194
CPT,62146,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,948.0,26627.89,194
CPT,62147,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,948.0,32610.79,194
CPT,62148,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,948.0,25655.0,194
CPT,62160,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,62161,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,948.0,34297.0,194
CPT,62162,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,948.0,43007.03,194
CPT,62163,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,2152.0,16144.0,42
CPT,62164,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,948.0,47451.62,194
CPT,62165,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,948.0,34662.01,194
CPT,62180,Ventriculocisternostomy (Torkildsen type operation) ,,,948.0,36573.52,194
CPT,62190,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,948.0,25655.0,194
CPT,62192,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,948.0,25655.0,194
CPT,62194,"Replacement or irrigation, subarachnoid/subdural catheter ",,,650.04,8858.0,266
CPT,62194,"Replacement or irrigation, subarachnoid/subdural catheter Age 21+",,,725.93,725.93,4
CPT,62194,"Replacement or irrigation, subarachnoid/subdural catheter Age Under 21",,,739.13,739.13,4
CPT,62200,"Ventriculocisternostomy, third ventricle; ",,,948.0,31305.55,194
CPT,62201,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,948.0,27498.06,194
CPT,62220,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,948.0,25655.0,194
CPT,62223,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,948.0,25655.0,194
CPT,62225,"Replacement or irrigation, ventricular catheter ",,,948.0,15425.23,266
CPT,62225,"Replacement or irrigation, ventricular catheter Age 21+",,,2196.24,2196.24,4
CPT,62225,"Replacement or irrigation, ventricular catheter Age Under 21",,,2236.17,2236.17,4
CPT,62230,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,948.0,17510.0,266
CPT,62230,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Age 21+",,,2196.24,2196.24,4
CPT,62230,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Age Under 21",,,2236.17,2236.17,4
CPT,62252,Reprogramming of programmable cerebrospinal shunt ,,,29.45,3092.0,222
CPT,62252,Reprogramming of programmable cerebrospinal shunt Age 21+,,,32.89,32.89,4
CPT,62252,Reprogramming of programmable cerebrospinal shunt Age Under 21,,,33.49,33.49,4
CPT,62256,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,948.0,25655.0,238
CPT,62258,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,948.0,25655.0,194
CPT,62263,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,335.66,5932.0,274
CPT,62264,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,335.66,5932.0,274
CPT,62267,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,253.74,5932.0,266
CPT,62267,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes Age 21+",,,283.36,283.36,4
CPT,62267,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes Age Under 21",,,288.51,288.51,4
CPT,62268,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,335.66,5932.0,266
CPT,62268,"Percutaneous aspiration, spinal cord cyst or syrinx Age 21+",,,374.85,374.85,4
CPT,62268,"Percutaneous aspiration, spinal cord cyst or syrinx Age Under 21",,,381.66,381.66,4
CPT,62269,"Biopsy of spinal cord, percutaneous needle ",,,479.15,5932.0,266
CPT,62269,"Biopsy of spinal cord, percutaneous needle Age 21+",,,535.1,535.1,4
CPT,62269,"Biopsy of spinal cord, percutaneous needle Age Under 21",,,544.82,544.82,4
CPT,62270,"Spinal puncture, lumbar, diagnostic; ",,,258.92,5932.0,266
CPT,62270,"Spinal puncture, lumbar, diagnostic; Age 21+",,,289.15,289.15,4
CPT,62270,"Spinal puncture, lumbar, diagnostic; Age Under 21",,,294.4,294.4,4
CPT,62272,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,258.92,5932.0,266
CPT,62272,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); Age 21+",,,289.15,289.15,4
CPT,62272,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); Age Under 21",,,294.4,294.4,4
CPT,62273,"Injection, epidural, of blood or clot patch ",,,258.92,5932.0,266
CPT,62273,"Injection, epidural, of blood or clot patch Age 21+",,,289.15,289.15,4
CPT,62273,"Injection, epidural, of blood or clot patch Age Under 21",,,294.4,294.4,4
CPT,62274,1 inject anes-subarach ,,,2152.0,6587.0,34
CPT,62275,1 epidur inject-C/thor ,,,2152.0,6587.0,34
CPT,62276,1 subar inject anes-diff ,,,2152.0,6587.0,34
CPT,62277,1 subar inject anes-cont ,,,2152.0,6587.0,34
CPT,62278,1 epidural inject anes-L ,,,2152.0,6587.0,34
CPT,62279,Cont epidur inject-lumb ,,,2152.0,6587.0,34
CPT,62280,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,335.66,5932.0,266
CPT,62280,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid Age 21+",,,374.85,374.85,4
CPT,62280,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid Age Under 21",,,381.66,381.66,4
CPT,62281,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,335.66,5932.0,266
CPT,62281,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic Age 21+",,,374.85,374.85,4
CPT,62281,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic Age Under 21",,,381.66,381.66,4
CPT,62282,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,335.66,5932.0,266
CPT,62282,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) Age 21+",,,374.85,374.85,4
CPT,62282,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) Age Under 21",,,381.66,381.66,4
CPT,62284,"Injection procedure for myelography and/or computed tomography, lumbar ",,,948.0,5932.0,142
CPT,62287,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,650.04,18490.0,234
CPT,62288,Subarachnoid inject NEC ,,,2152.0,6587.0,34
CPT,62289,Lumbar/caudal inject NEC ,,,2152.0,6587.0,34
CPT,62290,"Injection procedure for discography, each level; lumbar ",,,948.0,5932.0,142
CPT,62291,"Injection procedure for discography, each level; cervical or thoracic ",,,948.0,5932.0,142
CPT,62292,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,948.0,8858.0,239
CPT,62294,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,892.95,9908.0,239
CPT,62298,Other spinal injection ,,,2152.0,6587.0,34
CPT,62302,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,791.43,9012.0,239
CPT,62303,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,791.43,9012.0,239
CPT,62304,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,791.43,9012.0,239
CPT,62305,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,791.43,9012.0,239
CPT,62310,INJECT SPINE CERV/THORACIC ,,,1266.0,3293.0,42
CPT,62311,INJECT SPINE LUMBAR/SACRAL ,,,1266.0,3293.0,42
CPT,62318,INJECT SPINE W/CATH CRV/THRC ,,,1266.0,3293.0,42
CPT,62319,INJECT SPINE W/CATH LMB/SCRL ,,,1266.0,3293.0,42
CPT,62320,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,258.92,5932.0,274
CPT,62321,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,258.92,5932.0,274
CPT,62322,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,258.92,5932.0,274
CPT,62323,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,258.92,5932.0,274
CPT,62324,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,335.66,5932.0,274
CPT,62325,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,335.66,5932.0,274
CPT,62326,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,335.66,5932.0,274
CPT,62327,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,335.66,5932.0,274
CPT,62328,SPINE PUNC DX W FLUR CT,6655.31,6655.31,465.87,6655.31,64
CPT,62328,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",6655.31,6655.31,258.92,6587.0,266
CPT,62328,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance Age 21+",6655.31,6655.31,289.15,289.15,4
CPT,62328,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance Age Under 21",6655.31,6655.31,294.4,294.4,4
CPT,62329,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,258.92,6587.0,266
CPT,62329,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance Age 21+",,,289.15,289.15,4
CPT,62329,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance Age Under 21",,,294.4,294.4,4
CPT,62330,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,948.0,21630.0,148
CPT,62331,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,948.0,5932.0,100
CPT,62350,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,948.0,17510.0,274
CPT,62351,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,948.0,21630.0,239
CPT,62355,Removal of previously implanted intrathecal or epidural catheter ,,,650.04,8858.0,266
CPT,62355,Removal of previously implanted intrathecal or epidural catheter Age 21+,,,725.93,725.93,4
CPT,62355,Removal of previously implanted intrathecal or epidural catheter Age Under 21,,,739.13,739.13,4
CPT,62360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,948.0,70380.0,266
CPT,62360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Age 21+,,,12402.35,12402.35,4
CPT,62360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Age Under 21,,,12627.84,12627.84,4
CPT,62361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,948.0,70380.0,258
CPT,62361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Age 21+,,,12093.25,12093.25,4
CPT,62361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Age Under 21,,,12313.12,12313.12,4
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,1995.0,70380.0,243
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming Age 21+",,,12732.61,12732.61,4
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming Age Under 21",,,12964.11,12964.11,4
CPT,62365,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,948.0,15425.23,266
CPT,62365,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age 21+",,,2196.24,2196.24,4
CPT,62365,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age Under 21",,,2236.17,2236.17,4
CPT,62367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,45.41,6680.0,197
CPT,62368,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,63.7,6680.0,197
CPT,62369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,310.08,2636.0,195
CPT,62370,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,310.08,6680.0,239
CPT,62380,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,948.0,25655.0,266
CPT,62380,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar Age 2",,,2638.37,2638.37,4
CPT,62380,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar Age U",,,2686.34,2686.34,4
CPT,63001,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,948.0,21630.0,184
CPT,63001,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical Age 21+",,,2638.37,2638.37,4
CPT,63001,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical Age Und",,,2686.34,2686.34,4
CPT,63003,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,948.0,21630.0,184
CPT,63003,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic Age 21+",,,2638.37,2638.37,4
CPT,63003,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic Age Und",,,2686.34,2686.34,4
CPT,63005,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,948.0,21630.0,192
CPT,63011,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,948.0,21630.0,157
CPT,63012,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,948.0,21630.0,157
CPT,63015,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,948.0,21630.0,157
CPT,63016,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,948.0,21630.0,157
CPT,63017,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,948.0,21630.0,157
CPT,63020,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,948.0,21630.0,184
CPT,63020,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical Age 21+",,,2638.37,2638.37,4
CPT,63020,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical Age Under 21",,,2686.34,2686.34,4
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1995.0,21630.0,169
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Age 21+",,,2638.37,2638.37,4
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Age Under 21",,,2686.34,2686.34,4
CPT,63032,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,948.0,12875.0,148
CPT,63035,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,948.0,19952.0,108
CPT,63040,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,948.0,21630.0,157
CPT,63042,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,948.0,21630.0,192
CPT,63043,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,948.0,19952.0,108
CPT,63044,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,948.0,19952.0,108
CPT,63045,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,948.0,21630.0,192
CPT,63046,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,948.0,21630.0,192
CPT,63047,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,948.0,21630.0,192
CPT,63048,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,948.0,19952.0,108
CPT,63050,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,948.0,33799.61,198
CPT,63051,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,948.0,38624.74,198
CPT,63052,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,948.0,19952.0,108
CPT,63053,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,948.0,19952.0,108
CPT,63055,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,948.0,21630.0,226
CPT,63055,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic Age 21+",,,2638.37,2638.37,4
CPT,63055,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic Age Under 21",,,2686.34,2686.34,4
CPT,63056,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,948.0,21630.0,234
CPT,63057,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,948.0,14196.0,102
CPT,63064,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,948.0,21630.0,199
CPT,63066,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,948.0,14196.0,102
CPT,63075,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,948.0,25655.0,199
CPT,63076,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,948.0,14196.0,102
CPT,63077,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,948.0,34374.62,198
CPT,63078,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,948.0,25655.0,198
CPT,63081,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,948.0,39735.94,198
CPT,63082,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,948.0,25655.0,198
CPT,63085,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,948.0,43504.41,198
CPT,63086,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,948.0,25655.0,198
CPT,63087,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,948.0,54638.86,198
CPT,63088,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,948.0,25655.0,198
CPT,63090,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,948.0,44273.68,198
CPT,63091,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,948.0,25655.0,198
CPT,63101,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,948.0,52696.31,198
CPT,63102,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,948.0,51336.52,198
CPT,63103,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,948.0,25655.0,198
CPT,63170,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,948.0,36076.35,156
CPT,63172,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,948.0,31437.5,156
CPT,63173,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,948.0,38935.64,156
CPT,63180,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,2152.0,16144.0,42
CPT,63182,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,2152.0,16144.0,42
CPT,63185,Laminectomy with rhizotomy; 1 or 2 segments ,,,948.0,25827.59,156
CPT,63190,Laminectomy with rhizotomy; more than 2 segments ,,,948.0,27964.4,156
CPT,63191,Laminectomy with section of spinal accessory nerve ,,,948.0,31484.07,156
CPT,63194,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,2152.0,16144.0,42
CPT,63195,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,2152.0,16144.0,42
CPT,63196,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,2152.0,16144.0,42
CPT,63197,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,948.0,35866.35,156
CPT,63198,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,2152.0,16144.0,42
CPT,63199,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,2152.0,16144.0,42
CPT,63200,"Laminectomy, with release of tethered spinal cord, lumbar ",,,948.0,34739.84,156
CPT,63250,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,948.0,66534.81,156
CPT,63251,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,948.0,69487.45,156
CPT,63252,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,948.0,69091.18,156
CPT,63265,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,948.0,21630.0,157
CPT,63266,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,948.0,21630.0,157
CPT,63267,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,948.0,19952.0,157
CPT,63268,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,948.0,21630.0,157
CPT,63270,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,948.0,46954.23,156
CPT,63271,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,948.0,46954.23,156
CPT,63272,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,948.0,42875.08,156
CPT,63273,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,948.0,42323.36,156
CPT,63275,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,948.0,40878.19,156
CPT,63276,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,948.0,40613.87,156
CPT,63277,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,948.0,35244.78,156
CPT,63278,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,948.0,35967.47,156
CPT,63280,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,948.0,48135.29,156
CPT,63281,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,948.0,47575.81,156
CPT,63282,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,948.0,44833.16,156
CPT,63283,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,948.0,42999.26,156
CPT,63285,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,948.0,59689.29,156
CPT,63286,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,948.0,58788.08,156
CPT,63287,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,948.0,62261.18,156
CPT,63290,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,948.0,63201.42,156
CPT,63295,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,948.0,19952.0,156
CPT,63300,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,948.0,41662.98,198
CPT,63301,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,948.0,49860.3,198
CPT,63302,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,948.0,49192.16,198
CPT,63303,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,948.0,49098.8,198
CPT,63304,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,948.0,52463.24,198
CPT,63305,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,948.0,57342.92,198
CPT,63306,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,948.0,54584.53,198
CPT,63307,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,948.0,55167.3,198
CPT,63308,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,948.0,25655.0,198
CPT,63600,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,650.04,9012.0,266
CPT,63600,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) Age 21+",,,725.93,725.93,4
CPT,63600,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) Age Under 21",,,739.13,739.13,4
CPT,63610,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,948.0,8485.0,266
CPT,63610,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Age 21+",,,1070.97,1070.97,4
CPT,63610,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Age Under 21",,,1090.44,1090.44,4
CPT,63615,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2214.0,4723.0,42
CPT,63620,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,948.0,58176.0,92
CPT,63621,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,948.0,58176.0,92
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,948.0,77554.0,266
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural Age 21+",,,4021.62,4021.62,4
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural Age Under 21",,,4094.74,4094.74,4
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,948.0,77554.0,224
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age 21+",,,15085.73,15085.73,4
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21",,,15360.02,15360.02,4
CPT,63660,REVISE/REMOVE NEUROELECTRODE ,,,2152.0,6587.0,34
CPT,63661,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,650.04,18747.0,266
CPT,63661,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed Age 21+",,,725.93,725.93,4
CPT,63661,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed Age Under 21",,,739.13,739.13,4
CPT,63662,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,948.0,18747.0,266
CPT,63662,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed Age 21+",,,1649.68,1649.68,4
CPT,63662,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed Age Under 21",,,1679.68,1679.68,4
CPT,63663,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,948.0,21630.0,266
CPT,63663,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed Age 21+",,,4043.79,4043.79,4
CPT,63663,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed Age Under 21",,,4117.31,4117.31,4
CPT,63664,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,948.0,53982.38,266
CPT,63664,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed Age 21+",,,8166.32,8166.32,4
CPT,63664,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed Age Under 21",,,8314.8,8314.8,4
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,948.0,81532.47,258
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Age 21+",,,21491.71,21491.71,4
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Age Under 21",,,21882.47,21882.47,4
CPT,63688,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,948.0,12360.0,266
CPT,63688,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array Age 21+",,,2279.22,2279.22,4
CPT,63688,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array Age Under 21",,,2320.66,2320.66,4
CPT,63700,Repair of meningocele; less than 5 cm diameter ,,,948.0,29510.68,194
CPT,63702,Repair of meningocele; larger than 5 cm diameter ,,,948.0,32502.13,194
CPT,63704,Repair of myelomeningocele; less than 5 cm diameter ,,,948.0,36223.82,194
CPT,63706,Repair of myelomeningocele; larger than 5 cm diameter ,,,948.0,40171.02,194
CPT,63707,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,948.0,25655.0,194
CPT,63709,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,948.0,25655.0,194
CPT,63710,"Dural graft, spinal ",,,948.0,25655.0,194
CPT,63740,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,948.0,25655.0,194
CPT,63741,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,948.0,25655.0,239
CPT,63744,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,948.0,17510.0,266
CPT,63744,"Replacement, irrigation or revision of lumbosubarachnoid shunt Age 21+",,,3021.52,3021.52,4
CPT,63744,"Replacement, irrigation or revision of lumbosubarachnoid shunt Age Under 21",,,3076.46,3076.46,4
CPT,63746,Removal of entire lumbosubarachnoid shunt system without replacement ,,,650.04,8858.0,266
CPT,63746,Removal of entire lumbosubarachnoid shunt system without replacement Age 21+,,,725.93,725.93,4
CPT,63746,Removal of entire lumbosubarachnoid shunt system without replacement Age Under 21,,,739.13,739.13,4
CPT,64400,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,66.54,5932.0,266
CPT,64400,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) Age 21+",,,74.31,74.31,4
CPT,64400,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) Age Under 21",,,75.66,75.66,4
CPT,64402,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2152.0,2636.0,34
CPT,64405,INJ GREATER OCCIPTL NRV,1328.35,1328.35,146.12,1328.35,37
CPT,64405,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",1328.35,1328.35,29.73,5932.0,266
CPT,64405,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Age 21+",1328.35,1328.35,33.2,33.2,4
CPT,64405,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Age Under 21",1328.35,1328.35,33.8,33.8,4
CPT,64408,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,249.57,5932.0,239
CPT,64410,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1266.0,2636.0,42
CPT,64412,N BLOCK INJ SPINAL ACCESSOR ,,,2152.0,6587.0,34
CPT,64413,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1266.0,3293.0,42
CPT,64415,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,335.66,5932.0,266
CPT,64415,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed Age 21+",,,374.85,374.85,4
CPT,64415,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed Age Under 21",,,381.66,381.66,4
CPT,64416,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,335.66,5932.0,266
CPT,64416,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Age 21+",,,374.85,374.85,4
CPT,64416,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Age Under 21",,,381.66,381.66,4
CPT,64417,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,335.66,6587.0,266
CPT,64417,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed Age 21+",,,374.85,374.85,4
CPT,64417,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed Age Under 21",,,381.66,381.66,4
CPT,64418,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,38.18,5932.0,266
CPT,64418,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve Age 21+",,,42.64,42.64,4
CPT,64418,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve Age Under 21",,,43.41,43.41,4
CPT,64420,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,258.92,5932.0,266
CPT,64420,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level Age 21+",,,289.15,289.15,4
CPT,64420,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level Age Under 21",,,294.4,294.4,4
CPT,64421,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,335.66,5932.0,266
CPT,64421,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) Age 21+",,,374.85,374.85,4
CPT,64421,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) Age Under 21",,,381.66,381.66,4
CPT,64425,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,60.81,5932.0,266
CPT,64425,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves Age 21+",,,67.91,67.91,4
CPT,64425,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves Age Under 21",,,69.15,69.15,4
CPT,64430,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,335.66,5932.0,266
CPT,64430,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve Age 21+",,,374.85,374.85,4
CPT,64430,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve Age Under 21",,,381.66,381.66,4
CPT,64435,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,42.54,5932.0,266
CPT,64435,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age 21+",,,47.51,47.51,4
CPT,64435,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21",,,48.37,48.37,4
CPT,64440,Inject anes 1 paravert N ,,,2152.0,6587.0,34
CPT,64441,Inject anes >1 paravert ,,,2152.0,6587.0,34
CPT,64442,Inject anes 1 L facet N ,,,2152.0,6587.0,34
CPT,64443,Inject anes L facet-ADDL ,,,2152.0,6587.0,34
CPT,64445,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,72.54,5932.0,266
CPT,64445,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed Age 21+",,,81.0,81.0,4
CPT,64445,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed Age Under 21",,,82.48,82.48,4
CPT,64446,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,335.66,3293.0,222
CPT,64446,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Age 21+",,,374.85,374.85,4
CPT,64446,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Age Under 21",,,381.66,381.66,4
CPT,64447,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,39.26,3293.0,222
CPT,64447,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed Age 21+",,,43.85,43.85,4
CPT,64447,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed Age Under 21",,,44.64,44.64,4
CPT,64448,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,436.98,5381.0,222
CPT,64448,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Age 21+",,,487.99,487.99,4
CPT,64448,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Age Under 21",,,496.87,496.87,4
CPT,64449,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,335.66,5932.0,266
CPT,64449,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) Age 21+",,,374.85,374.85,4
CPT,64449,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) Age Under 21",,,381.66,381.66,4
CPT,64450,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,38.72,5932.0,266
CPT,64450,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch Age 21+",,,43.24,43.24,4
CPT,64450,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch Age Under 21",,,44.03,44.03,4
CPT,64451,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,258.92,6587.0,266
CPT,64451,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Age 21+",,,289.15,289.15,4
CPT,64451,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Age Under 21",,,294.4,294.4,4
CPT,64454,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,137.71,6587.0,266
CPT,64454,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed Age 21+",,,153.79,153.79,4
CPT,64454,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed Age Under 21",,,156.59,156.59,4
CPT,64455,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,17.72,5932.0,266
CPT,64455,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) Age 21+",,,19.79,19.79,4
CPT,64455,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) Age Under 21",,,20.15,20.15,4
CPT,64461,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,258.92,5932.0,266
CPT,64461,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) Age 21+",,,289.15,289.15,4
CPT,64461,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) Age Under 21",,,294.4,294.4,4
CPT,64462,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,948.0,5932.0,142
CPT,64463,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,258.92,5932.0,266
CPT,64463,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) Age 21+",,,289.15,289.15,4
CPT,64463,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) Age Under 21",,,294.4,294.4,4
CPT,64466,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,110
CPT,64467,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,110
CPT,64468,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,110
CPT,64469,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,110
CPT,64470,INJ PARAVERTEBRAL C/T ,,,2152.0,6587.0,34
CPT,64472,INJ PARAVERTEBRAL C/T ADD-ON ,,,2152.0,6587.0,34
CPT,64473,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,110
CPT,64474,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,110
CPT,64475,INJ PARAVERTEBRAL L/S ,,,2152.0,6587.0,34
CPT,64476,INJ PARAVERTEBRAL L/S ADD-ON ,,,2152.0,6587.0,34
CPT,64479,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,335.66,5932.0,266
CPT,64479,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level Age 21+",,,374.85,374.85,4
CPT,64479,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level Age Under 21",,,381.66,381.66,4
CPT,64480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,948.0,5932.0,142
CPT,64483,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,335.66,5932.0,266
CPT,64483,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level Age 21+",,,374.85,374.85,4
CPT,64483,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level Age Under 21",,,381.66,381.66,4
CPT,64484,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,948.0,5932.0,142
CPT,64486,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,40.8,6680.0,169
CPT,64486,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) Age 21+",,,45.56,45.56,4
CPT,64486,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) Age Under 21",,,46.39,46.39,4
CPT,64487,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,46.74,6680.0,169
CPT,64487,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) Age 21+",,,52.2,52.2,4
CPT,64487,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) Age Under 21",,,53.14,53.14,4
CPT,64488,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,50.49,6680.0,169
CPT,64488,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) Age 21+",,,56.39,56.39,4
CPT,64488,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) Age Under 21",,,57.41,57.41,4
CPT,64489,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,56.71,6680.0,169
CPT,64489,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) Age 21+",,,63.33,63.33,4
CPT,64489,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) Age Under 21",,,64.48,64.48,4
CPT,64490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,335.66,5932.0,274
CPT,64491,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,948.0,5932.0,142
CPT,64492,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,948.0,5932.0,142
CPT,64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,335.66,5932.0,266
CPT,64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level Age ",,,374.85,381.66,8
CPT,64494,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,948.0,5932.0,142
CPT,64495,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,948.0,5932.0,142
CPT,64505,"Injection, anesthetic agent; sphenopalatine ganglion ",,,69.54,5932.0,266
CPT,64505,"Injection, anesthetic agent; sphenopalatine ganglion Age 21+",,,77.66,77.66,4
CPT,64505,"Injection, anesthetic agent; sphenopalatine ganglion Age Under 21",,,79.07,79.07,4
CPT,64508,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2152.0,2636.0,34
CPT,64510,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,335.66,5932.0,266
CPT,64510,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) Age 21+",,,374.85,374.85,4
CPT,64510,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) Age Under 21",,,381.66,381.66,4
CPT,64517,"Injection, anesthetic agent; superior hypogastric plexus ",,,335.66,6680.0,266
CPT,64517,"Injection, anesthetic agent; superior hypogastric plexus Age 21+",,,374.85,374.85,4
CPT,64517,"Injection, anesthetic agent; superior hypogastric plexus Age Under 21",,,381.66,381.66,4
CPT,64520,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,335.66,5932.0,266
CPT,64520,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) Age 21+",,,374.85,374.85,4
CPT,64520,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) Age Under 21",,,381.66,381.66,4
CPT,64530,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,335.66,5932.0,266
CPT,64530,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age 21+",,,374.85,374.85,4
CPT,64530,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21",,,381.66,381.66,4
CPT,64550,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2152.0,2636.0,34
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,948.0,77554.0,266
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve Age 21+,,,8745.2,8745.2,4
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve Age Under 21,,,8904.2,8904.2,4
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,948.0,77554.0,266
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Age 21+,,,4299.22,4299.22,4
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Age Under 21,,,4377.39,4377.39,4
CPT,64560,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,34
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,948.0,77554.0,266
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Age 21+",,,4111.6,4111.6,4
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Age Under 21",,,4186.36,4186.36,4
CPT,64565,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,77554.0,66
CPT,64566,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,309.89,5932.0,239
CPT,64567,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,948.0,5932.0,124
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,948.0,81532.47,258
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age 21+",,,21847.89,21847.89,4
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21",,,22245.13,22245.13,4
CPT,64569,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,948.0,21630.0,266
CPT,64569,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator Age 21+",,,9939.16,9939.16,4
CPT,64569,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator Age Under 21",,,10119.87,10119.87,4
CPT,64570,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,948.0,15425.23,266
CPT,64570,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age 21+",,,2196.24,2196.24,4
CPT,64570,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21",,,2236.17,2236.17,4
CPT,64573,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,34
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,948.0,77554.0,266
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Age 21+,,,9005.61,9005.61,4
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Age Under 21,,,9169.35,9169.35,4
CPT,64577,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,34
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular ,,,948.0,77554.0,266
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular Age 21+,,,13043.28,13043.28,4
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular Age Under 21,,,13280.43,13280.43,4
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,948.0,25750.0,266
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Age 21+,,,4351.99,4351.99,4
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Age Under 21,,,4431.11,4431.11,4
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,948.0,84177.74,258
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Age 21+",,,21847.89,21847.89,4
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Age Under 21",,,22245.13,22245.13,4
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,948.0,32153.46,266
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Age 21+",,,7119.88,7119.88,4
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Age Under 21",,,7249.33,7249.33,4
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,948.0,25655.0,266
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Age 21+",,,2196.24,2196.24,4
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Age Under 21",,,2236.17,2236.17,4
CPT,64585,Revision or removal of peripheral neurostimulator electrode array ,,,948.0,12360.0,266
CPT,64585,Revision or removal of peripheral neurostimulator electrode array Age 21+,,,1649.68,1649.68,4
CPT,64585,Revision or removal of peripheral neurostimulator electrode array Age Under 21,,,1679.68,1679.68,4
CPT,64590,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,948.0,77554.0,266
CPT,64595,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,948.0,12360.0,266
CPT,64595,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array Age 21+",,,2637.45,2637.45,4
CPT,64595,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array Age Under 21",,,2685.4,2685.4,4
CPT,64596,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,948.0,36341.06,231
CPT,64597,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,948.0,6587.0,134
CPT,64598,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,948.0,12774.62,231
CPT,64600,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,335.66,5932.0,266
CPT,64600,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age 21+",,,374.85,374.85,4
CPT,64600,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age Under 21",,,381.66,381.66,4
CPT,64605,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,650.04,8858.0,266
CPT,64605,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Age 21+",,,725.93,725.93,4
CPT,64605,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Age Under 21",,,739.13,739.13,4
CPT,64610,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,650.04,8858.0,266
CPT,64610,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring Age 21+",,,725.93,725.93,4
CPT,64610,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring Age Under 21",,,739.13,739.13,4
CPT,64611,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,66.54,5932.0,266
CPT,64611,"Chemodenervation of parotid and submandibular salivary glands, bilateral Age 21+",,,74.31,74.31,4
CPT,64611,"Chemodenervation of parotid and submandibular salivary glands, bilateral Age Under 21",,,75.66,75.66,4
CPT,64612,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,63.81,5932.0,266
CPT,64612,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) Age 21+",,,71.26,71.26,4
CPT,64612,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) Age Under 21",,,72.55,72.55,4
CPT,64613,DESTROY NERVE NECK MUSCLE ,,,2152.0,6587.0,34
CPT,64614,DESTROY NERVE EXTREM MUSC ,,,2152.0,6587.0,34
CPT,64615,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,34.83,5932.0,266
CPT,64615,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) Age 21+",,,65.18,65.18,4
CPT,64615,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) Age Under 21",,,66.36,66.36,4
CPT,64616,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,56.44,5932.0,266
CPT,64616,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) Age 21+",,,63.03,63.03,4
CPT,64616,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) Age Under 21",,,64.18,64.18,4
CPT,64617,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,73.35,6587.0,266
CPT,64617,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed Age 21+",,,81.92,81.92,4
CPT,64617,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed Age Under 21",,,83.41,83.41,4
CPT,64620,"Destruction by neurolytic agent, intercostal nerve ",,,335.66,5932.0,266
CPT,64620,"Destruction by neurolytic agent, intercostal nerve Age 21+",,,374.85,374.85,4
CPT,64620,"Destruction by neurolytic agent, intercostal nerve Age Under 21",,,381.66,381.66,4
CPT,64622,DESTR PARAVERTEBRL NERVE L/S ,,,2152.0,6587.0,34
CPT,64623,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,6587.0,34
CPT,64624,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,650.04,8858.0,266
CPT,64624,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed Age 21+",,,725.93,725.93,4
CPT,64624,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed Age Under 21",,,739.13,739.13,4
CPT,64625,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,650.04,19415.0,266
CPT,64625,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Age 21+",,,725.93,725.93,4
CPT,64625,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Age Under 21",,,739.13,739.13,4
CPT,64626,DESTR PARAVERTEBRL NERVE C/T ,,,2152.0,6587.0,34
CPT,64627,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,6587.0,34
CPT,64628,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,948.0,35261.21,266
CPT,64628,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral Age 21+",,,8287.69,8287.69,4
CPT,64628,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral Age Under 21",,,8438.37,8438.37,4
CPT,64629,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,64630,Destruction by neurolytic agent; pudendal nerve ,,,335.66,6680.0,266
CPT,64630,Destruction by neurolytic agent; pudendal nerve Age 21+,,,374.85,374.85,4
CPT,64630,Destruction by neurolytic agent; pudendal nerve Age Under 21,,,381.66,381.66,4
CPT,64632,Destruction by neurolytic agent; plantar common digital nerve ,,,36.27,5932.0,266
CPT,64632,Destruction by neurolytic agent; plantar common digital nerve Age 21+,,,40.5,40.5,4
CPT,64632,Destruction by neurolytic agent; plantar common digital nerve Age Under 21,,,41.24,41.24,4
CPT,64633,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,650.04,8858.0,266
CPT,64633,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint Age 21+",,,725.93,725.93,4
CPT,64633,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint Age Under 21",,,739.13,739.13,4
CPT,64634,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,948.0,5932.0,142
CPT,64635,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,650.04,9868.0,266
CPT,64635,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint Age 21+",,,725.93,725.93,4
CPT,64635,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint Age Under 21",,,739.13,739.13,4
CPT,64636,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,948.0,5932.0,142
CPT,64640,Destruction by neurolytic agent; other peripheral nerve or branch ,,,143.16,5932.0,266
CPT,64640,Destruction by neurolytic agent; other peripheral nerve or branch Age 21+,,,159.87,159.87,4
CPT,64640,Destruction by neurolytic agent; other peripheral nerve or branch Age Under 21,,,162.78,162.78,4
CPT,64642,Chemodenervation of one extremity; 1-4 muscle(s) ,,,67.63,5932.0,266
CPT,64642,Chemodenervation of one extremity; 1-4 muscle(s) Age 21+,,,75.53,75.53,4
CPT,64642,Chemodenervation of one extremity; 1-4 muscle(s) Age Under 21,,,76.9,76.9,4
CPT,64643,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,64644,Chemodenervation of one extremity; 5 or more muscles ,,,84.26,5932.0,266
CPT,64644,Chemodenervation of one extremity; 5 or more muscles Age 21+,,,94.09,94.09,4
CPT,64644,Chemodenervation of one extremity; 5 or more muscles Age Under 21,,,95.8,95.8,4
CPT,64645,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,64646,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,67.63,5932.0,266
CPT,64646,Chemodenervation of trunk muscle(s); 1-5 muscle(s) Age 21+,,,75.53,75.53,4
CPT,64646,Chemodenervation of trunk muscle(s); 1-5 muscle(s) Age Under 21,,,76.9,76.9,4
CPT,64647,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,74.17,5932.0,266
CPT,64647,Chemodenervation of trunk muscle(s); 6 or more muscles Age 21+,,,82.83,82.83,4
CPT,64647,Chemodenervation of trunk muscle(s); 6 or more muscles Age Under 21,,,84.34,84.34,4
CPT,64650,Chemodenervation of eccrine glands; both axillae ,,,49.9,5932.0,266
CPT,64650,Chemodenervation of eccrine glands; both axillae Age 21+,,,55.73,55.73,4
CPT,64650,Chemodenervation of eccrine glands; both axillae Age Under 21,,,56.74,56.74,4
CPT,64653,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,56.99,5932.0,266
CPT,64653,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Age 21+",,,63.65,63.65,4
CPT,64653,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Age Under 21",,,64.8,64.8,4
CPT,64654,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,948.0,126001.4,148
CPT,64655,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,948.0,12360.0,148
CPT,64656,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,948.0,88272.97,148
CPT,64657,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,948.0,12360.0,148
CPT,64658,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,948.0,12360.0,148
CPT,64659,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,948.0,12360.0,148
CPT,64680,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,335.66,6680.0,266
CPT,64680,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age 21+",,,374.85,374.85,4
CPT,64680,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21",,,381.66,381.66,4
CPT,64681,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,335.66,6680.0,266
CPT,64681,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus Age 21+",,,374.85,374.85,4
CPT,64681,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus Age Under 21",,,381.66,381.66,4
CPT,64702,"Neuroplasty; digital, 1 or both, same digit ",,,650.04,8858.0,266
CPT,64702,"Neuroplasty; digital, 1 or both, same digit Age 21+",,,725.93,725.93,4
CPT,64702,"Neuroplasty; digital, 1 or both, same digit Age Under 21",,,739.13,739.13,4
CPT,64704,Neuroplasty; nerve of hand or foot ,,,650.04,8858.0,266
CPT,64704,Neuroplasty; nerve of hand or foot Age 21+,,,725.93,725.93,4
CPT,64704,Neuroplasty; nerve of hand or foot Age Under 21,,,739.13,739.13,4
CPT,64708,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,650.04,8858.0,266
CPT,64708,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age 21+",,,725.93,725.93,4
CPT,64708,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21",,,739.13,739.13,4
CPT,64712,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,650.04,8858.0,266
CPT,64712,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age 21+",,,725.93,725.93,4
CPT,64712,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age Under 21",,,739.13,739.13,4
CPT,64713,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,650.04,8858.0,266
CPT,64713,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Age 21+",,,725.93,725.93,4
CPT,64713,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Age Under 21",,,739.13,739.13,4
CPT,64714,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,650.04,8858.0,266
CPT,64714,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Age 21+",,,725.93,725.93,4
CPT,64714,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Age Under 21",,,739.13,739.13,4
CPT,64716,Neuroplasty and/or transposition; cranial nerve (specify) ,,,650.04,9908.0,266
CPT,64716,Neuroplasty and/or transposition; cranial nerve (specify) Age 21+,,,725.93,725.93,4
CPT,64716,Neuroplasty and/or transposition; cranial nerve (specify) Age Under 21,,,739.13,739.13,4
CPT,64718,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,650.04,8858.0,266
CPT,64718,Neuroplasty and/or transposition; ulnar nerve at elbow Age 21+,,,725.93,725.93,4
CPT,64718,Neuroplasty and/or transposition; ulnar nerve at elbow Age Under 21,,,739.13,739.13,4
CPT,64719,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,650.04,8858.0,266
CPT,64719,Neuroplasty and/or transposition; ulnar nerve at wrist Age 21+,,,725.93,725.93,4
CPT,64719,Neuroplasty and/or transposition; ulnar nerve at wrist Age Under 21,,,739.13,739.13,4
CPT,64721,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,650.04,8858.0,251
CPT,64721,Neuroplasty and/or transposition; median nerve at carpal tunnel Age 21+,,,725.93,725.93,4
CPT,64721,Neuroplasty and/or transposition; median nerve at carpal tunnel Age Under 21,,,739.13,739.13,4
CPT,64722,Decompression; unspecified nerve(s) (specify) ,,,650.04,8858.0,266
CPT,64722,Decompression; unspecified nerve(s) (specify) Age 21+,,,725.93,725.93,4
CPT,64722,Decompression; unspecified nerve(s) (specify) Age Under 21,,,739.13,739.13,4
CPT,64726,Decompression; plantar digital nerve ,,,650.04,8858.0,266
CPT,64726,Decompression; plantar digital nerve Age 21+,,,725.93,725.93,4
CPT,64726,Decompression; plantar digital nerve Age Under 21,,,739.13,739.13,4
CPT,64727,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,948.0,5932.0,142
CPT,64728,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,948.0,8858.0,148
CPT,64732,Transection or avulsion of; supraorbital nerve ,,,650.04,6680.0,266
CPT,64732,Transection or avulsion of; supraorbital nerve Age 21+,,,725.93,725.93,4
CPT,64732,Transection or avulsion of; supraorbital nerve Age Under 21,,,739.13,739.13,4
CPT,64734,Transection or avulsion of; infraorbital nerve ,,,650.04,6680.0,266
CPT,64734,Transection or avulsion of; infraorbital nerve Age 21+,,,725.93,725.93,4
CPT,64734,Transection or avulsion of; infraorbital nerve Age Under 21,,,739.13,739.13,4
CPT,64736,Transection or avulsion of; mental nerve ,,,650.04,6680.0,266
CPT,64736,Transection or avulsion of; mental nerve Age 21+,,,725.93,725.93,4
CPT,64736,Transection or avulsion of; mental nerve Age Under 21,,,739.13,739.13,4
CPT,64738,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,650.04,6680.0,266
CPT,64738,Transection or avulsion of; inferior alveolar nerve by osteotomy Age 21+,,,725.93,725.93,4
CPT,64738,Transection or avulsion of; inferior alveolar nerve by osteotomy Age Under 21,,,739.13,739.13,4
CPT,64740,Transection or avulsion of; lingual nerve ,,,650.04,8858.0,266
CPT,64740,Transection or avulsion of; lingual nerve Age 21+,,,725.93,725.93,4
CPT,64740,Transection or avulsion of; lingual nerve Age Under 21,,,739.13,739.13,4
CPT,64742,"Transection or avulsion of; facial nerve, differential or complete ",,,650.04,8858.0,266
CPT,64742,"Transection or avulsion of; facial nerve, differential or complete Age 21+",,,725.93,725.93,4
CPT,64742,"Transection or avulsion of; facial nerve, differential or complete Age Under 21",,,739.13,739.13,4
CPT,64744,Transection or avulsion of; greater occipital nerve ,,,650.04,8858.0,266
CPT,64744,Transection or avulsion of; greater occipital nerve Age 21+,,,725.93,725.93,4
CPT,64744,Transection or avulsion of; greater occipital nerve Age Under 21,,,739.13,739.13,4
CPT,64746,Transection or avulsion of; phrenic nerve ,,,650.04,6680.0,266
CPT,64746,Transection or avulsion of; phrenic nerve Age 21+,,,725.93,725.93,4
CPT,64746,Transection or avulsion of; phrenic nerve Age Under 21,,,739.13,739.13,4
CPT,64752,INCISION OF VAGUS NERVE ,,,2152.0,6587.0,34
CPT,64755,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,948.0,25655.0,194
CPT,64760,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,948.0,25655.0,194
CPT,64761,INCISION OF PELVIS NERVE ,,,2152.0,6587.0,34
CPT,64763,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,650.04,5047.0,222
CPT,64763,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Age 21+",,,725.93,725.93,4
CPT,64763,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Age Under 21",,,739.13,739.13,4
CPT,64766,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,948.0,12360.0,195
CPT,64771,"Transection or avulsion of other cranial nerve, extradural ",,,650.04,8858.0,266
CPT,64771,"Transection or avulsion of other cranial nerve, extradural Age 21+",,,725.93,725.93,4
CPT,64771,"Transection or avulsion of other cranial nerve, extradural Age Under 21",,,739.13,739.13,4
CPT,64772,"Transection or avulsion of other spinal nerve, extradural ",,,650.04,8858.0,266
CPT,64772,"Transection or avulsion of other spinal nerve, extradural Age 21+",,,725.93,725.93,4
CPT,64772,"Transection or avulsion of other spinal nerve, extradural Age Under 21",,,739.13,739.13,4
CPT,64774,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,650.04,8858.0,266
CPT,64774,"Excision of neuroma; cutaneous nerve, surgically identifiable Age 21+",,,725.93,725.93,4
CPT,64774,"Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21",,,739.13,739.13,4
CPT,64776,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,650.04,9908.0,266
CPT,64776,"Excision of neuroma; digital nerve, 1 or both, same digit Age 21+",,,725.93,725.93,4
CPT,64776,"Excision of neuroma; digital nerve, 1 or both, same digit Age Under 21",,,739.13,739.13,4
CPT,64778,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,948.0,6680.0,142
CPT,64782,"Excision of neuroma; hand or foot, except digital nerve ",,,650.04,9908.0,266
CPT,64782,"Excision of neuroma; hand or foot, except digital nerve Age 21+",,,725.93,725.93,4
CPT,64782,"Excision of neuroma; hand or foot, except digital nerve Age Under 21",,,739.13,739.13,4
CPT,64783,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,948.0,6680.0,142
CPT,64784,"Excision of neuroma; major peripheral nerve, except sciatic ",,,650.04,9908.0,266
CPT,64784,"Excision of neuroma; major peripheral nerve, except sciatic Age 21+",,,725.93,725.93,4
CPT,64784,"Excision of neuroma; major peripheral nerve, except sciatic Age Under 21",,,739.13,739.13,4
CPT,64786,Excision of neuroma; sciatic nerve ,,,948.0,17510.0,266
CPT,64786,Excision of neuroma; sciatic nerve Age 21+,,,2196.24,2196.24,4
CPT,64786,Excision of neuroma; sciatic nerve Age Under 21,,,2236.17,2236.17,4
CPT,64787,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,948.0,6680.0,142
CPT,64788,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,650.04,9908.0,266
CPT,64788,Excision of neurofibroma or neurolemmoma; cutaneous nerve Age 21+,,,725.93,725.93,4
CPT,64788,Excision of neurofibroma or neurolemmoma; cutaneous nerve Age Under 21,,,739.13,739.13,4
CPT,64790,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,650.04,9908.0,266
CPT,64790,Excision of neurofibroma or neurolemmoma; major peripheral nerve Age 21+,,,725.93,725.93,4
CPT,64790,Excision of neurofibroma or neurolemmoma; major peripheral nerve Age Under 21,,,739.13,739.13,4
CPT,64792,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,948.0,17510.0,266
CPT,64792,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Age 21+,,,2196.24,2196.24,4
CPT,64792,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Age Under 21,,,2236.17,2236.17,4
CPT,64795,Biopsy of nerve ,,,650.04,8858.0,266
CPT,64795,Biopsy of nerve Age 21+,,,725.93,725.93,4
CPT,64795,Biopsy of nerve Age Under 21,,,739.13,739.13,4
CPT,64802,"Sympathectomy, cervical ",,,650.04,6680.0,266
CPT,64802,"Sympathectomy, cervical Age 21+",,,725.93,725.93,4
CPT,64802,"Sympathectomy, cervical Age Under 21",,,739.13,739.13,4
CPT,64804,"Sympathectomy, cervicothoracic ",,,948.0,25655.0,195
CPT,64809,"Sympathectomy, thoracolumbar ",,,948.0,25655.0,194
CPT,64818,"Sympathectomy, lumbar ",,,948.0,25655.0,194
CPT,64820,"Sympathectomy; digital arteries, each digit ",,,650.04,25655.0,222
CPT,64820,"Sympathectomy; digital arteries, each digit Age 21+",,,725.93,725.93,4
CPT,64820,"Sympathectomy; digital arteries, each digit Age Under 21",,,739.13,739.13,4
CPT,64821,Sympathectomy; radial artery ,,,948.0,19415.0,266
CPT,64821,Sympathectomy; radial artery Age 21+,,,1197.1,1197.1,4
CPT,64821,Sympathectomy; radial artery Age Under 21,,,1218.86,1218.86,4
CPT,64822,Sympathectomy; ulnar artery ,,,948.0,12360.0,266
CPT,64822,Sympathectomy; ulnar artery Age 21+,,,1197.1,1197.1,4
CPT,64822,Sympathectomy; ulnar artery Age Under 21,,,1218.86,1218.86,4
CPT,64823,Sympathectomy; superficial palmar arch ,,,948.0,12360.0,266
CPT,64823,Sympathectomy; superficial palmar arch Age 21+,,,1197.1,1197.1,4
CPT,64823,Sympathectomy; superficial palmar arch Age Under 21,,,1218.86,1218.86,4
CPT,64831,"Suture of digital nerve, hand or foot; 1 nerve ",,,650.04,19415.0,266
CPT,64831,"Suture of digital nerve, hand or foot; 1 nerve Age 21+",,,725.93,725.93,4
CPT,64831,"Suture of digital nerve, hand or foot; 1 nerve Age Under 21",,,739.13,739.13,4
CPT,64832,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,64834,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,948.0,17510.0,266
CPT,64834,"Suture of 1 nerve; hand or foot, common sensory nerve Age 21+",,,2196.24,2196.24,4
CPT,64834,"Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21",,,2236.17,2236.17,4
CPT,64835,Suture of 1 nerve; median motor thenar ,,,948.0,17510.0,266
CPT,64835,Suture of 1 nerve; median motor thenar Age 21+,,,2196.24,2196.24,4
CPT,64835,Suture of 1 nerve; median motor thenar Age Under 21,,,2236.17,2236.17,4
CPT,64836,Suture of 1 nerve; ulnar motor ,,,948.0,17510.0,266
CPT,64836,Suture of 1 nerve; ulnar motor Age 21+,,,2196.24,2196.24,4
CPT,64836,Suture of 1 nerve; ulnar motor Age Under 21,,,2236.17,2236.17,4
CPT,64837,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,64840,Suture of posterior tibial nerve ,,,948.0,17510.0,266
CPT,64840,Suture of posterior tibial nerve Age 21+,,,2196.24,2196.24,4
CPT,64840,Suture of posterior tibial nerve Age Under 21,,,2236.17,2236.17,4
CPT,64856,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,948.0,17510.0,266
CPT,64856,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Age 21+",,,2196.24,2196.24,4
CPT,64856,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Age Under 21",,,2236.17,2236.17,4
CPT,64857,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,948.0,17510.0,266
CPT,64857,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Age 21+",,,2196.24,2196.24,4
CPT,64857,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Age Under 21",,,2236.17,2236.17,4
CPT,64858,Suture of sciatic nerve ,,,948.0,12360.0,266
CPT,64858,Suture of sciatic nerve Age 21+,,,1289.48,1289.48,4
CPT,64858,Suture of sciatic nerve Age Under 21,,,1312.92,1312.92,4
CPT,64859,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,948.0,5932.0,142
CPT,64861,Suture of; brachial plexus ,,,650.04,12360.0,266
CPT,64861,Suture of; brachial plexus Age 21+,,,725.93,725.93,4
CPT,64861,Suture of; brachial plexus Age Under 21,,,739.13,739.13,4
CPT,64862,Suture of; lumbar plexus ,,,948.0,17510.0,266
CPT,64862,Suture of; lumbar plexus Age 21+,,,2196.24,2196.24,4
CPT,64862,Suture of; lumbar plexus Age Under 21,,,2236.17,2236.17,4
CPT,64864,Suture of facial nerve; extracranial ,,,948.0,17510.0,266
CPT,64864,Suture of facial nerve; extracranial Age 21+,,,2196.24,2196.24,4
CPT,64864,Suture of facial nerve; extracranial Age Under 21,,,2236.17,2236.17,4
CPT,64865,"Suture of facial nerve; infratemporal, with or without grafting ",,,948.0,19415.0,266
CPT,64865,"Suture of facial nerve; infratemporal, with or without grafting Age 21+",,,2196.24,2196.24,4
CPT,64865,"Suture of facial nerve; infratemporal, with or without grafting Age Under 21",,,2236.17,2236.17,4
CPT,64866,Anastomosis; facial-spinal accessory ,,,948.0,28585.97,194
CPT,64868,Anastomosis; facial-hypoglossal ,,,948.0,25655.0,194
CPT,64870,FUSION OF FACIAL/OTHER NERVE ,,,2152.0,6587.0,34
CPT,64872,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,948.0,6680.0,142
CPT,64874,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,948.0,9908.0,142
CPT,64876,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,948.0,9908.0,142
CPT,64885,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,948.0,17510.0,266
CPT,64885,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Age 21+",,,2196.24,2196.24,4
CPT,64885,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Age Under 21",,,2236.17,2236.17,4
CPT,64886,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,948.0,17510.0,266
CPT,64886,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Age 21+",,,3735.39,3735.39,4
CPT,64886,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Age Under 21",,,3803.31,3803.31,4
CPT,64890,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,948.0,17510.0,266
CPT,64890,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Age 21+",,,2859.2,2859.2,4
CPT,64890,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Age Under 21",,,2911.18,2911.18,4
CPT,64891,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,948.0,17510.0,266
CPT,64891,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Age 21+",,,2859.2,2859.2,4
CPT,64891,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Age Under 21",,,2911.18,2911.18,4
CPT,64892,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,948.0,17510.0,266
CPT,64892,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Age 21+",,,3271.74,3271.74,4
CPT,64892,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Age Under 21",,,3331.23,3331.23,4
CPT,64893,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,948.0,17510.0,266
CPT,64893,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Age 21+",,,2196.24,2196.24,4
CPT,64893,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Age Under 21",,,2236.17,2236.17,4
CPT,64895,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,948.0,17510.0,266
CPT,64895,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Age 21+",,,2196.24,2196.24,4
CPT,64895,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Age Under 21",,,2236.17,2236.17,4
CPT,64896,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,948.0,17510.0,266
CPT,64896,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Age 21+",,,2196.24,2196.24,4
CPT,64896,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Age Under 21",,,2236.17,2236.17,4
CPT,64897,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,948.0,17510.0,266
CPT,64897,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Age 21+",,,2196.24,2196.24,4
CPT,64897,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Age Under 21",,,2236.17,2236.17,4
CPT,64898,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,948.0,17510.0,266
CPT,64898,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Age 21+",,,2196.24,2196.24,4
CPT,64898,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Age Under 21",,,2236.17,2236.17,4
CPT,64901,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,948.0,6680.0,142
CPT,64902,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,948.0,6680.0,142
CPT,64905,Nerve pedicle transfer; first stage ,,,948.0,17510.0,266
CPT,64905,Nerve pedicle transfer; first stage Age 21+,,,2196.24,2196.24,4
CPT,64905,Nerve pedicle transfer; first stage Age Under 21,,,2236.17,2236.17,4
CPT,64907,Nerve pedicle transfer; second stage ,,,948.0,17510.0,266
CPT,64907,Nerve pedicle transfer; second stage Age 21+,,,2196.24,2196.24,4
CPT,64907,Nerve pedicle transfer; second stage Age Under 21,,,2236.17,2236.17,4
CPT,64910,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,948.0,17510.0,266
CPT,64910,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age 21+",,,3415.46,3415.46,4
CPT,64910,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age Under 21",,,3477.56,3477.56,4
CPT,64911,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,948.0,17510.0,239
CPT,64912,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,948.0,25655.0,266
CPT,64912,"Nerve repair; with nerve allograft, each nerve, first strand (cable) Age 21+",,,3403.27,3403.27,4
CPT,64912,"Nerve repair; with nerve allograft, each nerve, first strand (cable) Age Under 21",,,3465.15,3465.15,4
CPT,64913,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,948.0,6587.0,142
CPT,64999,"Unlisted procedure, nervous system ",,,309.89,25655.0,239
CPT,65091,Evisceration of ocular contents; without implant ,,,948.0,12360.0,266
CPT,65091,Evisceration of ocular contents; without implant Age 21+,,,1213.76,1213.76,4
CPT,65091,Evisceration of ocular contents; without implant Age Under 21,,,1235.83,1235.83,4
CPT,65093,Evisceration of ocular contents; with implant ,,,948.0,12360.0,266
CPT,65093,Evisceration of ocular contents; with implant Age 21+,,,1213.76,1213.76,4
CPT,65093,Evisceration of ocular contents; with implant Age Under 21,,,1235.83,1235.83,4
CPT,65101,Enucleation of eye; without implant ,,,948.0,12360.0,266
CPT,65101,Enucleation of eye; without implant Age 21+,,,1213.76,1213.76,4
CPT,65101,Enucleation of eye; without implant Age Under 21,,,1235.83,1235.83,4
CPT,65103,"Enucleation of eye; with implant, muscles not attached to implant ",,,948.0,12360.0,266
CPT,65103,"Enucleation of eye; with implant, muscles not attached to implant Age 21+",,,1213.76,1213.76,4
CPT,65103,"Enucleation of eye; with implant, muscles not attached to implant Age Under 21",,,1235.83,1235.83,4
CPT,65105,"Enucleation of eye; with implant, muscles attached to implant ",,,948.0,19415.0,266
CPT,65105,"Enucleation of eye; with implant, muscles attached to implant Age 21+",,,1213.76,1213.76,4
CPT,65105,"Enucleation of eye; with implant, muscles attached to implant Age Under 21",,,1235.83,1235.83,4
CPT,65110,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,948.0,18490.0,266
CPT,65110,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only Age 21+",,,1213.76,1213.76,4
CPT,65110,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only Age Under 21",,,1235.83,1235.83,4
CPT,65112,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,948.0,23113.0,266
CPT,65112,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone Age 21+",,,1213.76,1213.76,4
CPT,65112,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone Age Under 21",,,1235.83,1235.83,4
CPT,65114,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,948.0,23113.0,266
CPT,65114,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap Age 21+",,,1213.76,1213.76,4
CPT,65114,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap Age Under 21",,,1235.83,1235.83,4
CPT,65125,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,687.83,9868.0,222
CPT,65125,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) Age 21+",,,768.13,768.13,4
CPT,65125,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) Age Under 21",,,782.1,782.1,4
CPT,65130,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,948.0,12360.0,266
CPT,65130,"Insertion of ocular implant secondary; after evisceration, in scleral shell Age 21+",,,1213.76,1213.76,4
CPT,65130,"Insertion of ocular implant secondary; after evisceration, in scleral shell Age Under 21",,,1235.83,1235.83,4
CPT,65135,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,948.0,12360.0,266
CPT,65135,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Age 21+",,,1213.76,1213.76,4
CPT,65135,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Age Under 21",,,1235.83,1235.83,4
CPT,65140,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,948.0,12360.0,266
CPT,65140,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant Age 21+",,,1213.76,1213.76,4
CPT,65140,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant Age Under 21",,,1235.83,1235.83,4
CPT,65150,Reinsertion of ocular implant; with or without conjunctival graft ,,,948.0,12360.0,266
CPT,65150,Reinsertion of ocular implant; with or without conjunctival graft Age 21+,,,1213.76,1213.76,4
CPT,65150,Reinsertion of ocular implant; with or without conjunctival graft Age Under 21,,,1235.83,1235.83,4
CPT,65155,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,948.0,12360.0,266
CPT,65155,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant Age 21+,,,1213.76,1213.76,4
CPT,65155,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant Age Under 21,,,1235.83,1235.83,4
CPT,65175,Removal of ocular implant ,,,948.0,12360.0,266
CPT,65175,Removal of ocular implant Age 21+,,,1213.76,1213.76,4
CPT,65175,Removal of ocular implant Age Under 21,,,1235.83,1235.83,4
CPT,65205,"Removal of foreign body, external eye; conjunctival superficial ",,,134.32,2636.0,195
CPT,65210,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,451.0,2636.0,195
CPT,65220,"Removal of foreign body, external eye; corneal, without slit lamp ",,,451.0,2636.0,195
CPT,65222,"Removal of foreign body, external eye; corneal, with slit lamp ",,,134.32,2636.0,195
CPT,65235,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,837.19,8858.0,266
CPT,65235,"Removal of foreign body, intraocular; from anterior chamber of eye or lens Age 21+",,,934.93,934.93,4
CPT,65235,"Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21",,,951.93,951.93,4
CPT,65260,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,837.19,9908.0,266
CPT,65260,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Age 21+",,,934.93,934.93,4
CPT,65260,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Age Under 21",,,951.93,951.93,4
CPT,65265,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,837.19,19415.0,266
CPT,65265,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Age 21+",,,934.93,934.93,4
CPT,65265,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Age Under 21",,,951.93,951.93,4
CPT,65270,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,687.83,8858.0,266
CPT,65270,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Age 21+",,,768.13,768.13,4
CPT,65270,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Age Under 21",,,782.1,782.1,4
CPT,65272,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,687.83,8858.0,266
CPT,65272,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Age 21+",,,768.13,768.13,4
CPT,65272,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Age Under 21",,,782.1,782.1,4
CPT,65273,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,948.0,25655.0,238
CPT,65275,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,948.0,19415.0,266
CPT,65275,"Repair of laceration; cornea, nonperforating, with or without removal foreign body Age 21+",,,1213.76,1213.76,4
CPT,65275,"Repair of laceration; cornea, nonperforating, with or without removal foreign body Age Under 21",,,1235.83,1235.83,4
CPT,65280,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,948.0,19415.0,266
CPT,65280,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Age 21+",,,1686.84,1686.84,4
CPT,65280,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Age Under 21",,,1717.51,1717.51,4
CPT,65285,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,948.0,19415.0,266
CPT,65285,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Age 21+",,,1686.84,1686.84,4
CPT,65285,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Age Under 21",,,1717.51,1717.51,4
CPT,65286,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,367.33,6680.0,266
CPT,65286,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera Age 21+",,,410.21,410.21,4
CPT,65286,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera Age Under 21",,,417.67,417.67,4
CPT,65290,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,948.0,12360.0,266
CPT,65290,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Age 21+",,,1213.76,1213.76,4
CPT,65290,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Age Under 21",,,1235.83,1235.83,4
CPT,65400,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,330.19,5932.0,266
CPT,65400,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium Age 21+",,,368.74,368.74,4
CPT,65400,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium Age Under 21",,,375.45,375.45,4
CPT,65410,Biopsy of cornea ,,,687.83,6680.0,266
CPT,65410,Biopsy of cornea Age 21+,,,768.13,768.13,4
CPT,65410,Biopsy of cornea Age Under 21,,,782.1,782.1,4
CPT,65420,Excision or transposition of pterygium; without graft ,,,687.83,8858.0,266
CPT,65420,Excision or transposition of pterygium; without graft Age 21+,,,768.13,768.13,4
CPT,65420,Excision or transposition of pterygium; without graft Age Under 21,,,782.1,782.1,4
CPT,65426,Excision or transposition of pterygium; with graft ,,,687.83,18490.0,266
CPT,65426,Excision or transposition of pterygium; with graft Age 21+,,,768.13,768.13,4
CPT,65426,Excision or transposition of pterygium; with graft Age Under 21,,,782.1,782.1,4
CPT,65430,"Scraping of cornea, diagnostic, for smear and/or culture ",,,451.0,2636.0,195
CPT,65435,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,38.18,5932.0,266
CPT,65435,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) Age 21+",,,42.64,42.64,4
CPT,65435,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) Age Under 21",,,43.41,43.41,4
CPT,65436,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,165.25,8858.0,266
CPT,65436,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) Age 21+",,,184.55,184.55,4
CPT,65436,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) Age Under 21",,,187.9,187.9,4
CPT,65450,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,106.67,5932.0,266
CPT,65450,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Age 21+",,,119.12,119.12,4
CPT,65450,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Age Under 21",,,121.28,121.28,4
CPT,65600,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,227.7,25655.0,266
CPT,65600,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) Age 21+",,,254.29,254.29,4
CPT,65600,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) Age Under 21",,,258.91,258.91,4
CPT,65710,Keratoplasty (corneal transplant); anterior lamellar ,,,948.0,23113.0,266
CPT,65710,Keratoplasty (corneal transplant); anterior lamellar Age 21+,,,1686.84,1686.84,4
CPT,65710,Keratoplasty (corneal transplant); anterior lamellar Age Under 21,,,1717.51,1717.51,4
CPT,65730,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,948.0,23113.0,266
CPT,65730,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) Age 21+,,,1686.84,1686.84,4
CPT,65730,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) Age Under 21,,,1717.51,1717.51,4
CPT,65750,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,948.0,23113.0,266
CPT,65750,Keratoplasty (corneal transplant); penetrating (in aphakia) Age 21+,,,1686.84,1686.84,4
CPT,65750,Keratoplasty (corneal transplant); penetrating (in aphakia) Age Under 21,,,1717.51,1717.51,4
CPT,65755,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,948.0,23113.0,266
CPT,65755,Keratoplasty (corneal transplant); penetrating (in pseudophakia) Age 21+,,,1686.84,1686.84,4
CPT,65755,Keratoplasty (corneal transplant); penetrating (in pseudophakia) Age Under 21,,,1717.51,1717.51,4
CPT,65756,Keratoplasty (corneal transplant); endothelial ,,,948.0,23113.0,266
CPT,65756,Keratoplasty (corneal transplant); endothelial Age 21+,,,1686.84,1686.84,4
CPT,65756,Keratoplasty (corneal transplant); endothelial Age Under 21,,,1717.51,1717.51,4
CPT,65757,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,948.0,2636.0,98
CPT,65760,Keratomileusis ,,,948.0,32812.81,238
CPT,65765,Keratophakia ,,,948.0,35889.85,238
CPT,65767,Epikeratoplasty ,,,948.0,28718.14,238
CPT,65770,Keratoprosthesis ,,,948.0,25655.0,239
CPT,65771,Radial keratotomy ,,,948.0,23113.0,238
CPT,65772,Corneal relaxing incision for correction of surgically induced astigmatism ,,,330.19,19415.0,266
CPT,65772,Corneal relaxing incision for correction of surgically induced astigmatism Age 21+,,,368.74,368.74,4
CPT,65772,Corneal relaxing incision for correction of surgically induced astigmatism Age Under 21,,,375.45,375.45,4
CPT,65775,Corneal wedge resection for correction of surgically induced astigmatism ,,,687.83,19415.0,266
CPT,65775,Corneal wedge resection for correction of surgically induced astigmatism Age 21+,,,768.13,768.13,4
CPT,65775,Corneal wedge resection for correction of surgically induced astigmatism Age Under 21,,,782.1,782.1,4
CPT,65778,Placement of amniotic membrane on the ocular surface; without sutures ,,,948.0,5932.0,239
CPT,65779,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,948.0,12360.0,239
CPT,65780,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,948.0,18490.0,266
CPT,65780,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers Age 21+",,,1570.45,1570.45,4
CPT,65780,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers Age Under 21",,,1599.0,1599.0,4
CPT,65781,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,948.0,18490.0,239
CPT,65782,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,948.0,18490.0,239
CPT,65785,Implantation of intrastromal corneal ring segments ,,,948.0,25655.0,266
CPT,65785,Implantation of intrastromal corneal ring segments Age 21+,,,1686.84,1686.84,4
CPT,65785,Implantation of intrastromal corneal ring segments Age Under 21,,,1717.51,1717.51,4
CPT,65800,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,837.19,5932.0,266
CPT,65800,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous Age 21+,,,934.93,934.93,4
CPT,65800,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous Age Under 21,,,951.93,951.93,4
CPT,65805,DRAINAGE OF EYE ,,,2152.0,6587.0,34
CPT,65810,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,837.19,9908.0,266
CPT,65810,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection Age 21+",,,934.93,934.93,4
CPT,65810,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection Age Under 21",,,951.93,951.93,4
CPT,65815,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,837.19,8858.0,266
CPT,65815,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection Age 21+",,,934.93,934.93,4
CPT,65815,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection Age Under 21",,,951.93,951.93,4
CPT,65820,Goniotomy ,,,948.0,10691.32,266
CPT,65820,Goniotomy Age 21+,,,1686.84,1686.84,4
CPT,65820,Goniotomy Age Under 21,,,1717.51,1717.51,4
CPT,65850,Trabeculotomy ab externo ,,,837.19,19415.0,266
CPT,65850,Trabeculotomy ab externo Age 21+,,,934.93,934.93,4
CPT,65850,Trabeculotomy ab externo Age Under 21,,,951.93,951.93,4
CPT,65855,Trabeculoplasty by laser surgery ,,,107.71,6680.0,266
CPT,65855,Trabeculoplasty by laser surgery Age 21+,,,120.28,120.28,4
CPT,65855,Trabeculoplasty by laser surgery Age Under 21,,,122.47,122.47,4
CPT,65860,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,139.35,19415.0,266
CPT,65860,"Severing adhesions of anterior segment, laser technique (separate procedure) Age 21+",,,155.62,155.62,4
CPT,65860,"Severing adhesions of anterior segment, laser technique (separate procedure) Age Under 21",,,158.45,158.45,4
CPT,65865,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,837.19,8858.0,266
CPT,65865,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae Age 21+",,,934.93,934.93,4
CPT,65865,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae Age Under 21",,,951.93,951.93,4
CPT,65870,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,837.19,19415.0,266
CPT,65870,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae Age 21+",,,934.93,934.93,4
CPT,65870,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae Age Under 21",,,951.93,951.93,4
CPT,65875,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,837.19,19415.0,266
CPT,65875,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae Age 21+",,,934.93,934.93,4
CPT,65875,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae Age Under 21",,,951.93,951.93,4
CPT,65880,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,948.0,19415.0,266
CPT,65880,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions Age 21+",,,1686.84,1686.84,4
CPT,65880,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions Age Under 21",,,1717.51,1717.51,4
CPT,65900,"Removal of epithelial downgrowth, anterior chamber of eye ",,,837.19,18490.0,266
CPT,65900,"Removal of epithelial downgrowth, anterior chamber of eye Age 21+",,,934.93,934.93,4
CPT,65900,"Removal of epithelial downgrowth, anterior chamber of eye Age Under 21",,,951.93,951.93,4
CPT,65920,"Removal of implanted material, anterior segment of eye ",,,837.19,23113.0,266
CPT,65920,"Removal of implanted material, anterior segment of eye Age 21+",,,934.93,934.93,4
CPT,65920,"Removal of implanted material, anterior segment of eye Age Under 21",,,951.93,951.93,4
CPT,65930,"Removal of blood clot, anterior segment of eye ",,,837.19,18490.0,266
CPT,65930,"Removal of blood clot, anterior segment of eye Age 21+",,,934.93,934.93,4
CPT,65930,"Removal of blood clot, anterior segment of eye Age Under 21",,,951.93,951.93,4
CPT,66020,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,837.19,5932.0,266
CPT,66020,"Injection, anterior chamber of eye (separate procedure); air or liquid Age 21+",,,934.93,934.93,4
CPT,66020,"Injection, anterior chamber of eye (separate procedure); air or liquid Age Under 21",,,951.93,951.93,4
CPT,66030,"Injection, anterior chamber of eye (separate procedure); medication ",,,837.19,5932.0,266
CPT,66030,"Injection, anterior chamber of eye (separate procedure); medication Age 21+",,,934.93,934.93,4
CPT,66030,"Injection, anterior chamber of eye (separate procedure); medication Age Under 21",,,951.93,951.93,4
CPT,66130,"Excision of lesion, sclera ",,,687.83,23113.0,266
CPT,66130,"Excision of lesion, sclera Age 21+",,,768.13,768.13,4
CPT,66130,"Excision of lesion, sclera Age Under 21",,,782.1,782.1,4
CPT,66150,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,948.0,19415.0,266
CPT,66150,Fistulization of sclera for glaucoma; trephination with iridectomy Age 21+,,,1686.84,1686.84,4
CPT,66150,Fistulization of sclera for glaucoma; trephination with iridectomy Age Under 21,,,1717.51,1717.51,4
CPT,66155,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,948.0,19415.0,266
CPT,66155,Fistulization of sclera for glaucoma; thermocauterization with iridectomy Age 21+,,,2427.46,2427.46,4
CPT,66155,Fistulization of sclera for glaucoma; thermocauterization with iridectomy Age Under 21,,,2471.59,2471.59,4
CPT,66160,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,837.19,8858.0,266
CPT,66160,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Age 21+",,,934.93,934.93,4
CPT,66160,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Age Under 21",,,951.93,951.93,4
CPT,66165,GLAUCOMA SURGERY ,,,2152.0,6587.0,34
CPT,66170,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,837.19,19415.0,266
CPT,66170,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Age 21+,,,934.93,934.93,4
CPT,66170,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Age Under 21,,,951.93,951.93,4
CPT,66172,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,837.19,19415.0,266
CPT,66172,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) Age 21+,,,934.93,934.93,4
CPT,66172,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) Age Under 21,,,951.93,951.93,4
CPT,66174,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,948.0,18490.0,239
CPT,66175,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,948.0,18490.0,239
CPT,66179,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,948.0,19415.0,266
CPT,66179,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Age 21+",,,2190.94,2190.94,4
CPT,66179,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Age Under 21",,,2230.77,2230.77,4
CPT,66180,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,948.0,18490.0,263
CPT,66180,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Age 21+",,,2271.09,2271.09,4
CPT,66180,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Age Under 21",,,2312.39,2312.39,4
CPT,66183,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,948.0,17510.0,266
CPT,66183,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Age 21+",,,2452.1,2452.1,4
CPT,66183,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Age Under 21",,,2496.68,2496.68,4
CPT,66184,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,837.19,12499.0,266
CPT,66184,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Age 21+,,,934.93,934.93,4
CPT,66184,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Age Under 21,,,951.93,951.93,4
CPT,66185,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,837.19,8858.0,266
CPT,66185,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Age 21+,,,934.93,934.93,4
CPT,66185,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Age Under 21,,,951.93,951.93,4
CPT,66220,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,3796.0,5381.0,42
CPT,66225,Repair of scleral staphyloma with graft ,,,948.0,19415.0,266
CPT,66225,Repair of scleral staphyloma with graft Age 21+,,,2243.01,2243.01,4
CPT,66225,Repair of scleral staphyloma with graft Age Under 21,,,2283.79,2283.79,4
CPT,66250,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,687.83,8858.0,266
CPT,66250,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure Age 21+",,,768.13,768.13,4
CPT,66250,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure Age Under 21",,,782.1,782.1,4
CPT,66500,Iridotomy by stab incision (separate procedure); except transfixion ,,,837.19,5932.0,266
CPT,66500,Iridotomy by stab incision (separate procedure); except transfixion Age 21+,,,934.93,934.93,4
CPT,66500,Iridotomy by stab incision (separate procedure); except transfixion Age Under 21,,,951.93,951.93,4
CPT,66505,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,837.19,5932.0,266
CPT,66505,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Age 21+,,,934.93,934.93,4
CPT,66505,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Age Under 21,,,951.93,951.93,4
CPT,66600,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,948.0,10691.32,266
CPT,66600,"Iridectomy, with corneoscleral or corneal section; for removal of lesion Age 21+",,,1686.84,1686.84,4
CPT,66600,"Iridectomy, with corneoscleral or corneal section; for removal of lesion Age Under 21",,,1717.51,1717.51,4
CPT,66605,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,837.19,17510.0,266
CPT,66605,"Iridectomy, with corneoscleral or corneal section; with cyclectomy Age 21+",,,934.93,934.93,4
CPT,66605,"Iridectomy, with corneoscleral or corneal section; with cyclectomy Age Under 21",,,951.93,951.93,4
CPT,66625,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,837.19,9908.0,266
CPT,66625,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Age 21+",,,934.93,934.93,4
CPT,66625,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Age Under 21",,,951.93,951.93,4
CPT,66630,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,837.19,9908.0,266
CPT,66630,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) Age 21+",,,934.93,934.93,4
CPT,66630,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) Age Under 21",,,951.93,951.93,4
CPT,66635,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,837.19,9908.0,266
CPT,66635,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Age 21+",,,934.93,934.93,4
CPT,66635,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Age Under 21",,,951.93,951.93,4
CPT,66680,"Repair of iris, ciliary body (as for iridodialysis) ",,,837.19,9908.0,266
CPT,66680,"Repair of iris, ciliary body (as for iridodialysis) Age 21+",,,934.93,934.93,4
CPT,66680,"Repair of iris, ciliary body (as for iridodialysis) Age Under 21",,,951.93,951.93,4
CPT,66682,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,837.19,8858.0,266
CPT,66682,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Age 21+",,,934.93,934.93,4
CPT,66682,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Age Under 21",,,951.93,951.93,4
CPT,66683,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,948.0,45966.03,159
CPT,66700,Ciliary body destruction; diathermy ,,,837.19,6680.0,266
CPT,66700,Ciliary body destruction; diathermy Age 21+,,,934.93,934.93,4
CPT,66700,Ciliary body destruction; diathermy Age Under 21,,,951.93,951.93,4
CPT,66710,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,687.83,8858.0,266
CPT,66710,"Ciliary body destruction; cyclophotocoagulation, transscleral Age 21+",,,768.13,768.13,4
CPT,66710,"Ciliary body destruction; cyclophotocoagulation, transscleral Age Under 21",,,782.1,782.1,4
CPT,66711,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,837.19,8858.0,266
CPT,66711,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Age 21+",,,934.93,934.93,4
CPT,66711,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Age Under 21",,,951.93,951.93,4
CPT,66720,Ciliary body destruction; cryotherapy ,,,687.83,8858.0,266
CPT,66720,Ciliary body destruction; cryotherapy Age 21+,,,768.13,768.13,4
CPT,66720,Ciliary body destruction; cryotherapy Age Under 21,,,782.1,782.1,4
CPT,66740,Ciliary body destruction; cyclodialysis ,,,687.83,8858.0,266
CPT,66740,Ciliary body destruction; cyclodialysis Age 21+,,,768.13,768.13,4
CPT,66740,Ciliary body destruction; cyclodialysis Age Under 21,,,782.1,782.1,4
CPT,66761,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,151.08,5932.0,266
CPT,66761,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) Age 21+",,,168.72,168.72,4
CPT,66761,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) Age Under 21",,,171.79,171.79,4
CPT,66762,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,205.21,5932.0,266
CPT,66762,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) Age 21+",,,229.16,229.16,4
CPT,66762,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) Age Under 21",,,233.33,233.33,4
CPT,66770,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,205.21,5932.0,266
CPT,66770,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Age 21+,,,229.16,229.16,4
CPT,66770,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Age Under 21,,,233.33,233.33,4
CPT,66820,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,837.19,5932.0,266
CPT,66820,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) Age 21+,,,934.93,934.93,4
CPT,66820,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) Age Under 21,,,951.93,951.93,4
CPT,66821,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,205.21,6680.0,266
CPT,66821,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) Age 21+",,,229.16,229.16,4
CPT,66821,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) Age Under 21",,,233.33,233.33,4
CPT,66825,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,837.19,19415.0,266
CPT,66825,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Age 21+",,,934.93,934.93,4
CPT,66825,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Age Under 21",,,951.93,951.93,4
CPT,66830,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,837.19,19415.0,266
CPT,66830,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) Age 21",,,934.93,934.93,4
CPT,66830,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) Age Un",,,951.93,951.93,4
CPT,66840,"Removal of lens material; aspiration technique, 1 or more stages ",,,837.19,19415.0,266
CPT,66840,"Removal of lens material; aspiration technique, 1 or more stages Age 21+",,,934.93,934.93,4
CPT,66840,"Removal of lens material; aspiration technique, 1 or more stages Age Under 21",,,951.93,951.93,4
CPT,66850,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,837.19,23113.0,266
CPT,66850,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration Age 21+",,,934.93,934.93,4
CPT,66850,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration Age Under 21",,,951.93,951.93,4
CPT,66852,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,948.0,19415.0,266
CPT,66852,"Removal of lens material; pars plana approach, with or without vitrectomy Age 21+",,,1686.84,1686.84,4
CPT,66852,"Removal of lens material; pars plana approach, with or without vitrectomy Age Under 21",,,1717.51,1717.51,4
CPT,66920,Removal of lens material; intracapsular ,,,837.19,19415.0,266
CPT,66920,Removal of lens material; intracapsular Age 21+,,,934.93,934.93,4
CPT,66920,Removal of lens material; intracapsular Age Under 21,,,951.93,951.93,4
CPT,66930,"Removal of lens material; intracapsular, for dislocated lens ",,,948.0,18490.0,266
CPT,66930,"Removal of lens material; intracapsular, for dislocated lens Age 21+",,,1686.84,1686.84,4
CPT,66930,"Removal of lens material; intracapsular, for dislocated lens Age Under 21",,,1717.51,1717.51,4
CPT,66940,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,837.19,18490.0,266
CPT,66940,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) Age 21+",,,934.93,934.93,4
CPT,66940,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) Age Under 21",,,951.93,951.93,4
CPT,66982,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,837.19,18490.0,274
CPT,66983,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,837.19,18490.0,266
CPT,66983,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Age 21+,,,934.93,934.93,4
CPT,66983,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Age Under 21,,,951.93,951.93,4
CPT,66984,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,837.19,18490.0,274
CPT,66985,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,837.19,76895.0,266
CPT,66985,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Age 21+",,,934.93,934.93,4
CPT,66985,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Age Under 21",,,951.93,951.93,4
CPT,66986,Exchange of intraocular lens ,,,837.19,76895.0,266
CPT,66986,Exchange of intraocular lens Age 21+,,,934.93,934.93,4
CPT,66986,Exchange of intraocular lens Age Under 21,,,951.93,951.93,4
CPT,66987,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,948.0,76895.0,274
CPT,66988,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,948.0,76895.0,274
CPT,66989,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,948.0,76895.0,274
CPT,66990,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,948.0,5932.0,142
CPT,66991,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,948.0,76895.0,274
CPT,66999,"Unlisted procedure, anterior segment of eye ",,,948.0,25655.0,239
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,837.19,19415.0,251
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Age 21+",,,934.93,934.93,4
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Age Under 21",,,951.93,951.93,4
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,837.19,19415.0,251
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy Age 21+",,,934.93,934.93,4
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy Age Under 21",,,951.93,951.93,4
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,837.19,8858.0,251
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) Age 21+",,,934.93,934.93,4
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) Age Under 21",,,951.93,951.93,4
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,837.19,8858.0,251
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) Age 21+",,,934.93,934.93,4
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) Age Under 21",,,951.93,951.93,4
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1925.26,36053.16,251
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous Age 21+",,,2150.04,2150.04,4
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous Age Under 21",,,2189.13,2189.13,4
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,47.72,5932.0,251
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) Age 21+,,,53.3,53.3,4
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) Age Under 21,,,54.26,54.26,4
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach ",,,837.19,8858.0,251
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach Age 21+",,,934.93,934.93,4
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach Age Under 21",,,951.93,951.93,4
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,205.21,6680.0,251
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) Age 21+",,,229.16,229.16,4
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) Age Under 21",,,233.33,233.33,4
CPT,67036,"Vitrectomy, mechanical, pars plana approach; ",,,1510.49,19415.0,248
CPT,67036,"Vitrectomy, mechanical, pars plana approach; Age 21+",,,1686.84,1686.84,4
CPT,67036,"Vitrectomy, mechanical, pars plana approach; Age Under 21",,,1717.51,1717.51,4
CPT,67038,STRIP RETINAL MEMBRANE ,,,2152.0,6587.0,39
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1510.49,23113.0,251
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Age 21+",,,1686.84,1686.84,4
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Age Under 21",,,1717.51,1717.51,4
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1510.49,23113.0,251
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Age 21+",,,1686.84,1686.84,4
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Age Under 21",,,1717.51,1717.51,4
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1510.49,18490.0,251
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Age 21+",,,1686.84,1686.84,4
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Age Under 21",,,1717.51,1717.51,4
CPT,67042,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1510.49,18490.0,259
CPT,67043,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1510.49,23113.0,259
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,163.34,19415.0,251
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Age 21+",,,182.41,182.41,4
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Age Under 21",,,185.73,185.73,4
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,135.53,18490.0,251
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Age 21+",,,151.35,151.35,4
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Age Under 21",,,154.1,154.1,4
CPT,67107,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1510.49,18490.0,259
CPT,67108,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1510.49,23113.0,259
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,407.14,25655.0,207
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Age 21+",,,454.67,454.67,4
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Age Under 21",,,462.94,462.94,4
CPT,67112,REREPAIR DETACHED RETINA ,,,2152.0,6587.0,39
CPT,67113,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1510.49,18490.0,259
CPT,67115,Release of encircling material (posterior segment) ,,,1510.49,10691.32,251
CPT,67115,Release of encircling material (posterior segment) Age 21+,,,1686.84,1686.84,4
CPT,67115,Release of encircling material (posterior segment) Age Under 21,,,1717.51,1717.51,4
CPT,67120,"Removal of implanted material, posterior segment; extraocular ",,,837.19,8858.0,251
CPT,67120,"Removal of implanted material, posterior segment; extraocular Age 21+",,,934.93,934.93,4
CPT,67120,"Removal of implanted material, posterior segment; extraocular Age Under 21",,,951.93,951.93,4
CPT,67121,"Removal of implanted material, posterior segment; intraocular ",,,837.19,12360.0,251
CPT,67121,"Removal of implanted material, posterior segment; intraocular Age 21+",,,934.93,934.93,4
CPT,67121,"Removal of implanted material, posterior segment; intraocular Age Under 21",,,951.93,951.93,4
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,106.67,6680.0,251
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Age 21+",,,119.12,119.12,4
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Age Under 21",,,121.28,121.28,4
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,118.07,5932.0,251
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age 21+",,,131.86,131.86,4
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age Under 21",,,134.25,134.25,4
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,106.67,18490.0,251
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Age 21+",,,119.12,119.12,4
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Age Under 21",,,121.28,121.28,4
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,205.21,18490.0,251
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Age 21+",,,229.16,229.16,4
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Age Under 21",,,233.33,233.33,4
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1086.87,18490.0,251
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Age 21+",,,1213.76,1213.76,4
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Age Under 21",,,1235.83,1235.83,4
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,205.21,5932.0,251
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Age 21+",,,229.16,229.16,4
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Age Under 21",,,233.33,233.33,4
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,115.62,5932.0,251
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Age 21+",,,129.12,129.12,4
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Age Under 21",,,131.47,131.47,4
CPT,67225,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1481.0,5932.0,127
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,131.71,12360.0,251
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Age 21+",,,147.09,147.09,4
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Age Under 21",,,149.77,149.77,4
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,140.17,5932.0,251
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age 21+",,,156.53,156.53,4
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age Under 21",,,159.38,159.38,4
CPT,67229,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,205.21,6680.0,274
CPT,67250,Scleral reinforcement (separate procedure); without graft ,,,687.83,9908.0,266
CPT,67250,Scleral reinforcement (separate procedure); without graft Age 21+,,,768.13,768.13,4
CPT,67250,Scleral reinforcement (separate procedure); without graft Age Under 21,,,782.1,782.1,4
CPT,67255,Scleral reinforcement (separate procedure); with graft ,,,837.19,9908.0,266
CPT,67255,Scleral reinforcement (separate procedure); with graft Age 21+,,,934.93,934.93,4
CPT,67255,Scleral reinforcement (separate procedure); with graft Age Under 21,,,951.93,951.93,4
CPT,67299,"Unlisted procedure, posterior segment ",,,948.0,25655.0,195
CPT,67311,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,687.83,9908.0,266
CPT,67311,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle Age 21+",,,768.13,768.13,4
CPT,67311,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle Age Under 21",,,782.1,782.1,4
CPT,67312,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,948.0,19415.0,266
CPT,67312,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles Age 21+",,,1213.76,1213.76,4
CPT,67312,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles Age Under 21",,,1235.83,1235.83,4
CPT,67314,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,687.83,19415.0,266
CPT,67314,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Age 21+",,,768.13,768.13,4
CPT,67314,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Age Under 21",,,782.1,782.1,4
CPT,67316,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,687.83,19415.0,266
CPT,67316,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Age 21+",,,768.13,768.13,4
CPT,67316,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Age Under 21",,,782.1,782.1,4
CPT,67318,"Strabismus surgery, any procedure, superior oblique muscle ",,,687.83,19415.0,266
CPT,67318,"Strabismus surgery, any procedure, superior oblique muscle Age 21+",,,768.13,768.13,4
CPT,67318,"Strabismus surgery, any procedure, superior oblique muscle Age Under 21",,,782.1,782.1,4
CPT,67320,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,948.0,19415.0,142
CPT,67331,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,948.0,19415.0,142
CPT,67332,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,948.0,19415.0,142
CPT,67334,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,948.0,19415.0,142
CPT,67335,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,948.0,19415.0,142
CPT,67340,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,948.0,19415.0,142
CPT,67343,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,687.83,23113.0,266
CPT,67343,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) Age 21+,,,768.13,768.13,4
CPT,67343,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) Age Under 21,,,782.1,782.1,4
CPT,67345,Chemodenervation of extraocular muscle ,,,100.63,5932.0,266
CPT,67345,Chemodenervation of extraocular muscle Age 21+,,,112.38,112.38,4
CPT,67345,Chemodenervation of extraocular muscle Age Under 21,,,114.42,114.42,4
CPT,67346,Biopsy of extraocular muscle ,,,948.0,12360.0,266
CPT,67346,Biopsy of extraocular muscle Age 21+,,,1213.76,1213.76,4
CPT,67346,Biopsy of extraocular muscle Age Under 21,,,1235.83,1235.83,4
CPT,67350,BIOPSY EYE MUSCLE ,,,2152.0,6587.0,34
CPT,67399,"Unlisted procedure, extraocular muscle ",,,320.45,25655.0,195
CPT,67400,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,948.0,12360.0,266
CPT,67400,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Age 21+",,,1213.76,1213.76,4
CPT,67400,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Age Under 21",,,1235.83,1235.83,4
CPT,67405,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,687.83,19415.0,266
CPT,67405,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Age 21+,,,768.13,768.13,4
CPT,67405,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Age Under 21,,,782.1,782.1,4
CPT,67412,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,687.83,18490.0,266
CPT,67412,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Age 21+,,,768.13,768.13,4
CPT,67412,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Age Under 21,,,782.1,782.1,4
CPT,67413,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,687.83,18490.0,266
CPT,67413,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Age 21+,,,768.13,768.13,4
CPT,67413,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Age Under 21,,,782.1,782.1,4
CPT,67414,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,948.0,25655.0,266
CPT,67414,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Age 21+,,,1213.76,1213.76,4
CPT,67414,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Age Under 21,,,1235.83,1235.83,4
CPT,67415,Fine needle aspiration of orbital contents ,,,687.83,8858.0,266
CPT,67415,Fine needle aspiration of orbital contents Age 21+,,,768.13,768.13,4
CPT,67415,Fine needle aspiration of orbital contents Age Under 21,,,782.1,782.1,4
CPT,67420,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,948.0,18490.0,266
CPT,67420,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Age 21+",,,1213.76,1213.76,4
CPT,67420,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Age Under 21",,,1235.83,1235.83,4
CPT,67430,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,948.0,18490.0,266
CPT,67430,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Age 21+",,,1213.76,1213.76,4
CPT,67430,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Age Under 21",,,1235.83,1235.83,4
CPT,67440,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,948.0,18490.0,266
CPT,67440,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Age 21+",,,1213.76,1213.76,4
CPT,67440,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Age Under 21",,,1235.83,1235.83,4
CPT,67445,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,948.0,18490.0,266
CPT,67445,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Age 21+",,,1213.76,1213.76,4
CPT,67445,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Age Under 21",,,1235.83,1235.83,4
CPT,67450,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,948.0,18490.0,266
CPT,67450,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Age 21+",,,1213.76,1213.76,4
CPT,67450,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Age Under 21",,,1235.83,1235.83,4
CPT,67500,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,25.91,2636.0,222
CPT,67500,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) Age 21+",,,28.93,28.93,4
CPT,67500,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) Age Under 21",,,29.46,29.46,4
CPT,67505,Retrobulbar injection; alcohol ,,,34.36,5932.0,266
CPT,67505,Retrobulbar injection; alcohol Age 21+,,,38.37,38.37,4
CPT,67505,Retrobulbar injection; alcohol Age Under 21,,,39.07,39.07,4
CPT,67515,Injection of medication or other substance into Tenon's capsule ,,,19.09,5932.0,266
CPT,67515,Injection of medication or other substance into Tenon's capsule Age 21+,,,21.32,21.32,4
CPT,67515,Injection of medication or other substance into Tenon's capsule Age Under 21,,,21.71,21.71,4
CPT,67516,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,333.47,6587.0,187
CPT,67550,Orbital implant (implant outside muscle cone); insertion ,,,948.0,19415.0,266
CPT,67550,Orbital implant (implant outside muscle cone); insertion Age 21+,,,1213.76,1213.76,4
CPT,67550,Orbital implant (implant outside muscle cone); insertion Age Under 21,,,1235.83,1235.83,4
CPT,67560,Orbital implant (implant outside muscle cone); removal or revision ,,,948.0,12360.0,266
CPT,67560,Orbital implant (implant outside muscle cone); removal or revision Age 21+,,,1213.76,1213.76,4
CPT,67560,Orbital implant (implant outside muscle cone); removal or revision Age Under 21,,,1235.83,1235.83,4
CPT,67570,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,948.0,19415.0,266
CPT,67570,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Age 21+",,,1213.76,1213.76,4
CPT,67570,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Age Under 21",,,1235.83,1235.83,4
CPT,67599,"Unlisted procedure, orbit ",,,320.45,25655.0,195
CPT,67700,"Blepharotomy, drainage of abscess, eyelid ",,,106.67,5932.0,266
CPT,67700,"Blepharotomy, drainage of abscess, eyelid Age 21+",,,119.12,119.12,4
CPT,67700,"Blepharotomy, drainage of abscess, eyelid Age Under 21",,,121.28,121.28,4
CPT,67710,Severing of tarsorrhaphy ,,,167.98,5932.0,266
CPT,67710,Severing of tarsorrhaphy Age 21+,,,187.59,187.59,4
CPT,67710,Severing of tarsorrhaphy Age Under 21,,,191.0,191.0,4
CPT,67715,Canthotomy (separate procedure) ,,,687.83,8858.0,266
CPT,67715,Canthotomy (separate procedure) Age 21+,,,768.13,768.13,4
CPT,67715,Canthotomy (separate procedure) Age Under 21,,,782.1,782.1,4
CPT,67800,Excision of chalazion; single ,,,61.09,5932.0,266
CPT,67800,Excision of chalazion; single Age 21+,,,68.22,68.22,4
CPT,67800,Excision of chalazion; single Age Under 21,,,69.46,69.46,4
CPT,67801,"Excision of chalazion; multiple, same lid ",,,73.63,5932.0,266
CPT,67801,"Excision of chalazion; multiple, same lid Age 21+",,,82.23,82.23,4
CPT,67801,"Excision of chalazion; multiple, same lid Age Under 21",,,83.72,83.72,4
CPT,67805,"Excision of chalazion; multiple, different lids ",,,94.89,5932.0,266
CPT,67805,"Excision of chalazion; multiple, different lids Age 21+",,,105.97,105.97,4
CPT,67805,"Excision of chalazion; multiple, different lids Age Under 21",,,107.9,107.9,4
CPT,67808,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,687.83,8858.0,266
CPT,67808,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Age 21+",,,768.13,768.13,4
CPT,67808,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Age Under 21",,,782.1,782.1,4
CPT,67810,Incisional biopsy of eyelid skin including lid margin ,,,106.67,5932.0,266
CPT,67810,Incisional biopsy of eyelid skin including lid margin Age 21+,,,119.12,119.12,4
CPT,67810,Incisional biopsy of eyelid skin including lid margin Age Under 21,,,121.28,121.28,4
CPT,67820,"Correction of trichiasis; epilation, by forceps only ",,,134.32,2636.0,195
CPT,67825,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,66.26,3092.0,222
CPT,67825,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Age 21+",,,74.0,74.0,4
CPT,67825,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Age Under 21",,,75.34,75.34,4
CPT,67830,Correction of trichiasis; incision of lid margin ,,,330.19,6680.0,266
CPT,67830,Correction of trichiasis; incision of lid margin Age 21+,,,368.74,368.74,4
CPT,67830,Correction of trichiasis; incision of lid margin Age Under 21,,,375.45,375.45,4
CPT,67835,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,687.83,8858.0,266
CPT,67835,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft Age 21+",,,768.13,768.13,4
CPT,67835,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft Age Under 21",,,782.1,782.1,4
CPT,67840,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,166.89,6680.0,266
CPT,67840,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age 21+,,,186.37,186.37,4
CPT,67840,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21,,,189.76,189.76,4
CPT,67850,Destruction of lesion of lid margin (up to 1 cm) ,,,124.08,5932.0,266
CPT,67850,Destruction of lesion of lid margin (up to 1 cm) Age 21+,,,138.57,138.57,4
CPT,67850,Destruction of lesion of lid margin (up to 1 cm) Age Under 21,,,141.09,141.09,4
CPT,67875,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,330.19,5932.0,266
CPT,67875,"Temporary closure of eyelids by suture (eg, Frost suture) Age 21+",,,368.74,368.74,4
CPT,67875,"Temporary closure of eyelids by suture (eg, Frost suture) Age Under 21",,,375.45,375.45,4
CPT,67880,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,687.83,9908.0,266
CPT,67880,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Age 21+",,,768.13,768.13,4
CPT,67880,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Age Under 21",,,782.1,782.1,4
CPT,67882,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,687.83,9908.0,266
CPT,67882,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Age 21+",,,768.13,768.13,4
CPT,67882,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Age Under 21",,,782.1,782.1,4
CPT,67900,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,687.83,19415.0,266
CPT,67900,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) Age 21+",,,768.13,768.13,4
CPT,67900,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) Age Under 21",,,782.1,782.1,4
CPT,67901,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,687.83,18490.0,266
CPT,67901,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Age 21+",,,768.13,768.13,4
CPT,67901,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Age Under 21",,,782.1,782.1,4
CPT,67902,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,948.0,18490.0,266
CPT,67902,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Age 21+,,,1213.76,1213.76,4
CPT,67902,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Age Under 21,,,1235.83,1235.83,4
CPT,67903,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,687.83,19415.0,266
CPT,67903,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach Age 21+",,,768.13,768.13,4
CPT,67903,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach Age Under 21",,,782.1,782.1,4
CPT,67904,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,687.83,19415.0,266
CPT,67904,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach Age 21+",,,768.13,768.13,4
CPT,67904,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach Age Under 21",,,782.1,782.1,4
CPT,67906,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,948.0,18490.0,266
CPT,67906,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Age 21+,,,1213.76,1213.76,4
CPT,67906,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Age Under 21,,,1235.83,1235.83,4
CPT,67908,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,687.83,19415.0,266
CPT,67908,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) Age 21+",,,768.13,768.13,4
CPT,67908,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) Age Under 21",,,782.1,782.1,4
CPT,67909,Reduction of overcorrection of ptosis ,,,687.83,19415.0,266
CPT,67909,Reduction of overcorrection of ptosis Age 21+,,,768.13,768.13,4
CPT,67909,Reduction of overcorrection of ptosis Age Under 21,,,782.1,782.1,4
CPT,67911,Correction of lid retraction ,,,687.83,9908.0,266
CPT,67911,Correction of lid retraction Age 21+,,,768.13,768.13,4
CPT,67911,Correction of lid retraction Age Under 21,,,782.1,782.1,4
CPT,67912,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,687.83,9908.0,266
CPT,67912,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) Age 21+",,,768.13,768.13,4
CPT,67912,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) Age Under 21",,,782.1,782.1,4
CPT,67914,Repair of ectropion; suture ,,,687.83,9908.0,266
CPT,67914,Repair of ectropion; suture Age 21+,,,768.13,768.13,4
CPT,67914,Repair of ectropion; suture Age Under 21,,,782.1,782.1,4
CPT,67915,Repair of ectropion; thermocauterization ,,,197.43,9908.0,266
CPT,67915,Repair of ectropion; thermocauterization Age 21+,,,220.48,220.48,4
CPT,67915,Repair of ectropion; thermocauterization Age Under 21,,,224.49,224.49,4
CPT,67916,Repair of ectropion; excision tarsal wedge ,,,687.83,19415.0,266
CPT,67916,Repair of ectropion; excision tarsal wedge Age 21+,,,768.13,768.13,4
CPT,67916,Repair of ectropion; excision tarsal wedge Age Under 21,,,782.1,782.1,4
CPT,67917,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,687.83,19415.0,266
CPT,67917,"Repair of ectropion; extensive (eg, tarsal strip operations) Age 21+",,,768.13,768.13,4
CPT,67917,"Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21",,,782.1,782.1,4
CPT,67921,Repair of entropion; suture ,,,687.83,9908.0,266
CPT,67921,Repair of entropion; suture Age 21+,,,768.13,768.13,4
CPT,67921,Repair of entropion; suture Age Under 21,,,782.1,782.1,4
CPT,67922,Repair of entropion; thermocauterization ,,,189.26,25655.0,266
CPT,67922,Repair of entropion; thermocauterization Age 21+,,,211.35,211.35,4
CPT,67922,Repair of entropion; thermocauterization Age Under 21,,,215.2,215.2,4
CPT,67923,Repair of entropion; excision tarsal wedge ,,,687.83,19415.0,266
CPT,67923,Repair of entropion; excision tarsal wedge Age 21+,,,768.13,768.13,4
CPT,67923,Repair of entropion; excision tarsal wedge Age Under 21,,,782.1,782.1,4
CPT,67924,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,687.83,19415.0,266
CPT,67924,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) Age 21+",,,768.13,768.13,4
CPT,67924,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) Age Under 21",,,782.1,782.1,4
CPT,67930,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,191.16,9868.0,266
CPT,67930,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness Age 21+",,,213.48,213.48,4
CPT,67930,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness Age Under 21",,,217.36,217.36,4
CPT,67935,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,687.83,8858.0,266
CPT,67935,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness Age 21+",,,768.13,768.13,4
CPT,67935,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness Age Under 21",,,782.1,782.1,4
CPT,67938,"Removal of embedded foreign body, eyelid ",,,106.67,5932.0,266
CPT,67938,"Removal of embedded foreign body, eyelid Age 21+",,,119.12,119.12,4
CPT,67938,"Removal of embedded foreign body, eyelid Age Under 21",,,121.28,121.28,4
CPT,67950,Canthoplasty (reconstruction of canthus) ,,,687.83,8858.0,266
CPT,67950,Canthoplasty (reconstruction of canthus) Age 21+,,,768.13,768.13,4
CPT,67950,Canthoplasty (reconstruction of canthus) Age Under 21,,,782.1,782.1,4
CPT,67961,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,687.83,9908.0,274
CPT,67966,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,687.83,9908.0,274
CPT,67971,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,687.83,9908.0,266
CPT,67971,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage Age 21+",,,768.13,768.13,4
CPT,67971,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage Age Under 21",,,782.1,782.1,4
CPT,67973,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,687.83,9908.0,266
CPT,67973,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage Age 21+",,,768.13,768.13,4
CPT,67973,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage Age Under 21",,,782.1,782.1,4
CPT,67974,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,948.0,12360.0,266
CPT,67974,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage Age 21+",,,1213.76,1213.76,4
CPT,67974,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage Age Under 21",,,1235.83,1235.83,4
CPT,67975,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,687.83,9908.0,266
CPT,67975,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Age 21+",,,768.13,768.13,4
CPT,67975,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Age Under 21",,,782.1,782.1,4
CPT,67999,"Unlisted procedure, eyelids ",,,320.45,25655.0,195
CPT,68020,"Incision of conjunctiva, drainage of cyst ",,,55.08,25655.0,266
CPT,68020,"Incision of conjunctiva, drainage of cyst Age 21+",,,61.51,61.51,4
CPT,68020,"Incision of conjunctiva, drainage of cyst Age Under 21",,,62.63,62.63,4
CPT,68040,"Expression of conjunctival follicles (eg, for trachoma) ",,,25.09,2636.0,222
CPT,68040,"Expression of conjunctival follicles (eg, for trachoma) Age 21+",,,28.02,28.02,4
CPT,68040,"Expression of conjunctival follicles (eg, for trachoma) Age Under 21",,,28.53,28.53,4
CPT,68100,Biopsy of conjunctiva ,,,106.9,8485.0,266
CPT,68100,Biopsy of conjunctiva Age 21+,,,119.38,119.38,4
CPT,68100,Biopsy of conjunctiva Age Under 21,,,121.55,121.55,4
CPT,68110,"Excision of lesion, conjunctiva; up to 1 cm ",,,137.99,8858.0,266
CPT,68110,"Excision of lesion, conjunctiva; up to 1 cm Age 21+",,,154.1,154.1,4
CPT,68110,"Excision of lesion, conjunctiva; up to 1 cm Age Under 21",,,156.9,156.9,4
CPT,68115,"Excision of lesion, conjunctiva; over 1 cm ",,,687.83,8858.0,266
CPT,68115,"Excision of lesion, conjunctiva; over 1 cm Age 21+",,,768.13,768.13,4
CPT,68115,"Excision of lesion, conjunctiva; over 1 cm Age Under 21",,,782.1,782.1,4
CPT,68130,"Excision of lesion, conjunctiva; with adjacent sclera ",,,687.83,8858.0,266
CPT,68130,"Excision of lesion, conjunctiva; with adjacent sclera Age 21+",,,768.13,768.13,4
CPT,68130,"Excision of lesion, conjunctiva; with adjacent sclera Age Under 21",,,782.1,782.1,4
CPT,68135,"Destruction of lesion, conjunctiva ",,,69.54,8858.0,266
CPT,68135,"Destruction of lesion, conjunctiva Age 21+",,,77.66,77.66,4
CPT,68135,"Destruction of lesion, conjunctiva Age Under 21",,,79.07,79.07,4
CPT,68200,Subconjunctival injection ,,,237.69,2636.0,195
CPT,68320,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,687.83,19415.0,266
CPT,68320,Conjunctivoplasty; with conjunctival graft or extensive rearrangement Age 21+,,,768.13,768.13,4
CPT,68320,Conjunctivoplasty; with conjunctival graft or extensive rearrangement Age Under 21,,,782.1,782.1,4
CPT,68325,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,948.0,19415.0,266
CPT,68325,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Age 21+,,,1213.76,1213.76,4
CPT,68325,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Age Under 21,,,1235.83,1235.83,4
CPT,68326,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,948.0,19415.0,266
CPT,68326,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Age 21+",,,1213.76,1213.76,4
CPT,68326,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Age Under 21",,,1235.83,1235.83,4
CPT,68328,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,687.83,19415.0,266
CPT,68328,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Age 21+",,,768.13,768.13,4
CPT,68328,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Age Under 21",,,782.1,782.1,4
CPT,68330,"Repair of symblepharon; conjunctivoplasty, without graft ",,,837.19,19415.0,266
CPT,68330,"Repair of symblepharon; conjunctivoplasty, without graft Age 21+",,,934.93,934.93,4
CPT,68330,"Repair of symblepharon; conjunctivoplasty, without graft Age Under 21",,,951.93,951.93,4
CPT,68335,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,948.0,19415.0,266
CPT,68335,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Age 21+,,,1213.76,1213.76,4
CPT,68335,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Age Under 21,,,1235.83,1235.83,4
CPT,68340,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,687.83,19415.0,266
CPT,68340,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Age 21+",,,768.13,768.13,4
CPT,68340,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Age Under 21",,,782.1,782.1,4
CPT,68360,Conjunctival flap; bridge or partial (separate procedure) ,,,948.0,12360.0,266
CPT,68360,Conjunctival flap; bridge or partial (separate procedure) Age 21+,,,1213.76,1213.76,4
CPT,68360,Conjunctival flap; bridge or partial (separate procedure) Age Under 21,,,1235.83,1235.83,4
CPT,68362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,687.83,8858.0,266
CPT,68362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Age 21+,,,768.13,768.13,4
CPT,68362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Age Under 21,,,782.1,782.1,4
CPT,68371,"Harvesting conjunctival allograft, living donor ",,,948.0,8858.0,239
CPT,68399,"Unlisted procedure, conjunctiva ",,,320.45,25655.0,195
CPT,68400,"Incision, drainage of lacrimal gland ",,,948.0,5932.0,239
CPT,68420,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,201.52,9868.0,266
CPT,68420,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Age 21+",,,225.05,225.05,4
CPT,68420,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Age Under 21",,,229.14,229.14,4
CPT,68440,Snip incision of lacrimal punctum ,,,53.45,5932.0,266
CPT,68440,Snip incision of lacrimal punctum Age 21+,,,59.69,59.69,4
CPT,68440,Snip incision of lacrimal punctum Age Under 21,,,60.77,60.77,4
CPT,68500,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,948.0,12360.0,266
CPT,68500,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Age 21+",,,1213.76,1213.76,4
CPT,68500,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Age Under 21",,,1235.83,1235.83,4
CPT,68505,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,948.0,12360.0,266
CPT,68505,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Age 21+",,,1213.76,1213.76,4
CPT,68505,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Age Under 21",,,1235.83,1235.83,4
CPT,68510,Biopsy of lacrimal gland ,,,687.83,8858.0,266
CPT,68510,Biopsy of lacrimal gland Age 21+,,,768.13,768.13,4
CPT,68510,Biopsy of lacrimal gland Age Under 21,,,782.1,782.1,4
CPT,68520,Excision of lacrimal sac (dacryocystectomy) ,,,948.0,12360.0,266
CPT,68520,Excision of lacrimal sac (dacryocystectomy) Age 21+,,,1213.76,1213.76,4
CPT,68520,Excision of lacrimal sac (dacryocystectomy) Age Under 21,,,1235.83,1235.83,4
CPT,68525,Biopsy of lacrimal sac ,,,687.83,8858.0,266
CPT,68525,Biopsy of lacrimal sac Age 21+,,,768.13,768.13,4
CPT,68525,Biopsy of lacrimal sac Age Under 21,,,782.1,782.1,4
CPT,68530,"Removal of foreign body or dacryolith, lacrimal passages ",,,106.67,5932.0,266
CPT,68530,"Removal of foreign body or dacryolith, lacrimal passages Age 21+",,,119.12,119.12,4
CPT,68530,"Removal of foreign body or dacryolith, lacrimal passages Age Under 21",,,121.28,121.28,4
CPT,68540,Excision of lacrimal gland tumor; frontal approach ,,,687.83,9908.0,266
CPT,68540,Excision of lacrimal gland tumor; frontal approach Age 21+,,,768.13,768.13,4
CPT,68540,Excision of lacrimal gland tumor; frontal approach Age Under 21,,,782.1,782.1,4
CPT,68550,Excision of lacrimal gland tumor; involving osteotomy ,,,948.0,12360.0,266
CPT,68550,Excision of lacrimal gland tumor; involving osteotomy Age 21+,,,1213.76,1213.76,4
CPT,68550,Excision of lacrimal gland tumor; involving osteotomy Age Under 21,,,1235.83,1235.83,4
CPT,68700,Plastic repair of canaliculi ,,,687.83,8858.0,266
CPT,68700,Plastic repair of canaliculi Age 21+,,,768.13,768.13,4
CPT,68700,Plastic repair of canaliculi Age Under 21,,,782.1,782.1,4
CPT,68705,"Correction of everted punctum, cautery ",,,106.67,5932.0,266
CPT,68705,"Correction of everted punctum, cautery Age 21+",,,119.12,119.12,4
CPT,68705,"Correction of everted punctum, cautery Age Under 21",,,121.28,121.28,4
CPT,68720,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,948.0,19415.0,266
CPT,68720,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Age 21+,,,1213.76,1213.76,4
CPT,68720,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Age Under 21,,,1235.83,1235.83,4
CPT,68745,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,948.0,19415.0,266
CPT,68745,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Age 21+,,,1213.76,1213.76,4
CPT,68745,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Age Under 21,,,1235.83,1235.83,4
CPT,68750,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,948.0,19415.0,266
CPT,68750,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Age 21+,,,1213.76,1213.76,4
CPT,68750,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Age Under 21,,,1235.83,1235.83,4
CPT,68760,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,106.67,5932.0,266
CPT,68760,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Age 21+",,,119.12,119.12,4
CPT,68760,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Age Under 21",,,121.28,121.28,4
CPT,68761,"Closure of the lacrimal punctum; by plug, each ",,,77.44,5932.0,266
CPT,68761,"Closure of the lacrimal punctum; by plug, each Age 21+",,,86.48,86.48,4
CPT,68761,"Closure of the lacrimal punctum; by plug, each Age Under 21",,,88.05,88.05,4
CPT,68770,Closure of lacrimal fistula (separate procedure) ,,,687.83,19415.0,266
CPT,68770,Closure of lacrimal fistula (separate procedure) Age 21+,,,768.13,768.13,4
CPT,68770,Closure of lacrimal fistula (separate procedure) Age Under 21,,,782.1,782.1,4
CPT,68801,"Dilation of lacrimal punctum, with or without irrigation ",,,451.0,2636.0,195
CPT,68810,"Probing of nasolacrimal duct, with or without irrigation; ",,,106.67,5932.0,266
CPT,68810,"Probing of nasolacrimal duct, with or without irrigation; Age 21+",,,119.12,119.12,4
CPT,68810,"Probing of nasolacrimal duct, with or without irrigation; Age Under 21",,,121.28,121.28,4
CPT,68811,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,687.83,8858.0,266
CPT,68811,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Age 21+",,,768.13,768.13,4
CPT,68811,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Age Under 21",,,782.1,782.1,4
CPT,68815,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,687.83,8858.0,266
CPT,68815,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent Age 21+",,,768.13,768.13,4
CPT,68815,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent Age Under 21",,,782.1,782.1,4
CPT,68816,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,687.83,9868.0,266
CPT,68816,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Age 21+",,,768.13,768.13,4
CPT,68816,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Age Under 21",,,782.1,782.1,4
CPT,68840,"Probing of lacrimal canaliculi, with or without irrigation ",,,68.18,5932.0,266
CPT,68840,"Probing of lacrimal canaliculi, with or without irrigation Age 21+",,,76.14,76.14,4
CPT,68840,"Probing of lacrimal canaliculi, with or without irrigation Age Under 21",,,77.53,77.53,4
CPT,68841,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,709.9,8858.0,239
CPT,68850,Injection of contrast medium for dacryocystography ,,,948.0,5932.0,142
CPT,68899,"Unlisted procedure, lacrimal system ",,,320.45,25655.0,195
CPT,69000,"Drainage external ear, abscess or hematoma; simple ",,,105.53,5932.0,266
CPT,69000,"Drainage external ear, abscess or hematoma; simple Age 21+",,,117.85,117.85,4
CPT,69000,"Drainage external ear, abscess or hematoma; simple Age Under 21",,,120.0,120.0,4
CPT,69005,"Drainage external ear, abscess or hematoma; complicated ",,,111.53,25655.0,266
CPT,69005,"Drainage external ear, abscess or hematoma; complicated Age 21+",,,124.55,124.55,4
CPT,69005,"Drainage external ear, abscess or hematoma; complicated Age Under 21",,,126.82,126.82,4
CPT,69020,"Drainage external auditory canal, abscess ",,,145.35,5932.0,266
CPT,69020,"Drainage external auditory canal, abscess Age 21+",,,162.32,162.32,4
CPT,69020,"Drainage external auditory canal, abscess Age Under 21",,,165.27,165.27,4
CPT,69090,Ear piercing ,,,791.86,16144.0,146
CPT,69100,Biopsy external ear ,,,54.0,3092.0,222
CPT,69100,Biopsy external ear Age 21+,,,60.3,60.3,4
CPT,69100,Biopsy external ear Age Under 21,,,61.4,61.4,4
CPT,69105,Biopsy external auditory canal ,,,93.54,25655.0,222
CPT,69105,Biopsy external auditory canal Age 21+,,,104.46,104.46,4
CPT,69105,Biopsy external auditory canal Age Under 21,,,106.36,106.36,4
CPT,69110,"Excision external ear; partial, simple repair ",,,802.97,6492.89,266
CPT,69110,"Excision external ear; partial, simple repair Age 21+",,,896.72,896.72,4
CPT,69110,"Excision external ear; partial, simple repair Age Under 21",,,913.02,913.02,4
CPT,69120,Excision external ear; complete amputation ,,,948.0,13581.48,266
CPT,69120,Excision external ear; complete amputation Age 21+,,,2149.64,2149.64,4
CPT,69120,Excision external ear; complete amputation Age Under 21,,,2188.73,2188.73,4
CPT,69140,"Excision exostosis(es), external auditory canal ",,,948.0,13581.48,266
CPT,69140,"Excision exostosis(es), external auditory canal Age 21+",,,2149.64,2149.64,4
CPT,69140,"Excision exostosis(es), external auditory canal Age Under 21",,,2188.73,2188.73,4
CPT,69145,"Excision soft tissue lesion, external auditory canal ",,,802.97,6680.0,266
CPT,69145,"Excision soft tissue lesion, external auditory canal Age 21+",,,896.72,896.72,4
CPT,69145,"Excision soft tissue lesion, external auditory canal Age Under 21",,,913.02,913.02,4
CPT,69150,Radical excision external auditory canal lesion; without neck dissection ,,,948.0,13581.48,266
CPT,69150,Radical excision external auditory canal lesion; without neck dissection Age 21+,,,2149.64,2149.64,4
CPT,69150,Radical excision external auditory canal lesion; without neck dissection Age Under 21,,,2188.73,2188.73,4
CPT,69155,Radical excision external auditory canal lesion; with neck dissection ,,,948.0,36542.48,194
CPT,69200,Removal foreign body from external auditory canal; without general anesthesia ,,,134.32,2636.0,195
CPT,69205,Removal foreign body from external auditory canal; with general anesthesia ,,,479.15,5932.0,266
CPT,69205,Removal foreign body from external auditory canal; with general anesthesia Age 21+,,,535.1,535.1,4
CPT,69205,Removal foreign body from external auditory canal; with general anesthesia Age Under 21,,,544.82,544.82,4
CPT,69209,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,59.56,5932.0,239
CPT,69210,"Removal impacted cerumen requiring instrumentation, unilateral ",,,59.56,5932.0,239
CPT,69220,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,202.56,2636.0,195
CPT,69222,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,131.98,25655.0,266
CPT,69222,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Age 21+",,,147.39,147.39,4
CPT,69222,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Age Under 21",,,150.07,150.07,4
CPT,69300,"Otoplasty, protruding ear, with or without size reduction ",,,873.32,9908.0,266
CPT,69300,"Otoplasty, protruding ear, with or without size reduction Age 21+",,,975.28,975.28,4
CPT,69300,"Otoplasty, protruding ear, with or without size reduction Age Under 21",,,993.01,993.01,4
CPT,69310,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,948.0,17510.0,266
CPT,69310,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) Age 21+",,,2149.64,2149.64,4
CPT,69310,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) Age Under 21",,,2188.73,2188.73,4
CPT,69320,"Reconstruction external auditory canal for congenital atresia, single stage ",,,948.0,23113.0,266
CPT,69320,"Reconstruction external auditory canal for congenital atresia, single stage Age 21+",,,2149.64,2149.64,4
CPT,69320,"Reconstruction external auditory canal for congenital atresia, single stage Age Under 21",,,2188.73,2188.73,4
CPT,69399,"Unlisted procedure, external ear ",,,239.12,2636.0,195
CPT,69400,INFLATE MIDDLE EAR CANAL ,,,2152.0,6587.0,34
CPT,69401,INFLATE MIDDLE EAR CANAL ,,,2152.0,6587.0,34
CPT,69405,CATHETERIZE MIDDLE EAR CANAL ,,,2152.0,6587.0,34
CPT,69410,INSET MIDDLE EAR (BAFFLE) ,,,2152.0,6587.0,34
CPT,69420,Myringotomy including aspiration and/or eustachian tube inflation ,,,86.27,9908.0,266
CPT,69420,Myringotomy including aspiration and/or eustachian tube inflation Age 21+,,,96.34,96.34,4
CPT,69420,Myringotomy including aspiration and/or eustachian tube inflation Age Under 21,,,98.09,98.09,4
CPT,69421,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,873.32,9908.0,266
CPT,69421,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age 21+,,,975.28,975.28,4
CPT,69421,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21,,,993.01,993.01,4
CPT,69424,Ventilating tube removal requiring general anesthesia ,,,79.9,12360.0,266
CPT,69424,Ventilating tube removal requiring general anesthesia Age 21+,,,89.23,89.23,4
CPT,69424,Ventilating tube removal requiring general anesthesia Age Under 21,,,90.85,90.85,4
CPT,69433,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,115.9,9908.0,266
CPT,69433,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Age 21+",,,129.43,129.43,4
CPT,69433,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Age Under 21",,,131.78,131.78,4
CPT,69436,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,414.33,9908.0,266
CPT,69436,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age 21+",,,462.7,462.7,4
CPT,69436,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21",,,471.12,471.12,4
CPT,69440,Middle ear exploration through postauricular or ear canal incision ,,,873.32,9908.0,266
CPT,69440,Middle ear exploration through postauricular or ear canal incision Age 21+,,,975.28,975.28,4
CPT,69440,Middle ear exploration through postauricular or ear canal incision Age Under 21,,,993.01,993.01,4
CPT,69450,"Tympanolysis, transcanal ",,,873.32,17510.0,266
CPT,69450,"Tympanolysis, transcanal Age 21+",,,975.28,975.28,4
CPT,69450,"Tympanolysis, transcanal Age Under 21",,,993.01,993.01,4
CPT,69501,Transmastoid antrotomy (simple mastoidectomy) ,,,948.0,23113.0,266
CPT,69501,Transmastoid antrotomy (simple mastoidectomy) Age 21+,,,2149.64,2149.64,4
CPT,69501,Transmastoid antrotomy (simple mastoidectomy) Age Under 21,,,2188.73,2188.73,4
CPT,69502,Mastoidectomy; complete ,,,948.0,23113.0,266
CPT,69502,Mastoidectomy; complete Age 21+,,,2149.64,2149.64,4
CPT,69502,Mastoidectomy; complete Age Under 21,,,2188.73,2188.73,4
CPT,69505,Mastoidectomy; modified radical ,,,948.0,23113.0,266
CPT,69505,Mastoidectomy; modified radical Age 21+,,,2149.64,2149.64,4
CPT,69505,Mastoidectomy; modified radical Age Under 21,,,2188.73,2188.73,4
CPT,69511,Mastoidectomy; radical ,,,948.0,23113.0,266
CPT,69511,Mastoidectomy; radical Age 21+,,,2149.64,2149.64,4
CPT,69511,Mastoidectomy; radical Age Under 21,,,2188.73,2188.73,4
CPT,69530,Petrous apicectomy including radical mastoidectomy ,,,948.0,23113.0,266
CPT,69530,Petrous apicectomy including radical mastoidectomy Age 21+,,,2149.64,2149.64,4
CPT,69530,Petrous apicectomy including radical mastoidectomy Age Under 21,,,2188.73,2188.73,4
CPT,69535,"Resection temporal bone, external approach ",,,948.0,59603.91,194
CPT,69540,Excision aural polyp ,,,134.71,25655.0,266
CPT,69540,Excision aural polyp Age 21+,,,150.44,150.44,4
CPT,69540,Excision aural polyp Age Under 21,,,153.17,153.17,4
CPT,69550,Excision aural glomus tumor; transcanal ,,,948.0,18490.0,266
CPT,69550,Excision aural glomus tumor; transcanal Age 21+,,,2149.64,2149.64,4
CPT,69550,Excision aural glomus tumor; transcanal Age Under 21,,,2188.73,2188.73,4
CPT,69552,Excision aural glomus tumor; transmastoid ,,,948.0,23113.0,266
CPT,69552,Excision aural glomus tumor; transmastoid Age 21+,,,2149.64,2149.64,4
CPT,69552,Excision aural glomus tumor; transmastoid Age Under 21,,,2188.73,2188.73,4
CPT,69554,Excision aural glomus tumor; extended (extratemporal) ,,,948.0,55827.68,194
CPT,69601,Revision mastoidectomy; resulting in complete mastoidectomy ,,,948.0,23113.0,266
CPT,69601,Revision mastoidectomy; resulting in complete mastoidectomy Age 21+,,,2149.64,2149.64,4
CPT,69601,Revision mastoidectomy; resulting in complete mastoidectomy Age Under 21,,,2188.73,2188.73,4
CPT,69602,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,948.0,23113.0,266
CPT,69602,Revision mastoidectomy; resulting in modified radical mastoidectomy Age 21+,,,2149.64,2149.64,4
CPT,69602,Revision mastoidectomy; resulting in modified radical mastoidectomy Age Under 21,,,2188.73,2188.73,4
CPT,69603,Revision mastoidectomy; resulting in radical mastoidectomy ,,,948.0,23113.0,266
CPT,69603,Revision mastoidectomy; resulting in radical mastoidectomy Age 21+,,,2149.64,2149.64,4
CPT,69603,Revision mastoidectomy; resulting in radical mastoidectomy Age Under 21,,,2188.73,2188.73,4
CPT,69604,Revision mastoidectomy; resulting in tympanoplasty ,,,948.0,23113.0,266
CPT,69604,Revision mastoidectomy; resulting in tympanoplasty Age 21+,,,2149.64,2149.64,4
CPT,69604,Revision mastoidectomy; resulting in tympanoplasty Age Under 21,,,2188.73,2188.73,4
CPT,69605,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,7592.0,8072.0,42
CPT,69610,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,172.35,25655.0,266
CPT,69610,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age 21+",,,192.47,192.47,4
CPT,69610,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under 21",,,195.97,195.97,4
CPT,69620,Myringoplasty (surgery confined to drumhead and donor area) ,,,873.32,8858.0,266
CPT,69620,Myringoplasty (surgery confined to drumhead and donor area) Age 21+,,,975.28,975.28,4
CPT,69620,Myringoplasty (surgery confined to drumhead and donor area) Age Under 21,,,993.01,993.01,4
CPT,69631,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1924.91,18490.0,251
CPT,69631,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69631,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69632,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1924.91,18490.0,251
CPT,69632,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) Age 21+",,,2149.64,2149.64,4
CPT,69632,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) Age Under 21",,,2188.73,2188.73,4
CPT,69633,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1924.91,18490.0,259
CPT,69635,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1924.91,23113.0,251
CPT,69635,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69635,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69636,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1924.91,23113.0,251
CPT,69636,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69636,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69637,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1924.91,23113.0,259
CPT,69641,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1924.91,23113.0,251
CPT,69641,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69641,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69642,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1924.91,23113.0,251
CPT,69642,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69642,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69643,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1924.91,23113.0,251
CPT,69643,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69643,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69644,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1924.91,23113.0,251
CPT,69644,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69644,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69645,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1924.91,23113.0,251
CPT,69645,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69645,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69646,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1924.91,23113.0,251
CPT,69646,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction Age 21+",,,2149.64,2149.64,4
CPT,69646,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction Age Under 21",,,2188.73,2188.73,4
CPT,69650,Stapes mobilization ,,,873.32,23113.0,251
CPT,69650,Stapes mobilization Age 21+,,,975.28,975.28,4
CPT,69650,Stapes mobilization Age Under 21,,,993.01,993.01,4
CPT,69660,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1924.91,18490.0,251
CPT,69660,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; Age 21+",,,2149.64,2149.64,4
CPT,69660,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; Age Under 21",,,2188.73,2188.73,4
CPT,69661,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1924.91,18490.0,251
CPT,69661,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out Age 21+",,,2149.64,2149.64,4
CPT,69661,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out Age Under 21",,,2188.73,2188.73,4
CPT,69662,Revision of stapedectomy or stapedotomy ,,,1924.91,18490.0,251
CPT,69662,Revision of stapedectomy or stapedotomy Age 21+,,,2149.64,2149.64,4
CPT,69662,Revision of stapedectomy or stapedotomy Age Under 21,,,2188.73,2188.73,4
CPT,69666,Repair oval window fistula ,,,873.32,19415.0,251
CPT,69666,Repair oval window fistula Age 21+,,,975.28,975.28,4
CPT,69666,Repair oval window fistula Age Under 21,,,993.01,993.01,4
CPT,69667,Repair round window fistula ,,,873.32,19415.0,251
CPT,69667,Repair round window fistula Age 21+,,,975.28,975.28,4
CPT,69667,Repair round window fistula Age Under 21,,,993.01,993.01,4
CPT,69670,Mastoid obliteration (separate procedure) ,,,1924.91,17510.0,251
CPT,69670,Mastoid obliteration (separate procedure) Age 21+,,,2149.64,2149.64,4
CPT,69670,Mastoid obliteration (separate procedure) Age Under 21,,,2188.73,2188.73,4
CPT,69676,Tympanic neurectomy ,,,873.32,9908.0,251
CPT,69676,Tympanic neurectomy Age 21+,,,975.28,975.28,4
CPT,69676,Tympanic neurectomy Age Under 21,,,993.01,993.01,4
CPT,69700,"Closure postauricular fistula, mastoid (separate procedure) ",,,414.33,9908.0,266
CPT,69700,"Closure postauricular fistula, mastoid (separate procedure) Age 21+",,,462.7,462.7,4
CPT,69700,"Closure postauricular fistula, mastoid (separate procedure) Age Under 21",,,471.12,471.12,4
CPT,69705,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,948.0,17510.0,266
CPT,69705,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral Age 21+",,,3208.4,3208.4,4
CPT,69705,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral Age Under 21",,,3266.74,3266.74,4
CPT,69706,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,948.0,17510.0,266
CPT,69706,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral Age 21+",,,3208.4,3208.4,4
CPT,69706,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral Age Under 21",,,3266.74,3266.74,4
CPT,69710,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,948.0,17510.0,238
CPT,69711,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,873.32,17510.0,266
CPT,69711,Removal or repair of electromagnetic bone conduction hearing device in temporal bone Age 21+,,,975.28,975.28,4
CPT,69711,Removal or repair of electromagnetic bone conduction hearing device in temporal bone Age Under 21,,,993.01,993.01,4
CPT,69714,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,33769.0,266
CPT,69714,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Age 21+",,,8674.18,8674.18,4
CPT,69714,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Age Under 21",,,8831.89,8831.89,4
CPT,69715,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,42
CPT,69716,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,948.0,35261.21,274
CPT,69717,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,33769.0,266
CPT,69717,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor Age 21+",,,4193.2,4193.2,4
CPT,69717,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor Age Under 21",,,4269.44,4269.44,4
CPT,69718,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,42
CPT,69719,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,948.0,35261.21,274
CPT,69720,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,948.0,18490.0,266
CPT,69720,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion Age 21+",,,2149.64,2149.64,4
CPT,69720,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion Age Under 21",,,2188.73,2188.73,4
CPT,69725,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,948.0,25655.0,239
CPT,69726,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,12360.0,266
CPT,69726,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor Age 21+",,,1197.1,1197.1,4
CPT,69726,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor Age Under 21",,,1218.86,1218.86,4
CPT,69727,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,948.0,12360.0,274
CPT,69728,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,948.0,25655.0,274
CPT,69729,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,948.0,36534.62,274
CPT,69730,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,948.0,36534.62,274
CPT,69740,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,948.0,18490.0,266
CPT,69740,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion Age 21+",,,2149.64,2149.64,4
CPT,69740,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion Age Under 21",,,2188.73,2188.73,4
CPT,69745,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,948.0,18490.0,266
CPT,69745,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion Age 21+",,,2149.64,2149.64,4
CPT,69745,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion Age Under 21",,,2188.73,2188.73,4
CPT,69799,"Unlisted procedure, middle ear ",,,239.12,25655.0,239
CPT,69801,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,122.44,18490.0,266
CPT,69801,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age 21+",,,136.73,136.73,4
CPT,69801,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age Under 21",,,139.22,139.22,4
CPT,69802,INCISE INNER EAR ,,,2152.0,6587.0,34
CPT,69805,Endolymphatic sac operation; without shunt ,,,948.0,23113.0,266
CPT,69805,Endolymphatic sac operation; without shunt Age 21+,,,2149.64,2149.64,4
CPT,69805,Endolymphatic sac operation; without shunt Age Under 21,,,2188.73,2188.73,4
CPT,69806,Endolymphatic sac operation; with shunt ,,,948.0,23113.0,266
CPT,69806,Endolymphatic sac operation; with shunt Age 21+,,,2149.64,2149.64,4
CPT,69806,Endolymphatic sac operation; with shunt Age Under 21,,,2188.73,2188.73,4
CPT,69820,HFenestration semicircular canal ,,,7592.0,8072.0,42
CPT,69840,HRevision fenestration operation ,,,7592.0,8072.0,42
CPT,69905,Labyrinthectomy; transcanal ,,,948.0,23113.0,266
CPT,69905,Labyrinthectomy; transcanal Age 21+,,,2149.64,2149.64,4
CPT,69905,Labyrinthectomy; transcanal Age Under 21,,,2188.73,2188.73,4
CPT,69910,Labyrinthectomy; with mastoidectomy ,,,948.0,23113.0,266
CPT,69910,Labyrinthectomy; with mastoidectomy Age 21+,,,2149.64,2149.64,4
CPT,69910,Labyrinthectomy; with mastoidectomy Age Under 21,,,2188.73,2188.73,4
CPT,69915,"Vestibular nerve section, translabyrinthine approach ",,,873.32,23113.0,266
CPT,69915,"Vestibular nerve section, translabyrinthine approach Age 21+",,,975.28,975.28,4
CPT,69915,"Vestibular nerve section, translabyrinthine approach Age Under 21",,,993.01,993.01,4
CPT,69930,"Cochlear device implantation, with or without mastoidectomy ",,,2369.0,111180.0,240
CPT,69930,"Cochlear device implantation, with or without mastoidectomy Age 21+",,,28556.09,28556.09,4
CPT,69930,"Cochlear device implantation, with or without mastoidectomy Age Under 21",,,29075.29,29075.29,4
CPT,69949,"Unlisted procedure, inner ear ",,,239.12,25655.0,239
CPT,69950,"Vestibular nerve section, transcranial approach ",,,948.0,39324.15,194
CPT,69955,Total facial nerve decompression and/or repair (may include graft) ,,,948.0,25655.0,239
CPT,69960,Decompression internal auditory canal ,,,948.0,25655.0,195
CPT,69970,"Removal of tumor, temporal bone ",,,948.0,25655.0,239
CPT,69979,"Unlisted procedure, temporal bone, middle fossa approach ",,,239.12,25655.0,239
CPT,69990,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,948.0,5932.0,142
CPT,70010,"Myelography, posterior fossa, radiological supervision and interpretation ",,,56.62,1710.69,55
CPT,70010,"Myelography, posterior fossa, radiological supervision and interpretation Age 21+",,,63.23,63.23,4
CPT,70010,"Myelography, posterior fossa, radiological supervision and interpretation Age Under 21",,,64.38,64.38,4
CPT,70015,"Cisternography, positive contrast, radiological supervision and interpretation ",,,163.9,3050.07,55
CPT,70015,"Cisternography, positive contrast, radiological supervision and interpretation Age 21+",,,183.04,183.04,4
CPT,70015,"Cisternography, positive contrast, radiological supervision and interpretation Age Under 21",,,186.37,186.37,4
CPT,70030,"Radiologic examination, eye, for detection of foreign body ",,,32.26,357.55,55
CPT,70030,"Radiologic examination, eye, for detection of foreign body Age 21+",,,36.03,36.03,4
CPT,70030,"Radiologic examination, eye, for detection of foreign body Age Under 21",,,36.68,36.68,4
CPT,70030,XR EYE FOREIGN BODY BI,2052.77,2052.77,143.69,2052.77,144
CPT,70030,XR EYE FOREIGN BODY LT,1027.97,1027.97,71.96,1027.97,96
CPT,70030,XR EYE FOREIGN BODY RT,1027.97,1027.97,71.96,1027.97,96
CPT,70100,"Radiologic examination, mandible; partial, less than 4 views ",,,38.5,357.55,55
CPT,70100,"Radiologic examination, mandible; partial, less than 4 views Age 21+",,,43.0,43.0,4
CPT,70100,"Radiologic examination, mandible; partial, less than 4 views Age Under 21",,,43.78,43.78,4
CPT,70100,XR MANDIBLE < 4 V,1045.55,1045.55,73.19,1045.55,144
CPT,7010F,Patient information entered into a recall system that includes: target date for the next exam specified and a process to follow up with patients regarding missed or unscheduled appointments (ML) ,,,0.04,0.04,4
CPT,70110,"Radiologic examination, mandible; complete, minimum of 4 views ",,,43.12,502.12,55
CPT,70110,"Radiologic examination, mandible; complete, minimum of 4 views Age 21+",,,48.16,48.16,4
CPT,70110,"Radiologic examination, mandible; complete, minimum of 4 views Age Under 21",,,49.03,49.03,4
CPT,70110,XR MANDIBLE 4 + V,1037.56,1037.56,72.63,1037.56,144
CPT,70120,"Radiologic examination, mastoids; less than 3 views per side ",,,37.85,502.12,55
CPT,70120,"Radiologic examination, mastoids; less than 3 views per side Age 21+",,,42.27,42.27,4
CPT,70120,"Radiologic examination, mastoids; less than 3 views per side Age Under 21",,,43.04,43.04,4
CPT,70130,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,61.22,502.12,55
CPT,70130,"Radiologic examination, mastoids; complete, minimum of 3 views per side Age 21+",,,68.37,68.37,4
CPT,70130,"Radiologic examination, mastoids; complete, minimum of 3 views per side Age Under 21",,,69.61,69.61,4
CPT,70130,XR MASTOIDS 3+V PER SIDE,683.19,683.19,47.82,683.19,96
CPT,70134,"Radiologic examination, internal auditory meati, complete ",,,61.22,2157.48,55
CPT,70134,"Radiologic examination, internal auditory meati, complete Age 21+",,,68.37,68.37,4
CPT,70134,"Radiologic examination, internal auditory meati, complete Age Under 21",,,69.61,69.61,4
CPT,70140,"Radiologic examination, facial bones; less than 3 views ",,,31.6,357.55,55
CPT,70140,"Radiologic examination, facial bones; less than 3 views Age 21+",,,35.29,35.29,4
CPT,70140,"Radiologic examination, facial bones; less than 3 views Age Under 21",,,35.93,35.93,4
CPT,70140,XR FACIAL BONES < 3 V,1059.9,1059.9,74.19,1059.9,144
CPT,70150,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,46.74,502.12,55
CPT,70150,"Radiologic examination, facial bones; complete, minimum of 3 views Age 21+",,,52.2,52.2,4
CPT,70150,"Radiologic examination, facial bones; complete, minimum of 3 views Age Under 21",,,53.14,53.14,4
CPT,70150,XR FACIAL BONES 3 + V,1075.86,1075.86,75.31,1075.86,144
CPT,70160,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,37.19,357.55,55
CPT,70160,"Radiologic examination, nasal bones, complete, minimum of 3 views Age 21+",,,41.54,41.54,4
CPT,70160,"Radiologic examination, nasal bones, complete, minimum of 3 views Age Under 21",,,42.29,42.29,4
CPT,70160,XR NASAL BONES COMP,871.54,871.54,61.01,871.54,144
CPT,70170,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,56.72,1044.02,55
CPT,70170,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Age 21+",,,63.34,63.34,4
CPT,70170,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Age Under 21",,,64.49,64.49,4
CPT,70190,Radiologic examination; optic foramina ,,,37.19,357.55,55
CPT,70190,Radiologic examination; optic foramina Age 21+,,,41.54,41.54,4
CPT,70190,Radiologic examination; optic foramina Age Under 21,,,42.29,42.29,4
CPT,70190,XR OPTIC FORAMINA,2164.49,2164.49,151.51,2164.49,96
CPT,70200,"Radiologic examination; orbits, complete, minimum of 4 views ",,,47.39,502.12,55
CPT,70200,"Radiologic examination; orbits, complete, minimum of 4 views Age 21+",,,52.92,52.92,4
CPT,70200,"Radiologic examination; orbits, complete, minimum of 4 views Age Under 21",,,53.88,53.88,4
CPT,70200,XR ORBITS 4 + V,1395.11,1395.11,97.66,1395.11,144
CPT,7020F,"Mammogram assessment category (eg, Mammography Quality Standards Act ºMQSA», Breast Imaging Reporting and Data System ºBI-RADS», or FDA approved equivalent categories) entered into an internal databas",,,0.04,0.04,4
CPT,70210,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,31.92,357.55,55
CPT,70210,"Radiologic examination, sinuses, paranasal, less than 3 views Age 21+",,,35.65,35.65,4
CPT,70210,"Radiologic examination, sinuses, paranasal, less than 3 views Age Under 21",,,36.3,36.3,4
CPT,70210,XR SINUSES < 3 V,855.58,855.58,59.89,855.58,144
CPT,70220,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,37.19,357.55,55
CPT,70220,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views Age 21+",,,41.54,41.54,4
CPT,70220,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views Age Under 21",,,42.29,42.29,4
CPT,70220,XR SINUSES 3 + V,1556.33,1556.33,108.94,1556.33,144
CPT,70240,"Radiologic examination, sella turcica ",,,32.58,357.55,55
CPT,70240,"Radiologic examination, sella turcica Age 21+",,,36.39,36.39,4
CPT,70240,"Radiologic examination, sella turcica Age Under 21",,,37.05,37.05,4
CPT,70240,XR SELLA TURCICA,1814.93,1814.93,127.05,1814.93,144
CPT,70250,"Radiologic examination, skull; less than 4 views ",,,35.55,502.12,55
CPT,70250,"Radiologic examination, skull; less than 4 views Age 21+",,,39.7,39.7,4
CPT,70250,"Radiologic examination, skull; less than 4 views Age Under 21",,,40.42,40.42,4
CPT,70250,XR SKULL < 4 V,973.71,973.71,68.16,973.71,144
CPT,7025F,Patient information entered into a reminder system with a target due date for the next mammogram (RAD) ,,,0.04,0.04,4
CPT,70260,"Radiologic examination, skull; complete, minimum of 4 views ",,,44.11,502.12,55
CPT,70260,"Radiologic examination, skull; complete, minimum of 4 views Age 21+",,,49.26,49.26,4
CPT,70260,"Radiologic examination, skull; complete, minimum of 4 views Age Under 21",,,50.15,50.15,4
CPT,70260,XR SKULL 4 + V,1818.1,1818.1,127.27,1818.1,144
CPT,70300,"Radiologic examination, teeth; single view ",,,12.83,357.55,55
CPT,70300,"Radiologic examination, teeth; single view Age 21+",,,14.33,14.33,4
CPT,70300,"Radiologic examination, teeth; single view Age Under 21",,,14.59,14.59,4
CPT,70300,XR TEETH 1 VIEW,477.27,477.27,33.41,477.27,144
CPT,70310,"Radiologic examination, teeth; partial examination, less than full mouth ",,,40.15,1044.02,55
CPT,70310,"Radiologic examination, teeth; partial examination, less than full mouth Age 21+",,,44.84,44.84,4
CPT,70310,"Radiologic examination, teeth; partial examination, less than full mouth Age Under 21",,,45.65,45.65,4
CPT,70320,"Radiologic examination, teeth; complete, full mouth ",,,52.66,1044.02,55
CPT,70320,"Radiologic examination, teeth; complete, full mouth Age 21+",,,58.81,58.81,4
CPT,70320,"Radiologic examination, teeth; complete, full mouth Age Under 21",,,59.88,59.88,4
CPT,70320,XR TEETH FULL MOUTH,909.87,909.87,63.69,909.87,144
CPT,70328,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,34.23,357.55,55
CPT,70328,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral Age 21+",,,38.23,38.23,4
CPT,70328,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral Age Under 21",,,38.92,38.92,4
CPT,70328,XR TMJ UNI LT,1181.22,1181.22,82.69,1181.22,144
CPT,70328,XR TMJ UNI RT,1181.22,1181.22,82.69,1181.22,144
CPT,70330,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,52.33,357.55,55
CPT,70330,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral Age 21+",,,58.44,58.44,4
CPT,70330,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral Age Under 21",,,59.51,59.51,4
CPT,70330,XR TMJ BI,1181.22,1181.22,82.69,1181.22,144
CPT,70332,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,81.62,1044.02,55
CPT,70332,"Temporomandibular joint arthrography, radiological supervision and interpretation Age 21+",,,91.15,91.15,4
CPT,70332,"Temporomandibular joint arthrography, radiological supervision and interpretation Age Under 21",,,92.8,92.8,4
CPT,70332,XR ARTHR TMJ BI,4003.36,4003.36,280.24,4003.36,144
CPT,70332,XR ARTHR TMJ LT,2001.69,2001.69,140.12,2001.69,144
CPT,70332,XR ARTHR TMJ RT,2001.69,2001.69,140.12,2001.69,144
CPT,70336,MRI TMJ,7159.04,7159.04,501.13,7159.04,43
CPT,70336,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",7159.04,7159.04,229.97,1321.0,50
CPT,70336,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) Age 21+",7159.04,7159.04,256.82,256.82,4
CPT,70336,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) Age Under 21",7159.04,7159.04,261.49,261.49,4
CPT,70350,"Cephalogram, orthodontic ",,,16.46,357.55,55
CPT,70350,"Cephalogram, orthodontic Age 21+",,,18.38,18.38,4
CPT,70350,"Cephalogram, orthodontic Age Under 21",,,18.72,18.72,4
CPT,70355,"Orthopantogram (eg, panoramic x-ray) ",,,18.1,357.55,55
CPT,70355,"Orthopantogram (eg, panoramic x-ray) Age 21+",,,20.22,20.22,4
CPT,70355,"Orthopantogram (eg, panoramic x-ray) Age Under 21",,,20.59,20.59,4
CPT,70355,XR ORTHOPANTOGRAM,257.0,257.0,17.99,257.0,96
CPT,70360,"Radiologic examination; neck, soft tissue ",,,30.94,357.55,55
CPT,70360,"Radiologic examination; neck, soft tissue Age 21+",,,34.55,34.55,4
CPT,70360,"Radiologic examination; neck, soft tissue Age Under 21",,,35.18,35.18,4
CPT,70360,XR NECK SOFT TISSUE,775.76,775.76,54.3,775.76,144
CPT,70370,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,477.87,55
CPT,70370,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique Age 21+",,,95.24,95.24,4
CPT,70370,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique Age Under 21",,,96.97,96.97,4
CPT,70371,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,107.96,1044.02,55
CPT,70371,Complex dynamic pharyngeal and speech evaluation by cine or video recording Age 21+,,,120.56,120.56,4
CPT,70371,Complex dynamic pharyngeal and speech evaluation by cine or video recording Age Under 21,,,122.75,122.75,4
CPT,70371,XR SPEECH EV COMPLEX,1476.52,1476.52,103.36,1476.52,144
CPT,70380,"Radiologic examination, salivary gland for calculus ",,,37.19,357.55,55
CPT,70380,"Radiologic examination, salivary gland for calculus Age 21+",,,41.54,41.54,4
CPT,70380,"Radiologic examination, salivary gland for calculus Age Under 21",,,42.29,42.29,4
CPT,70380,XR SALIVARY GLAND CALC,2020.82,2020.82,141.46,2020.82,96
CPT,70390,"Sialography, radiological supervision and interpretation ",,,114.2,1044.02,55
CPT,70390,"Sialography, radiological supervision and interpretation Age 21+",,,127.53,127.53,4
CPT,70390,"Sialography, radiological supervision and interpretation Age Under 21",,,129.85,129.85,4
CPT,70390,XR SIALOGRAM,1792.56,1792.56,125.48,1792.56,144
CPT,70450,CT HEAD/BRAIN W/O CONT,3789.7,3789.7,265.28,3789.7,129
CPT,70450,"Computed tomography, head or brain; without contrast material ",,,103.18,1013.0,38
CPT,70450,"Computed tomography, head or brain; without contrast material Age 21+",,,115.23,115.23,4
CPT,70450,"Computed tomography, head or brain; without contrast material Age Under 21",,,117.32,117.32,4
CPT,70460,CT HEAD/BRAIN W/CONT,4595.57,4595.57,321.69,4595.57,129
CPT,70460,"Computed tomography, head or brain; with contrast material(s) ",,,150.07,1013.0,38
CPT,70460,"Computed tomography, head or brain; with contrast material(s) Age 21+",,,167.6,167.6,4
CPT,70460,"Computed tomography, head or brain; with contrast material(s) Age Under 21",,,170.64,170.64,4
CPT,70470,CT HD/BR W&W/O CONT,5888.27,5888.27,412.18,5888.27,129
CPT,70470,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,70470,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,70470,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,70471,CTA H&N W/CON+NONCON IMG,12842.46,12842.46,898.97,12842.46,147
CPT,70471,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,449.1,1521.96,22
CPT,70472,CT CER PER W CONC CT/CTA,6557.02,6557.02,458.99,6557.02,49
CPT,70472,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed with concurrent CT or CT angiography of the same anatomy (List separately in a",6557.02,6557.02,153.29,1013.0,10
CPT,70473,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,225.79,1013.0,22
CPT,70480,CT ORBIT/SELLA/IAC WO,4147.15,4147.15,290.3,4147.15,129
CPT,70480,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,103.18,1013.0,38
CPT,70480,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Age 21+",,,115.23,115.23,4
CPT,70480,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Age Under 21",,,117.32,117.32,4
CPT,70481,CT ORBIT/SELLA/IAC W,4462.31,4462.31,312.36,4462.31,129
CPT,70481,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,172.43,1013.0,38
CPT,70481,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age 21+",,,192.57,192.57,4
CPT,70481,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age Under 21",,,196.07,196.07,4
CPT,70482,CT ORBIT/SELLA/IAC W&WO,4576.33,4576.33,320.34,4576.33,129
CPT,70482,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,70482,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,70482,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,70486,CT MAXIFAC W/O CNT,3999.82,3999.82,279.99,3999.82,129
CPT,70486,"Computed tomography, maxillofacial area; without contrast material ",,,103.18,1013.0,38
CPT,70486,"Computed tomography, maxillofacial area; without contrast material Age 21+",,,115.23,115.23,4
CPT,70486,"Computed tomography, maxillofacial area; without contrast material Age Under 21",,,117.32,117.32,4
CPT,70487,CT MAXIFAC W/CONTRAST,4159.95,4159.95,291.2,4159.95,129
CPT,70487,"Computed tomography, maxillofacial area; with contrast material(s) ",,,154.03,1013.0,38
CPT,70487,"Computed tomography, maxillofacial area; with contrast material(s) Age 21+",,,172.02,172.02,4
CPT,70487,"Computed tomography, maxillofacial area; with contrast material(s) Age Under 21",,,175.15,175.15,4
CPT,70488,CT MAXIFAC W&W/O CONT,5433.44,5433.44,380.34,5433.44,129
CPT,70488,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,70488,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,70488,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,70490,CT NECK W/O CONTRAST,4671.15,4671.15,326.98,4671.15,129
CPT,70490,"Computed tomography, soft tissue neck; without contrast material ",,,103.18,1013.0,38
CPT,70490,"Computed tomography, soft tissue neck; without contrast material Age 21+",,,115.23,115.23,4
CPT,70490,"Computed tomography, soft tissue neck; without contrast material Age Under 21",,,117.32,117.32,4
CPT,70491,CT NECK W/CONTRAST,5096.48,5096.48,356.75,5096.48,129
CPT,70491,"Computed tomography, soft tissue neck; with contrast material(s) ",,,172.43,1013.0,38
CPT,70491,"Computed tomography, soft tissue neck; with contrast material(s) Age 21+",,,192.57,192.57,4
CPT,70491,"Computed tomography, soft tissue neck; with contrast material(s) Age Under 21",,,196.07,196.07,4
CPT,70492,CT NECK W&W/O CONT,5532.09,5532.09,387.25,5532.09,129
CPT,70492,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,70492,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,70492,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,70496,CTA HEAD,6557.02,6557.02,458.99,6557.02,129
CPT,70496,CTA HEAD VIZ AI TECH,12305.63,12305.63,861.39,12305.63,86
CPT,70496,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,172.43,1013.0,38
CPT,70496,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",,,192.57,192.57,4
CPT,70496,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",,,196.07,196.07,4
CPT,70498,CTA NECK,6285.44,6285.44,439.98,6285.44,129
CPT,70498,CTA NECK VIZ AI TECH,12034.17,12034.17,842.39,12034.17,86
CPT,70498,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,172.43,1013.0,38
CPT,70498,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",,,192.57,192.57,4
CPT,70498,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",,,196.07,196.07,4
CPT,70540,MRI OR/FCE/NCK W/O CONT,6457.7,6457.7,452.04,6457.7,43
CPT,70540,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",6457.7,6457.7,229.73,1321.0,50
CPT,70540,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age 21+",6457.7,6457.7,256.55,256.55,4
CPT,70540,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age Under 21",6457.7,6457.7,261.22,261.22,4
CPT,70542,MRI OR/FCE/NCK W/CONT,8235.95,8235.95,576.52,8235.95,43
CPT,70542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",8235.95,8235.95,272.51,1630.5,50
CPT,70542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Age 21+",8235.95,8235.95,304.33,304.33,4
CPT,70542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Age Under 21",8235.95,8235.95,309.86,309.86,4
CPT,70543,MRI OR/FCE/NCK W&WO,6934.19,6934.19,485.39,6934.19,43
CPT,70543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",6934.19,6934.19,343.92,1630.5,50
CPT,70543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",6934.19,6934.19,384.08,384.08,4
CPT,70543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",6934.19,6934.19,391.06,391.06,4
CPT,70544,MRA HD W/O CONT,4084.13,4084.13,285.89,4084.13,43
CPT,70544,"Magnetic resonance angiography, head; without contrast material(s) ",4084.13,4084.13,218.87,1321.0,49
CPT,70544,"Magnetic resonance angiography, head; without contrast material(s) Age 21+",4084.13,4084.13,244.42,244.42,4
CPT,70544,"Magnetic resonance angiography, head; without contrast material(s) Age Under 21",4084.13,4084.13,248.86,248.86,4
CPT,70545,MRA HD W/CONTRAST,5115.05,5115.05,358.05,5115.05,43
CPT,70545,"Magnetic resonance angiography, head; with contrast material(s) ",5115.05,5115.05,230.72,1630.5,49
CPT,70545,"Magnetic resonance angiography, head; with contrast material(s) Age 21+",5115.05,5115.05,257.65,257.65,4
CPT,70545,"Magnetic resonance angiography, head; with contrast material(s) Age Under 21",5115.05,5115.05,262.34,262.34,4
CPT,70546,MRA HD W&WO CONTRAST,6188.13,6188.13,433.17,6188.13,43
CPT,70546,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",6188.13,6188.13,335.05,1630.5,49
CPT,70546,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",6188.13,6188.13,374.17,374.17,4
CPT,70546,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",6188.13,6188.13,380.97,380.97,4
CPT,70547,MRA NECK W/O CONT,3674.04,3674.04,257.18,3674.04,43
CPT,70547,"Magnetic resonance angiography, neck; without contrast material(s) ",3674.04,3674.04,219.2,1321.0,49
CPT,70547,"Magnetic resonance angiography, neck; without contrast material(s) Age 21+",3674.04,3674.04,244.79,244.79,4
CPT,70547,"Magnetic resonance angiography, neck; without contrast material(s) Age Under 21",3674.04,3674.04,249.24,249.24,4
CPT,70548,MRA NECK W/CONTRAST,5062.68,5062.68,354.39,5062.68,43
CPT,70548,"Magnetic resonance angiography, neck; with contrast material(s) ",5062.68,5062.68,249.8,1630.5,49
CPT,70548,"Magnetic resonance angiography, neck; with contrast material(s) Age 21+",5062.68,5062.68,278.96,278.96,4
CPT,70548,"Magnetic resonance angiography, neck; with contrast material(s) Age Under 21",5062.68,5062.68,284.03,284.03,4
CPT,70549,MRA NECK W&WO CONT,5259.41,5259.41,368.16,5259.41,43
CPT,70549,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",5259.41,5259.41,350.85,1630.5,49
CPT,70549,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",5259.41,5259.41,391.81,391.81,4
CPT,70549,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",5259.41,5259.41,398.93,398.93,4
CPT,70551,MRI BRAIN W/O CONTRAST,6582.88,6582.88,460.8,6582.88,43
CPT,70551,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",6582.88,6582.88,199.12,1321.0,50
CPT,70551,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age 21+",6582.88,6582.88,222.37,222.37,4
CPT,70551,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age Under 21",6582.88,6582.88,226.41,226.41,4
CPT,70552,MRI BRAIN W/CONTRAST,7438.8,7438.8,520.72,7438.8,43
CPT,70552,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",7438.8,7438.8,274.48,1630.5,50
CPT,70552,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) Age 21+",7438.8,7438.8,306.53,306.53,4
CPT,70552,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) Age Under 21",7438.8,7438.8,312.1,312.1,4
CPT,70553,MRI BRAIN W&WO CONT,8746.95,8746.95,612.29,8746.95,43
CPT,70553,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",8746.95,8746.95,323.19,1630.5,50
CPT,70553,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences Age 21+",8746.95,8746.95,360.92,360.92,4
CPT,70553,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences Age Under 21",8746.95,8746.95,367.48,367.48,4
CPT,70554,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,229.97,1321.0,57
CPT,70555,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,162.57,1321.0,34
CPT,70557,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,2228.08,34
CPT,70558,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,276.49,1321.0,34
CPT,70559,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,276.49,1321.0,34
CPT,71045,CHEST XRAY 1 V,753.42,753.42,52.74,753.42,144
CPT,71045,"Radiologic examination, chest; single view ",,,25.34,357.55,55
CPT,71045,"Radiologic examination, chest; single view Age 21+",,,28.3,28.3,4
CPT,71045,"Radiologic examination, chest; single view Age Under 21",,,28.82,28.82,4
CPT,71046,CHEST XRAY 2 V,967.31,967.31,67.71,967.31,192
CPT,71046,"Radiologic examination, chest; 2 views ",,,33.24,357.55,55
CPT,71046,"Radiologic examination, chest; 2 views Age 21+",,,37.13,37.13,4
CPT,71046,"Radiologic examination, chest; 2 views Age Under 21",,,37.8,37.8,4
CPT,71047,CHEST XRAY 3 V,1328.06,1328.06,92.96,1328.06,144
CPT,71047,"Radiologic examination, chest; 3 views ",,,41.8,357.55,55
CPT,71047,"Radiologic examination, chest; 3 views Age 21+",,,46.68,46.68,4
CPT,71047,"Radiologic examination, chest; 3 views Age Under 21",,,47.53,47.53,4
CPT,71048,CHEST XRAY 4+,2001.69,2001.69,140.12,2001.69,144
CPT,71048,"Radiologic examination, chest; 4 or more views ",,,45.09,502.12,55
CPT,71048,"Radiologic examination, chest; 4 or more views Age 21+",,,50.36,50.36,4
CPT,71048,"Radiologic examination, chest; 4 or more views Age Under 21",,,51.27,51.27,4
CPT,71100,"Radiologic examination, ribs, unilateral; 2 views ",,,36.2,357.55,55
CPT,71100,"Radiologic examination, ribs, unilateral; 2 views Age 21+",,,40.43,40.43,4
CPT,71100,"Radiologic examination, ribs, unilateral; 2 views Age Under 21",,,41.16,41.16,4
CPT,71100,XR RIBS UNI 2 V LT,826.84,826.84,57.88,826.84,96
CPT,71100,XR RIBS UNI 2 V RT,826.84,826.84,57.88,826.84,96
CPT,71101,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,41.8,502.12,55
CPT,71101,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views Age 21+",,,46.68,46.68,4
CPT,71101,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views Age Under 21",,,47.53,47.53,4
CPT,71101,XR RIBS UNI W/CXR 3+V LT,1045.55,1045.55,73.19,1045.55,144
CPT,71101,XR RIBS UNI W/CXR 3+V RT,1045.55,1045.55,73.19,1045.55,144
CPT,71110,"Radiologic examination, ribs, bilateral; 3 views ",,,43.44,502.12,55
CPT,71110,"Radiologic examination, ribs, bilateral; 3 views Age 21+",,,48.51,48.51,4
CPT,71110,"Radiologic examination, ribs, bilateral; 3 views Age Under 21",,,49.39,49.39,4
CPT,71110,XR RIBS BI 3 V,1189.2,1189.2,83.24,1189.2,144
CPT,71111,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,52.0,502.12,55
CPT,71111,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views Age 21+",,,58.07,58.07,4
CPT,71111,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views Age Under 21",,,59.12,59.12,4
CPT,71111,XR RIBS BI W/CXR 4 + V,1773.43,1773.43,124.14,1773.43,144
CPT,71120,"Radiologic examination; sternum, minimum of 2 views ",,,33.24,357.55,55
CPT,71120,"Radiologic examination; sternum, minimum of 2 views Age 21+",,,37.13,37.13,4
CPT,71120,"Radiologic examination; sternum, minimum of 2 views Age Under 21",,,37.8,37.8,4
CPT,71120,XR STERNUM 2 + V,1010.42,1010.42,70.73,1010.42,144
CPT,71130,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,40.82,357.55,55
CPT,71130,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views Age 21+",,,45.58,45.58,4
CPT,71130,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views Age Under 21",,,46.41,46.41,4
CPT,71130,XR SC JOINTS 3 + V,983.29,983.29,68.83,983.29,144
CPT,71250,CT CHEST W/O CONTRAST,4259.9,4259.9,298.19,4259.9,129
CPT,71250,"Computed tomography, thorax, diagnostic; without contrast material ",,,103.18,1013.0,38
CPT,71250,"Computed tomography, thorax, diagnostic; without contrast material Age 21+",,,115.23,115.23,4
CPT,71250,"Computed tomography, thorax, diagnostic; without contrast material Age Under 21",,,117.32,117.32,4
CPT,71260,CT CHEST W/CONTRAST,5209.24,5209.24,364.65,5209.24,129
CPT,71260,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,169.16,1013.0,38
CPT,71260,"Computed tomography, thorax, diagnostic; with contrast material(s) Age 21+",,,188.91,188.91,4
CPT,71260,"Computed tomography, thorax, diagnostic; with contrast material(s) Age Under 21",,,192.35,192.35,4
CPT,71270,CT CHEST W&W/O CONT,6927.29,6927.29,484.91,6927.29,129
CPT,71270,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,71270,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,71270,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,71271,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,103.18,1013.0,37
CPT,71271,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) Age 21+",,,115.23,115.23,4
CPT,71271,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) Age Under 21",,,117.32,117.32,4
CPT,71271,LUNG CA SCREEN WO CON,619.86,619.86,40.71,658.08,129
CPT,71275,CTA CHEST,6259.81,6259.81,438.19,6259.81,129
CPT,71275,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,172.43,1013.0,37
CPT,71275,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",,,192.57,192.57,4
CPT,71275,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",,,196.07,196.07,4
CPT,71550,MRI CHEST W/O CONT,5290.08,5290.08,370.31,5290.08,43
CPT,71550,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",5290.08,5290.08,229.97,1321.0,50
CPT,71550,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) Age 21+",5290.08,5290.08,256.82,256.82,4
CPT,71550,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) Age Under 21",5290.08,5290.08,261.49,261.49,4
CPT,71551,MRI CHEST W/CONTRAST,8439.06,8439.06,590.73,8439.06,43
CPT,71551,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",8439.06,8439.06,379.47,2907.1,50
CPT,71551,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) Age 21+",8439.06,8439.06,423.78,423.78,4
CPT,71551,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) Age Under 21",8439.06,8439.06,431.48,431.48,4
CPT,71552,MRI CHEST W&WO CONT,7548.66,7548.66,528.41,7548.66,43
CPT,71552,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",7548.66,7548.66,360.92,1630.5,50
CPT,71552,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences Age 2",7548.66,7548.66,403.06,403.06,4
CPT,71552,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences Age U",7548.66,7548.66,410.39,410.39,4
CPT,71555,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,243.13,1321.0,36
CPT,72020,"Radiologic examination, spine, single view, specify level ",,,24.02,357.55,55
CPT,72020,"Radiologic examination, spine, single view, specify level Age 21+",,,26.83,26.83,4
CPT,72020,"Radiologic examination, spine, single view, specify level Age Under 21",,,27.32,27.32,4
CPT,72020,XR SPINE 1 V SPEC LEVEL,691.97,691.97,26.7,1002.44,144
CPT,72040,"Radiologic examination, spine, cervical; 2 or 3 views ",,,39.16,357.55,55
CPT,72040,"Radiologic examination, spine, cervical; 2 or 3 views Age 21+",,,43.74,43.74,4
CPT,72040,"Radiologic examination, spine, cervical; 2 or 3 views Age Under 21",,,44.53,44.53,4
CPT,72040,XR C-SPINE 2-3 VIEWS,983.29,983.29,68.83,983.29,144
CPT,72050,"Radiologic examination, spine, cervical; 4 or 5 views ",,,52.99,502.12,55
CPT,72050,"Radiologic examination, spine, cervical; 4 or 5 views Age 21+",,,59.18,59.18,4
CPT,72050,"Radiologic examination, spine, cervical; 4 or 5 views Age Under 21",,,60.26,60.26,4
CPT,72050,XR C-SPINE 4-5 V,1629.76,1629.76,114.08,1629.76,144
CPT,72052,"Radiologic examination, spine, cervical; 6 or more views ",,,61.87,502.12,55
CPT,72052,"Radiologic examination, spine, cervical; 6 or more views Age 21+",,,69.09,69.09,4
CPT,72052,"Radiologic examination, spine, cervical; 6 or more views Age Under 21",,,70.35,70.35,4
CPT,72052,XR C-SPINE 6 + V,1703.18,1703.18,119.22,1703.18,144
CPT,72070,"Radiologic examination, spine; thoracic, 2 views ",,,32.58,502.12,55
CPT,72070,"Radiologic examination, spine; thoracic, 2 views Age 21+",,,36.39,36.39,4
CPT,72070,"Radiologic examination, spine; thoracic, 2 views Age Under 21",,,37.05,37.05,4
CPT,72070,XR T-SPINE 2 VIEWS,1248.25,1248.25,87.38,1248.25,144
CPT,72072,"Radiologic examination, spine; thoracic, 3 views ",,,39.16,502.12,55
CPT,72072,"Radiologic examination, spine; thoracic, 3 views Age 21+",,,43.74,43.74,4
CPT,72072,"Radiologic examination, spine; thoracic, 3 views Age Under 21",,,44.53,44.53,4
CPT,72072,XR T-SPINE 3 VIEWS,1422.26,1422.26,99.56,1422.26,144
CPT,72074,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,44.11,502.12,55
CPT,72074,"Radiologic examination, spine; thoracic, minimum of 4 views Age 21+",,,49.26,49.26,4
CPT,72074,"Radiologic examination, spine; thoracic, minimum of 4 views Age Under 21",,,50.15,50.15,4
CPT,72074,XR T-SPINE 4 + VIEWS,1597.83,1597.83,111.85,1597.83,96
CPT,72080,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,34.23,357.55,55
CPT,72080,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views Age 21+",,,38.23,38.23,4
CPT,72080,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views Age Under 21",,,38.92,38.92,4
CPT,72080,XR T-L-SPINE 2 VIEWS,1971.35,1971.35,137.99,1971.35,144
CPT,72081,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,42.14,357.55,55
CPT,72081,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view Age 21+",,,47.06,47.06,4
CPT,72081,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view Age Under 21",,,47.91,47.91,4
CPT,72081,XR SPINE 1 VIEW,437.38,437.38,30.62,437.38,144
CPT,72082,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,69.44,502.12,55
CPT,72082,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views Age 21+",,,77.55,77.55,4
CPT,72082,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views Age Under 21",,,78.96,78.96,4
CPT,72082,XR SPINE 2 OR 3 VIEWS,724.69,724.69,50.73,724.69,144
CPT,72083,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,78.34,339.12,55
CPT,72083,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views Age 21+",,,87.48,87.48,4
CPT,72083,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views Age Under 21",,,89.07,89.07,4
CPT,72083,XR SPINE 4 OR 5 VIEWS,2783.84,2783.84,194.87,2783.84,144
CPT,72084,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,94.8,433.7,55
CPT,72084,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views Age 21+",,,108.79,108.79,4
CPT,72084,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views Age Under 21",,,110.77,110.77,4
CPT,72084,XR SPINE MIN 6 VIEWS,2809.37,2809.37,196.66,2809.37,144
CPT,72100,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,39.5,502.12,55
CPT,72100,"Radiologic examination, spine, lumbosacral; 2 or 3 views Age 21+",,,44.11,44.11,4
CPT,72100,"Radiologic examination, spine, lumbosacral; 2 or 3 views Age Under 21",,,44.91,44.91,4
CPT,72100,XR L-SPINE 2/3 VIEWS,1383.94,1383.94,96.88,1383.94,144
CPT,72110,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,51.35,502.12,55
CPT,72110,"Radiologic examination, spine, lumbosacral; minimum of 4 views Age 21+",,,57.34,57.34,4
CPT,72110,"Radiologic examination, spine, lumbosacral; minimum of 4 views Age Under 21",,,58.39,58.39,4
CPT,72110,XR L-SPINE 4 + VIEWS,1623.36,1623.36,113.64,1623.36,144
CPT,72114,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,60.56,502.12,55
CPT,72114,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views Age 21+",,,67.63,67.63,4
CPT,72114,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views Age Under 21",,,68.86,68.86,4
CPT,72114,XR L-SPINE W/BEND VIEW,5583.64,5583.64,390.85,5583.64,144
CPT,72120,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,40.15,502.12,55
CPT,72120,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views Age 21+",,,44.84,44.84,4
CPT,72120,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views Age Under 21",,,45.65,45.65,4
CPT,72120,XR L-SPINE BEND ONLY,3869.27,3869.27,270.85,3869.27,144
CPT,72125,CT C-SPINE W/O CONTRAST,4883.82,4883.82,341.87,4883.82,129
CPT,72125,"Computed tomography, cervical spine; without contrast material ",,,103.18,1013.0,38
CPT,72125,"Computed tomography, cervical spine; without contrast material Age 21+",,,115.23,115.23,4
CPT,72125,"Computed tomography, cervical spine; without contrast material Age Under 21",,,117.32,117.32,4
CPT,72126,CT C-SPINE W/CONTRAST,5496.23,5496.23,384.74,5496.23,129
CPT,72126,"Computed tomography, cervical spine; with contrast material ",,,170.81,1630.5,37
CPT,72126,"Computed tomography, cervical spine; with contrast material Age 21+",,,190.75,190.75,4
CPT,72126,"Computed tomography, cervical spine; with contrast material Age Under 21",,,194.22,194.22,4
CPT,72127,CT C-SPINE W&W/O CONT,6026.62,6026.62,421.86,6026.62,129
CPT,72127,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,72127,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,72127,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,72128,CT T-SPINE W/O CONTRAST,5888.27,5888.27,412.18,5888.27,129
CPT,72128,"Computed tomography, thoracic spine; without contrast material ",,,103.18,1013.0,38
CPT,72128,"Computed tomography, thoracic spine; without contrast material Age 21+",,,115.23,115.23,4
CPT,72128,"Computed tomography, thoracic spine; without contrast material Age Under 21",,,117.32,117.32,4
CPT,72129,CT T-SPINE W/CONTRAST,4883.82,4883.82,341.87,4883.82,129
CPT,72129,"Computed tomography, thoracic spine; with contrast material ",,,172.13,1013.0,38
CPT,72129,"Computed tomography, thoracic spine; with contrast material Age 21+",,,192.23,192.23,4
CPT,72129,"Computed tomography, thoracic spine; with contrast material Age Under 21",,,195.72,195.72,4
CPT,72130,CT T-SPINE W&W/O CONT,5410.38,5410.38,378.73,5410.38,129
CPT,72130,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,72130,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,72130,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,72131,CT L-SPINE W/O CONTRAST,5123.4,5123.4,358.64,5123.4,129
CPT,72131,"Computed tomography, lumbar spine; without contrast material ",,,103.18,1013.0,38
CPT,72131,"Computed tomography, lumbar spine; without contrast material Age 21+",,,115.23,115.23,4
CPT,72131,"Computed tomography, lumbar spine; without contrast material Age Under 21",,,117.32,117.32,4
CPT,72132,CT L-SPINE W/CONTRAST,5593.59,5593.59,391.55,5593.59,129
CPT,72132,"Computed tomography, lumbar spine; with contrast material ",,,171.14,1630.5,38
CPT,72132,"Computed tomography, lumbar spine; with contrast material Age 21+",,,191.13,191.13,4
CPT,72132,"Computed tomography, lumbar spine; with contrast material Age Under 21",,,194.6,194.6,4
CPT,72133,CT L-SPINE W&W/O CONT,6043.28,6043.28,423.03,6043.28,129
CPT,72133,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,72133,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,72133,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,72141,MRI C-SPINE W/O CONT,6305.67,6305.67,441.4,6305.67,43
CPT,72141,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",6305.67,6305.67,193.53,1321.0,50
CPT,72141,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material Age 21+",6305.67,6305.67,216.13,216.13,4
CPT,72141,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material Age Under 21",6305.67,6305.67,220.06,220.06,4
CPT,72142,MRI C-SPINE W/CONTRAST,7326.39,7326.39,512.85,7326.39,43
CPT,72142,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",7326.39,7326.39,279.75,1630.5,50
CPT,72142,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) Age 21+",7326.39,7326.39,312.41,312.41,4
CPT,72142,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) Age Under 21",7326.39,7326.39,318.09,318.09,4
CPT,72146,MRI T-SPINE W/O CONT,7070.9,7070.9,494.96,7070.9,43
CPT,72146,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",7070.9,7070.9,193.2,1321.0,50
CPT,72146,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material Age 21+",7070.9,7070.9,215.75,215.75,4
CPT,72146,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material Age Under 21",7070.9,7070.9,219.68,219.68,4
CPT,72147,MRI T-SPINE W/CONTRAST,7146.26,7146.26,500.24,7146.26,43
CPT,72147,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",7146.26,7146.26,277.12,1630.5,50
CPT,72147,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) Age 21+",7146.26,7146.26,309.47,309.47,4
CPT,72147,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) Age Under 21",7146.26,7146.26,315.1,315.1,4
CPT,72148,MRI L-SPINE W/O CONT,6871.61,6871.61,481.01,6871.61,43
CPT,72148,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",6871.61,6871.61,194.18,1321.0,50
CPT,72148,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age 21+",6871.61,6871.61,216.85,216.85,4
CPT,72148,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age Under 21",6871.61,6871.61,220.8,220.8,4
CPT,72149,MRI L-SPINE W/CONT,7603.6,7603.6,532.25,7603.6,43
CPT,72149,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",7603.6,7603.6,274.81,1630.5,50
CPT,72149,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) Age 21+",7603.6,7603.6,306.9,306.9,4
CPT,72149,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) Age Under 21",7603.6,7603.6,312.48,312.48,4
CPT,72156,MRI C-SPINE W&W/O CONT,8587.26,8587.26,601.11,8587.26,43
CPT,72156,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",8587.26,8587.26,324.84,1630.5,50
CPT,72156,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical Age 21+",8587.26,8587.26,362.77,362.77,4
CPT,72156,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical Age Under 21",8587.26,8587.26,369.36,369.36,4
CPT,72157,MRI T-SPINE W&W/O CONT,8652.42,8652.42,605.67,8652.42,43
CPT,72157,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",8652.42,8652.42,325.49,1630.5,50
CPT,72157,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic Age 21+",8652.42,8652.42,363.5,363.5,4
CPT,72157,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic Age Under 21",8652.42,8652.42,370.1,370.1,4
CPT,72158,MRI L-SPINE W&W/O CONT,8740.56,8740.56,611.84,8740.56,43
CPT,72158,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",8740.56,8740.56,324.19,1630.5,50
CPT,72158,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar Age 21+",8740.56,8740.56,362.04,362.04,4
CPT,72158,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar Age Under 21",8740.56,8740.56,368.63,368.63,4
CPT,72159,MRA SPINE W/WO CONT,3470.93,3470.93,242.97,3470.93,49
CPT,72159,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",3470.93,3470.93,402.78,1364.99,34
CPT,72170,"Radiologic examination, pelvis; 1 or 2 views ",,,27.64,502.12,55
CPT,72170,"Radiologic examination, pelvis; 1 or 2 views Age 21+",,,30.87,30.87,4
CPT,72170,"Radiologic examination, pelvis; 1 or 2 views Age Under 21",,,31.43,31.43,4
CPT,72170,XR PELVIS 1/2 VIEWS,747.04,747.04,52.29,747.04,144
CPT,72190,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,41.8,502.12,55
CPT,72190,"Radiologic examination, pelvis; complete, minimum of 3 views Age 21+",,,46.68,46.68,4
CPT,72190,"Radiologic examination, pelvis; complete, minimum of 3 views Age Under 21",,,47.53,47.53,4
CPT,72190,XR PELVIS 3 + V,2451.81,2451.81,171.63,2451.81,144
CPT,72191,CTA PELVIS,6259.81,6259.81,438.19,6259.81,43
CPT,72191,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",6259.81,6259.81,172.43,1013.0,38
CPT,72191,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",6259.81,6259.81,192.57,192.57,4
CPT,72191,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",6259.81,6259.81,196.07,196.07,4
CPT,72192,CT PELVIS W/O CONTRAST,4248.36,4248.36,297.39,4248.36,129
CPT,72192,"Computed tomography, pelvis; without contrast material ",,,103.18,1013.0,38
CPT,72192,"Computed tomography, pelvis; without contrast material Age 21+",,,115.23,115.23,4
CPT,72192,"Computed tomography, pelvis; without contrast material Age Under 21",,,117.32,117.32,4
CPT,72193,CT PELVIS W/CONTRAST,4969.67,4969.67,347.88,4969.67,129
CPT,72193,"Computed tomography, pelvis; with contrast material(s) ",,,172.43,1013.0,38
CPT,72193,"Computed tomography, pelvis; with contrast material(s) Age 21+",,,192.57,192.57,4
CPT,72193,"Computed tomography, pelvis; with contrast material(s) Age Under 21",,,196.07,196.07,4
CPT,72194,CT PELVIS W&W/O CONT,6272.62,6272.62,439.08,6272.62,129
CPT,72194,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,72194,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,72194,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,72195,MRI PELVIS W/O CONT,5233.86,5233.86,366.37,5233.86,43
CPT,72195,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",5233.86,5233.86,229.97,1321.0,50
CPT,72195,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age 21+",5233.86,5233.86,256.82,256.82,4
CPT,72195,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age Under 21",5233.86,5233.86,261.49,261.49,4
CPT,72196,MRI PELVIS W/CONTRAST,6692.75,6692.75,468.49,6692.75,43
CPT,72196,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",6692.75,6692.75,272.51,1630.5,50
CPT,72196,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) Age 21+",6692.75,6692.75,304.33,304.33,4
CPT,72196,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) Age Under 21",6692.75,6692.75,309.86,309.86,4
CPT,72197,MRI PELVIS W&WO CONT,7224.18,7224.18,505.69,7224.18,43
CPT,72197,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",7224.18,7224.18,341.95,1630.5,50
CPT,72197,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",7224.18,7224.18,381.88,381.88,4
CPT,72197,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",7224.18,7224.18,388.82,388.82,4
CPT,72198,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,245.39,1321.0,36
CPT,72200,"Radiologic examination, sacroiliac joints; less than 3 views ",,,32.91,502.12,55
CPT,72200,"Radiologic examination, sacroiliac joints; less than 3 views Age 21+",,,36.75,36.75,4
CPT,72200,"Radiologic examination, sacroiliac joints; less than 3 views Age Under 21",,,37.42,37.42,4
CPT,72202,"Radiologic examination, sacroiliac joints; 3 or more views ",,,38.84,502.12,55
CPT,72202,"Radiologic examination, sacroiliac joints; 3 or more views Age 21+",,,43.37,43.37,4
CPT,72202,"Radiologic examination, sacroiliac joints; 3 or more views Age Under 21",,,44.16,44.16,4
CPT,72202,XR SI JOINTS 3 + V,1256.23,1256.23,87.94,1256.23,144
CPT,72220,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,32.26,357.55,55
CPT,72220,"Radiologic examination, sacrum and coccyx, minimum of 2 views Age 21+",,,36.03,36.03,4
CPT,72220,"Radiologic examination, sacrum and coccyx, minimum of 2 views Age Under 21",,,36.68,36.68,4
CPT,72220,XR SACRUM/COCCYX 2 + V,877.92,877.92,61.45,877.92,144
CPT,72240,"Myelography, cervical, radiological supervision and interpretation ",,,110.58,3050.07,55
CPT,72240,"Myelography, cervical, radiological supervision and interpretation Age 21+",,,123.49,123.49,4
CPT,72240,"Myelography, cervical, radiological supervision and interpretation Age Under 21",,,125.73,125.73,4
CPT,72240,XR MYELOGRAM C-SPINE,4806.27,4806.27,336.44,4806.27,144
CPT,72255,"Myelography, thoracic, radiological supervision and interpretation ",3497.36,3497.36,106.31,3050.07,55
CPT,72255,"Myelography, thoracic, radiological supervision and interpretation Age 21+",3497.36,3497.36,118.72,118.72,4
CPT,72255,"Myelography, thoracic, radiological supervision and interpretation Age Under 21",3497.36,3497.36,120.88,120.88,4
CPT,72255,XR MYELOGRAM T-SPINE,3497.36,3497.36,244.82,3497.36,48
CPT,72265,"Myelography, lumbosacral, radiological supervision and interpretation ",,,107.62,3050.07,55
CPT,72265,"Myelography, lumbosacral, radiological supervision and interpretation Age 21+",,,120.19,120.19,4
CPT,72265,"Myelography, lumbosacral, radiological supervision and interpretation Age Under 21",,,122.37,122.37,4
CPT,72265,XR MYELOGRAM L-SPINE,4439.125,4439.125,251.41,5286.72,144
CPT,72270,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,150.74,3050.07,55
CPT,72270,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation Age 21+",,,168.34,168.34,4
CPT,72270,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation Age Under 21",,,171.4,171.4,4
CPT,72270,XR MYELOGR SPINE 2/M REG,4795.885,4795.885,334.99,4806.27,144
CPT,72285,"Discography, cervical or thoracic, radiological supervision and interpretation ",13746.76,13746.76,130.33,7702.69,55
CPT,72285,"Discography, cervical or thoracic, radiological supervision and interpretation Age 21+",13746.76,13746.76,145.54,145.54,4
CPT,72285,"Discography, cervical or thoracic, radiological supervision and interpretation Age Under 21",13746.76,13746.76,148.19,148.19,4
CPT,72285,XR DISKGRPHY CERV/THOR,13746.76,13746.76,962.27,13746.76,48
CPT,72295,"Discography, lumbar, radiological supervision and interpretation ",,,109.93,7702.69,55
CPT,72295,"Discography, lumbar, radiological supervision and interpretation Age 21+",,,122.76,122.76,4
CPT,72295,"Discography, lumbar, radiological supervision and interpretation Age Under 21",,,124.99,124.99,4
CPT,72295,XR DISKOGRAPHY LUMBAR,9378.665,9378.665,350.74,13746.76,96
CPT,73000,"Radiologic examination; clavicle, complete ",,,32.26,357.55,55
CPT,73000,"Radiologic examination; clavicle, complete Age 21+",,,36.03,36.03,4
CPT,73000,"Radiologic examination; clavicle, complete Age Under 21",,,36.68,36.68,4
CPT,73000,XR CLAVICLE COMP LT,922.64,922.64,64.58,922.64,96
CPT,73000,XR CLAVICLE COMP RT,922.64,922.64,64.58,922.64,96
CPT,73010,"Radiologic examination; scapula, complete ",,,23.7,502.12,55
CPT,73010,"Radiologic examination; scapula, complete Age 21+",,,26.47,26.47,4
CPT,73010,"Radiologic examination; scapula, complete Age Under 21",,,26.95,26.95,4
CPT,73010,XR SCAPULA COMP LT,986.49,986.49,69.05,986.49,96
CPT,73010,XR SCAPULA COMP RT,986.49,986.49,69.05,986.49,96
CPT,73020,"Radiologic examination, shoulder; 1 view ",,,21.38,357.55,55
CPT,73020,"Radiologic examination, shoulder; 1 view Age 21+",,,23.88,23.88,4
CPT,73020,"Radiologic examination, shoulder; 1 view Age Under 21",,,24.32,24.32,4
CPT,73020,XR SHOULDER 1 V BI,1489.29,1489.29,104.25,1489.29,144
CPT,73020,XR SHOULDER 1 V LT,747.04,747.04,52.29,747.04,96
CPT,73020,XR SHOULDER 1 V RT,747.04,747.04,52.29,747.04,96
CPT,73030,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,34.56,357.55,55
CPT,73030,"Radiologic examination, shoulder; complete, minimum of 2 views Age 21+",,,38.6,38.6,4
CPT,73030,"Radiologic examination, shoulder; complete, minimum of 2 views Age Under 21",,,39.3,39.3,4
CPT,73030,XR SHOULDER 2 + V BI,2231.53,2231.53,156.21,2231.53,144
CPT,73030,XR SHOULDER 2 + V LT,1115.75,1115.75,78.1,1115.75,96
CPT,73030,XR SHOULDER 2 + V RT,1115.75,1115.75,78.1,1115.75,96
CPT,73040,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,130.01,1710.69,55
CPT,73040,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation Age 21+",,,145.19,145.19,4
CPT,73040,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation Age Under 21",,,147.83,147.83,4
CPT,73040,XR ARTHROGRAM SHLDR BI,4699.32,4699.32,328.95,4699.32,144
CPT,73040,XR ARTHROGRAM SHLDR LT,2351.24,2351.24,164.59,2351.24,96
CPT,73040,XR ARTHROGRAM SHLDR RT,2351.24,2351.24,164.59,2351.24,96
CPT,73050,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,28.64,357.55,55
CPT,73050,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction Age 21+",,,31.99,31.99,4
CPT,73050,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction Age Under 21",,,32.57,32.57,4
CPT,73050,XR AC JNTS BI W/WO WT,1031.17,1031.17,72.18,1031.17,144
CPT,73060,"Radiologic examination; humerus, minimum of 2 views ",,,31.6,357.55,55
CPT,73060,"Radiologic examination; humerus, minimum of 2 views Age 21+",,,35.29,35.29,4
CPT,73060,"Radiologic examination; humerus, minimum of 2 views Age Under 21",,,35.93,35.93,4
CPT,73060,XR HUMERUS 2 + V BI,1947.39,1947.39,136.32,1947.39,96
CPT,73060,XR HUMERUS 2 + V LT,973.71,973.71,68.16,973.71,96
CPT,73060,XR HUMERUS 2 + V RT,973.71,973.71,68.16,973.71,96
CPT,73070,"Radiologic examination, elbow; 2 views ",,,28.96,357.55,55
CPT,73070,"Radiologic examination, elbow; 2 views Age 21+",,,32.34,32.34,4
CPT,73070,"Radiologic examination, elbow; 2 views Age Under 21",,,32.93,32.93,4
CPT,73070,XR ELBOW 2 VIEWS BI,1803.73,1803.73,126.26,1803.73,144
CPT,73070,XR ELBOW 2 VIEWS LT,905.07,905.07,63.35,905.07,96
CPT,73070,XR ELBOW 2 VIEWS RT,905.07,905.07,63.35,905.07,96
CPT,73080,"Radiologic examination, elbow; complete, minimum of 3 views ",,,32.58,357.55,55
CPT,73080,"Radiologic examination, elbow; complete, minimum of 3 views Age 21+",,,36.39,36.39,4
CPT,73080,"Radiologic examination, elbow; complete, minimum of 3 views Age Under 21",,,37.05,37.05,4
CPT,73080,XR ELBOW 3 + V BI,2036.79,2036.79,142.58,2036.79,144
CPT,73080,XR ELBOW 3 + V LT,1021.59,1021.59,71.51,1021.59,96
CPT,73080,XR ELBOW 3 + V RT,1021.59,1021.59,71.51,1021.59,96
CPT,73085,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,98.74,1710.69,55
CPT,73085,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation Age 21+",,,110.26,110.26,4
CPT,73085,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation Age Under 21",,,112.27,112.27,4
CPT,73085,XR ARTHROGRAM ELBOW BI,2688.05,2688.05,188.16,2688.05,144
CPT,73085,XR ARTHROGRAM ELBOW LT,1345.63,1345.63,94.19,1345.63,144
CPT,73085,XR ARTHROGRAM ELBOW RT,1345.63,1345.63,94.19,1345.63,144
CPT,73090,"Radiologic examination; forearm, 2 views ",,,28.96,357.55,55
CPT,73090,"Radiologic examination; forearm, 2 views Age 21+",,,32.34,32.34,4
CPT,73090,"Radiologic examination; forearm, 2 views Age Under 21",,,32.93,32.93,4
CPT,73090,XR FOREARM 2 VIEWS BI,1872.38,1872.38,131.07,1872.38,144
CPT,73090,XR FOREARM 2 VIEWS LT,935.4,935.4,65.48,935.4,144
CPT,73090,XR FOREARM 2 VIEWS RT,935.4,935.4,65.48,935.4,144
CPT,73092,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,55.44,502.12,55
CPT,73092,"Radiologic examination; upper extremity, infant, minimum of 2 views Age 21+",,,115.23,115.23,4
CPT,73092,"Radiologic examination; upper extremity, infant, minimum of 2 views Age Under 21",,,117.32,117.32,4
CPT,73092,XR UP EXTREM INFANT2V BI,2407.14,2407.14,168.5,2407.14,144
CPT,73092,XR UP EXTREM INFANT2V LT,1205.16,1205.16,84.36,1205.16,144
CPT,73092,XR UP EXTREM INFANT2V RT,1205.16,1205.16,84.36,1205.16,144
CPT,73100,"Radiologic examination, wrist; 2 views ",,,33.58,357.55,55
CPT,73100,"Radiologic examination, wrist; 2 views Age 21+",,,37.5,37.5,4
CPT,73100,"Radiologic examination, wrist; 2 views Age Under 21",,,38.18,38.18,4
CPT,73100,XR WRIST 2 VIEWS BI,1433.42,1433.42,100.34,1433.42,144
CPT,73100,XR WRIST 2 VIEWS LT,715.12,715.12,50.06,715.12,144
CPT,73100,XR WRIST 2 VIEWS RT,715.12,715.12,50.06,715.12,144
CPT,73110,"Radiologic examination, wrist; complete, minimum of 3 views ",,,40.82,357.55,55
CPT,73110,"Radiologic examination, wrist; complete, minimum of 3 views Age 21+",,,45.58,45.58,4
CPT,73110,"Radiologic examination, wrist; complete, minimum of 3 views Age Under 21",,,46.41,46.41,4
CPT,73110,XR WRIST 3 + V BI,1958.58,1958.58,137.1,1958.58,144
CPT,73110,XR WRIST 3 + V LT,980.08,980.08,68.61,980.08,144
CPT,73110,XR WRIST 3 + V RT,980.08,980.08,68.61,980.08,144
CPT,73115,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,133.3,1710.69,55
CPT,73115,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation Age 21+",,,148.86,148.86,4
CPT,73115,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation Age Under 21",,,151.57,151.57,4
CPT,73115,XR ARTHROGRAM WRIST BI,3580.34,3580.34,250.62,3580.34,144
CPT,73115,XR ARTHROGRAM WRIST LT,1792.56,1792.56,125.48,1792.56,144
CPT,73115,XR ARTHROGRAM WRIST RT,1792.56,1792.56,125.48,1792.56,144
CPT,73120,"Radiologic examination, hand; 2 views ",,,31.26,502.12,55
CPT,73120,"Radiologic examination, hand; 2 views Age 21+",,,34.91,34.91,4
CPT,73120,"Radiologic examination, hand; 2 views Age Under 21",,,35.55,35.55,4
CPT,73120,XR HAND 2 V BI,1792.56,1792.56,125.48,1792.56,144
CPT,73120,XR HAND 2 V LT,897.09,897.09,62.8,897.09,144
CPT,73120,XR HAND 2 V RT,897.09,897.09,62.8,897.09,144
CPT,73130,"Radiologic examination, hand; minimum of 3 views ",,,36.87,357.55,55
CPT,73130,"Radiologic examination, hand; minimum of 3 views Age 21+",,,41.17,41.17,4
CPT,73130,"Radiologic examination, hand; minimum of 3 views Age Under 21",,,41.92,41.92,4
CPT,73130,XR HAND 3 + V BI,1996.89,1996.89,139.78,1996.89,144
CPT,73130,XR HAND 3 + V LT,999.23,999.23,69.95,999.23,144
CPT,73130,XR HAND 3 + V RT,999.23,999.23,69.95,999.23,144
CPT,73140,"Radiologic examination, finger(s), minimum of 2 views ",,,37.85,357.55,55
CPT,73140,"Radiologic examination, finger(s), minimum of 2 views Age 21+",,,42.27,42.27,4
CPT,73140,"Radiologic examination, finger(s), minimum of 2 views Age Under 21",,,43.04,43.04,4
CPT,73140,XR FINGER(S) 2 + V BI,1340.83,1340.83,93.86,1340.83,144
CPT,73140,XR FINGER(S) 2 + V LT,672.02,672.02,47.04,672.02,144
CPT,73140,XR FINGER(S) 2 + V RT,672.02,672.02,47.04,672.02,144
CPT,73200,CT UP EXTREM W/O CONT BI,7236.04,7236.04,506.52,7236.04,129
CPT,73200,CT UP EXTREM W/O CONT LT,3616.76,3616.76,253.17,3616.76,129
CPT,73200,CT UP EXTREM W/O CONT RT,3616.76,3616.76,253.17,3616.76,129
CPT,73200,"Computed tomography, upper extremity; without contrast material ",,,103.18,1013.0,38
CPT,73200,"Computed tomography, upper extremity; without contrast material Age 21+",,,115.23,115.23,4
CPT,73200,"Computed tomography, upper extremity; without contrast material Age Under 21",,,117.32,117.32,4
CPT,73201,CT UP EXTREM W/CONT BI,7940.69,7940.69,555.85,7940.69,129
CPT,73201,CT UP EXTREM W/CONT LT,3970.34,3970.34,277.92,3970.34,129
CPT,73201,CT UP EXTREM W/CONT RT,3970.34,3970.34,277.92,3970.34,129
CPT,73201,"Computed tomography, upper extremity; with contrast material(s) ",,,203.39,1630.5,38
CPT,73201,"Computed tomography, upper extremity; with contrast material(s) Age 21+",,,227.14,227.14,4
CPT,73201,"Computed tomography, upper extremity; with contrast material(s) Age Under 21",,,231.27,231.27,4
CPT,73202,CT UP EXTRM W&W/O CON BI,7154.04,7154.04,500.78,7154.04,129
CPT,73202,CT UP EXTRM W&W/O CON LT,3578.3,3578.3,250.48,3578.3,129
CPT,73202,CT UP EXTRM W&W/O CON RT,3578.3,3578.3,250.48,3578.3,129
CPT,73202,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,73202,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,73202,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,73206,CTA UPPER EXTREMITY,2126.75,2126.75,148.87,2126.75,86
CPT,73206,CTA UPPER EXTREMITY LT,2126.75,2126.75,148.87,2126.75,129
CPT,73206,CTA UPPER EXTREMITY RT,2126.75,2126.75,148.87,2126.75,129
CPT,73206,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,172.43,1013.0,38
CPT,73206,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",,,192.57,192.57,4
CPT,73206,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",,,196.07,196.07,4
CPT,73218,MRI UPPER EX W/O CONT LT,5259.41,5259.41,368.16,5259.41,43
CPT,73218,MRI UPPER EX W/O CONT RT,5259.41,5259.41,368.16,5259.41,43
CPT,73218,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,229.97,1321.0,50
CPT,73218,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) Age 21+",,,256.82,256.82,4
CPT,73218,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) Age Under 21",,,261.49,261.49,4
CPT,73219,MRI UPPER EX W/CONT LT,6858.82,6858.82,480.12,6858.82,43
CPT,73219,MRI UPPER EX W/CONT RT,6858.82,6858.82,480.12,6858.82,43
CPT,73219,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,336.68,1630.5,50
CPT,73219,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Age 21+",,,375.99,375.99,4
CPT,73219,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Age Under 21",,,382.83,382.83,4
CPT,73220,MRI UP EX W&WO CONT BI,14946.58,14946.58,1046.26,14946.58,43
CPT,73220,MRI UP EX W&WO CONT LT,7473.29,7473.29,523.13,7473.29,43
CPT,73220,MRI UP EX W&WO CONT RT,7473.29,7473.29,523.13,7473.29,43
CPT,73220,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,360.92,1630.5,50
CPT,73220,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",,,403.06,403.06,4
CPT,73220,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",,,410.39,410.39,4
CPT,73221,MRI UP JNT W/O CONT BI,11673.67,11673.67,817.16,11673.67,43
CPT,73221,MRI UP JNT W/O CONT LT,5835.56,5835.56,408.49,5835.56,43
CPT,73221,MRI UP JNT W/O CONT RT,5835.56,5835.56,408.49,5835.56,43
CPT,73221,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,206.02,1321.0,50
CPT,73221,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) Age 21+",,,230.08,230.08,4
CPT,73221,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) Age Under 21",,,234.26,234.26,4
CPT,73222,MRI UP JNT W/CONT LT,5840.67,5840.67,408.85,5840.67,43
CPT,73222,MRI UP JNT W/CONT RT,5840.67,5840.67,408.85,5840.67,43
CPT,73222,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,318.25,2907.1,50
CPT,73222,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Age 21+",,,355.41,355.41,4
CPT,73222,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Age Under 21",,,361.87,361.87,4
CPT,73223,MRI UP JNT W&WO CONT LT,7473.29,7473.29,523.13,7473.29,43
CPT,73223,MRI UP JNT W&WO CONT RT,7473.29,7473.29,523.13,7473.29,43
CPT,73223,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,360.92,1630.5,50
CPT,73223,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",,,403.06,403.06,4
CPT,73223,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",,,410.39,410.39,4
CPT,73225,MRA UP EXT W/WO CONT,3470.93,3470.93,242.97,3470.93,49
CPT,73225,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",3470.93,3470.93,387.79,1321.0,34
CPT,73501,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,32.58,357.55,55
CPT,73501,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view Age 21+",,,36.39,36.39,4
CPT,73501,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view Age Under 21",,,37.05,37.05,4
CPT,73501,XR HIP W PEL UNI 1 V LT,727.88,727.88,50.95,727.88,144
CPT,73501,XR HIP W PEL UNI 1 V RT,727.88,727.88,50.95,727.88,144
CPT,73502,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,47.06,357.55,55
CPT,73502,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views Age 21+",,,52.56,52.56,4
CPT,73502,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views Age Under 21",,,53.51,53.51,4
CPT,73502,XR HIP W PEL UN 2-3 V LT,1053.51,1053.51,73.75,1053.51,144
CPT,73502,XR HIP W PEL UN 2-3 V RT,1053.51,1053.51,73.75,1053.51,144
CPT,73503,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,59.24,502.12,55
CPT,73503,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views Age 21+",,,66.15,66.15,4
CPT,73503,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views Age Under 21",,,67.36,67.36,4
CPT,73503,XR HIP W PEL UN M4 VW LT,1170.04,1170.04,81.9,1170.04,144
CPT,73503,XR HIP W PEL UN M4 VW RT,1170.04,1170.04,81.9,1170.04,144
CPT,73521,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,40.82,502.12,55
CPT,73521,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views Age 21+",,,45.58,45.58,4
CPT,73521,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views Age Under 21",,,46.41,46.41,4
CPT,73521,XR HIP W PEL BI 2 VIEW,727.88,727.88,50.95,727.88,144
CPT,73522,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,53.32,502.12,55
CPT,73522,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views Age 21+",,,59.54,59.54,4
CPT,73522,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views Age Under 21",,,60.63,60.63,4
CPT,73522,XR HIP W PEL BI 3-4 VIEW,1053.51,1053.51,73.75,1053.51,144
CPT,73523,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,58.76,257.02,55
CPT,73523,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views Age 21+",,,68.37,68.37,4
CPT,73523,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views Age Under 21",,,69.61,69.61,4
CPT,73523,XR HIP W PEL BI MIN5 VW,1170.04,1170.04,81.9,1170.04,144
CPT,73525,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,127.37,1710.69,55
CPT,73525,"Radiologic examination, hip, arthrography, radiological supervision and interpretation Age 21+",,,142.24,142.24,4
CPT,73525,"Radiologic examination, hip, arthrography, radiological supervision and interpretation Age Under 21",,,144.83,144.83,4
CPT,73525,XR ARTHROGRAM HIP BI,2455.01,2455.01,171.85,2455.01,144
CPT,73525,XR ARTHROGRAM HIP LT,1227.5,1227.5,85.92,1227.5,144
CPT,73525,XR ARTHROGRAM HIP RT,1227.5,1227.5,85.92,1227.5,144
CPT,73551,"Radiologic examination, femur; 1 view ",,,28.96,357.55,55
CPT,73551,"Radiologic examination, femur; 1 view Age 21+",,,32.34,32.34,4
CPT,73551,"Radiologic examination, femur; 1 view Age Under 21",,,32.93,32.93,4
CPT,73551,XR FEMUR 1 VIEW BI,437.38,437.38,30.62,437.38,144
CPT,73551,XR FEMUR 1 VIEW LT,437.38,437.38,30.62,437.38,144
CPT,73551,XR FEMUR 1 VIEW RT,437.38,437.38,30.62,437.38,144
CPT,73552,"Radiologic examination, femur; minimum 2 views ",,,35.21,357.55,55
CPT,73552,"Radiologic examination, femur; minimum 2 views Age 21+",,,39.33,39.33,4
CPT,73552,"Radiologic examination, femur; minimum 2 views Age Under 21",,,40.04,40.04,4
CPT,73552,XR FEMUR MIN 2 V BI,1018.4,1018.4,71.29,1018.4,144
CPT,73552,XR FEMUR MIN 2 V LT,1018.4,1018.4,71.29,1018.4,144
CPT,73552,XR FEMUR MIN 2 V RT,1018.4,1018.4,71.29,1018.4,144
CPT,73560,"Radiologic examination, knee; 1 or 2 views ",,,33.89,357.55,55
CPT,73560,"Radiologic examination, knee; 1 or 2 views Age 21+",,,37.85,37.85,4
CPT,73560,"Radiologic examination, knee; 1 or 2 views Age Under 21",,,38.54,38.54,4
CPT,73560,XR KNEE 1 OR 2 V BI,1668.07,1668.07,116.76,1668.07,144
CPT,73560,XR KNEE 1 OR 2 V LT,836.42,836.42,58.55,836.42,144
CPT,73560,XR KNEE 1 OR 2 V RT,836.42,836.42,58.55,836.42,144
CPT,73562,"Radiologic examination, knee; 3 views ",,,40.48,357.55,55
CPT,73562,"Radiologic examination, knee; 3 views Age 21+",,,45.21,45.21,4
CPT,73562,"Radiologic examination, knee; 3 views Age Under 21",,,46.03,46.03,4
CPT,73562,XR KNEE 3 V BI,1958.58,1958.58,137.1,1958.58,96
CPT,73562,XR KNEE 3 V LT,980.08,980.08,68.61,980.08,144
CPT,73562,XR KNEE 3 V RT,980.08,980.08,68.61,980.08,144
CPT,73564,"Radiologic examination, knee; complete, 4 or more views ",,,46.74,502.12,55
CPT,73564,"Radiologic examination, knee; complete, 4 or more views Age 21+",,,52.2,52.2,4
CPT,73564,"Radiologic examination, knee; complete, 4 or more views Age Under 21",,,53.14,53.14,4
CPT,73564,XR KNEE 4 + V,1958.58,1958.58,137.1,1958.58,48
CPT,73564,XR KNEE 4 + V BI,2423.09,2423.09,169.62,2423.09,144
CPT,73564,XR KNEE 4 + V LT,1213.13,1213.13,84.92,1213.13,144
CPT,73564,XR KNEE 4 + V RT,1213.13,1213.13,84.92,1213.13,144
CPT,73565,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,39.5,357.55,55
CPT,73565,"Radiologic examination, knee; both knees, standing, anteroposterior Age 21+",,,44.11,44.11,4
CPT,73565,"Radiologic examination, knee; both knees, standing, anteroposterior Age Under 21",,,44.91,44.91,4
CPT,73565,XR KNEE AP STAND BI,1123.75,1123.75,78.66,1123.75,144
CPT,73580,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,109.28,1710.69,55
CPT,73580,"Radiologic examination, knee, arthrography, radiological supervision and interpretation Age 21+",,,122.03,122.03,4
CPT,73580,"Radiologic examination, knee, arthrography, radiological supervision and interpretation Age Under 21",,,124.25,124.25,4
CPT,73580,XR ARTHROGRAM KNEE BI,1998.48,1998.48,139.89,1998.48,144
CPT,73580,XR ARTHROGRAM KNEE LT,999.23,999.23,69.95,999.23,144
CPT,73580,XR ARTHROGRAM KNEE RT,999.23,999.23,69.95,999.23,144
CPT,73590,"Radiologic examination; tibia and fibula, 2 views ",,,31.26,357.55,55
CPT,73590,"Radiologic examination; tibia and fibula, 2 views Age 21+",,,34.91,34.91,4
CPT,73590,"Radiologic examination; tibia and fibula, 2 views Age Under 21",,,35.55,35.55,4
CPT,73590,XR TIBIA/FIBULA 2 V BI,1923.46,1923.46,134.64,1923.46,144
CPT,73590,XR TIBIA/FIBULA 2 V LT,964.13,964.13,67.49,964.13,144
CPT,73590,XR TIBIA/FIBULA 2 V RT,964.13,964.13,67.49,964.13,144
CPT,73592,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,55.44,357.55,55
CPT,73592,"Radiologic examination; lower extremity, infant, minimum of 2 views Age 21+",,,95.24,95.24,4
CPT,73592,"Radiologic examination; lower extremity, infant, minimum of 2 views Age Under 21",,,96.97,96.97,4
CPT,73592,XR TIB/FIB INFANT 2V BI,1655.3,1655.3,115.87,1655.3,144
CPT,73592,XR TIB/FIB INFNT 2V LT,826.84,826.84,57.88,826.84,144
CPT,73592,XR TIB/FIB INFNT 2V RT,826.84,826.84,57.88,826.84,144
CPT,73600,"Radiologic examination, ankle; 2 views ",,,31.92,357.55,55
CPT,73600,"Radiologic examination, ankle; 2 views Age 21+",,,35.65,35.65,4
CPT,73600,"Radiologic examination, ankle; 2 views Age Under 21",,,36.3,36.3,4
CPT,73600,XR ANKLE 2 VIEWS BI,1671.25,1671.25,116.99,1671.25,144
CPT,73600,XR ANKLE 2 VIEWS LT,836.42,836.42,58.55,836.42,144
CPT,73600,XR ANKLE 2 VIEWS RT,836.42,836.42,58.55,836.42,144
CPT,73610,"Radiologic examination, ankle; complete, minimum of 3 views ",,,36.2,357.55,55
CPT,73610,"Radiologic examination, ankle; complete, minimum of 3 views Age 21+",,,40.43,40.43,4
CPT,73610,"Radiologic examination, ankle; complete, minimum of 3 views Age Under 21",,,41.16,41.16,4
CPT,73610,XR ANKLE 3 + V BI,1926.66,1926.66,134.87,1926.66,144
CPT,73610,XR ANKLE 3 + V LT,964.13,964.13,67.49,964.13,144
CPT,73610,XR ANKLE 3 + V RT,964.13,964.13,67.49,964.13,144
CPT,73615,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,126.39,1710.69,55
CPT,73615,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation Age 21+",,,141.14,141.14,4
CPT,73615,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation Age Under 21",,,143.71,143.71,4
CPT,73615,XR ARTHROGRAM ANKLE BI,4809.45,4809.45,336.66,4809.45,144
CPT,73615,XR ARTHROGRAM ANKLE LT,2405.53,2405.53,168.39,2405.53,144
CPT,73615,XR ARTHROGRAM ANKLE RT,2405.53,2405.53,168.39,2405.53,144
CPT,73620,"Radiologic examination, foot; 2 views ",,,28.31,357.55,55
CPT,73620,"Radiologic examination, foot; 2 views Age 21+",,,31.61,31.61,4
CPT,73620,"Radiologic examination, foot; 2 views Age Under 21",,,32.19,32.19,4
CPT,73620,XR FOOT 2 VIEWS BI,1897.92,1897.92,132.85,1897.92,144
CPT,73620,XR FOOT 2 VIEWS LT,951.34,951.34,66.59,951.34,144
CPT,73620,XR FOOT 2 VIEWS RT,951.34,951.34,66.59,951.34,144
CPT,73630,"Radiologic examination, foot; complete, minimum of 3 views ",,,33.89,357.55,55
CPT,73630,"Radiologic examination, foot; complete, minimum of 3 views Age 21+",,,37.85,37.85,4
CPT,73630,"Radiologic examination, foot; complete, minimum of 3 views Age Under 21",,,38.54,38.54,4
CPT,73630,XR FOOT 3 + V BI,1926.66,1926.66,134.87,1926.66,144
CPT,73630,XR FOOT 3 + V LT,964.13,964.13,67.49,964.13,144
CPT,73630,XR FOOT 3 + V RT,964.13,964.13,67.49,964.13,144
CPT,73650,"Radiologic examination; calcaneus, minimum of 2 views ",,,28.31,357.55,55
CPT,73650,"Radiologic examination; calcaneus, minimum of 2 views Age 21+",,,31.61,31.61,4
CPT,73650,"Radiologic examination; calcaneus, minimum of 2 views Age Under 21",,,32.19,32.19,4
CPT,73650,XR CALCANEUS 2 + V BI,1565.91,1565.91,109.61,1565.91,144
CPT,73650,XR CALCANEUS 2 + V LT,785.33,785.33,54.97,785.33,144
CPT,73650,XR CALCANEUS 2 + V RT,785.33,785.33,54.97,785.33,144
CPT,73660,"Radiologic examination; toe(s), minimum of 2 views ",,,28.96,357.55,55
CPT,73660,"Radiologic examination; toe(s), minimum of 2 views Age 21+",,,32.34,32.34,4
CPT,73660,"Radiologic examination; toe(s), minimum of 2 views Age Under 21",,,32.93,32.93,4
CPT,73660,XR TOE(S) 2 + V BI,1511.64,1511.64,105.81,1511.64,144
CPT,73660,XR TOE(S) 2 + V LT,756.62,756.62,52.96,756.62,144
CPT,73660,XR TOE(S) 2 + V RT,756.62,756.62,52.96,756.62,144
CPT,73700,CT LOWER EXTRM W/O C LT,3596.24,3596.24,251.74,3596.24,129
CPT,73700,CT LOWER EXTRM W/O C RT,3596.24,3596.24,251.74,3596.24,129
CPT,73700,"Computed tomography, lower extremity; without contrast material ",,,103.18,1013.0,38
CPT,73700,"Computed tomography, lower extremity; without contrast material Age 21+",,,115.23,115.23,4
CPT,73700,"Computed tomography, lower extremity; without contrast material Age Under 21",,,117.32,117.32,4
CPT,73701,CT LOWER EXTRM W/CON LT,3938.32,3938.32,275.68,3938.32,129
CPT,73701,CT LOWER EXTRM W/CON RT,3938.32,3938.32,275.68,3938.32,129
CPT,73701,"Computed tomography, lower extremity; with contrast material(s) ",,,168.84,1013.0,38
CPT,73701,"Computed tomography, lower extremity; with contrast material(s) Age 21+",,,188.55,188.55,4
CPT,73701,"Computed tomography, lower extremity; with contrast material(s) Age Under 21",,,191.98,191.98,4
CPT,73702,CT LW EXTRM W&W/O CON LT,4832.58,4832.58,338.28,4832.58,129
CPT,73702,CT LW EXTRM W&W/O CON RT,4832.58,4832.58,338.28,4832.58,129
CPT,73702,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,73702,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,73702,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,73706,CTA LOW EXTREMITY BI,3041.48,3041.48,212.9,3041.48,86
CPT,73706,CTA LOW EXTREMITY LT,2026.82,2026.82,141.88,2026.82,86
CPT,73706,CTA LOW EXTREMITY RT,2026.82,2026.82,141.88,2026.82,129
CPT,73706,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,172.43,778.08,38
CPT,73706,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",,,192.57,192.57,4
CPT,73706,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",,,196.07,196.07,4
CPT,73718,MRI LOW EXT W/O CONT BI,5413.98,5413.98,378.98,5413.98,43
CPT,73718,MRI LOW EXT W/O CONT LT,5413.98,5413.98,378.98,5413.98,43
CPT,73718,MRI LOW EXT W/O CONT RT,5413.98,5413.98,378.98,5413.98,43
CPT,73718,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,226.76,1321.0,50
CPT,73718,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) Age 21+",,,253.23,253.23,4
CPT,73718,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) Age Under 21",,,257.84,257.84,4
CPT,73719,MRI LOW EXT W/CONT BI,5947.97,5947.97,416.36,5947.97,43
CPT,73719,MRI LOW EXT W/CONT LT,5947.97,5947.97,416.36,5947.97,43
CPT,73719,MRI LOW EXT W/CONT RT,5947.97,5947.97,416.36,5947.97,43
CPT,73719,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,267.24,1630.5,50
CPT,73719,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) Age 21+",,,298.44,298.44,4
CPT,73719,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) Age Under 21",,,303.87,303.87,4
CPT,73720,MRI LOW EXT W&WO CONT BI,7266.35,7266.35,508.64,7266.35,43
CPT,73720,MRI LOW EXT W&WO CONT LT,7266.35,7266.35,508.64,7266.35,43
CPT,73720,MRI LOW EXT W&WO CONT RT,7266.35,7266.35,508.64,7266.35,43
CPT,73720,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,342.29,1630.5,50
CPT,73720,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",,,382.25,382.25,4
CPT,73720,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",,,389.2,389.2,4
CPT,73721,MRI LW JNT W/O CONT BI,10867.57,10867.57,760.73,10867.57,43
CPT,73721,MRI LW JNT W/O CONT LT,5433.14,5433.14,380.32,5433.14,43
CPT,73721,MRI LW JNT W/O CONT RT,5433.14,5433.14,380.32,5433.14,43
CPT,73721,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,205.71,1321.0,50
CPT,73721,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Age 21+",,,229.72,229.72,4
CPT,73721,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Age Under 21",,,233.9,233.9,4
CPT,73722,MRI LW JNT W/CONTRAST LT,6016.95,6016.95,421.19,6016.95,43
CPT,73722,MRI LW JNT W/CONTRAST RT,6016.95,6016.95,421.19,6016.95,43
CPT,73722,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,318.59,2907.1,50
CPT,73722,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) Age 21+",,,355.78,355.78,4
CPT,73722,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) Age Under 21",,,362.25,362.25,4
CPT,73723,MRI LW JNT W&WO CONT LT,7473.29,7473.29,523.13,7473.29,43
CPT,73723,MRI LW JNT W&WO CONT RT,7473.29,7473.29,523.13,7473.29,43
CPT,73723,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,360.92,1630.5,50
CPT,73723,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences Age 21+",,,403.06,403.06,4
CPT,73723,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21",,,410.39,410.39,4
CPT,73725,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,245.4,1321.0,36
CPT,74018,ABD XR 1V,772.58,772.58,54.08,772.58,144
CPT,74018,"Radiologic examination, abdomen; 1 view ",,,29.94,357.55,55
CPT,74018,"Radiologic examination, abdomen; 1 view Age 21+",,,33.44,33.44,4
CPT,74018,"Radiologic examination, abdomen; 1 view Age Under 21",,,34.05,34.05,4
CPT,74019,ABD XR 2V,1275.38,1275.38,89.28,1275.38,144
CPT,74019,"Radiologic examination, abdomen; 2 views ",,,36.2,502.12,55
CPT,74019,"Radiologic examination, abdomen; 2 views Age 21+",,,40.43,40.43,4
CPT,74019,"Radiologic examination, abdomen; 2 views Age Under 21",,,41.16,41.16,4
CPT,74021,ABD XR 3+V,1363.19,1363.19,95.42,1363.19,96
CPT,74021,"Radiologic examination, abdomen; 3 or more views ",,,42.45,502.12,55
CPT,74021,"Radiologic examination, abdomen; 3 or more views Age 21+",,,47.41,47.41,4
CPT,74021,"Radiologic examination, abdomen; 3 or more views Age Under 21",,,48.27,48.27,4
CPT,74022,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,49.38,502.12,55
CPT,74022,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest Age 21+",,,55.14,55.14,4
CPT,74022,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest Age Under 21",,,56.15,56.15,4
CPT,74150,CT ABDOMEN W/O CONT,4888.94,4888.94,342.23,4888.94,129
CPT,74150,"Computed tomography, abdomen; without contrast material ",,,103.18,1013.0,38
CPT,74150,"Computed tomography, abdomen; without contrast material Age 21+",,,115.23,115.23,4
CPT,74150,"Computed tomography, abdomen; without contrast material Age Under 21",,,117.32,117.32,4
CPT,74160,CT ABDOMEN W/CONT,5356.56,5356.56,374.96,5356.56,129
CPT,74160,"Computed tomography, abdomen; with contrast material(s) ",,,172.43,1013.0,38
CPT,74160,"Computed tomography, abdomen; with contrast material(s) Age 21+",,,192.57,192.57,4
CPT,74160,"Computed tomography, abdomen; with contrast material(s) Age Under 21",,,196.07,196.07,4
CPT,74170,CT ABDOMEN W&WO CONT,6421.22,6421.22,449.49,6421.22,129
CPT,74170,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,172.43,1013.0,38
CPT,74170,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections Age 21+",,,192.57,192.57,4
CPT,74170,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections Age Under 21",,,196.07,196.07,4
CPT,74174,CTA ABD&PEL W CONT,3656.46,3656.46,255.95,3656.46,129
CPT,74174,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,1240.35,37
CPT,74174,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",,,403.06,403.06,4
CPT,74174,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",,,410.39,410.39,4
CPT,74175,CTA ABDOMEN,5849.82,5849.82,409.49,5849.82,129
CPT,74175,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,172.43,1013.0,38
CPT,74175,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+",,,192.57,192.57,4
CPT,74175,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21",,,196.07,196.07,4
CPT,74176,CT ABD&PELVIS W/O CONT,9136.03,9136.03,639.52,9136.03,129
CPT,74176,"Computed tomography, abdomen and pelvis; without contrast material ",,,185.29,1013.0,37
CPT,74176,"Computed tomography, abdomen and pelvis; without contrast material Age 21+",,,206.92,206.92,4
CPT,74176,"Computed tomography, abdomen and pelvis; without contrast material Age Under 21",,,210.68,210.68,4
CPT,74177,CT ABD&PELVIS W/CONT,10324.95,10324.95,722.75,10324.95,129
CPT,74177,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,307.4,1630.5,37
CPT,74177,"Computed tomography, abdomen and pelvis; with contrast material(s) Age 21+",,,343.29,343.29,4
CPT,74177,"Computed tomography, abdomen and pelvis; with contrast material(s) Age Under 21",,,349.53,349.53,4
CPT,74178,CT ABD&PELVIS W&WO CONT,12691.28,12691.28,888.39,12691.28,129
CPT,74178,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,1630.5,37
CPT,74178,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions Age 21+",,,385.2,385.2,4
CPT,74178,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions Age Under 21",,,392.2,392.2,4
CPT,74181,MRI ABDOMEN W/O CONT,6541.99,6541.99,457.94,6541.99,43
CPT,74181,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",6541.99,6541.99,198.78,1321.0,50
CPT,74181,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age 21+",6541.99,6541.99,221.99,221.99,4
CPT,74181,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age Under 21",6541.99,6541.99,226.03,226.03,4
CPT,74182,MRI ABDOMEN W/CONT,7224.18,7224.18,505.69,7224.18,43
CPT,74182,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",7224.18,7224.18,307.07,1630.5,50
CPT,74182,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) Age 21+",7224.18,7224.18,342.93,342.93,4
CPT,74182,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) Age Under 21",7224.18,7224.18,349.16,349.16,4
CPT,74183,MRI ABDOMEN W&WO CONT,8373.93,8373.93,586.18,8373.93,43
CPT,74183,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",8373.93,8373.93,343.27,1630.5,50
CPT,74183,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences Age 21+",8373.93,8373.93,383.35,383.35,4
CPT,74183,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences Age Under 21",8373.93,8373.93,390.32,390.32,4
CPT,74185,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,244.42,1321.91,36
CPT,74190,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",2470.98,2470.98,79.82,2157.48,55
CPT,74190,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation Age 21+",2470.98,2470.98,89.14,89.14,4
CPT,74190,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation Age Under 21",2470.98,2470.98,90.76,90.76,4
CPT,74190,XR PERITONEOGRAM,2470.98,2470.98,172.97,2470.98,48
CPT,74210,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,93.47,816.35,55
CPT,74210,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study Age 21+",,,104.38,104.38,4
CPT,74210,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study Age Under 21",,,106.28,106.28,4
CPT,74220,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,96.1,816.35,55
CPT,74220,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age 21+",,,107.32,107.32,4
CPT,74220,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age Under 21",,,109.27,109.27,4
CPT,74220,XR ESOPHAGUS,1573.89,1573.89,110.17,1573.89,144
CPT,74221,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,108.28,816.35,55
CPT,74221,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study Age 21+",,,120.92,120.92,4
CPT,74221,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study Age Under 21",,,123.12,123.12,4
CPT,74221,XR ESOPH DOUBL CONT,1307.31,1307.31,91.51,1307.31,144
CPT,74230,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,123.09,816.35,55
CPT,74230,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study Age 21+",,,137.46,137.46,4
CPT,74230,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study Age Under 21",,,139.96,139.96,4
CPT,74230,XR SWLW FUNC W/C&V,2261.87,2261.87,158.33,2261.87,144
CPT,74235,"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation ",,,83.94,300.29,10
CPT,74235,XR ESOPH FB REMOVAL,4140.64,4140.64,289.84,4140.64,120
CPT,74240,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,121.12,816.35,55
CPT,74240,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age 21+",,,135.26,135.26,4
CPT,74240,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age Under 21",,,137.72,137.72,4
CPT,74240,XR UGI SNGL CONTRAST,2121.39,2121.39,148.5,2121.39,144
CPT,74246,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,137.25,816.35,63
CPT,74246,XR UGI DBL CONTRAST,2304.97,2304.97,161.35,2304.97,144
CPT,74248,"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination) ",,,65.66,214.73,25
CPT,74248,"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination) Age 21+",,,90.78,90.78,4
CPT,74248,"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination) Age Under 21",,,92.43,92.43,4
CPT,74248,XRAY SM INTEST W MLT IMG,3288.23,3288.23,230.18,3288.23,180
CPT,74250,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,120.13,816.35,55
CPT,74250,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study Age 21+",,,134.16,134.16,4
CPT,74250,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study Age Under 21",,,136.6,136.6,4
CPT,74250,XR SMALL INTESTINE,2068.71,2068.71,144.81,2068.71,144
CPT,74251,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,1746.47,63
CPT,74251,XR SMALL BOWEL/ENTERO,5845.4,5845.4,409.18,5845.4,144
CPT,74261,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,103.18,1013.0,37
CPT,74261,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material Age 21+",,,115.23,115.23,4
CPT,74261,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material Age Under 21",,,117.32,117.32,4
CPT,74262,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,172.43,1013.0,37
CPT,74262,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed Age 21+",,,192.57,192.57,4
CPT,74262,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed Age Under 21",,,196.07,196.07,4
CPT,74263,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,801.0,2782.29,22
CPT,74270,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,151.39,816.35,55
CPT,74270,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age 21+",,,169.07,169.07,4
CPT,74270,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age Under 21",,,172.14,172.14,4
CPT,74270,XR CONT ENEMA W/WO KUB,2282.61,2282.61,159.78,2282.61,144
CPT,74280,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,172.43,902.83,63
CPT,74280,XR ENEMA W/ AIR,1297.74,1297.74,90.84,1297.74,96
CPT,74283,THER ENEMA W/CONT OR AIR,1578.68,1578.68,110.51,1578.68,144
CPT,74283,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,172.43,864.85,55
CPT,74283,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) Age 21+",,,192.57,192.57,4
CPT,74283,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) Age Under 21",,,196.07,196.07,4
CPT,74290,"Cholecystography, oral contrast ",,,83.92,816.35,55
CPT,74290,"Cholecystography, oral contrast Age 21+",,,93.72,93.72,4
CPT,74290,"Cholecystography, oral contrast Age Under 21",,,95.42,95.42,4
CPT,74290,XR CHOLECYST ORAL,1559.52,1559.52,109.17,1559.52,144
CPT,74300,"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation ",,,25.67,83.96,10
CPT,74300,XR CHOLANG INTRAOP,2234.72,2234.72,156.43,2234.72,120
CPT,74301,"Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure) ",,,14.81,53.49,10
CPT,74301,XR CHOLANG INTRAOP ADL,1154.08,1154.08,80.79,1154.08,120
CPT,74328,"Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation ",,,49.87,163.07,10
CPT,74328,XR ERCP BILIARY ONLY,2451.81,2451.81,171.63,2451.81,180
CPT,74329,"Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation ",,,49.87,163.07,10
CPT,74329,XR ERCP PANCREAS ONLY,2440.64,2440.64,170.84,2440.64,120
CPT,74330,"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation ",,,63.69,220.81,10
CPT,74330,XR ERCP,2954.63,2954.63,206.82,2954.63,120
CPT,74340,"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation ",,,38.02,220.81,10
CPT,74340,XR INTRO LONG GI TUBE,1224.32,1224.32,85.7,1224.32,240
CPT,74355,"Percutaneous placement of enteroclysis tube, radiological supervision and interpretation ",1800.55,1800.55,53.32,279.19,10
CPT,74355,XR PLACE ENTERO TUBE,1800.55,1800.55,126.04,1800.55,60
CPT,74360,"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation ",1712.76,1712.76,39.5,241.9,10
CPT,74360,XR DILAT INTRALUM,1712.76,1712.76,119.89,1712.76,60
CPT,74363,"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation ",,,60.24,218.32,10
CPT,74363,XR DIL BILE DUCT W/WO ST,4064.81,4064.81,230.29,4839.78,180
CPT,74400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,131.33,619.9,55
CPT,74400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography Age 21+",,,148.86,148.86,4
CPT,74400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography Age Under 21",,,151.57,151.57,4
CPT,74400,XR IVP W OR W/O TOMO,2282.61,2282.61,159.78,2282.61,144
CPT,74410,"Urography, infusion, drip technique and/or bolus technique; ",,,134.3,650.92,55
CPT,74410,"Urography, infusion, drip technique and/or bolus technique; Age 21+",,,156.2,156.2,4
CPT,74410,"Urography, infusion, drip technique and/or bolus technique; Age Under 21",,,159.04,159.04,4
CPT,74410,XR IVP INFUSION,4284.29,4284.29,299.9,4284.29,144
CPT,74415,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,149.09,725.76,55
CPT,74415,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography Age 21+",,,166.5,166.5,4
CPT,74415,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography Age Under 21",,,169.52,169.52,4
CPT,74415,XR IVP W/NEPHROTOMO,2426.28,2426.28,169.84,2426.28,144
CPT,74420,"Urography, retrograde, with or without KUB ",,,63.69,828.27,55
CPT,74420,"Urography, retrograde, with or without KUB Age 21+",,,86.01,86.01,4
CPT,74420,"Urography, retrograde, with or without KUB Age Under 21",,,87.57,87.57,4
CPT,74420,XR UROGRAM RETRO,2946.66,2946.66,206.27,2946.66,144
CPT,74425,"Urography, antegrade, radiological supervision and interpretation ",,,133.95,1710.69,55
CPT,74425,"Urography, antegrade, radiological supervision and interpretation Age 21+",,,149.59,149.59,4
CPT,74425,"Urography, antegrade, radiological supervision and interpretation Age Under 21",,,152.31,152.31,4
CPT,74425,XR UROGRAM ANTEGRADE,844.415,844.415,59.0,846.01,144
CPT,74430,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,40.82,1710.69,55
CPT,74430,"Cystography, minimum of 3 views, radiological supervision and interpretation Age 21+",,,45.58,45.58,4
CPT,74430,"Cystography, minimum of 3 views, radiological supervision and interpretation Age Under 21",,,46.41,46.41,4
CPT,74430,XR CYSTOGRAM 3 + V,1795.77,1795.77,125.7,1795.77,192
CPT,74440,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",1452.56,1452.56,96.1,1044.02,55
CPT,74440,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation Age 21+",1452.56,1452.56,107.32,107.32,4
CPT,74440,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation Age Under 21",1452.56,1452.56,109.27,109.27,4
CPT,74440,XR VAS/VES/EPID,1452.56,1452.56,101.68,1452.56,48
CPT,74445,"Corpora cavernosography, radiological supervision and interpretation ",,,103.18,502.12,55
CPT,74445,"Corpora cavernosography, radiological supervision and interpretation Age 21+",,,115.23,115.23,4
CPT,74445,"Corpora cavernosography, radiological supervision and interpretation Age Under 21",,,117.32,117.32,4
CPT,74450,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,80.16,1044.02,55
CPT,74450,"Urethrocystography, retrograde, radiological supervision and interpretation Age 21+",,,89.52,89.52,4
CPT,74450,"Urethrocystography, retrograde, radiological supervision and interpretation Age Under 21",,,91.15,91.15,4
CPT,74450,XR CYSTOURETHRO RETRO,1861.195,1861.195,128.05,1893.12,192
CPT,74455,"Urethrocystography, voiding, radiological supervision and interpretation ",,,102.69,1044.02,55
CPT,74455,"Urethrocystography, voiding, radiological supervision and interpretation Age 21+",,,114.68,114.68,4
CPT,74455,"Urethrocystography, voiding, radiological supervision and interpretation Age Under 21",,,116.76,116.76,4
CPT,74455,XR CYSTOURETHRO VDNG,2071.91,2071.91,145.03,2071.91,192
CPT,74470,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",2057.53,2057.53,80.13,2157.48,55
CPT,74470,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation Age 21+",2057.53,2057.53,89.48,89.48,4
CPT,74470,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation Age Under 21",2057.53,2057.53,91.11,91.11,4
CPT,74470,XR RENAL CYST STUDY,2057.53,2057.53,144.03,2057.53,48
CPT,74485,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",8637.23,8637.23,117.84,7936.54,55
CPT,74485,"Dilation of ureter(s) or urethra, radiological supervision and interpretation Age 21+",8637.23,8637.23,131.59,131.59,4
CPT,74485,"Dilation of ureter(s) or urethra, radiological supervision and interpretation Age Under 21",8637.23,8637.23,133.99,133.99,4
CPT,74485,XR DILAT URET OR URETHRA,8637.23,8637.23,604.61,8637.23,48
CPT,74712,MRI FETAL SNGL 1ST GEST,1262.14,1262.14,88.35,1262.14,43
CPT,74712,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",1262.14,1262.14,229.97,1321.0,49
CPT,74712,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation Age 21+",1262.14,1262.14,256.82,256.82,4
CPT,74712,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation Age Under 21",1262.14,1262.14,261.49,261.49,4
CPT,74713,MRI FETAL EACH ADD GEST,316.83,316.83,22.18,316.83,49
CPT,74713,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure) ",316.83,316.83,179.36,1321.0,25
CPT,74713,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure) Ag",316.83,316.83,224.94,229.03,8
CPT,74740,"Hysterosalpingography, radiological supervision and interpretation ",,,65.83,1044.02,55
CPT,74740,"Hysterosalpingography, radiological supervision and interpretation Age 21+",,,73.51,73.51,4
CPT,74740,"Hysterosalpingography, radiological supervision and interpretation Age Under 21",,,74.85,74.85,4
CPT,74740,XR HYSTROSALPNGOGRAM,1798.97,1798.97,125.93,1798.97,144
CPT,74742,"Transcervical catheterization of fallopian tube, radiological supervision and interpretation ",1902.71,1902.71,43.44,155.04,10
CPT,74742,XR FALLOPIAN TUBE CATH,1902.71,1902.71,133.19,1902.71,60
CPT,74775,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,1033.31,55
CPT,74775,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) Age 21+",,,256.82,256.82,4
CPT,74775,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) Age Under 21",,,261.49,261.49,4
CPT,74775,XR PERINEOGRAM,1556.33,1556.33,108.94,1556.33,144
CPT,75552,HEART MRI FOR MORPH W/O DYE ,,,450.0,450.0,1
CPT,75553,HEART MRI FOR MORPH W/DYE ,,,450.0,450.0,1
CPT,75554,CARDIAC MRI/FUNCTION ,,,450.0,450.0,1
CPT,75555,CARDIAC MRI/LIMITED STUDY ,,,450.0,450.0,1
CPT,75556,CARDIAC MRI/FLOW MAPPING ,,,450.0,450.0,1
CPT,75557,CAR MRI MORPH FUNC WO CM,3634.45,3634.45,254.41,3634.45,43
CPT,75557,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,3634.45,3634.45,229.97,1321.0,49
CPT,75557,Cardiac magnetic resonance imaging for morphology and function without contrast material; Age 21+,3634.45,3634.45,256.82,256.82,4
CPT,75557,Cardiac magnetic resonance imaging for morphology and function without contrast material; Age Under 21,3634.45,3634.45,261.49,261.49,4
CPT,75559,CAR MRI MRP FN WO CM STR,5287.51,5287.51,370.13,5287.51,43
CPT,75559,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,5287.51,5287.51,313.62,2157.48,49
CPT,75559,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging Age 21+,5287.51,5287.51,424.15,424.15,4
CPT,75559,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging Age Under 21,5287.51,5287.51,431.86,431.86,4
CPT,75561,CAR MRI MRP FN WO/W CM,7224.18,7224.18,505.69,7224.18,43
CPT,75561,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",7224.18,7224.18,360.92,1710.69,49
CPT,75561,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; Age 21+",7224.18,7224.18,403.06,403.06,4
CPT,75561,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; Age Under 21",7224.18,7224.18,410.39,410.39,4
CPT,75563,CAR MRI MR FN WO/W CM ST,6077.0,6077.0,425.39,6077.0,43
CPT,75563,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",6077.0,6077.0,430.16,3050.07,49
CPT,75563,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging Age 21+",6077.0,6077.0,480.38,480.38,4
CPT,75563,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging Age Under 21",6077.0,6077.0,489.12,489.12,4
CPT,75565,CAR MRI VELOCITY FLW MAP,884.03,884.03,61.88,884.03,49
CPT,75565,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,884.03,884.03,57.28,1321.0,10
CPT,75571,CT HEART WO CN W QUAN CA,285.71,285.71,20.0,285.71,86
CPT,75571,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,1013.0,37
CPT,75571,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium Age 21+",,,95.24,95.24,4
CPT,75571,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium Age Under 21",,,96.97,96.97,4
CPT,75572,CTHEART W CN STR MOR FNC,1693.7,1693.7,118.56,1693.7,129
CPT,75572,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,172.43,1013.0,45
CPT,75573,CTHEART CONGENITL DISEAS,1693.7,1693.7,118.56,1693.7,86
CPT,75573,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,172.43,1013.0,45
CPT,75574,CT HEART W CN ART/GRAFTS,1314.48,1314.48,92.01,1314.48,129
CPT,75574,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,172.43,1013.0,45
CPT,75577,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,4258.24,30
CPT,75580,NINVS CFFR SW ANLYS CTA,3986.24,3986.24,279.04,3986.24,94
CPT,75580,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1344.84,4462.89,18
CPT,75600,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,180.04,12415.33,55
CPT,75600,"Aortography, thoracic, without serialography, radiological supervision and interpretation Age 21+",,,201.06,201.06,4
CPT,75600,"Aortography, thoracic, without serialography, radiological supervision and interpretation Age Under 21",,,204.71,204.71,4
CPT,75605,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,119.14,20590.93,55
CPT,75605,"Aortography, thoracic, by serialography, radiological supervision and interpretation Age 21+",,,133.05,133.05,4
CPT,75605,"Aortography, thoracic, by serialography, radiological supervision and interpretation Age Under 21",,,135.46,135.46,4
CPT,75605,SP AORTOGM TH W/FILM,20607.36,20607.36,1442.52,20607.36,96
CPT,75625,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,124.74,12415.33,55
CPT,75625,"Aortography, abdominal, by serialography, radiological supervision and interpretation Age 21+",,,139.3,139.3,4
CPT,75625,"Aortography, abdominal, by serialography, radiological supervision and interpretation Age Under 21",,,141.84,141.84,4
CPT,75625,SP AORTOGM ABD W/FILM,6324.28,6324.28,442.7,6324.28,96
CPT,75625,SP AORTOGM ABD W/FILM 59,6324.28,6324.28,442.7,6324.28,48
CPT,75630,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,150.73,12415.33,55
CPT,75630,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation Age 21+",,,172.74,172.74,4
CPT,75630,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation Age Under 21",,,175.88,175.88,4
CPT,75630,SP AORTOGM ABD W/RNF,5010.57,5010.57,350.74,5010.57,96
CPT,75630,SP AORTOGM ABD W/RNF 59,5010.57,5010.57,350.74,5010.57,48
CPT,75635,CTA ABD AORTA IF LWEX RO,3980.59,3980.59,278.64,3980.59,129
CPT,75635,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,172.43,1013.0,38
CPT,75635,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Age ",,,192.57,196.07,8
CPT,75705,"Angiography, spinal, selective, radiological supervision and interpretation ",20607.36,20607.36,247.18,20590.93,55
CPT,75705,"Angiography, spinal, selective, radiological supervision and interpretation Age 21+",20607.36,20607.36,276.03,276.03,4
CPT,75705,"Angiography, spinal, selective, radiological supervision and interpretation Age Under 21",20607.36,20607.36,281.05,281.05,4
CPT,75705,SP ANGIO SPINAL SELECT,20607.36,20607.36,1442.52,20607.36,48
CPT,75710,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,148.1,12415.33,55
CPT,75710,"Angiography, extremity, unilateral, radiological supervision and interpretation Age 21+",,,165.4,165.4,4
CPT,75710,"Angiography, extremity, unilateral, radiological supervision and interpretation Age Under 21",,,168.4,168.4,4
CPT,75710,SP ANGIO EXT UNI,4789.045,4789.045,319.73,5010.57,144
CPT,75710,SP ANGIO EXT UNI LT 59,5010.57,5010.57,350.74,5010.57,48
CPT,75710,SP ANGIO EXT UNI RT 59,5010.57,5010.57,350.74,5010.57,48
CPT,75716,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,160.6,12415.33,55
CPT,75716,"Angiography, extremity, bilateral, radiological supervision and interpretation Age 21+",,,179.36,179.36,4
CPT,75716,"Angiography, extremity, bilateral, radiological supervision and interpretation Age Under 21",,,182.62,182.62,4
CPT,75716,SP ANGIO EXT BI,5508.6,5508.6,385.6,5508.6,96
CPT,75716,SP ANGIO EXT BI 59,5508.6,5508.6,385.6,5508.6,48
CPT,75726,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,167.53,20590.93,55
CPT,75726,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation Age 21+",,,187.09,187.09,4
CPT,75726,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation Age Under 21",,,190.49,190.49,4
CPT,75726,SP ANG VISC SEL W/WO F,17602.465,17602.465,1021.83,20607.36,96
CPT,75731,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,151.39,6438.74,55
CPT,75731,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation Age 21+",5010.57,5010.57,169.07,169.07,4
CPT,75731,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation Age Under 21",5010.57,5010.57,172.14,172.14,4
CPT,75731,SP ANG ADREN SEL UNI,5010.57,5010.57,350.74,5010.57,48
CPT,75733,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,170.16,12415.33,55
CPT,75733,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation Age 21+",5010.57,5010.57,190.03,190.03,4
CPT,75733,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation Age Under 21",5010.57,5010.57,193.48,193.48,4
CPT,75733,SP ANGIO ADREN SEL BI,5010.57,5010.57,350.74,5010.57,48
CPT,75736,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,141.52,20590.93,55
CPT,75736,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation Age 21+",,,158.05,158.05,4
CPT,75736,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation Age Under 21",,,160.92,160.92,4
CPT,75736,SP ANGIO PELVIC,20607.36,20607.36,1442.52,20607.36,96
CPT,75741,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,128.03,12415.33,55
CPT,75741,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation Age 21+",,,142.98,142.98,4
CPT,75741,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation Age Under 21",,,145.58,145.58,4
CPT,75741,SP ANGIO PULM SEL UNI,5010.57,5010.57,350.74,5010.57,96
CPT,75743,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,145.47,12415.33,55
CPT,75743,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation Age 21+",,,162.46,162.46,4
CPT,75743,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation Age Under 21",,,165.41,165.41,4
CPT,75743,SP ANGIO PULM SEL BI,6231.7,6231.7,436.22,6231.7,96
CPT,75743,SP ANGIO PULM SEL BI 59,6231.7,6231.7,436.22,6231.7,48
CPT,75746,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,127.38,6438.74,55
CPT,75746,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation Age 21+",,,148.49,148.49,4
CPT,75746,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation Age Under 21",,,151.19,151.19,4
CPT,75746,SP ANGIO PULM NS,6231.7,6231.7,436.22,6231.7,96
CPT,75756,"Angiography, internal mammary, radiological supervision and interpretation ",,,162.92,12415.33,55
CPT,75756,"Angiography, internal mammary, radiological supervision and interpretation Age 21+",,,181.94,181.94,4
CPT,75756,"Angiography, internal mammary, radiological supervision and interpretation Age Under 21",,,185.25,185.25,4
CPT,75756,SP ANG INTRN MAMMARY,5615.549999999999,5615.549999999999,350.74,6220.53,96
CPT,75774,"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure) ",,,90.84,297.07,10
CPT,75774,SP ANGIO ADDL VESSEL,10541.53,10541.53,737.91,10541.53,120
CPT,75801,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",1985.72,1985.72,280.38,2824.68,55
CPT,75801,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Age 21+",1985.72,1985.72,313.12,313.12,4
CPT,75801,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation Age Under 21",1985.72,1985.72,318.81,318.81,4
CPT,75801,SP LYMPHANG EXT UNI,1985.72,1985.72,139.0,1985.72,48
CPT,75803,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,295.11,4900.18,55
CPT,75803,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Age 21+",,,329.56,329.56,4
CPT,75803,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation Age Under 21",,,335.55,335.55,4
CPT,75805,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",4598.75,4598.75,308.69,8275.26,55
CPT,75805,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation Age 21+",4598.75,4598.75,344.73,344.73,4
CPT,75805,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation Age Under 21",4598.75,4598.75,351.0,351.0,4
CPT,75805,SP LYMPHANG PEL/AB UNI,4598.75,4598.75,321.91,4598.75,48
CPT,75807,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",6780.81,6780.81,144.34,12415.33,55
CPT,75807,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Age 21+",6780.81,6780.81,161.19,161.19,4
CPT,75807,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation Age Under 21",6780.81,6780.81,164.12,164.12,4
CPT,75807,SP LYMPHANG PEL/ABD BI,6780.81,6780.81,474.66,6780.81,48
CPT,75809,SP SHUNTOGM NONVASC,1302.53,1302.53,91.18,1302.53,96
CPT,75809,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,80.63,502.12,55
CPT,75809,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation Age",,,90.05,91.68,8
CPT,75810,SP SPLENOPORTOGRAM,5010.57,5010.57,350.74,5010.57,48
CPT,75810,"Splenoportography, radiological supervision and interpretation ",5010.57,5010.57,603.4,8275.26,55
CPT,75810,"Splenoportography, radiological supervision and interpretation Age 21+",5010.57,5010.57,673.85,673.85,4
CPT,75810,"Splenoportography, radiological supervision and interpretation Age Under 21",5010.57,5010.57,686.1,686.1,4
CPT,75820,SP VENOGRAM EXT UNI,3644.2000000000003,3644.2000000000003,194.31,4512.56,96
CPT,75820,SP VENOGRAM EXT UNI LT,5288.31,5288.31,370.18,5288.31,48
CPT,75820,SP VENOGRAM EXT UNI LT59,4512.56,4512.56,315.88,4512.56,48
CPT,75820,SP VENOGRAM EXT UNI RT,5288.31,5288.31,370.18,5288.31,48
CPT,75820,SP VENOGRAM EXT UNI RT59,4512.56,4512.56,315.88,4512.56,48
CPT,75820,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,106.31,3163.82,55
CPT,75820,"Venography, extremity, unilateral, radiological supervision and interpretation Age 21+",,,118.72,118.72,4
CPT,75820,"Venography, extremity, unilateral, radiological supervision and interpretation Age Under 21",,,120.88,120.88,4
CPT,75822,SP VENOGRAM EXT BI,5288.31,5288.31,296.1,6780.81,192
CPT,75822,SP VENOGRAM EXT BI 59,6780.81,6780.81,474.66,6780.81,48
CPT,75822,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,109.12,3163.82,55
CPT,75822,"Venography, extremity, bilateral, radiological supervision and interpretation Age 21+",,,147.02,147.02,4
CPT,75822,"Venography, extremity, bilateral, radiological supervision and interpretation Age Under 21",,,149.69,149.69,4
CPT,75825,SP VENOCAVAGM INF,5641.09,5641.09,394.88,5641.09,96
CPT,75825,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,112.57,12415.33,55
CPT,75825,"Venography, caval, inferior, with serialography, radiological supervision and interpretation Age 21+",,,125.71,125.71,4
CPT,75825,"Venography, caval, inferior, with serialography, radiological supervision and interpretation Age Under 21",,,127.99,127.99,4
CPT,75827,SP VENOCAVAGM SUP,5125.51,5125.51,358.79,5125.51,96
CPT,75827,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,117.17,3163.82,55
CPT,75827,"Venography, caval, superior, with serialography, radiological supervision and interpretation Age 21+",,,130.85,130.85,4
CPT,75827,"Venography, caval, superior, with serialography, radiological supervision and interpretation Age Under 21",,,133.22,133.22,4
CPT,75831,SP VENOGM RENAL UNI,5010.57,5010.57,350.74,5010.57,96
CPT,75831,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,117.84,12415.33,55
CPT,75831,"Venography, renal, unilateral, selective, radiological supervision and interpretation Age 21+",,,131.59,131.59,4
CPT,75831,"Venography, renal, unilateral, selective, radiological supervision and interpretation Age Under 21",,,133.99,133.99,4
CPT,75833,SP VENOGM RENAL BI,5010.57,5010.57,350.74,5010.57,48
CPT,75833,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,146.12,12415.33,55
CPT,75833,"Venography, renal, bilateral, selective, radiological supervision and interpretation Age 21+",5010.57,5010.57,163.19,163.19,4
CPT,75833,"Venography, renal, bilateral, selective, radiological supervision and interpretation Age Under 21",5010.57,5010.57,166.15,166.15,4
CPT,75840,SP VENOGM ADRENAL UNI,6277.98,6277.98,439.46,6277.98,48
CPT,75840,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",6277.98,6277.98,126.71,12415.33,55
CPT,75840,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation Age 21+",6277.98,6277.98,141.5,141.5,4
CPT,75840,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation Age Under 21",6277.98,6277.98,144.08,144.08,4
CPT,75842,SP VENOGM ADRENAL BI,20607.36,20607.36,1442.52,20607.36,64
CPT,75842,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation ",20607.36,20607.36,156.66,198.81,15
CPT,75842,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation Age 21+",20607.36,20607.36,174.96,174.96,4
CPT,75842,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation Age Under 21",20607.36,20607.36,178.14,178.14,4
CPT,75860,SP VENOGM SIN/JUG CATH,5010.57,5010.57,350.74,5010.57,96
CPT,75860,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,123.76,12415.33,55
CPT,75860,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation Age 21+",,,138.2,138.2,4
CPT,75860,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation Age Under 21",,,140.72,140.72,4
CPT,75870,SP VENOGM SP SAG SNS,2249.09,2249.09,157.44,2249.09,48
CPT,75870,"Venography, superior sagittal sinus, radiological supervision and interpretation ",2249.09,2249.09,153.36,6438.74,55
CPT,75870,"Venography, superior sagittal sinus, radiological supervision and interpretation Age 21+",2249.09,2249.09,171.27,171.27,4
CPT,75870,"Venography, superior sagittal sinus, radiological supervision and interpretation Age Under 21",2249.09,2249.09,174.38,174.38,4
CPT,75872,SP VENOGM EPIDURAL,5010.57,5010.57,350.74,5010.57,48
CPT,75872,"Venography, epidural, radiological supervision and interpretation ",5010.57,5010.57,126.71,2824.68,55
CPT,75872,"Venography, epidural, radiological supervision and interpretation Age 21+",5010.57,5010.57,141.5,141.5,4
CPT,75872,"Venography, epidural, radiological supervision and interpretation Age Under 21",5010.57,5010.57,144.08,144.08,4
CPT,75880,"Venography, orbital, radiological supervision and interpretation ",,,106.31,2824.68,55
CPT,75880,"Venography, orbital, radiological supervision and interpretation Age 21+",,,118.72,118.72,4
CPT,75880,"Venography, orbital, radiological supervision and interpretation Age Under 21",,,120.88,120.88,4
CPT,75885,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,134.61,12415.33,55
CPT,75885,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation Age 21+",,,150.33,150.33,4
CPT,75885,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation Age Under 21",,,153.06,153.06,4
CPT,75885,SP PORTOGM W/HEMODYN,5644.29,5644.29,395.1,5644.29,96
CPT,75887,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",6383.33,6383.33,117.5,6438.74,55
CPT,75887,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation Age 21+",6383.33,6383.33,151.43,151.43,4
CPT,75887,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation Age Under 21",6383.33,6383.33,154.18,154.18,4
CPT,75887,SP PORTGM W/O HEMDYN,6383.33,6383.33,446.83,6383.33,48
CPT,75889,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,121.78,12415.33,55
CPT,75889,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Age 21+",,,135.99,135.99,4
CPT,75889,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation Age Under 21",,,138.47,138.47,4
CPT,75889,SP VENOGM HEP W/DYN,5730.48,5730.48,401.13,5730.48,96
CPT,75891,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,122.44,12415.33,55
CPT,75891,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation Age 21+",,,136.73,136.73,4
CPT,75891,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation Age Under 21",,,139.22,139.22,4
CPT,75891,SP VENOGM HEP W/O DYN,6529.395,6529.395,439.46,6780.81,96
CPT,75893,SP VENOUS SAMP CATH,20607.36,20607.36,1442.52,20607.36,48
CPT,75893,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",20607.36,20607.36,103.67,20590.93,55
CPT,75893,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation Age 21+",20607.36,20607.36,115.78,115.78,4
CPT,75893,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation Age Under 21",20607.36,20607.36,117.88,117.88,4
CPT,75894,SP TRANSCTH THPY EMBL,7813.56,7813.56,546.95,7813.56,120
CPT,75894,"Transcatheter therapy, embolization, any method, radiological supervision and interpretation ",,,101.71,2631.64,10
CPT,75898,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,131.7,8275.26,55
CPT,75898,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis Age 21+",,,147.08,147.08,4
CPT,75898,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis Age Under 21",,,149.76,149.76,4
CPT,75898,SP TRANSCATH ANGIO F/U,2959.43,2959.43,207.16,2959.43,96
CPT,75901,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation ",1822.89,1822.89,244.39,799.19,10
CPT,75901,SP RMV OBSTR MAT CV DEV,1822.89,1822.89,127.6,1822.89,60
CPT,75902,"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation ",914.63,914.63,82.95,271.26,10
CPT,75902,SP RMV OBSTR MAT CV LUM,914.63,914.63,64.02,914.63,60
CPT,75956,SP ENDO RPR DTA INV LSA,19033.5,19033.5,1332.35,19033.5,70
CPT,75957,SP ENDO RPR DTA NINV LSA,19033.5,19033.5,1332.35,19033.5,70
CPT,75958,SP PLMT EX PR END RP DTA,19033.5,19033.5,1332.35,19033.5,70
CPT,75970,SP TRANSCATH BIOPSY,2616.115,2616.115,102.67,3765.5,120
CPT,75970,"Transcatheter biopsy, radiological supervision and interpretation ",,,55.79,1073.47,10
CPT,75984,"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation ",,,93.8,306.75,10
CPT,75984,SP CHG TUBE/DRN W/C,1663.28,1663.28,116.43,1663.28,120
CPT,75989,"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and inte",,,87.39,1013.0,10
CPT,75989,SP PERC DRAIN,3733.58,3733.58,260.12,3864.39,234
CPT,76000,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,42.14,517.79,55
CPT,76000,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time Age 21+",,,47.06,47.06,4
CPT,76000,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time Age Under 21",,,47.91,47.91,4
CPT,76000,XR FLUOROSCOPY 0-60 MIN,1390.325,1390.325,85.14,2087.87,288
CPT,76010,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,48.47,357.55,55
CPT,76010,"Radiologic examination from nose to rectum for foreign body, single view, child Age 21+",,,95.24,95.24,4
CPT,76010,"Radiologic examination from nose to rectum for foreign body, single view, child Age Under 21",,,96.97,96.97,4
CPT,76010,XR WHOLE BODY FB 1 V,1015.2,1015.2,71.06,1015.2,144
CPT,76014,MR SFTY TCS INIT 15MIN,110.2,110.2,7.71,110.2,47
CPT,76014,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",110.2,110.2,33.06,109.72,30
CPT,76015,MR SFTY TCS EA ADD 30MIN,220.4,220.4,15.43,220.4,53
CPT,76015,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",220.4,220.4,73.82,241.38,6
CPT,76016,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,394.46,30
CPT,76017,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,1082.91,30
CPT,76018,MR SFTY IMPLNT ELEC PREP,105.0,105.0,7.35,105.0,47
CPT,76018,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",105.0,105.0,123.92,411.22,30
CPT,76019,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,266.11,30
CPT,76080,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,58.91,2157.48,55
CPT,76080,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation Age 21+",,,65.79,65.79,4
CPT,76080,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation Age Under 21",,,66.99,66.99,4
CPT,76080,XR ABSCESS/FIST/SIN,1627.37,1627.37,82.13,2081.49,192
CPT,76093,"MAGNETIC IMAGE, BREAST ",,,450.0,450.0,1
CPT,76094,"MAGNETIC IMAGE, BOTH BREASTS ",,,450.0,450.0,1
CPT,76098,"Radiological examination, surgical specimen ",,,42.14,2157.48,55
CPT,76098,"Radiological examination, surgical specimen Age 21+",,,47.06,47.06,4
CPT,76098,"Radiological examination, surgical specimen Age Under 21",,,47.91,47.91,4
CPT,76098,XR SURGICAL SPECIMEN,936.99,936.99,65.48,938.58,192
CPT,76100,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,88.21,502.12,55
CPT,76100,"Radiologic examination, single plane body section (eg, tomography), other than with urography Age 21+",,,98.51,98.51,4
CPT,76100,"Radiologic examination, single plane body section (eg, tomography), other than with urography Age Under 21",,,100.3,100.3,4
CPT,76100,XR TOMOGRAM SGL PLANE,2440.64,2440.64,170.84,2440.64,144
CPT,76120,"Cineradiography/videoradiography, except where specifically included ",,,103.18,538.08,55
CPT,76120,"Cineradiography/videoradiography, except where specifically included Age 21+",,,115.23,115.23,4
CPT,76120,"Cineradiography/videoradiography, except where specifically included Age Under 21",,,117.32,117.32,4
CPT,76120,XR CINERADIOGRAPHY,2790.22,2790.22,195.32,2790.22,144
CPT,76125,Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure) ,,,19.76,81.44,10
CPT,76140,"Consultation on X-ray examination made elsewhere, written report ",,,22.71,285.43,12
CPT,76145,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,4016.99,36
CPT,76376,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,18.26,1013.0,10
CPT,76377,3D CT/MRI/US/OTH IND,1709.81,1709.81,119.37,1714.39,245
CPT,76377,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,43.44,1013.0,10
CPT,76380,CT LTD/LOC,2081.92,2081.92,145.73,2081.92,86
CPT,76380,"Computed tomography, limited or localized follow-up study ",,,83.86,1013.0,37
CPT,76380,"Computed tomography, limited or localized follow-up study Age 21+",,,95.24,95.24,4
CPT,76380,"Computed tomography, limited or localized follow-up study Age Under 21",,,96.97,96.97,4
CPT,76390,MRI SPECTROSCOPY,5465.08,5465.08,382.56,5465.08,43
CPT,76390,Magnetic resonance spectroscopy ,5465.08,5465.08,182.03,1589.64,34
CPT,76391,MR ELASTOGRAPHY,1379.69,1379.69,96.58,1379.69,43
CPT,76391,"Magnetic resonance (eg, vibration) elastography ",1379.69,1379.69,204.05,1321.0,49
CPT,76391,"Magnetic resonance (eg, vibration) elastography Age 21+",1379.69,1379.69,227.88,227.88,4
CPT,76391,"Magnetic resonance (eg, vibration) elastography Age Under 21",1379.69,1379.69,232.02,232.02,4
CPT,76400,"MAGNETIC IMAGE, BONE MARROW ",,,450.0,450.0,1
CPT,76496,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,357.55,55
CPT,76496,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) Age 21+",,,95.24,95.24,4
CPT,76496,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) Age Under 21",,,96.97,96.97,4
CPT,76497,UL CT PROCEDURE,1749.43,1749.43,43.94,2871.09,215
CPT,76497,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,357.55,37
CPT,76497,"Unlisted computed tomography procedure (eg, diagnostic, interventional) Age 21+",,,95.24,95.24,4
CPT,76497,"Unlisted computed tomography procedure (eg, diagnostic, interventional) Age Under 21",,,96.97,96.97,4
CPT,76498,UL MR PROCEDURE,2369.72,2369.72,165.88,2369.72,43
CPT,76498,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",2369.72,2369.72,83.86,1321.0,49
CPT,76498,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) Age 21+",2369.72,2369.72,95.24,95.24,4
CPT,76498,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) Age Under 21",2369.72,2369.72,96.97,96.97,4
CPT,76499,UL DX RAD PROCEDURE,410.22,410.22,17.32,1937.84,156
CPT,76499,Unlisted diagnostic radiographic procedure ,,,83.86,446.97,51
CPT,76499,Unlisted diagnostic radiographic procedure Age 21+,,,95.24,95.24,4
CPT,76499,Unlisted diagnostic radiographic procedure Age Under 21,,,96.97,96.97,4
CPT,76506,"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnor",,,103.18,502.12,42
CPT,76506,US ENCEPHALOGRAM,2234.33,2234.33,156.4,2234.33,144
CPT,76510,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter ",,,67.8,488.45,34
CPT,76510,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter Age 21+",,,75.71,75.71,4
CPT,76510,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter Age Under 21",,,77.09,77.09,4
CPT,76511,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only ",,,49.24,502.12,34
CPT,76511,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only Age 21+",,,62.85,62.85,4
CPT,76511,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only Age Under 21",,,64.0,64.0,4
CPT,76512,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) ",,,39.92,502.12,34
CPT,76512,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) Age 21+",,,52.92,52.92,4
CPT,76512,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) Age Under 21",,,53.88,53.88,4
CPT,76513,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral ",,,74.05,502.12,34
CPT,76513,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral Age 21+",,,82.7,82.7,4
CPT,76513,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral Age Under 21",,,84.2,84.2,4
CPT,76514,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) ",,,8.17,103.0,34
CPT,76514,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) Age 21+",,,12.5,12.5,4
CPT,76514,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) Age Under 21",,,12.72,12.72,4
CPT,76516,"Ophthalmic biometry by ultrasound echography, A-scan; ",,,46.08,502.12,34
CPT,76516,"Ophthalmic biometry by ultrasound echography, A-scan; Age 21+",,,51.46,51.46,4
CPT,76516,"Ophthalmic biometry by ultrasound echography, A-scan; Age Under 21",,,52.39,52.39,4
CPT,76519,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation ",,,67.14,502.12,34
CPT,76519,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Age 21+",,,74.98,74.98,4
CPT,76519,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation Age Under 21",,,76.34,76.34,4
CPT,76529,Ophthalmic ultrasonic foreign body localization ,,,83.86,357.55,34
CPT,76529,Ophthalmic ultrasonic foreign body localization Age 21+,,,94.47,94.47,4
CPT,76529,Ophthalmic ultrasonic foreign body localization Age Under 21,,,96.19,96.19,4
CPT,76536,US HEAD AND NECK,1539.37,1539.37,107.76,1539.37,144
CPT,76536,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation ",,,103.18,502.12,34
CPT,76536,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation Age 21+",,,115.23,115.23,4
CPT,76536,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation Age Under 21",,,117.32,117.32,4
CPT,76604,US CHST W/MEDIASTINUM,1541.93,1541.93,107.94,1541.93,144
CPT,76604,"Ultrasound, chest (includes mediastinum), real time with image documentation ",,,56.28,502.12,34
CPT,76604,"Ultrasound, chest (includes mediastinum), real time with image documentation Age 21+",,,62.85,62.85,4
CPT,76604,"Ultrasound, chest (includes mediastinum), real time with image documentation Age Under 21",,,64.0,64.0,4
CPT,76641,US BRST BI W AX COMP,1267.27,1267.27,88.71,1267.27,48
CPT,76641,US BRST UNI LT W AX COMP,1267.27,1267.27,88.71,1267.27,48
CPT,76641,US BRST UNI RT W AX COMP,1267.27,1267.27,88.71,1267.27,48
CPT,76641,US BRST UNI W AX COMP,1267.27,1267.27,88.71,1267.27,144
CPT,76641,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete ",,,101.37,502.12,34
CPT,76641,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete Age 21+",,,113.2,113.2,4
CPT,76641,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete Age Under 21",,,115.26,115.26,4
CPT,76642,US BRST BI W AX LTD,549.32,549.32,38.45,549.32,192
CPT,76642,US BRST UNI LT W AX LTD,549.32,549.32,38.45,549.32,192
CPT,76642,US BRST UNI RT W AX LTD,549.32,549.32,38.45,549.32,192
CPT,76642,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited ",,,83.86,357.55,34
CPT,76642,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited Age 21+",,,93.72,93.72,4
CPT,76642,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited Age Under 21",,,95.42,95.42,4
CPT,76700,US ABDOMEN COMPLETE,1673.5099999999998,1673.5099999999998,84.15,2144.91,192
CPT,76700,"Ultrasound, abdominal, real time with image documentation; complete ",,,103.18,502.12,34
CPT,76700,"Ultrasound, abdominal, real time with image documentation; complete Age 21+",,,115.23,115.23,4
CPT,76700,"Ultrasound, abdominal, real time with image documentation; complete Age Under 21",,,117.32,117.32,4
CPT,76705,US ABDOMEN LTD,1849.81,1849.81,129.49,1849.81,144
CPT,76705,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) ",,,85.9,502.12,34
CPT,76705,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) Age 21+",,,95.93,95.93,4
CPT,76705,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) Age Under 21",,,97.68,97.68,4
CPT,76706,US AAA SCREEN,643.86,643.86,45.07,643.86,96
CPT,76706,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) ",,,103.18,443.17,34
CPT,76706,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) Age 21+",,,115.23,115.23,4
CPT,76706,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) Age Under 21",,,117.32,117.32,4
CPT,76770,US RETROPERITONEAL COM,1918.77,1918.77,134.31,1918.77,144
CPT,76770,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete ",,,103.18,502.12,34
CPT,76770,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete Age 21+",,,115.23,115.23,4
CPT,76770,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete Age Under 21",,,117.32,117.32,4
CPT,76775,US RETRO LTD,1598.13,1598.13,111.87,1598.13,192
CPT,76775,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited ",,,58.91,502.12,34
CPT,76775,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited Age 21+",,,65.79,65.79,4
CPT,76775,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited Age Under 21",,,66.99,66.99,4
CPT,76776,US RENAL TRANSPLANT,2436.16,2436.16,170.53,2436.16,144
CPT,76776,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation ",,,103.18,618.03,34
CPT,76776,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation Age 21+",,,115.23,115.23,4
CPT,76776,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation Age Under 21",,,117.32,117.32,4
CPT,76800,US SPINAL CANAL,1936.67,1936.67,135.57,1936.67,144
CPT,76800,"Ultrasound, spinal canal and contents ",,,103.18,528.95,34
CPT,76800,"Ultrasound, spinal canal and contents Age 21+",,,115.23,115.23,4
CPT,76800,"Ultrasound, spinal canal and contents Age Under 21",,,117.32,117.32,4
CPT,76801,US PREG 1ST TRIMTR,1753.99,1753.99,122.78,1753.99,144
CPT,76801,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation ",,,100.72,390.27,34
CPT,76801,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation Age 21+",,,115.23,115.23,4
CPT,76801,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation Age Under 21",,,117.32,117.32,4
CPT,76802,US PRG 1ST TRI EA ADD,1131.86,1131.86,79.23,1131.86,162
CPT,76802,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately",,,30.11,98.47,33
CPT,76805,US PREG AFTER 1ST TRI,2199.83,2199.83,153.63,2204.94,288
CPT,76805,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation ",,,103.18,486.66,34
CPT,76805,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation Age 2",,,115.23,115.23,4
CPT,76805,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation Age U",,,117.32,117.32,4
CPT,76810,US PRG AFT 1ST TRI AD,3375.125,3375.125,235.72,3382.79,324
CPT,76810,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List",,,59.25,193.76,33
CPT,76811,US PREG W/FTL AN EX SGL,3247.38,3247.38,227.32,3247.38,144
CPT,76811,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation ",,,116.03,517.79,34
CPT,76811,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation Age 21+",,,195.54,195.54,4
CPT,76811,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation Age Under 21",,,199.09,199.09,4
CPT,76812,US PREG W/FTL EX EA ADDL,1922.62,1922.62,134.58,1922.62,108
CPT,76812,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separa",,,153.06,500.51,33
CPT,76813,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation ",,,103.18,502.12,34
CPT,76813,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation Age 21+",,,115.23,115.23,4
CPT,76813,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation Age Under 21",,,117.32,117.32,4
CPT,76814,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separat",,,39.99,130.77,33
CPT,76815,US PREGNANCY LTD,1089.69,1089.69,76.28,1089.69,240
CPT,76815,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses ",,,79.98,502.12,34
CPT,76815,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses Age 21+",,,89.32,89.32,4
CPT,76815,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses Age Unde",,,90.94,90.94,4
CPT,76816,US PREGNANCY FLW UP,1179.12,1179.12,82.54,1179.12,96
CPT,76816,"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ sy",,,103.18,502.12,42
CPT,76817,US PREG UT TRANSVAGINAL,530.15,530.15,37.11,530.15,192
CPT,76817,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal ",,,91.5,502.12,34
CPT,76817,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal Age 21+",,,102.18,102.18,4
CPT,76817,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal Age Under 21",,,104.04,104.04,4
CPT,76818,Fetal biophysical profile; with non-stress testing ,,,93.8,364.35,34
CPT,76818,Fetal biophysical profile; with non-stress testing Age 21+,,,115.23,115.23,4
CPT,76818,Fetal biophysical profile; with non-stress testing Age Under 21,,,117.32,117.32,4
CPT,76818,US FETAL BIOPHYS PROF,1558.53,1558.53,109.1,1558.53,240
CPT,76819,Fetal biophysical profile; without non-stress testing ,825.26,825.26,69.12,262.46,34
CPT,76819,Fetal biophysical profile; without non-stress testing Age 21+,825.26,825.26,94.47,94.47,4
CPT,76819,Fetal biophysical profile; without non-stress testing Age Under 21,825.26,825.26,96.19,96.19,4
CPT,76819,US FET BIO PH PR W/O NST,825.26,825.26,57.77,825.26,48
CPT,76820,"Doppler velocimetry, fetal; umbilical artery ",,,44.11,502.12,34
CPT,76820,"Doppler velocimetry, fetal; umbilical artery Age 21+",,,49.26,49.26,4
CPT,76820,"Doppler velocimetry, fetal; umbilical artery Age Under 21",,,50.15,50.15,4
CPT,76821,"Doppler velocimetry, fetal; middle cerebral artery ",,,87.87,502.12,34
CPT,76821,"Doppler velocimetry, fetal; middle cerebral artery Age 21+",,,98.13,98.13,4
CPT,76821,"Doppler velocimetry, fetal; middle cerebral artery Age Under 21",,,99.92,99.92,4
CPT,76825,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; ",,,258.36,1086.5,34
CPT,76825,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; Age 21+",,,288.52,288.52,4
CPT,76825,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; Age Under 21",,,293.76,293.76,4
CPT,76825,US FETAL CARDIOVASC,3859.29,3859.29,270.15,3859.29,144
CPT,76826,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study ",,,154.68,647.29,34
CPT,76826,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study Age 21+",,,172.74,172.74,4
CPT,76826,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study Age Under 21",,,175.88,175.88,4
CPT,76826,US FETAL CARDIOVASC F/U,2543.48,2543.48,178.04,2543.48,144
CPT,76827,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete ",489.27,489.27,69.11,502.12,34
CPT,76827,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete Age 21+",489.27,489.27,77.18,77.18,4
CPT,76827,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete Age Under 21",489.27,489.27,78.58,78.58,4
CPT,76827,US FETAL HEART DOPP,489.27,489.27,34.25,489.27,48
CPT,76828,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study ",489.27,489.27,48.06,502.12,34
CPT,76828,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study Age 21+",489.27,489.27,53.67,53.67,4
CPT,76828,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study Age Under 21",489.27,489.27,54.64,54.64,4
CPT,76828,US FETAL HEART DOPP F/U,489.27,489.27,34.25,489.27,48
CPT,76830,US TRANSVAGINAL,1639.65,1639.65,112.14,1677.34,144
CPT,76830,"Ultrasound, transvaginal ",,,103.18,477.87,34
CPT,76830,"Ultrasound, transvaginal Age 21+",,,115.23,115.23,4
CPT,76830,"Ultrasound, transvaginal Age Under 21",,,117.32,117.32,4
CPT,76831,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed ",,,114.86,1044.02,34
CPT,76831,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed Age 21+",,,128.27,128.27,4
CPT,76831,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed Age Under 21",,,130.6,130.6,4
CPT,76856,US PELVIC COMPLETE,2005.65,2005.65,140.4,2005.65,144
CPT,76856,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete ",,,94.84,502.12,34
CPT,76856,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age 21+",,,105.91,105.91,4
CPT,76856,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age Under 21",,,107.83,107.83,4
CPT,76857,US PELVIC LTD OR FU,1849.81,1849.81,129.49,1849.81,144
CPT,76857,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) ",,,50.03,502.12,34
CPT,76857,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) Age 21+",,,55.87,55.87,4
CPT,76857,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) Age Under 21",,,56.88,56.88,4
CPT,76870,US SCROTUM AND CNTS,1810.21,1810.21,126.71,1810.21,144
CPT,76870,"Ultrasound, scrotum and contents ",,,98.74,502.12,34
CPT,76870,"Ultrasound, scrotum and contents Age 21+",,,110.26,110.26,4
CPT,76870,"Ultrasound, scrotum and contents Age Under 21",,,112.27,112.27,4
CPT,76872,US TRANSRECTAL,1854.91,1854.91,129.75,1856.18,144
CPT,76872,"Ultrasound, transrectal; ",,,103.18,926.53,34
CPT,76872,"Ultrasound, transrectal; Age 21+",,,115.23,115.23,4
CPT,76872,"Ultrasound, transrectal; Age Under 21",,,117.32,117.32,4
CPT,76873,US PROSTATE VOLUME,1742.49,1742.49,121.97,1742.49,48
CPT,76873,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) ",1742.49,1742.49,103.18,541.37,34
CPT,76873,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) Age 21+",1742.49,1742.49,115.23,115.23,4
CPT,76873,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) Age Under 21",1742.49,1742.49,117.32,117.32,4
CPT,76881,US JOINT COMP,1502.32,1502.32,105.16,1502.32,144
CPT,76881,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation ",,,42.36,259.93,34
CPT,76881,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation Age 21+",,,105.91,105.91,4
CPT,76881,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation Age Under 21",,,107.83,107.83,4
CPT,76882,US EXTREM NON VASC LTD,499.495,499.495,33.0,527.6,144
CPT,76882,"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendonºs», muscleºs», nerveºs», other soft-tissue structureºs», or soft-tiss",,,29.89,502.12,42
CPT,76883,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity ",,,56.56,478.82,30
CPT,76883,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity Age 2",,,78.65,78.65,4
CPT,76883,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity Age U",,,80.08,80.08,4
CPT,76885,US INFANT HIP DYNAM,530.15,530.15,37.11,530.15,96
CPT,76885,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) ",,,83.86,559.63,34
CPT,76885,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) Age 21+",,,95.24,95.24,4
CPT,76885,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) Age Under 21",,,96.97,96.97,4
CPT,76886,US INFANT HIP STATIC,530.15,530.15,37.11,530.15,96
CPT,76886,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) ",,,83.86,392.08,34
CPT,76886,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) Age 21+",,,95.24,95.24,4
CPT,76886,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) Age Under 21",,,96.97,96.97,4
CPT,76932,"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation ",,,46.42,171.24,10
CPT,76936,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) ",,,238.48,911.23,34
CPT,76936,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) Age 21+",,,287.06,287.06,4
CPT,76936,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) Age Under 21",,,292.28,292.28,4
CPT,76937,US GUIDANCE VASC ACCESS,2134.67,2134.67,149.43,2134.67,108
CPT,76937,"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular ne",,,27.15,88.79,10
CPT,76940,US GUIDANCE TISSUE ABLAT,4245.1,4245.1,297.16,4245.1,108
CPT,76940,"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation ",,,136.22,473.04,10
CPT,76941,"Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation ",,,97.27,318.08,10
CPT,76942,USG NDL PLACEMENT,2168.535,2168.535,151.75,2169.17,216
CPT,76942,"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation ",,,34.57,113.03,10
CPT,76945,"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation ",,,48.88,159.93,10
CPT,76946,"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation ",,,18.26,59.72,10
CPT,76948,"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation ",,,55.79,182.43,10
CPT,76965,Ultrasonic guidance for interstitial radioelement application ,,,34.57,113.03,10
CPT,76975,"Gastrointestinal endoscopic ultrasound, supervision and interpretation ",,,108.69,1044.02,34
CPT,76975,"Gastrointestinal endoscopic ultrasound, supervision and interpretation Age 21+",,,121.39,121.39,4
CPT,76975,"Gastrointestinal endoscopic ultrasound, supervision and interpretation Age Under 21",,,123.59,123.59,4
CPT,76977,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method ",,,6.43,245.18,34
CPT,76977,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method Age 21+",,,8.09,8.09,4
CPT,76977,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method Age Under 21",,,8.23,8.23,4
CPT,76978,US TGT MICROBUB INIT LS,1207.22,1207.22,84.51,1207.22,96
CPT,76978,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion ",,,172.43,1110.82,34
CPT,76978,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion Age 21+",,,192.57,192.57,4
CPT,76978,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion Age Under 21",,,196.07,196.07,4
CPT,76979,US TGT MICROBUB EAD LS,604.24,604.24,42.3,604.24,108
CPT,76979,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to code for primary procedure)",,,140.86,810.52,33
CPT,76981,US ELASTO EACH ORG,673.23,673.23,47.13,673.23,96
CPT,76981,"Ultrasound, elastography; parenchyma (eg, organ) ",,,103.02,502.12,34
CPT,76981,"Ultrasound, elastography; parenchyma (eg, organ) Age 21+",,,115.05,115.05,4
CPT,76981,"Ultrasound, elastography; parenchyma (eg, organ) Age Under 21",,,117.14,117.14,4
CPT,76982,US ELASTO 1ST TGT LES,673.23,673.23,47.13,673.23,96
CPT,76982,"Ultrasound, elastography; first target lesion ",,,92.16,502.12,34
CPT,76982,"Ultrasound, elastography; first target lesion Age 21+",,,102.92,102.92,4
CPT,76982,"Ultrasound, elastography; first target lesion Age Under 21",,,104.79,104.79,4
CPT,76983,US ELASTO EACH ADD TGT L,337.25,337.25,23.61,337.25,108
CPT,76983,"Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure) ",,,46.91,153.4,25
CPT,76983,"Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure) Age 21+",,,67.99,67.99,4
CPT,76983,"Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure) Age Under 21",,,69.23,69.23,4
CPT,76984,"Ultrasound, intraoperative thoracic aorta (eg, epiaortic), diagnostic ",,,42.72,139.69,6
CPT,76987,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; including placement and manipulation of transducer, image acquisition, interpretation and ",,,130.45,426.59,6
CPT,76988,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; placement, manipulation of transducer, and image acquisition only ",,,83.1,271.76,6
CPT,76989,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; interpretation and report only ",,,48.74,159.4,6
CPT,76998,US INTRAOPERATIVE,2746.585,2746.585,113.75,3868.21,162
CPT,76998,"Ultrasonic guidance, intraoperative ",,,89.37,292.23,10
CPT,76999,US UNLSTD PROC,527.6,527.6,36.93,527.6,48
CPT,76999,"Unlisted ultrasound procedure (eg, diagnostic, interventional) ",527.6,527.6,83.86,446.97,30
CPT,76999,"Unlisted ultrasound procedure (eg, diagnostic, interventional) Age 21+",527.6,527.6,95.24,95.24,4
CPT,76999,"Unlisted ultrasound procedure (eg, diagnostic, interventional) Age Under 21",527.6,527.6,96.97,96.97,4
CPT,77001,FLUORO GUID CTRL ACC DEV,823.65,823.65,57.66,823.65,240
CPT,77001,"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any",,,99.74,326.14,10
CPT,77002,"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) ",,,102.2,334.21,10
CPT,77002,XR FLUORO NDL,1221.13,1221.13,85.48,1221.13,120
CPT,77003,Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code,,,94.3,308.36,10
CPT,77003,XR FLUORO FOR SPINE INJ,1416.645,1416.645,99.0,1419.04,180
CPT,77011,CT STEREO LOCALIZATION,4959.41,4959.41,347.16,4959.41,147
CPT,77011,Computed tomography guidance for stereotactic localization ,,,231.06,1013.0,10
CPT,77012,CT GUID NDL PLCMT,4279.11,4279.11,299.54,4279.11,98
CPT,77012,"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation ",,,107.13,1013.0,10
CPT,77013,CT GUIDANCE TISSUE ABLAT,6449.42,6449.42,451.46,6449.42,147
CPT,77013,"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation ",,,269.57,1013.0,10
CPT,77014,CT PLACE RAD THPY FLD,2356.06,2356.06,164.92,2356.06,236
CPT,77021,MR GUID NDL PLCMT,3281.86,3281.86,229.73,3281.86,49
CPT,77021,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",3281.86,3281.86,560.88,1834.11,10
CPT,77022,MR GUIDANCE TISSUE ABLAT,8746.95,8746.95,612.29,8746.95,49
CPT,77022,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",8746.95,8746.95,303.65,1321.0,10
CPT,77046,MRI BREAST WO CONT LT,4986.02,4986.02,349.02,4986.02,43
CPT,77046,MRI BREAST WO CONT RT,4986.02,4986.02,349.02,4986.02,43
CPT,77046,MRI BREAST WO CONT UNI,4986.02,4986.02,349.02,4986.02,43
CPT,77046,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,293.63,1321.0,34
CPT,77047,MRI BREAST WO CONT BI,7478.4,7478.4,523.49,7478.4,43
CPT,77047,"Magnetic resonance imaging, breast, without contrast material; bilateral ",7478.4,7478.4,293.63,1321.0,34
CPT,77048,MRI WO&W CON&CAD BRST LT,8413.52,8413.52,588.95,8413.52,49
CPT,77048,MRI WO&W CON&CAD BRST RT,8413.52,8413.52,588.95,8413.52,49
CPT,77048,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,370.99,1321.0,34
CPT,77049,MRI WO&W CON&CAD BRST BI,11763.1,11763.1,823.42,11763.1,49
CPT,77049,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",11763.1,11763.1,369.18,1321.0,34
CPT,77053,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",,,53.32,1044.02,37
CPT,77053,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation Age 21+",,,59.54,59.54,4
CPT,77053,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation Age Under 21",,,60.63,60.63,4
CPT,77054,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",,,68.46,1044.02,37
CPT,77054,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation Age 21+",,,76.45,76.45,4
CPT,77054,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation Age Under 21",,,77.84,77.84,4
CPT,77061,Diagnostic digital breast tomosynthesis; unilateral ,,,95.47,477.87,24
CPT,77062,Diagnostic digital breast tomosynthesis; bilateral ,,,119.81,609.3,24
CPT,77063,BREAST TOMO SCREENING,195.45,195.45,13.68,195.45,48
CPT,77063,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",195.45,195.45,22.58,131.43,109
CPT,77063,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Age 21+",195.45,195.45,58.07,58.07,4
CPT,77063,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Age Under 21",195.45,195.45,59.12,59.12,4
CPT,77063,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Other Outpatient",195.45,195.45,24.45,24.45,6
CPT,77065,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,83.22,421.39,88
CPT,77065,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Other Outpatient",,,90.07,90.07,6
CPT,77065,MAMMO DIAG CAD UNI,702.63,702.63,49.18,702.63,96
CPT,77066,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",1019.43,1019.43,106.72,539.26,88
CPT,77066,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Other Outpatient",1019.43,1019.43,115.52,115.52,6
CPT,77066,MAMMO DIAG CAD BI,1019.43,1019.43,71.36,1019.43,48
CPT,77067,MAMMO SCR CAD BI,992.61,992.61,69.48,992.61,48
CPT,77067,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",992.61,992.61,88.06,445.63,88
CPT,77067,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Other Outpatient",992.61,992.61,95.31,95.31,6
CPT,77071,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,54.89,446.97,55
CPT,77071,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated Age 21+",,,61.3,61.3,4
CPT,77071,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated Age Under 21",,,62.42,62.42,4
CPT,77072,Bone age studies ,,,25.67,502.12,55
CPT,77072,Bone age studies Age 21+,,,28.67,28.67,4
CPT,77072,Bone age studies Age Under 21,,,29.19,29.19,4
CPT,77072,XR BONE AGE STUDIES,922.64,922.64,64.58,922.64,144
CPT,77073,"Bone length studies (orthoroentgenogram, scanogram) ",,,44.76,502.12,55
CPT,77073,"Bone length studies (orthoroentgenogram, scanogram) Age 21+",,,49.98,49.98,4
CPT,77073,"Bone length studies (orthoroentgenogram, scanogram) Age Under 21",,,50.89,50.89,4
CPT,77073,XR BONE LENGTH STUDIES,1356.8,1356.8,94.98,1356.8,144
CPT,77074,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,64.51,502.12,55
CPT,77074,"Radiologic examination, osseous survey; limited (eg, for metastases) Age 21+",,,72.04,72.04,4
CPT,77074,"Radiologic examination, osseous survey; limited (eg, for metastases) Age Under 21",,,73.35,73.35,4
CPT,77074,XR BONE SURVEY LTD,3288.23,3288.23,230.18,3288.23,144
CPT,77075,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,98.4,502.12,55
CPT,77075,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) Age 21+",,,109.89,109.89,4
CPT,77075,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) Age Under 21",,,111.89,111.89,4
CPT,77075,XR BONE SURVEY COMP,3288.23,3288.23,230.18,3288.23,144
CPT,77076,"Radiologic examination, osseous survey, infant ",,,103.18,502.12,55
CPT,77076,"Radiologic examination, osseous survey, infant Age 21+",,,115.23,115.23,4
CPT,77076,"Radiologic examination, osseous survey, infant Age Under 21",,,117.32,117.32,4
CPT,77076,XR BONE SURVEY INFANT,1441.4,1441.4,100.9,1441.4,144
CPT,77077,"Joint survey, single view, 2 or more joints (specify) ",,,46.4,502.12,55
CPT,77077,"Joint survey, single view, 2 or more joints (specify) Age 21+",,,51.82,51.82,4
CPT,77077,"Joint survey, single view, 2 or more joints (specify) Age Under 21",,,52.76,52.76,4
CPT,77078,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,78.56,1013.0,37
CPT,77078,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Age 21+",,,95.24,95.24,4
CPT,77078,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) Age Under 21",,,96.97,96.97,4
CPT,77080,DXA BONE DENSITY AXIAL,1160.47,1160.47,81.23,1160.47,48
CPT,77080,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",1160.47,1160.47,38.5,245.18,55
CPT,77080,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Age 21+",1160.47,1160.47,43.0,43.0,4
CPT,77080,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Age Under 21",1160.47,1160.47,43.78,43.78,4
CPT,77081,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,31.26,182.03,55
CPT,77081,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) Age 21+",,,34.91,34.91,4
CPT,77081,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) Age Under 21",,,35.55,35.55,4
CPT,77084,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,229.97,1321.0,49
CPT,77084,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply Age 21+",,,256.82,256.82,4
CPT,77084,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply Age Under 21",,,261.49,261.49,4
CPT,77085,DXA BD AXL W VERT ASSESS,731.08,731.08,51.18,731.08,48
CPT,77085,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",731.08,731.08,52.66,502.12,55
CPT,77085,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment Age 21+",731.08,731.08,58.81,58.81,4
CPT,77085,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment Age Under 21",731.08,731.08,59.88,59.88,4
CPT,77086,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,33.24,357.55,55
CPT,77086,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) Age 21+,,,37.13,37.13,4
CPT,77086,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) Age Under 21,,,37.8,37.8,4
CPT,77089,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,193.76,30
CPT,77090,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,446.97,36
CPT,77091,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,446.97,36
CPT,77092,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,48.43,30
CPT,77261,Therapeutic radiology treatment planning; simple ,,,57.52,378.24,12
CPT,77262,Therapeutic radiology treatment planning; intermediate ,,,88.29,570.15,12
CPT,77263,Therapeutic radiology treatment planning; complex ,,,138.43,890.64,12
CPT,77280,TR SIMULATION SIMPLE,759.37,759.37,83.53,759.37,88
CPT,77280,Therapeutic radiology simulation-aided field setting; simple ,,,564.64,1263.29,10
CPT,77285,TR SIMULATION INTERMED,2061.51,2061.51,226.77,2061.51,88
CPT,77285,Therapeutic radiology simulation-aided field setting; intermediate ,,,947.83,2116.6,10
CPT,77290,TR SIMULATION COMPLEX,2061.51,2061.51,226.77,2061.51,88
CPT,77290,Therapeutic radiology simulation-aided field setting; complex ,,,918.97,2254.48,10
CPT,77293,RSP MOTION MGMT SIM,759.37,759.37,83.53,759.37,49
CPT,77293,Respiratory motion management simulation (List separately in addition to code for primary procedure) ,759.37,759.37,764.76,1876.24,10
CPT,77295,"3-dimensional radiotherapy plan, including dose-volume histograms ",,,605.23,1404.84,10
CPT,77295,3D RADIOTHER PLAN W DVH,6806.17,6806.17,748.68,6806.17,88
CPT,77299,"Unlisted procedure, therapeutic radiology clinical treatment planning ",,,443.06,654.47,6
CPT,77300,"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and ",,,78.81,178.88,10
CPT,77300,TR DOSIMETRY BASIC,759.37,759.37,80.89,919.79,176
CPT,77301,INT MOD RADTX PLAN,5610.995,5610.995,515.59,6534.79,88
CPT,77301,"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications ",,,3422.0,8036.09,10
CPT,77306,TELE ISODOSE SIMPLE,759.37,759.37,83.53,759.37,44
CPT,77306,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) ",759.37,759.37,175.75,402.43,10
CPT,77307,TELE ISODOSE COMP,759.37,759.37,83.53,759.37,44
CPT,77307,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) ",759.37,759.37,318.52,726.64,10
CPT,77316,BRCHY ISO SIMPLE,759.37,759.37,83.53,759.37,44
CPT,77316,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) ",759.37,759.37,408.43,685.65,10
CPT,77317,BRCHY ISO INTERMEDIATE,2061.51,2061.51,226.77,2061.51,44
CPT,77317,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) ",2061.51,2061.51,540.07,901.8,10
CPT,77318,BRCHY ISO COMPLEX,3879.7,3879.7,426.77,3879.7,44
CPT,77318,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) ",3879.7,3879.7,729.84,1222.29,10
CPT,77321,"Special teletherapy port plan, particles, hemibody, total body ",2061.51,2061.51,105.21,231.05,10
CPT,77321,TR SPECIAL PORT PLAN,2061.51,2061.51,226.77,2061.51,44
CPT,77331,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician ",759.37,759.37,44.99,100.61,10
CPT,77331,TR DOSIMETRY,759.37,759.37,83.53,759.37,44
CPT,77332,TR TREAT DEVICE SIMPLE,1319.53,1319.53,139.56,1370.33,132
CPT,77332,"Treatment devices, design and construction; simple (simple block, simple bolus) ",,,35.09,150.91,10
CPT,77333,TR TREAT DEVICE INTRMED,1370.33,1370.33,150.74,1370.33,44
CPT,77333,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) ",1370.33,1370.33,242.95,368.93,10
CPT,77334,TR TREAT DEVICE CPLEX,1413.12,1413.12,155.44,1413.12,88
CPT,77334,"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) ",,,154.7,357.76,10
CPT,77336,"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation onc",,,197.37,421.1,10
CPT,77336,TR MED PHYSICS CONT,1225.28,1225.28,83.53,1691.19,132
CPT,77338,"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan ",,,564.85,1445.84,10
CPT,77338,TR MLC DEVICES IMRT,1696.535,1696.535,163.09,1910.44,88
CPT,77370,Special medical radiation physics consultation ,,,314.58,655.87,10
CPT,77370,TR MED PHYSICS SPECIAL,1791.455,1791.455,83.53,2823.54,132
CPT,77371,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based ",,,3814.37,58176.0,37
CPT,77372,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based ",,,3814.37,58176.0,22
CPT,77372,SRS DL ONE SESS LINR ACC,43799.005000000005,43799.005000000005,2613.4,63839.87,84
CPT,77373,SRS DL PER FRACTION,12709.97,12709.97,1398.1,12709.97,76
CPT,77373,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",,,4617.87,50651.0,26
CPT,77385,IMRT DELIVERY SIMPLE,2657.76,2657.76,292.35,2657.76,50
CPT,77386,IMRT DELIVERY COMPLEX,2657.76,2657.76,292.35,2657.76,50
CPT,77387,"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed ",,,245.41,609.28,10
CPT,77387,LOC GUID RAD TX DEL,695.86,695.86,74.85,711.24,147
CPT,77399,"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services ",,,443.06,654.47,6
CPT,77402,RAD TR SIMPLE,525.4,525.4,57.79,525.4,44
CPT,77402,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed ",525.4,525.4,322.15,728.5,10
CPT,77407,RAD TR INTERMED,525.4,525.4,57.79,525.4,44
CPT,77407,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed ",525.4,525.4,441.76,2037.24,10
CPT,77412,RAD TR COMPLEX,1013.39,1013.39,111.47,1013.39,88
CPT,77412,"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin ",,,586.54,2918.52,10
CPT,77417,TR PORT IMAGE,840.91,840.91,92.5,840.91,98
CPT,77417,Therapeutic radiology port image(s) ,,,30.13,59.61,10
CPT,77423,"High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s) ",,,214.12,340.96,10
CPT,77424,"Intraoperative radiation treatment delivery, x-ray, single treatment session ",,,845.11,1311.73,10
CPT,77425,"Intraoperative radiation treatment delivery, electrons, single treatment session ",,,732.2,1352.68,10
CPT,77427,"Radiation treatment management, 5 treatments ",,,160.68,1000.55,12
CPT,77431,Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only ,,,87.6,551.54,12
CPT,77432,Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session) ,,,348.79,50651.0,18
CPT,77435,"Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",,,1509.45,3385.47,10
CPT,77436,"Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting ",,,133.56,197.29,6
CPT,77437,"Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) ",,,364.84,538.92,6
CPT,77438,"Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction ",,,364.84,538.92,6
CPT,77439,"Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment (List separately",,,56.95,84.12,6
CPT,77469,Intraoperative radiation treatment management ,,,749.55,1676.89,10
CPT,77470,SP TREATMENT,4434.52,4434.52,487.8,4434.52,132
CPT,77470,"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) ",,,69.73,134.16,10
CPT,77520,"Proton treatment delivery; simple, without compensation ",,,1885.91,2785.75,10
CPT,77522,"Proton treatment delivery; simple, with compensation ",,,2133.82,6445.75,10
CPT,77523,Proton treatment delivery; intermediate ,,,2478.71,6445.75,10
CPT,77525,Proton treatment delivery; complex ,,,2742.36,6445.75,10
CPT,77600,"Hyperthermia, externally generated; superficial (ie, heating to a depth of 4 cm or less) ",,,1072.9,2001.1,10
CPT,77605,"Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) ",,,2203.84,3564.35,10
CPT,77610,Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators ,,,1535.71,3290.45,10
CPT,77615,Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators ,,,2416.76,5097.78,10
CPT,77620,Hyperthermia generated by intracavitary probe(s) ,,,622.16,2275.01,12
CPT,77750,Infusion or instillation of radioelement solution (includes 3-month follow-up care) ,,,308.21,622.31,10
CPT,77761,Intracavitary radiation source application; simple ,,,510.82,1039.69,10
CPT,77762,Intracavitary radiation source application; intermediate ,,,581.36,1190.6,10
CPT,77763,Intracavitary radiation source application; complex ,,,749.69,1565.11,10
CPT,77767,"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel ",,,467.0,937.22,10
CPT,77768,"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions ",,,696.78,1498.01,10
CPT,77770,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel ",,,589.49,1203.63,10
CPT,77771,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels ",,,960.82,2124.09,10
CPT,77772,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels ",,,1463.69,3324.0,10
CPT,77778,CB INTERST APP COMP,7265.06,7265.06,508.55,7265.06,48
CPT,77778,"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed ",7265.06,7265.06,1067.76,2049.54,10
CPT,77789,Surface application of low dose rate radionuclide source ,,,175.75,331.66,10
CPT,77790,RAD HAND/LOAD,845.0550000000001,845.0550000000001,57.23,872.52,108
CPT,77790,"Supervision, handling, loading of radiation source ",,,15.66,80.14,10
CPT,77799,"Unlisted procedure, clinical brachytherapy ",,,429.48,634.41,6
CPT,78012,NM THYROID UPTAKE W STIM,1193.17,1193.17,83.52,1193.17,48
CPT,78012,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",1193.17,1193.17,79.98,848.52,37
CPT,78012,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Age 21+",1193.17,1193.17,89.32,89.32,4
CPT,78012,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Age Under 21",1193.17,1193.17,90.94,90.94,4
CPT,78013,NM THYROID SCAN W/FL,2475.77,2475.77,173.3,2475.77,48
CPT,78013,"Thyroid imaging (including vascular flow, when performed); ",2475.77,2475.77,169.16,848.52,37
CPT,78013,"Thyroid imaging (including vascular flow, when performed); Age 21+",2475.77,2475.77,188.91,188.91,4
CPT,78013,"Thyroid imaging (including vascular flow, when performed); Age Under 21",2475.77,2475.77,192.35,192.35,4
CPT,78014,NM THYROID SCN UP/STIM V,2602.24,2602.24,182.16,2602.24,48
CPT,78014,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",2602.24,2602.24,214.92,1009.08,37
CPT,78014,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Age 21+",2602.24,2602.24,240.01,240.01,4
CPT,78014,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) Age Under 21",2602.24,2602.24,244.37,244.37,4
CPT,78015,NM THYROID METS LTD,2818.14,2818.14,197.27,2818.14,48
CPT,78015,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",2818.14,2818.14,212.95,891.25,37
CPT,78015,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Age 21+",2818.14,2818.14,237.81,237.81,4
CPT,78015,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) Age Under 21",2818.14,2818.14,242.13,242.13,4
CPT,78016,NM THYROID METS ADDL,807.37,807.37,56.52,807.37,48
CPT,78016,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",807.37,807.37,254.42,1154.41,37
CPT,78016,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Age 21+",807.37,807.37,284.12,284.12,4
CPT,78016,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Age Under 21",807.37,807.37,289.28,289.28,4
CPT,78018,NM THYROID METS W BDY,4366.45,4366.45,305.65,4366.45,48
CPT,78018,Thyroid carcinoma metastases imaging; whole body ,4366.45,4366.45,286.34,1269.05,37
CPT,78018,Thyroid carcinoma metastases imaging; whole body Age 21+,4366.45,4366.45,319.77,319.77,4
CPT,78018,Thyroid carcinoma metastases imaging; whole body Age Under 21,4366.45,4366.45,325.58,325.58,4
CPT,78020,NM THYROID METS UPTAKE,947.9,947.9,66.35,947.9,54
CPT,78020,Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure) ,947.9,947.9,79.98,261.54,10
CPT,78070,NM PLANAR PARATHYROID,3993.41,3993.41,279.54,3993.41,48
CPT,78070,"Parathyroid planar imaging (including subtraction, when performed); ",3993.41,3993.41,269.55,1210.9,37
CPT,78070,"Parathyroid planar imaging (including subtraction, when performed); Age 21+",3993.41,3993.41,301.01,301.01,4
CPT,78070,"Parathyroid planar imaging (including subtraction, when performed); Age Under 21",3993.41,3993.41,306.49,306.49,4
CPT,78071,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,321.88,1388.53,37
CPT,78071,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) Age 21+",,,359.46,359.46,4
CPT,78071,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) Age Under 21",,,365.99,365.99,4
CPT,78072,NM PARATHY SPECT & CT,3276.75,3276.75,229.37,3276.75,48
CPT,78072,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",3276.75,3276.75,445.35,1456.31,22
CPT,78075,"Adrenal imaging, cortex and/or medulla ",6986.57,6986.57,409.1,2938.37,37
CPT,78075,"Adrenal imaging, cortex and/or medulla Age 21+",6986.57,6986.57,456.86,456.86,4
CPT,78075,"Adrenal imaging, cortex and/or medulla Age Under 21",6986.57,6986.57,465.17,465.17,4
CPT,78075,NM ADRENAL,6986.57,6986.57,489.06,6986.57,48
CPT,78099,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,78102,Bone marrow imaging; limited area ,2299.48,2299.48,159.95,848.52,37
CPT,78102,Bone marrow imaging; limited area Age 21+,2299.48,2299.48,178.63,178.63,4
CPT,78102,Bone marrow imaging; limited area Age Under 21,2299.48,2299.48,181.88,181.88,4
CPT,78102,NM BONE MARROW LTD,2299.48,2299.48,160.96,2299.48,48
CPT,78103,Bone marrow imaging; multiple areas ,2250.93,2250.93,171.79,850.89,37
CPT,78103,Bone marrow imaging; multiple areas Age 21+,2250.93,2250.93,191.85,191.85,4
CPT,78103,Bone marrow imaging; multiple areas Age Under 21,2250.93,2250.93,195.34,195.34,4
CPT,78103,NM BONE MARROW MULTI,2250.93,2250.93,157.57,2250.93,48
CPT,78104,Bone marrow imaging; whole body ,4193.99,4193.99,231.04,976.82,37
CPT,78104,Bone marrow imaging; whole body Age 21+,4193.99,4193.99,258.02,258.02,4
CPT,78104,Bone marrow imaging; whole body Age Under 21,4193.99,4193.99,262.71,262.71,4
CPT,78104,NM BONE MARROW W BDY,4193.99,4193.99,293.58,4193.99,48
CPT,78110,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,67.8,2938.37,37
CPT,78110,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Age 21+",,,75.71,75.71,4
CPT,78110,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Age Under 21",,,77.09,77.09,4
CPT,78111,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,72.08,2938.37,37
CPT,78111,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Age 21+",,,80.5,80.5,4
CPT,78111,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Age Under 21",,,81.96,81.96,4
CPT,78120,NM RBC VOLUME SINGLE,3926.99,3926.99,274.89,3926.99,48
CPT,78120,Red cell volume determination (separate procedure); single sampling ,3926.99,3926.99,69.44,848.52,37
CPT,78120,Red cell volume determination (separate procedure); single sampling Age 21+,3926.99,3926.99,77.55,77.55,4
CPT,78120,Red cell volume determination (separate procedure); single sampling Age Under 21,3926.99,3926.99,78.96,78.96,4
CPT,78121,NM RBC VOLUME MULTI,6522.84,6522.84,456.6,6522.84,48
CPT,78121,Red cell volume determination (separate procedure); multiple samplings ,6522.84,6522.84,75.7,1101.15,37
CPT,78121,Red cell volume determination (separate procedure); multiple samplings Age 21+,6522.84,6522.84,84.53,84.53,4
CPT,78121,Red cell volume determination (separate procedure); multiple samplings Age Under 21,6522.84,6522.84,86.07,86.07,4
CPT,78122,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,97.42,1101.15,37
CPT,78122,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) Age 21+",,,108.79,108.79,4
CPT,78122,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) Age Under 21",,,110.77,110.77,4
CPT,78130,NM RBC SURVIVAL,4434.15,4434.15,310.39,4434.15,48
CPT,78130,Red cell survival study ,4434.15,4434.15,121.45,848.52,37
CPT,78130,Red cell survival study Age 21+,4434.15,4434.15,135.63,135.63,4
CPT,78130,Red cell survival study Age Under 21,4434.15,4434.15,138.1,138.1,4
CPT,78140,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,107.3,848.52,37
CPT,78140,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) Age 21+",,,119.82,119.82,4
CPT,78140,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) Age Under 21",,,122.0,122.0,4
CPT,78185,NM SPLEEN W&W/O FLOW,1829.35,1829.35,128.05,1829.35,48
CPT,78185,"Spleen imaging only, with or without vascular flow ",1829.35,1829.35,156.0,848.52,37
CPT,78185,"Spleen imaging only, with or without vascular flow Age 21+",1829.35,1829.35,174.22,174.22,4
CPT,78185,"Spleen imaging only, with or without vascular flow Age Under 21",1829.35,1829.35,177.39,177.39,4
CPT,78191,Platelet survival study ,,,121.45,848.52,37
CPT,78191,Platelet survival study Age 21+,,,135.63,135.63,4
CPT,78191,Platelet survival study Age Under 21,,,138.1,138.1,4
CPT,78195,Lymphatics and lymph nodes imaging ,4190.16,4190.16,324.84,1388.53,37
CPT,78195,Lymphatics and lymph nodes imaging Age 21+,4190.16,4190.16,362.77,362.77,4
CPT,78195,Lymphatics and lymph nodes imaging Age Under 21,4190.16,4190.16,369.36,369.36,4
CPT,78195,NM LYMPHIMAG,4190.16,4190.16,293.31,4190.16,48
CPT,78199,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,78201,Liver imaging; static only ,2309.69,2309.69,176.41,1623.62,37
CPT,78201,Liver imaging; static only Age 21+,2309.69,2309.69,197.01,197.01,4
CPT,78201,Liver imaging; static only Age Under 21,2309.69,2309.69,200.59,200.59,4
CPT,78201,NM LIVER,2309.69,2309.69,161.68,2309.69,48
CPT,78202,Liver imaging; with vascular flow ,2995.69,2995.69,192.53,1623.62,37
CPT,78202,Liver imaging; with vascular flow Age 21+,2995.69,2995.69,215.01,215.01,4
CPT,78202,Liver imaging; with vascular flow Age Under 21,2995.69,2995.69,218.92,218.92,4
CPT,78202,NM LIVER W/FLOW,2995.69,2995.69,209.7,2995.69,48
CPT,78215,Liver and spleen imaging; static only ,3403.23,3403.23,181.67,848.52,37
CPT,78215,Liver and spleen imaging; static only Age 21+,3403.23,3403.23,202.88,202.88,4
CPT,78215,Liver and spleen imaging; static only Age Under 21,3403.23,3403.23,206.57,206.57,4
CPT,78215,NM LIVER & SPLEEN,3403.23,3403.23,238.23,3403.23,48
CPT,78216,Liver and spleen imaging; with vascular flow ,3476.04,3476.04,126.71,848.52,37
CPT,78216,Liver and spleen imaging; with vascular flow Age 21+,3476.04,3476.04,141.5,141.5,4
CPT,78216,Liver and spleen imaging; with vascular flow Age Under 21,3476.04,3476.04,144.08,144.08,4
CPT,78216,NM LVR & SPLN W/FLOW,3476.04,3476.04,243.32,3476.04,48
CPT,78226,HEPA IMAG INCL GB,3347.01,3347.01,234.29,3347.01,48
CPT,78226,"Hepatobiliary system imaging, including gallbladder when present; ",3347.01,3347.01,298.51,1369.13,37
CPT,78226,"Hepatobiliary system imaging, including gallbladder when present; Age 21+",3347.01,3347.01,333.37,333.37,4
CPT,78226,"Hepatobiliary system imaging, including gallbladder when present; Age Under 21",3347.01,3347.01,339.43,339.43,4
CPT,78227,HEPA IMAG INCL GB W PHA,4354.95,4354.95,304.85,4354.95,48
CPT,78227,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",4354.95,4354.95,401.19,1872.86,37
CPT,78227,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Age 21+",4354.95,4354.95,448.03,448.03,4
CPT,78227,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Age Under 21",4354.95,4354.95,456.18,456.18,4
CPT,78230,NM SALIVARY GLAND,3111.96,3111.96,217.84,3111.96,48
CPT,78230,Salivary gland imaging; ,3111.96,3111.96,163.9,848.52,37
CPT,78230,Salivary gland imaging; Age 21+,3111.96,3111.96,183.04,183.04,4
CPT,78230,Salivary gland imaging; Age Under 21,3111.96,3111.96,186.37,186.37,4
CPT,78231,Salivary gland imaging; with serial images ,,,102.03,848.52,37
CPT,78231,Salivary gland imaging; with serial images Age 21+,,,113.94,113.94,4
CPT,78231,Salivary gland imaging; with serial images Age Under 21,,,116.01,116.01,4
CPT,78232,NM SALIVARY GLND FUNCT,2401.68,2401.68,168.12,2401.68,48
CPT,78232,Salivary gland function study ,2401.68,2401.68,100.38,848.52,37
CPT,78232,Salivary gland function study Age 21+,2401.68,2401.68,112.1,112.1,4
CPT,78232,Salivary gland function study Age Under 21,2401.68,2401.68,114.14,114.14,4
CPT,78258,Esophageal motility ,,,197.8,854.11,37
CPT,78258,Esophageal motility Age 21+,,,220.89,220.89,4
CPT,78258,Esophageal motility Age Under 21,,,224.91,224.91,4
CPT,78261,Gastric mucosa imaging ,,,185.29,848.52,37
CPT,78261,Gastric mucosa imaging Age 21+,,,206.92,206.92,4
CPT,78261,Gastric mucosa imaging Age Under 21,,,210.68,210.68,4
CPT,78262,Gastroesophageal reflux study ,2553.68,2553.68,227.09,970.32,37
CPT,78262,Gastroesophageal reflux study Age 21+,2553.68,2553.68,253.61,253.61,4
CPT,78262,Gastroesophageal reflux study Age Under 21,2553.68,2553.68,258.22,258.22,4
CPT,78262,NM GASTRESOPHAG RFLX,2553.68,2553.68,178.76,2553.68,48
CPT,78264,"Gastric emptying imaging study (eg, solid, liquid, or both); ",5518.74,5518.74,303.46,1380.42,37
CPT,78264,"Gastric emptying imaging study (eg, solid, liquid, or both); Age 21+",5518.74,5518.74,338.89,338.89,4
CPT,78264,"Gastric emptying imaging study (eg, solid, liquid, or both); Age Under 21",5518.74,5518.74,345.05,345.05,4
CPT,78264,NM GASTRIC EMPTYING,5518.74,5518.74,386.31,5518.74,48
CPT,78265,GASTRIC EMPTY W SM BWL,1811.47,1811.47,126.8,1811.47,48
CPT,78265,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",1811.47,1811.47,359.07,1583.86,37
CPT,78265,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit Age 21+",1811.47,1811.47,400.99,400.99,4
CPT,78265,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit Age Under 21",1811.47,1811.47,408.28,408.28,4
CPT,78266,GASTRIC EMPTY W SB MULT,2401.68,2401.68,168.12,2401.68,48
CPT,78266,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",2401.68,2401.68,408.12,1948.76,37
CPT,78266,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age 21+",2401.68,2401.68,455.76,455.76,4
CPT,78266,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age Under 21",2401.68,2401.68,464.05,464.05,4
CPT,78267,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,6.64,49.55,110
CPT,78267,"Urea breath test, C-14 (isotopic); acquisition for analysis Age 21+",,,10.22,10.22,4
CPT,78267,"Urea breath test, C-14 (isotopic); acquisition for analysis Age Under 21",,,10.4,10.4,4
CPT,78267,"Urea breath test, C-14 (isotopic); acquisition for analysis Other Outpatient",,,11.61,11.61,6
CPT,78268,"Urea breath test, C-14 (isotopic); analysis ",,,56.65,422.96,110
CPT,78268,"Urea breath test, C-14 (isotopic); analysis Age 21+",,,87.23,87.23,4
CPT,78268,"Urea breath test, C-14 (isotopic); analysis Age Under 21",,,88.82,88.82,4
CPT,78268,"Urea breath test, C-14 (isotopic); analysis Other Outpatient",,,99.13,99.13,6
CPT,78278,Acute gastrointestinal blood loss imaging ,4116.06,4116.06,319.91,1399.82,37
CPT,78278,Acute gastrointestinal blood loss imaging Age 21+,4116.06,4116.06,357.26,357.26,4
CPT,78278,Acute gastrointestinal blood loss imaging Age Under 21,4116.06,4116.06,363.75,363.75,4
CPT,78278,NM ACUTE GI BLOOD LOSS,4116.06,4116.06,288.12,4116.06,48
CPT,78282,Gastrointestinal protein loss ,,,45.0,1583.86,37
CPT,78282,Gastrointestinal protein loss Age 21+,,,50.26,50.26,4
CPT,78282,Gastrointestinal protein loss Age Under 21,,,51.17,51.17,4
CPT,78290,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",3681.71,3681.71,303.12,1385.31,37
CPT,78290,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) Age 21+",3681.71,3681.71,338.51,338.51,4
CPT,78290,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) Age Under 21",3681.71,3681.71,344.67,344.67,4
CPT,78290,NM INTESTINE IMAGING,3681.71,3681.71,257.72,3681.71,48
CPT,78291,NM SHUNT PATENCY,1305.59,1305.59,91.39,1305.59,48
CPT,78291,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",1305.59,1305.59,242.24,997.79,37
CPT,78291,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) Age 21+",1305.59,1305.59,270.52,270.52,4
CPT,78291,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) Age Under 21",1305.59,1305.59,275.44,275.44,4
CPT,78299,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,78300,Bone and/or joint imaging; limited area ,3640.82,3640.82,209.0,928.35,37
CPT,78300,Bone and/or joint imaging; limited area Age 21+,3640.82,3640.82,233.4,233.4,4
CPT,78300,Bone and/or joint imaging; limited area Age Under 21,3640.82,3640.82,237.64,237.64,4
CPT,78300,NM BONE LIMITED,3640.82,3640.82,254.86,3640.82,48
CPT,78305,Bone and/or joint imaging; multiple areas ,3934.65,3934.65,254.08,1115.65,37
CPT,78305,Bone and/or joint imaging; multiple areas Age 21+,3934.65,3934.65,283.75,283.75,4
CPT,78305,Bone and/or joint imaging; multiple areas Age Under 21,3934.65,3934.65,288.9,288.9,4
CPT,78305,NM BONE MULTIPLE,3934.65,3934.65,275.43,3934.65,48
CPT,78306,Bone and/or joint imaging; whole body ,4841.67,4841.67,271.53,1212.51,37
CPT,78306,Bone and/or joint imaging; whole body Age 21+,4841.67,4841.67,303.23,303.23,4
CPT,78306,Bone and/or joint imaging; whole body Age Under 21,4841.67,4841.67,308.74,308.74,4
CPT,78306,NM BONE WHOLE BODY,4841.67,4841.67,338.92,4841.67,48
CPT,78315,Bone and/or joint imaging; 3 phase study ,6665.91,6665.91,317.94,1382.04,37
CPT,78315,Bone and/or joint imaging; 3 phase study Age 21+,6665.91,6665.91,355.06,355.06,4
CPT,78315,Bone and/or joint imaging; 3 phase study Age Under 21,6665.91,6665.91,361.51,361.51,4
CPT,78315,NM BONE 3 PHASE,6665.91,6665.91,466.61,6665.91,48
CPT,78350,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.11,98.47,22
CPT,78351,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,71.05,24
CPT,78399,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,78414,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,31.1,1101.15,37
CPT,78414,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations Age 21+",,,172.74,172.74,4
CPT,78414,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations Age Under",,,175.88,175.88,4
CPT,78428,Cardiac shunt detection ,904.46,904.46,173.11,848.52,37
CPT,78428,Cardiac shunt detection Age 21+,904.46,904.46,193.33,193.33,4
CPT,78428,Cardiac shunt detection Age Under 21,904.46,904.46,196.84,196.84,4
CPT,78428,NM CARD SHUNT DTCTION,904.46,904.46,63.31,904.46,48
CPT,78429,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; with concurrently a",26221.67,26221.67,117.01,3982.75,13
CPT,78429,PET MYOCARD MET SGL W CT,26221.67,26221.67,1835.52,26221.67,43
CPT,78430,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",26221.67,26221.67,111.09,3982.75,13
CPT,78430,PET MYOCARD PER SGL W CT,26221.67,26221.67,1835.52,26221.67,43
CPT,78431,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",32368.92,32368.92,129.36,5063.63,13
CPT,78431,PET MYOCARD PER MTL W CT,32368.92,32368.92,2265.82,32368.92,43
CPT,78432,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",21509.03,21509.03,137.75,6188.63,13
CPT,78432,PET MYOCARD PER DUAL TRC,21509.03,21509.03,1505.63,21509.03,43
CPT,78433,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",28057.42,28057.42,150.59,6188.63,13
CPT,78433,PET MYOCARD PER DUAL CT,28057.42,28057.42,1964.02,28057.42,43
CPT,78434,"Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (List separately in addition to code for primary procedure) ",,,43.44,3982.75,10
CPT,78445,NM VASCULAR FLOW,1217.43,1217.43,85.22,1217.43,48
CPT,78445,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",1217.43,1217.43,193.85,848.52,37
CPT,78445,"Non-cardiac vascular flow imaging (ie, angiography, venography) Age 21+",1217.43,1217.43,216.48,216.48,4
CPT,78445,"Non-cardiac vascular flow imaging (ie, angiography, venography) Age Under 21",1217.43,1217.43,220.42,220.42,4
CPT,78451,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",6016.95,6016.95,311.01,2938.37,45
CPT,78451,NM MYOCRD SPECT R/S SGL,6016.95,6016.95,421.19,6016.95,48
CPT,78452,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",8197.63,8197.63,431.48,2938.37,45
CPT,78452,NM MYOCRD SPECT R/S MULT,8197.63,8197.63,573.83,8197.63,48
CPT,78453,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",6016.95,6016.95,268.56,2938.37,45
CPT,78453,NM MYOCRD PERF R/S SGL,6016.95,6016.95,421.19,6016.95,48
CPT,78454,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",6016.95,6016.95,400.54,2938.37,45
CPT,78454,NM MYOCRD PERF R/S MULT,6016.95,6016.95,421.19,6016.95,48
CPT,78456,"Acute venous thrombosis imaging, peptide ",,,286.34,2938.37,37
CPT,78456,"Acute venous thrombosis imaging, peptide Age 21+",,,319.77,319.77,4
CPT,78456,"Acute venous thrombosis imaging, peptide Age Under 21",,,325.58,325.58,4
CPT,78457,NM VENOGRAM UNI,4538.91,4538.91,317.72,4538.91,48
CPT,78457,"Venous thrombosis imaging, venogram; unilateral ",4538.91,4538.91,154.68,1623.62,37
CPT,78457,"Venous thrombosis imaging, venogram; unilateral Age 21+",4538.91,4538.91,172.74,172.74,4
CPT,78457,"Venous thrombosis imaging, venogram; unilateral Age Under 21",4538.91,4538.91,175.88,175.88,4
CPT,78458,NM VENOGRAM BI,1992.88,1992.88,139.5,1992.88,48
CPT,78458,"Venous thrombosis imaging, venogram; bilateral ",1992.88,1992.88,192.53,848.52,37
CPT,78458,"Venous thrombosis imaging, venogram; bilateral Age 21+",1992.88,1992.88,215.01,215.01,4
CPT,78458,"Venous thrombosis imaging, venogram; bilateral Age Under 21",1992.88,1992.88,218.92,218.92,4
CPT,78459,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; ",21509.03,21509.03,225.0,6566.0,14
CPT,78459,PET MYOCARDIAL MET EV,21509.03,21509.03,1505.63,21509.03,43
CPT,78460,"HEART MUSCLE BLOOD, SINGLE ",,,225.0,225.0,1
CPT,78461,"HEART MUSCLE BLOOD, MULTIPLE ",,,225.0,225.0,1
CPT,78464,"HEART IMAGE (3D), SINGLE ",,,225.0,225.0,1
CPT,78465,"HEART IMAGE (3D), MULTIPLE ",,,225.0,225.0,1
CPT,78466,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",3511.81,3511.81,171.48,848.52,38
CPT,78466,"Myocardial imaging, infarct avid, planar; qualitative or quantitative Age 21+",3511.81,3511.81,191.5,191.5,4
CPT,78466,"Myocardial imaging, infarct avid, planar; qualitative or quantitative Age Under 21",3511.81,3511.81,194.98,194.98,4
CPT,78466,NM MYOCARD IMAGE,3511.81,3511.81,245.83,3511.81,48
CPT,78468,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",2081.04,2081.04,180.35,1101.15,38
CPT,78468,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Age 21+",2081.04,2081.04,201.41,201.41,4
CPT,78468,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Age Under 21",2081.04,2081.04,205.07,205.07,4
CPT,78468,NM MYOCARD IMAGE W/EF,2081.04,2081.04,145.67,2081.04,48
CPT,78469,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",4102.01,4102.01,225.0,1623.62,23
CPT,78469,NM MYOCARD SPECT IMG,4102.01,4102.01,287.14,4102.01,48
CPT,78472,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",4960.46,4960.46,209.65,848.52,46
CPT,78472,NM MUGA R/S SINGLE,4960.46,4960.46,347.23,4960.46,48
CPT,78473,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",8220.62,8220.62,225.0,1017.18,46
CPT,78473,NM MUGA R/S MULT,8220.62,8220.62,575.44,8220.62,48
CPT,78478,HEART WALL MOTION ADD-ON ,,,225.0,225.0,1
CPT,78480,HEART FUNCTION ADD-ON ,,,225.0,225.0,1
CPT,78481,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",3332.96,3332.96,164.24,1101.15,46
CPT,78481,NM CARDIAC PL SGL R/S,3332.96,3332.96,233.31,3332.96,48
CPT,78483,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",6437.26,6437.26,221.17,1101.15,46
CPT,78483,NM CARDIAC PL MULT R/S,6437.26,6437.26,450.61,6437.26,48
CPT,78491,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",21509.03,21509.03,225.0,6566.0,14
CPT,78491,PET MYOCARD SGL R/S,21509.03,21509.03,1505.63,21509.03,43
CPT,78492,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",23259.18,23259.18,225.0,6566.0,14
CPT,78492,PET MYOCARD MULTI R/S,23259.18,23259.18,1628.14,23259.18,43
CPT,78494,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",4960.46,4960.46,210.97,848.52,37
CPT,78494,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing Age 21+",4960.46,4960.46,235.6,235.6,4
CPT,78494,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing Age Under 21",4960.46,4960.46,239.88,239.88,4
CPT,78494,NM CARDIAC POOL SPECT,4960.46,4960.46,347.23,4960.46,48
CPT,78496,"Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass technique (List separately in addition to code for primary procedure) ",4034.3,4034.3,27.65,90.41,10
CPT,78496,NM CARDIAC PL SGL W/EF,4034.3,4034.3,282.4,4034.3,54
CPT,78499,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,78579,PULM VENT IMAGING,6052.71,6052.71,423.69,6052.71,48
CPT,78579,"Pulmonary ventilation imaging (eg, aerosol or gas) ",6052.71,6052.71,173.78,848.52,37
CPT,78579,"Pulmonary ventilation imaging (eg, aerosol or gas) Age 21+",6052.71,6052.71,194.07,194.07,4
CPT,78579,"Pulmonary ventilation imaging (eg, aerosol or gas) Age Under 21",6052.71,6052.71,197.6,197.6,4
CPT,78580,NM PULM PERF PARTIC,5518.74,5518.74,386.31,5518.74,48
CPT,78580,"Pulmonary perfusion imaging (eg, particulate) ",5518.74,5518.74,217.88,941.29,37
CPT,78580,"Pulmonary perfusion imaging (eg, particulate) Age 21+",5518.74,5518.74,243.32,243.32,4
CPT,78580,"Pulmonary perfusion imaging (eg, particulate) Age Under 21",5518.74,5518.74,247.74,247.74,4
CPT,78582,PULM VENT & PERF IMAG,6052.71,6052.71,423.69,6052.71,48
CPT,78582,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",6052.71,6052.71,304.76,1314.25,37
CPT,78582,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Age 21+",6052.71,6052.71,340.34,340.34,4
CPT,78582,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Age Under 21",6052.71,6052.71,346.53,346.53,4
CPT,78597,QUANT DIF PULM PERF,5430.59,5430.59,380.14,5430.59,48
CPT,78597,"Quantitative differential pulmonary perfusion, including imaging when performed ",5430.59,5430.59,185.29,848.52,37
CPT,78597,"Quantitative differential pulmonary perfusion, including imaging when performed Age 21+",5430.59,5430.59,206.92,206.92,4
CPT,78597,"Quantitative differential pulmonary perfusion, including imaging when performed Age Under 21",5430.59,5430.59,210.68,210.68,4
CPT,78598,QUANT DIF PULM PRF & VNT,5430.59,5430.59,380.14,5430.59,48
CPT,78598,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",5430.59,5430.59,277.78,1231.91,37
CPT,78598,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Age 21+",5430.59,5430.59,310.21,310.21,4
CPT,78598,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Age Under 21",5430.59,5430.59,315.85,315.85,4
CPT,78599,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,78600,"Brain imaging, less than 4 static views; ",2005.65,2005.65,167.85,848.52,37
CPT,78600,"Brain imaging, less than 4 static views; Age 21+",2005.65,2005.65,187.45,187.45,4
CPT,78600,"Brain imaging, less than 4 static views; Age Under 21",2005.65,2005.65,190.86,190.86,4
CPT,78600,NM BRAIN < 4 STATIC,2005.65,2005.65,140.4,2005.65,48
CPT,78601,"Brain imaging, less than 4 static views; with vascular flow ",1649.24,1649.24,199.77,892.86,37
CPT,78601,"Brain imaging, less than 4 static views; with vascular flow Age 21+",1649.24,1649.24,223.09,223.09,4
CPT,78601,"Brain imaging, less than 4 static views; with vascular flow Age Under 21",1649.24,1649.24,227.15,227.15,4
CPT,78601,NM BRAIN < 4 STATIC V FL,1649.24,1649.24,115.45,1649.24,48
CPT,78605,"Brain imaging, minimum 4 static views; ",2139.8,2139.8,186.27,1101.15,37
CPT,78605,"Brain imaging, minimum 4 static views; Age 21+",2139.8,2139.8,208.02,208.02,4
CPT,78605,"Brain imaging, minimum 4 static views; Age Under 21",2139.8,2139.8,211.8,211.8,4
CPT,78605,NM BRAIN MIN 4 STATIC,2139.8,2139.8,149.79,2139.8,48
CPT,78606,"Brain imaging, minimum 4 static views; with vascular flow ",2792.59,2792.59,300.16,1390.14,37
CPT,78606,"Brain imaging, minimum 4 static views; with vascular flow Age 21+",2792.59,2792.59,335.2,335.2,4
CPT,78606,"Brain imaging, minimum 4 static views; with vascular flow Age Under 21",2792.59,2792.59,341.3,341.3,4
CPT,78606,NM BRAIN MIN 4 STATIC VF,2792.59,2792.59,195.48,2792.59,48
CPT,78607,"BRAIN IMAGING, TOMOGRAPHIC (SPECT) ",,,2200.0,2200.0,1
CPT,78608,"Brain imaging, positron emission tomography (PET); metabolic evaluation ",18377.91,18377.91,1442.53,6566.0,29
CPT,78608,"Brain imaging, positron emission tomography (PET); metabolic evaluation Age 21+",18377.91,18377.91,1610.95,1610.95,4
CPT,78608,"Brain imaging, positron emission tomography (PET); metabolic evaluation Age Under 21",18377.91,18377.91,1640.24,1640.24,4
CPT,78608,PET BRAIN METABOLIC EV,18377.91,18377.91,1286.45,18377.91,43
CPT,78609,"Brain imaging, positron emission tomography (PET); perfusion evaluation ",27565.58,27565.58,96.26,6566.0,13
CPT,78609,PET BRAIN PERFUSION EV,27565.58,27565.58,1929.59,27565.58,49
CPT,78610,"Brain imaging, vascular flow only ",3220.54,3220.54,162.58,1101.15,37
CPT,78610,"Brain imaging, vascular flow only Age 21+",3220.54,3220.54,181.57,181.57,4
CPT,78610,"Brain imaging, vascular flow only Age Under 21",3220.54,3220.54,184.87,184.87,4
CPT,78610,NM BRAIN VASC FLOW,3220.54,3220.54,225.44,3220.54,48
CPT,78630,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",4526.13,4526.13,309.38,1417.56,37
CPT,78630,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography Age 21+",4526.13,4526.13,345.5,345.5,4
CPT,78630,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography Age Under 21",4526.13,4526.13,351.78,351.78,4
CPT,78630,NM CISTERNOGRAM,4526.13,4526.13,316.83,4526.13,48
CPT,78635,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",3916.77,3916.77,310.03,1435.35,37
CPT,78635,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Age 21+",3916.77,3916.77,346.23,346.23,4
CPT,78635,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Age Under 21",3916.77,3916.77,352.52,352.52,4
CPT,78635,NM VENTRICULOGRAM,3916.77,3916.77,274.17,3916.77,48
CPT,78645,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",2577.97,2577.97,295.88,1385.31,37
CPT,78645,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation Age 21+",2577.97,2577.97,330.43,330.43,4
CPT,78645,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation Age Under 21",2577.97,2577.97,336.44,336.44,4
CPT,78645,NM CSF SHUNT EVAL,2577.97,2577.97,180.46,2577.97,48
CPT,78650,Cerebrospinal fluid leakage detection and localization ,4239.97,4239.97,248.81,2938.37,37
CPT,78650,Cerebrospinal fluid leakage detection and localization Age 21+,4239.97,4239.97,277.86,277.86,4
CPT,78650,Cerebrospinal fluid leakage detection and localization Age Under 21,4239.97,4239.97,282.91,282.91,4
CPT,78650,NM CSF LEAKAGE LOCAL,4239.97,4239.97,296.8,4239.97,48
CPT,78660,NM DACRYOSYSTOGRAM,1355.41,1355.41,94.88,1355.41,48
CPT,78660,Radiopharmaceutical dacryocystography ,1355.41,1355.41,141.85,848.52,37
CPT,78660,Radiopharmaceutical dacryocystography Age 21+,1355.41,1355.41,158.41,158.41,4
CPT,78660,Radiopharmaceutical dacryocystography Age Under 21,1355.41,1355.41,161.29,161.29,4
CPT,78699,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,78700,Kidney imaging morphology; ,2569.01,2569.01,158.3,848.52,37
CPT,78700,Kidney imaging morphology; Age 21+,2569.01,2569.01,176.78,176.78,4
CPT,78700,Kidney imaging morphology; Age Under 21,2569.01,2569.01,180.0,180.0,4
CPT,78700,NM KIDNEY SCAN,2569.01,2569.01,179.83,2569.01,48
CPT,78701,Kidney imaging morphology; with vascular flow ,3265.26,3265.26,208.01,899.32,37
CPT,78701,Kidney imaging morphology; with vascular flow Age 21+,3265.26,3265.26,232.3,232.3,4
CPT,78701,Kidney imaging morphology; with vascular flow Age Under 21,3265.26,3265.26,236.52,236.52,4
CPT,78701,NM KIDNEY SCAN W/FLOW,3265.26,3265.26,228.57,3265.26,48
CPT,78707,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",6986.57,6986.57,215.25,1101.15,37
CPT,78707,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age 21+",6986.57,6986.57,240.38,240.38,4
CPT,78707,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under 21",6986.57,6986.57,244.75,244.75,4
CPT,78707,NM KDNEY SCAN FLW&FNC,6986.57,6986.57,489.06,6986.57,48
CPT,78708,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",3516.91,3516.91,168.36,1101.15,37
CPT,78708,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) Age 21+",3516.91,3516.91,191.13,191.13,4
CPT,78708,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) Age Under 21",3516.91,3516.91,194.6,194.6,4
CPT,78708,NM KDNEY FLW&FNC W/RX,3516.91,3516.91,246.18,3516.91,48
CPT,78709,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,340.31,1398.21,37
CPT,78709,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) Age 21+",,,380.04,380.04,4
CPT,78709,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) Age Under 21",,,386.95,386.95,4
CPT,78725,"Kidney function study, non-imaging radioisotopic study ",2942.05,2942.05,111.25,848.52,37
CPT,78725,"Kidney function study, non-imaging radioisotopic study Age 21+",2942.05,2942.05,124.23,124.23,4
CPT,78725,"Kidney function study, non-imaging radioisotopic study Age Under 21",2942.05,2942.05,126.49,126.49,4
CPT,78725,NM KIDNEY FNC ONLY,2942.05,2942.05,205.94,2942.05,48
CPT,78730,Urinary bladder residual study (List separately in addition to code for primary procedure) ,,,98.26,321.31,10
CPT,78740,NM URETERAL REFLUX,2930.56,2930.56,205.14,2930.56,48
CPT,78740,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,2930.56,2930.56,200.77,889.64,37
CPT,78740,Ureteral reflux study (radiopharmaceutical voiding cystogram) Age 21+,2930.56,2930.56,224.21,224.21,4
CPT,78740,Ureteral reflux study (radiopharmaceutical voiding cystogram) Age Under 21,2930.56,2930.56,228.29,228.29,4
CPT,78761,NM TESTICULAR W/FLOW,2768.3,2768.3,193.78,2768.3,48
CPT,78761,Testicular imaging with vascular flow ,2768.3,2768.3,197.15,848.52,37
CPT,78761,Testicular imaging with vascular flow Age 21+,2768.3,2768.3,220.17,220.17,4
CPT,78761,Testicular imaging with vascular flow Age Under 21,2768.3,2768.3,224.17,224.17,4
CPT,78799,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,78800,NM TUMOR LOCAL LTD,3849.06,3849.06,269.43,3849.06,48
CPT,78800,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",3849.06,3849.06,229.09,848.52,45
CPT,78801,NM TUMOR LOCAL MULT,4480.15,4480.15,313.61,4480.15,48
CPT,78801,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",4480.15,4480.15,251.78,1017.18,45
CPT,78802,NM TUMOR LC WHBD SGL DAY,5051.19,5051.19,353.58,5051.19,48
CPT,78802,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",5051.19,5051.19,284.36,2938.37,45
CPT,78803,NM TUMOR LCL SPECT,8132.48,8132.48,569.27,8132.48,48
CPT,78803,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",8132.48,8132.48,349.86,2938.37,45
CPT,78804,NM TUM LC WB 2/MORE DAYS,8315.15,8315.15,582.06,8315.15,48
CPT,78804,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",8315.15,8315.15,593.4,2938.37,45
CPT,78808,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,91.45,1649.22,22
CPT,78810,TUMOR IMAGING (PET) ,,,2200.0,2200.0,1
CPT,78811,PET TUMOR LIMITED AREA,27139.545,27139.545,1835.52,28057.42,129
CPT,78811,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) ",,,1307.36,6566.0,28
CPT,78811,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) Age 21+",,,1460.0,1460.0,4
CPT,78811,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) Age Under 21",,,1486.54,1486.54,4
CPT,78812,PET TUMOR SK BS MIDTHIGH,28057.42,28057.42,1964.02,28057.42,43
CPT,78812,Positron emission tomography (PET) imaging; skull base to mid-thigh ,28057.42,28057.42,1467.01,6566.0,28
CPT,78812,Positron emission tomography (PET) imaging; skull base to mid-thigh Age 21+,28057.42,28057.42,1638.29,1638.29,4
CPT,78812,Positron emission tomography (PET) imaging; skull base to mid-thigh Age Under 21,28057.42,28057.42,1668.07,1668.07,4
CPT,78813,PET TUMOR WHOLE BODY,28057.42,28057.42,1964.02,28057.42,43
CPT,78813,Positron emission tomography (PET) imaging; whole body ,28057.42,28057.42,1467.01,6566.0,28
CPT,78813,Positron emission tomography (PET) imaging; whole body Age 21+,28057.42,28057.42,1638.29,1638.29,4
CPT,78813,Positron emission tomography (PET) imaging; whole body Age Under 21,28057.42,28057.42,1668.07,1668.07,4
CPT,78814,PET/CT TUMOR LIMITD AREA,26221.67,26221.67,1835.52,26221.67,43
CPT,78814,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) ",26221.67,26221.67,1467.01,6566.0,28
CPT,78814,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) Age 21+",26221.67,26221.67,1638.29,1638.29,4
CPT,78814,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) Age Under 21",26221.67,26221.67,1668.07,1668.07,4
CPT,78815,PET/CT TUMOR SK BS MIDTH,28057.42,28057.42,1964.02,28057.42,43
CPT,78815,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh ,28057.42,28057.42,1467.01,6566.0,28
CPT,78815,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh Age 21+,28057.42,28057.42,1638.29,1638.29,4
CPT,78815,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh Age Under 21,28057.42,28057.42,1668.07,1668.07,4
CPT,78816,PET/CT TUMOR WHOLE BODY,28057.42,28057.42,1964.02,28057.42,43
CPT,78816,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body ,28057.42,28057.42,1467.01,6566.0,28
CPT,78816,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body Age 21+,28057.42,28057.42,1638.29,1638.29,4
CPT,78816,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body Age Under 21,28057.42,28057.42,1668.07,1668.07,4
CPT,78830,NM TUMOR SNG AREA SD IMG,7312.33,7312.33,511.86,7312.33,48
CPT,78830,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",7312.33,7312.33,429.5,2938.37,45
CPT,78831,NM TUMOR MIN 2 SD>2 DAY,7667.47,7667.47,536.72,7667.47,48
CPT,78831,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",7667.47,7667.47,642.45,2938.37,45
CPT,78832,NM TUMOR SPECT W CT 2 AR,8295.99,8295.99,580.72,8295.99,48
CPT,78832,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",8295.99,8295.99,811.6,3807.1,45
CPT,78835,NM QUAN MEAS SGL AREA,1007.94,1007.94,70.56,1007.94,54
CPT,78835,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) ,1007.94,1007.94,87.87,372.96,25
CPT,78835,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) Age 21+,1007.94,1007.94,98.13,98.13,4
CPT,78835,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) Age Under 21,1007.94,1007.94,99.92,99.92,4
CPT,78999,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,1649.22,18
CPT,79005,RADIOPHM THPY ORAL ADMIN,2747.86,2747.86,192.35,2747.86,48
CPT,79005,"Radiopharmaceutical therapy, by oral administration ",2747.86,2747.86,69.62,561.65,37
CPT,79005,"Radiopharmaceutical therapy, by oral administration Age 21+",2747.86,2747.86,147.76,147.76,4
CPT,79005,"Radiopharmaceutical therapy, by oral administration Age Under 21",2747.86,2747.86,150.45,150.45,4
CPT,79101,RADIOPHARM THPY IV ADMIN,2747.86,2747.86,192.35,2747.86,48
CPT,79101,"Radiopharmaceutical therapy, by intravenous administration ",2747.86,2747.86,69.12,561.65,37
CPT,79101,"Radiopharmaceutical therapy, by intravenous administration Age 21+",2747.86,2747.86,160.99,160.99,4
CPT,79101,"Radiopharmaceutical therapy, by intravenous administration Age Under 21",2747.86,2747.86,163.91,163.91,4
CPT,79200,"Radiopharmaceutical therapy, by intracavitary administration ",,,72.58,561.65,37
CPT,79200,"Radiopharmaceutical therapy, by intracavitary administration Age 21+",,,144.08,144.08,4
CPT,79200,"Radiopharmaceutical therapy, by intracavitary administration Age Under 21",,,146.7,146.7,4
CPT,79300,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,94.3,561.65,22
CPT,79403,NM RADLBLD MONO ANTIB IV,7036.39,7036.39,492.55,7036.39,48
CPT,79403,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",7036.39,7036.39,115.04,561.65,22
CPT,79440,"Radiopharmaceutical therapy, by intra-articular administration ",,,53.81,561.65,37
CPT,79440,"Radiopharmaceutical therapy, by intra-articular administration Age 21+",,,129.75,129.75,4
CPT,79440,"Radiopharmaceutical therapy, by intra-articular administration Age Under 21",,,132.1,132.1,4
CPT,79445,RDPHM INTRA ARTERIAL ADM,1317.09,1317.09,74.22,1573.86,96
CPT,79445,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,160.96,561.65,37
CPT,79445,"Radiopharmaceutical therapy, by intra-arterial particulate administration Age 21+",,,221.63,221.63,4
CPT,79445,"Radiopharmaceutical therapy, by intra-arterial particulate administration Age Under 21",,,225.66,225.66,4
CPT,79999,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,1063.55,18
CPT,80047,BASIC METABOLIC CALC ION,1066.53,1066.53,74.66,1066.53,141
CPT,80047,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,8.24,74.84,151
CPT,80048,BMP TOTAL CALCIUM,1066.53,1066.53,74.66,1066.53,94
CPT,80048,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,5.08,45.64,151
CPT,80050,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,219.03,51
CPT,80051,ELECTROLYTE PANEL,1199.6399999999999,1199.6399999999999,83.35,1208.52,141
CPT,80051,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,4.21,38.33,137
CPT,80051,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Age 21+,,,8.89,8.89,4
CPT,80051,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Age Under 21,,,9.05,9.05,4
CPT,80051,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Other Outpatient,,,7.36,7.36,6
CPT,80053,COMP METABOLIC PANEL,1978.18,1978.18,138.47,1978.18,141
CPT,80053,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,6.34,56.59,151
CPT,80055,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,28.69,257.36,130
CPT,80061,LIPID PANEL,1734.53,1734.53,121.42,1734.53,94
CPT,80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,7.55,73.03,137
CPT,80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Age 21+",,,8.43,8.43,4
CPT,80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Age Under",,,8.58,8.58,4
CPT,80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Other Out",,,14.06,14.06,6
CPT,80069,RENAL FUNCTION PANEL,1426.35,1426.35,99.84,1426.35,94
CPT,80069,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,5.21,47.46,151
CPT,80074,ACUTE HEPATITIS PANEL,2671.98,2671.98,187.04,2671.98,94
CPT,80074,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,7.96,257.36,151
CPT,80076,HEPATIC FUNCTION PANEL,1779.71,1779.71,124.58,1779.71,94
CPT,80076,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,4.9,43.83,151
CPT,80081,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,44.92,403.42,151
CPT,80143,ACETAMINOPHEN QN,638.3,638.3,44.68,638.3,51
CPT,80143,Acetaminophen ,638.3,638.3,11.18,100.42,133
CPT,80143,Acetaminophen Age 21+,638.3,638.3,17.23,17.23,4
CPT,80143,Acetaminophen Age Under 21,638.3,638.3,17.54,17.54,4
CPT,80143,Acetaminophen Other Outpatient,638.3,638.3,19.57,19.57,6
CPT,80145,Adalimumab ,,,23.14,208.09,137
CPT,80145,Adalimumab Age 21+,,,35.64,35.64,4
CPT,80145,Adalimumab Age Under 21,,,36.29,36.29,4
CPT,80145,Adalimumab Other Outpatient,,,40.5,40.5,6
CPT,80150,AMIKACIN QUANT,721.23,721.23,50.49,721.23,47
CPT,80150,Amikacin ,721.23,721.23,9.05,82.16,137
CPT,80150,Amikacin Age 21+,721.23,721.23,13.94,13.94,4
CPT,80150,Amikacin Age Under 21,721.23,721.23,14.19,14.19,4
CPT,80150,Amikacin Other Outpatient,721.23,721.23,15.83,15.83,6
CPT,80151,AMIODARONE QN,2107.25,2107.25,147.51,2107.25,51
CPT,80151,Amiodarone ,2107.25,2107.25,11.18,100.42,133
CPT,80151,Amiodarone Age 21+,2107.25,2107.25,17.23,17.23,4
CPT,80151,Amiodarone Age Under 21,2107.25,2107.25,17.54,17.54,4
CPT,80151,Amiodarone Other Outpatient,2107.25,2107.25,19.57,19.57,6
CPT,80155,CAFFEINE QN,1363.42,1363.42,95.44,1363.42,47
CPT,80155,Caffeine ,1363.42,1363.42,23.14,208.09,137
CPT,80155,Caffeine Age 21+,1363.42,1363.42,35.64,35.64,4
CPT,80155,Caffeine Age Under 21,1363.42,1363.42,36.29,36.29,4
CPT,80155,Caffeine Other Outpatient,1363.42,1363.42,40.5,40.5,6
CPT,80156,CARBAMAZEPINE TOTAL,1471.53,1471.53,103.01,1471.53,94
CPT,80156,Carbamazepine; total ,,,8.74,78.47,137
CPT,80156,Carbamazepine; total Age 21+,,,13.46,13.46,4
CPT,80156,Carbamazepine; total Age Under 21,,,13.71,13.71,4
CPT,80156,Carbamazepine; total Other Outpatient,,,15.3,15.3,6
CPT,80157,Carbamazepine; free ,,,7.95,71.22,137
CPT,80157,Carbamazepine; free Age 21+,,,12.24,12.24,4
CPT,80157,Carbamazepine; free Age Under 21,,,12.47,12.47,4
CPT,80157,Carbamazepine; free Other Outpatient,,,13.91,13.91,6
CPT,80158,CYCLOSPORINE QUANT,2139.52,2139.52,149.77,2139.52,47
CPT,80158,Cyclosporine ,2139.52,2139.52,10.83,96.73,137
CPT,80158,Cyclosporine Age 21+,2139.52,2139.52,16.68,16.68,4
CPT,80158,Cyclosporine Age Under 21,2139.52,2139.52,16.98,16.98,4
CPT,80158,Cyclosporine Other Outpatient,2139.52,2139.52,18.95,18.95,6
CPT,80159,CLOZAPINE QN,1426.35,1426.35,99.84,1426.35,47
CPT,80159,Clozapine ,1426.35,1426.35,12.09,107.67,137
CPT,80159,Clozapine Age 21+,1426.35,1426.35,18.62,18.62,4
CPT,80159,Clozapine Age Under 21,1426.35,1426.35,18.96,18.96,4
CPT,80159,Clozapine Other Outpatient,1426.35,1426.35,21.16,21.16,6
CPT,80161,"Carbamazepine; -10,11-epoxide ",,,11.18,100.42,133
CPT,80161,"Carbamazepine; -10,11-epoxide Age 21+",,,17.23,17.23,4
CPT,80161,"Carbamazepine; -10,11-epoxide Age Under 21",,,17.54,17.54,4
CPT,80161,"Carbamazepine; -10,11-epoxide Other Outpatient",,,19.57,19.57,6
CPT,80162,DIGOXIN QN,1273.06,1273.06,89.11,1273.06,94
CPT,80162,Digoxin; total ,,,7.97,71.22,137
CPT,80162,Digoxin; total Age 21+,,,12.28,12.28,4
CPT,80162,Digoxin; total Age Under 21,,,12.5,12.5,4
CPT,80162,Digoxin; total Other Outpatient,,,13.94,13.94,6
CPT,80163,Digoxin; free ,,,7.97,71.22,137
CPT,80163,Digoxin; free Age 21+,,,12.28,12.28,4
CPT,80163,Digoxin; free Age Under 21,,,12.5,12.5,4
CPT,80163,Digoxin; free Other Outpatient,,,13.94,13.94,6
CPT,80164,VALPROIC ACID (DEPAKENE),1253.7,1253.7,87.76,1253.7,47
CPT,80164,Valproic acid (dipropylacetic acid); total ,1253.7,1253.7,8.12,73.03,137
CPT,80164,Valproic acid (dipropylacetic acid); total Age 21+,1253.7,1253.7,12.51,12.51,4
CPT,80164,Valproic acid (dipropylacetic acid); total Age Under 21,1253.7,1253.7,12.73,12.73,4
CPT,80164,Valproic acid (dipropylacetic acid); total Other Outpatient,1253.7,1253.7,14.22,14.22,6
CPT,80165,VALPROIC ACID FREE,1058.46,1058.46,74.09,1058.46,47
CPT,80165,Valproic acid (dipropylacetic acid); free ,1058.46,1058.46,8.12,73.03,137
CPT,80165,Valproic acid (dipropylacetic acid); free Age 21+,1058.46,1058.46,12.51,12.51,4
CPT,80165,Valproic acid (dipropylacetic acid); free Age Under 21,1058.46,1058.46,12.73,12.73,4
CPT,80165,Valproic acid (dipropylacetic acid); free Other Outpatient,1058.46,1058.46,14.22,14.22,6
CPT,80167,FELBAMATE FELBATOL QN,1331.14,1331.14,93.18,1331.14,51
CPT,80167,Felbamate ,1331.14,1331.14,11.18,100.42,133
CPT,80167,Felbamate Age 21+,1331.14,1331.14,17.23,17.23,4
CPT,80167,Felbamate Age Under 21,1331.14,1331.14,17.54,17.54,4
CPT,80167,Felbamate Other Outpatient,1331.14,1331.14,19.57,19.57,6
CPT,80168,ETHOSUXIMIDE (ZARONTIN),555.04,555.04,38.85,555.04,47
CPT,80168,Ethosuximide ,555.04,555.04,9.8,87.6,137
CPT,80168,Ethosuximide Age 21+,555.04,555.04,15.1,15.1,4
CPT,80168,Ethosuximide Age Under 21,555.04,555.04,15.38,15.38,4
CPT,80168,Ethosuximide Other Outpatient,555.04,555.04,17.16,17.16,6
CPT,80169,EVEROLIMUS QN,540.52,540.52,37.84,540.52,47
CPT,80169,Everolimus ,540.52,540.52,8.24,74.84,137
CPT,80169,Everolimus Age 21+,540.52,540.52,12.68,12.68,4
CPT,80169,Everolimus Age Under 21,540.52,540.52,12.91,12.91,4
CPT,80169,Everolimus Other Outpatient,540.52,540.52,14.42,14.42,6
CPT,80170,GENTAMICIN (GARAMYCIN)QN,1066.53,1066.53,74.66,1066.53,47
CPT,80170,Gentamicin ,1066.53,1066.53,9.83,87.6,137
CPT,80170,Gentamicin Age 21+,1066.53,1066.53,15.14,15.14,4
CPT,80170,Gentamicin Age Under 21,1066.53,1066.53,15.41,15.41,4
CPT,80170,Gentamicin Other Outpatient,1066.53,1066.53,17.2,17.2,6
CPT,80171,GABAPENTIN NEURONTIN QN,1548.97,1548.97,108.43,1548.97,47
CPT,80171,"Gabapentin, whole blood, serum, or plasma ",1548.97,1548.97,13.0,116.8,137
CPT,80171,"Gabapentin, whole blood, serum, or plasma Age 21+",1548.97,1548.97,20.02,20.02,4
CPT,80171,"Gabapentin, whole blood, serum, or plasma Age Under 21",1548.97,1548.97,20.38,20.38,4
CPT,80171,"Gabapentin, whole blood, serum, or plasma Other Outpatient",1548.97,1548.97,22.75,22.75,6
CPT,80173,HALOPERIDOL HALDOL QN,1587.71,1587.71,111.14,1587.71,47
CPT,80173,Haloperidol ,1587.71,1587.71,9.47,85.79,137
CPT,80173,Haloperidol Age 21+,1587.71,1587.71,14.59,14.59,4
CPT,80173,Haloperidol Age Under 21,1587.71,1587.71,14.85,14.85,4
CPT,80173,Haloperidol Other Outpatient,1587.71,1587.71,16.57,16.57,6
CPT,80175,LAMOTRIGINE LAMICTAL QN,559.89,559.89,39.19,559.89,47
CPT,80175,Lamotrigine ,559.89,559.89,7.95,71.22,137
CPT,80175,Lamotrigine Age 21+,559.89,559.89,12.24,12.24,4
CPT,80175,Lamotrigine Age Under 21,559.89,559.89,12.47,12.47,4
CPT,80175,Lamotrigine Other Outpatient,559.89,559.89,13.91,13.91,6
CPT,80176,LIDOCAINE QN,958.43,958.43,67.09,958.43,47
CPT,80176,Lidocaine ,958.43,958.43,8.81,78.47,137
CPT,80176,Lidocaine Age 21+,958.43,958.43,13.57,13.57,4
CPT,80176,Lidocaine Age Under 21,958.43,958.43,13.82,13.82,4
CPT,80176,Lidocaine Other Outpatient,958.43,958.43,15.42,15.42,6
CPT,80177,LEVETIRACETAM QN,1085.9,1085.9,76.01,1085.9,47
CPT,80177,Levetiracetam ,1085.9,1085.9,7.95,71.22,137
CPT,80177,Levetiracetam Age 21+,1085.9,1085.9,12.24,12.24,4
CPT,80177,Levetiracetam Age Under 21,1085.9,1085.9,12.47,12.47,4
CPT,80177,Levetiracetam Other Outpatient,1085.9,1085.9,13.91,13.91,6
CPT,80178,LITHIUM QN,1061.7,1061.7,74.32,1061.7,47
CPT,80178,Lithium ,1061.7,1061.7,3.97,36.51,137
CPT,80178,Lithium Age 21+,1061.7,1061.7,6.11,6.11,4
CPT,80178,Lithium Age Under 21,1061.7,1061.7,6.22,6.22,4
CPT,80178,Lithium Other Outpatient,1061.7,1061.7,6.94,6.94,6
CPT,80179,SALICYLATE QN,857.93,857.93,60.06,857.93,51
CPT,80179,Salicylate ,857.93,857.93,11.18,100.42,133
CPT,80179,Salicylate Age 21+,857.93,857.93,17.23,17.23,4
CPT,80179,Salicylate Age Under 21,857.93,857.93,17.54,17.54,4
CPT,80179,Salicylate Other Outpatient,857.93,857.93,19.57,19.57,6
CPT,80180,MYCOPHENOLATE MOFETIL QN,456.62,456.62,31.96,456.62,47
CPT,80180,Mycophenolate (mycophenolic acid) ,456.62,456.62,10.83,96.73,137
CPT,80180,Mycophenolate (mycophenolic acid) Age 21+,456.62,456.62,16.68,16.68,4
CPT,80180,Mycophenolate (mycophenolic acid) Age Under 21,456.62,456.62,16.98,16.98,4
CPT,80180,Mycophenolate (mycophenolic acid) Other Outpatient,456.62,456.62,18.95,18.95,6
CPT,80181,FLECAINIDE TAMBOCOR QN,585.69,585.69,41.0,585.69,51
CPT,80181,Flecainide ,585.69,585.69,11.18,100.42,133
CPT,80181,Flecainide Age 21+,585.69,585.69,17.23,17.23,4
CPT,80181,Flecainide Age Under 21,585.69,585.69,17.54,17.54,4
CPT,80181,Flecainide Other Outpatient,585.69,585.69,19.57,19.57,6
CPT,80183,OXCARBAZEPINE QN,940.68,940.68,65.85,940.68,47
CPT,80183,Oxcarbazepine ,940.68,940.68,7.95,71.22,137
CPT,80183,Oxcarbazepine Age 21+,940.68,940.68,12.24,12.24,4
CPT,80183,Oxcarbazepine Age Under 21,940.68,940.68,12.47,12.47,4
CPT,80183,Oxcarbazepine Other Outpatient,940.68,940.68,13.91,13.91,6
CPT,80184,PHENOBARBITAL LUMINAL QN,103.2,103.2,7.22,103.2,47
CPT,80184,Phenobarbital ,103.2,103.2,9.18,82.16,137
CPT,80184,Phenobarbital Age 21+,103.2,103.2,14.14,14.14,4
CPT,80184,Phenobarbital Age Under 21,103.2,103.2,14.39,14.39,4
CPT,80184,Phenobarbital Other Outpatient,103.2,103.2,16.07,16.07,6
CPT,80185,PHENYTOIN DILANT TOT QN,1445.7,1445.7,101.2,1445.7,47
CPT,80185,Phenytoin; total ,1445.7,1445.7,7.95,71.22,137
CPT,80185,Phenytoin; total Age 21+,1445.7,1445.7,12.24,12.24,4
CPT,80185,Phenytoin; total Age Under 21,1445.7,1445.7,12.47,12.47,4
CPT,80185,Phenytoin; total Other Outpatient,1445.7,1445.7,13.91,13.91,6
CPT,80186,PHENYTOIN DILANTIN FR QN,1158.51,1158.51,81.1,1158.51,47
CPT,80186,Phenytoin; free ,1158.51,1158.51,8.26,74.84,137
CPT,80186,Phenytoin; free Age 21+,1158.51,1158.51,12.72,12.72,4
CPT,80186,Phenytoin; free Age Under 21,1158.51,1158.51,12.95,12.95,4
CPT,80186,Phenytoin; free Other Outpatient,1158.51,1158.51,14.45,14.45,6
CPT,80187,POSACONAZOLE,726.08,726.08,50.83,726.08,47
CPT,80187,Posaconazole ,726.08,726.08,16.27,146.0,137
CPT,80187,Posaconazole Age 21+,726.08,726.08,25.05,25.05,4
CPT,80187,Posaconazole Age Under 21,726.08,726.08,25.5,25.5,4
CPT,80187,Posaconazole Other Outpatient,726.08,726.08,28.47,28.47,6
CPT,80188,PRIMIDONE (MYSOLINE) QN,1548.97,1548.97,108.43,1548.97,47
CPT,80188,Primidone ,1548.97,1548.97,9.95,89.42,137
CPT,80188,Primidone Age 21+,1548.97,1548.97,15.33,15.33,4
CPT,80188,Primidone Age Under 21,1548.97,1548.97,15.61,15.61,4
CPT,80188,Primidone Other Outpatient,1548.97,1548.97,17.42,17.42,6
CPT,80189,ITRACONAZOLE SPORONOZ QN,772.88,772.88,54.1,772.88,51
CPT,80189,Itraconazole ,772.88,772.88,16.27,146.0,133
CPT,80189,Itraconazole Age 21+,772.88,772.88,25.05,25.05,4
CPT,80189,Itraconazole Age Under 21,772.88,772.88,25.5,25.5,4
CPT,80189,Itraconazole Other Outpatient,772.88,772.88,28.47,28.47,6
CPT,80190,Procainamide; ,,,36.0,323.08,137
CPT,80190,Procainamide; Age 21+,,,55.44,55.44,4
CPT,80190,Procainamide; Age Under 21,,,56.45,56.45,4
CPT,80190,Procainamide; Other Outpatient,,,63.0,63.0,6
CPT,80192,PROCAINAMIDE & NAPA QN,598.61,598.61,41.9,598.61,47
CPT,80192,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",598.61,598.61,10.05,89.42,137
CPT,80192,"Procainamide; with metabolites (eg, n-acetyl procainamide) Age 21+",598.61,598.61,15.48,15.48,4
CPT,80192,"Procainamide; with metabolites (eg, n-acetyl procainamide) Age Under 21",598.61,598.61,15.76,15.76,4
CPT,80192,"Procainamide; with metabolites (eg, n-acetyl procainamide) Other Outpatient",598.61,598.61,17.59,17.59,6
CPT,80193,LEFLUNOMIDE,206.61,206.61,14.46,206.61,51
CPT,80193,Leflunomide ,206.61,206.61,23.14,208.09,133
CPT,80193,Leflunomide Age 21+,206.61,206.61,35.64,35.64,4
CPT,80193,Leflunomide Age Under 21,206.61,206.61,36.29,36.29,4
CPT,80193,Leflunomide Other Outpatient,206.61,206.61,40.5,40.5,6
CPT,80194,QUINIDINE QUANT,367.88,367.88,25.75,367.88,47
CPT,80194,Quinidine ,367.88,367.88,8.76,78.47,137
CPT,80194,Quinidine Age 21+,367.88,367.88,13.49,13.49,4
CPT,80194,Quinidine Age Under 21,367.88,367.88,13.73,13.73,4
CPT,80194,Quinidine Other Outpatient,367.88,367.88,15.33,15.33,6
CPT,80195,SIROLIMUS RAPAMUNE QN,1363.42,1363.42,95.44,1363.42,47
CPT,80195,Sirolimus ,1363.42,1363.42,8.24,74.84,137
CPT,80195,Sirolimus Age 21+,1363.42,1363.42,12.68,12.68,4
CPT,80195,Sirolimus Age Under 21,1363.42,1363.42,12.91,12.91,4
CPT,80195,Sirolimus Other Outpatient,1363.42,1363.42,14.42,14.42,6
CPT,80197,TACROLIMUS QUANT,1932.98,1932.98,135.31,1932.98,47
CPT,80197,Tacrolimus ,1932.98,1932.98,8.24,74.84,137
CPT,80197,Tacrolimus Age 21+,1932.98,1932.98,12.68,12.68,4
CPT,80197,Tacrolimus Age Under 21,1932.98,1932.98,12.91,12.91,4
CPT,80197,Tacrolimus Other Outpatient,1932.98,1932.98,14.42,14.42,6
CPT,80198,THEOPHYLLINE QUANT,1208.52,1208.52,84.6,1208.52,47
CPT,80198,Theophylline ,1208.52,1208.52,8.48,76.66,137
CPT,80198,Theophylline Age 21+,1208.52,1208.52,13.07,13.07,4
CPT,80198,Theophylline Age Under 21,1208.52,1208.52,13.31,13.31,4
CPT,80198,Theophylline Other Outpatient,1208.52,1208.52,14.85,14.85,6
CPT,80199,TIAGABINE GABITRIL QN,1016.52,1016.52,71.16,1016.52,47
CPT,80199,Tiagabine ,1016.52,1016.52,16.27,146.0,137
CPT,80199,Tiagabine Age 21+,1016.52,1016.52,25.05,25.05,4
CPT,80199,Tiagabine Age Under 21,1016.52,1016.52,25.5,25.5,4
CPT,80199,Tiagabine Other Outpatient,1016.52,1016.52,28.47,28.47,6
CPT,80200,TOBRAMYCIN QUANT,1066.53,1066.53,74.66,1066.53,47
CPT,80200,Tobramycin ,1066.53,1066.53,9.68,87.6,137
CPT,80200,Tobramycin Age 21+,1066.53,1066.53,14.91,14.91,4
CPT,80200,Tobramycin Age Under 21,1066.53,1066.53,15.18,15.18,4
CPT,80200,Tobramycin Other Outpatient,1066.53,1066.53,16.94,16.94,6
CPT,80201,TOPIRAMATE QUANT,555.04,555.04,38.85,555.04,47
CPT,80201,Topiramate ,555.04,555.04,7.15,63.9,137
CPT,80201,Topiramate Age 21+,555.04,555.04,11.01,11.01,4
CPT,80201,Topiramate Age Under 21,555.04,555.04,11.21,11.21,4
CPT,80201,Topiramate Other Outpatient,555.04,555.04,12.52,12.52,6
CPT,80202,VANCOMYCIN QUANT,1066.53,1066.53,74.66,1066.53,47
CPT,80202,Vancomycin ,1066.53,1066.53,8.12,73.03,137
CPT,80202,Vancomycin Age 21+,1066.53,1066.53,12.51,12.51,4
CPT,80202,Vancomycin Age Under 21,1066.53,1066.53,12.73,12.73,4
CPT,80202,Vancomycin Other Outpatient,1066.53,1066.53,14.22,14.22,6
CPT,80203,Zonisamide ,,,7.95,71.22,137
CPT,80203,Zonisamide Age 21+,,,12.24,12.24,4
CPT,80203,Zonisamide Age Under 21,,,12.47,12.47,4
CPT,80203,Zonisamide Other Outpatient,,,13.91,13.91,6
CPT,80204,METHOTREXATE RHEUMAT QN,1523.16,1523.16,106.62,1523.16,51
CPT,80204,Methotrexate ,1523.16,1523.16,23.14,208.09,133
CPT,80204,Methotrexate Age 21+,1523.16,1523.16,35.64,35.64,4
CPT,80204,Methotrexate Age Under 21,1523.16,1523.16,36.29,36.29,4
CPT,80204,Methotrexate Other Outpatient,1523.16,1523.16,40.5,40.5,6
CPT,80210,RUFINAMIDE (BANZEL) QN,1066.53,1066.53,74.66,1066.53,51
CPT,80210,Rufinamide ,1066.53,1066.53,16.27,146.0,133
CPT,80210,Rufinamide Age 21+,1066.53,1066.53,25.05,25.05,4
CPT,80210,Rufinamide Age Under 21,1066.53,1066.53,25.5,25.5,4
CPT,80210,Rufinamide Other Outpatient,1066.53,1066.53,28.47,28.47,6
CPT,80220,Hydroxychloroquine ,,,11.18,100.42,133
CPT,80220,Hydroxychloroquine Age 21+,,,17.23,17.23,4
CPT,80220,Hydroxychloroquine Age Under 21,,,17.54,17.54,4
CPT,80220,Hydroxychloroquine Other Outpatient,,,19.57,19.57,6
CPT,80230,INFLIXIMAB,911.63,911.63,63.81,911.63,47
CPT,80230,Infliximab ,911.63,911.63,23.14,208.09,137
CPT,80230,Infliximab Age 21+,911.63,911.63,35.64,35.64,4
CPT,80230,Infliximab Age Under 21,911.63,911.63,36.29,36.29,4
CPT,80230,Infliximab Other Outpatient,911.63,911.63,40.5,40.5,6
CPT,80235,LACOSAMIDE,911.63,911.63,63.81,911.63,47
CPT,80235,Lacosamide ,911.63,911.63,16.27,146.0,137
CPT,80235,Lacosamide Age 21+,911.63,911.63,25.05,25.05,4
CPT,80235,Lacosamide Age Under 21,911.63,911.63,25.5,25.5,4
CPT,80235,Lacosamide Other Outpatient,911.63,911.63,28.47,28.47,6
CPT,80280,Vedolizumab ,,,23.14,208.09,137
CPT,80280,Vedolizumab Age 21+,,,35.64,35.64,4
CPT,80280,Vedolizumab Age Under 21,,,36.29,36.29,4
CPT,80280,Vedolizumab Other Outpatient,,,40.5,40.5,6
CPT,80285,VORICONAZOLE,416.28,416.28,29.14,416.28,47
CPT,80285,Voriconazole ,416.28,416.28,16.27,146.0,137
CPT,80285,Voriconazole Age 21+,416.28,416.28,25.05,25.05,4
CPT,80285,Voriconazole Age Under 21,416.28,416.28,25.5,25.5,4
CPT,80285,Voriconazole Other Outpatient,416.28,416.28,28.47,28.47,6
CPT,80299,6-METHYLMERCAPTOPURIN QN,889.06,889.06,62.23,889.06,47
CPT,80299,6-THIOGUANINE 6-TGN QN,1103.65,1103.65,77.26,1103.65,47
CPT,80299,6TG METABOLITE QN,961.65,961.65,67.32,961.65,47
CPT,80299,ACETAZOLAMIDE DIAMOX QN,895.49,895.49,62.68,895.49,47
CPT,80299,ACYCLOVIR QN,643.78,643.78,45.06,643.78,47
CPT,80299,AMOXAPINE ASENDIN QN,1029.41,1029.41,72.06,1029.41,47
CPT,80299,AMOXICILLIN QN,367.88,367.88,25.75,367.88,47
CPT,80299,AZTREONAM (AZACTAM) QN,626.04,626.04,43.82,626.04,47
CPT,80299,BACLOFEN QN,1261.77,1261.77,88.32,1261.77,47
CPT,80299,BRIVARACETAM QN TDA,1001.99,1001.99,70.14,1001.99,47
CPT,80299,BUPRENORPHINE QN,997.16,997.16,69.8,997.16,47
CPT,80299,BUPROPION WELLBUTRIN QN,693.81,693.81,48.57,693.81,47
CPT,80299,BUSULFAN MYLERAN QN,1034.26,1034.26,72.4,1034.26,94
CPT,80299,CELEBREX (CELECOXIB) QN,1014.9,1014.9,71.04,1014.9,47
CPT,80299,CEPHALOTHIN KEFLIN QN,1001.99,1001.99,70.14,1001.99,47
CPT,80299,CIPROFLOXACIN CIPRO QN,945.52,945.52,66.19,945.52,47
CPT,80299,CLINDAMYCIN CLEOCIN QN,1452.15,1452.15,101.65,1452.15,47
CPT,80299,CLOBAZAM QN TDA,416.28,416.28,29.14,416.28,47
CPT,80299,CLOMIPRAMINE ANAFRANL QN,1382.78,1382.78,96.79,1382.78,47
CPT,80299,CLONIDINE CATAPRES QN,3126.99,3126.99,218.89,3126.99,47
CPT,80299,DIGITOXIN QN,658.31,658.31,46.08,658.31,47
CPT,80299,DIPHENHYDRAMINE BENAD QN,945.52,945.52,66.19,945.52,47
CPT,80299,DISOPYRAMIDE NORPACE QN,296.9,296.9,20.78,296.9,47
CPT,80299,DIURETIC QN,900.34,900.34,63.02,900.34,47
CPT,80299,ESLICARBAZEPINE QN,416.28,416.28,29.14,416.28,47
CPT,80299,ETHAMBUTOL MYAMBUTOL QN,1519.94,1519.94,106.4,1519.94,47
CPT,80299,ETHOTOIN PEGANONE QN,361.41,361.41,25.3,361.41,47
CPT,80299,FLUCONAZOLE DIFLUCAN QN,663.16,663.16,46.42,663.16,47
CPT,80299,FLUCYTOSINE ANCOBON QN,555.04,555.04,38.85,555.04,47
CPT,80299,FLUOXETINE PROZAC QN,529.23,529.23,37.05,529.23,47
CPT,80299,FLUPHENAZINE PROLIXIN QN,1818.42,1818.42,127.29,1818.42,47
CPT,80299,FUROSEMIDE LASIX QN,877.74,877.74,61.44,877.74,47
CPT,80299,HYDROXYZINE VISTARIL QN,1234.34,1234.34,86.4,1234.34,47
CPT,80299,IBUPROFEN ADVIL QN,598.61,598.61,41.9,598.61,47
CPT,80299,ISAVUCONAZOLE (CRESEMBA),457.73,457.73,32.04,457.73,47
CPT,80299,ISONIAZID TUBIZID QN,1060.08,1060.08,74.21,1060.08,47
CPT,80299,KETOCONAZOLE NIZORAL QN,797.07,797.07,55.79,797.07,47
CPT,80299,LEVOFLOXACIN QN,743.84,743.84,52.07,743.84,47
CPT,80299,MEPHENYTOIN HYDANTOIN QN,1100.41,1100.41,77.03,1100.41,47
CPT,80299,MERCAPTOPURINE 6-MMPN QN,1103.65,1103.65,77.26,1103.65,47
CPT,80299,MEROPENEM QN,901.95,901.95,63.14,901.95,47
CPT,80299,METHYLPHENIDATE RITAL QN,797.07,797.07,55.79,797.07,47
CPT,80299,MEXILETINE MEXITIL QN,1292.42,1292.42,90.47,1292.42,47
CPT,80299,MICAFUNGIN QN,634.12,634.12,44.39,634.12,47
CPT,80299,NETILMYCINE NETRMYCIN QN,1029.41,1029.41,72.06,1029.41,47
CPT,80299,OCTREOTIDE QN,1231.11,1231.11,86.18,1231.11,47
CPT,80299,PAROXETINE PAXIL QN,861.61,861.61,60.31,861.61,47
CPT,80299,PREGABALIN LYRICA QN,1034.26,1034.26,72.4,1034.26,47
CPT,80299,PROPAFENONE RYTHMOL QN,1413.44,1413.44,98.94,1413.44,47
CPT,80299,PROPRANOLOL INDERAL QN,413.06,413.06,28.91,413.06,47
CPT,80299,PROTRIPTYLINE VIVACT QN,772.88,772.88,54.1,772.88,47
CPT,80299,QUETIAPINE SEROQUEL QN,700.27,700.27,49.02,700.27,47
CPT,80299,"Quantitation of therapeutic drug, not elsewhere specified ",,,11.18,100.42,137
CPT,80299,"Quantitation of therapeutic drug, not elsewhere specified Age 21+",,,17.23,17.23,4
CPT,80299,"Quantitation of therapeutic drug, not elsewhere specified Age Under 21",,,17.54,17.54,4
CPT,80299,"Quantitation of therapeutic drug, not elsewhere specified Other Outpatient",,,19.57,19.57,6
CPT,80299,RIFAMPIN RIFADIN QN,984.23,984.23,68.9,984.23,47
CPT,80299,SOTOLOL (BETAPACE) QN,616.35,616.35,43.14,616.35,47
CPT,80299,STREPTOMYCIN QN,1140.75,1140.75,79.85,1140.75,47
CPT,80299,SULFAMETHOXAZOLE QN,743.84,743.84,52.07,743.84,47
CPT,80299,SULFONIMIDES QN,416.28,416.28,29.14,416.28,47
CPT,80299,SULFONYLUREA QN,747.05,747.05,52.29,747.05,47
CPT,80299,TOCAINIDE TONOCARD QN,1266.6,1266.6,88.66,1266.6,47
CPT,80299,TRAZADONE (DESYREL) QN,990.69,990.69,69.35,990.69,47
CPT,80299,TRIMIPRAMINE SURMONT QN,1163.35,1163.35,81.43,1163.35,47
CPT,80299,VERAPAMIL ISOPTIN QN,598.61,598.61,41.9,598.61,47
CPT,80299,WARFARIN QN,598.61,598.61,41.9,598.61,47
CPT,80305,DRUG SCR DOO MANUAL READ,1156.88,1156.88,80.98,1156.88,94
CPT,80305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,7.56,67.53,151
CPT,80306,DRUG SCR DOO INSTR READ,1458.62,1458.62,102.1,1458.62,94
CPT,80306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,10.28,93.1,151
CPT,80307,DRUG SCR ANY NBR PER DOS,1400.54,1400.54,98.04,1400.54,141
CPT,80307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,37.28,334.02,151
CPT,80320,Alcohols ,,,0.02,129.62,25
CPT,80320,Alcohols Age 21+,,,10.36,10.36,4
CPT,80320,Alcohols Age Under 21,,,10.55,10.55,4
CPT,80320,DEF DRUG ALCOHOLS,1131.08,1131.08,79.18,1131.08,120
CPT,80320,ISOPROPYL ALCOHOL DOA,374.33,374.33,26.2,374.33,60
CPT,80320,METHANOL DOA,374.33,374.33,26.2,374.33,60
CPT,80321,Alcohol biomarkers; 1 or 2 ,,,0.02,14.14,19
CPT,80321,Alcohol biomarkers; 1 or 2 Age 21+,,,12.44,12.44,4
CPT,80321,Alcohol biomarkers; 1 or 2 Age Under 21,,,12.67,12.67,4
CPT,80321,DEF DRUG ALCOHOLS BM 1-2,1131.08,1131.08,79.18,1131.08,132
CPT,80322,Alcohol biomarkers; 3 or more ,,,0.02,11.97,19
CPT,80322,Alcohol biomarkers; 3 or more Age 21+,,,10.54,10.54,4
CPT,80322,Alcohol biomarkers; 3 or more Age Under 21,,,10.73,10.73,4
CPT,80322,DEF DRUG ALCOHOLS BM 3+,1131.08,1131.08,79.18,1131.08,132
CPT,80323,"Alkaloids, not otherwise specified ",,,0.02,129.62,25
CPT,80323,"Alkaloids, not otherwise specified Age 21+",,,18.8,18.8,4
CPT,80323,"Alkaloids, not otherwise specified Age Under 21",,,19.14,19.14,4
CPT,80323,DEF DRUG ALKALOIDS NES,1029.41,1029.41,72.06,1029.41,120
CPT,80324,Amphetamines; 1 or 2 ,,,0.02,129.62,25
CPT,80324,Amphetamines; 1 or 2 Age 21+,,,14.0,14.0,4
CPT,80324,Amphetamines; 1 or 2 Age Under 21,,,14.26,14.26,4
CPT,80324,DEF DRUG AMPHETAM 1 OR 2,913.25,913.25,63.93,913.25,120
CPT,80325,Amphetamines; 3 or 4 ,,,0.02,13.65,19
CPT,80325,Amphetamines; 3 or 4 Age 21+,,,12.01,12.01,4
CPT,80325,Amphetamines; 3 or 4 Age Under 21,,,12.23,12.23,4
CPT,80325,DEF DRUG AMPHETAM 3 OR 4,913.25,913.25,63.93,913.25,132
CPT,80326,Amphetamines; 5 or more ,,,0.02,9.69,19
CPT,80326,Amphetamines; 5 or more Age 21+,,,8.53,8.53,4
CPT,80326,Amphetamines; 5 or more Age Under 21,,,8.68,8.68,4
CPT,80326,DEF DRUG AMPHETAM 5+,913.25,913.25,63.93,913.25,132
CPT,80327,Anabolic steroids; 1 or 2 ,,,0.02,129.62,25
CPT,80327,Anabolic steroids; 1 or 2 Age 21+,,,20.49,20.49,4
CPT,80327,Anabolic steroids; 1 or 2 Age Under 21,,,20.87,20.87,4
CPT,80327,DEF DRUG ANABOLIC 1 OR 2,1016.52,1016.52,71.16,1016.52,120
CPT,80328,Anabolic steroids; 3 or more ,,,0.02,26.11,19
CPT,80328,Anabolic steroids; 3 or more Age 21+,,,22.98,22.98,4
CPT,80328,Anabolic steroids; 3 or more Age Under 21,,,23.4,23.4,4
CPT,80328,DEF DRUG ANABOLIC 3+,1016.52,1016.52,71.16,1016.52,132
CPT,80329,"Analgesics, non-opioid; 1 or 2 ",,,0.02,129.62,25
CPT,80329,"Analgesics, non-opioid; 1 or 2 Age 21+",,,10.59,10.59,4
CPT,80329,"Analgesics, non-opioid; 1 or 2 Age Under 21",,,10.79,10.79,4
CPT,80329,DEF DRUG ANALGESICS 1-2,1287.59,1287.59,90.13,1287.59,120
CPT,80330,"Analgesics, non-opioid; 3-5 ",,,0.02,5.35,19
CPT,80330,"Analgesics, non-opioid; 3-5 Age 21+",,,4.71,4.71,4
CPT,80330,"Analgesics, non-opioid; 3-5 Age Under 21",,,4.79,4.79,4
CPT,80330,DEF DRUG ANALGESICS 3-5,1287.59,1287.59,90.13,1287.59,132
CPT,80331,"Analgesics, non-opioid; 6 or more ",,,0.02,8.56,19
CPT,80331,"Analgesics, non-opioid; 6 or more Age 21+",,,7.54,7.54,4
CPT,80331,"Analgesics, non-opioid; 6 or more Age Under 21",,,7.67,7.67,4
CPT,80331,DEF DRUG ANALGESICS 6+,1287.59,1287.59,90.13,1287.59,132
CPT,80332,"Antidepressants, serotonergic class; 1 or 2 ",,,0.02,129.62,25
CPT,80332,"Antidepressants, serotonergic class; 1 or 2 Age 21+",,,18.3,18.3,4
CPT,80332,"Antidepressants, serotonergic class; 1 or 2 Age Under 21",,,18.64,18.64,4
CPT,80333,"Antidepressants, serotonergic class; 3-5 ",,,0.02,15.65,19
CPT,80333,"Antidepressants, serotonergic class; 3-5 Age 21+",,,13.77,13.77,4
CPT,80333,"Antidepressants, serotonergic class; 3-5 Age Under 21",,,14.02,14.02,4
CPT,80334,"Antidepressants, serotonergic class; 6 or more ",,,0.02,10.01,19
CPT,80334,"Antidepressants, serotonergic class; 6 or more Age 21+",,,8.81,8.81,4
CPT,80334,"Antidepressants, serotonergic class; 6 or more Age Under 21",,,8.97,8.97,4
CPT,80335,"Antidepressants, tricyclic and other cyclicals; 1 or 2 ",,,0.02,129.62,25
CPT,80335,"Antidepressants, tricyclic and other cyclicals; 1 or 2 Age 21+",,,4.62,4.62,4
CPT,80335,"Antidepressants, tricyclic and other cyclicals; 1 or 2 Age Under 21",,,4.7,4.7,4
CPT,80335,DEF DRUG ANTIDEP TRI 1-2,1095.58,1095.58,76.69,1095.58,120
CPT,80336,"Antidepressants, tricyclic and other cyclicals; 3-5 ",,,0.02,21.31,19
CPT,80336,"Antidepressants, tricyclic and other cyclicals; 3-5 Age 21+",,,18.76,18.76,4
CPT,80336,"Antidepressants, tricyclic and other cyclicals; 3-5 Age Under 21",,,19.1,19.1,4
CPT,80336,DEF DRUG ANTIDEP TRI 3-5,1095.58,1095.58,76.69,1095.58,132
CPT,80337,"Antidepressants, tricyclic and other cyclicals; 6 or more ",,,0.02,10.86,19
CPT,80337,"Antidepressants, tricyclic and other cyclicals; 6 or more Age 21+",,,9.56,9.56,4
CPT,80337,"Antidepressants, tricyclic and other cyclicals; 6 or more Age Under 21",,,9.73,9.73,4
CPT,80337,DEF DRUG ANTIDEP TRI 6+,1095.58,1095.58,76.69,1095.58,132
CPT,80338,"Antidepressants, not otherwise specified ",,,0.02,13.39,19
CPT,80338,"Antidepressants, not otherwise specified Age 21+",,,11.78,11.78,4
CPT,80338,"Antidepressants, not otherwise specified Age Under 21",,,12.0,12.0,4
CPT,80339,"Antiepileptics, not otherwise specified; 1-3 ",,,0.02,129.62,25
CPT,80339,"Antiepileptics, not otherwise specified; 1-3 Age 21+",,,4.62,4.62,4
CPT,80339,"Antiepileptics, not otherwise specified; 1-3 Age Under 21",,,4.7,4.7,4
CPT,80339,DEF DRUG ANTIELEPTIC 1-3,1066.53,1066.53,74.66,1066.53,120
CPT,80340,"Antiepileptics, not otherwise specified; 4-6 ",,,0.02,8.04,19
CPT,80340,"Antiepileptics, not otherwise specified; 4-6 Age 21+",,,7.07,7.07,4
CPT,80340,"Antiepileptics, not otherwise specified; 4-6 Age Under 21",,,7.2,7.2,4
CPT,80340,DEF DRUG ANTIELEPTIC 4-6,1066.53,1066.53,74.66,1066.53,132
CPT,80341,"Antiepileptics, not otherwise specified; 7 or more ",,,0.02,6.95,19
CPT,80341,"Antiepileptics, not otherwise specified; 7 or more Age 21+",,,6.12,6.12,4
CPT,80341,"Antiepileptics, not otherwise specified; 7 or more Age Under 21",,,6.23,6.23,4
CPT,80341,DEF DRUG ANTIELEPTIC 7+,1066.53,1066.53,74.66,1066.53,132
CPT,80342,"Antipsychotics, not otherwise specified; 1-3 ",1139.15,1139.15,0.02,129.62,25
CPT,80342,"Antipsychotics, not otherwise specified; 1-3 Age 21+",1139.15,1139.15,12.94,12.94,4
CPT,80342,"Antipsychotics, not otherwise specified; 1-3 Age Under 21",1139.15,1139.15,13.17,13.17,4
CPT,80342,CHLORPROMAZINE,1139.15,1139.15,79.74,1139.15,60
CPT,80343,"Antipsychotics, not otherwise specified; 4-6 ",,,0.02,33.95,19
CPT,80343,"Antipsychotics, not otherwise specified; 4-6 Age 21+",,,29.88,29.88,4
CPT,80343,"Antipsychotics, not otherwise specified; 4-6 Age Under 21",,,30.42,30.42,4
CPT,80343,DEF DRUG ANTIPSYCHOT 4-6,1139.15,1139.15,79.74,1139.15,132
CPT,80344,"Antipsychotics, not otherwise specified; 7 or more ",,,0.02,8.66,19
CPT,80344,"Antipsychotics, not otherwise specified; 7 or more Age 21+",,,7.62,7.62,4
CPT,80344,"Antipsychotics, not otherwise specified; 7 or more Age Under 21",,,7.76,7.76,4
CPT,80344,DEF DRUG ANTIPSYCHOT 7+,1139.15,1139.15,79.74,1139.15,132
CPT,80345,BARBITURATES QN,672.83,672.83,47.1,672.83,60
CPT,80345,Barbiturates ,672.83,672.83,0.02,129.62,25
CPT,80345,Barbiturates Age 21+,672.83,672.83,10.08,10.08,4
CPT,80345,Barbiturates Age Under 21,672.83,672.83,10.26,10.26,4
CPT,80346,Benzodiazepines; 1-12 ,797.07,797.07,0.02,129.62,25
CPT,80346,Benzodiazepines; 1-12 Age 21+,797.07,797.07,14.88,14.88,4
CPT,80346,Benzodiazepines; 1-12 Age Under 21,797.07,797.07,15.15,15.15,4
CPT,80346,FLURAZEPAM QN,797.07,797.07,55.79,797.07,60
CPT,80347,Benzodiazepines; 13 or more ,,,0.02,24.19,19
CPT,80347,Benzodiazepines; 13 or more Age 21+,,,21.29,21.29,4
CPT,80347,Benzodiazepines; 13 or more Age Under 21,,,21.67,21.67,4
CPT,80347,DEF DRUG BENZODIAZ 13+,797.07,797.07,55.79,797.07,132
CPT,80348,Buprenorphine ,,,0.02,17.18,19
CPT,80348,Buprenorphine Age 21+,,,15.11,15.11,4
CPT,80348,Buprenorphine Age Under 21,,,15.39,15.39,4
CPT,80349,"Cannabinoids, natural ",,,0.02,129.62,25
CPT,80349,"Cannabinoids, natural Age 21+",,,12.4,12.4,4
CPT,80349,"Cannabinoids, natural Age Under 21",,,12.62,12.62,4
CPT,80349,DEF DRUG CANNABINOID NAT,1440.87,1440.87,100.86,1440.87,120
CPT,80350,"Cannabinoids, synthetic; 1-3 ",,,0.02,129.62,25
CPT,80350,"Cannabinoids, synthetic; 1-3 Age 21+",,,11.83,11.83,4
CPT,80350,"Cannabinoids, synthetic; 1-3 Age Under 21",,,12.04,12.04,4
CPT,80351,"Cannabinoids, synthetic; 4-6 ",,,0.02,17.32,19
CPT,80351,"Cannabinoids, synthetic; 4-6 Age 21+",,,15.25,15.25,4
CPT,80351,"Cannabinoids, synthetic; 4-6 Age Under 21",,,15.52,15.52,4
CPT,80352,"Cannabinoids, synthetic; 7 or more ",,,0.02,16.9,19
CPT,80352,"Cannabinoids, synthetic; 7 or more Age 21+",,,14.87,14.87,4
CPT,80352,"Cannabinoids, synthetic; 7 or more Age Under 21",,,15.14,15.14,4
CPT,80353,Cocaine ,1287.59,1287.59,0.02,129.62,25
CPT,80353,Cocaine Age 21+,1287.59,1287.59,11.28,11.28,4
CPT,80353,Cocaine Age Under 21,1287.59,1287.59,11.48,11.48,4
CPT,80353,DEF DRUG COCAINE,1287.59,1287.59,90.13,1287.59,60
CPT,80354,Fentanyl ,,,0.02,129.62,25
CPT,80354,Fentanyl Age 21+,,,14.09,14.09,4
CPT,80354,Fentanyl Age Under 21,,,14.35,14.35,4
CPT,80355,"Gabapentin, non-blood ",,,0.02,129.62,25
CPT,80355,"Gabapentin, non-blood Age 21+",,,8.48,8.48,4
CPT,80355,"Gabapentin, non-blood Age Under 21",,,8.64,8.64,4
CPT,80356,Heroin metabolite ,,,0.02,129.62,25
CPT,80356,Heroin metabolite Age 21+,,,14.7,14.7,4
CPT,80356,Heroin metabolite Age Under 21,,,14.96,14.96,4
CPT,80357,Ketamine and norketamine ,,,0.02,129.62,25
CPT,80357,Ketamine and norketamine Age 21+,,,11.36,11.36,4
CPT,80357,Ketamine and norketamine Age Under 21,,,11.57,11.57,4
CPT,80358,METHADONE QUANT,882.59,882.59,61.78,882.59,60
CPT,80358,Methadone ,882.59,882.59,0.02,129.62,25
CPT,80358,Methadone Age 21+,882.59,882.59,12.12,12.12,4
CPT,80358,Methadone Age Under 21,882.59,882.59,12.34,12.34,4
CPT,80359,DEF DRUG MDA MDEA MDMA,158.11,158.11,11.07,158.11,120
CPT,80359,"Methylenedioxyamphetamines (MDA, MDEA, MDMA) ",,,0.02,129.62,25
CPT,80359,"Methylenedioxyamphetamines (MDA, MDEA, MDMA) Age 21+",,,9.35,9.35,4
CPT,80359,"Methylenedioxyamphetamines (MDA, MDEA, MDMA) Age Under 21",,,9.52,9.52,4
CPT,80360,Methylphenidate ,,,0.02,129.62,25
CPT,80360,Methylphenidate Age 21+,,,10.02,10.02,4
CPT,80360,Methylphenidate Age Under 21,,,10.2,10.2,4
CPT,80361,DEF DRUG OPIATES 1 OR MR,1673.21,1673.21,117.12,1673.21,120
CPT,80361,"Opiates, 1 or more ",,,0.02,129.62,25
CPT,80361,"Opiates, 1 or more Age 21+",,,15.71,15.71,4
CPT,80361,"Opiates, 1 or more Age Under 21",,,15.99,15.99,4
CPT,80362,DEF DRUG OPIOIDS ALG 1-2,1673.21,1673.21,117.12,1673.21,120
CPT,80362,Opioids and opiate analogs; 1 or 2 ,,,0.02,129.62,25
CPT,80362,Opioids and opiate analogs; 1 or 2 Age 21+,,,12.75,12.75,4
CPT,80362,Opioids and opiate analogs; 1 or 2 Age Under 21,,,12.98,12.98,4
CPT,80363,DEF DRUG OPIOIDS ALG 3-4,1673.21,1673.21,117.12,1673.21,132
CPT,80363,Opioids and Opiate analogs; 3 or 4 ,,,0.02,22.29,19
CPT,80363,Opioids and Opiate analogs; 3 or 4 Age 21+,,,19.61,19.61,4
CPT,80363,Opioids and Opiate analogs; 3 or 4 Age Under 21,,,19.97,19.97,4
CPT,80364,DEF DRUG OPIOIDS ALG 5+,1673.21,1673.21,117.12,1673.21,132
CPT,80364,Opioids and Opiate analogs; 5 or more ,,,0.02,16.73,19
CPT,80364,Opioids and Opiate analogs; 5 or more Age 21+,,,14.72,14.72,4
CPT,80364,Opioids and Opiate analogs; 5 or more Age Under 21,,,14.99,14.99,4
CPT,80365,Oxycodone ,,,0.02,129.62,25
CPT,80365,Oxycodone Age 21+,,,13.1,13.1,4
CPT,80365,Oxycodone Age Under 21,,,13.34,13.34,4
CPT,80366,Pregabalin ,,,0.02,129.62,25
CPT,80366,Pregabalin Age 21+,,,7.62,7.62,4
CPT,80366,Pregabalin Age Under 21,,,7.76,7.76,4
CPT,80367,DEF DRUG PROPOXYPHENE,638.94,638.94,44.73,638.94,120
CPT,80367,Propoxyphene ,,,0.02,129.62,25
CPT,80367,Propoxyphene Age 21+,,,11.56,11.56,4
CPT,80367,Propoxyphene Age Under 21,,,11.77,11.77,4
CPT,80368,DEF DRUG SEDATIVE HYPNOT,638.94,638.94,44.73,638.94,120
CPT,80368,Sedative hypnotics (non-benzodiazepines) ,,,0.02,129.62,25
CPT,80368,Sedative hypnotics (non-benzodiazepines) Age 21+,,,9.7,9.7,4
CPT,80368,Sedative hypnotics (non-benzodiazepines) Age Under 21,,,9.88,9.88,4
CPT,80369,DEF DRUG SKELETAL MR 1-2,721.23,721.23,50.49,721.23,120
CPT,80369,Skeletal muscle relaxants; 1 or 2 ,,,0.02,129.62,25
CPT,80369,Skeletal muscle relaxants; 1 or 2 Age 21+,,,12.33,12.33,4
CPT,80369,Skeletal muscle relaxants; 1 or 2 Age Under 21,,,12.56,12.56,4
CPT,80370,DEF DRUG SKELETAL MR 3+,721.23,721.23,50.49,721.23,132
CPT,80370,Skeletal muscle relaxants; 3 or more ,,,0.02,12.38,19
CPT,80370,Skeletal muscle relaxants; 3 or more Age 21+,,,10.89,10.89,4
CPT,80370,Skeletal muscle relaxants; 3 or more Age Under 21,,,11.09,11.09,4
CPT,80371,"Stimulants, synthetic ",,,0.02,129.62,25
CPT,80371,"Stimulants, synthetic Age 21+",,,12.99,12.99,4
CPT,80371,"Stimulants, synthetic Age Under 21",,,13.23,13.23,4
CPT,80372,Tapentadol ,,,0.02,129.62,25
CPT,80372,Tapentadol Age 21+,,,11.68,11.68,4
CPT,80372,Tapentadol Age Under 21,,,11.89,11.89,4
CPT,80373,Tramadol ,,,0.02,129.62,25
CPT,80373,Tramadol Age 21+,,,11.36,11.36,4
CPT,80373,Tramadol Age Under 21,,,11.57,11.57,4
CPT,80374,"Stereoisomer (enantiomer) analysis, single drug class ",,,0.02,129.62,25
CPT,80374,"Stereoisomer (enantiomer) analysis, single drug class Age 21+",,,10.9,10.9,4
CPT,80374,"Stereoisomer (enantiomer) analysis, single drug class Age Under 21",,,11.1,11.1,4
CPT,80375,6 METHYL THIOGUANINE QN,900.34,900.34,63.02,900.34,60
CPT,80375,DEF DRUG SUBSTANCE 1-3,1001.99,1001.99,70.14,1001.99,120
CPT,80375,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3 ",,,0.02,129.62,25
CPT,80375,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3 Age 21+",,,19.9,19.9,4
CPT,80375,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3 Age Under 21",,,20.26,20.26,4
CPT,80375,SULFONYLUREA QL HPLC,1026.2,1026.2,71.83,1026.2,60
CPT,80376,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6 ",,,0.02,129.62,25
CPT,80376,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6 Age 21+",,,20.67,20.67,4
CPT,80376,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6 Age Under 21",,,21.04,21.04,4
CPT,80377,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more ",,,0.02,129.62,25
CPT,80377,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more Age 21+",,,7.18,7.18,4
CPT,80377,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more Age Under 21",,,7.31,7.31,4
CPT,80400,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,19.57,175.26,137
CPT,80400,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) Age 21+,,,30.14,30.14,4
CPT,80400,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) Age Under 21,,,30.69,30.69,4
CPT,80400,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) Other Outpatient,,,34.25,34.25,6
CPT,80402,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,52.18,469.14,137
CPT,80402,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) Age 21+,,,80.36,80.36,4
CPT,80402,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) Age Under 21,,,81.82,81.82,4
CPT,80402,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) Other Outpatient,,,91.31,91.31,6
CPT,80406,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,46.96,421.68,137
CPT,80406,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) Age 21+,,,72.31,72.31,4
CPT,80406,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) Age Under 21,,,73.63,73.63,4
CPT,80406,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) Other Outpatient,,,82.17,82.17,6
CPT,80408,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,75.3,675.35,137
CPT,80408,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) Age 21+",,,115.96,115.96,4
CPT,80408,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) Age Under 21",,,118.07,118.07,4
CPT,80408,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) Other Outpatient",,,131.78,131.78,6
CPT,80410,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,48.22,432.62,137
CPT,80410,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) Age 21+",,,74.26,74.26,4
CPT,80410,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) Age Under 21",,,75.61,75.61,4
CPT,80410,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) Other Outpatient",,,84.39,84.39,6
CPT,80412,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,480.97,4318.73,137
CPT,80412,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) Age 21+,,,740.7,740.7,4
CPT,80412,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) Age Under 21,,,754.16,754.16,4
CPT,80412,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) Other Outpatient,,,841.7,841.7,6
CPT,80414,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,30.98,277.43,137
CPT,80414,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) Age 21+,,,47.72,47.72,4
CPT,80414,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) Age Under 21,,,48.59,48.59,4
CPT,80414,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) Other Outpatient,,,54.22,54.22,6
CPT,80415,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,33.53,301.19,137
CPT,80415,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) Age 21+",,,51.65,51.65,4
CPT,80415,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) Age Under 21",,,52.58,52.58,4
CPT,80415,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) Other Outpatient",,,58.68,58.68,6
CPT,80416,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,125.59,1128.05,137
CPT,80416,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Age 21+",,,193.41,193.41,4
CPT,80416,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Age Under 21",,,196.93,196.93,4
CPT,80416,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Other Outpatient",,,219.79,219.79,6
CPT,80417,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,26.39,237.29,137
CPT,80417,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Age 21+",,,40.65,40.65,4
CPT,80417,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Age Under 21",,,41.38,41.38,4
CPT,80417,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Other Outpatient",,,46.19,46.19,6
CPT,80418,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,347.69,3121.34,151
CPT,80420,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,97.13,872.5,137
CPT,80420,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) Age 21+",,,149.58,149.58,4
CPT,80420,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) Age Under 21",,,152.3,152.3,4
CPT,80420,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) Other Outpatie",,,169.97,169.97,6
CPT,80422,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,27.64,248.23,137
CPT,80422,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) Age 21+,,,42.57,42.57,4
CPT,80422,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) Age Under 21,,,43.34,43.34,4
CPT,80422,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) Other Outpatient,,,48.37,48.37,6
CPT,80424,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,30.3,271.99,137
CPT,80424,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) Age 21+",,,46.66,46.66,4
CPT,80424,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) Age Under 21",,,47.51,47.51,4
CPT,80424,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) Other Outpatient",,,53.03,53.03,6
CPT,80426,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,89.05,799.47,137
CPT,80426,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) Age 21+,,,137.13,137.13,4
CPT,80426,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) Age Under 21,,,139.62,139.62,4
CPT,80426,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) Other Outpatient,,,155.83,155.83,6
CPT,80428,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",5091.53,5091.53,40.02,359.59,137
CPT,80428,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) Age 21+",5091.53,5091.53,61.63,61.63,4
CPT,80428,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) Age Under 21",5091.53,5091.53,62.75,62.75,4
CPT,80428,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) Other Outpatient",5091.53,5091.53,70.04,70.04,6
CPT,80428,HGH STIMUL PANEL 4 TESTS,5091.53,5091.53,356.41,5091.53,47
CPT,80430,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,77.6,697.3,137
CPT,80430,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) Age 21+,,,119.5,119.5,4
CPT,80430,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) Age Under 21,,,121.68,121.68,4
CPT,80430,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) Other Outpatient,,,135.8,135.8,6
CPT,80432,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,99.37,892.57,137
CPT,80432,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) Age 21+,,,153.02,153.02,4
CPT,80432,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) Age Under 21,,,155.8,155.8,4
CPT,80432,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) Other Outpatient,,,173.89,173.89,6
CPT,80434,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,171.02,1535.1,137
CPT,80434,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) Age 21+,,,263.37,263.37,4
CPT,80434,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) Age Under 21,,,268.16,268.16,4
CPT,80434,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) Other Outpatient,,,299.28,299.28,6
CPT,80435,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,61.8,554.92,137
CPT,80435,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) Age 21+,,,95.17,95.17,4
CPT,80435,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) Age Under 21,,,96.9,96.9,4
CPT,80435,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) Other Outpatient,,,108.15,108.15,6
CPT,80436,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,54.7,491.02,137
CPT,80436,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Age 21+,,,84.23,84.23,4
CPT,80436,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Age Under 21,,,85.76,85.76,4
CPT,80436,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Other Outpatient,,,95.72,95.72,6
CPT,80438,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,30.25,271.99,137
CPT,80438,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) Age 21+,,,46.57,46.57,4
CPT,80438,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) Age Under 21,,,47.42,47.42,4
CPT,80438,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) Other Outpatient,,,52.93,52.93,6
CPT,80439,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,40.33,361.41,137
CPT,80439,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) Age 21+,,,62.11,62.11,4
CPT,80439,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) Age Under 21,,,63.24,63.24,4
CPT,80439,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) Other Outpatient,,,70.57,70.57,6
CPT,80503,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,111.65,27
CPT,80504,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,123.7,335.1,27
CPT,80505,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,335.1,27
CPT,80506,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,158.59,27
CPT,81000,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,2.41,21.89,151
CPT,81001,UA W MICRO AUTO,701.88,701.88,49.13,701.88,94
CPT,81001,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,1.9,16.44,151
CPT,81002,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,2.09,18.26,151
CPT,81003,PH UR AUTO,258.16,258.16,18.07,258.16,47
CPT,81003,PROTEIN UR QUAL AUTO,258.16,258.16,18.07,258.16,47
CPT,81003,SPEC GRAV UR AUTO,258.16,258.16,18.07,258.16,47
CPT,81003,UA W O MICRO AUTO,395.32,395.32,27.67,395.32,141
CPT,81003,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,1.35,12.76,151
CPT,81005,MELANIN MELANOGEN UR QL,179.1,179.1,12.54,179.1,47
CPT,81005,REDUCING SUBST UR,406.6,406.6,28.46,406.6,47
CPT,81005,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,1.3,10.94,137
CPT,81005,"Urinalysis; qualitative or semiquantitative, except immunoassays Age 21+",,,2.0,2.0,4
CPT,81005,"Urinalysis; qualitative or semiquantitative, except immunoassays Age Under 21",,,2.04,2.04,4
CPT,81005,"Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient",,,2.28,2.28,6
CPT,81007,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,17.99,160.63,137
CPT,81007,"Urinalysis; bacteriuria screen, except by culture or dipstick Age 21+",,,27.7,27.7,4
CPT,81007,"Urinalysis; bacteriuria screen, except by culture or dipstick Age Under 21",,,28.2,28.2,4
CPT,81007,"Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient",,,31.48,31.48,6
CPT,81015,Urinalysis; microscopic only ,,,1.83,16.44,137
CPT,81015,Urinalysis; microscopic only Age 21+,,,2.82,2.82,4
CPT,81015,Urinalysis; microscopic only Age Under 21,,,2.87,2.87,4
CPT,81015,Urinalysis; microscopic only Other Outpatient,,,3.2,3.2,6
CPT,81020,Urinalysis; 2 or 3 glass test ,,,2.82,25.57,137
CPT,81020,Urinalysis; 2 or 3 glass test Age 21+,,,4.35,4.35,4
CPT,81020,Urinalysis; 2 or 3 glass test Age Under 21,,,4.42,4.42,4
CPT,81020,Urinalysis; 2 or 3 glass test Other Outpatient,,,4.94,4.94,6
CPT,81025,PREG URINE QUAL BY DOO,503.41,503.41,35.24,503.41,141
CPT,81025,"Urine pregnancy test, by visual color comparison methods ",,,5.17,45.64,137
CPT,81025,"Urine pregnancy test, by visual color comparison methods Age 21+",,,7.95,7.95,4
CPT,81025,"Urine pregnancy test, by visual color comparison methods Age Under 21",,,8.1,8.1,4
CPT,81025,"Urine pregnancy test, by visual color comparison methods Other Outpatient",,,9.04,9.04,6
CPT,81050,VOLUME MEASUREMENT UR,174.27,174.27,12.2,174.27,47
CPT,81050,"Volume measurement for timed collection, each ",174.27,174.27,2.18,20.07,137
CPT,81050,"Volume measurement for timed collection, each Age 21+",174.27,174.27,3.37,3.37,4
CPT,81050,"Volume measurement for timed collection, each Age Under 21",174.27,174.27,3.43,3.43,4
CPT,81050,"Volume measurement for timed collection, each Other Outpatient",174.27,174.27,3.82,3.82,6
CPT,81099,Unlisted urinalysis procedure ,,,92.21,130.35,6
CPT,81105,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,73.33,658.97,149
CPT,81106,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,73.33,658.97,149
CPT,81107,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,73.33,658.97,149
CPT,81108,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,73.33,658.97,149
CPT,81109,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,73.33,658.97,149
CPT,81110,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,73.33,658.97,149
CPT,81111,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,73.33,658.97,149
CPT,81112,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,73.33,658.97,135
CPT,81112,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) Age ",,,112.93,114.98,8
CPT,81112,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) Othe",,,128.33,128.33,6
CPT,81120,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,115.95,1040.44,135
CPT,81120,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) Age 21+",,,178.56,178.56,4
CPT,81120,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) Age Under 21",,,181.81,181.81,4
CPT,81120,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) Other Outpatient",,,202.91,202.91,6
CPT,81121,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,177.47,1593.5,135
CPT,81121,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) Age 21+",,,273.31,273.31,4
CPT,81121,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) Age Under 21",,,278.28,278.28,4
CPT,81121,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) Other Outpatient",,,310.58,310.58,6
CPT,81161,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,167.4,1502.27,135
CPT,81161,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed Age 21+",,,257.8,257.8,4
CPT,81161,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed Age Under 21",,,262.48,262.48,4
CPT,81161,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed Other Outpatient",,,292.95,292.95,6
CPT,81162,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1094.93,9829.4,151
CPT,81163,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,280.8,2520.77,135
CPT,81163,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Age 21+",,,432.43,432.43,4
CPT,81163,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Age Under 21",,,440.29,440.29,4
CPT,81163,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Other Outpatient",,,491.4,491.4,6
CPT,81164,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,350.54,3146.85,149
CPT,81165,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,169.73,1524.15,135
CPT,81165,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Age 21+",,,261.38,261.38,4
CPT,81165,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Age Under 21",,,266.13,266.13,4
CPT,81165,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Other Outpatient",,,297.02,297.02,6
CPT,81166,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,180.81,1622.7,135
CPT,81166,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Age 21+",,,278.44,278.44,4
CPT,81166,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Age Under 21",,,283.51,283.51,4
CPT,81166,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Other Outpatient",,,316.42,316.42,6
CPT,81167,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,169.73,1524.15,135
CPT,81167,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Age 21+",,,261.38,261.38,4
CPT,81167,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Age Under 21",,,266.13,266.13,4
CPT,81167,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Other Outpatient",,,297.02,297.02,6
CPT,81168,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,124.39,1117.1,118
CPT,81168,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed Other Outpatient",,,217.68,217.68,6
CPT,81170,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,180.0,1615.44,135
CPT,81170,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain Age 21+",,,277.2,277.2,4
CPT,81170,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain Age Under 21",,,282.24,282.24,4
CPT,81170,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain Other Outpatient",,,315.0,315.0,6
CPT,81170,ABL1 VARS KINASE DOMAIN,3301.24,3301.24,231.09,3301.24,141
CPT,81171,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81171,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81172,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,164.9,1480.32,122
CPT,81172,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) Other Outpat",,,288.57,288.57,6
CPT,81173,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,180.81,1622.7,122
CPT,81173,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence Other Outpatient",,,316.42,316.42,6
CPT,81174,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,111.12,998.43,122
CPT,81174,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant Other Outpatient",,,194.46,194.46,6
CPT,81175,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,405.9,3643.37,122
CPT,81175,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence Other Ou",,,710.33,710.33,6
CPT,81176,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,145.14,1303.31,128
CPT,81177,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,135
CPT,81177,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age 21+",,,126.59,126.59,4
CPT,81177,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age Under 21",,,128.89,128.89,4
CPT,81177,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81178,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,135
CPT,81178,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age 21+",,,126.59,126.59,4
CPT,81178,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age Under 21",,,128.89,128.89,4
CPT,81178,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81179,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,135
CPT,81179,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age 21+",,,126.59,126.59,4
CPT,81179,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age Under 21",,,128.89,128.89,4
CPT,81179,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81180,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,135
CPT,81180,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age 21+",,,126.59,126.59,4
CPT,81180,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age Under 21",,,128.89,128.89,4
CPT,81180,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81181,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,135
CPT,81181,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age 21+",,,126.59,126.59,4
CPT,81181,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Age Under 21",,,128.89,128.89,4
CPT,81181,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81182,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81182,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81183,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81183,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81184,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,135
CPT,81184,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Age 21+",,,126.59,126.59,4
CPT,81184,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Age Under 21",,,128.89,128.89,4
CPT,81184,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81185,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,507.76,4557.89,135
CPT,81185,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence Age 21+",,,781.96,781.96,4
CPT,81185,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence Age Under 21",,,796.17,796.17,4
CPT,81185,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence Other Outpatient",,,888.58,888.58,6
CPT,81186,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,111.12,998.43,135
CPT,81186,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant Age 21+",,,171.13,171.13,4
CPT,81186,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant Age Under 21",,,174.24,174.24,4
CPT,81186,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant Other Outpatient",,,194.46,194.46,6
CPT,81187,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81187,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81188,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81188,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81189,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,164.9,1480.32,122
CPT,81189,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Other Outpatient",,,288.57,288.57,6
CPT,81190,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,111.12,998.43,122
CPT,81190,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Other Outpatient",,,194.46,194.46,6
CPT,81191,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,124.39,1117.1,118
CPT,81191,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis Other Outpatient",,,217.68,217.68,6
CPT,81192,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,124.39,1117.1,118
CPT,81192,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis Other Outpatient",,,217.68,217.68,6
CPT,81193,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,124.39,1117.1,118
CPT,81193,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis Other Outpatient",,,217.68,217.68,6
CPT,81194,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,310.97,2790.94,118
CPT,81194,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis Other Outpatient",,,544.19,544.19,6
CPT,81195,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,4881.64,110
CPT,81195,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) Other Outpatient",,,1956.38,1956.38,6
CPT,81200,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,28.35,253.73,135
CPT,81200,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Age 21+",,,43.66,43.66,4
CPT,81200,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Age Under 21",,,44.45,44.45,4
CPT,81200,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Other Outpatient",,,49.61,49.61,6
CPT,81201,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",21224.16,21224.16,468.0,4201.92,135
CPT,81201,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Age 21+",21224.16,21224.16,720.72,720.72,4
CPT,81201,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Age Under 21",21224.16,21224.16,733.82,733.82,4
CPT,81201,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Other Outpatient",21224.16,21224.16,819.0,819.0,6
CPT,81201,APC FULL GENE SEQ,21224.16,21224.16,1485.69,21224.16,47
CPT,81202,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",1026.2,1026.2,168.0,1507.71,135
CPT,81202,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Age 21+",1026.2,1026.2,258.72,258.72,4
CPT,81202,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Age Under 21",1026.2,1026.2,263.42,263.42,4
CPT,81202,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Other Outpatient",1026.2,1026.2,294.0,294.0,6
CPT,81202,APC KNOWN FAM VARIANTS,1026.2,1026.2,71.83,1026.2,47
CPT,81203,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",12077.14,12077.14,120.0,1076.96,135
CPT,81203,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Age 21+",12077.14,12077.14,184.8,184.8,4
CPT,81203,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Age Under 21",12077.14,12077.14,188.16,188.16,4
CPT,81203,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Other Outpatient",12077.14,12077.14,210.0,210.0,6
CPT,81203,APC DUP/DEL VARIANTS,12077.14,12077.14,845.4,12077.14,47
CPT,81204,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,82.2,737.44,122
CPT,81204,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) Other O",,,143.85,143.85,6
CPT,81205,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,56.99,511.09,135
CPT,81205,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) Age 21+",,,87.77,87.77,4
CPT,81205,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) Age Under 21",,,89.36,89.36,4
CPT,81205,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) Other Outpatient",,,99.74,99.74,6
CPT,81206,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,98.38,883.44,135
CPT,81206,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative Age 21+",,,151.5,151.5,4
CPT,81206,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative Age Under 21",,,154.26,154.26,4
CPT,81206,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative Other Outpatient",,,172.16,172.16,6
CPT,81206,BCR/ABL1 MAJOR BREAKPT,10441.03,10441.03,730.87,10441.03,94
CPT,81207,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,86.9,779.4,135
CPT,81207,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative Age 21+",,,133.84,133.84,4
CPT,81207,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative Age Under 21",,,136.27,136.27,4
CPT,81207,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative Other Outpatient",,,152.08,152.08,6
CPT,81207,BCR/ABL1 MINOR BREAKPT,2234.72,2234.72,156.43,2234.72,94
CPT,81208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,128.77,1155.43,135
CPT,81208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative Age 21+",,,198.31,198.31,4
CPT,81208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative Age Under 21",,,201.91,201.91,4
CPT,81208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative Other Outpatient",,,225.35,225.35,6
CPT,81209,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,23.59,211.72,135
CPT,81209,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Age 21+",,,36.32,36.32,4
CPT,81209,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Age Under 21",,,36.98,36.98,4
CPT,81209,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Other Outpatient",,,41.28,41.28,6
CPT,81210,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,105.24,945.53,135
CPT,81210,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) Age 21+",,,162.07,162.07,4
CPT,81210,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) Age Under 21",,,165.02,165.02,4
CPT,81210,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) Other Outpatient",,,184.17,184.17,6
CPT,81210,BRAF V600 VARIANTS,3301.24,3301.24,231.09,3301.24,141
CPT,81212,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,264.0,2369.27,135
CPT,81212,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants Age 21+",,,406.56,406.56,4
CPT,81212,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants Age Under 21",,,413.95,413.95,4
CPT,81212,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants Other Outpatient",,,462.0,462.0,6
CPT,81215,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,225.15,2020.62,135
CPT,81215,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Age 21+",,,346.73,346.73,4
CPT,81215,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Age Under 21",,,353.04,353.04,4
CPT,81215,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Other Outpatient",,,394.01,394.01,6
CPT,81216,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,111.07,996.62,135
CPT,81216,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Age 21+",,,171.05,171.05,4
CPT,81216,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Age Under 21",,,174.16,174.16,4
CPT,81216,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Other Outpatient",,,194.38,194.38,6
CPT,81217,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,225.15,2020.62,135
CPT,81217,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Age 21+",,,346.73,346.73,4
CPT,81217,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Age Under 21",,,353.04,353.04,4
CPT,81217,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Other Outpatient",,,394.01,394.01,6
CPT,81218,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,145.14,1303.31,135
CPT,81218,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence Age 21+",,,223.52,223.52,4
CPT,81218,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence Age Under 21",,,227.58,227.58,4
CPT,81218,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence Other Outpatient",,,254.0,254.0,6
CPT,81218,CEBPA FULL GENE SEQ ANAL,3323.83,3323.83,232.67,3323.83,141
CPT,81219,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,72.98,655.28,135
CPT,81219,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 Age 21+",,,112.39,112.39,4
CPT,81219,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 Age Under 21",,,114.43,114.43,4
CPT,81219,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 Other Outpatient",,,127.71,127.71,6
CPT,81219,CALR COMMON VAR IN EXON9,3301.24,3301.24,231.09,3301.24,141
CPT,81220,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",1660.32,1660.32,333.96,2999.03,137
CPT,81220,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Age 21+",1660.32,1660.32,514.29,514.29,4
CPT,81220,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Age Under 21",1660.32,1660.32,523.64,523.64,4
CPT,81220,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Other Outpatient",1660.32,1660.32,584.43,584.43,6
CPT,81220,CFTR COMMON VARIANTS,1660.32,1660.32,116.22,1660.32,47
CPT,81221,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,58.33,523.85,137
CPT,81221,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants Age 21+",,,89.83,89.83,4
CPT,81221,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants Age Under 21",,,91.46,91.46,4
CPT,81221,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants Other Outpatient",,,102.08,102.08,6
CPT,81222,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",12077.14,12077.14,261.04,2343.75,137
CPT,81222,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Age 21+",12077.14,12077.14,402.01,402.01,4
CPT,81222,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Age Under 21",12077.14,12077.14,409.32,409.32,4
CPT,81222,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Other Outpatient",12077.14,12077.14,456.82,456.82,6
CPT,81222,CFTR DUP/DEL VARIANTS,12077.14,12077.14,845.4,12077.14,47
CPT,81223,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",15492.95,15492.95,299.4,2688.71,137
CPT,81223,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Age 21+",15492.95,15492.95,461.08,461.08,4
CPT,81223,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Age Under 21",15492.95,15492.95,469.46,469.46,4
CPT,81223,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Other Outpatient",15492.95,15492.95,523.95,523.95,6
CPT,81223,CFTR FULL GENE SEQ,15492.95,15492.95,1084.51,15492.95,47
CPT,81224,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",2134.67,2134.67,101.25,909.01,137
CPT,81224,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Age 21+",2134.67,2134.67,155.93,155.93,4
CPT,81224,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Age Under 21",2134.67,2134.67,158.76,158.76,4
CPT,81224,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Other Outpatient",2134.67,2134.67,177.19,177.19,6
CPT,81224,CFTR INTRON 8POLY-T ANAL,2134.67,2134.67,149.43,2134.67,47
CPT,81225,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",3178.61,3178.61,174.82,1569.8,135
CPT,81225,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Age 21+",3178.61,3178.61,269.21,269.21,4
CPT,81225,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Age Under 21",3178.61,3178.61,274.11,274.11,4
CPT,81225,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Other Outpatient",3178.61,3178.61,305.93,305.93,6
CPT,81225,CYP2C19 COMMON VARIANTS,3178.61,3178.61,222.5,3178.61,47
CPT,81226,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,270.55,2429.54,135
CPT,81226,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) Age 21",,,416.64,416.64,4
CPT,81226,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) Age Un",,,424.21,424.21,4
CPT,81226,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) Other ",,,473.46,473.46,6
CPT,81227,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,104.89,941.9,135
CPT,81227,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) Age 21+",,,161.52,161.52,4
CPT,81227,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) Age Under 21",,,164.46,164.46,4
CPT,81227,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) Other Outpatient",,,183.55,183.55,6
CPT,81228,CYTOGEN MARRAY COPY NO,16770.84,16770.84,1173.96,16770.84,47
CPT,81228,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",16770.84,16770.84,540.0,4848.08,128
CPT,81229,CYTOGEN MA COPY NO & SNP,18295.61,18295.61,1280.69,18295.61,94
CPT,81229,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,696.0,6248.11,149
CPT,81230,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,104.89,941.9,122
CPT,81230,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) Other Outpatient",,,183.55,183.55,6
CPT,81231,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,104.89,941.9,122
CPT,81231,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) Other Outpatient",,,183.55,183.55,6
CPT,81232,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,104.89,941.9,122
CPT,81232,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) Other Outpatient",,,183.55,183.55,6
CPT,81233,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,105.24,945.53,135
CPT,81233,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) Age 21+",,,162.07,162.07,4
CPT,81233,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) Age Under 21",,,165.02,165.02,4
CPT,81233,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) Other Outpatient",,,184.17,184.17,6
CPT,81234,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",4603.35,4603.35,82.2,737.44,122
CPT,81234,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles Other Outpatient",4603.35,4603.35,143.85,143.85,6
CPT,81234,DMPK DETECT ABNL ALLELES,4603.35,4603.35,322.23,4603.35,47
CPT,81235,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",17561.47,17561.47,194.75,1748.68,135
CPT,81235,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Age 21+",17561.47,17561.47,299.92,299.92,4
CPT,81235,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Age Under 21",17561.47,17561.47,305.37,305.37,4
CPT,81235,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Other Outpatient",17561.47,17561.47,340.81,340.81,6
CPT,81235,EGFR COMMON VARIANTS,17561.47,17561.47,1229.3,17561.47,47
CPT,81236,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,169.73,1524.15,122
CPT,81236,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence Other Outpatient",,,297.02,297.02,6
CPT,81237,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,105.24,945.53,135
CPT,81237,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) Age 21+",,,162.07,162.07,4
CPT,81237,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) Age Under 21",,,165.02,165.02,4
CPT,81237,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) Other Outpatient",,,184.17,184.17,6
CPT,81238,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,360.0,3232.69,135
CPT,81238,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence Age 21+",,,554.4,554.4,4
CPT,81238,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence Age Under 21",,,564.48,564.48,4
CPT,81238,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence Other Outpatient",,,630.0,630.0,6
CPT,81239,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,164.9,1480.32,122
CPT,81239,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) Other Outpatient",,,288.57,288.57,6
CPT,81240,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",4603.35,4603.35,39.41,354.09,137
CPT,81240,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Age 21+",4603.35,4603.35,60.7,60.7,4
CPT,81240,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Age Under 21",4603.35,4603.35,61.8,61.8,4
CPT,81240,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Other Outpatient",4603.35,4603.35,68.97,68.97,6
CPT,81240,F2 GENE 20210G>A VARIANT,4603.35,4603.35,322.23,4603.35,47
CPT,81241,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",4603.35,4603.35,44.02,396.11,137
CPT,81241,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Age 21+",4603.35,4603.35,67.79,67.79,4
CPT,81241,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Age Under 21",4603.35,4603.35,69.03,69.03,4
CPT,81241,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Other Outpatient",4603.35,4603.35,77.04,77.04,6
CPT,81241,F5 GENE LEIDEN VARIANT,4603.35,4603.35,322.23,4603.35,47
CPT,81242,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",3206.06,3206.06,21.97,197.15,135
CPT,81242,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Age 21+",3206.06,3206.06,33.84,33.84,4
CPT,81242,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Age Under 21",3206.06,3206.06,34.45,34.45,4
CPT,81242,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Other Outpatient",3206.06,3206.06,38.45,38.45,6
CPT,81242,FANCC COMMON VARIANT,3206.06,3206.06,224.42,3206.06,47
CPT,81243,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",2694.56,2694.56,34.22,306.63,135
CPT,81243,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Age 21+",2694.56,2694.56,52.7,52.7,4
CPT,81243,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Age Under 21",2694.56,2694.56,53.66,53.66,4
CPT,81243,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",2694.56,2694.56,59.89,59.89,6
CPT,81243,FMR1 DETECT ABN ALLELES,2694.56,2694.56,188.62,2694.56,47
CPT,81244,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,26.93,240.92,149
CPT,81245,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,99.31,890.76,135
CPT,81245,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) Age 21+",,,152.93,152.93,4
CPT,81245,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) Age Under 21",,,155.71,155.71,4
CPT,81245,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) Other Outpatient",,,173.79,173.79,6
CPT,81245,FLT3 INTERNAL TANDEM DUP,3415.8,3415.8,239.11,3415.8,141
CPT,81246,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,49.8,447.19,135
CPT,81246,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) Age 21+",,,76.69,76.69,4
CPT,81246,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) Age Under 21",,,78.09,78.09,4
CPT,81246,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) Other Outpatient",,,87.15,87.15,6
CPT,81246,FLT3 TYROSINE KINASE DOM,3415.8,3415.8,239.11,3415.8,141
CPT,81247,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,104.89,941.9,135
CPT,81247,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) Age 21+",,,161.52,161.52,4
CPT,81247,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) Age Under 21",,,164.46,164.46,4
CPT,81247,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) Other Outpatient",,,183.55,183.55,6
CPT,81248,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,225.15,2020.62,135
CPT,81248,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) Age 21+",,,346.73,346.73,4
CPT,81248,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) Age Under 21",,,353.04,353.04,4
CPT,81248,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) Other Outpatient",,,394.01,394.01,6
CPT,81249,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,360.0,3232.69,135
CPT,81249,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence Age 21+",,,554.4,554.4,4
CPT,81249,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence Age Under 21",,,564.48,564.48,4
CPT,81249,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence Other Outpatient",,,630.0,630.0,6
CPT,81250,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,35.09,315.76,135
CPT,81250,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) Age 21+",,,54.04,54.04,4
CPT,81250,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) Age Under 21",,,55.03,55.03,4
CPT,81250,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) Other Outpatient",,,61.41,61.41,6
CPT,81251,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,28.35,253.73,135
CPT,81251,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) Age 21+",,,43.66,43.66,4
CPT,81251,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) Age Under 21",,,44.45,44.45,4
CPT,81251,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) Other Outpatient",,,49.61,49.61,6
CPT,81252,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",6099.07,6099.07,60.67,543.92,135
CPT,81252,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Age 21+",6099.07,6099.07,93.43,93.43,4
CPT,81252,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Age Under 21",6099.07,6099.07,95.13,95.13,4
CPT,81252,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Other Outpatient",6099.07,6099.07,106.18,106.18,6
CPT,81252,GJB2 FULL GENE SEQ,6099.07,6099.07,426.93,6099.07,47
CPT,81253,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,36.91,332.21,135
CPT,81253,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants Age 21+",,,56.85,56.85,4
CPT,81253,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants Age Under 21",,,57.88,57.88,4
CPT,81253,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants Other Outpatient",,,64.6,64.6,6
CPT,81254,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",4269.35,4269.35,21.0,188.02,135
CPT,81254,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Age 21+",4269.35,4269.35,32.34,32.34,4
CPT,81254,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Age Under 21",4269.35,4269.35,32.93,32.93,4
CPT,81254,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Other Outpatient",4269.35,4269.35,36.75,36.75,6
CPT,81254,GJB6 COMMON VARIANTS,4269.35,4269.35,298.85,4269.35,47
CPT,81255,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,30.87,277.43,135
CPT,81255,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) Age 21+",,,47.54,47.54,4
CPT,81255,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) Age Under 21",,,48.41,48.41,4
CPT,81255,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) Other Outpatient",,,54.02,54.02,6
CPT,81256,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",918.07,918.07,39.22,352.28,135
CPT,81256,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Age 21+",918.07,918.07,60.39,60.39,4
CPT,81256,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Age Under 21",918.07,918.07,61.49,61.49,4
CPT,81256,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Other Outpatient",918.07,918.07,68.63,68.63,6
CPT,81256,HFE COM VAR C282Y H63D,918.07,918.07,64.26,918.07,47
CPT,81257,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,61.36,551.24,149
CPT,81258,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,225.15,2020.62,135
CPT,81258,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant Age 21+",,,346.73,346.73,4
CPT,81258,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant Age Under 21",,,353.04,353.04,4
CPT,81258,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant Other Outpatient",,,394.01,394.01,6
CPT,81259,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,360.0,3232.69,135
CPT,81259,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence Age 21+",,,554.4,554.4,4
CPT,81259,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence Age Under 21",,,564.48,564.48,4
CPT,81259,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence Other Outpatient",,,630.0,630.0,6
CPT,81260,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,23.59,211.72,135
CPT,81260,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) Age 21+",,,36.32,36.32,4
CPT,81260,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) Age Under 21",,,36.98,36.98,4
CPT,81260,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) Other Outpat",,,41.28,41.28,6
CPT,81261,IGH REARRANGE AMPLIFIED,2744.59,2744.59,192.12,2744.59,47
CPT,81261,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",2744.59,2744.59,118.79,1066.02,149
CPT,81262,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,41.13,368.72,135
CPT,81262,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) Age 21+",,,63.34,63.34,4
CPT,81262,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) Age Und",,,64.49,64.49,4
CPT,81262,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) Other O",,,71.98,71.98,6
CPT,81263,IGH VAR REG SOMATIC MUT,1833.37,1833.37,128.34,1833.37,47
CPT,81263,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",1833.37,1833.37,176.71,1586.24,135
CPT,81263,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Age 21+",1833.37,1833.37,272.14,272.14,4
CPT,81263,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Age Under 21",1833.37,1833.37,277.09,277.09,4
CPT,81263,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Other Outpatient",1833.37,1833.37,309.25,309.25,6
CPT,81264,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,103.64,930.9,135
CPT,81264,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Age 21+",,,159.6,159.6,4
CPT,81264,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Age Under 21",,,162.5,162.5,4
CPT,81264,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Other Outpatient",,,181.37,181.37,6
CPT,81265,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,139.84,1255.85,149
CPT,81265,STR MARKERS SPECIMEN ANA,2623.58,2623.58,183.65,2623.58,94
CPT,81266,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,182.89,1640.95,149
CPT,81267,CHIMERISM W/OUT CELL SEL,2623.58,2623.58,183.65,2623.58,47
CPT,81267,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",2623.58,2623.58,124.48,1117.1,135
CPT,81267,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Age 21+",2623.58,2623.58,191.7,191.7,4
CPT,81267,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Age Under 21",2623.58,2623.58,195.18,195.18,4
CPT,81267,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Other Outpatient",2623.58,2623.58,217.83,217.83,6
CPT,81268,CHIMERISM W/ CELL SELECT,2623.58,2623.58,183.65,2623.58,47
CPT,81268,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",2623.58,2623.58,156.47,1405.48,149
CPT,81269,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,121.44,1089.72,135
CPT,81269,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants Age 21+",,,187.02,187.02,4
CPT,81269,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants Age Under 21",,,190.42,190.42,4
CPT,81269,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants Other Outpatient",,,212.52,212.52,6
CPT,81270,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,55.0,492.84,135
CPT,81270,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant Age 21+",,,84.69,84.69,4
CPT,81270,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant Age Under 21",,,86.23,86.23,4
CPT,81270,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant Other Outpatient",,,96.24,96.24,6
CPT,81270,JAK2 V617F VARIANT,4269.35,4269.35,298.85,4269.35,141
CPT,81271,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81271,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81272,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,197.71,1774.2,149
CPT,81272,KIT TARGET SEQ ANAL GIST,5048.68,5048.68,353.41,5048.68,141
CPT,81273,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",1076.22,1076.22,74.92,671.72,135
CPT,81273,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Age 21+",1076.22,1076.22,115.38,115.38,4
CPT,81273,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Age Under 21",1076.22,1076.22,117.48,117.48,4
CPT,81273,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Other Outpatient",1076.22,1076.22,131.11,131.11,6
CPT,81273,KIT GENE ANAL D816 VAR'S,1076.22,1076.22,75.34,1076.22,47
CPT,81274,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,164.9,1480.32,122
CPT,81274,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) Other Outpatient",,,288.57,288.57,6
CPT,81275,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",6226.54,6226.54,115.95,1040.44,137
CPT,81275,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Age 21+",6226.54,6226.54,178.56,178.56,4
CPT,81275,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Age Under 21",6226.54,6226.54,181.81,181.81,4
CPT,81275,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Other Outpatient",6226.54,6226.54,202.91,202.91,6
CPT,81275,KRAS VAR EXN2 CODON12&13,6226.54,6226.54,435.86,6226.54,47
CPT,81276,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,115.95,1040.44,137
CPT,81276,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) Age 21+",,,178.56,178.56,4
CPT,81276,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) Age Under 21",,,181.81,181.81,4
CPT,81276,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) Other Outpatient",,,202.91,202.91,6
CPT,81277,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,696.0,6248.11,104
CPT,81277,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities Other Outpatient",,,1218.0,1218.0,6
CPT,81278,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,124.39,1117.1,131
CPT,81278,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative Age 21+",,,191.55,191.55,4
CPT,81278,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative Age Under 21",,,195.04,195.04,4
CPT,81278,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative Other Outpatient",,,217.68,217.68,6
CPT,81279,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,111.12,998.43,118
CPT,81279,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) Other Outpatient",,,194.46,194.46,6
CPT,81279,JAK2 TARGET SEQ ANALYSIS,4269.35,4269.35,298.85,4269.35,153
CPT,81283,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,44.02,396.11,122
CPT,81283,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant Other Outpatient",,,77.04,77.04,6
CPT,81284,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,82.2,737.44,122
CPT,81284,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81285,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,164.9,1480.32,122
CPT,81285,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) Other Outpatient",,,288.57,288.57,6
CPT,81286,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,164.9,1480.32,122
CPT,81286,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence Other Outpatient",,,288.57,288.57,6
CPT,81287,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",838.13,838.13,74.78,671.72,135
CPT,81287,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Age 21+",838.13,838.13,115.17,115.17,4
CPT,81287,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Age Under 21",838.13,838.13,117.26,117.26,4
CPT,81287,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Other Outpatient",838.13,838.13,130.87,130.87,6
CPT,81287,MGMT PROMOTER METHLATED,838.13,838.13,58.67,838.13,47
CPT,81288,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,115.39,1036.82,135
CPT,81288,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis Age 21+",,,177.71,177.71,4
CPT,81288,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis Age Under 21",,,180.94,180.94,4
CPT,81288,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis Other Outpatient",,,201.94,201.94,6
CPT,81288,MLH1 PROMOTR METHYLATION,2481.57,2481.57,173.71,2481.57,94
CPT,81289,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,111.12,998.43,122
CPT,81289,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Other Outpatient",,,194.46,194.46,6
CPT,81290,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,23.59,211.72,135
CPT,81290,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) Age 21+",,,36.32,36.32,4
CPT,81290,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) Age Under 21",,,36.98,36.98,4
CPT,81290,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) Other Outpatient",,,41.28,41.28,6
CPT,81291,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",4603.35,4603.35,39.2,352.28,135
CPT,81291,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Age 21+",4603.35,4603.35,60.38,60.38,4
CPT,81291,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Age Under 21",4603.35,4603.35,61.48,61.48,4
CPT,81291,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Other Outpatient",4603.35,4603.35,68.61,68.61,6
CPT,81291,MTHFR COMMON VARIANTS,4603.35,4603.35,322.23,4603.35,47
CPT,81292,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,405.24,3637.87,135
CPT,81292,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Age 21+",,,624.07,624.07,4
CPT,81292,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Age Under 21",,,635.42,635.42,4
CPT,81292,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Other Outpatient",,,709.17,709.17,6
CPT,81293,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,198.6,1783.33,135
CPT,81293,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age 21+",,,305.84,305.84,4
CPT,81293,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age Under 21",,,311.4,311.4,4
CPT,81293,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Other Outpatient",,,347.55,347.55,6
CPT,81294,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,121.44,1089.72,135
CPT,81294,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Age 21+",,,187.02,187.02,4
CPT,81294,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Age Under 21",,,190.42,190.42,4
CPT,81294,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Other Outpatient",,,212.52,212.52,6
CPT,81295,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,229.02,2055.32,135
CPT,81295,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Age 21+",,,352.69,352.69,4
CPT,81295,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Age Under 21",,,359.11,359.11,4
CPT,81295,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Other Outpatient",,,400.79,400.79,6
CPT,81296,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,202.64,1819.84,135
CPT,81296,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age 21+",,,312.06,312.06,4
CPT,81296,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age Under 21",,,317.73,317.73,4
CPT,81296,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Other Outpatient",,,354.62,354.62,6
CPT,81297,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,127.98,1148.12,135
CPT,81297,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Age 21+",,,197.09,197.09,4
CPT,81297,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Age Under 21",,,200.67,200.67,4
CPT,81297,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Other Outpatient",,,223.97,223.97,6
CPT,81298,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,385.11,3457.17,135
CPT,81298,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Age 21+",,,593.07,593.07,4
CPT,81298,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Age Under 21",,,603.85,603.85,4
CPT,81298,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Other Outpatient",,,673.94,673.94,6
CPT,81299,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",17346.88,17346.88,184.8,1659.21,135
CPT,81299,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age 21+",17346.88,17346.88,284.59,284.59,4
CPT,81299,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age Under 21",17346.88,17346.88,289.77,289.77,4
CPT,81299,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Other Outpatient",17346.88,17346.88,323.4,323.4,6
CPT,81299,MSH6 KNOWN FAM VARIANTS,17346.88,17346.88,1214.28,17346.88,47
CPT,81300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,142.8,1281.36,135
CPT,81300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Age 21+",,,219.91,219.91,4
CPT,81300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Age Under 21",,,223.91,223.91,4
CPT,81300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Other Outpatient",,,249.9,249.9,6
CPT,81301,MICROSATELLITE INSTABILI,7806.17,7806.17,546.43,7806.17,47
CPT,81301,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",7806.17,7806.17,209.14,1878.24,149
CPT,81302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",13906.88,13906.88,316.72,2843.85,135
CPT,81302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Age 21+",13906.88,13906.88,487.75,487.75,4
CPT,81302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Age Under 21",13906.88,13906.88,496.62,496.62,4
CPT,81302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Other Outpatient",13906.88,13906.88,554.26,554.26,6
CPT,81302,MECP2 FULL SEQ ANALYSIS,13906.88,13906.88,973.48,13906.88,47
CPT,81303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,72.0,646.15,135
CPT,81303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Age 21+",,,110.88,110.88,4
CPT,81303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Age Under 21",,,112.9,112.9,4
CPT,81303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Other Outpatient",,,126.0,126.0,6
CPT,81304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",6099.07,6099.07,90.0,808.6,135
CPT,81304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Age 21+",6099.07,6099.07,138.6,138.6,4
CPT,81304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Age Under 21",6099.07,6099.07,141.12,141.12,4
CPT,81304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Other Outpatient",6099.07,6099.07,157.5,157.5,6
CPT,81304,MECP2 DUP/DEL VARIANTS,6099.07,6099.07,426.93,6099.07,47
CPT,81305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,105.24,945.53,122
CPT,81305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant Other Outpatient",,,184.17,184.17,6
CPT,81305,MYD88 GENE L265P VARIANT,3301.24,3301.24,231.09,3301.24,141
CPT,81306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",918.07,918.07,174.82,1569.8,122
CPT,81306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Other Outpatient",918.07,918.07,305.93,305.93,6
CPT,81306,NUDT15 COMMON VARIANT(S),918.07,918.07,64.26,918.07,47
CPT,81307,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,405.9,3643.37,104
CPT,81307,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence Other Outpatient",,,710.33,710.33,6
CPT,81308,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,180.81,1622.7,104
CPT,81308,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant Other Outpatient",,,316.42,316.42,6
CPT,81309,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,164.9,1480.32,104
CPT,81309,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) Other Outpatient",,,288.57,288.57,6
CPT,81310,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,147.91,1327.01,135
CPT,81310,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants Age 21+",,,227.79,227.79,4
CPT,81310,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants Age Under 21",,,231.93,231.93,4
CPT,81310,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants Other Outpatient",,,258.85,258.85,6
CPT,81310,NPM1 EXON 12 VARIANTS,3659.44,3659.44,256.16,3659.44,141
CPT,81311,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",4564.63,4564.63,177.47,1593.5,122
CPT,81311,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) Other Outpatient",4564.63,4564.63,310.58,310.58,6
CPT,81311,NRAS EXON 2&3 VARIANTS,4564.63,4564.63,319.52,4564.63,47
CPT,81312,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81312,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81313,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,153.03,1374.46,137
CPT,81313,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) Age 21+",,,235.66,235.66,4
CPT,81313,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) Age Under 21",,,239.95,239.95,4
CPT,81313,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) Other Outpatient",,,267.8,267.8,6
CPT,81314,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",4208.05,4208.05,197.71,1774.2,135
CPT,81314,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Age 21+",4208.05,4208.05,304.47,304.47,4
CPT,81314,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Age Under 21",4208.05,4208.05,310.0,310.0,4
CPT,81314,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Other Outpatient",4208.05,4208.05,345.99,345.99,6
CPT,81314,PDGFRA TARGET GEN SEQAN,4208.05,4208.05,294.56,4208.05,47
CPT,81315,PML/RARA COMMON BREAKPT,4269.35,4269.35,298.85,4269.35,47
CPT,81315,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",4269.35,4269.35,124.39,1117.1,149
CPT,81316,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,124.39,1117.1,149
CPT,81317,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,405.9,3643.37,135
CPT,81317,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Age 21+",,,625.09,625.09,4
CPT,81317,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Age Under 21",,,636.45,636.45,4
CPT,81317,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Other Outpatient",,,710.33,710.33,6
CPT,81318,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,198.6,1783.33,135
CPT,81318,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age 21+",,,305.84,305.84,4
CPT,81318,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Age Under 21",,,311.4,311.4,4
CPT,81318,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Other Outpatient",,,347.55,347.55,6
CPT,81319,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,122.1,1097.03,135
CPT,81319,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Age 21+",,,188.03,188.03,4
CPT,81319,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Age Under 21",,,191.45,191.45,4
CPT,81319,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Other Outpatient",,,213.68,213.68,6
CPT,81320,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,174.82,1569.8,122
CPT,81320,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) Other Outpatient",,,305.93,305.93,6
CPT,81321,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",13663.24,13663.24,360.0,3232.69,135
CPT,81321,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Age 21+",13663.24,13663.24,554.4,554.4,4
CPT,81321,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Age Under 21",13663.24,13663.24,564.48,564.48,4
CPT,81321,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Other Outpatient",13663.24,13663.24,630.0,630.0,6
CPT,81321,PTEN FULL SEQ ANALYSIS,13663.24,13663.24,956.43,13663.24,47
CPT,81322,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,27.96,251.92,135
CPT,81322,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant Age 21+",,,43.05,43.05,4
CPT,81322,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant Age Under 21",,,43.84,43.84,4
CPT,81322,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant Other Outpatient",,,48.93,48.93,6
CPT,81323,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,180.0,1615.44,135
CPT,81323,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant Age 21+",,,277.2,277.2,4
CPT,81323,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant Age Under 21",,,282.24,282.24,4
CPT,81323,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant Other Outpatient",,,315.0,315.0,6
CPT,81324,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,455.02,4085.12,135
CPT,81324,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis Age 21+",,,700.72,700.72,4
CPT,81324,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis Age Under 21",,,713.46,713.46,4
CPT,81324,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis Other Outpatient",,,796.28,796.28,6
CPT,81325,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,461.75,4145.34,135
CPT,81325,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis Age 21+",,,711.1,711.1,4
CPT,81325,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis Age Under 21",,,724.02,724.02,4
CPT,81325,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis Other Outpatient",,,808.06,808.06,6
CPT,81326,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,27.96,251.92,135
CPT,81326,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant Age 21+",,,43.05,43.05,4
CPT,81326,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant Age Under 21",,,43.84,43.84,4
CPT,81326,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant Other Outpatient",,,48.93,48.93,6
CPT,81327,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",1507.02,1507.02,115.2,1034.95,135
CPT,81327,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Age 21+",1507.02,1507.02,177.41,177.41,4
CPT,81327,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Age Under 21",1507.02,1507.02,180.63,180.63,4
CPT,81327,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Other Outpatient",1507.02,1507.02,201.6,201.6,6
CPT,81327,SEPT9 PROMOTER METHYLATE,1507.02,1507.02,105.49,1507.02,47
CPT,81328,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,104.89,941.9,122
CPT,81328,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) Other Outpatient",,,183.55,183.55,6
CPT,81329,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,82.2,737.44,149
CPT,81330,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,28.2,253.73,135
CPT,81330,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) Age 21+",,,43.43,43.43,4
CPT,81330,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) Age Under 21",,,44.22,44.22,4
CPT,81330,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) Other Outpatient",,,49.35,49.35,6
CPT,81331,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",4269.35,4269.35,30.64,275.62,135
CPT,81331,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Age 21+",4269.35,4269.35,47.19,47.19,4
CPT,81331,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Age Under 21",4269.35,4269.35,48.05,48.05,4
CPT,81331,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Other Outpatient",4269.35,4269.35,53.62,53.62,6
CPT,81331,SNRPN/UBE3A METHYLATION,4269.35,4269.35,298.85,4269.35,47
CPT,81332,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,26.19,235.48,135
CPT,81332,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) Age 21+",,,40.34,40.34,4
CPT,81332,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) Age Under 21",,,41.07,41.07,4
CPT,81332,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) Other Outpatient",,,45.83,45.83,6
CPT,81333,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,82.2,737.44,122
CPT,81333,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) Other Outpatient",,,143.85,143.85,6
CPT,81334,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,197.71,1774.2,135
CPT,81334,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) Age 21",,,304.47,304.47,4
CPT,81334,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) Age Un",,,310.0,310.0,4
CPT,81334,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) Other ",,,345.99,345.99,6
CPT,81335,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",918.07,918.07,104.89,941.9,122
CPT,81335,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) Other Outpatient",918.07,918.07,183.55,183.55,6
CPT,81335,TPMT COMMON VARIANTS,918.07,918.07,64.26,918.07,47
CPT,81336,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,180.81,1622.7,135
CPT,81336,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence Age 21+",,,278.44,278.44,4
CPT,81336,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence Age Under 21",,,283.51,283.51,4
CPT,81336,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence Other Outpatient",,,316.42,316.42,6
CPT,81337,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,111.12,998.43,135
CPT,81337,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) Age 21+",,,171.13,171.13,4
CPT,81337,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) Age Under 21",,,174.24,174.24,4
CPT,81337,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) Other Outpatient",,,194.46,194.46,6
CPT,81338,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,90.2,810.47,118
CPT,81338,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) Other Outpatient",,,157.85,157.85,6
CPT,81338,MPL COMMON VARIANTS,3301.24,3301.24,231.09,3301.24,153
CPT,81339,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,111.12,998.43,118
CPT,81339,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 Other Outpatient",,,194.46,194.46,6
CPT,81340,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",1404.56,1404.56,125.35,1126.23,135
CPT,81340,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) A",1404.56,1404.56,193.04,196.55,8
CPT,81340,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) O",1404.56,1404.56,219.37,219.37,6
CPT,81340,TRB@REARRANGE AMPLIFY,1404.56,1404.56,98.32,1404.56,47
CPT,81341,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,29.75,266.49,135
CPT,81341,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) Age 21+",,,45.83,45.83,4
CPT,81341,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) Age Under 21",,,46.66,46.66,4
CPT,81341,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) Other Outpatie",,,52.07,52.07,6
CPT,81342,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",2684.88,2684.88,120.9,1086.09,135
CPT,81342,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Age 21+",2684.88,2684.88,186.19,186.19,4
CPT,81342,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Age Under 21",2684.88,2684.88,189.57,189.57,4
CPT,81342,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Other Outpatient",2684.88,2684.88,211.58,211.58,6
CPT,81342,TRG@REARRANGE ABNCLONAL,2684.88,2684.88,187.94,2684.88,47
CPT,81343,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81343,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81344,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,82.2,737.44,122
CPT,81344,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other Outpatient",,,143.85,143.85,6
CPT,81345,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,111.12,998.43,122
CPT,81345,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) Other Outpatient",,,194.46,194.46,6
CPT,81346,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,104.89,941.9,122
CPT,81346,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) Other Outpatient",,,183.55,183.55,6
CPT,81347,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,115.95,1670.97,118
CPT,81347,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) Other Outpatient",,,202.91,202.91,6
CPT,81348,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,105.24,1670.97,118
CPT,81348,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) Other Outpatient",,,184.17,184.17,6
CPT,81349,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,539.0,6248.11,133
CPT,81349,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis Age ",,,1106.9,1127.02,8
CPT,81349,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis Othe",,,1257.84,1257.84,6
CPT,81350,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,140.4,1261.29,135
CPT,81350,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) Ag",,,216.22,220.15,8
CPT,81350,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) Ot",,,245.7,245.7,6
CPT,81351,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,385.11,3457.17,131
CPT,81351,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence Age 21+",,,593.07,593.07,4
CPT,81351,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence Age Under 21",,,603.85,603.85,4
CPT,81351,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence Other Outpatient",,,673.94,673.94,6
CPT,81352,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",3690.1,3690.1,197.71,1774.2,131
CPT,81352,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Age 21+",3690.1,3690.1,304.47,304.47,4
CPT,81352,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Age Under 21",3690.1,3690.1,310.0,310.0,4
CPT,81352,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Other Outpatient",3690.1,3690.1,345.99,345.99,6
CPT,81352,TP53 TRGT SEQ ANALYSIS,3690.1,3690.1,258.31,3690.1,51
CPT,81353,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,184.8,1659.21,131
CPT,81353,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Age 21+",,,284.59,284.59,4
CPT,81353,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Age Under 21",,,289.77,289.77,4
CPT,81353,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Other Outpatient",,,323.4,323.4,6
CPT,81354,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1257.21,3310.45,110
CPT,81354,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) Other Outpatient",,,1326.71,1326.71,6
CPT,81355,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,52.92,474.58,135
CPT,81355,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) Age 21+",,,81.5,81.5,4
CPT,81355,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) Age Under 21",,,82.98,82.98,4
CPT,81355,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) Other Outpatient",,,92.61,92.61,6
CPT,81357,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,115.95,1670.97,118
CPT,81357,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) Other Outpatient",,,202.91,202.91,6
CPT,81360,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,115.95,1670.97,118
CPT,81360,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) Other Ou",,,202.91,202.91,6
CPT,81361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,104.89,941.9,135
CPT,81361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) Age 21+",,,161.52,161.52,4
CPT,81361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) Age Under 21",,,164.46,164.46,4
CPT,81361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) Other Outpatient",,,183.55,183.55,6
CPT,81362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,225.15,2020.62,135
CPT,81362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) Age 21+",,,346.73,346.73,4
CPT,81362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) Age Under 21",,,353.04,353.04,4
CPT,81362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) Other Outpatient",,,394.01,394.01,6
CPT,81363,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,121.44,1089.72,135
CPT,81363,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) Age 21+",,,187.02,187.02,4
CPT,81363,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) Age Under 21",,,190.42,190.42,4
CPT,81363,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) Other Outpatient",,,212.52,212.52,6
CPT,81364,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,194.75,1748.68,135
CPT,81364,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence Age 21+",,,299.92,299.92,4
CPT,81364,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence Age Under 21",,,305.37,305.37,4
CPT,81364,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence Other Outpatient",,,340.81,340.81,6
CPT,81370,HLA CLASS 1&2 TYPING LR,2920.45,2920.45,204.43,2920.45,45
CPT,81370,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",2920.45,2920.45,241.27,2166.68,137
CPT,81370,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Age 21+",2920.45,2920.45,371.56,371.56,4
CPT,81370,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Age Under 21",2920.45,2920.45,378.31,378.31,4
CPT,81370,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Other Outpatient",2920.45,2920.45,422.23,422.23,6
CPT,81371,HLA 1&2 TYPE VERIFY LR,2076.6,2076.6,145.36,2076.6,46
CPT,81371,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",2076.6,2076.6,242.71,2179.43,137
CPT,81371,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Age 21+",2076.6,2076.6,373.78,373.78,4
CPT,81371,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Age Under 21",2076.6,2076.6,380.58,380.58,4
CPT,81371,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Other Outpatient",2076.6,2076.6,424.75,424.75,6
CPT,81372,HLA 1 TYPING COMPLETE LR,5489.17,5489.17,384.24,5489.17,92
CPT,81372,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,242.15,2173.99,137
CPT,81372,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) Age 21+",,,372.92,372.92,4
CPT,81372,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) Age Under 21",,,379.7,379.7,4
CPT,81372,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) Other Outpatient",,,423.77,423.77,6
CPT,81373,HLA 1 TYPE 1 LOCUS LR EA,3049.55,3049.55,213.47,3049.55,92
CPT,81373,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,76.46,686.35,137
CPT,81373,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Age 21+",,,117.74,117.74,4
CPT,81373,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Age Under 21",,,119.88,119.88,4
CPT,81373,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Other Outpatient",,,133.8,133.8,6
CPT,81374,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,44.6,399.74,137
CPT,81374,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Age 21+",,,68.68,68.68,4
CPT,81374,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Age Under 21",,,69.93,69.93,4
CPT,81374,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient",,,78.05,78.05,6
CPT,81375,HLA CLASS 2 TYPING LR,5489.17,5489.17,384.24,5489.17,92
CPT,81375,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,132.44,1188.32,137
CPT,81375,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 Age 21+",,,203.96,203.96,4
CPT,81375,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 Age Under 21",,,207.67,207.67,4
CPT,81375,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 Other Outpatient",,,231.78,231.78,6
CPT,81376,HLA 2 TYPE 1 LOCUS LR EA,3049.55,3049.55,213.47,3049.55,92
CPT,81376,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,73.33,658.97,137
CPT,81376,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Age 21+",,,112.93,112.93,4
CPT,81376,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Age Under 21",,,114.98,114.98,4
CPT,81376,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Other Outpatient",,,128.33,128.33,6
CPT,81377,HLA 2 TYP 1 AG EQV LR EA,1365.02,1365.02,95.55,1365.02,46
CPT,81377,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",1365.02,1365.02,56.84,511.09,137
CPT,81377,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Age 21+",1365.02,1365.02,87.54,87.54,4
CPT,81377,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Age Under 21",1365.02,1365.02,89.13,89.13,4
CPT,81377,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Other Outpatient",1365.02,1365.02,99.48,99.48,6
CPT,81378,HLA CLASS 1&2 TYPING HR,7009.82,7009.82,490.69,7009.82,46
CPT,81378,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",7009.82,7009.82,207.34,1861.86,137
CPT,81378,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Age 21+",7009.82,7009.82,319.31,319.31,4
CPT,81378,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Age Under 21",7009.82,7009.82,325.11,325.11,4
CPT,81378,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Other Outpatient",7009.82,7009.82,362.85,362.85,6
CPT,81379,HLA 1 TYPING COMPLETE HR,2373.47,2373.47,166.14,2373.47,46
CPT,81379,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",2373.47,2373.47,201.23,1807.09,137
CPT,81379,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Age 21+",2373.47,2373.47,309.89,309.89,4
CPT,81379,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Age Under 21",2373.47,2373.47,315.53,315.53,4
CPT,81379,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Other Outpatient",2373.47,2373.47,352.15,352.15,6
CPT,81380,HLA 1 TYP A LOC HR EA,4269.35,4269.35,298.85,4269.35,92
CPT,81380,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,106.35,954.66,137
CPT,81380,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each Age 21+",,,163.78,163.78,4
CPT,81380,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each Age Under 21",,,166.76,166.76,4
CPT,81380,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each Other Outpatient",,,186.11,186.11,6
CPT,81381,HLA 1 TYP 1 ALLELE HR EA,1952.35,1952.35,136.66,1952.35,46
CPT,81381,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",1952.35,1952.35,101.94,914.51,137
CPT,81381,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Age 21+",1952.35,1952.35,156.99,156.99,4
CPT,81381,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Age Under 21",1952.35,1952.35,159.85,159.85,4
CPT,81381,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Other Outpatient",1952.35,1952.35,178.4,178.4,6
CPT,81382,HLA 2 TP DQA 1 LOC HR EA,2975.32,2975.32,208.27,2975.32,46
CPT,81382,HLA 2 TP DQB 1 LOC HR EA,2975.32,2975.32,208.27,2975.32,46
CPT,81382,HLA 2 TYPE 1 LOCUS HR EA,4635.64,4635.64,324.49,4635.64,92
CPT,81382,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,74.21,666.23,137
CPT,81382,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Age 21+",,,114.28,114.28,4
CPT,81382,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Age Under 21",,,116.36,116.36,4
CPT,81382,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Other Outpatient",,,129.86,129.86,6
CPT,81383,HLA 2 TYP 1 ALLELE HR EA,1623.19,1623.19,113.62,1623.19,46
CPT,81383,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",1623.19,1623.19,65.48,587.75,137
CPT,81383,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Age 21+",1623.19,1623.19,100.84,100.84,4
CPT,81383,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Age Under 21",1623.19,1623.19,102.67,102.67,4
CPT,81383,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Other Outpatient",1623.19,1623.19,114.59,114.59,6
CPT,81400,MOLPATH TIER 2 LEVEL 1,3465.83,3465.83,242.61,3465.83,47
CPT,81400,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",3465.83,3465.83,38.38,344.96,149
CPT,81401,MOLPATH TIER 2 LEVEL 2,3964.4,3964.4,277.51,3964.4,47
CPT,81401,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",3964.4,3964.4,82.2,737.44,149
CPT,81402,MOLPATH TIER 2 LEVEL 3,3415.8,3415.8,239.11,3415.8,94
CPT,81402,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,90.2,810.47,149
CPT,81403,MOLPATH TIER 2 LEVEL 4,1962.03,1962.03,110.24,2349.27,94
CPT,81403,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,111.12,998.43,149
CPT,81404,MOLPATH TIER 2 LEVEL 5,2433.98,2433.98,110.24,3293.17,94
CPT,81404,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,164.9,1480.32,149
CPT,81405,MOLPATH TIER 2 LEVEL 6,4051.54,4051.54,283.61,4051.54,94
CPT,81405,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,180.81,1622.7,149
CPT,81406,MOLPATH TIER 2 LEVEL 7,14129.52,14129.52,989.07,14129.52,47
CPT,81406,MUT FULL GENE SEQ,5445.61,5445.61,381.19,5445.61,47
CPT,81406,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,169.73,1524.15,149
CPT,81407,MOLPATH TIER 2 LEVEL 8,42690.33,42690.33,2988.32,42690.33,47
CPT,81407,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",42690.33,42690.33,507.76,4557.89,149
CPT,81408,MOLPATH TIER 2 LEVEL 9,9939.23,9939.23,695.75,9939.23,47
CPT,81408,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",9939.23,9939.23,1200.0,10773.11,149
CPT,81410,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,302.4,2714.29,149
CPT,81411,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,810.11,7272.12,149
CPT,81412,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,1469.14,13189.84,128
CPT,81413,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,350.94,3150.54,128
CPT,81414,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,350.94,3150.54,128
CPT,81415,EXOME SEQUENCE ANALYSIS,37483.51,37483.51,2623.85,37483.51,47
CPT,81415,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",37483.51,37483.51,2868.0,25748.15,124
CPT,81415,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Other Outpatient",37483.51,37483.51,5019.0,5019.0,6
CPT,81416,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,7200.0,64638.74,124
CPT,81416,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) O",,,12600.0,12600.0,6
CPT,81417,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,192.0,1723.11,124
CPT,81417,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) Other Outpatient",,,336.0,336.0,6
CPT,81418,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,550.25,2402.75,114
CPT,81418,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis Other Outpatient",,,962.93,962.93,6
CPT,81419,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,44.89,13189.84,124
CPT,81420,FETAL ANEPLOIDY 131821,4066.05,4066.05,284.62,4066.05,47
CPT,81420,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",4066.05,4066.05,455.43,4088.75,135
CPT,81420,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Age 21",4066.05,4066.05,701.36,701.36,4
CPT,81420,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Age Un",4066.05,4066.05,714.11,714.11,4
CPT,81420,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Other ",4066.05,4066.05,797.0,797.0,6
CPT,81422,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,455.43,4088.75,122
CPT,81422,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood Other Outpatient",,,797.0,797.0,6
CPT,81425,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,0.02,27100.73,124
CPT,81425,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Other Outpatient",,,5282.76,5282.76,6
CPT,81426,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,0.02,14597.19,130
CPT,81427,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,0.02,12591.14,124
CPT,81427,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) Other Outpatient",,,2454.53,2454.53,6
CPT,81430,HEARING LOSS SEQ 60>GNS,10925.56,10925.56,764.79,10925.56,47
CPT,81430,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",10925.56,10925.56,975.0,8752.5,128
CPT,81431,HEAR LOSS DUP/DEL COPYNO,4568.63,4568.63,319.8,4568.63,47
CPT,81431,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",4568.63,4568.63,407.74,3659.81,128
CPT,81432,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,407.43,3657.94,128
CPT,81433,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer); duplication/deletion analysis panel, must include analyses for BRCA",,,263.36,263.36,2
CPT,81434,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,358.75,3219.88,128
CPT,81435,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,350.94,3416.35,128
CPT,81436,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis); duplication/deletion analysis panel, must include analysis of at leas",,,350.94,350.94,2
CPT,81437,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,263.36,3416.35,128
CPT,81438,"Hereditary neuroendocrine tumor disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma); duplication/deletion analysis panel, must include analy",,,263.36,263.36,2
CPT,81439,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,350.94,3150.54,128
CPT,81440,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,1994.4,17904.73,128
CPT,81441,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,1469.14,13189.84,124
CPT,81442,NOONAN SYN SEQ AN 12OR >,13343.86,13343.86,934.07,13343.86,47
CPT,81442,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",13343.86,13343.86,1286.16,11547.07,128
CPT,81443,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,1469.14,13189.84,128
CPT,81445,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,358.75,3219.88,128
CPT,81448,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,350.94,3150.54,128
CPT,81449,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",5106.47,5106.47,358.75,3219.88,131
CPT,81449,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Age 21+",5106.47,5106.47,552.46,552.46,4
CPT,81449,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Age Under 21",5106.47,5106.47,562.51,562.51,4
CPT,81449,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Other Outpatient",5106.47,5106.47,627.81,627.81,6
CPT,81449,TAR5-50G SEQ CNV REA RNA,5106.47,5106.47,357.45,5106.47,51
CPT,81450,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,455.72,4090.56,149
CPT,81450,TGET SEQ COPY/REA/ISF/MR,5106.47,5106.47,357.45,5106.47,141
CPT,81451,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",5106.47,5106.47,455.72,4090.56,145
CPT,81451,TAR5-50G VARS/RE/ISF RNA,5106.47,5106.47,357.45,5106.47,51
CPT,81455,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,1751.76,15727.11,149
CPT,81456,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,1751.76,15727.11,145
CPT,81457,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,494.71,2349.8,125
CPT,81457,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability Age 21+",,,552.46,552.46,4
CPT,81457,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability Age Under 21",,,562.51,562.51,4
CPT,81457,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability Other Outpatient",,,941.71,941.71,6
CPT,81458,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,494.71,2741.44,125
CPT,81458,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability Age 21+",,,552.46,552.46,4
CPT,81458,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability Age Under 21",,,562.51,562.51,4
CPT,81458,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability Other Outpatient",,,1098.67,1098.67,6
CPT,81459,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,494.71,7832.62,139
CPT,81460,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,772.2,6932.6,128
CPT,81462,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,494.71,3133.07,139
CPT,81463,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,494.71,3524.71,125
CPT,81463,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability Age ",,,552.46,562.51,8
CPT,81463,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability Othe",,,1412.58,1412.58,6
CPT,81464,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,494.71,8615.9,139
CPT,81465,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,561.6,5041.59,122
CPT,81465,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed Other Outpatient",,,982.8,982.8,6
CPT,81470,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,548.4,4922.92,128
CPT,81471,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,0.02,4922.92,128
CPT,81479,ATG16L1 1SNP (RS2241880),482.45,482.45,33.77,482.45,58
CPT,81479,ECM1 SNP (RS3737240),482.45,482.45,33.77,482.45,58
CPT,81479,NKX2-3 SNP (RS10883365),482.45,482.45,33.77,482.45,58
CPT,81479,TARGETED MUT GENE SEQ,4685.64,4685.64,327.99,4685.64,58
CPT,81479,UNLISTED MOLPATH & GSP,3690.1,3690.1,256.16,17922.9,290
CPT,81479,Unlisted molecular pathology procedure ,,,44.89,619.33,12
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,504.39,4528.63,122
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score Other Outpatient",,,882.68,882.68,6
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,630.0,5656.73,122
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score Other Outpatient",,,1102.5,1102.5,6
CPT,81500,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,156.3,1403.67,116
CPT,81500,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score Other Outpatient",,,273.53,273.53,6
CPT,81503,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,538.2,4831.63,118
CPT,81503,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score Other Outpa",,,941.85,941.85,6
CPT,81504,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",13122.71,13122.71,312.0,2801.89,116
CPT,81504,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores Other Outpatient",13122.71,13122.71,546.0,546.0,6
CPT,81504,TISSUE ORGIN CA >2KG ALG,13122.71,13122.71,918.59,13122.71,53
CPT,81506,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,41.35,370.53,122
CPT,81507,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,477.0,4282.21,135
CPT,81507,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy Age 21+",,,734.58,734.58,4
CPT,81507,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy Age Under 21",,,747.94,747.94,4
CPT,81507,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy Other Outpatient",,,834.75,834.75,6
CPT,81508,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,32.58,292.06,118
CPT,81508,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Other Outpatient",,,57.02,57.02,6
CPT,81509,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,892.42,8011.37,118
CPT,81509,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score Other Outpatient",,,1561.74,1561.74,6
CPT,81510,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,33.32,299.38,118
CPT,81510,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Other Outpatient",,,58.32,58.32,6
CPT,81511,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,92.1,826.86,124
CPT,81512,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,41.71,374.22,118
CPT,81512,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score Other Outpatient",,,73.0,73.0,6
CPT,81513,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,85.58,768.46,147
CPT,81514,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,157.79,1416.48,145
CPT,81515,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,217.6,689.03,139
CPT,81517,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,175.31,1107.48,120
CPT,81518,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,2323.8,20861.74,128
CPT,81519,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,2323.8,20861.74,135
CPT,81519,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score Age 21+",,,3578.65,3578.65,4
CPT,81519,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score Age Under 21",,,3643.72,3643.72,4
CPT,81519,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score Other Outpatient",,,4066.65,4066.65,6
CPT,81520,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,1506.13,13522.1,149
CPT,81521,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,2323.8,20861.74,128
CPT,81522,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,2323.8,20861.74,110
CPT,81523,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,2323.8,20861.74,124
CPT,81524,"Oncology (central nervous system tumor), DNA methylation analysis of at least 10,000 methylation sites, utilizing DNA extracted from formalin-fixed tumor tissue, algorithm(s) reported as probability o",,,218.12,274.21,6
CPT,81525,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,1869.6,16783.94,128
CPT,81528,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,305.32,2741.67,151
CPT,81529,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,4315.8,38744.53,124
CPT,81535,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,347.68,3121.34,128
CPT,81536,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,106.54,956.47,128
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,1722.6,15464.24,122
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival Other Outpatient",,,3014.55,3014.55,6
CPT,81539,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,456.0,4094.25,128
CPT,81540,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,2250.0,20199.15,128
CPT,81541,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,2323.8,20861.74,128
CPT,81542,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,2323.8,20861.74,100
CPT,81542,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score Other Outpatient",,,4066.65,4066.65,6
CPT,81546,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,2160.0,19390.55,118
CPT,81546,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) Other Outpatient",,,3780.0,3780.0,6
CPT,81551,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,1218.0,10933.74,128
CPT,81552,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,3412.5,41885.93,106
CPT,81554,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,3300.0,29732.86,124
CPT,81558,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3223.8,8488.8,116
CPT,81560,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,384.44,7128.0,126
CPT,81595,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,1944.0,17452.03,130
CPT,81596,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,43.31,388.79,128
CPT,81599,Unlisted multianalyte assay with algorithmic analysis ,,,936.01,1323.15,6
CPT,82009,ACETONE BLD QL,56.47,56.47,3.95,56.47,47
CPT,82009,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",56.47,56.47,2.71,23.76,137
CPT,82009,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Age 21+",56.47,56.47,4.18,4.18,4
CPT,82009,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Age Under 21",56.47,56.47,4.26,4.26,4
CPT,82009,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Other Outpatient",56.47,56.47,4.75,4.75,6
CPT,82010,ACETONE BLD QN,585.69,585.69,41.0,585.69,94
CPT,82010,BETA HYDROXYBUTYRATE,784.17,784.17,54.89,784.17,47
CPT,82010,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,4.9,43.83,137
CPT,82010,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative Age 21+",,,7.55,7.55,4
CPT,82010,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative Age Under 21",,,7.68,7.68,4
CPT,82010,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative Other Outpatient",,,8.58,8.58,6
CPT,82013,ACETYLCHOLINESTERASE,1536.05,1536.05,107.52,1536.05,47
CPT,82013,Acetylcholinesterase ,1536.05,1536.05,7.37,65.72,137
CPT,82013,Acetylcholinesterase Age 21+,1536.05,1536.05,11.35,11.35,4
CPT,82013,Acetylcholinesterase Age Under 21,1536.05,1536.05,11.56,11.56,4
CPT,82013,Acetylcholinesterase Other Outpatient,1536.05,1536.05,12.9,12.9,6
CPT,82016,ACYLCARNITINES QL EA SP,1413.44,1413.44,98.94,1413.44,47
CPT,82016,"Acylcarnitines; qualitative, each specimen ",1413.44,1413.44,9.89,89.42,137
CPT,82016,"Acylcarnitines; qualitative, each specimen Age 21+",1413.44,1413.44,15.24,15.24,4
CPT,82016,"Acylcarnitines; qualitative, each specimen Age Under 21",1413.44,1413.44,15.51,15.51,4
CPT,82016,"Acylcarnitines; qualitative, each specimen Other Outpatient",1413.44,1413.44,17.31,17.31,6
CPT,82017,ACYLCARNITINES QN EA SP,940.68,940.68,65.85,940.68,47
CPT,82017,"Acylcarnitines; quantitative, each specimen ",940.68,940.68,10.12,91.29,137
CPT,82017,"Acylcarnitines; quantitative, each specimen Age 21+",940.68,940.68,15.59,15.59,4
CPT,82017,"Acylcarnitines; quantitative, each specimen Age Under 21",940.68,940.68,15.87,15.87,4
CPT,82017,"Acylcarnitines; quantitative, each specimen Other Outpatient",940.68,940.68,17.71,17.71,6
CPT,82024,ACTH QN,2633.24,2633.24,184.33,2633.24,47
CPT,82024,Adrenocorticotropic hormone (ACTH) ,2633.24,2633.24,23.17,208.09,137
CPT,82024,Adrenocorticotropic hormone (ACTH) Age 21+,2633.24,2633.24,35.68,35.68,4
CPT,82024,Adrenocorticotropic hormone (ACTH) Age Under 21,2633.24,2633.24,36.33,36.33,4
CPT,82024,Adrenocorticotropic hormone (ACTH) Other Outpatient,2633.24,2633.24,40.55,40.55,6
CPT,82030,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",2145.97,2145.97,15.48,138.74,137
CPT,82030,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Age 21+",2145.97,2145.97,23.84,23.84,4
CPT,82030,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Age Under 21",2145.97,2145.97,24.27,24.27,4
CPT,82030,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Other Outpatient",2145.97,2145.97,27.09,27.09,6
CPT,82030,CYCLIC AMP,2145.97,2145.97,150.22,2145.97,47
CPT,82040,ALBUMIN SERUM QN,797.07,797.07,55.79,797.07,94
CPT,82040,"Albumin; serum, plasma or whole blood ",,,2.97,27.39,137
CPT,82040,"Albumin; serum, plasma or whole blood Age 21+",,,4.58,4.58,4
CPT,82040,"Albumin; serum, plasma or whole blood Age Under 21",,,4.66,4.66,4
CPT,82040,"Albumin; serum, plasma or whole blood Other Outpatient",,,5.2,5.2,6
CPT,82042,ALBUMIN OTHER QN,913.25,913.25,63.93,913.25,47
CPT,82042,"Albumin; other source, quantitative, each specimen ",913.25,913.25,4.67,41.96,137
CPT,82042,"Albumin; other source, quantitative, each specimen Age 21+",913.25,913.25,7.19,7.19,4
CPT,82042,"Albumin; other source, quantitative, each specimen Age Under 21",913.25,913.25,7.32,7.32,4
CPT,82042,"Albumin; other source, quantitative, each specimen Other Outpatient",913.25,913.25,8.17,8.17,6
CPT,82043,"Albumin; urine (eg, microalbumin), quantitative ",400.15,400.15,3.47,31.01,137
CPT,82043,"Albumin; urine (eg, microalbumin), quantitative Age 21+",400.15,400.15,5.35,5.35,4
CPT,82043,"Albumin; urine (eg, microalbumin), quantitative Age Under 21",400.15,400.15,5.44,5.44,4
CPT,82043,"Albumin; urine (eg, microalbumin), quantitative Other Outpatient",400.15,400.15,6.07,6.07,6
CPT,82043,MICROALBUMIN QN,400.15,400.15,28.01,400.15,47
CPT,82044,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",971.32,971.32,3.74,32.83,137
CPT,82044,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Age 21+",971.32,971.32,5.75,5.75,4
CPT,82044,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Age Under 21",971.32,971.32,5.86,5.86,4
CPT,82044,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient",971.32,971.32,6.54,6.54,6
CPT,82044,MICROALBUMIN SEMIQN,971.32,971.32,67.99,971.32,47
CPT,82045,Albumin; ischemia modified ,,,20.36,182.52,137
CPT,82045,Albumin; ischemia modified Age 21+,,,31.36,31.36,4
CPT,82045,Albumin; ischemia modified Age Under 21,,,31.93,31.93,4
CPT,82045,Albumin; ischemia modified Other Outpatient,,,35.64,35.64,6
CPT,82075,Alcohol (ethanol); breath ,,,0.02,162.45,137
CPT,82075,Alcohol (ethanol); breath Age 21+,,,27.72,27.72,4
CPT,82075,Alcohol (ethanol); breath Age Under 21,,,28.22,28.22,4
CPT,82075,Alcohol (ethanol); breath Other Outpatient,,,31.5,31.5,6
CPT,82077,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,10.36,93.1,131
CPT,82077,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) Age 21+",,,15.96,15.96,4
CPT,82077,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) Age Under 21",,,16.25,16.25,4
CPT,82077,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) Other Outpatient",,,18.13,18.13,6
CPT,82085,ALDOLASE,1048.78,1048.78,73.41,1048.78,47
CPT,82085,Aldolase ,1048.78,1048.78,5.83,52.96,137
CPT,82085,Aldolase Age 21+,1048.78,1048.78,8.98,8.98,4
CPT,82085,Aldolase Age Under 21,1048.78,1048.78,9.14,9.14,4
CPT,82085,Aldolase Other Outpatient,1048.78,1048.78,10.2,10.2,6
CPT,82088,ALDOSTERONE QN,1799.07,1799.07,125.93,1799.07,47
CPT,82088,Aldosterone ,1799.07,1799.07,24.45,219.03,137
CPT,82088,Aldosterone Age 21+,1799.07,1799.07,37.65,37.65,4
CPT,82088,Aldosterone Age Under 21,1799.07,1799.07,38.34,38.34,4
CPT,82088,Aldosterone Other Outpatient,1799.07,1799.07,42.79,42.79,6
CPT,82103,A-1-ANTITRYPSIN TOT,585.69,585.69,41.0,585.69,47
CPT,82103,Alpha-1-antitrypsin; total ,585.69,585.69,8.06,73.03,137
CPT,82103,Alpha-1-antitrypsin; total Age 21+,585.69,585.69,12.42,12.42,4
CPT,82103,Alpha-1-antitrypsin; total Age Under 21,585.69,585.69,12.64,12.64,4
CPT,82103,Alpha-1-antitrypsin; total Other Outpatient,585.69,585.69,14.11,14.11,6
CPT,82104,A-1-ANTITRYPSIN PHENO,630.87,630.87,44.16,630.87,47
CPT,82104,Alpha-1-antitrypsin; phenotype ,630.87,630.87,8.68,78.47,137
CPT,82104,Alpha-1-antitrypsin; phenotype Age 21+,630.87,630.87,13.37,13.37,4
CPT,82104,Alpha-1-antitrypsin; phenotype Age Under 21,630.87,630.87,13.61,13.61,4
CPT,82104,Alpha-1-antitrypsin; phenotype Other Outpatient,630.87,630.87,15.18,15.18,6
CPT,82105,ALPHA FETOPROT SERUM,387.26,387.26,27.11,387.26,47
CPT,82105,ALPHA FETOPROT SERUM MAT,387.26,387.26,27.11,387.26,47
CPT,82105,Alpha-fetoprotein (AFP); serum ,,,10.06,89.42,137
CPT,82105,Alpha-fetoprotein (AFP); serum Age 21+,,,15.5,15.5,4
CPT,82105,Alpha-fetoprotein (AFP); serum Age Under 21,,,15.78,15.78,4
CPT,82105,Alpha-fetoprotein (AFP); serum Other Outpatient,,,17.61,17.61,6
CPT,82106,ALPHA FETOPROT AMN FL,1715.16,1715.16,120.06,1715.16,47
CPT,82106,Alpha-fetoprotein (AFP); amniotic fluid ,1715.16,1715.16,10.2,91.29,137
CPT,82106,Alpha-fetoprotein (AFP); amniotic fluid Age 21+,1715.16,1715.16,15.71,15.71,4
CPT,82106,Alpha-fetoprotein (AFP); amniotic fluid Age Under 21,1715.16,1715.16,15.99,15.99,4
CPT,82106,Alpha-fetoprotein (AFP); amniotic fluid Other Outpatient,1715.16,1715.16,17.85,17.85,6
CPT,82107,AFP-L3 FRA ISO + TOT AFP,1345.67,1345.67,94.2,1345.67,47
CPT,82107,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,1345.67,1345.67,38.65,346.83,137
CPT,82107,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Age 21+,1345.67,1345.67,59.51,59.51,4
CPT,82107,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Age Under 21,1345.67,1345.67,60.59,60.59,4
CPT,82107,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Other Outpatient,1345.67,1345.67,67.63,67.63,6
CPT,82108,ALUMINUM,535.68,535.68,37.5,535.68,47
CPT,82108,Aluminum ,535.68,535.68,15.29,136.87,137
CPT,82108,Aluminum Age 21+,535.68,535.68,23.54,23.54,4
CPT,82108,Aluminum Age Under 21,535.68,535.68,23.97,23.97,4
CPT,82108,Aluminum Other Outpatient,535.68,535.68,26.75,26.75,6
CPT,82120,"Amines, vaginal fluid, qualitative ",,,3.59,32.83,137
CPT,82120,"Amines, vaginal fluid, qualitative Age 21+",,,5.53,5.53,4
CPT,82120,"Amines, vaginal fluid, qualitative Age Under 21",,,5.63,5.63,4
CPT,82120,"Amines, vaginal fluid, qualitative Other Outpatient",,,6.29,6.29,6
CPT,82127,"Amino acids; single, qualitative, each specimen ",,,8.51,76.66,137
CPT,82127,"Amino acids; single, qualitative, each specimen Age 21+",,,13.1,13.1,4
CPT,82127,"Amino acids; single, qualitative, each specimen Age Under 21",,,13.34,13.34,4
CPT,82127,"Amino acids; single, qualitative, each specimen Other Outpatient",,,14.89,14.89,6
CPT,82128,AMINO ACIDS MULTIPLE QL,1048.78,1048.78,73.41,1048.78,47
CPT,82128,"Amino acids; multiple, qualitative, each specimen ",1048.78,1048.78,8.32,74.84,137
CPT,82128,"Amino acids; multiple, qualitative, each specimen Age 21+",1048.78,1048.78,12.82,12.82,4
CPT,82128,"Amino acids; multiple, qualitative, each specimen Age Under 21",1048.78,1048.78,13.05,13.05,4
CPT,82128,"Amino acids; multiple, qualitative, each specimen Other Outpatient",1048.78,1048.78,14.56,14.56,6
CPT,82131,AMINO ACID SINGLE QN,1072.99,1072.99,75.11,1072.99,47
CPT,82131,"Amino acids; single, quantitative, each specimen ",,,13.79,124.12,137
CPT,82131,"Amino acids; single, quantitative, each specimen Age 21+",,,21.23,21.23,4
CPT,82131,"Amino acids; single, quantitative, each specimen Age Under 21",,,21.62,21.62,4
CPT,82131,"Amino acids; single, quantitative, each specimen Other Outpatient",,,24.13,24.13,6
CPT,82131,CYSTINE QN,474.38,474.38,33.21,474.38,47
CPT,82131,GLYCINE QN,1348.9,1348.9,94.42,1348.9,47
CPT,82135,AMINOLEVULINIC ACID ALA,1589.3,1589.3,111.25,1589.3,47
CPT,82135,"Aminolevulinic acid, delta (ALA) ",1589.3,1589.3,9.87,89.42,137
CPT,82135,"Aminolevulinic acid, delta (ALA) Age 21+",1589.3,1589.3,15.2,15.2,4
CPT,82135,"Aminolevulinic acid, delta (ALA) Age Under 21",1589.3,1589.3,15.48,15.48,4
CPT,82135,"Aminolevulinic acid, delta (ALA) Other Outpatient",1589.3,1589.3,17.27,17.27,6
CPT,82136,AMINO ACIDS QN 2-5 TESTS,857.86,857.86,60.05,857.86,47
CPT,82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",857.86,857.86,11.77,105.86,137
CPT,82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Age 21+",857.86,857.86,18.12,18.12,4
CPT,82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Age Under 21",857.86,857.86,18.45,18.45,4
CPT,82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Other Outpatient",857.86,857.86,20.59,20.59,6
CPT,82139,AMINO ACIDS QN 6 OR MORE,1029.41,1029.41,72.06,1029.41,47
CPT,82139,"Amino acids, 6 or more amino acids, quantitative, each specimen ",1029.41,1029.41,10.12,91.29,137
CPT,82139,"Amino acids, 6 or more amino acids, quantitative, each specimen Age 21+",1029.41,1029.41,15.59,15.59,4
CPT,82139,"Amino acids, 6 or more amino acids, quantitative, each specimen Age Under 21",1029.41,1029.41,15.87,15.87,4
CPT,82139,"Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient",1029.41,1029.41,17.71,17.71,6
CPT,82140,AMMONIA,663.16,663.16,46.42,663.16,94
CPT,82140,Ammonia ,,,8.74,78.47,137
CPT,82140,Ammonia Age 21+,,,13.46,13.46,4
CPT,82140,Ammonia Age Under 21,,,13.71,13.71,4
CPT,82140,Ammonia Other Outpatient,,,15.3,15.3,6
CPT,82143,Amniotic fluid scan (spectrophotometric) ,,,5.61,51.09,137
CPT,82143,Amniotic fluid scan (spectrophotometric) Age 21+,,,8.63,8.63,4
CPT,82143,Amniotic fluid scan (spectrophotometric) Age Under 21,,,8.79,8.79,4
CPT,82143,Amniotic fluid scan (spectrophotometric) Other Outpatient,,,9.82,9.82,6
CPT,82150,AMYLASE BLD,1214.97,1214.97,85.05,1214.97,141
CPT,82150,AMYLASE FL,964.88,964.88,67.54,964.88,47
CPT,82150,AMYLASE ISOENZYME,1703.87,1703.87,119.27,1703.87,47
CPT,82150,AMYLASE PANCREATIC,490.52,490.52,34.34,490.52,47
CPT,82150,AMYLASE UR,1214.97,1214.97,85.05,1214.97,47
CPT,82150,Amylase ,,,3.89,34.7,137
CPT,82150,Amylase Age 21+,,,5.98,5.98,4
CPT,82150,Amylase Age Under 21,,,6.09,6.09,4
CPT,82150,Amylase Other Outpatient,,,6.8,6.8,6
CPT,82154,Androstanediol glucuronide ,,,17.3,155.13,137
CPT,82154,Androstanediol glucuronide Age 21+,,,26.64,26.64,4
CPT,82154,Androstanediol glucuronide Age Under 21,,,27.13,27.13,4
CPT,82154,Androstanediol glucuronide Other Outpatient,,,30.27,30.27,6
CPT,82157,ANDROSTENEDIONE,1991.08,1991.08,139.38,1991.08,47
CPT,82157,Androstenedione ,1991.08,1991.08,17.57,157.0,137
CPT,82157,Androstenedione Age 21+,1991.08,1991.08,27.06,27.06,4
CPT,82157,Androstenedione Age Under 21,1991.08,1991.08,27.55,27.55,4
CPT,82157,Androstenedione Other Outpatient,1991.08,1991.08,30.74,30.74,6
CPT,82160,Androsterone ,,,15.33,136.87,137
CPT,82160,Androsterone Age 21+,,,23.61,23.61,4
CPT,82160,Androsterone Age Under 21,,,24.04,24.04,4
CPT,82160,Androsterone Other Outpatient,,,26.83,26.83,6
CPT,82163,Angiotensin II ,,,12.31,111.36,137
CPT,82163,Angiotensin II Age 21+,,,18.96,18.96,4
CPT,82163,Angiotensin II Age Under 21,,,19.31,19.31,4
CPT,82163,Angiotensin II Other Outpatient,,,21.55,21.55,6
CPT,82164,ANGIOTENSIN I CONV ENZ,1368.27,1368.27,95.78,1368.27,47
CPT,82164,Angiotensin I - converting enzyme (ACE) ,1368.27,1368.27,8.76,78.47,137
CPT,82164,Angiotensin I - converting enzyme (ACE) Age 21+,1368.27,1368.27,13.49,13.49,4
CPT,82164,Angiotensin I - converting enzyme (ACE) Age Under 21,1368.27,1368.27,13.73,13.73,4
CPT,82164,Angiotensin I - converting enzyme (ACE) Other Outpatient,1368.27,1368.27,15.33,15.33,6
CPT,82166,ASSAY ANTI-MULLERIAN HOR,695.43,695.43,48.68,695.43,57
CPT,82166,Anti-mullerian hormone (AMH) ,695.43,695.43,23.17,101.18,127
CPT,82166,Anti-mullerian hormone (AMH) Age 21+,695.43,695.43,35.68,35.68,4
CPT,82166,Anti-mullerian hormone (AMH) Age Under 21,695.43,695.43,36.33,36.33,4
CPT,82166,Anti-mullerian hormone (AMH) Other Outpatient,695.43,695.43,40.55,40.55,6
CPT,82172,APOLIPOPROTEIN A1,521.16,521.16,36.48,521.16,47
CPT,82172,APOLIPOPROTEIN B,521.16,521.16,36.48,521.16,47
CPT,82172,APOLIPOPROTEIN E,316.24,316.24,22.14,316.24,47
CPT,82172,"Apolipoprotein, each ",,,12.65,113.17,137
CPT,82172,"Apolipoprotein, each Age 21+",,,19.49,19.49,4
CPT,82172,"Apolipoprotein, each Age Under 21",,,19.85,19.85,4
CPT,82172,"Apolipoprotein, each Other Outpatient",,,22.14,22.14,6
CPT,82175,ARSENIC BLD,811.61,811.61,56.81,811.61,47
CPT,82175,ARSENIC HAIR,4622.72,4622.72,323.59,4622.72,47
CPT,82175,ARSENIC UR,496.96,496.96,34.79,496.96,47
CPT,82175,Arsenic ,,,11.38,102.23,137
CPT,82175,Arsenic Age 21+,,,17.52,17.52,4
CPT,82175,Arsenic Age Under 21,,,17.84,17.84,4
CPT,82175,Arsenic Other Outpatient,,,19.92,19.92,6
CPT,82180,"Ascorbic acid (Vitamin C), blood ",5443.99,5443.99,5.93,52.96,137
CPT,82180,"Ascorbic acid (Vitamin C), blood Age 21+",5443.99,5443.99,9.14,9.14,4
CPT,82180,"Ascorbic acid (Vitamin C), blood Age Under 21",5443.99,5443.99,9.31,9.31,4
CPT,82180,"Ascorbic acid (Vitamin C), blood Other Outpatient",5443.99,5443.99,10.38,10.38,6
CPT,82180,VIT C ASCORBIC ACID,5443.99,5443.99,381.08,5443.99,47
CPT,82190,"Atomic absorption spectroscopy, each analyte ",,,9.54,85.79,137
CPT,82190,"Atomic absorption spectroscopy, each analyte Age 21+",,,14.7,14.7,4
CPT,82190,"Atomic absorption spectroscopy, each analyte Age Under 21",,,14.96,14.96,4
CPT,82190,"Atomic absorption spectroscopy, each analyte Other Outpatient",,,16.7,16.7,6
CPT,82232,BETA 2 MICROGLOBULIN,419.51,419.51,29.37,419.51,47
CPT,82232,Beta-2 microglobulin ,419.51,419.51,9.71,87.6,137
CPT,82232,Beta-2 microglobulin Age 21+,419.51,419.51,14.95,14.95,4
CPT,82232,Beta-2 microglobulin Age Under 21,419.51,419.51,15.22,15.22,4
CPT,82232,Beta-2 microglobulin Other Outpatient,419.51,419.51,16.99,16.99,6
CPT,82233,Beta-amyloid; 1-40 (Abeta 40) ,,,11.68,337.77,125
CPT,82233,Beta-amyloid; 1-40 (Abeta 40) Age 21+,,,13.05,13.05,4
CPT,82233,Beta-amyloid; 1-40 (Abeta 40) Age Under 21,,,13.28,13.28,4
CPT,82233,Beta-amyloid; 1-40 (Abeta 40) Other Outpatient,,,135.37,135.37,6
CPT,82234,Beta-amyloid; 1-42 (Abeta 42) ,,,11.68,337.77,125
CPT,82234,Beta-amyloid; 1-42 (Abeta 42) Age 21+,,,13.05,13.05,4
CPT,82234,Beta-amyloid; 1-42 (Abeta 42) Age Under 21,,,13.28,13.28,4
CPT,82234,Beta-amyloid; 1-42 (Abeta 42) Other Outpatient,,,135.37,135.37,6
CPT,82239,BILE ACIDS TOT,490.52,490.52,34.34,490.52,47
CPT,82239,Bile acids; total ,490.52,490.52,10.27,93.1,137
CPT,82239,Bile acids; total Age 21+,490.52,490.52,15.82,15.82,4
CPT,82239,Bile acids; total Age Under 21,490.52,490.52,16.11,16.11,4
CPT,82239,Bile acids; total Other Outpatient,490.52,490.52,17.98,17.98,6
CPT,82240,Bile acids; cholylglycine ,,,15.95,142.37,137
CPT,82240,Bile acids; cholylglycine Age 21+,,,24.56,24.56,4
CPT,82240,Bile acids; cholylglycine Age Under 21,,,25.01,25.01,4
CPT,82240,Bile acids; cholylglycine Other Outpatient,,,27.91,27.91,6
CPT,82247,BILIRUBIN TOT,940.68,940.68,65.85,940.68,47
CPT,82247,BILIRUBIN TOT BLD,940.68,940.68,65.85,940.68,47
CPT,82247,BILIRUBIN TOT FL,940.68,940.68,65.85,940.68,47
CPT,82247,Bilirubin; total ,,,3.01,27.39,137
CPT,82247,Bilirubin; total Age 21+,,,4.64,4.64,4
CPT,82247,Bilirubin; total Age Under 21,,,4.73,4.73,4
CPT,82247,Bilirubin; total Other Outpatient,,,5.27,5.27,6
CPT,82248,BILIRUBIN DIRECT,521.16,521.16,36.48,521.16,94
CPT,82248,BILIRUBIN DIRECT FL,337.23,337.23,23.61,337.23,47
CPT,82248,Bilirubin; direct ,,,3.01,27.39,137
CPT,82248,Bilirubin; direct Age 21+,,,4.64,4.64,4
CPT,82248,Bilirubin; direct Age Under 21,,,4.73,4.73,4
CPT,82248,Bilirubin; direct Other Outpatient,,,5.27,5.27,6
CPT,82252,"Bilirubin; feces, qualitative ",,,2.74,23.76,137
CPT,82252,"Bilirubin; feces, qualitative Age 21+",,,4.21,4.21,4
CPT,82252,"Bilirubin; feces, qualitative Age Under 21",,,4.29,4.29,4
CPT,82252,"Bilirubin; feces, qualitative Other Outpatient",,,4.79,4.79,6
CPT,82261,BIOTINIDASE EA SPEC,1253.7,1253.7,87.76,1253.7,47
CPT,82261,"Biotinidase, each specimen ",1253.7,1253.7,10.12,91.29,137
CPT,82261,"Biotinidase, each specimen Age 21+",1253.7,1253.7,15.59,15.59,4
CPT,82261,"Biotinidase, each specimen Age Under 21",1253.7,1253.7,15.87,15.87,4
CPT,82261,"Biotinidase, each specimen Other Outpatient",1253.7,1253.7,17.71,17.71,6
CPT,82270,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,2.63,23.76,151
CPT,82270,OCCULT BLD SCN 3 SPEC,354.98,354.98,24.85,354.98,141
CPT,82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",361.41,361.41,3.19,29.2,137
CPT,82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Age 21+",361.41,361.41,4.92,4.92,4
CPT,82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Age Under 21",361.41,361.41,5.01,5.01,4
CPT,82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Other Outpatient",361.41,361.41,5.59,5.59,6
CPT,82271,OCC BLD PEROX OTH SOURCE,361.41,361.41,25.3,361.41,47
CPT,82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",354.98,354.98,2.54,21.89,137
CPT,82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Age 21+",354.98,354.98,3.91,3.91,4
CPT,82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Age Under 21",354.98,354.98,3.98,3.98,4
CPT,82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Other Outpatient",354.98,354.98,4.44,4.44,6
CPT,82272,OCCBLD PEROX 1-3 DIAG,354.98,354.98,24.85,354.98,47
CPT,82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,9.55,85.79,137
CPT,82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Age 21+",,,14.71,14.71,4
CPT,82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Age Under 21",,,14.97,14.97,4
CPT,82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Other Outpatient",,,16.72,16.72,6
CPT,82286,Bradykinin ,,,3.1,27.39,137
CPT,82286,Bradykinin Age 21+,,,4.76,4.76,4
CPT,82286,Bradykinin Age Under 21,,,4.85,4.85,4
CPT,82286,Bradykinin Other Outpatient,,,5.42,5.42,6
CPT,82300,CADMIUM,1318.25,1318.25,92.28,1318.25,47
CPT,82300,Cadmium ,1318.25,1318.25,14.18,127.75,137
CPT,82300,Cadmium Age 21+,1318.25,1318.25,21.85,21.85,4
CPT,82300,Cadmium Age Under 21,1318.25,1318.25,22.24,22.24,4
CPT,82300,Cadmium Other Outpatient,1318.25,1318.25,24.82,24.82,6
CPT,82306,VITAMIN D3 25-OH,711.56,711.56,49.81,711.56,47
CPT,82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",711.56,711.56,17.76,158.82,137
CPT,82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Age 21+",711.56,711.56,27.35,27.35,4
CPT,82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Age Under 21",711.56,711.56,27.84,27.84,4
CPT,82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Other Outpatient",711.56,711.56,31.08,31.08,6
CPT,82308,CALCITONIN,727.7,727.7,50.94,727.7,47
CPT,82308,Calcitonin ,727.7,727.7,16.07,144.19,137
CPT,82308,Calcitonin Age 21+,727.7,727.7,24.75,24.75,4
CPT,82308,Calcitonin Age Under 21,727.7,727.7,25.2,25.2,4
CPT,82308,Calcitonin Other Outpatient,727.7,727.7,28.13,28.13,6
CPT,82310,CALCIUM TOTAL,861.61,861.61,60.31,861.61,94
CPT,82310,Calcium; total ,,,3.1,27.39,137
CPT,82310,Calcium; total Age 21+,,,4.76,4.76,4
CPT,82310,Calcium; total Age Under 21,,,4.85,4.85,4
CPT,82310,Calcium; total Other Outpatient,,,5.42,5.42,6
CPT,82330,CALCIUM IONIZED,1041.52,1041.52,72.4,1048.78,141
CPT,82330,Calcium; ionized ,,,8.21,73.03,137
CPT,82330,Calcium; ionized Age 21+,,,12.64,12.64,4
CPT,82330,Calcium; ionized Age Under 21,,,12.87,12.87,4
CPT,82330,Calcium; ionized Other Outpatient,,,14.36,14.36,6
CPT,82331,Calcium; after calcium infusion test ,,,8.0,71.22,137
CPT,82331,Calcium; after calcium infusion test Age 21+,,,12.33,12.33,4
CPT,82331,Calcium; after calcium infusion test Age Under 21,,,12.56,12.56,4
CPT,82331,Calcium; after calcium infusion test Other Outpatient,,,14.01,14.01,6
CPT,82340,CALCIUM UR TIMED QN,1203.67,1203.67,84.26,1203.67,47
CPT,82340,"Calcium; urine quantitative, timed specimen ",1203.67,1203.67,3.62,32.83,137
CPT,82340,"Calcium; urine quantitative, timed specimen Age 21+",1203.67,1203.67,5.58,5.58,4
CPT,82340,"Calcium; urine quantitative, timed specimen Age Under 21",1203.67,1203.67,5.68,5.68,4
CPT,82340,"Calcium; urine quantitative, timed specimen Other Outpatient",1203.67,1203.67,6.33,6.33,6
CPT,82355,Calculus; qualitative analysis ,,,6.95,62.09,137
CPT,82355,Calculus; qualitative analysis Age 21+,,,10.7,10.7,4
CPT,82355,Calculus; qualitative analysis Age Under 21,,,10.9,10.9,4
CPT,82355,Calculus; qualitative analysis Other Outpatient,,,12.16,12.16,6
CPT,82360,"Calculus; quantitative analysis, chemical ",1223.04,1223.04,7.72,69.34,137
CPT,82360,"Calculus; quantitative analysis, chemical Age 21+",1223.04,1223.04,11.89,11.89,4
CPT,82360,"Calculus; quantitative analysis, chemical Age Under 21",1223.04,1223.04,12.11,12.11,4
CPT,82360,"Calculus; quantitative analysis, chemical Other Outpatient",1223.04,1223.04,13.51,13.51,6
CPT,82360,STONE ANALYSIS QN CHEM,1223.04,1223.04,85.61,1223.04,47
CPT,82365,Calculus; infrared spectroscopy ,335.6,335.6,7.74,69.34,137
CPT,82365,Calculus; infrared spectroscopy Age 21+,335.6,335.6,11.92,11.92,4
CPT,82365,Calculus; infrared spectroscopy Age Under 21,335.6,335.6,12.14,12.14,4
CPT,82365,Calculus; infrared spectroscopy Other Outpatient,335.6,335.6,13.55,13.55,6
CPT,82365,STONE ANALYSIS INFRARED,335.6,335.6,23.49,335.6,47
CPT,82370,Calculus; X-ray diffraction ,,,7.51,67.53,137
CPT,82370,Calculus; X-ray diffraction Age 21+,,,11.57,11.57,4
CPT,82370,Calculus; X-ray diffraction Age Under 21,,,11.78,11.78,4
CPT,82370,Calculus; X-ray diffraction Other Outpatient,,,13.15,13.15,6
CPT,82373,CARBO DEF TRANSFERRIN,1479.6,1479.6,103.57,1479.6,47
CPT,82373,Carbohydrate deficient transferrin ,1479.6,1479.6,10.84,96.73,137
CPT,82373,Carbohydrate deficient transferrin Age 21+,1479.6,1479.6,16.69,16.69,4
CPT,82373,Carbohydrate deficient transferrin Age Under 21,1479.6,1479.6,16.99,16.99,4
CPT,82373,Carbohydrate deficient transferrin Other Outpatient,1479.6,1479.6,18.96,18.96,6
CPT,82374,CARBON DIOXIDE,138.75,138.75,9.71,138.75,94
CPT,82374,CARBON DIOXIDE UR,138.75,138.75,9.71,138.75,47
CPT,82374,Carbon dioxide (bicarbonate) ,,,2.93,25.57,137
CPT,82374,Carbon dioxide (bicarbonate) Age 21+,,,4.51,4.51,4
CPT,82374,Carbon dioxide (bicarbonate) Age Under 21,,,4.59,4.59,4
CPT,82374,Carbon dioxide (bicarbonate) Other Outpatient,,,5.12,5.12,6
CPT,82375,CARBOXYHEMOGLOBIN QN,772.88,772.88,54.1,772.88,47
CPT,82375,Carboxyhemoglobin; quantitative ,772.88,772.88,7.39,65.72,137
CPT,82375,Carboxyhemoglobin; quantitative Age 21+,772.88,772.88,11.38,11.38,4
CPT,82375,Carboxyhemoglobin; quantitative Age Under 21,772.88,772.88,11.59,11.59,4
CPT,82375,Carboxyhemoglobin; quantitative Other Outpatient,772.88,772.88,12.94,12.94,6
CPT,82376,Carboxyhemoglobin; qualitative ,,,8.44,76.66,137
CPT,82376,Carboxyhemoglobin; qualitative Age 21+,,,13.0,13.0,4
CPT,82376,Carboxyhemoglobin; qualitative Age Under 21,,,13.24,13.24,4
CPT,82376,Carboxyhemoglobin; qualitative Other Outpatient,,,14.77,14.77,6
CPT,82378,CEA,822.9,822.9,57.6,822.9,47
CPT,82378,Carcinoembryonic antigen (CEA) ,822.9,822.9,11.38,102.23,137
CPT,82378,Carcinoembryonic antigen (CEA) Age 21+,822.9,822.9,17.52,17.52,4
CPT,82378,Carcinoembryonic antigen (CEA) Age Under 21,822.9,822.9,17.84,17.84,4
CPT,82378,Carcinoembryonic antigen (CEA) Other Outpatient,822.9,822.9,19.91,19.91,6
CPT,82379,CARNITINE TOT & FREE QN,3262.52,3262.52,228.38,3262.52,47
CPT,82379,"Carnitine (total and free), quantitative, each specimen ",3262.52,3262.52,10.12,91.29,137
CPT,82379,"Carnitine (total and free), quantitative, each specimen Age 21+",3262.52,3262.52,15.59,15.59,4
CPT,82379,"Carnitine (total and free), quantitative, each specimen Age Under 21",3262.52,3262.52,15.87,15.87,4
CPT,82379,"Carnitine (total and free), quantitative, each specimen Other Outpatient",3262.52,3262.52,17.71,17.71,6
CPT,82380,CAROTENE,951.97,951.97,66.64,951.97,47
CPT,82380,Carotene ,951.97,951.97,5.53,49.27,137
CPT,82380,Carotene Age 21+,951.97,951.97,8.51,8.51,4
CPT,82380,Carotene Age Under 21,951.97,951.97,8.67,8.67,4
CPT,82380,Carotene Other Outpatient,951.97,951.97,9.68,9.68,6
CPT,82382,CATECHOLAMINES TOT UR,1921.68,1921.68,134.52,1921.68,47
CPT,82382,Catecholamines; total urine ,1921.68,1921.68,16.38,147.87,137
CPT,82382,Catecholamines; total urine Age 21+,1921.68,1921.68,25.22,25.22,4
CPT,82382,Catecholamines; total urine Age Under 21,1921.68,1921.68,25.68,25.68,4
CPT,82382,Catecholamines; total urine Other Outpatient,1921.68,1921.68,28.67,28.67,6
CPT,82383,Catecholamines; blood ,,,17.45,157.0,137
CPT,82383,Catecholamines; blood Age 21+,,,26.87,26.87,4
CPT,82383,Catecholamines; blood Age Under 21,,,27.36,27.36,4
CPT,82383,Catecholamines; blood Other Outpatient,,,30.53,30.53,6
CPT,82384,CATECHOL FRACTION BLD,2518.7,2518.7,176.31,2518.7,47
CPT,82384,CATECHOL FRACTION UR,1805.53,1805.53,126.39,1805.53,47
CPT,82384,Catecholamines; fractionated ,,,15.15,136.87,137
CPT,82384,Catecholamines; fractionated Age 21+,,,23.33,23.33,4
CPT,82384,Catecholamines; fractionated Age Under 21,,,23.76,23.76,4
CPT,82384,Catecholamines; fractionated Other Outpatient,,,26.51,26.51,6
CPT,82387,Cathepsin-D ,,,10.84,96.73,137
CPT,82387,Cathepsin-D Age 21+,,,16.69,16.69,4
CPT,82387,Cathepsin-D Age Under 21,,,16.99,16.99,4
CPT,82387,Cathepsin-D Other Outpatient,,,18.96,18.96,6
CPT,82390,CERULOPLASMIN,1048.78,1048.78,73.41,1048.78,47
CPT,82390,Ceruloplasmin ,1048.78,1048.78,6.44,58.4,137
CPT,82390,Ceruloplasmin Age 21+,1048.78,1048.78,9.92,9.92,4
CPT,82390,Ceruloplasmin Age Under 21,1048.78,1048.78,10.1,10.1,4
CPT,82390,Ceruloplasmin Other Outpatient,1048.78,1048.78,11.28,11.28,6
CPT,82397,ANTI-INFLIXIMAB AB CLA,271.07,271.07,18.97,271.07,47
CPT,82397,Chemiluminescent assay ,,,8.47,76.66,137
CPT,82397,Chemiluminescent assay Age 21+,,,13.05,13.05,4
CPT,82397,Chemiluminescent assay Age Under 21,,,13.28,13.28,4
CPT,82397,Chemiluminescent assay Other Outpatient,,,14.83,14.83,6
CPT,82397,ICAM BY CLA,271.07,271.07,18.97,271.07,47
CPT,82397,IMMUNE CELL FUNCTION CA,429.2,429.2,30.04,429.2,47
CPT,82397,SAA BY CLA,271.07,271.07,18.97,271.07,47
CPT,82397,VCAM BY CLA,271.07,271.07,18.97,271.07,47
CPT,82415,CHLORAMPHENICOL,406.6,406.6,28.46,406.6,47
CPT,82415,Chloramphenicol ,406.6,406.6,7.6,67.53,137
CPT,82415,Chloramphenicol Age 21+,406.6,406.6,11.7,11.7,4
CPT,82415,Chloramphenicol Age Under 21,406.6,406.6,11.92,11.92,4
CPT,82415,Chloramphenicol Other Outpatient,406.6,406.6,13.3,13.3,6
CPT,82435,CHLORIDE BLD,342.07,342.07,23.94,342.07,94
CPT,82435,Chloride; blood ,,,2.76,25.57,137
CPT,82435,Chloride; blood Age 21+,,,4.25,4.25,4
CPT,82435,Chloride; blood Age Under 21,,,4.32,4.32,4
CPT,82435,Chloride; blood Other Outpatient,,,4.83,4.83,6
CPT,82436,CHLORIDE UR,367.88,367.88,25.75,367.88,47
CPT,82436,Chloride; urine ,367.88,367.88,3.45,31.01,137
CPT,82436,Chloride; urine Age 21+,367.88,367.88,5.31,5.31,4
CPT,82436,Chloride; urine Age Under 21,367.88,367.88,5.41,5.41,4
CPT,82436,Chloride; urine Other Outpatient,367.88,367.88,6.04,6.04,6
CPT,82438,CHLORIDE CSF,227.51,227.51,15.93,227.51,47
CPT,82438,CHLORIDE OTHER,227.51,227.51,15.93,227.51,47
CPT,82438,Chloride; other source ,,,3.0,27.39,137
CPT,82438,Chloride; other source Age 21+,,,4.62,4.62,4
CPT,82438,Chloride; other source Age Under 21,,,4.7,4.7,4
CPT,82438,Chloride; other source Other Outpatient,,,5.25,5.25,6
CPT,82441,"Chlorinated hydrocarbons, screen ",,,3.61,32.83,137
CPT,82441,"Chlorinated hydrocarbons, screen Age 21+",,,5.56,5.56,4
CPT,82441,"Chlorinated hydrocarbons, screen Age Under 21",,,5.66,5.66,4
CPT,82441,"Chlorinated hydrocarbons, screen Other Outpatient",,,6.31,6.31,6
CPT,82465,CHOLESTEROL BLD,856.79,856.79,59.98,856.79,94
CPT,82465,"Cholesterol, serum or whole blood, total ",,,2.61,23.76,137
CPT,82465,"Cholesterol, serum or whole blood, total Age 21+",,,4.02,4.02,4
CPT,82465,"Cholesterol, serum or whole blood, total Age Under 21",,,4.09,4.09,4
CPT,82465,"Cholesterol, serum or whole blood, total Other Outpatient",,,4.57,4.57,6
CPT,82480,Cholinesterase; serum ,509.87,509.87,4.72,41.96,137
CPT,82480,Cholinesterase; serum Age 21+,509.87,509.87,7.27,7.27,4
CPT,82480,Cholinesterase; serum Age Under 21,509.87,509.87,7.4,7.4,4
CPT,82480,Cholinesterase; serum Other Outpatient,509.87,509.87,8.26,8.26,6
CPT,82480,PSEUDOCHOLINESTERASE,509.87,509.87,35.69,509.87,47
CPT,82482,CHOLINESTERASE RBC,348.52,348.52,24.4,348.52,47
CPT,82482,Cholinesterase; RBC ,348.52,348.52,5.89,52.96,137
CPT,82482,Cholinesterase; RBC Age 21+,348.52,348.52,9.06,9.06,4
CPT,82482,Cholinesterase; RBC Age Under 21,348.52,348.52,9.23,9.23,4
CPT,82482,Cholinesterase; RBC Other Outpatient,348.52,348.52,10.3,10.3,6
CPT,82485,"Chondroitin B sulfate, quantitative ",,,12.39,111.36,137
CPT,82485,"Chondroitin B sulfate, quantitative Age 21+",,,19.09,19.09,4
CPT,82485,"Chondroitin B sulfate, quantitative Age Under 21",,,19.43,19.43,4
CPT,82485,"Chondroitin B sulfate, quantitative Other Outpatient",,,21.68,21.68,6
CPT,82495,CHROMIUM,1318.25,1318.25,92.28,1318.25,47
CPT,82495,Chromium ,1318.25,1318.25,12.17,109.54,137
CPT,82495,Chromium Age 21+,1318.25,1318.25,18.74,18.74,4
CPT,82495,Chromium Age Under 21,1318.25,1318.25,19.08,19.08,4
CPT,82495,Chromium Other Outpatient,1318.25,1318.25,21.29,21.29,6
CPT,82507,CITRATE,2094.34,2094.34,146.6,2094.34,47
CPT,82507,Citrate ,2094.34,2094.34,16.68,149.69,137
CPT,82507,Citrate Age 21+,2094.34,2094.34,25.69,25.69,4
CPT,82507,Citrate Age Under 21,2094.34,2094.34,26.15,26.15,4
CPT,82507,Citrate Other Outpatient,2094.34,2094.34,29.19,29.19,6
CPT,82523,COLLAGEN CROSS LINKS,727.7,727.7,50.94,727.7,47
CPT,82523,"Collagen cross links, any method ",,,11.21,100.42,137
CPT,82523,"Collagen cross links, any method Age 21+",,,17.26,17.26,4
CPT,82523,"Collagen cross links, any method Age Under 21",,,17.57,17.57,4
CPT,82523,"Collagen cross links, any method Other Outpatient",,,19.61,19.61,6
CPT,82523,N TELOPEPTIDE SERUM,1087.5,1087.5,76.13,1087.5,47
CPT,82523,N TELOPEPTIDE UR,380.78,380.78,26.65,380.78,47
CPT,82525,COPPER BLD,1331.14,1331.14,93.18,1331.14,47
CPT,82525,COPPER OTHER,1908.79,1908.79,133.62,1908.79,47
CPT,82525,COPPER URINE,374.33,374.33,26.2,374.33,47
CPT,82525,Copper ,,,7.45,67.53,137
CPT,82525,Copper Age 21+,,,11.46,11.46,4
CPT,82525,Copper Age Under 21,,,11.67,11.67,4
CPT,82525,Copper Other Outpatient,,,13.03,13.03,6
CPT,82528,Corticosterone ,,,13.51,120.49,137
CPT,82528,Corticosterone Age 21+,,,20.81,20.81,4
CPT,82528,Corticosterone Age Under 21,,,21.19,21.19,4
CPT,82528,Corticosterone Other Outpatient,,,23.65,23.65,6
CPT,82530,CORTISOL FREE,1505.41,1505.41,105.38,1505.41,47
CPT,82530,CORTISOL FREE URINE,506.64,506.64,35.46,506.64,47
CPT,82530,Cortisol; free ,,,10.03,89.42,137
CPT,82530,Cortisol; free Age 21+,,,15.44,15.44,4
CPT,82530,Cortisol; free Age Under 21,,,15.72,15.72,4
CPT,82530,Cortisol; free Other Outpatient,,,17.55,17.55,6
CPT,82533,CORTISOL TOTAL,1516.7,1516.7,106.17,1516.7,47
CPT,82533,Cortisol; total ,1516.7,1516.7,9.78,87.6,137
CPT,82533,Cortisol; total Age 21+,1516.7,1516.7,15.06,15.06,4
CPT,82533,Cortisol; total Age Under 21,1516.7,1516.7,15.33,15.33,4
CPT,82533,Cortisol; total Other Outpatient,1516.7,1516.7,17.12,17.12,6
CPT,82540,CREATINE BLOOD,516.33,516.33,36.14,516.33,47
CPT,82540,CREATINE URINE,913.25,913.25,63.93,913.25,47
CPT,82540,Creatine ,,,2.78,25.57,137
CPT,82540,Creatine Age 21+,,,4.29,4.29,4
CPT,82540,Creatine Age Under 21,,,4.37,4.37,4
CPT,82540,Creatine Other Outpatient,,,4.87,4.87,6
CPT,82542,ACYLGLYCINES UA SID MULT,2060.45,2060.45,144.23,2060.45,47
CPT,82542,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,14.45,129.62,151
CPT,82542,GC MS ISOTOPE MULTI QN,822.9,822.9,57.6,822.9,47
CPT,82542,GC MS ISOTOPE SINGLE QN,2725.22,2725.22,190.77,2725.22,47
CPT,82542,GC MS QUALITATIVE,1082.66,1082.66,75.79,1082.66,47
CPT,82542,GC MS QUANTITATIVE,940.68,940.68,65.85,940.68,47
CPT,82542,HPLC MS QUANTITATIVE,1027.82,1027.82,71.95,1027.82,47
CPT,82542,ORGANOPHOSPHT SCR TLC,519.56,519.56,36.37,519.56,47
CPT,82542,RODENTICIDE QL HPLC,903.55,903.55,63.25,903.55,47
CPT,82550,CREAT KINASE (CK) TOTAL,958.43,958.43,67.09,958.43,94
CPT,82550,"Creatine kinase (CK), (CPK); total ",,,3.91,34.7,137
CPT,82550,"Creatine kinase (CK), (CPK); total Age 21+",,,6.02,6.02,4
CPT,82550,"Creatine kinase (CK), (CPK); total Age Under 21",,,6.13,6.13,4
CPT,82550,"Creatine kinase (CK), (CPK); total Other Outpatient",,,6.84,6.84,6
CPT,82552,CK-ISOENZYMES,1516.7,1516.7,106.17,1516.7,47
CPT,82552,"Creatine kinase (CK), (CPK); isoenzymes ",1516.7,1516.7,8.03,73.03,137
CPT,82552,"Creatine kinase (CK), (CPK); isoenzymes Age 21+",1516.7,1516.7,12.38,12.38,4
CPT,82552,"Creatine kinase (CK), (CPK); isoenzymes Age Under 21",1516.7,1516.7,12.6,12.6,4
CPT,82552,"Creatine kinase (CK), (CPK); isoenzymes Other Outpatient",1516.7,1516.7,14.06,14.06,6
CPT,82553,CK MB FRACTION,1445.7,1445.7,101.2,1445.7,94
CPT,82553,"Creatine kinase (CK), (CPK); MB fraction only ",,,6.93,62.09,137
CPT,82553,"Creatine kinase (CK), (CPK); MB fraction only Age 21+",,,10.67,10.67,4
CPT,82553,"Creatine kinase (CK), (CPK); MB fraction only Age Under 21",,,10.86,10.86,4
CPT,82553,"Creatine kinase (CK), (CPK); MB fraction only Other Outpatient",,,12.13,12.13,6
CPT,82554,"Creatine kinase (CK), (CPK); isoforms ",,,7.12,63.9,137
CPT,82554,"Creatine kinase (CK), (CPK); isoforms Age 21+",,,10.97,10.97,4
CPT,82554,"Creatine kinase (CK), (CPK); isoforms Age Under 21",,,11.17,11.17,4
CPT,82554,"Creatine kinase (CK), (CPK); isoforms Other Outpatient",,,12.46,12.46,6
CPT,82565,CREATININE BLD,784.17,784.17,54.89,784.17,94
CPT,82565,Creatinine; blood ,,,3.07,27.39,137
CPT,82565,Creatinine; blood Age 21+,,,4.73,4.73,4
CPT,82565,Creatinine; blood Age Under 21,,,4.82,4.82,4
CPT,82565,Creatinine; blood Other Outpatient,,,5.38,5.38,6
CPT,82570,CREATININE OTHER,413.06,413.06,28.91,413.06,47
CPT,82570,CREATININE UR,682.52,682.52,47.78,682.52,94
CPT,82570,Creatinine; other source ,,,3.11,27.39,137
CPT,82570,Creatinine; other source Age 21+,,,4.79,4.79,4
CPT,82570,Creatinine; other source Age Under 21,,,4.87,4.87,4
CPT,82570,Creatinine; other source Other Outpatient,,,5.44,5.44,6
CPT,82575,CREATININE CLEARANCE,1406.99,1406.99,98.49,1406.99,47
CPT,82575,Creatinine; clearance ,1406.99,1406.99,5.68,51.09,137
CPT,82575,Creatinine; clearance Age 21+,1406.99,1406.99,8.75,8.75,4
CPT,82575,Creatinine; clearance Age Under 21,1406.99,1406.99,8.9,8.9,4
CPT,82575,Creatinine; clearance Other Outpatient,1406.99,1406.99,9.93,9.93,6
CPT,82585,CRYOFIBRINOGEN,475.99,475.99,33.32,475.99,47
CPT,82585,Cryofibrinogen ,475.99,475.99,8.48,76.66,137
CPT,82585,Cryofibrinogen Age 21+,475.99,475.99,13.07,13.07,4
CPT,82585,Cryofibrinogen Age Under 21,475.99,475.99,13.31,13.31,4
CPT,82585,Cryofibrinogen Other Outpatient,475.99,475.99,14.85,14.85,6
CPT,82595,CRYOGLOBULINS QL SQN,792.24,792.24,55.46,792.24,47
CPT,82595,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",792.24,792.24,3.88,34.7,137
CPT,82595,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Age 21+",792.24,792.24,5.97,5.97,4
CPT,82595,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Age Under 21",792.24,792.24,6.08,6.08,4
CPT,82595,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Other Outpatient",792.24,792.24,6.79,6.79,6
CPT,82600,CYANIDE,516.33,516.33,36.14,516.33,47
CPT,82600,Cyanide ,516.33,516.33,11.64,104.04,137
CPT,82600,Cyanide Age 21+,516.33,516.33,17.93,17.93,4
CPT,82600,Cyanide Age Under 21,516.33,516.33,18.26,18.26,4
CPT,82600,Cyanide Other Outpatient,516.33,516.33,20.37,20.37,6
CPT,82607,Cyanocobalamin (Vitamin B-12); ,1184.32,1184.32,9.05,82.16,137
CPT,82607,Cyanocobalamin (Vitamin B-12); Age 21+,1184.32,1184.32,13.94,13.94,4
CPT,82607,Cyanocobalamin (Vitamin B-12); Age Under 21,1184.32,1184.32,14.19,14.19,4
CPT,82607,Cyanocobalamin (Vitamin B-12); Other Outpatient,1184.32,1184.32,15.83,15.83,6
CPT,82607,VITAMIN B12,1184.32,1184.32,82.9,1184.32,47
CPT,82608,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,2736.52,2736.52,8.59,76.66,137
CPT,82608,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Age 21+,2736.52,2736.52,13.23,13.23,4
CPT,82608,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Age Under 21,2736.52,2736.52,13.47,13.47,4
CPT,82608,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Other Outpatient,2736.52,2736.52,15.04,15.04,6
CPT,82608,VITAMIN B12 BIND CAP,2736.52,2736.52,191.56,2736.52,47
CPT,82610,CYSTATIN C,351.74,351.74,24.62,351.74,47
CPT,82610,Cystatin C ,351.74,351.74,11.11,100.42,137
CPT,82610,Cystatin C Age 21+,351.74,351.74,17.12,17.12,4
CPT,82610,Cystatin C Age Under 21,351.74,351.74,17.43,17.43,4
CPT,82610,Cystatin C Other Outpatient,351.74,351.74,19.45,19.45,6
CPT,82615,"Cystine and homocystine, urine, qualitative ",,,5.73,51.09,137
CPT,82615,"Cystine and homocystine, urine, qualitative Age 21+",,,8.82,8.82,4
CPT,82615,"Cystine and homocystine, urine, qualitative Age Under 21",,,8.98,8.98,4
CPT,82615,"Cystine and homocystine, urine, qualitative Other Outpatient",,,10.03,10.03,6
CPT,82626,DHEA,951.97,951.97,66.64,951.97,47
CPT,82626,Dehydroepiandrosterone (DHEA) ,951.97,951.97,15.16,136.87,137
CPT,82626,Dehydroepiandrosterone (DHEA) Age 21+,951.97,951.97,23.35,23.35,4
CPT,82626,Dehydroepiandrosterone (DHEA) Age Under 21,951.97,951.97,23.78,23.78,4
CPT,82626,Dehydroepiandrosterone (DHEA) Other Outpatient,951.97,951.97,26.53,26.53,6
CPT,82627,DHEA-S,951.97,951.97,66.64,951.97,47
CPT,82627,Dehydroepiandrosterone-sulfate (DHEA-S) ,951.97,951.97,13.34,120.49,137
CPT,82627,Dehydroepiandrosterone-sulfate (DHEA-S) Age 21+,951.97,951.97,20.54,20.54,4
CPT,82627,Dehydroepiandrosterone-sulfate (DHEA-S) Age Under 21,951.97,951.97,20.91,20.91,4
CPT,82627,Dehydroepiandrosterone-sulfate (DHEA-S) Other Outpatient,951.97,951.97,23.34,23.34,6
CPT,82633,"Desoxycorticosterone, 11- ",,,18.59,166.13,137
CPT,82633,"Desoxycorticosterone, 11- Age 21+",,,28.62,28.62,4
CPT,82633,"Desoxycorticosterone, 11- Age Under 21",,,29.14,29.14,4
CPT,82633,"Desoxycorticosterone, 11- Other Outpatient",,,32.53,32.53,6
CPT,82634,DEOXYCORTISOL 11,695.43,695.43,48.68,695.43,47
CPT,82634,"Deoxycortisol, 11- ",695.43,695.43,17.57,157.0,137
CPT,82634,"Deoxycortisol, 11- Age 21+",695.43,695.43,27.06,27.06,4
CPT,82634,"Deoxycortisol, 11- Age Under 21",695.43,695.43,27.55,27.55,4
CPT,82634,"Deoxycortisol, 11- Other Outpatient",695.43,695.43,30.74,30.74,6
CPT,82638,DIBUCAINE INHIBITOR,509.87,509.87,35.69,509.87,47
CPT,82638,Dibucaine number ,509.87,509.87,7.35,65.72,137
CPT,82638,Dibucaine number Age 21+,509.87,509.87,11.32,11.32,4
CPT,82638,Dibucaine number Age Under 21,509.87,509.87,11.52,11.52,4
CPT,82638,Dibucaine number Other Outpatient,509.87,509.87,12.86,12.86,6
CPT,82642,DIHYDROTESTOSTERONE DHT,953.59,953.59,66.75,953.59,47
CPT,82642,Dihydrotestosterone (DHT) ,953.59,953.59,17.57,157.0,137
CPT,82642,Dihydrotestosterone (DHT) Age 21+,953.59,953.59,27.06,27.06,4
CPT,82642,Dihydrotestosterone (DHT) Age Under 21,953.59,953.59,27.55,27.55,4
CPT,82642,Dihydrotestosterone (DHT) Other Outpatient,953.59,953.59,30.74,30.74,6
CPT,82652,VITAMIN D 1-25 W/WO FRAC,1006.83,1006.83,70.48,1006.83,47
CPT,82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",1006.83,1006.83,23.1,208.09,137
CPT,82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Age 21+",1006.83,1006.83,35.57,35.57,4
CPT,82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Age Under 21",1006.83,1006.83,36.22,36.22,4
CPT,82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient",1006.83,1006.83,40.43,40.43,6
CPT,82653,"Elastase, pancreatic (EL-1), fecal; quantitative ",1432.8,1432.8,13.78,124.12,133
CPT,82653,"Elastase, pancreatic (EL-1), fecal; quantitative Age 21+",1432.8,1432.8,21.22,21.22,4
CPT,82653,"Elastase, pancreatic (EL-1), fecal; quantitative Age Under 21",1432.8,1432.8,21.6,21.6,4
CPT,82653,"Elastase, pancreatic (EL-1), fecal; quantitative Other Outpatient",1432.8,1432.8,24.12,24.12,6
CPT,82653,FECAL ELASTASE QN IA,1432.8,1432.8,100.3,1432.8,51
CPT,82656,ELASTASE PANCREAT QL SQN,145.23,145.23,10.17,145.23,47
CPT,82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",145.23,145.23,6.92,62.09,137
CPT,82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Age 21+",145.23,145.23,10.66,10.66,4
CPT,82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Age Under 21",145.23,145.23,10.85,10.85,4
CPT,82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Other Outpatient",145.23,145.23,12.11,12.11,6
CPT,82657,A-IDURONIDASE NRS EA SP,1392.46,1392.46,97.47,1392.46,47
CPT,82657,ALPHA GALACTOSIDASE NRAS,1490.88,1490.88,104.36,1490.88,47
CPT,82657,ALPHA GLUCOSIDASE NRAS,1490.88,1490.88,104.36,1490.88,47
CPT,82657,ARYLSULFATASE A NRS,1110.1,1110.1,77.71,1110.1,47
CPT,82657,ASPARAGINASE ENZ ACT NRS,1273.72,1273.72,89.16,1273.72,47
CPT,82657,BETA GALACTOSIDASE NRS,1176.25,1176.25,82.34,1176.25,47
CPT,82657,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,13.3,118.67,137
CPT,82657,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen Age 21+",,,20.48,20.48,4
CPT,82657,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen Age Under 21",,,20.85,20.85,4
CPT,82657,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen Other Outpatient",,,23.28,23.28,6
CPT,82657,LYSOSOMAL ENZYME SCR NRS,3378.71,3378.71,236.51,3378.71,47
CPT,82657,MITO MYOPATHY SCN NRS,830.98,830.98,58.17,830.98,47
CPT,82657,NEUTRP FNCT OXI BRST NRS,1142.36,1142.36,79.97,1142.36,47
CPT,82657,PALATINASE SPECT,537.29,537.29,37.61,537.29,47
CPT,82657,PORPH DEAMINASE RBC NRS,1097.18,1097.18,76.8,1097.18,47
CPT,82657,RBC ENZYME ACTIVITY NRS,1690.96,1690.96,118.37,1690.96,47
CPT,82658,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,26.42,237.29,137
CPT,82658,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen Age 21+",,,40.69,40.69,4
CPT,82658,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen Age Under 21",,,41.43,41.43,4
CPT,82658,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen Other Outpatient",,,46.23,46.23,6
CPT,82658,IDURONATE SULFATASE RS,379.18,379.18,26.54,379.18,47
CPT,82658,LYSOSOMAL ENZYME SCR RS,3932.13,3932.13,275.25,3932.13,47
CPT,82658,NIEMANN PICKS TYPE C RS,3932.13,3932.13,275.25,3932.13,47
CPT,82658,PEROXISOMAL PLAS SYN RS,379.18,379.18,26.54,379.18,47
CPT,82658,RBC ENZYME ACTIVITY RS,1690.96,1690.96,118.37,1690.96,47
CPT,82664,AMYLASE ISOENZYMES ELP,1703.87,1703.87,119.27,1703.87,47
CPT,82664,CHYLOMICRON SCN FLD ELCT,653.47,653.47,45.74,653.47,47
CPT,82664,"Electrophoretic technique, not elsewhere specified ",,,36.9,330.39,137
CPT,82664,"Electrophoretic technique, not elsewhere specified Age 21+",,,56.83,56.83,4
CPT,82664,"Electrophoretic technique, not elsewhere specified Age Under 21",,,57.86,57.86,4
CPT,82664,"Electrophoretic technique, not elsewhere specified Other Outpatient",,,64.58,64.58,6
CPT,82664,MUCOPOLYSACCHARIDES ELEC,548.61,548.61,38.4,548.61,47
CPT,82664,PHOSPHOLIPIDS ELECT,246.88,246.88,17.28,246.88,47
CPT,82668,ERYTHROPOIETIN QN,1566.72,1566.72,109.67,1566.72,47
CPT,82668,Erythropoietin ,1566.72,1566.72,11.27,100.42,137
CPT,82668,Erythropoietin Age 21+,1566.72,1566.72,17.36,17.36,4
CPT,82668,Erythropoietin Age Under 21,1566.72,1566.72,17.67,17.67,4
CPT,82668,Erythropoietin Other Outpatient,1566.72,1566.72,19.73,19.73,6
CPT,82670,ESTRADIOL TOTAL,2062.06,2062.06,144.34,2062.06,47
CPT,82670,Estradiol; total ,2062.06,2062.06,16.76,149.69,137
CPT,82670,Estradiol; total Age 21+,2062.06,2062.06,25.82,25.82,4
CPT,82670,Estradiol; total Age Under 21,2062.06,2062.06,26.29,26.29,4
CPT,82670,Estradiol; total Other Outpatient,2062.06,2062.06,29.34,29.34,6
CPT,82671,Estrogens; fractionated ,,,19.38,173.39,137
CPT,82671,Estrogens; fractionated Age 21+,,,29.84,29.84,4
CPT,82671,Estrogens; fractionated Age Under 21,,,30.39,30.39,4
CPT,82671,Estrogens; fractionated Other Outpatient,,,33.91,33.91,6
CPT,82672,ESTROGEN TOTAL,2191.15,2191.15,153.38,2191.15,47
CPT,82672,Estrogens; total ,2191.15,2191.15,13.02,116.8,137
CPT,82672,Estrogens; total Age 21+,2191.15,2191.15,20.05,20.05,4
CPT,82672,Estrogens; total Age Under 21,2191.15,2191.15,20.42,20.42,4
CPT,82672,Estrogens; total Other Outpatient,2191.15,2191.15,22.79,22.79,6
CPT,82677,ESTRIOL,637.35,637.35,44.61,637.35,47
CPT,82677,Estriol ,637.35,637.35,14.51,129.62,137
CPT,82677,Estriol Age 21+,637.35,637.35,22.34,22.34,4
CPT,82677,Estriol Age Under 21,637.35,637.35,22.75,22.75,4
CPT,82677,Estriol Other Outpatient,637.35,637.35,25.39,25.39,6
CPT,82679,ESTRONE,2191.15,2191.15,153.38,2191.15,47
CPT,82679,Estrone ,2191.15,2191.15,14.97,135.06,137
CPT,82679,Estrone Age 21+,2191.15,2191.15,23.06,23.06,4
CPT,82679,Estrone Age Under 21,2191.15,2191.15,23.48,23.48,4
CPT,82679,Estrone Other Outpatient,2191.15,2191.15,26.2,26.2,6
CPT,82681,ESTRADIOL FREE DIR MEAS,2062.06,2062.06,144.34,2062.06,51
CPT,82681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",2062.06,2062.06,16.76,149.69,131
CPT,82681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Age 21+",2062.06,2062.06,25.82,25.82,4
CPT,82681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Age Under 21",2062.06,2062.06,26.29,26.29,4
CPT,82681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Other Outpatient",2062.06,2062.06,29.34,29.34,6
CPT,82693,ETHYLENE GLYCOL,521.16,521.16,36.48,521.16,47
CPT,82693,Ethylene glycol ,521.16,521.16,8.94,80.29,137
CPT,82693,Ethylene glycol Age 21+,521.16,521.16,13.77,13.77,4
CPT,82693,Ethylene glycol Age Under 21,521.16,521.16,14.02,14.02,4
CPT,82693,Ethylene glycol Other Outpatient,521.16,521.16,15.65,15.65,6
CPT,82696,Etiocholanolone ,,,15.74,140.56,137
CPT,82696,Etiocholanolone Age 21+,,,24.24,24.24,4
CPT,82696,Etiocholanolone Age Under 21,,,24.68,24.68,4
CPT,82696,Etiocholanolone Other Outpatient,,,27.55,27.55,6
CPT,82705,FECAL FAT QUAL,598.61,598.61,41.9,598.61,47
CPT,82705,"Fat or lipids, feces; qualitative ",598.61,598.61,3.06,27.39,137
CPT,82705,"Fat or lipids, feces; qualitative Age 21+",598.61,598.61,4.71,4.71,4
CPT,82705,"Fat or lipids, feces; qualitative Age Under 21",598.61,598.61,4.79,4.79,4
CPT,82705,"Fat or lipids, feces; qualitative Other Outpatient",598.61,598.61,5.35,5.35,6
CPT,82710,FECAL FAT QUANT,2844.63,2844.63,199.12,2844.63,47
CPT,82710,"Fat or lipids, feces; quantitative ",2844.63,2844.63,10.08,91.29,137
CPT,82710,"Fat or lipids, feces; quantitative Age 21+",2844.63,2844.63,15.52,15.52,4
CPT,82710,"Fat or lipids, feces; quantitative Age Under 21",2844.63,2844.63,15.8,15.8,4
CPT,82710,"Fat or lipids, feces; quantitative Other Outpatient",2844.63,2844.63,17.64,17.64,6
CPT,82715,"Fat differential, feces, quantitative ",,,13.78,124.12,137
CPT,82715,"Fat differential, feces, quantitative Age 21+",,,21.22,21.22,4
CPT,82715,"Fat differential, feces, quantitative Age Under 21",,,21.6,21.6,4
CPT,82715,"Fat differential, feces, quantitative Other Outpatient",,,24.12,24.12,6
CPT,82725,FATTY ACIDS NON EST,784.17,784.17,54.89,784.17,47
CPT,82725,"Fatty acids, nonesterified ",784.17,784.17,11.26,100.42,137
CPT,82725,"Fatty acids, nonesterified Age 21+",784.17,784.17,17.35,17.35,4
CPT,82725,"Fatty acids, nonesterified Age Under 21",784.17,784.17,17.66,17.66,4
CPT,82725,"Fatty acids, nonesterified Other Outpatient",784.17,784.17,19.71,19.71,6
CPT,82726,VERY LONG CHAIN FATTY AC,1048.78,1048.78,73.41,1048.78,47
CPT,82726,Very long chain fatty acids ,1048.78,1048.78,11.85,105.86,137
CPT,82726,Very long chain fatty acids Age 21+,1048.78,1048.78,18.25,18.25,4
CPT,82726,Very long chain fatty acids Age Under 21,1048.78,1048.78,18.58,18.58,4
CPT,82726,Very long chain fatty acids Other Outpatient,1048.78,1048.78,20.74,20.74,6
CPT,82728,FERRITIN,1356.97,1356.97,94.99,1356.97,47
CPT,82728,Ferritin ,1356.97,1356.97,8.18,73.03,137
CPT,82728,Ferritin Age 21+,1356.97,1356.97,12.6,12.6,4
CPT,82728,Ferritin Age Under 21,1356.97,1356.97,12.82,12.82,4
CPT,82728,Ferritin Other Outpatient,1356.97,1356.97,14.31,14.31,6
CPT,82731,FETAL FIBRONECTIN SQN,2126.61,2126.61,148.86,2126.61,47
CPT,82731,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",2126.61,2126.61,38.65,346.83,137
CPT,82731,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Age 21+",2126.61,2126.61,59.51,59.51,4
CPT,82731,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Age Under 21",2126.61,2126.61,60.59,60.59,4
CPT,82731,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Other Outpatient",2126.61,2126.61,67.63,67.63,6
CPT,82735,FLUORIDE,748.67,748.67,52.41,748.67,47
CPT,82735,Fluoride ,748.67,748.67,11.12,100.42,137
CPT,82735,Fluoride Age 21+,748.67,748.67,17.13,17.13,4
CPT,82735,Fluoride Age Under 21,748.67,748.67,17.44,17.44,4
CPT,82735,Fluoride Other Outpatient,748.67,748.67,19.47,19.47,6
CPT,82746,FOLATE (FOLIC ACID) SER,1266.6,1266.6,88.66,1266.6,47
CPT,82746,Folic acid; serum ,1266.6,1266.6,8.82,78.47,137
CPT,82746,Folic acid; serum Age 21+,1266.6,1266.6,13.59,13.59,4
CPT,82746,Folic acid; serum Age Under 21,1266.6,1266.6,13.83,13.83,4
CPT,82746,Folic acid; serum Other Outpatient,1266.6,1266.6,15.44,15.44,6
CPT,82747,FOLATE RBC,964.88,964.88,67.54,964.88,47
CPT,82747,Folic acid; RBC ,964.88,964.88,10.59,94.92,137
CPT,82747,Folic acid; RBC Age 21+,964.88,964.88,16.31,16.31,4
CPT,82747,Folic acid; RBC Age Under 21,964.88,964.88,16.61,16.61,4
CPT,82747,Folic acid; RBC Other Outpatient,964.88,964.88,18.53,18.53,6
CPT,82757,"Fructose, semen ",,,10.4,93.1,137
CPT,82757,"Fructose, semen Age 21+",,,16.03,16.03,4
CPT,82757,"Fructose, semen Age Under 21",,,16.32,16.32,4
CPT,82757,"Fructose, semen Other Outpatient",,,18.21,18.21,6
CPT,82759,"Galactokinase, RBC ",,,12.89,114.99,137
CPT,82759,"Galactokinase, RBC Age 21+",,,19.84,19.84,4
CPT,82759,"Galactokinase, RBC Age Under 21",,,20.2,20.2,4
CPT,82759,"Galactokinase, RBC Other Outpatient",,,22.55,22.55,6
CPT,82760,Galactose ,,,6.72,60.22,137
CPT,82760,Galactose Age 21+,,,10.35,10.35,4
CPT,82760,Galactose Age Under 21,,,10.54,10.54,4
CPT,82760,Galactose Other Outpatient,,,11.76,11.76,6
CPT,82775,GALACTOSE 1 PUT QUANT,1581.24,1581.24,110.69,1581.24,47
CPT,82775,Galactose-1-phosphate uridyl transferase; quantitative ,1581.24,1581.24,12.64,113.17,137
CPT,82775,Galactose-1-phosphate uridyl transferase; quantitative Age 21+,1581.24,1581.24,19.47,19.47,4
CPT,82775,Galactose-1-phosphate uridyl transferase; quantitative Age Under 21,1581.24,1581.24,19.82,19.82,4
CPT,82775,Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient,1581.24,1581.24,22.12,22.12,6
CPT,82776,GALACTOSE 1 PUT QUAL,1581.24,1581.24,110.69,1581.24,47
CPT,82776,Galactose-1-phosphate uridyl transferase; screen ,1581.24,1581.24,7.04,63.9,137
CPT,82776,Galactose-1-phosphate uridyl transferase; screen Age 21+,1581.24,1581.24,10.85,10.85,4
CPT,82776,Galactose-1-phosphate uridyl transferase; screen Age Under 21,1581.24,1581.24,11.04,11.04,4
CPT,82776,Galactose-1-phosphate uridyl transferase; screen Other Outpatient,1581.24,1581.24,12.33,12.33,6
CPT,82777,Galectin-3 ,,,26.55,239.1,124
CPT,82777,Galectin-3 Other Outpatient,,,46.46,46.46,6
CPT,82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,5.58,49.27,137
CPT,82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Age 21+",,,8.59,8.59,4
CPT,82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Age Under 21",,,8.75,8.75,4
CPT,82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Other Outpatient",,,9.77,9.77,6
CPT,82784,IGA EA,913.25,913.25,63.93,913.25,47
CPT,82784,IGD EA,913.25,913.25,63.93,913.25,47
CPT,82784,IGG CSF EA,913.25,913.25,63.93,913.25,47
CPT,82784,IGG EA,913.25,913.25,63.93,913.25,47
CPT,82784,IGM CSF EA,913.25,913.25,63.93,913.25,47
CPT,82784,IGM EA,913.25,913.25,63.93,913.25,47
CPT,82785,Gammaglobulin (immunoglobulin); IgE ,498.57,498.57,9.88,89.42,137
CPT,82785,Gammaglobulin (immunoglobulin); IgE Age 21+,498.57,498.57,15.21,15.21,4
CPT,82785,Gammaglobulin (immunoglobulin); IgE Age Under 21,498.57,498.57,15.49,15.49,4
CPT,82785,Gammaglobulin (immunoglobulin); IgE Other Outpatient,498.57,498.57,17.28,17.28,6
CPT,82785,IGE,498.57,498.57,34.9,498.57,47
CPT,82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",127.47,127.47,4.81,43.83,137
CPT,82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Age 21+",127.47,127.47,7.41,7.41,4
CPT,82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Age Under 21",127.47,127.47,7.55,7.55,4
CPT,82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Other Outpatient",127.47,127.47,8.42,8.42,6
CPT,82787,IGG SUBCLASSES EA,127.47,127.47,8.92,127.47,47
CPT,82800,"Gases, blood, pH only ",584.1,584.1,6.6,58.4,137
CPT,82800,"Gases, blood, pH only Age 21+",584.1,584.1,10.16,10.16,4
CPT,82800,"Gases, blood, pH only Age Under 21",584.1,584.1,10.35,10.35,4
CPT,82800,"Gases, blood, pH only Other Outpatient",584.1,584.1,11.55,11.55,6
CPT,82800,PH BLOOD ONLY,584.1,584.1,40.89,584.1,47
CPT,82803,ABG WITH CALC O2 SAT,3240.74,3240.74,225.21,3264.14,188
CPT,82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,15.64,140.56,137
CPT,82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); Age 21+",,,24.09,24.09,4
CPT,82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); Age Under 21",,,24.53,24.53,4
CPT,82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); Other Outpatient",,,27.37,27.37,6
CPT,82805,ABG WITH MEAS O2 SAT,3157.63,3157.63,221.03,3157.63,94
CPT,82805,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,47.26,423.49,137
CPT,82805,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry Age 21+",,,72.79,72.79,4
CPT,82805,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry Age Under 21",,,74.11,74.11,4
CPT,82805,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry Other Outpatient",,,82.71,82.71,6
CPT,82810,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",251.72,251.72,5.86,52.96,137
CPT,82810,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Age 21+",251.72,251.72,9.03,9.03,4
CPT,82810,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Age Under 21",251.72,251.72,9.2,9.2,4
CPT,82810,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient",251.72,251.72,10.26,10.26,6
CPT,82810,OXYGEN SAT ONLY DM,251.72,251.72,17.62,251.72,47
CPT,82820,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,8.0,71.22,137
CPT,82820,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) Age 21+,,,12.33,12.33,4
CPT,82820,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) Age Under 21,,,12.56,12.56,4
CPT,82820,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) Other Outpatient,,,14.01,14.01,6
CPT,82930,"Gastric acid analysis, includes pH if performed, each specimen ",475.99,475.99,4.03,36.51,137
CPT,82930,"Gastric acid analysis, includes pH if performed, each specimen Age 21+",475.99,475.99,6.2,6.2,4
CPT,82930,"Gastric acid analysis, includes pH if performed, each specimen Age Under 21",475.99,475.99,6.32,6.32,4
CPT,82930,"Gastric acid analysis, includes pH if performed, each specimen Other Outpatient",475.99,475.99,7.05,7.05,6
CPT,82930,PH GASTRIC FLUID,475.99,475.99,33.32,475.99,47
CPT,82938,Gastrin after secretin stimulation ,,,10.61,94.92,137
CPT,82938,Gastrin after secretin stimulation Age 21+,,,16.35,16.35,4
CPT,82938,Gastrin after secretin stimulation Age Under 21,,,16.64,16.64,4
CPT,82938,Gastrin after secretin stimulation Other Outpatient,,,18.57,18.57,6
CPT,82941,GASTRIN,1477.97,1477.97,103.46,1477.97,47
CPT,82941,Gastrin ,1477.97,1477.97,10.58,94.92,137
CPT,82941,Gastrin Age 21+,1477.97,1477.97,16.29,16.29,4
CPT,82941,Gastrin Age Under 21,1477.97,1477.97,16.59,16.59,4
CPT,82941,Gastrin Other Outpatient,1477.97,1477.97,18.51,18.51,6
CPT,82943,GLUCAGON,997.16,997.16,69.8,997.16,47
CPT,82943,Glucagon ,997.16,997.16,8.57,76.66,137
CPT,82943,Glucagon Age 21+,997.16,997.16,13.2,13.2,4
CPT,82943,Glucagon Age Under 21,997.16,997.16,13.44,13.44,4
CPT,82943,Glucagon Other Outpatient,997.16,997.16,15.0,15.0,6
CPT,82945,GLUCOSE BODY FLD QN,753.52,753.52,52.75,753.52,94
CPT,82945,"Glucose, body fluid, other than blood ",,,2.36,21.89,137
CPT,82945,"Glucose, body fluid, other than blood Age 21+",,,3.63,3.63,4
CPT,82945,"Glucose, body fluid, other than blood Age Under 21",,,3.7,3.7,4
CPT,82945,"Glucose, body fluid, other than blood Other Outpatient",,,4.13,4.13,6
CPT,82946,Glucagon tolerance test ,,,10.66,94.92,137
CPT,82946,Glucagon tolerance test Age 21+,,,16.42,16.42,4
CPT,82946,Glucagon tolerance test Age Under 21,,,16.72,16.72,4
CPT,82946,Glucagon tolerance test Other Outpatient,,,18.66,18.66,6
CPT,82947,GLUCOSE BLD QN,601.04,601.04,41.79,605.07,188
CPT,82947,"Glucose; quantitative, blood (except reagent strip) ",,,2.36,21.89,137
CPT,82947,"Glucose; quantitative, blood (except reagent strip) Age 21+",,,3.63,3.63,4
CPT,82947,"Glucose; quantitative, blood (except reagent strip) Age Under 21",,,3.7,3.7,4
CPT,82947,"Glucose; quantitative, blood (except reagent strip) Other Outpatient",,,4.13,4.13,6
CPT,82948,"Glucose; blood, reagent strip ",,,3.02,27.39,137
CPT,82948,"Glucose; blood, reagent strip Age 21+",,,4.65,4.65,4
CPT,82948,"Glucose; blood, reagent strip Age Under 21",,,4.74,4.74,4
CPT,82948,"Glucose; blood, reagent strip Other Outpatient",,,5.29,5.29,6
CPT,82950,GLUCOSE 2 HR W GLUCOLA,1363.42,1363.42,95.44,1363.42,47
CPT,82950,Glucose; post glucose dose (includes glucose) ,1363.42,1363.42,2.85,25.57,137
CPT,82950,Glucose; post glucose dose (includes glucose) Age 21+,1363.42,1363.42,4.39,4.39,4
CPT,82950,Glucose; post glucose dose (includes glucose) Age Under 21,1363.42,1363.42,4.47,4.47,4
CPT,82950,Glucose; post glucose dose (includes glucose) Other Outpatient,1363.42,1363.42,4.99,4.99,6
CPT,82951,GTT 1ST 3 SPECIMENS,1523.16,1523.16,106.62,1523.16,47
CPT,82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",1523.16,1523.16,7.72,69.34,137
CPT,82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Age 21+",1523.16,1523.16,11.89,11.89,4
CPT,82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Age Under 21",1523.16,1523.16,12.11,12.11,4
CPT,82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Other Outpatient",1523.16,1523.16,13.51,13.51,6
CPT,82952,GTT 3 HR SERUM,1523.16,1523.16,106.62,1523.16,47
CPT,82952,GTT 4 HR SERUM,1749.05,1749.05,122.43,1749.05,47
CPT,82952,GTT 5 HR SERUM,2131.44,2131.44,149.2,2131.44,47
CPT,82952,GTT 6 HR SERUM,2131.44,2131.44,149.2,2131.44,47
CPT,82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,2.35,21.89,137
CPT,82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) Age 21+",,,3.62,3.62,4
CPT,82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) Age Under 21",,,3.68,3.68,4
CPT,82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) Other Outpatient",,,4.12,4.12,6
CPT,82955,G-6-PD QUANT,753.52,753.52,52.75,753.52,47
CPT,82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,753.52,753.52,5.82,52.96,137
CPT,82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Age 21+,753.52,753.52,8.97,8.97,4
CPT,82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Age Under 21,753.52,753.52,9.13,9.13,4
CPT,82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Other Outpatient,753.52,753.52,10.19,10.19,6
CPT,82960,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,3.63,32.83,137
CPT,82960,Glucose-6-phosphate dehydrogenase (G6PD); screen Age 21+,,,5.59,5.59,4
CPT,82960,Glucose-6-phosphate dehydrogenase (G6PD); screen Age Under 21,,,5.69,5.69,4
CPT,82960,Glucose-6-phosphate dehydrogenase (G6PD); screen Other Outpatient,,,6.35,6.35,6
CPT,82962,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,1.97,18.26,124
CPT,82962,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use Other Outpatient",,,3.44,3.44,6
CPT,82963,BETA GLUCOSIDASE,1131.08,1131.08,79.18,1131.08,47
CPT,82963,"Glucosidase, beta ",1131.08,1131.08,12.89,114.99,137
CPT,82963,"Glucosidase, beta Age 21+",1131.08,1131.08,19.84,19.84,4
CPT,82963,"Glucosidase, beta Age Under 21",1131.08,1131.08,20.2,20.2,4
CPT,82963,"Glucosidase, beta Other Outpatient",1131.08,1131.08,22.55,22.55,6
CPT,82965,Glutamate dehydrogenase ,,,7.89,71.22,137
CPT,82965,Glutamate dehydrogenase Age 21+,,,12.16,12.16,4
CPT,82965,Glutamate dehydrogenase Age Under 21,,,12.38,12.38,4
CPT,82965,Glutamate dehydrogenase Other Outpatient,,,13.81,13.81,6
CPT,82977,GAMMA GT,1001.99,1001.99,70.14,1001.99,94
CPT,82977,"Glutamyltransferase, gamma (GGT) ",,,4.32,38.33,137
CPT,82977,"Glutamyltransferase, gamma (GGT) Age 21+",,,6.66,6.66,4
CPT,82977,"Glutamyltransferase, gamma (GGT) Age Under 21",,,6.78,6.78,4
CPT,82977,"Glutamyltransferase, gamma (GGT) Other Outpatient",,,7.56,7.56,6
CPT,82978,Glutathione ,,,9.27,83.97,137
CPT,82978,Glutathione Age 21+,,,14.28,14.28,4
CPT,82978,Glutathione Age Under 21,,,14.54,14.54,4
CPT,82978,Glutathione Other Outpatient,,,16.22,16.22,6
CPT,82979,"Glutathione reductase, RBC ",,,5.66,51.09,137
CPT,82979,"Glutathione reductase, RBC Age 21+",,,8.72,8.72,4
CPT,82979,"Glutathione reductase, RBC Age Under 21",,,8.88,8.88,4
CPT,82979,"Glutathione reductase, RBC Other Outpatient",,,9.91,9.91,6
CPT,82985,ALPHA 1 GLYCOPROTEIN,569.57,569.57,39.87,569.57,47
CPT,82985,FRUCTOSAMINE,445.33,445.33,31.17,445.33,47
CPT,82985,GLYCATED PROTEIN,688.96,688.96,48.23,688.96,47
CPT,82985,Glycated protein ,,,10.06,89.42,137
CPT,82985,Glycated protein Age 21+,,,15.49,15.49,4
CPT,82985,Glycated protein Age Under 21,,,15.77,15.77,4
CPT,82985,Glycated protein Other Outpatient,,,17.6,17.6,6
CPT,83001,FSH,2131.44,2131.44,149.2,2131.44,47
CPT,83001,Gonadotropin; follicle stimulating hormone (FSH) ,2131.44,2131.44,11.15,100.42,137
CPT,83001,Gonadotropin; follicle stimulating hormone (FSH) Age 21+,2131.44,2131.44,17.17,17.17,4
CPT,83001,Gonadotropin; follicle stimulating hormone (FSH) Age Under 21,2131.44,2131.44,17.48,17.48,4
CPT,83001,Gonadotropin; follicle stimulating hormone (FSH) Other Outpatient,2131.44,2131.44,19.51,19.51,6
CPT,83002,Gonadotropin; luteinizing hormone (LH) ,,,11.11,100.42,137
CPT,83002,Gonadotropin; luteinizing hormone (LH) Age 21+,,,17.12,17.12,4
CPT,83002,Gonadotropin; luteinizing hormone (LH) Age Under 21,,,17.43,17.43,4
CPT,83002,Gonadotropin; luteinizing hormone (LH) Other Outpatient,,,19.45,19.45,6
CPT,83002,LH,1715.16,1715.16,120.06,1715.16,47
CPT,83002,LH URINE,2165.33,2165.33,151.57,2165.33,47
CPT,83003,GROWTH HORMONE (HGH),1273.06,1273.06,89.11,1273.06,47
CPT,83003,"Growth hormone, human (HGH) (somatotropin) ",1273.06,1273.06,10.0,89.42,137
CPT,83003,"Growth hormone, human (HGH) (somatotropin) Age 21+",1273.06,1273.06,15.4,15.4,4
CPT,83003,"Growth hormone, human (HGH) (somatotropin) Age Under 21",1273.06,1273.06,15.68,15.68,4
CPT,83003,"Growth hormone, human (HGH) (somatotropin) Other Outpatient",1273.06,1273.06,17.5,17.5,6
CPT,83006,GROWTH STIM EXPES GENE 2,1703.87,1703.87,119.27,1703.87,47
CPT,83006,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",1703.87,1703.87,45.36,407.05,135
CPT,83006,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Age 21+",1703.87,1703.87,69.85,69.85,4
CPT,83006,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Age Under 21",1703.87,1703.87,71.12,71.12,4
CPT,83006,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Other Outpatient",1703.87,1703.87,79.38,79.38,6
CPT,83009,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,40.42,363.22,137
CPT,83009,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Age 21+",,,62.24,62.24,4
CPT,83009,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Age Under 21",,,63.37,63.37,4
CPT,83009,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Other Outpatient",,,70.73,70.73,6
CPT,83010,HAPTOGLOBIN QUANT,658.31,658.31,46.08,658.31,47
CPT,83010,Haptoglobin; quantitative ,658.31,658.31,7.55,67.53,137
CPT,83010,Haptoglobin; quantitative Age 21+,658.31,658.31,11.63,11.63,4
CPT,83010,Haptoglobin; quantitative Age Under 21,658.31,658.31,11.84,11.84,4
CPT,83010,Haptoglobin; quantitative Other Outpatient,658.31,658.31,13.21,13.21,6
CPT,83012,Haptoglobin; phenotypes ,,,16.13,144.19,137
CPT,83012,Haptoglobin; phenotypes Age 21+,,,24.85,24.85,4
CPT,83012,Haptoglobin; phenotypes Age Under 21,,,25.3,25.3,4
CPT,83012,Haptoglobin; phenotypes Other Outpatient,,,28.23,28.23,6
CPT,83013,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,40.42,363.22,137
CPT,83013,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) Age 21+",,,62.24,62.24,4
CPT,83013,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) Age Under 21",,,63.37,63.37,4
CPT,83013,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) Other Outpatient",,,70.73,70.73,6
CPT,83014,Helicobacter pylori; drug administration ,,,4.72,41.96,137
CPT,83014,Helicobacter pylori; drug administration Age 21+,,,7.26,7.26,4
CPT,83014,Helicobacter pylori; drug administration Age Under 21,,,7.39,7.39,4
CPT,83014,Helicobacter pylori; drug administration Other Outpatient,,,8.25,8.25,6
CPT,83015,HEAVY METAL BLD MULTI AN,1348.9,1348.9,94.42,1348.9,47
CPT,83015,HEAVY METAL UR MULTI ANA,559.89,559.89,39.19,559.89,47
CPT,83015,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,12.56,113.17,137
CPT,83015,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes Age 21+",,,19.35,19.35,4
CPT,83015,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes Age Under 21",,,19.7,19.7,4
CPT,83015,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes Other Outpatient",,,21.99,21.99,6
CPT,83018,ANTIMONY QN,550.21,550.21,38.51,550.21,47
CPT,83018,COBALT QN,542.14,542.14,37.95,542.14,47
CPT,83018,HEAVY METAL QN,616.35,616.35,43.14,616.35,47
CPT,83018,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,13.18,118.67,137
CPT,83018,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified Age 21+",,,20.3,20.3,4
CPT,83018,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified Age Under 21",,,20.66,20.66,4
CPT,83018,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified Other Outpatient",,,23.06,23.06,6
CPT,83018,THALLIUM BLD QN,574.41,574.41,40.21,574.41,47
CPT,83020,HEMOGLOBIN A2 EP,1061.7,1061.7,74.32,1061.7,47
CPT,83020,HEMOGLOBIN ELECTRO,1093.97,1093.97,76.58,1093.97,47
CPT,83020,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,7.72,69.34,137
CPT,83020,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) Age 21+",,,11.89,11.89,4
CPT,83020,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) Age Under 21",,,12.11,12.11,4
CPT,83020,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) Other Outpatient",,,13.51,13.51,6
CPT,83021,HEMOGLOBIN FRACT HPLC,379.18,379.18,26.54,379.18,47
CPT,83021,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",379.18,379.18,10.84,96.73,137
CPT,83021,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Age 21+",379.18,379.18,16.69,16.69,4
CPT,83021,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Age Under 21",379.18,379.18,16.99,16.99,4
CPT,83021,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Other Outpatient",379.18,379.18,18.96,18.96,6
CPT,83026,"Hemoglobin; by copper sulfate method, non-automated ",,,2.41,21.89,137
CPT,83026,"Hemoglobin; by copper sulfate method, non-automated Age 21+",,,3.71,3.71,4
CPT,83026,"Hemoglobin; by copper sulfate method, non-automated Age Under 21",,,3.77,3.77,4
CPT,83026,"Hemoglobin; by copper sulfate method, non-automated Other Outpatient",,,4.21,4.21,6
CPT,83030,HEMOGLOBIN FETAL CHEM,663.16,663.16,46.42,663.16,47
CPT,83030,"Hemoglobin; F (fetal), chemical ",663.16,663.16,6.44,58.4,137
CPT,83030,"Hemoglobin; F (fetal), chemical Age 21+",663.16,663.16,9.92,9.92,4
CPT,83030,"Hemoglobin; F (fetal), chemical Age Under 21",663.16,663.16,10.1,10.1,4
CPT,83030,"Hemoglobin; F (fetal), chemical Other Outpatient",663.16,663.16,11.28,11.28,6
CPT,83033,HEMOGLOBIN FETAL QL,150.07,150.07,10.5,150.07,47
CPT,83033,"Hemoglobin; F (fetal), qualitative ",150.07,150.07,4.8,43.83,137
CPT,83033,"Hemoglobin; F (fetal), qualitative Age 21+",150.07,150.07,7.39,7.39,4
CPT,83033,"Hemoglobin; F (fetal), qualitative Age Under 21",150.07,150.07,7.53,7.53,4
CPT,83033,"Hemoglobin; F (fetal), qualitative Other Outpatient",150.07,150.07,8.4,8.4,6
CPT,83036,GLYCOHEMOGLOBIN,124.23,124.23,8.7,124.23,47
CPT,83036,HEMOGLOBIN A1C,759.96,759.96,53.2,759.96,47
CPT,83036,Hemoglobin; glycosylated (A1C) ,,,5.83,52.96,137
CPT,83036,Hemoglobin; glycosylated (A1C) Age 21+,,,8.98,8.98,4
CPT,83036,Hemoglobin; glycosylated (A1C) Age Under 21,,,9.14,9.14,4
CPT,83036,Hemoglobin; glycosylated (A1C) Other Outpatient,,,10.2,10.2,6
CPT,83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,5.83,52.96,137
CPT,83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Age 21+,,,8.98,8.98,4
CPT,83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Age Under 21,,,9.14,9.14,4
CPT,83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Other Outpatient,,,10.2,10.2,6
CPT,83045,"Hemoglobin; methemoglobin, qualitative ",,,3.89,34.7,137
CPT,83045,"Hemoglobin; methemoglobin, qualitative Age 21+",,,6.0,6.0,4
CPT,83045,"Hemoglobin; methemoglobin, qualitative Age Under 21",,,6.1,6.1,4
CPT,83045,"Hemoglobin; methemoglobin, qualitative Other Outpatient",,,6.81,6.81,6
CPT,83050,"Hemoglobin; methemoglobin, quantitative ",613.14,613.14,4.92,43.83,137
CPT,83050,"Hemoglobin; methemoglobin, quantitative Age 21+",613.14,613.14,7.58,7.58,4
CPT,83050,"Hemoglobin; methemoglobin, quantitative Age Under 21",613.14,613.14,7.72,7.72,4
CPT,83050,"Hemoglobin; methemoglobin, quantitative Other Outpatient",613.14,613.14,8.61,8.61,6
CPT,83050,METHEMOGLOBIN QUANT,613.14,613.14,42.92,613.14,47
CPT,83051,HEMOGLOBIN PLASMA,734.15,734.15,51.39,734.15,47
CPT,83051,Hemoglobin; plasma ,734.15,734.15,4.39,40.14,137
CPT,83051,Hemoglobin; plasma Age 21+,734.15,734.15,6.75,6.75,4
CPT,83051,Hemoglobin; plasma Age Under 21,734.15,734.15,6.88,6.88,4
CPT,83051,Hemoglobin; plasma Other Outpatient,734.15,734.15,7.68,7.68,6
CPT,83060,"Hemoglobin; sulfhemoglobin, quantitative ",,,5.28,47.46,137
CPT,83060,"Hemoglobin; sulfhemoglobin, quantitative Age 21+",,,8.13,8.13,4
CPT,83060,"Hemoglobin; sulfhemoglobin, quantitative Age Under 21",,,8.28,8.28,4
CPT,83060,"Hemoglobin; sulfhemoglobin, quantitative Other Outpatient",,,9.24,9.24,6
CPT,83065,Hemoglobin; thermolabile ,,,5.4,49.27,137
CPT,83065,Hemoglobin; thermolabile Age 21+,,,8.32,8.32,4
CPT,83065,Hemoglobin; thermolabile Age Under 21,,,8.47,8.47,4
CPT,83065,Hemoglobin; thermolabile Other Outpatient,,,9.45,9.45,6
CPT,83068,"Hemoglobin; unstable, screen ",,,5.68,51.09,137
CPT,83068,"Hemoglobin; unstable, screen Age 21+",,,8.75,8.75,4
CPT,83068,"Hemoglobin; unstable, screen Age Under 21",,,8.9,8.9,4
CPT,83068,"Hemoglobin; unstable, screen Other Outpatient",,,9.94,9.94,6
CPT,83069,HEMOGLOBIN UR QUANT,424.35,424.35,29.7,424.35,47
CPT,83069,Hemoglobin; urine ,424.35,424.35,2.37,21.89,137
CPT,83069,Hemoglobin; urine Age 21+,424.35,424.35,3.65,3.65,4
CPT,83069,Hemoglobin; urine Age Under 21,424.35,424.35,3.72,3.72,4
CPT,83069,Hemoglobin; urine Other Outpatient,424.35,424.35,4.15,4.15,6
CPT,83070,HEMOSIDERIN QUAL,658.31,658.31,46.08,658.31,47
CPT,83070,"Hemosiderin, qualitative ",658.31,658.31,2.85,25.57,137
CPT,83070,"Hemosiderin, qualitative Age 21+",658.31,658.31,4.39,4.39,4
CPT,83070,"Hemosiderin, qualitative Age Under 21",658.31,658.31,4.47,4.47,4
CPT,83070,"Hemosiderin, qualitative Other Outpatient",658.31,658.31,4.99,4.99,6
CPT,83080,HEXOSAMINIDASE A EACH,1189.17,1189.17,83.24,1189.17,47
CPT,83080,HEXOSAMINIDASE TOT EACH,450.17,450.17,31.51,450.17,47
CPT,83080,"b-Hexosaminidase, each assay ",,,10.12,91.29,137
CPT,83080,"b-Hexosaminidase, each assay Age 21+",,,15.59,15.59,4
CPT,83080,"b-Hexosaminidase, each assay Age Under 21",,,15.87,15.87,4
CPT,83080,"b-Hexosaminidase, each assay Other Outpatient",,,17.71,17.71,6
CPT,83088,HISTAMINE BLOOD,1486.03,1486.03,104.02,1486.03,47
CPT,83088,HISTAMINE URINE,2954.34,2954.34,206.8,2954.34,47
CPT,83088,Histamine ,,,17.72,158.82,137
CPT,83088,Histamine Age 21+,,,27.29,27.29,4
CPT,83088,Histamine Age Under 21,,,27.79,27.79,4
CPT,83088,Histamine Other Outpatient,,,31.01,31.01,6
CPT,83090,HOMOCYSTEINE QN,2305.71,2305.71,161.4,2305.71,47
CPT,83090,Homocysteine ,2305.71,2305.71,10.75,96.73,137
CPT,83090,Homocysteine Age 21+,2305.71,2305.71,16.56,16.56,4
CPT,83090,Homocysteine Age Under 21,2305.71,2305.71,16.86,16.86,4
CPT,83090,Homocysteine Other Outpatient,2305.71,2305.71,18.82,18.82,6
CPT,83150,HOMOVANILLIC ACID UR,1240.79,1240.79,86.86,1240.79,47
CPT,83150,Homovanillic acid (HVA) ,1240.79,1240.79,13.45,120.49,137
CPT,83150,Homovanillic acid (HVA) Age 21+,1240.79,1240.79,20.7,20.7,4
CPT,83150,Homovanillic acid (HVA) Age Under 21,1240.79,1240.79,21.08,21.08,4
CPT,83150,Homovanillic acid (HVA) Other Outpatient,1240.79,1240.79,23.53,23.53,6
CPT,83491,17 HYDROXYCORT (17OH),613.14,613.14,42.92,613.14,47
CPT,83491,"Hydroxycorticosteroids, 17- (17-OHCS) ",613.14,613.14,10.74,96.73,137
CPT,83491,"Hydroxycorticosteroids, 17- (17-OHCS) Age 21+",613.14,613.14,16.54,16.54,4
CPT,83491,"Hydroxycorticosteroids, 17- (17-OHCS) Age Under 21",613.14,613.14,16.84,16.84,4
CPT,83491,"Hydroxycorticosteroids, 17- (17-OHCS) Other Outpatient",613.14,613.14,18.79,18.79,6
CPT,83497,5 HIAA,1574.79,1574.79,110.24,1574.79,47
CPT,83497,"Hydroxyindolacetic acid, 5-(HIAA) ",1574.79,1574.79,7.74,69.34,137
CPT,83497,"Hydroxyindolacetic acid, 5-(HIAA) Age 21+",1574.79,1574.79,11.92,11.92,4
CPT,83497,"Hydroxyindolacetic acid, 5-(HIAA) Age Under 21",1574.79,1574.79,12.14,12.14,4
CPT,83497,"Hydroxyindolacetic acid, 5-(HIAA) Other Outpatient",1574.79,1574.79,13.55,13.55,6
CPT,83498,HYDROXYPROG 17D,1079.44,1079.44,75.56,1079.44,47
CPT,83498,"Hydroxyprogesterone, 17-d ",1079.44,1079.44,16.3,146.0,137
CPT,83498,"Hydroxyprogesterone, 17-d Age 21+",1079.44,1079.44,25.1,25.1,4
CPT,83498,"Hydroxyprogesterone, 17-d Age Under 21",1079.44,1079.44,25.56,25.56,4
CPT,83498,"Hydroxyprogesterone, 17-d Other Outpatient",1079.44,1079.44,28.53,28.53,6
CPT,83500,HYDROXYPROLINE FREE,2107.25,2107.25,147.51,2107.25,47
CPT,83500,Hydroxyproline; free ,2107.25,2107.25,13.59,122.3,137
CPT,83500,Hydroxyproline; free Age 21+,2107.25,2107.25,20.93,20.93,4
CPT,83500,Hydroxyproline; free Age Under 21,2107.25,2107.25,21.31,21.31,4
CPT,83500,Hydroxyproline; free Other Outpatient,2107.25,2107.25,23.78,23.78,6
CPT,83505,HYDROXYPROLINE TOTAL,2107.25,2107.25,147.51,2107.25,47
CPT,83505,Hydroxyproline; total ,2107.25,2107.25,14.58,131.43,137
CPT,83505,Hydroxyproline; total Age 21+,2107.25,2107.25,22.45,22.45,4
CPT,83505,Hydroxyproline; total Age Under 21,2107.25,2107.25,22.86,22.86,4
CPT,83505,Hydroxyproline; total Other Outpatient,2107.25,2107.25,25.52,25.52,6
CPT,83516,14-3-3 PROTEIN IA QL,377.57,377.57,26.43,377.57,47
CPT,83516,ANNA-2 ANTI-RI QL IA,1377.95,1377.95,96.46,1377.95,47
CPT,83516,ANTICHITOBIO CARB IA QL,438.87,438.87,30.72,438.87,47
CPT,83516,ANTILAMINARI CARB IA QL,438.87,438.87,30.72,438.87,47
CPT,83516,ANTIMANNOBIO CARB IA QL,438.87,438.87,30.72,438.87,47
CPT,83516,CENTROMERE AB,484.05,484.05,33.88,484.05,47
CPT,83516,COLLAGEN BINDING IA QL,614.75,614.75,43.03,614.75,47
CPT,83516,FIBRILLARIN U3 RNP QL IA,1552.21,1552.21,108.65,1552.21,47
CPT,83516,GAD AB QL IA,3659.44,3659.44,256.16,3659.44,47
CPT,83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,6.92,62.09,137
CPT,83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method Age 21+",,,10.66,10.66,4
CPT,83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method Age Under 21",,,10.85,10.85,4
CPT,83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method Other Outpatient",,,12.11,12.11,6
CPT,83516,MAG AB IGM ELISA SQN,403.38,403.38,28.24,403.38,47
CPT,83516,NEOPTERIN QL IA,934.23,934.23,65.4,934.23,47
CPT,83516,OUT MEMBR PROT IGA QL IA,411.44,411.44,28.8,411.44,47
CPT,83516,PARIETAL CELL AB IA QL,342.07,342.07,23.94,342.07,47
CPT,83516,PHOSPHOLIPASE A2 R AB IA,1290.81,1290.81,90.36,1290.81,94
CPT,83516,PM/SCL-100 AB QL IA,880.98,880.98,61.67,880.98,47
CPT,83516,RNA POLYMERASE III IGGAB,490.52,490.52,34.34,490.52,47
CPT,83516,SRP AB QL RIPA IA,703.49,703.49,49.24,703.49,47
CPT,83518,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,5.78,51.09,137
CPT,83518,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) Age 21+",,,8.91,8.91,4
CPT,83518,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) Age Under 21",,,9.07,9.07,4
CPT,83518,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) Other Outpatient",,,10.12,10.12,6
CPT,83519,ACHR GANGLIONIC AB RIA,4635.64,4635.64,324.49,4635.64,47
CPT,83519,AD 21 HYDROXYLASE AB RIA,577.63,577.63,40.43,577.63,47
CPT,83519,ALPHA SUBUNIT PIT GPH RI,380.78,380.78,26.65,380.78,47
CPT,83519,ANTI TSH AUTO AB RIA,477.6,477.6,33.43,477.6,47
CPT,83519,GLUT ACID DECARBOX AB RI,380.78,380.78,26.65,380.78,47
CPT,83519,IGG ANTI IGA AB RIA QN,3843.38,3843.38,269.04,3843.38,47
CPT,83519,INSULIN LIKE GFBP 1 RIA,732.54,732.54,51.28,732.54,47
CPT,83519,INSULIN LIKE GFBP 2 RIA,647.03,647.03,45.29,647.03,47
CPT,83519,INSULIN LIKE GFBP 3 RIA,1298.88,1298.88,90.92,1298.88,47
CPT,83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,11.04,98.54,137
CPT,83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) Age 21+",,,17.01,17.01,4
CPT,83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) Age Under 21",,,17.32,17.32,4
CPT,83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) Other Outpatient",,,19.32,19.32,6
CPT,83519,MUSK ANTIBODY RIA QN,3341.57,3341.57,233.91,3341.57,47
CPT,83519,PANCREATIC POLY RIA QN,874.53,874.53,61.22,874.53,47
CPT,83519,PTH RELATED PROTEIN RIA,1611.9,1611.9,112.83,1611.9,47
CPT,83519,THYROTROPIN REC AB RIA,2805.9,2805.9,196.41,2805.9,47
CPT,83519,THYROTROPIN REL HORM RIA,1252.08,1252.08,87.65,1252.08,47
CPT,83519,TRYPSIN LIKE IMMUNOREACT,1379.55,1379.55,96.57,1379.55,47
CPT,83519,VGKC AB RIA,4879.26,4879.26,341.55,4879.26,47
CPT,83520,ADAMTS 13 AB IA QN,298.49,298.49,20.89,298.49,47
CPT,83520,ALPH SUB UNIT FREE IA QN,645.4,645.4,45.18,645.4,47
CPT,83520,ALPHA FETOPROT OTH IA QN,1715.16,1715.16,120.06,1715.16,47
CPT,83520,ANNA2 ANTIRI SCN ELSA QN,640.56,640.56,44.84,640.56,47
CPT,83520,ANTI CBIR1 IA QN,392.11,392.11,27.45,392.11,47
CPT,83520,ANTI IGA AB IA QN,722.85,722.85,50.6,722.85,47
CPT,83520,ANTI-A4 FLA2 IGG ELIS QN,248.49,248.49,17.39,248.49,47
CPT,83520,ANTI-FLAX IGG ELISA QN,248.49,248.49,17.39,248.49,47
CPT,83520,ANTI-OMPC IGA ELISA QN,248.49,248.49,17.39,248.49,47
CPT,83520,ANTI-RNA POLYMER IA QN,890.66,890.66,62.35,890.66,47
CPT,83520,ASCA IGA ELISA QN,248.49,248.49,17.39,248.49,47
CPT,83520,ASCA IGG ELISA QN,248.49,248.49,17.39,248.49,47
CPT,83520,ASIALO-GM1 AB IA QN,1019.74,1019.74,71.38,1019.74,47
CPT,83520,ASIALO-GM1 AB QN IGG IA,624.43,624.43,43.71,624.43,47
CPT,83520,ASIALO-GM1 AB QN IGM IA,624.43,624.43,43.71,624.43,47
CPT,83520,AUTO ANTIBODY ELISA QN,248.49,248.49,17.39,248.49,47
CPT,83520,CXCL9 IFN-GAMMA IA QN,907.08,907.08,63.5,907.08,47
CPT,83520,ELASTSE PANCREATC SER QN,1185.92,1185.92,83.01,1185.92,47
CPT,83520,EOSINPHIL CATION PROT QN,651.86,651.86,45.63,651.86,47
CPT,83520,GALOP AUTO AB IA QN,298.49,298.49,20.89,298.49,47
CPT,83520,GD1A AB IA QN,298.49,298.49,20.89,298.49,47
CPT,83520,GD1A AB IA QN IGG,624.43,624.43,43.71,624.43,47
CPT,83520,GD1A AB IA QN IGM,624.43,624.43,43.71,624.43,47
CPT,83520,GD1B AB IA QN,1019.74,1019.74,71.38,1019.74,47
CPT,83520,GD1B AB IA QN IGG,624.43,624.43,43.71,624.43,47
CPT,83520,GD1B AB IA QN IGM,624.43,624.43,43.71,624.43,47
CPT,83520,GM1 AB IA QN,1019.74,1019.74,71.38,1019.74,47
CPT,83520,GM1 AB IA QN IGA,624.43,624.43,43.71,624.43,47
CPT,83520,GM1 AB IA QN IGG,624.43,624.43,43.71,624.43,47
CPT,83520,GM1 AB IA QN IGM,624.43,624.43,43.71,624.43,47
CPT,83520,GMCSF IA QN,1571.56,1571.56,110.01,1571.56,47
CPT,83520,GQ1B AB IA QN,1902.35,1902.35,133.16,1902.35,47
CPT,83520,HU AB EIA QN,4148.33,4148.33,290.38,4148.33,47
CPT,83520,HUMAN ANTIMOUSE AB IGG,790.63,790.63,55.34,790.63,47
CPT,83520,HUMAN CHIMERIC AB HACA,1502.17,1502.17,105.15,1502.17,47
CPT,83520,INHIBIN B IA QN,1152.05,1152.05,80.64,1152.05,47
CPT,83520,INTERLEUKIN 1 BETA IA QN,268.66,268.66,18.81,268.66,47
CPT,83520,INTERLEUKIN 13 IA QN,3492.52,3492.52,244.48,3492.52,47
CPT,83520,INTERLEUKIN 17 IA QN,4567.15,4567.15,319.7,4567.15,47
CPT,83520,INTERLEUKIN 2 IA QN,230.73,230.73,16.15,230.73,47
CPT,83520,INTERLEUKIN 2 REC EIA QN,1966.87,1966.87,137.68,1966.87,47
CPT,83520,INTERLEUKIN 4 IA QN,1074.63,1074.63,75.22,1074.63,47
CPT,83520,INTERLEUKIN 5 IA QN,435.65,435.65,30.5,435.65,47
CPT,83520,INTERLEUKIN 8 IA QN,2149.19,2149.19,150.44,2149.19,47
CPT,83520,INTERLEUKIN-10 IA QN,2686.57,2686.57,188.06,2686.57,47
CPT,83520,INTERLEUKIN-12 P70 IA QN,3223.87,3223.87,225.67,3223.87,47
CPT,83520,INTERLEUKIN-18 QN IA,1302.29,1302.29,91.16,1302.29,47
CPT,83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,10.36,93.1,137
CPT,83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified Age 21+",,,15.96,15.96,4
CPT,83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified Age Under 21",,,16.25,16.25,4
CPT,83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified Other Outpatient",,,18.13,18.13,6
CPT,83520,MAG AB ELISA QN,1214.97,1214.97,85.05,1214.97,47
CPT,83520,MAG IGM AB IA QN,671.23,671.23,46.99,671.23,47
CPT,83520,MANNOSE BIND PROT IA QN,772.88,772.88,54.1,772.88,47
CPT,83520,RIBOSOMAL P AB IA QN,529.23,529.23,37.05,529.23,47
CPT,83520,SGPG AB IGM QN IA,671.23,671.23,46.99,671.23,47
CPT,83520,SGPG AB QN IA,1214.97,1214.97,85.05,1214.97,47
CPT,83520,SOLUBL LIVER AG AB IA QN,721.23,721.23,50.49,721.23,47
CPT,83520,SOLUBLE CD 163 ELISA QN,2873.68,2873.68,201.16,2873.68,47
CPT,83520,SOLUBLE IL-2 RU IA QN,1271.44,1271.44,89.0,1271.44,47
CPT,83520,STRIATED MUSC AB IA QN,1064.92,1064.92,74.54,1064.92,47
CPT,83520,SULFATIDE AB IA QN,298.49,298.49,20.89,298.49,47
CPT,83520,THROMBIN ANTITHROM 3 COM,1466.69,1466.69,102.67,1466.69,47
CPT,83520,THYROTROPIN REC AB QN IA,369.5,369.5,25.86,369.5,47
CPT,83520,TRYPTASE IA QN,1997.52,1997.52,139.83,1997.52,47
CPT,83520,TUMOR NECROSIS FAC IA QN,1611.9,1611.9,112.83,1611.9,47
CPT,83520,VEGF IA QN,248.49,248.49,17.39,248.49,47
CPT,83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,10.36,93.1,133
CPT,83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each Age 21+",,,15.96,15.96,4
CPT,83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each Age Under 21",,,16.25,16.25,4
CPT,83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each Other Outpatient",,,18.13,18.13,6
CPT,83521,LIGHT CHAINS KAP FREE UR,453.4,453.4,31.74,453.4,51
CPT,83521,LIGHT CHAINS LAM FREE UR,453.4,453.4,31.74,453.4,51
CPT,83525,INSULIN TOTAL,1368.27,1368.27,95.78,1368.27,47
CPT,83525,Insulin; total ,1368.27,1368.27,6.86,62.09,137
CPT,83525,Insulin; total Age 21+,1368.27,1368.27,10.56,10.56,4
CPT,83525,Insulin; total Age Under 21,1368.27,1368.27,10.75,10.75,4
CPT,83525,Insulin; total Other Outpatient,1368.27,1368.27,12.0,12.0,6
CPT,83527,Insulin; free ,,,7.77,69.34,137
CPT,83527,Insulin; free Age 21+,,,11.97,11.97,4
CPT,83527,Insulin; free Age Under 21,,,12.19,12.19,4
CPT,83527,Insulin; free Other Outpatient,,,13.6,13.6,6
CPT,83528,Intrinsic factor ,,,11.89,105.86,137
CPT,83528,Intrinsic factor Age 21+,,,18.32,18.32,4
CPT,83528,Intrinsic factor Age Under 21,,,18.65,18.65,4
CPT,83528,Intrinsic factor Other Outpatient,,,20.81,20.81,6
CPT,83529,INTERLEUKIN 6 IA QN,1611.9,1611.9,112.83,1611.9,51
CPT,83529,Interleukin-6 (IL-6) ,1611.9,1611.9,10.36,93.1,133
CPT,83529,Interleukin-6 (IL-6) Age 21+,1611.9,1611.9,15.96,15.96,4
CPT,83529,Interleukin-6 (IL-6) Age Under 21,1611.9,1611.9,16.25,16.25,4
CPT,83529,Interleukin-6 (IL-6) Other Outpatient,1611.9,1611.9,18.13,18.13,6
CPT,83540,IRON,868.07,868.07,60.76,868.07,47
CPT,83540,IRON LIVER TISSUE QN,2210.52,2210.52,154.74,2210.52,47
CPT,83540,Iron ,,,3.88,34.7,137
CPT,83540,Iron Age 21+,,,5.97,5.97,4
CPT,83540,Iron Age Under 21,,,6.08,6.08,4
CPT,83540,Iron Other Outpatient,,,6.79,6.79,6
CPT,83550,IRON BINDING (TIBC),964.88,964.88,67.54,964.88,47
CPT,83550,Iron binding capacity ,964.88,964.88,5.24,47.46,137
CPT,83550,Iron binding capacity Age 21+,964.88,964.88,8.07,8.07,4
CPT,83550,Iron binding capacity Age Under 21,964.88,964.88,8.22,8.22,4
CPT,83550,Iron binding capacity Other Outpatient,964.88,964.88,9.18,9.18,6
CPT,83570,Isocitric dehydrogenase (IDH) ,,,5.31,47.46,137
CPT,83570,Isocitric dehydrogenase (IDH) Age 21+,,,8.17,8.17,4
CPT,83570,Isocitric dehydrogenase (IDH) Age Under 21,,,8.32,8.32,4
CPT,83570,Isocitric dehydrogenase (IDH) Other Outpatient,,,9.29,9.29,6
CPT,83582,KETOGENIC STEROID FRAC,1223.04,1223.04,85.61,1223.04,47
CPT,83582,"Ketogenic steroids, fractionation ",1223.04,1223.04,9.28,83.97,137
CPT,83582,"Ketogenic steroids, fractionation Age 21+",1223.04,1223.04,14.29,14.29,4
CPT,83582,"Ketogenic steroids, fractionation Age Under 21",1223.04,1223.04,14.55,14.55,4
CPT,83582,"Ketogenic steroids, fractionation Other Outpatient",1223.04,1223.04,16.24,16.24,6
CPT,83586,17 KETOSTEROIDS TOTAL,1223.04,1223.04,85.61,1223.04,47
CPT,83586,"Ketosteroids, 17- (17-KS); total ",1223.04,1223.04,7.68,69.34,137
CPT,83586,"Ketosteroids, 17- (17-KS); total Age 21+",1223.04,1223.04,11.83,11.83,4
CPT,83586,"Ketosteroids, 17- (17-KS); total Age Under 21",1223.04,1223.04,12.04,12.04,4
CPT,83586,"Ketosteroids, 17- (17-KS); total Other Outpatient",1223.04,1223.04,13.44,13.44,6
CPT,83593,"Ketosteroids, 17- (17-KS); fractionation ",,,17.1,153.32,137
CPT,83593,"Ketosteroids, 17- (17-KS); fractionation Age 21+",,,26.33,26.33,4
CPT,83593,"Ketosteroids, 17- (17-KS); fractionation Age Under 21",,,26.81,26.81,4
CPT,83593,"Ketosteroids, 17- (17-KS); fractionation Other Outpatient",,,29.93,29.93,6
CPT,83605,LACTIC ACID,1176.25,1176.25,81.21,2139.52,235
CPT,83605,LACTIC ACID BODY FL,1184.32,1184.32,82.9,1184.32,47
CPT,83605,Lactate (lactic acid) ,,,6.94,62.09,137
CPT,83605,Lactate (lactic acid) Age 21+,,,10.69,10.69,4
CPT,83605,Lactate (lactic acid) Age Under 21,,,10.89,10.89,4
CPT,83605,Lactate (lactic acid) Other Outpatient,,,12.15,12.15,6
CPT,83615,LDH (LD),803.53,803.53,56.25,803.53,94
CPT,83615,LDH (LD) BODY FLUID,803.53,803.53,56.25,803.53,47
CPT,83615,"Lactate dehydrogenase (LD), (LDH); ",,,3.62,32.83,137
CPT,83615,"Lactate dehydrogenase (LD), (LDH); Age 21+",,,5.58,5.58,4
CPT,83615,"Lactate dehydrogenase (LD), (LDH); Age Under 21",,,5.68,5.68,4
CPT,83615,"Lactate dehydrogenase (LD), (LDH); Other Outpatient",,,6.34,6.34,6
CPT,83625,LDH ISOENZYMES,1773.25,1773.25,124.13,1773.25,47
CPT,83625,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",1773.25,1773.25,7.67,69.34,137
CPT,83625,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Age 21+",1773.25,1773.25,11.81,11.81,4
CPT,83625,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Age Under 21",1773.25,1773.25,12.03,12.03,4
CPT,83625,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Other Outpatient",1773.25,1773.25,13.43,13.43,6
CPT,83630,LACTOFERRIN STOOL IA QL,411.44,411.44,28.8,411.44,47
CPT,83630,"Lactoferrin, fecal; qualitative ",411.44,411.44,11.82,105.86,137
CPT,83630,"Lactoferrin, fecal; qualitative Age 21+",411.44,411.44,18.21,18.21,4
CPT,83630,"Lactoferrin, fecal; qualitative Age Under 21",411.44,411.44,18.54,18.54,4
CPT,83630,"Lactoferrin, fecal; qualitative Other Outpatient",411.44,411.44,20.68,20.68,6
CPT,83631,LACTOFERRIN FECAL QN,230.73,230.73,16.15,230.73,47
CPT,83631,"Lactoferrin, fecal; quantitative ",230.73,230.73,11.78,105.86,137
CPT,83631,"Lactoferrin, fecal; quantitative Age 21+",230.73,230.73,18.14,18.14,4
CPT,83631,"Lactoferrin, fecal; quantitative Age Under 21",230.73,230.73,18.47,18.47,4
CPT,83631,"Lactoferrin, fecal; quantitative Other Outpatient",230.73,230.73,20.61,20.61,6
CPT,83632,LACTOGEN HPL,1247.25,1247.25,87.31,1247.25,47
CPT,83632,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",1247.25,1247.25,12.13,109.54,137
CPT,83632,"Lactogen, human placental (HPL) human chorionic somatomammotropin Age 21+",1247.25,1247.25,18.68,18.68,4
CPT,83632,"Lactogen, human placental (HPL) human chorionic somatomammotropin Age Under 21",1247.25,1247.25,19.02,19.02,4
CPT,83632,"Lactogen, human placental (HPL) human chorionic somatomammotropin Other Outpatient",1247.25,1247.25,21.23,21.23,6
CPT,83633,"Lactose, urine, qualitative ",,,6.75,60.22,137
CPT,83633,"Lactose, urine, qualitative Age 21+",,,10.39,10.39,4
CPT,83633,"Lactose, urine, qualitative Age Under 21",,,10.58,10.58,4
CPT,83633,"Lactose, urine, qualitative Other Outpatient",,,11.81,11.81,6
CPT,83655,LEAD BLOOD,1066.53,1066.53,74.66,1066.53,47
CPT,83655,LEAD URINE,977.8,977.8,68.45,977.8,47
CPT,83655,Lead ,,,7.27,65.72,137
CPT,83655,Lead Age 21+,,,11.19,11.19,4
CPT,83655,Lead Age Under 21,,,11.39,11.39,4
CPT,83655,Lead Other Outpatient,,,12.72,12.72,6
CPT,83661,FETAL LUNG MAT LS RATIO,2820.42,2820.42,197.43,2820.42,47
CPT,83661,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,2820.42,2820.42,13.19,118.67,137
CPT,83661,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Age 21+,2820.42,2820.42,20.32,20.32,4
CPT,83661,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Age Under 21,2820.42,2820.42,20.69,20.69,4
CPT,83661,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Other Outpatient,2820.42,2820.42,23.09,23.09,6
CPT,83662,Fetal lung maturity assessment; foam stability test ,,,11.35,102.23,137
CPT,83662,Fetal lung maturity assessment; foam stability test Age 21+,,,17.47,17.47,4
CPT,83662,Fetal lung maturity assessment; foam stability test Age Under 21,,,17.79,17.79,4
CPT,83662,Fetal lung maturity assessment; foam stability test Other Outpatient,,,19.86,19.86,6
CPT,83663,Fetal lung maturity assessment; fluorescence polarization ,,,11.35,102.23,137
CPT,83663,Fetal lung maturity assessment; fluorescence polarization Age 21+,,,17.47,17.47,4
CPT,83663,Fetal lung maturity assessment; fluorescence polarization Age Under 21,,,17.79,17.79,4
CPT,83663,Fetal lung maturity assessment; fluorescence polarization Other Outpatient,,,19.86,19.86,6
CPT,83664,Fetal lung maturity assessment; lamellar body density ,,,11.59,104.04,137
CPT,83664,Fetal lung maturity assessment; lamellar body density Age 21+,,,17.85,17.85,4
CPT,83664,Fetal lung maturity assessment; lamellar body density Age Under 21,,,18.18,18.18,4
CPT,83664,Fetal lung maturity assessment; lamellar body density Other Outpatient,,,20.29,20.29,6
CPT,83670,LEUC AMINOPEPTIDASE,311.41,311.41,21.8,311.41,47
CPT,83670,Leucine aminopeptidase (LAP) ,311.41,311.41,5.89,52.96,137
CPT,83670,Leucine aminopeptidase (LAP) Age 21+,311.41,311.41,9.06,9.06,4
CPT,83670,Leucine aminopeptidase (LAP) Age Under 21,311.41,311.41,9.23,9.23,4
CPT,83670,Leucine aminopeptidase (LAP) Other Outpatient,311.41,311.41,10.3,10.3,6
CPT,83690,LIPASE,1061.7,1061.7,74.32,1061.7,94
CPT,83690,Lipase ,,,4.13,36.51,137
CPT,83690,Lipase Age 21+,,,6.37,6.37,4
CPT,83690,Lipase Age Under 21,,,6.48,6.48,4
CPT,83690,Lipase Other Outpatient,,,7.23,7.23,6
CPT,83695,Lipoprotein (a) ,,,8.59,76.66,137
CPT,83695,Lipoprotein (a) Age 21+,,,13.23,13.23,4
CPT,83695,Lipoprotein (a) Age Under 21,,,13.47,13.47,4
CPT,83695,Lipoprotein (a) Other Outpatient,,,15.04,15.04,6
CPT,83698,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,27.79,250.05,137
CPT,83698,Lipoprotein-associated phospholipase A2 (Lp-PLA2) Age 21+,,,42.79,42.79,4
CPT,83698,Lipoprotein-associated phospholipase A2 (Lp-PLA2) Age Under 21,,,43.57,43.57,4
CPT,83698,Lipoprotein-associated phospholipase A2 (Lp-PLA2) Other Outpatient,,,48.63,48.63,6
CPT,83700,LIPOPROTEIN ELECTRO BLD,1163.35,1163.35,81.43,1163.35,47
CPT,83700,"Lipoprotein, blood; electrophoretic separation and quantitation ",1163.35,1163.35,6.76,60.22,137
CPT,83700,"Lipoprotein, blood; electrophoretic separation and quantitation Age 21+",1163.35,1163.35,10.41,10.41,4
CPT,83700,"Lipoprotein, blood; electrophoretic separation and quantitation Age Under 21",1163.35,1163.35,10.6,10.6,4
CPT,83700,"Lipoprotein, blood; electrophoretic separation and quantitation Other Outpatient",1163.35,1163.35,11.82,11.82,6
CPT,83701,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,20.32,182.52,137
CPT,83701,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) Age 21+",,,31.28,31.28,4
CPT,83701,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) Age Under 21",,,31.85,31.85,4
CPT,83701,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) Other Outpatient",,,35.55,35.55,6
CPT,83704,LDL CHOLESTEROL NMR BLD,672.83,672.83,47.1,672.83,94
CPT,83704,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,20.51,184.33,137
CPT,83704,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed Age 21+",,,31.59,31.59,4
CPT,83704,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed Age Under 21",,,32.17,32.17,4
CPT,83704,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed Other Outpatient",,,35.9,35.9,6
CPT,83718,HDL CHOLESTEROL DM,1100.41,1100.41,77.03,1100.41,94
CPT,83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,4.91,43.83,137
CPT,83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Age 21+",,,7.57,7.57,4
CPT,83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Age Under 21",,,7.71,7.71,4
CPT,83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Other Outpatient",,,8.6,8.6,6
CPT,83719,"Lipoprotein, direct measurement; VLDL cholesterol ",,,7.65,69.34,137
CPT,83719,"Lipoprotein, direct measurement; VLDL cholesterol Age 21+",,,11.78,11.78,4
CPT,83719,"Lipoprotein, direct measurement; VLDL cholesterol Age Under 21",,,12.0,12.0,4
CPT,83719,"Lipoprotein, direct measurement; VLDL cholesterol Other Outpatient",,,13.39,13.39,6
CPT,83721,"Lipoprotein, direct measurement; LDL cholesterol ",,,6.3,56.59,137
CPT,83721,"Lipoprotein, direct measurement; LDL cholesterol Age 21+",,,9.7,9.7,4
CPT,83721,"Lipoprotein, direct measurement; LDL cholesterol Age Under 21",,,9.88,9.88,4
CPT,83721,"Lipoprotein, direct measurement; LDL cholesterol Other Outpatient",,,11.03,11.03,6
CPT,83722,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,20.51,184.33,137
CPT,83722,"Lipoprotein, direct measurement; small dense LDL cholesterol Age 21+",,,31.59,31.59,4
CPT,83722,"Lipoprotein, direct measurement; small dense LDL cholesterol Age Under 21",,,32.17,32.17,4
CPT,83722,"Lipoprotein, direct measurement; small dense LDL cholesterol Other Outpatient",,,35.9,35.9,6
CPT,83727,Luteinizing releasing factor (LRH) ,,,10.31,93.1,137
CPT,83727,Luteinizing releasing factor (LRH) Age 21+,,,15.88,15.88,4
CPT,83727,Luteinizing releasing factor (LRH) Age Under 21,,,16.17,16.17,4
CPT,83727,Luteinizing releasing factor (LRH) Other Outpatient,,,18.05,18.05,6
CPT,83735,MAGNESIUM BLD,951.97,951.97,66.64,951.97,141
CPT,83735,MAGNESIUM OTHER,1440.87,1440.87,100.86,1440.87,47
CPT,83735,MAGNESIUM URINE,951.97,951.97,66.64,951.97,47
CPT,83735,Magnesium ,,,4.02,36.51,137
CPT,83735,Magnesium Age 21+,,,6.19,6.19,4
CPT,83735,Magnesium Age Under 21,,,6.31,6.31,4
CPT,83735,Magnesium Other Outpatient,,,7.04,7.04,6
CPT,83775,Malate dehydrogenase ,,,4.42,40.14,137
CPT,83775,Malate dehydrogenase Age 21+,,,6.81,6.81,4
CPT,83775,Malate dehydrogenase Age Under 21,,,6.93,6.93,4
CPT,83775,Malate dehydrogenase Other Outpatient,,,7.74,7.74,6
CPT,83785,MANGANESE,1093.97,1093.97,76.58,1093.97,47
CPT,83785,Manganese ,1093.97,1093.97,15.99,144.19,137
CPT,83785,Manganese Age 21+,1093.97,1093.97,24.63,24.63,4
CPT,83785,Manganese Age Under 21,1093.97,1093.97,25.08,25.08,4
CPT,83785,Manganese Other Outpatient,1093.97,1093.97,27.98,27.98,6
CPT,83789,MASS SPEC QL EACH SPEC,2213.73,2213.73,154.96,2213.73,47
CPT,83789,MASS SPEC QN EACH SPEC,508.26,508.26,35.58,508.26,47
CPT,83789,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,14.47,129.62,137
CPT,83789,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen Age 21+",,,22.28,22.28,4
CPT,83789,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen Age Under 21",,,22.68,22.68,4
CPT,83789,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen Other Outpatient",,,25.32,25.32,6
CPT,83825,MERCURY BLD QUANT,1189.17,1189.17,83.24,1189.17,47
CPT,83825,MERCURY UR QUANT,451.79,451.79,31.63,451.79,47
CPT,83825,"Mercury, quantitative ",,,9.76,87.6,137
CPT,83825,"Mercury, quantitative Age 21+",,,15.03,15.03,4
CPT,83825,"Mercury, quantitative Age Under 21",,,15.3,15.3,4
CPT,83825,"Mercury, quantitative Other Outpatient",,,17.07,17.07,6
CPT,83835,METANEPHRINES,1066.53,1066.53,74.66,1066.53,47
CPT,83835,METANEPHRINES FRACT,1353.73,1353.73,94.76,1353.73,47
CPT,83835,Metanephrines ,,,10.16,91.29,137
CPT,83835,Metanephrines Age 21+,,,15.65,15.65,4
CPT,83835,Metanephrines Age Under 21,,,15.94,15.94,4
CPT,83835,Metanephrines Other Outpatient,,,17.79,17.79,6
CPT,83857,Methemalbumin ,,,6.44,58.4,137
CPT,83857,Methemalbumin Age 21+,,,9.92,9.92,4
CPT,83857,Methemalbumin Age Under 21,,,10.1,10.1,4
CPT,83857,Methemalbumin Other Outpatient,,,11.28,11.28,6
CPT,83861,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,13.49,120.49,137
CPT,83861,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Age 21+",,,20.77,20.77,4
CPT,83861,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Age Under 21",,,21.15,21.15,4
CPT,83861,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Other Outpatient",,,23.6,23.6,6
CPT,83864,MUCOPOLYSAC ACID QUANT,1085.9,1085.9,76.01,1085.9,47
CPT,83864,"Mucopolysaccharides, acid, quantitative ",1085.9,1085.9,17.1,153.32,137
CPT,83864,"Mucopolysaccharides, acid, quantitative Age 21+",1085.9,1085.9,26.33,26.33,4
CPT,83864,"Mucopolysaccharides, acid, quantitative Age Under 21",1085.9,1085.9,26.81,26.81,4
CPT,83864,"Mucopolysaccharides, acid, quantitative Other Outpatient",1085.9,1085.9,29.93,29.93,6
CPT,83872,"Mucin, synovial fluid (Ropes test) ",,,3.52,31.01,137
CPT,83872,"Mucin, synovial fluid (Ropes test) Age 21+",,,5.41,5.41,4
CPT,83872,"Mucin, synovial fluid (Ropes test) Age Under 21",,,5.51,5.51,4
CPT,83872,"Mucin, synovial fluid (Ropes test) Other Outpatient",,,6.15,6.15,6
CPT,83873,MYELIN BASIC PROT CSF,1344.06,1344.06,94.08,1344.06,47
CPT,83873,"Myelin basic protein, cerebrospinal fluid ",1344.06,1344.06,10.32,93.1,137
CPT,83873,"Myelin basic protein, cerebrospinal fluid Age 21+",1344.06,1344.06,15.9,15.9,4
CPT,83873,"Myelin basic protein, cerebrospinal fluid Age Under 21",1344.06,1344.06,16.18,16.18,4
CPT,83873,"Myelin basic protein, cerebrospinal fluid Other Outpatient",1344.06,1344.06,18.06,18.06,6
CPT,83874,MYOGLOBIN BLD,1445.7,1445.7,101.2,1445.7,94
CPT,83874,MYOGLOBIN URINE,2087.9,2087.9,146.15,2087.9,47
CPT,83874,Myoglobin ,,,7.75,69.34,137
CPT,83874,Myoglobin Age 21+,,,11.94,11.94,4
CPT,83874,Myoglobin Age Under 21,,,12.15,12.15,4
CPT,83874,Myoglobin Other Outpatient,,,13.57,13.57,6
CPT,83876,Myeloperoxidase (MPO) ,,,30.52,273.8,124
CPT,83876,Myeloperoxidase (MPO) Other Outpatient,,,53.4,53.4,6
CPT,83880,NATRIURETIC PEPTIDE,772.88,772.88,54.1,772.88,141
CPT,83880,Natriuretic peptide ,,,23.56,211.72,137
CPT,83880,Natriuretic peptide Age 21+,,,36.28,36.28,4
CPT,83880,Natriuretic peptide Age Under 21,,,36.94,36.94,4
CPT,83880,Natriuretic peptide Other Outpatient,,,41.22,41.22,6
CPT,83883,ALPHA 2 MACRO NEPHELOM,1303.73,1303.73,91.26,1303.73,47
CPT,83883,"Nephelometry, each analyte not elsewhere specified ",1303.73,1303.73,8.16,73.03,137
CPT,83883,"Nephelometry, each analyte not elsewhere specified Age 21+",1303.73,1303.73,12.56,12.56,4
CPT,83883,"Nephelometry, each analyte not elsewhere specified Age Under 21",1303.73,1303.73,12.79,12.79,4
CPT,83883,"Nephelometry, each analyte not elsewhere specified Other Outpatient",1303.73,1303.73,14.28,14.28,6
CPT,83884,Neurofilament light chain (NfL) ,,,14.29,304.52,125
CPT,83884,Neurofilament light chain (NfL) Age 21+,,,15.96,15.96,4
CPT,83884,Neurofilament light chain (NfL) Age Under 21,,,16.25,16.25,4
CPT,83884,Neurofilament light chain (NfL) Other Outpatient,,,122.04,122.04,6
CPT,83885,Nickel ,,,14.71,131.43,137
CPT,83885,Nickel Age 21+,,,22.65,22.65,4
CPT,83885,Nickel Age Under 21,,,23.06,23.06,4
CPT,83885,Nickel Other Outpatient,,,25.74,25.74,6
CPT,83915,NUCLEOTIDASE 5'-,316.24,316.24,22.14,316.24,47
CPT,83915,Nucleotidase 5'- ,316.24,316.24,6.69,60.22,137
CPT,83915,Nucleotidase 5'- Age 21+,316.24,316.24,10.31,10.31,4
CPT,83915,Nucleotidase 5'- Age Under 21,316.24,316.24,10.49,10.49,4
CPT,83915,Nucleotidase 5'- Other Outpatient,316.24,316.24,11.71,11.71,6
CPT,83916,OLIGOCLONAL BANDS,1029.41,1029.41,72.06,1029.41,47
CPT,83916,Oligoclonal immune (oligoclonal bands) ,1029.41,1029.41,16.43,147.87,137
CPT,83916,Oligoclonal immune (oligoclonal bands) Age 21+,1029.41,1029.41,25.31,25.31,4
CPT,83916,Oligoclonal immune (oligoclonal bands) Age Under 21,1029.41,1029.41,25.77,25.77,4
CPT,83916,Oligoclonal immune (oligoclonal bands) Other Outpatient,1029.41,1029.41,28.76,28.76,6
CPT,83918,ORGANIC ACIDS TOTAL QN,1127.83,1127.83,78.95,1127.83,47
CPT,83918,"Organic acids; total, quantitative, each specimen ",1127.83,1127.83,14.16,127.75,137
CPT,83918,"Organic acids; total, quantitative, each specimen Age 21+",1127.83,1127.83,21.8,21.8,4
CPT,83918,"Organic acids; total, quantitative, each specimen Age Under 21",1127.83,1127.83,22.2,22.2,4
CPT,83918,"Organic acids; total, quantitative, each specimen Other Outpatient",1127.83,1127.83,24.78,24.78,6
CPT,83919,ORGANIC ACIDS QL EA SPEC,4616.27,4616.27,323.14,4616.27,47
CPT,83919,"Organic acids; qualitative, each specimen ",4616.27,4616.27,9.87,89.42,137
CPT,83919,"Organic acids; qualitative, each specimen Age 21+",4616.27,4616.27,15.2,15.2,4
CPT,83919,"Organic acids; qualitative, each specimen Age Under 21",4616.27,4616.27,15.48,15.48,4
CPT,83919,"Organic acids; qualitative, each specimen Other Outpatient",4616.27,4616.27,17.27,17.27,6
CPT,83921,METHYLMALONIC ACID QN,5521.44,5521.44,386.5,5521.44,47
CPT,83921,METHYLMALONIC ACID QN UR,380.78,380.78,26.65,380.78,47
CPT,83921,"Organic acid, single, quantitative ",,,12.73,114.99,137
CPT,83921,"Organic acid, single, quantitative Age 21+",,,19.6,19.6,4
CPT,83921,"Organic acid, single, quantitative Age Under 21",,,19.96,19.96,4
CPT,83921,"Organic acid, single, quantitative Other Outpatient",,,22.27,22.27,6
CPT,83921,SUCCINYL ACETONE QN,1668.37,1668.37,116.79,1668.37,47
CPT,83930,OSMOLALITY BLD,926.14,926.14,64.83,926.14,47
CPT,83930,Osmolality; blood ,926.14,926.14,3.97,36.51,137
CPT,83930,Osmolality; blood Age 21+,926.14,926.14,6.11,6.11,4
CPT,83930,Osmolality; blood Age Under 21,926.14,926.14,6.22,6.22,4
CPT,83930,Osmolality; blood Other Outpatient,926.14,926.14,6.94,6.94,6
CPT,83935,OSMOLALITY UR,926.14,926.14,64.83,926.14,47
CPT,83935,Osmolality; urine ,926.14,926.14,4.09,36.51,137
CPT,83935,Osmolality; urine Age 21+,926.14,926.14,6.3,6.3,4
CPT,83935,Osmolality; urine Age Under 21,926.14,926.14,6.42,6.42,4
CPT,83935,Osmolality; urine Other Outpatient,926.14,926.14,7.16,7.16,6
CPT,83937,OSTEOCALCIN,1042.33,1042.33,72.96,1042.33,47
CPT,83937,Osteocalcin (bone g1a protein) ,1042.33,1042.33,17.91,160.63,137
CPT,83937,Osteocalcin (bone g1a protein) Age 21+,1042.33,1042.33,27.58,27.58,4
CPT,83937,Osteocalcin (bone g1a protein) Age Under 21,1042.33,1042.33,28.08,28.08,4
CPT,83937,Osteocalcin (bone g1a protein) Other Outpatient,1042.33,1042.33,31.34,31.34,6
CPT,83945,OXALATE,995.54,995.54,69.69,995.54,47
CPT,83945,Oxalate ,995.54,995.54,8.67,78.47,137
CPT,83945,Oxalate Age 21+,995.54,995.54,13.35,13.35,4
CPT,83945,Oxalate Age Under 21,995.54,995.54,13.6,13.6,4
CPT,83945,Oxalate Other Outpatient,995.54,995.54,15.17,15.17,6
CPT,83950,Oncoprotein; HER-2/neu ,,,38.65,346.83,137
CPT,83950,Oncoprotein; HER-2/neu Age 21+,,,59.51,59.51,4
CPT,83950,Oncoprotein; HER-2/neu Age Under 21,,,60.59,60.59,4
CPT,83950,Oncoprotein; HER-2/neu Other Outpatient,,,67.63,67.63,6
CPT,83951,DES-GAMMA-CARBOXY DCP,1345.67,1345.67,94.2,1345.67,47
CPT,83951,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,1345.67,1345.67,38.65,346.83,137
CPT,83951,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Age 21+,1345.67,1345.67,59.51,59.51,4
CPT,83951,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Age Under 21,1345.67,1345.67,60.59,60.59,4
CPT,83951,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Other Outpatient,1345.67,1345.67,67.63,67.63,6
CPT,83970,PARATHORMONE (PTH),2851.08,2851.08,199.58,2851.08,47
CPT,83970,PTH C TERMINAL,2115.31,2115.31,148.07,2115.31,47
CPT,83970,PTH INTACT,2550.97,2550.97,178.57,2550.97,47
CPT,83970,PTH MID MOLECULE,2626.8,2626.8,183.88,2626.8,47
CPT,83970,Parathormone (parathyroid hormone) ,,,24.77,222.72,137
CPT,83970,Parathormone (parathyroid hormone) Age 21+,,,38.15,38.15,4
CPT,83970,Parathormone (parathyroid hormone) Age Under 21,,,38.84,38.84,4
CPT,83970,Parathormone (parathyroid hormone) Other Outpatient,,,43.34,43.34,6
CPT,83986,PH BODY FLUID,346.91,346.91,24.28,346.91,47
CPT,83986,PH STOOL,432.43,432.43,30.27,432.43,47
CPT,83986,"pH; body fluid, not otherwise specified ",,,2.15,20.07,137
CPT,83986,"pH; body fluid, not otherwise specified Age 21+",,,3.31,3.31,4
CPT,83986,"pH; body fluid, not otherwise specified Age Under 21",,,3.37,3.37,4
CPT,83986,"pH; body fluid, not otherwise specified Other Outpatient",,,3.76,3.76,6
CPT,83987,pH; exhaled breath condensate ,,,2.15,20.07,122
CPT,83987,pH; exhaled breath condensate Other Outpatient,,,3.76,3.76,6
CPT,83992,PHENCYCLIDINE QUANT,1071.37,1071.37,75.0,1071.37,54
CPT,83992,Phencyclidine (PCP) ,1071.37,1071.37,0.02,198.96,64
CPT,83992,Phencyclidine (PCP) Age 21+,1071.37,1071.37,15.52,15.52,4
CPT,83992,Phencyclidine (PCP) Age Under 21,1071.37,1071.37,15.8,15.8,4
CPT,83993,CALPROTECTIN FECAL,1137.51,1137.51,79.63,1137.51,47
CPT,83993,"Calprotectin, fecal ",1137.51,1137.51,11.78,105.86,137
CPT,83993,"Calprotectin, fecal Age 21+",1137.51,1137.51,18.14,18.14,4
CPT,83993,"Calprotectin, fecal Age Under 21",1137.51,1137.51,18.47,18.47,4
CPT,83993,"Calprotectin, fecal Other Outpatient",1137.51,1137.51,20.61,20.61,6
CPT,84030,NEWBORN SCREEN (PKU),776.1,776.1,54.33,776.1,47
CPT,84030,"Phenylalanine (PKU), blood ",776.1,776.1,3.3,29.2,137
CPT,84030,"Phenylalanine (PKU), blood Age 21+",776.1,776.1,5.08,5.08,4
CPT,84030,"Phenylalanine (PKU), blood Age Under 21",776.1,776.1,5.17,5.17,4
CPT,84030,"Phenylalanine (PKU), blood Other Outpatient",776.1,776.1,5.78,5.78,6
CPT,84035,"Phenylketones, qualitative ",,,2.39,21.89,137
CPT,84035,"Phenylketones, qualitative Age 21+",,,3.67,3.67,4
CPT,84035,"Phenylketones, qualitative Age Under 21",,,3.74,3.74,4
CPT,84035,"Phenylketones, qualitative Other Outpatient",,,4.18,4.18,6
CPT,84060,ACID PHOSPHATASE TOT,459.84,459.84,32.19,459.84,47
CPT,84060,"Phosphatase, acid; total ",459.84,459.84,4.58,41.96,137
CPT,84060,"Phosphatase, acid; total Age 21+",459.84,459.84,7.06,7.06,4
CPT,84060,"Phosphatase, acid; total Age Under 21",459.84,459.84,7.19,7.19,4
CPT,84060,"Phosphatase, acid; total Other Outpatient",459.84,459.84,8.02,8.02,6
CPT,84066,ACID PHOSPHATASE PROST,548.61,548.61,38.4,548.61,47
CPT,84066,"Phosphatase, acid; prostatic ",548.61,548.61,5.8,52.96,137
CPT,84066,"Phosphatase, acid; prostatic Age 21+",548.61,548.61,8.92,8.92,4
CPT,84066,"Phosphatase, acid; prostatic Age Under 21",548.61,548.61,9.08,9.08,4
CPT,84066,"Phosphatase, acid; prostatic Other Outpatient",548.61,548.61,10.14,10.14,6
CPT,84075,ALK PHOS (ALP),977.8,977.8,68.45,977.8,94
CPT,84075,"Phosphatase, alkaline; ",,,3.11,27.39,137
CPT,84075,"Phosphatase, alkaline; Age 21+",,,4.79,4.79,4
CPT,84075,"Phosphatase, alkaline; Age Under 21",,,4.87,4.87,4
CPT,84075,"Phosphatase, alkaline; Other Outpatient",,,5.44,5.44,6
CPT,84078,"Phosphatase, alkaline; heat stable (total not included) ",,,4.96,43.83,137
CPT,84078,"Phosphatase, alkaline; heat stable (total not included) Age 21+",,,7.63,7.63,4
CPT,84078,"Phosphatase, alkaline; heat stable (total not included) Age Under 21",,,7.77,7.77,4
CPT,84078,"Phosphatase, alkaline; heat stable (total not included) Other Outpatient",,,8.67,8.67,6
CPT,84080,ALK PHOS ISOENZYMES,1440.87,1440.87,100.86,1440.87,47
CPT,84080,"Phosphatase, alkaline; isoenzymes ",1440.87,1440.87,8.87,80.29,137
CPT,84080,"Phosphatase, alkaline; isoenzymes Age 21+",1440.87,1440.87,13.66,13.66,4
CPT,84080,"Phosphatase, alkaline; isoenzymes Age Under 21",1440.87,1440.87,13.91,13.91,4
CPT,84080,"Phosphatase, alkaline; isoenzymes Other Outpatient",1440.87,1440.87,15.52,15.52,6
CPT,84081,PHOSPHATIDYLGLY (PG),1844.26,1844.26,129.1,1844.26,47
CPT,84081,Phosphatidylglycerol ,1844.26,1844.26,9.91,89.42,137
CPT,84081,Phosphatidylglycerol Age 21+,1844.26,1844.26,15.27,15.27,4
CPT,84081,Phosphatidylglycerol Age Under 21,1844.26,1844.26,15.55,15.55,4
CPT,84081,Phosphatidylglycerol Other Outpatient,1844.26,1844.26,17.35,17.35,6
CPT,84085,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,5.66,51.09,137
CPT,84085,"Phosphogluconate, 6-, dehydrogenase, RBC Age 21+",,,8.72,8.72,4
CPT,84085,"Phosphogluconate, 6-, dehydrogenase, RBC Age Under 21",,,8.88,8.88,4
CPT,84085,"Phosphogluconate, 6-, dehydrogenase, RBC Other Outpatient",,,9.91,9.91,6
CPT,84087,Phosphohexose isomerase ,,,6.44,58.4,137
CPT,84087,Phosphohexose isomerase Age 21+,,,9.91,9.91,4
CPT,84087,Phosphohexose isomerase Age Under 21,,,10.09,10.09,4
CPT,84087,Phosphohexose isomerase Other Outpatient,,,11.27,11.27,6
CPT,84100,PHOSPHORUS BLD,559.89,559.89,39.19,559.89,141
CPT,84100,PHOSPHORUS OTHER,135.54,135.54,9.49,135.54,47
CPT,84100,Phosphorus inorganic (phosphate); ,,,2.84,25.57,137
CPT,84100,Phosphorus inorganic (phosphate); Age 21+,,,4.38,4.38,4
CPT,84100,Phosphorus inorganic (phosphate); Age Under 21,,,4.46,4.46,4
CPT,84100,Phosphorus inorganic (phosphate); Other Outpatient,,,4.98,4.98,6
CPT,84105,PHOSPHORUS UR,1868.46,1868.46,130.79,1868.46,47
CPT,84105,Phosphorus inorganic (phosphate); urine ,1868.46,1868.46,3.47,31.01,137
CPT,84105,Phosphorus inorganic (phosphate); urine Age 21+,1868.46,1868.46,5.35,5.35,4
CPT,84105,Phosphorus inorganic (phosphate); urine Age Under 21,1868.46,1868.46,5.44,5.44,4
CPT,84105,Phosphorus inorganic (phosphate); urine Other Outpatient,1868.46,1868.46,6.07,6.07,6
CPT,84106,"Porphobilinogen, urine; qualitative ",,,3.49,31.01,137
CPT,84106,"Porphobilinogen, urine; qualitative Age 21+",,,5.38,5.38,4
CPT,84106,"Porphobilinogen, urine; qualitative Age Under 21",,,5.48,5.48,4
CPT,84106,"Porphobilinogen, urine; qualitative Other Outpatient",,,6.11,6.11,6
CPT,84110,PORPHOBILINOGEN UR QUAN,1021.35,1021.35,71.49,1021.35,47
CPT,84110,"Porphobilinogen, urine; quantitative ",1021.35,1021.35,5.06,45.64,137
CPT,84110,"Porphobilinogen, urine; quantitative Age 21+",1021.35,1021.35,7.8,7.8,4
CPT,84110,"Porphobilinogen, urine; quantitative Age Under 21",1021.35,1021.35,7.94,7.94,4
CPT,84110,"Porphobilinogen, urine; quantitative Other Outpatient",1021.35,1021.35,8.86,8.86,6
CPT,84112,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",1345.67,1345.67,58.87,529.35,137
CPT,84112,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen Age",1345.67,1345.67,90.65,92.3,8
CPT,84112,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen Oth",1345.67,1345.67,103.02,103.02,6
CPT,84112,PAMG-1 CVS QL,1345.67,1345.67,94.2,1345.67,47
CPT,84119,"Porphyrins, urine; qualitative ",,,8.02,71.22,137
CPT,84119,"Porphyrins, urine; qualitative Age 21+",,,12.34,12.34,4
CPT,84119,"Porphyrins, urine; qualitative Age Under 21",,,12.57,12.57,4
CPT,84119,"Porphyrins, urine; qualitative Other Outpatient",,,14.03,14.03,6
CPT,84120,PORPHYRINS UR QN + FRACT,1208.52,1208.52,84.6,1208.52,47
CPT,84120,"Porphyrins, urine; quantitation and fractionation ",1208.52,1208.52,8.83,78.47,137
CPT,84120,"Porphyrins, urine; quantitation and fractionation Age 21+",1208.52,1208.52,13.6,13.6,4
CPT,84120,"Porphyrins, urine; quantitation and fractionation Age Under 21",1208.52,1208.52,13.84,13.84,4
CPT,84120,"Porphyrins, urine; quantitation and fractionation Other Outpatient",1208.52,1208.52,15.45,15.45,6
CPT,84126,PORPHYRINS FECES QUANT,1122.98,1122.98,78.61,1122.98,47
CPT,84126,"Porphyrins, feces, quantitative ",1122.98,1122.98,23.47,209.9,137
CPT,84126,"Porphyrins, feces, quantitative Age 21+",1122.98,1122.98,36.14,36.14,4
CPT,84126,"Porphyrins, feces, quantitative Age Under 21",1122.98,1122.98,36.79,36.79,4
CPT,84126,"Porphyrins, feces, quantitative Other Outpatient",1122.98,1122.98,41.07,41.07,6
CPT,84132,POTASSIUM BLD,709.95,709.95,49.36,714.79,141
CPT,84132,"Potassium; serum, plasma or whole blood ",,,2.86,25.57,137
CPT,84132,"Potassium; serum, plasma or whole blood Age 21+",,,4.4,4.4,4
CPT,84132,"Potassium; serum, plasma or whole blood Age Under 21",,,4.48,4.48,4
CPT,84132,"Potassium; serum, plasma or whole blood Other Outpatient",,,5.0,5.0,6
CPT,84133,POTASSIUM UR,714.79,714.79,50.04,714.79,47
CPT,84133,Potassium; urine ,714.79,714.79,2.84,25.57,137
CPT,84133,Potassium; urine Age 21+,714.79,714.79,4.37,4.37,4
CPT,84133,Potassium; urine Age Under 21,714.79,714.79,4.45,4.45,4
CPT,84133,Potassium; urine Other Outpatient,714.79,714.79,4.97,4.97,6
CPT,84134,PREALBUMIN,555.04,555.04,38.85,555.04,47
CPT,84134,Prealbumin ,555.04,555.04,8.75,78.47,137
CPT,84134,Prealbumin Age 21+,555.04,555.04,13.49,13.49,4
CPT,84134,Prealbumin Age Under 21,555.04,555.04,13.73,13.73,4
CPT,84134,Prealbumin Other Outpatient,555.04,555.04,15.32,15.32,6
CPT,84135,PREGNANEDIOL,475.99,475.99,33.32,475.99,47
CPT,84135,Pregnanediol ,475.99,475.99,12.76,114.99,137
CPT,84135,Pregnanediol Age 21+,475.99,475.99,19.66,19.66,4
CPT,84135,Pregnanediol Age Under 21,475.99,475.99,20.01,20.01,4
CPT,84135,Pregnanediol Other Outpatient,475.99,475.99,22.33,22.33,6
CPT,84138,PREGNANETRIOL,1055.24,1055.24,73.87,1055.24,47
CPT,84138,Pregnanetriol ,1055.24,1055.24,12.63,113.17,137
CPT,84138,Pregnanetriol Age 21+,1055.24,1055.24,19.45,19.45,4
CPT,84138,Pregnanetriol Age Under 21,1055.24,1055.24,19.8,19.8,4
CPT,84138,Pregnanetriol Other Outpatient,1055.24,1055.24,22.1,22.1,6
CPT,84140,PREGNENOLONE,1749.05,1749.05,122.43,1749.05,47
CPT,84140,Pregnenolone ,1749.05,1749.05,12.4,111.36,137
CPT,84140,Pregnenolone Age 21+,1749.05,1749.05,19.1,19.1,4
CPT,84140,Pregnenolone Age Under 21,1749.05,1749.05,19.44,19.44,4
CPT,84140,Pregnenolone Other Outpatient,1749.05,1749.05,21.7,21.7,6
CPT,84143,17 HYDROXYPREGNEN,1124.62,1124.62,78.72,1124.62,47
CPT,84143,17-hydroxypregnenolone ,1124.62,1124.62,13.69,122.3,137
CPT,84143,17-hydroxypregnenolone Age 21+,1124.62,1124.62,21.08,21.08,4
CPT,84143,17-hydroxypregnenolone Age Under 21,1124.62,1124.62,21.46,21.46,4
CPT,84143,17-hydroxypregnenolone Other Outpatient,1124.62,1124.62,23.95,23.95,6
CPT,84144,PROGESTERONE,887.44,887.44,62.12,887.44,47
CPT,84144,Progesterone ,887.44,887.44,12.52,113.17,137
CPT,84144,Progesterone Age 21+,887.44,887.44,19.27,19.27,4
CPT,84144,Progesterone Age Under 21,887.44,887.44,19.62,19.62,4
CPT,84144,Progesterone Other Outpatient,887.44,887.44,21.9,21.9,6
CPT,84145,PROCALCITONIN PCT,1140.75,1140.75,79.85,1140.75,47
CPT,84145,Procalcitonin (PCT) ,1140.75,1140.75,16.33,146.0,137
CPT,84145,Procalcitonin (PCT) Age 21+,1140.75,1140.75,25.15,25.15,4
CPT,84145,Procalcitonin (PCT) Age Under 21,1140.75,1140.75,25.6,25.6,4
CPT,84145,Procalcitonin (PCT) Other Outpatient,1140.75,1140.75,28.58,28.58,6
CPT,84146,PROLACTIN,1947.51,1947.51,136.33,1947.51,47
CPT,84146,Prolactin ,1947.51,1947.51,11.63,104.04,137
CPT,84146,Prolactin Age 21+,1947.51,1947.51,17.91,17.91,4
CPT,84146,Prolactin Age Under 21,1947.51,1947.51,18.23,18.23,4
CPT,84146,Prolactin Other Outpatient,1947.51,1947.51,20.35,20.35,6
CPT,84150,"Prostaglandin, each ",,,25.06,224.53,137
CPT,84150,"Prostaglandin, each Age 21+",,,38.6,38.6,4
CPT,84150,"Prostaglandin, each Age Under 21",,,39.3,39.3,4
CPT,84150,"Prostaglandin, each Other Outpatient",,,43.86,43.86,6
CPT,84152,Prostate specific antigen (PSA); complexed (direct measurement) ,,,11.03,98.54,137
CPT,84152,Prostate specific antigen (PSA); complexed (direct measurement) Age 21+,,,17.0,17.0,4
CPT,84152,Prostate specific antigen (PSA); complexed (direct measurement) Age Under 21,,,17.3,17.3,4
CPT,84152,Prostate specific antigen (PSA); complexed (direct measurement) Other Outpatient,,,19.31,19.31,6
CPT,84153,PROS SPEC AG (PSA) TOTAL,556.67,556.67,38.97,556.67,47
CPT,84153,Prostate specific antigen (PSA); total ,556.67,556.67,11.03,98.54,137
CPT,84153,Prostate specific antigen (PSA); total Age 21+,556.67,556.67,17.0,17.0,4
CPT,84153,Prostate specific antigen (PSA); total Age Under 21,556.67,556.67,17.3,17.3,4
CPT,84153,Prostate specific antigen (PSA); total Other Outpatient,556.67,556.67,19.31,19.31,6
CPT,84154,PROS SPEC AG FREE,556.67,556.67,38.97,556.67,47
CPT,84154,Prostate specific antigen (PSA); free ,556.67,556.67,11.03,98.54,137
CPT,84154,Prostate specific antigen (PSA); free Age 21+,556.67,556.67,17.0,17.0,4
CPT,84154,Prostate specific antigen (PSA); free Age Under 21,556.67,556.67,17.3,17.3,4
CPT,84154,Prostate specific antigen (PSA); free Other Outpatient,556.67,556.67,19.31,19.31,6
CPT,84155,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,2.2,20.07,137
CPT,84155,"Protein, total, except by refractometry; serum, plasma or whole blood Age 21+",,,3.39,3.39,4
CPT,84155,"Protein, total, except by refractometry; serum, plasma or whole blood Age Under 21",,,3.45,3.45,4
CPT,84155,"Protein, total, except by refractometry; serum, plasma or whole blood Other Outpatient",,,3.85,3.85,6
CPT,84155,T PROTEIN SPHING ASE WBC,4032.16,4032.16,282.25,4032.16,47
CPT,84155,TOTAL PROTEIN BLD,708.33,708.33,49.58,708.33,94
CPT,84156,"Protein, total, except by refractometry; urine ",98.42,98.42,2.2,20.07,137
CPT,84156,"Protein, total, except by refractometry; urine Age 21+",98.42,98.42,3.39,3.39,4
CPT,84156,"Protein, total, except by refractometry; urine Age Under 21",98.42,98.42,3.45,3.45,4
CPT,84156,"Protein, total, except by refractometry; urine Other Outpatient",98.42,98.42,3.85,3.85,6
CPT,84156,TOTAL PROTEIN URINE QN,98.42,98.42,6.89,98.42,47
CPT,84157,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,2.4,21.89,137
CPT,84157,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) Age 21+",,,3.7,3.7,4
CPT,84157,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) Age Under 21",,,3.76,3.76,4
CPT,84157,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) Other Outpatient",,,4.2,4.2,6
CPT,84157,TOT PROTEIN BODY FLDS QN,708.33,708.33,49.58,708.33,47
CPT,84157,TOTAL PROTEIN CSF QN,708.33,708.33,49.58,708.33,94
CPT,84157,TOTAL PROTEIN OTH SRC QN,79.06,79.06,5.53,79.06,47
CPT,84160,"Protein, total, by refractometry, any source ",,,3.37,31.01,137
CPT,84160,"Protein, total, by refractometry, any source Age 21+",,,5.18,5.18,4
CPT,84160,"Protein, total, by refractometry, any source Age Under 21",,,5.28,5.28,4
CPT,84160,"Protein, total, by refractometry, any source Other Outpatient",,,5.89,5.89,6
CPT,84163,Pregnancy-associated plasma protein-A (PAPP-A) ,,,9.03,80.29,137
CPT,84163,Pregnancy-associated plasma protein-A (PAPP-A) Age 21+,,,13.9,13.9,4
CPT,84163,Pregnancy-associated plasma protein-A (PAPP-A) Age Under 21,,,14.16,14.16,4
CPT,84163,Pregnancy-associated plasma protein-A (PAPP-A) Other Outpatient,,,15.8,15.8,6
CPT,84165,PROTEIN ELECTRO SER,2050.77,2050.77,143.55,2050.77,47
CPT,84165,"Protein; electrophoretic fractionation and quantitation, serum ",2050.77,2050.77,6.44,58.4,137
CPT,84165,"Protein; electrophoretic fractionation and quantitation, serum Age 21+",2050.77,2050.77,9.92,9.92,4
CPT,84165,"Protein; electrophoretic fractionation and quantitation, serum Age Under 21",2050.77,2050.77,10.1,10.1,4
CPT,84165,"Protein; electrophoretic fractionation and quantitation, serum Other Outpatient",2050.77,2050.77,11.28,11.28,6
CPT,84166,PROTEIN ELECTRO 24HR UR,467.92,467.92,32.75,467.92,47
CPT,84166,PROTEIN ELECTRO BODY FL,671.23,671.23,46.99,671.23,47
CPT,84166,PROTEIN ELECTRO CSF,2492.89,2492.89,174.5,2492.89,47
CPT,84166,PROTEIN ELECTRO URINE,467.92,467.92,32.75,467.92,47
CPT,84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,10.7,96.73,137
CPT,84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) Age 21+",,,16.48,16.48,4
CPT,84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) Age Under 21",,,16.78,16.78,4
CPT,84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) Other Outpatient",,,18.72,18.72,6
CPT,84181,AMPHIPHYSIN AB WB,3599.75,3599.75,251.98,3599.75,47
CPT,84181,ANTI68 KD (HSP-70) AB WB,650.24,650.24,45.52,650.24,47
CPT,84181,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,10.22,91.29,137
CPT,84181,"Protein; Western Blot, with interpretation and report, blood or other body fluid Age 21+",,,15.74,15.74,4
CPT,84181,"Protein; Western Blot, with interpretation and report, blood or other body fluid Age Under 21",,,16.03,16.03,4
CPT,84181,"Protein; Western Blot, with interpretation and report, blood or other body fluid Other Outpatient",,,17.88,17.88,6
CPT,84181,WESTERN BLOT BODY FLUID,446.94,446.94,31.29,446.94,47
CPT,84182,CAR AUTO AB WB-BD,3782.07,3782.07,264.74,3782.07,47
CPT,84182,CV2 AB WB-BD,3599.75,3599.75,251.98,3599.75,47
CPT,84182,CYSTICERCUS AB WB-BD,692.19,692.19,48.45,692.19,47
CPT,84182,MA TA AB WB-BD,2191.15,2191.15,153.38,2191.15,47
CPT,84182,MATA AB (MA1/MA2) WB-BD,5794.13,5794.13,405.59,5794.13,47
CPT,84182,NEUR NUC AB 1 HU WB&BAND,782.56,782.56,54.78,782.56,47
CPT,84182,PRION WB PROBE BAND ID,551.82,551.82,38.63,551.82,47
CPT,84182,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,17.53,157.0,137
CPT,84182,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each Age 21+",,,26.99,26.99,4
CPT,84182,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each Age Under 21",,,27.48,27.48,4
CPT,84182,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each Other Outpatient",,,30.67,30.67,6
CPT,84182,RI AB WB BAND ID,3477.13,3477.13,243.4,3477.13,47
CPT,84182,WESTERN BLOT PROBE B ID,4148.33,4148.33,290.38,4148.33,47
CPT,84182,YO AB WB BAND ID,4087.02,4087.02,286.09,4087.02,47
CPT,84182,ZIC4 AB WB BAND ID,3538.44,3538.44,247.69,3538.44,47
CPT,84202,PROTOPORPHYRIN RBC QUANT,1387.61,1387.61,97.13,1387.61,47
CPT,84202,PROTOPORPHYRIN ZINC QN,1387.61,1387.61,97.13,1387.61,47
CPT,84202,"Protoporphyrin, RBC; quantitative ",,,8.61,76.66,137
CPT,84202,"Protoporphyrin, RBC; quantitative Age 21+",,,13.26,13.26,4
CPT,84202,"Protoporphyrin, RBC; quantitative Age Under 21",,,13.5,13.5,4
CPT,84202,"Protoporphyrin, RBC; quantitative Other Outpatient",,,15.07,15.07,6
CPT,84203,"Protoporphyrin, RBC; screen ",,,5.84,52.96,137
CPT,84203,"Protoporphyrin, RBC; screen Age 21+",,,9.0,9.0,4
CPT,84203,"Protoporphyrin, RBC; screen Age Under 21",,,9.16,9.16,4
CPT,84203,"Protoporphyrin, RBC; screen Other Outpatient",,,10.23,10.23,6
CPT,84206,PROINSULIN,1458.62,1458.62,102.1,1458.62,47
CPT,84206,Proinsulin ,1458.62,1458.62,16.01,144.19,137
CPT,84206,Proinsulin Age 21+,1458.62,1458.62,24.66,24.66,4
CPT,84206,Proinsulin Age Under 21,1458.62,1458.62,25.11,25.11,4
CPT,84206,Proinsulin Other Outpatient,1458.62,1458.62,28.02,28.02,6
CPT,84207,PYRIDOXAL 5 PHOS VIT B6,1022.97,1022.97,71.61,1022.97,47
CPT,84207,Pyridoxal phosphate (Vitamin B-6) ,1022.97,1022.97,16.86,151.5,137
CPT,84207,Pyridoxal phosphate (Vitamin B-6) Age 21+,1022.97,1022.97,25.96,25.96,4
CPT,84207,Pyridoxal phosphate (Vitamin B-6) Age Under 21,1022.97,1022.97,26.43,26.43,4
CPT,84207,Pyridoxal phosphate (Vitamin B-6) Other Outpatient,1022.97,1022.97,29.51,29.51,6
CPT,84210,PYRUVIC ACID (PYRUVATE),688.96,688.96,48.23,688.96,47
CPT,84210,Pyruvate ,688.96,688.96,8.69,78.47,137
CPT,84210,Pyruvate Age 21+,688.96,688.96,13.38,13.38,4
CPT,84210,Pyruvate Age Under 21,688.96,688.96,13.62,13.62,4
CPT,84210,Pyruvate Other Outpatient,688.96,688.96,15.2,15.2,6
CPT,84220,Pyruvate kinase ,,,5.66,51.09,137
CPT,84220,Pyruvate kinase Age 21+,,,8.72,8.72,4
CPT,84220,Pyruvate kinase Age Under 21,,,8.88,8.88,4
CPT,84220,Pyruvate kinase Other Outpatient,,,9.91,9.91,6
CPT,84228,Quinine ,,,6.98,62.09,137
CPT,84228,Quinine Age 21+,,,10.75,10.75,4
CPT,84228,Quinine Age Under 21,,,10.94,10.94,4
CPT,84228,Quinine Other Outpatient,,,12.21,12.21,6
CPT,84233,ESTROGEN RECEPTOR (ERA),509.87,509.87,35.69,509.87,47
CPT,84233,Receptor assay; estrogen ,509.87,509.87,52.73,472.76,137
CPT,84233,Receptor assay; estrogen Age 21+,509.87,509.87,81.2,81.2,4
CPT,84233,Receptor assay; estrogen Age Under 21,509.87,509.87,82.68,82.68,4
CPT,84233,Receptor assay; estrogen Other Outpatient,509.87,509.87,92.27,92.27,6
CPT,84234,PROGEST REC ASSAY NOT AB,509.87,509.87,35.69,509.87,47
CPT,84234,Receptor assay; progesterone ,509.87,509.87,38.93,348.65,137
CPT,84234,Receptor assay; progesterone Age 21+,509.87,509.87,59.95,59.95,4
CPT,84234,Receptor assay; progesterone Age Under 21,509.87,509.87,61.04,61.04,4
CPT,84234,Receptor assay; progesterone Other Outpatient,509.87,509.87,68.12,68.12,6
CPT,84235,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,42.74,383.29,137
CPT,84235,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Age 21+",,,65.81,65.81,4
CPT,84235,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Age Under 21",,,67.01,67.01,4
CPT,84235,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Other Outpatient",,,74.79,74.79,6
CPT,84238,Receptor assay; non-endocrine (specify receptor) ,1026.2,1026.2,21.94,197.15,137
CPT,84238,Receptor assay; non-endocrine (specify receptor) Age 21+,1026.2,1026.2,33.79,33.79,4
CPT,84238,Receptor assay; non-endocrine (specify receptor) Age Under 21,1026.2,1026.2,34.41,34.41,4
CPT,84238,Receptor assay; non-endocrine (specify receptor) Other Outpatient,1026.2,1026.2,38.4,38.4,6
CPT,84238,SOLUBLE TRANSFER REC QN,1026.2,1026.2,71.83,1026.2,47
CPT,84244,RENIN,1973.33,1973.33,138.13,1973.33,47
CPT,84244,Renin ,1973.33,1973.33,13.19,118.67,137
CPT,84244,Renin Age 21+,1973.33,1973.33,20.32,20.32,4
CPT,84244,Renin Age Under 21,1973.33,1973.33,20.69,20.69,4
CPT,84244,Renin Other Outpatient,1973.33,1973.33,23.09,23.09,6
CPT,84252,Riboflavin (Vitamin B-2) ,2839.78,2839.78,12.14,109.54,137
CPT,84252,Riboflavin (Vitamin B-2) Age 21+,2839.78,2839.78,18.7,18.7,4
CPT,84252,Riboflavin (Vitamin B-2) Age Under 21,2839.78,2839.78,19.04,19.04,4
CPT,84252,Riboflavin (Vitamin B-2) Other Outpatient,2839.78,2839.78,21.25,21.25,6
CPT,84252,VITAMIN B2 (RIBOFL),2839.78,2839.78,198.78,2839.78,47
CPT,84255,SELENIUM,1163.35,1163.35,81.43,1163.35,47
CPT,84255,Selenium ,1163.35,1163.35,15.32,136.87,137
CPT,84255,Selenium Age 21+,1163.35,1163.35,23.6,23.6,4
CPT,84255,Selenium Age Under 21,1163.35,1163.35,24.02,24.02,4
CPT,84255,Selenium Other Outpatient,1163.35,1163.35,26.81,26.81,6
CPT,84260,SEROTONIN,2068.52,2068.52,144.8,2068.52,47
CPT,84260,Serotonin ,2068.52,2068.52,18.59,166.13,137
CPT,84260,Serotonin Age 21+,2068.52,2068.52,28.62,28.62,4
CPT,84260,Serotonin Age Under 21,2068.52,2068.52,29.14,29.14,4
CPT,84260,Serotonin Other Outpatient,2068.52,2068.52,32.53,32.53,6
CPT,84270,SEX HORMONE BG,1139.15,1139.15,79.74,1139.15,47
CPT,84270,Sex hormone binding globulin (SHBG) ,1139.15,1139.15,13.04,116.8,137
CPT,84270,Sex hormone binding globulin (SHBG) Age 21+,1139.15,1139.15,20.08,20.08,4
CPT,84270,Sex hormone binding globulin (SHBG) Age Under 21,1139.15,1139.15,20.44,20.44,4
CPT,84270,Sex hormone binding globulin (SHBG) Other Outpatient,1139.15,1139.15,22.82,22.82,6
CPT,84275,SIALIC ACID,529.23,529.23,37.05,529.23,47
CPT,84275,Sialic acid ,529.23,529.23,8.06,73.03,137
CPT,84275,Sialic acid Age 21+,529.23,529.23,12.42,12.42,4
CPT,84275,Sialic acid Age Under 21,529.23,529.23,12.64,12.64,4
CPT,84275,Sialic acid Other Outpatient,529.23,529.23,14.11,14.11,6
CPT,84285,Silica ,,,15.13,135.06,137
CPT,84285,Silica Age 21+,,,23.3,23.3,4
CPT,84285,Silica Age Under 21,,,23.72,23.72,4
CPT,84285,Silica Other Outpatient,,,26.47,26.47,6
CPT,84295,SODIUM BLD,371.105,371.105,25.75,374.33,141
CPT,84295,"Sodium; serum, plasma or whole blood ",,,2.89,25.57,137
CPT,84295,"Sodium; serum, plasma or whole blood Age 21+",,,4.44,4.44,4
CPT,84295,"Sodium; serum, plasma or whole blood Age Under 21",,,4.52,4.52,4
CPT,84295,"Sodium; serum, plasma or whole blood Other Outpatient",,,5.05,5.05,6
CPT,84300,SODIUM UR,169.42,169.42,11.86,169.42,47
CPT,84300,Sodium; urine ,169.42,169.42,3.04,27.39,137
CPT,84300,Sodium; urine Age 21+,169.42,169.42,4.68,4.68,4
CPT,84300,Sodium; urine Age Under 21,169.42,169.42,4.76,4.76,4
CPT,84300,Sodium; urine Other Outpatient,169.42,169.42,5.31,5.31,6
CPT,84302,SODIUM BODY FLUID,367.88,367.88,25.75,367.88,47
CPT,84302,SODIUM STOOL,169.42,169.42,11.86,169.42,47
CPT,84302,Sodium; other source ,,,2.92,25.57,137
CPT,84302,Sodium; other source Age 21+,,,4.49,4.49,4
CPT,84302,Sodium; other source Age Under 21,,,4.57,4.57,4
CPT,84302,Sodium; other source Other Outpatient,,,5.1,5.1,6
CPT,84305,SOMATOMEDIN C IGF-1,2318.63,2318.63,162.3,2318.63,47
CPT,84305,Somatomedin ,2318.63,2318.63,12.76,114.99,137
CPT,84305,Somatomedin Age 21+,2318.63,2318.63,19.65,19.65,4
CPT,84305,Somatomedin Age Under 21,2318.63,2318.63,20.0,20.0,4
CPT,84305,Somatomedin Other Outpatient,2318.63,2318.63,22.32,22.32,6
CPT,84307,SOMATOSTATIN,990.69,990.69,69.35,990.69,47
CPT,84307,Somatostatin ,990.69,990.69,10.97,98.54,137
CPT,84307,Somatostatin Age 21+,990.69,990.69,16.9,16.9,4
CPT,84307,Somatostatin Age Under 21,990.69,990.69,17.2,17.2,4
CPT,84307,Somatostatin Other Outpatient,990.69,990.69,19.19,19.19,6
CPT,84311,ADENOSINE DEAMINASE SPEC,506.64,506.64,35.46,506.64,47
CPT,84311,CHOLESTEROL OTHER SPEC,856.79,856.79,59.98,856.79,47
CPT,84311,LACTASE SPECT,537.29,537.29,37.61,537.29,47
CPT,84311,MALTASE SPECT,537.29,537.29,37.61,537.29,47
CPT,84311,PHOSPHOLIPIDS SPECTRO,246.88,246.88,17.28,246.88,47
CPT,84311,PORPHYRINS TOTAL RBC QN,1545.75,1545.75,108.2,1545.75,47
CPT,84311,SUCRASE SPECT,537.29,537.29,37.61,537.29,47
CPT,84311,"Spectrophotometry, analyte not elsewhere specified ",,,4.86,43.83,137
CPT,84311,"Spectrophotometry, analyte not elsewhere specified Age 21+",,,7.48,7.48,4
CPT,84311,"Spectrophotometry, analyte not elsewhere specified Age Under 21",,,7.62,7.62,4
CPT,84311,"Spectrophotometry, analyte not elsewhere specified Other Outpatient",,,8.51,8.51,6
CPT,84311,TOTAL LIPIDS SPECT,1734.53,1734.53,121.42,1734.53,47
CPT,84315,SP GRAV BDY FLUID NOT UR,361.41,361.41,25.3,361.41,47
CPT,84315,Specific gravity (except urine) ,361.41,361.41,1.97,18.26,137
CPT,84315,Specific gravity (except urine) Age 21+,361.41,361.41,3.04,3.04,4
CPT,84315,Specific gravity (except urine) Age Under 21,361.41,361.41,3.09,3.09,4
CPT,84315,Specific gravity (except urine) Other Outpatient,361.41,361.41,3.44,3.44,6
CPT,84375,"Sugars, chromatographic, TLC or paper chromatography ",,,23.4,209.9,137
CPT,84375,"Sugars, chromatographic, TLC or paper chromatography Age 21+",,,36.04,36.04,4
CPT,84375,"Sugars, chromatographic, TLC or paper chromatography Age Under 21",,,36.69,36.69,4
CPT,84375,"Sugars, chromatographic, TLC or paper chromatography Other Outpatient",,,40.95,40.95,6
CPT,84376,SUGARS SINGLE QL,1103.65,1103.65,77.26,1103.65,47
CPT,84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",1103.65,1103.65,3.3,29.2,137
CPT,84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Age 21+",1103.65,1103.65,5.08,5.08,4
CPT,84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Age Under 21",1103.65,1103.65,5.17,5.17,4
CPT,84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Other Outpatient",1103.65,1103.65,5.78,5.78,6
CPT,84377,STOOL REDUCING SUBT MULT,98.42,98.42,6.89,98.42,47
CPT,84377,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",98.42,98.42,3.3,29.2,137
CPT,84377,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Age 21+",98.42,98.42,5.08,5.08,4
CPT,84377,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Age Under 21",98.42,98.42,5.17,5.17,4
CPT,84377,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Other Outpatient",98.42,98.42,5.78,5.78,6
CPT,84378,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,6.92,62.09,137
CPT,84378,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Age 21+",,,10.66,10.66,4
CPT,84378,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Age Under 21",,,10.85,10.85,4
CPT,84378,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Other Outpatient",,,12.11,12.11,6
CPT,84379,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,6.92,62.09,137
CPT,84379,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Age 21+",,,10.66,10.66,4
CPT,84379,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Age Under 21",,,10.85,10.85,4
CPT,84379,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Other Outpatient",,,12.11,12.11,6
CPT,84392,"Sulfate, urine ",,,3.29,29.2,137
CPT,84392,"Sulfate, urine Age 21+",,,5.07,5.07,4
CPT,84392,"Sulfate, urine Age Under 21",,,5.16,5.16,4
CPT,84392,"Sulfate, urine Other Outpatient",,,5.76,5.76,6
CPT,84393,TAU PHOSPHORYLATED EA,1200.0,1200.0,84.0,1200.0,57
CPT,84393,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",1200.0,1200.0,30.22,337.77,125
CPT,84393,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Age 21+",1200.0,1200.0,278.44,278.44,4
CPT,84393,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Age Under 21",1200.0,1200.0,283.51,283.51,4
CPT,84393,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient",1200.0,1200.0,135.37,135.37,6
CPT,84394,"Tau, total (tTau) ",,,30.22,337.77,125
CPT,84394,"Tau, total (tTau) Age 21+",,,278.44,278.44,4
CPT,84394,"Tau, total (tTau) Age Under 21",,,283.51,283.51,4
CPT,84394,"Tau, total (tTau) Other Outpatient",,,135.37,135.37,6
CPT,84402,TESTOSTERONE FREE,3114.07,3114.07,217.98,3114.07,47
CPT,84402,Testosterone; free ,3114.07,3114.07,15.28,136.87,137
CPT,84402,Testosterone; free Age 21+,3114.07,3114.07,23.53,23.53,4
CPT,84402,Testosterone; free Age Under 21,3114.07,3114.07,23.96,23.96,4
CPT,84402,Testosterone; free Other Outpatient,3114.07,3114.07,26.74,26.74,6
CPT,84403,TESTOSTERONE TOTAL,2204.05,2204.05,154.28,2204.05,47
CPT,84403,TESTOSTERONE TOTAL UR,1566.72,1566.72,109.67,1566.72,47
CPT,84403,Testosterone; total ,,,15.49,138.74,137
CPT,84403,Testosterone; total Age 21+,,,23.85,23.85,4
CPT,84403,Testosterone; total Age Under 21,,,24.28,24.28,4
CPT,84403,Testosterone; total Other Outpatient,,,27.1,27.1,6
CPT,84410,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,30.77,275.62,124
CPT,84410,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) Other Outpatient",,,53.84,53.84,6
CPT,84425,Thiamine (Vitamin B-1) ,2107.25,2107.25,12.74,114.99,137
CPT,84425,Thiamine (Vitamin B-1) Age 21+,2107.25,2107.25,19.61,19.61,4
CPT,84425,Thiamine (Vitamin B-1) Age Under 21,2107.25,2107.25,19.97,19.97,4
CPT,84425,Thiamine (Vitamin B-1) Other Outpatient,2107.25,2107.25,22.29,22.29,6
CPT,84425,VITAMIN B1 THIAMINE,2107.25,2107.25,147.51,2107.25,47
CPT,84430,THIOCYANATES,990.69,990.69,69.35,990.69,47
CPT,84430,Thiocyanate ,990.69,990.69,6.98,62.09,137
CPT,84430,Thiocyanate Age 21+,990.69,990.69,10.75,10.75,4
CPT,84430,Thiocyanate Age Under 21,990.69,990.69,10.94,10.94,4
CPT,84430,Thiocyanate Other Outpatient,990.69,990.69,12.21,12.21,6
CPT,84431,THROMBOXANE UA W/WO METB,990.69,990.69,69.35,990.69,47
CPT,84431,"Thromboxane metabolite(s), including thromboxane if performed, urine ",990.69,990.69,21.07,189.83,137
CPT,84431,"Thromboxane metabolite(s), including thromboxane if performed, urine Age 21+",990.69,990.69,32.44,32.44,4
CPT,84431,"Thromboxane metabolite(s), including thromboxane if performed, urine Age Under 21",990.69,990.69,33.03,33.03,4
CPT,84431,"Thromboxane metabolite(s), including thromboxane if performed, urine Other Outpatient",990.69,990.69,36.87,36.87,6
CPT,84432,THYROGLOBULIN,1458.62,1458.62,102.1,1458.62,47
CPT,84432,Thyroglobulin ,1458.62,1458.62,9.64,85.79,137
CPT,84432,Thyroglobulin Age 21+,1458.62,1458.62,14.84,14.84,4
CPT,84432,Thyroglobulin Age Under 21,1458.62,1458.62,15.11,15.11,4
CPT,84432,Thyroglobulin Other Outpatient,1458.62,1458.62,16.86,16.86,6
CPT,84433,THIOPURINE METHTRAN NRS,1173.02,1173.02,82.11,1173.02,51
CPT,84433,Thiopurine S-methyltransferase (TPMT) ,1173.02,1173.02,13.3,118.67,133
CPT,84433,Thiopurine S-methyltransferase (TPMT) Age 21+,1173.02,1173.02,20.48,20.48,4
CPT,84433,Thiopurine S-methyltransferase (TPMT) Age Under 21,1173.02,1173.02,20.85,20.85,4
CPT,84433,Thiopurine S-methyltransferase (TPMT) Other Outpatient,1173.02,1173.02,23.28,23.28,6
CPT,84436,THYROXINE T4 TOTAL,1131.08,1131.08,79.18,1131.08,47
CPT,84436,Thyroxine; total ,1131.08,1131.08,4.12,36.51,137
CPT,84436,Thyroxine; total Age 21+,1131.08,1131.08,6.35,6.35,4
CPT,84436,Thyroxine; total Age Under 21,1131.08,1131.08,6.46,6.46,4
CPT,84436,Thyroxine; total Other Outpatient,1131.08,1131.08,7.21,7.21,6
CPT,84437,THYROXINE T4 NEONATAL,1061.7,1061.7,74.32,1061.7,47
CPT,84437,"Thyroxine; requiring elution (eg, neonatal) ",1061.7,1061.7,3.88,34.7,137
CPT,84437,"Thyroxine; requiring elution (eg, neonatal) Age 21+",1061.7,1061.7,5.97,5.97,4
CPT,84437,"Thyroxine; requiring elution (eg, neonatal) Age Under 21",1061.7,1061.7,6.08,6.08,4
CPT,84437,"Thyroxine; requiring elution (eg, neonatal) Other Outpatient",1061.7,1061.7,6.79,6.79,6
CPT,84439,T4 FREE,1266.6,1266.6,88.66,1266.6,47
CPT,84439,Thyroxine; free ,1266.6,1266.6,5.41,49.27,137
CPT,84439,Thyroxine; free Age 21+,1266.6,1266.6,8.34,8.34,4
CPT,84439,Thyroxine; free Age Under 21,1266.6,1266.6,8.49,8.49,4
CPT,84439,Thyroxine; free Other Outpatient,1266.6,1266.6,9.47,9.47,6
CPT,84442,THYROXINE BG (TBG),1303.73,1303.73,91.26,1303.73,47
CPT,84442,Thyroxine binding globulin (TBG) ,1303.73,1303.73,8.87,80.29,137
CPT,84442,Thyroxine binding globulin (TBG) Age 21+,1303.73,1303.73,13.66,13.66,4
CPT,84442,Thyroxine binding globulin (TBG) Age Under 21,1303.73,1303.73,13.91,13.91,4
CPT,84442,Thyroxine binding globulin (TBG) Other Outpatient,1303.73,1303.73,15.52,15.52,6
CPT,84443,TSH,1850.69,1850.69,129.55,1850.69,94
CPT,84443,Thyroid stimulating hormone (TSH) ,,,10.08,91.29,137
CPT,84443,Thyroid stimulating hormone (TSH) Age 21+,,,15.52,15.52,4
CPT,84443,Thyroid stimulating hormone (TSH) Age Under 21,,,15.8,15.8,4
CPT,84443,Thyroid stimulating hormone (TSH) Other Outpatient,,,17.64,17.64,6
CPT,84445,THYROID STIM IMMUNO TSI,5040.62,5040.62,352.84,5040.62,47
CPT,84445,Thyroid stimulating immune globulins (TSI) ,5040.62,5040.62,30.52,273.8,137
CPT,84445,Thyroid stimulating immune globulins (TSI) Age 21+,5040.62,5040.62,46.99,46.99,4
CPT,84445,Thyroid stimulating immune globulins (TSI) Age Under 21,5040.62,5040.62,47.85,47.85,4
CPT,84445,Thyroid stimulating immune globulins (TSI) Other Outpatient,5040.62,5040.62,53.4,53.4,6
CPT,84446,Tocopherol alpha (Vitamin E) ,2383.15,2383.15,8.51,76.66,137
CPT,84446,Tocopherol alpha (Vitamin E) Age 21+,2383.15,2383.15,13.1,13.1,4
CPT,84446,Tocopherol alpha (Vitamin E) Age Under 21,2383.15,2383.15,13.34,13.34,4
CPT,84446,Tocopherol alpha (Vitamin E) Other Outpatient,2383.15,2383.15,14.89,14.89,6
CPT,84446,VITAMIN E,2383.15,2383.15,166.82,2383.15,47
CPT,84449,Transcortin (cortisol binding globulin) ,,,10.8,96.73,137
CPT,84449,Transcortin (cortisol binding globulin) Age 21+,,,16.63,16.63,4
CPT,84449,Transcortin (cortisol binding globulin) Age Under 21,,,16.93,16.93,4
CPT,84449,Transcortin (cortisol binding globulin) Other Outpatient,,,18.9,18.9,6
CPT,84450,AST (SGOT),1035.88,1035.88,72.51,1035.88,94
CPT,84450,Transferase; aspartate amino (AST) (SGOT) ,,,3.11,27.39,137
CPT,84450,Transferase; aspartate amino (AST) (SGOT) Age 21+,,,4.79,4.79,4
CPT,84450,Transferase; aspartate amino (AST) (SGOT) Age Under 21,,,4.87,4.87,4
CPT,84450,Transferase; aspartate amino (AST) (SGOT) Other Outpatient,,,5.44,5.44,6
CPT,84460,ALT (SGPT),1035.88,1035.88,72.51,1035.88,94
CPT,84460,Transferase; alanine amino (ALT) (SGPT) ,,,3.18,29.2,137
CPT,84460,Transferase; alanine amino (ALT) (SGPT) Age 21+,,,4.9,4.9,4
CPT,84460,Transferase; alanine amino (ALT) (SGPT) Age Under 21,,,4.98,4.98,4
CPT,84460,Transferase; alanine amino (ALT) (SGPT) Other Outpatient,,,5.57,5.57,6
CPT,84466,TRANSFERRIN,861.61,861.61,60.31,861.61,47
CPT,84466,Transferrin ,861.61,861.61,7.66,69.34,137
CPT,84466,Transferrin Age 21+,861.61,861.61,11.79,11.79,4
CPT,84466,Transferrin Age Under 21,861.61,861.61,12.01,12.01,4
CPT,84466,Transferrin Other Outpatient,861.61,861.61,13.4,13.4,6
CPT,84478,TRIGLYCERIDES,945.52,945.52,66.19,945.52,94
CPT,84478,TRIGLYCERIDES OTHER,945.52,945.52,66.19,945.52,47
CPT,84478,Triglycerides ,,,3.44,31.01,137
CPT,84478,Triglycerides Age 21+,,,5.3,5.3,4
CPT,84478,Triglycerides Age Under 21,,,5.4,5.4,4
CPT,84478,Triglycerides Other Outpatient,,,6.03,6.03,6
CPT,84479,T3 UPTAKE,958.43,958.43,67.09,958.43,47
CPT,84479,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,958.43,958.43,3.88,34.7,137
CPT,84479,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Age 21+,958.43,958.43,5.97,5.97,4
CPT,84479,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Age Under 21,958.43,958.43,6.08,6.08,4
CPT,84479,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Other Outpatient,958.43,958.43,6.79,6.79,6
CPT,84480,T3 TOTAL,1292.42,1292.42,90.47,1292.42,47
CPT,84480,Triiodothyronine T3; total (TT-3) ,1292.42,1292.42,8.51,76.66,137
CPT,84480,Triiodothyronine T3; total (TT-3) Age 21+,1292.42,1292.42,13.1,13.1,4
CPT,84480,Triiodothyronine T3; total (TT-3) Age Under 21,1292.42,1292.42,13.34,13.34,4
CPT,84480,Triiodothyronine T3; total (TT-3) Other Outpatient,1292.42,1292.42,14.89,14.89,6
CPT,84481,T3 FREE,2115.31,2115.31,148.07,2115.31,47
CPT,84481,Triiodothyronine T3; free ,2115.31,2115.31,10.16,91.29,137
CPT,84481,Triiodothyronine T3; free Age 21+,2115.31,2115.31,15.65,15.65,4
CPT,84481,Triiodothyronine T3; free Age Under 21,2115.31,2115.31,15.94,15.94,4
CPT,84481,Triiodothyronine T3; free Other Outpatient,2115.31,2115.31,17.79,17.79,6
CPT,84482,T3 REVERSE,1921.68,1921.68,134.52,1921.68,47
CPT,84482,Triiodothyronine T3; reverse ,1921.68,1921.68,9.46,85.79,137
CPT,84482,Triiodothyronine T3; reverse Age 21+,1921.68,1921.68,14.56,14.56,4
CPT,84482,Triiodothyronine T3; reverse Age Under 21,1921.68,1921.68,14.83,14.83,4
CPT,84482,Triiodothyronine T3; reverse Other Outpatient,1921.68,1921.68,16.55,16.55,6
CPT,84484,TROPONIN QUANT,1445.7,1445.7,101.2,1445.7,141
CPT,84484,"Troponin, quantitative ",,,7.48,67.53,137
CPT,84484,"Troponin, quantitative Age 21+",,,11.52,11.52,4
CPT,84484,"Troponin, quantitative Age Under 21",,,11.73,11.73,4
CPT,84484,"Troponin, quantitative Other Outpatient",,,13.09,13.09,6
CPT,84485,Trypsin; duodenal fluid ,,,4.32,38.33,137
CPT,84485,Trypsin; duodenal fluid Age 21+,,,6.66,6.66,4
CPT,84485,Trypsin; duodenal fluid Age Under 21,,,6.78,6.78,4
CPT,84485,Trypsin; duodenal fluid Other Outpatient,,,7.56,7.56,6
CPT,84488,TRYPSIN FECES QUAL,1581.24,1581.24,110.69,1581.24,47
CPT,84488,"Trypsin; feces, qualitative ",1581.24,1581.24,4.38,40.14,137
CPT,84488,"Trypsin; feces, qualitative Age 21+",1581.24,1581.24,6.74,6.74,4
CPT,84488,"Trypsin; feces, qualitative Age Under 21",1581.24,1581.24,6.87,6.87,4
CPT,84488,"Trypsin; feces, qualitative Other Outpatient",1581.24,1581.24,7.67,7.67,6
CPT,84490,TRYPSIN FECES QUANT,577.63,577.63,40.43,577.63,47
CPT,84490,"Trypsin; feces, quantitative, 24-hour collection ",577.63,577.63,5.96,52.96,137
CPT,84490,"Trypsin; feces, quantitative, 24-hour collection Age 21+",577.63,577.63,9.17,9.17,4
CPT,84490,"Trypsin; feces, quantitative, 24-hour collection Age Under 21",577.63,577.63,9.34,9.34,4
CPT,84490,"Trypsin; feces, quantitative, 24-hour collection Other Outpatient",577.63,577.63,10.43,10.43,6
CPT,84510,Tyrosine ,,,6.38,56.59,137
CPT,84510,Tyrosine Age 21+,,,9.82,9.82,4
CPT,84510,Tyrosine Age Under 21,,,10.0,10.0,4
CPT,84510,Tyrosine Other Outpatient,,,11.16,11.16,6
CPT,84512,"Troponin, qualitative ",,,6.05,54.77,137
CPT,84512,"Troponin, qualitative Age 21+",,,9.33,9.33,4
CPT,84512,"Troponin, qualitative Age Under 21",,,9.5,9.5,4
CPT,84512,"Troponin, qualitative Other Outpatient",,,10.59,10.59,6
CPT,84520,BUN,740.6,740.6,51.84,740.6,94
CPT,84520,UREA NITROGEN OTHER,579.25,579.25,40.55,579.25,47
CPT,84520,Urea nitrogen; quantitative ,,,2.37,21.89,137
CPT,84520,Urea nitrogen; quantitative Age 21+,,,3.65,3.65,4
CPT,84520,Urea nitrogen; quantitative Age Under 21,,,3.72,3.72,4
CPT,84520,Urea nitrogen; quantitative Other Outpatient,,,4.15,4.15,6
CPT,84525,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,3.08,27.39,137
CPT,84525,"Urea nitrogen; semiquantitative (eg, reagent strip test) Age 21+",,,4.74,4.74,4
CPT,84525,"Urea nitrogen; semiquantitative (eg, reagent strip test) Age Under 21",,,4.83,4.83,4
CPT,84525,"Urea nitrogen; semiquantitative (eg, reagent strip test) Other Outpatient",,,5.39,5.39,6
CPT,84540,URINE UREA NITROGEN,643.78,643.78,45.06,643.78,47
CPT,84540,"Urea nitrogen, urine ",643.78,643.78,3.34,29.2,137
CPT,84540,"Urea nitrogen, urine Age 21+",643.78,643.78,5.14,5.14,4
CPT,84540,"Urea nitrogen, urine Age Under 21",643.78,643.78,5.23,5.23,4
CPT,84540,"Urea nitrogen, urine Other Outpatient",643.78,643.78,5.84,5.84,6
CPT,84545,"Urea nitrogen, clearance ",,,4.32,38.33,137
CPT,84545,"Urea nitrogen, clearance Age 21+",,,6.66,6.66,4
CPT,84545,"Urea nitrogen, clearance Age Under 21",,,6.78,6.78,4
CPT,84545,"Urea nitrogen, clearance Other Outpatient",,,7.56,7.56,6
CPT,84550,URIC ACID BLD,811.61,811.61,56.81,811.61,94
CPT,84550,Uric acid; blood ,,,2.71,23.76,137
CPT,84550,Uric acid; blood Age 21+,,,4.18,4.18,4
CPT,84550,Uric acid; blood Age Under 21,,,4.26,4.26,4
CPT,84550,Uric acid; blood Other Outpatient,,,4.75,4.75,6
CPT,84560,URIC ACID BODY FLD,811.61,811.61,56.81,811.61,47
CPT,84560,URIC ACID UR,811.61,811.61,56.81,811.61,47
CPT,84560,Uric acid; other source ,,,3.05,27.39,137
CPT,84560,Uric acid; other source Age 21+,,,4.7,4.7,4
CPT,84560,Uric acid; other source Age Under 21,,,4.78,4.78,4
CPT,84560,Uric acid; other source Other Outpatient,,,5.33,5.33,6
CPT,84577,"Urobilinogen, feces, quantitative ",,,10.08,91.29,137
CPT,84577,"Urobilinogen, feces, quantitative Age 21+",,,15.52,15.52,4
CPT,84577,"Urobilinogen, feces, quantitative Age Under 21",,,15.8,15.8,4
CPT,84577,"Urobilinogen, feces, quantitative Other Outpatient",,,17.64,17.64,6
CPT,84578,"Urobilinogen, urine; qualitative ",,,2.68,23.76,137
CPT,84578,"Urobilinogen, urine; qualitative Age 21+",,,4.13,4.13,4
CPT,84578,"Urobilinogen, urine; qualitative Age Under 21",,,4.2,4.2,4
CPT,84578,"Urobilinogen, urine; qualitative Other Outpatient",,,4.69,4.69,6
CPT,84580,UROBILINOGEN UR QUANT,1413.44,1413.44,98.94,1413.44,47
CPT,84580,"Urobilinogen, urine; quantitative, timed specimen ",1413.44,1413.44,5.73,51.09,137
CPT,84580,"Urobilinogen, urine; quantitative, timed specimen Age 21+",1413.44,1413.44,8.82,8.82,4
CPT,84580,"Urobilinogen, urine; quantitative, timed specimen Age Under 21",1413.44,1413.44,8.98,8.98,4
CPT,84580,"Urobilinogen, urine; quantitative, timed specimen Other Outpatient",1413.44,1413.44,10.03,10.03,6
CPT,84583,"Urobilinogen, urine; semiquantitative ",,,3.63,32.83,137
CPT,84583,"Urobilinogen, urine; semiquantitative Age 21+",,,5.59,5.59,4
CPT,84583,"Urobilinogen, urine; semiquantitative Age Under 21",,,5.69,5.69,4
CPT,84583,"Urobilinogen, urine; semiquantitative Other Outpatient",,,6.35,6.35,6
CPT,84585,VMA URINE,1626.42,1626.42,113.85,1626.42,47
CPT,84585,"Vanillylmandelic acid (VMA), urine ",1626.42,1626.42,9.3,83.97,137
CPT,84585,"Vanillylmandelic acid (VMA), urine Age 21+",1626.42,1626.42,14.32,14.32,4
CPT,84585,"Vanillylmandelic acid (VMA), urine Age Under 21",1626.42,1626.42,14.58,14.58,4
CPT,84585,"Vanillylmandelic acid (VMA), urine Other Outpatient",1626.42,1626.42,16.28,16.28,6
CPT,84586,VASO INTEST PEPTIDE(VIP),413.06,413.06,28.91,413.06,47
CPT,84586,Vasoactive intestinal peptide (VIP) ,413.06,413.06,21.2,189.83,137
CPT,84586,Vasoactive intestinal peptide (VIP) Age 21+,413.06,413.06,32.65,32.65,4
CPT,84586,Vasoactive intestinal peptide (VIP) Age Under 21,413.06,413.06,33.24,33.24,4
CPT,84586,Vasoactive intestinal peptide (VIP) Other Outpatient,413.06,413.06,37.1,37.1,6
CPT,84588,ADH (VASOPRESSIN),2865.6,2865.6,200.59,2865.6,47
CPT,84588,"Vasopressin (antidiuretic hormone, ADH) ",2865.6,2865.6,20.36,182.52,137
CPT,84588,"Vasopressin (antidiuretic hormone, ADH) Age 21+",2865.6,2865.6,31.36,31.36,4
CPT,84588,"Vasopressin (antidiuretic hormone, ADH) Age Under 21",2865.6,2865.6,31.93,31.93,4
CPT,84588,"Vasopressin (antidiuretic hormone, ADH) Other Outpatient",2865.6,2865.6,35.64,35.64,6
CPT,84590,VITAMIN A,1908.79,1908.79,133.62,1908.79,47
CPT,84590,Vitamin A ,1908.79,1908.79,6.97,62.09,137
CPT,84590,Vitamin A Age 21+,1908.79,1908.79,10.73,10.73,4
CPT,84590,Vitamin A Age Under 21,1908.79,1908.79,10.92,10.92,4
CPT,84590,Vitamin A Other Outpatient,1908.79,1908.79,12.19,12.19,6
CPT,84591,BIOTIN VIT B 7,669.61,669.61,46.87,669.61,47
CPT,84591,HOLO-TC VIT B QN,1518.31,1518.31,106.28,1518.31,47
CPT,84591,NIACIN VIT B 3,730.92,730.92,51.16,730.92,47
CPT,84591,"Vitamin, not otherwise specified ",,,10.24,91.29,137
CPT,84591,"Vitamin, not otherwise specified Age 21+",,,15.76,15.76,4
CPT,84591,"Vitamin, not otherwise specified Age Under 21",,,16.05,16.05,4
CPT,84591,"Vitamin, not otherwise specified Other Outpatient",,,17.91,17.91,6
CPT,84597,VITAMIN K,2960.79,2960.79,207.26,2960.79,47
CPT,84597,Vitamin K ,2960.79,2960.79,8.23,73.03,137
CPT,84597,Vitamin K Age 21+,2960.79,2960.79,12.67,12.67,4
CPT,84597,Vitamin K Age Under 21,2960.79,2960.79,12.9,12.9,4
CPT,84597,Vitamin K Other Outpatient,2960.79,2960.79,14.41,14.41,6
CPT,84600,BUTANE OR ISOBUTANE QN,705.11,705.11,49.36,705.11,47
CPT,84600,VOLATILES,653.47,653.47,45.74,653.47,47
CPT,84600,"Volatiles (eg, acetic anhydride, diethylether) ",,,10.27,91.29,137
CPT,84600,"Volatiles (eg, acetic anhydride, diethylether) Age 21+",,,15.81,15.81,4
CPT,84600,"Volatiles (eg, acetic anhydride, diethylether) Age Under 21",,,16.09,16.09,4
CPT,84600,"Volatiles (eg, acetic anhydride, diethylether) Other Outpatient",,,17.97,17.97,6
CPT,84620,D-XYLOSE ABSORPTION,1394.08,1394.08,97.59,1394.08,47
CPT,84620,"Xylose absorption test, blood and/or urine ",1394.08,1394.08,7.75,69.34,137
CPT,84620,"Xylose absorption test, blood and/or urine Age 21+",1394.08,1394.08,11.92,11.92,4
CPT,84620,"Xylose absorption test, blood and/or urine Age Under 21",1394.08,1394.08,12.14,12.14,4
CPT,84620,"Xylose absorption test, blood and/or urine Other Outpatient",1394.08,1394.08,13.56,13.56,6
CPT,84630,ZINC BLOOD,1184.32,1184.32,82.9,1184.32,47
CPT,84630,ZINC URINE,1331.14,1331.14,93.18,1331.14,47
CPT,84630,Zinc ,,,6.83,62.09,137
CPT,84630,Zinc Age 21+,,,10.53,10.53,4
CPT,84630,Zinc Age Under 21,,,10.72,10.72,4
CPT,84630,Zinc Other Outpatient,,,11.96,11.96,6
CPT,84681,C-PEPTIDE,1413.44,1413.44,98.94,1413.44,47
CPT,84681,C-peptide ,1413.44,1413.44,12.49,111.36,137
CPT,84681,C-peptide Age 21+,1413.44,1413.44,19.23,19.23,4
CPT,84681,C-peptide Age Under 21,1413.44,1413.44,19.58,19.58,4
CPT,84681,C-peptide Other Outpatient,1413.44,1413.44,21.85,21.85,6
CPT,84702,"Gonadotropin, chorionic (hCG); quantitative ",,,9.03,80.29,137
CPT,84702,"Gonadotropin, chorionic (hCG); quantitative Age 21+",,,13.9,13.9,4
CPT,84702,"Gonadotropin, chorionic (hCG); quantitative Age Under 21",,,14.16,14.16,4
CPT,84702,"Gonadotropin, chorionic (hCG); quantitative Other Outpatient",,,15.8,15.8,6
CPT,84702,HCG BETA QUANTITATIVE,1042.33,1042.33,72.96,1042.33,94
CPT,84702,HCG QUANT CSF,2031.42,2031.42,142.2,2031.42,47
CPT,84703,"Gonadotropin, chorionic (hCG); qualitative ",,,4.51,40.14,137
CPT,84703,"Gonadotropin, chorionic (hCG); qualitative Age 21+",,,6.95,6.95,4
CPT,84703,"Gonadotropin, chorionic (hCG); qualitative Age Under 21",,,7.08,7.08,4
CPT,84703,"Gonadotropin, chorionic (hCG); qualitative Other Outpatient",,,7.9,7.9,6
CPT,84703,HCG QUALITATIVE SERUM,1085.9,1085.9,76.01,1085.9,94
CPT,84704,"Gonadotropin, chorionic (hCG); free beta chain ",,,9.17,82.16,137
CPT,84704,"Gonadotropin, chorionic (hCG); free beta chain Age 21+",,,14.12,14.12,4
CPT,84704,"Gonadotropin, chorionic (hCG); free beta chain Age Under 21",,,14.38,14.38,4
CPT,84704,"Gonadotropin, chorionic (hCG); free beta chain Other Outpatient",,,16.05,16.05,6
CPT,84830,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,7.62,67.53,124
CPT,84830,"Ovulation tests, by visual color comparison methods for human luteinizing hormone Other Outpatient",,,13.33,13.33,6
CPT,84999,OSMOLAL FECES,1158.51,1158.51,81.1,1158.51,64
CPT,84999,THIN LAYER CHROM QL,1862.0,1862.0,130.34,1862.0,64
CPT,84999,Unlisted chemistry procedure ,,,92.21,130.35,6
CPT,85002,BLEEDING TIME,605.07,605.07,42.35,605.07,47
CPT,85002,Bleeding time ,605.07,605.07,2.89,25.57,137
CPT,85002,Bleeding time Age 21+,605.07,605.07,4.46,4.46,4
CPT,85002,Bleeding time Age Under 21,605.07,605.07,4.54,4.54,4
CPT,85002,Bleeding time Other Outpatient,605.07,605.07,5.06,5.06,6
CPT,85004,Blood count; automated differential WBC count ,,,3.88,34.7,137
CPT,85004,Blood count; automated differential WBC count Age 21+,,,5.97,5.97,4
CPT,85004,Blood count; automated differential WBC count Age Under 21,,,6.08,6.08,4
CPT,85004,Blood count; automated differential WBC count Other Outpatient,,,6.79,6.79,6
CPT,85007,"Blood count; blood smear, microscopic examination with manual differential WBC count ",593.77,593.77,2.28,20.07,137
CPT,85007,"Blood count; blood smear, microscopic examination with manual differential WBC count Age 21+",593.77,593.77,3.51,3.51,4
CPT,85007,"Blood count; blood smear, microscopic examination with manual differential WBC count Age Under 21",593.77,593.77,3.57,3.57,4
CPT,85007,"Blood count; blood smear, microscopic examination with manual differential WBC count Other Outpatient",593.77,593.77,3.99,3.99,6
CPT,85007,MANUAL DIFFERENTIAL,593.77,593.77,41.56,593.77,47
CPT,85008,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,2.06,18.26,137
CPT,85008,"Blood count; blood smear, microscopic examination without manual differential WBC count Age 21+",,,3.17,3.17,4
CPT,85008,"Blood count; blood smear, microscopic examination without manual differential WBC count Age Under 21",,,3.23,3.23,4
CPT,85008,"Blood count; blood smear, microscopic examination without manual differential WBC count Other Outpatient",,,3.6,3.6,6
CPT,85009,"Blood count; manual differential WBC count, buffy coat ",,,3.04,27.39,137
CPT,85009,"Blood count; manual differential WBC count, buffy coat Age 21+",,,4.69,4.69,4
CPT,85009,"Blood count; manual differential WBC count, buffy coat Age Under 21",,,4.77,4.77,4
CPT,85009,"Blood count; manual differential WBC count, buffy coat Other Outpatient",,,5.32,5.32,6
CPT,85013,Blood count; spun microhematocrit ,432.43,432.43,4.2,38.33,137
CPT,85013,Blood count; spun microhematocrit Age 21+,432.43,432.43,6.47,6.47,4
CPT,85013,Blood count; spun microhematocrit Age Under 21,432.43,432.43,6.59,6.59,4
CPT,85013,Blood count; spun microhematocrit Other Outpatient,432.43,432.43,7.35,7.35,6
CPT,85013,HEMATOCRIT SPUN,432.43,432.43,30.27,432.43,47
CPT,85014,Blood count; hematocrit (Hct) ,,,1.42,12.76,137
CPT,85014,Blood count; hematocrit (Hct) Age 21+,,,2.19,2.19,4
CPT,85014,Blood count; hematocrit (Hct) Age Under 21,,,2.23,2.23,4
CPT,85014,Blood count; hematocrit (Hct) Other Outpatient,,,2.49,2.49,6
CPT,85014,HEMATOCRIT,327.54999999999995,327.54999999999995,22.7,330.78,141
CPT,85018,Blood count; hemoglobin (Hgb) ,,,1.42,12.76,137
CPT,85018,Blood count; hemoglobin (Hgb) Age 21+,,,2.19,2.19,4
CPT,85018,Blood count; hemoglobin (Hgb) Age Under 21,,,2.23,2.23,4
CPT,85018,Blood count; hemoglobin (Hgb) Other Outpatient,,,2.49,2.49,6
CPT,85018,HEMOGLOBIN,348.52,348.52,24.4,348.52,94
CPT,85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,4.66,41.96,137
CPT,85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Age 21+",,,7.18,7.18,4
CPT,85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Age Under 21",,,7.31,7.31,4
CPT,85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Other Outpatient",,,8.16,8.16,6
CPT,85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,3.88,34.7,137
CPT,85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Age 21+",,,5.97,5.97,4
CPT,85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Age Under 21",,,6.08,6.08,4
CPT,85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Other Outpatient",,,6.79,6.79,6
CPT,85027,CBC AUTOMATED,1234.34,1234.34,86.4,1234.34,188
CPT,85032,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",630.87,630.87,2.59,23.76,137
CPT,85032,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Age 21+",630.87,630.87,3.98,3.98,4
CPT,85032,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Age Under 21",630.87,630.87,4.05,4.05,4
CPT,85032,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Other Outpatient",630.87,630.87,4.53,4.53,6
CPT,85032,MANUAL PLATELET COUNT,630.87,630.87,44.16,630.87,47
CPT,85041,"Blood count; red blood cell (RBC), automated ",251.72,251.72,1.81,16.44,137
CPT,85041,"Blood count; red blood cell (RBC), automated Age 21+",251.72,251.72,2.79,2.79,4
CPT,85041,"Blood count; red blood cell (RBC), automated Age Under 21",251.72,251.72,2.84,2.84,4
CPT,85041,"Blood count; red blood cell (RBC), automated Other Outpatient",251.72,251.72,3.17,3.17,6
CPT,85041,RBC COUNT BLD AUTO,251.72,251.72,17.62,251.72,47
CPT,85044,"Blood count; reticulocyte, manual ",605.07,605.07,2.59,23.76,137
CPT,85044,"Blood count; reticulocyte, manual Age 21+",605.07,605.07,3.98,3.98,4
CPT,85044,"Blood count; reticulocyte, manual Age Under 21",605.07,605.07,4.05,4.05,4
CPT,85044,"Blood count; reticulocyte, manual Other Outpatient",605.07,605.07,4.53,4.53,6
CPT,85044,RETIC COUNT MANUAL,605.07,605.07,42.35,605.07,47
CPT,85045,"Blood count; reticulocyte, automated ",605.07,605.07,2.39,21.89,137
CPT,85045,"Blood count; reticulocyte, automated Age 21+",605.07,605.07,3.69,3.69,4
CPT,85045,"Blood count; reticulocyte, automated Age Under 21",605.07,605.07,3.75,3.75,4
CPT,85045,"Blood count; reticulocyte, automated Other Outpatient",605.07,605.07,4.19,4.19,6
CPT,85045,RETIC COUNT AUTO,605.07,605.07,42.35,605.07,47
CPT,85046,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,3.34,29.2,151
CPT,85048,"Blood count; leukocyte (WBC), automated ",,,1.52,12.76,137
CPT,85048,"Blood count; leukocyte (WBC), automated Age 21+",,,2.34,2.34,4
CPT,85048,"Blood count; leukocyte (WBC), automated Age Under 21",,,2.39,2.39,4
CPT,85048,"Blood count; leukocyte (WBC), automated Other Outpatient",,,2.67,2.67,6
CPT,85048,EOSINOPHIL COUNT BLD AUT,471.15,471.15,32.98,471.15,94
CPT,85048,WBC COUNT BLD AUTO,432.43,432.43,30.27,432.43,47
CPT,85049,"Blood count; platelet, automated ",,,2.69,23.76,137
CPT,85049,"Blood count; platelet, automated Age 21+",,,4.14,4.14,4
CPT,85049,"Blood count; platelet, automated Age Under 21",,,4.21,4.21,4
CPT,85049,"Blood count; platelet, automated Other Outpatient",,,4.7,4.7,6
CPT,85049,PLATELET AUTOMATED,630.87,630.87,44.16,630.87,94
CPT,85055,Reticulated platelet assay ,,,21.44,191.65,137
CPT,85055,Reticulated platelet assay Age 21+,,,33.02,33.02,4
CPT,85055,Reticulated platelet assay Age Under 21,,,33.62,33.62,4
CPT,85055,Reticulated platelet assay Other Outpatient,,,37.53,37.53,6
CPT,85060,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,88.68,49
CPT,85097,BONE MARROW TECH ASSIST,840.64,840.64,58.84,840.64,96
CPT,85097,"Bone marrow, smear interpretation ",,,55.03,1382.04,49
CPT,85130,Chromogenic substrate assay ,,,7.13,63.9,137
CPT,85130,Chromogenic substrate assay Age 21+,,,10.99,10.99,4
CPT,85130,Chromogenic substrate assay Age Under 21,,,11.19,11.19,4
CPT,85130,Chromogenic substrate assay Other Outpatient,,,12.48,12.48,6
CPT,85130,FUNGITELL BETA-D-GLUCAN,1014.9,1014.9,71.04,1014.9,47
CPT,85130,HEPARIN COFACTOR II CSA,766.42,766.42,53.65,766.42,47
CPT,85170,Clot retraction ,,,9.78,87.6,137
CPT,85170,Clot retraction Age 21+,,,15.06,15.06,4
CPT,85170,Clot retraction Age Under 21,,,15.33,15.33,4
CPT,85170,Clot retraction Other Outpatient,,,17.12,17.12,6
CPT,85175,CLOT LYSIS TIME,129.08,129.08,9.04,129.08,47
CPT,85175,"Clot lysis time, whole blood dilution ",129.08,129.08,12.22,109.54,137
CPT,85175,"Clot lysis time, whole blood dilution Age 21+",129.08,129.08,18.82,18.82,4
CPT,85175,"Clot lysis time, whole blood dilution Age Under 21",129.08,129.08,19.16,19.16,4
CPT,85175,"Clot lysis time, whole blood dilution Other Outpatient",129.08,129.08,21.39,21.39,6
CPT,85210,"Clotting; factor II, prothrombin, specific ",1021.35,1021.35,7.79,69.34,137
CPT,85210,"Clotting; factor II, prothrombin, specific Age 21+",1021.35,1021.35,11.99,11.99,4
CPT,85210,"Clotting; factor II, prothrombin, specific Age Under 21",1021.35,1021.35,12.21,12.21,4
CPT,85210,"Clotting; factor II, prothrombin, specific Other Outpatient",1021.35,1021.35,13.63,13.63,6
CPT,85210,FACTOR 2 PROTHROMBIN,1021.35,1021.35,71.49,1021.35,47
CPT,85220,"Clotting; factor V (AcG or proaccelerin), labile factor ",1021.35,1021.35,10.59,94.92,137
CPT,85220,"Clotting; factor V (AcG or proaccelerin), labile factor Age 21+",1021.35,1021.35,16.31,16.31,4
CPT,85220,"Clotting; factor V (AcG or proaccelerin), labile factor Age Under 21",1021.35,1021.35,16.61,16.61,4
CPT,85220,"Clotting; factor V (AcG or proaccelerin), labile factor Other Outpatient",1021.35,1021.35,18.53,18.53,6
CPT,85220,FACTOR 5 LABILE,1021.35,1021.35,71.49,1021.35,47
CPT,85230,"Clotting; factor VII (proconvertin, stable factor) ",1021.35,1021.35,10.74,96.73,137
CPT,85230,"Clotting; factor VII (proconvertin, stable factor) Age 21+",1021.35,1021.35,16.54,16.54,4
CPT,85230,"Clotting; factor VII (proconvertin, stable factor) Age Under 21",1021.35,1021.35,16.84,16.84,4
CPT,85230,"Clotting; factor VII (proconvertin, stable factor) Other Outpatient",1021.35,1021.35,18.79,18.79,6
CPT,85230,FACTOR 7 STABLE,1021.35,1021.35,71.49,1021.35,47
CPT,85240,"Clotting; factor VIII (AHG), 1-stage ",1021.35,1021.35,10.74,96.73,137
CPT,85240,"Clotting; factor VIII (AHG), 1-stage Age 21+",1021.35,1021.35,16.54,16.54,4
CPT,85240,"Clotting; factor VIII (AHG), 1-stage Age Under 21",1021.35,1021.35,16.84,16.84,4
CPT,85240,"Clotting; factor VIII (AHG), 1-stage Other Outpatient",1021.35,1021.35,18.79,18.79,6
CPT,85240,FACTOR 8 ACTIVITY 1STAGE,1021.35,1021.35,71.49,1021.35,47
CPT,85244,Clotting; factor VIII related antigen ,,,12.25,109.54,137
CPT,85244,Clotting; factor VIII related antigen Age 21+,,,18.86,18.86,4
CPT,85244,Clotting; factor VIII related antigen Age Under 21,,,19.21,19.21,4
CPT,85244,Clotting; factor VIII related antigen Other Outpatient,,,21.44,21.44,6
CPT,85245,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,13.76,124.12,137
CPT,85245,"Clotting; factor VIII, VW factor, ristocetin cofactor Age 21+",,,21.2,21.2,4
CPT,85245,"Clotting; factor VIII, VW factor, ristocetin cofactor Age Under 21",,,21.58,21.58,4
CPT,85245,"Clotting; factor VIII, VW factor, ristocetin cofactor Other Outpatient",,,24.09,24.09,6
CPT,85245,FAC8 VW ACTIVITY RIST CO,614.75,614.75,43.03,614.75,47
CPT,85245,FACTOR 8 RISTOCETIN,2234.72,2234.72,156.43,2234.72,47
CPT,85246,"Clotting; factor VIII, VW factor antigen ",926.14,926.14,13.76,124.12,137
CPT,85246,"Clotting; factor VIII, VW factor antigen Age 21+",926.14,926.14,21.2,21.2,4
CPT,85246,"Clotting; factor VIII, VW factor antigen Age Under 21",926.14,926.14,21.58,21.58,4
CPT,85246,"Clotting; factor VIII, VW factor antigen Other Outpatient",926.14,926.14,24.09,24.09,6
CPT,85246,FACTOR 8 VW AG,926.14,926.14,64.83,926.14,47
CPT,85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",1016.52,1016.52,13.76,124.12,137
CPT,85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Age 21+",1016.52,1016.52,21.2,21.2,4
CPT,85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Age Under 21",1016.52,1016.52,21.58,21.58,4
CPT,85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient",1016.52,1016.52,24.09,24.09,6
CPT,85247,FACTOR 8 VW MULTIMERS,1016.52,1016.52,71.16,1016.52,47
CPT,85250,Clotting; factor IX (PTC or Christmas) ,663.16,663.16,11.42,102.23,137
CPT,85250,Clotting; factor IX (PTC or Christmas) Age 21+,663.16,663.16,17.59,17.59,4
CPT,85250,Clotting; factor IX (PTC or Christmas) Age Under 21,663.16,663.16,17.91,17.91,4
CPT,85250,Clotting; factor IX (PTC or Christmas) Other Outpatient,663.16,663.16,19.99,19.99,6
CPT,85250,FACTOR 9 ACTIVITY,663.16,663.16,46.42,663.16,47
CPT,85260,Clotting; factor X (Stuart-Prower) ,964.88,964.88,10.74,96.73,137
CPT,85260,Clotting; factor X (Stuart-Prower) Age 21+,964.88,964.88,16.54,16.54,4
CPT,85260,Clotting; factor X (Stuart-Prower) Age Under 21,964.88,964.88,16.84,16.84,4
CPT,85260,Clotting; factor X (Stuart-Prower) Other Outpatient,964.88,964.88,18.79,18.79,6
CPT,85260,FACTOR 10 ASSAY,964.88,964.88,67.54,964.88,47
CPT,85270,Clotting; factor XI (PTA) ,1703.87,1703.87,10.74,96.73,137
CPT,85270,Clotting; factor XI (PTA) Age 21+,1703.87,1703.87,16.54,16.54,4
CPT,85270,Clotting; factor XI (PTA) Age Under 21,1703.87,1703.87,16.84,16.84,4
CPT,85270,Clotting; factor XI (PTA) Other Outpatient,1703.87,1703.87,18.79,18.79,6
CPT,85270,FACTOR 11 ACTIVITY,1703.87,1703.87,119.27,1703.87,47
CPT,85280,Clotting; factor XII (Hageman) ,1010.06,1010.06,11.61,104.04,137
CPT,85280,Clotting; factor XII (Hageman) Age 21+,1010.06,1010.06,17.88,17.88,4
CPT,85280,Clotting; factor XII (Hageman) Age Under 21,1010.06,1010.06,18.2,18.2,4
CPT,85280,Clotting; factor XII (Hageman) Other Outpatient,1010.06,1010.06,20.32,20.32,6
CPT,85280,FACTOR 12 ASSAY,1010.06,1010.06,70.7,1010.06,47
CPT,85290,Clotting; factor XIII (fibrin stabilizing) ,1010.06,1010.06,9.8,87.6,137
CPT,85290,Clotting; factor XIII (fibrin stabilizing) Age 21+,1010.06,1010.06,15.1,15.1,4
CPT,85290,Clotting; factor XIII (fibrin stabilizing) Age Under 21,1010.06,1010.06,15.38,15.38,4
CPT,85290,Clotting; factor XIII (fibrin stabilizing) Other Outpatient,1010.06,1010.06,17.16,17.16,6
CPT,85290,FACTOR 13 ACTIVITY QN,1010.06,1010.06,70.7,1010.06,47
CPT,85291,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,5.47,49.27,137
CPT,85291,"Clotting; factor XIII (fibrin stabilizing), screen solubility Age 21+",,,8.42,8.42,4
CPT,85291,"Clotting; factor XIII (fibrin stabilizing), screen solubility Age Under 21",,,8.57,8.57,4
CPT,85291,"Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient",,,9.57,9.57,6
CPT,85292,Clotting; prekallikrein assay (Fletcher factor assay) ,,,11.36,102.23,137
CPT,85292,Clotting; prekallikrein assay (Fletcher factor assay) Age 21+,,,17.49,17.49,4
CPT,85292,Clotting; prekallikrein assay (Fletcher factor assay) Age Under 21,,,17.81,17.81,4
CPT,85292,Clotting; prekallikrein assay (Fletcher factor assay) Other Outpatient,,,19.88,19.88,6
CPT,85293,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,11.36,102.23,137
CPT,85293,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Age 21+,,,17.49,17.49,4
CPT,85293,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Age Under 21,,,17.81,17.81,4
CPT,85293,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Other Outpatient,,,19.88,19.88,6
CPT,85300,ANTITHROMBIN 3 ACT,1403.75,1403.75,98.26,1403.75,47
CPT,85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",1403.75,1403.75,7.11,63.9,137
CPT,85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity Age 21+",1403.75,1403.75,10.95,10.95,4
CPT,85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity Age Under 21",1403.75,1403.75,11.14,11.14,4
CPT,85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity Other Outpatient",1403.75,1403.75,12.44,12.44,6
CPT,85301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,6.49,58.4,137
CPT,85301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay Age 21+",,,9.99,9.99,4
CPT,85301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay Age Under 21",,,10.17,10.17,4
CPT,85301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay Other Outpatient",,,11.35,11.35,6
CPT,85302,"Clotting inhibitors or anticoagulants; protein C, antigen ",738.99,738.99,7.21,63.9,137
CPT,85302,"Clotting inhibitors or anticoagulants; protein C, antigen Age 21+",738.99,738.99,11.1,11.1,4
CPT,85302,"Clotting inhibitors or anticoagulants; protein C, antigen Age Under 21",738.99,738.99,11.3,11.3,4
CPT,85302,"Clotting inhibitors or anticoagulants; protein C, antigen Other Outpatient",738.99,738.99,12.61,12.61,6
CPT,85302,PROTEIN C AG,738.99,738.99,51.73,738.99,47
CPT,85303,"Clotting inhibitors or anticoagulants; protein C, activity ",363.05,363.05,8.3,74.84,137
CPT,85303,"Clotting inhibitors or anticoagulants; protein C, activity Age 21+",363.05,363.05,12.79,12.79,4
CPT,85303,"Clotting inhibitors or anticoagulants; protein C, activity Age Under 21",363.05,363.05,13.03,13.03,4
CPT,85303,"Clotting inhibitors or anticoagulants; protein C, activity Other Outpatient",363.05,363.05,14.53,14.53,6
CPT,85303,PROTEIN C ACTIVITY,363.05,363.05,25.41,363.05,47
CPT,85305,"Clotting inhibitors or anticoagulants; protein S, total ",782.56,782.56,6.97,62.09,137
CPT,85305,"Clotting inhibitors or anticoagulants; protein S, total Age 21+",782.56,782.56,10.73,10.73,4
CPT,85305,"Clotting inhibitors or anticoagulants; protein S, total Age Under 21",782.56,782.56,10.92,10.92,4
CPT,85305,"Clotting inhibitors or anticoagulants; protein S, total Other Outpatient",782.56,782.56,12.19,12.19,6
CPT,85305,PROTEIN S ANTIGEN TOTAL,782.56,782.56,54.78,782.56,47
CPT,85306,"Clotting inhibitors or anticoagulants; protein S, free ",,,9.19,82.16,137
CPT,85306,"Clotting inhibitors or anticoagulants; protein S, free Age 21+",,,14.16,14.16,4
CPT,85306,"Clotting inhibitors or anticoagulants; protein S, free Age Under 21",,,14.41,14.41,4
CPT,85306,"Clotting inhibitors or anticoagulants; protein S, free Other Outpatient",,,16.09,16.09,6
CPT,85306,PROTEIN S ANTIGEN FREE,1695.8,1695.8,118.71,1695.8,47
CPT,85306,PROTEIN S FREE,782.56,782.56,54.78,782.56,47
CPT,85306,PROTEIN S FUNCTIONAL,361.41,361.41,25.3,361.41,47
CPT,85307,ACTV PROT C RESISTANCE,1669.98,1669.98,116.9,1669.98,47
CPT,85307,APC RESISTANCE,1131.08,1131.08,79.18,1131.08,47
CPT,85307,Activated Protein C (APC) resistance assay ,,,9.19,82.16,137
CPT,85307,Activated Protein C (APC) resistance assay Age 21+,,,14.16,14.16,4
CPT,85307,Activated Protein C (APC) resistance assay Age Under 21,,,14.41,14.41,4
CPT,85307,Activated Protein C (APC) resistance assay Other Outpatient,,,16.09,16.09,6
CPT,85335,ADAMTS13 INHIBITOR,361.41,361.41,25.3,361.41,47
CPT,85335,FACTOR 8 INHIBITOR,1169.79,1169.79,81.89,1169.79,47
CPT,85335,FACTOR 9 INHIBITOR ASSAY,1035.88,1035.88,72.51,1035.88,47
CPT,85335,Factor inhibitor test ,,,7.72,69.34,137
CPT,85335,Factor inhibitor test Age 21+,,,11.89,11.89,4
CPT,85335,Factor inhibitor test Age Under 21,,,12.11,12.11,4
CPT,85335,Factor inhibitor test Other Outpatient,,,13.51,13.51,6
CPT,85337,Thrombomodulin ,,,10.36,93.1,137
CPT,85337,Thrombomodulin Age 21+,,,15.96,15.96,4
CPT,85337,Thrombomodulin Age Under 21,,,16.25,16.25,4
CPT,85337,Thrombomodulin Other Outpatient,,,18.13,18.13,6
CPT,85345,Coagulation time; Lee and White ,,,2.81,25.57,137
CPT,85345,Coagulation time; Lee and White Age 21+,,,4.33,4.33,4
CPT,85345,Coagulation time; Lee and White Age Under 21,,,4.41,4.41,4
CPT,85345,Coagulation time; Lee and White Other Outpatient,,,4.92,4.92,6
CPT,85347,ACT CLOT TIME,643.78,643.78,45.06,643.78,47
CPT,85347,Coagulation time; activated ,643.78,643.78,2.57,23.76,137
CPT,85347,Coagulation time; activated Age 21+,643.78,643.78,3.96,3.96,4
CPT,85347,Coagulation time; activated Age Under 21,643.78,643.78,4.03,4.03,4
CPT,85347,Coagulation time; activated Other Outpatient,643.78,643.78,4.49,4.49,6
CPT,85348,Coagulation time; other methods ,,,2.69,23.76,137
CPT,85348,Coagulation time; other methods Age 21+,,,4.15,4.15,4
CPT,85348,Coagulation time; other methods Age Under 21,,,4.22,4.22,4
CPT,85348,Coagulation time; other methods Other Outpatient,,,4.71,4.71,6
CPT,85360,Euglobulin lysis ,,,5.05,45.64,137
CPT,85360,Euglobulin lysis Age 21+,,,7.77,7.77,4
CPT,85360,Euglobulin lysis Age Under 21,,,7.91,7.91,4
CPT,85360,Euglobulin lysis Other Outpatient,,,8.83,8.83,6
CPT,85362,FDP SEMIQUANT,1529.62,1529.62,107.07,1529.62,47
CPT,85362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",1529.62,1529.62,4.13,36.51,137
CPT,85362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Age 21+",1529.62,1529.62,6.37,6.37,4
CPT,85362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Age Under 21",1529.62,1529.62,6.48,6.48,4
CPT,85362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Other Outpatient",1529.62,1529.62,7.23,7.23,6
CPT,85366,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,48.28,432.62,137
CPT,85366,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Age 21+,,,74.35,74.35,4
CPT,85366,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Age Under 21,,,75.7,75.7,4
CPT,85366,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient,,,84.48,84.48,6
CPT,85370,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,7.46,67.53,137
CPT,85370,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Age 21+,,,11.48,11.48,4
CPT,85370,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Age Under 21,,,11.69,11.69,4
CPT,85370,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient,,,13.05,13.05,6
CPT,85378,D-DIMER SEMI,658.31,658.31,46.08,658.31,94
CPT,85378,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,5.83,52.96,137
CPT,85378,"Fibrin degradation products, D-dimer; qualitative or semiquantitative Age 21+",,,8.98,8.98,4
CPT,85378,"Fibrin degradation products, D-dimer; qualitative or semiquantitative Age Under 21",,,9.14,9.14,4
CPT,85378,"Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient",,,10.21,10.21,6
CPT,85379,D-DIMER QUANT,658.31,658.31,46.08,658.31,47
CPT,85379,"Fibrin degradation products, D-dimer; quantitative ",658.31,658.31,6.11,54.77,137
CPT,85379,"Fibrin degradation products, D-dimer; quantitative Age 21+",658.31,658.31,9.41,9.41,4
CPT,85379,"Fibrin degradation products, D-dimer; quantitative Age Under 21",658.31,658.31,9.58,9.58,4
CPT,85379,"Fibrin degradation products, D-dimer; quantitative Other Outpatient",658.31,658.31,10.69,10.69,6
CPT,85380,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,6.11,54.77,137
CPT,85380,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative Age 21+",,,9.41,9.41,4
CPT,85380,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative Age Under 21",,,9.58,9.58,4
CPT,85380,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative Other Outpatient",,,10.69,10.69,6
CPT,85384,FIBRINOGEN ACTIVITY,271.07,271.07,18.97,271.07,94
CPT,85384,Fibrinogen; activity ,,,5.83,52.96,137
CPT,85384,Fibrinogen; activity Age 21+,,,8.98,8.98,4
CPT,85384,Fibrinogen; activity Age Under 21,,,9.14,9.14,4
CPT,85384,Fibrinogen; activity Other Outpatient,,,10.21,10.21,6
CPT,85385,FIBRINOGEN ANTIGEN,740.6,740.6,51.84,740.6,47
CPT,85385,Fibrinogen; antigen ,740.6,740.6,8.68,78.47,137
CPT,85385,Fibrinogen; antigen Age 21+,740.6,740.6,13.37,13.37,4
CPT,85385,Fibrinogen; antigen Age Under 21,740.6,740.6,13.61,13.61,4
CPT,85385,Fibrinogen; antigen Other Outpatient,740.6,740.6,15.18,15.18,6
CPT,85390,COAG INTERPRETATION,179.1,179.1,12.54,179.1,47
CPT,85390,"Fibrinolysins or coagulopathy screen, interpretation and report ",179.1,179.1,9.29,83.97,137
CPT,85390,"Fibrinolysins or coagulopathy screen, interpretation and report Age 21+",179.1,179.1,14.3,14.3,4
CPT,85390,"Fibrinolysins or coagulopathy screen, interpretation and report Age Under 21",179.1,179.1,14.56,14.56,4
CPT,85390,"Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient",179.1,179.1,16.25,16.25,6
CPT,85396,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,71.22,49
CPT,85396,THROMBOELASTOGRAPHY TEG,1952.35,1952.35,136.66,1952.35,54
CPT,85396,VISCOELASTIC CLOT INT/RP,818.05,818.05,57.26,818.05,54
CPT,85397,ADAMTS-13,877.74,877.74,61.44,877.74,47
CPT,85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,18.52,166.13,137
CPT,85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte Age 21+",,,28.51,28.51,4
CPT,85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte Age Under 21",,,29.03,29.03,4
CPT,85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte Other Outpatient",,,32.4,32.4,6
CPT,85397,VWF CLEAVING PROTEASE,1048.78,1048.78,73.41,1048.78,47
CPT,85400,Fibrinolytic factors and inhibitors; plasmin ,,,4.63,41.96,137
CPT,85400,Fibrinolytic factors and inhibitors; plasmin Age 21+,,,7.13,7.13,4
CPT,85400,Fibrinolytic factors and inhibitors; plasmin Age Under 21,,,7.26,7.26,4
CPT,85400,Fibrinolytic factors and inhibitors; plasmin Other Outpatient,,,8.1,8.1,6
CPT,85410,ALPHA-2 ANTIPLASMIN,1952.35,1952.35,136.66,1952.35,47
CPT,85410,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,1952.35,1952.35,4.63,41.96,137
CPT,85410,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Age 21+,1952.35,1952.35,7.13,7.13,4
CPT,85410,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Age Under 21,1952.35,1952.35,7.26,7.26,4
CPT,85410,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Other Outpatient,1952.35,1952.35,8.1,8.1,6
CPT,85415,Fibrinolytic factors and inhibitors; plasminogen activator ,,,10.31,93.1,137
CPT,85415,Fibrinolytic factors and inhibitors; plasminogen activator Age 21+,,,15.88,15.88,4
CPT,85415,Fibrinolytic factors and inhibitors; plasminogen activator Age Under 21,,,16.17,16.17,4
CPT,85415,Fibrinolytic factors and inhibitors; plasminogen activator Other Outpatient,,,18.05,18.05,6
CPT,85415,PLASMINOGEN ACT INHIB,1908.79,1908.79,133.62,1908.79,47
CPT,85415,PLASMINOGEN ACTIVATOR,1348.9,1348.9,94.42,1348.9,47
CPT,85420,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",1169.79,1169.79,3.92,34.7,137
CPT,85420,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Age 21+",1169.79,1169.79,6.04,6.04,4
CPT,85420,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Age Under 21",1169.79,1169.79,6.15,6.15,4
CPT,85420,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Other Outpatient",1169.79,1169.79,6.86,6.86,6
CPT,85420,PLASMINOGEN ACTIVITY,1169.79,1169.79,81.89,1169.79,47
CPT,85421,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",2805.9,2805.9,6.11,54.77,137
CPT,85421,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Age 21+",2805.9,2805.9,9.41,9.41,4
CPT,85421,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Age Under 21",2805.9,2805.9,9.58,9.58,4
CPT,85421,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Other Outpatient",2805.9,2805.9,10.69,10.69,6
CPT,85421,PLASMINOGEN ANTIGENIC,2805.9,2805.9,196.41,2805.9,47
CPT,85441,Heinz bodies; direct ,,,2.52,21.89,137
CPT,85441,Heinz bodies; direct Age 21+,,,3.88,3.88,4
CPT,85441,Heinz bodies; direct Age Under 21,,,3.95,3.95,4
CPT,85441,Heinz bodies; direct Other Outpatient,,,4.41,4.41,6
CPT,85445,"Heinz bodies; induced, acetyl phenylhydrazine ",,,4.09,36.51,137
CPT,85445,"Heinz bodies; induced, acetyl phenylhydrazine Age 21+",,,6.3,6.3,4
CPT,85445,"Heinz bodies; induced, acetyl phenylhydrazine Age Under 21",,,6.42,6.42,4
CPT,85445,"Heinz bodies; induced, acetyl phenylhydrazine Other Outpatient",,,7.16,7.16,6
CPT,85460,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",882.59,882.59,4.64,41.96,137
CPT,85460,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Age 21+",882.59,882.59,7.14,7.14,4
CPT,85460,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Age Under 21",882.59,882.59,7.27,7.27,4
CPT,85460,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Other Outpatient",882.59,882.59,8.12,8.12,6
CPT,85460,KB STAIN (FETAL BLEED),882.59,882.59,61.78,882.59,47
CPT,85461,FETAL SCREEN (ROSETTE),246.88,246.88,17.28,246.88,47
CPT,85461,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",246.88,246.88,5.62,51.09,137
CPT,85461,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Age 21+",246.88,246.88,8.65,8.65,4
CPT,85461,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Age Under 21",246.88,246.88,8.8,8.8,4
CPT,85461,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Other Outpatient",246.88,246.88,9.83,9.83,6
CPT,85475,ACID HEMOLYSIN,714.79,714.79,50.04,714.79,47
CPT,85475,"Hemolysin, acid ",714.79,714.79,5.32,47.46,137
CPT,85475,"Hemolysin, acid Age 21+",714.79,714.79,8.2,8.2,4
CPT,85475,"Hemolysin, acid Age Under 21",714.79,714.79,8.34,8.34,4
CPT,85475,"Hemolysin, acid Other Outpatient",714.79,714.79,9.31,9.31,6
CPT,85520,HEPARIN ANTI XA,1523.16,1523.16,106.62,1523.16,47
CPT,85520,HEPARIN ASSAY,1523.16,1523.16,106.62,1523.16,47
CPT,85520,Heparin assay ,,,7.85,71.22,137
CPT,85520,Heparin assay Age 21+,,,12.1,12.1,4
CPT,85520,Heparin assay Age Under 21,,,12.32,12.32,4
CPT,85520,Heparin assay Other Outpatient,,,13.74,13.74,6
CPT,85525,Heparin neutralization ,,,7.1,63.9,137
CPT,85525,Heparin neutralization Age 21+,,,10.95,10.95,4
CPT,85525,Heparin neutralization Age Under 21,,,11.14,11.14,4
CPT,85525,Heparin neutralization Other Outpatient,,,12.43,12.43,6
CPT,85530,Heparin-protamine tolerance test ,,,7.85,71.22,137
CPT,85530,Heparin-protamine tolerance test Age 21+,,,12.1,12.1,4
CPT,85530,Heparin-protamine tolerance test Age Under 21,,,12.32,12.32,4
CPT,85530,Heparin-protamine tolerance test Other Outpatient,,,13.74,13.74,6
CPT,85536,IRON STAIN PERIPH,1753.89,1753.89,122.77,1753.89,47
CPT,85536,"Iron stain, peripheral blood ",1753.89,1753.89,4.13,36.51,137
CPT,85536,"Iron stain, peripheral blood Age 21+",1753.89,1753.89,6.36,6.36,4
CPT,85536,"Iron stain, peripheral blood Age Under 21",1753.89,1753.89,6.47,6.47,4
CPT,85536,"Iron stain, peripheral blood Other Outpatient",1753.89,1753.89,7.22,7.22,6
CPT,85540,LEUKO ALK PHOS STAIN,316.24,316.24,22.14,316.24,47
CPT,85540,Leukocyte alkaline phosphatase with count ,316.24,316.24,5.16,45.64,137
CPT,85540,Leukocyte alkaline phosphatase with count Age 21+,316.24,316.24,7.94,7.94,4
CPT,85540,Leukocyte alkaline phosphatase with count Age Under 21,316.24,316.24,8.09,8.09,4
CPT,85540,Leukocyte alkaline phosphatase with count Other Outpatient,316.24,316.24,9.03,9.03,6
CPT,85547,"Mechanical fragility, RBC ",,,5.16,45.64,137
CPT,85547,"Mechanical fragility, RBC Age 21+",,,7.94,7.94,4
CPT,85547,"Mechanical fragility, RBC Age Under 21",,,8.09,8.09,4
CPT,85547,"Mechanical fragility, RBC Other Outpatient",,,9.03,9.03,6
CPT,85549,MURAMIDASE LYSOZYME,1124.62,1124.62,78.72,1124.62,47
CPT,85549,Muramidase ,1124.62,1124.62,11.25,100.42,137
CPT,85549,Muramidase Age 21+,1124.62,1124.62,17.33,17.33,4
CPT,85549,Muramidase Age Under 21,1124.62,1124.62,17.64,17.64,4
CPT,85549,Muramidase Other Outpatient,1124.62,1124.62,19.69,19.69,6
CPT,85555,"Osmotic fragility, RBC; unincubated ",,,4.48,40.14,137
CPT,85555,"Osmotic fragility, RBC; unincubated Age 21+",,,6.9,6.9,4
CPT,85555,"Osmotic fragility, RBC; unincubated Age Under 21",,,7.02,7.02,4
CPT,85555,"Osmotic fragility, RBC; unincubated Other Outpatient",,,7.84,7.84,6
CPT,85557,"Osmotic fragility, RBC; incubated ",,,8.02,71.22,137
CPT,85557,"Osmotic fragility, RBC; incubated Age 21+",,,12.34,12.34,4
CPT,85557,"Osmotic fragility, RBC; incubated Age Under 21",,,12.57,12.57,4
CPT,85557,"Osmotic fragility, RBC; incubated Other Outpatient",,,14.03,14.03,6
CPT,85576,P2Y12 TRAP (PRU) AGONIST,601.85,601.85,42.13,601.85,47
CPT,85576,PLATELET AGGREGATION,637.35,637.35,44.61,637.35,47
CPT,85576,PLT AGGREGATE A ACID,601.85,601.85,42.13,601.85,47
CPT,85576,PLT AGGREGATE A ACID ATP,495.34,495.34,34.67,495.34,47
CPT,85576,PLT AGGREGATE ADP,561.5,561.5,39.3,561.5,47
CPT,85576,PLT AGGREGATE ADP ATP,601.85,601.85,42.13,601.85,47
CPT,85576,PLT AGGREGATE COLL/ADP,495.34,495.34,34.67,495.34,47
CPT,85576,PLT AGGREGATE COLL/EPI,495.34,495.34,34.67,495.34,47
CPT,85576,PLT AGGREGATE COLLAGE,450.17,450.17,31.51,450.17,47
CPT,85576,PLT AGGREGATE EPI,561.5,561.5,39.3,561.5,47
CPT,85576,PLT AGGREGATE P2Y12,601.85,601.85,42.13,601.85,47
CPT,85576,PLT AGGREGATE RIST HI,758.37,758.37,53.09,758.37,47
CPT,85576,PLT AGGREGATE RIST LOW,758.37,758.37,53.09,758.37,47
CPT,85576,PLT FUNCTION-ASPIRIN ASA,601.85,601.85,42.13,601.85,47
CPT,85576,"Platelet, aggregation (in vitro), each agent ",,,14.95,135.06,137
CPT,85576,"Platelet, aggregation (in vitro), each agent Age 21+",,,23.01,23.01,4
CPT,85576,"Platelet, aggregation (in vitro), each agent Age Under 21",,,23.43,23.43,4
CPT,85576,"Platelet, aggregation (in vitro), each agent Other Outpatient",,,26.16,26.16,6
CPT,85597,PLT NEUTRALIZATION,311.41,311.41,21.8,311.41,47
CPT,85597,Phospholipid neutralization; platelet ,311.41,311.41,10.79,96.73,137
CPT,85597,Phospholipid neutralization; platelet Age 21+,311.41,311.41,16.61,16.61,4
CPT,85597,Phospholipid neutralization; platelet Age Under 21,311.41,311.41,16.91,16.91,4
CPT,85597,Phospholipid neutralization; platelet Other Outpatient,311.41,311.41,18.88,18.88,6
CPT,85598,HEXAGONAL PHOSPHOLIPID,380.78,380.78,26.65,380.78,47
CPT,85598,Phospholipid neutralization; hexagonal phospholipid ,380.78,380.78,10.79,96.73,137
CPT,85598,Phospholipid neutralization; hexagonal phospholipid Age 21+,380.78,380.78,16.61,16.61,4
CPT,85598,Phospholipid neutralization; hexagonal phospholipid Age Under 21,380.78,380.78,16.91,16.91,4
CPT,85598,Phospholipid neutralization; hexagonal phospholipid Other Outpatient,380.78,380.78,18.88,18.88,6
CPT,85610,PROTIME,753.52,753.52,52.75,753.52,141
CPT,85610,Prothrombin time; ,,,2.57,23.76,137
CPT,85610,Prothrombin time; Age 21+,,,3.96,3.96,4
CPT,85610,Prothrombin time; Age Under 21,,,4.03,4.03,4
CPT,85610,Prothrombin time; Other Outpatient,,,4.5,4.5,6
CPT,85611,PT SUBSTITUTION MIXING,753.52,753.52,52.75,753.52,47
CPT,85611,"Prothrombin time; substitution, plasma fractions, each ",753.52,753.52,2.36,21.89,137
CPT,85611,"Prothrombin time; substitution, plasma fractions, each Age 21+",753.52,753.52,3.64,3.64,4
CPT,85611,"Prothrombin time; substitution, plasma fractions, each Age Under 21",753.52,753.52,3.71,3.71,4
CPT,85611,"Prothrombin time; substitution, plasma fractions, each Other Outpatient",753.52,753.52,4.14,4.14,6
CPT,85612,Russell viper venom time (includes venom); undiluted ,,,10.49,94.92,137
CPT,85612,Russell viper venom time (includes venom); undiluted Age 21+,,,16.16,16.16,4
CPT,85612,Russell viper venom time (includes venom); undiluted Age Under 21,,,16.45,16.45,4
CPT,85612,Russell viper venom time (includes venom); undiluted Other Outpatient,,,18.36,18.36,6
CPT,85613,RUSSELL VIPER DILUTED,895.49,895.49,62.68,895.49,47
CPT,85613,Russell viper venom time (includes venom); diluted ,895.49,895.49,5.75,51.09,137
CPT,85613,Russell viper venom time (includes venom); diluted Age 21+,895.49,895.49,8.86,8.86,4
CPT,85613,Russell viper venom time (includes venom); diluted Age Under 21,895.49,895.49,9.02,9.02,4
CPT,85613,Russell viper venom time (includes venom); diluted Other Outpatient,895.49,895.49,10.06,10.06,6
CPT,85635,ECARIN CLOTTING TIME,626.04,626.04,43.82,626.04,47
CPT,85635,REPTILASE,1792.62,1792.62,125.48,1792.62,47
CPT,85635,Reptilase test ,,,5.91,52.96,137
CPT,85635,Reptilase test Age 21+,,,9.1,9.1,4
CPT,85635,Reptilase test Age Under 21,,,9.26,9.26,4
CPT,85635,Reptilase test Other Outpatient,,,10.34,10.34,6
CPT,85651,SED RATE MANUAL,630.87,630.87,44.16,630.87,94
CPT,85651,SED RATE WESTERGREN,624.43,624.43,43.71,624.43,47
CPT,85651,"Sedimentation rate, erythrocyte; non-automated ",,,2.56,23.76,137
CPT,85651,"Sedimentation rate, erythrocyte; non-automated Age 21+",,,3.95,3.95,4
CPT,85651,"Sedimentation rate, erythrocyte; non-automated Age Under 21",,,4.02,4.02,4
CPT,85651,"Sedimentation rate, erythrocyte; non-automated Other Outpatient",,,4.48,4.48,6
CPT,85652,SED RATE AUTO,630.87,630.87,44.16,630.87,94
CPT,85652,"Sedimentation rate, erythrocyte; automated ",,,1.62,14.63,137
CPT,85652,"Sedimentation rate, erythrocyte; automated Age 21+",,,2.5,2.5,4
CPT,85652,"Sedimentation rate, erythrocyte; automated Age Under 21",,,2.54,2.54,4
CPT,85652,"Sedimentation rate, erythrocyte; automated Other Outpatient",,,2.84,2.84,6
CPT,85660,SICKLE CELL PREP,117.79,117.79,8.25,117.79,47
CPT,85660,SICKLE CELL SCREEN,650.24,650.24,45.52,650.24,94
CPT,85660,"Sickling of RBC, reduction ",,,3.31,29.2,137
CPT,85660,"Sickling of RBC, reduction Age 21+",,,5.09,5.09,4
CPT,85660,"Sickling of RBC, reduction Age Under 21",,,5.19,5.19,4
CPT,85660,"Sickling of RBC, reduction Other Outpatient",,,5.79,5.79,6
CPT,85670,THROMBIN TIME,613.14,613.14,42.92,613.14,47
CPT,85670,Thrombin time; plasma ,613.14,613.14,3.46,31.01,137
CPT,85670,Thrombin time; plasma Age 21+,613.14,613.14,5.33,5.33,4
CPT,85670,Thrombin time; plasma Age Under 21,613.14,613.14,5.43,5.43,4
CPT,85670,Thrombin time; plasma Other Outpatient,613.14,613.14,6.06,6.06,6
CPT,85675,Thrombin time; titer ,,,4.11,36.51,137
CPT,85675,Thrombin time; titer Age 21+,,,6.33,6.33,4
CPT,85675,Thrombin time; titer Age Under 21,,,6.44,6.44,4
CPT,85675,Thrombin time; titer Other Outpatient,,,7.19,7.19,6
CPT,85705,"Thromboplastin inhibition, tissue ",,,5.78,51.09,137
CPT,85705,"Thromboplastin inhibition, tissue Age 21+",,,8.9,8.9,4
CPT,85705,"Thromboplastin inhibition, tissue Age Under 21",,,9.06,9.06,4
CPT,85705,"Thromboplastin inhibition, tissue Other Outpatient",,,10.11,10.11,6
CPT,85730,PTT,882.59,882.59,61.78,882.59,141
CPT,85730,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,3.61,32.83,137
CPT,85730,"Thromboplastin time, partial (PTT); plasma or whole blood Age 21+",,,5.56,5.56,4
CPT,85730,"Thromboplastin time, partial (PTT); plasma or whole blood Age Under 21",,,5.66,5.66,4
CPT,85730,"Thromboplastin time, partial (PTT); plasma or whole blood Other Outpatient",,,6.31,6.31,6
CPT,85732,CIRCULAT ANTICOAG-PTT,861.61,861.61,60.31,861.61,47
CPT,85732,DRVV MIXING STUDY EA PTT,459.84,459.84,32.19,459.84,47
CPT,85732,PTT SUBSTITUTION MIXING,171.03,171.03,11.97,171.03,47
CPT,85732,PTT-LA MIXING STUDY,459.84,459.84,32.19,459.84,47
CPT,85732,SILICA CLOTTING TIME,861.61,861.61,60.31,861.61,47
CPT,85732,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,3.88,34.7,137
CPT,85732,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each Age 21+",,,5.97,5.97,4
CPT,85732,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each Age Under 21",,,6.08,6.08,4
CPT,85732,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient",,,6.79,6.79,6
CPT,85810,VISCOSITY,303.33,303.33,21.23,303.33,47
CPT,85810,Viscosity ,303.33,303.33,7.0,62.09,137
CPT,85810,Viscosity Age 21+,303.33,303.33,10.78,10.78,4
CPT,85810,Viscosity Age Under 21,303.33,303.33,10.98,10.98,4
CPT,85810,Viscosity Other Outpatient,303.33,303.33,12.25,12.25,6
CPT,85999,Unlisted hematology and coagulation procedure ,,,92.21,130.35,6
CPT,86000,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,4.19,38.33,137
CPT,86000,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen Age 21+",,,6.45,6.45,4
CPT,86000,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen Age Under 21",,,6.56,6.56,4
CPT,86000,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen Other Outpatient",,,7.33,7.33,6
CPT,86000,BRUCELLA ABORT AGG,232.36,232.36,16.27,232.36,47
CPT,86000,FRANCISELLA AGG,542.14,542.14,37.95,542.14,47
CPT,86000,PARATYPHOID A AGG,232.36,232.36,16.27,232.36,47
CPT,86000,PARATYPHOID B AGG,232.36,232.36,16.27,232.36,47
CPT,86000,PROTEUS OX19 AGG,232.36,232.36,16.27,232.36,47
CPT,86000,PROTEUS OX2 AGG,232.36,232.36,16.27,232.36,47
CPT,86000,PROTEUS OXK AGG,232.36,232.36,16.27,232.36,47
CPT,86000,SALMONELLA H GRP D TYP H,198.48,198.48,13.89,198.48,47
CPT,86000,SALMONELLA H PARATYP B,198.48,198.48,13.89,198.48,47
CPT,86000,SALMONELLA H PARATYPH A,198.48,198.48,13.89,198.48,47
CPT,86000,SALMONELLA O GRP D TYP O,198.48,198.48,13.89,198.48,47
CPT,86000,SALMONELLA O PARATYPH A,198.48,198.48,13.89,198.48,47
CPT,86000,SALMONELLA O PARATYPH B,198.48,198.48,13.89,198.48,47
CPT,86000,TULAREMIA AGG,232.36,232.36,16.27,232.36,47
CPT,86000,TYPHOID H AGG,246.88,246.88,17.28,246.88,47
CPT,86000,TYPHOID O AGG,246.88,246.88,17.28,246.88,47
CPT,86001,ALLERGEN IGG EACH,317.86,317.86,22.25,317.86,47
CPT,86001,"Allergen specific IgG quantitative or semiquantitative, each allergen ",317.86,317.86,4.69,41.96,137
CPT,86001,"Allergen specific IgG quantitative or semiquantitative, each allergen Age 21+",317.86,317.86,7.23,7.23,4
CPT,86001,"Allergen specific IgG quantitative or semiquantitative, each allergen Age Under 21",317.86,317.86,7.36,7.36,4
CPT,86001,"Allergen specific IgG quantitative or semiquantitative, each allergen Other Outpatient",317.86,317.86,8.21,8.21,6
CPT,86003,ALLERGEN IGE EACH,161.35,161.35,11.29,161.35,47
CPT,86003,AMMONIATED LATEX EXT IGE,250.09,250.09,17.51,250.09,47
CPT,86003,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,3.13,27.39,137
CPT,86003,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Age 21+",,,4.82,4.82,4
CPT,86003,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Age Under 21",,,4.91,4.91,4
CPT,86003,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Other Outpatient",,,5.48,5.48,6
CPT,86003,GLOVE LATEX EXT IGE,250.09,250.09,17.51,250.09,47
CPT,86003,NONAMMONIATED LTX IGE,250.09,250.09,17.51,250.09,47
CPT,86005,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,4.78,43.83,137
CPT,86005,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Age 21+",,,7.36,7.36,4
CPT,86005,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Age Under 21",,,7.49,7.49,4
CPT,86005,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Other Outpatient",,,8.37,8.37,6
CPT,86008,ALLERGEN IGE REC/PURIF E,161.35,161.35,11.29,161.35,47
CPT,86008,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",161.35,161.35,10.76,96.73,137
CPT,86008,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Age 21+",161.35,161.35,16.57,16.57,4
CPT,86008,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Age Under 21",161.35,161.35,16.87,16.87,4
CPT,86008,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient",161.35,161.35,18.83,18.83,6
CPT,86015,"Actin (smooth muscle) antibody (ASMA), each ",1055.24,1055.24,7.23,65.72,133
CPT,86015,"Actin (smooth muscle) antibody (ASMA), each Age 21+",1055.24,1055.24,11.13,11.13,4
CPT,86015,"Actin (smooth muscle) antibody (ASMA), each Age Under 21",1055.24,1055.24,11.33,11.33,4
CPT,86015,"Actin (smooth muscle) antibody (ASMA), each Other Outpatient",1055.24,1055.24,12.65,12.65,6
CPT,86015,SMOOTH MUSCLE FA AB TIT,1055.24,1055.24,73.87,1055.24,51
CPT,86021,Antibody identification; leukocyte antibodies ,,,9.03,80.29,137
CPT,86021,Antibody identification; leukocyte antibodies Age 21+,,,13.9,13.9,4
CPT,86021,Antibody identification; leukocyte antibodies Age Under 21,,,14.16,14.16,4
CPT,86021,Antibody identification; leukocyte antibodies Other Outpatient,,,15.8,15.8,6
CPT,86021,MYELOPEROXIDASE AB,495.34,495.34,34.67,495.34,47
CPT,86021,NEUTROPHIL AB,1510.24,1510.24,105.72,1510.24,47
CPT,86022,14C-SEROTONIN RELEASE,2260.54,2260.54,158.24,2260.54,47
CPT,86022,Antibody identification; platelet antibodies ,,,11.02,98.54,137
CPT,86022,Antibody identification; platelet antibodies Age 21+,,,16.97,16.97,4
CPT,86022,Antibody identification; platelet antibodies Age Under 21,,,17.28,17.28,4
CPT,86022,Antibody identification; platelet antibodies Other Outpatient,,,19.29,19.29,6
CPT,86022,ENOXAPARIN HIGH DOSE,693.81,693.81,48.57,693.81,47
CPT,86022,ENOXAPARIN LOW DOSE,693.81,693.81,48.57,693.81,47
CPT,86022,PLATELET ANTIBODIES,1803.92,1803.92,126.27,1803.92,47
CPT,86022,PLT AB HEPARIN INDUCED,1214.97,1214.97,85.05,1214.97,47
CPT,86022,PLT ABS CIR HLA CLS 1 AB,209.76,209.76,14.68,209.76,47
CPT,86022,PLT GLYCOPROTEIN IV AB,209.76,209.76,14.68,209.76,47
CPT,86022,PLT GP IA/IIA AUTO AB,209.76,209.76,14.68,209.76,47
CPT,86022,PLT GP IB/IX AUTO AB,209.76,209.76,14.68,209.76,47
CPT,86022,PLT GP IIB/IIIA AUTO AB,209.76,209.76,14.68,209.76,47
CPT,86022,UNFRACT HEPARIN HI DOSE,693.81,693.81,48.57,693.81,47
CPT,86022,UNFRACT HEPARIN LOW DOSE,693.81,693.81,48.57,693.81,47
CPT,86023,Antibody identification; platelet associated immunoglobulin assay ,,,7.48,67.53,137
CPT,86023,Antibody identification; platelet associated immunoglobulin assay Age 21+,,,11.52,11.52,4
CPT,86023,Antibody identification; platelet associated immunoglobulin assay Age Under 21,,,11.73,11.73,4
CPT,86023,Antibody identification; platelet associated immunoglobulin assay Other Outpatient,,,13.08,13.08,6
CPT,86023,DIRECT PLT AB IA/IIA,124.23,124.23,8.7,124.23,47
CPT,86023,DIRECT PLT AB IBIX,124.23,124.23,8.7,124.23,47
CPT,86023,DIRECT PLT AB IIB/IIIA,124.23,124.23,8.7,124.23,47
CPT,86023,PLATELET ASSOC AB IGA,387.26,387.26,27.11,387.26,47
CPT,86023,PLATELET ASSOC AB IGG,387.26,387.26,27.11,387.26,47
CPT,86023,PLATELET ASSOC AB IGM,387.26,387.26,27.11,387.26,47
CPT,86036,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",1466.69,1466.69,7.23,65.72,133
CPT,86036,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Age 21+",1466.69,1466.69,11.13,11.13,4
CPT,86036,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Age Under 21",1466.69,1466.69,11.33,11.33,4
CPT,86036,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Other Outpatient",1466.69,1466.69,12.65,12.65,6
CPT,86036,PROTEINASE-3 AB,1466.69,1466.69,102.67,1466.69,51
CPT,86037,ANCA CYTOPLASMIC TITER,882.59,882.59,61.78,882.59,51
CPT,86037,ANCA PERINUCLEAR TITER,882.59,882.59,61.78,882.59,51
CPT,86037,ANCA-P ATYPICAL AB TITER,248.49,248.49,17.39,248.49,51
CPT,86037,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,7.23,65.72,133
CPT,86037,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody Age 21+",,,11.13,11.13,4
CPT,86037,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody Age Under 21",,,11.33,11.33,4
CPT,86037,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody Other Outpatient",,,12.65,12.65,6
CPT,86038,ANA QUAL SCREEN,772.88,772.88,54.1,772.88,47
CPT,86038,Antinuclear antibodies (ANA); ,772.88,772.88,7.25,65.72,137
CPT,86038,Antinuclear antibodies (ANA); Age 21+,772.88,772.88,11.18,11.18,4
CPT,86038,Antinuclear antibodies (ANA); Age Under 21,772.88,772.88,11.38,11.38,4
CPT,86038,Antinuclear antibodies (ANA); Other Outpatient,772.88,772.88,12.69,12.69,6
CPT,86039,ANA QUANT TITER,1779.71,1779.71,124.58,1779.71,47
CPT,86039,Antinuclear antibodies (ANA); titer ,1779.71,1779.71,6.7,60.22,137
CPT,86039,Antinuclear antibodies (ANA); titer Age 21+,1779.71,1779.71,10.31,10.31,4
CPT,86039,Antinuclear antibodies (ANA); titer Age Under 21,1779.71,1779.71,10.49,10.49,4
CPT,86039,Antinuclear antibodies (ANA); titer Other Outpatient,1779.71,1779.71,11.72,11.72,6
CPT,86041,ACHR RCPT BND AB,1484.44,1484.44,103.91,1484.44,57
CPT,86041,Acetylcholine receptor (AChR); binding antibody ,1484.44,1484.44,11.04,48.21,127
CPT,86041,Acetylcholine receptor (AChR); binding antibody Age 21+,1484.44,1484.44,17.01,17.01,4
CPT,86041,Acetylcholine receptor (AChR); binding antibody Age Under 21,1484.44,1484.44,17.32,17.32,4
CPT,86041,Acetylcholine receptor (AChR); binding antibody Other Outpatient,1484.44,1484.44,19.32,19.32,6
CPT,86042,ACHR RCPT BLCK AB,409.84,409.84,28.69,409.84,57
CPT,86042,Acetylcholine receptor (AChR); blocking antibody ,409.84,409.84,11.04,48.21,127
CPT,86042,Acetylcholine receptor (AChR); blocking antibody Age 21+,409.84,409.84,17.01,17.01,4
CPT,86042,Acetylcholine receptor (AChR); blocking antibody Age Under 21,409.84,409.84,17.32,17.32,4
CPT,86042,Acetylcholine receptor (AChR); blocking antibody Other Outpatient,409.84,409.84,19.32,19.32,6
CPT,86043,ACHR RCPT MODLG AB,409.84,409.84,28.69,409.84,57
CPT,86043,Acetylcholine receptor (AChR); modulating antibody ,409.84,409.84,7.23,31.57,127
CPT,86043,Acetylcholine receptor (AChR); modulating antibody Age 21+,409.84,409.84,11.13,11.13,4
CPT,86043,Acetylcholine receptor (AChR); modulating antibody Age Under 21,409.84,409.84,11.33,11.33,4
CPT,86043,Acetylcholine receptor (AChR); modulating antibody Other Outpatient,409.84,409.84,12.65,12.65,6
CPT,86051,AQUAPORIN-4 RECEP AB EIA,2221.8,2221.8,155.53,2221.8,51
CPT,86051,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,2221.8,2221.8,6.92,62.09,133
CPT,86051,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Age 21+,2221.8,2221.8,10.66,10.66,4
CPT,86051,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Age Under 21,2221.8,2221.8,10.85,10.85,4
CPT,86051,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Other Outpatient,2221.8,2221.8,12.11,12.11,6
CPT,86052,AQUAPORIN4 NMO AB CBA EA,2221.8,2221.8,155.53,2221.8,51
CPT,86052,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",2221.8,2221.8,7.23,65.72,133
CPT,86052,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Age 21+",2221.8,2221.8,11.13,11.13,4
CPT,86052,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Age Under 21",2221.8,2221.8,11.33,11.33,4
CPT,86052,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Other Outpatient",2221.8,2221.8,12.65,12.65,6
CPT,86053,AQUAPORIN4 NMO AB FACS E,202.11,202.11,14.15,202.11,51
CPT,86053,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",202.11,202.11,12.05,202.59,133
CPT,86053,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Age 21+",202.11,202.11,34.86,34.86,4
CPT,86053,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Age Under 21",202.11,202.11,35.49,35.49,4
CPT,86053,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Other Outpatient",202.11,202.11,39.62,39.62,6
CPT,86060,ANTISTREPTOLYSIN O QN,1048.78,1048.78,73.41,1048.78,47
CPT,86060,Antistreptolysin 0; titer ,1048.78,1048.78,4.38,40.14,137
CPT,86060,Antistreptolysin 0; titer Age 21+,1048.78,1048.78,6.74,6.74,4
CPT,86060,Antistreptolysin 0; titer Age Under 21,1048.78,1048.78,6.87,6.87,4
CPT,86060,Antistreptolysin 0; titer Other Outpatient,1048.78,1048.78,7.67,7.67,6
CPT,86063,ASO QUAL SCREEN,940.68,940.68,65.85,940.68,47
CPT,86063,Antistreptolysin 0; screen ,940.68,940.68,3.46,31.01,137
CPT,86063,Antistreptolysin 0; screen Age 21+,940.68,940.68,5.33,5.33,4
CPT,86063,Antistreptolysin 0; screen Age Under 21,940.68,940.68,5.43,5.43,4
CPT,86063,Antistreptolysin 0; screen Other Outpatient,940.68,940.68,6.06,6.06,6
CPT,86077,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,179.85,49
CPT,86078,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,56.63,315.7,49
CPT,86079,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,181.1,49
CPT,86140,C-REACTIVE PROTEIN,887.44,887.44,62.12,887.44,94
CPT,86140,C-reactive protein; ,,,3.11,27.39,137
CPT,86140,C-reactive protein; Age 21+,,,4.79,4.79,4
CPT,86140,C-reactive protein; Age Under 21,,,4.87,4.87,4
CPT,86140,C-reactive protein; Other Outpatient,,,5.44,5.44,6
CPT,86141,C-REACTIVE PROTEIN HS,579.25,579.25,40.55,579.25,47
CPT,86141,C-reactive protein; high sensitivity (hsCRP) ,579.25,579.25,7.77,69.34,137
CPT,86141,C-reactive protein; high sensitivity (hsCRP) Age 21+,579.25,579.25,11.97,11.97,4
CPT,86141,C-reactive protein; high sensitivity (hsCRP) Age Under 21,579.25,579.25,12.19,12.19,4
CPT,86141,C-reactive protein; high sensitivity (hsCRP) Other Outpatient,579.25,579.25,13.6,13.6,6
CPT,86146,BETA 2 GLYCOPROT1 AB IGA,251.72,251.72,17.62,251.72,47
CPT,86146,BETA 2 GLYCOPROT1 AB IGG,251.72,251.72,17.62,251.72,47
CPT,86146,BETA 2 GLYCOPROT1 AB IGM,251.72,251.72,17.62,251.72,47
CPT,86146,"Beta 2 Glycoprotein I antibody, each ",,,15.27,136.87,137
CPT,86146,"Beta 2 Glycoprotein I antibody, each Age 21+",,,23.52,23.52,4
CPT,86146,"Beta 2 Glycoprotein I antibody, each Age Under 21",,,23.95,23.95,4
CPT,86146,"Beta 2 Glycoprotein I antibody, each Other Outpatient",,,26.72,26.72,6
CPT,86147,CARDIOLIPIN AB IGA,1303.73,1303.73,91.26,1303.73,47
CPT,86147,CARDIOLIPIN AB IGG,730.92,730.92,51.16,730.92,47
CPT,86147,CARDIOLIPIN AB IGM,730.92,730.92,51.16,730.92,47
CPT,86147,"Cardiolipin (phospholipid) antibody, each Ig class ",,,15.27,136.87,137
CPT,86147,"Cardiolipin (phospholipid) antibody, each Ig class Age 21+",,,23.52,23.52,4
CPT,86147,"Cardiolipin (phospholipid) antibody, each Ig class Age Under 21",,,23.95,23.95,4
CPT,86147,"Cardiolipin (phospholipid) antibody, each Ig class Other Outpatient",,,26.72,26.72,6
CPT,86148,Anti-phosphatidylserine (phospholipid) antibody ,,,9.64,85.79,137
CPT,86148,Anti-phosphatidylserine (phospholipid) antibody Age 21+,,,14.85,14.85,4
CPT,86148,Anti-phosphatidylserine (phospholipid) antibody Age Under 21,,,15.12,15.12,4
CPT,86148,Anti-phosphatidylserine (phospholipid) antibody Other Outpatient,,,16.87,16.87,6
CPT,86148,PHOSPHATIDYLSER AB IGA,461.47,461.47,32.3,461.47,47
CPT,86148,PHOSPHATIDYLSER AB IGG,461.47,461.47,32.3,461.47,47
CPT,86148,PHOSPHATIDYLSER AB IGM,461.47,461.47,32.3,461.47,47
CPT,86152,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,150.47,1350.76,124
CPT,86152,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); Other Outpatient",,,263.32,263.32,6
CPT,86153,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); physician interpretation and report, when required ",,,39.22,77.7,10
CPT,86155,"Chemotaxis assay, specify method ",,,9.59,85.79,137
CPT,86155,"Chemotaxis assay, specify method Age 21+",,,14.77,14.77,4
CPT,86155,"Chemotaxis assay, specify method Age Under 21",,,15.04,15.04,4
CPT,86155,"Chemotaxis assay, specify method Other Outpatient",,,16.79,16.79,6
CPT,86156,Cold agglutinin; screen ,,,4.84,43.83,137
CPT,86156,Cold agglutinin; screen Age 21+,,,7.46,7.46,4
CPT,86156,Cold agglutinin; screen Age Under 21,,,7.59,7.59,4
CPT,86156,Cold agglutinin; screen Other Outpatient,,,8.47,8.47,6
CPT,86157,COLD AGGLUTININ TITER,445.33,445.33,31.17,445.33,47
CPT,86157,Cold agglutinin; titer ,445.33,445.33,4.84,43.83,137
CPT,86157,Cold agglutinin; titer Age 21+,445.33,445.33,7.45,7.45,4
CPT,86157,Cold agglutinin; titer Age Under 21,445.33,445.33,7.58,7.58,4
CPT,86157,Cold agglutinin; titer Other Outpatient,445.33,445.33,8.46,8.46,6
CPT,86160,C1 ESTERASE INHIBITOR IA,566.34,566.34,39.64,566.34,47
CPT,86160,COMPLEMENT C1 EST INHIBI,253.31,253.31,17.73,253.31,47
CPT,86160,COMPLEMENT C1 Q,598.61,598.61,41.9,598.61,47
CPT,86160,COMPLEMENT C2,1471.53,1471.53,103.01,1471.53,47
CPT,86160,COMPLEMENT C3,900.34,900.34,63.02,900.34,47
CPT,86160,COMPLEMENT C4,253.31,253.31,17.73,253.31,47
CPT,86160,COMPLEMENT C5,1471.53,1471.53,103.01,1471.53,47
CPT,86160,COMPLEMENT C6,1426.35,1426.35,99.84,1426.35,47
CPT,86160,COMPLEMENT C7,1426.35,1426.35,99.84,1426.35,47
CPT,86160,COMPLEMENT C8,1426.35,1426.35,99.84,1426.35,47
CPT,86160,COMPLEMENT C9,1426.35,1426.35,99.84,1426.35,47
CPT,86160,COMPLEMENT FACTOR H,900.34,900.34,63.02,900.34,47
CPT,86160,COMPLEMENT FACTOR I,900.34,900.34,63.02,900.34,47
CPT,86160,COMPLEMENT FACTOR SC5B-9,833.27,833.27,58.33,833.27,47
CPT,86160,"Complement; antigen, each component ",,,7.2,63.9,137
CPT,86160,"Complement; antigen, each component Age 21+",,,11.09,11.09,4
CPT,86160,"Complement; antigen, each component Age Under 21",,,11.29,11.29,4
CPT,86160,"Complement; antigen, each component Other Outpatient",,,12.6,12.6,6
CPT,86161,COMPLEMENT C1 EST ACT,1529.62,1529.62,107.07,1529.62,47
CPT,86161,COMPLEMENT C3 ACT,535.68,535.68,37.5,535.68,47
CPT,86161,"Complement; functional activity, each component ",,,7.2,63.9,137
CPT,86161,"Complement; functional activity, each component Age 21+",,,11.09,11.09,4
CPT,86161,"Complement; functional activity, each component Age Under 21",,,11.29,11.29,4
CPT,86161,"Complement; functional activity, each component Other Outpatient",,,12.6,12.6,6
CPT,86161,HEMOLYTIC ASSAY COMP ACT,253.31,253.31,17.73,253.31,47
CPT,86162,COMPLEMENT TOT CH50,1669.98,1669.98,116.9,1669.98,47
CPT,86162,Complement; total hemolytic (CH50) ,1669.98,1669.98,12.19,109.54,137
CPT,86162,Complement; total hemolytic (CH50) Age 21+,1669.98,1669.98,18.78,18.78,4
CPT,86162,Complement; total hemolytic (CH50) Age Under 21,1669.98,1669.98,19.12,19.12,4
CPT,86162,Complement; total hemolytic (CH50) Other Outpatient,1669.98,1669.98,21.34,21.34,6
CPT,86171,COCCIDIOID AG CF,1426.35,1426.35,99.84,1426.35,47
CPT,86171,CRYPTOCOC AG CF,1208.52,1208.52,84.6,1208.52,47
CPT,86171,"Complement fixation tests, each antigen ",,,6.01,54.77,137
CPT,86171,"Complement fixation tests, each antigen Age 21+",,,9.25,9.25,4
CPT,86171,"Complement fixation tests, each antigen Age Under 21",,,9.42,9.42,4
CPT,86171,"Complement fixation tests, each antigen Other Outpatient",,,10.51,10.51,6
CPT,86171,NEISSERIA MEN AG CF,148.44,148.44,10.39,148.44,47
CPT,86171,RSV DIRECT AG CF,1574.79,1574.79,110.24,1574.79,141
CPT,86200,ANTI-CCP,432.43,432.43,30.27,432.43,47
CPT,86200,"Cyclic citrullinated peptide (CCP), antibody ",432.43,432.43,7.77,69.34,137
CPT,86200,"Cyclic citrullinated peptide (CCP), antibody Age 21+",432.43,432.43,11.97,11.97,4
CPT,86200,"Cyclic citrullinated peptide (CCP), antibody Age Under 21",432.43,432.43,12.19,12.19,4
CPT,86200,"Cyclic citrullinated peptide (CCP), antibody Other Outpatient",432.43,432.43,13.6,13.6,6
CPT,86215,DNASE ANTIBODY,643.78,643.78,45.06,643.78,47
CPT,86215,"Deoxyribonuclease, antibody ",643.78,643.78,7.95,71.22,137
CPT,86215,"Deoxyribonuclease, antibody Age 21+",643.78,643.78,12.24,12.24,4
CPT,86215,"Deoxyribonuclease, antibody Age Under 21",643.78,643.78,12.47,12.47,4
CPT,86215,"Deoxyribonuclease, antibody Other Outpatient",643.78,643.78,13.91,13.91,6
CPT,86225,DS DNA AB,1368.27,1368.27,95.78,1368.27,47
CPT,86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,1368.27,1368.27,8.24,74.84,137
CPT,86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded Age 21+,1368.27,1368.27,12.69,12.69,4
CPT,86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded Age Under 21,1368.27,1368.27,12.92,12.92,4
CPT,86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient,1368.27,1368.27,14.43,14.43,6
CPT,86226,DNA ANTIBODY SINGLE,759.96,759.96,53.2,759.96,47
CPT,86226,Deoxyribonucleic acid (DNA) antibody; single stranded ,759.96,759.96,7.27,65.72,137
CPT,86226,Deoxyribonucleic acid (DNA) antibody; single stranded Age 21+,759.96,759.96,11.19,11.19,4
CPT,86226,Deoxyribonucleic acid (DNA) antibody; single stranded Age Under 21,759.96,759.96,11.39,11.39,4
CPT,86226,Deoxyribonucleic acid (DNA) antibody; single stranded Other Outpatient,759.96,759.96,12.72,12.72,6
CPT,86231,ENDOMYSIAL AB IGA QL IA,598.61,598.61,41.9,598.61,51
CPT,86231,ENDOMYSIAL AB IGG QL IA,598.61,598.61,41.9,598.61,51
CPT,86231,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,7.25,65.72,133
CPT,86231,"Endomysial antibody (EMA), each immunoglobulin (Ig) class Age 21+",,,11.18,11.18,4
CPT,86231,"Endomysial antibody (EMA), each immunoglobulin (Ig) class Age Under 21",,,11.38,11.38,4
CPT,86231,"Endomysial antibody (EMA), each immunoglobulin (Ig) class Other Outpatient",,,12.69,12.69,6
CPT,86235,ANTI-U3 RNP FIBRILLARIN,684.11,684.11,47.89,684.11,47
CPT,86235,CHROMATIN AB,111.62,111.62,7.81,111.62,47
CPT,86235,EXTRACTABLE NUC AG SCR,377.57,377.57,26.43,377.57,47
CPT,86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,10.76,96.73,137
CPT,86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody Age 21+",,,16.57,16.57,4
CPT,86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody Age Under 21",,,16.87,16.87,4
CPT,86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody Other Outpatient",,,18.83,18.83,6
CPT,86235,HISTONE FA AB TIT,1247.25,1247.25,87.31,1247.25,47
CPT,86235,JO-1 ANTIBODY,663.16,663.16,46.42,663.16,47
CPT,86235,NRNP AB,469.53,469.53,32.87,469.53,47
CPT,86235,RNP ANTIBODY,505.03,505.03,35.35,505.03,47
CPT,86235,SCLERODERMA 70 AB,593.77,593.77,41.56,593.77,47
CPT,86235,SJOGRENS A AB (SSA),579.25,579.25,40.55,579.25,47
CPT,86235,SJOGRENS B AB (SSB),579.25,579.25,40.55,579.25,47
CPT,86235,SMITH ANTIBODY,505.03,505.03,35.35,505.03,47
CPT,86255,AGNA-1 AB BY FA,366.26,366.26,25.64,366.26,47
CPT,86255,AMPA-R AB CBA BY FA,640.56,640.56,44.84,640.56,47
CPT,86255,AMPHIPHYSIN AB FA,1214.97,1214.97,85.05,1214.97,47
CPT,86255,ANNA-1 (ANTI-HU) SCR FA,640.56,640.56,44.84,640.56,47
CPT,86255,ANNA-1 (ANTI-R) SCR FA,279.13,279.13,19.54,279.13,47
CPT,86255,ANNA-3 SCR BY IFA,709.96,709.96,49.7,709.96,47
CPT,86255,ANTI ENTEROCYTE IGA IIFA,667.99,667.99,46.76,667.99,47
CPT,86255,ANTI ENTEROCYTE IGG IIFA,667.99,667.99,46.76,667.99,47
CPT,86255,ANTI ENTEROCYTE IGM IIFA,667.99,667.99,46.76,667.99,47
CPT,86255,CRMP-5 IGG BY FA,366.26,366.26,25.64,366.26,47
CPT,86255,DPPX AB BY CBA-IFA SER,640.56,640.56,44.84,640.56,47
CPT,86255,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,7.23,65.72,137
CPT,86255,"Fluorescent noninfectious agent antibody; screen, each antibody Age 21+",,,11.13,11.13,4
CPT,86255,"Fluorescent noninfectious agent antibody; screen, each antibody Age Under 21",,,11.33,11.33,4
CPT,86255,"Fluorescent noninfectious agent antibody; screen, each antibody Other Outpatient",,,12.65,12.65,6
CPT,86255,GABA-B-R AB CBA BY FA,640.56,640.56,44.84,640.56,47
CPT,86255,INDIRECT IFA IGG AB,232.36,232.36,16.27,232.36,47
CPT,86255,INTERCELLULAR SUB AB SCN,5001.89,5001.89,350.13,5001.89,47
CPT,86255,MGLUR1-IGG IFA SERUM,195.1,195.1,13.66,195.1,47
CPT,86255,MYELIN AB FA QL,640.56,640.56,44.84,640.56,47
CPT,86255,NEUROMYELITIS OPTICA AB,2221.8,2221.8,155.53,2221.8,47
CPT,86255,NEURONAL NUC FA AB QL,709.96,709.96,49.7,709.96,47
CPT,86255,NMDA RECEPTOR NR1 IFA,5124.52,5124.52,358.72,5124.52,47
CPT,86255,PARIETAL FA AB QL,496.96,496.96,34.79,496.96,47
CPT,86255,PCA-2 AB BY FA,366.26,366.26,25.64,366.26,47
CPT,86255,PCA-TR AB BY FA,366.26,366.26,25.64,366.26,47
CPT,86255,PURK CELL (YO) FA AB QL,366.26,366.26,25.64,366.26,47
CPT,86255,RETICULIN FA AB IGA SCR,1021.35,1021.35,71.49,1021.35,47
CPT,86255,RETICULIN FA AB IGG SCR,1021.35,1021.35,71.49,1021.35,47
CPT,86255,RETICULIN FA AB QL,1021.35,1021.35,71.49,1021.35,47
CPT,86255,STRIATED MUSC FA AB SCR,366.26,366.26,25.64,366.26,47
CPT,86256,ADRENAL FA AB TIT,1001.99,1001.99,70.14,1001.99,47
CPT,86256,ANTIGLIAL NUC AB FA TIT,356.58,356.58,24.96,356.58,47
CPT,86256,COLLAPSIN RMP5 AB FA TIT,356.58,356.58,24.96,356.58,47
CPT,86256,EPIDERM DERM FA AB TIT,1163.35,1163.35,81.43,1163.35,47
CPT,86256,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,7.23,65.72,137
CPT,86256,"Fluorescent noninfectious agent antibody; titer, each antibody Age 21+",,,11.13,11.13,4
CPT,86256,"Fluorescent noninfectious agent antibody; titer, each antibody Age Under 21",,,11.33,11.33,4
CPT,86256,"Fluorescent noninfectious agent antibody; titer, each antibody Other Outpatient",,,12.65,12.65,6
CPT,86256,GLOMERULAR BM FA AB TIT,2415.43,2415.43,169.08,2415.43,47
CPT,86256,MYOCARDIAL FA AB TIT,574.41,574.41,40.21,574.41,47
CPT,86256,NEURON AB ANNA2 TIT,338.85,338.85,23.72,338.85,47
CPT,86256,NEURON NUC AB 1 HU TIT,338.85,338.85,23.72,338.85,47
CPT,86256,NEURONAL NUC FA AB TIT,682.52,682.52,47.78,682.52,47
CPT,86256,NMDA RECEPTOR AB TIT FA,733.55,733.55,51.35,733.55,47
CPT,86256,PARIETAL FA AB TIT,792.24,792.24,55.46,792.24,47
CPT,86256,PURK CELL (YO) FA AB TIT,682.52,682.52,47.78,682.52,47
CPT,86256,STRIATED MUSC FA AB TIT,316.24,316.24,22.14,316.24,47
CPT,86258,GLIADIN AB IGA IA QL,964.88,964.88,67.54,964.88,51
CPT,86258,GLIADIN AB IGG IA QL,964.88,964.88,67.54,964.88,51
CPT,86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,7.23,65.72,133
CPT,86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class Age 21+",,,11.13,11.13,4
CPT,86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class Age Under 21",,,11.33,11.33,4
CPT,86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class Other Outpatient",,,12.65,12.65,6
CPT,86277,"Growth hormone, human (HGH), antibody ",,,9.44,83.97,137
CPT,86277,"Growth hormone, human (HGH), antibody Age 21+",,,14.54,14.54,4
CPT,86277,"Growth hormone, human (HGH), antibody Age Under 21",,,14.81,14.81,4
CPT,86277,"Growth hormone, human (HGH), antibody Other Outpatient",,,16.53,16.53,6
CPT,86280,Hemagglutination inhibition test (HAI) ,,,4.91,43.83,137
CPT,86280,Hemagglutination inhibition test (HAI) Age 21+,,,7.57,7.57,4
CPT,86280,Hemagglutination inhibition test (HAI) Age Under 21,,,7.71,7.71,4
CPT,86280,Hemagglutination inhibition test (HAI) Other Outpatient,,,8.6,8.6,6
CPT,86294,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,15.34,136.87,137
CPT,86294,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Age 21+",,,23.63,23.63,4
CPT,86294,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Age Under 21",,,24.06,24.06,4
CPT,86294,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Other Outpatient",,,26.85,26.85,6
CPT,86300,CA 15-3 QN,2633.24,2633.24,184.33,2633.24,47
CPT,86300,CA 27-29 QN,1413.44,1413.44,98.94,1413.44,47
CPT,86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,12.49,111.36,137
CPT,86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) Age 21+",,,19.23,19.23,4
CPT,86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) Age Under 21",,,19.58,19.58,4
CPT,86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) Other Outpatient",,,21.85,21.85,6
CPT,86301,CA 19-9 QN,2626.8,2626.8,183.88,2626.8,47
CPT,86301,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",2626.8,2626.8,12.49,111.36,137
CPT,86301,"Immunoassay for tumor antigen, quantitative; CA 19-9 Age 21+",2626.8,2626.8,19.23,19.23,4
CPT,86301,"Immunoassay for tumor antigen, quantitative; CA 19-9 Age Under 21",2626.8,2626.8,19.58,19.58,4
CPT,86301,"Immunoassay for tumor antigen, quantitative; CA 19-9 Other Outpatient",2626.8,2626.8,21.85,21.85,6
CPT,86304,CA 125 FLUID QN,868.07,868.07,60.76,868.07,47
CPT,86304,CA 125 QN,1158.51,1158.51,81.1,1158.51,47
CPT,86304,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,12.49,111.36,137
CPT,86304,"Immunoassay for tumor antigen, quantitative; CA 125 Age 21+",,,19.23,19.23,4
CPT,86304,"Immunoassay for tumor antigen, quantitative; CA 125 Age Under 21",,,19.58,19.58,4
CPT,86304,"Immunoassay for tumor antigen, quantitative; CA 125 Other Outpatient",,,21.85,21.85,6
CPT,86305,HUMAN EPIDIDYMIS PROT. 4,1213.36,1213.36,84.94,1213.36,47
CPT,86305,Human epididymis protein 4 (HE4) ,1213.36,1213.36,12.49,111.36,137
CPT,86305,Human epididymis protein 4 (HE4) Age 21+,1213.36,1213.36,19.23,19.23,4
CPT,86305,Human epididymis protein 4 (HE4) Age Under 21,1213.36,1213.36,19.58,19.58,4
CPT,86305,Human epididymis protein 4 (HE4) Other Outpatient,1213.36,1213.36,21.85,21.85,6
CPT,86308,Heterophile antibodies; screening ,,,3.11,27.39,137
CPT,86308,Heterophile antibodies; screening Age 21+,,,4.79,4.79,4
CPT,86308,Heterophile antibodies; screening Age Under 21,,,4.87,4.87,4
CPT,86308,Heterophile antibodies; screening Other Outpatient,,,5.44,5.44,6
CPT,86308,MONO SCR (HETEROPHILE),861.61,861.61,60.31,861.61,94
CPT,86309,Heterophile antibodies; titer ,,,3.88,34.7,137
CPT,86309,Heterophile antibodies; titer Age 21+,,,5.97,5.97,4
CPT,86309,Heterophile antibodies; titer Age Under 21,,,6.08,6.08,4
CPT,86309,Heterophile antibodies; titer Other Outpatient,,,6.79,6.79,6
CPT,86310,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,4.42,40.14,137
CPT,86310,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Age 21+,,,6.81,6.81,4
CPT,86310,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Age Under 21,,,6.93,6.93,4
CPT,86310,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Other Outpatient,,,7.74,7.74,6
CPT,86316,ALPHA-FETOPROTEIN FLD QN,396.91,396.91,27.78,396.91,47
CPT,86316,CA 72 4 IA QN,1566.72,1566.72,109.67,1566.72,47
CPT,86316,CHROMOGRANIN A IA QN,692.19,692.19,48.45,692.19,47
CPT,86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,12.49,111.36,137
CPT,86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each Age 21+",,,19.23,19.23,4
CPT,86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each Age Under 21",,,19.58,19.58,4
CPT,86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each Other Outpatient",,,21.85,21.85,6
CPT,86316,NEURON SPEC ENOLASE QN,629.28,629.28,44.05,629.28,47
CPT,86317,CHIKUNGUNYA AB TITER,471.15,471.15,32.98,471.15,47
CPT,86317,DIPHTHERIA AB QN,455.0,455.0,31.85,455.0,47
CPT,86317,EHRLICHIA AB QN,1139.15,1139.15,79.74,1139.15,47
CPT,86317,H INFLU AB IGG QN,314.64,314.64,22.02,314.64,47
CPT,86317,HB S AB QN,316.24,316.24,22.14,316.24,47
CPT,86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,8.99,80.29,137
CPT,86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified Age 21+",,,13.85,13.85,4
CPT,86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified Age Under 21",,,14.1,14.1,4
CPT,86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified Other Outpatient",,,15.74,15.74,6
CPT,86317,PRION INF AGENT QN IA,551.82,551.82,38.63,551.82,47
CPT,86317,RABIES AB QN,598.61,598.61,41.9,598.61,47
CPT,86317,STREP PNEUMO AB QN,116.17,116.17,8.13,116.17,47
CPT,86317,TETANUS AB QN,455.0,455.0,31.85,455.0,47
CPT,86317,TOXO AB IGG QN,1079.44,1079.44,75.56,1079.44,47
CPT,86318,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,10.85,96.73,137
CPT,86318,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); Age 21+",,,16.72,16.72,4
CPT,86318,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); Age Under 21",,,17.02,17.02,4
CPT,86318,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); Other Outpatient",,,18.99,18.99,6
CPT,86320,IMMUNOELECT BLD/SERUM,535.68,535.68,37.5,535.68,47
CPT,86320,Immunoelectrophoresis; serum ,535.68,535.68,17.95,160.63,137
CPT,86320,Immunoelectrophoresis; serum Age 21+,535.68,535.68,27.64,27.64,4
CPT,86320,Immunoelectrophoresis; serum Age Under 21,535.68,535.68,28.15,28.15,4
CPT,86320,Immunoelectrophoresis; serum Other Outpatient,535.68,535.68,31.42,31.42,6
CPT,86325,IMMUNOELECT CSF,669.61,669.61,46.87,669.61,47
CPT,86325,IMMUNOELECT UR,574.41,574.41,40.21,574.41,47
CPT,86325,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,13.88,124.12,137
CPT,86325,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Age 21+",,,21.37,21.37,4
CPT,86325,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Age Under 21",,,21.76,21.76,4
CPT,86325,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Other Outpatient",,,24.29,24.29,6
CPT,86327,Immunoelectrophoresis; crossed (2-dimensional assay) ,,,17.95,17.95,2
CPT,86328,COVID-19 AB SINGLESTEP,63.72,63.72,4.46,63.72,57
CPT,86328,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",63.72,63.72,27.17,118.63,141
CPT,86329,Immunodiffusion; not elsewhere specified ,830.98,830.98,8.43,74.84,137
CPT,86329,Immunodiffusion; not elsewhere specified Age 21+,830.98,830.98,12.98,12.98,4
CPT,86329,Immunodiffusion; not elsewhere specified Age Under 21,830.98,830.98,13.22,13.22,4
CPT,86329,Immunodiffusion; not elsewhere specified Other Outpatient,830.98,830.98,14.75,14.75,6
CPT,86329,TEICHOIC ACID AB ID,830.98,830.98,58.17,830.98,47
CPT,86331,ALPHA LACTOALBUMIN BY GD,314.64,314.64,22.02,314.64,47
CPT,86331,ASPERGILLUS FUMIGATUS GD,188.78,188.78,13.21,188.78,47
CPT,86331,AUREOBASIDIUM PULLULA GD,188.78,188.78,13.21,188.78,47
CPT,86331,AVIAN GD,188.78,188.78,13.21,188.78,47
CPT,86331,BOVINE SERUM ALB BY GD,314.64,314.64,22.02,314.64,47
CPT,86331,CASEIN BY GD,314.64,314.64,22.02,314.64,47
CPT,86331,COCCIDIODES GD,314.64,314.64,22.02,314.64,47
CPT,86331,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,7.19,63.9,137
CPT,86331,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody Age 21+",,,11.07,11.07,4
CPT,86331,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody Age Under 21",,,11.27,11.27,4
CPT,86331,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody Other Outpatient",,,12.58,12.58,6
CPT,86331,MICROPOLYSPORA FAENI GD,188.78,188.78,13.21,188.78,47
CPT,86331,MILK COW BY GD,314.64,314.64,22.02,314.64,47
CPT,86331,THERMOACTINOMYCES GD,188.78,188.78,13.21,188.78,47
CPT,86332,C1Q BINDING IMM COMP,766.42,766.42,53.65,766.42,47
CPT,86332,Immune complex assay ,,,14.62,131.43,137
CPT,86332,Immune complex assay Age 21+,,,22.52,22.52,4
CPT,86332,Immune complex assay Age Under 21,,,22.93,22.93,4
CPT,86332,Immune complex assay Other Outpatient,,,25.59,25.59,6
CPT,86332,RAJI IMMUNE COMP,643.78,643.78,45.06,643.78,47
CPT,86334,Immunofixation electrophoresis; serum ,,,13.4,120.49,137
CPT,86334,Immunofixation electrophoresis; serum Age 21+,,,20.65,20.65,4
CPT,86334,Immunofixation electrophoresis; serum Age Under 21,,,21.02,21.02,4
CPT,86334,Immunofixation electrophoresis; serum Other Outpatient,,,23.46,23.46,6
CPT,86335,BETA 2 TRANSFERRIN IFE,1950.74,1950.74,136.55,1950.74,47
CPT,86335,BETA2 TRNSFER OTH FLD IF,1950.74,1950.74,136.55,1950.74,47
CPT,86335,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,17.61,158.82,137
CPT,86335,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) Age 21+",,,27.12,27.12,4
CPT,86335,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) Age Under 21",,,27.61,27.61,4
CPT,86335,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) Other Outpatient",,,30.82,30.82,6
CPT,86336,INHIBIN A,1066.53,1066.53,74.66,1066.53,47
CPT,86336,Inhibin A ,1066.53,1066.53,9.35,83.97,137
CPT,86336,Inhibin A Age 21+,1066.53,1066.53,14.41,14.41,4
CPT,86336,Inhibin A Age Under 21,1066.53,1066.53,14.67,14.67,4
CPT,86336,Inhibin A Other Outpatient,1066.53,1066.53,16.37,16.37,6
CPT,86337,INSULIN AB,585.69,585.69,41.0,585.69,47
CPT,86337,Insulin antibodies ,585.69,585.69,12.85,114.99,137
CPT,86337,Insulin antibodies Age 21+,585.69,585.69,19.78,19.78,4
CPT,86337,Insulin antibodies Age Under 21,585.69,585.69,20.14,20.14,4
CPT,86337,Insulin antibodies Other Outpatient,585.69,585.69,22.48,22.48,6
CPT,86340,INTRINSIC FACT AB,1042.33,1042.33,72.96,1042.33,47
CPT,86340,Intrinsic factor antibodies ,1042.33,1042.33,9.05,82.16,137
CPT,86340,Intrinsic factor antibodies Age 21+,1042.33,1042.33,13.94,13.94,4
CPT,86340,Intrinsic factor antibodies Age Under 21,1042.33,1042.33,14.19,14.19,4
CPT,86340,Intrinsic factor antibodies Other Outpatient,1042.33,1042.33,15.83,15.83,6
CPT,86341,GLUTAMIC ACID DECARB AB,3659.44,3659.44,256.16,3659.44,47
CPT,86341,IA2 AUTOANTIBODY,1305.33,1305.33,91.37,1305.33,47
CPT,86341,ISLET CELL AB,887.44,887.44,62.12,887.44,94
CPT,86341,Islet cell antibody ,,,14.14,127.75,137
CPT,86341,Islet cell antibody Age 21+,,,21.78,21.78,4
CPT,86341,Islet cell antibody Age Under 21,,,22.18,22.18,4
CPT,86341,Islet cell antibody Other Outpatient,,,24.75,24.75,6
CPT,86343,Leukocyte histamine release test (LHR) ,,,7.48,67.53,137
CPT,86343,Leukocyte histamine release test (LHR) Age 21+,,,11.52,11.52,4
CPT,86343,Leukocyte histamine release test (LHR) Age Under 21,,,11.73,11.73,4
CPT,86343,Leukocyte histamine release test (LHR) Other Outpatient,,,13.08,13.08,6
CPT,86344,LEUK PHAGOCYTOSIS,209.76,209.76,14.68,209.76,47
CPT,86344,Leukocyte phagocytosis ,209.76,209.76,6.23,56.59,137
CPT,86344,Leukocyte phagocytosis Age 21+,209.76,209.76,9.6,9.6,4
CPT,86344,Leukocyte phagocytosis Age Under 21,209.76,209.76,9.78,9.78,4
CPT,86344,Leukocyte phagocytosis Other Outpatient,209.76,209.76,10.91,10.91,6
CPT,86352,CELL FUNCT STIM DET BIO,2839.78,2839.78,198.78,2839.78,47
CPT,86352,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,81.52,731.94,137
CPT,86352,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) Age 21+",,,125.53,125.53,4
CPT,86352,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) Age Under 21",,,127.81,127.81,4
CPT,86352,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) Other Outpatient",,,142.65,142.65,6
CPT,86352,IMMUKNOW ATP ICFA TRANSP,2279.89,2279.89,159.59,2279.89,47
CPT,86352,IMMUKNOW ATP STIM,1481.22,1481.22,103.69,1481.22,47
CPT,86353,IMMUKNOW PHYTOHEMAGG AG,1148.83,1148.83,80.42,1148.83,47
CPT,86353,IMMUKNOW POKEWEED AG,1148.83,1148.83,80.42,1148.83,47
CPT,86353,IMMUKNOW TETANUS AG,1211.76,1211.76,84.82,1211.76,47
CPT,86353,IMMUNKNOW C ALBICANS,1281.13,1281.13,89.68,1281.13,47
CPT,86353,IMMUNKNOW CON A,1281.13,1281.13,89.68,1281.13,47
CPT,86353,IMMUNKNOW MUMPS,1281.13,1281.13,89.68,1281.13,47
CPT,86353,IMMUNKNOW TUBERCULIN PPD,1281.13,1281.13,89.68,1281.13,47
CPT,86353,IMMUNKNOW VARICEL ZOST,1281.13,1281.13,89.68,1281.13,47
CPT,86353,LYMPH TRANSFORM,1371.49,1371.49,96.0,1371.49,47
CPT,86353,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,29.42,264.68,137
CPT,86353,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis Age 21+",,,45.31,45.31,4
CPT,86353,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis Age Under 21",,,46.13,46.13,4
CPT,86353,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis Other Outpatient",,,51.48,51.48,6
CPT,86355,B CELLS TOTAL COUNT,1140.75,1140.75,79.85,1140.75,94
CPT,86355,"B cells, total count ",,,22.64,202.59,137
CPT,86355,"B cells, total count Age 21+",,,34.86,34.86,4
CPT,86355,"B cells, total count Age Under 21",,,35.49,35.49,4
CPT,86355,"B cells, total count Other Outpatient",,,39.62,39.62,6
CPT,86356,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,16.07,144.19,137
CPT,86356,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen Age 21+",,,24.75,24.75,4
CPT,86356,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen Age Under 21",,,25.2,25.2,4
CPT,86356,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen Other Outpatient",,,28.12,28.12,6
CPT,86357,CD16/CD56 NK CELLS TOTAL,722.85,722.85,50.6,722.85,94
CPT,86357,CD57 (NK CELL) TOT CT,722.85,722.85,50.6,722.85,47
CPT,86357,NK FUNCTION,2020.11,2020.11,141.41,2020.11,47
CPT,86357,"Natural killer (NK) cells, total count ",,,22.64,202.59,137
CPT,86357,"Natural killer (NK) cells, total count Age 21+",,,34.86,34.86,4
CPT,86357,"Natural killer (NK) cells, total count Age Under 21",,,35.49,35.49,4
CPT,86357,"Natural killer (NK) cells, total count Other Outpatient",,,39.62,39.62,6
CPT,86359,T CELLS TOTAL,1730.4850000000001,1730.4850000000001,117.8,1778.08,141
CPT,86359,T cells; total count ,,,22.64,202.59,137
CPT,86359,T cells; total count Age 21+,,,34.86,34.86,4
CPT,86359,T cells; total count Age Under 21,,,35.49,35.49,4
CPT,86359,T cells; total count Other Outpatient,,,39.62,39.62,6
CPT,86360,T CELLS CD4 8 RATIO,1126.24,1126.24,78.84,1126.24,94
CPT,86360,"T cells; absolute CD4 and CD8 count, including ratio ",,,28.19,253.73,137
CPT,86360,"T cells; absolute CD4 and CD8 count, including ratio Age 21+",,,43.41,43.41,4
CPT,86360,"T cells; absolute CD4 and CD8 count, including ratio Age Under 21",,,44.2,44.2,4
CPT,86360,"T cells; absolute CD4 and CD8 count, including ratio Other Outpatient",,,49.33,49.33,6
CPT,86361,T CELLS CD4 COUNT,613.14,613.14,42.92,613.14,94
CPT,86361,T cells; absolute CD4 count ,,,16.07,144.19,137
CPT,86361,T cells; absolute CD4 count Age 21+,,,24.75,24.75,4
CPT,86361,T cells; absolute CD4 count Age Under 21,,,25.2,25.2,4
CPT,86361,T cells; absolute CD4 count Other Outpatient,,,28.12,28.12,6
CPT,86362,MOG-IGG1 AB BY CBA EACH,6665.4,6665.4,466.58,6665.4,51
CPT,86362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",6665.4,6665.4,7.23,65.72,133
CPT,86362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Age 21+",6665.4,6665.4,11.13,11.13,4
CPT,86362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Age Under 21",6665.4,6665.4,11.33,11.33,4
CPT,86362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Other Outpatient",6665.4,6665.4,12.65,12.65,6
CPT,86363,MOG SCR BY FACS SERUM,2221.8,2221.8,155.53,2221.8,51
CPT,86363,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",2221.8,2221.8,12.05,202.59,133
CPT,86363,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Age 21+",2221.8,2221.8,34.86,34.86,4
CPT,86363,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Age Under 21",2221.8,2221.8,35.49,35.49,4
CPT,86363,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Other Outpatient",2221.8,2221.8,39.62,39.62,6
CPT,86364,TRANSGLUTAMIN AB IGA QN,1734.53,1734.53,121.42,1734.53,51
CPT,86364,TRANSGLUTAMIN IGA QL IA,931.97,931.97,65.24,931.97,51
CPT,86364,TRANSGLUTAMIN IGG QL IA,931.97,931.97,65.24,931.97,51
CPT,86364,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,6.92,62.09,133
CPT,86364,"Tissue transglutaminase, each immunoglobulin (Ig) class Age 21+",,,10.66,10.66,4
CPT,86364,"Tissue transglutaminase, each immunoglobulin (Ig) class Age Under 21",,,10.85,10.85,4
CPT,86364,"Tissue transglutaminase, each immunoglobulin (Ig) class Other Outpatient",,,12.11,12.11,6
CPT,86366,MUSK AB,3341.57,3341.57,233.91,3341.57,57
CPT,86366,Muscle-specific kinase (MuSK) antibody ,3341.57,3341.57,11.04,48.21,127
CPT,86366,Muscle-specific kinase (MuSK) antibody Age 21+,3341.57,3341.57,17.01,17.01,4
CPT,86366,Muscle-specific kinase (MuSK) antibody Age Under 21,3341.57,3341.57,17.32,17.32,4
CPT,86366,Muscle-specific kinase (MuSK) antibody Other Outpatient,3341.57,3341.57,19.32,19.32,6
CPT,86367,STEM CELLS TOTAL CT,1140.75,1140.75,79.85,1140.75,141
CPT,86367,"Stem cells (ie, CD34), total count ",,,46.67,419.81,137
CPT,86367,"Stem cells (ie, CD34), total count Age 21+",,,71.87,71.87,4
CPT,86367,"Stem cells (ie, CD34), total count Age Under 21",,,73.18,73.18,4
CPT,86367,"Stem cells (ie, CD34), total count Other Outpatient",,,81.67,81.67,6
CPT,86376,ANTI MICROSOMAL AB,1298.88,1298.88,90.92,1298.88,47
CPT,86376,LIVER-KIDNEY MICRO AB,1363.42,1363.42,95.44,1363.42,47
CPT,86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,8.73,78.47,137
CPT,86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each Age 21+",,,13.44,13.44,4
CPT,86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each Age Under 21",,,13.69,13.69,4
CPT,86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each Other Outpatient",,,15.28,15.28,6
CPT,86376,THYROID MICROSOMAL AB,1542.53,1542.53,107.98,1542.53,47
CPT,86376,THYROID PEROXIDASE AB,1113.33,1113.33,77.93,1113.33,47
CPT,86381,MITOCHOND FA AB TIT,1119.77,1119.77,78.38,1119.77,51
CPT,86381,"Mitochondrial antibody (eg, M2), each ",1119.77,1119.77,15.27,136.87,133
CPT,86381,"Mitochondrial antibody (eg, M2), each Age 21+",1119.77,1119.77,23.52,23.52,4
CPT,86381,"Mitochondrial antibody (eg, M2), each Age Under 21",1119.77,1119.77,23.95,23.95,4
CPT,86381,"Mitochondrial antibody (eg, M2), each Other Outpatient",1119.77,1119.77,26.72,26.72,6
CPT,86382,"Neutralization test, viral ",,,10.15,91.29,137
CPT,86382,"Neutralization test, viral Age 21+",,,15.62,15.62,4
CPT,86382,"Neutralization test, viral Age Under 21",,,15.9,15.9,4
CPT,86382,"Neutralization test, viral Other Outpatient",,,17.76,17.76,6
CPT,86384,NITROBLUE T DYE,1331.14,1331.14,93.18,1331.14,47
CPT,86384,Nitroblue tetrazolium dye test (NTD) ,1331.14,1331.14,8.17,73.03,137
CPT,86384,Nitroblue tetrazolium dye test (NTD) Age 21+,1331.14,1331.14,12.57,12.57,4
CPT,86384,Nitroblue tetrazolium dye test (NTD) Age Under 21,1331.14,1331.14,12.8,12.8,4
CPT,86384,Nitroblue tetrazolium dye test (NTD) Other Outpatient,1331.14,1331.14,14.29,14.29,6
CPT,86386,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,13.07,116.8,137
CPT,86386,"Nuclear Matrix Protein 22 (NMP22), qualitative Age 21+",,,20.13,20.13,4
CPT,86386,"Nuclear Matrix Protein 22 (NMP22), qualitative Age Under 21",,,20.5,20.5,4
CPT,86386,"Nuclear Matrix Protein 22 (NMP22), qualitative Other Outpatient",,,22.87,22.87,6
CPT,86403,H INFLU TYPE B LATEX,232.36,232.36,16.27,232.36,47
CPT,86403,N MENINGTDS GRP A/Y LATX,232.36,232.36,16.27,232.36,47
CPT,86403,N MENINGTDS GRP B/E LATX,232.36,232.36,16.27,232.36,47
CPT,86403,N MENINGTDS GRP C/W LATX,232.36,232.36,16.27,232.36,47
CPT,86403,"Particle agglutination; screen, each antibody ",,,6.92,62.09,137
CPT,86403,"Particle agglutination; screen, each antibody Age 21+",,,10.66,10.66,4
CPT,86403,"Particle agglutination; screen, each antibody Age Under 21",,,10.85,10.85,4
CPT,86403,"Particle agglutination; screen, each antibody Other Outpatient",,,12.12,12.12,6
CPT,86403,STREP GROUP B LATEX,232.36,232.36,16.27,232.36,47
CPT,86403,STREP PNEUMO LATEX,232.36,232.36,16.27,232.36,47
CPT,86406,"Particle agglutination; titer, each antibody ",,,6.38,56.59,137
CPT,86406,"Particle agglutination; titer, each antibody Age 21+",,,9.83,9.83,4
CPT,86406,"Particle agglutination; titer, each antibody Age Under 21",,,10.01,10.01,4
CPT,86406,"Particle agglutination; titer, each antibody Other Outpatient",,,11.17,11.17,6
CPT,86408,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,25.28,110.38,127
CPT,86408,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen Age 21+",,,38.93,38.93,4
CPT,86408,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen Age Under 21",,,39.64,39.64,4
CPT,86408,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen Other Outpatient",,,44.24,44.24,6
CPT,86409,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,65.87,231.73,125
CPT,86409,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer Age 21+",,,73.56,73.56,4
CPT,86409,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer Age Under 21",,,74.89,74.89,4
CPT,86409,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer Other Outpatient",,,83.59,83.59,6
CPT,86413,COVID-19 AB QN,59.36,59.36,4.16,59.36,57
CPT,86413,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",59.36,59.36,42.22,134.75,127
CPT,86413,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Age 21+",59.36,59.36,47.52,47.52,4
CPT,86413,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Age Under 21",59.36,59.36,48.38,48.38,4
CPT,86413,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Other Outpatient",59.36,59.36,54.0,54.0,6
CPT,86430,RA FACTOR QUAL,900.34,900.34,63.02,900.34,94
CPT,86430,Rheumatoid factor; qualitative ,,,3.68,32.83,137
CPT,86430,Rheumatoid factor; qualitative Age 21+,,,5.68,5.68,4
CPT,86430,Rheumatoid factor; qualitative Age Under 21,,,5.78,5.78,4
CPT,86430,Rheumatoid factor; qualitative Other Outpatient,,,6.45,6.45,6
CPT,86431,RA QN,772.88,772.88,54.1,772.88,47
CPT,86431,Rheumatoid factor; quantitative ,772.88,772.88,3.4,31.01,137
CPT,86431,Rheumatoid factor; quantitative Age 21+,772.88,772.88,5.24,5.24,4
CPT,86431,Rheumatoid factor; quantitative Age Under 21,772.88,772.88,5.33,5.33,4
CPT,86431,Rheumatoid factor; quantitative Other Outpatient,772.88,772.88,5.95,5.95,6
CPT,86480,TB GAMMA INTERFERON RESP,1871.67,1871.67,131.02,1871.67,47
CPT,86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",1871.67,1871.67,37.19,334.02,137
CPT,86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age 21+",1871.67,1871.67,57.27,57.27,4
CPT,86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age Under 21",1871.67,1871.67,58.31,58.31,4
CPT,86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient",1871.67,1871.67,65.08,65.08,6
CPT,86481,TB TEST CMIA EGIP T-CELL,1185.92,1185.92,83.01,1185.92,47
CPT,86481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",1185.92,1185.92,60.0,538.48,137
CPT,86481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Age 21+",1185.92,1185.92,92.4,92.4,4
CPT,86481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Age Under 21",1185.92,1185.92,94.08,94.08,4
CPT,86481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Other Outpatient",1185.92,1185.92,105.0,105.0,6
CPT,86485,SKIN CANDIDA,285.6,285.6,19.99,285.6,48
CPT,86485,Skin test; candida ,285.6,285.6,23.24,104.04,49
CPT,86486,"Skin test; unlisted antigen, each ",,,7.01,50.58,49
CPT,86510,Skin test; histoplasmosis ,,,8.63,121.02,49
CPT,86580,SKIN TB-PPD,238.8,238.8,16.72,238.8,48
CPT,86580,"Skin test; tuberculosis, intradermal ",238.8,238.8,12.22,54.38,49
CPT,86581,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,26.23,241.12,125
CPT,86581,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Age 21+",,,32.65,32.65,4
CPT,86581,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Age Under 21",,,33.24,33.24,4
CPT,86581,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient",,,96.63,96.63,6
CPT,86590,"Streptokinase, antibody ",,,7.6,67.53,137
CPT,86590,"Streptokinase, antibody Age 21+",,,11.69,11.69,4
CPT,86590,"Streptokinase, antibody Age Under 21",,,11.91,11.91,4
CPT,86590,"Streptokinase, antibody Other Outpatient",,,13.29,13.29,6
CPT,86592,RPR QUAL,792.24,792.24,55.46,792.24,47
CPT,86592,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,2.56,23.76,137
CPT,86592,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Age 21+",,,3.95,3.95,4
CPT,86592,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Age Under 21",,,4.02,4.02,4
CPT,86592,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Other Outpatient",,,4.48,4.48,6
CPT,86592,VDRL BLD QUAL,329.17,329.17,23.04,329.17,47
CPT,86592,VDRL CSF QUAL,669.61,669.61,46.87,669.61,47
CPT,86593,RPR QUANT,792.24,792.24,55.46,792.24,47
CPT,86593,"Syphilis test, non-treponemal antibody; quantitative ",,,2.64,23.76,137
CPT,86593,"Syphilis test, non-treponemal antibody; quantitative Age 21+",,,4.07,4.07,4
CPT,86593,"Syphilis test, non-treponemal antibody; quantitative Age Under 21",,,4.14,4.14,4
CPT,86593,"Syphilis test, non-treponemal antibody; quantitative Other Outpatient",,,4.62,4.62,6
CPT,86593,VDRL CSF QN,669.61,669.61,46.87,669.61,47
CPT,86596,CA CHNNL BIND AB N TYPE,145.23,145.23,10.17,145.23,51
CPT,86596,CA CHNNL BIND AB P/QTYPE,145.23,145.23,10.17,145.23,51
CPT,86596,VOLT-GATED CA CH IA QL,887.44,887.44,62.12,887.44,51
CPT,86596,VOLTAGE-GATED C C AB RIA,887.44,887.44,62.12,887.44,51
CPT,86596,"Voltage-gated calcium channel antibody, each ",,,7.23,65.72,133
CPT,86596,"Voltage-gated calcium channel antibody, each Age 21+",,,11.13,11.13,4
CPT,86596,"Voltage-gated calcium channel antibody, each Age Under 21",,,11.33,11.33,4
CPT,86596,"Voltage-gated calcium channel antibody, each Other Outpatient",,,12.65,12.65,6
CPT,86602,Antibody; actinomyces ,,,6.11,54.77,137
CPT,86602,Antibody; actinomyces Age 21+,,,9.41,9.41,4
CPT,86602,Antibody; actinomyces Age Under 21,,,9.58,9.58,4
CPT,86602,Antibody; actinomyces Other Outpatient,,,10.69,10.69,6
CPT,86603,ADENOVIRUS AB QL,619.58,619.58,43.37,619.58,47
CPT,86603,Antibody; adenovirus ,619.58,619.58,7.72,69.34,137
CPT,86603,Antibody; adenovirus Age 21+,619.58,619.58,11.89,11.89,4
CPT,86603,Antibody; adenovirus Age Under 21,619.58,619.58,12.11,12.11,4
CPT,86603,Antibody; adenovirus Other Outpatient,619.58,619.58,13.51,13.51,6
CPT,86606,ASPERGILLUS AB,250.09,250.09,17.51,250.09,47
CPT,86606,ASPERGILLUS FLAVUS AB,406.6,406.6,28.46,406.6,47
CPT,86606,ASPERGILLUS FUMI IGG,645.4,645.4,45.18,645.4,47
CPT,86606,ASPERGILLUS FUMIGATUS AB,406.6,406.6,28.46,406.6,47
CPT,86606,ASPERGILLUS NIGER AB,406.6,406.6,28.46,406.6,47
CPT,86606,Antibody; Aspergillus ,,,9.03,80.29,137
CPT,86606,Antibody; Aspergillus Age 21+,,,13.9,13.9,4
CPT,86606,Antibody; Aspergillus Age Under 21,,,14.16,14.16,4
CPT,86606,Antibody; Aspergillus Other Outpatient,,,15.8,15.8,6
CPT,86609,"Antibody; bacterium, not elsewhere specified ",,,7.73,69.34,137
CPT,86609,"Antibody; bacterium, not elsewhere specified Age 21+",,,11.9,11.9,4
CPT,86609,"Antibody; bacterium, not elsewhere specified Age Under 21",,,12.12,12.12,4
CPT,86609,"Antibody; bacterium, not elsewhere specified Other Outpatient",,,13.52,13.52,6
CPT,86609,BURKHOLDERIA AB IGG,503.41,503.41,35.24,503.41,47
CPT,86609,BURKHOLDERIA AB IGM,503.41,503.41,35.24,503.41,47
CPT,86609,OUT MEMBRANE PORIN C AB,392.11,392.11,27.45,392.11,47
CPT,86609,TOXIC SHOCK SYNDROME AB,705.11,705.11,49.36,705.11,47
CPT,86611,Antibody; Bartonella ,,,6.11,54.77,137
CPT,86611,Antibody; Bartonella Age 21+,,,9.41,9.41,4
CPT,86611,Antibody; Bartonella Age Under 21,,,9.58,9.58,4
CPT,86611,Antibody; Bartonella Other Outpatient,,,10.69,10.69,6
CPT,86611,BARTONELLA H IGG,1029.41,1029.41,72.06,1029.41,47
CPT,86611,BARTONELLA H IGM,1029.41,1029.41,72.06,1029.41,47
CPT,86611,BARTONELLA Q IGG,214.59,214.59,15.02,214.59,47
CPT,86611,BARTONELLA Q IGM,214.59,214.59,15.02,214.59,47
CPT,86612,Antibody; Blastomyces ,250.09,250.09,7.74,69.34,137
CPT,86612,Antibody; Blastomyces Age 21+,250.09,250.09,11.92,11.92,4
CPT,86612,Antibody; Blastomyces Age Under 21,250.09,250.09,12.14,12.14,4
CPT,86612,Antibody; Blastomyces Other Outpatient,250.09,250.09,13.55,13.55,6
CPT,86612,BLASTOMYCES AB QUAL,250.09,250.09,17.51,250.09,47
CPT,86615,Antibody; Bordetella ,,,7.91,71.22,137
CPT,86615,Antibody; Bordetella Age 21+,,,12.19,12.19,4
CPT,86615,Antibody; Bordetella Age Under 21,,,12.41,12.41,4
CPT,86615,Antibody; Bordetella Other Outpatient,,,13.85,13.85,6
CPT,86615,BORDETELLA AB QL,1337.62,1337.62,93.63,1337.62,47
CPT,86615,BORDETELLA PERTUSSIS IGA,926.14,926.14,64.83,926.14,47
CPT,86615,BORDETELLA PERTUSSIS IGG,926.14,926.14,64.83,926.14,47
CPT,86615,BORDETELLA PERTUSSIS IGM,926.14,926.14,64.83,926.14,47
CPT,86617,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,9.29,83.97,137
CPT,86617,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) Age 21+",,,14.31,14.31,4
CPT,86617,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) Age Under 21",,,14.57,14.57,4
CPT,86617,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) Other Outpatient",,,16.26,16.26,6
CPT,86617,LYME AB IGG WESTERN BLOT,921.32,921.32,64.49,921.32,47
CPT,86617,LYME AB IGM WESTERN BLOT,921.32,921.32,64.49,921.32,47
CPT,86618,Antibody; Borrelia burgdorferi (Lyme disease) ,,,10.22,91.29,137
CPT,86618,Antibody; Borrelia burgdorferi (Lyme disease) Age 21+,,,15.74,15.74,4
CPT,86618,Antibody; Borrelia burgdorferi (Lyme disease) Age Under 21,,,16.03,16.03,4
CPT,86618,Antibody; Borrelia burgdorferi (Lyme disease) Other Outpatient,,,17.88,17.88,6
CPT,86618,LYME DISEASE AB IGG QL,1413.44,1413.44,98.94,1413.44,47
CPT,86618,LYME DISEASE AB IGM QL,1413.44,1413.44,98.94,1413.44,47
CPT,86618,LYME DISEASE AB QL,516.33,516.33,36.14,516.33,47
CPT,86619,Antibody; Borrelia (relapsing fever) ,,,8.03,71.22,137
CPT,86619,Antibody; Borrelia (relapsing fever) Age 21+,,,12.36,12.36,4
CPT,86619,Antibody; Borrelia (relapsing fever) Age Under 21,,,12.59,12.59,4
CPT,86619,Antibody; Borrelia (relapsing fever) Other Outpatient,,,14.05,14.05,6
CPT,86622,Antibody; Brucella ,,,5.36,47.46,137
CPT,86622,Antibody; Brucella Age 21+,,,8.25,8.25,4
CPT,86622,Antibody; Brucella Age Under 21,,,8.4,8.4,4
CPT,86622,Antibody; Brucella Other Outpatient,,,9.38,9.38,6
CPT,86622,BRUCELLA AB QL IGG,230.73,230.73,16.15,230.73,47
CPT,86622,BRUCELLA AB QL IGM,230.73,230.73,16.15,230.73,47
CPT,86622,BRUCELLA AB QUAL,311.41,311.41,21.8,311.41,47
CPT,86625,Antibody; Campylobacter ,861.61,861.61,7.87,71.22,137
CPT,86625,Antibody; Campylobacter Age 21+,861.61,861.61,12.12,12.12,4
CPT,86625,Antibody; Campylobacter Age Under 21,861.61,861.61,12.34,12.34,4
CPT,86625,Antibody; Campylobacter Other Outpatient,861.61,861.61,13.78,13.78,6
CPT,86625,CAMPYLOBACT AB QUAL,861.61,861.61,60.31,861.61,47
CPT,86628,Antibody; Candida ,,,7.21,63.9,137
CPT,86628,Antibody; Candida Age 21+,,,11.1,11.1,4
CPT,86628,Antibody; Candida Age Under 21,,,11.3,11.3,4
CPT,86628,Antibody; Candida Other Outpatient,,,12.61,12.61,6
CPT,86628,CANDIDA AB IGA,230.73,230.73,16.15,230.73,47
CPT,86628,CANDIDA AB IGG,230.73,230.73,16.15,230.73,47
CPT,86628,CANDIDA AB IGM,230.73,230.73,16.15,230.73,47
CPT,86628,CANDIDA AB QUAL,1587.71,1587.71,111.14,1587.71,47
CPT,86631,Antibody; Chlamydia ,,,7.09,63.9,137
CPT,86631,Antibody; Chlamydia Age 21+,,,10.92,10.92,4
CPT,86631,Antibody; Chlamydia Age Under 21,,,11.12,11.12,4
CPT,86631,Antibody; Chlamydia Other Outpatient,,,12.41,12.41,6
CPT,86631,CHLAMYDIA PNEUMO IGA,303.33,303.33,21.23,303.33,47
CPT,86631,CHLAMYDIA PNEUMO IGG,272.69,272.69,19.09,272.69,47
CPT,86631,CHLAMYDIA PSITTACI IGA,303.33,303.33,21.23,303.33,47
CPT,86631,CHLAMYDIA PSITTACI IGG,303.33,303.33,21.23,303.33,47
CPT,86631,CHLAMYDIA TRACH IGA,303.33,303.33,21.23,303.33,47
CPT,86631,CHLAMYDIA TRACH IGG,303.33,303.33,21.23,303.33,47
CPT,86632,"Antibody; Chlamydia, IgM ",,,7.61,67.53,137
CPT,86632,"Antibody; Chlamydia, IgM Age 21+",,,11.72,11.72,4
CPT,86632,"Antibody; Chlamydia, IgM Age Under 21",,,11.93,11.93,4
CPT,86632,"Antibody; Chlamydia, IgM Other Outpatient",,,13.31,13.31,6
CPT,86632,CHLAMYDIA PNEUMO IGM,272.69,272.69,19.09,272.69,47
CPT,86632,CHLAMYDIA PSITTACI IGM,303.33,303.33,21.23,303.33,47
CPT,86632,CHLAMYDIA TRACH IGM,303.33,303.33,21.23,303.33,47
CPT,86635,Antibody; Coccidioides ,,,6.88,62.09,137
CPT,86635,Antibody; Coccidioides Age 21+,,,10.59,10.59,4
CPT,86635,Antibody; Coccidioides Age Under 21,,,10.79,10.79,4
CPT,86635,Antibody; Coccidioides Other Outpatient,,,12.04,12.04,6
CPT,86635,COCCIDIOID AB QUAL,250.09,250.09,17.51,250.09,47
CPT,86635,COCCIDIOIDES AB QL IGG,198.48,198.48,13.89,198.48,47
CPT,86635,COCCIDIOIDES AB QL IGM,198.48,198.48,13.89,198.48,47
CPT,86638,Antibody; Coxiella burnetii (Q fever) ,,,7.27,65.72,137
CPT,86638,Antibody; Coxiella burnetii (Q fever) Age 21+,,,11.2,11.2,4
CPT,86638,Antibody; Coxiella burnetii (Q fever) Age Under 21,,,11.4,11.4,4
CPT,86638,Antibody; Coxiella burnetii (Q fever) Other Outpatient,,,12.73,12.73,6
CPT,86638,COXIELLA B AB PH1 IGM,214.59,214.59,15.02,214.59,47
CPT,86638,COXIELLA B AB PH2 IGM,214.59,214.59,15.02,214.59,47
CPT,86638,Q FEVER AB IGG,438.87,438.87,30.72,438.87,47
CPT,86638,Q FEVER AB QUAL,484.05,484.05,33.88,484.05,47
CPT,86641,Antibody; Cryptococcus ,1029.41,1029.41,8.65,78.47,137
CPT,86641,Antibody; Cryptococcus Age 21+,1029.41,1029.41,13.31,13.31,4
CPT,86641,Antibody; Cryptococcus Age Under 21,1029.41,1029.41,13.55,13.55,4
CPT,86641,Antibody; Cryptococcus Other Outpatient,1029.41,1029.41,15.13,15.13,6
CPT,86641,CRYPTOCOC AB BLD QUAL,1029.41,1029.41,72.06,1029.41,47
CPT,86644,Antibody; cytomegalovirus (CMV) ,1223.04,1223.04,8.63,76.66,137
CPT,86644,Antibody; cytomegalovirus (CMV) Age 21+,1223.04,1223.04,13.3,13.3,4
CPT,86644,Antibody; cytomegalovirus (CMV) Age Under 21,1223.04,1223.04,13.54,13.54,4
CPT,86644,Antibody; cytomegalovirus (CMV) Other Outpatient,1223.04,1223.04,15.11,15.11,6
CPT,86644,CMV IGG QUAL,1223.04,1223.04,85.61,1223.04,47
CPT,86645,"Antibody; cytomegalovirus (CMV), IgM ",1223.04,1223.04,10.11,91.29,137
CPT,86645,"Antibody; cytomegalovirus (CMV), IgM Age 21+",1223.04,1223.04,15.57,15.57,4
CPT,86645,"Antibody; cytomegalovirus (CMV), IgM Age Under 21",1223.04,1223.04,15.85,15.85,4
CPT,86645,"Antibody; cytomegalovirus (CMV), IgM Other Outpatient",1223.04,1223.04,17.69,17.69,6
CPT,86645,CMV IGM QUAL,1223.04,1223.04,85.61,1223.04,47
CPT,86648,Antibody; Diphtheria ,,,9.13,82.16,137
CPT,86648,Antibody; Diphtheria Age 21+,,,14.06,14.06,4
CPT,86648,Antibody; Diphtheria Age Under 21,,,14.31,14.31,4
CPT,86648,Antibody; Diphtheria Other Outpatient,,,15.97,15.97,6
CPT,86651,"Antibody; encephalitis, California (La Crosse) ",,,7.91,71.22,137
CPT,86651,"Antibody; encephalitis, California (La Crosse) Age 21+",,,12.19,12.19,4
CPT,86651,"Antibody; encephalitis, California (La Crosse) Age Under 21",,,12.41,12.41,4
CPT,86651,"Antibody; encephalitis, California (La Crosse) Other Outpatient",,,13.85,13.85,6
CPT,86651,ENCEPH LACROSSE AB QUAL,919.7,919.7,64.38,919.7,47
CPT,86651,ENCEPH LACROSSE ABQL IGG,250.09,250.09,17.51,250.09,47
CPT,86651,ENCEPH LACROSSE ABQL IGM,250.09,250.09,17.51,250.09,47
CPT,86651,ENCEPH LACRSS AB IGG CSF,250.09,250.09,17.51,250.09,47
CPT,86651,ENCEPH LACRSS AB IGM CSF,250.09,250.09,17.51,250.09,47
CPT,86652,"Antibody; encephalitis, Eastern equine ",,,7.91,71.22,137
CPT,86652,"Antibody; encephalitis, Eastern equine Age 21+",,,12.19,12.19,4
CPT,86652,"Antibody; encephalitis, Eastern equine Age Under 21",,,12.41,12.41,4
CPT,86652,"Antibody; encephalitis, Eastern equine Other Outpatient",,,13.85,13.85,6
CPT,86652,ENCEPH E EQN AB IGG CSF,250.09,250.09,17.51,250.09,47
CPT,86652,ENCEPH E EQN AB IGM CSF,250.09,250.09,17.51,250.09,47
CPT,86652,ENCEPH E EQUINE AB QUAL,818.05,818.05,57.26,818.05,47
CPT,86652,ENCEPH E EQUINE ABQL IGG,250.09,250.09,17.51,250.09,47
CPT,86652,ENCEPH E EQUINE ABQL IGM,250.09,250.09,17.51,250.09,47
CPT,86653,"Antibody; encephalitis, St. Louis ",,,7.91,71.22,137
CPT,86653,"Antibody; encephalitis, St. Louis Age 21+",,,12.19,12.19,4
CPT,86653,"Antibody; encephalitis, St. Louis Age Under 21",,,12.41,12.41,4
CPT,86653,"Antibody; encephalitis, St. Louis Other Outpatient",,,13.85,13.85,6
CPT,86653,ENCEPH ST LOU AB IGG CSF,250.09,250.09,17.51,250.09,47
CPT,86653,ENCEPH ST LOU AB IGM CSF,250.09,250.09,17.51,250.09,47
CPT,86653,ENCEPH ST LOUIS AB QUAL,2016.89,2016.89,141.18,2016.89,47
CPT,86653,ENCEPH ST LOUIS ABQL IGG,250.09,250.09,17.51,250.09,47
CPT,86653,ENCEPH ST LOUIS ABQL IGM,250.09,250.09,17.51,250.09,47
CPT,86654,"Antibody; encephalitis, Western equine ",,,7.91,71.22,137
CPT,86654,"Antibody; encephalitis, Western equine Age 21+",,,12.19,12.19,4
CPT,86654,"Antibody; encephalitis, Western equine Age Under 21",,,12.41,12.41,4
CPT,86654,"Antibody; encephalitis, Western equine Other Outpatient",,,13.85,13.85,6
CPT,86654,ENCEP W EQUIN AB IGG CSF,250.09,250.09,17.51,250.09,47
CPT,86654,ENCEP W EQUIN AB IGM CSF,250.09,250.09,17.51,250.09,47
CPT,86654,ENCEPH W EQUINE AB QUAL,919.7,919.7,64.38,919.7,47
CPT,86654,ENCEPH W EQUINE ABQL IGG,250.09,250.09,17.51,250.09,47
CPT,86654,ENCEPH W EQUINE ABQL IGM,250.09,250.09,17.51,250.09,47
CPT,86658,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,7.82,69.34,137
CPT,86658,"Antibody; enterovirus (eg, coxsackie, echo, polio) Age 21+",,,12.04,12.04,4
CPT,86658,"Antibody; enterovirus (eg, coxsackie, echo, polio) Age Under 21",,,12.26,12.26,4
CPT,86658,"Antibody; enterovirus (eg, coxsackie, echo, polio) Other Outpatient",,,13.68,13.68,6
CPT,86658,COXSACKIE A10 AB QUAL,314.64,314.64,22.02,314.64,47
CPT,86658,COXSACKIE A16 AB QUAL,314.64,314.64,22.02,314.64,47
CPT,86658,COXSACKIE A2 AB QUAL,314.64,314.64,22.02,314.64,47
CPT,86658,COXSACKIE A24 IGG AB,329.17,329.17,23.04,329.17,47
CPT,86658,COXSACKIE A24 IGM AB,329.17,329.17,23.04,329.17,47
CPT,86658,COXSACKIE A4 AB QUAL,314.64,314.64,22.02,314.64,47
CPT,86658,COXSACKIE A7 AB QUAL,314.64,314.64,22.02,314.64,47
CPT,86658,COXSACKIE A9 AB QUAL,314.64,314.64,22.02,314.64,47
CPT,86658,COXSACKIE B1 AB QUAL,727.7,727.7,50.94,727.7,47
CPT,86658,COXSACKIE B2 AB QUAL,727.7,727.7,50.94,727.7,47
CPT,86658,COXSACKIE B3 AB QUAL,727.7,727.7,50.94,727.7,47
CPT,86658,COXSACKIE B4 AB QUAL,727.7,727.7,50.94,727.7,47
CPT,86658,COXSACKIE B5 AB QUAL,727.7,727.7,50.94,727.7,47
CPT,86658,COXSACKIE B6 AB QUAL,727.7,727.7,50.94,727.7,47
CPT,86658,ECHOVIRUS TYPE 11 AB,797.07,797.07,55.79,797.07,47
CPT,86658,ECHOVIRUS TYPE 30 AB,797.07,797.07,55.79,797.07,47
CPT,86658,ECHOVIRUS TYPE 4 AB,797.07,797.07,55.79,797.07,47
CPT,86658,ECHOVIRUS TYPE 6 AB,797.07,797.07,55.79,797.07,47
CPT,86658,ECHOVIRUS TYPE 7 AB,797.07,797.07,55.79,797.07,47
CPT,86658,ECHOVIRUS TYPE 9 AB,797.07,797.07,55.79,797.07,47
CPT,86658,POLIOVIRUS I AB,354.98,354.98,24.85,354.98,47
CPT,86658,POLIOVIRUS II AB,354.98,354.98,24.85,354.98,47
CPT,86658,POLIOVIRUS III AB,354.98,354.98,24.85,354.98,47
CPT,86663,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",1139.15,1139.15,7.87,71.22,137
CPT,86663,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Age 21+",1139.15,1139.15,12.12,12.12,4
CPT,86663,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Age Under 21",1139.15,1139.15,12.34,12.34,4
CPT,86663,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Other Outpatient",1139.15,1139.15,13.78,13.78,6
CPT,86663,EBV EARLY AB QUAL,1139.15,1139.15,79.74,1139.15,47
CPT,86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",1139.15,1139.15,9.17,82.16,137
CPT,86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Age 21+",1139.15,1139.15,14.12,14.12,4
CPT,86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Age Under 21",1139.15,1139.15,14.38,14.38,4
CPT,86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Other Outpatient",1139.15,1139.15,16.05,16.05,6
CPT,86664,EBV NUCLEAR AG AB QUAL,1139.15,1139.15,79.74,1139.15,47
CPT,86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,10.88,98.54,137
CPT,86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) Age 21+",,,16.76,16.76,4
CPT,86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) Age Under 21",,,17.07,17.07,4
CPT,86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) Other Outpatient",,,19.05,19.05,6
CPT,86665,EBV CAPSID AB QUAL,1139.15,1139.15,79.74,1139.15,47
CPT,86665,EBV CAPSID IGG QUAL,1139.15,1139.15,79.74,1139.15,47
CPT,86666,Antibody; Ehrlichia ,,,6.11,54.77,137
CPT,86666,Antibody; Ehrlichia Age 21+,,,9.41,9.41,4
CPT,86666,Antibody; Ehrlichia Age Under 21,,,9.58,9.58,4
CPT,86666,Antibody; Ehrlichia Other Outpatient,,,10.69,10.69,6
CPT,86666,EHRLICHIA AB QL IGG,958.43,958.43,67.09,958.43,47
CPT,86666,EHRLICHIA AB QL IGM,958.43,958.43,67.09,958.43,47
CPT,86668,Antibody; Francisella tularensis ,759.96,759.96,8.5,76.66,137
CPT,86668,Antibody; Francisella tularensis Age 21+,759.96,759.96,13.08,13.08,4
CPT,86668,Antibody; Francisella tularensis Age Under 21,759.96,759.96,13.32,13.32,4
CPT,86668,Antibody; Francisella tularensis Other Outpatient,759.96,759.96,14.87,14.87,6
CPT,86668,FRAN TULAREN AB QUAL,759.96,759.96,53.2,759.96,47
CPT,86671,ANTI SACCHRMYC CERVS IGA,392.11,392.11,27.45,392.11,47
CPT,86671,ANTI SACCHRMYC CERVS IGG,392.11,392.11,27.45,392.11,47
CPT,86671,"Antibody; fungus, not elsewhere specified ",,,7.35,65.72,137
CPT,86671,"Antibody; fungus, not elsewhere specified Age 21+",,,11.32,11.32,4
CPT,86671,"Antibody; fungus, not elsewhere specified Age Under 21",,,11.52,11.52,4
CPT,86671,"Antibody; fungus, not elsewhere specified Other Outpatient",,,12.86,12.86,6
CPT,86671,SACCHAROMYCES AB IGA,971.32,971.32,67.99,971.32,47
CPT,86671,SACCHAROMYCES AB IGG,971.32,971.32,67.99,971.32,47
CPT,86674,Antibody; Giardia lamblia ,1029.41,1029.41,8.83,78.47,137
CPT,86674,Antibody; Giardia lamblia Age 21+,1029.41,1029.41,13.6,13.6,4
CPT,86674,Antibody; Giardia lamblia Age Under 21,1029.41,1029.41,13.84,13.84,4
CPT,86674,Antibody; Giardia lamblia Other Outpatient,1029.41,1029.41,15.46,15.46,6
CPT,86674,GIARDIA AB QL SQN,1029.41,1029.41,72.06,1029.41,47
CPT,86677,Antibody; Helicobacter pylori ,,,10.11,91.29,137
CPT,86677,Antibody; Helicobacter pylori Age 21+,,,15.57,15.57,4
CPT,86677,Antibody; Helicobacter pylori Age Under 21,,,15.85,15.85,4
CPT,86677,Antibody; Helicobacter pylori Other Outpatient,,,17.69,17.69,6
CPT,86677,H PYLORI AB QL IGA,876.15,876.15,61.33,876.15,47
CPT,86677,H PYLORI AB QL IGG,1100.41,1100.41,77.03,1100.41,47
CPT,86677,H PYLORI AB QUAL,1184.32,1184.32,82.9,1184.32,47
CPT,86682,"Antibody; helminth, not elsewhere specified ",,,7.81,69.34,137
CPT,86682,"Antibody; helminth, not elsewhere specified Age 21+",,,12.02,12.02,4
CPT,86682,"Antibody; helminth, not elsewhere specified Age Under 21",,,12.24,12.24,4
CPT,86682,"Antibody; helminth, not elsewhere specified Other Outpatient",,,13.66,13.66,6
CPT,86682,CYSTICERCUS AB,1119.77,1119.77,78.38,1119.77,47
CPT,86682,CYSTICERCUS IGG AB,354.98,354.98,24.85,354.98,47
CPT,86682,ECHINOCOCCUS AB,2531.6,2531.6,177.21,2531.6,47
CPT,86682,FILARIA AB IGG,495.34,495.34,34.67,495.34,47
CPT,86682,PARAGONIMIASIS AB QL,722.85,722.85,50.6,722.85,47
CPT,86682,SCHISTOSOMA AB QUAL IGG,555.04,555.04,38.85,555.04,47
CPT,86682,STRONGYLOIDES AB QUAL,566.34,566.34,39.64,566.34,47
CPT,86682,TOXOCARA C AB,816.44,816.44,57.15,816.44,47
CPT,86684,Antibody; Haemophilus influenza ,,,9.5,85.79,137
CPT,86684,Antibody; Haemophilus influenza Age 21+,,,14.64,14.64,4
CPT,86684,Antibody; Haemophilus influenza Age Under 21,,,14.91,14.91,4
CPT,86684,Antibody; Haemophilus influenza Other Outpatient,,,16.63,16.63,6
CPT,86684,H INFLU AB QUAL,861.61,861.61,60.31,861.61,47
CPT,86684,H INFLUENZA B IGG,913.25,913.25,63.93,913.25,47
CPT,86687,Antibody; HTLV-I ,538.93,538.93,5.45,49.27,137
CPT,86687,Antibody; HTLV-I Age 21+,538.93,538.93,8.4,8.4,4
CPT,86687,Antibody; HTLV-I Age Under 21,538.93,538.93,8.56,8.56,4
CPT,86687,Antibody; HTLV-I Other Outpatient,538.93,538.93,9.54,9.54,6
CPT,86687,HTLV 1 AB QUAL,538.93,538.93,37.73,538.93,47
CPT,86688,Antibody; HTLV-II ,538.93,538.93,8.4,74.84,137
CPT,86688,Antibody; HTLV-II Age 21+,538.93,538.93,12.94,12.94,4
CPT,86688,Antibody; HTLV-II Age Under 21,538.93,538.93,13.17,13.17,4
CPT,86688,Antibody; HTLV-II Other Outpatient,538.93,538.93,14.7,14.7,6
CPT,86688,HTLV2 AB QUAL,538.93,538.93,37.73,538.93,47
CPT,86689,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",2473.52,2473.52,11.61,104.04,137
CPT,86689,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Age 21+",2473.52,2473.52,17.88,17.88,4
CPT,86689,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Age Under 21",2473.52,2473.52,18.2,18.2,4
CPT,86689,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Other Outpatient",2473.52,2473.52,20.32,20.32,6
CPT,86689,HIV AB WESTERN BLOT,2473.52,2473.52,173.15,2473.52,47
CPT,86692,"Antibody; hepatitis, delta agent ",1740.98,1740.98,10.3,93.1,137
CPT,86692,"Antibody; hepatitis, delta agent Age 21+",1740.98,1740.98,15.85,15.85,4
CPT,86692,"Antibody; hepatitis, delta agent Age Under 21",1740.98,1740.98,16.14,16.14,4
CPT,86692,"Antibody; hepatitis, delta agent Other Outpatient",1740.98,1740.98,18.02,18.02,6
CPT,86692,HEPATITIS DELTA AB QUAL,1740.98,1740.98,121.87,1740.98,47
CPT,86694,"Antibody; herpes simplex, non-specific type test ",,,8.63,76.66,137
CPT,86694,"Antibody; herpes simplex, non-specific type test Age 21+",,,13.3,13.3,4
CPT,86694,"Antibody; herpes simplex, non-specific type test Age Under 21",,,13.54,13.54,4
CPT,86694,"Antibody; herpes simplex, non-specific type test Other Outpatient",,,15.11,15.11,6
CPT,86694,HERPES SIMPLEX AB QUAL,435.65,435.65,30.5,435.65,47
CPT,86694,HSV 1/2 IGG SQN,435.65,435.65,30.5,435.65,47
CPT,86694,HSV 1/2 IGM SQN,435.65,435.65,30.5,435.65,47
CPT,86695,"Antibody; herpes simplex, type 1 ",,,7.91,71.22,137
CPT,86695,"Antibody; herpes simplex, type 1 Age 21+",,,12.19,12.19,4
CPT,86695,"Antibody; herpes simplex, type 1 Age Under 21",,,12.41,12.41,4
CPT,86695,"Antibody; herpes simplex, type 1 Other Outpatient",,,13.85,13.85,6
CPT,86695,HERPES SIMPLEX 1 AB IGG,372.73,372.73,26.09,372.73,47
CPT,86695,HERPES SIMPLEX 1 AB IGM,1587.71,1587.71,111.14,1587.71,47
CPT,86696,"Antibody; herpes simplex, type 2 ",,,11.61,104.04,137
CPT,86696,"Antibody; herpes simplex, type 2 Age 21+",,,17.88,17.88,4
CPT,86696,"Antibody; herpes simplex, type 2 Age Under 21",,,18.2,18.2,4
CPT,86696,"Antibody; herpes simplex, type 2 Other Outpatient",,,20.32,20.32,6
CPT,86696,HERPES SIMPLEX 2 AB IGG,542.14,542.14,37.95,542.14,47
CPT,86696,HERPES SIMPLEX 2 AB IGM,1505.41,1505.41,105.38,1505.41,47
CPT,86696,HERPES SIMPLEX 2 AB QL,432.43,432.43,30.27,432.43,47
CPT,86698,Antibody; histoplasma ,,,8.27,74.84,137
CPT,86698,Antibody; histoplasma Age 21+,,,12.74,12.74,4
CPT,86698,Antibody; histoplasma Age Under 21,,,12.97,12.97,4
CPT,86698,Antibody; histoplasma Other Outpatient,,,14.48,14.48,6
CPT,86698,HISTO MYCEL IGG AB SQN,250.09,250.09,17.51,250.09,47
CPT,86698,HISTO YEAST AB SQN,250.09,250.09,17.51,250.09,47
CPT,86698,HISTOPLASMA AB IGG SQN,417.91,417.91,29.25,417.91,47
CPT,86698,HISTOPLASMA AB IGM SQN,417.91,417.91,29.25,417.91,47
CPT,86698,HISTOPLASMA AB QL,250.09,250.09,17.51,250.09,47
CPT,86698,HISTOPLASMA MYCEL AB QL,206.52,206.52,14.46,206.52,47
CPT,86698,HISTOPLASMA YEAST AB QL,206.52,206.52,14.46,206.52,47
CPT,86701,Antibody; HIV-1 ,1260.15,1260.15,5.33,47.46,137
CPT,86701,Antibody; HIV-1 Age 21+,1260.15,1260.15,8.22,8.22,4
CPT,86701,Antibody; HIV-1 Age Under 21,1260.15,1260.15,8.37,8.37,4
CPT,86701,Antibody; HIV-1 Other Outpatient,1260.15,1260.15,9.33,9.33,6
CPT,86701,HIV-1 AB QUAL,1260.15,1260.15,88.21,1260.15,47
CPT,86702,Antibody; HIV-2 ,1432.8,1432.8,8.11,73.03,137
CPT,86702,Antibody; HIV-2 Age 21+,1432.8,1432.8,12.5,12.5,4
CPT,86702,Antibody; HIV-2 Age Under 21,1432.8,1432.8,12.72,12.72,4
CPT,86702,Antibody; HIV-2 Other Outpatient,1432.8,1432.8,14.2,14.2,6
CPT,86702,HIV-2 AB QUAL,1432.8,1432.8,100.3,1432.8,47
CPT,86703,"Antibody; HIV-1 and HIV-2, single result ",,,8.23,73.03,137
CPT,86703,"Antibody; HIV-1 and HIV-2, single result Age 21+",,,12.67,12.67,4
CPT,86703,"Antibody; HIV-1 and HIV-2, single result Age Under 21",,,12.9,12.9,4
CPT,86703,"Antibody; HIV-1 and HIV-2, single result Other Outpatient",,,14.4,14.4,6
CPT,86703,HIV 1&2 AB QUAL,359.81,359.81,25.19,359.81,94
CPT,86704,HEP B CORE AB TOTAL,721.23,721.23,50.49,721.23,47
CPT,86704,Hepatitis B core antibody (HBcAb); total ,721.23,721.23,7.23,65.72,137
CPT,86704,Hepatitis B core antibody (HBcAb); total Age 21+,721.23,721.23,11.13,11.13,4
CPT,86704,Hepatitis B core antibody (HBcAb); total Age Under 21,721.23,721.23,11.33,11.33,4
CPT,86704,Hepatitis B core antibody (HBcAb); total Other Outpatient,721.23,721.23,12.65,12.65,6
CPT,86705,HEP B CORE AB IGM QL,1203.67,1203.67,84.26,1203.67,47
CPT,86705,Hepatitis B core antibody (HBcAb); IgM antibody ,1203.67,1203.67,7.06,63.9,137
CPT,86705,Hepatitis B core antibody (HBcAb); IgM antibody Age 21+,1203.67,1203.67,10.88,10.88,4
CPT,86705,Hepatitis B core antibody (HBcAb); IgM antibody Age Under 21,1203.67,1203.67,11.08,11.08,4
CPT,86705,Hepatitis B core antibody (HBcAb); IgM antibody Other Outpatient,1203.67,1203.67,12.36,12.36,6
CPT,86706,HEP B SURFACE AB QUAL,1124.62,1124.62,78.72,1124.62,47
CPT,86706,Hepatitis B surface antibody (HBsAb) ,1124.62,1124.62,6.44,58.4,137
CPT,86706,Hepatitis B surface antibody (HBsAb) Age 21+,1124.62,1124.62,9.92,9.92,4
CPT,86706,Hepatitis B surface antibody (HBsAb) Age Under 21,1124.62,1124.62,10.1,10.1,4
CPT,86706,Hepatitis B surface antibody (HBsAb) Other Outpatient,1124.62,1124.62,11.28,11.28,6
CPT,86707,HEPATITIS BE AB QL,619.58,619.58,43.37,619.58,47
CPT,86707,Hepatitis Be antibody (HBeAb) ,619.58,619.58,6.94,62.09,137
CPT,86707,Hepatitis Be antibody (HBeAb) Age 21+,619.58,619.58,10.69,10.69,4
CPT,86707,Hepatitis Be antibody (HBeAb) Age Under 21,619.58,619.58,10.89,10.89,4
CPT,86707,Hepatitis Be antibody (HBeAb) Other Outpatient,619.58,619.58,12.15,12.15,6
CPT,86708,HEP A AB TOTAL,721.23,721.23,50.49,721.23,47
CPT,86708,Hepatitis A antibody (HAAb) ,721.23,721.23,7.43,67.53,137
CPT,86708,Hepatitis A antibody (HAAb) Age 21+,721.23,721.23,11.45,11.45,4
CPT,86708,Hepatitis A antibody (HAAb) Age Under 21,721.23,721.23,11.66,11.66,4
CPT,86708,Hepatitis A antibody (HAAb) Other Outpatient,721.23,721.23,13.01,13.01,6
CPT,86709,HEP A AB IGM QUAL,1158.51,1158.51,81.1,1158.51,47
CPT,86709,"Hepatitis A antibody (HAAb), IgM antibody ",1158.51,1158.51,6.76,60.22,137
CPT,86709,"Hepatitis A antibody (HAAb), IgM antibody Age 21+",1158.51,1158.51,10.41,10.41,4
CPT,86709,"Hepatitis A antibody (HAAb), IgM antibody Age Under 21",1158.51,1158.51,10.6,10.6,4
CPT,86709,"Hepatitis A antibody (HAAb), IgM antibody Other Outpatient",1158.51,1158.51,11.82,11.82,6
CPT,86710,Antibody; influenza virus ,,,8.13,73.03,137
CPT,86710,Antibody; influenza virus Age 21+,,,12.52,12.52,4
CPT,86710,Antibody; influenza virus Age Under 21,,,12.75,12.75,4
CPT,86710,Antibody; influenza virus Other Outpatient,,,14.23,14.23,6
CPT,86710,INFLUENZA A VIRUS AB,766.42,766.42,53.65,766.42,47
CPT,86710,INFLUENZA B VIRUS AB,766.42,766.42,53.65,766.42,47
CPT,86710,INFLUENZA B VIRUS AB IGG,380.78,380.78,26.65,380.78,47
CPT,86711,Antibody; JC (John Cunningham) virus ,,,10.13,91.29,124
CPT,86711,Antibody; JC (John Cunningham) virus Other Outpatient,,,17.73,17.73,6
CPT,86713,Antibody; Legionella ,,,9.18,82.16,137
CPT,86713,Antibody; Legionella Age 21+,,,14.14,14.14,4
CPT,86713,Antibody; Legionella Age Under 21,,,14.39,14.39,4
CPT,86713,Antibody; Legionella Other Outpatient,,,16.07,16.07,6
CPT,86713,LEGIONELLA AB IGG QUAL,435.65,435.65,30.5,435.65,47
CPT,86713,LEGIONELLA AB IGM QUAL,435.65,435.65,30.5,435.65,47
CPT,86713,LEGIONELLA AB QUAL,919.7,919.7,64.38,919.7,47
CPT,86717,Antibody; Leishmania ,,,7.35,65.72,137
CPT,86717,Antibody; Leishmania Age 21+,,,11.32,11.32,4
CPT,86717,Antibody; Leishmania Age Under 21,,,11.52,11.52,4
CPT,86717,Antibody; Leishmania Other Outpatient,,,12.86,12.86,6
CPT,86717,LEISHMANIA AB QUAL,642.18,642.18,44.95,642.18,94
CPT,86720,Antibody; Leptospira ,1287.59,1287.59,9.72,87.6,137
CPT,86720,Antibody; Leptospira Age 21+,1287.59,1287.59,14.97,14.97,4
CPT,86720,Antibody; Leptospira Age Under 21,1287.59,1287.59,15.24,15.24,4
CPT,86720,Antibody; Leptospira Other Outpatient,1287.59,1287.59,17.01,17.01,6
CPT,86720,LEPTOSPIRA AB QUAL,1287.59,1287.59,90.13,1287.59,47
CPT,86723,Antibody; Listeria monocytogenes ,1035.88,1035.88,7.91,71.22,137
CPT,86723,Antibody; Listeria monocytogenes Age 21+,1035.88,1035.88,12.19,12.19,4
CPT,86723,Antibody; Listeria monocytogenes Age Under 21,1035.88,1035.88,12.41,12.41,4
CPT,86723,Antibody; Listeria monocytogenes Other Outpatient,1035.88,1035.88,13.85,13.85,6
CPT,86723,LISTERIA MONOCYTOGENE AB,1035.88,1035.88,72.51,1035.88,47
CPT,86727,Antibody; lymphocytic choriomeningitis ,,,7.72,69.34,137
CPT,86727,Antibody; lymphocytic choriomeningitis Age 21+,,,11.89,11.89,4
CPT,86727,Antibody; lymphocytic choriomeningitis Age Under 21,,,12.11,12.11,4
CPT,86727,Antibody; lymphocytic choriomeningitis Other Outpatient,,,13.51,13.51,6
CPT,86727,LYMPH CHORIO AB QUAL,250.09,250.09,17.51,250.09,47
CPT,86727,LYMPH CHORIO AB QUAL IGG,471.15,471.15,32.98,471.15,47
CPT,86727,LYMPH CHORIO AB QUAL IGM,471.15,471.15,32.98,471.15,47
CPT,86732,Antibody; mucormycosis ,,,9.0,80.29,137
CPT,86732,Antibody; mucormycosis Age 21+,,,13.86,13.86,4
CPT,86732,Antibody; mucormycosis Age Under 21,,,14.11,14.11,4
CPT,86732,Antibody; mucormycosis Other Outpatient,,,15.75,15.75,6
CPT,86735,Antibody; mumps ,,,7.83,71.22,137
CPT,86735,Antibody; mumps Age 21+,,,12.06,12.06,4
CPT,86735,Antibody; mumps Age Under 21,,,12.28,12.28,4
CPT,86735,Antibody; mumps Other Outpatient,,,13.7,13.7,6
CPT,86735,MUMPS AB QUAL,579.25,579.25,40.55,579.25,47
CPT,86735,MUMPS IGG QUAL,396.91,396.91,27.78,396.91,47
CPT,86735,MUMPS IGM QUAL,396.91,396.91,27.78,396.91,47
CPT,86738,Antibody; mycoplasma ,,,7.94,71.22,137
CPT,86738,Antibody; mycoplasma Age 21+,,,12.23,12.23,4
CPT,86738,Antibody; mycoplasma Age Under 21,,,12.45,12.45,4
CPT,86738,Antibody; mycoplasma Other Outpatient,,,13.9,13.9,6
CPT,86738,MYCOPLASMA AB IGG QL,1331.14,1331.14,93.18,1331.14,47
CPT,86738,MYCOPLASMA AB IGM QL,1331.14,1331.14,93.18,1331.14,47
CPT,86741,Antibody; Neisseria meningitidis ,,,7.91,71.22,137
CPT,86741,Antibody; Neisseria meningitidis Age 21+,,,12.19,12.19,4
CPT,86741,Antibody; Neisseria meningitidis Age Under 21,,,12.41,12.41,4
CPT,86741,Antibody; Neisseria meningitidis Other Outpatient,,,13.85,13.85,6
CPT,86744,Antibody; Nocardia ,,,9.59,85.79,137
CPT,86744,Antibody; Nocardia Age 21+,,,14.77,14.77,4
CPT,86744,Antibody; Nocardia Age Under 21,,,15.04,15.04,4
CPT,86744,Antibody; Nocardia Other Outpatient,,,16.79,16.79,6
CPT,86747,Antibody; parvovirus ,,,9.02,80.29,137
CPT,86747,Antibody; parvovirus Age 21+,,,13.89,13.89,4
CPT,86747,Antibody; parvovirus Age Under 21,,,14.15,14.15,4
CPT,86747,Antibody; parvovirus Other Outpatient,,,15.78,15.78,6
CPT,86747,PARVOVIRUS IGG,605.07,605.07,42.35,605.07,47
CPT,86747,PARVOVIRUS IGM,605.07,605.07,42.35,605.07,47
CPT,86750,Antibody; Plasmodium (malaria) ,,,7.91,71.22,137
CPT,86750,Antibody; Plasmodium (malaria) Age 21+,,,12.19,12.19,4
CPT,86750,Antibody; Plasmodium (malaria) Age Under 21,,,12.41,12.41,4
CPT,86750,Antibody; Plasmodium (malaria) Other Outpatient,,,13.85,13.85,6
CPT,86753,AMOEBIC AB,1287.59,1287.59,90.13,1287.59,47
CPT,86753,"Antibody; protozoa, not elsewhere specified ",,,7.43,67.53,137
CPT,86753,"Antibody; protozoa, not elsewhere specified Age 21+",,,11.45,11.45,4
CPT,86753,"Antibody; protozoa, not elsewhere specified Age Under 21",,,11.66,11.66,4
CPT,86753,"Antibody; protozoa, not elsewhere specified Other Outpatient",,,13.01,13.01,6
CPT,86753,E HISTOLYTICA IGG AB,250.09,250.09,17.51,250.09,47
CPT,86753,E HISTOLYTICA TOTAL AB,645.4,645.4,45.18,645.4,47
CPT,86753,SERAMEBA AB QUAL,818.05,818.05,57.26,818.05,47
CPT,86753,TRYPANOSOMA CRUZI IGG,250.09,250.09,17.51,250.09,47
CPT,86753,TRYPANOSOMA CRUZI IGM,250.09,250.09,17.51,250.09,47
CPT,86756,Antibody; respiratory syncytial virus ,1240.79,1240.79,9.53,85.79,137
CPT,86756,Antibody; respiratory syncytial virus Age 21+,1240.79,1240.79,14.69,14.69,4
CPT,86756,Antibody; respiratory syncytial virus Age Under 21,1240.79,1240.79,14.95,14.95,4
CPT,86756,Antibody; respiratory syncytial virus Other Outpatient,1240.79,1240.79,16.68,16.68,6
CPT,86756,RSV AB QUAL,1240.79,1240.79,86.86,1240.79,47
CPT,86757,Antibody; Rickettsia ,,,11.61,104.04,137
CPT,86757,Antibody; Rickettsia Age 21+,,,17.88,17.88,4
CPT,86757,Antibody; Rickettsia Age Under 21,,,18.2,18.2,4
CPT,86757,Antibody; Rickettsia Other Outpatient,,,20.32,20.32,6
CPT,86757,RICKETTSIA AB IGG QL,738.99,738.99,51.73,738.99,47
CPT,86757,RICKETTSIA AB IGM QL,738.99,738.99,51.73,738.99,47
CPT,86757,ROCKY MTN SF AB IGG QL,643.78,643.78,45.06,643.78,47
CPT,86757,ROCKY MTN SF AB IGM QL,643.78,643.78,45.06,643.78,47
CPT,86757,TYPHUS FEVER AB IGG QL,1516.7,1516.7,106.17,1516.7,47
CPT,86757,TYPHUS FEVER AB IGM QL,1516.7,1516.7,106.17,1516.7,47
CPT,86759,Antibody; rotavirus ,,,10.94,98.54,137
CPT,86759,Antibody; rotavirus Age 21+,,,16.84,16.84,4
CPT,86759,Antibody; rotavirus Age Under 21,,,17.15,17.15,4
CPT,86759,Antibody; rotavirus Other Outpatient,,,19.14,19.14,6
CPT,86762,Antibody; rubella ,,,8.63,76.66,137
CPT,86762,Antibody; rubella Age 21+,,,13.3,13.3,4
CPT,86762,Antibody; rubella Age Under 21,,,13.54,13.54,4
CPT,86762,Antibody; rubella Other Outpatient,,,15.11,15.11,6
CPT,86762,RUBELLA AB QUAL,1143.99,1143.99,80.08,1143.99,47
CPT,86762,RUBELLA IGG,332.38,332.38,23.27,332.38,47
CPT,86762,RUBELLA IGM,332.38,332.38,23.27,332.38,47
CPT,86765,Antibody; rubeola ,,,7.73,69.34,137
CPT,86765,Antibody; rubeola Age 21+,,,11.9,11.9,4
CPT,86765,Antibody; rubeola Age Under 21,,,12.12,12.12,4
CPT,86765,Antibody; rubeola Other Outpatient,,,13.52,13.52,6
CPT,86765,RUBEOLA AB QUAL,1093.97,1093.97,76.58,1093.97,47
CPT,86765,RUBEOLA IGG,390.47,390.47,27.33,390.47,47
CPT,86765,RUBEOLA IGM,390.47,390.47,27.33,390.47,47
CPT,86768,Antibody; Salmonella ,2691.34,2691.34,7.91,71.22,137
CPT,86768,Antibody; Salmonella Age 21+,2691.34,2691.34,12.19,12.19,4
CPT,86768,Antibody; Salmonella Age Under 21,2691.34,2691.34,12.41,12.41,4
CPT,86768,Antibody; Salmonella Other Outpatient,2691.34,2691.34,13.85,13.85,6
CPT,86768,SALMONELLA AB QUAL,2691.34,2691.34,188.39,2691.34,47
CPT,86769,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,25.28,110.38,127
CPT,86769,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Age 21+,,,38.93,38.93,4
CPT,86769,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Age Under 21,,,39.64,39.64,4
CPT,86769,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Other Outpatient,,,44.24,44.24,6
CPT,86769,COVID-19 AB MULTISTEP,59.36,59.36,4.16,59.36,114
CPT,86771,Antibody; Shigella ,,,14.69,131.43,137
CPT,86771,Antibody; Shigella Age 21+,,,22.62,22.62,4
CPT,86771,Antibody; Shigella Age Under 21,,,23.03,23.03,4
CPT,86771,Antibody; Shigella Other Outpatient,,,25.7,25.7,6
CPT,86774,Antibody; tetanus ,,,8.88,80.29,137
CPT,86774,Antibody; tetanus Age 21+,,,13.67,13.67,4
CPT,86774,Antibody; tetanus Age Under 21,,,13.92,13.92,4
CPT,86774,Antibody; tetanus Other Outpatient,,,15.54,15.54,6
CPT,86777,Antibody; Toxoplasma ,1079.44,1079.44,8.63,76.66,137
CPT,86777,Antibody; Toxoplasma Age 21+,1079.44,1079.44,13.3,13.3,4
CPT,86777,Antibody; Toxoplasma Age Under 21,1079.44,1079.44,13.54,13.54,4
CPT,86777,Antibody; Toxoplasma Other Outpatient,1079.44,1079.44,15.11,15.11,6
CPT,86777,TOXOPLASMA IGG QUAL,1079.44,1079.44,75.56,1079.44,47
CPT,86778,"Antibody; Toxoplasma, IgM ",1079.44,1079.44,8.65,78.47,137
CPT,86778,"Antibody; Toxoplasma, IgM Age 21+",1079.44,1079.44,13.31,13.31,4
CPT,86778,"Antibody; Toxoplasma, IgM Age Under 21",1079.44,1079.44,13.55,13.55,4
CPT,86778,"Antibody; Toxoplasma, IgM Other Outpatient",1079.44,1079.44,15.13,15.13,6
CPT,86778,TOXOPLASMA IGM QUAL,1079.44,1079.44,75.56,1079.44,47
CPT,86780,Antibody; Treponema pallidum ,,,7.94,71.22,137
CPT,86780,Antibody; Treponema pallidum Age 21+,,,12.23,12.23,4
CPT,86780,Antibody; Treponema pallidum Age Under 21,,,12.45,12.45,4
CPT,86780,Antibody; Treponema pallidum Other Outpatient,,,13.9,13.9,6
CPT,86780,FTA AB CONFIRM,936.98,936.98,65.59,936.98,47
CPT,86780,MHA TP CONFIRM,338.85,338.85,23.72,338.85,47
CPT,86780,T PALLIDUM AB IGG,456.62,456.62,31.96,456.62,47
CPT,86780,T PALLIDUM AB IGM,456.62,456.62,31.96,456.62,47
CPT,86780,TP PA CONFIRMATION,430.8,430.8,30.16,430.8,47
CPT,86784,Antibody; Trichinella ,1363.42,1363.42,7.54,67.53,137
CPT,86784,Antibody; Trichinella Age 21+,1363.42,1363.42,11.61,11.61,4
CPT,86784,Antibody; Trichinella Age Under 21,1363.42,1363.42,11.82,11.82,4
CPT,86784,Antibody; Trichinella Other Outpatient,1363.42,1363.42,13.19,13.19,6
CPT,86784,TRICHINELLA AB QUAL,1363.42,1363.42,95.44,1363.42,47
CPT,86787,Antibody; varicella-zoster ,,,7.73,69.34,137
CPT,86787,Antibody; varicella-zoster Age 21+,,,11.9,11.9,4
CPT,86787,Antibody; varicella-zoster Age Under 21,,,12.12,12.12,4
CPT,86787,Antibody; varicella-zoster Other Outpatient,,,13.52,13.52,6
CPT,86787,VARIC ZOSTER AB QUAL,1368.27,1368.27,95.78,1368.27,47
CPT,86787,VARIC ZOSTER IGG,250.09,250.09,17.51,250.09,47
CPT,86787,VARIC ZOSTER IGM,250.09,250.09,17.51,250.09,47
CPT,86788,"Antibody; West Nile virus, IgM ",,,10.11,91.29,137
CPT,86788,"Antibody; West Nile virus, IgM Age 21+",,,15.57,15.57,4
CPT,86788,"Antibody; West Nile virus, IgM Age Under 21",,,15.85,15.85,4
CPT,86788,"Antibody; West Nile virus, IgM Other Outpatient",,,17.69,17.69,6
CPT,86788,ENCEPH WEST NILE AB IGM,250.09,250.09,17.51,250.09,47
CPT,86788,ENCP WST NIL AB IGM TIT,727.7,727.7,50.94,727.7,47
CPT,86789,Antibody; West Nile virus ,,,8.63,76.66,137
CPT,86789,Antibody; West Nile virus Age 21+,,,13.3,13.3,4
CPT,86789,Antibody; West Nile virus Age Under 21,,,13.54,13.54,4
CPT,86789,Antibody; West Nile virus Other Outpatient,,,15.11,15.11,6
CPT,86789,ENCEPH WEST NILE AB IGG,435.65,435.65,30.5,435.65,47
CPT,86789,ENCP WST NIL AB IGG TIT,727.7,727.7,50.94,727.7,47
CPT,86790,"Antibody; virus, not elsewhere specified ",,,7.73,69.34,137
CPT,86790,"Antibody; virus, not elsewhere specified Age 21+",,,11.9,11.9,4
CPT,86790,"Antibody; virus, not elsewhere specified Age Under 21",,,12.12,12.12,4
CPT,86790,"Antibody; virus, not elsewhere specified Other Outpatient",,,13.52,13.52,6
CPT,86790,BKV AB IGG QL,868.07,868.07,60.76,868.07,47
CPT,86790,CHIKUNGUNYA AB IGG,1000.37,1000.37,70.03,1000.37,47
CPT,86790,CHIKUNGUNYA AB IGM,1000.37,1000.37,70.03,1000.37,47
CPT,86790,DENGUE VIRUS AB IGG QL,475.99,475.99,33.32,475.99,47
CPT,86790,DENGUE VIRUS AB IGM QL,475.99,475.99,33.32,475.99,47
CPT,86790,HANTAVIRUS AB IGG QL,638.94,638.94,44.73,638.94,47
CPT,86790,HANTAVIRUS AB IGM QL,761.58,761.58,53.31,761.58,47
CPT,86790,HEPATITIS E AB QL IGG,1715.16,1715.16,120.06,1715.16,47
CPT,86790,HEPATITIS E AB QL IGM,1363.42,1363.42,95.44,1363.42,47
CPT,86790,HERPES 6 HUMAN AB IGG QL,509.87,509.87,35.69,509.87,47
CPT,86790,HERPES 6 HUMAN AB IGM QL,509.87,509.87,35.69,509.87,47
CPT,86790,PARAINFLUENZA 1 AB QL,212.98,212.98,14.91,212.98,47
CPT,86790,PARAINFLUENZA 2 AB QL,212.98,212.98,14.91,212.98,47
CPT,86790,PARAINFLUENZA 3 AB QL,212.98,212.98,14.91,212.98,47
CPT,86790,RABIES AB QL,446.94,446.94,31.29,446.94,47
CPT,86790,SIN NOMBRE VIRUS IGG,206.52,206.52,14.46,206.52,47
CPT,86790,SIN NOMBRE VIRUS IGM,206.52,206.52,14.46,206.52,47
CPT,86793,Antibody; Yersinia ,,,7.91,71.22,137
CPT,86793,Antibody; Yersinia Age 21+,,,12.19,12.19,4
CPT,86793,Antibody; Yersinia Age Under 21,,,12.41,12.41,4
CPT,86793,Antibody; Yersinia Other Outpatient,,,13.85,13.85,6
CPT,86793,YERSINIA AB IGA,319.49,319.49,22.36,319.49,47
CPT,86793,YERSINIA AB IGG,319.49,319.49,22.36,319.49,47
CPT,86793,YERSINIA AB IGM,319.49,319.49,22.36,319.49,47
CPT,86793,YERSINIA AB QUAL,188.78,188.78,13.21,188.78,47
CPT,86794,"Antibody; Zika virus, IgM ",,,10.11,91.29,137
CPT,86794,"Antibody; Zika virus, IgM Age 21+",,,15.57,15.57,4
CPT,86794,"Antibody; Zika virus, IgM Age Under 21",,,15.85,15.85,4
CPT,86794,"Antibody; Zika virus, IgM Other Outpatient",,,17.69,17.69,6
CPT,86800,THYROGLOB AB QL,1882.98,1882.98,131.81,1882.98,47
CPT,86800,THYROGLOBULIN AB QUANT,958.43,958.43,67.09,958.43,47
CPT,86800,Thyroglobulin antibody ,,,9.55,85.79,137
CPT,86800,Thyroglobulin antibody Age 21+,,,14.7,14.7,4
CPT,86800,Thyroglobulin antibody Age Under 21,,,14.96,14.96,4
CPT,86800,Thyroglobulin antibody Other Outpatient,,,16.71,16.71,6
CPT,86803,HEPATITIS C AB QUAL,1928.16,1928.16,134.97,1928.16,47
CPT,86803,Hepatitis C antibody; ,1928.16,1928.16,8.56,76.66,137
CPT,86803,Hepatitis C antibody; Age 21+,1928.16,1928.16,13.19,13.19,4
CPT,86803,Hepatitis C antibody; Age Under 21,1928.16,1928.16,13.43,13.43,4
CPT,86803,Hepatitis C antibody; Other Outpatient,1928.16,1928.16,14.98,14.98,6
CPT,86804,HEPATITIS C CONFIRM,2504.17,2504.17,175.29,2504.17,47
CPT,86804,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",2504.17,2504.17,9.29,83.97,137
CPT,86804,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Age 21+",2504.17,2504.17,14.31,14.31,4
CPT,86804,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Age Under 21",2504.17,2504.17,14.57,14.57,4
CPT,86804,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient",2504.17,2504.17,16.26,16.26,6
CPT,86805,LYMPHOCYTOX XM W/TITER,2439.64,2439.64,170.77,2439.64,94
CPT,86805,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,113.71,1020.37,137
CPT,86805,"Lymphocytotoxicity assay, visual crossmatch; with titration Age 21+",,,175.11,175.11,4
CPT,86805,"Lymphocytotoxicity assay, visual crossmatch; with titration Age Under 21",,,178.29,178.29,4
CPT,86805,"Lymphocytotoxicity assay, visual crossmatch; with titration Other Outpatient",,,198.99,198.99,6
CPT,86806,LYMPHYCYTOTOX XM WO/TIT,2439.64,2439.64,170.77,2439.64,47
CPT,86806,"Lymphocytotoxicity assay, visual crossmatch; without titration ",2439.64,2439.64,28.55,255.55,137
CPT,86806,"Lymphocytotoxicity assay, visual crossmatch; without titration Age 21+",2439.64,2439.64,43.98,43.98,4
CPT,86806,"Lymphocytotoxicity assay, visual crossmatch; without titration Age Under 21",2439.64,2439.64,44.78,44.78,4
CPT,86806,"Lymphocytotoxicity assay, visual crossmatch; without titration Other Outpatient",2439.64,2439.64,49.97,49.97,6
CPT,86807,PRA CYTOTOX SCR STD METH,2081.43,2081.43,145.7,2081.43,94
CPT,86807,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,47.19,423.49,137
CPT,86807,Serum screening for cytotoxic percent reactive antibody (PRA); standard method Age 21+,,,72.68,72.68,4
CPT,86807,Serum screening for cytotoxic percent reactive antibody (PRA); standard method Age Under 21,,,74.0,74.0,4
CPT,86807,Serum screening for cytotoxic percent reactive antibody (PRA); standard method Other Outpatient,,,82.58,82.58,6
CPT,86808,PRA CYTOTOX SCR QUICK,743.84,743.84,52.07,743.84,47
CPT,86808,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,743.84,743.84,17.81,160.63,137
CPT,86808,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Age 21+,743.84,743.84,27.42,27.42,4
CPT,86808,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Age Under 21,743.84,743.84,27.92,27.92,4
CPT,86808,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Other Outpatient,743.84,743.84,31.16,31.16,6
CPT,86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",637.35,637.35,15.49,138.74,137
CPT,86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Age 21+",637.35,637.35,23.85,23.85,4
CPT,86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Age Under 21",637.35,637.35,24.28,24.28,4
CPT,86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Other Outpatient",637.35,637.35,27.1,27.1,6
CPT,86812,TYPING SINGLE AG,637.35,637.35,44.61,637.35,47
CPT,86813,HLA A B C MULT AG DNR,2633.24,2633.24,184.33,2633.24,94
CPT,86813,HLA A B C MULT AG REC,2447.69,2447.69,171.34,2447.69,94
CPT,86813,HLA PHENOTYPING MULTI AG,5097.09,5097.09,356.8,5097.09,47
CPT,86813,"HLA typing; A, B, or C, multiple antigens ",,,34.8,312.13,137
CPT,86813,"HLA typing; A, B, or C, multiple antigens Age 21+",,,53.59,53.59,4
CPT,86813,"HLA typing; A, B, or C, multiple antigens Age Under 21",,,54.57,54.57,4
CPT,86813,"HLA typing; A, B, or C, multiple antigens Other Outpatient",,,60.9,60.9,6
CPT,86816,"HLA typing; DR/DQ, single antigen ",,,18.1,162.45,137
CPT,86816,"HLA typing; DR/DQ, single antigen Age 21+",,,27.87,27.87,4
CPT,86816,"HLA typing; DR/DQ, single antigen Age Under 21",,,28.38,28.38,4
CPT,86816,"HLA typing; DR/DQ, single antigen Other Outpatient",,,31.68,31.68,6
CPT,86817,HLA DR DQ MULTIPLE DNR,3294.79,3294.79,230.64,3294.79,94
CPT,86817,HLA DR DQ MULTIPLE REC,3294.79,3294.79,230.64,3294.79,94
CPT,86817,"HLA typing; DR/DQ, multiple antigens ",,,63.68,571.31,137
CPT,86817,"HLA typing; DR/DQ, multiple antigens Age 21+",,,98.08,98.08,4
CPT,86817,"HLA typing; DR/DQ, multiple antigens Age Under 21",,,99.86,99.86,4
CPT,86817,"HLA typing; DR/DQ, multiple antigens Other Outpatient",,,111.45,111.45,6
CPT,86821,"HLA typing; lymphocyte culture, mixed (MLC) ",,,21.94,197.15,137
CPT,86821,"HLA typing; lymphocyte culture, mixed (MLC) Age 21+",,,33.78,33.78,4
CPT,86821,"HLA typing; lymphocyte culture, mixed (MLC) Age Under 21",,,34.4,34.4,4
CPT,86821,"HLA typing; lymphocyte culture, mixed (MLC) Other Outpatient",,,38.39,38.39,6
CPT,86825,HLA CX NONCYTOTOXIC,774.47,774.47,54.21,774.47,47
CPT,86825,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",774.47,774.47,65.69,589.57,137
CPT,86825,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Age 21+",774.47,774.47,101.17,101.17,4
CPT,86825,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Age Under 21",774.47,774.47,103.01,103.01,4
CPT,86825,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Other Outpatient",774.47,774.47,114.96,114.96,6
CPT,86826,HLA CS NONCYTOTOX EA ADD,774.47,774.47,54.21,774.47,47
CPT,86826,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",774.47,774.47,21.92,197.15,137
CPT,86826,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Age 21+",774.47,774.47,33.76,33.76,4
CPT,86826,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Age Under 21",774.47,774.47,34.37,34.37,4
CPT,86826,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Other Outpatient",774.47,774.47,38.36,38.36,6
CPT,86828,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,38.51,344.96,151
CPT,86828,HLA TYP AB QL CL1&CL2,2725.22,2725.22,190.77,2725.22,94
CPT,86829,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,38.51,344.96,151
CPT,86829,HLA AB SCN FLOW,1151.23,1151.23,54.21,1527.99,94
CPT,86829,HLA TYP AB QL CL1 OR CL2,2725.22,2725.22,190.77,2725.22,94
CPT,86830,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,57.31,514.72,151
CPT,86831,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,49.13,441.75,151
CPT,86832,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,194.25,1743.18,151
CPT,86832,HLA TYPAB IDHIDEF QL CL1,2725.22,2725.22,190.77,2725.22,94
CPT,86833,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,195.48,1754.13,151
CPT,86833,HLA TYPAB IDHIDEF QL CL2,2725.22,2725.22,190.77,2725.22,94
CPT,86834,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,214.54,1925.7,137
CPT,86834,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I Age 21+",,,330.39,330.39,4
CPT,86834,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I Age Under 21",,,336.39,336.39,4
CPT,86834,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I Other Outpatient",,,375.44,375.44,6
CPT,86834,HLA TYP AB SEMIQN PAN C1,6099.07,6099.07,426.93,6099.07,94
CPT,86835,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,193.78,1739.56,137
CPT,86835,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II Age 21+",,,298.42,298.42,4
CPT,86835,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II Age Under 21",,,303.84,303.84,4
CPT,86835,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II Other Outpatient",,,339.11,339.11,6
CPT,86835,HLA TYP AB SEMIQN PAN C2,6099.07,6099.07,426.93,6099.07,94
CPT,86849,HLA ANTIBODY TITER FLOW,1151.23,1151.23,54.21,1527.99,128
CPT,86849,Unlisted immunology procedure ,,,92.21,130.35,6
CPT,86850,ANTIBODY SCREEN EA,971.32,971.32,67.99,971.32,47
CPT,86850,"Antibody screen, RBC, each serum technique ",971.32,971.32,5.86,108.83,122
CPT,86850,"Antibody screen, RBC, each serum technique Other Outpatient",971.32,971.32,10.26,10.26,6
CPT,86860,ANTIBODY ELUTION EA,1445.7,1445.7,101.2,1445.7,48
CPT,86860,"Antibody elution (RBC), each elution ",1445.7,1445.7,36.85,315.7,49
CPT,86870,ANTIBODY ID EA,2031.42,2031.42,142.2,2031.42,48
CPT,86870,"Antibody identification, RBC antibodies, each panel for each serum technique ",2031.42,2031.42,50.46,623.5,49
CPT,86880,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,3.23,73.55,135
CPT,86880,"Antihuman globulin test (Coombs test); direct, each antiserum Age 21+",,,4.98,4.98,4
CPT,86880,"Antihuman globulin test (Coombs test); direct, each antiserum Age Under 21",,,5.07,5.07,4
CPT,86880,"Antihuman globulin test (Coombs test); direct, each antiserum Other Outpatient",,,5.66,5.66,6
CPT,86880,DIRECT COOMBS AHG EA,772.88,772.88,54.1,772.88,47
CPT,86880,DIRECT COOMBS COMP EA,164.58,164.58,11.52,164.58,47
CPT,86880,DIRECT COOMBS IGG EA,164.58,164.58,11.52,164.58,47
CPT,86880,DIRECT COOMBS NB EA,843.87,843.87,59.07,843.87,47
CPT,86880,DIRECT COOMBS POLYVALENT,772.88,772.88,54.1,772.88,47
CPT,86885,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,3.43,315.7,135
CPT,86885,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Age 21+",,,5.28,5.28,4
CPT,86885,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Age Under 21",,,5.38,5.38,4
CPT,86885,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient",,,6.01,6.01,6
CPT,86886,ANTIBODY TITER EA INDIR,1331.14,1331.14,93.18,1331.14,47
CPT,86886,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",1331.14,1331.14,3.11,315.7,135
CPT,86886,"Antihuman globulin test (Coombs test); indirect, each antibody titer Age 21+",1331.14,1331.14,4.79,4.79,4
CPT,86886,"Antihuman globulin test (Coombs test); indirect, each antibody titer Age Under 21",1331.14,1331.14,4.87,4.87,4
CPT,86886,"Antihuman globulin test (Coombs test); indirect, each antibody titer Other Outpatient",1331.14,1331.14,5.44,5.44,6
CPT,86890,"Autologous blood or component, collection processing and storage; predeposited ",,,116.15,522.04,49
CPT,86891,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,163.8,1382.04,49
CPT,86900,ABO TYPE,540.52,540.52,37.84,540.52,94
CPT,86900,ABO TYPE CORD BLOOD,714.79,714.79,50.04,714.79,47
CPT,86900,"Blood typing, serologic; ABO ",,,1.79,239.87,135
CPT,86900,"Blood typing, serologic; ABO Age 21+",,,2.76,2.76,4
CPT,86900,"Blood typing, serologic; ABO Age Under 21",,,2.81,2.81,4
CPT,86900,"Blood typing, serologic; ABO Other Outpatient",,,3.14,3.14,6
CPT,86901,"Blood typing, serologic; Rh (D) ",,,1.79,73.55,135
CPT,86901,"Blood typing, serologic; Rh (D) Age 21+",,,2.76,2.76,4
CPT,86901,"Blood typing, serologic; Rh (D) Age Under 21",,,2.81,2.81,4
CPT,86901,"Blood typing, serologic; Rh (D) Other Outpatient",,,3.14,3.14,6
CPT,86901,RH TYPE,540.52,540.52,37.84,540.52,94
CPT,86901,RH TYPE CORD BLOOD,540.52,540.52,37.84,540.52,47
CPT,86902,AG SC DON BLD REA SER EA,868.07,868.07,60.76,868.07,47
CPT,86902,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",868.07,868.07,3.81,623.5,135
CPT,86902,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Age 21+",868.07,868.07,5.86,5.86,4
CPT,86902,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Age Under 21",868.07,868.07,5.97,5.97,4
CPT,86902,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient",868.07,868.07,6.67,6.67,6
CPT,86904,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,9.8,87.6,135
CPT,86904,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Age 21+",,,15.1,15.1,4
CPT,86904,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Age Under 21",,,15.38,15.38,4
CPT,86904,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Other Outpatient",,,17.16,17.16,6
CPT,86905,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",868.07,868.07,2.3,623.5,135
CPT,86905,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Age 21+",868.07,868.07,3.54,3.54,4
CPT,86905,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Age Under 21",868.07,868.07,3.61,3.61,4
CPT,86905,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Other Outpatient",868.07,868.07,4.02,4.02,6
CPT,86905,RBC ANTIGEN TYPING EA,868.07,868.07,60.76,868.07,47
CPT,86906,"Blood typing, serologic; Rh phenotyping, complete ",,,4.65,73.55,135
CPT,86906,"Blood typing, serologic; Rh phenotyping, complete Age 21+",,,7.16,7.16,4
CPT,86906,"Blood typing, serologic; Rh phenotyping, complete Age Under 21",,,7.29,7.29,4
CPT,86906,"Blood typing, serologic; Rh phenotyping, complete Other Outpatient",,,8.14,8.14,6
CPT,86910,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,135.06,49
CPT,86911,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,20.81,116.8,49
CPT,86920,CROSSMATCH IMM SPIN,395.32,395.32,27.67,395.32,48
CPT,86920,Compatibility test each unit; immediate spin technique ,395.32,395.32,40.85,315.7,49
CPT,86921,Compatibility test each unit; incubation technique ,,,36.85,315.7,49
CPT,86922,CROSSMATCH AHG,2805.9,2805.9,196.41,2805.9,96
CPT,86922,Compatibility test each unit; antiglobulin technique ,,,43.65,315.7,49
CPT,86922,PLATELET CROSSMATCH AHG,1889.42,1889.42,132.26,1889.42,48
CPT,86923,Compatibility test each unit; electronic ,,,32.84,315.7,49
CPT,86927,FFP THAW EA UNIT,1836.56,1836.56,128.56,1836.56,48
CPT,86927,"Fresh frozen plasma, thawing, each unit ",1836.56,1836.56,22.7,149.16,49
CPT,86930,"Frozen blood, each unit; freezing (includes preparation) ",,,136.58,623.5,49
CPT,86931,"Frozen blood, each unit; thawing ",,,102.54,623.5,49
CPT,86932,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,522.04,49
CPT,86940,"Hemolysins and agglutinins; auto, screen, each ",,,5.26,47.46,137
CPT,86940,"Hemolysins and agglutinins; auto, screen, each Age 21+",,,8.11,8.11,4
CPT,86940,"Hemolysins and agglutinins; auto, screen, each Age Under 21",,,8.25,8.25,4
CPT,86940,"Hemolysins and agglutinins; auto, screen, each Other Outpatient",,,9.21,9.21,6
CPT,86941,DONATH LANDSTEINER TEST,580.87,580.87,40.66,580.87,47
CPT,86941,Hemolysins and agglutinins; incubated ,580.87,580.87,7.27,65.72,137
CPT,86941,Hemolysins and agglutinins; incubated Age 21+,580.87,580.87,11.19,11.19,4
CPT,86941,Hemolysins and agglutinins; incubated Age Under 21,580.87,580.87,11.39,11.39,4
CPT,86941,Hemolysins and agglutinins; incubated Other Outpatient,580.87,580.87,12.72,12.72,6
CPT,86945,IRRADIATION BLD EA,251.37,251.37,17.6,251.37,48
CPT,86945,"Irradiation of blood product, each unit ",251.37,251.37,33.84,153.32,49
CPT,86950,Leukocyte transfusion ,,,88.91,399.74,49
CPT,86960,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,38.05,315.7,49
CPT,86965,BLOOD UNIT POOLING,375.35,375.35,26.27,375.35,48
CPT,86965,PLASMA UNIT POOLING,375.35,375.35,26.27,375.35,48
CPT,86965,PLATELET UNIT POOLING,375.35,375.35,26.27,375.35,96
CPT,86965,Pooling of platelets or other blood products ,,,38.05,315.7,49
CPT,86970,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,153.32,49
CPT,86971,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,27.24,623.5,49
CPT,86972,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,47.66,315.7,49
CPT,86975,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,36.85,270.22,49
CPT,86976,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,184.33,49
CPT,86977,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,40.85,315.7,49
CPT,86978,PRETREAT SERUM ABSORP EA,2031.42,2031.42,142.2,2031.42,48
CPT,86978,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",2031.42,2031.42,33.84,184.33,49
CPT,86985,SPLITTING OF PRODUCT,898.17,898.17,62.87,898.17,48
CPT,86985,"Splitting of blood or blood products, each unit ",898.17,898.17,30.04,315.7,49
CPT,86999,Unlisted transfusion medicine procedure ,,,24.67,91.97,45
CPT,87003,"Animal inoculation, small animal, with observation and dissection ",,,10.1,91.29,137
CPT,87003,"Animal inoculation, small animal, with observation and dissection Age 21+",,,15.57,15.57,4
CPT,87003,"Animal inoculation, small animal, with observation and dissection Age Under 21",,,15.85,15.85,4
CPT,87003,"Animal inoculation, small animal, with observation and dissection Other Outpatient",,,17.68,17.68,6
CPT,87015,AFB CONCENTRATION,224.28,224.28,15.7,224.28,47
CPT,87015,"Concentration (any type), for infectious agents ",,,4.01,36.51,137
CPT,87015,"Concentration (any type), for infectious agents Age 21+",,,6.17,6.17,4
CPT,87015,"Concentration (any type), for infectious agents Age Under 21",,,6.28,6.28,4
CPT,87015,"Concentration (any type), for infectious agents Other Outpatient",,,7.01,7.01,6
CPT,87015,INF AGENT CONCENTRATION,224.28,224.28,15.7,224.28,47
CPT,87040,CULTURE BLOOD,1440.87,1440.87,100.86,1440.87,47
CPT,87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",1440.87,1440.87,6.19,54.77,137
CPT,87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age 21+",1440.87,1440.87,9.54,9.54,4
CPT,87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age Under 21",1440.87,1440.87,9.71,9.71,4
CPT,87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Other Outpatient",1440.87,1440.87,10.84,10.84,6
CPT,87045,CULTURE STOOL,1413.44,1413.44,98.94,1413.44,47
CPT,87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",1413.44,1413.44,5.66,51.09,137
CPT,87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Age 21+",1413.44,1413.44,8.72,8.72,4
CPT,87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Age Under 21",1413.44,1413.44,8.88,8.88,4
CPT,87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Other Outpatient",1413.44,1413.44,9.91,9.91,6
CPT,87046,CULT STL ADD'L PATHOGENS,316.24,316.24,22.14,316.24,47
CPT,87046,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",316.24,316.24,5.66,51.09,137
CPT,87046,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Age 21+",316.24,316.24,8.72,8.72,4
CPT,87046,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Age Under 21",316.24,316.24,8.88,8.88,4
CPT,87046,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Other Outpatient",316.24,316.24,9.91,9.91,6
CPT,87070,CULT ENVIRON EPIDEMI,311.41,311.41,21.8,311.41,47
CPT,87070,CULT NASOPHARYNGEAL,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULT NOSE,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULT THROAT,1143.99,1143.99,80.08,1143.99,47
CPT,87070,CULTURE ABSCESS,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE BODY FLUID,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE BONE MARROW,1356.97,1356.97,94.99,1356.97,94
CPT,87070,CULTURE BRONCH WASH,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE BRONCHIAL,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE CATHETER TIP,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE CERVICAL,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE CSF,1402.15,1402.15,98.15,1402.15,47
CPT,87070,CULTURE DRAIN,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE EAR,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE EYE,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE GASTRIC,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE GENITAL,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE PLACENTA,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE RESPIRATORY,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE SINUS,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE SPUTUM,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE SURGICAL SPEC,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE TISSUE,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE TRACHEA,1356.97,1356.97,94.99,1356.97,47
CPT,87070,CULTURE WOUND,1356.97,1356.97,94.99,1356.97,47
CPT,87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,5.17,45.64,137
CPT,87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates Age 21+",,,7.96,7.96,4
CPT,87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates Age Under 21",,,8.11,8.11,4
CPT,87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates Other Outpatient",,,9.05,9.05,6
CPT,87071,CULT QN WOUND,311.41,311.41,21.8,311.41,47
CPT,87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",311.41,311.41,5.93,52.96,137
CPT,87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Age 21+",311.41,311.41,9.14,9.14,4
CPT,87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Age Under 21",311.41,311.41,9.31,9.31,4
CPT,87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Other Outpatient",311.41,311.41,10.38,10.38,6
CPT,87073,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,5.8,52.96,137
CPT,87073,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Age 21+",,,8.92,8.92,4
CPT,87073,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Age Under 21",,,9.08,9.08,4
CPT,87073,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Other Outpatient",,,10.14,10.14,6
CPT,87075,CULTURE ANAEROBIC,1779.71,1779.71,124.58,1779.71,47
CPT,87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",1779.71,1779.71,5.68,51.09,137
CPT,87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Age 21+",1779.71,1779.71,8.75,8.75,4
CPT,87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Age Under 21",1779.71,1779.71,8.9,8.9,4
CPT,87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Other Outpatient",1779.71,1779.71,9.94,9.94,6
CPT,87076,ANAEROBIC ORG ID,271.07,271.07,18.97,271.07,47
CPT,87076,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",271.07,271.07,4.85,43.83,137
CPT,87076,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Age 21+",271.07,271.07,7.47,7.47,4
CPT,87076,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Age Under 21",271.07,271.07,7.6,7.6,4
CPT,87076,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other Outpatient",271.07,271.07,8.48,8.48,6
CPT,87077,AEROBIC ORG ID,772.88,772.88,54.1,772.88,47
CPT,87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,4.85,43.83,137
CPT,87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Age 21+",,,7.47,7.47,4
CPT,87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Age Under 21",,,7.6,7.6,4
CPT,87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other Outpatient",,,8.48,8.48,6
CPT,87077,H PYLORI UREASE (BIOPSY),516.33,516.33,36.14,516.33,47
CPT,87081,CULT BORDETELLA PERT SCR,613.14,613.14,42.92,613.14,47
CPT,87081,CULT BRUCELLA SCR,238.8,238.8,16.72,238.8,47
CPT,87081,CULT C DIFF ANAER SCR,677.68,677.68,47.44,677.68,47
CPT,87081,CULT CAMPY SCR,792.24,792.24,55.46,792.24,47
CPT,87081,CULT DIPHTHERIA SCR,1356.97,1356.97,94.99,1356.97,47
CPT,87081,CULT GC SCR,1344.06,1344.06,94.08,1344.06,47
CPT,87081,CULT H PYLORI SCR,1356.97,1356.97,94.99,1356.97,47
CPT,87081,CULT LEGIONELLA SCR,1131.08,1131.08,79.18,1131.08,47
CPT,87081,CULT LEPTOSPIRA SCR,576.02,576.02,40.32,576.02,47
CPT,87081,CULT STREP GROUP B SCR,317.86,317.86,22.25,317.86,47
CPT,87081,CULT VIBRIO SCR,951.97,951.97,66.64,951.97,47
CPT,87081,CULT YERSINIA SCR,1223.04,1223.04,85.61,1223.04,47
CPT,87081,"Culture, presumptive, pathogenic organisms, screening only; ",,,3.98,36.51,137
CPT,87081,"Culture, presumptive, pathogenic organisms, screening only; Age 21+",,,6.13,6.13,4
CPT,87081,"Culture, presumptive, pathogenic organisms, screening only; Age Under 21",,,6.24,6.24,4
CPT,87081,"Culture, presumptive, pathogenic organisms, screening only; Other Outpatient",,,6.96,6.96,6
CPT,87084,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,16.24,146.0,137
CPT,87084,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Age 21+",,,25.01,25.01,4
CPT,87084,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Age Under 21",,,25.47,25.47,4
CPT,87084,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Other Outpatient",,,28.42,28.42,6
CPT,87086,CULT COLONY COUNT UR,1195.6,1195.6,83.69,1195.6,47
CPT,87086,"Culture, bacterial; quantitative colony count, urine ",1195.6,1195.6,4.84,43.83,137
CPT,87086,"Culture, bacterial; quantitative colony count, urine Age 21+",1195.6,1195.6,7.46,7.46,4
CPT,87086,"Culture, bacterial; quantitative colony count, urine Age Under 21",1195.6,1195.6,7.59,7.59,4
CPT,87086,"Culture, bacterial; quantitative colony count, urine Other Outpatient",1195.6,1195.6,8.47,8.47,6
CPT,87088,CULT W PRESUMPTIVE ID UR,271.07,271.07,18.97,271.07,47
CPT,87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",271.07,271.07,4.85,43.83,137
CPT,87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Age 21+",271.07,271.07,7.48,7.48,4
CPT,87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Age Under 21",271.07,271.07,7.62,7.62,4
CPT,87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Other Outpatient",271.07,271.07,8.49,8.49,6
CPT,87101,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,4.63,41.96,137
CPT,87101,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail Age 21+",,,7.13,7.13,4
CPT,87101,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail Age Under 21",,,7.26,7.26,4
CPT,87101,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail Other Outpatient",,,8.1,8.1,6
CPT,87102,CULT FUNGUS OTHER SRC,1394.08,1394.08,97.59,1394.08,47
CPT,87102,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",1394.08,1394.08,5.05,45.64,137
CPT,87102,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Age 21+",1394.08,1394.08,7.77,7.77,4
CPT,87102,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Age Under 21",1394.08,1394.08,7.91,7.91,4
CPT,87102,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Other Outpatient",1394.08,1394.08,8.83,8.83,6
CPT,87103,CULT FUNGUS BLOOD,1394.08,1394.08,97.59,1394.08,47
CPT,87103,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",1394.08,1394.08,12.28,109.54,137
CPT,87103,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Age 21+",1394.08,1394.08,18.91,18.91,4
CPT,87103,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Age Under 21",1394.08,1394.08,19.25,19.25,4
CPT,87103,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Other Outpatient",1394.08,1394.08,21.48,21.48,6
CPT,87106,"Culture, fungi, definitive identification, each organism; yeast ",345.3,345.3,6.19,54.77,137
CPT,87106,"Culture, fungi, definitive identification, each organism; yeast Age 21+",345.3,345.3,9.54,9.54,4
CPT,87106,"Culture, fungi, definitive identification, each organism; yeast Age Under 21",345.3,345.3,9.71,9.71,4
CPT,87106,"Culture, fungi, definitive identification, each organism; yeast Other Outpatient",345.3,345.3,10.84,10.84,6
CPT,87106,YEAST ID,345.3,345.3,24.17,345.3,47
CPT,87107,"Culture, fungi, definitive identification, each organism; mold ",848.71,848.71,6.19,54.77,137
CPT,87107,"Culture, fungi, definitive identification, each organism; mold Age 21+",848.71,848.71,9.54,9.54,4
CPT,87107,"Culture, fungi, definitive identification, each organism; mold Age Under 21",848.71,848.71,9.71,9.71,4
CPT,87107,"Culture, fungi, definitive identification, each organism; mold Other Outpatient",848.71,848.71,10.84,10.84,6
CPT,87107,MOLD ID,848.71,848.71,59.41,848.71,47
CPT,87109,CULT MYCOPLASMA,1413.44,1413.44,98.94,1413.44,47
CPT,87109,CULTURE UREAPLASMA,1240.79,1240.79,86.86,1240.79,47
CPT,87109,"Culture, mycoplasma, any source ",,,9.23,82.16,137
CPT,87109,"Culture, mycoplasma, any source Age 21+",,,14.22,14.22,4
CPT,87109,"Culture, mycoplasma, any source Age Under 21",,,14.48,14.48,4
CPT,87109,"Culture, mycoplasma, any source Other Outpatient",,,16.16,16.16,6
CPT,87110,CULT CHLAMYDIA,1723.25,1723.25,120.63,1723.25,47
CPT,87110,"Culture, chlamydia, any source ",1723.25,1723.25,11.76,105.86,137
CPT,87110,"Culture, chlamydia, any source Age 21+",1723.25,1723.25,18.11,18.11,4
CPT,87110,"Culture, chlamydia, any source Age Under 21",1723.25,1723.25,18.44,18.44,4
CPT,87110,"Culture, chlamydia, any source Other Outpatient",1723.25,1723.25,20.58,20.58,6
CPT,87116,CULT AFB,1356.97,1356.97,94.99,1356.97,47
CPT,87116,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",1356.97,1356.97,6.48,58.4,137
CPT,87116,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Age 21+",1356.97,1356.97,9.98,9.98,4
CPT,87116,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Age Under 21",1356.97,1356.97,10.16,10.16,4
CPT,87116,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Other Outpatient",1356.97,1356.97,11.34,11.34,6
CPT,87118,AFB IDENTIFICATION,332.38,332.38,23.27,332.38,94
CPT,87118,"Culture, mycobacterial, definitive identification, each isolate ",,,8.77,78.47,137
CPT,87118,"Culture, mycobacterial, definitive identification, each isolate Age 21+",,,13.5,13.5,4
CPT,87118,"Culture, mycobacterial, definitive identification, each isolate Age Under 21",,,13.74,13.74,4
CPT,87118,"Culture, mycobacterial, definitive identification, each isolate Other Outpatient",,,15.34,15.34,6
CPT,87140,CULT TYPING IFT,141.97,141.97,9.94,141.97,47
CPT,87140,"Culture, typing; immunofluorescent method, each antiserum ",141.97,141.97,3.34,29.2,137
CPT,87140,"Culture, typing; immunofluorescent method, each antiserum Age 21+",141.97,141.97,5.15,5.15,4
CPT,87140,"Culture, typing; immunofluorescent method, each antiserum Age Under 21",141.97,141.97,5.24,5.24,4
CPT,87140,"Culture, typing; immunofluorescent method, each antiserum Other Outpatient",141.97,141.97,5.85,5.85,6
CPT,87143,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,7.51,67.53,137
CPT,87143,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Age 21+",,,11.57,11.57,4
CPT,87143,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Age Under 21",,,11.78,11.78,4
CPT,87143,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Other Outpatient",,,13.15,13.15,6
CPT,87147,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,3.11,27.39,137
CPT,87147,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Age 21+",,,4.79,4.79,4
CPT,87147,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Age Under 21",,,4.87,4.87,4
CPT,87147,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other Outpatient",,,5.44,5.44,6
CPT,87147,ISOLATE MRSA SCREEN AGG,172.63,172.63,12.08,172.63,47
CPT,87147,SALMONELLA TYPING AGG,172.63,172.63,12.08,172.63,47
CPT,87147,SHIGELLA TYPING AGG,172.63,172.63,12.08,172.63,47
CPT,87149,CULT TYPING DIRECT PROBE,674.45,674.45,47.21,674.45,47
CPT,87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",674.45,674.45,12.03,107.67,137
CPT,87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Age 21+",674.45,674.45,18.52,18.52,4
CPT,87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Age Under 21",674.45,674.45,18.86,18.86,4
CPT,87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Other Outpatient",674.45,674.45,21.05,21.05,6
CPT,87150,CULT TYPING AMP PROBE,522.77,522.77,36.59,522.77,47
CPT,87150,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",522.77,522.77,21.05,189.83,137
CPT,87150,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Age 21+",522.77,522.77,32.43,32.43,4
CPT,87150,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Age Under 21",522.77,522.77,33.02,33.02,4
CPT,87150,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Other Outpatient",522.77,522.77,36.84,36.84,6
CPT,87152,"Culture, typing; identification by pulse field gel typing ",,,4.64,41.96,137
CPT,87152,"Culture, typing; identification by pulse field gel typing Age 21+",,,7.15,7.15,4
CPT,87152,"Culture, typing; identification by pulse field gel typing Age Under 21",,,7.28,7.28,4
CPT,87152,"Culture, typing; identification by pulse field gel typing Other Outpatient",,,8.13,8.13,6
CPT,87153,CULT TYPING SEQ EA ISO,1715.16,1715.16,120.06,1715.16,47
CPT,87153,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",1715.16,1715.16,69.22,620.64,137
CPT,87153,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Age 21+",1715.16,1715.16,106.59,106.59,4
CPT,87153,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Age Under 21",1715.16,1715.16,108.53,108.53,4
CPT,87153,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Other Outpatient",1715.16,1715.16,121.13,121.13,6
CPT,87154,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,130.84,1173.69,147
CPT,87158,"Culture, typing; other methods ",,,4.64,41.96,137
CPT,87158,"Culture, typing; other methods Age 21+",,,7.15,7.15,4
CPT,87158,"Culture, typing; other methods Age Under 21",,,7.28,7.28,4
CPT,87158,"Culture, typing; other methods Other Outpatient",,,8.13,8.13,6
CPT,87164,DARKFIELD EXAM & COLL,906.79,906.79,63.48,906.79,47
CPT,87164,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",906.79,906.79,6.44,58.4,137
CPT,87164,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Age 21+",906.79,906.79,9.92,9.92,4
CPT,87164,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Age Under 21",906.79,906.79,10.1,10.1,4
CPT,87164,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Other Outpatient",906.79,906.79,11.28,11.28,6
CPT,87166,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,6.78,60.22,137
CPT,87166,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Age 21+",,,10.44,10.44,4
CPT,87166,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Age Under 21",,,10.63,10.63,4
CPT,87166,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Other Outpatient",,,11.87,11.87,6
CPT,87168,Macroscopic examination; arthropod ,,,2.56,23.76,137
CPT,87168,Macroscopic examination; arthropod Age 21+,,,3.95,3.95,4
CPT,87168,Macroscopic examination; arthropod Age Under 21,,,4.02,4.02,4
CPT,87168,Macroscopic examination; arthropod Other Outpatient,,,4.48,4.48,6
CPT,87169,Macroscopic examination; parasite ,,,2.59,23.76,137
CPT,87169,Macroscopic examination; parasite Age 21+,,,3.98,3.98,4
CPT,87169,Macroscopic examination; parasite Age Under 21,,,4.05,4.05,4
CPT,87169,Macroscopic examination; parasite Other Outpatient,,,4.53,4.53,6
CPT,87172,PINWORM EXAM,292.05,292.05,20.44,292.05,47
CPT,87172,"Pinworm exam (eg, cellophane tape prep) ",292.05,292.05,2.56,23.76,137
CPT,87172,"Pinworm exam (eg, cellophane tape prep) Age 21+",292.05,292.05,3.95,3.95,4
CPT,87172,"Pinworm exam (eg, cellophane tape prep) Age Under 21",292.05,292.05,4.02,4.02,4
CPT,87172,"Pinworm exam (eg, cellophane tape prep) Other Outpatient",292.05,292.05,4.48,4.48,6
CPT,87176,HOMOGENIZATION TISSUE,198.48,198.48,13.89,198.48,47
CPT,87176,"Homogenization, tissue, for culture ",198.48,198.48,3.53,31.01,137
CPT,87176,"Homogenization, tissue, for culture Age 21+",198.48,198.48,5.43,5.43,4
CPT,87176,"Homogenization, tissue, for culture Age Under 21",198.48,198.48,5.53,5.53,4
CPT,87176,"Homogenization, tissue, for culture Other Outpatient",198.48,198.48,6.17,6.17,6
CPT,87177,O&P SMEAR CONC ID,206.52,206.52,14.46,206.52,47
CPT,87177,"Ova and parasites, direct smears, concentration and identification ",206.52,206.52,5.34,47.46,137
CPT,87177,"Ova and parasites, direct smears, concentration and identification Age 21+",206.52,206.52,8.23,8.23,4
CPT,87177,"Ova and parasites, direct smears, concentration and identification Age Under 21",206.52,206.52,8.38,8.38,4
CPT,87177,"Ova and parasites, direct smears, concentration and identification Other Outpatient",206.52,206.52,9.35,9.35,6
CPT,87181,SUSC AGAR DIL EACH AGENT,171.03,171.03,11.97,171.03,47
CPT,87181,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,2.85,25.57,137
CPT,87181,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Age 21+",,,4.39,4.39,4
CPT,87181,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Age Under 21",,,4.47,4.47,4
CPT,87181,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other Outpatient",,,4.99,4.99,6
CPT,87181,VANCOMYCIN SUSCEPT,161.35,161.35,11.29,161.35,47
CPT,87182,"Susceptibility studies, antimicrobial agent; carbapenemase enzyme detection (eg, Klebsiella pneumoniae carbapenemase ºKPC», New Delhi metallo-beta-lactamase ºNDM», Verona integron-encoded metallo-beta",,,8.31,10.45,6
CPT,87183,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,34.91,91.94,110
CPT,87183,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate Other Outpatient",,,36.84,36.84,6
CPT,87184,D ZONE TEST,230.73,230.73,16.15,230.73,47
CPT,87184,OXACILLIN SINGLE DISK,230.73,230.73,16.15,230.73,47
CPT,87184,SUSC 1-12 DISKS,926.14,926.14,64.83,926.14,47
CPT,87184,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,4.49,40.14,137
CPT,87184,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Age 21+",,,6.91,6.91,4
CPT,87184,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Age Under 21",,,7.03,7.03,4
CPT,87184,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient",,,7.85,7.85,6
CPT,87185,SUSC BETA LACTAM,161.35,161.35,11.29,161.35,47
CPT,87185,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",161.35,161.35,2.85,25.57,137
CPT,87185,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Age 21+",161.35,161.35,4.39,4.39,4
CPT,87185,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Age Under 21",161.35,161.35,4.47,4.47,4
CPT,87185,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Other Outpatient",161.35,161.35,4.99,4.99,6
CPT,87186,SUSC MIC,856.79,856.79,59.98,856.79,47
CPT,87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",856.79,856.79,5.19,47.46,137
CPT,87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Age 21+",856.79,856.79,8.0,8.0,4
CPT,87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Age Under 21",856.79,856.79,8.14,8.14,4
CPT,87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Other Outpatient",856.79,856.79,9.08,9.08,6
CPT,87187,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,24.1,217.22,137
CPT,87187,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) Age 21+",,,37.11,37.11,4
CPT,87187,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) Age Under 21",,,37.79,37.79,4
CPT,87187,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) Other Outpatient",,,42.18,42.18,6
CPT,87188,SUSC MACROBROTH EA AGENT,203.31,203.31,14.23,203.31,47
CPT,87188,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",203.31,203.31,3.98,36.51,137
CPT,87188,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Age 21+",203.31,203.31,6.14,6.14,4
CPT,87188,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Age Under 21",203.31,203.31,6.25,6.25,4
CPT,87188,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient",203.31,203.31,6.97,6.97,6
CPT,87190,SUSC AFB PROP EA AGENT,1558.65,1558.65,109.11,1558.65,47
CPT,87190,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",1558.65,1558.65,4.39,40.14,137
CPT,87190,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Age 21+",1558.65,1558.65,6.75,6.75,4
CPT,87190,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Age Under 21",1558.65,1558.65,6.88,6.88,4
CPT,87190,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Other Outpatient",1558.65,1558.65,7.68,7.68,6
CPT,87197,SERUM CIDAL LEVEL,406.6,406.6,28.46,406.6,47
CPT,87197,Serum bactericidal titer (Schlichter test) ,406.6,406.6,9.01,80.29,137
CPT,87197,Serum bactericidal titer (Schlichter test) Age 21+,406.6,406.6,13.88,13.88,4
CPT,87197,Serum bactericidal titer (Schlichter test) Age Under 21,406.6,406.6,14.13,14.13,4
CPT,87197,Serum bactericidal titer (Schlichter test) Other Outpatient,406.6,406.6,15.77,15.77,6
CPT,87205,GRAM STAIN PRIMARY SRCE,540.52,540.52,37.84,540.52,94
CPT,87205,SMEAR EOSINOPHILS STAIN,797.07,797.07,55.79,797.07,47
CPT,87205,SMEAR FUNGUS STAIN,521.16,521.16,36.48,521.16,47
CPT,87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,2.56,23.76,137
CPT,87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types Age 21+",,,3.95,3.95,4
CPT,87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types Age Under 21",,,4.02,4.02,4
CPT,87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types Other Outpatient",,,4.48,4.48,6
CPT,87206,LEPTOSPIRAL FLUOR STAIN,576.02,576.02,40.32,576.02,47
CPT,87206,SMEAR ACRIDINE ORANGE,180.71,180.71,12.65,180.71,47
CPT,87206,SMEAR AFB,1287.59,1287.59,90.13,1287.59,47
CPT,87206,SMEAR MODIFIED KINYON,605.07,605.07,42.35,605.07,47
CPT,87206,SMEAR PERTUSSIS STAIN,555.04,555.04,38.85,555.04,47
CPT,87206,SMR LEGIONEL FLUOR STAIN,1986.24,1986.24,139.04,1986.24,47
CPT,87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,3.23,29.2,137
CPT,87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types Age 21+",,,4.98,4.98,4
CPT,87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types Age Under 21",,,5.07,5.07,4
CPT,87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types Other Outpatient",,,5.66,5.66,6
CPT,87207,SMEAR CYCLOSPORA STAIN,129.08,129.08,9.04,129.08,94
CPT,87207,SMEAR HERPES TZANCK STN,663.16,663.16,46.42,663.16,94
CPT,87207,SMEAR MALARIA STAIN,708.33,708.33,49.58,708.33,94
CPT,87207,SMEAR MICROSPORIDIUM STN,432.43,432.43,30.27,432.43,94
CPT,87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,3.59,32.83,137
CPT,87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) Age 21+",,,5.53,5.53,4
CPT,87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) Age Under 21",,,5.63,5.63,4
CPT,87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) Other Outpatient",,,6.29,6.29,6
CPT,87209,O&P SPECIAL STAIN,422.74,422.74,29.59,422.74,47
CPT,87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",422.74,422.74,10.79,96.73,137
CPT,87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Age 21+",422.74,422.74,16.61,16.61,4
CPT,87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Age Under 21",422.74,422.74,16.91,16.91,4
CPT,87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Other Outpatient",422.74,422.74,18.88,18.88,6
CPT,87210,SMEAR INDIA INK,669.61,669.61,46.87,669.61,94
CPT,87210,SMEAR WET MOUNT,521.16,521.16,36.48,521.16,94
CPT,87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,3.49,31.01,137
CPT,87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) Age 21+",,,5.38,5.38,4
CPT,87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) Age Under 21",,,5.48,5.48,4
CPT,87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) Other Outpatient",,,6.11,6.11,6
CPT,87220,KOH PREP TISSUE,367.88,367.88,25.75,367.88,94
CPT,87220,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,2.56,23.76,137
CPT,87220,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) Age 21+",,,3.95,3.95,4
CPT,87220,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) Age Under 21",,,4.02,4.02,4
CPT,87220,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) Other Outpatient",,,4.48,4.48,6
CPT,87230,C DIFFICILE TOXIN TC,1600.6,1600.6,112.04,1600.6,47
CPT,87230,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",1600.6,1600.6,11.84,105.86,137
CPT,87230,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Age 21+",1600.6,1600.6,18.24,18.24,4
CPT,87230,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Age Under 21",1600.6,1600.6,18.57,18.57,4
CPT,87230,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient",1600.6,1600.6,20.73,20.73,6
CPT,87250,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,11.74,105.86,137
CPT,87250,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Age 21+",,,18.07,18.07,4
CPT,87250,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Age Under 21",,,18.4,18.4,4
CPT,87250,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Other Outpatient",,,20.54,20.54,6
CPT,87252,CULT HERPES SIMP 1&2,730.92,730.92,51.16,730.92,47
CPT,87252,CULT VARICELLA ZOSTER,682.52,682.52,47.78,682.52,47
CPT,87252,CULT VIRUS CPE,2184.7,2184.7,152.93,2184.7,47
CPT,87252,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,15.64,140.56,137
CPT,87252,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect Age 21+",,,24.09,24.09,4
CPT,87252,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect Age Under 21",,,24.53,24.53,4
CPT,87252,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect Other Outpatient",,,27.37,27.37,6
CPT,87253,VIRUS ISO ADD STUDIES,1637.71,1637.71,114.64,1637.71,47
CPT,87253,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",1637.71,1637.71,12.12,109.54,137
CPT,87253,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Age 21+",1637.71,1637.71,18.67,18.67,4
CPT,87253,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Age Under 21",1637.71,1637.71,19.01,19.01,4
CPT,87253,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Other Outpatient",1637.71,1637.71,21.21,21.21,6
CPT,87254,CMV RAPID CULTURE,511.49,511.49,35.8,511.49,47
CPT,87254,CULT VIRUS SHELL VIAL,490.52,490.52,34.34,490.52,47
CPT,87254,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,11.74,105.86,137
CPT,87254,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus Age 21+",,,18.07,18.07,4
CPT,87254,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus Age Under 21",,,18.4,18.4,4
CPT,87254,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus Other Outpatient",,,20.54,20.54,6
CPT,87255,HSV CULTURE/TYPING ELVIS,847.09,847.09,59.3,847.09,47
CPT,87255,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",847.09,847.09,20.32,182.52,137
CPT,87255,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Age 21+",847.09,847.09,31.28,31.28,4
CPT,87255,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Age Under 21",847.09,847.09,31.85,31.85,4
CPT,87255,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Other Outpatient",847.09,847.09,35.55,35.55,6
CPT,87260,ADENOVIRUS AG IFT,337.23,337.23,23.61,337.23,47
CPT,87260,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,337.23,337.23,8.66,78.47,137
CPT,87260,Infectious agent antigen detection by immunofluorescent technique; adenovirus Age 21+,337.23,337.23,13.33,13.33,4
CPT,87260,Infectious agent antigen detection by immunofluorescent technique; adenovirus Age Under 21,337.23,337.23,13.57,13.57,4
CPT,87260,Infectious agent antigen detection by immunofluorescent technique; adenovirus Other Outpatient,337.23,337.23,15.15,15.15,6
CPT,87265,BORD PERTUSSIS AG IFT,364.66,364.66,25.53,364.66,47
CPT,87265,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,364.66,364.66,7.19,63.9,137
CPT,87265,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Age 21+,364.66,364.66,11.07,11.07,4
CPT,87265,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Age Under 21,364.66,364.66,11.27,11.27,4
CPT,87265,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Other Outpatient,364.66,364.66,12.58,12.58,6
CPT,87267,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,8.05,73.03,137
CPT,87267,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Age 21+",,,12.4,12.4,4
CPT,87267,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Age Under 21",,,12.62,12.62,4
CPT,87267,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Other Outpatient",,,14.09,14.09,6
CPT,87269,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,8.17,73.03,137
CPT,87269,Infectious agent antigen detection by immunofluorescent technique; giardia Age 21+,,,12.57,12.57,4
CPT,87269,Infectious agent antigen detection by immunofluorescent technique; giardia Age Under 21,,,12.8,12.8,4
CPT,87269,Infectious agent antigen detection by immunofluorescent technique; giardia Other Outpatient,,,14.29,14.29,6
CPT,87270,CHLAMYDIA TRACH AG IFT,387.26,387.26,27.11,387.26,47
CPT,87270,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,387.26,387.26,7.19,63.9,137
CPT,87270,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Age 21+,387.26,387.26,11.07,11.07,4
CPT,87270,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Age Under 21,387.26,387.26,11.27,11.27,4
CPT,87270,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Other Outpatient,387.26,387.26,12.58,12.58,6
CPT,87271,CMV DFA,1195.6,1195.6,83.69,1195.6,47
CPT,87271,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",1195.6,1195.6,8.05,73.03,137
CPT,87271,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Age 21+",1195.6,1195.6,12.4,12.4,4
CPT,87271,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Age Under 21",1195.6,1195.6,12.62,12.62,4
CPT,87271,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Other Outpatient",1195.6,1195.6,14.09,14.09,6
CPT,87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,7.19,63.9,137
CPT,87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium Age 21+,,,11.07,11.07,4
CPT,87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium Age Under 21,,,11.27,11.27,4
CPT,87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium Other Outpatient,,,12.58,12.58,6
CPT,87273,HERPES SIMPLEX 2 AG IFT,1695.8,1695.8,118.71,1695.8,47
CPT,87273,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,1695.8,1695.8,7.19,63.9,137
CPT,87273,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Age 21+,1695.8,1695.8,11.07,11.07,4
CPT,87273,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Age Under 21,1695.8,1695.8,11.27,11.27,4
CPT,87273,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Other Outpatient,1695.8,1695.8,12.58,12.58,6
CPT,87274,HERPES SIMPLEX 1 AG IFT,1695.8,1695.8,118.71,1695.8,47
CPT,87274,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,1695.8,1695.8,7.19,63.9,137
CPT,87274,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Age 21+,1695.8,1695.8,11.07,11.07,4
CPT,87274,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Age Under 21,1695.8,1695.8,11.27,11.27,4
CPT,87274,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Other Outpatient,1695.8,1695.8,12.58,12.58,6
CPT,87275,INFLUENZA B AG IFT,337.23,337.23,23.61,337.23,94
CPT,87275,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,7.35,65.72,137
CPT,87275,Infectious agent antigen detection by immunofluorescent technique; influenza B virus Age 21+,,,11.32,11.32,4
CPT,87275,Infectious agent antigen detection by immunofluorescent technique; influenza B virus Age Under 21,,,11.52,11.52,4
CPT,87275,Infectious agent antigen detection by immunofluorescent technique; influenza B virus Other Outpatient,,,12.86,12.86,6
CPT,87276,INFLUENZA A AG IFT,337.23,337.23,23.61,337.23,94
CPT,87276,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,9.64,85.79,137
CPT,87276,Infectious agent antigen detection by immunofluorescent technique; influenza A virus Age 21+,,,14.85,14.85,4
CPT,87276,Infectious agent antigen detection by immunofluorescent technique; influenza A virus Age Under 21,,,15.12,15.12,4
CPT,87276,Infectious agent antigen detection by immunofluorescent technique; influenza A virus Other Outpatient,,,16.87,16.87,6
CPT,87278,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,9.36,83.97,137
CPT,87278,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Age 21+,,,14.41,14.41,4
CPT,87278,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Age Under 21,,,14.67,14.67,4
CPT,87278,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Other Outpatient,,,16.38,16.38,6
CPT,87279,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,9.86,87.6,137
CPT,87279,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type Age 21+",,,15.18,15.18,4
CPT,87279,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type Age Under 21",,,15.46,15.46,4
CPT,87279,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type Other Outpatient",,,17.25,17.25,6
CPT,87279,PARAINFLUENZA 1 AG IFT,337.23,337.23,23.61,337.23,47
CPT,87279,PARAINFLUENZA 2 AG IFT,337.23,337.23,23.61,337.23,47
CPT,87279,PARAINFLUENZA 3 AG IFT,337.23,337.23,23.61,337.23,47
CPT,87280,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,8.05,73.03,137
CPT,87280,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus Age 21+,,,12.4,12.4,4
CPT,87280,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus Age Under 21,,,12.62,12.62,4
CPT,87280,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus Other Outpatient,,,14.09,14.09,6
CPT,87280,RSV AG IFT,337.23,337.23,23.61,337.23,141
CPT,87281,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,537.29,537.29,7.19,63.9,137
CPT,87281,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Age 21+,537.29,537.29,11.07,11.07,4
CPT,87281,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Age Under 21,537.29,537.29,11.27,11.27,4
CPT,87281,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient,537.29,537.29,12.58,12.58,6
CPT,87281,PNEUMOCYSTIS CARINII IFT,537.29,537.29,37.61,537.29,47
CPT,87283,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,36.48,326.76,137
CPT,87283,Infectious agent antigen detection by immunofluorescent technique; Rubeola Age 21+,,,56.18,56.18,4
CPT,87283,Infectious agent antigen detection by immunofluorescent technique; Rubeola Age Under 21,,,57.2,57.2,4
CPT,87283,Infectious agent antigen detection by immunofluorescent technique; Rubeola Other Outpatient,,,63.84,63.84,6
CPT,87285,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,7.31,65.72,137
CPT,87285,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Age 21+,,,11.25,11.25,4
CPT,87285,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Age Under 21,,,11.46,11.46,4
CPT,87285,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Other Outpatient,,,12.79,12.79,6
CPT,87290,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,887.44,887.44,8.05,73.03,137
CPT,87290,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Age 21+,887.44,887.44,12.4,12.4,4
CPT,87290,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Age Under 21,887.44,887.44,12.62,12.62,4
CPT,87290,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Other Outpatient,887.44,887.44,14.09,14.09,6
CPT,87290,VARICELLA ZOSTER AG IFT,887.44,887.44,62.12,887.44,47
CPT,87299,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",316.24,316.24,9.66,87.6,137
CPT,87299,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Age 21+",316.24,316.24,14.87,14.87,4
CPT,87299,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Age Under 21",316.24,316.24,15.14,15.14,4
CPT,87299,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other Outpatient",316.24,316.24,16.91,16.91,6
CPT,87299,TOXIC SHOCK SYN AG IF,316.24,316.24,22.14,316.24,47
CPT,87300,INF AG MULT ORG DFA,337.23,337.23,23.61,337.23,94
CPT,87300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,7.19,63.9,137
CPT,87300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum Age 21+",,,11.07,11.07,4
CPT,87300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum Age Under 21",,,11.27,11.27,4
CPT,87300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum Other Outpatient",,,12.58,12.58,6
CPT,87301,ADENOVIRUS AGTY40/41 EIA,940.68,940.68,65.85,940.68,47
CPT,87301,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",940.68,940.68,7.19,63.9,151
CPT,87305,ASPERGILLUS AG EIA,813.21,813.21,56.92,813.21,47
CPT,87305,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",813.21,813.21,7.19,63.9,151
CPT,87320,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,9.0,80.29,151
CPT,87324,C DIFFICIL TOXIN A&B EIA,345.3,345.3,24.17,345.3,47
CPT,87324,C DIFFICILE TOXIN AG EIA,432.43,432.43,30.27,432.43,47
CPT,87324,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,7.19,63.9,151
CPT,87327,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,8.05,73.03,151
CPT,87328,CRYPTOSPORIDIUM AG EIA,492.12,492.12,34.45,492.12,47
CPT,87328,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",492.12,492.12,8.29,74.84,151
CPT,87329,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,7.19,63.9,151
CPT,87332,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,7.19,63.9,151
CPT,87335,E COLI 0157 AG EIA,1600.6,1600.6,112.04,1600.6,47
CPT,87335,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1600.6,1600.6,7.6,67.53,151
CPT,87336,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,9.6,85.79,151
CPT,87337,E HISTOLYTICA GRP AG EIA,301.73,301.73,21.12,301.73,47
CPT,87337,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",301.73,301.73,7.19,63.9,151
CPT,87338,H PYLORI AG EIA STOOL,692.19,692.19,48.45,692.19,47
CPT,87338,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",692.19,692.19,8.63,76.66,151
CPT,87339,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,9.6,85.79,130
CPT,87340,HEP B S AG EIA QL,316.24,316.24,22.14,316.24,47
CPT,87340,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",316.24,316.24,6.2,54.77,151
CPT,87341,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,6.2,54.77,151
CPT,87350,HEP BE AG EIA,811.61,811.61,56.81,811.61,47
CPT,87350,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",811.61,811.61,6.92,62.09,151
CPT,87380,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.02,98.54,151
CPT,87385,HISTOPLASMA CAPS AG EIA,1921.68,1921.68,134.52,1921.68,47
CPT,87385,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1921.68,1921.68,7.95,71.22,151
CPT,87389,HIV-1AG HIV-1/2AB SINGLE,463.08,463.08,32.42,463.08,47
CPT,87389,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",463.08,463.08,14.45,129.62,151
CPT,87390,HIV 1 P24 AG IA,337.23,337.23,23.61,337.23,47
CPT,87390,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",337.23,337.23,14.44,129.62,151
CPT,87391,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,13.14,118.67,151
CPT,87400,INFLUENZA A AG EIA,227.51,227.51,15.93,227.51,94
CPT,87400,INFLUENZA A AG IA,227.51,227.51,15.93,227.51,47
CPT,87400,INFLUENZA B AG EIA,227.51,227.51,15.93,227.51,94
CPT,87400,INFLUENZA B AG IA,227.51,227.51,15.93,227.51,47
CPT,87400,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,8.48,76.66,151
CPT,87420,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",227.51,227.51,8.35,74.84,151
CPT,87420,RSV AG IA,227.51,227.51,15.93,227.51,47
CPT,87425,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",940.68,940.68,7.19,63.9,151
CPT,87425,ROTAVIRUS AG EIA,940.68,940.68,65.85,940.68,47
CPT,87426,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,21.2,99.51,141
CPT,87426,SARSCOV CORONAVIRU AG IA,71.85,71.85,5.03,71.85,171
CPT,87427,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,7.19,63.9,151
CPT,87428,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,54.15,184.16,141
CPT,87430,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.09,91.29,151
CPT,87430,STREP A AG IA,227.51,227.51,15.93,227.51,94
CPT,87449,BLASTOMYCES AG EIA,842.26,842.26,58.96,842.26,47
CPT,87449,CANDIDA AG EIA,587.33,587.33,41.11,587.33,47
CPT,87449,COCCIDIOIDES AG EIA QL,751.89,751.89,52.63,751.89,47
CPT,87449,GALACTOMAN ASPERG AG EIA,598.61,598.61,41.9,598.61,47
CPT,87449,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,7.19,63.9,151
CPT,87449,LEGIONELLA AG EIA,892.27,892.27,62.46,892.27,47
CPT,87449,STREP PNEUMO AG EIA,727.7,727.7,50.94,727.7,47
CPT,87451,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,6.31,56.59,151
CPT,87467,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,8.55,80.29,147
CPT,87468,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,21.05,189.83,133
CPT,87468,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87468,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87468,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87469,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,21.05,189.83,133
CPT,87469,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87469,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87469,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87471,BARTONELLA H&Q AMP PROBE,1429.56,1429.56,100.07,1429.56,47
CPT,87471,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",1429.56,1429.56,21.05,189.83,137
CPT,87471,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Age 21+",1429.56,1429.56,32.43,32.43,4
CPT,87471,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Age Under 21",1429.56,1429.56,33.02,33.02,4
CPT,87471,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Other Outpatient",1429.56,1429.56,36.84,36.84,6
CPT,87472,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,25.7,229.98,137
CPT,87472,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification Age 21+",,,39.59,39.59,4
CPT,87472,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification Age Under 21",,,40.31,40.31,4
CPT,87472,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification Other Outpatient",,,44.98,44.98,6
CPT,87475,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,12.03,107.67,137
CPT,87475,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87475,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87475,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87476,BORRELIA BURGDORFERI AMP,1061.7,1061.7,74.32,1061.7,47
CPT,87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",1061.7,1061.7,21.05,189.83,137
CPT,87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Age 21+",1061.7,1061.7,32.43,32.43,4
CPT,87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Age Under 21",1061.7,1061.7,33.02,33.02,4
CPT,87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other Outpatient",1061.7,1061.7,36.84,36.84,6
CPT,87478,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,21.05,189.83,133
CPT,87478,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87478,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87478,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87480,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,12.03,107.67,137
CPT,87480,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87480,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87480,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87481,CANDIDA AMP PROBE,1082.66,1082.66,75.79,1082.66,47
CPT,87481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",1082.66,1082.66,21.05,189.83,137
CPT,87481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Age 21+",1082.66,1082.66,32.43,32.43,4
CPT,87481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Age Under 21",1082.66,1082.66,33.02,33.02,4
CPT,87481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Other Outpatient",1082.66,1082.66,36.84,36.84,6
CPT,87482,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,33.44,299.38,137
CPT,87482,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Age 21+",,,51.5,51.5,4
CPT,87482,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Age Under 21",,,52.44,52.44,4
CPT,87482,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Other Outpatient",,,58.53,58.53,6
CPT,87483,CNS DNA AMP PROB TY12-25,3736.48,3736.48,261.55,3736.48,47
CPT,87483,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",3736.48,3736.48,250.07,2245.15,130
CPT,87484,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,21.05,189.83,133
CPT,87484,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87484,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87484,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87485,CHLAMYDIA P DIR PROBE,1163.35,1163.35,81.43,1163.35,47
CPT,87485,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",1163.35,1163.35,12.03,107.67,137
CPT,87485,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Age 21+",1163.35,1163.35,18.52,18.52,4
CPT,87485,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Age Under 21",1163.35,1163.35,18.86,18.86,4
CPT,87485,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Other Outpatient",1163.35,1163.35,21.05,21.05,6
CPT,87486,CHLAMYDIA P AMP PROBE,984.23,984.23,68.9,984.23,47
CPT,87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",984.23,984.23,21.05,189.83,137
CPT,87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Age 21+",984.23,984.23,32.43,32.43,4
CPT,87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Age Under 21",984.23,984.23,33.02,33.02,4
CPT,87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Other Outpatient",984.23,984.23,36.84,36.84,6
CPT,87487,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,25.7,229.98,137
CPT,87487,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Age 21+",,,39.59,39.59,4
CPT,87487,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Age Under 21",,,40.31,40.31,4
CPT,87487,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Other Outpatient",,,44.98,44.98,6
CPT,87490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,13.65,122.3,137
CPT,87490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Age 21+",,,21.02,21.02,4
CPT,87490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Age Under 21",,,21.4,21.4,4
CPT,87490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Other Outpatient",,,23.89,23.89,6
CPT,87491,CHLAMYDIA T AMP PROBE,1073.79,1073.79,68.9,1163.35,94
CPT,87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,21.05,189.83,137
CPT,87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87492,CHLAMYDIA T DNA QN,1163.35,1163.35,81.43,1163.35,47
CPT,87492,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",1163.35,1163.35,32.08,288.38,137
CPT,87492,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Age 21+",1163.35,1163.35,49.4,49.4,4
CPT,87492,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Age Under 21",1163.35,1163.35,50.3,50.3,4
CPT,87492,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Other Outpatient",1163.35,1163.35,56.14,56.14,6
CPT,87493,C DIFF TOX GENE AMP PROB,918.07,918.07,64.26,918.07,47
CPT,87493,CLOST DIFF TOX A/B AMP P,490.52,490.52,34.34,490.52,47
CPT,87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,22.36,200.77,137
CPT,87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Age 21+",,,34.44,34.44,4
CPT,87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Age Under 21",,,35.07,35.07,4
CPT,87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Other Outpatient",,,39.13,39.13,6
CPT,87494,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,69.83,183.87,110
CPT,87494,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique Other Outpatient",,,73.69,73.69,6
CPT,87495,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,18.02,162.45,137
CPT,87495,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Age 21+",,,27.75,27.75,4
CPT,87495,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Age Under 21",,,28.26,28.26,4
CPT,87495,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Other Outpatient",,,31.53,31.53,6
CPT,87496,CMV AMP PROBE,2844.63,2844.63,199.12,2844.63,94
CPT,87496,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,21.05,189.83,137
CPT,87496,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87496,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87496,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87497,CMV DNA QN,3404.51,3404.51,238.32,3404.51,94
CPT,87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,25.7,229.98,137
CPT,87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Age 21+",,,39.59,39.59,4
CPT,87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Age Under 21",,,40.31,40.31,4
CPT,87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient",,,44.98,44.98,6
CPT,87498,ENTEROVIRUS AMP/REVERS T,1452.15,1452.15,101.65,1452.15,47
CPT,87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",1452.15,1452.15,21.05,189.83,137
CPT,87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Age 21+",1452.15,1452.15,32.43,32.43,4
CPT,87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Age Under 21",1452.15,1452.15,33.02,33.02,4
CPT,87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Other Outpatient",1452.15,1452.15,36.84,36.84,6
CPT,87500,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,21.05,189.83,137
CPT,87500,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87500,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87500,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87501,FLU SINGLE TYPE/SUBTY AM,1360.2,1360.2,95.21,1360.2,47
CPT,87501,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",1360.2,1360.2,30.79,275.62,137
CPT,87501,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Age 21+",1360.2,1360.2,47.41,47.41,4
CPT,87501,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Age Under 21",1360.2,1360.2,48.27,48.27,4
CPT,87501,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Other Outpatient",1360.2,1360.2,53.88,53.88,6
CPT,87502,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,57.48,516.59,151
CPT,87503,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,17.53,157.0,151
CPT,87505,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",1143.18,1143.18,76.97,691.8,151
CPT,87505,NAT GI MULTI 3-5 TARGETS,1143.18,1143.18,80.02,1143.18,47
CPT,87506,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",2286.34,2286.34,157.79,1416.48,151
CPT,87506,NAT GI MULTI 6-11 TARGET,2286.34,2286.34,160.04,2286.34,47
CPT,87507,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",2286.34,2286.34,250.07,2245.15,151
CPT,87507,NAT GI MULT 12-25 TARGET,2286.34,2286.34,160.04,2286.34,47
CPT,87510,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,12.03,107.67,137
CPT,87510,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87510,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87510,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87511,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,21.05,189.83,137
CPT,87511,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87511,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87511,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87512,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,25.06,224.53,137
CPT,87512,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Age 21+",,,38.59,38.59,4
CPT,87512,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Age Under 21",,,39.29,39.29,4
CPT,87512,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Other Outpatient",,,43.85,43.85,6
CPT,87513,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,29.04,91.94,125
CPT,87513,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87513,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87513,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87516,HEP B AMP PROBE,1184.32,1184.32,82.9,1184.32,47
CPT,87516,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",1184.32,1184.32,21.05,189.83,137
CPT,87516,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Age 21+",1184.32,1184.32,32.43,32.43,4
CPT,87516,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Age Under 21",1184.32,1184.32,33.02,33.02,4
CPT,87516,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Other Outpatient",1184.32,1184.32,36.84,36.84,6
CPT,87517,HEP B DNA QN,2492.89,2492.89,174.5,2492.89,47
CPT,87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",2492.89,2492.89,25.7,229.98,137
CPT,87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Age 21+",2492.89,2492.89,39.59,39.59,4
CPT,87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Age Under 21",2492.89,2492.89,40.31,40.31,4
CPT,87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Other Outpatient",2492.89,2492.89,44.98,44.98,6
CPT,87520,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,18.73,167.95,137
CPT,87520,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Age 21+",,,28.84,28.84,4
CPT,87520,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Age Under 21",,,29.37,29.37,4
CPT,87520,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Other Outpatient",,,32.78,32.78,6
CPT,87521,HEP C AMP PROBE AMP,2286.34,2286.34,160.04,2286.34,47
CPT,87521,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",2286.34,2286.34,21.05,189.83,137
CPT,87521,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Age 21+",2286.34,2286.34,32.43,32.43,4
CPT,87521,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Age Under 21",2286.34,2286.34,33.02,33.02,4
CPT,87521,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Other Outpatient",2286.34,2286.34,36.84,36.84,6
CPT,87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,25.7,229.98,137
CPT,87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Age 21+",,,39.59,39.59,4
CPT,87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Age Under 21",,,40.31,40.31,4
CPT,87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Other Outpatient",,,44.98,44.98,6
CPT,87523,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,25.7,112.24,125
CPT,87523,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed Age 21+",,,39.59,39.59,4
CPT,87523,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed Age Under 21",,,40.31,40.31,4
CPT,87523,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed Other Outpatient",,,44.98,44.98,6
CPT,87525,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,17.88,160.63,137
CPT,87525,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Age 21+",,,27.53,27.53,4
CPT,87525,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Age Under 21",,,28.03,28.03,4
CPT,87525,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Other Outpatient",,,31.29,31.29,6
CPT,87526,HEP G AMP PROBE,1668.37,1668.37,116.79,1668.37,47
CPT,87526,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",1668.37,1668.37,23.56,211.72,137
CPT,87526,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Age 21+",1668.37,1668.37,36.28,36.28,4
CPT,87526,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Age Under 21",1668.37,1668.37,36.94,36.94,4
CPT,87526,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Other Outpatient",1668.37,1668.37,41.22,41.22,6
CPT,87527,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,25.06,224.53,137
CPT,87527,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Age 21+",,,38.59,38.59,4
CPT,87527,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Age Under 21",,,39.29,39.29,4
CPT,87527,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Other Outpatient",,,43.85,43.85,6
CPT,87528,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,12.03,107.67,137
CPT,87528,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87528,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87528,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87529,HERPES SIMP AMP PROBE,1061.7,1061.7,74.32,1061.7,94
CPT,87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,21.05,189.83,137
CPT,87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87530,HERPES SIMP DNA QN,747.05,747.05,52.29,747.05,47
CPT,87530,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",747.05,747.05,25.7,229.98,137
CPT,87530,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Age 21+",747.05,747.05,39.59,39.59,4
CPT,87530,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Age Under 21",747.05,747.05,40.31,40.31,4
CPT,87530,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient",747.05,747.05,44.98,44.98,6
CPT,87531,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,34.8,312.13,137
CPT,87531,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Age 21+",,,53.59,53.59,4
CPT,87531,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Age Under 21",,,54.57,54.57,4
CPT,87531,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Other Outpatient",,,60.9,60.9,6
CPT,87532,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,21.05,189.83,137
CPT,87532,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87532,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87532,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87533,HERPES 6 DNA QN,1548.97,1548.97,108.43,1548.97,94
CPT,87533,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,25.06,224.53,137
CPT,87533,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Age 21+",,,38.59,38.59,4
CPT,87533,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Age Under 21",,,39.29,39.29,4
CPT,87533,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Other Outpatient",,,43.85,43.85,6
CPT,87534,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,13.15,118.67,137
CPT,87534,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Age 21+",,,20.25,20.25,4
CPT,87534,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Age Under 21",,,20.62,20.62,4
CPT,87534,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Other Outpatient",,,23.02,23.02,6
CPT,87535,HIV-1 AMP PROBE,2016.89,2016.89,141.18,2016.89,47
CPT,87535,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",2016.89,2016.89,21.05,189.83,137
CPT,87535,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Age 21+",2016.89,2016.89,32.43,32.43,4
CPT,87535,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Age Under 21",2016.89,2016.89,33.02,33.02,4
CPT,87535,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Other Outpatient",2016.89,2016.89,36.84,36.84,6
CPT,87536,HIV 1 RNA QN,1818.42,1818.42,127.29,1818.42,47
CPT,87536,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",1818.42,1818.42,51.06,458.14,137
CPT,87536,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Age 21+",1818.42,1818.42,78.63,78.63,4
CPT,87536,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Age Under 21",1818.42,1818.42,80.06,80.06,4
CPT,87536,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Other Outpatient",1818.42,1818.42,89.36,89.36,6
CPT,87537,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,13.15,118.67,137
CPT,87537,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Age 21+",,,20.25,20.25,4
CPT,87537,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Age Under 21",,,20.62,20.62,4
CPT,87537,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Other Outpatient",,,23.02,23.02,6
CPT,87538,HIV-2 AMP PROBE,1645.78,1645.78,115.2,1645.78,47
CPT,87538,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",1645.78,1645.78,21.05,189.83,137
CPT,87538,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Age 21+",1645.78,1645.78,32.43,32.43,4
CPT,87538,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Age Under 21",1645.78,1645.78,33.02,33.02,4
CPT,87538,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Other Outpatient",1645.78,1645.78,36.84,36.84,6
CPT,87539,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,35.17,315.76,137
CPT,87539,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed Age 21+",,,54.16,54.16,4
CPT,87539,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed Age Under 21",,,55.15,55.15,4
CPT,87539,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed Other Outpatient",,,61.55,61.55,6
CPT,87540,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,12.03,107.67,137
CPT,87540,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87540,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87540,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87541,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",1440.87,1440.87,21.05,189.83,137
CPT,87541,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Age 21+",1440.87,1440.87,32.43,32.43,4
CPT,87541,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Age Under 21",1440.87,1440.87,33.02,33.02,4
CPT,87541,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Other Outpatient",1440.87,1440.87,36.84,36.84,6
CPT,87541,LEGIONELLA AMP PROBE,1440.87,1440.87,100.86,1440.87,47
CPT,87542,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,25.06,224.53,137
CPT,87542,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Age 21+",,,38.59,38.59,4
CPT,87542,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Age Under 21",,,39.29,39.29,4
CPT,87542,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Other Outpatient",,,43.85,43.85,6
CPT,87550,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,12.03,107.67,137
CPT,87550,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87550,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87550,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87551,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",3733.67,3733.67,28.94,259.18,137
CPT,87551,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Age 21+",3733.67,3733.67,44.57,44.57,4
CPT,87551,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Age Under 21",3733.67,3733.67,45.38,45.38,4
CPT,87551,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Other Outpatient",3733.67,3733.67,50.65,50.65,6
CPT,87551,MYCOBACT SP AMP PROBE,3733.67,3733.67,261.36,3733.67,47
CPT,87552,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,25.7,229.98,137
CPT,87552,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Age 21+",,,39.59,39.59,4
CPT,87552,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Age Under 21",,,40.31,40.31,4
CPT,87552,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Other Outpatient",,,44.98,44.98,6
CPT,87555,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,16.13,144.19,137
CPT,87555,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Age 21+",,,24.84,24.84,4
CPT,87555,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Age Under 21",,,25.29,25.29,4
CPT,87555,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Other Outpatient",,,28.22,28.22,6
CPT,87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",1639.32,1639.32,25.01,224.53,137
CPT,87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Age 21+",1639.32,1639.32,38.51,38.51,4
CPT,87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Age Under 21",1639.32,1639.32,39.21,39.21,4
CPT,87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other Outpatient",1639.32,1639.32,43.76,43.76,6
CPT,87556,MTB AMP PROBE,1639.32,1639.32,114.75,1639.32,47
CPT,87557,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,25.7,229.98,137
CPT,87557,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Age 21+",,,39.59,39.59,4
CPT,87557,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Age Under 21",,,40.31,40.31,4
CPT,87557,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Other Outpatient",,,44.98,44.98,6
CPT,87560,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,16.37,147.87,137
CPT,87560,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique Age 21+",,,25.21,25.21,4
CPT,87560,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique Age Under 21",,,25.67,25.67,4
CPT,87560,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique Other Outpatient",,,28.65,28.65,6
CPT,87561,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",748.67,748.67,21.05,189.83,137
CPT,87561,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Age 21+",748.67,748.67,32.43,32.43,4
CPT,87561,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Age Under 21",748.67,748.67,33.02,33.02,4
CPT,87561,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Other Outpatient",748.67,748.67,36.84,36.84,6
CPT,87561,M AVIUM-INTRAC AMP PROBE,748.67,748.67,52.41,748.67,47
CPT,87562,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,25.7,229.98,137
CPT,87562,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Age 21+",,,39.59,39.59,4
CPT,87562,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Age Under 21",,,40.31,40.31,4
CPT,87562,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Other Outpatient",,,44.98,44.98,6
CPT,87563,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,21.05,189.83,137
CPT,87563,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87563,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87563,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87564,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,63.52,201.14,125
CPT,87564,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique Age 21+",,,70.94,70.94,4
CPT,87564,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique Age Under 21",,,72.23,72.23,4
CPT,87564,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique Other Outpatient",,,80.61,80.61,6
CPT,87580,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,12.03,107.67,137
CPT,87580,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87580,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87580,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",1061.7,1061.7,21.05,189.83,137
CPT,87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Age 21+",1061.7,1061.7,32.43,32.43,4
CPT,87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Age Under 21",1061.7,1061.7,33.02,33.02,4
CPT,87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Other Outpatient",1061.7,1061.7,36.84,36.84,6
CPT,87581,MYCOPLASMA PNEU AMP PR,1061.7,1061.7,74.32,1061.7,47
CPT,87582,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,181.57,1630.01,137
CPT,87582,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Age 21+",,,279.62,279.62,4
CPT,87582,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Age Under 21",,,284.7,284.7,4
CPT,87582,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Other Outpatient",,,317.75,317.75,6
CPT,87590,GC DIR PROBE,1247.25,1247.25,87.31,1247.25,47
CPT,87590,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",1247.25,1247.25,16.13,144.19,137
CPT,87590,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Age 21+",1247.25,1247.25,24.84,24.84,4
CPT,87590,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Age Under 21",1247.25,1247.25,25.29,25.29,4
CPT,87590,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient",1247.25,1247.25,28.22,28.22,6
CPT,87591,GC AMP PROBE,984.23,984.23,68.9,984.23,94
CPT,87591,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,21.05,189.83,137
CPT,87591,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87591,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87591,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87592,GC DNA QN,1247.25,1247.25,87.31,1247.25,47
CPT,87592,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",1247.25,1247.25,25.7,229.98,137
CPT,87592,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Age 21+",1247.25,1247.25,39.59,39.59,4
CPT,87592,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Age Under 21",1247.25,1247.25,40.31,40.31,4
CPT,87592,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Other Outpatient",1247.25,1247.25,44.98,44.98,6
CPT,87593,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",108.49,108.49,51.05,275.62,118
CPT,87593,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each Other Outpatient",108.49,108.49,53.88,53.88,6
CPT,87593,ORTHOPOXVIRUS AMP PRB EA,108.49,108.49,7.59,108.49,51
CPT,87594,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,29.04,91.94,125
CPT,87594,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87594,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87594,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87623,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,21.05,189.83,137
CPT,87623,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) Age 21+",,,32.43,32.43,4
CPT,87623,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) Age Under 21",,,33.02,33.02,4
CPT,87623,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) Other Outpatient",,,36.84,36.84,6
CPT,87624,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,21.05,189.83,137
CPT,87624,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result Age 21+",,,32.43,32.43,4
CPT,87624,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result Age Under 21",,,33.02,33.02,4
CPT,87624,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result Other Outpatient",,,36.84,36.84,6
CPT,87625,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,24.33,219.03,137
CPT,87625,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed Age 21+",,,37.47,37.47,4
CPT,87625,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed Age Under 21",,,38.15,38.15,4
CPT,87625,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed Other Outpatient",,,42.58,42.58,6
CPT,87626,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,58.09,183.92,125
CPT,87626,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) Age 21+",,,64.87,64.87,4
CPT,87626,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) Age Under 21",,,66.05,66.05,4
CPT,87626,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) Other Outpatient",,,73.71,73.71,6
CPT,87627,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,676.37,1781.0,110
CPT,87627,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets Other Outpatient",,,713.76,713.76,6
CPT,87631,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,85.58,768.46,151
CPT,87632,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,130.84,1173.69,151
CPT,87633,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,250.07,2245.15,151
CPT,87633,RESP MPLEX RT AMP 12-25,4035.4,4035.4,282.48,4035.4,94
CPT,87634,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,42.12,377.85,137
CPT,87634,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique Age 21+",,,64.87,64.87,4
CPT,87634,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique Age Under 21",,,66.05,66.05,4
CPT,87634,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique Other Outpatient",,,73.71,73.71,6
CPT,87635,COVID-19 DNA/RNA AMP,56.89,56.89,3.98,56.89,171
CPT,87635,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,30.79,134.43,127
CPT,87635,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Age 21+",,,47.41,47.41,4
CPT,87635,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Age Under 21",,,48.27,48.27,4
CPT,87635,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Other Outpatient",,,53.88,53.88,6
CPT,87636,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,85.58,373.69,141
CPT,87637,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,85.58,373.69,141
CPT,87638,Infectious agent detection by nucleic acid (DNA or RNA); rubeola (measles) virus ,,,,,0
CPT,87640,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,21.05,189.83,137
CPT,87640,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87640,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87640,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",1260.15,1260.15,21.05,189.83,137
CPT,87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Age 21+",1260.15,1260.15,32.43,32.43,4
CPT,87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Age Under 21",1260.15,1260.15,33.02,33.02,4
CPT,87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Other Outpatient",1260.15,1260.15,36.84,36.84,6
CPT,87641,STAPH AUREUS MRSA AMP,1260.15,1260.15,88.21,1260.15,47
CPT,87650,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,12.03,107.67,137
CPT,87650,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87650,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87650,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",446.94,446.94,21.05,189.83,137
CPT,87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Age 21+",446.94,446.94,32.43,32.43,4
CPT,87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Age Under 21",446.94,446.94,33.02,33.02,4
CPT,87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Other Outpatient",446.94,446.94,36.84,36.84,6
CPT,87651,STREP GROUP A AMP PROBE,446.94,446.94,31.29,446.94,47
CPT,87652,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,25.06,224.53,137
CPT,87652,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Age 21+",,,38.59,38.59,4
CPT,87652,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Age Under 21",,,39.29,39.29,4
CPT,87652,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Other Outpatient",,,43.85,43.85,6
CPT,87653,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,21.05,189.83,137
CPT,87653,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique Age 21+",,,32.43,32.43,4
CPT,87653,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique Age Under 21",,,33.02,33.02,4
CPT,87653,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique Other Outpatient",,,36.84,36.84,6
CPT,87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,12.03,107.67,137
CPT,87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique Age 21+",,,18.52,18.52,4
CPT,87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique Age Under 21",,,18.86,18.86,4
CPT,87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique Other Outpatient",,,21.05,21.05,6
CPT,87661,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",984.23,984.23,21.05,189.83,137
CPT,87661,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age 21+",984.23,984.23,32.43,32.43,4
CPT,87661,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age Under 21",984.23,984.23,33.02,33.02,4
CPT,87661,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Other Outpatient",984.23,984.23,36.84,36.84,6
CPT,87661,TRICH VAGINALIS AMP PRBE,984.23,984.23,68.9,984.23,47
CPT,87662,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",546.99,546.99,30.79,275.62,137
CPT,87662,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Age 21+",546.99,546.99,47.41,47.41,4
CPT,87662,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Age Under 21",546.99,546.99,48.27,48.27,4
CPT,87662,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Other Outpatient",546.99,546.99,53.88,53.88,6
CPT,87662,ZIKA VIRUS BY DNA PCR PR,546.99,546.99,38.29,546.99,47
CPT,87797,INFECTIOUS AGENT PROBE,714.79,714.79,50.04,714.79,94
CPT,87797,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,18.02,162.45,137
CPT,87797,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism Age 21+",,,27.75,27.75,4
CPT,87797,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism Age Under 21",,,28.26,28.26,4
CPT,87797,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism Other Outpatient",,,31.53,31.53,6
CPT,87798,ADENOVIRUS AMP PROBE,1578.02,1578.02,110.46,1578.02,94
CPT,87798,ASPERGILLUS FUMIGAT AMP,887.44,887.44,62.12,887.44,94
CPT,87798,BABESIOSIS AMP PROBE,1468.28,1468.28,102.78,1468.28,47
CPT,87798,C DIFFICILE AMP PROBE,918.07,918.07,64.26,918.07,47
CPT,87798,CAMPYLOBACTER AMP PRO,490.52,490.52,34.34,490.52,47
CPT,87798,CRYPTOSPORIDIUM AMP P,490.52,490.52,34.34,490.52,47
CPT,87798,DENGUE VIRUS RNA AMP,1818.42,1818.42,127.29,1818.42,47
CPT,87798,E COLI O157 AMP PRO,490.52,490.52,34.34,490.52,47
CPT,87798,EBV AMP PROBE,918.07,918.07,64.26,918.07,47
CPT,87798,EHRLICHIOSIS AMP PROBE,1468.28,1468.28,102.78,1468.28,47
CPT,87798,ENTEROTOX E COLI AMP PR,490.52,490.52,34.34,490.52,47
CPT,87798,GIARDIA LAMBLIA AMP PRO,490.52,490.52,34.34,490.52,47
CPT,87798,HERPES VIRUS 8 AMP PROBE,1176.25,1176.25,82.34,1176.25,47
CPT,87798,HTLV1 AMP PROBE,1415.03,1415.03,99.05,1415.03,47
CPT,87798,HTLV2 AMP PROBE,1415.03,1415.03,99.05,1415.03,47
CPT,87798,INFECT AGENT AMP PROBE,1789.38,1789.38,125.26,1789.38,47
CPT,87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,21.05,189.83,137
CPT,87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism Age 21+",,,32.43,32.43,4
CPT,87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism Age Under 21",,,33.02,33.02,4
CPT,87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism Other Outpatient",,,36.84,36.84,6
CPT,87798,J C VIRUS AMP PROBE,2652.6,2652.6,185.68,2652.6,47
CPT,87798,NOROVIRUS AMP PROBE,808.38,808.38,56.59,808.38,47
CPT,87798,NOROVIRUS GI/GII AMP PRO,490.52,490.52,34.34,490.52,47
CPT,87798,PARVO VIRUS AMP PROBE,1061.7,1061.7,74.32,1061.7,47
CPT,87798,PLASMODIUM SP AMP,1366.65,1366.65,95.67,1366.65,47
CPT,87798,ROCKY MT SF AMP PROBE,1758.73,1758.73,123.11,1758.73,47
CPT,87798,ROTAVIRUS A AMP PRO,490.52,490.52,34.34,490.52,47
CPT,87798,SALMONELLA AMP PRO,490.52,490.52,34.34,490.52,47
CPT,87798,SHIGA TOXIN STEC AMP PRO,490.52,490.52,34.34,490.52,47
CPT,87798,SHIGELLA AMP PRO,490.52,490.52,34.34,490.52,47
CPT,87798,T GONDII AMP PROBE,734.15,734.15,51.39,734.15,47
CPT,87798,T WHIPPLEI AMP PROBE,2449.32,2449.32,171.45,2449.32,47
CPT,87798,VARICELLA ZOSTER DNA AMP,1287.59,1287.59,90.13,1287.59,47
CPT,87798,WEST NILE VIR AMP PROBE,3314.16,3314.16,231.99,3314.16,47
CPT,87799,ADENOVIRUS AMP QN,2000.77,2000.77,140.05,2000.77,47
CPT,87799,BK POLYOMA VIRUS AMP QN,1424.73,1424.73,99.73,1424.73,141
CPT,87799,EB VIRUS DNA QN,1424.73,1424.73,99.73,1424.73,141
CPT,87799,HERPES (HHV) 8 AMP QN,1063.3,1063.3,74.43,1063.3,94
CPT,87799,HERPES VIRUS-7 AMP QN,1063.3,1063.3,74.43,1063.3,47
CPT,87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,25.7,229.98,137
CPT,87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Age 21+",,,39.59,39.59,4
CPT,87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Age Under 21",,,40.31,40.31,4
CPT,87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other Outpatient",,,44.98,44.98,6
CPT,87799,JC POLYOMA VIRUS AMP QN,1424.73,1424.73,99.73,1424.73,47
CPT,87799,TOXO GONDII AMP QN,1603.83,1603.83,112.27,1603.83,47
CPT,87800,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,26.2,235.48,137
CPT,87800,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Age 21+",,,40.35,40.35,4
CPT,87800,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Age Under 21",,,41.08,41.08,4
CPT,87800,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Other Outpatient",,,45.85,45.85,6
CPT,87801,B PERTUSS/PARAPERTUS AMP,2334.75,2334.75,163.43,2334.75,47
CPT,87801,DONOR HIV-1/HCV/HBV NAT,472.09,472.09,33.05,472.09,47
CPT,87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,42.12,377.85,137
CPT,87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Age 21+",,,64.87,64.87,4
CPT,87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Age Under 21",,,66.05,66.05,4
CPT,87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other Outpatient",,,73.71,73.71,6
CPT,87801,MYCOPLASMA/UREAPLASM AMP,1494.11,1494.11,104.59,1494.11,47
CPT,87801,ORGANISM ID AMP PROB MUL,3367.4,3367.4,235.72,3367.4,47
CPT,87802,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",822.9,822.9,7.64,69.34,137
CPT,87802,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Age 21+",822.9,822.9,11.76,11.76,4
CPT,87802,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Age Under 21",822.9,822.9,11.97,11.97,4
CPT,87802,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Other Outpatient",822.9,822.9,13.37,13.37,6
CPT,87802,STREP GR B OPTICAL IA,822.9,822.9,57.6,822.9,47
CPT,87803,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,9.6,85.79,137
CPT,87803,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A Age 21+",,,14.78,14.78,4
CPT,87803,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A Age Under 21",,,15.05,15.05,4
CPT,87803,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A Other Outpatient",,,16.8,16.8,6
CPT,87804,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,9.93,89.42,137
CPT,87804,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza Age 21+",,,15.29,15.29,4
CPT,87804,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza Age Under 21",,,15.57,15.57,4
CPT,87804,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza Other Outpatient",,,17.38,17.38,6
CPT,87806,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,19.66,177.07,137
CPT,87806,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies Age 21+",,,30.28,30.28,4
CPT,87806,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies Age Under 21",,,30.83,30.83,4
CPT,87806,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies Other Outpatient",,,34.41,34.41,6
CPT,87807,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,7.86,71.22,137
CPT,87807,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus Age 21+",,,12.1,12.1,4
CPT,87807,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus Age Under 21",,,12.32,12.32,4
CPT,87807,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus Other Outpatient",,,13.76,13.76,6
CPT,87808,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,9.17,82.16,137
CPT,87808,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis Age 21+",,,14.12,14.12,4
CPT,87808,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis Age Under 21",,,14.38,14.38,4
CPT,87808,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis Other Outpatient",,,16.05,16.05,6
CPT,87809,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,13.06,116.8,137
CPT,87809,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Age 21+",,,20.11,20.11,4
CPT,87809,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Age Under 21",,,20.47,20.47,4
CPT,87809,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Other Outpatient",,,22.85,22.85,6
CPT,87810,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,21.17,189.83,137
CPT,87810,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis Age 21+",,,32.6,32.6,4
CPT,87810,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis Age Under 21",,,33.2,33.2,4
CPT,87810,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis Other Outpatient",,,37.05,37.05,6
CPT,87811,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,24.83,144.97,127
CPT,87811,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Age 21+",,,38.24,38.24,4
CPT,87811,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Age Under ",,,38.93,38.93,4
CPT,87811,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Other Outp",,,43.45,43.45,6
CPT,87812,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.11,195.14,116
CPT,87850,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,14.74,131.43,137
CPT,87850,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae Age 21+",,,22.69,22.69,4
CPT,87850,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae Age Under 21",,,23.11,23.11,4
CPT,87850,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae Other Outpatient",,,25.79,25.79,6
CPT,87880,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,9.92,89.42,137
CPT,87880,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Age 21+",,,15.28,15.28,4
CPT,87880,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Age Under 21",,,15.56,15.56,4
CPT,87880,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Other Outpatient",,,17.36,17.36,6
CPT,87880,STREP A OPTICAL IA,1273.06,1273.06,89.11,1273.06,94
CPT,87899,CRYPTOCOCCUS AG OIA,277.52,277.52,19.43,277.52,47
CPT,87899,E COLI VEROTOXIN 1 OIA,337.23,337.23,23.61,337.23,47
CPT,87899,E COLI VEROTOXIN 2 OIA,337.23,337.23,23.61,337.23,47
CPT,87899,H INFLUENZA AG OIA,232.36,232.36,16.27,232.36,47
CPT,87899,INFECT AGENT AG NOS OIA,251.72,251.72,17.62,251.72,47
CPT,87899,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,9.64,85.79,137
CPT,87899,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified Age 21+",,,14.85,14.85,4
CPT,87899,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified Age Under 21",,,15.12,15.12,4
CPT,87899,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified Other Outpatient",,,16.87,16.87,6
CPT,87899,N MENINGITIDIS AG OIA,232.36,232.36,16.27,232.36,47
CPT,87899,STREP PNEUMO AG OIA,642.18,642.18,44.95,642.18,47
CPT,87900,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,78.21,702.74,137
CPT,87900,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics Age 21+,,,120.44,120.44,4
CPT,87900,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics Age Under 21,,,122.63,122.63,4
CPT,87900,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics Other Outpatient,,,136.87,136.87,6
CPT,87901,HIV 1 GENOTYPE RT & PROT,2768.79,2768.79,193.82,2768.79,47
CPT,87901,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",2768.79,2768.79,154.47,1387.28,137
CPT,87901,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Age 21+",2768.79,2768.79,237.89,237.89,4
CPT,87901,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Age Under 21",2768.79,2768.79,242.21,242.21,4
CPT,87901,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Other Outpatient",2768.79,2768.79,270.32,270.32,6
CPT,87902,HEP C GENOTYPE,3941.81,3941.81,275.93,3941.81,47
CPT,87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,3941.81,3941.81,154.47,1387.28,137
CPT,87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Age 21+,3941.81,3941.81,237.89,237.89,4
CPT,87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Age Under 21,3941.81,3941.81,242.21,242.21,4
CPT,87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Other Outpatient,3941.81,3941.81,270.32,270.32,6
CPT,87903,HIV 1 PHENO & 1-10 DRUGS,8645.22,8645.22,605.17,8645.22,47
CPT,87903,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",8645.22,8645.22,293.2,2632.13,137
CPT,87903,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Age 21+",8645.22,8645.22,451.52,451.52,4
CPT,87903,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Age Under 21",8645.22,8645.22,459.73,459.73,4
CPT,87903,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Other Outpatient",8645.22,8645.22,513.09,513.09,6
CPT,87904,HIV 1 PHENO EA ADD DRUG,613.14,613.14,42.92,613.14,47
CPT,87904,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",613.14,613.14,15.64,140.56,151
CPT,87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,7.33,65.72,137
CPT,87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Age 21+",,,11.29,11.29,4
CPT,87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Age Under 21",,,11.49,11.49,4
CPT,87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Other Outpatient",,,12.83,12.83,6
CPT,87906,HIV-1 OTHER REGION,6210.41,6210.41,434.73,6210.41,47
CPT,87906,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",6210.41,6210.41,77.24,693.61,137
CPT,87906,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Age 21+",6210.41,6210.41,118.94,118.94,4
CPT,87906,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Age Under 21",6210.41,6210.41,121.11,121.11,4
CPT,87906,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Other Outpatient",6210.41,6210.41,135.17,135.17,6
CPT,87910,CMV GENOTYPE ANAL,13518.01,13518.01,946.26,13518.01,47
CPT,87910,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,13518.01,13518.01,154.47,1387.28,137
CPT,87910,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Age 21+,13518.01,13518.01,237.89,237.89,4
CPT,87910,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Age Under 21,13518.01,13518.01,242.21,242.21,4
CPT,87910,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Other Outpatient,13518.01,13518.01,270.32,270.32,6
CPT,87912,HEPATITIS B GENOTYPE,4269.35,4269.35,298.85,4269.35,47
CPT,87912,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,4269.35,4269.35,154.47,1387.28,137
CPT,87912,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Age 21+,4269.35,4269.35,237.89,237.89,4
CPT,87912,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Age Under 21,4269.35,4269.35,242.21,242.21,4
CPT,87912,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Other Outpatient,4269.35,4269.35,270.32,270.32,6
CPT,87913,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,154.47,674.52,141
CPT,87999,Unlisted microbiology procedure ,,,92.21,130.35,6
CPT,88000,"Necropsy (autopsy), gross examination only; without CNS ",,,16.24,950.64,31
CPT,88005,"Necropsy (autopsy), gross examination only; with brain ",,,18.97,1069.57,31
CPT,88007,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,19.85,1188.51,31
CPT,88012,"Necropsy (autopsy), gross examination only; infant with brain ",,,16.24,997.41,31
CPT,88014,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,14.88,997.41,31
CPT,88016,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,20.74,950.64,31
CPT,88020,"Necropsy (autopsy), gross and microscopic; without CNS ",,,27.96,1188.51,31
CPT,88025,"Necropsy (autopsy), gross and microscopic; with brain ",,,27.07,1306.62,31
CPT,88027,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,28.88,1426.35,31
CPT,88028,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,16.24,1235.28,31
CPT,88029,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,16.24,1235.28,31
CPT,88036,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,8.1,1022.78,31
CPT,88037,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,7.22,830.92,31
CPT,88040,Necropsy (autopsy); forensic examination ,,,45.12,3089.77,31
CPT,88045,Necropsy (autopsy); coroner's call ,,,4.49,86.2,25
CPT,88099,Unlisted necropsy (autopsy) procedure ,,,92.21,130.35,6
CPT,88104,CYTO FWB SMEAR & INTERP,677.68,677.68,47.44,677.68,96
CPT,88104,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,231.11,31
CPT,88106,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,277.09,31
CPT,88108,CYTOLOGY CONC & INTERP,1227.89,1227.89,85.95,1227.89,96
CPT,88108,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,240.58,31
CPT,88112,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,45.87,216.82,31
CPT,88120,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,2942.79,31
CPT,88121,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,2029.41,31
CPT,88125,"Cytopathology, forensic (eg, sperm) ",,,15.43,108.83,31
CPT,88130,Sex chromatin identification; Barr bodies ,,,10.79,96.73,106
CPT,88130,Sex chromatin identification; Barr bodies Other Outpatient,,,18.88,18.88,6
CPT,88140,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,4.79,43.83,106
CPT,88140,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Other Outpatient",,,8.39,8.39,6
CPT,88141,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,84.94,31
CPT,88142,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",424.35,424.35,12.16,109.54,119
CPT,88142,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Age 21+",424.35,424.35,18.72,18.72,4
CPT,88142,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Age Under 21",424.35,424.35,19.06,19.06,4
CPT,88142,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Other Outpatient",424.35,424.35,21.27,21.27,6
CPT,88142,PAPDX TCSC NORSC TH,424.35,424.35,29.7,424.35,47
CPT,88143,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,13.82,124.12,119
CPT,88143,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision Age 21+",,,21.29,21.29,4
CPT,88143,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision Age Unde",,,21.67,21.67,4
CPT,88143,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision Other Ou",,,24.19,24.19,6
CPT,88147,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,30.34,271.99,119
CPT,88147,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Age 21+",,,46.72,46.72,4
CPT,88147,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Age Under 21",,,47.57,47.57,4
CPT,88147,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Other Outpatient",,,53.09,53.09,6
CPT,88148,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,10.66,93.1,119
CPT,88148,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision Age 21+",,,16.41,16.41,4
CPT,88148,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision Age Under 21",,,16.71,16.71,4
CPT,88148,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision Other Outpatient",,,19.47,19.47,6
CPT,88150,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,10.66,93.1,119
CPT,88150,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Age 21+",,,16.41,16.41,4
CPT,88150,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Age Under 21",,,16.71,16.71,4
CPT,88150,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Other Outpatient",,,19.47,19.47,6
CPT,88152,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,16.58,149.69,119
CPT,88152,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision Age 21+",,,25.54,25.54,4
CPT,88152,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision Age Under 21",,,26.01,26.01,4
CPT,88152,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision Other Outpatient",,,29.02,29.02,6
CPT,88153,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,14.42,129.62,119
CPT,88153,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Age 21+",,,22.21,22.21,4
CPT,88153,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Age Under 21",,,22.61,22.61,4
CPT,88153,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Other Outpatient",,,25.23,25.23,6
CPT,88155,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,8.79,78.47,133
CPT,88160,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,271.25,31
CPT,88161,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,282.2,31
CPT,88162,CYTOPATH EXTENDED,1389.23,1389.23,97.25,1389.23,96
CPT,88162,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,437.33,31
CPT,88164,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",298.49,298.49,10.66,93.1,119
CPT,88164,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Age 21+",298.49,298.49,16.41,16.41,4
CPT,88164,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Age Under 21",298.49,298.49,16.71,16.71,4
CPT,88164,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Other Outpatient",298.49,298.49,19.47,19.47,6
CPT,88164,PAPDX TCSC NRSC BETH,298.49,298.49,20.89,298.49,47
CPT,88165,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,25.33,228.16,119
CPT,88165,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision Age 21+",,,39.01,39.01,4
CPT,88165,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision Age Under 21",,,39.72,39.72,4
CPT,88165,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision Other Outpatient",,,44.33,44.33,6
CPT,88166,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,10.66,93.1,119
CPT,88166,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision Age 21+",,,16.41,16.41,4
CPT,88166,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision Age Under 21",,,16.71,16.71,4
CPT,88166,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision Other Outpatient",,,19.47,19.47,6
CPT,88167,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,10.66,93.1,119
CPT,88167,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision Age 21+",,,16.41,16.41,4
CPT,88167,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision Age Under 21",,,16.71,16.71,4
CPT,88167,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision Other Outpatient",,,19.47,19.47,6
CPT,88172,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,22.64,315.7,31
CPT,88172,FNA SAMPLE ADEQUACY IMM,935.83,935.83,65.51,935.83,96
CPT,88173,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,505.99,31
CPT,88173,FNA INTERP & REPORT,2408.99,2408.99,168.63,2408.99,96
CPT,88174,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,15.22,136.87,119
CPT,88174,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision Age 21+",,,23.44,23.44,4
CPT,88174,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision Age Under 21",,,23.87,23.87,4
CPT,88174,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision Other Outpatien",,,26.64,26.64,6
CPT,88175,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,15.97,144.19,133
CPT,88177,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,43.83,31
CPT,88177,FNA ADEQUACY IMM ADDL,2408.99,2408.99,168.63,2408.99,108
CPT,88182,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,664.75,31
CPT,88184,CD 1 1ST MARK,1161.72,1161.72,81.32,1161.72,96
CPT,88184,CD 56 1ST MARK,1539.29,1539.29,107.75,1539.29,96
CPT,88184,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,79.73,623.5,31
CPT,88184,PERFORIN FC 1ST MARK,2149.19,2149.19,150.44,2149.19,96
CPT,88185,CD 10 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 11 B ADHEREN ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 11 C ADHEREN ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 117 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 13 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 15 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 16 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 19 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 20 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 22 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 23 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 24 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 3 ADD,454.21,454.21,12.2,734.15,162
CPT,88185,CD 30 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 33 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 34 ADD,454.21,454.21,12.2,734.15,162
CPT,88185,CD 36 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 38 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 4 ADD,734.15,734.15,51.39,734.15,54
CPT,88185,CD 45 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 5 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 55 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 56 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 59 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 64 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 7 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD 71 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD14 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD4 HELPER INDUC ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD45RO ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD59R ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CD8 FC ADD,734.15,734.15,51.39,734.15,54
CPT,88185,CD8 SUPPRESSOR ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CELL MARKER CD2 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CELL MRK FMC 7 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CELL MRK GLYCO ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CELL MRK HLADR ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CELL MRK KAPPA ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CELL MRK LAMBDA ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CELL MRK TDT ADD,174.27,174.27,12.2,174.27,108
CPT,88185,CLL MK MPO ADD,174.27,174.27,12.2,174.27,108
CPT,88185,FC ADD,174.27,174.27,12.2,174.27,108
CPT,88185,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,129.62,31
CPT,88185,ICCD 22 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,ICCD 3 ADD,174.27,174.27,12.2,174.27,108
CPT,88185,ICCD 79A ADD,174.27,174.27,12.2,174.27,108
CPT,88187,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,129.9,31
CPT,88188,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,227.31,31
CPT,88189,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,307.26,31
CPT,88199,CYTOPATH PROC UNLISTED,918.07,918.07,64.26,918.07,52
CPT,88199,Unlisted cytopathology procedure ,918.07,918.07,49.76,184.79,27
CPT,88230,TISS CULT CHROM BLD NM,3519.06,3519.06,246.33,3519.06,47
CPT,88230,Tissue culture for non-neoplastic disorders; lymphocyte ,3519.06,3519.06,69.89,627.9,119
CPT,88230,Tissue culture for non-neoplastic disorders; lymphocyte Age 21+,3519.06,3519.06,107.64,107.64,4
CPT,88230,Tissue culture for non-neoplastic disorders; lymphocyte Age Under 21,3519.06,3519.06,109.59,109.59,4
CPT,88230,Tissue culture for non-neoplastic disorders; lymphocyte Other Outpatient,3519.06,3519.06,122.31,122.31,6
CPT,88233,TISS CULT CHROM BX NM,4251.6,4251.6,297.61,4251.6,47
CPT,88233,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,4251.6,4251.6,84.44,757.51,119
CPT,88233,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Age 21+,4251.6,4251.6,130.03,130.03,4
CPT,88233,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Age Under 21,4251.6,4251.6,132.4,132.4,4
CPT,88233,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient,4251.6,4251.6,147.77,147.77,6
CPT,88235,TISS CULT CHROM AM FL NM,4119.3,4119.3,288.35,4119.3,47
CPT,88235,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,4119.3,4119.3,90.18,810.47,119
CPT,88235,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Age 21+,4119.3,4119.3,138.88,138.88,4
CPT,88235,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Age Under 21,4119.3,4119.3,141.4,141.4,4
CPT,88235,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient,4119.3,4119.3,157.82,157.82,6
CPT,88237,TISS CULT NEOPLAS BM BLD,3815.96,3815.96,267.12,3815.96,47
CPT,88237,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",3815.96,3815.96,86.25,773.96,119
CPT,88237,"Tissue culture for neoplastic disorders; bone marrow, blood cells Age 21+",3815.96,3815.96,132.83,132.83,4
CPT,88237,"Tissue culture for neoplastic disorders; bone marrow, blood cells Age Under 21",3815.96,3815.96,135.24,135.24,4
CPT,88237,"Tissue culture for neoplastic disorders; bone marrow, blood cells Other Outpatient",3815.96,3815.96,150.94,150.94,6
CPT,88239,TISS CULT NEOPLAS TUMOR,4456.53,4456.53,311.96,4456.53,47
CPT,88239,Tissue culture for neoplastic disorders; solid tumor ,4456.53,4456.53,88.51,794.03,119
CPT,88239,Tissue culture for neoplastic disorders; solid tumor Age 21+,4456.53,4456.53,136.31,136.31,4
CPT,88239,Tissue culture for neoplastic disorders; solid tumor Age Under 21,4456.53,4456.53,138.79,138.79,4
CPT,88239,Tissue culture for neoplastic disorders; solid tumor Other Outpatient,4456.53,4456.53,154.9,154.9,6
CPT,88240,CELL CRYOPRESERV DIAG,801.92,801.92,56.13,801.92,47
CPT,88240,"Cryopreservation, freezing and storage of cells, each cell line ",801.92,801.92,7.84,71.22,119
CPT,88240,"Cryopreservation, freezing and storage of cells, each cell line Age 21+",801.92,801.92,12.08,12.08,4
CPT,88240,"Cryopreservation, freezing and storage of cells, each cell line Age Under 21",801.92,801.92,12.3,12.3,4
CPT,88240,"Cryopreservation, freezing and storage of cells, each cell line Other Outpatient",801.92,801.92,13.72,13.72,6
CPT,88241,CELL THAWING DIAG,671.23,671.23,46.99,671.23,47
CPT,88241,"Thawing and expansion of frozen cells, each aliquot ",671.23,671.23,7.25,65.72,119
CPT,88241,"Thawing and expansion of frozen cells, each aliquot Age 21+",671.23,671.23,11.18,11.18,4
CPT,88241,"Thawing and expansion of frozen cells, each aliquot Age Under 21",671.23,671.23,11.38,11.38,4
CPT,88241,"Thawing and expansion of frozen cells, each aliquot Other Outpatient",671.23,671.23,12.69,12.69,6
CPT,88245,CHROM BREAKAGE 25 CELLS,4164.48,4164.48,291.51,4164.48,94
CPT,88245,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,103.9,932.77,119
CPT,88245,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Age 21+",,,160.01,160.01,4
CPT,88245,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Age Under 21",,,162.92,162.92,4
CPT,88245,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient",,,181.83,181.83,6
CPT,88248,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,103.9,932.77,119
CPT,88248,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) Age 21+",,,160.01,160.01,4
CPT,88248,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) Age Under 21",,,162.92,162.92,4
CPT,88248,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) Other Outpatient",,,181.83,181.83,6
CPT,88249,CHROM BREAKAGE SCORE 100,4843.77,4843.77,339.06,4843.77,94
CPT,88249,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,103.9,932.77,119
CPT,88249,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) Age 21+",,,160.01,160.01,4
CPT,88249,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) Age Under 21",,,162.92,162.92,4
CPT,88249,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) Other Outpatient",,,181.83,181.83,6
CPT,88261,CHROM & KARYOTYPE 5 BM,13190.47,13190.47,923.33,13190.47,94
CPT,88261,CHROM & KARYOTYPE 5 TISS,8466.1,8466.1,592.63,8466.1,47
CPT,88261,CHROM COUNT 5 KARY W BND,4611.43,4611.43,322.8,4611.43,47
CPT,88261,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,158.6,1423.74,119
CPT,88261,"Chromosome analysis; count 5 cells, 1 karyotype, with banding Age 21+",,,244.26,244.26,4
CPT,88261,"Chromosome analysis; count 5 cells, 1 karyotype, with banding Age Under 21",,,248.7,248.7,4
CPT,88261,"Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient",,,277.56,277.56,6
CPT,88262,CHROM & KARY 15-20 2 KAR,3764.33,3764.33,263.5,3764.33,94
CPT,88262,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,75.29,675.35,119
CPT,88262,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding Age 21+",,,115.95,115.95,4
CPT,88262,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding Age Under 21",,,118.06,118.06,4
CPT,88262,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding Other Outpatient",,,131.76,131.76,6
CPT,88263,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,90.17,810.47,119
CPT,88263,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding Age 21+",,,138.86,138.86,4
CPT,88263,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding Age Under 21",,,141.39,141.39,4
CPT,88263,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding Other Outpatient",,,157.8,157.8,6
CPT,88264,CHROM ANAL 20-25 CELLS,4705.0,4705.0,329.35,4705.0,94
CPT,88264,Chromosome analysis; analyze 20-25 cells ,,,86.77,779.4,119
CPT,88264,Chromosome analysis; analyze 20-25 cells Age 21+,,,133.62,133.62,4
CPT,88264,Chromosome analysis; analyze 20-25 cells Age Under 21,,,136.05,136.05,4
CPT,88264,Chromosome analysis; analyze 20-25 cells Other Outpatient,,,151.84,151.84,6
CPT,88267,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,113.14,1014.87,119
CPT,88267,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Age 21+",,,174.24,174.24,4
CPT,88267,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Age Under 21",,,177.41,177.41,4
CPT,88267,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient",,,198.0,198.0,6
CPT,88269,CHROM & KARY IN SITU AMN,4651.76,4651.76,325.62,4651.76,94
CPT,88269,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,104.2,934.59,119
CPT,88269,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding Age 21+",,,160.46,160.46,4
CPT,88269,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding Age Under 21",,,163.37,163.37,4
CPT,88269,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding Other Outpatient",,,182.34,182.34,6
CPT,88271,CYTOGEN DNA ISH PROBE EA,648.63,648.63,45.4,648.63,94
CPT,88271,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,12.85,114.99,119
CPT,88271,"Molecular cytogenetics; DNA probe, each (eg, FISH) Age 21+",,,19.79,19.79,4
CPT,88271,"Molecular cytogenetics; DNA probe, each (eg, FISH) Age Under 21",,,20.15,20.15,4
CPT,88271,"Molecular cytogenetics; DNA probe, each (eg, FISH) Other Outpatient",,,22.49,22.49,6
CPT,88272,CYTOGEN IN SITU 3-5,877.74,877.74,61.44,877.74,94
CPT,88272,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,24.42,219.03,119
CPT,88272,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Age 21+",,,37.61,37.61,4
CPT,88272,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Age Under 21",,,38.29,38.29,4
CPT,88272,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Other Outpatient",,,42.74,42.74,6
CPT,88273,CYTOGEN IN SITU 10-30,972.95,972.95,68.11,972.95,94
CPT,88273,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,20.89,188.02,119
CPT,88273,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Age 21+",,,32.16,32.16,4
CPT,88273,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Age Under 21",,,32.75,32.75,4
CPT,88273,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient",,,36.55,36.55,6
CPT,88274,CYTOGEN I P ISH 25-99,1053.63,1053.63,73.75,1053.63,94
CPT,88274,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,25.43,228.16,119
CPT,88274,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells Age 21+",,,39.16,39.16,4
CPT,88274,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells Age Under 21",,,39.87,39.87,4
CPT,88274,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells Other Outpatient",,,44.5,44.5,6
CPT,88275,CYTOGEN I P ISH 100-300,1214.97,1214.97,85.05,1214.97,94
CPT,88275,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,30.71,275.62,119
CPT,88275,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Age 21+",,,47.3,47.3,4
CPT,88275,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Age Under 21",,,48.16,48.16,4
CPT,88275,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient",,,53.75,53.75,6
CPT,88280,CHROM ADDTL KARYOTYPE,2415.43,2415.43,169.08,2415.43,94
CPT,88280,"Chromosome analysis; additional karyotypes, each study ",,,20.08,180.7,119
CPT,88280,"Chromosome analysis; additional karyotypes, each study Age 21+",,,30.92,30.92,4
CPT,88280,"Chromosome analysis; additional karyotypes, each study Age Under 21",,,31.48,31.48,4
CPT,88280,"Chromosome analysis; additional karyotypes, each study Other Outpatient",,,35.14,35.14,6
CPT,88283,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,41.16,368.72,119
CPT,88283,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Age 21+",,,63.38,63.38,4
CPT,88283,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Age Under 21",,,64.53,64.53,4
CPT,88283,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Other Outpatient",,,72.03,72.03,6
CPT,88285,CHROM ANAL ADDTL CELLS,576.02,576.02,40.32,576.02,94
CPT,88285,"Chromosome analysis; additional cells counted, each study ",,,16.15,144.19,119
CPT,88285,"Chromosome analysis; additional cells counted, each study Age 21+",,,24.86,24.86,4
CPT,88285,"Chromosome analysis; additional cells counted, each study Age Under 21",,,25.31,25.31,4
CPT,88285,"Chromosome analysis; additional cells counted, each study Other Outpatient",,,28.26,28.26,6
CPT,88289,CHROM ANAL ADDTL HR,964.88,964.88,67.54,964.88,94
CPT,88289,Chromosome analysis; additional high resolution study ,,,20.66,186.2,119
CPT,88289,Chromosome analysis; additional high resolution study Age 21+,,,31.81,31.81,4
CPT,88289,Chromosome analysis; additional high resolution study Age Under 21,,,32.39,32.39,4
CPT,88289,Chromosome analysis; additional high resolution study Other Outpatient,,,36.15,36.15,6
CPT,88291,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,32.08,119.92,33
CPT,88299,Unlisted cytogenetic study ,,,49.76,184.79,27
CPT,88300,"Level I - Surgical pathology, gross examination only ",,,12.63,63.5,31
CPT,88300,SURG PATH LEVEL 1,593.77,593.77,41.56,593.77,96
CPT,88302,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,142.03,31
CPT,88302,SURG PATH LEVEL 2,1113.33,1113.33,77.93,1113.33,96
CPT,88304,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,35.46,171.23,31
CPT,88304,SURG PATH LEVEL 3,1260.15,1260.15,88.21,1260.15,96
CPT,88305,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,39.86,189.49,31
CPT,88305,SURG PATH LEVEL 4,1958.81,1958.81,137.12,1958.81,96
CPT,88307,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,240.36,1139.39,31
CPT,88307,SURG PATH LEVEL 5,2986.61,2986.61,209.06,2986.61,96
CPT,88309,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,342.89,1610.28,31
CPT,88309,SURG PATH LEVEL 6,3396.44,3396.44,237.75,3396.44,96
CPT,88311,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,45.25,31
CPT,88311,PATH DECALCIFICATION,495.34,495.34,34.67,495.34,108
CPT,88312,PATH STAIN GROUP 1,842.26,842.26,58.96,842.26,96
CPT,88312,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,470.55,31
CPT,88313,PATH STAIN GROUP 2,1240.79,1240.79,86.86,1240.79,96
CPT,88313,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,381.14,31
CPT,88314,HISTOCHEM STAIN & FS,751.89,751.89,52.63,751.89,108
CPT,88314,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,382.95,31
CPT,88319,HISTOCHM ENZYME STAIN EA,3707.85,3707.85,259.55,3707.85,96
CPT,88319,PATH ESTERASE STAIN,1440.87,1440.87,100.86,1440.87,96
CPT,88319,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,132.99,1382.04,31
CPT,88321,Consultation and report on referred slides prepared elsewhere ,,,33.84,306.01,31
CPT,88321,PATH CONSULT REF SLIDES,648.63,648.63,45.4,648.63,96
CPT,88323,Consultation and report on referred material requiring preparation of slides ,,,31.45,152.98,31
CPT,88323,PATH CONS PREP SLIDES,2544.51,2544.51,178.12,2544.51,96
CPT,88325,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,86.57,489.55,31
CPT,88325,PATH CONS EXTENDED REF,914.365,914.365,59.23,982.63,144
CPT,88329,PATH CONSULT SURGERY,592.17,592.17,41.45,592.17,96
CPT,88329,Pathology consultation during surgery; ,,,33.84,129.9,31
CPT,88331,PATH CONSULT FS 1 SPEC,1805.53,1805.53,126.39,1805.53,96
CPT,88331,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,47.86,315.7,31
CPT,88332,PATH CONSULT FS EA ADDTL,1863.61,1863.61,130.45,1863.61,108
CPT,88332,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,134.72,31
CPT,88333,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,37.86,1382.04,31
CPT,88333,TOUCH PREP INITIAL SITE,1631.26,1631.26,114.19,1631.26,96
CPT,88334,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,105.86,31
CPT,88334,TOUCH PREP EA ADD SITE,955.21,955.21,66.86,955.21,108
CPT,88341,IHC EA ADD AB ST SPEC,1600.6,1600.6,112.04,1600.6,108
CPT,88341,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,319.45,49
CPT,88342,ALK 1 PER 1ST AB,927.76,927.76,64.94,927.76,96
CPT,88342,B723 PER 1ST AB,2131.44,2131.44,149.2,2131.44,96
CPT,88342,BCL6 PER 1ST AB,927.76,927.76,64.94,927.76,96
CPT,88342,CAM 5.2 PER FIRST AB,503.41,503.41,35.24,503.41,96
CPT,88342,CD10 (CALLA) PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,CD2 (LEU5B) PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,CD21 PEROX AB,1973.33,1973.33,138.13,1973.33,96
CPT,88342,CD23 (LEU 20) PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,CD31 PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,CD34 PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,CD4 (LEU3 A+B) PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,CD43 (MTI) PEROX AB,1973.33,1973.33,138.13,1973.33,96
CPT,88342,CD45RO (UCHL1) PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,CD5 (LEU 1) PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,CD68 MACROPH PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,CD79A PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,CD8 (LEU 2A) PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,EMA PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,GFAP PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,HMB 45 PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,IHC AB STAIN,1052.0049999999999,1052.0049999999999,35.24,1600.6,192
CPT,88342,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,78.32,359.25,31
CPT,88342,KER 7 (CK7) PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,KI67 FRZN PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,KI67 PEROX AB,927.76,927.76,64.94,927.76,96
CPT,88342,MAP-2PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,MIB 1 PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,MUSCLE SPEC ACTIN AB IHC,927.76,927.76,64.94,927.76,96
CPT,88342,P53 PEROX AB STAIN,503.41,503.41,35.24,503.41,96
CPT,88342,SMA-IV PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88342,SMOOTH MUSCLE ACT AB IHC,927.76,927.76,64.94,927.76,96
CPT,88342,TTF 1 PEROX AB,503.41,503.41,35.24,503.41,96
CPT,88344,IHC EA MULTIPLEX AB PROC,1600.6,1600.6,112.04,1600.6,96
CPT,88344,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,156.0,711.53,49
CPT,88346,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,138.39,636.68,31
CPT,88346,TISSUE BIOPSY DIF AB INI,4654.97,4654.97,325.85,4654.97,96
CPT,88348,EM DIAGNOSTIC,10796.01,10796.01,755.72,10796.01,96
CPT,88348,"Electron microscopy, diagnostic ",,,445.07,2161.91,31
CPT,88350,IF PER SPEC EA ADDL AB S,1642.56,1642.56,114.98,1642.56,108
CPT,88350,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,479.68,31
CPT,88350,TIS BSMNT MIGIF IND ADDL,824.5,824.5,57.72,824.5,108
CPT,88350,TISS IF IND EA ADDL AB,4654.97,4654.97,325.85,4654.97,108
CPT,88350,TISS NEUT AB IGG IFA IND,864.86,864.86,60.54,864.86,162
CPT,88355,Morphometric analysis; skeletal muscle ,,,70.29,329.65,31
CPT,88356,Morphometric analysis; nerve ,,,49.76,610.04,31
CPT,88358,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,106.35,494.31,31
CPT,88360,MOR AN IHC AB QT/SQT MAN,1127.83,1127.83,78.95,1127.83,96
CPT,88360,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,93.53,421.28,31
CPT,88361,IHC EGFR QN/SQN COMP,2163.71,2163.71,151.46,2163.71,96
CPT,88361,IHC ER QN/SQN COMP ASST,766.42,766.42,53.65,766.42,96
CPT,88361,IHC HER-2NEU QN/SQN COMP,2163.71,2163.71,151.46,2163.71,96
CPT,88361,IHC HMLH-1 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,96
CPT,88361,IHC HMSH-2 AB QN/SQ COMP,766.42,766.42,53.65,766.42,96
CPT,88361,IHC HMSH-3 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,96
CPT,88361,IHC HMSH-6 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,96
CPT,88361,IHC HPMS-1 QN/SQN COMP,1752.27,1752.27,122.66,1752.27,96
CPT,88361,IHC HPMS-2 AB QN/SQ COMP,766.42,766.42,53.65,766.42,96
CPT,88361,IHC KI-67QNSQN COMP ASST,766.42,766.42,53.65,766.42,96
CPT,88361,IHC PR AB QN/SQN COMP,766.42,766.42,53.65,766.42,96
CPT,88361,IHC QN/SQN EA AB COMP,2318.63,2318.63,162.3,2318.63,96
CPT,88361,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,90.73,623.5,31
CPT,88362,NERVE TEASING PREP,1581.24,1581.24,110.69,1581.24,48
CPT,88362,Nerve teasing preparations ,1581.24,1581.24,130.58,1382.04,31
CPT,88363,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,22.01,71.22,31
CPT,88364,ISH/FISH EA ADDL PROBE,3005.97,3005.97,210.42,3005.97,108
CPT,88364,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,561.84,49
CPT,88365,ISH/FISH INITIAL PROBE,3005.97,3005.97,210.42,3005.97,96
CPT,88365,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,753.15,31
CPT,88366,ISH/FISH MULTPLX PROBE,3005.97,3005.97,210.42,3005.97,96
CPT,88366,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,263.16,1187.58,49
CPT,88367,MORPH ANAL CMP INI PROBE,3372.24,3372.24,236.06,3372.24,96
CPT,88367,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,93.92,623.5,31
CPT,88368,MORPH ANAL MAN INI PROBE,2195.99,2195.99,153.72,2195.99,96
CPT,88368,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,111.77,623.5,31
CPT,88369,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,488.81,49
CPT,88371,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,13.34,120.49,117
CPT,88371,"Protein analysis of tissue by Western Blot, with interpretation and report; Age 21+",,,20.54,20.54,4
CPT,88371,"Protein analysis of tissue by Western Blot, with interpretation and report; Age Under 21",,,20.91,20.91,4
CPT,88371,"Protein analysis of tissue by Western Blot, with interpretation and report; Other Outpatient",,,23.34,23.34,6
CPT,88372,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,15.73,140.56,117
CPT,88372,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each Age 21+",,,24.22,24.22,4
CPT,88372,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each Age Under 21",,,24.66,24.66,4
CPT,88372,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each Other Outpatient",,,27.53,27.53,6
CPT,88373,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,239.1,49
CPT,88374,MORPH ANAL CMP MLP PROBE,1190.76,1190.76,83.35,1190.76,96
CPT,88374,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,1423.4,49
CPT,88375,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,174.86,49
CPT,88377,MORPH ANAL MAN MLP PROBE,1410.2,1410.2,98.71,1410.2,96
CPT,88377,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,1817.29,49
CPT,88380,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,386.24,31
CPT,88381,MICRODISSECTION MANUAL,1797.455,1797.455,60.2,2734.9,162
CPT,88381,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,971.44,31
CPT,88387,MACRO EXAM PREP EA SPEC,4738.89,4738.89,331.72,4738.89,108
CPT,88387,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,41.62,31
CPT,88399,ARRAY WHOLE GENOME HYBRD,558.28,558.28,39.08,558.28,52
CPT,88399,Unlisted surgical pathology procedure ,558.28,558.28,49.76,184.79,27
CPT,88720,BILIRUBIN TRANSCUTANEOUS,150.07,150.07,10.5,150.07,47
CPT,88720,"Bilirubin, total, transcutaneous ",150.07,150.07,3.01,27.39,137
CPT,88720,"Bilirubin, total, transcutaneous Age 21+",150.07,150.07,4.64,4.64,4
CPT,88720,"Bilirubin, total, transcutaneous Age Under 21",150.07,150.07,4.73,4.73,4
CPT,88720,"Bilirubin, total, transcutaneous Other Outpatient",150.07,150.07,5.27,5.27,6
CPT,88738,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,3.01,27.39,106
CPT,88738,"Hemoglobin (Hgb), quantitative, transcutaneous Other Outpatient",,,5.27,5.27,6
CPT,88740,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,5.62,51.09,124
CPT,88740,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin Other Outpatient",,,9.84,9.84,6
CPT,88741,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,5.62,51.09,124
CPT,88741,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Other Outpatient",,,9.84,9.84,6
CPT,88749,"Unlisted in vivo (eg, transcutaneous) laboratory service ",,,92.21,130.35,6
CPT,89049,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,68.47,315.7,49
CPT,89050,CELL COUNT BODY FLD,432.43,432.43,30.27,432.43,47
CPT,89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",432.43,432.43,2.83,25.57,137
CPT,89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Age 21+",432.43,432.43,4.36,4.36,4
CPT,89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Age Under 21",432.43,432.43,4.44,4.44,4
CPT,89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Other Outpatient",432.43,432.43,4.96,4.96,6
CPT,89051,CELL CT & DIFF CSF,1021.35,1021.35,71.49,1021.35,94
CPT,89051,CELL CT&DIFF BODY FL,1021.35,1021.35,71.49,1021.35,94
CPT,89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,3.36,31.01,137
CPT,89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count Age 21+",,,5.17,5.17,4
CPT,89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count Age Under 21",,,5.26,5.26,4
CPT,89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count Other Outpatient",,,5.88,5.88,6
CPT,89055,FECAL WBC COUNT QL,613.14,613.14,42.92,613.14,47
CPT,89055,"Leukocyte assessment, fecal, qualitative or semiquantitative ",613.14,613.14,2.56,23.76,137
CPT,89055,"Leukocyte assessment, fecal, qualitative or semiquantitative Age 21+",613.14,613.14,3.95,3.95,4
CPT,89055,"Leukocyte assessment, fecal, qualitative or semiquantitative Age Under 21",613.14,613.14,4.02,4.02,4
CPT,89055,"Leukocyte assessment, fecal, qualitative or semiquantitative Other Outpatient",613.14,613.14,4.48,4.48,6
CPT,89060,CRYSTALS BODY FL,740.6,740.6,51.84,740.6,141
CPT,89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,4.4,40.14,137
CPT,89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) Age 21+",,,6.78,6.78,4
CPT,89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) Age Under 21",,,6.9,6.9,4
CPT,89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) Other Outpatient",,,7.7,7.7,6
CPT,89125,FAT STAIN,598.61,598.61,41.9,598.61,47
CPT,89125,"Fat stain, feces, urine, or respiratory secretions ",598.61,598.61,3.53,31.01,137
CPT,89125,"Fat stain, feces, urine, or respiratory secretions Age 21+",598.61,598.61,5.43,5.43,4
CPT,89125,"Fat stain, feces, urine, or respiratory secretions Age Under 21",598.61,598.61,5.53,5.53,4
CPT,89125,"Fat stain, feces, urine, or respiratory secretions Other Outpatient",598.61,598.61,6.17,6.17,6
CPT,89160,"Meat fibers, feces ",,,2.91,25.57,137
CPT,89160,"Meat fibers, feces Age 21+",,,4.48,4.48,4
CPT,89160,"Meat fibers, feces Age Under 21",,,4.56,4.56,4
CPT,89160,"Meat fibers, feces Other Outpatient",,,5.09,5.09,6
CPT,89190,NASAL OR SPUTUM EOS SMR,342.07,342.07,23.94,342.07,47
CPT,89190,Nasal smear for eosinophils ,342.07,342.07,3.47,31.01,137
CPT,89190,Nasal smear for eosinophils Age 21+,342.07,342.07,5.35,5.35,4
CPT,89190,Nasal smear for eosinophils Age Under 21,342.07,342.07,5.44,5.44,4
CPT,89190,Nasal smear for eosinophils Other Outpatient,342.07,342.07,6.08,6.08,6
CPT,89220,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,21.66,315.7,49
CPT,89230,SWEAT TEST BY IONTOPH,1413.44,1413.44,98.94,1413.44,48
CPT,89230,Sweat collection by iontophoresis ,1413.44,1413.44,2.61,108.83,49
CPT,89240,Unlisted miscellaneous pathology test ,,,49.76,184.79,45
CPT,89250,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,5859.32,49
CPT,89251,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,6094.8,49
CPT,89253,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,579.53,49
CPT,89254,Oocyte identification from follicular fluid ,,,149.16,685.56,49
CPT,89255,Preparation of embryo for transfer (any method) ,,,49.76,541.24,49
CPT,89257,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,481.14,49
CPT,89258,Cryopreservation; embryo(s) ,,,656.15,2861.82,49
CPT,89259,Cryopreservation; sperm ,,,149.16,579.53,49
CPT,89260,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,184.79,49
CPT,89261,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,184.79,49
CPT,89264,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,570.89,49
CPT,89268,Insemination of oocytes ,,,149.16,703.41,49
CPT,89272,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,2861.82,49
CPT,89280,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,2861.82,49
CPT,89281,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,1486.95,49
CPT,89290,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,1495.88,49
CPT,89291,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,1881.65,49
CPT,89300,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,5.9,52.96,124
CPT,89300,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Other Outpatient,,,10.33,10.33,6
CPT,89310,Semen analysis; motility and count (not including Huhner test) ,,,5.17,45.64,124
CPT,89310,Semen analysis; motility and count (not including Huhner test) Other Outpatient,,,9.04,9.04,6
CPT,89320,"Semen analysis; volume, count, motility, and differential ",,,7.39,65.72,124
CPT,89320,"Semen analysis; volume, count, motility, and differential Other Outpatient",,,12.93,12.93,6
CPT,89321,SEMEN ANAL PRES &/OR MOT,311.41,311.41,21.8,311.41,47
CPT,89321,"Semen analysis; sperm presence and motility of sperm, if performed ",311.41,311.41,7.23,65.72,124
CPT,89321,"Semen analysis; sperm presence and motility of sperm, if performed Other Outpatient",311.41,311.41,12.65,12.65,6
CPT,89322,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,9.3,83.97,106
CPT,89322,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) Other Outpatient",,,16.28,16.28,6
CPT,89325,Sperm antibodies ,,,6.4,56.59,124
CPT,89325,Sperm antibodies Other Outpatient,,,11.2,11.2,6
CPT,89329,Sperm evaluation; hamster penetration test ,,,11.75,105.86,124
CPT,89329,Sperm evaluation; hamster penetration test Other Outpatient,,,20.57,20.57,6
CPT,89330,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,6.23,56.59,124
CPT,89330,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Other Outpatient",,,10.9,10.9,6
CPT,89331,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,11.75,105.86,106
CPT,89331,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) Other Outpatient",,,20.57,20.57,6
CPT,89335,"Cryopreservation, reproductive tissue, testicular ",,,49.76,252.99,49
CPT,89337,"Cryopreservation, mature oocyte(s) ",,,149.16,984.94,49
CPT,89342,Storage (per year); embryo(s) ,,,149.16,579.53,49
CPT,89343,Storage (per year); sperm/semen ,,,149.16,579.53,49
CPT,89344,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,579.53,49
CPT,89346,Storage (per year); oocyte(s) ,,,291.26,1194.5,49
CPT,89352,Thawing of cryopreserved; embryo(s) ,,,15.9,579.53,49
CPT,89353,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,15.9,184.79,49
CPT,89354,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,15.9,579.53,49
CPT,89356,"Thawing of cryopreserved; oocytes, each aliquot ",,,11.34,579.53,49
CPT,89398,Unlisted reproductive medicine laboratory procedure ,,,49.76,184.79,27
CPT,90281,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,910.7,27
CPT,90283,"Immune globulin (IgIV), human, for intravenous use ",,,46.89,712.3,27
CPT,90284,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,31.29,142.39,27
CPT,90287,"Botulinum antitoxin, equine, any route ",,,678.13,1090.91,6
CPT,90288,BOTULISM IG HUMAN IV,311850.0,311850.0,21829.5,311850.0,53
CPT,90288,"Botulism immune globulin, human, for intravenous use ",311850.0,311850.0,294713.96,416525.16,6
CPT,90291,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,16827.51,27
CPT,90371,HBIG HUMAN 0.5 ML IM,568.87,568.87,39.82,568.87,42
CPT,90371,HBIG HUMAN 5 ML IM,5146.69,5146.69,360.27,5146.69,42
CPT,90371,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,136.0,1514.05,29
CPT,90375,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,266.92,3210.85,29
CPT,90376,RIG IMOGAM-HT 150 U IMSQ,6643.71,6643.71,465.06,6643.71,42
CPT,90376,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",6643.71,6643.71,581.53,4334.84,27
CPT,90377,RIG KEDRAB 300 U IMSQ,4795.42,4795.42,335.68,4795.42,42
CPT,90377,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",4795.42,4795.42,234.91,3415.33,29
CPT,90378,RSV-MAB RECOM 50 MG IM,14158.89,14158.89,991.12,14158.89,42
CPT,90378,RSV-MAB RECOM 50 MG IMJW,10421.45,10421.45,729.5,10421.45,42
CPT,90378,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,17438.73,27
CPT,90380,BEYFORTUS 0.5 ML IM,2975.05,2975.05,208.25,2975.05,47
CPT,90380,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",2975.05,2975.05,611.85,5326.78,29
CPT,90381,BEYFORTUS 1 ML IM,2975.05,2975.05,208.25,2975.05,47
CPT,90381,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",2975.05,2975.05,611.85,5326.78,29
CPT,90382,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,571.68,5325.5,29
CPT,90384,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,793.37,27
CPT,90385,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,99.88,285.81,27
CPT,90386,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,33.53,1096.84,27
CPT,90389,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,6217.9,27
CPT,90396,VARICELLA-ZOSTER IG IM,13145.31,13145.31,920.17,13145.31,42
CPT,90396,"Varicella-zoster immune globulin, human, for intramuscular use ",13145.31,13145.31,3899.36,21845.66,27
CPT,90399,Unlisted immune globulin ,,,706.02,706.02,15
CPT,90460,IMMZ ADM ANY RTE <18,81.0,81.0,5.67,81.0,65
CPT,90460,"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine o",81.0,81.0,39.66,77.15,6
CPT,90461,"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid compone",,,35.67,69.39,6
CPT,90471,IMMUNIZ ADMIN SGL,313.06,313.06,21.91,313.06,2006
CPT,90471,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) ",,,166.29,323.51,6
CPT,90472,IMMUNIZ ADMIN EA ADDTL,313.06,313.06,21.91,313.06,1625
CPT,90472,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition",,,35.67,69.39,6
CPT,90473,Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid) ,,,166.29,323.51,6
CPT,90474,Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) ,,,35.67,69.39,6
CPT,90480,"Immunization administration by intramuscular injection, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine; first or only component of each vaccine a",,,110.0,214.0,6
CPT,90481,"Immunization administration by intramuscular injection, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine; each additional component administered (L",,,110.0,214.0,6
CPT,90482,Immunization counseling by physician or other qualified health care professional when immunization(s) is not administered by provider on the same date of service; 3 minutes up to 10 minutes ,,,29.81,57.99,6
CPT,90483,Immunization counseling by physician or other qualified health care professional when immunization(s) is not administered by provider on the same date of service; greater than 10 minutes up to 20 minu,,,61.52,119.68,6
CPT,90484,Immunization counseling by physician or other qualified health care professional when immunization(s) is not administered by provider on the same date of service; greater than 20 minutes ,,,92.26,179.49,6
CPT,90581,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,948.25,27
CPT,90584,"Dengue vaccine, quadrivalent, live, 2 dose schedule, for subcutaneous use ",,,399.61,642.86,6
CPT,90585,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.53,1692.18,27
CPT,90586,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,1692.18,27
CPT,90587,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,67.86,632.16,23
CPT,90589,"Chikungunya virus vaccine, live attenuated, for intramuscular use ",,,478.17,2634.02,12
CPT,90593,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,2634.02,27
CPT,90611,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,2586.12,23
CPT,90619,MENQUADFI VAC IM,1012.41,1012.41,70.87,1012.41,47
CPT,90619,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",1012.41,1012.41,182.11,1647.2,29
CPT,90620,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,251.1,2271.33,29
CPT,90621,MENB-FHBP 2 OR 3 DOSE IM,1154.93,1154.93,80.85,1154.93,47
CPT,90621,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",1154.93,1154.93,222.72,1985.77,29
CPT,90622,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.09,21
CPT,90623,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,258.96,2269.1,29
CPT,90624,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,1498.39,21
CPT,90625,"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use ",,,776.25,2792.06,12
CPT,90626,"Tick-borne encephalitis virus vaccine, inactivated; 0.25 mL dosage, for intramuscular use ",,,878.92,2910.84,12
CPT,90627,"Tick-borne encephalitis virus vaccine, inactivated; 0.5 mL dosage, for intramuscular use ",,,878.92,2910.84,12
CPT,90632,HEPA VAC ADULT IM,511.84,511.84,35.83,511.84,47
CPT,90632,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",511.84,511.84,71.52,778.92,29
CPT,90633,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,40.88,372.1,29
CPT,90634,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,15
CPT,90635,"Influenza virus vaccine, H5N1, derived from cell cultures, adjuvanted, for intramuscular use ",,,85.35,137.31,6
CPT,90636,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,140.87,1268.43,29
CPT,90637,"Influenza virus vaccine, quadrivalent (qIRV), mRNA; 30 mcg/0.5 mL dosage, for intramuscular use ",,,63.69,102.45,6
CPT,90638,"Influenza virus vaccine, quadrivalent (qIRV), mRNA; 60 mcg/0.5 mL dosage, for intramuscular use ",,,63.69,102.45,6
CPT,90644,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,236.72,27
CPT,90647,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,31.59,292.91,29
CPT,90648,HIB VAC PRP-T 4 DOSE IM,120.97,120.97,8.47,120.97,47
CPT,90648,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",120.97,120.97,14.11,126.14,29
CPT,90649,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,1534.14,27
CPT,90650,"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use ",,,438.91,1269.97,12
CPT,90651,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,337.93,2946.34,29
CPT,90653,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,95.22,702.63,29
CPT,90653,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use Other Outpatient",,,,,0
CPT,90655,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,119.64,27
CPT,90655,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90656,FLUZONE TRI 0.5 ML PF IM,93.96,93.96,6.58,93.96,42
CPT,90656,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",93.96,93.96,22.52,189.0,29
CPT,90656,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use Other Outpatient",93.96,93.96,,,0
CPT,90657,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,10.7,92.45,29
CPT,90657,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90658,FLUZONE TRI 0.5 ML IM,93.96,93.96,6.58,93.96,42
CPT,90658,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",93.96,93.96,21.41,184.89,29
CPT,90658,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use Other Outpatient",93.96,93.96,,,0
CPT,90660,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,28.82,243.73,23
CPT,90660,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use Other Outpatient",,,,,0
CPT,90661,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,48.02,310.78,29
CPT,90661,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90662,FLUVAC IIV INC ANT 0.7IM,273.49,273.49,19.14,273.49,42
CPT,90662,FLUZONE HD PF IM,388.04,388.04,27.16,388.04,42
CPT,90662,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,95.22,702.63,29
CPT,90662,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use Other Outpatient",,,,,0
CPT,90670,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,2168.79,27
CPT,90670,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use Other Outpatient",,,,,0
CPT,90671,PCV15 VAC IM,1347.98,1347.98,94.36,1347.98,42
CPT,90671,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",1347.98,1347.98,261.23,2195.3,29
CPT,90671,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Other Outpatient",1347.98,1347.98,,,0
CPT,90672,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,79.18,234.67,12
CPT,90672,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use Other Outpatient",,,,,0
CPT,90673,FLUBLOK TRI PF IM,388.04,388.04,27.16,388.04,42
CPT,90673,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",388.04,388.04,95.22,702.63,29
CPT,90673,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Other Outpatient",388.04,388.04,,,0
CPT,90674,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,73.21,288.29,12
CPT,90674,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90675,RABIES VAC IM,2507.45,2507.45,175.52,2507.45,42
CPT,90675,"Rabies vaccine, for intramuscular use ",2507.45,2507.45,305.76,4162.77,29
CPT,90676,"Rabies vaccine, for intradermal use ",,,390.82,881.34,21
CPT,90677,PREVNAR-20 VAC IM,1571.1,1571.1,109.98,1571.1,42
CPT,90677,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",1571.1,1571.1,303.51,2630.17,29
CPT,90677,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Other Outpatient",1571.1,1571.1,,,0
CPT,90678,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,328.06,2938.64,29
CPT,90679,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,314.99,2934.28,29
CPT,90680,RV5 VAC 3DOSE LIVE PO,598.51,598.51,41.9,598.51,47
CPT,90680,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",598.51,598.51,104.87,946.54,29
CPT,90681,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,160.19,1408.17,29
CPT,90682,FLUVAC RIV4 PFAF IM,273.49,273.49,19.14,273.49,42
CPT,90682,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",273.49,273.49,157.84,617.88,12
CPT,90682,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Other Outpatient",273.49,273.49,,,0
CPT,90683,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,298.18,2777.69,29
CPT,90684,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,333.92,2756.14,29
CPT,90684,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use Other Outpatient",,,,,0
CPT,90685,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,64.58,183.01,12
CPT,90685,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90686,FLUVAC IIV4 PF 0.5ML IM,81.77,81.77,5.72,81.77,42
CPT,90686,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",81.77,81.77,58.03,189.0,12
CPT,90686,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use Other Outpatient",81.77,81.77,,,0
CPT,90687,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,28.67,88.34,12
CPT,90687,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90688,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,54.41,176.6,12
CPT,90688,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90689,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,28.67,46.12,6
CPT,90689,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90690,"Typhoid vaccine, live, oral ",,,143.9,1123.31,27
CPT,90691,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,226.56,1474.11,27
CPT,90694,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,58.03,651.15,12
CPT,90694,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90696,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,67.99,601.72,29
CPT,90697,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,172.08,1500.11,23
CPT,90698,DTAP-IPV/HIB VAC IM,671.47,671.47,47.0,671.47,47
CPT,90698,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",671.47,671.47,134.21,1149.99,29
CPT,90700,DTAP VAC <7YRS IM,177.78,177.78,12.44,177.78,47
CPT,90700,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",177.78,177.78,31.98,283.41,29
CPT,90702,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,633.02,27
CPT,90707,MMR VAC LIVE SQ,575.51,575.51,40.29,575.51,47
CPT,90707,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",575.51,575.51,99.45,911.81,29
CPT,90710,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,297.32,2664.29,29
CPT,90713,IPV VAC IMSQ,260.59,260.59,18.24,260.59,47
CPT,90713,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",260.59,260.59,47.58,428.46,29
CPT,90714,TD VAC PF >=7YRS IM,253.93,253.93,17.78,253.93,47
CPT,90714,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",253.93,253.93,37.59,404.68,29
CPT,90715,TDAP VAC >=7YRS IM,319.12,319.12,22.34,319.12,47
CPT,90715,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",319.12,319.12,38.3,466.94,29
CPT,90716,VAR VAC LIVE SQ,988.75,988.75,69.21,988.75,47
CPT,90716,"Varicella virus vaccine (VAR), live, for subcutaneous use ",988.75,988.75,197.14,1752.82,29
CPT,90717,"Yellow fever vaccine, live, for subcutaneous use ",,,388.23,2252.43,27
CPT,90723,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,114.34,992.46,29
CPT,90732,PPSV23 VAC IMSQ,710.35,710.35,49.72,710.35,42
CPT,90732,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",710.35,710.35,129.47,1121.42,29
CPT,90732,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Other Outpat",710.35,710.35,,,0
CPT,90733,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,1179.75,27
CPT,90734,MENVEO VAC IM,953.96,953.96,66.78,953.96,47
CPT,90734,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",953.96,953.96,178.28,1597.17,29
CPT,90736,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,2037.0,27
CPT,90738,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,2826.35,27
CPT,90739,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,172.23,1491.81,29
CPT,90739,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use Other Outpatient",,,,,0
CPT,90740,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,159.49,1789.08,29
CPT,90740,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use Other Outpatient",,,,,0
CPT,90743,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,72.9,659.1,29
CPT,90743,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use Other Outpatient",,,,,0
CPT,90744,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",168.53,168.53,32.2,267.34,29
CPT,90744,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use Other Outpatient",168.53,168.53,,,0
CPT,90744,RECOMBIVAX PED 5MCG IM,168.53,168.53,11.8,168.53,42
CPT,90746,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,72.9,659.1,29
CPT,90746,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use Other Outpatient",,,,,0
CPT,90747,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,159.49,1383.88,29
CPT,90747,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use Other Outpatient",,,,,0
CPT,90748,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,402.88,27
CPT,90750,"Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use ",,,221.59,2064.2,14
CPT,90756,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,69.41,273.15,12
CPT,90756,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,90758,"Zaire ebolavirus vaccine, live, for intramuscular use ",,,561.76,903.71,6
CPT,90759,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,736.98,27
CPT,90759,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use Other Outpatient",,,,,0
CPT,90867,"Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management ",,,505.45,983.33,8
CPT,90868,"Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per session ",,,69.38,601.0,8
CPT,90869,Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management ,,,601.0,601.0,2
CPT,90870,Electroconvulsive therapy (includes necessary monitoring) ,,,300.0,601.55,10
CPT,90901,BF TRNG ANY MODALITY PT,1094.265,1094.265,57.93,1379.8,176
CPT,90901,Biofeedback training by any modality ,,,35.94,109.89,148
CPT,90901,Biofeedback training by any modality Other Outpatient,,,37.93,43.1,12
CPT,90912,BIOFDBK TRN INT 15 MN,585.0,585.0,40.95,585.0,59
CPT,90912,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",585.0,585.0,71.8,242.94,160
CPT,90913,BIOFDBK TRN EA 15 MN,195.0,195.0,13.65,195.0,59
CPT,90913,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",195.0,195.0,28.61,134.98,160
CPT,90935,CVV HEMODIALYSIS DAILY,5797.16,5797.16,405.8,5797.16,390
CPT,90935,HEMODIALYSIS ONE EVAL,4402.36,4402.36,308.17,4402.36,126
CPT,90935,HEMODIALYSIS SINGLE EVAL,4402.36,4402.36,308.17,4402.36,65
CPT,90935,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,4402.36,4402.36,730.0,923.0,24
CPT,90937,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,72.92,923.0,26
CPT,90945,ACUTE PD ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CPT,90945,CONT AMBU PD ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CPT,90945,CONT CYCL PD ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CPT,90945,CONT RENAL REPL ONE EVAL,5797.16,5797.16,405.8,5797.16,66
CPT,90945,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,730.0,923.0,24
CPT,90945,MANUAL PD ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CPT,90945,PERITONEL DIAL ONE EVAL,2503.06,2503.06,175.21,2503.06,66
CPT,90945,SUS LOW EFF DIAL ONE EVL,2503.06,2503.06,175.21,2503.06,66
CPT,90947,ACUTE PD MULT EVAL,2771.83,2771.83,194.03,2771.83,71
CPT,90947,CONT AMBU PD MULT EVAL,2771.83,2771.83,194.03,2771.83,71
CPT,90947,CONT CYCL PD MULT EVAL,2771.83,2771.83,194.03,2771.83,71
CPT,90947,CONT RENAL REPL MULT EVL,6065.91,6065.91,424.61,6065.91,71
CPT,90947,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,730.0,923.0,24
CPT,90947,MANUAL PD MULT EVAL,2771.83,2771.83,194.03,2771.83,71
CPT,90947,SUS LOW EFF DIAL MLT EVL,2771.83,2771.83,194.03,2771.83,71
CPT,90951,"End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counsel",,,975.09,1005.25,2
CPT,90954,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,851.96,878.31,2
CPT,90955,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,443.42,457.13,2
CPT,90956,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,301.99,311.33,2
CPT,90957,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,656.26,676.56,2
CPT,90958,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,427.19,440.4,2
CPT,90959,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,279.14,287.77,2
CPT,90960,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month",,,306.89,316.38,2
CPT,90961,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month ",,,255.7,263.61,2
CPT,90962,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month ",,,177.08,182.56,2
CPT,90963,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and",,,515.77,531.72,2
CPT,90964,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and developme",,,439.9,453.51,2
CPT,90965,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and developm",,,425.01,438.15,2
CPT,90966,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older ",,,255.42,263.32,2
CPT,90967,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age ",,,15.13,15.6,2
CPT,90968,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age ",,,14.58,15.03,2
CPT,90969,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age ",,,14.31,14.75,2
CPT,90970,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older ",,,8.25,8.51,2
CPT,90993,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,730.0,923.0,24
CPT,90999,"Unlisted dialysis procedure, inpatient or outpatient ",,,730.0,923.0,24
CPT,91010,ESOPHAGUS MOTILITY STDY,2689.46,2689.46,188.26,2689.46,50
CPT,91010,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,2689.46,2689.46,343.92,5932.0,92
CPT,91013,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,45.59,2636.0,48
CPT,91020,Gastric motility (manometric) studies ,,,483.64,5932.0,92
CPT,91022,Duodenal motility (manometric) study ,,,263.62,5932.0,124
CPT,91030,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,253.72,2636.0,48
CPT,91034,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",2479.8,2479.8,390.47,2636.0,48
CPT,91034,GASTROESOPHAG REFLX TEST,2479.8,2479.8,173.59,2479.8,50
CPT,91035,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1119.91,2636.0,48
CPT,91035,GASTROESOPH RFLX ELECTRD,4199.865,4199.865,293.19,4211.31,100
CPT,91037,ESOPH IMPED FUNCTION TST,844.68,844.68,59.13,844.68,50
CPT,91037,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",844.68,844.68,318.15,2636.0,48
CPT,91038,ESOPH IMPED FUNCTION >1H,1882.14,1882.14,131.75,1882.14,50
CPT,91038,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",1882.14,1882.14,1083.25,2636.0,48
CPT,91040,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1199.19,2636.0,48
CPT,91065,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,182.35,2636.0,48
CPT,91110,CAPSULE ENDOSCOPY ILEUM,4635.47,4635.47,324.48,4635.47,49
CPT,91110,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",4635.47,4635.47,771.68,5047.0,95
CPT,91110,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report Age 21+",4635.47,4635.47,861.77,861.77,4
CPT,91110,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report Age Under 21",4635.47,4635.47,877.44,877.44,4
CPT,91111,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,813.13,5047.0,95
CPT,91111,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report Age 21+",,,908.06,908.06,4
CPT,91111,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report Age Under 21",,,924.57,924.57,4
CPT,91112,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,813.13,6306.79,95
CPT,91112,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report Age 21+",,,908.06,908.06,4
CPT,91112,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report Age Under 21",,,924.57,924.57,4
CPT,91113,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,857.75,3781.3,21
CPT,91113,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Age 21+",,,957.89,957.89,4
CPT,91113,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Age Under 21",,,975.31,975.31,4
CPT,91117,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,392.45,2174.0,38
CPT,91120,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,18
CPT,91122,Anorectal manometry ,,,1266.0,2636.0,50
CPT,91124,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,606.65,5932.0,74
CPT,91125,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1048.41,5932.0,74
CPT,91132,"Electrogastrography, diagnostic, transcutaneous; ",,,597.63,2636.0,48
CPT,91133,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,299.83,2636.0,48
CPT,91200,LIVER ELASTOGRAPHY,1574.67,1574.67,173.21,1574.67,52
CPT,91200,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",1574.67,1574.67,29.95,740.17,27
CPT,91200,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report Age 21+",1574.67,1574.67,33.45,33.45,4
CPT,91200,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report Age Under 21",1574.67,1574.67,34.06,34.06,4
CPT,91299,Unlisted diagnostic gastroenterology procedure ,,,380.46,2636.0,48
CPT,91304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,186.16,1357.2,23
CPT,91318,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,550.75,27
CPT,91318,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Oth",,,,,0
CPT,91319,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,91.96,737.52,29
CPT,91319,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Ot",,,,,0
CPT,91320,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,163.32,1309.82,29
CPT,91320,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Ot",,,,,0
CPT,91321,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,142.65,1235.59,29
CPT,91321,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,91322,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,156.8,1358.23,29
CPT,91322,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,91323,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,195.85,1696.46,29
CPT,91323,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use Other Outpatient",,,,,0
CPT,92002,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,318.81,620.23,6
CPT,92004,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,318.81,620.23,6
CPT,92012,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,318.81,620.23,6
CPT,92014,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,318.81,620.23,6
CPT,92015,Determination of refractive state ,,,54.51,106.04,6
CPT,92018,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,8858.0,122
CPT,92019,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,8858.0,122
CPT,92020,Gonioscopy (separate procedure) ,,,299.83,583.31,6
CPT,92025,"Computerized corneal topography, unilateral or bilateral, with interpretation and report ",,,151.28,294.3,6
CPT,92060,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,151.28,294.3,6
CPT,92065,Orthoptic training; performed by a physician or other qualified health care professional ,,,151.28,294.3,6
CPT,92066,Orthoptic training; under supervision of a physician or other qualified health care professional ,,,100.59,126.46,6
CPT,92071,Fitting of contact lens for treatment of ocular surface disease ,,,94.16,183.18,6
CPT,92072,"Fitting of contact lens for management of keratoconus, initial fitting ",,,281.46,547.57,6
CPT,92081,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,151.28,294.3,6
CPT,92082,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,151.28,294.3,6
CPT,92083,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,299.83,583.31,6
CPT,92100,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,95.15,185.11,6
CPT,92132,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), anterior segment, with interpretation and report, unilateral or bilateral ",,,151.28,294.3,6
CPT,92133,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve ",,,151.28,294.3,6
CPT,92134,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina ",,,151.28,294.3,6
CPT,92136,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,299.83,583.31,6
CPT,92137,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,1395.07,30
CPT,92145,"Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report ",,,91.93,178.85,6
CPT,92201,"Ophthalmoscopy, extended; with retinal drawing and scleral depression of peripheral retinal disease (eg, for retinal tear, retinal detachment, retinal tumor) with interpretation and report, unilateral",,,151.28,294.3,6
CPT,92202,"Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral ",,,151.28,294.3,6
CPT,92227,"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral ",,,91.93,178.85,6
CPT,92228,"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral ",,,91.93,178.85,6
CPT,92229,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,76.25,296.6,12
CPT,92230,Fluorescein angioscopy with interpretation and report ,,,1335.43,2598.01,6
CPT,92235,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,134.78,262.2,6
CPT,92240,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,444.02,863.81,6
CPT,92242,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,490.57,954.39,6
CPT,92250,Fundus photography with interpretation and report ,,,299.83,583.31,6
CPT,92260,Ophthalmodynamometry ,,,91.93,178.85,6
CPT,92265,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,151.28,294.3,6
CPT,92270,Electro-oculography with interpretation and report ,,,299.83,583.31,6
CPT,92273,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,269.58,524.46,6
CPT,92274,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,160.55,312.33,6
CPT,92283,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,151.28,294.3,6
CPT,92284,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,999.87,1945.21,6
CPT,92285,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,151.28,294.3,6
CPT,92286,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,299.83,583.31,6
CPT,92287,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,299.83,583.31,6
CPT,92288,"Screening dark adaptation measurement (eg, rod recovery intercept time), with interpretation and report ",,,66.16,128.72,6
CPT,92310,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia ",,,40.19,325.87,8
CPT,92311,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, 1 eye ",,,999.87,1945.21,6
CPT,92312,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, both eyes ",,,299.83,583.31,6
CPT,92313,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lens ",,,299.83,583.31,6
CPT,92314,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens, both eyes except for apha",,,23.67,192.81,8
CPT,92315,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, 1 eye ",,,299.83,583.31,6
CPT,92316,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyes ",,,151.28,294.3,6
CPT,92317,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneoscleral lens ",,,91.93,178.85,6
CPT,92325,"Modification of contact lens (separate procedure), with medical supervision of adaptation ",,,299.83,583.31,6
CPT,92326,Replacement of contact lens ,,,151.28,294.3,6
CPT,92340,"Fitting of spectacles, except for aphakia; monofocal ",,,52.53,102.19,6
CPT,92341,"Fitting of spectacles, except for aphakia; bifocal ",,,67.4,131.13,6
CPT,92342,"Fitting of spectacles, except for aphakia; multifocal, other than bifocal ",,,76.31,148.46,6
CPT,92352,Fitting of spectacle prosthesis for aphakia; monofocal ,,,151.28,294.3,6
CPT,92353,Fitting of spectacle prosthesis for aphakia; multifocal ,,,151.28,294.3,6
CPT,92354,Fitting of spectacle mounted low vision aid; single element system ,,,91.93,178.85,6
CPT,92355,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,91.93,178.85,6
CPT,92358,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,151.28,294.3,6
CPT,92370,Repair and refitting spectacles; except for aphakia ,,,45.59,88.7,6
CPT,92371,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,151.28,294.3,6
CPT,92499,Unlisted ophthalmological service or procedure ,,,63.22,123.0,6
CPT,92502,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,90
CPT,92504,Binocular microscopy (separate diagnostic procedure) ,,,26.76,52.06,6
CPT,92507,TX SPEECH INDIVIDUAL SP,353.525,353.525,17.38,472.93,220
CPT,92507,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,74.07,429.98,78
CPT,92507,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual Other Outpatient",,,80.19,80.19,6
CPT,92508,TX SPEECH GROUP SP,353.525,353.525,17.38,472.93,176
CPT,92508,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,23.33,129.2,78
CPT,92508,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals Other Outpatient",,,25.25,25.25,6
CPT,92511,Nasopharyngoscopy with endoscope (separate procedure) ,,,107.03,5932.0,50
CPT,92512,NASAL FUNCTION STUDIES,1383.75,1383.75,96.86,1383.75,59
CPT,92512,"Nasal function studies (eg, rhinomanometry) ",1383.75,1383.75,79.28,154.24,6
CPT,92516,"Facial nerve function studies (eg, electroneuronography) ",,,64.43,125.35,6
CPT,92517,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,78.84,99.11,6
CPT,92518,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,78.84,99.11,6
CPT,92519,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,117.93,148.26,6
CPT,92520,LARYNGEAL FUNCTN STUDIES,750.79,750.79,52.56,750.79,44
CPT,92520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",750.79,750.79,90.26,583.31,76
CPT,92520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Other Outpatient",750.79,750.79,95.25,95.25,6
CPT,92521,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,129.65,618.94,78
CPT,92521,"Evaluation of speech fluency (eg, stuttering, cluttering) Other Outpatient",,,140.34,140.34,6
CPT,92521,SP/EVAL FLUENCY,619.555,619.555,19.04,1079.49,352
CPT,92522,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,108.73,501.29,78
CPT,92522,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); Other Outpatient",,,117.69,117.69,6
CPT,92522,SP/EVAL SOUND PRODUCTION,619.555,619.555,19.04,1079.49,352
CPT,92523,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,220.36,1068.18,78
CPT,92523,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) Ot",,,238.53,238.53,6
CPT,92523,SP/EVAL SND W/ LANG EVAL,619.555,619.555,19.04,1079.49,352
CPT,92524,BEHAV QL ANALYSIS VOICE,619.555,619.555,19.04,1079.49,352
CPT,92524,Behavioral and qualitative analysis of voice and resonance ,,,106.52,483.96,78
CPT,92524,Behavioral and qualitative analysis of voice and resonance Other Outpatient,,,115.3,115.3,6
CPT,92526,TX SWAL/ORAL FUNCTION OT,393.125,393.125,14.07,627.83,176
CPT,92526,TX SWAL/ORAL FUNCTION PT,393.125,393.125,13.9,627.83,176
CPT,92526,TX SWAL/ORAL FUNCTION SP,393.125,393.125,13.9,627.83,220
CPT,92526,Treatment of swallowing dysfunction and/or oral function for feeding ,,,81.84,470.48,78
CPT,92526,Treatment of swallowing dysfunction and/or oral function for feeding Other Outpatient,,,88.59,88.59,6
CPT,92531,"Spontaneous nystagmus, including gaze ",,,29.73,57.83,6
CPT,92532,Positional nystagmus test ,,,39.66,77.15,6
CPT,92533,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,23.79,46.28,6
CPT,92534,Optokinetic nystagmus test ,,,11.88,23.11,6
CPT,92537,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,25.77,50.13,6
CPT,92538,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,14.88,28.94,6
CPT,92540,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,69.38,134.98,6
CPT,92541,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,299.83,583.31,6
CPT,92542,"Positional nystagmus test, minimum of 4 positions, with recording ",,,299.83,583.31,6
CPT,92544,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,7.92,15.41,6
CPT,92545,"Oscillating tracking test, with recording ",,,7.92,15.41,6
CPT,92546,Sinusoidal vertical axis rotational testing ,,,249.75,485.89,6
CPT,92547,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,20.82,40.5,6
CPT,92548,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,299.83,583.31,6
CPT,92549,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,299.83,583.31,6
CPT,92550,Tympanometry and reflex threshold measurements ,,,380.46,740.17,6
CPT,92551,"Screening test, pure tone, air only ",,,12.86,63.61,8
CPT,92552,Pure tone audiometry (threshold); air only ,,,299.83,583.31,6
CPT,92553,Pure tone audiometry (threshold); air and bone ,,,380.46,740.17,6
CPT,92555,Speech audiometry threshold; ,,,91.93,178.85,6
CPT,92556,Speech audiometry threshold; with speech recognition ,,,91.93,178.85,6
CPT,92557,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,380.46,740.17,6
CPT,92558,"Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis ",,,14.48,14.93,2
CPT,92562,"Loudness balance test, alternate binaural or monaural ",,,380.46,740.17,6
CPT,92563,Tone decay test ,,,91.93,178.85,6
CPT,92565,"Stenger test, pure tone ",,,91.93,178.85,6
CPT,92567,Tympanometry (impedance testing) ,,,91.93,178.85,6
CPT,92568,"Acoustic reflex testing, threshold ",,,91.93,178.85,6
CPT,92570,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,380.46,740.17,6
CPT,92571,Filtered speech test ,,,91.93,178.85,6
CPT,92572,Staggered spondaic word test ,,,380.46,740.17,6
CPT,92575,Sensorineural acuity level test ,,,91.93,178.85,6
CPT,92576,Synthetic sentence identification test ,,,91.93,178.85,6
CPT,92577,"Stenger test, speech ",,,1335.43,2598.01,6
CPT,92579,Visual reinforcement audiometry (VRA) ,,,380.46,740.17,6
CPT,92582,Conditioning play audiometry ,,,380.46,740.17,6
CPT,92583,Select picture audiometry ,,,91.93,178.85,6
CPT,92584,Electrocochleography ,,,207.13,402.96,6
CPT,92587,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,9.9,19.26,6
CPT,92588,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,12.9,25.09,6
CPT,92596,Ear protector attenuation measurements ,,,58.5,73.55,6
CPT,92597,EVAL USE/FIT VOICE PR SP,271.94,271.94,19.04,271.94,44
CPT,92597,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,271.94,271.94,69.16,397.18,78
CPT,92597,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech Other Outpatient,271.94,271.94,74.86,74.86,6
CPT,92601,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,353.81,688.33,6
CPT,92602,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,200.2,389.48,6
CPT,92603,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,343.92,669.07,6
CPT,92604,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,192.28,374.07,6
CPT,92605,EV RX OF NSGD SP,1079.49,1079.49,75.56,1079.49,50
CPT,92605,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",1079.49,1079.49,90.28,487.81,8
CPT,92606,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,77.02,389.48,8
CPT,92607,EV SGD W/PT FIRST HR SP,1079.49,1079.49,75.56,1079.49,44
CPT,92607,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",1079.49,1079.49,118.84,711.44,78
CPT,92607,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour Other Outpatient",1079.49,1079.49,128.65,128.65,6
CPT,92608,EV SGD W/PT ADD 30 MN SP,501.32,501.32,35.09,501.32,44
CPT,92608,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",501.32,501.32,46.43,283.44,84
CPT,92609,SGD INCL PROGRAM/MOD SP,393.125,393.125,17.38,1159.87,176
CPT,92609,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,99.66,593.85,78
CPT,92609,"Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient",,,107.88,107.88,6
CPT,92610,EVAL ORAL/PHARYNG SWL OT,619.555,619.555,19.04,1079.49,176
CPT,92610,EVAL ORAL/PHARYNG SWL PT,619.555,619.555,19.04,1079.49,176
CPT,92610,EVAL ORAL/PHARYNG SWL SP,619.555,619.555,19.04,1079.49,176
CPT,92610,Evaluation of oral and pharyngeal swallowing function ,,,82.47,397.18,78
CPT,92610,Evaluation of oral and pharyngeal swallowing function Other Outpatient,,,89.27,89.27,6
CPT,92611,FLUORO EVAL OF SWALLOW,934.05,934.05,65.38,934.05,44
CPT,92611,FLUORO EVAL OF SWALW OT,934.05,934.05,65.38,934.05,44
CPT,92611,FLUORO EVAL OF SWALW SP,934.05,934.05,65.38,934.05,88
CPT,92611,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,88.75,491.67,78
CPT,92611,Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient,,,96.06,96.06,6
CPT,92612,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,192.28,522.03,78
CPT,92612,Flexible endoscopic evaluation of swallowing by cine or video recording; Other Outpatient,,,209.21,209.21,6
CPT,92613,Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only ,,,34.64,206.3,8
CPT,92614,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,146.76,396.41,78
CPT,92614,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; Other Outpatient",,,158.87,158.87,6
CPT,92615,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report only ",,,22.01,181.26,8
CPT,92616,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,221.51,598.28,78
CPT,92616,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; Other Outpatient,,,239.77,239.77,6
CPT,92617,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only ,,,27.79,227.54,8
CPT,92618,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,32.05,181.26,8
CPT,92620,"Evaluation of central auditory function, with report; initial 60 minutes ",,,380.46,740.17,6
CPT,92621,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,53.52,104.11,6
CPT,92622,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,409.28,796.24,6
CPT,92623,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,48.46,94.27,6
CPT,92625,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,380.46,740.17,6
CPT,92626,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,380.46,740.17,6
CPT,92627,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,50.54,98.33,6
CPT,92628,"Evaluation for hearing aid candidacy, unilateral or bilateral, including review and integration of audiologic function tests, assessment, and interpretation of hearing needs (eg, speech-in-noise, supr",,,430.27,837.06,6
CPT,92629,"Evaluation for hearing aid candidacy, unilateral or bilateral, including review and integration of audiologic function tests, assessment, and interpretation of hearing needs (eg, speech-in-noise, supr",,,35.42,68.91,6
CPT,92630,Auditory rehabilitation; prelingual hearing loss ,,,338.77,349.25,2
CPT,92631,"Hearing aid selection services, unilateral or bilateral, including review of audiologic function tests and hearing aid candidacy evaluation, assessment of visual and dexterity limitations, and psychos",,,354.48,689.62,6
CPT,92632,"Hearing aid selection services, unilateral or bilateral, including review of audiologic function tests and hearing aid candidacy evaluation, assessment of visual and dexterity limitations, and psychos",,,35.42,68.91,6
CPT,92633,Auditory rehabilitation; postlingual hearing loss ,,,338.77,349.25,2
CPT,92634,"Hearing aid fitting services, unilateral or bilateral, including device analysis, programming, verification, counseling, orientation, and training, and, when performed, hearing assistive device, suppl",,,430.27,837.06,6
CPT,92635,"Hearing aid fitting services, unilateral or bilateral, including device analysis, programming, verification, counseling, orientation, and training, and, when performed, hearing assistive device, suppl",,,35.42,68.91,6
CPT,92636,"Hearing aid post-fitting follow-up services, unilateral or bilateral, including confirmation of physical fit, validation of patient benefit and performance, sound quality of device, adjustment(s) (eg,",,,856.35,1665.99,6
CPT,92637,"Hearing aid post-fitting follow-up services, unilateral or bilateral, including confirmation of physical fit, validation of patient benefit and performance, sound quality of device, adjustment(s) (eg,",,,35.42,68.91,6
CPT,92638,"Behavioral verification of amplification including aided thresholds, functional gain, speech-in-noise, when performed (List separately in addition to code for primary procedure) ",,,430.27,837.06,6
CPT,92639,"Hearing-aid measurement, verification with probe-microphone (List separately in addition to code for primary procedure) ",,,430.27,837.06,6
CPT,92640,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,270.57,526.39,6
CPT,92641,"Hearing device verification, electroacoustic analysis ",,,430.27,837.06,6
CPT,92642,"Hearing assistive device, supplemental technology fitting services (eg, personal frequency modulation ºFM»/digital modulation ºDM» system, remote microphone, alerting devices) ",,,430.27,837.06,6
CPT,92650,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,17.57,67.39,8
CPT,92651,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,166.5,209.31,6
CPT,92652,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,220.12,276.72,6
CPT,92653,AU EVO PO NEURDIA W INTR,6144.13,6144.13,430.09,6144.13,59
CPT,92653,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",6144.13,6144.13,162.09,203.76,6
CPT,92700,Unlisted otorhinolaryngological service or procedure ,,,63.22,123.0,6
CPT,92920,PTCA SINGLE VESSEL LC,32507.47,32507.47,3575.82,32507.47,37
CPT,92920,PTCA SINGLE VESSEL LD,32507.47,32507.47,3575.82,32507.47,37
CPT,92920,PTCA SINGLE VESSEL LM,32507.47,32507.47,3575.82,32507.47,37
CPT,92920,PTCA SINGLE VESSEL RC,32507.47,32507.47,3575.82,32507.47,37
CPT,92920,PTCA SINGLE VESSEL RI,32507.47,32507.47,3575.82,32507.47,37
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,3933.0,67846.0,124
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) with Cardiac Cath",,,7818.0,7818.0,5
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) without Cardiac Cath",,,5591.0,5591.0,5
CPT,92921,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,46251.0,22
CPT,92924,PTCA COR SGL ARTY LC,62212.11,62212.11,6843.33,62212.11,37
CPT,92924,PTCA COR SGL ARTY LD,62212.11,62212.11,6843.33,62212.11,37
CPT,92924,PTCA COR SGL ARTY RC,62212.11,62212.11,6843.33,62212.11,37
CPT,92924,PTCA COR W ANG SGL LM,62212.11,62212.11,6843.33,62212.11,37
CPT,92924,PTCA COR W ANG SGL RI,62212.11,62212.11,6843.33,62212.11,37
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,3933.0,67846.0,124
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) with Cardiac Cath",,,7818.0,7818.0,5
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) without Cardiac Cath",,,5591.0,5591.0,5
CPT,92925,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,46251.0,14
CPT,92928,PTCA STNT W ANG SGL  LD,33956.6,33956.6,3735.23,33956.6,37
CPT,92928,PTCA STNT W ANG SGL LC,33956.6,33956.6,3735.23,33956.6,37
CPT,92928,PTCA STNT W ANG SGL LM,33956.6,33956.6,3735.23,33956.6,37
CPT,92928,PTCA STNT W ANG SGL RC,33956.6,33956.6,3735.23,33956.6,37
CPT,92928,PTCA STNT W ANG SGL RI,33956.6,33956.6,3735.23,33956.6,37
CPT,92928,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,3933.0,67846.0,134
CPT,92929,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,46251.0,22
CPT,92930,PTCA NCOR ST WANG 2+LSLC,67913.2,67913.2,7470.45,67913.2,44
CPT,92930,PTCA NCOR ST WANG 2+LSLD,67913.2,67913.2,7470.45,67913.2,44
CPT,92930,PTCA NCOR ST WANG 2+LSLM,67913.2,67913.2,7470.45,67913.2,44
CPT,92930,PTCA NCOR ST WANG 2+LSRC,67913.2,67913.2,7470.45,67913.2,44
CPT,92930,PTCA NCOR ST WANG 2+LSRI,67913.2,67913.2,7470.45,67913.2,44
CPT,92930,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5591.0,91021.43,127
CPT,92933,PTCA STN W ATH SGL LC,33956.6,33956.6,3735.23,33956.6,37
CPT,92933,PTCA STN W ATH SGL LD,33956.6,33956.6,3735.23,33956.6,37
CPT,92933,PTCA STN W ATH SGL LM,33956.6,33956.6,3735.23,33956.6,37
CPT,92933,PTCA STN W ATH SGL RC,33956.6,33956.6,3735.23,33956.6,37
CPT,92933,PTCA STN W ATH SGL RI,33956.6,33956.6,3735.23,33956.6,37
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,3933.0,77468.25,124
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) with Cardiac Cath",,,7818.0,7818.0,5
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) without Cardiac Cath",,,5591.0,5591.0,5
CPT,92934,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,46251.0,22
CPT,92937,PTCA RVS GFT STNT SGL LC,33956.6,33956.6,3735.23,33956.6,37
CPT,92937,PTCA RVS GFT STNT SGL LD,33956.6,33956.6,3735.23,33956.6,37
CPT,92937,PTCA RVS GFT STNT SGL LM,33956.6,33956.6,3735.23,33956.6,37
CPT,92937,PTCA RVS GFT STNT SGL RC,33956.6,33956.6,3735.23,33956.6,37
CPT,92937,PTCA RVS GFT STNT SGL RI,33956.6,33956.6,3735.23,33956.6,37
CPT,92937,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,3933.0,67846.0,134
CPT,92938,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,46251.0,22
CPT,92941,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,67846.0,134
CPT,92941,RVSC AMI STN THRM SGL LC,33956.6,33956.6,3735.23,33956.6,43
CPT,92941,RVSC AMI STN THRM SGL LD,33956.6,33956.6,3735.23,33956.6,43
CPT,92941,RVSC AMI STN THRM SGL LM,33956.6,33956.6,3735.23,33956.6,43
CPT,92941,RVSC AMI STN THRM SGL RC,33956.6,33956.6,3735.23,33956.6,43
CPT,92941,RVSC AMI STN THRM SGL RI,33956.6,33956.6,3735.23,33956.6,43
CPT,92943,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,3933.0,67846.0,134
CPT,92943,RVSC CHR STN THRM SGL LC,33956.6,33956.6,3735.23,33956.6,37
CPT,92943,RVSC CHR STN THRM SGL LD,33956.6,33956.6,3735.23,33956.6,37
CPT,92943,RVSC CHR STN THRM SGL LM,33956.6,33956.6,3735.23,33956.6,37
CPT,92943,RVSC CHR STN THRM SGL RC,33956.6,33956.6,3735.23,33956.6,37
CPT,92943,RVSC CHR STN THRM SGL RI,33956.6,33956.6,3735.23,33956.6,37
CPT,92944,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,46251.0,22
CPT,92945,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,27837.0,100082.0,60
CPT,92950,CPR,2309.21,2309.21,161.64,2309.21,44
CPT,92950,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",2309.21,2309.21,551.76,2636.0,90
CPT,92953,TEMP EXTERNAL PACING,2009.38,2009.38,140.66,2009.38,43
CPT,92953,Temporary transcutaneous pacing ,2009.38,2009.38,1169.48,3293.0,122
CPT,92960,CARDIOVERSION EXTERNAL,5181.7,5181.7,192.6,9002.33,391
CPT,92960,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,122
CPT,92961,CARDIOVERSION INTERNAL,5181.7,5181.7,362.72,5181.7,58
CPT,92961,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",5181.7,5181.7,1169.48,3293.0,122
CPT,92970,Cardioassist-method of circulatory assist; internal ,,,2152.0,16144.0,112
CPT,92971,Cardioassist-method of circulatory assist; external ,,,288.39,16144.0,70
CPT,92972,PERC TRANS COR LITH LC,32507.47,32507.47,2275.52,32507.47,58
CPT,92972,PERC TRANS COR LITH LD,32507.47,32507.47,2275.52,32507.47,58
CPT,92972,PERC TRANS COR LITH LM,32507.47,32507.47,2275.52,32507.47,58
CPT,92972,PERC TRANS COR LITH RC,32507.47,32507.47,2275.52,32507.47,58
CPT,92972,PERC TRANS COR LITH RI,32507.47,32507.47,2275.52,32507.47,58
CPT,92972,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,8798.0,11120.0,4
CPT,92973,PERC TRANS CORON THROM,4126.27,4126.27,453.89,4126.27,50
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,4126.27,4126.27,1481.0,46251.0,71
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) with Cardiac Cath,4126.27,4126.27,7818.0,7818.0,5
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) without Cardiac Cath,4126.27,4126.27,5591.0,5591.0,5
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,46251.0,80
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) with Cardiac Cath,,,7818.0,7818.0,5
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) without Cardiac Cath,,,5591.0,5591.0,5
CPT,92975,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,28286.0,22
CPT,92977,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,28286.0,24
CPT,92978,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,7834.63,7834.63,276.51,43890.0,90
CPT,92978,IVUS INITIAL VESSEL,7834.63,7834.63,861.81,7834.63,44
CPT,92979,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,3794.66,3794.66,220.03,43890.0,90
CPT,92979,IVUS EA ADDL VESSEL,3794.66,3794.66,417.41,3794.66,44
CPT,92986,PB VALVUPLSTY AORTIC VAL,53443.21,53443.21,5878.75,53443.21,36
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve ,53443.21,53443.21,3933.0,100082.0,125
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve with Cardiac Cath,53443.21,53443.21,7818.0,7818.0,5
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve without Cardiac Cath,53443.21,53443.21,5591.0,5591.0,5
CPT,92987,PB VALVUPLSTY MITRAL VAL,59315.38,59315.38,6524.69,59315.38,36
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve ,59315.38,59315.38,3933.0,100082.0,125
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve with Cardiac Cath,59315.38,59315.38,7818.0,7818.0,5
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve without Cardiac Cath,59315.38,59315.38,5591.0,5591.0,5
CPT,92990,PB VALVUPLSTY PULMON VAL,39566.81,39566.81,4352.35,39566.81,36
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve ,39566.81,39566.81,3933.0,100082.0,125
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve with Cardiac Cath,39566.81,39566.81,7818.0,7818.0,5
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve without Cardiac Cath,39566.81,39566.81,5591.0,5591.0,5
CPT,92992,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,8
CPT,92993,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,8
CPT,92997,PULM ART ANG SGL VESS LT,31621.64,31621.64,3478.38,31621.64,36
CPT,92997,PULM ART ANG SGL VESS RT,31621.64,31621.64,3478.38,31621.64,36
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,3933.0,100082.0,125
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel with Cardiac Cath,,,7818.0,7818.0,5
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel without Cardiac Cath,,,5591.0,5591.0,5
CPT,92998,PULM ART ANG ADD VESS LT,31621.64,31621.64,3478.38,31621.64,49
CPT,92998,PULM ART ANG ADD VESS RT,31621.64,31621.64,3478.38,31621.64,49
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,3933.0,100082.0,76
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) with Cardiac Cath,,,7818.0,7818.0,5
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) without Cardiac Cath,,,5591.0,5591.0,5
CPT,93000,"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report ",,,12.6,1668.0,12
CPT,93005,EKG TRACING ONLY,600.075,600.075,20.42,908.39,165
CPT,93005,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report ",,,151.28,1668.0,10
CPT,93010,"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only ",,,23.79,1668.0,10
CPT,93015,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and re",,,199.21,1668.0,10
CPT,93016,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretatio",,,62.42,1668.0,10
CPT,93017,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an",,,696.02,1668.0,10
CPT,93017,STRESS TEST,5038.594999999999,5038.594999999999,348.3,5101.44,165
CPT,93018,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only ",,,41.64,1668.0,10
CPT,93024,Ergonovine provocation test ,,,999.87,1945.21,10
CPT,93025,Microvolt T-wave alternans for assessment of ventricular arrhythmias ,,,315.15,1668.0,10
CPT,93040,"Rhythm ECG, 1-3 leads; with interpretation and report ",,,35.67,1668.0,10
CPT,93041,RHYTHM STRIP TRACE,383.46,383.46,26.84,383.46,55
CPT,93041,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report ",383.46,383.46,151.28,1668.0,10
CPT,93042,"Rhythm ECG, 1-3 leads; interpretation and report only ",,,19.83,1668.0,10
CPT,93050,"Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine ce",,,63.22,1668.0,10
CPT,93145,"Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (BAT) modulation system including telemetric iterative communication with the implantable device to monitor dev",,,361.52,1668.0,10
CPT,93146,"Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (BAT) modulation system including telemetric iterative communication with the implantable device to monitor dev",,,361.52,1668.0,10
CPT,93150,"Therapy activation of implanted phrenic nerve stimulator system, including all interrogation and programming ",,,253.63,1668.0,10
CPT,93151,Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system ,,,253.63,1668.0,10
CPT,93152,Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography ,,,782.62,1668.0,10
CPT,93153,Interrogation without programming of implanted phrenic nerve stimulator system ,,,253.63,1668.0,10
CPT,93224,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other ",,,57.9,1668.0,12
CPT,93225,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) ",2786.0,2786.0,299.83,1668.0,10
CPT,93225,HOLTER RECORD VISUAL,2786.0,2786.0,195.02,2786.0,55
CPT,93226,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report ,2786.0,2786.0,299.83,1668.0,10
CPT,93226,HOLTER SCAN VISUAL,2786.0,2786.0,195.02,2786.0,55
CPT,93227,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional ,,,14.64,1668.0,12
CPT,93228,"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with",,,20.62,1668.0,12
CPT,93229,"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with",,,1320.0,3846.54,10
CPT,93241,"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation ",,,189.11,1668.0,10
CPT,93242,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording) ,,,59.22,1668.0,10
CPT,93243,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report ,,,97.41,1668.0,10
CPT,93244,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; review and interpretation ,,,45.41,1668.0,10
CPT,93245,"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation ",,,189.11,1668.0,10
CPT,93246,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording) ,,,97.41,1668.0,10
CPT,93247,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report ,,,195.91,1668.0,10
CPT,93248,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation ,,,49.82,1668.0,10
CPT,93260,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,99.69,1668.0,10
CPT,93261,INTEROGATION SUBCU ICD,249.84,249.84,17.49,249.84,46
CPT,93261,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",249.84,249.84,99.69,1668.0,10
CPT,93264,"Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads of pulmonary artery pressure recordings, interpretation(s), trend analysis, and ",,,101.09,1668.0,10
CPT,93268,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,139.37,1668.0,12
CPT,93270,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,99.69,1668.0,10
CPT,93271,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,467.77,1668.0,10
CPT,93272,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,19.57,1668.0,12
CPT,93278,ECG SIGNAL AVERAGED,583.26,583.26,40.83,583.26,55
CPT,93278,"Signal-averaged electrocardiography (SAECG), with or without ECG ",583.26,583.26,28.31,1668.0,25
CPT,93278,"Signal-averaged electrocardiography (SAECG), with or without ECG Age 21+",583.26,583.26,31.61,31.61,4
CPT,93278,"Signal-averaged electrocardiography (SAECG), with or without ECG Age Under 21",583.26,583.26,32.19,32.19,4
CPT,93279,PROG EVAL FUNC SGL PM,252.87,252.87,17.7,252.87,52
CPT,93279,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",252.87,252.87,99.69,1668.0,10
CPT,93280,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,99.69,1668.0,10
CPT,93281,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,99.69,1668.0,10
CPT,93282,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,99.69,1668.0,10
CPT,93283,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,99.69,1668.0,10
CPT,93284,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,99.69,1668.0,10
CPT,93285,PROG EVAL FUNC ILR,252.87,252.87,17.7,252.87,52
CPT,93285,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",252.87,252.87,99.69,1668.0,10
CPT,93286,PERIPROC EVAL/PROG PM,251.35500000000002,251.35500000000002,17.49,252.87,116
CPT,93286,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",,,55.49,1668.0,10
CPT,93287,PERIPROC EVAL/PROG ICD,249.84,249.84,17.49,249.84,58
CPT,93287,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",249.84,249.84,55.49,1668.0,10
CPT,93288,INTEROGATION EVAL PM,251.35500000000002,251.35500000000002,17.49,252.87,98
CPT,93288,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,99.69,1668.0,10
CPT,93289,INTEROGATION EVAL ICD,249.84,249.84,17.49,249.84,46
CPT,93289,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",249.84,249.84,99.69,1668.0,10
CPT,93290,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,99.69,1668.0,10
CPT,93291,INTEROGATION EVAL ILR,252.87,252.87,17.7,252.87,52
CPT,93291,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",252.87,252.87,63.22,1668.0,10
CPT,93292,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,99.69,1668.0,10
CPT,93293,"Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s) by a ph",,,99.69,1668.0,10
CPT,93294,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, or leadless pacemaker system with interim analysis, review(s) and report(s) by a physician ",,,24.19,1668.0,12
CPT,93295,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other quali",,,29.69,1668.0,12
CPT,93296,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system, remote data acquisition(s),",,,99.69,1668.0,10
CPT,93297,"Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements fro",,,74.33,1668.0,10
CPT,93298,"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data, analysis, review(s) and report(s) by a physici",,,74.33,1668.0,10
CPT,93303,ECHO ANOMALIES COMP,8859.75,8859.75,620.18,8859.75,104
CPT,93303,Transthoracic echocardiography for congenital cardiac anomalies; complete ,,,216.89,1668.0,25
CPT,93303,Transthoracic echocardiography for congenital cardiac anomalies; complete Age 21+,,,242.21,242.21,4
CPT,93303,Transthoracic echocardiography for congenital cardiac anomalies; complete Age Under 21,,,246.61,246.61,4
CPT,93304,ECHO ANOMALIES LTD,4418.514999999999,4418.514999999999,303.04,4507.86,104
CPT,93304,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study ,,,153.05,1668.0,25
CPT,93304,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age 21+,,,170.92,170.92,4
CPT,93304,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21,,,174.03,174.03,4
CPT,93306,ECHO2D COMP W CF DOP,8343.4,8343.4,496.8,9589.61,104
CPT,93306,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc",,,372.65,1668.0,10
CPT,93307,ECHO2D COMP W/O CF DOP,5793.43,5793.43,405.54,5793.43,104
CPT,93307,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography ",,,134.61,1668.0,25
CPT,93307,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography Age 21+",,,150.33,150.33,4
CPT,93307,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography Age Under 21",,,153.06,153.06,4
CPT,93308,ECHO 2D W/WOM MODE LTD,4329.17,4329.17,303.04,4329.17,104
CPT,93308,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study ",,,96.77,1668.0,25
CPT,93308,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study Age 21+",,,108.06,108.06,4
CPT,93308,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study Age Under 21",,,110.03,110.03,4
CPT,93312,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report ",,,232.36,1668.0,25
CPT,93312,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report Age 21+",,,259.49,259.49,4
CPT,93312,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report Age Under 21",,,264.21,264.21,4
CPT,93312,TEE 2D W/WOM MODE COMP,13723.47,13723.47,960.64,13723.47,104
CPT,93313,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only ",,,10.86,1668.0,25
CPT,93313,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only Age 21+",,,12.13,12.13,4
CPT,93313,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only Age Under 21",,,12.35,12.35,4
CPT,93314,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only ",,,408.32,1668.0,10
CPT,93315,TEE PROBE ANOMALY COMP,6935.17,6935.17,485.46,6935.17,104
CPT,93315,"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report ",,,354.12,2660.77,25
CPT,93315,"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report Age 21+",,,395.46,395.46,4
CPT,93315,"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report Age Under 21",,,402.65,402.65,4
CPT,93316,TEE PROBE ANOMALY,6839.77,6839.77,478.78,6839.77,52
CPT,93316,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only ,6839.77,6839.77,24.68,1668.0,25
CPT,93316,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age 21+,6839.77,6839.77,27.57,27.57,4
CPT,93316,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21,6839.77,6839.77,28.07,28.07,4
CPT,93317,TEE ANOMALY AQ INTER/RPT,6839.77,6839.77,478.78,6839.77,58
CPT,93317,"Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only ",6839.77,6839.77,261.63,1668.0,10
CPT,93318,ECHOCARDIOGRAPHY TEE,7562.049999999999,7562.049999999999,513.34,7790.7,104
CPT,93318,"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (",,,245.52,2660.77,33
CPT,93319,3D ECHO TEE/TTE CONG CA,1945.69,1945.69,136.2,1945.69,58
CPT,93319,"3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac struct",1945.69,1945.69,23.37,1668.0,33
CPT,93320,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete ",,,98.12,1668.0,10
CPT,93320,ECHO DOPPLER COMP,4516.1900000000005,4516.1900000000005,133.03,7132.02,116
CPT,93321,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in ",,,54.51,1668.0,10
CPT,93321,ECHO DOPPLER LTD,1161.41,1161.41,81.3,1161.41,116
CPT,93325,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) ,,,61.44,1668.0,10
CPT,93325,ECHO COLOR FLOW MAPPING,4516.1900000000005,4516.1900000000005,133.03,7132.02,116
CPT,93350,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or",,,182.33,1668.0,33
CPT,93351,ECHO STRESS W CONT ECG,8896.09,8896.09,622.73,8896.09,52
CPT,93351,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or",8896.09,8896.09,411.29,1668.0,10
CPT,93352,Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure) ,,,29.34,1668.0,12
CPT,93355,"Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg, TAVR, transcatheter pulmonary valve replacement, mitral valve re",6935.17,6935.17,216.56,1266.77,29
CPT,93355,TEE GUIDANCE INTRACARD,6935.17,6935.17,485.46,6935.17,58
CPT,93356,MYOCARD STRAIN IMAGE,1161.41,1161.41,81.3,1161.41,58
CPT,93356,Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) ,1161.41,1161.41,16.78,54.88,6
CPT,93451,CATH HRT RT W SAT/CO,32128.91,32128.91,3534.18,32128.91,37
CPT,93451,CATH HRT RT W SAT/CO 59,32128.91,32128.91,3534.18,32128.91,37
CPT,93451,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,2796.0,28286.0,128
CPT,93451,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed with Cardiac Cath",,,7818.0,7818.0,5
CPT,93452,CATH HRT LT/INJ L VENT,41126.47,41126.47,4523.91,41126.47,37
CPT,93452,CATH HRT LT/INJ L VENT59,41126.47,41126.47,4523.91,41126.47,37
CPT,93452,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,2796.0,28286.0,128
CPT,93452,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed with Cardiac Cath",,,7818.0,7818.0,5
CPT,93453,CATH HRT R&L/INJ L VENT,43653.7,43653.7,4801.91,43653.7,37
CPT,93453,CATH HRT R&L/INJ LVNT59,43653.7,43653.7,4801.91,43653.7,37
CPT,93453,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,2796.0,28286.0,128
CPT,93453,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed with Cardiac Cath",,,7818.0,7818.0,5
CPT,93454,CATH PLC/INJ CORONRY ART,43892.95,43892.95,4828.22,43892.95,37
CPT,93454,CATH PLC/INJ CRNRY ART59,43892.95,43892.95,4828.22,43892.95,37
CPT,93454,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,2796.0,28286.0,128
CPT,93454,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with Cardiac Cath",,,7818.0,7818.0,5
CPT,93455,CATH PLC/INJ BYPAS GRFTS,46933.53,46933.53,5162.69,46933.53,37
CPT,93455,CATH PLC/INJ BYPS GRFT59,46933.53,46933.53,5162.69,46933.53,37
CPT,93455,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,2796.0,28286.0,133
CPT,93456,CTH PLC/INJ CR ART RHC59,46933.53,46933.53,5162.69,46933.53,37
CPT,93456,CTH PLC/INJ CR ART W RHC,46933.53,46933.53,5162.69,46933.53,37
CPT,93456,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,2796.0,28286.0,133
CPT,93457,CTH PLC/INJ GRAFT W RHC,43892.95,43892.95,4828.22,43892.95,37
CPT,93457,CTH PLC/INJ GRFT W RHC59,43892.95,43892.95,4828.22,43892.95,37
CPT,93457,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,2796.0,28286.0,133
CPT,93458,CTH PLC/INJ LHC & L VENT,50367.8,50367.8,5540.46,50367.8,37
CPT,93458,CTH PLC/INJ LHC&L VENT59,50367.8,50367.8,5540.46,50367.8,37
CPT,93458,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,2796.0,28286.0,133
CPT,93459,CTH PLC/INJ LHC W GRAFT,46933.53,46933.53,5162.69,46933.53,37
CPT,93459,CTH PLC/INJ LHC W GRFT59,46933.53,46933.53,5162.69,46933.53,37
CPT,93459,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,2796.0,28286.0,133
CPT,93460,CTH PLC/INJ R&LHC/L VENT,50367.8,50367.8,5540.46,50367.8,37
CPT,93460,CTH PLC/INJ R&LHC/LVNT59,50367.8,50367.8,5540.46,50367.8,37
CPT,93460,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,2796.0,28286.0,133
CPT,93461,CTH PLC/INJ R&LHC/GRAFTS,56099.15,56099.15,6170.91,56099.15,37
CPT,93461,CTH PLC/INJ R&LHC/GRFT59,56099.15,56099.15,6170.91,56099.15,37
CPT,93461,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,2796.0,28286.0,133
CPT,93462,LHC TRANS SEPTAL/APICAL,29722.8,29722.8,3269.51,29722.8,49
CPT,93462,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,29722.8,29722.8,2796.0,22644.0,74
CPT,93462,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) with Cardiac Cath,29722.8,29722.8,7818.0,7818.0,5
CPT,93463,PHARMACY AGENT ADMIN,2322.82,2322.82,162.6,2322.82,58
CPT,93463,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",2322.82,2322.82,279.48,2636.0,48
CPT,93464,PHYSIO EXERCISE STUDY,5101.44,5101.44,357.1,5101.44,58
CPT,93464,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",5101.44,5101.44,449.96,2636.0,48
CPT,93503,INSERTION FLO DR CATH,12869.44,12869.44,1415.64,12869.44,50
CPT,93503,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",12869.44,12869.44,1796.0,21768.0,134
CPT,93503,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath",12869.44,12869.44,7818.0,7818.0,5
CPT,93505,BIOPSY ENDOMYOCARDIAL,6008.46,6008.46,660.93,6008.46,35
CPT,93505,Endomyocardial biopsy ,6008.46,6008.46,2796.0,21768.0,134
CPT,93505,Endomyocardial biopsy with Cardiac Cath,6008.46,6008.46,7818.0,7818.0,5
CPT,93530,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,8
CPT,93531,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,8
CPT,93532,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,8
CPT,93533,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,8
CPT,93561,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,10
CPT,93562,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,10
CPT,93563,INJ SELECT CA CONGENITAL,5493.61,5493.61,384.55,5493.61,54
CPT,93563,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",5493.61,5493.61,1481.0,21768.0,78
CPT,93564,INJ SELECT GRFT CONGENTL,3043.62,3043.62,213.05,3043.62,54
CPT,93564,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",3043.62,3043.62,1481.0,21768.0,78
CPT,93565,INJ SELECT LT VENT/ATRIA,3397.94,3397.94,237.86,3397.94,54
CPT,93565,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",3397.94,3397.94,1481.0,21768.0,78
CPT,93566,INJ SELECT RT VENT/ATRIA,2524.21,2524.21,176.69,2524.21,54
CPT,93566,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",2524.21,2524.21,1481.0,21768.0,78
CPT,93567,INJ SUPRAVALV AORTOGRM,3249.54,3249.54,227.47,3249.54,54
CPT,93567,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",3249.54,3249.54,1481.0,21768.0,78
CPT,93568,INJ PULM ANG NON SEL,3461.52,3461.52,242.31,3461.52,54
CPT,93568,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",3461.52,3461.52,1481.0,21768.0,78
CPT,93569,INJ CATH SEL PUL ANG LT,3635.29,3635.29,254.47,3635.29,57
CPT,93569,INJ CATH SEL PUL ANG RT,3635.29,3635.29,254.47,3635.29,57
CPT,93569,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,32
CPT,93571,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",549.67,549.67,1481.0,2636.0,42
CPT,93571,VELOCITY BLD FLOW INT,549.67,549.67,38.48,549.67,56
CPT,93572,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",549.67,549.67,1481.0,2636.0,42
CPT,93572,VELOCITY BLD FLOW EA ADD,549.67,549.67,38.48,549.67,56
CPT,93573,INJ CATH SEL PUL ANG BI,5452.94,5452.94,381.71,5452.94,57
CPT,93573,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",5452.94,5452.94,1481.0,2174.0,32
CPT,93574,INJ CATH PUL VEN EACH VN,3461.52,3461.52,242.31,3461.52,57
CPT,93574,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",3461.52,3461.52,1481.0,2174.0,32
CPT,93575,INJ CATH PUL VEN EACH VS,3461.52,3461.52,242.31,3461.52,57
CPT,93575,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",3461.52,3461.52,1481.0,2174.0,32
CPT,93580,PER CL CON INT COM W/IMP,41317.26,41317.26,2892.21,41317.26,42
CPT,93580,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",41317.26,41317.26,3933.0,46251.0,164
CPT,93581,PER CL CON VT SP DF W/IM,41317.26,41317.26,2892.21,41317.26,42
CPT,93581,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,41317.26,41317.26,3933.0,46251.0,164
CPT,93582,PERC TRANS CLOS PDA,37322.71,37322.71,2612.59,37322.71,42
CPT,93582,Percutaneous transcatheter closure of patent ductus arteriosus ,37322.71,37322.71,3933.0,77468.25,173
CPT,93583,ABLATION SEPTAL REDUCTN,42037.5,42037.5,2942.63,42037.5,49
CPT,93583,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",42037.5,42037.5,2152.0,46251.0,163
CPT,93584,VENGRPH CHD 2ND CL SVC,5222.23,5222.23,365.56,5222.23,52
CPT,93584,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",5222.23,5222.23,80.31,5932.0,50
CPT,93585,VENGRPH CHD AZYG VEN SYS,14823.08,14823.08,1037.62,14823.08,52
CPT,93585,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",14823.08,14823.08,75.68,5932.0,50
CPT,93586,VENGRPH CHD COR SINUS,14149.76,14149.76,990.48,14149.76,52
CPT,93586,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",14149.76,14149.76,95.64,5932.0,50
CPT,93587,VENGRPH CHD VVC =ABV HRT,10991.4,10991.4,769.4,10991.4,52
CPT,93587,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",10991.4,10991.4,141.14,5932.0,50
CPT,93588,VENGRPH CHD VVC BLW HRT,10991.4,10991.4,769.4,10991.4,52
CPT,93588,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",10991.4,10991.4,142.52,5932.0,50
CPT,93590,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,789.07,77468.25,107
CPT,93590,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Age 21+",,,881.2,881.2,4
CPT,93590,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Age Under 21",,,897.22,897.22,4
CPT,93591,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,651.94,77468.25,107
CPT,93591,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Age 21+",,,728.06,728.06,4
CPT,93591,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Age Under 21",,,741.29,741.29,4
CPT,93592,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,46251.0,42
CPT,93593,RT CATH CHD NORMAL NAT,36081.05,36081.05,2525.67,36081.05,44
CPT,93593,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,36081.05,36081.05,7799.0,28286.0,91
CPT,93594,RT CATH CHD ABNORMAL NA,36081.05,36081.05,2525.67,36081.05,44
CPT,93594,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,36081.05,36081.05,7799.0,28286.0,91
CPT,93595,LT CATH CHD NOR ABN,41126.47,41126.47,2878.85,41126.47,44
CPT,93595,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",41126.47,41126.47,7799.0,28286.0,91
CPT,93596,RT LT CATH ANOM NNC,36081.05,36081.05,2525.67,36081.05,44
CPT,93596,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,36081.05,36081.05,7799.0,28286.0,91
CPT,93597,RT LT CATH ANOM ANC,36081.05,36081.05,2525.67,36081.05,44
CPT,93597,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,36081.05,36081.05,7799.0,28286.0,91
CPT,93598,CAR OUTPUT THER CHD,502.68,502.68,35.19,502.68,56
CPT,93598,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",502.68,502.68,1481.0,9364.0,33
CPT,93600,BUNDLE OF HIS RECORDING,35941.75,35941.75,3953.59,35941.75,49
CPT,93600,Bundle of His recording ,35941.75,35941.75,8300.0,100082.0,118
CPT,93600,Bundle of His recording with Cardiac Cath,35941.75,35941.75,7818.0,7818.0,5
CPT,93600,Bundle of His recording without Cardiac Cath,35941.75,35941.75,5591.0,5591.0,5
CPT,93602,INTRA ATRIAL RECORDING,35941.75,35941.75,3953.59,35941.75,49
CPT,93602,Intra-atrial recording ,35941.75,35941.75,8300.0,100082.0,118
CPT,93602,Intra-atrial recording with Cardiac Cath,35941.75,35941.75,7818.0,7818.0,5
CPT,93602,Intra-atrial recording without Cardiac Cath,35941.75,35941.75,5591.0,5591.0,5
CPT,93603,RT VENTRICULAR RECORDING,35941.75,35941.75,3953.59,35941.75,49
CPT,93603,Right ventricular recording ,35941.75,35941.75,2152.88,100082.0,118
CPT,93603,Right ventricular recording with Cardiac Cath,35941.75,35941.75,7818.0,7818.0,5
CPT,93603,Right ventricular recording without Cardiac Cath,35941.75,35941.75,5591.0,5591.0,5
CPT,93609,IV/IA MAP ID ORIGIN,11632.32,11632.32,1279.56,11632.32,49
CPT,93609,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,11632.32,11632.32,802.78,100082.0,86
CPT,93610,IA PACING,37030.48,37030.48,4073.35,37030.48,49
CPT,93610,Intra-atrial pacing ,37030.48,37030.48,8300.0,100082.0,118
CPT,93610,Intra-atrial pacing with Cardiac Cath,37030.48,37030.48,7818.0,7818.0,5
CPT,93610,Intra-atrial pacing without Cardiac Cath,37030.48,37030.48,5591.0,5591.0,5
CPT,93612,IV PACING,36025.03,36025.03,3962.75,36025.03,49
CPT,93612,Intraventricular pacing ,36025.03,36025.03,8300.0,100082.0,118
CPT,93612,Intraventricular pacing with Cardiac Cath,36025.03,36025.03,7818.0,7818.0,5
CPT,93612,Intraventricular pacing without Cardiac Cath,36025.03,36025.03,5591.0,5591.0,5
CPT,93613,INTRACARD EP 3D MAPPING,16574.76,16574.76,1823.22,16574.76,43
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,16574.76,16574.76,855.3,100082.0,76
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) with Cardiac Cath,16574.76,16574.76,7818.0,7818.0,5
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) without Cardiac Cath,16574.76,16574.76,5591.0,5591.0,5
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,2715.79,43890.0,72
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with Cardiac Cath,,,7818.0,7818.0,5
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); without Cardiac Cath,,,5591.0,5591.0,5
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,2715.79,43890.0,72
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing with Cardiac Cath,,,7818.0,7818.0,5
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing without Cardiac Cath,,,5591.0,5591.0,5
CPT,93618,ARRHYTHMIA INDUCE ELECT,4756.2,4756.2,523.18,4756.2,43
CPT,93618,Induction of arrhythmia by electrical pacing ,4756.2,4756.2,2715.79,43890.0,72
CPT,93618,Induction of arrhythmia by electrical pacing with Cardiac Cath,4756.2,4756.2,7818.0,7818.0,5
CPT,93618,Induction of arrhythmia by electrical pacing without Cardiac Cath,4756.2,4756.2,5591.0,5591.0,5
CPT,93619,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",33546.23,33546.23,5591.0,43890.0,82
CPT,93619,EP W/O ARRHYTHMIA,33546.23,33546.23,3690.09,33546.23,43
CPT,93620,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,40376.91,40376.91,5591.0,43890.0,124
CPT,93620,EP W/ARRHYTHMIA,40376.91,40376.91,4441.46,40376.91,49
CPT,93621,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,8582.64,8582.64,335.97,43890.0,126
CPT,93621,EP W/LA REC W/ARRHYTHMIA,8582.64,8582.64,944.09,8582.64,43
CPT,93622,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,8582.64,8582.64,497.53,43890.0,126
CPT,93622,EP W/LVREC W/ARRHYTHMIA,8582.64,8582.64,944.09,8582.64,49
CPT,93623,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,5611.72,5611.72,456.88,43890.0,72
CPT,93623,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) with Cardiac Cath,5611.72,5611.72,7818.0,7818.0,5
CPT,93623,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) without Cardiac Cath,5611.72,5611.72,5591.0,5591.0,5
CPT,93623,STIM & PACE AFTER IV INF,5611.72,5611.72,617.29,5611.72,43
CPT,93624,EP FOLLOWUP,10272.52,10272.52,1129.98,10272.52,43
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",10272.52,10272.52,8300.0,43890.0,72
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia with Cardiac Cath",10272.52,10272.52,7818.0,7818.0,5
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia without Cardiac Cath",10272.52,10272.52,5591.0,5591.0,5
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,17368.21,17368.21,1138.75,43890.0,72
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction with Cardiac Cath,17368.21,17368.21,7818.0,7818.0,5
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction without Cardiac Cath,17368.21,17368.21,5591.0,5591.0,5
CPT,93631,PACE & MAP INTRA-OP,17368.21,17368.21,1910.5,17368.21,49
CPT,93640,AICD LEAD TEST INIT,6556.62,6556.62,721.23,6556.62,50
CPT,93640,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",6556.62,6556.62,515.35,43890.0,91
CPT,93641,AICD LEAD/GEN TEST INIT,21297.63,21297.63,2342.74,21297.63,50
CPT,93641,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",21297.63,21297.63,901.89,43890.0,91
CPT,93642,AICD EVAL & REPROGRAM,11795.85,11795.85,1297.54,11795.85,44
CPT,93642,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",11795.85,11795.85,2270.0,43890.0,91
CPT,93644,EP EVAL SUBCU DEFIB,327.09,327.09,35.98,327.09,52
CPT,93644,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",327.09,327.09,145.69,8300.0,59
CPT,93650,ABLATION AV NODE W/WO,35281.53,35281.53,3880.97,35281.53,49
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",35281.53,35281.53,8300.0,43890.0,114
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement with Cardiac Cath",35281.53,35281.53,7818.0,7818.0,5
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement without Cardiac Cath",35281.53,35281.53,5591.0,5591.0,5
CPT,93653,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,5591.0,57218.76,133
CPT,93653,EP REPOS ELE SVT SGL,113023.57,113023.57,11048.94,125602.27,74
CPT,93654,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",100444.87,100444.87,5591.0,57218.76,133
CPT,93654,EP REPOS ELE VT 3D MAP,100444.87,100444.87,11048.94,100444.87,37
CPT,93655,EP INTRACARD DX TX,34588.02,34588.02,3804.68,34588.02,43
CPT,93655,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",34588.02,34588.02,1228.92,43890.0,91
CPT,93656,COM EP REPO CTH TX AFIB,112524.64,112524.64,11048.94,124604.41,74
CPT,93656,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,5591.0,57218.76,133
CPT,93657,ADD INTRACRD AFIB/PV ISO,44574.36,44574.36,4903.18,44574.36,43
CPT,93657,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,44574.36,44574.36,1226.94,43890.0,91
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,182.35,43890.0,81
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention with Cardiac C",,,7818.0,7818.0,5
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention without Cardia",,,5591.0,5591.0,5
CPT,93662,INTRACARDIAC ECHO,7584.78,7584.78,834.33,7584.78,43
CPT,93662,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",7584.78,7584.78,403.37,43890.0,81
CPT,93662,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) with Cardiac Cath",7584.78,7584.78,7818.0,7818.0,5
CPT,93662,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) without Cardiac C",7584.78,7584.78,5591.0,5591.0,5
CPT,93668,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,49.55,96.41,6
CPT,93701,Bioimpedance-derived physiologic cardiovascular analysis ,,,299.83,583.31,6
CPT,93702,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,353.81,688.33,6
CPT,93724,ANALYSIS ANTITACHY PCMKR,1859.46,1859.46,130.16,1859.46,52
CPT,93724,"Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpret",1859.46,1859.46,93.17,181.26,6
CPT,93740,Temperature gradient studies ,,,380.46,740.17,6
CPT,93745,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,745.0,2636.0,48
CPT,93750,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,130.82,2636.0,48
CPT,93770,Determination of venous pressure ,,,22.8,44.35,6
CPT,93784,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,39.24,291.15,8
CPT,93786,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,299.83,583.31,6
CPT,93788,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with report ",,,299.83,583.31,6
CPT,93790,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; review with interpretation and report ",,,14.91,102.19,8
CPT,93792,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,146.69,285.37,6
CPT,93793,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,33.69,65.54,6
CPT,93797,Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session) ,,,24.78,48.2,6
CPT,93798,Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session) ,,,39.66,77.15,6
CPT,93799,UNLISTED CARDIO SERVICE,20720.71,20720.71,362.72,43892.95,140
CPT,93799,Unlisted cardiovascular service or procedure ,,,380.46,2636.0,48
CPT,93799,VELOCITY BLDFLW NONPHARM,549.67,549.67,38.48,549.67,44
CPT,93880,DUP EXTRACRANIAL BIL,4134.13,4134.13,289.39,4134.13,98
CPT,93880,Duplex scan of extracranial arteries; complete bilateral study ,,,188.59,929.0,31
CPT,93880,Duplex scan of extracranial arteries; complete bilateral study Age 21+,,,210.61,210.61,4
CPT,93880,Duplex scan of extracranial arteries; complete bilateral study Age Under 21,,,214.44,214.44,4
CPT,93882,DUP EXTRCRNIAL UNI/LTD,847.16,847.16,59.3,847.16,49
CPT,93882,Duplex scan of extracranial arteries; unilateral or limited study ,847.16,847.16,105.28,929.0,31
CPT,93882,Duplex scan of extracranial arteries; unilateral or limited study Age 21+,847.16,847.16,117.57,117.57,4
CPT,93882,Duplex scan of extracranial arteries; unilateral or limited study Age Under 21,847.16,847.16,119.71,119.71,4
CPT,93886,DOP TRANSCRANIAL COMP,2287.44,2287.44,160.12,2287.44,196
CPT,93886,Transcranial Doppler study of the intracranial arteries; complete study ,,,230.02,1230.62,31
CPT,93886,Transcranial Doppler study of the intracranial arteries; complete study Age 21+,,,256.87,256.87,4
CPT,93886,Transcranial Doppler study of the intracranial arteries; complete study Age Under 21,,,261.54,261.54,4
CPT,93888,DOP TRANSCRANIAL LTD,1144.35,1144.35,80.1,1144.35,49
CPT,93888,Transcranial Doppler study of the intracranial arteries; limited study ,1144.35,1144.35,105.28,929.0,31
CPT,93888,Transcranial Doppler study of the intracranial arteries; limited study Age 21+,1144.35,1144.35,117.57,117.57,4
CPT,93888,Transcranial Doppler study of the intracranial arteries; limited study Age Under 21,1144.35,1144.35,119.71,119.71,4
CPT,93892,TCD EMBOLI DETECT WO INJ,765.87,765.87,53.61,765.87,55
CPT,93892,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,765.87,765.87,105.28,929.0,25
CPT,93892,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection Age 21+,765.87,765.87,117.57,117.57,4
CPT,93892,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection Age Under 21,765.87,765.87,119.71,119.71,4
CPT,93893,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,105.28,929.0,25
CPT,93893,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection Age 21+,,,117.57,117.57,4
CPT,93893,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection Age Under 21,,,119.71,119.71,4
CPT,93895,QUANT CAROTID EVAL,303.56,303.56,21.25,303.56,61
CPT,93895,"Quantitative carotid intima media thickness and carotid atheroma evaluation, bilateral ",303.56,303.56,63.22,929.0,10
CPT,93896,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,385.81,929.0,10
CPT,93897,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,524.66,1020.7,10
CPT,93898,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,536.77,1044.27,10
CPT,93922,DOP ART 1-2 LEVELS BIL,679.5,679.5,47.56,679.5,147
CPT,93922,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,270.66,929.0,16
CPT,93923,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,126.39,929.0,39
CPT,93923,DOP ART >3 LEVELS BIL,2923.74,2923.74,204.66,2923.74,98
CPT,93924,DOP LE ART W/EXER BIL,3316.19,3316.19,232.13,3316.19,98
CPT,93924,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,155.34,929.0,39
CPT,93925,DUP LE ART BIL,3698.5,3698.5,258.89,3698.5,98
CPT,93925,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,230.02,1181.92,31
CPT,93925,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age 21+,,,256.87,256.87,4
CPT,93925,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21,,,261.54,261.54,4
CPT,93926,DUP LE ART UNI LT,1939.42,1939.42,135.76,1939.42,49
CPT,93926,DUP LE ART UNI RT,1939.42,1939.42,135.76,1939.42,49
CPT,93926,DUP LE ART UNI/LTD,1939.42,1939.42,135.76,1939.42,49
CPT,93926,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,105.28,929.0,31
CPT,93926,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age 21+,,,117.57,117.57,4
CPT,93926,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21,,,119.71,119.71,4
CPT,93930,DUP UE ART BIL,3698.5,3698.5,258.89,3698.5,98
CPT,93930,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,193.2,929.0,31
CPT,93930,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age 21+,,,215.75,215.75,4
CPT,93930,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21,,,219.68,219.68,4
CPT,93931,DUP UE ART UNI LT,2481.76,2481.76,173.72,2481.76,49
CPT,93931,DUP UE ART UNI RT,2481.76,2481.76,173.72,2481.76,49
CPT,93931,DUP UE ART UNI/LTD,2481.76,2481.76,173.72,2481.76,49
CPT,93931,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,105.28,929.0,31
CPT,93931,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age 21+,,,117.57,117.57,4
CPT,93931,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21,,,119.71,119.71,4
CPT,93970,DUP VEIN BIL,3290.81,3290.81,230.36,3290.81,98
CPT,93970,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,185.96,929.0,31
CPT,93970,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age 21+,,,207.67,207.67,4
CPT,93970,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age Under 21,,,211.44,211.44,4
CPT,93971,DUP VEIN UNI LT,1902.6,1902.6,133.18,1902.6,49
CPT,93971,DUP VEIN UNI RT,1902.6,1902.6,133.18,1902.6,49
CPT,93971,DUP VEIN UNI/LTD,1902.6,1902.6,133.18,1902.6,98
CPT,93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,105.28,929.0,31
CPT,93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age 21+,,,117.57,117.57,4
CPT,93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age Under 21,,,119.71,119.71,4
CPT,93975,DUP AB/PEL/SC COMP,1151.05,1151.05,80.57,1151.05,98
CPT,93975,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,230.02,1203.11,31
CPT,93975,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study Age 21+",,,256.87,256.87,4
CPT,93975,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study Age Under 21",,,261.54,261.54,4
CPT,93976,DUP AB/PEL/SC LTD,526.85,526.85,36.88,526.85,98
CPT,93976,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,105.28,929.0,31
CPT,93976,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study Age 21+",,,117.57,117.57,4
CPT,93976,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study Age Under 21",,,119.71,119.71,4
CPT,93978,DUP AO/IVC/IV/BPG COMP,1939.42,1939.42,135.76,1939.42,49
CPT,93978,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",1939.42,1939.42,178.05,929.0,31
CPT,93978,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age 21+",1939.42,1939.42,198.84,198.84,4
CPT,93978,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21",1939.42,1939.42,202.45,202.45,4
CPT,93979,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,105.28,929.0,31
CPT,93979,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age 21+",,,117.57,117.57,4
CPT,93979,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21",,,119.71,119.71,4
CPT,93980,DUP PENILE COMP,2522.39,2522.39,176.57,2522.39,98
CPT,93980,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,105.28,929.0,31
CPT,93980,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study Age 21+,,,117.57,117.57,4
CPT,93980,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study Age Under 21,,,119.71,119.71,4
CPT,93981,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,69.11,929.0,31
CPT,93981,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age 21+,,,77.18,77.18,4
CPT,93981,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21,,,78.58,78.58,4
CPT,93985,DUP SCAN ART PREOP BI,2853.89,2853.89,199.77,2853.89,147
CPT,93985,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,317.47,1152.14,16
CPT,93986,DUP SCAN ART PREOP UN LT,1902.6,1902.6,133.18,1902.6,98
CPT,93986,DUP SCAN ART PREOP UNI,1902.6,1902.6,133.18,1902.6,49
CPT,93986,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,180.7,929.0,16
CPT,93990,DUP A/V STUDY,937.32,937.32,65.61,937.32,49
CPT,93990,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",937.32,937.32,105.28,929.0,31
CPT,93990,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) Age 21+",937.32,937.32,117.57,117.57,4
CPT,93990,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) Age Under 21",937.32,937.32,119.71,119.71,4
CPT,93998,UNLSTD NINVS VASC DX S,306.1,306.1,21.43,306.1,110
CPT,93998,Unlisted noninvasive vascular diagnostic study ,,,63.22,929.0,10
CPT,94002,VENT MGMT INITIAL IP/OBS,28305.64,28305.64,1981.39,28305.64,48
CPT,94002,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day ",28305.64,28305.64,1277.46,2485.24,6
CPT,94003,VENT MGMT IP/OBS SUB DAY,28305.64,28305.64,1981.39,28305.64,48
CPT,94003,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day ",28305.64,28305.64,1277.46,2485.24,6
CPT,94004,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day ",,,138.74,269.91,6
CPT,94005,"Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living) requiring review of status, review of laboratories and other s",,,258.67,503.22,6
CPT,94010,SPIROMETRY,554.35,554.35,38.8,554.35,59
CPT,94010,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation ",554.35,554.35,380.46,740.17,6
CPT,94011,Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age ,616.77,616.77,380.46,740.17,6
CPT,94011,SPIROMETRIC FEF <=2YR,616.77,616.77,43.17,616.77,59
CPT,94012,"Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age ",616.77,616.77,696.02,1354.08,6
CPT,94012,SPIRO FEF W/WO BRNCH <=2,616.77,616.77,43.17,616.77,59
CPT,94013,LUNG VOL FRC FVC ERV <=2,1899.35,1899.35,132.95,1899.35,59
CPT,94013,"Measurement of lung volumes (ie, functional residual capacity ºFRC», forced vital capacity ºFVC», and expiratory reserve volume ºERV») in an infant or child through 2 years of age ",1899.35,1899.35,54.51,106.04,6
CPT,94014,"Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibratio",,,999.87,1945.21,6
CPT,94015,"Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education, data transmission, data capture, trend analysis, and periodic recalibration) ",,,696.02,1354.08,6
CPT,94016,Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional ,,,20.41,138.83,8
CPT,94060,BRONCH EV SPIR PRE/POST,2572.59,2572.59,180.08,2572.59,59
CPT,94060,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration ",2572.59,2572.59,129.83,252.57,6
CPT,94070,BRONCH PROV EV MULT SPIR,2368.98,2368.98,165.83,2368.98,59
CPT,94070,"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigenºs», cold air, methacholine) ",2368.98,2368.98,86.21,167.72,6
CPT,94150,VITAL CAPACITY,1119.09,1119.09,78.34,1119.09,59
CPT,94150,"Vital capacity, total (separate procedure) ",1119.09,1119.09,380.46,740.17,6
CPT,94200,MAXIMUM VOLUNTARY VENT,613.79,613.79,42.97,613.79,59
CPT,94200,"Maximum breathing capacity, maximal voluntary ventilation ",613.79,613.79,151.28,294.3,6
CPT,94375,RESP FLOW VOLUME LOOP,998.71,998.71,69.91,998.71,59
CPT,94375,Respiratory flow volume loop ,998.71,998.71,696.02,1354.08,6
CPT,94450,Breathing response to hypoxia (hypoxia response curve) ,,,380.46,740.17,6
CPT,94452,"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; ",,,299.83,583.31,6
CPT,94453,"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; with supplemental oxygen titration ",,,299.83,583.31,6
CPT,94610,Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube ,418.75,418.75,505.89,984.19,6
CPT,94610,SURFACTANT,418.75,418.75,29.31,418.75,48
CPT,94617,"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s) ",,,299.83,583.31,6
CPT,94618,PULMONARY STRESS TESTING,867.92,867.92,60.75,867.92,59
CPT,94618,"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed ",867.92,867.92,299.83,583.31,6
CPT,94619,"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s) ",,,97.41,122.45,6
CPT,94621,"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings ",6974.66,6974.66,255.7,497.44,6
CPT,94621,PULM STRESS COMPLEX,6974.66,6974.66,488.23,6974.66,59
CPT,94625,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,54.51,106.04,6
CPT,94626,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,78.29,152.31,6
CPT,94640,ANTIBIOTIC ADMIN,1645.1,1645.1,115.16,1645.1,48
CPT,94640,CONT POSITIVE EXP PRESS,1557.03,1557.03,108.99,1557.03,48
CPT,94640,INH TX AC AWY OBST,1557.03,1557.03,108.99,1557.03,96
CPT,94640,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,505.89,984.19,6
CPT,94642,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,1223.03,1223.03,505.89,984.19,6
CPT,94642,INHALATION PENTAMIDINE,1223.03,1223.03,85.61,1223.03,48
CPT,94644,CONT INHAL TRMT 1ST HOUR,1520.47,1520.47,106.43,1520.47,48
CPT,94644,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,1520.47,1520.47,299.83,583.31,6
CPT,94645,CONT IN TRMT EA ADD HOUR,1520.47,1520.47,106.43,1520.47,54
CPT,94645,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,1520.47,1520.47,46.59,90.63,6
CPT,94660,CPAP VENT INIT&MGMT NB,12406.36,12406.36,868.45,12406.36,48
CPT,94660,CPAP VENT INT&MGMT,12406.36,12406.36,868.45,12406.36,48
CPT,94660,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,505.89,984.19,6
CPT,94664,DEM AER GEN/NEB/MDI/IPPB,428.72,428.72,30.01,428.72,48
CPT,94664,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",428.72,428.72,505.89,984.19,6
CPT,94667,CHEST WALL INITIAL,1262.92,1262.92,88.4,1262.92,48
CPT,94667,INTRAPULM PERC INITIAL,1262.92,1262.92,88.4,1262.92,48
CPT,94667,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,299.83,583.31,6
CPT,94668,CHEST WALL SUBSEQUENT,1262.92,1262.92,88.4,1262.92,48
CPT,94668,INTRAPULM PERC SUBSQ,1262.92,1262.92,88.4,1262.92,48
CPT,94668,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,299.83,583.31,6
CPT,94669,MECH CHEST WALL OSCILL,442.01,442.01,30.94,442.01,48
CPT,94669,"Mechanical chest wall oscillation to facilitate lung function, per session ",442.01,442.01,505.89,984.19,6
CPT,94680,"Oxygen uptake, expired gas analysis; rest and exercise, direct, simple ",,,380.46,740.17,6
CPT,94681,"Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted ",,,696.02,1354.08,6
CPT,94690,"Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) ",,,91.93,178.85,6
CPT,94726,PLETHYSMOGRAPHY,2967.92,2967.92,207.75,2967.92,59
CPT,94726,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",2967.92,2967.92,696.02,1354.08,6
CPT,94727,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,380.46,740.17,6
CPT,94728,Airway resistance by oscillometry ,,,696.02,1354.08,6
CPT,94729,DIFFUSING CAPACITY,2321.42,2321.42,162.5,2321.42,54
CPT,94729,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",2321.42,2321.42,128.84,250.65,6
CPT,94760,Noninvasive ear or pulse oximetry for oxygen saturation; single determination ,,,6.93,13.48,6
CPT,94761,MULTIPLE DX PULSE OX,216.99,216.99,15.19,216.99,65
CPT,94761,"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) ",216.99,216.99,11.88,23.11,6
CPT,94762,Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure) ,,,380.46,740.17,6
CPT,94772,CIRC RESP REC CONT INF,6511.0,6511.0,455.77,6511.0,59
CPT,94772,"Circadian respiratory pattern recording (pediatric pneumogram), 12-24 hour continuous recording, infant ",6511.0,6511.0,1335.43,2598.01,6
CPT,94775,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,380.46,740.17,6
CPT,94776,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,380.46,740.17,6
CPT,94780,CAR SEAT/BED TST<=12M 60,210.1,210.1,14.71,210.1,59
CPT,94780,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",210.1,210.1,91.93,178.85,6
CPT,94781,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,23.79,46.28,6
CPT,94799,Unlisted pulmonary service or procedure ,,,380.46,740.17,6
CPT,95004,"Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests ",,,2499.61,4862.88,6
CPT,95012,Nitric oxide expired gas determination ,,,91.93,178.85,6
CPT,95017,"Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal), sequential and incremental, with venoms, immediate type reaction, including test interpret",,,63.22,123.0,6
CPT,95018,"Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal), sequential and incremental, with drugs or biologicals, immediate type reaction, including ",,,91.93,178.85,6
CPT,95024,"Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests ",,,151.28,294.3,6
CPT,95027,"Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, including test interpretation and report, specify number of te",,,63.22,123.0,6
CPT,95028,"Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests ",,,91.93,178.85,6
CPT,95044,Patch or application test(s) (specify number of tests) ,,,2499.61,4862.88,6
CPT,95052,Photo patch test(s) (specify number of tests) ,,,91.93,178.85,6
CPT,95056,Photo tests ,,,299.83,583.31,6
CPT,95060,Ophthalmic mucous membrane tests ,,,299.83,583.31,6
CPT,95065,Direct nasal mucous membrane test ,,,91.93,178.85,6
CPT,95070,INHALATION ALGY TEST,2524.55,2524.55,176.72,2524.55,59
CPT,95070,"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds ",2524.55,2524.55,89.21,173.55,6
CPT,95076,"Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); initial 120 minutes of testing ",,,213.07,414.52,6
CPT,95079,"Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); each additional 60 minutes of testing (List separately in addition to code for primary",,,195.25,379.85,6
CPT,95115,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,104.8,203.89,6
CPT,95117,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,104.8,203.89,6
CPT,95120,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; singl",,,57.59,59.37,2
CPT,95125,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 or ",,,82.28,84.82,2
CPT,95130,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; singl",,,65.81,67.85,2
CPT,95131,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 sti",,,96.19,99.17,2
CPT,95132,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 3 sti",,,109.31,112.69,2
CPT,95133,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 4 sti",,,169.06,174.29,2
CPT,95134,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 5 sti",,,196.76,202.85,2
CPT,95144,"Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials) ",,,104.8,203.89,6
CPT,95145,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom ,,,104.8,203.89,6
CPT,95146,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venoms ,,,104.8,203.89,6
CPT,95147,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms ,,,166.29,323.51,6
CPT,95148,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms ,,,166.29,323.51,6
CPT,95149,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms ,,,166.29,323.51,6
CPT,95165,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses) ,,,104.8,203.89,6
CPT,95170,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole body extract of biting insect or other arthropod (specify number of doses) ,,,104.8,203.89,6
CPT,95180,RAPID DESENSITIZ PER HR,578.21,578.21,40.47,578.21,59
CPT,95180,"Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum) ",578.21,578.21,999.87,1945.21,6
CPT,95249,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,154.6,300.78,6
CPT,95250,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,318.81,620.23,6
CPT,95251,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,100.1,194.74,6
CPT,95700,EEG CONT MIN 8 CHNLS,1806.88,1806.88,126.48,1806.88,59
CPT,95700,"Electroencephalogram (EEG) continuous recording, with video when performed, setup, patient education, and takedown when performed, administered in person by EEG technologist, minimum of 8 channels ",1806.88,1806.88,696.02,1354.08,6
CPT,95705,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored ",,,696.02,1354.08,6
CPT,95706,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance ",,,696.02,1354.08,6
CPT,95707,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance ",,,696.02,1354.08,6
CPT,95708,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitored ",,,1335.43,2598.01,6
CPT,95709,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenance ",,,1335.43,2598.01,6
CPT,95710,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenance ",,,1335.43,2598.01,6
CPT,95711,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; unmonitored ",4074.16,4074.16,696.02,1354.08,6
CPT,95711,VEEG 2-12 HR UNMONITORED,4074.16,4074.16,285.19,4074.16,59
CPT,95712,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance ",5646.49,5646.49,696.02,1354.08,6
CPT,95712,VEEG 2-12 HR W INT MON,5646.49,5646.49,395.25,5646.49,59
CPT,95713,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance ",6266.98,6266.98,1335.43,2598.01,6
CPT,95713,VEEG 2-12 HR W CONT MON,6266.98,6266.98,438.69,6266.98,59
CPT,95714,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitored ",8147.07,8147.07,1335.43,2598.01,6
CPT,95714,VEEG 12-26 HR UNMONITOR,8147.07,8147.07,570.29,8147.07,59
CPT,95715,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenance ",8891.66,8891.66,1335.43,2598.01,6
CPT,95715,VEEG 12-26 W INT MON,8891.66,8891.66,622.42,8891.66,59
CPT,95716,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenance ",9512.15,9512.15,2499.61,4862.88,6
CPT,95716,VEEG 12-26 HR CONT,9512.15,9512.15,665.85,9512.15,59
CPT,95717,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2",,,287.4,559.13,6
CPT,95718,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2",,,377.6,734.61,6
CPT,95719,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater th",,,446.0,867.66,6
CPT,95720,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater th",,,584.73,1137.57,6
CPT,95721,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,586.71,1141.42,6
CPT,95722,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,713.57,1388.22,6
CPT,95723,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,726.47,1413.31,6
CPT,95724,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,909.81,1769.99,6
CPT,95725,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,826.57,1608.05,6
CPT,95726,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,1149.64,2236.57,6
CPT,95782,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,796.0,4255.28,19
CPT,95783,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,796.0,4513.69,19
CPT,95800,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,355.79,3130.0,19
CPT,95801,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,299.83,3130.0,19
CPT,95803,"Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording) ",,,151.28,294.3,6
CPT,95805,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,796.0,3130.0,19
CPT,95806,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,246.78,3130.0,19
CPT,95807,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,796.0,3130.0,19
CPT,95808,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,796.0,3173.62,19
CPT,95810,POLYSOMNOGRAPHY >4 PAR,10842.74,10842.74,758.99,10842.74,55
CPT,95810,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",10842.74,10842.74,796.0,3130.0,19
CPT,95811,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,796.0,3130.0,19
CPT,95812,EEG 41-60 MIN,1806.88,1806.88,126.48,1806.88,59
CPT,95812,Electroencephalogram (EEG) extended monitoring; 41-60 minutes ,1806.88,1806.88,747.26,1453.76,6
CPT,95813,EEG EXT MNTR 61-119 MIN,8147.07,8147.07,570.29,8147.07,59
CPT,95813,Electroencephalogram (EEG) extended monitoring; 61-119 minutes ,8147.07,8147.07,886.02,1723.72,6
CPT,95816,EEG REC AW & DROWSY,2609.79,2609.79,182.69,2609.79,59
CPT,95816,Electroencephalogram (EEG); including recording awake and drowsy ,2609.79,2609.79,854.32,1662.03,6
CPT,95819,EEG REC AW & ASLEEP,2411.23,2411.23,168.79,2411.23,59
CPT,95819,Electroencephalogram (EEG); including recording awake and asleep ,2411.23,2411.23,1033.7,2011.01,6
CPT,95822,EEG COMA OR SLEEP ONLY,2299.53,2299.53,160.97,2299.53,59
CPT,95822,Electroencephalogram (EEG); recording in coma or sleep only ,2299.53,2299.53,915.75,1781.55,6
CPT,95824,EEG CEREB DEATH,3375.48,3375.48,236.28,3375.48,59
CPT,95824,Electroencephalogram (EEG); cerebral death evaluation only ,3375.48,3375.48,111.98,217.85,6
CPT,95829,EEG AT SURGERY,3809.83,3809.83,266.69,3809.83,65
CPT,95829,Electrocorticogram at surgery (separate procedure) ,3809.83,3809.83,4357.76,8477.82,6
CPT,95830,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,48
CPT,95836,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,99.69,193.94,6
CPT,95851,ROM EA EXT/TRNK EX HN PT,478.255,478.255,17.38,736.6,176
CPT,95851,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,21.81,68.04,78
CPT,95851,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) Other Outpatient,,,27.27,27.27,6
CPT,95852,ROM HAND W/WO COMP OT,478.255,478.255,17.38,736.6,176
CPT,95852,ROM HAND W/WO COMP PT,478.255,478.255,17.38,736.6,176
CPT,95852,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,16.86,55.78,78
CPT,95852,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other Outpatient",,,22.35,22.35,6
CPT,95857,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,84.23,163.87,6
CPT,95860,NDL ELEC 1 EXT W/WO PA,842.07,842.07,58.94,842.07,59
CPT,95860,Needle electromyography; 1 extremity with or without related paraspinal areas ,842.07,842.07,299.83,583.31,6
CPT,95861,NDL ELEC 2 EXT W/WO PA,1536.81,1536.81,107.58,1536.81,59
CPT,95861,Needle electromyography; 2 extremities with or without related paraspinal areas ,1536.81,1536.81,299.83,583.31,6
CPT,95863,NDL ELEC 3 EXT W/WO PA,1549.52,1549.52,108.47,1549.52,59
CPT,95863,Needle electromyography; 3 extremities with or without related paraspinal areas ,1549.52,1549.52,327.06,636.28,6
CPT,95864,NDL ELEC 4 EXT W/WO PA,1800.98,1800.98,126.07,1800.98,59
CPT,95864,Needle electromyography; 4 extremities with or without related paraspinal areas ,1800.98,1800.98,398.42,775.11,6
CPT,95865,Needle electromyography; larynx ,,,299.83,583.31,6
CPT,95866,Needle electromyography; hemidiaphragm ,,,380.46,740.17,6
CPT,95867,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,177.4,345.13,6
CPT,95868,NDL ELEC CRANIAL BI,619.8,619.8,43.39,619.8,59
CPT,95868,"Needle electromyography; cranial nerve supplied muscles, bilateral ",619.8,619.8,210.1,408.74,6
CPT,95869,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,380.46,740.17,6
CPT,95870,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,151.28,294.3,6
CPT,95872,NDL ELEC SGL FIBER ELEC,3728.97,3728.97,261.03,3728.97,59
CPT,95872,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",3728.97,3728.97,121.91,237.17,6
CPT,95873,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,154.6,300.78,6
CPT,95874,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,159.56,310.41,6
CPT,95875,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,204.16,397.18,6
CPT,95885,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,117.95,229.46,6
CPT,95886,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,134.78,262.2,6
CPT,95887,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,123.89,241.02,6
CPT,95905,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,299.83,583.31,6
CPT,95907,NERVE COND 1-2 STDS,308.63,308.63,21.6,308.63,59
CPT,95907,Nerve conduction studies; 1-2 studies ,308.63,308.63,117.95,229.46,6
CPT,95908,NERVE COND 3-4 STDS,1235.8,1235.8,86.51,1235.8,59
CPT,95908,Nerve conduction studies; 3-4 studies ,1235.8,1235.8,157.57,306.55,6
CPT,95909,NERVE COND 5-6 STDS,1235.8,1235.8,86.51,1235.8,59
CPT,95909,Nerve conduction studies; 5-6 studies ,1235.8,1235.8,188.29,366.31,6
CPT,95910,NERVE COND 7-8 STDS,1235.8,1235.8,86.51,1235.8,59
CPT,95910,Nerve conduction studies; 7-8 studies ,1235.8,1235.8,241.83,470.48,6
CPT,95911,NERVE COND 9-10 STDS,569.0,569.0,39.83,569.0,59
CPT,95911,Nerve conduction studies; 9-10 studies ,569.0,569.0,276.51,537.94,6
CPT,95912,NERVE COND 11-12 STDS,569.0,569.0,39.83,569.0,59
CPT,95912,Nerve conduction studies; 11-12 studies ,569.0,569.0,285.42,555.28,6
CPT,95913,NERVE COND 13+ STDS,569.0,569.0,39.83,569.0,59
CPT,95913,Nerve conduction studies; 13 or more studies ,569.0,569.0,316.14,615.04,6
CPT,95919,"Quantitative pupillometry with physician or other qualified health care professional interpretation and report, unilateral or bilateral ",,,203.19,255.44,6
CPT,95921,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,106.04,206.3,6
CPT,95922,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,299.83,583.31,6
CPT,95923,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,299.83,583.31,6
CPT,95924,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,169.48,329.72,6
CPT,95925,SHRT LATENCY SOMA UP LMB,2993.6,2993.6,209.55,2993.6,59
CPT,95925,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",2993.6,2993.6,291.36,566.83,6
CPT,95926,SHRT LATENCY SOMA LW LMB,2993.6,2993.6,209.55,2993.6,59
CPT,95926,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",2993.6,2993.6,280.47,545.65,6
CPT,95927,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,293.37,570.74,6
CPT,95928,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,389.48,757.72,6
CPT,95929,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,403.37,784.74,6
CPT,95930,VISUAL EVOKED POT VEP,2141.37,2141.37,149.9,2141.37,59
CPT,95930,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",2141.37,2141.37,138.74,269.91,6
CPT,95933,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,151.28,294.3,6
CPT,95937,NEURO JUNCTION TEST,870.01,870.01,60.9,870.01,59
CPT,95937,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",870.01,870.01,148.67,289.22,6
CPT,95938,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,839.44,1633.09,6
CPT,95939,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,1103.08,2145.99,6
CPT,95940,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,92.18,179.33,6
CPT,95941,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby) or for monitoring of more than one case while in the operating room, per hour (List separately ",,,509.41,991.03,6
CPT,95954,"Pharmacological or physical activation requiring physician or other qualified health care professional attendance during EEG recording of activation phase (eg, thiopental activation test) ",,,794.83,1546.31,6
CPT,95955,EEG NONINTRACRANIAL SURG,7826.89,7826.89,547.88,7826.89,65
CPT,95955,"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery) ",7826.89,7826.89,436.07,848.35,6
CPT,95957,DIGITAL ANALYSIS EEG,201.03,201.03,14.07,201.03,65
CPT,95957,"Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis) ",201.03,201.03,462.83,900.4,6
CPT,95958,WADA ACTIVATION TEST,4994.97,4994.97,349.65,4994.97,59
CPT,95958,"Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoring ",4994.97,4994.97,977.21,1901.12,6
CPT,95961,ELECTRO STI BRAIN INT HR,5403.26,5403.26,378.23,5403.26,59
CPT,95961,"Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour",5403.26,5403.26,401.39,780.89,6
CPT,95962,ELECTRO STIM BRAIN AD ON,2477.01,2477.01,173.39,2477.01,65
CPT,95962,"Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; each additio",2477.01,2477.01,248.76,483.96,6
CPT,95965,"Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral cortex localization) ",,,930.98,2327.2,21
CPT,95965,"Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral cortex localization) Age 21+",,,1039.68,1039.68,4
CPT,95965,"Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral cortex localization) Age Under 21",,,1058.58,1058.58,4
CPT,95966,"Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor, language, or visual cortex localization) ",,,545.01,1178.07,21
CPT,95966,"Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor, language, or visual cortex localization) Age 21+",,,608.64,608.64,4
CPT,95966,"Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor, language, or visual cortex localization) Age Under 21",,,619.71,619.71,4
CPT,95967,"Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, each additional modality (eg, sensory, motor, language, or visual cortex localization) (List separately in addition to",,,529.24,1137.95,29
CPT,95970,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,299.83,583.31,6
CPT,95971,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,115.97,225.61,6
CPT,95972,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,117.95,229.46,6
CPT,95976,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,112.97,219.78,6
CPT,95977,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,150.65,293.07,6
CPT,95981,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,237.69,305.28,48
CPT,95982,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,101.5,48
CPT,95983,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,142.72,277.66,6
CPT,95984,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,124.88,242.94,6
CPT,95990,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,259.66,2636.0,48
CPT,95991,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,112.97,2636.0,48
CPT,95992,CANALITH REPO PROC PT,263.67,263.67,18.46,263.67,44
CPT,95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",263.67,263.67,35.73,206.3,148
CPT,95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day Other Outpatient",263.67,263.67,37.71,42.85,12
CPT,95999,Unlisted neurological or neuromuscular diagnostic procedure ,,,380.46,740.17,6
CPT,96000,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,269.58,524.46,6
CPT,96001,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,361.73,703.74,6
CPT,96002,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,62.42,121.44,6
CPT,96004,"Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyogra",,,102.87,630.5,8
CPT,96020,"Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or other qualified health care professional (ie",,,462.83,900.4,6
CPT,96041,MED GENE BY CNSLR EA 30M,155.1,155.1,10.86,155.1,65
CPT,96041,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",155.1,155.1,144.46,281.04,6
CPT,96105,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,94.42,255.03,78
CPT,96110,DEV TEST LTD INT&RPT OT,437.75,437.75,30.64,437.75,50
CPT,96110,"Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument ",437.75,437.75,27.75,53.98,6
CPT,96112,DEV TEST INT&RPT 60M OT,916.7,916.7,64.17,916.7,44
CPT,96112,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",916.7,916.7,380.46,740.17,6
CPT,96113,DEV TEST INT&RPT A30M OT,530.45,530.45,37.13,530.45,50
CPT,96113,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",530.45,530.45,163.52,318.11,6
CPT,96121,"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities»)",,,219.04,426.13,6
CPT,96125,COGNITIV PERFORM TEST SP,1079.49,1079.49,75.56,1079.49,44
CPT,96125,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",1079.49,1079.49,99.92,601.55,84
CPT,96127,"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder ºADHD» scale), with scoring and documentation, per standardized instrument ",,,91.93,178.85,6
CPT,96130,"Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data",,,380.46,740.17,6
CPT,96131,"Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data",,,233.89,455.02,6
CPT,96132,"Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical",,,380.46,740.17,6
CPT,96133,"Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical",,,230.92,449.24,6
CPT,96136,"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes ",,,63.22,123.0,6
CPT,96137,"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List separately",,,54.51,106.04,6
CPT,96138,"Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes ",,,63.22,123.0,6
CPT,96139,"Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; each additional 30 minutes (List separately in addition to code for primary procedure)",,,107.03,208.22,6
CPT,96146,"Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only ",,,63.22,123.0,6
CPT,96156,BHVRL HLTH ASSMT/REASS,604.0,604.0,42.28,604.0,55
CPT,96156,"Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) ",604.0,604.0,215.99,420.19,6
CPT,96158,"Health behavior intervention, individual, face-to-face; initial 30 minutes ",,,215.99,420.19,6
CPT,96159,"Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service) ",,,58.47,113.74,6
CPT,96160,"Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument ",,,8.91,17.33,6
CPT,96161,"Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument ",,,8.91,17.33,6
CPT,96164,"Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutes ",,,75.13,146.16,6
CPT,96165,"Health behavior intervention, group (2 or more patients), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) ",,,10.89,21.19,6
CPT,96167,"Health behavior intervention, family (with the patient present), face-to-face; initial 30 minutes ",,,75.13,146.16,6
CPT,96168,"Health behavior intervention, family (with the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) ",,,64.43,125.35,6
CPT,96170,"Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes ",,,217.06,422.28,6
CPT,96171,"Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) ",,,79.28,154.24,6
CPT,96202,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,19.5,123.42,84
CPT,96203,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.16,34.72,84
CPT,96360,IV HYDRAT INIT UP TO 1HR,1073.95,1073.95,75.18,1073.95,1652
CPT,96360,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,106.04,358.56,21
CPT,96361,IV HYDRAT EA ADD HR,264.25,264.25,18.13,269.43,1888
CPT,96361,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,37.65,78.94,21
CPT,96365,IV INITIAL UP TO 1 HOUR,1073.95,1073.95,75.18,1073.95,2301
CPT,96365,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour ",,,200.2,389.48,6
CPT,96366,IV EACH ADD HOUR,269.43,269.43,18.86,269.43,2301
CPT,96366,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) ",,,60.45,117.59,6
CPT,96367,IV ADDL SEQ INF UP TO 1H,1073.95,1073.95,75.18,1073.95,1062
CPT,96367,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for ",,,87.2,169.65,6
CPT,96368,IV CONCURRENT INFUSION,269.43,269.43,18.86,269.43,1300
CPT,96368,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure) ",,,58.47,113.74,6
CPT,96369,"Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s) ",,,464.81,904.26,6
CPT,96370,Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) ,,,43.61,84.85,6
CPT,96371,Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for pr,,,166.29,323.51,6
CPT,96372,INJECTION IM OR SQ,331.275,331.275,18.19,354.67,2644
CPT,96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular ",,,166.29,323.51,6
CPT,96373,INJECTION INTRA-ARTERIAL,600.655,600.655,37.05,672.08,295
CPT,96373,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial ",,,52.53,102.19,6
CPT,96374,IVP SINGLE/INITIAL DRUG,581.88,581.88,35.07,724.32,2810
CPT,96374,IVP SNGL/INITL DRUG GY,599.4,599.4,37.05,658.48,2360
CPT,96374,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug ",,,109.01,212.07,6
CPT,96375,IVP EA ADD SEQ NEW DR GY,571.53,571.53,34.3,664.51,2386
CPT,96375,IVP EA ADD SEQ NEW DRUG,582.63,582.63,36.02,724.32,2681
CPT,96375,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary pro",,,46.59,90.63,6
CPT,96376,IVP EA ADD SEQ S DRUG GY,593.73,593.73,37.05,616.3,2470
CPT,96376,IVP EA ADD SEQ SAME DRUG,561.48,561.48,36.02,616.3,2860
CPT,96376,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in additi",,,65.42,127.28,6
CPT,96377,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,104.8,5932.0,50
CPT,96379,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,104.8,203.89,6
CPT,96380,"Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection, with counseling by physician or other qualified health care professional ",,,24.71,214.0,8
CPT,96381,"Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection ",,,20.04,214.0,8
CPT,96401,CHEMO SQ/IM NON HORM ANP,606.97,606.97,42.49,606.97,294
CPT,96401,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic ",,,166.29,323.51,6
CPT,96402,CHEMO SQ/IM HORMONL ANPL,606.97,606.97,42.49,606.97,245
CPT,96402,"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic ",,,166.29,323.51,6
CPT,96405,CHEMO INTRALESION 1-7,334.23,334.23,21.15,366.31,147
CPT,96405,"Chemotherapy administration; intralesional, up to and including 7 lesions ",,,166.29,323.51,6
CPT,96406,"Chemotherapy administration; intralesional, more than 7 lesions ",,,129.83,252.57,6
CPT,96409,CHEMO IV PUSH SING/IN DR,604.2950000000001,604.2950000000001,42.11,606.97,539
CPT,96409,"Chemotherapy administration; intravenous, push technique, single or initial substance/drug ",,,302.28,588.07,6
CPT,96411,CHEMO IV PUSH EA ADD DRG,606.97,606.97,42.49,606.97,343
CPT,96411,"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure) ",,,163.52,318.11,6
CPT,96413,CHEMO IV SING/IN DR 1 HR,1596.65,1596.65,57.84,1676.48,490
CPT,96413,"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug ",,,393.47,765.48,6
CPT,96415,CHEMO IV EA ADD HOUR,421.12,421.12,28.07,590.92,539
CPT,96415,"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) ",,,85.22,165.8,6
CPT,96416,CHEM INF > 8HR REQ PUMP,1596.27,1596.27,111.74,1596.27,441
CPT,96416,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump ",,,394.46,767.4,6
CPT,96417,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) ",,,190.3,370.22,6
CPT,96420,CHEMO INTRA ART PUSH,937.18,937.18,65.6,937.18,49
CPT,96420,"Chemotherapy administration, intra-arterial; push technique ",937.18,937.18,292.38,568.81,6
CPT,96422,"Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour ",,,480.67,935.13,6
CPT,96423,"Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure) ",,,222.01,431.91,6
CPT,96425,"Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump ",,,509.41,991.03,6
CPT,96440,"Chemotherapy administration into pleural cavity, requiring and including thoracentesis ",,,353.81,688.33,6
CPT,96446,Chemotherapy administration into the peritoneal cavity via implanted port or catheter ,,,78.29,152.31,6
CPT,96450,CHEMO CNS SPINAL PUNC,578.885,578.885,38.93,601.62,343
CPT,96450,"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture ",,,224.98,437.68,6
CPT,96521,Refilling and maintenance of portable pump ,,,409.31,796.29,6
CPT,96522,REFILL/MAINT PUMP DRG DL,1248.93,1248.93,87.43,1248.93,55
CPT,96522,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",1248.93,1248.93,334.98,651.68,6
CPT,96523,Irrigation of implanted venous access device for drug delivery systems ,,,151.28,294.3,6
CPT,96542,"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents ",,,117.95,229.46,6
CPT,96547,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,78.29,2174.0,30
CPT,96548,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,78.29,2174.0,30
CPT,96549,UNLISTED CHEMO PROC,497.32,497.32,34.81,497.32,53
CPT,96549,Unlisted chemotherapy procedure ,497.32,497.32,104.8,203.89,6
CPT,96567,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,480.51,2636.0,48
CPT,96570,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,146.69,2636.0,48
CPT,96571,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,82.25,2636.0,48
CPT,96573,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,480.51,2174.0,38
CPT,96574,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,480.51,5932.0,82
CPT,96900,Actinotherapy (ultraviolet light) ,,,91.93,178.85,6
CPT,96902,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,29.14,113.74,10
CPT,96904,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,180.37,350.91,6
CPT,96910,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,151.28,294.3,6
CPT,96912,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,151.28,294.3,6
CPT,96913,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,387.5,753.87,6
CPT,96920,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,92
CPT,96921,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,92
CPT,96922,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,92
CPT,96931,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion ",,,476.71,927.42,6
CPT,96932,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, first lesion ",,,47.58,92.55,6
CPT,96933,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, first lesion ",,,130.82,254.5,6
CPT,96934,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, each additional lesion (List separately in addition to code for pr",,,271.56,528.31,6
CPT,96935,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure) ",,,124.88,242.94,6
CPT,96936,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, each additional lesion (List separately in addition to code for primary procedure) ",,,124.88,242.94,6
CPT,96999,Unlisted special dermatological service or procedure ,,,480.51,934.81,6
CPT,97007,"Mechanical scalp cooling, including individual cap supply with head measurement, fitting, and patient education ",,,3988.88,7760.17,6
CPT,97008,"Mechanical scalp cooling; including hair preparation, individual cap placement, therapy initiation, and precooling period ",,,27.97,54.41,6
CPT,97009,"Mechanical scalp cooling; provided after discontinuation of chemotherapy, each 30 minutes (List separately in addition to code for primary procedure) ",,,17.71,34.45,6
CPT,97010,Application of a modality to 1 or more areas; hot or cold packs ,,,17.85,34.72,6
CPT,97012,"Application of a modality to 1 or more areas; traction, mechanical ",280.21,280.21,12.57,81.0,148
CPT,97012,"Application of a modality to 1 or more areas; traction, mechanical Other Outpatient",280.21,280.21,13.27,15.08,12
CPT,97012,TRACTION MECHANICAL PT,280.21,280.21,19.61,280.21,44
CPT,97014,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,41.64,81.0,6
CPT,97016,Application of a modality to 1 or more areas; vasopneumatic devices ,,,10.52,69.39,218
CPT,97016,Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient,,,11.1,12.61,18
CPT,97018,Application of a modality to 1 or more areas; paraffin bath ,,,5.79,38.57,78
CPT,97018,Application of a modality to 1 or more areas; paraffin bath Other Outpatient,,,6.27,6.27,6
CPT,97018,PARAFFIN BATH OT,178.53,178.53,12.5,178.53,44
CPT,97018,PARAFFIN BATH PT,178.53,178.53,12.5,178.53,44
CPT,97022,Application of a modality to 1 or more areas; whirlpool ,,,13.71,98.33,218
CPT,97022,Application of a modality to 1 or more areas; whirlpool Other Outpatient,,,14.47,16.44,18
CPT,97022,WHIRLPOOL OT,178.53,178.53,12.5,178.53,44
CPT,97022,WHIRLPOOL PT,268.39,268.39,12.5,358.25,88
CPT,97024,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.08,38.57,78
CPT,97024,"Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient",,,7.67,7.67,6
CPT,97026,Application of a modality to 1 or more areas; infrared ,,,6.43,34.72,78
CPT,97026,Application of a modality to 1 or more areas; infrared Other Outpatient,,,6.96,6.96,6
CPT,97028,Application of a modality to 1 or more areas; ultraviolet ,,,8.06,44.35,78
CPT,97028,Application of a modality to 1 or more areas; ultraviolet Other Outpatient,,,8.73,8.73,6
CPT,97032,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,12.87,81.0,148
CPT,97032,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient",,,13.58,15.44,12
CPT,97032,ELEC STIMULATION/15M OT,280.21,280.21,19.61,280.21,44
CPT,97032,ELEC STIMULATION/15M PT,280.21,280.21,19.61,280.21,44
CPT,97033,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,16.66,113.74,218
CPT,97033,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient",,,17.58,19.98,18
CPT,97033,IONTOPHORESIS/15 MIN OT,178.53,178.53,12.5,178.53,44
CPT,97033,IONTOPHORESIS/15 MIN PT,178.53,178.53,12.5,178.53,44
CPT,97034,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,13.6,82.92,78
CPT,97034,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient",,,14.72,14.72,6
CPT,97034,CONTRAST BATHS/15 MIN OT,178.53,178.53,12.5,178.53,44
CPT,97034,CONTRAST BATHS/15 MIN PT,178.53,178.53,12.5,178.53,44
CPT,97035,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,12.56,75.22,218
CPT,97035,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient",,,13.26,15.07,18
CPT,97035,ULTRASOUND/15 MIN OT,178.53,178.53,12.5,178.53,44
CPT,97035,ULTRASOUND/15 MIN PT,178.53,178.53,12.5,178.53,44
CPT,97036,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",556.89,556.89,33.64,190.89,78
CPT,97036,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Other Outpatient",556.89,556.89,36.4,36.4,6
CPT,97036,HUBBARD TANK/15MIN PT,556.89,556.89,38.98,556.89,44
CPT,97037,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,105.08,204.42,6
CPT,97039,Unlisted modality (specify type and time if constant attendance) ,,,30.72,59.76,6
CPT,97110,THER EXERCISES 15 MIN OT,198.63,198.63,13.9,198.63,44
CPT,97110,THER EXERCISES 15 MIN PT,198.63,198.63,13.9,198.63,44
CPT,97110,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,25.47,167.72,218
CPT,97110,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility Other Outpatient",,,26.88,30.54,18
CPT,97112,NEUROMUSC REEDUCT 15M OT,188.0,188.0,13.16,188.0,44
CPT,97112,NEUROMUSC REEDUCT 15M PT,198.63,198.63,13.9,198.63,44
CPT,97112,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,28.69,190.89,236
CPT,97113,AQUATIC THERAPY 15MIN OT,248.3,248.3,17.38,248.3,44
CPT,97113,AQUATIC THERAPY 15MIN PT,248.3,248.3,17.38,248.3,44
CPT,97113,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,32.48,212.07,218
CPT,97113,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient",,,34.27,38.94,18
CPT,97116,GAIT TRAINING 15 MIN PT,198.63,198.63,13.9,198.63,44
CPT,97116,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",198.63,198.63,25.47,165.8,148
CPT,97116,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) Other Outpatient",198.63,198.63,26.88,30.54,12
CPT,97124,MASSAGE 15 MIN OT,280.21,280.21,19.61,280.21,44
CPT,97124,MASSAGE 15 MIN PT,280.21,280.21,19.61,280.21,44
CPT,97124,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,26.01,156.17,148
CPT,97124,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) Other Outpatient",,,27.45,31.2,12
CPT,97129,COG SKLS DVLPMNT INT 15M,428.995,428.995,29.05,442.98,147
CPT,97129,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,19.67,129.2,160
CPT,97130,COG SKLS DVLPMNT EA 15M,119.42,119.42,8.36,119.42,88
CPT,97130,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,20.53,125.35,84
CPT,97139,Unlisted therapeutic procedure (specify) ,,,41.64,81.0,6
CPT,97140,MANUAL THER TECH 15M OT,280.21,280.21,19.61,280.21,44
CPT,97140,MANUAL THER TECH 15M PT,280.21,280.21,19.61,280.21,44
CPT,97140,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,24.3,152.31,218
CPT,97140,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes Other Outpatient",,,25.64,29.14,18
CPT,97150,THER PROCEDURES GROUP OT,402.0,402.0,9.52,665.66,220
CPT,97150,THER PROCEDURES GROUP PT,335.78499999999997,335.78499999999997,9.52,533.24,176
CPT,97150,THER PROCEDURES GRP NTHP,390.47,390.47,11.05,619.02,236
CPT,97150,"Therapeutic procedure(s), group (2 or more individuals) ",,,15.8,100.26,218
CPT,97150,"Therapeutic procedure(s), group (2 or more individuals) Other Outpatient",,,16.67,18.94,18
CPT,97151,"Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care professional's time face-",,,75.13,146.16,6
CPT,97152,"Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with the patient, each 15 min",,,75.13,146.16,6
CPT,97153,"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes ",,,75.13,146.16,6
CPT,97154,"Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 1",,,75.13,146.16,6
CPT,97155,"Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with",,,75.13,146.16,6
CPT,97156,"Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), ea",,,75.13,146.16,6
CPT,97157,"Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of guar",,,75.13,146.16,6
CPT,97158,"Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each 15 minutes ",,,75.13,146.16,6
CPT,97161,EVAL PT LOW COMPLEX,501.32,501.32,35.09,501.32,44
CPT,97161,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",501.32,501.32,85.9,462.72,160
CPT,97162,EVAL PT MOD COMPLEX,737.79,737.79,51.65,737.79,44
CPT,97162,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",737.79,737.79,85.9,462.72,160
CPT,97163,EVAL PT HIGH COMPLEX,1079.49,1079.49,75.56,1079.49,44
CPT,97163,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",1079.49,1079.49,85.9,462.72,160
CPT,97164,RE-EVALUATION PT,412.64,412.64,28.88,412.64,44
CPT,97164,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",412.64,412.64,59.16,314.26,160
CPT,97165,EVAL OT LOW COMPLEX,488.9,488.9,33.35,501.32,88
CPT,97165,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,88.23,497.44,160
CPT,97166,EVAL OT MOD COMPLEX,737.79,737.79,51.65,737.79,44
CPT,97166,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",737.79,737.79,88.23,497.44,160
CPT,97167,EVAL OT HIGH COMPLEX,1079.49,1079.49,75.56,1079.49,44
CPT,97167,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",1079.49,1079.49,88.23,497.44,160
CPT,97168,RE-EVALUATION OT,273.11,273.11,19.12,273.11,44
CPT,97168,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",273.11,273.11,60.04,341.28,160
CPT,97169,"Athletic training evaluation, low complexity, requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An examination of affected body a",,,141.73,275.74,6
CPT,97170,"Athletic training evaluation, moderate complexity, requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical activity; An examination of a",,,221.02,429.98,6
CPT,97171,"Athletic training evaluation, high complexity, requiring these components: A medical history and physical activity profile, with 3 or more comorbidities that affect physical activity; A comprehensive ",,,432.11,840.65,6
CPT,97172,Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient's current functional status when there is a documented change; and A revised plan of ca,,,141.73,275.74,6
CPT,97530,THER ACT DIR 15 MIN NTHP,307.46999999999997,307.46999999999997,9.62,477.53,118
CPT,97530,THER ACTIV DIR 15 MIN OT,198.63,198.63,13.9,198.63,44
CPT,97530,THER ACTIV DIR 15 MIN PT,198.63,198.63,13.9,198.63,44
CPT,97530,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,30.72,217.85,218
CPT,97530,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes Other Outpatient",,,32.41,36.83,18
CPT,97533,SENSORY INTEGRATN 15M OT,188.0,188.0,13.16,188.0,44
CPT,97533,SENSORY INTEGRATN 15M PT,188.0,188.0,13.16,188.0,44
CPT,97533,SENSORY INTEGRATN 15M SP,248.3,248.3,17.38,248.3,44
CPT,97533,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,53.16,233.31,148
CPT,97533,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes Other Outpatient",,,56.1,63.75,12
CPT,97535,SELF/HOME ONE/ONE 15M OT,196.27,196.27,13.74,196.27,44
CPT,97535,SELF/HOME ONE/ONE 15M PT,196.27,196.27,13.74,196.27,44
CPT,97535,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,28.39,187.04,236
CPT,97537,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,31.94,179.33,82
CPT,97542,WHEELCHAIR MGT 15M OT,198.63,198.63,13.9,198.63,44
CPT,97542,WHEELCHAIR MGT 15M PT,198.63,198.63,13.9,198.63,44
CPT,97542,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,27.23,181.26,148
CPT,97542,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes Other Outpatient",,,28.74,32.66,12
CPT,97545,WORK HD/CON 2 HRS INT PT,548.6,548.6,38.4,548.6,50
CPT,97545,Work hardening/conditioning; initial 2 hours ,548.6,548.6,257.68,501.29,6
CPT,97546,WORK HDNG/COND ADL HR PT,307.41,307.41,21.52,307.41,50
CPT,97546,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,307.41,307.41,129.83,252.57,6
CPT,97550,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,51.36,288.26,84
CPT,97551,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,25.39,132.36,84
CPT,97552,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,21.35,121.44,84
CPT,97597,DEBRIDE WND IN 20SQCM PT,433.34,433.34,20.53,672.75,176
CPT,97597,DEBRIDE WND INI 20SQCM,1784.9,1784.9,196.34,1784.9,52
CPT,97597,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,67.4,5932.0,168
CPT,97598,DEBRD WD EA AD 20SQCM PT,433.34,433.34,13.57,672.75,176
CPT,97598,DEBRID WND EA ADD 20SQCM,1784.9,1784.9,196.34,1784.9,52
CPT,97598,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,31.71,5932.0,168
CPT,97602,REM DEVITALIZED TISS NS,1137.63,1137.63,55.91,1766.97,208
CPT,97602,REM DEVITLIZD TISS NS PT,480.625,480.625,24.75,672.75,176
CPT,97602,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,480.51,934.81,6
CPT,97605,NEG PRESSRE 50CM OR < PT,958.2950000000001,958.2950000000001,30.95,1142.15,176
CPT,97605,NEG PRESSURE 50CM OR <,2602.63,2602.63,127.6,3533.97,208
CPT,97605,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,41.9,934.81,82
CPT,97606,NEG PRESSURE > 50 CM,2602.63,2602.63,127.6,3533.97,208
CPT,97606,NEG PRESSURE > 50 CM PT,991.395,991.395,30.95,1344.33,176
CPT,97606,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,50.19,1709.38,82
CPT,97607,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,64.43,958.5,82
CPT,97608,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,72.35,1035.0,82
CPT,97610,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,394.02,1037.52,76
CPT,97610,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day Other Outpatient",,,415.8,415.8,6
CPT,97750,PHYS PER TEST/MSR 15M PT,267.21,267.21,18.7,267.21,44
CPT,97750,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",267.21,267.21,29.55,190.89,218
CPT,97750,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes Other Outpatient",267.21,267.21,31.19,35.44,18
CPT,97755,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,36.68,208.22,84
CPT,97760,ORTH MGT TRAIN EA 15M OT,264.84,264.84,18.54,264.84,44
CPT,97760,ORTH MGT TRAIN EA 15M PT,264.84,264.84,18.54,264.84,44
CPT,97760,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,40.35,260.28,236
CPT,97761,PROST TRAINING EA 15M OT,198.63,198.63,13.9,198.63,44
CPT,97761,PROST TRAINING EA 15M PT,198.63,198.63,13.9,198.63,44
CPT,97761,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,39.22,223.68,78
CPT,97761,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other Outpatient",,,42.44,42.44,6
CPT,97763,ORTH/PROS MGT SBSQ ENCOT,271.94,271.94,19.04,271.94,44
CPT,97763,ORTH/PROS MGT SBSQ ENCPT,271.94,271.94,19.04,271.94,44
CPT,97763,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,43.83,275.74,148
CPT,97763,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes Other Outpatient",,,46.26,52.56,12
CPT,97802,MNT INIT ASSESS EA 15MIN,117.0,117.0,8.19,117.0,118
CPT,97802,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,31.1,185.11,78
CPT,97802,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Other Outpatient",,,32.82,32.82,6
CPT,97803,MNT REASSESS EA 15 MIN,117.0,117.0,8.19,117.0,118
CPT,97803,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,26.86,158.09,78
CPT,97803,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes Other Outpatient",,,28.34,28.34,6
CPT,97804,MNT GROUP EA 30 MIN,193.19,193.19,13.52,193.19,59
CPT,97804,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",193.19,193.19,14.41,86.78,78
CPT,97804,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes Other Outpatient",193.19,193.19,15.2,15.2,6
CPT,97810,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,86.21,167.72,6
CPT,97811,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,71.36,138.83,6
CPT,97813,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,93.17,181.26,6
CPT,97814,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,78.29,152.31,6
CPT,98000,"Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When us",,,125.81,244.76,6
CPT,98001,"Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low medical decision making. When using total ti",,,217.14,422.44,6
CPT,98002,"Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using tot",,,352.25,685.28,6
CPT,98003,"Synchronous audio-video visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total t",,,473.41,921.0,6
CPT,98004,"Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",,,94.13,183.13,6
CPT,98005,"Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low medical decision making. When using",,,175.2,340.85,6
CPT,98006,"Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When ",,,260.92,507.61,6
CPT,98007,"Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high medical decision making. When usin",,,352.25,685.28,6
CPT,98008,"Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, straightforward medical decision making, and more th",,,120.2,233.85,6
CPT,98009,"Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, low medical decision making, and more than 10 minute",,,208.75,406.12,6
CPT,98010,"Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, moderate medical decision making, and more than 10 m",,,328.96,639.97,6
CPT,98011,"Synchronous audio-only visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination, high medical decision making, and more than 10 minut",,,432.41,841.23,6
CPT,98012,"Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, straightforward medical decision making, an",,,88.52,172.22,6
CPT,98013,"Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, low medical decision making, and more than ",,,161.2,313.62,6
CPT,98014,"Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, moderate medical decision making, and more ",,,238.56,464.11,6
CPT,98015,"Synchronous audio-only visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination, high medical decision making, and more than",,,352.25,685.28,6
CPT,98016,"Brief communication technology-based service (eg, virtual check-in) by a physician or other qualified health care professional who can report evaluation and management services, provided to an establi",,,41.94,81.59,6
CPT,98925,Osteopathic manipulative treatment (OMT); 1-2 body regions involved ,,,67.43,131.18,6
CPT,98926,Osteopathic manipulative treatment (OMT); 3-4 body regions involved ,,,67.43,131.18,6
CPT,98927,Osteopathic manipulative treatment (OMT); 5-6 body regions involved ,,,67.43,131.18,6
CPT,98928,Osteopathic manipulative treatment (OMT); 7-8 body regions involved ,,,67.43,131.18,6
CPT,98929,Osteopathic manipulative treatment (OMT); 9-10 body regions involved ,,,67.43,131.18,6
CPT,98940,"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions ",,,67.43,131.18,6
CPT,98941,"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions ",,,67.43,131.18,6
CPT,98942,"Chiropractic manipulative treatment (CMT); spinal, 5 regions ",,,67.43,131.18,6
CPT,98943,"Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions ",,,66.41,129.2,6
CPT,98960,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,76.31,148.46,6
CPT,98960,MED MGMT LACT EDU 30 MIN,205.43,205.43,11.33,248.97,130
CPT,98961,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,37.65,73.24,6
CPT,98962,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,27.75,53.98,6
CPT,98966,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,8.55,69.39,84
CPT,98967,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,16.56,138.83,84
CPT,98968,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,24.06,208.22,84
CPT,98970,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,12.31,69.39,76
CPT,98970,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes Other Outpatient",,,12.99,12.99,6
CPT,98971,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,22.93,69.39,76
CPT,98971,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes Other Outpatien",,,24.2,24.2,6
CPT,98972,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,34.26,90.21,76
CPT,98972,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes Other Outp",,,36.15,36.15,6
CPT,98975,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,21.42,649.22,76
CPT,98975,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment Other Outpatient",,,22.61,22.61,6
CPT,98976,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,51.59,203.46,82
CPT,98977,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,50.93,203.46,82
CPT,98978,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of cognitive beh",,,96.25,187.25,6
CPT,98979,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,31.68,61.63,6
CPT,98980,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,53.75,175.48,82
CPT,98981,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,41.17,175.48,82
CPT,98984,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,104.86,204.0,6
CPT,98985,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,104.86,204.0,6
CPT,98986,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of cognitive beh",,,104.86,204.0,6
CPT,99000,HANDLING CHARGE,119.39,119.39,8.36,119.39,65
CPT,99000,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,119.39,119.39,5.58,26.95,39
CPT,99001,HANDLING CHARGE OTHER,254.93,254.93,17.85,254.93,65
CPT,99001,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,254.93,254.93,6.63,13.49,39
CPT,99002,"Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, designing, fitting, packaging, handling, delivery or mailing) when devices such ",,,16.86,32.8,6
CPT,99026,"Hospital mandated on call service; in-hospital, each hour ",,,127.85,248.72,6
CPT,99027,"Hospital mandated on call service; out-of-hospital, each hour ",,,63.44,123.42,6
CPT,99075,Medical testimony ,,,376.61,732.68,6
CPT,99080,"Special reports such as insurance forms, more than the information conveyed in the usual medical communications or standard reporting form ",,,224.15,231.08,2
CPT,99091,COLLINT DTA 30MIN EA 30D,361.09,361.09,25.28,361.09,54
CPT,99091,"Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified ",361.09,361.09,160.55,312.33,6
CPT,99151,MOD SED MD 1ST 15 <5YRS,140.64,140.64,9.84,140.64,780
CPT,99151,"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presenc",,,71.36,138.83,6
CPT,99152,MOD SED MD 1ST 15 >5YRS,140.64,140.64,9.84,140.64,845
CPT,99152,"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presenc",,,34.68,67.46,6
CPT,99153,MOD SED MD EADD 15,71.12,71.12,4.98,71.12,845
CPT,99153,"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presenc",,,29.73,57.83,6
CPT,99155,Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therape,,,251.74,489.74,6
CPT,99156,MOD SED DIF MD 1ST15>5YR,140.64,140.64,9.84,140.64,65
CPT,99156,Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therape,140.64,140.64,222.01,431.91,6
CPT,99157,MOD SED DIF MD EADD 15,71.12,71.12,4.98,71.12,65
CPT,99157,Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therape,71.12,71.12,180.37,350.91,6
CPT,99170,"Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed ",,,244.8,476.26,6
CPT,99172,"Visual function screening, automated or semi-automated bilateral quantitative determination of visual acuity, ocular alignment, color vision by pseudoisochromatic plates, and field of vision (may incl",,,102.01,256.43,8
CPT,99173,"Screening test of visual acuity, quantitative, bilateral ",,,2.71,15.41,8
CPT,99174,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,5.45,30.87,8
CPT,99175,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,72.35,140.76,6
CPT,99177,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,4.35,25.09,8
CPT,99183,"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session ",,,316.42,615.57,6
CPT,99184,HEAD/TB HYPOTHERMIA,4597.1,4597.1,321.8,4597.1,65
CPT,99184,"Initiation of selective head or total body hypothermia in the critically ill neonate, includes appropriate patient selection by review of clinical, imaging and laboratory data, confirmation of esophag",4597.1,4597.1,627.36,1220.5,6
CPT,99188,Application of topical fluoride varnish by a physician or other qualified health care professional ,,,28.74,55.91,6
CPT,99190,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,989.09,1924.23,6
CPT,99191,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,735.38,1430.64,6
CPT,99192,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,489.58,952.46,6
CPT,99195,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,48
CPT,99195,THERAPEUTIC PHLEB,355.08,355.08,24.86,355.08,130
CPT,99202,BASIC CARE NP,727.33,727.33,45.47,1201.9,378
CPT,99202,FOLLOW UP VISIT ONLY NP,594.13,594.13,41.59,594.13,108
CPT,99202,OP VISIT LEVEL 2 NP,727.33,727.33,45.47,1201.9,432
CPT,99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When",,,141.73,275.74,6
CPT,99203,OP VISIT LEVEL 3 NP,860.5,860.5,53.74,1423.11,486
CPT,99203,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When us",,,213.07,414.52,6
CPT,99204,OP VISIT LEVEL 4 NP,1098.47,1098.47,68.62,1814.81,432
CPT,99204,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh",,,360.75,701.81,6
CPT,99205,OP VISIT LEVEL 5 NP,1230.16,1230.16,77.0,2036.07,432
CPT,99205,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u",,,470.77,915.87,6
CPT,99211,OP VISIT LEVEL 1 EST,594.13,594.13,37.08,980.64,594
CPT,99211,Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional ,,,25.77,50.13,6
CPT,99212,OP VISIT LEVEL 2 EST,727.33,727.33,45.47,1201.9,432
CPT,99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision mak",,,71.36,138.83,6
CPT,99213,OP VISIT LEVEL 3 EST,814.12,814.12,50.7,1423.11,540
CPT,99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making",,,142.72,277.66,6
CPT,99214,OP VISIT LEVEL 4 EST,1098.47,1098.47,68.62,1814.81,432
CPT,99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision m",,,220.03,428.05,6
CPT,99215,OP VISIT LEVEL 5 EST,1230.16,1230.16,77.0,2036.07,432
CPT,99215,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision makin",,,310.2,603.48,6
CPT,99221,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low le",,,283.44,551.42,6
CPT,99222,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical",,,382.55,744.24,6
CPT,99223,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical dec",,,564.9,1099.0,6
CPT,99231,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low",,,110.0,214.0,6
CPT,99232,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medi",,,203.17,395.26,6
CPT,99233,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical ",,,290.37,564.91,6
CPT,99234,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,371.66,723.05,6
CPT,99235,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,472.75,919.72,6
CPT,99236,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,607.53,1181.92,6
CPT,99238,Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter ,,,204.16,397.18,6
CPT,99239,Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter ,,,299.31,582.29,6
CPT,99242,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using tota",,,191.29,372.15,6
CPT,99243,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total t",,,267.6,520.61,6
CPT,99244,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using to",,,430.13,836.79,6
CPT,99245,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total ",,,532.21,1035.39,6
CPT,99252,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total ",,,209.11,406.81,6
CPT,99253,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total tim",,,322.11,626.65,6
CPT,99254,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using tota",,,467.77,910.03,6
CPT,99255,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total ti",,,562.92,1095.14,6
CPT,99281,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,50.59,1118.0,132
CPT,99281,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ER,,,110.12,110.12,6
CPT,99281,LVL 1 EMER DEPT,745.74,745.74,82.03,745.74,111
CPT,99281,LVL 1 FREE STD EMER DEPT,745.74,745.74,82.03,745.74,74
CPT,99282,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,50.59,1644.0,132
CPT,99282,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ER",,,200.52,200.52,6
CPT,99282,LVL 2 EMER DEPT,1243.98,1243.98,136.84,1243.98,111
CPT,99282,LVL 2 FREE STD EMER DEPT,1243.98,1243.98,136.84,1243.98,74
CPT,99283,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,50.59,3005.0,132
CPT,99283,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ER",,,356.49,356.49,6
CPT,99283,LVL 3 EMER DEPT,2137.61,2137.61,235.14,2137.61,111
CPT,99283,LVL 3 FREE STD EMER DEPT,2137.61,2137.61,235.14,2137.61,74
CPT,99284,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,77.04,5296.0,127
CPT,99284,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ER",,,544.91,544.91,6
CPT,99284,LVL 4 EMER DEPT,3227.29,3227.29,355.0,3227.29,111
CPT,99284,LVL 4 FREE STD EMER DEPT,3227.29,3227.29,355.0,3227.29,74
CPT,99285,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,77.04,10292.0,127
CPT,99285,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ER",,,777.72,777.72,6
CPT,99285,LVL 5 EMER DEPT,4667.37,4667.37,513.41,4667.37,111
CPT,99285,LVL 5 FREE STD EMER DEPT,4667.37,4667.37,513.41,4667.37,74
CPT,99288,"Physician or other qualified health care professional direction of emergency medical systems (EMS) emergency care, advanced life support ",,,431.12,838.72,6
CPT,99291,CRIT CARE 1ST 30-74 MINS,5705.61,5705.61,627.62,5705.61,74
CPT,99291,CRIT CARE 1ST 30-74M ER,5705.61,5705.61,627.62,5705.61,74
CPT,99291,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,10292.0,95
CPT,99292,CRIT CARE EACH ADD 30MIN,3891.06,3891.06,428.02,3891.06,141
CPT,99292,CRIT CARE ECH ADD 30M ER,3891.06,3891.06,428.02,3891.06,47
CPT,99292,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,10292.0,70
CPT,99358,Prolonged evaluation and management service before and/or after direct patient care; first hour ,,,312.18,607.33,6
CPT,99359,Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service) ,,,150.65,293.07,6
CPT,99360,"Standby service, requiring prolonged attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG) ",,,171.46,333.57,6
CPT,99366,"Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care profe",,,117.95,229.46,6
CPT,99367,"Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician ",,,159.56,310.41,6
CPT,99368,"Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professiona",,,105.05,204.37,6
CPT,99374,"Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care m",,,38.81,308.48,8
CPT,99375,"Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care m",,,60.83,482.03,8
CPT,99377,"Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of",,,158.56,308.48,6
CPT,99378,"Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of",,,247.77,482.03,6
CPT,99379,"Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, ",,,158.56,308.48,6
CPT,99380,"Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, ",,,247.77,482.03,6
CPT,99381,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,52.62,418.37,8
CPT,99382,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,56.18,447.31,8
CPT,99383,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,59.98,474.33,8
CPT,99384,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,70.21,555.28,8
CPT,99385,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,67.72,532.16,8
CPT,99386,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,82.28,647.83,8
CPT,99387,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,88.06,696.03,8
CPT,99391,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,48.18,381.78,8
CPT,99392,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,52.62,418.37,8
CPT,99393,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,52.62,418.37,8
CPT,99394,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,59.98,474.33,8
CPT,99395,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,61.64,487.81,8
CPT,99396,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,66.87,528.31,8
CPT,99397,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,70.2,555.28,8
CPT,99401,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes ,,,17.06,134.98,8
CPT,99402,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes ,,,34.69,273.81,8
CPT,99403,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes ,,,51.25,408.74,8
CPT,99404,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes ,,,68.54,541.79,8
CPT,99406,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,34.68,67.46,6
CPT,99407,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,72.35,140.76,6
CPT,99408,"Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes ",,,93.17,181.26,6
CPT,99409,"Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes ",,,186.31,362.46,6
CPT,99411,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes ,,,21.81,42.43,6
CPT,99412,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes ,,,35.67,69.39,6
CPT,99415,"Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct",,,27.75,53.98,6
CPT,99416,"Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct",,,11.88,23.11,6
CPT,99417,Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected u,,,21.74,179.33,8
CPT,99418,Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has b,,,114.98,223.68,6
CPT,99421,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,36.66,71.32,6
CPT,99422,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,75.32,146.54,6
CPT,99423,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,119.93,233.31,6
CPT,99424,"Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient ",,,216.07,420.35,6
CPT,99425,"Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient ",,,150.65,293.07,6
CPT,99426,"Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient ",,,144.7,281.52,6
CPT,99427,"Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient ",,,102.08,198.59,6
CPT,99437,"Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditi",,,149.66,291.15,6
CPT,99439,"Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditi",,,80.27,156.17,6
CPT,99445,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 2-15 da",,,104.86,204.0,6
CPT,99450,"Basic life and/or disability examination that includes: Measurement of height, weight, and blood pressure; Completion of a medical history following a life insurance pro forma; Collection of blood sam",,,492.55,958.24,6
CPT,99453,REMMON INTL SETUP PT EDU,722.19,722.19,50.55,722.19,48
CPT,99453,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); initial set-up and patient education on use of equipment ",722.19,722.19,318.81,620.23,6
CPT,99454,REMMON INTL DEVC EA 30 D,229.28,229.28,16.05,229.28,48
CPT,99454,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 16-30 d",229.28,229.28,99.69,193.94,6
CPT,99455,Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commens,,,673.94,1311.12,6
CPT,99456,Work related or medical disability examination by other than the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examinat,,,777.01,1511.64,6
CPT,99457,"Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring 1 real-time interactive communication ",,,89.21,173.55,6
CPT,99458,"Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring 1 real-time interactive communication ",,,90.2,175.48,6
CPT,99459,PELVIC EXAM,133.19,133.19,9.32,133.19,54
CPT,99459,Pelvic examination (List separately in addition to code for primary procedure) ,133.19,133.19,63.36,123.26,6
CPT,99460,"Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant ",,,318.81,620.23,6
CPT,99461,"Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center ",,,43.8,343.2,8
CPT,99462,"Subsequent hospital care, per day, for evaluation and management of normal newborn ",,,117.95,229.46,6
CPT,99463,"Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date ",,,318.81,620.23,6
CPT,99464,ATC DEL&INITIAL STABILIZ,1236.32,1236.32,86.54,1236.32,50
CPT,99464,Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn ,1236.32,1236.32,210.1,408.74,6
CPT,99465,DEL RESUS PPV CHEST COMP,4523.19,4523.19,316.62,4523.19,44
CPT,99465,"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output ",4523.19,4523.19,409.31,796.29,6
CPT,99468,"Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger ",,,2576.8,5013.06,6
CPT,99469,"Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger ",,,1113.97,2167.18,6
CPT,99470,"Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring 1 real-time interactive communication ",,,37.26,72.49,6
CPT,99471,"Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age ",,,2230.91,4340.13,6
CPT,99472,"Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age ",,,1142.71,2223.09,6
CPT,99473,Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibration ,,,63.22,123.0,6
CPT,99474,"Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), col",,,24.78,48.2,6
CPT,99475,"Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age ",,,1569.87,3054.1,6
CPT,99476,"Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age ",,,977.21,1901.12,6
CPT,99477,"Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care servic",,,976.22,1899.2,6
CPT,99478,"Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1,500 grams) ",,,383.54,746.16,6
CPT,99479,"Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1,500-2,500 grams) ",,,348.87,678.7,6
CPT,99480,"Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2,501-5,000 grams) ",,,333.99,649.76,6
CPT,99483,"Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the follow",,,504.46,981.4,6
CPT,99485,"Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with trans",,,52.62,418.37,8
CPT,99486,"Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with trans",,,45.74,362.46,8
CPT,99487,"Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic",,,145.69,283.44,6
CPT,99489,"Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic",,,73.34,142.68,6
CPT,99490,"Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditi",,,89.21,173.55,6
CPT,99491,"Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditi",,,230.92,449.24,6
CPT,99495,"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge ",,,318.81,620.23,6
CPT,99496,"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge ",,,318.81,620.23,6
CPT,99497,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,86.3,420.19,82
CPT,99498,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,77.65,404.89,82
CPT,99500,"Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring ",,,230.92,449.24,6
CPT,99501,Home visit for postnatal assessment and follow-up care ,,,131.81,256.43,8
CPT,99502,Home visit for newborn care and assessment ,,,131.81,256.43,8
CPT,99503,"Home visit for respiratory therapy care (eg, bronchodilator, oxygen therapy, respiratory assessment, apnea evaluation) ",,,131.81,256.43,8
CPT,99504,Home visit for mechanical ventilation care ,,,131.81,256.43,6
CPT,99505,Home visit for stoma care and maintenance including colostomy and cystostomy ,,,131.81,256.43,6
CPT,99506,Home visit for intramuscular injections ,,,131.81,256.43,8
CPT,99507,"Home visit for care and maintenance of catheter(s) (eg, urinary, drainage, and enteral) ",,,131.81,256.43,6
CPT,99509,Home visit for assistance with activities of daily living and personal care ,,,131.81,256.43,6
CPT,99510,"Home visit for individual, family, or marriage counseling ",,,131.81,256.43,6
CPT,99511,Home visit for fecal impaction management and enema administration ,,,131.81,256.43,6
CPT,99512,Home visit for hemodialysis ,,,131.81,256.43,6
CPT,99601,"Home infusion/specialty drug administration, per visit (up to 2 hours); ",,,411.07,423.78,2
CPT,99602,"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure) ",,,272.26,280.68,2
HCPCS,A0140,NONEMERG AIR TRAVEL,78900.0,78900.0,5523.0,78900.0,71
HCPCS,A2001,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,10903.8,27
HCPCS,A2002,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,9.94,209.78,21
HCPCS,A2004,"Xcellistem, 1 mg ",,,9.94,113.4,27
HCPCS,A2005,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,1.51,209.78,21
HCPCS,A2006,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,84.98,209.78,21
HCPCS,A2007,RESTRATA 1SQCM,1069.0,1069.0,45.5,1839.0,235
HCPCS,A2007,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,9.94,1759.15,27
HCPCS,A2008,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,13.98,1293.66,27
HCPCS,A2009,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,30.15,796.45,27
HCPCS,A2010,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,9.94,209.78,21
HCPCS,A2011,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,345.69,21
HCPCS,A2012,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,0.59,209.78,21
HCPCS,A2013,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,9.94,11776.1,27
HCPCS,A2014,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,1.52,1117.66,27
HCPCS,A2015,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,9.94,209.78,21
HCPCS,A2016,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,30.15,209.78,21
HCPCS,A2017,"Permeaderm glove, each ",,,13.98,21.03,6
HCPCS,A2018,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,13.98,209.78,21
HCPCS,A2019,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,60.18,5193.72,27
HCPCS,A2020,Ac5 advanced wound system (ac5) ,,,15.69,9900.0,21
HCPCS,A2021,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,9.94,15040.49,27
HCPCS,A2022,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,12430.33,27
HCPCS,A2023,"Innovamatrix pd, 1 mg ",,,28.1,339.0,27
HCPCS,A2024,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,9.94,209.78,21
HCPCS,A2025,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,168.32,1817.3,27
HCPCS,A2026,RESTRATA MINIMATRIX 5MG,450.0,450.0,26.67,812.0,325
HCPCS,A2026,"Restrata minimatrix, 5 mg ",,,7.96,11.98,6
HCPCS,A2027,MATRIDERM PER SQCM,1011.0,1011.0,70.77,1011.0,53
HCPCS,A2027,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",1011.0,1011.0,168.32,253.27,21
HCPCS,A2028,MICROMATRIX FLEX 750MG,40688.0,40688.0,2848.16,40688.0,47
HCPCS,A2028,"Micromatrix flex, per mg ",40688.0,40688.0,804.8,6824.92,12
HCPCS,A2029,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,168.32,3634.6,27
HCPCS,A2030,"Miro3d fibers, per milligram ",,,27.09,253.27,27
HCPCS,A2031,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.96,4361.52,27
HCPCS,A2032,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,271.21,27
HCPCS,A2033,"Myriad morcells, 4 milligrams ",,,19.38,95.95,27
HCPCS,A2034,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,19.38,2538.39,21
HCPCS,A2035,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,4844.28,21
HCPCS,A2036,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,1.22,209.78,21
HCPCS,A2037,"G4derm plus/suprello, per milliliter ",,,7.96,11.98,6
HCPCS,A2038,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,60.18,209.78,21
HCPCS,A2039,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.96,209.78,21
HCPCS,A2040,"Microlyte painguard, per square centimeter ",,,209.78,209.78,15
HCPCS,A2041,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,15
HCPCS,A2042,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,15
HCPCS,A2043,"Biobrane, per square centimeter ",,,209.78,209.78,15
HCPCS,A2045,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,15
HCPCS,A4100,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,191.73,288.51,21
HCPCS,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.46,1.41,78
HCPCS,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml Other Outpatient",,,0.57,0.57,6
HCPCS,A4217,"Sterile water/saline, 500 ml ",,,3.82,11.71,78
HCPCS,A4217,"Sterile water/saline, 500 ml Other Outpatient",,,4.69,4.69,6
HCPCS,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,24.62,67.78,78
HCPCS,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) Other Outpatient",,,27.16,27.16,6
HCPCS,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,47.6,128.56,78
HCPCS,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) Other Outpatient",,,51.52,51.52,6
HCPCS,A4224,"Supplies for maintenance of insulin infusion catheter, per week ",,,24.62,67.78,78
HCPCS,A4224,"Supplies for maintenance of insulin infusion catheter, per week Other Outpatient",,,27.16,27.16,6
HCPCS,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.04,9.09,78
HCPCS,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each Other Outpatient",,,3.64,3.64,6
HCPCS,A4226,"Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week ",,,1.65,2.48,6
HCPCS,A4231,"Infusion set for external insulin pump, needle type ",,,,,0
HCPCS,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.49,1.34,78
HCPCS,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each Other Outpatient",,,0.54,0.54,6
HCPCS,A4234,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.29,6.18,78
HCPCS,A4234,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each Other Outpatient",,,2.48,2.48,6
HCPCS,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.97,2.62,78
HCPCS,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each Other Outpatient",,,1.05,1.05,6
HCPCS,A4236,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.13,3.04,78
HCPCS,A4236,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each Other Outpatient",,,1.22,1.22,6
HCPCS,A4238,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,148.35,735.46,78
HCPCS,A4238,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Other Outpatient",,,294.75,294.75,6
HCPCS,A4239,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,265.08,715.99,78
HCPCS,A4239,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Other Outpatient",,,286.94,286.94,6
HCPCS,A4248,"Chlorhexidine containing antiseptic, 1 ml ",,,0.03,0.26,12
HCPCS,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,8.07,21.8,78
HCPCS,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips Other Outpatient",,,8.74,8.74,6
HCPCS,A4255,"Platforms for home blood glucose monitor, 50 per box ",,,4.77,14.62,78
HCPCS,A4255,"Platforms for home blood glucose monitor, 50 per box Other Outpatient",,,5.86,5.86,6
HCPCS,A4256,"Normal, low and high calibrator solution / chips ",,,3.28,8.86,78
HCPCS,A4256,"Normal, low and high calibrator solution / chips Other Outpatient",,,3.55,3.55,6
HCPCS,A4257,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,15.56,47.66,78
HCPCS,A4257,"Replacement lens shield cartridge for use with laser skin piercing device, each Other Outpatient",,,19.1,19.1,6
HCPCS,A4258,"Spring-powered device for lancet, each ",,,2.06,5.55,78
HCPCS,A4258,"Spring-powered device for lancet, each Other Outpatient",,,2.23,2.23,6
HCPCS,A4259,"Lancets, per box of 100 ",,,1.38,3.72,78
HCPCS,A4259,"Lancets, per box of 100 Other Outpatient",,,1.49,1.49,6
HCPCS,A4263,STENT LCRML 2X.64X40MM,1782.0,1782.0,196.02,1782.0,57
HCPCS,A4264,Permanent implantable contraceptive intratubal occlusion device(s) and delivery system ,,,1379.0,1750.0,15
HCPCS,A4264,Permanent implantable contraceptive intratubal occlusion device(s) and delivery system Age 21+,,,1540.0,1540.0,4
HCPCS,A4264,Permanent implantable contraceptive intratubal occlusion device(s) and delivery system Age Under 21,,,1568.0,1568.0,4
HCPCS,A4265,"Paraffin, per pound ",,,4.16,12.73,78
HCPCS,A4265,"Paraffin, per pound Other Outpatient",,,5.1,5.1,6
HCPCS,A4271,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,33.08,103.09,78
HCPCS,A4271,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests Other Outpatient",,,35.8,35.8,6
HCPCS,A4280,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,7.38,19.94,72
HCPCS,A4280,"Adhesive skin support attachment for use with external breast prosthesis, each Other Outpatient",,,7.99,7.99,6
HCPCS,A4287,"Disposable collection and storage bag for breast milk, any size, any type, each ",,,0.53,0.79,6
HCPCS,A4288,"Valve for breast pump, replacement ",,,6.83,10.27,6
HCPCS,A4295,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.5,6.76,78
HCPCS,A4295,"Intermittent urinary catheter; straight tip, hydrophilic coating, each Other Outpatient",,,2.71,2.71,6
HCPCS,A4296,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,8.84,23.87,78
HCPCS,A4296,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each Other Outpatient",,,9.57,9.57,6
HCPCS,A4297,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,9.67,26.12,78
HCPCS,A4297,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies Other Outpatient",,,10.47,10.47,6
HCPCS,A4310,Insertion tray without drainage bag and without catheter (accessories only) ,,,8.0,24.52,78
HCPCS,A4310,Insertion tray without drainage bag and without catheter (accessories only) Other Outpatient,,,9.83,9.83,6
HCPCS,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,15.7,48.02,78
HCPCS,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Other Outpatient",,,19.25,19.25,6
HCPCS,A4312,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,22.01,67.33,78
HCPCS,A4312,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone Other Outpatient",,,26.98,26.98,6
HCPCS,A4313,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,22.6,69.17,78
HCPCS,A4313,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Other Outpatient",,,27.72,27.72,6
HCPCS,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,30.84,94.4,78
HCPCS,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Other Outpatient",,,37.83,37.83,6
HCPCS,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,31.36,96.02,78
HCPCS,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone Other Outpatient",,,38.48,38.48,6
HCPCS,A4316,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,34.64,106.03,78
HCPCS,A4316,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Other Outpatient",,,42.49,42.49,6
HCPCS,A4318,"Female external urinary collection cup, with or without ring attachment, per day ",,,8.81,23.79,72
HCPCS,A4318,"Female external urinary collection cup, with or without ring attachment, per day Other Outpatient",,,9.53,9.53,6
HCPCS,A4320,"Irrigation tray with bulb or piston syringe, any purpose ",,,5.54,16.95,78
HCPCS,A4320,"Irrigation tray with bulb or piston syringe, any purpose Other Outpatient",,,6.79,6.79,6
HCPCS,A4322,"Irrigation syringe, bulb or piston, each ",,,3.43,10.53,78
HCPCS,A4322,"Irrigation syringe, bulb or piston, each Other Outpatient",,,4.22,4.22,6
HCPCS,A4326,"Male external catheter with integral collection chamber, any type, each ",,,13.16,40.27,78
HCPCS,A4326,"Male external catheter with integral collection chamber, any type, each Other Outpatient",,,16.14,16.14,6
HCPCS,A4327,"Female external urinary collection device; meatal cup, each ",,,54.41,166.55,78
HCPCS,A4327,"Female external urinary collection device; meatal cup, each Other Outpatient",,,66.75,66.75,6
HCPCS,A4328,"Female external urinary collection device; pouch, each ",,,10.83,33.12,78
HCPCS,A4328,"Female external urinary collection device; pouch, each Other Outpatient",,,13.27,13.27,6
HCPCS,A4330,"Perianal fecal collection pouch with adhesive, each ",,,8.64,26.44,78
HCPCS,A4330,"Perianal fecal collection pouch with adhesive, each Other Outpatient",,,10.59,10.59,6
HCPCS,A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,3.87,11.87,78
HCPCS,A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each Other Outpatient",,,4.76,4.76,6
HCPCS,A4332,"Lubricant, individual sterile packet, each ",,,0.14,0.39,78
HCPCS,A4332,"Lubricant, individual sterile packet, each Other Outpatient",,,0.16,0.16,6
HCPCS,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,2.7,8.28,78
HCPCS,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each Other Outpatient",,,3.32,3.32,6
HCPCS,A4334,"Urinary catheter anchoring device, leg strap, each ",,,6.01,18.37,78
HCPCS,A4334,"Urinary catheter anchoring device, leg strap, each Other Outpatient",,,7.36,7.36,6
HCPCS,A4336,"Incontinence supply, urethral insert, any type, each ",,,1.75,5.37,78
HCPCS,A4336,"Incontinence supply, urethral insert, any type, each Other Outpatient",,,2.15,2.15,6
HCPCS,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,14.96,45.8,78
HCPCS,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each Other Outpatient",,,18.35,18.35,6
HCPCS,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,38.73,118.56,78
HCPCS,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each Other Outpatient",,,47.51,47.51,6
HCPCS,A4341,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,337.32,911.11,78
HCPCS,A4341,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each Other Outpatient",,,365.14,365.14,6
HCPCS,A4342,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,851.72,2300.52,78
HCPCS,A4342,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each Other Outpatient",,,921.96,921.96,6
HCPCS,A4344,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,16.6,50.8,78
HCPCS,A4344,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each Other Outpatient",,,20.36,20.36,6
HCPCS,A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,20.31,62.15,78
HCPCS,A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each Other Outpatient",,,24.91,24.91,6
HCPCS,A4349,"Male external catheter, with or without adhesive, disposable, each ",,,2.46,7.52,78
HCPCS,A4349,"Male external catheter, with or without adhesive, disposable, each Other Outpatient",,,3.01,3.01,6
HCPCS,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.22,6.76,78
HCPCS,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each Other Outpatient",,,2.71,2.71,6
HCPCS,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,7.8,23.87,78
HCPCS,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each Other Outpatient",,,9.57,9.57,6
HCPCS,A4353,"Intermittent urinary catheter, with insertion supplies ",,,8.53,26.12,78
HCPCS,A4353,"Intermittent urinary catheter, with insertion supplies Other Outpatient",,,10.47,10.47,6
HCPCS,A4354,Insertion tray with drainage bag but without catheter ,,,14.4,44.09,78
HCPCS,A4354,Insertion tray with drainage bag but without catheter Other Outpatient,,,17.67,17.67,6
HCPCS,A4355,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,10.88,33.3,78
HCPCS,A4355,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each Other Outpatient",,,13.35,13.35,6
HCPCS,A4356,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,47.3,144.83,78
HCPCS,A4356,"External urethral clamp or compression device (not to be used for catheter clamp), each Other Outpatient",,,58.04,58.04,6
HCPCS,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,10.07,30.81,78
HCPCS,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each Other Outpatient",,,12.35,12.35,6
HCPCS,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,6.88,21.06,78
HCPCS,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each Other Outpatient",,,8.44,8.44,6
HCPCS,A4360,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.5,1.57,78
HCPCS,A4360,"Disposable external urethral clamp or compression device, with pad and/or pouch, each Other Outpatient",,,0.63,0.63,6
HCPCS,A4361,"Ostomy faceplate, each ",,,22.41,68.54,78
HCPCS,A4361,"Ostomy faceplate, each Other Outpatient",,,27.47,27.47,6
HCPCS,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,3.91,11.95,78
HCPCS,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each Other Outpatient",,,4.79,4.79,6
HCPCS,A4363,"Ostomy clamp, any type, replacement only, each ",,,2.89,8.86,78
HCPCS,A4363,"Ostomy clamp, any type, replacement only, each Other Outpatient",,,3.55,3.55,6
HCPCS,A4364,"Adhesive, liquid or equal, any type, per oz ",,,3.3,10.11,78
HCPCS,A4364,"Adhesive, liquid or equal, any type, per oz Other Outpatient",,,4.05,4.05,6
HCPCS,A4366,"Ostomy vent, any type, each ",,,1.58,4.82,78
HCPCS,A4366,"Ostomy vent, any type, each Other Outpatient",,,1.93,1.93,6
HCPCS,A4367,"Ostomy belt, each ",,,8.31,25.41,78
HCPCS,A4367,"Ostomy belt, each Other Outpatient",,,10.19,10.19,6
HCPCS,A4368,"Ostomy filter, any type, each ",,,0.3,0.94,78
HCPCS,A4368,"Ostomy filter, any type, each Other Outpatient",,,0.38,0.38,6
HCPCS,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,2.96,9.07,78
HCPCS,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz Other Outpatient",,,3.63,3.63,6
HCPCS,A4371,"Ostomy skin barrier, powder, per oz ",,,4.44,13.62,78
HCPCS,A4371,"Ostomy skin barrier, powder, per oz Other Outpatient",,,5.46,5.46,6
HCPCS,A4372,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,5.11,15.69,78
HCPCS,A4372,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each Other Outpatient",,,6.29,6.29,6
HCPCS,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,7.64,23.42,78
HCPCS,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each Other Outpatient",,,9.39,9.39,6
HCPCS,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,20.95,64.11,78
HCPCS,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each Other Outpatient",,,25.69,25.69,6
HCPCS,A4376,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,58.04,177.66,78
HCPCS,A4376,"Ostomy pouch, drainable, with faceplate attached, rubber, each Other Outpatient",,,71.2,71.2,6
HCPCS,A4377,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,5.23,16.01,78
HCPCS,A4377,"Ostomy pouch, drainable, for use on faceplate, plastic, each Other Outpatient",,,6.42,6.42,6
HCPCS,A4378,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,37.51,114.81,78
HCPCS,A4378,"Ostomy pouch, drainable, for use on faceplate, rubber, each Other Outpatient",,,46.01,46.01,6
HCPCS,A4379,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,18.32,56.07,78
HCPCS,A4379,"Ostomy pouch, urinary, with faceplate attached, plastic, each Other Outpatient",,,22.47,22.47,6
HCPCS,A4380,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,45.54,139.38,78
HCPCS,A4380,"Ostomy pouch, urinary, with faceplate attached, rubber, each Other Outpatient",,,55.86,55.86,6
HCPCS,A4381,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,5.65,17.27,78
HCPCS,A4381,"Ostomy pouch, urinary, for use on faceplate, plastic, each Other Outpatient",,,6.92,6.92,6
HCPCS,A4382,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,30.03,91.94,78
HCPCS,A4382,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each Other Outpatient",,,36.84,36.84,6
HCPCS,A4383,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,34.39,105.25,78
HCPCS,A4383,"Ostomy pouch, urinary, for use on faceplate, rubber, each Other Outpatient",,,42.18,42.18,6
HCPCS,A4384,"Ostomy faceplate equivalent, silicone ring, each ",,,11.73,35.87,78
HCPCS,A4384,"Ostomy faceplate equivalent, silicone ring, each Other Outpatient",,,14.37,14.37,6
HCPCS,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,6.22,19.02,78
HCPCS,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each Other Outpatient",,,7.62,7.62,6
HCPCS,A4387,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,2.74,8.38,78
HCPCS,A4387,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each Other Outpatient",,,3.36,3.36,6
HCPCS,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,5.32,16.27,78
HCPCS,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each Other Outpatient",,,6.52,6.52,6
HCPCS,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,7.58,23.16,78
HCPCS,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each Other Outpatient",,,9.28,9.28,6
HCPCS,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,11.72,35.84,78
HCPCS,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each Other Outpatient",,,14.36,14.36,6
HCPCS,A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,8.62,26.38,78
HCPCS,A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each Other Outpatient",,,10.57,10.57,6
HCPCS,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,9.96,30.52,78
HCPCS,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each Other Outpatient",,,12.23,12.23,6
HCPCS,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,11.03,33.75,78
HCPCS,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each Other Outpatient",,,13.52,13.52,6
HCPCS,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,3.16,9.67,78
HCPCS,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce Other Outpatient",,,3.87,3.87,6
HCPCS,A4395,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.13,78
HCPCS,A4395,"Ostomy deodorant for use in ostomy pouch, solid, per tablet Other Outpatient",,,0.05,0.05,6
HCPCS,A4396,Ostomy belt with peristomal hernia support ,,,49.38,151.15,78
HCPCS,A4396,Ostomy belt with peristomal hernia support Other Outpatient,,,60.57,60.57,6
HCPCS,A4398,"Ostomy irrigation supply; bag, each ",,,14.64,44.8,78
HCPCS,A4398,"Ostomy irrigation supply; bag, each Other Outpatient",,,17.96,17.96,6
HCPCS,A4399,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,12.72,38.93,78
HCPCS,A4399,"Ostomy irrigation supply; cone/catheter, with or without brush Other Outpatient",,,15.6,15.6,6
HCPCS,A4400,Ostomy irrigation set ,,,59.62,182.48,78
HCPCS,A4400,Ostomy irrigation set Other Outpatient,,,73.13,73.13,6
HCPCS,A4402,"Lubricant, per ounce ",,,1.95,5.95,78
HCPCS,A4402,"Lubricant, per ounce Other Outpatient",,,2.38,2.38,6
HCPCS,A4404,"Ostomy ring, each ",,,2.05,6.26,78
HCPCS,A4404,"Ostomy ring, each Other Outpatient",,,2.51,2.51,6
HCPCS,A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,4.17,12.76,78
HCPCS,A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce Other Outpatient",,,5.11,5.11,6
HCPCS,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,6.98,21.38,78
HCPCS,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce Other Outpatient",,,8.57,8.57,6
HCPCS,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,10.69,32.7,78
HCPCS,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each Other Outpatient",,,13.1,13.1,6
HCPCS,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,12.04,36.86,78
HCPCS,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each Other Outpatient",,,14.77,14.77,6
HCPCS,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,7.58,23.16,78
HCPCS,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each Other Outpatient",,,9.28,9.28,6
HCPCS,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,11.03,33.75,78
HCPCS,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each Other Outpatient",,,13.52,13.52,6
HCPCS,A4411,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,6.22,19.02,78
HCPCS,A4411,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each Other Outpatient",,,7.62,7.62,6
HCPCS,A4412,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,3.3,10.11,78
HCPCS,A4412,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each Other Outpatient",,,4.05,4.05,6
HCPCS,A4413,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,6.72,20.57,78
HCPCS,A4413,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each Other Outpatient",,,8.24,8.24,6
HCPCS,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,6.01,18.37,78
HCPCS,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each Other Outpatient",,,7.36,7.36,6
HCPCS,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,7.31,22.4,78
HCPCS,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each Other Outpatient",,,8.98,8.98,6
HCPCS,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,3.36,10.3,78
HCPCS,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each Other Outpatient",,,4.13,4.13,6
HCPCS,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,4.55,13.91,78
HCPCS,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each Other Outpatient",,,5.58,5.58,6
HCPCS,A4418,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.22,6.76,78
HCPCS,A4418,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each Other Outpatient",,,2.71,2.71,6
HCPCS,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.11,6.45,78
HCPCS,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each Other Outpatient",,,2.58,2.58,6
HCPCS,A4422,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.14,0.39,78
HCPCS,A4422,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each Other Outpatient",,,0.16,0.16,6
HCPCS,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.27,6.92,78
HCPCS,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each Other Outpatient",,,2.77,2.77,6
HCPCS,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,5.81,17.76,78
HCPCS,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each Other Outpatient",,,7.12,7.12,6
HCPCS,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,4.37,13.36,78
HCPCS,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each Other Outpatient",,,5.35,5.35,6
HCPCS,A4426,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,3.33,10.19,78
HCPCS,A4426,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each Other Outpatient",,,4.08,4.08,6
HCPCS,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,3.39,10.43,78
HCPCS,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each Other Outpatient",,,4.18,4.18,6
HCPCS,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,7.95,24.34,78
HCPCS,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each Other Outpatient",,,9.75,9.75,6
HCPCS,A4429,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,10.06,30.81,78
HCPCS,A4429,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Other Outpatient",,,12.35,12.35,6
HCPCS,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,10.38,31.81,78
HCPCS,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Other Outpatient",,,12.75,12.75,6
HCPCS,A4431,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,7.58,23.16,78
HCPCS,A4431,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each Other Outpatient",,,9.28,9.28,6
HCPCS,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,4.38,13.39,78
HCPCS,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each Other Outpatient",,,5.37,5.37,6
HCPCS,A4433,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,4.08,12.52,78
HCPCS,A4433,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each Other Outpatient",,,5.02,5.02,6
HCPCS,A4434,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,4.59,14.04,78
HCPCS,A4434,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each Other Outpatient",,,5.63,5.63,6
HCPCS,A4435,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,7.04,21.51,78
HCPCS,A4435,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each Other Outpatient",,,8.62,8.62,6
HCPCS,A4436,"Irrigation supply; sleeve, reusable, per month ",,,24.63,71.6,78
HCPCS,A4436,"Irrigation supply; sleeve, reusable, per month Other Outpatient",,,28.7,28.7,6
HCPCS,A4437,"Irrigation supply; sleeve, disposable, per month ",,,24.63,71.6,78
HCPCS,A4437,"Irrigation supply; sleeve, disposable, per month Other Outpatient",,,28.7,28.7,6
HCPCS,A4438,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.54,6.86,72
HCPCS,A4438,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each Other Outpatient",,,2.75,2.75,6
HCPCS,A4450,"Tape, non-waterproof, per 18 square inches ",,,0.1,0.26,78
HCPCS,A4450,"Tape, non-waterproof, per 18 square inches Other Outpatient",,,0.11,0.11,6
HCPCS,A4452,"Tape, waterproof, per 18 square inches ",,,0.47,1.31,78
HCPCS,A4452,"Tape, waterproof, per 18 square inches Other Outpatient",,,0.53,0.53,6
HCPCS,A4453,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,13.62,379.99,78
HCPCS,A4453,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each Other Outpatient",,,14.74,14.74,6
HCPCS,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.48,4.53,78
HCPCS,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce Other Outpatient",,,1.82,1.82,6
HCPCS,A4456,"Adhesive remover, wipes, any type, each ",,,0.29,0.92,78
HCPCS,A4456,"Adhesive remover, wipes, any type, each Other Outpatient",,,0.37,0.37,6
HCPCS,A4457,"Enema tube, with or without adapter, any type, replacement only, each ",,,1.58,2.37,6
HCPCS,A4459,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,155.61,420.3,72
HCPCS,A4459,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type Other Outpatient",,,168.44,168.44,6
HCPCS,A4461,"Surgical dressing holder, non-reusable, each ",,,4.02,12.31,78
HCPCS,A4461,"Surgical dressing holder, non-reusable, each Other Outpatient",,,4.94,4.94,6
HCPCS,A4463,"Surgical dressing holder, reusable, each ",,,16.23,49.7,78
HCPCS,A4463,"Surgical dressing holder, reusable, each Other Outpatient",,,19.92,19.92,6
HCPCS,A4468,"Exsufflation belt, includes all supplies and accessories ",,,7069.02,10637.19,6
HCPCS,A4479,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,685.19,1850.72,72
HCPCS,A4479,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type Other Outpatient",,,741.7,741.7,6
HCPCS,A4481,"Tracheostoma filter, any type, any size, each ",,,0.44,1.34,78
HCPCS,A4481,"Tracheostoma filter, any type, any size, each Other Outpatient",,,0.54,0.54,6
HCPCS,A4540,"Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm ",,,254.11,382.38,6
HCPCS,A4541,Monthly supplies for use of device coded at e0733 ,,,39.84,107.6,78
HCPCS,A4541,Monthly supplies for use of device coded at e0733 Other Outpatient,,,43.12,43.12,6
HCPCS,A4542,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,511.04,1380.35,78
HCPCS,A4542,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist Other Outpatient,,,553.19,553.19,6
HCPCS,A4543,"Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month ",,,3177.83,4781.87,6
HCPCS,A4544,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.15,16.61,78
HCPCS,A4544,Electrode for external lower extremity nerve stimulator for restless legs syndrome Other Outpatient,,,6.66,6.66,6
HCPCS,A4545,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,37.38,100.97,78
HCPCS,A4545,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month Other Outpatient",,,40.47,40.47,6
HCPCS,A4556,"Electrodes, (e.g., apnea monitor), per pair ",,,14.82,45.35,78
HCPCS,A4556,"Electrodes, (e.g., apnea monitor), per pair Other Outpatient",,,18.18,18.18,6
HCPCS,A4557,"Lead wires, (e.g., apnea monitor), per pair ",,,11.68,31.54,78
HCPCS,A4557,"Lead wires, (e.g., apnea monitor), per pair Other Outpatient",,,12.64,12.64,6
HCPCS,A4558,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,5.66,17.29,78
HCPCS,A4558,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz Other Outpatient",,,6.93,6.93,6
HCPCS,A4559,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.12,0.34,78
HCPCS,A4559,"Coupling gel or paste, for use with ultrasound device, per oz Other Outpatient",,,0.14,0.14,6
HCPCS,A4560,"Neuromuscular electrical stimulator (nmes), disposable, replacement only ",,,517.54,778.78,6
HCPCS,A4561,"Pessary, reusable, rubber, any type ",,,28.45,76.84,72
HCPCS,A4561,"Pessary, reusable, rubber, any type Other Outpatient",,,30.8,30.8,6
HCPCS,A4562,"Pessary, reusable, non rubber, any type ",,,70.77,191.16,72
HCPCS,A4562,"Pessary, reusable, non rubber, any type Other Outpatient",,,76.61,76.61,6
HCPCS,A4563,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,74.12,4426.62,78
HCPCS,A4563,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each Other Outpatient",,,1774.03,1774.03,6
HCPCS,A4564,"Pessary, disposable, any type ",,,16.13,24.27,6
HCPCS,A4565,Slings ,,,9.39,28.77,78
HCPCS,A4565,Slings Other Outpatient,,,11.53,11.53,6
HCPCS,A4593,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,23.17,133.59,78
HCPCS,A4593,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller Other Outpatient",,,53.54,53.54,6
HCPCS,A4594,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,619.39,8109.21,78
HCPCS,A4594,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each Other Outpatient",,,3249.88,3249.88,6
HCPCS,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,12.45,35.23,78
HCPCS,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) Other Outpatient",,,13.48,13.48,6
HCPCS,A4596,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,39.84,1256.1,93
HCPCS,A4596,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month Other Outpatient",,,43.12,43.12,6
HCPCS,A4602,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,4.55,13.91,78
HCPCS,A4602,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each Other Outpatient",,,5.58,5.58,6
HCPCS,A4604,Tubing with integrated heating element for use with positive airway pressure device ,,,48.03,129.74,78
HCPCS,A4604,Tubing with integrated heating element for use with positive airway pressure device Other Outpatient,,,52.0,52.0,6
HCPCS,A4605,"Tracheal suction catheter, closed system, each ",,,20.0,61.26,78
HCPCS,A4605,"Tracheal suction catheter, closed system, each Other Outpatient",,,24.55,24.55,6
HCPCS,A4608,"Transtracheal oxygen catheter, each ",,,61.14,187.17,78
HCPCS,A4608,"Transtracheal oxygen catheter, each Other Outpatient",,,75.01,75.01,6
HCPCS,A4614,"Peak expiratory flow rate meter, hand held ",,,29.01,88.79,78
HCPCS,A4614,"Peak expiratory flow rate meter, hand held Other Outpatient",,,35.58,35.58,6
HCPCS,A4615,"Cannula, nasal ",,,0.89,2.72,78
HCPCS,A4615,"Cannula, nasal Other Outpatient",,,1.09,1.09,6
HCPCS,A4616,"Tubing (oxygen), per foot ",,,0.07,0.21,78
HCPCS,A4616,"Tubing (oxygen), per foot Other Outpatient",,,0.08,0.08,6
HCPCS,A4617,Mouth piece ,,,3.78,11.58,78
HCPCS,A4617,Mouth piece Other Outpatient,,,4.64,4.64,6
HCPCS,A4618,Breathing circuits ,,,9.22,28.24,78
HCPCS,A4618,Breathing circuits Other Outpatient,,,11.32,11.32,6
HCPCS,A4619,Face tent ,,,2.21,6.73,78
HCPCS,A4619,Face tent Other Outpatient,,,2.7,2.7,6
HCPCS,A4620,Variable concentration mask ,,,0.73,2.25,78
HCPCS,A4620,Variable concentration mask Other Outpatient,,,0.9,0.9,6
HCPCS,A4623,"Tracheostomy, inner cannula ",,,6.81,20.83,78
HCPCS,A4623,"Tracheostomy, inner cannula Other Outpatient",,,8.35,8.35,6
HCPCS,A4624,"Tracheal suction catheter, any type other than closed system, each ",,,3.21,9.85,78
HCPCS,A4624,"Tracheal suction catheter, any type other than closed system, each Other Outpatient",,,3.95,3.95,6
HCPCS,A4625,Tracheostomy care kit for new tracheostomy ,,,8.44,25.86,78
HCPCS,A4625,Tracheostomy care kit for new tracheostomy Other Outpatient,,,10.36,10.36,6
HCPCS,A4626,"Tracheostomy cleaning brush, each ",,,3.31,10.11,78
HCPCS,A4626,"Tracheostomy cleaning brush, each Other Outpatient",,,4.05,4.05,6
HCPCS,A4628,"Oral and/or oropharyngeal suction catheter, each ",,,4.46,13.68,78
HCPCS,A4628,"Oral and/or oropharyngeal suction catheter, each Other Outpatient",,,5.48,5.48,6
HCPCS,A4629,Tracheostomy care kit for established tracheostomy ,,,5.67,17.37,78
HCPCS,A4629,Tracheostomy care kit for established tracheostomy Other Outpatient,,,6.96,6.96,6
HCPCS,A4630,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,7.61,23.27,78
HCPCS,A4630,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient Other Outpatient",,,9.32,9.32,6
HCPCS,A4633,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,50.05,153.24,78
HCPCS,A4633,"Replacement bulb/lamp for ultraviolet light therapy system, each Other Outpatient",,,61.41,61.41,6
HCPCS,A4635,"Underarm pad, crutch, replacement, each ",,,5.3,16.22,78
HCPCS,A4635,"Underarm pad, crutch, replacement, each Other Outpatient",,,6.5,6.5,6
HCPCS,A4636,"Replacement, handgrip, cane, crutch, or walker, each ",,,3.78,10.4,78
HCPCS,A4636,"Replacement, handgrip, cane, crutch, or walker, each Other Outpatient",,,4.17,4.17,6
HCPCS,A4637,"Replacement, tip, cane, crutch, walker, each. ",,,2.04,5.76,78
HCPCS,A4637,"Replacement, tip, cane, crutch, walker, each. Other Outpatient",,,2.31,2.31,6
HCPCS,A4639,"Replacement pad for infrared heating pad system, each ",,,35.04,107.26,78
HCPCS,A4639,"Replacement pad for infrared heating pad system, each Other Outpatient",,,42.99,42.99,6
HCPCS,A4640,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,60.34,162.99,78
HCPCS,A4640,Replacement pad for use with medically necessary alternating pressure pad owned by patient Other Outpatient,,,65.32,65.32,6
HCPCS,A4641,RADIOPHARM DX NOC,2829.625,2829.625,83.52,4466.08,134
HCPCS,A4642,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",30583.0,30583.0,2766.04,11802.62,21
HCPCS,A4642,SATUMOMAB PENDETIDE 6MCI,30583.0,30583.0,2140.81,30583.0,60
HCPCS,A4648,MARKER RAD 17GA 20CM,4809.0,4809.0,528.99,4809.0,57
HCPCS,A4648,NEEDLE RAD 17GA 20CM,4809.0,4809.0,528.99,4809.0,57
HCPCS,A4722,DIALYSATE SOL2000-2999ML,324.37,324.37,12.34,515.43,177
HCPCS,A4722,DIANEAL 2.5%DEXT 2L INJ,180.0,180.0,12.6,180.0,59
HCPCS,A4723,DIALYSATE SOL3000-3999ML,270.0,270.0,18.9,270.0,59
HCPCS,A4723,DIANEAL LC 1.5%DEX 3LINJ,270.0,270.0,18.9,270.0,59
HCPCS,A4723,DIANEAL LC 2.5%DEX 3LINJ,270.0,270.0,18.9,270.0,59
HCPCS,A4723,DIANEAL LC 4.25%DEX3LINJ,270.0,270.0,18.9,270.0,59
HCPCS,A4726,DIALYSATE SOL 6000 ML+,428.45,428.45,29.99,428.45,59
HCPCS,A4726,DIANEAL 2.5%DEXT 6L INJ,540.0,540.0,37.8,540.0,59
HCPCS,A4726,DIANEAL LC 1.5%DEX 6LINJ,540.0,540.0,37.8,540.0,59
HCPCS,A4726,DIANEAL LC 2.5%DEX 6LINJ,540.0,540.0,37.8,540.0,59
HCPCS,A4726,DIANEAL LC 4.25%DEX6LINJ,540.0,540.0,37.8,540.0,59
HCPCS,A4802,"Protamine sulfate, for hemodialysis, per 50 mg ",,,20.73,116.14,12
HCPCS,A5051,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,2.52,7.7,78
HCPCS,A5051,"Ostomy pouch, closed; with barrier attached (1 piece), each Other Outpatient",,,3.09,3.09,6
HCPCS,A5052,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,1.82,5.55,78
HCPCS,A5052,"Ostomy pouch, closed; without barrier attached (1 piece), each Other Outpatient",,,2.23,2.23,6
HCPCS,A5053,"Ostomy pouch, closed; for use on faceplate, each ",,,1.99,6.1,78
HCPCS,A5053,"Ostomy pouch, closed; for use on faceplate, each Other Outpatient",,,2.45,2.45,6
HCPCS,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.19,6.71,78
HCPCS,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each Other Outpatient",,,2.69,2.69,6
HCPCS,A5055,Stoma cap ,,,1.7,5.21,78
HCPCS,A5055,Stoma cap Other Outpatient,,,2.09,2.09,6
HCPCS,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,5.7,17.45,78
HCPCS,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each Other Outpatient",,,6.99,6.99,6
HCPCS,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,11.72,35.84,78
HCPCS,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each Other Outpatient",,,14.36,14.36,6
HCPCS,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,4.3,13.2,78
HCPCS,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each Other Outpatient",,,5.29,5.29,6
HCPCS,A5062,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,2.54,7.76,78
HCPCS,A5062,"Ostomy pouch, drainable; without barrier attached (1 piece), each Other Outpatient",,,3.11,3.11,6
HCPCS,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,3.3,10.11,78
HCPCS,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each Other Outpatient",,,4.05,4.05,6
HCPCS,A5071,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,7.33,22.45,78
HCPCS,A5071,"Ostomy pouch, urinary; with barrier attached (1 piece), each Other Outpatient",,,9.0,9.0,6
HCPCS,A5072,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,4.2,12.86,78
HCPCS,A5072,"Ostomy pouch, urinary; without barrier attached (1 piece), each Other Outpatient",,,5.16,5.16,6
HCPCS,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,3.87,11.87,78
HCPCS,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each Other Outpatient",,,4.76,4.76,6
HCPCS,A5081,"Stoma plug or seal, any type ",,,3.43,10.51,78
HCPCS,A5081,"Stoma plug or seal, any type Other Outpatient",,,4.21,4.21,6
HCPCS,A5082,Continent device; catheter for continent stoma ,,,14.51,44.44,78
HCPCS,A5082,Continent device; catheter for continent stoma Other Outpatient,,,17.81,17.81,6
HCPCS,A5083,"Continent device, stoma absorptive cover for continent stoma ",,,0.79,2.41,78
HCPCS,A5083,"Continent device, stoma absorptive cover for continent stoma Other Outpatient",,,0.97,0.97,6
HCPCS,A5093,Ostomy accessory; convex insert ,,,2.38,7.28,78
HCPCS,A5093,Ostomy accessory; convex insert Other Outpatient,,,2.92,2.92,6
HCPCS,A5102,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,27.33,83.63,78
HCPCS,A5102,"Bedside drainage bottle with or without tubing, rigid or expandable, each Other Outpatient",,,33.52,33.52,6
HCPCS,A5105,"Urinary suspensory with leg bag, with or without tube, each ",,,49.74,152.25,78
HCPCS,A5105,"Urinary suspensory with leg bag, with or without tube, each Other Outpatient",,,61.02,61.02,6
HCPCS,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,35.9,109.91,78
HCPCS,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each Other Outpatient",,,44.05,44.05,6
HCPCS,A5113,"Leg strap; latex, replacement only, per set ",,,4.89,14.93,78
HCPCS,A5113,"Leg strap; latex, replacement only, per set Other Outpatient",,,5.99,5.99,6
HCPCS,A5114,"Leg strap; foam or fabric, replacement only, per set ",,,10.92,33.41,78
HCPCS,A5114,"Leg strap; foam or fabric, replacement only, per set Other Outpatient",,,13.39,13.39,6
HCPCS,A5120,"Skin barrier, wipes or swabs, each ",,,0.29,0.92,78
HCPCS,A5120,"Skin barrier, wipes or swabs, each Other Outpatient",,,0.37,0.37,6
HCPCS,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,8.7,26.65,78
HCPCS,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each Other Outpatient",,,10.68,10.68,6
HCPCS,A5122,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,13.31,40.77,78
HCPCS,A5122,"Skin barrier; solid, 8 x 8 or equivalent, each Other Outpatient",,,16.34,16.34,6
HCPCS,A5126,Adhesive or non-adhesive; disk or foam pad ,,,1.6,4.9,78
HCPCS,A5126,Adhesive or non-adhesive; disk or foam pad Other Outpatient,,,1.96,1.96,6
HCPCS,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,19.33,59.19,78
HCPCS,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. Other Outpatient",,,23.72,23.72,6
HCPCS,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,13.78,42.18,78
HCPCS,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment Other Outpatient",,,16.91,16.91,6
HCPCS,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,77.56,237.45,78
HCPCS,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe Other Outpatient",,,95.16,95.16,6
HCPCS,A5501,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,232.65,712.12,78
HCPCS,A5501,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe Other Outpatient",,,285.39,285.39,6
HCPCS,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,37.31,119.97,78
HCPCS,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe Other Outpatient",,,48.08,48.08,6
HCPCS,A5504,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,37.31,119.97,78
HCPCS,A5504,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe Other Outpatient",,,48.08,48.08,6
HCPCS,A5505,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,37.31,119.97,78
HCPCS,A5505,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe Other Outpatient",,,48.08,48.08,6
HCPCS,A5506,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,37.31,119.97,78
HCPCS,A5506,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe Other Outpatient",,,48.08,48.08,6
HCPCS,A5507,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,37.31,119.97,78
HCPCS,A5507,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe Other Outpatient",,,48.08,48.08,6
HCPCS,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,31.64,96.84,84
HCPCS,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,47.21,144.52,84
HCPCS,A5514,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,47.21,144.52,84
HCPCS,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen ",17247.0,17247.0,37.78,115.65,78
HCPCS,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen Other Outpatient",17247.0,17247.0,46.35,46.35,6
HCPCS,A6010,STEM HUM 80X18MM CMNTLS,17247.0,17247.0,1207.29,17247.0,59
HCPCS,A6011,"Collagen based wound filler, gel/paste, per gram of collagen ",,,2.78,8.52,78
HCPCS,A6011,"Collagen based wound filler, gel/paste, per gram of collagen Other Outpatient",,,3.41,3.41,6
HCPCS,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,25.64,78.52,78
HCPCS,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each Other Outpatient",,,31.47,31.47,6
HCPCS,A6022,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,25.64,78.52,78
HCPCS,A6022,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each Other Outpatient",,,31.47,31.47,6
HCPCS,A6023,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,232.14,710.6,78
HCPCS,A6023,"Collagen dressing, sterile, size more than 48 sq. in., each Other Outpatient",,,284.78,284.78,6
HCPCS,A6024,"Collagen dressing wound filler, sterile, per 6 inches ",,,7.55,23.08,78
HCPCS,A6024,"Collagen dressing wound filler, sterile, per 6 inches Other Outpatient",,,9.25,9.25,6
HCPCS,A6154,"Wound pouch, each ",,,17.0,52.03,78
HCPCS,A6154,"Wound pouch, each Other Outpatient",,,20.85,20.85,6
HCPCS,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,8.98,27.48,78
HCPCS,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing Other Outpatient",,,11.01,11.01,6
HCPCS,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,20.06,61.41,78
HCPCS,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Other Outpatient",,,24.61,24.61,6
HCPCS,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,6.45,19.7,78
HCPCS,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches Other Outpatient",,,7.9,7.9,6
HCPCS,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,4.11,12.58,78
HCPCS,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Other Outpatient",,,5.04,5.04,6
HCPCS,A6204,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,7.59,23.21,78
HCPCS,A6204,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Other Outpatient",,,9.3,9.3,6
HCPCS,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,8.96,27.43,78
HCPCS,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Other Outpatient",,,10.99,10.99,6
HCPCS,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.11,27.9,78
HCPCS,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Other Outpatient",,,11.18,11.18,6
HCPCS,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,24.31,74.41,78
HCPCS,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Other Outpatient",,,29.82,29.82,6
HCPCS,A6211,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,35.83,109.67,78
HCPCS,A6211,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Other Outpatient",,,43.95,43.95,6
HCPCS,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.84,36.26,78
HCPCS,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Other Outpatient",,,14.53,14.53,6
HCPCS,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,12.56,38.46,78
HCPCS,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Other Outpatient",,,15.41,15.41,6
HCPCS,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.13,78
HCPCS,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Other Outpatient",,,0.05,0.05,6
HCPCS,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.17,3.56,78
HCPCS,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Other Outpatient",,,1.43,1.43,6
HCPCS,A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,3.16,9.67,78
HCPCS,A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Other Outpatient",,,3.87,3.87,6
HCPCS,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,2.6,7.96,78
HCPCS,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Other Outpatient",,,3.19,3.19,6
HCPCS,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,2.96,9.07,78
HCPCS,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing Other Outpati",,,3.63,3.63,6
HCPCS,A6224,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,4.4,13.44,78
HCPCS,A6224,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Other Outpatient",,,5.39,5.39,6
HCPCS,A6229,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,4.4,13.44,78
HCPCS,A6229,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Other Outpatient",,,5.39,5.39,6
HCPCS,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,5.7,17.45,78
HCPCS,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing Other Outpatient",,,6.99,6.99,6
HCPCS,A6232,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,8.37,25.62,78
HCPCS,A6232,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing Other Outpatient",,,10.27,10.27,6
HCPCS,A6233,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,23.39,71.6,78
HCPCS,A6233,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing Other Outpatient",,,28.7,28.7,6
HCPCS,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,7.98,24.44,78
HCPCS,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Other Outpatient",,,9.8,9.8,6
HCPCS,A6235,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,20.52,62.8,78
HCPCS,A6235,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Other Outpatient",,,25.17,25.17,6
HCPCS,A6236,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,33.24,101.73,78
HCPCS,A6236,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Other Outpatient",,,40.77,40.77,6
HCPCS,A6237,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,9.65,29.53,78
HCPCS,A6237,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Other Outpatient",,,11.83,11.83,6
HCPCS,A6238,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,27.81,85.15,78
HCPCS,A6238,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Other Outpatient",,,34.13,34.13,6
HCPCS,A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,14.94,45.72,78
HCPCS,A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce Other Outpatient",,,18.32,18.32,6
HCPCS,A6241,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.14,9.59,78
HCPCS,A6241,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram Other Outpatient",,,3.84,3.84,6
HCPCS,A6242,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,7.39,22.61,78
HCPCS,A6242,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Other Outpatient",,,9.06,9.06,6
HCPCS,A6243,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,15.04,46.01,78
HCPCS,A6243,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Other Outpatient",,,18.44,18.44,6
HCPCS,A6244,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,47.92,146.69,78
HCPCS,A6244,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Other Outpatient",,,58.79,58.79,6
HCPCS,A6245,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,8.87,27.14,78
HCPCS,A6245,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Other Outpatient",,,10.88,10.88,6
HCPCS,A6246,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,12.12,37.1,78
HCPCS,A6246,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Other Outpatient",,,14.87,14.87,6
HCPCS,A6247,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,29.01,88.79,78
HCPCS,A6247,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Other Outpatient",,,35.58,35.58,6
HCPCS,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,19.82,60.65,78
HCPCS,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce Other Outpatient",,,24.31,24.31,6
HCPCS,A6250,"Skin sealants, protectants, moisturizers, ointments, any type, any size ",,,,,0
HCPCS,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,2.43,7.44,78
HCPCS,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Other Outpatient",,,2.98,2.98,6
HCPCS,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.97,12.16,78
HCPCS,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Other Outpatient",,,4.87,4.87,6
HCPCS,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,7.73,23.66,78
HCPCS,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Other Outpatient",,,9.48,9.48,6
HCPCS,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.46,4.45,78
HCPCS,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Other Outpatient",,,1.78,1.78,6
HCPCS,A6255,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,3.71,11.37,78
HCPCS,A6255,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Other Outpatient",,,4.56,4.56,6
HCPCS,A6257,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,1.88,5.71,78
HCPCS,A6257,"Transparent film, sterile, 16 sq. in. or less, each dressing Other Outpatient",,,2.29,2.29,6
HCPCS,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,5.25,16.09,78
HCPCS,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Other Outpatient",,,6.45,6.45,6
HCPCS,A6259,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,13.33,40.85,78
HCPCS,A6259,"Transparent film, sterile, more than 48 sq. in., each dressing Other Outpatient",,,16.37,16.37,6
HCPCS,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.34,7.13,78
HCPCS,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard Other Outpatient",,,2.86,2.86,6
HCPCS,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.14,0.39,78
HCPCS,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Other Outpatient",,,0.16,0.16,6
HCPCS,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.51,1.52,78
HCPCS,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing Other Outpatient",,,0.61,0.61,6
HCPCS,A6407,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.29,6.97,78
HCPCS,A6407,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard Other Outpatient",,,2.79,2.79,6
HCPCS,A6410,"Eye pad, sterile, each ",,,0.46,1.39,78
HCPCS,A6410,"Eye pad, sterile, each Other Outpatient",,,0.56,0.56,6
HCPCS,A6441,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,0.84,2.54,78
HCPCS,A6441,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard Other Outpatient",,,1.02,1.02,6
HCPCS,A6442,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.19,0.6,78
HCPCS,A6442,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard Other Outpatient",,,0.24,0.24,6
HCPCS,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.34,1.05,78
HCPCS,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard Other Outpatient",,,0.42,0.42,6
HCPCS,A6444,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.68,2.1,78
HCPCS,A6444,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard Other Outpatient",,,0.84,0.84,6
HCPCS,A6445,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.39,1.18,78
HCPCS,A6445,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard Other Outpatient",,,0.47,0.47,6
HCPCS,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.48,1.44,78
HCPCS,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard Other Outpatient",,,0.58,0.58,6
HCPCS,A6447,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,0.84,2.54,78
HCPCS,A6447,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard Other Outpatient",,,1.02,1.02,6
HCPCS,A6448,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.41,4.3,78
HCPCS,A6448,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard Other Outpatient",,,1.72,1.72,6
HCPCS,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.14,6.55,78
HCPCS,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Other Outpatient",,,2.63,2.63,6
HCPCS,A6450,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.14,6.55,78
HCPCS,A6450,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard Other Outpatient",,,2.63,2.63,6
HCPCS,A6451,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.14,6.55,84
HCPCS,A6452,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,7.2,22.01,84
HCPCS,A6453,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.77,2.36,78
HCPCS,A6453,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard Other Outpatient",,,0.95,0.95,6
HCPCS,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,0.96,2.93,78
HCPCS,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard Other Outpatient",,,1.18,1.18,6
HCPCS,A6455,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,1.7,5.21,78
HCPCS,A6455,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard Other Outpatient",,,2.09,2.09,6
HCPCS,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.54,4.69,78
HCPCS,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Other Outpatient",,,1.88,1.88,6
HCPCS,A6457,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.39,4.24,78
HCPCS,A6457,"Tubular dressing with or without elastic, any width, per linear yard Other Outpatient",,,1.7,1.7,6
HCPCS,A6460,"Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,1.51,2.28,6
HCPCS,A6461,"Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,2.48,3.73,6
HCPCS,A6515,"Gradient compression wrap with adjustable straps, full leg, each, custom ",,,332.68,500.61,6
HCPCS,A6516,"Gradient compression wrap with adjustable straps, foot, each, custom ",,,43.58,65.57,6
HCPCS,A6517,"Gradient compression wrap with adjustable straps, below knee, each, custom ",,,95.37,143.51,6
HCPCS,A6518,"Gradient compression wrap with adjustable straps, arm, each, custom ",,,145.24,218.55,6
HCPCS,A6519,"Gradient compression garment, not otherwise specified, for nighttime use, each ",,,2.63,3.95,6
HCPCS,A6520,"Gradient compression garment, glove, padded, for nighttime use, each ",,,122.66,331.3,78
HCPCS,A6520,"Gradient compression garment, glove, padded, for nighttime use, each Other Outpatient",,,132.77,132.77,6
HCPCS,A6521,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,486.7,1314.59,78
HCPCS,A6521,"Gradient compression garment, glove, padded, for nighttime use, custom, each Other Outpatient",,,526.84,526.84,6
HCPCS,A6522,"Gradient compression garment, arm, padded, for nighttime use, each ",,,298.04,805.02,78
HCPCS,A6522,"Gradient compression garment, arm, padded, for nighttime use, each Other Outpatient",,,322.62,322.62,6
HCPCS,A6523,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,707.15,1910.03,78
HCPCS,A6523,"Gradient compression garment, arm, padded, for nighttime use, custom, each Other Outpatient",,,765.47,765.47,6
HCPCS,A6524,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,371.84,1004.35,78
HCPCS,A6524,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each Other Outpatient",,,402.51,402.51,6
HCPCS,A6525,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,750.68,2027.62,78
HCPCS,A6525,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each Other Outpatient",,,812.6,812.6,6
HCPCS,A6526,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,672.27,1815.82,78
HCPCS,A6526,"Gradient compression garment, full leg and foot, padded, for nighttime use, each Other Outpatient",,,727.71,727.71,6
HCPCS,A6527,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1236.22,3339.06,78
HCPCS,A6527,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each Other Outpatient",,,1338.17,1338.17,6
HCPCS,A6528,"Gradient compression garment, bra, for nighttime use, each ",,,646.43,1746.02,78
HCPCS,A6528,"Gradient compression garment, bra, for nighttime use, each Other Outpatient",,,699.74,699.74,6
HCPCS,A6529,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1021.45,2758.96,78
HCPCS,A6529,"Gradient compression garment, bra, for nighttime use, custom, each Other Outpatient",,,1105.69,1105.69,6
HCPCS,A6530,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,37.9,102.36,72
HCPCS,A6530,"Gradient compression stocking, below knee, 18-30 mmhg, each Other Outpatient",,,41.02,41.02,6
HCPCS,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,52.77,161.55,78
HCPCS,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each Other Outpatient",,,64.74,64.74,6
HCPCS,A6532,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,74.36,227.63,78
HCPCS,A6532,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each Other Outpatient",,,91.22,91.22,6
HCPCS,A6533,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,53.21,143.73,72
HCPCS,A6533,"Gradient compression stocking, thigh length, 18-30 mmhg, each Other Outpatient",,,57.6,57.6,6
HCPCS,A6534,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,60.77,164.14,72
HCPCS,A6534,"Gradient compression stocking, thigh length, 30-40 mmhg, each Other Outpatient",,,65.78,65.78,6
HCPCS,A6535,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,69.97,188.98,72
HCPCS,A6535,"Gradient compression stocking, thigh length, 40 mmhg or greater, each Other Outpatient",,,75.74,75.74,6
HCPCS,A6536,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,71.73,193.75,72
HCPCS,A6536,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each Other Outpatient",,,77.65,77.65,6
HCPCS,A6537,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,85.04,229.7,72
HCPCS,A6537,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each Other Outpatient",,,92.05,92.05,6
HCPCS,A6538,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,99.57,268.94,72
HCPCS,A6538,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each Other Outpatient",,,107.78,107.78,6
HCPCS,A6539,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,94.92,256.39,72
HCPCS,A6539,"Gradient compression stocking, waist length, 18-30 mmhg, each Other Outpatient",,,102.75,102.75,6
HCPCS,A6540,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,113.18,305.7,72
HCPCS,A6540,"Gradient compression stocking, waist length, 30-40 mmhg, each Other Outpatient",,,122.51,122.51,6
HCPCS,A6541,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,134.06,362.11,72
HCPCS,A6541,"Gradient compression stocking, waist length, 40 mmhg or greater, each Other Outpatient",,,145.12,145.12,6
HCPCS,A6544,"Gradient compression stocking, garter belt ",,,37.73,101.92,72
HCPCS,A6544,"Gradient compression stocking, garter belt Other Outpatient",,,40.84,40.84,6
HCPCS,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,103.91,318.09,78
HCPCS,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each Other Outpatient",,,127.48,127.48,6
HCPCS,A6548,"Accessory to custom gradient compression garment, silicone band, any size ",,,20.23,54.65,72
HCPCS,A6548,"Accessory to custom gradient compression garment, silicone band, any size Other Outpatient",,,21.9,21.9,6
HCPCS,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,28.84,82.14,78
HCPCS,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories Other Outpatient",,,32.92,32.92,6
HCPCS,A6552,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,56.23,151.88,78
HCPCS,A6552,"Gradient compression stocking, below knee, 30-40 mmhg, each Other Outpatient",,,60.87,60.87,6
HCPCS,A6553,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,219.59,593.12,78
HCPCS,A6553,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each Other Outpatient",,,237.7,237.7,6
HCPCS,A6554,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,77.33,208.87,78
HCPCS,A6554,"Gradient compression stocking, below knee, 40 mmhg or greater, each Other Outpatient",,,83.71,83.71,6
HCPCS,A6555,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,219.59,593.12,78
HCPCS,A6555,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each Other Outpatient",,,237.7,237.7,6
HCPCS,A6556,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,300.94,812.86,78
HCPCS,A6556,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each Other Outpatient",,,325.76,325.76,6
HCPCS,A6557,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,300.94,812.86,78
HCPCS,A6557,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each Other Outpatient",,,325.76,325.76,6
HCPCS,A6558,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,310.56,838.85,78
HCPCS,A6558,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each Other Outpatient",,,336.18,336.18,6
HCPCS,A6559,"Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each ",,,7.88,11.85,6
HCPCS,A6560,"Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each ",,,42.52,63.99,6
HCPCS,A6561,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each ",,,83.49,125.63,6
HCPCS,A6562,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,984.91,2660.27,78
HCPCS,A6562,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each Other Outpatient",,,1066.14,1066.14,6
HCPCS,A6563,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,984.91,2660.27,78
HCPCS,A6563,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each Other Outpatient",,,1066.14,1066.14,6
HCPCS,A6564,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1060.97,2865.7,78
HCPCS,A6564,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each Other Outpatient",,,1148.47,1148.47,6
HCPCS,A6565,"Gradient compression gauntlet, custom, each ",,,170.19,459.68,78
HCPCS,A6565,"Gradient compression gauntlet, custom, each Other Outpatient",,,184.22,184.22,6
HCPCS,A6566,"Gradient compression garment, neck/head, each ",,,247.11,667.45,78
HCPCS,A6566,"Gradient compression garment, neck/head, each Other Outpatient",,,267.49,267.49,6
HCPCS,A6567,"Gradient compression garment, neck/head, custom, each ",,,776.41,2097.1,78
HCPCS,A6567,"Gradient compression garment, neck/head, custom, each Other Outpatient",,,840.44,840.44,6
HCPCS,A6568,"Gradient compression garment, torso and shoulder, each ",,,161.27,435.6,78
HCPCS,A6568,"Gradient compression garment, torso and shoulder, each Other Outpatient",,,174.57,174.57,6
HCPCS,A6569,"Gradient compression garment, torso/shoulder, custom, each ",,,918.34,2480.46,78
HCPCS,A6569,"Gradient compression garment, torso/shoulder, custom, each Other Outpatient",,,994.08,994.08,6
HCPCS,A6570,"Gradient compression garment, genital region, each ",,,109.88,296.79,78
HCPCS,A6570,"Gradient compression garment, genital region, each Other Outpatient",,,118.94,118.94,6
HCPCS,A6571,"Gradient compression garment, genital region, custom, each ",,,660.41,1783.8,78
HCPCS,A6571,"Gradient compression garment, genital region, custom, each Other Outpatient",,,714.88,714.88,6
HCPCS,A6572,"Gradient compression garment, toe caps, each ",,,101.96,275.39,78
HCPCS,A6572,"Gradient compression garment, toe caps, each Other Outpatient",,,110.37,110.37,6
HCPCS,A6573,"Gradient compression garment, toe caps, custom, each ",,,241.95,653.51,78
HCPCS,A6573,"Gradient compression garment, toe caps, custom, each Other Outpatient",,,261.9,261.9,6
HCPCS,A6574,"Gradient compression arm sleeve and glove combination, custom, each ",,,308.45,833.13,78
HCPCS,A6574,"Gradient compression arm sleeve and glove combination, custom, each Other Outpatient",,,333.89,333.89,6
HCPCS,A6575,"Gradient  compression arm sleeve and glove combination, each ",,,99.96,269.99,78
HCPCS,A6575,"Gradient  compression arm sleeve and glove combination, each Other Outpatient",,,108.2,108.2,6
HCPCS,A6576,"Gradient  compression arm sleeve, custom, medium weight, each ",,,189.31,511.32,78
HCPCS,A6576,"Gradient  compression arm sleeve, custom, medium weight, each Other Outpatient",,,204.92,204.92,6
HCPCS,A6577,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,156.68,423.21,78
HCPCS,A6577,"Gradient  compression arm sleeve, custom, heavy weight, each Other Outpatient",,,169.61,169.61,6
HCPCS,A6578,"Gradient  compression arm sleeve, each ",,,77.16,208.42,78
HCPCS,A6578,"Gradient  compression arm sleeve, each Other Outpatient",,,83.53,83.53,6
HCPCS,A6579,"Gradient compression glove, custom, medium weight, each ",,,303.86,820.74,78
HCPCS,A6579,"Gradient compression glove, custom, medium weight, each Other Outpatient",,,328.92,328.92,6
HCPCS,A6580,"Gradient  compression glove, custom, heavy weight, each ",,,301.63,814.72,78
HCPCS,A6580,"Gradient  compression glove, custom, heavy weight, each Other Outpatient",,,326.51,326.51,6
HCPCS,A6581,"Gradient compression glove, each ",,,70.8,191.23,78
HCPCS,A6581,"Gradient compression glove, each Other Outpatient",,,76.64,76.64,6
HCPCS,A6582,"Gradient compression gauntlet, each ",,,47.22,127.54,78
HCPCS,A6582,"Gradient compression gauntlet, each Other Outpatient",,,51.11,51.11,6
HCPCS,A6583,"Gradient compression wrap with adjustable straps, below knee, each ",,,155.33,419.54,78
HCPCS,A6583,"Gradient compression wrap with adjustable straps, below knee, each Other Outpatient",,,168.14,168.14,6
HCPCS,A6584,"Gradient compression wrap with adjustable straps, not otherwise specified ",,,103.91,156.36,6
HCPCS,A6585,"Gradient compression wrap with adjustable straps, above knee, each ",,,183.91,496.75,78
HCPCS,A6585,"Gradient compression wrap with adjustable straps, above knee, each Other Outpatient",,,199.08,199.08,6
HCPCS,A6586,"Gradient compression wrap with adjustable straps, full leg, each ",,,541.83,1463.51,78
HCPCS,A6586,"Gradient compression wrap with adjustable straps, full leg, each Other Outpatient",,,586.52,586.52,6
HCPCS,A6587,"Gradient compression wrap with adjustable straps, foot, each ",,,70.97,191.71,78
HCPCS,A6587,"Gradient compression wrap with adjustable straps, foot, each Other Outpatient",,,76.83,76.83,6
HCPCS,A6588,"Gradient compression wrap with adjustable straps, arm, each ",,,236.55,638.94,78
HCPCS,A6588,"Gradient compression wrap with adjustable straps, arm, each Other Outpatient",,,256.06,256.06,6
HCPCS,A6589,"Gradient pressure wrap with adjustable straps, bra, each ",,,93.38,252.23,78
HCPCS,A6589,"Gradient pressure wrap with adjustable straps, bra, each Other Outpatient",,,101.08,101.08,6
HCPCS,A6590,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,367.82,993.5,78
HCPCS,A6590,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month Other Outpatient",,,398.16,398.16,6
HCPCS,A6591,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,87.92,237.48,78
HCPCS,A6591,"External urinary catheter; non-disposable, for use with suction pump, per month Other Outpatient",,,95.17,95.17,6
HCPCS,A6594,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,34.0,91.83,78
HCPCS,A6594,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each Other Outpatient",,,36.8,36.8,6
HCPCS,A6595,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,33.45,90.34,78
HCPCS,A6595,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each Other Outpatient",,,36.2,36.2,6
HCPCS,A6596,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.17,0.47,78
HCPCS,A6596,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each Other Outpatient",,,0.19,0.19,6
HCPCS,A6597,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.5,4.06,78
HCPCS,A6597,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each Other Outpatient",,,1.63,1.63,6
HCPCS,A6598,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.73,1.97,78
HCPCS,A6598,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each Other Outpatient",,,0.79,0.79,6
HCPCS,A6599,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.65,4.45,78
HCPCS,A6599,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each Other Outpatient",,,1.78,1.78,6
HCPCS,A6600,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,2.98,8.04,78
HCPCS,A6600,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each Other Outpatient",,,3.22,3.22,6
HCPCS,A6601,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.35,9.04,78
HCPCS,A6601,"Gradient compression bandaging supply, high density foam pad, any size or shape, each Other Outpatient",,,3.62,3.62,6
HCPCS,A6602,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,4.88,13.18,78
HCPCS,A6602,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each Other Outpatient",,,5.28,5.28,6
HCPCS,A6603,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.29,6.18,78
HCPCS,A6603,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each Other Outpatient",,,2.48,2.48,6
HCPCS,A6604,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.34,3.62,78
HCPCS,A6604,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each Other Outpatient",,,1.45,1.45,6
HCPCS,A6605,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.52,4.11,78
HCPCS,A6605,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each Other Outpatient",,,1.65,1.65,6
HCPCS,A6606,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,4.53,12.24,78
HCPCS,A6606,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each Other Outpatient",,,4.9,4.9,6
HCPCS,A6607,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.21,3.28,78
HCPCS,A6607,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each Other Outpatient",,,1.31,1.31,6
HCPCS,A6608,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.05,13.65,78
HCPCS,A6608,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each Other Outpatient",,,5.47,5.47,6
HCPCS,A6610,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,219.59,593.12,78
HCPCS,A6610,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each Other Outpatient",,,237.7,237.7,6
HCPCS,A6611,"Gradient compression wrap with adjustable straps, above knee, each, custom ",,,112.92,169.91,6
HCPCS,A7000,"Canister, disposable, used with suction pump, each ",,,10.21,27.59,78
HCPCS,A7000,"Canister, disposable, used with suction pump, each Other Outpatient",,,11.06,11.06,6
HCPCS,A7001,"Canister, non-disposable, used with suction pump, each ",,,34.3,104.96,78
HCPCS,A7001,"Canister, non-disposable, used with suction pump, each Other Outpatient",,,42.06,42.06,6
HCPCS,A7002,"Tubing, used with suction pump, each ",,,3.97,12.18,78
HCPCS,A7002,"Tubing, used with suction pump, each Other Outpatient",,,4.88,4.88,6
HCPCS,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,1.88,5.08,78
HCPCS,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable Other Outpatient",,,2.04,2.04,6
HCPCS,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.52,4.11,78
HCPCS,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable Other Outpatient",,,1.65,1.65,6
HCPCS,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,13.57,36.65,78
HCPCS,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable Other Outpatient",,,14.69,14.69,6
HCPCS,A7006,"Administration set, with small volume filtered pneumatic nebulizer ",,,8.06,21.77,78
HCPCS,A7006,"Administration set, with small volume filtered pneumatic nebulizer Other Outpatient",,,8.73,8.73,6
HCPCS,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,3.61,9.75,78
HCPCS,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor Other Outpatient",,,3.91,3.91,6
HCPCS,A7008,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,11.39,34.9,78
HCPCS,A7008,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor Other Outpatient",,,13.99,13.99,6
HCPCS,A7009,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,47.62,145.78,78
HCPCS,A7009,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer Other Outpatient",,,58.42,58.42,6
HCPCS,A7010,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,17.08,46.14,78
HCPCS,A7010,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet Other Outpatient",,,18.49,18.49,6
HCPCS,A7012,"Water collection device, used with large volume nebulizer ",,,3.15,8.52,78
HCPCS,A7012,"Water collection device, used with large volume nebulizer Other Outpatient",,,3.41,3.41,6
HCPCS,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.62,1.68,78
HCPCS,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator Other Outpatient",,,0.67,0.67,6
HCPCS,A7014,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,3.71,10.01,78
HCPCS,A7014,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator Other Outpatient",,,4.01,4.01,6
HCPCS,A7015,"Aerosol mask, used with dme nebulizer ",,,1.48,4.01,78
HCPCS,A7015,"Aerosol mask, used with dme nebulizer Other Outpatient",,,1.61,1.61,6
HCPCS,A7016,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,7.96,24.39,78
HCPCS,A7016,"Dome and mouthpiece, used with small volume ultrasonic nebulizer Other Outpatient",,,9.78,9.78,6
HCPCS,A7017,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,126.9,342.75,78
HCPCS,A7017,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen Other Outpatient",,,137.36,137.36,6
HCPCS,A7018,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.37,1.0,78
HCPCS,A7018,"Water, distilled, used with large volume nebulizer, 1000 ml Other Outpatient",,,0.4,0.4,6
HCPCS,A7020,"Interface for cough stimulating device, includes all components, replacement only ",,,17.01,52.06,78
HCPCS,A7020,"Interface for cough stimulating device, includes all components, replacement only Other Outpatient",,,20.86,20.86,6
HCPCS,A7021,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,131.51,355.22,78
HCPCS,A7021,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) Other Outpatient",,,142.36,142.36,6
HCPCS,A7023,"Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical ",,,6.7,10.08,6
HCPCS,A7025,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,53.07,162.41,78
HCPCS,A7025,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each Other Outpatient",,,65.09,65.09,6
HCPCS,A7026,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,35.06,107.32,78
HCPCS,A7026,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each Other Outpatient",,,43.01,43.01,6
HCPCS,A7027,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,142.73,385.51,78
HCPCS,A7027,"Combination oral/nasal mask, used with continuous positive airway pressure device, each Other Outpatient",,,154.5,154.5,6
HCPCS,A7028,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,39.63,107.05,78
HCPCS,A7028,"Oral cushion for combination oral/nasal mask, replacement only, each Other Outpatient",,,42.9,42.9,6
HCPCS,A7029,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,18.77,50.7,78
HCPCS,A7029,"Nasal pillows for combination oral/nasal mask, replacement only, pair Other Outpatient",,,20.32,20.32,6
HCPCS,A7030,"Full face mask used with positive airway pressure device, each ",,,106.36,287.28,78
HCPCS,A7030,"Full face mask used with positive airway pressure device, each Other Outpatient",,,115.13,115.13,6
HCPCS,A7031,"Face mask interface, replacement for full face mask, each ",,,40.45,109.25,78
HCPCS,A7031,"Face mask interface, replacement for full face mask, each Other Outpatient",,,43.79,43.79,6
HCPCS,A7032,"Cushion for use on nasal mask interface, replacement only, each ",,,22.73,61.39,78
HCPCS,A7032,"Cushion for use on nasal mask interface, replacement only, each Other Outpatient",,,24.6,24.6,6
HCPCS,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,18.79,50.75,78
HCPCS,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair Other Outpatient",,,20.34,20.34,6
HCPCS,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,67.9,183.4,78
HCPCS,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap Other Outpatient",,,73.5,73.5,6
HCPCS,A7035,Headgear used with positive airway pressure device ,,,21.88,59.11,78
HCPCS,A7035,Headgear used with positive airway pressure device Other Outpatient,,,23.69,23.69,6
HCPCS,A7036,Chinstrap used with positive airway pressure device ,,,12.61,34.06,78
HCPCS,A7036,Chinstrap used with positive airway pressure device Other Outpatient,,,13.65,13.65,6
HCPCS,A7037,Tubing used with positive airway pressure device ,,,14.3,40.75,78
HCPCS,A7037,Tubing used with positive airway pressure device Other Outpatient,,,15.48,15.48,6
HCPCS,A7038,"Filter, disposable, used with positive airway pressure device ",,,2.55,6.89,78
HCPCS,A7038,"Filter, disposable, used with positive airway pressure device Other Outpatient",,,2.76,2.76,6
HCPCS,A7039,"Filter, non disposable, used with positive airway pressure device ",,,7.45,20.12,78
HCPCS,A7039,"Filter, non disposable, used with positive airway pressure device Other Outpatient",,,8.06,8.06,6
HCPCS,A7040,One way chest drain valve ,,,56.22,151.86,72
HCPCS,A7040,One way chest drain valve Other Outpatient,,,60.86,60.86,6
HCPCS,A7041,Water seal drainage container and tubing for use with implanted chest tube ,,,105.66,285.4,72
HCPCS,A7041,Water seal drainage container and tubing for use with implanted chest tube Other Outpatient,,,114.38,114.38,6
HCPCS,A7044,"Oral interface used with positive airway pressure device, each ",,,96.65,261.06,78
HCPCS,A7044,"Oral interface used with positive airway pressure device, each Other Outpatient",,,104.62,104.62,6
HCPCS,A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,13.88,37.49,78
HCPCS,A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only Other Outpatient",,,15.03,15.03,6
HCPCS,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,15.77,42.6,78
HCPCS,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each Other Outpatient",,,17.07,17.07,6
HCPCS,A7047,"Oral interface used with respiratory suction pump, each ",,,147.48,451.45,78
HCPCS,A7047,"Oral interface used with respiratory suction pump, each Other Outpatient",,,180.93,180.93,6
HCPCS,A7048,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,58.8,158.82,72
HCPCS,A7048,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each Other Outpatient",,,63.65,63.65,6
HCPCS,A7049,Expiratory positive airway pressure intranasal resistance valve ,,,93.09,140.08,6
HCPCS,A7501,"Tracheostoma valve, including diaphragm, each ",,,128.11,392.11,78
HCPCS,A7501,"Tracheostoma valve, including diaphragm, each Other Outpatient",,,157.14,157.14,6
HCPCS,A7502,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,60.9,186.41,78
HCPCS,A7502,"Replacement diaphragm/faceplate for tracheostoma valve, each Other Outpatient",,,74.71,74.71,6
HCPCS,A7503,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,13.84,42.37,78
HCPCS,A7503,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each Other Outpatient",,,16.98,16.98,6
HCPCS,A7504,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,0.84,2.54,78
HCPCS,A7504,"Filter for use in a tracheostoma heat and moisture exchange system, each Other Outpatient",,,1.02,1.02,6
HCPCS,A7505,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,5.72,17.5,78
HCPCS,A7505,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each Other Outpatient",,,7.01,7.01,6
HCPCS,A7506,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.4,1.21,78
HCPCS,A7506,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each Other Outpatient",,,0.48,0.48,6
HCPCS,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.03,9.33,78
HCPCS,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each Other Outpatient",,,3.74,3.74,6
HCPCS,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,3.5,10.72,78
HCPCS,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each Other Outpatient",,,4.29,4.29,6
HCPCS,A7509,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,1.72,5.27,78
HCPCS,A7509,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each Other Outpatient",,,2.11,2.11,6
HCPCS,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,57.92,177.27,78
HCPCS,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each Other Outpatient",,,71.04,71.04,6
HCPCS,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,57.38,175.64,78
HCPCS,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each Other Outpatient",,,70.39,70.39,6
HCPCS,A7522,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,55.09,168.62,78
HCPCS,A7522,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each Other Outpatient",,,67.58,67.58,6
HCPCS,A7524,"Tracheostoma stent/stud/button, each ",,,94.43,289.06,78
HCPCS,A7524,"Tracheostoma stent/stud/button, each Other Outpatient",,,115.85,115.85,6
HCPCS,A7525,"Tracheostomy mask, each ",,,2.52,7.7,78
HCPCS,A7525,"Tracheostomy mask, each Other Outpatient",,,3.09,3.09,6
HCPCS,A7526,"Tracheostomy tube collar/holder, each ",,,4.14,12.65,78
HCPCS,A7526,"Tracheostomy tube collar/holder, each Other Outpatient",,,5.07,5.07,6
HCPCS,A7527,"Tracheostomy/laryngectomy tube plug/stop, each ",,,4.37,13.36,78
HCPCS,A7527,"Tracheostomy/laryngectomy tube plug/stop, each Other Outpatient",,,5.35,5.35,6
HCPCS,A8000,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,187.08,572.65,78
HCPCS,A8000,"Helmet, protective, soft, prefabricated, includes all components and accessories Other Outpatient",,,229.5,229.5,6
HCPCS,A8001,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,187.08,572.65,78
HCPCS,A8001,"Helmet, protective, hard, prefabricated, includes all components and accessories Other Outpatient",,,229.5,229.5,6
HCPCS,A9154,"Artificial saliva, 1 ml ",,,1.24,3.16,12
HCPCS,A9156,"Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml ",,,8.35,21.12,12
HCPCS,A9180,"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker ",,,5.51,9.1,12
HCPCS,A9293,"Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer) ",,,36.25,54.54,6
HCPCS,A9500,TC99M SESTAMIBI DX DOSE,1406.51,1406.51,98.46,1406.51,54
HCPCS,A9500,"Technetium tc-99m sestamibi, diagnostic, per study dose ",1406.51,1406.51,469.65,848.96,27
HCPCS,A9500,"Technetium tc-99m sestamibi, diagnostic, per study dose Max of 2 Units",1406.51,1406.51,70.0,70.0,1
HCPCS,A9502,TC99M TETROFOSMIN DXDOSE,788.2,788.2,55.17,788.2,54
HCPCS,A9502,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",788.2,788.2,192.89,743.85,27
HCPCS,A9502,"Technetium tc-99m tetrofosmin, diagnostic, per study dose Max of 2 Units",788.2,788.2,70.0,70.0,1
HCPCS,A9503,TC99M MEDRONATE DX 30MCI,259.32,259.32,18.15,259.32,54
HCPCS,A9503,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",259.32,259.32,44.68,113.4,27
HCPCS,A9503,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries Max of 2 Units",259.32,259.32,70.0,70.0,1
HCPCS,A9504,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,3517.95,21
HCPCS,A9505,TL201 THALLOUS CL DX MCI,826.54,826.54,57.86,826.54,54
HCPCS,A9505,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",826.54,826.54,91.49,842.49,27
HCPCS,A9505,"Thallium tl-201 thallous chloride, diagnostic, per millicurie Max of 2 Units",826.54,826.54,70.0,70.0,1
HCPCS,A9506,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,1734.26,21
HCPCS,A9507,IN111 CAPRO PEN DX 10MCI,22596.16,22596.16,1581.73,22596.16,54
HCPCS,A9507,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",22596.16,22596.16,2854.98,38346.57,27
HCPCS,A9507,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries Max of 2 Units",22596.16,22596.16,70.0,70.0,1
HCPCS,A9508,I131 IOBENGUAN DX 0.5MCI,817.99,817.99,57.26,817.99,54
HCPCS,A9508,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",817.99,817.99,1572.47,7492.15,27
HCPCS,A9508,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie Max of 2 Units",817.99,817.99,70.0,70.0,1
HCPCS,A9509,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,9997.05,27
HCPCS,A9509,"Iodine i-123 sodium iodide, diagnostic, per millicurie Max of 2 Units",,,70.0,70.0,1
HCPCS,A9510,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,610.61,27
HCPCS,A9510,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9512,TC99M PERTECHNETA DX MCI,33.21,33.21,2.32,33.21,55
HCPCS,A9512,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",33.21,33.21,10.47,21.81,27
HCPCS,A9512,"Technetium tc-99m pertechnetate, diagnostic, per millicurie Max of 2 Units",33.21,33.21,70.0,70.0,1
HCPCS,A9513,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,2660.78,27
HCPCS,A9515,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,43615.2,27
HCPCS,A9516,I123 SOD DX 100-999 UCI,636.2,636.2,44.53,636.2,54
HCPCS,A9516,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",636.2,636.2,167.54,999.72,27
HCPCS,A9516,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries Max of 2 Units",636.2,636.2,70.0,70.0,1
HCPCS,A9517,I131 SOD IOD CAP TX MCI,387.07,387.07,27.09,387.07,48
HCPCS,A9517,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",387.07,387.07,39.72,696.05,27
HCPCS,A9520,TC99M TILMANOC DX 0.5MCI,4151.04,4151.04,250.84,4718.72,100
HCPCS,A9520,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,1614.32,5770.98,12
HCPCS,A9521,TC99M EXAMETAZM DX 25MCI,3910.39,3910.39,273.73,3910.39,55
HCPCS,A9521,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",3910.39,3910.39,2644.26,14951.03,27
HCPCS,A9521,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries Max of 2 Units",3910.39,3910.39,70.0,70.0,1
HCPCS,A9524,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,272.03,3260.28,27
HCPCS,A9524,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9526,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,5748.48,27
HCPCS,A9526,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9527,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,1495.57,21
HCPCS,A9528,I131 SOD IOD CAP DX MCI,372.18,372.18,26.05,372.18,55
HCPCS,A9528,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",372.18,372.18,160.92,686.64,27
HCPCS,A9528,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie Max of 2 Units",372.18,372.18,70.0,70.0,1
HCPCS,A9529,I131 SOD IOD SOL DX MCI,6037.4,6037.4,422.62,6037.4,61
HCPCS,A9529,"Iodine i-131 sodium iodide solution, diagnostic, per millicurie ",6037.4,6037.4,376.05,604.95,6
HCPCS,A9529,"Iodine i-131 sodium iodide solution, diagnostic, per millicurie Max of 2 Units",6037.4,6037.4,70.0,70.0,1
HCPCS,A9530,I131 SOD IOD SOL TX MCI,6037.4,6037.4,422.62,6037.4,53
HCPCS,A9530,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",6037.4,6037.4,33.33,79.96,27
HCPCS,A9531,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,53.22,27
HCPCS,A9531,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) Max of 2 Units",,,70.0,70.0,1
HCPCS,A9532,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,1565.1,27
HCPCS,A9536,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,5636.79,21
HCPCS,A9537,TC99M MEBROFEN DX 15MCI,594.03,594.03,41.58,594.03,54
HCPCS,A9537,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",594.03,594.03,187.21,482.5,27
HCPCS,A9537,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries Max of 2 Units",594.03,594.03,70.0,70.0,1
HCPCS,A9538,TC99M PYROPHOS DX 25MCI,186.51,186.51,13.06,186.51,54
HCPCS,A9538,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",186.51,186.51,74.96,558.7,27
HCPCS,A9538,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries Max of 2 Units",186.51,186.51,70.0,70.0,1
HCPCS,A9539,TC99M PENTETATE DX 25MCI,1047.54,1047.54,73.33,1047.54,55
HCPCS,A9539,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",1047.54,1047.54,47.39,273.32,27
HCPCS,A9539,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries Max of 2 Units",1047.54,1047.54,70.0,70.0,1
HCPCS,A9540,TC99M MACRO ALB DX 10MCI,477.82,477.82,33.45,477.82,55
HCPCS,A9540,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",477.82,477.82,50.14,261.69,27
HCPCS,A9540,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries Max of 2 Units",477.82,477.82,70.0,70.0,1
HCPCS,A9541,TC99M SULFUR CO DX 20MCI,186.51,186.51,13.06,186.51,55
HCPCS,A9541,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",186.51,186.51,183.75,2332.22,27
HCPCS,A9541,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries Max of 2 Units",186.51,186.51,70.0,70.0,1
HCPCS,A9542,IN111 IBRITU TIU DX 5MCI,28550.53,28550.53,1998.54,28550.53,54
HCPCS,A9542,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",28550.53,28550.53,6782.57,28940.99,27
HCPCS,A9542,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries Max of 2 Units",28550.53,28550.53,70.0,70.0,1
HCPCS,A9543,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,582739.61,27
HCPCS,A9544,"Iodine i-131 tositumomab, diagnostic, per study dose ",,,,,0
HCPCS,A9544,"Iodine i-131 tositumomab, diagnostic, per study dose Max of 2 Units",,,70.0,70.0,1
HCPCS,A9546,CO57/58 CYANOCOB DX 1UCI,2618.85,2618.85,183.32,2618.85,55
HCPCS,A9546,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",2618.85,2618.85,2.21,1308.86,27
HCPCS,A9546,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie Max of 2 Units",2618.85,2618.85,70.0,70.0,1
HCPCS,A9547,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,18361.83,27
HCPCS,A9547,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie Max of 2 Units",,,70.0,70.0,1
HCPCS,A9548,IN111 PENTETAT DX 0.5MCI,8123.54,8123.54,568.65,8123.54,49
HCPCS,A9548,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",8123.54,8123.54,1230.27,7724.25,27
HCPCS,A9548,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie Max of 2 Units",8123.54,8123.54,70.0,70.0,1
HCPCS,A9550,TC99M SOD GLUCE DX 25MCI,201.84,201.84,14.13,201.84,67
HCPCS,A9550,"Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie Max of 2 Units",201.84,201.84,70.0,70.0,1
HCPCS,A9551,TC99M SUCCIMER DX 10MCI,1475.5,1475.5,103.28,1475.5,55
HCPCS,A9551,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",1475.5,1475.5,1088.88,5228.78,27
HCPCS,A9551,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries Max of 2 Units",1475.5,1475.5,70.0,70.0,1
HCPCS,A9552,F18 FDG DX 45MCI,6479.41,6479.41,453.56,6479.41,61
HCPCS,A9552,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",6479.41,6479.41,672.75,1082.25,21
HCPCS,A9552,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries Max of 2 Units",6479.41,6479.41,70.0,70.0,1
HCPCS,A9553,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,1938.0,3164.63,27
HCPCS,A9553,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9554,I125 SOD IOTHAL DX 10UCI,1673.51,1673.51,117.15,1673.51,55
HCPCS,A9554,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",1673.51,1673.51,120.27,1071.91,27
HCPCS,A9554,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries Max of 2 Units",1673.51,1673.51,70.0,70.0,1
HCPCS,A9555,RUBIDIUM RB82 DX 60 MCI,4466.08,4466.08,312.63,4466.08,55
HCPCS,A9555,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",4466.08,4466.08,817.31,3287.56,27
HCPCS,A9555,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries Max of 2 Units",4466.08,4466.08,70.0,70.0,1
HCPCS,A9556,GA67 CITRATE DX 1 MCI,2069.53,2069.53,144.87,2069.53,54
HCPCS,A9556,"Gallium ga-67 citrate, diagnostic, per millicurie ",2069.53,2069.53,37.47,1177.78,27
HCPCS,A9556,"Gallium ga-67 citrate, diagnostic, per millicurie Max of 2 Units",2069.53,2069.53,70.0,70.0,1
HCPCS,A9557,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1278.57,31981.49,27
HCPCS,A9557,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9558,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,2225.23,27
HCPCS,A9558,"Xenon xe-133 gas, diagnostic, per 10 millicuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9559,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,305.64,1474.45,27
HCPCS,A9559,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie Max of 2 Units",,,70.0,70.0,1
HCPCS,A9560,TC99M LABEL RBC DX 30MCI,866.13,866.13,60.63,866.13,54
HCPCS,A9560,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",866.13,866.13,179.67,814.75,27
HCPCS,A9560,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries Max of 2 Units",866.13,866.13,70.0,70.0,1
HCPCS,A9561,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,383.81,27
HCPCS,A9561,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9562,TC99M MERTIATID DX 15MCI,315.55,315.55,22.09,315.55,60
HCPCS,A9562,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",315.55,315.55,1308.9,4282.82,21
HCPCS,A9562,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries Max of 2 Units",315.55,315.55,70.0,70.0,1
HCPCS,A9563,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,2659.42,27
HCPCS,A9564,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,1605.62,27
HCPCS,A9565,In111 pentetreotide Max of 2 Units,,,70.0,70.0,1
HCPCS,A9566,TC99M FANOLESOM DX 25MCI,21150.06,21150.06,1480.5,21150.06,67
HCPCS,A9567,TC99M PENT AERS DX 75MCI,1047.54,1047.54,73.33,1047.54,61
HCPCS,A9567,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",1047.54,1047.54,34.72,148.12,21
HCPCS,A9567,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries Max of 2 Units",1047.54,1047.54,70.0,70.0,1
HCPCS,A9568,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,8451.6,27
HCPCS,A9568,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9569,TC99M AUTO WBC DX DOSE,4920.0,4920.0,344.4,4920.0,49
HCPCS,A9569,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",4920.0,4920.0,1541.31,14951.03,27
HCPCS,A9569,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose Max of 2 Units",4920.0,4920.0,70.0,70.0,1
HCPCS,A9570,IN111 AUTO WBC DX DOSE,10999.15,10999.15,769.94,10999.15,49
HCPCS,A9570,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",10999.15,10999.15,1820.26,36723.66,27
HCPCS,A9570,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose Max of 2 Units",10999.15,10999.15,70.0,70.0,1
HCPCS,A9571,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,36723.66,27
HCPCS,A9571,"Indium in-111 labeled autologous platelets, diagnostic, per study dose Max of 2 Units",,,70.0,70.0,1
HCPCS,A9572,IN111 PENTETREOT DX 6MCI,12732.7,12732.7,891.29,12732.7,49
HCPCS,A9572,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",12732.7,12732.7,3301.55,33758.16,27
HCPCS,A9572,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries Max of 2 Units",12732.7,12732.7,70.0,70.0,1
HCPCS,A9573,"Injection, gadopiclenol, 1 ml ",,,3.12,61.05,29
HCPCS,A9575,GADOTERATE MEG 10 ML,124.74,124.74,8.73,124.74,46
HCPCS,A9575,GADOTERATE MEG 15 ML,158.76,158.76,11.11,158.76,46
HCPCS,A9575,GADOTERATE MEG 20 ML,211.68,211.68,14.82,211.68,46
HCPCS,A9575,GADOTERATE MEG 5 ML,94.5,94.5,6.62,94.5,46
HCPCS,A9575,"Injection, gadoterate meglumine, 0.1 ml ",,,0.09,1.11,29
HCPCS,A9576,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.35,12.14,29
HCPCS,A9577,"Injection, gadobenate dimeglumine (multihance), per ml ",,,1.74,14.88,29
HCPCS,A9577,MULTIHANCE 10 ML,314.06,314.06,21.98,314.06,47
HCPCS,A9577,MULTIHANCE 15 ML,459.59,459.59,32.17,459.59,47
HCPCS,A9577,MULTIHANCE 20 ML,567.54,567.54,39.73,567.54,47
HCPCS,A9577,MULTIHANCE 5 ML,160.07,160.07,11.2,160.07,47
HCPCS,A9578,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,1.67,14.62,29
HCPCS,A9579,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.41,12.57,29
HCPCS,A9580,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,1904.79,21
HCPCS,A9580,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9581,GADOXETATE 10 ML INJ,766.58,766.58,53.66,766.58,47
HCPCS,A9581,"Injection, gadoxetate disodium, 1 ml ",766.58,766.58,14.29,125.71,29
HCPCS,A9582,I123 IOBENGUANE DX 15MCI,23324.32,23324.32,1632.7,23324.32,53
HCPCS,A9582,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",23324.32,23324.32,3823.88,44560.88,27
HCPCS,A9582,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries Max of 2 Units",23324.32,23324.32,70.0,70.0,1
HCPCS,A9583,"Injection, gadofosveset trisodium, 1 ml ",,,60.17,96.79,6
HCPCS,A9584,I123 IOFLUPANE DX 5MCI,17933.34,17933.34,1255.33,17933.34,49
HCPCS,A9584,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",17933.34,17933.34,2289.77,22610.12,27
HCPCS,A9584,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries Max of 2 Units",17933.34,17933.34,70.0,70.0,1
HCPCS,A9585,GADOBUTROL 7.5 ML INJ,400.36,400.36,28.03,400.36,47
HCPCS,A9585,"Injection, gadobutrol, 0.1 ml ",400.36,400.36,0.29,2.22,29
HCPCS,A9586,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,24925.23,27
HCPCS,A9586,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries Max of 2 Units",,,70.0,70.0,1
HCPCS,A9587,GA68 DOTATATE DX 0.1MCI,507.42,507.42,35.52,507.42,98
HCPCS,A9587,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,503.97,27
HCPCS,A9588,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,4506.73,27
HCPCS,A9589,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,1381.4,12180.87,29
HCPCS,A9590,I131 IOBENGUANE 1 MCI,1635.99,1635.99,114.52,1635.99,55
HCPCS,A9590,"Iodine i-131, iobenguane, 1 millicurie ",1635.99,1635.99,1037.73,2794.79,12
HCPCS,A9591,F18 FLUOROESTRAD DX 1MCI,3427.26,3427.26,239.91,3427.26,98
HCPCS,A9591,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,2.59,6709.47,27
HCPCS,A9592,CU64 DOTATATE DX 1MCI,5074.31,5074.31,355.2,5074.31,98
HCPCS,A9592,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,8395.93,27
HCPCS,A9593,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,222.73,6785.33,27
HCPCS,A9594,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,222.73,6643.54,27
HCPCS,A9595,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,5365.18,27
HCPCS,A9596,GA68 ILLUCCIX DX 1MCI,4996.09,4996.09,349.73,4996.09,49
HCPCS,A9596,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",4996.09,4996.09,789.56,9012.61,27
HCPCS,A9599,"Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified ",,,,,0
HCPCS,A9600,STRONTIUM SR89 CL TX MCI,44063.03,44063.03,3084.41,44063.03,48
HCPCS,A9600,"Strontium sr-89 chloride, therapeutic, per millicurie ",44063.03,44063.03,6631.56,32711.4,27
HCPCS,A9601,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,3530.91,27
HCPCS,A9602,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,4351.6,27
HCPCS,A9603,"Injection, pafolacianine, 0.1 mg ",,,456.4,1158.54,12
HCPCS,A9604,SM153 LEXIDRON TX 150MCI,25381.08,25381.08,1776.68,25381.08,53
HCPCS,A9604,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",25381.08,25381.08,5213.67,142036.23,27
HCPCS,A9606,RADIUMRA223 DCHL TX 1UCI,792.29,792.29,55.46,792.29,53
HCPCS,A9606,"Radium ra-223 dichloride, therapeutic, per microcurie ",792.29,792.29,163.95,1474.36,29
HCPCS,A9607,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,2166.73,27
HCPCS,A9608,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,5523.65,27
HCPCS,A9609,Fludeoxyglucose f18 up to 15 millicuries ,,,643.36,1034.96,6
HCPCS,A9610,"Xenon xe-129 hyperpolarized gas, diagnostic, per study dose ",,,3616.7,5818.18,6
HCPCS,A9611,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,183.02,874.5,27
HCPCS,A9612,FLUORESCEIN 500MG INJ,310.14,310.14,21.71,310.14,53
HCPCS,A9612,"Injection, fluorescein, 1 mg ",310.14,310.14,1.31,2.11,6
HCPCS,A9615,"Injection, pegulicianine, 1 mg ",,,61.89,308.64,27
HCPCS,A9616,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,6181.81,21
HCPCS,A9697,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,1.24,2069.1,21
HCPCS,A9697,MAGTRACE STUDY DOSE,12975.0,12975.0,908.25,12975.0,96
HCPCS,A9698,AMINOLEVULINC 1500 MG PO,20322.07,20322.07,1422.54,20322.07,59
HCPCS,A9698,E-Z-HD POWD 334GM PO,37.87,37.87,2.65,37.87,59
HCPCS,A9698,E-Z-PAQUE POWD 169GM PO,28.01,28.01,1.96,28.01,59
HCPCS,A9698,ETHIODIZED OIL INJ,780.17,780.17,54.61,780.17,59
HCPCS,A9698,OMNIPAQUE 12 500ML PO,56.7,56.7,3.97,56.7,59
HCPCS,A9698,OMNIPAQUE 9 500ML PO,54.54,54.54,3.82,54.54,59
HCPCS,A9698,READI-CAT 2 450ML PO,26.57,26.57,1.86,26.57,59
HCPCS,A9698,VARIBAR HONEY 250 ML PO,349.93,349.93,24.5,349.93,59
HCPCS,A9698,VARIBAR NECTAR 240 ML PO,90.63,90.63,6.34,90.63,59
HCPCS,A9698,VARIBAR PUDDING 230ML PO,326.8,326.8,22.88,326.8,59
HCPCS,A9698,VARIBAR THIN HON 250MLPO,345.54,345.54,24.19,345.54,59
HCPCS,A9698,VARIBAR THIN LIQ 148G PO,36.54,36.54,2.56,36.54,59
HCPCS,A9699,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,15
HCPCS,A9800,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,5339.53,27
HCPCS,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape ",,,3.75,3.87,2
HCPCS,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape ",,,6.43,6.63,2
HCPCS,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape ",,,5.05,5.21,2
HCPCS,B4081,Nasogastric tubing with stylet ,,,18.42,18.99,2
HCPCS,B4082,Nasogastric tubing without stylet ,,,13.02,13.42,2
HCPCS,B4083,Stomach tube - levine type ,,,2.01,2.07,2
HCPCS,B4087,"Gastrostomy/jejunostomy tube, standard, any material, any type, each ",,,32.88,33.9,2
HCPCS,B4088,"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each ",,,38.61,39.8,2
HCPCS,B4100,"Food thickener, administered orally, per ounce ",,,,,0
HCPCS,B4105,"In-line cartridge containing digestive enzyme(s) for enteral feeding, each ",,,55.43,83.41,6
HCPCS,B4148,"Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape ",,,6.85,14.43,8
HCPCS,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding",,,1.24,1.28,2
HCPCS,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calor",,,0.47,0.48,2
HCPCS,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fibe",,,0.38,0.39,2
HCPCS,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral fe",,,1.46,1.51,2
HCPCS,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals,",,,0.82,0.85,2
HCPCS,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium ch",,,0.91,0.94,2
HCPCS,B4164,"Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mix ",,,24.4,25.15,2
HCPCS,B4168,"Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix ",,,35.58,36.68,2
HCPCS,B4176,"Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix ",,,68.83,70.96,2
HCPCS,B4178,"Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix ",,,82.61,85.16,2
HCPCS,B4180,"Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml = 1 unit) - home mix ",,,35.03,36.11,2
HCPCS,B4185,"Parenteral nutrition solution, not otherwise specified, 10 grams lipids ",,,6.35,16.62,8
HCPCS,B4187,OMEGAVEN 10 G INJ,507.04,507.04,35.49,507.04,53
HCPCS,B4187,OMEGAVEN 5 G INJ,354.94,354.94,24.85,354.94,53
HCPCS,B4187,"Omegaven, 10 grams lipids ",,,16.12,477.58,8
HCPCS,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix ",,,255.17,263.06,2
HCPCS,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix ",,,329.7,339.9,2
HCPCS,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix ",,,401.42,413.83,2
HCPCS,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix ",,,458.68,472.87,2
HCPCS,B4216,"Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day ",,,11.08,11.42,2
HCPCS,B4220,"Parenteral nutrition supply kit; premix, per day ",,,11.48,11.84,2
HCPCS,B4222,"Parenteral nutrition supply kit; home mix, per day ",,,14.18,14.62,2
HCPCS,B4224,"Parenteral nutrition administration kit, per day ",,,35.89,37.0,2
HCPCS,B5000,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-aminosyn-rf, nephramine, renamine-prem",,,17.07,17.6,2
HCPCS,B5100,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine-premix ",,,6.66,6.87,2
HCPCS,B9002,"Enteral nutrition infusion pump, any type ",,,38.29,39.47,2
HCPCS,B9004,"Parenteral nutrition infusion pump, portable ",,,286.68,295.55,2
HCPCS,B9006,"Parenteral nutrition infusion pump, stationary ",,,286.68,295.55,2
HCPCS,C1052,"Hemostatic agent, gastrointestinal, topical ",,,12.59,18.94,6
HCPCS,C1062,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,67046.86,96
HCPCS,C1601,BRNCHSCP DISP 2.7/1.2,7201.0,7201.0,504.07,7201.0,59
HCPCS,C1601,"Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable) ",7201.0,7201.0,21.25,31.98,6
HCPCS,C1605,"Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation ",,,290.14,436.59,6
HCPCS,C1606,"Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope ",,,21.25,31.98,6
HCPCS,C1607,"Neurostimulator, integrated (implantable), rechargeable with all implantable and external components including charging system ",,,6891.05,10369.38,6
HCPCS,C1713,ADAPTOR FEM BN CSTM 31MM,281100.0,281100.0,30921.0,281100.0,57
HCPCS,C1713,ANCH STPL BN 12X10X10,19470.0,19470.0,2141.7,19470.0,57
HCPCS,C1713,ANCH SUT 3.4MM,12844.0,12844.0,1412.84,12844.0,57
HCPCS,C1713,ANCH SUT 3.5MM,4090.0,4090.0,449.9,4090.0,57
HCPCS,C1713,ANCH SUT 5.5MM 22MM,11611.0,11611.0,1277.21,11611.0,57
HCPCS,C1713,ANCH SUT QANCHR EBND,11693.0,11693.0,1286.23,11693.0,57
HCPCS,C1713,ANCHOR BN 2.5MM 7MM,17982.0,17982.0,1978.02,17982.0,57
HCPCS,C1713,ANCHOR BN 3.9MM,99154.0,99154.0,10906.94,99154.0,57
HCPCS,C1713,ANCHOR BN 4.75MM,14750.0,14750.0,1622.5,14750.0,57
HCPCS,C1713,ANCHOR BN 4.75X19.1MM,24845.0,24845.0,2732.95,24845.0,57
HCPCS,C1713,ANCHOR BN 4.75X24.5MM,16112.0,16112.0,1772.32,16112.0,57
HCPCS,C1713,ANCHOR BN ACHILLES 3.9MM,72153.0,72153.0,7936.83,72153.0,57
HCPCS,C1713,ANCHOR BN BLK/BLU,16112.0,16112.0,1772.32,16112.0,57
HCPCS,C1713,ANCHOR BN LIG 4.75MM,6001.0,6001.0,660.11,6001.0,57
HCPCS,C1713,ANCHOR BN SHLD,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1713,ANCHOR BN SUT 4.5MM 24MM,46505.0,46505.0,5115.55,46505.0,57
HCPCS,C1713,ANCHOR BN TNDN BICEP,11755.0,11755.0,1293.05,11755.0,57
HCPCS,C1713,ANCHOR HEALIX PEEK 4.5MM,12700.0,12700.0,1397.0,12700.0,57
HCPCS,C1713,ANCHOR IMP SYS 4.75MM,29469.0,29469.0,3241.59,29469.0,57
HCPCS,C1713,ANCHOR IMPL SYS 4.75MM,27414.0,27414.0,3015.54,27414.0,57
HCPCS,C1713,ANCHOR PEEK FIX 4.75MM,26551.0,26551.0,2920.61,26551.0,57
HCPCS,C1713,ANCHOR SUT 1.0MM,6068.0,6068.0,667.48,6068.0,57
HCPCS,C1713,ANCHOR SUT 2.3MM,9916.0,9916.0,1090.76,9916.0,57
HCPCS,C1713,ANCHOR SUT 2.4X8.5MM,9556.0,9556.0,1051.16,9556.0,57
HCPCS,C1713,ANCHOR SUT 2.5MM 8MM,12495.0,12495.0,1374.45,12495.0,57
HCPCS,C1713,ANCHOR SUT 2.8MM,9864.0,9864.0,1085.04,9864.0,57
HCPCS,C1713,ANCHOR SUT 2.9MM,13152.0,13152.0,1446.72,13152.0,57
HCPCS,C1713,ANCHOR SUT 2.9MM 12.5MM,9356.0,9356.0,1029.16,9356.0,57
HCPCS,C1713,ANCHOR SUT 3-0,14570.0,14570.0,1602.7,14570.0,57
HCPCS,C1713,ANCHOR SUT 3.4MM,12228.0,12228.0,1345.08,12228.0,57
HCPCS,C1713,ANCHOR SUT 3.5MM 13.5MM,12495.0,12495.0,1374.45,12495.0,57
HCPCS,C1713,ANCHOR SUT 3.5MM 8.5MM,14570.0,14570.0,1602.7,14570.0,57
HCPCS,C1713,ANCHOR SUT 3.9MM 17.9MM,11755.0,11755.0,1293.05,11755.0,57
HCPCS,C1713,ANCHOR SUT 4.75MM,9394.0,9394.0,1033.34,9394.0,114
HCPCS,C1713,ANCHOR SUT 4.75MM 14MM,10320.0,10320.0,1083.61,10789.0,114
HCPCS,C1713,ANCHOR SUT 4.75MM 15.8MM,11755.0,11755.0,1293.05,11755.0,57
HCPCS,C1713,ANCHOR SUT 4.75MM 19.1MM,13810.0,13810.0,1292.39,14570.0,228
HCPCS,C1713,ANCHOR SUT 4.75MM 22MM,14056.5,14056.5,1489.73,14570.0,114
HCPCS,C1713,ANCHOR SUT 5.5MM,9958.0,9958.0,1095.38,9958.0,57
HCPCS,C1713,ANCHOR SUT 5.5MM 14.7MM,10214.0,10214.0,1098.68,10440.0,114
HCPCS,C1713,ANCHOR SUT 5.5MM 22MM,12495.0,12495.0,1374.45,12495.0,57
HCPCS,C1713,ANCHOR SUT 5MM 15.5MM,4344.0,4344.0,477.84,4344.0,57
HCPCS,C1713,ANCHOR SUT 6.25MM 19.1MM,14057.0,14057.0,1546.27,14057.0,57
HCPCS,C1713,ANCHOR SUT 6.5MM,4069.0,4069.0,447.59,4069.0,57
HCPCS,C1713,ANCHOR SUT 8.0MM 19.5MM,14899.0,14899.0,1638.89,14899.0,57
HCPCS,C1713,ANCHOR SUT ACL FIXATION,16605.0,16605.0,1826.55,16605.0,57
HCPCS,C1713,ANCHOR SUT BLUE 36MM,2103.0,2103.0,231.33,2103.0,57
HCPCS,C1713,ANCHOR SUT BN #1,12495.0,12495.0,1374.45,12495.0,57
HCPCS,C1713,ANCHOR SUT BN 4.75MM,15202.0,15202.0,1672.22,15202.0,57
HCPCS,C1713,ANCHOR SUT CP-2 2.8MM,14236.0,14236.0,1565.96,14236.0,57
HCPCS,C1713,ANCHOR SUT DX,13666.0,13666.0,1503.26,13666.0,57
HCPCS,C1713,ANCHOR SUT FBRTP KIT,34093.0,34093.0,3750.23,34093.0,57
HCPCS,C1713,ANCHOR SUT IMPL,54643.0,54643.0,6010.73,54643.0,57
HCPCS,C1713,ANCHOR SUT KNOTLESS 3MM,15413.0,15413.0,1695.43,15413.0,57
HCPCS,C1713,ANCHOR SUT KNTLS 4.75MM,15762.0,15762.0,1733.82,15762.0,57
HCPCS,C1713,ANCHOR SUT SZ2 36IN,12968.0,12968.0,1426.48,12968.0,57
HCPCS,C1713,ANCHOR SUT SZ2-0,12146.0,12146.0,1336.06,12146.0,57
HCPCS,C1713,ANCHOR SUT TENDONS,18495.0,18495.0,2034.45,18495.0,57
HCPCS,C1713,ANCHOR SUT W NDL #2,20386.0,20386.0,2242.46,20386.0,57
HCPCS,C1713,ANCHOR SUTURE 2-0,14550.0,14550.0,1600.5,14550.0,57
HCPCS,C1713,ANCHOR SYS SOFT TISSUE,808.0,808.0,88.88,808.0,57
HCPCS,C1713,ASSEMBLY ORTH BSPLT,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1713,BAR PECTUS SUPPORT 17IN,34747.0,34747.0,3822.17,34747.0,57
HCPCS,C1713,BASEPLATE ULNA BN PROX,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1713,BEAM BN FOOT 110MM 7MM,34504.0,34504.0,3795.44,34504.0,57
HCPCS,C1713,BLADE BN FEM SPRL 90MM,6639.0,6639.0,730.29,6639.0,57
HCPCS,C1713,BLADE BN HLCL 85MM,12330.0,12330.0,1356.3,12330.0,57
HCPCS,C1713,BLADE FIXATION SPIRAL 50,9065.0,9065.0,997.15,9065.0,57
HCPCS,C1713,BLADE HELICAL 11MM 120MM,11319.0,11319.0,1245.09,11319.0,57
HCPCS,C1713,BLADE HLCL 105MM,12330.0,12330.0,1356.3,12330.0,57
HCPCS,C1713,BLADE HLCL 11X100MM,10573.0,10573.0,1163.03,10573.0,57
HCPCS,C1713,BLADE HLCL 11X105,10646.0,10646.0,1171.06,10646.0,57
HCPCS,C1713,BLADE HLCL 11X110,10573.0,10573.0,1163.03,10573.0,57
HCPCS,C1713,BLADE HLCL 11X115,10646.0,10646.0,1171.06,10646.0,57
HCPCS,C1713,BLADE HLCL 11X80MM,11893.0,11893.0,1308.23,11893.0,57
HCPCS,C1713,BLADE HLCL 11X95MM,10573.0,10573.0,1163.03,10573.0,57
HCPCS,C1713,BLADE HLCL 90MM,12330.0,12330.0,1356.3,12330.0,57
HCPCS,C1713,BLADE IM 10.35MM 95MM,12330.0,12330.0,1356.3,12330.0,57
HCPCS,C1713,BLADE IM 12.5MM 65MM,7417.0,7417.0,815.87,7417.0,57
HCPCS,C1713,BLADE IM FX HUM 40MM,6589.0,6589.0,724.79,6589.0,57
HCPCS,C1713,BLADE IM FX HUM 44MM,7132.0,7132.0,784.52,7132.0,57
HCPCS,C1713,BLADE IM FX HUM 46MM,19262.5,19262.5,724.79,31936.0,114
HCPCS,C1713,BLADE IM FX HUM 48MM,6391.0,6391.0,703.01,6391.0,57
HCPCS,C1713,BLADE IM TI 85MM TROCANT,10646.0,10646.0,1171.06,10646.0,57
HCPCS,C1713,BLADE IM TI 90MM TROCANT,10573.0,10573.0,1163.03,10573.0,57
HCPCS,C1713,BLADE ORTHO TI L100MM,6639.0,6639.0,730.29,6639.0,57
HCPCS,C1713,BLADE SPIRAL 36MM,6589.0,6589.0,724.79,6589.0,57
HCPCS,C1713,BLDE IM NL 100MM 10.35MM,15480.0,15480.0,1702.8,15480.0,57
HCPCS,C1713,BLOCKER SPN ROD CLSR,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,BN SCR CANCELLOUS 20MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,BN SCR CANCELLOUS 30MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,BOLT BN FEM 105MM,8138.0,8138.0,895.18,8138.0,57
HCPCS,C1713,BOLT BN FEM ALLOY 80MM,8138.0,8138.0,895.18,8138.0,57
HCPCS,C1713,BOLT BN FEM ALLOY 85MM,8138.0,8138.0,895.18,8138.0,57
HCPCS,C1713,BOLT BN FEM ALLOY 95MM,8138.0,8138.0,895.18,8138.0,57
HCPCS,C1713,BOLT BN FEM NK SYS 90MM,8138.0,8138.0,895.18,8138.0,57
HCPCS,C1713,BOLT BN LCK 85MM,2836.0,2836.0,311.96,2836.0,57
HCPCS,C1713,BOLT BN LCK 95MM,2836.0,2836.0,311.96,2836.0,57
HCPCS,C1713,BOLT BN LCK HIP 105MM,2836.0,2836.0,311.96,2836.0,57
HCPCS,C1713,BOLT BN LCK HIP 75MM,2836.0,2836.0,311.96,2836.0,57
HCPCS,C1713,BOLT FEM TI ALLOY 100MM,8138.0,8138.0,895.18,8138.0,57
HCPCS,C1713,BOLT ORTH 30MM,7761.0,7761.0,853.71,7761.0,57
HCPCS,C1713,BOLT ORTH 34MM,7761.0,7761.0,853.71,7761.0,57
HCPCS,C1713,BOLT ORTH 38MM,7761.0,7761.0,853.71,7761.0,57
HCPCS,C1713,BUTTON BN FX IMPL,12002.0,12002.0,1320.22,12002.0,57
HCPCS,C1713,BUTTON CBL HEX LCK 2.5MM,4208.0,4208.0,462.88,4208.0,57
HCPCS,C1713,BUTTON SUTURE 3.5MM,2075.0,2075.0,228.25,2075.0,57
HCPCS,C1713,CABLE BN 1.8MM 635MM,4589.0,4589.0,504.79,4589.0,57
HCPCS,C1713,CABLE BN CRMP 1MM 750MM,8662.0,8662.0,952.82,8662.0,57
HCPCS,C1713,CABLE DLMLS HIP SS 1.6MM,5280.0,5280.0,580.8,5280.0,57
HCPCS,C1713,CABLE FXTN 1.8MM 635CM,9063.0,9063.0,996.93,9063.0,57
HCPCS,C1713,CABLE FXTN 1.8MM 91CM,10466.0,10466.0,1151.26,10466.0,57
HCPCS,C1713,CABLE GRP MED 2MM,12357.0,12357.0,1359.27,12357.0,57
HCPCS,C1713,CABLE ORTHO 1.7X750MM,8662.0,8662.0,952.82,8662.0,57
HCPCS,C1713,CABLE SLV DLMLS HIP 2.0,4377.5,4377.5,465.3,4525.0,114
HCPCS,C1713,CABLE SPN W/CBL PLT 4H,11005.0,11005.0,1210.55,11005.0,57
HCPCS,C1713,CABLE/SLV ORTH 2MM,4751.0,4751.0,522.61,4751.0,57
HCPCS,C1713,CAGE SPNL 12X14X22MM,63282.0,63282.0,6961.02,63282.0,57
HCPCS,C1713,CMPNT BN MDBLR RT 45MM,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,CONN ROD SPN 20MM MTNR,8859.0,8859.0,974.49,8859.0,57
HCPCS,C1713,CONN ROD SPN 25MM,8859.0,8859.0,974.49,8859.0,57
HCPCS,C1713,CONN ROD SPN 5.5X36MM,8859.0,8859.0,974.49,8859.0,57
HCPCS,C1713,CONN ROD SPN MED,8859.0,8859.0,974.49,8859.0,57
HCPCS,C1713,CONN ROD SPNE 13MM,10124.0,10124.0,1113.64,10124.0,57
HCPCS,C1713,COUPLER FEM HIP LGN 2MM,21009.0,21009.0,2310.99,21009.0,57
HCPCS,C1713,COVER BN BURR HL 20MM,5341.0,5341.0,587.51,5341.0,57
HCPCS,C1713,COVER BUR HL 0.5X10MM,4300.0,4300.0,473.0,4300.0,57
HCPCS,C1713,CVR BUR HL 1.5 14,4831.0,4831.0,531.41,4831.0,57
HCPCS,C1713,DEVICE FSTFX MNSCL,9661.0,9661.0,1062.71,9661.0,57
HCPCS,C1713,DEVICE FX FSTFX 360D,9661.0,9661.0,1062.71,9661.0,57
HCPCS,C1713,DEVICE TROCH REATT STD,34257.0,34257.0,3768.27,34257.0,57
HCPCS,C1713,DISTRACTOR 2HL SZ2,60500.0,60500.0,6655.0,60500.0,57
HCPCS,C1713,DISTRACTOR ARM 20MM,114136.0,114136.0,12554.96,114136.0,57
HCPCS,C1713,DISTRACTOR ARM 30MM,13929.0,13929.0,1532.19,13929.0,57
HCPCS,C1713,DISTRACTOR ARM 33MM,21213.0,21213.0,2333.43,21213.0,57
HCPCS,C1713,DISTRACTOR ARM ACT 33MM,19306.0,19306.0,2123.66,19306.0,57
HCPCS,C1713,DISTRACTOR BDY MXL 25MM,69602.0,69602.0,7656.22,69602.0,57
HCPCS,C1713,DISTRACTOR BN 33MM,23945.0,23945.0,2633.95,23945.0,57
HCPCS,C1713,DISTRACTOR BN IMPLT 40MM,18682.0,18682.0,2055.02,18682.0,57
HCPCS,C1713,DISTRACTOR CSTM SM,226098.0,226098.0,24870.78,226098.0,57
HCPCS,C1713,DISTRACTOR IMP INTL 23MM,30045.0,30045.0,3304.95,30045.0,57
HCPCS,C1713,DISTRACTOR MNDB 25MM,122114.0,122114.0,13432.54,122114.0,57
HCPCS,C1713,DISTRACTOR MNDB 30MM,142455.0,142455.0,15670.05,142455.0,114
HCPCS,C1713,DISTRACTOR MXL RGD 35MM,17674.0,17674.0,1944.14,17674.0,57
HCPCS,C1713,DISTRACTOR SUR 16HL 20MM,150713.0,150713.0,16578.43,150713.0,57
HCPCS,C1713,DISTRACTOR SUR 2HL 2.3MM,68894.0,68894.0,7578.34,68894.0,57
HCPCS,C1713,DISTRACTOR SURG INT 16MM,20119.0,20119.0,2213.09,20119.0,57
HCPCS,C1713,DISTRACTOR TLSCP LT 30MM,147629.0,147629.0,16239.19,147629.0,57
HCPCS,C1713,DISTRACTOR TLSCP RT 30MM,147629.0,147629.0,16239.19,147629.0,57
HCPCS,C1713,DSTRCT MNDB 70X2MM LT,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1713,DSTRCT MNDB 70X2MM RT,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1713,EXP 5X35 SCREW 188132535,7493.04,7493.04,824.23,7493.04,57
HCPCS,C1713,FOOTPLATE BN 10MM LT ANT,8826.0,8826.0,970.86,8826.0,57
HCPCS,C1713,FOOTPLATE BN 10MM RT ANT,8826.0,8826.0,970.86,8826.0,57
HCPCS,C1713,FOOTPLATE BN 12MM TALL,17561.0,17561.0,1931.71,17561.0,57
HCPCS,C1713,FOOTPLATE BN 14MM LT ANT,8826.0,8826.0,970.86,8826.0,57
HCPCS,C1713,FOOTPLATE BN SHRT 7MM,17561.0,17561.0,1931.71,17561.0,57
HCPCS,C1713,GRAFT CHIN 53X36X7MM,9854.0,9854.0,1083.94,9854.0,57
HCPCS,C1713,GRAFT NRV 3-4MM 70MM,133435.0,133435.0,14677.85,133435.0,57
HCPCS,C1713,GRIP TROCH W/CABLES MED,18311.0,18311.0,2014.21,18311.0,57
HCPCS,C1713,HK SPNL TI 5.5 XPDM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK LAMINAR3 EXT SM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK PEDCL MED SHRT THRT,8859.0,8859.0,974.49,8859.0,57
HCPCS,C1713,HOOK SP LAMINAR LG TIP,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN 10MM,7593.0,7593.0,835.23,7593.0,114
HCPCS,C1713,HOOK SPN 4.5MM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN LT,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN MED PDCL,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN PEDCL 12MM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN PEDCL 6MM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN PEDCL 8MM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN RT,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN SMALL,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN TRNSV PRC MED,8859.0,8859.0,974.49,8859.0,57
HCPCS,C1713,HOOK SPN VRST LG LMR NS,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPN VRST SM PDCL N,8859.0,8859.0,974.49,8859.0,57
HCPCS,C1713,HOOK SPNL MED LMR,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,HOOK SPNL SS XPDM 179752,7593.0,7593.0,835.23,7593.0,114
HCPCS,C1713,HOOK SPNL XIA LG PDCL TI,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,IMPL FX HMRTOE 0D MED,16625.0,16625.0,1828.75,16625.0,57
HCPCS,C1713,IMPL MNDB LT CCR MLB45MM,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,IMPL MNDB LT CCR MLB55MM,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,IMPL MNDB RT NAR 45MM,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,IMPLANT ANCH 4.5MM 24MM,22194.0,22194.0,2441.34,22194.0,57
HCPCS,C1713,IMPLANT ANCHOR FIXATION,58568.0,58568.0,6442.48,58568.0,57
HCPCS,C1713,IMPLANT BN 3MM 28MM,16132.0,16132.0,1774.52,16132.0,57
HCPCS,C1713,IMPLANT BN 3MM 30MM,16132.0,16132.0,1774.52,16132.0,57
HCPCS,C1713,IMPLANT BN 4MM 56MM,16132.0,16132.0,1774.52,16132.0,57
HCPCS,C1713,IMPLANT BN CMPR 18X17MM,62390.0,62390.0,6862.9,62390.0,57
HCPCS,C1713,IMPLANT BN CRNL CSTM,116340.0,116340.0,12797.4,116340.0,57
HCPCS,C1713,IMPLANT BN CRNL MDFC 75,125379.0,125379.0,13791.69,125379.0,57
HCPCS,C1713,IMPLANT BN CRNL MDFC 76,143537.0,143537.0,15789.07,143537.0,57
HCPCS,C1713,IMPLANT BN CSTM MEDIUM,149356.0,149356.0,16429.16,149356.0,57
HCPCS,C1713,IMPLANT CRNL CUSTM,136702.0,136702.0,15037.22,136702.0,57
HCPCS,C1713,IMPLANT CRNL CUSTOM,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1713,IMPLANT CRNL MNDBL CSTM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,IMPLANT CSTM MNDBL PRTH,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,IMPLANT FIBERWIRE 2-0,16954.0,16954.0,1864.94,16954.0,57
HCPCS,C1713,IMPLANT FX MNSCL REPAIR,29223.0,29223.0,3214.53,29223.0,57
HCPCS,C1713,IMPLANT MNDB 45MM,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,IMPLANT MNDB 45MM NAR,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,IMPLANT MNDB 45MM RT,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,IMPLANT MNDB 55MM RT,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,IMPLANT MNDB MED LT FOSS,48560.0,48560.0,5341.6,48560.0,57
HCPCS,C1713,IMPLANT MNDB SM RT FOSSA,88098.0,88098.0,9690.78,88098.0,57
HCPCS,C1713,IMPLANT TMJ NARROW 50MM,80022.0,80022.0,8802.42,80022.0,57
HCPCS,C1713,IMPLANT TMPMNDB LT 50MM,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1713,IMPLNT BN CSTM 00026.0,132062.0,132062.0,14526.82,132062.0,57
HCPCS,C1713,IMPLNT CRNL 100-150SQCM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,IMPLNT CRNL CSTM,93027.0,93027.0,10232.97,93027.0,57
HCPCS,C1713,IMPLNT PRT JNT 50M,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1713,KIT ANCH MNSCL REPR ROOT,40957.0,40957.0,4505.27,40957.0,57
HCPCS,C1713,KIT ANCHOR BN MENISCL,12844.0,12844.0,1412.84,12844.0,57
HCPCS,C1713,KIT ANCHOR SUT 3X14MM,12495.0,12495.0,1374.45,12495.0,57
HCPCS,C1713,KIT ARTHSCP FX ARTHX SUT,43895.0,43895.0,4828.45,43895.0,57
HCPCS,C1713,KIT ARTHSCP FX TGHTRP RT,7604.0,7604.0,836.44,7604.0,57
HCPCS,C1713,KIT IMPL 20MM 5.5MM,25126.0,25126.0,2763.86,25126.0,57
HCPCS,C1713,KIT IMPLANT ANKLE,26853.0,26853.0,1600.5,43895.0,171
HCPCS,C1713,KIT INTERNAL BRACE W CC,43895.0,43895.0,4828.45,43895.0,57
HCPCS,C1713,KIT PIN DRL TRMT 2X100MM,7797.0,7797.0,857.67,7797.0,57
HCPCS,C1713,KIT PLATE BN LDR STRNL,51355.0,51355.0,5649.05,51355.0,57
HCPCS,C1713,KIT PLATE CRNL FIXTN,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,KIT SCREW BN 0MM,14899.0,14899.0,1638.89,14899.0,57
HCPCS,C1713,KIT STRNL PLT CBL RIGID,18495.0,18495.0,2034.45,18495.0,57
HCPCS,C1713,KIT SURG ORTHOGNATHICS,86161.0,86161.0,9477.71,86161.0,57
HCPCS,C1713,KIT SYNDSMS FXN #5,60915.0,60915.0,6700.65,60915.0,57
HCPCS,C1713,KIT SYNDSMS FXN #5 2.8MM,19235.0,19235.0,2115.85,19235.0,57
HCPCS,C1713,MESH BN CRNL 100X100MM,39776.0,39776.0,3372.27,48895.0,114
HCPCS,C1713,MESH BN CRNL 45X38X.4MM,12873.5,12873.5,1122.22,15545.0,114
HCPCS,C1713,MESH PLT 1.5/.2 85MM,6597.0,6597.0,725.67,6597.0,57
HCPCS,C1713,MESH PLT NEURO 85X35MM,33908.0,33908.0,3729.88,33908.0,57
HCPCS,C1713,NAIL 10D 12.5MM 21.5CM,214955.0,214955.0,23645.05,214955.0,57
HCPCS,C1713,NAIL 10MM 42CM RT INTRTN,39785.0,39785.0,4376.35,39785.0,57
HCPCS,C1713,NAIL 5.0 TI LOCK SCR 72-,5013.0,5013.0,551.43,5013.0,57
HCPCS,C1713,NAIL 8.5MM 9.5MM 195MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL 9MM 360MM RT FEM NL,26558.0,26558.0,2921.38,26558.0,57
HCPCS,C1713,NAIL 9MM 400MM FEM IM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL ANKL IM TI 10X200MM,38020.0,38020.0,4182.2,38020.0,57
HCPCS,C1713,NAIL ANKL RT 12MM 30CM,38020.0,38020.0,4182.2,38020.0,57
HCPCS,C1713,NAIL BN 1.5MM 300MM,5143.0,5143.0,565.73,5143.0,57
HCPCS,C1713,NAIL BN 10D 11MM 280MM,31853.0,31853.0,3503.83,31853.0,57
HCPCS,C1713,NAIL BN 10D 12X200,32051.0,32051.0,3525.61,32051.0,57
HCPCS,C1713,NAIL BN 10MM 13MM 28CM,41846.0,41846.0,4603.06,41846.0,57
HCPCS,C1713,NAIL BN 10MM 150MM,49280.5,49280.5,4182.2,60541.0,114
HCPCS,C1713,NAIL BN 10MM 160MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL BN 10MM 18CM,29798.0,29798.0,3277.78,29798.0,57
HCPCS,C1713,NAIL BN 10MM 235MM,22092.0,22092.0,2430.12,22092.0,57
HCPCS,C1713,NAIL BN 10MM 260MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL BN 10MM 300MM,25058.5,25058.5,2558.38,26859.0,114
HCPCS,C1713,NAIL BN 10MM 315MM,26358.0,26358.0,2558.38,29458.0,114
HCPCS,C1713,NAIL BN 10MM 330MM,25058.5,25058.5,2558.38,26859.0,114
HCPCS,C1713,NAIL BN 10MM 340MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL BN 10MM 345MM,25058.5,25058.5,2558.38,26859.0,114
HCPCS,C1713,NAIL BN 10MM 360MM,23258.0,23258.0,2558.38,23258.0,57
HCPCS,C1713,NAIL BN 10MM 36CM,68329.0,68329.0,7516.19,68329.0,57
HCPCS,C1713,NAIL BN 10MM 37.5CM,52896.0,52896.0,5818.56,52896.0,57
HCPCS,C1713,NAIL BN 10MM 375MM,23258.0,23258.0,2558.38,23258.0,57
HCPCS,C1713,NAIL BN 10MM 390MM,23258.0,23258.0,2558.38,23258.0,57
HCPCS,C1713,NAIL BN 10MM 39CM,22605.0,22605.0,2486.55,22605.0,57
HCPCS,C1713,NAIL BN 10MM 400MM,40426.0,40426.0,4446.86,40426.0,57
HCPCS,C1713,NAIL BN 10MM 420MM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL BN 11.5MM 180MM,276051.0,276051.0,30365.61,276051.0,57
HCPCS,C1713,NAIL BN 11MM 330MM,24176.0,24176.0,2659.36,24176.0,57
HCPCS,C1713,NAIL BN 11MM 345MM,23258.0,23258.0,2558.38,23258.0,57
HCPCS,C1713,NAIL BN 11MM 360MM,24629.5,24629.5,2464.0,26859.0,114
HCPCS,C1713,NAIL BN 11MM 375MM,25058.5,25058.5,2558.38,26859.0,114
HCPCS,C1713,NAIL BN 11MM 405MM,26510.0,26510.0,2916.1,26510.0,57
HCPCS,C1713,NAIL BN 11MM 440MM,27788.0,27788.0,3056.68,27788.0,57
HCPCS,C1713,NAIL BN 11X180MM,24127.0,24127.0,2653.97,24127.0,57
HCPCS,C1713,NAIL BN 12.5MM 180MM,276051.0,276051.0,30365.61,276051.0,57
HCPCS,C1713,NAIL BN 125D 10MM 170MM,27576.5,27576.5,2791.8,29773.0,114
HCPCS,C1713,NAIL BN 125D 10MM 400MM,39913.0,39913.0,4390.43,39913.0,57
HCPCS,C1713,NAIL BN 125D 10X240MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN 125D 10X320MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN 125D 10X340MM,39913.0,39913.0,4390.43,39913.0,57
HCPCS,C1713,NAIL BN 125D 10X420MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN 125D 11MM 170MM,26731.0,26731.0,2791.8,28082.0,114
HCPCS,C1713,NAIL BN 125D 13MM 20CM,75193.0,75193.0,8271.23,75193.0,57
HCPCS,C1713,NAIL BN 125D 9X170MM,25380.0,25380.0,2791.8,25380.0,57
HCPCS,C1713,NAIL BN 12MM 180MM,60960.0,60960.0,6705.6,60960.0,57
HCPCS,C1713,NAIL BN 12MM 200MM,38020.0,38020.0,4182.2,38020.0,57
HCPCS,C1713,NAIL BN 12MM 345MM,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL BN 12MM 380MM,40426.0,40426.0,4446.86,40426.0,57
HCPCS,C1713,NAIL BN 12MM 420MM,40504.5,40504.5,4326.63,41676.0,114
HCPCS,C1713,NAIL BN 12X160MM,32051.0,32051.0,3525.61,32051.0,57
HCPCS,C1713,NAIL BN 130D 10MM 235MM,22092.0,22092.0,2430.12,22092.0,57
HCPCS,C1713,NAIL BN 130D 10MM 38CM,35281.0,35281.0,3880.91,35281.0,57
HCPCS,C1713,NAIL BN 130D 10X340MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN 130D 11MM 170MM,25380.0,25380.0,2791.8,25380.0,57
HCPCS,C1713,NAIL BN 130D 12MM 235MM,32285.0,32285.0,3551.35,32285.0,57
HCPCS,C1713,NAIL BN 130D 12X360MM,31711.5,31711.5,3285.04,33559.0,171
HCPCS,C1713,NAIL BN 130D 12X380MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN 130D 9X170MM,30825.0,30825.0,3390.75,30825.0,57
HCPCS,C1713,NAIL BN 13X18X125,40731.0,40731.0,4480.41,40731.0,57
HCPCS,C1713,NAIL BN 15CM 10MM,20118.0,20118.0,2212.98,20118.0,57
HCPCS,C1713,NAIL BN 1MM 200MM,31853.0,31853.0,3503.83,31853.0,57
HCPCS,C1713,NAIL BN 2.5MM 440MM,6115.0,6115.0,646.58,6352.0,114
HCPCS,C1713,NAIL BN 3.0MM 440MM,6658.0,6658.0,732.38,6658.0,57
HCPCS,C1713,NAIL BN 3.5MM 440MM,6567.0,6567.0,722.37,6567.0,57
HCPCS,C1713,NAIL BN 3.8X130MM,87934.0,87934.0,9672.74,87934.0,57
HCPCS,C1713,NAIL BN 3MM 44MM,5496.0,5496.0,604.56,5496.0,57
HCPCS,C1713,NAIL BN 4MM 440MM,7234.0,7234.0,774.62,7426.0,114
HCPCS,C1713,NAIL BN 5D 12X340MM,27743.0,27743.0,3051.73,27743.0,57
HCPCS,C1713,NAIL BN 7MM 9.5MM 210MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN 7MM 9.5MM 240MM,26581.0,26581.0,2923.91,26581.0,57
HCPCS,C1713,NAIL BN 7MM 9.5MM 255MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN 7MM 9.5MM 270MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN 7MM 9.5MM 285MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN 8.2MM 240MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL BN 8.2MM 320MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL BN 8.5MM 225MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN 8.5MM 240MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN 8.5MM 255MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN 8.5MM 285MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN 8.5X21.5CM,220295.0,220295.0,24232.45,220295.0,57
HCPCS,C1713,NAIL BN 8MM 315MM,25770.0,25770.0,2834.7,25770.0,57
HCPCS,C1713,NAIL BN 9.5MM 11MM 160MM,24541.0,24541.0,2699.51,24541.0,57
HCPCS,C1713,NAIL BN 9MM 170MM,25000.0,25000.0,2750.0,25000.0,57
HCPCS,C1713,NAIL BN 9MM 260MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL BN 9MM 270MM,24452.0,24452.0,2689.72,24452.0,57
HCPCS,C1713,NAIL BN 9MM 280MM,21513.0,21513.0,2366.43,21513.0,57
HCPCS,C1713,NAIL BN 9MM 34.5CM,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1713,NAIL BN 9MM 345MM,22365.5,22365.5,2362.03,23258.0,114
HCPCS,C1713,NAIL BN 9MM 37.5CM,52896.0,52896.0,5818.56,52896.0,57
HCPCS,C1713,NAIL BN 9MM 400MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL BN ANKL 10MM 20CM,38020.0,38020.0,4182.2,38020.0,57
HCPCS,C1713,NAIL BN ANKL 12MM 30CM,38020.0,38020.0,4182.2,38020.0,57
HCPCS,C1713,NAIL BN CALC 7.2X80MM,21188.0,21188.0,2330.68,21188.0,57
HCPCS,C1713,NAIL BN CANN 10MM 360MM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL BN CANN 11MM 380MM,37113.0,37113.0,4082.43,37113.0,57
HCPCS,C1713,NAIL BN CANN 9MM 315MM,22936.0,22936.0,2522.96,22936.0,57
HCPCS,C1713,NAIL BN CANN 9MM 375MM,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL BN FEM 10MM 340MM,29943.0,29943.0,2954.49,33027.0,114
HCPCS,C1713,NAIL BN FEM 10MM 360MM,28491.0,28491.0,2417.14,35008.0,114
HCPCS,C1713,NAIL BN FEM 10MM 380MM,37113.0,37113.0,4082.43,37113.0,57
HCPCS,C1713,NAIL BN FEM 10MM 400MM,35008.0,35008.0,3850.88,35008.0,57
HCPCS,C1713,NAIL BN FEM 10MM 420MM,27743.0,27743.0,3051.73,27743.0,57
HCPCS,C1713,NAIL BN FEM 10X300MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN FEM 10X320MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN FEM 11MM 170MM,23579.0,23579.0,2593.69,23579.0,57
HCPCS,C1713,NAIL BN FEM 11MM 200MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN FEM 11MM 320MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL BN FEM 11MM 340MM,39333.0,39333.0,2954.49,41729.0,171
HCPCS,C1713,NAIL BN FEM 11MM 360MM,33096.0,33096.0,2954.49,39333.0,114
HCPCS,C1713,NAIL BN FEM 11MM 380MM,28826.5,28826.5,3056.79,29864.0,114
HCPCS,C1713,NAIL BN FEM 11MM 400MM,41729.0,41729.0,4590.19,41729.0,57
HCPCS,C1713,NAIL BN FEM 11X240MM RT,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN FEM 11X300MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL BN FEM 11X320MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN FEM 11X340MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL BN FEM 11X380MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN FEM 11X420MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN FEM 12MM 170MM,24994.0,24994.0,2749.34,24994.0,57
HCPCS,C1713,NAIL BN FEM 12MM 300MM,27743.0,27743.0,3051.73,27743.0,57
HCPCS,C1713,NAIL BN FEM 12MM 340MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN FEM 12MM 360MM,28361.5,28361.5,2954.49,29864.0,114
HCPCS,C1713,NAIL BN FEM 12MM 380MM,24988.5,24988.5,2276.23,29284.0,114
HCPCS,C1713,NAIL BN FEM 12MM 400MM,27301.0,27301.0,2954.49,27743.0,114
HCPCS,C1713,NAIL BN FEM 12MM 420MM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL BN FEM 12X420MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL BN FEM 130D 10MM,22466.0,22466.0,2471.26,22466.0,57
HCPCS,C1713,NAIL BN FEM 14MM 380MM,29864.0,29864.0,3285.04,29864.0,57
HCPCS,C1713,NAIL BN FEM 5D 11X400MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL BN FEM 5D 12X360MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL BN FEM 9MM 300MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL BN FEM 9MM 320MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL BN FEM 9MM 340MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL BN FEM 9MM 380MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL BN FEM LT 11X360MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN FEM LT 11X380MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN FEM LT 11X400MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN FEM LT 12MM 34CM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL BN FEM LT 12X400MM,30849.0,30849.0,3393.39,30849.0,57
HCPCS,C1713,NAIL BN FEM LT 130D 12MM,87934.0,87934.0,9672.74,87934.0,57
HCPCS,C1713,NAIL BN FEM LT 9X23.5MM,22092.0,22092.0,2430.12,22092.0,57
HCPCS,C1713,NAIL BN FEM RT 11X360MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN FEM RT 240MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN FEM RT 9MM 17CM,23579.0,23579.0,2593.69,23579.0,57
HCPCS,C1713,NAIL BN FEMCANN 11X400MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL BN FEMCANN 13X400MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL BN HAND 4.5MM 55MM,16954.0,16954.0,1864.94,16954.0,57
HCPCS,C1713,NAIL BN HUM 130MM 8MM,41100.0,41100.0,4521.0,41100.0,57
HCPCS,C1713,NAIL BN HUM 8MM 150MM,47515.0,47515.0,5226.65,47515.0,57
HCPCS,C1713,NAIL BN HUM 9MM 290MM,25137.0,25137.0,2765.07,25137.0,57
HCPCS,C1713,NAIL BN IM 2.0MM 440MM,5460.0,5460.0,600.6,5460.0,57
HCPCS,C1713,NAIL BN KN 130D 9X170MM,25380.0,25380.0,2791.8,25380.0,57
HCPCS,C1713,NAIL BN LNG LT 8MM 27CM,55485.0,55485.0,6103.35,55485.0,57
HCPCS,C1713,NAIL BN LRG 11.5MM 250MM,60541.0,60541.0,6659.51,60541.0,57
HCPCS,C1713,NAIL BN LT 10MM 40CM,60777.0,60777.0,6685.47,60777.0,57
HCPCS,C1713,NAIL BN LT 11MM 200MM,38020.0,38020.0,4182.2,38020.0,57
HCPCS,C1713,NAIL BN LT 12MM 20CM,38020.0,38020.0,4182.2,38020.0,57
HCPCS,C1713,NAIL BN LT 12MM 240MM,20118.0,20118.0,2212.98,20118.0,57
HCPCS,C1713,NAIL BN LT 130D 11X360MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN LT 8.5MM 255MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN LT 8.5MM 285MM,25570.0,25570.0,2812.7,25570.0,57
HCPCS,C1713,NAIL BN LT 9X380MM,41470.0,41470.0,4561.7,41470.0,57
HCPCS,C1713,NAIL BN LT INTERTRO 42CM,52715.0,52715.0,5798.65,52715.0,57
HCPCS,C1713,NAIL BN RT 10MM 150MM,19281.0,19281.0,2120.91,19281.0,57
HCPCS,C1713,NAIL BN RT 11MM 200MM,38020.0,38020.0,4182.2,38020.0,57
HCPCS,C1713,NAIL BN RT 125D 10X360MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN RT 12MM 440MM,41676.0,41676.0,4584.36,41676.0,57
HCPCS,C1713,NAIL BN RT 240MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL BN SHRT 3.2MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1713,NAIL BN THRD PEG 5X30MM,8981.0,8981.0,987.91,8981.0,57
HCPCS,C1713,NAIL BN TIB 10MM 255MM,24451.0,24451.0,2689.61,24451.0,57
HCPCS,C1713,NAIL BN TIB 10MM 315MM,19130.0,19130.0,2104.3,19130.0,57
HCPCS,C1713,NAIL BN TIB 10MM 330MM,25770.0,25770.0,2834.7,25770.0,57
HCPCS,C1713,NAIL BN TIB 10MM 345MM,25770.0,25770.0,2834.7,25770.0,57
HCPCS,C1713,NAIL BN TIB 10MM 360MM,23053.0,23053.0,2117.17,26859.0,114
HCPCS,C1713,NAIL BN TIB 10MM 375MM,27558.0,27558.0,3031.38,27558.0,57
HCPCS,C1713,NAIL BN TIB 10X405MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN TIB 11MM 255MM,24452.0,24452.0,2689.72,24452.0,57
HCPCS,C1713,NAIL BN TIB 11MM 300MM,26189.0,26189.0,2880.79,26189.0,57
HCPCS,C1713,NAIL BN TIB 11MM 315MM,23403.0,23403.0,2464.0,24406.0,114
HCPCS,C1713,NAIL BN TIB 11MM 345MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN TIB 11X270MM,24452.0,24452.0,2689.72,24452.0,57
HCPCS,C1713,NAIL BN TIB 12MM 330MM,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL BN TIB 12MM 360MM,24629.5,24629.5,2464.0,26859.0,114
HCPCS,C1713,NAIL BN TIB 8MM 330MM,19130.0,19130.0,2104.3,19130.0,57
HCPCS,C1713,NAIL BN TIB 8MM 360MM,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL BN TIB 9MM 255MM,24452.0,24452.0,2689.72,24452.0,57
HCPCS,C1713,NAIL BN TIB 9MM 300MM,23258.0,23258.0,2558.38,23258.0,57
HCPCS,C1713,NAIL BN TIB 9MM 315MM,23184.0,23184.0,2550.24,23184.0,57
HCPCS,C1713,NAIL BN TIB 9MM 330MM,23258.0,23258.0,2558.38,23258.0,57
HCPCS,C1713,NAIL BN TIB 9MM 390MM,24406.0,24406.0,2684.66,24406.0,57
HCPCS,C1713,NAIL BN TIB IM 9MM 315MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN TIB IM 9X375MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN TIB T2 9MMX285MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL BN TROCH 10MM 18CM,29798.0,29798.0,3277.78,29798.0,57
HCPCS,C1713,NAIL BN TROCH 10MM 38CM,35281.0,35281.0,3880.91,35281.0,57
HCPCS,C1713,NAIL BN ULNA 3MM 190MM,97613.0,97613.0,10737.43,97613.0,57
HCPCS,C1713,NAIL ENDCAP ANKL,4357.0,4357.0,479.27,4357.0,57
HCPCS,C1713,NAIL FEM 10D 12MM 320MM,30825.0,30825.0,3390.75,30825.0,57
HCPCS,C1713,NAIL FEM 10MM 300MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL FEM 10MM 320MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL FEM 10MM 340MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL FEM 10MM 380MM,21974.0,21974.0,2417.14,21974.0,57
HCPCS,C1713,NAIL FEM 10MM 420MM,45786.0,45786.0,5036.46,45786.0,57
HCPCS,C1713,NAIL FEM 11X17X180MM,31302.0,31302.0,3443.22,31302.0,57
HCPCS,C1713,NAIL FEM 125D 11X240MM,124920.0,124920.0,13741.2,124920.0,57
HCPCS,C1713,NAIL FEM 125D 170X12MM,25380.0,25380.0,2791.8,25380.0,57
HCPCS,C1713,NAIL FEM 12MM 360MM,20693.0,20693.0,2276.23,20693.0,57
HCPCS,C1713,NAIL FEM 12MM 380MM,28113.0,28113.0,2954.49,29367.0,114
HCPCS,C1713,NAIL FEM 12MM 38CM,22605.0,22605.0,2486.55,22605.0,57
HCPCS,C1713,NAIL FEM 130D 240MM 11MM,33559.0,33559.0,3691.49,33559.0,57
HCPCS,C1713,NAIL FEM 5D 11X360MM,27789.0,27789.0,3056.79,27789.0,57
HCPCS,C1713,NAIL FEM 8.2MM 280MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL FEM 9MM 235MM,32285.0,32285.0,3551.35,32285.0,57
HCPCS,C1713,NAIL FEM 9MM 300MM,25729.0,25729.0,2830.19,25729.0,57
HCPCS,C1713,NAIL FEM BN 8.2MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL FEM CANN 10MM 340MM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL FEM CANN 10MM 380MM,37113.0,37113.0,4082.43,37113.0,57
HCPCS,C1713,NAIL FEM CANN 10MM 400MM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL FEM CANN 11MM 360MM,33027.0,33027.0,3632.97,33027.0,57
HCPCS,C1713,NAIL FEM CANN 11MM 400MM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL FEM CANN 11MM 420MM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL FEM CANN 12MM 340MM,39333.0,39333.0,4326.63,39333.0,57
HCPCS,C1713,NAIL FEM CANN 12MM 380MM,33027.0,33027.0,3632.97,33027.0,57
HCPCS,C1713,NAIL FEM CANN 12MM 400MM,29864.0,29864.0,3285.04,29864.0,114
HCPCS,C1713,NAIL FEM CANN 12MM 420MM,36180.0,36180.0,3632.97,39333.0,114
HCPCS,C1713,NAIL FEM IM 10MM 36CM,22605.0,22605.0,2486.55,22605.0,57
HCPCS,C1713,NAIL FEM IM 10MM 38CM,49156.0,49156.0,5407.16,49156.0,57
HCPCS,C1713,NAIL FEM LFT 11X17X320MM,40005.0,40005.0,4400.55,40005.0,57
HCPCS,C1713,NAIL FEM LT 10MM 38CM,49156.0,49156.0,5407.16,49156.0,57
HCPCS,C1713,NAIL FEM LT 9MM 34CM,36448.0,36448.0,4009.28,36448.0,57
HCPCS,C1713,NAIL FEM LT 9MM 40CM,49156.0,49156.0,5407.16,49156.0,57
HCPCS,C1713,NAIL FEM RETRO 11.0X300M,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL FX H 19.1CM 3.2MM,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,NAIL HUM 3MM 450MM,4069.0,4069.0,447.59,4069.0,57
HCPCS,C1713,NAIL HUM 8MM 130MM,41100.0,41100.0,4521.0,41100.0,57
HCPCS,C1713,NAIL HUM CANN 11MM 270MM,29917.0,29917.0,3290.87,29917.0,57
HCPCS,C1713,NAIL HUM CANN 11MM 280MM,22240.0,22240.0,2446.4,22240.0,57
HCPCS,C1713,NAIL HUM CANN 7MM 240MM,31018.0,31018.0,3411.98,31018.0,57
HCPCS,C1713,NAIL HUM CANN 7MM 260MM,21513.0,21513.0,2366.43,21513.0,57
HCPCS,C1713,NAIL HUM CANN 7MM 270MM,31034.0,31034.0,3413.74,31034.0,57
HCPCS,C1713,NAIL HUM CANN 9MM 250MM,27617.0,27617.0,3037.87,27617.0,57
HCPCS,C1713,NAIL HUM CANN 9MM 260MM,21513.0,21513.0,2366.43,21513.0,57
HCPCS,C1713,NAIL HUM CANN 9MM 270MM,29037.0,29037.0,3194.07,29037.0,57
HCPCS,C1713,NAIL HUM IM TI T2 7X23MM,25345.0,25345.0,2787.95,25345.0,57
HCPCS,C1713,NAIL HUM LONG 250MM,55485.0,55485.0,6103.35,55485.0,57
HCPCS,C1713,NAIL HUM LT 8MM 260MM,26859.0,26859.0,2954.49,26859.0,57
HCPCS,C1713,NAIL IM 420X11 FEM CNULA,21974.0,21974.0,2417.14,21974.0,57
HCPCS,C1713,NAIL IM CANN TIB 9MMX300,25770.0,25770.0,2834.7,25770.0,57
HCPCS,C1713,NAIL IM NAIL-EX TI L270M,24406.0,24406.0,2684.66,24406.0,57
HCPCS,C1713,NAIL IM TI 11X380MM FEM,18041.0,18041.0,1984.51,18041.0,57
HCPCS,C1713,NAIL IM TI 12MM 360MM TI,25927.0,25927.0,2851.97,25927.0,57
HCPCS,C1713,NAIL IM TI 130D 10MMX17C,23874.0,23874.0,2626.14,23874.0,57
HCPCS,C1713,NAIL IM TI 300MM 12MM TI,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL IM TI L170MM TROCH,24084.0,24084.0,2649.24,24084.0,57
HCPCS,C1713,NAIL IM TI L255MM OD9MM,28927.0,28927.0,3181.97,28927.0,57
HCPCS,C1713,NAIL IM TI L270MM OD9MM,28927.0,28927.0,3181.97,28927.0,57
HCPCS,C1713,NAIL IM TI L285MM OD12MM,25927.0,25927.0,2851.97,25927.0,57
HCPCS,C1713,NAIL IM TI L315MM OD12MM,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL IM TI L405MM OD10MM,24406.0,24406.0,2684.66,24406.0,57
HCPCS,C1713,NAIL IM TI L405MM OD9MM,25770.0,25770.0,2834.7,25770.0,57
HCPCS,C1713,NAIL IM TI L40CM OD13MM,22808.0,22808.0,2508.88,22808.0,57
HCPCS,C1713,NAIL IM TIBIA 10MMX300MM,30924.0,30924.0,3401.64,30924.0,57
HCPCS,C1713,NAIL IM TIBIAL 12X390,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL KN RT 11MM 340MM,29864.0,29864.0,3285.04,29864.0,57
HCPCS,C1713,NAIL LNG 125D 10X380MM,45578.0,45578.0,5013.58,45578.0,57
HCPCS,C1713,NAIL RT FEM NLEX 9X380MM,29839.0,29839.0,3282.29,29839.0,57
HCPCS,C1713,NAIL SCREW 5X34MM,8981.0,8981.0,987.91,8981.0,57
HCPCS,C1713,NAIL SHORT TFN 11X130,23874.0,23874.0,2626.14,23874.0,57
HCPCS,C1713,NAIL TIB 10.7MM 245MM,235718.0,235718.0,25928.98,235718.0,57
HCPCS,C1713,NAIL TIB 10MM 270MM,24452.0,24452.0,2689.72,24452.0,57
HCPCS,C1713,NAIL TIB 11MM 300MM,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL TIB 11MM 31.5CM,28770.0,28770.0,3164.7,28770.0,57
HCPCS,C1713,NAIL TIB 11MM 390MM,23258.0,23258.0,2558.38,23258.0,57
HCPCS,C1713,NAIL TIB 12MM 360MM,20283.0,20283.0,2231.13,20283.0,57
HCPCS,C1713,NAIL TIB 12MM 375MM,24109.0,24109.0,2651.99,24109.0,57
HCPCS,C1713,NAIL TIB 9MM 345MM,20283.0,20283.0,2231.13,20283.0,57
HCPCS,C1713,NAIL TIB CANN TI 9X330MM,28927.0,28927.0,3181.97,28927.0,57
HCPCS,C1713,NAIL TIB IM 11MM 34.5CM,30924.0,30924.0,3401.64,30924.0,57
HCPCS,C1713,NAIL TIBIAL 04.004.552S,30924.0,30924.0,3401.64,30924.0,57
HCPCS,C1713,NAIL TIBIAL 04.004.655S,25927.0,25927.0,2851.97,25927.0,57
HCPCS,C1713,NAIL TROCH 10MM 36CM,28770.0,28770.0,3164.7,28770.0,57
HCPCS,C1713,NAIL TROCH 11MM 20CM,32524.0,32524.0,3577.64,32524.0,57
HCPCS,C1713,NAIL TROCH 11MM 39MM,56996.0,56996.0,6269.56,56996.0,57
HCPCS,C1713,NAIL TROCH 12.5MM 36CM,61250.0,61250.0,6737.5,61250.0,57
HCPCS,C1713,NAIL TROCH 12MM 20CM,32524.0,32524.0,3577.64,32524.0,57
HCPCS,C1713,NAIL TROCH 130D 12X360MM,41100.0,41100.0,4521.0,41100.0,57
HCPCS,C1713,NAIL TROCH 130D 12X400MM,41100.0,41100.0,4521.0,41100.0,57
HCPCS,C1713,NAIL- IM L285 OD10 TIB,28927.0,28927.0,3181.97,28927.0,57
HCPCS,C1713,NAIL- IM L285 OD11 TIB,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL- IM L285 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL- IM L285 OD9 TIB,25927.0,25927.0,2851.97,25927.0,57
HCPCS,C1713,NAIL- IM L300 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL- IM L330 OD11 TIB,27558.0,27558.0,3031.38,27558.0,57
HCPCS,C1713,NAIL- IM L345 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL- IM L360 OD9 TIB,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL- IM L375 OD11 TIB,24406.0,24406.0,2684.66,24406.0,57
HCPCS,C1713,NAIL- IM L375 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NAIL- IM L390 OD10 TIB,25763.0,25763.0,2833.93,25763.0,57
HCPCS,C1713,NAIL- IM L390 OD11 TIB,24406.0,24406.0,2684.66,24406.0,57
HCPCS,C1713,NAIL- IM L390 OD8 TIB,18946.0,18946.0,2084.06,18946.0,57
HCPCS,C1713,NUT BN 4.5MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,NUT BN ORTH 5MM,2898.0,2898.0,318.78,2898.0,57
HCPCS,C1713,PACK SURG 1.1MM SPD LPRO,57787.0,57787.0,6356.57,57787.0,57
HCPCS,C1713,PEG BN 2.7MM 20MM,1885.5,1885.5,171.82,2209.0,114
HCPCS,C1713,PEG BN 2.7MM 21MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,PEG BN 2MM 14MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,PEG BN 2MM 19MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,PEG BN 5X70MM,8981.0,8981.0,987.91,8981.0,57
HCPCS,C1713,PEG BN CORT 2.3MM 24MM,8284.0,8284.0,911.24,8284.0,57
HCPCS,C1713,PEG BN CORT LCK 2.3X18MM,3720.0,3720.0,409.2,3720.0,57
HCPCS,C1713,PEG BN CORT LCK 2.3X20MM,3720.0,3720.0,409.2,3720.0,57
HCPCS,C1713,PEG BN FEM KN MOD,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,PEG BN FX 2.7MM 20MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1713,PEG BN FX 2.7MM 24MM,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,PEG BN FX 2MM 26MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,PEG BN FX THRD 2.3X20MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN HI CMPR 2.7X14,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,PEG BN HI-CMPR 2.7X18MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,PEG BN LCK 2.3X23MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN LCK 2.3X24MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN LCK 2.3X26MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN LCK 2.7MM 16MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,PEG BN LCK SMTH 2X17MM,1975.0,1975.0,217.25,1975.0,57
HCPCS,C1713,PEG BN N-LCK 2.7X18MM,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,PEG BN NLCKG 2.7MM 26MM,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,PEG BN THD NLCK 2.7X24MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1713,PEG BN THRD 2.3MM 10MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN THRD 2.7MM 10MM,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,PEG BN THRD 2.7MM 12MM,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,PEG BN THRD 2.7MM 14MM,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,PEG BN THRD 2.7MM 16MM,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,PEG BN THRD 2.7X24MM,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,PEG BN THRD LCK 2.3X12MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN THRD LCK 2.3X14MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN THRD LCK 2.3X18MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN THRD LCK 2.3X21MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG BN THRD LCK 2.3X22MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG CORT NLCK 2.7X26MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1713,PEG FX 2.3MM 16MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PEG FX 2.3MM 18MM,1583.0,1583.0,174.13,1583.0,57
HCPCS,C1713,PEG FX 2.7MM 23MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,PEG FX 2MM 16MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,PEG FX 2MM 24MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,PEG FX BN 2.3MM 24MM,1583.0,1583.0,174.13,1583.0,57
HCPCS,C1713,PEG FX CORT LCK 2.3X22MM,3720.0,3720.0,409.2,3720.0,57
HCPCS,C1713,PEG FX LCK 2X21MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,PEG FX LNG 10MM,33908.0,33908.0,3729.88,33908.0,57
HCPCS,C1713,PEG FX N-LCK 2.7MM 30MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1713,PEG FX THRD LCK 2.3X24MM,1583.0,1583.0,174.13,1583.0,57
HCPCS,C1713,PEG HI-COMP LCK 2.7X19MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,PEG HI-COMP LCK 2.7X22MM,2209.0,2209.0,242.99,2209.0,57
HCPCS,C1713,PEG HI-COMP LCK 2.7X24MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,PEG HI-COMP LCK 2.7X26MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,PEG LCK SMOOTH 2X20MM,2054.0,2054.0,225.94,2054.0,57
HCPCS,C1713,PEG LCK SMOOTH 2X23MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,PEG LCK SMTH 2X22MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,PEG SMTH LCK 2.0X18MM,2054.0,2054.0,225.94,2054.0,57
HCPCS,C1713,PEG THRD LCK 2.3X19MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,PIN AXIS BOOM 2.5X45MM,5919.0,5919.0,651.09,5919.0,57
HCPCS,C1713,PIN AXIS BOOM 2.5X55MM,5919.0,5919.0,651.09,5919.0,57
HCPCS,C1713,PIN BN 2.5MM 40MM,5919.0,5919.0,651.09,5919.0,57
HCPCS,C1713,PIN BN 4.8MM 47CM,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN BN FEM FX AXL SZ2,36709.0,36709.0,4037.99,36709.0,57
HCPCS,C1713,PIN BN FX 2.1MM 4MM,11467.0,11467.0,1261.37,11467.0,57
HCPCS,C1713,PIN BN KN CMPNTRESS,3033.0,3033.0,333.63,3033.0,57
HCPCS,C1713,PIN BN PSTN 4.5MM,3237.0,3237.0,356.07,3237.0,57
HCPCS,C1713,PIN BN STB 22/13X140MM,60109.0,60109.0,6611.99,60109.0,57
HCPCS,C1713,PIN BUTTRESS 1.8X12MM,913.0,913.0,100.43,913.0,57
HCPCS,C1713,PIN BUTTRESS 1.8X30MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,PIN CRNL FX 2.1X9MM,7787.0,7787.0,856.57,7787.0,57
HCPCS,C1713,PIN CRNL FX 7MM 2.1MM,11467.0,11467.0,1261.37,11467.0,57
HCPCS,C1713,PIN DRILL 1.5MM 100MM,7797.0,7797.0,857.67,7797.0,57
HCPCS,C1713,PIN FEM FX AXL SZ 4,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1713,PIN FX 1/8IN STNM SS,207.0,207.0,14.49,207.0,71
HCPCS,C1713,PIN FX 114MM 3.2MM RUSH,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN FX 127MM 3.2MM RUSH,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN FX 2.1X4MM,45868.0,45868.0,5045.48,45868.0,57
HCPCS,C1713,PIN FX 222MM 4.8MM RUSH,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN FX 254MM 3.2MM RUSH,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN FX 280MM 6MM,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,PIN FX 29.8CM 4.8MM,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN FX 318MM 4.8MM RUSH,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN FX AXIS IJS 50X2.5MM,5919.0,5919.0,651.09,5919.0,57
HCPCS,C1713,PIN FX ORTH LCK 5MM,1386.0,1386.0,152.46,1386.0,57
HCPCS,C1713,PIN FX SPN 5X2.1MM,44855.0,44855.0,4934.05,44855.0,57
HCPCS,C1713,PIN FX SS STNM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,PIN MD D1/8X10-1/2IN,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN MDLRY RUSH 4.8X35.6,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN MXFCL FX 2.1X5 SNWLD,10563.0,10563.0,1161.93,10563.0,57
HCPCS,C1713,PIN RUSH 1 3/32 1 1/2,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN RUSH 1 3/32X2 1/2,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN RUSH 1 3/32X2 3/4,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN RUSH 3.2 DX102,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN RUSH 3.2 DX152,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN RUSH 3.2 DX216,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN RUSH 3.2MM 20.3CM,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN RUSH 4.8 DX203,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN RUSH 4.8 DX241,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN RUSH 4.8 DX260,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN RUSH 4.8 DX279,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN RUSH 4.8 DX337,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,PIN RUSH MDLRY 178X3.2MM,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PIN RUSH MDLRY 3.2,1597.0,1597.0,175.67,1597.0,57
HCPCS,C1713,PLATE .8MM LT MXL PRBNT,8541.0,8541.0,939.51,8541.0,57
HCPCS,C1713,PLATE 1.5 TI T/3 HL 40,4809.0,4809.0,528.99,4809.0,57
HCPCS,C1713,PLATE 1.5MM STRAIGHT LCK,11056.0,11056.0,1216.16,11056.0,57
HCPCS,C1713,PLATE 1.6 PRBNT 6 RT,6231.0,6231.0,685.41,6231.0,57
HCPCS,C1713,PLATE 1/3 TBLR 5H 56MM,8531.0,8531.0,938.41,8531.0,57
HCPCS,C1713,PLATE 1/3 TBLR 73MM 6HL,1574.0,1574.0,173.14,1574.0,57
HCPCS,C1713,PLATE 1/3 TBLR 97MM 8HL,1753.0,1753.0,192.83,1753.0,57
HCPCS,C1713,PLATE 1/3 TUBLR 5HL 25MM,1642.0,1642.0,180.62,1642.0,57
HCPCS,C1713,PLATE 100D 10MM DSPL 50M,8867.0,8867.0,975.37,8867.0,57
HCPCS,C1713,PLATE 100D 15X4.5,10274.0,10274.0,1130.14,10274.0,57
HCPCS,C1713,PLATE 100D 5MM LT MDFC,3921.0,3921.0,431.31,3921.0,57
HCPCS,C1713,PLATE 109MM SS 4.5MM SCR,9456.0,9456.0,1040.16,9456.0,57
HCPCS,C1713,PLATE 10H 1LV 43MM,13303.0,13303.0,1463.33,13303.0,57
HCPCS,C1713,PLATE 10HL RT 3.5/4.5MM,55244.0,55244.0,6076.84,55244.0,57
HCPCS,C1713,PLATE 10MM .8MM RT MXL,8541.0,8541.0,939.51,8541.0,57
HCPCS,C1713,PLATE 10X.6X2MM CHIN BAR,5349.0,5349.0,588.39,5349.0,57
HCPCS,C1713,PLATE 116MM TI 3.5MM SCR,2772.0,2772.0,304.92,2772.0,57
HCPCS,C1713,PLATE 116X11X2.5MM 3.5MM,19876.0,19876.0,2186.36,19876.0,57
HCPCS,C1713,PLATE 12 HOLE CURVED,3857.0,3857.0,424.27,3857.0,57
HCPCS,C1713,PLATE 120X120MM TI BN,42494.0,42494.0,4674.34,42494.0,57
HCPCS,C1713,PLATE 130D 111X23MM SS 5,11868.0,11868.0,1305.48,11868.0,57
HCPCS,C1713,PLATE 130D 143X23-15MM,12671.0,12671.0,1393.81,12671.0,57
HCPCS,C1713,PLATE 130D 65MMX94MM,19739.0,19739.0,2171.29,19739.0,57
HCPCS,C1713,PLATE 142X11X3.7MM 6H,24884.0,24884.0,2737.24,24884.0,57
HCPCS,C1713,PLATE 18MM LEFT L MINI,3468.0,3468.0,381.48,3468.0,57
HCPCS,C1713,PLATE 2.0 7HOLE CURVED,6964.0,6964.0,766.04,6964.0,57
HCPCS,C1713,PLATE 2.0 LC DCP 4H 27,4273.0,4273.0,470.03,4273.0,57
HCPCS,C1713,PLATE 2.4 DIS RAD L-PT +,8925.0,8925.0,826.21,10339.0,114
HCPCS,C1713,PLATE 2.4 DIS RAD L-PT -,7511.0,7511.0,826.21,7511.0,57
HCPCS,C1713,PLATE 2.4 TI 3X8 56MM,4186.0,4186.0,460.46,4186.0,57
HCPCS,C1713,PLATE 2.7 SS L 242.31,822.0,822.0,90.42,822.0,57
HCPCS,C1713,PLATE 20MM SS 2.7MM SCR,1701.0,1701.0,187.11,1701.0,57
HCPCS,C1713,PLATE 23MM RIGHT L MINI,3295.0,3295.0,362.45,3295.0,57
HCPCS,C1713,PLATE 2X2 BLUE BOX,3473.0,3473.0,382.03,3473.0,57
HCPCS,C1713,PLATE 3.5 3H-RT 241.262,18477.0,18477.0,2032.47,18477.0,57
HCPCS,C1713,PLATE 3.5 DIS HUM SUP 7H,19876.0,19876.0,2186.36,19876.0,57
HCPCS,C1713,PLATE 3.5 RECON 245.18,6422.0,6422.0,706.42,6422.0,57
HCPCS,C1713,PLATE 32MM SS 2.7MM SCR,822.0,822.0,90.42,822.0,57
HCPCS,C1713,PLATE 35MM SS 2.4MM SCR,5956.0,5956.0,655.16,5956.0,57
HCPCS,C1713,PLATE 39X5X1.2MM 2MM SCR,4033.0,4033.0,443.63,4033.0,57
HCPCS,C1713,PLATE 4 CHIN BN TI,4497.0,4497.0,494.67,4497.0,57
HCPCS,C1713,PLATE 4 HOLE STRAIGHT,3194.0,3194.0,351.34,3194.0,57
HCPCS,C1713,PLATE 4 HOLES RT,26469.0,26469.0,2911.59,26469.0,57
HCPCS,C1713,PLATE 4.5 BROAD LCP 18 H,20049.0,20049.0,2205.39,20049.0,57
HCPCS,C1713,PLATE 57MM SS 2.7MM SCR,4377.0,4377.0,481.47,4377.0,57
HCPCS,C1713,PLATE 5MM CRNFCL LT 2MM,5076.0,5076.0,558.36,5076.0,57
HCPCS,C1713,PLATE 6 HOLE CURVD GAP 4,5258.0,5258.0,578.38,5258.0,57
HCPCS,C1713,PLATE 65X11X2.5MM 3.5MM,21177.0,21177.0,2329.47,21177.0,57
HCPCS,C1713,PLATE 6HL 130D 80MM,15256.0,15256.0,1678.16,15256.0,57
HCPCS,C1713,PLATE 7HL DCP 39X5X1.2MM,4768.0,4768.0,524.48,4768.0,57
HCPCS,C1713,PLATE 7MM CRNFCL RT 2MM,5076.0,5076.0,558.36,5076.0,57
HCPCS,C1713,PLATE 8-PLT 2HL 12MM PED,7144.0,7144.0,785.84,7144.0,57
HCPCS,C1713,PLATE 8MM TI 4 HL L BAR,3921.0,3921.0,431.31,3921.0,57
HCPCS,C1713,PLATE 90D 1.8MM,79270.0,79270.0,8719.7,79270.0,57
HCPCS,C1713,PLATE 90D 127X19MM 7HL,11834.0,11834.0,1301.74,11834.0,57
HCPCS,C1713,PLATE 90D 7HL PED CNDRL,12671.0,12671.0,1393.81,12671.0,57
HCPCS,C1713,PLATE 9MM CHIN MOD 2MMSC,5422.0,5422.0,596.42,5422.0,57
HCPCS,C1713,PLATE 9MM CRNFCL LT 2MM,5389.0,5389.0,592.79,5389.0,57
HCPCS,C1713,PLATE 9MM CRNFCL RT 2MM,5389.0,5389.0,592.79,5389.0,57
HCPCS,C1713,PLATE ANG LG 6.5X1.5MM M,18941.0,18941.0,2083.51,18941.0,57
HCPCS,C1713,PLATE AO DCP 2.7 7H 60M,2733.0,2733.0,300.63,2733.0,57
HCPCS,C1713,PLATE AO PLAD DCS 95 D,21080.0,21080.0,2318.8,21080.0,57
HCPCS,C1713,PLATE ARCH 3 LVL 56MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE ARCH 3 LVL 58MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE ARCHON 22MM 1 LVL,22779.0,22779.0,2505.69,22779.0,57
HCPCS,C1713,PLATE ARCHON 44MM 2 LVL,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE ARCHON 62MM 3-LEVE,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE AVTR BN 2LVL 34MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE BN .4MM,3343.0,3343.0,367.73,3343.0,57
HCPCS,C1713,PLATE BN .4MM 20HL,3909.0,3909.0,429.99,3909.0,57
HCPCS,C1713,PLATE BN .4MM MED,17128.0,17128.0,1884.08,17128.0,57
HCPCS,C1713,PLATE BN .4X14X14MM,3272.0,3272.0,359.92,3272.0,57
HCPCS,C1713,PLATE BN .5MM 30MM,15418.0,15418.0,1695.98,15418.0,57
HCPCS,C1713,PLATE BN .6X1.2MM 2HL,4297.0,4297.0,472.67,4297.0,57
HCPCS,C1713,PLATE BN .6X1.2MM 7HL,3366.0,3366.0,370.26,3366.0,57
HCPCS,C1713,PLATE BN .6X1.2MM 8HL,4804.0,4804.0,528.44,4804.0,57
HCPCS,C1713,PLATE BN .6X6MM,3607.0,3607.0,396.77,3607.0,57
HCPCS,C1713,PLATE BN .7MM 3X3H,5359.0,5359.0,589.49,5359.0,57
HCPCS,C1713,PLATE BN .8MM 1.5MM,11755.0,11755.0,1293.05,11755.0,57
HCPCS,C1713,PLATE BN 0.35MM 19MM,3167.0,3167.0,348.37,3167.0,57
HCPCS,C1713,PLATE BN 0.5MM 22MM,6576.0,6576.0,723.36,6576.0,57
HCPCS,C1713,PLATE BN 0.6MM 30MM,5898.0,5898.0,648.78,5898.0,57
HCPCS,C1713,PLATE BN 0.6MM 40MM,22149.0,22149.0,2436.39,22149.0,57
HCPCS,C1713,PLATE BN 0.6MM 8MM,3607.0,3607.0,396.77,3607.0,57
HCPCS,C1713,PLATE BN 0.6X100X100M,29218.0,29218.0,3213.98,29218.0,57
HCPCS,C1713,PLATE BN 0.8MM 18MM,2877.0,2877.0,316.47,2877.0,57
HCPCS,C1713,PLATE BN 1.0MM 21MM,5087.0,5087.0,559.57,5087.0,57
HCPCS,C1713,PLATE BN 1.2/1.5 8H.8MM,11714.0,11714.0,1288.54,11714.0,57
HCPCS,C1713,PLATE BN 1.25MM,6466.0,6466.0,711.26,6466.0,57
HCPCS,C1713,PLATE BN 1.2X1.5MM 2.4HL,6700.0,6700.0,737.0,6700.0,57
HCPCS,C1713,PLATE BN 1.5/0.5MM 35MM,2610.0,2610.0,287.1,2610.0,57
HCPCS,C1713,PLATE BN 1.5MM,4965.0,4965.0,447.81,5859.0,114
HCPCS,C1713,PLATE BN 1.5MM4H LVL1,2713.0,2713.0,298.43,2713.0,57
HCPCS,C1713,PLATE BN 1.5X10X77MM,6670.0,6670.0,733.7,6670.0,57
HCPCS,C1713,PLATE BN 1.5X90 2 HL,5452.0,5452.0,599.72,5452.0,57
HCPCS,C1713,PLATE BN 1.7X8MM 6 HL RT,3839.0,3839.0,422.29,3839.0,57
HCPCS,C1713,PLATE BN 1/3 12HL 144MM,3884.0,3884.0,427.24,3884.0,57
HCPCS,C1713,PLATE BN 1/3 3H 36MM,3124.0,3124.0,343.64,3124.0,57
HCPCS,C1713,PLATE BN 1/3 4HL 47MM,7707.0,7707.0,847.77,7707.0,57
HCPCS,C1713,PLATE BN 1/3TB 8H 96MM,13272.0,13272.0,1459.92,13272.0,57
HCPCS,C1713,PLATE BN 1/3TBLR 107MM,7501.0,7501.0,825.11,7501.0,57
HCPCS,C1713,PLATE BN 1/3TUB 6HL 71MM,8231.0,8231.0,905.41,8231.0,57
HCPCS,C1713,PLATE BN 100D 12MM,3917.0,3917.0,430.87,3917.0,57
HCPCS,C1713,PLATE BN 100D 5H 5MM,3626.0,3626.0,398.86,3626.0,57
HCPCS,C1713,PLATE BN 100D 5HL 2MM,4327.0,4327.0,475.97,4327.0,57
HCPCS,C1713,PLATE BN 100MM CRNMX TI3,10886.0,10886.0,1197.46,10886.0,57
HCPCS,C1713,PLATE BN 101MM,36210.0,36210.0,3983.1,36210.0,57
HCPCS,C1713,PLATE BN 10H 132MM,8508.0,8508.0,935.88,8508.0,57
HCPCS,C1713,PLATE BN 10H 3.5/4.5/5MM,50219.0,50219.0,5524.09,50219.0,57
HCPCS,C1713,PLATE BN 10H 3.5/4.5MM,50219.0,50219.0,5524.09,50219.0,57
HCPCS,C1713,PLATE BN 10H 3.5MM 137MM,6244.0,6244.0,686.84,6244.0,57
HCPCS,C1713,PLATE BN 10H 3.5MM 140MM,9751.0,9751.0,1072.61,9751.0,57
HCPCS,C1713,PLATE BN 10H LT 230MM,26644.0,26644.0,2930.84,26644.0,57
HCPCS,C1713,PLATE BN 10HL 199MM,28442.0,28442.0,3128.62,28442.0,114
HCPCS,C1713,PLATE BN 10HL 2.7MM 90MM,14653.0,14653.0,1611.83,14653.0,57
HCPCS,C1713,PLATE BN 10HL 2MM 63MM,13519.0,13519.0,1487.09,13519.0,57
HCPCS,C1713,PLATE BN 10HL 3.5X130MM,9285.0,9285.0,1021.35,9285.0,57
HCPCS,C1713,PLATE BN 10HL 3.5X177MM,31105.0,31105.0,3421.55,31105.0,114
HCPCS,C1713,PLATE BN 10HL 3.5X194MM,25400.0,25400.0,2794.0,25400.0,57
HCPCS,C1713,PLATE BN 10HL 3.5X230MM,26154.0,26154.0,2876.94,26154.0,57
HCPCS,C1713,PLATE BN 10HL 3.5X232MM,29857.0,29857.0,3284.27,29857.0,57
HCPCS,C1713,PLATE BN 10HL 4.5MM 19MM,27974.0,27974.0,3077.14,27974.0,57
HCPCS,C1713,PLATE BN 10HL 4.5X188MM,10785.0,10785.0,1186.35,10785.0,57
HCPCS,C1713,PLATE BN 10HL 4.5X230MM,31588.0,31588.0,3474.68,31588.0,57
HCPCS,C1713,PLATE BN 10HL 4.5X242MM,30760.0,30760.0,3383.6,30760.0,57
HCPCS,C1713,PLATE BN 10HL 49MM,17124.0,17124.0,1883.64,17124.0,114
HCPCS,C1713,PLATE BN 10HL 5X222MM,68185.0,68185.0,7500.35,68185.0,57
HCPCS,C1713,PLATE BN 10HL 62MM,10954.0,10954.0,1204.94,10954.0,57
HCPCS,C1713,PLATE BN 10HL ORBT 1.2MM,4524.0,4524.0,497.64,4524.0,57
HCPCS,C1713,PLATE BN 110MM,45416.0,45416.0,4995.76,45416.0,57
HCPCS,C1713,PLATE BN 111MM 3.5MM,5821.0,5821.0,640.31,5821.0,57
HCPCS,C1713,PLATE BN 117X9X1MM,3112.0,3112.0,342.32,3112.0,57
HCPCS,C1713,PLATE BN 118MM 2.7MM,14742.0,14742.0,1621.62,14742.0,57
HCPCS,C1713,PLATE BN 11H 3.5MM 154MM,9537.0,9537.0,1049.07,9537.0,57
HCPCS,C1713,PLATE BN 11HL 3.5X181MM,21578.0,21578.0,2373.58,21578.0,57
HCPCS,C1713,PLATE BN 11HL 4.5X206MM,10217.0,10217.0,1123.87,10217.0,57
HCPCS,C1713,PLATE BN 11HL SHORT,16851.0,16851.0,1853.61,16851.0,57
HCPCS,C1713,PLATE BN 11MM,41166.0,41166.0,4528.26,41166.0,57
HCPCS,C1713,PLATE BN 11MM 81X10X2MM,17539.0,17539.0,1929.29,17539.0,57
HCPCS,C1713,PLATE BN 126MM 126MM,67229.0,67229.0,7395.19,67229.0,57
HCPCS,C1713,PLATE BN 12H 0.8MM,6701.0,6701.0,737.11,6701.0,57
HCPCS,C1713,PLATE BN 12H 1.0M,5323.0,5323.0,585.53,5323.0,57
HCPCS,C1713,PLATE BN 12H 2.4MM 96MM,13728.0,13728.0,1510.08,13728.0,57
HCPCS,C1713,PLATE BN 12H 202MM,27622.0,27622.0,3038.42,27622.0,57
HCPCS,C1713,PLATE BN 12H 2MM 22MM,2183.0,2183.0,240.13,2183.0,57
HCPCS,C1713,PLATE BN 12H 2MM 81MM,6135.0,6135.0,674.85,6135.0,57
HCPCS,C1713,PLATE BN 12H 70MM,4584.0,4584.0,504.24,4584.0,57
HCPCS,C1713,PLATE BN 12HL .5MM,6701.0,6701.0,737.11,6701.0,57
HCPCS,C1713,PLATE BN 12HL 1.3X47MM,3765.0,3765.0,414.15,3765.0,57
HCPCS,C1713,PLATE BN 12HL 1.5MM,6067.0,6067.0,667.37,6067.0,57
HCPCS,C1713,PLATE BN 12HL 1.5X59MM,3765.0,3765.0,414.15,3765.0,57
HCPCS,C1713,PLATE BN 12HL 2.7X107MM,12716.0,12716.0,1398.76,12716.0,57
HCPCS,C1713,PLATE BN 12HL 3.5X163MM,6888.0,6888.0,757.68,6888.0,57
HCPCS,C1713,PLATE BN 12HL 3.5X184MM,44882.0,44882.0,4937.02,44882.0,57
HCPCS,C1713,PLATE BN 12HL 4.5MM,14298.0,14298.0,1572.78,14298.0,57
HCPCS,C1713,PLATE BN 12HL 4.5X224MM,12730.0,12730.0,1400.3,12730.0,57
HCPCS,C1713,PLATE BN 12HL 4.5X229MM,12174.0,12174.0,1339.14,12174.0,57
HCPCS,C1713,PLATE BN 12HL 95D 50X204,15643.0,15643.0,1720.73,15643.0,57
HCPCS,C1713,PLATE BN 12HS 156MM,11776.0,11776.0,1295.36,11776.0,57
HCPCS,C1713,PLATE BN 130D 5HL 94MM,10245.0,10245.0,1126.95,10245.0,57
HCPCS,C1713,PLATE BN 130D 7HL 3.5MM,11834.0,11834.0,1301.74,11834.0,57
HCPCS,C1713,PLATE BN 134X2.7/3.5MM,20059.0,20059.0,2206.49,20059.0,57
HCPCS,C1713,PLATE BN 135D 3 HL 62MM,11272.0,11272.0,1239.92,11272.0,57
HCPCS,C1713,PLATE BN 135D 6HL 110MM,7817.0,7817.0,859.87,7817.0,57
HCPCS,C1713,PLATE BN 138MM,9562.0,9562.0,1051.82,9562.0,57
HCPCS,C1713,PLATE BN 13H 3.5MM 176MM,8104.0,8104.0,891.44,8104.0,57
HCPCS,C1713,PLATE BN 13MM 20MM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,PLATE BN 142MM 2.7/3.5MM,27188.0,27188.0,2990.68,27188.0,57
HCPCS,C1713,PLATE BN 145D 4HL 78MM,10245.0,10245.0,1126.95,10245.0,57
HCPCS,C1713,PLATE BN 14H 218MM,22832.0,22832.0,2511.52,22832.0,57
HCPCS,C1713,PLATE BN 14H 3.5MM,26744.0,26744.0,2941.84,26744.0,57
HCPCS,C1713,PLATE BN 14H 3.5MM 189MM,11359.0,11359.0,1249.49,11359.0,57
HCPCS,C1713,PLATE BN 14H 3.5MM 196MM,10798.0,10798.0,1187.78,10798.0,57
HCPCS,C1713,PLATE BN 14H 4.5MM 260MM,14173.0,14173.0,1559.03,14173.0,57
HCPCS,C1713,PLATE BN 14HL 174MM,13050.0,13050.0,1435.5,13050.0,57
HCPCS,C1713,PLATE BN 14HL 206X3.5MM,30129.0,30129.0,3314.19,30129.0,57
HCPCS,C1713,PLATE BN 14HL 259MM,26387.0,26387.0,2902.57,26387.0,57
HCPCS,C1713,PLATE BN 14HL 262MM,30693.0,30693.0,3376.23,30693.0,57
HCPCS,C1713,PLATE BN 14HL 3.5MM,11387.0,11387.0,1252.57,11387.0,57
HCPCS,C1713,PLATE BN 14HL 3.5X189MM,10332.0,10332.0,1136.52,10332.0,57
HCPCS,C1713,PLATE BN 14HL 4.5X260MM,12623.0,12623.0,1388.53,12623.0,57
HCPCS,C1713,PLATE BN 14HL 4.5X264MM,15175.0,15175.0,1669.25,15175.0,57
HCPCS,C1713,PLATE BN 14HL 4.5X301MM,34398.0,34398.0,3783.78,34398.0,114
HCPCS,C1713,PLATE BN 14MM SS RT,8826.0,8826.0,970.86,8826.0,57
HCPCS,C1713,PLATE BN 150D 5HL 94MM,7817.0,7817.0,859.87,7817.0,57
HCPCS,C1713,PLATE BN 15MM,6081.0,6081.0,668.91,6081.0,57
HCPCS,C1713,PLATE BN 16H 254MM,35634.0,35634.0,3919.74,35634.0,57
HCPCS,C1713,PLATE BN 16H 3.5MM 224MM,11716.0,11716.0,1288.76,11716.0,57
HCPCS,C1713,PLATE BN 16H 343MM,36538.0,36538.0,4019.18,36538.0,57
HCPCS,C1713,PLATE BN 16H 4.5MM 296MM,16464.0,16464.0,1811.04,16464.0,57
HCPCS,C1713,PLATE BN 16HL 215X3.5MM,11560.0,11560.0,1271.6,11560.0,57
HCPCS,C1713,PLATE BN 16HL 232X3.5MM,31202.0,31202.0,3432.22,31202.0,57
HCPCS,C1713,PLATE BN 16HL 3.5MM,14264.0,14264.0,1569.04,14264.0,57
HCPCS,C1713,PLATE BN 16HL 3.5X232MM,31202.0,31202.0,3432.22,31202.0,57
HCPCS,C1713,PLATE BN 16HL 3.5X249MM,26756.0,26756.0,2943.16,26756.0,57
HCPCS,C1713,PLATE BN 16HL 4.5X339MM,35083.0,35083.0,3859.13,35083.0,114
HCPCS,C1713,PLATE BN 16MM 16MM,3343.0,3343.0,367.73,3343.0,57
HCPCS,C1713,PLATE BN 170X13.5X4.2MM,8570.0,8570.0,942.7,8570.0,57
HCPCS,C1713,PLATE BN 18H 375MM 4.5MM,32885.0,32885.0,3617.35,32885.0,57
HCPCS,C1713,PLATE BN 18HL,10152.0,10152.0,1116.72,10152.0,57
HCPCS,C1713,PLATE BN 18HL 280MM,30558.0,30558.0,3361.38,30558.0,57
HCPCS,C1713,PLATE BN 18HL 3.5X241MM,12970.0,12970.0,1426.7,12970.0,57
HCPCS,C1713,PLATE BN 18HL 3.5X307MM,55383.0,55383.0,6092.13,55383.0,57
HCPCS,C1713,PLATE BN 18HL 379MM,37997.0,37997.0,4179.67,37997.0,57
HCPCS,C1713,PLATE BN 18HL 4.5MM,19383.0,19383.0,2132.13,19383.0,57
HCPCS,C1713,PLATE BN 18HL 4.5X332MM,14946.0,14946.0,1644.06,14946.0,57
HCPCS,C1713,PLATE BN 18HL 46X23MM,14387.0,14387.0,1582.57,14387.0,57
HCPCS,C1713,PLATE BN 18MM,27750.0,27750.0,3052.5,27750.0,57
HCPCS,C1713,PLATE BN 18MM PRFL ZERO,3715.0,3715.0,408.65,3715.0,57
HCPCS,C1713,PLATE BN 18MM RT L SHP,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,PLATE BN 1H 69MM,17414.0,17414.0,1915.54,17414.0,57
HCPCS,C1713,PLATE BN 1HL LT SHT 69MM,17414.0,17414.0,1915.54,17414.0,57
HCPCS,C1713,PLATE BN 1LVL 1MM 5HL,2849.0,2849.0,313.39,2849.0,57
HCPCS,C1713,PLATE BN 1LVL 2MM,3826.0,3826.0,420.86,3826.0,57
HCPCS,C1713,PLATE BN 1MM 34MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,PLATE BN 1MM LVL 1,3568.0,3568.0,392.48,3568.0,57
HCPCS,C1713,PLATE BN 1MM LVL1 2T CRN,3554.0,3554.0,390.94,3554.0,57
HCPCS,C1713,PLATE BN 1MMM,5812.0,5812.0,639.32,5812.0,57
HCPCS,C1713,PLATE BN 1ST MED,32058.0,32058.0,3526.38,32058.0,57
HCPCS,C1713,PLATE BN 1STP 135D 270MM,13875.0,13875.0,1526.25,13875.0,57
HCPCS,C1713,PLATE BN 2.0 10H 67MM,10954.0,10954.0,1204.94,10954.0,57
HCPCS,C1713,PLATE BN 2.4MM,8668.0,8668.0,901.89,9137.0,114
HCPCS,C1713,PLATE BN 2.4MM 145MM,31619.0,31619.0,3478.09,31619.0,57
HCPCS,C1713,PLATE BN 2.4MM 170MM,975.0,975.0,107.25,975.0,57
HCPCS,C1713,PLATE BN 2.4MM 57MM,5586.0,5586.0,614.46,5586.0,57
HCPCS,C1713,PLATE BN 2.4MM 58MM,10665.0,10665.0,1173.15,10665.0,57
HCPCS,C1713,PLATE BN 2.4MM 87MM,16697.0,16697.0,1836.67,16697.0,57
HCPCS,C1713,PLATE BN 2.5X11X116MM,21438.0,21438.0,2358.18,21438.0,57
HCPCS,C1713,PLATE BN 2.7/3.5MM 103MM,10010.0,10010.0,1101.1,10010.0,57
HCPCS,C1713,PLATE BN 2.7/3.5MM 111MM,20703.0,20703.0,2277.33,20703.0,57
HCPCS,C1713,PLATE BN 2.7/3.5MM 121MM,20059.0,20059.0,2206.49,20059.0,57
HCPCS,C1713,PLATE BN 2.7/3.5MM 147MM,20059.0,20059.0,2206.49,20059.0,57
HCPCS,C1713,PLATE BN 2.7/3.5MM 89MM,16615.0,16615.0,1827.65,16615.0,57
HCPCS,C1713,PLATE BN 2.7/3.5X125MM,11319.0,11319.0,1245.09,11319.0,57
HCPCS,C1713,PLATE BN 2.7/3.5X142MM,27601.0,27601.0,3036.11,27601.0,57
HCPCS,C1713,PLATE BN 2.7/3.5X172MM,25059.5,25059.5,2491.39,27470.0,114
HCPCS,C1713,PLATE BN 2.7MM,41984.0,41984.0,4618.24,41984.0,57
HCPCS,C1713,PLATE BN 2.7MM 147MM,14653.0,14653.0,1611.83,14653.0,57
HCPCS,C1713,PLATE BN 2.7MM 3.5MM,32052.0,32052.0,1650.22,36086.0,285
HCPCS,C1713,PLATE BN 2.7MM 49MM,7059.0,7059.0,776.49,7059.0,57
HCPCS,C1713,PLATE BN 2.7MM 73MM,10664.0,10664.0,1173.04,10664.0,57
HCPCS,C1713,PLATE BN 2.7MM 95MM,19266.0,19266.0,2119.26,19266.0,57
HCPCS,C1713,PLATE BN 2.7MM 97MM,7794.0,7794.0,857.34,7794.0,57
HCPCS,C1713,PLATE BN 2.7MM 99MM,10996.0,10996.0,1209.56,10996.0,57
HCPCS,C1713,PLATE BN 2.7X108MM,15577.0,15577.0,1713.47,15577.0,57
HCPCS,C1713,PLATE BN 2.7X40MM,15447.0,15447.0,1699.17,15447.0,57
HCPCS,C1713,PLATE BN 2.7X66MM,9501.0,9501.0,1045.11,9501.0,57
HCPCS,C1713,PLATE BN 2/4HL 1.5MM,7809.0,7809.0,858.99,7809.0,57
HCPCS,C1713,PLATE BN 20H .5MM 1.7MM,9860.0,9860.0,1084.6,9860.0,57
HCPCS,C1713,PLATE BN 20H 0.7MM,13021.0,13021.0,1432.31,13021.0,57
HCPCS,C1713,PLATE BN 20H 2.7MM 155MM,14653.0,14653.0,1611.83,14653.0,57
HCPCS,C1713,PLATE BN 20H 329MM,31832.0,31832.0,3501.52,31832.0,57
HCPCS,C1713,PLATE BN 20HL 0.8MM,11928.0,11928.0,1312.08,11928.0,57
HCPCS,C1713,PLATE BN 20HL 111MM,10954.0,10954.0,1204.94,10954.0,57
HCPCS,C1713,PLATE BN 20HL 11MM 50MM,9673.0,9673.0,1064.03,9673.0,57
HCPCS,C1713,PLATE BN 20HL 3.5X301MM,25773.0,25773.0,2835.03,25773.0,57
HCPCS,C1713,PLATE BN 20HL 6MM 82MM,5949.0,5949.0,654.39,5949.0,57
HCPCS,C1713,PLATE BN 223MM 3.5MM,25486.0,25486.0,2803.46,25486.0,57
HCPCS,C1713,PLATE BN 224X13.5X4.2MM,11261.0,11261.0,1238.71,11261.0,57
HCPCS,C1713,PLATE BN 22H 3.5X293MM,14410.0,14410.0,1585.1,14410.0,57
HCPCS,C1713,PLATE BN 22HL 331MM,31298.0,31298.0,3442.78,31298.0,57
HCPCS,C1713,PLATE BN 237MM 3.5MM,34181.5,34181.5,3535.73,36220.0,114
HCPCS,C1713,PLATE BN 23MM LT L RGD,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,PLATE BN 242X13.5X4.2MM,10460.0,10460.0,1150.6,10460.0,57
HCPCS,C1713,PLATE BN 24HL .1MM,7862.0,7862.0,864.82,7862.0,57
HCPCS,C1713,PLATE BN 250MM,40094.0,40094.0,4410.34,40094.0,57
HCPCS,C1713,PLATE BN 25MM .5MM,8734.0,8734.0,960.74,8734.0,57
HCPCS,C1713,PLATE BN 26HL 2X2.5MM,37663.0,37663.0,4142.93,37663.0,57
HCPCS,C1713,PLATE BN 2H 0.4MM 16MM,3466.0,3466.0,381.26,3466.0,57
HCPCS,C1713,PLATE BN 2H 1.5MM,104971.0,104971.0,11546.81,104971.0,57
HCPCS,C1713,PLATE BN 2H 2.7/3.5X73MM,16786.0,16786.0,1846.46,16786.0,57
HCPCS,C1713,PLATE BN 2H 2.7/3.5X82MM,18956.0,18956.0,1963.83,20059.0,114
HCPCS,C1713,PLATE BN 2H 2.7/3.5X90MM,18881.0,18881.0,2076.91,18881.0,57
HCPCS,C1713,PLATE BN 2H 3.5MM 73MM,18468.0,18468.0,2031.48,18468.0,57
HCPCS,C1713,PLATE BN 2H 73MM,16786.0,16786.0,1846.46,16786.0,57
HCPCS,C1713,PLATE BN 2H 8H 2MM,5013.0,5013.0,551.43,5013.0,57
HCPCS,C1713,PLATE BN 2HL 2.4MM 42MM,14313.0,14313.0,1574.43,14313.0,57
HCPCS,C1713,PLATE BN 2HL 20MM,2405.0,2405.0,264.55,2405.0,57
HCPCS,C1713,PLATE BN 2HL 3.5MM 105MM,13549.0,13549.0,1490.39,13549.0,57
HCPCS,C1713,PLATE BN 2HL 3.5MM 33MM,4109.0,4109.0,451.99,4109.0,57
HCPCS,C1713,PLATE BN 2HL 46MM,9634.0,9634.0,1059.74,9634.0,57
HCPCS,C1713,PLATE BN 2HL 4X1.5MM,6833.0,6833.0,751.63,6833.0,57
HCPCS,C1713,PLATE BN 2HL 90MM,18881.0,18881.0,2076.91,18881.0,57
HCPCS,C1713,PLATE BN 2HL 95MM,32059.0,32059.0,3526.49,32059.0,57
HCPCS,C1713,PLATE BN 2MM 11MM,5076.0,5076.0,558.36,5076.0,57
HCPCS,C1713,PLATE BN 2MM 2.7MM,12731.0,12731.0,1400.41,12731.0,57
HCPCS,C1713,PLATE BN 2MM 2MM,3984.0,3984.0,438.24,3984.0,57
HCPCS,C1713,PLATE BN 2MM 36MM,7633.0,7633.0,839.63,7633.0,57
HCPCS,C1713,PLATE BN 2MM 39MM,3957.0,3957.0,435.27,3957.0,57
HCPCS,C1713,PLATE BN 2MM 5MM,4402.0,4402.0,484.22,4402.0,57
HCPCS,C1713,PLATE BN 2MM 65MM,5586.0,5586.0,614.46,5586.0,57
HCPCS,C1713,PLATE BN 2X2HL 0.6MM,4603.0,4603.0,506.33,4603.0,57
HCPCS,C1713,PLATE BN 2X2HL 12MM,4604.0,4604.0,506.44,4604.0,57
HCPCS,C1713,PLATE BN 2X2HL 1MM,7153.0,7153.0,786.83,7153.0,57
HCPCS,C1713,PLATE BN 2X3H 1.5MM,4760.0,4760.0,523.6,4760.0,57
HCPCS,C1713,PLATE BN 2X3HL 21MM,5050.0,5050.0,555.5,5050.0,57
HCPCS,C1713,PLATE BN 2X4H 34X14X.4MM,9410.0,9410.0,1035.1,9410.0,57
HCPCS,C1713,PLATE BN 2X4HL 1X28MM,19817.0,19817.0,2179.87,19817.0,57
HCPCS,C1713,PLATE BN 2X5MM,6417.0,6417.0,705.87,6417.0,57
HCPCS,C1713,PLATE BN 2X7MM,6417.0,6417.0,705.87,6417.0,57
HCPCS,C1713,PLATE BN 2Y 18MM,3731.0,3731.0,410.41,3731.0,57
HCPCS,C1713,PLATE BN 3 HL,17647.0,17647.0,1941.17,17647.0,57
HCPCS,C1713,PLATE BN 3 HL 61MM,28257.0,28257.0,3108.27,28257.0,57
HCPCS,C1713,PLATE BN 3.5MM,11624.0,11624.0,635.8,17468.0,114
HCPCS,C1713,PLATE BN 3.5MM 107MM,27357.0,27357.0,3009.27,27357.0,57
HCPCS,C1713,PLATE BN 3.5MM 110MM,17468.0,17468.0,1921.48,17468.0,57
HCPCS,C1713,PLATE BN 3.5MM 116MM,26769.0,26769.0,2944.59,26769.0,114
HCPCS,C1713,PLATE BN 3.5MM 119MM,24338.0,24338.0,2677.18,24338.0,57
HCPCS,C1713,PLATE BN 3.5MM 122MM,20734.0,20734.0,2280.74,20734.0,57
HCPCS,C1713,PLATE BN 3.5MM 128MM,29112.0,29112.0,3202.32,29112.0,57
HCPCS,C1713,PLATE BN 3.5MM 130MM,12678.0,12678.0,1394.58,12678.0,57
HCPCS,C1713,PLATE BN 3.5MM 142MM,24884.0,24884.0,2737.24,24884.0,57
HCPCS,C1713,PLATE BN 3.5MM 145MM,30690.0,30690.0,3375.9,30690.0,57
HCPCS,C1713,PLATE BN 3.5MM 150MM,5628.0,5628.0,619.08,5628.0,57
HCPCS,C1713,PLATE BN 3.5MM 154MM,25300.0,25300.0,2783.0,25300.0,57
HCPCS,C1713,PLATE BN 3.5MM 15MM,16937.0,16937.0,1863.07,16937.0,57
HCPCS,C1713,PLATE BN 3.5MM 168MM,17516.0,17516.0,1089.0,25132.0,171
HCPCS,C1713,PLATE BN 3.5MM 171MM,24912.0,24912.0,2740.32,24912.0,57
HCPCS,C1713,PLATE BN 3.5MM 180MM,29796.0,29796.0,3277.56,29796.0,57
HCPCS,C1713,PLATE BN 3.5MM 185MM,25974.5,25974.5,2598.42,28327.0,114
HCPCS,C1713,PLATE BN 3.5MM 194MM,25400.0,25400.0,2794.0,25400.0,57
HCPCS,C1713,PLATE BN 3.5MM 197MM,31393.0,31393.0,3453.23,31393.0,57
HCPCS,C1713,PLATE BN 3.5MM 202MM,10932.0,10932.0,1202.52,10932.0,57
HCPCS,C1713,PLATE BN 3.5MM 206MM,30129.0,30129.0,3314.19,30129.0,57
HCPCS,C1713,PLATE BN 3.5MM 237MM,24135.0,24135.0,2654.85,24135.0,57
HCPCS,C1713,PLATE BN 3.5MM 246MM,26193.5,26193.5,2859.12,26395.0,114
HCPCS,C1713,PLATE BN 3.5MM 249MM,32857.0,32857.0,3614.27,32857.0,57
HCPCS,C1713,PLATE BN 3.5MM 267MM,14390.0,14390.0,1582.9,14390.0,57
HCPCS,C1713,PLATE BN 3.5MM 275MM,26595.5,26595.5,2745.16,28235.0,114
HCPCS,C1713,PLATE BN 3.5MM 56MM,4834.0,4834.0,531.74,4834.0,57
HCPCS,C1713,PLATE BN 3.5MM 65MM,6465.0,6465.0,711.15,6465.0,57
HCPCS,C1713,PLATE BN 3.5MM 76MM,25313.0,25313.0,2784.43,25313.0,57
HCPCS,C1713,PLATE BN 3.5MM 81MM,13946.0,13946.0,1534.06,13946.0,57
HCPCS,C1713,PLATE BN 3.5MM 85MM,6441.0,6441.0,708.51,6441.0,57
HCPCS,C1713,PLATE BN 3.5MM 88MM,10797.0,10797.0,1187.67,10797.0,57
HCPCS,C1713,PLATE BN 3.5MM 91MM,7029.0,7029.0,773.19,7029.0,57
HCPCS,C1713,PLATE BN 3.5MM 93MM,105225.0,105225.0,2919.4,183910.0,114
HCPCS,C1713,PLATE BN 3.5MM 98MM,7754.0,7754.0,852.94,7754.0,57
HCPCS,C1713,PLATE BN 3.5X133MM,30729.0,30729.0,3380.19,30729.0,57
HCPCS,C1713,PLATE BN 3.5X171MM,24912.0,24912.0,2740.32,24912.0,57
HCPCS,C1713,PLATE BN 3.5X50MM,2122.0,2122.0,233.42,2122.0,57
HCPCS,C1713,PLATE BN 3/7HL 2MM,6416.0,6416.0,705.76,6416.0,57
HCPCS,C1713,PLATE BN 30HL 2X193MM,6268.0,6268.0,689.48,6268.0,57
HCPCS,C1713,PLATE BN 318MM,87605.0,87605.0,9636.55,87605.0,57
HCPCS,C1713,PLATE BN 32MM,4850.0,4850.0,533.5,4850.0,57
HCPCS,C1713,PLATE BN 36HL 11MM 90MM,11982.0,11982.0,1318.02,11982.0,57
HCPCS,C1713,PLATE BN 3D SQ 3X2HL,4669.0,4669.0,513.59,4669.0,57
HCPCS,C1713,PLATE BN 3H 0.5MM,5791.0,5791.0,637.01,5791.0,57
HCPCS,C1713,PLATE BN 3H 2.4MM 58MM,12285.0,12285.0,1351.35,12285.0,57
HCPCS,C1713,PLATE BN 3H 3.5MM 62MM,11037.0,11037.0,1214.07,11037.0,57
HCPCS,C1713,PLATE BN 3H 75MM,17973.0,17973.0,1977.03,17973.0,57
HCPCS,C1713,PLATE BN 3HL,23345.0,23345.0,2567.95,23345.0,57
HCPCS,C1713,PLATE BN 3HL 1.3MM 32MM,3460.0,3460.0,380.6,3460.0,57
HCPCS,C1713,PLATE BN 3HL 17MM,5096.0,5096.0,560.56,5096.0,57
HCPCS,C1713,PLATE BN 3HL 2.4MM 66MM,5604.0,5604.0,616.44,5604.0,57
HCPCS,C1713,PLATE BN 3HL 2.7 34MM,822.0,822.0,90.42,822.0,57
HCPCS,C1713,PLATE BN 3HL 2.7MM,35663.0,35663.0,3922.93,35663.0,57
HCPCS,C1713,PLATE BN 3HL 2.7MM 34MM,903.0,903.0,99.33,903.0,57
HCPCS,C1713,PLATE BN 3HL 3.5MM 90MM,24872.0,24872.0,2735.92,24872.0,57
HCPCS,C1713,PLATE BN 3HL 3.5X46MM,4262.0,4262.0,468.82,4262.0,57
HCPCS,C1713,PLATE BN 3HL 3.5X87MM,9466.0,9466.0,1041.26,9466.0,57
HCPCS,C1713,PLATE BN 3HL 33MM,2176.0,2176.0,239.36,2176.0,57
HCPCS,C1713,PLATE BN 3HL 40.5MM,7152.0,7152.0,786.72,7152.0,57
HCPCS,C1713,PLATE BN 3HL 62MM,11227.0,11227.0,1234.97,11227.0,57
HCPCS,C1713,PLATE BN 3HL 77MM,10502.0,10502.0,1155.22,10502.0,57
HCPCS,C1713,PLATE BN 3HL RT 57X3.5MM,5180.0,5180.0,569.8,5180.0,57
HCPCS,C1713,PLATE BN 3HL73X2.7/3.5MM,9491.0,9491.0,1044.01,9491.0,57
HCPCS,C1713,PLATE BN 3T 3.5MM,36251.0,36251.0,3987.61,36251.0,57
HCPCS,C1713,PLATE BN 3X2H LT 23X.7MM,3584.0,3584.0,394.24,3584.0,57
HCPCS,C1713,PLATE BN 3X2H RT 23X.7MM,3301.0,3301.0,363.11,3301.0,57
HCPCS,C1713,PLATE BN 3X2HL 23MM,5063.0,5063.0,556.93,5063.0,57
HCPCS,C1713,PLATE BN 3X3H 1.25MM,7606.0,7606.0,836.66,7606.0,57
HCPCS,C1713,PLATE BN 4 HL .55X1.7MM,2151.0,2151.0,236.61,2151.0,57
HCPCS,C1713,PLATE BN 4.5 6H 115MM,14870.0,14870.0,1635.7,14870.0,57
HCPCS,C1713,PLATE BN 4.5/5MM 147MM,12729.0,12729.0,1400.19,12729.0,57
HCPCS,C1713,PLATE BN 4.5MM 170MM,18728.5,18728.5,1102.2,27437.0,114
HCPCS,C1713,PLATE BN 4.5MM 211MM,21229.0,21229.0,2335.19,21229.0,57
HCPCS,C1713,PLATE BN 4.5MM 247MM,22074.0,22074.0,2428.14,22074.0,57
HCPCS,C1713,PLATE BN 4.5MM 266MM,32243.0,32243.0,3546.73,32243.0,57
HCPCS,C1713,PLATE BN 4.5MM 277MM,30753.0,30753.0,3382.83,30753.0,57
HCPCS,C1713,PLATE BN 4.5MM 296MM,13137.0,13137.0,1445.07,13137.0,57
HCPCS,C1713,PLATE BN 4.5X188MM,9315.0,9315.0,1024.65,9315.0,57
HCPCS,C1713,PLATE BN 4.5X404MM,25106.0,25106.0,2761.66,25106.0,57
HCPCS,C1713,PLATE BN 4.5X5MM,9594.0,9594.0,1055.34,9594.0,57
HCPCS,C1713,PLATE BN 402MM,79426.0,79426.0,8736.86,79426.0,57
HCPCS,C1713,PLATE BN 42MM 41MM,17126.0,17126.0,1883.86,17126.0,57
HCPCS,C1713,PLATE BN 48-51MM TI HL,51375.0,51375.0,5651.25,51375.0,57
HCPCS,C1713,PLATE BN 48X6.3X1.6MM,8675.0,8675.0,954.25,8675.0,57
HCPCS,C1713,PLATE BN 4H 0.4MM,3820.0,3820.0,420.2,3820.0,57
HCPCS,C1713,PLATE BN 4H 10X16X.4MM,3183.0,3183.0,350.13,3183.0,57
HCPCS,C1713,PLATE BN 4H 12MM,6248.0,6248.0,687.28,6248.0,57
HCPCS,C1713,PLATE BN 4H 1MM,8459.0,8459.0,930.49,8459.0,57
HCPCS,C1713,PLATE BN 4H 1MM 30MM,2331.0,2331.0,256.41,2331.0,57
HCPCS,C1713,PLATE BN 4H 2.7MM 108MM,20059.0,20059.0,2206.49,20059.0,57
HCPCS,C1713,PLATE BN 4H 2/2.5MM 4MM,6692.0,6692.0,736.12,6692.0,57
HCPCS,C1713,PLATE BN 4H 3.5MM 93MM,26423.0,26423.0,2906.53,26423.0,57
HCPCS,C1713,PLATE BN 4H 58.5MM,8549.0,8549.0,940.39,8549.0,57
HCPCS,C1713,PLATE BN 4H 78MM,7817.0,7817.0,859.87,7817.0,57
HCPCS,C1713,PLATE BN 4H 89MM,21186.5,21186.5,2027.96,23937.0,114
HCPCS,C1713,PLATE BN 4H 8MM,5463.0,5463.0,600.93,5463.0,57
HCPCS,C1713,PLATE BN 4H LT LNG 108MM,17414.0,17414.0,1915.54,17414.0,57
HCPCS,C1713,PLATE BN 4H LT LNG 111MM,20703.0,20703.0,2277.33,20703.0,57
HCPCS,C1713,PLATE BN 4H LT MD 88MM,20059.0,20059.0,2206.49,20059.0,57
HCPCS,C1713,PLATE BN 4HL,91467.0,91467.0,1035.32,173522.0,114
HCPCS,C1713,PLATE BN 4HL 0.6MM 20MM,1784.0,1784.0,196.24,1784.0,57
HCPCS,C1713,PLATE BN 4HL 1.3MM 32MM,3593.0,3593.0,395.23,3593.0,57
HCPCS,C1713,PLATE BN 4HL 1.5MM,22318.0,22318.0,2454.98,22318.0,57
HCPCS,C1713,PLATE BN 4HL 1.8MM,9106.0,9106.0,1001.66,9106.0,57
HCPCS,C1713,PLATE BN 4HL 102MM,37905.0,37905.0,4169.55,37905.0,57
HCPCS,C1713,PLATE BN 4HL 10MM 10MM,5482.0,5482.0,603.02,5482.0,57
HCPCS,C1713,PLATE BN 4HL 115MM,22133.0,22133.0,2434.63,22133.0,57
HCPCS,C1713,PLATE BN 4HL 121MM,38996.0,38996.0,4289.56,38996.0,57
HCPCS,C1713,PLATE BN 4HL 135D 78MM,10245.0,10245.0,1126.95,10245.0,57
HCPCS,C1713,PLATE BN 4HL 140D 78MM,9729.0,9729.0,1070.19,9729.0,57
HCPCS,C1713,PLATE BN 4HL 150D 78MM,7817.0,7817.0,859.87,7817.0,57
HCPCS,C1713,PLATE BN 4HL 1MM,2908.0,2908.0,319.88,2908.0,57
HCPCS,C1713,PLATE BN 4HL 1MM 21MM,4249.0,4249.0,467.39,4249.0,57
HCPCS,C1713,PLATE BN 4HL 2.4MM,23818.0,23818.0,2619.98,23818.0,57
HCPCS,C1713,PLATE BN 4HL 2.4MM 65MM,25741.0,25741.0,2831.51,25741.0,57
HCPCS,C1713,PLATE BN 4HL 2.7MM 41MM,1988.0,1988.0,218.68,1988.0,57
HCPCS,C1713,PLATE BN 4HL 2.7X3.5MM,10855.0,10855.0,1194.05,10855.0,57
HCPCS,C1713,PLATE BN 4HL 2.7X72MM,12695.0,12695.0,1396.45,12695.0,57
HCPCS,C1713,PLATE BN 4HL 23MM,908.0,908.0,99.88,908.0,57
HCPCS,C1713,PLATE BN 4HL 24MM .4MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,PLATE BN 4HL 3.5MM 50MM,14201.0,14201.0,1562.11,14201.0,57
HCPCS,C1713,PLATE BN 4HL 3.5MM 59MM,4415.0,4415.0,485.65,4415.0,57
HCPCS,C1713,PLATE BN 4HL 3.5MM 81MM,27096.0,27096.0,2980.56,27096.0,57
HCPCS,C1713,PLATE BN 4HL 3.5X81MM,24097.0,24097.0,2650.67,24097.0,57
HCPCS,C1713,PLATE BN 4HL 3.5X87MM,26735.0,26735.0,2940.85,26735.0,57
HCPCS,C1713,PLATE BN 4HL 3MM,7105.0,7105.0,781.55,7105.0,57
HCPCS,C1713,PLATE BN 4HL 3X4MM,23489.0,23489.0,2583.79,23489.0,57
HCPCS,C1713,PLATE BN 4HL 45MM,2559.0,2559.0,281.49,2559.0,57
HCPCS,C1713,PLATE BN 4HL 71MM,23140.0,23140.0,2545.4,23140.0,57
HCPCS,C1713,PLATE BN 4HL 80MM,5371.0,5371.0,590.81,5371.0,57
HCPCS,C1713,PLATE BN 4HL 89MM,14402.0,14402.0,1584.22,14402.0,57
HCPCS,C1713,PLATE BN 4HL 8MM,8104.0,8104.0,891.44,8104.0,57
HCPCS,C1713,PLATE BN 4HL LT 2.7MM,11358.0,11358.0,1249.38,11358.0,57
HCPCS,C1713,PLATE BN 4HL RT 47MM,14162.0,14162.0,1557.82,14162.0,57
HCPCS,C1713,PLATE BN 4MM 1.6MM 1.5MM,4357.0,4357.0,479.27,4357.0,57
HCPCS,C1713,PLATE BN 4X2HL 1.0X21MM,21537.0,21537.0,2369.07,21537.0,57
HCPCS,C1713,PLATE BN 4X2HL 1.0X25MM,22277.0,22277.0,2450.47,22277.0,57
HCPCS,C1713,PLATE BN 4X2HLS 1MM 27MM,22277.0,22277.0,2450.47,22277.0,57
HCPCS,C1713,PLATE BN 50MMX37MM MIC,8507.0,8507.0,935.77,8507.0,57
HCPCS,C1713,PLATE BN 50X50X.6MM,33291.0,33291.0,3662.01,33291.0,57
HCPCS,C1713,PLATE BN 51MM 51MM,25750.0,25750.0,2832.5,25750.0,57
HCPCS,C1713,PLATE BN 54X2.4MM,17793.0,17793.0,1957.23,17793.0,57
HCPCS,C1713,PLATE BN 55X10.1X3.5MM,12347.0,12347.0,1358.17,12347.0,57
HCPCS,C1713,PLATE BN 57MM 10H,10008.0,10008.0,1100.88,10008.0,57
HCPCS,C1713,PLATE BN 57X9X1MM,2573.0,2573.0,283.03,2573.0,57
HCPCS,C1713,PLATE BN 5H 112MM,27764.0,27764.0,3054.04,27764.0,57
HCPCS,C1713,PLATE BN 5H 2.7/3.5X99MM,10996.0,10996.0,1209.56,10996.0,57
HCPCS,C1713,PLATE BN 5H 2.7MM 105MM,14873.0,14873.0,1636.03,14873.0,57
HCPCS,C1713,PLATE BN 5H 2.7MM 121MM,20059.0,20059.0,2206.49,20059.0,57
HCPCS,C1713,PLATE BN 5H 3.5MM 114MM,24888.0,24888.0,2737.68,24888.0,57
HCPCS,C1713,PLATE BN 5H 3.5MM 72MM,5015.0,5015.0,551.65,5015.0,57
HCPCS,C1713,PLATE BN 5H 4MM,3239.0,3239.0,356.29,3239.0,57
HCPCS,C1713,PLATE BN 5H 59MM,5376.0,5376.0,591.36,5376.0,57
HCPCS,C1713,PLATE BN 5H 91MM,19091.0,19091.0,2100.01,19091.0,57
HCPCS,C1713,PLATE BN 5H 95D 80MM,14838.0,14838.0,1632.18,14838.0,57
HCPCS,C1713,PLATE BN 5H RT/WD 83MM,53944.0,53944.0,5933.84,53944.0,57
HCPCS,C1713,PLATE BN 5H/5H 2.4X66MM,25741.0,25741.0,2831.51,25741.0,57
HCPCS,C1713,PLATE BN 5HL,16335.0,16335.0,1796.85,16335.0,57
HCPCS,C1713,PLATE BN 5HL 0.4MM,1583.0,1583.0,174.13,1583.0,57
HCPCS,C1713,PLATE BN 5HL 0.6MM,2939.0,2939.0,323.29,2939.0,57
HCPCS,C1713,PLATE BN 5HL 100D 2MM,4327.0,4327.0,475.97,4327.0,57
HCPCS,C1713,PLATE BN 5HL 101X10X2MM,14402.0,14402.0,1584.22,14402.0,57
HCPCS,C1713,PLATE BN 5HL 135D 94MM,7817.0,7817.0,859.87,7817.0,57
HCPCS,C1713,PLATE BN 5HL 17MM,4618.0,4618.0,507.98,4618.0,57
HCPCS,C1713,PLATE BN 5HL 2.0MM 29MM,975.0,975.0,107.25,975.0,57
HCPCS,C1713,PLATE BN 5HL 2.0MM 38MM,4381.0,4381.0,481.91,4381.0,57
HCPCS,C1713,PLATE BN 5HL 3.5/4.5MM,41564.0,41564.0,4502.41,42197.0,114
HCPCS,C1713,PLATE BN 5HL 3.5MM 70MM,6398.0,6398.0,703.78,6398.0,57
HCPCS,C1713,PLATE BN 5HL 3.5MM 72MM,12716.0,12716.0,1398.76,12716.0,57
HCPCS,C1713,PLATE BN 5HL 4.0MM,4314.0,4314.0,474.54,4314.0,57
HCPCS,C1713,PLATE BN 5HL 4.5X98MM,5541.0,5541.0,609.51,5541.0,57
HCPCS,C1713,PLATE BN 5HL 61MM,17016.0,17016.0,1871.76,17016.0,57
HCPCS,C1713,PLATE BN 5HL 8MM,7010.0,7010.0,771.1,7010.0,57
HCPCS,C1713,PLATE BN 5HL 91MM,19091.0,19091.0,2100.01,19091.0,57
HCPCS,C1713,PLATE BN 5HL 94MM,7817.0,7817.0,859.87,7817.0,114
HCPCS,C1713,PLATE BN 5HL 95MM,32052.0,32052.0,3525.72,32052.0,57
HCPCS,C1713,PLATE BN 5HL LEFT,9762.0,9762.0,1073.82,9762.0,57
HCPCS,C1713,PLATE BN 5HL LT 83MM,17207.0,17207.0,1892.77,17207.0,57
HCPCS,C1713,PLATE BN 5HL LT 90MM,18260.0,18260.0,2008.6,18260.0,57
HCPCS,C1713,PLATE BN 5HL RT 100.5MM,18783.0,18783.0,2066.13,18783.0,57
HCPCS,C1713,PLATE BN 5MM 1/1.5MM,4069.0,4069.0,447.59,4069.0,57
HCPCS,C1713,PLATE BN 5MM 178MM,68185.0,68185.0,7500.35,68185.0,57
HCPCS,C1713,PLATE BN 6 HL 84MM,8508.0,8508.0,935.88,8508.0,57
HCPCS,C1713,PLATE BN 60MM 152MM,10991.0,10991.0,1209.01,10991.0,57
HCPCS,C1713,PLATE BN 60MM 60MM,14280.0,14280.0,1570.8,14280.0,57
HCPCS,C1713,PLATE BN 60MM 92MM,14838.0,14838.0,1632.18,14838.0,57
HCPCS,C1713,PLATE BN 60X1.2MM,17390.0,17390.0,1912.9,17390.0,57
HCPCS,C1713,PLATE BN 63IN,142013.0,142013.0,15621.43,142013.0,57
HCPCS,C1713,PLATE BN 67X11X1.5MM,5715.0,5715.0,628.65,5715.0,57
HCPCS,C1713,PLATE BN 69X9X1MM,2890.0,2890.0,317.9,2890.0,57
HCPCS,C1713,PLATE BN 6H 0.4MM 18MM,3343.0,3343.0,367.73,3343.0,57
HCPCS,C1713,PLATE BN 6H 1.5MM,3186.0,3186.0,350.46,3186.0,57
HCPCS,C1713,PLATE BN 6H 10.1MM,5456.0,5456.0,600.16,5456.0,57
HCPCS,C1713,PLATE BN 6H 113MM,11952.0,11952.0,1314.72,11952.0,57
HCPCS,C1713,PLATE BN 6H 117MM 3.5MM,29736.0,29736.0,3270.96,29736.0,57
HCPCS,C1713,PLATE BN 6H 12MM,7419.0,7419.0,816.09,7419.0,57
HCPCS,C1713,PLATE BN 6H 2.4MM,18474.0,18474.0,2032.14,18474.0,57
HCPCS,C1713,PLATE BN 6H 2.4MM 75MM,16428.0,16428.0,1807.08,16428.0,57
HCPCS,C1713,PLATE BN 6H 2.7/3.5X112,11168.0,11168.0,1228.48,11168.0,57
HCPCS,C1713,PLATE BN 6H 26MM,5076.0,5076.0,558.36,5076.0,57
HCPCS,C1713,PLATE BN 6H 3.5MM 158MM,23714.0,23714.0,2608.54,23714.0,57
HCPCS,C1713,PLATE BN 6H 3.5X131MM,13675.0,13675.0,1504.25,13675.0,57
HCPCS,C1713,PLATE BN 6H 35MM,4992.0,4992.0,549.12,4992.0,57
HCPCS,C1713,PLATE BN 6H 4.5MM 159MM,28781.0,28781.0,3165.91,28781.0,57
HCPCS,C1713,PLATE BN 6H 58MM 2.7MM,7059.0,7059.0,776.49,7059.0,57
HCPCS,C1713,PLATE BN 6H 60MM,83351.0,83351.0,9168.61,83351.0,57
HCPCS,C1713,PLATE BN 6H 90.5MM,8128.0,8128.0,847.77,8549.0,114
HCPCS,C1713,PLATE BN 6HL,4661.0,4661.0,512.71,4661.0,57
HCPCS,C1713,PLATE BN 6HL 1.1MM,9762.0,9762.0,1073.82,9762.0,57
HCPCS,C1713,PLATE BN 6HL 1.5MM 0.4MM,3165.0,3165.0,348.15,3165.0,57
HCPCS,C1713,PLATE BN 6HL 1.6MM,23345.0,23345.0,2567.95,23345.0,57
HCPCS,C1713,PLATE BN 6HL 100D .6X8MM,4047.0,4047.0,445.17,4047.0,57
HCPCS,C1713,PLATE BN 6HL 104MM,21290.0,21290.0,2341.9,21290.0,57
HCPCS,C1713,PLATE BN 6HL 107MM,27357.0,27357.0,3009.27,27357.0,57
HCPCS,C1713,PLATE BN 6HL 110MM,7817.0,7817.0,859.87,7817.0,114
HCPCS,C1713,PLATE BN 6HL 117X3.5MM,27027.0,27027.0,2972.97,27027.0,57
HCPCS,C1713,PLATE BN 6HL 12MM,1530.0,1530.0,168.3,1530.0,57
HCPCS,C1713,PLATE BN 6HL 150D 110MM,7817.0,7817.0,859.87,7817.0,57
HCPCS,C1713,PLATE BN 6HL 16MM,6987.0,6987.0,768.57,6987.0,57
HCPCS,C1713,PLATE BN 6HL 1MM 33MM,8747.0,8747.0,962.17,8747.0,57
HCPCS,C1713,PLATE BN 6HL 1MM 8MM,6929.0,6929.0,762.19,6929.0,57
HCPCS,C1713,PLATE BN 6HL 2.4MM,19544.5,19544.5,1731.84,23345.0,114
HCPCS,C1713,PLATE BN 6HL 2.4MM 41MM,11878.0,11878.0,1306.58,11878.0,57
HCPCS,C1713,PLATE BN 6HL 2.4MM 45MM,14721.0,14721.0,1527.24,15558.0,114
HCPCS,C1713,PLATE BN 6HL 2.4MM 51MM,14368.0,14368.0,1523.28,14888.0,114
HCPCS,C1713,PLATE BN 6HL 2.4MM 54MM,14888.0,14888.0,1637.68,14888.0,114
HCPCS,C1713,PLATE BN 6HL 2.4MM 75MM,17411.0,17411.0,1915.21,17411.0,57
HCPCS,C1713,PLATE BN 6HL 2.4X36MM,4458.0,4458.0,490.38,4458.0,57
HCPCS,C1713,PLATE BN 6HL 2.4X50MM,12783.0,12783.0,1406.13,12783.0,57
HCPCS,C1713,PLATE BN 6HL 2.4X51MM,5313.0,5313.0,584.43,5313.0,57
HCPCS,C1713,PLATE BN 6HL 2.7 56MM,15586.0,15586.0,1714.46,15586.0,57
HCPCS,C1713,PLATE BN 6HL 2.7/3.5MM,32442.0,32442.0,3568.62,32442.0,57
HCPCS,C1713,PLATE BN 6HL 2.7MM 59MM,7059.0,7059.0,776.49,7059.0,57
HCPCS,C1713,PLATE BN 6HL 2.7X90MM,13209.0,13209.0,1452.99,13209.0,57
HCPCS,C1713,PLATE BN 6HL 28MM,9227.0,9227.0,1014.97,9227.0,57
HCPCS,C1713,PLATE BN 6HL 2MM 45MM,3802.0,3802.0,418.22,3802.0,57
HCPCS,C1713,PLATE BN 6HL 3.5MM,13366.0,13366.0,1470.26,13366.0,57
HCPCS,C1713,PLATE BN 6HL 3.5MM 119MM,25468.0,25468.0,2801.48,25468.0,57
HCPCS,C1713,PLATE BN 6HL 3.5MM 194MM,27682.0,27682.0,3045.02,27682.0,57
HCPCS,C1713,PLATE BN 6HL 3.5MM 84MM,8519.0,8519.0,937.09,8519.0,57
HCPCS,C1713,PLATE BN 6HL 3.5X117MM,27027.0,27027.0,2972.97,27027.0,57
HCPCS,C1713,PLATE BN 6HL 3.5X160MM,26128.0,26128.0,2874.08,26128.0,57
HCPCS,C1713,PLATE BN 6HL 3.5X85MM,10563.0,10563.0,587.07,15789.0,114
HCPCS,C1713,PLATE BN 6HL 31MM,5287.0,5287.0,581.57,5287.0,57
HCPCS,C1713,PLATE BN 6HL 33MM,9227.0,9227.0,1014.97,9227.0,57
HCPCS,C1713,PLATE BN 6HL 4.5MM 159MM,29595.0,29595.0,3255.45,29595.0,57
HCPCS,C1713,PLATE BN 6HL 4.5X116MM,6231.0,6231.0,641.08,6634.0,114
HCPCS,C1713,PLATE BN 6HL 71MM,5376.0,5376.0,591.36,5376.0,57
HCPCS,C1713,PLATE BN 6HL 85MM 3.5MM,15789.0,15789.0,1736.79,15789.0,57
HCPCS,C1713,PLATE BN 6HL 9MM,10308.0,10308.0,1133.88,10308.0,57
HCPCS,C1713,PLATE BN 6HL LT .8X12MM,4120.0,4120.0,453.2,4120.0,57
HCPCS,C1713,PLATE BN 6HL MDFC .6MM,5006.0,5006.0,550.66,5006.0,57
HCPCS,C1713,PLATE BN 6HL RT .8X12MM,4120.0,4120.0,453.2,4120.0,57
HCPCS,C1713,PLATE BN 6HL RT 36X3.5MM,22865.0,22865.0,2515.15,22865.0,57
HCPCS,C1713,PLATE BN 6X2H .6MM,8227.0,8227.0,904.97,8227.0,57
HCPCS,C1713,PLATE BN 6X2H 36X1MM,9437.0,9437.0,1038.07,9437.0,57
HCPCS,C1713,PLATE BN 6X2HL 1.7MM,8320.0,8320.0,915.2,8320.0,57
HCPCS,C1713,PLATE BN 7 8HL 0.75MM,4497.0,4497.0,494.67,4497.0,57
HCPCS,C1713,PLATE BN 7.5X1.6MM 2.4MM,16054.0,16054.0,1765.94,16054.0,57
HCPCS,C1713,PLATE BN 70X1.2MM,17511.0,17511.0,1926.21,17511.0,57
HCPCS,C1713,PLATE BN 72MM 2.7/3.5MM,20703.0,20703.0,2277.33,20703.0,57
HCPCS,C1713,PLATE BN 7H .8MM 29MM,5524.0,5524.0,607.64,5524.0,57
HCPCS,C1713,PLATE BN 7H 1/3 83MM,5376.0,5376.0,591.36,5376.0,57
HCPCS,C1713,PLATE BN 7H 2.7X3.5,10074.0,10074.0,1108.14,10074.0,57
HCPCS,C1713,PLATE BN 7H 3.5MM 100MM,16192.0,16192.0,1781.12,16192.0,57
HCPCS,C1713,PLATE BN 7H 4.5MM 134MM,7921.0,7921.0,871.31,7921.0,57
HCPCS,C1713,PLATE BN 7HL 0.4MM,4511.0,4511.0,496.21,4511.0,57
HCPCS,C1713,PLATE BN 7HL 1.7MM,5493.0,5493.0,604.23,5493.0,57
HCPCS,C1713,PLATE BN 7HL 2.4MM,16182.0,16182.0,1780.02,16182.0,57
HCPCS,C1713,PLATE BN 7HL 2.4MM 55MM,18804.0,18804.0,2068.44,18804.0,57
HCPCS,C1713,PLATE BN 7HL 2.7MM 67MM,6283.0,6283.0,691.13,6283.0,57
HCPCS,C1713,PLATE BN 7HL 3.5MM 99MM,15497.0,15497.0,1704.67,15497.0,57
HCPCS,C1713,PLATE BN 7HL 3.5X100MM,16192.0,16192.0,1781.12,16192.0,57
HCPCS,C1713,PLATE BN 7HL 4.5MM 134MM,6748.0,6748.0,742.28,6748.0,57
HCPCS,C1713,PLATE BN 7HL 95D 124MM,17065.0,17065.0,1877.15,17065.0,57
HCPCS,C1713,PLATE BN 7HL RT 3.5MM,22546.0,22546.0,2480.06,22546.0,57
HCPCS,C1713,PLATE BN 8-PLT 16MM 2HL,7144.0,7144.0,785.84,7144.0,57
HCPCS,C1713,PLATE BN 80X80X.6MM,29950.0,29950.0,3294.5,29950.0,57
HCPCS,C1713,PLATE BN 81X9X1MM,2941.0,2941.0,323.51,2941.0,57
HCPCS,C1713,PLATE BN 82MM 2.7/3.5MM,21657.5,21657.5,1963.83,25462.0,114
HCPCS,C1713,PLATE BN 82X11-14X3.5MM,24640.0,24640.0,2710.4,24640.0,57
HCPCS,C1713,PLATE BN 85X2.4MM 6X3H,18397.0,18397.0,2023.67,18397.0,57
HCPCS,C1713,PLATE BN 87MM 3.5MM,29413.0,29413.0,3235.43,29413.0,57
HCPCS,C1713,PLATE BN 87X2MM,17642.0,17642.0,1940.62,17642.0,57
HCPCS,C1713,PLATE BN 8H 137MM,22832.0,22832.0,2511.52,22832.0,57
HCPCS,C1713,PLATE BN 8H 195MM 4.5MM,30179.0,30179.0,3319.69,30179.0,57
HCPCS,C1713,PLATE BN 8H 2.0MM 48MM,4855.0,4855.0,534.05,4855.0,57
HCPCS,C1713,PLATE BN 8H 2.4X68MM,6687.0,6687.0,735.57,6687.0,57
HCPCS,C1713,PLATE BN 8H 3.5/4.5MM,51093.0,51093.0,5620.23,51093.0,57
HCPCS,C1713,PLATE BN 8H 4.5MM 195MM,33200.0,33200.0,3652.0,33200.0,57
HCPCS,C1713,PLATE BN 8H 5MM 231MM,83783.0,83783.0,9216.13,83783.0,57
HCPCS,C1713,PLATE BN 8H 90DG .6MM,3137.0,3137.0,345.07,3137.0,57
HCPCS,C1713,PLATE BN 8HL,19531.0,19531.0,2148.41,19531.0,57
HCPCS,C1713,PLATE BN 8HL 1.5MM 44MM,3593.0,3593.0,395.23,3593.0,57
HCPCS,C1713,PLATE BN 8HL 104MM,8600.0,8600.0,946.0,8600.0,57
HCPCS,C1713,PLATE BN 8HL 108X2MM,8106.0,8106.0,891.66,8106.0,57
HCPCS,C1713,PLATE BN 8HL 133MM,24661.0,24661.0,2712.71,24661.0,57
HCPCS,C1713,PLATE BN 8HL 142MM,10416.0,10416.0,1145.76,10416.0,57
HCPCS,C1713,PLATE BN 8HL 152MM,7144.0,7144.0,785.84,7144.0,57
HCPCS,C1713,PLATE BN 8HL 194MM 3.5MM,27682.0,27682.0,3045.02,27682.0,57
HCPCS,C1713,PLATE BN 8HL 2.4 56MM,11878.0,11878.0,1306.58,11878.0,57
HCPCS,C1713,PLATE BN 8HL 2.4MM 67MM,5753.0,5753.0,632.83,5753.0,57
HCPCS,C1713,PLATE BN 8HL 2.4X57MM,4569.0,4569.0,502.59,4569.0,57
HCPCS,C1713,PLATE BN 8HL 2.7MM,32449.0,32449.0,3569.39,32449.0,57
HCPCS,C1713,PLATE BN 8HL 2.7MM 45MM,3957.0,3957.0,435.27,3957.0,57
HCPCS,C1713,PLATE BN 8HL 202MM,48360.0,48360.0,5319.6,48360.0,57
HCPCS,C1713,PLATE BN 8HL 2MM 48MM,4867.0,4867.0,535.37,4867.0,57
HCPCS,C1713,PLATE BN 8HL 2MM 51MM,5393.0,5393.0,593.23,5393.0,57
HCPCS,C1713,PLATE BN 8HL 2MM 53MM,3937.0,3937.0,433.07,3937.0,57
HCPCS,C1713,PLATE BN 8HL 3.5MM,9930.0,9930.0,1092.3,9930.0,57
HCPCS,C1713,PLATE BN 8HL 3.5MM 196MM,28799.0,28799.0,3167.89,28799.0,57
HCPCS,C1713,PLATE BN 8HL 3.5X147MM,30753.0,30753.0,3382.83,30753.0,114
HCPCS,C1713,PLATE BN 8HL 3.5X194MM,25174.0,25174.0,2769.14,25174.0,57
HCPCS,C1713,PLATE BN 8HL 4.5MM 152MM,9264.0,9264.0,1019.04,9264.0,57
HCPCS,C1713,PLATE BN 8HL 4.5MM 195MM,31689.5,31689.5,3319.69,33200.0,114
HCPCS,C1713,PLATE BN 8HL 4.5MM 230MM,31588.0,31588.0,3474.68,31588.0,57
HCPCS,C1713,PLATE BN 8HL 49MM,9768.0,9768.0,265.32,17124.0,114
HCPCS,C1713,PLATE BN 8HL 94.5MM,9864.0,9864.0,1085.04,9864.0,57
HCPCS,C1713,PLATE BN 8HL 94MM,11262.0,11262.0,1238.82,11262.0,57
HCPCS,C1713,PLATE BN 8HOLES L46MM,10008.0,10008.0,1100.88,10008.0,57
HCPCS,C1713,PLATE BN 8MM,5121.0,5121.0,563.31,5121.0,57
HCPCS,C1713,PLATE BN 90D .8 TI 2X2H,6314.0,6314.0,694.54,6314.0,57
HCPCS,C1713,PLATE BN 90D 0.8MM,6314.0,6314.0,694.54,6314.0,57
HCPCS,C1713,PLATE BN 90D 3.5MM,10693.0,10693.0,1176.23,10693.0,57
HCPCS,C1713,PLATE BN 90D 8MM 38MM,10672.0,10672.0,1173.92,10672.0,57
HCPCS,C1713,PLATE BN 90MM,45416.0,45416.0,4995.76,45416.0,57
HCPCS,C1713,PLATE BN 93X9X1MM,3112.0,3112.0,342.32,3112.0,57
HCPCS,C1713,PLATE BN 95D 10HL 178MM,13723.0,13723.0,1509.53,13723.0,57
HCPCS,C1713,PLATE BN 95D 14HL 242MM,15481.0,15481.0,1702.91,15481.0,57
HCPCS,C1713,PLATE BN 95D 16HL 274MM,16532.0,16532.0,1818.52,16532.0,57
HCPCS,C1713,PLATE BN 95D 22HL 370MM,22762.0,22762.0,2503.82,22762.0,57
HCPCS,C1713,PLATE BN 95D 6HL 114MM,13723.0,13723.0,1509.53,13723.0,57
HCPCS,C1713,PLATE BN 95D 7H 70X124MM,15643.0,15643.0,1720.73,15643.0,57
HCPCS,C1713,PLATE BN 95D 8HL 146MM,13723.0,13723.0,1509.53,13723.0,57
HCPCS,C1713,PLATE BN 98X11X3.4MM,5539.0,5539.0,609.29,5539.0,57
HCPCS,C1713,PLATE BN 9H 3.5MM 126MM,8964.0,8964.0,986.04,8964.0,57
HCPCS,C1713,PLATE BN 9HL,6434.0,6434.0,707.74,6434.0,57
HCPCS,C1713,PLATE BN 9HL 105MM,3112.0,3112.0,342.32,3112.0,57
HCPCS,C1713,PLATE BN 9HL 115MM,11305.0,11305.0,1243.55,11305.0,57
HCPCS,C1713,PLATE BN 9HL 2.7-3.5X151,13039.0,13039.0,1434.29,13039.0,57
HCPCS,C1713,PLATE BN ADP 20H 4MM,13021.0,13021.0,1432.31,13021.0,57
HCPCS,C1713,PLATE BN ANKL 7HL 83MM,5275.0,5275.0,580.25,5275.0,57
HCPCS,C1713,PLATE BN ANT CP RT,53554.0,53554.0,5890.94,53554.0,57
HCPCS,C1713,PLATE BN ANTMCL 3D .4MM,17396.0,17396.0,1913.56,17396.0,57
HCPCS,C1713,PLATE BN BLU 2X3HL 9MM,6615.0,6615.0,727.65,6615.0,57
HCPCS,C1713,PLATE BN BTTRS LT 1.6X15,5505.0,5505.0,605.55,5505.0,57
HCPCS,C1713,PLATE BN BTTRS RT 1.6X15,5505.0,5505.0,605.55,5505.0,57
HCPCS,C1713,PLATE BN BUR CVR LG 26MM,3690.0,3690.0,405.9,3690.0,57
HCPCS,C1713,PLATE BN BUTTRS LT 15MM,6081.0,6081.0,668.91,6081.0,57
HCPCS,C1713,PLATE BN CHIN 2MM,5846.0,5846.0,643.06,5846.0,57
HCPCS,C1713,PLATE BN CHIN 2X7MM,4700.0,4700.0,517.0,4700.0,57
HCPCS,C1713,PLATE BN CHIN 2X8MM,4656.0,4656.0,512.16,4656.0,57
HCPCS,C1713,PLATE BN CHIN 6MM,7687.0,7687.0,845.57,7687.0,57
HCPCS,C1713,PLATE BN CLAV LFT THIRD,24969.0,24969.0,2746.59,24969.0,57
HCPCS,C1713,PLATE BN CLVCL 2.7MM,17632.0,17632.0,1939.52,17632.0,57
HCPCS,C1713,PLATE BN CLVCL LT 2.7MM,16595.0,16595.0,1825.45,16595.0,57
HCPCS,C1713,PLATE BN CLVCL RT 2.7MM,19495.0,19495.0,2009.15,20725.0,114
HCPCS,C1713,PLATE BN CMF 12H 94MM,18005.0,18005.0,1980.55,18005.0,57
HCPCS,C1713,PLATE BN CMF 2HL 17MM,1219.0,1219.0,134.09,1219.0,57
HCPCS,C1713,PLATE BN CMF 4HL 0.5MM,6305.0,6305.0,693.55,6305.0,57
HCPCS,C1713,PLATE BN CMF 4X6HL 0.8MM,5810.0,5810.0,639.1,5810.0,57
HCPCS,C1713,PLATE BN CMF 6HL 1X24MM,9966.0,9966.0,1096.26,9966.0,57
HCPCS,C1713,PLATE BN CMF CUSTOM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,PLATE BN CMF DBL Y 7H,4046.0,4046.0,445.06,4046.0,57
HCPCS,C1713,PLATE BN CMG LVL1 7HL,7000.0,7000.0,770.0,7000.0,57
HCPCS,C1713,PLATE BN CMPR 18H 223MM,18064.0,18064.0,1987.04,18064.0,57
HCPCS,C1713,PLATE BN CNRNFCL LF,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,PLATE BN CNTR 3HL,23345.0,23345.0,2567.95,23345.0,57
HCPCS,C1713,PLATE BN CNTRL CLMN RT,16112.0,16112.0,1772.32,16112.0,57
HCPCS,C1713,PLATE BN CORONOID RT,18269.0,18269.0,2009.59,18269.0,57
HCPCS,C1713,PLATE BN CP LAPIDUS LT,31960.0,31960.0,3515.6,31960.0,57
HCPCS,C1713,PLATE BN CRANI 1LVL 33MM,5110.0,5110.0,562.1,5110.0,57
HCPCS,C1713,PLATE BN CRANI 4HL 1MM,5301.0,5301.0,583.11,5301.0,57
HCPCS,C1713,PLATE BN CRANI STR 4HL,4249.0,4249.0,467.39,4249.0,57
HCPCS,C1713,PLATE BN CRNF 4HL 1X6MM,6682.0,6682.0,735.02,6682.0,57
HCPCS,C1713,PLATE BN CRNFCL 2MM,163547.0,163547.0,17990.17,163547.0,57
HCPCS,C1713,PLATE BN CRNFCL 32 6X2HL,8349.0,8349.0,918.39,8349.0,57
HCPCS,C1713,PLATE BN CRNFCL 4HL 19MM,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,PLATE BN CRNFCL 6H 6MM,6790.0,6790.0,746.9,6790.0,57
HCPCS,C1713,PLATE BN CRNFCL 6HL 1X35,4071.0,4071.0,447.81,4071.0,57
HCPCS,C1713,PLATE BN CRNFCL 7MM,4402.0,4402.0,484.22,4402.0,57
HCPCS,C1713,PLATE BN CRNFCL 9MM 14MM,3494.0,3494.0,384.34,3494.0,57
HCPCS,C1713,PLATE BN CRNFCL LT 1MM,6135.0,6135.0,674.85,6135.0,57
HCPCS,C1713,PLATE BN CRNFCL LT 3MM,6135.0,6135.0,674.85,6135.0,57
HCPCS,C1713,PLATE BN CRNFCL LT 5MM,6135.0,6135.0,674.85,6135.0,57
HCPCS,C1713,PLATE BN CRNFCL RT 0MM,6502.0,6502.0,715.22,6502.0,57
HCPCS,C1713,PLATE BN CRNFCL RT 3MM,6502.0,6502.0,715.22,6502.0,57
HCPCS,C1713,PLATE BN CRNFCL SM,174172.0,174172.0,19158.92,174172.0,57
HCPCS,C1713,PLATE BN CRNL 1.5MM,3842.0,3842.0,422.62,3842.0,57
HCPCS,C1713,PLATE BN CRNL 100D 5MM,3626.0,3626.0,398.86,3626.0,57
HCPCS,C1713,PLATE BN CRNL 2HL 17MM,1507.0,1507.0,165.77,1507.0,57
HCPCS,C1713,PLATE BN CRNL 7H,6149.0,6149.0,676.39,6149.0,57
HCPCS,C1713,PLATE BN CRNL 90X65X.25,20367.0,20367.0,2240.37,20367.0,57
HCPCS,C1713,PLATE BN CRNL CUSTM,139923.0,139923.0,15391.53,139923.0,57
HCPCS,C1713,PLATE BN CRNL L LT 15MM,2870.0,2870.0,315.7,2870.0,57
HCPCS,C1713,PLATE BN CRNL L RT 15MM,2870.0,2870.0,315.7,2870.0,57
HCPCS,C1713,PLATE BN CRNL L RT 18MM,3468.0,3468.0,381.48,3468.0,57
HCPCS,C1713,PLATE BN CRNL LT 1.6X3MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN CRNL MED,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,PLATE BN CRNL NS,45592.0,45592.0,5015.12,45592.0,57
HCPCS,C1713,PLATE BN CRNL PEEK,155644.0,155644.0,17120.84,155644.0,57
HCPCS,C1713,PLATE BN CRNL T 22MM,3782.0,3782.0,416.02,3782.0,57
HCPCS,C1713,PLATE BN CRNL Y 26MM,3468.0,3468.0,381.48,3468.0,57
HCPCS,C1713,PLATE BN CRNL Z LT 13X15,1665.0,1665.0,183.15,1665.0,57
HCPCS,C1713,PLATE BN CRNL Z LT 2X18,3399.0,3399.0,373.89,3399.0,57
HCPCS,C1713,PLATE BN CRNL- 2 HL 9MM,1450.0,1450.0,159.5,1450.0,57
HCPCS,C1713,PLATE BN CRNM 6H 10X1MM,6790.0,6790.0,746.9,6790.0,57
HCPCS,C1713,PLATE BN CRNMXF .6MM 3MM,3896.0,3896.0,428.56,3896.0,57
HCPCS,C1713,PLATE BN CRNMXF 10H 44MM,3663.0,3663.0,402.93,3663.0,57
HCPCS,C1713,PLATE BN CRNMXF 14.5MM,3593.0,3593.0,395.23,3593.0,57
HCPCS,C1713,PLATE BN CRNMXF 20H .5MM,13021.0,13021.0,1432.31,13021.0,57
HCPCS,C1713,PLATE BN CRNMXF 24HL,9650.0,9650.0,1061.5,9650.0,57
HCPCS,C1713,PLATE BN CRNMXF 25X25X6,11288.0,11288.0,1241.68,11288.0,57
HCPCS,C1713,PLATE BN CRNMXF 2HL 12MM,1507.0,1507.0,165.77,1507.0,57
HCPCS,C1713,PLATE BN CRNMXF 3D 2X2HL,3984.0,3984.0,438.24,3984.0,57
HCPCS,C1713,PLATE BN CRNMXF 5HL 2MM,3461.0,3461.0,380.71,3461.0,57
HCPCS,C1713,PLATE BN CRNMXF 6H 24MM,3913.0,3913.0,430.43,3913.0,57
HCPCS,C1713,PLATE BN CRV 10HL 3.5MM,9319.0,9319.0,666.82,12576.0,114
HCPCS,C1713,PLATE BN CRV 12HL 3.5MM,13149.0,13149.0,1446.39,13149.0,57
HCPCS,C1713,PLATE BN CRV 14HL 3.5MM,14793.0,14793.0,1627.23,14793.0,57
HCPCS,C1713,PLATE BN CRV 266MM 4.5MM,32243.0,32243.0,3546.73,32243.0,57
HCPCS,C1713,PLATE BN CRV 6HL 2X33X1,3842.0,3842.0,422.62,3842.0,57
HCPCS,C1713,PLATE BN CRV 6HL 88MM,7925.0,7925.0,871.75,7925.0,57
HCPCS,C1713,PLATE BN CRV 8HL 3.5MM,12002.0,12002.0,1320.22,12002.0,57
HCPCS,C1713,PLATE BN CRV NAR 18H 3.5,16061.0,16061.0,1766.71,16061.0,57
HCPCS,C1713,PLATE BN CRV10HL.6X1.7MM,6441.0,6441.0,708.51,6441.0,57
HCPCS,C1713,PLATE BN CRVD UP 10HL,5062.0,5062.0,556.82,5062.0,57
HCPCS,C1713,PLATE BN CRVLCK 8HL .8MM,3458.0,3458.0,380.38,3458.0,57
HCPCS,C1713,PLATE BN CSTM PS,304538.0,304538.0,33499.18,304538.0,57
HCPCS,C1713,PLATE BN CSTM W/CUT GDS,258428.0,258428.0,28427.08,258428.0,57
HCPCS,C1713,PLATE BN CUBOID 2.4MM,5925.0,5925.0,651.75,5925.0,57
HCPCS,C1713,PLATE BN CUR MIDFACE45MM,2158.0,2158.0,237.38,2158.0,57
HCPCS,C1713,PLATE BN CVR BUR LG 27MM,3651.0,3651.0,401.61,3651.0,57
HCPCS,C1713,PLATE BN DBL Y 7H,3218.0,3218.0,353.98,3218.0,57
HCPCS,C1713,PLATE BN DIST 5H 105MM,31545.0,31545.0,3469.95,31545.0,57
HCPCS,C1713,PLATE BN DIST RAD 4HL,14445.0,14445.0,1588.95,14445.0,57
HCPCS,C1713,PLATE BN DIST ULNA,16995.0,16995.0,1869.45,16995.0,57
HCPCS,C1713,PLATE BN DISTRD 5H/3H LT,17411.0,17411.0,1915.21,17411.0,57
HCPCS,C1713,PLATE BN DISTRD 5H/5H RT,16018.0,16018.0,1761.98,16018.0,57
HCPCS,C1713,PLATE BN DRSL SHRT,23756.0,23756.0,2613.16,23756.0,57
HCPCS,C1713,PLATE BN DSTL 60MM 4HL,26469.0,26469.0,2911.59,26469.0,57
HCPCS,C1713,PLATE BN DSTL 90MM 7HL,29303.0,29303.0,3223.33,29303.0,57
HCPCS,C1713,PLATE BN DSTL RAD 11H,24044.0,24044.0,2644.84,24044.0,57
HCPCS,C1713,PLATE BN ELB 151MM,22688.0,22688.0,2495.68,22688.0,57
HCPCS,C1713,PLATE BN FEM 4H 3.5MM,21960.0,21960.0,2415.6,21960.0,57
HCPCS,C1713,PLATE BN FEM 4HL 88MM,17879.0,17879.0,1966.69,17879.0,57
HCPCS,C1713,PLATE BN FEM LFT 14HL,35799.0,35799.0,3937.89,35799.0,57
HCPCS,C1713,PLATE BN FEM NK 1HL,16461.0,16461.0,1810.71,16461.0,57
HCPCS,C1713,PLATE BN FIB 4H RT 74MM,16004.0,16004.0,1760.44,16004.0,57
HCPCS,C1713,PLATE BN FIB 5HL,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1713,PLATE BN FIB LT DIST 6HL,22770.0,22770.0,2504.7,22770.0,57
HCPCS,C1713,PLATE BN FIB RT 5 HL,21290.0,21290.0,2341.9,21290.0,57
HCPCS,C1713,PLATE BN FLR SM .3MM,24802.0,24802.0,2728.22,24802.0,57
HCPCS,C1713,PLATE BN FOOT NRW,35264.0,35264.0,3879.04,35264.0,57
HCPCS,C1713,PLATE BN FSN REV LT,39045.0,39045.0,4294.95,39045.0,57
HCPCS,C1713,PLATE BN FULL MAXILLARY,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,PLATE BN GRW 4.5MM 36MM,5751.0,5751.0,632.61,5751.0,57
HCPCS,C1713,PLATE BN GRWTH 20MM,12199.0,12199.0,1341.89,12199.0,57
HCPCS,C1713,PLATE BN H LT 1.5X22MM,3593.0,3593.0,395.23,3593.0,57
HCPCS,C1713,PLATE BN H LT 8HL 1.3MM,3593.0,3593.0,395.23,3593.0,57
HCPCS,C1713,PLATE BN H RT 1.5X22MM,4088.0,4088.0,449.68,4088.0,57
HCPCS,C1713,PLATE BN H RT 8HL 1.3MM,3593.0,3593.0,395.23,3593.0,57
HCPCS,C1713,PLATE BN HIP 10H 154.5MM,9433.0,9433.0,1037.63,9433.0,57
HCPCS,C1713,PLATE BN HIP 3HL 3.5MM,9144.0,9144.0,1005.84,9144.0,57
HCPCS,C1713,PLATE BN HK 5TH LT 6H,29798.0,29798.0,3277.78,29798.0,57
HCPCS,C1713,PLATE BN HK 6HL 2.7X61MM,19266.0,19266.0,2119.26,19266.0,57
HCPCS,C1713,PLATE BN HUM 10H 173MM,23516.0,23516.0,2586.76,23516.0,57
HCPCS,C1713,PLATE BN HUM 12H 262MM,55800.0,55800.0,6138.0,55800.0,57
HCPCS,C1713,PLATE BN HUM 4H 92MM,18818.0,18818.0,2069.98,18818.0,57
HCPCS,C1713,PLATE BN HUM 5H 100MM,28914.0,28914.0,3180.54,28914.0,57
HCPCS,C1713,PLATE BN HUM 6H 116MM,17900.0,17900.0,1969.0,17900.0,57
HCPCS,C1713,PLATE BN HUM 6H 3.5MM,23714.0,23714.0,2608.54,23714.0,57
HCPCS,C1713,PLATE BN HUM 8HL 194MM,22587.0,22587.0,2484.57,22587.0,57
HCPCS,C1713,PLATE BN HUM LT 70MM,27599.0,27599.0,3035.89,27599.0,57
HCPCS,C1713,PLATE BN HUM RT 4H 105MM,44739.0,44739.0,2027.96,71042.0,114
HCPCS,C1713,PLATE BN IPS CSTM 6AL-4V,38649.0,38649.0,4251.39,38649.0,57
HCPCS,C1713,PLATE BN KN SM 2.7MM,37375.0,37375.0,4111.25,37375.0,57
HCPCS,C1713,PLATE BN L 10HL 5MM,11416.0,11416.0,1255.76,11416.0,57
HCPCS,C1713,PLATE BN L 11HL 10MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,PLATE BN L 11HL 4MM,7556.0,7556.0,831.16,7556.0,57
HCPCS,C1713,PLATE BN L 3H 3.5MM 52MM,6381.0,6381.0,701.91,6381.0,57
HCPCS,C1713,PLATE BN L 8HL 3.5X85MM,68738.0,68738.0,7561.18,68738.0,57
HCPCS,C1713,PLATE BN L LCK 5H 5MM,4157.0,4157.0,457.27,4157.0,57
HCPCS,C1713,PLATE BN L LCK 6H 8MM,4527.0,4527.0,497.97,4527.0,57
HCPCS,C1713,PLATE BN L LT CRNMXF,6566.0,6566.0,722.26,6566.0,57
HCPCS,C1713,PLATE BN L RT 2X3HL 2MM,4365.0,4365.0,480.15,4365.0,57
HCPCS,C1713,PLATE BN L RT CRNMXF,6196.0,6196.0,681.56,6196.0,57
HCPCS,C1713,PLATE BN L-90D 2X3HL 2.4,7953.0,7953.0,874.83,7953.0,57
HCPCS,C1713,PLATE BN L11 MAXLFCL LT,3698.0,3698.0,406.78,3698.0,57
HCPCS,C1713,PLATE BN LAPDS RT STD,28230.0,28230.0,3105.3,28230.0,57
HCPCS,C1713,PLATE BN LAT RT 5HL,19770.0,19770.0,2174.7,19770.0,57
HCPCS,C1713,PLATE BN LCK 10HL 187MM,49263.0,49263.0,5418.93,49263.0,57
HCPCS,C1713,PLATE BN LCK 11HL 1.8MM,14417.0,14417.0,1585.87,14417.0,57
HCPCS,C1713,PLATE BN LCK 2.7MM 14MM,14714.0,14714.0,1618.54,14714.0,57
HCPCS,C1713,PLATE BN LCK 4HL 2X28MM,9264.0,9264.0,1019.04,9264.0,57
HCPCS,C1713,PLATE BN LCK 5HL 2MM,4051.0,4051.0,445.61,4051.0,57
HCPCS,C1713,PLATE BN LCK 6H 115MM,35077.0,35077.0,3858.47,35077.0,57
HCPCS,C1713,PLATE BN LCK 6HL 2.7,39230.0,39230.0,4315.3,39230.0,57
HCPCS,C1713,PLATE BN LCK 6HL 43MM,12731.0,12731.0,1400.41,12731.0,57
HCPCS,C1713,PLATE BN LCK 6HL 47MM,13728.0,13728.0,1510.08,13728.0,57
HCPCS,C1713,PLATE BN LCK 7HL 125MM,12705.0,12705.0,1397.55,12705.0,57
HCPCS,C1713,PLATE BN LCK 8H 1.1MM,9762.0,9762.0,1073.82,9762.0,57
HCPCS,C1713,PLATE BN LCK 8H 1.8MM,12287.0,12287.0,1351.57,12287.0,57
HCPCS,C1713,PLATE BN LCK CRVD 2MM,12013.0,12013.0,1321.43,12013.0,57
HCPCS,C1713,PLATE BN LCK RT 6H,22770.0,22770.0,2504.7,22770.0,57
HCPCS,C1713,PLATE BN LCK T8,38667.0,38667.0,4253.37,38667.0,57
HCPCS,C1713,PLATE BN LCP 11HL 4.5MM,10112.0,10112.0,1112.32,10112.0,57
HCPCS,C1713,PLATE BN LCP 2.4MM 65MM,15455.0,15455.0,1700.05,15455.0,57
HCPCS,C1713,PLATE BN LCP CLAV 2.7MM,19441.0,19441.0,2138.51,19441.0,57
HCPCS,C1713,PLATE BN LFT 10HL 111MM,36233.0,36233.0,3985.63,36233.0,57
HCPCS,C1713,PLATE BN LFT 8HL 128MM,27669.0,27669.0,3043.59,27669.0,57
HCPCS,C1713,PLATE BN LG 15F 317MM,28807.0,28807.0,3168.77,28807.0,57
HCPCS,C1713,PLATE BN LG 5X45MM,8734.0,8734.0,960.74,8734.0,57
HCPCS,C1713,PLATE BN LG STR .1MM,3438.0,3438.0,378.18,3438.0,57
HCPCS,C1713,PLATE BN LNG,32161.0,32161.0,3537.71,32161.0,57
HCPCS,C1713,PLATE BN LNG 15HL RT,40967.0,40967.0,4506.37,40967.0,57
HCPCS,C1713,PLATE BN LNG 2HL 16MM,1357.0,1357.0,149.27,1357.0,57
HCPCS,C1713,PLATE BN LNG 4HL 1.5MM,11311.0,11311.0,1244.21,11311.0,57
HCPCS,C1713,PLATE BN LNG LOPRO STRT,26284.0,26284.0,2891.24,26284.0,57
HCPCS,C1713,PLATE BN LNG RT 3X3,4273.0,4273.0,470.03,4273.0,57
HCPCS,C1713,PLATE BN LOPRO 3HL 3MM,23489.0,23489.0,2583.79,23489.0,57
HCPCS,C1713,PLATE BN LPS LAPIDUS,30661.0,30661.0,3372.71,30661.0,57
HCPCS,C1713,PLATE BN LT 0MM 1.6X22MM,5081.0,5081.0,558.91,5081.0,57
HCPCS,C1713,PLATE BN LT 1.6MM 7MM,5590.0,5590.0,614.9,5590.0,57
HCPCS,C1713,PLATE BN LT 1.6MM 8MM,7093.0,7093.0,780.23,7093.0,57
HCPCS,C1713,PLATE BN LT 1.6X5MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN LT 102MM 3.5MM,27357.0,27357.0,3009.27,27357.0,57
HCPCS,C1713,PLATE BN LT 15MM 18MM,3626.0,3626.0,398.86,3626.0,57
HCPCS,C1713,PLATE BN LT 2.4X77MM,17411.0,17411.0,1915.21,17411.0,57
HCPCS,C1713,PLATE BN LT 2.7/3MM,31832.0,31832.0,3501.52,31832.0,57
HCPCS,C1713,PLATE BN LT 2.8MM,44183.0,44183.0,4860.13,44183.0,57
HCPCS,C1713,PLATE BN LT 26HL 193MM,44807.0,44807.0,4928.77,44807.0,57
HCPCS,C1713,PLATE BN LT 2MM 1.6X2MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN LT 35X0.5MM,29986.0,29986.0,3298.46,29986.0,57
HCPCS,C1713,PLATE BN LT 3HL 3.5MM,19115.0,19115.0,2032.47,19753.0,114
HCPCS,C1713,PLATE BN LT 3MM,5076.0,5076.0,558.36,5076.0,57
HCPCS,C1713,PLATE BN LT 40X35MM,30283.0,30283.0,3331.13,30283.0,57
HCPCS,C1713,PLATE BN LT 4H 103MM,58917.0,58917.0,6480.87,58917.0,57
HCPCS,C1713,PLATE BN LT 4H 3.5X112MM,18589.0,18589.0,2044.79,18589.0,57
HCPCS,C1713,PLATE BN LT 4H WIDE,9412.0,9412.0,1035.32,9412.0,57
HCPCS,C1713,PLATE BN LT 4HL 109MM,18436.0,18436.0,2027.96,18436.0,57
HCPCS,C1713,PLATE BN LT 4HL 3.5X76MM,25313.0,25313.0,2784.43,25313.0,57
HCPCS,C1713,PLATE BN LT 4HL 86MM,10855.0,10855.0,1194.05,10855.0,57
HCPCS,C1713,PLATE BN LT 4HL 88MM,14416.0,14416.0,1585.76,14416.0,57
HCPCS,C1713,PLATE BN LT 4MM 1.6X4MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN LT 4X3HL 28X0.7,3584.0,3584.0,394.24,3584.0,57
HCPCS,C1713,PLATE BN LT 5H,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1713,PLATE BN LT 5HL 101MM,18783.0,18783.0,2066.13,18783.0,57
HCPCS,C1713,PLATE BN LT 5HL 2.7MM,14847.0,14847.0,1633.17,14847.0,57
HCPCS,C1713,PLATE BN LT 5HL 96MM,25955.0,25955.0,2855.05,25955.0,57
HCPCS,C1713,PLATE BN LT 6 HL,30258.0,30258.0,3328.38,30258.0,57
HCPCS,C1713,PLATE BN LT 6/4HL 66MM,18474.0,18474.0,2032.14,18474.0,57
HCPCS,C1713,PLATE BN LT 6H 132MM,17900.0,17900.0,1969.0,17900.0,57
HCPCS,C1713,PLATE BN LT 6HL,15824.0,15824.0,1740.64,15824.0,57
HCPCS,C1713,PLATE BN LT 6HL 112MM,11168.0,11168.0,1228.48,11168.0,57
HCPCS,C1713,PLATE BN LT 6HL 140MM,15886.0,15886.0,1747.46,15886.0,57
HCPCS,C1713,PLATE BN LT 6MM 1.6X6MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN LT 7HL 1.5X36MM,4846.0,4846.0,533.06,4846.0,57
HCPCS,C1713,PLATE BN LT 7HL 126MM,25929.0,25929.0,2852.19,25929.0,57
HCPCS,C1713,PLATE BN LT 7HL 2.0X39MM,6751.0,6751.0,742.61,6751.0,57
HCPCS,C1713,PLATE BN LT 8MM 1.6X8MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN LT 9HL 151MM,11882.0,11882.0,1307.02,11882.0,57
HCPCS,C1713,PLATE BN LT MED BAR 4HL,3984.0,3984.0,438.24,3984.0,57
HCPCS,C1713,PLATE BN LT STD 7HL,9741.0,9741.0,1071.51,9741.0,57
HCPCS,C1713,PLATE BN MALBL .5X1.2,17451.0,17451.0,1919.61,17451.0,57
HCPCS,C1713,PLATE BN MC DB Y 6H 13MM,3456.0,3456.0,380.16,3456.0,57
HCPCS,C1713,PLATE BN MD VAR 4HL 88MM,17973.0,17973.0,1977.03,17973.0,57
HCPCS,C1713,PLATE BN MDFC .6MM,3108.0,3108.0,341.88,3108.0,57
HCPCS,C1713,PLATE BN MDFC 11H .5MM,5915.0,5915.0,650.65,5915.0,57
HCPCS,C1713,PLATE BN MDFC 12H 0.8MM,6313.0,6313.0,694.43,6313.0,57
HCPCS,C1713,PLATE BN MDFC 16H .8X1.7,6913.0,6913.0,760.43,6913.0,57
HCPCS,C1713,PLATE BN MDFC 2X2 1.7MM,4819.0,4819.0,530.09,4819.0,57
HCPCS,C1713,PLATE BN MDFC 4H .6MM,5812.0,5812.0,639.32,5812.0,57
HCPCS,C1713,PLATE BN MDFC 6H 12MM,3917.0,3917.0,430.87,3917.0,57
HCPCS,C1713,PLATE BN MDFC 6H 1MM,4000.0,4000.0,440.0,4000.0,57
HCPCS,C1713,PLATE BN MDFC 7HL .6MM,4686.0,4686.0,515.46,4686.0,57
HCPCS,C1713,PLATE BN MDFC 8H .5MM,5980.0,5980.0,657.8,5980.0,57
HCPCS,C1713,PLATE BN MDFC 8H .7MM,5980.0,5980.0,657.8,5980.0,57
HCPCS,C1713,PLATE BN MDFC 8H .8X1.7,5027.0,5027.0,552.97,5027.0,57
HCPCS,C1713,PLATE BN MDFC LCKM 2X6H,11250.0,11250.0,1237.5,11250.0,57
HCPCS,C1713,PLATE BN MDFC LG L 6MM,5812.0,5812.0,639.32,5812.0,57
HCPCS,C1713,PLATE BN MDFT FSN LG 3MM,43895.0,43895.0,4828.45,43895.0,57
HCPCS,C1713,PLATE BN MDL RT 75MM,28914.0,28914.0,3180.54,28914.0,57
HCPCS,C1713,PLATE BN MED 2H 12MM,1357.0,1357.0,149.27,1357.0,57
HCPCS,C1713,PLATE BN MED 4HL,3494.0,3494.0,384.34,3494.0,57
HCPCS,C1713,PLATE BN MED 7H 8MM,5812.0,5812.0,639.32,5812.0,57
HCPCS,C1713,PLATE BN MED MNDB 4HL,3140.0,3140.0,345.4,3140.0,57
HCPCS,C1713,PLATE BN MEDIUM,147120.0,147120.0,16183.2,147120.0,57
HCPCS,C1713,PLATE BN MF FUSION 4H,27065.0,27065.0,2977.15,27065.0,57
HCPCS,C1713,PLATE BN MICRO 18 HOLE,4936.0,4936.0,542.96,4936.0,57
HCPCS,C1713,PLATE BN MIDFCE .3MM,24021.0,24021.0,2642.31,24021.0,57
HCPCS,C1713,PLATE BN MINI 10-HL STR,4196.0,4196.0,461.56,4196.0,57
HCPCS,C1713,PLATE BN MINI 4H,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,PLATE BN MINI 4HL 5MM,8522.0,8522.0,937.42,8522.0,57
HCPCS,C1713,PLATE BN MINI 7X2MM,11209.0,11209.0,1232.99,11209.0,57
HCPCS,C1713,PLATE BN MINI MD 6HL 2MM,3842.0,3842.0,422.62,3842.0,57
HCPCS,C1713,PLATE BN MLBL 2X2HL,4129.0,4129.0,454.19,4129.0,57
HCPCS,C1713,PLATE BN MNDB 12H 1.25MM,14184.0,14184.0,1560.24,14184.0,57
HCPCS,C1713,PLATE BN MNDB 4HL 2MM,7040.0,7040.0,774.4,7040.0,57
HCPCS,C1713,PLATE BN MNDBL 12H 2.0MM,16946.0,16946.0,1864.06,16946.0,57
HCPCS,C1713,PLATE BN MNDBL 4H 1X24MM,6675.0,6675.0,734.25,6675.0,57
HCPCS,C1713,PLATE BN MXF 3X4HL 0.7MM,6025.0,6025.0,662.75,6025.0,57
HCPCS,C1713,PLATE BN MXFCL .6MM,3301.0,3301.0,363.11,3301.0,57
HCPCS,C1713,PLATE BN MXFCL 9HL .75MM,3584.0,3584.0,394.24,3584.0,57
HCPCS,C1713,PLATE BN MXFCL LNG 0.6MM,3584.0,3584.0,394.24,3584.0,114
HCPCS,C1713,PLATE BN MXFCL REG .6MM,3931.0,3931.0,432.41,3931.0,57
HCPCS,C1713,PLATE BN MXFCL RT 2.0MM,3584.0,3584.0,394.24,3584.0,57
HCPCS,C1713,PLATE BN MXFCL20HL .75MM,5088.0,5088.0,559.68,5088.0,57
HCPCS,C1713,PLATE BN MXLFCL,140489.0,140489.0,15453.79,140489.0,57
HCPCS,C1713,PLATE BN MXLFCL 1.5X.6MM,4032.0,4032.0,443.52,4032.0,57
HCPCS,C1713,PLATE BN MXLFCL 12H,4650.0,4650.0,511.5,4650.0,57
HCPCS,C1713,PLATE BN MXLFCL 16HL,10542.0,10542.0,1159.62,10542.0,57
HCPCS,C1713,PLATE BN MXLFCL 22MM,3626.0,3626.0,398.86,3626.0,57
HCPCS,C1713,PLATE BN MXLFCL 2HL 10X6,750.0,750.0,82.5,750.0,57
HCPCS,C1713,PLATE BN MXLFCL 2HL 15X6,1022.0,1022.0,112.42,1022.0,57
HCPCS,C1713,PLATE BN MXLFCL 5HL 15MM,3723.0,3723.0,409.53,3723.0,57
HCPCS,C1713,PLATE BN MXLFCL 6HL 16X6,2238.0,2238.0,246.18,2238.0,57
HCPCS,C1713,PLATE BN MXLFCL 6HL 6MM,6156.0,6156.0,677.16,6156.0,57
HCPCS,C1713,PLATE BN MXLFCL 7HL Y,3689.0,3689.0,405.79,3689.0,57
HCPCS,C1713,PLATE BN MXLFCL 8HL 6MM,4838.0,4838.0,532.18,4838.0,57
HCPCS,C1713,PLATE BN MXLFCL STR 4HL,2844.0,2844.0,312.84,2844.0,57
HCPCS,C1713,PLATE BN NAR 2.7MM,32449.0,32449.0,3569.39,32449.0,57
HCPCS,C1713,PLATE BN NAR 6HL 2.4MM,16370.0,16370.0,1800.7,16370.0,57
HCPCS,C1713,PLATE BN NAR LT,38080.0,38080.0,4188.8,38080.0,57
HCPCS,C1713,PLATE BN NAR LT 4H,9412.0,9412.0,1035.32,9412.0,57
HCPCS,C1713,PLATE BN NAR RT,40813.0,40813.0,4489.43,40813.0,57
HCPCS,C1713,PLATE BN NAR RT 44.88MM,35264.0,35264.0,3879.04,35264.0,57
HCPCS,C1713,PLATE BN NRRW 12HL 3.5MM,11405.0,11405.0,1254.55,11405.0,57
HCPCS,C1713,PLATE BN NRW LT 3HL,9248.0,9248.0,1017.28,9248.0,57
HCPCS,C1713,PLATE BN OBLG R.8MM 2X3,5382.0,5382.0,592.02,5382.0,57
HCPCS,C1713,PLATE BN OLCRN RT 65MM,16720.0,16720.0,1839.2,16720.0,57
HCPCS,C1713,PLATE BN ORB FLR LG .3MM,18244.0,18244.0,2006.84,18244.0,57
HCPCS,C1713,PLATE BN ORBT 12HL .6MM,5755.0,5755.0,633.05,5755.0,57
HCPCS,C1713,PLATE BN ORBT 4H 1.2MM,2506.0,2506.0,275.66,2506.0,57
HCPCS,C1713,PLATE BN ORBT CRV 8HL,2549.0,2549.0,280.39,2549.0,57
HCPCS,C1713,PLATE BN ORBT FL .4MM,31158.0,31158.0,3427.38,31158.0,57
HCPCS,C1713,PLATE BN ORT VAR 11MM,25290.0,25290.0,2781.9,25290.0,57
HCPCS,C1713,PLATE BN P-AXL LCK RT T8,38667.0,38667.0,4253.37,38667.0,57
HCPCS,C1713,PLATE BN PED 8PLT 16MM,7144.0,7144.0,785.84,7144.0,57
HCPCS,C1713,PLATE BN PET LFT 0D-0D,58568.0,58568.0,6442.48,58568.0,57
HCPCS,C1713,PLATE BN PRBNT 1.6X10MM,6231.0,6231.0,685.41,6231.0,57
HCPCS,C1713,PLATE BN PRBNT 4X.8MM,8541.0,8541.0,939.51,8541.0,57
HCPCS,C1713,PLATE BN PRBNT LT 1.6X12,6231.0,6231.0,685.41,6231.0,57
HCPCS,C1713,PLATE BN PRBNT LT 1.6X2,6231.0,6231.0,685.41,6231.0,57
HCPCS,C1713,PLATE BN PRBNT LT 1.6X6,6231.0,6231.0,685.41,6231.0,57
HCPCS,C1713,PLATE BN PRBNT RT 1.6X10,6231.0,6231.0,685.41,6231.0,57
HCPCS,C1713,PLATE BN PROX 4.5X118MM,23738.0,23738.0,2611.18,23738.0,57
HCPCS,C1713,PLATE BN PRX HUM 3 H,30248.0,30248.0,3327.28,30248.0,57
HCPCS,C1713,PLATE BN PTLA 3HL 2.7MM,35663.0,35663.0,3922.93,35663.0,57
HCPCS,C1713,PLATE BN PTLA 6H 2.7MM,48316.0,48316.0,5314.76,48316.0,57
HCPCS,C1713,PLATE BN QTR 4HL 31MM,1042.0,1042.0,114.62,1042.0,57
HCPCS,C1713,PLATE BN QTR 5HL 39MM,1224.0,1224.0,134.64,1224.0,57
HCPCS,C1713,PLATE BN QTR 6HL 47MM,1842.0,1842.0,202.62,1842.0,57
HCPCS,C1713,PLATE BN QTR 7HL 55MM,1290.0,1290.0,141.9,1290.0,57
HCPCS,C1713,PLATE BN QTR 8HL 63MM,1376.0,1376.0,151.36,1376.0,57
HCPCS,C1713,PLATE BN QU SHRT 2X4H 17,3962.0,3962.0,435.82,3962.0,57
HCPCS,C1713,PLATE BN QUD MD 2X4H 18,5076.0,5076.0,558.36,5076.0,57
HCPCS,C1713,PLATE BN R 10HL 5MM,11416.0,11416.0,1255.76,11416.0,57
HCPCS,C1713,PLATE BN R 11HL 4MM,7130.0,7130.0,784.3,7130.0,57
HCPCS,C1713,PLATE BN R 11HL 6MM,7433.0,7433.0,817.63,7433.0,57
HCPCS,C1713,PLATE BN R 6H 114MM,19852.0,19852.0,2183.72,19852.0,57
HCPCS,C1713,PLATE BN RADL CLMN RT,16112.0,16112.0,1772.32,16112.0,57
HCPCS,C1713,PLATE BN RECON LPRO 9H,10303.0,10303.0,1133.33,10303.0,57
HCPCS,C1713,PLATE BN RECON ORTHO 1,160762.0,160762.0,17683.82,160762.0,57
HCPCS,C1713,PLATE BN RIB 18HL,26715.0,26715.0,2938.65,26715.0,57
HCPCS,C1713,PLATE BN RT 0MM 1.6X22MM,5081.0,5081.0,558.91,5081.0,57
HCPCS,C1713,PLATE BN RT 1.5MM 9MM,6502.0,6502.0,715.22,6502.0,57
HCPCS,C1713,PLATE BN RT 1.5X35X35MM,28842.0,28842.0,3172.62,28842.0,57
HCPCS,C1713,PLATE BN RT 1.6MM 3MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN RT 1.6MM 6MM,7093.0,7093.0,780.23,7093.0,57
HCPCS,C1713,PLATE BN RT 1.6MM 8MM,7093.0,7093.0,780.23,7093.0,57
HCPCS,C1713,PLATE BN RT 1.6X8MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN RT 10HL 154MM,25300.0,25300.0,2783.0,25300.0,57
HCPCS,C1713,PLATE BN RT 12HL 266MM,31479.0,31479.0,3462.69,31479.0,57
HCPCS,C1713,PLATE BN RT 12HL 324MM,27404.0,27404.0,3014.44,27404.0,57
HCPCS,C1713,PLATE BN RT 15MM 18MM,3626.0,3626.0,398.86,3626.0,57
HCPCS,C1713,PLATE BN RT 2.5MM,21783.0,21783.0,2396.13,21783.0,57
HCPCS,C1713,PLATE BN RT 2.7MM 70MM,16877.0,16877.0,1856.47,16877.0,57
HCPCS,C1713,PLATE BN RT 20H 306MM,37422.0,37422.0,4116.42,37422.0,57
HCPCS,C1713,PLATE BN RT 22MM 186MM,33451.0,33451.0,3679.61,33451.0,57
HCPCS,C1713,PLATE BN RT 247MM 4.5MM,25799.0,25799.0,2837.89,25799.0,57
HCPCS,C1713,PLATE BN RT 26H 193MM,43951.0,43951.0,4834.61,43951.0,57
HCPCS,C1713,PLATE BN RT 2HL 20MM,2262.0,2262.0,248.82,2262.0,57
HCPCS,C1713,PLATE BN RT 2HL 85MM,20703.0,20703.0,2277.33,20703.0,57
HCPCS,C1713,PLATE BN RT 2MM 1.6X2MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN RT 3.5MM 100MM,9690.0,9690.0,1065.9,9690.0,57
HCPCS,C1713,PLATE BN RT 3.5MM 50MM,4989.0,4989.0,548.79,4989.0,57
HCPCS,C1713,PLATE BN RT 3.5MM 52MM,5677.0,5677.0,624.47,5677.0,57
HCPCS,C1713,PLATE BN RT 3.5MM 87MM,26735.0,26735.0,2940.85,26735.0,57
HCPCS,C1713,PLATE BN RT 3.5X85MM,6441.0,6441.0,708.51,6441.0,57
HCPCS,C1713,PLATE BN RT 3/8H 3.5X107,7091.0,7091.0,780.01,7091.0,57
HCPCS,C1713,PLATE BN RT 3/8H 3.5X197,9690.0,9690.0,1065.9,9690.0,57
HCPCS,C1713,PLATE BN RT 3HL,9248.0,9248.0,1017.28,9248.0,57
HCPCS,C1713,PLATE BN RT 3HL 53MM,64116.0,64116.0,7052.76,64116.0,57
HCPCS,C1713,PLATE BN RT 3HL 75MM,21466.0,21466.0,2361.26,21466.0,57
HCPCS,C1713,PLATE BN RT 3HL NAR,9248.0,9248.0,1017.28,9248.0,57
HCPCS,C1713,PLATE BN RT 3MM,5076.0,5076.0,558.36,5076.0,57
HCPCS,C1713,PLATE BN RT 4/7H 3.5X89,8352.0,8352.0,918.72,8352.0,57
HCPCS,C1713,PLATE BN RT 4HL 3HL,17411.0,17411.0,1915.21,17411.0,57
HCPCS,C1713,PLATE BN RT 4MM 1.6X4MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN RT 4X3HL 28X0.7,3584.0,3584.0,394.24,3584.0,57
HCPCS,C1713,PLATE BN RT 57MM 2.7MM,4377.0,4377.0,481.47,4377.0,57
HCPCS,C1713,PLATE BN RT 5H 100D 2MM,3516.0,3516.0,386.76,3516.0,57
HCPCS,C1713,PLATE BN RT 5H 3.5/4.5MM,44361.0,44361.0,4879.71,44361.0,57
HCPCS,C1713,PLATE BN RT 5H 3.5MM,20493.0,20493.0,2254.23,20493.0,114
HCPCS,C1713,PLATE BN RT 5X4HL 36MM,8285.0,8285.0,911.35,8285.0,57
HCPCS,C1713,PLATE BN RT 6H 166MM,47295.0,47295.0,5202.45,47295.0,57
HCPCS,C1713,PLATE BN RT 6HL 140MM,15886.0,15886.0,1747.46,15886.0,57
HCPCS,C1713,PLATE BN RT 6MM 1.6X6MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE BN RT 7/5H 2.4X77,17411.0,17411.0,1915.21,17411.0,57
HCPCS,C1713,PLATE BN RT 7H STD,9741.0,9741.0,1071.51,9741.0,57
HCPCS,C1713,PLATE BN RT 7HL 1.5X36MM,4846.0,4846.0,533.06,4846.0,57
HCPCS,C1713,PLATE BN RT 7HL 2.0X39MM,4568.0,4568.0,502.48,4568.0,57
HCPCS,C1713,PLATE BN RT 8H 3.5/4.5MM,46444.0,46444.0,5108.84,46444.0,57
HCPCS,C1713,PLATE BN RT 8HL,10565.0,10565.0,1162.15,10565.0,57
HCPCS,C1713,PLATE BN RT 93MM 3.5MM,23529.0,23529.0,2588.19,23529.0,57
HCPCS,C1713,PLATE BN RT 9HL,27712.0,27712.0,3048.32,27712.0,57
HCPCS,C1713,PLATE BN RT 9HL 136MM,26041.0,26041.0,2864.51,26041.0,57
HCPCS,C1713,PLATE BN RT 9HL 142MM,22881.0,22881.0,2516.91,22881.0,57
HCPCS,C1713,PLATE BN RT CLV2.7MM,20065.0,20065.0,2207.15,20065.0,57
HCPCS,C1713,PLATE BN RT LAT 5H,41553.0,41553.0,4570.83,41553.0,57
HCPCS,C1713,PLATE BN RT LNG BAR 5HL,4243.0,4243.0,466.73,4243.0,57
HCPCS,C1713,PLATE BN RT SML 0.4MM,32242.0,32242.0,3546.62,32242.0,57
HCPCS,C1713,PLATE BN RT STD 4HL,9412.0,9412.0,1035.32,9412.0,57
HCPCS,C1713,PLATE BN RT STND 0MM,34196.0,34196.0,3761.56,34196.0,57
HCPCS,C1713,PLATE BN S LT CLV 2.7MM,19396.0,19396.0,2133.56,19396.0,57
HCPCS,C1713,PLATE BN SCR 2.3X26MM,16922.0,16922.0,1861.42,16922.0,57
HCPCS,C1713,PLATE BN SGTL MED 28MM,4503.0,4503.0,495.33,4503.0,57
HCPCS,C1713,PLATE BN SHORT 4HL 25MM,5129.0,5129.0,564.19,5129.0,57
HCPCS,C1713,PLATE BN SHRT 12HL RT,36271.0,36271.0,3989.81,36271.0,57
HCPCS,C1713,PLATE BN SHRT 4HL 78MM,10245.0,10245.0,1126.95,10245.0,57
HCPCS,C1713,PLATE BN SHRT 6HL 31MM,5129.0,5129.0,564.19,5129.0,57
HCPCS,C1713,PLATE BN SHRT TR 20MM,5184.0,5184.0,570.24,5184.0,57
HCPCS,C1713,PLATE BN SM 113MM,32798.0,32798.0,3607.78,32798.0,57
HCPCS,C1713,PLATE BN SM 24H .6MM,7596.0,7596.0,835.56,7596.0,57
HCPCS,C1713,PLATE BN SM LT .4MM,30128.0,30128.0,3314.08,30128.0,57
HCPCS,C1713,PLATE BN SMALL,6434.0,6434.0,707.74,6434.0,57
HCPCS,C1713,PLATE BN SML 1.4MM,23489.0,23489.0,2583.79,23489.0,57
HCPCS,C1713,PLATE BN SMTB 11HL,13753.0,13753.0,1512.83,13753.0,57
HCPCS,C1713,PLATE BN SMTB 7HL,19266.0,19266.0,2119.26,19266.0,57
HCPCS,C1713,PLATE BN SPNE 2 LVL 46MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE BN SS +90D LCP,8434.0,8434.0,927.74,8434.0,57
HCPCS,C1713,PLATE BN SS 86MM LCP 2,17813.0,17813.0,1959.43,17813.0,57
HCPCS,C1713,PLATE BN SS 88X12,6937.0,6937.0,763.07,6937.0,57
HCPCS,C1713,PLATE BN SS L138MM LCP R,19254.0,19254.0,2117.94,19254.0,57
HCPCS,C1713,PLATE BN SS L139 LCP 242,22280.0,22280.0,2450.8,22280.0,57
HCPCS,C1713,PLATE BN SS L168 LCP 8HL,28631.0,28631.0,3149.41,28631.0,57
HCPCS,C1713,PLATE BN SS L168MM LCP R,26279.0,26279.0,2890.69,26279.0,57
HCPCS,C1713,PLATE BN SS L197MM,25342.0,25342.0,2787.62,25342.0,57
HCPCS,C1713,PLATE BN SS L76MM LCP,6127.0,6127.0,673.97,6127.0,57
HCPCS,C1713,PLATE BN SS LCP RIGH,20975.0,20975.0,2307.25,20975.0,57
HCPCS,C1713,PLATE BN STD 2.4MM,27168.0,27168.0,2988.48,27168.0,57
HCPCS,C1713,PLATE BN STD 3HL,23345.0,23345.0,2567.95,23345.0,57
HCPCS,C1713,PLATE BN STD 4HL,9412.0,9412.0,1035.32,9412.0,57
HCPCS,C1713,PLATE BN STD D0 D-0 LEFT,58568.0,58568.0,6442.48,58568.0,57
HCPCS,C1713,PLATE BN STD LT 3HL,18619.0,18619.0,2048.09,18619.0,57
HCPCS,C1713,PLATE BN STD RT,40813.0,40813.0,4489.43,40813.0,57
HCPCS,C1713,PLATE BN STR 10D 112MM,28457.0,28457.0,3130.27,28457.0,57
HCPCS,C1713,PLATE BN STR 10HL,3858.0,3858.0,424.38,3858.0,57
HCPCS,C1713,PLATE BN STR 11HL,19266.0,19266.0,2119.26,19266.0,57
HCPCS,C1713,PLATE BN STR 16HL,8693.0,8693.0,956.23,8693.0,57
HCPCS,C1713,PLATE BN STR 24HL,9606.0,9606.0,1056.66,9606.0,57
HCPCS,C1713,PLATE BN STR 29X3.8X.8MM,4384.0,4384.0,482.24,4384.0,57
HCPCS,C1713,PLATE BN STR 2CBL/NDL 4H,13772.0,13772.0,1514.92,13772.0,57
HCPCS,C1713,PLATE BN STR 3HL,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,PLATE BN STR 6H 2.4MM,23345.0,23345.0,2567.95,23345.0,57
HCPCS,C1713,PLATE BN STR 6HL,3679.0,3679.0,404.69,3679.0,57
HCPCS,C1713,PLATE BN STR 6HL 35MM,6207.0,6207.0,682.77,6207.0,57
HCPCS,C1713,PLATE BN STR 7HL,19960.0,19960.0,2195.6,19960.0,57
HCPCS,C1713,PLATE BN STR 9HL,11287.5,11287.5,384.34,19081.0,114
HCPCS,C1713,PLATE BN STRL 2HL,12495.0,12495.0,1374.45,12495.0,57
HCPCS,C1713,PLATE BN STRL LV1,5962.0,5962.0,655.82,5962.0,57
HCPCS,C1713,PLATE BN STRNL 10H,19590.0,19590.0,2154.9,19590.0,57
HCPCS,C1713,PLATE BN STRNL 14MM,24315.0,24315.0,2674.65,24315.0,57
HCPCS,C1713,PLATE BN STRNL 17MM,24315.0,24315.0,2674.65,24315.0,57
HCPCS,C1713,PLATE BN STRNL 2CBL 6H,13650.0,13650.0,1501.5,13650.0,57
HCPCS,C1713,PLATE BN STRNL AUX 4H,11005.0,11005.0,1210.55,11005.0,57
HCPCS,C1713,PLATE BN STRNL LV1 14MM,24315.0,24315.0,2674.65,24315.0,57
HCPCS,C1713,PLATE BN STRNL SM 11MM,24315.0,24315.0,2674.65,24315.0,57
HCPCS,C1713,PLATE BN STRNL SM 17MM,24315.0,24315.0,2674.65,24315.0,57
HCPCS,C1713,PLATE BN STRT 16H 87MM,6681.0,6681.0,734.91,6681.0,57
HCPCS,C1713,PLATE BN STRT 5H 21MM,1953.0,1953.0,214.83,1953.0,57
HCPCS,C1713,PLATE BN STRT 6HL 2MM,4669.0,4669.0,513.59,4669.0,57
HCPCS,C1713,PLATE BN STRT HLS 6H,16335.0,16335.0,1796.85,16335.0,57
HCPCS,C1713,PLATE BN STRT.6MM 1.7MM,5034.0,5034.0,553.74,5034.0,57
HCPCS,C1713,PLATE BN SZ2,144438.0,144438.0,15888.18,144438.0,57
HCPCS,C1713,PLATE BN SZ3 3MM,71946.0,71946.0,7914.06,71946.0,57
HCPCS,C1713,PLATE BN T 10H 2.7X87MM,14653.0,14653.0,1611.83,14653.0,57
HCPCS,C1713,PLATE BN T 2.7MM,36251.0,36251.0,3987.61,36251.0,57
HCPCS,C1713,PLATE BN T 2X2HL 24MM,5663.0,5663.0,622.93,5663.0,57
HCPCS,C1713,PLATE BN T 3+3HL 47MM,6741.0,6741.0,741.51,6741.0,57
HCPCS,C1713,PLATE BN T 3.5MM 3H 50MM,5400.0,5400.0,594.0,5400.0,57
HCPCS,C1713,PLATE BN T 3H 3.5MM 63MM,5963.0,5963.0,655.93,5963.0,57
HCPCS,C1713,PLATE BN T 3H 3.5MM 74MM,5725.0,5725.0,629.75,5725.0,57
HCPCS,C1713,PLATE BN T 3H 3.5MM 96MM,7565.0,7565.0,832.15,7565.0,57
HCPCS,C1713,PLATE BN T 3HL 3.5X67MM,6113.0,6113.0,672.43,6113.0,57
HCPCS,C1713,PLATE BN T 3X2HL 30MM,8907.0,8907.0,979.77,8907.0,57
HCPCS,C1713,PLATE BN T 4H 3.5MM 78MM,7130.0,7130.0,784.3,7130.0,57
HCPCS,C1713,PLATE BN T 5HL 2X34MM,10954.0,10954.0,1204.94,10954.0,57
HCPCS,C1713,PLATE BN T 6X4HL 33MM,4460.0,4460.0,490.6,4460.0,57
HCPCS,C1713,PLATE BN T 9H 36MM,8285.0,8285.0,911.35,8285.0,57
HCPCS,C1713,PLATE BN T CMPR 4HL,22544.0,22544.0,2479.84,22544.0,57
HCPCS,C1713,PLATE BN TBLR 141X9X1MM,3213.0,3213.0,353.43,3213.0,57
HCPCS,C1713,PLATE BN TBLR 6HL 72MM,3597.0,3597.0,395.67,3597.0,57
HCPCS,C1713,PLATE BN TBLR 8HL 95MM,5590.0,5590.0,614.9,5590.0,57
HCPCS,C1713,PLATE BN TI 12HL 2.4MM,5919.0,5919.0,651.09,5919.0,57
HCPCS,C1713,PLATE BN TI 6HL 21MM,3343.0,3343.0,367.73,3343.0,57
HCPCS,C1713,PLATE BN TI LT L P 18MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,PLATE BN TI MTP LT,44841.0,44841.0,4932.51,44841.0,57
HCPCS,C1713,PLATE BN TI RIGHT MED,23489.0,23489.0,2583.79,23489.0,57
HCPCS,C1713,PLATE BN TI RT STD,26284.0,26284.0,2891.24,26284.0,57
HCPCS,C1713,PLATE BN TI SYNDSMS 2HL,24969.0,24969.0,2746.59,24969.0,57
HCPCS,C1713,PLATE BN TIB 14HL 223MM,31744.0,31744.0,3491.84,31744.0,57
HCPCS,C1713,PLATE BN TIB 2HL 95MM,40548.0,40548.0,4460.28,40548.0,57
HCPCS,C1713,PLATE BN TIB 3.5MM 102MM,25620.0,25620.0,2818.2,25620.0,57
HCPCS,C1713,PLATE BN TIB 3.5MM 93MM,24016.0,24016.0,2641.76,24016.0,57
HCPCS,C1713,PLATE BN TIB 3.5X117MM,29736.0,29736.0,3270.96,29736.0,57
HCPCS,C1713,PLATE BN TIB LT DP LOC,40967.0,40967.0,4506.37,40967.0,57
HCPCS,C1713,PLATE BN TIB RT 3H 49MM,15392.0,15392.0,1693.12,15392.0,57
HCPCS,C1713,PLATE BN TMPRL 8HL 52MM,6289.0,6289.0,691.79,6289.0,57
HCPCS,C1713,PLATE BN TPR LOPRO RT,32161.0,32161.0,3537.71,32161.0,57
HCPCS,C1713,PLATE BN TRA CHIN 4X2MM,3607.0,3607.0,396.77,3607.0,57
HCPCS,C1713,PLATE BN TUBE 7HL 85MM,7501.0,7501.0,825.11,7501.0,57
HCPCS,C1713,PLATE BN UNV 8HL,19831.0,19831.0,2181.41,19831.0,57
HCPCS,C1713,PLATE BN UPFC .5MM 10X10,23780.0,23780.0,2615.8,23780.0,57
HCPCS,C1713,PLATE BN UPPRFCL 10X10HL,25127.0,25127.0,2763.97,25127.0,57
HCPCS,C1713,PLATE BN UPRFCL 3D 6X6HL,16409.0,16409.0,1804.99,16409.0,57
HCPCS,C1713,PLATE BN VAR 103MM 8 HL,11305.0,11305.0,1243.55,11305.0,57
HCPCS,C1713,PLATE BN VDR LT NAR,40813.0,40813.0,4489.43,40813.0,57
HCPCS,C1713,PLATE BN W BAR 4H 2.4MM,2879.0,2879.0,316.69,2879.0,57
HCPCS,C1713,PLATE BN WRST 23X50MM,24044.0,24044.0,2644.84,24044.0,57
HCPCS,C1713,PLATE BN WRST SHRT 118MM,24591.0,24591.0,2705.01,24591.0,57
HCPCS,C1713,PLATE BN XL 17MM,22943.0,22943.0,2523.73,22943.0,57
HCPCS,C1713,PLATE BN XS 10HL LT,38917.0,38917.0,4280.87,38917.0,57
HCPCS,C1713,PLATE BN XS 10HL RT,10789.0,10789.0,1186.79,10789.0,57
HCPCS,C1713,PLATE BN XTRMLK 6H 109MM,32259.0,32259.0,3548.49,32259.0,57
HCPCS,C1713,PLATE BN Y 11H 22MM,3699.0,3699.0,406.89,3699.0,57
HCPCS,C1713,PLATE BN Y 3X8HL 1.3X32,3460.0,3460.0,380.6,3460.0,57
HCPCS,C1713,PLATE BN Y XLNG 5HL,2631.0,2631.0,289.41,2631.0,57
HCPCS,C1713,PLATE BNE L13MM MAXLFCL,3626.0,3626.0,398.86,3626.0,57
HCPCS,C1713,PLATE BNE L31MM HIND/MID,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,PLATE BNE L3MM CHIN 10 H,4647.0,4647.0,511.17,4647.0,57
HCPCS,C1713,PLATE BNE L64MM ID2.7MM,6872.0,6872.0,755.92,6872.0,57
HCPCS,C1713,PLATE BNE L72MM ID2.7MM,7119.0,7119.0,783.09,7119.0,57
HCPCS,C1713,PLATE BNE LCP L107MM LT,7091.0,7091.0,780.01,7091.0,57
HCPCS,C1713,PLATE BNE LCP SS NAR L40,20603.0,20603.0,2266.33,20603.0,57
HCPCS,C1713,PLATE BNE SS SHRT 2.4MM,16054.0,16054.0,1765.94,16054.0,57
HCPCS,C1713,PLATE BNE TI STR 10 HLE,4196.0,4196.0,461.56,4196.0,57
HCPCS,C1713,PLATE BONE LCP 2.4 X 65M,13780.0,13780.0,1515.8,13780.0,57
HCPCS,C1713,PLATE BONE STAINLESS STE,18847.0,18847.0,2073.17,18847.0,57
HCPCS,C1713,PLATE BRD 160X17.5X5.2MM,4492.0,4492.0,494.12,4492.0,57
HCPCS,C1713,PLATE BRD 368X17.5X5.2MM,20947.0,20947.0,2304.17,20947.0,57
HCPCS,C1713,PLATE BRL 238X19X5.8MM,15118.0,15118.0,1662.98,15118.0,57
HCPCS,C1713,PLATE BTRS 177X17.5X6MM,13092.0,13092.0,1440.12,13092.0,57
HCPCS,C1713,PLATE BTRS 249X17.5X6MM,13780.0,13780.0,1515.8,13780.0,57
HCPCS,C1713,PLATE BUR HL CVR 13MM,6576.0,6576.0,723.36,6576.0,57
HCPCS,C1713,PLATE BURH LRG 5X18.5MM,6576.0,6576.0,723.36,6576.0,57
HCPCS,C1713,PLATE C-TB 4HL 1.5X9MM,3019.0,3019.0,332.09,3019.0,57
HCPCS,C1713,PLATE CHIN 11MM GNPLST,4158.0,4158.0,457.38,4158.0,57
HCPCS,C1713,PLATE CHIN 4MM 210-,4656.0,4656.0,512.16,4656.0,57
HCPCS,C1713,PLATE CHIN 8X2MM TI,4402.0,4402.0,484.22,4402.0,57
HCPCS,C1713,PLATE CHIN BN TI 6MM,3934.0,3934.0,432.74,3934.0,57
HCPCS,C1713,PLATE CHIN GNPLSTY 9X2MM,4417.0,4417.0,485.87,4417.0,57
HCPCS,C1713,PLATE CHIN GRFN 2X3MM,4402.0,4402.0,484.22,4402.0,57
HCPCS,C1713,PLATE CHIN L2MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1713,PLATE CHIN WNDW BN 10 MM,7687.0,7687.0,845.57,7687.0,57
HCPCS,C1713,PLATE CLVCL ANTR 9 HL,23890.0,23890.0,2627.9,23890.0,57
HCPCS,C1713,PLATE CNDRL 7HL 1.5X36MM,4301.0,4301.0,473.11,4301.0,57
HCPCS,C1713,PLATE CNDYL 4.5 8H/206-L,27944.0,27944.0,3073.84,27944.0,57
HCPCS,C1713,PLATE CNDYL 4.5 8H/206-R,31220.0,31220.0,3434.2,31220.0,57
HCPCS,C1713,PLATE CNDYLR4.5 6H/170-L,29116.0,29116.0,3202.76,29116.0,57
HCPCS,C1713,PLATE COND 5H 70MM,17406.0,17406.0,1914.66,17406.0,57
HCPCS,C1713,PLATE CONDYLAR 2.4MM LFT,4740.0,4740.0,521.4,4740.0,57
HCPCS,C1713,PLATE CONDYLAR 2.4MM RIG,4740.0,4740.0,521.4,4740.0,57
HCPCS,C1713,PLATE CORT 338MM 4.5MM,21768.0,21768.0,2394.48,21768.0,57
HCPCS,C1713,PLATE CRANI 2MM 3MM,3826.0,3826.0,420.86,3826.0,57
HCPCS,C1713,PLATE CRANIO 100D 8MM,4047.0,4047.0,445.17,4047.0,57
HCPCS,C1713,PLATE CRN 6H 1.5MM,6124.0,6124.0,673.64,6124.0,57
HCPCS,C1713,PLATE CRNF LT L 10MM,2980.0,2980.0,327.8,2980.0,57
HCPCS,C1713,PLATE CRNF LT L 4H 10MM,2980.0,2980.0,327.8,2980.0,57
HCPCS,C1713,PLATE CRNF LT L 4H 12MM,2980.0,2980.0,327.8,2980.0,57
HCPCS,C1713,PLATE CRNF RT L 4H 12MM,2980.0,2980.0,327.8,2980.0,57
HCPCS,C1713,PLATE CRNFCL 24HL,9404.0,9404.0,1034.44,9404.0,57
HCPCS,C1713,PLATE CRNFCL 6HL 1.5X.4,4939.0,4939.0,543.29,4939.0,57
HCPCS,C1713,PLATE CRNL LT 100D 2MM,3516.0,3516.0,386.76,3516.0,57
HCPCS,C1713,PLATE CRNL PRBNT 1.6X5MM,5675.0,5675.0,624.25,5675.0,57
HCPCS,C1713,PLATE CRNL PROSTH CSTM,19289.0,19289.0,2121.79,19289.0,57
HCPCS,C1713,PLATE CRNLFX STRT 30HL,9666.0,9666.0,1063.26,9666.0,57
HCPCS,C1713,PLATE CRNMXF 5X.6MM,4055.0,4055.0,446.05,4055.0,57
HCPCS,C1713,PLATE CRNMXF 7HL 105MM,7886.0,7886.0,867.46,7886.0,57
HCPCS,C1713,PLATE CRNMXF BN 12MM,2487.0,2487.0,273.57,2487.0,57
HCPCS,C1713,PLATE CRNMXF CSTM 3PLATE,159428.0,159428.0,17537.08,159428.0,57
HCPCS,C1713,PLATE CRNMXF FX 7MM,4299.0,4299.0,472.89,4299.0,57
HCPCS,C1713,PLATE CRNMXF L1 1X11MM,6502.0,6502.0,715.22,6502.0,57
HCPCS,C1713,PLATE CRNMXF LVL1 9MM,3607.0,3607.0,396.77,3607.0,57
HCPCS,C1713,PLATE CRNMXF ORBT LT LG,45313.0,45313.0,4984.43,45313.0,57
HCPCS,C1713,PLATE CRV 3.5MM SCR 14H,13202.0,13202.0,1452.22,13202.0,57
HCPCS,C1713,PLATE CRV BAR 6HL 4MM,5127.0,5127.0,563.97,5127.0,57
HCPCS,C1713,PLATE DEGEN DISC 40MM,19523.0,19523.0,2147.53,19523.0,57
HCPCS,C1713,PLATE DIST RT 13HL 2.5,24044.0,24044.0,2644.84,24044.0,57
HCPCS,C1713,PLATE DISTAL HUMERUS 3.5,17491.5,17491.5,1907.18,17645.0,114
HCPCS,C1713,PLATE DISTAL RADIUS 48MM,15314.0,15314.0,1684.54,15314.0,57
HCPCS,C1713,PLATE DISTAL RADIUS 66MM,14538.0,14538.0,1599.18,14538.0,57
HCPCS,C1713,PLATE DISTAL RADIUS VOLA,17016.0,17016.0,1871.76,17016.0,57
HCPCS,C1713,PLATE DISTAL TIBIAL 194M,28927.0,28927.0,3181.97,28927.0,57
HCPCS,C1713,PLATE DLMLS 7HL 8X4.5,7892.0,7892.0,868.12,7892.0,57
HCPCS,C1713,PLATE DRSL 3 HL 2.4,7148.0,7148.0,786.28,7148.0,57
HCPCS,C1713,PLATE DVR 4H RT PICCOLO,26469.0,26469.0,2911.59,26469.0,57
HCPCS,C1713,PLATE FEM 243MM 10 HL,39976.0,39976.0,4397.36,39976.0,57
HCPCS,C1713,PLATE FEM DIST 16HL,44407.0,44407.0,4884.77,44407.0,57
HCPCS,C1713,PLATE FIB 4HL RT 2.7MM,15378.0,15378.0,1691.58,15378.0,57
HCPCS,C1713,PLATE FRAG 44X13X1.2MM,1013.0,1013.0,111.43,1013.0,57
HCPCS,C1713,PLATE FT MTRSL LT 5HL,14427.0,14427.0,1586.97,14427.0,57
HCPCS,C1713,PLATE GD GRW W/16MM SCR,12199.0,12199.0,1341.89,12199.0,57
HCPCS,C1713,PLATE GD GRW W/24MM SCR,6100.0,6100.0,671.0,6100.0,57
HCPCS,C1713,PLATE HK BN,8159.0,8159.0,897.49,8159.0,57
HCPCS,C1713,PLATE HK BN + SCREW,1336.0,1336.0,146.96,1336.0,57
HCPCS,C1713,PLATE HOOK BN LRG 3.5MM,37060.0,37060.0,4076.6,37060.0,57
HCPCS,C1713,PLATE HOOK SM 3.5MM,33685.0,33685.0,3705.35,33685.0,57
HCPCS,C1713,PLATE HUM 14H 3.5MM,22324.0,22324.0,2455.64,22324.0,57
HCPCS,C1713,PLATE HUM LCP 208X3.5,22324.0,22324.0,2455.64,22324.0,57
HCPCS,C1713,PLATE INF DSPLCE 90X7X25,8545.0,8545.0,939.95,8545.0,57
HCPCS,C1713,PLATE L 2.4 LCP 2H/4H +9,8812.0,8812.0,969.32,8812.0,57
HCPCS,C1713,PLATE L 2.4 LCP 2H/4H -9,8456.0,8456.0,930.16,8456.0,57
HCPCS,C1713,PLATE L 2.4 LCP 3H/3H +9,7798.0,7798.0,857.78,7798.0,57
HCPCS,C1713,PLATE L BN LT 1.6X22MM,3553.0,3553.0,390.83,3553.0,57
HCPCS,C1713,PLATE L CMF SHRT 4H LT,3637.0,3637.0,400.07,3637.0,57
HCPCS,C1713,PLATE L LEFT 6 50-373-04,3407.0,3407.0,374.77,3407.0,57
HCPCS,C1713,PLATE L LT 2X2HL 17MM,3931.0,3931.0,432.41,3931.0,57
HCPCS,C1713,PLATE L RT 2X2HL 17MM,3931.0,3931.0,432.41,3931.0,57
HCPCS,C1713,PLATE L RT 6MM 50-371-04,3611.0,3611.0,397.21,3611.0,57
HCPCS,C1713,PLATE L-SHAPE LT LNG,3842.0,3842.0,422.62,3842.0,57
HCPCS,C1713,PLATE L-SHAPE LT MED,4071.0,4071.0,447.81,4071.0,57
HCPCS,C1713,PLATE L-SHAPE RT LNG,3842.0,3842.0,422.62,3842.0,57
HCPCS,C1713,PLATE L5MM LNDRF RT,6135.0,6135.0,674.85,6135.0,57
HCPCS,C1713,PLATE L7MM LNDRF RT,6502.0,6502.0,715.22,6502.0,57
HCPCS,C1713,PLATE LAT FIB 89MM,35429.0,35429.0,3897.19,35429.0,57
HCPCS,C1713,PLATE LCK TIB 6 HL,23738.0,23738.0,2611.18,23738.0,57
HCPCS,C1713,PLATE LCP 2.4MM 242.508,7148.0,7148.0,786.28,7148.0,57
HCPCS,C1713,PLATE LCP 222.660,32367.0,32367.0,3560.37,32367.0,57
HCPCS,C1713,PLATE LCP 3.5 X 142MM 6,28353.0,28353.0,3118.83,28353.0,57
HCPCS,C1713,PLATE LCP 4H 3.5MM 122MM,20734.0,20734.0,2280.74,20734.0,57
HCPCS,C1713,PLATE LCP 8HL 145X3.5MM,23891.0,23891.0,2628.01,23891.0,57
HCPCS,C1713,PLATE LCP DIST HUM 3.5,18328.0,18328.0,2016.08,18328.0,57
HCPCS,C1713,PLATE LCP DIST RADIUS 5,15314.0,15314.0,1684.54,15314.0,57
HCPCS,C1713,PLATE LCP LT 9HL 3.5MM,20945.0,20945.0,2303.95,20945.0,57
HCPCS,C1713,PLATE LG STR MNDB 4 HL,5088.0,5088.0,559.68,5088.0,57
HCPCS,C1713,PLATE LINDORF 1 CP TITAN,4647.0,4647.0,511.17,4647.0,57
HCPCS,C1713,PLATE LINDORF 50-280-09,6494.0,6494.0,714.34,6494.0,57
HCPCS,C1713,PLATE LINDORF 50-282-11,6730.0,6730.0,740.3,6730.0,57
HCPCS,C1713,PLATE LNG 13MMX.8MM MDFC,4967.0,4967.0,546.37,4967.0,57
HCPCS,C1713,PLATE LNG 1MM RT L LCK B,5663.0,5663.0,622.93,5663.0,57
HCPCS,C1713,PLATE LNG 68X23X2 2.5 15,24784.0,24784.0,2726.24,24784.0,57
HCPCS,C1713,PLATE LNG LT 3X3 HL,3827.0,3827.0,420.97,3827.0,57
HCPCS,C1713,PLATE LNG LT 5HL MNDB,4243.0,4243.0,466.73,4243.0,57
HCPCS,C1713,PLATE LOPRO 9 HOLE 155MM,22700.0,22700.0,2497.0,22700.0,57
HCPCS,C1713,PLATE LOW 5 HOLE PROF,20407.0,20407.0,2244.77,20407.0,57
HCPCS,C1713,PLATE LRNZ SM 8HL 38X.5,10686.0,10686.0,1175.46,10686.0,57
HCPCS,C1713,PLATE LT 7HL RT,4057.0,4057.0,446.27,4057.0,57
HCPCS,C1713,PLATE LT K-SHP 8HL 1MM,15982.0,15982.0,1758.02,15982.0,57
HCPCS,C1713,PLATE LT L100X1.5MM,3842.0,3842.0,422.62,3842.0,57
HCPCS,C1713,PLATE LT LCK 4X3HL 30MM,8285.0,8285.0,911.35,8285.0,57
HCPCS,C1713,PLATE LT MDFC L BAR 4HL,3921.0,3921.0,431.31,3921.0,57
HCPCS,C1713,PLATE LT UPFCL 8HL 90X.6,3137.0,3137.0,345.07,3137.0,57
HCPCS,C1713,PLATE LVL1 RT 1.5M,9178.0,9178.0,1009.58,9178.0,57
HCPCS,C1713,PLATE MANDIBLE,221752.0,221752.0,24392.72,221752.0,57
HCPCS,C1713,PLATE MAXILAARY RT 4MM,8541.0,8541.0,939.51,8541.0,57
HCPCS,C1713,PLATE MDBL LT 80D 4H 1MM,3708.0,3708.0,407.88,3708.0,57
HCPCS,C1713,PLATE MDFC 12 HL 0.6MM,7308.0,7308.0,803.88,7308.0,57
HCPCS,C1713,PLATE MDFC 24 HL STR MLB,11794.0,11794.0,1297.34,11794.0,57
HCPCS,C1713,PLATE MDFC 2X6 HL 3D MLB,10002.0,10002.0,1100.22,10002.0,57
HCPCS,C1713,PLATE MDFC 3D LG,233200.0,233200.0,25652.0,233200.0,57
HCPCS,C1713,PLATE MDFC 4HL XSHP .8MM,4287.0,4287.0,471.57,4287.0,57
HCPCS,C1713,PLATE MDFC 5H Y LCK 8MM,4314.0,4314.0,474.54,4314.0,57
HCPCS,C1713,PLATE MDFC 6H L LT 8MM,3809.0,3809.0,418.99,3809.0,57
HCPCS,C1713,PLATE MDFC 6H L RT 8MM,3809.0,3809.0,418.99,3809.0,57
HCPCS,C1713,PLATE MDFC 6HL .6MM,3611.0,3611.0,397.21,3611.0,57
HCPCS,C1713,PLATE MDFC 7HL .1MM,5484.0,5484.0,603.24,5484.0,57
HCPCS,C1713,PLATE MDFC RT 1X2MM 4HL,3637.0,3637.0,400.07,3637.0,57
HCPCS,C1713,PLATE MED .3MM ANTM ORBT,24974.0,24974.0,2747.14,24974.0,57
HCPCS,C1713,PLATE MED DISTAL TIBIAL,29611.0,29611.0,3257.21,29611.0,57
HCPCS,C1713,PLATE MED F/1.5 SCRW,1906.0,1906.0,209.66,1906.0,57
HCPCS,C1713,PLATE MED LT 2-1MM,3931.0,3931.0,432.41,3931.0,57
HCPCS,C1713,PLATE MED STR MNDB 4 HL,4863.0,4863.0,534.93,4863.0,57
HCPCS,C1713,PLATE MESH 446.050,9988.0,9988.0,1098.68,9988.0,57
HCPCS,C1713,PLATE MESH 80X80MM .3MM,31460.0,31460.0,3460.6,31460.0,57
HCPCS,C1713,PLATE MI .5 18 HL STRUT,12402.0,12402.0,1364.22,12402.0,57
HCPCS,C1713,PLATE MIC 7MM LT MXLFCL,6502.0,6502.0,715.22,6502.0,57
HCPCS,C1713,PLATE MIC LNDRF L3MM,4647.0,4647.0,511.17,4647.0,57
HCPCS,C1713,PLATE MICRO 13MM LEFT L,3781.0,3781.0,415.91,3781.0,57
HCPCS,C1713,PLATE MICRO 13MM RIGHT L,3781.0,3781.0,415.91,3781.0,57
HCPCS,C1713,PLATE MICRO 16MM RIGHT L,3781.0,3781.0,415.91,3781.0,57
HCPCS,C1713,PLATE MICRO 5MM 5030205,4647.0,4647.0,511.17,4647.0,57
HCPCS,C1713,PLATE MICRO 7MM 5030207,4417.0,4417.0,485.87,4417.0,57
HCPCS,C1713,PLATE MICRO CALVARIUM LG,6042.0,6042.0,664.62,6042.0,57
HCPCS,C1713,PLATE MICRO ORBITAL,9684.0,9684.0,1065.24,9684.0,57
HCPCS,C1713,PLATE MICRO T 19MM,3953.0,3953.0,434.83,3953.0,57
HCPCS,C1713,PLATE MINI .75 RT 9HL L,4659.0,4659.0,512.49,4659.0,57
HCPCS,C1713,PLATE MINI 15MM LF ZED,3638.0,3638.0,400.18,3638.0,57
HCPCS,C1713,PLATE MINI 4HOLE COMP,4984.0,4984.0,548.24,4984.0,57
HCPCS,C1713,PLATE MINI 5HOLE CURVED,6964.0,6964.0,766.04,6964.0,57
HCPCS,C1713,PLATE MINI 8MMX1MM,3461.0,3461.0,380.71,3461.0,57
HCPCS,C1713,PLATE MINI 9HOLE CURVED,7106.0,7106.0,781.66,7106.0,57
HCPCS,C1713,PLATE MINI L RT 15MM,1665.0,1665.0,183.15,1665.0,57
HCPCS,C1713,PLATE MINI MNDB 4 HL REI,6863.0,6863.0,754.93,6863.0,57
HCPCS,C1713,PLATE MINI REG 16HL 2MM,3103.0,3103.0,341.33,3103.0,57
HCPCS,C1713,PLATE MINI SHORT Y,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,PLATE MINI STRAIGHT 24MM,3229.0,3229.0,355.19,3229.0,57
HCPCS,C1713,PLATE MINI STRAIGHT 4H,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,PLATE MLFCL 123X123X.8MM,72570.0,72570.0,7982.7,72570.0,57
HCPCS,C1713,PLATE MNDB BN CUSTOM,38649.0,38649.0,4251.39,38649.0,57
HCPCS,C1713,PLATE MNDB BN TI MIDFACE,66798.0,66798.0,7347.78,66798.0,57
HCPCS,C1713,PLATE MNDB MDFC TI,66798.0,66798.0,7347.78,66798.0,57
HCPCS,C1713,PLATE MSH RSRBX 126X11,17959.0,17959.0,1975.49,17959.0,57
HCPCS,C1713,PLATE MSH RSRBX 126X126,79529.0,79529.0,8748.19,79529.0,57
HCPCS,C1713,PLATE MXCRNFCL 6,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,PLATE MXFCL 8HL F1.5SC,2117.0,2117.0,232.87,2117.0,57
HCPCS,C1713,PLATE MXFCL 90D .5MM 2HL,5109.0,5109.0,561.99,5109.0,57
HCPCS,C1713,PLATE MXFCL LNG LT Z.6MM,3931.0,3931.0,432.41,3931.0,57
HCPCS,C1713,PLATE MXFCL LNG RT Z.6MM,3931.0,3931.0,432.41,3931.0,57
HCPCS,C1713,PLATE MXFCL RT 9HL .75MM,3584.0,3584.0,394.24,3584.0,57
HCPCS,C1713,PLATE MXFCL RTNT DEV 1.8,21973.0,21973.0,2417.03,21973.0,57
HCPCS,C1713,PLATE MXL 1.8MM,17700.0,17700.0,1947.0,17700.0,57
HCPCS,C1713,PLATE MXL LT PRBNT.8X2MM,9478.0,9478.0,1042.58,9478.0,57
HCPCS,C1713,PLATE MXL RT PRBNT.8X2MM,9478.0,9478.0,1042.58,9478.0,57
HCPCS,C1713,PLATE MXLFCL 10 HL 1.6MM,3965.0,3965.0,436.15,3965.0,57
HCPCS,C1713,PLATE MXLFCL 16HL 1.5MM,4489.0,4489.0,493.79,4489.0,57
HCPCS,C1713,PLATE MXLFCL 2Y 210-0239,3104.0,3104.0,341.44,3104.0,57
HCPCS,C1713,PLATE MXLFCL 4 HL STR 8M,2962.0,2962.0,325.82,2962.0,57
HCPCS,C1713,PLATE MXLFCL 4H 214-0080,5129.0,5129.0,564.19,5129.0,57
HCPCS,C1713,PLATE MXLFCL 6 HL CRV LC,5415.0,5415.0,595.65,5415.0,57
HCPCS,C1713,PLATE MXLFCL 8MM STEP RT,6231.0,6231.0,685.41,6231.0,57
HCPCS,C1713,PLATE MXLFCL 9H .75MM,4659.0,4659.0,512.49,4659.0,57
HCPCS,C1713,PLATE MXLFCL DBL RW 6MM,6681.0,6681.0,734.91,6681.0,57
HCPCS,C1713,PLATE MXLFCL LT 11HL 6MM,6893.0,6893.0,758.23,6893.0,57
HCPCS,C1713,PLATE MXLFCL LT 210-0048,3781.0,3781.0,415.91,3781.0,57
HCPCS,C1713,PLATE MXLFCL LT 210-0068,3980.0,3980.0,437.8,3980.0,57
HCPCS,C1713,PLATE MXLFCL Y 210-0236,3032.0,3032.0,333.52,3032.0,57
HCPCS,C1713,PLATE NAR 142MM TI 4.5MM,2714.0,2714.0,298.54,2714.0,57
HCPCS,C1713,PLATE NAR 368X13.5X4.2MM,18921.0,18921.0,2081.31,18921.0,57
HCPCS,C1713,PLATE NAR CNTOR TI 5 HL,23345.0,23345.0,2567.95,23345.0,57
HCPCS,C1713,PLATE OLCRN 3.5 X 86MM R,16999.0,16999.0,1869.89,16999.0,57
HCPCS,C1713,PLATE OLECRANON 4HOLE LC,18662.0,18662.0,2052.82,18662.0,57
HCPCS,C1713,PLATE ORBIT 30MM 30MM,15604.0,15604.0,1716.44,15604.0,57
HCPCS,C1713,PLATE ORBT 8HL RSRBX 8MM,5730.0,5730.0,630.3,5730.0,57
HCPCS,C1713,PLATE ORBT FLR .3X1.5,7970.0,7970.0,876.7,7970.0,57
HCPCS,C1713,PLATE ORBT FLR 12HL .7MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,PLATE ORBT LG 32X30X.4,18244.0,18244.0,2006.84,18244.0,57
HCPCS,C1713,PLATE ORBT MED 32X30X.3,17115.0,17115.0,1882.65,17115.0,57
HCPCS,C1713,PLATE ORBT RT 42X41X1MM,23386.0,23386.0,2572.46,23386.0,57
HCPCS,C1713,PLATE ORBTL FLR 1.2 SM,16041.0,16041.0,1764.51,16041.0,57
HCPCS,C1713,PLATE ORTH 6X6 ANC CXMXL,3019.0,3019.0,332.09,3019.0,57
HCPCS,C1713,PLATE ORTH ANC C-TUBE 12,4573.0,4573.0,503.03,4573.0,57
HCPCS,C1713,PLATE ORTHO LEFT L13MM,3626.0,3626.0,398.86,3626.0,57
HCPCS,C1713,PLATE OSTEOTOMY CHILD 90,8312.0,8312.0,914.32,8312.0,57
HCPCS,C1713,PLATE PED HIP 02.108.331,9637.0,9637.0,1060.07,9637.0,57
HCPCS,C1713,PLATE PELVIC 3.5 X 7 X 8,6638.0,6638.0,730.18,6638.0,57
HCPCS,C1713,PLATE PERI CLCNL LFT SM,48046.0,48046.0,5285.06,48046.0,57
HCPCS,C1713,PLATE PRBNT LT 3MM 26HL,39717.0,39717.0,4368.87,39717.0,57
HCPCS,C1713,PLATE PREBNT RT MXL 6MM,8594.0,8594.0,945.34,8594.0,57
HCPCS,C1713,PLATE PROX TIB 3.5MM LCP,29796.0,29796.0,3277.56,29796.0,57
HCPCS,C1713,PLATE PROX TIB 4.5LCP 19,8977.0,8977.0,987.47,8977.0,57
HCPCS,C1713,PLATE PSTR FOOT SHRT 7MM,19312.0,19312.0,2124.32,19312.0,57
HCPCS,C1713,PLATE QUAD MCRO 212-0040,5357.0,5357.0,589.27,5357.0,57
HCPCS,C1713,PLATE R RIGID 23MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,PLATE REG 4HL 1.5MM,1784.0,1784.0,196.24,1784.0,57
HCPCS,C1713,PLATE REG STRG 4HL MED,2987.0,2987.0,328.57,2987.0,57
HCPCS,C1713,PLATE REG X MICRO MXFCL,4402.0,4402.0,484.22,4402.0,57
HCPCS,C1713,PLATE RT 7HL,3828.0,3828.0,421.08,3828.0,57
HCPCS,C1713,PLATE RT ANG 75X10X1.2MM,2772.0,2772.0,304.92,2772.0,57
HCPCS,C1713,PLATE RT K-SHP 8HL 1MM,17504.0,17504.0,1925.44,17504.0,57
HCPCS,C1713,PLATE RT LCK 4X3HL 30MM,7221.0,7221.0,794.31,7221.0,57
HCPCS,C1713,PLATE RT MDFC 4 HL,3984.0,3984.0,438.24,3984.0,57
HCPCS,C1713,PLATE SF TUB 1/3X4X49,994.0,994.0,109.34,994.0,57
HCPCS,C1713,PLATE SM STR MNDB 4 HL A,4638.0,4638.0,510.18,4638.0,57
HCPCS,C1713,PLATE SMTH CHIN 5X2MM,4647.0,4647.0,511.17,4647.0,57
HCPCS,C1713,PLATE SPINAL 50MM 3 LVL,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 1 LV 20MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 1.9H 1LV 22MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 12MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 1LV 26MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 1LVL 14MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 1LVL 16MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 1LVL 20MM,22779.0,22779.0,2505.69,22779.0,57
HCPCS,C1713,PLATE SPN 1LVL 24MM,22779.0,22779.0,2505.69,22779.0,57
HCPCS,C1713,PLATE SPN 1LVL 26MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 2LVL 30MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 2LVL 34MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 2LVL 36MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 2LVL 38MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 2LVL 40MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 2LVL 54MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 3.5 37MM,37965.0,37965.0,4176.15,37965.0,57
HCPCS,C1713,PLATE SPN 3LVL 66MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 3LVL 68MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN 40MM,55277.0,55277.0,6080.47,55277.0,57
HCPCS,C1713,PLATE SPN ARCHN 1LVL34MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN ARCHN 3LVL64MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN L2 40MM,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPN LCP 10HL 3.5MM,9244.0,9244.0,1016.84,9244.0,57
HCPCS,C1713,PLATE SPN SM,37965.0,37965.0,4176.15,37965.0,57
HCPCS,C1713,PLATE SPNL 42MM LEVEL 2,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SPNL 60MM LEVEL 3,24045.0,24045.0,2644.95,24045.0,57
HCPCS,C1713,PLATE SS ANTHEM 7 NARR 3,27414.0,27414.0,3015.54,27414.0,57
HCPCS,C1713,PLATE STAB 14MM XS TI 1,25992.0,25992.0,2859.12,25992.0,57
HCPCS,C1713,PLATE STR 2.0MM L35X5.0,1080.0,1080.0,118.8,1080.0,57
HCPCS,C1713,PLATE STRAIGHT 1.3 6HX23,2982.0,2982.0,328.02,2982.0,57
HCPCS,C1713,PLATE STRAIGHT 2.0 12HX7,3937.0,3937.0,433.07,3937.0,57
HCPCS,C1713,PLATE STRAIGHT 9 HL,12844.0,12844.0,1412.84,12844.0,57
HCPCS,C1713,PLATE STRL ROT 1.6MM 6HL,23345.0,23345.0,2567.95,23345.0,57
HCPCS,C1713,PLATE STRNL BN 4HL,12854.0,12854.0,1413.94,12854.0,57
HCPCS,C1713,PLATE STRNL LCK 7HL MINI,15133.0,15133.0,1664.63,15133.0,57
HCPCS,C1713,PLATE STRNL LCK10HL1.8MM,12287.0,12287.0,1351.57,12287.0,57
HCPCS,C1713,PLATE STRNL SGL 17MM,24315.0,24315.0,2674.65,24315.0,57
HCPCS,C1713,PLATE STRNM LCK 1.8MM 6H,9016.0,9016.0,991.76,9016.0,57
HCPCS,C1713,PLATE STRT 6HL 2.0MM,23345.0,23345.0,2567.95,23345.0,57
HCPCS,C1713,PLATE T 2.4 2 HOLE HEAD,4052.0,4052.0,445.72,4052.0,57
HCPCS,C1713,PLATE T 2.4 LCP 3H/3H,7377.0,7377.0,811.47,7377.0,57
HCPCS,C1713,PLATE T 2.4 LCP 3H/4H,7702.0,7702.0,847.22,7702.0,57
HCPCS,C1713,PLATE T 3X8HL54X6.3X1.25,4320.0,4320.0,475.2,4320.0,57
HCPCS,C1713,PLATE T 47MM LMBR ANTGRA,63275.0,63275.0,6960.25,63275.0,57
HCPCS,C1713,PLATE T BN 10HL 62MM,10954.0,10954.0,1204.94,10954.0,57
HCPCS,C1713,PLATE T BN 2.4MM 53MM,16697.0,16697.0,1836.67,16697.0,57
HCPCS,C1713,PLATE T BN 2HL 18MM,822.0,822.0,90.42,822.0,57
HCPCS,C1713,PLATE T BN 2X7HL 2X53MM,6416.0,6416.0,705.76,6416.0,57
HCPCS,C1713,PLATE T BN 3HL 32MM,3625.0,3625.0,398.75,3625.0,57
HCPCS,C1713,PLATE T BN LT 3.5MM 63MM,6696.0,6696.0,736.56,6696.0,57
HCPCS,C1713,PLATE T BN LT 3.5MM 74MM,6616.0,6616.0,727.76,6616.0,57
HCPCS,C1713,PLATE T BN LT 3.5MM 96MM,7170.0,7170.0,788.7,7170.0,57
HCPCS,C1713,PLATE T BN NAR 2.4MM,12783.0,12783.0,1406.13,12783.0,57
HCPCS,C1713,PLATE T REINF 6HL 2.4MM,27229.0,27229.0,2995.19,27229.0,57
HCPCS,C1713,PLATE T RT 5H 6MM 23MM,8449.0,8449.0,929.39,8449.0,57
HCPCS,C1713,PLATE T/1MM 3X2HL 30MM,8907.0,8907.0,979.77,8907.0,57
HCPCS,C1713,PLATE THK1.5MM 20 HL BN,20398.0,20398.0,2243.78,20398.0,57
HCPCS,C1713,PLATE THK8 3X3 HL L BN,5359.0,5359.0,589.49,5359.0,57
HCPCS,C1713,PLATE TI 2.4 MM SCR 4 HL,5065.0,5065.0,557.15,5065.0,57
HCPCS,C1713,PLATE TI 2.4 MM SCR 6 HL,7010.0,7010.0,771.1,7010.0,57
HCPCS,C1713,PLATE TI 2.4 MM SCR 8 HL,6154.0,6154.0,676.94,6154.0,57
HCPCS,C1713,PLATE TI 4HL 24X5.5X1.25,4456.0,4456.0,490.16,4456.0,57
HCPCS,C1713,PLATE TI CHIN 6MM,4656.0,4656.0,512.16,4656.0,57
HCPCS,C1713,PLATE TI-T 4 HOLES,4205.0,4205.0,462.55,4205.0,57
HCPCS,C1713,PLATE TIB LT 3H,63855.0,63855.0,7024.05,63855.0,57
HCPCS,C1713,PLATE TIB PROX LFT 4HL,51930.0,51930.0,5712.3,51930.0,57
HCPCS,C1713,PLATE TIB PROX LFT 5HL,52403.0,52403.0,5764.33,52403.0,57
HCPCS,C1713,PLATE TIBIA DISTAL MEDIA,25400.0,25400.0,2794.0,25400.0,57
HCPCS,C1713,PLATE TIBIAL DISTAL W/O,25992.0,25992.0,2859.12,25992.0,57
HCPCS,C1713,PLATE TT TUB 441.35,1813.0,1813.0,199.43,1813.0,57
HCPCS,C1713,PLATE TT TUB W/COLR 1/3,2389.5,2389.5,137.72,3527.0,114
HCPCS,C1713,PLATE VA-LCP CLAV 2.7MM,18817.0,18817.0,2069.87,18817.0,57
HCPCS,C1713,PLATE VOLAR DIS RAD EX-A,15022.0,15022.0,1652.42,15022.0,57
HCPCS,C1713,PLATE VOLAR DIST RAD 4 H,18397.0,18397.0,2023.67,18397.0,57
HCPCS,C1713,PLATE WEDGE 6MM,26120.0,26120.0,2873.2,26120.0,57
HCPCS,C1713,PLATE WRST STRG 24X170MM,48781.0,48781.0,5365.91,48781.0,57
HCPCS,C1713,PLATE Y 8HL 3LF 1.5TI,3460.0,3460.0,380.6,3460.0,57
HCPCS,C1713,PLATE Y MDFC 5HL.6X8X1.7,3387.0,3387.0,372.57,3387.0,57
HCPCS,C1713,PLATE ZED MIDFACE RT 9MM,3698.0,3698.0,406.78,3698.0,57
HCPCS,C1713,PLATES 5 CRANIO FACIAL,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,PLT 100D 4MM 32MMX67MMS,8867.0,8867.0,975.37,8867.0,57
HCPCS,C1713,PLT 100D 4MM 38MMX67MM,8867.0,8867.0,975.37,8867.0,57
HCPCS,C1713,PLT 6 HL DBL Y W/BAR N12,4631.0,4631.0,509.41,4631.0,57
HCPCS,C1713,PLT ANG 4X4 HL 56MM,2217.0,2217.0,243.87,2217.0,57
HCPCS,C1713,PLT BN MDFC 4X6HL .7MM,5810.0,5810.0,639.1,5810.0,57
HCPCS,C1713,PLT BN MDFC 6H DBL/Y 1MM,5280.0,5280.0,580.8,5280.0,57
HCPCS,C1713,PLT BN MIIC 18.5H STR,3883.0,3883.0,427.13,3883.0,57
HCPCS,C1713,PLT BN RT 6H 1MM,2987.0,2987.0,328.57,2987.0,57
HCPCS,C1713,PLT BN SM .5X.5MM,4690.0,4690.0,515.9,4690.0,57
HCPCS,C1713,PLT DCP 4 HL 36MM,1931.0,1931.0,212.41,1931.0,57
HCPCS,C1713,PLT DCP 5 HL 44MM,2198.0,2198.0,241.78,2198.0,57
HCPCS,C1713,PLT DCP 6 HL 52MM,2389.0,2389.0,262.79,2389.0,57
HCPCS,C1713,PLT LCP DI TIB 12 HL LT,27281.0,27281.0,3000.91,27281.0,57
HCPCS,C1713,PLT MC.5MM ORB MSH 1.5/2,5654.0,5654.0,621.94,5654.0,57
HCPCS,C1713,PLT MDFC 7HL YSHAPE1.0MM,5484.0,5484.0,603.24,5484.0,57
HCPCS,C1713,PLT MDFC 8HL TSHAPE1.0MM,5582.0,5582.0,614.02,5582.0,57
HCPCS,C1713,PLT MINI 6HL LONG LT BAR,3208.0,3208.0,352.88,3208.0,57
HCPCS,C1713,PLT MXLFCL LOPRO 8H .75,5100.0,5100.0,561.0,5100.0,57
HCPCS,C1713,PLT ZED MIDFACE LT 9MM,3698.0,3698.0,406.78,3698.0,57
HCPCS,C1713,PLT ZED MIDFACE RT 11MM,3698.0,3698.0,406.78,3698.0,57
HCPCS,C1713,PLTE BN 9H 153X2.7X3.5MM,20059.0,20059.0,2206.49,20059.0,57
HCPCS,C1713,PLTE BNE 316L SS-20DD 2.,7148.0,7148.0,786.28,7148.0,57
HCPCS,C1713,PLTE SM TI 2.4MM SCR BN,20407.0,20407.0,2244.77,20407.0,57
HCPCS,C1713,POST CMPR PLNTARFIX 12MM,25318.0,25318.0,2784.98,25318.0,57
HCPCS,C1713,POST SCREW BN 4.5X42.5MM,3690.0,3690.0,405.9,3690.0,57
HCPCS,C1713,PROSTHESIS CRNL CSTM MED,203163.0,203163.0,22347.93,203163.0,57
HCPCS,C1713,ROD COCR DD 3.5-5.5X600,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,ROD MDLRY RUSH 394X4.8,2261.0,2261.0,248.71,2261.0,57
HCPCS,C1713,ROD MDLRY SS L375MM OD4.,2261.0,2261.0,248.71,2261.0,57
HCPCS,C1713,ROD MDLRY SS L413MM OD4.,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,ROD MDLRY SS L432MM OD4.,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,ROD MDLRY SS L451MM OD4.,1942.0,1942.0,213.62,1942.0,57
HCPCS,C1713,ROD SP 100MM 3.5MM VRTX,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SP495X5.5MM,53140.0,53140.0,5845.4,53140.0,57
HCPCS,C1713,ROD SPINAL 3.5 X 200MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 3.5MM 120MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 3.5MM 25MM,4556.0,4556.0,501.16,4556.0,114
HCPCS,C1713,ROD SPN 3.5MM 40MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 3.5MM 60MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 3.5MM 80MM,4556.0,4556.0,501.16,4556.0,114
HCPCS,C1713,ROD SPN 30MM 3.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 35MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 40MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 480MM 5.5MM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,ROD SPN 4D 5.5X495MM,32903.0,32903.0,3619.33,32903.0,57
HCPCS,C1713,ROD SPN 5.5MM 110MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 5.5MM 120MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 5.5MM 150MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 5.5MM 300MM,6074.5,6074.5,501.16,7593.0,171
HCPCS,C1713,ROD SPN 5.5MM 45MM,3699.0,3699.0,406.89,3699.0,57
HCPCS,C1713,ROD SPN 5.5MM 480MM,6074.5,6074.5,501.16,7593.0,114
HCPCS,C1713,ROD SPN 5.5MM 495MM,32903.0,32903.0,3619.33,32903.0,57
HCPCS,C1713,ROD SPN 5.5MM 500MM,6074.5,6074.5,501.16,7593.0,114
HCPCS,C1713,ROD SPN 5.5MM 50MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 5.5MM 55MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 5.5MM 60MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 5.5MM 85MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 5.5X500,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,ROD SPN 6.0MM 500MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 6MM 70MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 6X40MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 80MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN 90MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN CBLT 6.75X500MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN LORD 5.5MM 35MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN LORD 5.5MM 40MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN MTNR 3.5X60MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN PBNT 3.5X50MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN PRCT 3.5X65MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN PREBNT 5.5X120MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN PRELRD 45X5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN PRLRD 65MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN R-LN 5.5X500MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN SHORT 5.5MM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,ROD SPN STR 3.5MM 240MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,ROD SPN STR 3.5X240MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN STR 5.5MM 400MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPN TI 3.5MM 065MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPNL 140MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPNL 400MM,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,ROD SPNL 50MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPNL 600MM 3.5/5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPNL LN 75MM 5.5MM,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROD SPNL XPDM 600X5.5,4556.0,4556.0,501.16,4556.0,57
HCPCS,C1713,ROS SPN MED 5.5MM,60741.0,60741.0,6681.51,60741.0,57
HCPCS,C1713,SCR BLDE SELF DRL HEX1.5,3870.0,3870.0,425.7,3870.0,57
HCPCS,C1713,SCR BN 1.5X14MM S/T,1129.0,1129.0,124.19,1129.0,57
HCPCS,C1713,SCR BN 4.5X20MM 3.5HX HD,1233.0,1233.0,135.63,1233.0,57
HCPCS,C1713,SCR BN 5MM 4.3MM 66MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCR BN 6X2.4X3.5MM CORT,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCR BN CRNFCL 7X1X1.6MM,1618.0,1618.0,177.98,1618.0,57
HCPCS,C1713,SCR BN CRNFCL 8X1.7MM,1618.0,1618.0,177.98,1618.0,57
HCPCS,C1713,SCR BN CRNMXF 14X2X2.9MM,1188.0,1188.0,130.68,1188.0,57
HCPCS,C1713,SCR BN CRNMXF 16X2X2.9,1188.0,1188.0,130.68,1188.0,57
HCPCS,C1713,SCR BN CRNMXF 18X1.5X2.9,1129.0,1129.0,124.19,1129.0,57
HCPCS,C1713,SCR BN MXLFCL 10X2.3MM,1599.0,1599.0,175.89,1599.0,57
HCPCS,C1713,SCR BN S/T PLSDR 1.3MM,1621.0,1621.0,178.31,1621.0,57
HCPCS,C1713,SCREW 1.5X4MM SD 5/PK,2014.0,2014.0,221.54,2014.0,57
HCPCS,C1713,SCREW 1.5X5MM SLFDRL,925.0,925.0,101.75,925.0,57
HCPCS,C1713,SCREW 1.5X7 LORNZ,2014.0,2014.0,221.54,2014.0,57
HCPCS,C1713,SCREW 1.6X6MM AUTODRIVE,1063.0,1063.0,116.93,1063.0,57
HCPCS,C1713,SCREW 10MM 2.7MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW 10MM PLUS DRIVE,1151.0,1151.0,126.61,1151.0,57
HCPCS,C1713,SCREW 12MM PLUS DRIVE,1049.0,1049.0,115.39,1049.0,57
HCPCS,C1713,SCREW 2.0 X 6.0 CORTEX S,1314.0,1314.0,144.54,1314.0,57
HCPCS,C1713,SCREW 2.0 X 8.0 CORTEX S,1314.0,1314.0,144.54,1314.0,57
HCPCS,C1713,SCREW 2.0X5 HT X-DR,1103.0,1103.0,121.33,1103.0,57
HCPCS,C1713,SCREW 2.0X7MM,1809.0,1809.0,198.99,1809.0,57
HCPCS,C1713,SCREW 2.0X9MM HT X-DRIVE,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,SCREW 2.4 TI CORT,1224.0,1224.0,134.64,1224.0,57
HCPCS,C1713,SCREW 2.7 X 8MM SAFETY,1495.0,1495.0,164.45,1495.0,57
HCPCS,C1713,SCREW 2X18 MXLFCL,1453.0,1453.0,159.83,1453.0,57
HCPCS,C1713,SCREW 3.5 TI CORT 10,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW 3.5X12 LOPRO LCK,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW 3.5X27.5 N-LK DIST,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW 3.5X28 188320328,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW 3.5X46 SS CORT CLV,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW 35X50 CANC MXLCK,1304.0,1304.0,143.44,1304.0,57
HCPCS,C1713,SCREW 4.0 TI CANC BNE,750.0,750.0,82.5,750.0,171
HCPCS,C1713,SCREW 400.058,1225.0,1225.0,134.75,1225.0,57
HCPCS,C1713,SCREW 400.454,1601.0,1601.0,176.11,1601.0,57
HCPCS,C1713,SCREW 400.455,1454.0,1454.0,159.94,1454.0,57
HCPCS,C1713,SCREW 401.061,1244.0,1244.0,136.84,1244.0,57
HCPCS,C1713,SCREW 401.062,1332.0,1332.0,146.52,1332.0,57
HCPCS,C1713,SCREW 4X40MM PARTLY THRD,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW 5MM ER MATRIX 5PK,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW 5X45 TI PROX FEM,5668.0,5668.0,623.48,5668.0,57
HCPCS,C1713,SCREW 6.5MM TI CAN BN 12,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW 6.5MM TI CANC BONE,822.0,822.0,90.42,822.0,228
HCPCS,C1713,SCREW 6X2.5MM CORT CRNM,1693.0,1693.0,186.23,1693.0,57
HCPCS,C1713,SCREW 8MM PLUS DRIVE,1151.0,1151.0,126.61,1151.0,57
HCPCS,C1713,SCREW 8X40MM VPR TI P-AX,14899.0,14899.0,1638.89,14899.0,57
HCPCS,C1713,SCREW ALOY LCK 19X2.7MM,2775.0,2775.0,305.25,2775.0,57
HCPCS,C1713,SCREW ANCHR 1.5 X 8MM,2437.0,2437.0,268.07,2437.0,57
HCPCS,C1713,SCREW ARTRX AR-1391,2795.0,2795.0,307.45,2795.0,57
HCPCS,C1713,SCREW ATDR MXL 1.6X8MM,1063.0,1063.0,116.93,1063.0,57
HCPCS,C1713,SCREW AUTO DRIVE 2.0MM X,1094.0,1094.0,120.34,1094.0,57
HCPCS,C1713,SCREW BIOABS 30X10X1.5MM,2997.0,2997.0,329.67,2997.0,57
HCPCS,C1713,SCREW BM 8-PLT 32MM PED,3979.0,3979.0,437.69,3979.0,57
HCPCS,C1713,SCREW BN 0.8MM 1.5MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW BN 0.9MM 1.5MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW BN 0D 62MM 5MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN 0D XL25 5X40MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN 0D XL25 5X54MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN 1.0MM 10MM,1185.0,1185.0,130.35,1185.0,57
HCPCS,C1713,SCREW BN 1.0MM 6MM,5898.0,5898.0,648.78,5898.0,57
HCPCS,C1713,SCREW BN 1.2MM 14MM,1686.0,1686.0,185.46,1686.0,57
HCPCS,C1713,SCREW BN 1.2MM 3MM,1696.0,1696.0,186.56,1696.0,57
HCPCS,C1713,SCREW BN 1.2MM 4MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN 1.2MM 5MM,1197.5,1197.5,116.93,1332.0,114
HCPCS,C1713,SCREW BN 1.2MM 6MM,933.5,933.5,82.5,1117.0,171
HCPCS,C1713,SCREW BN 1.2MM 7MM,1049.0,1049.0,115.39,1049.0,57
HCPCS,C1713,SCREW BN 1.2MM 7MM 5MM,4143.0,4143.0,455.73,4143.0,57
HCPCS,C1713,SCREW BN 1.2MM 8MM,1049.0,1049.0,115.39,1049.0,57
HCPCS,C1713,SCREW BN 1.2MM 9MM 7MM,4143.0,4143.0,455.73,4143.0,57
HCPCS,C1713,SCREW BN 1.2X10MM,1117.0,1117.0,122.87,1117.0,57
HCPCS,C1713,SCREW BN 1.2X12MM,1204.0,1204.0,132.44,1204.0,57
HCPCS,C1713,SCREW BN 1.2X4MM,1257.0,1257.0,138.27,1257.0,57
HCPCS,C1713,SCREW BN 1.2X4MM SLF TAP,1505.0,1505.0,165.55,1505.0,57
HCPCS,C1713,SCREW BN 1.3MM 10MM,1219.0,1219.0,134.09,1219.0,57
HCPCS,C1713,SCREW BN 1.3MM 14MM,1204.0,1204.0,132.44,1204.0,57
HCPCS,C1713,SCREW BN 1.3MM 8MM,1291.0,1291.0,142.01,1291.0,57
HCPCS,C1713,SCREW BN 1.3X6MM,1499.0,1499.0,164.89,1499.0,57
HCPCS,C1713,SCREW BN 1.3X7MM,1291.0,1291.0,142.01,1291.0,57
HCPCS,C1713,SCREW BN 1.4MM 5MM,1505.0,1505.0,165.55,1505.0,57
HCPCS,C1713,SCREW BN 1.55X2.65X18MM,1627.0,1627.0,178.97,1627.0,57
HCPCS,C1713,SCREW BN 1.55X2.65X6MM,1578.0,1578.0,173.58,1578.0,57
HCPCS,C1713,SCREW BN 1.5MM,2014.0,2014.0,221.54,2014.0,57
HCPCS,C1713,SCREW BN 1.5MM 10MM,2179.0,2179.0,205.81,3062.0,171
HCPCS,C1713,SCREW BN 1.5MM 11MM,1098.5,1098.5,120.56,1101.0,114
HCPCS,C1713,SCREW BN 1.5MM 12MM,2466.5,2466.5,205.81,3062.0,114
HCPCS,C1713,SCREW BN 1.5MM 13MM,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,SCREW BN 1.5MM 18MM,786.0,786.0,82.5,822.0,114
HCPCS,C1713,SCREW BN 1.5MM 2.9MM 6MM,1225.0,1225.0,134.75,1225.0,57
HCPCS,C1713,SCREW BN 1.5MM 20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 1.5MM 400.057,1349.0,1349.0,148.39,1349.0,57
HCPCS,C1713,SCREW BN 1.5MM 4MM,1203.0,1203.0,88.22,1511.0,399
HCPCS,C1713,SCREW BN 1.5MM 5MM,1261.5,1261.5,132.33,1793.0,342
HCPCS,C1713,SCREW BN 1.5MM 6MM,1511.0,1511.0,101.31,6987.0,171
HCPCS,C1713,SCREW BN 1.5MM 7MM,1931.0,1931.0,212.41,1931.0,57
HCPCS,C1713,SCREW BN 1.5MM 9MM,951.0,951.0,85.03,1129.0,114
HCPCS,C1713,SCREW BN 1.5MM14MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW BN 1.5MMX4MM,6987.0,6987.0,768.57,6987.0,57
HCPCS,C1713,SCREW BN 1.5X4MM,1312.0,1312.0,144.32,1312.0,57
HCPCS,C1713,SCREW BN 1.5X5MM,865.0,865.0,88.22,928.0,114
HCPCS,C1713,SCREW BN 1.5X5X7MM,3638.0,3638.0,400.18,3638.0,57
HCPCS,C1713,SCREW BN 1.5X6MM,2014.0,2014.0,221.54,2014.0,57
HCPCS,C1713,SCREW BN 1.5X7MM,1344.0,1344.0,147.84,1344.0,57
HCPCS,C1713,SCREW BN 1.5X8X1.5MM,1578.0,1578.0,173.58,1578.0,57
HCPCS,C1713,SCREW BN 1.6MM 10MM,3678.5,3678.5,357.17,4110.0,114
HCPCS,C1713,SCREW BN 1.6MM 12MM,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN 1.6MM 4MM,1082.0,1082.0,119.02,1082.0,57
HCPCS,C1713,SCREW BN 1.6MM 5MM,1107.5,1107.5,116.93,1152.0,114
HCPCS,C1713,SCREW BN 1.6MM 8MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN 1.6MM 9MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN 1.6X11MM,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN 1.6X5MM,1473.0,1473.0,162.03,1473.0,57
HCPCS,C1713,SCREW BN 1.6X6MM,1277.0,1277.0,140.47,1277.0,57
HCPCS,C1713,SCREW BN 1.7MM 12MM,2205.0,2205.0,242.55,2205.0,57
HCPCS,C1713,SCREW BN 1.7MM 3MM,1523.0,1523.0,137.72,1755.0,171
HCPCS,C1713,SCREW BN 1.7MM 4MM,1542.5,1542.5,167.53,1562.0,114
HCPCS,C1713,SCREW BN 1.7MM 5MM,1396.0,1396.0,137.72,2408.0,171
HCPCS,C1713,SCREW BN 1.7MM 6MM,1618.0,1618.0,177.98,1618.0,57
HCPCS,C1713,SCREW BN 1.7MM 7MM,1130.0,1130.0,95.04,1396.0,114
HCPCS,C1713,SCREW BN 1.7MM 8MM,1252.0,1252.0,95.04,1419.0,171
HCPCS,C1713,SCREW BN 1.7X10MM,1396.0,1396.0,153.56,1396.0,57
HCPCS,C1713,SCREW BN 1.7X8MM SLF,2205.0,2205.0,242.55,2205.0,57
HCPCS,C1713,SCREW BN 1.85MM 10MM,2018.0,2018.0,221.98,2018.0,57
HCPCS,C1713,SCREW BN 1.85MM 14MM,2018.0,2018.0,221.98,2018.0,57
HCPCS,C1713,SCREW BN 1.85MM 2.65MM,1503.0,1503.0,165.33,1503.0,57
HCPCS,C1713,SCREW BN 1.85MM 5MM,2250.0,2250.0,247.5,2250.0,57
HCPCS,C1713,SCREW BN 1.85MM 6MM,1503.0,1503.0,165.33,1503.0,57
HCPCS,C1713,SCREW BN 1.85MM 8MM,1557.5,1557.5,168.85,1580.0,114
HCPCS,C1713,SCREW BN 1.85X2.65X18MM,1677.0,1677.0,184.47,1677.0,57
HCPCS,C1713,SCREW BN 1.85X2.65X4MM,1702.0,1702.0,187.22,1702.0,57
HCPCS,C1713,SCREW BN 1.85X2.65X6,2250.0,2250.0,247.5,2250.0,57
HCPCS,C1713,SCREW BN 1.85X265X8MM,1578.0,1578.0,173.58,1578.0,57
HCPCS,C1713,SCREW BN 1.85X4MM,1609.0,1609.0,176.99,1609.0,57
HCPCS,C1713,SCREW BN 1.85X5MM,1578.0,1578.0,173.58,1578.0,57
HCPCS,C1713,SCREW BN 1.8MM 3.5MM,1049.0,1049.0,115.39,1049.0,57
HCPCS,C1713,SCREW BN 1.8MM 4MM,1482.0,1482.0,163.02,1482.0,57
HCPCS,C1713,SCREW BN 1.8MM 5MM,1300.5,1300.5,132.33,1398.0,114
HCPCS,C1713,SCREW BN 1.8MM 7MM,1398.0,1398.0,153.78,1398.0,57
HCPCS,C1713,SCREW BN 1.9MM 5MM,1428.0,1428.0,141.68,1568.0,114
HCPCS,C1713,SCREW BN 1.9MM 7MM,1568.0,1568.0,172.48,1568.0,57
HCPCS,C1713,SCREW BN 10.35MM 100MM,9836.0,9836.0,1081.96,9836.0,57
HCPCS,C1713,SCREW BN 10.35MM 115MM,9090.0,9090.0,999.9,9090.0,57
HCPCS,C1713,SCREW BN 10.35MM 80MM,10426.0,10426.0,1146.86,10426.0,57
HCPCS,C1713,SCREW BN 10.35MM 85MM,9836.0,9836.0,1081.96,9836.0,57
HCPCS,C1713,SCREW BN 10.35MM 90MM,9836.0,9836.0,1081.96,9836.0,57
HCPCS,C1713,SCREW BN 10.35MM 95MM,9836.0,9836.0,1081.96,9836.0,57
HCPCS,C1713,SCREW BN 10.35X110MM,9836.0,9836.0,1081.96,9836.0,57
HCPCS,C1713,SCREW BN 10.5MM 100MM,9864.0,9864.0,865.81,10623.0,171
HCPCS,C1713,SCREW BN 10.5MM 105MM,9488.0,9488.0,865.81,9864.0,171
HCPCS,C1713,SCREW BN 10.5MM 110MM,12589.0,12589.0,1043.68,15690.0,114
HCPCS,C1713,SCREW BN 10.5MM 75MM,9864.0,9864.0,1085.04,9864.0,57
HCPCS,C1713,SCREW BN 10.5MM 80MM,8867.5,8867.5,865.81,9864.0,114
HCPCS,C1713,SCREW BN 10.5MM 85MM,9579.0,9579.0,865.81,9864.0,171
HCPCS,C1713,SCREW BN 10.5MM 90MM,8867.5,8867.5,865.81,9864.0,114
HCPCS,C1713,SCREW BN 10.5MM 95 MM,9916.0,9916.0,1090.76,9916.0,57
HCPCS,C1713,SCREW BN 10.5MM 95MM,19266.0,19266.0,865.81,30661.0,114
HCPCS,C1713,SCREW BN 10.5X110MM,7871.0,7871.0,865.81,7871.0,57
HCPCS,C1713,SCREW BN 10.5X75MM,6268.0,6268.0,689.48,6268.0,57
HCPCS,C1713,SCREW BN 100MM,37026.5,37026.5,603.57,68566.0,114
HCPCS,C1713,SCREW BN 100MM 4.5MM,14279.0,14279.0,1570.69,14279.0,57
HCPCS,C1713,SCREW BN 105MM,11471.0,11471.0,1261.81,11471.0,57
HCPCS,C1713,SCREW BN 105MM 4.5MM,12741.0,12741.0,1401.51,12741.0,57
HCPCS,C1713,SCREW BN 10D SMALL,45395.0,45395.0,4993.45,45395.0,57
HCPCS,C1713,SCREW BN 10D SZ MED,45395.0,45395.0,4993.45,45395.0,57
HCPCS,C1713,SCREW BN 10MM 1.7MM,1252.0,1252.0,137.72,1252.0,57
HCPCS,C1713,SCREW BN 10MM 100MM,12760.0,12760.0,1403.6,12760.0,57
HCPCS,C1713,SCREW BN 10MM 125MM SZ M,41100.0,41100.0,4521.0,41100.0,57
HCPCS,C1713,SCREW BN 10MM 25MM,24660.0,24660.0,2712.6,24660.0,57
HCPCS,C1713,SCREW BN 10MM 2MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 10MM 30MM,9780.5,9780.5,954.03,10888.0,114
HCPCS,C1713,SCREW BN 10MM 55MM,51375.0,51375.0,5651.25,51375.0,57
HCPCS,C1713,SCREW BN 10MM 65MM,20222.0,20222.0,2224.42,20222.0,57
HCPCS,C1713,SCREW BN 10MM 75MM,25688.0,25688.0,2825.68,25688.0,57
HCPCS,C1713,SCREW BN 110MM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1713,SCREW BN 115MM 110MM,12741.0,12741.0,1401.51,12741.0,57
HCPCS,C1713,SCREW BN 11MM 2MM,2403.0,2403.0,264.33,2403.0,57
HCPCS,C1713,SCREW BN 11X1.2X1.6MM,1686.0,1686.0,185.46,1686.0,57
HCPCS,C1713,SCREW BN 12.7MM 100MM,6492.0,6492.0,714.12,6492.0,57
HCPCS,C1713,SCREW BN 12.7MM 105MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 110MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 115MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 120MM,6492.0,6492.0,714.12,6492.0,57
HCPCS,C1713,SCREW BN 12.7MM 125MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 130MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 135MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 140MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 145MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 65MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7MM 75MM,6094.0,6094.0,670.34,6094.0,57
HCPCS,C1713,SCREW BN 12.7MM 8MM,6496.5,6496.5,670.34,6899.0,114
HCPCS,C1713,SCREW BN 12.7X8X2.7MM,6899.0,6899.0,758.89,6899.0,57
HCPCS,C1713,SCREW BN 12.7X8X2.7X50MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 12.7X8X2.7X60MM,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW BN 120MM 6.5MM,3833.0,3833.0,421.63,3833.0,57
HCPCS,C1713,SCREW BN 12MM 2.7MM,866.0,866.0,95.26,866.0,57
HCPCS,C1713,SCREW BN 12MM 5MM,3186.0,3186.0,350.46,3186.0,57
HCPCS,C1713,SCREW BN 13X2.7MM,3208.0,3208.0,352.88,3208.0,57
HCPCS,C1713,SCREW BN 13X2MM,1127.0,1127.0,123.97,1127.0,57
HCPCS,C1713,SCREW BN 14MM,1542.0,1542.0,169.62,1542.0,57
HCPCS,C1713,SCREW BN 14MM 2MM,1287.0,1287.0,141.57,1287.0,57
HCPCS,C1713,SCREW BN 14MM 5MM,1935.0,1935.0,212.85,1935.0,57
HCPCS,C1713,SCREW BN 15MM 4.75MM,11899.0,11899.0,1308.89,11899.0,57
HCPCS,C1713,SCREW BN 16MM 140MM,4375.0,4375.0,481.25,4375.0,57
HCPCS,C1713,SCREW BN 16MM 2MM,966.0,966.0,106.26,966.0,57
HCPCS,C1713,SCREW BN 18MM 2MM,2296.0,2296.0,252.56,2296.0,57
HCPCS,C1713,SCREW BN 18MM 5MM,1542.0,1542.0,169.62,1542.0,57
HCPCS,C1713,SCREW BN 1LVL 1.8X5MM,802.0,802.0,88.22,802.0,57
HCPCS,C1713,SCREW BN 1MM 7MM,903.0,903.0,99.33,903.0,57
HCPCS,C1713,SCREW BN 1MM 8MM,5898.0,5898.0,648.78,5898.0,57
HCPCS,C1713,SCREW BN 2.0MM 10MM,1134.0,1134.0,124.74,1134.0,57
HCPCS,C1713,SCREW BN 2.0MM 11MM,1998.5,1998.5,82.5,3247.0,114
HCPCS,C1713,SCREW BN 2.0MM 12MM,1059.0,1059.0,95.04,1254.0,114
HCPCS,C1713,SCREW BN 2.0MM 14MM,1049.0,1049.0,95.04,1234.0,114
HCPCS,C1713,SCREW BN 2.0MM 16MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 2.0MM 16MM 12MM,2247.0,2247.0,247.17,2247.0,57
HCPCS,C1713,SCREW BN 2.0MM 18MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 2.0MM 20MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 2.0MM 28MM,4095.5,4095.5,82.5,7441.0,114
HCPCS,C1713,SCREW BN 2.0MM 30MM,7441.0,7441.0,818.51,7441.0,57
HCPCS,C1713,SCREW BN 2.0MM 32MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.0MM 34MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.0MM 36MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.0MM 38MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.0MM 6MM,2081.0,2081.0,132.99,2569.0,228
HCPCS,C1713,SCREW BN 2.0MM 7MM,1280.5,1280.5,121.11,1460.0,114
HCPCS,C1713,SCREW BN 2.0MM 8.0MM,1793.0,1793.0,197.23,1793.0,57
HCPCS,C1713,SCREW BN 2.0MM 8MM,2569.0,2569.0,95.04,11123.0,171
HCPCS,C1713,SCREW BN 2.0MM 8MM 12MM,2525.0,2525.0,277.75,2525.0,57
HCPCS,C1713,SCREW BN 2.0MM 9MM,1460.0,1460.0,160.6,1460.0,57
HCPCS,C1713,SCREW BN 2.0X10MM,1722.0,1722.0,95.04,1793.0,171
HCPCS,C1713,SCREW BN 2.0X12MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 2.0X18MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 2.0X20MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 2.0X22MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 2.0X5MM,1234.0,1234.0,135.74,1234.0,57
HCPCS,C1713,SCREW BN 2.1MM 6MM,2123.0,2123.0,233.53,2123.0,57
HCPCS,C1713,SCREW BN 2.1MM 8MM,1709.0,1709.0,187.99,1709.0,57
HCPCS,C1713,SCREW BN 2.2MM 11MM,6433.0,6433.0,707.63,6433.0,57
HCPCS,C1713,SCREW BN 2.3MM 10MM,1870.0,1870.0,124.3,2014.0,171
HCPCS,C1713,SCREW BN 2.3MM 11MM,1770.5,1770.5,110.99,2532.0,114
HCPCS,C1713,SCREW BN 2.3MM 12MM,1806.5,1806.5,175.89,2014.0,114
HCPCS,C1713,SCREW BN 2.3MM 13MM,2026.0,2026.0,183.48,2384.0,114
HCPCS,C1713,SCREW BN 2.3MM 14MM,2248.0,2248.0,247.28,2248.0,57
HCPCS,C1713,SCREW BN 2.3MM 15MM,1310.5,1310.5,110.99,1612.0,114
HCPCS,C1713,SCREW BN 2.3MM 16MM,3946.0,3946.0,434.06,3946.0,57
HCPCS,C1713,SCREW BN 2.3MM 17MM,1243.0,1243.0,136.73,1243.0,57
HCPCS,C1713,SCREW BN 2.3MM 18MM,2693.0,2693.0,296.23,2693.0,57
HCPCS,C1713,SCREW BN 2.3MM 20MM,3319.5,3319.5,296.23,3946.0,114
HCPCS,C1713,SCREW BN 2.3MM 22MM,3946.0,3946.0,434.06,3946.0,57
HCPCS,C1713,SCREW BN 2.3MM 24MM,3319.5,3319.5,296.23,3946.0,114
HCPCS,C1713,SCREW BN 2.3MM 26MM,2693.0,2693.0,296.23,2693.0,57
HCPCS,C1713,SCREW BN 2.3MM 5MM,1574.0,1574.0,173.14,1574.0,57
HCPCS,C1713,SCREW BN 2.3MM 6MM,1398.5,1398.5,135.3,1567.0,114
HCPCS,C1713,SCREW BN 2.3MM 7MM,2384.0,2384.0,262.24,2384.0,57
HCPCS,C1713,SCREW BN 2.3MM 8MM,2014.0,2014.0,161.15,2405.0,171
HCPCS,C1713,SCREW BN 2.3MM 9MM,1224.0,1224.0,110.99,1439.0,114
HCPCS,C1713,SCREW BN 2.3X14MM MXLFCL,1391.0,1391.0,153.01,1391.0,57
HCPCS,C1713,SCREW BN 2.3X16MM MXLFCL,1680.0,1680.0,184.8,1680.0,57
HCPCS,C1713,SCREW BN 2.3X17MM,1264.0,1264.0,139.04,1264.0,57
HCPCS,C1713,SCREW BN 2.3X5MM,4929.5,4929.5,167.31,8338.0,114
HCPCS,C1713,SCREW BN 2.3X6MM,3239.0,3239.0,356.29,3239.0,57
HCPCS,C1713,SCREW BN 2.3X7MM,1521.0,1521.0,167.31,1521.0,57
HCPCS,C1713,SCREW BN 2.3X9MM,1964.0,1964.0,177.32,2316.0,114
HCPCS,C1713,SCREW BN 2.4MM 1.9MM,2004.0,2004.0,220.44,2004.0,114
HCPCS,C1713,SCREW BN 2.4MM 10MM,2097.0,2097.0,90.42,4110.0,684
HCPCS,C1713,SCREW BN 2.4MM 10MM TI L,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN 2.4MM 11MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 2.4MM 12MM,1641.0,1641.0,83.05,2657.0,456
HCPCS,C1713,SCREW BN 2.4MM 12MM TI L,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN 2.4MM 13MM,2667.0,2667.0,134.64,4110.0,114
HCPCS,C1713,SCREW BN 2.4MM 14MM,1765.0,1765.0,91.96,4110.0,513
HCPCS,C1713,SCREW BN 2.4MM 14MM SS,2140.0,2140.0,235.4,2140.0,57
HCPCS,C1713,SCREW BN 2.4MM 16MM,2210.0,2210.0,91.96,3782.0,513
HCPCS,C1713,SCREW BN 2.4MM 16MM TI L,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN 2.4MM 17MM,3648.0,3648.0,401.28,3648.0,57
HCPCS,C1713,SCREW BN 2.4MM 18MM,2363.0,2363.0,82.5,8673.0,741
HCPCS,C1713,SCREW BN 2.4MM 19MM,2309.5,2309.5,106.81,3648.0,114
HCPCS,C1713,SCREW BN 2.4MM 20MM,1649.0,1649.0,91.96,3648.0,456
HCPCS,C1713,SCREW BN 2.4MM 20MM SS,2140.0,2140.0,235.4,2140.0,57
HCPCS,C1713,SCREW BN 2.4MM 22MM,1614.0,1614.0,86.24,4110.0,342
HCPCS,C1713,SCREW BN 2.4MM 22MM SS,2140.0,2140.0,235.4,2140.0,57
HCPCS,C1713,SCREW BN 2.4MM 24MM,1454.5,1454.5,95.04,2910.0,228
HCPCS,C1713,SCREW BN 2.4MM 24MM SS,2327.0,2327.0,255.97,2327.0,57
HCPCS,C1713,SCREW BN 2.4MM 26MM,1018.0,1018.0,95.04,4275.0,285
HCPCS,C1713,SCREW BN 2.4MM 26MM SS,2327.0,2327.0,255.97,2327.0,57
HCPCS,C1713,SCREW BN 2.4MM 28MM,1511.0,1511.0,95.04,2327.0,228
HCPCS,C1713,SCREW BN 2.4MM 30MM,2004.0,2004.0,117.04,2569.0,171
HCPCS,C1713,SCREW BN 2.4MM 32MM,809.5,809.5,83.05,864.0,114
HCPCS,C1713,SCREW BN 2.4MM 34MM,957.0,957.0,83.05,3247.0,285
HCPCS,C1713,SCREW BN 2.4MM 36MM,809.5,809.5,83.05,864.0,114
HCPCS,C1713,SCREW BN 2.4MM 38MM,864.0,864.0,83.05,2569.0,171
HCPCS,C1713,SCREW BN 2.4MM 40MM,850.0,850.0,89.76,2569.0,228
HCPCS,C1713,SCREW BN 2.4MM 4MM 14MM,816.0,816.0,89.76,816.0,57
HCPCS,C1713,SCREW BN 2.4MM 4MM 16MM,1084.5,1084.5,105.27,1212.0,114
HCPCS,C1713,SCREW BN 2.4MM 4MM 18MM,957.0,957.0,105.27,957.0,57
HCPCS,C1713,SCREW BN 2.4MM 4MM 22MM,957.0,957.0,105.27,957.0,57
HCPCS,C1713,SCREW BN 2.4MM 4MM 28MM,957.0,957.0,105.27,957.0,57
HCPCS,C1713,SCREW BN 2.4MM 4MM 30MM,957.0,957.0,105.27,957.0,57
HCPCS,C1713,SCREW BN 2.4MM 4MM 36MM,957.0,957.0,105.27,957.0,57
HCPCS,C1713,SCREW BN 2.4MM 4MM 38MM,957.0,957.0,105.27,957.0,57
HCPCS,C1713,SCREW BN 2.4MM 6MM,1361.0,1361.0,105.27,1765.0,114
HCPCS,C1713,SCREW BN 2.4MM 8MM,1696.5,1696.5,146.63,2097.0,228
HCPCS,C1713,SCREW BN 2.4MM 8MM SS MX,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.4MM L6MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 2.4MM X 26MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN 2.4X12MM,2140.0,2140.0,235.4,2140.0,57
HCPCS,C1713,SCREW BN 2.4X14MM,4809.0,4809.0,528.99,4809.0,57
HCPCS,C1713,SCREW BN 2.4X18MM,2590.0,2590.0,284.9,2590.0,57
HCPCS,C1713,SCREW BN 2.4X18MM TI LOP,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN 2.4X20MM,4110.0,4110.0,452.1,4110.0,114
HCPCS,C1713,SCREW BN 2.4X24MM,2102.0,2102.0,105.27,3247.0,114
HCPCS,C1713,SCREW BN 2.4X26MM,2584.0,2584.0,116.38,4110.0,114
HCPCS,C1713,SCREW BN 2.4X32MM,2235.5,2235.5,134.64,3247.0,114
HCPCS,C1713,SCREW BN 2.4X4.5X26MM,1628.0,1628.0,179.08,1628.0,57
HCPCS,C1713,SCREW BN 2.4X4.5X28MM,1628.0,1628.0,179.08,1628.0,57
HCPCS,C1713,SCREW BN 2.4X4X10MM,1429.0,1429.0,157.19,1429.0,57
HCPCS,C1713,SCREW BN 2.4X4X14MM,956.0,956.0,105.16,956.0,57
HCPCS,C1713,SCREW BN 2.4X4X18MM,1989.0,1989.0,218.79,1989.0,57
HCPCS,C1713,SCREW BN 2.4X8MM,784.0,784.0,86.24,784.0,57
HCPCS,C1713,SCREW BN 2.55MM 1.55MM,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW BN 2.5MM 10MM,3340.0,3340.0,348.15,3515.0,114
HCPCS,C1713,SCREW BN 2.5MM 11MM,6936.5,6936.5,205.81,12002.0,114
HCPCS,C1713,SCREW BN 2.5MM 12MM,2713.0,2713.0,162.8,12002.0,399
HCPCS,C1713,SCREW BN 2.5MM 14MM,2887.5,2887.5,162.8,4700.0,342
HCPCS,C1713,SCREW BN 2.5MM 15MM,3515.0,3515.0,386.65,3515.0,57
HCPCS,C1713,SCREW BN 2.5MM 16MM,2774.5,2774.5,162.8,3165.0,228
HCPCS,C1713,SCREW BN 2.5MM 18MM,3329.5,3329.5,162.8,6597.0,342
HCPCS,C1713,SCREW BN 2.5MM 20MM,3365.0,3365.0,162.8,7441.0,285
HCPCS,C1713,SCREW BN 2.5MM 22MM,2774.5,2774.5,162.8,8101.0,342
HCPCS,C1713,SCREW BN 2.5MM 24MM,2836.5,2836.5,162.8,8101.0,228
HCPCS,C1713,SCREW BN 2.5MM 26MM,7925.0,7925.0,871.75,7925.0,57
HCPCS,C1713,SCREW BN 2.5MM 3.4MM12MM,7925.0,7925.0,871.75,7925.0,57
HCPCS,C1713,SCREW BN 2.5MM 30MM,3802.0,3802.0,418.22,3802.0,57
HCPCS,C1713,SCREW BN 2.5MM 6MM,14570.0,14570.0,1602.7,14570.0,57
HCPCS,C1713,SCREW BN 2.5MM 8MM,3515.0,3515.0,386.65,3515.0,57
HCPCS,C1713,SCREW BN 2.5MMX20MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1713,SCREW BN 2.5MMX24MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1713,SCREW BN 2.5X1.9X16MM,4549.0,4549.0,500.39,4549.0,57
HCPCS,C1713,SCREW BN 2.5X13MM,1568.0,1568.0,172.48,1568.0,57
HCPCS,C1713,SCREW BN 2.5X20MM,5056.0,5056.0,386.65,6597.0,114
HCPCS,C1713,SCREW BN 2.5X3.5X14MM,7925.0,7925.0,871.75,7925.0,57
HCPCS,C1713,SCREW BN 2.5X3.5X18MM,7925.0,7925.0,871.75,7925.0,57
HCPCS,C1713,SCREW BN 2.5X9MM,1295.0,1295.0,142.45,1295.0,57
HCPCS,C1713,SCREW BN 2.7 X 14MM,1959.0,1959.0,215.49,1959.0,57
HCPCS,C1713,SCREW BN 2.7MM 10MM,1915.0,1915.0,82.5,5713.0,456
HCPCS,C1713,SCREW BN 2.7MM 10MM LCK,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW BN 2.7MM 11MM,3208.0,3208.0,352.88,3208.0,57
HCPCS,C1713,SCREW BN 2.7MM 12MM,2331.5,2331.5,82.5,5391.0,798
HCPCS,C1713,SCREW BN 2.7MM 13MM,1716.5,1716.5,95.04,2569.0,114
HCPCS,C1713,SCREW BN 2.7MM 14MM,2457.5,2457.5,82.5,5391.0,741
HCPCS,C1713,SCREW BN 2.7MM 14MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 16MM,1747.0,1747.0,82.5,5391.0,798
HCPCS,C1713,SCREW BN 2.7MM 17MM,3648.0,3648.0,401.28,3648.0,57
HCPCS,C1713,SCREW BN 2.7MM 18MM,1924.5,1924.5,82.5,5391.0,969
HCPCS,C1713,SCREW BN 2.7MM 18MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 2.1MM20MM,1721.0,1721.0,189.31,1721.0,57
HCPCS,C1713,SCREW BN 2.7MM 20MM,1451.0,1451.0,82.5,5713.0,627
HCPCS,C1713,SCREW BN 2.7MM 20MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 22MM,1670.0,1670.0,82.5,3648.0,513
HCPCS,C1713,SCREW BN 2.7MM 22MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 24MM,1670.0,1670.0,82.5,3165.0,570
HCPCS,C1713,SCREW BN 2.7MM 24MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 26MM,1847.0,1847.0,86.46,2713.0,342
HCPCS,C1713,SCREW BN 2.7MM 26MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 28MM,2296.5,2296.5,82.5,4285.0,456
HCPCS,C1713,SCREW BN 2.7MM 28MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 30MM,1847.0,1847.0,82.5,5713.0,513
HCPCS,C1713,SCREW BN 2.7MM 32MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 2.7MM 32MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 34MM,825.0,825.0,82.5,1670.0,228
HCPCS,C1713,SCREW BN 2.7MM 34MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 36MM,1547.5,1547.5,82.5,5713.0,399
HCPCS,C1713,SCREW BN 2.7MM 36MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 38MM,1721.0,1721.0,82.5,2569.0,342
HCPCS,C1713,SCREW BN 2.7MM 38MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 40MM,1606.0,1606.0,82.5,2569.0,513
HCPCS,C1713,SCREW BN 2.7MM 40MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 42MM,1685.0,1685.0,82.5,2427.0,285
HCPCS,C1713,SCREW BN 2.7MM 44MM,1670.0,1670.0,82.5,2427.0,285
HCPCS,C1713,SCREW BN 2.7MM 45MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 46MM,1542.0,1542.0,82.5,2427.0,171
HCPCS,C1713,SCREW BN 2.7MM 48MM,2427.5,2427.5,183.59,3186.0,114
HCPCS,C1713,SCREW BN 2.7MM 48MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 50M,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 50MM,2296.5,2296.5,82.5,3186.0,399
HCPCS,C1713,SCREW BN 2.7MM 54MM SS,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN 2.7MM 55MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 2.7MM 56MM,2160.0,2160.0,237.6,2160.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM,1118.5,1118.5,82.5,1487.0,114
HCPCS,C1713,SCREW BN 2.7MM 5MM 12MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM 16MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 2.7MM 5MM 18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM 20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM 22MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 2.7MM 5MM 24MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM 26MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM 28MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM 34MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM 6MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 5MM 8MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 60MM,2427.0,2427.0,86.46,5898.0,285
HCPCS,C1713,SCREW BN 2.7MM 65MM,2847.0,2847.0,275.88,3186.0,114
HCPCS,C1713,SCREW BN 2.7MM 70MM,2508.0,2508.0,86.46,5898.0,342
HCPCS,C1713,SCREW BN 2.7MM 80MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7MM 8MM,2553.5,2553.5,162.8,5713.0,228
HCPCS,C1713,SCREW BN 2.7MM L55MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 2.7MM L65MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 2.7X12,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW BN 2.7X17MM LCK,3064.0,3064.0,337.04,3064.0,57
HCPCS,C1713,SCREW BN 2.7X18MM,2590.0,2590.0,284.9,2590.0,57
HCPCS,C1713,SCREW BN 2.7X20MM,1917.5,1917.5,95.04,2971.0,114
HCPCS,C1713,SCREW BN 2.7X24MM,1326.0,1326.0,145.86,1326.0,57
HCPCS,C1713,SCREW BN 2.7X28MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7X44MM,1542.0,1542.0,169.62,1542.0,57
HCPCS,C1713,SCREW BN 2.7X58MM,2160.0,2160.0,237.6,2160.0,57
HCPCS,C1713,SCREW BN 2.7X5MM 14MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2.7X8MM,1429.0,1429.0,157.19,1429.0,57
HCPCS,C1713,SCREW BN 20MM,14899.0,14899.0,1638.89,14899.0,57
HCPCS,C1713,SCREW BN 20MM 6MM,10888.0,10888.0,1197.68,10888.0,57
HCPCS,C1713,SCREW BN 26MM 5MM,3186.0,3186.0,350.46,3186.0,57
HCPCS,C1713,SCREW BN 27.5MM 5MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN 27MM 11MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 28MM 3.5MM,4778.0,4778.0,525.58,4778.0,57
HCPCS,C1713,SCREW BN 2MM 1.5MM,1580.0,1580.0,173.8,1580.0,57
HCPCS,C1713,SCREW BN 2MM 10MM,1302.0,1302.0,82.5,1660.0,228
HCPCS,C1713,SCREW BN 2MM 11MM,1625.0,1625.0,95.04,7049.0,228
HCPCS,C1713,SCREW BN 2MM 12MM,1749.0,1749.0,135.74,8355.0,513
HCPCS,C1713,SCREW BN 2MM 13MM,1479.0,1479.0,97.9,2511.0,228
HCPCS,C1713,SCREW BN 2MM 13MM 6MM,3375.0,3375.0,371.25,3375.0,57
HCPCS,C1713,SCREW BN 2MM 14MM,1547.0,1547.0,82.5,2569.0,228
HCPCS,C1713,SCREW BN 2MM 15MM,2172.0,2172.0,238.92,2172.0,57
HCPCS,C1713,SCREW BN 2MM 16MM,2990.5,2990.5,252.56,3685.0,114
HCPCS,C1713,SCREW BN 2MM 17MM,2755.0,2755.0,303.05,2755.0,57
HCPCS,C1713,SCREW BN 2MM 18MM,992.0,992.0,82.5,1234.0,114
HCPCS,C1713,SCREW BN 2MM 19MM,2033.0,2033.0,144.21,2755.0,114
HCPCS,C1713,SCREW BN 2MM 2.9MM 10MM,1188.0,1188.0,130.68,1188.0,57
HCPCS,C1713,SCREW BN 2MM 2.9MM 6MM,1326.0,1326.0,145.86,1326.0,57
HCPCS,C1713,SCREW BN 2MM 20MM,1188.0,1188.0,82.5,3375.0,171
HCPCS,C1713,SCREW BN 2MM 22MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2MM 24MM,864.0,864.0,82.5,2569.0,171
HCPCS,C1713,SCREW BN 2MM 26MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2MM 28MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2MM 30MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 2MM 4MM,1332.0,1332.0,82.5,1749.0,171
HCPCS,C1713,SCREW BN 2MM 5MM,1512.0,1512.0,121.11,2413.0,342
HCPCS,C1713,SCREW BN 2MM 6MM,1215.0,1215.0,82.5,3786.0,456
HCPCS,C1713,SCREW BN 2MM 7MM,1458.5,1458.5,144.54,1603.0,114
HCPCS,C1713,SCREW BN 2MM 8MM,1234.0,1234.0,82.5,2918.0,570
HCPCS,C1713,SCREW BN 2MM 9MM,1399.0,1399.0,131.45,1603.0,114
HCPCS,C1713,SCREW BN 2X10MM,2405.0,2405.0,264.55,2405.0,57
HCPCS,C1713,SCREW BN 2X12MM,4088.0,4088.0,449.68,4088.0,57
HCPCS,C1713,SCREW BN 2X12MM 16MM,2382.0,2382.0,262.02,2382.0,57
HCPCS,C1713,SCREW BN 2X15MM,1195.0,1195.0,131.45,1195.0,57
HCPCS,C1713,SCREW BN 2X17MM,1194.0,1194.0,131.34,1194.0,57
HCPCS,C1713,SCREW BN 2X3.5MM 12MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2X3.5X10MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2X3.5X9MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2X4MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 2X5MM,1335.0,1335.0,146.85,1335.0,57
HCPCS,C1713,SCREW BN 2X6MM,2059.5,2059.5,188.54,2405.0,114
HCPCS,C1713,SCREW BN 2X7MM,1188.0,1188.0,130.68,1188.0,57
HCPCS,C1713,SCREW BN 2X8MM,3315.0,3315.0,279.62,4088.0,114
HCPCS,C1713,SCREW BN 2X8MM 1LVL,2453.0,2453.0,269.83,2453.0,57
HCPCS,C1713,SCREW BN 2X8MM THD 10MM,23786.0,23786.0,2616.46,23786.0,57
HCPCS,C1713,SCREW BN 2X8X12MM,2382.0,2382.0,262.02,2382.0,57
HCPCS,C1713,SCREW BN 3 6.5X105X40MM,4325.0,4325.0,475.75,4325.0,57
HCPCS,C1713,SCREW BN 3.0MM 16MM,1028.0,1028.0,113.08,1028.0,57
HCPCS,C1713,SCREW BN 3.0MM 24MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN 3.0MM 32MM,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW BN 3.0MM 32MM 14MM,3453.0,3453.0,379.83,3453.0,57
HCPCS,C1713,SCREW BN 3.0MM 8MM,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW BN 3.0X14MM,1372.0,1372.0,150.92,1372.0,57
HCPCS,C1713,SCREW BN 3.0X30MM,16132.0,16132.0,1774.52,16132.0,57
HCPCS,C1713,SCREW BN 3.5MM 0MM,1480.0,1480.0,162.8,1480.0,57
HCPCS,C1713,SCREW BN 3.5MM 105MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 3.5MM 10MM,2106.5,2106.5,90.42,6320.0,741
HCPCS,C1713,SCREW BN 3.5MM 110MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 3.5MM 115MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 3.5MM 11MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,SCREW BN 3.5MM 125MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 3.5MM 12MM,2295.0,2295.0,82.5,4809.0,1197
HCPCS,C1713,SCREW BN 3.5MM 12MM LOPR,2508.0,2508.0,275.88,2508.0,57
HCPCS,C1713,SCREW BN 3.5MM 12MM VAR,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,SCREW BN 3.5MM 130MM,1551.0,1551.0,170.61,1551.0,57
HCPCS,C1713,SCREW BN 3.5MM 14MM,2702.5,2702.5,82.5,6320.0,1368
HCPCS,C1713,SCREW BN 3.5MM 15MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,SCREW BN 3.5MM 16MM,2604.5,2604.5,82.5,9248.0,1311
HCPCS,C1713,SCREW BN 3.5MM 16MM VAR,6320.0,6320.0,695.2,6320.0,57
HCPCS,C1713,SCREW BN 3.5MM 18MM,2205.0,2205.0,82.5,6597.0,1026
HCPCS,C1713,SCREW BN 3.5MM 18MM MTNR,9248.0,9248.0,1017.28,9248.0,57
HCPCS,C1713,SCREW BN 3.5MM 2.5MM,2151.0,2151.0,192.17,2433.0,171
HCPCS,C1713,SCREW BN 3.5MM 20MM,2754.0,2754.0,82.5,6597.0,1140
HCPCS,C1713,SCREW BN 3.5MM 22MM,2713.0,2713.0,82.5,10275.0,1083
HCPCS,C1713,SCREW BN 3.5MM 24MM,2478.0,2478.0,82.5,4624.0,1083
HCPCS,C1713,SCREW BN 3.5MM 24MM SS,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 3.5MM 25MM,3784.0,3784.0,387.75,4647.0,171
HCPCS,C1713,SCREW BN 3.5MM 26MM,2055.0,2055.0,82.5,10275.0,513
HCPCS,C1713,SCREW BN 3.5MM 26MM SS,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 3.5MM 28MM,2801.0,2801.0,82.5,12002.0,855
HCPCS,C1713,SCREW BN 3.5MM 28MM MTNR,12848.5,12848.5,1375.66,13191.0,114
HCPCS,C1713,SCREW BN 3.5MM 30M,815.0,815.0,89.65,815.0,57
HCPCS,C1713,SCREW BN 3.5MM 30MM,2055.0,2055.0,82.5,3391.0,1026
HCPCS,C1713,SCREW BN 3.5MM 30MM SS,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 3.5MM 32MM,2208.5,2208.5,82.5,6165.0,684
HCPCS,C1713,SCREW BN 3.5MM 32MM LCK,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,SCREW BN 3.5MM 34M,2877.0,2877.0,316.47,2877.0,57
HCPCS,C1713,SCREW BN 3.5MM 34MM,1835.5,1835.5,82.5,10933.0,912
HCPCS,C1713,SCREW BN 3.5MM 35MM,4257.5,4257.5,210.98,6597.0,114
HCPCS,C1713,SCREW BN 3.5MM 36M,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 3.5MM 36MM,2811.5,2811.5,82.5,10275.0,798
HCPCS,C1713,SCREW BN 3.5MM 36MM VAR,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,SCREW BN 3.5MM 38MM,2165.0,2165.0,82.5,16132.0,741
HCPCS,C1713,SCREW BN 3.5MM 40MM,3083.0,3083.0,87.89,10275.0,741
HCPCS,C1713,SCREW BN 3.5MM 42MM,2749.5,2749.5,82.5,8101.0,1026
HCPCS,C1713,SCREW BN 3.5MM 44MM,3083.0,3083.0,90.42,16132.0,741
HCPCS,C1713,SCREW BN 3.5MM 45MM,780.0,780.0,82.5,1727.0,171
HCPCS,C1713,SCREW BN 3.5MM 46MM,3083.0,3083.0,90.42,16132.0,627
HCPCS,C1713,SCREW BN 3.5MM 48MM,2749.5,2749.5,90.42,16132.0,570
HCPCS,C1713,SCREW BN 3.5MM 50M,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 3.5MM 50MM,3206.0,3206.0,82.5,5934.0,627
HCPCS,C1713,SCREW BN 3.5MM 52MM,2151.0,2151.0,236.61,2151.0,57
HCPCS,C1713,SCREW BN 3.5MM 54MM,2368.0,2368.0,82.5,2578.0,171
HCPCS,C1713,SCREW BN 3.5MM 55MM,822.0,822.0,82.5,1839.0,285
HCPCS,C1713,SCREW BN 3.5MM 56MM,2030.0,2030.0,194.48,2578.0,171
HCPCS,C1713,SCREW BN 3.5MM 58MM,2366.5,2366.5,237.05,2578.0,114
HCPCS,C1713,SCREW BN 3.5MM 60MM,1832.0,1832.0,82.5,3186.0,399
HCPCS,C1713,SCREW BN 3.5MM 62MM,16132.0,16132.0,1774.52,16132.0,57
HCPCS,C1713,SCREW BN 3.5MM 65MM,2511.5,2511.5,82.5,6289.0,399
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HCPCS,C1713,SCREW BN 3.5MM 80M,864.0,864.0,95.04,864.0,57
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HCPCS,C1713,SCREW BN 3.5MM 90M,815.0,815.0,89.65,815.0,57
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HCPCS,C1713,SCREW BN 3.5MM 95MM,2445.0,2445.0,82.5,2714.0,171
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HCPCS,C1713,SCREW BN 3.5MMX12MM LOCK,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW BN 3.5MMX26MM,2744.0,2744.0,95.04,4624.0,114
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HCPCS,C1713,SCREW BN 3.5X22MM,750.0,750.0,82.5,750.0,57
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HCPCS,C1713,SCREW BN 3MM 26MM,4192.5,4192.5,357.17,5138.0,114
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HCPCS,C1713,SCREW BN 3MM 30MM,4348.5,4348.5,416.02,4915.0,114
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HCPCS,C1713,SCREW BN 3MM 8MM,1891.0,1891.0,208.01,1891.0,57
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HCPCS,C1713,SCREW BN 4.0MM 10MM,750.0,750.0,82.5,750.0,57
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HCPCS,C1713,SCREW BN 4.0MM 14MM,750.0,750.0,82.5,750.0,114
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HCPCS,C1713,SCREW BN 4.0MM 18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.0MM 20MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4.0MM 24MM,3062.0,3062.0,82.5,3432.0,171
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HCPCS,C1713,SCREW BN 4.0MM 28MM,3432.0,3432.0,377.52,3432.0,57
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HCPCS,C1713,SCREW BN 4.0MM 34MM,4275.0,4275.0,82.5,6494.0,171
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HCPCS,C1713,SCREW BN 4.0MM 38MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.0MM 40MM,4275.0,4275.0,377.52,4647.0,171
HCPCS,C1713,SCREW BN 4.0MM 42MM,4275.0,4275.0,377.52,8101.0,171
HCPCS,C1713,SCREW BN 4.0MM 44MM,3146.0,3146.0,303.82,3530.0,114
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HCPCS,C1713,SCREW BN 4.0MM 50MM,10655.5,10655.5,82.5,16954.0,228
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HCPCS,C1713,SCREW BN 4.0MM 54MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.0MM 55MM,4275.0,4275.0,470.25,4275.0,57
HCPCS,C1713,SCREW BN 4.0MM 56MM,7441.0,7441.0,818.51,7441.0,57
HCPCS,C1713,SCREW BN 4.0MM 68MM,2914.0,2914.0,320.54,2914.0,57
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HCPCS,C1713,SCREW BN 4.0MM 90MM,798.0,798.0,87.78,798.0,57
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HCPCS,C1713,SCREW BN 4.0MMX48MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 4.0X30MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.0X52MM,16132.0,16132.0,1774.52,16132.0,57
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HCPCS,C1713,SCREW BN 4.0X65MM,16954.0,16954.0,1864.94,16954.0,57
HCPCS,C1713,SCREW BN 4.1MM 32MM,4637.0,4637.0,510.07,4637.0,57
HCPCS,C1713,SCREW BN 4.35MM 30MM XPD,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW BN 4.3MM 24MM,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN 4.3MM 40MM,5528.0,5528.0,608.08,5528.0,57
HCPCS,C1713,SCREW BN 4.5MM,2867.0,2867.0,315.37,2867.0,57
HCPCS,C1713,SCREW BN 4.5MM 100MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 115MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 120MM,807.0,807.0,82.5,864.0,114
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HCPCS,C1713,SCREW BN 4.5MM 16MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 4.5MM 18MM,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,SCREW BN 4.5MM 20MM,3037.0,3037.0,82.5,3494.0,228
HCPCS,C1713,SCREW BN 4.5MM 22MM,3469.0,3469.0,82.5,4110.0,342
HCPCS,C1713,SCREW BN 4.5MM 24MM,2190.0,2190.0,82.5,4110.0,285
HCPCS,C1713,SCREW BN 4.5MM 25MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 26MM,2055.0,2055.0,82.5,3444.0,285
HCPCS,C1713,SCREW BN 4.5MM 28M,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 4.5MM 28MM,3444.0,3444.0,82.5,3856.0,342
HCPCS,C1713,SCREW BN 4.5MM 30MM,2209.5,2209.5,82.5,3856.0,456
HCPCS,C1713,SCREW BN 4.5MM 32.5MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN 4.5MM 32M,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 4.5MM 32MM,3856.0,3856.0,82.5,7441.0,285
HCPCS,C1713,SCREW BN 4.5MM 34M,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 4.5MM 34MM,3761.0,3761.0,82.5,7441.0,228
HCPCS,C1713,SCREW BN 4.5MM 35MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 36MM,3545.5,3545.5,82.5,4110.0,342
HCPCS,C1713,SCREW BN 4.5MM 37.5MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN 4.5MM 38M,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 4.5MM 38MM,3494.0,3494.0,82.5,5138.0,342
HCPCS,C1713,SCREW BN 4.5MM 406MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 40MM,2610.5,2610.5,82.5,4028.0,285
HCPCS,C1713,SCREW BN 4.5MM 40MM 80MM,895.0,895.0,98.45,895.0,57
HCPCS,C1713,SCREW BN 4.5MM 42MM,3545.5,3545.5,82.5,6946.0,456
HCPCS,C1713,SCREW BN 4.5MM 42MM UNIV,3535.0,3535.0,388.85,3535.0,57
HCPCS,C1713,SCREW BN 4.5MM 44MM,3244.0,3244.0,82.5,4028.0,456
HCPCS,C1713,SCREW BN 4.5MM 45MM,2944.0,2944.0,82.5,5138.0,114
HCPCS,C1713,SCREW BN 4.5MM 46MM,2230.5,2230.5,82.5,3856.0,285
HCPCS,C1713,SCREW BN 4.5MM 48MM,3545.5,3545.5,82.5,3856.0,342
HCPCS,C1713,SCREW BN 4.5MM 50MM,2179.0,2179.0,82.5,7441.0,399
HCPCS,C1713,SCREW BN 4.5MM 52MM,2173.5,2173.5,82.5,3597.0,114
HCPCS,C1713,SCREW BN 4.5MM 54MM,3545.5,3545.5,384.34,3597.0,114
HCPCS,C1713,SCREW BN 4.5MM 55MM,844.5,844.5,82.5,939.0,114
HCPCS,C1713,SCREW BN 4.5MM 56MM,3494.0,3494.0,82.5,3597.0,171
HCPCS,C1713,SCREW BN 4.5MM 58MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 6.5MM,3597.0,3597.0,395.67,3597.0,57
HCPCS,C1713,SCREW BN 4.5MM 60MM,3597.0,3597.0,82.5,7993.0,171
HCPCS,C1713,SCREW BN 4.5MM 62MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 64MM,3273.0,3273.0,324.39,3597.0,114
HCPCS,C1713,SCREW BN 4.5MM 65MM,822.5,822.5,82.5,895.0,114
HCPCS,C1713,SCREW BN 4.5MM 66MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 68MM,3494.0,3494.0,82.5,3597.0,171
HCPCS,C1713,SCREW BN 4.5MM 70MM,807.0,807.0,82.5,864.0,228
HCPCS,C1713,SCREW BN 4.5MM 72MM,2122.0,2122.0,82.5,3494.0,114
HCPCS,C1713,SCREW BN 4.5MM 75MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 4.5MM 76MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 80MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 85MM,902.5,902.5,82.5,1055.0,114
HCPCS,C1713,SCREW BN 4.5MM 8MM 105MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 8MM 24MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 8MM 26MM,750.0,750.0,82.5,750.0,57
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HCPCS,C1713,SCREW BN 4.5MM 8MM 54MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 8MM 60MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 8MM 64MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5MM 95MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 4.5X24MM,3341.0,3341.0,367.51,3341.0,57
HCPCS,C1713,SCREW BN 4.5X28MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4.5X30MM MESA 2,16452.0,16452.0,1809.72,16452.0,57
HCPCS,C1713,SCREW BN 4.5X38MM,3514.5,3514.5,377.52,3597.0,114
HCPCS,C1713,SCREW BN 4.5X40MM,3597.0,3597.0,395.67,3597.0,57
HCPCS,C1713,SCREW BN 4.5X45MM DPHSL,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN 4.5X50MM DPHSL,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN 4.5X52MM,3494.0,3494.0,384.34,3494.0,57
HCPCS,C1713,SCREW BN 4.5X6.5X1.75MM,3494.0,3494.0,384.34,3494.0,57
HCPCS,C1713,SCREW BN 4.5X72MM,3597.0,3597.0,395.67,3597.0,57
HCPCS,C1713,SCREW BN 4.75MM 15MM,5271.5,5271.5,142.45,9248.0,114
HCPCS,C1713,SCREW BN 4.75MM 20MM,1295.0,1295.0,142.45,1295.0,57
HCPCS,C1713,SCREW BN 4.75MM 25MM,1542.0,1542.0,169.62,1542.0,114
HCPCS,C1713,SCREW BN 4.75MM 30MM,1251.5,1251.5,124.41,1372.0,114
HCPCS,C1713,SCREW BN 4.75MM 35MM,1372.0,1372.0,150.92,1372.0,57
HCPCS,C1713,SCREW BN 4.7MM 14MM,1519.0,1519.0,167.09,1519.0,57
HCPCS,C1713,SCREW BN 4.7MM 32MM,1166.0,1166.0,128.26,1166.0,57
HCPCS,C1713,SCREW BN 4.7MM 38MM,811.0,811.0,89.21,811.0,57
HCPCS,C1713,SCREW BN 40MM,1526.0,1526.0,167.86,1526.0,57
HCPCS,C1713,SCREW BN 46MM 3.5MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW BN 4MM,1478.0,1478.0,162.58,1478.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 28MM,3055.0,3055.0,336.05,3055.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 32MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 36MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 38MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 40MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 42MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 44MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 46MM,3055.0,3055.0,336.05,3055.0,57
HCPCS,C1713,SCREW BN 4MM 1.35MM 50MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4MM 100MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 10MM,4421.0,4421.0,486.31,4421.0,57
HCPCS,C1713,SCREW BN 4MM 12MM,1747.0,1747.0,82.5,3432.0,171
HCPCS,C1713,SCREW BN 4MM 14MM,1833.5,1833.5,95.04,3522.0,228
HCPCS,C1713,SCREW BN 4MM 16MM,3055.0,3055.0,192.17,3432.0,171
HCPCS,C1713,SCREW BN 4MM 18MM,2098.0,2098.0,82.5,4526.0,456
HCPCS,C1713,SCREW BN 4MM 20MM,1895.0,1895.0,113.08,2762.0,114
HCPCS,C1713,SCREW BN 4MM 22MM,3432.0,3432.0,303.71,3870.0,171
HCPCS,C1713,SCREW BN 4MM 24MM,2761.0,2761.0,303.71,2761.0,57
HCPCS,C1713,SCREW BN 4MM 25MM,4647.0,4647.0,511.17,4647.0,57
HCPCS,C1713,SCREW BN 4MM 26MM,2988.5,2988.5,82.5,4850.0,342
HCPCS,C1713,SCREW BN 4MM 27.5MM,4647.0,4647.0,511.17,4647.0,57
HCPCS,C1713,SCREW BN 4MM 28MM,2137.0,2137.0,82.5,4022.0,171
HCPCS,C1713,SCREW BN 4MM 3.3MM 28MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN 4MM 3.3MM 34MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN 4MM 3.3MM 48MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN 4MM 3.4MM 14MM,2610.0,2610.0,287.1,2610.0,57
HCPCS,C1713,SCREW BN 4MM 3.4MM 16MM,2447.0,2447.0,269.17,2447.0,57
HCPCS,C1713,SCREW BN 4MM 3.4MM 22MM,2610.0,2610.0,287.1,2610.0,57
HCPCS,C1713,SCREW BN 4MM 3.4MM 38MM,2849.0,2849.0,313.39,2849.0,57
HCPCS,C1713,SCREW BN 4MM 3.4MM 42MM,2428.0,2428.0,267.08,2428.0,57
HCPCS,C1713,SCREW BN 4MM 30MM,3432.0,3432.0,278.74,4419.0,342
HCPCS,C1713,SCREW BN 4MM 32MM,4251.0,4251.0,235.07,7925.0,228
HCPCS,C1713,SCREW BN 4MM 34MM,5215.0,5215.0,95.04,10275.0,513
HCPCS,C1713,SCREW BN 4MM 34MM 11.5MM,2960.0,2960.0,325.6,2960.0,57
HCPCS,C1713,SCREW BN 4MM 35MM,2727.0,2727.0,299.97,2727.0,57
HCPCS,C1713,SCREW BN 4MM 36MM,4652.0,4652.0,235.07,8101.0,456
HCPCS,C1713,SCREW BN 4MM 38MM,3411.0,3411.0,82.5,8101.0,228
HCPCS,C1713,SCREW BN 4MM 38MM 13MM,3021.0,3021.0,332.31,3021.0,57
HCPCS,C1713,SCREW BN 4MM 38MM 14MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN 4MM 40MM,5430.5,5430.5,113.08,10275.0,399
HCPCS,C1713,SCREW BN 4MM 42.5MM,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,SCREW BN 4MM 42MM,807.0,807.0,82.5,864.0,114
HCPCS,C1713,SCREW BN 4MM 42MM 14MM,3021.0,3021.0,332.31,3021.0,57
HCPCS,C1713,SCREW BN 4MM 44MM,4141.0,4141.0,253.0,8101.0,228
HCPCS,C1713,SCREW BN 4MM 44MM 15MM,2960.0,2960.0,325.6,2960.0,57
HCPCS,C1713,SCREW BN 4MM 45MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN 4MM 46MM,3541.5,3541.5,82.5,8551.0,342
HCPCS,C1713,SCREW BN 4MM 46MM 15.5MM,3222.0,3222.0,354.42,3222.0,57
HCPCS,C1713,SCREW BN 4MM 48MM,2960.0,2960.0,96.03,3432.0,171
HCPCS,C1713,SCREW BN 4MM 50MM,3651.0,3651.0,95.04,15618.0,399
HCPCS,C1713,SCREW BN 4MM 50MM 15MM,855.0,855.0,94.05,855.0,57
HCPCS,C1713,SCREW BN 4MM 50MM 17MM,3054.0,3054.0,335.94,3054.0,57
HCPCS,C1713,SCREW BN 4MM 52MM,3149.5,3149.5,315.37,3432.0,114
HCPCS,C1713,SCREW BN 4MM 54MM,3432.0,3432.0,235.07,7441.0,171
HCPCS,C1713,SCREW BN 4MM 55MM,2158.0,2158.0,192.17,4850.0,171
HCPCS,C1713,SCREW BN 4MM 56MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 58MM,2914.0,2914.0,303.82,2982.0,171
HCPCS,C1713,SCREW BN 4MM 5MM,3448.0,3448.0,377.52,3464.0,114
HCPCS,C1713,SCREW BN 4MM 60MM,2891.5,2891.5,82.5,16132.0,456
HCPCS,C1713,SCREW BN 4MM 65MM,786.0,786.0,82.5,822.0,114
HCPCS,C1713,SCREW BN 4MM 6MM 10MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 4MM 6MM 12MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 14MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 16MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 22MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 24MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 30MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 35MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 4MM 6MM 40MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 4MM 6MM 45MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 4MM 6MM 48MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 50MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 4MM 6MM 55MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 6MM 60MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MM 70MM,2717.0,2717.0,82.5,7874.0,342
HCPCS,C1713,SCREW BN 4MM 75MM,810.0,810.0,87.78,822.0,114
HCPCS,C1713,SCREW BN 4MM 80MM,798.0,798.0,87.78,798.0,57
HCPCS,C1713,SCREW BN 4MM 85MM,1659.5,1659.5,82.5,2569.0,114
HCPCS,C1713,SCREW BN 4MM 95MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4MMX65MM,3652.0,3652.0,401.72,3652.0,57
HCPCS,C1713,SCREW BN 4X1.5MM,1482.0,1482.0,163.02,1482.0,57
HCPCS,C1713,SCREW BN 4X10MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4X12MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4X13MM SPNL ARC,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW BN 4X20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4X22MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4X24MM,2310.0,2310.0,82.5,3870.0,114
HCPCS,C1713,SCREW BN 4X26MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4X28MM,4850.0,4850.0,533.5,4850.0,57
HCPCS,C1713,SCREW BN 4X3.5X36MM,2806.0,2806.0,308.66,2806.0,57
HCPCS,C1713,SCREW BN 4X32MM,3411.0,3411.0,375.21,3411.0,57
HCPCS,C1713,SCREW BN 4X36MM P-T CANN,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN 4X38MM,4850.0,4850.0,533.5,4850.0,57
HCPCS,C1713,SCREW BN 4X40MM 13.5MM,3021.0,3021.0,332.31,3021.0,57
HCPCS,C1713,SCREW BN 4X42MM,3700.5,3700.5,388.3,3871.0,114
HCPCS,C1713,SCREW BN 4X44MM,3870.0,3870.0,425.7,3870.0,57
HCPCS,C1713,SCREW BN 4X4MM 14MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 4X4MM/L20MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 4X5X1.35X34MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4X5X1.35X56MM,2914.0,2914.0,320.54,2914.0,57
HCPCS,C1713,SCREW BN 4X5X1.35X60MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4X5X30MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4X5X52MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN 4X6X60MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 4X70MM,3652.0,3652.0,401.72,3652.0,57
HCPCS,C1713,SCREW BN 4X75MM,3652.0,3652.0,401.72,3652.0,57
HCPCS,C1713,SCREW BN 4X80MM,3871.0,3871.0,425.81,3871.0,57
HCPCS,C1713,SCREW BN 5.0MM 10MM,4406.0,4406.0,484.66,4406.0,57
HCPCS,C1713,SCREW BN 5.0MM 12MM,4406.0,4406.0,484.66,4406.0,57
HCPCS,C1713,SCREW BN 5.0MM 14MM,3125.5,3125.5,151.47,4874.0,114
HCPCS,C1713,SCREW BN 5.0MM 16MM,4874.0,4874.0,536.14,4874.0,57
HCPCS,C1713,SCREW BN 5.0MM 18MM,4406.0,4406.0,484.66,4406.0,57
HCPCS,C1713,SCREW BN 5.0MM 20MM,3084.0,3084.0,339.24,3084.0,57
HCPCS,C1713,SCREW BN 5.0MM 30MM,3412.0,3412.0,375.32,3412.0,57
HCPCS,C1713,SCREW BN 5.0MM 32.5MM,4768.0,4768.0,524.48,4768.0,57
HCPCS,C1713,SCREW BN 5.0MM 32MM,3093.0,3093.0,339.24,3102.0,114
HCPCS,C1713,SCREW BN 5.0MM 34MM,5827.0,5827.0,339.24,8570.0,114
HCPCS,C1713,SCREW BN 5.0MM 35MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN 5.0MM 36MM,3093.0,3093.0,339.24,3102.0,114
HCPCS,C1713,SCREW BN 5.0MM 37.5MM,2775.0,2775.0,305.25,2775.0,57
HCPCS,C1713,SCREW BN 5.0MM 38MM,3412.0,3412.0,352.66,6600.0,171
HCPCS,C1713,SCREW BN 5.0MM 40MM,3412.0,3412.0,305.25,5713.0,171
HCPCS,C1713,SCREW BN 5.0MM 42.5MM,2775.0,2775.0,305.25,2775.0,57
HCPCS,C1713,SCREW BN 5.0MM 50MM,3725.5,3725.5,124.41,7866.0,228
HCPCS,C1713,SCREW BN 5.0MM 60MM,3084.0,3084.0,255.31,4647.0,171
HCPCS,C1713,SCREW BN 5.0MM 65MM,2251.5,2251.5,156.09,3084.0,114
HCPCS,C1713,SCREW BN 5.0MM 75MM,3412.0,3412.0,375.32,3412.0,57
HCPCS,C1713,SCREW BN 5.0MM 78MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN 5.0MM 80MM,3412.0,3412.0,282.59,5713.0,171
HCPCS,C1713,SCREW BN 5.0MM 85MM,3412.0,3412.0,375.32,3412.0,57
HCPCS,C1713,SCREW BN 5.0MM 90MM,3412.0,3412.0,375.32,3412.0,57
HCPCS,C1713,SCREW BN 5.0X10MM,5287.0,5287.0,581.57,5287.0,57
HCPCS,C1713,SCREW BN 5.0X24MM,3102.0,3102.0,341.22,3102.0,57
HCPCS,C1713,SCREW BN 5.0X30MM,3102.0,3102.0,341.22,3102.0,57
HCPCS,C1713,SCREW BN 5.5MM 30MM MESA,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW BN 5.5MM 32MM,3535.0,3535.0,388.85,3535.0,57
HCPCS,C1713,SCREW BN 5.5MM 36MM,3535.0,3535.0,388.85,3535.0,57
HCPCS,C1713,SCREW BN 5.5MM 38MM,8981.0,8981.0,987.91,8981.0,57
HCPCS,C1713,SCREW BN 5.5MM 40MM,1527.0,1527.0,167.97,1527.0,57
HCPCS,C1713,SCREW BN 5.5MM 42MM,8981.0,8981.0,987.91,8981.0,57
HCPCS,C1713,SCREW BN 5.5MM 44MM,8981.0,8981.0,987.91,8981.0,57
HCPCS,C1713,SCREW BN 5.5MM 45MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN 5.5MM 495MM,28770.0,28770.0,3164.7,28770.0,57
HCPCS,C1713,SCREW BN 5.5MM 50MM,1916.0,1916.0,210.76,1916.0,57
HCPCS,C1713,SCREW BN 5.5MM 50MM MESA,13817.0,13817.0,1519.87,13817.0,57
HCPCS,C1713,SCREW BN 5.5MM 60MM,12538.0,12538.0,1379.18,12538.0,57
HCPCS,C1713,SCREW BN 5.5X30MM,1201.0,1201.0,132.11,1201.0,57
HCPCS,C1713,SCREW BN 5.5X40MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1713,SCREW BN 56MM 4MM,2963.0,2963.0,325.93,2963.0,57
HCPCS,C1713,SCREW BN 5MM 1.5MM,1327.5,1327.5,144.21,1344.0,114
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HCPCS,C1713,SCREW BN 5MM 10MM,2877.5,2877.5,282.59,3186.0,114
HCPCS,C1713,SCREW BN 5MM 120MM,3064.0,3064.0,337.04,3064.0,57
HCPCS,C1713,SCREW BN 5MM 12MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 5MM 14MM,3310.0,3310.0,240.79,4431.0,114
HCPCS,C1713,SCREW BN 5MM 16MM,3928.0,3928.0,282.59,5287.0,114
HCPCS,C1713,SCREW BN 5MM 18MM,3213.0,3213.0,282.59,3976.0,171
HCPCS,C1713,SCREW BN 5MM 20MM,3102.0,3102.0,282.59,8241.0,171
HCPCS,C1713,SCREW BN 5MM 22MM,2291.5,2291.5,151.47,2921.0,228
HCPCS,C1713,SCREW BN 5MM 25MM,2190.0,2190.0,124.41,7152.0,228
HCPCS,C1713,SCREW BN 5MM 26MM,4026.0,4026.0,169.62,13543.0,342
HCPCS,C1713,SCREW BN 5MM 26MM 25MM,4177.0,4177.0,459.47,4177.0,57
HCPCS,C1713,SCREW BN 5MM 28MM,3530.0,3530.0,282.59,5343.0,285
HCPCS,C1713,SCREW BN 5MM 2MM,1287.0,1287.0,141.57,1287.0,57
HCPCS,C1713,SCREW BN 5MM 2MM MAX/D,3995.0,3995.0,439.45,3995.0,57
HCPCS,C1713,SCREW BN 5MM 3.2MM 70MM,3380.0,3380.0,371.8,3380.0,57
HCPCS,C1713,SCREW BN 5MM 3.5MM 65MM,3772.0,3772.0,414.92,3772.0,57
HCPCS,C1713,SCREW BN 5MM 30MM,2734.0,2734.0,124.41,5713.0,627
HCPCS,C1713,SCREW BN 5MM 32.5MM,4067.0,4067.0,271.26,5668.0,114
HCPCS,C1713,SCREW BN 5MM 32MM,3957.0,3957.0,271.26,13543.0,456
HCPCS,C1713,SCREW BN 5MM 34MM,3049.5,3049.5,82.5,4177.0,342
HCPCS,C1713,SCREW BN 5MM 35MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN 5MM 36MM,3368.0,3368.0,82.5,8244.0,456
HCPCS,C1713,SCREW BN 5MM 36MM 25MM,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW BN 5MM 37.5MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN 5MM 37MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN 5MM 38MM,3263.0,3263.0,241.23,4177.0,342
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HCPCS,C1713,SCREW BN 5MM 4.3MM 64MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN 5MM 4.3MM 66MM,2321.0,2321.0,255.31,2321.0,57
HCPCS,C1713,SCREW BN 5MM 4.3MM 70MM,3126.0,3126.0,343.86,3126.0,57
HCPCS,C1713,SCREW BN 5MM 4.3MM 74MM,2321.0,2321.0,255.31,2321.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 16MM,2189.0,2189.0,240.79,2189.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 20MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 24MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 30MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 38MM,2189.0,2189.0,240.79,2189.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 42MM,2189.0,2189.0,240.79,2189.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 44MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 50MM,3782.0,3782.0,416.02,3782.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 65MM,2896.0,2896.0,318.56,2896.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 70MM,3344.0,3344.0,367.84,3344.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 75MM,2967.0,2967.0,326.37,2967.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 80MM,3344.0,3344.0,367.84,3344.0,57
HCPCS,C1713,SCREW BN 5MM 4.4MM 90MM,2951.0,2951.0,324.61,2951.0,57
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HCPCS,C1713,SCREW BN 5MM 40MM,4377.0,4377.0,341.22,8244.0,570
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HCPCS,C1713,SCREW BN 5MM 42.5MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN 5MM 42MM,3790.5,3790.5,169.62,13954.0,456
HCPCS,C1713,SCREW BN 5MM 44MM,3658.0,3658.0,282.59,5551.0,399
HCPCS,C1713,SCREW BN 5MM 44MM NLE,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BN 5MM 44MM TI T15,13954.0,13954.0,1534.94,13954.0,57
HCPCS,C1713,SCREW BN 5MM 45MM,3513.0,3513.0,124.41,13543.0,228
HCPCS,C1713,SCREW BN 5MM 46MM,3791.0,3791.0,341.22,13954.0,342
HCPCS,C1713,SCREW BN 5MM 47.5MM,3192.0,3192.0,271.26,3918.0,114
HCPCS,C1713,SCREW BN 5MM 48MM,3084.0,3084.0,240.79,3530.0,171
HCPCS,C1713,SCREW BN 5MM 50MM,3206.0,3206.0,271.26,4768.0,513
HCPCS,C1713,SCREW BN 5MM 52.5MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN 5MM 52MM,3154.0,3154.0,271.26,3530.0,171
HCPCS,C1713,SCREW BN 5MM 52MM NLEX T,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BN 5MM 54MM,3530.0,3530.0,388.3,3530.0,114
HCPCS,C1713,SCREW BN 5MM 55MM,3188.0,3188.0,124.41,10350.0,456
HCPCS,C1713,SCREW BN 5MM 56MM,3530.0,3530.0,388.3,3530.0,57
HCPCS,C1713,SCREW BN 5MM 58MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN 5MM 60MM,3283.0,3283.0,82.5,8244.0,570
HCPCS,C1713,SCREW BN 5MM 60MM HIP,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN 5MM 62MM,3477.0,3477.0,376.64,3530.0,114
HCPCS,C1713,SCREW BN 5MM 64MM,3304.5,3304.5,338.69,3530.0,114
HCPCS,C1713,SCREW BN 5MM 65MM,3459.5,3459.5,271.26,7193.0,228
HCPCS,C1713,SCREW BN 5MM 66MM,3221.5,3221.5,320.43,3530.0,114
HCPCS,C1713,SCREW BN 5MM 68MM,2926.0,2926.0,321.86,2926.0,57
HCPCS,C1713,SCREW BN 5MM 70MM,4177.0,4177.0,271.26,20386.0,798
HCPCS,C1713,SCREW BN 5MM 72MM,3424.0,3424.0,320.43,3530.0,171
HCPCS,C1713,SCREW BN 5MM 74MM,3221.5,3221.5,320.43,3530.0,114
HCPCS,C1713,SCREW BN 5MM 75MM,3380.0,3380.0,82.5,20386.0,570
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HCPCS,C1713,SCREW BN 5MM 80MM TI PED,2994.0,2994.0,329.34,2994.0,57
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HCPCS,C1713,SCREW BN 5MM 86MM,3545.5,3545.5,388.3,3561.0,114
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HCPCS,C1713,SCREW BN 5MM 90MM,4999.5,4999.5,341.22,13954.0,228
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HCPCS,C1713,SCREW BN 5MMMM 40MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN 5MMMM 45MM,2747.0,2747.0,302.17,2747.0,57
HCPCS,C1713,SCREW BN 5MMX16MM,3976.0,3976.0,437.36,3976.0,57
HCPCS,C1713,SCREW BN 5MMX70MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN 5X1.5MM,1391.0,1391.0,153.01,1391.0,57
HCPCS,C1713,SCREW BN 5X12MM,5287.0,5287.0,581.57,5287.0,57
HCPCS,C1713,SCREW BN 5X14MM,5287.0,5287.0,581.57,5287.0,57
HCPCS,C1713,SCREW BN 5X37.5MM,3268.0,3268.0,359.48,3268.0,57
HCPCS,C1713,SCREW BN 5X4.4X10MM,3676.0,3676.0,404.36,3676.0,57
HCPCS,C1713,SCREW BN 5X40MM,3336.0,3336.0,366.96,3336.0,57
HCPCS,C1713,SCREW BN 5X42.5MM,3268.0,3268.0,359.48,3268.0,57
HCPCS,C1713,SCREW BN 5X42MM,3379.0,3379.0,341.22,3656.0,114
HCPCS,C1713,SCREW BN 5X48MM XL25,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN 5X50MM,3268.0,3268.0,359.48,3268.0,57
HCPCS,C1713,SCREW BN 5X52.5MM,3624.0,3624.0,398.64,3624.0,57
HCPCS,C1713,SCREW BN 5X52MM XL25,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN 5X55MM,13954.0,13954.0,1534.94,13954.0,57
HCPCS,C1713,SCREW BN 5X65MM DPHSL,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW BN 5X70MM,2789.0,2789.0,306.79,2789.0,57
HCPCS,C1713,SCREW BN 5X75MM,2789.0,2789.0,306.79,2789.0,57
HCPCS,C1713,SCREW BN 5X80MM,3021.0,3021.0,332.31,3021.0,57
HCPCS,C1713,SCREW BN 5X80MM DPHSL,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW BN 5X90MM,4027.0,4027.0,442.97,4027.0,57
HCPCS,C1713,SCREW BN 6.0MM,1548.0,1548.0,170.28,1548.0,57
HCPCS,C1713,SCREW BN 6.0MM 2.0MM,1929.0,1929.0,212.19,1929.0,57
HCPCS,C1713,SCREW BN 6.25MM 15MM,11899.0,11899.0,1308.89,11899.0,57
HCPCS,C1713,SCREW BN 6.25MM 25MM,1028.0,1028.0,113.08,1028.0,57
HCPCS,C1713,SCREW BN 6.2X32X105MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5MM 100MM,3848.5,3848.5,82.5,5646.0,342
HCPCS,C1713,SCREW BN 6.5MM 105MM,5312.0,5312.0,534.49,5508.0,228
HCPCS,C1713,SCREW BN 6.5MM 110MM,5108.0,5108.0,561.88,5108.0,57
HCPCS,C1713,SCREW BN 6.5MM 110MM 40M,3864.0,3864.0,425.04,3864.0,57
HCPCS,C1713,SCREW BN 6.5MM 115MM,4530.0,4530.0,86.79,5108.0,171
HCPCS,C1713,SCREW BN 6.5MM 120MM,3323.0,3323.0,86.79,5857.0,114
HCPCS,C1713,SCREW BN 6.5MM 125MM,4238.0,4238.0,434.06,4530.0,171
HCPCS,C1713,SCREW BN 6.5MM 130MM,4032.0,4032.0,425.04,5117.0,171
HCPCS,C1713,SCREW BN 6.5MM 135MM,4186.0,4186.0,460.46,4186.0,57
HCPCS,C1713,SCREW BN 6.5MM 140MM,3959.0,3959.0,435.49,3959.0,57
HCPCS,C1713,SCREW BN 6.5MM 150MM,4072.5,4072.5,435.49,4186.0,114
HCPCS,C1713,SCREW BN 6.5MM 155MM,6823.0,6823.0,750.53,6823.0,57
HCPCS,C1713,SCREW BN 6.5MM 15MM,3443.5,3443.5,124.41,18495.0,342
HCPCS,C1713,SCREW BN 6.5MM 160MM,4240.0,4240.0,435.49,4521.0,114
HCPCS,C1713,SCREW BN 6.5MM 16MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN 6.5MM 16MM 80MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5MM 16MM 90MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5MM 180MM,3959.0,3959.0,435.49,3959.0,57
HCPCS,C1713,SCREW BN 6.5MM 20MM,2224.5,2224.5,113.08,18495.0,627
HCPCS,C1713,SCREW BN 6.5MM 25MM,4439.0,4439.0,124.41,18495.0,627
HCPCS,C1713,SCREW BN 6.5MM 25MM TRN,1954.0,1954.0,214.94,1954.0,57
HCPCS,C1713,SCREW BN 6.5MM 30MM,1490.5,1490.5,84.48,18495.0,684
HCPCS,C1713,SCREW BN 6.5MM 32MM,768.0,768.0,84.48,768.0,114
HCPCS,C1713,SCREW BN 6.5MM 35MM,1435.5,1435.5,82.5,18495.0,627
HCPCS,C1713,SCREW BN 6.5MM 40MM,1542.0,1542.0,82.5,18495.0,627
HCPCS,C1713,SCREW BN 6.5MM 45MM,3452.5,3452.5,82.5,9912.0,456
HCPCS,C1713,SCREW BN 6.5MM 45MM 32MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5MM 50MM,2329.5,2329.5,82.5,18495.0,570
HCPCS,C1713,SCREW BN 6.5MM 50MM 32MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5MM 55MM,2985.0,2985.0,82.5,5524.0,342
HCPCS,C1713,SCREW BN 6.5MM 60MM,2058.0,2058.0,90.53,4521.0,285
HCPCS,C1713,SCREW BN 6.5MM 65MM,5022.5,5022.5,82.5,12538.0,228
HCPCS,C1713,SCREW BN 6.5MM 70MM,4859.0,4859.0,497.31,5524.0,228
HCPCS,C1713,SCREW BN 6.5MM 75MM,3685.0,3685.0,226.05,5025.0,228
HCPCS,C1713,SCREW BN 6.5MM 75MM 20MM,4765.0,4765.0,524.15,4765.0,57
HCPCS,C1713,SCREW BN 6.5MM 80MM,3685.0,3685.0,82.5,5759.0,228
HCPCS,C1713,SCREW BN 6.5MM 80MM 20MM,4765.0,4765.0,524.15,4765.0,57
HCPCS,C1713,SCREW BN 6.5MM 85MM,3313.5,3313.5,99.22,5508.0,285
HCPCS,C1713,SCREW BN 6.5MM 85MM 20MM,4812.0,4812.0,529.32,4812.0,57
HCPCS,C1713,SCREW BN 6.5MM 8MM,750.0,750.0,82.5,750.0,285
HCPCS,C1713,SCREW BN 6.5MM 8MM 25MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5MM 8MM 35MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5MM 8MM 70MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5MM 8MM 75MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5MM 90MM,3627.5,3627.5,82.5,5524.0,228
HCPCS,C1713,SCREW BN 6.5MM 90MM 20MM,5428.0,5428.0,597.08,5428.0,57
HCPCS,C1713,SCREW BN 6.5MM 95MM,2849.0,2849.0,313.39,2849.0,57
HCPCS,C1713,SCREW BN 6.5X100X20MM,4765.0,4765.0,524.15,4765.0,57
HCPCS,C1713,SCREW BN 6.5X100X32MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X100X40MM,4859.0,4859.0,534.49,4859.0,57
HCPCS,C1713,SCREW BN 6.5X105X20MM,4765.0,4765.0,524.15,4765.0,57
HCPCS,C1713,SCREW BN 6.5X115MM,5241.0,5241.0,576.51,5241.0,57
HCPCS,C1713,SCREW BN 6.5X120X16MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN 6.5X120X20MM,3864.0,3864.0,425.04,3864.0,57
HCPCS,C1713,SCREW BN 6.5X120X32MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN 6.5X130X16MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN 6.5X130X32X3.5,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X140X32MM,4916.0,4916.0,540.76,4916.0,57
HCPCS,C1713,SCREW BN 6.5X145X16MM,4186.0,4186.0,460.46,4186.0,57
HCPCS,C1713,SCREW BN 6.5X150MM,6823.0,6823.0,750.53,6823.0,57
HCPCS,C1713,SCREW BN 6.5X155MM,6823.0,6823.0,750.53,6823.0,57
HCPCS,C1713,SCREW BN 6.5X15MM,1590.5,1590.5,162.36,1705.0,114
HCPCS,C1713,SCREW BN 6.5X160MM,6823.0,6823.0,750.53,6823.0,57
HCPCS,C1713,SCREW BN 6.5X16X100MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X16X105MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X16X110MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X16X115MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X16X135MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN 6.5X16X35MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X16X40MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X16X60MM,4375.0,4375.0,481.25,4375.0,57
HCPCS,C1713,SCREW BN 6.5X16X65MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X16X70MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X16X95MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X2.9MM 110MM,3833.0,3833.0,421.63,3833.0,57
HCPCS,C1713,SCREW BN 6.5X2.9MM 85MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X2.9MM 90MM,4521.0,4521.0,497.31,4521.0,114
HCPCS,C1713,SCREW BN 6.5X2.9MM 95MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X20MM,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW BN 6.5X25MM,1247.0,1247.0,135.08,1266.0,114
HCPCS,C1713,SCREW BN 6.5X30MM,1230.0,1230.0,135.3,1230.0,57
HCPCS,C1713,SCREW BN 6.5X32X110MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X32X115MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X32X150MM,4186.0,4186.0,460.46,4186.0,57
HCPCS,C1713,SCREW BN 6.5X32X95MM,3833.0,3833.0,421.63,3833.0,57
HCPCS,C1713,SCREW BN 6.5X35MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN 6.5X35X16MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X40MM,4439.0,4439.0,488.29,4439.0,57
HCPCS,C1713,SCREW BN 6.5X40X16MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X45MM,4439.0,4439.0,488.29,4439.0,57
HCPCS,C1713,SCREW BN 6.5X50MM,1553.0,1553.0,170.83,1553.0,57
HCPCS,C1713,SCREW BN 6.5X55MM,1728.0,1728.0,82.5,2706.0,114
HCPCS,C1713,SCREW BN 6.5X60MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X65MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X65X20MM,2985.0,2985.0,328.35,2985.0,57
HCPCS,C1713,SCREW BN 6.5X65X32MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X45,4639.0,4639.0,510.29,4639.0,57
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X55,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X80,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X70MM,2763.0,2763.0,303.93,2763.0,57
HCPCS,C1713,SCREW BN 6.5X70X20MM,2985.0,2985.0,328.35,2985.0,57
HCPCS,C1713,SCREW BN 6.5X75X32MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X85X32MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN 6.5X8X45MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X8X50MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X8X55MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X8X85MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 6.5X95MM,4521.0,4521.0,82.5,6524.0,171
HCPCS,C1713,SCREW BN 6.5X95X20MM,4741.0,4741.0,521.51,4741.0,57
HCPCS,C1713,SCREW BN 6.5x30MM,1069.0,1069.0,117.59,1069.0,57
HCPCS,C1713,SCREW BN 6MM 1.7MM,1389.0,1389.0,149.49,1419.0,114
HCPCS,C1713,SCREW BN 6MM 14MM,3375.0,3375.0,371.25,3375.0,57
HCPCS,C1713,SCREW BN 6MM 2.3MM,1391.0,1391.0,153.01,1391.0,57
HCPCS,C1713,SCREW BN 6MM 4.8MM 72MM,2073.0,2073.0,228.03,2073.0,57
HCPCS,C1713,SCREW BN 6MM 4.8MM 85MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN 6MM 50MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BN 6MM 55MM,3928.0,3928.0,432.08,3928.0,57
HCPCS,C1713,SCREW BN 6MM 60MM,3928.0,3928.0,432.08,3928.0,57
HCPCS,C1713,SCREW BN 6MM 65MM,1023.0,1023.0,112.53,1023.0,57
HCPCS,C1713,SCREW BN 6MM 70MM,1000.0,1000.0,110.0,1000.0,57
HCPCS,C1713,SCREW BN 6MM 75MM,1000.0,1000.0,110.0,1000.0,57
HCPCS,C1713,SCREW BN 6MM 80MM,1000.0,1000.0,110.0,1000.0,57
HCPCS,C1713,SCREW BN 7.0MM 15MM,28668.0,28668.0,3153.48,28668.0,57
HCPCS,C1713,SCREW BN 7.3MM 100MM,4447.0,4447.0,472.89,4595.0,114
HCPCS,C1713,SCREW BN 7.3MM 105MM,4791.0,4791.0,527.01,4791.0,57
HCPCS,C1713,SCREW BN 7.3MM 110MM,3859.0,3859.0,419.98,4916.0,171
HCPCS,C1713,SCREW BN 7.3MM 115MM,4595.0,4595.0,505.45,4595.0,57
HCPCS,C1713,SCREW BN 7.3MM 120MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN 7.3MM 125MM,4351.5,4351.5,462.22,4501.0,114
HCPCS,C1713,SCREW BN 7.3MM 130MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN 7.3MM 135MM,4916.0,4916.0,540.76,4916.0,57
HCPCS,C1713,SCREW BN 7.3MM 140MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3MM 150MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN 7.3MM 155MM,2350.0,2350.0,82.5,3950.0,114
HCPCS,C1713,SCREW BN 7.3MM 160MM,3950.0,3950.0,434.5,3950.0,57
HCPCS,C1713,SCREW BN 7.3MM 16MM 45MM,4735.0,4735.0,520.85,4735.0,57
HCPCS,C1713,SCREW BN 7.3MM 16MM 65MM,4595.0,4595.0,505.45,4595.0,57
HCPCS,C1713,SCREW BN 7.3MM 170MM,3950.0,3950.0,434.5,3950.0,57
HCPCS,C1713,SCREW BN 7.3MM 175MM,3950.0,3950.0,434.5,3950.0,57
HCPCS,C1713,SCREW BN 7.3MM 28MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN 7.3MM 32MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN 7.3MM 32MM 65MM,4186.0,4186.0,460.46,4186.0,57
HCPCS,C1713,SCREW BN 7.3MM 32MM 70MM,5383.0,5383.0,592.13,5383.0,57
HCPCS,C1713,SCREW BN 7.3MM 35MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN 7.3MM 40MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN 7.3MM 45MM,4159.5,4159.5,419.98,4501.0,114
HCPCS,C1713,SCREW BN 7.3MM 55MM,4501.0,4501.0,419.98,4916.0,171
HCPCS,C1713,SCREW BN 7.3MM 5MM 65MM,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW BN 7.3MM 5MM 85MM,4360.0,4360.0,479.6,4360.0,57
HCPCS,C1713,SCREW BN 7.3MM 5MM 90MM,4975.0,4975.0,547.25,4975.0,57
HCPCS,C1713,SCREW BN 7.3MM 5MM 95MM,4965.0,4965.0,546.15,4965.0,57
HCPCS,C1713,SCREW BN 7.3MM 60MM,4551.0,4551.0,460.46,4916.0,114
HCPCS,C1713,SCREW BN 7.3MM 70MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3MM 75MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3MM 75MM 32MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3MM 80MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3MM 85MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3MM 95MM,4400.0,4400.0,472.89,4501.0,114
HCPCS,C1713,SCREW BN 7.3X105MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3X115X32MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN 7.3X120X16MM,4916.0,4916.0,540.76,4916.0,57
HCPCS,C1713,SCREW BN 7.3X125X32MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN 7.3X130X32MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN 7.3X16X145MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN 7.3X30X16MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3X32X135MM,4916.0,4916.0,540.76,4916.0,57
HCPCS,C1713,SCREW BN 7.3X32X150MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3X32X85MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3X50MM,5383.0,5383.0,592.13,5383.0,57
HCPCS,C1713,SCREW BN 7.3X75MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN 7.3X8.2MM 165MM,3950.0,3950.0,434.5,3950.0,57
HCPCS,C1713,SCREW BN 7.3X8.2X2.9X145,3826.0,3826.0,420.86,3826.0,57
HCPCS,C1713,SCREW BN 7.3X80MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 7.3X90MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN 70MM,9371.0,9371.0,1030.81,9371.0,57
HCPCS,C1713,SCREW BN 75MM,6309.0,6309.0,357.17,9371.0,114
HCPCS,C1713,SCREW BN 7MM 1.5MM,1038.0,1038.0,114.18,1038.0,57
HCPCS,C1713,SCREW BN 7MM 30MM,10111.0,10111.0,1112.21,10111.0,57
HCPCS,C1713,SCREW BN 7MM 45MM 16MM,18049.0,18049.0,1985.39,18049.0,57
HCPCS,C1713,SCREW BN 7MM 45MM XPDM T,12529.0,12529.0,1378.19,12529.0,57
HCPCS,C1713,SCREW BN 7MM 50MM,16531.0,16531.0,1392.05,20407.0,114
HCPCS,C1713,SCREW BN 7MM 55MM TI COR,16368.0,16368.0,1800.48,16368.0,57
HCPCS,C1713,SCREW BN 7MM 60MM,15606.0,15606.0,1716.66,15606.0,57
HCPCS,C1713,SCREW BN 7MM 65MM,17519.5,17519.5,1609.52,20407.0,114
HCPCS,C1713,SCREW BN 7MM 70MM,13178.0,13178.0,1449.58,13178.0,57
HCPCS,C1713,SCREW BN 7MM 74MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN 7MM 78MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN 7MM 80MM,13176.5,13176.5,1449.25,13178.0,114
HCPCS,C1713,SCREW BN 7MM 82MM 16MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN 7MM 85MM,13178.0,13178.0,553.52,20407.0,171
HCPCS,C1713,SCREW BN 7MM 86MM 16MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN 7MM 90MM,9807.0,9807.0,440.88,15606.0,114
HCPCS,C1713,SCREW BN 7MM 95MM,15606.0,15606.0,1716.66,15606.0,57
HCPCS,C1713,SCREW BN 7X16X76MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN 7X2.7MM,3064.0,3064.0,337.04,3064.0,57
HCPCS,C1713,SCREW BN 7X20MM,8673.0,8673.0,954.03,8673.0,57
HCPCS,C1713,SCREW BN 7X35 XPDM SPN,10450.0,10450.0,1149.5,10450.0,57
HCPCS,C1713,SCREW BN 7X84MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN 7X90MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN 8-PLATE16MM,3979.0,3979.0,437.69,3979.0,57
HCPCS,C1713,SCREW BN 8.2X2.9MM 90MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN 8.5MM 35MM XPDM,13191.0,13191.0,1451.01,13191.0,57
HCPCS,C1713,SCREW BN 80MM 6.5MM,3864.0,3864.0,425.04,3864.0,57
HCPCS,C1713,SCREW BN 85MM/90MM,19671.0,19671.0,2163.81,19671.0,57
HCPCS,C1713,SCREW BN 8MM,2240.0,2240.0,246.4,2240.0,57
HCPCS,C1713,SCREW BN 8MM 120MM,3864.0,3864.0,425.04,3864.0,57
HCPCS,C1713,SCREW BN 8MM 14.5MM,2754.0,2754.0,302.94,2754.0,57
HCPCS,C1713,SCREW BN 8MM 175MM,7070.0,7070.0,777.7,7070.0,57
HCPCS,C1713,SCREW BN 8MM 2.7MM,987.0,987.0,108.57,987.0,57
HCPCS,C1713,SCREW BN 8MM 2MM,2935.0,2935.0,322.85,2935.0,57
HCPCS,C1713,SCREW BN 8MM 40MM,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1713,SCREW BN 8MM 50MM,48475.0,48475.0,5332.25,48475.0,57
HCPCS,C1713,SCREW BN 8MM 55MM XPDM,15070.0,15070.0,1657.7,15070.0,57
HCPCS,C1713,SCREW BN 8MM 95MM,3864.0,3864.0,425.04,3864.0,57
HCPCS,C1713,SCREW BN 8X30MM,10111.0,10111.0,1112.21,10111.0,57
HCPCS,C1713,SCREW BN 9.5MM 30MM,6165.0,6165.0,678.15,6165.0,57
HCPCS,C1713,SCREW BN 9.5MM 40MM,6165.0,6165.0,678.15,6165.0,57
HCPCS,C1713,SCREW BN 95MM 90MM,14279.0,14279.0,1570.69,14279.0,57
HCPCS,C1713,SCREW BN 9MM 25MM,2980.0,2980.0,327.8,2980.0,57
HCPCS,C1713,SCREW BN 9MM 2MM,1090.0,1090.0,119.9,1090.0,57
HCPCS,C1713,SCREW BN ACTB 25MM,1524.0,1524.0,167.64,1524.0,57
HCPCS,C1713,SCREW BN ACTB 30MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN ANCH 1.5X8X13MM,2437.0,2437.0,268.07,2437.0,57
HCPCS,C1713,SCREW BN ANCH 2X8X13MM,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,SCREW BN ANG LC 3.5x60MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,SCREW BN ANGL 5.0X34MM,3102.0,3102.0,341.22,3102.0,57
HCPCS,C1713,SCREW BN ANKL 3.5X16MM,4684.5,4684.5,473.44,5065.0,114
HCPCS,C1713,SCREW BN ANKL 3.5X24MM,4217.0,4217.0,463.87,4217.0,57
HCPCS,C1713,SCREW BN ATDR 1.6X4MM,1053.0,1053.0,115.83,1053.0,57
HCPCS,C1713,SCREW BN CANC 35MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN CANC 3X40MM,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW BN CANC 4MM 16MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 4MM 18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 4MM 20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 4MM 22MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 4MM 24MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 4MM 26MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 4MM 28MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 4MM 36MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 4X36MM,4624.0,4624.0,508.64,4624.0,57
HCPCS,C1713,SCREW BN CANC 4X38MM,4624.0,4624.0,508.64,4624.0,57
HCPCS,C1713,SCREW BN CANC 4X70MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN CANC 6.5X115X16,789.0,789.0,86.79,789.0,57
HCPCS,C1713,SCREW BN CANC 6.5X15MM,4439.0,4439.0,488.29,4439.0,57
HCPCS,C1713,SCREW BN CANC 6.5X30,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANC 6.5X35MM,4439.0,4439.0,488.29,4439.0,57
HCPCS,C1713,SCREW BN CANC 6.5X60MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN CANC 6.5X70MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN CANC F/T 4X65MM,855.0,855.0,94.05,855.0,57
HCPCS,C1713,SCREW BN CANC SM 4X60MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANN 2.5X18MM,7441.0,7441.0,818.51,7441.0,57
HCPCS,C1713,SCREW BN CANN 2.5X30MM,7925.0,7925.0,871.75,7925.0,57
HCPCS,C1713,SCREW BN CANN 2X30MM,11303.0,11303.0,1243.33,11303.0,57
HCPCS,C1713,SCREW BN CANN 3.5X40MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW BN CANN 3MM 28MM,3553.0,3553.0,390.83,3553.0,57
HCPCS,C1713,SCREW BN CANN 3MM 30MM,3453.0,3453.0,379.83,3453.0,57
HCPCS,C1713,SCREW BN CANN 4.0X20MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN CANN 4.0X26MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN CANN 4.0X48MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW BN CANN 4.5MM 32MM,3444.0,3444.0,378.84,3444.0,57
HCPCS,C1713,SCREW BN CANN 4.5MM 34MM,3597.0,3597.0,395.67,3597.0,57
HCPCS,C1713,SCREW BN CANN 4.5MM 50MM,3597.0,3597.0,395.67,3597.0,57
HCPCS,C1713,SCREW BN CANN 4.5MM 75MM,7441.0,7441.0,818.51,7441.0,57
HCPCS,C1713,SCREW BN CANN 4.5X30MM,3494.0,3494.0,384.34,3494.0,57
HCPCS,C1713,SCREW BN CANN 4.5X50MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN CANN 4MM 32MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN CANN 4MM 34MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN CANN 4MM 40MM,3616.0,3616.0,397.76,3616.0,57
HCPCS,C1713,SCREW BN CANN 4MM 48MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN CANN 4MM 55MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CANN 4X5X64MM,3432.0,3432.0,377.52,3432.0,57
HCPCS,C1713,SCREW BN CANN 5.5X40MM,8981.0,8981.0,987.91,8981.0,57
HCPCS,C1713,SCREW BN CANN 5X80MM,4619.0,4619.0,508.09,4619.0,57
HCPCS,C1713,SCREW BN CANN 5X85MM,4619.0,4619.0,508.09,4619.0,57
HCPCS,C1713,SCREW BN CANN 6.5MM 50MM,7090.0,7090.0,779.9,7090.0,57
HCPCS,C1713,SCREW BN CANN 6.5X100MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN CANN 6.5X105MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN CANN 6.5X135MM,5117.0,5117.0,562.87,5117.0,57
HCPCS,C1713,SCREW BN CANN 6.5X140MM,4530.0,4530.0,498.3,4530.0,57
HCPCS,C1713,SCREW BN CANN 6.5X145MM,4186.0,4186.0,460.46,4186.0,57
HCPCS,C1713,SCREW BN CANN 6.5X16X65,4325.0,4325.0,475.75,4325.0,57
HCPCS,C1713,SCREW BN CANN 6.5X170MM,3959.0,3959.0,435.49,3959.0,57
HCPCS,C1713,SCREW BN CANN 6.5X50MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN CANN 6.5X70MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN CANN 6.5X75MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN CANN 6.5X90MM,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1713,SCREW BN CANN 7.3 X80MM,3818.0,3818.0,419.98,3818.0,57
HCPCS,C1713,SCREW BN CANN 7.3MM 70MM,4916.0,4916.0,540.76,4916.0,57
HCPCS,C1713,SCREW BN CANN 7.3X85MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN CANN 7.3X90MM,4501.0,4501.0,495.11,4501.0,57
HCPCS,C1713,SCREW BN CANN LCK 7.3X60,4694.0,4694.0,516.34,4694.0,57
HCPCS,C1713,SCREW BN CANN LT 2X26MM,11303.0,11303.0,1243.33,11303.0,57
HCPCS,C1713,SCREW BN CANN LT 2X30MM,11303.0,11303.0,1243.33,11303.0,57
HCPCS,C1713,SCREW BN CMP HDLS 2.5X28,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW BN CMPR 2.5X30MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1713,SCREW BN CMPR 2.5X44MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1713,SCREW BN CMPR 3X14MM,1891.0,1891.0,208.01,1891.0,57
HCPCS,C1713,SCREW BN CMPR 3X8MM,1891.0,1891.0,208.01,1891.0,57
HCPCS,C1713,SCREW BN CMPR 4MM 48MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW BN CMPR 4X50MM,8722.0,8722.0,959.42,8722.0,57
HCPCS,C1713,SCREW BN CMPR 7X70MM,13175.0,13175.0,1449.25,13175.0,57
HCPCS,C1713,SCREW BN CMPR F-T 7X75MM,20407.0,20407.0,2244.77,20407.0,57
HCPCS,C1713,SCREW BN CMPR F-T 7X80MM,20407.0,20407.0,2244.77,20407.0,57
HCPCS,C1713,SCREW BN CMPR LCK CAP,4234.0,4234.0,465.74,4234.0,57
HCPCS,C1713,SCREW BN CMPR TROCHLEAR,5960.0,5960.0,655.6,5960.0,57
HCPCS,C1713,SCREW BN CMPRS 36MM,792.0,792.0,87.12,792.0,57
HCPCS,C1713,SCREW BN CMPRS 5MM 85MM,8244.0,8244.0,906.84,8244.0,57
HCPCS,C1713,SCREW BN CMPRSS 4.7X44.4,811.0,811.0,89.21,811.0,57
HCPCS,C1713,SCREW BN CNDRL 5X22MM,3102.0,3102.0,341.22,3102.0,57
HCPCS,C1713,SCREW BN CNTR SZ 3,179303.0,179303.0,19723.33,179303.0,57
HCPCS,C1713,SCREW BN COCR 2.5X18MM,2487.0,2487.0,273.57,2487.0,57
HCPCS,C1713,SCREW BN COCR 2.5X20MM,1480.0,1480.0,162.8,1480.0,57
HCPCS,C1713,SCREW BN CORT 2.4X12MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN CORT 2.4X13MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN CORT 2.5X12MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW BN CORT 2.5X18MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW BN CORT 2.5X20MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW BN CORT 2.7MM 18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2.7MM 26MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2.7MM 30MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2.7MM 32MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2MM 12MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2MM 14MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2MM 16MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BN CORT 2MM 18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2MM 8MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2X10MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 2X18MM,1247.0,1247.0,137.17,1247.0,57
HCPCS,C1713,SCREW BN CORT 3.5MM 22MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 3.5MM 38MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 3.5X18MM,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW BN CORT 3.5X24MM,1398.0,1398.0,113.08,1768.0,114
HCPCS,C1713,SCREW BN CORT 3.5X34MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN CORT 3.5X36MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN CORT 3.5X50MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN CORT 3.5X6X46MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 3.5X6X48MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 30MMX4.5MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN CORT 36X4.5MM,895.0,895.0,98.45,895.0,57
HCPCS,C1713,SCREW BN CORT 3X14MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN CORT 3X20MM,3679.0,3679.0,404.69,3679.0,57
HCPCS,C1713,SCREW BN CORT 4.0X34,1624.0,1624.0,178.64,1624.0,57
HCPCS,C1713,SCREW BN CORT 4.5MM 24MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 4.5MM 68MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 4.5X110MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 4.5X40MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 4.5X95MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 4MM 24MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN CORT 4MM 44MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORT 4MM 95MM,1082.0,1082.0,119.02,1082.0,57
HCPCS,C1713,SCREW BN CORT 5X75MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN CORT 6.5X15MM,1240.0,1240.0,136.4,1240.0,57
HCPCS,C1713,SCREW BN CORT L36 OD4,1768.0,1768.0,194.48,1768.0,57
HCPCS,C1713,SCREW BN CORT L40 OD4,1768.0,1768.0,194.48,1768.0,57
HCPCS,C1713,SCREW BN CORT T6 2X20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORTL 4.5X32MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CORTL 4.5X34MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRANI 1.5MM 4MM,1643.0,1643.0,180.73,1643.0,114
HCPCS,C1713,SCREW BN CRANI 1.5MM 5MM,1643.0,1643.0,180.73,1643.0,57
HCPCS,C1713,SCREW BN CRN 1.5X5MM,1260.0,1260.0,138.6,1260.0,57
HCPCS,C1713,SCREW BN CRNFCL 1.5X4MM,1260.0,1260.0,138.6,1260.0,57
HCPCS,C1713,SCREW BN CRNFCL 1.5X7MM,1260.0,1260.0,138.6,1260.0,57
HCPCS,C1713,SCREW BN CRNFCL 1.8X5MM,1281.0,1281.0,140.91,1281.0,57
HCPCS,C1713,SCREW BN CRNFCL 1.8X7MM,1281.0,1281.0,140.91,1281.0,57
HCPCS,C1713,SCREW BN CRNFCL 1.MM 9MM,1195.0,1195.0,131.45,1195.0,57
HCPCS,C1713,SCREW BN CRNFCL 2.3X5MM,2384.0,2384.0,262.24,2384.0,57
HCPCS,C1713,SCREW BN CRNFCL 2X7MM,1973.0,1973.0,217.03,1973.0,57
HCPCS,C1713,SCREW BN CRNFCL 4MM,1194.0,1194.0,131.34,1194.0,57
HCPCS,C1713,SCREW BN CRNL 2.3X11MM,1521.0,1521.0,167.31,1521.0,57
HCPCS,C1713,SCREW BN CRNL 2MM 13MM,6552.0,6552.0,720.72,6552.0,57
HCPCS,C1713,SCREW BN CRNMXF 1LVL,2362.0,2362.0,259.82,2362.0,57
HCPCS,C1713,SCREW BN CRNMXF 2.7MM,4230.0,4230.0,465.3,4230.0,57
HCPCS,C1713,SCREW BN CRNMXF 2X5MM,1749.0,1749.0,192.39,1749.0,57
HCPCS,C1713,SCREW BN CRNMXF 5MM,1453.0,1453.0,159.83,1453.0,57
HCPCS,C1713,SCREW BN CRNMXF 8X2MM,2437.0,2437.0,268.07,2437.0,57
HCPCS,C1713,SCREW BN CRTCL 4.5X40MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X10MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X11MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X12MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X14MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X16MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X6MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X7MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X8MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX 1.5X9MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CRTX ST2.7X20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN CSTM 6.5/25MM,18290.0,18290.0,2011.9,18290.0,57
HCPCS,C1713,SCREW BN CSTM M8/40MM,51375.0,51375.0,5651.25,51375.0,57
HCPCS,C1713,SCREW BN DIST 4.3MM 28MM,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN DIST 5MM 20MM,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN DIST 5MM 26MM,2220.0,2220.0,244.2,2220.0,57
HCPCS,C1713,SCREW BN DIST 5MM 36MM,5343.0,5343.0,587.73,5343.0,57
HCPCS,C1713,SCREW BN DIST 5MM 40MM,5343.0,5343.0,587.73,5343.0,57
HCPCS,C1713,SCREW BN DST NLCK 3.5X14,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN DSTRCT 2MM,4288.0,4288.0,471.68,4288.0,57
HCPCS,C1713,SCREW BN ELB 2.7X14MM,866.0,866.0,95.26,866.0,57
HCPCS,C1713,SCREW BN ELB T8 2.7MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN EMER 2.3X7MM,1521.0,1521.0,167.31,1521.0,57
HCPCS,C1713,SCREW BN EMER 3X1.4MM,1247.0,1247.0,137.17,1247.0,57
HCPCS,C1713,SCREW BN EMG 2.3X8MM,1870.0,1870.0,205.7,1870.0,57
HCPCS,C1713,SCREW BN ER 1.2X12,1686.0,1686.0,185.46,1686.0,57
HCPCS,C1713,SCREW BN F-T 4X36MM,3905.0,3905.0,429.55,3905.0,57
HCPCS,C1713,SCREW BN F-T 4X38MM,3905.0,3905.0,429.55,3905.0,57
HCPCS,C1713,SCREW BN F-T 5MM 54MM,3847.0,3847.0,423.17,3847.0,57
HCPCS,C1713,SCREW BN FEM 5.0MMX14MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN FEM STRL 105MM,5487.0,5487.0,603.57,5487.0,57
HCPCS,C1713,SCREW BN FEM STRL 80MM,6758.0,6758.0,743.38,6758.0,57
HCPCS,C1713,SCREW BN FEM STRL 85MM,5487.0,5487.0,603.57,5487.0,57
HCPCS,C1713,SCREW BN FEM STRL 90MM,5487.0,5487.0,603.57,5487.0,57
HCPCS,C1713,SCREW BN FEM STRL 95MM,5487.0,5487.0,603.57,5487.0,57
HCPCS,C1713,SCREW BN FIX 6.5MM 15MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN FL THRD 3.5X26,2889.0,2889.0,317.79,2889.0,57
HCPCS,C1713,SCREW BN FT 10 2.7X65MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN FT 2.4X8MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN FT 8.0X155MM,5323.0,5323.0,585.53,5323.0,57
HCPCS,C1713,SCREW BN FULL 2.7X16MM,6572.0,6572.0,722.92,6572.0,57
HCPCS,C1713,SCREW BN GLND 5.0X34MM,1542.0,1542.0,169.62,1542.0,57
HCPCS,C1713,SCREW BN GLND 6.5X40MM,12494.0,12494.0,1374.34,12494.0,57
HCPCS,C1713,SCREW BN GLND PLATE LT,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,SCREW BN GRWTH GD 32MM,3979.0,3979.0,437.69,3979.0,57
HCPCS,C1713,SCREW BN HAND 2.5MM 12MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW BN HD 4.0X36MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW BN HDLS 2.5X40MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW BN HDLS 3.5X48MM,5934.0,5934.0,652.74,5934.0,57
HCPCS,C1713,SCREW BN HDLS 4.5MM 60MM,7441.0,7441.0,818.51,7441.0,57
HCPCS,C1713,SCREW BN HDLS 4.5MM 65MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW BN HDLS 4.5X26MM,7441.0,7441.0,818.51,7441.0,57
HCPCS,C1713,SCREW BN HDLS 4.5X30MM,7441.0,7441.0,818.51,7441.0,57
HCPCS,C1713,SCREW BN HDLS 4.5X55MM,7441.0,7441.0,818.51,7441.0,57
HCPCS,C1713,SCREW BN HDLS 6.5X70MM,12538.0,12538.0,1379.18,12538.0,57
HCPCS,C1713,SCREW BN HDLS 6.5X75MM,12538.0,12538.0,1379.18,12538.0,57
HCPCS,C1713,SCREW BN HDLS 6.5X80MM,13650.0,13650.0,1501.5,13650.0,57
HCPCS,C1713,SCREW BN HDLS 7.0X5.5MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN HDLS 7MM 100MM,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1713,SCREW BN HDLSS 7X85MM,13175.0,13175.0,1449.25,13175.0,57
HCPCS,C1713,SCREW BN HEADED 3MM 12MM,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,SCREW BN HEADED 3MM 14MM,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,SCREW BN HEADED 4MM 30MM,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,SCREW BN HEADED 4MM 38MM,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,SCREW BN HEADED 4MM 48MM,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,SCREW BN HIP 6.5MM 20MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN HIP 6.5MM 60MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN HIP 90X12.7MM,6094.0,6094.0,670.34,6094.0,57
HCPCS,C1713,SCREW BN HIP TI LCK 60MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN HUM,6668.0,6668.0,733.48,6668.0,57
HCPCS,C1713,SCREW BN HUM 3.5MM 16MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN HUM 3.5MM 18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN HUM 3.5X27.5MM,4542.0,4542.0,499.62,4542.0,57
HCPCS,C1713,SCREW BN HUM 3.5X32.5MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW BN HUM 4MM 37.5MM,3525.0,3525.0,387.75,3525.0,114
HCPCS,C1713,SCREW BN IM 10.5X90MM,7974.0,7974.0,877.14,7974.0,57
HCPCS,C1713,SCREW BN IM 10.5X95MM,9579.0,9579.0,1053.69,9579.0,57
HCPCS,C1713,SCREW BN INTF 8MM 20MM,10111.0,10111.0,1112.21,10111.0,57
HCPCS,C1713,SCREW BN INTFR 30X11MM,7131.0,7131.0,784.41,7131.0,57
HCPCS,C1713,SCREW BN INTFR 6MM 20MM,8673.0,8673.0,954.03,8673.0,57
HCPCS,C1713,SCREW BN INTFR 9X30MM,10111.0,10111.0,1112.21,10111.0,57
HCPCS,C1713,SCREW BN L-T 4X54MM,2914.0,2914.0,320.54,2914.0,57
HCPCS,C1713,SCREW BN LAG 10.4X80MM,12760.0,12760.0,1403.6,12760.0,57
HCPCS,C1713,SCREW BN LAG 10.5X75MM,7871.0,7871.0,865.81,7871.0,57
HCPCS,C1713,SCREW BN LAG 12.7MM 85MM,6094.0,6094.0,670.34,6094.0,57
HCPCS,C1713,SCREW BN LAG 3.6MM 24MM,3872.0,3872.0,425.92,3872.0,57
HCPCS,C1713,SCREW BN LCK 0.5X38MM,4177.0,4177.0,459.47,4177.0,57
HCPCS,C1713,SCREW BN LCK 0.5X58MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK 11X100MM,10851.0,10851.0,1193.61,10851.0,57
HCPCS,C1713,SCREW BN LCK 15MM,1955.0,1955.0,215.05,1955.0,57
HCPCS,C1713,SCREW BN LCK 2.3X13MM,1009.0,1009.0,110.99,1009.0,57
HCPCS,C1713,SCREW BN LCK 2.4 8MM,2327.0,2327.0,255.97,2327.0,57
HCPCS,C1713,SCREW BN LCK 2.4MM 11MM,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN LCK 2.4MM 14MM,2210.0,2210.0,243.1,2210.0,57
HCPCS,C1713,SCREW BN LCK 2.4MM 22MM,2210.0,2210.0,243.1,2210.0,57
HCPCS,C1713,SCREW BN LCK 2.4MM 6MM,1720.0,1720.0,189.2,1720.0,57
HCPCS,C1713,SCREW BN LCK 2.4X14MM,3304.0,3304.0,363.44,3304.0,57
HCPCS,C1713,SCREW BN LCK 2.4X18MM,2058.0,2058.0,226.38,2058.0,57
HCPCS,C1713,SCREW BN LCK 2.5MM 14MM,3494.0,3494.0,384.34,3494.0,57
HCPCS,C1713,SCREW BN LCK 2.5X12MM,3515.0,3515.0,386.65,3515.0,57
HCPCS,C1713,SCREW BN LCK 2.5X16MM,2713.0,2713.0,298.43,2713.0,57
HCPCS,C1713,SCREW BN LCK 2.5X22MM,3494.0,3494.0,384.34,3494.0,57
HCPCS,C1713,SCREW BN LCK 2.5X24MM,3515.0,3515.0,386.65,3515.0,57
HCPCS,C1713,SCREW BN LCK 2.7MM 12MM,2160.0,2160.0,198.22,2518.0,114
HCPCS,C1713,SCREW BN LCK 2.7MM 14MM,1721.0,1721.0,189.31,1721.0,57
HCPCS,C1713,SCREW BN LCK 2.7MM 16MM,2160.0,2160.0,198.22,2518.0,114
HCPCS,C1713,SCREW BN LCK 2.7MM 18MM,2119.5,2119.5,189.31,2518.0,114
HCPCS,C1713,SCREW BN LCK 2.7MM 20MM,3165.0,3165.0,348.15,3165.0,57
HCPCS,C1713,SCREW BN LCK 2.7MM 22MM,1721.0,1721.0,189.31,1721.0,57
HCPCS,C1713,SCREW BN LCK 2.7MM 38MM,2518.0,2518.0,276.98,2518.0,57
HCPCS,C1713,SCREW BN LCK 2.7MM 8MM,2236.0,2236.0,245.96,2236.0,57
HCPCS,C1713,SCREW BN LCK 2.7X10MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN LCK 2.7X12MM,3246.0,3246.0,357.06,3246.0,57
HCPCS,C1713,SCREW BN LCK 2.7X18MM,3165.0,3165.0,348.15,3165.0,57
HCPCS,C1713,SCREW BN LCK 2.7X34MM,2024.0,2024.0,222.64,2024.0,57
HCPCS,C1713,SCREW BN LCK 2.7X36MM,1700.0,1700.0,187.0,1700.0,57
HCPCS,C1713,SCREW BN LCK 2.7X40MM,3165.0,3165.0,348.15,3165.0,57
HCPCS,C1713,SCREW BN LCK 2.7X60MM,3268.0,3268.0,359.48,3268.0,57
HCPCS,C1713,SCREW BN LCK 2.8X14MM,4378.0,4378.0,481.58,4378.0,57
HCPCS,C1713,SCREW BN LCK 2.8X16MM,4378.0,4378.0,481.58,4378.0,57
HCPCS,C1713,SCREW BN LCK 20MM,1955.0,1955.0,215.05,1955.0,57
HCPCS,C1713,SCREW BN LCK 24X4MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN LCK 25MM,1955.0,1955.0,215.05,1955.0,57
HCPCS,C1713,SCREW BN LCK 2X12MM,2296.0,2296.0,252.56,2296.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 10MM,3741.0,3741.0,411.51,3741.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 12MM,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 14MM,1483.0,1483.0,163.13,1483.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 16MM,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 18MM,4378.0,4378.0,481.58,4378.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 24MM,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 36MM,2889.0,2889.0,317.79,2889.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 38MM,3246.0,3246.0,357.06,3246.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 65MM,1832.0,1832.0,201.52,1832.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 70MM,5056.0,5056.0,556.16,5056.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 75MM,2578.0,2578.0,283.58,2578.0,57
HCPCS,C1713,SCREW BN LCK 3.5MM 85MM,2034.0,2034.0,223.74,2034.0,57
HCPCS,C1713,SCREW BN LCK 3.5MN 12MM,1483.0,1483.0,163.13,1483.0,57
HCPCS,C1713,SCREW BN LCK 3.5X10MM,2889.0,2889.0,275.88,4217.0,171
HCPCS,C1713,SCREW BN LCK 3.5X16.0MM,2011.0,2011.0,221.21,2011.0,57
HCPCS,C1713,SCREW BN LCK 3.5X24MM,3329.5,3329.5,246.4,4419.0,114
HCPCS,C1713,SCREW BN LCK 3.5X26MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW BN LCK 3.5X32MM,3946.0,3946.0,434.06,3946.0,57
HCPCS,C1713,SCREW BN LCK 3.5X36MM,1832.0,1832.0,201.52,1832.0,57
HCPCS,C1713,SCREW BN LCK 3.5X38MM,1832.0,1832.0,201.52,1832.0,57
HCPCS,C1713,SCREW BN LCK 3.5X46MM,3246.0,3246.0,357.06,3246.0,57
HCPCS,C1713,SCREW BN LCK 3.5X65MM,2240.0,2240.0,246.4,2240.0,57
HCPCS,C1713,SCREW BN LCK 3X10MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN LCK 3X12MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN LCK 3X16MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN LCK 3X22MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN LCK 3X30MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN LCK 4.5MM 24MM,2980.0,2980.0,327.8,2980.0,57
HCPCS,C1713,SCREW BN LCK 4.5MM 26MM,2980.0,2980.0,327.8,2980.0,57
HCPCS,C1713,SCREW BN LCK 4MM 26MM,2449.5,2449.5,235.07,2762.0,114
HCPCS,C1713,SCREW BN LCK 4MM 30MM,2449.5,2449.5,235.07,2762.0,114
HCPCS,C1713,SCREW BN LCK 4MM 38MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN LCK 4MM 40MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN LCK 4MM 42MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN LCK 5.5MM 20MM,1654.0,1654.0,181.94,1654.0,57
HCPCS,C1713,SCREW BN LCK 5/28 XL25,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK 5/68 XL25,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK 5/76 XL25,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK 50MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW BN LCK 5MM 30MM,3851.0,3851.0,387.75,4177.0,114
HCPCS,C1713,SCREW BN LCK 5MM 32.5MM,2775.0,2775.0,305.25,2775.0,57
HCPCS,C1713,SCREW BN LCK 5MM 34MM,3320.0,3320.0,338.69,3561.0,114
HCPCS,C1713,SCREW BN LCK 5MM 35MM,2620.5,2620.5,271.26,2775.0,114
HCPCS,C1713,SCREW BN LCK 5MM 36MM,4177.0,4177.0,459.47,4177.0,57
HCPCS,C1713,SCREW BN LCK 5MM 38MM,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW BN LCK 5MM 40MM,3489.0,3489.0,365.42,3656.0,114
HCPCS,C1713,SCREW BN LCK 5MM 42MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK 5MM 45MM,2896.0,2896.0,318.56,2896.0,57
HCPCS,C1713,SCREW BN LCK 5MM 46MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN LCK 5MM 47MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN LCK 5MM 50MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN LCK 5MM 54MM,4177.0,4177.0,459.47,4177.0,57
HCPCS,C1713,SCREW BN LCK 5MM 55MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN LCK 5MM 56MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN LCK 5MM 60MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN LCK 5MM 75MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN LCK 5MM 80MM,2605.0,2605.0,286.55,2605.0,57
HCPCS,C1713,SCREW BN LCK 5MM 84MM,3530.0,3530.0,388.3,3530.0,57
HCPCS,C1713,SCREW BN LCK 5MM 85MM,3108.0,3108.0,341.88,3108.0,57
HCPCS,C1713,SCREW BN LCK 5X18MM,1783.0,1783.0,151.47,2189.0,114
HCPCS,C1713,SCREW BN LCK 5X26MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN LCK 5X28MM,2189.0,2189.0,240.79,2189.0,57
HCPCS,C1713,SCREW BN LCK 5X28X25MM,4177.0,4177.0,459.47,4177.0,57
HCPCS,C1713,SCREW BN LCK 5X32.5MM,2875.0,2875.0,316.25,2875.0,57
HCPCS,C1713,SCREW BN LCK 5X32MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN LCK 5X32X25,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW BN LCK 5X34MM,2189.0,2189.0,240.79,2189.0,57
HCPCS,C1713,SCREW BN LCK 5X35,2683.0,2683.0,295.13,2683.0,57
HCPCS,C1713,SCREW BN LCK 5X36MM,2189.0,2189.0,240.79,2189.0,57
HCPCS,C1713,SCREW BN LCK 5X4.4X90MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN LCK 5X40,2683.0,2683.0,295.13,2683.0,57
HCPCS,C1713,SCREW BN LCK 5X40MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN LCK 5X42X25,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW BN LCK 5X45MM,3322.0,3322.0,365.42,3322.0,57
HCPCS,C1713,SCREW BN LCK 5X46MM,2498.0,2498.0,274.78,2498.0,57
HCPCS,C1713,SCREW BN LCK 5X57MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN LCK 5X60MM,2482.0,2482.0,271.26,2498.0,114
HCPCS,C1713,SCREW BN LCK 5X62MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN LCK 5X65MM,3572.5,3572.5,274.78,4647.0,114
HCPCS,C1713,SCREW BN LCK 5X66MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK 5X80MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN LCK F-T6.5X95MM,4123.0,4123.0,453.53,4123.0,57
HCPCS,C1713,SCREW BN LCK HIP 70MM,1816.0,1816.0,199.76,1816.0,57
HCPCS,C1713,SCREW BN LCK IM NAIL 5MM,3530.0,3530.0,388.3,3530.0,57
HCPCS,C1713,SCREW BN LCK LP 3X20MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN LCK LP 5X44MM,4052.0,4052.0,445.72,4052.0,57
HCPCS,C1713,SCREW BN LCK LP 5X60MM,4177.0,4177.0,459.47,4177.0,57
HCPCS,C1713,SCREW BN LCK NAIL 2X36MM,3530.0,3530.0,388.3,3530.0,57
HCPCS,C1713,SCREW BN LCK NAIL 5X50MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK NAIL 5X70MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK NAIL 5X78MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN LCK ST 5X40MM,4427.0,4427.0,486.97,4427.0,57
HCPCS,C1713,SCREW BN LCK THRD 3.5X12,2774.0,2774.0,305.14,2774.0,57
HCPCS,C1713,SCREW BN LCK XL25 5/28MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN LCK XL25 5/68MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN LCK XL25 5X76MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW BN LCKG 3.5X14MM,4378.0,4378.0,481.58,4378.0,57
HCPCS,C1713,SCREW BN LCKG 3.5X30MM,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BN LCKG 3.5X32MM,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BN LCKG 3.5X40MM,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BN LCKG 5X55MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN LCKING 3.5MM,4647.0,4647.0,511.17,4647.0,57
HCPCS,C1713,SCREW BN LCKING 5X40MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW BN LCKNG 1.7X5MM,1792.0,1792.0,197.12,1792.0,57
HCPCS,C1713,SCREW BN LCKNG 3.5X20MM,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BN LCKNG 3.5X28MM,2240.0,2240.0,246.4,2240.0,57
HCPCS,C1713,SCREW BN LCKNG 5X80MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN LCP HEX4X6X28MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN LK 5X45MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN LKNG 3.5X22MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN LNG 4.0X50M,4275.0,4275.0,470.25,4275.0,57
HCPCS,C1713,SCREW BN LOCK 3.5X14MM,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW BN LOPRO 3.5X20MM,1768.0,1768.0,194.48,1768.0,57
HCPCS,C1713,SCREW BN LOPRO 3.5X56MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN LP 2.4X26MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN LP 2X13MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN LPRO 5.0X24MM,13543.0,13543.0,1489.73,13543.0,57
HCPCS,C1713,SCREW BN LPSH 4.0X30,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,SCREW BN LT HDLS 40MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW BN LV 1 2X8X6MM,21167.0,21167.0,2328.37,21167.0,57
HCPCS,C1713,SCREW BN LV1 2X5MM,2172.0,2172.0,238.92,2172.0,57
HCPCS,C1713,SCREW BN LV1 2X6MM,2296.0,2296.0,252.56,2296.0,57
HCPCS,C1713,SCREW BN LV1 2X7MM,2511.0,2511.0,276.21,2511.0,57
HCPCS,C1713,SCREW BN LV1 2X8MM,2296.0,2296.0,252.56,2296.0,57
HCPCS,C1713,SCREW BN LV1 2X9MM,2622.0,2622.0,288.42,2622.0,57
HCPCS,C1713,SCREW BN M8X50MM,41100.0,41100.0,4521.0,41100.0,57
HCPCS,C1713,SCREW BN MDFC 12X1.7MM,1252.0,1252.0,137.72,1252.0,57
HCPCS,C1713,SCREW BN MDFC 12X2.7 XDR,987.0,987.0,108.57,987.0,57
HCPCS,C1713,SCREW BN MDFC 6X1.7 XPN,1252.0,1252.0,137.72,1252.0,57
HCPCS,C1713,SCREW BN MED 35MM,135627.0,135627.0,14918.97,135627.0,57
HCPCS,C1713,SCREW BN MINI 3.5X48MM,12002.0,12002.0,1320.22,12002.0,57
HCPCS,C1713,SCREW BN MNDB 10X2.0MM,2296.0,2296.0,252.56,2296.0,57
HCPCS,C1713,SCREW BN MNDB 2.7X8MM,802.0,802.0,88.22,802.0,57
HCPCS,C1713,SCREW BN MNDB 3.2X10MM,1460.0,1460.0,160.6,1460.0,57
HCPCS,C1713,SCREW BN MNI HD 3X36MM,4549.0,4549.0,500.39,4549.0,57
HCPCS,C1713,SCREW BN MTPHSL 2.7X42MM,786.0,786.0,86.46,786.0,57
HCPCS,C1713,SCREW BN MTRSL 2.7X48MM,786.0,786.0,86.46,786.0,57
HCPCS,C1713,SCREW BN MXFCL 1.8X4MM,1398.0,1398.0,153.78,1398.0,57
HCPCS,C1713,SCREW BN MXLFCL 1.2X12MM,1542.0,1542.0,169.62,1542.0,57
HCPCS,C1713,SCREW BN MXLFCL 1.7X4MM,1252.0,1252.0,137.72,1252.0,57
HCPCS,C1713,SCREW BN MXLFCL 2.4X4MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN MXLFCL 2X10MM,1629.0,1629.0,179.19,1629.0,57
HCPCS,C1713,SCREW BN MXLFCL 2X12MM,1629.0,1629.0,179.19,1629.0,57
HCPCS,C1713,SCREW BN MXLFCL 2X14MM,1381.5,1381.5,124.74,1629.0,114
HCPCS,C1713,SCREW BN MXLFCL 2X5MM,1629.0,1629.0,179.19,1629.0,57
HCPCS,C1713,SCREW BN MXLFCL 2X6MM,1629.0,1629.0,179.19,1629.0,57
HCPCS,C1713,SCREW BN MXLFCL 2X8MM,1629.0,1629.0,179.19,1629.0,57
HCPCS,C1713,SCREW BN MXLFCL 4MM 2MM,1287.0,1287.0,141.57,1287.0,57
HCPCS,C1713,SCREW BN MXLFCL 6X1.6MM,1152.0,1152.0,126.72,1152.0,57
HCPCS,C1713,SCREW BN MXLFCL 6X1.7MM,1523.0,1523.0,167.53,1523.0,57
HCPCS,C1713,SCREW BN MXLFCL 8MM,2437.0,2437.0,268.07,2437.0,57
HCPCS,C1713,SCREW BN N-LCK 3.5X13MM,1603.0,1603.0,176.33,1603.0,57
HCPCS,C1713,SCREW BN N-LCK 3.5X38MM,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BN N-LCK 4.5X32MM,3535.0,3535.0,388.85,3535.0,57
HCPCS,C1713,SCREW BN N-LCK 4.5X52.5,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN NAIL 5MM 26MM,3530.0,3530.0,388.3,3530.0,57
HCPCS,C1713,SCREW BN NAIL LCK 5X30MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN NAIL LCK 5X40MM,3530.0,3530.0,388.3,3530.0,57
HCPCS,C1713,SCREW BN NAIL LCK 5X44MM,3530.0,3530.0,388.3,3530.0,57
HCPCS,C1713,SCREW BN NAIL LCK 5X56MM,3519.0,3519.0,387.09,3519.0,57
HCPCS,C1713,SCREW BN NLCK 2.5X10MM,2713.0,2713.0,298.43,2713.0,57
HCPCS,C1713,SCREW BN NLCK 2.5X14MM,1480.0,1480.0,162.8,1480.0,57
HCPCS,C1713,SCREW BN NLCK 2.5X16MM,2934.0,2934.0,322.74,2934.0,57
HCPCS,C1713,SCREW BN NLCK 2.7MM 26MM,1277.0,1277.0,140.47,1277.0,57
HCPCS,C1713,SCREW BN NLCK 2.7MM 40MM,1277.0,1277.0,140.47,1277.0,57
HCPCS,C1713,SCREW BN NLCK 2.7X12MM,2574.0,2574.0,283.14,2574.0,57
HCPCS,C1713,SCREW BN NLCK 2.7X16MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 10MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 12MM,2097.0,2097.0,230.67,2097.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 14MM,2097.0,2097.0,230.67,2097.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 16MM,2240.0,2240.0,246.4,2240.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 18MM,2240.0,2240.0,246.4,2240.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 26MM,1502.0,1502.0,140.47,1727.0,114
HCPCS,C1713,SCREW BN NLCK 3.5MM 32MM,1277.0,1277.0,140.47,1277.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 34MM,1277.0,1277.0,140.47,1277.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 50MM,2877.0,2877.0,316.47,2877.0,57
HCPCS,C1713,SCREW BN NLCK 3.5MM 60MM,1996.0,1996.0,219.56,1996.0,57
HCPCS,C1713,SCREW BN NLCK 3.5X10MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN NLCK 3.5X22MM,2910.0,2910.0,320.1,2910.0,57
HCPCS,C1713,SCREW BN NLCK 3.5X2MM,1996.0,1996.0,219.56,1996.0,57
HCPCS,C1713,SCREW BN NLCK 3.5X40MM,2877.0,2877.0,316.47,2877.0,57
HCPCS,C1713,SCREW BN NLCK 4.5X47.5MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN NLCKG 2.7X10MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN NLCKG 2.7X18MM,1451.0,1451.0,159.61,1451.0,57
HCPCS,C1713,SCREW BN NLCKG 3.5X46MM,2039.0,2039.0,224.29,2039.0,57
HCPCS,C1713,SCREW BN NON LCK2.4X10MM,2657.0,2657.0,292.27,2657.0,57
HCPCS,C1713,SCREW BN NONLCK 3.5X26MM,2011.0,2011.0,221.21,2011.0,57
HCPCS,C1713,SCREW BN NONLCK 4.5X35MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN NONLOCK 3.5X35M,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1713,SCREW BN NS LCK 5X26MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN NS LCK 5X28MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN NS LCK 5X30MM,2321.0,2321.0,255.31,2321.0,57
HCPCS,C1713,SCREW BN NS LCK 5X32MM,2073.0,2073.0,228.03,2073.0,57
HCPCS,C1713,SCREW BN NS LCK 5X34MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN NS LCK 5X36MM,2073.0,2073.0,228.03,2073.0,57
HCPCS,C1713,SCREW BN NS LCK 5X38MM,2073.0,2073.0,228.03,2073.0,57
HCPCS,C1713,SCREW BN NS LCK 5X40MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN NS LCK 5X42MM,2926.0,2926.0,321.86,2926.0,57
HCPCS,C1713,SCREW BN NS LCK 5X44MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN NS LCK 5X46MM,2073.0,2073.0,228.03,2073.0,57
HCPCS,C1713,SCREW BN NS LCK 5X48MM,2073.0,2073.0,228.03,2073.0,57
HCPCS,C1713,SCREW BN NS LCK 5X50MM,2321.0,2321.0,255.31,2321.0,57
HCPCS,C1713,SCREW BN NS LCK 5X52MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BN NS LCK 5X54MM,2300.0,2300.0,253.0,2300.0,57
HCPCS,C1713,SCREW BN NS LCK 5X56MM,2664.0,2664.0,293.04,2664.0,57
HCPCS,C1713,SCREW BN ORTH 3.5X16MM,2795.0,2795.0,307.45,2795.0,57
HCPCS,C1713,SCREW BN ORTHO 12MM,12199.0,12199.0,1341.89,12199.0,57
HCPCS,C1713,SCREW BN P-AX 5MM 30MM,815.0,815.0,89.65,815.0,57
HCPCS,C1713,SCREW BN P-T 3X28MM,4419.0,4419.0,486.09,4419.0,57
HCPCS,C1713,SCREW BN PLT 2.7X16MM,3515.0,3515.0,386.65,3515.0,57
HCPCS,C1713,SCREW BN POLY 3.5X12MM,2002.0,2002.0,220.22,2002.0,57
HCPCS,C1713,SCREW BN S-T 1.5MM 13MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN S-T 2.2X10MM,3556.0,3556.0,391.16,3556.0,57
HCPCS,C1713,SCREW BN S/T 1.9X9MM,1539.0,1539.0,169.29,1539.0,57
HCPCS,C1713,SCREW BN S/T 2.7MM 10MM,1921.0,1921.0,211.31,1921.0,57
HCPCS,C1713,SCREW BN S/T 2.7MM 14MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN S/T 2MM 10MM,1234.0,1234.0,135.74,1234.0,57
HCPCS,C1713,SCREW BN S/T 2X6MM,1660.0,1660.0,182.6,1660.0,57
HCPCS,C1713,SCREW BN S/T 3.5MM 16MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN S/T 3.5X14MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN S/T LCK2.7X16MM,2427.0,2427.0,266.97,2427.0,57
HCPCS,C1713,SCREW BN S/TP 5MM 70MM,3412.0,3412.0,375.32,3412.0,57
HCPCS,C1713,SCREW BN SD L-T 1.7X11MM,6433.0,6433.0,707.63,6433.0,57
HCPCS,C1713,SCREW BN SET 4-40,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN SF LCK 2.3X10MM,1230.0,1230.0,135.3,1230.0,57
HCPCS,C1713,SCREW BN SHDR LG 40MM,116262.0,116262.0,12788.82,116262.0,57
HCPCS,C1713,SCREW BN SHLDR 30MM,14899.0,14899.0,1638.89,14899.0,57
HCPCS,C1713,SCREW BN SLD ANG 10D LRG,24393.0,24393.0,2683.23,24393.0,57
HCPCS,C1713,SCREW BN SLF DRL 1.2X4MM,1658.0,1658.0,182.38,1658.0,57
HCPCS,C1713,SCREW BN SLF TP 1.2X3,1332.0,1332.0,146.52,1332.0,57
HCPCS,C1713,SCREW BN SLFDRL 1.7X6MM,1591.0,1591.0,175.01,1591.0,57
HCPCS,C1713,SCREW BN SLFDRL 2X6MM,1359.0,1359.0,149.49,1359.0,57
HCPCS,C1713,SCREW BN SLFTAP 3.5X44MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN SLFTP 1.7X12MM,1396.0,1396.0,153.56,1396.0,57
HCPCS,C1713,SCREW BN SLFTP 2.7X24MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN SLFTP 2MM 8MM,1660.0,1660.0,182.6,1660.0,57
HCPCS,C1713,SCREW BN SLFTP 3.5X75MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN SLFTP 4.5X42MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN SLFTP 4.5X44MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN SLFTP 4.5X90MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN SLFTP 4X40MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN SLFTP 5X38MM,4427.0,4427.0,486.97,4427.0,57
HCPCS,C1713,SCREW BN SPN 2X8X13MM,2437.0,2437.0,268.07,2437.0,57
HCPCS,C1713,SCREW BN SPN 3.5MM 10MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW BN SPN 3.5MM 20MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW BN SPN 3.5MM 26MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW BN SPN 3.5MM 30MM,38512.0,38512.0,4236.32,38512.0,57
HCPCS,C1713,SCREW BN SPN 3MM 10MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BN SPN 3MM 8MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BN SPN 4.7MM 9.4MM,811.0,811.0,89.21,811.0,57
HCPCS,C1713,SCREW BN SPN 5.5MM 35MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1713,SCREW BN SPN 5MM 35MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW BN SPN 5MM 40MM,16849.0,16849.0,1853.39,16849.0,57
HCPCS,C1713,SCREW BN SPN 6.5MM 35MM,13419.0,13419.0,1476.09,13419.0,57
HCPCS,C1713,SCREW BN SPN 6.5MM 40MM,13670.0,13670.0,1476.09,13921.0,114
HCPCS,C1713,SCREW BN SPN 6.5MM 45MM,17834.0,17834.0,1556.94,21514.0,114
HCPCS,C1713,SCREW BN SPN 7.5MM 40MM,22779.0,22779.0,2505.69,22779.0,57
HCPCS,C1713,SCREW BN SPN 7.5MM 45MM,21514.0,21514.0,2366.54,21514.0,57
HCPCS,C1713,SCREW BN SPN 8.5MM 45MM,22779.0,22779.0,2505.69,22779.0,57
HCPCS,C1713,SCREW BN SPN 8.5MM 50MM,21514.0,21514.0,2366.54,21514.0,57
HCPCS,C1713,SCREW BN SPRCL 6.5X20MM,1275.0,1275.0,140.25,1275.0,57
HCPCS,C1713,SCREW BN SPRCL 6.5X30MM,1182.0,1182.0,130.02,1182.0,57
HCPCS,C1713,SCREW BN SS 4.0X65MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN SS CORT 52X4MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 10MM,921.0,921.0,101.31,921.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 11MM,773.0,773.0,85.03,773.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 12MM,921.0,921.0,101.31,921.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 14MM,822.0,822.0,90.42,822.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 16MM,1101.0,1101.0,121.11,1101.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 20MM,874.0,874.0,96.14,874.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 22MM,822.0,822.0,90.42,822.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 24MM,822.0,822.0,90.42,822.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 7MM,820.0,820.0,90.2,820.0,57
HCPCS,C1713,SCREW BN ST 1.5MM 8MM,921.0,921.0,101.31,921.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 18MM,1010.0,1010.0,111.1,1010.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 20MM,790.0,790.0,86.9,790.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 22MM,1203.0,1203.0,132.33,1203.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 24MM,1203.0,1203.0,132.33,1203.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 26MM,888.0,888.0,97.68,888.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 28MM,903.0,903.0,99.33,903.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 30MM,903.0,903.0,99.33,903.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 32MM,1203.0,1203.0,132.33,1203.0,57
HCPCS,C1713,SCREW BN ST 2.0MM 8MM,790.0,790.0,86.9,790.0,57
HCPCS,C1713,SCREW BN ST 2.4MM 14MM,2004.0,2004.0,220.44,2004.0,57
HCPCS,C1713,SCREW BN ST 2.4MM 20MM,2004.0,2004.0,220.44,2004.0,57
HCPCS,C1713,SCREW BN ST 2.4MM 6MM,1224.0,1224.0,134.64,1224.0,57
HCPCS,C1713,SCREW BN ST 2.4MM 8MM,1720.0,1720.0,189.2,1720.0,57
HCPCS,C1713,SCREW BN ST 4.0MM 36MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN ST 4.5MM 18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BN ST 6.5MM 90MM,3650.0,3650.0,401.5,3650.0,57
HCPCS,C1713,SCREW BN STERNAL 3X16MM,1372.0,1372.0,150.92,1372.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X26MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X30MM,2680.0,2680.0,294.8,2680.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X32MM,2680.0,2680.0,294.8,2680.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X34MM,2680.0,2680.0,294.8,2680.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X36MM,2719.0,2719.0,299.09,2719.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X38MM,2719.0,2719.0,299.09,2719.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X40MM,2680.0,2680.0,294.8,2680.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X42MM,2680.0,2680.0,294.8,2680.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X44MM,2680.0,2680.0,294.8,2680.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X46MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X48MM,3154.0,3154.0,346.94,3154.0,57
HCPCS,C1713,SCREW BN STRL LCK 5X56MM,3354.0,3354.0,368.94,3354.0,57
HCPCS,C1713,SCREW BN STRNL 2.7X12,1372.0,1372.0,150.92,1372.0,57
HCPCS,C1713,SCREW BN STRNL 2.7X14,1372.0,1372.0,150.92,1372.0,57
HCPCS,C1713,SCREW BN STRNL 2.7X16,1372.0,1372.0,150.92,1372.0,57
HCPCS,C1713,SCREW BN STRNL 3X12MM,1372.0,1372.0,150.92,1372.0,57
HCPCS,C1713,SCREW BN SZ3,82200.0,82200.0,9042.0,82200.0,57
HCPCS,C1713,SCREW BN T10 3.5/L16MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN T10 3.5X18MM,1483.0,1483.0,163.13,1483.0,57
HCPCS,C1713,SCREW BN T10 3.5X20MM,2128.5,2128.5,163.13,2774.0,114
HCPCS,C1713,SCREW BN T10 3.5X22MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN T10 3.5X34MM,2569.0,2569.0,282.59,2569.0,57
HCPCS,C1713,SCREW BN T25 5X8MM,3272.0,3272.0,359.92,3272.0,57
HCPCS,C1713,SCREW BN T55MM 4.5MM,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1713,SCREW BN T8 2.7/L16MM,1451.0,1451.0,159.61,1451.0,57
HCPCS,C1713,SCREW BN T8 2.7X38MM,786.0,786.0,86.46,786.0,57
HCPCS,C1713,SCREW BN THD1.5X8MM 13MM,2437.0,2437.0,268.07,2437.0,57
HCPCS,C1713,SCREW BN THRD 2.7 14MM,2590.0,2590.0,284.9,2590.0,57
HCPCS,C1713,SCREW BN THRD T10 3.5X24,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BN THRD T10 3.5X26,1803.0,1803.0,198.33,1803.0,57
HCPCS,C1713,SCREW BN TI 2.4X16MM,6741.0,6741.0,528.99,8673.0,114
HCPCS,C1713,SCREW BN TI 3MM 18MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW BN TI 4MM 2MM,1698.0,1698.0,186.78,1698.0,57
HCPCS,C1713,SCREW BN TI 5X2MM MNDB S,2376.0,2376.0,261.36,2376.0,57
HCPCS,C1713,SCREW BN TI 5X85MM,2762.0,2762.0,303.82,2762.0,57
HCPCS,C1713,SCREW BN TI L12MM OD2.4M,1315.0,1315.0,144.65,1315.0,57
HCPCS,C1713,SCREW BN TI L16MM OD2MM,1247.0,1247.0,137.17,1247.0,57
HCPCS,C1713,SCREW BN TI L20MM OD3.5M,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW BN TI L35 OD5 EXPD,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW BN TI L35 XPDM SPN,11948.0,11948.0,1252.9,12506.0,171
HCPCS,C1713,SCREW BN TI L40 OD5 EXPD,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BN TI L40 OD5 XPDM,11554.0,11554.0,1270.94,11554.0,57
HCPCS,C1713,SCREW BN TI L40 OD7 EXPD,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BN TI L40 XPDM SPN,12022.5,12022.5,1252.9,12655.0,114
HCPCS,C1713,SCREW BN TI L45 XPDM SPN,12655.0,12655.0,1392.05,12655.0,114
HCPCS,C1713,SCREW BN TI L50 OD4.35,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BN TI L55 OD7.5 XP,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BN TI L5MM OD2.4MM,3314.0,3314.0,364.54,3314.0,57
HCPCS,C1713,SCREW BN TI L6MM OD2MM C,2376.0,2376.0,261.36,2376.0,57
HCPCS,C1713,SCREW BN TI L8MM OD2.4MM,1315.0,1315.0,144.65,1315.0,57
HCPCS,C1713,SCREW BN TI SLF DRL 4MM,1548.0,1548.0,170.28,1548.0,57
HCPCS,C1713,SCREW BN TIB 5.5MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C1713,SCREW BN TIT L52 MM OD5.,3977.0,3977.0,437.47,3977.0,57
HCPCS,C1713,SCREW BN TIT L58 MM OD5.,3792.0,3792.0,417.12,3792.0,57
HCPCS,C1713,SCREW BN TITANIUM L50MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BN UNIV WDG 20X7MM,8391.0,8391.0,923.01,8391.0,57
HCPCS,C1713,SCREW BN VAL 2.4MM 12MM,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN VAL 2.4MM 15MM,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW BN VAR 3.5MM 50MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,SCREW BN VAR 3.5MM 55MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,SCREW BN VAR 3.5X44MM,1747.0,1747.0,192.17,1747.0,57
HCPCS,C1713,SCREW BN VAR 5X10MM,3976.0,3976.0,437.36,3976.0,57
HCPCS,C1713,SCREW BN VAR 5X12MM,4431.0,4431.0,487.41,4431.0,57
HCPCS,C1713,SCREW BN VAR 5X50MM,3102.0,3102.0,341.22,3102.0,57
HCPCS,C1713,SCREW BN WRST 2.5MM 15MM,1871.0,1871.0,205.81,1871.0,57
HCPCS,C1713,SCREW BN XL 7X70MM,20407.0,20407.0,2244.77,20407.0,57
HCPCS,C1713,SCREW BN XL25 0.5MM 74MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BN XL25 5MM 64MM,3424.0,3424.0,376.64,3424.0,114
HCPCS,C1713,SCREW BN XL25 5X34MM,3530.0,3530.0,388.3,3530.0,57
HCPCS,C1713,SCREW BN XL25 5X80MM,3424.0,3424.0,376.64,3424.0,57
HCPCS,C1713,SCREW BNE 1.6X4 ATDR,1063.0,1063.0,116.93,1063.0,57
HCPCS,C1713,SCREW BNE 2.4X14,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BNE 2.4X16,781.0,781.0,85.91,781.0,57
HCPCS,C1713,SCREW BNE 3.5 30 MTNR TI,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BNE 3.5X28 CORT,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW BNE 5.0X60 LCK,3268.0,3268.0,359.48,3268.0,57
HCPCS,C1713,SCREW BNE CANC 4.0X75,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BNE CANC 6.5X45,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BNE CANC 6.5X50,768.0,768.0,84.48,768.0,57
HCPCS,C1713,SCREW BNE EXPEDIUM TI L4,11554.0,11554.0,1270.94,11554.0,57
HCPCS,C1713,SCREW BNE L12 OD4.5 OC,2700.0,2700.0,297.0,2700.0,57
HCPCS,C1713,SCREW BNE L12MM OD2MM LO,2376.0,2376.0,261.36,2376.0,57
HCPCS,C1713,SCREW BNE L58MM OD4.0MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW BNE MATRIXNEURO 3M,1126.0,1126.0,123.86,1126.0,57
HCPCS,C1713,SCREW BNE MFA 3.5X16,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW BNE TI 2.0X14MM CO,1151.0,1151.0,126.61,1151.0,57
HCPCS,C1713,SCREW BNE TI 32X5.0 FEM/,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BNE TI L10MM OD2.4,1315.0,1315.0,144.65,1315.0,57
HCPCS,C1713,SCREW BNE TI L12MM OD2MM,1315.0,1315.0,144.65,1315.0,57
HCPCS,C1713,SCREW BNE TI L14MM OD2MM,2376.0,2376.0,261.36,2376.0,57
HCPCS,C1713,SCREW BNE TI L16MM OD2MM,2376.0,2376.0,261.36,2376.0,57
HCPCS,C1713,SCREW BNE TI L18MM OD2MM,2343.0,2343.0,257.73,2343.0,57
HCPCS,C1713,SCREW BNE TI L30MM OD5MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW BNE TI L40MM OD5.0,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BNE TI L50MM OD5.0,3977.0,3977.0,437.47,3977.0,57
HCPCS,C1713,SCREW BNE TI L64MM OD5MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW BNE TI L6MM OD2MM,1151.0,1151.0,126.61,1151.0,57
HCPCS,C1713,SCREW BONE 3.5MM X 44MM,5934.0,5934.0,652.74,5934.0,57
HCPCS,C1713,SCREW BONE 3.5MM X 50MM,3083.0,3083.0,339.13,3083.0,57
HCPCS,C1713,SCREW BONE 6.5X20MM,1342.0,1342.0,147.62,1342.0,57
HCPCS,C1713,SCREW BONE CANCEL 4.0MM,750.0,750.0,82.5,750.0,114
HCPCS,C1713,SCREW BONE LOCKING 42X45,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW BONE TI 5.0 S 30MM,3625.0,3625.0,398.75,3625.0,57
HCPCS,C1713,SCREW BONE TI L54MM OD5.,4772.0,4772.0,524.92,4772.0,57
HCPCS,C1713,SCREW BONE TI ORT 2.0X8,1233.0,1233.0,135.63,1233.0,57
HCPCS,C1713,SCREW BONE TI RECESS 2.0,1133.0,1133.0,124.63,1133.0,57
HCPCS,C1713,SCREW BSPLT 6.5X30MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1713,SCREW CANC 6.5MM 65MM,4439.0,4439.0,488.29,4439.0,57
HCPCS,C1713,SCREW CANC 6.5X115MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CANC 6.5X120X16,789.0,789.0,86.79,789.0,57
HCPCS,C1713,SCREW CANC 6.5X20MM,4439.0,4439.0,488.29,4439.0,57
HCPCS,C1713,SCREW CANC 6.5X65,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CANC 6.5X80,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CANC TI 4.0X45,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CANC TT 6.5X110 PT,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CANCEL BONE TITAN,822.0,822.0,90.42,822.0,57
HCPCS,C1713,SCREW CANCELLAUS 6 X24,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW CANN 22X 3.5MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW CANN 28X3.5MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW CANN 3.5X14,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW CANN 3.5X20,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW CANN 3.5X26,3345.0,3345.0,362.89,3391.0,114
HCPCS,C1713,SCREW CANN 3.5X32,3299.0,3299.0,362.89,3299.0,57
HCPCS,C1713,SCREW CANN 3.5X34,3299.0,3299.0,362.89,3299.0,57
HCPCS,C1713,SCREW CANN 3.5X48,3299.0,3299.0,362.89,3299.0,57
HCPCS,C1713,SCREW CANN 36X3.5MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW CANN 38X3.5MM,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1713,SCREW CANN CMPR 6.5X35MM,13650.0,13650.0,1501.5,13650.0,57
HCPCS,C1713,SCREW CANN L/T 3.0X18MM,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CANN LCK 5X75MM,3772.0,3772.0,414.92,3772.0,57
HCPCS,C1713,SCREW CANN LOPRO 4X28MM,1768.0,1768.0,194.48,1768.0,57
HCPCS,C1713,SCREW CANN P-AX 5.5X35MM,16452.0,16452.0,1809.72,16452.0,57
HCPCS,C1713,SCREW CANN P-AX 6.5X35MM,16452.0,16452.0,1809.72,16452.0,57
HCPCS,C1713,SCREW CANN ST 3.0MMX20MM,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CANN THRD 3.0 10,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X11,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X12,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X13,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X14,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X16,3742.0,3742.0,355.3,4254.0,114
HCPCS,C1713,SCREW CANN THRD 3.0X20,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X22,3230.0,3230.0,355.3,3230.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X25,3536.0,3536.0,388.96,3536.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X32,3453.0,3453.0,379.83,3453.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X34,3453.0,3453.0,379.83,3453.0,57
HCPCS,C1713,SCREW CANN THRD 3.0X9M,4254.0,4254.0,467.94,4254.0,57
HCPCS,C1713,SCREW CMPR FT 2.5 38MM,12002.0,12002.0,1320.22,12002.0,57
HCPCS,C1713,SCREW CMPRSN 4.0X50MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW CNRMXF 2.4X3.5X14,1315.0,1315.0,144.65,1315.0,57
HCPCS,C1713,SCREW CORT 1.0 12,1365.0,1365.0,150.15,1365.0,57
HCPCS,C1713,SCREW CORT 1.3 SLFTAP16,1219.0,1219.0,134.09,1219.0,57
HCPCS,C1713,SCREW CORT 2.0 14,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT 2.0 16,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT 2.0X8MM,1643.0,1643.0,180.73,1643.0,57
HCPCS,C1713,SCREW CORT 2.4 24,1224.0,1224.0,134.64,1224.0,57
HCPCS,C1713,SCREW CORT BN 3X16MM,3247.0,3247.0,357.17,3247.0,57
HCPCS,C1713,SCREW CORT F-T 3.5X6X16,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT HEX 4.5X32MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT LCK 3.5X18MM,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW CORT S/D 1.5 6,1377.0,1377.0,151.47,1377.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X16MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X24MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X26MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X32MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X38MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X40MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X46MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT S/T 3.5X55MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT S/T 4.5X20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT SS LG 4.5X46,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT ST 4.5X36,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORT TI 1.0 TAP 7,1185.0,1185.0,130.35,1185.0,57
HCPCS,C1713,SCREW CORT TT ST 2.4 X 3,1224.0,1224.0,134.64,1224.0,57
HCPCS,C1713,SCREW CORTEX 1 TI TAP 11,1185.0,1185.0,130.35,1185.0,57
HCPCS,C1713,SCREW CORTEX 1 TI TAP 13,1185.0,1185.0,130.35,1185.0,57
HCPCS,C1713,SCREW CORTEX 1 TI TAP 14,1185.0,1185.0,130.35,1185.0,57
HCPCS,C1713,SCREW CORTEX 1 TI TAP 6,1185.0,1185.0,130.35,1185.0,57
HCPCS,C1713,SCREW CORTEX 1 TI TAP 8,1185.0,1185.0,130.35,1185.0,57
HCPCS,C1713,SCREW CORTEX 1 TI TAP 9,1185.0,1185.0,130.35,1185.0,57
HCPCS,C1713,SCREW CORTEX 1.0X2,1706.0,1706.0,187.66,1706.0,57
HCPCS,C1713,SCREW CORTEX 1.0X4,1418.0,1418.0,155.98,1418.0,57
HCPCS,C1713,SCREW CORTEX 1.0X6,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW CORTEX 1.5 X 6MM R,1643.0,1643.0,180.73,1643.0,57
HCPCS,C1713,SCREW CORTEX 2.4 X 8MM,957.0,957.0,105.27,957.0,57
HCPCS,C1713,SCREW CORTEX 400.509,1618.0,1618.0,177.98,1618.0,57
HCPCS,C1713,SCREW CORTICAL 3.5 X 16,987.0,987.0,108.57,987.0,57
HCPCS,C1713,SCREW CORTICAL 3.5X22,987.0,987.0,108.57,987.0,57
HCPCS,C1713,SCREW CORTICAL 401.065E,1209.0,1209.0,132.99,1209.0,57
HCPCS,C1713,SCREW CORTL 1.3X4,1601.0,1601.0,176.11,1601.0,57
HCPCS,C1713,SCREW CORTX RESORB 1.5X8,1643.0,1643.0,180.73,1643.0,57
HCPCS,C1713,SCREW CRANI 8MM X 1.5MM,1511.0,1511.0,166.21,1511.0,57
HCPCS,C1713,SCREW CRNFCL 10X1.2MM,1686.0,1686.0,185.46,1686.0,57
HCPCS,C1713,SCREW CRNFCL 14X1X1.6MM,1618.0,1618.0,177.98,1618.0,57
HCPCS,C1713,SCREW CRNFCL SFTY 1.9X6,1355.0,1355.0,149.05,1355.0,57
HCPCS,C1713,SCREW CRNFCL SFTY 1.9X8,1355.0,1355.0,149.05,1355.0,57
HCPCS,C1713,SCREW CRNL LCK 2X7MM,2662.0,2662.0,292.82,2662.0,57
HCPCS,C1713,SCREW CRNMXF 1.5X2.9X10,1129.0,1129.0,124.19,1129.0,57
HCPCS,C1713,SCREW CRNMXF 1.5X2.9X8,1182.0,1182.0,130.02,1182.0,57
HCPCS,C1713,SCREW CRNMXF 13x1.5MM,1195.0,1195.0,131.45,1195.0,57
HCPCS,C1713,SCREW CRNMXF 1LV 1.5X9MM,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW CRNMXF 4X2MM,1101.0,1101.0,121.11,1101.0,57
HCPCS,C1713,SCREW CRTX 1.3 TI TAP 11,1450.0,1450.0,159.5,1450.0,57
HCPCS,C1713,SCREW CRTX 1.3 TI TAP 13,1204.0,1204.0,132.44,1204.0,57
HCPCS,C1713,SCREW CRTX 1.3 TI TAP 18,1204.0,1204.0,132.44,1204.0,57
HCPCS,C1713,SCREW CRTX ROD RES 6X2MM,1643.0,1643.0,180.73,1643.0,57
HCPCS,C1713,SCREW CRTX TI 1.5X13,822.0,822.0,90.42,822.0,57
HCPCS,C1713,SCREW DEPUY 4.35X35,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW DNTL L1 1.5X6X11MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1713,SCREW DNTL L1 1.5X8X13MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1713,SCREW DNTL L1 2X10X15MM,2437.0,2437.0,268.07,2437.0,57
HCPCS,C1713,SCREW DRIVE PLUS 1.3MM X,1550.5,1550.5,169.62,1559.0,114
HCPCS,C1713,SCREW EMER CRNFCL1.7X5MM,1618.0,1618.0,177.98,1618.0,57
HCPCS,C1713,SCREW EMERG TI 2.0X4,1326.0,1326.0,145.86,1326.0,57
HCPCS,C1713,SCREW EMERGENCY 1.7X4MM,1618.0,1618.0,177.98,1618.0,57
HCPCS,C1713,SCREW EMERGENCY TI 3MM M,7704.0,7704.0,847.44,7704.0,57
HCPCS,C1713,SCREW EXP TI POLY 8X50,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW FAVR ANG 3.5X12,12754.0,12754.0,1402.94,12754.0,57
HCPCS,C1713,SCREW FEM KN M5 14MM,2795.0,2795.0,307.45,2795.0,57
HCPCS,C1713,SCREW FEM STEM FIX 25MM,41100.0,41100.0,4521.0,41100.0,57
HCPCS,C1713,SCREW HDLS CMPR 4X40MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW HDLS CMPR 4X42MM,8101.0,8101.0,891.11,8101.0,57
HCPCS,C1713,SCREW HDLS CMPR 6.5X75MM,13650.0,13650.0,1501.5,13650.0,57
HCPCS,C1713,SCREW INTFR BCMOS 23X6MM,6905.0,6905.0,759.55,6905.0,57
HCPCS,C1713,SCREW INTFR BCMPS 15X5.5,11899.0,11899.0,1308.89,11899.0,57
HCPCS,C1713,SCREW L10 OD2MM,1994.0,1994.0,219.34,1994.0,57
HCPCS,C1713,SCREW LACTOSORB 1.5X4MM,2004.0,2004.0,220.44,2004.0,57
HCPCS,C1713,SCREW LACTOSORB 1.5X5MM,8015.0,8015.0,881.65,8015.0,57
HCPCS,C1713,SCREW LAG 10.5MM 100MM,13949.0,13949.0,1534.39,13949.0,57
HCPCS,C1713,SCREW LAG 10.5MM 80MM,12084.0,12084.0,1329.24,12084.0,57
HCPCS,C1713,SCREW LAG SYNT 280.55 DH,4950.0,4950.0,544.5,4950.0,57
HCPCS,C1713,SCREW LCK 0D XL25 5X80MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW LCK 2.4MM 18MM,4809.0,4809.0,528.99,4809.0,57
HCPCS,C1713,SCREW LCK 2.8X12MM,4378.0,4378.0,481.58,4378.0,57
HCPCS,C1713,SCREW LCK 4.0X80,817.0,817.0,89.87,817.0,57
HCPCS,C1713,SCREW LCK 5.0X74MM,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW LCK 5MM 25MM 54MM,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW LCK 5MM 25MM 64MM,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW LCK DPHSL SEG,2075.0,2075.0,228.25,2075.0,57
HCPCS,C1713,SCREW LCK HD 2.5X18 PUR,3228.0,3228.0,355.08,3228.0,57
HCPCS,C1713,SCREW LCK HEAD 2.5X16MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW LCK HEAD 2.5X20MM,3228.0,3228.0,355.08,3228.0,57
HCPCS,C1713,SCREW LCK LOPRO 5X76MM,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW LCK MINI 2.7X12MM,3679.0,3679.0,404.69,3679.0,57
HCPCS,C1713,SCREW LCK SHFT 3.5X16MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW LCK STRDR 4X3.3X40,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW LCK THRD 04X28,3484.0,3484.0,383.24,3484.0,57
HCPCS,C1713,SCREW LCK XL25 5X70MM,2913.0,2913.0,320.43,2913.0,57
HCPCS,C1713,SCREW LCKG LP 3.5X18MM,2508.0,2508.0,275.88,2508.0,57
HCPCS,C1713,SCREW LNG 2.8X20MM SOLID,4378.0,4378.0,481.58,4378.0,57
HCPCS,C1713,SCREW LOCK 4MM ST WSTARD,2534.0,2534.0,278.74,2534.0,228
HCPCS,C1713,SCREW LOCK 5MM 28MM,3561.0,3561.0,391.71,3561.0,57
HCPCS,C1713,SCREW LOCK PP 5.0MMX12MM,3676.0,3676.0,404.36,3676.0,57
HCPCS,C1713,SCREW LOCK TFN 458.948,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW LOCKING 2.7MM 14MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW LOCKING 5.0 X 70MM,3154.0,3154.0,346.94,3154.0,57
HCPCS,C1713,SCREW LOCKING 5.0X34,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW LOCKING 7.0MMX50MM,5197.0,5197.0,571.67,5197.0,57
HCPCS,C1713,SCREW MAXI 2.4 X 18MM,864.0,864.0,95.04,864.0,57
HCPCS,C1713,SCREW MAXI 2.4MM X 12MM,1028.0,1028.0,113.08,1028.0,57
HCPCS,C1713,SCREW MESA 2,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW MICRO 1.2 X 3MM OS,1317.0,1317.0,144.87,1317.0,57
HCPCS,C1713,SCREW MICRO 1.2MM X 2MM,1317.0,1317.0,144.87,1317.0,57
HCPCS,C1713,SCREW MICRO 1.2MM X 4MM,1317.0,1317.0,144.87,1317.0,57
HCPCS,C1713,SCREW MICRO 1.2MM X 6MM,1317.0,1317.0,144.87,1317.0,57
HCPCS,C1713,SCREW MICRO 1.2MM X 8MM,1317.0,1317.0,144.87,1317.0,57
HCPCS,C1713,SCREW MICRO 1.5MM X 3MM,1392.0,1392.0,153.12,1392.0,57
HCPCS,C1713,SCREW MICRO 1.5MM X 6MM,1392.0,1392.0,153.12,1392.0,57
HCPCS,C1713,SCREW MINI 2.0MM X 6MM C,1094.0,1094.0,120.34,1094.0,57
HCPCS,C1713,SCREW MINI 2.0MM X4MM,1260.0,1260.0,138.6,1260.0,57
HCPCS,C1713,SCREW MINI 2MMX4MM AUTO,1333.0,1333.0,146.63,1333.0,57
HCPCS,C1713,SCREW MNTR 4.35X30,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW MXFCL EMER 3.2X12,1336.0,1336.0,146.96,1336.0,57
HCPCS,C1713,SCREW MXFCL LCK 2.7X9,3064.0,3064.0,337.04,3064.0,57
HCPCS,C1713,SCREW MXFCL MIC 1.5X4,1022.0,1022.0,112.42,1022.0,57
HCPCS,C1713,SCREW MXFCL MIC 1.5X5,1022.0,1022.0,112.42,1022.0,57
HCPCS,C1713,SCREW MXFCL MIC 1.5X7,1425.0,1425.0,156.75,1425.0,57
HCPCS,C1713,SCREW MXFCL MIC 2.7X10,1770.0,1770.0,194.7,1770.0,57
HCPCS,C1713,SCREW MXFCL MIC 2.7X12,2316.0,2316.0,254.76,2316.0,57
HCPCS,C1713,SCREW MXFCL MIC 2.7X14,1542.0,1542.0,169.62,1542.0,57
HCPCS,C1713,SCREW MXFCL MIC 2.7X16,2316.0,2316.0,254.76,2316.0,57
HCPCS,C1713,SCREW MXFCL MIC 2.7X18,1542.0,1542.0,169.62,1542.0,57
HCPCS,C1713,SCREW MXFCL MIC 2.7X8,2532.0,2532.0,278.52,2532.0,57
HCPCS,C1713,SCREW MXLFCL SD 1.7X5,1523.0,1523.0,167.53,1523.0,57
HCPCS,C1713,SCREW MXLFCL ST 1.9X3,1406.0,1406.0,154.66,1406.0,57
HCPCS,C1713,SCREW N-LCK DST 3.5X16MM,1568.0,1568.0,172.48,1568.0,57
HCPCS,C1713,SCREW NLCK 3.5MX30M DSTL,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCREW NLCK MINI 2.7X18MM,3104.0,3104.0,341.44,3104.0,57
HCPCS,C1713,SCREW NLCKG 3.5MM 75MM,3823.0,3823.0,420.53,3823.0,57
HCPCS,C1713,SCREW ORHTO 2.0X12,1094.0,1094.0,120.34,1094.0,57
HCPCS,C1713,SCREW ORHTO 2.0X16,1094.0,1094.0,120.34,1094.0,57
HCPCS,C1713,SCREW ORTH L10XW2.0,1094.0,1094.0,120.34,1094.0,57
HCPCS,C1713,SCREW ORTH L18XW2.0,1505.0,1505.0,165.55,1505.0,57
HCPCS,C1713,SCREW ORTHO 2.0X8,1094.0,1094.0,120.34,1094.0,57
HCPCS,C1713,SCREW P-AX LCK 2.4X12MM,3304.0,3304.0,363.44,3304.0,57
HCPCS,C1713,SCREW P-AX LCK 2.7X16MM,3679.0,3679.0,404.69,3679.0,57
HCPCS,C1713,SCREW P-T 5MM 65MM PED,3380.0,3380.0,371.8,3380.0,57
HCPCS,C1713,SCREW PERIPHRL 4.5X30MM,3535.0,3535.0,388.85,3535.0,57
HCPCS,C1713,SCREW PERPH LCK 30MM UNV,4110.0,4110.0,452.1,4110.0,57
HCPCS,C1713,SCREW PLT LCKG 3.5X18MM,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW PLUS DRIVE 1.3 X 5,1601.0,1601.0,176.11,1601.0,57
HCPCS,C1713,SCREW PLUS DRIVE 1.3 X 8,1559.0,1559.0,171.49,1559.0,57
HCPCS,C1713,SCREW PLUS DRIVE 1.3MM X,1559.0,1559.0,171.49,1559.0,57
HCPCS,C1713,SCREW PLUS DRIVE 2.0X5MM,1151.0,1151.0,126.61,1151.0,57
HCPCS,C1713,SCREW R/R CORTX 1.5 X 5M,1275.0,1275.0,140.25,1275.0,57
HCPCS,C1713,SCREW RELINE P-AX 6X40MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW RELINE PA 5.5X35MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SAFETY 1.9MM 4MM,1355.0,1355.0,149.05,1355.0,57
HCPCS,C1713,SCREW SELF DRILLING 1.3M,1601.0,1601.0,176.11,1601.0,57
HCPCS,C1713,SCREW SELF TAP 2.4X16MM,1090.0,1090.0,119.9,1090.0,57
HCPCS,C1713,SCREW SELF TAP 2.4X8MM,1418.0,1418.0,155.98,1418.0,57
HCPCS,C1713,SCREW SET 495MM,26715.0,26715.0,2938.65,26715.0,57
HCPCS,C1713,SCREW SET FOR TIB INSERT,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,SCREW SET SPN 5.5MM,1350.0,1350.0,148.5,1350.0,57
HCPCS,C1713,SCREW SHAFT 204.234,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW SHLDR RVRS,7398.0,7398.0,813.78,7398.0,57
HCPCS,C1713,SCREW SHOULDER FX 50MM,14899.0,14899.0,1638.89,14899.0,57
HCPCS,C1713,SCREW SLF TPNG 5X38MM,3656.0,3656.0,402.16,3656.0,57
HCPCS,C1713,SCREW SLR TPNG 2.0MM 8MM,2376.0,2376.0,261.36,2376.0,57
HCPCS,C1713,SCREW SP 5.5X45MM POLY,16452.0,16452.0,1809.72,16452.0,57
HCPCS,C1713,SCREW SP UNIPLANR 5X35MM,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW SPINAL VA 4.5X13MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 2.7MM 26MM,1063.0,1063.0,116.93,1063.0,57
HCPCS,C1713,SCREW SPN 3.5 X 32 LS,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 3.5 X 34 LS,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 3.5MM 12MM,12655.0,12655.0,1392.05,12655.0,114
HCPCS,C1713,SCREW SPN 3.5MM 14MM,11390.0,11390.0,1252.9,11390.0,171
HCPCS,C1713,SCREW SPN 3.5MM 15MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 3.5MM 16MM,11390.0,11390.0,1130.25,15186.0,171
HCPCS,C1713,SCREW SPN 3.5MM 18MM,12022.5,12022.5,1252.9,12655.0,171
HCPCS,C1713,SCREW SPN 3.5MM 20MM,12022.5,12022.5,1252.9,12655.0,114
HCPCS,C1713,SCREW SPN 3.5MM 22MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN 3.5MM 26MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 3.5MM 28MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN 3.5MM 30MM,12022.5,12022.5,1252.9,12655.0,171
HCPCS,C1713,SCREW SPN 3.5X34 MTNR,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPN 3.7MM 14MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 3MM 16MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4 SHFT 3.5X28,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 4.0MM 15MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4.35MM 40MM,11733.0,11733.0,1130.25,13191.0,114
HCPCS,C1713,SCREW SPN 4.35X45MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1713,SCREW SPN 4.5MM 10MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4.5MM 14MM,1542.0,1542.0,169.62,1542.0,57
HCPCS,C1713,SCREW SPN 4.5MM 15MM,1899.0,1899.0,208.89,1899.0,114
HCPCS,C1713,SCREW SPN 4.5MM 16MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4.5MM 18MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4.5MM 24MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 4.5MM 25MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN 4.5MM 28MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 4.5MM 6MM,1899.0,1899.0,208.89,1899.0,114
HCPCS,C1713,SCREW SPN 4.5MM 8MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4.5X26MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 4MM 12MM,2299.5,2299.5,208.89,2700.0,114
HCPCS,C1713,SCREW SPN 4MM 12MM S/T,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4MM 13MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4MM 14MM,2400.5,2400.5,208.89,15186.0,228
HCPCS,C1713,SCREW SPN 4MM 14MM S/T,2215.0,2215.0,208.89,2531.0,114
HCPCS,C1713,SCREW SPN 4MM 15MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4MM 16MM,2013.5,2013.5,211.86,2101.0,114
HCPCS,C1713,SCREW SPN 4MM 16MM S/T,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4MM 17MM,2700.0,2700.0,297.0,2700.0,57
HCPCS,C1713,SCREW SPN 4MM 18MM S/T,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 4PLY 5X24MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 4X16MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN 5.0X26MM,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPN 5.5/6MM 50MM,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPN 5.5MM,1266.0,1266.0,139.26,1266.0,171
HCPCS,C1713,SCREW SPN 5.5MM 25MM,13288.0,13288.0,1252.9,15186.0,114
HCPCS,C1713,SCREW SPN 5.5MM 30MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN 5.5MM 35MM,13920.5,13920.5,1392.05,15186.0,171
HCPCS,C1713,SCREW SPN 5.5MM 40MM,13134.0,13134.0,1392.05,16452.0,171
HCPCS,C1713,SCREW SPN 5.5MM 45MM,15045.0,15045.0,1252.9,18700.0,171
HCPCS,C1713,SCREW SPN 5.5MM 5MM 30MM,15411.0,15411.0,1695.21,15411.0,57
HCPCS,C1713,SCREW SPN 5.5MM 5MM 50MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 5.5MM 6MM 50MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 5.5X30MM,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW SPN 5.5X6X45MM,11948.0,11948.0,1252.9,12506.0,114
HCPCS,C1713,SCREW SPN 5.5X6X50MM,15411.0,15411.0,1695.21,15411.0,57
HCPCS,C1713,SCREW SPN 5.5X7.5X45MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 5.5X8X40MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 5.7MM 20MM,2700.0,2700.0,297.0,2700.0,57
HCPCS,C1713,SCREW SPN 5MM 30MM,13288.0,13288.0,1252.9,15186.0,114
HCPCS,C1713,SCREW SPN 5MM 35MM,15518.0,15518.0,1252.9,16452.0,171
HCPCS,C1713,SCREW SPN 5MM 40MM,14511.5,14511.5,1252.9,16452.0,228
HCPCS,C1713,SCREW SPN 5MM 45MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 5MM 50MM,17313.0,17313.0,1904.43,17313.0,57
HCPCS,C1713,SCREW SPN 5X30MM,12506.0,12506.0,1375.66,12506.0,57
HCPCS,C1713,SCREW SPN 5X35MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN 6.0MM 30MM,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPN 6.0X27.5MM,113017.0,113017.0,12431.87,113017.0,57
HCPCS,C1713,SCREW SPN 6.0X32.5MM,113017.0,113017.0,12431.87,113017.0,57
HCPCS,C1713,SCREW SPN 6.0X37.5MM,113017.0,113017.0,12431.87,113017.0,57
HCPCS,C1713,SCREW SPN 6.5MM 35MM,15354.0,15354.0,1531.31,102767.0,228
HCPCS,C1713,SCREW SPN 6.5MM 40MM,13288.0,13288.0,1252.9,15186.0,114
HCPCS,C1713,SCREW SPN 6.5MM 45MM,13846.0,13846.0,1375.66,15186.0,114
HCPCS,C1713,SCREW SPN 6.5MM 50MM,12144.5,12144.5,1279.74,12655.0,114
HCPCS,C1713,SCREW SPN 6.5X30MM,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW SPN 6.5X37.5MM,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1713,SCREW SPN 6MM,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW SPN 6MM 35MM,12655.0,12655.0,1356.3,16368.0,171
HCPCS,C1713,SCREW SPN 6MM 40MM,14328.0,14328.0,1252.9,15186.0,171
HCPCS,C1713,SCREW SPN 6MM 45MM,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPN 6MM 55MM,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW SPN 6X30X5.5MM,12330.0,12330.0,1356.3,12330.0,57
HCPCS,C1713,SCREW SPN 6X40MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN 7.5MM 45MM,14328.0,14328.0,1576.08,14328.0,57
HCPCS,C1713,SCREW SPN 7.5MM 50MM,16327.0,16327.0,1670.46,17468.0,114
HCPCS,C1713,SCREW SPN 7MM 35MM,21514.0,21514.0,2366.54,21514.0,57
HCPCS,C1713,SCREW SPN 7MM 40MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 7MM 45MM,15390.0,15390.0,1576.08,16452.0,114
HCPCS,C1713,SCREW SPN 7MM 50MM,14043.0,14043.0,1279.74,16452.0,114
HCPCS,C1713,SCREW SPN 7MM 55MM,15411.0,15411.0,1695.21,15411.0,57
HCPCS,C1713,SCREW SPN 7X45MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 7X50MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN 8MM 50MM,18350.0,18350.0,2018.5,18350.0,57
HCPCS,C1713,SCREW SPN BRKOF 4.75MM,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW SPN CAN P-X 6.5X30,16452.0,16452.0,1809.72,16452.0,57
HCPCS,C1713,SCREW SPN CORT 7X50MM,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPN CORT 8X45MM,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPN CORT 8X50MM,15411.0,15411.0,1695.21,15411.0,57
HCPCS,C1713,SCREW SPN H-PAX 4.5X30MM,13134.0,13134.0,1444.74,13134.0,57
HCPCS,C1713,SCREW SPN H-PAX 4.5X35MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN H-PAX 5.5X45MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN INNR 3.5X20MM,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW SPN INTLK 4X13MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN LCK 4.5X26MM,4328.0,4328.0,476.08,4328.0,57
HCPCS,C1713,SCREW SPN MTNR 3.5X30MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN OPN LCK,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW SPN P-AX 3.5X14MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN P-AX 3.5X32MM,12655.0,12655.0,1392.05,12655.0,114
HCPCS,C1713,SCREW SPN P-AX 4.35X25MM,11554.0,11554.0,1270.94,11554.0,57
HCPCS,C1713,SCREW SPN P-AX 4.5X35MM,16452.0,16452.0,1809.72,16452.0,57
HCPCS,C1713,SCREW SPN P-AX 4.5X40MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN P-AX 6.5X40MM,10665.0,10665.0,1173.15,10665.0,57
HCPCS,C1713,SCREW SPN P-AX 6.5X45MM,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW SPN P-AX 7.5X35MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN P-AX 7.5X40MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN P-AX 7.5X45MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN P-AX 7.5X55MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN P-AX 8X40MM,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPN P-AX 8X45MM,11303.0,11303.0,1243.33,11303.0,57
HCPCS,C1713,SCREW SPN P-AXL 3.5X34MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN P-AXL 3.5X36MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN PAX 3.5X20MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN PAX 5.5X30MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1713,SCREW SPN PAX 5.5X40MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN PAX 6.5X40MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,SCREW SPN PLY 4.5X30MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN S/T 4.5X16MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPN S/T 4MM 19MM,2700.0,2700.0,297.0,2700.0,57
HCPCS,C1713,SCREW SPN SET,1028.0,1028.0,113.08,1028.0,57
HCPCS,C1713,SCREW SPN SET GRY,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW SPN SET IMPL,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW SPN SET STD M6,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW SPN TI 7X35MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPN VPR 7X40MM,11889.0,11889.0,1307.79,11889.0,57
HCPCS,C1713,SCREW SPNL 3.5MM 14MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPNL 3.5MM 30MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPNL 4.0 3.5X34MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPNL 4.5MM 17MM,1899.0,1899.0,208.89,1899.0,57
HCPCS,C1713,SCREW SPNL 4MM 30MM,15186.0,15186.0,1670.46,15186.0,57
HCPCS,C1713,SCREW SPNL 5.5MM,15518.0,15518.0,1706.98,15518.0,57
HCPCS,C1713,SCREW SPNL 5.5X6X45MM,15411.0,15411.0,1695.21,15411.0,57
HCPCS,C1713,SCREW SPNL 6.5X55MM,12330.0,12330.0,1356.3,12330.0,57
HCPCS,C1713,SCREW SPNL 7X35MM,12655.0,12655.0,1392.05,12655.0,57
HCPCS,C1713,SCREW SPNL UNI 4.5MM X 3,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW SPNMESA2 620-07545,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SCREW ST SPN FLAT CONN,1266.0,1266.0,139.26,1266.0,57
HCPCS,C1713,SCREW SYN 2.0X7MM ST CRT,1209.0,1209.0,132.99,1209.0,57
HCPCS,C1713,SCREW SYN 2.4X6 EMER,1194.0,1194.0,131.34,1194.0,57
HCPCS,C1713,SCREW SYN 5.0X46 LOCKING,3206.0,3206.0,352.66,3206.0,57
HCPCS,C1713,SCREW T2 F/T LCK 5X55,3696.0,3696.0,406.56,3696.0,57
HCPCS,C1713,SCREW T2 LCK F-T 4X26MM,3194.0,3194.0,351.34,3194.0,57
HCPCS,C1713,SCREW T2 LCK F-T 5X90MM,3021.0,3021.0,332.31,3021.0,57
HCPCS,C1713,SCREW TAP 1.5X4MM RESORB,5932.0,5932.0,652.52,5932.0,57
HCPCS,C1713,SCREW TI 2.0 12 40136297,244.0,244.0,26.84,244.0,57
HCPCS,C1713,SCREW TI 4MM 1.7MM MDFC,1359.0,1359.0,149.49,1359.0,57
HCPCS,C1713,SCREW TI 4MM X 42MM,2137.0,2137.0,235.07,2137.0,57
HCPCS,C1713,SCREW TI 5MM 1.7MM MDFC,1359.0,1359.0,149.49,1359.0,57
HCPCS,C1713,SCREW TI 6MM 1.2MM,1901.0,1901.0,209.11,1901.0,57
HCPCS,C1713,SCREW TI 7MM 2.3MM,1090.0,1090.0,119.9,1090.0,57
HCPCS,C1713,SCREW TI ALOY 2.3X9MM,8338.0,8338.0,917.18,8338.0,57
HCPCS,C1713,SCREW TI CANN 6.5X40MM,13650.0,13650.0,1501.5,13650.0,57
HCPCS,C1713,SCREW TI CORT 1.0X12,1219.0,1219.0,134.09,1219.0,57
HCPCS,C1713,SCREW TI CORT 1.0X9,1291.0,1291.0,142.01,1291.0,57
HCPCS,C1713,SCREW TI CORT 2.4X19,1229.0,1229.0,135.19,1229.0,57
HCPCS,C1713,SCREW TI CORT 2.4X7,1224.0,1224.0,134.64,1224.0,57
HCPCS,C1713,SCREW TI CORT 3.5X12,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCREW TI CORT CRNFC 4X1,1669.0,1669.0,183.59,1669.0,57
HCPCS,C1713,SCREW TI CRNFCL 3X1.2MM,1398.0,1398.0,153.78,1398.0,57
HCPCS,C1713,SCREW TI CRNFCL 5X1.2MM,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1713,SCREW TI EMER 2.7X18,1989.0,1989.0,218.79,1989.0,57
HCPCS,C1713,SCREW TI MNDB 15X2.7,3064.0,3064.0,337.04,3064.0,57
HCPCS,C1713,SCREW TROCH F-T 5X8X56MM,3237.0,3237.0,356.07,3237.0,57
HCPCS,C1713,SCREW VIPR PLOY 8X45 TI,14899.0,14899.0,1638.89,14899.0,57
HCPCS,C1713,SCREWBN 1.7MM 3MM,1618.0,1618.0,177.98,1618.0,57
HCPCS,C1713,SCRW BN 1.7MM 5MM SLFDRL,1562.0,1562.0,171.82,1562.0,57
HCPCS,C1713,SCRW BN 2MM 10MM ICN ANG,2900.0,2900.0,319.0,2900.0,57
HCPCS,C1713,SCRW BN 2MM 12MM ICN ANG,2900.0,2900.0,319.0,2900.0,57
HCPCS,C1713,SCRW BN 4MM 46MM,2321.0,2321.0,255.31,2321.0,57
HCPCS,C1713,SCRW BN 7X5X1.5MM HX ZUR,4143.0,4143.0,455.73,4143.0,57
HCPCS,C1713,SCRW BN 9X7X1.5MM HX ZUR,4143.0,4143.0,455.73,4143.0,57
HCPCS,C1713,SCRW BN DPHSL LCK 5X50MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCRW BN LCK NS 5X52.5MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCRW CX TI 3.5X24MM S,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCRW CX TI 4.5X18MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCRW CX TI 4.5X34MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCRW CX TI 4.5X36MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCRW CX TI 4.5X64MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCRW NON LCKING 3.5X46MM,1996.0,1996.0,219.56,1996.0,57
HCPCS,C1713,SCRW NON LCKING 3.5X55MM,2877.0,2877.0,316.47,2877.0,57
HCPCS,C1713,SCRW SS 3.5 X 58 MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,SCRW T25 TI 5.0 X 80 MM,4352.0,4352.0,478.72,4352.0,57
HCPCS,C1713,SCRWW BN LCK NS 5X42.5MM,3525.0,3525.0,387.75,3525.0,57
HCPCS,C1713,SCW BN 1.5X14.5X10MM,2437.0,2437.0,268.07,2437.0,57
HCPCS,C1713,SET CABLE ORTHO 2.0MM,12357.0,12357.0,1359.27,12357.0,57
HCPCS,C1713,SET CABLE/SLV 1.6 BEAD,4525.0,4525.0,497.75,4525.0,57
HCPCS,C1713,SET CABLE/SLV 1.6MM,4230.0,4230.0,465.3,4230.0,57
HCPCS,C1713,SET CBL SLV STNLS 2.0,4525.0,4525.0,497.75,4525.0,57
HCPCS,C1713,SET IMPL ARTHSCP 4.75MM,51211.0,51211.0,5633.21,51211.0,57
HCPCS,C1713,SET SCREW BN 2.0X12MM,1028.0,1028.0,113.08,1028.0,57
HCPCS,C1713,SHEATH FX TI 30MM,7440.0,7440.0,818.4,7440.0,57
HCPCS,C1713,SPACER SPN LRDTC 8MM,48089.0,48089.0,5289.79,48089.0,57
HCPCS,C1713,SPACER SPN SM 10X10X28MM,50620.0,50620.0,5568.2,50620.0,57
HCPCS,C1713,SPINAL HOOK WIDE BLD 8.0,7593.0,7593.0,835.23,7593.0,57
HCPCS,C1713,SPLINT DNTL CSTM MADE,101577.0,101577.0,11173.47,101577.0,57
HCPCS,C1713,STABILIZER BN ORTH CUS,55369.0,55369.0,6090.59,55369.0,57
HCPCS,C1713,STAPLE BN 1.3MM 1.8MM,26374.0,26374.0,2901.14,26374.0,57
HCPCS,C1713,STAPLE BN 12MM 15MM,26374.0,26374.0,2901.14,26374.0,57
HCPCS,C1713,STAPLE BN 18MM 18MM 18MM,24130.0,24130.0,2654.3,24130.0,57
HCPCS,C1713,STAPLE BN 18WX15L,85468.0,85468.0,9401.48,85468.0,57
HCPCS,C1713,STAPLE BN 18X14MM,26374.0,26374.0,2901.14,26374.0,57
HCPCS,C1713,STAPLE BN 18X15MM,26374.0,26374.0,2901.14,26374.0,57
HCPCS,C1713,STAPLE BN 18X18X18MM,22971.0,22971.0,2526.81,22971.0,57
HCPCS,C1713,STAPLE BN 2.5X1.6X2MM,37367.0,37367.0,4110.37,37367.0,57
HCPCS,C1713,STAPLE BN 20MM 15MM,36436.0,36436.0,4007.96,36436.0,57
HCPCS,C1713,STAPLE BN 20MM 18MM,31976.0,31976.0,3517.36,31976.0,57
HCPCS,C1713,STAPLE BN 20MM 20MM,36436.0,36436.0,3663.44,49320.0,171
HCPCS,C1713,STAPLE BN 20MM 25MM,36436.0,36436.0,4007.96,36436.0,57
HCPCS,C1713,STAPLE BN 20WX20L,73261.0,73261.0,8058.71,73261.0,57
HCPCS,C1713,STAPLE BN 20X20X20MM,30123.0,30123.0,3313.53,30123.0,57
HCPCS,C1713,STAPLE BN 22X15MM,85468.0,85468.0,9401.48,85468.0,57
HCPCS,C1713,STAPLE BN 25WX20L,85468.0,85468.0,9401.48,85468.0,57
HCPCS,C1713,STAPLE BN 2MM,33304.0,33304.0,3663.44,33304.0,57
HCPCS,C1713,STAPLE BN 8MM 8MM,19470.0,19470.0,2141.7,19470.0,57
HCPCS,C1713,STAPLE BN ISTR 15X15MM,73261.0,73261.0,8058.71,73261.0,57
HCPCS,C1713,STAPLE BN ISTR 18X15MM,73261.0,73261.0,8058.71,73261.0,57
HCPCS,C1713,STAPLE SPN L20MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,STAPLE SURG 60MM,39564.0,39564.0,4352.04,39564.0,57
HCPCS,C1713,STEM HUM SHDR 12MM CMNT,61532.0,61532.0,6768.52,61532.0,57
HCPCS,C1713,SUTURE ANCHOR 4.75MM,11714.0,11714.0,1152.91,12947.0,114
HCPCS,C1713,SUTURE CERCLAGE,16276.0,16276.0,1790.36,16276.0,57
HCPCS,C1713,SUTURE TNDN BN 1.2MM,1850.0,1850.0,203.5,1850.0,57
HCPCS,C1713,SYS IMPL SWVL 3.9X17.9MM,68329.0,68329.0,7516.19,68329.0,57
HCPCS,C1713,SYSTEM ANCHOR LIGMNT RPR,43895.0,43895.0,4828.45,43895.0,57
HCPCS,C1713,SYSTEM ANCHOR UCL 3.5MM,34627.0,34627.0,3808.97,34627.0,57
HCPCS,C1713,SYSTEM ANCHR PTLA 4.75MM,24845.0,24845.0,2732.95,24845.0,57
HCPCS,C1713,SYSTEM BN IMPL ANCH,73405.0,73405.0,8074.55,73405.0,57
HCPCS,C1713,SYSTEM BN SCREW 6.25MM,43895.0,43895.0,4828.45,43895.0,57
HCPCS,C1713,SYSTEM CBL HIP 23X121MM,41947.0,41947.0,4614.17,41947.0,57
HCPCS,C1713,SYSTEM CBL HIP 23X53MM,26411.0,26411.0,2905.21,26411.0,57
HCPCS,C1713,SYSTEM IMP FX MINI SUT,37504.0,37504.0,4125.44,37504.0,57
HCPCS,C1713,SYSTEM IMPLANT RT,36148.0,36148.0,3976.28,36148.0,57
HCPCS,C1713,SYSTEM IMPLANT SCREW,58568.0,58568.0,6442.48,58568.0,57
HCPCS,C1713,SYSTEM IMPLANT SUT/DRILL,38881.0,38881.0,4276.91,38881.0,57
HCPCS,C1713,SYSTEM IMPLNT ACH MID SB,28627.0,28627.0,3148.97,28627.0,57
HCPCS,C1713,SYSTEM IMPLNT TNPDSIS,23119.0,23119.0,2543.09,23119.0,57
HCPCS,C1713,SYSTEM TGHTRP ANKL STBLZ,13214.0,13214.0,1453.54,13214.0,57
HCPCS,C1713,SYSTEM VBT CLOSURE LOCK,13921.0,13921.0,1531.31,13921.0,57
HCPCS,C1713,SYSTM AC REPAIR KNTLS,58609.0,58609.0,4102.63,58609.0,71
HCPCS,C1713,VALVE SHUNT 8X16X32MM,77761.0,77761.0,8553.71,77761.0,57
HCPCS,C1713,WASHER BN 12.7MM,1694.0,1694.0,186.34,1694.0,57
HCPCS,C1713,WASHER BN 13.0MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN 13.5MM 4.0MM,2085.0,2085.0,229.35,2085.0,57
HCPCS,C1713,WASHER BN 4.5MM 10MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN 6.5MM 3.0MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN 7.0MM F/SM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN 7.0X3.5X4MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN 7MM 4MM,1028.0,1028.0,113.08,1028.0,57
HCPCS,C1713,WASHER BN 9.0 MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN BTN 2.7MM 5MM,822.0,822.0,90.42,822.0,57
HCPCS,C1713,WASHER BN FEM 5D LT,20057.0,20057.0,2206.27,20057.0,57
HCPCS,C1713,WASHER BN FLAT 7MM,2235.0,2235.0,245.85,2235.0,57
HCPCS,C1713,WASHER BN HIP SZ3 7MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN LCK ATCHMNT 5D,20057.0,20057.0,2206.27,20057.0,57
HCPCS,C1713,WASHER BN LCK LT 10D,20057.0,20057.0,2206.27,20057.0,57
HCPCS,C1713,WASHER BN ORTH 13MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN ORTH 6.5/8MM,750.0,750.0,82.5,750.0,57
HCPCS,C1713,WASHER BN ORTH 6MM,1028.0,1028.0,113.08,1028.0,57
HCPCS,C1713,WASHER BN ORTHO,1007.0,1007.0,110.77,1007.0,57
HCPCS,C1713,WASHER BN THRD 3.0MM,2738.0,2738.0,301.18,2738.0,57
HCPCS,C1713,WASHER ORTH 6.5MM,1028.0,1028.0,113.08,1028.0,57
HCPCS,C1713,WASHER ORTH 8.0MM 3.2MM,1239.0,1239.0,136.29,1239.0,57
HCPCS,C1713,WASHER ORTHO 13.5X5.5MM,2055.0,2055.0,226.05,2055.0,57
HCPCS,C1713,WASHER SPN 2MM,11390.0,11390.0,1252.9,11390.0,57
HCPCS,C1713,WEDGE FEM KN 5DX5P LGN,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1713,WEDGE KN SZ6 5MM 5MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1713,XLINK SPN MED 30-40MM,10124.0,10124.0,1113.64,10124.0,57
HCPCS,C1716,"Brachytherapy source, non-stranded, gold-198, per source ",,,407.61,602.1,6
HCPCS,C1717,"Brachytherapy source, non-stranded, high dose rate iridium-192, per source ",,,1127.07,1664.84,6
HCPCS,C1719,"Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source ",,,220.39,325.55,6
HCPCS,C1721,DEFIB ICD 69X51X12MM,203732.0,203732.0,22410.52,203732.0,57
HCPCS,C1721,ICD DEFB DLCHMBR MRI IS1,180249.0,180249.0,19827.39,180249.0,57
HCPCS,C1721,ICD DEFIB CARD 51X68MM,203732.0,203732.0,22410.52,203732.0,57
HCPCS,C1721,ICD DR MRI IS1 DF1,202519.0,202519.0,22277.09,202519.0,57
HCPCS,C1721,ICD DR MRI IS1 DF4,202519.0,202519.0,22277.09,202519.0,57
HCPCS,C1722,ICD DEFIB CARD 66X51X13,192232.0,192232.0,21145.52,192232.0,57
HCPCS,C1722,ICD XT MRI DF4,171093.0,171093.0,18820.23,171093.0,57
HCPCS,C1722,ICD-S 12.7MM 83.1X69.1MM,393343.0,393343.0,43267.73,393343.0,57
HCPCS,C1724,CATH ATHRCM 0.9MM 150CM,40597.0,40597.0,2841.79,40597.0,71
HCPCS,C1724,CATH ATHRCM 1.50MM 145CM,56256.0,56256.0,3937.92,56256.0,71
HCPCS,C1724,CATH ATHRCM 145CM 1.25MM,56256.0,56256.0,3937.92,56256.0,71
HCPCS,C1724,SYSTEM CATH ARTHRCM 1.5M,56256.0,56256.0,3937.92,56256.0,71
HCPCS,C1725,BLN ADV 4FR 6MM 80X4CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,BLN ADV 4FR 7MM 80X2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,BLN ADV 4FR 7MM 80X4CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,BLN AGTRC 5X20X135,1959.0,1959.0,137.13,1959.0,71
HCPCS,C1725,BLN AVTR+ RX 4X2X142,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,BLN AVTR+ RX 5X2X142,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,BLN BIB 110 3.0 20.0,18939.0,18939.0,1325.73,18939.0,71
HCPCS,C1725,BLN CONQ 4X5.5X75,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,BLN MXILD 18X4X110,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,BLN PFLX P3 5F 4X2X80,2495.0,2495.0,174.65,2495.0,71
HCPCS,C1725,BLN PFLX P3 5F 4X6X80,5285.0,5285.0,369.95,5285.0,71
HCPCS,C1725,BLN PFLX P3 5F 5X4X80,2495.0,2495.0,174.65,2495.0,71
HCPCS,C1725,BLN PFLX P3 5F 6X4X40,2495.0,2495.0,174.65,2495.0,71
HCPCS,C1725,BLN PFLX P3 6F 2X7X80,2495.0,2495.0,174.65,2495.0,71
HCPCS,C1725,BLN PFLX P3 6F 2X8X80,2399.0,2399.0,167.93,2399.0,71
HCPCS,C1725,BLN PFLX P3 6F 4X7X80,2495.0,2495.0,174.65,2495.0,71
HCPCS,C1725,BLN PFLX P3 6F 8X4X40,2399.0,2399.0,167.93,2399.0,71
HCPCS,C1725,BLN PFLX P3 7F 10X4X80,2495.0,2495.0,174.65,2495.0,71
HCPCS,C1725,BLN PFLX P3 7F 12X4X80,2399.0,2399.0,167.93,2399.0,71
HCPCS,C1725,BLN PFLX P3 7F 8X8X80,2399.0,2399.0,167.93,2399.0,71
HCPCS,C1725,BLNCUT FLXTM 2.75X10,13256.0,13256.0,927.92,13256.0,71
HCPCS,C1725,CATH .018IN 4FR 7MM 80CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH 7FX4X120CM 20MM,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH ANG PGTL.030IN 3.3F,4685.0,4685.0,327.95,4685.0,71
HCPCS,C1725,CATH ANGIO 10F 110CM,18939.0,18939.0,1325.73,18939.0,71
HCPCS,C1725,CATH ANGIO 14MM 110CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH ANGIO 16MM 110CM,18939.0,18939.0,1325.73,18939.0,71
HCPCS,C1725,CATH ANGIO 25MM 110CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH ANGIO 26MM 110CM,22616.0,22616.0,1583.12,22616.0,71
HCPCS,C1725,CATH ANGIO 28MM 110CM,22616.0,22616.0,1583.12,22616.0,71
HCPCS,C1725,CATH ANGIO 3.5MM 80CM,8796.0,8796.0,615.72,8796.0,71
HCPCS,C1725,CATH ANGIO 4FR 70CM,1020.0,1020.0,71.4,1020.0,71
HCPCS,C1725,CATH ANGIO 4MM 80MM,10275.0,10275.0,719.25,10275.0,71
HCPCS,C1725,CATH ANGIO 5.5MM 80CM,8796.0,8796.0,615.72,8796.0,71
HCPCS,C1725,CATH ANGIO 5.5X2X80MM,8796.0,8796.0,615.72,8796.0,71
HCPCS,C1725,CATH ANGIO 5MM 2CM 40CM,8796.0,8796.0,615.72,8796.0,71
HCPCS,C1725,CATH ANGIO 6F 12MM 110CM,18072.0,18072.0,1265.04,18072.0,71
HCPCS,C1725,CATH ANGIO 6X2X40MM,8796.0,8796.0,615.72,8796.0,71
HCPCS,C1725,CATH ANGIO 8F 25MM 110CM,18072.0,18072.0,1265.04,18072.0,71
HCPCS,C1725,CATH ANGIO 8F 30MM 110CM,18939.0,18939.0,1325.73,18939.0,71
HCPCS,C1725,CATH ANGIO 8F 35MM 110CM,19554.5,19554.5,1325.73,20170.0,142
HCPCS,C1725,CATH ANGIO 8F 40MM 110CM,20411.5,20411.5,1325.73,21884.0,142
HCPCS,C1725,CATH ANGIO 8F 45MM 110CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH ANGIO DIL 5.50X8MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH ANGIO DIL 6X15MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH ANGIO DIL 6X8MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH ANGIO JL2 5F 70CM,1020.0,1020.0,71.4,1020.0,71
HCPCS,C1725,CATH ANGIO JL3 5F 70CM,1020.0,1020.0,71.4,1020.0,71
HCPCS,C1725,CATH ANGIO PGTL 5FR 65CM,3089.0,3089.0,216.23,3089.0,71
HCPCS,C1725,CATH BALL PTCA 2.0X10MM,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BALL PTCA 2.0X15MM,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BALL PTCA 2.5X10MM,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BALL PTCA 2.5X15MM,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BALL PTCA 3.0X10MM,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BALL PTCA 3.5X10MM,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BALL PTCA 3.5X15MM,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BALLN OTW 12X1.5MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BDL 4MM 80CM 8CM,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1725,CATH BIB 10F 18MM 3CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BIB 10F 18MM 4CM,18939.0,18939.0,1325.73,18939.0,71
HCPCS,C1725,CATH BIB 10F 18MM 5CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BIB 11F 22MM 3CM,18939.0,18939.0,1325.73,18939.0,71
HCPCS,C1725,CATH BIB 11F 22MM 5CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BIB 11F 24MM 5CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BIB 8F 12MM 5CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BIB 8F 14MM 5CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BIB 9F 15MM 3CM,18939.0,18939.0,1325.73,18939.0,71
HCPCS,C1725,CATH BIB 9F 15MM 4CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BIB 9F 15MM 5CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BIB 9F 16MM 5CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BL 7.5X8X20MM 110CM,5285.0,5285.0,369.95,5285.0,71
HCPCS,C1725,CATH BLN .018 5X150X80,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLN .035IN 7FR 12MM,6850.0,6850.0,479.5,6850.0,71
HCPCS,C1725,CATH BLN .035IN 8FR 16MM,7193.0,7193.0,503.51,7193.0,71
HCPCS,C1725,CATH BLN 10FR 22MM,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH BLN 10MM 75CM 5.8FR,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLN 10X100MM 130CM,2999.0,2999.0,209.93,2999.0,71
HCPCS,C1725,CATH BLN 12FR 26MM 120CM,9716.0,9716.0,680.12,9716.0,142
HCPCS,C1725,CATH BLN 13.5MM1.35X50CM,9835.0,9835.0,688.45,9835.0,71
HCPCS,C1725,CATH BLN 16MM 110CM,18939.0,18939.0,1325.73,18939.0,71
HCPCS,C1725,CATH BLN 18MM 110CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BLN 20MM 80CM,6599.0,6599.0,461.93,6599.0,71
HCPCS,C1725,CATH BLN 20X4CM ZMEDX,11756.0,11756.0,822.92,11756.0,71
HCPCS,C1725,CATH BLN 22X4.5X110MM,11566.0,11566.0,809.62,11566.0,71
HCPCS,C1725,CATH BLN 26MM 6CM,21324.0,21324.0,1492.68,21324.0,71
HCPCS,C1725,CATH BLN 28MM 6CM,22348.0,22348.0,1564.36,22348.0,71
HCPCS,C1725,CATH BLN 3.5MM 15MM,11723.0,11723.0,820.61,11723.0,71
HCPCS,C1725,CATH BLN 3.5X60MM 140CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLN 30MM 110CM,18390.0,18390.0,1162.7,20170.0,213
HCPCS,C1725,CATH BLN 35MM 110CM,18505.5,18505.5,1265.04,18939.0,142
HCPCS,C1725,CATH BLN 3MM 15MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLN 3MM 1CM 80CM,10275.0,10275.0,719.25,10275.0,71
HCPCS,C1725,CATH BLN 40MM 110CM,18072.0,18072.0,1265.04,18072.0,142
HCPCS,C1725,CATH BLN 45MM 110CM,20170.0,20170.0,1265.04,21884.0,213
HCPCS,C1725,CATH BLN 4CM 110CM,22348.0,22348.0,1564.36,22348.0,71
HCPCS,C1725,CATH BLN 4MM 20MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLN 4MM 2CM 80CM,10275.0,10275.0,719.25,10275.0,71
HCPCS,C1725,CATH BLN 4X15MM 137CM,12594.0,12594.0,881.58,12594.0,71
HCPCS,C1725,CATH BLN 5.5FR 7MM 75CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLN 50MM 110CM,16214.5,16214.5,1054.62,18939.0,355
HCPCS,C1725,CATH BLN 5MM 2CM 80CM,10275.0,10275.0,719.25,10275.0,71
HCPCS,C1725,CATH BLN 5MM 75CM 5.5FR,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLN 5X435X80MM,8779.0,8779.0,614.53,8779.0,71
HCPCS,C1725,CATH BLN 6FR 8MM 75CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLN 7F 14MM 120CM,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLN 7FR 12MM 120CM,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLN 7FR 14MM 120CM,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLN 8F 16MM 120CM,6615.0,6615.0,463.05,6615.0,71
HCPCS,C1725,CATH BLN 8FR 10MM 110CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BLN 8FR 12MM 110CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BLN 8FR 14MM 110CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BLN 8FR 18MM 120CM,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLN 8FR 20MM 110CM,20170.0,20170.0,1411.9,20170.0,71
HCPCS,C1725,CATH BLN 9FR 20MM,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH BLN 9FR 20MM 100CM,21884.0,21884.0,1531.88,21884.0,71
HCPCS,C1725,CATH BLN ANG 2.5X137X10,11723.0,11723.0,820.61,11723.0,71
HCPCS,C1725,CATH BLN ANG 2.5X137X15,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BLN ANG 2X137X10,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BLN ANG 2X137X15,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BLN ANG 3.5X137X10,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BLN ANG 3X137X10,11599.0,11599.0,811.93,11599.0,71
HCPCS,C1725,CATH BLN ANGIO 2.50X08MM,4123.0,4123.0,288.61,4123.0,71
HCPCS,C1725,CATH BLN ANGSCLPT 15X3.0,12428.0,12428.0,869.96,12428.0,71
HCPCS,C1725,CATH BLN ATLS+9X20X120X2,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH BLN DL4X120MM 150CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLND 9.5MM .95X50CM,9835.0,9835.0,688.45,9835.0,71
HCPCS,C1725,CATH BLNDIL .035 5F 5X80,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1725,CATH BLNDIL .035 5F 7X80,4123.0,4123.0,288.61,4123.0,71
HCPCS,C1725,CATH BLNDIL 1.5MM 12MM,3713.0,3713.0,196.77,3936.0,213
HCPCS,C1725,CATH BLNDIL 1.5MM 15MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 1.5MM 20MM,4779.5,4779.5,275.52,5623.0,142
HCPCS,C1725,CATH BLNDIL 1.5MM 8MM,3713.0,3713.0,259.91,3713.0,71
HCPCS,C1725,CATH BLNDIL 10 ATM 9,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH BLNDIL 10MM 20MM,5266.5,5266.5,343.7,5623.0,213
HCPCS,C1725,CATH BLNDIL 10MM 2X100CM,9962.0,9962.0,697.34,9962.0,71
HCPCS,C1725,CATH BLNDIL 10MM 2X65CM,11095.0,11095.0,776.65,11095.0,71
HCPCS,C1725,CATH BLNDIL 10MM 2X90CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 10MM 30MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 10MM 3X90CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 10MM 40MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 10MM 4X100CM,9023.5,9023.5,462.98,11433.0,142
HCPCS,C1725,CATH BLNDIL 10MM 60MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 10MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 10X150CM 7MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 10X40MM 75CM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1725,CATH BLNDIL 11MM 2X90CM,12755.0,12755.0,892.85,12755.0,71
HCPCS,C1725,CATH BLNDIL 12MM 135X4CM,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1725,CATH BLNDIL 12MM 20MM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1725,CATH BLNDIL 12MM 2X100CM,11085.0,11085.0,751.59,11433.0,142
HCPCS,C1725,CATH BLNDIL 12MM 2X90CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 12MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 12MM 3X90CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 12MM 40MM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1725,CATH BLNDIL 12MM 4X100CM,11365.0,11365.0,751.59,11993.0,142
HCPCS,C1725,CATH BLNDIL 12MM 4X90CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 12MM 5X100CM,10737.0,10737.0,751.59,10737.0,71
HCPCS,C1725,CATH BLNDIL 12MM 75X4CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 145CM 40MM,5623.0,5623.0,393.61,5623.0,213
HCPCS,C1725,CATH BLNDIL 14MM 120CM,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLNDIL 14MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 14MM 4CM,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLNDIL 14MM 4X100CM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1725,CATH BLNDIL 14X20MM 75CM,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLNDIL 150CM 150MM,6058.0,6058.0,424.06,6058.0,71
HCPCS,C1725,CATH BLNDIL 15MM 1.50MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 15MM 1.5MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 15MM 3X100CM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1725,CATH BLNDIL 15MM 4.00MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 15MM 4X100CM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1725,CATH BLNDIL 15MM 5X100CM,11248.5,11248.5,774.48,11433.0,142
HCPCS,C1725,CATH BLNDIL 16MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 16MM 40MM,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLNDIL 16MM 4X100CM,11713.0,11713.0,800.31,11993.0,142
HCPCS,C1725,CATH BLNDIL 18MM 40MM,6615.0,6615.0,463.05,6615.0,71
HCPCS,C1725,CATH BLNDIL 18MM 4X100CM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1725,CATH BLNDIL 18MM 5X100CM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1725,CATH BLNDIL 18MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 2.25MM 135CM,17991.0,17991.0,1259.37,17991.0,71
HCPCS,C1725,CATH BLNDIL 2.25MM 20MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 2.25MM 6MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 2.50X20MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 2.5MM 12MM,3262.0,3262.0,196.77,3713.0,142
HCPCS,C1725,CATH BLNDIL 2.5MM 15MM,3262.0,3262.0,196.77,3713.0,142
HCPCS,C1725,CATH BLNDIL 2.5MM 20MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 2.5MM 220MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 2.5MM 30MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 2.5MM 60MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 2.5MM 6MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 2.5MM 8MM,3373.5,3373.5,196.77,3936.0,213
HCPCS,C1725,CATH BLNDIL 2.5MM0MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 2.75MM 20MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 2.75MM 6MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 2.75MM 8MM,4029.5,4029.5,275.52,4123.0,142
HCPCS,C1725,CATH BLNDIL 20MM 1.5MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 20MM 20MM,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH BLNDIL 20MM 4X100CM,11085.0,11085.0,751.59,11433.0,213
HCPCS,C1725,CATH BLNDIL 20MM 5X100CM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1725,CATH BLNDIL 20MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 20X4.5X110,12842.0,12842.0,898.94,12842.0,71
HCPCS,C1725,CATH BLNDIL 22MM 20MM,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH BLNDIL 22MM 5X100CM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1725,CATH BLNDIL 22MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 22MM 75CM,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH BLNDIL 23MM 6X100CM,12094.0,12094.0,800.31,12755.0,142
HCPCS,C1725,CATH BLNDIL 24MM 20MM,9716.0,9716.0,680.12,9716.0,71
HCPCS,C1725,CATH BLNDIL 24MM 40MM,9716.0,9716.0,680.12,9716.0,71
HCPCS,C1725,CATH BLNDIL 25MM 4X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 25MM 6X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 26MM 4X100CM,11993.0,11993.0,839.51,11993.0,71
HCPCS,C1725,CATH BLNDIL 28MM 4X100CM,11993.0,11993.0,839.51,11993.0,71
HCPCS,C1725,CATH BLNDIL 28X4.5X110,12842.0,12842.0,898.94,12842.0,71
HCPCS,C1725,CATH BLNDIL 2MM 100MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 2MM 12MM,3373.5,3373.5,196.77,3936.0,213
HCPCS,C1725,CATH BLNDIL 2MM 150MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 2MM 15MM,3373.5,3373.5,196.77,3936.0,284
HCPCS,C1725,CATH BLNDIL 2MM 20MM,4779.5,4779.5,275.52,5623.0,142
HCPCS,C1725,CATH BLNDIL 2MM 30MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 2MM 40MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 2MM 6MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 2MM 8MM,2811.0,2811.0,196.77,2811.0,142
HCPCS,C1725,CATH BLNDIL 2MM 8MM LUM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 2MM0MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 2X15MM 137CM,12594.0,12594.0,881.58,12594.0,71
HCPCS,C1725,CATH BLNDIL 3.25MM 15MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 3.5MM 12MM,3373.5,3373.5,196.77,3936.0,213
HCPCS,C1725,CATH BLNDIL 3.5MM 15MM,3824.5,3824.5,259.91,3936.0,142
HCPCS,C1725,CATH BLNDIL 3.5MM 20MM,4668.0,4668.0,259.91,5623.0,142
HCPCS,C1725,CATH BLNDIL 3.5MM 220MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 3.5MM 2X80CM,8796.0,8796.0,615.72,8796.0,71
HCPCS,C1725,CATH BLNDIL 3.5MM 30MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 3.5MM 6MM,7412.5,7412.5,196.77,12014.0,142
HCPCS,C1725,CATH BLNDIL 3.5MM 8MM,3824.5,3824.5,259.91,3936.0,142
HCPCS,C1725,CATH BLNDIL 3.5MM0MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 3.75MM 12MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 3.75MM 20MM,3713.0,3713.0,259.91,3713.0,71
HCPCS,C1725,CATH BLNDIL 3.75MM 30MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 3.75MM 8MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 30MM 4X100CM,11993.0,11993.0,839.51,11993.0,71
HCPCS,C1725,CATH BLNDIL 3F 6MMX1CM,12755.0,12755.0,892.85,12755.0,71
HCPCS,C1725,CATH BLNDIL 3MM 100MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 3MM 12MM,3157.0,3157.0,196.77,3503.0,213
HCPCS,C1725,CATH BLNDIL 3MM 15MM,3824.5,3824.5,259.91,3936.0,142
HCPCS,C1725,CATH BLNDIL 3MM 20MM,4910.0,4910.0,196.77,5623.0,426
HCPCS,C1725,CATH BLNDIL 3MM 220MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 3MM 2X80CM,8796.0,8796.0,615.72,8796.0,71
HCPCS,C1725,CATH BLNDIL 3MM 30MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 3MM 40MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 3MM 6MM,12014.0,12014.0,840.98,12014.0,71
HCPCS,C1725,CATH BLNDIL 3MM 8MM,2811.0,2811.0,196.77,2811.0,142
HCPCS,C1725,CATH BLNDIL 3MM 8MM LUM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 3MM0MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 3X15MM 137CM,12594.0,12594.0,881.58,12594.0,71
HCPCS,C1725,CATH BLNDIL 3X30X80CM,6599.0,6599.0,461.93,6599.0,71
HCPCS,C1725,CATH BLNDIL 4.50X12MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4.50X15MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4.50X20MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4.50X8MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4.5MM 12MM,3373.5,3373.5,196.77,3936.0,142
HCPCS,C1725,CATH BLNDIL 4.5MM 15MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4.5MM 20MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4.5MM 6MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4.5MM 8MM,2811.0,2811.0,196.77,2811.0,142
HCPCS,C1725,CATH BLNDIL 4MM 100MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 4MM 12MM,2811.0,2811.0,196.77,2811.0,213
HCPCS,C1725,CATH BLNDIL 4MM 15MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4MM 170X8CM,6858.0,6858.0,480.06,6858.0,71
HCPCS,C1725,CATH BLNDIL 4MM 200MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 4MM 20MM,4910.0,4910.0,196.77,5623.0,284
HCPCS,C1725,CATH BLNDIL 4MM 220MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 4MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 4MM 30MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 4MM 40MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 4MM 60MM,5304.0,5304.0,371.28,5304.0,71
HCPCS,C1725,CATH BLNDIL 4MM 6MM,7975.0,7975.0,275.52,12014.0,142
HCPCS,C1725,CATH BLNDIL 4MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 4MM 80MM,5304.0,5304.0,371.28,5304.0,71
HCPCS,C1725,CATH BLNDIL 4MM 8MM,2811.0,2811.0,196.77,2811.0,142
HCPCS,C1725,CATH BLNDIL 4MM 8MM LUM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 4MM0MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 4X20MM 150CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 5.00X12MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 5.00X15MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 5.00X20MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 5.00X8MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 5.5MM 12MM,2811.0,2811.0,196.77,2811.0,142
HCPCS,C1725,CATH BLNDIL 5.5MM 8MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 5MM 100MM,4910.0,4910.0,343.7,4910.0,142
HCPCS,C1725,CATH BLNDIL 5MM 12MM,3262.0,3262.0,196.77,3713.0,142
HCPCS,C1725,CATH BLNDIL 5MM 150MM,6058.0,6058.0,424.06,6058.0,71
HCPCS,C1725,CATH BLNDIL 5MM 15MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH BLNDIL 5MM 20MM,4910.0,4910.0,275.52,5623.0,426
HCPCS,C1725,CATH BLNDIL 5MM 220MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 5MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 5MM 2X70CM,11064.0,11064.0,774.48,11064.0,71
HCPCS,C1725,CATH BLNDIL 5MM 40MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 5MM 60MM,4930.5,4930.5,343.7,4951.0,142
HCPCS,C1725,CATH BLNDIL 5MM 80MM,4930.5,4930.5,343.7,4951.0,142
HCPCS,C1725,CATH BLNDIL 5MM 8MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 5X20MM 90CM,11517.0,11517.0,806.19,11517.0,71
HCPCS,C1725,CATH BLNDIL 6MM 100MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 6MM 12MM,2811.0,2811.0,196.77,2811.0,142
HCPCS,C1725,CATH BLNDIL 6MM 135X8CM,3186.0,3186.0,223.02,3186.0,71
HCPCS,C1725,CATH BLNDIL 6MM 150MM,6058.0,6058.0,424.06,6058.0,71
HCPCS,C1725,CATH BLNDIL 6MM 20MM,4910.0,4910.0,196.77,5623.0,284
HCPCS,C1725,CATH BLNDIL 6MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 6MM 2X70CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 6MM 2X80CM,10275.0,10275.0,719.25,10275.0,71
HCPCS,C1725,CATH BLNDIL 6MM 3.75MM,12014.0,12014.0,840.98,12014.0,71
HCPCS,C1725,CATH BLNDIL 6MM 30MM,5304.0,5304.0,371.28,5304.0,71
HCPCS,C1725,CATH BLNDIL 6MM 3X100CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 6MM 3X70CM,12755.0,12755.0,892.85,12755.0,71
HCPCS,C1725,CATH BLNDIL 6MM 40MM,4951.0,4951.0,343.7,5623.0,213
HCPCS,C1725,CATH BLNDIL 6MM 50CM 2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 6MM 60MM,5304.0,5304.0,343.7,5623.0,213
HCPCS,C1725,CATH BLNDIL 6MM 75CM,5623.0,5623.0,393.61,5623.0,142
HCPCS,C1725,CATH BLNDIL 6MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 6MM 80MM,4930.5,4930.5,343.7,4951.0,142
HCPCS,C1725,CATH BLNDIL 6MM 8MM,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1725,CATH BLNDIL 6X20MM 90CM,11517.0,11517.0,806.19,11517.0,71
HCPCS,C1725,CATH BLNDIL 7F 14X120X2,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLNDIL 7MM 100MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 7MM 120MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 7MM 20MM,5266.5,5266.5,343.7,5623.0,213
HCPCS,C1725,CATH BLNDIL 7MM 2X100CM,9040.0,9040.0,632.8,9040.0,71
HCPCS,C1725,CATH BLNDIL 7MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 7MM 2X70CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 7MM 3X70CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 7MM 40MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 7MM 60MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 7MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 7MM 80MM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1725,CATH BLNDIL 7MM 90CM,11517.0,11517.0,806.19,11517.0,71
HCPCS,C1725,CATH BLNDIL 8FR 18X120X2,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLNDIL 8MM 20MM,5266.5,5266.5,343.7,5623.0,213
HCPCS,C1725,CATH BLNDIL 8MM 2X100CM,9040.0,9040.0,632.8,9040.0,71
HCPCS,C1725,CATH BLNDIL 8MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 8MM 2X70CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 8MM 3X100CM,9040.0,9040.0,632.8,9040.0,71
HCPCS,C1725,CATH BLNDIL 8MM 3X70CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 8MM 40MM,5623.0,5623.0,393.61,5623.0,142
HCPCS,C1725,CATH BLNDIL 8MM 4X100CM,10421.0,10421.0,729.47,10421.0,71
HCPCS,C1725,CATH BLNDIL 8MM 4X70CM,12755.0,12755.0,892.85,12755.0,71
HCPCS,C1725,CATH BLNDIL 8MM 60MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 8MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 8MM 75X4CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 8X2X90,11517.0,11517.0,806.19,11517.0,71
HCPCS,C1725,CATH BLNDIL 9MM 20MM,5266.5,5266.5,343.7,5623.0,213
HCPCS,C1725,CATH BLNDIL 9MM 2X100CM,9040.0,9040.0,632.8,9040.0,71
HCPCS,C1725,CATH BLNDIL 9MM 2X110CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 9MM 2X65CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 9MM 2X90CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 9MM 30MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 9MM 3X100CM,9158.0,9158.0,641.06,9158.0,71
HCPCS,C1725,CATH BLNDIL 9MM 3X70CM,11064.0,11064.0,774.48,11064.0,71
HCPCS,C1725,CATH BLNDIL 9MM 3X90CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1725,CATH BLNDIL 9MM 40MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 9MM 60MM,5266.5,5266.5,343.7,5623.0,142
HCPCS,C1725,CATH BLNDIL 9MM 75X2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL 9X40MM 75CM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1725,CATH BLNDIL CQ7552,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDIL LG DIA 8,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1725,CATH BLNDIL.035 5FR 5X4,4123.0,4123.0,288.61,4123.0,71
HCPCS,C1725,CATH BLNDL 10X40MM120CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDL 14X6 110CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDL 21MM 110CM,11566.0,11566.0,809.62,11566.0,71
HCPCS,C1725,CATH BLNDL 23MM 110CM,11566.0,11566.0,809.62,11566.0,71
HCPCS,C1725,CATH BLNDL 25MM 110CM,11566.0,11566.0,809.62,11566.0,71
HCPCS,C1725,CATH BLNDL 2X20MM90CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDL 6FR 8MM 120X4,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH BLNDL LG D 10FR 22,8001.0,8001.0,560.07,8001.0,71
HCPCS,C1725,CATH DIL 12MMX2CM 100CM,11566.0,11566.0,809.62,11566.0,71
HCPCS,C1725,CATH INTVN .014IN 135CM,14831.0,14831.0,1038.17,14831.0,71
HCPCS,C1725,CATH MUST 5MM 40MM 135CM,4951.0,4951.0,346.57,4951.0,71
HCPCS,C1725,CATH MUST 8MM 40MM 75CM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1725,CATH PERC 4X5FR 80X2CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH PTCA BLN 3.0MMX15MM,3936.0,3936.0,275.52,3936.0,71
HCPCS,C1725,CATH PWRFLX 10X20MM 80CM,4986.0,4986.0,349.02,4986.0,71
HCPCS,C1725,CATH PWRFLX 6X20MM 80CM,4986.0,4986.0,349.02,4986.0,71
HCPCS,C1725,CATH PWRFLX 7X20MM 80CM,4597.0,4597.0,321.79,4597.0,71
HCPCS,C1725,CATH PWRFLX 8X20MM 80CM,4986.0,4986.0,349.02,4986.0,71
HCPCS,C1725,CATH PWRFLX 9X20MM 80CM,4873.0,4873.0,341.11,4873.0,71
HCPCS,C1725,CATH SZNG 25 3X80CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH ULTSND IVL 6X60MM,57167.0,57167.0,4001.69,57167.0,71
HCPCS,C1725,CATH VASC 100CM 5F 5.4MM,37283.0,37283.0,2609.81,37283.0,71
HCPCS,C1725,CATH VASC 19F 1CM 23CM,7279.0,7279.0,509.53,7279.0,71
HCPCS,C1725,CATH VASC 2.6F 50CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATH VASC 25F20CM 55CM,10243.0,10243.0,717.01,10243.0,71
HCPCS,C1725,CATH VASC 5FR 60CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1725,CATHETER ANGIO 60CM 4FR,4685.0,4685.0,327.95,4685.0,71
HCPCS,C1725,CATHETER ANGIO 80CM 4FR,4685.0,4685.0,327.95,4685.0,71
HCPCS,C1725,CATHETER BLN .035IN 5.8F,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATHETER BLN .035X5.8X87,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1725,CATHETER BLNDIL .035IN 6,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,BLN URE URMX 6-10X6X75,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,BLN URE URMX 6-4X6X75,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,BLNDIL ENDO 3.0CM 75CM,6630.0,6630.0,464.1,6630.0,213
HCPCS,C1726,BLNDIL ENDO 5.5CM 75CM,6630.0,6630.0,464.1,6630.0,142
HCPCS,C1726,BLNDIL ENDO 7.5FR 180CM,5623.0,5623.0,393.61,5623.0,497
HCPCS,C1726,BLNDIL ENDO 7.5FR 240CM,5623.0,5623.0,393.61,5623.0,426
HCPCS,C1726,CATH ABL FOCL 60 4X160,21359.0,21359.0,1495.13,21359.0,71
HCPCS,C1726,CATH ABL FOCL UL L 4X160,35775.0,35775.0,2504.25,35775.0,71
HCPCS,C1726,CATH BLN SINUS 5MM 16MM,33604.0,33604.0,2352.28,33604.0,71
HCPCS,C1726,CATH BLN SINUS 6MM 16MM,33604.0,33604.0,2352.28,33604.0,71
HCPCS,C1726,CATH BLN URTH 24FR 5CM,68269.0,68269.0,4778.83,68269.0,71
HCPCS,C1726,CATH BLN URTH 30FR 5CM,68269.0,68269.0,4778.83,68269.0,71
HCPCS,C1726,CATH BLN URTH RX 30F 3CM,56338.0,56338.0,3943.66,56338.0,71
HCPCS,C1726,CATH BLNDIL 18FR 10CM,6516.0,6516.0,456.12,6516.0,71
HCPCS,C1726,CATH BLNDIL 18FR 4CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,CATH BLNDIL 30FR 12CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,CATH BLNDIL 4MM 4X180CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,CATH BLNDIL 6MM 2X180CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,CATH BLNDIL 8MM 4X180CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,CATH BLNDIL BRNCH 5X24MM,12008.0,12008.0,840.56,12008.0,71
HCPCS,C1726,CATH BLNDIL SINUS 5X16MM,13459.0,13459.0,942.13,13459.0,71
HCPCS,C1726,CATH BLNDIL SINUS 6X16MM,13459.0,13459.0,942.13,13459.0,71
HCPCS,C1726,CATH BLNDIL SINUS 7X16MM,13459.0,13459.0,942.13,13459.0,71
HCPCS,C1726,CATH DIL BLN 145CM 13MM,24789.0,24789.0,1735.23,24789.0,71
HCPCS,C1726,CATH EP L160 HALO ABLT,26628.0,26628.0,1863.96,26628.0,71
HCPCS,C1726,CATHETER BIL ULTSND BLN,6324.0,6324.0,442.68,6324.0,71
HCPCS,C1726,DILATOR BLN 8-9-10MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,DILATOR BLN 8X180CM,5297.0,5297.0,347.97,5623.0,284
HCPCS,C1726,DILATOR ENDO 6-7-8MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,KIT CATH BLND 30FR 12CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,KIT NPHSTM 30F 10MM 15CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1726,SET CATH DLVR 9FR 79CM,6173.0,6173.0,432.11,6173.0,71
HCPCS,C1726,SET DILATORS W CATH 16CM,8175.0,8175.0,572.25,8175.0,71
HCPCS,C1726,SYSTEM BLN 6MM 20MM,27224.0,27224.0,1905.68,27224.0,71
HCPCS,C1726,SYSTEM BLNDIL 14MM 40MM,12742.0,12742.0,891.94,12742.0,71
HCPCS,C1726,SYSTEM BLNDIL 14X40MM,12742.0,12742.0,891.94,12742.0,71
HCPCS,C1726,SYSTEM BLNDIL 16X40MM,12742.0,12742.0,891.94,12742.0,71
HCPCS,C1726,SYSTEM BLNDIL 7X24MM,12008.0,12008.0,840.56,12008.0,71
HCPCS,C1726,SYSTEM BLNDIL 85X24MM,12008.0,12008.0,840.56,12008.0,71
HCPCS,C1726,SYSTEM BLNDIL TUBE EUST,27778.0,27778.0,1944.46,27778.0,71
HCPCS,C1726,SYSTEM EBB COMPLETE TAMP,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,CATH 19G 5FR 20CM,927.0,927.0,64.89,927.0,71
HCPCS,C1729,CATH 28F ST THORIAC,1320.0,1320.0,92.4,1320.0,71
HCPCS,C1729,CATH DRAIN 10FR 30CM,2305.5,2305.5,160.09,2324.0,142
HCPCS,C1729,CATH DRAIN 8FR 30CM,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1729,CATH DRAIN THRMB 36FR ST,1232.0,1232.0,86.24,1232.0,71
HCPCS,C1729,CATH DRN 10.2FR 25CM,2567.0,2567.0,179.69,2567.0,71
HCPCS,C1729,CATH DRN 10.2FR 60CM,4404.0,4404.0,308.28,4404.0,71
HCPCS,C1729,CATH DRN 12FR 16IN,348.0,348.0,24.36,348.0,71
HCPCS,C1729,CATH DRN 12FR 25CM,2445.5,2445.5,162.68,2567.0,142
HCPCS,C1729,CATH DRN 12FR 30CM,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1729,CATH DRN 14FR 25CM MCLC,2567.0,2567.0,179.69,2567.0,71
HCPCS,C1729,CATH DRN 19FR,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1729,CATH DRN 2 EYE 14FR,1434.0,1434.0,100.38,1434.0,71
HCPCS,C1729,CATH DRN 2 EYE 16FR,1431.0,1431.0,100.17,1431.0,71
HCPCS,C1729,CATH DRN 20FR 22IN,389.0,389.0,27.23,389.0,71
HCPCS,C1729,CATH DRN 25FR,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1729,CATH DRN 40FR 20IN ARGYL,1364.0,1364.0,95.48,1364.0,71
HCPCS,C1729,CATH DRN 6.3FR 25CM DW,2399.0,2399.0,167.93,2399.0,71
HCPCS,C1729,CATH DRN 6F 2.1X150MM,3787.0,3787.0,265.09,3787.0,71
HCPCS,C1729,CATH DRN 6F 2.1X250MM,4725.0,4725.0,330.75,4725.0,71
HCPCS,C1729,CATH DRN 8.5FR 25CM,2483.0,2483.0,167.93,2567.0,142
HCPCS,C1729,CATH DRN 8F 2.7X350MM,3787.0,3787.0,265.09,3787.0,71
HCPCS,C1729,CATH DRN 8FR 30CM,2305.5,2305.5,160.09,2324.0,142
HCPCS,C1729,CATH DRN BIL 10.2FR 40CM,2624.0,2624.0,183.68,2624.0,71
HCPCS,C1729,CATH DRN BIL 12FR 40CM,2624.0,2624.0,183.68,2624.0,71
HCPCS,C1729,CATH DRN BIL 14FR 40CM,2624.0,2624.0,183.68,2624.0,71
HCPCS,C1729,CATH DRN BIL 8.5F 40,2624.0,2624.0,183.68,2624.0,71
HCPCS,C1729,CATH DRN BLNDL 12F 25CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1729,CATH DRN L30CM OD10FR,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1729,CATH DRN L30CM OD12FR,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1729,CATH DRN L30CM OD14FR,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1729,CATH DRN L30CM OD6.5FR,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1729,CATH DRN MLCT 30F 4WNG,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,CATH DRN NEPH 12FR 30CM,2287.0,2287.0,160.09,2287.0,71
HCPCS,C1729,CATH DRN PRTN 2.5MM 90CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1729,CATH DRN RT 12FR 16IN,424.0,424.0,29.68,424.0,71
HCPCS,C1729,CATH DRN SKTR 8FR L25CM,2474.0,2474.0,173.18,2474.0,71
HCPCS,C1729,CATH DRN THOR 20FR 22IN,343.0,343.0,24.01,343.0,71
HCPCS,C1729,CATH DRN W/MKR 14FR 35CM,2921.0,2921.0,204.47,2921.0,71
HCPCS,C1729,CATH EXT DRA VNTRC,5784.0,5784.0,404.88,5784.0,71
HCPCS,C1729,CATH MALECOT 10FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,CATH MLCT 12FR SIL,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,CATH MLCT 20FR 4-WING,637.0,637.0,44.59,637.0,71
HCPCS,C1729,CATH MLCT 24FR 4-WING,637.0,637.0,44.59,637.0,71
HCPCS,C1729,CATH MLCT 26FR 4-WING,618.0,618.0,43.26,618.0,71
HCPCS,C1729,CATH MLCT 36FR 35CM,1199.0,1199.0,83.93,1199.0,71
HCPCS,C1729,CATH MLCT 4 WNG 22FR,540.0,540.0,37.8,540.0,71
HCPCS,C1729,CATH NPHSTM 12FR 4 WING,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,CATH NPHSTM 16FR,637.0,637.0,44.59,637.0,71
HCPCS,C1729,CATH NPHSTM 28FR,614.0,614.0,42.98,614.0,71
HCPCS,C1729,CATH NPHSTM 36FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,CATH NPHSTM 8FR 26CM,2837.0,2837.0,198.59,2837.0,71
HCPCS,C1729,CATH SIL THORACIC 24FR,979.0,979.0,68.53,979.0,71
HCPCS,C1729,CATH THOR 16FR 20IN,329.0,329.0,23.03,329.0,71
HCPCS,C1729,CATH THOR 36FR RT ANG,690.0,690.0,48.3,690.0,71
HCPCS,C1729,CATH THOR DRN 16FR 16IN,349.0,349.0,24.43,349.0,71
HCPCS,C1729,CATH THOR RT ANG 28FR,400.0,400.0,28.0,400.0,71
HCPCS,C1729,CATH THOR RT ANG 32FR,720.0,720.0,50.4,720.0,71
HCPCS,C1729,CATH URTH FL 10F 12IN 2W,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,CATH URTH FL 8FR 12IN 2W,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,CATH VENT 1.5FR 33CM,5629.0,5629.0,394.03,5629.0,71
HCPCS,C1729,CATH VENTRCLR SM L18,5898.0,5898.0,412.86,5898.0,71
HCPCS,C1729,CATH XTRN CSF DRN 1.5MM,10790.0,10790.0,755.3,10790.0,71
HCPCS,C1729,CATH XTRN CSF DRN 1.9MM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1729,CATH XTRN DRN .7X1.5MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1729,CATHETER DRN 10FR 25CM,2249.0,2249.0,157.43,2249.0,71
HCPCS,C1729,CATHETER DRN 16FR 10IN A,791.0,791.0,55.37,791.0,71
HCPCS,C1729,CATHETER DRN 18FR 40CM,3317.0,3317.0,232.19,3317.0,71
HCPCS,C1729,CATHETER DRN 5FR 10CM 1S,1009.0,1009.0,70.63,1009.0,71
HCPCS,C1729,CTHDRN MLCT SFT 10.2F 25,1722.0,1722.0,120.54,1722.0,71
HCPCS,C1729,KIT DCMPRS 14FR 175CM,4873.0,4873.0,341.11,4873.0,71
HCPCS,C1729,KIT DRN PLR W/CATH,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1729,KIT XTRN DRN LMBR 80CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1729,SET CATH NPHS 24FR 35CM,2321.0,2321.0,162.47,2321.0,71
HCPCS,C1729,SET DRN 20FR 41CM,3636.0,3636.0,254.52,3636.0,71
HCPCS,C1729,SET DRN 25CM 8.3FR 18GA,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1729,SET DRN PCV 41CM 18FR,3636.0,3636.0,254.52,3636.0,71
HCPCS,C1729,TUBE T CATTEL 16FR,468.0,468.0,32.76,468.0,71
HCPCS,C1730,CATH ABL 7FR 115CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1730,CATH CRYO 6FR 108CM,20713.0,20713.0,1449.91,20713.0,71
HCPCS,C1730,CATH EP 3.3FR 165CM,12428.0,12428.0,869.96,12428.0,71
HCPCS,C1730,CATH EP 4FR 120CM,5435.0,5435.0,380.45,5435.0,71
HCPCS,C1730,CATH EP 5FR 110CM,6572.5,6572.5,440.09,6858.0,284
HCPCS,C1730,CATH EP 5FR 2-5-2MM 80CM,3253.0,3253.0,227.71,3253.0,71
HCPCS,C1730,CATH EP 5FR 5X120CM,3224.0,3224.0,225.68,3224.0,71
HCPCS,C1730,CATH EP 6F 10MM 125CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1730,CATH EP 6F 5MM 110CM,6858.0,6858.0,480.06,6858.0,71
HCPCS,C1730,CATH EP 6FR 105CM,8459.0,8459.0,592.13,8459.0,71
HCPCS,C1730,CATH EP 6FR 110CM,6287.0,6287.0,440.09,6287.0,71
HCPCS,C1730,CATH EP 6FR 92CM,7018.0,7018.0,183.26,10219.0,213
HCPCS,C1730,CATH EP J 2-5-2X120 5FR,3224.0,3224.0,225.68,3224.0,71
HCPCS,C1730,CATH EP J 2-5-2X120 6FR,3224.0,3224.0,225.68,3224.0,71
HCPCS,C1730,CATH EP MD 2-5-2X110 6FR,6287.0,6287.0,440.09,6287.0,71
HCPCS,C1730,CATH EP MD 5X110 5FR,6287.0,6287.0,440.09,6287.0,71
HCPCS,C1730,CATH EP Q C5-5-5X120 4FR,5435.0,5435.0,380.45,5435.0,71
HCPCS,C1730,CATHETER EP 120CM 6FR,971.0,971.0,67.97,971.0,71
HCPCS,C1730,CATHETER EP 2-5-2MM SPC,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1730,CATHETER EP 4FR 120CM,925.0,925.0,64.75,925.0,71
HCPCS,C1730,CTHEP FXD QP 6F A1 005,886.0,886.0,62.02,886.0,71
HCPCS,C1731,CATH EP LG 2-5-2X110 6FR,6858.0,6858.0,480.06,6858.0,71
HCPCS,C1731,DISTRACTOR BN 32H 30MM,137664.0,137664.0,15143.04,137664.0,57
HCPCS,C1732,CATH ABL 7FR 115CM,16885.0,16885.0,1181.95,16885.0,71
HCPCS,C1732,CATH EP 6FR 105CM,3253.0,3253.0,216.86,8459.0,213
HCPCS,C1732,CATH EP 6FR 92CM,4372.0,4372.0,306.04,4372.0,71
HCPCS,C1732,CATH MAP 13X13MM 105CM,32312.0,32312.0,2261.84,32312.0,71
HCPCS,C1732,CATHETER MAP BI-DIR,4511.0,4511.0,315.77,4511.0,71
HCPCS,C1733,CATH ABL 7FR 2.5MM 4MM,11433.0,11433.0,800.31,11433.0,213
HCPCS,C1733,CATH ABL 8/7FR 2.5MM 5MM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1733,CATH ABL 8FR 110CM,19470.0,19470.0,1362.9,19470.0,142
HCPCS,C1733,CATH CRYO BLUEMED 3F MED,25684.0,25684.0,1797.88,25684.0,71
HCPCS,C1733,CATHETER CRYABL FRZR MAX,25684.0,25684.0,1797.88,25684.0,71
HCPCS,C1734,GRAFT BN ALGRF INJ 1.5CC,23925.0,23925.0,2631.75,23925.0,57
HCPCS,C1734,GRAFT BN ALGRF INJ 3.0CC,47850.0,47850.0,5263.5,47850.0,57
HCPCS,C1734,STABILIZER BN 11MM 160MM,53944.0,53944.0,5933.84,53944.0,57
HCPCS,C1734,STABILIZER BN 15MM 180MM,64733.0,64733.0,7120.63,64733.0,57
HCPCS,C1734,STABILIZER BN 15X280MM,63192.0,63192.0,6951.12,63192.0,57
HCPCS,C1734,STABILIZER BN 17MM 260MM,63973.0,63973.0,7037.03,63973.0,57
HCPCS,C1734,STABILIZER BN 17X180MM,58568.0,58568.0,6442.48,58568.0,57
HCPCS,C1734,STABILIZR BN 22/13X220MM,74227.0,74227.0,8164.97,74227.0,57
HCPCS,C1734,STABILIZR BN 22/13X260MM,75953.0,75953.0,8354.83,75953.0,57
HCPCS,C1734,STBLZR BN 11X220MM,57027.0,57027.0,6272.97,57027.0,57
HCPCS,C1734,STBLZR BN 17X280MM,64733.0,64733.0,7120.63,64733.0,57
HCPCS,C1734,STBLZR BN 22.13X220MM,66274.0,66274.0,7290.14,66274.0,57
HCPCS,C1737,IMPLANT SPN 8.7MM 145MM,63282.0,63282.0,6961.02,63282.0,52
HCPCS,C1737,IMPLANT SPN PLVC 8.7X160,63282.0,63282.0,6961.02,63282.0,52
HCPCS,C1738,"Powered, single-use (i.e. disposable) endoscopic ultrasound-guided biopsy device ",,,21.25,31.98,6
HCPCS,C1740,"Leadless electrode, transmitter, battery (all implantable), for sequential left ventricular pacing ",,,348.94,525.07,6
HCPCS,C1741,"Anchor/screw for bone fixation, absorbable, metallic (implantable) ",,,348.94,525.07,6
HCPCS,C1742,"Pressure monitoring system, compartmental intramuscular (implantable), continuous, including all components (e.g., introducer, sensor), excludes mobile (wireless) software application ",,,348.94,525.07,6
HCPCS,C1747,"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable) ",24855.0,24855.0,21.25,31.98,6
HCPCS,C1747,URTSCP FLX 9.5FR 2-50MM,24855.0,24855.0,1739.85,24855.0,65
HCPCS,C1748,"Endoscope, single-use (i.e. disposable), upper gi, imaging/illumination device (insertable) ",,,21.25,31.98,6
HCPCS,C1750,CATH DLYS 10FR 15CM ST,8687.0,8687.0,608.09,8687.0,71
HCPCS,C1750,CATH DLYS 13.5F 45 2VTCF,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1750,CATH DLYS 15FR 31CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1750,CATH DLYS 15FR 39CM,1901.0,1901.0,133.07,1901.0,71
HCPCS,C1750,CATH DLYS 15FR 57CM,1901.0,1901.0,133.07,1901.0,71
HCPCS,C1750,CATH DLYS 15FR 62.5CM,5511.5,5511.5,378.0,5623.0,142
HCPCS,C1750,CATH DLYS 15FR 62CM,1924.0,1924.0,134.68,1924.0,71
HCPCS,C1750,CATH DLYS 16FR 60CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1750,CATH DLYS INF LT 42CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1750,CATH DYSL LTRM 7.5F 19CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1750,CATH GLYS 15FR 59CM,3233.0,3233.0,226.31,3233.0,71
HCPCS,C1750,CATH HEMO L-T 7.5FR 12CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1750,CATH HEMO L-T 7.5FR 15CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1750,CATH HEMODLYS 13.5F 36CM,5259.0,5259.0,368.13,5259.0,71
HCPCS,C1750,CATH HMD 40CM 14.5FR,9602.0,9602.0,672.14,9602.0,71
HCPCS,C1750,CATH HMDIAL 10FR 12CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1750,CATH HMDIAL 10FR 15CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1750,CATH HMDIAL 14.5FR 28CM,6721.0,6721.0,470.47,6721.0,71
HCPCS,C1750,CATH HMDIAL 14.5FR 33CM,6721.0,6721.0,470.47,6721.0,71
HCPCS,C1750,CATH HMDLYS TS 6.5F 29CM,7544.0,7544.0,528.08,7544.0,71
HCPCS,C1750,CATH KIT ANTIMCRBL SPN,11092.0,11092.0,1220.12,11092.0,57
HCPCS,C1750,CATH KIT SIL 36CM 19CM,4273.0,4273.0,299.11,4273.0,71
HCPCS,C1750,CATH PERM 18GA 40CM,5917.0,5917.0,414.19,5917.0,71
HCPCS,C1750,CATH PRTNL 42CM,5400.0,5400.0,378.0,5400.0,71
HCPCS,C1750,CATHETER DLYS 15FR 43CM,3233.0,3233.0,226.31,3233.0,71
HCPCS,C1750,CATHETER DLYS 15FR 60CM,1901.0,1901.0,133.07,1901.0,71
HCPCS,C1750,CATHETER DLYS 38.9CM,3333.0,3333.0,233.31,3333.0,71
HCPCS,C1750,GRAFT HMDIAL 5MM 40CM,52176.0,52176.0,5739.36,52176.0,57
HCPCS,C1750,GRAFT HMDIAL 6MM 53CM,28996.0,28996.0,3189.56,28996.0,57
HCPCS,C1750,KIT CATH 14.5FR 19CM,4273.0,4273.0,299.11,4273.0,71
HCPCS,C1750,KIT CATH 27CM 14.5F 360D,7144.0,7144.0,500.08,7144.0,71
HCPCS,C1750,KIT CATH 40CM 13.5FR,5259.0,5259.0,368.13,5259.0,71
HCPCS,C1750,KIT HEMDIAL 15.5F 20CM,7561.0,7561.0,529.27,7561.0,71
HCPCS,C1750,KIT HEMDIAL 15.5F 24CM,7561.0,7561.0,529.27,7561.0,71
HCPCS,C1750,KIT HEMDIAL 15.5F 28CM,7561.0,7561.0,529.27,7561.0,71
HCPCS,C1750,KIT HEMDIAL 15.5F 32CM,7561.0,7561.0,529.27,7561.0,71
HCPCS,C1750,KIT HEMDIAL 15.5F 48CM,7561.0,7561.0,529.27,7561.0,71
HCPCS,C1750,KIT HEMDIAL 15.5F 55CM,7561.0,7561.0,529.27,7561.0,71
HCPCS,C1750,KIT HMDIAL 15.5FR 36CM,7201.0,7201.0,504.07,7201.0,71
HCPCS,C1750,KIT PERMCATH DUAL LUMEN,4273.0,4273.0,299.11,4273.0,71
HCPCS,C1751,CANNULA IV 20GA 2IN,245.0,245.0,17.15,245.0,71
HCPCS,C1751,CATH 24FR CRSNT DUL LUM,40597.0,40597.0,2841.79,40597.0,71
HCPCS,C1751,CATH CV 12.5F 51CM,5060.0,5060.0,354.2,5060.0,71
HCPCS,C1751,CATH CV 20GA 2.6FR 60CM,2196.0,2196.0,153.72,2196.0,71
HCPCS,C1751,CATH CV 3FR 45CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,CATH CV 4FR 55CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,CATH CV 5FR,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1751,CATH CV 8F 1LM PRC INTRO,14913.0,14913.0,1043.91,14913.0,71
HCPCS,C1751,CATH CV 8FR SNGL 4VTCF,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,CATH CV 9.5F 2LUM 4 VTCF,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,CATH CV 9.6FR 56CM,3186.0,3186.0,223.02,3186.0,71
HCPCS,C1751,CATH CV BRVC 2.7FR VITCF,10928.0,10928.0,764.96,10928.0,71
HCPCS,C1751,CATH CV OXM PEDIASAT,10242.0,10242.0,716.94,10242.0,71
HCPCS,C1751,CATH CV TRF 19CM 12FR,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,CATH HCKMN 12F 23CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,CATH INFS 13F .25IN 2LUM,38940.0,38940.0,2725.8,38940.0,71
HCPCS,C1751,CATH INFS 16FR 5.5IN 2LU,38940.0,38940.0,2725.8,38940.0,71
HCPCS,C1751,CATH INFS 2.8FR 3.2FR,16156.0,16156.0,1130.92,16156.0,71
HCPCS,C1751,CATH INFS 27FR 3/8IN,38940.0,38940.0,2725.8,38940.0,71
HCPCS,C1751,CATH INFS 4FR 135CM,3748.0,3748.0,262.36,3748.0,71
HCPCS,C1751,CATH INFS 4FR 65CM,3748.0,3748.0,262.36,3748.0,71
HCPCS,C1751,CATH INFS 4FR 65X20MM,3748.0,3748.0,262.36,3748.0,71
HCPCS,C1751,CATH INFS 5FR 135CM,4029.5,4029.5,225.68,4835.0,142
HCPCS,C1751,CATH LEONARD 10FR 60063,3778.0,3778.0,264.46,3778.0,71
HCPCS,C1751,CATH PEDISAT OXIM 4.5CM,10242.0,10242.0,716.94,10242.0,71
HCPCS,C1751,CATH PERI 16GA 1.75IN,699.0,699.0,48.93,699.0,71
HCPCS,C1751,CATH PERI 18GA 1.75IN,660.0,660.0,46.2,660.0,71
HCPCS,C1751,CATH PICC 30CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1751,CATH PICC 4F 60CM 1 LUM,3968.0,3968.0,277.76,3968.0,71
HCPCS,C1751,CATH THRMB 5FR 90CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,CATH VC 4.5F 2LUM 8CM,10242.0,10242.0,716.94,10242.0,71
HCPCS,C1751,CATH VNTX2 KT8.5F2LUM 16,2257.0,2257.0,157.99,2257.0,71
HCPCS,C1751,CATH VNTX2 KT8.5F2LUM 20,2257.0,2257.0,157.99,2257.0,71
HCPCS,C1751,CATHETER CV 6.6FR,3186.0,3186.0,223.02,3186.0,71
HCPCS,C1751,CATHETER DUAL LUMEN 28FR,40597.0,40597.0,2841.79,40597.0,71
HCPCS,C1751,CATHETER DUAL LUMEN 30FR,40597.0,40597.0,2841.79,40597.0,71
HCPCS,C1751,CTH INFS CENT VNS TRPL,1715.0,1715.0,120.05,1715.0,71
HCPCS,C1751,CTHCV KIT PED 2LUM 4F 30,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1751,CTHGD INFS CRMC 5X5X100,3374.0,3374.0,236.18,3374.0,71
HCPCS,C1751,KIT 5FR 7FR 17.5GA 145CM,3186.0,3186.0,223.02,3186.0,71
HCPCS,C1751,KIT CATH 2.6FR 20CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,KIT CATH 2LUM 4FR 8CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1751,KIT CATH 3FR 70CM,3186.0,3186.0,223.02,3186.0,71
HCPCS,C1751,KIT CATH 4FR 145CM,3711.0,3711.0,259.77,3711.0,71
HCPCS,C1751,KIT CATH 5FR 70CM,3186.0,3186.0,223.02,3186.0,71
HCPCS,C1751,KIT CATH 7FR 18GA 30CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1751,KIT CATH CV 4FR 13CM,4786.0,4786.0,333.76,4804.0,142
HCPCS,C1751,KIT CATH CV 4FR 5CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1751,KIT CATH CV 4FR 8CM,4768.0,4768.0,333.76,4768.0,71
HCPCS,C1751,KIT CATH CV 5.5FR 8CM,4970.0,4970.0,347.9,4970.0,71
HCPCS,C1751,KIT CATH CV 7FR 34CM,3186.0,3186.0,223.02,3186.0,71
HCPCS,C1751,KIT CATH CV 8FR 20CM,5240.0,5240.0,366.8,5240.0,71
HCPCS,C1751,KIT CATH CVC 2L 4F 8CM,2479.0,2479.0,173.53,2479.0,71
HCPCS,C1751,KIT CATH EXP 2.5IN 3.25I,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1751,KIT CATH PICC 4FR 55CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,KIT CATH PICC 5FR 55CM,6554.0,6554.0,458.78,6554.0,71
HCPCS,C1751,KIT CATH RDS 1.75X20GA,2309.0,2309.0,161.63,2309.0,71
HCPCS,C1751,KIT CATH VASC 2.6FR 50CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,KIT REPAIR CV HICKMAN 7F,8070.0,8070.0,564.9,8070.0,71
HCPCS,C1751,SET PRSS MNT 2.5FR 2.5CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1751,TRAY CATH .015IN 2.5FR,3291.0,3291.0,230.37,3291.0,71
HCPCS,C1751,TRAY CATH 1 LUM 3FR 8CM,3872.0,3872.0,271.04,3872.0,71
HCPCS,C1751,TRAY CATH 20GA 10CM,4245.0,4245.0,297.15,4245.0,71
HCPCS,C1751,TRAY CATH 20GA 8CM,4245.0,4245.0,297.15,4245.0,71
HCPCS,C1751,TRAY CATH 3FR P PICC,5706.0,5706.0,399.42,5706.0,71
HCPCS,C1751,TRAY CATH 4FR P PICC,5865.0,5865.0,410.55,5865.0,71
HCPCS,C1751,TRAY CATH CV 4F 22GA 15C,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,TRAY CATH CV 4FR 55CM,6098.0,6098.0,426.86,6098.0,71
HCPCS,C1751,TRAY CATH CV 5FR 55CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,TRAY CATH CV 5FR 8CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,TRAY CATH HKMN 12FR 27CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,TRAY CATH PICC 3FR 1LUM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1751,TRAY CATH PICC 6FR 50CM,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1751,TRAY PRSS MNTR 3FR 8CM,3250.0,3250.0,227.5,3250.0,71
HCPCS,C1752,CATH 2FLW SET 9FX12CM,2174.0,2174.0,152.18,2174.0,71
HCPCS,C1752,CATH 2FLW SET 9FX15CM,2174.0,2174.0,152.18,2174.0,71
HCPCS,C1752,CATH DYLS 62.5CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1752,CATH HMDIAL 12FR 16CM,2550.0,2550.0,173.32,2624.0,142
HCPCS,C1752,CATH HMDIAL 8FX12 2LUM,2999.0,2999.0,209.93,2999.0,71
HCPCS,C1752,CATH PRTNL DLYS 62.5CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1752,KIT HMDIAL 14FR 15CM,4329.0,4329.0,303.03,4329.0,71
HCPCS,C1752,KIT HMDIAL 20CM 14FR,4329.0,4329.0,303.03,4329.0,71
HCPCS,C1752,TRAY CATH 1LUM 1.9F 20CM,3186.0,3186.0,223.02,3186.0,71
HCPCS,C1752,TRAY CTH DLYS 13FR 15CM,5068.0,5068.0,354.76,5068.0,71
HCPCS,C1753,BLN ULTR ENDOSC BFUC160F,6823.0,6823.0,477.61,6823.0,71
HCPCS,C1753,CATH ULTSND 3.4FR 135CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1753,CATH ULTSND 5FR 150CM,11931.0,11931.0,829.36,12014.0,142
HCPCS,C1753,CATH ULTSND 8.5FR 90CM,15742.0,15742.0,1101.94,15742.0,71
HCPCS,C1753,CATHETER ULTSND 8FR 90CM,31575.5,31575.5,1773.59,37814.0,142
HCPCS,C1755,CATH IT 4FR 114CM .5MM,18495.0,18495.0,2034.45,18495.0,57
HCPCS,C1757,CATH 3X32 21MM,132494.0,132494.0,9274.58,132494.0,71
HCPCS,C1757,CATH 4X28 21MM,132494.0,132494.0,9274.58,132494.0,71
HCPCS,C1757,CATH 4X41 21MM,117905.0,117905.0,8253.35,117905.0,71
HCPCS,C1757,CATH 6X37 21MM,117905.0,117905.0,8253.35,117905.0,71
HCPCS,C1757,CATH EMBL 5FR 80CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1757,CATH EMBL 5FR+ 80CM,4461.0,4461.0,312.27,4461.0,71
HCPCS,C1757,CATH MICRO .021IN 162CM,16752.0,16752.0,1172.64,16752.0,71
HCPCS,C1757,CATH RTVR THRMB 12F 80CM,79454.0,79454.0,5561.78,79454.0,71
HCPCS,C1757,CATH THMB 2F 0.67MM 60CM,2249.0,2249.0,157.43,2249.0,71
HCPCS,C1757,CATH THRMB 10FR 100CM,110854.0,110854.0,7759.78,110854.0,71
HCPCS,C1757,CATH THRMB 115CM,33555.0,33555.0,2348.85,33555.0,71
HCPCS,C1757,CATH THRMB 12FR 100MM,110854.0,110854.0,7759.78,110854.0,71
HCPCS,C1757,CATH THRMB 12FR 115CM,110854.0,110854.0,7759.78,110854.0,71
HCPCS,C1757,CATH THRMB 139CM,23861.0,23861.0,1670.27,23861.0,71
HCPCS,C1757,CATH THRMB 140CM .044IN,29826.0,29826.0,2087.82,29826.0,71
HCPCS,C1757,CATH THRMB 150CM,29412.0,29412.0,2058.84,29412.0,71
HCPCS,C1757,CATH THRMB 16MM 105CM,79454.0,79454.0,5561.78,79454.0,71
HCPCS,C1757,CATH THRMB 18MM 65CM,36454.0,36454.0,2551.78,36454.0,71
HCPCS,C1757,CATH THRMB 5FR 80CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1757,CATH THRMB 6F 80CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1757,CATH THRMB 7FR 130CM,131566.0,131566.0,9209.62,131566.0,71
HCPCS,C1757,CATH THRMB 80CM 105CM,159901.0,159901.0,11193.07,159901.0,71
HCPCS,C1757,CATH THRMB 8FR,64979.5,64979.5,3763.9,76189.0,142
HCPCS,C1757,CATH THRMB 8FR 115CM,53770.0,53770.0,3763.9,53770.0,71
HCPCS,C1757,CATH THRMB 8FR 80CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1757,CATH THRMB PRNT 5.5FR,7293.0,7293.0,510.51,7293.0,71
HCPCS,C1757,CATH THRMB REP 132CM,39603.0,39603.0,2772.21,39603.0,71
HCPCS,C1757,CATH THRMB REP 138CM,39603.0,39603.0,2772.21,39603.0,71
HCPCS,C1757,CATH THROM REP 132CM,42585.5,42585.5,2772.21,45568.0,142
HCPCS,C1757,CATH THROM REPFUSN,45568.0,45568.0,3189.76,45568.0,71
HCPCS,C1757,CATH VASC 3.8F 153CM,23861.0,23861.0,1670.27,23861.0,71
HCPCS,C1757,CATHETER EMB 2FR 60CM,5138.0,5138.0,359.66,5138.0,71
HCPCS,C1757,CATHETER EMB 6FR 40CM,2952.0,2952.0,206.64,2952.0,71
HCPCS,C1757,CATHETER EMB 6FR 80CM,4054.0,4054.0,283.78,4054.0,71
HCPCS,C1757,CATHETER THRMB 120CM 5FR,4610.0,4610.0,322.7,4610.0,71
HCPCS,C1757,CATHETER THRMB 6FR 80CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1757,DEVICE REVSC 6.5X45MM,101906.0,101906.0,7133.42,101906.0,71
HCPCS,C1757,DEVICE THRMB 4.5MM 26MM,82685.0,82685.0,5787.95,82685.0,71
HCPCS,C1757,KIT CATH 12F 100CM W/TB,159072.0,159072.0,11135.04,159072.0,71
HCPCS,C1757,KIT CATH ASP TB 6F 132CM,126595.0,126595.0,8861.65,126595.0,71
HCPCS,C1757,KIT CATH CANN PRFSN,165678.0,165678.0,11597.46,165678.0,71
HCPCS,C1757,KIT CATH THRMB 68 132CM,45568.0,45568.0,3189.76,45568.0,71
HCPCS,C1757,KIT CATH VSC 1.65MM138CM,45568.0,45568.0,3189.76,45568.0,71
HCPCS,C1757,KIT THRMB 6FR 120CM,69346.0,69346.0,4854.22,69346.0,71
HCPCS,C1757,KIT THRMB CATH 8FR 105CM,47225.0,47225.0,3305.75,47225.0,71
HCPCS,C1757,MICROCATH 2.95FR 160CM,17167.0,17167.0,1201.69,17167.0,71
HCPCS,C1757,RETRIEIVER ENDO 4X30MM,113481.0,113481.0,7943.67,113481.0,71
HCPCS,C1757,RETRIEVER 20MM 4MM ENDO,113481.0,113481.0,7943.67,113481.0,71
HCPCS,C1757,SEPARATOR THRMB 150CM,29744.0,29744.0,2082.08,29744.0,71
HCPCS,C1757,STENT REVAS 5MMX27MM,101906.0,101906.0,7133.42,101906.0,71
HCPCS,C1757,STENT REVAS 5MMX37MM,101906.0,101906.0,7133.42,101906.0,71
HCPCS,C1757,SYSTEM MECH THRMB,149130.0,149130.0,10439.1,149130.0,71
HCPCS,C1758,CATH URET 2LUM 10FR,2040.0,2040.0,142.8,2040.0,71
HCPCS,C1758,CATH URET 4FR 70CM,898.5,898.5,34.51,1304.0,142
HCPCS,C1758,CATH URET 5FR 40CM,968.0,968.0,67.76,968.0,71
HCPCS,C1758,CATH URET 5FR 65CM,1902.5,1902.5,67.76,2837.0,142
HCPCS,C1758,CATH URET 5FR 70CM,1304.0,1304.0,33.88,5623.0,213
HCPCS,C1758,CATH URET 5FR 7CM,934.0,934.0,65.38,934.0,71
HCPCS,C1758,CATH URET 6FR 70CM,597.0,597.0,41.79,597.0,71
HCPCS,C1758,CATH URET CK URE 6F 02,1087.0,1087.0,76.09,1087.0,71
HCPCS,C1758,CATH URET CONE 5FR 70CM,1304.0,1304.0,91.28,1304.0,71
HCPCS,C1758,CATH URET CONE 6FR 70CM,704.0,704.0,49.28,704.0,71
HCPCS,C1758,CATH URET SFLX 4FR 70CM,1087.0,1087.0,76.09,1087.0,71
HCPCS,C1758,CTH URET PLLK 5F,1279.0,1279.0,89.53,1279.0,71
HCPCS,C1758,CTH URET SPRL TIP 5FR,519.0,519.0,36.33,519.0,71
HCPCS,C1758,SET CATH URET 6FR 70CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1759,CATH ULTSND 8FR 90CM,42080.0,42080.0,2915.99,42503.0,142
HCPCS,C1759,CATH ULTSND 9FR 90CM,34797.0,34797.0,2435.79,34797.0,71
HCPCS,C1759,CATHETER ULTSND 8FR 90CM,17150.0,17150.0,1200.5,17150.0,71
HCPCS,C1759,CATHETER ULTSND 9FR,33338.0,33338.0,2333.66,33338.0,71
HCPCS,C1760,DEVICE CLOSURE 14FR,26229.0,26229.0,2885.19,26229.0,57
HCPCS,C1760,DEVICE CLSR 5FR,17125.0,17125.0,1883.75,17125.0,57
HCPCS,C1760,DEVICE CLSR 6FR .035IN,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1760,DEVICE CLSR 6FR-12FR,4830.0,4830.0,531.3,4830.0,57
HCPCS,C1760,DEVICE CLSR 6FR-7FR,16159.0,16159.0,1777.49,16159.0,57
HCPCS,C1760,DEVICE CLSR 8FR .038IN,5138.0,5138.0,565.18,5138.0,57
HCPCS,C1760,DEVICE CLSR CLGN SYS,5035.0,5035.0,553.85,5035.0,57
HCPCS,C1760,DEVICE CLSR VASC 5FR,4808.5,4808.5,463.43,5404.0,114
HCPCS,C1760,DEVICE CLSR VASC 6/12FR,4521.0,4521.0,497.31,4521.0,57
HCPCS,C1760,DEVICE CLSR VASC 6/7FR,4808.5,4808.5,463.43,5404.0,114
HCPCS,C1760,DEVICE CLSR VASC 6FR,3956.5,3956.5,395.67,4316.0,114
HCPCS,C1760,OCCLUDER CARD AMPLTZ 3X6,210444.0,210444.0,23148.84,210444.0,57
HCPCS,C1760,OCCLUDER CARD AMPLTZ 5X4,178016.0,178016.0,19581.76,178016.0,57
HCPCS,C1760,OCCLUDER CARDIA LF 6X6MM,210444.0,210444.0,23148.84,210444.0,57
HCPCS,C1760,OCCLUDER CV .079X.157IN,178016.0,178016.0,19581.76,178016.0,57
HCPCS,C1760,OCCLUDER CV .079X.207IN,178016.0,178016.0,19581.76,178016.0,57
HCPCS,C1760,OCCLUDER CV .079X.256IN,178016.0,178016.0,19581.76,178016.0,57
HCPCS,C1760,OCCLUDER CV .157X.157IN,178016.0,178016.0,19581.76,178016.0,57
HCPCS,C1760,OCCLUDER CV .157X.207IN,178016.0,178016.0,19581.76,178016.0,57
HCPCS,C1762,ALLOGRAFT MESH 10CM 15CM,113332.0,113332.0,12466.52,113332.0,57
HCPCS,C1762,ALLOGRAFT MESH 6X8CM,33936.0,33936.0,3732.96,33936.0,57
HCPCS,C1762,ALLOGRFT MSH 10.5X13.5CM,66333.0,66333.0,7296.63,66333.0,57
HCPCS,C1762,GRAFT ST TIS 12X2CM,16527.0,16527.0,1817.97,16527.0,57
HCPCS,C1762,GRAFT ST TIS 12X8CM,56464.0,56464.0,6211.04,56464.0,57
HCPCS,C1762,GRAFT ST TIS 2X7,16685.0,16685.0,1835.35,16685.0,57
HCPCS,C1762,GRAFT TIS 150X3MM,2808.0,2808.0,308.88,2808.0,57
HCPCS,C1763,CATH CRYO 7F,20713.0,20713.0,1449.91,20713.0,71
HCPCS,C1763,GFT SFT TIS OSS .6-.9CM,3677.0,3677.0,404.47,3677.0,57
HCPCS,C1763,GFT SFT TISS SYN 10X7CM,6885.0,6885.0,757.35,6885.0,57
HCPCS,C1763,GRAFT BN SUB 100X25X4MM,25315.0,25315.0,2784.65,25315.0,57
HCPCS,C1763,GRAFT DURAL PRCN 10X7CM,18084.0,18084.0,1989.24,18084.0,57
HCPCS,C1763,GRAFT DURAL PRCN 20X7CM,22914.0,22914.0,2520.54,22914.0,57
HCPCS,C1763,GRAFT DURAL PRCN 7X4CM,12947.0,12947.0,1424.17,12947.0,57
HCPCS,C1763,GRAFT FSTL PLUG 9.5X.6CM,22667.0,22667.0,2493.37,22667.0,57
HCPCS,C1763,GRAFT ST TIS STPL LN RNF,3884.0,3884.0,427.24,3884.0,57
HCPCS,C1763,GRAFT SURG BIODSGN CLGN,25090.0,25090.0,2759.9,25090.0,57
HCPCS,C1763,GRAFT SYN TISS 15CC,36682.0,36682.0,4035.02,36682.0,57
HCPCS,C1763,GRAFT TIS 10X7CM,24578.0,24578.0,2703.58,24578.0,57
HCPCS,C1763,GRAFT TIS 20X7CM,25236.0,25236.0,2775.96,25236.0,57
HCPCS,C1763,GRAFT TIS 7X10CM,20982.0,20982.0,2308.02,20982.0,57
HCPCS,C1763,SET RECTOVAG PLUG 0.4CM,23016.0,23016.0,2531.76,23016.0,57
HCPCS,C1763,SUB BNGF FOAM 1.2CC,3453.0,3453.0,379.83,3453.0,57
HCPCS,C1763,SUB BNGF FOAM 10CC,28094.0,28094.0,3090.34,28094.0,114
HCPCS,C1763,SUB BNGF FOAM 2.5CC,7193.0,7193.0,791.23,7193.0,57
HCPCS,C1763,SUB BNGF FOAM 5CC,14385.0,14385.0,1582.35,14385.0,57
HCPCS,C1763,SYS PROLIFT ANTERIOR,13183.0,13183.0,1450.13,13183.0,57
HCPCS,C1763,TISSUE SYN 60X40X4MM,9748.0,9748.0,1072.28,9748.0,57
HCPCS,C1764,ICM 45.1X8.0X4.2MM,96526.0,96526.0,10617.86,96526.0,57
HCPCS,C1764,MONITOR CARDIAC INSERT,97830.0,97830.0,10761.3,97830.0,57
HCPCS,C1764,RECORDER ICM DX,61548.0,61548.0,6770.28,61548.0,57
HCPCS,C1764,SYS CRD MNTR IMPL,111112.0,111112.0,12222.32,111112.0,57
HCPCS,C1766,INTRO SHTH 8.5F 94CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1766,INTRODUCER SHTH 8.5FR,14731.0,14731.0,1031.17,14731.0,71
HCPCS,C1766,SHEATH STRABL 6.5F 45CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1767,DEVICE IPG SLEEP 51MM,241482.0,241482.0,26563.02,241482.0,57
HCPCS,C1767,DEVICE IPG SLEEP APENA,286200.0,286200.0,31482.0,286200.0,57
HCPCS,C1767,GEN NRSTM 1.8X1.3X.27IN,366720.0,366720.0,40339.2,366720.0,57
HCPCS,C1767,GEN NRSTM 45X32X6.9MM,436779.0,436779.0,48045.69,436779.0,57
HCPCS,C1767,GENERATOR NRSTM 5 IPG,215724.0,215724.0,23729.64,215724.0,57
HCPCS,C1767,INOVATE STIM IDE#G080113,1.0,1.0,0.07,1.0,71
HCPCS,C1767,IPG NRSTM 44MM 51MM,183537.0,183537.0,20189.07,183537.0,57
HCPCS,C1767,KIT FERRULE NRSTM RNS,64453.0,64453.0,7089.83,64453.0,57
HCPCS,C1767,KIT IMPL NEUROSTIM,275190.0,275190.0,30270.9,275190.0,57
HCPCS,C1767,KIT NEURO STM COVER,34300.0,34300.0,2401.0,34300.0,71
HCPCS,C1767,KIT NEUROSTIM NRV STM,427732.0,427732.0,47050.52,427732.0,57
HCPCS,C1767,LEAD NRSTEM 25CM 10MM,93092.0,93092.0,10240.12,93092.0,57
HCPCS,C1767,NRSTM IMP 44MM 51MM,174797.0,174797.0,19227.67,174797.0,57
HCPCS,C1767,NRSTM IMPL 2.4INX2.2IN,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1767,NRSTM NON RECHARGEABLE,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1768,FABRIC CV 4X2IN 0.61MM,5504.0,5504.0,605.44,5504.0,57
HCPCS,C1768,GFT CV HMSH MCVL18X9X40,11046.0,11046.0,1215.06,11046.0,57
HCPCS,C1768,GFT VSC HMSH PTCH .3X3,1566.0,1566.0,172.26,1566.0,57
HCPCS,C1768,GFT VSC STRCH LGD 16X20,9392.0,9392.0,1033.12,9392.0,57
HCPCS,C1768,GFT VSC STRCH LGD 18X20,9392.0,9392.0,1033.12,9392.0,57
HCPCS,C1768,GFT VSC STRCH LGD 20X20,9392.0,9392.0,1033.12,9392.0,57
HCPCS,C1768,GFT VSC STRCH LGD 22X20,9392.0,9392.0,1033.12,9392.0,57
HCPCS,C1768,GFT VSC STRCH LGD 24X20,8426.0,8426.0,926.86,8426.0,57
HCPCS,C1768,GFT VSC SWL STRCH 10X40,15237.0,15237.0,1676.07,15237.0,57
HCPCS,C1768,GFT VSC SWL STRCH 40X8,15078.0,15078.0,1658.58,15078.0,57
HCPCS,C1768,GFT VSC TW RNG 6X40X30,14632.0,14632.0,1609.52,14632.0,57
HCPCS,C1768,GFT VSC TW RNG 6X80X60,25339.0,25339.0,2787.29,25339.0,57
HCPCS,C1768,GRAFT CV 10MM 30CM,10737.0,10737.0,1181.07,10737.0,57
HCPCS,C1768,GRAFT CV 12MM 30CM,9300.0,9300.0,1023.0,9300.0,57
HCPCS,C1768,GRAFT CV 12X6MM 40CM,14169.0,14169.0,1558.59,14169.0,57
HCPCS,C1768,GRAFT CV 14MM 30CM,8773.0,8773.0,965.03,8773.0,57
HCPCS,C1768,GRAFT CV 15.2X15.2CM,1776.0,1776.0,195.36,1776.0,57
HCPCS,C1768,GRAFT CV 16MM 30CM,8773.0,8773.0,965.03,8773.0,57
HCPCS,C1768,GRAFT CV 18MM 30CM,8773.0,8773.0,965.03,8773.0,57
HCPCS,C1768,GRAFT CV 18MM 60CM,7747.0,7747.0,852.17,7747.0,57
HCPCS,C1768,GRAFT CV 20MM 30CM,8773.0,8773.0,965.03,8773.0,57
HCPCS,C1768,GRAFT CV 22MM 30CM,8773.0,8773.0,965.03,8773.0,57
HCPCS,C1768,GRAFT CV 28MM 15CM,56513.0,56513.0,6216.43,56513.0,57
HCPCS,C1768,GRAFT CV 30MM 15CM,56513.0,56513.0,6216.43,56513.0,57
HCPCS,C1768,GRAFT CV 32MM 15CM,56513.0,56513.0,6216.43,56513.0,57
HCPCS,C1768,GRAFT CV 34MM 15CM,56513.0,56513.0,6216.43,56513.0,57
HCPCS,C1768,GRAFT CV 6MM 40CM,42495.0,42495.0,4257.55,46285.0,114
HCPCS,C1768,GRAFT CV 6MM 45CM,38233.0,38233.0,4205.63,38233.0,57
HCPCS,C1768,GRAFT CV 7.6CM 5.1CM,2272.0,2272.0,249.92,2272.0,57
HCPCS,C1768,GRAFT CV 7MM 40CM,44546.0,44546.0,4900.06,44546.0,57
HCPCS,C1768,GRAFT CV 8MM 30CM,10737.0,10737.0,1181.07,10737.0,57
HCPCS,C1768,GRAFT CV PTFE 4X4X1.65MM,1453.0,1453.0,159.83,1453.0,57
HCPCS,C1768,GRAFT CV VLSLV 32MM 15CM,56513.0,56513.0,6216.43,56513.0,57
HCPCS,C1768,GRAFT HEMI PULM ART RT,78705.0,78705.0,8657.55,78705.0,57
HCPCS,C1768,GRAFT HMDIAL HERO VNS,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1768,GRAFT PTCH CV 8X6CM,13273.0,13273.0,1460.03,13273.0,57
HCPCS,C1768,GRAFT PULM ART PT3-8X2-5,84716.0,84716.0,9318.76,84716.0,57
HCPCS,C1768,GRAFT STRETCH 12MM X 40,20735.0,20735.0,2280.85,20735.0,57
HCPCS,C1768,GRAFT THN PULM PT3-8X2-5,84716.0,84716.0,9318.76,84716.0,57
HCPCS,C1768,GRAFT VASC 10CM 3.5MM,19852.0,19852.0,2183.72,19852.0,57
HCPCS,C1768,GRAFT VASC 10CM 3MM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1768,GRAFT VASC 10CM 4MM,2531.0,2531.0,278.41,2531.0,57
HCPCS,C1768,GRAFT VASC 10CM 6MM,10544.0,10544.0,1159.84,10544.0,57
HCPCS,C1768,GRAFT VASC 15CM 3.5MM,27907.0,27907.0,3069.77,27907.0,57
HCPCS,C1768,GRAFT VASC 15CM 4MM,12574.0,12574.0,1383.14,12574.0,57
HCPCS,C1768,GRAFT VASC 15CMX4M,23263.0,23263.0,2558.93,23263.0,57
HCPCS,C1768,GRAFT VASC 20CM 14MM,9864.0,9864.0,1085.04,9864.0,57
HCPCS,C1768,GRAFT VASC 20MM,65452.0,65452.0,7199.72,65452.0,57
HCPCS,C1768,GRAFT VASC 22MM,65452.0,65452.0,7199.72,65452.0,57
HCPCS,C1768,GRAFT VASC 3.5MM 10CM,2179.0,2179.0,239.69,2179.0,57
HCPCS,C1768,GRAFT VASC 3MM 10CM,19852.0,19852.0,2183.72,19852.0,57
HCPCS,C1768,GRAFT VASC 5MM 10CM,2713.0,2713.0,298.43,2713.0,57
HCPCS,C1768,GRAFT VASC 6CM 40CM,33899.0,33899.0,3728.89,33899.0,57
HCPCS,C1768,GRAFT VASC ACC 30CM 6MM,30314.0,30314.0,3334.54,30314.0,57
HCPCS,C1768,GRAFT VASC HEP 10CM 4MM,19852.0,19852.0,2183.72,19852.0,57
HCPCS,C1768,GRAFT VASC HEP 10MM 5MM,19852.0,19852.0,2183.72,19852.0,57
HCPCS,C1768,GRAFT VASC HEP 15CM 3MM,27907.0,27907.0,3069.77,27907.0,57
HCPCS,C1768,GRAFT VASC HEP 15CM 5MM,27907.0,27907.0,3069.77,27907.0,57
HCPCS,C1768,GRAFT VASC HEP 60CM 6MM,31894.0,31894.0,3508.34,31894.0,57
HCPCS,C1768,GRAFT VASC HEP 6MM 15CM,21783.0,21783.0,2396.13,21783.0,57
HCPCS,C1768,GRAFT VASC STD 40CM 6MM,21331.0,21331.0,2346.41,21331.0,57
HCPCS,C1768,GRAFT VASC THIN 50CM 6MM,38429.0,38429.0,4227.19,38429.0,57
HCPCS,C1768,GRAFT VASC THIN 80CM 8MM,67829.0,67829.0,7461.19,67829.0,57
HCPCS,C1768,GRAFT VASC THIN 90CM 5MM,63130.0,63130.0,6944.3,63130.0,57
HCPCS,C1768,GRAFT VASC. THIN WALL 6M,23633.0,23633.0,2599.63,23633.0,57
HCPCS,C1768,PATCH CV .8CM 7.6CM,2117.0,2117.0,232.87,2117.0,57
HCPCS,C1768,PATCH CV 10X1CM,7172.0,7172.0,788.92,7172.0,57
HCPCS,C1768,PATCH CV 6X1CM,4194.0,4194.0,461.34,4194.0,57
HCPCS,C1768,PATCH CV THK.4MM 9CMX2CM,4789.0,4789.0,526.79,4789.0,57
HCPCS,C1768,PATCH VASC 0.8CM 8CM,6350.0,6350.0,698.5,6350.0,57
HCPCS,C1768,PATCH VASC 1CM X 6CM,5702.0,5702.0,627.22,5702.0,57
HCPCS,C1768,PERIGUARD PTH PC-0404SN,8390.0,8390.0,922.9,8390.0,57
HCPCS,C1768,PTCH CV 04X3X6,750.0,750.0,82.5,750.0,57
HCPCS,C1769,CATHETER DLV SYS 80X.041,5435.0,5435.0,380.45,5435.0,71
HCPCS,C1769,CTH SET PNS-1 PERC N,2961.0,2961.0,207.27,2961.0,71
HCPCS,C1769,DEVICE LCK BX CAP OLMPS,1023.0,1023.0,71.61,1023.0,71
HCPCS,C1769,EXTENSION GW 155CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GD WRE CLBRT 471161-05,1453.0,1453.0,101.71,1453.0,71
HCPCS,C1769,GDWIRE 2.67F 180CM,4498.0,4498.0,314.86,4498.0,71
HCPCS,C1769,GDWIRE ORTH .062IN 1.6MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GDWIRE ORTH .062IN 5MM,1375.0,1375.0,96.25,1375.0,71
HCPCS,C1769,GDWIRE VASC 185CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GDWIRE VASC 7CM 180CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GDWIRE VASC EXTSTF 260CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GDWIRE VASC STRT 300CM,2372.0,2372.0,166.04,2372.0,71
HCPCS,C1769,GDWR .014IN 200CM 35CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GDWR LRT 180CM ANGLED,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GDWR LRTE STFF 260CM STR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GDWR UNTHRDED 3.2X20MM,2249.0,2249.0,157.43,2249.0,71
HCPCS,C1769,GLIDEWIRE .018 260CM ANG,3088.0,3088.0,216.16,3088.0,71
HCPCS,C1769,GUIDE WIRE SHARP HUM NAI,4723.0,4723.0,330.61,4723.0,71
HCPCS,C1769,GUIDEWIRE .018X125 STRT,767.0,767.0,53.69,767.0,71
HCPCS,C1769,GUIDEWIRE 3.0X1000MM,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1769,GUIDEWIRE ARTHSCP .045IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GUIDEWIRE ARTHSCP .86MM,1375.0,1375.0,96.25,1375.0,71
HCPCS,C1769,GUIDEWIRE BEAD TIP 2.6MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,GUIDEWIRE ENT NAV DISP,6124.0,6124.0,428.68,6124.0,71
HCPCS,C1769,GUIDEWIRE ORTH 1.4MM,832.0,832.0,58.24,832.0,71
HCPCS,C1769,GUIDEWIRE ORTH 1.4X150MM,4086.0,4086.0,286.02,4086.0,71
HCPCS,C1769,GUIDEWIRE ORTH 1.6MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,GUIDEWIRE ORTH 2.0MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GUIDEWIRE VASC 145CM,3373.0,3373.0,236.11,3373.0,71
HCPCS,C1769,GUIDEWIRE VASC 180CM 3MM,831.0,831.0,58.17,831.0,71
HCPCS,C1769,GUIDEWIRE VASC 18CM .012,704.0,704.0,49.28,704.0,71
HCPCS,C1769,GUIDEWIRE VASC 260CM,1231.5,1231.5,60.48,1599.0,142
HCPCS,C1769,GUIDEWIRE VASC 300CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GUIDEWIRE VASC 300CM .03,1279.0,1279.0,89.53,1279.0,71
HCPCS,C1769,GUIDEWIRE VASC 40CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GUIDEWIRE VASC STR .018I,3561.0,3561.0,249.27,3561.0,71
HCPCS,C1769,GW AMPTZ 025 260 XCH ES,1279.0,1279.0,89.53,1279.0,71
HCPCS,C1769,GW ATW MRK 014 300 ST,2654.0,2654.0,185.78,2654.0,71
HCPCS,C1769,GW PLTN+ 014 180,2427.0,2427.0,169.89,2427.0,71
HCPCS,C1769,GW RDRN 35 180 SS ANG,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GW SHNB 180 ST,2577.0,2577.0,180.39,2577.0,71
HCPCS,C1769,GW TFE 035 145 STR,767.0,767.0,53.69,767.0,71
HCPCS,C1769,GW TFE XCH 018 260 STR,959.0,959.0,67.13,959.0,71
HCPCS,C1769,GW VASC 260CM .035IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GW VASC BNTSN .038X150,576.0,576.0,40.32,576.0,71
HCPCS,C1769,GW VASC INQ .021 180CM,601.0,601.0,42.07,601.0,71
HCPCS,C1769,GW VASC XS .035IN 80CM,1278.0,1278.0,89.46,1278.0,71
HCPCS,C1769,GW W/ DRL TIP 3.2X400MM,2249.0,2249.0,157.43,2249.0,71
HCPCS,C1769,GWDX NTRX 035 260 INT A,1912.0,1912.0,133.84,1912.0,71
HCPCS,C1769,GWIRE .018IN 50CM 2MM,1607.0,1607.0,112.49,1607.0,71
HCPCS,C1769,GWIRE .038IN FLEX TIP,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,GWIRE 1.6MM 220MM,2575.0,2575.0,180.25,2575.0,71
HCPCS,C1769,GWIRE 2.4MM ARTHX,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE 2.8MM 300MM,4048.0,4048.0,283.36,4048.0,71
HCPCS,C1769,GWIRE 2.8X300MM,2986.0,2986.0,209.02,2986.0,71
HCPCS,C1769,GWIRE ANGL 0.038IN 180CM,1651.0,1651.0,115.57,1651.0,71
HCPCS,C1769,GWIRE ARTH 2 END .86IN,1874.0,1874.0,131.18,1874.0,71
HCPCS,C1769,GWIRE BALL NSD 3X900MM,8573.0,8573.0,600.11,8573.0,71
HCPCS,C1769,GWIRE BALL TIP 2.0MM,1931.0,1931.0,135.17,1931.0,71
HCPCS,C1769,GWIRE BALL TIP 2.5X800MM,4461.0,4461.0,312.27,4461.0,71
HCPCS,C1769,GWIRE BALLTIP 1.2MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE BN 1.45MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE BN DISP 0.8X100MM,2008.0,2008.0,140.56,2008.0,71
HCPCS,C1769,GWIRE BN DISP 1.1X150MM,3238.5,3238.5,170.03,4048.0,142
HCPCS,C1769,GWIRE BN DISP 1.4X150MM,2814.0,2814.0,196.98,2814.0,71
HCPCS,C1769,GWIRE BN DISP 1.6X220MM,1676.0,1676.0,117.32,1676.0,71
HCPCS,C1769,GWIRE CATH .027IN 130CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE ENDO .025IN 450CM,3840.0,3840.0,268.8,3840.0,71
HCPCS,C1769,GWIRE ENDO .035IN 180CM,4404.0,4404.0,308.28,4404.0,71
HCPCS,C1769,GWIRE ENDO .035IN 260CM,5073.0,5073.0,316.61,5623.0,142
HCPCS,C1769,GWIRE ENDO .035IN 450CM,5623.0,5623.0,393.61,5623.0,213
HCPCS,C1769,GWIRE ENDO .038IN 260CM,3452.0,3452.0,241.64,3452.0,71
HCPCS,C1769,GWIRE ENDO 210CM,1874.0,1874.0,131.18,1874.0,71
HCPCS,C1769,GWIRE ENTRY 3.2X320MM,4247.0,4247.0,297.29,4247.0,71
HCPCS,C1769,GWIRE FX BEADED 3.0MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,GWIRE LAU ANGL .035X150,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE NEUR 0.010IN 200CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE ORT 1000MM,10786.0,10786.0,755.02,10786.0,71
HCPCS,C1769,GWIRE ORTH .034IN,1599.0,1599.0,111.93,1599.0,142
HCPCS,C1769,GWIRE ORTH .045IN 6IN,1471.0,1471.0,102.97,1471.0,71
HCPCS,C1769,GWIRE ORTH .045IN CL,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH .062IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH .062IN 5MM,1612.0,1612.0,112.84,1612.0,71
HCPCS,C1769,GWIRE ORTH .09IN 7MM,1612.0,1612.0,112.84,1612.0,71
HCPCS,C1769,GWIRE ORTH 1.1MM 150MM,1409.5,1409.5,98.63,1410.0,142
HCPCS,C1769,GWIRE ORTH 1.25MM 150MM,1409.5,1409.5,98.63,1410.0,142
HCPCS,C1769,GWIRE ORTH 1.35X150MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 1.4MM,1215.0,1215.0,85.05,1215.0,71
HCPCS,C1769,GWIRE ORTH 1.4MM 150MM,2065.0,2065.0,144.55,2065.0,71
HCPCS,C1769,GWIRE ORTH 1.5MM 230MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 1.6MM 150MM,1410.0,1410.0,98.7,1410.0,71
HCPCS,C1769,GWIRE ORTH 1.6MM 200MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 1000MM 2.5MM,4697.0,4697.0,328.79,4697.0,71
HCPCS,C1769,GWIRE ORTH 150MM .053IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 150MM 1.4MM,4086.0,4086.0,286.02,4086.0,71
HCPCS,C1769,GWIRE ORTH 150MM 1.6MM,1599.0,1599.0,111.93,1599.0,142
HCPCS,C1769,GWIRE ORTH 150X1.25MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 150X1.4MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 150X2MM,2189.0,2189.0,153.23,2189.0,71
HCPCS,C1769,GWIRE ORTH 2 1.45MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 2.2MM 800MM,4348.0,4348.0,304.36,4348.0,71
HCPCS,C1769,GWIRE ORTH 2.4MM 100CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,GWIRE ORTH 2.4MM 70CM,5326.0,5326.0,372.82,5326.0,71
HCPCS,C1769,GWIRE ORTH 2.4MM 950MM,3647.0,3647.0,255.29,3647.0,71
HCPCS,C1769,GWIRE ORTH 2.5MM 230MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 2.8MM 300MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 2.8X350MM,1608.0,1608.0,112.56,1608.0,71
HCPCS,C1769,GWIRE ORTH 240X2MM,1321.0,1321.0,92.47,1321.0,71
HCPCS,C1769,GWIRE ORTH 2MM 150MM,2249.0,2249.0,157.43,2249.0,71
HCPCS,C1769,GWIRE ORTH 2MM 230MM,1599.0,1599.0,111.93,1599.0,213
HCPCS,C1769,GWIRE ORTH 3.2MM 230MM,2444.0,2444.0,171.08,2444.0,71
HCPCS,C1769,GWIRE ORTH 3.2MM 300MM,3359.0,3359.0,115.5,5068.0,142
HCPCS,C1769,GWIRE ORTH 3.2MM 350MM,4172.0,4172.0,292.04,4172.0,71
HCPCS,C1769,GWIRE ORTH 3MM 800MM,8115.5,8115.5,335.86,11433.0,142
HCPCS,C1769,GWIRE ORTH 3MM 900MM,3561.0,3561.0,249.27,3561.0,71
HCPCS,C1769,GWIRE ORTH 3X370MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,GWIRE ORTH 3X600MM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE ORTH 5.91X.078IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ORTH 9.25IN 2.4MM,1375.0,1375.0,96.25,1375.0,71
HCPCS,C1769,GWIRE ORTH FLUT 2.8X450,2847.0,2847.0,199.29,2847.0,71
HCPCS,C1769,GWIRE ORTH HIP 300X3.2MM,1740.0,1740.0,121.8,1740.0,71
HCPCS,C1769,GWIRE ORTH S2 3X1000MM,5098.0,5098.0,356.86,5098.0,71
HCPCS,C1769,GWIRE ORTH SURG 1.1MM,1375.0,1375.0,96.25,1375.0,71
HCPCS,C1769,GWIRE ORTH SURG 1.35MM,1487.0,1487.0,96.25,1599.0,142
HCPCS,C1769,GWIRE ORTH T2 3X800MM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1769,GWIRE ORTHO .054X6IN,1471.0,1471.0,102.97,1471.0,71
HCPCS,C1769,GWIRE ORTHO .062IN 6IN,895.0,895.0,62.65,895.0,71
HCPCS,C1769,GWIRE ORTHO .062X5.75IN,2849.0,2849.0,199.43,2849.0,71
HCPCS,C1769,GWIRE ORTHO 1.4X150MM,2024.0,2024.0,141.68,2024.0,71
HCPCS,C1769,GWIRE ORTHO 3MM 900MM,5973.0,5973.0,418.11,5973.0,71
HCPCS,C1769,GWIRE RULER TUBE 1000MM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE RULER TUBE 800MM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE SF-T TFE 038 80 3J,639.0,639.0,44.73,639.0,71
HCPCS,C1769,GWIRE SNSR ENDO .035X150,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE ST ARTH .062IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE STR 300CM,2924.0,2924.0,204.68,2924.0,71
HCPCS,C1769,GWIRE STRBL STR 180CM,2817.0,2817.0,197.19,2817.0,71
HCPCS,C1769,GWIRE STRL NITINOL,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,GWIRE SUPPORT 300CM,13349.0,13349.0,934.43,13349.0,71
HCPCS,C1769,GWIRE SURG 180CM .018IN,5013.0,5013.0,350.91,5013.0,71
HCPCS,C1769,GWIRE SURG 2.2X500MM,5360.0,5360.0,375.2,5360.0,71
HCPCS,C1769,GWIRE THRD 3.2X230MM,4501.0,4501.0,315.07,4501.0,71
HCPCS,C1769,GWIRE URO .018IN 150CM,1668.0,1668.0,116.76,1668.0,71
HCPCS,C1769,GWIRE URO .025IN 150CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE URO .035IN 145CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE URO .035IN 150CM,1599.0,1599.0,43.4,3936.0,497
HCPCS,C1769,GWIRE URO .038IN 150CM,1088.5,1088.5,40.46,1599.0,142
HCPCS,C1769,GWIRE URO 150CM .035IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE URO 3X150CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE VAS ANG .025 180CM,2242.0,2242.0,156.94,2242.0,71
HCPCS,C1769,GWIRE VAS ANG .025 260CM,2397.0,2397.0,167.79,2397.0,71
HCPCS,C1769,GWIRE VASC .014 335CM,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1769,GWIRE VASC .014IN 180CM,3186.0,3186.0,185.78,3349.0,213
HCPCS,C1769,GWIRE VASC .014IN 182CM,2502.0,2502.0,175.14,2502.0,71
HCPCS,C1769,GWIRE VASC .014IN 190CM,3186.0,3186.0,223.02,3186.0,142
HCPCS,C1769,GWIRE VASC .014IN 200CM,8688.5,8688.5,416.08,11433.0,213
HCPCS,C1769,GWIRE VASC .014IN 300CM,2924.0,2924.0,169.89,6241.0,426
HCPCS,C1769,GWIRE VASC .014IN 40CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE VASC .014IN 80CM,2636.0,2636.0,184.52,2636.0,71
HCPCS,C1769,GWIRE VASC .016IN 180CM,5647.0,5647.0,395.29,5647.0,142
HCPCS,C1769,GWIRE VASC .018IN 180CM,2587.0,2587.0,156.38,2687.0,284
HCPCS,C1769,GWIRE VASC .018IN 260CM,2587.0,2587.0,181.09,2587.0,71
HCPCS,C1769,GWIRE VASC .018IN 300CM,3217.5,3217.5,191.52,3699.0,142
HCPCS,C1769,GWIRE VASC .018IN 60CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE VASC .018IN 9.75IN,563.0,563.0,39.41,563.0,71
HCPCS,C1769,GWIRE VASC .01IN 200CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE VASC .024IN 200CM,12594.0,12594.0,881.58,12594.0,71
HCPCS,C1769,GWIRE VASC .025IN 145CM,767.0,767.0,53.69,767.0,71
HCPCS,C1769,GWIRE VASC .032IN 180CM,1151.0,1151.0,80.57,1151.0,71
HCPCS,C1769,GWIRE VASC .032IN 260CM,944.0,944.0,66.08,944.0,71
HCPCS,C1769,GWIRE VASC .035IN 1.5MM,703.0,703.0,49.21,703.0,71
HCPCS,C1769,GWIRE VASC .035IN 145CM,1599.0,1599.0,96.53,2149.0,213
HCPCS,C1769,GWIRE VASC .035IN 150CM,1247.0,1247.0,62.65,1599.0,213
HCPCS,C1769,GWIRE VASC .035IN 175CM,783.0,783.0,54.81,783.0,71
HCPCS,C1769,GWIRE VASC .035IN 180CM,1733.5,1733.5,53.76,6848.0,639
HCPCS,C1769,GWIRE VASC .035IN 260CM,1599.0,1599.0,58.17,5626.0,710
HCPCS,C1769,GWIRE VASC .035IN 75CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE VASC 0.014IN 300CM,3636.0,3636.0,254.52,3636.0,71
HCPCS,C1769,GWIRE VASC 0.018IN 80CM,1912.0,1912.0,133.84,1912.0,71
HCPCS,C1769,GWIRE VASC 035IN 250CM,23613.0,23613.0,1652.91,23613.0,71
HCPCS,C1769,GWIRE VASC 100CM .018IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE VASC 145CM .014IN,2849.0,2849.0,199.43,2849.0,71
HCPCS,C1769,GWIRE VASC 150CM .021IN,1426.0,1426.0,99.82,1426.0,71
HCPCS,C1769,GWIRE VASC 150CM .032IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE VASC 175CM .014IN,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE VASC 180CM,1278.0,1278.0,89.46,1278.0,71
HCPCS,C1769,GWIRE VASC 180CM .014IN,2811.5,2811.5,170.59,4498.0,497
HCPCS,C1769,GWIRE VASC 180CM .035IN,1599.0,1599.0,111.93,1599.0,142
HCPCS,C1769,GWIRE VASC 180X4.5CM,735.0,735.0,51.45,735.0,71
HCPCS,C1769,GWIRE VASC 190CM .014IN,3299.0,3299.0,223.02,4498.0,426
HCPCS,C1769,GWIRE VASC 190CM .035IN,2587.0,2587.0,181.09,2587.0,71
HCPCS,C1769,GWIRE VASC 200CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE VASC 200CM .014IN,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE VASC 200CM 0.18IN,2736.0,2736.0,191.52,2736.0,71
HCPCS,C1769,GWIRE VASC 205CM,10637.0,10637.0,744.59,10637.0,71
HCPCS,C1769,GWIRE VASC 205CM .014IN,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE VASC 215CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE VASC 230CM .025IN,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,GWIRE VASC 260CM .035IN,1279.0,1279.0,67.13,1599.0,284
HCPCS,C1769,GWIRE VASC 260CM 3MM,1279.0,1279.0,89.53,1279.0,71
HCPCS,C1769,GWIRE VASC 265CM .024IN,14085.0,14085.0,985.95,14085.0,71
HCPCS,C1769,GWIRE VASC 26X.035IN,586.0,586.0,41.02,586.0,71
HCPCS,C1769,GWIRE VASC 275X2.9X3.2CM,5889.0,5889.0,412.23,5889.0,71
HCPCS,C1769,GWIRE VASC 300CM,13349.0,13349.0,934.43,13349.0,71
HCPCS,C1769,GWIRE VASC 300CM .014IN,3280.0,3280.0,183.68,6699.0,1278
HCPCS,C1769,GWIRE VASC 300CM .14IN,13349.0,13349.0,934.43,13349.0,71
HCPCS,C1769,GWIRE VASC 335CM .014IN,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1769,GWIRE VASC 3CM 180CM,1991.0,1991.0,139.37,1991.0,71
HCPCS,C1769,GWIRE VASC 3CM 80CM,1877.0,1877.0,131.39,1877.0,71
HCPCS,C1769,GWIRE VASC 80CM .035IN,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1769,GWIRE VASC 95CM,4685.0,4685.0,327.95,4685.0,71
HCPCS,C1769,GWIRE VASC ANG .035X180,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE VASC ANG .035X260,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE VASC COATD 215CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE VASC FLX 260CM,4309.0,4309.0,301.63,4309.0,71
HCPCS,C1769,GWIRE VASC MIC.014 300CM,5060.0,5060.0,354.2,5060.0,71
HCPCS,C1769,GWIRE VASC NTNL 40CM,1243.0,1243.0,87.01,1243.0,71
HCPCS,C1769,GWIRE VASC STR 300CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1769,GWIRE VASC STRT .035X180,1599.0,1599.0,111.93,1599.0,142
HCPCS,C1769,GWIRE VASC STRT .035X260,1599.0,1599.0,111.93,1599.0,142
HCPCS,C1769,GWIRE VASC STRT 180CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,GWIRE W STOP 3.2MM,4217.0,4217.0,295.19,4217.0,71
HCPCS,C1769,GWIRE W/STOP 3.2MM,3720.0,3720.0,260.4,3720.0,71
HCPCS,C1769,GWRE 038 145,1539.0,1539.0,107.73,1539.0,71
HCPCS,C1769,KIT CATH GW 18GA .038IN,2032.0,2032.0,142.24,2032.0,71
HCPCS,C1769,KIT GWIRE ACC W/CO-PIL,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,KIT SUT 1.35-1.6MM DRL,8984.0,8984.0,628.88,8984.0,71
HCPCS,C1769,KIT VALVE HMSTS GWIRE,663.0,663.0,46.41,663.0,71
HCPCS,C1769,KWIRE FX ORTH 3MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1769,SET DILATOR 8-20FR 100CM,3374.0,3374.0,236.18,3374.0,71
HCPCS,C1769,SHEATH CTH L22 OD6.,2774.0,2774.0,194.18,2774.0,71
HCPCS,C1769,SPHNTM CANN 30MM 260CM,6733.0,6733.0,471.31,6733.0,71
HCPCS,C1769,SPHNTM DOMETIP 5.5 FR,7430.0,7430.0,520.1,7430.0,71
HCPCS,C1769,SPHNTM GWIRE 30MM 260CM,8782.0,8782.0,614.74,8782.0,71
HCPCS,C1769,TRAY CGL TRACH TUBE SZ8,10905.0,10905.0,763.35,10905.0,71
HCPCS,C1769,TRAY DRN 12FR 22CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1769,WIRE .021 X 145,767.0,767.0,53.69,767.0,71
HCPCS,C1769,WRE STRQ .035 180 MJ,1779.0,1779.0,124.53,1779.0,71
HCPCS,C1771,SLING GYN 7.75CM,25111.0,25111.0,2762.21,25111.0,57
HCPCS,C1771,SLING MALE ADVANCE XP,136158.0,136158.0,14977.38,136158.0,57
HCPCS,C1771,SLING PUBVGNL HMMCK,37338.0,37338.0,4107.18,37338.0,57
HCPCS,C1771,SLING SURG MESH MALE,136158.0,136158.0,14977.38,136158.0,57
HCPCS,C1771,SLING URTH 0.3MM,16029.5,16029.5,1661.55,16954.0,114
HCPCS,C1771,SYSTEM URTH SUPP 2.7MM,33683.0,33683.0,3705.13,33683.0,114
HCPCS,C1771,SYSTEM URTH SUPP 22CM,35935.0,35935.0,3952.85,35935.0,57
HCPCS,C1771,SYSTEM URTH SUPP 9CM,41833.0,41833.0,4601.63,41833.0,57
HCPCS,C1771,SYSTEM URTH SUPP BLU,32085.0,32085.0,3529.35,32085.0,57
HCPCS,C1772,PUMP INFS PAIN 20ML,182061.0,182061.0,20026.71,182061.0,57
HCPCS,C1772,PUMP PAIN INFN 20ML,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1773,CATH SNARE 10MM 120CM,5944.0,5944.0,416.08,5944.0,71
HCPCS,C1773,KIT SNARE 25MM 120CM,5944.0,5944.0,416.08,5944.0,71
HCPCS,C1773,KIT SNARE 4FR 5MM 120CM,5944.0,5944.0,416.08,5944.0,71
HCPCS,C1773,KIT SNARE EXTRACT 175CM,11433.0,11433.0,800.31,11433.0,213
HCPCS,C1773,KIT SNRE CATH 15MM 120CM,5944.0,5944.0,416.08,5944.0,71
HCPCS,C1773,KIT SNRE CATH 20MM 120CM,5944.0,5944.0,416.08,5944.0,71
HCPCS,C1773,RETRIEVER VASC 6FR 90CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1773,SET RTRVL 6.3F 11F 80CM,6172.0,6172.0,432.04,6172.0,71
HCPCS,C1773,SNARE ESCPC 18-30X120 7F,7208.0,7208.0,504.56,7208.0,71
HCPCS,C1773,SNARE VASC 4-8MM 175CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1776,ACTB LINER 55MM 28MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,ADAPTER CMPNT OFST 0MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,ADAPTER FEM 5D,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,ADAPTER HD TI 0MM NTRL,3406.0,3406.0,374.66,3406.0,57
HCPCS,C1776,ADAPTER STEM OFST KN 2MM,14448.0,14448.0,1589.28,14448.0,57
HCPCS,C1776,ADAPTOR BN HIP CUSTOM,506736.0,506736.0,55740.96,506736.0,57
HCPCS,C1776,ADAPTOR SGM FEM 7D,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,AUG ACTB HIP 18X62MM,24405.0,24405.0,2684.55,24405.0,57
HCPCS,C1776,AUG ACTB PNCL 20X54/56MM,33815.0,33815.0,3719.65,33815.0,57
HCPCS,C1776,AUG FEM DIST SZ10 4MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUG FEM KN #3 8MM,36413.0,36413.0,4005.43,36413.0,57
HCPCS,C1776,AUG FEM KN POST SZ5 10MM,20337.0,20337.0,2237.07,20337.0,57
HCPCS,C1776,AUG FEM KN REV SZ6 4MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUG TIB KN LT SZ5/6 10MM,22575.0,22575.0,2483.25,22575.0,57
HCPCS,C1776,AUG TIB KN RT SZ5/6 10MM,22575.0,22575.0,2483.25,22575.0,57
HCPCS,C1776,AUG TIB KN SZ4 15MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,AUGMENT ACTB 10 50/52MM,33815.0,33815.0,3719.65,33815.0,57
HCPCS,C1776,AUGMENT ACTB 10 61/64MM,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,AUGMENT FEM 1 DIST 4MM,38597.0,38597.0,4245.67,38597.0,57
HCPCS,C1776,AUGMENT FEM 12MM,19866.0,19866.0,2185.26,19866.0,114
HCPCS,C1776,AUGMENT FEM 12MM ATTUNE,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM 16MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM 8MM ATTUNE 4,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM ATTUNE 7 8MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM ATUN SZ6 8MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN 4MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT FEM KN 4MM 4,19866.0,19866.0,2185.26,19866.0,114
HCPCS,C1776,AUGMENT FEM KN 4MM 5,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN 4MM 7,19866.0,19866.0,2185.26,19866.0,114
HCPCS,C1776,AUGMENT FEM KN 4MM 8,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN 5 8MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT FEM KN 8MM,30186.0,30186.0,3320.46,30186.0,171
HCPCS,C1776,AUGMENT FEM KN 8MM 4,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN 8MM 5,19866.0,19866.0,2185.26,19866.0,114
HCPCS,C1776,AUGMENT FEM KN 8MM 7,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN LT 4MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN PSA 1 8MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT FEM KN SZ2 8MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT FEM KN SZ3 4MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN SZ3 8MM,25026.0,25026.0,2185.26,30186.0,171
HCPCS,C1776,AUGMENT FEM KN SZ4 12MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN SZ4 8MM,34391.5,34391.5,3320.46,38597.0,114
HCPCS,C1776,AUGMENT FEM KN SZ5 4MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT FEM KN SZ6 8MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN SZ7 16MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN SZ8 12MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN SZ8 4MM,39939.0,39939.0,4393.29,39939.0,57
HCPCS,C1776,AUGMENT FEM KN SZ8 8MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KN SZ9 4MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT FEM KNE 8MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT FEM KNEE 4MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT FEM KNEE 8MM,30186.0,30186.0,3320.46,30186.0,114
HCPCS,C1776,AUGMENT FEM LT SZ2 5MM,18458.0,18458.0,2030.38,18458.0,57
HCPCS,C1776,AUGMENT FEM PSA LT 4MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT KN FEM SZ8 8MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMENT KN RT FEM 5 8MM,30186.0,30186.0,3320.46,30186.0,57
HCPCS,C1776,AUGMENT KN RT MDL L/L,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,AUGMENT TIB 10M,29619.0,29619.0,3258.09,29619.0,57
HCPCS,C1776,AUGMENT TIB 10MM,22575.0,22575.0,2483.25,22575.0,114
HCPCS,C1776,AUGMENT TIB 15MM,22575.0,22575.0,2483.25,22575.0,228
HCPCS,C1776,AUGMENT TIB 5MM,29619.0,29619.0,3258.09,29619.0,57
HCPCS,C1776,AUGMENT TIB BLK 2X5MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,AUGMENT TIB KN 15MM 59MM,18343.0,18343.0,2017.73,18343.0,57
HCPCS,C1776,AUGMENT TIB KN 1X15MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,AUGMENT TIB KN 3/4 15MM,22575.0,22575.0,2483.25,22575.0,57
HCPCS,C1776,AUGMENT TIB KN 3X10MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,AUGMENT TIB KN 5MM,22575.0,22575.0,2483.25,22575.0,57
HCPCS,C1776,AUGMENT TIB KN LT 10MM,22575.0,22575.0,2483.25,22575.0,57
HCPCS,C1776,AUGMENT TIB KN PSA 4 5MM,29619.0,29619.0,3258.09,29619.0,57
HCPCS,C1776,AUGMENT TIB KN RT 10MM,22575.0,22575.0,2483.25,22575.0,57
HCPCS,C1776,AUGMENT TIB KN RT 15MM,22575.0,22575.0,2483.25,22575.0,57
HCPCS,C1776,AUGMENT TIB KN SZ5 10MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,AUGMENT TIB KNEE #2,44273.0,44273.0,4870.03,44273.0,57
HCPCS,C1776,AUGMENT TIB SIZE 3 5MM,44273.0,44273.0,4870.03,44273.0,57
HCPCS,C1776,AUGMENT TIB UNIV KN 5MM,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1776,AUGMNT ACTB 10MM 54/56MM,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,AUGMNT ACTB SZ54MM 10MM,41030.0,41030.0,4513.3,41030.0,57
HCPCS,C1776,AUGMNT FEM #3 8MM,36413.0,36413.0,4005.43,36413.0,57
HCPCS,C1776,AUGMNT FEM KN SZ3 4MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,AUGMNT HIP LT PST RT ANT,46435.0,46435.0,5107.85,46435.0,57
HCPCS,C1776,AUGMNT KN TIB 3X5MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,AUGMNT TIB 5/6 KN L 5MM,22575.0,22575.0,2483.25,22575.0,57
HCPCS,C1776,AUGMNT TIB KN SZ2 5MM,29619.0,29619.0,3258.09,29619.0,57
HCPCS,C1776,AXLE FEM KN 648-1-120,17506.0,17506.0,1925.66,17506.0,57
HCPCS,C1776,AXLE FEM KN GMRS SM,17519.0,17519.0,1927.09,17519.0,57
HCPCS,C1776,BASE TIB KN CMNT SZ5,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,BASE TIB KN SZ9,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,BASEPLAT GLND 25MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,BASEPLATE CMNT LT SZ4,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE GLENOID SM,13649.0,13649.0,1501.39,13649.0,57
HCPCS,C1776,BASEPLATE GLND LG UNV,63210.0,63210.0,6953.1,63210.0,57
HCPCS,C1776,BASEPLATE GLND RVS SML,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,BASEPLATE GLND SHLDR SM,45476.5,45476.5,3051.73,63210.0,114
HCPCS,C1776,BASEPLATE GLND SHLDR15MM,8656.0,8656.0,952.16,8656.0,57
HCPCS,C1776,BASEPLATE HUM SHLDR 30MM,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,BASEPLATE KN 72X49.5MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE KN CMNT SZ2,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE KN CMNT TIB 7,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,BASEPLATE KN LT SZ6,46655.0,46655.0,5132.05,46655.0,57
HCPCS,C1776,BASEPLATE KN LT SZ7 15MM,5135.0,5135.0,564.85,5135.0,57
HCPCS,C1776,BASEPLATE KN PRTL TB SZ2,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLATE KN PRTL TB SZ3,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLATE KN SZ 8,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE KN SZ SM-2,51613.0,51613.0,5677.43,51613.0,57
HCPCS,C1776,BASEPLATE KN SZ5 13MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLATE KN TIB LT SZ7,44323.0,44323.0,4875.53,44323.0,57
HCPCS,C1776,BASEPLATE KN TIB SZ3,26445.0,26445.0,2838.0,27090.0,171
HCPCS,C1776,BASEPLATE KN TIB SZ4,32844.0,32844.0,3612.84,32844.0,57
HCPCS,C1776,BASEPLATE KN TIB SZ9,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,BASEPLATE KN TIBIAL #1,114302.0,114302.0,12573.22,114302.0,57
HCPCS,C1776,BASEPLATE LT CMNT SZ6,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE MODULAR 28MM,66821.0,66821.0,7350.31,66821.0,57
HCPCS,C1776,BASEPLATE SHLD 15D 29MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,BASEPLATE SHLDR 24MM,39971.0,39971.0,4396.81,39971.0,57
HCPCS,C1776,BASEPLATE SHLDR 25MM 35D,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,BASEPLATE SHLDR 29MM,35550.0,35550.0,2712.6,46440.0,114
HCPCS,C1776,BASEPLATE SHLDR STD 25MM,30960.0,30960.0,3405.6,30960.0,57
HCPCS,C1776,BASEPLATE TIB 66X44.5MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB CMNT R SZ2,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE TIB KN #1,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KN 4- LT N,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KN 5 48X71,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KN 5D,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,BASEPLATE TIB KN 5D SZ E,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,BASEPLATE TIB KN 5D SZ F,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,BASEPLATE TIB KN 5D SZ G,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,BASEPLATE TIB KN 5D SZC,20640.0,20640.0,2270.4,20640.0,114
HCPCS,C1776,BASEPLATE TIB KN 5D SZG,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,BASEPLATE TIB KN 67MM,60825.0,60825.0,6690.75,60825.0,57
HCPCS,C1776,BASEPLATE TIB KN LFT SZ3,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLATE TIB KN LT SZ2,64247.0,64247.0,7067.17,64247.0,57
HCPCS,C1776,BASEPLATE TIB KN LT SZ5,34937.5,34937.5,2554.2,46655.0,114
HCPCS,C1776,BASEPLATE TIB KN LT SZF,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLATE TIB KN REV SZ3,66821.0,66821.0,7350.31,66821.0,57
HCPCS,C1776,BASEPLATE TIB KN RT SZ2,45023.5,45023.5,2838.0,64247.0,114
HCPCS,C1776,BASEPLATE TIB KN RT SZ3,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,BASEPLATE TIB KN RT SZ4,49589.5,49589.5,2838.0,73379.0,114
HCPCS,C1776,BASEPLATE TIB KN RT SZ5,61035.0,61035.0,6713.85,61035.0,57
HCPCS,C1776,BASEPLATE TIB KN RT SZ6,39385.5,39385.5,2426.49,56712.0,114
HCPCS,C1776,BASEPLATE TIB KN SIZE 3,92583.0,92583.0,10184.13,92583.0,57
HCPCS,C1776,BASEPLATE TIB KN SYS 4,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,BASEPLATE TIB KN SZ MED2,51613.0,51613.0,5677.43,51613.0,57
HCPCS,C1776,BASEPLATE TIB KN SZ10,27090.0,27090.0,2979.9,27090.0,114
HCPCS,C1776,BASEPLATE TIB KN SZ2,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KN SZ3,27090.0,27090.0,2838.0,33540.0,285
HCPCS,C1776,BASEPLATE TIB KN SZ4,36636.0,36636.0,2838.0,74390.0,399
HCPCS,C1776,BASEPLATE TIB KN SZ4-,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KN SZ5,25800.0,25800.0,2525.6,27090.0,399
HCPCS,C1776,BASEPLATE TIB KN SZ5-,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KN SZ6,30315.0,30315.0,2838.0,64500.0,342
HCPCS,C1776,BASEPLATE TIB KN SZ7,25800.0,25800.0,2696.1,27090.0,342
HCPCS,C1776,BASEPLATE TIB KN SZ8,26445.0,26445.0,2838.0,27090.0,171
HCPCS,C1776,BASEPLATE TIB KN UNV SZ2,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KN UNV SZ3,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KN UNV SZ8,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB KNEE 8,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,BASEPLATE TIB LT SZ5,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE TIB LT SZ7,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE TIB RT SZ3,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE TIB RT SZ4,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE TIB S1 KN MRH,51613.0,51613.0,5677.43,51613.0,57
HCPCS,C1776,BASEPLATE TIB SCREW 5MM,70329.0,70329.0,7736.19,70329.0,57
HCPCS,C1776,BASEPLATE TIB SIZE 2,92583.0,92583.0,10184.13,92583.0,57
HCPCS,C1776,BASEPLATE TIB SZ1 60MM,92583.0,92583.0,10184.13,92583.0,57
HCPCS,C1776,BASEPLATE TIB SZ3,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB U2 PSA 3,70329.0,70329.0,7736.19,70329.0,57
HCPCS,C1776,BASEPLATE TIB UNV SZ1,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB UNV SZ4,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIB UNV SZ6,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATE TIBAIL SCREW,16422.0,16422.0,1806.42,16422.0,57
HCPCS,C1776,BASEPLATE TIBIAL #3,110127.0,110127.0,12113.97,110127.0,57
HCPCS,C1776,BASEPLATE TIBIAL #4,110127.0,110127.0,12113.97,110127.0,57
HCPCS,C1776,BASEPLATE TIBIAL #5,110127.0,110127.0,12113.97,110127.0,57
HCPCS,C1776,BASEPLATE TIBIAL KN SZ#2,110127.0,110127.0,12113.97,110127.0,57
HCPCS,C1776,BASEPLATE TIBIAL SZ5,92583.0,92583.0,10184.13,92583.0,57
HCPCS,C1776,BASEPLATE TIBIAL SZ6,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLATE TIN KN RT SZ6,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLATETIB KN LGN RT,46655.0,46655.0,5132.05,46655.0,57
HCPCS,C1776,BASEPLT GLND MED UNV STR,63210.0,63210.0,6953.1,63210.0,57
HCPCS,C1776,BASEPLT KN CMNT SZ5,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASEPLT KN LT SZ5,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLT KN RT SZ4,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLT KN TIB SZ2,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLT KN TIB SZ7,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLT TIB KN LM-RL SZ5,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLT TIB KN LM/RL SZ2,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLT TIB KN LT SZ2,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLT TIB KN LT SZ4,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,BASEPLT TIB KN LT SZ6,18495.0,18495.0,2034.45,18495.0,57
HCPCS,C1776,BASEPLT TIB KN RM-LL SZ4,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLT TIB KN RM/LL SZ3,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BASEPLT TIB KN RT SZ2,23534.0,23534.0,2588.74,23534.0,57
HCPCS,C1776,BASEPLT TIB KN RT SZ7,22960.0,22960.0,2525.6,22960.0,57
HCPCS,C1776,BASEPLT TIB KN SZ8,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,BASEPLT TIB LT CMNT SZ3,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,BASPLATE TIB KN SZ5,66821.0,66821.0,7350.31,66821.0,57
HCPCS,C1776,BASPLT TIB KN LM/RL SZ7,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BDY HUM SMR RVRVS TI LCK,62436.0,62436.0,6867.96,62436.0,57
HCPCS,C1776,BEARING ACTB HIP 28X40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING ANKLE SZ1+ 8MM,74410.0,74410.0,8185.1,74410.0,57
HCPCS,C1776,BEARING ARTC HIP E1 46MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING E1 40MM RNGLC 26,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING FEM KN RT SZC4,25416.0,25416.0,2795.76,25416.0,57
HCPCS,C1776,BEARING HIP 22.2MM 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING HIP E1 40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING HUM SHLDR 36MM,34830.0,34830.0,2057.55,45754.0,228
HCPCS,C1776,BEARING MNSCL KN 4MM,21285.0,21285.0,2341.35,21285.0,57
HCPCS,C1776,BEARING SHLDR STD 36MM,18705.0,18705.0,2057.55,18705.0,57
HCPCS,C1776,BEARING SZE 28X42MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING TIB 71X75X10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING TIB E1 28X44MM,28230.0,28230.0,3105.3,28230.0,57
HCPCS,C1776,BEARING TIB KN 10MM 67MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING TIB KN 12MM 71MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING TIB KN 12MM 75MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARING TIB KN 12X79,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,BEARNG TRUNON SHLDR 49MM,136681.0,136681.0,15034.91,136681.0,57
HCPCS,C1776,BLOCK AUG KN SZE 10MM,15883.0,15883.0,1747.13,15883.0,57
HCPCS,C1776,BLOCK TIB TRBCLR MTL SZ,30651.0,30651.0,3371.61,30651.0,57
HCPCS,C1776,BODY BRCHD 175MM 11MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,BODY BRCHD 175MM 13MM,118871.0,118871.0,13075.81,118871.0,57
HCPCS,C1776,BODY BRCHD 175MM 14MM,68562.0,68562.0,7541.82,68562.0,57
HCPCS,C1776,BODY BRDHD 175MM 11MM,112278.0,112278.0,12350.58,112278.0,57
HCPCS,C1776,BODY CONE HIP +10MM 21MM,84625.0,84625.0,9308.75,84625.0,57
HCPCS,C1776,BODY CONE HIP STD 60MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,BODY FEM HIP 20MM 105MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,BODY FEM HIP 20MM 75MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,BODY FEM HIP 20X95MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,BODY FEM HIP 28MM 75MMMM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,BODY FEM HIP 28X95MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,BODY HIP RED 24X105MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,BODY HUM DSTL RT 50MM,126200.0,126200.0,13882.0,126200.0,57
HCPCS,C1776,BODY HUM DSTL RT 60MM,126200.0,126200.0,13882.0,126200.0,57
HCPCS,C1776,BODY HUM SHLDR FIN RVRS,62436.0,62436.0,6867.96,62436.0,57
HCPCS,C1776,BODY PROX HIP 20MM 85MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,BODY PROX SHLDR 17MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,BODY STD FEMORAL PROXIMA,108076.0,108076.0,11888.36,108076.0,57
HCPCS,C1776,BOLT BN FX LGN 18MM,11729.0,11729.0,1290.19,11729.0,57
HCPCS,C1776,BOLT ORTH NEUT FEM ADPR,3612.0,3612.0,397.32,3612.0,57
HCPCS,C1776,BOLT TIB KN RETAINING,1728.0,1728.0,190.08,1728.0,57
HCPCS,C1776,BPLT KN TIB RM/LL SZ5,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BPLT TIB STD RM/LL SZ7 O,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BSEPLATE TIB KN U2 PSA 6,106300.0,106300.0,11693.0,106300.0,57
HCPCS,C1776,BSEPLT TIB KN LM/RL SZ4,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BSPLT GLND SHLDR 29MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,BSPLT GLND SHLDR15D 25MM,48680.0,48680.0,5354.8,48680.0,57
HCPCS,C1776,BSPLT KN TIB RT REV SZ3,46655.0,46655.0,5132.05,46655.0,57
HCPCS,C1776,BSPLT TIB KN #0 (38X59),110127.0,110127.0,12113.97,110127.0,57
HCPCS,C1776,BSPLT TIB KN LM/RL SZ1,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BSPLT TIB KN LM/RL SZ6,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BSPLT TIB KN RM/LL SZ1,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BSPLT TIB KN RM/LL SZ8,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,BSPLT TIB KN SZ2,85175.0,85175.0,9369.25,85175.0,57
HCPCS,C1776,BSPLT TIB KN SZ4 75MM,92583.0,92583.0,10184.13,92583.0,57
HCPCS,C1776,BSPLT TIB SZ2 65MM M/L,74160.0,74160.0,8157.6,74160.0,57
HCPCS,C1776,BSPLT TIB SZ3 70MM M/L,95078.0,95078.0,10458.58,95078.0,57
HCPCS,C1776,BSPLT TIB SZ4 75MM M/L,85581.0,85581.0,9413.91,85581.0,57
HCPCS,C1776,BSPLT TIB SZ5 80MM M/L,74160.0,74160.0,8157.6,74160.0,57
HCPCS,C1776,BSPLTE GLND SHLDR 25MM,43812.0,43812.0,4819.32,43812.0,57
HCPCS,C1776,BUSHNG FEM KN ROT HNG,4069.0,4069.0,447.59,4069.0,57
HCPCS,C1776,BUSHNG KN FEM SM,5289.0,5289.0,581.79,5289.0,57
HCPCS,C1776,CAP BIP HIP 28X48MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CAP BIPOLAR HIP 28X47MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,CEMENTRALIZER HIP 17MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,CENTRALIZER HIP FEM 13MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,CENTRALIZR STEM HIP 10MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,CENTRALIZR STEM HIP 14MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,CENTRALIZR STM HIP 8.5MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,CMNT KN TIB PLT #5,25671.0,25671.0,2823.81,25671.0,57
HCPCS,C1776,CMPNT ACTB HIP 28X51MM,12150.0,12150.0,1336.5,12150.0,57
HCPCS,C1776,CMPNT ACTB HIP 28X52MM,12150.0,12150.0,1336.5,12150.0,57
HCPCS,C1776,CMPNT ADPT HIP UNV 0MM,2025.0,2025.0,222.75,2025.0,57
HCPCS,C1776,CMPNT ARTIC SRFC SZ3-4,25297.0,25297.0,2782.67,25297.0,57
HCPCS,C1776,CMPNT ASYM PTLR KN 11X38,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT AUG FEM KN 16MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,CMPNT AUG KN SZ C,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT AUG KN SZ6 12MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,CMPNT AUG KN SZ7 12MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,CMPNT AUG PTLL LRG 20MM,42795.0,42795.0,4707.45,42795.0,57
HCPCS,C1776,CMPNT BEARING RT MED 3MM,21285.0,21285.0,2341.35,21285.0,57
HCPCS,C1776,CMPNT BIP 0D ID28MM 54MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,CMPNT BRNG KN LT MED 5MM,21285.0,21285.0,2341.35,21285.0,57
HCPCS,C1776,CMPNT BRNG KN SZ5 LM/RL,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,CMPNT CMNT FEM #4 RT,38944.0,38944.0,4283.84,38944.0,57
HCPCS,C1776,CMPNT DOME ANK SZ4,148502.0,148502.0,16335.22,148502.0,57
HCPCS,C1776,CMPNT DOME KN 29MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,CMPNT FEM 2.5 RT CS TC3,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT FEM 3RT CR NPOR,37410.0,37410.0,4115.1,37410.0,57
HCPCS,C1776,CMPNT FEM 4 KN LT CMNT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM 4 LT 3D KN NPO,43344.0,43344.0,4767.84,43344.0,57
HCPCS,C1776,CMPNT FEM 40MM KN M TO M,51317.0,51317.0,5644.87,51317.0,57
HCPCS,C1776,CMPNT FEM 5 KN LT CMNT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM CMNT SZ3 LT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM CMNTLS LT SZ4,43086.0,43086.0,4739.46,43086.0,57
HCPCS,C1776,CMPNT FEM CMNTLS RT SZ6,43086.0,43086.0,4739.46,43086.0,57
HCPCS,C1776,CMPNT FEM CMTD SZ6,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,CMPNT FEM HIP +4 SZ12/14,3421.0,3421.0,376.31,3421.0,57
HCPCS,C1776,CMPNT FEM HIP 135D 50MM,58505.0,58505.0,6435.55,58505.0,57
HCPCS,C1776,CMPNT FEM HIP 13MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,CMPNT FEM HIP 20X160MM,15491.0,15491.0,1704.01,15491.0,57
HCPCS,C1776,CMPNT FEM HIP 22MM 41MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,CMPNT FEM HIP 24MM 85MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,CMPNT FEM HIP 28MM 105MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,CMPNT FEM HIP 28MM 43MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CMPNT FEM HIP 28MM 45MM,10320.0,10320.0,1135.2,10320.0,57
HCPCS,C1776,CMPNT FEM HIP 28MM 50MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,CMPNT FEM HIP 28MM 54M,10320.0,10320.0,1135.2,10320.0,57
HCPCS,C1776,CMPNT FEM HIP 28MM 85MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,CMPNT FEM HIP 50MM,189214.0,189214.0,20813.54,189214.0,57
HCPCS,C1776,CMPNT FEM HIP LT 15D,70392.0,70392.0,7743.12,70392.0,57
HCPCS,C1776,CMPNT FEM HIP OFST SZ4,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,CMPNT FEM HIP RT KN SZ4,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM HIP RT SZ6,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM HIP STD SZ2,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,CMPNT FEM HIP SZ 3,43860.0,43860.0,4824.6,43860.0,114
HCPCS,C1776,CMPNT FEM HIP SZ 5,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,CMPNT FEM HIP SZ 7,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,CMPNT FEM HIP SZ100 22MM,48201.0,48201.0,5302.11,48201.0,57
HCPCS,C1776,CMPNT FEM HIP SZ135 40MM,58505.0,58505.0,6435.55,58505.0,57
HCPCS,C1776,CMPNT FEM HIP SZ3,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,CMPNT FEM HIP SZ4,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,CMPNT FEM HIP SZ5,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,CMPNT FEM HIP SZ6,43860.0,43860.0,4824.6,43860.0,114
HCPCS,C1776,CMPNT FEM HIP SZ8,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,CMPNT FEM KN #3,115747.0,115747.0,12732.17,115747.0,57
HCPCS,C1776,CMPNT FEM KN 19MM 140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,CMPNT FEM KN 4 LT,88920.0,88920.0,9781.2,88920.0,57
HCPCS,C1776,CMPNT FEM KN 5-6 LNG10MM,20019.0,20019.0,2202.09,20019.0,57
HCPCS,C1776,CMPNT FEM KN 5DX5P SZ7,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,CMPNT FEM KN 6 LT,30425.0,30425.0,3346.75,30425.0,57
HCPCS,C1776,CMPNT FEM KN 65MM,99411.0,99411.0,10935.21,99411.0,57
HCPCS,C1776,CMPNT FEM KN 7 LT,87166.0,87166.0,9588.26,87166.0,57
HCPCS,C1776,CMPNT FEM KN 71MM 66MM,73689.0,73689.0,8105.79,73689.0,57
HCPCS,C1776,CMPNT FEM KN 9 RT,37410.0,37410.0,4115.1,37410.0,57
HCPCS,C1776,CMPNT FEM KN AUG 4MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,CMPNT FEM KN CMNT RT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM KN CMNT SZ2,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN CMNT SZ4,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM KN COCR CMNT,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM KN CR #5 RT,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM KN E 62X68MM,68032.0,68032.0,7483.52,68032.0,57
HCPCS,C1776,CMPNT FEM KN EXT 40MM,46540.0,46540.0,5119.4,46540.0,57
HCPCS,C1776,CMPNT FEM KN LEFT,153923.0,153923.0,16931.53,153923.0,57
HCPCS,C1776,CMPNT FEM KN LM/RL SZ2,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN LM/RL SZ3,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN LM/RL SZ4,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN LM/RL SZ6,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN LM/RL SZ7,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN LRG,3870.0,3870.0,425.7,3870.0,57
HCPCS,C1776,CMPNT FEM KN LT #2,36613.0,36613.0,4027.43,36613.0,57
HCPCS,C1776,CMPNT FEM KN LT CMNT 3,37410.0,37410.0,4115.1,37410.0,57
HCPCS,C1776,CMPNT FEM KN LT SZ1,144568.0,144568.0,15902.48,144568.0,57
HCPCS,C1776,CMPNT FEM KN LT SZ2,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN LT SZ3,88920.0,88920.0,3888.06,95543.0,171
HCPCS,C1776,CMPNT FEM KN LT SZ4,38700.0,38700.0,3831.3,101091.0,285
HCPCS,C1776,CMPNT FEM KN LT SZ5,41280.0,41280.0,3263.7,105929.0,456
HCPCS,C1776,CMPNT FEM KN LT SZ6,41328.0,41328.0,3888.06,88920.0,171
HCPCS,C1776,CMPNT FEM KN LT SZ7,37410.0,37410.0,3888.06,283312.0,285
HCPCS,C1776,CMPNT FEM KN LT SZ8,37462.0,37462.0,3984.64,38700.0,114
HCPCS,C1776,CMPNT FEM KN LT XX-SM,197001.0,197001.0,21670.11,197001.0,57
HCPCS,C1776,CMPNT FEM KN PS RT SZ7,43086.0,43086.0,4739.46,43086.0,57
HCPCS,C1776,CMPNT FEM KN RIGHT #2,143718.0,143718.0,15808.98,143718.0,57
HCPCS,C1776,CMPNT FEM KN RM/LL SZ3,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN RM/LL SZ4,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN RM/LL SZ5,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN RM/LL SZ6,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN RM/LL SZ7,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN RM/LL SZ8,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM KN RND 32MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT FEM KN RT #3,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM KN RT 60MM,57263.0,57263.0,6298.93,57263.0,57
HCPCS,C1776,CMPNT FEM KN RT CR SZ7,39216.0,39216.0,4313.76,39216.0,57
HCPCS,C1776,CMPNT FEM KN RT CRU SZ7,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM KN RT SZ 2,189214.0,189214.0,20813.54,189214.0,57
HCPCS,C1776,CMPNT FEM KN RT SZ D,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM KN RT SZ10,37732.5,37732.5,4044.15,38700.0,114
HCPCS,C1776,CMPNT FEM KN RT SZ2,32508.0,32508.0,3263.7,35346.0,114
HCPCS,C1776,CMPNT FEM KN RT SZ3,90441.5,90441.5,7095.11,116382.0,114
HCPCS,C1776,CMPNT FEM KN RT SZ4,66003.0,66003.0,4540.8,116382.0,228
HCPCS,C1776,CMPNT FEM KN RT SZ5,73997.0,73997.0,3547.5,105929.0,342
HCPCS,C1776,CMPNT FEM KN RT SZ6,45920.0,45920.0,5051.2,45920.0,57
HCPCS,C1776,CMPNT FEM KN RT SZ7,34684.5,34684.5,3346.75,38944.0,114
HCPCS,C1776,CMPNT FEM KN RT SZ8,41328.0,41328.0,4546.08,41328.0,57
HCPCS,C1776,CMPNT FEM KN RT SZ9,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM KN RT XS,135345.0,135345.0,8105.79,197001.0,114
HCPCS,C1776,CMPNT FEM KN RT XXSM,197001.0,197001.0,21670.11,197001.0,57
HCPCS,C1776,CMPNT FEM KN SM RT 60MM,155198.0,155198.0,17071.78,155198.0,57
HCPCS,C1776,CMPNT FEM KN ST SZ4,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM KN STD LT SZ11,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM KN SZ 3N,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,CMPNT FEM KN SZ 5,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM KN SZ 6,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,CMPNT FEM KN SZ+5,145897.0,145897.0,16048.67,145897.0,57
HCPCS,C1776,CMPNT FEM KN SZ2,36636.0,36636.0,3263.7,95543.0,171
HCPCS,C1776,CMPNT FEM KN SZ3,64501.0,64501.0,4257.0,116382.0,285
HCPCS,C1776,CMPNT FEM KN SZ4,39990.0,39990.0,4115.1,64501.0,228
HCPCS,C1776,CMPNT FEM KN SZ4 70MM,116382.0,116382.0,12802.02,116382.0,57
HCPCS,C1776,CMPNT FEM KN SZ5,41280.0,41280.0,4257.0,88920.0,342
HCPCS,C1776,CMPNT FEM KN SZ5N,31770.0,31770.0,3494.7,31770.0,57
HCPCS,C1776,CMPNT FEM KN SZ6,37023.0,37023.0,3547.5,41280.0,285
HCPCS,C1776,CMPNT FEM KN SZ6L,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,CMPNT FEM KN SZ7,38700.0,38700.0,3547.5,85951.0,399
HCPCS,C1776,CMPNT FEM KN SZ8,43600.0,43600.0,3346.75,57400.0,285
HCPCS,C1776,CMPNT FEM KN SZ9,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM KN SZE,172079.0,172079.0,18928.69,172079.0,57
HCPCS,C1776,CMPNT FEM KN SZF 66X72MM,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM KN TWN PEG MD,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,CMPNT FEM KN XL,27336.0,27336.0,3006.96,27336.0,57
HCPCS,C1776,CMPNT FEM KN XS,197001.0,197001.0,21670.11,197001.0,57
HCPCS,C1776,CMPNT FEM KN XS 46X50,182666.0,182666.0,20093.26,182666.0,57
HCPCS,C1776,CMPNT FEM KN64X49.3X10.5,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM LEFT #2,143718.0,143718.0,15808.98,143718.0,57
HCPCS,C1776,CMPNT FEM LEFT #3,328672.0,328672.0,36153.92,328672.0,57
HCPCS,C1776,CMPNT FEM LEFT #4,143718.0,143718.0,15808.98,143718.0,57
HCPCS,C1776,CMPNT FEM LEFT #5,143718.0,143718.0,15808.98,143718.0,57
HCPCS,C1776,CMPNT FEM LT CMNT SZ3,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,CMPNT FEM LT CMNT SZ5,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,CMPNT FEM LT KN SZ4,105929.0,105929.0,11652.19,105929.0,57
HCPCS,C1776,CMPNT FEM MTPHYSL SZ2,223006.0,223006.0,24530.66,223006.0,57
HCPCS,C1776,CMPNT FEM NAR KN RT SZ6,39990.0,39990.0,4257.0,41280.0,114
HCPCS,C1776,CMPNT FEM NAR KN RT SZ8,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM ORT COATED #4,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM RIGHT,182666.0,182666.0,20093.26,182666.0,57
HCPCS,C1776,CMPNT FEM RIGHT #3,143718.0,143718.0,15808.98,143718.0,57
HCPCS,C1776,CMPNT FEM RIGHT #4,143718.0,143718.0,15808.98,143718.0,57
HCPCS,C1776,CMPNT FEM RIGHT #5,143718.0,143718.0,15808.98,143718.0,57
HCPCS,C1776,CMPNT FEM RT KN 3,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT FEM RT N-CMNT SZ4,106088.0,106088.0,11669.68,106088.0,57
HCPCS,C1776,CMPNT FEM SLV XTN 40MM,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,CMPNT FEM STD KN LT SZ10,38944.0,38944.0,4283.84,38944.0,57
HCPCS,C1776,CMPNT FEM STD KN LT SZ9,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM STD KN RT SZ11,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM STD KN RT SZ12,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,CMPNT FEM STD KN RT SZ9,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT FEM SZ4,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,CMPNT FEM SZ4N,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,CMPNT FEM SZ5,51471.0,51471.0,5661.81,51471.0,57
HCPCS,C1776,CMPNT FEM SZ6,51471.0,51471.0,5661.81,51471.0,57
HCPCS,C1776,CMPNT FEM TXTR LCS SM RT,8889.0,8889.0,977.79,8889.0,57
HCPCS,C1776,CMPNT FM HIP 60X32X80,58505.0,58505.0,6435.55,58505.0,57
HCPCS,C1776,CMPNT GLND SHLDR 15D SM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,CMPNT GLND SHLDR 24X33MM,46105.0,46105.0,5071.55,46105.0,57
HCPCS,C1776,CMPNT GLND SHLDR SZ30,41136.0,41136.0,4524.96,41136.0,57
HCPCS,C1776,CMPNT GLND SHLDR SZSM-R,6812.0,6812.0,749.32,6812.0,57
HCPCS,C1776,CMPNT GLND STD,18154.0,18154.0,1996.94,18154.0,57
HCPCS,C1776,CMPNT HD HIP 28MM 45MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,CMPNT HEAD HIP 47MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CMPNT HINGE KN SZ1-2,72537.0,72537.0,7979.07,72537.0,57
HCPCS,C1776,CMPNT HIP 28MM 52MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CMPNT HIP CSTM,468520.0,468520.0,51537.2,468520.0,57
HCPCS,C1776,CMPNT HIP CSTM 135D 32MM,199844.0,199844.0,21982.84,199844.0,57
HCPCS,C1776,CMPNT HIP CSTM 135D/32MM,199844.0,199844.0,21982.84,199844.0,57
HCPCS,C1776,CMPNT HIP CSTM 40MM,164765.0,164765.0,18124.15,164765.0,57
HCPCS,C1776,CMPNT HIP FEM 12MM 175MM,121954.0,121954.0,13414.94,121954.0,57
HCPCS,C1776,CMPNT HIP FEM 9MM 137MM,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,CMPNT HIP FEM CBLT SZ12,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,CMPNT HUM R/SHRLDR 40MM,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,CMPNT HUM SHLDR STD 13MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,CMPNT HUM SMALL,121414.0,121414.0,13355.54,121414.0,57
HCPCS,C1776,CMPNT KN 105MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,CMPNT KN 10MM 35MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT KN 40MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT KN 66X62MM,73689.0,73689.0,8105.79,73689.0,57
HCPCS,C1776,CMPNT KN 9.5MM SZ4 38MM,6115.0,6115.0,672.65,6115.0,57
HCPCS,C1776,CMPNT KN AUGM OFST 7.5,14094.0,14094.0,1550.34,14094.0,57
HCPCS,C1776,CMPNT KN CMNT LT SZ6,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN CMNT LT SZ8,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN CMNT RT SZ1,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN CMNT RT SZ7,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN DIST STD 3CM,79399.0,79399.0,8733.89,79399.0,57
HCPCS,C1776,CMPNT KN FEM 60MM 57MM,155198.0,155198.0,17071.78,155198.0,57
HCPCS,C1776,CMPNT KN FEM BSHNG STD,5334.0,5334.0,586.74,5334.0,57
HCPCS,C1776,CMPNT KN FEM CMN LT SZ5,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN FEM CMNT RT 2,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN FEM CMNT RT 5,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN FEM CMNTD SZ4,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,CMPNT KN FEM LM/RL SZ5,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN FEM LT 57.5MM,99006.0,99006.0,10890.66,99006.0,57
HCPCS,C1776,CMPNT KN FEM LT 62.5MM,99006.0,99006.0,10890.66,99006.0,57
HCPCS,C1776,CMPNT KN FEM LT STD 7CM,102465.0,102465.0,11271.15,102465.0,57
HCPCS,C1776,CMPNT KN FEM PROX RT 7CM,81696.0,81696.0,8986.56,81696.0,57
HCPCS,C1776,CMPNT KN FEM RT 70MM,44638.0,44638.0,4910.18,44638.0,57
HCPCS,C1776,CMPNT KN FEM RT 8.5CM,112849.0,112849.0,12413.39,112849.0,57
HCPCS,C1776,CMPNT KN FEM RT ELP 7CM,117946.0,117946.0,12974.06,117946.0,57
HCPCS,C1776,CMPNT KN FEM STD LT SZ8,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CMPNT KN HINGED ROTATE,5146.0,5146.0,566.06,5146.0,57
HCPCS,C1776,CMPNT KN LGN 10X5MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,CMPNT KN LT CNSTR SZ8,83493.0,83493.0,9184.23,83493.0,57
HCPCS,C1776,CMPNT KN LT SZ4,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN LT SZ7,87888.0,87888.0,9667.68,87888.0,57
HCPCS,C1776,CMPNT KN PATELLA 29MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,CMPNT KN PRTL FM SZ2,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,CMPNT KN PRTL FM SZ3,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,CMPNT KN PST SZ4 10MM,19388.0,19388.0,2132.68,19388.0,57
HCPCS,C1776,CMPNT KN PTLA DOME 41MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,CMPNT KN RT SZ3,32508.0,32508.0,3263.7,35346.0,114
HCPCS,C1776,CMPNT KN RT SZ4,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN RT SZ6,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CMPNT KN SEG 25MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,CMPNT KN SEG 55MM,47524.0,47524.0,5227.64,47524.0,57
HCPCS,C1776,CMPNT KN SEGMENTAL 125MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,CMPNT KN SLV 11MM,14725.0,14725.0,1619.75,14725.0,57
HCPCS,C1776,CMPNT KN SZ2,123308.0,123308.0,13563.88,123308.0,57
HCPCS,C1776,CMPNT KN SZ5-6 47.5MM,25284.0,25284.0,2781.24,25284.0,57
HCPCS,C1776,CMPNT KN TIB AXLE,7807.0,7807.0,858.77,7807.0,57
HCPCS,C1776,CMPNT KN TIB BASE SZ8,66821.0,66821.0,7350.31,66821.0,57
HCPCS,C1776,CMPNT KN TIB SZ2,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,CMPNT KN W/SFTY SCR LFT,252990.0,252990.0,27828.9,252990.0,57
HCPCS,C1776,CMPNT KN W/SFTY SCR RT,252990.0,252990.0,27828.9,252990.0,57
HCPCS,C1776,CMPNT KN YOKE REINFC,18258.0,18258.0,2008.38,18258.0,57
HCPCS,C1776,CMPNT KNEE FEM 73X69,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT KNEE SEG 25MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT LT 135D 70X32X90MM,58505.0,58505.0,6435.55,58505.0,57
HCPCS,C1776,CMPNT MOD PST SHLDR 25MM,18428.0,18428.0,2027.08,18428.0,57
HCPCS,C1776,CMPNT PATELLA 31X7MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PATELLA 8.5MM 30MM,6115.0,6115.0,672.65,6115.0,57
HCPCS,C1776,CMPNT PATLA KN SZ2 8MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PLATE TIB SZ4,25671.0,25671.0,2823.81,25671.0,57
HCPCS,C1776,CMPNT PLATE TIB SZ7,25671.0,25671.0,2823.81,25671.0,57
HCPCS,C1776,CMPNT PSTNR HIP SZ13,2967.0,2967.0,326.37,2967.0,57
HCPCS,C1776,CMPNT PTL FEM KN LT SZ4,44118.0,44118.0,4852.98,44118.0,57
HCPCS,C1776,CMPNT PTLA 35 96-0101,5883.0,5883.0,647.13,5883.0,57
HCPCS,C1776,CMPNT PTLA 3PEG STD31X8,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLA 3PG STD34X8.5,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLA AP OD34MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,CMPNT PTLA KN 26MM 8MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLA KN 29MM 8MM,7310.0,7310.0,709.5,8170.0,114
HCPCS,C1776,CMPNT PTLA KN 38MM,16743.0,16743.0,1841.73,16743.0,57
HCPCS,C1776,CMPNT PTLA KN 7.5MM 35MM,6128.0,6128.0,674.08,6128.0,57
HCPCS,C1776,CMPNT PTLA KN 7MM SZ2,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLA KN 7MM SZ3,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLA KN DOME 38MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,CMPNT PTLA KN E+ 8X32MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLA SMTR 10X36MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT PTLA SMTR 9X33MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT PTLR KN 10MM 32MM,10449.0,10449.0,1078.44,11094.0,114
HCPCS,C1776,CMPNT PTLR KN 10X35MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT PTLR KN 11MM 40MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT PTLR KN 19.5MM,42795.0,42795.0,4707.45,42795.0,57
HCPCS,C1776,CMPNT PTLR KN 35MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLR KN 38MM,6289.0,6289.0,674.08,6450.0,114
HCPCS,C1776,CMPNT PTLR KN 8MM 28MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLR KN 8MM 31MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLR KN 8X27MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT PTLR KN 8X29MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT PTLR KN 9MM 29MM,11094.0,11094.0,1220.34,11094.0,57
HCPCS,C1776,CMPNT PTLR KN 9MM 32MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLR KN 9X29MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT PTLR KN 9X31MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,CMPNT PTLR KN E 29MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPNT PTLR KN RND 32MM,6750.0,6750.0,742.5,6750.0,57
HCPCS,C1776,CMPNT RAD ELB 24MM,21064.0,21064.0,2317.04,21064.0,57
HCPCS,C1776,CMPNT SEG HNG KN 30MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,CMPNT SEG KN 65MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,CMPNT SHD AUGM W/SCR LG,95147.0,95147.0,10466.17,95147.0,57
HCPCS,C1776,CMPNT SHD AUGM W/SCR SM,98434.0,98434.0,10827.74,98434.0,57
HCPCS,C1776,CMPNT SHD COUPL W/SCR,211367.0,211367.0,23250.37,211367.0,57
HCPCS,C1776,CMPNT SHD INTSEG 30MM,182560.0,182560.0,20081.6,182560.0,57
HCPCS,C1776,CMPNT SHD INTSEG 60MM,184516.0,184516.0,20296.76,184516.0,57
HCPCS,C1776,CMPNT SHD INTSEG 90MM,186493.0,186493.0,20514.23,186493.0,57
HCPCS,C1776,CMPNT SHD PRXBDY LG 42,123649.0,123649.0,13601.39,123649.0,57
HCPCS,C1776,CMPNT SHD PRXBDY TM 51,123649.0,123649.0,13601.39,123649.0,57
HCPCS,C1776,CMPNT SHD PRXBDY TM 61,106957.0,106957.0,11765.27,106957.0,57
HCPCS,C1776,CMPNT SHD PRXBDY TM 71MM,106957.0,106957.0,11765.27,106957.0,57
HCPCS,C1776,CMPNT SHLDR +6MM 3.5MM,26758.0,26758.0,2943.38,26758.0,57
HCPCS,C1776,CMPNT SHLDR +6MM 36MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,CMPNT SHLDR 36MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,CMPNT SHLDR 3G 40MM,41136.0,41136.0,4524.96,41136.0,57
HCPCS,C1776,CMPNT SHLDR GLND 39MM,34902.0,34902.0,3839.22,34902.0,57
HCPCS,C1776,CMPNT SHLDR GLND MED,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT SHLDR LCK 42MM,30960.0,30960.0,3405.6,30960.0,57
HCPCS,C1776,CMPNT SHLDR RT 36MM,44273.0,44273.0,4870.03,44273.0,57
HCPCS,C1776,CMPNT SHLDR STD 17MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,CMPNT STEM FEM KN LG,47730.0,47730.0,5250.3,47730.0,57
HCPCS,C1776,CMPNT STEM HIP 28MM 40MM,95670.0,95670.0,10523.7,95670.0,57
HCPCS,C1776,CMPNT STEM HIP 28MM 50MM,95670.0,95670.0,10523.7,95670.0,57
HCPCS,C1776,CMPNT STEM KN EXT 100MM,23530.0,23530.0,2588.3,23530.0,57
HCPCS,C1776,CMPNT STEM SHLDR REV SZ9,90674.0,90674.0,9974.14,90674.0,57
HCPCS,C1776,CMPNT TIB ANKL LNG SZ4,148502.0,148502.0,16335.22,148502.0,57
HCPCS,C1776,CMPNT TIB ANKLE RT SZ2,52736.0,52736.0,5800.96,52736.0,57
HCPCS,C1776,CMPNT TIB KN 10MM SZ4,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN 14MM,25297.0,25297.0,2782.67,25297.0,57
HCPCS,C1776,CMPNT TIB KN 24MM,68032.0,68032.0,7483.52,68032.0,57
HCPCS,C1776,CMPNT TIB KN 42X72X25MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,CMPNT TIB KN 5D SZD,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,CMPNT TIB KN 6 UNITY,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN 7 UNITY,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN 8MM,42154.0,42154.0,4636.94,42154.0,57
HCPCS,C1776,CMPNT TIB KN BASE SZ4,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,CMPNT TIB KN CEM SZ3,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,CMPNT TIB KN CMNT 70MM,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,CMPNT TIB KN FB+ SZ3,145950.0,145950.0,16054.5,145950.0,57
HCPCS,C1776,CMPNT TIB KN FX SZ8,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN LT SZ5,160726.0,160726.0,17679.86,160726.0,57
HCPCS,C1776,CMPNT TIB KN LT SZD,59211.0,59211.0,6513.21,59211.0,57
HCPCS,C1776,CMPNT TIB KN RS 160X10,60030.0,60030.0,6603.3,60030.0,57
HCPCS,C1776,CMPNT TIB KN RT MDL SZ3,12926.0,12926.0,1421.86,12926.0,57
HCPCS,C1776,CMPNT TIB KN RT SZ B,32895.0,32895.0,3618.45,32895.0,57
HCPCS,C1776,CMPNT TIB KN SC SZ3,174332.0,174332.0,19176.52,174332.0,57
HCPCS,C1776,CMPNT TIB KN STEMMED SM,47730.0,47730.0,5250.3,47730.0,57
HCPCS,C1776,CMPNT TIB KN SZ 2,106300.0,106300.0,11693.0,106300.0,57
HCPCS,C1776,CMPNT TIB KN SZ 3,170080.0,170080.0,18708.8,170080.0,57
HCPCS,C1776,CMPNT TIB KN SZ 5,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT TIB KN SZ 8,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,CMPNT TIB KN SZ1 10MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,CMPNT TIB KN SZ1 5MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,CMPNT TIB KN SZ2,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,CMPNT TIB KN SZ3,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN SZ360 79MM,45947.0,45947.0,5054.17,45947.0,57
HCPCS,C1776,CMPNT TIB KN SZ4 5MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,CMPNT TIB KN SZ4 FXD,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN SZ5,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN SZ5 10MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN SZ5 15MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,CMPNT TIB KN SZ5 5MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,CMPNT TIB KN SZA,32895.0,32895.0,3618.45,32895.0,57
HCPCS,C1776,CMPNT TIB KN SZC,59211.0,59211.0,6513.21,59211.0,57
HCPCS,C1776,CMPNT TIB KN SZE5-6 11MM,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,CMPNT TIB KN TRAY 67MM,45947.0,45947.0,5054.17,45947.0,57
HCPCS,C1776,CMPNT TIB KN TRAY SZ4,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CMPNT TIB KN W/SCR SZ5,170080.0,170080.0,18708.8,170080.0,57
HCPCS,C1776,CMPNT TIB MTPHYSL SZ4,223006.0,223006.0,24530.66,223006.0,57
HCPCS,C1776,CMPNT TIB RT CMNTD SZ4,100348.0,100348.0,11038.28,100348.0,57
HCPCS,C1776,CMPNT TIB SZ4,42545.0,42545.0,4679.95,42545.0,57
HCPCS,C1776,CMPNT TIB TRAY ML59XAP38,45947.0,45947.0,5054.17,45947.0,57
HCPCS,C1776,CMPNT TIB TRAY ML63XAP41,39989.5,39989.5,3743.52,45947.0,114
HCPCS,C1776,CMPNT TIB TRAY SZD RT,32895.0,32895.0,3618.45,32895.0,57
HCPCS,C1776,CMPNT TIBIAL LT SIZE 4,52736.0,52736.0,5800.96,52736.0,57
HCPCS,C1776,CMPNT TIBTRY 3 25MM KN,100179.0,100179.0,11019.69,100179.0,57
HCPCS,C1776,CMPNT TIBTRY 4 KN CMNT M,100179.0,100179.0,11019.69,100179.0,57
HCPCS,C1776,CMPNT TOTAL KN SZ11,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT TRAY TIB KN SZ2,30522.0,30522.0,3357.42,30522.0,57
HCPCS,C1776,CMPNT TTL ELB 70MM SML,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CMPNT TTL TMP MDBLR SM,95601.0,95601.0,10516.11,95601.0,57
HCPCS,C1776,CMPNT ULN ELB SZ5/6,27903.0,27903.0,3069.33,27903.0,57
HCPCS,C1776,CMPNTN PTLR KN 9X35MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,CMPTN KN LT SZ7,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,CNTRLZR STEM HIP 13MM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1776,CNTRLZR STM HIP 10.5MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,COMP AUG FEM KN #2 12MM,31167.0,31167.0,3428.37,31167.0,57
HCPCS,C1776,COMP AUG FEM KN SZ1 15MM,53148.0,53148.0,5846.28,53148.0,57
HCPCS,C1776,COMP AUG SHLDR 25D LG,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,COMP AUG TIB KN SZ5 15MM,53148.0,53148.0,5846.28,53148.0,57
HCPCS,C1776,COMP DOME PTLA KN3 8.5MM,7262.0,7262.0,798.82,7262.0,57
HCPCS,C1776,COMP FEM 6 STD KN LT,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMP FEM 7 STD KN LT,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMP FEM BIP OD-28X48MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,COMP FEM HIP 28MM 48MM,19244.0,19244.0,2116.84,19244.0,57
HCPCS,C1776,COMP FEM KN 74MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,COMP FEM KN LT MDL SZ5,34830.0,34830.0,3831.3,34830.0,57
HCPCS,C1776,COMP FEM KN LT SZ3,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMP FEM KN LT SZ5,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMP FEM KN LT SZ7,39990.0,39990.0,4257.0,41280.0,114
HCPCS,C1776,COMP FEM KN LT SZ8,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMP FEM KN LT SZ9,88920.0,88920.0,9781.2,88920.0,57
HCPCS,C1776,COMP FEM KN REV RT SZ5,88920.0,88920.0,9781.2,88920.0,57
HCPCS,C1776,COMP FEM KN RT SZ4,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMP FEM KN RT SZ5,34590.0,34590.0,3494.7,37410.0,114
HCPCS,C1776,COMP FEM KN RT SZ6,30425.0,30425.0,3346.75,30425.0,57
HCPCS,C1776,COMP FEM KN RT V40,70392.0,70392.0,7743.12,70392.0,57
HCPCS,C1776,COMP FEM KN SZ4,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMP FEMORAL #3 RIGHT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMP GLENOID SHLDR SZS40,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,COMP HIP 24X75MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,COMP HIP BODY 24X95X95MM,60605.0,60605.0,6666.55,60605.0,57
HCPCS,C1776,COMP HUM SHD HIGH OFST,7224.0,7224.0,794.64,7224.0,57
HCPCS,C1776,COMP HUM SHDLR +1.5MM,7224.0,7224.0,794.64,7224.0,57
HCPCS,C1776,COMP MTPHYSL HA CT 40MM,143505.0,143505.0,15785.55,143505.0,57
HCPCS,C1776,COMP MTPHYSL HA CT 50MM,210392.0,210392.0,23143.12,210392.0,57
HCPCS,C1776,COMP PRXML 135D 32MM,188564.0,188564.0,20742.04,188564.0,57
HCPCS,C1776,COMP PTLA 3 PEG 8X34MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMP PTLA KN 29MM 8MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMP PTLR DOME 8MM 30,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,COMP PTLR KN 9MM 29MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMP PTLR KN XS 7X26MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMP PTLR SM 8MM 29MM,7440.0,7440.0,818.4,7440.0,57
HCPCS,C1776,COMP TIB KN #2 10MM,44273.0,44273.0,4870.03,44273.0,57
HCPCS,C1776,COMP TIB KN 25X80X48MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,COMP TIB KN D3-4 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,COMPNENT FEM RT KN SZ3,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,COMPNT -3.5MM 12/14 28MM,8566.0,8566.0,942.26,8566.0,57
HCPCS,C1776,COMPNT ACTB HIP 44X28MM,12150.0,12150.0,1336.5,12150.0,57
HCPCS,C1776,COMPNT ACTB HIP MED 54MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,COMPNT AGMNT 4X8 DIST LT,11843.0,11843.0,1302.73,11843.0,57
HCPCS,C1776,COMPNT ANK TIB STD SZ2,152520.0,152520.0,16777.2,152520.0,57
HCPCS,C1776,COMPNT BIPLR 28MM 44MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,COMPNT BIPLR 28MM 48MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,COMPNT BRNG KN RT TIB 3,54180.0,54180.0,5959.8,54180.0,57
HCPCS,C1776,COMPNT CRCTE LT KN 63X59,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPNT DOME ANK SZ1,251604.0,251604.0,27676.44,251604.0,57
HCPCS,C1776,COMPNT DOME ANKL SIZE 1,110552.0,110552.0,12160.72,110552.0,57
HCPCS,C1776,COMPNT DST #3 12MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,COMPNT FEM 3.5 66X62MM,41280.0,41280.0,4540.8,41280.0,114
HCPCS,C1776,COMPNT FEM 4 RT CS TC3,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPNT FEM 5 KN LT KNMTC,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPNT FEM 6 LT KN PST S,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPNT FEM 9 80X75.8MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPNT FEM 9.5MM 175MM,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,COMPNT FEM CMNTD LT SZ6,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,COMPNT FEM HIP 60MM,61023.0,61023.0,6712.53,61023.0,57
HCPCS,C1776,COMPNT FEM KN 3 RT,88920.0,88920.0,9781.2,88920.0,57
HCPCS,C1776,COMPNT FEM KN 45MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,COMPNT FEM KN 6 RT,87166.0,87166.0,9588.26,87166.0,57
HCPCS,C1776,COMPNT FEM KN 62X66MM,73689.0,73689.0,8105.79,73689.0,57
HCPCS,C1776,COMPNT FEM KN 65MM,100948.0,100948.0,11054.56,101400.0,114
HCPCS,C1776,COMPNT FEM KN 6D 66X58MM,73689.0,73689.0,8105.79,73689.0,57
HCPCS,C1776,COMPNT FEM KN 8 RT,88920.0,88920.0,9781.2,88920.0,57
HCPCS,C1776,COMPNT FEM KN BSPLT SZ5,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,COMPNT FEM KN LM-RL SZ3,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,COMPNT FEM KN LT PFT 6,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,COMPNT FEM KN LT PS SZ3,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,COMPNT FEM KN LT SZ6,63294.0,63294.0,4257.0,87888.0,114
HCPCS,C1776,COMPNT FEM KN LT SZ7,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPNT FEM KN LT SZC,65588.0,65588.0,7214.68,65588.0,57
HCPCS,C1776,COMPNT FEM KN PART SZ4,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,COMPNT FEM KN RT 65MM,101400.0,101400.0,11154.0,101400.0,57
HCPCS,C1776,COMPNT FEM KN RT SZ11,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPNT FEM KN RT SZ4,37410.0,37410.0,4115.1,37410.0,57
HCPCS,C1776,COMPNT FEM KN RT SZ5,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPNT FEM KN RT SZ6,87888.0,87888.0,9667.68,87888.0,57
HCPCS,C1776,COMPNT FEM KN RT SZ7,72191.5,72191.5,4257.0,105683.0,114
HCPCS,C1776,COMPNT FEM KN RT SZ8,38752.0,38752.0,4257.0,38804.0,114
HCPCS,C1776,COMPNT FEM KN RT SZ9,77194.0,77194.0,8491.34,77194.0,57
HCPCS,C1776,COMPNT FEM KN SZ12,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPNT FEM KN SZ6,30425.0,30425.0,3346.75,30425.0,57
HCPCS,C1776,COMPNT FEM KN SZ9,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPNT FEM LT KN SZ4,35346.0,35346.0,3888.06,35346.0,57
HCPCS,C1776,COMPNT FEM LT KN SZ8,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,COMPNT FEM LT SZ 3,38804.0,38804.0,4268.44,38804.0,57
HCPCS,C1776,COMPNT FEM LT SZ2,38804.0,38804.0,4268.44,38804.0,57
HCPCS,C1776,COMPNT FEM LT SZ3 65X61,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPNT FEM LT SZ4N,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,COMPNT FEM MIDSECT 110MM,61023.0,61023.0,6712.53,61023.0,57
HCPCS,C1776,COMPNT FEM N-POR LT SZ4,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPNT FEM N-POR LT SZ6,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPNT FEM N-POR RT SZ4,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPNT FEM NAR KN LT 3,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,COMPNT FEM NAR KN RT 10,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPNT FEM RT KN 2 60X56,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPNT FEM RT KN SZ4,45920.0,45920.0,5051.2,45920.0,57
HCPCS,C1776,COMPNT FEM RT KN SZ7,37023.0,37023.0,3888.06,38700.0,114
HCPCS,C1776,COMPNT FEM RT MDL SZ6,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,COMPNT FEM STD KN SIZE 7,136330.0,136330.0,14996.3,136330.0,57
HCPCS,C1776,COMPNT FEM STD SIZE 7,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPNT FEM SZ1,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPNT GLND 27MM,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,COMPNT GLND SHLDR RT 15D,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,COMPNT HEAD ELB 25X6.5MM,69095.0,69095.0,7600.45,69095.0,57
HCPCS,C1776,COMPNT HEAD FEM 28X47MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,COMPNT HUM ELB LT SM,45460.0,45460.0,5000.6,45460.0,57
HCPCS,C1776,COMPNT HUM SHLDR SMR,62436.0,62436.0,6867.96,62436.0,57
HCPCS,C1776,COMPNT ID 22MM OD 40MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,COMPNT KN CMNT SZ5,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,COMPNT KN CMNTD RT SZ3N,36636.0,36636.0,4029.96,36636.0,57
HCPCS,C1776,COMPNT KN FEM 60X56MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPNT KN FEM LT SZ5,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPNT KN FEMUR 4 LM/RL,28380.0,28380.0,2554.2,33540.0,114
HCPCS,C1776,COMPNT KN RT 68X61.5MM,94420.0,94420.0,10386.2,94420.0,57
HCPCS,C1776,COMPNT KN SIZE 4 9MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,COMPNT KN TIB 2X15MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,COMPNT KN TIB F 67MM,22960.0,22960.0,2525.6,22960.0,57
HCPCS,C1776,COMPNT KN TIB LM/RL SZ3,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,COMPNT KN TIB ROT 16,26102.0,26102.0,2871.22,26102.0,57
HCPCS,C1776,COMPNT KN TIBIA 1 RM/LL,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,COMPNT PIN KN XX-SM,12810.0,12810.0,1409.1,12810.0,57
HCPCS,C1776,COMPNT PTLA DOME 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,COMPNT PTLA KN 32X8.5MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMPNT PTLA KN RND 35MM,6750.0,6750.0,742.5,6750.0,57
HCPCS,C1776,COMPNT PTLA KN SZ4 7MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMPNT PTLR 11X39MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,COMPNT PTLR 3PEG M 32MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMPNT PTLR ALPLY 29MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMPNT PTLR ASYM 10X32MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,COMPNT PTLR KN 10X35MM,11094.0,11094.0,1220.34,11094.0,57
HCPCS,C1776,COMPNT PTLR KN 31X9MM,11094.0,11094.0,1220.34,11094.0,57
HCPCS,C1776,COMPNT PTLR KN 32MM,7310.0,7310.0,709.5,8170.0,114
HCPCS,C1776,COMPNT PTLR KN 9MM 29MM,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,COMPNT PTLR KN DOME 35MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,COMPNT PTLR KN RSRFC41MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMPNT PTLR KN SZ3 32MM,5883.0,5883.0,647.13,5883.0,57
HCPCS,C1776,COMPNT PTLR TRI X3 8X29,9804.0,9804.0,1078.44,9804.0,57
HCPCS,C1776,COMPNT SEG KN 35MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,COMPNT SEG KN LPS 40MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,COMPNT SHLDR 36MM +3MM,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,COMPNT SHLDR BDY HUM SZL,40868.0,40868.0,4495.48,40868.0,57
HCPCS,C1776,COMPNT SHLDR GLND SMLL,13649.0,13649.0,1501.39,13649.0,57
HCPCS,C1776,COMPNT SHLDR HUM SZ1 RT,47730.0,47730.0,5250.3,47730.0,57
HCPCS,C1776,COMPNT SHLDR STD 36MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,COMPNT SLV FEM KN 35MM,52844.0,52844.0,5812.84,52844.0,57
HCPCS,C1776,COMPNT SLV FEM KN 40MM,52844.0,52844.0,5812.84,52844.0,57
HCPCS,C1776,COMPNT STEM FEM SMALL,47730.0,47730.0,5250.3,47730.0,57
HCPCS,C1776,COMPNT STM TIB KN LG,47730.0,47730.0,5250.3,47730.0,57
HCPCS,C1776,COMPNT TIB BRG S71/75X18,35776.0,35776.0,3935.36,35776.0,57
HCPCS,C1776,COMPNT TIB KN 71/75X12MM,35776.0,35776.0,3935.36,35776.0,57
HCPCS,C1776,COMPNT TIB KN 71/75X16MM,35776.0,35776.0,3935.36,35776.0,57
HCPCS,C1776,COMPNT TIB KN LCK BAR,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1776,COMPNT TIB KN LT SZD,32895.0,32895.0,3618.45,32895.0,57
HCPCS,C1776,COMPNT TIB KN REV 3 15MM,100179.0,100179.0,11019.69,100179.0,57
HCPCS,C1776,COMPNT TIB KN SZ5 8MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,COMPNT TIB LT KN XS-XL,50091.0,50091.0,5510.01,50091.0,57
HCPCS,C1776,COMPNT TIB PSC 63/67X12,35776.0,35776.0,3935.36,35776.0,57
HCPCS,C1776,COMPNT TIB PSC 71/75X14,35776.0,35776.0,3935.36,35776.0,57
HCPCS,C1776,COMPNT TIB RT MDL SZ4,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,COMPNT TIBTRY 61.8X40.7,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPONENT FEM 3 KN RT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPONENT FEM 3 LT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPONENT FEM 5 KN RT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPONENT FEM 6 KN RT,38804.0,38804.0,4268.44,38804.0,57
HCPCS,C1776,COMPONENT FEM 6 LT,38804.0,38804.0,4268.44,38804.0,57
HCPCS,C1776,COMPONENT FEM 7 KN RT,38804.0,38804.0,4268.44,38804.0,57
HCPCS,C1776,COMPONENT FEM 8 KN LT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPONENT FEM 8 KN RT,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPONENT FEM KN 4MM,5883.0,5883.0,647.13,5883.0,57
HCPCS,C1776,COMPONENT FEM KN 71X66MM,73689.0,73689.0,8105.79,73689.0,57
HCPCS,C1776,COMPONENT FEM KN CMNT 3,45150.0,45150.0,4966.5,45150.0,57
HCPCS,C1776,COMPONENT FEM KN LT 5,95543.0,95543.0,10509.73,95543.0,57
HCPCS,C1776,COMPONENT FEM KN LT S,182666.0,182666.0,20093.26,182666.0,57
HCPCS,C1776,COMPONENT FEM KN LT SZ5,36224.0,36224.0,3984.64,36224.0,57
HCPCS,C1776,COMPONENT FEM KN LT SZ6,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,COMPONENT FEM KN LT SZ8,88920.0,88920.0,9781.2,88920.0,57
HCPCS,C1776,COMPONENT FEM KN RT # 4,38804.0,38804.0,4268.44,38804.0,57
HCPCS,C1776,COMPONENT FEM KN RT #4,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,COMPONENT FEM KN RT SZ10,45150.0,45150.0,4966.5,45150.0,57
HCPCS,C1776,COMPONENT FEM KN RT SZ5,36765.0,36765.0,4044.15,36765.0,57
HCPCS,C1776,COMPONENT FEM KN RT SZ8,83493.0,83493.0,9184.23,83493.0,57
HCPCS,C1776,COMPONENT FEM KN SZ10,29670.0,29670.0,3263.7,29670.0,57
HCPCS,C1776,COMPONENT FEM LT SZ3,43086.0,43086.0,4739.46,43086.0,57
HCPCS,C1776,COMPONENT FEM RT KN 5,115747.0,115747.0,12732.17,115747.0,57
HCPCS,C1776,COMPONENT FEM RT RS,240809.0,240809.0,26488.99,240809.0,57
HCPCS,C1776,COMPONENT FEM RT SZ5,51471.0,51471.0,5661.81,51471.0,57
HCPCS,C1776,COMPONENT FEM STD HIP,70392.0,70392.0,7743.12,70392.0,57
HCPCS,C1776,COMPONENT KN PS LPS 85MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,COMPONENT KN SEG 30MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPONENT PROXIMAL TIB,177245.0,177245.0,19496.95,177245.0,57
HCPCS,C1776,COMPONENT PTRL 7X29MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,COMPONENT SEG 65MM ELEOS,82879.0,82879.0,9116.69,82879.0,57
HCPCS,C1776,COMPONENT SHLDR REV 40MM,44273.0,44273.0,4870.03,44273.0,57
HCPCS,C1776,COMPONENT TIB CMNT SZ9,66821.0,66821.0,7350.31,66821.0,57
HCPCS,C1776,COMPONENT TIB ELEOS HNG,54619.5,54619.5,5565.45,58644.0,114
HCPCS,C1776,COMPONENT TIB KN #3 10MM,45954.0,45954.0,5054.94,45954.0,57
HCPCS,C1776,COMPONENT TIB KN 5X80MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,COMPONENT TIB KN SZ5,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,COMPONENT TIB RS,227188.0,227188.0,24990.68,227188.0,57
HCPCS,C1776,COMPONENT TIB SZ5,42545.0,42545.0,4679.95,42545.0,57
HCPCS,C1776,COMPONT BIPLR 28MM 45MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,COMPT FEM KN #4,115747.0,115747.0,12732.17,115747.0,57
HCPCS,C1776,COMPT HUM TRAY +3 STD 4,32250.0,32250.0,3547.5,32250.0,57
HCPCS,C1776,COMPT TIB BS CMNT SZ10,66821.0,66821.0,7350.31,66821.0,57
HCPCS,C1776,CONE BCNDLR LEFT 21MM,101198.0,101198.0,11131.78,101198.0,57
HCPCS,C1776,CONE BDY HIP 23+20,84625.0,84625.0,9308.75,84625.0,57
HCPCS,C1776,CONE CNTRL FEM 15MM,101198.0,101198.0,11131.78,101198.0,57
HCPCS,C1776,CONE CNTRL FEM 21MM,101198.0,101198.0,11131.78,101198.0,57
HCPCS,C1776,CONE FEM HIP 50MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,CONE FEM HIP B SZ60MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,CONE FEM HIP BDY SZA 70,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,CONE FEM HIP C 70MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,CONE FEM HIP C STD 60MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,CONE FEM HIP STD 70MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,CONE FEM HIP SZA 80MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,CONE FEM HIP SZB 70MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,CONE FEM KN LT 18MM,101198.0,101198.0,11131.78,101198.0,57
HCPCS,C1776,CONE FEM/TIB KN 27MM,68032.0,68032.0,7483.52,68032.0,57
HCPCS,C1776,CONE KN AUG SMTR SZB,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CONE SLEEVE FEM KN 21MM,89292.0,89292.0,9822.12,89292.0,57
HCPCS,C1776,CONE SLEEVE FEM KN 24MM,101198.0,101198.0,11131.78,101198.0,57
HCPCS,C1776,CONE TIB DIA 18MM,83189.0,83189.0,9150.79,83189.0,57
HCPCS,C1776,CONE TIB KN LONG 20MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CONE TIB KN SHORT 18MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CONE TIB KN SZ22,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CONE TIB KN SZ26,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CONN SHLDR SML SZ S-R,6812.0,6812.0,749.32,6812.0,57
HCPCS,C1776,CONTRLZ STEM FEM HIP 14M,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,COUPLER FEM KN OFST 4MM,21009.0,21009.0,2310.99,21009.0,57
HCPCS,C1776,COUPLER FEM KN OFST 6MM,21009.0,21009.0,2310.99,21009.0,57
HCPCS,C1776,COUPLING IMPL 12.5MM,85040.0,85040.0,9354.4,85040.0,57
HCPCS,C1776,CUP ACE 40MM 48MM,30960.0,30960.0,3405.6,30960.0,57
HCPCS,C1776,CUP ACETB TRBCLR MTL OD4,21274.0,21274.0,2340.14,21274.0,57
HCPCS,C1776,CUP ACTB 27MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,CUP ACTB 3H 48MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,CUP ACTB 3H 54MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,CUP ACTB 3H 56MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,CUP ACTB 48X28MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,CUP ACTB 50 PNCL GRPTN 1,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB 52 PNCL GRPTN 1,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB 54MM PNCL GRPTN,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB 60 PNCL GRPTN 1,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB DOME 56MM,40023.0,40023.0,4402.53,40023.0,57
HCPCS,C1776,CUP ACTB HIP 0D 62MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB HIP 28MM 46MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CUP ACTB HIP 28X48MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CUP ACTB HIP 28X49MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CUP ACTB HIP 3H 52MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,CUP ACTB HIP 3H SZ50E,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,CUP ACTB HIP 46MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB HIP 50MM,60698.0,60698.0,4962.21,64501.0,171
HCPCS,C1776,CUP ACTB HIP 50X36MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP ACTB HIP 62MM,223006.0,223006.0,24530.66,223006.0,57
HCPCS,C1776,CUP ACTB HIP 64MM,40023.0,40023.0,4402.53,40023.0,57
HCPCS,C1776,CUP ACTB HIP 68MM,49458.0,49458.0,5440.38,49458.0,57
HCPCS,C1776,CUP ACTB HIP 70MM,49458.0,49458.0,5440.38,49458.0,57
HCPCS,C1776,CUP ACTB HIP CSTM 52MM,373863.0,373863.0,41124.93,373863.0,57
HCPCS,C1776,CUP ACTB HIP DOME 52MM,42423.0,42423.0,4666.53,42423.0,57
HCPCS,C1776,CUP ACTB HIP DOME 58MM,42423.0,42423.0,4666.53,42423.0,57
HCPCS,C1776,CUP ACTB HIP G-SER 62MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,CUP ACTB HIP HH 54MM,40023.0,40023.0,4402.53,40023.0,57
HCPCS,C1776,CUP ACTB HIP MLH 50MM,42423.0,42423.0,4666.53,42423.0,57
HCPCS,C1776,CUP ACTB HIP PNCL 44MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB HIP PNCL 56MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB HIP REV 70MM,52031.0,52031.0,5723.41,52031.0,57
HCPCS,C1776,CUP ACTB HIP SZ42 48MM,83977.0,83977.0,9237.47,83977.0,57
HCPCS,C1776,CUP ACTB HIP SZ50 36MM,37114.0,37114.0,4082.54,37114.0,57
HCPCS,C1776,CUP ACTB PNCL 56MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP ACTB PNCL GRPTN 48MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,CUP BIP ACTBHIP 9.8X57MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CUP BIP HIP 59MM 28MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,CUP CMNT HIP SZ38 44MM,139679.0,139679.0,15364.69,139679.0,57
HCPCS,C1776,CUP D.56MM LARGE+ TI6A,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,CUP D.60MM XL- TI6AL4V,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,CUP HIM REV 42MM LT +2MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP HIP 46MM 54MM,30960.0,30960.0,3405.6,30960.0,57
HCPCS,C1776,CUP HIP 64MM,282037.0,282037.0,31024.07,282037.0,57
HCPCS,C1776,CUP HIP ACTB MLH 62MM,42423.0,42423.0,4666.53,42423.0,57
HCPCS,C1776,CUP HIP ACTB SZ52/56/60,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,CUP HIP CMNTD 48/54MM,124371.0,124371.0,13680.81,124371.0,57
HCPCS,C1776,CUP HIP CSTM 52MM,208348.0,208348.0,22918.28,208348.0,57
HCPCS,C1776,CUP HIP CSTM 66MM,132344.0,132344.0,14557.84,132344.0,57
HCPCS,C1776,CUP HIP CUSTOM SZ56MM,373863.0,373863.0,41124.93,373863.0,57
HCPCS,C1776,CUP HUM 38MM +6MM,24669.0,24669.0,2713.59,24669.0,57
HCPCS,C1776,CUP HUM REV SHLDR 33MM,28873.0,28873.0,3176.03,28873.0,57
HCPCS,C1776,CUP HUM SHLDR +3X36MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,CUP HUM SHLDR 39MM +2MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP HUM SHLDR 42MM +6MM,21930.0,21930.0,2412.3,21930.0,57
HCPCS,C1776,CUP HUM SHLDR LT +2 36MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP HUM SHLDR LT +2 39MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP HUM SHLDR REV 36MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP HUM SHLDR RT +2 36MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP HUM SHLDR RT +2 42MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP HUM SHLDR UNIV 39MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,CUP PLVC ACTB HIP 48MM,42423.0,42423.0,4666.53,42423.0,57
HCPCS,C1776,CUP REV SHD +3 36 SZ1/2,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,CUP SHLDR STRL 36MM,65311.0,65311.0,7184.21,65311.0,57
HCPCS,C1776,CUP UNIV REV SHLDR 39MM,65311.0,65311.0,7184.21,65311.0,57
HCPCS,C1776,CUP UNV REV SHLDR SZ42,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,DOME IMPLANT PTLR SIZE 2,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,DOME KN E-+ 3 PEG 9X35MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,DOME PTELA 38 OVL 3PEG,5883.0,5883.0,647.13,5883.0,57
HCPCS,C1776,DOME PTLR KN SZ4 9MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,DOME TALAR STD SZ3,133938.0,133938.0,14733.18,133938.0,57
HCPCS,C1776,EXTENSION FEM HIP 50MM,50826.0,50826.0,5590.86,50826.0,57
HCPCS,C1776,EXTENSION GLOBAL MRS 60M,50826.0,50826.0,5590.86,50826.0,57
HCPCS,C1776,EXTENSION GLOBAL MRS 70M,50826.0,50826.0,5590.86,50826.0,57
HCPCS,C1776,FEMUR AURUM SIZE 6,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,GLENOID SHLDR 36MM,59237.0,59237.0,6516.07,59237.0,57
HCPCS,C1776,GLENOID UNV SHLDR SZLG,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,GLENOSPHERE SHLDR 40MM,32895.0,32895.0,3618.45,32895.0,57
HCPCS,C1776,GLENOSPHERE SHLDR CUSTM,299747.0,299747.0,32972.17,299747.0,57
HCPCS,C1776,GLENOSPHERE SHLDR CUSTOM,50310.0,50310.0,5534.1,50310.0,57
HCPCS,C1776,GLENOSPHERE SMR ECC 36MM,44273.0,44273.0,4870.03,44273.0,57
HCPCS,C1776,GLND SHLDR +0X38MM,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,GLND SPHERE SHLDR 39MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,GLNSPH SHLDR 42MM,26715.0,26715.0,2938.65,26715.0,57
HCPCS,C1776,GLNSPHR +2.5 INF/28 42MM,69861.0,69861.0,7684.71,69861.0,57
HCPCS,C1776,GLNSPHR HEAD SHLDR 36MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,GRAFT HUM PROX LT W/CUFF,67619.0,67619.0,7438.09,67619.0,57
HCPCS,C1776,HEAD 12/14 SM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD ACB -2MM 12/14 22MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD ADPTR OFST HIP 2MM,19497.0,19497.0,2144.67,19497.0,57
HCPCS,C1776,HEAD BIP 42MM 26MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD BIP 43MM 22MM,12708.0,12708.0,1397.88,12708.0,57
HCPCS,C1776,HEAD BIP 44MM 22MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP 45MM 28MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP 46MM 28MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP 53MM 28MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP 54MM 28MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP 63MM 28MM SLFCN,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP 65MM 28MM SLFCN,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP HIP 28MM 46MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP HIP 28MM 48MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP HIP 28MM 50MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP HIP 28MM 54MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD BIP HIP 52MM 28MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD BIP HIP 56MM 28MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD BIPLR ID28MM OD43MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD BPLR HIP 28MM 49MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD BPLR HIP 28MM 57MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD CERAMIC 28 +0,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD CERAMIC 32 +0,18835.0,18835.0,2071.85,18835.0,57
HCPCS,C1776,HEAD CERAMIC 36 +0,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD CERM HIP 40X1.5 12,18255.0,18255.0,2008.05,18255.0,57
HCPCS,C1776,HEAD CRMC 12/14 3.5 36MM,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD ELB 9X5.5X9(+0)MM,66788.0,66788.0,7346.68,66788.0,57
HCPCS,C1776,HEAD ELBW RDL 19X6.5MM,65646.0,65646.0,7221.06,65646.0,57
HCPCS,C1776,HEAD FEM +0MM 22.25MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM +0MM 22MM HIP,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM +0MM OFST 28MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM +5MM 32MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM -3.5MM 22MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM -3.5MM 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM -6MM 28MM HIP,15584.0,15584.0,1714.24,15584.0,57
HCPCS,C1776,HEAD FEM 0 HIP COCR 28MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM 12/14 +3.5 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM 12/14 0X40MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM 12/14 36MM,22960.0,22960.0,2525.6,22960.0,57
HCPCS,C1776,HEAD FEM 28MM +8.5MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM 28MM 55MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM 28MM HIP COCR+3,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM 40MM +6MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM 40MM +9MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM BLX D STRL,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM CERM LG 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM CERM MED 32MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM CERM MED 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM CERM SZSM 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM COC +3.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM COCR +0MM 28MM,10893.0,10893.0,1198.23,10893.0,57
HCPCS,C1776,HEAD FEM FEM HD NS,6708.0,6708.0,737.88,6708.0,57
HCPCS,C1776,HEAD FEM HIP +0 12/14 36,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP +0 28MM,26209.5,26209.5,993.3,43389.0,114
HCPCS,C1776,HEAD FEM HIP +0MM 36MM,13545.0,13545.0,993.3,18060.0,114
HCPCS,C1776,HEAD FEM HIP +0X12/14X28,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +0X32MM,17005.0,17005.0,1870.55,17005.0,57
HCPCS,C1776,HEAD FEM HIP +1 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +1.5 36MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +1.5X28,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +10MM 36MM,8100.0,8100.0,891.0,8100.0,57
HCPCS,C1776,HEAD FEM HIP +10X28MM,15821.0,15821.0,1740.31,15821.0,57
HCPCS,C1776,HEAD FEM HIP +12S 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +13 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +15.5X40MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +2.5MM 36MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD FEM HIP +3.5MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +3.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +3.5MM 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +3.5MM 36MM,9030.0,9030.0,993.3,9030.0,114
HCPCS,C1776,HEAD FEM HIP +3M 36MM,24962.0,24962.0,2745.82,24962.0,57
HCPCS,C1776,HEAD FEM HIP +3MM 32MM,26832.0,26832.0,2951.52,26832.0,57
HCPCS,C1776,HEAD FEM HIP +4 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP +4 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP +4MM 28MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM HIP +4MM 32MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP +4X40MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP +5MM 32MM,18154.0,18154.0,1996.94,18154.0,57
HCPCS,C1776,HEAD FEM HIP +5MM 36MM,13545.0,13545.0,851.4,25351.0,228
HCPCS,C1776,HEAD FEM HIP +6 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +6MM 32MM,26832.0,26832.0,2951.52,26832.0,57
HCPCS,C1776,HEAD FEM HIP +6MM 36MM,19745.0,19745.0,1844.7,22720.0,114
HCPCS,C1776,HEAD FEM HIP +7 22.225MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +7.5MM 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,HEAD FEM HIP +7MM 28MM,9030.0,9030.0,993.3,9030.0,114
HCPCS,C1776,HEAD FEM HIP +7MM 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +7MM 36MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +8 36MM,44478.0,44478.0,4892.58,44478.0,57
HCPCS,C1776,HEAD FEM HIP +8.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +8.5MM 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP +8.5X40MM,22575.0,22575.0,2128.5,25800.0,114
HCPCS,C1776,HEAD FEM HIP +8MM 28MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM HIP +8MM 36MM,17415.0,17415.0,1844.7,18060.0,114
HCPCS,C1776,HEAD FEM HIP +9 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP +9X32MM,18154.0,18154.0,1996.94,18154.0,57
HCPCS,C1776,HEAD FEM HIP -2.5MM 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP -2MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP -3.0MM 28MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM HIP -3.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP -3.5MM 36MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP -3.5X28MM,46246.0,46246.0,5087.06,46246.0,57
HCPCS,C1776,HEAD FEM HIP -3MM 36MM,16085.0,16085.0,1039.5,22720.0,114
HCPCS,C1776,HEAD FEM HIP -4 32MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP -4 40MM,8100.0,8100.0,891.0,8100.0,57
HCPCS,C1776,HEAD FEM HIP -4MM 28MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD FEM HIP -4MM 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP -5MM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP -6MM 36MM,9450.0,9450.0,1039.5,9450.0,57
HCPCS,C1776,HEAD FEM HIP 0D 28X44MM,53651.0,53651.0,1279.52,95670.0,114
HCPCS,C1776,HEAD FEM HIP 0D 28X48MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 0MM 12/14MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 0MM 22MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM HIP 0MM 28MM,17415.0,17415.0,1844.7,18060.0,114
HCPCS,C1776,HEAD FEM HIP 10.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 11/13 +12MM,19865.0,19865.0,1844.7,22960.0,114
HCPCS,C1776,HEAD FEM HIP 11/13 36MM,27163.0,27163.0,2987.93,27163.0,57
HCPCS,C1776,HEAD FEM HIP 12.0MM 28MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM HIP 12/14 +8 28,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 12/14 -3 28,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 12/14 -3X36,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 12/14 -6MM,33902.0,33902.0,3729.22,33902.0,57
HCPCS,C1776,HEAD FEM HIP 12/14 22MM,15932.0,15932.0,1752.52,15932.0,57
HCPCS,C1776,HEAD FEM HIP 12/14 28MM,17462.0,17462.0,993.3,42570.0,285
HCPCS,C1776,HEAD FEM HIP 12/14 32MM,18752.0,18752.0,1996.94,19350.0,114
HCPCS,C1776,HEAD FEM HIP 12/14 36MM,18255.0,18255.0,1559.25,33902.0,171
HCPCS,C1776,HEAD FEM HIP 12/14 3MM,33902.0,33902.0,3729.22,33902.0,57
HCPCS,C1776,HEAD FEM HIP 12/14 40MM,17625.0,17625.0,1039.5,25800.0,114
HCPCS,C1776,HEAD FEM HIP 12/14+12X36,12900.0,12900.0,993.3,16770.0,114
HCPCS,C1776,HEAD FEM HIP 12/14T 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 16/18 32MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 2.5MM 36MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD FEM HIP 22.2MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 22MM 44MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 26MM 41MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28/42MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD FEM HIP 28/46MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP 28MM,12900.0,12900.0,993.3,16770.0,228
HCPCS,C1776,HEAD FEM HIP 28MM +1.5MM,18154.0,18154.0,1996.94,18154.0,57
HCPCS,C1776,HEAD FEM HIP 28MM +12MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 28MM +5MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 28MM 40MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28MM 41MM,11610.0,11610.0,1277.1,11610.0,114
HCPCS,C1776,HEAD FEM HIP 28MM 43MM,11907.0,11907.0,1277.1,12204.0,114
HCPCS,C1776,HEAD FEM HIP 28MM 45MM,11583.5,11583.5,1211.87,12150.0,114
HCPCS,C1776,HEAD FEM HIP 28MM 47MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28MM 51MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28MM 52MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28MM 56MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP 28MM 57MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28MM 59MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28MM SZM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 28X45MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28X53MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 28X55MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 3.5MM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 32MM,18060.0,18060.0,1844.7,18154.0,171
HCPCS,C1776,HEAD FEM HIP 32MM +0,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 36MM,17600.0,17600.0,851.4,22720.0,684
HCPCS,C1776,HEAD FEM HIP 36X+15.5MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 3MM 32MM,22960.0,22960.0,2525.6,22960.0,57
HCPCS,C1776,HEAD FEM HIP 40MM,16770.0,16770.0,1844.7,16770.0,114
HCPCS,C1776,HEAD FEM HIP 40MM +0MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 40MM +5MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP 44MM,15932.0,15932.0,1752.52,15932.0,57
HCPCS,C1776,HEAD FEM HIP 46MM,58050.0,58050.0,6385.5,58050.0,57
HCPCS,C1776,HEAD FEM HIP 48MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 49MM 28MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 51MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP 5MM 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP 5MM 36MM,7740.0,7740.0,851.4,7740.0,114
HCPCS,C1776,HEAD FEM HIP 61MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP 8.5MM 28MM,18255.0,18255.0,2008.05,18255.0,57
HCPCS,C1776,HEAD FEM HIP 9X28MM,7193.0,7193.0,791.23,7193.0,57
HCPCS,C1776,HEAD FEM HIP ACTB 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP B +1MM 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP BIOLOX 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP BIP 22X40MM,10320.0,10320.0,1135.2,10320.0,57
HCPCS,C1776,HEAD FEM HIP BIP 28X46MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD FEM HIP BIP 28X47MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD FEM HIP BLX D 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP CSTM 32MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD FEM HIP CTPR 5X36MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM HIP CUP 28X53MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP DL MBL 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP MD RMD 60MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,HEAD FEM HIP MED 22.2MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP MOD 40MM,22960.0,22960.0,2525.6,22960.0,57
HCPCS,C1776,HEAD FEM HIP MOD 46MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,HEAD FEM HIP MOD SM,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,HEAD FEM HIP MOD STRL,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,HEAD FEM HIP MOD SZLRG,58050.0,58050.0,6385.5,58050.0,57
HCPCS,C1776,HEAD FEM HIP MODULAR,58050.0,58050.0,6385.5,58050.0,57
HCPCS,C1776,HEAD FEM HIP NTRL SZ22MM,8566.0,8566.0,942.26,8566.0,57
HCPCS,C1776,HEAD FEM HIP OFFST5X28MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD FEM HIP OMM 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP SM 32MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,HEAD FEM HIP SML 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP SML SZ22,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,HEAD FEM HIP STD 36MM,9450.0,9450.0,1039.5,9450.0,57
HCPCS,C1776,HEAD FEM HIP SZ 28 55MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP SZ 28/50MM,11489.0,11489.0,1263.79,11489.0,57
HCPCS,C1776,HEAD FEM HIP SZ12/14+1MM,18255.0,18255.0,2008.05,18255.0,57
HCPCS,C1776,HEAD FEM HIP SZ22 38MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD FEM HIP SZ28 53MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP SZ28 54MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP SZ28/44MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP SZ28/47MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP SZ28/48MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP SZ28/52MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD FEM HIP SZ28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP SZ3 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP SZ32MM,26832.0,26832.0,2951.52,26832.0,57
HCPCS,C1776,HEAD FEM HIP SZ36MM,56760.0,56760.0,6243.6,56760.0,57
HCPCS,C1776,HEAD FEM HIP SZ40,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP SZ50,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM HIP TAPER 12/14,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP TI 28MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,HEAD FEM HIP TYP 1 32MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP UNIV 36MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD FEM HIP X+0 40MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP XL 40MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HIP+3.5X22.25MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM HIP12/14-6 40MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM HP 32MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM MED 54MM,58050.0,58050.0,6385.5,58050.0,57
HCPCS,C1776,HEAD FEM OFST+9X36MM,22720.0,22720.0,2499.2,22720.0,57
HCPCS,C1776,HEAD FEM OPTN TYPE1 +6MM,2777.0,2777.0,305.47,2777.0,57
HCPCS,C1776,HEAD FEM SM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEM SROM 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM STEM LNG LG,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,HEAD FEM SZ42 22MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD FEM TPR +0X28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEM TYP1 +3MM 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEMHIP-3 12/14 40MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FEMORAL COCR 22MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FEMORAL VERSYS 22MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD FM CRM HIP 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FM HIP 12/14X-2X40,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD FM HIP CCR+1.5X40MM,18154.0,18154.0,1996.94,18154.0,57
HCPCS,C1776,HEAD GLND +4MM 39MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD GLND 36MM,74410.0,74410.0,8185.1,74410.0,57
HCPCS,C1776,HEAD GLND 36MM +2.5MM,74410.0,74410.0,8185.1,74410.0,57
HCPCS,C1776,HEAD GLND 39MM +2.5MM,61650.0,61650.0,6781.5,61650.0,57
HCPCS,C1776,HEAD GLND 42MM UNIV 2.5,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD GLND SHLDR 39MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD GLND SHLDR STD 39MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,HEAD HIP +0MM 28MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD HIP +0MM 40MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD HIP +12 12/14 36MM,17794.0,17794.0,1957.34,17794.0,57
HCPCS,C1776,HEAD HIP +3.5 12/14 32MM,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD HIP +4MM 26MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD HIP +4MM 28MM,23492.0,23492.0,2584.12,23492.0,57
HCPCS,C1776,HEAD HIP +5 12/14 36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD HIP +5MM 12/14 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP +7MM 32MM,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD HIP -2.5X36MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD HIP -3MM 26MM,7740.0,7740.0,851.4,7740.0,57
HCPCS,C1776,HEAD HIP -5MM 36MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD HIP 12/14 +12X28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD HIP 12/14 +5 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP 12/14 +9 32MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,HEAD HIP 12/14 -4MM 32MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD HIP 12/14 22.225MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP 12/14 28MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,HEAD HIP 12/14 40MM +12,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,HEAD HIP 12/14 SZ36MM,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD HIP 12/14 SZ40,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD HIP 28MM 39MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD HIP 28MM 42MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD HIP 28MM 46MM,38055.5,38055.5,1277.1,64501.0,114
HCPCS,C1776,HEAD HIP 28MM 56MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD HIP 28MM 61MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD HIP 32/48MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD HIP 36MM +12 12/14,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD HIP 44MM 28MM,10320.0,10320.0,1135.2,10320.0,57
HCPCS,C1776,HEAD HIP 45MM 28MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD HIP 49MM 28MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD HIP 50MM 28MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD HIP 51MM 28MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD HIP 58MM 28MM,10800.0,10800.0,1188.0,10800.0,57
HCPCS,C1776,HEAD HIP BIP 49MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,HEAD HIP CERAMIC 32-3.5,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD HIP CERC SZ0 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD HIP CERM 28 -3.5MM,16267.0,16267.0,1789.37,16267.0,57
HCPCS,C1776,HEAD HIP CERM SZS 28MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD HIP CSTM SZ28 49MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,HEAD HIP FEM 0D M 40MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD HIP FEM 36MM +1.5MM,18154.0,18154.0,1996.94,18154.0,57
HCPCS,C1776,HEAD HIP FEM SZ40,16530.0,16530.0,1818.3,16530.0,57
HCPCS,C1776,HEAD HIP HIP +1X36MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,HEAD HIP M 32MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,HEAD HIP MOD 54MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,HEAD HIP SZ12/14 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP TAPER 36MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,HEAD HIP TPR NCK-3X32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP TPR NCK-6X32MM,9450.0,9450.0,1039.5,9450.0,57
HCPCS,C1776,HEAD HIP TPR NK+12X28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP TPR NK+3X28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP TPR NK+6X28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP TPR NK-3X28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP TPR NK-6X28MM,9450.0,9450.0,1039.5,9450.0,57
HCPCS,C1776,HEAD HIP TPR STD 32MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP TPR STD NK 22MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP TPR STD NK 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP+12MM 11/13 28MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HEAD HIP+12MM 12/14 40MM,9450.0,9450.0,1039.5,9450.0,57
HCPCS,C1776,HEAD HUM ASC FLEX 39X14,56275.0,56275.0,6190.25,56275.0,57
HCPCS,C1776,HEAD HUM ASC FLX 46X17MM,42672.0,42672.0,4693.92,42672.0,57
HCPCS,C1776,HEAD HUM SHD 22MM 52MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD HUM SHDLR 8MM 143MM,111615.0,111615.0,12277.65,111615.0,57
HCPCS,C1776,HEAD HUM SHLDR 16X43MM,53283.0,53283.0,5861.13,53283.0,57
HCPCS,C1776,HEAD HUM SHLDR 17MM 42MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD HUM SHLDR 17MM 44MM,71392.0,71392.0,7853.12,71392.0,57
HCPCS,C1776,HEAD HUM SHLDR 17MM 45MM,70881.0,70881.0,7796.91,70881.0,57
HCPCS,C1776,HEAD HUM SHLDR 18MM 48MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,HEAD HUM SHLDR 19MM 48MM,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,HEAD HUM SHLDR 25X45MM,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,HEAD HUM SHLDR 25X50MM,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,HEAD HUM SHLDR 32MM,14385.0,14385.0,1582.35,14385.0,57
HCPCS,C1776,HEAD HUM SHLDR 36MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,HEAD HUM SHLDR 39MM 16MM,70881.0,70881.0,7796.91,70881.0,57
HCPCS,C1776,HEAD HUM SHLDR 3D 46/18,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,HEAD HUM SHLDR 41MM 16MM,70881.0,70881.0,7796.91,70881.0,57
HCPCS,C1776,HEAD HUM SHLDR 45X19MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD HUM SHLDR 46X17X4MM,104174.0,104174.0,11459.14,104174.0,57
HCPCS,C1776,HEAD HUM SHLDR 49MM 20MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD HUM SHLDR SZ2,58681.0,58681.0,6454.91,58681.0,57
HCPCS,C1776,HEAD HUM UNIV2 21X48,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,HEAD HUMRL SHLDR IMP40MM,20434.0,20434.0,2247.74,20434.0,57
HCPCS,C1776,HEAD RAD ELB 6.5MM 22MM,69095.0,69095.0,7600.45,69095.0,57
HCPCS,C1776,HEAD RADL ELB 22MM,26445.0,26445.0,2908.95,26445.0,57
HCPCS,C1776,HEAD RADL ELB 26MM,26445.0,26445.0,2908.95,26445.0,57
HCPCS,C1776,HEAD RDL STM11 ELB25X7.5,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD SHD EAS 40X15MM,60335.0,60335.0,6636.85,60335.0,57
HCPCS,C1776,HEAD SHD EAS 44X17MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,HEAD SHLDR UNIV 19X50MM,51375.0,51375.0,5651.25,51375.0,57
HCPCS,C1776,HEAD TPR 28MM -3.5MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HINGE FEM KN SZMED,6222.0,6222.0,684.42,6222.0,57
HCPCS,C1776,HINGE INSERT KN SZ3 11MM,45430.0,45430.0,4997.3,45430.0,57
HCPCS,C1776,HINGE INSRT KN SZ7 11MM,45430.0,45430.0,4997.3,45430.0,57
HCPCS,C1776,HINGE TIB KN ROT STP 1SZ,81190.0,81190.0,8930.9,81190.0,57
HCPCS,C1776,HINGE TIB W/O ROT 1 SZ,81190.0,81190.0,8930.9,81190.0,57
HCPCS,C1776,HIP FEM +0MM 26MM,9030.0,9030.0,993.3,9030.0,57
HCPCS,C1776,HIP HEAD FEM +0 12/14 22,18154.0,18154.0,1996.94,18154.0,57
HCPCS,C1776,HUM REV BDYEXT SHLDR SMR,21785.0,21785.0,2396.35,21785.0,57
HCPCS,C1776,IMPL HIP STPL AUGM 12X62,19439.0,19439.0,2138.29,19439.0,57
HCPCS,C1776,IMPLANT ACTB HIP CUST,468520.0,468520.0,51537.2,468520.0,57
HCPCS,C1776,IMPLANT BIPLR OD-28X52MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,IMPLANT BPLR 28MM 47MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,IMPLANT FEMORAL LEFT,132875.0,132875.0,14616.25,132875.0,57
HCPCS,C1776,IMPLANT HD 28MM 55MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,IMPLANT PELVIC HIPCUSTOM,506736.0,506736.0,55740.96,506736.0,57
HCPCS,C1776,IMPLANT PLVC HIP CUSTOM,506736.0,506736.0,55740.96,506736.0,57
HCPCS,C1776,IMPLANT PTLA 8X34MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,IMPLANT SRFC 3-4X12MM,25297.0,25297.0,2782.67,25297.0,57
HCPCS,C1776,IMPLNT COUPLING 15MM,140316.0,140316.0,15434.76,140316.0,57
HCPCS,C1776,INS ARTC KN LT 7-8 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INS ARTC KN SZ1-2 13MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INS HIP OPTN TYP 1 +3MM,2777.0,2777.0,305.47,2777.0,57
HCPCS,C1776,INS HUM SHLDR 7.5D 39MM,54021.0,54021.0,5942.31,54021.0,57
HCPCS,C1776,INS HUM SHLDR SZ3/4 36MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,INS REV SHLDR +9MM 36MM,35243.0,35243.0,3876.73,35243.0,57
HCPCS,C1776,INS REV SHLDR SZ3/4 36MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,INS REV SHLDR SZ3/4 39MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,INS TIB 3 20MM KN,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB 4 20MM KN,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB 4 22MM KN,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB 6 16MM KN,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB 6 18MM KN,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB 6 20MM KN,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB KN 8MM SZ4,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INS TIB KN LT SZC 10MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INS TIB KN SZ 7 10MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB KN SZ3 10MM,38111.5,38111.5,4014.01,39732.0,114
HCPCS,C1776,INS TIB KN SZ5 16MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB KN SZ5 8MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB KN SZ6 10MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB KN SZ6 12.5MM,17622.0,17622.0,1938.42,17622.0,57
HCPCS,C1776,INS TIB KN SZ6 14MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB KN SZ7 14MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INS TIB KN SZ7 24MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INS TIB KN SZ88 12MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT ACTB 3.9MM 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ACTB 4 HIP 2 MBL,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT ACTB 42MM 48MM,21785.0,21785.0,2396.35,21785.0,57
HCPCS,C1776,INSERT ACTB 48MM 36MM 22,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,INSERT ACTB 5.9MM 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ACTB BRNG 50X28MM,13481.0,13481.0,1482.91,13481.0,57
HCPCS,C1776,INSERT ACTB HIP 28/46MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT ACTB HIP 44MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,INSERT ACTB HIP 46X28MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT ACTB HIP 48X28MM,13481.0,13481.0,1482.91,13481.0,57
HCPCS,C1776,INSERT ACTB HIP 62X40MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,INSERT ACTB HIP SZ2,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT ACTB HIP SZ5,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT ACTB HIP X3 22D,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,INSERT ANKL SZ4 6MM,74410.0,74410.0,8185.1,74410.0,57
HCPCS,C1776,INSERT ANKLE SZ1/1+ 8MM,102622.0,102622.0,11288.42,102622.0,57
HCPCS,C1776,INSERT ANKLE SZ3 10MM,74410.0,74410.0,8185.1,74410.0,57
HCPCS,C1776,INSERT ART KN SZ3-4 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC 1-2 11MM RT,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC 10-12 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC 11MM 6-9 EF,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC 13MM 10-12,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC 5-6 9MM DSH,18864.0,18864.0,2075.04,18864.0,57
HCPCS,C1776,INSERT ARTC 6-9 CD 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC 7-10 12MM,29670.0,29670.0,3263.7,29670.0,57
HCPCS,C1776,INSERT ARTC 7-8 12MM LT,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC 7-8 15MM,32220.0,32220.0,3544.2,32220.0,57
HCPCS,C1776,INSERT ARTC E-F/5-6 12MM,41466.0,41466.0,4561.26,41466.0,57
HCPCS,C1776,INSERT ARTC GRN G 12MM,29670.0,29670.0,3263.7,29670.0,57
HCPCS,C1776,INSERT ARTC KN 1-2 10MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT ARTC KN 1-2 11MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC KN 1-2 15MM,33916.0,33916.0,3730.76,33916.0,57
HCPCS,C1776,INSERT ARTC KN 12MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT ARTC KN 3-4 13MM,33916.0,33916.0,3730.76,33916.0,57
HCPCS,C1776,INSERT ARTC KN 3-5 10MM,22319.0,22319.0,2455.09,22319.0,57
HCPCS,C1776,INSERT ARTC KN 4-11 14MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC KN 5-6 11MM,25785.0,25785.0,2128.5,32220.0,114
HCPCS,C1776,INSERT ARTC KN 5-6 13MM,28783.5,28783.5,2022.13,39184.0,114
HCPCS,C1776,INSERT ARTC KN 6-9 10MM,19350.0,19350.0,2128.5,19350.0,114
HCPCS,C1776,INSERT ARTC KN 6-9 11MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC KN 6-9 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT ARTC KN 7-8 11MM,33916.0,33916.0,3730.76,33916.0,57
HCPCS,C1776,INSERT ARTC KN 74X44X20,45773.0,45773.0,5035.03,45773.0,57
HCPCS,C1776,INSERT ARTC KN 74X46X17,33199.0,33199.0,3651.89,33199.0,57
HCPCS,C1776,INSERT ARTC KN LT 10MM,18255.0,18255.0,2008.05,18255.0,57
HCPCS,C1776,INSERT ARTC KN LT 11MM,15469.0,15469.0,1508.98,17220.0,114
HCPCS,C1776,INSERT ARTC KN RT SZ2,23478.0,23478.0,2582.58,23478.0,57
HCPCS,C1776,INSERT ARTC KN RT SZ3,30522.0,30522.0,3357.42,30522.0,57
HCPCS,C1776,INSERT ARTC KN SZ2-4 9MM,17220.0,17220.0,1894.2,17220.0,57
HCPCS,C1776,INSERT ARTC KN SZ3-4 9MM,33916.0,33916.0,3730.76,33916.0,57
HCPCS,C1776,INSERT BRNG KN SZ2 11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT BRNG KN SZ4 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT BRNG KN SZ6 11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT BRNG KN SZ8 14MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT BRNG KN TIB3 13MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT BRNG KN TIB4 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT BRNG KN TIB6 10MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT BRNG KN TIB6 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT BRNG KN TIB7 10MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT BUMPER KN 0D,8364.0,8364.0,920.04,8364.0,57
HCPCS,C1776,INSERT DBL TPR + 0MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,INSERT FEM 15D 46/52MM,147226.0,147226.0,16194.86,147226.0,57
HCPCS,C1776,INSERT FEM HIP 0D 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT FEM HIP 3 28MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,INSERT FEM HIP TYP1 -6MM,2777.0,2777.0,305.47,2777.0,57
HCPCS,C1776,INSERT FEM HIP TYPE1 0MM,2777.0,2777.0,305.47,2777.0,57
HCPCS,C1776,INSERT FEM KN RT SZ9,88920.0,88920.0,9781.2,88920.0,57
HCPCS,C1776,INSERT FEM KN SZ3,56760.0,56760.0,6243.6,56760.0,57
HCPCS,C1776,INSERT FEM KN SZ5 12.5MM,106300.0,106300.0,11693.0,106300.0,57
HCPCS,C1776,INSERT FEM SZ6,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,INSERT H10MM SZGRN E-F,33199.0,33199.0,3651.89,33199.0,57
HCPCS,C1776,INSERT HD HIP 3MM,2777.0,2777.0,305.47,2777.0,57
HCPCS,C1776,INSERT HIP 0D E 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT HIP 10D 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT HIP 28/45MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP 28X44MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP 41/52-54MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP 45/56-58MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP ACTB 42/28MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP CSTM 36/44MM,80363.0,80363.0,8839.93,80363.0,57
HCPCS,C1776,INSERT HIP F 0D 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT HIP F 0D 40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT HIP SZ E 32MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT HIP SZ F 32MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT HIP SZ28/41MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP SZ28/48,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP SZ3,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP SZ48/60-70,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HIP XLPE 28/48MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT HUM 9+ 36MM 7.5D,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,INSERT HUM 9+MM 42MM,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,INSERT HUM SHLDR +6X36MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,INSERT HUM SHLDR 32MM,17415.0,17415.0,1915.65,17415.0,57
HCPCS,C1776,INSERT HUM SHLDR 36MM,37410.0,37410.0,1915.65,51084.0,171
HCPCS,C1776,INSERT HUM SHLDR 36X+9MM,19638.0,19638.0,2160.18,19638.0,57
HCPCS,C1776,INSERT HUM SHLDR 39MM,37410.0,37410.0,4115.1,37410.0,114
HCPCS,C1776,INSERT HUM SHLDR 42X+6MM,37410.0,37410.0,4115.1,37410.0,57
HCPCS,C1776,INSERT HUM SHLDR 9X39MM,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,INSERT HYPRFLX 10MM SZ4,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,INSERT KN 10MM THK SZ4,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN 11MM SZ5-6,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT KN 11MM SZ7-8,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT KN 3-4 11MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT KN 3-4 RT 15MM,18383.0,18383.0,2022.13,18383.0,57
HCPCS,C1776,INSERT KN ART PST 3-4X15,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT KN ARTC 5-6 15MM,33916.0,33916.0,3730.76,33916.0,57
HCPCS,C1776,INSERT KN ARTC SZ3-4 9MM,17220.0,17220.0,1894.2,17220.0,57
HCPCS,C1776,INSERT KN ARTC SZ5-6 9MM,17220.0,17220.0,1894.2,17220.0,57
HCPCS,C1776,INSERT KN BEAR SZ7-9,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN BMPR 3DEG,10501.0,10501.0,1155.11,10501.0,57
HCPCS,C1776,INSERT KN BRNG 11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN BRNG SZ2 10MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN BRNG SZ4 12MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN BRNG SZ8 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN BRNG TIB6 11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN E+ S1 8MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT KN HNG XS 28MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT KN LT SZ5-6 9MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT KN LT SZ7-8 12MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT KN LT TIB 3 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT KN POST SZ7 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT KN PS RP SZ8 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT KN PS RP SZ8 6MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT KN PS SZ6 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT KN R/HNG XSM 12MM,84987.0,84987.0,9348.57,84987.0,57
HCPCS,C1776,INSERT KN REV 10MM SZ10,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT KN REV SM 14MM,84987.0,84987.0,9348.57,84987.0,57
HCPCS,C1776,INSERT KN REV SM 18MM,84987.0,84987.0,9348.57,84987.0,57
HCPCS,C1776,INSERT KN REV SZ4 16MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT KN REV X-SM 18MM,84987.0,84987.0,9348.57,84987.0,57
HCPCS,C1776,INSERT KN RT SZ3-4 13MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT KN RT SZ7-8 9MM,17220.0,17220.0,1894.2,17220.0,57
HCPCS,C1776,INSERT KN SZ 2/10MM,106300.0,106300.0,11693.0,106300.0,57
HCPCS,C1776,INSERT KN SZ 5 12.5MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,INSERT KN SZ1 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN SZ2 7MM,12926.0,12926.0,1421.86,12926.0,57
HCPCS,C1776,INSERT KN SZ3 9MM,23478.0,23478.0,2582.58,23478.0,57
HCPCS,C1776,INSERT KN SZ4-5 11MM,31743.0,31743.0,3491.73,31743.0,57
HCPCS,C1776,INSERT KN SZ5 19MM,39245.0,39245.0,4316.95,39245.0,57
HCPCS,C1776,INSERT KN SZ5 6MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT KN SZ9 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT KN SZE-F 23MM,33199.0,33199.0,3651.89,33199.0,57
HCPCS,C1776,INSERT KN TIB 4 13MM,52220.0,52220.0,5744.2,52220.0,57
HCPCS,C1776,INSERT KN TIB 71MM 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT KN TIB STD 12MM,19548.0,19548.0,2150.28,19548.0,57
HCPCS,C1776,INSERT KN TIB STD 16MM,19548.0,19548.0,2150.28,19548.0,57
HCPCS,C1776,INSERT KN TIB STD 18MM,19548.0,19548.0,2150.28,19548.0,57
HCPCS,C1776,INSERT KN TIB SZ2 8MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN TIB SZ3 6MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT KN TIB SZ4 13MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN TIB SZ4-5 15MM,27558.0,27558.0,3031.38,27558.0,57
HCPCS,C1776,INSERT KN TIB SZ6 10MM,21930.0,21930.0,2128.5,24510.0,114
HCPCS,C1776,INSERT KN TIB SZ6 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT KN TIB SZ9 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT LNR HIP 56X40MM,17157.0,17157.0,1887.27,17157.0,57
HCPCS,C1776,INSERT LPS UNIV SM 12MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT ORTH 18MM XS UNV,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT POLY HIP SZG 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT REV SHLDR +6X39MM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1776,INSERT SHD +4MM 32MM,14028.0,14028.0,1543.08,14028.0,57
HCPCS,C1776,INSERT SHLDR +6 36MM,14647.0,14647.0,1611.17,14647.0,57
HCPCS,C1776,INSERT SHLDR 12.5D 42X+6,33236.0,33236.0,3655.96,33236.0,57
HCPCS,C1776,INSERT SHLDR 12.5D 42X+9,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,INSERT SHLDR 7.5D 36MM,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,INSERT SHLDR SM +4 32MM,17415.0,17415.0,1915.65,17415.0,57
HCPCS,C1776,INSERT SHLDR SZ1 36MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,INSERT SHLDR SZ3/4 36MM,51084.0,51084.0,5619.24,51084.0,57
HCPCS,C1776,INSERT SHLDR SZ3/4 39MM,51084.0,51084.0,5619.24,51084.0,57
HCPCS,C1776,INSERT SHLDR SZ3/4 3X39,46440.0,46440.0,5108.4,46440.0,114
HCPCS,C1776,INSERT SHLDR SZ3/4 8MM,46569.0,46569.0,5122.59,46569.0,57
HCPCS,C1776,INSERT TALUS CUSTOM LG,243527.0,243527.0,26787.97,243527.0,57
HCPCS,C1776,INSERT TAPER HIP +3MM,1987.0,1987.0,218.57,1987.0,57
HCPCS,C1776,INSERT TAPER HIP +6MM,1987.0,1987.0,218.57,1987.0,57
HCPCS,C1776,INSERT TB KN 8MM SZ2,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB #1 11MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB #4 9MM,53140.0,53140.0,5845.4,53140.0,57
HCPCS,C1776,INSERT TIB 2 12.5MM TC3,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB 2 KNEE 11MM,52220.0,52220.0,5744.2,52220.0,57
HCPCS,C1776,INSERT TIB 2-3 KN RT HNG,35405.0,35405.0,3894.55,35405.0,57
HCPCS,C1776,INSERT TIB 2.5 L20.0MM K,17622.0,17622.0,1938.42,17622.0,57
HCPCS,C1776,INSERT TIB 2XS UNV 14MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB 3 KNEE 9MM,33205.0,33205.0,1560.9,52220.0,114
HCPCS,C1776,INSERT TIB 3-8MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB 4 10MM KN,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB 4 10MM KN RT,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB 4 12MM KN,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB 4 16MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB 4 9MM KN BRNG,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB 4 H25.0MM TC3,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB 5 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB 5 11MM KN BRN,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB 5 9M,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB 5 9MM KN BRNG,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB 5H LT 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB 6 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB 6 12MM,29541.0,29541.0,2128.5,39732.0,114
HCPCS,C1776,INSERT TIB 6 14MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB 7 10MM KN LT,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB 7 8MM PST STB,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB 8 6MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT TIB 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB 9MM TRIATH X3,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB BEAR SZ6,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB BRN AS 75X16,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB BRN PSC 59X14,29670.0,29670.0,3263.7,29670.0,57
HCPCS,C1776,INSERT TIB BRN PSC 59X18,39270.0,39270.0,4319.7,39270.0,57
HCPCS,C1776,INSERT TIB CS FXD #3 TH9,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB FIX #8,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB FIXD TH14 #5,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB FIXED #3,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB FIXED #7,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB FX 9MM SZ6,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB INS SM 16MM,24135.0,24135.0,2654.85,24135.0,57
HCPCS,C1776,INSERT TIB KN #2 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN #2.5 15MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN #5 15MM,225330.0,225330.0,24786.3,225330.0,57
HCPCS,C1776,INSERT TIB KN #6 13MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN 1 9MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN 10MM,23220.0,23220.0,2128.5,58050.0,570
HCPCS,C1776,INSERT TIB KN 10MM SZ2,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN 10MM SZ4,31295.5,31295.5,1560.9,48401.0,114
HCPCS,C1776,INSERT TIB KN 10MM SZ5-6,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN 10MM SZA,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB KN 11MM,18225.0,18225.0,1313.4,24510.0,114
HCPCS,C1776,INSERT TIB KN 12MM,24510.0,24510.0,2128.5,67655.0,171
HCPCS,C1776,INSERT TIB KN 13MM,38365.0,38365.0,2696.1,52220.0,114
HCPCS,C1776,INSERT TIB KN 13MM SZ1-2,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN 13MM SZ2-3,29008.0,29008.0,3190.88,29008.0,57
HCPCS,C1776,INSERT TIB KN 13XSM/SM,19505.0,19505.0,2145.55,19505.0,57
HCPCS,C1776,INSERT TIB KN 14MM,43502.5,43502.5,2128.5,67655.0,114
HCPCS,C1776,INSERT TIB KN 15MM SZ2-3,29008.0,29008.0,3190.88,29008.0,57
HCPCS,C1776,INSERT TIB KN 16MM,53314.0,53314.0,2166.89,67655.0,171
HCPCS,C1776,INSERT TIB KN 18MM,59937.5,59937.5,5744.2,67655.0,171
HCPCS,C1776,INSERT TIB KN 2 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN 2.5 12.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN 2.5 17.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN 2.5 20MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN 20MM,32766.0,32766.0,3604.26,32766.0,57
HCPCS,C1776,INSERT TIB KN 21MM,67655.0,67655.0,7442.05,67655.0,114
HCPCS,C1776,INSERT TIB KN 22.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN 23MM SZE,45773.0,45773.0,5035.03,45773.0,57
HCPCS,C1776,INSERT TIB KN 24MM,24292.0,24292.0,2672.12,24292.0,57
HCPCS,C1776,INSERT TIB KN 26MM,67655.0,67655.0,7442.05,67655.0,114
HCPCS,C1776,INSERT TIB KN 28MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN 2XS 12MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN 2XS 16MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN 3 11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN 3 13MM,39245.0,39245.0,4316.95,39245.0,57
HCPCS,C1776,INSERT TIB KN 3 18MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN 3-4 21MM,33916.0,33916.0,3730.76,33916.0,57
HCPCS,C1776,INSERT TIB KN 31MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN 4 10MM,14190.0,14190.0,1560.9,14190.0,171
HCPCS,C1776,INSERT TIB KN 4 16MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN 4 18MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN 4 9MM,39245.0,39245.0,4316.95,39245.0,57
HCPCS,C1776,INSERT TIB KN 5 10MM,14190.0,14190.0,1560.9,14190.0,114
HCPCS,C1776,INSERT TIB KN 5 11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN 5 12MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT TIB KN 5 24MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN 5 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN 5 8MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN 5-6 11MM,18383.0,18383.0,2022.13,18383.0,57
HCPCS,C1776,INSERT TIB KN 5-6 13MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN 6 10MM,14190.0,14190.0,1560.9,14190.0,114
HCPCS,C1776,INSERT TIB KN 6 22MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN 60MM,68032.0,68032.0,7483.52,68032.0,57
HCPCS,C1776,INSERT TIB KN 6MM,9414.5,9414.5,757.79,11940.0,114
HCPCS,C1776,INSERT TIB KN 7 10MM,14190.0,14190.0,1560.9,14190.0,114
HCPCS,C1776,INSERT TIB KN 7 12MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,INSERT TIB KN 7 8MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN 7-8 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN 7MM,6798.5,6798.5,737.88,6889.0,114
HCPCS,C1776,INSERT TIB KN 7MM SZ4,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN 8 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN 8 6MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN 80MM,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,INSERT TIB KN 8MM,9414.5,9414.5,757.79,11940.0,114
HCPCS,C1776,INSERT TIB KN 9MM,18963.0,18963.0,1475.76,24510.0,114
HCPCS,C1776,INSERT TIB KN 9MM SZ4,7095.0,7095.0,780.45,7095.0,57
HCPCS,C1776,INSERT TIB KN BRG 3 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN BRN 6 11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN BRN 7 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN BRNG 10MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN BRNG 9MM,24510.0,24510.0,2696.1,24510.0,171
HCPCS,C1776,INSERT TIB KN CRT 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN FX SZ5,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN H10MM SZ8,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN LT 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN LT F 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN LT F 8MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN LT3-4 11MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN LT3-4 15MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN M 17MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,INSERT TIB KN MED 10MM,19699.0,19699.0,2166.89,19699.0,57
HCPCS,C1776,INSERT TIB KN MED 12MM,84987.0,84987.0,9348.57,84987.0,57
HCPCS,C1776,INSERT TIB KN MED 18MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN POST 5 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN PST 4 8MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN PST 7 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN RT 10MM,19350.0,19350.0,2128.5,19350.0,171
HCPCS,C1776,INSERT TIB KN RT 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN RT 23MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN RT 3-4 13,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN RT 4 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN RT 9MM SZ6,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN SGL 6MM,6889.0,6889.0,757.79,6889.0,57
HCPCS,C1776,INSERT TIB KN SGL 7MM,6889.0,6889.0,757.79,6889.0,57
HCPCS,C1776,INSERT TIB KN SGL 8MM,6889.0,6889.0,757.79,6889.0,57
HCPCS,C1776,INSERT TIB KN SM 12MM,74744.0,74744.0,7095.11,84987.0,114
HCPCS,C1776,INSERT TIB KN SM 14MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN SM 17MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,INSERT TIB KN STAB 7 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN STD 15MM,17622.0,17622.0,1938.42,17622.0,57
HCPCS,C1776,INSERT TIB KN STD 22MM,19548.0,19548.0,2150.28,19548.0,57
HCPCS,C1776,INSERT TIB KN SZ 1 12MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB KN SZ 3/15MM,64500.0,64500.0,7095.0,64500.0,114
HCPCS,C1776,INSERT TIB KN SZ 4,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB KN SZ 4 15MM,52220.0,52220.0,5744.2,52220.0,57
HCPCS,C1776,INSERT TIB KN SZ 4 7MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN SZ 5 10MM,34426.0,34426.0,3786.86,34426.0,57
HCPCS,C1776,INSERT TIB KN SZ C 12MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB KN SZ1 11MM,24510.0,24510.0,2696.1,24510.0,114
HCPCS,C1776,INSERT TIB KN SZ1 22MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN SZ1 8MM,12926.0,12926.0,1421.86,12926.0,57
HCPCS,C1776,INSERT TIB KN SZ1-2 9MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN SZ10 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ10 14MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ10 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ10 6MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ10 7MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN SZ10 8MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ2 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ2 11MM,19350.0,19350.0,1560.9,24510.0,114
HCPCS,C1776,INSERT TIB KN SZ2 12MM,19350.0,19350.0,1560.9,24510.0,171
HCPCS,C1776,INSERT TIB KN SZ2 14MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ2 16MM,39245.0,39245.0,4316.95,39245.0,57
HCPCS,C1776,INSERT TIB KN SZ2 17.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN SZ2 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ2 6MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ2 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ2 8MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ2 9MM,21930.0,21930.0,1560.9,52220.0,285
HCPCS,C1776,INSERT TIB KN SZ2.5 10MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN SZ2XS 21MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN SZ3 10MM,22575.0,22575.0,1560.9,48401.0,285
HCPCS,C1776,INSERT TIB KN SZ3 11MM,24510.0,24510.0,1560.9,52220.0,285
HCPCS,C1776,INSERT TIB KN SZ3 12.5MM,50496.0,50496.0,4014.01,64501.0,114
HCPCS,C1776,INSERT TIB KN SZ3 12MM,29541.0,29541.0,1560.9,48401.0,228
HCPCS,C1776,INSERT TIB KN SZ3 13MM,24510.0,24510.0,2696.1,24510.0,114
HCPCS,C1776,INSERT TIB KN SZ3 14MM,33875.5,33875.5,2128.5,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ3 15MM,24708.5,24708.5,1421.86,36491.0,114
HCPCS,C1776,INSERT TIB KN SZ3 16MM,39732.0,39732.0,2696.1,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ3 17.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN SZ3 18MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT TIB KN SZ3 20MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN SZ3 22MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ3 24MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ3 26MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ3 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ3 6MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN SZ3 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ3 8MM,24510.0,24510.0,1481.48,48401.0,285
HCPCS,C1776,INSERT TIB KN SZ3 9MM,24510.0,24510.0,2696.1,24510.0,228
HCPCS,C1776,INSERT TIB KN SZ3-4 10MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN SZ3-4 11MM,18060.0,18060.0,1844.7,19350.0,114
HCPCS,C1776,INSERT TIB KN SZ3-4 12MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN SZ3-4 9MM,17576.5,17576.5,1844.7,18383.0,114
HCPCS,C1776,INSERT TIB KN SZ4 10MM,30500.5,30500.5,2696.1,36491.0,228
HCPCS,C1776,INSERT TIB KN SZ4 11MM,39245.0,39245.0,2696.1,52220.0,285
HCPCS,C1776,INSERT TIB KN SZ4 12.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN SZ4 12MM,39732.0,39732.0,2128.5,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ4 13MM,31877.5,31877.5,2696.1,39245.0,114
HCPCS,C1776,INSERT TIB KN SZ4 14MM,39732.0,39732.0,2696.1,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ4 15MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN SZ4 17.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN SZ4 18MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT TIB KN SZ4 19MM,39245.0,39245.0,4316.95,39245.0,57
HCPCS,C1776,INSERT TIB KN SZ4 20MM,42446.0,42446.0,4014.01,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ4 24MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ4 26MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ4 5MM,19350.0,19350.0,2128.5,19350.0,114
HCPCS,C1776,INSERT TIB KN SZ4 6MM,39732.0,39732.0,2128.5,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ4 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ4 8MM,24510.0,24510.0,2128.5,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ4 9MM,19350.0,19350.0,1560.9,24510.0,228
HCPCS,C1776,INSERT TIB KN SZ5,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN SZ5 10MM,32121.0,32121.0,2128.5,48401.0,228
HCPCS,C1776,INSERT TIB KN SZ5 11MM,31877.5,31877.5,2696.1,39245.0,171
HCPCS,C1776,INSERT TIB KN SZ5 12.5MM,24708.5,24708.5,1421.86,36491.0,114
HCPCS,C1776,INSERT TIB KN SZ5 12MM,23220.0,23220.0,2128.5,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ5 13MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN SZ5 14MM,39732.0,39732.0,2696.1,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ5 15MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN SZ5 17.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB KN SZ5 18MM,48401.0,48401.0,4370.52,52220.0,171
HCPCS,C1776,INSERT TIB KN SZ5 20MM,39732.0,39732.0,4014.01,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ5 22MM,39732.0,39732.0,4316.95,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ5 24MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT TIB KN SZ5 26MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ5 5MM,19350.0,19350.0,2128.5,19350.0,114
HCPCS,C1776,INSERT TIB KN SZ5 6MM,33875.5,33875.5,2128.5,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ5 7MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN SZ5 8MM,33875.5,33875.5,2128.5,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ5 9MM,24510.0,24510.0,2696.1,24510.0,114
HCPCS,C1776,INSERT TIB KN SZ5-6 10MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN SZ5-6 11MM,200552.0,200552.0,22060.72,200552.0,57
HCPCS,C1776,INSERT TIB KN SZ5-6 12MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN SZ5-6 13MM,33916.0,33916.0,3730.76,33916.0,57
HCPCS,C1776,INSERT TIB KN SZ5-6 15MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB KN SZ5-6 9MM,33916.0,33916.0,3730.76,33916.0,57
HCPCS,C1776,INSERT TIB KN SZ6 10MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN SZ6 11MM,26717.5,26717.5,1560.9,39245.0,114
HCPCS,C1776,INSERT TIB KN SZ6 12MM,35810.5,35810.5,2554.2,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ6 13MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN SZ6 14MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ6 15MM,52220.0,52220.0,5744.2,52220.0,57
HCPCS,C1776,INSERT TIB KN SZ6 16MM,48401.0,48401.0,2128.5,60103.0,171
HCPCS,C1776,INSERT TIB KN SZ6 18MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN SZ6 20MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN SZ6 22MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT TIB KN SZ6 24MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ6 26MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ6 5MM,21236.5,21236.5,2128.5,23123.0,114
HCPCS,C1776,INSERT TIB KN SZ6 6MM,29541.0,29541.0,2128.5,39732.0,228
HCPCS,C1776,INSERT TIB KN SZ6 7MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB KN SZ6 8MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ6 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN SZ6-8MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN SZ7 10MM,31295.5,31295.5,1560.9,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ7 11MM,24510.0,24510.0,2696.1,24510.0,114
HCPCS,C1776,INSERT TIB KN SZ7 12MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ7 13MM,34970.0,34970.0,2696.1,45430.0,114
HCPCS,C1776,INSERT TIB KN SZ7 14MM,24510.0,24510.0,2128.5,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ7 16MM,43823.0,43823.0,4316.95,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ7 18MM,40024.0,40024.0,3481.17,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ7 20MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ7 22MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ7 26MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ7 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ7 6MM,39732.0,39732.0,2128.5,48401.0,228
HCPCS,C1776,INSERT TIB KN SZ7 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ7 8MM,32121.0,32121.0,2128.5,48401.0,285
HCPCS,C1776,INSERT TIB KN SZ7 9MM,24510.0,24510.0,2696.1,24510.0,114
HCPCS,C1776,INSERT TIB KN SZ7-8 9MM,16770.0,16770.0,1752.52,33916.0,171
HCPCS,C1776,INSERT TIB KN SZ711MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN SZ8 10MM,39732.0,39732.0,2696.1,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ8 12MM,33875.5,33875.5,2128.5,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ8 14MM,33875.5,33875.5,2128.5,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ8 16MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ8 18MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ8 20MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB KN SZ8 22MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ8 24MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ8 26MM,44066.5,44066.5,4370.52,48401.0,114
HCPCS,C1776,INSERT TIB KN SZ8 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ8 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ8 8MM,39732.0,39732.0,2128.5,48401.0,171
HCPCS,C1776,INSERT TIB KN SZ9 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ9 14MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ9 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZ9 6MM,19350.0,19350.0,2128.5,19350.0,114
HCPCS,C1776,INSERT TIB KN SZ9 7MM,19350.0,19350.0,2128.5,19350.0,114
HCPCS,C1776,INSERT TIB KN SZ9 8MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB KN SZA,11940.0,11940.0,1313.4,11940.0,57
HCPCS,C1776,INSERT TIB KN SZB,11940.0,11940.0,1313.4,11940.0,57
HCPCS,C1776,INSERT TIB KN SZB 12MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB KN SZC,11940.0,11940.0,1313.4,11940.0,57
HCPCS,C1776,INSERT TIB KN SZC 12MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB KN SZD,11940.0,11940.0,1313.4,11940.0,57
HCPCS,C1776,INSERT TIB KN SZE-F 66MM,33199.0,33199.0,3651.89,33199.0,57
HCPCS,C1776,INSERT TIB KN SZF,13416.0,13416.0,1475.76,13416.0,57
HCPCS,C1776,INSERT TIB KN UNV 12MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB KN X3 2 11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB KN XLNK 3 8MM,12926.0,12926.0,1421.86,12926.0,57
HCPCS,C1776,INSERT TIB KN XS 12MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,INSERT TIB KN XS 16MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB LAT SZE,11940.0,11940.0,1313.4,11940.0,57
HCPCS,C1776,INSERT TIB LPS 23MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB MD UNV 31MM,65396.0,65396.0,7193.56,65396.0,57
HCPCS,C1776,INSERT TIB MED 12MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,INSERT TIB MED 14MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,INSERT TIB MED 28MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB MED UNV 14MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB MED UNV 16MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB MED UNV 23MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB MEDIAL 10MM,11940.0,11940.0,1313.4,11940.0,57
HCPCS,C1776,INSERT TIB PST ST 6 7MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB PST SZ5 13MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB PST SZ5 5MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSERT TIB RT SZB 14MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB SIZE 2-13,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB SM 14MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,INSERT TIB SM UNIV 26MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB SZ2 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB SZ4 22.5MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSERT TIB SZ4 22MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIB SZ5 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB SZ5 11MM,57199.0,57199.0,6291.89,57199.0,57
HCPCS,C1776,INSERT TIB SZ5 13MM,26661.0,26661.0,1548.47,39245.0,114
HCPCS,C1776,INSERT TIB SZ5 14MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB SZ5 22MM,43344.0,43344.0,4767.84,43344.0,57
HCPCS,C1776,INSERT TIB SZ5 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB SZ5-6 11MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB SZ6 10MM,19350.0,19350.0,1560.9,24510.0,114
HCPCS,C1776,INSERT TIB SZ6 8MM,21930.0,21930.0,2128.5,24510.0,114
HCPCS,C1776,INSERT TIB SZ6 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIB SZ7 11MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIB SZ7-8 10MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSERT TIB SZ9 8MM,39732.0,39732.0,4370.52,39732.0,57
HCPCS,C1776,INSERT TIB SZA 10MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB SZB 10M,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB SZB 10MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB SZB 12MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB TAB+ KN 3 9MM,39245.0,39245.0,4316.95,39245.0,57
HCPCS,C1776,INSERT TIB ULT 10MM SZA,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIB XS UNV 31MM H,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSERT TIB6 KN 6MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSERT TIBAIL FIXED #4,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT TIBIA LEFT 10MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIBIAL 8MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIBIAL CON 6/19,11655.0,11655.0,1282.05,11655.0,57
HCPCS,C1776,INSERT TIBIAL EZ C 10MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,INSERT TIBIAL KN 10MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIBIAL KN 9MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT TIBIAL RT SZ2,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1776,INSERT TIBIAL SCREW FEM,13080.0,13080.0,1438.8,13080.0,57
HCPCS,C1776,INSERT TIN KN SZ7-8 13MM,18383.0,18383.0,2022.13,18383.0,57
HCPCS,C1776,INSERT TRTHN TIB G-416,31877.5,31877.5,2696.1,39245.0,114
HCPCS,C1776,INSERT TRTHN TIB G-419,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT UNI ONLAY TIBIAL,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSERT XLPE 22/40MM,34440.0,34440.0,3788.4,34440.0,57
HCPCS,C1776,INSERT XLPE HIP 28/42MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,INSERT XLPE KN SZ5-6 9MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,INSR TIB KN SZ4 16MM,39245.0,39245.0,4316.95,39245.0,57
HCPCS,C1776,INSRT ACTB 46MM HOP CNST,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,INSRT ACTB HIP 10X22E,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,INSRT ACTB HIP 40MM SZE,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSRT ARTC KN 10-11 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSRT ARTC KN 10-12 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSRT ARTC KN 12/J 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSRT ARTC KNL SZ7-8 9MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSRT CP 60/72 SZ46/52MM,101623.0,101623.0,11178.53,101623.0,57
HCPCS,C1776,INSRT HUM SHLDR 36X+3MM,43654.0,43654.0,4801.94,43654.0,57
HCPCS,C1776,INSRT KN RV TB2 13MM,52220.0,52220.0,5744.2,52220.0,57
HCPCS,C1776,INSRT POLY X3 40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSRT TIB 2 10MM KN UHMW,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSRT TIB 2 20 KN UHMWPE,54855.0,54855.0,6034.05,54855.0,57
HCPCS,C1776,INSRT TIB 5 10MM KN BRNG,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSRT TIB HNG SM 23MM,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,INSRT TIB KN DRTN XL 9MM,17149.0,17149.0,1886.39,17149.0,57
HCPCS,C1776,INSRT TIB KN SM 13MM,16516.0,16516.0,1816.76,16516.0,57
HCPCS,C1776,INSRT TIB KN SZ4 15MM,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSRT TIB KN SZ5 16MM,48401.0,48401.0,5324.11,48401.0,57
HCPCS,C1776,INSRT TIB X3 SZ11MM,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSRT TIB X3 TRTHN 9,24510.0,24510.0,2696.1,24510.0,57
HCPCS,C1776,INSRT TIB3 30MM KN UHMWP,36491.0,36491.0,4014.01,36491.0,57
HCPCS,C1776,INSRT TIB8 7MM PSTSTBATN,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,INSRT TRTHN CR TIB,24510.0,24510.0,2696.1,24510.0,114
HCPCS,C1776,INST TIB RT MDL 9MM SZ4,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,JOINT FINGER SZ3,18473.0,18473.0,2032.03,18473.0,57
HCPCS,C1776,JOINT FNGR SZ4,25439.0,25439.0,2798.29,25439.0,57
HCPCS,C1776,KIT FEM HIP CSTM 320MM,468520.0,468520.0,51537.2,468520.0,57
HCPCS,C1776,KIT FEM HIP CSTM W/IMPL,468520.0,468520.0,51537.2,468520.0,57
HCPCS,C1776,KIT HIP CSTM W/IMPL,468520.0,468520.0,51537.2,468520.0,57
HCPCS,C1776,KIT IMPL HUM SHLDR CSTM,917760.0,917760.0,100953.6,917760.0,57
HCPCS,C1776,KIT IMPL KN LT/RT CUSTOM,80788.0,80788.0,8886.68,80788.0,57
HCPCS,C1776,KIT IMPLANT ITTL CR IPOL,85040.0,85040.0,9354.4,85040.0,57
HCPCS,C1776,KIT IMPLANT RT HIP,468520.0,468520.0,51537.2,468520.0,57
HCPCS,C1776,LINER ACETB HIP 10D MED,25983.0,25983.0,2858.13,25983.0,57
HCPCS,C1776,LINER ACETB HIP 54MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB +4 66/70X36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB 10D +4X58X36,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB 10D+4X66X40MM,16187.0,16187.0,1780.57,16187.0,57
HCPCS,C1776,LINER ACTB 28MM 47MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB 28MM 49MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB 32MM,58236.0,58236.0,6405.96,58236.0,57
HCPCS,C1776,LINER ACTB 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB 36MM 50MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB 50MM 28MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB 56/49 56MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB 56X36MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB 58 49 58MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB 62MM 36MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB 64 53 64MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB 66 55 66MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB CONST 64MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB DL MTL OD38,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HI SZB 32MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP +4 52X32,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP +4 58X36,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP +4MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP +4X64MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP 10D 32MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 20X56X40,13996.0,13996.0,1539.56,13996.0,57
HCPCS,C1776,LINER ACTB HIP 22MM 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP 23X32MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP 28/38MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 28MM 38MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP 28MM 44MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 28MM 49MM,66752.0,66752.0,7342.72,66752.0,57
HCPCS,C1776,LINER ACTB HIP 28X38MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 28X40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP 28X47MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 28X50MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP 28X53MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 32MM 48MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 32MM 50MM,14190.0,14190.0,1560.9,14190.0,171
HCPCS,C1776,LINER ACTB HIP 32MM 52MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP 32MM 54MM,40113.0,40113.0,4412.43,40113.0,57
HCPCS,C1776,LINER ACTB HIP 32MM SZB,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP 32X46MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 36MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP 36MM 50MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 36MM 54MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 36MM 56MM,14190.0,14190.0,1560.9,14190.0,114
HCPCS,C1776,LINER ACTB HIP 36MM 58MM,14190.0,14190.0,1560.9,14190.0,114
HCPCS,C1776,LINER ACTB HIP 36MM SZG,61699.0,61699.0,6786.89,61699.0,57
HCPCS,C1776,LINER ACTB HIP 36X50MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 36X52MM,14868.5,14868.5,1560.9,15547.0,171
HCPCS,C1776,LINER ACTB HIP 3X56X36,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 3X58X36MM,13481.0,13481.0,1482.91,13481.0,57
HCPCS,C1776,LINER ACTB HIP 4 4X36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 40/60,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 40MM,18253.5,18253.5,1887.27,19350.0,114
HCPCS,C1776,LINER ACTB HIP 40MM 56MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 40MM 64MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 40MM 70MM,13481.0,13481.0,1482.91,13481.0,57
HCPCS,C1776,LINER ACTB HIP 40X54MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 40X56X+4,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 40X58MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 41MM 22MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 42/54MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,LINER ACTB HIP 42MM 28MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 42MM 52MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB HIP 43/22MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 44/58MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,LINER ACTB HIP 44X28MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 44X32MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 45/22,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 46/60MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,LINER ACTB HIP 46X28MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 48/32MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 48X32MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 48X36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 50MM,18285.0,18285.0,1894.2,19350.0,114
HCPCS,C1776,LINER ACTB HIP 50MM 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 50X28MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP 52MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB HIP 52MM 36MM,14190.0,14190.0,1560.9,14190.0,114
HCPCS,C1776,LINER ACTB HIP 53/28,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 54MM 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 54MM 40MM,14190.0,14190.0,1560.9,14190.0,114
HCPCS,C1776,LINER ACTB HIP 54X36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP 55/28,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 56,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 56MM 36MM,24056.0,24056.0,2646.16,24056.0,57
HCPCS,C1776,LINER ACTB HIP 56MM 40MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 56X36MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP 60MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP 60MM 36MM,24056.0,24056.0,2646.16,24056.0,57
HCPCS,C1776,LINER ACTB HIP 60X36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 60X40MM,17157.0,17157.0,1887.27,17157.0,57
HCPCS,C1776,LINER ACTB HIP 62MM 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 64X36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP 65MM,40113.0,40113.0,4412.43,40113.0,57
HCPCS,C1776,LINER ACTB HIP 66-70MM,25123.0,25123.0,1482.91,36765.0,114
HCPCS,C1776,LINER ACTB HIP 66MM 40MM,17157.0,17157.0,1887.27,17157.0,57
HCPCS,C1776,LINER ACTB HIP C 38MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,LINER ACTB HIP CUP 52MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,LINER ACTB HIP E 28X48MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP F 44MM,32224.0,32224.0,3544.64,32224.0,57
HCPCS,C1776,LINER ACTB HIP G 36MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP G7 C 32MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP HXE+ 32D,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP MTL OD40,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP PE51X28MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP PLY OD40,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP SZ-E 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP SZ2,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP SZ24 40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP SZ25 36MM,30960.0,30960.0,3405.6,30960.0,57
HCPCS,C1776,LINER ACTB HIP SZ26 28MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP SZ3 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP SZ3 4X36,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP SZ4 40MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP SZ5,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP SZB 32MM,29025.0,29025.0,2128.5,38700.0,114
HCPCS,C1776,LINER ACTB HIP SZB 36MM,32224.0,32224.0,3544.64,32224.0,57
HCPCS,C1776,LINER ACTB HIP SZC 28X38,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP SZC 32MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP SZD 36MM,29025.0,29025.0,2128.5,38700.0,171
HCPCS,C1776,LINER ACTB HIP SZE 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP SZF 36MM,29025.0,29025.0,2128.5,38700.0,114
HCPCS,C1776,LINER ACTB HIP SZF 40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP SZG 36MM,29025.0,29025.0,2128.5,38700.0,171
HCPCS,C1776,LINER ACTB HIP SZG 40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB HIP SZG 46MM,32224.0,32224.0,3544.64,32224.0,57
HCPCS,C1776,LINER ACTB HIP+4 28X48MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP+4X40X60MM,17157.0,17157.0,1887.27,17157.0,57
HCPCS,C1776,LINER ACTB HIP+4X40X66MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB HIP+4X60X36MM,57007.0,57007.0,6270.77,57007.0,57
HCPCS,C1776,LINER ACTB HIP10D36X52MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP10D36X54MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP20D48X32MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP48/41 48MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB HIP52MM 40MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP56-58X40MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB HIP60/51 60MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER ACTB HIP62/53 62MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,LINER ACTB HIPSZF+5 36MM,43602.0,43602.0,4796.22,43602.0,57
HCPCS,C1776,LINER ACTB KN 52MM,36765.0,36765.0,4044.15,36765.0,57
HCPCS,C1776,LINER ACTB KN F 5MM 36MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB MED 42MM ALPH,21785.0,21785.0,2396.35,21785.0,57
HCPCS,C1776,LINER ACTB NTRL 32D,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB SIZE F 40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB SZA 28MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB SZE 36MM,29978.0,29978.0,2338.16,38700.0,114
HCPCS,C1776,LINER ACTB SZF 36MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER ACTB SZF 40MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB SZH 28X50MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER ACTB TPR 4 OF 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER ACTB XLNK 2X36MM,23633.0,23633.0,2599.63,23633.0,57
HCPCS,C1776,LINER ATCB X-LRG 40MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER CUP 32-48/50MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER CUP HIP 36-56/58MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER DUAL HIP 44MM 56MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,LINER FEM 20D 50-52X32MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER FEM HIP D 36MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER FEM HIP SZ36,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER HIGH WALL 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIGH WALL LARGE+ 4,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIP +4 58X40MM,17157.0,17157.0,1887.27,17157.0,57
HCPCS,C1776,LINER HIP 0D 32MM 50MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIP 10D +4X32X50MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIP 10D +4X64X40MM,17157.0,17157.0,1887.27,17157.0,57
HCPCS,C1776,LINER HIP 20D 36MM 50MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIP 20D 52MM 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIP 28D 46MM SZG,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER HIP 32-46,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER HIP 36MM 54MM,19516.0,19516.0,2146.76,19516.0,57
HCPCS,C1776,LINER HIP 48MM,21027.0,21027.0,2312.97,21027.0,57
HCPCS,C1776,LINER HIP 50/43 50MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,LINER HIP 50MM 32MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIP 56-58MM 36MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIP 62MM 40MM,17157.0,17157.0,1887.27,17157.0,57
HCPCS,C1776,LINER HIP ACTB 36X60MM,13481.0,13481.0,1482.91,13481.0,57
HCPCS,C1776,LINER HIP ACTB 62X40MM,17157.0,17157.0,1887.27,17157.0,57
HCPCS,C1776,LINER HIP ACTB F 36MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER HIP DUAL 38/50MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,LINER HIP DUAL 48/62MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,LINER HIP HIP SZE 42MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,LINER HIP STD 0D 40X58MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LINER HIP STD SZ40-56/58,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER HIP SZ-JJ 28MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,LINER HIP SZ3,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER HIP SZ36-52/54MM,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER HUM +3MM 36MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER HUM 0MM OFST 40MM,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,LINER HUM 36MMSMR+3MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER HUM 42MM +2.5MM,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,LINER HUM RVRS SMR 36MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER HUM SHLDR 33+3MM,17516.0,17516.0,1926.76,17516.0,57
HCPCS,C1776,LINER HUM SHLDR 36MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER KN TIB H10MM SZ2,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER KN TIB SIZE C1-2,18963.0,18963.0,2085.93,18963.0,57
HCPCS,C1776,LINER ORT TIB 4 LT 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER POLY 22.2X43MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER REV SHLDR 36MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER REVERSE +6MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER SCTB HIP 40MM 58MM,16187.0,16187.0,1780.57,16187.0,57
HCPCS,C1776,LINER SHELL ACTB HIP40/5,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER SHLDR 40MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER SHLDR CUP STD 36MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER SHLDR HUM 36MM,19737.0,19737.0,2171.07,19737.0,57
HCPCS,C1776,LINER STD 32-48MM,18835.0,18835.0,2071.85,18835.0,57
HCPCS,C1776,LINER STD 32-52/54,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER STD 36-50,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER STD 36-56/58,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER STD FLAT 36-52/54,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER STD HIP 32-46,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER STDHO 36-50,13468.0,13468.0,1481.48,13468.0,57
HCPCS,C1776,LINER TIB KN 17MM,48143.0,48143.0,5295.73,48143.0,57
HCPCS,C1776,LINER TIB KN SZ4 H.10MM,21785.0,21785.0,2396.35,21785.0,57
HCPCS,C1776,LINER TIB RT #3 10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER TIBIAL #2 RIGHT,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LINER XLPE 0D 32X48,14913.0,14913.0,1640.43,14913.0,57
HCPCS,C1776,LINR ACTB HIP SZ4,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LNER ACTB HIP SZ2,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LNR ACTB COC HIP G7D40MM,32224.0,32224.0,3544.64,32224.0,57
HCPCS,C1776,LNR ACTB CUP 36/52-54MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LNR ACTB HIP +4 28X48MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LNR ACTB HIP 10D 28X48MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,LNR ACTB HIP SZF 28X44MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,LOGICAL G-CUP 58,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,LPS UNIV TIB HIN INS MED,67655.0,67655.0,7442.05,67655.0,57
HCPCS,C1776,METAL HEAD 28 +0,8566.0,8566.0,942.26,8566.0,57
HCPCS,C1776,PATELLA DOME KN E+8X29MM,12900.0,12900.0,1419.0,12900.0,57
HCPCS,C1776,PATELLA KN 29MM 7MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,PATELLA KN 3 PEG 28MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,PATELLA KN SZ 29MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,PATELLA PRSTHS 32X8.5MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,PATELLA VIT E SZ1 27X8MM,6115.0,6115.0,672.65,6115.0,57
HCPCS,C1776,PATELLA VIT E SZ3 34X9MM,6115.0,6115.0,672.65,6115.0,57
HCPCS,C1776,PATELLAR KN XSM 26MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,PATELLR KN 3PEGS SM 29MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,PEG FX STRL LF,2477.0,2477.0,272.47,2477.0,57
HCPCS,C1776,PIN ACTB HIP 66MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,PIN BN TEMP 4MM 170MM,2144.0,2144.0,150.08,2144.0,71
HCPCS,C1776,PIN FEM DIST HIP/KN 1SZ,29345.0,29345.0,3227.95,29345.0,57
HCPCS,C1776,PIN FEM KN FX AXL SZ3,56786.0,56786.0,6246.46,56786.0,57
HCPCS,C1776,PIN FX KN XS/SM,6222.0,6222.0,684.42,6222.0,57
HCPCS,C1776,PIN TIB HEAD TEMPLATE,2388.0,2388.0,262.68,2388.0,57
HCPCS,C1776,PLATE BASE SHLDR GLENOID,50348.0,50348.0,5538.28,50348.0,57
HCPCS,C1776,PLATE FIB KN RT 5H 96MM,25955.0,25955.0,2855.05,25955.0,57
HCPCS,C1776,PLATE GLENOID RVRS,34830.0,34830.0,3831.3,34830.0,57
HCPCS,C1776,PLATE ORT TIB #3 CMTD,25671.0,25671.0,2823.81,25671.0,57
HCPCS,C1776,PLATE ORT TIB #6 CMTD,20448.0,20448.0,2249.28,20448.0,57
HCPCS,C1776,PLATE ORT TIB #8 CMTD,25671.0,25671.0,2823.81,25671.0,57
HCPCS,C1776,PLATE TIBIAL FIXED #2,25671.0,25671.0,2823.81,25671.0,57
HCPCS,C1776,POLARSTEM STEM LAT 6,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,PROS PTLA 26MMX7MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,PROSTH ACTB HIP H PLUG,1131.0,1131.0,124.41,1131.0,57
HCPCS,C1776,PROSTH HIP 195MM 21MM,16770.0,16770.0,1844.7,16770.0,57
HCPCS,C1776,PROSTHESIS HIP 36MM,22720.0,22720.0,2499.2,22720.0,57
HCPCS,C1776,PROSTHESIS SHLDR 43MM,137925.0,137925.0,15171.75,137925.0,57
HCPCS,C1776,PTLR CMPNT KN 9MM 35MM,8170.0,8170.0,898.7,8170.0,57
HCPCS,C1776,RESTRCTOR CMNT HIP 24MM,1672.0,1672.0,183.92,1672.0,57
HCPCS,C1776,RESTRCTR ELBW CMNT 13MM,3612.0,3612.0,397.32,3612.0,57
HCPCS,C1776,RESTRICTOR BNCMNT 25MM,5160.0,5160.0,567.6,5160.0,57
HCPCS,C1776,REV CRS FEM LT CMNT SZ10,88920.0,88920.0,9781.2,88920.0,57
HCPCS,C1776,RING ACTB HIP 48MM,4290.0,4290.0,471.9,4290.0,57
HCPCS,C1776,RING ACTB HIP TRLG 54MM,4644.0,4644.0,510.84,4644.0,57
HCPCS,C1776,RING SPT KN FEM/TIB 18MM,16125.0,16125.0,1773.75,16125.0,57
HCPCS,C1776,RSTRC HIP CMNT 11.0MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,SCREW BN 3.5MM 44MM,864.0,864.0,95.04,864.0,57
HCPCS,C1776,SEGEMENT FEM 98MM,114549.0,114549.0,12600.39,114549.0,57
HCPCS,C1776,SEGMENT FEM 70MM,53713.0,53713.0,5908.43,53713.0,57
HCPCS,C1776,SEGMENT TIBIA PROXIMAL,145939.0,145939.0,16053.29,145939.0,57
HCPCS,C1776,SET TIB ANK SCREW SML,26102.0,26102.0,2871.22,26102.0,57
HCPCS,C1776,SHELL 48-3H,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHELL ACTB 46MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB 58MM HIP MLH,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,SHELL ACTB CLSTR3H D 48M,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,SHELL ACTB CLSTRH E 52M,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,SHELL ACTB HIP 0D 58MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 0D 60MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 3 H 50MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 3H 48MM,25800.0,25800.0,2838.0,25800.0,114
HCPCS,C1776,SHELL ACTB HIP 3H 50MM,25800.0,25800.0,2838.0,25800.0,114
HCPCS,C1776,SHELL ACTB HIP 3H 52MM,24246.5,24246.5,2496.23,25800.0,114
HCPCS,C1776,SHELL ACTB HIP 3H 54MM,23220.0,23220.0,2496.23,25800.0,171
HCPCS,C1776,SHELL ACTB HIP 3H 58MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP 3H 60MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP 3HL 44MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 3HL 50MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP 3HL 56MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 3HL 58MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 42MM 28MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,SHELL ACTB HIP 46MM,43860.5,43860.5,2554.2,64501.0,114
HCPCS,C1776,SHELL ACTB HIP 48MM,35299.5,35299.5,2554.2,64501.0,228
HCPCS,C1776,SHELL ACTB HIP 4HL 60MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 5 SCR56MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 50MM,25800.0,25800.0,2270.4,64501.0,342
HCPCS,C1776,SHELL ACTB HIP 54MM,24510.0,24510.0,2270.4,64501.0,399
HCPCS,C1776,SHELL ACTB HIP 56MM,55589.0,55589.0,2838.0,57663.0,228
HCPCS,C1776,SHELL ACTB HIP 58MM,23220.0,23220.0,2270.4,25800.0,114
HCPCS,C1776,SHELL ACTB HIP 5H 52MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 5H 54MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 5H 58MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 60MM,30425.0,30425.0,3346.75,30425.0,57
HCPCS,C1776,SHELL ACTB HIP 64MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP 66MM,42423.0,42423.0,4666.53,42423.0,57
HCPCS,C1776,SHELL ACTB HIP 72MM 66MM,49458.0,49458.0,5440.38,49458.0,57
HCPCS,C1776,SHELL ACTB HIP 9HL 48MM,54858.0,54858.0,6034.38,54858.0,57
HCPCS,C1776,SHELL ACTB HIP B 46MM,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,SHELL ACTB HIP BIP SZ48,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,SHELL ACTB HIP CH 48MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP HEMI 54MM,51173.0,51173.0,5629.03,51173.0,57
HCPCS,C1776,SHELL ACTB HIP MLH 60MM,42423.0,42423.0,4666.53,42423.0,57
HCPCS,C1776,SHELL ACTB HIP MOD 58MM,60698.0,60698.0,6676.78,60698.0,57
HCPCS,C1776,SHELL ACTB HIP MOD 60MM,60698.0,60698.0,6676.78,60698.0,57
HCPCS,C1776,SHELL ACTB HIP MOD 62MM,60698.0,60698.0,6676.78,60698.0,57
HCPCS,C1776,SHELL ACTB HIP PNCL 58MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP STRL 68MM,60698.0,60698.0,6676.78,60698.0,57
HCPCS,C1776,SHELL ACTB HIP SZ 2 46MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP SZ 66MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP SZ E 52MM,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,SHELL ACTB HIP SZ2 48MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP SZ3 52MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP SZ50MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP SZ52 E,54858.0,54858.0,6034.38,54858.0,57
HCPCS,C1776,SHELL ACTB HIP SZE 52MM,25800.0,25800.0,2838.0,25800.0,114
HCPCS,C1776,SHELL ACTB HIP SZF 56MM,42570.5,42570.5,2270.4,64501.0,114
HCPCS,C1776,SHELL ACTB HIP SZG 58MM,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,SHELL ACTB HIP SZG 60MM,42570.5,42570.5,2270.4,64501.0,114
HCPCS,C1776,SHELL ACTB HIP SZH 64MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,SHELL ACTB HIP TPR 56MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB HIP TPR4 58MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C1776,SHELL ACTB SZ5 60MM,30960.0,30960.0,2554.2,38700.0,114
HCPCS,C1776,SHELL ACTB TPR SZ5 64MM,80788.0,80788.0,8886.68,80788.0,57
HCPCS,C1776,SHELL BIP HIP 50MM 28MM,12150.0,12150.0,1336.5,12150.0,57
HCPCS,C1776,SHELL BIPOLAR 28MM 48MM,11610.0,11610.0,1277.1,11610.0,57
HCPCS,C1776,SHELL FEM 70MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,SHELL FEM HIP 3HL SZ60MM,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHELL FEM HIP HD SZ44,14088.0,14088.0,1549.68,14088.0,57
HCPCS,C1776,SHELL HIP 3H 54MM,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHELL HIP 3H 56MM,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHELL HIP 3H OD 58MM,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHELL HIP 3H SZ52,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHELL HIP 46-3H,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHELL HIP 58MM,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHELL HIP ACT D 3H 50MM,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,SHELL HIP ACTB 48MM,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,SHELL HIP ACTB 52MM,45150.5,45150.5,2838.0,64501.0,114
HCPCS,C1776,SHELL HIP ACTB SZ24MM,1863.0,1863.0,204.93,1863.0,57
HCPCS,C1776,SHELL HIP R3 POR 56MM,24682.0,24682.0,2715.02,24682.0,57
HCPCS,C1776,SHELL HM SHLDR 12X108MM,116016.0,116016.0,12761.76,116016.0,57
HCPCS,C1776,SHELL INITIA 50-3H,22059.0,22059.0,2426.49,22059.0,57
HCPCS,C1776,SHIM HIP CUP STD,21906.0,21906.0,2409.66,21906.0,57
HCPCS,C1776,SLEEVE ADPT HIP 2.5MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,SLEEVE ADPT HIP 5.0MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,SLEEVE CNTRNG 12B SM,10320.0,10320.0,1135.2,10320.0,57
HCPCS,C1776,SLEEVE CNTRNG 14B,10320.0,10320.0,1135.2,10320.0,57
HCPCS,C1776,SLEEVE CNTRNG HIP 31MM,42854.0,42854.0,4713.94,42854.0,57
HCPCS,C1776,SLEEVE CNTRNG HIP 34MM,42857.0,42857.0,4714.27,42857.0,57
HCPCS,C1776,SLEEVE CNTRNG HIP 46MM,42857.0,42857.0,4714.27,42857.0,57
HCPCS,C1776,SLEEVE CNTRNG KN 2.5MM,2524.0,2524.0,277.64,2524.0,57
HCPCS,C1776,SLEEVE FEM HIP -3MM,3122.0,3122.0,343.42,3122.0,57
HCPCS,C1776,SLEEVE FEM KN CMNT 20MM,36364.0,36364.0,4000.04,36364.0,57
HCPCS,C1776,SLEEVE FEM KN PRCT 30MM,52844.0,52844.0,5812.84,52844.0,57
HCPCS,C1776,SLEEVE FEM KN PRCT 45MM,52844.0,52844.0,5812.84,52844.0,57
HCPCS,C1776,SLEEVE FEM KN PRCT 50MM,52844.0,52844.0,5812.84,52844.0,57
HCPCS,C1776,SLEEVE FEM KN PRCT 55MM,52844.0,52844.0,5812.84,52844.0,57
HCPCS,C1776,SLEEVE HIP ADPT +0MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,SLEEVE HIP ADPTR 4MM,2524.0,2524.0,277.64,2524.0,57
HCPCS,C1776,SLEEVE KN ADPT LGN 13MM,14725.0,14725.0,1619.75,14725.0,57
HCPCS,C1776,SLEEVE KN TIBTRY ROT HNG,8785.0,8785.0,966.35,8785.0,57
HCPCS,C1776,SLEEVE TAPER HIP NK +0,3500.0,3500.0,385.0,3500.0,57
HCPCS,C1776,SLEEVE TIB 29X26X40MM,37358.0,37358.0,4109.38,37358.0,57
HCPCS,C1776,SLEEVE TIB 37X27X40MM,39519.0,39519.0,4347.09,39519.0,57
HCPCS,C1776,SLEEVE TIB 53X31X40MM,37358.0,37358.0,4109.38,37358.0,57
HCPCS,C1776,SLEEVE TIB 61X34X40MM,37358.0,37358.0,4109.38,37358.0,57
HCPCS,C1776,SLEEVE TIB KN PRCT 29MM,59653.0,59653.0,6561.83,59653.0,57
HCPCS,C1776,SLEEVE TIB KN PRCT 37MM,59653.0,59653.0,6561.83,59653.0,57
HCPCS,C1776,SLEEVE TIB KN PRCT 45MM,59653.0,59653.0,6561.83,59653.0,57
HCPCS,C1776,SLEEVE TIB KN PRCT 53MM,59653.0,59653.0,6561.83,59653.0,57
HCPCS,C1776,SLEEVE TIB KN PRCT 61MM,59653.0,59653.0,6561.83,59653.0,57
HCPCS,C1776,SLEEVE TIB KN PRCT 69MM,59653.0,59653.0,6561.83,59653.0,57
HCPCS,C1776,SLEEVE TIBAL SIZE 3,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,SLEEVE XTN FEM DIA 18MM,101198.0,101198.0,11131.78,101198.0,57
HCPCS,C1776,SLEEVE XTN TIB DIA 21MM,83189.0,83189.0,9150.79,83189.0,57
HCPCS,C1776,SLV XTN FEM/TIB LT D24MM,101198.0,101198.0,11131.78,101198.0,57
HCPCS,C1776,SPACER ACTB HIP CSTM 8MM,194582.0,194582.0,21404.02,194582.0,57
HCPCS,C1776,SPACER FEM HIP OMFT 11MM,1589.0,1589.0,174.79,1589.0,57
HCPCS,C1776,SPACER FEM HIP OMFT 9MM,1580.0,1580.0,173.8,1580.0,57
HCPCS,C1776,SPACER HUM 42MM +12MM,14385.0,14385.0,1582.35,14385.0,57
HCPCS,C1776,SPACER HUM 8MM STRL,37439.0,37439.0,4118.29,37439.0,57
HCPCS,C1776,SPACER HUM SHLDR +6X36MM,18060.0,18060.0,1986.6,18060.0,57
HCPCS,C1776,SPACER HUM SHLDR +6X39MM,14385.0,14385.0,1582.35,14385.0,57
HCPCS,C1776,SPACER HUM SHLDR 11X30MM,63546.0,63546.0,6990.06,63546.0,57
HCPCS,C1776,SPACER KN 3/10MM,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,SPACER SHLDR 11MM 20MM,63546.0,63546.0,6990.06,63546.0,57
HCPCS,C1776,SPACER SHLDR 15MM 20MM,63546.0,63546.0,6990.06,63546.0,57
HCPCS,C1776,SPACER SHLDR 17MM 20MM,63546.0,63546.0,6990.06,63546.0,57
HCPCS,C1776,SPACER SHLDR HUM 13X20MM,63546.0,63546.0,6990.06,63546.0,57
HCPCS,C1776,SPACER SHLDR HUM 9X20MM,62626.0,62626.0,6888.86,62626.0,57
HCPCS,C1776,SPACER SHLDR HUM 9X30MM,63546.0,63546.0,6990.06,63546.0,57
HCPCS,C1776,SPACER TIB KN PROX 15MM,21795.0,21795.0,2397.45,21795.0,57
HCPCS,C1776,SPACER TIB POLY 12MM,42154.0,42154.0,4636.94,42154.0,57
HCPCS,C1776,SPHERE SHLDR 33MM 24MM,46105.0,46105.0,5071.55,46105.0,57
HCPCS,C1776,SPHERE SHLDR REV 36MM,43812.0,43812.0,4819.32,43812.0,57
HCPCS,C1776,SPHRE GLNOD SHLDR 42MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,SROM STM STD30NK8X12X1,45029.0,45029.0,4953.19,45029.0,57
HCPCS,C1776,STEM 25MM CLR 11X120MM,67885.0,67885.0,7467.35,67885.0,57
HCPCS,C1776,STEM 30MM 12/14 SZ1 95MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM ANCH TIB SZ3-4,21285.0,21285.0,2341.35,21285.0,57
HCPCS,C1776,STEM ANKLE LG 10MM,36353.0,36353.0,3998.83,36353.0,57
HCPCS,C1776,STEM ATTN KN OFFST 4MM,14448.0,14448.0,1589.28,14448.0,57
HCPCS,C1776,STEM BASE ANKL EXT 16MM,19299.0,19299.0,2122.89,19299.0,57
HCPCS,C1776,STEM BDY EXTND 60MM,110956.0,110956.0,12205.16,110956.0,57
HCPCS,C1776,STEM BIP IMPL 51M OD28MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,STEM BIPOLAR 44MM OD,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,STEM BOWED 32X15MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM CEMENTED 15MMX30MM,13834.0,13834.0,1521.74,13834.0,57
HCPCS,C1776,STEM CEMENTED L: 140MM D,33824.0,33824.0,3720.64,33824.0,57
HCPCS,C1776,STEM CEMENTLESS 18X150MM,105237.0,105237.0,11576.07,105237.0,57
HCPCS,C1776,STEM CEMENTLESS 20X150MM,105237.0,105237.0,11576.07,105237.0,57
HCPCS,C1776,STEM CMN STRGHT 15X100MM,51291.0,51291.0,5642.01,51291.0,57
HCPCS,C1776,STEM CMNT 12X50MM,19623.0,19623.0,2158.53,19623.0,57
HCPCS,C1776,STEM CMNT 17MM 152MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM CMNT KN 12X100MM,19623.0,19623.0,2158.53,19623.0,57
HCPCS,C1776,STEM CMNT STRGT 13X100MM,51291.0,51291.0,5642.01,51291.0,57
HCPCS,C1776,STEM CMNTLS HA 14X150MM,142426.0,142426.0,15666.86,142426.0,57
HCPCS,C1776,STEM CNTRLZR HIP 12MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,STEM CNTRLZR HIP 15MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,STEM COLLARED SZ1,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM EXT 18X100MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM EXT 21X100MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM EXT KN 100MM,50826.0,50826.0,5590.86,50826.0,57
HCPCS,C1776,STEM EXT KN 12MM 80MM,14339.0,14339.0,1577.29,14339.0,57
HCPCS,C1776,STEM EXT KN 175MM,23530.0,23530.0,2588.3,23530.0,57
HCPCS,C1776,STEM EXT KN 19X100MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM EXT KN 30MM,48724.0,48724.0,5359.64,48724.0,57
HCPCS,C1776,STEM EXT KN 80MM 10MM,14187.0,14187.0,1560.57,14187.0,57
HCPCS,C1776,STEM EXT KN 80MM 11MM,14187.0,14187.0,1560.57,14187.0,57
HCPCS,C1776,STEM EXT KN 80MM 12MM,15790.0,15790.0,1736.9,15790.0,57
HCPCS,C1776,STEM EXT KN 80MM 13MM,14187.0,14187.0,1560.57,14187.0,57
HCPCS,C1776,STEM EXT KNEE SZ13/11,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,STEM EXT MIDSECTN 140MM,34211.0,34211.0,3763.21,34211.0,57
HCPCS,C1776,STEM EXT PC HA CT 25MM,41022.0,41022.0,4512.42,41022.0,57
HCPCS,C1776,STEM EXT STR 13X140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM EXT STRT FLUT 10X65,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM EXT TIB KN 90X13MM,13834.0,13834.0,1521.74,13834.0,57
HCPCS,C1776,STEM EXTENSION 12X100MM,27684.0,27684.0,3045.24,27684.0,57
HCPCS,C1776,STEM EXTN GMRS KN 40MM,50826.0,50826.0,5590.86,50826.0,57
HCPCS,C1776,STEM FEM #1 96MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM 0 BPS TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 0 STD TRLK OFST,61920.0,61920.0,6811.2,61920.0,57
HCPCS,C1776,STEM FEM 1 STD TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 100-120MM LAT 6,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 100X9MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM 103MM CMNT,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM 104-124MM LAT,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 106-126MM LAT,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM 106-126MM TRI,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM 110MM 22MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM 115MM 18MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM 115MM CMNT,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM 124MM CMNT,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM 125X18.5MM LPS,92481.0,92481.0,10172.91,92481.0,57
HCPCS,C1776,STEM FEM 127D SZ5 145MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM 129MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 134MM CMNT,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM 135D 3 HIP STD,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 141MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 143MM CMNT,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM 146MM 13MM,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,STEM FEM 14MM 60MM,25515.0,25515.0,2806.65,25515.0,57
HCPCS,C1776,STEM FEM 14X115MM PFC HI,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM 150MM 15MM,45385.0,45385.0,4992.35,45385.0,114
HCPCS,C1776,STEM FEM 150MM 18.5 BOW,92003.0,92003.0,10120.33,92003.0,57
HCPCS,C1776,STEM FEM 150MM 21MM TPR,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM 150X15.5MM BOW,92003.0,92003.0,10120.33,92003.0,57
HCPCS,C1776,STEM FEM 150X16.5MM BOW,92003.0,92003.0,10120.33,92003.0,57
HCPCS,C1776,STEM FEM 15MM 120MM,149883.0,149883.0,16487.13,149883.0,57
HCPCS,C1776,STEM FEM 16.5MM 227MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,STEM FEM 160MM 14MM MOD,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM 160MM 22MM,15491.0,15491.0,1704.01,15491.0,57
HCPCS,C1776,STEM FEM 160X16MM MOD,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM 160X17MM MOD,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM 16MM 100MM,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM 16MM 60MM,25515.0,25515.0,2806.65,25515.0,57
HCPCS,C1776,STEM FEM 16X150MM,149883.0,149883.0,16487.13,149883.0,57
HCPCS,C1776,STEM FEM 18MM 60MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM 190MM 15MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM 2 STD TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 200MM 18MM,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM 200X16MM MOD,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM 20GRIT 190X18MM,55728.0,55728.0,6130.08,55728.0,57
HCPCS,C1776,STEM FEM 38MM SZ0,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM 5 COCR TRLK HI,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 5 TRLK HIP OFST,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 7 TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 8 TRLK OFST,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 9 STD TRLK OFST,61920.0,61920.0,6811.2,61920.0,57
HCPCS,C1776,STEM FEM 9 TRLK COCR,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 92-112MM TRIFIT,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM 94-114MM TRIFIT,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM CMNT 200MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM CMNT SZ13 130MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM CMNT SZ5 120MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM CMNTKN 160X12MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,STEM FEM CMNTLS LAT HIP,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM COLR 147MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM CUSTOM 12/120MM,267045.0,267045.0,29374.95,267045.0,57
HCPCS,C1776,STEM FEM ENDRN SZ3,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM EXT 150X12.5MM,92003.0,92003.0,10120.33,92003.0,57
HCPCS,C1776,STEM FEM EXT 150X13.5MM,92003.0,92003.0,10120.33,92003.0,57
HCPCS,C1776,STEM FEM EXT 150X14.5MM,92003.0,92003.0,10120.33,92003.0,57
HCPCS,C1776,STEM FEM FLUTD 115X16MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM HGHT 129MM SZ4,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP #5,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP 0D 28X46MM,11017.0,11017.0,1211.87,11017.0,57
HCPCS,C1776,STEM FEM HIP 10MM,127560.0,127560.0,14031.6,127560.0,57
HCPCS,C1776,STEM FEM HIP 10MM 105MM,46750.0,46750.0,5142.5,46750.0,57
HCPCS,C1776,STEM FEM HIP 10MM 140MM,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1776,STEM FEM HIP 110MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM HIP 115MM 18MM,59896.0,59896.0,6588.56,59896.0,57
HCPCS,C1776,STEM FEM HIP 11MM,1690.0,1690.0,156.09,1961.0,114
HCPCS,C1776,STEM FEM HIP 11MM 140MM,28380.0,28380.0,3121.8,28380.0,114
HCPCS,C1776,STEM FEM HIP 11MM 142MM,45385.0,45385.0,4824.6,46440.0,171
HCPCS,C1776,STEM FEM HIP 11X167MM,63105.0,63105.0,6941.55,63105.0,57
HCPCS,C1776,STEM FEM HIP 12/14 125MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 12/14 155MM,49020.0,49020.0,5392.2,49020.0,114
HCPCS,C1776,STEM FEM HIP 12/14 SZ2,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 12/14 SZ5,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 12/14 SZ7,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 12/14 SZ8,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 12/14MM SZ8,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 120MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP 125MM 11MM,65481.0,65481.0,7202.91,65481.0,57
HCPCS,C1776,STEM FEM HIP 125MM 16MM,65481.0,65481.0,7202.91,65481.0,57
HCPCS,C1776,STEM FEM HIP 126D SZ2,42570.0,42570.0,3973.2,49020.0,114
HCPCS,C1776,STEM FEM HIP 127D,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM HIP 127D 9 35MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM HIP 12MM 115MM,55209.0,55209.0,6072.99,55209.0,57
HCPCS,C1776,STEM FEM HIP 12MM 125MM,65481.0,65481.0,7202.91,65481.0,57
HCPCS,C1776,STEM FEM HIP 12MM 144MM,44622.5,44622.5,4824.6,45385.0,228
HCPCS,C1776,STEM FEM HIP 12MM 150MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 130MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 132D 111MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM HIP 132MM 6MM,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1776,STEM FEM HIP 133D SZ15MM,65694.0,65694.0,7226.34,65694.0,57
HCPCS,C1776,STEM FEM HIP 135D SZ16,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP 135D SZ5,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 135D SZ8,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP 139MM,42570.0,42570.0,3973.2,49020.0,114
HCPCS,C1776,STEM FEM HIP 13MM 115MM,55209.0,55209.0,6072.99,55209.0,57
HCPCS,C1776,STEM FEM HIP 13MM 138MM,46794.0,46794.0,5147.34,46794.0,57
HCPCS,C1776,STEM FEM HIP 13MM 146MM,45385.0,45385.0,4992.35,45385.0,114
HCPCS,C1776,STEM FEM HIP 13X146MM,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1776,STEM FEM HIP 13X170MM,70892.0,70892.0,7798.12,70892.0,57
HCPCS,C1776,STEM FEM HIP 13X190MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 140MM 10MM,47730.0,47730.0,4824.6,51600.0,114
HCPCS,C1776,STEM FEM HIP 140MM 19MM,50672.0,50672.0,5573.92,50672.0,57
HCPCS,C1776,STEM FEM HIP 140MM 21MM,50672.0,50672.0,5573.92,50672.0,57
HCPCS,C1776,STEM FEM HIP 140X10MM,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1776,STEM FEM HIP 140X14MM,40361.0,40361.0,4439.71,40361.0,57
HCPCS,C1776,STEM FEM HIP 142MM 11MM,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1776,STEM FEM HIP 145MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM FEM HIP 14MM 115MM,55209.0,55209.0,6072.99,55209.0,57
HCPCS,C1776,STEM FEM HIP 14MM 148MM,45385.0,45385.0,4824.6,46440.0,228
HCPCS,C1776,STEM FEM HIP 14X135MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP 150MM 12MM,78874.0,78874.0,8676.14,78874.0,57
HCPCS,C1776,STEM FEM HIP 150MM 16MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 150MM 20MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 150MM 22MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM HIP 150X15MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 155MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP 159MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 15MM 115MM,55209.0,55209.0,6072.99,55209.0,57
HCPCS,C1776,STEM FEM HIP 15MM 150MM,44622.5,44622.5,4824.6,45385.0,114
HCPCS,C1776,STEM FEM HIP 15MM 155MM,50523.0,50523.0,5557.53,50523.0,57
HCPCS,C1776,STEM FEM HIP 15MM 175MM,115295.0,115295.0,12682.45,115295.0,57
HCPCS,C1776,STEM FEM HIP 15MM 190MM,55728.0,55728.0,6130.08,55728.0,57
HCPCS,C1776,STEM FEM HIP 15X140MM,50672.0,50672.0,5573.92,50672.0,57
HCPCS,C1776,STEM FEM HIP 160MM 18MM,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,STEM FEM HIP 16MM 120MM,183899.0,183899.0,20228.89,183899.0,57
HCPCS,C1776,STEM FEM HIP 16MM 152MM,45912.5,45912.5,4992.35,46440.0,114
HCPCS,C1776,STEM FEM HIP 16MM 190MM,55728.0,55728.0,6130.08,55728.0,57
HCPCS,C1776,STEM FEM HIP 16X140MM,50672.0,50672.0,5573.92,50672.0,57
HCPCS,C1776,STEM FEM HIP 170MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP 170MM 16MM,33540.0,33540.0,3689.4,33540.0,57
HCPCS,C1776,STEM FEM HIP 17MM 115MM,55209.0,55209.0,6072.99,55209.0,57
HCPCS,C1776,STEM FEM HIP 17MM 150MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 17MM 154MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM FEM HIP 17MM 155MM,53074.0,53074.0,5838.14,53074.0,57
HCPCS,C1776,STEM FEM HIP 17MM 190MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 17X126.2MM,52060.0,52060.0,5726.6,52060.0,57
HCPCS,C1776,STEM FEM HIP 17X140MM,50672.0,50672.0,5573.92,50672.0,57
HCPCS,C1776,STEM FEM HIP 17X152MM,73475.0,73475.0,8082.25,73475.0,57
HCPCS,C1776,STEM FEM HIP 18MM 115MM,55209.0,55209.0,6072.99,55209.0,57
HCPCS,C1776,STEM FEM HIP 18MM 140MM,50672.0,50672.0,5573.92,50672.0,57
HCPCS,C1776,STEM FEM HIP 18MM 150MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 18MM 160MM,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM HIP 18X190MM,84464.0,84464.0,9291.04,84464.0,57
HCPCS,C1776,STEM FEM HIP 190MM,88910.0,88910.0,9780.1,88910.0,57
HCPCS,C1776,STEM FEM HIP 190MM 16MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 190MM SZ18,88910.0,88910.0,9780.1,88910.0,57
HCPCS,C1776,STEM FEM HIP 190X17MM,55728.0,55728.0,6130.08,55728.0,57
HCPCS,C1776,STEM FEM HIP 190X21MM,55728.0,55728.0,6130.08,55728.0,57
HCPCS,C1776,STEM FEM HIP 19MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM FEM HIP 19MM 150MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 19X160MM,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM HIP 20MM 100MM,15491.0,15491.0,1704.01,15491.0,57
HCPCS,C1776,STEM FEM HIP 20MM 190MM,55728.0,55728.0,6130.08,55728.0,57
HCPCS,C1776,STEM FEM HIP 21MM 240MM,97616.0,97616.0,10737.76,97616.0,57
HCPCS,C1776,STEM FEM HIP 22MM 150MM,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP 231X11.5MM,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,STEM FEM HIP 24MM 115MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM HIP 24MM 150MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM HIP 2MM 100MM,15491.0,15491.0,1704.01,15491.0,57
HCPCS,C1776,STEM FEM HIP 30MM,38700.0,38700.0,4257.0,38700.0,57
HCPCS,C1776,STEM FEM HIP 4MM 128MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM FEM HIP 4MM 93MM,45385.0,45385.0,4992.35,45385.0,57
HCPCS,C1776,STEM FEM HIP 5MM 130MM,46440.0,46440.0,5108.4,46440.0,114
HCPCS,C1776,STEM FEM HIP 5MM 95MM,43860.0,43860.0,4824.6,43860.0,114
HCPCS,C1776,STEM FEM HIP 6MM 132MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM FEM HIP 6MM 97.5MM,45843.0,45843.0,4824.6,47826.0,114
HCPCS,C1776,STEM FEM HIP 7MM 120MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,STEM FEM HIP 7MM 134MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM FEM HIP 8MM 136MM,44622.5,44622.5,4824.6,45385.0,114
HCPCS,C1776,STEM FEM HIP 9MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,STEM FEM HIP 9MM 102.5MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM FEM HIP 9MM 137MM,43860.0,43860.0,4824.6,43860.0,114
HCPCS,C1776,STEM FEM HIP ACT SZ6,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP CMNT LG,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,STEM FEM HIP CMNT SZ3,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP CMNTLS 135D,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP CMNTLS SZ1,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP CNTRL9.25MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,STEM FEM HIP CNTRLZ 10MM,2041.0,2041.0,224.51,2041.0,57
HCPCS,C1776,STEM FEM HIP COLR 97MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP LAT #1,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP LAT SZ3,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP LONG SMALL,58050.0,58050.0,6385.5,58050.0,114
HCPCS,C1776,STEM FEM HIP MED,42570.0,42570.0,4682.7,42570.0,57
HCPCS,C1776,STEM FEM HIP MOD MED,41280.0,41280.0,4540.8,41280.0,57
HCPCS,C1776,STEM FEM HIP OFFSET SZ5,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP OFFSET SZ6,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP OFFST SZ6,46569.0,46569.0,5122.59,46569.0,57
HCPCS,C1776,STEM FEM HIP OFFST SZ9,46569.0,46569.0,5122.59,46569.0,57
HCPCS,C1776,STEM FEM HIP OFST SZ16H,88910.0,88910.0,9780.1,88910.0,57
HCPCS,C1776,STEM FEM HIP PTY LTD,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SM 100MM,15589.0,15589.0,1714.79,15589.0,57
HCPCS,C1776,STEM FEM HIP STD 107MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP STD 60MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,STEM FEM HIP STD SIZE3,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP STD SZ2,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP STD SZ5,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP STD SZ6,47730.0,47730.0,5108.4,49020.0,114
HCPCS,C1776,STEM FEM HIP STD SZ7,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP STD SZ8,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP STD SZ9,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP STDCLR SZ3,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SZ 1,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SZ 7,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SZ 8,46440.0,46440.0,5108.4,46440.0,114
HCPCS,C1776,STEM FEM HIP SZ1,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP SZ1 125MM,50310.0,50310.0,5392.2,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ1 27X96MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM HIP SZ1 97MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP SZ10,50310.0,50310.0,5392.2,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ10 170MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP SZ12,51600.0,51600.0,5676.0,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ12 125MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP SZ12 140MM,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,STEM FEM HIP SZ12 150MM,149883.0,149883.0,16487.13,149883.0,57
HCPCS,C1776,STEM FEM HIP SZ15 190MM,88910.0,88910.0,9780.1,88910.0,57
HCPCS,C1776,STEM FEM HIP SZ18 150MM,149883.0,149883.0,16487.13,149883.0,57
HCPCS,C1776,STEM FEM HIP SZ2,49020.0,49020.0,5108.4,51600.0,228
HCPCS,C1776,STEM FEM HIP SZ2 12/14,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP SZ2 99MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP SZ3,49020.0,49020.0,5108.4,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ3 101MM,51600.0,51600.0,5676.0,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ3 102MM,49846.0,49846.0,5483.06,49846.0,114
HCPCS,C1776,STEM FEM HIP SZ3 108MM,36120.0,36120.0,3973.2,36120.0,114
HCPCS,C1776,STEM FEM HIP SZ3 135D,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SZ3 135MM,51600.0,51600.0,5676.0,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ3 200MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM FEM HIP SZ3 99MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM FEM HIP SZ4,46504.5,46504.5,3973.2,49020.0,456
HCPCS,C1776,STEM FEM HIP SZ4 103MM,50310.0,50310.0,5392.2,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ4 114MM,36120.0,36120.0,3973.2,36120.0,114
HCPCS,C1776,STEM FEM HIP SZ4 140MM,51600.0,51600.0,5676.0,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ5,47730.0,47730.0,5108.4,49020.0,114
HCPCS,C1776,STEM FEM HIP SZ5 105MM,50310.0,50310.0,5392.2,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ5 145MM,50310.0,50310.0,5392.2,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ6,47730.0,47730.0,5108.4,49020.0,228
HCPCS,C1776,STEM FEM HIP SZ6 107MM,49846.0,49846.0,5108.4,51600.0,171
HCPCS,C1776,STEM FEM HIP SZ6 120MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM HIP SZ6 127MM,36120.0,36120.0,3973.2,36120.0,114
HCPCS,C1776,STEM FEM HIP SZ6 150MM,49020.0,49020.0,5392.2,49020.0,114
HCPCS,C1776,STEM FEM HIP SZ6 151MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SZ7,46569.0,46569.0,5108.4,49020.0,342
HCPCS,C1776,STEM FEM HIP SZ7 109MM,50723.0,50723.0,5483.06,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ7 122MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SZ7 130MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM HIP SZ7 133MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM HIP SZ7 30MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM HIP SZ8,49020.0,49020.0,5392.2,49020.0,114
HCPCS,C1776,STEM FEM HIP SZ8 111MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM HIP SZ8 160MM,50310.0,50310.0,5392.2,51600.0,114
HCPCS,C1776,STEM FEM HIP SZ8 30MM,53140.0,53140.0,5845.4,53140.0,57
HCPCS,C1776,STEM FEM HIP SZ9,49020.0,49020.0,5392.2,49020.0,114
HCPCS,C1776,STEM FEM HIP SZ9 113MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SZ9 12/14,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP SZ9 130MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,STEM FEM HIP SZA 50MM,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,STEM FEM HIP TPR 150X13,45467.0,45467.0,5001.37,45467.0,57
HCPCS,C1776,STEM FEM HIP TPR LAT SZ4,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP TPR SZ5,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM HIP TYPE1 SZB,80284.0,80284.0,8831.24,80284.0,57
HCPCS,C1776,STEM FEM HIP127D 2 124MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM KN 100MM 12MM,20553.0,20553.0,2260.83,20553.0,57
HCPCS,C1776,STEM FEM KN 10MM 100MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN 10MM 60MM,25515.0,25515.0,2806.65,25515.0,57
HCPCS,C1776,STEM FEM KN 110MM 10MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM KN 110MM 12MM,25515.0,25515.0,2806.65,25515.0,57
HCPCS,C1776,STEM FEM KN 110MM 20MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM KN 11MM 150MM,86183.0,86183.0,9480.13,86183.0,57
HCPCS,C1776,STEM FEM KN 11X100MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN 120MM,116398.5,116398.5,7483.52,164765.0,114
HCPCS,C1776,STEM FEM KN 120MM 11MM,20485.0,20485.0,2253.35,20485.0,57
HCPCS,C1776,STEM FEM KN 120MM 12MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,STEM FEM KN 120MM 16MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,STEM FEM KN 120X10MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,STEM FEM KN 120X15MM,37362.0,37362.0,4109.82,37362.0,57
HCPCS,C1776,STEM FEM KN 125MM 13MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN 125MM 15MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN 125X14MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN 125X16.5MM,92481.0,92481.0,10172.91,92481.0,57
HCPCS,C1776,STEM FEM KN 127MM,47653.0,47653.0,5241.83,47653.0,57
HCPCS,C1776,STEM FEM KN 127MM 11MM,47653.0,47653.0,5241.83,47653.0,57
HCPCS,C1776,STEM FEM KN 12MM +135MM,37385.0,37385.0,4112.35,37385.0,57
HCPCS,C1776,STEM FEM KN 12MM 115MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 12MM 125MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN 12MM 140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM FEM KN 12MM 60MM,25515.0,25515.0,2806.65,25515.0,57
HCPCS,C1776,STEM FEM KN 12MM 65MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM FEM KN 12X150MM,19623.0,19623.0,2158.53,19623.0,57
HCPCS,C1776,STEM FEM KN 13.5MM 125MM,92481.0,92481.0,10172.91,92481.0,57
HCPCS,C1776,STEM FEM KN 13MM 135MM,60372.0,60372.0,6640.92,60372.0,57
HCPCS,C1776,STEM FEM KN 13MM 150MM,86183.0,86183.0,9480.13,86183.0,57
HCPCS,C1776,STEM FEM KN 13MM 60MM,13834.0,13834.0,1521.74,13834.0,57
HCPCS,C1776,STEM FEM KN 13X120MM,17159.5,17159.5,1521.74,20485.0,114
HCPCS,C1776,STEM FEM KN 13X150MM,13834.0,13834.0,1521.74,13834.0,57
HCPCS,C1776,STEM FEM KN 14.5X125MM,92481.0,92481.0,10172.91,92481.0,57
HCPCS,C1776,STEM FEM KN 14MM +75MM,37385.0,37385.0,4112.35,37385.0,57
HCPCS,C1776,STEM FEM KN 14MM 120MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,STEM FEM KN 14MM 140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM FEM KN 14MM 50MM,15480.0,15480.0,1702.8,15480.0,57
HCPCS,C1776,STEM FEM KN 14MM 75MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 14X150MM,86183.0,86183.0,9480.13,86183.0,57
HCPCS,C1776,STEM FEM KN 14X160MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,STEM FEM KN 14X80MM,15480.0,15480.0,1702.8,15480.0,57
HCPCS,C1776,STEM FEM KN 150MM 12MM,86183.0,86183.0,9480.13,86183.0,57
HCPCS,C1776,STEM FEM KN 150MM 16MM,86183.0,86183.0,9480.13,86183.0,57
HCPCS,C1776,STEM FEM KN 150X12MM,31178.0,31178.0,3429.58,31178.0,57
HCPCS,C1776,STEM FEM KN 150X16MM,31178.0,31178.0,3429.58,31178.0,57
HCPCS,C1776,STEM FEM KN 150X17.5MM,92003.0,92003.0,10120.33,92003.0,57
HCPCS,C1776,STEM FEM KN 15MM 140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM FEM KN 15MM 150MM,86183.0,86183.0,9480.13,86183.0,57
HCPCS,C1776,STEM FEM KN 15MM 90MM,13834.0,13834.0,1521.74,13834.0,57
HCPCS,C1776,STEM FEM KN 16/11X160MM,36404.0,36404.0,4004.44,36404.0,57
HCPCS,C1776,STEM FEM KN 160MM 14MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM KN 160MM 16MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,STEM FEM KN 16MM 110MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM KN 16MM 150MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 16X100MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM FEM KN 16X155MM,18420.0,18420.0,2026.2,18420.0,57
HCPCS,C1776,STEM FEM KN 17MM 125MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN 17X150MM,86183.0,86183.0,9480.13,86183.0,57
HCPCS,C1776,STEM FEM KN 18MM 120MM,20485.0,20485.0,2253.35,20485.0,57
HCPCS,C1776,STEM FEM KN 20M 150MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 20X115MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 21X140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM FEM KN 22MM 115MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 22MM 60MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM KN 24MM 110MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM KN 24MM 75MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 25X17.5MM,92481.0,92481.0,10172.91,92481.0,57
HCPCS,C1776,STEM FEM KN 30MM 14MM,18420.0,18420.0,2026.2,18420.0,57
HCPCS,C1776,STEM FEM KN 60MM 24MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM KN 75MM 10MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 75MM 12MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 75MM 16MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 75MM 20MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 75X18MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM KN 80MM 10MM,14339.0,14339.0,1577.29,14339.0,57
HCPCS,C1776,STEM FEM KN 80MM 16MM,15480.0,15480.0,1702.8,15480.0,57
HCPCS,C1776,STEM FEM KN 9MM 100MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM FEM KN FLUT12X150MM,23089.0,23089.0,2539.79,23089.0,57
HCPCS,C1776,STEM FEM KN LPS 16X125MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN LT 15D 70MM,108076.0,108076.0,11888.36,108076.0,57
HCPCS,C1776,STEM FEM KN SHRT 14X80MM,13622.0,13622.0,1498.42,13622.0,57
HCPCS,C1776,STEM FEM KN STD OD 10MM,108076.0,108076.0,11888.36,108076.0,57
HCPCS,C1776,STEM FEM KN SZ 14X100MM,105237.0,105237.0,11576.07,105237.0,57
HCPCS,C1776,STEM FEM KN SZ44,36404.0,36404.0,4004.44,36404.0,57
HCPCS,C1776,STEM FEM KN XTN 12X100MM,86103.0,86103.0,9471.33,86103.0,57
HCPCS,C1776,STEM FEM KN XTN 16X140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM FEM KN XTN 17X100MM,27049.0,27049.0,2975.39,27049.0,57
HCPCS,C1776,STEM FEM LPS 15.5X125MM,92481.0,92481.0,10172.91,92481.0,57
HCPCS,C1776,STEM FEM M/F MID 50MM,61023.0,61023.0,6712.53,61023.0,57
HCPCS,C1776,STEM FEM MEDIUM SHORT,58050.0,58050.0,6385.5,58050.0,57
HCPCS,C1776,STEM FEM MIDSCTN 70MM,110956.0,110956.0,12205.16,110956.0,57
HCPCS,C1776,STEM FEM NK GRDN HIP,110446.0,110446.0,12149.06,110446.0,57
HCPCS,C1776,STEM FEM PFC UNV HIP,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM FEM PRSFT 12X133MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM REV 15X250MM,55209.0,55209.0,6072.99,55209.0,57
HCPCS,C1776,STEM FEM REV 18MM 110MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM FEM REV TI 100X14MM,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM REV TI 100X18MM,13355.0,13355.0,1469.05,13355.0,57
HCPCS,C1776,STEM FEM REVSN 16X120MM,81426.0,81426.0,8956.86,81426.0,57
HCPCS,C1776,STEM FEM RT M/L 70MM SZ4,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM FEM SCRFT MX 9 35MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM SLT 36MM,73475.0,73475.0,8082.25,73475.0,57
HCPCS,C1776,STEM FEM STD CLLR SZ6,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM SZ2 LFT 60MM,116382.0,116382.0,12802.02,116382.0,57
HCPCS,C1776,STEM FEM SZ4 105MM,49846.0,49846.0,5483.06,49846.0,114
HCPCS,C1776,STEM FEM SZ5 108MM,49846.0,49846.0,5483.06,49846.0,114
HCPCS,C1776,STEM FEM SZ8 117MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM FEM SZ8 12/14 139MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM FEM SZ9 165MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM TAPRD LAT SZ10,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FEM TAPRD SNTD SZ11,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM TIB EXT 11X120,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM FEM TIB KN 18X120MM,81426.0,81426.0,8956.86,81426.0,57
HCPCS,C1776,STEM FEM TPR STRT 14X190,55728.0,55728.0,6130.08,55728.0,57
HCPCS,C1776,STEM FEM TRIFIT STD SZ4,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM FEM XTN 140X18MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM FEM/TIB KN 20X152MM,73475.0,73475.0,8082.25,73475.0,57
HCPCS,C1776,STEM FEM/TIB KN 21X152MM,73475.0,73475.0,8082.25,73475.0,57
HCPCS,C1776,STEM FEMORAL 75X22,17025.0,17025.0,1872.75,17025.0,57
HCPCS,C1776,STEM FEMORAL LARGE TEMP,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM FIN SHLDR DIA 16MM,21569.0,21569.0,2372.59,21569.0,57
HCPCS,C1776,STEM FLTD UNIV 10X150MM,21374.0,21374.0,2351.14,21374.0,57
HCPCS,C1776,STEM FM 10 STD TRLK OFST,61920.0,61920.0,6811.2,61920.0,57
HCPCS,C1776,STEM FM 115MM 10MM HIP F,20165.0,20165.0,2218.15,20165.0,57
HCPCS,C1776,STEM FM PRSFT 13X140.6MM,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM HIP #1,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP 12/14 105MM SZ5,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP 127D SZ3 131MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM HIP 132D SZ5 145MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM HIP 132D SZ6 158MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM HIP 139/24MM,159450.0,159450.0,17539.5,159450.0,57
HCPCS,C1776,STEM HIP 141/22MM,159450.0,159450.0,17539.5,159450.0,57
HCPCS,C1776,STEM HIP 143/23MM,159450.0,159450.0,17539.5,159450.0,57
HCPCS,C1776,STEM HIP 15X120MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HIP 36MM 101MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP 8.9MM 110MM,39286.0,39286.0,4321.46,39286.0,57
HCPCS,C1776,STEM HIP 9.6MM 120MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM HIP CEMENTE 16.0MM,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,STEM HIP CMNT SZ7 133MM,36120.0,36120.0,3973.2,36120.0,57
HCPCS,C1776,STEM HIP CONFORMITY 6,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM HIP CSTM 13/150MM,183899.0,183899.0,20228.89,183899.0,57
HCPCS,C1776,STEM HIP DIST SZ12,1419.0,1419.0,156.09,1419.0,57
HCPCS,C1776,STEM HIP FEM 140X20MM,50672.0,50672.0,5573.92,50672.0,57
HCPCS,C1776,STEM HIP FEM 7MM 134MM,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,STEM HIP FEM 99MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP FEM OFS 11X135,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP FEM OFS 12X140,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,STEM HIP FEM OFS 14X150,53140.0,53140.0,5845.4,53140.0,57
HCPCS,C1776,STEM HIP FEM OFS 8X120,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,STEM HIP FEM OFS 9X125,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,STEM HIP FEM STD 10X130,45920.0,45920.0,5051.2,45920.0,57
HCPCS,C1776,STEM HIP FEM STD 9X125,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,STEM HIP FEM SZ4,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM HIP FEM SZ8,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP FEMSTD 10X130,53140.0,53140.0,5845.4,53140.0,57
HCPCS,C1776,STEM HIP FEMSTD 14X150,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP H/OFF 97MM SZ2,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP HI COLR SZ6,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP HI SZ4 36X103MM,48375.0,48375.0,5321.25,48375.0,57
HCPCS,C1776,STEM HIP HIGH OFST SZ6,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP HO #5,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP HO 12/14 113MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP INITIA STD 6.5,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP OFST 132D 83X37,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP ORIGN OFST SZ10,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM HIP P2 POR COATD 10,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM HIP PLASMA SZ6,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP PRXML 85MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HIP SIZE 11,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP STANDARD SZ4,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP STD COLR SZ6,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP STD COLR SZ7,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP STD OFST SZ4,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP STD OFST SZ8,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP STD SZ 8,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP STD SZ1,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM HIP STD SZ2,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP SZ 10 117MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP SZ1 96X30.5MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP SZ10 115X40.5MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP SZ2 12/14 130MM,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP SZ2 99MM 36MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP SZ3 101X36MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP SZ3 99MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP SZ4 103X32.5MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP SZ5 105MM 35MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP SZ5 38.5X105MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP SZ6 107MM 35MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP SZ6 12/14 STNDR,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM HIP SZ6.5 109MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP SZ7 111MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM HIP SZ8 111MM 41MM,49846.0,49846.0,5483.06,49846.0,57
HCPCS,C1776,STEM HIP/KN 11MM 152MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HIP/KN 13MM 152MM,72305.0,72305.0,7953.55,72305.0,57
HCPCS,C1776,STEM HIP/KN STRT 120MM,81426.0,81426.0,8956.86,81426.0,57
HCPCS,C1776,STEM HUM 180MM 13MM CMNT,56760.0,56760.0,6243.6,56760.0,57
HCPCS,C1776,STEM HUM 19MM 50MM,28380.0,28380.0,3121.8,28380.0,57
HCPCS,C1776,STEM HUM 80MM 22MM FN CM,21569.0,21569.0,2372.59,21569.0,57
HCPCS,C1776,STEM HUM 80X18MM FN CMNT,21569.0,21569.0,2372.59,21569.0,57
HCPCS,C1776,STEM HUM 9X130MM,134598.0,134598.0,14805.78,134598.0,57
HCPCS,C1776,STEM HUM DIST 17X90MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM DIST 9X90MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM MED 116X10.5,103120.0,103120.0,11343.2,103120.0,57
HCPCS,C1776,STEM HUM REV 13MMX180MM,56760.0,56760.0,6243.6,56760.0,57
HCPCS,C1776,STEM HUM SHD 13MM 180MM,56760.0,56760.0,6243.6,56760.0,57
HCPCS,C1776,STEM HUM SHD 13MM 65MM,147949.0,147949.0,16274.39,147949.0,57
HCPCS,C1776,STEM HUM SHLDR 101MM 7MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM SHLDR 10X100MM,98052.0,98052.0,10785.72,98052.0,57
HCPCS,C1776,STEM HUM SHLDR 10X108MM,123568.0,123568.0,13592.48,123568.0,57
HCPCS,C1776,STEM HUM SHLDR 10X150MM,98052.0,98052.0,10785.72,98052.0,57
HCPCS,C1776,STEM HUM SHLDR 11MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,STEM HUM SHLDR 11MM 90MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM SHLDR 12X90MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM SHLDR 135D 11MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,STEM HUM SHLDR 135D 15MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,STEM HUM SHLDR 13MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,STEM HUM SHLDR 13X30MM,63546.0,63546.0,6990.06,63546.0,57
HCPCS,C1776,STEM HUM SHLDR 13X90MM,77047.0,77047.0,8475.17,77047.0,57
HCPCS,C1776,STEM HUM SHLDR 14MM 90MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM SHLDR 15X90MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM SHLDR 2 132X5MM,111615.0,111615.0,12277.65,111615.0,57
HCPCS,C1776,STEM HUM SHLDR 3D 9,111615.0,111615.0,12277.65,111615.0,57
HCPCS,C1776,STEM HUM SHLDR 41MM,159450.0,159450.0,17539.5,159450.0,57
HCPCS,C1776,STEM HUM SHLDR 5MM,88059.0,88059.0,9686.49,88059.0,57
HCPCS,C1776,STEM HUM SHLDR 60X10MM,147949.0,147949.0,16274.39,147949.0,57
HCPCS,C1776,STEM HUM SHLDR 66MM,85266.0,85266.0,9379.26,85266.0,57
HCPCS,C1776,STEM HUM SHLDR 6X60MM,147949.0,147949.0,16274.39,147949.0,57
HCPCS,C1776,STEM HUM SHLDR 70MM,70321.5,70321.5,6811.2,78723.0,114
HCPCS,C1776,STEM HUM SHLDR 74MM,60844.0,60844.0,6692.84,60844.0,57
HCPCS,C1776,STEM HUM SHLDR 78MM,63210.5,63210.5,6811.2,64501.0,114
HCPCS,C1776,STEM HUM SHLDR 80MM 15MM,30263.0,30263.0,3328.93,30263.0,57
HCPCS,C1776,STEM HUM SHLDR 83MM 11MM,120278.0,120278.0,13230.58,120278.0,57
HCPCS,C1776,STEM HUM SHLDR 8MM 100MM,98052.0,98052.0,10785.72,98052.0,57
HCPCS,C1776,STEM HUM SHLDR 8MM 150MM,98052.0,98052.0,10785.72,98052.0,57
HCPCS,C1776,STEM HUM SHLDR 8X108MM,116016.0,116016.0,12761.76,116016.0,57
HCPCS,C1776,STEM HUM SHLDR 9MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,STEM HUM SHLDR LNG SZ2,73475.0,73475.0,8082.25,73475.0,57
HCPCS,C1776,STEM HUM SHLDR REV SZ12,75473.0,75473.0,8302.03,75473.0,57
HCPCS,C1776,STEM HUM SHLDR RT 6.5MM,58568.0,58568.0,6442.48,58568.0,57
HCPCS,C1776,STEM HUM SHLDR RVRS SZ6,75473.0,75473.0,8302.03,75473.0,57
HCPCS,C1776,STEM HUM SHLDR RVRS SZ7,88059.0,88059.0,9686.49,88059.0,57
HCPCS,C1776,STEM HUM SHLDR RVRS SZ8,75473.0,75473.0,8302.03,75473.0,57
HCPCS,C1776,STEM HUM SHLDR SM108X6MM,123568.0,123568.0,13592.48,123568.0,57
HCPCS,C1776,STEM HUM SHLDR STD 15MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,STEM HUM SHLDR SZ10,75473.0,75473.0,8302.03,75473.0,57
HCPCS,C1776,STEM HUM SHLDR SZ11,75473.0,75473.0,8302.03,75473.0,57
HCPCS,C1776,STEM HUM SHLDR SZ13,75473.0,75473.0,8302.03,75473.0,57
HCPCS,C1776,STEM HUM SHLDR SZ13MM,90674.0,90674.0,9974.14,90674.0,57
HCPCS,C1776,STEM HUM SHLDR SZ2,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM SHLDR SZ2+,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM SHLDR SZ3,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM HUM SHLDR UNIV SZ9,72953.0,72953.0,8024.83,72953.0,57
HCPCS,C1776,STEM HUM SHLDR132.5D82MM,61920.0,61920.0,6811.2,61920.0,57
HCPCS,C1776,STEM HUM SHLDRSZ11 130MM,138190.0,138190.0,15200.9,138190.0,57
HCPCS,C1776,STEM HUM SM STD 72MM,85040.0,85040.0,9354.4,85040.0,57
HCPCS,C1776,STEM HUM UNIVERS SHLDR 7,111615.0,111615.0,12277.65,111615.0,57
HCPCS,C1776,STEM HUM W/SCR 11X75,98052.0,98052.0,10785.72,98052.0,57
HCPCS,C1776,STEM HUM W/SCR 6X100,98052.0,98052.0,10785.72,98052.0,57
HCPCS,C1776,STEM HUM W/SCR 9X75,98052.0,98052.0,10785.72,98052.0,57
HCPCS,C1776,STEM KN 130MM 14MM,15480.0,15480.0,1702.8,15480.0,57
HCPCS,C1776,STEM KN 130MM 16MM,15480.0,15480.0,1702.8,15480.0,57
HCPCS,C1776,STEM KN 14MM 152MM,73475.0,73475.0,8082.25,73475.0,57
HCPCS,C1776,STEM KN 14X110MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM KN ADPTR OFST 6MM,14448.0,14448.0,1589.28,14448.0,57
HCPCS,C1776,STEM KN CMNT 15MM 100MM,19623.0,19623.0,2158.53,19623.0,57
HCPCS,C1776,STEM KN CMNTD 13X120MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM KN CSTM SZ 14/100MM,191340.0,191340.0,21047.4,191340.0,57
HCPCS,C1776,STEM KN FEM 16X65MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM KN FEM 20MM 60MM,27045.0,27045.0,2974.95,27045.0,57
HCPCS,C1776,STEM KN FEM GB EXT 12X80,22993.0,22993.0,2529.23,22993.0,57
HCPCS,C1776,STEM KN FEM GB EXT 14X40,22993.0,22993.0,2529.23,22993.0,57
HCPCS,C1776,STEM KN FEM GB EXT 14X80,22993.0,22993.0,2529.23,22993.0,57
HCPCS,C1776,STEM KN FEM GB EXT 16X40,22993.0,22993.0,2529.23,22993.0,57
HCPCS,C1776,STEM KN FEM GB EXT 16X80,22993.0,22993.0,2529.23,22993.0,57
HCPCS,C1776,STEM KN MED,47730.0,47730.0,5250.3,47730.0,57
HCPCS,C1776,STEM KN RV CMNT 14X30MM,15480.0,15480.0,1702.8,15480.0,57
HCPCS,C1776,STEM KN SEG 17X120MM,81426.0,81426.0,8956.86,81426.0,57
HCPCS,C1776,STEM KN SZ 11/125MM,157324.0,157324.0,17305.64,157324.0,57
HCPCS,C1776,STEM KN XTN 15X30MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM KN XTN 17MM 140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM KN XTN STR 10X100MM,27684.0,27684.0,3045.24,27684.0,57
HCPCS,C1776,STEM KNEE ORT TIBIAL20MM,750.0,750.0,82.5,750.0,57
HCPCS,C1776,STEM L100MM OD14MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM LIMB 11X120MM,114298.0,114298.0,12572.78,114298.0,57
HCPCS,C1776,STEM LIMB 12X120MM,140210.0,140210.0,15423.1,140210.0,57
HCPCS,C1776,STEM LIMB 17X120MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM LPS PC BOW 11.5X150,87188.0,87188.0,9590.68,87188.0,57
HCPCS,C1776,STEM POR STD 11.5X100,92481.0,92481.0,10172.91,92481.0,57
HCPCS,C1776,STEM RADL 10X0X35MM,52245.0,52245.0,5746.95,52245.0,57
HCPCS,C1776,STEM RADL ELBOW 8MM,52245.0,52245.0,5746.95,52245.0,57
HCPCS,C1776,STEM RADL ELBW 9X0X33MM,52245.0,52245.0,5746.95,52245.0,57
HCPCS,C1776,STEM RDL ELB 9X2X33MM,41614.0,41614.0,4577.54,41614.0,57
HCPCS,C1776,STEM REM HIP STD SZ 13,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM SEG 16X152MM,73475.0,73475.0,8082.25,73475.0,57
HCPCS,C1776,STEM SEG 20X152MM,70137.0,70137.0,7715.07,70137.0,57
HCPCS,C1776,STEM SEG 21MM 120MM,81426.0,81426.0,8956.86,81426.0,57
HCPCS,C1776,STEM SGMNTL 11MMX152MM,73475.0,73475.0,8082.25,73475.0,57
HCPCS,C1776,STEM SGMNTL 13MMX120MM,72901.0,72901.0,8019.11,72901.0,57
HCPCS,C1776,STEM SHLDR 132.5D 86MM,60012.0,60012.0,6601.32,60012.0,57
HCPCS,C1776,STEM SHLDR 80MM 14MM,21569.0,21569.0,2372.59,21569.0,57
HCPCS,C1776,STEM SHLDR 90X13MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM SHLDR 9MM,91333.0,91333.0,10046.63,91333.0,57
HCPCS,C1776,STEM SHLDR SZ10,90674.0,90674.0,9974.14,90674.0,57
HCPCS,C1776,STEM SHLDR SZ12 108MM,116016.0,116016.0,12761.76,116016.0,57
HCPCS,C1776,STEM SHLDR SZ12 130MM,138190.0,138190.0,15200.9,138190.0,57
HCPCS,C1776,STEM SHLDR SZ14 108MM,116016.0,116016.0,12761.76,116016.0,57
HCPCS,C1776,STEM SHLDR SZ6,105769.0,105769.0,11634.59,105769.0,57
HCPCS,C1776,STEM SHLDR UNIV REV SZ12,90674.0,90674.0,9974.14,90674.0,57
HCPCS,C1776,STEM SHRT W/COLR HIP SZ7,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM SLOT 18X36X152MM,79598.0,79598.0,8755.78,79598.0,57
HCPCS,C1776,STEM STANDARD #10,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM STANDARD #9,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM STD 12/14 #7 111MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM STD 12/14 #8 113MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM STD HO HIP SIZE 4,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM STD OFFSET SZ14,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM STD SIZE 3,51600.0,51600.0,5676.0,51600.0,57
HCPCS,C1776,STEM STD SZ7 TRI-FT TS,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM STRT 32MM 14X120MM,74028.0,74028.0,8143.08,74028.0,57
HCPCS,C1776,STEM STRT 32MM 18X120MM,69584.0,69584.0,7654.24,69584.0,57
HCPCS,C1776,STEM TIB 12.5MM 45MM,65311.0,65311.0,7184.21,65311.0,57
HCPCS,C1776,STEM TIB 75MM 18MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM TIB ANKLE 14MM,18318.5,18318.5,1949.75,18912.0,114
HCPCS,C1776,STEM TIB ANKLE 16MM,18486.0,18486.0,1986.6,18912.0,114
HCPCS,C1776,STEM TIB ANKLE 18MM,19660.0,19660.0,2162.6,19660.0,57
HCPCS,C1776,STEM TIB CEMENTED 9X45MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM TIB CMNT 11X100MM,51291.0,51291.0,5642.01,51291.0,57
HCPCS,C1776,STEM TIB CMNT 9X20MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM TIB EXT TI 12X20MM,6450.0,6450.0,709.5,6450.0,57
HCPCS,C1776,STEM TIB KN 11/125MM,373863.0,373863.0,41124.93,373863.0,57
HCPCS,C1776,STEM TIB KN 12.5X70MM,65311.0,65311.0,7184.21,65311.0,57
HCPCS,C1776,STEM TIB KN 12MM 150MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM TIB KN 14MM 75MM,56226.0,56226.0,6184.86,56226.0,57
HCPCS,C1776,STEM TIB KN 14X30MM,44067.0,44067.0,4847.37,44067.0,57
HCPCS,C1776,STEM TIB KN 15/125MM,373863.0,373863.0,41124.93,373863.0,57
HCPCS,C1776,STEM TIB KN 30MM 15MM,13834.0,13834.0,1521.74,13834.0,57
HCPCS,C1776,STEM TIB KN 9MM 95MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM TIB KN LT 5D SZF,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,STEM TIB KN MED,47730.0,47730.0,5250.3,47730.0,57
HCPCS,C1776,STEM TIB KN RV 75X12MM,46440.0,46440.0,5108.4,46440.0,57
HCPCS,C1776,STEM TIB RT KN D 5D,20640.0,20640.0,2270.4,20640.0,57
HCPCS,C1776,STEM TIB/FEM KN 50MM,110956.0,110956.0,12205.16,110956.0,57
HCPCS,C1776,STEM TIBIAL 9X70MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEM TRIFIT TS STD SZ1,49020.0,49020.0,5392.2,49020.0,57
HCPCS,C1776,STEM ULN ELB RT SZ4 75MM,74836.0,74836.0,8231.96,74836.0,57
HCPCS,C1776,STEM ULN ELB RT SZ5 115M,98869.0,98869.0,10875.59,98869.0,57
HCPCS,C1776,STEM UNV HIP 150MM 18MM,18164.0,18164.0,1998.04,18164.0,57
HCPCS,C1776,STEM XTN FEM KN 11X140MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM XTN FEM KN 16X100MM,27049.0,27049.0,2975.39,27049.0,57
HCPCS,C1776,STEM XTN FEM KN 30X13MM,11019.0,11019.0,1212.09,11019.0,57
HCPCS,C1776,STEM XTN HIP 14X65MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM XTN HIP 15X120MM,74028.0,74028.0,8143.08,74028.0,57
HCPCS,C1776,STEM XTN HIP 20X120MM,81426.0,81426.0,8956.86,81426.0,57
HCPCS,C1776,STEM XTN KN 11X100MM,20051.0,20051.0,2205.61,20051.0,57
HCPCS,C1776,STEM XTN KN 14X100MM,11430.0,11430.0,1257.3,11430.0,57
HCPCS,C1776,STEM XTN KN 15X100MM,28284.0,28284.0,3111.24,28284.0,57
HCPCS,C1776,STEM XTN KN 60MM,121438.0,121438.0,13358.18,121438.0,57
HCPCS,C1776,STEM XTN KN GMRS 80MM,50826.0,50826.0,5590.86,50826.0,57
HCPCS,C1776,STEM XTN KN M/F 40MM,121438.0,121438.0,13358.18,121438.0,57
HCPCS,C1776,STEM XTN KN M/F 50MM,121438.0,121438.0,13358.18,121438.0,57
HCPCS,C1776,STEM XTN KN SZ 14/25MM,144568.0,144568.0,15902.48,144568.0,57
HCPCS,C1776,STEM XTN KN SZ 70MM,121438.0,121438.0,13358.18,121438.0,57
HCPCS,C1776,STEM XTN M-M MID 40MM,110956.0,110956.0,12205.16,110956.0,57
HCPCS,C1776,STEM XTN SLOT 14X100MM,27049.0,27049.0,2975.39,27049.0,57
HCPCS,C1776,STEM XTN SLOT 18X100MM,29980.0,29980.0,3297.8,29980.0,57
HCPCS,C1776,STEM XTN STRT 12X100MM,18662.0,18662.0,2052.82,18662.0,57
HCPCS,C1776,STEM XTN STRT 13X100MM,21095.0,21095.0,1476.65,21095.0,71
HCPCS,C1776,STEM-TI SHLDR 11MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,STEMMED FEM RT SZC,65588.0,65588.0,7214.68,65588.0,57
HCPCS,C1776,STM FEM 90MM M/F MIDSEC,65216.0,65216.0,7173.76,65216.0,57
HCPCS,C1776,SURF ARTC KN 10-11 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,SURF ARTC KN 3-5 10MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,SURF ARTC KN 6-9 11MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,SURF ARTC KN 6-9 12MM,19350.0,19350.0,2128.5,19350.0,57
HCPCS,C1776,SURFACE ARTC 10MM SZ5-6,25284.0,25284.0,2781.24,25284.0,57
HCPCS,C1776,SURFACE ARTC KN 14MM,27090.0,27090.0,2979.9,27090.0,57
HCPCS,C1776,SYSTEM LIMB 12X152MM,74870.0,74870.0,8235.7,74870.0,57
HCPCS,C1776,SYSTEM LIMB 15X52MM,71021.0,71021.0,7812.31,71021.0,57
HCPCS,C1776,TIBIA SEG LT 135D 98MM,114549.0,114549.0,12600.39,114549.0,57
HCPCS,C1776,TIBIAL INSERT 5/10MM,14190.0,14190.0,1560.9,14190.0,57
HCPCS,C1776,TRAY CMPNT TIB KN SZ6,25800.0,25800.0,2838.0,25800.0,57
HCPCS,C1776,TRAY HUM SHLDR +0X1.5MM,22853.0,22853.0,2513.83,22853.0,57
HCPCS,C1776,TRAY MBT REV CEM TIB 2.5,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,TRAY MOD TIB CEM COCR 3,23478.0,23478.0,2582.58,23478.0,57
HCPCS,C1776,TRAY PELVIC HIP RECON,468520.0,468520.0,51537.2,468520.0,57
HCPCS,C1776,TRAY REV SHLDR +0 3.5MM,22853.0,22853.0,2513.83,22853.0,57
HCPCS,C1776,TRAY REV SHLDR CNTR +0MM,22013.0,22013.0,2421.43,22013.0,57
HCPCS,C1776,TRAY RVRS HUM +0,43860.0,43860.0,4824.6,43860.0,57
HCPCS,C1776,TRAY SHLDR REV SZ3/4 8MM,46569.0,46569.0,5122.59,46569.0,57
HCPCS,C1776,TRAY TIB 6 MBT RVSN,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,TRAY TIB KN REV SZ2,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,TRAY TIB KN RM/LL SZ1,23478.0,23478.0,2582.58,23478.0,57
HCPCS,C1776,TRAY TIB KN RP SZ4,64500.0,64500.0,7095.0,64500.0,57
HCPCS,C1776,TRAY TIB KN SZ2 15MM,100179.0,100179.0,11019.69,100179.0,57
HCPCS,C1776,TRAY TIB REV SZ2 25MM,100179.0,100179.0,11019.69,100179.0,57
HCPCS,C1776,TRAY TIBIAL KN CR CMNT,30935.0,30935.0,3402.85,30935.0,57
HCPCS,C1776,TRAY TIBIAL REV SZ4,95670.0,95670.0,10523.7,95670.0,57
HCPCS,C1776,TRIAL GLENOID SHLDR SM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,TRIAL WEDGE TIB 10MM,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,TRIATHON TRITANIUM ASYM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,WDG TIB 10MM 6 N STP MBL,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WDG TIB 4 H5 MBT STEP,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE ACTB 20X50MM,39268.0,39268.0,4319.48,39268.0,57
HCPCS,C1776,WEDGE FEM KN 10X10MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,WEDGE FEM KN 15MM SZ7,19018.0,19018.0,2091.98,19018.0,57
HCPCS,C1776,WEDGE FEM KN 5MM,20019.0,20019.0,2202.09,20019.0,114
HCPCS,C1776,WEDGE FEM KN LGN 5-6,20019.0,20019.0,2202.09,20019.0,57
HCPCS,C1776,WEDGE FEM KN LT SZ5 5MM,18458.0,18458.0,2030.38,18458.0,57
HCPCS,C1776,WEDGE FEM KN SZ5 10MM,19022.0,19022.0,2091.98,19026.0,114
HCPCS,C1776,WEDGE FEM KN SZ5 10X5MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,WEDGE FEM KN SZ5 15MM,19026.0,19026.0,2092.86,19026.0,57
HCPCS,C1776,WEDGE FEM KN SZ5 5MM,19522.5,19522.5,2092.86,20019.0,114
HCPCS,C1776,WEDGE FEM KN SZ8 12MM,19866.0,19866.0,2185.26,19866.0,57
HCPCS,C1776,WEDGE FEM KN SZ8 5X10MM,22501.0,22501.0,2475.11,22501.0,57
HCPCS,C1776,WEDGE KN 4MM 40MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,WEDGE KN 5D SZ8,21375.0,21375.0,2351.25,21375.0,57
HCPCS,C1776,WEDGE KN AUG SZ E 5MM,15883.0,15883.0,1747.13,15883.0,57
HCPCS,C1776,WEDGE KN CRCTE AUG SML,11094.0,11094.0,1220.34,11094.0,57
HCPCS,C1776,WEDGE KN LLRM LT 5-6 5MM,21585.0,21585.0,2374.35,21585.0,57
HCPCS,C1776,WEDGE KN SZ8 5MM 10MM,21376.0,21376.0,2351.36,21376.0,57
HCPCS,C1776,WEDGE KN TIB AUG 59X10,18343.0,18343.0,2017.73,18343.0,57
HCPCS,C1776,WEDGE KN TIB AUG 63X10,18343.0,18343.0,2017.73,18343.0,57
HCPCS,C1776,WEDGE KN TIB LO/RI 59X15,18343.0,18343.0,2017.73,18343.0,57
HCPCS,C1776,WEDGE L KN ARTH 8 5X15MM,21376.0,21376.0,2351.36,21376.0,57
HCPCS,C1776,WEDGE REV MBT10MM 1.5MM,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB 10MM PFC SGM,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB 15MM MBT 4 KN,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB 2 H15MM MBT ST,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB 3 H5 MBT STEP,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB KN 2.5X5MM,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB KN 24MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,WEDGE TIB KN 26MM SHORT,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,WEDGE TIB KN LGN SZ3-4,22721.0,22721.0,2499.31,22721.0,57
HCPCS,C1776,WEDGE TIB KN MBT 3 10MM,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB KN RL LT SZ3-4,22721.0,22721.0,2499.31,22721.0,57
HCPCS,C1776,WEDGE TIB KN SHRT 20MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,WEDGE TIB KN SZ1-2 15MM,263048.0,263048.0,28935.28,263048.0,57
HCPCS,C1776,WEDGE TIB KN SZ2 10MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,WEDGE TIB KN SZ3 15MM,11507.0,11507.0,1265.77,11507.0,57
HCPCS,C1776,WEDGE TIB KN SZ3-4 10MM,25424.0,25424.0,2796.64,25424.0,57
HCPCS,C1776,WEDGE TIB KN SZ5-6 5MM,21585.0,21585.0,2374.35,21585.0,57
HCPCS,C1776,WEDGE TIB KN SZ7 10MM,25410.0,25410.0,2795.1,25410.0,57
HCPCS,C1776,WEDGE TIB KN TIB 22MM,64501.0,64501.0,7095.11,64501.0,57
HCPCS,C1776,WEDGE TIB MBT 2.5X10,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB MBT STEP 2 H5,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,WEDGE TIB SZ5-6 10MM,26692.0,26692.0,2936.12,26692.0,57
HCPCS,C1776,WEDGE TIBIAL 5 H5MM MBT,26865.0,26865.0,2955.15,26865.0,57
HCPCS,C1776,XTN FEM KN SLV 30MM,144568.0,144568.0,15902.48,144568.0,57
HCPCS,C1777,LEAD CRT PCNG 62CM,77542.0,77542.0,8529.62,77542.0,57
HCPCS,C1777,LEAD ICD SC DF4 59CM,97187.0,97187.0,10690.57,97187.0,57
HCPCS,C1777,LEAD PCNG 58CM,110963.0,110963.0,12205.93,110963.0,57
HCPCS,C1777,LEAD PCNG 65CM,110963.0,110963.0,12205.93,110963.0,57
HCPCS,C1778,CSL 2.50 IDE# G080113,1.0,1.0,0.07,1.0,71
HCPCS,C1778,CSL 2.75 IDE# G080113,1.0,1.0,0.07,1.0,71
HCPCS,C1778,CSL 3.00 IDE# G080113,1.0,1.0,0.07,1.0,71
HCPCS,C1778,CSL 3.25 IDE# G080113,1.0,1.0,0.07,1.0,71
HCPCS,C1778,KIT LEAD SURG NRSTM 50CM,37575.0,37575.0,4133.25,37575.0,57
HCPCS,C1778,KIT NRSTM LD LF45 30.5CM,1727.0,1727.0,189.97,1727.0,57
HCPCS,C1778,KIT NRSTM LD PNE 30.5CM,864.0,864.0,95.04,864.0,57
HCPCS,C1778,KIT NRSTM LEAD SURG 50CM,82200.0,82200.0,9042.0,82200.0,57
HCPCS,C1778,LEAD NRSTM 0.170IN 28CM,62252.0,62252.0,6847.72,62252.0,57
HCPCS,C1778,LEAD NRSTM 2.8MM 65CM,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1778,LEAD NRSTM 28CM,59287.0,59287.0,6521.57,59287.0,57
HCPCS,C1778,LEAD NRSTM 2X8CM 70CM,71925.0,71925.0,7911.75,71925.0,57
HCPCS,C1778,LEAD NRSTM 30CMX10MM KIT,95969.0,95969.0,10556.59,95969.0,57
HCPCS,C1778,LEAD NRSTM 35CM 10MM,93092.0,93092.0,10240.12,93092.0,57
HCPCS,C1778,LEAD NRSTM 3MM 60CM,65760.0,65760.0,7233.6,65760.0,114
HCPCS,C1778,LEAD NRSTM 4.32MM 33CM,59287.0,59287.0,6521.57,59287.0,57
HCPCS,C1778,LEAD NRSTM 43CM 3MM,149548.0,149548.0,16450.28,149548.0,57
HCPCS,C1778,LEAD NRSTM 44CMX10MM RNS,93092.0,93092.0,10240.12,93092.0,57
HCPCS,C1778,LEAD NRSTM 5-6-5 65CM,112179.0,112179.0,12339.69,112179.0,57
HCPCS,C1778,LEAD NRSTM 5-6-5 90CM,112179.0,112179.0,12339.69,112179.0,57
HCPCS,C1778,LEAD NRSTM 50CM,30825.0,30825.0,3390.75,30825.0,57
HCPCS,C1778,LEAD SENSING RESP,69357.0,69357.0,7629.27,69357.0,57
HCPCS,C1778,LEAD SPN CLMN STIMU 50CM,10275.0,10275.0,1130.25,10275.0,57
HCPCS,C1778,LEAD STIM SLEEP APNEA,40073.0,40073.0,4408.03,40073.0,57
HCPCS,C1778,LEAD TINED 30CM 1.3MM,58712.0,58712.0,6458.32,58712.0,57
HCPCS,C1778,NEUROSTM IMPL 35CM,53944.0,53944.0,5933.84,53944.0,57
HCPCS,C1779,LEAD PCNG 45CM,9143.0,9143.0,1005.73,9143.0,57
HCPCS,C1781,DSTRCT CMF MESH 1.0MM,13936.0,13936.0,1532.96,13936.0,114
HCPCS,C1781,DSTRCT CMF MESH 1.3MM,16995.0,16995.0,1869.45,16995.0,114
HCPCS,C1781,DSTRCT CMF MESH 1.5MM,13936.0,13936.0,1532.96,13936.0,114
HCPCS,C1781,DSTRCT CMF MESH 15MM,83588.0,83588.0,9194.68,83588.0,57
HCPCS,C1781,GFT PTCH TIS 2 10X15,26633.0,26633.0,2929.63,26633.0,57
HCPCS,C1781,GRAFT PRCN 11.8X9.8IN,322654.0,322654.0,35491.94,322654.0,57
HCPCS,C1781,GRAFT PRCN 11X7.5IN,231597.0,231597.0,25475.67,231597.0,57
HCPCS,C1781,GRAFT PRCN 13.8X7.5IN,249272.0,249272.0,27419.92,249272.0,57
HCPCS,C1781,GRAFT PRCN 15.7X7.9IN,326215.0,326215.0,35883.65,326215.0,57
HCPCS,C1781,GRAFT PRCN 15.7X9.8IN,382395.0,382395.0,42063.45,382395.0,57
HCPCS,C1781,GRAFT PRCN 2.4X2.4IN,16831.0,16831.0,1851.41,16831.0,57
HCPCS,C1781,GRAFT PRCN 3.9X3.9IN,70302.0,70302.0,7733.22,70302.0,57
HCPCS,C1781,GRAFT PRCN 5.9X3.9IN,69337.5,69337.5,6596.7,78705.0,114
HCPCS,C1781,GRAFT PRCN 7.9X5.9IN,134721.5,134721.5,13991.01,142252.0,114
HCPCS,C1781,GRAFT PRCN 9.8X7.9IN,197146.0,197146.0,21265.42,200970.0,114
HCPCS,C1781,GRAFT ST TIS 24X3CM,24645.0,24645.0,2710.95,24645.0,57
HCPCS,C1781,GRAFT ST TIS 30X30CM,29058.0,29058.0,3196.38,29058.0,57
HCPCS,C1781,GRAFT ST TIS 35.4CM,24908.0,24908.0,2739.88,24908.0,57
HCPCS,C1781,GRAFT ST TIS 4X24MM,17982.0,17982.0,1978.02,17982.0,57
HCPCS,C1781,MATRIX TISS 7X10CM,24805.0,24805.0,2728.55,24805.0,57
HCPCS,C1781,MESH ABD HERN 2-7X9 ELL,131833.0,131833.0,14501.63,131833.0,57
HCPCS,C1781,MESH ABD LT 13X9CM,3420.0,3420.0,376.2,3420.0,57
HCPCS,C1781,MESH ABDOMINAL 2-4 X6 EL,80961.0,80961.0,8905.71,80961.0,57
HCPCS,C1781,MESH CIR LRG WSTRP 3.2IN,17990.0,17990.0,1978.9,17990.0,57
HCPCS,C1781,MESH CIRCULAR 6IN,27463.0,27463.0,3020.93,27463.0,57
HCPCS,C1781,MESH CRNFCL .6MM,82211.0,82211.0,9043.21,82211.0,57
HCPCS,C1781,MESH CRNFCL MED 15/17MM,37019.0,37019.0,4072.09,37019.0,57
HCPCS,C1781,MESH CRNL 100MM 100MM,32295.0,32295.0,3552.45,32295.0,57
HCPCS,C1781,MESH CRNL 120X120X0.3MM,99627.0,99627.0,10958.97,99627.0,57
HCPCS,C1781,MESH CRNL 50X76X.85MM,24845.0,24845.0,2732.95,24845.0,57
HCPCS,C1781,MESH CRNL 90X90.03MM,36507.0,36507.0,4015.77,36507.0,57
HCPCS,C1781,MESH CRNL 90X90X.6MM,104272.0,104272.0,11469.92,104272.0,57
HCPCS,C1781,MESH DYNMC .6MM STD CNTR,42666.0,42666.0,4693.26,42666.0,57
HCPCS,C1781,MESH DYNMC CRNM .6MM,42666.0,42666.0,4693.26,42666.0,57
HCPCS,C1781,MESH GYN 14IN 14IN,232480.0,232480.0,25572.8,232480.0,57
HCPCS,C1781,MESH GYN 25CM 30CM,197094.0,197094.0,21680.34,197094.0,57
HCPCS,C1781,MESH GYN RND 11CM,44691.0,44691.0,4916.01,44691.0,57
HCPCS,C1781,MESH GYN RND 8CM,28777.0,28777.0,3165.47,28777.0,57
HCPCS,C1781,MESH HERN ABD RT 13X9CM,3420.0,3420.0,376.2,3420.0,57
HCPCS,C1781,MESH HERNIA 10IN 12IN,184433.0,184433.0,20287.63,184433.0,57
HCPCS,C1781,MESH HERNIA 25CM 30CM,157969.0,157969.0,17376.59,157969.0,57
HCPCS,C1781,MESH HERNIA 8X10IN,172958.0,172958.0,19025.38,172958.0,57
HCPCS,C1781,MESH HERNIA 8X4IN,9470.0,9470.0,1041.7,9470.0,57
HCPCS,C1781,MESH HERNIA LRG 11X8CM,10207.0,10207.0,1122.77,10207.0,57
HCPCS,C1781,MESH HERNIA MED 6.4CM,14036.0,14036.0,1543.96,14036.0,57
HCPCS,C1781,MESH HERNIA PLTFORM 4.5,47245.0,47245.0,5196.95,47245.0,57
HCPCS,C1781,MESH HERNIA SM CRC 1.7IN,11720.0,11720.0,1289.2,11720.0,57
HCPCS,C1781,MESH HRN 10CM 15CM,62277.0,62277.0,6850.47,62277.0,57
HCPCS,C1781,MESH HRN 15X10CM,7788.0,7788.0,856.68,7788.0,57
HCPCS,C1781,MESH HRN 20X20.5CM,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1781,MESH HRN 30CM 35CM,244860.0,244860.0,26934.6,244860.0,57
HCPCS,C1781,MESH HRN 3LY 11.5X22CM,65797.0,65797.0,7237.67,65797.0,57
HCPCS,C1781,MESH HRN 7.6CM 3IN,11231.0,11231.0,1235.41,11231.0,57
HCPCS,C1781,MESH HRN 7X5.4 OVL,26755.0,26755.0,2943.05,26755.0,57
HCPCS,C1781,MESH HRN 7X6 SM,7379.0,7379.0,811.69,7379.0,57
HCPCS,C1781,MESH HRN 8X10IN,121191.0,121191.0,13331.01,121191.0,57
HCPCS,C1781,MESH HRN 9X9CM,20001.0,20001.0,2200.11,20001.0,57
HCPCS,C1781,MESH HRN CIR 11CM,46815.0,46815.0,5149.65,46815.0,57
HCPCS,C1781,MESH HRN CMPSX 10.2X13.2,49039.0,49039.0,5394.29,49039.0,57
HCPCS,C1781,MESH HRN EPTFE 4.3 OVL M,21128.0,21128.0,2324.08,21128.0,57
HCPCS,C1781,MESH HRN GRN 10X14IN,4398.0,4398.0,483.78,4398.0,57
HCPCS,C1781,MESH HRN GRN 12X8CM,5700.0,5700.0,627.0,5700.0,57
HCPCS,C1781,MESH HRN GRN 15X9CM,5365.0,5365.0,590.15,5365.0,57
HCPCS,C1781,MESH HRN GROIN 6X6IN,5533.0,5533.0,608.63,5533.0,57
HCPCS,C1781,MESH HRN LG 10X16CM,8597.0,8597.0,945.67,8597.0,114
HCPCS,C1781,MESH HRN LT 5.3X3.1IN,6895.0,6895.0,758.45,6895.0,57
HCPCS,C1781,MESH HRN LT 6.2X4.1IN,7279.0,7279.0,800.69,7279.0,57
HCPCS,C1781,MESH HRN MED LT 8X14CM,8112.0,8112.0,892.32,8112.0,57
HCPCS,C1781,MESH HRN MED RT 3X5IN,8112.0,8112.0,892.32,8112.0,57
HCPCS,C1781,MESH HRN OPEN PSTN 6X8,106850.0,106850.0,11753.5,106850.0,57
HCPCS,C1781,MESH HRN PLGCPRN 3X3,5321.0,5321.0,585.31,5321.0,57
HCPCS,C1781,MESH HRN PLGLY 10X16CM,16461.0,16461.0,1810.71,16461.0,57
HCPCS,C1781,MESH HRN PLGLY 10X6CM,17756.0,17756.0,1953.16,17756.0,57
HCPCS,C1781,MESH HRN PLGLY 12X10CM,35511.0,35511.0,3906.21,35511.0,57
HCPCS,C1781,MESH HRN PLGLY 20X10CM,59184.0,59184.0,6510.24,59184.0,57
HCPCS,C1781,MESH HRN PLGLY 20X16CM,94695.0,94695.0,10416.45,94695.0,57
HCPCS,C1781,MESH HRN PLGLY 20X20IN,105927.0,105927.0,11651.97,105927.0,57
HCPCS,C1781,MESH HRN PP 10X6IN,17756.0,17756.0,1953.16,17756.0,57
HCPCS,C1781,MESH HRN PP 12CM 18CM,53346.0,53346.0,5868.06,53346.0,57
HCPCS,C1781,MESH HRN PP 12X10CM,35511.0,35511.0,3906.21,35511.0,57
HCPCS,C1781,MESH HRN PP 16CMX20CM,94695.0,94695.0,10416.45,94695.0,57
HCPCS,C1781,MESH HRN PP 20X20IN,105927.0,105927.0,11651.97,105927.0,57
HCPCS,C1781,MESH HRN PP 25X30IN S,174020.5,174020.5,18054.41,183910.0,114
HCPCS,C1781,MESH HRN PP 25X40IN,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1781,MESH HRN PP 4X1.8,1414.0,1414.0,155.54,1414.0,57
HCPCS,C1781,MESH HRN PP 8X4IN,9470.0,9470.0,1041.7,9470.0,57
HCPCS,C1781,MESH HRN PP PLGCPRN LG L,5321.0,5321.0,585.31,5321.0,57
HCPCS,C1781,MESH HRN PROCEED 12X8,28127.0,28127.0,3093.97,28127.0,57
HCPCS,C1781,MESH HRN REIN 8X4CM,4932.0,4932.0,542.52,4932.0,57
HCPCS,C1781,MESH HRN RT 5.3X3.1IN,6895.0,6895.0,758.45,6895.0,57
HCPCS,C1781,MESH HRN RT 6.2X4.1IN,7347.0,7347.0,808.17,7347.0,57
HCPCS,C1781,MESH HRN SFT 12X12IN,16440.0,16440.0,1808.4,16440.0,57
HCPCS,C1781,MESH HRN XL 12X17CM,9464.0,9464.0,1041.04,9464.0,114
HCPCS,C1781,MESH HRNIA VNTRL 14X12IN,47265.0,47265.0,5199.15,47265.0,57
HCPCS,C1781,MESH MOFIL 6X16CM,20706.0,20706.0,2277.66,20706.0,57
HCPCS,C1781,MESH PATCH HERN UMB4.3CM,13563.0,13563.0,1491.93,13563.0,57
HCPCS,C1781,MESH PATCH HERN UMB6.5CM,16029.0,16029.0,1763.19,16029.0,57
HCPCS,C1781,MESH PATCH HERN UMB8.0CM,19728.0,19728.0,2170.08,19728.0,57
HCPCS,C1781,MESH PATCH VENTRL MED,8569.0,8569.0,942.59,8569.0,57
HCPCS,C1781,MESH PATCH VNTRL PRC SM,7165.0,7165.0,788.15,7165.0,57
HCPCS,C1781,MESH PERM CIRC 12X12CM,35564.0,35564.0,3912.04,35564.0,57
HCPCS,C1781,MESH PLATE 100MM,56923.0,56923.0,6261.53,56923.0,57
HCPCS,C1781,MESH PLATE 100X100X.5MM,51430.0,51430.0,5657.3,51430.0,57
HCPCS,C1781,MESH PLATE 100X100X0.5MM,51430.0,51430.0,5657.3,51430.0,57
HCPCS,C1781,MESH PLATE 48X48X1.2MM,27484.0,27484.0,3023.24,27484.0,57
HCPCS,C1781,MESH PLATE 50X0.5MM,26423.0,26423.0,2906.53,26423.0,57
HCPCS,C1781,MESH PLATE 78X78X1.2MM,42920.0,42920.0,4721.2,42920.0,57
HCPCS,C1781,MESH PRFX XL 1.6IN 2IN,5455.0,5455.0,600.05,5455.0,57
HCPCS,C1781,MESH PRLN MED 6X6,1276.0,1276.0,140.36,1276.0,57
HCPCS,C1781,MESH PROCEED 20X25CM,26286.0,26286.0,2891.46,26286.0,57
HCPCS,C1781,MESH PTEX PROGRP 30X15CM,9335.0,9335.0,1026.85,9335.0,57
HCPCS,C1781,MESH RCTNG 20X25CM,152203.0,152203.0,16742.33,152203.0,57
HCPCS,C1781,MESH RPR TISS 4X7CM,48334.0,48334.0,5316.74,48334.0,57
HCPCS,C1781,MESH RPR TISS 7X10CM,77679.0,77679.0,8544.69,77679.0,57
HCPCS,C1781,MESH SQ PROCEED 6X6,9142.0,9142.0,1005.62,9142.0,57
HCPCS,C1781,MESH SURG 10CM 17CM,11508.0,11508.0,1265.88,11508.0,57
HCPCS,C1781,MESH SURG 10X25CM,44183.0,44183.0,4860.13,44183.0,57
HCPCS,C1781,MESH SURG 11X14CM,5524.0,5524.0,607.64,5524.0,57
HCPCS,C1781,MESH SURG 12CM,8995.0,8995.0,989.45,8995.0,57
HCPCS,C1781,MESH SURG 12CM 10CM,18495.0,18495.0,2034.45,18495.0,57
HCPCS,C1781,MESH SURG 12MM 16MM,10409.0,10409.0,1144.99,10409.0,57
HCPCS,C1781,MESH SURG 12X10IN,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1781,MESH SURG 12X8CM,4320.0,4320.0,475.2,4320.0,57
HCPCS,C1781,MESH SURG 15CM 15CM,7251.0,7251.0,797.61,7251.0,57
HCPCS,C1781,MESH SURG 15CM 20CM,39467.0,39467.0,4341.37,39467.0,57
HCPCS,C1781,MESH SURG 15CM 25CM,47286.0,47286.0,5201.46,47286.0,57
HCPCS,C1781,MESH SURG 15CM 8CM,31331.0,31331.0,3446.41,31331.0,57
HCPCS,C1781,MESH SURG 15X10CM,64640.0,64640.0,7110.4,64640.0,57
HCPCS,C1781,MESH SURG 16.5X20CM,91777.0,91777.0,10095.47,91777.0,57
HCPCS,C1781,MESH SURG 1X4IN,854.0,854.0,93.94,854.0,57
HCPCS,C1781,MESH SURG 20CM 15CM,103007.0,103007.0,11330.77,103007.0,57
HCPCS,C1781,MESH SURG 20MM 15MM,6702.0,6702.0,737.22,6702.0,57
HCPCS,C1781,MESH SURG 22X18CM,129848.0,129848.0,14283.28,129848.0,57
HCPCS,C1781,MESH SURG 23X18CM ELIPSE,47286.0,47286.0,5201.46,47286.0,57
HCPCS,C1781,MESH SURG 2X12IN,1396.0,1396.0,153.56,1396.0,57
HCPCS,C1781,MESH SURG 3.1X4.7IN,16927.0,16927.0,1861.97,16927.0,57
HCPCS,C1781,MESH SURG 30X20CM,115857.0,115857.0,12744.27,115857.0,57
HCPCS,C1781,MESH SURG 30X30 ULTRA,4888.0,4888.0,537.68,4888.0,57
HCPCS,C1781,MESH SURG 30X30CM,1939.0,1939.0,213.29,1939.0,57
HCPCS,C1781,MESH SURG 3IN 5IN,4397.0,4397.0,449.9,4704.0,114
HCPCS,C1781,MESH SURG 3X6IN,1502.5,1502.5,119.68,1917.0,114
HCPCS,C1781,MESH SURG 4.3X2.4IN,1884.0,1884.0,207.24,1884.0,57
HCPCS,C1781,MESH SURG 4.3X5.5IN,25519.0,25519.0,2807.09,25519.0,57
HCPCS,C1781,MESH SURG 4.7X3.1IN HRN,13703.0,13703.0,1507.33,13703.0,57
HCPCS,C1781,MESH SURG 4IN 6IN,5165.0,5165.0,568.15,5165.0,114
HCPCS,C1781,MESH SURG 4X3IN,29529.0,29529.0,3248.19,29529.0,57
HCPCS,C1781,MESH SURG 4X4IN,38326.0,38326.0,4215.86,38326.0,57
HCPCS,C1781,MESH SURG 4X6IN,12409.0,12409.0,1364.99,12409.0,57
HCPCS,C1781,MESH SURG 5.4X7IN,32552.0,32552.0,3580.72,32552.0,57
HCPCS,C1781,MESH SURG 6.1X10.1UB,57471.0,57471.0,6321.81,57471.0,57
HCPCS,C1781,MESH SURG 6.4X18.5CM,40586.5,40586.5,4294.95,42128.0,114
HCPCS,C1781,MESH SURG 6IN 10IN,25893.0,25893.0,2848.23,25893.0,57
HCPCS,C1781,MESH SURG 6X4IN,56640.0,56640.0,6230.4,56640.0,57
HCPCS,C1781,MESH SURG 6X6IN,2746.5,2746.5,265.1,3083.0,114
HCPCS,C1781,MESH SURG 6X8IN,23516.0,23516.0,2586.76,23516.0,57
HCPCS,C1781,MESH SURG 7.5X21.0CM,44183.0,44183.0,4860.13,44183.0,57
HCPCS,C1781,MESH SURG 7.5X21CM,53516.0,53516.0,5886.76,53516.0,57
HCPCS,C1781,MESH SURG 7.7X9.7IN,43616.0,43616.0,4797.76,43616.0,57
HCPCS,C1781,MESH SURG 8X10IN,30620.0,30620.0,3368.2,30620.0,57
HCPCS,C1781,MESH SURG 8X6IN,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1781,MESH SURG 9CM,6395.0,6395.0,703.45,6395.0,57
HCPCS,C1781,MESH SURG CIRC LG 4.5IN,19533.0,19533.0,2148.63,19533.0,57
HCPCS,C1781,MESH SURG CIRCL 4.5IN,16071.0,16071.0,1767.81,16071.0,57
HCPCS,C1781,MESH SURG CIRCLE 11CM,23462.0,23462.0,2580.82,23462.0,57
HCPCS,C1781,MESH SURG CIRCLE 6IN,17252.0,17252.0,1897.72,17252.0,57
HCPCS,C1781,MESH SURG COMP 9CM,6608.0,6608.0,726.88,6608.0,57
HCPCS,C1781,MESH SURG HERNIA 10X15CM,11717.0,11717.0,1288.87,11717.0,114
HCPCS,C1781,MESH SURG HERNIA 12X16CM,10409.0,10409.0,1144.99,10409.0,57
HCPCS,C1781,MESH SURG HRN 10X10CM,26798.0,26798.0,2947.78,26798.0,57
HCPCS,C1781,MESH SURG HRN 4.5X6.0CM,10173.0,10173.0,1119.03,10173.0,57
HCPCS,C1781,MESH SURG HRN 6X4IN,42520.0,42520.0,4677.2,42520.0,57
HCPCS,C1781,MESH SURG HRN 8X6IN,83752.0,83752.0,9212.72,83752.0,57
HCPCS,C1781,MESH SURG LG 13.7X5.9CM,1539.0,1539.0,169.29,1539.0,57
HCPCS,C1781,MESH SURG LG CIR 3.2IN,15561.0,15561.0,1711.71,15561.0,57
HCPCS,C1781,MESH SURG LT 15X10CM,3694.0,3694.0,406.34,3694.0,57
HCPCS,C1781,MESH SURG OVAL 10X15CM,8682.0,8682.0,955.02,8682.0,57
HCPCS,C1781,MESH SURG OVAL 15X20CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1781,MESH SURG OVL 10.7X8.7IN,57590.0,57590.0,6334.9,57590.0,57
HCPCS,C1781,MESH SURG OVL 8X12CM,41448.0,41448.0,4559.28,41448.0,57
HCPCS,C1781,MESH SURG PLG 1.9X1.6IN,4964.0,4964.0,546.04,4964.0,57
HCPCS,C1781,MESH SURG PRTNL 16X20CM,90700.0,90700.0,9977.0,90700.0,57
HCPCS,C1781,MESH SURG RCTNGL 4X8IN,61848.0,61848.0,6803.28,61848.0,57
HCPCS,C1781,MESH SURG STF 4.5IN,31828.0,31828.0,3501.08,31828.0,57
HCPCS,C1781,MESH SURG SYMBTX 17X10CM,8995.0,8995.0,989.45,8995.0,57
HCPCS,C1781,MESH SURG SYMBTX 20X12CM,14429.0,14429.0,1587.19,14429.0,57
HCPCS,C1781,MESH SURG TIGR 15X10CM,24791.0,24791.0,2727.01,24791.0,57
HCPCS,C1781,MESH SURG VNTR 15X10CM,19704.0,19704.0,2167.44,19704.0,57
HCPCS,C1781,MESH TI 85X50MM SM,16514.0,16514.0,1816.54,16514.0,57
HCPCS,C1781,MESH TIGR MATRX 15X20CM,64733.0,64733.0,7120.63,64733.0,57
HCPCS,C1781,MESH VCRYL 12X12,15439.0,15439.0,1698.29,15439.0,57
HCPCS,C1781,MESH VNTRLT 2-20X25CM,54259.0,54259.0,5968.49,54259.0,57
HCPCS,C1781,MSH HRN EPTFE 4.5IN LRG,16219.0,16219.0,1784.09,16219.0,57
HCPCS,C1781,PATCH HERN 4.3CM,10134.0,10134.0,1114.74,10134.0,57
HCPCS,C1781,PATCH KUGAL SM CIRC,5082.0,5082.0,559.02,5082.0,57
HCPCS,C1781,PATCH KUGEL 10-101,4628.0,4628.0,509.08,4628.0,57
HCPCS,C1781,PATCH SFT TIS 1X10X1,15413.0,15413.0,1695.43,15413.0,57
HCPCS,C1781,PATCH SURG MFL 6.4CM,12133.0,12133.0,1334.63,12133.0,57
HCPCS,C1781,PLATE BN MESH 14MM 14MM,43977.0,43977.0,4837.47,43977.0,57
HCPCS,C1781,PLATE CRNMXF MSH 54X85MM,11695.0,11695.0,1286.45,11695.0,57
HCPCS,C1781,PLUG FISTULA .7CM,23016.0,23016.0,2531.76,23016.0,57
HCPCS,C1781,PLUG SURG 1.55X1.3IN,3728.0,3728.0,410.08,3728.0,57
HCPCS,C1782,BLADE SHAVER DENSE MINI,14029.0,14029.0,982.03,14029.0,71
HCPCS,C1782,BLADE SHAVER DENSE PLUS,11734.0,11734.0,821.38,11734.0,71
HCPCS,C1782,BLADE SHAVER SOFT MINI,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1782,BLADE SHAVER SOFT PLUS,9535.0,9535.0,667.45,9535.0,71
HCPCS,C1785,IPG DR MRI DUAL ATDR01,50476.0,50476.0,5552.36,50476.0,57
HCPCS,C1785,IPG MRI DR,47621.0,47621.0,5238.31,47621.0,57
HCPCS,C1785,IPG MRI DUAL L DR,63667.0,63667.0,7003.37,63667.0,57
HCPCS,C1785,PACEMAKER IMPLANT DDDR,63667.0,63667.0,7003.37,63667.0,57
HCPCS,C1785,PCMK CD 42.6X50.8X7.4MM,70626.0,70626.0,7768.86,70626.0,57
HCPCS,C1785,PCMKR 46.6X50.8X7.4MM,73351.0,73351.0,8068.61,73351.0,57
HCPCS,C1785,PCMKR CRD 47X50X6MM,74754.0,74754.0,8222.94,74754.0,57
HCPCS,C1785,PCMKR DR 4.45X5.02X.75CM,70367.0,70367.0,7740.37,70367.0,57
HCPCS,C1785,PCMKR DR 44.7X47.9X7.5MM,63667.0,63667.0,7003.37,63667.0,57
HCPCS,C1785,PCMKR DR 45.4X52.3X7.5MM,63667.0,63667.0,7003.37,63667.0,57
HCPCS,C1786,IPG MRI SR,56677.0,56677.0,6234.47,56677.0,57
HCPCS,C1786,PACEMAKER LDLS VR 38.0MM,195660.0,195660.0,21522.6,195660.0,57
HCPCS,C1786,PCMKR CRD 47X50X6MM,74754.0,74754.0,8222.94,74754.0,57
HCPCS,C1786,PCMKR SNGL 7.4 50.8X42.6,62872.0,62872.0,6915.92,62872.0,57
HCPCS,C1786,SYSTEM PCNG LDLESS CPSL,191682.0,191682.0,21085.02,191682.0,57
HCPCS,C1786,SYSTEM PCNG LEADLESS,224848.0,224848.0,24733.28,224848.0,57
HCPCS,C1787,CONTROL REMOTE PT NRSTM,11666.0,11666.0,816.62,11666.0,71
HCPCS,C1787,CONTROLLER NRSTM EXTN,16314.0,16314.0,1141.98,16314.0,71
HCPCS,C1787,KIT NRSTM PT PROGRAMMER,24797.5,24797.5,1693.51,25402.0,142
HCPCS,C1787,KIT REMOTE CONTROL,14913.0,14913.0,1043.91,14913.0,71
HCPCS,C1787,KIT STIMULATOR PROGRAMME,18725.0,18725.0,1310.75,18725.0,71
HCPCS,C1787,PROGRAMER PT FOR NRSTM,14831.0,14831.0,1038.17,14831.0,71
HCPCS,C1787,PROGRAMMER NRSTM PATIENT,11430.0,11430.0,800.1,11430.0,71
HCPCS,C1787,PROGRAMMER NRSTM VRF 4,5929.0,5929.0,415.03,5929.0,71
HCPCS,C1787,PROGRAMMER PATIENT,23198.0,23198.0,1623.86,23198.0,71
HCPCS,C1787,SYSTEM PROGRAMR CHARGING,14831.0,14831.0,1038.17,14831.0,71
HCPCS,C1788,PORT IMP INFS 8.0FR 66CM,10518.0,10518.0,1156.98,10518.0,57
HCPCS,C1788,PORT IMP INFSN 10FR,5015.0,5015.0,551.65,5015.0,57
HCPCS,C1788,PORT IMP INFSN 14.3FR,3391.0,3391.0,373.01,3391.0,114
HCPCS,C1788,PORT IMP INFSN 6.0FR,3786.0,3786.0,416.46,3786.0,57
HCPCS,C1788,PORT IMP INFSN 6.6FR,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1788,PORT IMP INFSN MRI 9.5FR,6165.0,6165.0,678.15,6165.0,57
HCPCS,C1788,PORT IMPL INFSN 6.6FR,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1788,PORT IMPL INFSN 6FR,4439.0,4439.0,488.29,4439.0,57
HCPCS,C1788,PORT IMPL INFSN 7.0FR,5796.0,5796.0,637.56,5796.0,57
HCPCS,C1788,PORT IMPL INFSN 8.0FR,5652.0,5652.0,621.72,5652.0,57
HCPCS,C1788,PORT IMPL INFSN 8FR,5015.0,5015.0,536.36,5853.0,228
HCPCS,C1788,PORT IMPL INFSN 9.6FR,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1788,PORT IMPL INFSN TI 6.0FR,3391.0,3391.0,373.01,3391.0,57
HCPCS,C1788,PORT IMPL INFSN TI 8.0FR,4203.0,4203.0,373.01,5015.0,171
HCPCS,C1788,PORT INFSN VTX LP PLPRO,32326.0,32326.0,3555.86,32326.0,57
HCPCS,C1789,IMPLANT BREAST 100CC,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1789,IMPLANT BREAST 125CC,27229.0,27229.0,2995.19,27229.0,57
HCPCS,C1789,IMPLANT BREAST 150CC,15413.0,15413.0,1516.9,16646.0,171
HCPCS,C1789,IMPLANT BREAST 160CC,22348.5,22348.5,2317.04,23633.0,114
HCPCS,C1789,IMPLANT BREAST 170CC,15413.0,15413.0,1695.43,15413.0,57
HCPCS,C1789,IMPLANT BREAST 185CC,23633.0,23633.0,2599.63,23633.0,57
HCPCS,C1789,IMPLANT BREAST 190CC,16420.5,16420.5,1695.43,17428.0,114
HCPCS,C1789,IMPLANT BREAST 195CC,27229.0,27229.0,2995.19,27229.0,57
HCPCS,C1789,IMPLANT BREAST 200CC,12032.5,12032.5,1071.51,27229.0,228
HCPCS,C1789,IMPLANT BREAST 210CC,23067.5,23067.5,2136.2,26715.0,114
HCPCS,C1789,IMPLANT BREAST 215CC,19523.0,19523.0,1695.43,23633.0,114
HCPCS,C1789,IMPLANT BREAST 225CC,27229.0,27229.0,2995.19,27229.0,57
HCPCS,C1789,IMPLANT BREAST 235CC,19009.0,19009.0,1695.43,26715.0,171
HCPCS,C1789,IMPLANT BREAST 240CC,23633.0,23633.0,2599.63,23633.0,57
HCPCS,C1789,IMPLANT BREAST 250CC,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1789,IMPLANT BREAST 255CC,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1789,IMPLANT BREAST 260CC,19009.0,19009.0,2090.99,19009.0,57
HCPCS,C1789,IMPLANT BREAST 265CC,23067.5,23067.5,2136.2,26715.0,114
HCPCS,C1789,IMPLANT BREAST 270CC,16954.0,16954.0,1130.25,23633.0,114
HCPCS,C1789,IMPLANT BREAST 275CC,19009.0,19009.0,1921.48,20550.0,114
HCPCS,C1789,IMPLANT BREAST 280CC,23633.0,23633.0,2090.99,26715.0,171
HCPCS,C1789,IMPLANT BREAST 290CC,21064.0,21064.0,2317.04,21064.0,57
HCPCS,C1789,IMPLANT BREAST 295CC,22503.0,22503.0,2136.2,23633.0,171
HCPCS,C1789,IMPLANT BREAST 300CC,15413.0,15413.0,1130.25,20550.0,171
HCPCS,C1789,IMPLANT BREAST 305CC,24660.0,24660.0,2712.6,24660.0,57
HCPCS,C1789,IMPLANT BREAST 310CC,21064.0,21064.0,2136.2,26715.0,171
HCPCS,C1789,IMPLANT BREAST 320CC,20252.5,20252.5,1516.9,26715.0,114
HCPCS,C1789,IMPLANT BREAST 325CC,20550.0,20550.0,1071.51,27229.0,285
HCPCS,C1789,IMPLANT BREAST 330CC,24660.0,24660.0,1831.06,26715.0,171
HCPCS,C1789,IMPLANT BREAST 335CC,26715.0,26715.0,2136.2,27229.0,171
HCPCS,C1789,IMPLANT BREAST 340CC,26715.0,26715.0,2938.65,26715.0,57
HCPCS,C1789,IMPLANT BREAST 340ML,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1789,IMPLANT BREAST 345CC,19420.0,19420.0,2136.2,19420.0,57
HCPCS,C1789,IMPLANT BREAST 350CC,19009.0,19009.0,1356.3,24660.0,342
HCPCS,C1789,IMPLANT BREAST 355CC,19009.0,19009.0,1243.33,26715.0,171
HCPCS,C1789,IMPLANT BREAST 360CC,15413.0,15413.0,1695.43,15413.0,57
HCPCS,C1789,IMPLANT BREAST 365CC,23324.5,23324.5,2136.2,27229.0,114
HCPCS,C1789,IMPLANT BREAST 370CC,23633.0,23633.0,2599.63,23633.0,57
HCPCS,C1789,IMPLANT BREAST 375CC,19214.5,19214.5,1462.56,27229.0,342
HCPCS,C1789,IMPLANT BREAST 380CC,17314.0,17314.0,1831.06,17982.0,114
HCPCS,C1789,IMPLANT BREAST 385CC,20550.0,20550.0,1243.33,27229.0,228
HCPCS,C1789,IMPLANT BREAST 390CC,15413.0,15413.0,1073.82,21064.0,114
HCPCS,C1789,IMPLANT BREAST 395CC,25174.5,25174.5,1978.02,32367.0,114
HCPCS,C1789,IMPLANT BREAST 400CC,17211.0,17211.0,1516.9,26715.0,228
HCPCS,C1789,IMPLANT BREAST 405CC,23633.0,23633.0,1516.9,27229.0,228
HCPCS,C1789,IMPLANT BREAST 415CC,17982.0,17982.0,1831.06,19420.0,171
HCPCS,C1789,IMPLANT BREAST 420CC,27229.0,27229.0,2995.19,27229.0,57
HCPCS,C1789,IMPLANT BREAST 425CC,15413.0,15413.0,1516.9,23633.0,228
HCPCS,C1789,IMPLANT BREAST 430CC,22862.0,22862.0,2090.99,26715.0,114
HCPCS,C1789,IMPLANT BREAST 435CC,26715.0,26715.0,2938.65,26715.0,57
HCPCS,C1789,IMPLANT BREAST 440CC,22420.5,22420.5,2332.88,23633.0,114
HCPCS,C1789,IMPLANT BREAST 445CC,24660.0,24660.0,2260.5,26715.0,171
HCPCS,C1789,IMPLANT BREAST 450CC,18598.0,18598.0,1073.82,26715.0,342
HCPCS,C1789,IMPLANT BREAST 454CC,21064.0,21064.0,2317.04,21064.0,57
HCPCS,C1789,IMPLANT BREAST 465CC,23633.0,23633.0,2599.63,23633.0,57
HCPCS,C1789,IMPLANT BREAST 470CC,23633.0,23633.0,1243.33,27229.0,342
HCPCS,C1789,IMPLANT BREAST 475CC,17981.5,17981.5,1695.43,20550.0,114
HCPCS,C1789,IMPLANT BREAST 480CC,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1789,IMPLANT BREAST 485CC,27229.0,27229.0,2995.19,27229.0,171
HCPCS,C1789,IMPLANT BREAST 490CC,19523.0,19523.0,1695.43,23633.0,114
HCPCS,C1789,IMPLANT BREAST 495CC,29798.0,29798.0,2995.19,32367.0,114
HCPCS,C1789,IMPLANT BREAST 500CC,19009.0,19009.0,1516.9,23633.0,228
HCPCS,C1789,IMPLANT BREAST 510CC,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1789,IMPLANT BREAST 520CC,26715.0,26715.0,2136.2,27229.0,285
HCPCS,C1789,IMPLANT BREAST 525CC,18711.5,18711.5,1516.9,23633.0,114
HCPCS,C1789,IMPLANT BREAST 545CC,21783.5,21783.5,2090.99,23633.0,228
HCPCS,C1789,IMPLANT BREAST 550CC,13790.0,13790.0,1516.9,13790.0,114
HCPCS,C1789,IMPLANT BREAST 555CC,13790.0,13790.0,1516.9,13790.0,57
HCPCS,C1789,IMPLANT BREAST 560CC,23633.0,23633.0,1476.42,27229.0,228
HCPCS,C1789,IMPLANT BREAST 575CC,17982.0,17982.0,1978.02,17982.0,57
HCPCS,C1789,IMPLANT BREAST 580CC,21064.0,21064.0,2090.99,27229.0,171
HCPCS,C1789,IMPLANT BREAST 585CC,23633.0,23633.0,2599.63,23633.0,57
HCPCS,C1789,IMPLANT BREAST 595CC,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1789,IMPLANT BREAST 600CC,20509.5,20509.5,1516.9,27229.0,114
HCPCS,C1789,IMPLANT BREAST 605CC,25431.0,25431.0,2599.63,27229.0,171
HCPCS,C1789,IMPLANT BREAST 630CC,19009.0,19009.0,703.12,21064.0,171
HCPCS,C1789,IMPLANT BREAST 635CC,25174.0,25174.0,2599.63,26715.0,114
HCPCS,C1789,IMPLANT BREAST 640CC,21321.0,21321.0,1695.43,27229.0,114
HCPCS,C1789,IMPLANT BREAST 645CC,23633.0,23633.0,2599.63,23633.0,57
HCPCS,C1789,IMPLANT BREAST 650CC,16646.0,16646.0,1516.9,27229.0,171
HCPCS,C1789,IMPLANT BREAST 680CC,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1789,IMPLANT BREAST 685CC,22862.0,22862.0,2090.99,26715.0,114
HCPCS,C1789,IMPLANT BREAST 695CC,27229.0,27229.0,2995.19,27229.0,57
HCPCS,C1789,IMPLANT BREAST 700CC,22862.0,22862.0,1516.9,27229.0,285
HCPCS,C1789,IMPLANT BREAST 740CC,26715.0,26715.0,2938.65,26715.0,57
HCPCS,C1789,IMPLANT BREAST 745CC,27229.0,27229.0,2995.19,27229.0,57
HCPCS,C1789,IMPLANT BREAST 750CC,15413.0,15413.0,1695.43,15413.0,57
HCPCS,C1789,IMPLANT BREAST 755CC,19009.0,19009.0,2090.99,19009.0,114
HCPCS,C1789,IMPLANT BREAST 770CC,23324.5,23324.5,2136.2,27229.0,171
HCPCS,C1789,IMPLANT BREAST 775CC,21321.0,21321.0,2090.99,23633.0,114
HCPCS,C1789,IMPLANT BREAST 790CC,19009.0,19009.0,2090.99,19009.0,57
HCPCS,C1789,IMPLANT BREAST 800CC,20550.0,20550.0,1695.43,27229.0,228
HCPCS,C1789,IMPLANT BREAST 930CC,35449.0,35449.0,3899.39,35449.0,57
HCPCS,C1813,KIT PROSTH PENL ACC,13664.0,13664.0,1503.04,13664.0,57
HCPCS,C1813,PROS PENILE PUMP INFL,100264.0,100264.0,11029.04,100264.0,57
HCPCS,C1813,PROS PENL 16CM-25CM 11MM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1813,PROSTH PENL 16CM 12.5MM,198331.0,198331.0,21816.41,198331.0,57
HCPCS,C1813,PROSTH PENL 18CM 12.5MM,198331.0,198331.0,21816.41,198331.0,57
HCPCS,C1813,PROSTH PENL PS 10CM 18CM,174722.0,174722.0,18954.21,177133.0,114
HCPCS,C1813,PROSTH PENL PS 12CM 21CM,183910.0,183910.0,20230.1,183910.0,114
HCPCS,C1813,PROSTH PENL PUMP 14CM,179432.0,179432.0,19737.52,179432.0,57
HCPCS,C1813,PROSTH PENL PUMP PS 15CM,177133.0,177133.0,19484.63,177133.0,57
HCPCS,C1813,PROSTH PENL PUMP PS 18CM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1813,PROSTH PNL W/PMP 18CM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1813,PROSTH RESRVOIR 125ML,46012.0,46012.0,5061.32,46012.0,57
HCPCS,C1813,PROSTHES PENL INFL 18CM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1813,PROSTHESIS PENILE TITAN,179432.0,179432.0,19737.52,179432.0,57
HCPCS,C1813,PROSTHESIS PENL 13MM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1813,PROSTHESIS PENL INF 24CM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1813,PROSTHESIS PENL TTN 11CM,169299.0,169299.0,18622.89,169299.0,57
HCPCS,C1813,PROSTHESIS PENL TTN 26CM,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1813,PROSTHESIS PENL TTN PMP,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1813,PROSTHESIS PNL 75ML,34422.0,34422.0,3786.42,34422.0,57
HCPCS,C1813,PROSTHESIS PNLE 20CM,179432.0,179432.0,19737.52,179432.0,57
HCPCS,C1813,RESERVOIR PENL 100MM,51844.0,51844.0,5702.84,51844.0,57
HCPCS,C1815,CUFF URTH SPHNC AB 3.5CM,125255.0,125255.0,13778.05,125255.0,57
HCPCS,C1815,CUFF URTH SPHNCR AB 10CM,130842.0,130842.0,14392.62,130842.0,57
HCPCS,C1815,CUFF URTH SPHNCR AB 11CM,119975.0,119975.0,13197.25,119975.0,57
HCPCS,C1815,CUFF URTH SPHNCR AB 4.5C,137575.0,137575.0,15133.25,137575.0,57
HCPCS,C1815,CUFF URTH SPHNCR AB 4CM,137575.0,137575.0,15133.25,137575.0,57
HCPCS,C1815,CUFF URTH SPHNCR AB 5.5C,137575.0,137575.0,15133.25,137575.0,57
HCPCS,C1815,CUFF URTH SPHNCR AB 5CM,137575.0,137575.0,15133.25,137575.0,57
HCPCS,C1815,CUFF URTH SPHNCR AB 9CM,119975.0,119975.0,13197.25,119975.0,57
HCPCS,C1815,CUFF URTH SPNCR 11CM,132410.0,132410.0,14565.1,132410.0,57
HCPCS,C1815,IMP URN CTRL 61-70CM,70309.0,70309.0,7733.99,70309.0,57
HCPCS,C1815,IMP URN CTRL 71-80CM,64042.0,64042.0,7044.62,64042.0,57
HCPCS,C1815,PUMP CONTRL URN AB SYS,132470.0,132470.0,14571.7,132470.0,57
HCPCS,C1817,NO COST DEVICE,1.0,1.0,0.11,1.0,57
HCPCS,C1817,OCCLUD CV 7MM 16MM MSC,156132.0,156132.0,17174.52,156132.0,57
HCPCS,C1817,OCCLUDER CV 10FR 27MM,183334.0,183334.0,20166.74,183334.0,57
HCPCS,C1817,OCCLUDER CV 10FR 32MM,183334.0,183334.0,20166.74,183334.0,57
HCPCS,C1817,OCCLUDER CV 10X3MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCLUDER CV 10X8MM,99401.0,99401.0,10934.11,99401.0,57
HCPCS,C1817,OCCLUDER CV 11FR 37MM,183334.0,183334.0,20166.74,183334.0,57
HCPCS,C1817,OCCLUDER CV 12FR 44MM,183334.0,183334.0,20166.74,183334.0,57
HCPCS,C1817,OCCLUDER CV 14FR 48MM,183334.0,183334.0,20166.74,183334.0,57
HCPCS,C1817,OCCLUDER CV 18X18MM,217292.0,217292.0,23902.12,217292.0,57
HCPCS,C1817,OCCLUDER CV 20MM,167349.0,167349.0,18408.39,167349.0,57
HCPCS,C1817,OCCLUDER CV 25MM,167349.0,167349.0,18408.39,167349.0,57
HCPCS,C1817,OCCLUDER CV 25X18MM,217292.0,217292.0,23902.12,217292.0,57
HCPCS,C1817,OCCLUDER CV 30MM,167349.0,167349.0,18408.39,167349.0,57
HCPCS,C1817,OCCLUDER CV 35X18MM,183809.0,183809.0,20218.99,183809.0,57
HCPCS,C1817,OCCLUDER CV 3X4MM,99401.0,99401.0,10934.11,99401.0,57
HCPCS,C1817,OCCLUDER CV 3X6MM,99401.0,99401.0,10934.11,99401.0,57
HCPCS,C1817,OCCLUDER CV 4X4MM,99401.0,99401.0,10934.11,99401.0,57
HCPCS,C1817,OCCLUDER CV 4X6MM,99401.0,99401.0,10934.11,99401.0,57
HCPCS,C1817,OCCLUDER CV 5X4MM,99401.0,99401.0,10934.11,99401.0,114
HCPCS,C1817,OCCLUDER CV 5X6MM,99401.0,99401.0,10934.11,99401.0,57
HCPCS,C1817,OCCLUDER CV 6X4MM,99401.0,99401.0,10934.11,99401.0,114
HCPCS,C1817,OCCLUDER CV 8X6MM,99401.0,99401.0,10934.11,99401.0,57
HCPCS,C1817,OCCULDER CV 15X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 16X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 17X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 18X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 19X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 20X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 22X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 230X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 24X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 26X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 28X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 32X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 34X4MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 5X3MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 6X3MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 7X3MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 8X3MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1817,OCCULDER CV 9X3MM,129650.0,129650.0,14261.5,129650.0,57
HCPCS,C1819,WIRE GHIATA 20GAX5CM,396.0,396.0,27.72,396.0,71
HCPCS,C1819,WIRE GHIATA 20GAX7CM,453.34,453.34,31.73,453.34,71
HCPCS,C1820,DEVICE NEUROSTIMULATOR,174724.0,174724.0,19219.64,174724.0,114
HCPCS,C1820,IPG NRSTM 17MM 47MM,211962.0,211962.0,23315.82,211962.0,57
HCPCS,C1820,IPG NRSTM 49.5X55.5X1.34,209099.0,209099.0,23000.89,209099.0,57
HCPCS,C1820,IPG NRSTM 5.3X4.8CM,195849.0,195849.0,21543.39,195849.0,57
HCPCS,C1820,IPG NRSTM 57.1MM 47.2MM,309504.0,309504.0,34045.44,309504.0,57
HCPCS,C1820,IPG RECHARGE 4.8CM 5.3CM,225913.0,225913.0,24850.43,225913.0,57
HCPCS,C1820,KIT GENERATOR IPG,318233.5,318233.5,34996.17,318320.0,114
HCPCS,C1820,KIT GENERATOR NRSTM CHG,318147.0,318147.0,34996.17,318147.0,57
HCPCS,C1820,SYSTEM IMP FULL,187846.0,187846.0,20663.06,187846.0,57
HCPCS,C1826,"Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system ",,,6496.49,9775.67,6
HCPCS,C1827,"Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller ",,,6496.49,9775.67,6
HCPCS,C1830,TRAY NDL 10/12GA 10/14CM,8462.0,8462.0,592.34,8462.0,71
HCPCS,C1832,"Autograft suspension, including cell processing and application, and all system components ",,,3.35,5.04,6
HCPCS,C1833,"Monitor, cardiac, including intracardiac lead and all system components (implantable) ",,,551.25,829.5,6
HCPCS,C1874,STENT AOR 14F 18X28MM,181607.0,181607.0,19976.77,181607.0,57
HCPCS,C1874,STENT AOR 14MM 2.8CM,202114.0,202114.0,22232.54,202114.0,57
HCPCS,C1874,STENT AOR 16MM 3.9CM,187028.0,187028.0,20573.08,187028.0,57
HCPCS,C1874,STENT AOR 16MM 4.5CM,208148.0,208148.0,22896.28,208148.0,57
HCPCS,C1874,STENT BIL 10MM 80MM,49218.0,49218.0,5413.98,49218.0,57
HCPCS,C1874,STENT BIL 12FR 3.4CM,181607.0,181607.0,19976.77,181607.0,57
HCPCS,C1874,STENT BIL 14FR 3.4CM,181607.0,181607.0,19976.77,181607.0,57
HCPCS,C1874,STENT BIL 14FR 3.9CM,165327.0,165327.0,18185.97,165327.0,57
HCPCS,C1874,STENT BIL 3.8MM 26MM,15259.0,15259.0,1678.49,15259.0,57
HCPCS,C1874,STENT BIL 3.8MM 36MM,15259.0,15259.0,1678.49,15259.0,57
HCPCS,C1874,STENT BIL 8.5FR 10X40MM,48581.0,48581.0,5343.91,48581.0,57
HCPCS,C1874,STENT BIL 8.5FR 10X60MM,48581.0,48581.0,5343.91,48581.0,57
HCPCS,C1874,STENT BIL 8.5FR 10X80MM,48581.0,48581.0,5343.91,48581.0,57
HCPCS,C1874,STENT BIL 8.5FR 80X10MM,43155.0,43155.0,4747.05,43155.0,57
HCPCS,C1874,STENT BIL 8.5FR 8X60MM,48581.0,48581.0,5343.91,48581.0,57
HCPCS,C1874,STENT BIL 8.5FR 8X80MM,48581.0,48581.0,5343.91,48581.0,57
HCPCS,C1874,STENT BIL 8ZIG 2.8CM,131783.0,131783.0,14496.13,131783.0,57
HCPCS,C1874,STENT BIL 8ZIG 3.4CM,131783.0,131783.0,14496.13,131783.0,57
HCPCS,C1874,STENT BIL PERC 10MM 10CM,57294.0,57294.0,6302.34,57294.0,57
HCPCS,C1874,STENT BIL PERC 10MM 6CM,57294.0,57294.0,6302.34,57294.0,57
HCPCS,C1874,STENT BIL PERC 8MM 4CM,63046.0,63046.0,6935.06,63046.0,57
HCPCS,C1874,STENT BIL PERC 8MM 6CM,59595.0,59595.0,6555.45,59595.0,57
HCPCS,C1874,STENT BILI PERC 10MM 6CM,59595.0,59595.0,6555.45,59595.0,57
HCPCS,C1874,STENT BILI PERC 10MM 8CM,57294.0,57294.0,6302.34,57294.0,57
HCPCS,C1874,STENT BILI PERC 8MM 8CM,59595.0,59595.0,6555.45,59595.0,57
HCPCS,C1874,STENT COR 2.00MM X22 MM,15599.0,15599.0,1715.89,15599.0,57
HCPCS,C1874,STENT COR 2.00MMX08MM,12796.0,12796.0,1407.56,12796.0,57
HCPCS,C1874,STENT COR 2.00MMX12MM,12796.0,12796.0,1407.56,12796.0,57
HCPCS,C1874,STENT COR 2.00MMX18MM,12796.0,12796.0,1407.56,12796.0,57
HCPCS,C1874,STENT COR 2.00MMX26MM,12796.0,12796.0,1407.56,12796.0,57
HCPCS,C1874,STENT COR 2.00MMX30MM,12796.0,12796.0,1407.56,12796.0,57
HCPCS,C1874,STENT COR 2.0MMX15MM,12796.0,12796.0,1407.56,12796.0,57
HCPCS,C1874,STENT COR 2.25MM 15MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 2.25MM 18MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.25MM 23MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.25MM 28MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.25MM 33MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.25MM 38MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.25MM 8MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.25MMX08MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.25MMX12MM,14076.0,14076.0,1548.36,14076.0,57
HCPCS,C1874,STENT COR 2.25MMX15MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.25MMX18MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.25MMX22MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.25MMX26MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.25MMX30MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.25MMX38MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.25X12MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.25X16MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.25X20MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.25X24MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.25X28MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.25X32MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.25X34MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.25X38MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.25X8MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.50MMX08MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.50MMX12MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.50MMX15MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.50MMX18MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.50MMX22MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.50MMX26MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.50MMX30MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.50MMX34MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.50MMX38MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.50X12MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.50X16MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.50X20MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.50X24MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.50X28MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.50X32MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.50X38MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.50X48MM,17380.0,17380.0,1911.8,17380.0,57
HCPCS,C1874,STENT COR 2.50X8MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.5MM 12MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.5MM 15MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.5MM 18MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.5MM 23MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.5MM 28MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.5MM 33MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 2.5MM 38MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.5MM 8MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 2.75MM 12MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.75MM 15MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 2.75MM 18MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.75MM 23MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.75MM 28MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 2.75MM 33MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 2.75MM 38MM,14863.0,14863.0,1282.71,18065.0,114
HCPCS,C1874,STENT COR 2.75MM 8MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 2.75MMX08MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.75MMX12MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.75MMX15MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.75MMX18MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.75MMX22MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.75MMX26MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.75MMX30MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 2.75MMX34MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 2.75X12MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.75X16MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.75X20MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.75X24MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 2.75X28MM,12346.0,12346.0,1358.06,12346.0,57
HCPCS,C1874,STENT COR 2.75X32MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.75X38MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 2.75X48MM,17380.0,17380.0,1911.8,17380.0,57
HCPCS,C1874,STENT COR 2.75X8MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 3.00MMX08MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.00MMX12MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.00MMX15MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.00MMX18MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.00MMX22MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 3.00MMX26MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 3.00MMX30MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.00MMX34MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.00MMX38MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 3.00X12MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.00X16MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 3.00X20MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 3.00X24MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.00X28MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.00X32MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.00X38MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.00X48MM,17380.0,17380.0,1911.8,17380.0,57
HCPCS,C1874,STENT COR 3.00X8MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 3.25MM 12MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 3.25MM 15MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 3.25MM 18MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 3.25MM 23MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3.25MM 33MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3.25MM 38MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 3.25MM 8MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 3.50 X 12MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 3.50 X 16MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 3.50 X 20MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 3.50 X 24MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 3.50 X 8MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 3.50MMX08MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.50MMX12MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.50MMX15MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 3.50MMX18MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 3.50MMX22MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 3.50MMX26MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.50MMX30MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.50MMX34MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.50MMX38MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 3.50X12MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 3.50X16MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.50X20MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.50X24MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.50X28MM,8083.0,8083.0,889.13,8083.0,57
HCPCS,C1874,STENT COR 3.50X32MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.50X38MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.50X48MM,17380.0,17380.0,1911.8,17380.0,57
HCPCS,C1874,STENT COR 3.50X8MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 3.5MM 12MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3.5MM 15MM,17397.0,17397.0,1840.19,18065.0,114
HCPCS,C1874,STENT COR 3.5MM 18MM,18065.0,18065.0,1987.15,18065.0,114
HCPCS,C1874,STENT COR 3.5MM 38MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3.5MM 8MM,17397.0,17397.0,1840.19,18065.0,114
HCPCS,C1874,STENT COR 3MM 12MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3MM 15MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3MM 18MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3MM 28MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3MM 33MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 3MM 38MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 3MM 8MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 4.00 X 12MM,18768.0,18768.0,2064.48,18768.0,57
HCPCS,C1874,STENT COR 4.00 X 16MM,14922.0,14922.0,1641.42,14922.0,57
HCPCS,C1874,STENT COR 4.00 X 20MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 4.00 X 24MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 4.00 X 8MM,14922.0,14922.0,1641.42,14922.0,57
HCPCS,C1874,STENT COR 4.00MMX08MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 4.00MMX12MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 4.00MMX15MM,12593.0,12593.0,1385.23,12593.0,57
HCPCS,C1874,STENT COR 4.00MMX18MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 4.00MMX22MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 4.00MMX26MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 4.00MMX30MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 4.00MMX34MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 4.00MMX38MM,11661.0,11661.0,1282.71,11661.0,57
HCPCS,C1874,STENT COR 4.00X12MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 4.00X16MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 4.00X20MM,14665.0,14665.0,1613.15,14665.0,57
HCPCS,C1874,STENT COR 4.00X24MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.00X28MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.00X32MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.00X38MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.00X48MM,18768.0,18768.0,2064.48,18768.0,57
HCPCS,C1874,STENT COR 4.00X8MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.50 X 12MM,14922.0,14922.0,1641.42,14922.0,57
HCPCS,C1874,STENT COR 4.50 X 16MM,14922.0,14922.0,1641.42,14922.0,57
HCPCS,C1874,STENT COR 4.50 X 20MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 4.50 X 24MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 4.50 X 8MM,14922.0,14922.0,1641.42,14922.0,57
HCPCS,C1874,STENT COR 4.50MMX12MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 4.50MMX15MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 4.50MMX18MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 4.50MMX22MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 4.50MMX26MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 4.50MMX30MM,12796.0,12796.0,1407.56,12796.0,57
HCPCS,C1874,STENT COR 4.50X12MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.50X16MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.50X20MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.50X24MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 4.50X28MM,16788.0,16788.0,1846.68,16788.0,57
HCPCS,C1874,STENT COR 4.50X32MM,16788.0,16788.0,1846.68,16788.0,57
HCPCS,C1874,STENT COR 4.5X12MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 4.5X15MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 4.5X15MM 140CM,71742.0,71742.0,7891.62,71742.0,57
HCPCS,C1874,STENT COR 4.5X18MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 4.5X20MM,71742.0,71742.0,7891.62,71742.0,57
HCPCS,C1874,STENT COR 4.5X23MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 4.5X28MM,2505.0,2505.0,275.55,2505.0,57
HCPCS,C1874,STENT COR 4.5X33MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 4MM 12MM,17397.0,17397.0,1840.19,18065.0,114
HCPCS,C1874,STENT COR 4MM 15MM,18065.0,18065.0,1987.15,18065.0,114
HCPCS,C1874,STENT COR 4MM 18MM,17397.0,17397.0,1840.19,18065.0,114
HCPCS,C1874,STENT COR 4MM 23MM,19181.5,19181.5,1987.15,20298.0,114
HCPCS,C1874,STENT COR 4MM 28MM,18513.5,18513.5,1840.19,20298.0,114
HCPCS,C1874,STENT COR 4MM 33MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR 4MM 38MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR 4MM 8MM,17397.0,17397.0,1840.19,18065.0,114
HCPCS,C1874,STENT COR 5.00 X 12MM,29596.0,29596.0,3255.56,29596.0,57
HCPCS,C1874,STENT COR 5.00 X 16MM,14922.0,14922.0,1641.42,14922.0,57
HCPCS,C1874,STENT COR 5.00 X 20MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 5.00 X 24MM,12759.0,12759.0,1403.49,12759.0,57
HCPCS,C1874,STENT COR 5.00 X 8MM,14922.0,14922.0,1641.42,14922.0,57
HCPCS,C1874,STENT COR 5.00MMX12MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 5.00MMX15MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 5.00MMX18MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 5.00MMX22MM,12796.0,12796.0,1407.56,12796.0,57
HCPCS,C1874,STENT COR 5.00MMX26MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 5.00MMX30MM,13818.0,13818.0,1519.98,13818.0,57
HCPCS,C1874,STENT COR 5.00X12MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 5.00X16MM,8083.0,8083.0,889.13,8083.0,57
HCPCS,C1874,STENT COR 5.00X20MM,16788.0,16788.0,1846.68,16788.0,57
HCPCS,C1874,STENT COR 5.00X24MM,15836.0,15836.0,1741.96,15836.0,57
HCPCS,C1874,STENT COR 5.00X28MM,16788.0,16788.0,1846.68,16788.0,57
HCPCS,C1874,STENT COR 5.00X32MM,16788.0,16788.0,1846.68,16788.0,57
HCPCS,C1874,STENT COR 5X12MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 5X15MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 5X18MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 5X23MM,6590.0,6590.0,724.9,6590.0,57
HCPCS,C1874,STENT COR 5X28MM,2505.0,2505.0,275.55,2505.0,57
HCPCS,C1874,STENT COR 5X33MM,2505.0,2505.0,275.55,2505.0,57
HCPCS,C1874,STENT COR RX 2.25X12MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR RX 3.25X28MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR RX 3.5X12MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR RX 3.5X23MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR RX 3.5X28MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR RX 3.5X33MM,16729.0,16729.0,1840.19,16729.0,57
HCPCS,C1874,STENT COR RX 3X23MM,18065.0,18065.0,1987.15,18065.0,57
HCPCS,C1874,STENT COR RX 4.5X24MM,13872.0,13872.0,1525.92,13872.0,57
HCPCS,C1874,STENT COVRD 10MM 100M,53326.0,53326.0,5865.86,53326.0,57
HCPCS,C1874,STENT COVRD 8MM 40MM,53326.0,53326.0,5865.86,53326.0,57
HCPCS,C1874,STENT ENDO 6FR 135CM,63742.0,63742.0,7011.62,63742.0,171
HCPCS,C1874,STENT ENDO 7FR 135CM,63742.0,63742.0,7011.62,63742.0,57
HCPCS,C1874,STENT ENDO 7FR 8X135CM,63742.0,63742.0,7011.62,63742.0,57
HCPCS,C1874,STENT ENDO 9X29MM 135CM,63742.0,63742.0,7011.62,63742.0,57
HCPCS,C1874,STENT EPRSTH 10MM 4CM,109679.0,109679.0,12064.69,109679.0,57
HCPCS,C1874,STENT EPRSTH 10MM 5CM,109679.0,109679.0,12064.69,109679.0,57
HCPCS,C1874,STENT EPRSTH 10MM 8CM,109679.0,109679.0,12064.69,109679.0,57
HCPCS,C1874,STENT EPRSTH 10X13X29MM,63742.0,63742.0,7011.62,63742.0,57
HCPCS,C1874,STENT EPRSTH 10ZIG 5.7CM,206193.0,206193.0,22681.23,206193.0,57
HCPCS,C1874,STENT EPRSTH 11X16X29MM,63742.0,63742.0,7011.62,63742.0,57
HCPCS,C1874,STENT EPRSTH 11X16X39MM,60253.0,60253.0,6627.83,60253.0,57
HCPCS,C1874,STENT EPRSTH 12FR 2.8CM,202114.0,202114.0,22232.54,202114.0,57
HCPCS,C1874,STENT EPRSTH 14FR 3.9CM,208148.0,208148.0,22896.28,208148.0,57
HCPCS,C1874,STENT EPRSTH 14FR 4.5CM,153052.0,153052.0,16268.56,158208.0,171
HCPCS,C1874,STENT EPRSTH 5MM 2.5CM,67699.0,67699.0,7446.89,67699.0,57
HCPCS,C1874,STENT EPRSTH 5X8X19MM,56372.0,56372.0,6200.92,56372.0,57
HCPCS,C1874,STENT EPRSTH 6CM 8-10MM,109679.0,109679.0,12064.69,109679.0,57
HCPCS,C1874,STENT EPRSTH 6MM 10CM,75134.0,75134.0,8264.74,75134.0,57
HCPCS,C1874,STENT EPRSTH 7CM 8-10MM,102767.0,102767.0,11304.37,102767.0,57
HCPCS,C1874,STENT EPRSTH 7MM 10CM,72938.0,72938.0,8023.18,72938.0,57
HCPCS,C1874,STENT EPRSTH 7MM 15CM,86504.0,86504.0,9185.44,89504.0,114
HCPCS,C1874,STENT EPRSTH 7MM 5.0CM,63807.0,63807.0,7018.77,63807.0,57
HCPCS,C1874,STENT EPRSTH 7MM 5CM,64547.0,64547.0,7100.17,64547.0,57
HCPCS,C1874,STENT EPRSTH 7X11X59MM,60959.0,60959.0,6705.49,60959.0,57
HCPCS,C1874,STENT EPRSTH 7X11X79MM,65981.0,65981.0,7257.91,65981.0,57
HCPCS,C1874,STENT EPRSTH 8MM 10CM,71960.0,71960.0,7274.74,77786.0,114
HCPCS,C1874,STENT EPRSTH 8MM 15CM,86504.0,86504.0,9185.44,89504.0,114
HCPCS,C1874,STENT EPRSTH 8MM 25CM,143767.0,143767.0,15814.37,143767.0,57
HCPCS,C1874,STENT EPRSTH 8MM 5.0CM,63807.0,63807.0,7018.77,63807.0,57
HCPCS,C1874,STENT EPRSTH 9FR 3.9CM,208148.0,208148.0,22896.28,208148.0,57
HCPCS,C1874,STENT EPRSTH 9MM 5CM,64547.0,64547.0,7100.17,64547.0,57
HCPCS,C1874,STENT ERPSTH 5CM,56851.0,56851.0,6253.61,56851.0,57
HCPCS,C1874,STENT ERPSTH 8ZIG 3.9CM,145035.0,145035.0,15953.85,145035.0,57
HCPCS,C1874,STENT ERPSTH 8ZIG 4.5CM,171948.0,171948.0,18914.28,171948.0,57
HCPCS,C1874,STENT ESPH 18.5FR 18MM,45038.0,45038.0,4898.52,45544.0,228
HCPCS,C1874,STENT ESPH 18.5FR 23MM,45038.0,45038.0,4898.52,45544.0,228
HCPCS,C1874,STENT ESPH 23MM 120MM,59595.0,59595.0,6555.45,59595.0,57
HCPCS,C1874,STENT ESPH 23MM 150CM,43155.0,43155.0,4747.05,43155.0,57
HCPCS,C1874,STENT PANC 24MM 146MM,89064.0,89064.0,9797.04,89064.0,57
HCPCS,C1874,STENT PANC 29MM 146MM,101108.0,101108.0,11121.88,101108.0,57
HCPCS,C1874,STENT TRCHBR 12X30X4MM,60623.0,60623.0,6668.53,60623.0,57
HCPCS,C1874,STENT TRCHBR 12X40X4MM,60623.0,60623.0,6668.53,60623.0,57
HCPCS,C1874,STENT TRCHBR 14MM 40MMM,43155.0,43155.0,4747.05,43155.0,57
HCPCS,C1874,STENT TRCHBR 14X30X4MM,60623.0,60623.0,6668.53,60623.0,57
HCPCS,C1874,STENT TRCHBR 14X40X4MM,60623.0,60623.0,6668.53,60623.0,57
HCPCS,C1874,STENT TRCHBR 18X40X5.1MM,60623.0,60623.0,6668.53,60623.0,57
HCPCS,C1874,STENT TRCHBR 18X60X5.1MM,60623.0,60623.0,6668.53,60623.0,57
HCPCS,C1874,STENT TRCHBR 6FR 5X16MM,49238.0,49238.0,5416.18,49238.0,57
HCPCS,C1874,STENT TRCHBR 6FR 6X16MM,46543.0,46543.0,5119.73,46543.0,57
HCPCS,C1874,STENT TRCHBR 7FR 10X38MM,49760.0,49760.0,5473.6,49760.0,57
HCPCS,C1874,STENT TRCHBR 7FR 7X16MM,46543.0,46543.0,5119.73,46543.0,57
HCPCS,C1874,STENT TRCHBR 7FR 7X22MM,48580.0,48580.0,5343.8,48580.0,57
HCPCS,C1874,STENT TRCHBR 7FR 8X38MM,49760.0,49760.0,5473.6,49760.0,57
HCPCS,C1874,STENT VASC 10MM 60MM,49224.0,49224.0,5414.64,49224.0,57
HCPCS,C1874,STENT VASC 10MM 80MM,51275.0,51275.0,5640.25,51275.0,57
HCPCS,C1874,STENT VASC 6X40MM 125CM,30973.0,30973.0,3407.03,30973.0,57
HCPCS,C1874,STENT VASC 6X60MM 125CM,39409.0,39409.0,4334.99,39409.0,57
HCPCS,C1874,STENT VASC 6X80MM 125CM,39544.0,39544.0,4349.84,39544.0,57
HCPCS,C1874,STENT VASC 8FR 7MM 60MM,49224.0,49224.0,5414.64,49224.0,57
HCPCS,C1874,STENT VASC 8FR 8MM 60MM,48915.0,48915.0,5380.65,48915.0,57
HCPCS,C1874,STENT VASC 8MM 80MM,51275.0,51275.0,5640.25,51275.0,57
HCPCS,C1874,STENT VASC 9MM 60MM,49224.0,49224.0,5414.64,49224.0,57
HCPCS,C1874,STENT VASC COVRD 7X60MM,55377.0,55377.0,6091.47,55377.0,57
HCPCS,C1874,STENT VASC COVRD 8X60MM,55377.0,55377.0,6091.47,55377.0,57
HCPCS,C1874,STENT VASC COVRD 9X100MM,53326.0,53326.0,5865.86,53326.0,57
HCPCS,C1874,STNT EVOLVE IDE# G120123,1.0,1.0,0.07,1.0,71
HCPCS,C1874,STNT SFA VBHN 5X2.5X120,16671.0,16671.0,1833.81,16671.0,57
HCPCS,C1874,STNT TRCHBR 10X30X4.0MM,60623.0,60623.0,6668.53,60623.0,57
HCPCS,C1875,STENT AOR 4.5CM 18MM,158208.0,158208.0,17402.88,158208.0,57
HCPCS,C1875,STENT AORTA 14F 39MM,191833.0,191833.0,21101.63,191833.0,57
HCPCS,C1875,STENT AORTA 14F 45MM,213496.0,213496.0,23484.56,213496.0,57
HCPCS,C1875,STENT ESPH 18.5FR 23MM,47111.0,47111.0,5182.21,47111.0,57
HCPCS,C1875,STENT EVAS 14FR 6.0CM,178016.0,178016.0,19581.76,178016.0,57
HCPCS,C1876,STENT 7F 10X100MM 120CM,39544.0,39544.0,4349.84,39544.0,57
HCPCS,C1876,STENT 7F 10X60MM 80CM,31853.0,31853.0,3503.83,31853.0,57
HCPCS,C1876,STENT 7F 12X60MM 80CM,31853.0,31853.0,3503.83,31853.0,57
HCPCS,C1876,STENT BIL 10-12MM 19MM,18768.0,18768.0,2064.48,18768.0,57
HCPCS,C1876,STENT BIL 10MM 40MM,33399.0,33399.0,3673.89,33399.0,57
HCPCS,C1876,STENT BIL 10X20MM 80CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1876,STENT BIL 10X26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 14X20MM 120CM,12670.0,12670.0,1393.7,12670.0,57
HCPCS,C1876,STENT BIL 14X40MM 120CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1876,STENT BIL 4X12MM 80CM,19390.0,19390.0,2132.9,19390.0,57
HCPCS,C1876,STENT BIL 4X16MM 135CM,20550.0,20550.0,2260.5,20550.0,57
HCPCS,C1876,STENT BIL 4X17X14MM 80CM,14213.0,14213.0,1563.43,14213.0,57
HCPCS,C1876,STENT BIL 4X20MM 135CM,19390.0,19390.0,2132.9,19390.0,57
HCPCS,C1876,STENT BIL 5X12MM 135CM,18290.0,18290.0,2011.9,18290.0,57
HCPCS,C1876,STENT BIL 5X15X11MM,16472.0,16472.0,1704.45,17449.0,114
HCPCS,C1876,STENT BIL 5X16MM 135CM,18290.0,18290.0,2011.9,18290.0,57
HCPCS,C1876,STENT BIL 5X17X14MM,15495.0,15495.0,1704.45,15495.0,57
HCPCS,C1876,STENT BIL 5X20MM 120CM,20037.0,20037.0,2204.07,20037.0,57
HCPCS,C1876,STENT BIL 5X20MM 135CM,19390.0,19390.0,2132.9,19390.0,57
HCPCS,C1876,STENT BIL 6FR 4MM 19MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 6FR 5MM 15MM,14667.0,14667.0,1613.37,14667.0,57
HCPCS,C1876,STENT BIL 6FR 5MM 19MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 6FR 6MM 14MM,14667.0,14667.0,1613.37,14667.0,57
HCPCS,C1876,STENT BIL 6FR 6MM 18MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 6FR 8MM 57MM,17468.0,17468.0,1921.48,17468.0,57
HCPCS,C1876,STENT BIL 6MM 18MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 6MM 26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 6X12MM 135CM,18290.0,18290.0,2011.9,18290.0,57
HCPCS,C1876,STENT BIL 6X14X80,14213.0,14213.0,1563.43,14213.0,57
HCPCS,C1876,STENT BIL 6X15X11MM 80CM,17449.0,17449.0,1919.39,17449.0,57
HCPCS,C1876,STENT BIL 6X16MM 135CM,18290.0,18290.0,2011.9,18290.0,57
HCPCS,C1876,STENT BIL 6X20MM 135CM,19390.0,19390.0,2132.9,19390.0,57
HCPCS,C1876,STENT BIL 6X20X17MM 80CM,14213.0,14213.0,1563.43,14213.0,57
HCPCS,C1876,STENT BIL 6X23MM 135CM,16461.0,16461.0,1810.71,16461.0,57
HCPCS,C1876,STENT BIL 7FR 10MM 6CM,28873.0,28873.0,3176.03,28873.0,57
HCPCS,C1876,STENT BIL 7MM 18MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 7MM 26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 7X11MM 80CM,16461.0,16461.0,1810.71,16461.0,57
HCPCS,C1876,STENT BIL 7X12MM 135CM,18290.0,18290.0,2011.9,18290.0,57
HCPCS,C1876,STENT BIL 7X16MM 135CM,19390.0,19390.0,2132.9,19390.0,57
HCPCS,C1876,STENT BIL 7X17X14MM 80CM,14554.0,14554.0,1600.94,14554.0,57
HCPCS,C1876,STENT BIL 7X20MM 80CM,18166.0,18166.0,1998.26,18166.0,57
HCPCS,C1876,STENT BIL 7X20X17MM 80CM,14213.0,14213.0,1563.43,14213.0,57
HCPCS,C1876,STENT BIL 8.5FR 60X10MM,45654.0,45654.0,5021.94,45654.0,57
HCPCS,C1876,STENT BIL 8F 8X16MM 80CM,43546.0,43546.0,4790.06,43546.0,57
HCPCS,C1876,STENT BIL 8F 8X24MM 80CM,18290.0,18290.0,2011.9,18290.0,57
HCPCS,C1876,STENT BIL 8F 8X30MM 80CM,18002.0,18002.0,1980.22,18002.0,57
HCPCS,C1876,STENT BIL 8FR 10X60MM,33399.0,33399.0,3673.89,33399.0,57
HCPCS,C1876,STENT BIL 8FR 10X80MM,33399.0,33399.0,3673.89,33399.0,57
HCPCS,C1876,STENT BIL 8FR 8X100MM,33399.0,33399.0,3673.89,33399.0,57
HCPCS,C1876,STENT BIL 8FR 8X60MM,33399.0,33399.0,3673.89,33399.0,57
HCPCS,C1876,STENT BIL 8MM 18MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 8MM 26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 8X17MM 135CM,14554.0,14554.0,1600.94,14554.0,57
HCPCS,C1876,STENT BIL 8X17X14MM 80CM,17449.0,17449.0,1919.39,17449.0,57
HCPCS,C1876,STENT BIL 9MM 17MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 9MM 26MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BIL 9X20MM 120CM,12670.0,12670.0,1393.7,12670.0,57
HCPCS,C1876,STENT BIL 9X20X17MM 80CM,17449.0,17449.0,1919.39,17449.0,57
HCPCS,C1876,STENT BIL 9X30MM 120CM,12670.0,12670.0,1393.7,12670.0,57
HCPCS,C1876,STENT BILI 8X30MM 120CM,13964.0,13964.0,1536.04,13964.0,57
HCPCS,C1876,STENT BL 10MM 17MM 120CM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT BLDR 1.5-3.5CM 5FR,4830.0,4830.0,531.3,4830.0,57
HCPCS,C1876,STENT CLN 22X90MM 270CM,50504.0,50504.0,5555.44,50504.0,57
HCPCS,C1876,STENT COR 3X12MM,15296.0,15296.0,1682.56,15296.0,57
HCPCS,C1876,STENT COR 3X15MM,15296.0,15296.0,1682.56,15296.0,57
HCPCS,C1876,STENT COR 3X9MM,15296.0,15296.0,1682.56,15296.0,57
HCPCS,C1876,STENT COR 4.5MM 13MM,13444.0,13444.0,1478.84,13444.0,57
HCPCS,C1876,STENT COR 5MM 13MM,13444.0,13444.0,1478.84,13444.0,57
HCPCS,C1876,STENT COR RX 2.75X15MM,13579.0,13579.0,1493.69,13579.0,57
HCPCS,C1876,STENT COR RX 3.5X12MM,29329.0,29329.0,3226.19,29329.0,57
HCPCS,C1876,STENT COR RX 3.5X8MM,29329.0,29329.0,3226.19,29329.0,57
HCPCS,C1876,STENT COR RX 4X12MM,29329.0,29329.0,3226.19,29329.0,57
HCPCS,C1876,STENT COR RX 4X8MM,29329.0,29329.0,3226.19,29329.0,57
HCPCS,C1876,STENT CRN 4.5MM 30MM,239100.0,239100.0,26301.0,239100.0,57
HCPCS,C1876,STENT CRN 4MM 12MM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1876,STENT CTD 5MM 30MM,39540.0,39540.0,4349.4,39540.0,57
HCPCS,C1876,STENT CTD 6MM 30MM,31088.0,31088.0,3419.68,31088.0,57
HCPCS,C1876,STENT CTD 6MM 40MM,39540.0,39540.0,4349.4,39540.0,57
HCPCS,C1876,STENT CTD 7MM 30MM,32588.0,32588.0,3584.68,32588.0,57
HCPCS,C1876,STENT CTD 7MM 40MM,39540.0,39540.0,4349.4,39540.0,57
HCPCS,C1876,STENT CTD 8MM 40MM,32588.0,32588.0,3584.68,32588.0,57
HCPCS,C1876,STENT DUODENAL 22MM 60MM,50504.0,50504.0,5555.44,50504.0,57
HCPCS,C1876,STENT DUODENAL 22MM 90MM,53428.0,53428.0,5877.08,53428.0,57
HCPCS,C1876,STENT DUODENAL 22X120MM,50504.0,50504.0,5555.44,50504.0,57
HCPCS,C1876,STENT DVTR FLW 4X17MM,239100.0,239100.0,26301.0,239100.0,57
HCPCS,C1876,STENT DVTR FLW 5.0X30MM,183910.0,183910.0,20230.1,183910.0,57
HCPCS,C1876,STENT ILIOFEM 14X120MM,29284.0,29284.0,3221.24,29284.0,57
HCPCS,C1876,STENT ILIOFEM 14X60MM,37563.0,37563.0,4131.93,37563.0,57
HCPCS,C1876,STENT ILIOFEM 14X80MM,37563.0,37563.0,4131.93,37563.0,57
HCPCS,C1876,STENT INTRCR 3.0MM 21MM,152611.0,152611.0,16787.21,152611.0,57
HCPCS,C1876,STENT INTRCR 3.0MM 24MM,180411.0,180411.0,19845.21,180411.0,57
HCPCS,C1876,STENT INTRCR 4.0MM 21MM,180411.0,180411.0,19845.21,180411.0,57
HCPCS,C1876,STENT INTRCR 4.0MM 24MM,180411.0,180411.0,19845.21,180411.0,57
HCPCS,C1876,STENT INTRCR 4.5MM 30MM,180411.0,180411.0,19845.21,180411.0,57
HCPCS,C1876,STENT PLMN 10-12MM 19MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1876,STENT TRCHBR 25MM 16FR,32963.0,32963.0,3625.93,32963.0,57
HCPCS,C1876,STENT TRCHBR 6FR 6X22MM,48580.0,48580.0,5343.8,48580.0,57
HCPCS,C1876,STENT VASC 10X27MM 135CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1876,STENT VASC 3.75MM 20MM,275399.0,275399.0,30293.89,275399.0,57
HCPCS,C1876,STENT VASC 4.5MM 21MM,180411.0,180411.0,19845.21,180411.0,57
HCPCS,C1876,STENT VASC 4.75MM 20MM,275399.0,275399.0,30293.89,275399.0,57
HCPCS,C1876,STENT VASC 4X15MM,275399.0,275399.0,30293.89,275399.0,57
HCPCS,C1876,STENT VASC 5.5MM 80MM,39544.0,39544.0,4349.84,39544.0,57
HCPCS,C1876,STENT VASC 6X16MM 63CM,447320.0,447320.0,49205.2,447320.0,57
HCPCS,C1876,STENT VASC 6X20MM 120CM,18376.5,18376.5,1850.64,19929.0,114
HCPCS,C1876,STENT VASC 7X20MM 120CM,17912.0,17912.0,1970.32,17912.0,57
HCPCS,C1876,STENT VASC 7X20MM 120MM,19929.0,19929.0,2192.19,19929.0,57
HCPCS,C1876,STENT VASC 7X20MM 80CM,16824.0,16824.0,1850.64,16824.0,57
HCPCS,C1876,STENT VASC 7X27MM 135CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1876,STENT VASC 8X20MM 120CM,19983.0,19983.0,2192.19,20037.0,114
HCPCS,C1876,STENT VASC 8X20MM 80CM,17912.0,17912.0,1970.32,17912.0,57
HCPCS,C1876,STENT VASC 8X27MM 135CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1876,STENT VASC 9X17MM 135CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1876,STENT VASC 9X27MM 135CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1876,STENT VSC 10X29MM 135CM,21088.0,21088.0,2319.68,21088.0,57
HCPCS,C1876,STENT WINGSPAN 3.5X20,81505.0,81505.0,8965.55,81505.0,57
HCPCS,C1876,STNT BIL 10X20X16MM 80CM,14213.0,14213.0,1563.43,14213.0,57
HCPCS,C1876,STNT BIL GNSOP 6X38X135,10469.0,10469.0,1151.59,10469.0,57
HCPCS,C1876,STNT VASC 10X17MM 135CM,16251.0,16251.0,1787.61,16251.0,57
HCPCS,C1877,STENT BIL 10-12 25MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1877,STENT BIL 10-12 29MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1877,STENT BIL 10-12 39MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1877,STENT BIL 10-12MM 39MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1877,STENT BIL 10-12X25MM,15469.0,15469.0,1701.59,15469.0,57
HCPCS,C1877,STENT BIL 10-12X29MM,13358.0,13358.0,1469.38,13358.0,57
HCPCS,C1877,STENT BIL 10X30MM,18915.0,18915.0,2080.65,18915.0,57
HCPCS,C1877,STENT BIL 10X40MM,18915.0,18915.0,2080.65,18915.0,57
HCPCS,C1877,STENT BIL 10X50MM,18915.0,18915.0,2080.65,18915.0,57
HCPCS,C1877,STENT BIL 3.8MM 16MM,15259.0,15259.0,1678.49,15259.0,57
HCPCS,C1877,STENT BIL 3.8MM 26MM,15259.0,15259.0,1678.49,15259.0,57
HCPCS,C1877,STENT BIL 3.8MM 36MM,15259.0,15259.0,1678.49,15259.0,57
HCPCS,C1877,STENT BIL 4.5MM 36MM,15259.0,15259.0,1678.49,15259.0,57
HCPCS,C1880,FILTER EMBL 35MM JUG 30M,18074.0,18074.0,1988.14,18074.0,57
HCPCS,C1880,FILTER VENACAV 49MM 65CM,23065.0,23065.0,2537.15,23065.0,57
HCPCS,C1880,FLTR VC SYS LD 40DL,24229.0,24229.0,2665.19,24229.0,57
HCPCS,C1880,KIT FILTER IVC 5FR 70CM,25688.0,25688.0,2825.68,25688.0,57
HCPCS,C1882,CRT DEFIB CARD 71X51X12,261225.0,261225.0,28734.75,261225.0,57
HCPCS,C1882,CRT-D CRD 5.37X8.18CM,234906.0,234906.0,25839.66,234906.0,57
HCPCS,C1882,CRTD HF MRI IS1 DF1,276939.0,276939.0,30463.29,276939.0,57
HCPCS,C1882,CRTD XT MRI IS1 DF1,261286.0,261286.0,28741.46,261286.0,57
HCPCS,C1882,CRTD XT MRI IS1 DF4,246536.0,246536.0,27118.96,246536.0,57
HCPCS,C1882,CRTD XT MRI QUAD DF4,261286.0,261286.0,28741.46,261286.0,57
HCPCS,C1883,ADAPTER LD CHANNEL 10CM,20448.0,20448.0,2249.28,20448.0,57
HCPCS,C1883,KIT LEAD PERC EXT 4.32MM,3992.0,3992.0,439.12,3992.0,57
HCPCS,C1883,XTN NRSTM PERC 2.16MM,3802.0,3802.0,418.22,3802.0,57
HCPCS,C1884,SYSTEM EMB 5.0MM 190CM,24027.0,24027.0,1681.89,24027.0,71
HCPCS,C1886,CATH BRNCHL THERMO 5MM,41425.0,41425.0,2899.75,41425.0,71
HCPCS,C1886,KIT PROBE ABL 17G 7MM,50618.0,50618.0,3543.26,50618.0,71
HCPCS,C1886,PROBE ABL 17GA 10MM,50618.0,50618.0,3543.26,50618.0,71
HCPCS,C1886,PROBE KIT 17G 20MM,50618.0,50618.0,3543.26,50618.0,71
HCPCS,C1886,PROBE RF ABL 17GA 20MM,64710.0,64710.0,4529.7,64710.0,71
HCPCS,C1886,PROBE RF ABLAT 17GA 10MM,64710.0,64710.0,4529.7,64710.0,71
HCPCS,C1886,PROBE RF ABLAT 17GA 15MM,64710.0,64710.0,4529.7,64710.0,71
HCPCS,C1886,PROBE RF ABLAT 17GA 7MM,64710.0,64710.0,4529.7,64710.0,71
HCPCS,C1886,PROBE RF DISP 17G 15MM,50618.0,50618.0,3543.26,50618.0,71
HCPCS,C1887,CATH ANG 80CM 5FR GD-LUB,1874.0,1874.0,131.18,1874.0,71
HCPCS,C1887,CATH ANGIO 2.0MM 100CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CATH ANGIO 4FR 100CM,2032.0,2032.0,142.24,2032.0,71
HCPCS,C1887,CATH ANGIO 5F 80CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CATH ANGIO 5FR 100CM,2032.0,2032.0,142.24,2032.0,71
HCPCS,C1887,CATH ANGIO 6FR 80CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH ANGIO 6FR 90CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CATH ANGIO CRV 6FR 4MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CATH DLV SYS 115CM 45TIP,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH DLV SYS 5FR 120CM,4610.0,4610.0,322.7,4610.0,71
HCPCS,C1887,CATH DLY SYS 5FR 130CM,4610.0,4610.0,322.7,4610.0,71
HCPCS,C1887,CATH EP COAXIAL BMC,6858.0,6858.0,480.06,6858.0,71
HCPCS,C1887,CATH GD .46IN 125CM,24990.0,24990.0,1749.3,24990.0,71
HCPCS,C1887,CATH GD 1.5FR 135CM,4498.0,4498.0,314.86,4498.0,71
HCPCS,C1887,CATH GD 1.5FR 150CM,7875.0,7875.0,551.25,7875.0,71
HCPCS,C1887,CATH GD 1.8FR 135CM,7875.0,7875.0,551.25,7875.0,71
HCPCS,C1887,CATH GD 105CM,42192.0,42192.0,2953.44,42192.0,71
HCPCS,C1887,CATH GD 2.1FR 156CM,13716.0,13716.0,960.12,13716.0,71
HCPCS,C1887,CATH GD 2.5FR 150CM,7943.0,7943.0,556.01,7943.0,71
HCPCS,C1887,CATH GD 3.1FR 135CM,5622.0,5622.0,393.54,5622.0,71
HCPCS,C1887,CATH GD 4FR 135CM,5623.0,5623.0,393.61,5623.0,142
HCPCS,C1887,CATH GD 5.5FR 150CM,8573.0,8573.0,600.11,8573.0,71
HCPCS,C1887,CATH GD 5FR 125CM,21661.0,21661.0,1516.27,21661.0,71
HCPCS,C1887,CATH GD 5FR 150CM,26430.0,26430.0,1850.1,26430.0,71
HCPCS,C1887,CATH GD 5FR 55CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD 5FR 90CM,9218.0,9218.0,645.26,9218.0,71
HCPCS,C1887,CATH GD 6FR 100CM,1768.0,1768.0,111.93,9218.0,1065
HCPCS,C1887,CATH GD 6FR 110CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CATH GD 7.1FR 65CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CATH GD 7FR 43CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CATH GD 9FR 50CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH GD AL2 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD ALR1 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CATH GD CTLST 112CM .058,28786.0,28786.0,2015.02,28786.0,71
HCPCS,C1887,CATH GD DEL ASSIST,16355.0,16355.0,1144.85,16355.0,71
HCPCS,C1887,CATH GD EB3.75 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD EBU3 5FR 100CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CATH GD EBU3.5 5FR 100CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CATH GD EBU3.5 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD EBU4 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CATH GD IMA 6FR 90CM,1676.0,1676.0,113.4,1732.0,142
HCPCS,C1887,CATH GD INFS 2.8FR 15CM,20713.0,20713.0,1449.91,20713.0,71
HCPCS,C1887,CATH GD MIC 135CM,16156.0,16156.0,1130.92,16156.0,71
HCPCS,C1887,CATH GD MP1 6FR 100CM,1874.0,1874.0,131.18,1874.0,142
HCPCS,C1887,CATH GD MP1 6FR 55CM,1768.0,1768.0,123.76,1768.0,71
HCPCS,C1887,CATH GD MP1 7FR 55CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD MP2 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD QCKCX 3.2F 150CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CATH GD RCB 6FR 100CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CATH GD SINUS TIP F-70C,8797.0,8797.0,615.79,8797.0,71
HCPCS,C1887,CATH GD SINUS TIP M-110,8797.0,8797.0,615.79,8797.0,71
HCPCS,C1887,CATH GD SINUS TIP S-0,8459.0,8459.0,592.13,8459.0,71
HCPCS,C1887,CATH GD STD 5FR 55CM,1768.0,1768.0,123.76,1768.0,71
HCPCS,C1887,CATH GD STD 6FR 100CM,1599.0,1599.0,111.93,1599.0,142
HCPCS,C1887,CATH GD STD 7FR 55CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD STDJL3 5FR 100CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD STDJL4 6FR 100CM,1732.0,1732.0,121.24,1732.0,142
HCPCS,C1887,CATH GD STDJR4 5FR 100CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD STDJR4 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD STDJR4 6FR 55CM,1768.0,1768.0,123.76,1768.0,71
HCPCS,C1887,CATH GD VASC 165CM,12030.0,12030.0,842.1,12030.0,71
HCPCS,C1887,CATH GD VASC 6FR 100CM,1732.0,1732.0,121.24,1732.0,71
HCPCS,C1887,CATH GD VASC 9MM 110CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH GD VASC.058IN 115CM,28786.0,28786.0,2015.02,28786.0,71
HCPCS,C1887,CATH GLIDE ANGLED 120CM,2032.0,2032.0,142.24,2032.0,71
HCPCS,C1887,CATH INFS 1.5/2.7F 1.5CM,29744.0,29744.0,2082.08,29744.0,71
HCPCS,C1887,CATH INFS MIC 90D 14IN,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH INTVN 2.4-2.9FR,8459.0,8459.0,592.13,8459.0,71
HCPCS,C1887,CATH INTVN 2.8F 150CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH INTVN MCTH 2.8-3FR,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH INTVN MIC 2.8FR 100,8246.0,8246.0,577.22,8246.0,71
HCPCS,C1887,CATH INTVN MIC 2.8FR 150,8246.0,8246.0,577.22,8246.0,71
HCPCS,C1887,CATH INTVN.021 5FR 100CM,7943.0,7943.0,556.01,7943.0,71
HCPCS,C1887,CATH LUBIN 7FR,1968.0,1968.0,137.76,1968.0,71
HCPCS,C1887,CATH MICRO 2.4FR 130CM,10082.0,10082.0,705.74,10082.0,71
HCPCS,C1887,CATH MICRO 2.4FR 150CM,10082.0,10082.0,705.74,10082.0,71
HCPCS,C1887,CATH MICRO VASC 2F 130CM,13919.0,13919.0,974.33,13919.0,71
HCPCS,C1887,CATH SUPP 135CM 12MM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CATH SUPPORT 12MM 90CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CATH SYS 130CM 5FR .04IN,4610.0,4610.0,322.7,4610.0,71
HCPCS,C1887,CATH TRNPK LP 150CM MLTS,6311.0,6311.0,441.77,6311.0,71
HCPCS,C1887,CATH VA 0.57X0.8MM 150CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH VASC 0.060INX132CM,41242.0,41242.0,2886.94,41242.0,71
HCPCS,C1887,CATH VASC 10MCR 150CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,CATH VASC 2.4F 125CM,40365.0,40365.0,2825.55,40365.0,71
HCPCS,C1887,CATH VASC 2.4FR 125CM,41359.0,41359.0,2895.13,41359.0,71
HCPCS,C1887,CATH VASC 2.7F 165CM,29744.0,29744.0,2082.08,29744.0,71
HCPCS,C1887,CATH VASC 6CM 150CM,16589.0,16589.0,1161.23,16589.0,71
HCPCS,C1887,CATH VASC 90D 6.0X150CM,17893.0,17893.0,1252.51,17893.0,71
HCPCS,C1887,CATH VASC GD 17F 33CM,14913.0,14913.0,1043.91,14913.0,71
HCPCS,C1887,CATH VASC MCR 5F 130CM,4610.0,4610.0,322.7,4610.0,71
HCPCS,C1887,CATH VASC STRT 6.0X150CM,17893.0,17893.0,1252.51,17893.0,71
HCPCS,C1887,CATHETER GD 100CM 6FR,7381.0,7381.0,516.67,7381.0,71
HCPCS,C1887,CATHETER GD 115CM 5FR,21661.0,21661.0,1516.27,21661.0,71
HCPCS,C1887,CATHETER GD 6FR 150CM,8573.0,8573.0,600.11,8573.0,71
HCPCS,C1887,CATHETER GD CRV 9FR,8563.0,8563.0,599.41,8563.0,71
HCPCS,C1887,CATHETER GD VASC 150CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CATHGD CX 2.6FR 150CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CHNNL WKG 180D 1069.5MM,11765.0,11765.0,823.55,11765.0,71
HCPCS,C1887,CTHDX BRMN 4F 50,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1887,CTHDX GLD 4F MPA,2032.0,2032.0,142.24,2032.0,71
HCPCS,C1887,CTHGD 4F JR2 SFT 100,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,CTHGD GLD JB2 5FR 100X40,1899.0,1899.0,132.93,1899.0,71
HCPCS,C1887,CTHGD INFS CRMC 4X5X100,1067.0,1067.0,74.69,1067.0,71
HCPCS,C1887,CTHGD TRVO18 2.7F 150CM,11604.0,11604.0,812.28,11604.0,71
HCPCS,C1887,CTHGD VBT 6F 070 JR4 55,1981.0,1981.0,138.67,1981.0,71
HCPCS,C1887,CTHGD VBT 6X070JL4.5 100,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1887,INTRO SHTH 6F 6CM 95CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,MCTH INFS 2.4FR 130CM,11144.5,11144.5,760.13,11430.0,213
HCPCS,C1887,MCTH INFS 20CM 135CM,6365.0,6365.0,445.55,6365.0,71
HCPCS,C1887,MCTH INFS 20CM 150CM,6365.0,6365.0,445.55,6365.0,71
HCPCS,C1887,SET BX NDL ACC 18G 100,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,SET CATH NDL GD 16FR,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1887,SIM2 M 67025290,9218.0,9218.0,645.26,9218.0,71
HCPCS,C1892,ADAPTER INTRO SEAL 9FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1892,INTRDCR TWY MSLD3F.018IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1892,INTRDCR TWY PED 2FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1892,INTRO CATH PLWY 10F 15CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1892,INTRO SHTH 038 14F 10CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1892,INTRO SHTH 6FR 13CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1892,INTRO SHTH 7FR 13CM,1768.0,1768.0,123.76,1768.0,71
HCPCS,C1892,INTRO SHTH 7FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1892,INTRO SHTH 7FR 25CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1892,INTRO SHTH 9.5FR 13CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1892,INTRO SHTH 9FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1892,INTRO VASC 18G 23CM 60CM,2174.0,2174.0,152.18,2174.0,71
HCPCS,C1892,INTRODCR SPLTBL 8FR 13CM,1768.0,1768.0,123.76,1768.0,71
HCPCS,C1892,INTRODUCER LD 13CM 8FR S,2437.0,2437.0,170.59,2437.0,71
HCPCS,C1892,KIT SHTH 6FR 13CM,2299.0,2299.0,160.93,2299.0,71
HCPCS,C1892,SHEATH 402-609X,512.0,512.0,35.84,512.0,71
HCPCS,C1892,SHEATH INTRO 10.5FR 13CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1892,SHEATH PELL 7FR 30CM,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1892,SHTH INTRO SPLT 9FR 13CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1892,SHTH PLVTW 10FR 30CM,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1892,SHTH PLWY 8F 30,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1892,SHTH PLWY 9F 30,2811.0,2811.0,196.77,2811.0,71
HCPCS,C1892,SHTH PLWY 9FR .038IN30CM,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1892,SHTH SET PLWY 5F,1987.0,1987.0,139.09,1987.0,71
HCPCS,C1892,SYSTEM INTRO 7FR 19.5CM,1949.0,1949.0,136.43,1949.0,71
HCPCS,C1893,INTR SHTH GW 3.3F .018IN,1874.0,1874.0,131.18,1874.0,71
HCPCS,C1893,INTRO GD 8.5F .038 63CM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1893,INTRO GUID 10FR 63CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1893,INTRO GUID 8.5FR 63CM,4910.0,4910.0,343.7,4910.0,213
HCPCS,C1893,INTRO GUID 8.5FR 67CM,1874.0,1874.0,131.18,1874.0,71
HCPCS,C1893,INTRO GUID 8FR 60CM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1893,INTRO GUID 8FR 63CM,4910.0,4910.0,343.7,4910.0,355
HCPCS,C1893,INTRO GUID 8FR 67CM,4910.0,4910.0,343.7,4910.0,142
HCPCS,C1893,INTRO SHTH 8.5F 45D 63CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1893,INTRO SHTH 8.5FR 63CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1893,INTRO SHTH 8FR 63CM,4629.0,4629.0,304.36,4910.0,142
HCPCS,C1893,INTRO SHTH 8FR 81CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1893,INTRO SHTH GD 8.5FR 63CM,4910.0,4910.0,343.7,4910.0,71
HCPCS,C1893,SHEATH INTRO 4F 7.5CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1893,SHEATH INTRO 5F 7.5CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1893,SHEATH WIRE 8.5F 180CM,16073.0,16073.0,1125.11,16073.0,71
HCPCS,C1893,SHTH HDRPH ENDOAVF ACS,7308.0,7308.0,511.56,7308.0,71
HCPCS,C1894,CATH GD 6.5MM 105MM,27533.0,27533.0,1927.31,27533.0,71
HCPCS,C1894,CATH INTRO 4F 21G 11X4CM,2193.0,2193.0,153.51,2193.0,71
HCPCS,C1894,CATH PRFSN 5FR 24IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,CTH KIT CHLGRM ESCPC 5FR,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1894,CTH RXB SHTH 6F 032,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,CTH URET 8FR DIL,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1894,GD WIRE 22GA 7FR 18CM,2567.0,2567.0,179.69,2567.0,71
HCPCS,C1894,GDCATH LIVER 41CM 10FR,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,GWIRE VASC 210CM,4440.0,4440.0,310.8,4440.0,71
HCPCS,C1894,INTO CATH 22GA,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,INTR SHTH PED 3.3FR5CM,5715.0,5715.0,400.05,5715.0,71
HCPCS,C1894,INTR0 PLWY 8FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRDCR CATH 55CM 4FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,INTRDCR SHTH ANSL 45 4FR,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,INTRDCR T34C KYPHON,7379.0,7379.0,516.53,7379.0,71
HCPCS,C1894,INTRO 10FR SHTH,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,INTRO CATH 12FR 30CM,2305.0,2305.0,161.35,2305.0,71
HCPCS,C1894,INTRO CATH 14FR 30CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,INTRO CATH 6FR 55CM,1893.0,1893.0,132.51,1893.0,71
HCPCS,C1894,INTRO CATH PTFE 14FR,7430.0,7430.0,520.1,7430.0,71
HCPCS,C1894,INTRO CATH PTFE 7FR,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,INTRO CATH PTFR 5FR PERC,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,INTRO FLXR 10FX80 LGCKFL,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1894,INTRO PW 18F 15.5CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRO SET 9FR 13CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,INTRO SHEATH 10FR 33CM,11271.5,11271.5,659.33,13124.0,284
HCPCS,C1894,INTRO SHEATH 12FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRO SHEATH 14FR 65CM,13124.0,13124.0,918.68,13124.0,71
HCPCS,C1894,INTRO SHEATH 15F 15.5CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRO SHEATH 15FR 33CM,9419.0,9419.0,659.33,9419.0,71
HCPCS,C1894,INTRO SHEATH 16FR 33CM,9602.0,9602.0,672.14,9602.0,71
HCPCS,C1894,INTRO SHEATH 16FR 65CM,13124.0,13124.0,918.68,13124.0,71
HCPCS,C1894,INTRO SHEATH 18FR 33CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,INTRO SHEATH 18FR 65CM,13124.0,13124.0,918.68,13124.0,71
HCPCS,C1894,INTRO SHEATH 22FR 33CM,11433.0,11433.0,800.31,11433.0,142
HCPCS,C1894,INTRO SHEATH 22FR 65CM,13124.0,13124.0,918.68,13124.0,71
HCPCS,C1894,INTRO SHEATH 24FR 33CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,INTRO SHEATH 24FR 65CM,13124.0,13124.0,918.68,13124.0,71
HCPCS,C1894,INTRO SHEATH 26FR 33CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,INTRO SHEATH 26FR 65CM,13124.0,13124.0,918.68,13124.0,71
HCPCS,C1894,INTRO SHEATH NTNL 5FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,INTRO SHEATH NTNL 6FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,INTRO SHTH 10F 20X15.5CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRO SHTH 10FR 40CM,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1894,INTRO SHTH 11FR 10CM,640.0,640.0,44.8,640.0,71
HCPCS,C1894,INTRO SHTH 11FR 11CM,512.0,512.0,35.84,512.0,71
HCPCS,C1894,INTRO SHTH 12F 45CM,2661.0,2661.0,186.27,2661.0,71
HCPCS,C1894,INTRO SHTH 12FR 4.1MM 80,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1894,INTRO SHTH 12FR 63CM TIP,3317.0,3317.0,232.19,3317.0,71
HCPCS,C1894,INTRO SHTH 16FR 30CM,2324.0,2324.0,162.68,2324.0,71
HCPCS,C1894,INTRO SHTH 16FR 35CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,INTRO SHTH 16FR 42CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,INTRO SHTH 18FR 30CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,INTRO SHTH 20FR 13CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRO SHTH 22FR 20X13CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRO SHTH 24FR 13CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRO SHTH 26FR 13CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRO SHTH 5.3MM 70CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,INTRO SHTH 5.5FR 65CM,1987.0,1987.0,139.09,1987.0,71
HCPCS,C1894,INTRO SHTH 5FR 11CM,512.0,512.0,35.84,512.0,71
HCPCS,C1894,INTRO SHTH 5FR 45CM,2942.0,2942.0,205.94,2942.0,71
HCPCS,C1894,INTRO SHTH 6FR 85CM,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,INTRO SHTH 7FR 30CM,1893.0,1893.0,132.51,1893.0,71
HCPCS,C1894,INTRO SHTH 7FR 6CM,1369.0,1369.0,95.83,1369.0,71
HCPCS,C1894,INTRO SHTH 8FR 10MM 6CM,29826.0,29826.0,2087.82,29826.0,71
HCPCS,C1894,INTRO SHTH 8FR 75CM,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,INTRO SHTH 9FR 63CM,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,INTRO SHTH ANSL 5FR 55CM,2661.0,2661.0,186.27,2661.0,71
HCPCS,C1894,INTRO SHTH ANSL 6FR 55CM,2661.0,2661.0,186.27,2661.0,71
HCPCS,C1894,INTRO SHTH ANSL 8FR 55CM,2661.0,2661.0,186.27,2661.0,71
HCPCS,C1894,INTRO SHTH GD 6FR 45CM,2549.0,2549.0,178.43,2549.0,71
HCPCS,C1894,INTRO SHTH MCRO 4F 40X10,375.0,375.0,26.25,375.0,71
HCPCS,C1894,INTRO SHTH MLN 12F 85,3317.0,3317.0,232.19,3317.0,71
HCPCS,C1894,INTRO SHTH NRN MP 4X80,10402.0,10402.0,728.14,10402.0,71
HCPCS,C1894,INTRO SHTH NRN MP 4X90,10402.0,10402.0,728.14,10402.0,71
HCPCS,C1894,INTRO SUPRPUB 12FR 17CM,4528.0,4528.0,316.96,4528.0,71
HCPCS,C1894,INTRODUCER ENDO 19FR,8236.0,8236.0,576.52,8236.0,71
HCPCS,C1894,INTRODUCER ORTH SZ3,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,INTRODUCER SHTH 10FR 11C,512.0,512.0,35.84,512.0,71
HCPCS,C1894,INTRODUCER SHTH 14FR MLN,3879.0,3879.0,271.53,3879.0,71
HCPCS,C1894,INTRODUCER SHTH 16F 45CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,INTRODUCER SHTH 5FR 10CM,1619.0,1619.0,50.82,2512.0,142
HCPCS,C1894,INTRODUCER SHTH 6FR 23CM,1471.0,1471.0,102.97,1471.0,71
HCPCS,C1894,INTRODUCER SHTH 6FR 55CM,2661.0,2661.0,186.27,2661.0,71
HCPCS,C1894,INTRODUCER SHTH 6FR 90CM,4157.0,4157.0,290.99,4157.0,71
HCPCS,C1894,INTRODUCER SHTH 7FR 55CM,2661.0,2661.0,186.27,2661.0,71
HCPCS,C1894,INTRODUCER SHTH 8FR 63CM,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,INTRODUCER SHTH MLN 5FR,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,INTRODUCER SHTH16FR 15.5,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,INTRODUCER SUPRPUB 10FR,4528.0,4528.0,316.96,4528.0,71
HCPCS,C1894,INTRODUCER SUPRPUB 14FR,4528.0,4528.0,316.96,4528.0,71
HCPCS,C1894,INTRODUCR 16X20F17X20CM,4528.0,4528.0,316.96,4528.0,71
HCPCS,C1894,INTRODUCR SHTH 14FR 85CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,INTROSHTH 8F .038IN 10CM,640.0,640.0,44.8,640.0,71
HCPCS,C1894,KIT CATH 9FR 11.5CM,5623.0,5623.0,393.61,5623.0,71
HCPCS,C1894,KIT CATH INTRO 6FR 10CM,3524.0,3524.0,246.68,3524.0,71
HCPCS,C1894,KIT INTRO 25FR 50CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,KIT INTRO 5FR 21GA 10CM,2062.0,2062.0,144.34,2062.0,71
HCPCS,C1894,KIT INTRO 5FR 35CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,KIT INTRO 6FR 20CM,2024.0,2024.0,141.68,2024.0,71
HCPCS,C1894,KIT LEAD INTRO NEURO,5990.0,5990.0,419.3,5990.0,71
HCPCS,C1894,KIT MINTRDCR 4FR 10CM,1151.0,1151.0,80.57,1151.0,71
HCPCS,C1894,KIT MINTRDCR 5FR .018IN,1212.0,1212.0,84.84,1212.0,71
HCPCS,C1894,KIT MINTRDCR 5FR 10CM,1439.0,1439.0,89.53,1599.0,142
HCPCS,C1894,KIT SHTH 4FR 11CM,1586.0,1586.0,111.02,1586.0,71
HCPCS,C1894,KIT SHTH 6FR 11CM,1485.0,1485.0,103.95,1485.0,71
HCPCS,C1894,KIT SHTH 7FR 11CM,1485.0,1485.0,103.95,1485.0,71
HCPCS,C1894,KIT VASC ACC 100CM,4311.0,4311.0,301.77,4311.0,71
HCPCS,C1894,KT INTRO SHTH 6FR 10CM,2062.0,2062.0,144.34,2062.0,71
HCPCS,C1894,SET BX TLAB 19GA,9830.0,9830.0,688.1,9830.0,71
HCPCS,C1894,SET DILATION SHEATH 6FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SET INTR 70CM 16FR 20-35,7258.0,7258.0,508.06,7258.0,71
HCPCS,C1894,SET INTRO 14FR 13CM,1649.0,1649.0,115.43,1649.0,71
HCPCS,C1894,SET INTRO 7CM 21GA,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SET INTRO ENDO 12FR 4MM,4498.0,4498.0,314.86,4498.0,71
HCPCS,C1894,SET INTRO SHTH 5FR 45CM,3509.0,3509.0,245.63,3509.0,71
HCPCS,C1894,SET INTRO SHTH 6FR 65CM,3823.0,3823.0,267.61,3823.0,71
HCPCS,C1894,SET INTRO SHTH 7FR 11CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SET INTRO SHTH 7FR 45CM,3561.0,3561.0,249.27,3561.0,71
HCPCS,C1894,SET INTRO SHTH 7FR 80CM,4723.0,4723.0,330.61,4723.0,71
HCPCS,C1894,SET INTRO SHTH 8FR 45CM,3261.0,3261.0,228.27,3261.0,71
HCPCS,C1894,SET INTRO SHTH 8FR 80CM,4742.0,4742.0,331.94,4742.0,71
HCPCS,C1894,SET INTRO SHTH 9FR 90CM,5154.0,5154.0,360.78,5154.0,71
HCPCS,C1894,SET SHEATH 12FR 13CM,1649.0,1649.0,115.43,1649.0,71
HCPCS,C1894,SET SHTH URT 11-13F 36CM,3733.0,3733.0,261.31,3733.0,71
HCPCS,C1894,SET SHTH URT 11-14F 28CM,3658.0,3658.0,256.06,3658.0,71
HCPCS,C1894,SHEATH 7FR 10CM PINNACLE,704.0,704.0,49.28,704.0,71
HCPCS,C1894,SHEATH 8FX75X.039,15742.0,15742.0,1101.94,15742.0,71
HCPCS,C1894,SHEATH ACC 12-14FR 20CM,4404.0,4404.0,308.28,4404.0,71
HCPCS,C1894,SHEATH ACC 30CM 30FR AMP,1743.0,1743.0,122.01,1743.0,71
HCPCS,C1894,SHEATH BRTP 9F 35MM 35CM,1471.0,1471.0,102.97,1471.0,71
HCPCS,C1894,SHEATH CATH GW 7FR 55CM,2661.0,2661.0,186.27,2661.0,71
HCPCS,C1894,SHEATH GD 10FR 75CM,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,SHEATH GD 12FR 75CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,SHEATH GD 14FR 63CM,3692.0,3692.0,258.44,3692.0,71
HCPCS,C1894,SHEATH GD 3.6FR 70CM,3055.0,3055.0,213.85,3055.0,71
HCPCS,C1894,SHEATH GD 4FR 10CM,640.0,640.0,44.8,640.0,71
HCPCS,C1894,SHEATH GD 5FR 10CM,640.0,640.0,44.8,640.0,71
HCPCS,C1894,SHEATH GD 5FR 45CM,3017.5,3017.5,178.43,3486.0,213
HCPCS,C1894,SHEATH GD 5FR 55CM,2277.0,2277.0,132.51,2661.0,142
HCPCS,C1894,SHEATH GD 63CM 10FR .038,3317.0,3317.0,232.19,3317.0,71
HCPCS,C1894,SHEATH GD 6F 48CM,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,SHEATH GD 6FR 45CM,3153.5,3153.5,178.43,3486.0,284
HCPCS,C1894,SHEATH GD 6FR 70CM,2520.5,2520.5,132.51,3148.0,142
HCPCS,C1894,SHEATH GD 6FR 75CM,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,SHEATH GD 7FR 45CM,2722.5,2722.5,178.43,2896.0,142
HCPCS,C1894,SHEATH GD 7FR 80CM,2924.0,2924.0,204.68,2924.0,71
HCPCS,C1894,SHEATH GD 7FR 90CM,4157.0,4157.0,290.99,4157.0,71
HCPCS,C1894,SHEATH GD MULTI 4F 55CM,2661.0,2661.0,186.27,2661.0,71
HCPCS,C1894,SHEATH INTR 6F 100CM.088,10402.0,10402.0,728.14,10402.0,71
HCPCS,C1894,SHEATH INTRO 10F 23CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH INTRO 11F 30CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH INTRO 20FR 65CM,13124.0,13124.0,918.68,13124.0,71
HCPCS,C1894,SHEATH INTRO 4F 5.5CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH INTRO 4FR 10CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHEATH INTRO 5F 5.5CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH INTRO 5FR 10CM,636.5,636.5,44.31,640.0,142
HCPCS,C1894,SHEATH INTRO 5FR 23CM,1471.0,1471.0,102.97,1471.0,71
HCPCS,C1894,SHEATH INTRO 6F 23CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH INTRO 6F 5.5CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH INTRO 6F 7.5CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH INTRO 6FR 10CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHEATH INTRO 6FR 15.5CM,2061.0,2061.0,144.27,2061.0,71
HCPCS,C1894,SHEATH INTRO 6FR 65CM,4007.0,4007.0,280.49,4007.0,71
HCPCS,C1894,SHEATH INTRO 7F 23CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH INTRO 7FR 23CM,1471.0,1471.0,102.97,1471.0,71
HCPCS,C1894,SHEATH INTRO 7FR 90CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHEATH INTRO 8F 23CM,1471.0,1471.0,102.97,1471.0,71
HCPCS,C1894,SHEATH INTRO 9FR 10CM,640.0,640.0,44.8,640.0,71
HCPCS,C1894,SHEATH INTRO 9FR 23CM,1471.0,1471.0,102.97,1471.0,71
HCPCS,C1894,SHEATH INTRO DIL 7MM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHEATH INTRO DLYS 31CM,2819.0,2819.0,197.33,2819.0,71
HCPCS,C1894,SHEATH INTRO GW 9F 11CM,502.0,502.0,35.14,502.0,71
HCPCS,C1894,SHEATH INTRO OBT 8F 23CM,1183.0,1183.0,82.81,1183.0,71
HCPCS,C1894,SHEATH NVGRT 11/13F 46CM,3658.0,3658.0,256.06,3658.0,71
HCPCS,C1894,SHEATH NVGRT 12/14F 36CM,3658.0,3658.0,256.06,3658.0,71
HCPCS,C1894,SHEATH NVGRT 12/14F 46CM,3658.0,3658.0,256.06,3658.0,71
HCPCS,C1894,SHEATH RENAL 30FR 17CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHEATH TEFLON 30FR./20CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHEATH TPR 13FR 11FR 2,3658.0,3658.0,256.06,3658.0,71
HCPCS,C1894,SHEATH URET 11/13FR 36CM,12428.0,12428.0,869.96,12428.0,71
HCPCS,C1894,SHEATH URET 11/13FR 40CM,12428.0,12428.0,869.96,12428.0,71
HCPCS,C1894,SHEATH URET 11/13FR 46CM,12428.0,12428.0,869.96,12428.0,71
HCPCS,C1894,SHEATH URET 12/14 L25CM,5299.0,5299.0,370.93,5299.0,71
HCPCS,C1894,SHEATH URET 12/14FR 36CM,7430.0,7430.0,520.1,7430.0,71
HCPCS,C1894,SHEATH URET ACC 13F 50CM,12428.0,12428.0,869.96,12428.0,71
HCPCS,C1894,SHTH 7FX63 RCFW,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,SHTH BRTP 8F 55,1535.0,1535.0,107.45,1535.0,71
HCPCS,C1894,SHTH BRTP F5 45,1535.0,1535.0,107.45,1535.0,71
HCPCS,C1894,SHTH CATH 10FR 75CM,3280.0,3280.0,229.6,3280.0,71
HCPCS,C1894,SHTH CATH 6FR 63CM,2680.0,2680.0,187.6,2680.0,71
HCPCS,C1894,SHTH CATH 6FR 7CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHTH CTH 5FR 60CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHTH ENDO 20CM ATRM OUTR,11433.0,11433.0,800.31,11433.0,71
HCPCS,C1894,SHTH FLXR 6F 30-RB,2118.0,2118.0,148.26,2118.0,71
HCPCS,C1894,SHTH INT 7F 35MM 5.5CM,1119.0,1119.0,78.33,1119.0,71
HCPCS,C1894,SHTH INTRO 4FR 11CM,512.0,512.0,35.84,512.0,71
HCPCS,C1894,SHTH INTRO 7FR 11CM,512.0,512.0,35.84,512.0,71
HCPCS,C1894,SHTH INTRO 7FR 23CM,13715.0,13715.0,960.05,13715.0,71
HCPCS,C1894,SHTH INTRO 8FR 11CM,512.0,512.0,35.84,512.0,71
HCPCS,C1894,SHTH MLN 11F,3317.0,3317.0,232.19,3317.0,71
HCPCS,C1894,SHTH MPNCH 5.0 10CM,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SHTH PLWY DNY 6F 9,1987.0,1987.0,139.09,1987.0,71
HCPCS,C1894,SHTH PNCLP 10F 10 035,640.0,640.0,44.8,640.0,71
HCPCS,C1894,SUTURE CT-2 1 8X18IN,605.0,605.0,42.35,605.0,71
HCPCS,C1894,SYSTEM INTRO 4-6FR 60CM,2474.0,2474.0,173.18,2474.0,71
HCPCS,C1894,SYSTEM INTRO 7FR ECHO,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,SYSTEM INTRO REG NDL 4FR,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1894,TUNNLER SHTH 17GA 8IN,1599.0,1599.0,111.93,1599.0,71
HCPCS,C1896,ICD ELECTRODE DEFIB 45CM,103480.0,103480.0,11382.8,103480.0,57
HCPCS,C1896,LEAD CRT PCNG 55CM,77542.0,77542.0,8529.62,77542.0,57
HCPCS,C1896,LEAD PCNG 58CM,56914.0,56914.0,6260.54,56914.0,57
HCPCS,C1896,LEAD PCNING 58CM,27164.0,27164.0,2988.04,27164.0,57
HCPCS,C1896,LEAD SUBQ 6996SQ41,56914.0,56914.0,6260.54,56914.0,57
HCPCS,C1897,KIT LEAD TRIAL STM BILAT,7193.0,7193.0,791.23,7193.0,57
HCPCS,C1897,KIT PNE LEAD IMPLANT,1850.0,1850.0,203.5,1850.0,57
HCPCS,C1897,LEAD NRSTM 60CM,15618.0,15618.0,1717.98,15618.0,57
HCPCS,C1897,LEAD TRIAL STIM IMPLANT,822.0,822.0,90.42,822.0,57
HCPCS,C1898,INOVATE RVL IDE# G080113,1.0,1.0,0.07,1.0,71
HCPCS,C1898,LEAD ENDO PACING,9473.0,9473.0,1042.03,9473.0,57
HCPCS,C1898,LEAD PACING 59CM,10057.0,10057.0,1106.27,10057.0,57
HCPCS,C1898,LEAD PACING 6FR 58CM,9345.0,9345.0,1027.95,9345.0,57
HCPCS,C1898,LEAD PACNG 52CM,10057.0,10057.0,1106.27,10057.0,57
HCPCS,C1898,LEAD PCNG 25CM,9143.0,9143.0,1005.73,9143.0,57
HCPCS,C1898,LEAD PCNG 35CM,9143.0,9143.0,1005.73,9143.0,57
HCPCS,C1898,LEAD PCNG 4.1FR 69CM,9143.0,9143.0,1005.73,9143.0,57
HCPCS,C1898,LEAD PCNG 45CM,9595.0,9595.0,1004.63,10057.0,114
HCPCS,C1898,LEAD PCNG 46CM,9345.0,9345.0,1027.95,9345.0,57
HCPCS,C1898,LEAD PCNG 52CM,9345.0,9345.0,1005.73,10659.0,171
HCPCS,C1898,LEAD PCNG 59CM,10659.0,10659.0,1172.49,10659.0,57
HCPCS,C1898,LEAD PCNG 6.2FR 52CM,9143.0,9143.0,1005.73,9143.0,57
HCPCS,C1898,LEAD PCNG 60CM,9691.0,9691.0,1066.01,9691.0,57
HCPCS,C1898,LEAD PCNG 65CM 6FR ENDOC,9764.0,9764.0,1074.04,9764.0,57
HCPCS,C1898,LEAD PCNG 6FR 58CM,9143.0,9143.0,1005.73,9143.0,57
HCPCS,C1898,LEAD PCNG RT VNTRC 52CM,9473.0,9473.0,1042.03,9473.0,57
HCPCS,C1900,LEAD CRT PACING 88CM,38898.0,38898.0,4278.78,38898.0,57
HCPCS,C1900,LEAD CRT PCNG 5.3FR 88CM,34292.0,34292.0,3772.12,34292.0,57
HCPCS,C1900,LEAD CRT PCNG 88CM,35319.5,35319.5,3772.12,36347.0,114
HCPCS,C1900,LEAD PCNG 4.7FR 86CM,40671.0,40671.0,4473.81,40671.0,57
HCPCS,C1900,LEAD PCNG 95CM,41030.0,41030.0,4513.3,41030.0,57
HCPCS,C1900,LEAD PCNG VNS 78CM,38831.0,38831.0,4271.41,38831.0,57
HCPCS,C2596,GUIDE ROBOTIC DROP IN,6858.0,6858.0,480.06,6858.0,71
HCPCS,C2596,HANDPIECE PROBE JET DISP,56007.0,56007.0,3920.49,56007.0,71
HCPCS,C2615,SEALANT PLR PROGL 4ML,14499.0,14499.0,1014.93,14499.0,71
HCPCS,C2616,BRACHYTX NS YTTRIUM 90,198750.0,198750.0,21862.5,198750.0,46
HCPCS,C2616,"Brachytherapy source, non-stranded, yttrium-90, per source ",198750.0,198750.0,17424.0,88363.42,9
HCPCS,C2617,SET STENT URTH 7.2F 75CM,2068.5,2068.5,225.83,2084.0,114
HCPCS,C2617,SET STNT 16CM 3.7F 2PGTL,4019.0,4019.0,442.09,4019.0,57
HCPCS,C2617,SET STNT 16CM 3FR SFLX 2,4145.0,4145.0,455.95,4145.0,57
HCPCS,C2617,SET STNT 3FR 10CM,3640.0,3640.0,400.4,3640.0,57
HCPCS,C2617,SET STNT 3FR 12CM,3640.0,3640.0,400.4,3640.0,57
HCPCS,C2617,SET STNT 3FR 8CM,3150.0,3150.0,346.5,3150.0,57
HCPCS,C2617,SHELL ACTB HIP SZ4 54MM,23220.0,23220.0,2554.2,23220.0,57
HCPCS,C2617,STEN BIL DB 10FR 5CM,1053.0,1053.0,115.83,1053.0,57
HCPCS,C2617,STEN BIL DB 8.5FR 7CM,1069.0,1069.0,117.59,1069.0,57
HCPCS,C2617,STEN BIL DB 8.5FR 9CM,1053.0,1053.0,115.83,1053.0,57
HCPCS,C2617,STENT BIL DB 7FR 5CM,1053.0,1053.0,115.83,1053.0,57
HCPCS,C2617,STENT BIL PGTL 10FR 5CM,1053.0,1053.0,115.83,1053.0,57
HCPCS,C2617,STENT BIL PGTL 10FR 7CM,1053.0,1053.0,115.83,1053.0,57
HCPCS,C2617,STENT BIL PGTL 7FR 5CM,1053.0,1053.0,115.83,1053.0,57
HCPCS,C2617,STENT BIL PGTL 7FR 7CM,1053.0,1053.0,115.83,1053.0,57
HCPCS,C2617,STENT BIL PIG 10FR 5CM,987.0,987.0,108.57,987.0,57
HCPCS,C2617,STENT FRM URET 4.8F 18CM,4090.0,4090.0,449.9,4090.0,57
HCPCS,C2617,STENT PANC 5FR 3CM,1085.0,1085.0,117.59,1101.0,171
HCPCS,C2617,STENT PANC 5FR 5CM,1069.0,1069.0,117.59,1069.0,57
HCPCS,C2617,STENT PANC 7FR 7CM,1069.0,1069.0,117.59,1069.0,57
HCPCS,C2617,STENT URET 3.7FR 12CM SM,4019.0,4019.0,442.09,4019.0,57
HCPCS,C2617,STENT URET 3FR 14CM,3640.0,3640.0,400.4,3640.0,57
HCPCS,C2617,STENT URET 3FR 8-12CM,4063.0,4063.0,446.93,4063.0,57
HCPCS,C2617,STENT URET 4.5FR 12CM,1090.0,1090.0,119.9,1090.0,57
HCPCS,C2617,STENT URET 4.5FR 16CM,1972.0,1972.0,216.92,1972.0,57
HCPCS,C2617,STENT URET 4.8FR 10CM,2884.0,2884.0,206.8,3888.0,114
HCPCS,C2617,STENT URET 4.8FR 12CM,2923.5,2923.5,206.8,3967.0,114
HCPCS,C2617,STENT URET 4.8FR 14CM,2865.0,2865.0,202.62,3888.0,114
HCPCS,C2617,STENT URET 4.8FR 16CM,1842.0,1842.0,202.62,1842.0,57
HCPCS,C2617,STENT URET 4.8FR 18CM,1842.0,1842.0,202.62,1842.0,57
HCPCS,C2617,STENT URET 4.8FR 20CM,1842.0,1842.0,202.62,1842.0,57
HCPCS,C2617,STENT URET 4.8FR 22CM,1880.0,1880.0,206.8,1880.0,57
HCPCS,C2617,STENT URET 4.8FR 24CM,1842.0,1842.0,202.62,1842.0,57
HCPCS,C2617,STENT URET 4.8FR 26CM,1842.0,1842.0,202.62,1842.0,57
HCPCS,C2617,STENT URET 4.8FR 28CM,1842.0,1842.0,202.62,1842.0,57
HCPCS,C2617,STENT URET 5FR 18CM,2475.0,2475.0,272.25,2475.0,57
HCPCS,C2617,STENT URET 5FR 20CM,2475.0,2475.0,272.25,2475.0,57
HCPCS,C2617,STENT URET 5FR 22CM,2425.0,2425.0,266.75,2425.0,57
HCPCS,C2617,STENT URET 5FR 24CM,2425.0,2425.0,266.75,2425.0,57
HCPCS,C2617,STENT URET 5FR 26CM,2475.0,2475.0,272.25,2475.0,57
HCPCS,C2617,STENT URET 5FR 28CM,2425.0,2425.0,266.75,2425.0,57
HCPCS,C2617,STENT URET 6FR 12CM,3640.0,3640.0,400.4,3640.0,57
HCPCS,C2617,STENT URET 6FR 12X100CM,2216.0,2216.0,243.76,2216.0,57
HCPCS,C2617,STENT URET 6FR 16X100CM,2216.0,2216.0,243.76,2216.0,57
HCPCS,C2617,STENT URET 6FR 20CM,2475.0,2475.0,272.25,2475.0,57
HCPCS,C2617,STENT URET 6FR 22-30CM,2107.0,2107.0,231.77,2107.0,57
HCPCS,C2617,STENT URET 6FR 22CM,3576.0,3576.0,266.75,3888.0,171
HCPCS,C2617,STENT URET 6FR 24CM,2841.5,2841.5,229.24,3888.0,228
HCPCS,C2617,STENT URET 6FR 26CM,2772.5,2772.5,246.95,3888.0,228
HCPCS,C2617,STENT URET 6FR 28CM,2866.5,2866.5,202.62,3888.0,228
HCPCS,C2617,STENT URET 6FR 30CM,2425.0,2425.0,266.75,2425.0,57
HCPCS,C2617,STENT URET 6FRX18CM,2853.0,2853.0,313.83,2853.0,57
HCPCS,C2617,STENT URET 7FR 20CM,2475.0,2475.0,272.25,2475.0,57
HCPCS,C2617,STENT URET 7FR 22CM,2593.5,2593.5,206.8,3307.0,114
HCPCS,C2617,STENT URET 7FR 24CM,3000.5,3000.5,266.75,3576.0,114
HCPCS,C2617,STENT URET 7FR 26CM,2772.5,2772.5,266.75,3120.0,114
HCPCS,C2617,STENT URET 7FR 28CM,3000.5,3000.5,206.8,3888.0,228
HCPCS,C2617,STENT URET 8FR 12CM,1120.0,1120.0,123.2,1120.0,57
HCPCS,C2617,STENT URET 8FR 20CM,2014.0,2014.0,221.54,2014.0,57
HCPCS,C2617,STENT URET 8FR 22CM,2244.5,2244.5,221.54,2475.0,114
HCPCS,C2617,STENT URET 8FR 24CM,2244.5,2244.5,221.54,2475.0,114
HCPCS,C2617,STENT URET 8FR 26CM,2219.5,2219.5,221.54,2425.0,114
HCPCS,C2617,STENT URET 8FR 28CM,2014.0,2014.0,206.8,2475.0,171
HCPCS,C2617,STENT URET 8FR 30CM,2475.0,2475.0,272.25,2475.0,57
HCPCS,C2617,STENT URT 6FR 22CM,3258.0,3258.0,358.38,3258.0,57
HCPCS,C2617,STENT URTH 6FR 12CM,950.0,950.0,104.5,950.0,57
HCPCS,C2617,STENT URTH 6FR 20CM,3967.0,3967.0,436.37,3967.0,57
HCPCS,C2617,STNT URE SET SFLX 4.7X10,3640.0,3640.0,400.4,3640.0,57
HCPCS,C2617,STNT URE SET SFLX 4.7X8,4053.0,4053.0,445.83,4053.0,57
HCPCS,C2618,KIT CYRABL 1.5MM 175MM,31401.0,31401.0,2198.07,31401.0,71
HCPCS,C2618,NDL CRYABL 1.5MM 175MM,31401.0,31401.0,2198.07,31401.0,71
HCPCS,C2618,NDL CRYALB 1.5MM 175MM,31401.0,31401.0,2198.07,31401.0,71
HCPCS,C2618,NDL CRYALB 2.1MM 175MM,31401.0,31401.0,2198.07,31401.0,71
HCPCS,C2618,NEEDLE CRYO 1.5MM 100MM,31401.0,31401.0,2198.07,31401.0,71
HCPCS,C2618,NEEDLE CRYOSURG 90D,31401.0,31401.0,2198.07,31401.0,71
HCPCS,C2618,PROBE CRYO 11IN,46396.0,46396.0,3247.72,46396.0,71
HCPCS,C2618,PROBE CRYO 11IN 8MM,40597.0,40597.0,2841.79,40597.0,71
HCPCS,C2618,PROBE CRYO TIP 11IN 8MM,40597.0,40597.0,2841.79,40597.0,71
HCPCS,C2618,PROBE CRYOABLTN 10CM 3,37697.0,37697.0,2638.79,37697.0,71
HCPCS,C2621,CRT-P 11X19.9X46.5,129373.0,129373.0,14231.03,129373.0,57
HCPCS,C2621,CRT-P 59X46.5X11MM,129373.0,129373.0,14231.03,129373.0,57
HCPCS,C2621,CRT-P CRD 11X46.5X59MM,129373.0,129373.0,14231.03,129373.0,57
HCPCS,C2621,CRT-P CRD 59X46.5X11MM,129373.0,129373.0,14231.03,129373.0,57
HCPCS,C2621,CRT-P MR 15MM,129373.0,129373.0,14231.03,129373.0,57
HCPCS,C2622,PROSTHESIS PENL 27 13MM,87338.0,87338.0,9607.18,87338.0,57
HCPCS,C2623,CATH BLNDIL 4MM 40MM,20713.0,20713.0,1449.91,20713.0,71
HCPCS,C2623,CATH BLNDIL 4X40MM,18890.0,18890.0,1322.3,18890.0,71
HCPCS,C2623,CATH BLNDL DCB 5X40X135,18890.0,18890.0,1322.3,18890.0,71
HCPCS,C2623,CATH BLNDL DCB 6X40X135,18890.0,18890.0,1322.3,18890.0,71
HCPCS,C2623,CATH DBC 5X100MM 75CM,19056.0,19056.0,1333.92,19056.0,142
HCPCS,C2623,CATH DBC 5X60MM 75CM,19056.0,19056.0,1333.92,19056.0,71
HCPCS,C2623,CATH DBC 5X80MM 75CM,19056.0,19056.0,1333.92,19056.0,71
HCPCS,C2623,CATH DCB 12X40MM 75CM,24027.0,24027.0,1681.89,24027.0,71
HCPCS,C2623,CATH DCB 4X100MM 75CM,19056.0,19056.0,1333.92,19056.0,71
HCPCS,C2625,SET 12-18CM 4F .025IN 14,4862.0,4862.0,340.34,4862.0,71
HCPCS,C2625,SET STENT PANC 7FR 3CM,2306.0,2306.0,253.66,2306.0,57
HCPCS,C2625,SET STNT PUR 3CM 7FR C,2364.0,2364.0,260.04,2364.0,57
HCPCS,C2625,STENT BIL 10FR 12CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 10FR 15CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 10FR 4CM,2343.0,2343.0,257.73,2343.0,57
HCPCS,C2625,STENT BIL 10FR 5CM,2333.5,2333.5,226.05,2612.0,114
HCPCS,C2625,STENT BIL 10FR 7CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 10FR 9CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 7FR 12CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 7FR 15CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 7FR 5CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 7FR 7CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 7FR 9CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 7X7X170MM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C2625,STENT BIL 8.5FR 12CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 8.5FR 15CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL 8.5FR 5CM,2651.0,2651.0,291.61,2651.0,57
HCPCS,C2625,STENT BIL 8.5FR 7CM,2651.0,2651.0,291.61,2651.0,57
HCPCS,C2625,STENT BIL 8.5FR 9CM,2612.0,2612.0,287.32,2612.0,57
HCPCS,C2625,STENT BIL C-L 7X5X170,2055.0,2055.0,226.05,2055.0,57
HCPCS,C2625,STENT BIL DB 7FR 12CM,1853.0,1853.0,203.83,1853.0,57
HCPCS,C2625,STENT NASAL MINI RX,18495.0,18495.0,2034.45,18495.0,57
HCPCS,C2625,STENT NASAL RX,18495.0,18495.0,2034.45,18495.0,57
HCPCS,C2625,STENT NPHURET 8.5FR 26CM,1860.0,1860.0,204.6,1860.0,57
HCPCS,C2625,STENT NPHURSTM 24CM,1860.0,1860.0,204.6,1860.0,57
HCPCS,C2625,STENT NPHURSTM 26CM,1860.0,1860.0,204.6,1860.0,57
HCPCS,C2625,STENT NPHURSTM 28CM,1860.0,1860.0,204.6,1860.0,57
HCPCS,C2625,STENT NSL IMPLANT 23MM,3597.0,3597.0,395.67,3597.0,57
HCPCS,C2625,STENT PANC 5FR 3CM,2306.0,2306.0,253.66,2306.0,57
HCPCS,C2625,STENT PANC 5FR 5CM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C2625,STENT PANC SPRL 5FR 3CM,2466.0,2466.0,271.26,2466.0,57
HCPCS,C2625,STENT URE 6FR 26CM,24455.0,24455.0,2690.05,24455.0,57
HCPCS,C2625,STENT URE AMPLZ 8.5FR 10,1930.0,1930.0,212.3,1930.0,57
HCPCS,C2625,STENT URET 10.2FR 28CM,1860.0,1860.0,204.6,1860.0,57
HCPCS,C2625,STENT URET 4.7X12-18CM,5623.0,5623.0,618.53,5623.0,57
HCPCS,C2625,STENT URET 6F 24CM,17430.5,17430.5,1144.66,24455.0,114
HCPCS,C2625,STENT URET L14CM OD3.7FR,4019.0,4019.0,442.09,4019.0,57
HCPCS,C2625,STENT URO 8.5FR 24CM,1860.0,1860.0,204.6,1860.0,57
HCPCS,C2625,STNT NEPH 8.5X26,1680.0,1680.0,184.8,1680.0,57
HCPCS,C2625,STNT SET BIL C-L 7X7,2055.0,2055.0,226.05,2055.0,57
HCPCS,C2625,STNT URE KWRT 6X24 SET,3189.0,3189.0,350.79,3189.0,57
HCPCS,C2625,STNT URE KWRT 6X26 SET,3189.0,3189.0,350.79,3189.0,57
HCPCS,C2625,STNT URET MTL 6X22,24455.0,24455.0,2690.05,24455.0,57
HCPCS,C2625,STNT URT 12CM 8.5F DBL J,2281.0,2281.0,250.91,2281.0,57
HCPCS,C2627,KIT SUPRAPUBIC 12FR,5623.0,5623.0,393.61,5623.0,71
HCPCS,C2628,BLN 10-37MMX4.0CMX90CM,9945.0,9945.0,696.15,9945.0,71
HCPCS,C2628,CATH BALLOON 4MM 7M,25673.0,25673.0,1797.11,25673.0,71
HCPCS,C2628,CATH BLNOCC 34FR 100CM,4513.0,4513.0,315.91,4513.0,71
HCPCS,C2628,CATH BLNOCC 4MM 10MM,23660.0,23660.0,1380.33,27601.0,142
HCPCS,C2628,CATH BLNOCC 4MM 15MM,19719.0,19719.0,1380.33,19719.0,71
HCPCS,C2628,CATH BLNOCC 8-14FR 80CM,11411.0,11411.0,798.77,11411.0,71
HCPCS,C2628,CATH BLNOCC 9FR 120CM,10127.0,10127.0,708.89,10127.0,71
HCPCS,C2628,CATH OCCL PART 7F,95311.0,95311.0,6671.77,95311.0,71
HCPCS,C2628,CATHETER BLN 3MMX15MM,21057.0,21057.0,1473.99,21057.0,71
HCPCS,C2628,CATHETER BLN OCC 5X10MM,27601.0,27601.0,1932.07,27601.0,71
HCPCS,C2628,CATHETER TRNS OCC 3X10MM,24377.0,24377.0,1706.39,24377.0,71
HCPCS,C2628,CATHETER TRNS OCC 4X10MM,27601.0,27601.0,1932.07,27601.0,71
HCPCS,C2628,CTH ANGIO 3FR MCDB3CE60,5623.0,5623.0,393.61,5623.0,71
HCPCS,C2628,CTH MINI L60,8024.0,8024.0,561.68,8024.0,71
HCPCS,C2629,SHTH LSR CLR 12F,367.0,367.0,25.69,367.0,71
HCPCS,C2630,CATH ABL 108 7FR 6MM MED,20713.0,20713.0,1449.91,20713.0,71
HCPCS,C2630,CATH ABL 108CM 7FR 6MM,20713.0,20713.0,1449.91,20713.0,71
HCPCS,C2630,CATH ABL 8FR 115CM,28169.0,28169.0,1971.83,28169.0,142
HCPCS,C2630,CATH ABL 8GA 115CM,48053.0,48053.0,3363.71,48053.0,71
HCPCS,C2630,CATH ABL CRV D-F 115CM,62966.0,62966.0,4407.62,62966.0,142
HCPCS,C2630,CATH ABLAT BI-D DD CURVE,48053.0,48053.0,3363.71,48053.0,71
HCPCS,C2630,CATH ABLAT BI-D FJ CURVE,48053.0,48053.0,3363.71,48053.0,71
HCPCS,C2630,CATHETER ABL 8FR 115CM,31483.0,31483.0,2203.81,31483.0,142
HCPCS,C2634,"Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source ",,,636.68,940.47,6
HCPCS,C2635,"Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source ",,,197.33,291.48,6
HCPCS,C2636,"Brachytherapy linear source, non-stranded, palladium-103, per 1 mm ",,,126.11,186.28,6
HCPCS,C2638,"Brachytherapy source, stranded, iodine-125, per source ",,,120.92,178.62,6
HCPCS,C2639,"Brachytherapy source, non-stranded, iodine-125, per source ",,,124.74,184.26,6
HCPCS,C2640,"Brachytherapy source, stranded, palladium-103, per source ",,,292.6,432.21,6
HCPCS,C2641,"Brachytherapy source, non-stranded, palladium-103, per source ",,,242.87,358.75,6
HCPCS,C2642,"Brachytherapy source, stranded, cesium-131, per source ",,,268.48,396.59,6
HCPCS,C2643,"Brachytherapy source, non-stranded, cesium-131, per source ",,,335.02,494.87,6
HCPCS,C2645,"Brachytherapy planar source, palladium-103, per square millimeter ",,,16.42,24.25,6
HCPCS,C2698,"Brachytherapy source, stranded, not otherwise specified, per source ",,,120.92,178.62,6
HCPCS,C2699,"Brachytherapy source, non-stranded, not otherwise specified, per source ",,,124.74,184.26,6
HCPCS,C5271,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,110
HCPCS,C5272,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,62
HCPCS,C5273,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,12499.0,142
HCPCS,C5274,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,62
HCPCS,C5275,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,110
HCPCS,C5276,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,62
HCPCS,C5277,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,142
HCPCS,C5278,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1672.0,5932.0,62
HCPCS,C7500,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,172
HCPCS,C7501,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,172
HCPCS,C7502,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,172
HCPCS,C7503,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,25655.0,172
HCPCS,C7504,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,25655.0,172
HCPCS,C7505,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,25655.0,172
HCPCS,C7506,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,25655.0,172
HCPCS,C7507,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,25655.0,172
HCPCS,C7508,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,25655.0,172
HCPCS,C7509,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,172
HCPCS,C7510,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,172
HCPCS,C7511,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,172
HCPCS,C7512,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,172
HCPCS,C7513,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,23113.0,172
HCPCS,C7514,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,23113.0,172
HCPCS,C7515,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,23113.0,172
HCPCS,C7516,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,130
HCPCS,C7517,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,28286.0,130
HCPCS,C7518,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,130
HCPCS,C7519,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,28286.0,130
HCPCS,C7520,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,28286.0,130
HCPCS,C7521,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,28286.0,90
HCPCS,C7522,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,28286.0,90
HCPCS,C7523,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,28286.0,90
HCPCS,C7524,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,28286.0,90
HCPCS,C7525,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,28286.0,90
HCPCS,C7526,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,28286.0,90
HCPCS,C7527,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,28286.0,90
HCPCS,C7528,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,28286.0,90
HCPCS,C7529,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,28286.0,90
HCPCS,C7530,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,25655.0,172
HCPCS,C7531,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,46251.0,130
HCPCS,C7532,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,46251.0,130
HCPCS,C7533,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,67846.0,90
HCPCS,C7534,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,46251.0,130
HCPCS,C7535,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,46251.0,130
HCPCS,C7537,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,25655.0,172
HCPCS,C7538,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,25655.0,172
HCPCS,C7539,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,25655.0,172
HCPCS,C7540,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,25655.0,172
HCPCS,C7541,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,25655.0,172
HCPCS,C7542,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,172
HCPCS,C7543,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,172
HCPCS,C7544,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,25655.0,172
HCPCS,C7545,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8798.0,25655.0,132
HCPCS,C7546,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,172
HCPCS,C7547,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,172
HCPCS,C7548,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,172
HCPCS,C7549,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,172
HCPCS,C7550,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,172
HCPCS,C7551,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,25655.0,172
HCPCS,C7552,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,28286.0,90
HCPCS,C7553,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,28286.0,90
HCPCS,C7554,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,172
HCPCS,C7555,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,25655.0,172
HCPCS,C7556,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,140
HCPCS,C7557,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,28286.0,82
HCPCS,C7558,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,48
HCPCS,C7560,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,164
HCPCS,C7562,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8414.78,33769.0,116
HCPCS,C7563,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,10868.0,28600.76,116
HCPCS,C7564,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,116
HCPCS,C7565,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,116
HCPCS,C7566,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,116
HCPCS,C7567,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,116
HCPCS,C7568,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,21768.0,76
HCPCS,C7569,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,67846.0,76
HCPCS,C7570,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,21768.0,76
HCPCS,C7571,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,76
HCPCS,C7903,"Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services ",,,75.19,146.27,6
HCPCS,C8001,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,394.46,30
HCPCS,C8002,"Preparation of skin cell suspension autograft, automated, including all enzymatic processing and device components (do not report with manual suspension preparation) ",,,6563.03,9875.79,6
HCPCS,C8003,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,116
HCPCS,C8004,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,48
HCPCS,C8005,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,92
HCPCS,C8006,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,116
HCPCS,C8007,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,68
HCPCS,C8008,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,68
HCPCS,C8009,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,68
HCPCS,C8010,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,68
HCPCS,C8011,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,68
HCPCS,C8012,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,68
HCPCS,C8013,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,68
HCPCS,C8014,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,68
HCPCS,C8900,MRA W/CONT ABD,4422.65,4422.65,309.59,4422.65,47
HCPCS,C8900,"Magnetic resonance angiography with contrast, abdomen ",4422.65,4422.65,341.2,1710.69,30
HCPCS,C8901,MRA W/O CONT ABD,3992.14,3992.14,279.45,3992.14,47
HCPCS,C8901,"Magnetic resonance angiography without contrast, abdomen ",3992.14,3992.14,313.62,1044.02,30
HCPCS,C8902,MRA W/O FOL W/CONT ABD,5365.45,5365.45,375.58,5365.45,47
HCPCS,C8902,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",5365.45,5365.45,523.13,1710.69,30
HCPCS,C8903,MRI W/CONT BREAST UNI LT,4986.02,4986.02,349.02,4986.02,47
HCPCS,C8903,MRI W/CONT BREAST UNI RT,4986.02,4986.02,349.02,4986.02,47
HCPCS,C8903,"Magnetic resonance imaging with contrast, breast; unilateral ",,,249.64,816.35,30
HCPCS,C8905,MRI WO FOL WCON BR UN LT,5842.58,5842.58,349.02,6699.14,94
HCPCS,C8905,MRI WO FOL WCON BR UN RT,5842.58,5842.58,349.02,6699.14,94
HCPCS,C8905,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,523.13,1710.69,30
HCPCS,C8906,MRI W/CONT BREAST BI,4986.02,4986.02,349.02,4986.02,47
HCPCS,C8906,"Magnetic resonance imaging with contrast, breast; bilateral ",4986.02,4986.02,523.13,1710.69,30
HCPCS,C8908,MRI WO FOL W/CON BRST BI,10048.7,10048.7,703.41,10048.7,47
HCPCS,C8908,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",10048.7,10048.7,523.13,1710.69,30
HCPCS,C8909,MRA W/CONT CHEST,4555.52,4555.52,318.89,4555.52,47
HCPCS,C8909,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",4555.52,4555.52,341.2,1710.69,30
HCPCS,C8910,MRA W/O CONT CHEST,7224.18,7224.18,505.69,7224.18,47
HCPCS,C8910,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",7224.18,7224.18,313.62,1044.02,30
HCPCS,C8911,MRA W/O FOL W/CONT CHEST,5028.19,5028.19,351.97,5028.19,47
HCPCS,C8911,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",5028.19,5028.19,523.13,1710.69,30
HCPCS,C8912,MRA W/CONT LWR EXT LT,7113.04,7113.04,497.91,7113.04,47
HCPCS,C8912,MRA W/CONT LWR EXT RT,7113.04,7113.04,497.91,7113.04,47
HCPCS,C8912,"Magnetic resonance angiography with contrast, lower extremity ",,,523.13,1710.69,30
HCPCS,C8913,MRA W/O CONT LWR EXT LT,6487.06,6487.06,454.09,6487.06,47
HCPCS,C8913,MRA W/O CONT LWR EXT RT,6487.06,6487.06,454.09,6487.06,47
HCPCS,C8913,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,1044.02,30
HCPCS,C8914,MRA WO W CONT LWR EXT BI,7737.72,7737.72,541.64,7737.72,47
HCPCS,C8914,MRA WO W CONT LWR EXT LT,7737.72,7737.72,541.64,7737.72,47
HCPCS,C8914,MRA WO W CONT LWR EXT RT,7737.72,7737.72,541.64,7737.72,47
HCPCS,C8914,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,523.13,1710.69,30
HCPCS,C8918,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,1710.69,30
HCPCS,C8919,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,1044.02,30
HCPCS,C8920,MRA WO FOL W CONT PELVIS,4779.08,4779.08,334.54,4779.08,47
HCPCS,C8920,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",4779.08,4779.08,523.13,1710.69,30
HCPCS,C8921,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete ",,,1872.26,3642.39,6
HCPCS,C8922,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study ",,,1872.26,3642.39,6
HCPCS,C8923,TTE2D W OR W&WO COMPLETE,7790.7,7790.7,545.35,7790.7,52
HCPCS,C8923,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spect",7790.7,7790.7,1872.26,3642.39,6
HCPCS,C8924,TTE2D W OR W&WO LIMITED,7790.7,7790.7,545.35,7790.7,52
HCPCS,C8924,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited st",7790.7,7790.7,1050.09,2042.9,6
HCPCS,C8925,TEE2D W OR W&WO INT/RPT,7790.7,7790.7,545.35,7790.7,52
HCPCS,C8925,"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placeme",7790.7,7790.7,1872.26,3642.39,6
HCPCS,C8926,"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and ",,,1872.26,3642.39,6
HCPCS,C8927,TEE2D W OR W&WO MONITOR,7790.7,7790.7,545.35,7790.7,52
HCPCS,C8927,"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and i",7790.7,7790.7,1872.26,3642.39,6
HCPCS,C8928,TTE2D W OR W&WO STRESS,7790.7,7790.7,545.35,7790.7,52
HCPCS,C8928,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiov",7790.7,7790.7,1872.26,3642.39,6
HCPCS,C8929,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral",,,1872.26,3642.39,6
HCPCS,C8930,"Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardio",,,1872.26,3642.39,6
HCPCS,C8931,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,523.13,1710.69,30
HCPCS,C8932,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,1044.02,30
HCPCS,C8933,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,1710.69,30
HCPCS,C8934,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,1710.69,30
HCPCS,C8935,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,1044.02,30
HCPCS,C8936,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,1710.69,30
HCPCS,C8937,CAD MRI BREAST,1714.39,1714.39,120.01,1714.39,53
HCPCS,C8937,"Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretati",1714.39,1714.39,25.67,83.96,6
HCPCS,C8957,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,48
HCPCS,C9025,"Injection, ramucirumab, 5 mg ",,,,,0
HCPCS,C9026,"Injection, vedolizumab, 1 mg ",,,,,0
HCPCS,C9027,"Injection, pembrolizumab, 1 mg ",,,,,0
HCPCS,C9046,"Cocaine hydrochloride nasal solution (goprelto), 1 mg ",354.54,354.54,4.17,14.71,12
HCPCS,C9046,GOPRELTO 160 MG NASAL,354.54,354.54,24.82,354.54,47
HCPCS,C9047,CAPLACIZMAB-YHDP 11MGINJ,59143.29,59143.29,4140.03,59143.29,47
HCPCS,C9047,"Injection, caplacizumab-yhdp, 1 mg ",59143.29,59143.29,1322.08,6797.39,27
HCPCS,C9067,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,66.11,27
HCPCS,C9088,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,4.66,6.59,6
HCPCS,C9089,"Bupivacaine, collagen-matrix implant, 1 mg ",,,5.14,7.27,6
HCPCS,C9101,"Injection, oliceridine, 0.1 mg ",,,1.35,11.29,12
HCPCS,C9113,"Injection, pantoprazole sodium, per vial ",,,,,0
HCPCS,C9121,"Injection, argatroban, per 5 mg ",,,,,0
HCPCS,C9132,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,,,0
HCPCS,C9143,"Cocaine hydrochloride nasal solution (numbrino), 1 mg ",,,4.17,19.58,12
HCPCS,C9144,"Injection, bupivacaine (posimir), 1 mg ",,,2.96,5.44,12
HCPCS,C9145,"Injection, aprepitant, (aponvie), 1 mg ",,,6.45,16.25,12
HCPCS,C9148,TECLIST-CQYV 0.5 MG INJ,189.73,189.73,13.28,189.73,59
HCPCS,C9174,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,301.88,426.66,6
HCPCS,C9175,"Injection, treosulfan, 50 mg ",,,188.25,266.05,6
HCPCS,C9176,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,55.5,21
HCPCS,C9248,"Injection, clevidipine butyrate, 1 mg ",,,21.78,30.79,6
HCPCS,C9250,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,1604.1,21
HCPCS,C9254,"Injection, lacosamide, 1 mg ",,,1.21,1.71,6
HCPCS,C9254,LACOSAMIDE 200 MG INJ,228.96,228.96,16.03,228.96,53
HCPCS,C9254,LACOSAMIDE 5 MG/ML INJ,5.72,5.72,0.4,5.72,53
HCPCS,C9257,BEVACIZUMAB 0.25 MG INJ,56.82,56.82,3.98,56.82,48
HCPCS,C9257,"Injection, bevacizumab, 0.25 mg ",56.82,56.82,3.07,17.36,21
HCPCS,C9285,"Lidocaine 70 mg/tetracaine 70 mg, per patch ",,,104.62,147.86,6
HCPCS,C9293,GLUCARPIDASE 1000 U INJ,318838.15,318838.15,22318.67,318838.15,53
HCPCS,C9293,"Injection, glucarpidase, 10 units ",318838.15,318838.15,741.02,3591.67,21
HCPCS,C9307,"Injection, linvoseltamab-gcpt, 1 mg ",,,334.03,537.35,6
HCPCS,C9308,"Injection, carboplatin (avyxa), 1 mg ",,,17.77,28.58,6
HCPCS,C9309,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,15
HCPCS,C9352,"Microporous collagen implantable tube (neuragen nerve guide), per centimeter length ",9691.0,9691.0,6406.56,9054.52,6
HCPCS,C9352,NEURAGN NRV GD 1CM LNGTH,9691.0,9691.0,1066.01,9691.0,51
HCPCS,C9353,"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length ",,,6833.21,9657.52,6
HCPCS,C9354,"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter ",,,117.27,165.74,6
HCPCS,C9355,"Collagen nerve cuff (neuromatrix), per 0.5 centimeter length ",,,1102.73,1558.52,6
HCPCS,C9356,"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter ",,,678.01,958.25,6
HCPCS,C9358,SURGIMEND 0.5 SQCM,164.0,164.0,18.04,164.0,57
HCPCS,C9361,"Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length ",17314.75,17314.75,1072.6,1515.93,6
HCPCS,C9361,NEUROMND WRP 0.5 CM 10CM,17314.75,17314.75,1904.62,17314.75,51
HCPCS,C9363,INTEGRA MESHED 1SQCM,710.5,710.5,33.67,2147.0,212
HCPCS,C9363,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,588.46,21
HCPCS,C9364,"Porcine implant, permacol, per square centimeter ",,,111.28,157.27,6
HCPCS,C9399,BRIDION 200 MG INJ,786.7,786.7,55.07,786.7,59
HCPCS,C9399,DEFITELIO 200 MG INJ,6492.16,6492.16,454.45,6492.16,59
HCPCS,C9399,LIVTENCITY 200 MG PO,1124.1,1124.1,78.69,1124.1,59
HCPCS,C9399,LOQTORZI 240 MG INJ,53951.88,53951.88,3776.63,53951.88,59
HCPCS,C9399,OLUMIANT 1 MG PO,550.7,550.7,38.55,550.7,59
HCPCS,C9399,OLUMIANT 2 MG PO,550.7,550.7,38.55,550.7,59
HCPCS,C9399,PRAXBIND 2.5 G INJ,14883.89,14883.89,1041.87,14883.89,59
HCPCS,C9399,PREVYMIS INJ,2544.5,2544.5,178.12,2544.5,59
HCPCS,C9399,RYANODEX 250 MG INJ,18971.37,18971.37,1328.0,18971.37,59
HCPCS,C9399,TERLIVAZ 0.85 MG INJ,5437.8,5437.8,380.65,5437.8,59
HCPCS,C9399,Unclassified drugs or biologicals ,,,,,0
HCPCS,C9399,XACDURO 1 G/1 G INJ,855.0,855.0,59.85,855.0,59
HCPCS,C9442,"Injection, belinostat, 10 mg ",,,,,0
HCPCS,C9445,"Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units ",,,,,0
HCPCS,C9449,"Injection, blinatumomab, 1 mcg ",,,,,0
HCPCS,C9450,"Injection, fluocinolone acetonide intravitreal implant, 0.01 mg ",,,,,0
HCPCS,C9453,"Injection, nivolumab, 1 mg ",,,,,0
HCPCS,C9454,"Injection, pasireotide long acting, 1 mg ",,,,,0
HCPCS,C9460,"Injection, cangrelor, 1 mg ",,,33.03,174.72,21
HCPCS,C9462,"Injection, delafloxacin, 1 mg ",,,1.69,4.1,12
HCPCS,C9482,"Injection, sotalol hydrochloride, 1 mg ",,,34.47,210.64,12
HCPCS,C9488,CONIVAPTAN 20 MG INJ,12462.39,12462.39,872.37,12462.39,47
HCPCS,C9488,"Injection, conivaptan hydrochloride, 1 mg ",12462.39,12462.39,108.02,388.77,12
HCPCS,C9507,"Plasma, high titer covid-19 convalescent, each unit ",,,2063.88,4015.17,6
HCPCS,C9600,PERC DRUG EL COR STNT LC,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9600,PERC DRUG EL COR STNT LD,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9600,PERC DRUG EL COR STNT LM,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9600,PERC DRUG EL COR STNT RC,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9600,PERC DRUG EL COR STNT RI,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9600,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,94000.0,124
HCPCS,C9600,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch with Cardiac Cath",,,7818.0,7818.0,5
HCPCS,C9600,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch without Cardiac Cath",,,5591.0,5591.0,5
HCPCS,C9601,PERC D-EL COR STN AD LC,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9601,PERC D-EL COR STN AD LD,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9601,PERC D-EL COR STN AD RC,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9601,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,3933.0,94000.0,86
HCPCS,C9602,PRC D-EL COR STNT ATH LC,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9602,PRC D-EL COR STNT ATH LD,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9602,PRC D-EL COR STNT ATH LM,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9602,PRC D-EL COR STNT ATH RC,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9602,PRC D-EL COR STNT ATH RI,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9602,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,94000.0,124
HCPCS,C9602,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch with Cardiac Cath",,,7818.0,7818.0,5
HCPCS,C9602,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch without Cardiac Cath",,,5591.0,5591.0,5
HCPCS,C9603,P D-EL COR STN ATH AD LC,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9603,P D-EL COR STN ATH AD LD,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9603,P D-EL COR STN ATH AD RC,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9603,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,3933.0,94000.0,86
HCPCS,C9604,PRC D-EL COR RVSC CABGLC,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9604,PRC D-EL COR RVSC CABGLD,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9604,PRC D-EL COR RVSC CABGLM,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9604,PRC D-EL COR RVSC CABGRC,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9604,PRC D-EL COR RVSC CABGRI,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9604,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,3933.0,94000.0,134
HCPCS,C9605,P D-EL COR RVS CABG A LC,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9605,P D-EL COR RVS CABG A LD,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9605,P D-EL COR RVS CABG A RC,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9605,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,3933.0,94000.0,86
HCPCS,C9606,PRC D-E COR REVSC AMI LC,34925.69,34925.69,3841.83,34925.69,43
HCPCS,C9606,PRC D-E COR REVSC AMI LD,34925.69,34925.69,3841.83,34925.69,43
HCPCS,C9606,PRC D-E COR REVSC AMI LM,34925.69,34925.69,3841.83,34925.69,43
HCPCS,C9606,PRC D-E COR REVSC AMI RC,34925.69,34925.69,3841.83,34925.69,43
HCPCS,C9606,PRC D-E COR REVSC AMI RI,34925.69,34925.69,3841.83,34925.69,43
HCPCS,C9606,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,3933.0,94000.0,134
HCPCS,C9607,PRC D-E COR REVSC CHRNLC,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9607,PRC D-E COR REVSC CHRNLD,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9607,PRC D-E COR REVSC CHRNLM,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9607,PRC D-E COR REVSC CHRNRC,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9607,PRC D-E COR REVSC CHRNRI,34925.69,34925.69,3841.83,34925.69,37
HCPCS,C9607,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,3933.0,94000.0,134
HCPCS,C9608,PRC D-E COR REVSC COT LC,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9608,PRC D-E COR REVSC COT LD,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9608,PRC D-E COR REVSC COT RC,34925.69,34925.69,3841.83,34925.69,49
HCPCS,C9608,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,3933.0,94000.0,86
HCPCS,C9725,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,3293.0,122
HCPCS,C9726,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,42
HCPCS,C9727,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,5047.0,122
HCPCS,C9728,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,48
HCPCS,C9733,Non-ophthalmic fluorescent vascular angiography ,,,313.62,1710.69,30
HCPCS,C9734,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,33321.99,146
HCPCS,C9738,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,76
HCPCS,C9739,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,2739.07,19415.0,229
HCPCS,C9739,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants Age 21+",,,3058.86,3058.86,4
HCPCS,C9739,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants Age Under 21",,,3114.47,3114.47,4
HCPCS,C9740,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,5669.68,25655.0,229
HCPCS,C9740,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants Age 21+",,,6331.62,6331.62,4
HCPCS,C9740,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants Age Under 21",,,6446.74,6446.74,4
HCPCS,C9741,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,7168.0,42
HCPCS,C9742,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,4723.0,42
HCPCS,C9743,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,6054.0,32
HCPCS,C9751,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,25655.0,100
HCPCS,C9756,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,134.61,5932.0,99
HCPCS,C9757,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,130
HCPCS,C9758,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,17223.0,35001.4,82
HCPCS,C9759,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,839.22,2744.31,38
HCPCS,C9760,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,17125.69,56002.24,40
HCPCS,C9761,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,12499.0,132
HCPCS,C9762,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,411.73,2157.48,45
HCPCS,C9762,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging Age 21+",,,459.8,459.8,4
HCPCS,C9762,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging Age Under 21",,,468.16,468.16,4
HCPCS,C9763,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,411.73,2157.48,45
HCPCS,C9763,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging Age 21+",,,459.8,459.8,4
HCPCS,C9763,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging Age Under 21",,,468.16,468.16,4
HCPCS,C9764,REVSC LOW EXT IVL ANG BI,77657.43,77657.43,5436.02,77657.43,45
HCPCS,C9764,REVSC LOW EXT IVL ANG LT,51771.62,51771.62,3624.01,51771.62,45
HCPCS,C9764,REVSC LOW EXT IVL ANG RT,51771.62,51771.62,3624.01,51771.62,45
HCPCS,C9764,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,25655.0,172
HCPCS,C9765,RVSC LOW EXT IVL/STNT BI,164863.2,164863.2,11540.42,164863.2,45
HCPCS,C9765,RVSC LOW EXT IVL/STNT LT,109908.8,109908.8,7693.62,109908.8,45
HCPCS,C9765,RVSC LOW EXT IVL/STNT RT,109908.8,109908.8,7693.62,109908.8,45
HCPCS,C9765,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,172
HCPCS,C9766,REVSC LOW EXT IVL/ATH BI,164863.2,164863.2,11540.42,164863.2,45
HCPCS,C9766,REVSC LOW EXT IVL/ATH LT,109908.8,109908.8,7693.62,109908.8,45
HCPCS,C9766,REVSC LOW EXT IVL/ATH RT,109908.8,109908.8,7693.62,109908.8,45
HCPCS,C9766,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,172
HCPCS,C9767,RVSC LW EXT IVL ST/AT BI,114209.02,114209.02,7994.63,114209.02,45
HCPCS,C9767,RVSC LW EXT IVL ST/AT LT,76139.34,76139.34,5329.75,76139.34,45
HCPCS,C9767,RVSC LW EXT IVL ST/AT RT,76139.34,76139.34,5329.75,76139.34,45
HCPCS,C9767,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,172
HCPCS,C9768,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,319.26,5932.0,50
HCPCS,C9769,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,12499.0,100
HCPCS,C9770,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,8
HCPCS,C9771,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,8
HCPCS,C9772,REVSC TIB/PER IVL ANG BI,92412.82,92412.82,6468.9,92412.82,45
HCPCS,C9772,REVSC TIB/PER IVL ANG LT,61608.54,61608.54,4312.6,61608.54,45
HCPCS,C9772,REVSC TIB/PER IVL ANG RT,61608.54,61608.54,4312.6,61608.54,45
HCPCS,C9772,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,4678.99,28120.23,187
HCPCS,C9772,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed Age 21+",,,5225.26,5225.26,4
HCPCS,C9772,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed Age Under 21",,,5320.27,5320.27,4
HCPCS,C9773,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,8369.88,44979.2,195
HCPCS,C9774,REVSC TIB/PER IVL/ATH,109908.8,109908.8,7693.62,109908.8,45
HCPCS,C9774,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",109908.8,109908.8,8489.09,44979.2,187
HCPCS,C9774,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed Age ",109908.8,109908.8,9480.21,9652.57,8
HCPCS,C9775,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,8518.48,44979.2,195
HCPCS,C9776,"Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green",,,133.63,169.57,23
HCPCS,C9777,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,318.15,12499.0,130
HCPCS,C9778,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,25655.0,172
HCPCS,C9779,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,12499.0,172
HCPCS,C9780,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,172
HCPCS,C9781,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,25655.0,172
HCPCS,C9782,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,20013.0,28286.0,78
HCPCS,C9783,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,130
HCPCS,C9784,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,100
HCPCS,C9785,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,172
HCPCS,C9789,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,12499.0,172
HCPCS,C9790,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,25655.0,92
HCPCS,C9791,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,6940.27,30
HCPCS,C9792,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,130
HCPCS,C9793,"3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography and/or magnetic resonance imaging with report ",,,1364.77,4462.89,6
HCPCS,C9796,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,25655.0,164
HCPCS,C9797,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,164
HCPCS,C9800,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,4723.0,42
HCPCS,C9804,SYSTEM PUMP 1ML/HR 100ML,3291.0,3291.0,230.37,3291.0,71
HCPCS,C9804,SYSTEM PUMP 2ML/HR 100ML,3471.0,3471.0,242.97,3471.0,71
HCPCS,C9804,SYSTEM PUMP 4ML/HR 270ML,5518.0,5518.0,386.26,5518.0,71
HCPCS,C9804,SYSTEM PUMP DRG 400ML,5793.0,5793.0,405.51,5793.0,71
HCPCS,C9808,"Nerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice cryosphere, cryoice cryo2), including probe and all disposable system components, non-opioid medical device (must be a qual",,,1.03,1.55,6
HCPCS,C9809,"Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgic",,,1.03,1.55,6
HCPCS,C9810,"Water circulating motorized cold therapy device (e.g., iceman) including all system components (e.g. pads, console, disposable parts), non-opioid medical device (must be a qualifying medicare non-opio",,,272.4,409.9,6
HCPCS,C9811,"Electronic ambulatory infusion pump (e.g. sapphire pump), including all pump components, including disposable components , non-opioid medical device (must be a qualifying medicare non-opioid medical d",,,2797.82,5443.04,6
HCPCS,C9812,"Echogenic nerve block needles (e.g. sonoplex, sonoblock, sonotap), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with s",,,0.81,1.22,6
HCPCS,C9813,"Perforated continuous infusion catheter set (e.g. infiltralong), including all components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain rel",,,32.49,48.89,6
HCPCS,C9814,"Continuous anesthesia echogenic conduction catheter set (e.g. sonolong), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance ",,,12383.94,18634.88,6
HCPCS,C9815,"Linear peristaltic pain management infusion pump (e.g. cadd-solis ambulatory infusion pump), and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid m",,,2797.82,5443.04,6
HCPCS,C9817,"Electronic cryo-pneumatic compression, pain management system (e.g. game ready grpro 2.1 system), including control unit, anatomically correct wrap(s), and other system component(s), non-opioid medica",,,564.14,848.9,6
HCPCS,C9818,"Suzetrigine, oral 1 mg ",,,0.54,0.54,15
HCPCS,C9901,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,116
HCPCS,D0478,Immunohistochemical stains ,,,79.15,100.2,4
HCPCS,D0479,Tissue in-situ hybridization ,,,119.23,150.94,4
HCPCS,D0481,Electron microscopy diagnost ,,,126.0,159.51,4
HCPCS,D0482,Direct immunofluorescence ,,,53.64,67.9,4
HCPCS,D0483,Indirect immunofluorescence ,,,65.09,82.4,4
HCPCS,D2956,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,24
HCPCS,D2989,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,24
HCPCS,D3471,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,32
HCPCS,D3472,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,32
HCPCS,D3473,Surgical repair of root resorption - molar ,,,10868.0,12875.0,32
HCPCS,D3501,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,32
HCPCS,D3502,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,32
HCPCS,D3503,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,32
HCPCS,D3921,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,32
HCPCS,D4286,Removal of non-resorbable barrier ,,,10868.0,12875.0,32
HCPCS,D5909,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,24
HCPCS,D5930,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,24
HCPCS,D5938,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,24
HCPCS,D5939,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,24
HCPCS,D5940,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,24
HCPCS,D5941,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,24
HCPCS,D5942,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,24
HCPCS,D5943,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,24
HCPCS,D5944,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,24
HCPCS,D5945,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,24
HCPCS,D5946,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,24
HCPCS,D5947,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,24
HCPCS,D5995,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,32
HCPCS,D5996,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,32
HCPCS,D6089,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,24
HCPCS,D6105,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,32
HCPCS,D6106,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,32
HCPCS,D6107,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,32
HCPCS,D6191,Semi-precision abutment - placement ,,,10868.0,12875.0,32
HCPCS,D6192,Semi-precision attachment - placement ,,,10868.0,12875.0,32
HCPCS,D6193,Replacement of an implant screw ,,,10868.0,12875.0,24
HCPCS,D6197,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,32
HCPCS,D6198,Remove interim implant component ,,,10868.0,12875.0,32
HCPCS,D7252,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,24
HCPCS,D7259,Nerve dissection ,,,10868.0,12875.0,24
HCPCS,D7284,Exc biopsy of saliv glands ,,,10868.0,12875.0,24
HCPCS,D7298,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,32
HCPCS,D7299,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,32
HCPCS,D7300,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,32
HCPCS,D7509,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,32
HCPCS,D7939,Indexing for osteotomy ,,,10868.0,12875.0,24
HCPCS,D7956,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,32
HCPCS,D7957,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,32
HCPCS,D7961,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,32
HCPCS,D7962,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,32
HCPCS,D7993,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,32
HCPCS,D7994,Surgical placement zygomatic implant ,,,10868.0,12875.0,32
HCPCS,D9949,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,32
HCPCS,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,23.9,73.18,78
HCPCS,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip Other Outpatient",,,29.33,29.33,6
HCPCS,E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,58.22,178.19,78
HCPCS,E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips Other Outpatient",,,71.41,71.41,6
HCPCS,E0110,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,87.06,266.51,78
HCPCS,E0110,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips Other Outpatient",,,106.81,106.81,6
HCPCS,E0111,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,55.21,168.99,78
HCPCS,E0111,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips Other Outpatient",,,67.73,67.73,6
HCPCS,E0112,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,45.14,138.18,78
HCPCS,E0112,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips Other Outpatient",,,55.38,55.38,6
HCPCS,E0113,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,22.33,68.36,78
HCPCS,E0113,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip Other Outpatient",,,27.39,27.39,6
HCPCS,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,50.23,153.74,78
HCPCS,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips Other Outpatient",,,61.61,61.61,6
HCPCS,E0116,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,28.77,88.08,78
HCPCS,E0116,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each Other Outpatient",,,35.3,35.3,6
HCPCS,E0117,"Crutch, underarm, articulating, spring assisted, each ",,,23.5,71.92,78
HCPCS,E0117,"Crutch, underarm, articulating, spring assisted, each Other Outpatient",,,28.82,28.82,6
HCPCS,E0130,"Walker, rigid (pickup), adjustable or fixed height ",,,51.89,140.17,78
HCPCS,E0130,"Walker, rigid (pickup), adjustable or fixed height Other Outpatient",,,56.18,56.18,6
HCPCS,E0135,"Walker, folding (pickup), adjustable or fixed height ",,,51.89,140.17,78
HCPCS,E0135,"Walker, folding (pickup), adjustable or fixed height Other Outpatient",,,56.18,56.18,6
HCPCS,E0140,"Walker, with trunk support, adjustable or fixed height, any type ",,,31.17,84.18,78
HCPCS,E0140,"Walker, with trunk support, adjustable or fixed height, any type Other Outpatient",,,33.74,33.74,6
HCPCS,E0141,"Walker, rigid, wheeled, adjustable or fixed height ",,,57.92,156.44,78
HCPCS,E0141,"Walker, rigid, wheeled, adjustable or fixed height Other Outpatient",,,62.7,62.7,6
HCPCS,E0143,"Walker, folding, wheeled, adjustable or fixed height ",,,57.92,156.44,78
HCPCS,E0143,"Walker, folding, wheeled, adjustable or fixed height Other Outpatient",,,62.7,62.7,6
HCPCS,E0144,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,31.06,90.02,78
HCPCS,E0144,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat Other Outpatient",,,36.08,36.08,6
HCPCS,E0147,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,484.84,1309.58,78
HCPCS,E0147,"Walker, heavy duty, multiple braking system, variable wheel resistance Other Outpatient",,,524.83,524.83,6
HCPCS,E0148,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,94.36,254.87,78
HCPCS,E0148,"Walker, heavy duty, without wheels, rigid or folding, any type, each Other Outpatient",,,102.14,102.14,6
HCPCS,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,13.44,36.31,78
HCPCS,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type Other Outpatient",,,14.55,14.55,6
HCPCS,E0152,"Walker, battery powered, wheeled, folding, adjustable or fixed height ",,,58.42,87.91,6
HCPCS,E0153,"Platform attachment, forearm crutch, each ",,,84.65,259.12,78
HCPCS,E0153,"Platform attachment, forearm crutch, each Other Outpatient",,,103.85,103.85,6
HCPCS,E0154,"Platform attachment, walker, each ",,,55.03,148.63,78
HCPCS,E0154,"Platform attachment, walker, each Other Outpatient",,,59.57,59.57,6
HCPCS,E0155,"Wheel attachment, rigid pick-up walker, per pair ",,,23.73,64.09,78
HCPCS,E0155,"Wheel attachment, rigid pick-up walker, per pair Other Outpatient",,,25.68,25.68,6
HCPCS,E0156,"Seat attachment, walker ",,,18.03,48.71,78
HCPCS,E0156,"Seat attachment, walker Other Outpatient",,,19.52,19.52,6
HCPCS,E0157,"Crutch attachment, walker, each ",,,61.14,165.14,78
HCPCS,E0157,"Crutch attachment, walker, each Other Outpatient",,,66.18,66.18,6
HCPCS,E0158,"Leg extensions for walker, per set of four (4) ",,,24.34,65.74,78
HCPCS,E0158,"Leg extensions for walker, per set of four (4) Other Outpatient",,,26.34,26.34,6
HCPCS,E0159,"Brake attachment for wheeled walker, replacement, each ",,,16.94,45.75,78
HCPCS,E0159,"Brake attachment for wheeled walker, replacement, each Other Outpatient",,,18.33,18.33,6
HCPCS,E0160,"Sitz type bath or equipment, portable, used with or without commode ",,,32.87,88.79,78
HCPCS,E0160,"Sitz type bath or equipment, portable, used with or without commode Other Outpatient",,,35.58,35.58,6
HCPCS,E0161,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,27.18,74.8,78
HCPCS,E0161,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s Other Outpatient",,,29.98,29.98,6
HCPCS,E0162,Sitz bath chair ,,,151.07,462.43,78
HCPCS,E0162,Sitz bath chair Other Outpatient,,,185.33,185.33,6
HCPCS,E0163,"Commode chair, mobile or stationary, with fixed arms ",,,63.52,171.56,78
HCPCS,E0163,"Commode chair, mobile or stationary, with fixed arms Other Outpatient",,,68.75,68.75,6
HCPCS,E0165,"Commode chair, mobile or stationary, with detachable arms ",,,14.3,38.62,78
HCPCS,E0165,"Commode chair, mobile or stationary, with detachable arms Other Outpatient",,,15.48,15.48,6
HCPCS,E0167,"Pail or pan for use with commode chair, replacement only ",,,12.81,34.61,78
HCPCS,E0167,"Pail or pan for use with commode chair, replacement only Other Outpatient",,,13.87,13.87,6
HCPCS,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,135.1,364.91,78
HCPCS,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each Other Outpatient",,,146.24,146.24,6
HCPCS,E0170,"Commode chair with integrated seat lift mechanism, electric, any type ",,,190.91,523.45,78
HCPCS,E0170,"Commode chair with integrated seat lift mechanism, electric, any type Other Outpatient",,,209.78,209.78,6
HCPCS,E0171,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,35.07,98.54,78
HCPCS,E0171,"Commode chair with integrated seat lift mechanism, non-electric, any type Other Outpatient",,,39.49,39.49,6
HCPCS,E0175,"Foot rest, for use with commode chair, each ",,,80.8,247.3,78
HCPCS,E0175,"Foot rest, for use with commode chair, each Other Outpatient",,,99.11,99.11,6
HCPCS,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,19.24,51.98,78
HCPCS,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty Other Outpatient",,,20.83,20.83,6
HCPCS,E0182,"Pump for alternating pressure pad, for replacement only ",,,24.98,67.47,78
HCPCS,E0182,"Pump for alternating pressure pad, for replacement only Other Outpatient",,,27.04,27.04,6
HCPCS,E0183,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,13.45,51.98,78
HCPCS,E0183,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty Other Outpatient",,,20.83,20.83,6
HCPCS,E0184,Dry pressure mattress ,,,184.37,497.98,78
HCPCS,E0184,Dry pressure mattress Other Outpatient,,,199.57,199.57,6
HCPCS,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,209.27,565.24,78
HCPCS,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width Other Outpatient",,,226.53,226.53,6
HCPCS,E0186,Air pressure mattress ,,,22.26,60.13,78
HCPCS,E0186,Air pressure mattress Other Outpatient,,,24.1,24.1,6
HCPCS,E0187,Water pressure mattress ,,,26.07,70.43,78
HCPCS,E0187,Water pressure mattress Other Outpatient,,,28.22,28.22,6
HCPCS,E0188,Synthetic sheepskin pad ,,,27.41,74.64,78
HCPCS,E0188,Synthetic sheepskin pad Other Outpatient,,,29.91,29.91,6
HCPCS,E0189,"Lambswool sheepskin pad, any size ",,,60.01,167.34,78
HCPCS,E0189,"Lambswool sheepskin pad, any size Other Outpatient",,,67.06,67.06,6
HCPCS,E0191,"Heel or elbow protector, each ",,,11.41,34.95,78
HCPCS,E0191,"Heel or elbow protector, each Other Outpatient",,,14.01,14.01,6
HCPCS,E0193,Powered air flotation bed (low air loss therapy) ,,,836.44,2259.25,78
HCPCS,E0193,Powered air flotation bed (low air loss therapy) Other Outpatient,,,905.43,905.43,6
HCPCS,E0194,Air fluidized bed ,,,3617.68,11073.64,78
HCPCS,E0194,Air fluidized bed Other Outpatient,,,4437.91,4437.91,6
HCPCS,E0196,Gel pressure mattress ,,,37.84,102.44,78
HCPCS,E0196,Gel pressure mattress Other Outpatient,,,41.05,41.05,6
HCPCS,E0197,"Air pressure pad for mattress, standard mattress length and width ",,,20.93,56.54,78
HCPCS,E0197,"Air pressure pad for mattress, standard mattress length and width Other Outpatient",,,22.66,22.66,6
HCPCS,E0198,"Water pressure pad for mattress, standard mattress length and width ",,,22.97,70.35,78
HCPCS,E0198,"Water pressure pad for mattress, standard mattress length and width Other Outpatient",,,28.19,28.19,6
HCPCS,E0199,"Dry pressure pad for mattress, standard mattress length and width ",,,36.37,100.4,78
HCPCS,E0199,"Dry pressure pad for mattress, standard mattress length and width Other Outpatient",,,40.24,40.24,6
HCPCS,E0200,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,96.7,296.03,78
HCPCS,E0200,"Heat lamp, without stand (table model), includes bulb, or infrared element Other Outpatient",,,118.64,118.64,6
HCPCS,E0201,"Penile contracture device, manual, greater than 3 lbs traction force ",,,142.12,383.88,78
HCPCS,E0201,"Penile contracture device, manual, greater than 3 lbs traction force Other Outpatient",,,153.85,153.85,6
HCPCS,E0202,Phototherapy (bilirubin) light with photometer ,,,76.38,233.84,78
HCPCS,E0202,Phototherapy (bilirubin) light with photometer Other Outpatient,,,93.71,93.71,6
HCPCS,E0205,"Heat lamp, with stand, includes bulb, or infrared element ",,,236.72,724.59,78
HCPCS,E0205,"Heat lamp, with stand, includes bulb, or infrared element Other Outpatient",,,290.39,290.39,6
HCPCS,E0210,"Electric heat pad, standard ",,,33.85,103.65,78
HCPCS,E0210,"Electric heat pad, standard Other Outpatient",,,41.54,41.54,6
HCPCS,E0215,"Electric heat pad, moist ",,,86.42,264.52,78
HCPCS,E0215,"Electric heat pad, moist Other Outpatient",,,106.01,106.01,6
HCPCS,E0217,Water circulating heat pad with pump ,,,605.61,1853.73,78
HCPCS,E0217,Water circulating heat pad with pump Other Outpatient,,,742.91,742.91,6
HCPCS,E0225,"Hydrocollator unit, includes pads ",,,474.09,1451.17,78
HCPCS,E0225,"Hydrocollator unit, includes pads Other Outpatient",,,581.57,581.57,6
HCPCS,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,21.04,64.4,78
HCPCS,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) Other Outpatient",,,25.81,25.81,6
HCPCS,E0236,Pump for water circulating pad ,,,53.97,165.22,78
HCPCS,E0236,Pump for water circulating pad Other Outpatient,,,66.21,66.21,6
HCPCS,E0239,"Hydrocollator unit, portable ",,,548.71,1679.6,78
HCPCS,E0239,"Hydrocollator unit, portable Other Outpatient",,,673.12,673.12,6
HCPCS,E0249,"Pad for water circulating heat unit, for replacement only ",,,121.51,371.88,78
HCPCS,E0249,"Pad for water circulating heat unit, for replacement only Other Outpatient",,,149.04,149.04,6
HCPCS,E0250,"Hospital bed, fixed height, with any type side rails, with mattress ",,,74.89,202.29,78
HCPCS,E0250,"Hospital bed, fixed height, with any type side rails, with mattress Other Outpatient",,,81.07,81.07,6
HCPCS,E0251,"Hospital bed, fixed height, with any type side rails, without mattress ",,,70.17,189.53,78
HCPCS,E0251,"Hospital bed, fixed height, with any type side rails, without mattress Other Outpatient",,,75.96,75.96,6
HCPCS,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,75.17,203.05,78
HCPCS,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress Other Outpatient",,,81.38,81.38,6
HCPCS,E0256,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,73.53,198.6,78
HCPCS,E0256,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress Other Outpatient",,,79.59,79.59,6
HCPCS,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,75.17,203.05,78
HCPCS,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress Other Outpatient",,,81.38,81.38,6
HCPCS,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,75.17,203.05,78
HCPCS,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress Other Outpatient",,,81.38,81.38,6
HCPCS,E0265,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,178.49,482.11,78
HCPCS,E0265,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress Other Outpatient",,,193.21,193.21,6
HCPCS,E0266,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,155.31,419.49,78
HCPCS,E0266,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress Other Outpatient",,,168.12,168.12,6
HCPCS,E0271,"Mattress, innerspring ",,,144.74,390.96,78
HCPCS,E0271,"Mattress, innerspring Other Outpatient",,,156.68,156.68,6
HCPCS,E0272,"Mattress, foam rubber ",,,162.79,439.69,78
HCPCS,E0272,"Mattress, foam rubber Other Outpatient",,,176.21,176.21,6
HCPCS,E0275,"Bed pan, standard, metal or plastic ",,,16.95,45.77,78
HCPCS,E0275,"Bed pan, standard, metal or plastic Other Outpatient",,,18.34,18.34,6
HCPCS,E0276,"Bed pan, fracture, metal or plastic ",,,14.75,39.85,78
HCPCS,E0276,"Bed pan, fracture, metal or plastic Other Outpatient",,,15.97,15.97,6
HCPCS,E0277,Powered pressure-reducing air mattress ,,,248.93,721.33,78
HCPCS,E0277,Powered pressure-reducing air mattress Other Outpatient,,,269.46,269.46,6
HCPCS,E0280,"Bed cradle, any type ",,,37.74,101.94,78
HCPCS,E0280,"Bed cradle, any type Other Outpatient",,,40.86,40.86,6
HCPCS,E0290,"Hospital bed, fixed height, without side rails, with mattress ",,,70.59,190.66,78
HCPCS,E0290,"Hospital bed, fixed height, without side rails, with mattress Other Outpatient",,,76.41,76.41,6
HCPCS,E0291,"Hospital bed, fixed height, without side rails, without mattress ",,,53.8,147.56,78
HCPCS,E0291,"Hospital bed, fixed height, without side rails, without mattress Other Outpatient",,,59.14,59.14,6
HCPCS,E0292,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,74.99,202.55,78
HCPCS,E0292,"Hospital bed, variable height, hi-lo, without side rails, with mattress Other Outpatient",,,81.18,81.18,6
HCPCS,E0293,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,69.58,190.92,78
HCPCS,E0293,"Hospital bed, variable height, hi-lo, without side rails, without mattress Other Outpatient",,,76.51,76.51,6
HCPCS,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,75.17,203.05,78
HCPCS,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress Other Outpatient",,,81.38,81.38,6
HCPCS,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,75.17,203.05,78
HCPCS,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress Other Outpatient",,,81.38,81.38,6
HCPCS,E0296,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,139.26,376.15,78
HCPCS,E0296,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress Other Outpatient",,,150.75,150.75,6
HCPCS,E0297,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,122.89,331.93,78
HCPCS,E0297,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress Other Outpatient",,,133.02,133.02,6
HCPCS,E0300,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,282.47,838.16,78
HCPCS,E0300,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure Other Outpatient",,,335.91,335.91,6
HCPCS,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,196.97,532.02,78
HCPCS,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress Other Outpatient",,,213.21,213.21,6
HCPCS,E0302,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,571.31,1543.13,78
HCPCS,E0302,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress Other Outpatient",,,618.43,618.43,6
HCPCS,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,200.45,541.42,78
HCPCS,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress Other Outpatient",,,216.98,216.98,6
HCPCS,E0304,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,578.09,1561.44,78
HCPCS,E0304,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress Other Outpatient",,,625.77,625.77,6
HCPCS,E0305,"Bed side rails, half length ",,,13.08,35.32,78
HCPCS,E0305,"Bed side rails, half length Other Outpatient",,,14.15,14.15,6
HCPCS,E0310,"Bed side rails, full length ",,,133.02,359.28,78
HCPCS,E0310,"Bed side rails, full length Other Outpatient",,,143.99,143.99,6
HCPCS,E0316,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,202.88,621.02,78
HCPCS,E0316,"Safety enclosure frame/canopy for use with hospital bed, any type Other Outpatient",,,248.88,248.88,6
HCPCS,E0325,"Urinal; male, jug-type, any material ",,,11.36,30.79,78
HCPCS,E0325,"Urinal; male, jug-type, any material Other Outpatient",,,12.34,12.34,6
HCPCS,E0326,"Urinal; female, jug-type, any material ",,,11.77,31.78,78
HCPCS,E0326,"Urinal; female, jug-type, any material Other Outpatient",,,12.74,12.74,6
HCPCS,E0371,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,248.93,672.37,78
HCPCS,E0371,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width Other Outpatient",,,269.46,269.46,6
HCPCS,E0372,"Powered air overlay for mattress, standard mattress length and width ",,,248.93,672.37,78
HCPCS,E0372,"Powered air overlay for mattress, standard mattress length and width Other Outpatient",,,269.46,269.46,6
HCPCS,E0373,Nonpowered advanced pressure reducing mattress ,,,248.93,672.37,78
HCPCS,E0373,Nonpowered advanced pressure reducing mattress Other Outpatient,,,269.46,269.46,6
HCPCS,E0424,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,95.22,257.18,78
HCPCS,E0424,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing Other Outpatient",,,103.07,103.07,6
HCPCS,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,21.45,108.06,78
HCPCS,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing Other Outpatient",,,23.22,23.22,6
HCPCS,E0433,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,45.75,123.59,84
HCPCS,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,45.75,123.59,78
HCPCS,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing Other Outpatient",,,49.53,49.53,6
HCPCS,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,95.22,257.18,78
HCPCS,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing Other Outpatient",,,103.07,103.07,6
HCPCS,E0441,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,65.8,177.71,78
HCPCS,E0441,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit Other Outpatient",,,71.22,71.22,6
HCPCS,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,65.8,177.71,78
HCPCS,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit Other Outpatient",,,71.22,71.22,6
HCPCS,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,59.63,161.05,78
HCPCS,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit Other Outpatient",,,64.54,64.54,6
HCPCS,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,59.63,161.05,78
HCPCS,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit Other Outpatient",,,64.54,64.54,6
HCPCS,E0447,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,89.43,241.56,78
HCPCS,E0447,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) Other Outpatient",,,96.81,96.81,6
HCPCS,E0462,Rocking bed with or without side rails ,,,355.47,1088.09,78
HCPCS,E0462,Rocking bed with or without side rails Other Outpatient,,,436.07,436.07,6
HCPCS,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1164.36,3564.06,78
HCPCS,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) Other Outpatient",,,1428.35,1428.35,6
HCPCS,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1164.36,3564.06,78
HCPCS,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) Other Outpatient",,,1428.35,1428.35,6
HCPCS,E0467,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1368.92,4119.37,84
HCPCS,E0468,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1418.6,3831.67,78
HCPCS,E0468,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions Other Outpatient",,,1535.59,1535.59,6
HCPCS,E0469,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1520.36,4106.54,78
HCPCS,E0469,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device Other Outpatient",,,1645.75,1645.75,6
HCPCS,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,129.39,349.48,84
HCPCS,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,314.62,849.8,84
HCPCS,E0472,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,479.02,1293.86,84
HCPCS,E0480,"Percussor, electric or pneumatic, home model ",,,53.61,164.12,78
HCPCS,E0480,"Percussor, electric or pneumatic, home model Other Outpatient",,,65.77,65.77,6
HCPCS,E0482,"Cough stimulating device, alternating positive and negative airway pressure ",,,524.57,1605.69,78
HCPCS,E0482,"Cough stimulating device, alternating positive and negative airway pressure Other Outpatient",,,643.5,643.5,6
HCPCS,E0483,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1296.84,3969.61,78
HCPCS,E0483,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each Other Outpati",,,1590.88,1590.88,6
HCPCS,E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,45.06,137.92,78
HCPCS,E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each Other Outpatient",,,55.27,55.27,6
HCPCS,E0490,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,123.75,334.26,78
HCPCS,E0490,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote Other Outpatient",,,133.96,133.96,6
HCPCS,E0491,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,102.21,276.07,84
HCPCS,E0492,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application ",,,768.39,1156.24,6
HCPCS,E0493,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day sup",,,768.39,1156.24,6
HCPCS,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,133.89,409.85,78
HCPCS,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source Other Outpatient",,,164.25,164.25,6
HCPCS,E0530,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,36.01,97.25,78
HCPCS,E0530,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type Other Outpatient",,,38.98,38.98,6
HCPCS,E0550,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,61.15,187.2,78
HCPCS,E0550,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery Other Outpatient",,,75.02,75.02,6
HCPCS,E0560,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,180.32,551.93,78
HCPCS,E0560,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery Other Outpatient",,,221.19,221.19,6
HCPCS,E0561,"Humidifier, non-heated, used with positive airway pressure device ",,,83.21,224.74,78
HCPCS,E0561,"Humidifier, non-heated, used with positive airway pressure device Other Outpatient",,,90.07,90.07,6
HCPCS,E0562,"Humidifier, heated, used with positive airway pressure device ",,,164.72,444.9,78
HCPCS,E0562,"Humidifier, heated, used with positive airway pressure device Other Outpatient",,,178.3,178.3,6
HCPCS,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,51.0,137.76,78
HCPCS,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven Other Outpatient",,,55.21,55.21,6
HCPCS,E0570,"Nebulizer, with compressor ",,,6.94,19.73,78
HCPCS,E0570,"Nebulizer, with compressor Other Outpatient",,,7.51,7.51,6
HCPCS,E0572,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,28.29,76.4,78
HCPCS,E0572,"Aerosol compressor, adjustable pressure, light duty for intermittent use Other Outpatient",,,30.62,30.62,6
HCPCS,E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,49.11,150.28,78
HCPCS,E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer Other Outpatient,,,60.23,60.23,6
HCPCS,E0575,"Nebulizer, ultrasonic, large volume ",,,125.38,383.78,78
HCPCS,E0575,"Nebulizer, ultrasonic, large volume Other Outpatient",,,153.8,153.8,6
HCPCS,E0580,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,140.02,431.38,78
HCPCS,E0580,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter Other Outpatient",,,172.88,172.88,6
HCPCS,E0585,"Nebulizer, with compressor and heater ",,,31.2,84.29,78
HCPCS,E0585,"Nebulizer, with compressor and heater Other Outpatient",,,33.78,33.78,6
HCPCS,E0600,"Respiratory suction pump, home model, portable or stationary, electric ",,,55.85,170.96,78
HCPCS,E0600,"Respiratory suction pump, home model, portable or stationary, electric Other Outpatient",,,68.51,68.51,6
HCPCS,E0601,Continuous positive airway pressure (cpap) device ,,,49.38,133.38,78
HCPCS,E0601,Continuous positive airway pressure (cpap) device Other Outpatient,,,53.46,53.46,6
HCPCS,E0602,"Breast pump, manual, any type ",,,36.0,110.2,78
HCPCS,E0602,"Breast pump, manual, any type Other Outpatient",,,44.16,44.16,6
HCPCS,E0605,"Vaporizer, room type ",,,32.22,98.62,78
HCPCS,E0605,"Vaporizer, room type Other Outpatient",,,39.52,39.52,6
HCPCS,E0606,Postural drainage board ,,,24.56,75.19,78
HCPCS,E0606,Postural drainage board Other Outpatient,,,30.14,30.14,6
HCPCS,E0607,Home blood glucose monitor ,,,81.5,249.5,78
HCPCS,E0607,Home blood glucose monitor Other Outpatient,,,99.99,99.99,6
HCPCS,E0610,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,290.14,888.1,78
HCPCS,E0610,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) Other Outpatient",,,355.92,355.92,6
HCPCS,E0615,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,584.05,1787.73,78
HCPCS,E0615,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems Other Outpatient",,,716.46,716.46,6
HCPCS,E0617,External defibrillator with integrated electrocardiogram analysis ,,,411.79,1135.25,78
HCPCS,E0617,External defibrillator with integrated electrocardiogram analysis Other Outpatient,,,454.97,454.97,6
HCPCS,E0618,"Apnea monitor, without recording feature ",,,290.7,889.8,78
HCPCS,E0618,"Apnea monitor, without recording feature Other Outpatient",,,356.6,356.6,6
HCPCS,E0620,"Skin piercing device for collection of capillary blood, laser, each ",,,106.65,326.43,78
HCPCS,E0620,"Skin piercing device for collection of capillary blood, laser, each Other Outpatient",,,130.82,130.82,6
HCPCS,E0621,"Sling or seat, patient lift, canvas or nylon ",,,102.79,277.64,78
HCPCS,E0621,"Sling or seat, patient lift, canvas or nylon Other Outpatient",,,111.27,111.27,6
HCPCS,E0627,"Seat lift mechanism, electric, any type ",,,308.76,833.97,78
HCPCS,E0627,"Seat lift mechanism, electric, any type Other Outpatient",,,334.23,334.23,6
HCPCS,E0629,"Seat lift mechanism, non-electric, any type ",,,303.06,818.57,78
HCPCS,E0629,"Seat lift mechanism, non-electric, any type Other Outpatient",,,328.05,328.05,6
HCPCS,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,70.64,190.79,78
HCPCS,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) Other Outpatient",,,76.46,76.46,6
HCPCS,E0635,"Patient lift, electric with seat or sling ",,,141.41,412.0,78
HCPCS,E0635,"Patient lift, electric with seat or sling Other Outpatient",,,165.11,165.11,6
HCPCS,E0636,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1202.9,3249.06,78
HCPCS,E0636,"Multipositional patient support system, with integrated lift, patient accessible controls Other Outpatient",,,1302.11,1302.11,6
HCPCS,E0639,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,136.08,416.53,78
HCPCS,E0639,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories Other Outpatient",,,166.93,166.93,6
HCPCS,E0640,"Patient lift, fixed system, includes all components/accessories ",,,136.08,416.53,78
HCPCS,E0640,"Patient lift, fixed system, includes all components/accessories Other Outpatient",,,166.93,166.93,6
HCPCS,E0650,"Pneumatic compressor, non-segmental home model ",,,852.61,2609.83,78
HCPCS,E0650,"Pneumatic compressor, non-segmental home model Other Outpatient",,,1045.93,1045.93,6
HCPCS,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1120.31,3429.19,78
HCPCS,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure Other Outpatient",,,1374.29,1374.29,6
HCPCS,E0652,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,6466.87,19794.91,78
HCPCS,E0652,"Pneumatic compressor, segmental home model with calibrated gradient pressure Other Outpatient",,,7933.08,7933.08,6
HCPCS,E0655,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,127.53,390.38,78
HCPCS,E0655,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm Other Outpatient",,,156.45,156.45,6
HCPCS,E0656,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,70.5,215.76,78
HCPCS,E0656,"Segmental pneumatic appliance for use with pneumatic compressor, trunk Other Outpatient",,,86.47,86.47,6
HCPCS,E0657,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,66.21,202.71,78
HCPCS,E0657,"Segmental pneumatic appliance for use with pneumatic compressor, chest Other Outpatient",,,81.24,81.24,6
HCPCS,E0658,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,173.78,469.37,78
HCPCS,E0658,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest Other Outpatient",,,188.11,188.11,6
HCPCS,E0659,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,173.78,469.37,78
HCPCS,E0659,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest Other Outpatient",,,188.11,188.11,6
HCPCS,E0660,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,194.88,596.47,78
HCPCS,E0660,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg Other Outpatient",,,239.04,239.04,6
HCPCS,E0665,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,167.12,511.56,78
HCPCS,E0665,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm Other Outpatient",,,205.01,205.01,6
HCPCS,E0666,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,168.45,515.62,78
HCPCS,E0666,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg Other Outpatient",,,206.64,206.64,6
HCPCS,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,394.95,1208.89,78
HCPCS,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg Other Outpatient",,,484.48,484.48,6
HCPCS,E0668,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,539.02,1649.92,78
HCPCS,E0668,"Segmental pneumatic appliance for use with pneumatic compressor, full arm Other Outpatient",,,661.23,661.23,6
HCPCS,E0669,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,212.33,649.92,78
HCPCS,E0669,"Segmental pneumatic appliance for use with pneumatic compressor, half leg Other Outpatient",,,260.46,260.46,6
HCPCS,E0670,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1533.39,4693.65,78
HCPCS,E0670,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk Other Outpatient",,,1881.04,1881.04,6
HCPCS,E0671,"Segmental gradient pressure pneumatic appliance, full leg ",,,506.66,1550.88,78
HCPCS,E0671,"Segmental gradient pressure pneumatic appliance, full leg Other Outpatient",,,621.54,621.54,6
HCPCS,E0672,"Segmental gradient pressure pneumatic appliance, full arm ",,,393.66,1204.99,78
HCPCS,E0672,"Segmental gradient pressure pneumatic appliance, full arm Other Outpatient",,,482.92,482.92,6
HCPCS,E0673,"Segmental gradient pressure pneumatic appliance, half leg ",,,327.12,1001.26,78
HCPCS,E0673,"Segmental gradient pressure pneumatic appliance, half leg Other Outpatient",,,401.27,401.27,6
HCPCS,E0675,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,469.08,1435.84,78
HCPCS,E0675,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) Other Outpatient",,,575.43,575.43,6
HCPCS,E0677,"Non-pneumatic sequential compression garment, trunk ",,,79.88,215.76,78
HCPCS,E0677,"Non-pneumatic sequential compression garment, trunk Other Outpatient",,,86.47,86.47,6
HCPCS,E0678,"Non-pneumatic sequential compression garment, full leg ",,,44.76,120.89,78
HCPCS,E0678,"Non-pneumatic sequential compression garment, full leg Other Outpatient",,,48.45,48.45,6
HCPCS,E0679,"Non-pneumatic sequential compression garment, half leg ",,,24.07,65.0,78
HCPCS,E0679,"Non-pneumatic sequential compression garment, half leg Other Outpatient",,,26.05,26.05,6
HCPCS,E0680,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,732.86,1979.49,78
HCPCS,E0680,Non-pneumatic compression controller with sequential calibrated gradient pressure Other Outpatient,,,793.31,793.31,6
HCPCS,E0681,Non-pneumatic compression controller without calibrated gradient pressure ,,,126.96,342.93,78
HCPCS,E0681,Non-pneumatic compression controller without calibrated gradient pressure Other Outpatient,,,137.43,137.43,6
HCPCS,E0682,"Non-pneumatic sequential compression garment, full arm ",,,61.08,164.98,78
HCPCS,E0682,"Non-pneumatic sequential compression garment, full arm Other Outpatient",,,66.12,66.12,6
HCPCS,E0683,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,79.08,213.61,78
HCPCS,E0683,"Non-pneumatic, non-sequential, peristaltic wave compression pump Other Outpatient",,,85.61,85.61,6
HCPCS,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1096.12,3355.2,78
HCPCS,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less Other Outpatient",,,1344.64,1344.64,6
HCPCS,E0692,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1376.43,4213.22,78
HCPCS,E0692,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel Other Outpatient",,,1688.5,1688.5,6
HCPCS,E0693,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,1696.75,5193.7,78
HCPCS,E0693,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel Other Outpatient",,,2081.45,2081.45,6
HCPCS,E0694,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,5400.6,16531.1,78
HCPCS,E0694,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection Other Outpatient",,,6625.06,6625.06,6
HCPCS,E0705,"Transfer device, any type, each ",,,54.62,147.53,78
HCPCS,E0705,"Transfer device, any type, each Other Outpatient",,,59.13,59.13,6
HCPCS,E0711,"Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion ",,,7.88,11.85,6
HCPCS,E0715,Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises ,,,423.16,636.76,6
HCPCS,E0716,Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises ,,,423.16,636.76,6
HCPCS,E0720,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,68.71,378.28,78
HCPCS,E0720,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation Other Outpatient",,,74.38,74.38,6
HCPCS,E0721,Transcutaneous electrical nerve stimulator for nerves in the auricular region ,,,300.62,452.35,6
HCPCS,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,68.26,386.22,78
HCPCS,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation Other Outpatient",,,73.89,73.89,6
HCPCS,E0731,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,87.54,350.0,78
HCPCS,E0731,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) Other Outpatient,,,94.76,94.76,6
HCPCS,E0732,"Cranial electrotherapy stimulation (ces) system, any type ",,,48.34,130.58,78
HCPCS,E0732,"Cranial electrotherapy stimulation (ces) system, any type Other Outpatient",,,52.33,52.33,6
HCPCS,E0733,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,48.34,130.58,78
HCPCS,E0733,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve Other Outpatient,,,52.33,52.33,6
HCPCS,E0734,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,434.88,1174.62,78
HCPCS,E0734,External upper limb tremor stimulator of the peripheral nerves of the wrist Other Outpatient,,,470.75,470.75,6
HCPCS,E0735,Non-invasive vagus nerve stimulator ,,,48.34,130.58,78
HCPCS,E0735,Non-invasive vagus nerve stimulator Other Outpatient,,,52.33,52.33,6
HCPCS,E0736,Transcutaneous tibial nerve stimulator ,,,48.34,636.76,78
HCPCS,E0736,Transcutaneous tibial nerve stimulator Other Outpatient,,,52.33,52.33,6
HCPCS,E0737,"Transcutaneous tibial nerve stimulator, controlled by phone application ",,,423.16,636.76,6
HCPCS,E0738,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,1978.45,81836.1,78
HCPCS,E0738,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories Other Outpatient",,,2141.62,2141.62,6
HCPCS,E0739,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1549.73,81836.1,78
HCPCS,E0739,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors Other Outpatient",,,1677.54,1677.54,6
HCPCS,E0740,"Non-implanted pelvic floor electrical stimulator, complete system ",,,63.79,195.24,78
HCPCS,E0740,"Non-implanted pelvic floor electrical stimulator, complete system Other Outpatient",,,78.25,78.25,6
HCPCS,E0743,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,234.93,634.56,78
HCPCS,E0743,"External lower extremity nerve stimulator for restless legs syndrome, each Other Outpatient",,,254.31,254.31,6
HCPCS,E0744,Neuromuscular stimulator for scoliosis ,,,94.94,290.64,78
HCPCS,E0744,Neuromuscular stimulator for scoliosis Other Outpatient,,,116.48,116.48,6
HCPCS,E0745,"Neuromuscular stimulator, electronic shock unit ",,,109.2,334.26,78
HCPCS,E0745,"Neuromuscular stimulator, electronic shock unit Other Outpatient",,,133.96,133.96,6
HCPCS,E0747,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,4776.93,14622.06,78
HCPCS,E0747,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications Other Outpatient",,,5859.99,5859.99,6
HCPCS,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,4746.0,14527.38,78
HCPCS,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications Other Outpatient",,,5822.04,5822.04,6
HCPCS,E0749,"Osteogenesis stimulator, electrical, surgically implanted ",,,346.88,1061.78,78
HCPCS,E0749,"Osteogenesis stimulator, electrical, surgically implanted Other Outpatient",,,425.52,425.52,6
HCPCS,E0760,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,3943.83,12071.96,78
HCPCS,E0760,"Osteogenesis stimulator, low intensity ultrasound, non-invasive Other Outpatient",,,4838.0,4838.0,6
HCPCS,E0762,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,114.01,348.98,78
HCPCS,E0762,"Transcutaneous electrical joint stimulation device system, includes all accessories Other Outpatient",,,139.86,139.86,6
HCPCS,E0764,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1349.94,4132.11,84
HCPCS,E0765,"Fda approved nerve stimulator, for treatment of nausea and vomiting ",,,102.63,154.43,6
HCPCS,E0766,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,14024.29,42927.91,78
HCPCS,E0766,"Electrical stimulation device used for cancer treatment, includes all accessories, any type Other Outpatient",,,17203.94,17203.94,6
HCPCS,E0767,"Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories ",,,80266.41,120781.84,6
HCPCS,E0776,Iv pole ,,,60.2,454.36,80
HCPCS,E0776,Iv pole Other Outpatient,,,182.09,182.09,6
HCPCS,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,20.16,62.43,78
HCPCS,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater Other Outpatient",,,25.02,25.02,6
HCPCS,E0780,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,12.65,38.72,78
HCPCS,E0780,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours Other Outpatient",,,15.52,15.52,6
HCPCS,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,290.87,810.44,78
HCPCS,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient Other Outpatient",,,324.8,324.8,6
HCPCS,E0782,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,4672.09,14301.11,78
HCPCS,E0782,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) Other Outpatient",,,5731.36,5731.36,6
HCPCS,E0783,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,9918.26,30359.51,78
HCPCS,E0783,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) Other Outpatient",,,12166.98,12166.98,6
HCPCS,E0784,"External ambulatory infusion pump, insulin ",,,487.82,1461.31,78
HCPCS,E0784,"External ambulatory infusion pump, insulin Other Outpatient",,,585.64,585.64,6
HCPCS,E0785,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,576.39,1764.28,78
HCPCS,E0785,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement Other Outpatient",,,707.06,707.06,6
HCPCS,E0786,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,9389.76,28741.92,78
HCPCS,E0786,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) Other Outpatient",,,11518.71,11518.71,6
HCPCS,E0787,"External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing ",,,4818.14,7250.15,6
HCPCS,E0791,"Parenteral infusion pump, stationary, single or multi-channel ",,,346.49,962.8,78
HCPCS,E0791,"Parenteral infusion pump, stationary, single or multi-channel Other Outpatient",,,385.85,385.85,6
HCPCS,E0840,"Traction frame, attached to headboard, cervical traction ",,,75.97,232.55,78
HCPCS,E0840,"Traction frame, attached to headboard, cervical traction Other Outpatient",,,93.2,93.2,6
HCPCS,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,62.86,192.44,78
HCPCS,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible Other Outpatient",,,77.12,77.12,6
HCPCS,E0850,"Traction stand, free standing, cervical traction ",,,128.14,392.24,78
HCPCS,E0850,"Traction stand, free standing, cervical traction Other Outpatient",,,157.2,157.2,6
HCPCS,E0855,Cervical traction equipment not requiring additional stand or frame ,,,60.3,184.55,78
HCPCS,E0855,Cervical traction equipment not requiring additional stand or frame Other Outpatient,,,73.96,73.96,6
HCPCS,E0856,"Cervical traction device, with inflatable air bladder(s) ",,,18.77,57.46,78
HCPCS,E0856,"Cervical traction device, with inflatable air bladder(s) Other Outpatient",,,23.03,23.03,6
HCPCS,E0860,"Traction equipment, overdoor, cervical ",,,39.95,122.3,78
HCPCS,E0860,"Traction equipment, overdoor, cervical Other Outpatient",,,49.01,49.01,6
HCPCS,E0870,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,141.89,434.32,78
HCPCS,E0870,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) Other Outpatient",,,174.06,174.06,6
HCPCS,E0880,"Traction stand, free standing, extremity traction ",,,135.72,415.45,78
HCPCS,E0880,"Traction stand, free standing, extremity traction Other Outpatient",,,166.5,166.5,6
HCPCS,E0890,"Traction frame, attached to footboard, pelvic traction ",,,146.86,449.54,78
HCPCS,E0890,"Traction frame, attached to footboard, pelvic traction Other Outpatient",,,180.16,180.16,6
HCPCS,E0900,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,143.86,440.34,78
HCPCS,E0900,"Traction stand, free standing, pelvic traction, (e.g., buck's) Other Outpatient",,,176.47,176.47,6
HCPCS,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,13.15,35.53,78
HCPCS,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar Other Outpatient",,,14.24,14.24,6
HCPCS,E0911,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,50.15,135.45,78
HCPCS,E0911,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar Other Outpatient",,,54.29,54.29,6
HCPCS,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,99.11,267.71,78
HCPCS,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar Other Outpatient",,,107.29,107.29,6
HCPCS,E0920,"Fracture frame, attached to bed, includes weights ",,,56.3,172.34,78
HCPCS,E0920,"Fracture frame, attached to bed, includes weights Other Outpatient",,,69.07,69.07,6
HCPCS,E0930,"Fracture frame, free standing, includes weights ",,,55.71,170.56,78
HCPCS,E0930,"Fracture frame, free standing, includes weights Other Outpatient",,,68.36,68.36,6
HCPCS,E0935,Continuous passive motion exercise device for use on knee only ,,,27.75,84.94,78
HCPCS,E0935,Continuous passive motion exercise device for use on knee only Other Outpatient,,,34.04,34.04,6
HCPCS,E0940,"Trapeze bar, free standing, complete with grab bar ",,,24.88,67.2,78
HCPCS,E0940,"Trapeze bar, free standing, complete with grab bar Other Outpatient",,,26.93,26.93,6
HCPCS,E0941,"Gravity assisted traction device, any type ",,,52.94,162.05,78
HCPCS,E0941,"Gravity assisted traction device, any type Other Outpatient",,,64.94,64.94,6
HCPCS,E0942,Cervical head harness/halter ,,,24.2,74.09,78
HCPCS,E0942,Cervical head harness/halter Other Outpatient,,,29.69,29.69,6
HCPCS,E0944,Pelvic belt/harness/boot ,,,47.56,145.57,78
HCPCS,E0944,Pelvic belt/harness/boot Other Outpatient,,,58.34,58.34,6
HCPCS,E0945,Extremity belt/harness ,,,45.96,140.67,78
HCPCS,E0945,Extremity belt/harness Other Outpatient,,,56.37,56.37,6
HCPCS,E0946,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,61.34,187.78,78
HCPCS,E0946,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) Other Outpatient",,,75.25,75.25,6
HCPCS,E0947,"Fracture frame, attachments for complex pelvic traction ",,,628.81,1924.78,78
HCPCS,E0947,"Fracture frame, attachments for complex pelvic traction Other Outpatient",,,771.38,771.38,6
HCPCS,E0948,"Fracture frame, attachments for complex cervical traction ",,,608.2,1861.67,78
HCPCS,E0948,"Fracture frame, attachments for complex cervical traction Other Outpatient",,,746.09,746.09,6
HCPCS,E0950,"Wheelchair accessory, tray, each ",,,90.2,243.63,78
HCPCS,E0950,"Wheelchair accessory, tray, each Other Outpatient",,,97.64,97.64,6
HCPCS,E0951,"Heel loop/holder, any type, with or without ankle strap, each ",,,14.66,39.59,78
HCPCS,E0951,"Heel loop/holder, any type, with or without ankle strap, each Other Outpatient",,,15.87,15.87,6
HCPCS,E0952,"Toe loop/holder, any type, each ",,,18.72,54.23,78
HCPCS,E0952,"Toe loop/holder, any type, each Other Outpatient",,,21.73,21.73,6
HCPCS,E0953,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,90.83,245.34,78
HCPCS,E0953,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each Other Outpatient",,,98.32,98.32,6
HCPCS,E0954,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,62.46,171.09,78
HCPCS,E0954,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot Other Outpatient",,,68.56,68.56,6
HCPCS,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,16.98,45.88,78
HCPCS,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each Other Outpatient",,,18.39,18.39,6
HCPCS,E0956,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,90.83,245.34,78
HCPCS,E0956,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each Other Outpatient",,,98.32,98.32,6
HCPCS,E0957,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,145.83,393.89,78
HCPCS,E0957,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each Other Outpatient",,,157.86,157.86,6
HCPCS,E0958,"Manual wheelchair accessory, one-arm drive attachment, each ",,,48.66,133.07,78
HCPCS,E0958,"Manual wheelchair accessory, one-arm drive attachment, each Other Outpatient",,,53.33,53.33,6
HCPCS,E0959,"Manual wheelchair accessory, adapter for amputee, each ",,,52.58,142.03,78
HCPCS,E0959,"Manual wheelchair accessory, adapter for amputee, each Other Outpatient",,,56.92,56.92,6
HCPCS,E0960,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,86.53,233.73,78
HCPCS,E0960,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware Other Outpatient",,,93.67,93.67,6
HCPCS,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,23.44,63.33,78
HCPCS,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each Other Outpatient",,,25.38,25.38,6
HCPCS,E0966,"Manual wheelchair accessory, headrest extension, each ",,,85.81,231.77,78
HCPCS,E0966,"Manual wheelchair accessory, headrest extension, each Other Outpatient",,,92.88,92.88,6
HCPCS,E0967,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,80.08,229.62,78
HCPCS,E0967,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each Other Outpatient",,,92.02,92.02,6
HCPCS,E0968,"Commode seat, wheelchair ",,,21.86,66.91,78
HCPCS,E0968,"Commode seat, wheelchair Other Outpatient",,,26.82,26.82,6
HCPCS,E0969,"Narrowing device, wheelchair ",,,173.86,532.17,78
HCPCS,E0969,"Narrowing device, wheelchair Other Outpatient",,,213.28,213.28,6
HCPCS,E0971,"Manual wheelchair accessory, anti-tipping device, each ",,,33.95,91.7,78
HCPCS,E0971,"Manual wheelchair accessory, anti-tipping device, each Other Outpatient",,,36.75,36.75,6
HCPCS,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,60.36,163.04,78
HCPCS,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each Other Outpatient",,,65.34,65.34,6
HCPCS,E0974,"Manual wheelchair accessory, anti-rollback device, each ",,,89.32,241.25,78
HCPCS,E0974,"Manual wheelchair accessory, anti-rollback device, each Other Outpatient",,,96.68,96.68,6
HCPCS,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,26.89,72.63,78
HCPCS,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each Other Outpatient",,,29.11,29.11,6
HCPCS,E0980,"Safety vest, wheelchair ",,,37.77,115.62,78
HCPCS,E0980,"Safety vest, wheelchair Other Outpatient",,,46.34,46.34,6
HCPCS,E0981,"Wheelchair accessory, seat upholstery, replacement only, each ",,,45.09,128.98,78
HCPCS,E0981,"Wheelchair accessory, seat upholstery, replacement only, each Other Outpatient",,,51.69,51.69,6
HCPCS,E0982,"Wheelchair accessory, back upholstery, replacement only, each ",,,54.63,150.78,78
HCPCS,E0982,"Wheelchair accessory, back upholstery, replacement only, each Other Outpatient",,,60.43,60.43,6
HCPCS,E0983,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,304.88,933.19,78
HCPCS,E0983,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control Other Outpatient",,,373.99,373.99,6
HCPCS,E0984,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,233.05,713.35,78
HCPCS,E0984,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control Other Outpatient",,,285.88,285.88,6
HCPCS,E0985,"Wheelchair accessory, seat lift mechanism ",,,24.77,68.57,78
HCPCS,E0985,"Wheelchair accessory, seat lift mechanism Other Outpatient",,,27.48,27.48,6
HCPCS,E0986,"Manual wheelchair accessory, power assist system ",,,593.37,1816.29,78
HCPCS,E0986,"Manual wheelchair accessory, power assist system Other Outpatient",,,727.9,727.9,6
HCPCS,E0988,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,351.1,1074.72,78
HCPCS,E0988,"Manual wheelchair accessory, lever-activated, wheel drive, pair Other Outpatient",,,430.71,430.71,6
HCPCS,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,78.78,212.8,78
HCPCS,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each Other Outpatient",,,85.28,85.28,6
HCPCS,E0992,"Manual wheelchair accessory, solid seat insert ",,,93.35,252.15,78
HCPCS,E0992,"Manual wheelchair accessory, solid seat insert Other Outpatient",,,101.05,101.05,6
HCPCS,E0994,"Arm rest, each ",,,18.28,55.96,78
HCPCS,E0994,"Arm rest, each Other Outpatient",,,22.43,22.43,6
HCPCS,E0995,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,29.07,83.16,78
HCPCS,E0995,"Wheelchair accessory, calf rest/pad, replacement only, each Other Outpatient",,,33.33,33.33,6
HCPCS,E1002,"Wheelchair accessory, power seating system, tilt only ",,,434.54,1214.21,78
HCPCS,E1002,"Wheelchair accessory, power seating system, tilt only Other Outpatient",,,486.61,486.61,6
HCPCS,E1003,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,488.8,1413.23,78
HCPCS,E1003,"Wheelchair accessory, power seating system, recline only, without shear reduction Other Outpatient",,,566.37,566.37,6
HCPCS,E1004,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,539.62,1562.1,78
HCPCS,E1004,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction Other Outpatient",,,626.03,626.03,6
HCPCS,E1005,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,587.16,1696.08,78
HCPCS,E1005,"Wheelchair accessory, power seating system, recline only, with power shear reduction Other Outpatient",,,679.73,679.73,6
HCPCS,E1006,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,721.56,2077.53,78
HCPCS,E1006,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction Other Outpatient",,,832.6,832.6,6
HCPCS,E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,936.62,2615.31,78
HCPCS,E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction Other Outpatient",,,1048.12,1048.12,6
HCPCS,E1008,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,948.11,2682.59,78
HCPCS,E1008,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction Other Outpatient",,,1075.08,1075.08,6
HCPCS,E1010,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,126.36,364.55,78
HCPCS,E1010,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair Other Outpatient",,,146.1,146.1,6
HCPCS,E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,120.26,364.55,78
HCPCS,E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each Other Outpatient",,,146.1,146.1,6
HCPCS,E1014,"Reclining back, addition to pediatric size wheelchair ",,,44.56,136.4,78
HCPCS,E1014,"Reclining back, addition to pediatric size wheelchair Other Outpatient",,,54.66,54.66,6
HCPCS,E1015,"Shock absorber for manual wheelchair, each ",,,139.92,378.07,78
HCPCS,E1015,"Shock absorber for manual wheelchair, each Other Outpatient",,,151.52,151.52,6
HCPCS,E1016,"Shock absorber for power wheelchair, each ",,,132.61,358.18,78
HCPCS,E1016,"Shock absorber for power wheelchair, each Other Outpatient",,,143.55,143.55,6
HCPCS,E1020,"Residual limb support system for wheelchair, any type ",,,21.48,58.01,78
HCPCS,E1020,"Residual limb support system for wheelchair, any type Other Outpatient",,,23.25,23.25,6
HCPCS,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,15.22,41.11,78
HCPCS,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other Other Outpatient",,,16.47,16.47,6
HCPCS,E1029,"Wheelchair accessory, ventilator tray, fixed ",,,41.56,118.9,78
HCPCS,E1029,"Wheelchair accessory, ventilator tray, fixed Other Outpatient",,,47.65,47.65,6
HCPCS,E1030,"Wheelchair accessory, ventilator tray, gimbaled ",,,130.81,375.03,78
HCPCS,E1030,"Wheelchair accessory, ventilator tray, gimbaled Other Outpatient",,,150.3,150.3,6
HCPCS,E1031,"Rollabout chair, any and all types with casters 5 or greater ",,,50.88,137.42,78
HCPCS,E1031,"Rollabout chair, any and all types with casters 5 or greater Other Outpatient",,,55.07,55.07,6
HCPCS,E1032,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,15.22,41.11,78
HCPCS,E1032,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface Other Outpatient",,,16.47,16.47,6
HCPCS,E1033,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,15.22,41.11,78
HCPCS,E1033,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type Other Outpatient",,,16.47,16.47,6
HCPCS,E1034,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,15.22,41.11,78
HCPCS,E1034,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type Other Outpatient",,,16.47,16.47,6
HCPCS,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,696.77,1882.0,78
HCPCS,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs Other Outpatient",,,754.24,754.24,6
HCPCS,E1036,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,981.75,2651.73,78
HCPCS,E1036,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs Other Outpatient",,,1062.72,1062.72,6
HCPCS,E1037,"Transport chair, pediatric size ",,,121.92,329.31,78
HCPCS,E1037,"Transport chair, pediatric size Other Outpatient",,,131.97,131.97,6
HCPCS,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,17.45,47.13,78
HCPCS,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds Other Outpatient",,,18.89,18.89,6
HCPCS,E1039,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,37.92,102.42,78
HCPCS,E1039,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds Other Outpatient",,,41.04,41.04,6
HCPCS,E1050,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,122.01,373.51,78
HCPCS,E1050,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Other Outpatient",,,149.69,149.69,6
HCPCS,E1060,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,153.77,470.68,78
HCPCS,E1060,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests Other Outpatient",,,188.63,188.63,6
HCPCS,E1070,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,130.71,400.13,78
HCPCS,E1070,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest Other Outpatient",,,160.36,160.36,6
HCPCS,E1083,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,81.65,249.9,78
HCPCS,E1083,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest Other Outpatient",,,100.15,100.15,6
HCPCS,E1084,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,119.67,366.28,78
HCPCS,E1084,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests Other Outpatient",,,146.79,146.79,6
HCPCS,E1087,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,154.35,472.46,78
HCPCS,E1087,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests Other Outpatient",,,189.35,189.35,6
HCPCS,E1088,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,183.92,562.96,78
HCPCS,E1088,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests Other Outpatient",,,225.61,225.61,6
HCPCS,E1092,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,156.77,479.85,78
HCPCS,E1092,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests Other Outpatient",,,192.31,192.31,6
HCPCS,E1093,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,134.82,412.68,78
HCPCS,E1093,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests Other Outpatient",,,165.39,165.39,6
HCPCS,E1100,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,126.62,387.58,78
HCPCS,E1100,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Other Outpatient",,,155.33,155.33,6
HCPCS,E1110,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,123.99,379.53,78
HCPCS,E1110,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest Other Outpatient",,,152.1,152.1,6
HCPCS,E1150,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,99.51,304.57,78
HCPCS,E1150,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests Other Outpatient",,,122.06,122.06,6
HCPCS,E1160,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,76.25,233.42,78
HCPCS,E1160,"Wheelchair, fixed full length arms, swing away detachable elevating legrests Other Outpatient",,,93.54,93.54,6
HCPCS,E1161,"Manual adult size wheelchair, includes tilt in space ",,,288.61,883.44,78
HCPCS,E1161,"Manual adult size wheelchair, includes tilt in space Other Outpatient",,,354.05,354.05,6
HCPCS,E1170,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,108.96,333.55,78
HCPCS,E1170,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests Other Outpatient",,,133.68,133.68,6
HCPCS,E1171,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,97.77,299.26,78
HCPCS,E1171,"Amputee wheelchair, fixed full length arms, without footrests or legrest Other Outpatient",,,119.93,119.93,6
HCPCS,E1172,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,119.51,365.86,78
HCPCS,E1172,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest Other Outpatient",,,146.62,146.62,6
HCPCS,E1180,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,123.61,378.38,78
HCPCS,E1180,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests Other Outpatient",,,151.64,151.64,6
HCPCS,E1190,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,142.81,437.12,78
HCPCS,E1190,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests Other Outpatient",,,175.18,175.18,6
HCPCS,E1195,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,153.24,469.03,78
HCPCS,E1195,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests Other Outpatient",,,187.97,187.97,6
HCPCS,E1200,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,106.13,324.88,78
HCPCS,E1200,"Amputee wheelchair, fixed full length arms, swing away detachable footrest Other Outpatient",,,130.2,130.2,6
HCPCS,E1221,"Wheelchair with fixed arm, footrests ",,,57.96,177.43,78
HCPCS,E1221,"Wheelchair with fixed arm, footrests Other Outpatient",,,71.11,71.11,6
HCPCS,E1222,"Wheelchair with fixed arm, elevating legrests ",,,79.04,241.96,78
HCPCS,E1222,"Wheelchair with fixed arm, elevating legrests Other Outpatient",,,96.97,96.97,6
HCPCS,E1223,"Wheelchair with detachable arms, footrests ",,,90.29,276.36,78
HCPCS,E1223,"Wheelchair with detachable arms, footrests Other Outpatient",,,110.75,110.75,6
HCPCS,E1224,"Wheelchair with detachable arms, elevating legrests ",,,98.98,303.03,78
HCPCS,E1224,"Wheelchair with detachable arms, elevating legrests Other Outpatient",,,121.44,121.44,6
HCPCS,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,43.51,117.53,78
HCPCS,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each Other Outpatient",,,47.1,47.1,6
HCPCS,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,434.72,1174.21,78
HCPCS,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each Other Outpatient",,,470.58,470.58,6
HCPCS,E1227,Special height arms for wheelchair ,,,287.73,880.74,78
HCPCS,E1227,Special height arms for wheelchair Other Outpatient,,,352.97,352.97,6
HCPCS,E1228,Special back height for wheelchair ,,,34.19,104.64,78
HCPCS,E1228,Special back height for wheelchair Other Outpatient,,,41.94,41.94,6
HCPCS,E1230,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,2547.04,7796.44,78
HCPCS,E1230,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number Other Outpatient,,,3124.53,3124.53,6
HCPCS,E1232,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,260.87,798.52,78
HCPCS,E1232,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system Other Outpatient",,,320.02,320.02,6
HCPCS,E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,270.28,827.29,78
HCPCS,E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system Other Outpatient",,,331.55,331.55,6
HCPCS,E1234,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,235.31,720.26,78
HCPCS,E1234,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system Other Outpatient",,,288.66,288.66,6
HCPCS,E1235,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,226.59,693.57,78
HCPCS,E1235,"Wheelchair, pediatric size, rigid, adjustable, with seating system Other Outpatient",,,277.96,277.96,6
HCPCS,E1236,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,199.9,611.9,78
HCPCS,E1236,"Wheelchair, pediatric size, folding, adjustable, with seating system Other Outpatient",,,245.23,245.23,6
HCPCS,E1237,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,201.64,617.19,78
HCPCS,E1237,"Wheelchair, pediatric size, rigid, adjustable, without seating system Other Outpatient",,,247.35,247.35,6
HCPCS,E1238,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,199.9,611.9,78
HCPCS,E1238,"Wheelchair, pediatric size, folding, adjustable, without seating system Other Outpatient",,,245.23,245.23,6
HCPCS,E1240,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,125.67,384.69,78
HCPCS,E1240,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest Other Outpatient",,,154.17,154.17,6
HCPCS,E1270,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,96.3,294.78,78
HCPCS,E1270,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests Other Outpatient",,,118.14,118.14,6
HCPCS,E1280,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,160.11,490.1,78
HCPCS,E1280,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests Other Outpatient",,,196.41,196.41,6
HCPCS,E1295,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,148.17,453.52,78
HCPCS,E1295,"Heavy duty wheelchair, fixed full length arms, elevating legrest Other Outpatient",,,181.75,181.75,6
HCPCS,E1296,Special wheelchair seat height from floor ,,,509.76,1560.39,78
HCPCS,E1296,Special wheelchair seat height from floor Other Outpatient,,,625.35,625.35,6
HCPCS,E1297,"Special wheelchair seat depth, by upholstery ",,,108.47,332.01,78
HCPCS,E1297,"Special wheelchair seat depth, by upholstery Other Outpatient",,,133.06,133.06,6
HCPCS,E1298,"Special wheelchair seat depth and/or width, by construction ",,,439.28,1344.58,78
HCPCS,E1298,"Special wheelchair seat depth and/or width, by construction Other Outpatient",,,538.86,538.86,6
HCPCS,E1301,"Whirlpool tub, walk-in, portable ",,,210.0,316.0,6
HCPCS,E1310,"Whirlpool, non-portable (built-in type) ",,,2619.47,8018.14,78
HCPCS,E1310,"Whirlpool, non-portable (built-in type) Other Outpatient",,,3213.38,3213.38,6
HCPCS,E1353,Regulator ,,,34.55,105.74,78
HCPCS,E1353,Regulator Other Outpatient,,,42.38,42.38,6
HCPCS,E1355,Stand/rack ,,,26.03,79.7,78
HCPCS,E1355,Stand/rack Other Outpatient,,,31.94,31.94,6
HCPCS,E1372,Immersion external heater for nebulizer ,,,132.51,357.92,78
HCPCS,E1372,Immersion external heater for nebulizer Other Outpatient,,,143.44,143.44,6
HCPCS,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,95.22,257.18,78
HCPCS,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate Other Outpatient",,,103.07,103.07,6
HCPCS,E1391,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,95.22,257.18,78
HCPCS,E1391,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each Other Outpatient",,,103.07,103.07,6
HCPCS,E1392,"Portable oxygen concentrator, rental ",,,45.75,123.59,78
HCPCS,E1392,"Portable oxygen concentrator, rental Other Outpatient",,,49.53,49.53,6
HCPCS,E1405,Oxygen and water vapor enriching system with heated delivery ,,,126.42,341.46,78
HCPCS,E1405,Oxygen and water vapor enriching system with heated delivery Other Outpatient,,,136.85,136.85,6
HCPCS,E1406,Oxygen and water vapor enriching system without heated delivery ,,,102.15,275.91,78
HCPCS,E1406,Oxygen and water vapor enriching system without heated delivery Other Outpatient,,,110.58,110.58,6
HCPCS,E1629,Tablo hemodialysis system for the billable dialysis service ,,,29.84,44.9,6
HCPCS,E1700,Jaw motion rehabilitation system ,,,35.76,109.46,78
HCPCS,E1700,Jaw motion rehabilitation system Other Outpatient,,,43.87,43.87,6
HCPCS,E1701,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,12.34,37.75,78
HCPCS,E1701,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 Other Outpatient",,,15.13,15.13,6
HCPCS,E1702,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,23.39,71.6,78
HCPCS,E1702,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 Other Outpatient",,,28.7,28.7,6
HCPCS,E1800,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,129.59,396.69,78
HCPCS,E1800,"Dynamic adjustable elbow extension and flexion device, includes soft interface material Other Outpatient",,,158.98,158.98,6
HCPCS,E1801,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,157.37,481.71,78
HCPCS,E1801,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Other Outpatien",,,193.05,193.05,6
HCPCS,E1802,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,398.65,1220.27,78
HCPCS,E1802,"Dynamic adjustable forearm pronation/supination device, includes soft interface material Other Outpatient",,,489.04,489.04,6
HCPCS,E1803,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,146.87,396.69,78
HCPCS,E1803,"Dynamic adjustable elbow extension only device, includes soft interface material Other Outpatient",,,158.98,158.98,6
HCPCS,E1804,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,146.87,396.69,78
HCPCS,E1804,"Dynamic adjustable elbow flexion only device, includes soft interface material Other Outpatient",,,158.98,158.98,6
HCPCS,E1805,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,131.01,401.02,78
HCPCS,E1805,"Dynamic adjustable wrist extension and flexion device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1806,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,129.21,395.54,78
HCPCS,E1806,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Other Outpatient",,,158.52,158.52,6
HCPCS,E1807,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,148.47,401.02,78
HCPCS,E1807,"Dynamic adjustable wrist extension only device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1808,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,148.47,401.02,78
HCPCS,E1808,"Dynamic adjustable wrist flexion only device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1810,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,131.4,402.17,78
HCPCS,E1810,"Dynamic adjustable knee extension and flexion device, includes soft interface material Other Outpatient",,,161.18,161.18,6
HCPCS,E1811,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,163.6,500.76,78
HCPCS,E1811,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Other Outpatient",,,200.69,200.69,6
HCPCS,E1812,"Dynamic knee, extension/flexion device with active resistance control ",,,104.9,321.08,78
HCPCS,E1812,"Dynamic knee, extension/flexion device with active resistance control Other Outpatient",,,128.68,128.68,6
HCPCS,E1813,"Dynamic adjustable knee extension only device, includes soft interface material ",,,148.89,402.17,78
HCPCS,E1813,"Dynamic adjustable knee extension only device, includes soft interface material Other Outpatient",,,161.18,161.18,6
HCPCS,E1814,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,148.89,402.17,78
HCPCS,E1814,"Dynamic adjustable knee flexion only device, includes soft interface material Other Outpatient",,,161.18,161.18,6
HCPCS,E1815,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,131.4,402.17,78
HCPCS,E1815,"Dynamic adjustable ankle extension and flexion device, includes soft interface material Other Outpatient",,,161.18,161.18,6
HCPCS,E1816,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,166.19,508.73,78
HCPCS,E1816,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Other Outpatien",,,203.88,203.88,6
HCPCS,E1818,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,169.66,519.31,78
HCPCS,E1818,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories Other Outpatient",,,208.12,208.12,6
HCPCS,E1820,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,99.72,305.23,78
HCPCS,E1820,"Replacement soft interface material, dynamic adjustable extension/flexion device Other Outpatient",,,122.33,122.33,6
HCPCS,E1821,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,128.37,392.95,78
HCPCS,E1821,Replacement soft interface material/cuffs for bi-directional static progressive stretch device Other Outpatient,,,157.48,157.48,6
HCPCS,E1822,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,148.89,402.17,78
HCPCS,E1822,"Dynamic adjustable ankle extension only device, includes soft interface material Other Outpatient",,,161.18,161.18,6
HCPCS,E1823,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,148.89,402.17,78
HCPCS,E1823,"Dynamic adjustable ankle flexion only device, includes soft interface material Other Outpatient",,,161.18,161.18,6
HCPCS,E1825,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,131.01,401.02,78
HCPCS,E1825,"Dynamic adjustable finger extension and flexion device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1826,"Dynamic adjustable finger extension only device, includes soft interface material ",,,148.47,401.02,78
HCPCS,E1826,"Dynamic adjustable finger extension only device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1827,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,148.47,401.02,78
HCPCS,E1827,"Dynamic adjustable finger flexion only device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1828,"Dynamic adjustable toe extension only device, includes soft interface material ",,,148.47,401.02,78
HCPCS,E1828,"Dynamic adjustable toe extension only device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1829,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,148.47,401.02,78
HCPCS,E1829,"Dynamic adjustable toe flexion only device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1830,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,131.01,401.02,78
HCPCS,E1830,"Dynamic adjustable toe extension and flexion device, includes soft interface material Other Outpatient",,,160.71,160.71,6
HCPCS,E1831,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,77.51,237.27,78
HCPCS,E1831,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Other Outpatient",,,95.09,95.09,6
HCPCS,E1832,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,87.84,237.27,78
HCPCS,E1832,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Other Outpatient",,,95.09,95.09,6
HCPCS,E1840,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,466.85,1429.0,78
HCPCS,E1840,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material Other Outpatient",,,572.69,572.69,6
HCPCS,E1841,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,552.57,1691.39,78
HCPCS,E1841,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories Other Outpatient",,,677.85,677.85,6
HCPCS,E1905,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,654.53,1767.9,72
HCPCS,E1905,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software Other Outpatient",,,708.51,708.51,6
HCPCS,E2000,"Gastric suction pump, home model, portable or stationary, electric ",,,63.22,193.54,78
HCPCS,E2000,"Gastric suction pump, home model, portable or stationary, electric Other Outpatient",,,77.56,77.56,6
HCPCS,E2001,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,63.29,170.96,78
HCPCS,E2001,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system Other Outpatient",,,68.51,68.51,6
HCPCS,E2100,Blood glucose monitor with integrated voice synthesizer ,,,666.89,2041.29,78
HCPCS,E2100,Blood glucose monitor with integrated voice synthesizer Other Outpatient,,,818.08,818.08,6
HCPCS,E2101,Blood glucose monitor with integrated lancing/blood sample ,,,230.0,704.02,78
HCPCS,E2101,Blood glucose monitor with integrated lancing/blood sample Other Outpatient,,,282.15,282.15,6
HCPCS,E2102,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,232.04,626.76,78
HCPCS,E2102,"Adjunctive, non-implanted continuous glucose monitor or receiver Other Outpatient",,,251.18,251.18,6
HCPCS,E2103,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,292.23,789.33,78
HCPCS,E2103,"Non-adjunctive, non-implanted continuous glucose monitor or receiver Other Outpatient",,,316.33,316.33,6
HCPCS,E2104,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,52.88,142.84,78
HCPCS,E2104,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge Other Outpatient,,,57.25,57.25,6
HCPCS,E2120,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,345.85,1058.61,78
HCPCS,E2120,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid Other Outpatient,,,424.25,424.25,6
HCPCS,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,360.91,974.82,78
HCPCS,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches Other Outpatient",,,390.67,390.67,6
HCPCS,E2202,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,515.05,1391.17,78
HCPCS,E2202,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches Other Outpatient",,,557.53,557.53,6
HCPCS,E2203,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,492.28,1329.68,78
HCPCS,E2203,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches Other Outpatient",,,532.89,532.89,6
HCPCS,E2204,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,846.05,2285.22,78
HCPCS,E2204,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches Other Outpatient",,,915.83,915.83,6
HCPCS,E2205,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,39.85,109.25,78
HCPCS,E2205,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each Other Outpatient",,,43.79,43.79,6
HCPCS,E2206,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,44.11,119.13,78
HCPCS,E2206,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each Other Outpatient",,,47.74,47.74,6
HCPCS,E2207,"Wheelchair accessory, crutch and cane holder, each ",,,52.88,143.71,78
HCPCS,E2207,"Wheelchair accessory, crutch and cane holder, each Other Outpatient",,,57.59,57.59,6
HCPCS,E2208,"Wheelchair accessory, cylinder tank carrier, each ",,,88.59,239.28,78
HCPCS,E2208,"Wheelchair accessory, cylinder tank carrier, each Other Outpatient",,,95.9,95.9,6
HCPCS,E2209,"Accessory, arm trough, with or without hand support, each ",,,96.11,259.59,78
HCPCS,E2209,"Accessory, arm trough, with or without hand support, each Other Outpatient",,,104.03,104.03,6
HCPCS,E2210,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.18,16.69,78
HCPCS,E2210,"Wheelchair accessory, bearings, any type, replacement only, each Other Outpatient",,,6.69,6.69,6
HCPCS,E2211,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,39.26,106.03,78
HCPCS,E2211,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each Other Outpatient",,,42.49,42.49,6
HCPCS,E2212,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,7.16,19.52,78
HCPCS,E2212,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each Other Outpatient",,,7.82,7.82,6
HCPCS,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,34.44,93.04,78
HCPCS,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each Other Outpatient",,,37.29,37.29,6
HCPCS,E2214,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,37.12,100.27,78
HCPCS,E2214,"Manual wheelchair accessory, pneumatic caster tire, any size, each Other Outpatient",,,40.18,40.18,6
HCPCS,E2215,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,11.71,31.75,78
HCPCS,E2215,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each Other Outpatient",,,12.73,12.73,6
HCPCS,E2216,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,49.04,137.58,78
HCPCS,E2216,"Manual wheelchair accessory, foam filled propulsion tire, any size, each Other Outpatient",,,55.14,55.14,6
HCPCS,E2217,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,43.39,121.75,78
HCPCS,E2217,"Manual wheelchair accessory, foam filled caster tire, any size, each Other Outpatient",,,48.79,48.79,6
HCPCS,E2218,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,49.04,137.58,78
HCPCS,E2218,"Manual wheelchair accessory, foam propulsion tire, any size, each Other Outpatient",,,55.14,55.14,6
HCPCS,E2219,"Manual wheelchair accessory, foam caster tire, any size, each ",,,43.39,121.75,78
HCPCS,E2219,"Manual wheelchair accessory, foam caster tire, any size, each Other Outpatient",,,48.79,48.79,6
HCPCS,E2220,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,29.59,88.37,78
HCPCS,E2220,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each Other Outpatient",,,35.42,35.42,6
HCPCS,E2221,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,30.64,82.77,78
HCPCS,E2221,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Other Outpatient",,,33.17,33.17,6
HCPCS,E2222,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,25.7,70.79,78
HCPCS,E2222,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Other Outpatient",,,28.37,28.37,6
HCPCS,E2224,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,101.67,286.97,78
HCPCS,E2224,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each Other Outpatient",,,115.01,115.01,6
HCPCS,E2225,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,21.22,59.13,78
HCPCS,E2225,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Other Outpatient",,,23.7,23.7,6
HCPCS,E2226,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,45.59,123.14,78
HCPCS,E2226,"Manual wheelchair accessory, caster fork, any size, replacement only, each Other Outpatient",,,49.35,49.35,6
HCPCS,E2227,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,219.4,671.58,78
HCPCS,E2227,"Manual wheelchair accessory, gear reduction drive wheel, each Other Outpatient",,,269.15,269.15,6
HCPCS,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,109.17,294.88,78
HCPCS,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each Other Outpatient",,,118.18,118.18,6
HCPCS,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,162.27,438.3,78
HCPCS,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware Other Outpatient",,,175.65,175.65,6
HCPCS,E2298,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,204.03,551.09,78
HCPCS,E2298,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type Other Outpatient",,,220.86,220.86,6
HCPCS,E2310,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,126.3,355.53,84
HCPCS,E2311,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,255.33,717.46,84
HCPCS,E2312,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,268.08,724.09,78
HCPCS,E2312,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware Other Outpatient",,,290.19,290.19,6
HCPCS,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,37.59,115.07,78
HCPCS,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each Other Outpatient",,,46.12,46.12,6
HCPCS,E2321,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,178.85,483.08,78
HCPCS,E2321,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Other Outpatient",,,193.6,193.6,6
HCPCS,E2322,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,168.02,453.84,78
HCPCS,E2322,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Other Outpatie",,,181.88,181.88,6
HCPCS,E2323,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,76.75,222.46,78
HCPCS,E2323,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated Other Outpatient",,,89.16,89.16,6
HCPCS,E2324,"Power wheelchair accessory, chin cup for chin control interface ",,,49.3,141.01,78
HCPCS,E2324,"Power wheelchair accessory, chin cup for chin control interface Other Outpatient",,,56.51,56.51,6
HCPCS,E2325,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,149.97,433.48,78
HCPCS,E2325,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware Other Outpatient",,,173.72,173.72,6
HCPCS,E2326,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,39.0,111.74,78
HCPCS,E2326,"Power wheelchair accessory, breath tube kit for sip and puff interface Other Outpatient",,,44.78,44.78,6
HCPCS,E2327,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,311.24,840.68,78
HCPCS,E2327,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware Other Outpatient",,,336.91,336.91,6
HCPCS,E2328,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,552.72,1594.69,78
HCPCS,E2328,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware Other Outpatient",,,639.09,639.09,6
HCPCS,E2329,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,198.28,568.38,84
HCPCS,E2330,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,382.45,1101.26,84
HCPCS,E2340,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,437.14,1338.01,78
HCPCS,E2340,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches Other Outpatient",,,536.22,536.22,6
HCPCS,E2341,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,655.76,2007.23,78
HCPCS,E2341,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches Other Outpatient",,,804.43,804.43,6
HCPCS,E2342,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,546.47,1672.74,78
HCPCS,E2342,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches Other Outpatient",,,670.37,670.37,6
HCPCS,E2343,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,874.37,2676.38,78
HCPCS,E2343,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches Other Outpatient",,,1072.6,1072.6,6
HCPCS,E2351,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,786.26,2249.14,78
HCPCS,E2351,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface Other Outpatient",,,901.37,901.37,6
HCPCS,E2359,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,195.46,527.96,78
HCPCS,E2359,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Other Outpatient",,,211.59,211.59,6
HCPCS,E2360,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,131.72,400.02,78
HCPCS,E2360,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each Other Outpatient",,,160.31,160.31,6
HCPCS,E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,131.67,355.64,78
HCPCS,E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) Other Outpatient",,,142.53,142.53,6
HCPCS,E2362,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,112.2,343.46,78
HCPCS,E2362,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each Other Outpatient",,,137.64,137.64,6
HCPCS,E2363,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,161.92,437.36,78
HCPCS,E2363,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Other Outpatient",,,175.28,175.28,6
HCPCS,E2364,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,131.72,403.17,78
HCPCS,E2364,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each Other Outpatient",,,161.57,161.57,6
HCPCS,E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,84.76,228.94,78
HCPCS,E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Other Outpatient",,,91.75,91.75,6
HCPCS,E2366,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,174.59,471.57,78
HCPCS,E2366,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each Other Outpatient",,,188.99,188.99,6
HCPCS,E2367,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,453.87,1225.92,78
HCPCS,E2367,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each Other Outpatient",,,491.31,491.31,6
HCPCS,E2368,"Power wheelchair component, drive wheel motor, replacement only ",,,47.27,127.67,78
HCPCS,E2368,"Power wheelchair component, drive wheel motor, replacement only Other Outpatient",,,51.17,51.17,6
HCPCS,E2369,"Power wheelchair component, drive wheel gear box, replacement only ",,,43.83,118.4,78
HCPCS,E2369,"Power wheelchair component, drive wheel gear box, replacement only Other Outpatient",,,47.45,47.45,6
HCPCS,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,61.57,166.29,78
HCPCS,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only Other Outpatient",,,66.64,66.64,6
HCPCS,E2371,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,162.27,438.3,78
HCPCS,E2371,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each Other Outpatient",,,175.65,175.65,6
HCPCS,E2373,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,93.46,252.44,78
HCPCS,E2373,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware Other Outpatient",,,101.17,101.17,6
HCPCS,E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,57.92,163.83,84
HCPCS,E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,77.92,210.46,78
HCPCS,E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only Other Outpatient",,,84.35,84.35,6
HCPCS,E2376,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,144.74,407.02,78
HCPCS,E2376,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only Other Outpatient",,,163.12,163.12,6
HCPCS,E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,52.97,150.78,78
HCPCS,E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue Other Outpatient",,,60.43,60.43,6
HCPCS,E2378,"Power wheelchair component, actuator, replacement only ",,,62.42,175.25,78
HCPCS,E2378,"Power wheelchair component, actuator, replacement only Other Outpatient",,,70.23,70.23,6
HCPCS,E2381,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,69.73,188.35,78
HCPCS,E2381,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each Other Outpatient",,,75.48,75.48,6
HCPCS,E2382,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,21.84,59.71,78
HCPCS,E2382,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each Other Outpatient",,,23.93,23.93,6
HCPCS,E2383,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,149.47,403.72,78
HCPCS,E2383,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each Other Outpatient",,,161.79,161.79,6
HCPCS,E2384,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,70.39,190.13,78
HCPCS,E2384,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each Other Outpatient",,,76.2,76.2,6
HCPCS,E2385,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,52.23,143.29,78
HCPCS,E2385,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each Other Outpatient",,,57.42,57.42,6
HCPCS,E2386,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,120.05,324.25,78
HCPCS,E2386,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each Other Outpatient",,,129.95,129.95,6
HCPCS,E2387,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,56.66,153.03,78
HCPCS,E2387,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each Other Outpatient",,,61.33,61.33,6
HCPCS,E2388,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,54.86,155.94,78
HCPCS,E2388,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each Other Outpatient",,,62.5,62.5,6
HCPCS,E2389,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,30.22,87.17,78
HCPCS,E2389,"Power wheelchair accessory, foam caster tire, any size, replacement only, each Other Outpatient",,,34.93,34.93,6
HCPCS,E2390,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,47.03,134.96,78
HCPCS,E2390,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each Other Outpatient",,,54.09,54.09,6
HCPCS,E2391,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,20.35,54.97,78
HCPCS,E2391,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Other Outpatient",,,22.03,22.03,6
HCPCS,E2392,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,47.78,129.06,78
HCPCS,E2392,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Other Outpatient",,,51.72,51.72,6
HCPCS,E2394,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,68.08,183.9,78
HCPCS,E2394,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each Other Outpatient",,,73.7,73.7,6
HCPCS,E2395,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,51.15,138.15,78
HCPCS,E2395,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Other Outpatient",,,55.37,55.37,6
HCPCS,E2396,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,59.3,160.16,78
HCPCS,E2396,"Power wheelchair accessory, caster fork, any size, replacement only, each Other Outpatient",,,64.19,64.19,6
HCPCS,E2397,"Power wheelchair accessory, lithium-based battery, each ",,,505.17,1395.02,78
HCPCS,E2397,"Power wheelchair accessory, lithium-based battery, each Other Outpatient",,,559.07,559.07,6
HCPCS,E2398,"Wheelchair accessory, dynamic positioning hardware for back ",,,158.59,428.34,78
HCPCS,E2398,"Wheelchair accessory, dynamic positioning hardware for back Other Outpatient",,,171.66,171.66,6
HCPCS,E2402,"Negative pressure wound therapy electrical pump, stationary or portable ",,,774.08,2090.81,78
HCPCS,E2402,"Negative pressure wound therapy electrical pump, stationary or portable Other Outpatient",,,837.92,837.92,6
HCPCS,E2500,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,477.0,1460.13,78
HCPCS,E2500,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time Other Outpatient",,,585.16,585.16,6
HCPCS,E2502,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1458.65,4464.93,78
HCPCS,E2502,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time Other Outpatient",,,1789.38,1789.38,6
HCPCS,E2504,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,1924.18,5889.89,78
HCPCS,E2504,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time Other Outpatient",,,2360.45,2360.45,6
HCPCS,E2506,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,2821.41,8636.23,78
HCPCS,E2506,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time Other Outpatient",,,3461.08,3461.08,6
HCPCS,E2508,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,4362.84,13354.53,78
HCPCS,E2508,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device Other Outpatient",,,5352.01,5352.01,6
HCPCS,E2510,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,8256.11,25271.71,78
HCPCS,E2510,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access Other Outpatient",,,10127.97,10127.97,6
HCPCS,E2513,"Accessory for speech generating device, electromyographic sensor ",,,4356.27,11766.42,78
HCPCS,E2513,"Accessory for speech generating device, electromyographic sensor Other Outpatient",,,4715.55,4715.55,6
HCPCS,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,44.06,119.0,78
HCPCS,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth Other Outpatient",,,47.69,47.69,6
HCPCS,E2602,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,95.25,257.28,78
HCPCS,E2602,"General use wheelchair seat cushion, width 22 inches or greater, any depth Other Outpatient",,,103.11,103.11,6
HCPCS,E2603,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,120.04,324.23,78
HCPCS,E2603,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth Other Outpatient",,,129.94,129.94,6
HCPCS,E2604,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,174.97,472.6,78
HCPCS,E2604,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth Other Outpatient",,,189.4,189.4,6
HCPCS,E2605,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,246.15,664.85,78
HCPCS,E2605,"Positioning wheelchair seat cushion, width less than 22 inches, any depth Other Outpatient",,,266.45,266.45,6
HCPCS,E2606,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,397.2,1072.84,78
HCPCS,E2606,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth Other Outpatient",,,429.95,429.95,6
HCPCS,E2607,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,238.92,645.33,78
HCPCS,E2607,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth Other Outpatient",,,258.63,258.63,6
HCPCS,E2608,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,305.33,824.7,78
HCPCS,E2608,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth Other Outpatient",,,330.51,330.51,6
HCPCS,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,179.37,494.16,78
HCPCS,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware Other Outpatient",,,194.17,194.17,6
HCPCS,E2612,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,354.2,956.69,78
HCPCS,E2612,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware Other Outpatient",,,383.41,383.41,6
HCPCS,E2613,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,359.93,972.18,78
HCPCS,E2613,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware Other Outpatient",,,389.61,389.61,6
HCPCS,E2614,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,530.51,1432.93,78
HCPCS,E2614,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware Other Outpatient",,,574.27,574.27,6
HCPCS,E2615,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,411.44,1111.33,78
HCPCS,E2615,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware Other Outpatient",,,445.38,445.38,6
HCPCS,E2616,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,554.02,1496.41,78
HCPCS,E2616,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware Other Outpatient",,,599.71,599.71,6
HCPCS,E2619,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,56.18,160.55,78
HCPCS,E2619,"Replacement cover for wheelchair seat cushion or back cushion, each Other Outpatient",,,64.34,64.34,6
HCPCS,E2620,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,449.48,1214.06,78
HCPCS,E2620,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware Other Outpatient",,,486.55,486.55,6
HCPCS,E2621,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,528.95,1428.71,78
HCPCS,E2621,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware Other Outpatient",,,572.58,572.58,6
HCPCS,E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,359.72,1018.53,78
HCPCS,E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth Other Outpatient",,,408.19,408.19,6
HCPCS,E2623,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,456.36,1287.99,78
HCPCS,E2623,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Other Outpatient",,,516.18,516.18,6
HCPCS,E2624,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,364.06,1034.98,78
HCPCS,E2624,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth Other Outpatient",,,414.78,414.78,6
HCPCS,E2625,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,455.88,1280.89,78
HCPCS,E2625,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Other Outpatient",,,513.33,513.33,6
HCPCS,E2626,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,704.02,1980.96,78
HCPCS,E2626,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Other Outpatient",,,793.89,793.89,6
HCPCS,E2627,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1179.6,3186.13,78
HCPCS,E2627,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type Other Outpatient",,,1276.88,1276.88,6
HCPCS,E2628,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,802.94,2367.14,78
HCPCS,E2628,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining Other Outpatient",,,948.66,948.66,6
HCPCS,E2629,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1076.07,3079.76,78
HCPCS,E2629,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) Other Outpatient",,,1234.25,1234.25,6
HCPCS,E2630,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,790.38,2134.83,78
HCPCS,E2630,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support Other Outpatient",,,855.56,855.56,6
HCPCS,E2631,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,318.84,861.19,78
HCPCS,E2631,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm Other Outpatient",,,345.13,345.13,6
HCPCS,E2632,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,201.53,544.33,78
HCPCS,E2632,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control Other Outpatient",,,218.15,218.15,6
HCPCS,E2633,"Wheelchair accessory, addition to mobile arm support, supinator ",,,167.77,453.16,78
HCPCS,E2633,"Wheelchair accessory, addition to mobile arm support, supinator Other Outpatient",,,181.61,181.61,6
HCPCS,E3000,"Speech volume modulation system, any type, including all components and accessories ",,,237.49,641.48,78
HCPCS,E3000,"Speech volume modulation system, any type, including all components and accessories Other Outpatient",,,257.08,257.08,6
HCPCS,E3200,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1143.3,3088.09,78
HCPCS,E3200,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only Other Outpatient",,,1237.59,1237.59,6
HCPCS,G0008,ADMIN INFLUENZA VACCINE,297.69,297.69,20.84,297.69,59
HCPCS,G0008,Administration of influenza virus vaccine ,297.69,297.69,65.42,127.28,6
HCPCS,G0009,ADMIN PNEUMOCOCCAL VAC,313.06,313.06,21.91,313.06,59
HCPCS,G0009,Administration of pneumococcal vaccine ,313.06,313.06,131.81,256.43,6
HCPCS,G0010,ADMIN HEP B VACCINE,313.06,313.06,21.91,313.06,59
HCPCS,G0010,Administration of hepatitis b vaccine ,313.06,313.06,142.72,277.66,6
HCPCS,G0011,"Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial ",,,17.84,121.44,8
HCPCS,G0012,"Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle ",,,12.64,251.19,8
HCPCS,G0013,"Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv ",,,233.56,454.38,6
HCPCS,G0017,"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); ",,,142.75,1011.63,8
HCPCS,G0018,"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); ",,,68.99,507.61,8
HCPCS,G0019,"Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes p",,,233.56,454.38,6
HCPCS,G0022,"Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019) ",,,96.91,188.53,6
HCPCS,G0023,"Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month",,,233.56,454.38,6
HCPCS,G0024,"Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023) ",,,96.91,188.53,6
HCPCS,G0027,Semen analysis; presence and/or motility of sperm excluding huhner ,,,3.9,34.7,124
HCPCS,G0027,Semen analysis; presence and/or motility of sperm excluding huhner Other Outpatient,,,6.83,6.83,6
HCPCS,G0068,"Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy ",,,50.05,97.37,6
HCPCS,G0069,Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home,,,116.21,226.09,6
HCPCS,G0070,Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the indiv,,,98.37,191.37,6
HCPCS,G0088,"Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excludi",,,50.05,97.37,6
HCPCS,G0089,"Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the i",,,116.21,226.09,6
HCPCS,G0090,"Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the i",,,98.37,191.37,6
HCPCS,G0101,Cervical or vaginal cancer screening; pelvic and clinical breast examination ,,,77.3,150.39,6
HCPCS,G0102,Prostate cancer screening; digital rectal examination ,,,24.78,48.2,6
HCPCS,G0103,Prostate cancer screening; prostate specific antigen test (psa) ,,,11.59,104.04,124
HCPCS,G0103,Prostate cancer screening; prostate specific antigen test (psa) Other Outpatient,,,20.28,20.28,6
HCPCS,G0104,Colorectal cancer screening; flexible sigmoidoscopy ,,,128.71,5932.0,181
HCPCS,G0104,Colorectal cancer screening; flexible sigmoidoscopy Age 21+,,,143.74,143.74,4
HCPCS,G0104,Colorectal cancer screening; flexible sigmoidoscopy Age Under 21,,,146.35,146.35,4
HCPCS,G0105,Colorectal cancer screening; colonoscopy on individual at high risk ,,,323.57,6680.0,229
HCPCS,G0105,Colorectal cancer screening; colonoscopy on individual at high risk Age 21+,,,361.35,361.35,4
HCPCS,G0105,Colorectal cancer screening; colonoscopy on individual at high risk Age Under 21,,,367.92,367.92,4
HCPCS,G0108,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,54.09,300.78,78
HCPCS,G0108,"Diabetes outpatient self-management training services, individual, per 30 minutes Other Outpatient",,,58.55,58.55,6
HCPCS,G0109,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,15.55,82.92,78
HCPCS,G0109,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes Other Outpatient",,,16.83,16.83,6
HCPCS,G0117,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,156.58,304.63,6
HCPCS,G0118,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,116.96,227.54,6
HCPCS,G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,323.57,6680.0,229
HCPCS,G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Age 21+,,,361.35,361.35,4
HCPCS,G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Age Under 21,,,367.92,367.92,4
HCPCS,G0123,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,12.16,109.54,124
HCPCS,G0123,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision Other ",,,21.27,21.27,6
HCPCS,G0124,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,71.37,25
HCPCS,G0127,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,138
HCPCS,G0128,"Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes ",,,21.81,42.43,6
HCPCS,G0130,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,33.09,245.18,45
HCPCS,G0130,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) Age 21+",,,41.29,41.29,4
HCPCS,G0130,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) Age Under 21",,,42.04,42.04,4
HCPCS,G0136,"Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months ",,,75.19,146.27,6
HCPCS,G0137,"Intensive outpatient services; weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include individual and group therapy with physicians or psychologists (or other mental hea",,,275.61,536.18,6
HCPCS,G0138,"Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of receipt of cipaglucosidase alf",,,1788.88,3480.17,6
HCPCS,G0140,"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a certified peer specialist; 60 minutes per ",,,233.56,454.38,6
HCPCS,G0141,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,71.37,25
HCPCS,G0143,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,16.23,146.0,130
HCPCS,G0144,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,26.38,237.29,130
HCPCS,G0145,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,15.89,142.37,130
HCPCS,G0146,"Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140) ",,,96.91,188.53,6
HCPCS,G0147,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,10.66,93.1,124
HCPCS,G0147,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision Other Outpatient",,,19.47,19.47,6
HCPCS,G0148,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,19.16,171.57,124
HCPCS,G0148,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening Other Outpatient",,,33.54,33.54,6
HCPCS,G0166,"External counterpulsation, per treatment session ",,,299.83,3092.0,54
HCPCS,G0168,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,90
HCPCS,G0175,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,967.42,1882.08,6
HCPCS,G0179,"Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and revi",,,114.98,223.68,6
HCPCS,G0180,"Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review ",,,148.67,289.22,6
HCPCS,G0181,Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplin,,,301.29,586.15,6
HCPCS,G0182,Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revisi,,,301.29,586.15,6
HCPCS,G0183,"Quantitative software measurements of cardiac volume, cardiac chambers volumes and left ventricular wall mass derived from CT scan(s) data of the chest/heart (with or without contrast) ",,,120.63,394.46,6
HCPCS,G0186,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,205.21,5932.0,229
HCPCS,G0186,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) Age 21+",,,229.16,229.16,4
HCPCS,G0186,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) Age Under 21",,,233.33,233.33,4
HCPCS,G0219,Pet imaging whole body; melanoma for non-covered indications ,,,2901.19,9487.12,10
HCPCS,G0235,"Pet imaging, any site, not otherwise specified ",,,509.11,6566.0,7
HCPCS,G0237,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,26.76,52.06,6
HCPCS,G0238,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,27.75,53.98,6
HCPCS,G0239,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,34.68,67.46,6
HCPCS,G0245,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,318.81,620.23,6
HCPCS,G0246,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,318.81,620.23,6
HCPCS,G0247,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,2222.0,96
HCPCS,G0248,"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteri",,,318.81,620.23,6
HCPCS,G0249,"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage c",,,318.81,620.23,6
HCPCS,G0250,"Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicar",,,7.43,20.61,8
HCPCS,G0252,"Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes) ",,,104.67,6566.0,10
HCPCS,G0257,EMERGENT DIALYSIS ESRD,3505.97,3505.97,245.42,3505.97,59
HCPCS,G0257,Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility ,3505.97,3505.97,343.75,3424.16,11
HCPCS,G0259,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,86
HCPCS,G0260,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,214
HCPCS,G0268,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,42
HCPCS,G0269,OCCLUSIVE DEVICE VEN/ART,2528.76,2528.76,177.01,2528.76,64
HCPCS,G0269,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,42
HCPCS,G0270,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,26.86,158.09,82
HCPCS,G0271,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,14.41,86.78,82
HCPCS,G0276,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,25655.0,170
HCPCS,G0277,HBO FULL BODY 30 MIN INT,1502.18,1502.18,105.15,1502.18,44
HCPCS,G0277,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",1502.18,1502.18,316.42,615.57,6
HCPCS,G0278,ILC/FEM ART ANG AT CCATH,2686.46,2686.46,188.05,2686.46,58
HCPCS,G0279,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",195.45,195.45,12.27,113.03,99
HCPCS,G0279,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Age 21+",195.45,195.45,52.2,52.2,4
HCPCS,G0279,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Age Under 21",195.45,195.45,53.14,53.14,4
HCPCS,G0279,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Other Outpatient",195.45,195.45,13.27,13.27,6
HCPCS,G0279,TOMOSYNTHESIS MAMMO DX,195.45,195.45,13.68,195.45,48
HCPCS,G0281,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,10.23,77.15,236
HCPCS,G0282,"Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g0281 ",,,48.39,49.89,2
HCPCS,G0283,EL ST UN IND NOT WC OT,178.53,178.53,12.5,178.53,44
HCPCS,G0283,EL ST UN IND NOT WC PT,178.53,178.53,12.5,178.53,44
HCPCS,G0283,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,11.09,77.15,218
HCPCS,G0283,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care Other Outpatient",,,11.71,13.3,18
HCPCS,G0288,"Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery ",,,49.87,163.07,6
HCPCS,G0289,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,30876.0,46
HCPCS,G0290,"Drug-eluting stents, single ",,,8300.0,8300.0,1
HCPCS,G0291,"Drug-eluting stents,each add ",,,8300.0,8300.0,1
HCPCS,G0293,"Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal anesthesia in a medicare qualifying clinical trial, per day ",,,91.93,178.85,6
HCPCS,G0294,"Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a medicare qualifying clinical trial, per day ",,,91.93,178.85,6
HCPCS,G0295,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,48
HCPCS,G0296,CT LD LUNG CA SC COUNSEL,890.97,890.97,98.01,890.97,104
HCPCS,G0296,Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) ,,,74.33,144.61,6
HCPCS,G0297,Low dose ct scan (ldct) for lung cancer screening ,,,801.0,1013.0,4
HCPCS,G0302,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1335.43,2598.01,6
HCPCS,G0303,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,380.46,740.17,6
HCPCS,G0304,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1335.43,2598.01,6
HCPCS,G0305,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1335.43,2598.01,6
HCPCS,G0306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,4.66,41.96,137
HCPCS,G0306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count Age 21+",,,7.18,7.18,4
HCPCS,G0306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count Age Under 21",,,7.31,7.31,4
HCPCS,G0306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count Other Outpatient",,,8.16,8.16,6
HCPCS,G0307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,3.88,34.7,137
HCPCS,G0307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) Age 21+",,,5.97,5.97,4
HCPCS,G0307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) Age Under 21",,,6.08,6.08,4
HCPCS,G0307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) Other Outpatient",,,6.79,6.79,6
HCPCS,G0310,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicai",,,69.38,134.98,6
HCPCS,G0311,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service,  16-30 mins time (this code is used for medicaid",,,69.38,134.98,6
HCPCS,G0312,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code i",,,69.38,134.98,6
HCPCS,G0313,"Immunization counseling by a physician or other qualified health care professional when  the vaccine(s) is not administered on the same date of service for ages under 21, 16-30 mins time (this code is",,,69.38,134.98,6
HCPCS,G0314,"Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 16-30 mins time (this code is used for the medicaid early and periodic screening, diagno",,,69.38,134.98,6
HCPCS,G0315,"Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnos",,,69.38,134.98,6
HCPCS,G0316,Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date o,,,89.21,173.55,6
HCPCS,G0317,Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service),,,89.21,173.55,6
HCPCS,G0318,Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service,,,87.2,169.65,6
HCPCS,G0320,Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system ,,,25.77,50.13,6
HCPCS,G0321,Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system ,,,25.77,50.13,6
HCPCS,G0322,"The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring) ",,,160.55,312.33,6
HCPCS,G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,10.83,96.73,137
HCPCS,G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous Age 21+",,,16.68,16.68,4
HCPCS,G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous Age Under 21",,,16.98,16.98,4
HCPCS,G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous Other Outpatient",,,18.95,18.95,6
HCPCS,G0329,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,10.31,59.76,84
HCPCS,G0330,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1357.27,25655.0,151
HCPCS,G0337,"Hospice evaluation and counseling services, pre-election ",,,203.17,395.26,6
HCPCS,G0339,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,4200.0,25655.0,133
HCPCS,G0340,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,4200.0,25655.0,133
HCPCS,G0341,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,25655.0,96
HCPCS,G0342,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,9173.0,25655.0,100
HCPCS,G0343,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25959.75,96
HCPCS,G0364,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,10
HCPCS,G0372,Physician service required to establish and document the need for a power mobility device ,,,6.33,48.2,8
HCPCS,G0378,OBS PER HOUR,635.345,635.345,30.59,1031.49,1596
HCPCS,G0379,DIRECT REFERRAL TO OBS,6290.55,6290.55,691.96,6290.55,999
HCPCS,G0379,Direct admission of patient for hospital observation care ,,,349.86,680.63,6
HCPCS,G0380,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.59,640.0,59
HCPCS,G0381,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.59,1400.0,59
HCPCS,G0382,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.59,3005.0,59
HCPCS,G0383,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1545.0,5217.0,41
HCPCS,G0384,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,2433.0,10292.0,41
HCPCS,G0390,TRAUMA RESPONSE CC LVL 3,26449.0,26449.0,1851.43,26449.0,84
HCPCS,G0390,Trauma response team associated with hospital critical care service ,,,2450.66,4767.65,6
HCPCS,G0396,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes ",,,93.17,181.26,6
HCPCS,G0397,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes ",,,181.36,352.83,6
HCPCS,G0398,"Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation ",,,242.11,1006.0,10
HCPCS,G0399,"Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation ",,,242.11,1006.0,10
HCPCS,G0400,"Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels ",,,242.11,1006.0,10
HCPCS,G0402,"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ",,,318.81,620.23,6
HCPCS,G0403,"Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report ",,,30.28,38.06,6
HCPCS,G0404,"Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination ",,,23.79,46.28,6
HCPCS,G0405,"Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination ",,,23.79,46.28,6
HCPCS,G0406,"Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth ",,,108.02,210.15,6
HCPCS,G0407,"Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth ",,,201.19,391.41,6
HCPCS,G0408,"Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth ",,,289.38,562.98,6
HCPCS,G0412,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,25655.0,204
HCPCS,G0413,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,214
HCPCS,G0414,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,204
HCPCS,G0415,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,204
HCPCS,G0416,PROSTATE BIOP ANY METHOD,2258.92,2258.92,158.12,2258.92,49
HCPCS,G0416,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",2258.92,2258.92,278.3,1013.4,31
HCPCS,G0420,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,93.52,601.55,78
HCPCS,G0420,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour Other Outpatient",,,119.1,119.1,6
HCPCS,G0421,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,22.56,140.76,78
HCPCS,G0421,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour Other Outpatient",,,28.73,28.73,6
HCPCS,G0422,ICR W/WO MONITOR W EXER,647.49,647.49,45.32,647.49,55
HCPCS,G0422,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session ",647.49,647.49,325.08,632.42,6
HCPCS,G0423,ICR W/WO MONITOR WO EXER,647.49,647.49,45.32,647.49,55
HCPCS,G0423,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session ",647.49,647.49,325.08,632.42,6
HCPCS,G0425,"Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth ",,,278.49,541.79,6
HCPCS,G0426,"Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth ",,,378.59,736.53,6
HCPCS,G0427,"Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth ",,,561.94,1093.22,6
HCPCS,G0428,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,16144.0,112
HCPCS,G0432,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,11.74,105.86,124
HCPCS,G0432,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening Other Outpatient",,,20.55,20.55,6
HCPCS,G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,10.97,98.54,137
HCPCS,G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening Age 21+",,,16.9,16.9,4
HCPCS,G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening Age Under 21",,,17.2,17.2,4
HCPCS,G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening Other Outpatient",,,19.2,19.2,6
HCPCS,G0435,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,7.19,63.9,124
HCPCS,G0435,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening Other Outpatient",,,12.58,12.58,6
HCPCS,G0438,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,143.46,455.88,72
HCPCS,G0438,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Other Outpatient",,,182.7,182.7,6
HCPCS,G0439,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,113.2,359.73,72
HCPCS,G0439,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Other Outpatient",,,144.17,144.17,6
HCPCS,G0448,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,25655.0,164
HCPCS,G0451,"Development testing, with interpretation and report, per standardized instrument form ",,,215.99,420.19,6
HCPCS,G0452,Molecular pathology procedure; physician interpretation and report ,,,3.14,41.23,31
HCPCS,G0453,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,58.66,2636.0,48
HCPCS,G0455,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,92
HCPCS,G0460,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,48
HCPCS,G0463,Hospital outpatient clinic visit for assessment and management of a patient ,,,318.81,4060.0,7
HCPCS,G0465,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,48
HCPCS,G0471,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,6.5,56.59,87
HCPCS,G0471,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) Other Ou,,,11.91,11.91,6
HCPCS,G0472,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,27.81,250.05,124
HCPCS,G0472,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) Other Outpatient",,,48.67,48.67,6
HCPCS,G0475,"Hiv antigen/antibody, combination assay, screening ",,,14.45,129.62,124
HCPCS,G0475,"Hiv antigen/antibody, combination assay, screening Other Outpatient",,,25.28,25.28,6
HCPCS,G0476,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,21.05,189.83,130
HCPCS,G0480,DRUG TEST DEF 1-7 CLASS,748.67,748.67,52.41,748.67,96
HCPCS,G0480,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,68.66,616.95,151
HCPCS,G0481,DRUG TEST DEF 8-14 CLASS,1150.43,1150.43,80.53,1150.43,96
HCPCS,G0481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,93.95,843.3,151
HCPCS,G0482,DRUG TEST DEF 15-21 CLAS,1552.21,1552.21,108.65,1552.21,96
HCPCS,G0482,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,119.24,1069.65,151
HCPCS,G0483,DRUG TEST DEF 22OR> CLAS,2012.05,2012.05,140.84,2012.05,96
HCPCS,G0483,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,148.15,1330.69,151
HCPCS,G0498,"Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community s",,,851.4,1656.36,6
HCPCS,G0499,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,16.96,151.5,147
HCPCS,G0500,"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of",,,15.87,30.87,6
HCPCS,G0506,Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) ,,,127.85,248.72,6
HCPCS,G0508,"Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth ",,,584.73,1137.57,6
HCPCS,G0509,"Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth ",,,552.04,1073.96,6
HCPCS,G0513,"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 3",,,171.46,333.57,6
HCPCS,G0514,"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each ad",,,171.46,333.57,6
HCPCS,G0516,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,172
HCPCS,G0517,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,172
HCPCS,G0518,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,172
HCPCS,G0532,"Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg per 0.1 ml nasal sprays (provision of the services by a medicare-enrolled opioid treatment program);( list separately in ad",,,270.27,434.79,6
HCPCS,G0533,"Medication assisted treatment, buprenorphine (injectable) administered on a weekly basis; weekly bundle including dispensing and/or administration, substance use counseling, individual and group thera",,,1757.58,3419.29,6
HCPCS,G0534,"Coordinated care and/or referral services, such as to adequate and accessible community resources to address unmet health-related social needs, including harm reduction interventions and recovery supp",,,96.91,188.53,6
HCPCS,G0535,"Patient navigational services, provided directly or by referral; including helping the patient to navigate health systems and identify care providers and supportive services, to build patient self-adv",,,96.91,188.53,6
HCPCS,G0536,"Peer recovery support services, provided directly or by referral; including leveraging knowledge of the condition or lived experience to provide support, mentorship, or inspiration to meet oud treatme",,,233.56,454.38,6
HCPCS,G0537,"Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months ",,,81.92,159.38,6
HCPCS,G0538,Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff time; per calendar month ,,,254.38,494.87,6
HCPCS,G0539,"Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (w",,,32.96,250.17,8
HCPCS,G0540,"Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified healt",,,17.47,134.18,8
HCPCS,G0541,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,32.96,250.17,8
HCPCS,G0542,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,17.47,134.18,8
HCPCS,G0543,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,7.72,57.99,8
HCPCS,G0544,"Post discharge telephonic follow-up contacts performed in conjunction with a discharge from the emergency department for behavioral health or other crisis encounter, 4 calls per calendar month ",,,254.38,494.87,6
HCPCS,G0545,"Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission ris",,,123.94,241.12,6
HCPCS,G0546,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty   whose covered services are limited by statute to services fo,,,13.13,96.09,8
HCPCS,G0547,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,26.31,193.99,8
HCPCS,G0548,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,39.26,293.71,8
HCPCS,G0549,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,52.16,393.44,8
HCPCS,G0550,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,24.74,181.31,8
HCPCS,G0551,Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to service,,,25.57,190.35,8
HCPCS,G0552,"Supply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan ",,,45.6,68.62,6
HCPCS,G0553,First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan,,,354.39,689.45,6
HCPCS,G0554,Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral th,,,82.0,159.54,6
HCPCS,G0556,"Advanced primary care management services for a patient with one chronic condition ºexpected to last at least 12 months, or until the death of the patient, which place the patient at significant risk ",,,81.92,159.38,6
HCPCS,G0557,"Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient a",,,81.92,159.38,6
HCPCS,G0558,"Advanced primary care management services for a patient that is a qualified medicare beneficiary with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death ",,,254.38,494.87,6
HCPCS,G0559,"Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the ",,,25.16,48.95,6
HCPCS,G0560,"Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safet",,,32.72,230.26,8
HCPCS,G0561,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,68
HCPCS,G0562,"Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., mo",,,2672.19,8738.24,6
HCPCS,G0563,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, e",,,13126.75,19390.08,6
HCPCS,G0566,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,700.94,30
HCPCS,G0567,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,34.91,91.94,112
HCPCS,G0567,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique Other Outpatient",,,36.84,36.84,6
HCPCS,G0571,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,68
HCPCS,G0577,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,24
HCPCS,G0659,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,37.28,334.02,145
HCPCS,G0681,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,5286.0,12875.0,68
HCPCS,G0682,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,68
HCPCS,G0683,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,5286.0,12875.0,68
HCPCS,G0684,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,68
HCPCS,G1028,Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary pr,,,0.06,0.11,6
HCPCS,G2000,"Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), perfo",,,1335.43,2598.01,6
HCPCS,G2010,"Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,25.77,50.13,6
HCPCS,G2011,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes ",,,46.59,90.63,6
HCPCS,G2025,Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only ,,,80.23,82.71,2
HCPCS,G2078,Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure ,,,0.07,0.11,6
HCPCS,G2079,Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary pro,,,34.98,56.28,6
HCPCS,G2082,Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of u,,,70.37,136.91,6
HCPCS,G2083,Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of ,,,70.37,136.91,6
HCPCS,G2211,Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care servi,,,48.56,94.48,6
HCPCS,G2212,Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary ,,,92.18,179.33,6
HCPCS,G2213,"Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list",,,187.3,364.39,6
HCPCS,G2214,"Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed b",,,110.99,215.93,6
HCPCS,G2215,Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary pr,,,0.07,0.11,6
HCPCS,G2216,Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure ,,,34.98,56.28,6
HCPCS,G2250,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,6.62,52.06,84
HCPCS,G2251,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,8.83,73.24,84
HCPCS,G2252,"Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an establ",,,18.4,140.76,8
HCPCS,G3001,"Administration and supply of tositumomab, 450 mg ",,,,,0
HCPCS,G3002,"Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revisio",,,215.05,418.37,6
HCPCS,G3003,"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when",,,74.33,144.61,6
HCPCS,G9017,"Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project) ",,,,,0
HCPCS,G9018,"Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project) ",,,,,0
HCPCS,G9019,"Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project) ",,,,,0
HCPCS,G9020,"Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project) ",,,,,0
HCPCS,G9143,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,72.43,649.84,122
HCPCS,G9143,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) Other Outpatient",,,126.76,126.76,6
HCPCS,G9157,"Transesophageal doppler measurement of cardiac output (including probe placement, image acquisition, and interpretation per course of treatment) for monitoring purposes ",,,273.54,532.16,6
HCPCS,G9361,"Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) ºdocumentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypert",,,,,0
HCPCS,G9481,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a proble",,,52.53,102.19,6
HCPCS,G9482,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: an expan",,,100.1,194.74,6
HCPCS,G9483,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detail",,,155.59,302.7,6
HCPCS,G9484,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a compre",,,262.63,510.92,6
HCPCS,G9485,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a compre",,,342.93,667.14,6
HCPCS,G9486,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the follo",,,51.53,100.26,6
HCPCS,G9487,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the follo",,,103.07,200.52,6
HCPCS,G9488,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the follo",,,158.56,308.48,6
HCPCS,G9489,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved coms innovation center demonstration project, which requires at least 2 of the foll",,,223.99,435.76,6
HCPCS,G9490,"Cms innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of ",,,122.9,239.09,6
HCPCS,G9886,"Behavioral counseling for diabetes prevention, in-person, group, 60 minutes ",,,44.6,86.78,6
HCPCS,G9887,"Behavioral counseling for diabetes prevention, distance learning, 60 minutes ",,,44.6,86.78,6
HCPCS,H0003,Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs ,,,0.02,0.02,4
HCPCS,H0047,"Alcohol and/or other drug abuse services, not otherwise specified ",,,253.3,261.13,2
HCPCS,H0049,Alcohol and/or drug screening ,,,0.02,0.02,4
HCPCS,H0052,Missing and murdered indigenous persons (mmip) mental health and clinical care ,,,300.08,583.79,6
HCPCS,H0053,Historical trauma (ht) mental health and clinical care for indigenous persons ,,,300.08,583.79,6
HCPCS,H2019,"Therapeutic behavioral services, per 15 minutes ",,,32.88,33.9,2
HCPCS,J0013,"Esketamine, nasal spray, 1 mg ",,,31.65,83.36,21
HCPCS,J0120,"Injection, tetracycline, up to 250 mg ",,,,,0
HCPCS,J0121,"Injection, omadacycline, 1 mg ",2578.82,2578.82,4.01,34.98,29
HCPCS,J0121,OMADACYCLINE 100 MG INJ,2578.82,2578.82,180.52,2578.82,42
HCPCS,J0122,ERAVACYCLINE 1 MG INJ,7.44,7.44,0.52,7.44,47
HCPCS,J0122,ERAVACYCLINE 1 MG INJ JW,7.44,7.44,0.52,7.44,47
HCPCS,J0122,ERAVACYCLINE 100 MG INJ,630.0,630.0,44.1,630.0,47
HCPCS,J0122,ERAVACYCLINE 50 MG INJ,306.73,306.73,21.47,306.73,47
HCPCS,J0122,"Injection, eravacycline, 1 mg ",,,1.25,11.2,29
HCPCS,J0129,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,43.38,380.48,29
HCPCS,J0130,"Injection abciximab, 10 mg ",,,951.77,12221.41,27
HCPCS,J0131,ACETAMINO NOS 1000MG INJ,257.06,257.06,17.99,257.06,47
HCPCS,J0131,"Injection, acetaminophen, not otherwise specified,10 mg ",257.06,257.06,0.05,1.66,29
HCPCS,J0132,ACETYLCYSTEIN 6000MG INJ,211.79,211.79,14.83,211.79,47
HCPCS,J0132,"Injection, acetylcysteine, 100 mg ",211.79,211.79,0.49,12.04,29
HCPCS,J0133,ACYCLOVIR 500 MG INJ,85.75,85.75,6.0,85.75,47
HCPCS,J0133,"Injection, acyclovir, 5 mg ",85.75,85.75,0.02,0.67,29
HCPCS,J0134,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.05,0.83,29
HCPCS,J0136,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.05,0.43,29
HCPCS,J0137,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.06,0.44,29
HCPCS,J0138,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.09,1.88,29
HCPCS,J0139,"Injection, adalimumab, 1 mg ",,,269.25,13931.94,21
HCPCS,J0153,ADENOSINE 6 MG INJ,37.93,37.93,2.66,37.93,47
HCPCS,J0153,ADENOSINE 90 MG INJ,4323.21,4323.21,302.62,4323.21,47
HCPCS,J0153,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.47,6.99,29
HCPCS,J0162,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.42,2.83,23
HCPCS,J0163,505EN EPI NACL 5MG INJ,2101.05,2101.05,147.07,2101.05,53
HCPCS,J0163,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",2101.05,2101.05,0.29,6.05,23
HCPCS,J0164,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,0.89,5.11,23
HCPCS,J0165,EPI NOS 1 MG INJ,83.48,83.48,5.84,83.48,47
HCPCS,J0165,EPI NOS 10 MG MDV,515.16,515.16,36.06,515.16,47
HCPCS,J0165,EPI NOS 30 MG MDV,1087.56,1087.56,76.13,1087.56,47
HCPCS,J0165,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.3,4.96,29
HCPCS,J0166,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,0.81,19.5,29
HCPCS,J0167,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.05,6.33,29
HCPCS,J0168,505IS EPI 1 MG INJ,78.61,78.61,5.5,78.61,47
HCPCS,J0168,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",78.61,78.61,2.79,18.64,29
HCPCS,J0169,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,0.84,14.04,29
HCPCS,J0172,"Injection, aducanumab-avwa, 2 mg ",,,36.18,51.14,6
HCPCS,J0174,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.3,11.37,29
HCPCS,J0175,"Injection, donanemab-azbt, 2 mg ",,,4.02,35.41,29
HCPCS,J0177,"Injection, aflibercept hd, 1 mg ",,,292.14,2734.42,29
HCPCS,J0178,"Injection, aflibercept, 1 mg ",,,709.93,6756.42,29
HCPCS,J0179,"Injection, brolucizumab-dbll, 1 mg ",,,342.48,2960.62,29
HCPCS,J0180,AGALSIDASE BETA 5 MG,13851.44,13851.44,969.6,13851.44,42
HCPCS,J0180,"Injection, agalsidase beta, 1 mg ",13851.44,13851.44,220.75,1969.18,29
HCPCS,J0184,"Injection, amisulpride, 1 mg ",,,15.77,83.21,27
HCPCS,J0185,"Injection, aprepitant, 1 mg ",,,1.64,15.14,29
HCPCS,J0200,"Injection, alatrofloxacin mesylate, 100 mg ",,,102.81,145.3,6
HCPCS,J0202,"Injection, alemtuzumab, 1 mg ",,,2367.21,20872.87,29
HCPCS,J0205,"Injection, alglucerase, per 10 units ",,,254.32,359.44,6
HCPCS,J0206,ALLOPURINOL 1 MG INJ,33.2,33.2,2.32,33.2,42
HCPCS,J0206,ALLOPURINOL 1 MG INJ JW,33.2,33.2,2.32,33.2,42
HCPCS,J0206,ALLOPURINOL 500MG INJ,16599.6,16599.6,1161.97,16599.6,42
HCPCS,J0206,ALLOPURINOL 5MG/ML INJ,166.0,166.0,11.62,166.0,42
HCPCS,J0206,"Injection, allopurinol sodium, 1 mg ",,,3.7,38.83,29
HCPCS,J0207,AMIFOSTINE 500 MG INJ,12197.77,12197.77,853.84,12197.77,47
HCPCS,J0207,"Injection, amifostine, 500 mg ",12197.77,12197.77,722.52,9345.97,27
HCPCS,J0208,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,796.7,27
HCPCS,J0209,505HP NA THIOS 100MGINJ,4.3,4.3,0.3,4.3,47
HCPCS,J0209,505HP NA THIOS 12.5GINJ,541.01,541.01,37.87,541.01,47
HCPCS,J0209,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,7.01,27
HCPCS,J0210,"Injection, methyldopate hcl, up to 250 mg ",354.74,354.74,15.99,362.6,27
HCPCS,J0210,METHYLDOPATE 250 MG INJ,354.74,354.74,24.83,354.74,47
HCPCS,J0211,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,17.1,27
HCPCS,J0215,"Injection, alefacept, 0.5 mg ",,,251.96,356.11,6
HCPCS,J0216,"Injection, alfentanil hydrochloride, 500 micrograms ",,,9.87,21.98,12
HCPCS,J0217,"Injection, velmanase alfa-tycv, 1 mg ",,,451.27,3977.11,29
HCPCS,J0218,"Injection, olipudase alfa-rpcp, 1 mg ",,,383.73,3367.95,29
HCPCS,J0219,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,78.76,690.57,29
HCPCS,J0220,"Injection, alglucosidase alfa, 10 mg, not otherwise specified ",,,254.64,1767.7,12
HCPCS,J0221,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",14099.69,14099.69,201.28,1767.01,29
HCPCS,J0221,LUMIZYME 50 MG INJ,14099.69,14099.69,986.98,14099.69,42
HCPCS,J0222,"Injection, patisiran, 0.1 mg ",,,97.87,853.66,29
HCPCS,J0223,"Injection, givosiran, 0.5 mg ",,,117.35,1002.21,29
HCPCS,J0224,"Injection, lumasiran, 0.5 mg ",,,317.89,2814.46,29
HCPCS,J0225,"Injection, vutrisiran, 1 mg ",,,4868.69,42621.97,29
HCPCS,J0248,"Injection, remdesivir, 1 mg ",,,6.69,57.55,29
HCPCS,J0248,REMDESIVIR 1.25MG/ML INJ,3250.73,3250.73,227.55,3250.73,42
HCPCS,J0248,REMDESIVIR 100 MG INJ,3250.73,3250.73,227.55,3250.73,42
HCPCS,J0256,ALP 1 PRO INHIB HUM 10MG,389.03,389.03,27.23,389.03,42
HCPCS,J0256,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",389.03,389.03,4.99,44.38,29
HCPCS,J0257,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,5.49,48.83,29
HCPCS,J0270,ALPROSTADIL 500 MCG INJ,887.57,887.57,62.13,887.57,47
HCPCS,J0270,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",887.57,887.57,0.66,89.62,27
HCPCS,J0275,"Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,155.63,344.21,12
HCPCS,J0278,AMIKACIN SULFATE 100 MG,19.84,19.84,1.39,19.84,47
HCPCS,J0278,AMIKACIN SULFATE 500 MG,1271.57,1271.57,89.01,1271.57,47
HCPCS,J0278,"Injection, amikacin sulfate, 100 mg ",,,0.59,6.05,29
HCPCS,J0280,AMINOPHYLLIN 250 MG INJ,156.67,156.67,10.97,156.67,47
HCPCS,J0280,AMINOPHYLLIN 500 MG INJ,518.88,518.88,36.32,518.88,47
HCPCS,J0280,"Injection, aminophyllin, up to 250 mg ",,,2.35,70.98,29
HCPCS,J0281,AMINOCAPROC 20 MG/ML INJ,0.19,0.19,0.01,0.19,47
HCPCS,J0281,AMINOCAPROIC 5 G MDV,56.24,56.24,3.94,56.24,47
HCPCS,J0281,AMINOCAPROIC ACID 1G INJ,11.21,11.21,0.78,11.21,47
HCPCS,J0281,"Injection, aminocaproic acid, 1 gram ",,,1.52,12.83,29
HCPCS,J0282,AMIODARONE 150 MG INJ,11.45,11.45,0.8,11.45,47
HCPCS,J0282,AMIODARONE 360 MG INJ,264.07,264.07,18.48,264.07,47
HCPCS,J0282,AMIODARONE 450 MG INJ,31.29,31.29,2.19,31.29,47
HCPCS,J0282,AMIODARONE 5 MG/ML INJ,0.38,0.38,0.03,0.38,47
HCPCS,J0282,"Injection, amiodarone hydrochloride, 30 mg ",,,0.38,4.36,29
HCPCS,J0283,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,2.42,22.32,29
HCPCS,J0283,NEXTERONE AMIO 150MG INJ,198.53,198.53,13.9,198.53,47
HCPCS,J0283,NEXTERONE AMIO 360MG INJ,264.07,264.07,18.48,264.07,47
HCPCS,J0285,AMPHOTERICN B 50 MG INJ,270.0,270.0,18.9,270.0,47
HCPCS,J0285,"Injection, amphotericin b, 50 mg ",270.0,270.0,43.0,291.79,29
HCPCS,J0287,AMPHOT B LIPID 10 MG INJ,4940.4,4940.4,345.83,4940.4,47
HCPCS,J0287,"Injection, amphotericin b lipid complex, 10 mg ",4940.4,4940.4,30.86,88.09,27
HCPCS,J0288,"Injection, amphotericin b cholesteryl sulfate complex, 10 mg ",,,84.71,119.73,6
HCPCS,J0289,AMPHOT B LIPOSOME 50 MG,4206.13,4206.13,294.43,4206.13,42
HCPCS,J0289,"Injection, amphotericin b liposome, 10 mg ",4206.13,4206.13,22.13,274.34,29
HCPCS,J0290,AMPICILLIN 1 G INJ,225.95,225.95,15.82,225.95,47
HCPCS,J0290,AMPICILLIN 125 MG INJ,144.93,144.93,10.15,144.93,47
HCPCS,J0290,AMPICILLIN 2 G INJ,376.29,376.29,26.34,376.29,47
HCPCS,J0290,AMPICILLIN 250 MG/ML INJ,127.68,127.68,8.94,127.68,47
HCPCS,J0290,AMPICILLIN 500 MG INJ,173.82,173.82,12.17,173.82,47
HCPCS,J0290,"Injection, ampicillin sodium, 500 mg ",,,0.62,13.32,29
HCPCS,J0291,"Injection, plazomicin, 5 mg ",,,3.4,30.53,29
HCPCS,J0295,AMPICIL/SULBAC 1.5 G INJ,416.9,416.9,29.18,416.9,47
HCPCS,J0295,AMPICIL/SULBAC 3 G INJ,99.745,99.745,5.92,114.98,94
HCPCS,J0295,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.31,17.43,29
HCPCS,J0300,"Injection, amobarbital, up to 125 mg ",,,19.29,1598.63,27
HCPCS,J0330,"Injection, succinylcholine chloride, up to 20 mg ",40.21,40.21,2.46,7.38,27
HCPCS,J0330,SUCCINYLCHOL UP TO 20 MG,40.21,40.21,2.81,40.21,47
HCPCS,J0348,ANIDULAFUNGIN 50 MG INJ,1258.91,1258.91,88.12,1258.91,47
HCPCS,J0348,"Injection, anidulafungin, 1 mg ",1258.91,1258.91,0.48,9.99,29
HCPCS,J0349,"Injection, rezafungin, 1 mg ",,,10.47,90.82,29
HCPCS,J0360,HYDRALAZINE 1 MG/ML INJ,1.8,1.8,0.13,1.8,47
HCPCS,J0360,HYDRALAZINE 20 MG INJ,357.65,357.65,25.04,357.65,47
HCPCS,J0360,"Injection, hydralazine hcl, up to 20 mg ",,,4.16,44.38,29
HCPCS,J0364,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,302.83,27
HCPCS,J0365,"Injection, aprotonin, 10,000 kiu ",,,16.04,22.66,6
HCPCS,J0380,"Injection, metaraminol bitartrate, per 10 mg ",,,6.9,9.75,6
HCPCS,J0391,ARTESUNATE 1 MG INJ,274.66,274.66,19.23,274.66,42
HCPCS,J0391,ARTESUNATE 110 MG INJ,58087.8,58087.8,4066.15,58087.8,42
HCPCS,J0391,"Injection, artesunate, 1 mg ",,,85.52,426.49,27
HCPCS,J0395,"Injection, arbutamine hcl, 1 mg ",,,968.16,1368.32,6
HCPCS,J0400,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,6.41,27
HCPCS,J0401,"Injection, aripiprazole (abilify maintena), 1 mg ",,,7.05,61.92,29
HCPCS,J0402,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,5.84,51.57,29
HCPCS,J0456,AZITHROMYCIN 2 MG/ML INJ,0.1,0.1,0.007,0.1,47
HCPCS,J0456,AZITHROMYCIN 500 MG,2.96,2.96,0.21,2.96,47
HCPCS,J0456,AZITHROMYCIN 500 MG INJ,28.62,28.62,2.0,28.62,47
HCPCS,J0456,"Injection, azithromycin, 500 mg ",,,1.88,23.03,29
HCPCS,J0457,AZTREONAM 1 G INJ,191.18,191.18,13.38,191.18,47
HCPCS,J0457,AZTREONAM 100 MG INJ,21.85,21.85,1.53,21.85,47
HCPCS,J0457,AZTREONAM 100 MG INJ JW,21.85,21.85,1.53,21.85,47
HCPCS,J0457,AZTREONAM 2 G INJ,382.35,382.35,26.76,382.35,47
HCPCS,J0457,AZTREONAM 20 MG/ML INJ,3.81,3.81,0.27,3.81,47
HCPCS,J0457,"Injection, aztreonam, 100 mg ",,,2.22,22.83,29
HCPCS,J0458,AZTREO/AVI 1.5/0.5G INJ,1765.8,1765.8,123.61,1765.8,48
HCPCS,J0458,AZTREO/AVI 7.5/2.5MG INJ,8.82,8.82,0.62,8.82,48
HCPCS,J0458,AZTREO/AVI 7.5/2.5MG JW,8.82,8.82,0.62,8.82,48
HCPCS,J0458,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,1.63,9.16,23
HCPCS,J0461,ATROPINE 0.4 MG INJ,68.12,68.12,4.77,68.12,47
HCPCS,J0461,ATROPINE 1 MG INJ,102.89,102.89,4.25,279.32,141
HCPCS,J0461,"Injection, atropine sulfate, 0.01 mg ",,,0.1,0.6,29
HCPCS,J0462,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.1,0.83,23
HCPCS,J0463,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.01,0.02,17
HCPCS,J0470,"Injection, dimercaprol, per 100 mg ",,,194.65,466.51,12
HCPCS,J0475,BACLOFEN 10 MG INJJW,1433.69,1433.69,100.36,1433.69,42
HCPCS,J0475,BACLOFEN 10MG INJ,1433.69,1433.69,100.36,1433.69,42
HCPCS,J0475,"Injection, baclofen, 10 mg ",,,172.71,1503.61,29
HCPCS,J0476,BACLOFEN 50MCG INTRATHEC,2143.3,2143.3,150.03,2143.3,47
HCPCS,J0476,"Injection, baclofen, 50 mcg for intrathecal trial ",2143.3,2143.3,52.71,574.69,29
HCPCS,J0480,BASILIXIMAB 20 MG INJ,39467.34,39467.34,2762.71,39467.34,42
HCPCS,J0480,"Injection, basiliximab, 20 mg ",39467.34,39467.34,4667.94,39958.96,29
HCPCS,J0485,BELATACEPT 1 MG INJ,22.19,22.19,1.55,22.19,42
HCPCS,J0485,BELATACEPT 1 MG INJJW,22.19,22.19,1.55,22.19,42
HCPCS,J0485,BELATACEPT 250 MG INJ,5551.61,5551.61,388.61,5551.61,42
HCPCS,J0485,"Injection, belatacept, 1 mg ",,,3.77,33.27,29
HCPCS,J0490,"Injection, belimumab, 10 mg ",,,55.47,479.0,29
HCPCS,J0491,"Injection, anifrolumab-fnia, 1 mg ",,,17.76,154.79,29
HCPCS,J0500,DICYCLOMINE 20 MG INJ,583.47,583.47,40.84,583.47,47
HCPCS,J0500,"Injection, dicyclomine hcl, up to 20 mg ",583.47,583.47,9.09,155.84,29
HCPCS,J0515,BENZTROPINE 2 MG INJ,1540.94,1540.94,107.87,1540.94,47
HCPCS,J0515,"Injection, benztropine mesylate, per 1 mg ",1540.94,1540.94,13.11,147.69,29
HCPCS,J0517,"Injection, benralizumab, 1 mg ",,,158.46,1437.85,29
HCPCS,J0520,"Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg ",,,27.17,38.4,6
HCPCS,J0525,"Injection, cefotetan disodium, 10 mg ",,,0.48,1.33,21
HCPCS,J0558,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,15.87,148.55,29
HCPCS,J0561,"Injection, penicillin g benzathine, 100,000 units ",,,30.53,250.57,29
HCPCS,J0561,PEN G BEN 100000 U INJ,481.42,481.42,33.7,481.42,42
HCPCS,J0561,PEN G BEN 1200000 U INJ,1341.0,1341.0,93.87,1341.0,42
HCPCS,J0565,BEZLOTOXUMAB 1000 MG INJ,24439.65,24439.65,1710.78,24439.65,42
HCPCS,J0565,"Injection, bezlotoxumab, 10 mg ",24439.65,24439.65,38.64,340.63,29
HCPCS,J0567,"Injection, cerliponase alfa, 1 mg ",,,199.93,1022.65,27
HCPCS,J0570,"Buprenorphine implant, 74.2 mg ",,,4303.53,6923.07,6
HCPCS,J0571,"Buprenorphine, oral, 1 mg ",,,1.63,6.11,27
HCPCS,J0572,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,15.71,21
HCPCS,J0573,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,28.14,21
HCPCS,J0574,BUPRENO >6<=10MG/NALOXPO,78.81,78.81,5.52,78.81,53
HCPCS,J0574,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",78.81,78.81,16.47,28.14,21
HCPCS,J0575,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,56.28,21
HCPCS,J0577,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,404.69,3616.04,29
HCPCS,J0578,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,1618.77,14464.08,29
HCPCS,J0582,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.13,0.83,23
HCPCS,J0583,BIVALIRUDIN 1 MG INJ,1.58,1.58,0.11,1.58,47
HCPCS,J0583,BIVALIRUDIN 250 MG INJ,256.5,256.5,17.95,256.5,47
HCPCS,J0583,"Injection, bivalirudin, 1 mg ",,,0.12,7.66,29
HCPCS,J0584,"Injection, burosumab-twza 1 mg ",,,483.76,4118.39,29
HCPCS,J0585,"Injection, onabotulinumtoxina, 1 unit ",,,6.31,53.54,29
HCPCS,J0585,ONABOTULINUMTOXA 100 U,3726.32,3726.32,260.84,3726.32,42
HCPCS,J0585,ONABOTULINUMTOXA 1U INJ,37.26,37.26,2.61,37.26,42
HCPCS,J0585,ONABOTULNUMTOXA 1U INJJW,37.26,37.26,2.61,37.26,42
HCPCS,J0586,"Injection, abobotulinumtoxina, 5 units ",,,8.63,78.42,29
HCPCS,J0587,"Injection, rimabotulinumtoxinb, 100 units ",,,12.88,114.08,29
HCPCS,J0588,INCOBOTULINUM A 100 UNIT,2924.96,2924.96,204.75,2924.96,42
HCPCS,J0588,"Injection, incobotulinumtoxin a, 1 unit ",2924.96,2924.96,5.13,45.41,29
HCPCS,J0589,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,3.0,26.6,29
HCPCS,J0591,"Injection, deoxycholic acid, 1 mg ",,,51.54,130.85,12
HCPCS,J0592,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,4.04,35.32,29
HCPCS,J0593,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,84.24,743.51,29
HCPCS,J0594,BUSULFAN 60 MG INJ,658.26,658.26,46.08,658.26,42
HCPCS,J0594,"injection, busulfan, 1 mg ",658.26,658.26,0.66,46.68,29
HCPCS,J0595,BUTORPHANOL 2 MG INJ,108.69,108.69,7.61,108.69,47
HCPCS,J0595,"Injection, butorphanol tartrate, 1 mg ",108.69,108.69,3.14,43.19,29
HCPCS,J0596,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,35.58,314.2,29
HCPCS,J0597,BERINERT 500 U INJ,20284.59,20284.59,1419.92,20284.59,42
HCPCS,J0597,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",20284.59,20284.59,73.77,648.75,29
HCPCS,J0598,CINRYZE 500 U INJ,46266.05,46266.05,3238.62,46266.05,42
HCPCS,J0598,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",46266.05,46266.05,63.53,562.12,29
HCPCS,J0599,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,105.53,27
HCPCS,J0600,"Injection, edetate calcium disodium, up to 1000 mg ",,,5919.78,55199.48,29
HCPCS,J0601,SEVEL CAR 800 MG ESRD PO,10.55,10.55,0.74,10.55,55
HCPCS,J0601,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",10.55,10.55,0.03,0.17,27
HCPCS,J0602,SEVEL CAR 0.8G ESRD POWD,87.2,87.2,6.1,87.2,55
HCPCS,J0602,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",87.2,87.2,0.17,0.51,27
HCPCS,J0603,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.77,27
HCPCS,J0604,CINACALCET 30 MG ORAL,172.83,172.83,12.1,172.83,55
HCPCS,J0604,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",172.83,172.83,0.12,3.27,27
HCPCS,J0605,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,1.54,27
HCPCS,J0606,"Injection, etelcalcetide, 0.1 mg ",,,3.89,36.0,27
HCPCS,J0607,LANTHANUM 500 MG ESRD PO,18.89,18.89,1.32,18.89,55
HCPCS,J0607,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",18.89,18.89,0.14,0.34,27
HCPCS,J0608,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.51,27
HCPCS,J0609,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.94,27
HCPCS,J0612,CA GLUC NOS 1 G INJ,57.24,57.24,4.01,57.24,47
HCPCS,J0612,CA GLUC NOS 10 MG INJ,0.6,0.6,0.04,0.6,47
HCPCS,J0612,CA GLUC NOS 10 MG INJ JW,0.6,0.6,0.04,0.6,47
HCPCS,J0612,CA GLUC NOS 50MG/ML INJ,2.86,2.86,0.2,2.86,47
HCPCS,J0612,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.03,0.34,29
HCPCS,J0613,505WG CA GLUC 1 G INJ,113.05,113.05,7.91,113.05,47
HCPCS,J0613,505WG CA GLUC 10 MG INJ,1.17,1.17,0.08,1.17,47
HCPCS,J0613,505WG CA GLUC 10 MG JW,1.17,1.17,0.08,1.17,47
HCPCS,J0613,505WG CAGLUC 2G/100MLINJ,213.3,213.3,14.93,213.3,47
HCPCS,J0613,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.07,0.68,29
HCPCS,J0614,"Injection, treosulfan, 50 mg ",,,30.66,199.74,23
HCPCS,J0614,TREOSULFAN 1G INJ,3294.0,3294.0,230.58,3294.0,48
HCPCS,J0614,TREOSULFAN 5G INJ,16470.0,16470.0,1152.9,16470.0,48
HCPCS,J0615,CALC ACET 667MG ESRD PO,0.67,0.67,0.05,0.67,55
HCPCS,J0615,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",0.67,0.67,0.05,0.17,27
HCPCS,J0616,"Injection, metoprolol tartrate, 1 mg ",5.72,5.72,0.13,1.11,29
HCPCS,J0616,METOPROLOL 5 MG INJ,5.72,5.72,0.4,5.72,47
HCPCS,J0618,CALCIUM CHL 1 G INJ,42.93,42.93,3.01,42.93,47
HCPCS,J0618,CALCIUM CHL 100MG/ML INJ,4.29,4.29,0.3,4.29,47
HCPCS,J0618,CALCIUM CHL 20 MG/ML INJ,0.86,0.86,0.06,0.86,47
HCPCS,J0618,"Injection, calcium chloride, 2 mg ",,,0.05,0.26,27
HCPCS,J0620,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,76.54,27
HCPCS,J0630,CALCITONIN SALMON 400 U,18017.48,18017.48,1261.22,18017.48,55
HCPCS,J0630,"Injection, calcitonin salmon, up to 400 units ",18017.48,18017.48,2364.78,15002.04,27
HCPCS,J0636,CALCITRIOL 1 MCG INJ,541.37,541.37,37.9,541.37,47
HCPCS,J0636,"Injection, calcitriol, 0.1 mcg ",541.37,541.37,1.96,8.64,27
HCPCS,J0637,CASPOFUNGIN 70 MG INJ,9961.12,9961.12,697.28,9961.12,47
HCPCS,J0637,"Injection, caspofungin acetate, 5 mg ",9961.12,9961.12,3.47,63.77,29
HCPCS,J0638,"Injection, canakinumab, 1 mg ",,,145.08,1205.83,29
HCPCS,J0640,"Injection, leucovorin calcium, per 50 mg ",,,3.48,33.78,29
HCPCS,J0640,LEUCOVORIN CA 100 MG INJ,916.1700000000001,916.1700000000001,63.84,920.39,94
HCPCS,J0640,LEUCOVORIN CA 350 MG INJ,180.59,180.59,12.64,180.59,47
HCPCS,J0641,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.05,1.33,29
HCPCS,J0642,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,1.25,12.6,29
HCPCS,J0650,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,7.19,65.85,29
HCPCS,J0651,505FK LEVOTHY 10 MCGINJ,53.8,53.8,3.77,53.8,42
HCPCS,J0651,505FK LEVOTHY 100MCGINJ,538.14,538.14,37.67,538.14,42
HCPCS,J0651,505FK LEVOTHY 10MCGINJJW,53.8,53.8,3.77,53.8,42
HCPCS,J0651,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,6.75,60.72,29
HCPCS,J0652,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.13,43.96,29
HCPCS,J0654,"Injection, liothyronine, 1 mcg ",2379.38,2379.38,64.83,246.53,21
HCPCS,J0654,LIOTHYRONINE 10MCG INJ,2379.38,2379.38,166.56,2379.38,53
HCPCS,J0665,BUPIVACAINE 0.5 MG INJ,0.16,0.16,0.01,0.16,47
HCPCS,J0665,BUPIVACAINE 0.5 MG INJJW,0.16,0.16,0.01,0.16,47
HCPCS,J0665,BUPIVACAINE 15 MG INJ,32.04,32.04,2.24,32.04,47
HCPCS,J0665,BUPIVACAINE 150 MG INJ,13.04,13.04,0.91,13.04,47
HCPCS,J0665,BUPIVACAINE 225 MG INJ,44.54,44.54,3.12,44.54,47
HCPCS,J0665,BUPIVACAINE 25 MG INJ,11.53,11.53,0.81,11.53,47
HCPCS,J0665,BUPIVACAINE 50 MG INJ,13.46,13.46,0.94,13.46,47
HCPCS,J0665,BUPIVACAINE 75 MG INJ,11.85,11.85,0.83,11.85,47
HCPCS,J0665,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.01,0.11,29
HCPCS,J0666,BUPIVAC LIPO 133MG INJ,1302.93,1302.93,91.21,1302.93,42
HCPCS,J0666,BUPIVAC LIPO 266MG INJ,2152.89,2152.89,150.7,2152.89,42
HCPCS,J0666,BUPIVACAINE LIPO 1MG INJ,8.07,8.07,0.56,8.07,42
HCPCS,J0666,BUPIVACAINE LIPO 1MG JW,8.07,8.07,0.56,8.07,42
HCPCS,J0666,"Injection, bupivacaine liposome, 1 mg ",,,1.37,12.74,29
HCPCS,J0668,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,4.22,21
HCPCS,J0670,"Injection, mepivacaine hydrochloride, per 10 ml ",,,3.62,32.67,29
HCPCS,J0670,MEPIVACAIN 1% 30 ML INJ,63.73,63.73,4.46,63.73,47
HCPCS,J0670,MEPIVACAIN 1.5% 30ML INJ,70.15,70.15,4.91,70.15,47
HCPCS,J0675,CCARBOPROST 0.25MG INJ,324.0,324.0,22.68,324.0,48
HCPCS,J0675,"Injection, carboprost tromethamine, 0.1 mg ",324.0,324.0,25.67,279.72,21
HCPCS,J0681,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,5.94,21
HCPCS,J0687,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,0.72,8.55,29
HCPCS,J0688,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,0.82,7.78,29
HCPCS,J0689,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,1.2,11.37,29
HCPCS,J0690,CEFAZOLIN 1 G INJ,5.72,5.72,0.4,5.72,47
HCPCS,J0690,CEFAZOLIN 100 MG/ML INJ,0.57,0.57,0.04,0.57,47
HCPCS,J0690,"Injection, cefazolin sodium, 500 mg ",,,0.82,7.18,29
HCPCS,J0691,"Injection, lefamulin, 1 mg ",,,1.35,5.99,27
HCPCS,J0692,CEFEPIME HCL 1 G INJ,14.74,14.74,1.03,14.74,47
HCPCS,J0692,CEFEPIME HCL 2 G INJ,120.48,120.48,8.43,120.48,47
HCPCS,J0692,"Injection, cefepime hydrochloride, 500 mg ",,,1.23,10.52,29
HCPCS,J0694,CEFOXITIN 1 G INJ,38.58,38.58,2.7,38.58,47
HCPCS,J0694,CEFOXITIN 100 MG/ML INJ,3.21,3.21,0.22,3.21,47
HCPCS,J0694,CEFOXITIN 2 G INJ,64.31,64.31,4.5,64.31,47
HCPCS,J0694,"Injection, cefoxitin sodium, 1 gm ",,,3.45,43.87,29
HCPCS,J0695,CEFTOLOZ TAZOBACT 1.5 G,869.77,869.77,60.88,869.77,42
HCPCS,J0695,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",869.77,869.77,8.57,78.08,29
HCPCS,J0696,CEFTRIAXONE 1 G INJ,412.28,412.28,28.86,412.28,47
HCPCS,J0696,CEFTRIAXONE 2 G INJ,528.52,528.52,37.0,528.52,47
HCPCS,J0696,CEFTRIAXONE 250 MG INJ,85.68,85.68,6.0,85.68,47
HCPCS,J0696,CEFTRIAXONE 40 MG/ML INJ,82.1,82.1,5.75,82.1,47
HCPCS,J0696,CEFTRIAXONE 500MG INJ,43.42,43.42,3.04,43.42,47
HCPCS,J0696,"Injection, ceftriaxone sodium, per 250 mg ",,,0.42,14.04,29
HCPCS,J0697,CEFUROXIME 1.5 G INJ,82.1,82.1,5.75,82.1,47
HCPCS,J0697,CEFUROXIME 30 MG/ML INJ,49.26,49.26,3.45,49.26,47
HCPCS,J0697,CEFUROXIME 750 MG INJ,37.82,37.82,2.65,37.82,47
HCPCS,J0697,"Injection, sterile cefuroxime sodium, per 750 mg ",,,1.93,19.58,29
HCPCS,J0698,CEFOTAXIME 1 G INJ,740.87,740.87,51.86,740.87,47
HCPCS,J0698,CEFOTAXIME 100 MG/ML INJ,21.7,21.7,1.52,21.7,47
HCPCS,J0698,"Injection, cefotaxime sodium, per gm ",,,7.14,85.52,27
HCPCS,J0699,CEFIDEROCOL 1 G INJ,1257.3,1257.3,88.01,1257.3,42
HCPCS,J0699,CEFIDEROCOL 10 MG INJ,12.56,12.56,0.88,12.56,42
HCPCS,J0699,CEFIDEROCOL 10 MG INJJW,12.56,12.56,0.88,12.56,42
HCPCS,J0699,"Injection, cefiderocol, 10 mg ",,,2.35,20.52,29
HCPCS,J0701,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,5.73,50.2,29
HCPCS,J0702,BETAMETHSN 6 MG INJ,308.29,308.29,21.58,308.29,47
HCPCS,J0702,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",308.29,308.29,6.76,58.92,29
HCPCS,J0703,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,4.74,43.36,29
HCPCS,J0706,CAFFEINE CIT 20MG/ML INJ,279.33,279.33,19.55,279.33,47
HCPCS,J0706,CAFFEINE CITRAT 60MG INJ,279.33,279.33,19.55,279.33,47
HCPCS,J0706,"Injection, caffeine citrate, 5 mg ",,,3.0,10.52,27
HCPCS,J0710,"Injection, cephapirin sodium, up to 1 gm ",,,8.41,11.89,6
HCPCS,J0712,CEFTAROLINE 600 MG INJ,1390.28,1390.28,97.32,1390.28,42
HCPCS,J0712,"Injection, ceftaroline fosamil, 10 mg ",1390.28,1390.28,4.12,36.26,29
HCPCS,J0713,CEFTAZIDIME 1 G INJ,1125.6950000000002,1125.6950000000002,78.19,1134.41,94
HCPCS,J0713,CEFTAZIDIME 2 G INJ,1762.175,1762.175,117.08,1851.85,94
HCPCS,J0713,CEFTAZIDIME 500 MG INJ,750.35,750.35,52.52,750.35,47
HCPCS,J0713,"Injection, ceftazidime, per 500 mg ",,,1.37,14.03,29
HCPCS,J0714,CEFTAZ/AVIBCT 2.5 G INJ,2242.94,2242.94,157.01,2242.94,42
HCPCS,J0714,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",2242.94,2242.94,101.61,897.53,29
HCPCS,J0715,"Injection, ceftizoxime sodium, per 500 mg ",,,31.71,44.81,6
HCPCS,J0716,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,16015.97,45761.92,12
HCPCS,J0717,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,3.68,52.61,29
HCPCS,J0720,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,92.81,424.35,27
HCPCS,J0725,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,14.71,149.75,29
HCPCS,J0735,CLONIDINE HCL 1 MG INJ,158.01,158.01,11.06,158.01,47
HCPCS,J0735,"Injection, clonidine hydrochloride, 1 mg ",158.01,158.01,17.38,151.11,29
HCPCS,J0736,CLINDAMYCIN 12 MG/ML INJ,0.29,0.29,0.02,0.29,47
HCPCS,J0736,CLINDAMYCIN 6 MG/ML INJ,0.15,0.15,0.01,0.15,47
HCPCS,J0736,CLINDAMYCIN 900 MG INJ,24.38,24.38,1.71,24.38,47
HCPCS,J0736,"Injection, clindamycin phosphate, 300 mg ",,,1.8,14.28,29
HCPCS,J0737,505BX CLINDA 300MG NS 50,40.5,40.5,2.83,40.5,47
HCPCS,J0737,505BX CLINDA 600MG NS 50,61.11,61.11,4.28,61.11,47
HCPCS,J0737,505BX CLINDA 900MG NS 50,74.7,74.7,5.23,74.7,47
HCPCS,J0737,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,2.25,24.03,29
HCPCS,J0738,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,15.62,99.68,23
HCPCS,J0739,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,6.94,60.12,29
HCPCS,J0740,CIDOFOVIR 375 MG INJ,18844.69,18844.69,1319.13,18844.69,42
HCPCS,J0740,"Injection, cidofovir, 375 mg ",18844.69,18844.69,543.97,4527.26,29
HCPCS,J0741,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,23.45,202.08,29
HCPCS,J0742,IMIPEN/CILAS/RELEB 1.25G,1707.12,1707.12,119.5,1707.12,47
HCPCS,J0742,IMIPEN4/CILA4/REL2 INJJW,13.64,13.64,0.95,13.64,47
HCPCS,J0742,IMIPEN4/CILAS4/RELE2 INJ,13.64,13.64,0.95,13.64,47
HCPCS,J0742,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,2.52,22.32,29
HCPCS,J0743,CILASTATN/IMIPINM 500 MG,175.9,175.9,12.31,175.9,47
HCPCS,J0743,"Injection, cilastatin sodium; imipenem, per 250 mg ",175.9,175.9,6.13,59.61,29
HCPCS,J0744,CIPROFLOXACIN 200 MG INJ,752.55,752.55,52.68,752.55,47
HCPCS,J0744,CIPROFLOXACIN 400 MG INJ,1160.495,1160.495,59.97,1464.27,94
HCPCS,J0744,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,0.74,19.84,29
HCPCS,J0745,"Injection, codeine phosphate, per 30 mg ",,,1.65,6.99,21
HCPCS,J0750,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",11.79,11.79,0.48,14.88,29
HCPCS,J0750,TRUVADA PREP 200/300MGPO,11.79,11.79,0.83,11.79,42
HCPCS,J0751,DESCOVY PREP 200/25MG PO,445.4,445.4,31.18,445.4,42
HCPCS,J0751,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",445.4,445.4,69.3,609.5,29
HCPCS,J0752,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,603.3,2774.22,23
HCPCS,J0759,"Injection, clevidipine butyrate, 1 mg ",,,2.75,19.7,23
HCPCS,J0770,COLISTIMETHATE 150MG INJ,964.58,964.58,67.52,964.58,47
HCPCS,J0770,"Injection, colistimethate sodium, up to 150 mg ",964.58,964.58,13.84,97.41,29
HCPCS,J0775,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,76.0,625.66,29
HCPCS,J0780,"Injection, prochlorperazine, up to 10 mg ",26.24,26.24,3.23,69.04,29
HCPCS,J0780,PROCHLORPERAZ 10 MG INJ,26.24,26.24,1.84,26.24,47
HCPCS,J0791,"Injection, crizanlizumab-tmca, 5 mg ",,,126.04,1108.17,29
HCPCS,J0795,"Injection, corticorelin ovine triflutate, 1 microgram ",,,56.33,79.62,6
HCPCS,J0799,"Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified ",,,1.0,1.61,6
HCPCS,J0801,"Injection, corticotropin (acthar gel), up to 40 units ",,,3971.43,35810.9,29
HCPCS,J0802,"Injection, corticotropin (ani), up to 40 units ",,,3464.21,30336.68,29
HCPCS,J0834,COSYNTROPIN 0.25 MG INJ,740.29,740.29,51.82,740.29,47
HCPCS,J0834,"Injection, cosyntropin, 0.25 mg ",740.29,740.29,15.77,338.27,29
HCPCS,J0840,ANTIVENIN CROFAB 1 G INJ,33116.74,33116.74,2318.17,33116.74,42
HCPCS,J0840,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",33116.74,33116.74,1785.79,17748.9,29
HCPCS,J0841,ANTIVENIN ANAVIP120MGINJ,8474.13,8474.13,593.19,8474.13,47
HCPCS,J0841,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",8474.13,8474.13,2613.6,8929.49,27
HCPCS,J0850,CYTOM IMM GLOB IV/VIAL,10289.93,10289.93,720.3,10289.93,42
HCPCS,J0850,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",10289.93,10289.93,1754.35,15474.33,29
HCPCS,J0870,"Injection, imetelstat, 1 mg ",,,56.42,487.64,29
HCPCS,J0872,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.05,2.05,29
HCPCS,J0873,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.03,0.34,29
HCPCS,J0874,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.06,0.51,29
HCPCS,J0875,DALBAVANCIN 500 MG INJ,9607.32,9607.32,672.51,9607.32,42
HCPCS,J0875,"Injection, dalbavancin, 5 mg ",9607.32,9607.32,14.55,132.98,29
HCPCS,J0877,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.05,0.51,29
HCPCS,J0878,DAPTOMYCIN 500 MG INJ,113.01,113.01,7.91,113.01,47
HCPCS,J0878,"Injection, daptomycin, 1 mg ",113.01,113.01,0.03,3.11,29
HCPCS,J0879,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,2.05,27
HCPCS,J0881,DARBEPOETIN 100MCG NESRD,11570.89,11570.89,809.96,11570.89,42
HCPCS,J0881,DARBEPOETIN 200MCG NESRD,23351.93,23351.93,1634.64,23351.93,42
HCPCS,J0881,DARBEPOETIN 25MCG NESRD,2583.38,2583.38,180.84,2583.38,42
HCPCS,J0881,DARBEPOETIN 60MCG NESRD,6942.57,6942.57,485.98,6942.57,42
HCPCS,J0881,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,2.98,24.89,29
HCPCS,J0882,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,2.98,25.66,29
HCPCS,J0883,ARGAT NON ESRD 250MG INJ,1648.48,1648.48,115.39,1648.48,42
HCPCS,J0883,"Injection, argatroban, 1 mg (for non-esrd use) ",1648.48,1648.48,0.98,7.66,29
HCPCS,J0884,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,0.98,7.66,29
HCPCS,J0885,EPOET ALFA 10000U NESRD,1529.64,1529.64,107.07,1529.64,42
HCPCS,J0885,EPOET ALFA 40000U NESRD,6118.96,6118.96,428.33,6118.96,42
HCPCS,J0885,EPOETIN ALFA 2000U NESRD,306.0,306.0,21.42,306.0,42
HCPCS,J0885,EPOETIN ALFA 4000U NESRD,611.9,611.9,42.83,611.9,42
HCPCS,J0885,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,7.09,88.58,29
HCPCS,J0887,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.0,12.06,29
HCPCS,J0888,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.0,12.06,29
HCPCS,J0889,"Daprodustat, oral, 1 mg, (for esrd on dialysis) ",,,24.14,34.12,6
HCPCS,J0890,"Injection, peginesatide, 0.1 mg (for esrd on dialysis) ",,,37.16,70.13,12
HCPCS,J0891,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.17,34.55,27
HCPCS,J0892,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.17,34.55,27
HCPCS,J0893,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,9.77,27
HCPCS,J0894,DECITABINE 1 MG INJ,160.35,160.35,11.22,160.35,47
HCPCS,J0894,DECITABINE 50 MG INJ,8017.44,8017.44,561.22,8017.44,47
HCPCS,J0894,"Injection, decitabine, 1 mg ",,,0.97,43.96,29
HCPCS,J0895,DEFEROX MESY 500 MG INJ,450.02,450.02,31.5,450.02,47
HCPCS,J0895,"Injection, deferoxamine mesylate, 500 mg ",450.02,450.02,8.32,77.14,29
HCPCS,J0896,"Injection, luspatercept-aamt, 0.25 mg ",,,41.47,358.84,29
HCPCS,J0897,DENOSUMAB 1 MG INJ,161.49,161.49,11.3,161.49,42
HCPCS,J0897,DENOSUMAB 120 MG INJ,19382.04,19382.04,1356.74,19382.04,42
HCPCS,J0897,DENOSUMAB 60 MG INJ,10536.92,10536.92,737.58,10536.92,42
HCPCS,J0897,"Injection, denosumab, 1 mg ",,,28.62,250.06,29
HCPCS,J0898,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,1.34,13.49,29
HCPCS,J0899,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,1.34,13.49,29
HCPCS,J0901,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.14,1.2,29
HCPCS,J0911,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,72.69,27
HCPCS,J0945,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,6.84,21
HCPCS,J1000,"Injection, depo-estradiol cypionate, up to 5 mg ",,,45.71,401.17,29
HCPCS,J1010,"Injection, methylprednisolone acetate, 1 mg ",,,0.11,1.03,29
HCPCS,J1010,METHYLPRED ACE 40 MG INJ,58.5,58.5,4.09,58.5,47
HCPCS,J1010,METHYLPRED ACE 80 MG INJ,93.4,93.4,6.54,93.4,47
HCPCS,J1010,METHYLPRED ACET 1 MG INJ,1.14,1.14,0.08,1.14,47
HCPCS,J1010,METHYLPRED ACET 1 MG JW,1.14,1.14,0.08,1.14,47
HCPCS,J1050,"Injection, medroxyprogesterone acetate, 1 mg ",1322.5,1322.5,0.72,4.87,27
HCPCS,J1050,MEDRXYPRGTRN 150MG INJ,1322.5,1322.5,92.58,1322.5,47
HCPCS,J1071,"Injection, testosterone cypionate, 1 mg ",,,0.02,0.26,29
HCPCS,J1071,TESTOSTERNE CY 200MG INJ,109.21,109.21,7.64,109.21,47
HCPCS,J1071,TESTOSTERONE CYP 1MG INJ,0.51,0.51,0.04,0.51,47
HCPCS,J1072,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.14,11.37,29
HCPCS,J1073,"Testosterone pellet, implant, 75 mg ",,,123.7,588.13,21
HCPCS,J1095,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.11,10.01,27
HCPCS,J1096,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,89.77,867.94,29
HCPCS,J1097,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,1029.32,27
HCPCS,J1100,DEXAMETH NA PHOS 10 MG,8.16,8.16,0.57,8.16,47
HCPCS,J1100,DEXAMETH NA PHOS 4 MG,4.73,4.73,0.33,4.73,47
HCPCS,J1100,DEXAMTH NAP 0.1MG/ML INJ,0.05,0.05,0.004,0.05,47
HCPCS,J1100,DEXAMTH NAP 4MG/ML INJ,3.24,3.24,0.23,3.24,47
HCPCS,J1100,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.07,1.03,29
HCPCS,J1105,"Dexmedetomidine, oral, 1 mcg ",,,1.45,3.27,21
HCPCS,J1110,DIHYDROERGOT 1 MG INJ,1273.56,1273.56,89.15,1273.56,47
HCPCS,J1110,"Injection, dihydroergotamine mesylate, per 1 mg ",1273.56,1273.56,53.24,1077.37,29
HCPCS,J1120,ACETAZOLAMIDE 500 MG INJ,1484.48,1484.48,103.91,1484.48,47
HCPCS,J1120,"Injection, acetazolamide sodium, up to 500 mg ",1484.48,1484.48,23.63,147.35,29
HCPCS,J1130,"Injection, diclofenac sodium, 0.5 mg ",,,0.72,1.8,12
HCPCS,J1160,DIGOXIN 0.1 MG INJ,296.97,296.97,20.79,296.97,47
HCPCS,J1160,DIGOXIN 0.5 MG INJ,33.37,33.37,2.34,33.37,47
HCPCS,J1160,"Injection, digoxin, up to 0.5 mg ",,,10.06,34.21,29
HCPCS,J1162,DIG IMMUNE FAB PER VIAL,27603.43,27603.43,1932.24,27603.43,42
HCPCS,J1162,"Injection, digoxin immune fab (ovine), per vial ",27603.43,27603.43,5011.98,42491.3,29
HCPCS,J1163,DILTIAZEM 125 MG INJ,52.09,52.09,3.65,52.09,47
HCPCS,J1163,DILTIAZEM 25 MG INJ,16.08,16.08,1.13,16.08,47
HCPCS,J1163,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.34,29
HCPCS,J1164,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.17,0.3,17
HCPCS,J1165,"Injection, phenytoin sodium, per 50 mg ",,,0.41,5.64,29
HCPCS,J1165,PHENYTOIN 10 MG/ML INJ,0.43,0.43,0.03,0.43,47
HCPCS,J1165,PHENYTOIN 100 MG INJ,7.92,7.92,0.55,7.92,47
HCPCS,J1165,PHENYTOIN 250 MG INJ,11.41,11.41,0.8,11.41,47
HCPCS,J1165,PHENYTOIN 5 MG/ML INJ,0.19,0.19,0.01,0.19,47
HCPCS,J1171,HYDROMORPH 0.1 MG INJ,0.1,0.1,0.007,0.1,47
HCPCS,J1171,HYDROMORPH 0.1 MG INJ JW,0.1,0.1,0.007,0.1,47
HCPCS,J1171,HYDROMORPH 0.5 MG INJ,17.15,17.15,1.2,17.15,47
HCPCS,J1171,HYDROMORPH 1 MG INJ,14.0,14.0,0.98,14.0,47
HCPCS,J1171,HYDROMORPH 10 MG INJ,11.18,11.18,0.78,11.18,47
HCPCS,J1171,HYDROMORPH 2 MG INJ,16.2,16.2,1.13,16.2,47
HCPCS,J1171,"Injection, hydromorphone, 0.1 mg ",,,0.1,0.77,29
HCPCS,J1190,DEXRAZOXANE 250 MG INJ,4164.99,4164.99,291.55,4164.99,42
HCPCS,J1190,DEXRAZOXANE 500 MG INJ,11039.79,11039.79,772.79,11039.79,42
HCPCS,J1190,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,48.25,1052.06,29
HCPCS,J1200,DIPHENHYDRAMNE 50 MG INJ,6.68,6.68,0.47,6.68,47
HCPCS,J1200,"Injection, diphenhydramine hcl, up to 50 mg ",6.68,6.68,0.67,7.7,29
HCPCS,J1201,"Injection, cetirizine hydrochloride, 0.5 mg ",,,16.41,140.25,29
HCPCS,J1202,"Miglustat, oral, 65 mg ",,,70.39,292.39,27
HCPCS,J1203,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,89.63,767.97,29
HCPCS,J1205,CHLOROTHIAZIDE 500MG INJ,524.99,524.99,36.75,524.99,47
HCPCS,J1205,CHLOROTHIZDE 28MG/ML INJ,29.4,29.4,2.06,29.4,47
HCPCS,J1205,"Injection, chlorothiazide sodium, per 500 mg ",,,45.51,797.59,29
HCPCS,J1212,DMSO 50% 50 ML INJ,5802.68,5802.68,406.19,5802.68,42
HCPCS,J1212,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",5802.68,5802.68,726.51,6353.28,29
HCPCS,J1230,"Injection, methadone hcl, up to 10 mg ",,,14.27,195.93,29
HCPCS,J1230,METHADONE 200 MG MDV,2214.0,2214.0,154.98,2214.0,47
HCPCS,J1230,METHADONE TO 10 MG INJ,133.7,133.7,8.51,145.85,94
HCPCS,J1240,"Injection, dimenhydrinate, up to 50 mg ",,,7.49,66.19,29
HCPCS,J1245,"Injection, dipyridamole, per 10 mg ",,,8.16,33.01,29
HCPCS,J1246,DINUTUXIMAB 0.1 MG INJ,600.88,600.88,42.06,600.88,59
HCPCS,J1246,DINUTUXIMAB 0.1 MG INJJW,600.88,600.88,42.06,600.88,59
HCPCS,J1246,DINUTUXIMAB 17.5 MG INJ,105157.59,105157.59,7361.03,105157.59,59
HCPCS,J1250,DOBUTAMINE 250 MG INJ,42.12,42.12,2.95,42.12,47
HCPCS,J1250,DOBUTAMINE 500 MG INJ,228.63,228.63,16.0,228.63,47
HCPCS,J1250,DOBUTAMNE 2000MCG/ML INJ,356.02,356.02,24.92,356.02,47
HCPCS,J1250,"Injection, dobutamine hydrochloride, per 250 mg ",,,7.64,68.24,29
HCPCS,J1260,"Injection, dolasetron mesylate, 10 mg ",,,6.06,52.77,27
HCPCS,J1265,DOPAMINE 1600 MCG/ML INJ,6.68,6.68,0.47,6.68,47
HCPCS,J1265,DOPAMINE 200 MG INJ,16.75,16.75,1.17,16.75,47
HCPCS,J1265,DOPAMINE 400 MG INJ,81.28,81.28,5.69,81.28,47
HCPCS,J1265,"Injection, dopamine hcl, 40 mg ",,,0.78,5.64,29
HCPCS,J1267,"Injection, doripenem, 10 mg ",,,5.32,7.53,6
HCPCS,J1270,DOXERCALCIFEROL 1 MCG,97.22,97.22,6.81,97.22,47
HCPCS,J1270,"Injection, doxercalciferol, 1 mcg ",97.22,97.22,0.3,3.83,29
HCPCS,J1271,DOXYCYCL HYCL 100 MG INJ,83.95,83.95,5.88,83.95,47
HCPCS,J1271,"Injection, doxycycline hyclate, 1 mg ",83.95,83.95,0.09,1.03,29
HCPCS,J1290,"Injection, ecallantide, 1 mg ",,,561.39,4960.07,29
HCPCS,J1299,ECULIZUMAB 300 MG INJ,36093.06,36093.06,2526.51,36093.06,42
HCPCS,J1299,"Injection, eculizumab, 2 mg ",36093.06,36093.06,43.36,382.87,29
HCPCS,J1300,"Injection, eculizumab, 10 mg ",,,,,0
HCPCS,J1301,"Injection, edaravone, 1 mg ",,,14.72,161.12,29
HCPCS,J1302,"Injection, sutimlimab-jome, 10 mg ",,,19.05,154.88,29
HCPCS,J1303,"Injection, ravulizumab-cwvz, 10 mg ",,,216.97,1925.82,29
HCPCS,J1304,"Injection, tofersen, 1 mg ",,,155.21,1328.47,29
HCPCS,J1305,"Injection, evinacumab-dgnb, 5mg ",,,191.7,1622.74,29
HCPCS,J1306,"Injection, inclisiran, 1 mg ",,,12.23,105.62,29
HCPCS,J1307,"Injection, crovalimab-akkz, 10 mg ",,,534.96,4538.55,29
HCPCS,J1308,FAMOTIDINE 20 MG INJ,4.64,4.64,0.32,4.64,47
HCPCS,J1308,"Injection, famotidine, 0.25 mg ",4.64,4.64,0.01,0.09,29
HCPCS,J1320,"Injection, amitriptyline hcl, up to 20 mg ",,,13.55,19.16,6
HCPCS,J1322,"Injection, elosulfase alfa, 1 mg ",,,302.59,2623.75,29
HCPCS,J1323,"Injection, elranatamab-bcmm, 1 mg ",,,181.19,1584.77,29
HCPCS,J1324,"Injection, enfuvirtide, 1 mg ",,,0.54,5.82,27
HCPCS,J1325,EPOPROSTENOL 0.5 MG INJ,134.04,134.04,9.38,134.04,47
HCPCS,J1325,"Injection, epoprostenol, 0.5 mg ",134.04,134.04,14.43,138.54,29
HCPCS,J1326,"Injection, zolbetuximab-clzb, 2 mg ",,,32.64,287.01,29
HCPCS,J1327,EPTIFIBATIDE 20 MG INJ,171.72,171.72,12.02,171.72,47
HCPCS,J1327,EPTIFIBATIDE 5 MG INJ,60.67,60.67,4.25,60.67,47
HCPCS,J1327,EPTIFIBATIDE 5 MG INJ JW,60.67,60.67,4.25,60.67,47
HCPCS,J1327,EPTIFIBATIDE 75 MG INJ,572.4,572.4,40.07,572.4,47
HCPCS,J1327,"Injection, eptifibatide, 5 mg ",,,5.38,92.7,27
HCPCS,J1330,"Injection, ergonovine maleate, up to 0.2 mg ",,,29.47,41.65,6
HCPCS,J1335,ERTAPENEM SOD 1 G INJ,228.96,228.96,16.03,228.96,47
HCPCS,J1335,"Injection, ertapenem sodium, 500 mg ",228.96,228.96,7.0,187.15,29
HCPCS,J1364,ERYTHRO LACTO 500 MG INJ,568.2,568.2,39.77,568.2,47
HCPCS,J1364,"Injection, erythromycin lactobionate, per 500 mg ",568.2,568.2,88.49,641.83,29
HCPCS,J1370,"Injection, esomeprazole sodium, 1 mg ",,,1.86,3.0,21
HCPCS,J1380,"Injection, estradiol valerate, up to 10 mg ",,,6.97,65.94,29
HCPCS,J1410,ESTROGEN CONJ 25 MG INJ,2272.85,2272.85,159.1,2272.85,42
HCPCS,J1410,"Injection, estrogen conjugated, per 25 mg ",2272.85,2272.85,379.97,3341.61,29
HCPCS,J1411,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,15
HCPCS,J1412,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,62619.6,21
HCPCS,J1413,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,15
HCPCS,J1426,"Injection, casimersen, 10 mg ",,,274.23,1395.69,27
HCPCS,J1427,"Injection, viltolarsen, 10 mg ",,,111.67,492.0,27
HCPCS,J1428,"Injection, eteplirsen, 10 mg ",,,276.39,1395.69,27
HCPCS,J1429,"Injection, golodirsen, 10 mg ",,,316.8,1395.69,27
HCPCS,J1430,"Injection, ethanolamine oleate, 100 mg ",,,503.07,4442.94,29
HCPCS,J1434,"Injection, fosaprepitant (focinvez), 1 mg ",,,2.47,24.54,29
HCPCS,J1435,"Injection, estrone, per 1 mg ",,,0.54,2.05,21
HCPCS,J1437,"Injection, ferric derisomaltose, 10 mg ",,,4.8,162.06,29
HCPCS,J1438,ETANERCEPT 25 MG INJ,5181.86,5181.86,362.73,5181.86,47
HCPCS,J1438,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",5181.86,5181.86,1878.73,8894.85,27
HCPCS,J1439,"Injection, ferric carboxymaltose, 1 mg ",,,1.07,9.75,29
HCPCS,J1440,"Fecal microbiota, live - jslm, 1 ml ",,,62.39,547.58,29
HCPCS,J1442,FILGRASTIM 300 MCG INJ,2550.04,2550.04,178.5,2550.04,42
HCPCS,J1442,FILGRASTIM 480 MCG INJ,4081.21,4081.21,285.68,4081.21,42
HCPCS,J1442,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,0.99,8.47,29
HCPCS,J1443,"Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron ",,,0.18,0.26,6
HCPCS,J1444,"Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron ",,,0.18,0.26,6
HCPCS,J1445,"Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron ",,,1.09,1.54,6
HCPCS,J1447,"Injection, tbo-filgrastim, 1 microgram ",,,0.24,4.55,29
HCPCS,J1447,TBO-FILGRA 20 MCG/ML INJ,95.36,95.36,6.68,95.36,42
HCPCS,J1447,TBO-FILGRASTIM 1 MCG INJ,4.73,4.73,0.33,4.73,42
HCPCS,J1447,TBO-FILGRASTIM 1MCGINJJW,4.73,4.73,0.33,4.73,42
HCPCS,J1447,TBO-FILGRASTM 300MCG INJ,1430.19,1430.19,100.11,1430.19,42
HCPCS,J1447,TBO-FILGRASTM 480MCG INJ,2288.93,2288.93,160.23,2288.93,42
HCPCS,J1448,"Injection, trilaciclib, 1mg ",,,5.33,46.1,29
HCPCS,J1449,"Injection, eflapegrastim-xnst, 0.1 mg ",,,37.79,188.48,29
HCPCS,J1450,FLUCONAZOLE 2 MG/ML INJ,35.26,35.26,2.47,35.26,47
HCPCS,J1450,FLUCONAZOLE 200 MG INJ,3524.56,3524.56,246.72,3524.56,47
HCPCS,J1450,FLUCONAZOLE 400 MG INJ,608.12,608.12,42.57,608.12,47
HCPCS,J1450,"Injection fluconazole, 200 mg ",,,3.75,35.02,29
HCPCS,J1451,FOMEPIZOLE 1500 MG INJ,43994.05,43994.05,3079.58,43994.05,42
HCPCS,J1451,"Injection, fomepizole, 15 mg ",43994.05,43994.05,10.79,110.24,27
HCPCS,J1452,"Injection, fomivirsen sodium, intraocular, 1.65 mg ",,,1282.81,1813.02,6
HCPCS,J1453,FOSAPREPITANT 150 MG INJ,1150.67,1150.67,80.55,1150.67,47
HCPCS,J1453,"Injection, fosaprepitant, 1 mg ",1150.67,1150.67,0.11,7.99,29
HCPCS,J1454,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,508.45,5185.51,29
HCPCS,J1455,FOSCARNET 1000 MG INJ,343.44,343.44,24.04,343.44,47
HCPCS,J1455,FOSCARNET 1000 MG INJJW,343.44,343.44,24.04,343.44,47
HCPCS,J1455,FOSCARNET 6000 MG INJ,2060.64,2060.64,144.24,2060.64,47
HCPCS,J1455,"Injection, foscarnet sodium, per 1000 mg ",,,8.11,430.74,29
HCPCS,J1456,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.04,11.1,29
HCPCS,J1457,"Injection, gallium nitrate, 1 mg ",,,12.59,17.79,6
HCPCS,J1458,"Injection, galsulfase, 1 mg ",,,498.19,4323.12,29
HCPCS,J1459,IVIG PRIVIGEN 10G/100ML,10070.81,10070.81,704.96,10070.81,42
HCPCS,J1459,IVIG PRIVIGEN 20G/200ML,20141.61,20141.61,1409.91,20141.61,42
HCPCS,J1459,IVIG PRIVIGEN 40G/400ML,40283.22,40283.22,2819.83,40283.22,42
HCPCS,J1459,IVIG PRIVIGEN 5G/50ML,5035.4,5035.4,352.48,5035.4,42
HCPCS,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,48.04,431.28,29
HCPCS,J1460,IG GAMMA GLOBULIN 10MLIM,2721.15,2721.15,190.48,2721.15,42
HCPCS,J1460,IG GAMMA GLOBULIN 1ML IM,272.08,272.08,19.05,272.08,42
HCPCS,J1460,IG GAMMA GLOBULIN1MLIMJW,272.08,272.08,19.05,272.08,42
HCPCS,J1460,"Injection, gamma globulin, intramuscular, 1 cc ",,,47.48,414.09,29
HCPCS,J1551,"Injection, immune globulin (cutaquig), 100 mg ",,,13.51,121.52,29
HCPCS,J1552,"Injection, immune globulin (alyglo), 500 mg ",,,119.44,1121.34,29
HCPCS,J1553,"Injection, immune globulin (yimmugo), 100 mg ",,,23.59,40.13,17
HCPCS,J1554,"Injection, immune globulin (asceniv), 500 mg ",,,485.9,4246.15,29
HCPCS,J1555,"Injection, immune globulin (cuvitru), 100 mg ",,,17.05,150.43,29
HCPCS,J1556,"Injection, immune globulin (bivigam), 500 mg ",,,77.06,660.81,29
HCPCS,J1557,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,62.71,534.24,29
HCPCS,J1558,"Injection, immune globulin (xembify), 100 mg ",,,14.91,127.51,29
HCPCS,J1559,IG HIZENTRA 100 MG SQ,107.16,107.16,7.5,107.16,42
HCPCS,J1559,"Injection, immune globulin (hizentra), 100 mg ",107.16,107.16,14.08,120.75,29
HCPCS,J1560,"Injection, gamma globulin, intramuscular, over 10 cc ",,,155.48,1650.18,29
HCPCS,J1561,IVIG GAMUNX/GAMMAK 10G,19689.37,19689.37,1378.26,19689.37,42
HCPCS,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",19689.37,19689.37,48.24,410.75,29
HCPCS,J1566,IVIG POWDER NOS 3 G,5966.1,5966.1,417.63,5966.1,42
HCPCS,J1566,IVIG POWDER NOS 5 G,10435.77,10435.77,730.5,10435.77,42
HCPCS,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,77.99,698.7,29
HCPCS,J1568,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,45.63,413.75,29
HCPCS,J1569,IVIG GAMMAGARD 5 G,9844.72,9844.72,689.13,9844.72,42
HCPCS,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",9844.72,9844.72,47.61,408.79,29
HCPCS,J1570,GANCICLOVIR 500 MG INJ,1142.91,1142.91,80.0,1142.91,47
HCPCS,J1570,"Injection, ganciclovir sodium, 500 mg ",1142.91,1142.91,33.03,338.83,29
HCPCS,J1571,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,68.12,612.84,29
HCPCS,J1572,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,461.81,21
HCPCS,J1573,IVIG HEPAGAM B 1 ML,1144.7,1144.7,80.13,1144.7,42
HCPCS,J1573,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",1144.7,1144.7,68.12,612.84,29
HCPCS,J1574,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,436.15,27
HCPCS,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,18.24,157.27,29
HCPCS,J1576,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,71.62,636.78,29
HCPCS,J1580,GENTAMI 120MG/NS100MLINJ,23.81,23.81,1.67,23.81,47
HCPCS,J1580,GENTAMI 80MG/NS 100MLINJ,22.8,22.8,1.6,22.8,47
HCPCS,J1580,GENTAMICIN 10 MG/ML INJ,1.87,1.87,0.13,1.87,47
HCPCS,J1580,GENTAMICIN 2 MG/ML INJ,0.34,0.34,0.02,0.34,47
HCPCS,J1580,GENTAMICIN 20 MG INJ,20.61,20.61,1.44,20.61,47
HCPCS,J1580,GENTAMICIN 80 MG INJ,15.74,15.74,1.1,15.74,47
HCPCS,J1580,"Injection, garamycin, gentamicin, up to 80 mg ",,,1.87,22.41,29
HCPCS,J1595,"Injection, glatiramer acetate, 20 mg ",,,322.54,545.19,27
HCPCS,J1596,GLYCOPYRR 200 MCG/ML INJ,3.38,3.38,0.24,3.38,47
HCPCS,J1596,GLYCOPYRR 50 MCG/ML INJ,0.86,0.86,0.06,0.86,47
HCPCS,J1596,GLYCOPYRROL 0.1 MG INJ,1.77,1.77,0.12,1.77,47
HCPCS,J1596,GLYCOPYRROL 0.1 MG INJJW,1.77,1.77,0.12,1.77,47
HCPCS,J1596,GLYCOPYRROL 0.4 MG INJ,7.16,7.16,0.5,7.16,47
HCPCS,J1596,"Injection, glycopyrrolate, 0.1 mg ",,,0.36,3.77,29
HCPCS,J1597,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,1.31,13.94,29
HCPCS,J1598,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,1.3,15.82,29
HCPCS,J1599,"Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg ",,,285.21,1299.73,12
HCPCS,J1600,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,257.84,27
HCPCS,J1602,"Injection, golimumab, 1 mg, for intravenous use ",,,10.95,196.19,29
HCPCS,J1610,GLUCAGON 1 MG INJ,1268.72,1268.72,88.81,1268.72,42
HCPCS,J1610,"Injection, glucagon hydrochloride, per 1 mg ",1268.72,1268.72,141.94,1674.4,29
HCPCS,J1611,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,130.95,1239.01,29
HCPCS,J1612,"Injection, glucagon (gvoke), 0.01 mg ",,,2.3,14.1,23
HCPCS,J1626,GRANISETRON 1000 MCG INJ,20.98,20.98,1.47,20.98,47
HCPCS,J1626,"Injection, granisetron hydrochloride, 100 mcg ",20.98,20.98,0.16,2.94,29
HCPCS,J1627,"Injection, granisetron, extended-release, 0.1 mg ",,,3.76,42.42,29
HCPCS,J1628,"Injection, guselkumab, 1 mg ",,,65.78,640.2,29
HCPCS,J1630,HALOPER LACT 1MG/ML INJ,1.34,1.34,0.09,1.34,47
HCPCS,J1630,HALOPERIDOL LACT 5MG INJ,6.87,6.87,0.48,6.87,47
HCPCS,J1630,"Injection, haloperidol, up to 5 mg ",,,0.77,22.03,29
HCPCS,J1631,HALOPERIDL DEC 100MG INJ,1084.21,1084.21,75.89,1084.21,47
HCPCS,J1631,"Injection, haloperidol decanoate, per 50 mg ",1084.21,1084.21,5.89,66.82,29
HCPCS,J1632,"Injection, brexanolone, 1 mg ",,,255.99,649.87,12
HCPCS,J1640,HEMIN 350 MG INJ,59828.09,59828.09,4187.97,59828.09,42
HCPCS,J1640,"Injection, hemin, 1 mg ",59828.09,59828.09,34.25,292.22,29
HCPCS,J1642,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.02,0.17,29
HCPCS,J1643,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.12,25.74,29
HCPCS,J1644,HEPARIN 1000 U INJ,15.865,15.865,0.35,26.69,94
HCPCS,J1644,HEPARIN 10000 U INJ,21.66,21.66,1.52,21.66,47
HCPCS,J1644,HEPARIN 2000 U INJ,53.575,53.575,3.22,61.1,94
HCPCS,J1644,HEPARIN 2000 U/NS 1L INJ,554.67,554.67,38.83,554.67,47
HCPCS,J1644,HEPARIN 25000 U INJ,53.76,53.76,3.76,53.76,47
HCPCS,J1644,HEPARIN 5000 U INJ,7.78,7.78,0.54,7.78,47
HCPCS,J1644,"Injection, heparin sodium, per 1000 units ",,,0.21,1.88,29
HCPCS,J1645,"Injection, dalteparin sodium, per 2500 iu ",,,15.38,154.28,29
HCPCS,J1650,ENOXAPARIN 100 MG INJ,40.12,40.12,2.81,40.12,47
HCPCS,J1650,ENOXAPARIN 120 MG INJ,48.13,48.13,3.37,48.13,47
HCPCS,J1650,ENOXAPARIN 150 MG INJ,60.29,60.29,4.22,60.29,47
HCPCS,J1650,ENOXAPARIN 20 MG/ML INJ,7.73,7.73,0.54,7.73,47
HCPCS,J1650,ENOXAPARIN 30 MG INJ,12.74,12.74,0.89,12.74,47
HCPCS,J1650,ENOXAPARIN 300 MG MDV,183.17,183.17,12.82,183.17,47
HCPCS,J1650,ENOXAPARIN 40 MG INJ,16.08,16.08,1.13,16.08,47
HCPCS,J1650,ENOXAPARIN 60 MG INJ,23.28,23.28,1.63,23.28,47
HCPCS,J1650,ENOXAPARIN 80 MG INJ,32.11,32.11,2.25,32.11,47
HCPCS,J1650,"Injection, enoxaparin sodium, 10 mg ",,,0.52,6.77,29
HCPCS,J1652,FONDAPARINUX 2.5 MG INJ,990.71,990.71,69.35,990.71,47
HCPCS,J1652,FONDAPARINUX 5 MG INJ,1408.32,1408.32,98.58,1408.32,47
HCPCS,J1652,FONDAPARINUX 7.5 MG INJ,1408.32,1408.32,98.58,1408.32,47
HCPCS,J1652,"Injection, fondaparinux sodium, 0.5 mg ",,,0.78,12.93,29
HCPCS,J1655,"Injection, tinzaparin sodium, 1000 iu ",,,21.12,29.85,6
HCPCS,J1670,"Injection, tetanus immune globulin, human, up to 250 units ",4053.5,4053.5,541.38,4934.93,29
HCPCS,J1670,TETANUS IG HUMAN 250 U,4053.5,4053.5,283.75,4053.5,42
HCPCS,J1675,"Injection, histrelin acetate, 10 micrograms ",,,1.65,7.01,21
HCPCS,J1700,"Injection, hydrocortisone acetate, up to 25 mg ",,,3.93,5.56,6
HCPCS,J1710,"Injection, hydrocortisone sodium phosphate, up to 50 mg ",,,28.32,40.02,6
HCPCS,J1720,HYDROCORT SUCC 1 G INJ,485.89500000000004,485.89500000000004,6.94,872.7,94
HCPCS,J1720,HYDROCORT SUCC 100MG INJ,214.43,214.43,15.01,214.43,47
HCPCS,J1720,HYDROCORT SUCC 250MG INJ,457.17,457.17,32.0,457.17,47
HCPCS,J1720,HYDROCORT SUCC 500MG INJ,694.15,694.15,48.59,694.15,47
HCPCS,J1720,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,21.48,181.3,29
HCPCS,J1729,HYDRXYPRGSTR CPR250MGINJ,5120.27,5120.27,358.42,5120.27,53
HCPCS,J1729,"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg ",5120.27,5120.27,84.17,118.96,6
HCPCS,J1730,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,15
HCPCS,J1736,"Injection, meloxicam (delova), 1 mg ",,,3.48,5.61,6
HCPCS,J1737,"Injection, meloxicam (azurity), 1 mg ",,,1.75,5.61,21
HCPCS,J1738,"Injection, meloxicam, 1 mg ",,,10.76,27.37,12
HCPCS,J1740,"Injection, ibandronate sodium, 1 mg ",,,8.79,263.4,29
HCPCS,J1741,"Injection, ibuprofen, 100 mg ",,,3.08,26.0,29
HCPCS,J1742,IBUTILIDE FUM 1 MG INJ,6828.76,6828.76,478.01,6828.76,42
HCPCS,J1742,"Injection, ibutilide fumarate, 1 mg ",6828.76,6828.76,361.71,2656.34,27
HCPCS,J1743,IDURSULFASE 1 MG INJ,3171.04,3171.04,221.97,3171.04,42
HCPCS,J1743,IDURSULFASE 1 MG INJJW,3171.04,3171.04,221.97,3171.04,42
HCPCS,J1743,IDURSULFASE 6 MG INJ,19026.48,19026.48,1331.85,19026.48,42
HCPCS,J1743,"Injection, idursulfase, 1 mg ",,,541.47,4776.81,29
HCPCS,J1744,"Injection, icatibant, 1 mg ",,,431.62,1015.65,27
HCPCS,J1745,INFLIXIMAB 100 MG INJ,14856.17,14856.17,1039.93,14856.17,42
HCPCS,J1745,"Injection, infliximab, excludes biosimilar, 10 mg ",14856.17,14856.17,30.11,602.79,29
HCPCS,J1746,"Injection, ibalizumab-uiyk, 10 mg ",,,75.35,678.94,29
HCPCS,J1747,"Injection, spesolimab-sbzo, 1 mg ",,,63.76,562.12,29
HCPCS,J1748,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,2336.49,27
HCPCS,J1749,"Injection, iloprost, 0.1 mcg ",,,5.54,815.24,29
HCPCS,J1750,IRON DEXTRAN 100 MG INJ,211.39,211.39,14.8,211.39,42
HCPCS,J1750,"Injection, iron dextran, 50 mg ",211.39,211.39,17.57,154.19,29
HCPCS,J1756,IRON SUCROSE 100 MG INJ,360.95,360.95,25.27,360.95,47
HCPCS,J1756,IRON SUCROSE 2 MG/ML INJ,7.21,7.21,0.5,7.21,47
HCPCS,J1756,"Injection, iron sucrose, 1 mg ",,,0.21,1.94,29
HCPCS,J1786,IMIGLUCERASE 400 U INJ,42694.98,42694.98,2988.65,42694.98,42
HCPCS,J1786,"Injection, imiglucerase, 10 units ",42694.98,42694.98,41.55,370.22,29
HCPCS,J1790,DROPERIDOL 2.5 MG INJ,27.67,27.67,1.94,27.67,47
HCPCS,J1790,DROPERIDOL 5 MG INJ,55.39,55.39,3.88,55.39,47
HCPCS,J1790,"Injection, droperidol, up to 5 mg ",,,5.76,45.84,29
HCPCS,J1800,"Injection, propranolol hcl, up to 1 mg ",324.31,324.31,19.19,85.01,27
HCPCS,J1800,PROPRANOLOL 1 MG/ML INJ,324.31,324.31,22.7,324.31,47
HCPCS,J1805,ESMOLOL 10 MG INJ,4.45,4.45,0.31,4.45,47
HCPCS,J1805,ESMOLOL 10 MG INJ JW,44.5,44.5,3.12,44.5,47
HCPCS,J1805,ESMOLOL 10 MG/ML INJ,2.36,2.36,0.17,2.36,47
HCPCS,J1805,ESMOLOL 100 MG INJ,41.98,41.98,2.94,41.98,47
HCPCS,J1805,ESMOLOL 2.5 G INJ,597.65,597.65,41.84,597.65,47
HCPCS,J1805,ESMOLOL 20 MG/ML INJ,4.72,4.72,0.33,4.72,47
HCPCS,J1805,"Injection, esmolol hydrochloride, 10 mg ",,,0.23,2.39,29
HCPCS,J1806,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.19,3.59,29
HCPCS,J1807,"Injection, ethacrynate sodium, 1 mg ",,,30.15,212.56,21
HCPCS,J1808,FOLIC ACID 5 MG INJ,20.85,20.85,1.46,20.85,47
HCPCS,J1808,FOLIC ACID 50 MG MDV,208.69,208.69,14.61,208.69,47
HCPCS,J1808,"Injection, folic acid, 0.1 mg ",,,0.05,0.51,29
HCPCS,J1809,"Injection, fosdenopterin, 0.1 mg ",,,17.06,104.84,23
HCPCS,J1811,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.5,66.36,29
HCPCS,J1812,"Insulin (fiasp), per 5 units ",,,1.12,12.66,27
HCPCS,J1813,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,14.65,130.59,29
HCPCS,J1814,"Insulin (lyumjev), per 5 units ",,,0.99,11.97,27
HCPCS,J1815,ADMELOG 20 U INJ,10.58,10.58,0.74,10.58,55
HCPCS,J1815,HUMULIN 70/30 20 U INJ,4.82,4.82,0.34,4.82,55
HCPCS,J1815,HUMULIN N 20 U INJ,4.82,4.82,0.34,4.82,55
HCPCS,J1815,HUMULIN R 1 U/ML INJ,0.23,0.23,0.02,0.23,55
HCPCS,J1815,HUMULIN R 20 U INJ,4.82,4.82,0.34,4.82,55
HCPCS,J1815,"Injection, insulin, per 5 units ",,,0.48,1.97,27
HCPCS,J1815,MYXREDLIN 100U/100ML INJ,189.0,189.0,13.23,189.0,55
HCPCS,J1815,SEMGLEE 20 U INJ,6.8,6.8,0.48,6.8,55
HCPCS,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,3.04,27.71,29
HCPCS,J1823,"Injection, inebilizumab-cdon, 1 mg ",,,480.68,4228.37,29
HCPCS,J1826,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,18836.98,27
HCPCS,J1830,INTERF BETA1B 0.3MG INJ,3837.02,3837.02,268.59,3837.02,47
HCPCS,J1830,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",3837.02,3837.02,992.52,6198.23,27
HCPCS,J1833,ISAVUCONAZONM 372 MG INJ,2191.68,2191.68,153.42,2191.68,42
HCPCS,J1833,"Injection, isavuconazonium, 1 mg ",2191.68,2191.68,1.67,9.24,27
HCPCS,J1834,"Injection, isoniazid, 1 mg ",,,0.5,1.61,21
HCPCS,J1835,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,15
HCPCS,J1836,"Injection, metronidazole, 10 mg ",,,0.03,0.26,29
HCPCS,J1836,METRONIDAZOL 5 MG/ML INJ,0.05,0.05,0.004,0.05,47
HCPCS,J1836,METRONIDAZOLE 10 MG INJ,0.25,0.25,0.02,0.25,47
HCPCS,J1836,METRONIDAZOLE 10 MG JW,0.25,0.25,0.02,0.25,47
HCPCS,J1836,METRONIDAZOLE 500 MG INJ,12.07,12.07,0.84,12.07,47
HCPCS,J1837,"Injection, posaconazole, 1 mg ",1782.0,1782.0,0.34,2.16,23
HCPCS,J1837,POSACONAZOLE 300MG INJ,1782.0,1782.0,124.74,1782.0,53
HCPCS,J1885,"Injection, ketorolac tromethamine, per 15 mg ",,,0.33,2.99,29
HCPCS,J1885,KETOROLAC 15 MG INJ,18.76,18.76,1.31,18.76,42
HCPCS,J1885,KETOROLAC 30 MG INJ,40.74,40.74,2.85,40.74,42
HCPCS,J1920,"Injection, labetalol hydrochloride, 5 mg ",,,0.25,3.34,29
HCPCS,J1920,LABETALOL 1 MG/ML INJ,0.4,0.4,0.03,0.4,47
HCPCS,J1920,LABETALOL 100 MG MDV,12.12,12.12,0.85,12.12,47
HCPCS,J1920,LABETALOL 5 MG INJ,0.57,0.57,0.04,0.57,47
HCPCS,J1920,LABETALOL 5 MG INJ JW,0.57,0.57,0.04,0.57,47
HCPCS,J1920,LABETALOL 5 MG/ML INJ,2.14,2.14,0.15,2.14,47
HCPCS,J1921,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,0.87,11.8,29
HCPCS,J1930,"Injection, lanreotide, 1 mg ",,,34.65,365.47,29
HCPCS,J1931,"Injection, laronidase, 0.1 mg ",,,38.75,341.05,29
HCPCS,J1932,"Injection, lanreotide, (cipla), 1 mg ",,,31.22,376.18,29
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJ,1.01,1.01,0.07,1.01,47
HCPCS,J1938,FUROSEMIDE 100 MG INJ,10.17,10.17,0.71,10.17,47
HCPCS,J1938,FUROSEMIDE 2 MG/ML INJ,0.2,0.2,0.01,0.2,47
HCPCS,J1938,FUROSEMIDE 20 MG INJ,5.72,5.72,0.4,5.72,47
HCPCS,J1938,FUROSEMIDE 40 MG INJ,6.77,6.77,0.47,6.77,47
HCPCS,J1938,"Injection, furosemide, 1 mg ",,,0.02,0.17,29
HCPCS,J1939,BUMETANIDE 0.1 MG/ML INJ,0.53,0.53,0.04,0.53,47
HCPCS,J1939,BUMETANIDE 0.5 MG INJ,2.82,2.82,0.2,2.82,47
HCPCS,J1939,BUMETANIDE 0.5 MG INJ JW,2.82,2.82,0.2,2.82,47
HCPCS,J1939,BUMETANIDE 1 MG INJ,12.29,12.29,0.86,12.29,47
HCPCS,J1939,BUMETANIDE 2.5 MG MDV,13.32,13.32,0.93,13.32,47
HCPCS,J1939,"Injection, bumetanide, 0.5 mg ",,,0.46,5.22,29
HCPCS,J1941,"Injection, furosemide (furoscix), 20 mg ",,,485.4,2066.16,27
HCPCS,J1943,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.15,27.88,29
HCPCS,J1944,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.22,28.48,29
HCPCS,J1945,"Injection, lepirudin, 50 mg ",,,3452.34,4879.26,6
HCPCS,J1950,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,1712.6,14855.68,29
HCPCS,J1950,LEUPRO DEPOT 11.25MG INJ,30903.93,30903.93,2163.28,30903.93,42
HCPCS,J1950,LEUPRO DEPOT 3.75 MG INJ,9725.99,9725.99,680.82,9725.99,42
HCPCS,J1951,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,136.49,1200.96,29
HCPCS,J1952,"Leuprolide injectable, camcevi, 1 mg ",,,38.75,439.66,29
HCPCS,J1953,"Injection, levetiracetam, 10 mg ",,,0.03,0.61,29
HCPCS,J1953,LEVETIRACETAM 1 G INJ,155.6,155.6,10.89,155.6,47
HCPCS,J1953,LEVETIRACETAM 1500MG INJ,416.77,416.77,29.17,416.77,47
HCPCS,J1953,LEVETIRACETAM 500 MG INJ,106.935,106.935,1.95,186.02,94
HCPCS,J1953,LEVETIRACTM 15 MG/ML INJ,0.81,0.81,0.06,0.81,47
HCPCS,J1954,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,672.75,2496.83,29
HCPCS,J1955,"Injection, levocarnitine, per 1 gm ",1037.37,1037.37,22.4,207.73,29
HCPCS,J1955,LEVOCARNITINE 1 G INJ,1037.37,1037.37,72.62,1037.37,47
HCPCS,J1956,"Injection, levofloxacin, 250 mg ",,,2.1,16.76,29
HCPCS,J1956,LEVOFLOXACIN 250 MG INJ,47.06,47.06,3.29,47.06,47
HCPCS,J1956,LEVOFLOXACIN 5 MG/ML INJ,0.1,0.1,0.007,0.1,47
HCPCS,J1956,LEVOFLOXACIN 500 MG INJ,163.815,163.815,4.81,258.98,94
HCPCS,J1956,LEVOFLOXACIN 750 MG INJ,288.935,288.935,5.32,501.81,94
HCPCS,J1960,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,15
HCPCS,J1961,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,21.63,188.32,29
HCPCS,J1980,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,471.04,27
HCPCS,J1990,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,180.02,21
HCPCS,J2002,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.09,29
HCPCS,J2002,LIDO D5W 1 MG INJ,0.05,0.05,0.004,0.05,47
HCPCS,J2002,LIDO D5W 1 MG INJ JW,0.05,0.05,0.004,0.05,47
HCPCS,J2002,LIDO D5W 2G/500 ML INJ,38.88,38.88,2.72,38.88,47
HCPCS,J2003,"Injection, lidocaine hydrochloride, 1 mg ",,,0.03,0.09,27
HCPCS,J2003,LIDO 0.5% 250MG/50ML INJ,24.71,24.71,1.73,24.71,47
HCPCS,J2003,LIDO 1% 100MG/10ML INJ,24.76,24.76,1.73,24.76,47
HCPCS,J2003,LIDO 1% 200MG/20ML MDV,19.37,19.37,1.36,19.37,47
HCPCS,J2003,LIDO 1% 20MG/2ML INJ,13.5,13.5,0.94,13.5,47
HCPCS,J2003,LIDO 1% 300MG/30ML INJ,18.7,18.7,1.31,18.7,47
HCPCS,J2003,LIDO 1% 500MG/50ML MDV,15.93,15.93,1.12,15.93,47
HCPCS,J2003,LIDO 1% 50MG/5ML INJ,14.08,14.08,0.99,14.08,47
HCPCS,J2003,LIDO 2% 100MG/5ML INJ,20.51,20.51,1.44,20.51,47
HCPCS,J2003,LIDO 2% 200MG/10ML INJ,39.64,39.64,2.77,39.64,47
HCPCS,J2003,LIDO 2% 400MG/20ML MDV,13.36,13.36,0.94,13.36,47
HCPCS,J2003,LIDO 2% 40MG/2ML INJ,16.75,16.75,1.17,16.75,47
HCPCS,J2003,LIDO 4% 200MG/5ML INJ,27.67,27.67,1.94,27.67,47
HCPCS,J2004,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.03,0.09,27
HCPCS,J2004,LIDO 100MG/EPI 0.05MGINJ,55.39,55.39,3.88,55.39,47
HCPCS,J2004,LIDO 100MG/EPI 0.1MG MDV,19.84,19.84,1.39,19.84,47
HCPCS,J2004,LIDO 200MG/EPI 0.2MG MDV,28.1,28.1,1.97,28.1,47
HCPCS,J2004,LIDO 200MG/EPI0.05MG INJ,58.77,58.77,4.11,58.77,47
HCPCS,J2004,LIDO 250MG/EPI0.25MG MDV,22.09,22.09,1.55,22.09,47
HCPCS,J2004,LIDO 300MG/EPI0.15MG INJ,77.18,77.18,5.4,77.18,47
HCPCS,J2004,LIDO 400MG/EPI 0.1MG INJ,117.97,117.97,8.26,117.97,47
HCPCS,J2004,LIDO 500MG/EPI 0.5MG MDV,65.35,65.35,4.57,65.35,47
HCPCS,J2004,LIDO 600MG/EPI 0.3MG MDV,29.96,29.96,2.1,29.96,47
HCPCS,J2010,"Injection, lincomycin hcl, up to 300 mg ",,,4.58,47.98,29
HCPCS,J2020,"Injection, linezolid, 200 mg ",,,2.41,79.92,29
HCPCS,J2020,LINEZOLID 2 MG/ML INJ,0.36,0.36,0.03,0.36,47
HCPCS,J2020,LINEZOLID 600 MG INJ,122.21,122.21,8.55,122.21,47
HCPCS,J2021,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,26.03,101.51,29
HCPCS,J2060,"Injection, lorazepam, 2 mg ",,,1.28,11.29,29
HCPCS,J2060,LORAZEPAM 2 MG INJ,5.72,5.72,0.4,5.72,47
HCPCS,J2060,LORAZEPAM 20 MG MDV,57.24,57.24,4.01,57.24,47
HCPCS,J2062,"Loxapine for inhalation, 1 mg ",,,51.75,130.85,12
HCPCS,J2150,"Injection, mannitol, 25% in 50 ml ",,,13.55,19.16,6
HCPCS,J2151,"Injection, mannitol, 250 mg ",,,0.05,0.39,23
HCPCS,J2151,MANNITOL 100G INJ,102.87,102.87,7.2,102.87,53
HCPCS,J2151,MANNITOL 12.5G INJ,32.72,32.72,2.29,32.72,53
HCPCS,J2170,"Injection, mecasermin, 1 mg ",,,385.02,3206.83,27
HCPCS,J2175,"Injection, meperidine hydrochloride, per 100 mg ",,,6.28,134.18,29
HCPCS,J2175,MEPERIDINE 100 MG INJ,198.54,198.54,13.9,198.54,47
HCPCS,J2175,MEPERIDINE 25 MG INJ,178.27,178.27,12.48,178.27,47
HCPCS,J2175,MEPERIDINE 50 MG INJ,196.15,196.15,13.73,196.15,47
HCPCS,J2175,MEPERIDINE 75 MG INJ,163.55,163.55,11.45,163.55,47
HCPCS,J2180,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,32.41,21
HCPCS,J2182,"Injection, mepolizumab, 1 mg ",,,30.87,267.93,29
HCPCS,J2183,505WG MEROPEN 2 G INJ,168.78,168.78,11.81,168.78,47
HCPCS,J2183,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",168.78,168.78,1.44,13.85,29
HCPCS,J2184,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,1.91,17.79,29
HCPCS,J2185,"Injection, meropenem, 100 mg ",,,0.36,12.27,29
HCPCS,J2185,MEROPENEM 1 G INJ,27.19,27.19,1.9,27.19,47
HCPCS,J2185,MEROPENEM 2 G INJ,106.61,106.61,7.46,106.61,47
HCPCS,J2185,MEROPENEM 50 MG/ML INJ,1.24,1.24,0.09,1.24,47
HCPCS,J2185,MEROPENEM 500 MG INJ,12.59,12.59,0.88,12.59,47
HCPCS,J2186,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,19.41,27
HCPCS,J2186,MEROPNM/VABORB 20MG INJ,12.02,12.02,0.84,12.02,42
HCPCS,J2186,MEROPNM/VABORB 20MGINJJW,12.02,12.02,0.84,12.02,42
HCPCS,J2186,MEROPNM/VABORB 2G INJ,1201.5,1201.5,84.11,1201.5,42
HCPCS,J2210,"Injection, methylergonovine maleate, up to 0.2 mg ",182.36,182.36,20.96,188.66,29
HCPCS,J2210,METHYLERGONOV 0.2 MG INJ,182.36,182.36,12.77,182.36,47
HCPCS,J2212,"Injection, methylnaltrexone, 0.1 mg ",,,3.31,12.4,27
HCPCS,J2212,METHYLNALTREXONE 0.1 MG,8.09,8.09,0.57,8.09,47
HCPCS,J2212,METHYLNALTREXONE 0.1MGJW,8.09,8.09,0.57,8.09,47
HCPCS,J2212,METHYLNLTRXONE 12 MG INJ,934.35,934.35,65.4,934.35,47
HCPCS,J2246,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.36,4.61,29
HCPCS,J2247,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.21,3.08,29
HCPCS,J2248,"Injection, micafungin sodium, 1 mg ",,,0.25,10.38,29
HCPCS,J2248,MICAFUNGIN 1 MG/ML INJ,3.33,3.33,0.23,3.33,47
HCPCS,J2248,MICAFUNGIN 100 MG INJ,962.15,962.15,67.35,962.15,47
HCPCS,J2248,MICAFUNGIN 50 MG INJ,167.22,167.22,11.71,167.22,47
HCPCS,J2249,"Injection, remimazolam, 1 mg ",,,4.6,19.16,27
HCPCS,J2250,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,1.37,29
HCPCS,J2250,MIDAZOLAM 1 MG INJ,56.205,56.205,0.16,110.16,94
HCPCS,J2250,MIDAZOLAM 10 MG INJ,6.75,6.75,0.47,6.75,47
HCPCS,J2250,MIDAZOLAM 2 MG INJ,3.51,3.51,0.25,3.51,47
HCPCS,J2250,MIDAZOLAM 5 MG/1 ML INJ,6.26,6.26,0.44,6.26,47
HCPCS,J2250,MIDAZOLAM 5 MG/5 ML INJ,6.12,6.12,0.43,6.12,47
HCPCS,J2250,MIDAZOLAM 50 MG INJ,20.25,20.25,1.42,20.25,47
HCPCS,J2251,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.16,1.89,29
HCPCS,J2251,MIDAZOL/0.9NS 100 MG IV,33.64,33.64,2.35,33.64,47
HCPCS,J2251,MIDAZOL/0.9NS 50 MG IV,100.89,100.89,7.06,100.89,47
HCPCS,J2252,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.6,27
HCPCS,J2253,"Injection, midazolam (seizalam), 1 mg ",,,0.31,0.5,6
HCPCS,J2260,"Injection, milrinone lactate, 5 mg ",,,1.14,11.97,29
HCPCS,J2260,MILRINONE LAC 10 MG INJ,14.21,14.21,0.99,14.21,47
HCPCS,J2260,MILRINONE LAC 20 MG INJ,44.980000000000004,44.980000000000004,2.49,54.38,94
HCPCS,J2265,"Injection, minocycline hydrochloride, 1 mg ",1438.53,1438.53,4.39,22.58,27
HCPCS,J2265,MINOCYCLINE HCL 100 MG,1438.53,1438.53,100.7,1438.53,42
HCPCS,J2267,"Injection, mirikizumab-mrkz, 1 mg ",,,40.83,412.81,29
HCPCS,J2270,"Injection, morphine sulfate, up to 10 mg ",,,0.24,38.91,29
HCPCS,J2270,MORPHINE 1000MG/20ML INJ,117.5,117.5,8.22,117.5,47
HCPCS,J2270,MORPHINE SULF 10MG INJ,13.73,13.73,0.96,13.73,47
HCPCS,J2270,MORPHINE SULF 2MG INJ,15.48,15.48,1.08,15.48,47
HCPCS,J2270,MORPHINE SULF 4MG INJ,10.49,10.49,0.73,10.49,47
HCPCS,J2272,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,8.09,69.53,29
HCPCS,J2274,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",13.73,13.73,11.79,92.28,29
HCPCS,J2274,MORPHINE EPD/IT PF 10 MG,13.73,13.73,0.96,13.73,47
HCPCS,J2277,"Injection, motixafortide, 0.25 mg ",,,25.69,215.68,29
HCPCS,J2278,"Injection, ziconotide, 1 microgram ",,,10.15,86.63,29
HCPCS,J2280,"Injection, moxifloxacin, 100 mg ",660.81,660.81,8.48,74.49,29
HCPCS,J2280,MOXIFLOXACIN 400 MG INJ,660.81,660.81,46.26,660.81,47
HCPCS,J2281,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,6.44,66.36,29
HCPCS,J2290,"Injection, nafcillin sodium, 20 mg ",,,0.05,1.22,29
HCPCS,J2290,NAFCILLIN 1 G INJ,59.4,59.4,4.16,59.4,47
HCPCS,J2290,NAFCILLIN 2 G INJ,58.82,58.82,4.12,58.82,47
HCPCS,J2290,NAFCILLIN 20 MG/ML INJ,0.68,0.68,0.05,0.68,47
HCPCS,J2291,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.15,0.94,23
HCPCS,J2300,"Injection, nalbuphine hydrochloride, per 10 mg ",128.9,128.9,3.32,30.02,29
HCPCS,J2300,NALBUPHINE 10 MG INJ,128.9,128.9,9.02,128.9,47
HCPCS,J2305,"Injection, nitroglycerin, 5 mg ",,,1.62,12.14,29
HCPCS,J2305,NITROGLYC 200 MCG/ML INJ,0.24,0.24,0.02,0.24,47
HCPCS,J2305,NITROGLYC 400 MCG/ML INJ,0.53,0.53,0.04,0.53,47
HCPCS,J2305,NITROGLYCERIN 100 MG INJ,140.72,140.72,9.85,140.72,47
HCPCS,J2305,NITROGLYCERIN 5 MG INJ,7.02,7.02,0.49,7.02,47
HCPCS,J2305,NITROGLYCERIN 5 MG INJJW,7.02,7.02,0.49,7.02,47
HCPCS,J2305,NITROGLYCERIN 50 MG INJ,89.01,89.01,6.23,89.01,47
HCPCS,J2312,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.6,29
HCPCS,J2312,NALOX NOS 0.4MG INJ,28.62,28.62,2.0,28.62,47
HCPCS,J2312,NALOX NOS 2 MG INJ,85.86,85.86,6.01,85.86,47
HCPCS,J2312,NALOX NOS 4 MG MDV,400.68,400.68,28.05,400.68,47
HCPCS,J2313,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.03,0.25,27
HCPCS,J2315,"Injection, naltrexone, depot form, 1 mg ",,,4.12,36.26,29
HCPCS,J2320,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,32.07,21
HCPCS,J2323,"Injection, natalizumab, 1 mg ",,,23.59,206.36,29
HCPCS,J2325,"Injection, nesiritide, 0.1 mg ",,,49.6,515.26,27
HCPCS,J2326,"Injection, nusinersen, 0.1 mg ",,,2121.54,10634.75,27
HCPCS,J2327,"Injection, risankizumab-rzaa, intravenous, 1 mg ",60319.44,60319.44,14.16,126.91,29
HCPCS,J2327,RISANKIZU-RZAA 600MG INJ,60319.44,60319.44,4222.36,60319.44,42
HCPCS,J2329,"Injection, ublituximab-xiiy, 1mg ",,,66.69,614.89,29
HCPCS,J2350,"Injection, ocrelizumab, 1 mg ",,,57.81,510.55,29
HCPCS,J2351,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,45.39,404.0,29
HCPCS,J2353,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,182.7,1814.73,29
HCPCS,J2354,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.6,5.22,29
HCPCS,J2354,OCTREOTD SQIV 10 MCG/ML,2.19,2.19,0.15,2.19,55
HCPCS,J2354,OCTREOTID ND 1000MCG MDV,107.33,107.33,7.51,107.33,55
HCPCS,J2354,OCTREOTID ND SQIV 100MCG,22.32,22.32,1.56,22.32,55
HCPCS,J2354,OCTREOTID ND SQIV 500MCG,111.62,111.62,7.81,111.62,55
HCPCS,J2355,"Injection, oprelvekin, 5 mg ",6085.94,6085.94,407.83,3651.02,27
HCPCS,J2355,OPRELVEKIN 5 MG,6085.94,6085.94,426.02,6085.94,47
HCPCS,J2356,"Injection, tezepelumab-ekko, 1 mg ",,,17.05,156.5,29
HCPCS,J2357,"Injection, omalizumab, 5 mg ",,,40.57,346.87,29
HCPCS,J2358,"Injection, olanzapine, long-acting, 1 mg ",,,3.09,24.97,29
HCPCS,J2359,"Injection, olanzapine, 0.5 mg ",,,0.69,7.78,29
HCPCS,J2359,OLANZAPINE 0.5 MG INJ,10.47,10.47,0.73,10.47,47
HCPCS,J2359,OLANZAPINE 0.5 MG INJJW,11.94,11.94,0.84,11.94,47
HCPCS,J2359,OLANZAPINE 10 MG INJ,209.84,209.84,14.69,209.84,47
HCPCS,J2360,"Injection, orphenadrine citrate, up to 60 mg ",,,7.97,80.82,29
HCPCS,J2371,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.01,0.09,29
HCPCS,J2371,PHENYLEPHRINE 10 MG INJ,6.73,6.73,0.47,6.73,47
HCPCS,J2371,PHENYLEPHRINE 100 MG MDV,57.24,57.24,4.01,57.24,47
HCPCS,J2371,PHENYLEPHRINE 50 MG MDV,29.82,29.82,2.09,29.82,47
HCPCS,J2372,BIORPHEN 500 MCG INJ,28.62,28.62,2.0,28.62,47
HCPCS,J2372,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",28.62,28.62,0.15,1.45,29
HCPCS,J2373,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.13,1.33,29
HCPCS,J2401,CHLOROPROCAINE 1 MG INJ,0.2,0.2,0.01,0.2,47
HCPCS,J2401,CHLOROPROCAINE 1MG INJJW,0.2,0.2,0.01,0.2,47
HCPCS,J2401,CHLOROPROCAINE 400MG INJ,137.05,137.05,9.59,137.05,47
HCPCS,J2401,CHLOROPROCAINE 600MG INJ,143.91,143.91,10.07,143.91,47
HCPCS,J2401,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.04,0.34,29
HCPCS,J2402,"Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg ",,,1.03,2.65,12
HCPCS,J2403,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.57,125.32,29
HCPCS,J2404,"Injection, nicardipine, 0.1 mg ",,,0.07,0.77,29
HCPCS,J2404,NICARDIPINE 0.1 MG INJ,0.6,0.6,0.04,0.6,47
HCPCS,J2404,NICARDIPINE 20 MG INJ,286.2,286.2,20.03,286.2,47
HCPCS,J2404,NICARDIPINE 25 MG INJ,121.54,121.54,8.51,121.54,47
HCPCS,J2404,NICARDIPINE 40 MG INJ,457.92,457.92,32.05,457.92,47
HCPCS,J2405,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.09,7.1,29
HCPCS,J2405,ONDANSETRON 1 MG/ML INJ,0.63,0.63,0.04,0.63,47
HCPCS,J2405,ONDANSETRON 4 MG INJ,2.63,2.63,0.18,2.63,47
HCPCS,J2406,"Injection, oritavancin (kimyrsa), 10 mg ",,,42.41,354.05,29
HCPCS,J2407,"Injection, oritavancin (orbactiv), 10 mg ",6268.37,6268.37,27.71,243.9,29
HCPCS,J2407,ORITAVANCIN 400 MG INJ,6268.37,6268.37,438.79,6268.37,42
HCPCS,J2410,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,24.37,27
HCPCS,J2425,"Injection, palifermin, 50 micrograms ",,,35.62,307.1,29
HCPCS,J2426,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,14.63,128.96,29
HCPCS,J2427,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,12.56,110.83,29
HCPCS,J2428,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,14.06,145.21,29
HCPCS,J2430,"Injection, pamidronate disodium, per 30 mg ",77.99,77.99,12.05,95.44,29
HCPCS,J2430,PAMIDRONATE 30 MG INJ,77.99,77.99,5.46,77.99,47
HCPCS,J2440,"Injection, papaverine hcl, up to 60 mg ",287.63,287.63,75.8,327.11,27
HCPCS,J2440,PAPAVERINE UP TO 60MG,287.63,287.63,20.13,287.63,47
HCPCS,J2460,"Injection, oxytetracycline hcl, up to 50 mg ",,,5.69,8.04,6
HCPCS,J2468,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,3.76,503.2,29
HCPCS,J2469,"Injection, palonosetron hcl, 25 mcg ",51.52,51.52,0.63,38.35,29
HCPCS,J2469,PALONOSETRON 0.25 MG INJ,51.52,51.52,3.61,51.52,47
HCPCS,J2470,"Injection, pantoprazole sodium, 40 mg ",16.02,16.02,11.68,25.47,27
HCPCS,J2470,PANTOPRAZOLE 40 MG INJ,16.02,16.02,1.12,16.02,47
HCPCS,J2471,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,56.7,27
HCPCS,J2472,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,76.88,27
HCPCS,J2501,"Injection, paricalcitol, 1 mcg ",580.55,580.55,0.99,8.05,29
HCPCS,J2501,PARICALCITOL 5 MCG INJ,580.55,580.55,40.64,580.55,47
HCPCS,J2502,"Injection, pasireotide long acting, 1 mg ",,,578.41,4821.53,29
HCPCS,J2503,"Injection, pegaptanib sodium, 0.3 mg ",,,4753.06,6717.6,6
HCPCS,J2504,"Injection, pegademase bovine, 25 iu ",,,2226.53,3146.79,6
HCPCS,J2506,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",36736.59,36736.59,123.56,1124.65,29
HCPCS,J2506,PEGFILGRASTIM 6 MG INJ,36736.59,36736.59,2571.56,36736.59,42
HCPCS,J2507,"Injection, pegloticase, 1 mg ",,,3709.78,31119.53,29
HCPCS,J2508,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,216.7,1969.35,29
HCPCS,J2510,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,400.83,27
HCPCS,J2513,"Injection, pentastarch, 10% solution, 100 ml ",,,76.97,108.78,6
HCPCS,J2515,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,460.7,27
HCPCS,J2515,PENTOBARB 50 MG/ML INJ,229.5,229.5,16.07,229.5,47
HCPCS,J2515,PENTOBARB 8 MG/ML INJ,36.72,36.72,2.57,36.72,47
HCPCS,J2515,PENTOBARBITAL 1000MG MDV,4590.0,4590.0,321.3,4590.0,47
HCPCS,J2516,"Injection, pentamidine isethionate, 1 mg ",527.58,527.58,0.16,1.44,23
HCPCS,J2516,PENTAMIDINE 300MG INJ,527.58,527.58,36.93,527.58,53
HCPCS,J2540,"Injection, penicillin g potassium, up to 600,000 units ",,,0.66,8.21,29
HCPCS,J2540,PCNG K 1 MILLION U INJ,170.41,170.41,11.93,170.41,47
HCPCS,J2540,PCNG K 20MILLION U INJ,524.73,524.73,36.73,524.73,47
HCPCS,J2540,PCNG K 5 MILLION U INJ,385.46,385.46,26.98,385.46,47
HCPCS,J2543,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.06,12.82,29
HCPCS,J2543,PIP SOD/TAZ 2.25 G INJ,17.08,17.08,1.2,17.08,47
HCPCS,J2543,PIP SOD/TAZ 3.375 G INJ,33.775,33.775,1.6,44.65,94
HCPCS,J2543,PIP SOD/TAZ 4.5 G INJ,34.34,34.34,2.4,34.34,47
HCPCS,J2543,PIP/TAZ 40MG/5MG PER ML,0.29,0.29,0.02,0.29,47
HCPCS,J2545,PENTAMIDI 300 MG INH,536.63,536.63,37.56,536.63,47
HCPCS,J2545,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",536.63,536.63,71.36,833.61,29
HCPCS,J2547,"Injection, peramivir, 1 mg ",,,2.77,13.85,27
HCPCS,J2550,"Injection, promethazine hcl, up to 50 mg ",11.85,11.85,1.03,24.54,29
HCPCS,J2550,PROMETHAZINE 25 MG INJ,11.85,11.85,0.83,11.85,47
HCPCS,J2560,"Injection, phenobarbital sodium, up to 120 mg ",100.17,100.17,22.94,233.98,29
HCPCS,J2560,PHENOBARBITAL TO 120 MG,100.17,100.17,7.01,100.17,47
HCPCS,J2561,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,11.63,27
HCPCS,J2562,"Injection, plerixafor, 1 mg ",,,31.76,1788.71,29
HCPCS,J2562,PLERIXAFOR 1 MG INJ,126.41,126.41,8.85,126.41,42
HCPCS,J2562,PLERIXAFOR 1MG INJJW,126.41,126.41,8.85,126.41,42
HCPCS,J2562,PLERIXAFOR 24 MG INJ,3033.72,3033.72,212.36,3033.72,42
HCPCS,J2590,"Injection, oxytocin, up to 10 units ",19.75,19.75,1.86,12.23,27
HCPCS,J2590,OXYTOCIN 10 U INJ,19.75,19.75,1.38,19.75,47
HCPCS,J2596,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.14,11.04,23
HCPCS,J2597,DESMOPRES 0.5MCG/ML INJ,10.13,10.13,0.71,10.13,47
HCPCS,J2597,DESMOPRESSIN 1 MCG INJ,20.25,20.25,1.42,20.25,47
HCPCS,J2597,DESMOPRESSIN 1 MCG INJJW,20.25,20.25,1.42,20.25,47
HCPCS,J2597,DESMOPRESSIN 4 MCG INJ,5386.585,5386.585,46.69,10106.23,94
HCPCS,J2597,DESMOPRESSIN 40 MCG MDV,810.0,810.0,56.7,810.0,47
HCPCS,J2597,"Injection, desmopressin acetate, per 1 mcg ",,,3.31,33.27,29
HCPCS,J2598,"Injection, vasopressin, 1 unit ",,,0.51,18.04,29
HCPCS,J2598,VASOPRESSIN 1 UNIT INJ,5.72,5.72,0.4,5.72,47
HCPCS,J2598,VASOPRESSIN 1 UNIT INJJW,5.72,5.72,0.4,5.72,47
HCPCS,J2598,VASOPRESSIN 20 UNIT INJ,114.48,114.48,8.01,114.48,47
HCPCS,J2599,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,0.81,12.99,29
HCPCS,J2601,"Injection, vasopressin (baxter), 1 unit ",,,1.48,25.14,29
HCPCS,J2650,"Injection, prednisolone acetate, up to 1 ml ",,,3.15,4.45,6
HCPCS,J2670,"Injection, tolazoline hcl, up to 25 mg ",,,20.82,29.42,6
HCPCS,J2675,"Injection, progesterone, per 50 mg ",260.92,260.92,0.64,13.04,29
HCPCS,J2675,PROGESTERONE 50 MG INJ,260.92,260.92,18.26,260.92,47
HCPCS,J2679,"Injection, fluphenazine hcl, 1.25 mg ",,,7.13,63.54,29
HCPCS,J2680,FLUPHENAZINE DEC TO 25MG,665.76,665.76,46.6,665.76,47
HCPCS,J2680,"Injection, fluphenazine decanoate, up to 25 mg ",665.76,665.76,5.42,109.22,29
HCPCS,J2690,"Injection, procainamide hcl, up to 1 gm ",558.57,558.57,208.37,1661.82,29
HCPCS,J2690,PROCAINAMIDE 1 G MDV,558.57,558.57,39.1,558.57,42
HCPCS,J2700,"Injection, oxacillin sodium, up to 250 mg ",,,0.82,11.04,29
HCPCS,J2704,"Injection, propofol, 10 mg ",,,0.09,0.94,29
HCPCS,J2704,PROPOFOL 10 MG/ML INJ,0.67,0.67,0.05,0.67,47
HCPCS,J2704,PROPOFOL 100 MG INJ,17.17,17.17,1.2,17.17,47
HCPCS,J2704,PROPOFOL 1000 MG INJ,68.69,68.69,4.81,68.69,47
HCPCS,J2704,PROPOFOL 200 MG INJ,13.74,13.74,0.96,13.74,47
HCPCS,J2710,"Injection, neostigmine methylsulfate, up to 0.5 mg ",51.82,51.82,2.33,7.01,27
HCPCS,J2710,NEOST METH UP TO 0.5 MG,51.82,51.82,3.63,51.82,47
HCPCS,J2711,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,3.94,21
HCPCS,J2720,"Injection, protamine sulfate, per 10 mg ",,,1.62,14.03,29
HCPCS,J2720,PROTAMINE 250 MG INJ,868.28,868.28,60.78,868.28,47
HCPCS,J2720,PROTAMINE 50 MG INJ,283.86,283.86,19.87,283.86,47
HCPCS,J2724,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,14.6,128.54,29
HCPCS,J2725,"Injection, protirelin, per 250 mcg ",,,131.79,186.26,6
HCPCS,J2730,"Injection, pralidoxime chloride, up to 1 gm ",602.22,602.22,171.67,756.25,27
HCPCS,J2730,PRALIDOXIME 1 G INJ,602.22,602.22,42.16,602.22,47
HCPCS,J2760,"Injection, phentolamine mesylate, up to 5 mg ",2915.93,2915.93,249.73,3733.03,29
HCPCS,J2760,PHENTOLAMINE MES 5MG INJ,2915.93,2915.93,204.12,2915.93,42
HCPCS,J2765,"Injection, metoclopramide hcl, up to 10 mg ",,,0.92,8.55,29
HCPCS,J2765,METOCLOPRAMIDE 10 MG INJ,198.54,198.54,13.9,198.54,47
HCPCS,J2765,METOCLOPRM 0.2 MG/ML INJ,0.09,0.09,0.006,0.09,47
HCPCS,J2770,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",3236.84,3236.84,194.55,4065.02,27
HCPCS,J2770,QUINUPRN/DALFOPRN 500 MG,3236.84,3236.84,226.58,3236.84,47
HCPCS,J2777,"Injection, faricimab-svoa, 0.1 mg ",,,31.88,294.87,29
HCPCS,J2778,"Injection, ranibizumab, 0.1 mg ",,,65.81,2077.92,29
HCPCS,J2779,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,73.91,670.73,29
HCPCS,J2781,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,143.38,1213.61,29
HCPCS,J2782,"Injection, avacincaptad pegol, 0.1 mg ",,,100.3,905.66,29
HCPCS,J2783,"Injection, rasburicase, 0.5 mg ",,,370.72,3219.66,29
HCPCS,J2783,RASBURICASE 0.5 MG INJ,2280.77,2280.77,159.65,2280.77,42
HCPCS,J2783,RASBURICASE 1.5 MG INJ,6842.31,6842.31,478.96,6842.31,42
HCPCS,J2785,"Injection, regadenoson, 0.1 mg ",108.0,108.0,2.81,337.11,29
HCPCS,J2785,REGADENOSON 0.4 MG INJ,108.0,108.0,7.56,108.0,47
HCPCS,J2786,"Injection, reslizumab, 1 mg ",,,11.18,90.48,29
HCPCS,J2787,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,19888.53,27
HCPCS,J2788,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,26.69,238.26,29
HCPCS,J2790,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",1316.04,1316.04,76.53,704.86,29
HCPCS,J2790,RHIG HMN FULLDOSE 300MCG,1316.04,1316.04,92.12,1316.04,47
HCPCS,J2791,IG RHOPHYLAC 1500 IU,937.71,937.71,65.64,937.71,47
HCPCS,J2791,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",937.71,937.71,4.7,53.95,29
HCPCS,J2792,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",2811.39,2811.39,33.23,263.15,29
HCPCS,J2792,RHO IMM GLOB IV 1500 IU,2811.39,2811.39,196.8,2811.39,42
HCPCS,J2793,"Injection, rilonacept, 1 mg ",,,56.03,236.38,27
HCPCS,J2794,"Injection, risperidone (risperdal consta), 0.5 mg ",,,10.48,93.56,29
HCPCS,J2795,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.05,0.51,29
HCPCS,J2795,ROPIVACAINE 1 MG INJ,65.62,65.62,4.59,65.62,47
HCPCS,J2795,ROPIVACAINE 100 MG INJ,45.02,45.02,3.15,45.02,47
HCPCS,J2795,ROPIVACAINE 150 MG INJ,43.07,43.07,3.01,43.07,47
HCPCS,J2795,ROPIVACAINE 200 MG INJ,233.9,233.9,16.37,233.9,47
HCPCS,J2795,ROPIVACAINE 40 MG INJ,32.16,32.16,2.25,32.16,47
HCPCS,J2795,ROPIVACAINE 400 MG INJ,468.71,468.71,32.81,468.71,47
HCPCS,J2797,"Injection, rolapitant, 0.5 mg ",,,3.07,7.7,12
HCPCS,J2798,"Injection, risperidone, (perseris), 0.5 mg ",,,11.8,103.82,29
HCPCS,J2799,"Injection, risperidone (uzedy), 1 mg ",,,24.41,214.48,29
HCPCS,J2800,"Injection, methocarbamol, up to 10 ml ",577.88,577.88,4.07,69.87,29
HCPCS,J2800,METHOCARBAMOL 1G/10ML,577.88,577.88,40.45,577.88,47
HCPCS,J2801,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,107.24,27
HCPCS,J2802,"Injection, romiplostim, 1 microgram ",,,10.78,94.07,29
HCPCS,J2802,ROMIPLOSTIM 1 MCG INJ,60.01,60.01,4.2,60.01,42
HCPCS,J2802,ROMIPLOSTIM 1 MCG INJ JW,60.01,60.01,4.2,60.01,42
HCPCS,J2802,ROMIPLOSTIM 250 MCG INJ,15007.85,15007.85,1050.55,15007.85,42
HCPCS,J2804,"Injection, rifampin, 1 mg ",,,0.16,1.37,29
HCPCS,J2804,RIFAMPIN 6 MG/ML INJ,8.73,8.73,0.61,8.73,47
HCPCS,J2804,RIFAMPIN 600 MG INJ,875.77,875.77,61.3,875.77,47
HCPCS,J2805,"Injection, sincalide, 5 micrograms ",710.54,710.54,104.95,1162.82,29
HCPCS,J2805,SINCALIDE 5 MCG INJ,710.54,710.54,49.74,710.54,47
HCPCS,J2810,"Injection, theophylline, per 40 mg ",,,1.35,3.51,12
HCPCS,J2820,"Injection, sargramostim (gm-csf), 50 mcg ",3548.43,3548.43,60.03,479.68,29
HCPCS,J2820,SARGRAMOSTIM 250 MCG INJ,3548.43,3548.43,248.39,3548.43,42
HCPCS,J2840,"Injection, sebelipase alfa, 1 mg ",,,891.3,4453.11,27
HCPCS,J2850,"Injection, secretin, synthetic, human, 1 microgram ",3646.65,3646.65,66.38,360.38,27
HCPCS,J2850,SECRETIN SYN HUMAN 16MCG,3646.65,3646.65,255.27,3646.65,42
HCPCS,J2860,"Injection, siltuximab, 10 mg ",9089.73,9089.73,168.86,1385.08,29
HCPCS,J2860,SILTUXIMAB 100 MG INJ,9089.73,9089.73,636.28,9089.73,42
HCPCS,J2865,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.04,0.43,29
HCPCS,J2865,SMX/TMP 2400/480MG MDV,217.57,217.57,15.23,217.57,47
HCPCS,J2865,SMX/TMP 400/80MG INJ,35.87,35.87,2.51,35.87,47
HCPCS,J2865,SMX/TMP 5.5/1.1 MG/ML,7.97,7.97,0.56,7.97,47
HCPCS,J2910,"Injection, aurothioglucose, up to 50 mg ",,,148.25,209.52,6
HCPCS,J2916,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",182.02,182.02,2.32,18.64,29
HCPCS,J2916,NA FERRIC GLUCON 62.5 MG,182.02,182.02,12.74,182.02,47
HCPCS,J2919,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.23,2.22,29
HCPCS,J2919,METHYLPRED SS 1 G INJ,186.03,186.03,13.02,186.03,47
HCPCS,J2919,METHYLPRED SS 1 G MDV,186.03,186.03,13.02,186.03,47
HCPCS,J2919,METHYLPRED SS 125 MGINJ,39.19,39.19,2.74,39.19,47
HCPCS,J2919,METHYLPRED SS 2MG/MLINJ,0.34,0.34,0.02,0.34,47
HCPCS,J2919,METHYLPRED SS 40 MG INJ,15.48,15.48,1.08,15.48,47
HCPCS,J2919,METHYLPRED SS 5 MG INJ,0.91,0.91,0.06,0.91,47
HCPCS,J2919,METHYLPRED SS 5 MG INJJW,0.91,0.91,0.06,0.91,47
HCPCS,J2919,METHYLPRED SS 500 MG MDV,125.93,125.93,8.82,125.93,47
HCPCS,J2940,"Injection, somatrem, 1 mg ",,,255.9,361.66,6
HCPCS,J2941,"Injection, somatropin, 1 mg ",204.73,204.73,188.44,1356.01,27
HCPCS,J2941,SOMATROPIN 0.2 MG INJ,204.73,204.73,14.33,204.73,47
HCPCS,J2993,"Injection, reteplase, 18.1 mg ",,,4792.56,26352.56,27
HCPCS,J2995,"Injection, streptokinase, per 250,000 iu ",,,481.05,679.88,6
HCPCS,J2997,ALTEPLASE RECOMB 1 MG,611.31,611.31,42.79,611.31,42
HCPCS,J2997,ALTEPLASE RECOMB 1 MGJW,611.31,611.31,42.79,611.31,42
HCPCS,J2997,ALTEPLASE RECOMB 100 MG,50373.26,50373.26,3526.13,50373.26,42
HCPCS,J2997,ALTEPLASE RECOMB 2 MG,1009.43,1009.43,70.66,1009.43,42
HCPCS,J2997,ALTEPLASE RECOMB 50 MG,25186.65,25186.65,1763.07,25186.65,42
HCPCS,J2997,"Injection, alteplase recombinant, 1 mg ",,,92.24,805.17,29
HCPCS,J2998,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,316.42,27
HCPCS,J3000,"Injection, streptomycin, up to 1 gm ",542.36,542.36,39.05,416.25,29
HCPCS,J3000,STREPTOMYCIN 1 G INJ,542.36,542.36,37.97,542.36,47
HCPCS,J3010,FENTANYL 10 MCG/ML INJ,16.595,16.595,0.04,32.58,94
HCPCS,J3010,FENTANYL 50 MCG/ML INJ,16.56,16.56,1.16,16.56,47
HCPCS,J3010,FENTANYL CIT 0.05 MG INJ,10.53,10.53,0.74,10.53,47
HCPCS,J3010,FENTANYL CIT 0.1 MG INJ,11.43,11.43,0.8,11.43,47
HCPCS,J3010,FENTANYL CIT 0.2 MG INJ,9.18,9.18,0.64,9.18,47
HCPCS,J3010,FENTANYL CIT 0.25 MG INJ,15.39,15.39,1.08,15.39,47
HCPCS,J3010,FENTANYL CIT 1 MG INJ,45.9,45.9,3.21,45.9,47
HCPCS,J3010,"Injection, fentanyl citrate, 0.1 mg ",,,1.13,8.21,29
HCPCS,J3030,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",1840.28,1840.28,83.46,322.75,27
HCPCS,J3030,SUMATRIPTAN SUCC 6MG INJ,1840.28,1840.28,128.82,1840.28,47
HCPCS,J3031,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,29.33,27
HCPCS,J3032,"Injection, eptinezumab-jjmr, 1 mg ",,,19.93,169.76,29
HCPCS,J3055,"Injection, talquetamab-tgvs, 0.25 mg ",,,72.63,619.16,29
HCPCS,J3055,TALQUET-TGVS 0.25 MG INJ,384.32,384.32,26.9,384.32,42
HCPCS,J3055,TALQUET-TGVS 0.25MGINJJW,384.32,384.32,26.9,384.32,42
HCPCS,J3055,TALQUET-TGVS 3 MG INJ,4612.11,4612.11,322.85,4612.11,42
HCPCS,J3055,TALQUET-TGVS 40 MG INJ,61494.74,61494.74,4304.63,61494.74,42
HCPCS,J3060,"Injection, taliglucerase alfa, 10 units ",,,39.44,351.15,29
HCPCS,J3070,"Injection, pentazocine, 30 mg ",,,45.19,926.95,27
HCPCS,J3090,"Injection, tedizolid phosphate, 1 mg ",,,1.9,16.33,29
HCPCS,J3095,"Injection, telavancin, 10 mg ",,,6.82,63.88,29
HCPCS,J3095,TELAVANCIN 10 MG INJ,49.23,49.23,3.45,49.23,42
HCPCS,J3095,TELAVANCIN 10 MG INJJW,49.23,49.23,3.45,49.23,42
HCPCS,J3095,TELAVANCIN 750 MG INJ,3693.74,3693.74,258.56,3693.74,42
HCPCS,J3101,"Injection, tenecteplase, 1 mg ",,,191.52,1470.43,29
HCPCS,J3101,TENECTEPLASE 1 MG INJ,891.14,891.14,62.38,891.14,42
HCPCS,J3101,TENECTEPLASE 1 MG INJJW,891.14,891.14,62.38,891.14,42
HCPCS,J3101,TENECTEPLASE 25 MG INJ,46149.39,46149.39,3230.46,46149.39,42
HCPCS,J3101,TENECTEPLASE 50 MG INJ,44556.96,44556.96,3118.99,44556.96,42
HCPCS,J3105,"Injection, terbutaline sulfate, up to 1 mg ",659.89,659.89,2.87,23.43,29
HCPCS,J3105,TERBUTALINE 1 MG INJ,659.89,659.89,46.19,659.89,47
HCPCS,J3110,"Injection, teriparatide, 10 mcg ",17418.66,17418.66,130.53,404.85,27
HCPCS,J3110,TERIPARATIDE 600 MCG INJ,17418.66,17418.66,1219.31,17418.66,55
HCPCS,J3111,"Injection, romosozumab-aqqg, 1 mg ",,,11.82,102.62,29
HCPCS,J3121,"Injection, testosterone enanthate, 1 mg ",,,0.05,0.51,29
HCPCS,J3145,"Injection, testosterone undecanoate, 1 mg ",,,2.07,17.02,29
HCPCS,J3230,CHLORPROMAZINE 50 MG INJ,277.97,277.97,19.46,277.97,47
HCPCS,J3230,"Injection, chlorpromazine hcl, up to 50 mg ",277.97,277.97,20.33,231.5,29
HCPCS,J3240,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",15900.49,15900.49,2061.58,18072.43,29
HCPCS,J3240,THYROTROPIN ALPHA 0.9 MG,15900.49,15900.49,1113.03,15900.49,42
HCPCS,J3241,"Injection, teprotumumab-trbw, 10 mg ",,,356.87,3070.94,29
HCPCS,J3243,"Injection, tigecycline, 1 mg ",668.88,668.88,0.55,10.38,29
HCPCS,J3243,TIGECYCLINE 50 MG INJ,668.88,668.88,46.82,668.88,47
HCPCS,J3244,"Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg ",,,8.59,21.81,12
HCPCS,J3245,"Injection, tildrakizumab, 1 mg ",,,114.65,1079.6,29
HCPCS,J3246,"Injection, tirofiban hcl, 0.25 mg ",,,3.09,57.5,29
HCPCS,J3246,TIROFIBAN 0.25 MG INJ,22.65,22.65,1.59,22.65,47
HCPCS,J3246,TIROFIBAN 0.25 MG INJJW,22.65,22.65,1.59,22.65,47
HCPCS,J3246,TIROFIBAN 12.5 MG INJ,4893.34,4893.34,342.53,4893.34,47
HCPCS,J3246,TIROFIBAN 3.75 MG INJ,339.77,339.77,23.78,339.77,47
HCPCS,J3247,"Injection, secukinumab, intravenous, 1 mg ",,,17.5,152.57,29
HCPCS,J3250,"Injection, trimethobenzamide hcl, up to 200 mg ",,,55.5,456.68,29
HCPCS,J3260,"Injection, tobramycin sulfate, up to 80 mg ",,,1.55,21.04,29
HCPCS,J3260,TOBRAMYCIN 10 MG/ML INJ,1.39,1.39,0.1,1.39,47
HCPCS,J3260,TOBRAMYCIN 2 MG/ML INJ,0.24,0.24,0.02,0.24,47
HCPCS,J3260,TOBRAMYCIN 80 MG INJ,11.31,11.31,0.79,11.31,47
HCPCS,J3262,"Injection, tocilizumab, 1 mg ",,,5.36,49.52,29
HCPCS,J3262,TOCILIZUMAB 1 MG INJ,37.97,37.97,2.66,37.97,42
HCPCS,J3262,TOCILIZUMAB 1 MG INJJW,37.97,37.97,2.66,37.97,42
HCPCS,J3262,TOCILIZUMAB 200 MG INJ,7600.95,7600.95,532.07,7600.95,42
HCPCS,J3263,"Injection, toripalimab-tpzi, 1 mg ",,,38.79,337.8,29
HCPCS,J3265,"Injection, torsemide, 10 mg/ml ",,,7.11,18.73,12
HCPCS,J3280,"Injection, thiethylperazine maleate, up to 10 mg ",,,28.8,40.71,6
HCPCS,J3285,"Injection, treprostinil, 1 mg ",,,53.53,474.46,29
HCPCS,J3285,TREPROSTINIL 1 MG,626.75,626.75,43.87,626.75,84
HCPCS,J3290,"Injection, tranexamic acid, 5 mg ",20.61,20.61,0.1,0.21,21
HCPCS,J3290,TRANEXAMIC 1000MG INJ,20.61,20.61,1.44,20.61,53
HCPCS,J3291,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.56,21
HCPCS,J3299,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,46.35,410.5,29
HCPCS,J3300,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,12.97,209.61,29
HCPCS,J3301,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,0.87,7.35,29
HCPCS,J3301,TRIAMCINOLN ACE 40MG INJ,648.015,648.015,5.41,1218.72,94
HCPCS,J3301,TRIAMCINOLN ACE NOS 10MG,83.99,83.99,5.88,83.99,47
HCPCS,J3302,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,2.39,21
HCPCS,J3303,"Injection, triamcinolone hexacetonide, per 5 mg ",,,12.21,70.9,27
HCPCS,J3304,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,18.08,155.73,29
HCPCS,J3310,"Injection, perphenazine, up to 5 mg ",,,38.61,54.56,6
HCPCS,J3315,"Injection, triptorelin pamoate, 3.75 mg ",29605.73,29605.73,455.3,4206.73,29
HCPCS,J3315,TRIPTORELIN PAM 22.5 MG,29605.73,29605.73,2072.4,29605.73,42
HCPCS,J3316,"Injection, triptorelin, extended-release, 3.75 mg ",,,3612.05,32265.41,29
HCPCS,J3320,"Injection, spectinomycin dihydrochloride, up to 2 gm ",,,182.01,257.24,6
HCPCS,J3350,"Injection, urea, up to 40 gm ",,,457.15,646.1,6
HCPCS,J3355,"Injection, urofollitropin, 75 iu ",,,383.81,542.45,6
HCPCS,J3357,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,2472.3,27
HCPCS,J3358,USTEKINUMAB 130MG IV INJ,15119.95,15119.95,1058.4,15119.95,42
HCPCS,J3358,"Ustekinumab, for intravenous injection, 1 mg ",15119.95,15119.95,11.27,113.66,29
HCPCS,J3360,DIAZEPAM 10 MG INJ,140.86,140.86,9.86,140.86,47
HCPCS,J3360,"Injection, diazepam, up to 5 mg ",140.86,140.86,8.25,52.77,29
HCPCS,J3364,"Injection, urokinase, 5000 iu vial ",,,55.43,78.34,6
HCPCS,J3365,"Injection, iv, urokinase, 250,000 i.u. vial ",,,2769.72,3914.51,6
HCPCS,J3373,"Injection, vancomycin hydrochloride, 10 mg ",,,0.03,0.26,29
HCPCS,J3373,VANCO 10 G MDV,343.44,343.44,24.04,343.44,47
HCPCS,J3373,VANCO 500 MG INJ,16.89,16.89,1.18,16.89,47
HCPCS,J3374,505MY VANCO 1.25 G INJ,115.05,115.05,8.05,115.05,47
HCPCS,J3374,505MY VANCO 1.5 G INJ,138.04,138.04,9.66,138.04,47
HCPCS,J3374,505MY VANCO 10MG/ML INJ,0.05,0.05,0.004,0.05,47
HCPCS,J3374,505MY VANCO 5 MG/ML INJ,0.05,0.05,0.004,0.05,47
HCPCS,J3374,505MY VANCO 750 MG INJ,42.93,42.93,3.01,42.93,47
HCPCS,J3374,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.1,1.03,29
HCPCS,J3375,505XE VANCO 1 G INJ,17.17,17.17,1.2,17.17,47
HCPCS,J3375,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",17.17,17.17,0.16,1.11,29
HCPCS,J3376,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.01,0.11,23
HCPCS,J3379,"Injection, valproate sodium, 5 mg ",,,0.04,0.28,23
HCPCS,J3380,"Injection, vedolizumab, intravenous, 1 mg ",,,20.35,188.66,29
HCPCS,J3380,VEDOLIZUMAB 1 MG IV,175.25,175.25,12.27,175.25,42
HCPCS,J3380,VEDOLIZUMAB 300 MG IV,52583.97,52583.97,3680.88,52583.97,42
HCPCS,J3385,"Injection, velaglucerase alfa, 100 units ",25166.74,25166.74,376.52,3251.3,29
HCPCS,J3385,VELAGLUCERASE 400 U INJ,25166.74,25166.74,1761.67,25166.74,42
HCPCS,J3387,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,15
HCPCS,J3389,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,15
HCPCS,J3391,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,15
HCPCS,J3392,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,15
HCPCS,J3393,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,15
HCPCS,J3394,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,15
HCPCS,J3396,"Injection, verteporfin, 0.1 mg ",,,11.22,98.78,29
HCPCS,J3397,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,2369.16,27
HCPCS,J3398,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,12454.2,21
HCPCS,J3399,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,15
HCPCS,J3400,"Injection, triflupromazine hcl, up to 20 mg ",,,66.86,94.5,6
HCPCS,J3401,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,974.44,8630.68,29
HCPCS,J3402,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,196632.58,1270506.0,23
HCPCS,J3403,"Revakinagene taroretcel-lwey, per implant ",,,869400.0,1398600.0,6
HCPCS,J3404,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,15
HCPCS,J3410,HYDROXYZINE 50 MG INJ,162.89,162.89,11.4,162.89,47
HCPCS,J3410,"Injection, hydroxyzine hcl, up to 25 mg ",162.89,162.89,2.35,144.79,29
HCPCS,J3411,"Injection, thiamine hcl, 100 mg ",115.14,115.14,1.5,17.04,29
HCPCS,J3411,THIAMINE 100 MG INJ,115.14,115.14,8.06,115.14,47
HCPCS,J3415,"Injection, pyridoxine hcl, 100 mg ",115.08,115.08,14.45,109.47,29
HCPCS,J3415,PYRIDOXINE 100 MG INJ,115.08,115.08,8.06,115.08,47
HCPCS,J3420,CYANOCOBALAMIN 1000 MCG,168.08,168.08,11.77,168.08,47
HCPCS,J3420,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",168.08,168.08,0.65,19.15,29
HCPCS,J3424,HYDROXOCOBALAM 5 G IV,5879.35,5879.35,411.55,5879.35,42
HCPCS,J3424,"Injection, hydroxocobalamin, intravenous, 25 mg ",5879.35,5879.35,8.98,43.53,27
HCPCS,J3425,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.09,29
HCPCS,J3430,"Injection, phytonadione (vitamin k), per 1 mg ",,,3.07,24.29,29
HCPCS,J3430,VIT K PHYTONADIONE 1 MG,196.96,196.96,13.79,196.96,47
HCPCS,J3430,VIT K PHYTONADIONE 10 MG,336.74,336.74,23.57,336.74,47
HCPCS,J3465,"Injection, voriconazole, 10 mg ",2327.92,2327.92,0.63,24.36,29
HCPCS,J3465,VORICONAZOLE 200 MG INJ,2327.92,2327.92,162.95,2327.92,47
HCPCS,J3470,HYALURONIDASE UP TO 150U,816.3,816.3,57.14,816.3,47
HCPCS,J3470,"Injection, hyaluronidase, up to 150 units ",816.3,816.3,30.6,309.69,29
HCPCS,J3471,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,4.28,27
HCPCS,J3472,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,1178.47,21
HCPCS,J3473,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.35,3.08,29
HCPCS,J3475,"Injection, magnesium sulfate, per 500 mg ",,,0.24,4.28,29
HCPCS,J3475,MAG SUL 1G/D5W 100ML INJ,17.27,17.27,1.21,17.27,47
HCPCS,J3475,MAG SUL 20G/WFI 500MLINJ,35.26,35.26,2.47,35.26,47
HCPCS,J3475,MAG SUL 4G/WFI 100ML INJ,20.13,20.13,1.41,20.13,47
HCPCS,J3475,MAG SULF 2G/WFI 50ML INJ,25.28,25.28,1.77,25.28,47
HCPCS,J3475,MAG SULFATE 1G INJ,12.59,12.59,0.88,12.59,47
HCPCS,J3475,MAG SULFATE 40 MG/ML INJ,0.19,0.19,0.01,0.19,47
HCPCS,J3475,MAG SULFATE 5G/10ML INJ,16.12,16.12,1.13,16.12,47
HCPCS,J3480,"Injection, potassium chloride, per 2 meq ",,,0.13,1.45,29
HCPCS,J3480,K20/D5NS 1000 ML INJ,31.73,31.73,2.22,31.73,47
HCPCS,J3480,K40/D5NS 1000 ML INJ,16.79,16.79,1.18,16.79,47
HCPCS,J3480,K40/NS 1000 ML INJ,16.2,16.2,1.13,16.2,47
HCPCS,J3480,POTASS CL 20 MEQ INJ,15.22,15.22,1.07,15.22,94
HCPCS,J3480,POTASS CL 40 MEQ INJ,15.77,15.77,0.92,18.37,94
HCPCS,J3480,POTASS CL10 MEQ INJ,16.5,16.5,1.16,16.5,47
HCPCS,J3485,"Injection, zidovudine, 10 mg ",187.69,187.69,1.46,12.91,29
HCPCS,J3485,ZIDOVUDINE 200 MG INJ,187.69,187.69,13.14,187.69,47
HCPCS,J3486,"Injection, ziprasidone mesylate, 10 mg ",1066.68,1066.68,5.69,137.86,29
HCPCS,J3486,ZIPRASIDONE 20 MG INJ,1066.68,1066.68,74.67,1066.68,47
HCPCS,J3489,"Injection, zoledronic acid, 1 mg ",,,23.29,50.95,29
HCPCS,J3489,ZOLEDRONIC ACID 4MG INJ,455.06,455.06,31.85,455.06,47
HCPCS,J3489,ZOLEDRONIC ACID 5MG INJ,26433.82,26433.82,1850.37,26433.82,47
HCPCS,J3490,BRIVARACETAM 50 MG INJ,379.02,379.02,26.53,379.02,59
HCPCS,J3490,BUPIV2.5/EPI0.005MG 30ML,68.07,68.07,4.76,68.07,67
HCPCS,J3490,BUPIV5MG/EPI0.005MG 10ML,18.48,18.48,1.29,18.48,67
HCPCS,J3490,BUPIV5MG/EPI0.005MG 30ML,19.24,19.24,1.35,19.24,67
HCPCS,J3490,BUPIV7.5/EPI0.005MG 30ML,82.35,82.35,5.76,82.35,67
HCPCS,J3490,CISATRACURIUM 20 MG INJ,57.24,57.24,4.01,57.24,59
HCPCS,J3490,CISATRACURIUM 200 MG INJ,572.4,572.4,40.07,572.4,59
HCPCS,J3490,CLINIMIX 4.25/5 1L INJ,208.31,208.31,14.58,208.31,59
HCPCS,J3490,CLINIMIX 5/20 2L INJ,440.24,440.24,30.82,440.24,59
HCPCS,J3490,CLINIMIX E 4.25/5 1L INJ,232.47,232.47,16.27,232.47,59
HCPCS,J3490,CLINIMIX E 5/20 2L INJ,469.71,469.71,32.88,469.71,59
HCPCS,J3490,DANTROLENE 20 MG INJ,537.78,537.78,37.64,537.78,59
HCPCS,J3490,DEHYDRAT ALCOHOL 99% INJ,5053.68,5053.68,353.76,5053.68,59
HCPCS,J3490,DEXMED 400MCG/NS100MLINJ,165.25,165.25,11.57,165.25,67
HCPCS,J3490,DEXMEDET 20 MCG / ML INJ,1.91,1.91,0.13,1.91,59
HCPCS,J3490,DEXMEDETOMID 200 MCG INJ,19.77,19.77,1.38,19.77,67
HCPCS,J3490,DEXMEDETOMID 400 MCG INJ,188.35,188.35,13.18,188.35,67
HCPCS,J3490,DOXAPRAM 20 MG INJ,213.29,213.29,14.93,213.29,67
HCPCS,J3490,DOXYCYCLINE 100 MG INJ,937.56,937.56,65.63,937.56,59
HCPCS,J3490,ENALAPRILAT 25MCG/ML INJ,0.5,0.5,0.04,0.5,59
HCPCS,J3490,EPHEDRINE 50 MG INJ,560.69,560.69,39.25,560.69,67
HCPCS,J3490,FLUMAZENIL 0.1 MG INJ,8.6,8.6,0.6,8.6,59
HCPCS,J3490,GLYCOPYRROLATE 0.2MG INJ,32.16,32.16,2.25,32.16,59
HCPCS,J3490,INDOMETHACIN 1MG INJ,3674.02,3674.02,257.18,3674.02,59
HCPCS,J3490,INDOMETHACIN 50 MG SUPP,2086.04,2086.04,146.02,2086.04,59
HCPCS,J3490,ISOPROTERENOL 0.2MG INJ,1058.94,1058.94,74.13,1058.94,59
HCPCS,J3490,ISOPROTERENOL 1MG INJ,424.72,424.72,29.73,424.72,59
HCPCS,J3490,KETAMINE 100 MG INJ,8.96,8.96,0.63,8.96,67
HCPCS,J3490,KETAMINE 50 MG INJ,1.94,1.94,0.14,1.94,67
HCPCS,J3490,KETAMINE 500 MG MDV,19.53,19.53,1.37,19.53,59
HCPCS,J3490,LIDOCAINE 0.5% 250MG INJ,127.92,127.92,8.95,127.92,67
HCPCS,J3490,LIDOCAINE 1% 20 MG INJ,19.28,19.28,1.35,19.28,67
HCPCS,J3490,LIDOCAINE 1% 300 MG INJ,335.87,335.87,23.51,335.87,67
HCPCS,J3490,LIDOCAINE 2% 100 MG INJ,33.17,33.17,2.19,35.02,134
HCPCS,J3490,LIDOCAINE 2% 200 MG INJ,368.22,368.22,25.78,368.22,67
HCPCS,J3490,LIDOCAINE 2% 40 MG INJ,17.83,17.83,1.25,17.83,67
HCPCS,J3490,LIOTHYRONINE 10MCG INJ,12974.42,12974.42,908.21,12974.42,59
HCPCS,J3490,NITROPRUSSIDE 50 MG INJ,114.48,114.48,8.01,114.48,59
HCPCS,J3490,PLASMA-LYTE A 1000ML INJ,1368.44,1368.44,95.79,1368.44,67
HCPCS,J3490,POSACONAZOLE 300 MG INJ,3411.59,3411.59,238.81,3411.59,59
HCPCS,J3490,PRISMASOL BGK 2/0,159.47,159.47,11.16,159.47,59
HCPCS,J3490,PRISMASOL BK 0/0/1.2,159.47,159.47,11.16,159.47,59
HCPCS,J3490,PRISMASOLBK 0/0/1.2 5000,335.57,335.57,23.49,335.57,59
HCPCS,J3490,REMIFENTANIL 20MCG/MLINJ,7.02,7.02,0.49,7.02,59
HCPCS,J3490,REMIFENTANIL 50MCG/MLINJ,17.51,17.51,1.23,17.51,59
HCPCS,J3490,ROCURONIUM 10 MG INJ,3.88,3.88,0.27,3.88,67
HCPCS,J3490,ROCURONIUM 100 MG MDV,38.06,38.06,2.66,38.06,59
HCPCS,J3490,ROCURONIUM 50 MG MDV,20.03,20.03,1.4,20.03,59
HCPCS,J3490,SUFENTANIL 50 MCG/ML INJ,49.09,49.09,3.44,49.09,59
HCPCS,J3490,TRACE EL ZN/CU/MN/SE INJ,176.99,176.99,12.39,176.99,67
HCPCS,J3490,TROMETHAMINE 500ML INJ,3790.39,3790.39,265.33,3790.39,59
HCPCS,J3490,UVADEX 20 MCG/ML 10 ML,3333.07,3333.07,233.31,3333.07,59
HCPCS,J3490,VIT A 100000 IU INJ,4114.13,4114.13,287.99,4114.13,59
HCPCS,J3520,"Edetate disodium, per 150 mg ",,,0.54,10.86,27
HCPCS,J3535,BUDES/FORMT 160/4.5 6GM,1121.37,1121.37,78.5,1121.37,67
HCPCS,J3535,BUDES/FORMT 80/4.5 6.9GM,1045.23,1045.23,57.69,1266.25,134
HCPCS,J3535,BUDESONDE FLXHLR 180 MCG,1606.91,1606.91,112.48,1606.91,67
HCPCS,J3535,FLUTIC/SAL 115/21MCG 8GM,2280.45,2280.45,159.63,2280.45,67
HCPCS,J3535,FLUTIC/SAL 230/21MCG 8GM,2958.85,2958.85,207.12,2958.85,67
HCPCS,J3535,FLUTIC/SAL 45/21MCG 8GM,1741.06,1741.06,121.87,1741.06,67
HCPCS,J3535,FLUTIC/SAL100/50MCGINH14,1516.32,1516.32,106.14,1516.32,67
HCPCS,J3535,FLUTIC/SAL250/50MCGINH14,1857.6,1857.6,130.03,1857.6,67
HCPCS,J3535,FLUTIC/SAL500/50MCGINH14,2274.37,2274.37,159.21,2274.37,67
HCPCS,J3535,FLUTICASONE 110MCG 12GM,1961.77,1961.77,137.32,1961.77,67
HCPCS,J3535,FLUTICASONE 220MCG 12GM,2592.25,2592.25,181.46,2592.25,67
HCPCS,J3535,FLUTICASONE 44MCG 10.6GM,1749.84,1749.84,122.49,1749.84,67
HCPCS,J3535,IPRAT/ALBUTER INH 4GM,3455.1,3455.1,241.86,3455.1,67
HCPCS,J3535,IPRATROP HFA 17MCG PUFF,2272.68,2272.68,159.09,2272.68,67
HCPCS,J3535,MOMET/FOR 100/5MCGINH60,1145.09,1145.09,80.16,1145.09,67
HCPCS,J3535,MOMETASONE 220MCG INH30,1457.65,1457.65,102.04,1457.65,67
HCPCS,J3590,ANAKINRA 100MG INJ,1247.4,1247.4,87.32,1247.4,126
HCPCS,J3590,CALFACTANT 105 MG INST,8926.26,8926.26,624.84,8926.26,59
HCPCS,J3590,CALFACTANT 210 MG INST,15536.75,15536.75,1087.57,15536.75,59
HCPCS,J3590,COLLAGENASE 30 GM TOP,1814.3,1814.3,127.0,1814.3,59
HCPCS,J3590,DINUTUXIMAB 17.5 MG INJ,90855.48,90855.48,6359.88,90855.48,59
HCPCS,J3590,PORACTANT 240 MG INST,6377.85,6377.85,446.45,6377.85,59
HCPCS,J3590,THROMBIN 20000 U TOPICAL,2233.79,2233.79,156.37,2233.79,59
HCPCS,J3590,THROMBIN-JMI 5000 U TOP,423.19,423.19,29.62,423.19,59
HCPCS,J3590,TISSEEL 10 ML TOPICAL,8669.0,8669.0,606.83,8669.0,59
HCPCS,J3590,TISSEEL 4 ML TOPICAL,1597.96,1597.96,111.86,1597.96,59
HCPCS,J7030,"Infusion, normal saline solution , 1000 cc ",28.14,28.14,2.12,82.69,29
HCPCS,J7030,NS 1000 ML,28.14,28.14,1.97,28.14,47
HCPCS,J7040,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,1.32,41.35,29
HCPCS,J7040,NS 500 ML,309.56,309.56,1.69,594.98,94
HCPCS,J7042,5% dextrose/normal saline (500 ml = 1 unit) ,,,1.25,11.63,29
HCPCS,J7042,D5NS 1000 ML,21.66,21.66,1.52,21.66,47
HCPCS,J7042,D5NS 500 ML,22.9,22.9,1.6,22.9,47
HCPCS,J7050,"Infusion, normal saline solution, 250 cc ",,,0.68,20.65,29
HCPCS,J7050,NS 100 ML,14.67,14.67,1.03,14.67,47
HCPCS,J7050,NS 250 ML,25.25,25.25,1.77,25.25,47
HCPCS,J7060,5% dextrose/water (500 ml = 1 unit) ,,,1.81,42.07,29
HCPCS,J7060,D5W 100 ML,32.79,32.79,0.84,53.56,94
HCPCS,J7060,D5W 150 ML,30.05,30.05,2.1,30.05,47
HCPCS,J7060,D5W 25 ML,12.74,12.74,0.89,12.74,47
HCPCS,J7060,D5W 250 ML,17.46,17.46,1.22,17.46,47
HCPCS,J7060,D5W 50 ML,11.73,11.73,0.82,11.73,47
HCPCS,J7060,D5W 500 ML INJ,18.32,18.32,1.28,18.32,47
HCPCS,J7070,D5W 1000ML,22.32,22.32,1.56,22.32,47
HCPCS,J7070,"Infusion, d5w, 1000 cc ",22.32,22.32,2.98,84.14,29
HCPCS,J7100,DEXTRAN 40 500 ML,2661.98,2661.98,160.01,3038.17,94
HCPCS,J7100,"Infusion, dextran 40, 500 ml ",,,91.53,642.05,27
HCPCS,J7110,"Infusion, dextran 75, 500 ml ",,,87.86,124.18,6
HCPCS,J7120,LACTATED RINGERS 1000 ML,29.48,29.48,2.06,29.48,47
HCPCS,J7120,LACTATED RINGERS 500 ML,26.38,26.38,1.85,26.38,47
HCPCS,J7120,"Ringers lactate infusion, up to 1000 cc ",,,2.52,32.97,29
HCPCS,J7121,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,69.61,27
HCPCS,J7121,D5 LR 1000 ML,17.99,17.99,1.26,17.99,47
HCPCS,J7121,D5LR 500 ML,36.47,36.47,2.55,36.47,47
HCPCS,J7131,3% NACL 500 ML INJ,22.9,22.9,1.6,22.9,47
HCPCS,J7131,"Hypertonic saline solution, 1 ml ",22.9,22.9,0.17,1.45,27
HCPCS,J7165,BALFAXAR 1 U IX INJ,18.03,18.03,1.26,18.03,42
HCPCS,J7165,BALFAXAR 640 U IX INJ,11539.58,11539.58,807.77,11539.58,42
HCPCS,J7165,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,27.45,27
HCPCS,J7168,KCENTRA 1 U INJ,14.98,14.98,1.05,14.98,42
HCPCS,J7168,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",14.98,14.98,3.38,26.0,27
HCPCS,J7169,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,1520.14,27
HCPCS,J7170,HEMLIBRA 0.5 MG INJ,346.02,346.02,24.22,346.02,42
HCPCS,J7170,HEMLIBRA 0.5 MG INJJW,346.02,346.02,24.22,346.02,42
HCPCS,J7170,HEMLIBRA 30 MG INJ,20761.71,20761.71,1453.32,20761.71,42
HCPCS,J7170,HEMLIBRA 60 MG INJ,41523.38,41523.38,2906.64,41523.38,42
HCPCS,J7170,"Injection, emicizumab-kxwh, 0.5 mg ",,,53.97,491.14,29
HCPCS,J7171,"Injection, adamts13, recombinant-krhn, 10 iu ",,,34.51,304.37,29
HCPCS,J7172,"Injection, marstacimab-hncq, 0.5 mg ",,,48.68,433.67,29
HCPCS,J7173,"Injection, concizumab-mtci, 0.5 mg ",,,80.97,533.8,23
HCPCS,J7174,"Injection, fitusiran, 0.04 mg ",,,128.65,722.33,23
HCPCS,J7175,"Injection, factor x, (human), 1 i.u. ",,,9.65,84.75,29
HCPCS,J7177,FIBRYGA 1 MG INJ,6.3,6.3,0.44,6.3,42
HCPCS,J7177,FIBRYGA 1000 MG INJ,6296.4,6296.4,440.75,6296.4,42
HCPCS,J7177,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.2,10.35,29
HCPCS,J7178,HUMAN FIBRINOGEN 1MG INJ,8.31,8.31,0.58,8.31,42
HCPCS,J7178,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",8.31,8.31,1.47,13.0,29
HCPCS,J7179,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,1.78,15.82,29
HCPCS,J7180,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,10.46,92.19,29
HCPCS,J7181,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,17.78,156.42,29
HCPCS,J7182,FACT VIII NOVOEIGHT 1 IU,12.91,12.91,0.9,12.91,42
HCPCS,J7182,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.37,13.0,29
HCPCS,J7182,NOVOEIGHT 500 U INJ,6269.69,6269.69,438.88,6269.69,42
HCPCS,J7183,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.28,10.86,29
HCPCS,J7185,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.45,13.17,29
HCPCS,J7186,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.21,10.52,29
HCPCS,J7187,HUMATE-P 1200IU VWF:RCO,10132.62,10132.62,709.28,10132.62,42
HCPCS,J7187,HUMATE-P 2400IU VWF:RCO,20265.25,20265.25,1418.57,20265.25,42
HCPCS,J7187,HUMATE-P 600 IU VWF:RCO,5066.31,5066.31,354.64,5066.31,42
HCPCS,J7187,HUMATE-P PER IU VWF:RCO,8.96,8.96,0.63,8.96,42
HCPCS,J7187,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.45,12.74,29
HCPCS,J7188,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.14,27.62,29
HCPCS,J7189,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,2.56,22.66,29
HCPCS,J7189,NOVOSEVEN RT 1 MCGJW,13.61,13.61,0.95,13.61,42
HCPCS,J7189,NOVOSEVEN RT 1 MG INJ,13601.18,13601.18,952.08,13601.18,42
HCPCS,J7189,NOVOSEVEN RT 1 MICROGRAM,13.61,13.61,0.95,13.61,42
HCPCS,J7189,NOVOSEVEN RT 2 MG INJ,27202.36,27202.36,1904.17,27202.36,42
HCPCS,J7189,NOVOSEVEN RT 5 MG INJ,68005.89,68005.89,4760.41,68005.89,42
HCPCS,J7190,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.35,9.66,29
HCPCS,J7191,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,15
HCPCS,J7192,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.52,13.17,29
HCPCS,J7193,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.33,11.46,29
HCPCS,J7194,FAC IX COMPLEX 1 UNIT,8.64,8.64,0.6,8.64,42
HCPCS,J7194,"Factor ix, complex, per i.u. ",,,1.65,14.54,29
HCPCS,J7194,PROFILNINE 1 U INJ,8.4,8.4,0.59,8.4,42
HCPCS,J7194,PROFILNINE 1000 U INJ,8191.04,8191.04,573.37,8191.04,42
HCPCS,J7194,PROFILNINE 500 U INJ,4196.65,4196.65,293.77,4196.65,42
HCPCS,J7195,BENEFIX 1 U INJ,8.8,8.8,0.62,8.8,42
HCPCS,J7195,BENEFIX 1000 U INJ,8797.79,8797.79,615.85,8797.79,42
HCPCS,J7195,BENEFIX 500 U INJ,4398.89,4398.89,307.92,4398.89,42
HCPCS,J7195,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,1.78,16.08,29
HCPCS,J7196,"Injection, antithrombin recombinant, 50 i.u. ",,,484.73,1225.59,12
HCPCS,J7197,ANTITHROMBIN III PER IU,27.01,27.01,1.89,27.01,42
HCPCS,J7197,"Antithrombin iii (human), per i.u. ",,,3.98,34.98,29
HCPCS,J7197,THROMBATE III 1 U INJ,25.48,25.48,1.78,25.48,42
HCPCS,J7197,THROMBATE III 500 U INJ,12741.62,12741.62,891.91,12741.62,42
HCPCS,J7198,"Anti-inhibitor, per i.u. ",,,2.35,20.95,29
HCPCS,J7200,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,1.69,13.43,29
HCPCS,J7201,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,3.47,31.04,29
HCPCS,J7202,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,5.16,45.67,29
HCPCS,J7203,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,4.37,39.17,29
HCPCS,J7204,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.16,19.33,29
HCPCS,J7205,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.39,20.7,29
HCPCS,J7207,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.08,18.39,29
HCPCS,J7208,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.58,22.66,29
HCPCS,J7209,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.14,10.09,29
HCPCS,J7210,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.52,13.51,29
HCPCS,J7211,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.51,13.51,29
HCPCS,J7212,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,2.13,20.52,29
HCPCS,J7212,SEVENFACT 1 MG INJ,14728.11,14728.11,1030.97,14728.11,47
HCPCS,J7212,SEVENFACT 1MCG INJ,14.68,14.68,1.03,14.68,47
HCPCS,J7212,SEVENFACT 1MCG INJJW,14.68,14.68,1.03,14.68,47
HCPCS,J7212,SEVENFACT 5 MG INJ,73640.52,73640.52,5154.84,73640.52,47
HCPCS,J7213,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,1.91,16.33,29
HCPCS,J7214,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,4.36,39.94,29
HCPCS,J7294,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,21114.55,27
HCPCS,J7295,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,1070.45,27
HCPCS,J7296,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,10595.33,27
HCPCS,J7297,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,8127.56,27
HCPCS,J7298,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,10595.33,27
HCPCS,J7299,Intrauterine copper contraceptive (miudella) ,,,2350.26,6372.01,21
HCPCS,J7300,Intrauterine copper contraceptive (paragard) ,,,2349.6,9929.73,27
HCPCS,J7301,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,8822.33,27
HCPCS,J7304,"Contraceptive supply, hormone containing patch, each ",,,140.48,226.0,6
HCPCS,J7306,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,2732.54,21
HCPCS,J7307,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,10595.33,27
HCPCS,J7308,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,378.32,3368.38,29
HCPCS,J7309,"Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram ",,,506.41,715.72,6
HCPCS,J7310,"Ganciclovir, 4.5 mg, long-acting implant ",,,102624.96,145041.92,6
HCPCS,J7311,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,328.63,2905.63,29
HCPCS,J7312,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,197.68,1755.55,44
HCPCS,J7312,"Injection, dexamethasone, intravitreal implant, 0.1 mg Age 21+",,,226.12,226.12,4
HCPCS,J7312,"Injection, dexamethasone, intravitreal implant, 0.1 mg Age Under 21",,,230.23,230.23,4
HCPCS,J7313,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,494.52,4257.19,29
HCPCS,J7314,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,513.99,4554.62,29
HCPCS,J7315,"Mitomycin, ophthalmic, 0.2 mg ",,,1238.55,3750.91,12
HCPCS,J7316,"Injection, ocriplasmin, 0.125 mg ",,,3407.46,8953.35,12
HCPCS,J7318,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,6.53,57.13,29
HCPCS,J7320,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,3.57,51.48,29
HCPCS,J7321,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,72.2,627.63,29
HCPCS,J7322,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,17.59,149.15,29
HCPCS,J7323,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,102.41,979.03,29
HCPCS,J7324,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,105.82,835.53,29
HCPCS,J7325,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,6.75,77.74,29
HCPCS,J7326,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,510.99,4481.42,29
HCPCS,J7327,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,635.68,4520.42,29
HCPCS,J7328,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,0.66,5.56,29
HCPCS,J7329,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,3.17,46.61,29
HCPCS,J7330,"Autologous cultured chondrocytes, implant ",,,131717.55,574167.94,27
HCPCS,J7331,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,3.03,47.98,29
HCPCS,J7332,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,10.23,135.7,29
HCPCS,J7336,"Capsaicin 8% patch, per square centimeter ",,,3.32,28.91,29
HCPCS,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,236.72,2079.42,29
HCPCS,J7342,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,246.98,27
HCPCS,J7345,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,1.72,15.48,29
HCPCS,J7351,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,207.6,1816.1,29
HCPCS,J7352,"Afamelanotide implant, 1 mg ",,,4856.64,27482.62,27
HCPCS,J7353,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,499.61,27
HCPCS,J7354,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,647.06,5726.33,29
HCPCS,J7355,"Injection, travoprost, intracameral implant, 1 microgram ",,,190.97,1040.57,23
HCPCS,J7356,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.68,5.99,29
HCPCS,J7402,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,11.01,97.07,29
HCPCS,J7500,AZATHIOPRINE 50 MG PO,60.28,60.28,4.22,60.28,47
HCPCS,J7500,"Azathioprine, oral, 50 mg ",60.28,60.28,0.17,18.3,29
HCPCS,J7501,"Azathioprine, parenteral, 100 mg ",,,403.65,2180.76,27
HCPCS,J7502,CYCLOSPORINE 100 MG PO,26.575000000000003,26.575000000000003,1.83,26.96,94
HCPCS,J7502,CYCLOSPORINE 5000 MG PO,1428.86,1428.86,100.02,1428.86,47
HCPCS,J7502,"Cyclosporine, oral, 100 mg ",,,1.39,17.7,29
HCPCS,J7503,ENVARSUS XR 1 MG PO,44.09,44.09,3.09,44.09,47
HCPCS,J7503,ENVARSUS XR 4 MG PO,176.35,176.35,12.34,176.35,47
HCPCS,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,1.8,15.65,29
HCPCS,J7504,LYM IG EQUINE 250 MG,22279.31,22279.31,1559.55,22279.31,42
HCPCS,J7504,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",22279.31,22279.31,5133.66,42872.12,29
HCPCS,J7507,TACROLIMUS IMM 0.5 MG PO,18.91,18.91,1.32,18.91,47
HCPCS,J7507,TACROLIMUS IMM 1 MG PO,37.87,37.87,2.65,37.87,47
HCPCS,J7507,TACROLIMUS IMM 5 MG PO,189.58,189.58,13.27,189.58,47
HCPCS,J7507,"Tacrolimus, immediate release, oral, 1 mg ",,,0.22,20.15,29
HCPCS,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.57,5.05,29
HCPCS,J7509,METHYLPRED 4 MG PO,1.72,1.72,0.12,1.72,47
HCPCS,J7509,"Methylprednisolone oral, per 4 mg ",1.72,1.72,0.14,2.05,29
HCPCS,J7510,PREDNISOLON 15MG/5ML LIQ,7.35,7.35,0.51,7.35,47
HCPCS,J7510,PREDNISOLONE 5 MG PO,1.41,1.41,0.1,1.41,47
HCPCS,J7510,"Prednisolone oral, per 5 mg ",,,0.66,2.31,29
HCPCS,J7511,LYMPH IG RABIT 25MG INJ,6564.89,6564.89,459.54,6564.89,42
HCPCS,J7511,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",6564.89,6564.89,992.43,8521.13,29
HCPCS,J7512,PREDNISONE 10 MG PO,29.34,29.34,2.05,29.34,55
HCPCS,J7512,PREDNISONE 1MG/1ML LIQPO,3.23,3.23,0.23,3.23,47
HCPCS,J7512,PREDNISONE 2.5 MG PO,1.56,1.56,0.11,1.56,47
HCPCS,J7512,PREDNISONE 20 MG PO,29.34,29.34,2.05,29.34,47
HCPCS,J7512,PREDNISONE 5 MG PO,123.115,123.115,2.05,216.89,141
HCPCS,J7512,PREDNISONE IR/DR 1 MG PO,29.34,29.34,2.05,29.34,55
HCPCS,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,0.01,3.65,29
HCPCS,J7514,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,2.18,19.07,29
HCPCS,J7515,CYCLOSPORINE 25 MG PO,6.54,6.54,0.46,6.54,47
HCPCS,J7515,"Cyclosporine, oral, 25 mg ",6.54,6.54,0.61,6.59,29
HCPCS,J7516,CYCLOSPORIN 250 MG INJ,399.4,399.4,27.96,399.4,47
HCPCS,J7516,"Injection, cyclosporine, 250 mg ",399.4,399.4,71.97,621.64,29
HCPCS,J7517,MYCOPHE 200MG/1ML LIQ PO,24.95,24.95,1.75,24.95,55
HCPCS,J7517,MYCOPHENOLATE 250 MG PO,3.53,3.53,0.25,3.53,47
HCPCS,J7517,MYCOPHENOLATE 500 MG PO,7.44,7.44,0.52,7.44,47
HCPCS,J7517,"Mycophenolate mofetil, oral, 250 mg ",,,0.14,3.16,29
HCPCS,J7518,MYCOPHENOLIC 180 MG PO,23.85,23.85,1.67,23.85,47
HCPCS,J7518,MYCOPHENOLIC 360 MG PO,47.7,47.7,3.34,47.7,47
HCPCS,J7518,"Mycophenolic acid, oral, 180 mg ",,,0.31,10.93,29
HCPCS,J7519,"Injection, mycophenolate mofetil, 10 mg ",,,0.39,7.99,29
HCPCS,J7519,MYCOPHEN MOF 6 MG/ML INJ,5.26,5.26,0.37,5.26,47
HCPCS,J7519,MYCOPHENO MOF 10 MG INJ,8.8,8.8,0.62,8.8,47
HCPCS,J7519,MYCOPHENO MOF 10 MGINJJW,8.8,8.8,0.62,8.8,47
HCPCS,J7519,MYCOPHENO MOF 500 MG INJ,236.12,236.12,16.53,236.12,47
HCPCS,J7520,SIROLIMUS 0.5 MG PO,40.41,40.41,2.83,40.41,47
HCPCS,J7520,SIROLIMUS 1 MG PO,56.15,56.15,3.93,56.15,47
HCPCS,J7520,SIROLIMUS 1 MG/ML LIQ PO,150.59,150.59,10.54,150.59,47
HCPCS,J7520,"Sirolimus, oral, 1 mg ",,,1.23,50.34,29
HCPCS,J7521,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,1.24,10.69,29
HCPCS,J7525,TACROLIMUS 5 MG INJ,2813.12,2813.12,196.92,2813.12,42
HCPCS,J7525,"Tacrolimus, parenteral, 5 mg ",2813.12,2813.12,252.16,2242.59,29
HCPCS,J7527,"Everolimus, oral, 0.25 mg ",,,1.2,48.78,29
HCPCS,J7528,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.3,1.5,23
HCPCS,J7601,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,50.56,445.73,29
HCPCS,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",117.27,117.27,0.71,95.24,29
HCPCS,J7605,INH ARFORMOTEROL 15 MCG,117.27,117.27,8.21,117.27,47
HCPCS,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",142.58,142.58,1.73,94.41,29
HCPCS,J7606,INH FORMOTRL FUM 20 MCG,142.58,142.58,9.98,142.58,47
HCPCS,J7608,ACETYLCYSTN 20% 30ML INH,80.28,80.28,5.62,80.28,47
HCPCS,J7608,ACETYLCYSTN 20% 4 ML INH,79.09,79.09,5.54,79.09,47
HCPCS,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,5.28,76.03,29
HCPCS,J7609,"Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg ",,,0.35,4.36,12
HCPCS,J7610,"Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg ",,,7.44,10.52,6
HCPCS,J7611,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",5.2,5.2,0.23,1.37,29
HCPCS,J7611,INH ALBUTERLNCCONC 2.5MG,5.2,5.2,0.36,5.2,47
HCPCS,J7612,INH LEVLBUT NCCNC 1.25MG,33.88,33.88,2.37,33.88,47
HCPCS,J7612,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",33.88,33.88,0.31,8.55,29
HCPCS,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",1.45,1.45,0.08,0.68,29
HCPCS,J7613,INH ALBUTERL NC UD 2.5MG,1.45,1.45,0.1,1.45,47
HCPCS,J7614,INH LEVLBUT NC UD1.25 MG,10.72,10.72,0.75,10.72,47
HCPCS,J7614,INH LEVLBUT NCUD 0.63 MG,91.32,91.32,6.39,91.32,47
HCPCS,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.09,6.44,29
HCPCS,J7615,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,12.31,21
HCPCS,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.2,1.71,29
HCPCS,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.07,31.3,29
HCPCS,J7626,INH BUDESOND NC 0.5 MG,103.38,103.38,7.24,103.38,47
HCPCS,J7626,INHBUDESOND NC 0.25MG,88.2,88.2,6.17,88.2,47
HCPCS,J7627,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,0.07,7.72,27
HCPCS,J7628,"Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,0.76,1.88,12
HCPCS,J7631,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,0.79,34.69,29
HCPCS,J7632,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,2.31,21
HCPCS,J7633,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram ",,,29.17,41.22,6
HCPCS,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",1400.5,1400.5,53.51,471.73,29
HCPCS,J7639,INH DORNASEALFA UD 2.5MG,1400.5,1400.5,98.03,1400.5,47
HCPCS,J7640,"Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms ",,,10.47,14.79,6
HCPCS,J7641,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,72.86,21
HCPCS,J7643,"Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,2.55,6.5,12
HCPCS,J7644,INH IPRATROP NC 0.5MG,25.68,25.68,1.8,25.68,47
HCPCS,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",25.68,25.68,0.43,3.34,29
HCPCS,J7645,"Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,0.3,0.43,6
HCPCS,J7665,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,57.38,27
HCPCS,J7669,"Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,2.6,3.68,6
HCPCS,J7674,INH METHACHOLINE 100 MG,1101.05,1101.05,77.07,1101.05,47
HCPCS,J7674,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",1101.05,1101.05,1.8,14.79,27
HCPCS,J7676,INH PENTAMIDINE UD 300MG,3067.06,3067.06,214.69,3067.06,59
HCPCS,J7677,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.19,1.62,29
HCPCS,J7680,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,91.68,21
HCPCS,J7681,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,91.68,21
HCPCS,J7682,INH TOBRAMYCIN NC 300 MG,709.51,709.51,49.67,709.51,47
HCPCS,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",709.51,709.51,7.54,308.75,29
HCPCS,J7683,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,32.93,21
HCPCS,J7685,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,420.93,21
HCPCS,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,765.5,6842.88,29
HCPCS,J7999,CMPD AMIODAR 5MG/MLPO,0.07,0.07,0.005,0.07,67
HCPCS,J7999,CMPD APIXAB 0.25MG/ML PO,1.56,1.56,0.11,1.56,67
HCPCS,J7999,CMPD ATENOLOL 2MG/MLPO,0.08,0.08,0.006,0.08,67
HCPCS,J7999,CMPD AZATHIOP 50MG/ML PO,3.8,3.8,0.27,3.8,67
HCPCS,J7999,CMPD BECLOM 0.5MG/ML PO,0.63,0.63,0.04,0.63,67
HCPCS,J7999,CMPD BETHANECOL 5MG/MLPO,4.51,4.51,0.32,4.51,67
HCPCS,J7999,CMPD BOSENT 6.25MG/1MLPO,61.474999999999994,61.474999999999994,3.48,73.22,134
HCPCS,J7999,CMPD BUF LIDOC 1% 1S,32.49,32.49,2.27,32.49,59
HCPCS,J7999,CMPD BUPI/KETOR/KETM 50S,303.83,303.83,21.27,303.83,59
HCPCS,J7999,CMPD CARDIOPLEGIA,1500.97,1500.97,80.91,5464.09,236
HCPCS,J7999,CMPD CARVED 1.25MG/ML PO,0.2,0.2,0.01,0.2,67
HCPCS,J7999,CMPD CLONAZ 0.1 MG/ML PO,0.67,0.67,0.05,0.67,67
HCPCS,J7999,CMPD CLONID 10 MCG/ML PO,0.09,0.09,0.006,0.09,67
HCPCS,J7999,CMPD CLOPIDOG 5MG/ML PO,1.49,1.49,0.1,1.49,67
HCPCS,J7999,CMPD CYCLOPHOS 10 MG PO,42.29,42.29,2.96,42.29,67
HCPCS,J7999,CMPD DEXMED 200MCG 50B,19.23,19.23,1.35,19.23,59
HCPCS,J7999,CMPD DEXMED 20MCG 5S,1.91,1.91,0.13,1.91,59
HCPCS,J7999,CMPD DILTIAZ 12MG/ML PO,0.57,0.57,0.04,0.57,67
HCPCS,J7999,CMPD EPI 100 MCG 10S,22.855,22.855,0.25,42.08,118
HCPCS,J7999,CMPD FENTPF 10MCG/ML 1S,0.45,0.45,0.03,0.45,59
HCPCS,J7999,CMPD FENTPF 10MCG/ML100C,45.9,45.9,3.21,45.9,59
HCPCS,J7999,CMPD FLECAINID 20MG/MLPO,9.09,9.09,0.64,9.09,67
HCPCS,J7999,CMPD FLECAINID 5MG/ML PO,0.77,0.77,0.05,0.77,67
HCPCS,J7999,CMPD FLUCYTOSN 50MG/MLPO,71.51,71.51,5.01,71.51,67
HCPCS,J7999,CMPD FOLIC ACID 1MG/MLPO,0.04,0.04,0.003,0.04,67
HCPCS,J7999,CMPD FTBP 2MCG-0.1%100C,3155.96,3155.96,220.92,3155.96,59
HCPCS,J7999,CMPD FTBP 2MCG-0.1%250C,4134.76,4134.76,289.43,4134.76,59
HCPCS,J7999,CMPD HYMOR 50MG 50C,55.89,55.89,3.91,55.89,59
HCPCS,J7999,CMPD INSU DRIP 100U 100B,38.77,38.77,2.71,38.77,67
HCPCS,J7999,CMPD ISRADIPIN 1MG/ML PO,7.25,7.25,0.51,7.25,67
HCPCS,J7999,CMPD LANSOPRAZ 3MG/ML PO,0.27,0.27,0.02,0.27,67
HCPCS,J7999,CMPD LETS KIT,173.82,173.82,12.17,173.82,59
HCPCS,J7999,CMPD LEUCOVOR 5MG/ML PO,10.06,10.06,0.7,10.06,67
HCPCS,J7999,CMPD METHADNE 1MG 1S,6.43,6.43,0.13,11.07,118
HCPCS,J7999,CMPD METHIMAZ 3MG/ML PO,1.89,1.89,0.13,1.89,67
HCPCS,J7999,CMPD METOPROL 10MG/ML PO,0.1,0.1,0.007,0.1,67
HCPCS,J7999,CMPD MORPH 0.2MG/0.5MLPO,0.15,0.15,0.01,0.15,59
HCPCS,J7999,CMPD MORPH 0.4MG/ML PO,1.18,1.18,0.08,1.18,67
HCPCS,J7999,CMPD MORPH 100MG 100B,11.75,11.75,0.82,11.75,59
HCPCS,J7999,CMPD MORPH 20MG 20S,2.34,2.34,0.16,2.34,59
HCPCS,J7999,CMPD MORPH 50MG 50S,44.51,44.51,3.12,44.51,59
HCPCS,J7999,CMPD NIFEDIPINE 4MG/MLPO,1.39,1.39,0.06,1.92,134
HCPCS,J7999,CMPD NOREPI 1.6MG 50S,6.49,6.49,0.45,6.49,59
HCPCS,J7999,CMPD NOREPI 16MG 250B,315.27,315.27,22.07,315.27,59
HCPCS,J7999,CMPD OXYTOCIN 30U 500B,59.24,59.24,4.15,59.24,59
HCPCS,J7999,CMPD PROBENEC 50MG/ML PO,0.81,0.81,0.06,0.81,67
HCPCS,J7999,CMPD PROPYLTHI 5MG/ML PO,0.81,0.81,0.06,0.81,67
HCPCS,J7999,CMPD PYRAZIN 100MG/ML PO,2.77,2.77,0.19,2.77,67
HCPCS,J7999,CMPD QUETIAPIN 10MG/MLPO,0.23,0.23,0.02,0.23,67
HCPCS,J7999,CMPD RIFAMPIN 25MG/ML PO,4.28,4.28,0.3,4.28,67
HCPCS,J7999,CMPD SUCNYCHLN 200MG10S,137.67,137.67,9.64,137.67,59
HCPCS,J7999,CMPD SULFASAL 100MG/MLPO,0.34,0.34,0.02,0.34,67
HCPCS,J7999,CMPD TACROL 1MG/ML PO,7.82,7.82,0.55,7.82,67
HCPCS,J7999,CMPD TEMOZOL 10MG/ML PO,129.5,129.5,9.06,129.5,67
HCPCS,J7999,CMPD TOBRA BONE CEMENT,138.01,138.01,9.66,138.01,59
HCPCS,J7999,CMPD TPN SOLUTION,14402.665,14402.665,639.41,16891.31,590
HCPCS,J7999,CMPD URSODIOL 25MG/ML PO,3.01,3.01,0.21,3.01,67
HCPCS,J7999,CMPD URSODIOL 60MG/ML PO,11.34,11.34,0.26,18.9,134
HCPCS,J7999,CMPD VANCOMYCIN OPHTHAL,0.59,0.59,0.04,0.59,67
HCPCS,J7999,CMPD VIT K 10MG/10ML PO,26.52,26.52,1.86,26.52,67
HCPCS,J7999,CMPDHYDROXURE500MG/5MLPO,3.2,3.2,0.22,3.2,67
HCPCS,J7999,CMPDHYDROXUREA100MG/MLPO,27.73,27.73,1.94,27.73,67
HCPCS,J8499,ALBENDAZOLE 200 MG PO,1762.04,1762.04,123.34,1762.04,59
HCPCS,J8499,ALVIMOPAN 12MG PO,953.25,953.25,66.73,953.25,59
HCPCS,J8499,BIKTARVY PO,785.76,785.76,55.0,785.76,59
HCPCS,J8499,BOSENTAN 125MG PO,1696.27,1696.27,118.74,1696.27,59
HCPCS,J8499,BOSENTAN 62.5MG PO,1702.15,1702.15,119.15,1702.15,59
HCPCS,J8499,BRIVARACETAM 50 MG PO,147.39,147.39,10.32,147.39,67
HCPCS,J8499,BUPROPION IR 100 MG PO,53.34,53.34,3.73,53.34,67
HCPCS,J8499,BUPROPION IR 75 MG PO,41.37,41.37,2.9,41.37,67
HCPCS,J8499,BUPROPION SR 100 MG PO,1.34,1.34,0.09,1.34,67
HCPCS,J8499,BUPROPION SR 150 MG PO,5.53,5.53,0.39,5.53,67
HCPCS,J8499,BUPROPION XL 300 MG PO,13.31,13.31,0.93,13.31,67
HCPCS,J8499,CEFIXIME LIQ PO,100.17,100.17,7.01,100.17,59
HCPCS,J8499,DEFERASIROX 500 MG PO,1114.57,1114.57,78.02,1114.57,59
HCPCS,J8499,DIAZOXIDE 50MG/ML PO30ML,2653.99,2653.99,185.78,2653.99,59
HCPCS,J8499,ELTROMBOPAG 25 MG PO,1305.86,1305.86,91.41,1305.86,59
HCPCS,J8499,ELTROMBOPAG 50 MG PO,2363.29,2363.29,165.43,2363.29,59
HCPCS,J8499,ETHOSUXIMIDE LIQ PO,2.23,2.23,0.16,2.23,59
HCPCS,J8499,FIDAXOMICIN 200 MG PO,1439.11,1439.11,100.74,1439.11,59
HCPCS,J8499,FLUCYTOSINE 500 MG PO,410.01,410.01,28.7,410.01,59
HCPCS,J8499,GENVOYA PO,1618.97,1618.97,113.33,1618.97,59
HCPCS,J8499,ISAVUCONAZONI 74.5 MG PO,273.29,273.29,19.13,273.29,59
HCPCS,J8499,ISAVUCONAZONIUM 186MG PO,643.24,643.24,45.03,643.24,59
HCPCS,J8499,LETERMOVIR 120 MG PO,392.67,392.67,27.49,392.67,59
HCPCS,J8499,LETERMOVIR 480 MG PO,1842.75,1842.75,128.99,1842.75,59
HCPCS,J8499,LINEZOLID 600MG PO,40.42,40.42,2.83,40.42,59
HCPCS,J8499,LINEZOLID LIQ PO,22.09,22.09,1.55,22.09,59
HCPCS,J8499,MACITENTAN 10MG PO,2456.38,2456.38,171.95,2456.38,59
HCPCS,J8499,NIMODIPINE 30 MG/5 ML PO,315.82,315.82,22.11,315.82,67
HCPCS,J8499,POSACONAZOLE 40/1PO105ML,8332.1,8332.1,583.25,8332.1,59
HCPCS,J8499,POSACONAZOLE LIQ PO,70.33,70.33,4.92,70.33,59
HCPCS,J8499,PYRIMETHAMINE 25 MG PO,6076.37,6076.37,425.35,6076.37,59
HCPCS,J8499,RUXOLITINIB 5 MG PO,1977.8,1977.8,138.45,1977.8,59
HCPCS,J8499,TEDIZOLID 200 MG PO,3335.15,3335.15,233.46,3335.15,59
HCPCS,J8499,TERBUTALINE 5 MG PO,32.72,32.72,2.29,32.72,67
HCPCS,J8499,THALIDOMIDE 50MG PO,1208.18,1208.18,84.57,1208.18,59
HCPCS,J8499,TOLVAPTAN 15MG PO,3389.46,3389.46,237.26,3389.46,59
HCPCS,J8499,TOLVAPTAN 30MG PO,4089.43,4089.43,286.26,4089.43,59
HCPCS,J8499,TRIUMEQ PO,743.6,743.6,52.05,743.6,59
HCPCS,J8499,VALGANCICLOVIR 50MG/MLPO,74.32,74.32,5.2,74.32,67
HCPCS,J8499,VALGANCICLOVIR LIQ PO,44.72,44.72,3.13,44.72,59
HCPCS,J8499,VORICONAZOLE LIQ PO,63.32,63.32,4.43,63.32,59
HCPCS,J8501,APREPITANT 40 MG PO,659.77,659.77,46.18,659.77,47
HCPCS,J8501,"Aprepitant, oral, 5 mg ",659.77,659.77,2.32,40.4,29
HCPCS,J8502,"Injection, aprepitant (aponvie), 1 mg ",,,1.89,3.22,17
HCPCS,J8510,BUSULFAN 2 MG PO,162.7,162.7,11.39,162.7,42
HCPCS,J8510,"Busulfan; oral, 2 mg ",162.7,162.7,16.7,1198.22,27
HCPCS,J8515,"Cabergoline, oral, 0.25 mg ",,,0.15,43.96,29
HCPCS,J8522,"Capecitabine, oral, 50 mg ",,,0.03,0.43,29
HCPCS,J8530,CYCLOPHOSPHAMIDE 25MG PO,45.4,45.4,3.18,45.4,47
HCPCS,J8530,CYCLOPHOSPHAMIDE 50MG PO,83.38,83.38,5.84,83.38,47
HCPCS,J8530,"Cyclophosphamide; oral, 25 mg ",,,1.6,26.92,29
HCPCS,J8540,DEXAMETH 0.5MG/5ML LIQ,1.1,1.1,0.08,1.1,47
HCPCS,J8540,DEXAMETHAS 1MG/ML LIQ PO,5.11,5.11,0.36,5.11,47
HCPCS,J8540,DEXAMETHASONE 0.75 MG PO,27.61,27.61,1.93,27.61,47
HCPCS,J8540,DEXAMETHASONE 1 MG PO,1.29,1.29,0.08,1.39,94
HCPCS,J8540,DEXAMETHASONE 2 MG PO,2.58,2.58,0.18,2.58,47
HCPCS,J8540,DEXAMETHASONE 4 MG PO,5.63,5.63,0.39,5.63,47
HCPCS,J8540,DEXAMETHASONE 6 MG PO,8.49,8.49,0.59,8.49,47
HCPCS,J8540,"Dexamethasone, oral, 0.25 mg ",,,0.03,0.17,29
HCPCS,J8541,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,3.16,27
HCPCS,J8560,ETOPOSIDE 50 MG PO,1821.08,1821.08,127.48,1821.08,47
HCPCS,J8560,"Etoposide; oral, 50 mg ",1821.08,1821.08,84.23,647.9,29
HCPCS,J8565,"Gefitinib, oral, 250 mg ",,,480.15,1484.18,27
HCPCS,J8600,"Melphalan; oral, 2 mg ",,,7.72,79.88,27
HCPCS,J8610,METHOTREXATE 2.5 MG PO,18.0,18.0,1.26,18.0,47
HCPCS,J8610,"Methotrexate; oral, 2.5 mg ",18.0,18.0,0.14,11.38,29
HCPCS,J8611,"Methotrexate (jylamvo), oral, 2.5 mg ",,,18.15,158.47,29
HCPCS,J8612,"Methotrexate (xatmep), oral, 2.5 mg ",,,21.63,193.79,29
HCPCS,J8650,"Nabilone, oral, 1 mg ",,,241.92,341.91,6
HCPCS,J8655,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,385.86,3502.22,29
HCPCS,J8670,"Rolapitant, oral, 1 mg ",,,7.28,19.43,27
HCPCS,J8700,TEMOZOLOMIDE 100 MG PO,3301.35,3301.35,231.09,3301.35,47
HCPCS,J8700,TEMOZOLOMIDE 140 MG PO,3133.76,3133.76,219.36,3133.76,47
HCPCS,J8700,TEMOZOLOMIDE 20 MG PO,578.66,578.66,40.51,578.66,47
HCPCS,J8700,TEMOZOLOMIDE 5 MG PO,151.65,151.65,10.62,151.65,47
HCPCS,J8700,"Temozolomide, oral, 5 mg ",,,0.39,22.81,29
HCPCS,J8705,"Topotecan, oral, 0.25 mg ",,,121.46,1068.14,29
HCPCS,J8999,DASATINIB 100 MG PO,5181.05,5181.05,362.67,5181.05,67
HCPCS,J8999,DASATINIB 50 MG PO,1931.63,1931.63,135.21,1931.63,59
HCPCS,J8999,DASATINIB 70 MG PO,1109.8,1109.8,77.69,1109.8,67
HCPCS,J8999,ERLOTINIB 100 MG PO,872.81,872.81,61.1,872.81,67
HCPCS,J8999,ERLOTINIB 150 MG PO,1948.92,1948.92,136.42,1948.92,67
HCPCS,J8999,MIDOSTAURIN 25 MG PO,1285.32,1285.32,89.97,1285.32,67
HCPCS,J8999,SORAFENIB 200 MG PO,695.14,695.14,48.66,695.14,59
HCPCS,J8999,VENCLEXTA 100 MG PO,81.32,81.32,5.69,81.32,59
HCPCS,J8999,VENCLEXTA 50 MG PO,406.53,406.53,28.46,406.53,67
HCPCS,J9000,DOXORUBICIN 10 MG INJ,1703.58,1703.58,119.25,1703.58,47
HCPCS,J9000,DOXORUBICIN 50 MG INJ,1568.11,1568.11,109.77,1568.11,47
HCPCS,J9000,"Injection, doxorubicin hydrochloride, 10 mg ",,,2.65,23.26,29
HCPCS,J9011,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,49.97,318.57,23
HCPCS,J9015,ALDESLEUKIN SINGLE VIAL,32532.32,32532.32,2277.26,32532.32,42
HCPCS,J9015,"Injection, aldesleukin, per single use vial ",32532.32,32532.32,5509.14,52861.62,27
HCPCS,J9017,ARSENIC TRIOX 10 MG INJ,8592.14,8592.14,601.45,8592.14,47
HCPCS,J9017,"Injection, arsenic trioxide, 1 mg ",8592.14,8592.14,6.26,227.88,29
HCPCS,J9019,ERWINAZE 10000 U INJ,41879.31,41879.31,2931.55,41879.31,53
HCPCS,J9019,"Injection, asparaginase (erwinaze), 1,000 iu ",41879.31,41879.31,2487.87,3516.15,6
HCPCS,J9021,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,54.6,472.93,29
HCPCS,J9021,RYLAZE 0.1 MG INJ,304.92,304.92,21.34,304.92,42
HCPCS,J9021,RYLAZE 0.1 MG INJJW,304.92,304.92,21.34,304.92,42
HCPCS,J9021,RYLAZE 10 MG INJ,30492.97,30492.97,2134.51,30492.97,42
HCPCS,J9022,ATEZOLIZUMAB 1200 MG INJ,64405.36,64405.36,4508.38,64405.36,42
HCPCS,J9022,"Injection, atezolizumab, 10 mg ",64405.36,64405.36,91.18,778.4,29
HCPCS,J9023,"Injection, avelumab, 10 mg ",,,102.38,857.77,29
HCPCS,J9024,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,30.99,270.59,29
HCPCS,J9025,AZACITIDINE 100 MG INJ,5530.55,5530.55,387.14,5530.55,47
HCPCS,J9025,"Injection, azacitidine, 1 mg ",5530.55,5530.55,0.4,5.77,29
HCPCS,J9026,"Injection, tarlatamab-dlle, 1 mg ",,,1520.69,13405.17,29
HCPCS,J9027,CLOFARABINE 20 MG INJ,55936.88,55936.88,3915.58,55936.88,42
HCPCS,J9027,"Injection, clofarabine, 1 mg ",55936.88,55936.88,10.61,445.33,29
HCPCS,J9028,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,91.76,804.91,29
HCPCS,J9029,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,62353.83,888000.0,29
HCPCS,J9030,"Bcg live intravesical instillation, 1 mg ",,,3.29,26.68,29
HCPCS,J9032,"Injection, belinostat, 10 mg ",,,51.52,445.05,29
HCPCS,J9033,BENDAMUS HCL 1 MG INJ,8.35,8.35,0.58,8.35,42
HCPCS,J9033,BENDAMUS HCL 1 MG INJ JW,8.35,8.35,0.58,8.35,42
HCPCS,J9033,BENDAMUS HCL 100 MG INJ,2003.4,2003.4,140.24,2003.4,42
HCPCS,J9033,"Injection, bendamustine hydrochloride, 1 mg ",,,2.1,169.89,29
HCPCS,J9034,"Injection, bendamustine hcl (bendeka), 1 mg ",,,12.51,112.2,29
HCPCS,J9035,BEVACIZUMAB 10 MG INJ,757.0,757.0,52.99,757.0,42
HCPCS,J9035,"Injection, bevacizumab, 10 mg ",757.0,757.0,72.13,624.72,29
HCPCS,J9036,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,13.52,102.54,29
HCPCS,J9038,"Injection, axatilimab-csfr, 0.1 mg ",,,53.98,457.96,29
HCPCS,J9039,BLINATUMOMAB 1 MCG INJ,857.3,857.3,60.01,857.3,42
HCPCS,J9039,BLINATUMOMAB 1 MCG INJJW,857.3,857.3,60.01,857.3,42
HCPCS,J9039,"Injection, blinatumomab, 1 microgram ",,,159.04,1395.77,29
HCPCS,J9040,BLEOMYCIN SULF 15 U INJ,3903.24,3903.24,273.23,3903.24,47
HCPCS,J9040,"Injection, bleomycin sulfate, 15 units ",3903.24,3903.24,16.1,178.74,29
HCPCS,J9041,BORTEZOMIB 0.1 MG INJ,5.72,5.72,0.4,5.72,47
HCPCS,J9041,BORTEZOMIB 0.1 MG INJJW,5.72,5.72,0.4,5.72,47
HCPCS,J9041,BORTEZOMIB 3.5 MG INJ,200.34,200.34,14.02,200.34,47
HCPCS,J9041,"Injection, bortezomib, 0.1 mg ",,,2.18,250.19,29
HCPCS,J9042,BRENTUXIMAB 50 MG INJ,69750.28,69750.28,4882.52,69750.28,42
HCPCS,J9042,"Injection, brentuximab vedotin, 1 mg ",69750.28,69750.28,260.67,2210.86,29
HCPCS,J9043,CABAZITAXEL 1 MG INJ,168811.75,168811.75,11816.82,168811.75,42
HCPCS,J9043,CABAZITAXEL 60 MG INJ,96224.25,96224.25,6735.7,96224.25,42
HCPCS,J9043,"Injection, cabazitaxel, 1 mg ",,,224.12,1942.16,29
HCPCS,J9045,CARBOPLATIN 50 MG INJ,65.62,65.62,4.59,65.62,94
HCPCS,J9045,"Injection, carboplatin, 50 mg ",,,2.85,18.04,29
HCPCS,J9046,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,399.55,27
HCPCS,J9047,CARFILZOMIB 30 MG INJ,10060.56,10060.56,704.24,10060.56,42
HCPCS,J9047,CARFILZOMIB 60 MG INJ,20121.06,20121.06,1408.47,20121.06,42
HCPCS,J9047,"Injection, carfilzomib, 1 mg ",,,54.55,471.13,29
HCPCS,J9048,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,10.32,399.55,27
HCPCS,J9049,505HS BORTEZ 2.5 MG INJ,1036.85,1036.85,72.58,1036.85,47
HCPCS,J9049,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",1036.85,1036.85,1.22,44.07,29
HCPCS,J9050,CARMUSTINE 100 MG INJ,40015.84,40015.84,2801.11,40015.84,42
HCPCS,J9050,"Injection, carmustine, 100 mg ",40015.84,40015.84,234.55,14325.16,29
HCPCS,J9051,"Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg ",,,11.76,29.85,12
HCPCS,J9052,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,70.66,2137.14,12
HCPCS,J9054,"Injection, bortezomib (boruzu), 0.1 mg ",,,24.65,222.44,29
HCPCS,J9055,"Injection, cetuximab, 10 mg ",,,78.05,671.08,29
HCPCS,J9056,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,30.79,239.97,29
HCPCS,J9057,"Injection, copanlisib, 1 mg ",,,276.86,763.78,12
HCPCS,J9060,CISPLATIN 10MG INJ,32.9,32.9,2.3,32.9,47
HCPCS,J9060,"Injection, cisplatin, powder or solution, 10 mg ",32.9,32.9,2.1,16.68,29
HCPCS,J9061,AMIVANTAM-VMJW 2MG INJ,120.74,120.74,8.45,120.74,42
HCPCS,J9061,AMIVANTAM-VMJW 350MG INJ,21130.82,21130.82,1479.16,21130.82,42
HCPCS,J9061,"Injection, amivantamab-vmjw, 2 mg ",,,21.95,189.94,29
HCPCS,J9063,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,69.0,594.54,29
HCPCS,J9064,"Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg ",,,768.83,1236.82,6
HCPCS,J9065,CLADRIBINE 10 MG INJ,8116.09,8116.09,568.13,8116.09,42
HCPCS,J9065,"Injection, cladribine, per 1 mg ",8116.09,8116.09,8.47,134.25,29
HCPCS,J9071,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.5,20.26,29
HCPCS,J9072,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,8.83,76.97,29
HCPCS,J9073,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.48,9.92,29
HCPCS,J9074,"Injection, cyclophosphamide (sandoz), 5 mg ",,,3.54,36.0,29
HCPCS,J9075,CYCLOPHOS NOS 1 G INJ,1043.44,1043.44,73.04,1043.44,42
HCPCS,J9075,CYCLOPHOS NOS 5 MG INJ,6.35,6.35,0.44,6.35,42
HCPCS,J9075,CYCLOPHOS NOS 5 MG INJJW,6.35,6.35,0.44,6.35,42
HCPCS,J9075,CYCLOPHOS NOS 500 MGINJ,506.82,506.82,35.48,506.82,42
HCPCS,J9075,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.75,5.7,29
HCPCS,J9076,"Injection, cyclophosphamide (baxter), 5 mg ",,,3.61,43.02,29
HCPCS,J9098,"Injection, cytarabine liposome, 10 mg ",,,3802.27,5373.82,6
HCPCS,J9100,CYTARABINE 100 MG INJ,372.865,372.865,9.59,608.67,94
HCPCS,J9100,CYTARABINE 2000 MG INJ,1248.25,1248.25,87.38,1248.25,47
HCPCS,J9100,"Injection, cytarabine, 100 mg ",,,0.78,6.93,29
HCPCS,J9118,CALASPAR 10 U INJ,1609.97,1609.97,112.7,1609.97,42
HCPCS,J9118,CALASPAR 10 U INJ JW,1609.97,1609.97,112.7,1609.97,42
HCPCS,J9118,CALASPARG 3750 UNITS INJ,134166.81,134166.81,9391.68,134166.81,42
HCPCS,J9118,"Injection, calaspargase pegol-mknl, 10 units ",,,79.62,700.49,29
HCPCS,J9119,"Injection, cemiplimab-rwlc, 1 mg ",,,28.87,245.44,29
HCPCS,J9120,DACTINOMYCIN 0.5 MG INJ,10245.36,10245.36,717.18,10245.36,42
HCPCS,J9120,"Injection, dactinomycin, 0.5 mg ",10245.36,10245.36,327.54,5826.45,29
HCPCS,J9130,DACARBAZINE 100 MG INJ,190.67,190.67,13.35,190.67,47
HCPCS,J9130,DACARBAZINE 200 MG INJ,475.25,475.25,33.27,475.25,47
HCPCS,J9130,"Dacarbazine, 100 mg ",,,3.73,32.67,29
HCPCS,J9144,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,53.38,467.54,29
HCPCS,J9145,DARATUMUMAB 100MG INJ,4960.12,4960.12,347.21,4960.12,42
HCPCS,J9145,DARATUMUMAB 400MG INJ,19840.41,19840.41,1388.83,19840.41,42
HCPCS,J9145,"Injection, daratumumab, 10 mg ",,,68.65,597.27,29
HCPCS,J9150,DAUNORUBICIN 20 MG INJ,1590.14,1590.14,111.31,1590.14,47
HCPCS,J9150,"Injection, daunorubicin, 10 mg ",1590.14,1590.14,24.01,257.3,29
HCPCS,J9151,"Injection, daunorubicin citrate, liposomal formulation, 10 mg ",,,348.9,493.11,6
HCPCS,J9153,DAUNO/CYT 44/100 MG INJ,61764.64,61764.64,4323.52,61764.64,42
HCPCS,J9153,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",61764.64,61764.64,253.36,2181.53,29
HCPCS,J9155,DEGARELIX 120 MG INJ,4901.39,4901.39,343.1,4901.39,42
HCPCS,J9155,"Injection, degarelix, 1 mg ",4901.39,4901.39,4.33,37.29,29
HCPCS,J9160,"Injection, denileukin diftitox, 300 micrograms ",,,,,0
HCPCS,J9161,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,8584.68,21
HCPCS,J9171,DOCETAXEL 1 MG INJ,6.06,6.06,0.42,6.06,47
HCPCS,J9171,DOCETAXEL 80 MG INJ,486.54,486.54,34.06,486.54,47
HCPCS,J9171,"Injection, docetaxel, 1 mg ",,,0.54,13.43,29
HCPCS,J9172,"Injection, docetaxel (docivyx), 1 mg ",,,3.83,419.73,29
HCPCS,J9173,"Injection, durvalumab, 10 mg ",,,83.57,729.06,29
HCPCS,J9174,"Injection, docetaxel (beizray), 1 mg ",,,76.05,431.79,27
HCPCS,J9175,"Injection, elliotts' b solution, 1 ml ",,,19.04,88.94,27
HCPCS,J9176,ELOTUZUMAB 300 MG INJ,19575.9,19575.9,1370.31,19575.9,42
HCPCS,J9176,ELOTUZUMAB 400 MG INJ,17674.75,17674.75,1237.23,17674.75,42
HCPCS,J9176,"Injection, elotuzumab, 1 mg ",,,7.8,67.39,29
HCPCS,J9177,ENFORT V-EJFV 0.25 MGINJ,201.04,201.04,14.07,201.04,42
HCPCS,J9177,ENFORT V-EJFV 20 MG INJ,16084.78,16084.78,1125.93,16084.78,42
HCPCS,J9177,ENFORT V-EJFV 30 MG INJ,24127.18,24127.18,1688.9,24127.18,42
HCPCS,J9177,ENFORT-EJFV 0.25 MGINJJW,201.04,201.04,14.07,201.04,42
HCPCS,J9177,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,35.61,313.52,29
HCPCS,J9178,EPIRUBICIN 50 MG INJ,16275.32,16275.32,1139.27,16275.32,47
HCPCS,J9178,"Injection, epirubicin hcl, 2 mg ",16275.32,16275.32,1.72,13.6,29
HCPCS,J9179,ERIBULIN 1 MG INJ,16495.4,16495.4,1154.68,16495.4,42
HCPCS,J9179,"Injection, eribulin mesylate, 0.1 mg ",16495.4,16495.4,74.46,894.37,29
HCPCS,J9181,ETOPOSIDE 100 MG INJ,622.955,622.955,5.82,1162.77,94
HCPCS,J9181,"Injection, etoposide, 10 mg ",,,0.87,11.12,29
HCPCS,J9183,"Gemcitabine intravesical system, 225 mg ",,,70895.65,120595.63,17
HCPCS,J9184,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,398.13,2181.82,23
HCPCS,J9185,FLUDARABINE PHOS 50MGINJ,4405.37,4405.37,308.38,4405.37,47
HCPCS,J9185,"Injection, fludarabine phosphate, 50 mg ",4405.37,4405.37,211.2,612.75,29
HCPCS,J9190,FLUOROURACIL 500 MG INJ,235.97,235.97,16.52,235.97,47
HCPCS,J9190,"Injection, fluorouracil, 500 mg ",235.97,235.97,2.0,14.71,29
HCPCS,J9196,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,5.13,45.24,29
HCPCS,J9198,"Injection, gemcitabine hydrochloride, (infugem), 100 mg ",,,130.58,331.48,12
HCPCS,J9200,FLOXURIDINE 500 MG INJ,2928.55,2928.55,205.0,2928.55,42
HCPCS,J9200,"Injection, floxuridine, 500 mg ",2928.55,2928.55,283.76,35281.7,29
HCPCS,J9201,GEMCITABINE NOS 1 G INJ,13680.4,13680.4,957.63,13680.4,47
HCPCS,J9201,GEMCITBIN NOS 200 MG INJ,3103.71,3103.71,217.26,3103.71,47
HCPCS,J9201,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.14,28.3,29
HCPCS,J9202,"Goserelin acetate implant, per 3.6 mg ",,,2016.08,6278.45,27
HCPCS,J9203,GEMTUZUMAB 4.5 MG INJ,77489.71,77489.71,5424.28,77489.71,42
HCPCS,J9203,"Injection, gemtuzumab ozogamicin, 0.1 mg ",77489.71,77489.71,232.96,2023.57,29
HCPCS,J9204,"Injection, mogamulizumab-kpkc, 1 mg ",,,245.87,2125.17,29
HCPCS,J9205,IRINOTECAN LIPO 43MG INJ,17170.52,17170.52,1201.94,17170.52,42
HCPCS,J9205,"Injection, irinotecan liposome, 1 mg ",17170.52,17170.52,64.38,558.1,29
HCPCS,J9206,IRINOTECAN 100 MG INJ,17162.87,17162.87,1201.4,17162.87,47
HCPCS,J9206,"Injection, irinotecan, 20 mg ",17162.87,17162.87,1.48,15.87,29
HCPCS,J9207,IXABEPILONE 15 MG INJ,19479.22,19479.22,1363.55,19479.22,42
HCPCS,J9207,IXABEPILONE 45 MG INJ,58437.5,58437.5,4090.63,58437.5,42
HCPCS,J9207,"Injection, ixabepilone, 1 mg ",,,135.56,1185.91,29
HCPCS,J9208,IFOSFAMIDE 1 G INJ,3604.33,3604.33,252.3,3604.33,47
HCPCS,J9208,IFOSFAMIDE 3 G INJ,10944.09,10944.09,766.09,10944.09,47
HCPCS,J9208,"Injection, ifosfamide, 1 gram ",,,23.94,200.97,29
HCPCS,J9209,"Injection, mesna, 200 mg ",45.85,45.85,1.29,39.29,29
HCPCS,J9209,MESNA 200 MG INJ,45.85,45.85,3.21,45.85,47
HCPCS,J9210,EMAPALUMAB-LZSG 50MG INJ,97736.38,97736.38,6841.55,97736.38,42
HCPCS,J9210,"Injection, emapalumab-lzsg, 1 mg ",97736.38,97736.38,372.62,3263.79,29
HCPCS,J9211,IDARUBICIN 10 MG INJ,1657.73,1657.73,116.04,1657.73,47
HCPCS,J9211,IDARUBICIN HCL 5 MG INJ,10131.32,10131.32,709.19,10131.32,47
HCPCS,J9211,"Injection, idarubicin hydrochloride, 5 mg ",,,38.57,316.85,29
HCPCS,J9212,"Injection, interferon alfacon-1, recombinant, 1 microgram ",,,39.63,56.02,6
HCPCS,J9213,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,246.9,21
HCPCS,J9214,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,268.11,27
HCPCS,J9215,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,262.72,27
HCPCS,J9216,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,73793.84,27
HCPCS,J9217,LEUPRO DEPOT 22.5 MG INJ,62626.94,62626.94,4383.89,62626.94,42
HCPCS,J9217,LEUPRO DEPOT 30 MG INJ,66494.39,66494.39,4654.61,66494.39,42
HCPCS,J9217,LEUPRO DEPOT 7.5 MG INJ,15069.285,15069.285,974.4,16218.6,84
HCPCS,J9217,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,170.91,2436.45,29
HCPCS,J9218,LEUPROLIDE ACET 1 MG INJ,748.33,748.33,52.38,748.33,55
HCPCS,J9218,"Leuprolide acetate, per 1 mg ",748.33,748.33,126.41,439.74,27
HCPCS,J9219,"Leuprolide acetate implant, 65 mg ",,,29164.73,41219.1,6
HCPCS,J9220,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,87.23,27
HCPCS,J9223,"Injection, lurbinectedin, 0.1 mg ",,,205.74,1762.82,29
HCPCS,J9223,LURBINECTEDIN 0.1 MG INJ,1160.54,1160.54,81.24,1160.54,42
HCPCS,J9223,LURBINECTEDIN 0.1MGINJJW,1160.54,1160.54,81.24,1160.54,42
HCPCS,J9223,LURBINECTEDIN 4 MG INJ,46421.64,46421.64,3249.51,46421.64,42
HCPCS,J9225,"Histrelin implant (vantas), 50 mg ",,,7770.72,42514.9,27
HCPCS,J9226,"Histrelin implant (supprelin la), 50 mg ",,,39938.2,389632.46,29
HCPCS,J9227,"Injection, isatuximab-irfc, 10 mg ",,,81.07,708.62,29
HCPCS,J9228,IPILIMUMAB 50 MG INJ,61235.77,61235.77,4286.5,61235.77,42
HCPCS,J9228,"Injection, ipilimumab, 1 mg ",61235.77,61235.77,181.55,1568.52,29
HCPCS,J9229,INOTUZUMAB OZ 0.1 MG INJ,17858.98,17858.98,1250.13,17858.98,42
HCPCS,J9229,INOTUZUMAB OZ 0.9 MG INJ,176745.82,176745.82,12372.21,176745.82,42
HCPCS,J9229,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,2732.27,23073.72,29
HCPCS,J9230,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,2751.35,27
HCPCS,J9245,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",1144.8,1144.8,117.05,7663.11,29
HCPCS,J9245,MELPHALAN 50 MG INJ NOC,1144.8,1144.8,80.14,1144.8,42
HCPCS,J9246,"Injection, melphalan (evomela), 1 mg ",,,18.85,221.11,29
HCPCS,J9248,"Injection, melphalan (hepzato), 1 mg ",,,771.15,6737.18,29
HCPCS,J9249,"Injection, melphalan (apotex), 1 mg ",,,64.86,533.05,27
HCPCS,J9255,505AC METHOTREX 50MG INJ,24.77,24.77,1.73,24.77,53
HCPCS,J9255,"Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg ",24.77,24.77,11.63,18.7,6
HCPCS,J9256,"Injection, nipocalimab-aahu, 3 mg ",,,31.69,202.3,23
HCPCS,J9260,"Injection, methotrexate sodium, 50 mg ",,,2.6,19.33,29
HCPCS,J9260,METHOTREXATE 1 G INJ,201.74,201.74,14.12,201.74,47
HCPCS,J9260,METHOTREXATE 100 MG INJ,186.41,186.41,13.05,186.41,47
HCPCS,J9260,METHOTREXATE 250 MG MDV,203.82,203.82,14.27,203.82,47
HCPCS,J9260,METHOTREXATE 50 MG INJ,20.38,20.38,1.43,20.38,47
HCPCS,J9261,"Injection, nelarabine, 50 mg ",11591.62,11591.62,51.13,810.52,29
HCPCS,J9261,NELARABINE 250 MG INJ,11591.62,11591.62,811.41,11591.62,42
HCPCS,J9262,"Injection, omacetaxine mepesuccinate, 0.01 mg ",,,10.76,33.18,12
HCPCS,J9263,"Injection, oxaliplatin, 0.5 mg ",19416.82,19416.82,0.08,1.61,29
HCPCS,J9263,OXALIPLATIN 50 MG INJ,19416.82,19416.82,1359.18,19416.82,47
HCPCS,J9264,"Injection, paclitaxel protein-bound particles, 1 mg ",,,5.84,103.65,29
HCPCS,J9264,PACLITAX-PROTEIN 1MGINJ,85.91,85.91,6.01,85.91,42
HCPCS,J9264,PACLITAX-PROTEIN100MGINJ,8592.06,8592.06,601.44,8592.06,42
HCPCS,J9264,PACLITAX-PROTEIN1MGINJJW,85.91,85.91,6.01,85.91,42
HCPCS,J9266,"Injection, pegaspargase, per single dose vial ",148463.08,148463.08,27571.38,243082.56,29
HCPCS,J9266,PEGASPARGASE SINGL VIAL,148463.08,148463.08,10392.42,148463.08,42
HCPCS,J9267,"Injection, paclitaxel, 1 mg ",1.14,1.14,0.15,1.0,29
HCPCS,J9267,PACLITAXEL 1 MG INJ,1.14,1.14,0.08,1.14,47
HCPCS,J9268,"Injection, pentostatin, 10 mg ",16941.78,16941.78,2547.54,21755.35,29
HCPCS,J9268,PENTOSTATIN 10 MG INJ,16941.78,16941.78,1185.92,16941.78,42
HCPCS,J9269,"Injection, tagraxofusp-erzs, 10 micrograms ",,,346.56,2981.4,29
HCPCS,J9269,TAGRAX-ERZS 10MCG INJJW,1875.61,1875.61,131.29,1875.61,42
HCPCS,J9269,TAGRAXF-ERZS 1000MCG INJ,187560.85,187560.85,13129.26,187560.85,42
HCPCS,J9269,TAGRAXFSP-ERZS 10MCG INJ,1875.61,1875.61,131.29,1875.61,42
HCPCS,J9271,"Injection, pembrolizumab, 1 mg ",,,59.41,500.81,29
HCPCS,J9271,PEMBROLIZUMAB 1 MG INJ,337.58,337.58,23.63,337.58,42
HCPCS,J9271,PEMBROLIZUMAB 1 MG INJJW,337.58,337.58,23.63,337.58,42
HCPCS,J9271,PEMBROLIZUMAB 100 MG INJ,33758.53,33758.53,2363.1,33758.53,42
HCPCS,J9272,"Injection, dostarlimab-gxly, 10 mg ",,,239.67,2085.15,29
HCPCS,J9273,"Injection, tisotumab vedotin-tftv, 1 mg ",,,190.24,1613.33,29
HCPCS,J9274,"Injection, tebentafusp-tebn, 1 microgram ",,,215.82,1856.55,29
HCPCS,J9274,TEBENTAF-TEBN 1 MCG INJ,1172.28,1172.28,82.06,1172.28,42
HCPCS,J9274,TEBENTAF-TEBN 100MCG INJ,117227.52,117227.52,8205.93,117227.52,42
HCPCS,J9274,TEBENTAF-TEBN 1MCG INJJW,1172.28,1172.28,82.06,1172.28,42
HCPCS,J9275,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,578.42,21
HCPCS,J9276,"Injection, zanidatamab-hrii, 2 mg ",,,24.25,214.48,29
HCPCS,J9277,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,31.17,53.01,17
HCPCS,J9278,"Injection, carboplatin (avyxa), 1 mg ",,,5.08,8.65,17
HCPCS,J9280,"Injection, mitomycin, 5 mg ",,,27.61,471.42,29
HCPCS,J9280,MITOMYCIN 20 MG INJ,9340.77,9340.77,653.85,9340.77,42
HCPCS,J9280,MITOMYCIN 5 MG INJ,1577.1,1577.1,110.4,1577.1,42
HCPCS,J9281,"Mitomycin pyelocalyceal instillation, 1 mg ",,,313.47,2714.58,29
HCPCS,J9282,"Mitomycin, intravesical instillation, 1 mg ",,,269.98,1503.49,23
HCPCS,J9285,"Injection, olaratumab, 10 mg ",,,170.81,445.3,12
HCPCS,J9286,GLOFITA-GXBM 10 MG INJ,60248.25,60248.25,4217.38,60248.25,42
HCPCS,J9286,GLOFITA-GXBM 2.5 MG INJ,15062.04,15062.04,1054.34,15062.04,42
HCPCS,J9286,"Injection, glofitamab-gxbm, 2.5 mg ",,,2755.46,23693.91,29
HCPCS,J9289,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,26.9,226.46,29
HCPCS,J9292,"Injection, pemetrexed dipotassium, 10 mg ",,,79.56,712.21,29
HCPCS,J9293,"Injection, mitoxantrone hydrochloride, per 5 mg ",1637.17,1637.17,37.45,253.14,29
HCPCS,J9293,MITOXANTRONE 5 MG INJ,1637.17,1637.17,114.6,1637.17,42
HCPCS,J9294,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,5.04,64.66,29
HCPCS,J9295,"Injection, necitumumab, 1 mg ",,,5.56,49.0,29
HCPCS,J9296,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,9.37,83.3,29
HCPCS,J9297,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,1.42,56.61,29
HCPCS,J9298,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,195.71,1690.3,29
HCPCS,J9299,"Injection, nivolumab, 1 mg ",,,32.61,282.22,29
HCPCS,J9299,NIVOLUMAB 1 MG INJ,189.2,189.2,13.24,189.2,42
HCPCS,J9299,NIVOLUMAB 1 MG INJJW,189.2,189.2,13.24,189.2,42
HCPCS,J9299,NIVOLUMAB 240 MG INJ,45414.44,45414.44,3179.01,45414.44,42
HCPCS,J9301,"Injection, obinutuzumab, 10 mg ",,,79.36,670.99,29
HCPCS,J9301,OBINUTUZUMAB 10 MG INJ,540.56,540.56,37.84,540.56,42
HCPCS,J9301,OBINUTUZUMAB 10 MG INJJW,486.0,486.0,34.02,486.0,42
HCPCS,J9301,OBINUTUZUMAB 1000 MG INJ,48601.58,48601.58,3402.11,48601.58,42
HCPCS,J9302,"Injection, ofatumumab, 10 mg ",10823.82,10823.82,102.68,526.29,27
HCPCS,J9302,OFATUMUMAB 100 MG INJ,10823.82,10823.82,757.67,10823.82,42
HCPCS,J9303,"Injection, panitumumab, 10 mg ",,,169.16,1475.65,29
HCPCS,J9303,PANITUMUMAB 10 MG INJ,987.58,987.58,69.13,987.58,42
HCPCS,J9303,PANITUMUMAB 10 MG INJJW,987.58,987.58,69.13,987.58,42
HCPCS,J9303,PANITUMUMAB 400 MG INJ,39504.28,39504.28,2765.3,39504.28,42
HCPCS,J9304,"Injection, pemetrexed (pemfexy), 10 mg ",,,7.75,451.03,29
HCPCS,J9305,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,3.92,391.16,29
HCPCS,J9305,PEMETREXED NOS 10 MG INJ,16.2,16.2,1.13,16.2,42
HCPCS,J9305,PEMETREXED NOS 10MGINJJW,16.2,16.2,1.13,16.2,42
HCPCS,J9305,PEMETREXED NOS 500MG INJ,810.0,810.0,56.7,810.0,42
HCPCS,J9306,"Injection, pertuzumab, 1 mg ",56554.24,56554.24,16.51,144.44,29
HCPCS,J9306,PERTUZUMAB 420 MG INJ,56554.24,56554.24,3958.8,56554.24,42
HCPCS,J9307,"Injection, pralatrexate, 1 mg ",,,380.94,3325.27,29
HCPCS,J9308,"Injection, ramucirumab, 5 mg ",,,73.21,636.7,29
HCPCS,J9308,RAMUCIRUMAB 100 MG INJ,9638.41,9638.41,674.69,9638.41,42
HCPCS,J9308,RAMUCIRUMAB 500 MG INJ,48191.88,48191.88,3373.43,48191.88,42
HCPCS,J9309,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,133.11,1165.04,29
HCPCS,J9309,POLATUZUMAB 1 MG INJ,760.91,760.91,53.26,760.91,42
HCPCS,J9309,POLATUZUMAB 1 MG INJJW,760.91,760.91,53.26,760.91,42
HCPCS,J9309,POLATUZUMAB 140 MG INJ,106531.71,106531.71,7457.22,106531.71,42
HCPCS,J9309,POLATUZUMAB 30 MG INJ,22828.21,22828.21,1597.97,22828.21,42
HCPCS,J9311,"Injection, rituximab 10 mg and hyaluronidase ",,,35.19,316.08,29
HCPCS,J9312,"Injection, rituximab, 10 mg ",,,71.94,649.35,29
HCPCS,J9312,RITUXIMAB 10 MG INJ,822.06,822.06,57.54,822.06,42
HCPCS,J9312,RITUXIMAB 500 MG INJ,42621.32,42621.32,2983.49,42621.32,42
HCPCS,J9313,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,192.51,27
HCPCS,J9314,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.66,109.56,29
HCPCS,J9315,ROMIDEPSIN 10 MG KIT,44759.43,44759.43,3133.16,44759.43,59
HCPCS,J9316,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,58.42,542.11,29
HCPCS,J9317,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",14830.25,14830.25,35.7,310.1,29
HCPCS,J9317,SACITUZ GOV-HZIY180MGINJ,14830.25,14830.25,1038.12,14830.25,42
HCPCS,J9318,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,27.66,243.9,29
HCPCS,J9319,"Injection, romidepsin, lyophilized, 0.1 mg ",,,29.88,265.8,29
HCPCS,J9320,"Injection, streptozocin, 1 gram ",,,289.33,11339.95,27
HCPCS,J9321,"Injection, epcoritamab-bysp, 0.16 mg ",,,55.21,476.0,29
HCPCS,J9322,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,79.45,27
HCPCS,J9323,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,88.43,27
HCPCS,J9324,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,40.54,685.02,29
HCPCS,J9325,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,71.72,629.0,29
HCPCS,J9326,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,141.61,901.21,23
HCPCS,J9328,"Injection, temozolomide, 1 mg ",,,10.09,88.86,29
HCPCS,J9329,"Injection, tislelizumab-jsgr, 1mg ",,,56.52,491.06,29
HCPCS,J9330,"Injection, temsirolimus, 1 mg ",27862.04,27862.04,29.18,276.14,29
HCPCS,J9330,TEMSIROLIMUS 25 MG INJ,27862.04,27862.04,1950.34,27862.04,42
HCPCS,J9331,"Injection, sirolimus protein-bound particles, 1 mg ",,,84.5,722.9,29
HCPCS,J9332,"Injection, efgartigimod alfa-fcab, 2mg ",,,31.63,277.08,29
HCPCS,J9333,"Injection, rozanolixizumab-noli, 1 mg ",,,22.7,198.06,29
HCPCS,J9334,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,33.3,288.54,29
HCPCS,J9340,"Injection, thiotepa, 15 mg ",,,,,0
HCPCS,J9341,"Injection, thiotepa (tepylute), 1 mg ",,,37.39,323.95,29
HCPCS,J9342,"Injection, thiotepa, not otherwise specified, 1 mg ",,,5.57,104.68,29
HCPCS,J9342,THIOTEPA NOS 1 MG INJ,76.32,76.32,5.34,76.32,42
HCPCS,J9342,THIOTEPA NOS 1 MG INJ JW,76.32,76.32,5.34,76.32,42
HCPCS,J9342,THOPTEPA NOS 100 MG INJ,10303.2,10303.2,721.22,10303.2,42
HCPCS,J9342,THOPTEPA NOS 15 MG INJ,1144.8,1144.8,80.14,1144.8,42
HCPCS,J9345,"Injection, retifanlimab-dlwr, 1 mg ",,,29.49,256.39,29
HCPCS,J9347,"Injection, tremelimumab-actl, 1 mg ",,,138.93,1207.29,29
HCPCS,J9348,"Injection, naxitamab-gqgk, 1 mg ",,,665.51,5865.9,29
HCPCS,J9348,NAXITAMAB-GQGK 1 MG INJ,3695.13,3695.13,258.66,3695.13,42
HCPCS,J9348,NAXITAMAB-GQGK 1MG INJJW,3695.13,3695.13,258.66,3695.13,42
HCPCS,J9348,NAXITAMAB-GQGK 40 MG INJ,147806.78,147806.78,10346.47,147806.78,42
HCPCS,J9349,"Injection, tafasitamab-cxix, 2 mg ",,,13.74,120.41,29
HCPCS,J9350,"Injection, mosunetuzumab-axgb, 1 mg ",,,634.9,5582.32,29
HCPCS,J9351,"Injection, topotecan, 0.1 mg ",21962.12,21962.12,2.05,13.1,29
HCPCS,J9351,TOPOTECAN 4 MG INJ,21962.12,21962.12,1537.35,21962.12,47
HCPCS,J9352,"Injection, trabectedin, 0.1 mg ",24601.66,24601.66,379.34,3276.01,29
HCPCS,J9352,TRABECTEDIN 1 MG INJ,24601.66,24601.66,1722.12,24601.66,42
HCPCS,J9353,"Injection, margetuximab-cmkb, 5 mg ",,,51.67,431.45,29
HCPCS,J9354,ADO-TRASTUZUMAB 100MG,22836.66,22836.66,1598.57,22836.66,42
HCPCS,J9354,ADO-TRASTUZUMAB 160MG,36538.58,36538.58,2557.7,36538.58,42
HCPCS,J9354,ADO-TRASTUZUMAB 1MG INJ,228.35,228.35,15.98,228.35,42
HCPCS,J9354,ADO-TRASTUZUMAB 1MGJW,228.35,228.35,15.98,228.35,42
HCPCS,J9354,"Injection, ado-trastuzumab emtansine, 1 mg ",,,40.93,357.9,29
HCPCS,J9355,"Injection, trastuzumab, excludes biosimilar, 10 mg ",14555.43,14555.43,71.23,651.49,29
HCPCS,J9355,TRASTUZUMAB 150 MG INJ,14555.43,14555.43,1018.88,14555.43,42
HCPCS,J9356,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,58.11,538.52,29
HCPCS,J9357,"Injection, valrubicin, intravesical, 200 mg ",,,1232.4,11774.31,29
HCPCS,J9358,FAM-TRAS-NXKI 1 MG INJJW,159.02,159.02,11.13,159.02,42
HCPCS,J9358,FAM-TRAS-NXKI 100 MG INJ,15905.01,15905.01,1113.35,15905.01,42
HCPCS,J9358,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,30.32,256.56,29
HCPCS,J9359,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,214.85,1853.56,29
HCPCS,J9359,LONCAST-LPYL 0.075MG INJ,1238.31,1238.31,86.68,1238.31,42
HCPCS,J9359,LONCAST-LPYL 10 MG INJ,165108.29,165108.29,11557.58,165108.29,42
HCPCS,J9359,LONCAST-LPYL0.075MGINJJW,1238.31,1238.31,86.68,1238.31,42
HCPCS,J9360,"Injection, vinblastine sulfate, 1 mg ",,,5.0,45.24,29
HCPCS,J9361,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,1003.15,27
HCPCS,J9370,VINCRISTINE SULFATE 1MG,1203.91,1203.91,84.27,1203.91,47
HCPCS,J9370,"Vincristine sulfate, 1 mg ",1203.91,1203.91,7.87,67.22,29
HCPCS,J9376,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,754.89,27
HCPCS,J9380,"Injection, teclistamab-cqyv, 0.5 mg ",,,33.46,284.53,29
HCPCS,J9380,TECLIST-CQYV 0.5 MG INJ,189.73,189.73,13.28,189.73,42
HCPCS,J9380,TECLIST-CQYV 0.5 MGINJJW,189.73,189.73,13.28,189.73,42
HCPCS,J9380,TECLIST-CQYV 153 MG INJ,58057.03,58057.03,4063.99,58057.03,42
HCPCS,J9380,TECLIST-CQYV 30 MG INJ,11383.73,11383.73,796.86,11383.73,42
HCPCS,J9381,"Injection, teplizumab-mzwv, 5 mcg ",,,37.24,321.98,29
HCPCS,J9382,"Injection, zenocutuzumab-zbco, 1 mg ",,,32.56,276.23,29
HCPCS,J9390,"Injection, vinorelbine tartrate, 10 mg ",,,4.82,50.12,29
HCPCS,J9390,VINORELBINE TARTRAT 10MG,1870.8,1870.8,130.96,1870.8,47
HCPCS,J9390,VINORELBINE TARTRAT 50MG,12284.09,12284.09,859.89,12284.09,47
HCPCS,J9393,505TV FULVES 25 MG INJ,529.39,529.39,37.06,529.39,42
HCPCS,J9393,505TV FULVES 250 MG INJ,5294.3,5294.3,370.6,5294.3,42
HCPCS,J9393,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,59.31,174.46,27
HCPCS,J9394,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,20.09,48.45,29
HCPCS,J9395,"Injection, fulvestrant, 25 mg ",,,4.79,457.32,29
HCPCS,J9400,"Injection, ziv-aflibercept, 1 mg ",,,8.35,88.19,29
HCPCS,J9600,"Injection, porfimer sodium, 75 mg ",,,46179.54,203447.46,27
HCPCS,J9601,"Injection, linvoseltamab-gcpt, 1 mg ",,,96.52,164.18,17
HCPCS,J9999,"Not otherwise classified, antineoplastic drugs ",,,,,0
HCPCS,K0001,Standard wheelchair ,,,27.66,74.72,78
HCPCS,K0001,Standard wheelchair Other Outpatient,,,29.95,29.95,6
HCPCS,K0002,Standard hemi (low seat) wheelchair ,,,44.93,121.36,78
HCPCS,K0002,Standard hemi (low seat) wheelchair Other Outpatient,,,48.64,48.64,6
HCPCS,K0003,Lightweight wheelchair ,,,43.09,116.38,78
HCPCS,K0003,Lightweight wheelchair Other Outpatient,,,46.64,46.64,6
HCPCS,K0004,"High strength, lightweight wheelchair ",,,51.1,158.96,78
HCPCS,K0004,"High strength, lightweight wheelchair Other Outpatient",,,55.31,55.31,6
HCPCS,K0005,Ultralightweight wheelchair ,,,2255.19,6903.07,78
HCPCS,K0005,Ultralightweight wheelchair Other Outpatient,,,2766.5,2766.5,6
HCPCS,K0006,Heavy duty wheelchair ,,,74.47,201.14,78
HCPCS,K0006,Heavy duty wheelchair Other Outpatient,,,80.61,80.61,6
HCPCS,K0007,Extra heavy duty wheelchair ,,,101.04,272.9,78
HCPCS,K0007,Extra heavy duty wheelchair Other Outpatient,,,109.37,109.37,6
HCPCS,K0009,Other manual wheelchair/base ,,,87.18,266.87,78
HCPCS,K0009,Other manual wheelchair/base Other Outpatient,,,106.95,106.95,6
HCPCS,K0010,Standard - weight frame motorized/power wheelchair ,,,441.69,1352.0,78
HCPCS,K0010,Standard - weight frame motorized/power wheelchair Other Outpatient,,,541.83,541.83,6
HCPCS,K0011,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,693.77,1912.78,78
HCPCS,K0011,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking Other Outpatient",,,766.57,766.57,6
HCPCS,K0012,Lightweight portable motorized/power wheelchair ,,,396.35,1213.19,78
HCPCS,K0012,Lightweight portable motorized/power wheelchair Other Outpatient,,,486.2,486.2,6
HCPCS,K0015,"Detachable, non-adjustable height armrest, replacement only, each ",,,16.77,45.3,78
HCPCS,K0015,"Detachable, non-adjustable height armrest, replacement only, each Other Outpatient",,,18.15,18.15,6
HCPCS,K0017,"Detachable, adjustable height armrest, base, replacement only, each ",,,55.04,154.58,78
HCPCS,K0017,"Detachable, adjustable height armrest, base, replacement only, each Other Outpatient",,,61.95,61.95,6
HCPCS,K0018,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,30.92,87.38,78
HCPCS,K0018,"Detachable, adjustable height armrest, upper portion, replacement only, each Other Outpatient",,,35.02,35.02,6
HCPCS,K0019,"Arm pad, replacement only, each ",,,14.33,38.7,78
HCPCS,K0019,"Arm pad, replacement only, each Other Outpatient",,,15.51,15.51,6
HCPCS,K0020,"Fixed, adjustable height armrest, pair ",,,51.9,149.52,78
HCPCS,K0020,"Fixed, adjustable height armrest, pair Other Outpatient",,,59.92,59.92,6
HCPCS,K0037,"High mount flip-up footrest, each ",,,51.83,145.44,78
HCPCS,K0037,"High mount flip-up footrest, each Other Outpatient",,,58.29,58.29,6
HCPCS,K0038,"Leg strap, each ",,,26.8,77.26,78
HCPCS,K0038,"Leg strap, each Other Outpatient",,,30.96,30.96,6
HCPCS,K0039,"Leg strap, h style, each ",,,58.53,165.9,78
HCPCS,K0039,"Leg strap, h style, each Other Outpatient",,,66.49,66.49,6
HCPCS,K0040,"Adjustable angle footplate, each ",,,62.23,168.07,78
HCPCS,K0040,"Adjustable angle footplate, each Other Outpatient",,,67.36,67.36,6
HCPCS,K0041,"Large size footplate, each ",,,56.73,158.54,78
HCPCS,K0041,"Large size footplate, each Other Outpatient",,,63.54,63.54,6
HCPCS,K0042,"Standard size footplate, replacement only, each ",,,37.69,101.81,78
HCPCS,K0042,"Standard size footplate, replacement only, each Other Outpatient",,,40.8,40.8,6
HCPCS,K0043,"Footrest, lower extension tube, replacement only, each ",,,21.67,62.8,78
HCPCS,K0043,"Footrest, lower extension tube, replacement only, each Other Outpatient",,,25.17,25.17,6
HCPCS,K0044,"Footrest, upper hanger bracket, replacement only, each ",,,18.67,53.55,78
HCPCS,K0044,"Footrest, upper hanger bracket, replacement only, each Other Outpatient",,,21.46,21.46,6
HCPCS,K0045,"Footrest, complete assembly, replacement only, each ",,,62.45,179.89,78
HCPCS,K0045,"Footrest, complete assembly, replacement only, each Other Outpatient",,,72.09,72.09,6
HCPCS,K0046,"Elevating legrest, lower extension tube, replacement only, each ",,,21.75,62.8,78
HCPCS,K0046,"Elevating legrest, lower extension tube, replacement only, each Other Outpatient",,,25.17,25.17,6
HCPCS,K0047,"Elevating legrest, upper hanger bracket, replacement only, each ",,,81.05,223.56,78
HCPCS,K0047,"Elevating legrest, upper hanger bracket, replacement only, each Other Outpatient",,,89.6,89.6,6
HCPCS,K0050,"Ratchet assembly, replacement only ",,,35.93,103.73,78
HCPCS,K0050,"Ratchet assembly, replacement only Other Outpatient",,,41.57,41.57,6
HCPCS,K0051,"Cam release assembly, footrest or legrest, replacement only, each ",,,57.5,164.09,78
HCPCS,K0051,"Cam release assembly, footrest or legrest, replacement only, each Other Outpatient",,,65.76,65.76,6
HCPCS,K0052,"Swingaway, detachable footrests, replacement only, each ",,,82.76,223.54,78
HCPCS,K0052,"Swingaway, detachable footrests, replacement only, each Other Outpatient",,,89.59,89.59,6
HCPCS,K0053,"Elevating footrests, articulating (telescoping), each ",,,98.49,266.03,78
HCPCS,K0053,"Elevating footrests, articulating (telescoping), each Other Outpatient",,,106.62,106.62,6
HCPCS,K0056,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,107.81,291.19,78
HCPCS,K0056,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair Other Outpatient",,,116.7,116.7,6
HCPCS,K0065,"Spoke protectors, each ",,,54.21,148.19,78
HCPCS,K0065,"Spoke protectors, each Other Outpatient",,,59.39,59.39,6
HCPCS,K0069,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,109.8,296.58,78
HCPCS,K0069,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each Other Outpatient",,,118.86,118.86,6
HCPCS,K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,18.64,50.36,78
HCPCS,K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each Other Outpatient",,,20.18,20.18,6
HCPCS,K0071,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,128.16,346.15,78
HCPCS,K0071,"Front caster assembly, complete, with pneumatic tire, replacement only, each Other Outpatient",,,138.73,138.73,6
HCPCS,K0072,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,80.11,216.39,78
HCPCS,K0072,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each Other Outpatient",,,86.72,86.72,6
HCPCS,K0073,"Caster pin lock, each ",,,40.82,111.38,78
HCPCS,K0073,"Caster pin lock, each Other Outpatient",,,44.64,44.64,6
HCPCS,K0077,"Front caster assembly, complete, with solid tire, replacement only, each ",,,63.12,170.48,78
HCPCS,K0077,"Front caster assembly, complete, with solid tire, replacement only, each Other Outpatient",,,68.32,68.32,6
HCPCS,K0098,"Drive belt for power wheelchair, replacement only ",,,28.2,76.16,78
HCPCS,K0098,"Drive belt for power wheelchair, replacement only Other Outpatient",,,30.52,30.52,6
HCPCS,K0105,"Iv hanger, each ",,,116.6,314.95,78
HCPCS,K0105,"Iv hanger, each Other Outpatient",,,126.22,126.22,6
HCPCS,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,12.32,33.35,78
HCPCS,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base) Other Outpatient",,,13.33,13.33,6
HCPCS,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,323.08,988.95,78
HCPCS,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) Other Outpatient",,,396.33,396.33,6
HCPCS,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.04,9.09,78
HCPCS,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each Other Outpatient",,,3.64,3.64,6
HCPCS,K0601,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.33,4.11,78
HCPCS,K0601,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each Other Outpatient",,,1.65,1.65,6
HCPCS,K0602,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,7.58,23.27,78
HCPCS,K0602,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each Other Outpatient",,,9.32,9.32,6
HCPCS,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.68,2.1,78
HCPCS,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each Other Outpatient",,,0.84,0.84,6
HCPCS,K0604,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,7.29,22.43,78
HCPCS,K0604,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each Other Outpatient",,,8.99,8.99,6
HCPCS,K0605,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,17.46,53.58,78
HCPCS,K0605,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each Other Outpatient",,,21.47,21.47,6
HCPCS,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3071.88,9402.92,78
HCPCS,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type Other Outpatient",,,3768.35,3768.35,6
HCPCS,K0607,"Replacement battery for automated external defibrillator, garment type only, each ",,,26.3,72.55,78
HCPCS,K0607,"Replacement battery for automated external defibrillator, garment type only, each Other Outpatient",,,29.07,29.07,6
HCPCS,K0608,"Replacement garment for use with automated external defibrillator, each ",,,164.17,452.58,78
HCPCS,K0608,"Replacement garment for use with automated external defibrillator, each Other Outpatient",,,181.38,181.38,6
HCPCS,K0609,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1091.71,3009.8,78
HCPCS,K0609,"Replacement electrodes for use with automated external defibrillator, garment type only, each Other Outpatient",,,1206.22,1206.22,6
HCPCS,K0672,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,101.61,274.44,72
HCPCS,K0672,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each Other Outpatient",,,109.99,109.99,6
HCPCS,K0730,Controlled dose inhalation drug delivery system ,,,210.29,643.71,78
HCPCS,K0730,Controlled dose inhalation drug delivery system Other Outpatient,,,257.97,257.97,6
HCPCS,K0733,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,33.47,90.42,78
HCPCS,K0733,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Other Outpatient",,,36.24,36.24,6
HCPCS,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,45.75,123.59,78
HCPCS,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing Other Outpat",,,49.53,49.53,6
HCPCS,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,19.51,52.69,72
HCPCS,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes Other Outpatient",,,21.12,21.12,6
HCPCS,K0800,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,987.76,2667.97,78
HCPCS,K0800,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds Other Outpatient",,,1069.23,1069.23,6
HCPCS,K0801,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1773.62,4790.59,78
HCPCS,K0801,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds Other Outpatient",,,1919.89,1919.89,6
HCPCS,K0802,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2387.54,6472.95,78
HCPCS,K0802,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds Other Outpatient",,,2594.12,2594.12,6
HCPCS,K0806,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1550.58,4581.93,78
HCPCS,K0806,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds Other Outpatient",,,1836.27,1836.27,6
HCPCS,K0807,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2376.4,7100.88,78
HCPCS,K0807,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds Other Outpatient",,,2845.77,2845.77,6
HCPCS,K0808,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,3675.23,10976.8,78
HCPCS,K0808,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds Other Outpatient",,,4399.1,4399.1,6
HCPCS,K0813,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,315.09,851.08,78
HCPCS,K0813,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds Other Outpatient",,,341.08,341.08,6
HCPCS,K0814,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,327.74,885.25,78
HCPCS,K0814,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Other Outpatient",,,354.77,354.77,6
HCPCS,K0815,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,365.12,986.19,78
HCPCS,K0815,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds Other Outpatient",,,395.23,395.23,6
HCPCS,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,335.67,906.65,78
HCPCS,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds Other Outpatient",,,363.35,363.35,6
HCPCS,K0820,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,326.49,881.87,78
HCPCS,K0820,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds Other Outpatient",,,353.42,353.42,6
HCPCS,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,335.67,906.65,78
HCPCS,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Other Outpatient",,,363.35,363.35,6
HCPCS,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,365.12,986.19,78
HCPCS,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Other Outpatient",,,395.23,395.23,6
HCPCS,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,335.67,906.65,78
HCPCS,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds Other Outpatient",,,363.35,363.35,6
HCPCS,K0824,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,518.92,1401.62,78
HCPCS,K0824,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Other Outpatient",,,561.72,561.72,6
HCPCS,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,485.6,1311.62,78
HCPCS,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Other Outpatient",,,525.65,525.65,6
HCPCS,K0826,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,830.99,2244.53,78
HCPCS,K0826,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Other Outpatient",,,899.52,899.52,6
HCPCS,K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,737.39,1991.72,78
HCPCS,K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Other Outpatient",,,798.21,798.21,6
HCPCS,K0828,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1053.12,2914.3,78
HCPCS,K0828,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Other Outpatient",,,1167.95,1167.95,6
HCPCS,K0829,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,994.41,2812.1,78
HCPCS,K0829,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more Other Outpatient",,,1126.99,1126.99,6
HCPCS,K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,435.87,1177.3,78
HCPCS,K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Other Outpatient",,,471.82,471.82,6
HCPCS,K0836,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,452.09,1221.1,78
HCPCS,K0836,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Other Outpatient",,,489.37,489.37,6
HCPCS,K0837,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,559.05,1510.01,78
HCPCS,K0837,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Other Outpatient",,,605.16,605.16,6
HCPCS,K0838,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,495.51,1338.37,78
HCPCS,K0838,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Other Outpatient",,,536.37,536.37,6
HCPCS,K0839,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,742.61,2005.82,78
HCPCS,K0839,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Other Outpatient",,,803.86,803.86,6
HCPCS,K0840,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1140.15,3079.57,78
HCPCS,K0840,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more Other Outpatient",,,1234.18,1234.18,6
HCPCS,K0841,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,491.19,1326.72,78
HCPCS,K0841,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Other Outpatient",,,531.7,531.7,6
HCPCS,K0842,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,490.47,1324.78,78
HCPCS,K0842,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds Other Outpatient",,,530.92,530.92,6
HCPCS,K0843,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,582.25,1572.68,78
HCPCS,K0843,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Other Outpatient",,,630.27,630.27,6
HCPCS,K0848,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,833.4,2550.99,78
HCPCS,K0848,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Other Outpatient",,,1022.34,1022.34,6
HCPCS,K0849,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,801.24,2452.61,78
HCPCS,K0849,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds Other Outpatient",,,982.92,982.92,6
HCPCS,K0850,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,966.68,2958.98,78
HCPCS,K0850,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Other Outpatient",,,1185.85,1185.85,6
HCPCS,K0851,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,929.48,2845.11,78
HCPCS,K0851,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Other Outpatient",,,1140.22,1140.22,6
HCPCS,K0852,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1116.95,3418.94,78
HCPCS,K0852,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Other Outpatient",,,1370.19,1370.19,6
HCPCS,K0853,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1147.4,3512.14,78
HCPCS,K0853,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Other Outpatient",,,1407.54,1407.54,6
HCPCS,K0854,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1520.04,4652.83,78
HCPCS,K0854,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Other Outpatient",,,1864.68,1864.68,6
HCPCS,K0855,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1435.91,4395.26,78
HCPCS,K0855,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more Other Outpatient",,,1761.46,1761.46,6
HCPCS,K0856,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,894.54,2738.14,78
HCPCS,K0856,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Other Outpatient",,,1097.34,1097.34,6
HCPCS,K0857,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,912.47,2793.05,78
HCPCS,K0857,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Other Outpatient",,,1119.35,1119.35,6
HCPCS,K0858,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1109.87,3397.25,78
HCPCS,K0858,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds Other Outpatient",,,1361.49,1361.49,6
HCPCS,K0859,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1058.47,3239.97,78
HCPCS,K0859,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Other Outpatient",,,1298.46,1298.46,6
HCPCS,K0860,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1585.59,4853.45,78
HCPCS,K0860,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Other Outpatient",,,1945.08,1945.08,6
HCPCS,K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,895.97,2742.56,78
HCPCS,K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Other Outpatient",,,1099.12,1099.12,6
HCPCS,K0862,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1109.87,3397.25,78
HCPCS,K0862,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Other Outpatient",,,1361.49,1361.49,6
HCPCS,K0863,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1585.59,4853.45,78
HCPCS,K0863,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Other Outpatient",,,1945.08,1945.08,6
HCPCS,K0864,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1886.86,5775.58,78
HCPCS,K0864,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more Other Outpatient",,,2314.64,2314.64,6
HCPCS,K1004,Low frequency ultrasonic diathermy treatment device for home use ,,,621.5,935.2,6
HCPCS,K1007,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,80850.0,249112.22,84
HCPCS,K1027,"Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment ",,,123.64,186.05,6
HCPCS,K1030,"External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only ",,,996.29,1499.18,6
HCPCS,K1034,"Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count ",,,21.0,26.4,6
HCPCS,K1035,"Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared ",,,44.43,66.85,6
HCPCS,K1036,"Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month ",,,621.5,935.2,6
HCPCS,K1037,Docking station for use with oral device/appliance used to reduce upper airway collapsibility ,,,98.91,148.84,6
HCPCS,L0112,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1677.36,4530.61,72
HCPCS,L0112,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated Other Outpatient",,,1815.7,1815.7,6
HCPCS,L0113,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,341.79,923.18,72
HCPCS,L0113,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment Other Outpatient",,,369.98,369.98,6
HCPCS,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,29.59,79.91,72
HCPCS,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) Other Outpatient",,,32.02,32.02,6
HCPCS,L0130,"Cervical, flexible, thermoplastic collar, molded to patient ",,,181.86,491.2,72
HCPCS,L0130,"Cervical, flexible, thermoplastic collar, molded to patient Other Outpatient",,,196.85,196.85,6
HCPCS,L0140,"Cervical, semi-rigid, adjustable (plastic collar) ",,,72.8,196.63,72
HCPCS,L0140,"Cervical, semi-rigid, adjustable (plastic collar) Other Outpatient",,,78.8,78.8,6
HCPCS,L0150,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,120.45,325.35,72
HCPCS,L0150,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) Other Outpatient",,,130.39,130.39,6
HCPCS,L0160,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,232.77,628.72,72
HCPCS,L0160,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf Other Outpatient",,,251.97,251.97,6
HCPCS,L0170,"Cervical, collar, molded to patient model ",,,762.43,2059.35,72
HCPCS,L0170,"Cervical, collar, molded to patient model Other Outpatient",,,825.31,825.31,6
HCPCS,L0172,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,157.1,424.34,72
HCPCS,L0172,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf Other Outpatient",,,170.06,170.06,6
HCPCS,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,306.2,827.06,72
HCPCS,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf Other Outpatient",,,331.45,331.45,6
HCPCS,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,458.81,1239.26,72
HCPCS,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable Other Outpatient",,,496.65,496.65,6
HCPCS,L0190,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,594.13,1604.78,72
HCPCS,L0190,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) Other Outpatient",,,643.14,643.14,6
HCPCS,L0200,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,663.9,1793.21,72
HCPCS,L0200,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension Other Outpatient",,,718.65,718.65,6
HCPCS,L0220,"Thoracic, rib belt, custom fabricated ",,,182.02,491.64,72
HCPCS,L0220,"Thoracic, rib belt, custom fabricated Other Outpatient",,,197.03,197.03,6
HCPCS,L0450,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,132.73,358.49,78
HCPCS,L0454,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,415.64,1122.67,78
HCPCS,L0455,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,246.4,665.53,78
HCPCS,L0456,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,1191.93,3219.43,78
HCPCS,L0457,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,706.58,1908.49,78
HCPCS,L0458,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1068.82,2886.93,78
HCPCS,L0460,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1203.06,3249.51,78
HCPCS,L0462,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1496.36,4041.72,78
HCPCS,L0464,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,1781.39,4811.58,78
HCPCS,L0466,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,477.17,1288.86,78
HCPCS,L0467,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,276.33,746.39,78
HCPCS,L0468,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,552.42,1492.12,78
HCPCS,L0469,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,352.1,951.03,78
HCPCS,L0470,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,710.64,1919.46,78
HCPCS,L0472,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,496.05,1339.84,78
HCPCS,L0480,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1709.2,4616.6,78
HCPCS,L0482,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1728.51,4668.76,78
HCPCS,L0484,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1980.88,5350.41,78
HCPCS,L0486,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2137.5,5773.46,78
HCPCS,L0488,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1203.06,3249.51,78
HCPCS,L0490,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,339.0,915.64,78
HCPCS,L0491,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,920.4,2486.04,78
HCPCS,L0492,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,596.51,1611.2,78
HCPCS,L0621,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,69.98,189.01,78
HCPCS,L0622,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,287.96,777.8,72
HCPCS,L0622,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated Other Outpa",,,311.71,311.71,6
HCPCS,L0623,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,125.43,338.79,78
HCPCS,L0625,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,39.15,105.74,78
HCPCS,L0626,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,93.42,252.33,78
HCPCS,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,492.64,1330.65,78
HCPCS,L0628,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,59.61,161.0,78
HCPCS,L0630,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,194.06,524.16,78
HCPCS,L0631,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,1230.32,3323.13,78
HCPCS,L0633,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,343.68,928.29,78
HCPCS,L0635,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1185.77,3202.79,78
HCPCS,L0636,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1607.47,4341.84,78
HCPCS,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1455.99,3932.67,78
HCPCS,L0638,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1580.62,4269.32,78
HCPCS,L0639,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,1455.99,3932.67,78
HCPCS,L0640,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,1254.0,3387.08,78
HCPCS,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,55.39,149.6,78
HCPCS,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,292.1,788.96,78
HCPCS,L0643,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,115.07,310.81,78
HCPCS,L0648,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,729.48,1970.34,78
HCPCS,L0649,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,203.77,550.38,78
HCPCS,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,844.05,2279.79,78
HCPCS,L0651,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,844.05,2279.79,78
HCPCS,L0700,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2287.38,6178.27,72
HCPCS,L0700,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) Other Outpatient",,,2476.03,2476.03,6
HCPCS,L0710,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2464.1,6655.61,72
HCPCS,L0710,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) Other Outpatient",,,2667.33,2667.33,6
HCPCS,L0720,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2240.2,6050.84,78
HCPCS,L0810,"Halo procedure, cervical halo incorporated into jacket vest ",,,3052.72,8245.48,72
HCPCS,L0810,"Halo procedure, cervical halo incorporated into jacket vest Other Outpatient",,,3304.49,3304.49,6
HCPCS,L0820,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2575.15,6955.55,72
HCPCS,L0820,"Halo procedure, cervical halo incorporated into plaster body jacket Other Outpatient",,,2787.53,2787.53,6
HCPCS,L0830,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4125.99,11144.43,72
HCPCS,L0830,"Halo procedure, cervical halo incorporated into milwaukee type orthosis Other Outpatient",,,4466.28,4466.28,6
HCPCS,L0859,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,1810.53,4890.31,72
HCPCS,L0859,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material Other Outpatient",,,1959.86,1959.86,6
HCPCS,L0861,"Addition to halo procedure, replacement liner/interface material ",,,258.32,697.73,72
HCPCS,L0861,"Addition to halo procedure, replacement liner/interface material Other Outpatient",,,279.63,279.63,6
HCPCS,L0970,"Tlso, corset front ",,,162.06,437.72,72
HCPCS,L0970,"Tlso, corset front Other Outpatient",,,175.42,175.42,6
HCPCS,L0972,"Lso, corset front ",,,148.19,400.26,72
HCPCS,L0972,"Lso, corset front Other Outpatient",,,160.41,160.41,6
HCPCS,L0974,"Tlso, full corset ",,,224.01,605.06,72
HCPCS,L0974,"Tlso, full corset Other Outpatient",,,242.49,242.49,6
HCPCS,L0976,"Lso, full corset ",,,209.77,566.6,72
HCPCS,L0976,"Lso, full corset Other Outpatient",,,227.07,227.07,6
HCPCS,L0978,Axillary crutch extension ,,,219.78,593.64,72
HCPCS,L0978,Axillary crutch extension Other Outpatient,,,237.91,237.91,6
HCPCS,L0980,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,25.95,70.09,72
HCPCS,L0980,"Peroneal straps, prefabricated, off-the-shelf, pair Other Outpatient",,,28.09,28.09,6
HCPCS,L0982,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,24.2,65.37,72
HCPCS,L0982,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) Other Outpatient",,,26.2,26.2,6
HCPCS,L0984,"Protective body sock, prefabricated, off-the-shelf, each ",,,67.68,182.8,72
HCPCS,L0984,"Protective body sock, prefabricated, off-the-shelf, each Other Outpatient",,,73.26,73.26,6
HCPCS,L1000,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2460.3,6645.34,72
HCPCS,L1000,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model Other Outpatient",,,2663.21,2663.21,6
HCPCS,L1005,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,3835.75,10360.48,72
HCPCS,L1005,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment Other Outpatient",,,4152.1,4152.1,6
HCPCS,L1006,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1269.82,3429.82,78
HCPCS,L1007,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla, to trochanter, includes all accessory pads, straps, and interface, custom fabricated ",,,789.6,1188.16,6
HCPCS,L1010,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,88.17,238.16,72
HCPCS,L1010,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling Other Outpatient",,,95.45,95.45,6
HCPCS,L1020,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,122.17,329.99,72
HCPCS,L1020,"Addition to ctlso or scoliosis orthosis, kyphosis pad Other Outpatient",,,132.25,132.25,6
HCPCS,L1025,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,139.0,375.45,72
HCPCS,L1025,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating Other Outpatient",,,150.47,150.47,6
HCPCS,L1030,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,94.55,255.37,72
HCPCS,L1030,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad Other Outpatient",,,102.34,102.34,6
HCPCS,L1040,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,98.83,266.95,72
HCPCS,L1040,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad Other Outpatient",,,106.98,106.98,6
HCPCS,L1050,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,119.64,323.15,72
HCPCS,L1050,"Addition to ctlso or scoliosis orthosis, sternal pad Other Outpatient",,,129.51,129.51,6
HCPCS,L1060,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,116.11,313.61,72
HCPCS,L1060,"Addition to ctlso or scoliosis orthosis, thoracic pad Other Outpatient",,,125.69,125.69,6
HCPCS,L1070,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,113.59,306.8,72
HCPCS,L1070,"Addition to ctlso or scoliosis orthosis, trapezius sling Other Outpatient",,,122.95,122.95,6
HCPCS,L1080,"Addition to ctlso or scoliosis orthosis, outrigger ",,,63.89,172.58,72
HCPCS,L1080,"Addition to ctlso or scoliosis orthosis, outrigger Other Outpatient",,,69.16,69.16,6
HCPCS,L1085,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,192.94,521.14,72
HCPCS,L1085,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions Other Outpatient",,,208.86,208.86,6
HCPCS,L1090,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,114.27,308.64,72
HCPCS,L1090,"Addition to ctlso or scoliosis orthosis, lumbar sling Other Outpatient",,,123.69,123.69,6
HCPCS,L1100,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,196.94,531.94,72
HCPCS,L1100,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather Other Outpatient",,,213.18,213.18,6
HCPCS,L1110,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,287.2,775.73,72
HCPCS,L1110,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model Other Outpatient",,,310.88,310.88,6
HCPCS,L1120,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,52.05,140.59,72
HCPCS,L1120,"Addition to ctlso, scoliosis orthosis, cover for upright, each Other Outpatient",,,56.34,56.34,6
HCPCS,L1200,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2008.58,5425.23,72
HCPCS,L1200,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only Other Outpatient",,,2174.24,2174.24,6
HCPCS,L1210,"Addition to tlso, (low profile), lateral thoracic extension ",,,291.66,787.78,72
HCPCS,L1210,"Addition to tlso, (low profile), lateral thoracic extension Other Outpatient",,,315.71,315.71,6
HCPCS,L1220,"Addition to tlso, (low profile), anterior thoracic extension ",,,282.26,762.39,72
HCPCS,L1220,"Addition to tlso, (low profile), anterior thoracic extension Other Outpatient",,,305.54,305.54,6
HCPCS,L1230,"Addition to tlso, (low profile), milwaukee type superstructure ",,,633.62,1711.44,72
HCPCS,L1230,"Addition to tlso, (low profile), milwaukee type superstructure Other Outpatient",,,685.88,685.88,6
HCPCS,L1240,"Addition to tlso, (low profile), lumbar derotation pad ",,,93.46,252.44,72
HCPCS,L1240,"Addition to tlso, (low profile), lumbar derotation pad Other Outpatient",,,101.17,101.17,6
HCPCS,L1250,"Addition to tlso, (low profile), anterior asis pad ",,,90.67,244.89,72
HCPCS,L1250,"Addition to tlso, (low profile), anterior asis pad Other Outpatient",,,98.14,98.14,6
HCPCS,L1260,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,91.22,246.38,72
HCPCS,L1260,"Addition to tlso, (low profile), anterior thoracic derotation pad Other Outpatient",,,98.74,98.74,6
HCPCS,L1270,"Addition to tlso, (low profile), abdominal pad ",,,87.72,236.93,72
HCPCS,L1270,"Addition to tlso, (low profile), abdominal pad Other Outpatient",,,94.95,94.95,6
HCPCS,L1280,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,96.17,259.75,72
HCPCS,L1280,"Addition to tlso, (low profile), rib gusset (elastic), each Other Outpatient",,,104.1,104.1,6
HCPCS,L1290,"Addition to tlso, (low profile), lateral trochanteric pad ",,,87.61,236.64,72
HCPCS,L1290,"Addition to tlso, (low profile), lateral trochanteric pad Other Outpatient",,,94.84,94.84,6
HCPCS,L1300,"Other scoliosis procedure, body jacket molded to patient model ",,,2146.2,5796.96,72
HCPCS,L1300,"Other scoliosis procedure, body jacket molded to patient model Other Outpatient",,,2323.21,2323.21,6
HCPCS,L1310,"Other scoliosis procedure, post-operative body jacket ",,,2067.46,5584.27,72
HCPCS,L1310,"Other scoliosis procedure, post-operative body jacket Other Outpatient",,,2237.97,2237.97,6
HCPCS,L1320,"Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated ",,,0.48,0.73,6
HCPCS,L1600,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,191.52,517.29,78
HCPCS,L1610,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,50.75,137.08,78
HCPCS,L1620,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,149.34,403.38,78
HCPCS,L1630,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,188.88,510.17,72
HCPCS,L1630,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated Other Outpatient",,,204.46,204.46,6
HCPCS,L1640,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,592.28,1599.77,72
HCPCS,L1640,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated Other Outpatient",,,641.13,641.13,6
HCPCS,L1650,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,271.99,734.65,72
HCPCS,L1650,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment Other Outpatient",,,294.42,294.42,6
HCPCS,L1652,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,427.23,1153.95,78
HCPCS,L1653,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,427.23,1153.95,72
HCPCS,L1653,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf Other Outpatient",,,462.46,462.46,6
HCPCS,L1660,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,254.34,686.99,72
HCPCS,L1660,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment Other Outpatient",,,275.32,275.32,6
HCPCS,L1680,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1605.5,4336.49,72
HCPCS,L1680,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated Other Outpatient",,,1737.91,1737.91,6
HCPCS,L1681,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2033.55,5492.67,78
HCPCS,L1685,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1325.85,3581.17,72
HCPCS,L1685,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated Other Outpatient",,,1435.2,1435.2,6
HCPCS,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1016.77,2746.34,72
HCPCS,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment Other Outpatient",,,1100.63,1100.63,6
HCPCS,L1690,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2317.49,6259.63,72
HCPCS,L1690,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment Other Outpatient",,,2508.63,2508.63,6
HCPCS,L1700,"Legg perthes orthosis, (toronto type), custom fabricated ",,,1912.0,5164.36,72
HCPCS,L1700,"Legg perthes orthosis, (toronto type), custom fabricated Other Outpatient",,,2069.69,2069.69,6
HCPCS,L1710,"Legg perthes orthosis, (newington type), custom fabricated ",,,2458.64,6640.86,72
HCPCS,L1710,"Legg perthes orthosis, (newington type), custom fabricated Other Outpatient",,,2661.41,2661.41,6
HCPCS,L1720,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,1823.96,4926.57,72
HCPCS,L1720,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated Other Outpatient",,,1974.39,1974.39,6
HCPCS,L1730,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1443.79,3899.71,72
HCPCS,L1730,"Legg perthes orthosis, (scottish rite type), custom fabricated Other Outpatient",,,1562.86,1562.86,6
HCPCS,L1755,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1764.77,4766.7,72
HCPCS,L1755,"Legg perthes orthosis, (patten bottom type), custom fabricated Other Outpatient",,,1910.32,1910.32,6
HCPCS,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,119.21,322.0,72
HCPCS,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Other Outpatien",,,129.05,129.05,6
HCPCS,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,68.02,183.71,72
HCPCS,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf Other Outpatient",,,73.63,73.63,6
HCPCS,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,160.37,433.16,78
HCPCS,L1821,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,160.37,433.16,72
HCPCS,L1821,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf Other Outpatient",,,173.6,173.6,6
HCPCS,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,61.28,165.53,72
HCPCS,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf Other Outpatient",,,66.34,66.34,6
HCPCS,L1831,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,352.71,952.68,72
HCPCS,L1831,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment Other Outpatient",,,381.8,381.8,6
HCPCS,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,677.67,1830.41,78
HCPCS,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,441.51,1192.52,72
HCPCS,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf Other Outpatient",,,477.92,477.92,6
HCPCS,L1834,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,865.26,2337.09,72
HCPCS,L1834,"Knee orthosis, without knee joint, rigid, custom fabricated Other Outpatient",,,936.62,936.62,6
HCPCS,L1836,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,86.66,234.07,72
HCPCS,L1836,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf Other Outpatient",,,93.81,93.81,6
HCPCS,L1840,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1259.33,3401.49,72
HCPCS,L1840,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated Other Outpatient",,,1363.19,1363.19,6
HCPCS,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1075.32,2904.48,78
HCPCS,L1844,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1860.19,5024.43,78
HCPCS,L1845,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1044.03,2819.96,78
HCPCS,L1846,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1308.33,3533.83,78
HCPCS,L1847,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,689.32,1861.88,78
HCPCS,L1848,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,689.32,1861.88,72
HCPCS,L1848,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf Other Outpatient",,,746.17,746.17,6
HCPCS,L1850,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,199.61,539.14,72
HCPCS,L1850,"Knee orthosis, swedish type, prefabricated, off-the-shelf Other Outpatient",,,216.07,216.07,6
HCPCS,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,582.76,1574.04,78
HCPCS,L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,555.94,1501.6,78
HCPCS,L1860,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1219.02,3292.61,72
HCPCS,L1860,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) Other Outpatient",,,1319.56,1319.56,6
HCPCS,L1900,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,386.15,1043.0,72
HCPCS,L1900,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated Other Outpatient",,,417.99,417.99,6
HCPCS,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,118.64,320.45,72
HCPCS,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf Other Outpatient",,,128.43,128.43,6
HCPCS,L1904,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,524.15,1415.74,72
HCPCS,L1904,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated Other Outpatient",,,567.38,567.38,6
HCPCS,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,134.05,362.08,72
HCPCS,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf Other Outpatient",,,145.11,145.11,6
HCPCS,L1907,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,674.35,1821.45,72
HCPCS,L1907,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated Other Outpatient",,,729.97,729.97,6
HCPCS,L1910,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,335.82,907.07,72
HCPCS,L1910,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment Other Outpatient",,,363.52,363.52,6
HCPCS,L1920,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,403.48,1089.82,72
HCPCS,L1920,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated Other Outpatient",,,436.76,436.76,6
HCPCS,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,351.58,949.62,72
HCPCS,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment Other Outpatient",,,380.57,380.57,6
HCPCS,L1932,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1069.47,2888.68,78
HCPCS,L1933,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1069.47,2888.68,72
HCPCS,L1933,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf Other Outpatient",,,1157.68,1157.68,6
HCPCS,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,564.42,1524.53,72
HCPCS,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated Other Outpatient",,,610.97,610.97,6
HCPCS,L1945,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1031.82,2786.97,72
HCPCS,L1945,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated Other Outpatient",,,1116.92,1116.92,6
HCPCS,L1950,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,833.07,2250.13,72
HCPCS,L1950,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated Other Outpatient",,,901.77,901.77,6
HCPCS,L1951,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1006.48,2718.54,78
HCPCS,L1952,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1006.48,2718.54,72
HCPCS,L1952,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf Other Outpatient",,,1089.49,1089.49,6
HCPCS,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,617.84,1668.81,72
HCPCS,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated Other Outpatient",,,668.8,668.8,6
HCPCS,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,793.15,2142.32,72
HCPCS,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated Other Outpatient",,,858.56,858.56,6
HCPCS,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,561.74,1517.27,72
HCPCS,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment Other Outpatient",,,608.07,608.07,6
HCPCS,L1980,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,427.64,1155.08,72
HCPCS,L1980,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated Other Outpatient",,,462.91,462.91,6
HCPCS,L1990,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,496.85,1342.02,72
HCPCS,L1990,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated Other Outpatient",,,537.83,537.83,6
HCPCS,L2000,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1130.57,3053.71,72
HCPCS,L2000,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated Other Outpatient",,,1223.82,1223.82,6
HCPCS,L2005,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,4910.83,13264.3,72
HCPCS,L2005,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated Other O",,,5315.85,5315.85,6
HCPCS,L2006,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,2362.09,103557.07,84
HCPCS,L2010,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1104.03,2982.03,72
HCPCS,L2010,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated Other Outpatient",,,1195.09,1195.09,6
HCPCS,L2020,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1301.52,3515.44,72
HCPCS,L2020,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated Other Outpatient",,,1408.86,1408.86,6
HCPCS,L2030,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1141.62,3083.56,72
HCPCS,L2030,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated Other Outpatient",,,1235.78,1235.78,6
HCPCS,L2034,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2516.69,6797.67,72
HCPCS,L2034,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated Other Outpatient",,,2724.26,2724.26,6
HCPCS,L2035,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,207.63,560.81,72
HCPCS,L2035,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment Other Outpatient",,,224.75,224.75,6
HCPCS,L2036,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2173.05,5869.48,72
HCPCS,L2036,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated Other Outpatient",,,2352.27,2352.27,6
HCPCS,L2037,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,1856.55,5014.6,72
HCPCS,L2037,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated Other Outpatient",,,2009.67,2009.67,6
HCPCS,L2038,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1593.65,4304.5,72
HCPCS,L2038,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated Other Outpatient",,,1725.09,1725.09,6
HCPCS,L2040,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,197.9,534.53,72
HCPCS,L2040,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated Other Outpatient",,,214.22,214.22,6
HCPCS,L2050,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,629.85,1701.24,72
HCPCS,L2050,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated Other Outpatient",,,681.8,681.8,6
HCPCS,L2060,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,728.74,1968.35,72
HCPCS,L2060,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated Other Outpatient",,,788.84,788.84,6
HCPCS,L2070,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,151.03,407.93,72
HCPCS,L2070,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated Other Outpatient",,,163.48,163.48,6
HCPCS,L2080,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,428.36,1157.02,72
HCPCS,L2080,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated Other Outpatient",,,463.69,463.69,6
HCPCS,L2090,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,519.16,1402.28,72
HCPCS,L2090,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated Other Outpatient",,,561.98,561.98,6
HCPCS,L2106,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,932.76,2519.42,72
HCPCS,L2106,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated Other Outpatient",,,1009.69,1009.69,6
HCPCS,L2108,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1295.85,3500.14,72
HCPCS,L2108,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated Other Outpatient",,,1402.73,1402.73,6
HCPCS,L2112,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,631.34,1705.28,72
HCPCS,L2112,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment Other Outpatient",,,683.41,683.41,6
HCPCS,L2114,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,730.86,1974.07,72
HCPCS,L2114,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment Other Outpatient",,,791.13,791.13,6
HCPCS,L2116,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,875.61,2365.05,72
HCPCS,L2116,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment Other Outpatient",,,947.82,947.82,6
HCPCS,L2126,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1334.75,3605.2,72
HCPCS,L2126,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated Other Outpatient",,,1444.83,1444.83,6
HCPCS,L2128,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,1911.33,5162.55,72
HCPCS,L2128,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated Other Outpatient",,,2068.96,2068.96,6
HCPCS,L2132,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1014.36,2739.81,72
HCPCS,L2132,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment Other Outpatient",,,1098.02,1098.02,6
HCPCS,L2134,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1268.68,3426.75,72
HCPCS,L2134,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment Other Outpatient",,,1373.32,1373.32,6
HCPCS,L2136,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1436.37,3879.67,72
HCPCS,L2136,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment Other Outpatient",,,1554.83,1554.83,6
HCPCS,L2180,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,174.05,470.11,72
HCPCS,L2180,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints Other Outpatient",,,188.4,188.4,6
HCPCS,L2182,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,127.86,345.34,72
HCPCS,L2182,"Addition to lower extremity fracture orthosis, drop lock knee joint Other Outpatient",,,138.4,138.4,6
HCPCS,L2184,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,166.14,448.75,72
HCPCS,L2184,"Addition to lower extremity fracture orthosis, limited motion knee joint Other Outpatient",,,179.84,179.84,6
HCPCS,L2186,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,167.81,453.26,72
HCPCS,L2186,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type Other Outpatient",,,181.65,181.65,6
HCPCS,L2188,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,390.49,1054.73,72
HCPCS,L2188,"Addition to lower extremity fracture orthosis, quadrilateral brim Other Outpatient",,,422.7,422.7,6
HCPCS,L2190,"Addition to lower extremity fracture orthosis, waist belt ",,,111.59,301.4,72
HCPCS,L2190,"Addition to lower extremity fracture orthosis, waist belt Other Outpatient",,,120.79,120.79,6
HCPCS,L2192,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,439.63,1187.46,72
HCPCS,L2192,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt Other Outpatient",,,475.89,475.89,6
HCPCS,L2200,"Addition to lower extremity, limited ankle motion, each joint ",,,70.65,190.84,72
HCPCS,L2200,"Addition to lower extremity, limited ankle motion, each joint Other Outpatient",,,76.48,76.48,6
HCPCS,L2210,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,74.92,202.37,72
HCPCS,L2210,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint Other Outpatient",,,81.1,81.1,6
HCPCS,L2220,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,97.39,263.05,72
HCPCS,L2220,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint Other Outpatient",,,105.42,105.42,6
HCPCS,L2221,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1721.6,4650.11,72
HCPCS,L2221,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source Other Outpatient",,,1863.59,1863.59,6
HCPCS,L2230,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,89.99,243.06,72
HCPCS,L2230,"Addition to lower extremity, split flat caliper stirrups and plate attachment Other Outpatient",,,97.41,97.41,6
HCPCS,L2232,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,115.8,312.78,72
HCPCS,L2232,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only Other Outpatient",,,125.35,125.35,6
HCPCS,L2240,"Addition to lower extremity, round caliper and plate attachment ",,,93.23,251.81,72
HCPCS,L2240,"Addition to lower extremity, round caliper and plate attachment Other Outpatient",,,100.92,100.92,6
HCPCS,L2250,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,396.06,1069.77,72
HCPCS,L2250,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment Other Outpatient",,,428.73,428.73,6
HCPCS,L2260,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,230.59,622.83,72
HCPCS,L2260,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) Other Outpatient",,,249.61,249.61,6
HCPCS,L2265,"Addition to lower extremity, long tongue stirrup ",,,175.03,472.75,72
HCPCS,L2265,"Addition to lower extremity, long tongue stirrup Other Outpatient",,,189.46,189.46,6
HCPCS,L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,59.86,161.68,72
HCPCS,L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad Other Outpatient",,,64.8,64.8,6
HCPCS,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,145.63,393.34,72
HCPCS,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined Other Outpatient",,,157.64,157.64,6
HCPCS,L2280,"Addition to lower extremity, molded inner boot ",,,504.72,1363.26,72
HCPCS,L2280,"Addition to lower extremity, molded inner boot Other Outpatient",,,546.35,546.35,6
HCPCS,L2300,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,400.14,1080.8,72
HCPCS,L2300,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable Other Outpatient",,,433.15,433.15,6
HCPCS,L2310,"Addition to lower extremity, abduction bar-straight ",,,182.84,493.84,72
HCPCS,L2310,"Addition to lower extremity, abduction bar-straight Other Outpatient",,,197.91,197.91,6
HCPCS,L2320,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,250.24,675.91,72
HCPCS,L2320,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only Other Outpatient",,,270.88,270.88,6
HCPCS,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,463.88,1252.96,72
HCPCS,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only Other Outpatient",,,502.14,502.14,6
HCPCS,L2335,"Addition to lower extremity, anterior swing band ",,,253.22,683.95,72
HCPCS,L2335,"Addition to lower extremity, anterior swing band Other Outpatient",,,274.1,274.1,6
HCPCS,L2340,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,617.76,1668.6,72
HCPCS,L2340,"Addition to lower extremity, pre-tibial shell, molded to patient model Other Outpatient",,,668.71,668.71,6
HCPCS,L2350,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1058.35,2858.63,72
HCPCS,L2350,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) Other Outpatient",,,1145.63,1145.63,6
HCPCS,L2360,"Addition to lower extremity, extended steel shank ",,,76.89,207.69,72
HCPCS,L2360,"Addition to lower extremity, extended steel shank Other Outpatient",,,83.23,83.23,6
HCPCS,L2370,"Addition to lower extremity, patten bottom ",,,327.11,883.54,72
HCPCS,L2370,"Addition to lower extremity, patten bottom Other Outpatient",,,354.09,354.09,6
HCPCS,L2375,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,167.93,453.57,72
HCPCS,L2375,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup Other Outpatient",,,181.78,181.78,6
HCPCS,L2380,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,182.97,494.21,72
HCPCS,L2380,"Addition to lower extremity, torsion control, straight knee joint, each joint Other Outpatient",,,198.06,198.06,6
HCPCS,L2385,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,192.76,520.65,72
HCPCS,L2385,"Addition to lower extremity, straight knee joint, heavy duty, each joint Other Outpatient",,,208.66,208.66,6
HCPCS,L2387,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,184.47,498.27,72
HCPCS,L2387,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint Other Outpatient",,,199.69,199.69,6
HCPCS,L2390,"Addition to lower extremity, offset knee joint, each joint ",,,122.02,329.57,72
HCPCS,L2390,"Addition to lower extremity, offset knee joint, each joint Other Outpatient",,,132.08,132.08,6
HCPCS,L2395,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,232.54,628.09,72
HCPCS,L2395,"Addition to lower extremity, offset knee joint, heavy duty, each joint Other Outpatient",,,251.72,251.72,6
HCPCS,L2397,"Addition to lower extremity orthosis, suspension sleeve ",,,130.64,352.86,72
HCPCS,L2397,"Addition to lower extremity orthosis, suspension sleeve Other Outpatient",,,141.41,141.41,6
HCPCS,L2405,"Addition to knee joint, drop lock, each ",,,104.5,282.25,72
HCPCS,L2405,"Addition to knee joint, drop lock, each Other Outpatient",,,113.12,113.12,6
HCPCS,L2415,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,145.57,393.18,72
HCPCS,L2415,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint Other Outpatient",,,157.57,157.57,6
HCPCS,L2425,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,171.8,464.03,72
HCPCS,L2425,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint Other Outpatient",,,185.97,185.97,6
HCPCS,L2430,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,171.8,464.03,72
HCPCS,L2430,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint Other Outpatient",,,185.97,185.97,6
HCPCS,L2492,"Addition to knee joint, lift loop for drop lock ring ",,,126.87,342.67,72
HCPCS,L2492,"Addition to knee joint, lift loop for drop lock ring Other Outpatient",,,137.33,137.33,6
HCPCS,L2500,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,410.05,1107.55,72
HCPCS,L2500,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring Other Outpatient",,,443.87,443.87,6
HCPCS,L2510,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,930.03,2512.03,72
HCPCS,L2510,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model Other Outpatient",,,1006.73,1006.73,6
HCPCS,L2520,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,587.12,1585.83,72
HCPCS,L2520,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted Other Outpatient",,,635.54,635.54,6
HCPCS,L2525,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1358.75,3670.02,72
HCPCS,L2525,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model Other Outpatient",,,1470.81,1470.81,6
HCPCS,L2526,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,763.48,2062.18,72
HCPCS,L2526,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted Other Outpatient",,,826.44,826.44,6
HCPCS,L2530,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,264.03,713.16,72
HCPCS,L2530,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded Other Outpatient",,,285.81,285.81,6
HCPCS,L2540,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,501.29,1353.99,72
HCPCS,L2540,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model Other Outpatient",,,542.63,542.63,6
HCPCS,L2550,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,320.14,864.7,72
HCPCS,L2550,"Addition to lower extremity, thigh/weight bearing, high roll cuff Other Outpatient",,,346.54,346.54,6
HCPCS,L2570,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,707.89,1912.02,72
HCPCS,L2570,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each Other Outpatient",,,766.27,766.27,6
HCPCS,L2580,"Addition to lower extremity, pelvic control, pelvic sling ",,,517.32,1397.3,72
HCPCS,L2580,"Addition to lower extremity, pelvic control, pelvic sling Other Outpatient",,,559.99,559.99,6
HCPCS,L2600,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,305.24,824.46,72
HCPCS,L2600,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each Other Outpatient",,,330.41,330.41,6
HCPCS,L2610,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",5438.0,5438.0,360.93,974.88,72
HCPCS,L2610,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each Other Outpatient",5438.0,5438.0,390.69,390.69,6
HCPCS,L2610,DROP LOCK HIP JOINT,5438.0,5438.0,380.66,5438.0,57
HCPCS,L2620,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,348.73,941.94,72
HCPCS,L2620,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each Other Outpatient",,,377.5,377.5,6
HCPCS,L2622,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,455.75,1231.01,72
HCPCS,L2622,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each Other Outpatient",,,493.34,493.34,6
HCPCS,L2624,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,396.33,1070.51,72
HCPCS,L2624,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each Other Outpatient",,,429.02,429.02,6
HCPCS,L2627,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,1910.84,5161.24,72
HCPCS,L2627,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables Other Outpatient",,,2068.44,2068.44,6
HCPCS,L2628,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,1867.47,5044.1,72
HCPCS,L2628,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables Other Outpatient",,,2021.49,2021.49,6
HCPCS,L2630,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,326.39,881.58,72
HCPCS,L2630,"Addition to lower extremity, pelvic control, band and belt, unilateral Other Outpatient",,,353.3,353.3,6
HCPCS,L2640,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,429.06,1158.9,72
HCPCS,L2640,"Addition to lower extremity, pelvic control, band and belt, bilateral Other Outpatient",,,464.45,464.45,6
HCPCS,L2650,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,161.15,435.26,72
HCPCS,L2650,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each Other Outpatient",,,174.44,174.44,6
HCPCS,L2660,"Addition to lower extremity, thoracic control, thoracic band ",,,250.92,677.74,72
HCPCS,L2660,"Addition to lower extremity, thoracic control, thoracic band Other Outpatient",,,271.61,271.61,6
HCPCS,L2670,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,253.52,684.76,72
HCPCS,L2670,"Addition to lower extremity, thoracic control, paraspinal uprights Other Outpatient",,,274.43,274.43,6
HCPCS,L2680,"Addition to lower extremity, thoracic control, lateral support uprights ",,,232.57,628.17,72
HCPCS,L2680,"Addition to lower extremity, thoracic control, lateral support uprights Other Outpatient",,,251.75,251.75,6
HCPCS,L2750,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,122.51,330.91,72
HCPCS,L2750,"Addition to lower extremity orthosis, plating chrome or nickel, per bar Other Outpatient",,,132.62,132.62,6
HCPCS,L2755,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,156.64,423.08,72
HCPCS,L2755,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only Other Outpatient",,,169.55,169.55,6
HCPCS,L2760,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,90.3,243.9,72
HCPCS,L2760,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) Other Outpatient",,,97.74,97.74,6
HCPCS,L2768,"Orthotic side bar disconnect device, per bar ",,,156.11,421.66,72
HCPCS,L2768,"Orthotic side bar disconnect device, per bar Other Outpatient",,,168.99,168.99,6
HCPCS,L2780,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,75.44,203.76,72
HCPCS,L2780,"Addition to lower extremity orthosis, non-corrosive finish, per bar Other Outpatient",,,81.66,81.66,6
HCPCS,L2785,"Addition to lower extremity orthosis, drop lock retainer, each ",,,35.33,95.42,72
HCPCS,L2785,"Addition to lower extremity orthosis, drop lock retainer, each Other Outpatient",,,38.24,38.24,6
HCPCS,L2795,"Addition to lower extremity orthosis, knee control, full kneecap ",,,109.18,294.91,72
HCPCS,L2795,"Addition to lower extremity orthosis, knee control, full kneecap Other Outpatient",,,118.19,118.19,6
HCPCS,L2800,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,118.89,321.13,72
HCPCS,L2800,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only Other Outpatient",,,128.7,128.7,6
HCPCS,L2810,"Addition to lower extremity orthosis, knee control, condylar pad ",,,96.9,261.74,72
HCPCS,L2810,"Addition to lower extremity orthosis, knee control, condylar pad Other Outpatient",,,104.9,104.9,6
HCPCS,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,96.8,261.45,72
HCPCS,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section Other Outpatient",,,104.78,104.78,6
HCPCS,L2830,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,104.72,282.86,72
HCPCS,L2830,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section Other Outpatient",,,113.36,113.36,6
HCPCS,L2840,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,64.93,175.38,72
HCPCS,L2840,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each Other Outpatient",,,70.29,70.29,6
HCPCS,L2850,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,74.26,200.59,72
HCPCS,L2850,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each Other Outpatient",,,80.39,80.39,6
HCPCS,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,376.48,1016.87,72
HCPCS,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each Other Outpatient",,,407.53,407.53,6
HCPCS,L3001,"Foot, insert, removable, molded to patient model, spenco, each ",,,158.49,428.08,72
HCPCS,L3001,"Foot, insert, removable, molded to patient model, spenco, each Other Outpatient",,,171.56,171.56,6
HCPCS,L3002,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,193.52,522.72,72
HCPCS,L3002,"Foot, insert, removable, molded to patient model, plastazote or equal, each Other Outpatient",,,209.49,209.49,6
HCPCS,L3003,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,208.82,564.03,72
HCPCS,L3003,"Foot, insert, removable, molded to patient model, silicone gel, each Other Outpatient",,,226.04,226.04,6
HCPCS,L3010,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,208.82,564.03,72
HCPCS,L3010,"Foot, insert, removable, molded to patient model, longitudinal arch support, each Other Outpatient",,,226.04,226.04,6
HCPCS,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,237.77,642.21,72
HCPCS,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each Other Outpatient",,,257.38,257.38,6
HCPCS,L3030,"Foot, insert, removable, formed to patient foot, each ",,,91.47,247.07,72
HCPCS,L3030,"Foot, insert, removable, formed to patient foot, each Other Outpatient",,,99.02,99.02,6
HCPCS,L3031,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,146.77,396.43,72
HCPCS,L3031,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each Other Outpatient",,,158.88,158.88,6
HCPCS,L3040,"Foot, arch support, removable, premolded, longitudinal, each ",,,56.4,152.33,72
HCPCS,L3040,"Foot, arch support, removable, premolded, longitudinal, each Other Outpatient",,,61.05,61.05,6
HCPCS,L3050,"Foot, arch support, removable, premolded, metatarsal, each ",,,56.4,152.33,72
HCPCS,L3050,"Foot, arch support, removable, premolded, metatarsal, each Other Outpatient",,,61.05,61.05,6
HCPCS,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,88.4,238.76,72
HCPCS,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each Other Outpatient",,,95.69,95.69,6
HCPCS,L3070,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,38.09,102.89,72
HCPCS,L3070,"Foot, arch support, non-removable attached to shoe, longitudinal, each Other Outpatient",,,41.23,41.23,6
HCPCS,L3080,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,38.09,102.89,72
HCPCS,L3080,"Foot, arch support, non-removable attached to shoe, metatarsal, each Other Outpatient",,,41.23,41.23,6
HCPCS,L3090,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,48.8,131.81,72
HCPCS,L3090,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each Other Outpatient",,,52.83,52.83,6
HCPCS,L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,51.81,139.93,72
HCPCS,L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf Other Outpatient",,,56.08,56.08,6
HCPCS,L3140,"Foot, abduction rotation bar, including shoes ",,,106.73,288.28,72
HCPCS,L3140,"Foot, abduction rotation bar, including shoes Other Outpatient",,,115.53,115.53,6
HCPCS,L3150,"Foot, abduction rotation bar, without shoes ",,,97.54,263.47,72
HCPCS,L3150,"Foot, abduction rotation bar, without shoes Other Outpatient",,,105.59,105.59,6
HCPCS,L3161,"Foot, adductus positioning device, adjustable ",,,44.53,67.01,6
HCPCS,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,60.95,164.64,72
HCPCS,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each Other Outpatient",,,65.98,65.98,6
HCPCS,L3224,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,65.54,177.03,72
HCPCS,L3224,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) Other Outpatient",,,70.95,70.95,6
HCPCS,L3225,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,76.84,207.56,72
HCPCS,L3225,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) Other Outpatient",,,83.18,83.18,6
HCPCS,L3300,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,62.48,168.75,72
HCPCS,L3300,"Lift, elevation, heel, tapered to metatarsals, per inch Other Outpatient",,,67.63,67.63,6
HCPCS,L3310,"Lift, elevation, heel and sole, neoprene, per inch ",,,97.54,263.47,72
HCPCS,L3310,"Lift, elevation, heel and sole, neoprene, per inch Other Outpatient",,,105.59,105.59,6
HCPCS,L3330,"Lift, elevation, metal extension (skate) ",,,678.25,1831.98,72
HCPCS,L3330,"Lift, elevation, metal extension (skate) Other Outpatient",,,734.19,734.19,6
HCPCS,L3332,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,88.4,238.76,72
HCPCS,L3332,"Lift, elevation, inside shoe, tapered, up to one-half inch Other Outpatient",,,95.69,95.69,6
HCPCS,L3334,"Lift, elevation, heel, per inch ",,,45.72,123.48,72
HCPCS,L3334,"Lift, elevation, heel, per inch Other Outpatient",,,49.49,49.49,6
HCPCS,L3340,"Heel wedge, sach ",,,102.09,275.75,72
HCPCS,L3340,"Heel wedge, sach Other Outpatient",,,110.51,110.51,6
HCPCS,L3350,Heel wedge ,,,27.41,74.04,72
HCPCS,L3350,Heel wedge Other Outpatient,,,29.67,29.67,6
HCPCS,L3360,"Sole wedge, outside sole ",,,42.68,115.28,72
HCPCS,L3360,"Sole wedge, outside sole Other Outpatient",,,46.2,46.2,6
HCPCS,L3370,"Sole wedge, between sole ",,,59.44,160.55,72
HCPCS,L3370,"Sole wedge, between sole Other Outpatient",,,64.34,64.34,6
HCPCS,L3380,Clubfoot wedge ,,,59.44,160.55,72
HCPCS,L3380,Clubfoot wedge Other Outpatient,,,64.34,64.34,6
HCPCS,L3390,Outflare wedge ,,,59.44,160.55,72
HCPCS,L3390,Outflare wedge Other Outpatient,,,64.34,64.34,6
HCPCS,L3400,"Metatarsal bar wedge, rocker ",,,48.8,131.81,72
HCPCS,L3400,"Metatarsal bar wedge, rocker Other Outpatient",,,52.83,52.83,6
HCPCS,L3410,"Metatarsal bar wedge, between sole ",,,111.3,300.62,72
HCPCS,L3410,"Metatarsal bar wedge, between sole Other Outpatient",,,120.48,120.48,6
HCPCS,L3420,"Full sole and heel wedge, between sole ",,,65.52,176.98,72
HCPCS,L3420,"Full sole and heel wedge, between sole Other Outpatient",,,70.93,70.93,6
HCPCS,L3430,"Heel, counter, plastic reinforced ",,,192.05,518.73,72
HCPCS,L3430,"Heel, counter, plastic reinforced Other Outpatient",,,207.89,207.89,6
HCPCS,L3440,"Heel, counter, leather reinforced ",,,91.47,247.07,72
HCPCS,L3440,"Heel, counter, leather reinforced Other Outpatient",,,99.02,99.02,6
HCPCS,L3450,"Heel, sach cushion type ",,,126.49,341.65,72
HCPCS,L3450,"Heel, sach cushion type Other Outpatient",,,136.92,136.92,6
HCPCS,L3455,"Heel, new leather, standard ",,,48.8,131.81,72
HCPCS,L3455,"Heel, new leather, standard Other Outpatient",,,52.83,52.83,6
HCPCS,L3460,"Heel, new rubber, standard ",,,41.14,111.11,72
HCPCS,L3460,"Heel, new rubber, standard Other Outpatient",,,44.53,44.53,6
HCPCS,L3465,"Heel, thomas with wedge ",,,70.11,189.37,72
HCPCS,L3465,"Heel, thomas with wedge Other Outpatient",,,75.89,75.89,6
HCPCS,L3470,"Heel, thomas extended to ball ",,,74.68,201.71,72
HCPCS,L3470,"Heel, thomas extended to ball Other Outpatient",,,80.84,80.84,6
HCPCS,L3480,"Heel, pad and depression for spur ",,,74.68,201.71,72
HCPCS,L3480,"Heel, pad and depression for spur Other Outpatient",,,80.84,80.84,6
HCPCS,L3500,"Orthopedic shoe addition, insole, leather ",,,35.09,94.79,72
HCPCS,L3500,"Orthopedic shoe addition, insole, leather Other Outpatient",,,37.99,37.99,6
HCPCS,L3510,"Orthopedic shoe addition, insole, rubber ",,,35.09,94.79,72
HCPCS,L3510,"Orthopedic shoe addition, insole, rubber Other Outpatient",,,37.99,37.99,6
HCPCS,L3520,"Orthopedic shoe addition, insole, felt covered with leather ",,,38.09,102.89,72
HCPCS,L3520,"Orthopedic shoe addition, insole, felt covered with leather Other Outpatient",,,41.23,41.23,6
HCPCS,L3530,"Orthopedic shoe addition, sole, half ",,,38.09,102.89,72
HCPCS,L3530,"Orthopedic shoe addition, sole, half Other Outpatient",,,41.23,41.23,6
HCPCS,L3540,"Orthopedic shoe addition, sole, full ",,,60.95,164.64,72
HCPCS,L3540,"Orthopedic shoe addition, sole, full Other Outpatient",,,65.98,65.98,6
HCPCS,L3550,"Orthopedic shoe addition, toe tap standard ",,,10.69,28.87,72
HCPCS,L3550,"Orthopedic shoe addition, toe tap standard Other Outpatient",,,11.57,11.57,6
HCPCS,L3560,"Orthopedic shoe addition, toe tap, horseshoe ",,,27.41,74.04,72
HCPCS,L3560,"Orthopedic shoe addition, toe tap, horseshoe Other Outpatient",,,29.67,29.67,6
HCPCS,L3570,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,102.09,275.75,72
HCPCS,L3570,"Orthopedic shoe addition, special extension to instep (leather with eyelets) Other Outpatient",,,110.51,110.51,6
HCPCS,L3580,"Orthopedic shoe addition, convert instep to velcro closure ",,,77.74,209.97,72
HCPCS,L3580,"Orthopedic shoe addition, convert instep to velcro closure Other Outpatient",,,84.15,84.15,6
HCPCS,L3590,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,64.03,172.95,72
HCPCS,L3590,"Orthopedic shoe addition, convert firm shoe counter to soft counter Other Outpatient",,,69.31,69.31,6
HCPCS,L3595,"Orthopedic shoe addition, march bar ",,,50.28,135.82,72
HCPCS,L3595,"Orthopedic shoe addition, march bar Other Outpatient",,,54.43,54.43,6
HCPCS,L3600,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,91.47,247.07,72
HCPCS,L3600,"Transfer of an orthosis from one shoe to another, caliper plate, existing Other Outpatient",,,99.02,99.02,6
HCPCS,L3610,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,120.4,325.19,72
HCPCS,L3610,"Transfer of an orthosis from one shoe to another, caliper plate, new Other Outpatient",,,130.33,130.33,6
HCPCS,L3620,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,91.47,247.07,72
HCPCS,L3620,"Transfer of an orthosis from one shoe to another, solid stirrup, existing Other Outpatient",,,99.02,99.02,6
HCPCS,L3630,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,120.4,325.19,72
HCPCS,L3630,"Transfer of an orthosis from one shoe to another, solid stirrup, new Other Outpatient",,,130.33,130.33,6
HCPCS,L3640,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,51.81,139.93,72
HCPCS,L3640,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes Other Outpatient",,,56.08,56.08,6
HCPCS,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,70.89,191.47,72
HCPCS,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf Other Outpatient",,,76.73,76.73,6
HCPCS,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,112.1,302.79,72
HCPCS,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf Other Outpatient",,,121.35,121.35,6
HCPCS,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,128.06,345.89,72
HCPCS,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf Other Outpatient",,,138.62,138.62,6
HCPCS,L3671,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,982.78,2654.53,72
HCPCS,L3671,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,1063.84,1063.84,6
HCPCS,L3674,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1289.25,3482.29,78
HCPCS,L3675,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,191.41,517.0,72
HCPCS,L3675,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf Other Outpatient",,,207.2,207.2,6
HCPCS,L3702,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,314.97,850.74,72
HCPCS,L3702,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,340.95,340.95,6
HCPCS,L3710,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,162.04,437.67,72
HCPCS,L3710,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf Other Outpatient",,,175.4,175.4,6
HCPCS,L3720,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,827.56,2235.25,72
HCPCS,L3720,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated Other Outpatient",,,895.81,895.81,6
HCPCS,L3730,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1210.44,3269.45,72
HCPCS,L3730,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated Other Outpatient",,,1310.27,1310.27,6
HCPCS,L3740,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1554.3,4198.21,72
HCPCS,L3740,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated Other Outpatient",,,1682.49,1682.49,6
HCPCS,L3760,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,545.44,1473.25,78
HCPCS,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,545.44,1473.25,72
HCPCS,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf Other Outpatient",,,590.43,590.43,6
HCPCS,L3762,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,117.3,316.84,72
HCPCS,L3762,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf Other Outpatient",,,126.98,126.98,6
HCPCS,L3763,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,763.59,2062.49,72
HCPCS,L3763,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,826.57,826.57,6
HCPCS,L3764,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,829.69,2241.02,72
HCPCS,L3764,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,898.12,898.12,6
HCPCS,L3765,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1398.52,3777.44,72
HCPCS,L3765,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,1513.86,1513.86,6
HCPCS,L3766,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1480.94,4000.06,72
HCPCS,L3766,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpa",,,1603.08,1603.08,6
HCPCS,L3806,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,495.45,1338.22,78
HCPCS,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,272.73,736.67,72
HCPCS,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Other",,,295.23,295.23,6
HCPCS,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,364.48,984.47,72
HCPCS,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,394.54,394.54,6
HCPCS,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,272.73,736.67,72
HCPCS,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type Other Outpatient",,,295.23,295.23,6
HCPCS,L3900,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1425.74,3850.98,72
HCPCS,L3900,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated Other Outpatient",,,1543.33,1543.33,6
HCPCS,L3901,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1752.84,4734.47,72
HCPCS,L3901,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated Other Outpatient",,,1897.4,1897.4,6
HCPCS,L3904,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3194.17,8627.56,72
HCPCS,L3904,"Wrist hand finger orthosis, external powered, electric, custom fabricated Other Outpatient",,,3457.61,3457.61,6
HCPCS,L3905,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1081.6,2921.43,72
HCPCS,L3905,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,1170.8,1170.8,6
HCPCS,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,430.99,1164.12,72
HCPCS,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,466.54,466.54,6
HCPCS,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,65.35,176.51,72
HCPCS,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf Other Outpatient",,,70.74,70.74,6
HCPCS,L3912,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,135.98,367.3,72
HCPCS,L3912,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf Other Outpatient",,,147.2,147.2,6
HCPCS,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,295.41,797.92,72
HCPCS,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,319.78,319.78,6
HCPCS,L3915,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,579.79,1566.03,78
HCPCS,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,579.79,1566.03,72
HCPCS,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf Other Outpatient",,,627.61,627.61,6
HCPCS,L3917,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,115.19,311.13,72
HCPCS,L3917,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Other ",,,124.69,124.69,6
HCPCS,L3918,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,115.19,311.13,72
HCPCS,L3918,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf Other Outpatient",,,124.69,124.69,6
HCPCS,L3919,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,295.41,797.92,72
HCPCS,L3919,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,319.78,319.78,6
HCPCS,L3921,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,350.31,946.19,72
HCPCS,L3921,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,379.2,379.2,6
HCPCS,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,94.88,256.26,78
HCPCS,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,94.88,256.26,72
HCPCS,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf Other Outpatient",,,102.7,102.7,6
HCPCS,L3925,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,58.61,158.3,72
HCPCS,L3925,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf Other Outpa",,,63.44,63.44,6
HCPCS,L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,38.16,103.07,78
HCPCS,L3929,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,100.33,270.99,78
HCPCS,L3930,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,100.33,270.99,72
HCPCS,L3930,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf Other Outpatient",,,108.6,108.6,6
HCPCS,L3931,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,224.05,605.17,72
HCPCS,L3931,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment Ot",,,242.53,242.53,6
HCPCS,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,232.71,628.56,72
HCPCS,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment Other Outpatient",,,251.91,251.91,6
HCPCS,L3935,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,241.01,650.97,72
HCPCS,L3935,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment Other Outpatient",,,260.88,260.88,6
HCPCS,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,977.39,2639.96,72
HCPCS,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment Other Outpatient",,,1058.0,1058.0,6
HCPCS,L3961,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1832.47,4949.55,72
HCPCS,L3961,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,1983.6,1983.6,6
HCPCS,L3962,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,782.6,2113.82,72
HCPCS,L3962,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment Other Outpatient",,,847.14,847.14,6
HCPCS,L3967,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2163.59,5843.94,78
HCPCS,L3971,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2053.69,5547.09,78
HCPCS,L3973,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2163.59,5843.94,78
HCPCS,L3975,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1832.47,4949.55,72
HCPCS,L3975,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Other Outpatient",,,1983.6,1983.6,6
HCPCS,L3976,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,1832.47,4949.55,78
HCPCS,L3977,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2053.69,5547.09,78
HCPCS,L3978,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2163.59,5843.94,78
HCPCS,L3980,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,401.52,1084.52,72
HCPCS,L3980,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment Other Outpatient",,,434.64,434.64,6
HCPCS,L3981,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1097.87,2965.37,72
HCPCS,L3981,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments O",,,1188.41,1188.41,6
HCPCS,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,453.11,1223.85,72
HCPCS,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment Other Outpatient",,,490.48,490.48,6
HCPCS,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,394.2,1064.74,72
HCPCS,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment Other Outpatient",,,426.71,426.71,6
HCPCS,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,46.5,125.6,72
HCPCS,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each Other Outpatient",,,50.34,50.34,6
HCPCS,L4000,Replace girdle for spinal orthosis (ctlso or so) ,,,1501.94,4056.78,72
HCPCS,L4000,Replace girdle for spinal orthosis (ctlso or so) Other Outpatient,,,1625.81,1625.81,6
HCPCS,L4010,Replace trilateral socket brim ,,,767.58,2073.26,72
HCPCS,L4010,Replace trilateral socket brim Other Outpatient,,,830.89,830.89,6
HCPCS,L4020,"Replace quadrilateral socket brim, molded to patient model ",,,1122.49,3031.89,72
HCPCS,L4020,"Replace quadrilateral socket brim, molded to patient model Other Outpatient",,,1215.07,1215.07,6
HCPCS,L4030,"Replace quadrilateral socket brim, custom fitted ",,,734.05,1982.69,72
HCPCS,L4030,"Replace quadrilateral socket brim, custom fitted Other Outpatient",,,794.59,794.59,6
HCPCS,L4040,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,478.43,1292.26,72
HCPCS,L4040,"Replace molded thigh lacer, for custom fabricated orthosis only Other Outpatient",,,517.89,517.89,6
HCPCS,L4045,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,365.63,987.58,72
HCPCS,L4045,"Replace non-molded thigh lacer, for custom fabricated orthosis only Other Outpatient",,,395.79,395.79,6
HCPCS,L4050,"Replace molded calf lacer, for custom fabricated orthosis only ",,,460.17,1242.93,72
HCPCS,L4050,"Replace molded calf lacer, for custom fabricated orthosis only Other Outpatient",,,498.12,498.12,6
HCPCS,L4055,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,303.55,819.9,72
HCPCS,L4055,"Replace non-molded calf lacer, for custom fabricated orthosis only Other Outpatient",,,328.59,328.59,6
HCPCS,L4060,Replace high roll cuff ,,,354.23,956.8,72
HCPCS,L4060,Replace high roll cuff Other Outpatient,,,383.45,383.45,6
HCPCS,L4070,Replace proximal and distal upright for kafo ,,,394.87,1066.55,72
HCPCS,L4070,Replace proximal and distal upright for kafo Other Outpatient,,,427.43,427.43,6
HCPCS,L4080,"Replace metal bands kafo, proximal thigh ",,,112.74,304.52,72
HCPCS,L4080,"Replace metal bands kafo, proximal thigh Other Outpatient",,,122.04,122.04,6
HCPCS,L4090,"Replace metal bands kafo-afo, calf or distal thigh ",,,127.34,343.95,72
HCPCS,L4090,"Replace metal bands kafo-afo, calf or distal thigh Other Outpatient",,,137.84,137.84,6
HCPCS,L4100,"Replace leather cuff kafo, proximal thigh ",,,130.77,353.2,72
HCPCS,L4100,"Replace leather cuff kafo, proximal thigh Other Outpatient",,,141.55,141.55,6
HCPCS,L4110,"Replace leather cuff kafo-afo, calf or distal thigh ",,,104.6,282.51,72
HCPCS,L4110,"Replace leather cuff kafo-afo, calf or distal thigh Other Outpatient",,,113.22,113.22,6
HCPCS,L4130,Replace pretibial shell ,,,644.54,1740.91,72
HCPCS,L4130,Replace pretibial shell Other Outpatient,,,697.69,697.69,6
HCPCS,L4205,"Repair of orthotic device, labor component, per 15 minutes ",,,29.05,78.47,72
HCPCS,L4205,"Repair of orthotic device, labor component, per 15 minutes Other Outpatient",,,31.45,31.45,6
HCPCS,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,102.47,276.78,72
HCPCS,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf Other Outpatient",,,110.92,110.92,6
HCPCS,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,308.63,833.63,78
HCPCS,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,308.63,833.63,72
HCPCS,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf Other Outpatient",,,334.09,334.09,6
HCPCS,L4370,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,210.43,568.38,72
HCPCS,L4370,"Pneumatic full leg splint, prefabricated, off-the-shelf Other Outpatient",,,227.79,227.79,6
HCPCS,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,190.0,513.21,78
HCPCS,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,190.0,513.21,72
HCPCS,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf Other Outpatient",,,205.67,205.67,6
HCPCS,L4392,"Replacement, soft interface material, static afo ",,,28.23,76.24,72
HCPCS,L4392,"Replacement, soft interface material, static afo Other Outpatient",,,30.56,30.56,6
HCPCS,L4394,"Replace soft interface material, foot drop splint ",,,20.6,55.65,72
HCPCS,L4394,"Replace soft interface material, foot drop splint Other Outpatient",,,22.3,22.3,6
HCPCS,L4396,BOOT UNIV ANKL,4144.0,4144.0,290.08,4144.0,57
HCPCS,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",4144.0,4144.0,201.18,543.39,78
HCPCS,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,201.18,543.39,72
HCPCS,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf Other Outpatient",,,217.77,217.77,6
HCPCS,L4398,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,92.59,250.08,72
HCPCS,L4398,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf Other Outpatient",,,100.22,100.22,6
HCPCS,L4631,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1772.67,4788.05,78
HCPCS,L5000,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,800.01,2160.85,72
HCPCS,L5000,"Partial foot, shoe insert with longitudinal arch, toe filler Other Outpatient",,,865.99,865.99,6
HCPCS,L5010,"Partial foot, molded socket, ankle height, with toe filler ",,,1816.53,4906.5,72
HCPCS,L5010,"Partial foot, molded socket, ankle height, with toe filler Other Outpatient",,,1966.35,1966.35,6
HCPCS,L5020,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,2728.87,7370.77,72
HCPCS,L5020,"Partial foot, molded socket, tibial tubercle height, with toe filler Other Outpatient",,,2953.93,2953.93,6
HCPCS,L5050,"Ankle, symes, molded socket, sach foot ",,,3435.24,9278.68,72
HCPCS,L5050,"Ankle, symes, molded socket, sach foot Other Outpatient",,,3718.55,3718.55,6
HCPCS,L5060,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,3881.64,10484.43,72
HCPCS,L5060,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot Other Outpatient",,,4201.77,4201.77,6
HCPCS,L5100,"Below knee, molded socket, shin, sach foot ",,,3375.69,9117.84,72
HCPCS,L5100,"Below knee, molded socket, shin, sach foot Other Outpatient",,,3654.09,3654.09,6
HCPCS,L5105,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4125.38,11142.78,72
HCPCS,L5105,"Below knee, plastic socket, joints and thigh lacer, sach foot Other Outpatient",,,4465.62,4465.62,6
HCPCS,L5150,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,4917.39,13282.01,72
HCPCS,L5150,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot Other Outpatient",,,5322.94,5322.94,6
HCPCS,L5160,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5173.67,13974.24,72
HCPCS,L5160,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot Other Outpatient",,,5600.36,5600.36,6
HCPCS,L5200,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,4496.31,12144.67,72
HCPCS,L5200,"Above knee, molded socket, single axis constant friction knee, shin, sach foot Other Outpatient",,,4867.14,4867.14,6
HCPCS,L5210,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3323.51,8976.91,72
HCPCS,L5210,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each Other Outpatient",,,3597.62,3597.62,6
HCPCS,L5220,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4175.33,11277.69,72
HCPCS,L5220,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each Other Outpatient",,,4519.68,4519.68,6
HCPCS,L5230,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,4948.91,13367.16,72
HCPCS,L5230,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot Other Outpatient",,,5357.07,5357.07,6
HCPCS,L5250,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,6699.9,18096.63,72
HCPCS,L5250,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Other Outpatient",,,7252.47,7252.47,6
HCPCS,L5270,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,6366.24,17195.4,72
HCPCS,L5270,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot Other Outpatient",,,6891.29,6891.29,6
HCPCS,L5280,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,6930.06,18718.3,72
HCPCS,L5280,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Other Outpatient",,,7501.61,7501.61,6
HCPCS,L5301,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3275.07,8846.06,72
HCPCS,L5301,"Below knee, molded socket, shin, sach foot, endoskeletal system Other Outpatient",,,3545.18,3545.18,6
HCPCS,L5312,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4371.29,11806.98,72
HCPCS,L5312,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system Other Outpatient",,,4731.8,4731.8,6
HCPCS,L5321,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,4569.21,12341.59,72
HCPCS,L5321,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee Other Outpatient",,,4946.06,4946.06,6
HCPCS,L5331,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,6878.77,18579.78,72
HCPCS,L5331,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Other Outpatient",,,7446.1,7446.1,6
HCPCS,L5341,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7178.43,19389.15,72
HCPCS,L5341,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Other Outpatient",,,7770.46,7770.46,6
HCPCS,L5400,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1693.58,4574.42,72
HCPCS,L5400,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee Other Outpatient",,,1833.26,1833.26,6
HCPCS,L5410,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,661.55,1786.87,72
HCPCS,L5410,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment Other Outpatient",,,716.11,716.11,6
HCPCS,L5420,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2168.88,5858.22,72
HCPCS,L5420,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation Other Outpatient",,,2347.76,2347.76,6
HCPCS,L5430,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,796.78,2152.12,72
HCPCS,L5430,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment Other",,,862.49,862.49,6
HCPCS,L5450,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,645.07,1742.35,72
HCPCS,L5450,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee Other Outpatient",,,698.27,698.27,6
HCPCS,L5460,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,863.38,2332.01,72
HCPCS,L5460,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee Other Outpatient",,,934.58,934.58,6
HCPCS,L5500,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1704.13,4602.92,72
HCPCS,L5500,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Other Outpatient",,,1844.68,1844.68,6
HCPCS,L5505,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,2753.97,7438.55,72
HCPCS,L5505,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Other Outpatient",,,2981.1,2981.1,6
HCPCS,L5510,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2025.98,5472.24,72
HCPCS,L5510,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Other Outpatient",,,2193.07,2193.07,6
HCPCS,L5520,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2276.95,6150.11,72
HCPCS,L5520,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Other Outpatient",,,2464.74,2464.74,6
HCPCS,L5530,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2353.11,6355.83,72
HCPCS,L5530,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Other Outpatient",,,2547.18,2547.18,6
HCPCS,L5535,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2357.73,6368.3,72
HCPCS,L5535,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket Other Outpatient",,,2552.18,2552.18,6
HCPCS,L5540,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2527.92,6827.98,72
HCPCS,L5540,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model Other Outpatient",,,2736.41,2736.41,6
HCPCS,L5560,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3040.26,8211.84,72
HCPCS,L5560,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Other Outpatient",,,3291.0,3291.0,6
HCPCS,L5570,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3001.72,8107.75,72
HCPCS,L5570,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Other Outpatient",,,3249.29,3249.29,6
HCPCS,L5580,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3351.63,9052.86,72
HCPCS,L5580,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Other Outpatient",,,3628.05,3628.05,6
HCPCS,L5585,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3362.68,9082.7,72
HCPCS,L5585,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket Other Outpatient",,,3640.01,3640.01,6
HCPCS,L5590,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3290.13,8886.75,72
HCPCS,L5590,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model Other Outpatient",,,3561.48,3561.48,6
HCPCS,L5595,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,4781.55,12915.11,72
HCPCS,L5595,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model Other Outpatient",,,5175.9,5175.9,6
HCPCS,L5600,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5280.26,14262.15,72
HCPCS,L5600,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model Other Outpatient",,,5715.75,5715.75,6
HCPCS,L5610,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,2849.5,7696.59,72
HCPCS,L5610,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system Other Outpatient",,,3084.51,3084.51,6
HCPCS,L5611,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,1913.3,5167.87,72
HCPCS,L5611,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control Other Outpatient",,,2071.09,2071.09,6
HCPCS,L5613,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,2947.04,7960.06,72
HCPCS,L5613,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control Other Outpatient",,,3190.1,3190.1,6
HCPCS,L5614,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2026.23,5472.92,72
HCPCS,L5614,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control Other Outpatient",,,2193.35,2193.35,6
HCPCS,L5615,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,6592.31,17806.04,72
HCPCS,L5615,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control Other Outpatient",,,7136.01,7136.01,6
HCPCS,L5616,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2150.45,5808.44,72
HCPCS,L5616,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control Other Outpatient",,,2327.81,2327.81,6
HCPCS,L5617,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,671.82,1814.61,72
HCPCS,L5617,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each Other Outpatient",,,727.23,727.23,6
HCPCS,L5618,"Addition to lower extremity, test socket, symes ",,,358.75,969.01,72
HCPCS,L5618,"Addition to lower extremity, test socket, symes Other Outpatient",,,388.34,388.34,6
HCPCS,L5620,"Addition to lower extremity, test socket, below knee ",,,440.2,1188.98,72
HCPCS,L5620,"Addition to lower extremity, test socket, below knee Other Outpatient",,,476.5,476.5,6
HCPCS,L5622,"Addition to lower extremity, test socket, knee disarticulation ",,,574.01,1550.41,72
HCPCS,L5622,"Addition to lower extremity, test socket, knee disarticulation Other Outpatient",,,621.35,621.35,6
HCPCS,L5624,"Addition to lower extremity, test socket, above knee ",,,575.64,1554.81,72
HCPCS,L5624,"Addition to lower extremity, test socket, above knee Other Outpatient",,,623.11,623.11,6
HCPCS,L5626,"Addition to lower extremity, test socket, hip disarticulation ",,,632.14,1707.43,72
HCPCS,L5626,"Addition to lower extremity, test socket, hip disarticulation Other Outpatient",,,684.27,684.27,6
HCPCS,L5628,"Addition to lower extremity, test socket, hemipelvectomy ",,,682.22,1842.7,72
HCPCS,L5628,"Addition to lower extremity, test socket, hemipelvectomy Other Outpatient",,,738.49,738.49,6
HCPCS,L5629,"Addition to lower extremity, below knee, acrylic socket ",,,503.18,1359.1,72
HCPCS,L5629,"Addition to lower extremity, below knee, acrylic socket Other Outpatient",,,544.68,544.68,6
HCPCS,L5630,"Addition to lower extremity, symes type, expandable wall socket ",,,614.26,1659.14,72
HCPCS,L5630,"Addition to lower extremity, symes type, expandable wall socket Other Outpatient",,,664.92,664.92,6
HCPCS,L5631,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,695.69,1879.09,72
HCPCS,L5631,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket Other Outpatient",,,753.07,753.07,6
HCPCS,L5632,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,263.68,712.19,72
HCPCS,L5632,"Addition to lower extremity, symes type, 'ptb' brim design socket Other Outpatient",,,285.42,285.42,6
HCPCS,L5634,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,361.23,975.69,72
HCPCS,L5634,"Addition to lower extremity, symes type, posterior opening (canadian) socket Other Outpatient",,,391.02,391.02,6
HCPCS,L5636,"Addition to lower extremity, symes type, medial opening socket ",,,302.58,817.28,72
HCPCS,L5636,"Addition to lower extremity, symes type, medial opening socket Other Outpatient",,,327.54,327.54,6
HCPCS,L5637,"Addition to lower extremity, below knee, total contact ",,,457.41,1235.49,72
HCPCS,L5637,"Addition to lower extremity, below knee, total contact Other Outpatient",,,495.14,495.14,6
HCPCS,L5638,"Addition to lower extremity, below knee, leather socket ",,,599.41,1619.03,72
HCPCS,L5638,"Addition to lower extremity, below knee, leather socket Other Outpatient",,,648.85,648.85,6
HCPCS,L5639,"Addition to lower extremity, below knee, wood socket ",,,1331.42,3596.21,72
HCPCS,L5639,"Addition to lower extremity, below knee, wood socket Other Outpatient",,,1441.23,1441.23,6
HCPCS,L5640,"Addition to lower extremity, knee disarticulation, leather socket ",,,759.35,2051.01,72
HCPCS,L5640,"Addition to lower extremity, knee disarticulation, leather socket Other Outpatient",,,821.97,821.97,6
HCPCS,L5642,"Addition to lower extremity, above knee, leather socket ",,,758.83,2049.63,72
HCPCS,L5642,"Addition to lower extremity, above knee, leather socket Other Outpatient",,,821.41,821.41,6
HCPCS,L5643,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,1987.91,5369.4,72
HCPCS,L5643,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame Other Outpatient",,,2151.86,2151.86,6
HCPCS,L5644,"Addition to lower extremity, above knee, wood socket ",,,836.71,2259.99,72
HCPCS,L5644,"Addition to lower extremity, above knee, wood socket Other Outpatient",,,905.72,905.72,6
HCPCS,L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,949.44,2564.46,72
HCPCS,L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame Other Outpatient",,,1027.74,1027.74,6
HCPCS,L5646,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,844.61,2281.31,72
HCPCS,L5646,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket Other Outpatient",,,914.27,914.27,6
HCPCS,L5647,"Addition to lower extremity, below knee suction socket ",,,944.62,2551.46,72
HCPCS,L5647,"Addition to lower extremity, below knee suction socket Other Outpatient",,,1022.53,1022.53,6
HCPCS,L5648,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,921.26,2488.35,72
HCPCS,L5648,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket Other Outpatient",,,997.24,997.24,6
HCPCS,L5649,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,2885.34,7793.4,72
HCPCS,L5649,"Addition to lower extremity, ischial containment/narrow m-l socket Other Outpatient",,,3123.31,3123.31,6
HCPCS,L5650,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,680.3,1837.51,72
HCPCS,L5650,"Additions to lower extremity, total contact, above knee or knee disarticulation socket Other Outpatient",,,736.41,736.41,6
HCPCS,L5651,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,1901.48,5135.96,72
HCPCS,L5651,"Addition to lower extremity, above knee, flexible inner socket, external frame Other Outpatient",,,2058.3,2058.3,6
HCPCS,L5652,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,604.03,1631.5,72
HCPCS,L5652,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket Other Outpatient",,,653.85,653.85,6
HCPCS,L5653,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,707.46,1910.87,72
HCPCS,L5653,"Addition to lower extremity, knee disarticulation, expandable wall socket Other Outpatient",,,765.81,765.81,6
HCPCS,L5654,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,468.13,1264.44,72
HCPCS,L5654,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) Other Outpatient",,,506.74,506.74,6
HCPCS,L5655,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,364.19,983.68,72
HCPCS,L5655,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) Other Outpatient",,,394.22,394.22,6
HCPCS,L5656,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,451.4,1219.24,72
HCPCS,L5656,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) Other Outpatient",,,488.63,488.63,6
HCPCS,L5657,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,97.17,802.56,78
HCPCS,L5657,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials Other Outpatient",,,321.64,321.64,6
HCPCS,L5658,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,431.78,1166.24,72
HCPCS,L5658,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) Other Outpatient",,,467.39,467.39,6
HCPCS,L5661,"Addition to lower extremity, socket insert, multi-durometer symes ",,,722.66,1951.93,72
HCPCS,L5661,"Addition to lower extremity, socket insert, multi-durometer symes Other Outpatient",,,782.26,782.26,6
HCPCS,L5665,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,649.82,1755.19,72
HCPCS,L5665,"Addition to lower extremity, socket insert, multi-durometer, below knee Other Outpatient",,,703.42,703.42,6
HCPCS,L5666,"Addition to lower extremity, below knee, cuff suspension ",,,110.83,299.36,72
HCPCS,L5666,"Addition to lower extremity, below knee, cuff suspension Other Outpatient",,,119.97,119.97,6
HCPCS,L5668,"Addition  to lower extremity, below knee, molded distal cushion ",,,159.89,431.88,72
HCPCS,L5668,"Addition  to lower extremity, below knee, molded distal cushion Other Outpatient",,,173.08,173.08,6
HCPCS,L5670,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,429.65,1160.5,72
HCPCS,L5670,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) Other Outpatient",,,465.09,465.09,6
HCPCS,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,682.76,1844.17,72
HCPCS,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert Other Outpatient",,,739.07,739.07,6
HCPCS,L5672,"Addition to lower extremity, below knee, removable medial brim suspension ",,,354.11,956.46,72
HCPCS,L5672,"Addition to lower extremity, below knee, removable medial brim suspension Other Outpatient",,,383.31,383.31,6
HCPCS,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,869.99,2349.88,78
HCPCS,L5676,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,560.43,1513.73,72
HCPCS,L5676,"Additions to lower extremity, below knee, knee joints, single axis, pair Other Outpatient",,,606.65,606.65,6
HCPCS,L5677,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,780.68,2108.63,72
HCPCS,L5677,"Additions to lower extremity, below knee, knee joints, polycentric, pair Other Outpatient",,,845.06,845.06,6
HCPCS,L5678,"Additions to lower extremity, below knee, joint covers, pair ",,,62.87,169.8,72
HCPCS,L5678,"Additions to lower extremity, below knee, joint covers, pair Other Outpatient",,,68.05,68.05,6
HCPCS,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,724.95,1958.11,78
HCPCS,L5680,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,387.65,1047.06,72
HCPCS,L5680,"Addition to lower extremity, below knee, thigh lacer, nonmolded Other Outpatient",,,419.62,419.62,6
HCPCS,L5681,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1579.49,4266.25,78
HCPCS,L5682,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,757.72,2046.61,72
HCPCS,L5682,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded Other Outpatient",,,820.21,820.21,6
HCPCS,L5683,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1579.49,4266.25,78
HCPCS,L5684,"Addition to lower extremity, below knee, fork strap ",,,63.92,172.66,72
HCPCS,L5684,"Addition to lower extremity, below knee, fork strap Other Outpatient",,,69.2,69.2,6
HCPCS,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,153.77,415.35,72
HCPCS,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each Other Outpatient",,,166.46,166.46,6
HCPCS,L5686,"Addition to lower extremity, below knee, back check (extension control) ",,,64.16,173.29,72
HCPCS,L5686,"Addition to lower extremity, below knee, back check (extension control) Other Outpatient",,,69.45,69.45,6
HCPCS,L5688,"Addition to lower extremity, below knee, waist belt, webbing ",,,91.19,246.31,72
HCPCS,L5688,"Addition to lower extremity, below knee, waist belt, webbing Other Outpatient",,,98.71,98.71,6
HCPCS,L5690,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,128.11,346.02,72
HCPCS,L5690,"Addition to lower extremity, below knee, waist belt, padded and lined Other Outpatient",,,138.67,138.67,6
HCPCS,L5692,"Addition to lower extremity, above knee, pelvic control belt, light ",,,210.39,568.28,72
HCPCS,L5692,"Addition to lower extremity, above knee, pelvic control belt, light Other Outpatient",,,227.75,227.75,6
HCPCS,L5694,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,287.25,775.86,72
HCPCS,L5694,"Addition to lower extremity, above knee, pelvic control belt, padded and lined Other Outpatient",,,310.94,310.94,6
HCPCS,L5695,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,258.21,697.44,72
HCPCS,L5695,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each Other Outpatient",,,279.51,279.51,6
HCPCS,L5696,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,263.59,711.96,72
HCPCS,L5696,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint Other Outpatient",,,285.33,285.33,6
HCPCS,L5697,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,95.33,257.49,72
HCPCS,L5697,"Addition to lower extremity, above knee or knee disarticulation, pelvic band Other Outpatient",,,103.19,103.19,6
HCPCS,L5698,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,142.11,383.86,72
HCPCS,L5698,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage Other Outpatient",,,153.84,153.84,6
HCPCS,L5699,"All lower extremity prostheses, shoulder harness ",,,221.41,598.04,72
HCPCS,L5699,"All lower extremity prostheses, shoulder harness Other Outpatient",,,239.67,239.67,6
HCPCS,L5700,"Replacement, socket, below knee, molded to patient model ",,,3402.16,9189.34,72
HCPCS,L5700,"Replacement, socket, below knee, molded to patient model Other Outpatient",,,3682.75,3682.75,6
HCPCS,L5701,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4085.75,11035.73,72
HCPCS,L5701,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model Other Outpatient",,,4422.72,4422.72,6
HCPCS,L5702,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5169.09,13961.88,72
HCPCS,L5702,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model Other Outpatient",,,5595.41,5595.41,6
HCPCS,L5703,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3164.98,8548.72,72
HCPCS,L5703,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only Other Outpatient",,,3426.01,3426.01,6
HCPCS,L5704,"Custom shaped protective cover, below knee ",,,636.48,1719.17,72
HCPCS,L5704,"Custom shaped protective cover, below knee Other Outpatient",,,688.98,688.98,6
HCPCS,L5705,"Custom shaped protective cover, above knee ",,,1137.23,3071.69,72
HCPCS,L5705,"Custom shaped protective cover, above knee Other Outpatient",,,1231.02,1231.02,6
HCPCS,L5706,"Custom shaped protective cover, knee disarticulation ",,,1114.82,3011.17,72
HCPCS,L5706,"Custom shaped protective cover, knee disarticulation Other Outpatient",,,1206.77,1206.77,6
HCPCS,L5707,"Custom shaped protective cover, hip disarticulation ",,,1469.75,3969.85,72
HCPCS,L5707,"Custom shaped protective cover, hip disarticulation Other Outpatient",,,1590.97,1590.97,6
HCPCS,L5710,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,508.27,1372.85,72
HCPCS,L5710,"Addition, exoskeletal knee-shin system, single axis, manual lock Other Outpatient",,,550.19,550.19,6
HCPCS,L5711,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,643.8,1738.92,72
HCPCS,L5711,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material Other Outpatient",,,696.9,696.9,6
HCPCS,L5712,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,674.7,1822.39,72
HCPCS,L5712,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Other Outpatient",,,730.35,730.35,6
HCPCS,L5714,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,570.01,1539.62,72
HCPCS,L5714,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control Other Outpatient",,,617.02,617.02,6
HCPCS,L5716,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1007.57,2721.47,72
HCPCS,L5716,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock Other Outpatient",,,1090.67,1090.67,6
HCPCS,L5718,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1111.61,3002.49,72
HCPCS,L5718,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control Other Outpatient",,,1203.29,1203.29,6
HCPCS,L5722,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1080.64,2918.84,72
HCPCS,L5722,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Other Outpatient",,,1169.76,1169.76,6
HCPCS,L5724,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2389.94,6455.31,72
HCPCS,L5724,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control Other Outpatient",,,2587.05,2587.05,6
HCPCS,L5726,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,2754.35,7439.59,72
HCPCS,L5726,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control Other Outpatient",,,2981.52,2981.52,6
HCPCS,L5728,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,2942.69,7948.29,72
HCPCS,L5728,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control Other Outpatient",,,3185.38,3185.38,6
HCPCS,L5780,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1566.49,4231.14,72
HCPCS,L5780,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control Other Outpatient",,,1695.69,1695.69,6
HCPCS,L5781,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,4804.55,12977.23,72
HCPCS,L5781,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system Other Outpatient",,,5200.8,5200.8,6
HCPCS,L5782,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5065.03,13680.8,72
HCPCS,L5782,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty Other Outpatient",,,5482.76,5482.76,6
HCPCS,L5783,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3055.57,8253.18,72
HCPCS,L5783,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Other Outpatient",,,3307.57,3307.57,6
HCPCS,L5785,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,687.91,1858.08,72
HCPCS,L5785,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Other Outpatient",,,744.65,744.65,6
HCPCS,L5790,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1138.47,3075.04,72
HCPCS,L5790,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Other Outpatient",,,1232.36,1232.36,6
HCPCS,L5795,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1700.03,4591.84,72
HCPCS,L5795,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Other Outpatient",,,1840.24,1840.24,6
HCPCS,L5810,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,638.34,1724.17,72
HCPCS,L5810,"Addition, endoskeletal knee-shin system, single axis, manual lock Other Outpatient",,,690.98,690.98,6
HCPCS,L5811,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,945.59,2554.05,72
HCPCS,L5811,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material Other Outpatient",,,1023.57,1023.57,6
HCPCS,L5812,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,715.53,1932.67,72
HCPCS,L5812,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Other Outpatient",,,774.54,774.54,6
HCPCS,L5814,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,4459.54,12045.35,72
HCPCS,L5814,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock Other Outpatient",,,4827.33,4827.33,6
HCPCS,L5816,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1150.96,3108.79,72
HCPCS,L5816,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock Other Outpatient",,,1245.89,1245.89,6
HCPCS,L5818,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1154.05,3117.12,72
HCPCS,L5818,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control Other Outpatient",,,1249.23,1249.23,6
HCPCS,L5822,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2022.23,5462.1,72
HCPCS,L5822,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Other Outpatient",,,2189.01,2189.01,6
HCPCS,L5824,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2169.41,5859.66,72
HCPCS,L5824,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control Other Outpatient",,,2348.34,2348.34,6
HCPCS,L5826,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,3749.89,10128.58,72
HCPCS,L5826,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame Other Outpatient",,,4059.16,4059.16,6
HCPCS,L5827,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,6796.95,18358.76,72
HCPCS,L5827,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping Other Outpatient",,,7357.52,7357.52,6
HCPCS,L5828,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3353.47,9057.84,72
HCPCS,L5828,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control Other Outpatient",,,3630.05,3630.05,6
HCPCS,L5830,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2473.12,6679.98,72
HCPCS,L5830,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control Other Outpatient",,,2677.09,2677.09,6
HCPCS,L5840,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4166.05,11252.64,72
HCPCS,L5840,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control Other Outpatient",,,4509.64,4509.64,6
HCPCS,L5841,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3062.94,8273.1,72
HCPCS,L5841,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control Other Outpatient",,,3315.55,3315.55,6
HCPCS,L5845,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2152.26,5813.31,72
HCPCS,L5845,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable Other Outpatient",,,2329.76,2329.76,6
HCPCS,L5848,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1291.22,3487.61,72
HCPCS,L5848,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability Other Outpatient",,,1397.71,1397.71,6
HCPCS,L5850,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,202.55,547.08,72
HCPCS,L5850,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist Other Outpatient",,,219.25,219.25,6
HCPCS,L5855,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,408.17,1102.47,72
HCPCS,L5855,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist Other Outpatient",,,441.83,441.83,6
HCPCS,L5856,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,28825.68,77859.06,72
HCPCS,L5856,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type Other Outpatient",,,31203.06,31203.06,6
HCPCS,L5857,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,10228.46,27627.38,72
HCPCS,L5857,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type Other Outpatient",,,11072.04,11072.04,6
HCPCS,L5858,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,22316.69,60278.08,72
HCPCS,L5858,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type Other Outpatient",,,24157.25,24157.25,6
HCPCS,L5859,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,17422.46,47058.61,72
HCPCS,L5859,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) Other Outpatient",,,18859.37,18859.37,6
HCPCS,L5910,"Addition, endoskeletal system, below knee, alignable system ",,,573.45,1548.92,72
HCPCS,L5910,"Addition, endoskeletal system, below knee, alignable system Other Outpatient",,,620.75,620.75,6
HCPCS,L5920,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,840.13,2269.21,72
HCPCS,L5920,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system Other Outpatient",,,909.42,909.42,6
HCPCS,L5925,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,532.03,1437.02,72
HCPCS,L5925,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock Other Outpatient",,,575.9,575.9,6
HCPCS,L5926,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,798.37,2156.42,72
HCPCS,L5926,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type Other Outpatient",,,864.21,864.21,6
HCPCS,L5930,"Addition, endoskeletal system, high activity knee control frame ",,,4041.69,10916.73,72
HCPCS,L5930,"Addition, endoskeletal system, high activity knee control frame Other Outpatient",,,4375.02,4375.02,6
HCPCS,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,794.23,2145.23,72
HCPCS,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Other Outpatient",,,859.73,859.73,6
HCPCS,L5950,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1231.87,3327.32,72
HCPCS,L5950,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Other Outpatient",,,1333.47,1333.47,6
HCPCS,L5960,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1526.42,4122.91,72
HCPCS,L5960,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Other Outpatient",,,1652.31,1652.31,6
HCPCS,L5961,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,5662.1,15293.52,72
HCPCS,L5961,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control Other Outpatient",,,6129.08,6129.08,6
HCPCS,L5962,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,753.37,2034.88,72
HCPCS,L5962,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system Other Outpatient",,,815.5,815.5,6
HCPCS,L5964,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1112.14,3003.93,72
HCPCS,L5964,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system Other Outpatient",,,1203.87,1203.87,6
HCPCS,L5966,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1417.14,3827.74,72
HCPCS,L5966,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system Other Outpatient",,,1534.02,1534.02,6
HCPCS,L5968,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4363.52,11785.99,72
HCPCS,L5968,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature Other Outpatient",,,4723.39,4723.39,6
HCPCS,L5970,"All lower extremity prostheses, foot, external keel, sach foot ",,,270.28,730.04,72
HCPCS,L5970,"All lower extremity prostheses, foot, external keel, sach foot Other Outpatient",,,292.57,292.57,6
HCPCS,L5971,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,270.28,730.04,72
HCPCS,L5971,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only Other Outpatient",,,292.57,292.57,6
HCPCS,L5972,"All lower extremity prostheses, foot, flexible keel ",,,508.83,1374.37,72
HCPCS,L5972,"All lower extremity prostheses, foot, flexible keel Other Outpatient",,,550.8,550.8,6
HCPCS,L5973,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,20659.06,55800.76,72
HCPCS,L5973,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source Other Outpatient",,,22362.9,22362.9,6
HCPCS,L5974,"All lower extremity prostheses, foot, single axis ankle/foot ",,,314.78,850.24,72
HCPCS,L5974,"All lower extremity prostheses, foot, single axis ankle/foot Other Outpatient",,,340.75,340.75,6
HCPCS,L5975,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,556.7,1503.67,72
HCPCS,L5975,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot Other Outpatient",,,602.62,602.62,6
HCPCS,L5976,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,720.85,1947.03,72
HCPCS,L5976,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) Other Outpatient",,,780.3,780.3,6
HCPCS,L5978,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,404.16,1091.65,72
HCPCS,L5978,"All lower extremity prostheses, foot, multiaxial ankle/foot Other Outpatient",,,437.49,437.49,6
HCPCS,L5979,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,2709.64,7318.81,72
HCPCS,L5979,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system Other Outpatient",,,2933.11,2933.11,6
HCPCS,L5980,"All lower extremity prostheses, flex foot system ",,,4657.18,12579.2,72
HCPCS,L5980,"All lower extremity prostheses, flex foot system Other Outpatient",,,5041.28,5041.28,6
HCPCS,L5981,"All lower extremity prostheses, flex-walk system or equal ",,,3556.67,9606.68,72
HCPCS,L5981,"All lower extremity prostheses, flex-walk system or equal Other Outpatient",,,3850.0,3850.0,6
HCPCS,L5982,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,743.27,2007.6,72
HCPCS,L5982,"All exoskeletal lower extremity prostheses, axial rotation unit Other Outpatient",,,804.57,804.57,6
HCPCS,L5984,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,798.37,2156.42,72
HCPCS,L5984,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability Other Outpatient",,,864.21,864.21,6
HCPCS,L5985,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,339.05,915.79,72
HCPCS,L5985,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon Other Outpatient",,,367.02,367.02,6
HCPCS,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,794.42,2145.75,72
HCPCS,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) Other Outpatient",,,859.94,859.94,6
HCPCS,L5987,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,8638.09,23331.76,72
HCPCS,L5987,"All lower extremity prosthesis, shank foot system with vertical loading pylon Other Outpatient",,,9350.51,9350.51,6
HCPCS,L5988,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2398.79,6479.21,72
HCPCS,L5988,"Addition to lower limb prosthesis, vertical shock reducing pylon feature Other Outpatient",,,2596.63,2596.63,6
HCPCS,L5990,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2178.44,5884.02,72
HCPCS,L5990,"Addition to lower extremity prosthesis, user adjustable heel height Other Outpatient",,,2358.1,2358.1,6
HCPCS,L5991,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,11402.35,30798.1,72
HCPCS,L5991,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector Other Outpatient",,,12342.75,12342.75,6
HCPCS,L5992,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,123.3,333.03,72
HCPCS,L5992,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only Other Outpatient",,,133.47,133.47,6
HCPCS,L6026,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,4452.24,12025.64,78
HCPCS,L6028,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,1782.19,4813.75,84
HCPCS,L6029,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,232.12,992.22,78
HCPCS,L6029,"Upper extremity addition, test socket/interface, partial hand including fingers Other Outpatient",,,397.65,397.65,6
HCPCS,L6030,"Upper extremity addition, external frame, partial hand including fingers ",,,432.83,1850.14,78
HCPCS,L6030,"Upper extremity addition, external frame, partial hand including fingers Other Outpatient",,,741.47,741.47,6
HCPCS,L6031,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1400.21,4025.53,78
HCPCS,L6031,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power Other Outpatient",,,1613.28,1613.28,6
HCPCS,L6032,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,232.55,994.05,78
HCPCS,L6032,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) Other Outpatient",,,398.38,398.38,6
HCPCS,L6033,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,279.43,1194.41,78
HCPCS,L6033,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material Other Outpatient",,,478.67,478.67,6
HCPCS,L6034,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,356.44,2832.2,84
HCPCS,L6035,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1565.06,4227.27,84
HCPCS,L6036,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1565.06,4227.27,84
HCPCS,L6037,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,985.06,4210.58,78
HCPCS,L6037,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers Other Out",,,1687.44,1687.44,6
HCPCS,L6038,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,232.55,968.25,78
HCPCS,L6038,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material Other Ou",,,388.04,388.04,6
HCPCS,L6039,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,1789.81,4834.32,84
HCPCS,L6050,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,2732.65,7380.96,72
HCPCS,L6050,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad Other Outpatient",,,2958.02,2958.02,6
HCPCS,L6055,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3370.94,9105.02,72
HCPCS,L6055,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad Other Outpatient",,,3648.96,3648.96,6
HCPCS,L6100,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,2803.63,7572.69,72
HCPCS,L6100,"Below elbow, molded socket, flexible elbow hinge, triceps pad Other Outpatient",,,3034.86,3034.86,6
HCPCS,L6110,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,2976.1,8038.53,72
HCPCS,L6110,"Below elbow, molded socket, (muenster or northwestern suspension types) Other Outpatient",,,3221.55,3221.55,6
HCPCS,L6120,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3355.56,9063.47,72
HCPCS,L6120,"Below elbow, molded double wall split socket, step-up hinges, half cuff Other Outpatient",,,3632.31,3632.31,6
HCPCS,L6130,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3109.33,8398.38,72
HCPCS,L6130,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff Other Outpatient",,,3365.76,3365.76,6
HCPCS,L6200,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,3783.09,10218.24,72
HCPCS,L6200,"Elbow disarticulation, molded socket, outside locking hinge, forearm Other Outpatient",,,4095.09,4095.09,6
HCPCS,L6205,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4324.42,11680.41,72
HCPCS,L6205,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm Other Outpatient",,,4681.08,4681.08,6
HCPCS,L6250,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,3923.09,10596.38,72
HCPCS,L6250,"Above elbow, molded double wall socket, internal locking elbow, forearm Other Outpatient",,,4246.64,4246.64,6
HCPCS,L6300,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,4724.2,12760.21,72
HCPCS,L6300,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Other Outpatient",,,5113.83,5113.83,6
HCPCS,L6310,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,3793.15,10245.41,72
HCPCS,L6310,"Shoulder disarticulation, passive restoration (complete prosthesis) Other Outpatient",,,4105.98,4105.98,6
HCPCS,L6320,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2282.03,6163.84,72
HCPCS,L6320,"Shoulder disarticulation, passive restoration (shoulder cap only) Other Outpatient",,,2470.24,2470.24,6
HCPCS,L6350,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,4651.43,12563.66,72
HCPCS,L6350,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Other Outpatient",,,5035.05,5035.05,6
HCPCS,L6360,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,3782.46,10216.53,72
HCPCS,L6360,"Interscapular thoracic, passive restoration (complete prosthesis) Other Outpatient",,,4094.41,4094.41,6
HCPCS,L6370,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2637.05,7122.76,72
HCPCS,L6370,"Interscapular thoracic, passive restoration (shoulder cap only) Other Outpatient",,,2854.54,2854.54,6
HCPCS,L6380,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1558.88,4210.58,72
HCPCS,L6380,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow Oth",,,1687.44,1687.44,6
HCPCS,L6382,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,1849.35,4995.16,72
HCPCS,L6382,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow Othe",,,2001.88,2001.88,6
HCPCS,L6384,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2292.59,6192.37,78
HCPCS,L6386,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,530.88,1433.93,72
HCPCS,L6386,"Immediate post surgical or early fitting, each additional cast change and realignment Other Outpatient",,,574.66,574.66,6
HCPCS,L6388,"Immediate post surgical or early fitting, application of rigid dressing only ",,,593.29,1602.5,72
HCPCS,L6388,"Immediate post surgical or early fitting, application of rigid dressing only Other Outpatient",,,642.22,642.22,6
HCPCS,L6400,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,2978.56,8045.18,72
HCPCS,L6400,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Other Outpatient",,,3224.21,3224.21,6
HCPCS,L6450,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3661.23,9889.09,72
HCPCS,L6450,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Other Outpatient",,,3963.18,3963.18,6
HCPCS,L6500,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3694.24,9978.24,72
HCPCS,L6500,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Other Outpatient",,,3998.91,3998.91,6
HCPCS,L6550,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4528.31,12231.1,72
HCPCS,L6550,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Other Outpatient",,,4901.78,4901.78,6
HCPCS,L6570,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5197.62,14038.93,72
HCPCS,L6570,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping Other Outpatient",,,5626.29,5626.29,6
HCPCS,L6580,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,1951.39,5270.76,78
HCPCS,L6582,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,1809.72,4888.11,78
HCPCS,L6584,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2643.77,7140.91,78
HCPCS,L6586,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2601.15,7025.79,72
HCPCS,L6586,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed Oth",,,2815.68,2815.68,6
HCPCS,L6588,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,3581.16,9672.83,78
HCPCS,L6590,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3512.14,9486.39,78
HCPCS,L6600,"Upper extremity additions, polycentric hinge, pair ",,,297.0,802.22,72
HCPCS,L6600,"Upper extremity additions, polycentric hinge, pair Other Outpatient",,,321.5,321.5,6
HCPCS,L6605,"Upper extremity additions, single pivot hinge, pair ",,,293.26,792.1,72
HCPCS,L6605,"Upper extremity additions, single pivot hinge, pair Other Outpatient",,,317.45,317.45,6
HCPCS,L6610,"Upper extremity additions, flexible metal hinge, pair ",,,240.16,648.69,72
HCPCS,L6610,"Upper extremity additions, flexible metal hinge, pair Other Outpatient",,,259.97,259.97,6
HCPCS,L6611,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,494.39,1335.36,72
HCPCS,L6611,"Addition to upper extremity prosthesis, external powered, additional switch, any type Other Outpatient",,,535.16,535.16,6
HCPCS,L6615,"Upper extremity addition, disconnect locking wrist unit ",,,230.56,622.75,72
HCPCS,L6615,"Upper extremity addition, disconnect locking wrist unit Other Outpatient",,,249.57,249.57,6
HCPCS,L6616,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,98.0,264.7,72
HCPCS,L6616,"Upper extremity addition, additional disconnect insert for locking wrist unit, each Other Outpatient",,,106.08,106.08,6
HCPCS,L6620,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,398.38,1076.03,72
HCPCS,L6620,"Upper extremity addition, flexion/extension wrist unit, with or without friction Other Outpatient",,,431.24,431.24,6
HCPCS,L6621,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,2746.54,7418.48,72
HCPCS,L6621,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device Other Outpatient",,,2973.05,2973.05,6
HCPCS,L6623,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,799.91,2160.58,72
HCPCS,L6623,"Upper extremity addition, spring assisted rotational wrist unit with latch release Other Outpatient",,,865.88,865.88,6
HCPCS,L6624,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,4522.25,12214.73,72
HCPCS,L6624,"Upper extremity addition, flexion/extension and rotation wrist unit Other Outpatient",,,4895.22,4895.22,6
HCPCS,L6625,"Upper extremity addition, rotation wrist unit with cable lock ",,,842.11,2274.55,72
HCPCS,L6625,"Upper extremity addition, rotation wrist unit with cable lock Other Outpatient",,,911.56,911.56,6
HCPCS,L6628,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,612.97,1655.66,72
HCPCS,L6628,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal Other Outpatient",,,663.53,663.53,6
HCPCS,L6629,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,210.76,569.27,72
HCPCS,L6629,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal Other Outpatient",,,228.14,228.14,6
HCPCS,L6630,"Upper extremity addition, stainless steel, any wrist ",,,341.25,921.72,72
HCPCS,L6630,"Upper extremity addition, stainless steel, any wrist Other Outpatient",,,369.39,369.39,6
HCPCS,L6632,"Upper extremity addition, latex suspension sleeve, each ",,,77.15,208.39,72
HCPCS,L6632,"Upper extremity addition, latex suspension sleeve, each Other Outpatient",,,83.52,83.52,6
HCPCS,L6635,"Upper extremity addition, lift assist for elbow ",,,262.72,709.63,72
HCPCS,L6635,"Upper extremity addition, lift assist for elbow Other Outpatient",,,284.39,284.39,6
HCPCS,L6637,"Upper extremity addition, nudge control elbow lock ",,,511.98,1382.86,72
HCPCS,L6637,"Upper extremity addition, nudge control elbow lock Other Outpatient",,,554.2,554.2,6
HCPCS,L6638,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3002.82,8110.71,72
HCPCS,L6638,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow Other Outpatient",,,3250.47,3250.47,6
HCPCS,L6640,"Upper extremity additions, shoulder abduction joint, pair ",,,428.32,1156.91,72
HCPCS,L6640,"Upper extremity additions, shoulder abduction joint, pair Other Outpatient",,,463.65,463.65,6
HCPCS,L6641,"Upper extremity addition, excursion amplifier, pulley type ",,,231.65,625.68,72
HCPCS,L6641,"Upper extremity addition, excursion amplifier, pulley type Other Outpatient",,,250.75,250.75,6
HCPCS,L6642,"Upper extremity addition, excursion amplifier, lever type ",,,275.76,744.84,72
HCPCS,L6642,"Upper extremity addition, excursion amplifier, lever type Other Outpatient",,,298.5,298.5,6
HCPCS,L6645,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,478.31,1291.92,72
HCPCS,L6645,"Upper extremity addition, shoulder flexion-abduction joint, each Other Outpatient",,,517.75,517.75,6
HCPCS,L6646,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,3787.22,10229.4,72
HCPCS,L6646,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system Other Outpatient",,,4099.57,4099.57,6
HCPCS,L6647,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,623.51,1684.11,72
HCPCS,L6647,"Upper extremity addition, shoulder lock mechanism, body powered actuator Other Outpatient",,,674.93,674.93,6
HCPCS,L6648,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,3906.02,10550.27,72
HCPCS,L6648,"Upper extremity addition, shoulder lock mechanism, external powered actuator Other Outpatient",,,4228.16,4228.16,6
HCPCS,L6650,"Upper extremity addition, shoulder universal joint, each ",,,502.2,1356.45,72
HCPCS,L6650,"Upper extremity addition, shoulder universal joint, each Other Outpatient",,,543.62,543.62,6
HCPCS,L6655,"Upper extremity addition, standard control cable, extra ",,,109.94,296.95,72
HCPCS,L6655,"Upper extremity addition, standard control cable, extra Other Outpatient",,,119.01,119.01,6
HCPCS,L6660,"Upper extremity addition, heavy duty control cable ",,,122.59,331.12,72
HCPCS,L6660,"Upper extremity addition, heavy duty control cable Other Outpatient",,,132.7,132.7,6
HCPCS,L6665,"Upper extremity addition, teflon, or equal, cable lining ",,,72.91,196.95,72
HCPCS,L6665,"Upper extremity addition, teflon, or equal, cable lining Other Outpatient",,,78.93,78.93,6
HCPCS,L6670,"Upper extremity addition, hook to hand, cable adapter ",,,75.93,205.09,72
HCPCS,L6670,"Upper extremity addition, hook to hand, cable adapter Other Outpatient",,,82.19,82.19,6
HCPCS,L6672,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,211.28,570.66,72
HCPCS,L6672,"Upper extremity addition, harness, chest or shoulder, saddle type Other Outpatient",,,228.7,228.7,6
HCPCS,L6675,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,148.17,400.21,72
HCPCS,L6675,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design Other Outpatient",,,160.39,160.39,6
HCPCS,L6676,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,155.76,420.72,72
HCPCS,L6676,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design Other Outpatient",,,168.61,168.61,6
HCPCS,L6677,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,356.23,962.2,72
HCPCS,L6677,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow Other Outpatient",,,385.61,385.61,6
HCPCS,L6680,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,367.35,992.22,72
HCPCS,L6680,"Upper extremity addition, test socket, wrist disarticulation or below elbow Other Outpatient",,,397.65,397.65,6
HCPCS,L6682,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,359.71,971.6,72
HCPCS,L6682,"Upper extremity addition, test socket, elbow disarticulation or above elbow Other Outpatient",,,389.38,389.38,6
HCPCS,L6684,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,413.94,1118.06,72
HCPCS,L6684,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic Other Outpatient",,,448.08,448.08,6
HCPCS,L6686,"Upper extremity addition, suction socket ",,,769.62,2078.76,72
HCPCS,L6686,"Upper extremity addition, suction socket Other Outpatient",,,833.09,833.09,6
HCPCS,L6687,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,684.98,1850.14,72
HCPCS,L6687,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation Other Outpatient",,,741.47,741.47,6
HCPCS,L6688,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,809.58,2186.7,72
HCPCS,L6688,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation Other Outpatient",,,876.35,876.35,6
HCPCS,L6689,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,847.15,2288.18,72
HCPCS,L6689,"Upper extremity addition, frame type socket, shoulder disarticulation Other Outpatient",,,917.02,917.02,6
HCPCS,L6690,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,919.18,2482.74,72
HCPCS,L6690,"Upper extremity addition, frame type socket, interscapular-thoracic Other Outpatient",,,994.99,994.99,6
HCPCS,L6691,"Upper extremity addition, removable insert, each ",,,409.92,1107.21,72
HCPCS,L6691,"Upper extremity addition, removable insert, each Other Outpatient",,,443.73,443.73,6
HCPCS,L6692,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,844.97,2282.28,72
HCPCS,L6692,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each Other Outpatient",,,914.66,914.66,6
HCPCS,L6693,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3408.98,9207.75,72
HCPCS,L6693,"Upper extremity addition, locking elbow, forearm counterbalance Other Outpatient",,,3690.13,3690.13,6
HCPCS,L6694,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,869.99,2349.88,78
HCPCS,L6695,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,724.95,1958.11,78
HCPCS,L6696,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1579.49,4266.25,78
HCPCS,L6697,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1579.49,4266.25,78
HCPCS,L6698,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,682.76,1844.17,72
HCPCS,L6698,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert Other Outpatient",,,739.07,739.07,6
HCPCS,L6700,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,28624.89,77316.72,72
HCPCS,L6700,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement Other Outpatient",,,30985.71,30985.71,6
HCPCS,L6703,"Terminal device, passive hand/mitt, any material, any size ",,,392.73,1060.79,72
HCPCS,L6703,"Terminal device, passive hand/mitt, any material, any size Other Outpatient",,,425.12,425.12,6
HCPCS,L6704,"Terminal device, sport/recreational/work attachment, any material, any size ",,,921.01,2487.69,72
HCPCS,L6704,"Terminal device, sport/recreational/work attachment, any material, any size Other Outpatient",,,996.98,996.98,6
HCPCS,L6706,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,477.81,1290.59,72
HCPCS,L6706,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined Other Outpatient",,,517.22,517.22,6
HCPCS,L6707,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1700.22,4592.34,72
HCPCS,L6707,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined Other Outpatient",,,1840.44,1840.44,6
HCPCS,L6708,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1142.68,3086.41,72
HCPCS,L6708,"Terminal device, hand, mechanical, voluntary opening, any material, any size Other Outpatient",,,1236.92,1236.92,6
HCPCS,L6709,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1676.53,4528.36,72
HCPCS,L6709,"Terminal device, hand, mechanical, voluntary closing, any material, any size Other Outpatient",,,1814.8,1814.8,6
HCPCS,L6711,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,807.3,2180.55,72
HCPCS,L6711,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric Other Outpatient",,,873.88,873.88,6
HCPCS,L6712,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1486.43,4014.89,72
HCPCS,L6712,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric Other Outpatient",,,1609.02,1609.02,6
HCPCS,L6713,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,1875.96,5067.03,72
HCPCS,L6713,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric Other Outpatient",,,2030.68,2030.68,6
HCPCS,L6714,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1588.95,4291.8,72
HCPCS,L6714,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric Other Outpatient",,,1719.99,1719.99,6
HCPCS,L6715,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,3791.02,10239.67,72
HCPCS,L6715,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement Other Outpatient",,,4103.68,4103.68,6
HCPCS,L6721,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,2824.19,7628.23,72
HCPCS,L6721,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined Other Outpatient",,,3057.12,3057.12,6
HCPCS,L6722,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2434.64,6576.04,72
HCPCS,L6722,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined Other Outpatient",,,2635.44,2635.44,6
HCPCS,L6805,"Addition to terminal device, modifier wrist unit ",,,505.34,1364.94,72
HCPCS,L6805,"Addition to terminal device, modifier wrist unit Other Outpatient",,,547.02,547.02,6
HCPCS,L6810,"Addition to terminal device, precision pinch device ",,,295.35,797.74,72
HCPCS,L6810,"Addition to terminal device, precision pinch device Other Outpatient",,,319.7,319.7,6
HCPCS,L6880,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,28689.5,77491.22,72
HCPCS,L6880,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) Other Outpatient",,,31055.64,31055.64,6
HCPCS,L6881,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,4909.07,13259.56,72
HCPCS,L6881,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device Other Outpatient",,,5313.94,5313.94,6
HCPCS,L6882,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,3723.78,10058.05,72
HCPCS,L6882,"Microprocessor control feature, addition to upper limb prosthetic terminal device Other Outpatient",,,4030.9,4030.9,6
HCPCS,L6883,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2215.86,5985.1,72
HCPCS,L6883,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power Other Outpatient",,,2398.61,2398.61,6
HCPCS,L6884,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3325.6,8982.54,72
HCPCS,L6884,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power Other Outpatient",,,3599.87,3599.87,6
HCPCS,L6885,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,3782.46,10216.53,72
HCPCS,L6885,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power Other Outpatient",,,4094.41,4094.41,6
HCPCS,L6890,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,218.94,591.36,72
HCPCS,L6890,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment Other Outpatient",,,237.0,237.0,6
HCPCS,L6895,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,663.1,1791.06,72
HCPCS,L6895,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated Other Outpatient",,,717.79,717.79,6
HCPCS,L6900,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,1836.08,4959.32,72
HCPCS,L6900,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining Other Outpatient",,,1987.51,1987.51,6
HCPCS,L6905,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1743.53,4709.32,72
HCPCS,L6905,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining Other Outpatient",,,1887.32,1887.32,6
HCPCS,L6910,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1718.11,4640.68,72
HCPCS,L6910,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining Other Outpatient",,,1859.81,1859.81,6
HCPCS,L6915,"Hand restoration (shading, and measurements included), replacement glove for above ",,,743.42,2007.99,72
HCPCS,L6915,"Hand restoration (shading, and measurements included), replacement glove for above Other Outpatient",,,804.73,804.73,6
HCPCS,L6920,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,8702.25,23505.04,72
HCPCS,L6920,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device Other ",,,9419.96,9419.96,6
HCPCS,L6925,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,9188.83,24819.31,78
HCPCS,L6930,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,9342.87,25235.37,72
HCPCS,L6930,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device Other Outpatient",,,10113.41,10113.41,6
HCPCS,L6935,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,10277.05,27758.64,72
HCPCS,L6935,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device Other ",,,11124.65,11124.65,6
HCPCS,L6940,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,11676.57,31538.77,78
HCPCS,L6945,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,13208.98,35677.85,78
HCPCS,L6950,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,12414.45,33531.81,78
HCPCS,L6955,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,15578.39,42077.72,78
HCPCS,L6960,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,15361.11,41490.84,78
HCPCS,L6965,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,22440.37,60612.13,78
HCPCS,L6970,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,22809.06,61607.99,78
HCPCS,L6975,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,22931.48,61938.63,78
HCPCS,L7007,"Electric hand, switch or myoelectric controlled, adult ",,,5448.44,14716.41,72
HCPCS,L7007,"Electric hand, switch or myoelectric controlled, adult Other Outpatient",,,5897.8,5897.8,6
HCPCS,L7008,"Electric hand, switch or myoelectric, controlled, pediatric ",,,8575.28,23162.08,72
HCPCS,L7008,"Electric hand, switch or myoelectric, controlled, pediatric Other Outpatient",,,9282.51,9282.51,6
HCPCS,L7009,"Electric hook, switch or myoelectric controlled, adult ",,,5559.14,15015.4,72
HCPCS,L7009,"Electric hook, switch or myoelectric controlled, adult Other Outpatient",,,6017.62,6017.62,6
HCPCS,L7040,"Prehensile actuator, switch controlled ",,,4463.77,12056.77,72
HCPCS,L7040,"Prehensile actuator, switch controlled Other Outpatient",,,4831.91,4831.91,6
HCPCS,L7045,"Electric hook, switch or myoelectric controlled, pediatric ",,,2559.23,6912.56,72
HCPCS,L7045,"Electric hook, switch or myoelectric controlled, pediatric Other Outpatient",,,2770.3,2770.3,6
HCPCS,L7170,"Electronic elbow, hosmer or equal, switch controlled ",,,9284.04,25076.49,72
HCPCS,L7170,"Electronic elbow, hosmer or equal, switch controlled Other Outpatient",,,10049.74,10049.74,6
HCPCS,L7180,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,48506.98,131018.86,72
HCPCS,L7180,"Electronic elbow, microprocessor sequential control of elbow and terminal device Other Outpatient",,,52507.56,52507.56,6
HCPCS,L7181,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,48112.78,129954.1,72
HCPCS,L7181,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device Other Outpatient",,,52080.84,52080.84,6
HCPCS,L7185,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,9401.34,25393.3,72
HCPCS,L7185,"Electronic elbow, adolescent, variety village or equal, switch controlled Other Outpatient",,,10176.7,10176.7,6
HCPCS,L7186,"Electronic elbow, child, variety village or equal, switch controlled ",,,13568.46,36648.82,72
HCPCS,L7186,"Electronic elbow, child, variety village or equal, switch controlled Other Outpatient",,,14687.51,14687.51,6
HCPCS,L7190,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,11961.46,32308.27,72
HCPCS,L7190,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled Other Outpatient",,,12947.97,12947.97,6
HCPCS,L7191,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,14422.83,38956.52,72
HCPCS,L7191,"Electronic elbow, child, variety village or equal, myoelectronically controlled Other Outpatient",,,15612.35,15612.35,6
HCPCS,L7259,"Electronic wrist rotator, any type ",,,4559.76,12316.04,72
HCPCS,L7259,"Electronic wrist rotator, any type Other Outpatient",,,4935.82,4935.82,6
HCPCS,L7360,"Six volt battery, each ",,,285.94,772.32,72
HCPCS,L7360,"Six volt battery, each Other Outpatient",,,309.52,309.52,6
HCPCS,L7362,"Battery charger, six volt, each ",,,343.92,928.95,72
HCPCS,L7362,"Battery charger, six volt, each Other Outpatient",,,372.29,372.29,6
HCPCS,L7364,"Twelve volt battery, each ",,,626.47,1692.13,72
HCPCS,L7364,"Twelve volt battery, each Other Outpatient",,,678.14,678.14,6
HCPCS,L7366,"Battery charger, twelve volt, each ",,,849.88,2295.57,72
HCPCS,L7366,"Battery charger, twelve volt, each Other Outpatient",,,919.98,919.98,6
HCPCS,L7367,"Lithium ion battery, rechargeable, replacement ",,,467.47,1262.66,72
HCPCS,L7367,"Lithium ion battery, rechargeable, replacement Other Outpatient",,,506.03,506.03,6
HCPCS,L7368,"Lithium ion battery charger, replacement only ",,,606.05,1636.95,72
HCPCS,L7368,"Lithium ion battery charger, replacement only Other Outpatient",,,656.03,656.03,6
HCPCS,L7400,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,368.03,994.05,72
HCPCS,L7400,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) Other Outpatient",,,398.38,398.38,6
HCPCS,L7401,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,412.01,1112.85,72
HCPCS,L7401,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) Other Outpatient",,,445.99,445.99,6
HCPCS,L7402,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,444.92,1201.74,72
HCPCS,L7402,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) Other Outpatient",,,481.61,481.61,6
HCPCS,L7403,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,442.2,1194.41,72
HCPCS,L7403,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material Other Outpatient",,,478.67,478.67,6
HCPCS,L7404,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,667.39,1802.64,72
HCPCS,L7404,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material Other Outpatient",,,722.43,722.43,6
HCPCS,L7405,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,872.88,2357.69,72
HCPCS,L7405,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material Other Outpatient",,,944.87,944.87,6
HCPCS,L7406,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3055.57,8253.18,72
HCPCS,L7406,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Other Outpatient",,,3307.57,3307.57,6
HCPCS,L7520,"Repair prosthetic device, labor component, per 15 minutes ",,,39.45,106.56,72
HCPCS,L7520,"Repair prosthetic device, labor component, per 15 minutes Other Outpatient",,,42.7,42.7,6
HCPCS,L7700,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,134.02,362.01,72
HCPCS,L7700,"Gasket or seal, for use with prosthetic socket insert, any type, each Other Outpatient",,,145.08,145.08,6
HCPCS,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,44.54,120.31,72
HCPCS,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type Other Outpatient",,,48.22,48.22,6
HCPCS,L8001,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,150.61,406.81,72
HCPCS,L8001,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type Other Outpatient",,,163.03,163.03,6
HCPCS,L8002,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,198.1,535.08,72
HCPCS,L8002,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type Other Outpatient",,,214.44,214.44,6
HCPCS,L8015,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,71.96,194.38,72
HCPCS,L8015,"External breast prosthesis garment, with mastectomy form, post mastectomy Other Outpatient",,,77.9,77.9,6
HCPCS,L8020,"Breast prosthesis, mastectomy form ",,,269.8,728.73,72
HCPCS,L8020,"Breast prosthesis, mastectomy form Other Outpatient",,,292.05,292.05,6
HCPCS,L8030,"Breast prosthesis, silicone or equal, without integral adhesive ",,,396.13,1069.96,72
HCPCS,L8030,"Breast prosthesis, silicone or equal, without integral adhesive Other Outpatient",,,428.8,428.8,6
HCPCS,L8031,"Breast prosthesis, silicone or equal, with integral adhesive ",,,396.13,1069.96,72
HCPCS,L8031,"Breast prosthesis, silicone or equal, with integral adhesive Other Outpatient",,,428.8,428.8,6
HCPCS,L8032,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,47.04,127.04,72
HCPCS,L8032,"Nipple prosthesis, prefabricated, reusable, any type, each Other Outpatient",,,50.91,50.91,6
HCPCS,L8033,"Nipple prosthesis, custom fabricated, reusable, any material, any type, each ",,,22.63,34.05,6
HCPCS,L8035,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4399.19,11882.36,72
HCPCS,L8035,"Custom breast prosthesis, post mastectomy, molded to patient model Other Outpatient",,,4762.01,4762.01,6
HCPCS,L8040,"Nasal prosthesis, provided by a non-physician ",,,2862.06,7730.52,72
HCPCS,L8040,"Nasal prosthesis, provided by a non-physician Other Outpatient",,,3098.11,3098.11,6
HCPCS,L8041,"Midfacial prosthesis, provided by a non-physician ",,,3449.76,9317.9,72
HCPCS,L8041,"Midfacial prosthesis, provided by a non-physician Other Outpatient",,,3734.27,3734.27,6
HCPCS,L8042,"Orbital prosthesis, provided by a non-physician ",,,3876.13,10469.55,72
HCPCS,L8042,"Orbital prosthesis, provided by a non-physician Other Outpatient",,,4195.81,4195.81,6
HCPCS,L8043,"Upper facial prosthesis, provided by a non-physician ",,,4341.25,11725.86,72
HCPCS,L8043,"Upper facial prosthesis, provided by a non-physician Other Outpatient",,,4699.3,4699.3,6
HCPCS,L8044,"Hemi-facial prosthesis, provided by a non-physician ",,,4806.39,12982.2,72
HCPCS,L8044,"Hemi-facial prosthesis, provided by a non-physician Other Outpatient",,,5202.79,5202.79,6
HCPCS,L8045,"Auricular prosthesis, provided by a non-physician ",,,3009.74,8129.39,72
HCPCS,L8045,"Auricular prosthesis, provided by a non-physician Other Outpatient",,,3257.96,3257.96,6
HCPCS,L8046,"Partial facial prosthesis, provided by a non-physician ",,,3100.89,8375.59,72
HCPCS,L8046,"Partial facial prosthesis, provided by a non-physician Other Outpatient",,,3356.63,3356.63,6
HCPCS,L8047,"Nasal septal prosthesis, provided by a non-physician ",,,1589.23,4292.56,72
HCPCS,L8047,"Nasal septal prosthesis, provided by a non-physician Other Outpatient",,,1720.3,1720.3,6
HCPCS,L8300,"Truss, single with standard pad ",,,100.18,270.59,72
HCPCS,L8300,"Truss, single with standard pad Other Outpatient",,,108.44,108.44,6
HCPCS,L8310,"Truss, double with standard pads ",,,158.16,427.19,72
HCPCS,L8310,"Truss, double with standard pads Other Outpatient",,,171.2,171.2,6
HCPCS,L8320,"Truss, addition to standard pad, water pad ",,,73.03,197.26,72
HCPCS,L8320,"Truss, addition to standard pad, water pad Other Outpatient",,,79.05,79.05,6
HCPCS,L8330,"Truss, addition to standard pad, scrotal pad ",,,78.16,211.12,72
HCPCS,L8330,"Truss, addition to standard pad, scrotal pad Other Outpatient",,,84.61,84.61,6
HCPCS,L8400,"Prosthetic sheath, below knee, each ",,,18.69,50.49,72
HCPCS,L8400,"Prosthetic sheath, below knee, each Other Outpatient",,,20.23,20.23,6
HCPCS,L8410,"Prosthetic sheath, above knee, each ",,,27.32,73.78,72
HCPCS,L8410,"Prosthetic sheath, above knee, each Other Outpatient",,,29.57,29.57,6
HCPCS,L8415,"Prosthetic sheath, upper limb, each ",,,27.78,75.04,72
HCPCS,L8415,"Prosthetic sheath, upper limb, each Other Outpatient",,,30.07,30.07,6
HCPCS,L8417,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,90.3,243.9,72
HCPCS,L8417,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each Other Outpatient",,,97.74,97.74,6
HCPCS,L8420,"Prosthetic sock, multiple ply, below knee, each ",,,24.69,66.68,72
HCPCS,L8420,"Prosthetic sock, multiple ply, below knee, each Other Outpatient",,,26.72,26.72,6
HCPCS,L8430,"Prosthetic sock, multiple ply, above knee, each ",,,27.11,73.23,72
HCPCS,L8430,"Prosthetic sock, multiple ply, above knee, each Other Outpatient",,,29.35,29.35,6
HCPCS,L8435,"Prosthetic sock, multiple ply, upper limb, each ",,,28.63,77.34,72
HCPCS,L8435,"Prosthetic sock, multiple ply, upper limb, each Other Outpatient",,,31.0,31.0,6
HCPCS,L8440,"Prosthetic shrinker, below knee, each ",,,52.45,141.66,72
HCPCS,L8440,"Prosthetic shrinker, below knee, each Other Outpatient",,,56.77,56.77,6
HCPCS,L8460,"Prosthetic shrinker, above knee, each ",,,91.26,246.49,72
HCPCS,L8460,"Prosthetic shrinker, above knee, each Other Outpatient",,,98.78,98.78,6
HCPCS,L8465,"Prosthetic shrinker, upper limb, each ",,,65.03,175.64,72
HCPCS,L8465,"Prosthetic shrinker, upper limb, each Other Outpatient",,,70.39,70.39,6
HCPCS,L8470,"Prosthetic sock, single ply, fitting, below knee, each ",,,9.51,25.68,72
HCPCS,L8470,"Prosthetic sock, single ply, fitting, below knee, each Other Outpatient",,,10.29,10.29,6
HCPCS,L8480,"Prosthetic sock, single ply, fitting, above knee, each ",,,12.48,33.72,72
HCPCS,L8480,"Prosthetic sock, single ply, fitting, above knee, each Other Outpatient",,,13.51,13.51,6
HCPCS,L8485,"Prosthetic sock, single ply, fitting, upper limb, each ",,,13.21,35.68,72
HCPCS,L8485,"Prosthetic sock, single ply, fitting, upper limb, each Other Outpatient",,,14.3,14.3,6
HCPCS,L8500,"Artificial larynx, any type ",,,923.21,2493.61,72
HCPCS,L8500,"Artificial larynx, any type Other Outpatient",,,999.35,999.35,6
HCPCS,L8501,Tracheostomy speaking valve ,,,143.44,387.45,72
HCPCS,L8501,Tracheostomy speaking valve Other Outpatient,,,155.27,155.27,6
HCPCS,L8501,VALVE SPEAK 15MM 22MM,2759.0,2759.0,193.13,2759.0,57
HCPCS,L8501,VALVE SPEAK 15MM 23MM,4442.0,4442.0,310.94,4442.0,57
HCPCS,L8501,VALVE SPEAKING 15MM,1489.0,1489.0,104.23,1489.0,57
HCPCS,L8507,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,50.29,135.85,72
HCPCS,L8507,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each Other Outpatient",,,54.44,54.44,6
HCPCS,L8509,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,131.14,354.22,72
HCPCS,L8509,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type Other Outpatient",,,141.96,141.96,6
HCPCS,L8510,Voice amplifier ,,,303.45,819.61,72
HCPCS,L8510,Voice amplifier Other Outpatient,,,328.47,328.47,6
HCPCS,L8511,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,87.33,235.88,72
HCPCS,L8511,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each Other Outpatient",,,94.53,94.53,6
HCPCS,L8512,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.62,7.07,72
HCPCS,L8512,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 Other Outpatient",,,2.84,2.84,6
HCPCS,L8513,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,6.28,16.95,72
HCPCS,L8513,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each Other Outpatient",,,6.79,6.79,6
HCPCS,L8514,"Tracheoesophageal puncture dilator, replacement only, each ",,,113.23,305.83,72
HCPCS,L8514,"Tracheoesophageal puncture dilator, replacement only, each Other Outpatient",,,122.57,122.57,6
HCPCS,L8515,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,75.8,204.73,72
HCPCS,L8515,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each Other Outpatient",,,82.05,82.05,6
HCPCS,L8600,"Implantable breast prosthesis, silicone or equal ",,,741.54,2002.91,72
HCPCS,L8600,"Implantable breast prosthesis, silicone or equal Other Outpatient",,,802.69,802.69,6
HCPCS,L8603,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,520.01,1404.56,72
HCPCS,L8603,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies Other Outpatient",,,562.89,562.89,6
HCPCS,L8604,IMPLNT URO1ML DEFLUX INJ,53965.0,53965.0,5936.15,53965.0,57
HCPCS,L8605,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,860.01,2322.92,87
HCPCS,L8605,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies Other Outpatient",,,930.94,930.94,6
HCPCS,L8606,AGENT BULK URTH 2.5ML,11529.0,11529.0,1268.19,11529.0,52
HCPCS,L8606,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,261.31,705.8,72
HCPCS,L8606,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies Other Outpatient",,,282.86,282.86,6
HCPCS,L8606,SYSTEM URETHRAL BULKING,42128.0,42128.0,4634.08,42128.0,52
HCPCS,L8607,IMPL GEL VOC CRD INJ 1ML,11848.0,11848.0,829.36,11848.0,57
HCPCS,L8607,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,51.52,139.15,87
HCPCS,L8607,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies Other Outpatient",,,55.77,55.77,6
HCPCS,L8607,KIT INJ ORAL NDL 1CC,13974.0,13974.0,1537.14,13974.0,52
HCPCS,L8609,Artificial cornea ,,,7823.58,21131.74,72
HCPCS,L8609,Artificial cornea Other Outpatient,,,8468.83,8468.83,6
HCPCS,L8610,IMPLANT ORBITAL 22MM,1439.0,1439.0,158.29,1439.0,52
HCPCS,L8610,Ocular implant ,1439.0,1439.0,787.78,2127.81,72
HCPCS,L8610,Ocular implant Other Outpatient,1439.0,1439.0,852.75,852.75,6
HCPCS,L8612,Aqueous shunt ,,,761.21,2056.05,72
HCPCS,L8612,Aqueous shunt Other Outpatient,,,823.99,823.99,6
HCPCS,L8613,Ossicula implant ,,,357.44,965.47,72
HCPCS,L8613,Ossicula implant Other Outpatient,,,386.93,386.93,6
HCPCS,L8613,PROSTH OSS 3.0MM 0.2MM,6987.0,6987.0,489.09,6987.0,57
HCPCS,L8613,PROSTH OSS 4.5MM 0.2MM,6823.0,6823.0,477.61,6823.0,57
HCPCS,L8613,PROSTH OSS 5.75MM 0.75MM,8954.0,8954.0,626.78,8954.0,57
HCPCS,L8614,"Cochlear device, includes all internal and external components ",,,22984.63,62082.21,72
HCPCS,L8614,"Cochlear device, includes all internal and external components Other Outpatient",,,24880.28,24880.28,6
HCPCS,L8614,IMP COCH ULTRA MID-SC,226515.0,226515.0,24916.65,226515.0,52
HCPCS,L8614,IMP COCHLEAR CI632,343976.0,343976.0,37837.36,343976.0,52
HCPCS,L8614,IMPLANT COCH C ELECTRDS,261763.0,261763.0,28793.93,261763.0,52
HCPCS,L8614,IMPLANT COCH STRT ELCTRD,331250.0,331250.0,36437.5,331250.0,52
HCPCS,L8614,KIT SOUND PRCSSR PT DUAL,183910.0,183910.0,12873.7,183910.0,65
HCPCS,L8614,PROCESSOR SND DUAL KT,188214.0,188214.0,12882.24,192396.0,130
HCPCS,L8615,"Headset/headpiece for use with cochlear implant device, replacement ",,,541.59,1462.85,72
HCPCS,L8615,"Headset/headpiece for use with cochlear implant device, replacement Other Outpatient",,,586.26,586.26,6
HCPCS,L8616,"Microphone for use with cochlear implant device, replacement ",,,126.15,340.73,72
HCPCS,L8616,"Microphone for use with cochlear implant device, replacement Other Outpatient",,,136.55,136.55,6
HCPCS,L8617,"Transmitting coil for use with cochlear implant device, replacement ",,,110.21,297.68,72
HCPCS,L8617,"Transmitting coil for use with cochlear implant device, replacement Other Outpatient",,,119.3,119.3,6
HCPCS,L8618,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,31.49,85.05,72
HCPCS,L8618,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement Other Outpatient",,,34.08,34.08,6
HCPCS,L8619,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,9867.13,26651.43,72
HCPCS,L8619,"Cochlear implant, external speech processor and controller, integrated system, replacement Other Outpatient",,,10680.91,10680.91,6
HCPCS,L8621,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.75,2.02,72
HCPCS,L8621,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each Other Outpatient",,,0.81,0.81,6
HCPCS,L8622,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.39,1.05,72
HCPCS,L8622,"Alkaline battery for use with cochlear implant device, any size, replacement, each Other Outpatient",,,0.42,0.42,6
HCPCS,L8623,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,77.65,209.73,72
HCPCS,L8623,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each Other Outpatient",,,84.05,84.05,6
HCPCS,L8624,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,193.62,522.98,72
HCPCS,L8624,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each Other Outpatient",,,209.59,209.59,6
HCPCS,L8625,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,226.79,612.56,72
HCPCS,L8625,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each Other Outpatient",,,245.49,245.49,6
HCPCS,L8627,"Cochlear implant, external speech processor, component, replacement ",,,8381.64,22639.08,72
HCPCS,L8627,"Cochlear implant, external speech processor, component, replacement Other Outpatient",,,9072.91,9072.91,6
HCPCS,L8628,"Cochlear implant, external controller component, replacement ",,,1485.49,4012.35,72
HCPCS,L8628,"Cochlear implant, external controller component, replacement Other Outpatient",,,1608.0,1608.0,6
HCPCS,L8629,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,215.0,580.72,72
HCPCS,L8629,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement Other Outpatient",,,232.73,232.73,6
HCPCS,L8630,Metacarpophalangeal joint implant ,,,400.09,1080.65,72
HCPCS,L8630,Metacarpophalangeal joint implant Other Outpatient,,,433.08,433.08,6
HCPCS,L8631,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2606.75,7040.91,78
HCPCS,L8641,Metatarsal joint implant ,,,415.69,1122.8,72
HCPCS,L8641,Metatarsal joint implant Other Outpatient,,,449.98,449.98,6
HCPCS,L8642,Hallux implant ,,,345.66,933.64,72
HCPCS,L8642,Hallux implant Other Outpatient,,,374.17,374.17,6
HCPCS,L8658,"Interphalangeal joint spacer, silicone or equal, each ",,,362.43,978.94,72
HCPCS,L8658,"Interphalangeal joint spacer, silicone or equal, each Other Outpatient",,,392.32,392.32,6
HCPCS,L8659,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2317.14,6258.66,72
HCPCS,L8659,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size Other Outpatien",,,2508.24,2508.24,6
HCPCS,L8670,"Vascular graft material, synthetic, implant ",,,661.05,1785.5,72
HCPCS,L8670,"Vascular graft material, synthetic, implant Other Outpatient",,,715.56,715.56,6
HCPCS,L8678,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,12.45,33.64,78
HCPCS,L8678,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month Other Outpatient",,,13.48,13.48,6
HCPCS,L8679,"Implantable neurostimulator, pulse generator, any type ",,,10019.32,27062.5,72
HCPCS,L8679,"Implantable neurostimulator, pulse generator, any type Other Outpatient",,,10845.66,10845.66,6
HCPCS,L8681,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1281.1,3460.29,72
HCPCS,L8681,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only Other Outpatient",,,1386.76,1386.76,6
HCPCS,L8682,Implantable neurostimulator radiofrequency receiver ,,,7158.62,19335.65,72
HCPCS,L8682,Implantable neurostimulator radiofrequency receiver Other Outpatient,,,7749.02,7749.02,6
HCPCS,L8683,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,6301.21,17019.76,72
HCPCS,L8683,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver Other Outpatient,,,6820.89,6820.89,6
HCPCS,L8684,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,927.07,2504.04,72
HCPCS,L8684,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement Other Outpatient",,,1003.53,1003.53,6
HCPCS,L8689,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2071.31,5594.67,72
HCPCS,L8689,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only Other Outpatient",,,2242.14,2242.14,6
HCPCS,L8690,"Auditory osseointegrated device, includes all internal and external components ",165510.0,165510.0,5712.29,15429.08,72
HCPCS,L8690,"Auditory osseointegrated device, includes all internal and external components Other Outpatient",165510.0,165510.0,6183.41,6183.41,6
HCPCS,L8690,IMPLANT OTO TI,165510.0,165510.0,18206.1,165510.0,52
HCPCS,L8691,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2067.93,5585.55,72
HCPCS,L8691,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each Other Outpatient",,,2238.48,2238.48,6
HCPCS,L8693,"Auditory osseointegrated device abutment, any length, replacement only ",,,1820.81,4918.05,72
HCPCS,L8693,"Auditory osseointegrated device abutment, any length, replacement only Other Outpatient",,,1970.98,1970.98,6
HCPCS,L8694,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1134.03,3063.04,72
HCPCS,L8694,"Auditory osseointegrated device, transducer/actuator, replacement only, each Other Outpatient",,,1227.56,1227.56,6
HCPCS,L8695,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,19.99,54.0,72
HCPCS,L8695,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only Other Outpatient",,,21.64,21.64,6
HCPCS,L8696,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,260.26,702.97,72
HCPCS,L8696,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each Other Outpatient",,,281.73,281.73,6
HCPCS,L8701,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,33921.0,91621.66,72
HCPCS,L8701,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Other Ou",,,36718.61,36718.61,6
HCPCS,L8702,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,66737.65,180260.45,72
HCPCS,L8702,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Othe",,,72241.79,72241.79,6
HCPCS,L8720,"External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg ",,,7726.53,11626.59,6
HCPCS,L8721,"Receptor sole for use with l8720, replacement, each ",,,30.02,45.17,6
HCPCS,M0100,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,48
HCPCS,M0201,"Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) ",,,97.63,189.92,6
HCPCS,M0220,TIXAGEV AND CILGAV INJ,241.92,241.92,16.93,241.92,71
HCPCS,M0224,"Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who e",,,1237.5,2407.5,6
HCPCS,M0235,"Intravenous infusion, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving system",,,1238.88,2410.17,6
HCPCS,M0236,"Intravenous infusion, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving system",,,1238.88,2410.17,6
HCPCS,M0237,"Intravenous infusion, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ve",,,1238.88,2410.17,6
HCPCS,M0238,"Intravenous infusion, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ve",,,1238.88,2410.17,6
HCPCS,M0243,CASIRIVI AND IMDEVI INF,520.07,520.07,36.4,520.07,71
HCPCS,M0245,BAMLAN AND ETESEV INF,520.07,520.07,36.4,520.07,71
HCPCS,M0249,"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, n",723.36,723.36,1237.5,2407.5,6
HCPCS,M0249,TOCILIZUMAB INF 1ST DOSE,723.36,723.36,50.64,723.36,59
HCPCS,M0250,"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, n",,,1237.5,2407.5,6
HCPCS,M0301,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,48
HCPCS,P2028,"Cephalin floculation, blood ",,,2.97,12.97,112
HCPCS,P2028,"Cephalin floculation, blood Other Outpatient",,,5.2,5.2,6
HCPCS,P2029,"Congo red, blood ",,,2.97,12.97,112
HCPCS,P2029,"Congo red, blood Other Outpatient",,,5.2,5.2,6
HCPCS,P2031,Hair analysis (excluding arsenic) ,,,2.97,12.97,116
HCPCS,P2031,Hair analysis (excluding arsenic) Other Outpatient,,,5.2,5.2,6
HCPCS,P2033,"Thymol turbidity, blood ",,,2.97,12.97,112
HCPCS,P2033,"Thymol turbidity, blood Other Outpatient",,,5.2,5.2,6
HCPCS,P2038,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,2.97,27.39,124
HCPCS,P2038,"Mucoprotein, blood (seromucoid) (medical necessity procedure) Other Outpatient",,,5.2,5.2,6
HCPCS,P3000,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,10.66,93.1,124
HCPCS,P3000,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision Other Outpatient",,,19.47,19.47,6
HCPCS,P3001,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,71.37,25
HCPCS,P7001,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,34.89,43
HCPCS,P9010,"Blood (whole), for transfusion, per unit ",,,51.27,64.9,4
HCPCS,P9010,WB AUTO TRANSF PER UNIT,6385.21,6385.21,431.31,6608.92,122
HCPCS,P9010,WB CMV NEG DD TRANSFUS,6806.64,6806.64,476.46,6806.64,61
HCPCS,P9010,WB CMV NEG TRANSF P/UNIT,6360.91,6360.91,445.26,6360.91,61
HCPCS,P9010,WB DD TRANSFUSION P/UNIT,6608.92,6608.92,462.62,6608.92,61
HCPCS,P9011,ALIQ CMV NEG IR LR PLATE,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQ CMV NEG IRR PLATEL,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQ CMV NEG LR PLATELET,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQ CMV NEG PLATELETS,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQ CMVSICNEG IR LR RBC,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQ PLT PHER LR CMV IR,727.26,727.26,50.91,727.26,61
HCPCS,P9011,ALIQUOT CMVSICNEG LR RBC,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT FFP,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT IRR LR PLATELETS,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT IRR PLATELETS,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT IRRAD LR RBC,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT LR PLATELETS,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT LR RBC,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT PLATELET PHER,697.08,697.08,48.8,697.08,61
HCPCS,P9011,ALIQUOT PLATELETS,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT RBC,899.84,899.84,62.99,899.84,61
HCPCS,P9011,ALIQUOT WHOLE BLOOD,899.84,899.84,62.99,899.84,61
HCPCS,P9011,"Blood, split unit ",,,73.3,92.8,4
HCPCS,P9011,SPLIT PROD SPECIFY AMT,2796.74,2796.74,195.77,2796.74,61
HCPCS,P9012,CRYOPRECIPITATE,916.6,916.6,64.16,916.6,61
HCPCS,P9012,CRYOPRECIPITATE AUTO,1364.01,1364.01,95.48,1364.01,61
HCPCS,P9012,CRYOPRECIPITATE DD,1364.01,1364.01,95.48,1364.01,61
HCPCS,P9012,CRYOPRECIPITATE POOLED,5962.1,5962.1,417.35,5962.1,61
HCPCS,P9012,"Cryoprecipitate, each unit ",,,14.44,18.28,4
HCPCS,P9016,PRBC LR,4174.14,4174.14,292.19,4174.14,61
HCPCS,P9016,PRBC LR AUTO,4621.55,4621.55,323.51,4621.55,61
HCPCS,P9016,PRBC LR DD,4621.55,4621.55,323.51,4621.55,61
HCPCS,P9016,PRBC LR PEDI WASH,1617.04,1617.04,113.19,1617.04,61
HCPCS,P9016,PRBC LR WASH,5167.83,5167.83,361.75,5167.83,61
HCPCS,P9016,"Red blood cells, leukocytes reduced, each unit ",,,451.54,571.63,4
HCPCS,P9016,WB LR,7054.65,7054.65,493.83,7054.65,61
HCPCS,P9016,WB LR AUTOLOGOUS,7502.05,7502.05,525.14,7502.05,61
HCPCS,P9017,FFP,1080.83,1080.83,75.66,1080.83,61
HCPCS,P9017,FFP APH,1080.83,1080.83,75.66,1080.83,61
HCPCS,P9017,FFP APH 500ML,1811.42,1811.42,126.8,1811.42,61
HCPCS,P9017,FFP AUTO,1442.77,1442.77,100.99,1442.77,61
HCPCS,P9017,FFP SD,1442.77,1442.77,100.99,1442.77,61
HCPCS,P9017,"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit ",,,122.11,154.58,4
HCPCS,P9019,PLATELET CONC VOL RED,976.92,976.92,68.38,976.92,61
HCPCS,P9019,PLTS CONC,976.92,976.92,68.38,976.92,61
HCPCS,P9019,PLTS CONC AUTO,1424.34,1424.34,99.7,1424.34,61
HCPCS,P9019,PLTS CONC DD,1424.34,1424.34,99.7,1424.34,61
HCPCS,P9019,"Platelets, each unit ",,,296.95,375.92,4
HCPCS,P9020,"Platelet rich plasma, each unit ",,,439.64,556.56,4
HCPCS,P9021,PRBC,3579.27,3579.27,250.55,3579.27,61
HCPCS,P9021,PRBC AUTO,4026.68,4026.68,281.87,4026.68,61
HCPCS,P9021,PRBC CMV NEG,3778.68,3778.68,264.51,3778.68,61
HCPCS,P9021,PRBC DD,4026.68,4026.68,281.87,4026.68,61
HCPCS,P9021,PRBC PEDI,3780.35,3780.35,264.62,3780.35,61
HCPCS,P9021,PRBC PEDI DD,1278.54,1278.54,89.5,1278.54,61
HCPCS,P9021,"Red blood cells, each unit ",,,138.33,175.12,4
HCPCS,P9022,PRBC WASH,4572.96,4572.96,320.11,4572.96,61
HCPCS,P9022,PRBC WASH IRR,4820.94,4820.94,337.47,4820.94,61
HCPCS,P9022,PRBC WASH LR IRR,5415.84,5415.84,379.11,5415.84,61
HCPCS,P9022,"Red blood cells, washed, each unit ",,,311.57,394.44,4
HCPCS,P9023,"Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit ",,,1.54,176.31,10
HCPCS,P9025,"Plasma, cryoprecipitate reduced, pathogen reduced, each unit ",,,114.98,144.54,6
HCPCS,P9026,"Cryoprecipitated fibrinogen complex, pathogen reduced, each unit ",,,139.74,175.67,6
HCPCS,P9027,"Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit ",,,694.32,1350.77,6
HCPCS,P9031,PLT CONC LR,9724.01,9724.01,680.68,9724.01,61
HCPCS,P9031,PLTS L/R WASHED,2446.51,2446.51,171.26,2446.51,61
HCPCS,P9031,"Platelets, leukocytes reduced, each unit ",,,263.61,333.72,4
HCPCS,P9032,PLTS IR,1224.93,1224.93,85.75,1224.93,61
HCPCS,P9032,"Platelets, irradiated, each unit ",1224.93,1224.93,87.65,110.96,4
HCPCS,P9033,PLT CONC LR IRR,10699.28,10699.28,748.95,10699.28,61
HCPCS,P9033,"Platelets, leukocytes reduced, irradiated, each unit ",10699.28,10699.28,645.93,817.72,4
HCPCS,P9034,PLTS PHERESIS EACH UNIT,11083.005,11083.005,729.71,11741.55,122
HCPCS,P9034,"Platelets, pheresis, each unit ",,,856.19,1083.9,4
HCPCS,P9035,PLTS PH LR DD EACH UNIT,10871.87,10871.87,761.03,10871.87,61
HCPCS,P9035,PLTS PH LR VOL REDUCED,2981.06,2981.06,208.67,2981.06,61
HCPCS,P9035,PLTS PH LR WASHED EAUNIT,11418.14,11418.14,799.27,11418.14,61
HCPCS,P9035,PLTS PHERESIS LR EA UNIT,10424.46,10424.46,729.71,10424.46,61
HCPCS,P9035,"Platelets, pheresis, leukocytes reduced, each unit ",,,1041.07,1317.95,4
HCPCS,P9036,PLTS PH IRRADIATED EA UN,10672.46,10672.46,747.07,10672.46,61
HCPCS,P9036,"Platelets, pheresis, irradiated, each unit ",10672.46,10672.46,879.9,1113.91,4
HCPCS,P9037,PLTS PH LR IRR DD EA UN,11119.88,11119.88,778.39,11119.88,61
HCPCS,P9037,PLTS PH LR IRR EA UNIT,10672.46,10672.46,747.07,10672.46,61
HCPCS,P9037,PLTS PH LR IRR LOW YIELD,3230.73,3230.73,226.15,3230.73,61
HCPCS,P9037,"Platelets, pheresis, leukocytes reduced, irradiated, each unit ",,,1519.68,1923.85,4
HCPCS,P9038,RBC IRRAD CMV NEG EA UN,4026.68,4026.68,281.87,4026.68,61
HCPCS,P9038,RBC IRRADIATED EACH UNIT,3827.28,3827.28,267.91,3827.28,61
HCPCS,P9038,"Red blood cells, irradiated, each unit ",,,24.5,31.01,4
HCPCS,P9039,RBC DEGLYCEROLIZED EA UN,5367.23,5367.23,375.71,5367.23,61
HCPCS,P9039,"Red blood cells, deglycerolized, each unit ",5367.23,5367.23,374.06,473.55,4
HCPCS,P9040,RBC LEUKORED IRR DD EAUN,4869.56,4869.56,340.87,4869.56,61
HCPCS,P9040,RBC LEUKOREDUC IRR EA UN,4422.15,4422.15,309.55,4422.15,61
HCPCS,P9040,"Red blood cells, leukocytes reduced, irradiated, each unit ",,,508.16,643.31,4
HCPCS,P9041,ALBUMIN INF 5% 50ML,495.61,495.61,34.69,495.61,46
HCPCS,P9041,"Infusion, albumin (human), 5%, 50 ml ",495.61,495.61,10.3,286.06,29
HCPCS,P9043,"Infusion, plasma protein fraction (human), 5%, 50 ml ",,,77.69,196.44,12
HCPCS,P9044,PLASMA CRYO REDUCED,997.04,997.04,69.79,997.04,61
HCPCS,P9044,"Plasma, cryoprecipitate reduced, each unit ",997.04,997.04,120.41,152.44,4
HCPCS,P9045,ALBUMIN INF 5% 250ML,282.5,282.5,19.77,282.5,41
HCPCS,P9045,ALBUMIN INF 5% 500 ML,1250.29,1250.29,87.52,1250.29,41
HCPCS,P9045,"Infusion, albumin (human), 5%, 250 ml ",,,51.49,406.13,29
HCPCS,P9046,"Infusion, albumin (human), 25%, 20 ml ",,,20.59,241.25,29
HCPCS,P9047,ALBUMIN INF 25% 100 ML,1250.29,1250.29,87.52,1250.29,46
HCPCS,P9047,ALBUMIN INF 25% 50 ML,282.5,282.5,19.77,282.5,46
HCPCS,P9047,"Infusion, albumin (human), 25%, 50 ml ",,,51.49,392.54,29
HCPCS,P9048,"Infusion, plasma protein fraction (human), 5%, 250 ml ",,,182.47,461.38,12
HCPCS,P9050,GRANULOCYTES BUFFY IR EA,13303.31,13303.31,931.23,13303.31,67
HCPCS,P9050,GRANULOCYTES PH EACH UN,25135.33,25135.33,1759.47,25135.33,67
HCPCS,P9050,"Granulocytes, pheresis, each unit ",,,1464.75,1854.31,4
HCPCS,P9051,PRBC LR CMV NEG EA UNIT,4373.55,4373.55,306.15,4373.55,61
HCPCS,P9051,WB LR CMV NEG,6037.495,6037.495,337.47,7254.05,122
HCPCS,P9051,WB LR CMV NEG DD,7701.46,7701.46,539.1,7701.46,61
HCPCS,P9051,"Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit ",,,380.78,482.05,4
HCPCS,P9052,PLTS LR PHER HLA,11741.55,11741.55,821.91,11741.55,61
HCPCS,P9052,"Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit ",11741.55,11741.55,928.61,1175.58,4
HCPCS,P9053,PLT PHER L/R CMV IRRAD,11865.57,11865.57,830.59,11865.57,61
HCPCS,P9053,"Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit ",11865.57,11865.57,1033.4,1308.24,4
HCPCS,P9054,WB/RBC LR FZ DEGLY WASH,5962.1,5962.1,417.35,5962.1,61
HCPCS,P9054,"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit ",5962.1,5962.1,258.63,327.42,4
HCPCS,P9055,PLTS APH LR CMV NEG,10623.86,10623.86,743.67,10623.86,61
HCPCS,P9055,PLTS APH LR CMV NEG WASH,11617.56,11617.56,813.23,11617.56,61
HCPCS,P9055,"Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit ",,,345.36,437.21,4
HCPCS,P9056,WB LR IRR DD,7750.06,7750.06,542.5,7750.06,61
HCPCS,P9056,WB PHERESIS IRR EA UNIT,7302.66,7302.66,511.19,7302.66,61
HCPCS,P9056,"Whole blood, leukocytes reduced, irradiated, each unit ",,,220.69,279.39,4
HCPCS,P9057,RBC FRZ/DEG/WSH L/R IRRD,6210.11,6210.11,434.71,6210.11,61
HCPCS,P9057,"Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit ",6210.11,6210.11,1019.11,1290.15,4
HCPCS,P9058,PRBC LR CMV NEG IRRAD,4621.55,4621.55,323.51,4621.55,61
HCPCS,P9058,"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit ",4621.55,4621.55,135.17,171.12,4
HCPCS,P9059,"Fresh frozen plasma between 8-24 hours of collection, each unit ",1080.83,1080.83,104.98,132.9,4
HCPCS,P9059,PLASMA FRZ WITHIN 24 HRS,1080.83,1080.83,75.66,1080.83,61
HCPCS,P9060,"Fresh frozen plasma, donor retested, each unit ",,,25.72,32.56,4
HCPCS,P9070,"Plasma, pooled multiple donor, pathogen reduced, frozen, each unit ",,,56.52,1666.0,10
HCPCS,P9071,"Plasma (single donor), pathogen reduced, frozen, each unit ",,,140.19,176.24,6
HCPCS,P9073,"Platelets, pheresis, pathogen-reduced, each unit ",,,1071.02,1990.8,10
HCPCS,P9100,Pathogen(s) test for platelets ,,,33.84,211.83,31
HCPCS,P9603,Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled ,,,1.15,1.45,4
HCPCS,P9604,Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge ,,,11.39,14.42,4
HCPCS,P9612,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,5932.0,210
HCPCS,P9612,"Catheterization for collection of specimen, single patient, all places of service Other Outpatient",,,9.81,9.81,6
HCPCS,P9612,URINE CATH COLL SINGLE,243.65,243.65,17.06,243.65,216
HCPCS,P9615,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,5932.0,160
HCPCS,P9615,Catheterization for collection of specimen(s) (multiple patients) Other Outpatient,,,9.81,9.81,6
HCPCS,Q0035,Cardiokymography ,,,17.97,178.85,21
HCPCS,Q0035,Cardiokymography Age 21+,,,20.06,20.06,4
HCPCS,Q0035,Cardiokymography Age Under 21,,,20.43,20.43,4
HCPCS,Q0083,"Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit ",,,,,0
HCPCS,Q0084,"Chemotherapy administration by infusion technique only, per visit ",,,,,0
HCPCS,Q0085,"Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit ",,,,,0
HCPCS,Q0091,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,43.6,39
HCPCS,Q0092,Set-up portable x-ray equipment ,,,33.58,109.8,6
HCPCS,Q0111,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,10.66,93.1,124
HCPCS,Q0111,"Wet mounts, including preparations of vaginal, cervical or skin specimens Other Outpatient",,,19.47,19.47,6
HCPCS,Q0112,All potassium hydroxide (koh) preparations ,,,3.5,31.01,124
HCPCS,Q0112,All potassium hydroxide (koh) preparations Other Outpatient,,,6.12,6.12,6
HCPCS,Q0113,Pinworm examinations ,,,2.56,23.76,124
HCPCS,Q0113,Pinworm examinations Other Outpatient,,,4.48,4.48,6
HCPCS,Q0114,Fern test ,,,5.84,52.96,124
HCPCS,Q0114,Fern test Other Outpatient,,,10.23,10.23,6
HCPCS,Q0115,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,15.0,135.06,124
HCPCS,Q0115,"Post-coital direct, qualitative examinations of vaginal or cervical mucous Other Outpatient",,,26.25,26.25,6
HCPCS,Q0138,FERUMOXYTOL 510MG NESRD,1678.62,1678.62,117.5,1678.62,42
HCPCS,Q0138,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",1678.62,1678.62,0.22,10.93,29
HCPCS,Q0139,FERUMOXYTOL 510 MG ESRD,1678.62,1678.62,117.5,1678.62,42
HCPCS,Q0139,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",1678.62,1678.62,0.22,10.93,29
HCPCS,Q0144,AZITHROMY 200 MG/5 ML PO,27.72,27.72,1.94,27.72,47
HCPCS,Q0144,AZITHROMYCIN 1 GM PO,141.38,141.38,9.9,141.38,47
HCPCS,Q0144,AZITHROMYCIN 250 MG PO,7.06,7.06,0.49,7.06,47
HCPCS,Q0144,AZITHROMYCIN 40MG PO,5.23,5.23,0.37,5.23,47
HCPCS,Q0144,AZITHROMYCIN 500 MG PO,2.92,2.92,0.2,2.92,47
HCPCS,Q0144,AZITHROMYCIN 600MG PO,38.35,38.35,2.68,38.35,47
HCPCS,Q0144,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,215.42,27
HCPCS,Q0155,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,28.31,27
HCPCS,Q0161,"Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed",,,0.35,2.82,12
HCPCS,Q0162,ONDANSETRON 1 MG PO,68.94,68.94,4.83,68.94,46
HCPCS,Q0162,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",68.94,68.94,0.02,1.28,29
HCPCS,Q0163,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,0.07,2.28,27
HCPCS,Q0164,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,0.48,2.99,27
HCPCS,Q0166,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,18.52,97.43,27
HCPCS,Q0167,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.6,14.37,29
HCPCS,Q0169,PROMETHAZINE 12.5 MG PO,2.63,2.63,0.18,2.63,46
HCPCS,Q0169,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",2.63,2.63,0.21,0.77,27
HCPCS,Q0173,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,7.18,21
HCPCS,Q0174,"Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,3.81,5.39,6
HCPCS,Q0175,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,0.97,4.1,27
HCPCS,Q0177,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,0.14,3.3,27
HCPCS,Q0180,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,530.08,27
HCPCS,Q0224,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,7021.83,55392.84,29
HCPCS,Q0234,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
HCPCS,Q0234,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical Other Outpati",,,,,0
HCPCS,Q0235,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,17.04,27.42,6
HCPCS,Q0237,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,4.77,24.14,23
HCPCS,Q0238,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,5.41,9.21,17
HCPCS,Q0238,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent Other Ou",,,,,0
HCPCS,Q0249,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.34,57.9,29
HCPCS,Q0477,DEVICE VNTRC AST POW MOD,20514.0,20514.0,1435.98,20514.0,57
HCPCS,Q0477,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",20514.0,20514.0,931.63,2516.35,72
HCPCS,Q0477,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",20514.0,20514.0,1008.46,1008.46,6
HCPCS,Q0478,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,220.67,596.02,72
HCPCS,Q0478,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type Other Outpatient",,,238.86,238.86,6
HCPCS,Q0479,CABLE PWR UNIT HARTMATE3,64311.0,64311.0,4501.77,64311.0,65
HCPCS,Q0479,DEVICE VNTRC AST POW MOD,131235.0,131235.0,9186.45,131235.0,57
HCPCS,Q0479,MODULE POWER UNIT,95040.0,95040.0,6652.8,95040.0,57
HCPCS,Q0479,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,14378.8,38837.57,72
HCPCS,Q0479,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,15564.68,15564.68,6
HCPCS,Q0480,"Driver for use with pneumatic ventricular assist device, replacement only ",,,108147.24,292109.04,72
HCPCS,Q0480,"Driver for use with pneumatic ventricular assist device, replacement only Other Outpatient",,,117066.6,117066.6,6
HCPCS,Q0481,CONTROLLER PCKT VNTRC AS,90224.0,90224.0,6315.68,90224.0,57
HCPCS,Q0481,CONTROLLER VNTRC NS LF,118476.0,118476.0,8293.32,118476.0,57
HCPCS,Q0481,DEVICE VNTRC ASST CTRLR,54000.0,54000.0,3780.0,54000.0,57
HCPCS,Q0481,KIT HRTMT 3 CONTROLLER,91135.0,91135.0,6379.45,91135.0,65
HCPCS,Q0481,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,17448.36,47128.56,72
HCPCS,Q0481,"Microprocessor control unit for use with electric ventricular assist device, replacement only Other Outpatient",,,18887.4,18887.4,6
HCPCS,Q0482,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,5465.14,14761.5,72
HCPCS,Q0482,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only Other Outpatient",,,5915.87,5915.87,6
HCPCS,Q0483,DEVICE VNTRCL MODL DSPLY,33600.0,33600.0,2352.0,33600.0,57
HCPCS,Q0483,"Monitor/display module for use with electric ventricular assist device, replacement only ",33600.0,33600.0,22513.89,60810.72,72
HCPCS,Q0483,"Monitor/display module for use with electric ventricular assist device, replacement only Other Outpatient",33600.0,33600.0,24370.71,24370.71,6
HCPCS,Q0484,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4372.13,11809.26,72
HCPCS,Q0484,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,4732.72,4732.72,6
HCPCS,Q0485,CORD AC PWR MOBILE UNIT,1599.0,1599.0,111.93,1599.0,57
HCPCS,Q0485,"Monitor control cable for use with electric ventricular assist device, replacement only ",1599.0,1599.0,422.12,1140.17,72
HCPCS,Q0485,"Monitor control cable for use with electric ventricular assist device, replacement only Other Outpatient",1599.0,1599.0,456.94,456.94,6
HCPCS,Q0486,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,351.31,948.91,72
HCPCS,Q0486,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,380.29,380.29,6
HCPCS,Q0487,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,409.88,1107.11,72
HCPCS,Q0487,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,443.69,443.69,6
HCPCS,Q0489,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,19518.34,52719.64,72
HCPCS,Q0489,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,21128.1,21128.1,6
HCPCS,Q0490,"Emergency power source for use with electric ventricular assist device, replacement only ",,,844.31,2280.5,72
HCPCS,Q0490,"Emergency power source for use with electric ventricular assist device, replacement only Other Outpatient",,,913.94,913.94,6
HCPCS,Q0491,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1327.28,3585.02,72
HCPCS,Q0491,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,1436.75,1436.75,6
HCPCS,Q0492,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,106.96,288.91,72
HCPCS,Q0492,"Emergency power supply cable for use with electric ventricular assist device, replacement only Other Outpatient",,,115.78,115.78,6
HCPCS,Q0493,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,304.42,822.23,72
HCPCS,Q0493,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,329.52,329.52,6
HCPCS,Q0494,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,257.59,695.77,72
HCPCS,Q0494,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,278.84,278.84,6
HCPCS,Q0495,BATTERY VAD BKUP 11V,11316.0,11316.0,792.12,11316.0,57
HCPCS,Q0495,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5015.72,13547.63,72
HCPCS,Q0495,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,5429.39,5429.39,6
HCPCS,Q0495,CHARGER BTRY NS LF DISP,101077.0,101077.0,7075.39,101077.0,57
HCPCS,Q0495,DEVICE VNTRC ASST BTRY,118111.0,118111.0,8267.77,118111.0,57
HCPCS,Q0496,BATTERY LVAD BACKUP,1489.0,1489.0,104.23,1489.0,57
HCPCS,Q0496,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",1489.0,1489.0,1800.2,4862.41,72
HCPCS,Q0496,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",1489.0,1489.0,1948.67,1948.67,6
HCPCS,Q0497,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",13068.0,13068.0,562.11,1518.26,72
HCPCS,Q0497,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",13068.0,13068.0,608.46,608.46,6
HCPCS,Q0497,DEVICE VNTRC ASST BTRY,13068.0,13068.0,914.76,13068.0,57
HCPCS,Q0498,DEVICE LVAD VEST LG,7740.5,7740.5,451.57,9030.0,114
HCPCS,Q0498,DEVICE LVAD VEST MED,6451.0,6451.0,451.57,6451.0,114
HCPCS,Q0498,DEVICE LVAD VEST SM,6451.0,6451.0,451.57,6451.0,57
HCPCS,Q0498,DEVICE LVAD VEST SMALL,6451.0,6451.0,451.57,6451.0,57
HCPCS,Q0498,DEVICE VNTRC ASST HLSTR,7281.0,7281.0,393.61,8939.0,114
HCPCS,Q0498,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,616.76,1665.9,72
HCPCS,Q0498,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,667.63,667.63,6
HCPCS,Q0498,PACK PATIENT ACCESSORY,9716.0,9716.0,680.12,9716.0,65
HCPCS,Q0498,PACK SHOULDER PATIENT AC,10287.0,10287.0,720.09,10287.0,57
HCPCS,Q0498,PACK WAIST PATIENT ACCES,9716.0,9716.0,680.12,9716.0,57
HCPCS,Q0498,VEST HOLSTER MEDIUM,8939.0,8939.0,625.73,8939.0,57
HCPCS,Q0499,BAG EQUIP CONSOLIDATION,7361.0,7361.0,515.27,7361.0,57
HCPCS,Q0499,BAG TRANSPORT MEDIUM,7430.0,7430.0,520.1,7430.0,57
HCPCS,Q0499,BAG TRANSPORT SMALL,5308.0,5308.0,371.56,5308.0,57
HCPCS,Q0499,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,200.41,541.32,72
HCPCS,Q0499,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only Other Outpatient",,,216.94,216.94,6
HCPCS,Q0499,DEVICE LVAD BELT LARGE,5634.0,5634.0,394.38,5634.0,57
HCPCS,Q0499,DEVICE LVAD BELT SM/MED,5634.0,5634.0,394.38,5634.0,57
HCPCS,Q0499,KIT VAD WEAR ACCESSORY,5623.0,5623.0,393.61,5623.0,57
HCPCS,Q0499,VEST HOLSTER LG,8939.0,8939.0,625.73,8939.0,57
HCPCS,Q0500,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,36.67,99.04,72
HCPCS,Q0500,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,39.69,39.69,6
HCPCS,Q0501,BAG EQUIP SHOWER,10196.0,10196.0,713.72,10196.0,57
HCPCS,Q0501,BAG EQUIP SHOWER DISP,6858.0,6858.0,480.06,6858.0,57
HCPCS,Q0501,DEVICE VNTRC ASST GOGEAR,5623.0,5623.0,393.61,5623.0,57
HCPCS,Q0501,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,613.25,1656.42,72
HCPCS,Q0501,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,663.83,663.83,6
HCPCS,Q0502,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,780.69,2108.68,72
HCPCS,Q0502,"Mobility cart for pneumatic ventricular assist device, replacement only Other Outpatient",,,845.08,845.08,6
HCPCS,Q0503,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1561.48,4217.6,72
HCPCS,Q0503,"Battery for pneumatic ventricular assist device, replacement only, each Other Outpatient",,,1690.26,1690.26,6
HCPCS,Q0504,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,823.93,2225.45,72
HCPCS,Q0504,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type Other Outpatient",,,891.88,891.88,6
HCPCS,Q0506,BATTERY LI NS LF DISP,12428.0,12428.0,869.96,12428.0,57
HCPCS,Q0506,BATTERY REPL LVAD,11433.0,11433.0,800.31,11433.0,57
HCPCS,Q0506,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1025.62,2770.23,72
HCPCS,Q0506,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Other Outpatient",,,1110.21,1110.21,6
HCPCS,Q0508,CABLE MODULAR LVAD DVC,59400.0,59400.0,4158.0,59400.0,62
HCPCS,Q0515,"Injection, sermorelin acetate, 1 microgram ",,,2.21,15.39,21
HCPCS,Q0521,Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription ,,,71.5,139.1,6
HCPCS,Q2004,BLADDER CALC 500ML IRR,48.21,48.21,3.37,48.21,52
HCPCS,Q2004,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",48.21,48.21,23.69,471.75,21
HCPCS,Q2009,FOSPHEN PE 100 MG INJ,29.13,29.13,2.04,29.13,46
HCPCS,Q2009,FOSPHEN PE 50 MG INJ,14.56,14.56,1.02,14.56,46
HCPCS,Q2009,FOSPHEN PE 50 MG INJJW,14.56,14.56,1.02,14.56,46
HCPCS,Q2009,FOSPHEN PE 500 MG INJ,735.94,735.94,51.52,735.94,46
HCPCS,Q2009,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,23.86,27
HCPCS,Q2017,"Injection, teniposide, 50 mg ",,,15405.06,21772.28,6
HCPCS,Q2026,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,15
HCPCS,Q2028,"Injection, sculptra, 0.5 mg ",,,2.24,5.64,27
HCPCS,Q2034,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
HCPCS,Q2034,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) Other Outpatient",,,,,0
HCPCS,Q2035,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,101.68,27
HCPCS,Q2035,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) Other Outpatient",,,,,0
HCPCS,Q2036,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,25.84,73.29,12
HCPCS,Q2036,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) Other Outpatient",,,,,0
HCPCS,Q2037,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,149.83,27
HCPCS,Q2037,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) Other Outpatient",,,,,0
HCPCS,Q2038,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,36.29,102.37,27
HCPCS,Q2038,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) Other Outpatient",,,,,0
HCPCS,Q2039,"Influenza virus vaccine, not otherwise specified ",,,,,0
HCPCS,Q2039,"Influenza virus vaccine, not otherwise specified Other Outpatient",,,,,0
HCPCS,Q2041,AXICABTAGENE ADULT,9027728.5,9027728.5,631940.99,9027728.5,54
HCPCS,Q2041,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",9027728.5,9027728.5,515893.53,1966642.5,23
HCPCS,Q2042,TISAGENLECLEUCEL ADULT,8179728.5,8179728.5,572580.99,8179728.5,55
HCPCS,Q2042,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",8179728.5,8179728.5,595755.57,2132254.5,23
HCPCS,Q2043,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,54581.12,478449.94,29
HCPCS,Q2049,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,4348.09,27
HCPCS,Q2050,DOXORUB LIPOSOM 20MG INJ,16138.19,16138.19,1129.67,16138.19,41
HCPCS,Q2050,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",16138.19,16138.19,69.7,1858.64,29
HCPCS,Q2053,BREXUCABTAGENE,8285728.5,8285728.5,580000.99,8285728.5,55
HCPCS,Q2053,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",8285728.5,8285728.5,474612.27,2061869.4,23
HCPCS,Q2054,LISOCABTAGENE,9451728.5,9451728.5,661620.99,9451728.5,55
HCPCS,Q2054,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",9451728.5,9451728.5,545393.17,2268056.34,23
HCPCS,Q2055,IDECABTAGENE,5955080.0,5955080.0,416855.6,5955080.0,55
HCPCS,Q2055,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",5955080.0,5955080.0,542987.57,2318912.1,23
HCPCS,Q2056,CILTACABTAGENE 100 MIL,9875728.5,9875728.5,691300.99,9875728.5,55
HCPCS,Q2056,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",9875728.5,9875728.5,570840.15,2570427.0,23
HCPCS,Q2057,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,747501.4,4067128.8,23
HCPCS,Q2058,OBECABTAGENE INJ,5300000.0,5300000.0,371000.0,5300000.0,55
HCPCS,Q2058,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",5300000.0,5300000.0,459112.5,2937060.0,21
HCPCS,Q3001,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,15
HCPCS,Q3014,TELEH ORG SITE FAC FEE,111.8,111.8,7.83,111.8,142
HCPCS,Q3014,Telehealth originating site facility fee ,,,30.89,31.85,2
HCPCS,Q3027,INTERF BETA1A 30MCG IM,11838.45,11838.45,828.69,11838.45,46
HCPCS,Q3027,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",11838.45,11838.45,198.31,627.89,27
HCPCS,Q3028,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,52.27,363.12,27
HCPCS,Q4001,"Casting supplies, body cast adult, with or without head, plaster ",,,53.38,163.38,78
HCPCS,Q4001,"Casting supplies, body cast adult, with or without head, plaster Other Outpatient",,,65.48,65.48,6
HCPCS,Q4002,"Cast supplies, body cast adult, with or without head, fiberglass ",,,201.69,617.38,78
HCPCS,Q4002,"Cast supplies, body cast adult, with or without head, fiberglass Other Outpatient",,,247.42,247.42,6
HCPCS,Q4003,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,38.33,117.32,78
HCPCS,Q4003,"Cast supplies, shoulder cast, adult (11 years +), plaster Other Outpatient",,,47.02,47.02,6
HCPCS,Q4004,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,132.7,406.18,78
HCPCS,Q4004,"Cast supplies, shoulder cast, adult (11 years +), fiberglass Other Outpatient",,,162.78,162.78,6
HCPCS,Q4005,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,14.13,43.26,78
HCPCS,Q4005,"Cast supplies, long arm cast, adult (11 years +), plaster Other Outpatient",,,17.34,17.34,6
HCPCS,Q4006,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,31.85,97.46,78
HCPCS,Q4006,"Cast supplies, long arm cast, adult (11 years +), fiberglass Other Outpatient",,,39.06,39.06,6
HCPCS,Q4007,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,7.07,21.62,78
HCPCS,Q4007,"Cast supplies, long arm cast, pediatric (0-10 years), plaster Other Outpatient",,,8.66,8.66,6
HCPCS,Q4008,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,15.92,48.71,78
HCPCS,Q4008,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass Other Outpatient",,,19.52,19.52,6
HCPCS,Q4009,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,9.44,28.9,78
HCPCS,Q4009,"Cast supplies, short arm cast, adult (11 years +), plaster Other Outpatient",,,11.58,11.58,6
HCPCS,Q4010,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,21.23,64.98,78
HCPCS,Q4010,"Cast supplies, short arm cast, adult (11 years +), fiberglass Other Outpatient",,,26.04,26.04,6
HCPCS,Q4011,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,4.7,14.41,78
HCPCS,Q4011,"Cast supplies, short arm cast, pediatric (0-10 years), plaster Other Outpatient",,,5.78,5.78,6
HCPCS,Q4012,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,10.64,32.57,78
HCPCS,Q4012,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass Other Outpatient",,,13.05,13.05,6
HCPCS,Q4013,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,17.18,52.58,78
HCPCS,Q4013,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster Other Outpatient",,,21.07,21.07,6
HCPCS,Q4014,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,28.96,88.66,78
HCPCS,Q4014,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass Other Outpatient",,,35.53,35.53,6
HCPCS,Q4015,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,8.6,26.33,78
HCPCS,Q4015,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster Other Outpatient",,,10.55,10.55,6
HCPCS,Q4016,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,14.48,44.3,78
HCPCS,Q4016,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass Other Outpatient",,,17.76,17.76,6
HCPCS,Q4017,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,9.92,30.39,78
HCPCS,Q4017,"Cast supplies, long arm splint, adult (11 years +), plaster Other Outpatient",,,12.18,12.18,6
HCPCS,Q4018,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,15.82,48.42,78
HCPCS,Q4018,"Cast supplies, long arm splint, adult (11 years +), fiberglass Other Outpatient",,,19.4,19.4,6
HCPCS,Q4019,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,4.98,15.2,78
HCPCS,Q4019,"Cast supplies, long arm splint, pediatric (0-10 years), plaster Other Outpatient",,,6.09,6.09,6
HCPCS,Q4020,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,7.94,24.31,78
HCPCS,Q4020,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass Other Outpatient",,,9.74,9.74,6
HCPCS,Q4021,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,7.35,22.51,78
HCPCS,Q4021,"Cast supplies, short arm splint, adult (11 years +), plaster Other Outpatient",,,9.02,9.02,6
HCPCS,Q4022,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,13.25,40.61,78
HCPCS,Q4022,"Cast supplies, short arm splint, adult (11 years +), fiberglass Other Outpatient",,,16.28,16.28,6
HCPCS,Q4023,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,3.7,11.29,78
HCPCS,Q4023,"Cast supplies, short arm splint, pediatric (0-10 years), plaster Other Outpatient",,,4.53,4.53,6
HCPCS,Q4024,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,6.65,20.33,78
HCPCS,Q4024,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass Other Outpatient",,,8.15,8.15,6
HCPCS,Q4025,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,41.19,126.07,78
HCPCS,Q4025,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster Other Outpatient",,,50.53,50.53,6
HCPCS,Q4026,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,128.66,393.84,78
HCPCS,Q4026,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass Other Outpatient",,,157.84,157.84,6
HCPCS,Q4027,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,20.62,63.09,78
HCPCS,Q4027,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster Other Outpatient",,,25.28,25.28,6
HCPCS,Q4028,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,64.38,197.02,78
HCPCS,Q4028,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass Other Outpatient",,,78.96,78.96,6
HCPCS,Q4029,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,31.52,96.47,78
HCPCS,Q4029,"Cast supplies, long leg cast, adult (11 years +), plaster Other Outpatient",,,38.66,38.66,6
HCPCS,Q4030,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,82.95,253.93,78
HCPCS,Q4030,"Cast supplies, long leg cast, adult (11 years +), fiberglass Other Outpatient",,,101.77,101.77,6
HCPCS,Q4031,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,15.74,48.18,78
HCPCS,Q4031,"Cast supplies, long leg cast, pediatric (0-10 years), plaster Other Outpatient",,,19.31,19.31,6
HCPCS,Q4032,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,41.48,126.97,78
HCPCS,Q4032,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass Other Outpatient",,,50.88,50.88,6
HCPCS,Q4033,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,29.4,90.0,78
HCPCS,Q4033,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster Other Outpatient",,,36.07,36.07,6
HCPCS,Q4034,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,73.09,223.72,78
HCPCS,Q4034,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass Other Outpatient",,,89.66,89.66,6
HCPCS,Q4035,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,14.69,44.99,78
HCPCS,Q4035,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster Other Outpatient",,,18.03,18.03,6
HCPCS,Q4036,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,36.57,111.95,78
HCPCS,Q4036,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass Other Outpatient",,,44.87,44.87,6
HCPCS,Q4037,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,17.91,54.81,78
HCPCS,Q4037,"Cast supplies, short leg cast, adult (11 years +), plaster Other Outpatient",,,21.97,21.97,6
HCPCS,Q4038,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,44.91,137.5,78
HCPCS,Q4038,"Cast supplies, short leg cast, adult (11 years +), fiberglass Other Outpatient",,,55.1,55.1,6
HCPCS,Q4039,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,8.99,27.51,78
HCPCS,Q4039,"Cast supplies, short leg cast, pediatric (0-10 years), plaster Other Outpatient",,,11.03,11.03,6
HCPCS,Q4040,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,22.46,68.72,78
HCPCS,Q4040,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass Other Outpatient",,,27.54,27.54,6
HCPCS,Q4041,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,21.81,66.76,78
HCPCS,Q4041,"Cast supplies, long leg splint, adult (11 years +), plaster Other Outpatient",,,26.75,26.75,6
HCPCS,Q4042,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,37.22,113.94,78
HCPCS,Q4042,"Cast supplies, long leg splint, adult (11 years +), fiberglass Other Outpatient",,,45.66,45.66,6
HCPCS,Q4043,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,10.91,33.38,78
HCPCS,Q4043,"Cast supplies, long leg splint, pediatric (0-10 years), plaster Other Outpatient",,,13.38,13.38,6
HCPCS,Q4044,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,18.63,57.06,78
HCPCS,Q4044,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass Other Outpatient",,,22.87,22.87,6
HCPCS,Q4045,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,12.66,38.75,78
HCPCS,Q4045,"Cast supplies, short leg splint, adult (11 years +), plaster Other Outpatient",,,15.53,15.53,6
HCPCS,Q4046,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,20.35,62.33,78
HCPCS,Q4046,"Cast supplies, short leg splint, adult (11 years +), fiberglass Other Outpatient",,,24.98,24.98,6
HCPCS,Q4047,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,6.3,19.28,78
HCPCS,Q4047,"Cast supplies, short leg splint, pediatric (0-10 years), plaster Other Outpatient",,,7.73,7.73,6
HCPCS,Q4048,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,10.19,31.18,78
HCPCS,Q4048,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass Other Outpatient",,,12.5,12.5,6
HCPCS,Q4049,"Finger splint, static ",,,2.3,7.02,78
HCPCS,Q4049,"Finger splint, static Other Outpatient",,,2.81,2.81,6
HCPCS,Q4074,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,1359.08,27
HCPCS,Q4081,EPOETIN ALFA 100 U ESRD,478.17,478.17,33.47,478.17,54
HCPCS,Q4081,EPOETN ALFA 10000 U ESRD,3051.26,3051.26,213.59,3051.26,54
HCPCS,Q4081,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,0.71,8.88,29
HCPCS,Q4082,"Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap) ",,,,,0
HCPCS,Q4101,APLIGRAF 1SQCM,523.0,523.0,36.61,523.0,47
HCPCS,Q4101,APLIGRAF SKIN SUB 1 SQCM,361.55,361.55,25.31,361.55,47
HCPCS,Q4101,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,117.92,259.13,27
HCPCS,Q4102,OASIS WND MATRX 1SQCM JW,118.43,118.43,8.29,118.43,47
HCPCS,Q4102,OASIS WND MTRX 1SQCM JW,118.43,118.43,8.29,118.43,47
HCPCS,Q4102,OASIS WOUND MATRIX 1SQCM,189.5,189.5,12.95,194.0,94
HCPCS,Q4102,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,40.43,209.78,27
HCPCS,Q4103,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,5.31,209.78,27
HCPCS,Q4104,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,138.76,459.76,27
HCPCS,Q4105,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,157.87,257.85,27
HCPCS,Q4106,"Dermagraft, per square centimeter ",,,271.93,384.33,6
HCPCS,Q4107,GRAFTJACKET 1SQCM,2151.0,2151.0,130.9,2432.0,94
HCPCS,Q4107,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,735.13,27
HCPCS,Q4108,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,134.48,420.07,27
HCPCS,Q4110,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,182.99,559.39,27
HCPCS,Q4111,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,26.74,209.78,27
HCPCS,Q4112,"Cymetra, injectable, 1 cc ",,,780.94,7458.03,12
HCPCS,Q4113,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,6524.15,27
HCPCS,Q4114,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,13189.24,27
HCPCS,Q4115,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,51.85,209.78,27
HCPCS,Q4116,ALLODERM 1 SQ CM,239.22,239.22,16.75,239.22,47
HCPCS,Q4116,ALLODERM 1 SQ CM 48 XTHK,16132.7,16132.7,1129.29,16132.7,47
HCPCS,Q4116,ALLODERM 1 SQ CM 72 XTHK,25216.68,25216.68,1765.17,25216.68,47
HCPCS,Q4116,ALLODERM 1 SQ CM 8 SQCM,2174.08,2174.08,152.19,2174.08,47
HCPCS,Q4116,ALLODERM 1 SQ CM 8 THN,2174.08,2174.08,152.19,2174.08,47
HCPCS,Q4116,ALLODERM 1 SQ CM 96 THK,35344.16,35344.16,2474.09,35344.16,47
HCPCS,Q4116,ALLODERM 1 SQCM 50SQCM,15517.75,15517.75,1086.24,15517.75,47
HCPCS,Q4116,ALLODERM 1SQCM,778.0,778.0,28.28,1813.0,282
HCPCS,Q4116,ALLODERM 982128,46091.0,46091.0,5070.01,46091.0,45
HCPCS,Q4116,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,51.33,266.05,27
HCPCS,Q4117,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,65.86,209.78,27
HCPCS,Q4118,MATRISTEM MICROMATRX 1MG,40.5,40.5,2.73,42.0,94
HCPCS,Q4118,"Matristem micromatrix, 1 mg ",,,11.01,21.89,27
HCPCS,Q4121,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,157.7,417.77,27
HCPCS,Q4122,DERMACELL AWM PORO 1SQCM,759.0,759.0,52.78,768.0,159
HCPCS,Q4122,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,879.57,21
HCPCS,Q4123,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,611.9,21
HCPCS,Q4124,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,15.01,209.78,21
HCPCS,Q4125,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4126,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,511.5,21
HCPCS,Q4127,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,585.73,21
HCPCS,Q4128,FLEX ALLOPATCH HD 1SQCM,530.5,530.5,29.96,1314.0,954
HCPCS,Q4128,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,185.77,262.55,21
HCPCS,Q4130,STRATTICE TM 1SQCM,691.0,691.0,76.01,691.0,57
HCPCS,Q4130,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4131,NO COST EPIFIX,1.0,1.0,0.11,1.0,57
HCPCS,Q4132,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,762.67,21
HCPCS,Q4133,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1164.61,21
HCPCS,Q4134,HMATRIX 1SQCM,1714.0,1714.0,119.98,1714.0,53
HCPCS,Q4134,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1714.0,1714.0,209.78,1386.11,21
HCPCS,Q4135,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4136,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4137,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,861.36,21
HCPCS,Q4138,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,858.62,21
HCPCS,Q4140,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1409.71,21
HCPCS,Q4141,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,553.74,21
HCPCS,Q4142,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4143,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,205.25,290.08,21
HCPCS,Q4145,"Epifix, injectable, 1 mg ",,,31.96,166.59,27
HCPCS,Q4146,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4147,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,415.29,21
HCPCS,Q4148,NEOX CLARIX CORD 1SQCM,1973.0,1973.0,129.99,2089.0,106
HCPCS,Q4148,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1078.07,21
HCPCS,Q4149,"Excellagen, 0.1 cc ",,,103.5,1264.84,27
HCPCS,Q4150,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,725.72,21
HCPCS,Q4151,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1173.25,21
HCPCS,Q4152,DERMAPURE 1SQCM,677.0,677.0,40.88,2050.0,265
HCPCS,Q4152,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,388.35,21
HCPCS,Q4153,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,928.75,21
HCPCS,Q4154,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1221.74,21
HCPCS,Q4155,"Neoxflo or clarixflo, 1 mg ",,,56.27,233.56,21
HCPCS,Q4156,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,567.43,21
HCPCS,Q4157,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1523.37,21
HCPCS,Q4158,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,567.17,21
HCPCS,Q4159,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,2011.17,21
HCPCS,Q4160,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,4532.56,21
HCPCS,Q4161,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,14143.47,21
HCPCS,Q4162,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,15992.24,21
HCPCS,Q4163,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1558.0,21
HCPCS,Q4164,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,14033.23,21
HCPCS,Q4165,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,386.98,21
HCPCS,Q4166,CYTAL 1SQCM,481.0,481.0,14.98,799.0,477
HCPCS,Q4166,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,126.16,209.78,21
HCPCS,Q4167,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,879.15,21
HCPCS,Q4168,"Amnioband, 1 mg ",,,103.17,145.81,6
HCPCS,Q4169,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,18990.31,21
HCPCS,Q4170,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1213.84,27
HCPCS,Q4171,"Interfyl, 1 mg ",,,64.2,90.74,21
HCPCS,Q4173,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,3049.22,21
HCPCS,Q4174,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,10860.18,27
HCPCS,Q4175,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,579.14,21
HCPCS,Q4176,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1381.15,21
HCPCS,Q4177,"Floweramnioflo, 0.1 cc ",,,297.0,1308.46,27
HCPCS,Q4178,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,796.28,21
HCPCS,Q4179,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4180,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,9322.28,21
HCPCS,Q4181,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4182,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,343.11,21
HCPCS,Q4183,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,726.92,27
HCPCS,Q4184,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,684.5,27
HCPCS,Q4185,Cellesta flowable amnion (25 mg per cc); per 0.5 cc ,,,68.69,110.5,6
HCPCS,Q4186,EPIFIX 1SQCM,3328.0,3328.0,232.96,3328.0,47
HCPCS,Q4186,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",3328.0,3328.0,209.78,1285.62,27
HCPCS,Q4187,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,2068.47,27
HCPCS,Q4188,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,4169.87,27
HCPCS,Q4189,"Artacent ac, 1 mg ",,,71.66,181.9,12
HCPCS,Q4190,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1106.8,27
HCPCS,Q4191,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,6246.64,27
HCPCS,Q4192,"Restorigin, 1 cc ",,,24.7,39.74,6
HCPCS,Q4193,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,14651.12,27
HCPCS,Q4194,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,6138.45,27
HCPCS,Q4195,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,141.12,922.93,27
HCPCS,Q4196,PURAPLY AM 1SQCM,1872.0,1872.0,126.35,3760.0,188
HCPCS,Q4196,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,141.12,842.71,27
HCPCS,Q4197,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,141.12,607.53,27
HCPCS,Q4198,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4199,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,1113.98,27
HCPCS,Q4200,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4201,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,677.57,27
HCPCS,Q4202,"Keroxx (2.5g/cc), 1cc ",,,35.29,56.78,6
HCPCS,Q4203,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,7451.96,27
HCPCS,Q4204,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,32281.83,27
HCPCS,Q4205,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,10180.64,27
HCPCS,Q4206,"Fluid flow or fluid gf, 1 cc ",,,35.29,56.78,6
HCPCS,Q4208,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,3489.22,27
HCPCS,Q4209,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4211,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,209.78,21
HCPCS,Q4212,"Allogen, per cc ",,,35.29,56.78,6
HCPCS,Q4213,"Ascent, 0.5 mg ",,,113.75,501.15,27
HCPCS,Q4214,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,345.69,21
HCPCS,Q4216,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,345.69,21
HCPCS,Q4217,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,2719.54,27
HCPCS,Q4218,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1090.38,27
HCPCS,Q4219,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,8723.04,27
HCPCS,Q4220,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,209.78,21
HCPCS,Q4221,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,16770.47,27
HCPCS,Q4222,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,1090.81,27
HCPCS,Q4224,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.98,23
HCPCS,Q4225,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,11722.48,27
HCPCS,Q4226,"Myown skin, includes harvesting and preparation procedures, per square centimeter ",,,10.74,10467.65,12
HCPCS,Q4227,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,9966.42,27
HCPCS,Q4229,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,2824.81,27
HCPCS,Q4230,"Cogenex flowable amnion, per 0.5 cc ",,,24.7,39.74,6
HCPCS,Q4232,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1112.7,27
HCPCS,Q4233,"Surfactor or nudyn, per 0.5 cc ",,,24.7,39.74,6
HCPCS,Q4234,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,1666.19,27
HCPCS,Q4235,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,688.26,27
HCPCS,Q4236,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,4136.17,27
HCPCS,Q4237,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,3630.07,27
HCPCS,Q4238,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,14752.54,27
HCPCS,Q4239,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,17433.25,27
HCPCS,Q4240,"Corecyte, for topical use only, per 0.5 cc ",,,869.81,1399.27,6
HCPCS,Q4241,"Polycyte, for topical use only, per 0.5 cc ",,,869.81,1399.27,6
HCPCS,Q4242,"Amniocyte plus, per 0.5 cc ",,,24.7,39.74,6
HCPCS,Q4245,"Amniotext, per cc ",,,24.7,39.74,6
HCPCS,Q4246,"Coretext or protext, per cc ",,,869.81,35110.24,27
HCPCS,Q4247,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,26750.66,27
HCPCS,Q4248,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,24155.12,27
HCPCS,Q4249,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,15304.23,27
HCPCS,Q4250,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,24815.0,27
HCPCS,Q4251,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,1308.46,27
HCPCS,Q4252,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,453.26,27
HCPCS,Q4253,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,711.36,27
HCPCS,Q4254,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,3489.22,27
HCPCS,Q4255,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,209.78,21
HCPCS,Q4256,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,6954.57,27
HCPCS,Q4257,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,5581.55,27
HCPCS,Q4258,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,704.77,27
HCPCS,Q4259,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,8051.37,27
HCPCS,Q4260,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4261,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,5261.7,27
HCPCS,Q4262,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,537.49,27
HCPCS,Q4263,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,14649.58,27
HCPCS,Q4264,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,3188.96,27
HCPCS,Q4265,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,14572.86,27
HCPCS,Q4266,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,4793.99,27
HCPCS,Q4267,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,2480.25,27
HCPCS,Q4268,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,10631.25,27
HCPCS,Q4269,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,19626.84,27
HCPCS,Q4270,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,28827.08,27
HCPCS,Q4271,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,10352.02,27
HCPCS,Q4272,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,2544.22,27
HCPCS,Q4273,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4274,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,15670.0,27
HCPCS,Q4275,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,22880.7,27
HCPCS,Q4276,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,2234.3,27
HCPCS,Q4278,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,2267.22,27
HCPCS,Q4279,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,20396.52,27
HCPCS,Q4280,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,24739.65,27
HCPCS,Q4281,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,4652.72,27
HCPCS,Q4282,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,2879.97,27
HCPCS,Q4283,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,3911.0,27
HCPCS,Q4284,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4285,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,1455.29,27
HCPCS,Q4286,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,1555.95,27
HCPCS,Q4287,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4288,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4289,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,12555.28,27
HCPCS,Q4290,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,15947.0,27
HCPCS,Q4291,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,25384.05,27
HCPCS,Q4292,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,10467.65,27
HCPCS,Q4293,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,13552.35,27
HCPCS,Q4294,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,24929.08,27
HCPCS,Q4295,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,21937.59,27
HCPCS,Q4296,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,27
HCPCS,Q4297,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,27
HCPCS,Q4298,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,19012.55,27
HCPCS,Q4299,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,24430.5,27
HCPCS,Q4300,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,18084.91,27
HCPCS,Q4301,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,15447.82,27
HCPCS,Q4302,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,10874.72,27
HCPCS,Q4303,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,28803.14,27
HCPCS,Q4304,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,5248.19,27
HCPCS,Q4305,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,21
HCPCS,Q4306,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,21
HCPCS,Q4307,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,21
HCPCS,Q4308,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,21
HCPCS,Q4309,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,27
HCPCS,Q4310,"Procenta, per 100 mg ",,,7971.35,21065.51,27
HCPCS,Q4311,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,18173.0,27
HCPCS,Q4312,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,18899.92,27
HCPCS,Q4313,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,30108.94,27
HCPCS,Q4314,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,15992.24,27
HCPCS,Q4315,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.74,209.78,21
HCPCS,Q4316,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,37765.38,27
HCPCS,Q4317,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4318,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4319,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,18173.0,27
HCPCS,Q4320,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,6542.28,27
HCPCS,Q4321,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,26169.12,27
HCPCS,Q4322,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,27
HCPCS,Q4323,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,13465.47,27
HCPCS,Q4324,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,14393.02,27
HCPCS,Q4325,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,17496.19,27
HCPCS,Q4326,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,9261.39,27
HCPCS,Q4327,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4328,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,31414.15,27
HCPCS,Q4329,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4330,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.1,209.78,21
HCPCS,Q4331,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,14004.33,27
HCPCS,Q4332,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,14397.04,27
HCPCS,Q4333,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,6542.28,27
HCPCS,Q4334,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4335,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4336,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,318.94,21
HCPCS,Q4337,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4338,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4339,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,17577.27,27
HCPCS,Q4340,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,18754.54,27
HCPCS,Q4341,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,26265.59,27
HCPCS,Q4342,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,18191.04,27
HCPCS,Q4343,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,25246.36,27
HCPCS,Q4344,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,23000.43,27
HCPCS,Q4345,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,21807.6,27
HCPCS,Q4346,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,30530.64,27
HCPCS,Q4347,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,21444.14,27
HCPCS,Q4348,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,17009.93,27
HCPCS,Q4349,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,30530.64,27
HCPCS,Q4350,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,30530.64,27
HCPCS,Q4351,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,32711.4,27
HCPCS,Q4352,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,17009.93,27
HCPCS,Q4353,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,33147.55,27
HCPCS,Q4354,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,8.59,8897.5,27
HCPCS,Q4355,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,170.64,26169.12,27
HCPCS,Q4356,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,170.64,21807.6,27
HCPCS,Q4357,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,40793.04,27
HCPCS,Q4358,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,49721.33,27
HCPCS,Q4359,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,22871.81,27
HCPCS,Q4360,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4361,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,13597.68,27
HCPCS,Q4362,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,8.59,209.78,21
HCPCS,Q4363,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,8.59,209.78,21
HCPCS,Q4364,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,8.59,26936.75,27
HCPCS,Q4365,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4366,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4367,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,4532.56,27
HCPCS,Q4368,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,8.59,209.78,21
HCPCS,Q4369,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4370,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,8.59,209.78,21
HCPCS,Q4371,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,170.64,256.77,21
HCPCS,Q4372,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4373,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,31333.16,27
HCPCS,Q4375,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4376,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4377,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,21
HCPCS,Q4378,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,33583.7,27
HCPCS,Q4379,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,24860.66,27
HCPCS,Q4380,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,2695.88,21
HCPCS,Q4382,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,2695.88,21
HCPCS,Q4383,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,2695.88,21
HCPCS,Q4384,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,2695.88,21
HCPCS,Q4385,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4386,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4387,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4388,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4389,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4390,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,15641.84,21
HCPCS,Q4391,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4392,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,339.0,21
HCPCS,Q4393,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4394,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4395,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,6.02,209.78,21
HCPCS,Q4396,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,4459.39,21
HCPCS,Q4397,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,7.52,209.78,21
HCPCS,Q4398,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4399,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4400,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4401,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4402,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4403,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4404,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4405,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4406,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4407,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4408,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4409,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4410,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4411,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4412,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4413,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4414,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4415,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4416,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4417,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4418,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4419,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4420,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.5,209.78,21
HCPCS,Q4421,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4422,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4423,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4424,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4425,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4426,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4427,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4428,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4429,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4431,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,10.74,209.78,21
HCPCS,Q4432,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,10.74,209.78,21
HCPCS,Q4432,510K SKN SUB NOS 1SQCM,632.0,632.0,2.66,997.0,689
HCPCS,Q4433,361 HCT P SKN NOS,27238.5,27238.5,1430.17,34046.0,106
HCPCS,Q4433,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,10.74,209.78,21
HCPCS,Q4433,GRAFT SKIN 2:1 1050 SQCM,37631.0,37631.0,2634.17,37631.0,53
HCPCS,Q4435,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4436,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4437,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4438,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4439,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q4440,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,15
HCPCS,Q5098,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,39.71,104.33,27
HCPCS,Q5099,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.98,20.35,29
HCPCS,Q5100,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.11,26.85,29
HCPCS,Q5101,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.34,5.0,29
HCPCS,Q5103,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,25.26,497.45,29
HCPCS,Q5104,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",7119.53,7119.53,26.0,396.05,29
HCPCS,Q5104,RENFLEXIS BS 100 MG INJ,7119.53,7119.53,498.37,7119.53,42
HCPCS,Q5105,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",965.12,965.12,0.77,6.5,29
HCPCS,Q5105,RETACRIT BS 10000U ESRD,965.12,965.12,67.56,965.12,47
HCPCS,Q5106,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,7.64,64.74,29
HCPCS,Q5106,RETACRIT BS 10000U NESRD,631.36,631.36,44.2,631.36,42
HCPCS,Q5106,RETACRIT BS 1000U NESRD,63.11,63.11,4.42,63.11,42
HCPCS,Q5106,RETACRIT BS 2000U NESRD,126.27,126.27,8.84,126.27,42
HCPCS,Q5106,RETACRIT BS 40000U NESRD,2525.43,2525.43,176.78,2525.43,42
HCPCS,Q5106,RETACRIT BS 4000U NESRD,252.52,252.52,17.68,252.52,42
HCPCS,Q5106,RETACRIT BS1000U NESRDJW,63.11,63.11,4.42,63.11,42
HCPCS,Q5107,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,23.03,387.22,29
HCPCS,Q5108,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,77.11,1859.47,29
HCPCS,Q5110,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.27,4.0,29
HCPCS,Q5111,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,131.81,1930.96,29
HCPCS,Q5112,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,28.92,571.87,29
HCPCS,Q5113,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,54.34,662.69,29
HCPCS,Q5114,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",662.48,662.48,34.71,503.22,29
HCPCS,Q5114,OGIVRI BS 10 MG INJ,662.48,662.48,46.37,662.48,42
HCPCS,Q5115,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",1141.76,1141.76,30.34,483.35,29
HCPCS,Q5115,TRUXIMA BS 10 MG INJ,1141.76,1141.76,79.92,1141.76,42
HCPCS,Q5116,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,10.12,571.87,29
HCPCS,Q5117,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,54.69,503.0,29
HCPCS,Q5118,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,25.07,350.65,29
HCPCS,Q5118,ZIRABEV BS 10 MG INJ,372.13,372.13,26.05,372.13,42
HCPCS,Q5118,ZIRABEV BS 10 MG INJJW,372.13,372.13,26.05,372.13,42
HCPCS,Q5118,ZIRABEV BS 100 MG INJ,3721.77,3721.77,260.52,3721.77,42
HCPCS,Q5119,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,13.28,456.15,29
HCPCS,Q5119,RUXIENCE BS 10 MG INJ,434.89,434.89,30.44,434.89,42
HCPCS,Q5119,RUXIENCE BS 10 MG INJJW,434.89,434.89,30.44,434.89,42
HCPCS,Q5119,RUXIENCE BS 100 MG INJ,4349.14,4349.14,304.44,4349.14,42
HCPCS,Q5119,RUXIENCE BS 500 MG INJ,21745.71,21745.71,1522.2,21745.71,42
HCPCS,Q5120,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,116.05,1960.26,29
HCPCS,Q5121,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,27.2,276.39,29
HCPCS,Q5122,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,129.31,1930.96,29
HCPCS,Q5123,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,19.65,456.15,29
HCPCS,Q5124,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,68.77,531.51,29
HCPCS,Q5125,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.31,4.22,29
HCPCS,Q5126,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,50.04,397.21,29
HCPCS,Q5127,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,153.51,1959.35,29
HCPCS,Q5128,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,80.98,1503.55,29
HCPCS,Q5129,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,33.61,374.46,29
HCPCS,Q5130,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,108.77,1276.04,29
HCPCS,Q5133,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,5.1,49.52,29
HCPCS,Q5133,TOFIDENCE BS 1 MG INJ,31.77,31.77,2.22,31.77,42
HCPCS,Q5133,TOFIDENCE BS 1 MG INJ JW,31.77,31.77,2.22,31.77,42
HCPCS,Q5133,TOFIDENCE BS 200 MG INJ,6353.64,6353.64,444.75,6353.64,42
HCPCS,Q5134,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,23.59,149.63,23
HCPCS,Q5135,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.31,40.11,29
HCPCS,Q5135,TYENNE BS 1 MG INJ,28.01,28.01,1.96,28.01,42
HCPCS,Q5135,TYENNE BS 1 MG INJ JW,28.01,28.01,1.96,28.01,42
HCPCS,Q5135,TYENNE BS 200 MG INJ,5604.94,5604.94,392.35,5604.94,42
HCPCS,Q5136,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,27.07,233.21,29
HCPCS,Q5137,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,977.13,27
HCPCS,Q5138,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,4.4,977.13,29
HCPCS,Q5140,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,4235.76,21
HCPCS,Q5141,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,3158.56,21
HCPCS,Q5142,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,113.14,27
HCPCS,Q5143,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,483.63,21
HCPCS,Q5144,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,78.14,196.01,12
HCPCS,Q5145,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,2662.39,21
HCPCS,Q5146,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,36.73,651.49,29
HCPCS,Q5147,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,796.76,7432.37,29
HCPCS,Q5148,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.0,4.53,29
HCPCS,Q5149,"Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg ",,,3259.04,5242.81,6
HCPCS,Q5150,"Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg ",,,3259.04,5242.81,6
HCPCS,Q5151,EPYSQLI BS 300 MG INJ,26135.78,26135.78,1829.5,26135.78,42
HCPCS,Q5151,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",26135.78,26135.78,30.97,265.54,29
HCPCS,Q5152,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,40.54,341.4,29
HCPCS,Q5153,"Injection, aflibercept-yszy (opuviz), biosimilar, 1 mg ",,,3056.56,4917.08,6
HCPCS,Q5154,"Injection, omalizumab-igec (omlyclo), biosimilar, 5 mg ",,,203.24,326.95,6
HCPCS,Q5155,"Injection, aflibercept-jbvf (yesafili), biosimilar, 1 mg ",,,1189.32,1913.25,6
HCPCS,Q5156,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,4.5,24.14,23
HCPCS,Q5157,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,25.42,159.45,23
HCPCS,Q5158,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,28.91,162.78,23
HCPCS,Q5159,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,178.04,21
HCPCS,Q5160,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,445.33,21
HCPCS,Q5161,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,15
HCPCS,Q5162,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,15.36,26.14,17
HCPCS,Q9950,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,17.58,160.95,29
HCPCS,Q9953,"Injection, iron-based magnetic resonance contrast agent, per ml ",,,375.46,530.65,6
HCPCS,Q9954,"Oral magnetic resonance contrast agent, per 100 ml ",,,35.98,57.89,6
HCPCS,Q9955,"Injection, perflexane lipid microspheres, per ml ",,,80.18,113.31,6
HCPCS,Q9956,"Injection, octafluoropropane microspheres, per ml ",,,38.76,352.34,29
HCPCS,Q9957,"Injection, perflutren lipid microspheres, per ml ",4835.08,4835.08,38.76,529.14,29
HCPCS,Q9957,PERFLUT LPDMCS 1.5ML INJ,4835.08,4835.08,338.46,4835.08,46
HCPCS,Q9958,CYSTOGRAFIN 30% 300 ML,2984.67,2984.67,208.93,2984.67,46
HCPCS,Q9958,CYSTOGRAFIN-D 18% 300 ML,174.78,174.78,12.23,174.78,46
HCPCS,Q9958,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.08,0.6,29
HCPCS,Q9959,"High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml ",,,,,0
HCPCS,Q9960,"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml ",,,0.41,2.39,12
HCPCS,Q9961,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.25,2.48,29
HCPCS,Q9962,"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml ",,,1.09,1.54,6
HCPCS,Q9963,GASTROGRAFIN 37% 120 ML,338.63,338.63,23.7,338.63,46
HCPCS,Q9963,GASTROGRAFIN 37% 30 ML,111.38,111.38,7.8,111.38,46
HCPCS,Q9963,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.21,1.88,29
HCPCS,Q9964,"High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml ",,,1.1,2.48,12
HCPCS,Q9965,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.13,15.39,29
HCPCS,Q9966,ISOVUE 250 100 ML INJ,216.05,216.05,15.12,216.05,47
HCPCS,Q9966,ISOVUE-M 200 10 ML INJ,279.14,279.14,19.54,279.14,47
HCPCS,Q9966,LOCM 200-299 IC 10ML,432.09000000000003,432.09000000000003,29.09,448.6,94
HCPCS,Q9966,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.42,3.85,29
HCPCS,Q9966,OMNIPAQUE 240 50 ML,211.55,211.55,14.81,211.55,47
HCPCS,Q9967,ISOVUE 300 100 ML INJ,197.87,197.87,13.85,197.87,47
HCPCS,Q9967,ISOVUE 300 50 ML INJ,101.21,101.21,7.08,101.21,47
HCPCS,Q9967,ISOVUE 370 100 ML INJ,219.56,219.56,15.37,219.56,47
HCPCS,Q9967,ISOVUE-M 300 15 ML INJ,370.94,370.94,25.97,370.94,47
HCPCS,Q9967,LOCM 300-399 IC 100ML,2092.09,2092.09,146.45,2092.09,47
HCPCS,Q9967,LOCM 300-399 IC 125ML,2463.43,2463.43,172.44,2463.43,47
HCPCS,Q9967,LOCM 300-399 IC 150ML,2887.9,2887.9,202.15,2887.9,47
HCPCS,Q9967,LOCM 300-399 IC 15ML,552.25,552.25,38.66,552.25,47
HCPCS,Q9967,LOCM 300-399 IC 50ML,627.615,627.615,20.03,969.03,94
HCPCS,Q9967,LOCM 300-399 IC 75ML,1497.53,1497.53,104.83,1497.53,47
HCPCS,Q9967,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.15,1.78,29
HCPCS,Q9967,OMNIPAQUE 300 50 ML,249.62,249.62,17.47,249.62,47
HCPCS,Q9968,INDOCYANINE-GN 25 MG INJ,1214.82,1214.82,85.04,1214.82,42
HCPCS,Q9968,ISOSULFAN BLUE 50 MG INJ,7018.05,7018.05,491.26,7018.05,42
HCPCS,Q9968,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,4.0,23.52,27
HCPCS,Q9968,PROVAYBLUE 1 MG INJ,33.51,33.51,2.35,33.51,42
HCPCS,Q9968,PROVAYBLUE 50 MG INJ,1674.93,1674.93,117.25,1674.93,42
HCPCS,Q9975,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,,,0
HCPCS,Q9982,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,27913.73,27
HCPCS,Q9983,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,29658.34,27
HCPCS,Q9991,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,1936.66,16903.46,29
HCPCS,Q9992,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,1936.66,16903.46,29
HCPCS,Q9996,"Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg ",,,284.58,1242.2,12
HCPCS,Q9997,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,4.39,101.18,29
HCPCS,Q9998,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,10.81,101.18,29
HCPCS,Q9999,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,12.89,113.14,29
HCPCS,R0070,"Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen ",,,108.13,353.61,10
HCPCS,R0075,"Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen ",,,46.42,548.6,10
HCPCS,R0076,"Transportation of portable ekg to facility or location, per patient ",,,71.28,90.11,4
HCPCS,S0012,BUTORPHANOL SPRAY 25 MG,1898.18,1898.18,132.87,1898.18,46
HCPCS,S0012,"Butorphanol tartrate, nasal spray, 25 mg ",1898.18,1898.18,143.55,528.94,12
HCPCS,S0013,"Esketamine, nasal spray, 1 mg ",,,91.98,129.99,6
HCPCS,S0014,"Tacrine hydrochloride, 10 mg ",,,8.35,21.21,12
HCPCS,S0017,"Injection, aminocaproic acid, 5 grams ",,,,,0
HCPCS,S0020,"Injection, bupivicaine hydrochloride, 30 ml ",,,,,0
HCPCS,S0021,"Injection, cefoperazone sodium, 1 gram ",,,92.58,130.85,6
HCPCS,S0023,"Injection, cimetidine hydrochloride, 300 mg ",,,8.21,20.87,12
HCPCS,S0028,"Injection, famotidine, 20 mg ",,,,,0
HCPCS,S0030,"Injection, metronidazole, 500 mg ",,,,,0
HCPCS,S0032,"Injection, nafcillin sodium, 2 grams ",,,,,0
HCPCS,S0034,"Injection, ofloxacin, 400 mg ",,,135.78,191.91,6
HCPCS,S0039,"Injection, sulfamethoxazole and trimethoprim, 10 ml ",,,,,0
HCPCS,S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams ",,,45.82,116.31,12
HCPCS,S0073,AZTREONAM 500 MG INJ,544.3,544.3,38.1,544.3,58
HCPCS,S0073,"Injection, aztreonam, 500 mg ",544.3,544.3,,,0
HCPCS,S0074,"Injection, cefotetan disodium, 500 mg ",,,74.73,105.62,6
HCPCS,S0077,"Injection, clindamycin phosphate, 300 mg ",,,,,0
HCPCS,S0078,"Injection, fosphenytoin sodium, 750 mg ",,,169.91,335.58,12
HCPCS,S0080,"Injection, pentamidine isethionate, 300 mg ",536.63,536.63,602.98,852.21,6
HCPCS,S0080,PENTAMIDINE 300 MG INJ,536.63,536.63,37.56,536.63,52
HCPCS,S0081,"Injection, piperacillin sodium, 500 mg ",,,5.97,15.22,12
HCPCS,S0088,IMATINIB 100 MG PO,431.49,431.49,30.2,431.49,46
HCPCS,S0088,"Imatinib, 100 mg ",431.49,431.49,18.33,72.82,12
HCPCS,S0090,SILDENAF 10 MG/ML LIQ PO,357.39,357.39,25.02,357.39,46
HCPCS,S0090,SILDENAFIL CIT 10 MG INJ,1273.43,1273.43,89.14,1273.43,46
HCPCS,S0090,SILDENAFIL CIT 10MG PO,357.4,357.4,25.02,357.4,46
HCPCS,S0090,SILDENAFIL CIT 20 MG PO,211.66,211.66,14.82,211.66,46
HCPCS,S0090,"Sildenafil citrate, 25 mg ",,,1.63,13.26,12
HCPCS,S0091,GRANISETRON HCL 1 MG PO,281.43,281.43,19.7,281.43,46
HCPCS,S0091,"Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) ",281.43,281.43,18.52,47.17,12
HCPCS,S0092,"Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump) ",,,86.18,727.69,12
HCPCS,S0093,"Injection, morphine sulfate, 500 mg (loading dose for infusion pump) ",,,11.8,94.84,12
HCPCS,S0104,ZIDOVUDINE 100 MG PO,87.04,87.04,6.09,87.04,46
HCPCS,S0104,ZIDOVUDINE 10MG PO,1.06,1.06,0.07,1.06,46
HCPCS,S0104,"Zidovudine, oral, 100 mg ",,,1.0,13.26,12
HCPCS,S0106,"Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets ",,,57.62,134.27,12
HCPCS,S0108,MERCAPTOPURINE 20 MG PO,73.51,73.51,5.15,73.51,46
HCPCS,S0108,"Mercaptopurine, oral, 50 mg ",73.51,73.51,8.14,26.94,12
HCPCS,S0109,METHADONE 1 MG/ML PO,2.78,2.78,0.19,2.78,46
HCPCS,S0109,METHADONE 10 MG PO,2.09,2.09,0.15,2.09,46
HCPCS,S0109,METHADONE 5 MG/5 ML PO,12.92,12.92,0.9,12.92,46
HCPCS,S0109,"Methadone, oral, 5 mg ",,,0.07,2.65,12
HCPCS,S0117,"Tretinoin, topical, 5 grams ",,,17.46,32.75,12
HCPCS,S0119,ONDANSETRON 4 MG PO,106.28,106.28,7.44,106.28,46
HCPCS,S0119,"Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) ",106.28,106.28,2.78,5.0,12
HCPCS,S0122,"Injection, menotropins, 75 iu ",,,681.89,2202.23,12
HCPCS,S0126,"Injection, follitropin alfa, 75 iu ",,,631.0,2106.7,12
HCPCS,S0128,"Injection, follitropin beta, 75 iu ",,,652.05,1897.26,12
HCPCS,S0132,"Injection, ganirelix acetate, 250 mcg ",,,457.13,1638.65,12
HCPCS,S0136,CLOZAPINE 100 MG PO,204.42,204.42,14.31,204.42,46
HCPCS,S0136,CLOZAPINE 25 MG PO,76.02,76.02,5.32,76.02,46
HCPCS,S0136,"Clozapine, 25 mg ",,,1.62,5.64,12
HCPCS,S0137,"Didanosine (ddi), 25 mg ",,,1.52,4.87,12
HCPCS,S0138,FINASTERIDE 5 MG PO,35.32,35.32,2.47,35.32,46
HCPCS,S0138,"Finasteride, 5 mg ",35.32,35.32,0.48,1.28,12
HCPCS,S0139,MINOXIDIL 10 MG PO,46.92,46.92,3.28,46.92,46
HCPCS,S0139,"Minoxidil, 10 mg ",46.92,46.92,1.28,4.02,12
HCPCS,S0140,"Saquinavir, 200 mg ",,,7.5,10.6,6
HCPCS,S0145,"Injection, pegylated interferon alfa-2a, 180 mcg per ml ",,,3524.14,9712.42,12
HCPCS,S0148,"Injection, pegylated interferon alfa-2b, 10 mcg ",,,518.98,1312.22,12
HCPCS,S0155,"Sterile dilutant for epoprostenol, 50 ml ",,,28.05,126.48,12
HCPCS,S0156,"Exemestane, 25 mg ",,,10.29,40.74,12
HCPCS,S0157,"Becaplermin gel 0.01%, 0.5 gm ",,,128.65,395.36,12
HCPCS,S0160,"Dextroamphetamine sulfate, 5 mg ",,,4.3,6.94,12
HCPCS,S0164,"Injection, pantoprazole sodium, 40 mg ",,,,,0
HCPCS,S0166,"Injection, olanzapine, 2.5 mg ",,,,,0
HCPCS,S0169,CALCITRIOL 1 MCG/ML PO,53.7,53.7,3.76,53.7,47
HCPCS,S0169,CALCITROL 0.25 MCG PO,41.01,41.01,2.87,41.01,47
HCPCS,S0169,"Calcitrol, 0.25 microgram ",,,1.69,3.11,12
HCPCS,S0170,ANASTROZOLE 1 MG PO,237.56,237.56,16.63,237.56,46
HCPCS,S0170,"Anastrozole, oral, 1 mg ",237.56,237.56,2.96,10.66,12
HCPCS,S0171,"Injection, bumetanide, 0.5 mg ",,,,,0
HCPCS,S0172,CHLORAMBUCIL 2 MG PO,38.32,38.32,2.68,38.32,46
HCPCS,S0172,"Chlorambucil, oral, 2 mg ",38.32,38.32,72.04,2304.17,12
HCPCS,S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180) ",,,164.74,265.01,12
HCPCS,S0175,"Flutamide, oral, 125 mg ",,,4.17,388.52,12
HCPCS,S0176,HYDROXYUREA 200 MG PO,4.29,4.29,0.3,4.29,46
HCPCS,S0176,HYDROXYUREA 500 MG PO,3.2,3.2,0.22,3.2,46
HCPCS,S0176,"Hydroxyurea, oral, 500 mg ",,,2.48,4.11,12
HCPCS,S0177,"Levamisole hydrochloride, oral, 50 mg ",,,18.27,25.83,6
HCPCS,S0178,LOMUSTINE 10 MG PO,795.94,795.94,55.72,795.94,46
HCPCS,S0178,"Lomustine, oral, 10 mg ",795.94,795.94,298.49,1059.76,12
HCPCS,S0179,MEGESTROL ACE 400 MG LIQ,24.86,24.86,1.74,24.86,46
HCPCS,S0179,MEGESTROL ACET 20 MG PO,40.74,40.74,2.85,40.74,46
HCPCS,S0179,MEGESTROL ACET 40 MG PO,27.59,27.59,0.19,52.48,92
HCPCS,S0179,"Megestrol acetate, oral, 20 mg ",,,0.31,2.39,12
HCPCS,S0182,PROCARBAZINE 50 MG PO,884.56,884.56,61.92,884.56,46
HCPCS,S0182,"Procarbazine hydrochloride, oral, 50 mg ",884.56,884.56,347.97,1295.54,12
HCPCS,S0183,PROCHLORPERAZINE 10MG PO,7.82,7.82,0.55,7.82,46
HCPCS,S0183,PROCHLORPERAZINE 5 MG PO,7.25,7.25,0.51,7.25,46
HCPCS,S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164) ",,,0.9,2.99,12
HCPCS,S0187,TAMOXIFEN 10 MG PO,87.66,87.66,6.14,87.66,46
HCPCS,S0187,"Tamoxifen citrate, oral, 10 mg ",87.66,87.66,1.21,3.05,12
HCPCS,S0189,"Testosterone pellet, 75 mg ",,,648.91,917.12,6
HCPCS,S0190,"Mifepristone, oral, 200 mg ",,,221.16,368.52,12
HCPCS,S0191,MISOPROSTOL 100 MCG PO,2.53,2.53,0.18,2.53,46
HCPCS,S0191,MISOPROSTOL 200 MCG PO,3.85,3.85,0.27,3.85,46
HCPCS,S0191,MISOPROSTOL 25 MCG PO,0.6,0.6,0.04,0.6,46
HCPCS,S0191,MISOPROSTOL 50 MCG PO,1.27,1.27,0.09,1.27,46
HCPCS,S0191,"Misoprostol, oral, 200 mcg ",,,2.62,8.47,12
HCPCS,S0194,"Dialysis/stress vitamin supplement, oral, 100 capsules ",,,60.81,106.45,12
HCPCS,S0195,"Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine ",,,,,0
HCPCS,S0285,Colonoscopy consultation performed prior to a screening colonoscopy procedure ,,,91.19,177.41,6
HCPCS,S0390,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,48
HCPCS,S0400,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,9967.0,23307.22,54
HCPCS,S0601,Screening proctoscopy ,,,735.36,808.07,48
HCPCS,S0610,"Annual gynecological examination, new patient ",,,119.93,233.31,6
HCPCS,S0612,"Annual gynecological examination, established patient ",,,90.2,175.48,6
HCPCS,S0620,Routine ophthalmological examination including refraction; new patient ,,,120.92,235.24,6
HCPCS,S0621,Routine ophthalmological examination including refraction; established patient ,,,96.14,187.04,6
HCPCS,S0630,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,48
HCPCS,S0800,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,48
HCPCS,S0810,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,48
HCPCS,S0812,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,48
HCPCS,S1091,"Stent, non-coronary, temporary, with delivery system (propel) ",,,11.98,15047.24,12
HCPCS,S2053,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,48
HCPCS,S2054,Transplantation of multivisceral organs ,,,21210.0,23307.22,48
HCPCS,S2055,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,48
HCPCS,S2060,Lobar lung transplantation ,,,21210.0,23307.22,48
HCPCS,S2061,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,48
HCPCS,S2065,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,48
HCPCS,S2066,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,48
HCPCS,S2067,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,48
HCPCS,S2068,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,48
HCPCS,S2070,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,48
HCPCS,S2079,Laparoscopic esophagomyotomy (heller type) ,,,9173.0,23307.22,52
HCPCS,S2080,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,48
HCPCS,S2083,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,92
HCPCS,S2095,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,92
HCPCS,S2102,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,48
HCPCS,S2103,Adrenal tissue transplant to brain ,,,21210.0,23307.22,48
HCPCS,S2112,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,44269.0,58
HCPCS,S2115,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,48
HCPCS,S2117,"Arthroereisis, subtalar ",,,21210.0,30876.0,52
HCPCS,S2118,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,48
HCPCS,S2120,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,48
HCPCS,S2140,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,48
HCPCS,S2142,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,48
HCPCS,S2150,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,48
HCPCS,S2152,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,48
HCPCS,S2205,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,48
HCPCS,S2206,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,48
HCPCS,S2207,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,48
HCPCS,S2208,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,48
HCPCS,S2209,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,48
HCPCS,S2225,"Myringotomy, laser-assisted ",,,7839.0,23307.22,92
HCPCS,S2230,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,48
HCPCS,S2235,Implantation of auditory brain stem implant ,,,21210.0,23307.22,48
HCPCS,S2260,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,48
HCPCS,S2265,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,48
HCPCS,S2266,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,48
HCPCS,S2267,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,48
HCPCS,S2300,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,30876.0,52
HCPCS,S2325,Hip core decompression ,,,21210.0,23307.22,48
HCPCS,S2340,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,48
HCPCS,S2341,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,48
HCPCS,S2342,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,23307.22,96
HCPCS,S2348,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,48
HCPCS,S2350,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,48
HCPCS,S2351,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,48
HCPCS,S2400,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,48
HCPCS,S2401,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,48
HCPCS,S2402,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,48
HCPCS,S2403,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,48
HCPCS,S2404,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,48
HCPCS,S2405,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,48
HCPCS,S2409,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,48
HCPCS,S2411,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,48
HCPCS,S2900,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,48
HCPCS,S3600,Stat laboratory request (situations other than s3601) ,,,3.5,4.4,6
HCPCS,S3620,NEWBORN METABOLIC SCR,670.8,670.8,46.96,670.8,67
HCPCS,S3620,"Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;  hydroxyprogest",670.8,670.8,129.02,195.52,6
HCPCS,S3630,"Eosinophil count, blood, direct ",,,7.31,9.26,4
HCPCS,S3645,Hiv-1 antibody testing of oral mucosal transudate ,,,34.76,44.01,4
HCPCS,S3650,"Saliva test, hormone level; during menopause ",,,370.89,469.53,4
HCPCS,S3652,"Saliva test, hormone level; to assess preterm labor risk ",,,133.95,195.05,10
HCPCS,S3655,Antisperm antibodies test (immunobead) ,,,294.77,373.16,4
HCPCS,S3800,Genetic testing for amyotrophic lateral sclerosis (als) ,,,,,0
HCPCS,S3845,Genetic testing for alpha-thalassemia ,,,0.75,0.95,4
HCPCS,S3854,Gene expression profiling panel for use in the management of breast cancer treatment ,,,770.0,5040.86,10
HCPCS,S3861,"Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome ",,,4272.11,5408.31,4
HCPCS,S3865,Comprehensive gene sequence analysis for hypertrophic cardiomyopathy ,,,8145.95,10312.42,4
HCPCS,S3866,Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family ,,,1325.21,1677.66,4
HCPCS,S3870,"Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability ",,,671.42,849.99,4
HCPCS,S4013,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,48
HCPCS,S4014,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,48
HCPCS,S4015,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,48
HCPCS,S4024,"Air polymer-type a intrauterine foam, per study dose ",,,3234.17,8112.43,12
HCPCS,S4028,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,48
HCPCS,S4035,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,48
HCPCS,S4037,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,48
HCPCS,S4981,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,48
HCPCS,S4990,"Nicotine patches, legend ",,,,,0
HCPCS,S4993,Contraceptive pills for birth control ,,,0.48,0.78,6
HCPCS,S4993,NORG/EE 0.25/0.035MG PO,5.49,5.49,0.38,5.49,52
HCPCS,S4993,ULIPRISTAL 30 MG PO,221.81,221.81,15.53,221.81,52
HCPCS,S4995,Smoking cessation gum ,,,0.69,1.11,6
HCPCS,S5000,ACETIC2%/HYDROC1% OTIC,1079.42,1079.42,75.56,1079.42,59
HCPCS,S5000,ACYCLOVIR 5% TOP 15 GM,291.88,291.88,20.43,291.88,59
HCPCS,S5000,BECLOMETHASONE NASAL,1545.14,1545.14,108.16,1545.14,59
HCPCS,S5000,BETAXOLOL 0.25% 10ML OP,2515.96,2515.96,176.12,2515.96,59
HCPCS,S5000,BIMATOPRST 0.03% 2.5MLOP,1145.05,1145.05,80.15,1145.05,59
HCPCS,S5000,CIPRO HC OTIC 10 ML,1400.5,1400.5,98.03,1400.5,59
HCPCS,S5000,CIPRODEX OT0.3/0.1%7.5ML,1527.01,1527.01,106.89,1527.01,59
HCPCS,S5000,CIPROFLOXACIN 0.3% OPH,951.645,951.645,20.7,1607.54,118
HCPCS,S5000,CLINDAMYCIN 1% TOPICAL,105.89,105.89,7.41,105.89,59
HCPCS,S5000,CLOBETASOL 0.05% TOPICAL,769.835,769.835,53.08,781.43,118
HCPCS,S5000,CORTISPORIN TC OTIC 10ML,636.73,636.73,44.57,636.73,59
HCPCS,S5000,DESMOPRES 0.01% SPR 5 ML,2010.61,2010.61,140.74,2010.61,59
HCPCS,S5000,DESMOPRES 0.01% SPR2.5ML,2423.5,2423.5,169.65,2423.5,59
HCPCS,S5000,DINOPROSTON 0.5MG/3GMGEL,3954.83,3954.83,276.84,3954.83,59
HCPCS,S5000,DINOPROSTONE 10MG SUPP,5653.78,5653.78,395.76,5653.78,59
HCPCS,S5000,ESTRADIOL 0.01% VAGINAL,572.4,572.4,40.07,572.4,59
HCPCS,S5000,ESTROGEN CONJ TOP 30GM,2304.46,2304.46,161.31,2304.46,59
HCPCS,S5000,LINEZOL 100MG/5ML LIQPO,44.15,44.15,3.09,44.15,59
HCPCS,S5000,MAXITROL 3.5 GM OP,729.38,729.38,51.06,729.38,59
HCPCS,S5000,MOMETASONE 17GM SPR,1887.54,1887.54,132.13,1887.54,59
HCPCS,S5000,MOXIFLOXACIN 0.5% 3ML OP,717.41,717.41,50.22,717.41,59
HCPCS,S5000,NEOMYC/POLYMYX/HYDRO OPH,985.41,985.41,68.98,985.41,59
HCPCS,S5000,OLOPATADNE 0.1% 5ML OP,512.75,512.75,35.89,512.75,118
HCPCS,S5000,OLOPATADNE 665MCG SPR,1067.12,1067.12,74.7,1067.12,59
HCPCS,S5000,PIMECROLIMUS 1% TOP 30GM,1761.74,1761.74,123.32,1761.74,59
HCPCS,S5000,PRAMOX/HYDROC 1/1% TOP,938.13,938.13,65.67,938.13,59
HCPCS,S5000,TALC STERILE POWD 5GM,2141.14,2141.14,149.88,2141.14,59
HCPCS,S5000,TOBRAMY/DEXAMET OPHTHAL,1704.13,1704.13,119.29,1704.13,59
HCPCS,S5000,TOBRAMYCIN 0.3% OPHTH,28.13,28.13,1.97,28.13,59
HCPCS,S5000,TRIFLURIDINE 1% 7.5ML OP,2152.93,2152.93,150.71,2152.93,59
HCPCS,S5001,INH INOMAX PER HR,1759.75,1759.75,123.18,1759.75,59
HCPCS,S5010,"5% dextrose and 0.45% normal saline, 1000 ml ",,,18.04,68.59,12
HCPCS,S5010,D5/0.45NS 1000 ML INJ,17.51,17.51,1.23,17.51,46
HCPCS,S5010,D5/0.45NS 500 ML INJ,22.38,22.38,1.57,22.38,46
HCPCS,S5010,D5NS0.45 1000 ML,32.76,32.76,2.29,32.76,46
HCPCS,S5010,D5NS0.45 500 ML,730.15,730.15,51.11,730.15,46
HCPCS,S5011,"5% dextrose in lactated ringer's, 1000 ml ",,,,,0
HCPCS,S5012,"5% dextrose with potassium chloride, 1000 ml ",,,8.87,41.48,12
HCPCS,S5522,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,48
HCPCS,S5523,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,48
HCPCS,S5550,"Insulin, rapid onset, 5 units ",,,1.45,3.83,12
HCPCS,S5551,"Insulin, most rapid onset (lispro or aspart); 5 units ",,,1.62,3.16,12
HCPCS,S5552,"Insulin, intermediate acting (nph or lente); 5 units ",,,1.45,3.83,12
HCPCS,S5553,"Insulin, long acting; 5 units ",,,4.38,8.47,12
HCPCS,S5561,"Insulin delivery device, reusable pen; 3 ml size ",,,264.37,373.64,6
HCPCS,S5566,Insulin cartridge for use in insulin delivery device other than pump; 300 units ,,,165.86,234.41,6
HCPCS,S5570,"Insulin delivery device, disposable pen (including insulin); 1.5 ml size ",,,617.2,872.3,6
HCPCS,S5571,"Insulin delivery device, disposable pen (including insulin); 3 ml size ",,,196.35,277.51,6
HCPCS,S8030,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,48
HCPCS,S8037,Magnetic resonance cholangiopancreatography (mrcp) ,,,199.25,651.57,6
HCPCS,S8085,Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan) ,,,5195.0,6566.0,4
HCPCS,S8490,"Insulin syringes (100 syringes, any size) ",,,,,0
HCPCS,S8940,"Equestrian/hippotherapy, per session ",,,151.3,155.98,2
HCPCS,S9002,"Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device ",,,365.08,549.37,6
HCPCS,S9034,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,9967.0,23307.22,54
HCPCS,S9090,"Vertebral axial decompression, per session ",,,455.89,886.92,6
HCPCS,S9122,"Home health aide or certified nurse assistant, providing care in the home; per hour ",,,50.81,52.38,2
HCPCS,S9123,"Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) ",,,178.93,184.46,2
HCPCS,S9124,"Nursing care, in the home; by licensed practical nurse, per hour ",,,157.56,162.43,2
HCPCS,S9432,Medical foods for non-inborn errors of metabolism ,,,3.56,5.36,6
HCPCS,S9900,"Services by a journal-listed christian science practitioner for the purpose of healing, per diem ",,,174.84,180.25,2
HCPCS,T1032,"Services performed by a doula birth worker, per 15 minutes ",,,206.25,401.25,6
HCPCS,T1033,"Services performed by a doula birth worker, per diem ",,,206.25,401.25,6
HCPCS,T2101,HUMN BRSTMLK PSD ONLY,27.96,27.96,1.96,27.96,142
HCPCS,T4545,"Incontinence product, disposable, penile wrap, each ",,,12.6,18.96,6
HCPCS,U0001,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,21.55,94.11,127
HCPCS,U0001,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel Age 21+,,,33.19,33.19,4
HCPCS,U0001,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel Age Under 21,,,33.79,33.79,4
HCPCS,U0001,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel Other Outpatient,,,37.72,37.72,6
HCPCS,U0002,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",71.85,71.85,30.79,134.43,127
HCPCS,U0002,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Age 21+",71.85,71.85,47.41,47.41,4
HCPCS,U0002,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Age Under 21",71.85,71.85,48.27,48.27,4
HCPCS,U0002,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Other Outpatient",71.85,71.85,53.88,53.88,6
HCPCS,U0002,COVID-19 NON CDC TEST,71.85,71.85,5.03,71.85,58
HCPCS,V2020,"Frames, purchases ",,,79.96,215.97,72
HCPCS,V2020,"Frames, purchases Other Outpatient",,,86.55,86.55,6
HCPCS,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,57.08,154.19,72
HCPCS,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens Other Outpatient",,,61.79,61.79,6
HCPCS,V2101,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,65.36,176.54,72
HCPCS,V2101,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens Other Outpatient",,,70.75,70.75,6
HCPCS,V2102,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,72.63,196.19,72
HCPCS,V2102,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens Other Outpatient",,,78.62,78.62,6
HCPCS,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,43.21,116.72,72
HCPCS,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Other Outpatient",,,46.78,46.78,6
HCPCS,V2104,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,51.12,138.07,72
HCPCS,V2104,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Other Outpatient",,,55.34,55.34,6
HCPCS,V2105,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,50.03,135.14,72
HCPCS,V2105,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Other Outpatient",,,54.16,54.16,6
HCPCS,V2106,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,59.79,161.5,72
HCPCS,V2106,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Other Outpatient",,,64.72,64.72,6
HCPCS,V2107,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,64.44,174.05,72
HCPCS,V2107,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens Other Outpatient",,,69.75,69.75,6
HCPCS,V2108,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,63.23,170.8,72
HCPCS,V2108,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Other Outpatient",,,68.45,68.45,6
HCPCS,V2109,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,60.63,163.78,72
HCPCS,V2109,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Other Outpatient",,,65.64,65.64,6
HCPCS,V2110,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,58.25,157.33,72
HCPCS,V2110,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens Other Outpatient",,,63.05,63.05,6
HCPCS,V2111,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,68.17,184.13,72
HCPCS,V2111,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Other Outpatient",,,73.79,73.79,6
HCPCS,V2112,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,88.16,238.13,72
HCPCS,V2112,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens Other Outpatient",,,95.43,95.43,6
HCPCS,V2113,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,94.89,256.29,72
HCPCS,V2113,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Other Outpatient",,,102.71,102.71,6
HCPCS,V2114,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,107.62,290.69,72
HCPCS,V2114,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens Other Outpatient",,,116.5,116.5,6
HCPCS,V2115,"Lenticular, (myodisc), per lens, single vision ",,,117.13,316.37,72
HCPCS,V2115,"Lenticular, (myodisc), per lens, single vision Other Outpatient",,,126.79,126.79,6
HCPCS,V2118,"Aniseikonic lens, single vision ",,,87.09,235.22,72
HCPCS,V2118,"Aniseikonic lens, single vision Other Outpatient",,,94.27,94.27,6
HCPCS,V2121,"Lenticular lens, per lens, single ",,,119.87,323.78,72
HCPCS,V2121,"Lenticular lens, per lens, single Other Outpatient",,,129.76,129.76,6
HCPCS,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,70.32,189.92,72
HCPCS,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens Other Outpatient",,,76.11,76.11,6
HCPCS,V2201,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,74.05,200.01,72
HCPCS,V2201,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Other Outpatient",,,80.16,80.16,6
HCPCS,V2202,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,84.14,227.26,72
HCPCS,V2202,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens Other Outpatient",,,91.08,91.08,6
HCPCS,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,69.08,186.6,72
HCPCS,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Other Outpatient",,,74.78,74.78,6
HCPCS,V2204,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,70.28,189.82,72
HCPCS,V2204,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Other Outpatient",,,76.07,76.07,6
HCPCS,V2205,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,73.32,198.05,72
HCPCS,V2205,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Other Outpatient",,,79.37,79.37,6
HCPCS,V2206,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,74.98,202.53,72
HCPCS,V2206,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Other Outpatient",,,81.17,81.17,6
HCPCS,V2207,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,69.85,188.67,72
HCPCS,V2207,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens Other Outpatient",,,75.61,75.61,6
HCPCS,V2208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,77.52,209.39,72
HCPCS,V2208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Other Outpatient",,,83.92,83.92,6
HCPCS,V2209,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,76.68,207.11,72
HCPCS,V2209,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Other Outpatient",,,83.0,83.0,6
HCPCS,V2210,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,87.66,236.77,72
HCPCS,V2210,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Other Outpatient",,,94.89,94.89,6
HCPCS,V2211,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,87.7,236.87,72
HCPCS,V2211,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Other Outpatient",,,94.93,94.93,6
HCPCS,V2212,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,90.56,244.6,72
HCPCS,V2212,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Other Outpatient",,,98.03,98.03,6
HCPCS,V2213,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,96.78,261.4,72
HCPCS,V2213,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Other Outpatient",,,104.76,104.76,6
HCPCS,V2214,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,99.43,268.58,72
HCPCS,V2214,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens Other Outpatient",,,107.64,107.64,6
HCPCS,V2215,"Lenticular (myodisc), per lens, bifocal ",,,113.38,306.25,72
HCPCS,V2215,"Lenticular (myodisc), per lens, bifocal Other Outpatient",,,122.73,122.73,6
HCPCS,V2218,"Aniseikonic, per lens, bifocal ",,,120.12,324.43,72
HCPCS,V2218,"Aniseikonic, per lens, bifocal Other Outpatient",,,130.02,130.02,6
HCPCS,V2219,Bifocal seg width over 28 mm ,,,61.05,164.9,72
HCPCS,V2219,Bifocal seg width over 28 mm Other Outpatient,,,66.09,66.09,6
HCPCS,V2220,Bifocal add over 3.25d ,,,55.89,150.96,72
HCPCS,V2220,Bifocal add over 3.25d Other Outpatient,,,60.5,60.5,6
HCPCS,V2221,"Lenticular lens, per lens, bifocal ",,,119.44,322.6,72
HCPCS,V2221,"Lenticular lens, per lens, bifocal Other Outpatient",,,129.29,129.29,6
HCPCS,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,91.83,248.04,72
HCPCS,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens Other Outpatient",,,99.4,99.4,6
HCPCS,V2301,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,120.25,324.8,72
HCPCS,V2301,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Other Outpatient",,,130.17,130.17,6
HCPCS,V2302,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,120.82,326.35,72
HCPCS,V2302,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens Other Outpatient",,,130.79,130.79,6
HCPCS,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,87.26,235.7,72
HCPCS,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens Other Outpatient",,,94.46,94.46,6
HCPCS,V2304,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,85.2,230.14,72
HCPCS,V2304,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens Other Outpatient",,,92.23,92.23,6
HCPCS,V2305,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,105.82,285.82,72
HCPCS,V2305,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens Other Outpatient",,,114.54,114.54,6
HCPCS,V2306,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,126.93,342.85,72
HCPCS,V2306,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Other Outpatient",,,137.4,137.4,6
HCPCS,V2307,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,95.42,257.73,72
HCPCS,V2307,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens Other Outpatient",,,103.29,103.29,6
HCPCS,V2308,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,99.26,268.1,72
HCPCS,V2308,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Other Outpatient",,,107.45,107.45,6
HCPCS,V2309,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,111.02,299.86,72
HCPCS,V2309,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Other Outpatient",,,120.17,120.17,6
HCPCS,V2310,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,101.69,274.65,72
HCPCS,V2310,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Other Outpatient",,,110.07,110.07,6
HCPCS,V2311,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,127.15,343.43,72
HCPCS,V2311,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Other Outpatient",,,137.63,137.63,6
HCPCS,V2312,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,120.21,324.7,72
HCPCS,V2312,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Other Outpatient",,,130.13,130.13,6
HCPCS,V2313,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,125.55,339.11,72
HCPCS,V2313,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Other Outpatient",,,135.9,135.9,6
HCPCS,V2314,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,127.63,344.74,72
HCPCS,V2314,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens Other Outpatient",,,138.16,138.16,6
HCPCS,V2315,"Lenticular, (myodisc), per lens, trifocal ",,,141.7,382.73,72
HCPCS,V2315,"Lenticular, (myodisc), per lens, trifocal Other Outpatient",,,153.38,153.38,6
HCPCS,V2318,"Aniseikonic lens, trifocal ",,,174.19,470.5,72
HCPCS,V2318,"Aniseikonic lens, trifocal Other Outpatient",,,188.56,188.56,6
HCPCS,V2319,Trifocal seg width over 28 mm ,,,66.58,179.84,72
HCPCS,V2319,Trifocal seg width over 28 mm Other Outpatient,,,72.07,72.07,6
HCPCS,V2320,Trifocal add over 3.25d ,,,82.95,224.06,72
HCPCS,V2320,Trifocal add over 3.25d Other Outpatient,,,89.8,89.8,6
HCPCS,V2321,"Lenticular lens, per lens, trifocal ",,,141.29,381.63,72
HCPCS,V2321,"Lenticular lens, per lens, trifocal Other Outpatient",,,152.94,152.94,6
HCPCS,V2410,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,125.61,339.26,72
HCPCS,V2410,"Variable asphericity lens, single vision, full field, glass or plastic, per lens Other Outpatient",,,135.96,135.96,6
HCPCS,V2430,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,145.49,392.97,72
HCPCS,V2430,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens Other Outpatient",,,157.49,157.49,6
HCPCS,V2500,"Contact lens, pmma, spherical, per lens ",,,120.66,325.9,72
HCPCS,V2500,"Contact lens, pmma, spherical, per lens Other Outpatient",,,130.61,130.61,6
HCPCS,V2501,"Contact lens, pmma, toric or prism ballast, per lens ",,,147.02,397.11,72
HCPCS,V2501,"Contact lens, pmma, toric or prism ballast, per lens Other Outpatient",,,159.15,159.15,6
HCPCS,V2502,"Contact lens, pmma, bifocal, per lens ",,,181.12,489.21,72
HCPCS,V2502,"Contact lens, pmma, bifocal, per lens Other Outpatient",,,196.06,196.06,6
HCPCS,V2503,"Contact lens, pmma, color vision deficiency, per lens ",,,166.81,450.56,72
HCPCS,V2503,"Contact lens, pmma, color vision deficiency, per lens Other Outpatient",,,180.57,180.57,6
HCPCS,V2510,"Contact lens, gas permeable, spherical, per lens ",,,174.22,470.58,72
HCPCS,V2510,"Contact lens, gas permeable, spherical, per lens Other Outpatient",,,188.59,188.59,6
HCPCS,V2511,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,225.94,610.28,72
HCPCS,V2511,"Contact lens, gas permeable, toric, prism ballast, per lens Other Outpatient",,,244.58,244.58,6
HCPCS,V2512,"Contact lens, gas permeable, bifocal, per lens ",,,298.27,805.62,72
HCPCS,V2512,"Contact lens, gas permeable, bifocal, per lens Other Outpatient",,,322.86,322.86,6
HCPCS,V2513,"Contact lens, gas permeable, extended wear, per lens ",,,250.42,676.38,72
HCPCS,V2513,"Contact lens, gas permeable, extended wear, per lens Other Outpatient",,,271.07,271.07,6
HCPCS,V2520,"Contact lens, hydrophilic, spherical, per lens ",,,149.92,404.95,72
HCPCS,V2520,"Contact lens, hydrophilic, spherical, per lens Other Outpatient",,,162.29,162.29,6
HCPCS,V2521,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,229.27,619.26,72
HCPCS,V2521,"Contact lens, hydrophilic, toric, or prism ballast, per lens Other Outpatient",,,248.18,248.18,6
HCPCS,V2522,"Contact lens, hydrophilic, bifocal, per lens ",,,279.78,755.69,72
HCPCS,V2522,"Contact lens, hydrophilic, bifocal, per lens Other Outpatient",,,302.85,302.85,6
HCPCS,V2523,"Contact lens, hydrophilic, extended wear, per lens ",,,218.57,590.36,72
HCPCS,V2523,"Contact lens, hydrophilic, extended wear, per lens Other Outpatient",,,236.6,236.6,6
HCPCS,V2524,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,174.72,471.91,72
HCPCS,V2524,"Contact lens, hydrophilic, spherical, photochromic additive, per lens Other Outpatient",,,189.13,189.13,6
HCPCS,V2525,"Contact lens, hydrophilic, dual focus, per lens ",,,244.68,368.19,6
HCPCS,V2530,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,337.6,911.86,72
HCPCS,V2530,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) Other Outpatient",,,365.44,365.44,6
HCPCS,V2531,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,650.13,1756.03,72
HCPCS,V2531,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) Other Outpatient",,,703.75,703.75,6
HCPCS,V2623,"Prosthetic eye, plastic, custom ",,,1421.28,3838.93,72
HCPCS,V2623,"Prosthetic eye, plastic, custom Other Outpatient",,,1538.5,1538.5,6
HCPCS,V2624,Polishing/resurfacing of ocular prosthesis ,,,94.85,256.18,72
HCPCS,V2624,Polishing/resurfacing of ocular prosthesis Other Outpatient,,,102.67,102.67,6
HCPCS,V2625,Enlargement of ocular prosthesis ,,,455.53,1230.4,72
HCPCS,V2625,Enlargement of ocular prosthesis Other Outpatient,,,493.1,493.1,6
HCPCS,V2626,Reduction of ocular prosthesis ,,,315.9,853.26,72
HCPCS,V2626,Reduction of ocular prosthesis Other Outpatient,,,341.95,341.95,6
HCPCS,V2627,Scleral cover shell ,,,1719.77,4645.16,72
HCPCS,V2627,Scleral cover shell Other Outpatient,,,1861.61,1861.61,6
HCPCS,V2628,Fabrication and fitting of ocular conformer ,,,447.37,1208.37,72
HCPCS,V2628,Fabrication and fitting of ocular conformer Other Outpatient,,,484.27,484.27,6
HCPCS,V2630,Anterior chamber intraocular lens ,,,141.36,381.81,72
HCPCS,V2630,Anterior chamber intraocular lens Other Outpatient,,,153.02,153.02,6
HCPCS,V2631,Iris supported intraocular lens ,,,141.36,381.81,72
HCPCS,V2631,Iris supported intraocular lens Other Outpatient,,,153.02,153.02,6
HCPCS,V2632,Posterior chamber intraocular lens ,,,141.36,381.81,72
HCPCS,V2632,Posterior chamber intraocular lens Other Outpatient,,,153.02,153.02,6
HCPCS,V2700,"Balance lens, per lens ",,,62.92,169.96,72
HCPCS,V2700,"Balance lens, per lens Other Outpatient",,,68.11,68.11,6
HCPCS,V2710,"Slab off prism, glass or plastic, per lens ",,,94.47,255.16,72
HCPCS,V2710,"Slab off prism, glass or plastic, per lens Other Outpatient",,,102.26,102.26,6
HCPCS,V2715,"Prism, per lens ",,,15.6,42.13,72
HCPCS,V2715,"Prism, per lens Other Outpatient",,,16.88,16.88,6
HCPCS,V2718,"Press-on lens, fresnell prism, per lens ",,,38.73,104.62,72
HCPCS,V2718,"Press-on lens, fresnell prism, per lens Other Outpatient",,,41.93,41.93,6
HCPCS,V2730,"Special base curve, glass or plastic, per lens ",,,33.39,90.18,72
HCPCS,V2730,"Special base curve, glass or plastic, per lens Other Outpatient",,,36.14,36.14,6
HCPCS,V2744,"Tint, photochromatic, per lens ",,,24.79,66.97,72
HCPCS,V2744,"Tint, photochromatic, per lens Other Outpatient",,,26.84,26.84,6
HCPCS,V2745,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,16.26,43.91,72
HCPCS,V2745,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens Other Outpatient",,,17.6,17.6,6
HCPCS,V2750,"Anti-reflective coating, per lens ",,,30.22,81.61,72
HCPCS,V2750,"Anti-reflective coating, per lens Other Outpatient",,,32.71,32.71,6
HCPCS,V2755,"U-v lens, per lens ",,,26.3,71.03,72
HCPCS,V2755,"U-v lens, per lens Other Outpatient",,,28.47,28.47,6
HCPCS,V2760,"Scratch resistant coating, per lens ",,,21.06,56.88,72
HCPCS,V2760,"Scratch resistant coating, per lens Other Outpatient",,,22.8,22.8,6
HCPCS,V2762,"Polarization, any lens material, per lens ",,,71.58,193.33,72
HCPCS,V2762,"Polarization, any lens material, per lens Other Outpatient",,,77.48,77.48,6
HCPCS,V2770,"Occluder lens, per lens ",,,25.41,68.64,72
HCPCS,V2770,"Occluder lens, per lens Other Outpatient",,,27.51,27.51,6
HCPCS,V2780,"Oversize lens, per lens ",,,14.88,40.19,72
HCPCS,V2780,"Oversize lens, per lens Other Outpatient",,,16.11,16.11,6
HCPCS,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,77.29,208.76,72
HCPCS,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens Other Outpatient",,,83.66,83.66,6
HCPCS,V2783,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,87.14,235.35,72
HCPCS,V2783,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens Other Outpatient",,,94.32,94.32,6
HCPCS,V2784,"Lens, polycarbonate or equal, any index, per lens ",,,56.68,153.09,72
HCPCS,V2784,"Lens, polycarbonate or equal, any index, per lens Other Outpatient",,,61.35,61.35,6
HCPCS,V5010,Assessment for hearing aid ,,,329.09,339.27,2
HCPCS,V5011,Fitting/orientation/checking of hearing aid ,,,740.45,763.35,2
HCPCS,V5014,Repair/modification of a hearing aid ,,,287.95,296.86,2
HCPCS,V5020,Conformity evaluation ,,,403.13,415.6,2
HIPPS,A0101,STROKE M >=72.50 ,,,13863.49,15419.6,99
HIPPS,A0102,STROKE M >=63.50 AND M <72.50 ,,,17645.47,19626.08,99
HIPPS,A0103,STROKE M >=50.50 AND M <63.50 ,,,22650.53,25192.94,99
HIPPS,A0104,STROKE M >=41.50 AND M <50.50 ,,,28929.4,32176.58,99
HIPPS,A0105,STROKE M <41.50 AND A >=84.50 ,,,36053.72,40100.57,99
HIPPS,A0106,STROKE M <41.50 AND A <84.50 ,,,40611.63,45170.08,99
HIPPS,A0201,TRAUMATIC BRAIN INJURY M >=73.50 ,,,13609.86,15137.49,99
HIPPS,A0202,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,17773.23,19768.18,99
HIPPS,A0203,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,22096.29,24576.49,99
HIPPS,A0204,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,27232.86,30289.61,99
HIPPS,A0205,TRAUMATIC BRAIN INJURY M <35.50 ,,,34937.73,38859.31,99
HIPPS,A0301,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,15516.81,17258.5,99
HIPPS,A0302,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,20070.97,22323.83,99
HIPPS,A0303,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,23734.58,26398.67,99
HIPPS,A0304,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,28115.89,31271.75,99
HIPPS,A0401,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,18331.22,20388.81,99
HIPPS,A0402,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,22981.19,25560.72,99
HIPPS,A0403,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,26524.57,29501.81,99
HIPPS,A0404,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,42980.77,47805.14,99
HIPPS,A0405,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,34045.31,37866.72,99
HIPPS,A0501,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,16204.45,18023.31,99
HIPPS,A0502,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,20116.06,22373.98,99
HIPPS,A0503,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,22778.29,25335.03,99
HIPPS,A0504,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,27217.83,30272.9,99
HIPPS,A0505,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,38672.73,43013.55,99
HIPPS,A0601,NEUROLOGICAL M >=64.50 ,,,15762.93,17532.24,99
HIPPS,A0602,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,19608.79,21809.78,99
HIPPS,A0603,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,23317.49,25934.76,99
HIPPS,A0604,NEUROLOGICAL M <43.50 ,,,29489.28,32799.3,99
HIPPS,A0701,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,15994.02,17789.27,99
HIPPS,A0702,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,19770.36,21989.49,99
HIPPS,A0703,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,24221.19,26939.89,99
HIPPS,A0704,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,29906.36,33263.2,99
HIPPS,A0801,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,15612.63,17365.07,99
HIPPS,A0802,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,17795.77,19793.25,99
HIPPS,A0803,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,19584.37,21782.61,99
HIPPS,A0804,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,22248.47,24745.75,99
HIPPS,A0805,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,27710.07,30820.39,99
HIPPS,A0901,OTHER ORTHOPEDIC M >=63.50 ,,,15188.03,16892.81,99
HIPPS,A0902,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,19295.03,21460.8,99
HIPPS,A0903,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,22896.65,25466.68,99
HIPPS,A0904,OTHER ORTHOPEDIC M <44.5 ,,,27571.04,30665.75,99
HIPPS,A1001,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,16166.87,17981.52,99
HIPPS,A1002,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,19640.73,21845.3,99
HIPPS,A1003,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,23375.74,25999.54,99
HIPPS,A1004,AMPUTATION LOWER EXTREMITY M <47.50 ,,,31093.75,34583.87,99
HIPPS,A1101,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,18113.28,20146.41,99
HIPPS,A1102,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,20683.45,23005.06,99
HIPPS,A1103,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,25906.45,28814.32,99
HIPPS,A1201,OSTEOARTHRITIS M >=61.50 ,,,16349.11,18184.22,99
HIPPS,A1202,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,19221.76,21379.31,99
HIPPS,A1203,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,25731.72,28619.98,99
HIPPS,A1204,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,26490.75,29464.2,99
HIPPS,A1301,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,15661.48,17419.4,99
HIPPS,A1302,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,19202.97,21358.41,99
HIPPS,A1303,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,22192.11,24683.06,99
HIPPS,A1304,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,28643.83,31858.95,99
HIPPS,A1401,CARDIAC M >=68.50 ,,,14380.15,15994.25,99
HIPPS,A1402,CARDIAC M >=55.50 AND M <68.50 ,,,18319.95,20376.27,99
HIPPS,A1403,CARDIAC M >=45.50 AND M <55.50 ,,,22143.26,24628.73,99
HIPPS,A1404,CARDIAC M <45.50 ,,,27627.41,30728.44,99
HIPPS,A1501,PULMONARY M >=68.50 ,,,17720.62,19709.67,99
HIPPS,A1502,PULMONARY M >=56.50 AND M <68.50 ,,,21669.81,24102.13,99
HIPPS,A1503,PULMONARY M >=45.50 AND M <56.50 ,,,25262.03,28097.56,99
HIPPS,A1504,PULMONARY M <45.50 ,,,31679.93,35235.84,99
HIPPS,A1601,PAIN SYNDROME M >=65.50 ,,,14675.12,16322.33,99
HIPPS,A1602,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,17658.62,19640.71,99
HIPPS,A1603,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,21384.23,23784.5,99
HIPPS,A1701,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,16781.23,18664.84,99
HIPPS,A1702,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,20685.33,23007.15,99
HIPPS,A1703,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,24271.91,26996.31,99
HIPPS,A1704,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,27929.89,31064.88,99
HIPPS,A1801,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,14849.85,16516.67,99
HIPPS,A1802,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,18876.07,20994.81,99
HIPPS,A1803,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,23480.95,26116.56,99
HIPPS,A1804,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,27424.5,30502.76,99
HIPPS,A1901,GUILLAIN-BARRÉ M >=66.50 ,,,15481.12,17218.79,99
HIPPS,A1902,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,22520.89,25048.75,99
HIPPS,A1903,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,31864.05,35440.63,99
HIPPS,A2001,MISCELLANEOUS M >=66.50 ,,,15244.39,16955.5,99
HIPPS,A2002,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,18926.79,21051.23,99
HIPPS,A2003,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,22225.93,24720.67,99
HIPPS,A2004,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,27105.11,30147.52,99
HIPPS,A2005,MISCELLANEOUS M <46.50 AND A <77.50 ,,,28371.4,31555.95,99
HIPPS,A2101,BURNS M >=52.50 ,,,18346.25,20405.53,99
HIPPS,A2102,BURNS M <52.50 ,,,29072.19,32335.39,99
HIPPS,A5001,"SHORT-STAY CASES, LENGTH OF STAY IS 3 DAYS OR FEWER ",,,3297.25,3667.35,99
HIPPS,A5101,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 13 DAYS OR FEWER ",,,16042.87,17843.6,99
HIPPS,A5102,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 14 DAYS OR MORE ",,,38486.74,42806.68,99
HIPPS,A5103,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 15 DAYS OR FEWER ",,,17130.68,19053.52,99
HIPPS,A5104,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 16 DAYS OR MORE ",,,41109.51,45723.84,99
HIPPS,B0101,STROKE M >=72.50 ,,,18165.89,20204.92,99
HIPPS,B0102,STROKE M >=63.50 AND M <72.50 ,,,23120.22,25715.35,99
HIPPS,B0103,STROKE M >=50.50 AND M <63.50 ,,,29680.91,33012.44,99
HIPPS,B0104,STROKE M >=41.50 AND M <50.50 ,,,37908.07,42163.06,99
HIPPS,B0105,STROKE M <41.50 AND A >=84.50 ,,,47243.71,52546.58,99
HIPPS,B0106,STROKE M <41.50 AND A <84.50 ,,,53216.34,59189.61,99
HIPPS,B0201,TRAUMATIC BRAIN INJURY M >=73.50 ,,,19941.33,22179.65,99
HIPPS,B0202,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,26041.72,28964.77,99
HIPPS,B0203,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,32376.95,36011.1,99
HIPPS,B0204,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,39903.33,44382.28,99
HIPPS,B0205,TRAUMATIC BRAIN INJURY M <35.50 ,,,51192.9,56939.04,99
HIPPS,B0301,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,22430.71,24948.45,99
HIPPS,B0302,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,29017.7,32274.79,99
HIPPS,B0303,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,34310.22,38161.36,99
HIPPS,B0304,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,40647.33,45209.78,99
HIPPS,B0401,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,25453.66,28310.71,99
HIPPS,B0402,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,31911.02,35492.87,99
HIPPS,B0403,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,36831.53,40965.69,99
HIPPS,B0404,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,59679.33,66378.03,99
HIPPS,B0405,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,47271.89,52577.92,99
HIPPS,B0501,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,24593.18,27353.64,99
HIPPS,B0502,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,30532.0,33959.06,99
HIPPS,B0503,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,34573.24,38453.91,99
HIPPS,B0504,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,41312.42,45949.52,99
HIPPS,B0505,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,58696.73,65285.14,99
HIPPS,B0601,NEUROLOGICAL M >=64.50 ,,,24602.58,27364.09,99
HIPPS,B0602,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,30603.39,34038.46,99
HIPPS,B0603,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,36391.9,40476.7,99
HIPPS,B0604,NEUROLOGICAL M <43.50 ,,,46026.27,51192.48,99
HIPPS,B0701,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,23050.71,25638.03,99
HIPPS,B0702,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,28491.64,31689.69,99
HIPPS,B0703,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,34903.91,38821.69,99
HIPPS,B0704,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,43099.13,47936.79,99
HIPPS,B0801,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,22133.87,24618.28,99
HIPPS,B0802,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,25228.21,28059.95,99
HIPPS,B0803,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,27764.56,30880.99,99
HIPPS,B0804,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,31540.9,35081.2,99
HIPPS,B0805,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,39285.22,43694.78,99
HIPPS,B0901,OTHER ORTHOPEDIC M >=63.50 ,,,23268.65,25880.43,99
HIPPS,B0902,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,29558.79,32876.61,99
HIPPS,B0903,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,35076.76,39013.94,99
HIPPS,B0904,OTHER ORTHOPEDIC M <44.5 ,,,42238.65,46979.73,99
HIPPS,B1001,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,23088.28,25679.83,99
HIPPS,B1002,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,28048.25,31196.53,99
HIPPS,B1003,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,33382.1,37129.07,99
HIPPS,B1004,AMPUTATION LOWER EXTREMITY M <47.50 ,,,44403.0,49387.01,99
HIPPS,B1101,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,25408.57,28260.56,99
HIPPS,B1102,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,29015.82,32272.7,99
HIPPS,B1103,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,36343.05,40422.37,99
HIPPS,B1201,OSTEOARTHRITIS M >=61.50 ,,,24888.15,27681.72,99
HIPPS,B1202,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,29263.82,32548.54,99
HIPPS,B1203,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,39172.49,43569.4,99
HIPPS,B1204,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,40327.94,44854.54,99
HIPPS,B1301,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,23535.43,26177.16,99
HIPPS,B1302,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,28858.01,32097.17,99
HIPPS,B1303,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,33352.04,37095.64,99
HIPPS,B1304,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,43046.53,47878.28,99
HIPPS,B1401,CARDIAC M >=68.50 ,,,20995.33,23351.95,99
HIPPS,B1402,CARDIAC M >=55.50 AND M <68.50 ,,,26746.26,29748.39,99
HIPPS,B1403,CARDIAC M >=45.50 AND M <55.50 ,,,32328.11,35956.77,99
HIPPS,B1404,CARDIAC M <45.50 ,,,40333.57,44860.81,99
HIPPS,B1501,PULMONARY M >=68.50 ,,,24617.61,27380.81,99
HIPPS,B1502,PULMONARY M >=56.50 AND M <68.50 ,,,30101.76,33480.52,99
HIPPS,B1503,PULMONARY M >=45.50 AND M <56.50 ,,,35095.54,39034.84,99
HIPPS,B1504,PULMONARY M <45.50 ,,,44010.34,48950.27,99
HIPPS,B1601,PAIN SYNDROME M >=65.50 ,,,19749.7,21966.5,99
HIPPS,B1602,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,23762.76,26430.01,99
HIPPS,B1603,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,28777.22,32007.31,99
HIPPS,B1701,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,24782.94,27564.7,99
HIPPS,B1702,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,30548.91,33977.86,99
HIPPS,B1703,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,35843.3,39866.52,99
HIPPS,B1704,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,41244.78,45874.3,99
HIPPS,B1801,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,21021.63,23381.2,99
HIPPS,B1802,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,26721.84,29721.23,99
HIPPS,B1803,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,33243.07,36974.44,99
HIPPS,B1804,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,38824.92,43182.81,99
HIPPS,B1901,GUILLAIN-BARRÉ M >=66.50 ,,,25188.76,28016.07,99
HIPPS,B1902,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,36645.53,40758.81,99
HIPPS,B1903,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,51848.59,57668.33,99
HIPPS,B2001,MISCELLANEOUS M >=66.50 ,,,22327.38,24833.51,99
HIPPS,B2002,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,27721.35,30832.93,99
HIPPS,B2003,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,32551.68,36205.44,99
HIPPS,B2004,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,39700.43,44156.6,99
HIPPS,B2005,MISCELLANEOUS M <46.50 AND A <77.50 ,,,41554.78,46219.09,99
HIPPS,B2101,BURNS M >=52.50 ,,,30175.03,33562.02,99
HIPPS,B2102,BURNS M <52.50 ,,,47816.74,53183.92,99
HIPPS,C0101,STROKE M >=72.50 ,,,16131.17,17941.82,99
HIPPS,C0102,STROKE M >=63.50 AND M <72.50 ,,,20531.27,22835.8,99
HIPPS,C0103,STROKE M >=50.50 AND M <63.50 ,,,26357.35,29315.83,99
HIPPS,C0104,STROKE M >=41.50 AND M <50.50 ,,,33663.92,37442.52,99
HIPPS,C0105,STROKE M <41.50 AND A >=84.50 ,,,41953.08,46662.1,99
HIPPS,C0106,STROKE M <41.50 AND A <84.50 ,,,47256.86,52561.21,99
HIPPS,C0201,TRAUMATIC BRAIN INJURY M >=73.50 ,,,15856.87,17636.73,99
HIPPS,C0202,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,20706.0,23030.14,99
HIPPS,C0203,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,25742.99,28632.51,99
HIPPS,C0204,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,31726.9,35288.08,99
HIPPS,C0205,TRAUMATIC BRAIN INJURY M <35.50 ,,,40703.69,45272.47,99
HIPPS,C0301,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,17776.98,19772.36,99
HIPPS,C0302,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,22998.1,25579.52,99
HIPPS,C0303,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,27193.41,30245.73,99
HIPPS,C0304,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,32215.38,35831.39,99
HIPPS,C0401,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,20805.57,23140.89,99
HIPPS,C0402,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,26083.05,29010.74,99
HIPPS,C0403,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,30105.51,33484.7,99
HIPPS,C0404,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,48780.55,54255.92,99
HIPPS,C0405,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,38638.92,42975.94,99
HIPPS,C0501,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,18900.49,21021.97,99
HIPPS,C0502,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,23464.04,26097.76,99
HIPPS,C0503,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,26569.66,29551.97,99
HIPPS,C0504,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,31747.56,35311.07,99
HIPPS,C0505,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,45107.54,50170.64,99
HIPPS,C0601,NEUROLOGICAL M >=64.50 ,,,18633.7,20725.24,99
HIPPS,C0602,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,23178.47,25780.13,99
HIPPS,C0603,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,27561.65,30655.31,99
HIPPS,C0604,NEUROLOGICAL M <43.50 ,,,34856.94,38769.45,99
HIPPS,C0701,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,18428.92,20497.47,99
HIPPS,C0702,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,22780.16,25337.12,99
HIPPS,C0703,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,27907.35,31039.8,99
HIPPS,C0704,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,34460.52,38328.53,99
HIPPS,C0801,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,18641.22,20733.6,99
HIPPS,C0802,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,21248.96,23634.05,99
HIPPS,C0803,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,23385.13,26009.99,99
HIPPS,C0804,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,26565.9,29547.79,99
HIPPS,C0805,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,33087.13,36800.99,99
HIPPS,C0901,OTHER ORTHOPEDIC M >=63.50 ,,,17624.8,19603.1,99
HIPPS,C0902,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,22389.38,24902.47,99
HIPPS,C0903,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,26567.78,29549.88,99
HIPPS,C0904,OTHER ORTHOPEDIC M <44.5 ,,,31993.68,35584.81,99
HIPPS,C1001,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,19184.19,21337.51,99
HIPPS,C1002,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,23306.22,25922.23,99
HIPPS,C1003,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,27738.26,30851.73,99
HIPPS,C1004,AMPUTATION LOWER EXTREMITY M <47.50 ,,,36895.41,41036.73,99
HIPPS,C1101,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,24055.85,26756.0,99
HIPPS,C1102,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,27469.59,30552.91,99
HIPPS,C1103,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,34406.03,38267.93,99
HIPPS,C1201,OSTEOARTHRITIS M >=61.50 ,,,19753.46,21970.68,99
HIPPS,C1202,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,23225.43,25832.37,99
HIPPS,C1203,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,31089.99,34579.69,99
HIPPS,C1204,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,32008.71,35601.53,99
HIPPS,C1301,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,18815.95,20927.94,99
HIPPS,C1302,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,23071.37,25661.02,99
HIPPS,C1303,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,26663.6,29656.45,99
HIPPS,C1304,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,34415.43,38278.38,99
HIPPS,C1401,CARDIAC M >=68.50 ,,,16912.75,18811.12,99
HIPPS,C1402,CARDIAC M >=55.50 AND M <68.50 ,,,21545.81,23964.22,99
HIPPS,C1403,CARDIAC M >=45.50 AND M <55.50 ,,,26041.72,28964.77,99
HIPPS,C1404,CARDIAC M <45.50 ,,,32491.56,36138.57,99
HIPPS,C1501,PULMONARY M >=68.50 ,,,19794.79,22016.65,99
HIPPS,C1502,PULMONARY M >=56.50 AND M <68.50 ,,,24204.28,26921.08,99
HIPPS,C1503,PULMONARY M >=45.50 AND M <56.50 ,,,28219.22,31386.69,99
HIPPS,C1504,PULMONARY M <45.50 ,,,35386.75,39358.74,99
HIPPS,C1601,PAIN SYNDROME M >=65.50 ,,,17698.07,19684.59,99
HIPPS,C1602,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,21295.93,23686.29,99
HIPPS,C1603,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,25789.96,28684.76,99
HIPPS,C1701,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,19633.21,21836.94,99
HIPPS,C1702,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,24200.52,26916.9,99
HIPPS,C1703,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,28395.83,31583.11,99
HIPPS,C1704,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,32675.68,36343.36,99
HIPPS,C1801,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,17198.32,19128.74,99
HIPPS,C1802,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,21861.44,24315.28,99
HIPPS,C1803,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,27195.29,30247.82,99
HIPPS,C1804,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,31762.59,35327.78,99
HIPPS,C1901,GUILLAIN-BARRÉ M >=66.50 ,,,17801.41,19799.52,99
HIPPS,C1902,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,25898.93,28805.96,99
HIPPS,C1903,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,36643.66,40756.72,99
HIPPS,C2001,MISCELLANEOUS M >=66.50 ,,,17906.62,19916.54,99
HIPPS,C2002,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,22231.56,24726.94,99
HIPPS,C2003,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,26105.6,29035.82,99
HIPPS,C2004,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,31837.75,35411.37,99
HIPPS,C2005,MISCELLANEOUS M <46.50 AND A <77.50 ,,,33325.74,37066.38,99
HIPPS,C2101,BURNS M >=52.50 ,,,25369.12,28216.67,99
HIPPS,C2102,BURNS M <52.50 ,,,40200.18,44712.44,99
HIPPS,D0101,STROKE M >=72.50 ,,,14615.0,16255.46,99
HIPPS,D0102,STROKE M >=63.50 AND M <72.50 ,,,18601.77,20689.72,99
HIPPS,D0103,STROKE M >=50.50 AND M <63.50 ,,,23879.25,26559.57,99
HIPPS,D0104,STROKE M >=41.50 AND M <50.50 ,,,30500.06,33923.53,99
HIPPS,D0105,STROKE M <41.50 AND A >=84.50 ,,,38009.53,42275.9,99
HIPPS,D0106,STROKE M <41.50 AND A <84.50 ,,,42815.44,47621.25,99
HIPPS,D0201,TRAUMATIC BRAIN INJURY M >=73.50 ,,,14485.37,16111.27,99
HIPPS,D0202,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,18917.4,21040.78,99
HIPPS,D0203,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,23518.52,26158.36,99
HIPPS,D0204,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,28985.76,32239.27,99
HIPPS,D0205,TRAUMATIC BRAIN INJURY M <35.50 ,,,37186.62,41360.63,99
HIPPS,D0301,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,16574.57,18434.98,99
HIPPS,D0302,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,21440.6,23847.19,99
HIPPS,D0303,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,25352.21,28197.87,99
HIPPS,D0304,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,30032.24,33403.21,99
HIPPS,D0401,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,20258.85,22532.8,99
HIPPS,D0402,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,25397.3,28248.02,99
HIPPS,D0403,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,29312.67,32602.87,99
HIPPS,D0404,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,47497.35,52828.68,99
HIPPS,D0405,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,37622.5,41845.43,99
HIPPS,D0501,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,17583.47,19557.12,99
HIPPS,D0502,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,21827.62,24277.66,99
HIPPS,D0503,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,24717.18,27491.56,99
HIPPS,D0504,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,29534.37,32849.45,99
HIPPS,D0505,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,41964.35,46674.64,99
HIPPS,D0601,NEUROLOGICAL M >=64.50 ,,,17549.65,19519.51,99
HIPPS,D0602,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,21829.5,24279.75,99
HIPPS,D0603,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,25959.05,28872.83,99
HIPPS,D0604,NEUROLOGICAL M <43.50 ,,,32831.62,36516.8,99
HIPPS,D0701,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,17502.68,19467.27,99
HIPPS,D0702,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,21634.11,24062.43,99
HIPPS,D0703,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,26505.78,29480.92,99
HIPPS,D0704,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,32728.29,36401.87,99
HIPPS,D0801,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,16662.87,18533.19,99
HIPPS,D0802,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,18992.55,21124.37,99
HIPPS,D0803,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,20903.27,23249.55,99
HIPPS,D0804,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,23745.86,26411.21,99
HIPPS,D0805,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,29575.7,32895.42,99
HIPPS,D0901,OTHER ORTHOPEDIC M >=63.50 ,,,16649.72,18518.56,99
HIPPS,D0902,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,21149.39,23523.3,99
HIPPS,D0903,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,25096.7,27913.67,99
HIPPS,D0904,OTHER ORTHOPEDIC M <44.5 ,,,30222.0,33614.26,99
HIPPS,D1001,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,17412.5,19366.96,99
HIPPS,D1002,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,21153.14,23527.48,99
HIPPS,D1003,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,25175.6,28001.44,99
HIPPS,D1004,AMPUTATION LOWER EXTREMITY M <47.50 ,,,33487.31,37246.09,99
HIPPS,D1101,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,20702.24,23025.96,99
HIPPS,D1102,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,23638.77,26292.1,99
HIPPS,D1103,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,29609.52,32933.03,99
HIPPS,D1201,OSTEOARTHRITIS M >=61.50 ,,,17652.98,19634.44,99
HIPPS,D1202,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,20754.84,23084.47,99
HIPPS,D1203,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,27783.35,30901.88,99
HIPPS,D1204,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,28604.37,31815.07,99
HIPPS,D1301,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,17239.65,19174.72,99
HIPPS,D1302,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,21139.99,23512.85,99
HIPPS,D1303,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,24431.61,27173.93,99
HIPPS,D1304,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,31533.38,35072.85,99
HIPPS,D1401,CARDIAC M >=68.50 ,,,15637.06,17392.24,99
HIPPS,D1402,CARDIAC M >=55.50 AND M <68.50 ,,,19920.67,22156.66,99
HIPPS,D1403,CARDIAC M >=45.50 AND M <55.50 ,,,24078.4,26781.08,99
HIPPS,D1404,CARDIAC M <45.50 ,,,30043.51,33415.75,99
HIPPS,D1501,PULMONARY M >=68.50 ,,,18537.89,20618.67,99
HIPPS,D1502,PULMONARY M >=56.50 AND M <68.50 ,,,22667.44,25211.74,99
HIPPS,D1503,PULMONARY M >=45.50 AND M <56.50 ,,,26426.87,29393.15,99
HIPPS,D1504,PULMONARY M <45.50 ,,,33139.74,36859.5,99
HIPPS,D1601,PAIN SYNDROME M >=65.50 ,,,16189.42,18006.6,99
HIPPS,D1602,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,19479.15,21665.59,99
HIPPS,D1603,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,23591.8,26239.85,99
HIPPS,D1701,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,18227.89,20273.88,99
HIPPS,D1702,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,22470.17,24992.33,99
HIPPS,D1703,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,26364.87,29324.19,99
HIPPS,D1704,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,30338.48,33743.82,99
HIPPS,D1801,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,15821.18,17597.02,99
HIPPS,D1802,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,20110.42,22367.72,99
HIPPS,D1803,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,25017.79,27825.91,99
HIPPS,D1804,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,29218.73,32498.38,99
HIPPS,D1901,GUILLAIN-BARRÉ M >=66.50 ,,,15475.48,17212.53,99
HIPPS,D1902,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,22515.26,25042.48,99
HIPPS,D1903,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,31856.53,35432.27,99
HIPPS,D2001,MISCELLANEOUS M >=66.50 ,,,16653.47,18522.74,99
HIPPS,D2002,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,20674.06,22994.61,99
HIPPS,D2003,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,24277.55,27002.58,99
HIPPS,D2004,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,29609.52,32933.03,99
HIPPS,D2005,MISCELLANEOUS M <46.50 AND A <77.50 ,,,30992.3,34471.02,99
HIPPS,D2101,BURNS M >=52.50 ,,,19131.58,21279.0,99
HIPPS,D2102,BURNS M <52.50 ,,,30315.94,33718.75,99
ICD,00F3XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,00F3XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,00F4XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,00F4XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,00F5XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,00F5XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,00F6XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,00F6XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,02553ZZ,"Destruction of Atrial Septum, Percutaneous Approach ",,,,,0
ICD,02563ZZ,"Destruction of Right Atrium, Percutaneous Approach ",,,,,0
ICD,02573ZZ,"Destruction of Left Atrium, Percutaneous Approach ",,,,,0
ICD,02583ZZ,"Destruction of Conduction Mechanism, Percutaneous Approach ",,,,,0
ICD,02593ZZ,"Destruction of Chordae Tendineae, Percutaneous Approach ",,,,,0
ICD,025F3ZZ,"Destruction of Aortic Valve, Percutaneous Approach ",,,,,0
ICD,025G3ZZ,"Destruction of Mitral Valve, Percutaneous Approach ",,,,,0
ICD,025H3ZZ,"Destruction of Pulmonary Valve, Percutaneous Approach ",,,,,0
ICD,025J3ZZ,"Destruction of Tricuspid Valve, Percutaneous Approach ",,,,,0
ICD,025K3ZZ,"Destruction of Right Ventricle, Percutaneous Approach ",,,,,0
ICD,025L3ZZ,"Destruction of Left Ventricle, Percutaneous Approach ",,,,,0
ICD,025M3ZZ,"Destruction of Ventricular Septum, Percutaneous Approach ",,,,,0
ICD,02700ZZ,"DILATION OF CORONARY ARTERY, ONE ARTERY, OPEN APPROACH ",,,1096.0,4494.0,2
ICD,02710ZZ,"DILATION OF CORONARY ARTERY, TWO ARTERIES, OPEN APPROACH ",,,1096.0,4494.0,2
ICD,02720ZZ,"DILATION OF CORONARY ARTERY, THREE ARTERIES, OPEN APPROACH ",,,1096.0,4494.0,2
ICD,02730ZZ,"DILATION OF CORONARY ARTERY, FOUR OR MORE ARTERIES, OPEN APPROACH ",,,1096.0,4494.0,2
ICD,02B53ZZ,"Excision of Atrial Septum, Percutaneous Approach ",,,,,0
ICD,02B63ZZ,"Excision of Right Atrium, Percutaneous Approach ",,,,,0
ICD,02B73ZZ,"Excision of Left Atrium, Percutaneous Approach ",,,,,0
ICD,02B83ZZ,"Excision of Conduction Mechanism, Percutaneous Approach ",,,,,0
ICD,02B93ZZ,"Excision of Chordae Tendineae, Percutaneous Approach ",,,,,0
ICD,02BF3ZZ,"Excision of Aortic Valve, Percutaneous Approach ",,,,,0
ICD,02BG3ZZ,"Excision of Mitral Valve, Percutaneous Approach ",,,,,0
ICD,02BH3ZZ,"Excision of Pulmonary Valve, Percutaneous Approach ",,,,,0
ICD,02BJ3ZZ,"Excision of Tricuspid Valve, Percutaneous Approach ",,,,,0
ICD,02BK3ZZ,"Excision of Right Ventricle, Percutaneous Approach ",,,,,0
ICD,02BL3ZZ,"Excision of Left Ventricle, Percutaneous Approach ",,,,,0
ICD,02BM3ZZ,"Excision of Ventricular Septum, Percutaneous Approach ",,,,,0
ICD,02C00ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, OPEN APPROACH ",,,1096.0,4494.0,2
ICD,02C03ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS APPROACH ",,,1096.0,4494.0,2
ICD,02C04ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, ONE ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH ",,,1096.0,4494.0,2
ICD,02C10ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, OPEN APPROACH ",,,1096.0,4494.0,2
ICD,02C13ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS APPROACH ",,,1096.0,4494.0,2
ICD,02C14ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, TWO ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH ",,,1096.0,4494.0,2
ICD,02C20ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, OPEN APPROACH ",,,1096.0,4494.0,2
ICD,02C23ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS APPROACH ",,,1096.0,4494.0,2
ICD,02C24ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, THREE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH ",,,1096.0,4494.0,2
ICD,02C30ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, OPEN APPROACH ",,,1096.0,4494.0,2
ICD,02C33ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS APPROACH ",,,1096.0,4494.0,2
ICD,02C34ZZ,"EXTIRPATION OF MATTER FROM CORONARY ARTERY, FOUR OR MORE ARTERIES, PERCUTANEOUS ENDOSCOPIC APPROACH ",,,1096.0,4494.0,2
ICD,02FNXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,02FNXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,02HA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,12
ICD,02HA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02HA0QZ,"Insertion of Implantable Heart Assist System into Heart, Open Approach ",,,3885.0,116595.0,215
ICD,02HA0QZ,"Insertion of Implantable Heart Assist System into Heart, Open Approach LVAD, VAD, Total Artificial Heart",,,,,0
ICD,02HA0QZ,"Insertion of Implantable Heart Assist System into Heart, Open Approach Services During Implant Phase",,,,,0
ICD,02HA0RS,"Insertion of Biventricular External Heart Assist System into Heart, Open Approach ",,,3885.0,116595.0,215
ICD,02HA0RS,"Insertion of Biventricular External Heart Assist System into Heart, Open Approach Services During Implant Phase",,,,,0
ICD,02HA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02HA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02HA0RZ,"Insertion of External Heart Assist System into Heart, Open Approach ",,,3885.0,116595.0,215
ICD,02HA0RZ,"Insertion of External Heart Assist System into Heart, Open Approach Services During Implant Phase",,,,,0
ICD,02HA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,12
ICD,02HA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02HA3QZ,"Insertion of Implantable Heart Assist System into Heart, Percutaneous Approach ",,,3885.0,116595.0,215
ICD,02HA3QZ,"Insertion of Implantable Heart Assist System into Heart, Percutaneous Approach Services During Implant Phase",,,,,0
ICD,02HA3RS,"Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Approach ",,,3885.0,116595.0,215
ICD,02HA3RS,"Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Approach Services During Implant Phase",,,,,0
ICD,02HA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02HA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02HA3RZ,"Insertion of External Heart Assist System into Heart, Percutaneous Approach LVAD, VAD, Total Artificial Heart",,,,,0
ICD,02HA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,12
ICD,02HA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02HA4QZ,"Insertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach ",,,3885.0,116595.0,215
ICD,02HA4QZ,"Insertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach Services During Implant Phase",,,,,0
ICD,02HA4RS,"Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Endoscopic Approach ",,,3885.0,116595.0,215
ICD,02HA4RS,"Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Endoscopic Approach Services During Implant Phase",,,,,0
ICD,02HA4RZ,"Insertion of External Heart Assist System into Heart, Percutaneous Endoscopic Approach ",,,3885.0,116595.0,215
ICD,02HA4RZ,"Insertion of External Heart Assist System into Heart, Percutaneous Endoscopic Approach Services During Implant Phase",,,,,0
ICD,02K80ZZ,"Map Conduction Mechanism, Open Approach ",,,,,0
ICD,02K83ZZ,"Map Conduction Mechanism, Percutaneous Approach ",,,,,0
ICD,02K84ZZ,"Map Conduction Mechanism, Percutaneous Endoscopic Approach ",,,,,0
ICD,02PA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02PA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02PA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02PA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02PA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02PA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02RK0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02RK0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02RL0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02RL0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02T83ZZ,"Resection of Conduction Mechanism, Percutaneous Approach ",,,,,0
ICD,02WA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02WA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02WA0QZ,"Revision of Implantable Heart Assist System in Heart, Open Approach ",,,3885.0,116595.0,215
ICD,02WA0QZ,"Revision of Implantable Heart Assist System in Heart, Open Approach Services During Implant Phase",,,,,0
ICD,02WA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02WA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02WA0RZ,"Revision of External Heart Assist System in Heart, Open Approach ",,,3885.0,116595.0,215
ICD,02WA0RZ,"Revision of External Heart Assist System in Heart, Open Approach Services During Implant Phase",,,,,0
ICD,02WA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02WA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02WA3QZ,"Revision of Implantable Heart Assist System in Heart, Percutaneous Approach ",,,3885.0,116595.0,215
ICD,02WA3QZ,"Revision of Implantable Heart Assist System in Heart, Percutaneous Approach Services During Implant Phase",,,,,0
ICD,02WA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02WA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02WA3RZ,"Revision of External Heart Assist System in Heart, Percutaneous Approach ",,,3885.0,116595.0,215
ICD,02WA3RZ,"Revision of External Heart Assist System in Heart, Percutaneous Approach Services During Implant Phase",,,,,0
ICD,02WA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02WA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02WA4QZ,"Revision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic Approach ",,,3885.0,116595.0,215
ICD,02WA4QZ,"Revision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic Approach Services During Implant Phase",,,,,0
ICD,02WA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,4294.0,554970.0,6
ICD,02WA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,4294.0,554970.0,6
ICD,02WA4RZ,"Revision of External Heart Assist System in Heart, Percutaneous Endoscopic Approach ",,,3885.0,116595.0,215
ICD,02WA4RZ,"Revision of External Heart Assist System in Heart, Percutaneous Endoscopic Approach Services During Implant Phase",,,,,0
ICD,02YA0Z0,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Phase 3,,,252014.16,252014.16,1
ICD,02YA0Z0,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Phase 3,,,103562.2,103562.2,1
ICD,02YA0Z0,KIDNEY TRANSPLANT Multi Kidney Heart,,,,,0
ICD,02YA0Z0,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Multi Kidney Heart,,,,,0
ICD,02YA0Z0,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Multi Kidney Heart,,,,,0
ICD,02YA0Z0,"Transplantation of Heart, Allogeneic, Open Approach ",,,3885.0,304500.0,366
ICD,02YA0Z0,"Transplantation of Heart, Allogeneic, Open Approach Services During Implant Phase",,,,,0
ICD,02YA0Z0,"Transplantation of Heart, Allogeneic, Open Approach Zone 1",,,17488.0,17488.0,1
ICD,02YA0Z1,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Phase 3,,,252014.16,252014.16,1
ICD,02YA0Z1,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Phase 3,,,103562.2,103562.2,1
ICD,02YA0Z1,KIDNEY TRANSPLANT Multi Kidney Heart,,,,,0
ICD,02YA0Z1,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Multi Kidney Heart,,,,,0
ICD,02YA0Z1,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Multi Kidney Heart,,,,,0
ICD,02YA0Z1,"Transplantation of Heart, Syngeneic, Open Approach ",,,3885.0,304500.0,366
ICD,02YA0Z1,"Transplantation of Heart, Syngeneic, Open Approach Services During Implant Phase",,,,,0
ICD,02YA0Z1,"Transplantation of Heart, Syngeneic, Open Approach Zone 1",,,17488.0,17488.0,1
ICD,02YA0Z2,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Phase 3,,,252014.16,252014.16,1
ICD,02YA0Z2,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Phase 3,,,103562.2,103562.2,1
ICD,02YA0Z2,KIDNEY TRANSPLANT Multi Kidney Heart,,,,,0
ICD,02YA0Z2,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Multi Kidney Heart,,,,,0
ICD,02YA0Z2,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Multi Kidney Heart,,,,,0
ICD,02YA0Z2,"Transplantation of Heart, Zooplastic, Open Approach ",,,3885.0,304500.0,366
ICD,02YA0Z2,"Transplantation of Heart, Zooplastic, Open Approach Services During Implant Phase",,,,,0
ICD,02YA0Z2,"Transplantation of Heart, Zooplastic, Open Approach Zone 1",,,17488.0,17488.0,1
ICD,08F4XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,08F4XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,08F5XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,08F5XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF1XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF1XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF2XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF2XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF3XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF3XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF4XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF4XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF5XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF5XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF6XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF6XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF7XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF7XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF8XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF8XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BF9XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BF9XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0BFBXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0BFBXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0CFBXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0CFBXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0CFCXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0CFCXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,26000.0,6
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0D767DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,6
ICD,0D767ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,6
ICD,0D768DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,6
ICD,0D768ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,6
ICD,0DB60Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,6
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DF5XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DF5XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DF6XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DF6XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DF8XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DF8XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DF9XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DF9XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFAXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFAXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFBXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFBXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFEXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFEXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFFXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFFXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFGXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFGXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFHXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFHXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFJXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFJXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFKXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFKXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFLXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFLXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFMXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFMXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFNXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFNXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFPXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFPXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DFQXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0DFQXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DH67DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,6
ICD,0DH68DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,6
ICD,0DL60CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,6
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,0FF4XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0FF4XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0FF5XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0FF5XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0FF6XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0FF6XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0FF8XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0FF8XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0FF9XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0FF9XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0FFCXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0FFCXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0FFDXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0FFDXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0FFFXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0FFFXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0FYG0Z0,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0FYG0Z1,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0FYG0Z2,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0TF3XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0TF3XZZ,"Fragmentation in Right Kidney Pelvis, External Approach ",,,1096.0,3933.0,2
ICD,0TF3XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0TF3XZZ,URINARY STONES WITH MCC ,,,4151.0,16846.0,6
ICD,0TF3XZZ,URINARY STONES WITHOUT MCC ,,,4151.0,14280.0,6
ICD,0TF4XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0TF4XZZ,"Fragmentation in Left Kidney Pelvis, External Approach ",,,1096.0,3933.0,2
ICD,0TF4XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0TF4XZZ,URINARY STONES WITH MCC ,,,4151.0,16846.0,6
ICD,0TF4XZZ,URINARY STONES WITHOUT MCC ,,,4151.0,14280.0,6
ICD,0TF6XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0TF6XZZ,"Fragmentation in Right Ureter, External Approach ",,,1096.0,3933.0,2
ICD,0TF6XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0TF6XZZ,URINARY STONES WITH MCC ,,,4151.0,16846.0,6
ICD,0TF6XZZ,URINARY STONES WITHOUT MCC ,,,4151.0,14280.0,6
ICD,0TF7XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0TF7XZZ,"Fragmentation in Left Ureter, External Approach ",,,1096.0,3933.0,2
ICD,0TF7XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0TF7XZZ,URINARY STONES WITH MCC ,,,4151.0,16846.0,6
ICD,0TF7XZZ,URINARY STONES WITHOUT MCC ,,,4151.0,14280.0,6
ICD,0TFBXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0TFBXZZ,"Fragmentation in Bladder, External Approach ",,,1096.0,3933.0,2
ICD,0TFBXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0TFBXZZ,URINARY STONES WITH MCC ,,,4151.0,16846.0,6
ICD,0TFBXZZ,URINARY STONES WITHOUT MCC ,,,4151.0,14280.0,6
ICD,0TFCXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0TFCXZZ,"Fragmentation in Bladder Neck, External Approach ",,,1096.0,3933.0,2
ICD,0TFCXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0TFCXZZ,URINARY STONES WITH MCC ,,,4151.0,16846.0,6
ICD,0TFCXZZ,URINARY STONES WITHOUT MCC ,,,4151.0,14280.0,6
ICD,0TFDXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0TFDXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0TY00Z0,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0TY00Z1,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0TY00Z2,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0TY10Z0,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0TY10Z1,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0TY10Z2,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,0UF5XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0UF5XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0UF6XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0UF6XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0UF7XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0UF7XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0UF9XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0UF9XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WF1XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WF1XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WF3XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WF3XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WF9XZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WF9XZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WFBXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WFBXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WFCXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WFCXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WFGXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WFGXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WFJXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WFJXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WFPXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WFPXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WFQXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WFQXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WFRXZZ,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2905.0,2905.0,5
ICD,0WFRXZZ,"Fragmentation in Genitourinary Tract, External Approach ",,,1096.0,3933.0,2
ICD,0WFRXZZ,"Lithotripsy, extracorporeal shock wave ",,,2905.0,2905.0,5
ICD,0WFRXZZ,URINARY STONES WITH MCC ,,,4151.0,16846.0,6
ICD,0WFRXZZ,URINARY STONES WITHOUT MCC ,,,4151.0,14280.0,6
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,4575.0,352753.0,8
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 an",,,4575.0,4575.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Reduced Intensity",,,,,0
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,4575.0,352753.0,8
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Reduced Intensity",,,,,0
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,4575.0,352753.0,6
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,212688.0,72
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,4575.0,236778.0,3
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,,,0
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,4575.0,352753.0,6
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,212688.0,72
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,232617.0,76
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,4200.0,71
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,4575.0,236778.0,3
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,297675.0,72
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,315000.0,76
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,,,0
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,4575.0,352753.0,8
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,,,0
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,4575.0,352753.0,6
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,212688.0,72
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Double Cord Blood",,,278250.0,278250.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,4575.0,236778.0,3
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Double Cord Blood",,,278250.0,278250.0,1
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,,,0
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30230X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,4575.0,352753.0,8
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,,,0
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,4575.0,352753.0,6
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,212688.0,72
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,4575.0,236778.0,3
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,,,0
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Z",,,4575.0,4575.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,352753.0,6
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,212688.0,72
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,236778.0,3
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,,,0
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,4575.0,352753.0,6
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,212688.0,72
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and",,,4575.0,4575.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,232617.0,76
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,4200.0,71
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,4575.0,236778.0,3
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,297675.0,72
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,315000.0,76
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,352753.0,6
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,212688.0,72
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,278250.0,278250.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,236778.0,3
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,278250.0,278250.0,1
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,,,0
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30233X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,352753.0,6
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,212688.0,72
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,236778.0,3
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,,,0
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,4575.0,352753.0,8
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and O",,,4575.0,4575.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Reduced Intensity",,,,,0
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,4575.0,352753.0,8
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Reduced Intensity",,,,,0
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,4575.0,352753.0,6
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,212688.0,72
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,4575.0,236778.0,3
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,,,0
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,4575.0,352753.0,6
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,212688.0,72
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,232617.0,76
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,4200.0,71
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,4575.0,236778.0,3
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,297675.0,72
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,315000.0,76
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,,,0
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,4575.0,352753.0,8
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Reduced Intensity",,,,,0
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,4575.0,352753.0,6
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,212688.0,72
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Double Cord Blood",,,278250.0,278250.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,4575.0,236778.0,3
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Double Cord Blood",,,278250.0,278250.0,1
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,,,0
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30240X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,4575.0,352753.0,8
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,,,0
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,4575.0,352753.0,6
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,212688.0,72
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,4575.0,236778.0,3
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,,,0
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone",,,4575.0,4575.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,352753.0,6
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,212688.0,72
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,236778.0,3
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,,,0
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,4575.0,352753.0,6
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,212688.0,72
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Ou",,,4575.0,4575.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,232617.0,76
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,4200.0,71
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,4575.0,236778.0,3
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,297675.0,72
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,315000.0,76
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,352753.0,6
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,212688.0,72
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,278250.0,278250.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,236778.0,3
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,278250.0,278250.0,1
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,,,0
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30243X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,352753.0,6
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,212688.0,72
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1",,,9664.0,9664.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related MisMatched BMT Zone 1 - Pediatric",,,12082.0,12082.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT",,,4575.0,4575.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT - Pediatric",,,4575.0,4575.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3",,,236778.0,236778.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Related Mismatched BMT Zone 3 - Pediatric",,,261206.0,261206.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,232617.0,76
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,4575.0,236778.0,3
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,315000.0,76
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,,,0
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,4575.0,352753.0,8
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Reduced Intensity",,,,,0
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,4575.0,352753.0,8
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Reduced Intensity",,,,,0
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,4575.0,352753.0,8
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Reduced Intensity",,,,,0
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,4575.0,352753.0,8
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Reduced Intensity",,,,,0
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,4575.0,352753.0,8
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Reduced Intensity",,,,,0
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,4575.0,352753.0,8
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,231949.0,78
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Reduced Intensity",,,,,0
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,4575.0,352753.0,8
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,162750.0,72
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,231949.0,78
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Reduced Intensity",,,,,0
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,244860.0,244860.0,1
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Double Cord Blood",,,278250.0,278250.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,4575.0,352753.0,8
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous BMT Zone 1 Pediatric",,,8053.0,8053.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 2, Zone 4 and Outlier",,,4575.0,4575.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  Matched Tandem BMT Zone 3",,,325369.0,325369.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/ Allogeneic Related & Unrelated  MisMatched Tandem BMT Zone 1",,,9664.0,9664.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/ Autologous Tandem BMT Zone 1",,,6444.0,6444.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,231949.0,78
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Reduced Intensity",,,,,0
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous Allogeneic Related Pediatric",,,312197.0,312197.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous Allogeneic Unrelated Pediatric",,,363283.0,363283.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous Autologous",,,217035.0,217035.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous Autologous Pediatric",,,238739.0,238739.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous-Allogeneic Related",,,283815.0,283815.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous-Allogeneic Unrelated",,,317205.0,317205.0,1
ICD,3E053KZ,"Introduction of Other Diagnostic Substance into Peripheral Artery, Percutaneous Approach ",,,,,0
ICD,3E063KZ,"Introduction of Other Diagnostic Substance into Central Artery, Percutaneous Approach ",,,,,0
ICD,3E07017,"Introduction of Other Thrombolytic into Coronary Artery, Open Approach ",,,1096.0,4494.0,2
ICD,3E070PZ,"Introduction of Platelet Inhibitor into Coronary Artery, Open Approach ",,,1096.0,4494.0,2
ICD,3E07317,"Introduction of Other Thrombolytic into Coronary Artery, Percutaneous Approach ",,,1096.0,4494.0,2
ICD,3E073PZ,"Introduction of Platelet Inhibitor into Coronary Artery, Percutaneous Approach ",,,1096.0,4494.0,2
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3000.0,26000.0,6
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3000.0,26000.0,6
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3000.0,32500.0,12
ICD,4A020N6,"Measurement of Cardiac Sampling and Pressure, Right Heart, Open Approach ",,,1096.0,3483.0,2
ICD,4A020N7,"Measurement of Cardiac Sampling and Pressure, Left Heart, Open Approach ",,,1096.0,3483.0,2
ICD,4A020N8,Endomyocardial biopsy ,6008.46,6008.46,3300.0,3300.0,1
ICD,4A020N8,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",12869.44,12869.44,3300.0,3300.0,1
ICD,4A020N8,"Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach ",,,1096.0,3483.0,2
ICD,4A023FZ,"Measurement of Cardiac Rhythm, Percutaneous Approach ",,,,,0
ICD,4A023N6,"Measurement of Cardiac Sampling and Pressure, Right Heart, Percutaneous Approach ",,,1096.0,3483.0,2
ICD,4A023N7,"Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach ",,,1096.0,3483.0,2
ICD,4A023N8,Endomyocardial biopsy ,6008.46,6008.46,3300.0,3300.0,1
ICD,4A023N8,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",12869.44,12869.44,3300.0,3300.0,1
ICD,4A023N8,"Measurement of Cardiac Sampling and Pressure, Bilateral, Percutaneous Approach ",,,1096.0,3483.0,2
ICD,5A1D70Z,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,5A1D80Z,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,5A1D90Z,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,197895.0,197895.0,1
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3213.0,5852.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3213.0,5852.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3213.0,5852.0,3
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,455.0,554970.0,624
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Additional Cycles,,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC First Cycle,,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Multi Kidney-Heart,,,325553.0,325553.0,1
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC MultiOrgan,,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Pediatric,,,596040.33,842426.46,6
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Phase 3,,,252014.16,252014.16,3
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Retransplant,,,70000.0,73500.0,2
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Tandem,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,455.0,554970.0,606
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Additional Cycles,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC First Cycle,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Multi Kidney-Heart,,,325553.0,325553.0,1
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC MultiOrgan,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Phase 3,,,103562.2,103562.2,3
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Retransplant,,,70000.0,73500.0,2
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Tandem,,,,,0
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH ",,,455.0,448717.22,411
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH Non-Transplant Related Services",,,,,0
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH Pediatric",,,451438.78,638050.74,6
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC ",,,455.0,281335.07,450
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC Non-Transplant Related Services",,,,,0
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC Pediatric",,,226518.12,416386.94,12
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT ,,,455.0,296400.0,597
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Additional Cycles,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT First Cycle,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Liver/Kidney,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT MultiOrgan,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Non-Transplant Related Services,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Retransplant,,,62016.0,65117.0,2
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Tandem,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC ,,,455.0,296400.0,597
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Additional Cycles,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC First Cycle,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Liver/Kidney,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC MultiOrgan,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Retransplant,,,62016.0,65117.0,2
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Tandem,,,,,0
MS-DRG,007,LUNG TRANSPLANT ,,,455.0,320115.99,497
MS-DRG,007,LUNG TRANSPLANT Additional Cycles,,,,,0
MS-DRG,007,LUNG TRANSPLANT First Cycle,,,,,0
MS-DRG,007,LUNG TRANSPLANT MultiOrgan,,,,,0
MS-DRG,007,LUNG TRANSPLANT Non-Transplant Related Services,,,,,0
MS-DRG,007,LUNG TRANSPLANT Tandem,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT ,,,455.0,138540.11,496
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT Additional Cycles,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT First Cycle,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT MultiOrgan,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT Non-Transplant Related Services,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT Tandem,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT ,,,455.0,218400.0,599
MS-DRG,010,PANCREAS TRANSPLANT Additional Cycles,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT First Cycle,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT MultiOrgan,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT Non-Transplant Related Services,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT Retransplant,,,70152.0,73660.0,2
MS-DRG,010,PANCREAS TRANSPLANT Tandem,,,,,0
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC ",,,455.0,156069.07,451
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC Pediatric",,,85205.14,163955.7,12
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC ",,,455.0,120640.84,451
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC Pediatric",,,64491.11,126737.18,12
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC ",,,455.0,82462.71,451
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC Pediatric",,,46655.64,86629.79,12
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT ,,,455.0,297070.47,516
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Additional Cycles,,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT First Cycle,,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT MultiOrgan,,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Non-Transplant Related Services,,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Other Phases,,,91386.71,91386.71,1
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Phase 3,,,251313.45,251313.45,1
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Tandem,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC ,,,455.0,146576.25,494
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Additional Cycles,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC First Cycle,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC MultiOrgan,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Tandem,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC ,,,455.0,134281.02,497
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Additional Cycles,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC First Cycle,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC MultiOrgan,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Other Phases,,,42578.93,42578.93,1
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Phase 3,,,191605.18,191605.18,1
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Tandem,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,455.0,609957.05,486
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Additional Cycles,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES First Cycle,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES MultiOrgan,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Non-Transplant Related Services,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Tandem,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,455.0,230948.0,582
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS Additional Cycles,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS First Cycle,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS MultiOrgan,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS Non-Transplant Related Services,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS Tandem,,,,,0
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC ,,,455.0,225165.71,451
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC Pediatric,,,153467.24,236544.0,12
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC ,,,455.0,224331.0,451
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Pediatric,,,111994.64,159136.92,12
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ ,,,455.0,224331.0,451
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ Non-Transplant Related Services,,,,,0
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ Pediatric,,,67580.12,98040.1,12
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,455.0,223223.0,451
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Non-Transplant Related Services,,,,,0
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Pediatric,,,94545.17,172258.55,12
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,455.0,215986.0,451
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Non-Transplant Related Services,,,,,0
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Pediatric,,,65139.4,117595.63,12
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC ,,,455.0,175279.83,451
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Pediatric,,,96703.76,136678.35,6
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC ,,,455.0,119862.77,451
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Pediatric,,,66129.57,93465.66,6
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,455.0,97260.32,451
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Pediatric,,,53659.56,75840.9,6
MS-DRG,028,SPINAL PROCEDURES WITH MCC ,,,455.0,171927.5,451
MS-DRG,028,SPINAL PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,028,SPINAL PROCEDURES WITH MCC Pediatric,,,96955.24,180615.51,12
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS ,,,455.0,98860.92,451
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS Non-Transplant Related Services,,,,,0
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS Pediatric,,,72561.32,102556.11,6
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC ,,,455.0,65142.0,451
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC Pediatric,,,38620.44,65989.91,12
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC ,,,455.0,128209.51,451
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC Pediatric,,,67980.02,134688.31,12
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC ,,,455.0,60978.56,451
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC Pediatric,,,33891.03,64059.99,12
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC ,,,455.0,54641.0,451
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC Pediatric,,,28018.46,49988.44,12
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC ,,,455.0,110760.08,451
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC Pediatric,,,65974.1,116357.11,12
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC ,,,455.0,70489.0,451
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC Pediatric,,,37673.56,71860.82,12
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC ,,,455.0,70489.0,451
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Pediatric,,,31024.03,58402.51,12
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC ,,,455.0,94203.44,451
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC Pediatric,,,55641.01,98963.82,12
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC ,,,455.0,46430.7,451
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC Pediatric,,,26979.21,48776.98,12
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,455.0,39074.0,451
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC Pediatric,,,19014.94,35336.71,12
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC ",,,455.0,131460.0,451
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC Pediatric",,,82123.86,116071.53,6
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE ",,,455.0,125524.0,451
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE Non-Transplant Related Services",,,,,0
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE Pediatric",,,46764.15,66095.12,6
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC ",,,455.0,125524.0,451
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC Pediatric",,,36746.45,51936.39,6
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC ,,,455.0,44773.52,451
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC Pediatric,,,29367.83,54449.49,12
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC ,,,455.0,24204.84,451
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC Pediatric,,,16872.11,29435.73,12
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC ,,,455.0,46367.37,451
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC Pediatric,,,32475.64,45900.14,6
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC ,,,455.0,30962.19,451
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC Pediatric,,,21685.87,30650.2,6
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC ,,,455.0,57424.71,451
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC Pediatric,,,36799.28,69834.71,12
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC ,,,455.0,32025.94,451
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Pediatric,,,21469.54,38947.03,12
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC ,,,455.0,42257.13,451
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC Pediatric,,,28460.55,51389.28,12
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC ,,,455.0,30673.81,451
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC Pediatric,,,18863.18,37302.69,12
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC ,,,455.0,22736.54,451
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC Pediatric,,,14950.32,27650.11,12
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,455.0,68152.75,451
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Non-Transplant Related Services",,,,,0
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Pediatric",,,48376.17,82881.18,12
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,455.0,43436.23,451
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Non-Transplant Related Services",,,,,0
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Pediatric",,,31626.13,52823.19,12
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,455.0,35046.03,451
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Non-Transplant Related Services",,,,,0
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Pediatric",,,26080.18,42199.63,12
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC ,,,455.0,49709.91,451
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC Pediatric,,,32530.11,60452.67,12
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS ,,,455.0,24973.61,451
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Non-Transplant Related Services,,,,,0
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Pediatric,,,16766.53,30370.63,12
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC ,,,455.0,16917.68,451
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC Pediatric,,,11522.46,20573.75,12
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC ,,,455.0,36304.8,451
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC Pediatric,,,23326.99,44150.59,12
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC ,,,455.0,21367.1,451
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC Pediatric,,,14907.44,25984.73,12
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC ,,,455.0,19745.54,451
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC Non-Transplant Related Services,,,,,0
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC Pediatric,,,13162.16,24012.73,12
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC ,,,455.0,41152.19,451
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC Pediatric,,,28442.4,50045.55,12
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC ,,,455.0,25361.69,451
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC Pediatric,,,17634.22,30842.59,12
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC ,,,455.0,18692.51,451
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC Pediatric,,,12734.91,22732.13,12
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC ,,,455.0,39656.69,451
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Pediatric,,,24732.45,48226.86,12
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC ,,,455.0,25480.35,451
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC Pediatric,,,16885.31,30986.88,12
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC ,,,455.0,47398.68,451
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC Pediatric,,,30105.2,57641.97,12
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC ,,,455.0,21885.48,451
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC Pediatric,,,16286.5,24806.34,12
MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC ,,,24026.11,34673.62,6
MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC Pediatric,,,25803.04,35185.11,6
MS-DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC ,,,15249.41,22007.4,6
MS-DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC Pediatric,,,16377.23,22332.04,6
MS-DRG,079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC ,,,11272.7,16268.36,6
MS-DRG,079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC Pediatric,,,12106.41,16508.35,6
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC ,,,455.0,45216.25,451
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC Pediatric,,,33648.54,54410.41,12
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC ,,,455.0,22138.34,451
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC Pediatric,,,14821.66,26922.63,12
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC ,,,455.0,51649.99,418
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC Pediatric,,,37368.39,68707.42,12
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC ,,,455.0,43061.0,418
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC Pediatric,,,22239.91,41959.14,12
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC ,,,455.0,43061.0,418
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC Pediatric,,,15118.58,28732.3,12
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC ,,,455.0,51775.46,418
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC Pediatric,,,38529.71,68295.59,12
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC ,,,455.0,34782.0,418
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC Pediatric,,,21439.85,39160.46,12
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC ,,,455.0,33494.0,418
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC Pediatric,,,14391.11,27496.8,12
MS-DRG,088,CONCUSSION WITH MCC ,,,455.0,34941.84,451
MS-DRG,088,CONCUSSION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,088,CONCUSSION WITH MCC Pediatric,,,26002.64,40636.46,12
MS-DRG,089,CONCUSSION WITH CC ,,,455.0,27156.29,451
MS-DRG,089,CONCUSSION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,089,CONCUSSION WITH CC Pediatric,,,19262.38,33025.01,12
MS-DRG,090,CONCUSSION WITHOUT CC/MCC ,,,455.0,20348.68,451
MS-DRG,090,CONCUSSION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,090,CONCUSSION WITHOUT CC/MCC Pediatric,,,13577.86,24746.22,12
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC ,,,455.0,43411.51,451
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC Pediatric,,,28495.19,52793.13,12
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC ,,,455.0,25287.54,451
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC Pediatric,,,16401.97,30752.4,12
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,455.0,19683.74,451
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC Pediatric,,,12616.14,23937.57,12
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC ,,,455.0,86996.05,451
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC Pediatric,,,58948.46,105796.68,12
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC ,,,455.0,63755.24,451
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC Pediatric,,,42176.97,77533.33,12
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,455.0,63755.24,451
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC Pediatric,,,37681.81,77533.33,12
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC ,,,455.0,89280.08,451
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC Pediatric,,,64139.75,108574.32,12
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC ,,,455.0,56727.63,451
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC Pediatric,,,34380.96,68986.99,12
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC ,,,455.0,33677.17,451
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC Pediatric,,,23069.66,40955.11,12
MS-DRG,100,SEIZURES WITH MCC ,,,455.0,47875.76,451
MS-DRG,100,SEIZURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,100,SEIZURES WITH MCC Pediatric,,,31688.82,58222.14,12
MS-DRG,101,SEIZURES WITHOUT MCC ,,,455.0,22311.37,451
MS-DRG,101,SEIZURES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,101,SEIZURES WITHOUT MCC Pediatric,,,14871.14,27133.06,12
MS-DRG,102,HEADACHES WITH MCC ,,,455.0,27707.53,451
MS-DRG,102,HEADACHES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,102,HEADACHES WITH MCC Pediatric,,,18968.75,33695.37,12
MS-DRG,103,HEADACHES WITHOUT MCC ,,,455.0,20672.5,451
MS-DRG,103,HEADACHES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,103,HEADACHES WITHOUT MCC Pediatric,,,13732.92,25140.01,12
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC ,,,455.0,67276.73,451
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC Pediatric,,,37038.47,70676.42,12
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,455.0,38716.1,451
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC Pediatric,,,21490.99,40672.53,12
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,455.0,43921.16,451
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT Non-Transplant Related Services,,,,,0
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT Pediatric,,,25059.07,46140.63,12
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,455.0,51738.78,451
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC Pediatric,,,31119.7,54353.29,12
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,455.0,31044.41,451
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC Pediatric,,,16377.23,32613.18,12
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,455.0,28755.61,451
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Pediatric,,,20212.55,34969.96,12
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,455.0,19424.19,451
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Pediatric,,,11395.44,23621.93,12
MS-DRG,123,NEUROLOGICAL EYE DISORDERS ,,,455.0,19740.59,451
MS-DRG,123,NEUROLOGICAL EYE DISORDERS Non-Transplant Related Services,,,,,0
MS-DRG,123,NEUROLOGICAL EYE DISORDERS Pediatric,,,13094.52,24006.71,12
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,455.0,32705.71,451
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Non-Transplant Related Services,,,,,0
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Pediatric,,,23105.95,39773.71,12
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,455.0,19110.17,451
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC Pediatric,,,14221.2,23080.84,12
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,455.0,62094.55,451
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC Pediatric,,,40426.75,65232.37,12
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,455.0,29052.81,451
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC Pediatric,,,19140.31,30520.93,12
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC ,,,455.0,42727.92,451
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC Pediatric,,,24737.4,44887.09,12
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC ,,,455.0,25358.61,451
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC Pediatric,,,14587.41,26640.06,12
MS-DRG,139,SALIVARY GLAND PROCEDURES ,,,455.0,35359.56,451
MS-DRG,139,SALIVARY GLAND PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,139,SALIVARY GLAND PROCEDURES Pediatric,,,20743.72,37146.38,12
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,455.0,122051.56,451
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC Pediatric,,,68562.32,128219.18,12
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,455.0,62412.18,451
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC Pediatric,,,36828.97,65566.05,12
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,455.0,49225.08,451
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC Pediatric,,,33953.83,47989.38,6
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,455.0,107208.96,451
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC Pediatric",,,52335.21,112626.54,12
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,455.0,49586.93,451
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC Pediatric",,,29846.21,52092.71,12
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,455.0,34403.81,451
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC Pediatric",,,19923.87,36142.34,12
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,455.0,54788.25,451
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC Pediatric",,,45034.98,63651.16,6
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,455.0,32943.13,451
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC Pediatric",,,27043.53,38222.56,6
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,455.0,22239.54,451
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC Pediatric",,,16953.52,23961.62,6
MS-DRG,149,DYSEQUILIBRIUM ,,,455.0,18578.8,451
MS-DRG,149,DYSEQUILIBRIUM Non-Transplant Related Services,,,,,0
MS-DRG,149,DYSEQUILIBRIUM Pediatric,,,12454.48,22593.85,12
MS-DRG,150,EPISTAXIS WITH MCC ,,,455.0,32913.35,451
MS-DRG,150,EPISTAXIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,150,EPISTAXIS WITH MCC Pediatric,,,22752.93,40026.22,12
MS-DRG,151,EPISTAXIS WITHOUT MCC ,,,455.0,18143.75,451
MS-DRG,151,EPISTAXIS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,151,EPISTAXIS WITHOUT MCC Pediatric,,,12718.42,22064.77,12
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC ,,,455.0,29222.8,451
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC Pediatric,,,19757.26,35538.11,12
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC ,,,455.0,18247.57,451
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC Pediatric,,,11390.49,22191.03,12
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,455.0,38648.16,451
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC Pediatric",,,24791.84,47000.37,12
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,455.0,22654.96,451
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC Pediatric",,,15164.77,27550.91,12
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,455.0,17083.3,451
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC Pediatric",,,11245.32,20775.16,12
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC ,,,455.0,42437.58,451
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC Pediatric,,,27578.01,51608.72,12
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC ,,,455.0,22489.35,451
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC Pediatric,,,15326.43,27349.5,12
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,455.0,17513.41,451
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC Pediatric,,,12370.35,21298.22,12
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC ,,,455.0,128246.71,451
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC Pediatric,,,79901.68,134727.39,12
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC ,,,455.0,72224.26,451
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC Pediatric,,,42604.22,75873.96,12
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,455.0,54774.83,451
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC Pediatric,,,31786.14,57542.77,12
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,455.0,106954.29,451
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC Pediatric,,,60471.04,112359.0,12
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,455.0,51604.29,451
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC Pediatric,,,31360.55,54212.01,12
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,39099.54,451
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,23384.73,41075.35,12
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,455.0,85169.69,445
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY Non-Transplant Related Services,,,,,0
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY Pediatric,,,63305.05,89473.56,6
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,455.0,33954.02,451
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE Non-Transplant Related Services,,,,,0
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE Pediatric,,,23041.61,41291.79,12
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC ,,,455.0,19898.8,451
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC Pediatric,,,13487.13,24199.11,12
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,455.0,38628.38,457
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC Pediatric,,,29361.23,46976.32,12
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,455.0,24125.74,451
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC Pediatric,,,17931.15,29339.54,12
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,455.0,18662.85,451
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC Pediatric,,,12955.96,22696.06,12
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC ,,,455.0,53628.12,451
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC Pediatric,,,37561.05,53087.73,6
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC ,,,455.0,32523.06,451
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC Pediatric,,,22779.1,32195.33,6
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,455.0,24140.89,451
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC Pediatric,,,16032.57,22659.98,6
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC ,,,455.0,37817.6,418
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC Pediatric,,,24780.29,45990.32,12
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC ,,,455.0,26303.49,418
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC Pediatric,,,17241.62,31987.91,12
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,455.0,19441.49,418
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC Pediatric,,,12454.48,23642.98,12
MS-DRG,186,PLEURAL EFFUSION WITH MCC ,,,455.0,38524.56,451
MS-DRG,186,PLEURAL EFFUSION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,186,PLEURAL EFFUSION WITH MCC Pediatric,,,25186.09,46850.07,12
MS-DRG,187,PLEURAL EFFUSION WITH CC ,,,455.0,24449.56,451
MS-DRG,187,PLEURAL EFFUSION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,187,PLEURAL EFFUSION WITH CC Pediatric,,,17253.17,29733.34,12
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC ,,,455.0,17728.47,451
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC Pediatric,,,11943.1,21559.75,12
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,455.0,30537.85,451
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE Non-Transplant Related Services,,,,,0
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE Pediatric,,,19910.67,37137.36,12
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,455.0,27381.24,451
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Pediatric,,,17906.41,33298.57,12
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,455.0,20838.12,451
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC Pediatric,,,14255.84,25341.42,12
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,455.0,15869.6,451
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Pediatric,,,10757.04,19299.16,12
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,455.0,32490.65,452
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC Pediatric,,,21423.36,39512.18,12
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,455.0,19921.04,452
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC Pediatric,,,13859.94,24226.16,12
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,455.0,15771.0,452
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC Pediatric,,,10587.13,18893.34,12
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC ,,,455.0,46649.7,451
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC Pediatric,,,28665.1,56731.12,12
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC ,,,455.0,23460.8,451
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC Pediatric,,,16225.47,28530.9,12
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,455.0,17703.75,451
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC Pediatric,,,11727.01,21529.69,12
MS-DRG,199,PNEUMOTHORAX WITH MCC ,,,455.0,43606.79,451
MS-DRG,199,PNEUMOTHORAX WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,199,PNEUMOTHORAX WITH MCC Pediatric,,,29009.87,53030.61,12
MS-DRG,200,PNEUMOTHORAX WITH CC ,,,455.0,27173.6,451
MS-DRG,200,PNEUMOTHORAX WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,200,PNEUMOTHORAX WITH CC Pediatric,,,17683.71,33046.06,12
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC ,,,455.0,17676.56,451
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC Pediatric,,,12007.44,21496.62,12
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,455.0,24007.09,451
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC Pediatric,,,15272.0,29195.24,12
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,455.0,16561.73,451
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC Pediatric,,,11004.48,20140.87,12
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS ,,,455.0,19958.12,451
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS Non-Transplant Related Services,,,,,0
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS Pediatric,,,13351.86,24271.25,12
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,455.0,45260.49,451
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC Pediatric,,,29379.38,55041.69,12
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,455.0,23263.05,451
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC Pediatric,,,14737.53,28290.41,12
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,455.0,159059.35,451
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS Non-Transplant Related Services,,,,,0
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS Pediatric,,,108311.09,193433.52,12
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,455.0,67945.12,451
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS Non-Transplant Related Services,,,,,0
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS Pediatric,,,42891.25,82628.67,12
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES ,,,455.0,322468.0,439
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,455.0,311162.37,447
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Pediatric,,,231281.23,326886.32,6
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,455.0,240843.0,439
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT ,,,455.0,567817.0,420
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT Non-Transplant Related Services,,,,,0
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT Pediatric,,,211775.43,299317.38,6
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,455.0,431568.22,421
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Non-Transplant Related Services,,,,,0
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Pediatric,,,208070.37,294080.75,6
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,455.0,308347.0,421
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Non-Transplant Related Services,,,,,0
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Pediatric,,,139850.06,197660.09,6
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,455.0,304994.0,421
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Non-Transplant Related Services,,,,,0
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Pediatric,,,139850.06,197660.09,6
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,455.0,338728.2,421
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Non-Transplant Related Services,,,,,0
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Pediatric,,,163309.76,230817.38,6
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,455.0,276270.0,421
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Non-Transplant Related Services,,,,,0
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Pediatric,,,113423.32,160309.3,6
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,455.0,261868.0,421
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Non-Transplant Related Services,,,,,0
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Pediatric,,,107200.01,151513.45,6
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,455.0,218254.55,418
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC Pediatric,,,105226.25,148723.79,6
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,455.0,138940.19,418
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC Pediatric,,,54451.65,94677.12,12
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC ,,,455.0,371885.04,420
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC Pediatric,,,179295.54,253411.22,6
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,455.0,267451.6,420
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC Pediatric,,,128945.44,182247.82,6
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,455.0,337268.0,418
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC Pediatric,,,127759.87,229822.36,12
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,455.0,240987.01,418
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC Pediatric,,,85553.2,164214.22,12
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,455.0,258893.29,420
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Pediatric,,,98811.04,176415.98,12
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,455.0,184788.91,420
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Pediatric,,,67277.29,125919.52,12
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,455.0,140834.45,451
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Pediatric,,,76708.05,147951.22,12
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,455.0,81567.06,451
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Pediatric,,,44773.44,85688.88,12
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,455.0,39614.61,451
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC Non-Transplant Related Services,,,,,0
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC Pediatric,,,25550.65,41616.45,12
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,455.0,140850.37,418
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC Pediatric,,,67907.66,95978.76,6
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,455.0,124497.0,418
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC Pediatric,,,45322.11,64056.98,6
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,455.0,118004.0,418
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC Pediatric,,,38443.72,54335.26,6
MS-DRG,245,AICD GENERATOR PROCEDURES ,,,455.0,146692.0,420
MS-DRG,245,AICD GENERATOR PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,245,AICD GENERATOR PROCEDURES Pediatric,,,97037.69,137150.31,6
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,455.0,96280.99,420
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC Pediatric,,,39915.37,65608.13,12
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,455.0,71713.0,420
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC Pediatric,,,26810.95,44926.16,12
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC ,,,455.0,153886.35,451
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC Pediatric,,,55151.08,104861.79,12
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC ,,,455.0,114504.89,451
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC Pediatric,,,44110.3,78026.33,12
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,455.0,78599.7,451
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC Pediatric,,,30162.94,53559.68,12
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,455.0,77186.1,451
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC Pediatric,,,42322.14,81086.54,12
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,455.0,48585.41,451
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC Pediatric,,,26924.77,51040.57,12
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,455.0,31253.3,451
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC Pediatric,,,17299.36,32832.62,12
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,455.0,89911.19,418
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Pediatric,,,66829.32,94454.67,6
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,455.0,57862.39,418
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Pediatric,,,43008.04,60786.35,6
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,455.0,93078.87,418
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC Pediatric,,,69183.8,97782.42,6
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,455.0,64059.0,418
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Pediatric,,,40209.04,56830.32,6
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,455.0,64059.0,418
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Pediatric,,,34666.34,48996.42,6
MS-DRG,263,VEIN LIGATION AND STRIPPING ,,,455.0,87487.5,451
MS-DRG,263,VEIN LIGATION AND STRIPPING Non-Transplant Related Services,,,,,0
MS-DRG,263,VEIN LIGATION AND STRIPPING Pediatric,,,45957.86,91908.5,12
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,455.0,214525.0,418
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Pediatric,,,54596.81,100421.78,12
MS-DRG,265,AICD LEAD PROCEDURES ,,,455.0,149058.0,419
MS-DRG,265,AICD LEAD PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,265,AICD LEAD PROCEDURES Pediatric,,,55791.12,108766.71,12
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,455.0,422445.0,418
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Pediatric,,,108885.15,184225.83,12
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,455.0,317198.0,418
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC Pediatric,,,85129.26,143114.41,12
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,455.0,303418.56,420
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Pediatric,,,146286.06,206756.55,6
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,455.0,186306.47,420
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Pediatric,,,89823.24,126953.62,6
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,455.0,232763.97,420
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Pediatric,,,112221.62,158610.85,6
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,455.0,156886.17,420
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC Pediatric,,,75638.94,106905.93,6
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,455.0,112625.6,420
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC Pediatric,,,54299.76,76745.73,6
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,455.0,181996.43,420
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC Pediatric,,,66198.45,124016.66,12
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,455.0,145213.35,420
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC Pediatric,,,70011.17,98951.79,6
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,455.0,329192.0,447
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Non-Transplant Related Services,,,,,0
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Pediatric,,,151656.48,214346.95,6
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,455.0,264981.16,447
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR Non-Transplant Related Services,,,,,0
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR Pediatric,,,127754.38,180564.4,6
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,455.0,236600.0,447
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC Pediatric,,,98230.88,138836.73,6
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,455.0,236600.0,445
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Non-Transplant Related Services,,,,,0
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Pediatric,,,118387.51,167325.54,6
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,455.0,103197.14,445
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Non-Transplant Related Services,,,,,0
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Pediatric,,,76704.52,108411.99,6
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,455.0,36249.45,451
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Pediatric",,,26499.17,48220.85,12
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,455.0,36127.0,451
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Pediatric",,,15153.23,27629.07,12
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,455.0,36127.0,451
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Pediatric",,,11822.68,21737.11,12
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,455.0,44762.12,451
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Pediatric",,,31649.23,59544.83,12
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,455.0,36127.0,451
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Pediatric",,,12131.16,20808.22,12
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,455.0,34242.0,451
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Pediatric",,,8937.53,18003.53,12
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,455.0,50004.85,420
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Pediatric",,,34988.02,66518.98,12
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,455.0,31622.0,420
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Non-Transplant Related Services",,,,,0
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Pediatric",,,18148.9,32168.28,12
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,455.0,77416.0,451
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Pediatric,,,44481.46,81351.08,12
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,455.0,77416.0,451
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Pediatric,,,26510.72,51311.12,12
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,455.0,77416.0,451
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Pediatric,,,19773.79,27947.71,12
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC ,,,455.0,29011.31,451
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC Pediatric,,,21111.58,38592.31,12
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC ,,,455.0,26026.0,451
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC Pediatric,,,14232.75,25521.79,12
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,455.0,26026.0,451
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC Pediatric,,,9242.71,17014.53,12
MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,17733.12,25591.8,6
MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC Pediatric,,,19044.63,25969.32,6
MS-DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,13604.35,19633.31,6
MS-DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC Pediatric,,,14610.51,19922.94,6
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,455.0,38608.61,451
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC Pediatric",,,27025.4,46952.28,12
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,455.0,15718.86,451
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC Pediatric",,,10496.4,19058.67,12
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,455.0,12748.89,451
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC Pediatric",,,8058.3,13680.76,12
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,455.0,36895.75,451
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC Pediatric,,,25370.85,49080.59,12
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,455.0,24123.36,451
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC Pediatric,,,17009.03,32090.12,12
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,455.0,21477.0,451
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC Pediatric,,,11814.44,21634.9,12
MS-DRG,302,ATHEROSCLEROSIS WITH MCC ,,,455.0,29578.76,451
MS-DRG,302,ATHEROSCLEROSIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,302,ATHEROSCLEROSIS WITH MCC Pediatric,,,19890.88,35970.99,12
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC ,,,455.0,16640.83,451
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC Pediatric,,,11152.95,20237.07,12
MS-DRG,304,HYPERTENSION WITH MCC ,,,455.0,29415.61,451
MS-DRG,304,HYPERTENSION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,304,HYPERTENSION WITH MCC Pediatric,,,18122.51,35772.59,12
MS-DRG,305,HYPERTENSION WITHOUT MCC ,,,455.0,18665.32,451
MS-DRG,305,HYPERTENSION WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,305,HYPERTENSION WITHOUT MCC Pediatric,,,12299.42,22699.06,12
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,455.0,38952.2,451
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC Pediatric,,,24344.8,47370.12,12
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,455.0,22573.39,451
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Pediatric,,,15034.45,27451.71,12
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,455.0,29761.68,451
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Pediatric,,,19343.21,36193.44,12
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,455.0,18185.77,451
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Pediatric,,,12167.45,22115.88,12
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,455.0,14591.63,451
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Pediatric,,,9092.6,17017.53,12
MS-DRG,311,ANGINA PECTORIS ,,,455.0,17350.27,451
MS-DRG,311,ANGINA PECTORIS Non-Transplant Related Services,,,,,0
MS-DRG,311,ANGINA PECTORIS Pediatric,,,11020.98,21099.82,12
MS-DRG,312,SYNCOPE AND COLLAPSE ,,,455.0,21545.08,451
MS-DRG,312,SYNCOPE AND COLLAPSE Non-Transplant Related Services,,,,,0
MS-DRG,312,SYNCOPE AND COLLAPSE Pediatric,,,14066.14,26201.17,12
MS-DRG,313,CHEST PAIN ,,,455.0,17146.57,451
MS-DRG,313,CHEST PAIN Non-Transplant Related Services,,,,,0
MS-DRG,313,CHEST PAIN Pediatric,,,11933.21,21643.92,12
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,455.0,51544.06,451
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC Pediatric,,,34354.57,62683.2,12
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,455.0,23811.81,451
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC Pediatric,,,15976.38,28957.76,12
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,455.0,16860.83,451
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC Pediatric,,,11250.27,20504.61,12
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,455.0,294974.95,445
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION Non-Transplant Related Services,,,,,0
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION Pediatric,,,142215.17,201002.88,6
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,455.0,64946.0,439
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE Non-Transplant Related Services,,,,,0
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,455.0,150720.0,451
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC Pediatric,,,71041.67,134159.24,12
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,455.0,86291.0,451
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC Pediatric,,,40768.21,72305.72,12
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,455.0,120028.09,447
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A Non-Transplant Related Services,,,,,0
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A Pediatric,,,57868.7,81789.97,6
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,455.0,77774.74,447
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC Pediatric,,,37497.25,52997.54,6
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,455.0,123828.55,447
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC Pediatric,,,92039.47,130085.97,6
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,455.0,90165.86,447
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC Pediatric,,,67018.62,94722.21,6
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,455.0,91865.6,447
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE Non-Transplant Related Services,,,,,0
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE Pediatric,,,68282.0,96507.83,6
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,455.0,142714.45,451
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC Pediatric",,,84439.72,149926.23,12
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,455.0,69940.78,451
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC Pediatric",,,42251.2,73475.1,12
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,455.0,45849.81,451
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC Pediatric",,,27345.42,48166.74,12
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,455.0,131528.85,451
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Pediatric,,,76265.96,138175.39,12
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,455.0,68595.88,451
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Pediatric,,,40504.28,72062.23,12
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,455.0,48156.18,451
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Pediatric,,,28188.36,50589.66,12
MS-DRG,332,RECTAL RESECTION WITH MCC ,,,455.0,110444.22,451
MS-DRG,332,RECTAL RESECTION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,332,RECTAL RESECTION WITH MCC Pediatric,,,77008.67,108841.86,6
MS-DRG,333,RECTAL RESECTION WITH CC ,,,455.0,71125.59,451
MS-DRG,333,RECTAL RESECTION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,333,RECTAL RESECTION WITH CC Pediatric,,,49816.25,70408.87,6
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC ,,,455.0,46868.51,451
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC Pediatric,,,34836.5,49236.91,6
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC ,,,455.0,102181.3,451
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC Pediatric,,,60767.96,107344.82,12
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC ,,,455.0,60340.45,451
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC Pediatric,,,35086.99,63389.63,12
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,455.0,43924.02,451
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC Pediatric,,,25989.45,46143.63,12
MS-DRG,338,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,39029.3,54426.37,6
MS-DRG,338,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC Pediatric,,,43821.62,59755.31,6
MS-DRG,339,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,23924.45,33362.66,6
MS-DRG,339,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC Pediatric,,,26862.09,36629.23,6
MS-DRG,340,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,17628.93,24583.55,6
MS-DRG,340,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Pediatric,,,19793.55,26990.55,6
MS-DRG,341,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,33189.23,46282.39,6
MS-DRG,341,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC Pediatric,,,37264.46,50813.95,6
MS-DRG,342,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,21350.41,29773.16,6
MS-DRG,342,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC Pediatric,,,23971.99,32688.28,6
MS-DRG,343,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16053.95,22387.24,6
MS-DRG,343,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Pediatric,,,18025.18,24579.19,6
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,455.0,73906.82,451
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Pediatric,,,43425.72,77641.55,12
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,455.0,43056.99,451
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Pediatric,,,25593.54,45232.79,12
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,455.0,33943.11,451
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Pediatric,,,20631.55,35658.36,12
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC ,,,455.0,65688.59,451
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC Pediatric,,,41870.15,69008.03,12
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC ,,,455.0,37451.31,451
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC Pediatric,,,22780.98,39343.84,12
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,455.0,24912.22,451
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC Pediatric,,,16449.81,26171.11,12
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,455.0,71305.72,451
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC Pediatric,,,38881.07,74909.01,12
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,455.0,43623.57,451
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC Pediatric,,,24252.42,45827.99,12
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,455.0,33416.6,451
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC Pediatric,,,18180.24,35105.24,12
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,455.0,83040.73,451
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC Pediatric,,,47307.23,87237.02,12
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,455.0,48141.88,451
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC Pediatric,,,28900.99,50574.63,12
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,455.0,38487.17,451
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Pediatric,,,22637.46,40432.04,12
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,455.0,125699.97,451
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC Pediatric,,,69654.36,132051.96,12
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,455.0,66544.18,451
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC Pediatric,,,37053.32,69906.86,12
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,40000.91,451
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,22883.25,42022.27,12
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,455.0,68292.0,439
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,455.0,65775.0,439
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,455.0,39350.18,451
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC Pediatric,,,28937.28,47854.11,12
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,455.0,24723.94,451
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC Pediatric,,,16860.56,30067.01,12
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,455.0,17323.08,451
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC Pediatric,,,12350.56,21066.75,12
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,455.0,43829.26,451
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC Pediatric,,,27907.93,53301.16,12
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,455.0,25238.1,451
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC Pediatric,,,16792.93,30692.28,12
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,455.0,17980.6,451
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Pediatric,,,11976.1,21866.37,12
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC ,,,455.0,64945.9,451
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC Pediatric,,,45488.01,64291.46,6
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC ,,,455.0,36731.92,451
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC Pediatric,,,25726.98,36361.79,6
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,455.0,28068.22,451
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC Pediatric,,,19658.94,27785.38,6
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,455.0,45186.33,451
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC Pediatric,,,29329.89,54951.51,12
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,455.0,24241.92,451
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC Pediatric,,,16248.56,29480.82,12
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,455.0,15659.09,451
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC Pediatric,,,10455.16,18950.45,12
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC ,,,455.0,48503.62,451
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC Pediatric,,,31410.03,58985.69,12
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC ,,,455.0,26783.04,451
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC Pediatric,,,17411.53,32571.09,12
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,455.0,19790.03,451
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Pediatric,,,12698.62,24066.84,12
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,455.0,34129.52,451
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC Pediatric,,,22434.56,41505.22,12
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,455.0,21129.8,451
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Pediatric,,,14872.79,25696.14,12
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,455.0,39112.87,451
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC Pediatric,,,26867.04,47565.52,12
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC ,,,455.0,24133.16,451
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC Pediatric,,,16327.74,29348.55,12
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,455.0,16841.05,451
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC Pediatric,,,11408.63,20480.56,12
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,455.0,36505.02,451
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC Pediatric,,,24206.23,44394.08,12
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,455.0,19523.07,451
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC Pediatric,,,13313.92,23742.18,12
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,455.0,14224.74,451
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Pediatric,,,9328.49,16353.18,12
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,455.0,31351.11,451
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Pediatric",,,21180.86,38126.37,12
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,455.0,19270.93,452
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC Non-Transplant Related Services",,,,,0
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC Pediatric",,,12992.25,23435.56,12
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,455.0,39533.1,451
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC Pediatric,,,26580.0,48076.56,12
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,455.0,23129.57,451
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC Pediatric,,,15555.73,28128.08,12
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,455.0,16042.63,451
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Pediatric,,,10638.27,19509.59,12
MS-DRG,397,APPENDIX PROCEDURES WITH MCC ,,,455.0,68530.06,445
MS-DRG,397,APPENDIX PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,397,APPENDIX PROCEDURES WITH MCC Pediatric,,,50937.13,71993.09,6
MS-DRG,398,APPENDIX PROCEDURES WITH CC ,,,455.0,43311.66,445
MS-DRG,398,APPENDIX PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,398,APPENDIX PROCEDURES WITH CC Pediatric,,,32192.76,45500.33,6
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,455.0,32755.59,445
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC Pediatric,,,24346.62,34410.83,6
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,455.0,167903.0,445
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Non-Transplant Related Services,,,,,0
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Pediatric,,,85512.01,120860.25,6
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,455.0,156538.36,451
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC Pediatric",,,91419.18,164448.7,12
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,455.0,82989.22,451
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC Pediatric",,,48328.33,87182.91,12
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,455.0,63513.85,451
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC Pediatric",,,36715.15,66723.4,12
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,455.0,102029.64,451
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Non-Transplant Related Services,,,,,0
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Pediatric,,,60532.07,107185.5,12
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,455.0,62303.44,451
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Non-Transplant Related Services,,,,,0
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Pediatric,,,35159.57,65451.82,12
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,455.0,45432.04,451
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Non-Transplant Related Services,,,,,0
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Pediatric,,,28005.26,47727.85,12
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,455.0,94523.93,451
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC Pediatric,,,55726.79,99300.5,12
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,455.0,60163.04,451
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC Pediatric,,,37869.87,63203.25,12
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,455.0,47515.21,451
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Pediatric,,,26730.12,49916.29,12
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,455.0,101943.8,451
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Pediatric,,,58308.41,107095.32,12
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,455.0,59138.62,451
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Pediatric,,,32992.0,62127.07,12
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,455.0,39010.83,451
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Pediatric,,,22705.09,40982.16,12
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,455.0,68286.84,451
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC Pediatric,,,39222.54,71737.57,12
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,455.0,48405.13,451
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC Pediatric,,,27399.86,50851.19,12
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,455.0,39082.37,451
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC Pediatric,,,21527.28,41057.31,12
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,455.0,97494.17,451
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC Pediatric,,,53796.76,102420.83,12
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,455.0,49718.56,451
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC Pediatric,,,29884.15,52230.99,12
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,455.0,40046.69,451
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC Pediatric,,,22856.86,42070.37,12
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,455.0,118838.09,451
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC Pediatric,,,64860.62,124843.33,12
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,455.0,62606.76,451
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC Pediatric,,,39072.43,65770.46,12
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,42931.08,451
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,23599.18,45100.52,12
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,455.0,435543.0,445
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Non-Transplant Related Services,,,,,0
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Pediatric,,,234409.9,331308.29,6
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,455.0,295314.0,445
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Non-Transplant Related Services,,,,,0
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Pediatric,,,153532.4,216998.33,6
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,455.0,228848.0,445
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Non-Transplant Related Services,,,,,0
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Pediatric,,,119574.32,169002.94,6
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,455.0,347329.09,445
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC Pediatric,,,191625.18,270837.59,6
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,455.0,227451.0,445
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC Pediatric,,,122660.45,173364.79,6
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,455.0,48651.94,451
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC Pediatric,,,31147.75,59166.06,12
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,455.0,26108.21,451
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC Pediatric,,,17152.54,31750.43,12
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,455.0,17612.29,451
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC Pediatric,,,10354.54,21418.46,12
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,455.0,55775.07,451
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC Pediatric,,,39064.77,55213.04,6
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,455.0,34348.11,451
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC Pediatric,,,24057.37,34002.0,6
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,455.0,23009.33,451
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC Pediatric,,,18148.84,25651.05,6
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,455.0,40296.91,451
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC Pediatric,,,27340.47,49005.44,12
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,455.0,20793.62,451
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC Pediatric,,,14348.22,25287.31,12
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,455.0,15509.68,451
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC Pediatric,,,10003.17,18679.91,12
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,455.0,44363.19,451
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Pediatric",,,31256.62,53950.48,12
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,455.0,23861.25,451
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC Pediatric",,,15605.22,29017.88,12
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,455.0,17295.88,451
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C Non-Transplant Related Services",,,,,0
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C Pediatric",,,10753.74,21033.68,12
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,455.0,41302.98,451
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC Pediatric,,,27460.89,50228.92,12
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC ,,,455.0,27052.47,451
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC Pediatric,,,18139.0,32898.76,12
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,455.0,20450.03,451
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC Pediatric,,,13389.8,24869.47,12
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,455.0,278766.0,445
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL Non-Transplant Related Services,,,,,0
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL Pediatric,,,142110.95,200855.58,6
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,455.0,169783.0,445
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Pediatric,,,90197.58,127482.69,6
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,455.0,214130.0,445
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY Non-Transplant Related Services,,,,,0
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY Pediatric,,,113355.26,160213.11,6
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,455.0,167903.0,445
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Pediatric,,,68707.38,97109.05,6
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,455.0,323959.47,451
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Non-Transplant Related Services",,,,,0
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Pediatric",,,178731.91,252614.61,6
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,455.0,229883.47,451
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Non-Transplant Related Services",,,,,0
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Pediatric",,,126829.17,179256.75,6
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,455.0,219931.0,451
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Non-Transplant Related Services",,,,,0
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Pediatric",,,88747.03,125432.53,6
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,455.0,253787.37,451
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC Pediatric,,,105825.14,166026.9,12
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,455.0,122229.66,451
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Pediatric,,,56575.54,79962.26,6
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,455.0,163091.19,451
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Non-Transplant Related Services,,,,,0
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Pediatric,,,86465.43,171332.67,12
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,455.0,89127.14,451
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Non-Transplant Related Services,,,,,0
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Pediatric,,,49276.85,93631.0,12
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,455.0,53010.0,451
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Non-Transplant Related Services,,,,,0
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Pediatric,,,32871.58,54822.25,12
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,455.0,239193.34,451
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC Pediatric,,,110713.65,156479.53,6
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,455.0,162050.8,457
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC Pediatric,,,75007.26,106013.12,6
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,455.0,136045.0,457
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC Pediatric,,,58447.21,82607.63,6
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,455.0,139378.57,451
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC Pediatric,,,64513.13,91181.03,6
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,455.0,90500.0,457
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Non-Transplant Related Services,,,,,0
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Pediatric,,,41025.77,57984.66,6
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC ,,,455.0,186151.21,451
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC Pediatric,,,102701.62,145155.55,6
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC ,,,455.0,113575.1,451
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC Pediatric,,,62660.6,88562.71,6
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,455.0,94114.56,451
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC Pediatric,,,51924.01,73387.92,6
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,455.0,122841.33,451
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Pediatric,,,67582.46,129048.87,12
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,455.0,65119.16,451
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Pediatric,,,36640.92,68409.82,12
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,455.0,33771.42,451
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC Non-Transplant Related Services,,,,,0
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC Pediatric,,,20248.84,35477.99,12
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,455.0,98853.38,451
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Pediatric,,,56132.59,103848.73,12
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,455.0,70370.01,451
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Pediatric,,,38747.45,73926.01,12
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,455.0,53192.42,451
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Pediatric,,,29171.53,55880.39,12
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,455.0,133823.1,451
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC Pediatric,,,48927.14,87546.65,12
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,455.0,97668.0,451
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC Pediatric,,,44547.92,62962.76,6
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,455.0,97668.0,451
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC Pediatric,,,34689.74,49029.49,6
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,455.0,127371.58,451
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Non-Transplant Related Services,,,,,0
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Pediatric,,,58955.54,83326.09,6
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,455.0,148288.47,451
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Pediatric,,,53628.5,97009.85,12
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,455.0,96088.14,451
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC Pediatric,,,34410.66,62860.56,12
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,455.0,44816.81,451
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Pediatric,,,26459.58,47081.54,12
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,455.0,81282.72,451
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC Pediatric,,,37432.72,53174.9,12
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,455.0,51318.08,451
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Pediatric,,,21931.43,33572.12,12
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,455.0,105062.83,451
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC Pediatric",,,57503.41,110371.97,12
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,455.0,72570.5,451
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC Pediatric",,,39191.2,76237.7,12
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,455.0,70980.0,451
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC Pediatric",,,31157.64,60317.4,12
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,455.0,103749.41,451
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Non-Transplant Related Services,,,,,0
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Pediatric,,,61272.74,108992.17,12
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,455.0,98189.0,451
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Non-Transplant Related Services,,,,,0
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Pediatric,,,34636.65,54227.04,12
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,455.0,98189.0,451
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Non-Transplant Related Services,,,,,0
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Pediatric,,,25101.96,36322.71,12
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,455.0,86325.73,451
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC Pediatric,,,42280.9,90688.02,12
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,455.0,57653.5,451
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT Non-Transplant Related Services,,,,,0
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT Pediatric,,,21753.28,60566.9,12
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC ,,,455.0,90560.75,451
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC Pediatric,,,52861.43,95137.05,12
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC ,,,455.0,50021.88,451
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC Pediatric,,,28996.67,52549.63,12
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,455.0,38512.93,451
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC Pediatric,,,22673.75,40459.1,12
MS-DRG,503,FOOT PROCEDURES WITH MCC ,,,455.0,79867.33,451
MS-DRG,503,FOOT PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,503,FOOT PROCEDURES WITH MCC Pediatric,,,41789.32,83903.26,12
MS-DRG,504,FOOT PROCEDURES WITH CC ,,,455.0,71128.0,451
MS-DRG,504,FOOT PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,504,FOOT PROCEDURES WITH CC Pediatric,,,29277.1,56190.02,12
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC ,,,455.0,71128.0,451
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC Pediatric,,,29145.13,53893.36,12
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES ,,,455.0,38607.36,451
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES Pediatric,,,23256.06,40558.3,12
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,455.0,83005.89,451
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC Pediatric,,,30596.78,54302.19,12
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,455.0,69588.19,451
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC Pediatric,,,23889.51,45524.38,12
MS-DRG,509,ARTHROSCOPY ,,,22300.99,31098.74,6
MS-DRG,509,ARTHROSCOPY Pediatric,,,25039.28,34143.64,6
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,455.0,138795.0,451
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC Pediatric",,,47642.1,90799.25,12
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,455.0,95550.51,451
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC Pediatric",,,32645.58,62508.84,12
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,455.0,76067.29,451
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ Non-Transplant Related Services",,,,,0
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ Pediatric",,,26500.82,49762.98,12
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,455.0,45048.59,451
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC Pediatric",,,26294.62,47325.03,12
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,455.0,29253.11,451
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC Pediatric",,,17035.42,30731.36,12
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,455.0,91193.14,451
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC Pediatric,,,51431.23,95801.4,12
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,455.0,59464.83,451
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC Pediatric,,,33549.56,62469.76,12
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,455.0,55669.0,451
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC Non-Transplant Related Services,,,,,0
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC Pediatric,,,24907.31,46194.74,12
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,455.0,107831.18,451
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST Non-Transplant Related Services,,,,,0
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST Pediatric,,,79488.63,112346.98,6
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,455.0,57235.72,451
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Pediatric,,,32980.45,60128.01,12
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,455.0,52336.0,451
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC Pediatric,,,24410.78,44908.13,12
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,455.0,131888.56,451
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC Pediatric,,,49804.72,86281.08,12
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,455.0,97668.0,451
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC Pediatric,,,45041.36,63660.18,6
MS-DRG,533,FRACTURES OF FEMUR WITH MCC ,,,455.0,38751.98,451
MS-DRG,533,FRACTURES OF FEMUR WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,533,FRACTURES OF FEMUR WITH MCC Pediatric,,,23528.24,47126.63,12
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC ,,,455.0,19925.99,451
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC Pediatric,,,13129.17,24232.17,12
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC ,,,455.0,31689.76,451
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC Pediatric,,,21271.59,38538.2,12
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,455.0,19963.06,451
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC Pediatric,,,12819.04,24277.26,12
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,455.0,23589.34,451
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC Pediatric",,,16387.13,28687.21,12
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,455.0,17805.1,451
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC Pediatric",,,11484.52,21652.94,12
MS-DRG,539,OSTEOMYELITIS WITH MCC ,,,455.0,48689.01,451
MS-DRG,539,OSTEOMYELITIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,539,OSTEOMYELITIS WITH MCC Pediatric,,,32924.37,59211.15,12
MS-DRG,540,OSTEOMYELITIS WITH CC ,,,455.0,32043.24,451
MS-DRG,540,OSTEOMYELITIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,540,OSTEOMYELITIS WITH CC Pediatric,,,22213.51,38968.07,12
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC ,,,455.0,19463.74,451
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC Pediatric,,,13493.73,23670.03,12
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,455.0,43666.11,451
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Non-Transplant Related Services,,,,,0
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Pediatric,,,30154.69,53102.76,12
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,455.0,25411.13,451
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Non-Transplant Related Services,,,,,0
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Pediatric,,,17964.14,30902.71,12
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,455.0,18652.96,451
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Non-Transplant Related Services,,,,,0
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Pediatric,,,12835.54,22684.03,12
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,455.0,61345.14,451
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC Pediatric,,,41381.87,74602.38,12
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC ,,,455.0,28510.89,451
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC Pediatric,,,19887.58,34672.36,12
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,455.0,20670.03,451
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC Pediatric,,,15090.54,25137.01,12
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC ,,,455.0,47729.92,451
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC Pediatric,,,32000.59,58044.78,12
MS-DRG,549,SEPTIC ARTHRITIS WITH CC ,,,455.0,29840.78,451
MS-DRG,549,SEPTIC ARTHRITIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,549,SEPTIC ARTHRITIS WITH CC Pediatric,,,19988.2,36289.64,12
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,455.0,23237.67,451
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC Pediatric,,,17292.76,26276.32,12
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC ,,,455.0,37876.51,451
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC Pediatric,,,27604.41,50385.24,12
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,455.0,21723.46,451
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC Pediatric,,,15844.41,28897.64,12
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,455.0,32043.24,451
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC Pediatric,,,21872.05,38968.07,12
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,455.0,20519.24,451
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC Pediatric,,,13530.02,24953.64,12
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,455.0,32673.57,451
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Pediatric,,,21959.48,39734.63,12
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,455.0,20531.6,451
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC Pediatric,,,13328.77,24968.67,12
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,455.0,36754.68,451
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC Pediatric",,,23620.62,44697.7,12
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,455.0,22079.01,451
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Non-Transplant Related Services",,,,,0
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Pediatric",,,14335.02,26850.49,12
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,455.0,46098.46,451
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Pediatric",,,29445.36,56060.76,12
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,455.0,27836.07,451
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Pediatric",,,18073.02,33851.69,12
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,455.0,19871.6,451
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Pediatric",,,13035.14,24166.04,12
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,455.0,35219.63,451
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Non-Transplant Related Services",,,,,0
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Pediatric",,,24130.35,42830.91,12
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,455.0,22135.86,451
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Non-Transplant Related Services",,,,,0
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Pediatric",,,14206.36,26919.63,12
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,455.0,38156.25,451
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC Pediatric,,,25623.24,46402.16,12
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,455.0,24086.19,451
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC Pediatric,,,16288.15,29291.44,12
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,455.0,18521.95,451
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC Pediatric,,,12251.58,22524.71,12
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC ,,,455.0,84159.58,451
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC Pediatric,,,48120.48,88412.41,12
MS-DRG,571,SKIN DEBRIDEMENT WITH CC ,,,455.0,48345.04,451
MS-DRG,571,SKIN DEBRIDEMENT WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,571,SKIN DEBRIDEMENT WITH CC Pediatric,,,27195.31,50788.06,12
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,455.0,32801.37,451
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC Pediatric,,,19854.59,34458.92,12
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,455.0,187468.31,451
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Pediatric,,,96839.77,196941.64,12
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,455.0,99334.11,451
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC Pediatric,,,59461.48,104353.76,12
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,455.0,51421.15,451
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Pediatric,,,33810.2,54019.62,12
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,455.0,140247.84,451
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC Pediatric,,,93185.9,147334.97,12
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,455.0,75849.78,451
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC Pediatric,,,43198.08,79682.69,12
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,455.0,45967.14,451
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Pediatric,,,28249.4,48289.99,12
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,455.0,92669.68,451
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC Pediatric",,,51990.44,97352.55,12
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,455.0,49446.72,451
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC Pediatric",,,28640.36,51945.41,12
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,455.0,41294.31,451
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC Pediatric",,,23284.1,43381.03,12
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,455.0,58505.06,451
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC Pediatric,,,40976.86,57915.52,6
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,455.0,52364.85,451
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC Pediatric,,,36676.26,51837.19,6
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,455.0,61256.13,451
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC Pediatric",,,35232.16,64351.58,12
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,455.0,55201.2,451
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC Pediatric",,,30370.79,57990.68,12
MS-DRG,592,SKIN ULCERS WITH MCC ,,,455.0,47838.68,451
MS-DRG,592,SKIN ULCERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,592,SKIN ULCERS WITH MCC Pediatric,,,29428.86,58177.05,12
MS-DRG,593,SKIN ULCERS WITH CC ,,,455.0,29324.15,451
MS-DRG,593,SKIN ULCERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,593,SKIN ULCERS WITH CC Pediatric,,,19001.74,35661.36,12
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC ,,,455.0,21426.43,451
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC Pediatric,,,12766.25,26056.87,12
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC ,,,455.0,52421.58,451
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC Pediatric,,,35324.53,63750.36,12
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC ,,,455.0,26758.32,451
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC Pediatric,,,18010.33,32541.03,12
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC ,,,455.0,45806.48,451
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC Pediatric,,,35457.55,50114.69,6
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC ,,,455.0,34354.19,451
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC Pediatric,,,24061.62,34008.01,6
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,455.0,20335.47,451
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Pediatric,,,16364.37,23128.93,6
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,455.0,25747.31,451
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC Pediatric,,,17173.99,31311.54,12
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,455.0,15603.35,451
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Pediatric,,,11611.53,18186.9,12
MS-DRG,602,CELLULITIS WITH MCC ,,,455.0,35133.11,451
MS-DRG,602,CELLULITIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,602,CELLULITIS WITH MCC Pediatric,,,23774.04,42725.7,12
MS-DRG,603,CELLULITIS WITHOUT MCC ,,,455.0,21527.78,452
MS-DRG,603,CELLULITIS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,603,CELLULITIS WITHOUT MCC Pediatric,,,14546.17,26180.12,12
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,455.0,33454.44,418
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC Pediatric",,,24895.76,44252.8,12
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,455.0,29575.0,418
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Non-Transplant Related Services",,,,,0
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Pediatric",,,15017.96,27535.88,12
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC ,,,455.0,37404.79,451
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC Pediatric,,,25319.71,45488.31,12
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC ,,,455.0,22405.3,451
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC Pediatric,,,13991.91,27247.29,12
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,455.0,62718.36,451
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Pediatric,,,38763.95,65887.7,12
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,455.0,40040.97,451
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Pediatric,,,24344.8,42064.36,12
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,455.0,99791.95,451
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Non-Transplant Related Services",,,,,0
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Pediatric",,,62099.19,104834.73,12
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,455.0,53518.63,451
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Non-Transplant Related Services",,,,,0
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Pediatric",,,32068.22,56223.09,12
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,455.0,40584.65,451
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Non-Transplant Related Services",,,,,0
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Pediatric",,,19348.16,42635.52,12
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,455.0,105973.35,1515
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC Pediatric,,,61412.11,86798.13,6
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC ,,,455.0,58734.21,1515
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC Pediatric,,,34036.78,48106.62,6
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,455.0,55361.3,2193
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC Pediatric,,,32082.16,45344.01,6
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,455.0,101846.51,451
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Non-Transplant Related Services",,,,,0
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Pediatric",,,59733.67,106993.11,12
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,455.0,51332.45,451
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Non-Transplant Related Services",,,,,0
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Pediatric",,,31088.36,53926.43,12
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,455.0,35823.12,451
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Non-Transplant Related Services",,,,,0
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Pediatric",,,16314.54,37633.37,12
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,455.0,86420.16,451
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Pediatric",,,47462.29,90787.23,12
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,455.0,42905.33,451
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC Pediatric",,,26710.32,45073.46,12
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,455.0,38009.3,451
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC Pediatric",,,21047.25,39930.03,12
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,455.0,106642.38,451
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC Pediatric",,,60124.62,112031.33,12
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,455.0,62346.36,451
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC Pediatric",,,37013.72,65496.91,12
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,455.0,41763.59,451
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC Pediatric",,,23163.68,43874.03,12
MS-DRG,637,DIABETES WITH MCC ,,,455.0,35513.79,451
MS-DRG,637,DIABETES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,637,DIABETES WITH MCC Pediatric,,,23023.47,43188.64,12
MS-DRG,638,DIABETES WITH CC ,,,455.0,22153.17,451
MS-DRG,638,DIABETES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,638,DIABETES WITH CC Pediatric,,,14450.5,26940.67,12
MS-DRG,639,DIABETES WITHOUT CC/MCC ,,,455.0,15506.36,451
MS-DRG,639,DIABETES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,639,DIABETES WITHOUT CC/MCC Pediatric,,,9910.8,18673.89,12
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,455.0,33014.7,451
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M Non-Transplant Related Services",,,,,0
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M Pediatric",,,20872.39,40149.47,12
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,455.0,19236.33,451
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU Non-Transplant Related Services",,,,,0
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU Pediatric",,,12705.22,23393.47,12
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM ,,,455.0,35152.89,451
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM Non-Transplant Related Services,,,,,0
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM Pediatric,,,23148.84,42749.75,12
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC ,,,455.0,40689.95,451
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC Pediatric,,,27114.48,49483.41,12
MS-DRG,644,ENDOCRINE DISORDERS WITH CC ,,,455.0,25336.97,451
MS-DRG,644,ENDOCRINE DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,644,ENDOCRINE DISORDERS WITH CC Pediatric,,,16811.07,30812.52,12
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,455.0,18991.61,451
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC Pediatric,,,12249.93,23095.87,12
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,455.0,202338.0,659
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Additional Cycles,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC First Cycle,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Liver/Kidney,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Multi Kidney Heart,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Multi Kidney-Heart,,,325553.0,325553.0,1
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC MultiOrgan,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,157500.0,74
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Retransplant,,,62000.0,65100.0,2
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Tandem,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Zone 1,,,8896.0,8896.0,1
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,455.0,202338.0,659
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Additional Cycles,,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC First Cycle,,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Liver/Kidney,,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Multi Kidney Heart,,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Multi Kidney-Heart,,,325553.0,325553.0,1
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC MultiOrgan,,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,157500.0,74
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Retransplant,,,62000.0,65100.0,2
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Tandem,,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Zone 1,,,8896.0,8896.0,1
MS-DRG,652,KIDNEY TRANSPLANT ,,,455.0,202338.0,585
MS-DRG,652,KIDNEY TRANSPLANT Liver/Kidney,,,,,0
MS-DRG,652,KIDNEY TRANSPLANT Multi Kidney Heart,,,,,0
MS-DRG,652,KIDNEY TRANSPLANT Multi Kidney-Heart,,,325553.0,325553.0,1
MS-DRG,652,KIDNEY TRANSPLANT Pediatric,,,4321.0,157500.0,74
MS-DRG,652,KIDNEY TRANSPLANT Retransplant,,,62000.0,65100.0,2
MS-DRG,652,KIDNEY TRANSPLANT Zone 1,,,8896.0,8896.0,1
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC ,,,455.0,148694.99,451
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC Pediatric,,,91663.32,156208.98,12
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC ,,,455.0,80101.97,451
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC Pediatric,,,46889.88,84149.76,12
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,455.0,60566.51,451
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC Pediatric,,,35609.92,63627.11,12
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,455.0,91104.44,451
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC Pediatric,,,67716.24,95708.21,6
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,455.0,55571.61,451
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Pediatric,,,38922.27,55011.63,6
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,455.0,47123.51,451
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC Pediatric,,,33005.23,46648.66,6
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,455.0,72707.85,451
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC Pediatric,,,42508.54,76381.99,12
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,455.0,37820.45,451
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Pediatric,,,23279.16,39731.62,12
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,455.0,29627.97,451
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Pediatric,,,17781.04,31125.16,12
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC ,,,455.0,87604.82,451
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC Pediatric,,,50126.4,92031.75,12
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC ,,,455.0,43500.52,451
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC Pediatric,,,25156.4,45698.73,12
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,455.0,29957.04,451
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC Pediatric,,,18586.04,31470.86,12
MS-DRG,665,PROSTATECTOMY WITH MCC ,,,455.0,89313.14,451
MS-DRG,665,PROSTATECTOMY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,665,PROSTATECTOMY WITH MCC Pediatric,,,50482.71,93826.39,12
MS-DRG,666,PROSTATECTOMY WITH CC ,,,455.0,50056.22,451
MS-DRG,666,PROSTATECTOMY WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,666,PROSTATECTOMY WITH CC Pediatric,,,28404.46,52585.71,12
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC ,,,455.0,31653.91,451
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC Pediatric,,,16230.41,33253.48,12
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC ,,,455.0,83555.8,451
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC Pediatric,,,46566.56,87778.12,12
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC ,,,455.0,44410.48,451
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC Pediatric,,,25968.0,46654.67,12
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,455.0,27965.44,451
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Pediatric,,,16289.8,29378.62,12
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC ,,,455.0,51363.92,451
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC Pediatric,,,30212.42,53959.49,12
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,455.0,30889.89,451
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC Pediatric,,,17183.88,32450.85,12
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,455.0,120228.78,451
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC Pediatric,,,57637.02,126304.3,12
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,455.0,66919.04,451
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC Pediatric,,,39103.77,70300.65,12
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,455.0,46968.66,451
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC Pediatric,,,27818.85,49342.13,12
MS-DRG,682,RENAL FAILURE WITH MCC ,,,455.0,36608.84,451
MS-DRG,682,RENAL FAILURE WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,682,RENAL FAILURE WITH MCC Pediatric,,,24522.95,44520.34,12
MS-DRG,683,RENAL FAILURE WITH CC ,,,455.0,21648.9,452
MS-DRG,683,RENAL FAILURE WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,683,RENAL FAILURE WITH CC Pediatric,,,14762.27,26327.42,12
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC ,,,455.0,15159.39,451
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC Pediatric,,,9976.78,18045.62,12
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,455.0,54772.96,451
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Pediatric,,,38362.9,54221.03,6
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,455.0,31818.54,451
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Pediatric,,,22285.66,31497.92,6
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,455.0,23566.95,451
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Pediatric,,,16808.89,23757.21,6
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,455.0,28681.46,452
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Pediatric,,,18922.56,34879.78,12
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,455.0,20010.03,452
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Pediatric,,,13124.22,24334.38,12
MS-DRG,691,URINARY STONES W ESW LITHOTRIPSY W CC/MCC ,,,,,0
MS-DRG,692,URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC ,,,,,0
MS-DRG,693,URINARY STONES WITH MCC ,,,455.0,31716.54,454
MS-DRG,693,URINARY STONES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,693,URINARY STONES WITH MCC Pediatric,,,23602.48,40417.01,12
MS-DRG,694,URINARY STONES WITHOUT MCC ,,,455.0,18170.87,454
MS-DRG,694,URINARY STONES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,694,URINARY STONES WITHOUT MCC Pediatric,,,13148.96,23498.68,12
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,455.0,28273.59,451
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Pediatric,,,18942.36,34383.77,12
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,455.0,17031.39,451
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Pediatric,,,11431.73,20712.03,12
MS-DRG,697,URETHRAL STRICTURE ,,,455.0,26642.14,451
MS-DRG,697,URETHRAL STRICTURE Non-Transplant Related Services,,,,,0
MS-DRG,697,URETHRAL STRICTURE Pediatric,,,16370.63,32399.75,12
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,455.0,49043.03,458
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Pediatric,,,26434.84,49732.92,12
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,455.0,25089.78,451
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Pediatric,,,16695.6,30511.91,12
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,455.0,17053.64,451
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Pediatric,,,12220.24,20739.08,12
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,455.0,57238.58,451
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Pediatric,,,32914.47,60131.02,12
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,455.0,43901.13,451
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Pediatric,,,24491.61,46119.59,12
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC ,,,455.0,66589.97,451
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC Pediatric,,,39788.35,69954.95,12
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC ,,,455.0,40095.34,451
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC Pediatric,,,23777.33,42121.47,12
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC ,,,455.0,59627.94,451
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC Pediatric,,,33707.93,62641.11,12
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC ,,,455.0,31467.92,451
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC Pediatric,,,20481.43,33058.08,12
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,455.0,43019.79,451
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Pediatric,,,24445.42,45193.71,12
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,455.0,30257.5,451
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Pediatric,,,15806.47,31786.5,12
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,455.0,67940.09,451
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Pediatric,,,47585.13,67255.48,6
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,455.0,42092.67,451
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Pediatric,,,31286.7,44219.73,6
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,455.0,54096.66,451
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Pediatric,,,29202.87,56830.32,12
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,455.0,38432.81,451
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Pediatric,,,20933.42,40374.93,12
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,455.0,54955.16,451
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Pediatric",,,38490.51,54401.39,6
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,455.0,31346.43,451
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Pediatric",,,24304.09,34350.7,6
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,455.0,20811.49,451
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Pediatric",,,13946.08,19711.0,6
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,455.0,28926.17,451
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC Pediatric,,,20608.45,35177.38,12
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,455.0,17847.12,451
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Pediatric,,,12728.31,21704.04,12
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,455.0,36655.81,451
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Pediatric,,,23701.45,44577.46,12
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,455.0,20052.05,451
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Pediatric,,,13554.76,24385.48,12
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,455.0,26170.01,451
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Pediatric,,,17779.39,31825.58,12
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,455.0,16611.17,451
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Pediatric,,,10818.08,20200.99,12
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,455.0,60949.95,451
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Pediatric",,,36047.06,64029.93,12
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,455.0,38501.48,451
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Pediatric",,,20986.21,40447.08,12
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,455.0,102284.32,451
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Pediatric,,,70358.74,107453.04,12
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,455.0,58964.07,451
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Pediatric,,,33379.66,61943.7,12
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,455.0,42021.13,451
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Pediatric,,,23157.08,44144.58,12
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,455.0,102521.82,451
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Non-Transplant Related Services,,,,,0
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Pediatric,,,64372.34,107702.55,12
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,455.0,51781.7,451
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Pediatric,,,29732.39,54398.39,12
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,455.0,40807.85,451
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Non-Transplant Related Services,,,,,0
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Pediatric,,,21657.6,42869.99,12
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,455.0,52502.8,451
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Pediatric,,,29727.44,55155.92,12
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,455.0,35502.63,451
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Pediatric,,,19310.22,37296.68,12
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,455.0,58635.0,451
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Pediatric",,,31314.36,61598.0,12
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,455.0,32549.56,451
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Pediatric",,,18983.6,34194.39,12
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,455.0,49707.12,451
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Pediatric",,,25789.85,52218.96,12
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,455.0,24600.32,451
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Pediatric",,,16142.99,25843.44,12
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,455.0,39697.59,451
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Pediatric,,,23378.13,41703.63,12
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,455.0,73471.87,451
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Pediatric,,,41672.2,77184.62,12
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,42230.02,451
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,23539.79,44364.02,12
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,455.0,55926.9,451
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Pediatric",,,39171.12,55363.34,6
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,455.0,33033.22,451
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Pediatric",,,23136.42,32700.36,6
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,455.0,23742.6,451
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Pediatric",,,16443.21,28873.59,12
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,455.0,35395.14,451
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Pediatric",,,22635.81,43044.35,12
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,455.0,24199.9,451
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Non-Transplant Related Services",,,,,0
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Pediatric",,,15761.93,29429.72,12
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,455.0,16403.53,451
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Non-Transplant Related Services",,,,,0
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Pediatric",,,10234.12,19948.48,12
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,455.0,24904.39,451
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Pediatric,,,15945.03,30286.46,12
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,455.0,14664.68,451
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Pediatric,,,9331.79,17149.8,12
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,455.0,22983.59,504
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Non-Transplant Related Services,,,,,0
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Pediatric,,,18917.61,25796.12,6
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,455.0,48353.63,451
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Pediatric,,,27404.8,50797.08,12
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,455.0,28692.26,451
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Non-Transplant Related Services",,,,,0
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Pediatric",,,14282.24,30142.16,12
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,455.0,16183.53,451
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Pediatric,,,11499.36,19680.94,12
MS-DRG,779,ABORTION WITHOUT D&C ,,,455.0,22579.31,451
MS-DRG,779,ABORTION WITHOUT D&C Non-Transplant Related Services,,,,,0
MS-DRG,779,ABORTION WITHOUT D&C Pediatric,,,16802.83,25290.32,12
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,455.0,45951.45,505
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC Pediatric,,,31832.33,43406.67,6
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,455.0,22792.67,505
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC Pediatric,,,17221.82,23483.74,6
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,455.0,21094.35,505
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Pediatric,,,15046.0,20516.78,6
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,455.0,32577.46,505
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Pediatric,,,26641.04,36327.81,6
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,455.0,23733.96,505
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Pediatric,,,17573.19,23962.86,6
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,455.0,21110.95,505
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Pediatric,,,14391.11,19623.77,6
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,440.0,78795.0,419
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Non-Transplant Related Services",,,,,0
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,440.0,139414.0,419
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Non-Transplant Related Services",,,,,0
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS ,,,440.0,78795.0,419
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS Non-Transplant Related Services,,,,,0
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,440.0,45853.52,419
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS Non-Transplant Related Services,,,,,0
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,440.0,74414.37,419
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS Non-Transplant Related Services,,,,,0
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,440.0,29695.48,419
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Non-Transplant Related Services,,,,,0
MS-DRG,795,NORMAL NEWBORN ,,,440.0,8510.58,413
MS-DRG,795,NORMAL NEWBORN Non-Transplant Related Services,,,,,0
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,455.0,24567.33,504
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Pediatric,,,21659.25,29534.62,6
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,455.0,21801.57,504
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Pediatric,,,15306.64,20872.18,6
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,455.0,21082.73,504
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Pediatric,,,15306.64,20872.18,6
MS-DRG,799,SPLENIC PROCEDURES WITH MCC ,,,455.0,129594.47,451
MS-DRG,799,SPLENIC PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,799,SPLENIC PROCEDURES WITH MCC Pediatric,,,85906.22,136143.26,12
MS-DRG,800,SPLENIC PROCEDURES WITH CC ,,,455.0,80390.98,451
MS-DRG,800,SPLENIC PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,800,SPLENIC PROCEDURES WITH CC Pediatric,,,43854.62,84453.37,12
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,455.0,54623.17,451
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC Pediatric,,,29626.82,57383.44,12
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,455.0,114005.02,451
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Pediatric,,,62882.75,119766.03,12
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,455.0,53192.42,451
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Pediatric,,,33871.24,55880.39,12
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,455.0,38801.94,451
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Pediatric,,,20814.65,40762.72,12
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,455.0,23109.74,504
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Pediatric,,,16588.38,22619.97,6
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,455.0,17711.01,504
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Pediatric,,,11510.91,15696.31,6
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,455.0,16905.0,504
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Pediatric,,,10415.57,14202.71,6
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,455.0,54577.08,451
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Non-Transplant Related Services,,,,,0
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Pediatric,,,35317.94,66371.68,12
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,455.0,31291.78,451
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Non-Transplant Related Services,,,,,0
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Pediatric,,,20054.19,38054.22,12
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,455.0,25870.91,451
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Non-Transplant Related Services,,,,,0
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Pediatric,,,15486.44,31461.84,12
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC ,,,455.0,34712.89,451
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC Pediatric,,,22934.39,42214.66,12
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,455.0,22696.99,451
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC Pediatric,,,14813.41,27602.01,12
MS-DRG,813,COAGULATION DISORDERS ,,,455.0,37703.89,451
MS-DRG,813,COAGULATION DISORDERS Non-Transplant Related Services,,,,,0
MS-DRG,813,COAGULATION DISORDERS Pediatric,,,25817.89,45852.04,12
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,455.0,52569.9,451
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Pediatric,,,30997.63,63930.73,12
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,455.0,25065.07,451
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Pediatric,,,17009.03,30481.85,12
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,455.0,16159.74,451
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Pediatric,,,12025.58,18998.55,12
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,455.0,65287.98,464
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Pediatric,,,48527.35,70401.72,12
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,455.0,33170.51,464
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Pediatric,,,24655.02,35767.71,12
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,24606.04,464
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,14656.7,25849.45,12
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,455.0,178096.38,451
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Pediatric,,,124738.43,176301.75,6
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,455.0,67979.57,451
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Pediatric,,,47612.78,67294.55,6
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,34452.46,451
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,25607.88,36193.44,6
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,455.0,139226.62,451
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Pediatric,,,97514.11,137823.67,6
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,455.0,68799.48,451
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Pediatric,,,48187.05,68106.2,6
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,455.0,38613.08,451
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Pediatric,,,28700.39,40564.31,6
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,455.0,142050.75,451
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Non-Transplant Related Services,,,,,0
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Pediatric,,,99492.13,140619.35,6
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,455.0,70184.21,451
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Non-Transplant Related Services,,,,,0
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Pediatric,,,49156.91,69476.98,6
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,455.0,51739.29,451
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Non-Transplant Related Services,,,,,0
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Pediatric,,,36238.12,51217.93,6
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,455.0,95959.72,451
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Non-Transplant Related Services,,,,,0
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Pediatric,,,67210.04,94992.76,6
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,455.0,43065.57,451
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Non-Transplant Related Services,,,,,0
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Pediatric,,,32009.84,45241.81,6
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,455.0,29724.6,460
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Pediatric,,,19709.42,36148.35,12
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,455.0,17837.23,460
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Pediatric,,,11555.45,21692.02,12
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,13874.45,460
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,8313.98,15718.9,12
MS-DRG,834,ACUTE LEUKEMIA WITH MCC ,,,455.0,166711.79,451
MS-DRG,834,ACUTE LEUKEMIA WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,834,ACUTE LEUKEMIA WITH MCC Pediatric,,,116764.68,165031.88,6
MS-DRG,835,ACUTE LEUKEMIA WITH CC ,,,455.0,63339.49,451
MS-DRG,835,ACUTE LEUKEMIA WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,835,ACUTE LEUKEMIA WITH CC Pediatric,,,44362.88,62701.23,6
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,455.0,42672.93,451
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC Pediatric,,,25937.55,36659.39,6
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,455.0,146401.22,451
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Non-Transplant Related Services,,,,,0
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Pediatric,,,102182.66,144422.06,6
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,455.0,63388.08,451
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Non-Transplant Related Services,,,,,0
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Pediatric,,,44396.91,62749.33,6
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,455.0,43846.91,451
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Pediatric,,,30710.31,43405.08,6
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,455.0,98234.21,451
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Pediatric,,,68803.09,97244.33,6
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,455.0,49540.72,451
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Pediatric,,,34698.25,49041.52,6
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,455.0,30682.82,451
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Pediatric,,,21490.2,30373.63,6
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,455.0,52699.22,451
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Non-Transplant Related Services,,,,,0
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Pediatric,,,42427.4,59965.68,6
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,455.0,36968.79,451
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Non-Transplant Related Services,,,,,0
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Pediatric,,,25892.88,36596.26,6
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,455.0,25860.54,451
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Non-Transplant Related Services,,,,,0
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Pediatric,,,18112.68,25599.95,6
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,455.0,78726.45,451
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Pediatric,,,55139.88,77933.14,6
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,455.0,39726.11,451
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Pediatric,,,27824.11,39325.8,6
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,455.0,25272.45,451
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Pediatric,,,18065.89,25533.81,6
MS-DRG,849,RADIOTHERAPY ,,,455.0,66976.13,451
MS-DRG,849,RADIOTHERAPY Non-Transplant Related Services,,,,,0
MS-DRG,849,RADIOTHERAPY Pediatric,,,57628.36,81450.28,6
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,455.0,262963.04,445
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES Non-Transplant Related Services,,,,,0
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES Pediatric,,,184178.91,260313.23,6
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,455.0,141318.04,451
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Pediatric,,,80846.9,148459.25,12
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,455.0,49391.03,458
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Pediatric,,,33909.18,60064.88,12
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,42842.38,451
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,25200.94,45007.33,12
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,455.0,130161.05,418
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Pediatric,,,72791.9,136738.47,12
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,455.0,61279.02,418
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Pediatric,,,34790.06,64375.63,12
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,455.0,39857.83,418
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Pediatric,,,23335.24,41871.97,12
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,455.0,45080.04,418
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Pediatric,,,30172.83,54822.25,12
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,455.0,24667.09,418
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Pediatric,,,16593.33,29997.87,12
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS ,,,455.0,21943.06,451
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS Non-Transplant Related Services,,,,,0
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS Pediatric,,,13991.91,26685.15,12
MS-DRG,865,VIRAL ILLNESS WITH MCC ,,,455.0,37080.96,451
MS-DRG,865,VIRAL ILLNESS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,865,VIRAL ILLNESS WITH MCC Pediatric,,,27594.51,45040.4,12
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC ,,,455.0,21495.64,451
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC Pediatric,,,14841.45,26141.05,12
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,455.0,51741.81,451
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Pediatric,,,34862.65,62923.69,12
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,455.0,25487.76,451
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Pediatric,,,17414.83,30995.9,12
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,455.0,18037.45,451
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Pediatric,,,12220.24,21935.51,12
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,455.0,170852.78,451
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Non-Transplant Related Services,,,,,0
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Pediatric,,,112022.69,207775.62,12
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,455.0,48016.66,459
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Pediatric,,,32285.97,58393.49,12
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,455.0,30334.71,459
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Pediatric,,,16957.89,30761.42,12
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,455.0,110594.11,444
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS Pediatric,,,82202.56,116182.76,6
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,455.0,21698.6,444
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Pediatric,,,20422.49,28864.57,6
MS-DRG,881,DEPRESSIVE NEUROSES ,,,455.0,21262.46,444
MS-DRG,881,DEPRESSIVE NEUROSES Pediatric,,,20012.0,28284.39,6
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE ,,,455.0,24265.73,444
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE Pediatric,,,22838.65,32279.5,6
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,455.0,44434.45,444
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL Pediatric,,,41821.23,59108.94,6
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,455.0,36357.92,444
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY Pediatric,,,34219.69,48365.14,6
MS-DRG,885,PSYCHOSES ,,,455.0,31564.89,444
MS-DRG,885,PSYCHOSES Pediatric,,,29708.54,41989.2,6
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,455.0,46897.63,444
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Pediatric,,,44139.56,62385.59,6
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES ,,,455.0,24200.2,444
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES Pediatric,,,22776.97,32192.32,6
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,455.0,15434.98,448
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA Pediatric",,,13120.85,18544.63,6
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,455.0,31989.73,448
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Pediatric",,,30108.4,42554.35,6
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,455.0,39435.77,448
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC Pediatric",,,37116.53,52459.45,6
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,455.0,19949.51,448
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Pediatric",,,18776.27,26537.85,6
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,455.0,120085.71,451
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Pediatric,,,72559.31,126153.99,12
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,455.0,54783.42,451
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Pediatric,,,32691.77,57551.78,12
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,455.0,33468.1,451
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Pediatric,,,20052.54,35159.35,12
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,455.0,105105.76,451
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC Pediatric,,,58592.14,110417.06,12
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,455.0,42447.49,451
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Pediatric,,,25732.11,44592.49,12
MS-DRG,906,HAND PROCEDURES FOR INJURIES ,,,455.0,58893.71,451
MS-DRG,906,HAND PROCEDURES FOR INJURIES Non-Transplant Related Services,,,,,0
MS-DRG,906,HAND PROCEDURES FOR INJURIES Pediatric,,,41778.7,59048.82,6
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,455.0,109861.57,451
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Pediatric,,,63768.59,115413.2,12
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,455.0,57092.65,451
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Pediatric,,,33924.02,59977.71,12
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,455.0,37562.91,451
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Pediatric,,,22512.09,39461.07,12
MS-DRG,913,TRAUMATIC INJURY WITH MCC ,,,455.0,40405.68,418
MS-DRG,913,TRAUMATIC INJURY WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,913,TRAUMATIC INJURY WITH MCC Pediatric,,,24976.59,49137.71,12
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC ,,,455.0,21888.67,418
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC Pediatric,,,14666.59,26619.02,12
MS-DRG,915,ALLERGIC REACTIONS WITH MCC ,,,455.0,41567.47,451
MS-DRG,915,ALLERGIC REACTIONS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,915,ALLERGIC REACTIONS WITH MCC Pediatric,,,30024.37,50550.58,12
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC ,,,455.0,16470.27,451
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC Pediatric,,,10956.64,20029.64,12
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,455.0,38769.28,451
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Pediatric,,,25115.16,47147.67,12
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,455.0,21186.65,451
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Pediatric,,,13488.78,25765.28,12
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC ,,,455.0,45255.55,451
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC Pediatric,,,29587.23,55035.68,12
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC ,,,455.0,24775.85,451
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC Pediatric,,,16855.61,30130.14,12
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,455.0,17016.56,451
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Pediatric,,,12007.44,20693.99,12
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,455.0,43243.42,451
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Non-Transplant Related Services",,,,,0
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Pediatric",,,25664.48,52588.71,12
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,455.0,25156.53,451
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Non-Transplant Related Services",,,,,0
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Pediatric",,,15559.03,30593.08,12
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,455.0,370772.78,434
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Non-Transplant Related Services,,,,,0
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Pediatric,,,454103.78,641817.38,6
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,455.0,124561.11,434
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Pediatric,,,152556.16,215618.53,6
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,455.0,58663.07,434
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Pediatric,,,68503.2,96820.47,6
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,455.0,69842.37,434
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Non-Transplant Related Services,,,,,0
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Pediatric,,,82825.74,117063.55,6
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,455.0,41892.44,434
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Non-Transplant Related Services,,,,,0
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Pediatric,,,47017.25,66452.85,6
MS-DRG,935,NON-EXTENSIVE BURNS ,,,455.0,39392.28,434
MS-DRG,935,NON-EXTENSIVE BURNS Non-Transplant Related Services,,,,,0
MS-DRG,935,NON-EXTENSIVE BURNS Pediatric,,,43814.14,61925.66,6
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,455.0,103829.53,451
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Pediatric,,,51089.76,109076.34,12
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,455.0,66870.39,451
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Pediatric,,,36345.64,70249.55,12
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,455.0,58022.64,451
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Non-Transplant Related Services,,,,,0
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Pediatric,,,31134.55,60954.69,12
MS-DRG,945,REHABILITATION WITH CC/MCC ,,,455.0,30902.39,386
MS-DRG,946,REHABILITATION WITHOUT CC/MCC ,,,455.0,24232.01,386
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC ,,,455.0,31378.3,451
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC Pediatric,,,20052.54,38159.43,12
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC ,,,455.0,19787.56,451
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC Pediatric,,,12827.29,24063.83,12
MS-DRG,949,AFTERCARE WITH CC/MCC ,,,455.0,29408.19,451
MS-DRG,949,AFTERCARE WITH CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,949,AFTERCARE WITH CC/MCC Pediatric,,,19663.23,35763.57,12
MS-DRG,950,AFTERCARE WITHOUT CC/MCC ,,,455.0,15727.49,451
MS-DRG,950,AFTERCARE WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,950,AFTERCARE WITHOUT CC/MCC Pediatric,,,11703.91,18869.29,12
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,455.0,14423.96,451
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS Non-Transplant Related Services,,,,,0
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS Pediatric,,,9389.52,16713.92,12
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,455.0,192610.43,418
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Non-Transplant Related Services,,,,,0
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Pediatric,,,111117.06,202343.6,12
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,455.0,148644.0,418
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Non-Transplant Related Services",,,,,0
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Pediatric",,,80035.25,113119.54,6
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,455.0,218043.44,418
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Pediatric,,,122243.61,229061.81,12
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,455.0,121263.0,418
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Pediatric,,,68796.57,126674.05,12
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,455.0,121263.0,418
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Pediatric,,,42373.28,88502.59,12
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,455.0,61778.41,418
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Pediatric,,,45746.71,82180.76,12
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,455.0,34633.69,418
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Pediatric,,,24158.39,46071.49,12
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,455.0,34585.0,418
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Pediatric,,,15009.71,28272.37,12
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,455.0,175161.0,451
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Pediatric,,,119556.41,184012.4,12
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,455.0,75469.2,451
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Non-Transplant Related Services,,,,,0
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Pediatric,,,50946.25,79282.88,12
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,455.0,71339.03,451
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC Pediatric,,,47393.01,86756.05,12
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,455.0,32011.1,451
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC Pediatric,,,22693.55,38928.99,12
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,455.0,22313.84,451
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Pediatric,,,15222.51,27136.06,12
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,455.0,32077.85,451
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION Non-Transplant Related Services,,,,,0
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION Pediatric,,,21443.15,39010.16,12
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,455.0,134255.86,451
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Pediatric,,,75558.28,141040.2,12
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,455.0,70349.98,451
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Pediatric,,,41375.27,73904.97,12
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,455.0,49046.11,451
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Pediatric,,,27551.62,51524.55,12
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,455.0,98103.67,451
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Non-Transplant Related Services,,,,,0
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Pediatric,,,54740.33,103061.13,12
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,455.0,47031.61,451
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Non-Transplant Related Services,,,,,0
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Pediatric,,,27983.81,49408.26,12
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,455.0,34315.11,451
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Non-Transplant Related Services,,,,,0
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Pediatric,,,18185.19,36049.15,12
MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,995.0,5193.64,385
MS-DRG,999,UNGROUPABLE ,,,995.0,5193.64,385
RC,0024,AMPUTATION LOWER EXTREMITY M <47.50 ,,,32362.88,46215.37,4
RC,0024,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,24329.85,34744.63,4
RC,0024,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,20442.39,29193.08,4
RC,0024,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,16826.74,24030.66,4
RC,0024,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,26963.85,37826.44,4
RC,0024,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,21527.67,30200.14,4
RC,0024,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,18852.6,26445.66,4
RC,0024,BURNS M <52.50 ,,,30258.81,49768.44,4
RC,0024,BURNS M >=52.50 ,,,19095.08,31406.66,4
RC,0024,CARDIAC M <45.50 ,,,28755.06,41979.84,4
RC,0024,CARDIAC M >=45.50 AND M <55.50 ,,,23047.07,33647.62,4
RC,0024,CARDIAC M >=55.50 AND M <68.50 ,,,19067.7,27837.95,4
RC,0024,CARDIAC M >=68.50 ,,,14967.1,21852.28,4
RC,0024,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 15 DAYS OR FEWER ",,,17829.9,17829.9,1
RC,0024,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 16 DAYS OR MORE ",,,42787.45,42787.45,1
RC,0024,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 13 DAYS OR FEWER ",,,16697.68,16697.68,1
RC,0024,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 14 DAYS OR MORE ",,,40057.62,40057.62,1
RC,0024,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,31127.03,44858.28,4
RC,0024,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,25209.81,36328.56,4
RC,0024,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,20577.32,29654.57,4
RC,0024,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,16646.84,23991.55,4
RC,0024,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,33156.8,53964.86,4
RC,0024,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,23434.25,38141.27,4
RC,0024,GUILLAIN-BARRÉ M >=66.50 ,,,16107.13,26216.87,4
RC,0024,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,28543.87,40409.61,4
RC,0024,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,24439.35,34599.93,4
RC,0024,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,19646.52,27812.52,4
RC,0024,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,15455.97,21879.66,4
RC,0024,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,29069.89,42928.24,4
RC,0024,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,25262.6,37306.29,4
RC,0024,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,21529.63,31795.8,4
RC,0024,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,17466.18,25794.49,4
RC,0024,MISCELLANEOUS M <46.50 AND A <77.50 ,,,29529.42,43250.89,4
RC,0024,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,28211.44,41320.85,4
RC,0024,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,23133.11,33880.32,4
RC,0024,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,19699.32,28852.83,4
RC,0024,MISCELLANEOUS M >=66.50 ,,,15866.61,23238.7,4
RC,0024,NEUROLOGICAL M <43.50 ,,,30692.92,47904.89,4
RC,0024,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,24269.23,37877.28,4
RC,0024,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,20409.15,31852.51,4
RC,0024,NEUROLOGICAL M >=64.50 ,,,16406.32,25606.76,4
RC,0024,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,29263.48,42306.4,4
RC,0024,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,24703.34,35710.63,4
RC,0024,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,20890.19,30202.1,4
RC,0024,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,16150.15,23346.25,4
RC,0024,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,40251.21,61092.52,4
RC,0024,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,28328.77,42998.64,4
RC,0024,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,23708.01,35984.4,4
RC,0024,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,20937.12,31778.2,4
RC,0024,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,16865.85,25596.99,4
RC,0024,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,27572.0,41973.97,4
RC,0024,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,26782.0,40771.37,4
RC,0024,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,20006.32,30458.26,4
RC,0024,OSTEOARTHRITIS M >=61.50 ,,,17016.42,25903.99,4
RC,0024,OTHER ORTHOPEDIC M <44.5 ,,,28696.39,43962.68,4
RC,0024,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,23831.21,36508.46,4
RC,0024,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,20082.59,30765.27,4
RC,0024,OTHER ORTHOPEDIC M >=63.50 ,,,15807.95,24218.39,4
RC,0024,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,22257.06,29951.8,4
RC,0024,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,18379.38,24732.67,4
RC,0024,PAIN SYNDROME M >=65.50 ,,,15274.11,20555.81,4
RC,0024,PULMONARY M <45.50 ,,,32972.99,45806.68,4
RC,0024,PULMONARY M >=45.50 AND M <56.50 ,,,26293.13,36528.02,4
RC,0024,PULMONARY M >=56.50 AND M <68.50 ,,,22554.29,31330.4,4
RC,0024,PULMONARY M >=68.50 ,,,18443.91,25622.41,4
RC,0024,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,28841.1,40888.69,4
RC,0024,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,23156.57,32828.28,4
RC,0024,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,20383.73,28897.81,4
RC,0024,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,18522.13,26257.93,4
RC,0024,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,16249.88,23037.29,4
RC,0024,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,29812.96,44803.53,4
RC,0024,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,23097.91,34713.35,4
RC,0024,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,19986.77,30035.88,4
RC,0024,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,16300.72,24496.06,4
RC,0024,"SHORT-STAY CASES, LENGTH OF STAY IS 3 DAYS OR FEWER ",,,3431.83,3431.83,1
RC,0024,STROKE M <41.50 AND A <84.50 ,,,42269.25,55388.44,4
RC,0024,STROKE M <41.50 AND A >=84.50 ,,,37525.3,49172.03,4
RC,0024,STROKE M >=41.50 AND M <50.50 ,,,30110.19,39455.34,4
RC,0024,STROKE M >=50.50 AND M <63.50 ,,,23575.04,30892.38,4
RC,0024,STROKE M >=63.50 AND M <72.50 ,,,18365.69,24063.91,4
RC,0024,STROKE M >=72.50 ,,,14429.35,18907.35,4
RC,0024,TRAUMATIC BRAIN INJURY M <35.50 ,,,36363.76,53282.41,4
RC,0024,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,28344.41,41532.04,4
RC,0024,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,22998.18,33698.46,4
RC,0024,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,18498.66,27104.65,4
RC,0024,TRAUMATIC BRAIN INJURY M >=73.50 ,,,14165.36,20755.27,4
RC,0024,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,44735.09,62115.23,4
RC,0024,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,35434.91,49201.36,4
RC,0024,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,27607.2,38334.86,4
RC,0024,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,23919.2,33213.51,4
RC,0024,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,19079.43,26492.59,4
RC,024,AMPUTATION LOWER EXTREMITY M <47.50 ,,,31728.32,49387.01,36
RC,024,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,23852.79,37129.07,36
RC,024,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,20041.56,31196.53,36
RC,024,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,16496.81,25679.83,36
RC,024,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,26435.15,40422.37,36
RC,024,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,21105.56,32272.7,36
RC,024,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,18482.94,28260.56,36
RC,024,BURNS M <52.50 ,,,29665.5,53183.92,36
RC,024,BURNS M >=52.50 ,,,18720.67,33562.02,36
RC,024,CARDIAC M <45.50 ,,,28191.23,44860.81,36
RC,024,CARDIAC M >=45.50 AND M <55.50 ,,,22595.16,35956.77,36
RC,024,CARDIAC M >=55.50 AND M <68.50 ,,,18693.83,29748.39,36
RC,024,CARDIAC M >=68.50 ,,,14673.63,23351.95,36
RC,024,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 15 DAYS OR FEWER ",,,17480.29,19053.52,9
RC,024,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 16 DAYS OR MORE ",,,41948.48,45723.84,9
RC,024,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 13 DAYS OR FEWER ",,,16370.28,17843.6,9
RC,024,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 14 DAYS OR MORE ",,,39272.18,42806.68,9
RC,024,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,30516.7,47936.79,36
RC,024,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,24715.5,38821.69,36
RC,024,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,20173.84,31689.69,36
RC,024,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,16320.43,25638.03,36
RC,024,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,32506.67,57668.33,36
RC,024,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,22974.75,40758.81,36
RC,024,GUILLAIN-BARRÉ M >=66.50 ,,,15791.31,28016.07,36
RC,024,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,27984.18,43182.81,36
RC,024,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,23960.15,36974.44,36
RC,024,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,19261.29,29721.23,36
RC,024,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,15152.91,23381.2,36
RC,024,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,28499.89,45874.3,36
RC,024,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,24767.26,39866.52,36
RC,024,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,21107.48,33977.86,36
RC,024,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,17123.71,27564.7,36
RC,024,MISCELLANEOUS M <46.50 AND A <77.50 ,,,28950.41,46219.09,36
RC,024,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,27658.27,44156.6,36
RC,024,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,22679.52,36205.44,36
RC,024,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,19313.06,30832.93,36
RC,024,MISCELLANEOUS M >=66.50 ,,,15555.5,24833.51,36
RC,024,NEUROLOGICAL M <43.50 ,,,30091.1,51192.48,36
RC,024,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,23793.36,40476.7,36
RC,024,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,20008.97,34038.46,36
RC,024,NEUROLOGICAL M >=64.50 ,,,16084.63,27364.09,36
RC,024,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,28689.68,45209.78,36
RC,024,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,24218.96,38161.36,36
RC,024,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,20480.58,32274.79,36
RC,024,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,15833.48,24948.45,36
RC,024,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,39461.97,65285.14,36
RC,024,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,27773.3,45949.52,36
RC,024,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,23243.15,38453.91,36
RC,024,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,20526.59,33959.06,36
RC,024,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,16535.15,27353.64,36
RC,024,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,27031.38,44854.54,36
RC,024,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,26256.86,43569.4,36
RC,024,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,19614.04,32548.54,36
RC,024,OSTEOARTHRITIS M >=61.50 ,,,16682.77,27681.72,36
RC,024,OTHER ORTHOPEDIC M <44.5 ,,,28133.72,46979.73,36
RC,024,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,23363.93,39013.94,36
RC,024,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,19688.81,32876.61,36
RC,024,OTHER ORTHOPEDIC M >=63.50 ,,,15497.99,25880.43,36
RC,024,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,21820.65,32007.31,36
RC,024,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,18019.0,26430.01,36
RC,024,PAIN SYNDROME M >=65.50 ,,,14974.62,21966.5,36
RC,024,PULMONARY M <45.50 ,,,32326.46,48950.27,36
RC,024,PULMONARY M >=45.50 AND M <56.50 ,,,25777.58,39034.84,36
RC,024,PULMONARY M >=56.50 AND M <68.50 ,,,22112.05,33480.52,36
RC,024,PULMONARY M >=68.50 ,,,18082.26,27380.81,36
RC,024,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,28275.59,43694.78,36
RC,024,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,22702.52,35081.2,36
RC,024,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,19984.05,30880.99,36
RC,024,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,18158.95,28059.95,36
RC,024,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,15931.26,24618.28,36
RC,024,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,29228.39,47878.28,36
RC,024,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,22645.01,37095.64,36
RC,024,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,19594.87,32097.17,36
RC,024,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,15981.1,26177.16,36
RC,024,"SHORT-STAY CASES, LENGTH OF STAY IS 3 DAYS OR FEWER ",,,3364.54,3667.35,9
RC,024,STROKE M <41.50 AND A <84.50 ,,,41440.44,59189.61,36
RC,024,STROKE M <41.50 AND A >=84.50 ,,,36789.51,52546.58,36
RC,024,STROKE M >=41.50 AND M <50.50 ,,,29519.8,42163.06,36
RC,024,STROKE M >=50.50 AND M <63.50 ,,,23112.78,33012.44,36
RC,024,STROKE M >=63.50 AND M <72.50 ,,,18005.58,25715.35,36
RC,024,STROKE M >=72.50 ,,,14146.42,20204.92,36
RC,024,TRAUMATIC BRAIN INJURY M <35.50 ,,,35650.74,56939.04,36
RC,024,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,27788.64,44382.28,36
RC,024,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,22547.23,36011.1,36
RC,024,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,18135.94,28964.77,36
RC,024,TRAUMATIC BRAIN INJURY M >=73.50 ,,,13887.61,22179.65,36
RC,024,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,43857.93,66378.03,36
RC,024,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,34740.11,52577.92,36
RC,024,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,27065.88,40965.69,36
RC,024,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,23450.2,35492.87,36
RC,024,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,18705.33,28310.71,36
RC,100, All-inclusive room and board plus ancillary  ,,,,,0
RC,100,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,100,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,100,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,100,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,100,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,100,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,100,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,100,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,100,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,100,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,100,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1126.0,12362.36,7
RC,100,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,1126.0,9200.89,7
RC,100,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,100,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,100,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,100,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,100,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,100,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,100,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,100,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,100,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,100,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,100,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,100,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,100,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,100,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,100,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,100,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,100,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,100,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,100,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,100,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,100,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,100,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,100,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,100,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,100,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,100,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,100,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,100,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,100,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,100,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,100,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,100,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,100,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,100,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,100,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,100,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,100,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,100,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,100,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,100,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,100,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,100,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,100,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,100,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,100,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,100,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,100,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,100,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,100,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,100,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,100,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,100,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,100,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,100,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,100,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,100,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,100,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,100,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,100,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,100,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,100,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,100,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,100,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,100,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,100,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,100,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,100,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,100,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,100,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,100,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,100,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,100,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,100,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,100,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,100,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,100,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,100,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,100,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,100,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,100,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,100,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,100,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,100,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,100,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,100,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,100,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,100,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,100,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,100,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,100,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,100,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,100,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,100,CHEST PAIN ,,,1126.0,8649.83,7
RC,100,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,100,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,100,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,100,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,100,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,100,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,100,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,100,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,100,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,100,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,100,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,100,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,100,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,100,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,100,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,100,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,100,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,100,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,100,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,100,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,100,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,100,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,100,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,100,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,100,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,100,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,100,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,100,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,100,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,100,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,100,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,100,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,100,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,100,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,100,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,100,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,100,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,100,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,100,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,100,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,100,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,100,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,100,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,100,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,100,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,100,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,100,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,100,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,100,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,100,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,100,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,100,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,100,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,100,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,100,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,100,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,100,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,100,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,100,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,100,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,100,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,100,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,100,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,100,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,100,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,100,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,100,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,100,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,100,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,100,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,100,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,100,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,100,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,100,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,100,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,100,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,100,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,100,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,100,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,100,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,100,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,1318.0,15474.42,7
RC,100,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,100,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,100,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,100,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,100,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,100,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,100,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,100,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,100,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,100,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,100,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,100,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,100,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,100,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,100,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,100,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,100,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,100,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,100,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,100,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,100,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,100,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,100,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,100,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,100,HEADACHES WITH MCC ,,,1126.0,12007.27,7
RC,100,HEADACHES WITHOUT MCC ,,,1126.0,9623.81,7
RC,100,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,100,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,100,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,100,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,100,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,100,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,100,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,100,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,100,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,100,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,100,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,100,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,100,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,100,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,100,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,100,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,100,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,100,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,100,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,100,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,100,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,100,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,100,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,100,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,100,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,100,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,100,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,100,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,100,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,100,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,100,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,100,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,100,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,100,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,100,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,100,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,100,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,100,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,100,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,100,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,100,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,1318.0,17762.4,7
RC,100,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,11705.78,7
RC,100,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,100,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,100,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,100,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,100,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,100,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,100,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,100,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,100,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,100,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,100,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,100,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,100,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,100,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,100,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,100,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,100,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,100,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,100,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,100,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,100,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,100,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,100,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,100,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,100,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,100,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,100,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,100,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,100,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,100,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,100,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,100,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,100,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,100,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,100,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,100,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,100,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,100,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,100,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,100,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,100,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,100,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,100,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,100,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,100,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,100,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,100,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,100,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,100,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,100,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,100,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,100,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,100,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,100,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,100,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,100,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,100,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,100,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,100,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,100,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,100,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,100,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,100,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,100,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,100,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,100,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,100,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,100,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,100,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,100,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,100,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,100,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,100,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,100,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,100,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,100,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,100,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,100,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,100,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,100,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,100,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,100,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,100,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,100,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,100,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,100,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,100,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,100,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,100,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,100,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,100,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,100,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,100,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,100,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,100,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,100,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,100,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,100,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,100,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,100,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,100,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,100,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,100,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,100,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,100,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,100,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,100,NEUROLOGICAL EYE DISORDERS ,,,1126.0,9308.09,7
RC,100,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,100,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,100,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,100,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,100,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,100,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,100,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,100,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,100,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,100,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,100,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,100,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,100,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,100,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,100,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,100,ORBITAL PROCEDURES WITH CC/MCC ,,,1318.0,22309.9,7
RC,100,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,13951.05,7
RC,100,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,100,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,100,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,100,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,100,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,100,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,100,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,100,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,100,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,100,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,100,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,100,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,100,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,100,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,100,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,100,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,100,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,100,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,100,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,100,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,100,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,100,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,100,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,13700.65,7
RC,100,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,9050.14,7
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,100,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,100,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,100,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,100,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,100,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,100,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,100,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,100,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,100,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,100,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,100,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,100,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,100,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,100,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,100,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,100,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,100,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,100,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,100,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,100,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,100,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,100,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,100,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,100,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,100,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,100,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,100,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,100,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,100,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,100,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,100,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,100,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,100,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,100,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,100,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,100,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,100,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,100,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,100,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,100,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,100,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,100,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,100,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,100,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,100,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,100,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,100,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,100,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,100,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,100,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,100,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,100,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,100,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,100,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,100,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,100,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,100,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,100,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,100,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,100,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,100,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,100,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,100,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,100,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,100,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,100,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,100,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,100,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,100,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,100,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,100,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,100,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,100,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,100,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,100,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,100,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,100,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,100,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,100,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,100,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,100,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,100,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,100,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,100,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,100,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,100,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,100,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,100,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,100,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,100,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,100,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,100,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,100,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,100,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,100,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,100,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,100,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,100,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,100,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,100,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,100,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,100,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,100,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,100,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,100,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,100,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,100,PSYCHOSES ,,,1126.0,14317.87,7
RC,100,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,100,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,100,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,100,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,100,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,100,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,100,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,100,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,100,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,100,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,100,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,100,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,100,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,100,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,100,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,100,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,100,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,100,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,100,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,100,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,100,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,100,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,100,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,100,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,100,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,100,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,100,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,100,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,100,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,100,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,100,SEIZURES WITHOUT MCC ,,,1126.0,10179.06,7
RC,100,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,100,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,100,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,100,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,100,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,100,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,100,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,100,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,100,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,100,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,100,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,100,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,100,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,100,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,100,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,100,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,100,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,100,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,100,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,100,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,100,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,100,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,100,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,100,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,100,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,100,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,100,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,100,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,100,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,100,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,100,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,100,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,100,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,100,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,100,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,100,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,100,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,100,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,100,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,100,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,100,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,100,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,100,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,100,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,100,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,100,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,100,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,100,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,100,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,100,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,100,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,100,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,100,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,100,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,100,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,100,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,100,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,100,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,100,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,100,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,100,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,100,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,100,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,100,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,100,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,100,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,100,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,100,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,100,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,100,UNGROUPABLE ,,,2573.63,2620.01,6
RC,100,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,100,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,100,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,100,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,100,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,100,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,100,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,100,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,100,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,100,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,100,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,100,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,100,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,100,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,100,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,100,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,100,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,100,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,100,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,100,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,100,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,100,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,100,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,100,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,100,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,100,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,100,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,1001, Behavioral Health Accommodations Residential - Psychiatric  ,,,200.0,200.0,2
RC,101, All-inclusive room and board    ,,,,,0
RC,101,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,101,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,101,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,101,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,101,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,101,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,101,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,101,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,101,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,101,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,101,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1126.0,12362.36,7
RC,101,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,1126.0,9200.89,7
RC,101,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,101,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,101,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,101,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,101,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,101,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,101,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,101,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,101,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,101,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,101,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,101,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,101,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,101,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,101,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,101,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,101,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,101,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,101,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,101,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,101,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,101,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,101,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,101,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,101,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,101,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,101,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,101,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,101,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,101,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,101,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,101,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,101,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,101,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,101,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,101,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,101,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,101,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,101,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,101,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,101,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,101,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,101,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,101,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,101,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,101,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,101,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,101,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,101,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,101,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,101,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,101,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,101,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,101,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,101,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,101,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,101,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,101,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,101,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,101,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,101,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,101,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,101,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,101,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,101,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,101,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,101,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,101,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,101,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,101,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,101,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,101,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,101,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,101,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,101,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,101,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,101,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,101,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,101,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,101,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,101,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,101,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,101,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,101,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,101,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,101,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,101,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,101,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,101,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,101,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,101,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,101,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,101,CHEST PAIN ,,,1126.0,8649.83,7
RC,101,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,101,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,101,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,101,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,101,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,101,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,101,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,101,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,101,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,101,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,101,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,101,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,101,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,101,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,101,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,101,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,101,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,101,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,101,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,101,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,101,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,101,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,101,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,101,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,101,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,101,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,101,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,101,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,101,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,101,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,101,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,101,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,101,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,101,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,101,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,101,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,101,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,101,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,101,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,101,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,101,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,101,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,101,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,101,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,101,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,101,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,101,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,101,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,101,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,101,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,101,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,101,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,101,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,101,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,101,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,101,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,101,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,101,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,101,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,101,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,101,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,101,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,101,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,101,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,101,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,101,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,101,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,101,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,101,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,101,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,101,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,101,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,101,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,101,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,101,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,101,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,101,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,101,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,101,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,101,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,1318.0,15474.42,7
RC,101,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,101,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,101,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,101,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,101,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,101,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,101,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,101,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,101,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,101,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,101,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,101,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,101,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,101,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,101,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,101,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,101,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,101,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,101,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,101,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,101,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,101,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,101,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,101,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,101,HEADACHES WITH MCC ,,,1126.0,12007.27,7
RC,101,HEADACHES WITHOUT MCC ,,,1126.0,9623.81,7
RC,101,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,101,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,101,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,101,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,101,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,101,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,101,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,101,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,101,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,101,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,101,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,101,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,101,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,101,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,101,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,101,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,101,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,101,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,101,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,101,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,101,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,101,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,101,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,101,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,101,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,101,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,101,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,101,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,101,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,101,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,101,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,101,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,101,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,101,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,101,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,101,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,101,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,101,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,101,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,101,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,101,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,1318.0,17762.4,7
RC,101,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,11705.78,7
RC,101,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,101,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,101,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,101,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,101,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,101,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,101,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,101,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,101,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,101,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,101,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,101,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,101,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,101,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,101,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,101,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,101,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,101,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,101,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,101,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,101,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,101,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,101,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,101,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,101,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,101,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,101,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,101,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,101,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,101,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,101,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,101,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,101,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,101,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,101,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,101,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,101,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,101,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,101,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,101,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,101,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,101,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,101,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,101,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,101,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,101,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,101,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,101,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,101,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,101,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,101,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,101,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,101,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,101,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,101,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,101,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,101,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,101,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,101,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,101,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,101,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,101,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,101,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,101,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,101,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,101,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,101,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,101,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,101,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,101,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,101,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,101,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,101,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,101,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,101,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,101,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,101,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,101,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,101,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,101,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,101,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,101,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,101,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,101,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,101,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,101,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,101,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,101,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,101,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,101,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,101,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,101,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,101,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,101,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,101,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,101,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,101,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,101,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,101,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,101,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,101,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,101,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,101,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,101,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,101,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,101,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,101,NEUROLOGICAL EYE DISORDERS ,,,1126.0,9308.09,7
RC,101,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,101,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,101,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,101,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,101,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,101,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,101,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,101,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,101,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,101,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,101,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,101,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,101,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,101,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,101,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,101,ORBITAL PROCEDURES WITH CC/MCC ,,,1318.0,22309.9,7
RC,101,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,13951.05,7
RC,101,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,101,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,101,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,101,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,101,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,101,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,101,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,101,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,101,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,101,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,101,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,101,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,101,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,101,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,101,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,101,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,101,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,101,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,101,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,101,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,101,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,101,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,101,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,13700.65,7
RC,101,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,9050.14,7
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,101,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,101,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,101,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,101,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,101,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,101,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,101,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,101,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,101,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,101,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,101,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,101,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,101,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,101,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,101,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,101,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,101,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,101,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,101,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,101,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,101,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,101,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,101,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,101,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,101,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,101,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,101,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,101,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,101,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,101,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,101,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,101,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,101,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,101,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,101,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,101,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,101,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,101,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,101,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,101,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,101,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,101,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,101,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,101,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,101,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,101,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,101,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,101,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,101,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,101,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,101,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,101,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,101,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,101,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,101,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,101,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,101,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,101,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,101,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,101,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,101,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,101,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,101,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,101,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,101,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,101,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,101,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,101,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,101,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,101,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,101,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,101,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,101,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,101,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,101,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,101,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,101,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,101,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,101,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,101,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,101,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,101,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,101,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,101,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,101,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,101,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,101,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,101,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,101,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,101,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,101,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,101,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,101,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,101,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,101,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,101,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,101,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,101,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,101,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,101,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,101,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,101,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,101,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,101,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,101,PSYCHOSES ,,,1126.0,14317.87,7
RC,101,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,101,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,101,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,101,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,101,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,101,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,101,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,101,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,101,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,101,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,101,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,101,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,101,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,101,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,101,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,101,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,101,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,101,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,101,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,101,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,101,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,101,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,101,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,101,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,101,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,101,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,101,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,101,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,101,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,101,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,101,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,101,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,101,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,101,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,101,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,101,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,101,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,101,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,101,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,101,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,101,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,101,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,101,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,101,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,101,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,101,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,101,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,101,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,101,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,101,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,101,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,101,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,101,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,101,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,101,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,101,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,101,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,101,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,101,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,101,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,101,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,101,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,101,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,101,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,101,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,101,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,101,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,101,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,101,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,101,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,101,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,101,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,101,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,101,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,101,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,101,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,101,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,101,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,101,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,101,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,101,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,101,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,101,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,101,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,101,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,101,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,101,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,101,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,101,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,101,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,101,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,101,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,101,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,101,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,101,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,101,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,101,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,101,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,101,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,101,UNGROUPABLE ,,,2573.63,2620.01,6
RC,101,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,101,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,101,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,101,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,101,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,101,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,101,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,101,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,101,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,101,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,101,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,101,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,101,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,101,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,101,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,101,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,101,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,101,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,101,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,101,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,101,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,101,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,101,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,101,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,101,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,101,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,101,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,110, Room & Board - Private (One Bed) General Classification  ,,,,,0
RC,110,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,110,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,110,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,110,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,110,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,110,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,110,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,110,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,110,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,110,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,110,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1126.0,12362.36,7
RC,110,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,1126.0,9200.89,7
RC,110,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,110,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,110,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,110,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,110,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,110,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,110,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,110,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,110,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,110,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,110,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,110,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,110,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,110,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,110,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,110,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,110,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,110,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,110,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,110,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,110,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,110,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,110,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,110,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,110,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,110,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,110,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,110,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,110,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,110,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,110,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,110,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,110,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,110,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,110,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,110,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,110,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,110,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,110,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,110,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,110,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,110,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,110,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,110,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,110,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,110,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,110,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,110,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,110,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,110,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,110,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,110,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,110,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,110,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,110,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,110,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,110,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,110,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,110,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,110,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,110,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,110,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,110,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,110,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,110,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,110,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,110,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,110,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,110,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,110,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,110,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,110,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,110,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,110,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,110,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,110,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,110,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,110,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,110,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,110,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,110,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,110,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,110,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,110,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,110,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,110,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,110,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,110,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,110,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,110,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,110,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,110,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,110,CHEST PAIN ,,,1126.0,8649.83,7
RC,110,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,110,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,110,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,110,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,110,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,110,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,110,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,110,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,110,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,110,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,110,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,110,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,110,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,110,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,110,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,110,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,110,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,110,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,110,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,110,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,110,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,110,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,110,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,110,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,110,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,110,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,110,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,110,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,110,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,110,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,110,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,110,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,110,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,110,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,110,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,110,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,110,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,110,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,110,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,110,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,110,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,110,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,110,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,110,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,110,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,110,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,110,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,110,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,110,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,110,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,110,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,110,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,110,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,110,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,110,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,110,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,110,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,110,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,110,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,110,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,110,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,110,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,110,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,110,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,110,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,110,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,110,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,110,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,110,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,110,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,110,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,110,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,110,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,110,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,110,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,110,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,110,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,110,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,110,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,110,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,110,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,1318.0,15474.42,7
RC,110,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,110,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,110,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,110,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,110,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,110,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,110,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,110,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,110,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,110,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,110,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,110,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,110,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,110,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,110,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,110,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,110,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,110,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,110,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,110,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,110,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,110,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,110,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,110,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,110,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,110,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,110,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,110,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,110,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,110,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,110,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,110,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,110,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,110,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,110,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,110,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,110,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,110,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,110,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,110,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,110,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,110,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,110,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,110,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,110,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,110,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,110,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,110,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,110,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,110,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,110,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,110,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,110,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,110,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,110,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,110,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,110,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,110,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,110,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,110,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,110,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,110,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,110,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,110,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,110,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,1318.0,17762.4,7
RC,110,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,11705.78,7
RC,110,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,110,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,110,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,110,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,110,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,110,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,110,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,110,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,110,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,110,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,110,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,110,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,110,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,110,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,110,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,110,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,110,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,110,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,110,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,110,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,110,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,110,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,110,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,110,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,110,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,110,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,110,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,110,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,110,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,110,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,110,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,110,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,110,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,110,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,110,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,110,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,110,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,110,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,110,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,110,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,110,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,110,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,110,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,110,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,110,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,110,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,110,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,110,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,110,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,110,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,110,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,110,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,110,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,110,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,110,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,110,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,110,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,110,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,110,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,110,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,110,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,110,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,110,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,110,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,110,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,110,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,110,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,110,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,110,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,110,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,110,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,110,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,110,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,110,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,110,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,110,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,110,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,110,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,110,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,110,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,110,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,110,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,110,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,110,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,110,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,110,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,110,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,110,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,110,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,110,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,110,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,110,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,110,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,110,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,110,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,110,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,110,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,110,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,110,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,110,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,110,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,110,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,110,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,110,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,110,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,110,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,110,NEUROLOGICAL EYE DISORDERS ,,,1126.0,9308.09,7
RC,110,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,110,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,110,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,110,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,110,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,110,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,110,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,110,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,110,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,110,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,110,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,110,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,110,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,110,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,110,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,110,ORBITAL PROCEDURES WITH CC/MCC ,,,1318.0,22309.9,7
RC,110,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,13951.05,7
RC,110,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,110,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,110,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,110,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,110,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,110,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,110,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,110,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,110,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,110,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,110,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,110,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,110,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,110,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,110,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,110,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,110,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,110,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,110,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,110,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,110,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,110,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,110,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,13700.65,7
RC,110,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,9050.14,7
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,110,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,110,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,110,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,110,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,110,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,110,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,110,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,110,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,110,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,110,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,110,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,110,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,110,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,110,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,110,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,110,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,110,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,110,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,110,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,110,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,110,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,110,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,110,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,110,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,110,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,110,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,110,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,110,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,110,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,110,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,110,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,110,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,110,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,110,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,110,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,110,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,110,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,110,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,110,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,110,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,110,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,110,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,110,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,110,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,110,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,110,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,110,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,110,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,110,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,110,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,110,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,110,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,110,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,110,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,110,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,110,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,110,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,110,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,110,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,110,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,110,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,110,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,110,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,110,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,110,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,110,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,110,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,110,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,110,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,110,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,110,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,110,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,110,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,110,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,110,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,110,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,110,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,110,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,110,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,110,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,110,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,110,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,110,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,110,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,110,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,110,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,110,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,110,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,110,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,110,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,110,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,110,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,110,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,110,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,110,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,110,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,110,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,110,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,110,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,110,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,110,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,110,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,110,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,110,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,110,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,110,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,110,PSYCHOSES ,,,1126.0,14317.87,7
RC,110,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,110,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,110,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,110,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,110,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,110,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,110,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,110,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,110,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,110,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,110,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,110,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,110,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,110,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,110,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,110,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,110,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,110,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,110,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,110,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,110,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,110,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,110,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,110,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,110,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,110,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,110,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,110,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,110,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,110,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,110,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,110,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,110,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,110,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,110,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,110,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,110,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,110,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,110,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,110,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,110,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,110,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,110,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,110,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,110,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,110,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,110,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,110,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,110,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,110,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,110,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,110,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,110,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,110,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,110,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,110,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,110,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,110,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,110,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,110,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,110,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,110,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,110,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,110,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,110,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,110,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,110,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,110,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,110,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,110,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,110,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,110,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,110,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,110,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,110,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,110,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,110,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,110,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,110,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,110,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,110,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,110,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,110,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,110,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,110,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,110,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,110,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,110,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,110,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,110,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,110,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,110,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,110,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,110,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,110,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,110,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,110,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,110,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,110,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,110,UNGROUPABLE ,,,2573.63,2620.01,6
RC,110,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,110,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,110,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,110,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,110,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,110,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,110,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,110,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,110,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,110,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,110,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,110,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,110,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,110,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,110,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,110,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,110,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,110,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,110,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,110,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,110,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,110,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,110,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,110,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,110,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,110,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,110,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,111, Room & Board - Private (One Bed) Medical/Surgical/GYN  ,,,,,0
RC,111,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,111,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,111,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,111,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,111,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,111,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,111,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,111,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,111,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,111,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,111,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1126.0,12362.36,7
RC,111,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,1126.0,9200.89,7
RC,111,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,111,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,111,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,111,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,111,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,111,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,111,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,111,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,111,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,111,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,111,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,111,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,111,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,111,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,111,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,111,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,111,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,111,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,111,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,111,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,111,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,111,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,111,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,111,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,111,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,111,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,111,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,111,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,111,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,111,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,111,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,111,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,111,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,111,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,111,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,111,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,111,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,111,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,111,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,111,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,111,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,111,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,111,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,111,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,111,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,111,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,111,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,111,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,111,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,111,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,111,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,111,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,111,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,111,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,111,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,111,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,111,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,111,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,111,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,111,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,111,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,111,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,111,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,111,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,111,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,111,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,111,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,111,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,111,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,111,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,111,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,111,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,111,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,111,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,111,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,111,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,111,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,111,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,111,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,111,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,111,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,111,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,111,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,111,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,111,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,111,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,111,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,111,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,111,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,111,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,111,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,111,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,111,CHEST PAIN ,,,1126.0,8649.83,7
RC,111,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,111,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,111,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,111,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,111,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,111,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,111,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,111,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,111,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,111,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,111,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,111,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,111,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,111,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,111,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,111,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,111,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,111,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,111,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,111,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,111,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,111,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,111,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,111,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,111,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,111,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,111,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,111,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,111,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,111,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,111,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,111,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,111,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,111,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,111,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,111,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,111,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,111,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,111,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,111,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,111,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,111,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,111,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,111,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,111,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,111,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,111,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,111,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,111,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,111,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,111,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,111,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,111,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,111,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,111,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,111,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,111,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,111,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,111,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,111,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,111,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,111,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,111,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,111,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,111,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,111,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,111,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,111,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,111,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,111,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,111,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,111,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,111,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,111,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,111,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,111,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,111,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,111,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,111,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,111,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,111,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,1318.0,15474.42,7
RC,111,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,111,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,111,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,111,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,111,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,111,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,111,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,111,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,111,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,111,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,111,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,111,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,111,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,111,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,111,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,111,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,111,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,111,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,111,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,111,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,111,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,111,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,111,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,111,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,111,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,111,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,111,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,111,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,111,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,111,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,111,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,111,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,111,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,111,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,111,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,111,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,111,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,111,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,111,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,111,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,111,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,111,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,111,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,111,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,111,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,111,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,111,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,111,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,111,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,111,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,111,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,111,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,111,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,111,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,111,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,111,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,111,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,111,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,111,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,111,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,111,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,111,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,111,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,111,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,111,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,1318.0,17762.4,7
RC,111,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,11705.78,7
RC,111,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,111,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,111,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,111,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,111,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,111,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,111,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,111,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,111,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,111,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,111,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,111,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,111,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,111,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,111,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,111,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,111,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,111,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,111,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,111,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,111,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,111,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,111,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,111,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,111,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,111,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,111,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,111,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,111,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,111,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,111,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,111,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,111,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,111,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,111,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,111,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,111,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,111,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,111,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,111,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,111,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,111,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,111,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,111,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,111,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,111,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,111,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,111,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,111,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,111,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,111,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,111,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,111,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,111,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,111,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,111,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,111,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,111,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,111,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,111,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,111,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,111,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,111,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,111,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,111,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,111,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,111,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,111,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,111,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,111,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,111,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,111,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,111,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,111,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,111,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,111,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,111,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,111,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,111,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,111,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,111,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,111,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,111,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,111,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,111,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,111,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,111,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,111,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,111,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,111,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,111,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,111,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,111,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,111,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,111,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,111,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,111,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,111,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,111,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,111,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,111,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,111,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,111,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,111,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,111,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,111,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,111,NEUROLOGICAL EYE DISORDERS ,,,1126.0,9308.09,7
RC,111,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,111,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,111,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,111,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,111,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,111,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,111,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,111,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,111,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,111,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,111,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,111,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,111,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,111,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,111,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,111,ORBITAL PROCEDURES WITH CC/MCC ,,,1318.0,22309.9,7
RC,111,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,13951.05,7
RC,111,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,111,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,111,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,111,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,111,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,111,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,111,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,111,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,111,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,111,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,111,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,111,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,111,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,111,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,111,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,111,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,111,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,111,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,111,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,111,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,111,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,111,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,111,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,13700.65,7
RC,111,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,9050.14,7
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,111,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,111,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,111,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,111,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,111,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,111,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,111,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,111,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,111,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,111,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,111,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,111,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,111,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,111,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,111,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,111,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,111,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,111,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,111,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,111,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,111,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,111,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,111,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,111,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,111,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,111,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,111,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,111,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,111,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,111,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,111,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,111,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,111,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,111,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,111,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,111,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,111,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,111,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,111,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,111,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,111,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,111,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,111,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,111,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,111,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,111,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,111,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,111,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,111,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,111,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,111,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,111,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,111,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,111,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,111,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,111,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,111,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,111,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,111,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,111,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,111,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,111,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,111,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,111,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,111,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,111,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,111,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,111,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,111,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,111,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,111,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,111,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,111,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,111,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,111,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,111,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,111,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,111,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,111,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,111,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,111,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,111,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,111,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,111,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,111,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,111,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,111,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,111,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,111,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,111,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,111,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,111,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,111,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,111,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,111,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,111,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,111,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,111,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,111,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,111,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,111,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,111,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,111,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,111,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,111,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,111,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,111,PSYCHOSES ,,,1126.0,14317.87,7
RC,111,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,111,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,111,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,111,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,111,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,111,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,111,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,111,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,111,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,111,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,111,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,111,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,111,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,111,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,111,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,111,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,111,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,111,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,111,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,111,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,111,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,111,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,111,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,111,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,111,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,111,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,111,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,111,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,111,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,111,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,111,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,111,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,111,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,111,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,111,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,111,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,111,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,111,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,111,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,111,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,111,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,111,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,111,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,111,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,111,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,111,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,111,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,111,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,111,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,111,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,111,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,111,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,111,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,111,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,111,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,111,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,111,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,111,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,111,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,111,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,111,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,111,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,111,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,111,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,111,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,111,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,111,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,111,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,111,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,111,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,111,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,111,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,111,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,111,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,111,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,111,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,111,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,111,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,111,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,111,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,111,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,111,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,111,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,111,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,111,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,111,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,111,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,111,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,111,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,111,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,111,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,111,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,111,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,111,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,111,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,111,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,111,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,111,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,111,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,111,UNGROUPABLE ,,,2573.63,2620.01,6
RC,111,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,111,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,111,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,111,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,111,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,111,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,111,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,111,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,111,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,111,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,111,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,111,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,111,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,111,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,111,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,111,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,111,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,111,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,111,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,111,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,111,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,111,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,111,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,111,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,111,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,111,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,111,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,112, Room & Board - Private (One Bed) Obstetrics (OB)  ,,,,,0
RC,112,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,112,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,112,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,112,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,112,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,112,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,112,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,112,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,112,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,112,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,112,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1126.0,12362.36,7
RC,112,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,1126.0,9200.89,7
RC,112,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,112,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,112,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,112,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,112,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,112,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,112,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,112,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,112,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,112,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,112,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,112,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,112,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,112,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,112,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,112,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,112,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,112,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,112,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,112,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,112,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,112,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,112,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,112,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,112,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,112,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,112,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,112,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,112,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,112,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,112,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,112,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,112,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,112,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,112,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,112,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,112,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,112,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,112,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,112,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,112,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,112,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,112,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,112,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,112,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,112,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,112,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,112,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,112,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,112,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,112,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,112,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,112,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,112,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,112,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,112,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,112,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,112,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,112,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,112,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,112,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,112,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,112,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,112,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,112,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,112,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,112,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,112,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,112,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,112,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,112,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,112,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,112,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,112,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,112,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,112,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,112,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,112,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,112,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,112,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,112,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,112,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,112,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,112,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,112,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,112,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,112,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,112,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,112,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,112,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,112,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,112,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,112,CHEST PAIN ,,,1126.0,8649.83,7
RC,112,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,112,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,112,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,112,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,112,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,112,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,112,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,112,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,112,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,112,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,112,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,112,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,112,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,112,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,112,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,112,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,112,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,112,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,112,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,112,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,112,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,112,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,112,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,112,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,112,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,112,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,112,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,112,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,112,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,112,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,112,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,112,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,112,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,112,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,112,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,112,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,112,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,112,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,112,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,112,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,112,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,112,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,112,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,112,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,112,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,112,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,112,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,112,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,112,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,112,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,112,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,112,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,112,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,112,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,112,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,112,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,112,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,112,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,112,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,112,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,112,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,112,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,112,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,112,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,112,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,112,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,112,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,112,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,112,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,112,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,112,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,112,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,112,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,112,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,112,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,112,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,112,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,112,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,112,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,112,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,112,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,1318.0,15474.42,7
RC,112,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,112,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,112,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,112,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,112,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,112,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,112,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,112,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,112,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,112,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,112,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,112,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,112,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,112,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,112,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,112,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,112,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,112,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,112,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,112,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,112,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,112,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,112,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,112,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,112,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,112,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,112,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,112,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,112,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,112,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,112,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,112,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,112,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,112,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,112,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,112,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,112,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,112,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,112,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,112,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,112,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,112,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,112,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,112,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,112,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,112,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,112,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,112,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,112,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,112,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,112,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,112,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,112,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,112,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,112,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,112,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,112,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,112,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,112,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,112,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,112,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,112,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,112,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,112,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,112,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,1318.0,17762.4,7
RC,112,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,11705.78,7
RC,112,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,112,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,112,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,112,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,112,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,112,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,112,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,112,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,112,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,112,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,112,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,112,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,112,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,112,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,112,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,112,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,112,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,112,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,112,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,112,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,112,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,112,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,112,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,112,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,112,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,112,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,112,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,112,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,112,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,112,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,112,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,112,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,112,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,112,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,112,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,112,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,112,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,112,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,112,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,112,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,112,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,112,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,112,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,112,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,112,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,112,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,112,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,112,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,112,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,112,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,112,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,112,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,112,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,112,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,112,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,112,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,112,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,112,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,112,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,112,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,112,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,112,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,112,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,112,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,112,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,112,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,112,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,112,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,112,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,112,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,112,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,112,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,112,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,112,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,112,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,112,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,112,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,112,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,112,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,112,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,112,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,112,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,112,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,112,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,112,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,112,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,112,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,112,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,112,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,112,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,112,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,112,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,112,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,112,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,112,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,112,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,112,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,112,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,112,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,112,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,112,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,112,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,112,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,112,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,112,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,112,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,112,NEUROLOGICAL EYE DISORDERS ,,,1126.0,9308.09,7
RC,112,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,112,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,112,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,112,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,112,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,112,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,112,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,112,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,112,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,112,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,112,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,112,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,112,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,112,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,112,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,112,ORBITAL PROCEDURES WITH CC/MCC ,,,1318.0,22309.9,7
RC,112,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,13951.05,7
RC,112,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,112,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,112,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,112,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,112,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,112,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,112,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,112,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,112,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,112,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,112,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,112,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,112,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,112,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,112,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,112,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,112,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,112,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,112,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,112,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,112,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,112,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,112,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,13700.65,7
RC,112,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,9050.14,7
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,112,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,112,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,112,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,112,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,112,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,112,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,112,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,112,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,112,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,112,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,112,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,112,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,112,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,112,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,112,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,112,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,112,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,112,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,112,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,112,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,112,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,112,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,112,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,112,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,112,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,112,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,112,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,112,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,112,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,112,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,112,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,112,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,112,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,112,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,112,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,112,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,112,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,112,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,112,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,112,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,112,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,112,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,112,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,112,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,112,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,112,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,112,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,112,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,112,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,112,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,112,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,112,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,112,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,112,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,112,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,112,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,112,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,112,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,112,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,112,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,112,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,112,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,112,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,112,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,112,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,112,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,112,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,112,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,112,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,112,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,112,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,112,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,112,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,112,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,112,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,112,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,112,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,112,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,112,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,112,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,112,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,112,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,112,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,112,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,112,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,112,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,112,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,112,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,112,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,112,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,112,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,112,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,112,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,112,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,112,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,112,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,112,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,112,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,112,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,112,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,112,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,112,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,112,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,112,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,112,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,112,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,112,PSYCHOSES ,,,1126.0,14317.87,7
RC,112,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,112,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,112,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,112,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,112,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,112,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,112,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,112,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,112,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,112,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,112,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,112,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,112,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,112,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,112,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,112,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,112,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,112,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,112,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,112,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,112,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,112,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,112,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,112,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,112,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,112,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,112,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,112,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,112,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,112,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,112,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,112,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,112,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,112,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,112,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,112,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,112,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,112,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,112,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,112,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,112,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,112,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,112,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,112,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,112,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,112,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,112,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,112,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,112,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,112,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,112,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,112,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,112,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,112,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,112,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,112,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,112,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,112,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,112,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,112,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,112,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,112,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,112,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,112,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,112,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,112,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,112,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,112,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,112,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,112,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,112,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,112,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,112,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,112,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,112,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,112,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,112,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,112,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,112,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,112,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,112,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,112,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,112,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,112,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,112,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,112,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,112,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,112,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,112,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,112,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,112,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,112,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,112,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,112,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,112,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,112,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,112,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,112,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,112,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,112,UNGROUPABLE ,,,2573.63,2620.01,6
RC,112,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,112,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,112,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,112,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,112,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,112,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,112,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,112,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,112,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,112,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,112,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,112,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,112,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,112,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,112,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,112,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,112,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,112,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,112,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,112,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,112,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,112,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,112,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,112,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,112,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,112,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,112,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,113, Room & Board - Private (One Bed) Pediatric  ,,,,,0
RC,113,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,113,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,113,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,113,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,113,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,113,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,113,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,113,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1126.0,12362.36,7
RC,113,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,1126.0,9200.89,7
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,113,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,113,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,113,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,113,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,113,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,113,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,113,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,113,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,113,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,113,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,113,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,113,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,113,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,113,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,113,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,113,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,113,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,113,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,113,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,113,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,113,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,113,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,113,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,113,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,113,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,113,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,113,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,113,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,113,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,113,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,113,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,113,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,113,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,113,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,113,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,113,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,113,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,113,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,113,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,113,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,113,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,113,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,113,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,113,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,113,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,113,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,113,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,113,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,113,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,113,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,113,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,113,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,113,CHEST PAIN ,,,1126.0,8649.83,7
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,113,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,113,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,113,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,113,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,113,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,113,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,113,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,113,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,113,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,113,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,113,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,113,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,113,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,113,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,113,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,113,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,113,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,113,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,113,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,113,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,113,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,113,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,113,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,113,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,113,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,113,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,113,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,113,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,113,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,113,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,113,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,113,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,113,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,113,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,113,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,113,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,113,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,113,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,113,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,113,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,113,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,113,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,113,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,113,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,113,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,113,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,113,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,113,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,113,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,113,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,113,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,113,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,113,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,113,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,113,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,113,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,113,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,1318.0,15474.42,7
RC,113,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,113,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,113,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,113,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,113,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,113,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,113,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,113,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,113,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,113,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,113,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,113,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,113,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,113,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,113,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,113,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,113,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,113,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,113,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,113,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,113,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,113,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,113,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,113,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,113,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,113,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,113,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,113,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,113,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,113,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,113,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,113,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,113,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,113,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,113,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,113,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,113,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,113,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,113,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,113,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,113,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,113,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,113,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,113,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,113,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,113,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,113,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,1318.0,17762.4,7
RC,113,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,11705.78,7
RC,113,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,113,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,113,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,113,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,113,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,113,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,113,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,113,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,113,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,113,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,113,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,113,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,113,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,113,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,113,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,113,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,113,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,113,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,113,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,113,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,113,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,113,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,113,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,113,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,113,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,113,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,113,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,113,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,113,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,113,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,113,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,113,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,113,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,113,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,113,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,113,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,113,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,113,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,113,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,113,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,113,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,113,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,113,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,113,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,113,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,113,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,113,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,113,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,113,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,113,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,113,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,113,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,113,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,113,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,113,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,113,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,113,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,113,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,113,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,113,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,113,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,113,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,113,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,113,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,113,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,113,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,113,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,113,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,113,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,113,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,113,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,113,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,113,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,113,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,113,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,113,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,113,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,113,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,113,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,113,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,113,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,113,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,113,NEUROLOGICAL EYE DISORDERS ,,,1126.0,9308.09,7
RC,113,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,113,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,113,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,113,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,113,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,113,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,113,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,113,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,113,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,113,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,13951.05,7
RC,113,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,113,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,113,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,113,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,113,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,113,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,113,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,113,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,13700.65,7
RC,113,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,9050.14,7
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,113,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,113,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,113,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,113,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,113,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,113,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,113,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,113,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,113,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,113,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,113,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,113,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,113,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,113,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,113,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,113,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,113,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,113,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,113,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,113,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,113,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,113,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,113,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,113,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,113,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,113,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,113,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,113,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,113,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,113,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,113,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,113,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,113,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,113,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,113,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,113,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,113,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,113,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,113,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,113,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,113,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,113,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,113,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,113,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,113,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,113,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,113,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,113,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,113,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,113,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,113,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,113,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,113,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,113,PSYCHOSES ,,,1126.0,14317.87,7
RC,113,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,113,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,113,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,113,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,113,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,113,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,113,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,113,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,113,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,113,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,113,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,113,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,113,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,113,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,113,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,113,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,113,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,113,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,113,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,113,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,113,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,113,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,113,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,113,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,113,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,113,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,113,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,113,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,113,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,113,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,113,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,113,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,113,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,113,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,113,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,113,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,113,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,113,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,113,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,113,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,113,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,113,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,113,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,113,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,113,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,113,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,113,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,113,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,113,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,113,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,113,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,113,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,113,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,113,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,113,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,113,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,113,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,113,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,113,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,113,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,113,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,113,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,113,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,113,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,113,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,113,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,113,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,113,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,113,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,113,UNGROUPABLE ,,,2573.63,2620.01,6
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,113,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,113,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,113,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,113,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,113,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,113,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,113,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,113,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,113,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,113,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,113,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,113,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,113,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,113,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,113,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,113,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,113,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,113,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,114, Room & Board - Private (One Bed) Psychiatric  ,,,525.0,3697.0,9
RC,114,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,114,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,114,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,114,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,114,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,114,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,114,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,114,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,114,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,114,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,114,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,12143.56,12362.36,6
RC,114,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,9038.04,9200.89,6
RC,114,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,114,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,114,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,114,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,114,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,114,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,114,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,114,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,114,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,114,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,114,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,114,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,114,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,114,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,114,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,114,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,114,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,114,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,114,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,114,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,114,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,114,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,114,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,114,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,114,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,114,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,114,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,114,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,114,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,114,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,114,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,114,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,114,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,114,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,114,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,114,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,114,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,114,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,114,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,114,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,114,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,114,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,114,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,114,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,114,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,114,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,114,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,114,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,114,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,114,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,114,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,114,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,114,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,114,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,114,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,114,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,114,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,114,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,114,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,114,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,114,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,114,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,114,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,114,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,114,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,114,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,114,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,114,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,114,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,114,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,114,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,114,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,114,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,114,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,114,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,114,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,114,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,114,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,114,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,114,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,114,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,114,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,114,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,114,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,114,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,114,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,114,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,114,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,114,CHEST PAIN ,,,8496.74,8649.83,6
RC,114,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,114,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,114,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,114,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,114,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,114,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,114,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,114,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,114,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,114,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,114,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,114,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,114,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,114,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,114,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,114,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,114,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,114,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,114,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,114,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,114,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,114,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,114,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,114,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,114,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,114,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,114,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,114,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,114,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,114,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,114,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,114,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,114,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,114,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,114,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,114,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,114,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,114,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,114,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,114,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,114,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,114,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,114,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,114,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,114,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,114,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,114,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,114,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,114,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,114,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,114,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,114,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,114,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,114,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,114,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,114,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,114,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,114,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,114,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,114,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,114,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,114,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,114,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,114,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,114,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,114,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,114,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,114,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,114,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,114,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,114,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,114,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,114,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,114,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,114,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,114,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,114,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,114,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,114,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,114,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,114,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,15200.54,15474.42,6
RC,114,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,114,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,114,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,114,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,114,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,114,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,114,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,114,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,114,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,114,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,114,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,114,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,114,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,114,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,114,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,114,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,114,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,114,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,114,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,114,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,114,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,114,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,114,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,114,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,114,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,114,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,114,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,114,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,114,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,114,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,114,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,114,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,114,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,114,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,114,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,114,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,114,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,114,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,114,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,114,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,114,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,114,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,114,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,114,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,114,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,114,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,114,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,114,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,114,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,114,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,114,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,114,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,114,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,114,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,114,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,114,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,114,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,114,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,114,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,114,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,114,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,114,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,114,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,114,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,114,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,17448.02,17762.4,6
RC,114,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,11498.6,11705.78,6
RC,114,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,114,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,114,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,114,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,114,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,114,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,114,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,114,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,114,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,114,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,114,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,114,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,114,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,114,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,114,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,114,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,114,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,114,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,114,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,114,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,114,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,114,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,114,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,114,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,114,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,114,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,114,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,114,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,114,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,114,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,114,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,114,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,114,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,114,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,114,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,114,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,114,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,114,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,114,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,114,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,114,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,114,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,114,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,114,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,114,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,114,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,114,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,114,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,114,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,114,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,114,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,114,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,114,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,114,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,114,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,114,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,114,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,114,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,114,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,114,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,114,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,114,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,114,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,114,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,114,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,114,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,114,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,114,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,114,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,114,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,114,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,114,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,114,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,114,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,114,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,114,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,114,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,114,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,114,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,114,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,114,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,114,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,114,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,114,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,114,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,114,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,114,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,114,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,114,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,114,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,114,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,114,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,114,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,114,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,114,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,114,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,114,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,114,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,114,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,114,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,114,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,114,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,114,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,114,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,114,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,114,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,114,NEUROLOGICAL EYE DISORDERS ,,,9143.34,9308.09,6
RC,114,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,114,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,114,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,114,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,114,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,114,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,114,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,114,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,114,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,114,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,114,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,114,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,114,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,114,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,114,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,114,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,114,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,114,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,114,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,114,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,114,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,114,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,114,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,114,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,114,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,114,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,114,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,114,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,114,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,114,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,114,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,114,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,114,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,114,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,114,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,114,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,114,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,114,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13458.16,13700.65,6
RC,114,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,8889.96,9050.14,6
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,114,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,114,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,114,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,114,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,114,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,114,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,114,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,114,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,114,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,114,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,114,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,114,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,114,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,114,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,114,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,114,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,114,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,114,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,114,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,114,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,114,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,114,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,114,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,114,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,114,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,114,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,114,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,114,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,114,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,114,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,114,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,114,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,114,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,114,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,114,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,114,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,114,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,114,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,114,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,114,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,114,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,114,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,114,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,114,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,114,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,114,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,114,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,114,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,114,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,114,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,114,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,114,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,114,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,114,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,114,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,114,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,114,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,114,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,114,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,114,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,114,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,114,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,114,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,114,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,114,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,114,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,114,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,114,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,114,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,114,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,114,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,114,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,114,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,114,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,114,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,114,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,114,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,114,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,114,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,114,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,114,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,114,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,114,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,114,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,114,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,114,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,114,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,114,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,114,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,114,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,114,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,114,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,114,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,114,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,114,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,114,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,114,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,114,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,114,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,114,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,114,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,114,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,114,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,114,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,114,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,114,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,114,PSYCHOSES ,,,14064.45,14317.87,6
RC,114,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,114,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,114,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,114,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,114,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,114,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,114,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,114,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,114,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,114,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,114,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,114,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,114,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,114,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,114,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,114,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,114,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,114,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,114,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,114,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,114,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,114,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,114,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,114,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,114,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,114,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,114,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,114,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,114,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,114,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,114,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,114,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,114,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,114,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,114,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,114,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,114,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,114,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,114,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,114,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,114,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,114,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,114,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,114,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,114,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,114,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,114,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,114,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,114,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,114,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,20425.21,20793.23,6
RC,114,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,10926.03,11122.9,6
RC,114,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,114,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,114,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,114,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,114,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,114,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,114,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,114,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,114,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,114,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,114,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,114,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,114,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,114,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,114,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,114,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,114,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,114,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,114,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,114,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,114,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,114,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,114,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,114,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,114,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,114,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,114,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,114,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,114,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,114,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,114,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,114,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,114,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,114,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,114,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,114,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,114,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,114,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,114,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,114,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,114,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,114,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,114,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,114,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,114,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,114,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,114,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,114,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,114,UNGROUPABLE ,,,2573.63,2620.01,6
RC,114,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,114,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,114,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,114,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,114,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,114,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,114,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,114,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,114,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,114,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,114,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,114,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,114,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,114,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,114,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,114,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,114,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,114,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,114,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,114,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,114,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,114,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,114,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,114,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,114,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,114,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,114,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,115, Room & Board - Private (One Bed) Hospice  ,,,2195.0,4441.0,7
RC,115,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,115,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,115,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,115,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,115,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,115,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116, Room & Board - Private (One Bed) Detoxification  ,,,450.0,1203.0,5
RC,116,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,116,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,116,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,116,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,116,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,116,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,116,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,116,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,116,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,116,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,116,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,12143.56,12362.36,6
RC,116,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,9038.04,9200.89,6
RC,116,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,116,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,116,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,116,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,116,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,116,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,116,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,116,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,116,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,116,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,116,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,116,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,116,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,116,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,116,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,116,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,116,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,116,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,116,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,116,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,116,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,116,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,116,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,116,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,116,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,116,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,116,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,116,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,116,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,116,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,116,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,116,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,116,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,116,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,116,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,116,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,116,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,116,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,116,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,116,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,116,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,116,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,116,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,116,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,116,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,116,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,116,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,116,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,116,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,116,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,116,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,116,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,116,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,116,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,116,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,116,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,116,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,116,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,116,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,116,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,116,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,116,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,116,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,116,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,116,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,116,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,116,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,116,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,116,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,116,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,116,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,116,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,116,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,116,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,116,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,116,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,116,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,116,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,116,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,116,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,116,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,116,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,116,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,116,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,116,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,116,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,116,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,116,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,116,CHEST PAIN ,,,8496.74,8649.83,6
RC,116,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,116,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,116,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,116,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,116,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,116,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,116,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,116,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,116,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,116,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,116,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,116,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,116,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,116,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,116,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,116,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,116,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,116,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,116,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,116,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,116,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,116,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,116,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,116,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,116,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,116,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,116,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,116,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,116,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,116,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,116,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,116,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,116,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,116,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,116,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,116,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,116,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,116,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,116,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,116,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,116,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,116,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,116,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,116,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,116,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,116,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,116,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,116,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,116,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,116,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,116,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,116,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,116,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,116,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,116,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,116,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,116,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,116,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,116,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,116,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,116,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,116,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,116,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,116,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,116,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,116,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,116,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,116,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,116,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,116,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,116,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,116,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,116,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,116,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,116,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,116,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,116,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,116,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,116,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,116,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,116,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,116,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,116,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,116,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,116,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,116,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,116,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,116,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,116,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,116,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,116,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,116,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,116,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,116,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,116,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,116,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,116,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,116,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,116,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,116,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,116,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,116,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,116,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,116,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,116,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,116,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,116,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,116,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,116,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,116,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,116,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,116,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,116,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,116,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,116,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,116,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,116,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,116,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,116,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,116,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,116,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,116,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,116,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,116,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,116,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,116,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,116,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,116,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,116,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,116,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,116,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,116,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,116,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,116,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,116,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,116,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,116,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,116,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,116,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,116,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,116,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,116,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,116,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,116,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,116,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,11498.6,11705.78,6
RC,116,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,116,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,116,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,116,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,116,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,116,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,116,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,116,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,116,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,116,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,116,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,116,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,116,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,116,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,116,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,116,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,116,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,116,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,116,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,116,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,116,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,116,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,116,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,116,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,116,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,116,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,116,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,116,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,116,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,116,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,116,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,116,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,116,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,116,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,116,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,116,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,116,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,116,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,116,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,116,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,116,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,116,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,116,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,116,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,116,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,116,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,116,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,116,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,116,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,116,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,116,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,116,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,116,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,116,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,116,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,116,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,116,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,116,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,116,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,116,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,116,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,116,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,116,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,116,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,116,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,116,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,116,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,116,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,116,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,116,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,116,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,116,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,116,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,116,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,116,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,116,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,116,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,116,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,116,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,116,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,116,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,116,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,116,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,116,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,116,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,116,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,116,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,116,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,116,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,116,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,116,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,116,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,116,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,116,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,116,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,116,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,116,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,116,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,116,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,116,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,116,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,116,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,116,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,116,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,116,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,116,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,116,NEUROLOGICAL EYE DISORDERS ,,,9143.34,9308.09,6
RC,116,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,116,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,116,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,116,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,116,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,116,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,116,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,116,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,116,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,116,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,116,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,116,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,116,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,116,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,116,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,116,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,116,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,116,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,116,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,116,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,116,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,116,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,116,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,116,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,116,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,116,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,116,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,116,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,116,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,116,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,116,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,116,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,116,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,116,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,116,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,116,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,116,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,116,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13458.16,13700.65,6
RC,116,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,8889.96,9050.14,6
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,116,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,116,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,116,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,116,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,116,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,116,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,116,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,116,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,116,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,116,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,116,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,116,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,116,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,116,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,116,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,116,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,116,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,116,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,116,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,116,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,116,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,116,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,116,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,116,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,116,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,116,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,116,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,116,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,116,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,116,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,116,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,116,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,116,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,116,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,116,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,116,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,116,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,116,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,116,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,116,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,116,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,116,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,116,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,116,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,116,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,116,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,116,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,116,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,116,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,116,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,116,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,116,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,116,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,116,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,116,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,116,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,116,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,116,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,116,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,116,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,116,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,116,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,116,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,116,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,116,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,116,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,116,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,116,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,116,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,116,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,116,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,116,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,116,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,116,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,116,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,116,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,116,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,116,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,116,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,116,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,116,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,116,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,116,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,116,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,116,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,116,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,116,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,116,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,116,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,116,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,116,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,116,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,116,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,116,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,116,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,116,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,116,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,116,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,116,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,116,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,116,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,116,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,116,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,116,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,116,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,116,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,116,PSYCHOSES ,,,14064.45,14317.87,6
RC,116,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,116,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,116,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,116,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,116,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,116,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,116,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,116,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,116,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,116,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,116,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,116,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,116,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,116,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,116,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,116,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,116,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,116,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,116,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,116,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,116,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,116,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,116,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,116,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,116,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,116,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,116,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,116,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,116,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,116,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,116,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,116,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,116,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,116,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,116,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,116,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,116,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,116,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,116,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,116,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,116,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,116,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,116,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,116,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,116,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,116,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,116,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,116,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,116,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,116,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,20425.21,20793.23,6
RC,116,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,10926.03,11122.9,6
RC,116,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,116,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,116,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,116,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,116,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,116,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,116,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,116,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,116,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,116,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,116,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,116,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,116,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,116,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,116,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,116,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,116,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,116,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,116,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,116,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,116,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,116,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,116,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,116,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,116,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,116,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,116,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,116,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,116,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,116,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,116,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,116,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,116,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,116,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,116,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,116,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,116,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,116,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,116,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,116,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,116,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,116,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,116,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,116,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,116,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,116,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,116,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,116,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,116,UNGROUPABLE ,,,2573.63,2620.01,6
RC,116,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,116,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,116,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,116,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,116,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,116,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,116,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,116,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,116,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,116,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,116,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,116,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,116,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,116,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,116,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,116,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,116,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,116,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,116,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,116,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,116,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,116,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,116,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,116,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,116,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,116,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,116,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,117, Room & Board - Private (One Bed) Oncology  ,,,,,0
RC,117,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,117,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,117,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,117,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,117,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,117,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,117,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,117,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,117,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,117,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,117,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1126.0,12362.36,7
RC,117,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,1126.0,9200.89,7
RC,117,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,117,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,117,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,117,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,117,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,117,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,117,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,117,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,117,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,117,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,117,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,117,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,117,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,117,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,117,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,117,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,117,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,117,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,117,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,117,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,117,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,117,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,117,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,117,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,117,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,117,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,117,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,117,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,117,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,117,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,117,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,117,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,117,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,117,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,117,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,117,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,117,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,117,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,117,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,117,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,117,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,117,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,117,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,117,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,117,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,117,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,117,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,117,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,117,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,117,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,117,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,117,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,117,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,117,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,117,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,117,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,117,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,117,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,117,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,117,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,117,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,117,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,117,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,117,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,117,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,117,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,117,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,117,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,117,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,117,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,117,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,117,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,117,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,117,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,117,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,117,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,117,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,117,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,117,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,117,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,117,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,117,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,117,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,117,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,117,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,117,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,117,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,117,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,117,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,117,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,117,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,117,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,117,CHEST PAIN ,,,1126.0,8649.83,7
RC,117,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,117,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,117,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,117,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,117,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,117,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,117,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,117,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,117,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,117,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,117,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,117,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,117,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,117,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,117,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,117,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,117,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,117,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,117,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,117,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,117,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,117,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,117,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,117,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,117,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,117,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,117,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,117,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,117,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,117,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,117,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,117,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,117,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,117,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,117,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,117,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,117,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,117,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,117,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,117,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,117,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,117,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,117,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,117,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,117,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,117,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,117,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,117,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,117,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,117,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,117,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,117,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,117,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,117,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,117,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,117,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,117,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,117,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,117,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,117,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,117,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,117,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,117,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,117,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,117,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,117,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,117,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,117,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,117,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,117,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,117,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,117,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,117,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,117,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,117,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,117,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,117,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,117,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,117,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,117,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,117,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,117,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,117,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,117,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,117,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,117,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,117,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,117,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,117,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,117,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,117,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,117,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,117,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,117,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,117,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,117,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,117,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,117,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,117,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,117,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,117,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,117,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,117,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,117,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,117,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,117,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,117,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,117,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,117,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,117,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,117,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,117,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,117,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,117,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,117,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,117,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,117,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,117,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,117,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,117,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,117,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,117,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,117,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,117,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,117,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,117,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,117,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,117,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,117,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,117,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,117,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,117,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,117,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,117,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,117,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,117,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,117,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,117,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,117,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,117,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,117,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,117,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,117,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,117,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,117,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,117,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,117,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,117,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,117,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,117,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,117,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,117,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,117,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,117,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,117,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,117,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,117,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,117,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,117,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,117,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,117,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,117,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,117,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,117,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,117,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,117,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,117,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,117,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,117,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,117,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,117,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,117,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,117,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,117,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,117,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,117,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,117,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,117,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,117,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,117,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,117,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,117,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,117,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,117,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,117,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,117,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,117,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,117,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,117,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,117,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,117,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,117,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,117,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,117,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,117,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,117,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,117,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,117,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,117,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,117,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,117,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,117,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,117,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,117,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,117,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,117,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,117,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,117,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,117,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,117,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,117,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,117,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,117,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,117,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,117,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,117,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,117,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,117,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,117,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,117,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,117,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,117,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,117,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,117,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,117,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,117,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,117,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,117,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,117,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,117,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,117,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,117,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,117,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,117,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,117,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,117,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,117,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,117,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,117,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,117,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,117,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,117,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,117,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,117,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,117,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,117,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,117,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,117,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,117,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,117,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,117,NEUROLOGICAL EYE DISORDERS ,,,1126.0,9308.09,7
RC,117,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,117,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,117,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,117,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,117,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,117,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,117,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,117,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,117,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,117,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,117,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,117,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,117,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,117,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,117,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,117,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,117,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,117,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,117,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,117,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,117,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,117,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,117,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,117,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,117,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,117,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,117,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,117,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,117,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,117,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,117,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,117,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,117,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,117,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,117,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,117,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,117,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,117,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,13700.65,7
RC,117,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,9050.14,7
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,117,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,117,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,117,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,117,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,117,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,117,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,117,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,117,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,117,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,117,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,117,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,117,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,117,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,117,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,117,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,117,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,117,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,117,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,117,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,117,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,117,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,117,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,117,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,117,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,117,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,117,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,117,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,117,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,117,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,117,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,117,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,117,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,117,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,117,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,117,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,117,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,117,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,117,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,117,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,117,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,117,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,117,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,117,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,117,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,117,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,117,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,117,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,117,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,117,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,117,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,117,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,117,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,117,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,117,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,117,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,117,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,117,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,117,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,117,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,117,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,117,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,117,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,117,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,117,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,117,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,117,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,117,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,117,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,117,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,117,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,117,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,117,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,117,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,117,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,117,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,117,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,117,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,117,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,117,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,117,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,117,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,117,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,117,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,117,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,117,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,117,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,117,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,117,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,117,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,117,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,117,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,117,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,117,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,117,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,117,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,117,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,117,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,117,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,117,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,117,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,117,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,117,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,117,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,117,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,117,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,117,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,117,PSYCHOSES ,,,1126.0,14317.87,7
RC,117,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,117,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,117,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,117,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,117,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,117,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,117,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,117,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,117,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,117,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,117,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,117,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,117,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,117,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,117,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,117,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,117,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,117,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,117,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,117,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,117,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,117,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,117,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,117,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,117,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,117,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,117,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,117,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,117,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,117,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,117,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,117,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,117,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,117,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,117,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,117,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,117,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,117,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,117,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,117,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,117,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,117,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,117,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,117,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,117,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,117,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,117,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,117,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,117,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,117,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,117,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,117,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,117,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,117,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,117,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,117,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,117,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,117,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,117,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,117,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,117,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,117,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,117,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,117,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,117,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,117,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,117,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,117,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,117,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,117,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,117,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,117,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,117,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,117,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,117,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,117,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,117,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,117,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,117,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,117,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,117,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,117,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,117,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,117,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,117,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,117,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,117,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,117,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,117,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,117,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,117,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,117,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,117,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,117,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,117,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,117,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,117,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,117,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,117,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,117,UNGROUPABLE ,,,2573.63,2620.01,6
RC,117,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,117,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,117,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,117,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,117,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,117,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,117,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,117,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,117,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,117,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,117,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,117,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,117,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,117,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,117,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,117,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,117,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,117,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,117,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,117,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,117,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,117,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,117,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,117,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,117,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,117,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,117,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,118, Room & Board - Private (One Bed) Rehabilitation  ,,,600.0,3675.0,14
RC,118,AMPUTATION LOWER EXTREMITY M <47.50 ,,,31728.32,49387.01,56
RC,118,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,23852.79,37129.07,56
RC,118,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,20041.56,31196.53,56
RC,118,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,16496.81,25679.83,56
RC,118,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,26435.15,40422.37,56
RC,118,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,21105.56,32272.7,56
RC,118,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,18482.94,28260.56,56
RC,118,BURNS M <52.50 ,,,29665.5,53183.92,56
RC,118,BURNS M >=52.50 ,,,18720.67,33562.02,56
RC,118,CARDIAC M <45.50 ,,,28191.23,44860.81,56
RC,118,CARDIAC M >=45.50 AND M <55.50 ,,,22595.16,35956.77,56
RC,118,CARDIAC M >=55.50 AND M <68.50 ,,,18693.83,29748.39,56
RC,118,CARDIAC M >=68.50 ,,,14673.63,23351.95,56
RC,118,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 15 DAYS OR FEWER ",,,17480.29,19053.52,14
RC,118,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 16 DAYS OR MORE ",,,41948.48,45723.84,14
RC,118,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 13 DAYS OR FEWER ",,,16370.28,17843.6,14
RC,118,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 14 DAYS OR MORE ",,,39272.18,42806.68,14
RC,118,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,30516.7,47936.79,56
RC,118,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,24715.5,38821.69,56
RC,118,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,20173.84,31689.69,56
RC,118,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,16320.43,25638.03,56
RC,118,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,32506.67,57668.33,56
RC,118,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,22974.75,40758.81,56
RC,118,GUILLAIN-BARRÉ M >=66.50 ,,,15791.31,28016.07,56
RC,118,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,118,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,118,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,118,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,118,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,118,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,118,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,27984.18,43182.81,56
RC,118,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,23960.15,36974.44,56
RC,118,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,19261.29,29721.23,56
RC,118,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,15152.91,23381.2,56
RC,118,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,28499.89,45874.3,56
RC,118,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,24767.26,39866.52,56
RC,118,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,21107.48,33977.86,56
RC,118,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,17123.71,27564.7,56
RC,118,MISCELLANEOUS M <46.50 AND A <77.50 ,,,28950.41,46219.09,56
RC,118,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,27658.27,44156.6,56
RC,118,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,22679.52,36205.44,56
RC,118,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,19313.06,30832.93,56
RC,118,MISCELLANEOUS M >=66.50 ,,,15555.5,24833.51,56
RC,118,NEUROLOGICAL M <43.50 ,,,30091.1,51192.48,56
RC,118,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,23793.36,40476.7,56
RC,118,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,20008.97,34038.46,56
RC,118,NEUROLOGICAL M >=64.50 ,,,16084.63,27364.09,56
RC,118,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,28689.68,45209.78,56
RC,118,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,24218.96,38161.36,56
RC,118,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,20480.58,32274.79,56
RC,118,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,15833.48,24948.45,56
RC,118,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,39461.97,65285.14,56
RC,118,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,27773.3,45949.52,56
RC,118,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,23243.15,38453.91,56
RC,118,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,20526.59,33959.06,56
RC,118,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,16535.15,27353.64,56
RC,118,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,27031.38,44854.54,56
RC,118,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,26256.86,43569.4,56
RC,118,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,19614.04,32548.54,56
RC,118,OSTEOARTHRITIS M >=61.50 ,,,16682.77,27681.72,56
RC,118,OTHER ORTHOPEDIC M <44.5 ,,,28133.72,46979.73,56
RC,118,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,23363.93,39013.94,56
RC,118,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,19688.81,32876.61,56
RC,118,OTHER ORTHOPEDIC M >=63.50 ,,,15497.99,25880.43,56
RC,118,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,21820.65,32007.31,56
RC,118,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,18019.0,26430.01,56
RC,118,PAIN SYNDROME M >=65.50 ,,,14974.62,21966.5,56
RC,118,PULMONARY M <45.50 ,,,32326.46,48950.27,56
RC,118,PULMONARY M >=45.50 AND M <56.50 ,,,25777.58,39034.84,56
RC,118,PULMONARY M >=56.50 AND M <68.50 ,,,22112.05,33480.52,56
RC,118,PULMONARY M >=68.50 ,,,18082.26,27380.81,56
RC,118,REHABILITATION WITH CC/MCC ,,,1952.0,2960.0,7
RC,118,REHABILITATION WITHOUT CC/MCC ,,,1952.0,2960.0,7
RC,118,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,28275.59,43694.78,56
RC,118,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,22702.52,35081.2,56
RC,118,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,19984.05,30880.99,56
RC,118,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,18158.95,28059.95,56
RC,118,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,15931.26,24618.28,56
RC,118,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,29228.39,47878.28,56
RC,118,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,22645.01,37095.64,56
RC,118,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,19594.87,32097.17,56
RC,118,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,15981.1,26177.16,56
RC,118,"SHORT-STAY CASES, LENGTH OF STAY IS 3 DAYS OR FEWER ",,,3364.54,3667.35,14
RC,118,STROKE M <41.50 AND A <84.50 ,,,41440.44,59189.61,56
RC,118,STROKE M <41.50 AND A >=84.50 ,,,36789.51,52546.58,56
RC,118,STROKE M >=41.50 AND M <50.50 ,,,29519.8,42163.06,56
RC,118,STROKE M >=50.50 AND M <63.50 ,,,23112.78,33012.44,56
RC,118,STROKE M >=63.50 AND M <72.50 ,,,18005.58,25715.35,56
RC,118,STROKE M >=72.50 ,,,14146.42,20204.92,56
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,118,TRAUMATIC BRAIN INJURY M <35.50 ,,,35650.74,56939.04,56
RC,118,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,27788.64,44382.28,56
RC,118,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,22547.23,36011.1,56
RC,118,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,18135.94,28964.77,56
RC,118,TRAUMATIC BRAIN INJURY M >=73.50 ,,,13887.61,22179.65,56
RC,118,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,43857.93,66378.03,56
RC,118,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,34740.11,52577.92,56
RC,118,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,27065.88,40965.69,56
RC,118,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,23450.2,35492.87,56
RC,118,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,18705.33,28310.71,56
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119, Room & Board - Private (One Bed) Other  ,,,,,0
RC,119,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,1318.0,1
RC,119,ABORTION WITHOUT D&C ,,,1126.0,1126.0,1
RC,119,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,1126.0,1
RC,119,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,1126.0,1
RC,119,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,1126.0,1
RC,119,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,119,ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,119,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,1318.0,1
RC,119,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1126.0,1126.0,1
RC,119,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,1126.0,1
RC,119,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,1126.0,1
RC,119,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,1126.0,1
RC,119,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,1126.0,1
RC,119,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,AFTERCARE WITH CC/MCC ,,,1126.0,1126.0,1
RC,119,AFTERCARE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,1126.0,1
RC,119,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,1126.0,1
RC,119,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,1126.0,1
RC,119,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,1126.0,1
RC,119,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,1126.0,1
RC,119,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,1126.0,1
RC,119,ALLERGIC REACTIONS WITH MCC ,,,1126.0,1126.0,1
RC,119,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,1318.0,1
RC,119,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,1318.0,1
RC,119,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,1318.0,1
RC,119,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,119,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,119,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,1318.0,1
RC,119,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,1318.0,3
RC,119,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,ANGINA PECTORIS ,,,1126.0,1126.0,1
RC,119,APPENDIX PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,APPENDIX PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,ATHEROSCLEROSIS WITH MCC ,,,1126.0,1126.0,1
RC,119,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,119,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,1318.0,1
RC,119,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,1126.0,1
RC,119,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,1126.0,1
RC,119,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,119,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,1318.0,3
RC,119,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,1318.0,1
RC,119,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,1318.0,1
RC,119,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,1126.0,1
RC,119,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,119,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,1126.0,1
RC,119,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,1126.0,1
RC,119,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,1126.0,1
RC,119,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,119,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,1318.0,1
RC,119,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,1318.0,1
RC,119,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,CELLULITIS WITH MCC ,,,1126.0,1126.0,1
RC,119,CELLULITIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,119,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,119,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,1126.0,1
RC,119,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,1126.0,1
RC,119,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,1126.0,1
RC,119,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,1126.0,1
RC,119,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,CHEST PAIN ,,,1126.0,1126.0,1
RC,119,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,119,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,119,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,119,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,119,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,1126.0,1
RC,119,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,119,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,1126.0,1
RC,119,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,1126.0,1
RC,119,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,COAGULATION DISORDERS ,,,1126.0,1126.0,1
RC,119,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,119,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,1318.0,1
RC,119,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,1126.0,1
RC,119,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,119,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,1126.0,1
RC,119,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,1126.0,1
RC,119,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,1318.0,1
RC,119,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,1318.0,1
RC,119,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,119,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,119,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,119,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,1318.0,1
RC,119,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,1126.0,1
RC,119,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,1126.0,1
RC,119,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,DEPRESSIVE NEUROSES ,,,1126.0,1126.0,1
RC,119,DIABETES WITH CC ,,,1126.0,1126.0,1
RC,119,DIABETES WITH MCC ,,,1126.0,1126.0,1
RC,119,DIABETES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,119,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,119,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,1126.0,1
RC,119,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,1126.0,1
RC,119,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,1126.0,1
RC,119,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,119,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,119,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,1126.0,1
RC,119,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,1126.0,1
RC,119,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,1126.0,1
RC,119,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,DYSEQUILIBRIUM ,,,1126.0,1126.0,1
RC,119,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,1126.0,1
RC,119,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,1126.0,1
RC,119,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,ENDOCRINE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,119,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,1318.0,1
RC,119,EPISTAXIS WITH MCC ,,,1126.0,1126.0,1
RC,119,EPISTAXIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,1126.0,1
RC,119,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,1126.0,1
RC,119,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,1318.0,1
RC,119,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,1126.0,1
RC,119,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,119,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,119,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,1318.0,1
RC,119,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,1126.0,1
RC,119,FOOT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,FOOT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,1126.0,2
RC,119,FRACTURES OF FEMUR WITH MCC ,,,1126.0,1126.0,1
RC,119,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,1126.0,1
RC,119,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,1126.0,1
RC,119,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,1126.0,1
RC,119,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,1126.0,1
RC,119,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,1126.0,1
RC,119,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,1126.0,1
RC,119,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,119,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,HAND PROCEDURES FOR INJURIES ,,,1318.0,1318.0,1
RC,119,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,1126.0,1
RC,119,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,1126.0,1
RC,119,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,1318.0,1
RC,119,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,1318.0,1
RC,119,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,1318.0,1
RC,119,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,1318.0,1
RC,119,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,1318.0,1
RC,119,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,1126.0,1
RC,119,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,1126.0,1
RC,119,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,1126.0,1
RC,119,HYPERTENSION WITH MCC ,,,1126.0,1126.0,1
RC,119,HYPERTENSION WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,1126.0,1
RC,119,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,119,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,119,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,1126.0,1
RC,119,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,1126.0,1
RC,119,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,119,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,1126.0,1
RC,119,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,119,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,119,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,119,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,119,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,119,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,119,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,119,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,119,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,119,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,KIDNEY TRANSPLANT ,,,1318.0,4321.0,3
RC,119,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,119,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,4321.0,4
RC,119,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,119,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,4321.0,4
RC,119,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,119,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,1318.0,1
RC,119,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,1318.0,1
RC,119,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,119,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,119,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,1318.0,3
RC,119,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,1318.0,1
RC,119,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,1318.0,1
RC,119,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,1318.0,1
RC,119,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,1318.0,1
RC,119,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,119,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,1126.0,1
RC,119,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,119,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,1126.0,3
RC,119,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,119,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,1318.0,1
RC,119,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,1318.0,1
RC,119,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,1318.0,1
RC,119,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,1126.0,1
RC,119,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,1126.0,1
RC,119,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,119,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,119,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,119,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,119,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,119,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,1126.0,1
RC,119,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,119,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,1126.0,1
RC,119,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,1126.0,1
RC,119,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,1318.0,3
RC,119,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,1318.0,1
RC,119,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,1318.0,3
RC,119,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,1318.0,2
RC,119,NEUROLOGICAL EYE DISORDERS ,,,1126.0,1126.0,1
RC,119,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,1126.0,1
RC,119,NON-EXTENSIVE BURNS ,,,1126.0,1126.0,1
RC,119,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,119,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,119,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,119,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,1318.0,1
RC,119,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,1318.0,1
RC,119,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,1318.0,1
RC,119,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,1318.0,1
RC,119,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,1126.0,1
RC,119,OSTEOMYELITIS WITH CC ,,,1126.0,1126.0,1
RC,119,OSTEOMYELITIS WITH MCC ,,,1126.0,1126.0,1
RC,119,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,1126.0,1
RC,119,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,1126.0,1
RC,119,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,119,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,119,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,119,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,119,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,1126.0,1
RC,119,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,1126.0,1
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,119,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,119,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,1126.0,1
RC,119,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,119,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,119,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,119,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,1126.0,1
RC,119,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,119,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,119,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,1126.0,1
RC,119,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,1126.0,1
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,1318.0,1
RC,119,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,1126.0,3
RC,119,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,119,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,119,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,119,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,1126.0,1
RC,119,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,119,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,119,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,1126.0,3
RC,119,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,1318.0,1
RC,119,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,1318.0,1
RC,119,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,119,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,119,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,119,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,1318.0,1
RC,119,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,1318.0,1
RC,119,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,PLEURAL EFFUSION WITH CC ,,,1126.0,1126.0,1
RC,119,PLEURAL EFFUSION WITH MCC ,,,1126.0,1126.0,1
RC,119,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,PNEUMOTHORAX WITH CC ,,,1126.0,1126.0,1
RC,119,PNEUMOTHORAX WITH MCC ,,,1126.0,1126.0,1
RC,119,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,1126.0,1
RC,119,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,1318.0,1
RC,119,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,1126.0,1
RC,119,PROSTATECTOMY WITH CC ,,,1318.0,1318.0,1
RC,119,PROSTATECTOMY WITH MCC ,,,1318.0,1318.0,1
RC,119,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,PSYCHOSES ,,,1126.0,1126.0,1
RC,119,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,1126.0,1
RC,119,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,1126.0,1
RC,119,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,RADIOTHERAPY ,,,1126.0,1126.0,1
RC,119,RECTAL RESECTION WITH CC ,,,1318.0,1318.0,1
RC,119,RECTAL RESECTION WITH MCC ,,,1318.0,1318.0,1
RC,119,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,RENAL FAILURE WITH CC ,,,1126.0,1126.0,1
RC,119,RENAL FAILURE WITH MCC ,,,1126.0,1126.0,1
RC,119,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,1126.0,1
RC,119,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,1126.0,1
RC,119,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,119,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,119,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,1126.0,1
RC,119,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,1126.0,1
RC,119,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,1126.0,1
RC,119,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,119,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,119,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,1318.0,1
RC,119,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,1318.0,1
RC,119,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,SALIVARY GLAND PROCEDURES ,,,1318.0,1318.0,1
RC,119,SEPTIC ARTHRITIS WITH CC ,,,1126.0,1126.0,1
RC,119,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,1126.0,1
RC,119,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,1126.0,1
RC,119,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,1126.0,1
RC,119,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,119,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,119,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,1318.0,1
RC,119,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,1126.0,1
RC,119,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,119,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,1126.0,1
RC,119,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,1126.0,1
RC,119,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,1318.0,1
RC,119,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,1318.0,1
RC,119,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,119,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,SKIN DEBRIDEMENT WITH CC ,,,1318.0,1318.0,1
RC,119,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,1318.0,1
RC,119,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,119,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,119,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,119,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,119,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,1318.0,3
RC,119,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,SKIN ULCERS WITH CC ,,,1126.0,1126.0,1
RC,119,SKIN ULCERS WITH MCC ,,,1126.0,1126.0,1
RC,119,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,119,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,1318.0,3
RC,119,SPLENIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,SPLENIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,1126.0,1
RC,119,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,119,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,119,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,119,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,SYNCOPE AND COLLAPSE ,,,1126.0,1126.0,1
RC,119,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,1126.0,1
RC,119,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,1126.0,1
RC,119,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,119,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,119,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,119,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,119,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,119,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,119,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,1318.0,2
RC,119,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,1318.0,1
RC,119,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,119,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,119,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,119,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,URETHRAL STRICTURE ,,,1126.0,1126.0,1
RC,119,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,119,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,119,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,1318.0,1
RC,119,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,1318.0,1
RC,119,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,119,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,1318.0,1
RC,119,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,119,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,119,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,119,VEIN LIGATION AND STRIPPING ,,,1318.0,1318.0,1
RC,119,VIRAL ILLNESS WITH MCC ,,,1126.0,1126.0,1
RC,119,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,1126.0,1
RC,119,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,1318.0,3
RC,119,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,119,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,119,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,120, Room & Board - Semi-private (Two Beds) General Classification  ,,,,,0
RC,120,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,120,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,120,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,120,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,120,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,120,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,120,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,120,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,120,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,120,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,120,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,12143.56,12362.36,6
RC,120,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,9038.04,9200.89,6
RC,120,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,120,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,120,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,120,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,120,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,120,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,120,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,120,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,120,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,120,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,120,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,120,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,120,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,120,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,120,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,120,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,120,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,120,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,120,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,120,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,120,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,120,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,120,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,120,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,120,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,120,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,120,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,120,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,120,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,120,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,120,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,120,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,120,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,120,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,120,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,120,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,120,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,120,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,120,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,120,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,120,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,120,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,120,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,120,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,120,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,120,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,120,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,120,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,120,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,120,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,120,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,120,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,120,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,120,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,120,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,120,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,120,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,120,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,120,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,120,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,120,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,120,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,120,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,120,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,120,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,120,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,120,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,120,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,120,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,120,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,120,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,120,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,120,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,120,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,120,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,120,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,120,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,120,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,120,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,120,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,120,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,120,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,120,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,120,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,120,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,120,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,120,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,120,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,120,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,120,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,120,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,120,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,120,CHEST PAIN ,,,8496.74,8649.83,6
RC,120,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,120,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,120,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,120,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,120,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,120,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,120,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,120,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,120,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,120,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,120,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,120,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,120,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,120,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,120,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,120,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,120,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,120,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,120,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,120,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,120,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,120,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,120,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,120,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,120,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,120,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,120,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,120,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,120,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,120,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,120,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,120,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,120,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,120,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,120,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,120,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,120,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,120,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,120,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,120,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,120,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,120,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,120,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,120,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,120,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,120,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,120,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,120,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,120,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,120,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,120,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,120,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,120,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,120,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,120,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,120,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,120,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,120,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,120,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,120,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,120,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,120,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,120,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,120,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,120,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,120,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,120,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,120,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,120,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,120,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,120,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,120,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,120,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,120,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,120,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,120,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,120,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,120,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,120,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,120,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,120,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,120,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,120,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,120,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,120,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,120,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,120,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,120,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,120,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,120,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,120,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,120,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,120,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,120,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,120,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,120,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,120,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,120,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,120,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,120,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,120,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,120,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,120,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,120,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,120,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,120,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,120,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,120,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,120,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,120,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,120,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,120,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,120,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,120,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,120,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,120,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,120,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,120,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,120,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,120,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,120,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,120,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,120,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,120,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,120,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,120,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,120,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,120,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,120,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,120,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,120,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,120,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,120,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,120,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,120,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,120,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,120,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,120,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,120,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,120,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,120,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,120,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,120,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,120,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,120,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,120,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,120,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,120,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,120,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,120,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,120,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,120,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,120,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,120,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,120,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,120,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,120,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,120,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,120,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,120,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,120,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,120,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,120,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,120,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,120,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,120,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,120,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,120,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,120,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,120,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,120,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,120,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,120,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,120,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,120,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,120,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,120,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,120,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,120,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,120,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,120,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,120,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,120,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,120,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,120,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,120,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,120,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,120,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,120,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,120,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,120,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,120,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,120,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,120,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,120,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,120,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,120,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,120,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,120,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,120,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,120,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,120,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,120,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,120,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,120,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,120,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,120,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,120,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,120,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,120,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,120,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,120,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,120,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,120,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,120,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,120,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,120,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,120,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,120,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,120,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,120,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,120,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,120,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,120,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,120,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,120,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,120,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,120,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,120,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,120,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,120,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,120,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,120,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,120,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,120,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,120,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,120,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,120,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,120,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,120,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,120,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,120,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,120,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,120,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,120,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,120,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,120,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,120,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,120,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,120,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,120,NEUROLOGICAL EYE DISORDERS ,,,9143.34,9308.09,6
RC,120,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,120,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,120,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,120,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,120,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,120,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,120,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,120,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,120,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,120,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,120,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,120,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,120,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,120,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,120,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,120,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,120,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,120,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,120,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,120,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,120,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,120,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,120,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,120,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,120,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,120,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,120,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,120,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,120,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,120,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,120,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,120,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,120,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,120,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,120,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,120,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,120,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,120,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13458.16,13700.65,6
RC,120,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,8889.96,9050.14,6
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,120,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,120,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,120,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,120,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,120,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,120,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,120,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,120,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,120,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,120,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,120,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,120,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,120,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,120,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,120,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,120,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,120,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,120,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,120,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,120,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,120,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,120,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,120,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,120,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,120,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,120,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,120,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,120,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,120,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,120,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,120,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,120,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,120,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,120,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,120,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,120,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,120,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,120,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,120,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,120,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,120,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,120,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,120,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,120,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,120,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,120,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,120,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,120,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,120,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,120,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,120,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,120,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,120,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,120,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,120,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,120,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,120,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,120,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,120,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,120,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,120,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,120,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,120,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,120,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,120,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,120,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,120,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,120,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,120,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,120,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,120,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,120,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,120,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,120,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,120,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,120,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,120,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,120,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,120,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,120,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,120,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,120,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,120,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,120,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,120,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,120,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,120,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,120,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,120,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,120,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,120,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,120,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,120,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,120,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,120,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,120,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,120,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,120,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,120,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,120,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,120,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,120,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,120,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,120,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,120,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,120,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,120,PSYCHOSES ,,,14064.45,14317.87,6
RC,120,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,120,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,120,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,120,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,120,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,120,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,120,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,120,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,120,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,120,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,120,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,120,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,120,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,120,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,120,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,120,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,120,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,120,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,120,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,120,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,120,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,120,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,120,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,120,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,120,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,120,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,120,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,120,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,120,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,120,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,120,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,120,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,120,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,120,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,120,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,120,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,120,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,120,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,120,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,120,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,120,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,120,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,120,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,120,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,120,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,120,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,120,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,120,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,120,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,120,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,20425.21,20793.23,6
RC,120,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,10926.03,11122.9,6
RC,120,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,120,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,120,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,120,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,120,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,120,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,120,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,120,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,120,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,120,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,120,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,120,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,120,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,120,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,120,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,120,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,120,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,120,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,120,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,120,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,120,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,120,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,120,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,120,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,120,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,120,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,120,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,120,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,120,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,120,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,120,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,120,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,120,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,120,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,120,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,120,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,120,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,120,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,120,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,120,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,120,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,120,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,120,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,120,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,120,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,120,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,120,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,120,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,120,UNGROUPABLE ,,,2573.63,2620.01,6
RC,120,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,120,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,120,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,120,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,120,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,120,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,120,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,120,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,120,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,120,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,120,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,120,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,120,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,120,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,120,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,120,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,120,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,120,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,120,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,120,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,120,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,120,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,120,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,120,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,120,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,120,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,120,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,121, Room & Board - Semi-private (Two Beds) Medical/Surgical/GYN  ,,,,,0
RC,121,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,121,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,121,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,121,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,121,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,121,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,121,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,121,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,121,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,121,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,121,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,9038.04,9200.89,6
RC,121,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,121,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,121,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,121,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,121,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,121,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,121,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,121,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,121,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,121,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,121,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,121,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,121,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,121,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,121,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,121,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,121,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,121,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,121,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,121,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,121,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,121,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,121,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,121,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,121,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,121,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,121,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,121,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,121,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,121,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,121,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,121,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,121,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,121,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,121,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,121,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,121,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,121,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,121,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,121,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,121,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,121,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,121,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,121,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,121,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,121,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,121,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,121,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,121,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,121,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,121,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,121,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,121,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,121,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,121,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,121,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,121,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,121,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,121,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,121,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,121,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,121,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,121,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,121,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,121,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,121,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,121,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,121,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,121,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,121,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,121,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,121,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,121,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,121,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,121,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,121,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,121,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,121,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,121,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,121,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,121,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,121,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,121,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,121,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,121,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,121,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,121,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,121,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,121,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,121,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,121,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,121,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,121,CHEST PAIN ,,,8496.74,8649.83,6
RC,121,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,121,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,121,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,121,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,121,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,121,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,121,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,121,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,121,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,121,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,121,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,121,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,121,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,121,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,121,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,121,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,121,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,121,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,121,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,121,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,121,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,121,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,121,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,121,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,121,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,121,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,121,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,121,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,121,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,121,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,121,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,121,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,121,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,121,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,121,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,121,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,121,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,121,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,121,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,121,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,121,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,121,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,121,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,121,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,121,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,121,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,121,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,121,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,121,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,121,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,121,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,121,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,121,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,121,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,121,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,121,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,121,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,121,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,121,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,121,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,121,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,121,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,121,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,121,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,121,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,121,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,121,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,121,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,121,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,121,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,121,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,121,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,121,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,121,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,121,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,121,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,121,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,121,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,121,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,121,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,121,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,121,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,121,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,121,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,121,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,121,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,121,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,121,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,121,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,121,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,121,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,121,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,121,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,121,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,121,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,121,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,121,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,121,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,121,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,121,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,121,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,121,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,121,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,121,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,121,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,121,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,121,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,121,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,121,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,121,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,121,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,121,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,121,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,121,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,121,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,121,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,121,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,121,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,121,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,121,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,121,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,121,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,121,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,121,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,121,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,121,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,121,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,121,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,121,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,121,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,121,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,121,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,121,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,121,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,121,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,121,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,121,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,121,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,121,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,121,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,121,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,121,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,121,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,121,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,121,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,121,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,121,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,121,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,121,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,121,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,121,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,121,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,121,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,121,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,121,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,121,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,121,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,121,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,121,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,121,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,121,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,121,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,121,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,121,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,121,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,121,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,121,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,121,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,121,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,121,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,121,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,121,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,121,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,121,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,121,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,121,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,121,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,121,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,121,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,121,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,121,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,121,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,121,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,121,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,121,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,121,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,121,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,121,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,121,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,121,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,121,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,121,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,121,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,121,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,121,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,121,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,121,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,121,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,121,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,121,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,121,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,121,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,121,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,121,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,121,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,121,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,121,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,121,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,121,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,121,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,121,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,121,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,121,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,121,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,121,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,121,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,121,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,121,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,121,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,121,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,121,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,121,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,121,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,121,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,121,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,121,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,121,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,121,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,121,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,121,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,121,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,121,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,121,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,121,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,121,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,121,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,121,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,121,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,121,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,121,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,121,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,121,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,121,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,121,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,121,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,121,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,121,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,121,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,121,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,121,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,121,NEUROLOGICAL EYE DISORDERS ,,,9143.34,9308.09,6
RC,121,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,121,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,121,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,121,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,121,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,121,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,121,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,121,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,121,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,121,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,121,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,121,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,121,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,121,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,121,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,121,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,121,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,121,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,121,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,121,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,121,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,121,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,121,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,121,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,121,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,121,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,121,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,121,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,121,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,121,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,121,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,121,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,121,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,121,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,121,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,121,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,121,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,121,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13458.16,13700.65,6
RC,121,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,8889.96,9050.14,6
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,121,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,121,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,121,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,121,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,121,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,121,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,121,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,121,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,121,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,121,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,121,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,121,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,121,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,121,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,121,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,121,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,121,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,121,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,121,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,121,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,121,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,121,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,121,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,121,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,121,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,121,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,121,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,121,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,121,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,121,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,121,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,121,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,121,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,121,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,121,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,121,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,121,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,121,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,121,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,121,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,121,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,121,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,121,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,121,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,121,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,121,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,121,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,121,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,121,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,121,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,121,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,121,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,121,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,121,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,121,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,121,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,121,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,121,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,121,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,121,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,121,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,121,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,121,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,121,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,121,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,121,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,121,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,121,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,121,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,121,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,121,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,121,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,121,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,121,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,121,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,121,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,121,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,121,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,121,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,121,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,121,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,121,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,121,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,121,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,121,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,121,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,121,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,121,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,121,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,121,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,121,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,121,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,121,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,121,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,121,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,121,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,121,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,121,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,121,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,121,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,121,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,121,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,121,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,121,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,121,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,121,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,121,PSYCHOSES ,,,14064.45,14317.87,6
RC,121,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,121,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,121,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,121,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,121,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,121,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,121,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,121,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,121,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,121,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,121,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,121,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,121,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,121,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,121,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,121,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,121,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,121,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,121,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,121,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,121,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,121,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,121,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,121,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,121,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,121,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,121,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,121,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,121,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,121,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,121,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,121,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,121,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,121,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,121,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,121,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,121,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,121,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,121,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,121,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,121,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,121,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,121,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,121,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,121,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,121,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,121,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,121,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,121,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,121,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,20425.21,20793.23,6
RC,121,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,10926.03,11122.9,6
RC,121,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,121,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,121,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,121,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,121,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,121,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,121,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,121,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,121,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,121,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,121,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,121,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,121,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,121,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,121,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,121,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,121,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,121,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,121,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,121,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,121,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,121,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,121,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,121,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,121,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,121,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,121,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,121,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,121,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,121,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,121,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,121,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,121,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,121,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,121,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,121,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,121,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,121,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,121,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,121,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,121,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,121,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,121,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,121,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,121,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,121,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,121,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,121,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,121,UNGROUPABLE ,,,2573.63,2620.01,6
RC,121,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,121,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,121,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,121,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,121,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,121,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,121,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,121,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,121,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,121,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,121,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,121,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,121,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,121,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,121,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,121,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,121,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,121,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,121,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,121,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,121,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,121,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,121,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,121,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,121,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,121,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,121,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,122, Room & Board - Semi-private (Two Beds) Obstetrics (OB)  ,,,,,0
RC,122,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,122,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,122,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,122,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,122,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,122,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,122,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,122,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,122,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,122,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,122,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,122,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,122,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,122,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,122,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,122,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,122,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,122,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,122,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,122,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,122,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,122,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,122,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,122,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,122,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,122,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,122,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,122,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,122,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,122,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,122,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,122,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,122,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,122,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,122,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,122,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,122,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,122,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,122,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,122,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,122,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,122,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,122,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,122,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,122,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,122,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,122,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,122,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,122,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,122,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,122,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,122,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,122,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,122,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,122,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,122,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,122,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,122,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,122,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,122,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,122,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,122,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,122,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,122,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,122,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,122,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,122,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,122,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,122,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,122,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,122,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,122,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,122,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,122,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,122,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,122,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,122,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,122,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,122,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,122,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,122,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,122,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,122,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,122,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,122,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,122,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,122,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,122,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,122,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,122,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,122,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,122,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,122,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,122,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,122,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,122,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,122,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,122,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,122,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,122,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,122,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,122,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,122,CHEST PAIN ,,,8496.74,8649.83,6
RC,122,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,122,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,122,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,122,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,122,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,122,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,122,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,122,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,122,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,122,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,122,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,122,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,122,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,122,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,122,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,122,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,122,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,122,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,122,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,122,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,122,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,122,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,122,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,122,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,122,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,122,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,122,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,122,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,122,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,122,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,122,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,122,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,122,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,122,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,122,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,122,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,122,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,122,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,122,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,122,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,122,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,122,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,122,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,122,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,122,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,122,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,122,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,122,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,122,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,122,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,122,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,122,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,122,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,122,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,122,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,122,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,122,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,122,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,122,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,122,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,122,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,122,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,122,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,122,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,122,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,122,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,122,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,122,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,122,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,122,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,122,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,122,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,122,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,122,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,122,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,122,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,122,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,122,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,122,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,122,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,122,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,122,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,122,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,122,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,122,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,122,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,122,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,122,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,122,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,122,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,122,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,122,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,122,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,122,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,122,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,122,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,122,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,122,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,122,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,122,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,122,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,122,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,122,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,122,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,122,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,122,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,122,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,122,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,122,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,122,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,122,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,122,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,122,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,122,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,122,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,122,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,122,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,122,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,122,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,122,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,122,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,122,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,122,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,122,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,122,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,122,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,122,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,122,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,122,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,122,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,122,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,122,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,122,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,122,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,122,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,122,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,122,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,122,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,122,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,122,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,122,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,122,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,122,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,122,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,122,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,122,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,122,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,122,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,122,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,122,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,122,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,122,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,122,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,122,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,122,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,122,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,122,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,122,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,122,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,122,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,122,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,122,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,122,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,122,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,122,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,122,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,122,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,122,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,122,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,122,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,122,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,122,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,122,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,122,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,122,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,122,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,122,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,122,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,122,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,122,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,122,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,122,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,122,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,122,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,122,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,122,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,122,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,122,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,122,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,122,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,122,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,122,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,122,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,122,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,122,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,122,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,122,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,122,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,122,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,122,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,122,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,122,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,122,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,122,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,122,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,122,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,122,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,122,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,122,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,122,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,122,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,122,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,122,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,122,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,122,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,122,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,122,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,122,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,122,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,122,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,122,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,122,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,122,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,122,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,122,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,122,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,122,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,122,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,122,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,122,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,122,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,122,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,122,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,122,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,122,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,122,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,122,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,122,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,122,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,122,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,122,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,122,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,122,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,122,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,122,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,122,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,122,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,122,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,122,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,122,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,122,NEUROLOGICAL EYE DISORDERS ,,,9143.34,9308.09,6
RC,122,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,122,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,122,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,122,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,122,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,122,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,122,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,122,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,122,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,122,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,122,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,122,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,122,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,122,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,122,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,122,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,122,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,122,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,122,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,122,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,122,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,122,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,122,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,122,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,122,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,122,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,122,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,122,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,122,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,122,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,122,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,122,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,122,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,122,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,122,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,122,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,122,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,122,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13458.16,13700.65,6
RC,122,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,8889.96,9050.14,6
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,122,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,122,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,122,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,122,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,122,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,122,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,122,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,122,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,122,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,122,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,122,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,122,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,122,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,122,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,122,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,122,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,122,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,122,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,122,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,122,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,122,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,122,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,122,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,122,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,122,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,122,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,122,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,122,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,122,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,122,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,122,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,122,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,122,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,122,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,122,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,122,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,122,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,122,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,122,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,122,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,122,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,122,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,122,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,122,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,122,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,122,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,122,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,122,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,122,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,122,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,122,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,122,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,122,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,122,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,122,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,122,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,122,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,122,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,122,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,122,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,122,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,122,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,122,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,122,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,122,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,122,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,122,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,122,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,122,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,122,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,122,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,122,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,122,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,122,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,122,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,122,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,122,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,122,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,122,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,122,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,122,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,122,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,122,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,122,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,122,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,122,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,122,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,122,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,122,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,122,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,122,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,122,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,122,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,122,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,122,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,122,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,122,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,122,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,122,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,122,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,122,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,122,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,122,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,122,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,122,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,122,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,122,PSYCHOSES ,,,14064.45,14317.87,6
RC,122,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,122,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,122,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,122,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,122,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,122,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,122,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,122,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,122,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,122,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,122,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,122,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,122,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,122,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,122,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,122,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,122,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,122,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,122,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,122,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,122,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,122,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,122,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,122,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,122,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,122,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,122,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,122,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,122,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,122,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,122,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,122,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,122,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,122,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,122,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,122,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,122,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,122,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,122,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,122,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,122,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,122,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,122,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,122,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,122,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,122,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,122,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,122,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,122,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,122,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,20425.21,20793.23,6
RC,122,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,10926.03,11122.9,6
RC,122,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,122,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,122,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,122,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,122,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,122,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,122,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,122,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,122,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,122,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,122,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,122,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,122,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,122,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,122,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,122,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,122,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,122,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,122,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,122,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,122,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,122,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,122,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,122,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,122,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,122,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,122,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,122,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,122,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,122,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,122,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,122,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,122,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,122,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,122,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,122,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,122,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,122,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,122,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,122,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,122,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,122,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,122,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,122,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,122,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,122,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,122,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,122,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,122,UNGROUPABLE ,,,2573.63,2620.01,6
RC,122,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,122,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,122,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,122,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,122,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,122,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,122,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,122,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,122,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,122,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,122,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,122,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,122,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,122,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,122,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,122,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,122,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,122,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,122,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,122,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,122,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,122,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,122,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,122,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,122,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,122,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,122,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,123, Room & Board - Semi-private (Two Beds) Pediatric  ,,,,,0
RC,123,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,123,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,123,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,123,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,123,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,123,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,123,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,123,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,123,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,123,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,123,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,123,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,123,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,123,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,123,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,123,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,123,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,123,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,123,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,123,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,123,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,123,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,123,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,123,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,123,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,123,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,123,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,123,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,123,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,123,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,123,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,123,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,123,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,123,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,123,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,123,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,123,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,123,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,123,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,123,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,123,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,123,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,123,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,123,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,123,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,123,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,123,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,123,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,123,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,123,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,123,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,123,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,123,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,123,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,123,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,123,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,123,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,123,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,123,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,123,CHEST PAIN ,,,1126.0,8649.83,7
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,123,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,123,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,123,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,123,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,123,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,123,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,123,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,123,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,123,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,123,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,123,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,123,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,123,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,123,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,123,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,123,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,123,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,123,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,123,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,123,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,123,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,123,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,123,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,123,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,123,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,123,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,123,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,123,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,123,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,123,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,123,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,123,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,123,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,123,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,123,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,123,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,123,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,123,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,123,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,123,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,123,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,123,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,123,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,123,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,123,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,123,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,123,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,123,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,123,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,123,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,123,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,123,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,123,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,123,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,123,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,123,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,123,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,123,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,123,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,123,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,123,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,123,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,123,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,123,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,123,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,123,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,123,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,123,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,123,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,123,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,123,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,123,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,123,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,123,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,123,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,123,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,123,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,123,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,123,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,123,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,123,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,123,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,123,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,123,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,123,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,123,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,123,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,123,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,123,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,123,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,123,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,123,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,123,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,123,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,123,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,123,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,123,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,123,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,123,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,123,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,123,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,123,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,123,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,123,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,123,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,123,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,123,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,123,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,123,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,123,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,123,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,123,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,123,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,123,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,123,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,123,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,123,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,123,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,123,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,123,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,123,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,123,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,123,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,123,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,123,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,123,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,123,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,123,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,123,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,123,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,123,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,123,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,123,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,123,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,123,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,123,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,123,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,123,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,123,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,123,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,123,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,123,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,123,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,123,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,123,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,123,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,123,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,123,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,123,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,123,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,123,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,123,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,123,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,123,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,123,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,123,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,123,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,123,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,123,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,123,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,123,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,123,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,123,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,123,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,123,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,123,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,123,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,123,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,123,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,123,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,123,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,123,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,123,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,123,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,123,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,123,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,123,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,123,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,123,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,123,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,123,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,123,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,123,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,123,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,123,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,123,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,123,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,123,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,123,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,123,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,123,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,123,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,123,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,123,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,123,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,123,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,123,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,123,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,123,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,123,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,123,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,1126.0,13700.65,7
RC,123,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,1126.0,9050.14,7
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,123,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,123,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,123,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,123,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,123,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,123,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,123,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,123,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,123,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,123,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,123,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,123,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,123,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,123,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,123,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,123,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,123,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,123,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,123,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,123,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,123,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,123,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,123,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,123,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,123,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,123,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,123,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,123,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,123,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,123,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,123,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,123,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,123,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,123,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,123,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,123,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,123,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,123,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,123,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,123,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,123,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,123,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,123,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,123,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,123,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,123,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,123,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,123,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,123,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,123,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,123,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,123,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,123,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,123,PSYCHOSES ,,,1126.0,14317.87,7
RC,123,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,123,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,123,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,123,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,123,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,123,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,123,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,123,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,123,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,123,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,123,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,123,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,123,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,123,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,123,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,123,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,123,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,123,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,123,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,123,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,123,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,123,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,123,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,123,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,123,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,123,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,123,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,123,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,123,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,123,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,123,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,123,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,123,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,123,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,123,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,123,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,123,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,123,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,123,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,123,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,123,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,123,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,123,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,123,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,123,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,123,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,123,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,123,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,123,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,123,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,123,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,123,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,123,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,123,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,123,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,123,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,123,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,123,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,123,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,123,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,123,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,123,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,123,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,123,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,123,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,123,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,123,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,123,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,123,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,123,UNGROUPABLE ,,,2573.63,2620.01,6
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,123,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,123,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,123,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,123,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,123,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,123,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,123,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,123,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,123,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,123,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,123,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,123,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,123,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,123,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,123,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,123,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,123,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,123,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  ,,,525.0,3697.0,9
RC,124,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,124,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,124,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,124,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,124,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,124,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,124,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,124,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,124,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,124,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,124,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,124,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,124,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,124,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,124,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,124,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,124,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,124,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,124,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,124,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,124,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,124,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,124,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,124,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,124,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,124,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,124,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,124,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,124,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,124,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,124,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,124,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,124,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,124,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,124,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,124,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,124,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,124,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,124,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,124,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,124,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,124,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,124,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,124,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,124,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,124,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,124,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,124,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,124,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,124,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,124,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,124,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,124,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,124,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,124,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,124,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,124,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,124,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,124,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,124,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,124,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,124,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,124,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,124,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,124,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,124,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,124,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,124,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,124,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,124,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,124,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,124,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,124,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,124,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,124,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,124,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,124,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,124,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,124,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,124,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,124,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,124,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,124,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,124,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,124,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,124,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,124,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,124,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,124,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,124,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,124,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,124,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,124,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,124,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,124,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,124,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,124,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,124,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,124,CHEST PAIN ,,,8496.74,8649.83,6
RC,124,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,124,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,124,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,124,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,124,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,124,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,124,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,124,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,124,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,124,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,124,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,124,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,124,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,124,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,124,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,124,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,124,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,124,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,124,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,124,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,124,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,124,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,124,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,124,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,124,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,124,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,124,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,124,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,124,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,124,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,124,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,124,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,124,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,124,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,124,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,124,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,124,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,124,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,124,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,124,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,124,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,124,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,124,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,124,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,124,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,124,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,124,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,124,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,124,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,124,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,124,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,124,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,124,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,124,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,124,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,124,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,124,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,124,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,124,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,124,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,124,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,124,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,124,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,124,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,124,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,124,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,124,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,124,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,124,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,124,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,124,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,124,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,124,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,124,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,124,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,124,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,124,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,124,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,124,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,124,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,124,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,124,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,124,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,124,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,124,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,124,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,124,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,124,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,124,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,124,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,124,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,124,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,124,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,124,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,124,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,124,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,124,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,124,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,124,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,124,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,124,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,124,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,124,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,124,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,124,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,124,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,124,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,124,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,124,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,124,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,124,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,124,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,124,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,124,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,124,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,124,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,124,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,124,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,124,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,124,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,124,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,124,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,124,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,124,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,124,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,124,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,124,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,124,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,124,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,124,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,124,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,124,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,124,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,124,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,124,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,124,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,124,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,124,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,124,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,124,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,124,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,124,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,124,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,124,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,124,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,124,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,124,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,124,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,124,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,124,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,124,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,124,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,124,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,124,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,124,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,124,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,124,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,124,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,124,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,124,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,124,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,124,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,124,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,124,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,124,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,124,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,124,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,124,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,124,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,124,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,124,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,124,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,124,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,124,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,124,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,124,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,124,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,124,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,124,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,124,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,124,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,124,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,124,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,124,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,124,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,124,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,124,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,124,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,124,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,124,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,124,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,124,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,124,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,124,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,124,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,124,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,124,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,124,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,124,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,124,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,124,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,124,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,124,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,124,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,124,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,124,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,124,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,124,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,124,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,124,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,124,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,124,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,124,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,124,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,124,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,124,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,124,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,124,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,124,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,124,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,124,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,124,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,124,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,124,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,124,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,124,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,124,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,124,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,124,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,124,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,124,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,124,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,124,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,124,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,124,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,124,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,124,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,124,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,124,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,124,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,124,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,124,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,124,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,124,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,124,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,124,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,124,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,124,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,124,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,124,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,124,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,124,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,124,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,124,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,124,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,124,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,124,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,124,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,124,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,124,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,124,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,124,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,124,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,124,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,124,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,124,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,124,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,124,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,124,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,124,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,124,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,124,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,124,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,124,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,124,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,124,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,124,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,124,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,124,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,124,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,124,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,124,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,124,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,124,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,124,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,124,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,124,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,124,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,8889.96,9050.14,6
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,124,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,124,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,124,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,124,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,124,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,124,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,124,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,124,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,124,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,124,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,124,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,124,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,124,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,124,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,124,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,124,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,124,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,124,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,124,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,124,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,124,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,124,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,124,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,124,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,124,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,124,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,124,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,124,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,124,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,124,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,124,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,124,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,124,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,124,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,124,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,124,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,124,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,124,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,124,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,124,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,124,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,124,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,124,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,124,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,124,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,124,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,124,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,124,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,124,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,124,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,124,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,124,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,124,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,124,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,124,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,124,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,124,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,124,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,124,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,124,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,124,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,124,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,124,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,124,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,124,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,124,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,124,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,124,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,124,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,124,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,124,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,124,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,124,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,124,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,124,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,124,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,124,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,124,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,124,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,124,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,124,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,124,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,124,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,124,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,124,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,124,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,124,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,124,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,124,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,124,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,124,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,124,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,124,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,124,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,124,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,124,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,124,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,124,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,124,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,124,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,124,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,124,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,124,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,124,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,124,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,124,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,124,PSYCHOSES ,,,14064.45,14317.87,6
RC,124,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,124,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,124,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,124,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,124,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,124,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,124,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,124,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,124,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,124,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,124,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,124,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,124,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,124,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,124,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,124,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,124,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,124,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,124,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,124,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,124,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,124,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,124,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,124,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,124,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,124,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,124,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,124,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,124,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,124,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,124,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,124,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,124,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,124,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,124,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,124,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,124,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,124,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,124,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,124,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,124,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,124,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,124,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,124,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,124,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,124,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,124,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,124,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,124,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,124,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,20425.21,20793.23,6
RC,124,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,10926.03,11122.9,6
RC,124,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,124,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,124,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,124,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,124,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,124,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,124,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,124,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,124,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,124,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,124,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,124,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,124,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,124,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,124,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,124,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,124,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,124,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,124,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,124,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,124,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,124,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,124,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,124,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,124,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,124,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,124,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,124,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,124,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,124,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,124,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,124,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,124,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,124,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,124,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,124,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,124,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,124,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,124,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,124,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,124,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,124,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,124,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,124,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,124,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,124,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,124,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,124,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,124,UNGROUPABLE ,,,2573.63,2620.01,6
RC,124,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,124,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,124,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,124,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,124,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,124,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,124,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,124,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,124,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,124,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,124,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,124,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,124,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,124,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,124,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,124,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,124,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,124,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,124,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,124,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,124,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,124,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,124,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,124,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,124,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,124,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,124,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,125, Room & Board - Semi-private (Two Beds) Hospice  ,,,2195.0,4441.0,7
RC,125,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,125,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,125,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,125,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,125,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,125,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126, Room & Board - Semi-private (Two Beds) Detoxification  ,,,450.0,1203.0,5
RC,126,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,126,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,126,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,126,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,126,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,126,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,126,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,126,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,126,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,126,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,126,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,126,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,126,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,126,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,126,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,126,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,126,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,126,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,126,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,126,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,126,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,126,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,126,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,126,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,126,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,126,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,126,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,126,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,126,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,126,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,126,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,126,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,126,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,126,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,126,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,126,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,126,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,126,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,126,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,126,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,126,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,126,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,126,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,126,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,126,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,126,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,126,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,126,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,126,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,126,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,126,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,126,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,126,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,126,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,126,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,126,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,126,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,126,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,126,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,126,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,126,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,126,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,126,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,126,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,126,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,126,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,126,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,126,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,126,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,126,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,126,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,126,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,126,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,126,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,126,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,126,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,126,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,126,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,126,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,126,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,126,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,126,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,126,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,126,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,126,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,126,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,126,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,126,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,126,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,126,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,126,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,126,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,126,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,126,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,126,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,126,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,126,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,126,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,126,CHEST PAIN ,,,8496.74,8649.83,6
RC,126,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,126,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,126,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,126,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,126,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,126,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,126,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,126,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,126,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,126,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,126,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,126,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,126,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,126,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,126,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,126,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,126,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,126,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,126,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,126,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,126,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,126,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,126,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,126,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,126,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,126,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,126,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,126,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,126,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,126,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,126,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,126,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,126,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,126,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,126,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,126,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,126,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,126,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,126,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,126,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,126,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,126,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,126,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,126,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,126,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,126,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,126,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,126,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,126,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,126,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,126,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,126,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,126,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,126,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,126,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,126,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,126,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,126,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,126,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,126,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,126,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,126,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,126,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,126,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,126,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,126,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,126,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,126,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,126,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,126,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,126,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,126,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,126,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,126,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,126,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,126,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,126,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,126,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,126,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,126,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,126,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,126,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,126,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,126,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,126,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,126,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,126,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,126,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,126,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,126,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,126,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,126,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,126,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,126,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,126,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,126,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,126,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,126,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,126,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,126,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,126,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,126,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,126,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,126,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,126,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,126,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,126,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,126,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,126,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,126,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,126,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,126,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,126,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,126,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,126,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,126,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,126,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,126,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,126,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,126,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,126,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,126,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,126,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,126,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,126,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,126,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,126,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,126,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,126,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,126,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,126,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,126,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,126,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,126,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,126,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,126,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,126,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,126,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,126,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,126,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,126,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,126,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,126,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,126,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,126,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,126,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,126,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,126,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,126,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,126,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,126,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,126,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,126,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,126,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,126,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,126,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,126,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,126,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,126,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,126,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,126,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,126,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,126,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,126,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,126,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,126,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,126,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,126,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,126,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,126,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,126,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,126,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,126,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,126,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,126,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,126,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,126,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,126,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,126,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,126,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,126,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,126,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,126,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,126,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,126,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,126,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,126,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,126,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,126,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,126,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,126,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,126,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,126,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,126,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,126,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,126,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,126,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,126,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,126,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,126,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,126,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,126,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,126,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,126,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,126,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,126,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,126,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,126,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,126,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,126,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,126,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,126,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,126,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,126,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,126,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,126,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,126,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,126,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,126,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,126,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,126,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,126,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,126,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,126,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,126,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,126,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,126,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,126,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,126,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,126,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,126,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,126,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,126,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,126,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,126,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,126,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,126,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,126,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,126,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,126,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,126,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,126,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,126,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,126,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,126,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,126,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,126,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,126,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,126,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,126,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,126,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,126,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,126,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,126,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,126,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,126,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,126,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,126,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,126,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,126,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,126,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,126,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,126,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,126,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,126,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,126,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,126,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,126,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,126,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,126,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,126,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,126,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,126,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,126,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,126,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,126,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,126,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,126,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,126,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,126,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,126,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,126,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,126,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,126,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,126,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,126,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,126,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,126,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,126,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,126,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,126,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,126,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,126,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,126,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,126,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,126,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,126,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,126,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,126,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,126,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,126,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,126,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,126,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,126,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,126,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,126,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,126,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,126,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,126,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,126,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,126,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,126,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,126,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,126,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,126,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,126,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,126,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,126,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,126,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,126,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,126,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,126,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,126,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,126,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,126,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,126,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,126,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,126,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,126,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,126,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,126,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,126,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,126,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,126,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,126,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,126,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,126,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,126,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,126,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,126,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,126,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,126,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,126,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,126,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,126,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,126,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,126,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,126,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,126,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,126,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,126,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,126,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,126,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,126,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,126,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,126,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,126,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,126,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,126,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,126,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,126,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,126,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,126,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,126,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,126,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,126,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,126,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,126,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,126,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,126,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,126,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,126,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,126,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,126,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,126,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,126,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,126,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,126,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,126,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,126,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,126,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,126,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,126,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,126,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,126,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,126,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,126,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,126,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,126,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,126,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,126,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,126,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,126,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,126,PSYCHOSES ,,,14064.45,14317.87,6
RC,126,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,126,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,126,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,126,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,126,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,126,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,126,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,126,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,126,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,126,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,126,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,126,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,126,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,126,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,126,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,126,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,126,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,126,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,126,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,126,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,126,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,126,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,126,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,126,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,126,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,126,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,126,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,126,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,126,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,126,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,126,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,126,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,126,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,126,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,126,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,126,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,126,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,126,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,126,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,126,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,126,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,126,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,126,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,126,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,126,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,126,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,126,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,126,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,126,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,126,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,20425.21,20793.23,6
RC,126,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,10926.03,11122.9,6
RC,126,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,126,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,126,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,126,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,126,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,126,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,126,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,126,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,126,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,126,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,126,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,126,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,126,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,126,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,126,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,126,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,126,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,126,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,126,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,126,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,126,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,126,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,126,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,126,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,126,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,126,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,126,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,126,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,126,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,126,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,126,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,126,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,126,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,126,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,126,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,126,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,126,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,126,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,126,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,126,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,126,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,126,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,126,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,126,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,126,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,126,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,126,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,126,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,126,UNGROUPABLE ,,,2573.63,2620.01,6
RC,126,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,126,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,126,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,126,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,126,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,126,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,126,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,126,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,126,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,126,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,126,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,126,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,126,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,126,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,126,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,126,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,126,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,126,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,126,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,126,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,126,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,126,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,126,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,126,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,126,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,126,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,126,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,127, Room & Board - Semi-private (Two Beds) Oncology  ,,,,,0
RC,127,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,127,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,127,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,127,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,127,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,127,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,127,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,127,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,127,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,127,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,127,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,127,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,127,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,127,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,127,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,127,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,127,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,127,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,127,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,127,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,127,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,127,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,127,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,127,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,127,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,127,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,127,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,127,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,127,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,127,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,127,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,127,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,127,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,127,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,127,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,127,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,127,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,127,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,127,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,127,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,127,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,127,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,127,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,127,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,127,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,127,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,127,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,127,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,127,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,127,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,127,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,127,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,127,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,127,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,127,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,127,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,127,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,127,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,127,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,127,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,127,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,127,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,127,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,127,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,127,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,127,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,127,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,127,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,127,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,127,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,127,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,127,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,127,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,127,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,127,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,127,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,127,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,127,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,127,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,127,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,127,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,127,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,127,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,127,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,127,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,127,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,127,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,127,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,127,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,127,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,127,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,127,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,127,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,127,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,127,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,127,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,127,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,127,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,127,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,127,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,127,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,127,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,127,CHEST PAIN ,,,1126.0,8649.83,7
RC,127,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,127,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,127,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,127,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,127,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,127,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,127,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,127,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,127,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,127,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,127,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,127,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,127,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,127,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,127,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,127,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,127,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,127,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,127,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,127,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,127,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,127,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,127,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,127,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,127,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,127,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,127,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,127,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,127,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,127,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,127,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,127,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,127,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,127,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,127,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,127,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,127,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,127,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,127,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,127,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,127,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,127,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,127,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,127,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,127,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,127,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,127,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,127,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,127,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,127,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,127,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,127,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,127,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,127,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,127,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,127,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,127,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,127,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,127,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,127,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,127,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,127,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,127,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,127,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,127,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,127,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,127,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,127,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,127,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,127,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,127,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,127,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,127,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,127,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,127,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,127,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,127,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,127,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,127,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,127,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,127,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,127,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,127,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,127,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,127,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,127,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,127,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,127,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,127,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,127,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,127,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,127,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,127,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,127,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,127,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,127,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,127,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,127,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,127,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,127,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,127,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,127,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,127,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,127,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,127,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,127,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,127,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,127,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,127,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,127,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,127,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,127,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,127,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,127,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,127,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,127,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,127,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,127,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,127,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,127,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,127,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,127,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,127,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,127,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,127,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,127,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,127,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,127,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,127,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,127,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,127,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,127,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,127,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,127,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,127,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,127,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,127,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,127,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,127,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,127,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,127,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,127,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,127,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,127,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,127,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,127,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,127,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,127,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,127,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,127,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,127,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,127,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,127,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,127,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,127,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,127,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,127,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,127,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,127,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,127,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,127,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,127,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,127,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,127,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,127,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,127,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,127,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,127,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,127,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,127,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,127,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,127,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,127,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,127,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,127,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,127,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,127,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,127,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,127,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,127,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,127,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,127,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,127,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,127,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,127,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,127,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,127,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,127,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,127,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,127,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,127,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,127,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,127,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,127,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,127,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,127,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,127,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,127,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,127,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,127,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,127,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,127,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,127,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,127,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,127,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,127,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,127,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,127,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,127,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,127,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,127,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,127,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,127,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,127,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,127,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,127,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,127,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,127,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,127,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,127,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,127,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,127,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,127,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,127,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,127,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,127,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,127,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,127,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,127,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,127,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,127,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,127,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,127,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,127,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,127,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,127,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,127,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,127,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,127,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,127,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,127,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,127,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,127,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,127,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,127,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,127,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,127,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,127,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,127,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,127,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,127,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,127,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,127,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,127,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,127,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,127,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,127,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,127,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,127,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,127,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,127,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,127,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,127,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,127,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,127,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,127,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,127,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,127,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,127,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,127,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,127,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,127,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,127,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,127,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,127,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,127,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,127,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,127,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,127,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,127,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,127,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,127,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,127,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,127,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,127,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,127,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,127,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,127,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,127,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,127,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,127,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,127,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,127,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,127,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,127,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,127,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,127,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,127,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,127,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,127,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,127,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,127,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,127,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,127,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,127,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,127,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,127,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,127,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,127,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,127,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,127,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,127,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,127,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,127,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,127,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,127,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,127,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,127,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,127,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,127,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,127,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,127,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,127,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,127,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,127,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,127,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,127,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,127,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,127,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,127,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,127,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,127,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,127,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,127,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,127,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,127,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,127,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,127,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,127,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,127,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,127,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,127,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,127,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,127,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,127,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,127,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,127,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,127,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,127,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,127,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,127,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,127,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,127,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,127,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,127,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,127,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,127,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,127,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,127,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,127,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,127,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,127,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,127,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,127,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,127,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,127,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,127,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,127,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,127,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,127,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,127,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,127,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,127,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,127,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,127,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,127,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,127,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,127,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,127,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,127,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,127,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,127,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,127,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,127,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,127,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,127,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,127,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,127,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,127,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,127,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,127,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,127,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,127,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,127,PSYCHOSES ,,,1126.0,14317.87,7
RC,127,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,127,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,127,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,127,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,127,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,127,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,127,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,127,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,127,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,127,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,127,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,127,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,127,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,127,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,127,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,127,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,127,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,127,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,127,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,127,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,127,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,127,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,127,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,127,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,127,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,127,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,127,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,127,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,127,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,127,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,127,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,127,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,127,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,127,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,127,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,127,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,127,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,127,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,127,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,127,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,127,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,127,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,127,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,127,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,127,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,127,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,127,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,127,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,127,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,127,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,127,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,127,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,127,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,127,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,127,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,127,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,127,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,127,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,127,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,127,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,127,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,127,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,127,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,127,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,127,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,127,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,127,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,127,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,127,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,127,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,127,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,127,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,127,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,127,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,127,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,127,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,127,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,127,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,127,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,127,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,127,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,127,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,127,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,127,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,127,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,127,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,127,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,127,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,127,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,127,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,127,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,127,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,127,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,127,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,127,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,127,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,127,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,127,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,127,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,127,UNGROUPABLE ,,,2573.63,2620.01,6
RC,127,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,127,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,127,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,127,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,127,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,127,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,127,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,127,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,127,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,127,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,127,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,127,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,127,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,127,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,127,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,127,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,127,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,127,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,127,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,127,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,127,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,127,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,127,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,127,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,127,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,127,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,127,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,128, Room & Board - Semi-private (Two Beds) Rehabilitation  ,,,600.0,3675.0,14
RC,128,AMPUTATION LOWER EXTREMITY M <47.50 ,,,31728.32,49387.01,56
RC,128,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,23852.79,37129.07,56
RC,128,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,20041.56,31196.53,56
RC,128,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,16496.81,25679.83,56
RC,128,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,26435.15,40422.37,56
RC,128,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,21105.56,32272.7,56
RC,128,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,18482.94,28260.56,56
RC,128,BURNS M <52.50 ,,,29665.5,53183.92,56
RC,128,BURNS M >=52.50 ,,,18720.67,33562.02,56
RC,128,CARDIAC M <45.50 ,,,28191.23,44860.81,56
RC,128,CARDIAC M >=45.50 AND M <55.50 ,,,22595.16,35956.77,56
RC,128,CARDIAC M >=55.50 AND M <68.50 ,,,18693.83,29748.39,56
RC,128,CARDIAC M >=68.50 ,,,14673.63,23351.95,56
RC,128,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 15 DAYS OR FEWER ",,,17480.29,19053.52,14
RC,128,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 16 DAYS OR MORE ",,,41948.48,45723.84,14
RC,128,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 13 DAYS OR FEWER ",,,16370.28,17843.6,14
RC,128,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 14 DAYS OR MORE ",,,39272.18,42806.68,14
RC,128,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,30516.7,47936.79,56
RC,128,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,24715.5,38821.69,56
RC,128,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,20173.84,31689.69,56
RC,128,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,16320.43,25638.03,56
RC,128,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,32506.67,57668.33,56
RC,128,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,22974.75,40758.81,56
RC,128,GUILLAIN-BARRÉ M >=66.50 ,,,15791.31,28016.07,56
RC,128,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,128,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,128,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,128,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,128,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,128,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,128,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,27984.18,43182.81,56
RC,128,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,23960.15,36974.44,56
RC,128,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,19261.29,29721.23,56
RC,128,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,15152.91,23381.2,56
RC,128,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,28499.89,45874.3,56
RC,128,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,24767.26,39866.52,56
RC,128,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,21107.48,33977.86,56
RC,128,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,17123.71,27564.7,56
RC,128,MISCELLANEOUS M <46.50 AND A <77.50 ,,,28950.41,46219.09,56
RC,128,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,27658.27,44156.6,56
RC,128,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,22679.52,36205.44,56
RC,128,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,19313.06,30832.93,56
RC,128,MISCELLANEOUS M >=66.50 ,,,15555.5,24833.51,56
RC,128,NEUROLOGICAL M <43.50 ,,,30091.1,51192.48,56
RC,128,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,23793.36,40476.7,56
RC,128,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,20008.97,34038.46,56
RC,128,NEUROLOGICAL M >=64.50 ,,,16084.63,27364.09,56
RC,128,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,28689.68,45209.78,56
RC,128,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,24218.96,38161.36,56
RC,128,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,20480.58,32274.79,56
RC,128,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,15833.48,24948.45,56
RC,128,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,39461.97,65285.14,56
RC,128,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,27773.3,45949.52,56
RC,128,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,23243.15,38453.91,56
RC,128,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,20526.59,33959.06,56
RC,128,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,16535.15,27353.64,56
RC,128,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,27031.38,44854.54,56
RC,128,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,26256.86,43569.4,56
RC,128,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,19614.04,32548.54,56
RC,128,OSTEOARTHRITIS M >=61.50 ,,,16682.77,27681.72,56
RC,128,OTHER ORTHOPEDIC M <44.5 ,,,28133.72,46979.73,56
RC,128,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,23363.93,39013.94,56
RC,128,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,19688.81,32876.61,56
RC,128,OTHER ORTHOPEDIC M >=63.50 ,,,15497.99,25880.43,56
RC,128,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,21820.65,32007.31,56
RC,128,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,18019.0,26430.01,56
RC,128,PAIN SYNDROME M >=65.50 ,,,14974.62,21966.5,56
RC,128,PULMONARY M <45.50 ,,,32326.46,48950.27,56
RC,128,PULMONARY M >=45.50 AND M <56.50 ,,,25777.58,39034.84,56
RC,128,PULMONARY M >=56.50 AND M <68.50 ,,,22112.05,33480.52,56
RC,128,PULMONARY M >=68.50 ,,,18082.26,27380.81,56
RC,128,REHABILITATION WITH CC/MCC ,,,1952.0,2960.0,7
RC,128,REHABILITATION WITHOUT CC/MCC ,,,1952.0,2960.0,7
RC,128,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,28275.59,43694.78,56
RC,128,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,22702.52,35081.2,56
RC,128,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,19984.05,30880.99,56
RC,128,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,18158.95,28059.95,56
RC,128,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,15931.26,24618.28,56
RC,128,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,29228.39,47878.28,56
RC,128,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,22645.01,37095.64,56
RC,128,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,19594.87,32097.17,56
RC,128,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,15981.1,26177.16,56
RC,128,"SHORT-STAY CASES, LENGTH OF STAY IS 3 DAYS OR FEWER ",,,3364.54,3667.35,14
RC,128,STROKE M <41.50 AND A <84.50 ,,,41440.44,59189.61,56
RC,128,STROKE M <41.50 AND A >=84.50 ,,,36789.51,52546.58,56
RC,128,STROKE M >=41.50 AND M <50.50 ,,,29519.8,42163.06,56
RC,128,STROKE M >=50.50 AND M <63.50 ,,,23112.78,33012.44,56
RC,128,STROKE M >=63.50 AND M <72.50 ,,,18005.58,25715.35,56
RC,128,STROKE M >=72.50 ,,,14146.42,20204.92,56
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,128,TRAUMATIC BRAIN INJURY M <35.50 ,,,35650.74,56939.04,56
RC,128,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,27788.64,44382.28,56
RC,128,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,22547.23,36011.1,56
RC,128,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,18135.94,28964.77,56
RC,128,TRAUMATIC BRAIN INJURY M >=73.50 ,,,13887.61,22179.65,56
RC,128,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,43857.93,66378.03,56
RC,128,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,34740.11,52577.92,56
RC,128,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,27065.88,40965.69,56
RC,128,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,23450.2,35492.87,56
RC,128,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,18705.33,28310.71,56
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129, Room & Board - Semi-private (Two Beds) Other  ,,,,,0
RC,129,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,1318.0,1
RC,129,ABORTION WITHOUT D&C ,,,1126.0,1126.0,1
RC,129,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,1126.0,1
RC,129,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,1126.0,1
RC,129,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,1126.0,1
RC,129,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,129,ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,129,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,1318.0,1
RC,129,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,1126.0,1
RC,129,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,1126.0,1
RC,129,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,1126.0,1
RC,129,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,1126.0,1
RC,129,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,AFTERCARE WITH CC/MCC ,,,1126.0,1126.0,1
RC,129,AFTERCARE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,1126.0,1
RC,129,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,1126.0,1
RC,129,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,1126.0,1
RC,129,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,1126.0,1
RC,129,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,1126.0,1
RC,129,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,1126.0,1
RC,129,ALLERGIC REACTIONS WITH MCC ,,,1126.0,1126.0,1
RC,129,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,1318.0,1
RC,129,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,1318.0,1
RC,129,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,1318.0,1
RC,129,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,129,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,129,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,1318.0,1
RC,129,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,1318.0,3
RC,129,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,ANGINA PECTORIS ,,,1126.0,1126.0,1
RC,129,APPENDIX PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,APPENDIX PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,ATHEROSCLEROSIS WITH MCC ,,,1126.0,1126.0,1
RC,129,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,129,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,1318.0,1
RC,129,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,1126.0,1
RC,129,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,1126.0,1
RC,129,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,129,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,1318.0,3
RC,129,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,1318.0,1
RC,129,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,1318.0,1
RC,129,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,1126.0,1
RC,129,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,129,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,1126.0,1
RC,129,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,1126.0,1
RC,129,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,1126.0,1
RC,129,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,129,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,1318.0,1
RC,129,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,1318.0,1
RC,129,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,CELLULITIS WITH MCC ,,,1126.0,1126.0,1
RC,129,CELLULITIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,129,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,129,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,1126.0,1
RC,129,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,1126.0,1
RC,129,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,1126.0,1
RC,129,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,1126.0,1
RC,129,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,CHEST PAIN ,,,1126.0,1126.0,1
RC,129,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,129,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,129,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,129,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,129,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,1126.0,1
RC,129,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,129,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,1126.0,1
RC,129,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,1126.0,1
RC,129,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,COAGULATION DISORDERS ,,,1126.0,1126.0,1
RC,129,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,129,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,1318.0,1
RC,129,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,1126.0,1
RC,129,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,129,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,1126.0,1
RC,129,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,1126.0,1
RC,129,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,1318.0,1
RC,129,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,1318.0,1
RC,129,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,129,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,129,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,129,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,1318.0,1
RC,129,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,1126.0,1
RC,129,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,1126.0,1
RC,129,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,DEPRESSIVE NEUROSES ,,,1126.0,1126.0,1
RC,129,DIABETES WITH CC ,,,1126.0,1126.0,1
RC,129,DIABETES WITH MCC ,,,1126.0,1126.0,1
RC,129,DIABETES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,129,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,129,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,1126.0,1
RC,129,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,1126.0,1
RC,129,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,1126.0,1
RC,129,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,129,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,129,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,1126.0,1
RC,129,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,1126.0,1
RC,129,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,1126.0,1
RC,129,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,DYSEQUILIBRIUM ,,,1126.0,1126.0,1
RC,129,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,1126.0,1
RC,129,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,1126.0,1
RC,129,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,ENDOCRINE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,129,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,1318.0,1
RC,129,EPISTAXIS WITH MCC ,,,1126.0,1126.0,1
RC,129,EPISTAXIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,1126.0,1
RC,129,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,1126.0,1
RC,129,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,1318.0,1
RC,129,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,1126.0,1
RC,129,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,129,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,129,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,1318.0,1
RC,129,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,1126.0,1
RC,129,FOOT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,FOOT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,1126.0,2
RC,129,FRACTURES OF FEMUR WITH MCC ,,,1126.0,1126.0,1
RC,129,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,1126.0,1
RC,129,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,1126.0,1
RC,129,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,1126.0,1
RC,129,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,1126.0,1
RC,129,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,1126.0,1
RC,129,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,1126.0,1
RC,129,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,129,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,HAND PROCEDURES FOR INJURIES ,,,1318.0,1318.0,1
RC,129,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,1126.0,1
RC,129,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,1126.0,1
RC,129,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,1318.0,1
RC,129,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,1318.0,1
RC,129,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,1318.0,1
RC,129,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,1318.0,1
RC,129,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,1318.0,1
RC,129,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,1126.0,1
RC,129,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,1126.0,1
RC,129,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,1126.0,1
RC,129,HYPERTENSION WITH MCC ,,,1126.0,1126.0,1
RC,129,HYPERTENSION WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,1126.0,1
RC,129,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,129,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,129,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,1126.0,1
RC,129,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,1126.0,1
RC,129,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,129,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,1126.0,1
RC,129,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,129,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,129,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,129,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,129,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,129,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,129,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,129,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,129,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,129,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,KIDNEY TRANSPLANT ,,,1318.0,4321.0,3
RC,129,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,129,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,4321.0,4
RC,129,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,129,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,4321.0,4
RC,129,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,129,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,1318.0,1
RC,129,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,1318.0,1
RC,129,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,129,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,129,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,1318.0,3
RC,129,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,1318.0,1
RC,129,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,1318.0,1
RC,129,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,1318.0,1
RC,129,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,1318.0,1
RC,129,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,129,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,1126.0,1
RC,129,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,129,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,1126.0,3
RC,129,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,129,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,1318.0,1
RC,129,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,1318.0,1
RC,129,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,1318.0,1
RC,129,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,1126.0,1
RC,129,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,1126.0,1
RC,129,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,129,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,129,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,129,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,129,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,129,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,1126.0,1
RC,129,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,129,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,1126.0,1
RC,129,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,1126.0,1
RC,129,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,1318.0,3
RC,129,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,1318.0,1
RC,129,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,1318.0,3
RC,129,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,1318.0,2
RC,129,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,1126.0,1
RC,129,NON-EXTENSIVE BURNS ,,,1126.0,1126.0,1
RC,129,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,129,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,129,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,129,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,1318.0,1
RC,129,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,1318.0,1
RC,129,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,1318.0,1
RC,129,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,1318.0,1
RC,129,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,1126.0,1
RC,129,OSTEOMYELITIS WITH CC ,,,1126.0,1126.0,1
RC,129,OSTEOMYELITIS WITH MCC ,,,1126.0,1126.0,1
RC,129,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,1126.0,1
RC,129,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,1126.0,1
RC,129,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,129,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,129,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,129,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,129,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,1126.0,1
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,129,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,129,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,1126.0,1
RC,129,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,129,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,129,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,129,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,1126.0,1
RC,129,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,129,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,129,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,1126.0,1
RC,129,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,1126.0,1
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,1318.0,1
RC,129,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,1126.0,3
RC,129,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,129,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,129,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,129,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,1126.0,1
RC,129,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,129,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,129,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,1126.0,3
RC,129,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,1318.0,1
RC,129,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,1318.0,1
RC,129,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,129,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,129,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,129,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,1318.0,1
RC,129,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,1318.0,1
RC,129,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,PLEURAL EFFUSION WITH CC ,,,1126.0,1126.0,1
RC,129,PLEURAL EFFUSION WITH MCC ,,,1126.0,1126.0,1
RC,129,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,PNEUMOTHORAX WITH CC ,,,1126.0,1126.0,1
RC,129,PNEUMOTHORAX WITH MCC ,,,1126.0,1126.0,1
RC,129,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,1126.0,1
RC,129,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,1318.0,1
RC,129,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,1126.0,1
RC,129,PROSTATECTOMY WITH CC ,,,1318.0,1318.0,1
RC,129,PROSTATECTOMY WITH MCC ,,,1318.0,1318.0,1
RC,129,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,PSYCHOSES ,,,1126.0,1126.0,1
RC,129,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,1126.0,1
RC,129,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,1126.0,1
RC,129,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,RADIOTHERAPY ,,,1126.0,1126.0,1
RC,129,RECTAL RESECTION WITH CC ,,,1318.0,1318.0,1
RC,129,RECTAL RESECTION WITH MCC ,,,1318.0,1318.0,1
RC,129,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,RENAL FAILURE WITH CC ,,,1126.0,1126.0,1
RC,129,RENAL FAILURE WITH MCC ,,,1126.0,1126.0,1
RC,129,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,1126.0,1
RC,129,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,1126.0,1
RC,129,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,129,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,129,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,1126.0,1
RC,129,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,1126.0,1
RC,129,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,1126.0,1
RC,129,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,129,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,129,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,1318.0,1
RC,129,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,1318.0,1
RC,129,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,SALIVARY GLAND PROCEDURES ,,,1318.0,1318.0,1
RC,129,SEPTIC ARTHRITIS WITH CC ,,,1126.0,1126.0,1
RC,129,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,1126.0,1
RC,129,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,1126.0,1
RC,129,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,1126.0,1
RC,129,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,129,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,129,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,1318.0,1
RC,129,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,1126.0,1
RC,129,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,129,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,1126.0,1
RC,129,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,1126.0,1
RC,129,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,1318.0,1
RC,129,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,1318.0,1
RC,129,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,129,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,SKIN DEBRIDEMENT WITH CC ,,,1318.0,1318.0,1
RC,129,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,1318.0,1
RC,129,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,129,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,129,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,129,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,129,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,1318.0,3
RC,129,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,SKIN ULCERS WITH CC ,,,1126.0,1126.0,1
RC,129,SKIN ULCERS WITH MCC ,,,1126.0,1126.0,1
RC,129,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,129,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,1318.0,3
RC,129,SPLENIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,SPLENIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,1126.0,1
RC,129,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,129,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,129,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,129,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,SYNCOPE AND COLLAPSE ,,,1126.0,1126.0,1
RC,129,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,1126.0,1
RC,129,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,1126.0,1
RC,129,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,129,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,129,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,129,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,129,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,129,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,129,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,1318.0,2
RC,129,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,1318.0,1
RC,129,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,129,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,129,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,129,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,URETHRAL STRICTURE ,,,1126.0,1126.0,1
RC,129,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,129,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,129,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,1318.0,1
RC,129,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,1318.0,1
RC,129,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,129,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,1318.0,1
RC,129,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,129,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,129,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,129,VEIN LIGATION AND STRIPPING ,,,1318.0,1318.0,1
RC,129,VIRAL ILLNESS WITH MCC ,,,1126.0,1126.0,1
RC,129,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,1126.0,1
RC,129,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,1318.0,3
RC,129,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,129,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,129,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,130, Room & Board - Three and Four Beds General Classification  ,,,,,0
RC,130,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,130,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,130,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,130,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,130,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,130,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,130,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,130,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,130,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,130,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,130,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,130,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,130,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,130,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,130,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,130,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,130,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,130,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,130,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,130,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,130,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,130,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,130,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,130,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,130,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,130,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,130,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,130,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,130,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,130,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,130,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,130,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,130,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,130,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,130,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,130,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,130,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,130,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,130,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,130,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,130,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,130,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,130,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,130,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,130,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,130,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,130,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,130,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,130,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,130,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,130,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,130,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,130,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,130,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,130,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,130,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,130,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,130,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,130,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,130,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,130,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,130,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,130,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,130,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,130,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,130,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,130,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,130,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,130,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,130,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,130,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,130,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,130,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,130,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,130,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,130,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,130,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,130,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,130,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,130,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,130,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,130,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,130,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,130,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,130,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,130,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,130,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,130,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,130,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,130,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,130,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,130,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,130,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,130,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,130,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,130,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,130,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,130,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,130,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,130,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,130,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,130,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,130,CHEST PAIN ,,,1126.0,8649.83,7
RC,130,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,130,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,130,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,130,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,130,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,130,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,130,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,130,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,130,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,130,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,130,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,130,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,130,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,130,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,130,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,130,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,130,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,130,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,130,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,130,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,130,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,130,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,130,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,130,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,130,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,130,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,130,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,130,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,130,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,130,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,130,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,130,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,130,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,130,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,130,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,130,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,130,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,130,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,130,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,130,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,130,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,130,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,130,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,130,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,130,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,130,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,130,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,130,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,130,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,130,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,130,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,130,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,130,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,130,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,130,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,130,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,130,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,130,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,130,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,130,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,130,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,130,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,130,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,130,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,130,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,130,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,130,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,130,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,130,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,130,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,130,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,130,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,130,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,130,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,130,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,130,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,130,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,130,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,130,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,130,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,130,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,130,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,130,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,130,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,130,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,130,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,130,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,130,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,130,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,130,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,130,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,130,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,130,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,130,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,130,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,130,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,130,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,130,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,130,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,130,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,130,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,130,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,130,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,130,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,130,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,130,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,130,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,130,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,130,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,130,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,130,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,130,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,130,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,130,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,130,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,130,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,130,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,130,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,130,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,130,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,130,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,130,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,130,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,130,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,130,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,130,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,130,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,130,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,130,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,130,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,130,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,130,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,130,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,130,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,130,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,130,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,130,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,130,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,130,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,130,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,130,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,130,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,130,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,130,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,130,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,130,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,130,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,130,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,130,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,130,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,130,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,130,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,130,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,130,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,130,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,130,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,130,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,130,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,130,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,130,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,130,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,130,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,130,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,130,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,130,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,130,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,130,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,130,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,130,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,130,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,130,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,130,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,130,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,130,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,130,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,130,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,130,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,130,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,130,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,130,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,130,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,130,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,130,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,130,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,130,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,130,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,130,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,130,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,130,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,130,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,130,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,130,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,130,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,130,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,130,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,130,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,130,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,130,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,130,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,130,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,130,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,130,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,130,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,130,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,130,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,130,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,130,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,130,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,130,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,130,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,130,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,130,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,130,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,130,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,130,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,130,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,130,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,130,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,130,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,130,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,130,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,130,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,130,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,130,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,130,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,130,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,130,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,130,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,130,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,130,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,130,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,130,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,130,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,130,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,130,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,130,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,130,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,130,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,130,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,130,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,130,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,130,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,130,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,130,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,130,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,130,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,130,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,130,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,130,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,130,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,130,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,130,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,130,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,130,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,130,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,130,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,130,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,130,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,130,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,130,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,130,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,130,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,130,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,130,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,130,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,130,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,130,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,130,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,130,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,130,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,130,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,130,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,130,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,130,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,130,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,130,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,130,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,130,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,130,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,130,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,130,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,130,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,130,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,130,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,130,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,130,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,130,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,130,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,130,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,130,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,130,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,130,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,130,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,130,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,130,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,130,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,130,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,130,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,130,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,130,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,130,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,130,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,130,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,130,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,130,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,130,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,130,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,130,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,130,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,130,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,130,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,130,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,130,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,130,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,130,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,130,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,130,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,130,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,130,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,130,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,130,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,130,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,130,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,130,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,130,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,130,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,130,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,130,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,130,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,130,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,130,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,130,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,130,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,130,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,130,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,130,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,130,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,130,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,130,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,130,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,130,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,130,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,130,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,130,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,130,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,130,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,130,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,130,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,130,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,130,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,130,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,130,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,130,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,130,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,130,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,130,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,130,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,130,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,130,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,130,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,130,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,130,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,130,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,130,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,130,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,130,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,130,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,130,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,130,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,130,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,130,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,130,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,130,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,130,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,130,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,130,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,130,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,130,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,130,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,130,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,130,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,130,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,130,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,130,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,130,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,130,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,130,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,130,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,130,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,130,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,130,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,130,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,130,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,130,PSYCHOSES ,,,1126.0,14317.87,7
RC,130,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,130,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,130,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,130,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,130,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,130,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,130,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,130,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,130,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,130,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,130,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,130,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,130,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,130,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,130,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,130,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,130,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,130,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,130,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,130,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,130,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,130,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,130,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,130,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,130,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,130,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,130,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,130,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,130,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,130,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,130,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,130,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,130,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,130,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,130,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,130,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,130,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,130,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,130,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,130,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,130,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,130,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,130,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,130,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,130,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,130,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,130,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,130,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,130,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,130,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,130,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,130,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,130,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,130,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,130,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,130,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,130,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,130,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,130,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,130,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,130,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,130,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,130,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,130,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,130,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,130,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,130,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,130,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,130,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,130,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,130,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,130,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,130,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,130,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,130,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,130,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,130,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,130,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,130,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,130,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,130,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,130,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,130,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,130,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,130,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,130,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,130,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,130,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,130,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,130,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,130,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,130,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,130,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,130,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,130,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,130,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,130,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,130,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,130,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,130,UNGROUPABLE ,,,2573.63,2620.01,6
RC,130,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,130,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,130,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,130,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,130,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,130,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,130,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,130,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,130,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,130,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,130,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,130,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,130,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,130,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,130,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,130,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,130,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,130,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,130,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,130,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,130,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,130,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,130,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,130,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,130,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,130,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,130,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,131, Room & Board - Three and Four Beds Medical/Surgical/GYN  ,,,,,0
RC,131,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,131,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,131,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,131,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,131,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,131,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,131,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,131,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,131,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,131,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,131,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,131,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,131,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,131,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,131,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,131,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,131,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,131,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,131,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,131,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,131,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,131,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,131,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,131,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,131,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,131,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,131,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,131,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,131,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,131,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,131,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,131,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,131,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,131,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,131,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,131,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,131,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,131,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,131,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,131,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,131,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,131,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,131,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,131,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,131,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,131,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,131,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,131,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,131,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,131,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,131,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,131,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,131,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,131,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,131,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,131,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,131,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,131,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,131,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,131,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,131,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,131,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,131,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,131,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,131,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,131,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,131,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,131,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,131,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,131,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,131,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,131,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,131,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,131,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,131,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,131,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,131,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,131,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,131,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,131,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,131,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,131,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,131,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,131,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,131,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,131,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,131,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,131,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,131,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,131,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,131,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,131,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,131,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,131,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,131,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,131,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,131,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,131,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,131,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,131,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,131,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,131,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,131,CHEST PAIN ,,,1126.0,8649.83,7
RC,131,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,131,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,131,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,131,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,131,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,131,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,131,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,131,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,131,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,131,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,131,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,131,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,131,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,131,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,131,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,131,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,131,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,131,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,131,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,131,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,131,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,131,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,131,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,131,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,131,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,131,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,131,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,131,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,131,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,131,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,131,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,131,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,131,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,131,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,131,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,131,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,131,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,131,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,131,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,131,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,131,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,131,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,131,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,131,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,131,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,131,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,131,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,131,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,131,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,131,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,131,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,131,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,131,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,131,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,131,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,131,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,131,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,131,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,131,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,131,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,131,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,131,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,131,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,131,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,131,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,131,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,131,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,131,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,131,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,131,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,131,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,131,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,131,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,131,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,131,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,131,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,131,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,131,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,131,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,131,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,131,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,131,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,131,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,131,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,131,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,131,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,131,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,131,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,131,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,131,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,131,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,131,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,131,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,131,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,131,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,131,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,131,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,131,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,131,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,131,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,131,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,131,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,131,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,131,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,131,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,131,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,131,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,131,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,131,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,131,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,131,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,131,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,131,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,131,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,131,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,131,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,131,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,131,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,131,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,131,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,131,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,131,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,131,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,131,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,131,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,131,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,131,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,131,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,131,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,131,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,131,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,131,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,131,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,131,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,131,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,131,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,131,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,131,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,131,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,131,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,131,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,131,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,131,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,131,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,131,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,131,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,131,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,131,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,131,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,131,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,131,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,131,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,131,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,131,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,131,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,131,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,131,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,131,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,131,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,131,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,131,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,131,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,131,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,131,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,131,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,131,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,131,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,131,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,131,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,131,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,131,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,131,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,131,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,131,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,131,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,131,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,131,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,131,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,131,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,131,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,131,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,131,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,131,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,131,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,131,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,131,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,131,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,131,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,131,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,131,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,131,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,131,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,131,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,131,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,131,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,131,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,131,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,131,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,131,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,131,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,131,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,131,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,131,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,131,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,131,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,131,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,131,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,131,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,131,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,131,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,131,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,131,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,131,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,131,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,131,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,131,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,131,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,131,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,131,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,131,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,131,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,131,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,131,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,131,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,131,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,131,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,131,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,131,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,131,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,131,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,131,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,131,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,131,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,131,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,131,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,131,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,131,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,131,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,131,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,131,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,131,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,131,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,131,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,131,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,131,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,131,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,131,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,131,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,131,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,131,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,131,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,131,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,131,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,131,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,131,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,131,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,131,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,131,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,131,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,131,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,131,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,131,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,131,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,131,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,131,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,131,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,131,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,131,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,131,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,131,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,131,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,131,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,131,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,131,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,131,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,131,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,131,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,131,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,131,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,131,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,131,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,131,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,131,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,131,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,131,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,131,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,131,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,131,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,131,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,131,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,131,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,131,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,131,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,131,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,131,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,131,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,131,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,131,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,131,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,131,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,131,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,131,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,131,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,131,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,131,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,131,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,131,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,131,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,131,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,131,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,131,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,131,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,131,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,131,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,131,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,131,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,131,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,131,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,131,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,131,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,131,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,131,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,131,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,131,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,131,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,131,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,131,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,131,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,131,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,131,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,131,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,131,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,131,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,131,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,131,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,131,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,131,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,131,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,131,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,131,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,131,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,131,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,131,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,131,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,131,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,131,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,131,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,131,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,131,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,131,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,131,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,131,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,131,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,131,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,131,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,131,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,131,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,131,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,131,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,131,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,131,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,131,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,131,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,131,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,131,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,131,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,131,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,131,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,131,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,131,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,131,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,131,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,131,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,131,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,131,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,131,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,131,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,131,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,131,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,131,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,131,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,131,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,131,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,131,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,131,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,131,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,131,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,131,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,131,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,131,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,131,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,131,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,131,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,131,PSYCHOSES ,,,1126.0,14317.87,7
RC,131,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,131,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,131,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,131,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,131,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,131,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,131,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,131,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,131,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,131,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,131,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,131,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,131,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,131,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,131,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,131,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,131,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,131,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,131,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,131,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,131,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,131,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,131,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,131,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,131,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,131,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,131,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,131,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,131,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,131,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,131,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,131,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,131,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,131,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,131,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,131,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,131,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,131,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,131,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,131,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,131,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,131,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,131,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,131,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,131,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,131,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,131,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,131,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,131,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,131,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,131,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,131,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,131,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,131,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,131,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,131,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,131,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,131,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,131,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,131,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,131,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,131,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,131,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,131,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,131,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,131,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,131,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,131,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,131,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,131,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,131,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,131,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,131,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,131,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,131,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,131,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,131,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,131,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,131,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,131,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,131,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,131,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,131,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,131,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,131,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,131,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,131,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,131,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,131,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,131,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,131,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,131,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,131,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,131,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,131,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,131,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,131,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,131,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,131,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,131,UNGROUPABLE ,,,2573.63,2620.01,6
RC,131,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,131,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,131,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,131,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,131,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,131,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,131,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,131,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,131,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,131,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,131,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,131,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,131,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,131,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,131,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,131,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,131,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,131,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,131,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,131,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,131,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,131,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,131,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,131,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,131,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,131,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,131,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,132, Room & Board - Three and Four Beds Obstetrics (OB)  ,,,,,0
RC,132,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,132,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,132,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,132,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,132,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,132,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,132,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,132,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,132,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,132,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,132,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,132,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,132,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,132,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,132,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,132,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,132,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,132,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,132,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,132,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,132,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,132,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,132,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,132,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,132,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,132,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,132,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,132,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,132,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,132,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,132,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,132,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,132,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,132,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,132,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,132,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,132,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,132,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,132,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,132,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,132,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,132,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,132,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,132,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,132,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,132,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,132,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,132,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,132,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,132,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,132,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,132,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,132,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,132,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,132,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,132,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,132,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,132,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,132,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,132,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,132,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,132,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,132,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,132,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,132,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,132,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,132,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,132,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,132,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,132,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,132,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,132,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,132,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,132,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,132,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,132,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,132,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,132,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,132,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,132,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,132,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,132,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,132,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,132,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,132,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,132,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,132,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,132,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,132,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,132,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,132,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,132,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,132,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,132,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,132,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,132,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,132,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,132,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,132,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,132,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,132,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,132,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,132,CHEST PAIN ,,,1126.0,8649.83,7
RC,132,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,132,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,132,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,132,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,132,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,132,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,132,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,132,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,132,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,132,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,132,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,132,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,132,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,132,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,132,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,132,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,132,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,132,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,132,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,132,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,132,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,132,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,132,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,132,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,132,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,132,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,132,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,132,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,132,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,132,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,132,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,132,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,132,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,132,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,132,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,132,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,132,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,132,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,132,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,132,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,132,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,132,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,132,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,132,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,132,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,132,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,132,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,132,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,132,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,132,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,132,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,132,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,132,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,132,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,132,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,132,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,132,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,132,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,132,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,132,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,132,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,132,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,132,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,132,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,132,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,132,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,132,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,132,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,132,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,132,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,132,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,132,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,132,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,132,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,132,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,132,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,132,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,132,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,132,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,132,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,132,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,132,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,132,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,132,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,132,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,132,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,132,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,132,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,132,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,132,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,132,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,132,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,132,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,132,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,132,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,132,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,132,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,132,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,132,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,132,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,132,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,132,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,132,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,132,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,132,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,132,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,132,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,132,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,132,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,132,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,132,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,132,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,132,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,132,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,132,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,132,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,132,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,132,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,132,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,132,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,132,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,132,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,132,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,132,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,132,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,132,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,132,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,132,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,132,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,132,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,132,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,132,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,132,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,132,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,132,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,132,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,132,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,132,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,132,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,132,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,132,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,132,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,132,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,132,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,132,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,132,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,132,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,132,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,132,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,132,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,132,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,132,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,132,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,132,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,132,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,132,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,132,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,132,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,132,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,132,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,132,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,132,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,132,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,132,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,132,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,132,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,132,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,132,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,132,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,132,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,132,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,132,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,132,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,132,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,132,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,132,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,132,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,132,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,132,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,132,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,132,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,132,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,132,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,132,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,132,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,132,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,132,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,132,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,132,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,132,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,132,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,132,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,132,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,132,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,132,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,132,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,132,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,132,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,132,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,132,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,132,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,132,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,132,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,132,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,132,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,132,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,132,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,132,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,132,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,132,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,132,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,132,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,132,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,132,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,132,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,132,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,132,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,132,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,132,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,132,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,132,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,132,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,132,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,132,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,132,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,132,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,132,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,132,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,132,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,132,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,132,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,132,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,132,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,132,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,132,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,132,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,132,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,132,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,132,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,132,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,132,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,132,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,132,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,132,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,132,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,132,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,132,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,132,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,132,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,132,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,132,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,132,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,132,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,132,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,132,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,132,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,132,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,132,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,132,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,132,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,132,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,132,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,132,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,132,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,132,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,132,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,132,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,132,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,132,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,132,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,132,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,132,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,132,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,132,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,132,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,132,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,132,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,132,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,132,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,132,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,132,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,132,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,132,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,132,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,132,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,132,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,132,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,132,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,132,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,132,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,132,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,132,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,132,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,132,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,132,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,132,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,132,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,132,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,132,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,132,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,132,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,132,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,132,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,132,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,132,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,132,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,132,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,132,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,132,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,132,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,132,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,132,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,132,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,132,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,132,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,132,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,132,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,132,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,132,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,132,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,132,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,132,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,132,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,132,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,132,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,132,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,132,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,132,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,132,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,132,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,132,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,132,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,132,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,132,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,132,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,132,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,132,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,132,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,132,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,132,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,132,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,132,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,132,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,132,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,132,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,132,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,132,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,132,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,132,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,132,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,132,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,132,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,132,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,132,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,132,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,132,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,132,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,132,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,132,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,132,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,132,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,132,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,132,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,132,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,132,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,132,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,132,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,132,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,132,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,132,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,132,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,132,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,132,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,132,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,132,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,132,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,132,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,132,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,132,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,132,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,132,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,132,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,132,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,132,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,132,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,132,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,132,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,132,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,132,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,132,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,132,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,132,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,132,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,132,PSYCHOSES ,,,1126.0,14317.87,7
RC,132,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,132,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,132,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,132,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,132,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,132,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,132,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,132,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,132,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,132,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,132,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,132,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,132,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,132,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,132,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,132,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,132,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,132,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,132,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,132,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,132,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,132,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,132,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,132,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,132,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,132,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,132,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,132,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,132,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,132,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,132,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,132,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,132,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,132,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,132,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,132,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,132,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,132,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,132,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,132,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,132,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,132,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,132,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,132,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,132,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,132,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,132,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,132,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,132,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,132,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,132,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,132,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,132,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,132,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,132,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,132,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,132,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,132,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,132,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,132,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,132,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,132,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,132,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,132,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,132,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,132,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,132,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,132,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,132,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,132,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,132,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,132,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,132,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,132,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,132,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,132,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,132,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,132,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,132,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,132,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,132,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,132,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,132,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,132,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,132,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,132,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,132,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,132,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,132,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,132,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,132,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,132,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,132,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,132,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,132,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,132,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,132,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,132,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,132,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,132,UNGROUPABLE ,,,2573.63,2620.01,6
RC,132,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,132,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,132,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,132,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,132,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,132,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,132,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,132,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,132,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,132,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,132,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,132,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,132,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,132,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,132,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,132,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,132,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,132,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,132,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,132,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,132,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,132,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,132,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,132,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,132,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,132,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,132,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,133, Room & Board - Three and Four Beds Pediatric  ,,,,,0
RC,133,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,133,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,133,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,133,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,133,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,133,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,133,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,133,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,133,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,133,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,133,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,133,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,133,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,133,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,133,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,133,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,133,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,133,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,133,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,133,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,133,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,133,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,133,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,133,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,133,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,133,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,133,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,133,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,133,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,133,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,133,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,133,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,133,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,133,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,133,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,133,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,133,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,133,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,133,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,133,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,133,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,133,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,133,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,133,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,133,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,133,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,133,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,133,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,133,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,133,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,133,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,133,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,133,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,133,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,133,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,133,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,133,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,133,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,133,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,133,CHEST PAIN ,,,1126.0,8649.83,7
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,133,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,133,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,133,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,133,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,133,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,133,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,133,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,133,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,133,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,133,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,133,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,133,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,133,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,133,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,133,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,133,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,133,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,133,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,133,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,133,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,133,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,133,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,133,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,133,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,133,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,133,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,133,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,133,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,133,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,133,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,133,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,133,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,133,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,133,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,133,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,133,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,133,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,133,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,133,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,133,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,133,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,133,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,133,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,133,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,133,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,133,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,133,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,133,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,133,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,133,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,133,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,133,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,133,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,133,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,133,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,133,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,133,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,133,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,133,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,133,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,133,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,133,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,133,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,133,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,133,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,133,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,133,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,133,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,133,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,133,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,133,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,133,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,133,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,133,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,133,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,133,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,133,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,133,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,133,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,133,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,133,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,133,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,133,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,133,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,133,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,133,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,133,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,133,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,133,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,133,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,133,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,133,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,133,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,133,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,133,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,133,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,133,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,133,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,133,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,133,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,133,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,133,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,133,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,133,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,133,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,133,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,133,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,133,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,133,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,133,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,133,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,133,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,133,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,133,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,133,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,133,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,133,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,133,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,133,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,133,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,133,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,133,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,133,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,133,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,133,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,133,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,133,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,133,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,133,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,133,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,133,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,133,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,133,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,133,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,133,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,133,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,133,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,133,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,133,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,133,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,133,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,133,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,133,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,133,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,133,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,133,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,133,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,133,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,133,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,133,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,133,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,133,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,133,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,133,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,133,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,133,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,133,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,133,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,133,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,133,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,133,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,133,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,133,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,133,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,133,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,133,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,133,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,133,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,133,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,133,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,133,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,133,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,133,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,133,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,133,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,133,MOUTH PROCEDURES WITH CC/MCC ,,,1318.0,15125.19,7
RC,133,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,133,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,133,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,133,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,133,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,133,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,133,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,133,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,133,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,133,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,133,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,133,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,133,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,133,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,133,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,133,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,133,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,133,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,133,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,133,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,133,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,133,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,133,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,133,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,133,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,133,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,133,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,133,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,133,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,133,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,133,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,133,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,133,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,133,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,133,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,133,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,133,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,133,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,133,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,133,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,133,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,133,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,133,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,133,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,133,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,133,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,133,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,133,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,133,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,133,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,133,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,133,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,133,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,133,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,133,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,133,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,133,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,133,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,133,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,133,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,133,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,133,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,133,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,133,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,133,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,133,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,133,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,133,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,133,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,133,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,133,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,133,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,133,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,133,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,133,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,133,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,133,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,133,PSYCHOSES ,,,1126.0,14317.87,7
RC,133,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,133,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,133,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,133,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,133,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,133,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,133,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,133,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,133,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,133,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,133,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,133,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,133,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,133,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,133,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,133,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,133,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,133,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,133,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,133,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,133,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,133,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,133,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,133,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,133,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,133,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,133,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,133,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,133,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,133,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,133,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,133,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,1318.0,20793.23,7
RC,133,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,1318.0,11122.9,7
RC,133,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,133,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,133,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,133,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,133,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,133,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,133,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,133,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,133,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,133,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,133,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,133,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,133,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,133,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,133,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,133,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,133,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,133,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,133,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,133,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,133,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,133,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,133,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,133,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,133,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,133,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,133,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,133,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,133,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,133,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,133,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,133,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,133,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,133,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,133,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,133,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,133,UNGROUPABLE ,,,2573.63,2620.01,6
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,133,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,133,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,133,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,133,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,133,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,133,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,133,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,133,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,133,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,133,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,133,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,133,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,133,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,133,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,133,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,133,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,133,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,133,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,134, Room & Board - Three and Four Beds Psychiatriac  ,,,525.0,3697.0,6
RC,134,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,134,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,134,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,134,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,134,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,134,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,134,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,134,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,134,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,134,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,134,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,134,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,134,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,134,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,134,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,134,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,134,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,134,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,134,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,134,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,134,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,134,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,134,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,134,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,134,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,134,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,134,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,134,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,134,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,134,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,134,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,134,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,134,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,134,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,134,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,134,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,134,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,134,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,134,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,134,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,134,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,134,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,134,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,134,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,134,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,134,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,134,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,134,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,134,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,134,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,134,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,134,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,134,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,134,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,134,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,134,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,134,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,134,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,134,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,134,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,134,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,134,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,134,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,134,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,134,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,134,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,134,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,134,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,134,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,134,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,134,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,134,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,134,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,134,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,134,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,134,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,134,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,134,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,134,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,134,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,134,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,134,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,134,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,134,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,134,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,134,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,134,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,134,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,134,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,134,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,134,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,134,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,134,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,134,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,134,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,134,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,134,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,134,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,134,CHEST PAIN ,,,8496.74,8649.83,6
RC,134,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,134,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,134,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,134,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,134,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,134,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,134,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,134,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,134,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,134,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,134,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,134,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,134,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,134,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,134,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,134,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,134,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,134,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,134,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,134,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,134,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,134,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,134,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,134,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,134,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,134,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,134,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,134,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,134,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,134,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,134,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,134,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,134,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,134,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,134,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,134,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,134,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,134,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,134,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,134,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,134,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,134,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,134,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,134,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,134,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,134,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,134,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,134,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,134,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,134,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,134,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,134,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,134,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,134,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,134,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,134,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,134,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,134,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,134,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,134,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,134,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,134,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,134,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,134,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,134,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,134,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,134,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,134,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,134,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,134,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,134,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,134,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,134,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,134,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,134,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,134,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,134,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,134,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,134,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,134,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,134,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,134,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,134,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,134,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,134,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,134,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,134,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,134,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,134,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,134,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,134,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,134,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,134,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,134,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,134,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,134,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,134,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,134,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,134,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,134,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,134,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,134,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,134,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,134,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,134,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,134,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,134,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,134,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,134,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,134,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,134,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,134,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,134,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,134,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,134,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,134,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,134,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,134,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,134,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,134,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,134,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,134,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,134,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,134,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,134,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,134,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,134,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,134,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,134,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,134,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,134,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,134,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,134,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,134,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,134,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,134,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,134,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,134,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,134,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,134,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,134,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,134,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,134,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,134,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,134,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,134,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,134,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,134,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,134,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,134,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,134,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,134,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,134,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,134,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,134,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,134,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,134,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,134,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,134,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,134,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,134,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,134,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,134,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,134,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,134,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,134,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,134,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,134,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,134,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,134,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,134,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,134,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,134,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,134,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,134,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,134,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,134,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,134,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,134,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,134,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,134,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,134,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,134,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,134,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,134,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,134,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,134,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,134,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,134,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,134,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,134,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,134,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,134,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,134,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,134,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,134,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,134,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,134,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,134,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,134,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,134,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,134,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,134,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,134,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,134,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,134,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,134,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,134,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,134,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,134,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,134,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,134,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,134,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,134,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,134,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,134,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,134,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,134,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,134,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,134,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,134,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,134,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,134,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,134,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,134,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,134,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,134,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,134,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,134,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,134,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,134,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,134,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,134,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,134,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,134,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,134,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,134,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,134,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,134,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,134,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,134,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,134,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,134,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,134,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,134,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,134,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,134,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,134,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,134,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,134,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,134,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,134,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,134,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,134,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,134,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,134,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,134,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,134,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,134,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,134,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,134,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,134,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,134,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,134,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,134,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,134,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,134,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,134,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,134,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,134,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,134,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,134,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,134,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,134,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,134,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,134,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,134,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,134,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,134,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,134,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,134,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,134,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,134,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,134,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,134,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,134,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,134,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,134,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,134,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,134,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,134,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,134,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,134,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,134,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,134,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,134,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,134,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,134,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,134,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,134,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,134,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,134,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,134,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,134,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,134,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,134,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,134,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,134,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,134,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,134,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,134,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,134,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,134,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,134,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,134,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,134,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,134,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,134,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,134,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,134,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,134,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,134,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,134,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,134,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,134,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,134,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,134,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,134,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,134,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,134,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,134,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,134,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,134,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,134,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,134,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,134,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,134,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,134,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,134,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,134,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,134,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,134,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,134,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,134,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,134,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,134,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,134,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,134,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,134,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,134,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,134,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,134,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,134,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,134,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,134,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,134,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,134,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,134,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,134,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,134,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,134,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,134,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,134,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,134,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,134,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,134,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,134,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,134,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,134,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,134,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,134,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,134,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,134,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,134,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,134,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,134,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,134,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,134,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,134,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,134,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,134,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,134,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,134,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,134,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,134,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,134,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,134,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,134,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,134,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,134,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,134,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,134,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,134,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,134,PSYCHOSES ,,,14064.45,14317.87,6
RC,134,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,134,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,134,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,134,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,134,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,134,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,134,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,134,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,134,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,134,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,134,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,134,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,134,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,134,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,134,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,134,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,134,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,134,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,134,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,134,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,134,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,134,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,134,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,134,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,134,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,134,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,134,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,134,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,134,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,134,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,134,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,134,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,134,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,134,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,134,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,134,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,134,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,134,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,134,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,134,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,134,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,134,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,134,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,134,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,134,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,134,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,134,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,134,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,134,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,134,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,20425.21,20793.23,6
RC,134,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,10926.03,11122.9,6
RC,134,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,134,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,134,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,134,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,134,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,134,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,134,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,134,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,134,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,134,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,134,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,134,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,134,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,134,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,134,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,134,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,134,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,134,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,134,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,134,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,134,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,134,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,134,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,134,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,134,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,134,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,134,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,134,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,134,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,134,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,134,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,134,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,134,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,134,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,134,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,134,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,134,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,134,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,134,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,134,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,134,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,134,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,134,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,134,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,134,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,134,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,134,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,134,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,134,UNGROUPABLE ,,,2573.63,2620.01,6
RC,134,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,134,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,134,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,134,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,134,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,134,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,134,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,134,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,134,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,134,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,134,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,134,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,134,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,134,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,134,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,134,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,134,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,134,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,134,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,134,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,134,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,134,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,134,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,134,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,134,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,134,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,134,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,135, Room & Board - Three and Four Beds Hospice  ,,,2195.0,4441.0,7
RC,135,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,135,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,135,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,135,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,135,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,135,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136, Room & Board - Three and Four Beds Detoxification  ,,,450.0,450.0,2
RC,136,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,136,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,136,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,136,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,136,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,136,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,136,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,136,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,136,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,136,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,136,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,136,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,136,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,136,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,136,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,136,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,136,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,136,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,136,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,136,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,136,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,136,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,136,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,136,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,136,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,136,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,136,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,136,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,136,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,136,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,136,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,136,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,136,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,136,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,136,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,136,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,136,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,136,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,136,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,136,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,136,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,136,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,136,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,136,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,136,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,136,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,136,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,136,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,136,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,136,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,136,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,136,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,136,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,136,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,136,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,136,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,136,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,136,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,136,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,136,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,136,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,136,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,136,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,136,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,136,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,136,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,136,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,136,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,136,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,136,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,136,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,136,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,136,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,136,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,136,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,136,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,136,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,136,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,136,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,136,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,136,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,136,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,136,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,136,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,136,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,136,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,136,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,136,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,136,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,136,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,136,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,136,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,136,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,136,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,136,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,136,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,136,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,136,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,136,CHEST PAIN ,,,8496.74,8649.83,6
RC,136,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,136,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,136,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,136,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,136,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,136,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,136,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,136,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,136,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,136,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,136,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,136,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,136,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,136,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,136,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,136,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,136,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,136,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,136,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,136,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,136,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,136,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,136,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,136,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,136,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,136,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,136,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,136,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,136,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,136,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,136,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,136,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,136,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,136,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,136,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,136,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,136,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,136,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,136,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,136,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,136,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,136,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,136,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,136,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,136,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,136,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,136,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,136,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,136,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,136,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,136,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,136,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,136,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,136,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,136,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,136,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,136,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,136,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,136,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,136,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,136,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,136,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,136,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,136,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,136,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,136,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,136,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,136,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,136,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,136,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,136,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,136,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,136,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,136,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,136,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,136,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,136,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,136,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,136,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,136,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,136,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,136,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,136,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,136,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,136,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,136,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,136,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,136,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,136,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,136,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,136,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,136,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,136,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,136,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,136,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,136,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,136,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,136,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,136,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,136,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,136,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,136,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,136,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,136,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,136,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,136,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,136,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,136,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,136,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,136,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,136,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,136,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,136,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,136,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,136,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,136,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,136,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,136,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,136,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,136,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,136,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,136,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,136,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,136,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,136,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,136,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,136,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,136,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,136,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,136,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,136,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,136,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,136,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,136,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,136,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,136,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,136,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,136,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,136,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,136,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,136,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,136,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,136,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,136,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,136,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,136,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,136,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,136,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,136,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,136,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,136,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,136,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,136,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,136,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,136,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,136,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,136,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,136,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,136,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,136,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,136,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,136,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,136,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,136,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,136,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,136,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,136,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,136,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,136,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,136,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,136,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,136,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,136,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,136,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,136,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,136,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,136,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,136,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,136,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,136,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,136,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,136,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,136,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,136,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,136,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,136,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,136,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,136,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,136,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,136,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,136,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,136,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,136,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,136,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,136,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,136,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,136,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,20516.52,20886.19,6
RC,136,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,37662.26,38340.85,6
RC,136,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,15706.47,15989.47,6
RC,136,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,136,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,136,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,136,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,136,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,136,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,136,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,136,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,136,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,136,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,136,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,136,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,136,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,136,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,136,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,136,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,136,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,136,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,136,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,136,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,136,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,136,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,136,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,136,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,136,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,136,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,136,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,136,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,136,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,136,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,136,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,136,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,136,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,136,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,136,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,136,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,136,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,136,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,136,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,136,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,136,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,136,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,136,MOUTH PROCEDURES WITH CC/MCC ,,,14857.48,15125.19,6
RC,136,MOUTH PROCEDURES WITHOUT CC/MCC ,,,9863.99,10041.72,6
RC,136,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,136,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,136,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,136,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,136,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,136,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,136,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,136,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,136,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,136,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,136,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,136,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,136,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,136,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,136,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,136,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,136,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,136,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,136,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,136,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,136,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,136,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,136,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,136,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,136,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,136,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,136,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,136,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,136,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,136,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,136,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,136,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,136,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,136,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,136,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,136,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,136,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,136,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,136,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,136,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,136,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,136,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,136,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,136,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,16829.39,17132.62,6
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,33395.15,33996.86,6
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,136,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,136,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,136,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,136,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,136,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,136,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,136,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,136,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,136,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,136,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,136,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,136,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,136,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,136,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,136,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,136,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,136,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,136,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,136,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,136,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,136,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,136,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,136,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,136,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,136,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,136,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,136,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,136,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,136,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,136,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,136,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,136,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,136,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,136,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,136,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,136,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,136,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,136,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,136,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,136,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,136,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,136,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,136,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,136,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,136,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,136,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,136,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,136,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,136,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,136,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,136,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,136,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,136,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,136,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,136,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,136,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,136,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,136,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,136,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,136,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,136,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,136,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,136,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,136,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,136,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,136,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,136,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,136,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,136,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,136,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,136,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,136,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,136,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,136,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,136,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,136,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,136,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,136,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,136,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,136,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,136,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,136,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,136,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,136,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,136,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,136,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,136,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,136,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,136,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,136,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,136,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,136,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,136,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,136,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,136,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,136,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,136,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,136,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,136,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,136,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,136,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,136,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,136,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,136,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,136,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,136,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,136,PSYCHOSES ,,,14064.45,14317.87,6
RC,136,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,136,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,136,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,136,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,136,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,136,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,136,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,136,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,136,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,136,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,136,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,136,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,136,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,136,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,136,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,136,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,136,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,136,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,136,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,136,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,136,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,136,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,136,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,136,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,136,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,136,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,136,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,136,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,136,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,136,SALIVARY GLAND PROCEDURES ,,,12739.16,12968.69,6
RC,136,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,136,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,136,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,136,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,136,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,136,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,136,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,136,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,136,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,136,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,136,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,136,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,136,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,136,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,136,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,136,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,136,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,136,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,136,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,136,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,136,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,136,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,136,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,136,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,136,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,136,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,136,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,136,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,136,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,136,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,136,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,136,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,136,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,136,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,136,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,136,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,136,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,136,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,136,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,136,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,136,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,136,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,136,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,136,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,136,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,136,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,136,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,136,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,136,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,136,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,136,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,136,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,136,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,136,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,136,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,136,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,136,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,136,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,136,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,136,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,136,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,136,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,136,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,136,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,136,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,136,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,136,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,136,UNGROUPABLE ,,,2573.63,2620.01,6
RC,136,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,136,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,136,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,136,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,136,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,136,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,136,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,136,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,136,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,136,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,136,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,136,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,136,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,136,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,136,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,136,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,136,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,136,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,136,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,136,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,136,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,136,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,136,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,136,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,136,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,136,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,136,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,137, Room & Board - Three and Four Beds Oncology  ,,,,,0
RC,137,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,137,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,137,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,137,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,137,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,137,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,137,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,137,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,137,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,137,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,137,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,137,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,137,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,137,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,137,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,137,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,137,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,137,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,137,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,137,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,137,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,137,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,137,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,137,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,137,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,137,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,137,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,137,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,137,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,137,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,137,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,137,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,137,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,137,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,137,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,137,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,137,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,137,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,137,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,137,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,137,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,137,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,137,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,137,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,137,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,137,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,137,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,137,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,137,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,137,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,137,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,137,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,137,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,137,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,137,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,137,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,137,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,137,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,137,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,137,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,137,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,137,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,137,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,137,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,137,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,137,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,137,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,137,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,137,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,137,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,137,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,137,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,137,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,137,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,137,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,137,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,137,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,137,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,137,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,137,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,137,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,137,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,137,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,137,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,137,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,137,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,137,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,137,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,137,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,137,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,137,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,137,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,137,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,137,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,137,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,137,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,137,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,137,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,137,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,137,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,137,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,137,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,137,CHEST PAIN ,,,1126.0,8649.83,7
RC,137,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,137,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,137,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,137,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,137,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,137,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,137,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,137,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,137,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,137,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,137,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,137,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,137,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,137,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,137,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,137,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,137,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,137,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,137,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,137,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,137,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,137,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,137,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,137,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,137,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,137,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,137,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,137,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,137,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,137,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,137,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,137,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,137,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,137,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,137,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,137,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,137,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,137,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,137,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,137,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,137,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,137,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,137,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,137,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,137,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,137,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,137,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,137,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,137,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,137,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,137,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,137,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,137,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,137,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,137,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,137,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,137,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,137,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,137,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,137,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,137,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,137,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,137,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,137,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,137,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,137,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,137,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,137,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,137,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,137,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,137,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,137,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,137,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,137,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,137,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,137,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,137,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,137,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,137,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,137,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,137,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,137,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,137,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,137,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,137,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,137,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,137,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,137,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,137,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,137,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,137,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,137,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,137,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,137,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,137,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,137,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,137,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,137,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,137,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,137,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,137,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,137,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,137,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,137,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,137,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,137,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,137,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,137,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,137,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,137,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,137,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,137,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,137,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,137,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,137,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,137,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,137,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,137,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,137,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,137,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,137,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,137,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,137,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,137,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,137,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,137,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,137,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,137,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,137,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,137,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,137,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,137,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,137,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,137,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,137,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,137,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,137,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,137,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,137,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,137,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,137,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,137,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,137,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,137,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,137,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,137,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,137,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,137,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,137,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,137,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,137,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,137,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,137,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,137,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,137,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,137,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,137,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,137,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,137,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,137,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,137,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,137,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,137,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,137,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,137,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,137,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,137,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,137,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,137,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,137,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,137,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,137,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,137,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,137,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,137,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,137,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,137,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,137,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,137,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,137,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,137,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,137,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,137,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,137,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,137,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,137,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,137,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,137,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,137,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,137,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,137,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,137,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,137,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,137,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,137,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,137,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,137,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,137,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,38340.85,7
RC,137,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,137,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,137,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,137,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,137,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,137,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,137,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,137,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,137,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,137,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,137,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,137,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,137,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,137,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,137,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,137,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,137,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,137,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,137,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,137,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,137,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,137,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,137,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,137,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,137,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,137,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,137,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,137,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,137,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,137,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,137,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,137,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,137,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,137,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,137,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,137,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,137,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,137,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,137,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,137,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,137,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,137,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,137,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,137,MOUTH PROCEDURES WITHOUT CC/MCC ,,,1318.0,10041.72,7
RC,137,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,137,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,137,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,137,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,137,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,137,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,137,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,137,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,137,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,137,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,137,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,137,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,137,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,137,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,137,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,137,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,137,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,137,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,137,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,137,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,137,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,137,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,137,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,137,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,137,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,137,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,137,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,137,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,137,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,137,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,137,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,137,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,137,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,137,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,137,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,137,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,137,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,137,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,137,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,137,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,137,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,137,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,137,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,137,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,137,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,137,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,137,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,137,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,137,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,137,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,137,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,137,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,137,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,137,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,137,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,137,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,137,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,137,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,137,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,137,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,137,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,137,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,137,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,137,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,137,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,137,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,137,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,137,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,137,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,137,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,137,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,137,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,137,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,137,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,137,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,137,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,137,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,137,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,137,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,137,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,137,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,137,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,137,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,137,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,137,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,137,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,137,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,137,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,137,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,137,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,137,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,137,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,137,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,137,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,137,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,137,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,137,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,137,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,137,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,137,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,137,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,137,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,137,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,137,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,137,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,137,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,137,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,137,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,137,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,137,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,137,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,137,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,137,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,137,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,137,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,137,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,137,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,137,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,137,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,137,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,137,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,137,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,137,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,137,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,137,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,137,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,137,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,137,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,137,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,137,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,137,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,137,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,137,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,137,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,137,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,137,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,137,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,137,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,137,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,137,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,137,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,137,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,137,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,137,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,137,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,137,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,137,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,137,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,137,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,137,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,137,PSYCHOSES ,,,1126.0,14317.87,7
RC,137,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,137,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,137,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,137,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,137,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,137,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,137,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,137,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,137,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,137,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,137,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,137,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,137,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,137,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,137,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,137,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,137,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,137,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,137,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,137,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,137,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,137,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,137,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,137,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,137,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,137,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,137,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,137,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,137,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,137,SALIVARY GLAND PROCEDURES ,,,1318.0,12968.69,7
RC,137,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,137,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,137,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,137,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,137,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,137,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,137,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,137,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,137,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,137,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,137,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,137,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,137,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,137,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,137,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,137,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,137,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,137,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,137,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,137,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,137,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,137,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,137,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,137,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,137,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,137,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,137,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,137,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,137,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,137,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,137,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,137,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,137,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,137,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,137,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,137,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,137,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,137,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,137,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,137,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,137,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,137,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,137,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,137,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,137,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,137,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,137,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,137,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,137,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,137,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,137,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,137,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,137,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,137,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,137,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,137,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,137,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,137,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,137,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,137,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,137,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,137,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,137,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,137,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,137,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,137,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,137,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,137,UNGROUPABLE ,,,2573.63,2620.01,6
RC,137,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,137,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,137,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,137,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,137,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,137,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,137,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,137,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,137,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,137,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,137,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,137,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,137,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,137,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,137,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,137,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,137,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,137,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,137,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,137,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,137,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,137,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,137,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,137,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,137,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,137,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,137,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,138, Room & Board - Three and Four Beds Rehabilitation  ,,,600.0,3675.0,14
RC,138,AMPUTATION LOWER EXTREMITY M <47.50 ,,,31728.32,49387.01,56
RC,138,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,23852.79,37129.07,56
RC,138,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,20041.56,31196.53,56
RC,138,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,16496.81,25679.83,56
RC,138,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,26435.15,40422.37,56
RC,138,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,21105.56,32272.7,56
RC,138,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,18482.94,28260.56,56
RC,138,BURNS M <52.50 ,,,29665.5,53183.92,56
RC,138,BURNS M >=52.50 ,,,18720.67,33562.02,56
RC,138,CARDIAC M <45.50 ,,,28191.23,44860.81,56
RC,138,CARDIAC M >=45.50 AND M <55.50 ,,,22595.16,35956.77,56
RC,138,CARDIAC M >=55.50 AND M <68.50 ,,,18693.83,29748.39,56
RC,138,CARDIAC M >=68.50 ,,,14673.63,23351.95,56
RC,138,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 15 DAYS OR FEWER ",,,17480.29,19053.52,14
RC,138,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 16 DAYS OR MORE ",,,41948.48,45723.84,14
RC,138,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 13 DAYS OR FEWER ",,,16370.28,17843.6,14
RC,138,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 14 DAYS OR MORE ",,,39272.18,42806.68,14
RC,138,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,30516.7,47936.79,56
RC,138,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,24715.5,38821.69,56
RC,138,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,20173.84,31689.69,56
RC,138,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,16320.43,25638.03,56
RC,138,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,32506.67,57668.33,56
RC,138,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,22974.75,40758.81,56
RC,138,GUILLAIN-BARRÉ M >=66.50 ,,,15791.31,28016.07,56
RC,138,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,138,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,138,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,138,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,138,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,138,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,138,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,27984.18,43182.81,56
RC,138,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,23960.15,36974.44,56
RC,138,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,19261.29,29721.23,56
RC,138,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,15152.91,23381.2,56
RC,138,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,28499.89,45874.3,56
RC,138,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,24767.26,39866.52,56
RC,138,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,21107.48,33977.86,56
RC,138,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,17123.71,27564.7,56
RC,138,MISCELLANEOUS M <46.50 AND A <77.50 ,,,28950.41,46219.09,56
RC,138,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,27658.27,44156.6,56
RC,138,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,22679.52,36205.44,56
RC,138,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,19313.06,30832.93,56
RC,138,MISCELLANEOUS M >=66.50 ,,,15555.5,24833.51,56
RC,138,NEUROLOGICAL M <43.50 ,,,30091.1,51192.48,56
RC,138,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,23793.36,40476.7,56
RC,138,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,20008.97,34038.46,56
RC,138,NEUROLOGICAL M >=64.50 ,,,16084.63,27364.09,56
RC,138,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,28689.68,45209.78,56
RC,138,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,24218.96,38161.36,56
RC,138,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,20480.58,32274.79,56
RC,138,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,15833.48,24948.45,56
RC,138,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,39461.97,65285.14,56
RC,138,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,27773.3,45949.52,56
RC,138,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,23243.15,38453.91,56
RC,138,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,20526.59,33959.06,56
RC,138,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,16535.15,27353.64,56
RC,138,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,27031.38,44854.54,56
RC,138,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,26256.86,43569.4,56
RC,138,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,19614.04,32548.54,56
RC,138,OSTEOARTHRITIS M >=61.50 ,,,16682.77,27681.72,56
RC,138,OTHER ORTHOPEDIC M <44.5 ,,,28133.72,46979.73,56
RC,138,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,23363.93,39013.94,56
RC,138,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,19688.81,32876.61,56
RC,138,OTHER ORTHOPEDIC M >=63.50 ,,,15497.99,25880.43,56
RC,138,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,21820.65,32007.31,56
RC,138,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,18019.0,26430.01,56
RC,138,PAIN SYNDROME M >=65.50 ,,,14974.62,21966.5,56
RC,138,PULMONARY M <45.50 ,,,32326.46,48950.27,56
RC,138,PULMONARY M >=45.50 AND M <56.50 ,,,25777.58,39034.84,56
RC,138,PULMONARY M >=56.50 AND M <68.50 ,,,22112.05,33480.52,56
RC,138,PULMONARY M >=68.50 ,,,18082.26,27380.81,56
RC,138,REHABILITATION WITH CC/MCC ,,,1952.0,2960.0,7
RC,138,REHABILITATION WITHOUT CC/MCC ,,,1952.0,2960.0,7
RC,138,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,28275.59,43694.78,56
RC,138,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,22702.52,35081.2,56
RC,138,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,19984.05,30880.99,56
RC,138,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,18158.95,28059.95,56
RC,138,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,15931.26,24618.28,56
RC,138,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,29228.39,47878.28,56
RC,138,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,22645.01,37095.64,56
RC,138,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,19594.87,32097.17,56
RC,138,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,15981.1,26177.16,56
RC,138,"SHORT-STAY CASES, LENGTH OF STAY IS 3 DAYS OR FEWER ",,,3364.54,3667.35,14
RC,138,STROKE M <41.50 AND A <84.50 ,,,41440.44,59189.61,56
RC,138,STROKE M <41.50 AND A >=84.50 ,,,36789.51,52546.58,56
RC,138,STROKE M >=41.50 AND M <50.50 ,,,29519.8,42163.06,56
RC,138,STROKE M >=50.50 AND M <63.50 ,,,23112.78,33012.44,56
RC,138,STROKE M >=63.50 AND M <72.50 ,,,18005.58,25715.35,56
RC,138,STROKE M >=72.50 ,,,14146.42,20204.92,56
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,138,TRAUMATIC BRAIN INJURY M <35.50 ,,,35650.74,56939.04,56
RC,138,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,27788.64,44382.28,56
RC,138,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,22547.23,36011.1,56
RC,138,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,18135.94,28964.77,56
RC,138,TRAUMATIC BRAIN INJURY M >=73.50 ,,,13887.61,22179.65,56
RC,138,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,43857.93,66378.03,56
RC,138,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,34740.11,52577.92,56
RC,138,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,27065.88,40965.69,56
RC,138,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,23450.2,35492.87,56
RC,138,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,18705.33,28310.71,56
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139, Room & Board - Three and Four Beds Other  ,,,,,0
RC,139,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,1318.0,1
RC,139,ABORTION WITHOUT D&C ,,,1126.0,1126.0,1
RC,139,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,1126.0,1
RC,139,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,1126.0,1
RC,139,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,1126.0,1
RC,139,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,139,ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,139,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,1318.0,1
RC,139,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,1126.0,1
RC,139,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,1126.0,1
RC,139,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,1126.0,1
RC,139,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,1126.0,1
RC,139,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,AFTERCARE WITH CC/MCC ,,,1126.0,1126.0,1
RC,139,AFTERCARE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,1126.0,1
RC,139,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,1126.0,1
RC,139,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,1126.0,1
RC,139,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,1126.0,1
RC,139,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,1126.0,1
RC,139,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,1126.0,1
RC,139,ALLERGIC REACTIONS WITH MCC ,,,1126.0,1126.0,1
RC,139,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,1318.0,1
RC,139,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,1318.0,1
RC,139,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,1318.0,1
RC,139,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,139,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,139,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,1318.0,1
RC,139,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,1318.0,3
RC,139,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,ANGINA PECTORIS ,,,1126.0,1126.0,1
RC,139,APPENDIX PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,APPENDIX PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,ATHEROSCLEROSIS WITH MCC ,,,1126.0,1126.0,1
RC,139,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,139,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,1318.0,1
RC,139,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,1126.0,1
RC,139,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,1126.0,1
RC,139,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,139,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,1318.0,3
RC,139,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,1318.0,1
RC,139,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,1318.0,1
RC,139,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,1126.0,1
RC,139,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,139,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,1126.0,1
RC,139,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,1126.0,1
RC,139,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,1126.0,1
RC,139,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,139,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,1318.0,1
RC,139,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,1318.0,1
RC,139,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,CELLULITIS WITH MCC ,,,1126.0,1126.0,1
RC,139,CELLULITIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,139,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,139,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,1126.0,1
RC,139,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,1126.0,1
RC,139,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,1126.0,1
RC,139,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,1126.0,1
RC,139,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,CHEST PAIN ,,,1126.0,1126.0,1
RC,139,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,139,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,139,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,139,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,139,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,1126.0,1
RC,139,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,139,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,1126.0,1
RC,139,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,1126.0,1
RC,139,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,COAGULATION DISORDERS ,,,1126.0,1126.0,1
RC,139,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,139,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,1318.0,1
RC,139,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,1126.0,1
RC,139,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,139,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,1126.0,1
RC,139,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,1126.0,1
RC,139,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,1318.0,1
RC,139,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,1318.0,1
RC,139,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,139,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,139,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,139,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,1318.0,1
RC,139,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,1126.0,1
RC,139,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,1126.0,1
RC,139,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,DEPRESSIVE NEUROSES ,,,1126.0,1126.0,1
RC,139,DIABETES WITH CC ,,,1126.0,1126.0,1
RC,139,DIABETES WITH MCC ,,,1126.0,1126.0,1
RC,139,DIABETES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,139,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,139,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,1126.0,1
RC,139,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,1126.0,1
RC,139,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,1126.0,1
RC,139,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,139,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,139,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,1126.0,1
RC,139,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,1126.0,1
RC,139,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,1126.0,1
RC,139,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,DYSEQUILIBRIUM ,,,1126.0,1126.0,1
RC,139,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,1126.0,1
RC,139,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,1126.0,1
RC,139,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,ENDOCRINE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,139,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,1318.0,1
RC,139,EPISTAXIS WITH MCC ,,,1126.0,1126.0,1
RC,139,EPISTAXIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,1126.0,1
RC,139,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,1126.0,1
RC,139,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,1318.0,1
RC,139,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,1126.0,1
RC,139,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,139,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,139,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,1318.0,1
RC,139,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,1126.0,1
RC,139,FOOT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,FOOT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,1126.0,2
RC,139,FRACTURES OF FEMUR WITH MCC ,,,1126.0,1126.0,1
RC,139,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,1126.0,1
RC,139,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,1126.0,1
RC,139,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,1126.0,1
RC,139,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,1126.0,1
RC,139,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,1126.0,1
RC,139,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,1126.0,1
RC,139,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,139,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,HAND PROCEDURES FOR INJURIES ,,,1318.0,1318.0,1
RC,139,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,1126.0,1
RC,139,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,1126.0,1
RC,139,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,1318.0,1
RC,139,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,1318.0,1
RC,139,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,1318.0,1
RC,139,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,1318.0,1
RC,139,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,1318.0,1
RC,139,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,1126.0,1
RC,139,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,1126.0,1
RC,139,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,1126.0,1
RC,139,HYPERTENSION WITH MCC ,,,1126.0,1126.0,1
RC,139,HYPERTENSION WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,1126.0,1
RC,139,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,139,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,139,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,1126.0,1
RC,139,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,1126.0,1
RC,139,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,139,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,1126.0,1
RC,139,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,139,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,139,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,139,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,139,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,139,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,139,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,139,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,139,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,139,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,KIDNEY TRANSPLANT ,,,1318.0,4321.0,3
RC,139,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,139,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,4321.0,4
RC,139,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,139,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,4321.0,4
RC,139,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,139,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,1318.0,1
RC,139,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,1318.0,1
RC,139,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,139,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,139,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,1318.0,3
RC,139,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,1318.0,1
RC,139,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,1318.0,1
RC,139,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,1318.0,1
RC,139,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,1318.0,1
RC,139,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,139,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,1126.0,1
RC,139,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,139,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,1126.0,3
RC,139,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,139,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,1318.0,1
RC,139,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,1318.0,1
RC,139,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,1318.0,1
RC,139,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,1126.0,1
RC,139,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,1126.0,1
RC,139,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,139,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,139,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,139,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,139,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,139,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,1126.0,1
RC,139,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,139,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,1126.0,1
RC,139,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,1126.0,1
RC,139,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,1318.0,3
RC,139,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,1318.0,1
RC,139,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,1318.0,3
RC,139,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,1318.0,2
RC,139,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,1126.0,1
RC,139,NON-EXTENSIVE BURNS ,,,1126.0,1126.0,1
RC,139,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,139,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,139,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,139,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,1318.0,1
RC,139,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,1318.0,1
RC,139,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,1318.0,1
RC,139,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,1318.0,1
RC,139,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,1126.0,1
RC,139,OSTEOMYELITIS WITH CC ,,,1126.0,1126.0,1
RC,139,OSTEOMYELITIS WITH MCC ,,,1126.0,1126.0,1
RC,139,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,1126.0,1
RC,139,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,1126.0,1
RC,139,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,139,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,139,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,139,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,139,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,1126.0,1
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,139,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,139,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,1126.0,1
RC,139,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,139,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,139,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,139,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,1126.0,1
RC,139,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,139,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,139,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,1126.0,1
RC,139,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,1126.0,1
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,1318.0,1
RC,139,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,1126.0,3
RC,139,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,139,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,139,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,139,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,1126.0,1
RC,139,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,139,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,139,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,1126.0,3
RC,139,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,1318.0,1
RC,139,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,1318.0,1
RC,139,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,139,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,139,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,139,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,1318.0,1
RC,139,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,1318.0,1
RC,139,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,PLEURAL EFFUSION WITH CC ,,,1126.0,1126.0,1
RC,139,PLEURAL EFFUSION WITH MCC ,,,1126.0,1126.0,1
RC,139,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,PNEUMOTHORAX WITH CC ,,,1126.0,1126.0,1
RC,139,PNEUMOTHORAX WITH MCC ,,,1126.0,1126.0,1
RC,139,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,1126.0,1
RC,139,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,1318.0,1
RC,139,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,1126.0,1
RC,139,PROSTATECTOMY WITH CC ,,,1318.0,1318.0,1
RC,139,PROSTATECTOMY WITH MCC ,,,1318.0,1318.0,1
RC,139,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,PSYCHOSES ,,,1126.0,1126.0,1
RC,139,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,1126.0,1
RC,139,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,1126.0,1
RC,139,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,RADIOTHERAPY ,,,1126.0,1126.0,1
RC,139,RECTAL RESECTION WITH CC ,,,1318.0,1318.0,1
RC,139,RECTAL RESECTION WITH MCC ,,,1318.0,1318.0,1
RC,139,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,RENAL FAILURE WITH CC ,,,1126.0,1126.0,1
RC,139,RENAL FAILURE WITH MCC ,,,1126.0,1126.0,1
RC,139,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,1126.0,1
RC,139,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,1126.0,1
RC,139,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,139,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,139,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,1126.0,1
RC,139,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,1126.0,1
RC,139,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,1126.0,1
RC,139,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,139,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,139,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,1318.0,1
RC,139,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,1318.0,1
RC,139,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,SEPTIC ARTHRITIS WITH CC ,,,1126.0,1126.0,1
RC,139,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,1126.0,1
RC,139,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,1126.0,1
RC,139,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,1126.0,1
RC,139,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,139,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,139,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,1318.0,1
RC,139,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,1126.0,1
RC,139,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,139,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,1126.0,1
RC,139,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,1126.0,1
RC,139,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,1318.0,1
RC,139,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,1318.0,1
RC,139,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,139,SKIN DEBRIDEMENT WITH CC ,,,1318.0,1318.0,1
RC,139,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,1318.0,1
RC,139,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,139,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,139,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,139,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,139,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,1318.0,3
RC,139,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,SKIN ULCERS WITH CC ,,,1126.0,1126.0,1
RC,139,SKIN ULCERS WITH MCC ,,,1126.0,1126.0,1
RC,139,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,139,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,1318.0,3
RC,139,SPLENIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,SPLENIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,1126.0,1
RC,139,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,139,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,139,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,139,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,SYNCOPE AND COLLAPSE ,,,1126.0,1126.0,1
RC,139,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,1126.0,1
RC,139,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,1126.0,1
RC,139,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,139,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,139,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,139,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,139,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,139,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,139,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,1318.0,2
RC,139,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,1318.0,1
RC,139,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,139,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,139,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,139,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,URETHRAL STRICTURE ,,,1126.0,1126.0,1
RC,139,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,139,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,139,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,1318.0,1
RC,139,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,1318.0,1
RC,139,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,139,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,1318.0,1
RC,139,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,139,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,139,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,139,VEIN LIGATION AND STRIPPING ,,,1318.0,1318.0,1
RC,139,VIRAL ILLNESS WITH MCC ,,,1126.0,1126.0,1
RC,139,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,1126.0,1
RC,139,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,1318.0,3
RC,139,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,139,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,139,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,140, Room & Board - Deluxe Private General Classification  ,,,,,0
RC,140,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,140,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,140,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,140,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,140,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,140,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,140,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,140,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,140,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,140,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,140,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,140,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,140,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,140,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,140,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,140,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,140,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,140,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,140,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,140,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,140,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,140,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,140,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,140,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,140,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,140,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,140,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,140,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,140,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,140,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,140,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,140,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,140,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,140,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,140,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,140,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,140,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,140,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,140,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,140,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,140,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,140,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,140,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,140,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,140,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,140,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,140,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,140,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,140,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,140,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,140,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,140,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,140,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,140,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,140,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,140,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,140,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,140,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,140,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,140,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,140,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,140,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,140,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,140,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,140,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,140,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,140,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,140,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,140,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,140,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,140,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,140,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,140,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,140,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,140,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,140,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,140,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,140,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,140,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,140,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,140,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,140,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,140,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,140,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,140,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,140,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,140,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,140,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,140,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,140,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,140,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,140,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,140,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,140,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,140,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,140,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,140,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,140,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,140,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,140,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,140,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,140,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,140,CHEST PAIN ,,,1126.0,8649.83,7
RC,140,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,140,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,140,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,140,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,140,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,140,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,140,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,140,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,140,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,140,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,140,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,140,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,140,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,140,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,140,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,140,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,140,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,140,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,140,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,140,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,140,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,140,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,140,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,140,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,140,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,140,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,140,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,140,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,140,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,140,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,140,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,140,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,140,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,140,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,140,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,140,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,140,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,140,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,140,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,140,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,140,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,140,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,140,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,140,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,140,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,140,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,140,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,140,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,140,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,140,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,140,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,140,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,140,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,140,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,140,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,140,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,140,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,140,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,140,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,140,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,140,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,140,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,140,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,140,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,140,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,140,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,140,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,140,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,140,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,140,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,140,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,140,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,140,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,140,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,140,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,140,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,140,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,140,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,140,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,140,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,140,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,140,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,140,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,140,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,140,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,140,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,140,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,140,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,140,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,140,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,140,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,140,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,140,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,140,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,140,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,140,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,140,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,140,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,140,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,140,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,140,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,140,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,140,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,140,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,140,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,140,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,140,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,140,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,140,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,140,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,140,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,140,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,140,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,140,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,140,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,140,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,140,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,140,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,140,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,140,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,140,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,140,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,140,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,140,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,140,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,140,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,140,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,140,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,140,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,140,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,140,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,140,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,140,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,140,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,140,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,140,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,140,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,140,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,140,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,140,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,140,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,140,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,140,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,140,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,140,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,140,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,140,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,140,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,140,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,140,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,140,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,140,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,140,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,140,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,140,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,140,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,140,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,140,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,140,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,140,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,140,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,140,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,140,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,140,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,140,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,140,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,140,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,140,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,140,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,140,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,140,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,140,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,140,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,140,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,140,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,140,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,140,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,140,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,140,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,140,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,140,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,140,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,140,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,140,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,140,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,140,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,140,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,140,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,140,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,140,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,140,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,140,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,140,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,140,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,140,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,140,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,140,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1318.0,20886.19,7
RC,140,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,140,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,140,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,140,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,140,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,140,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,140,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,140,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,140,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,140,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,140,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,140,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,140,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,140,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,140,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,140,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,140,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,140,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,140,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,140,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,140,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,140,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,140,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,140,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,140,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,140,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,140,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,140,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,140,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,140,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,140,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,140,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,140,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,140,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,140,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,140,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,140,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,140,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,140,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,140,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,140,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,140,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,140,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,140,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,140,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,140,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,140,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,140,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,140,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,140,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,140,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,140,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,140,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,140,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,140,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,140,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,140,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,140,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,140,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,140,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,140,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,140,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,140,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,140,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,140,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,140,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,140,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,140,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,140,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,140,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,140,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,140,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,140,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,140,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,140,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,140,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,140,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,140,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,140,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,140,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,140,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,140,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,140,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,140,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,140,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,140,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,140,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,140,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,140,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,140,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,140,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,140,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,140,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,140,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,140,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,140,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,140,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,140,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,140,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,140,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,140,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,140,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,140,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,140,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,140,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,140,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,140,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,140,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,140,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,140,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,140,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,140,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,140,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,140,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,140,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,140,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,140,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,140,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,140,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,140,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,140,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,140,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,140,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,140,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,140,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,140,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,140,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,140,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,140,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,140,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,140,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,140,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,140,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,140,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,140,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,140,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,140,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,140,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,140,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,140,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,140,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,140,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,140,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,140,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,140,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,140,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,140,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,140,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,140,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,140,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,140,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,140,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,140,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,140,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,140,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,140,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,140,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,140,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,140,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,140,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,140,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,140,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,140,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,140,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,140,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,140,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,140,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,140,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,140,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,140,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,140,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,140,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,140,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,140,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,140,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,140,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,140,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,140,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,140,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,140,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,140,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,140,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,140,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,140,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,140,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,140,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,140,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,140,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,140,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,140,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,140,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,140,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,140,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,140,PSYCHOSES ,,,1126.0,14317.87,7
RC,140,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,140,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,140,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,140,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,140,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,140,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,140,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,140,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,140,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,140,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,140,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,140,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,140,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,140,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,140,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,140,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,140,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,140,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,140,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,140,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,140,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,140,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,140,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,140,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,140,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,140,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,140,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,140,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,140,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,140,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,140,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,140,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,140,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,140,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,140,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,140,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,140,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,140,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,140,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,140,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,140,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,140,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,140,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,140,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,140,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,140,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,140,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,140,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,140,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,140,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,140,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,140,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,140,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,140,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,140,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,140,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,140,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,140,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,140,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,140,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,140,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,140,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,140,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,140,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,140,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,140,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,140,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,140,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,140,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,140,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,140,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,140,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,140,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,140,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,140,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,140,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,140,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,140,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,140,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,140,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,140,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,140,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,140,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,140,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,140,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,140,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,140,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,140,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,140,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,140,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,140,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,140,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,140,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,140,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,140,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,140,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,140,UNGROUPABLE ,,,2573.63,2620.01,6
RC,140,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,140,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,140,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,140,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,140,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,140,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,140,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,140,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,140,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,140,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,140,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,140,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,140,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,140,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,140,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,140,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,140,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,140,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,140,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,140,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,140,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,140,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,140,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,140,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,140,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,140,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,140,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,141, Room & Board - Deluxe Private Medical/Surgical/GYN  ,,,,,0
RC,141,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,141,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,141,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,141,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,141,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,141,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,141,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,141,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,141,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,141,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,141,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,141,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,141,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,141,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,141,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,141,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,141,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,141,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,141,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,141,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,141,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,141,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,141,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,141,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,141,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,141,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,141,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,141,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,141,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,141,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,141,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,141,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,141,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,141,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,141,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,141,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,141,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,141,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,141,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,141,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,141,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,141,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,141,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,141,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,141,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,141,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,141,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,141,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,141,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,141,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,141,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,141,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,141,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,141,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,141,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,141,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,141,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,141,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,141,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,141,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,141,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,141,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,141,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,141,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,141,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,141,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,141,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,141,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,141,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,141,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,141,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,141,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,141,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,141,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,141,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,141,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,141,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,141,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,141,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,141,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,141,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,141,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,141,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,141,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,141,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,141,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,141,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,141,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,141,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,141,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,141,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,141,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,141,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,141,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,141,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,141,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,141,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,141,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,141,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,141,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,141,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,141,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,141,CHEST PAIN ,,,1126.0,8649.83,7
RC,141,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,141,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,141,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,141,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,141,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,141,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,141,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,141,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,141,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,141,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,141,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,141,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,141,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,141,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,141,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,141,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,141,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,141,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,141,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,141,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,141,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,141,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,141,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,141,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,141,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,141,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,141,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,141,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,141,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,141,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,141,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,141,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,141,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,141,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,141,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,141,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,141,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,141,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,141,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,141,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,141,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,141,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,141,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,141,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,141,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,141,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,141,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,141,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,141,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,141,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,141,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,141,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,141,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,141,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,141,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,141,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,141,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,141,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,141,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,141,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,141,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,141,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,141,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,141,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,141,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,141,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,141,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,141,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,141,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,141,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,141,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,141,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,141,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,141,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,141,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,141,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,141,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,141,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,141,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,141,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,141,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,141,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,141,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,141,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,141,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,141,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,141,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,141,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,141,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,141,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,141,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,141,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,141,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,141,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,141,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,141,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,141,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,141,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,141,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,141,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,141,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,141,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,141,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,141,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,141,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,141,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,141,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,141,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,141,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,141,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,141,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,141,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,141,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,141,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,141,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,141,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,141,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,141,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,141,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,141,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,141,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,141,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,141,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,141,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,141,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,141,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,141,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,141,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,141,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,141,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,141,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,141,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,141,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,141,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,141,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,141,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,141,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,141,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,141,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,141,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,141,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,141,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,141,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,141,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,141,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,141,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,141,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,141,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,141,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,141,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,141,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,141,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,141,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,141,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,141,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,141,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,141,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,141,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,141,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,141,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,141,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,141,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,141,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,141,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,141,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,141,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,141,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,141,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,141,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,141,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,141,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,141,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,141,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,141,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,141,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,141,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,141,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,141,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,141,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,141,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,141,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,141,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,141,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,141,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,141,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,141,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,141,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,141,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,141,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,141,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,141,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,141,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,141,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,141,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,141,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,141,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,1318.0,15989.47,7
RC,141,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,141,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,141,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,141,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,141,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,141,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,141,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,141,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,141,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,141,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,141,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,141,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,141,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,141,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,141,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,141,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,141,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,141,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,141,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,141,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,141,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,141,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,141,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,141,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,141,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,141,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,141,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,141,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,141,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,141,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,141,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,141,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,141,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,141,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,141,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,141,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,141,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,141,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,141,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,141,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,141,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,141,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,141,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,141,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,141,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,141,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,141,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,141,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,141,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,141,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,141,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,141,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,141,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,141,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,141,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,141,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,141,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,141,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,141,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,141,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,141,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,141,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,141,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,141,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,141,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,141,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,141,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,141,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,141,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,141,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,141,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,141,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,141,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,141,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,141,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,141,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,141,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,141,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,141,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,141,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,141,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,141,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,141,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,141,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,141,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,141,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,141,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,141,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,141,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,141,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,141,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,141,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,141,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,141,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,141,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,141,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,141,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,141,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,141,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,141,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,141,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,141,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,141,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,141,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,141,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,141,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,141,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,141,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,141,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,141,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,141,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,141,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,141,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,141,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,141,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,141,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,141,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,141,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,141,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,141,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,141,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,141,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,141,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,141,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,141,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,141,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,141,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,141,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,141,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,141,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,141,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,141,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,141,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,141,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,141,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,141,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,141,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,141,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,141,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,141,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,141,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,141,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,141,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,141,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,141,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,141,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,141,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,141,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,141,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,141,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,141,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,141,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,141,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,141,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,141,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,141,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,141,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,141,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,141,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,141,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,141,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,141,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,141,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,141,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,141,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,141,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,141,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,141,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,141,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,141,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,141,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,141,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,141,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,141,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,141,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,141,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,141,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,141,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,141,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,141,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,141,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,141,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,141,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,141,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,141,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,141,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,141,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,141,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,141,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,141,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,141,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,141,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,141,PSYCHOSES ,,,1126.0,14317.87,7
RC,141,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,141,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,141,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,141,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,141,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,141,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,141,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,141,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,141,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,141,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,141,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,141,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,141,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,141,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,141,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,141,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,141,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,141,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,141,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,141,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,141,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,141,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,141,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,141,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,141,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,141,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,141,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,141,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,141,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,141,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,141,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,141,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,141,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,141,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,141,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,141,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,141,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,141,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,141,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,141,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,141,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,141,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,141,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,141,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,141,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,141,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,141,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,141,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,141,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,141,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,141,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,141,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,141,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,141,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,141,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,141,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,141,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,141,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,141,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,141,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,141,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,141,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,141,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,141,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,141,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,141,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,141,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,141,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,141,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,141,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,141,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,141,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,141,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,141,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,141,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,141,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,141,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,141,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,141,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,141,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,141,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,141,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,141,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,141,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,141,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,141,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,141,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,141,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,141,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,141,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,141,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,141,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,141,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,141,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,141,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,141,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,141,UNGROUPABLE ,,,2573.63,2620.01,6
RC,141,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,141,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,141,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,141,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,141,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,141,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,141,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,141,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,141,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,141,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,141,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,141,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,141,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,141,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,141,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,141,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,141,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,141,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,141,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,141,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,141,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,141,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,141,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,141,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,141,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,141,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,141,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,142, Room & Board - Deluxe Private Obstetrics (OB)  ,,,,,0
RC,142,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,142,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,142,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,142,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,142,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,142,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,142,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,142,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,142,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,142,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,142,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,142,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,142,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,142,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,142,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,142,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,142,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,142,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,142,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,142,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,142,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,142,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,142,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,142,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,142,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,142,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,142,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,142,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,142,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,142,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,142,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,142,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,142,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,142,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,142,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,142,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,142,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,142,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,142,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,142,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,142,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,142,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,142,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,142,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,142,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,142,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,142,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,142,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,142,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,142,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,142,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,142,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,142,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,142,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,142,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,142,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,142,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,142,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,142,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,142,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,142,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,142,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,142,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,142,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,142,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,142,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,142,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,142,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,142,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,142,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,142,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,142,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,142,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,142,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,142,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,142,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,142,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,142,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,142,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,142,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,142,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,142,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,142,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,142,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,142,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,142,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,142,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,142,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,142,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,142,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,142,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,142,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,142,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,142,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,142,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,142,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,142,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,142,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,142,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,142,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,142,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,142,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,142,CHEST PAIN ,,,1126.0,8649.83,7
RC,142,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,142,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,142,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,142,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,142,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,142,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,142,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,142,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,142,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,142,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,142,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,142,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,142,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,142,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,142,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,142,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,142,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,142,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,142,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,142,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,142,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,142,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,142,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,142,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,142,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,142,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,142,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,142,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,142,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,142,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,142,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,142,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,142,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,142,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,142,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,142,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,142,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,142,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,142,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,142,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,142,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,142,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,142,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,142,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,142,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,142,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,142,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,142,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,142,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,142,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,142,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,142,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,142,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,142,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,142,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,142,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,142,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,142,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,142,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,142,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,142,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,142,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,142,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,142,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,142,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,142,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,142,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,142,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,142,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,142,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,142,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,142,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,142,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,142,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,142,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,142,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,142,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,142,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,142,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,142,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,142,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,142,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,142,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,142,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,142,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,142,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,142,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,142,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,142,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,142,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,142,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,142,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,142,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,142,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,142,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,142,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,142,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,142,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,142,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,142,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,142,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,142,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,142,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,142,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,142,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,142,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,142,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,142,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,142,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,142,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,142,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,142,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,142,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,142,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,142,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,142,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,142,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,142,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,142,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,142,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,142,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,142,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,142,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,142,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,142,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,142,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,142,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,142,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,142,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,142,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,142,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,142,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,142,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,142,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,142,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,142,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,142,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,142,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,142,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,142,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,142,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,142,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,142,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,142,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,142,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,142,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,142,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,142,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,142,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,142,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,142,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,142,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,142,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,142,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,142,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,142,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,142,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,142,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,142,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,142,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,142,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,142,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,142,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,142,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,142,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,142,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,142,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,142,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,142,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,142,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,142,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,142,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,142,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,142,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,142,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,142,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,142,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,142,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,142,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,142,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,142,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,142,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,142,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,142,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,142,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,142,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,142,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,142,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,142,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,142,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,142,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,142,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,142,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,142,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,142,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,142,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,142,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,142,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,142,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,142,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,142,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,142,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,142,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,142,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,142,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,142,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,142,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,142,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,142,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,142,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,142,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,142,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,142,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,142,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,142,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,142,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,142,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,142,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,142,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,142,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,142,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,142,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,142,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,142,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,142,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,142,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,142,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,142,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,142,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,142,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,142,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,142,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,142,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,142,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,142,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,142,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,142,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,142,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,142,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,142,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,142,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,142,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,142,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,142,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,142,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,142,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,142,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,142,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,142,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,142,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,142,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,142,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,142,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,142,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,142,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,142,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,142,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,142,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,142,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,142,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,142,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,142,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,142,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,142,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,142,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,142,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,142,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,142,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,142,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,142,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,142,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,142,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,142,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,142,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,142,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,142,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,142,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,142,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,142,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,142,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,142,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,1318.0,33996.86,7
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,142,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,142,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,142,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,142,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,142,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,142,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,142,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,142,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,142,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,142,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,142,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,142,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,142,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,142,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,142,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,142,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,142,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,142,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,142,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,142,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,142,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,142,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,142,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,142,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,142,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,142,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,142,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,142,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,142,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,142,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,142,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,142,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,142,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,142,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,142,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,142,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,142,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,142,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,142,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,142,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,142,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,142,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,142,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,142,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,142,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,142,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,142,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,142,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,142,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,142,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,142,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,142,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,142,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,142,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,142,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,142,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,142,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,142,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,142,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,142,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,142,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,142,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,142,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,142,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,142,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,142,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,142,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,142,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,142,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,142,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,142,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,142,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,142,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,142,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,142,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,142,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,142,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,142,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,142,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,142,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,142,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,142,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,142,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,142,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,142,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,142,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,142,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,142,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,142,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,142,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,142,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,142,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,142,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,142,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,142,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,142,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,142,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,142,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,142,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,142,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,142,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,142,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,142,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,142,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,142,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,142,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,142,PSYCHOSES ,,,1126.0,14317.87,7
RC,142,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,142,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,142,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,142,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,142,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,142,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,142,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,142,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,142,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,142,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,142,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,142,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,142,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,142,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,142,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,142,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,142,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,142,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,142,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,142,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,142,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,142,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,142,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,142,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,142,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,142,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,142,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,142,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,142,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,142,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,142,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,142,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,142,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,142,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,142,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,142,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,142,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,142,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,142,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,142,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,142,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,142,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,142,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,142,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,142,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,142,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,142,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,142,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,142,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,142,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,142,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,142,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,142,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,142,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,142,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,142,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,142,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,142,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,142,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,142,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,142,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,142,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,142,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,142,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,142,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,142,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,142,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,142,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,142,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,142,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,142,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,142,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,142,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,142,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,142,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,142,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,142,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,142,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,142,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,142,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,142,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,142,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,142,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,142,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,142,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,142,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,142,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,142,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,142,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,142,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,142,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,142,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,142,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,142,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,142,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,142,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,142,UNGROUPABLE ,,,2573.63,2620.01,6
RC,142,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,142,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,142,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,142,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,142,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,142,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,142,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,142,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,142,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,142,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,142,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,142,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,142,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,142,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,142,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,142,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,142,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,142,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,142,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,142,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,142,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,142,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,142,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,142,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,142,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,142,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,142,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,143, Room & Board - Deluxe Private Pediatric  ,,,,,0
RC,143,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,143,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,143,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,143,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,143,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,143,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,143,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,143,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,143,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,143,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,143,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,143,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,143,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,143,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,143,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,143,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,143,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,143,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,143,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,143,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,143,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,143,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,143,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,143,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,143,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,143,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,143,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,143,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,143,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,143,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,143,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,143,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,143,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,143,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,143,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,143,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,143,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,143,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,143,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,143,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,143,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,143,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,143,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,143,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,143,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,143,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,143,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,143,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,143,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,143,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,143,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,143,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,143,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,143,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,143,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,143,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,143,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,143,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,143,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,143,CHEST PAIN ,,,1126.0,8649.83,7
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,143,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,143,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,143,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,143,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,143,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,143,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,143,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,143,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,143,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,143,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,143,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,143,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,143,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,143,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,143,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,143,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,143,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,143,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,143,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,143,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,143,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,143,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,143,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,143,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,143,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,143,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,143,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,143,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,143,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,143,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,143,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,143,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,143,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,143,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,143,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,143,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,143,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,143,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,143,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,143,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,143,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,143,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,1126.0,13268.51,7
RC,143,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,1126.0,20352.71,7
RC,143,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,143,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,143,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,143,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,143,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,143,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,143,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,143,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,143,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,143,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,143,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,143,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,143,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,143,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,143,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,143,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,143,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,143,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,143,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,143,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,143,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,143,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,143,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,143,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,143,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,143,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,143,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,143,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,143,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,143,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,143,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,143,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,143,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,143,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,143,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,143,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,143,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,143,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,143,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,143,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,143,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,143,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,143,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,143,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,143,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,143,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,143,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,143,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,143,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,143,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,143,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,143,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,143,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,143,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,143,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,143,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,143,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,143,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,143,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,143,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,143,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,143,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,143,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,143,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,143,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,143,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,143,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,143,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,143,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,143,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,143,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,143,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,143,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,143,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,143,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,143,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,143,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,143,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,143,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,143,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,143,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,143,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,143,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,143,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,143,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,143,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,143,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,143,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,143,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,143,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,143,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,143,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,143,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,143,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,143,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,143,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,143,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,143,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,143,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,143,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,143,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,143,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,143,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,143,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,143,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,143,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,143,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,143,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,143,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,143,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,143,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,143,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,143,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,143,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,143,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,143,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,143,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,143,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,143,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,143,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,143,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,143,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,143,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,143,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,143,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,143,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,143,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,143,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,143,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,143,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,143,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,143,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,143,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,143,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,143,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,143,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,143,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,143,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,143,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,143,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,143,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,143,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,143,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,143,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,143,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,143,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,143,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,143,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,143,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,143,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,143,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,1318.0,17132.62,7
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,12688.97,7
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,143,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,143,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,143,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,143,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,143,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,143,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,143,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,143,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,143,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,143,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,143,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,143,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,143,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,143,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,143,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,143,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,143,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,143,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,143,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,143,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,143,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,143,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,143,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,143,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,143,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,143,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,143,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,143,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,143,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,143,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,143,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,143,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,143,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,143,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,143,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,143,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,143,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,143,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,143,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,143,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,143,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,143,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,143,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,143,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,143,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,143,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,143,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,143,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,143,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,143,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,143,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,143,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,143,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,143,PSYCHOSES ,,,1126.0,14317.87,7
RC,143,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,143,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,143,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,143,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,143,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,143,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,143,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,143,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,143,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,143,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,143,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,143,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,143,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,143,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,143,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,143,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,143,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,143,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,143,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,143,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,143,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,143,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,143,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,143,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,143,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,143,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,143,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,143,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,143,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,143,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,143,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,143,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,143,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,143,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,143,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,143,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,143,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,143,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,143,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,143,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,143,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,143,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,143,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,143,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,143,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,143,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,143,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,143,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,143,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,143,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,143,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,143,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,143,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,143,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,143,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,143,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,143,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,143,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,143,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,143,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,143,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,143,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,143,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,143,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,143,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,143,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,143,UNGROUPABLE ,,,2573.63,2620.01,6
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,143,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,143,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,143,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,143,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,143,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,143,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,143,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,143,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,143,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,143,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,143,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,143,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,143,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,143,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,143,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,143,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,143,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,143,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,144, Room & Board - Deluxe Private Psychiatric  ,,,525.0,3697.0,6
RC,144,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,144,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,144,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,144,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,144,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,144,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,144,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,144,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,144,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,144,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,144,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,144,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,144,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,144,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,144,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,144,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,144,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,144,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,144,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,144,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,144,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,144,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,144,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,144,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,144,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,144,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,144,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,144,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,144,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,144,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,144,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,144,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,144,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,144,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,144,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,144,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,144,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,144,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,144,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,144,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,144,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,144,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,144,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,144,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,144,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,144,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,144,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,144,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,144,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,144,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,144,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,144,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,144,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,144,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,144,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,144,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,144,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,144,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,144,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,144,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,144,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,144,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,144,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,144,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,144,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,144,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,144,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,144,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,144,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,144,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,144,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,144,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,144,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,144,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,144,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,144,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,144,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,144,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,144,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,144,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,144,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,144,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,144,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,144,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,144,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,144,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,144,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,144,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,144,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,144,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,144,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,144,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,144,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,144,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,144,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,144,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,144,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,144,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,144,CHEST PAIN ,,,8496.74,8649.83,6
RC,144,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,144,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,144,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,144,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,144,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,144,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,144,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,144,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,144,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,144,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,144,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,144,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,144,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,144,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,144,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,144,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,144,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,144,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,144,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,144,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,144,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,144,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,144,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,144,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,144,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,144,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,144,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,144,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,144,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,144,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,144,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,144,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,144,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,144,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,144,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,144,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,144,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,144,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,144,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,144,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,144,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,144,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,144,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,144,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,144,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,144,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,144,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,144,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,144,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,144,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,144,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,144,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,144,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,144,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,144,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,144,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,144,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,144,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,144,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,144,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,144,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,144,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,144,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,144,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,19992.49,20352.71,6
RC,144,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,144,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,144,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,144,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,144,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,144,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,144,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,144,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,144,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,144,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,144,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,144,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,144,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,144,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,144,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,144,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,144,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,144,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,144,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,144,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,144,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,144,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,144,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,144,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,144,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,144,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,144,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,144,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,144,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,144,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,144,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,144,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,144,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,144,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,144,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,144,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,144,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,144,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,144,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,144,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,144,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,144,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,144,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,144,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,144,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,144,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,144,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,144,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,144,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,144,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,144,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,144,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,144,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,144,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,144,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,144,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,144,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,144,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,144,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,144,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,144,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,144,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,144,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,144,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,144,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,144,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,144,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,144,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,144,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,144,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,144,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,144,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,144,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,144,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,144,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,144,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,144,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,144,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,144,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,144,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,144,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,144,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,144,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,144,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,144,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,144,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,144,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,144,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,144,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,144,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,144,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,144,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,144,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,144,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,144,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,144,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,144,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,144,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,144,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,144,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,144,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,144,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,144,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,144,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,144,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,144,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,144,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,144,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,144,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,144,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,144,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,144,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,144,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,144,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,144,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,144,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,144,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,144,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,144,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,144,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,144,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,144,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,144,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,144,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,144,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,144,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,144,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,144,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,144,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,144,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,144,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,144,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,144,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,144,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,144,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,144,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,144,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,144,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,144,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,144,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,144,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,144,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,144,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,144,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,144,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,144,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,144,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,144,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,144,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,144,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,144,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,144,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,144,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,144,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,144,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,144,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,144,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,144,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,144,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,144,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,144,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,144,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,144,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,144,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,144,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,144,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,144,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,144,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,144,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,144,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,144,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,144,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,144,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,144,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,144,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,144,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,144,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,144,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,144,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,144,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,144,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,144,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,144,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,144,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,144,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,144,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,144,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,144,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,144,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,144,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,144,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,144,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,144,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,144,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,144,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,144,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,144,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,144,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,144,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,144,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,144,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,144,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,144,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,144,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,144,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,144,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,144,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,144,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,144,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,144,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,144,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,144,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,144,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,144,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,144,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,144,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,144,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,144,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,144,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,144,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,12464.39,12688.97,6
RC,144,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,144,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,144,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,144,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,144,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,144,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,144,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,144,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,144,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,144,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,144,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,144,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,144,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,144,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,144,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,144,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,144,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,144,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,144,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,144,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,144,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,144,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,144,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,144,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,144,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,144,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,144,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,144,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,144,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,144,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,144,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,144,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,144,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,144,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,144,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,144,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,144,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,144,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,144,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,144,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,144,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,144,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,144,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,144,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,144,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,144,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,144,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,144,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,144,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,144,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,144,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,144,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,144,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,144,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,144,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,144,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,144,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,144,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,144,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,144,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,144,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,144,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,144,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,144,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,144,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,144,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,144,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,144,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,144,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,144,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,144,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,144,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,144,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,144,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,144,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,144,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,144,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,144,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,144,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,144,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,144,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,144,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,144,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,144,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,144,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,144,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,144,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,144,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,144,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,144,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,144,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,144,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,144,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,144,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,144,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,144,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,144,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,144,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,144,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,144,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,144,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,144,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,144,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,144,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,144,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,144,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,144,PSYCHOSES ,,,14064.45,14317.87,6
RC,144,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,144,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,144,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,144,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,144,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,144,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,144,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,144,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,144,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,144,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,144,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,144,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,144,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,144,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,144,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,144,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,144,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,144,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,144,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,144,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,144,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,144,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,144,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,144,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,144,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,144,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,144,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,144,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,144,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,144,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,144,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,144,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,144,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,144,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,144,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,144,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,144,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,144,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,144,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,144,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,144,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,144,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,144,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,144,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,144,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,144,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,144,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,144,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,144,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,144,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,144,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,144,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,144,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,144,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,144,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,144,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,144,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,144,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,144,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,144,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,144,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,144,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,144,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,144,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,144,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,144,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,144,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,144,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,144,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,144,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,144,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,144,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,144,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,144,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,144,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,144,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,144,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,144,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,144,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,144,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,144,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,144,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,144,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,144,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,144,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,144,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,144,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,144,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,144,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,144,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,144,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,144,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,144,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,144,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,144,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,144,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,144,UNGROUPABLE ,,,2573.63,2620.01,6
RC,144,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,144,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,144,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,144,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,144,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,144,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,144,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,144,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,144,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,144,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,144,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,144,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,144,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,144,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,144,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,144,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,144,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,144,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,144,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,144,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,144,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,144,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,144,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,144,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,144,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,144,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,144,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,145, Room & Board - Deluxe Private Hospice  ,,,2195.0,4441.0,7
RC,145,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,145,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,145,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,145,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,145,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,145,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146, Room & Board - Deluxe Private Detoxification  ,,,450.0,450.0,2
RC,146,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,146,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,146,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,146,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,146,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,146,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,146,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,146,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,146,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,146,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,146,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,146,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,146,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,146,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,146,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,146,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,146,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,146,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,146,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,146,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,146,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,146,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,146,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,146,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,146,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,146,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,146,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,146,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,146,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,146,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,146,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,146,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,146,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,146,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,146,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,146,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,146,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,146,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,146,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,146,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,146,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,146,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,146,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,146,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,146,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,146,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,146,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,146,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,146,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,146,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,146,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,146,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,146,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,146,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,146,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,146,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,146,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,146,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,146,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,146,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,146,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,146,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,146,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,146,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,146,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,146,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,146,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,146,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,146,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,146,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,146,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,146,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,146,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,146,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,146,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,146,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,146,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,146,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,146,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,146,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,146,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,146,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,146,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,146,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,146,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,146,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,146,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,146,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,146,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,146,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,146,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,146,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,146,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,146,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,146,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,146,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,146,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,146,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,146,CHEST PAIN ,,,8496.74,8649.83,6
RC,146,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,146,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,146,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,146,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,146,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,146,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,146,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,146,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,146,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,146,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,146,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,146,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,146,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,146,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,146,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,146,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,146,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,146,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,146,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,146,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,146,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,146,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,146,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,146,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,146,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,146,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,146,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,146,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,146,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,146,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,146,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,146,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,146,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,146,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,146,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,146,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,146,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,146,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,146,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,146,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,146,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,146,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,146,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,146,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,146,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,146,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,146,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,146,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,146,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,146,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,146,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,146,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,146,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,146,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,146,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,146,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,146,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,146,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,146,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,146,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,146,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,146,DYSEQUILIBRIUM ,,,8756.69,8914.47,6
RC,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,13033.66,13268.51,6
RC,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,9131.0,9295.52,6
RC,146,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,146,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,146,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,146,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,146,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,146,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,146,EPISTAXIS WITH MCC ,,,13527.26,13770.99,6
RC,146,EPISTAXIS WITHOUT MCC ,,,8611.91,8767.08,6
RC,146,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,146,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,146,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,146,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,146,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,146,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,146,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,146,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,146,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,146,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,146,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,146,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,146,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,146,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,146,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,146,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,146,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,146,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,146,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,146,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,146,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,146,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,146,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,146,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,146,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,146,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,146,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,146,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,146,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,146,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,146,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,146,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,146,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,146,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,146,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,146,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,146,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,146,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,146,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,146,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,146,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,146,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,146,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,146,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,146,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,146,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,146,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,146,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,146,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,146,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,146,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,146,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,146,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,146,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,146,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,146,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,146,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,146,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,146,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,146,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,146,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,146,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,146,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,146,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,146,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,146,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,146,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,146,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,146,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,146,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,146,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,146,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,146,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,146,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,146,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,146,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,146,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,146,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,146,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,146,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,146,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,146,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,146,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,146,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,146,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,146,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,146,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,146,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,146,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,146,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,146,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,146,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,146,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,146,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,146,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,146,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,146,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,146,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,146,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,146,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,146,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,146,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,146,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,146,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,146,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,146,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,146,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,146,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,146,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,146,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,146,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,146,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,146,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,146,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,146,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,146,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,146,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,146,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,146,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,146,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,146,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,146,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,146,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,146,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,146,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,146,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,146,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,146,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,146,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,146,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,146,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,146,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,146,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,146,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,146,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,146,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,146,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,146,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,146,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,146,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,146,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,146,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,146,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,146,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,146,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,146,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,146,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,146,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,146,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,146,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,146,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,146,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,146,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,146,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,146,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,146,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,146,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,146,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,146,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,146,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,146,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,146,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,146,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,146,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,146,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,146,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,146,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,146,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,146,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,146,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,146,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,146,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,146,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,146,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,146,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,146,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,146,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,146,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,146,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,146,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,146,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,146,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,146,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,146,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,146,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,146,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,146,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,146,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,146,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,146,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,146,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,146,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,146,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,146,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,146,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,146,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,146,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,146,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,146,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,146,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,146,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,146,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,146,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,146,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,146,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,146,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,146,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,146,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,146,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,146,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,146,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,15435.82,15713.94,6
RC,146,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,146,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,146,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,146,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,146,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,146,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,146,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,146,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,146,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,146,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,146,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,146,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,146,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,146,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,146,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,146,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,146,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,146,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,146,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,146,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,146,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,146,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,146,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,146,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,146,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,146,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,146,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,146,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,146,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,146,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,146,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,146,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,146,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,146,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,146,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,146,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,146,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,146,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,146,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,146,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,146,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,146,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,146,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,146,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,146,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,146,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,146,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,146,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,146,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,146,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,146,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,146,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,146,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,146,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,146,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,146,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,146,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,146,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,146,OTITIS MEDIA AND URI WITH MCC ,,,12299.03,12520.64,6
RC,146,OTITIS MEDIA AND URI WITHOUT MCC ,,,8646.46,8802.25,6
RC,146,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,146,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,146,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,146,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,146,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,146,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,146,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,146,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,146,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,146,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,146,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,146,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,146,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,146,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,146,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,146,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,146,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,146,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,146,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,146,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,146,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,146,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,146,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,146,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,146,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,146,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,146,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,146,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,146,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,146,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,146,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,146,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,146,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,146,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,146,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,146,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,146,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,146,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,146,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,146,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,146,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,146,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,146,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,146,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,146,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,146,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,146,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,146,PSYCHOSES ,,,14064.45,14317.87,6
RC,146,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,146,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,146,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,146,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,146,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,146,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,146,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,146,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,146,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,146,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,146,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,146,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,146,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,146,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,146,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,146,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,146,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,146,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,146,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,146,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,146,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,146,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,146,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,146,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,146,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,146,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,146,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,146,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,146,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,146,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,146,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,146,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,146,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,146,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,146,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,146,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,146,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,146,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,146,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,146,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,146,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,146,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,146,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,146,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,146,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,146,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,146,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,146,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,146,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,146,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,146,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,146,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,146,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,146,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,146,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,146,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,146,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,146,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,146,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,146,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,146,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,146,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,146,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,146,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,146,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,146,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,146,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,146,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,146,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,146,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,146,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,146,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,146,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,146,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,146,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,146,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,146,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,146,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,146,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,146,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,146,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,146,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,146,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,146,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,146,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,146,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,146,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,146,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,146,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,146,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,146,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,146,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,146,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,146,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,146,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,146,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,146,UNGROUPABLE ,,,2573.63,2620.01,6
RC,146,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,146,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,146,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,146,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,146,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,146,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,146,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,146,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,146,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,146,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,146,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,146,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,146,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,146,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,146,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,146,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,146,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,146,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,146,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,146,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,146,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,146,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,146,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,146,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,146,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,146,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,146,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,147, Room & Board - Deluxe Private Oncology  ,,,,,0
RC,147,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,147,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,147,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,147,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,147,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,147,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,147,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,147,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,147,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,147,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,147,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,147,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,147,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,147,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,147,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,147,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,147,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,147,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,147,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,147,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,147,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,147,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,147,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,147,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,147,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,147,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,147,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,147,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,147,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,147,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,147,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,147,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,147,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,147,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,147,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,147,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,147,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,147,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,147,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,147,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,147,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,147,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,147,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,147,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,147,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,147,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,147,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,147,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,147,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,147,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,147,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,147,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,147,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,147,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,147,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,147,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,147,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,147,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,147,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,147,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,147,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,147,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,147,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,147,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,147,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,147,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,147,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,147,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,147,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,147,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,147,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,147,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,147,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,147,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,147,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,147,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,147,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,147,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,147,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,147,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,147,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,147,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,147,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,147,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,147,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,147,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,147,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,147,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,147,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,147,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,147,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,147,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,147,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,147,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,147,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,147,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,147,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,147,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,147,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,147,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,147,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,147,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,147,CHEST PAIN ,,,1126.0,8649.83,7
RC,147,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,147,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,147,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,147,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,147,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,147,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,147,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,147,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,147,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,147,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,147,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,147,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,147,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,147,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,147,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,147,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,147,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,147,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,147,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,147,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,147,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,147,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,147,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,147,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,147,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,147,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,147,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,147,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,147,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,147,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,147,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,147,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,147,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,147,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,147,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,147,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,147,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,147,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,147,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,147,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,147,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,147,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,147,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,147,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,147,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,147,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,147,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,147,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,147,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,147,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,147,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,147,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,147,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,147,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,147,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,147,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,147,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,147,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,147,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,147,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,147,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,147,DYSEQUILIBRIUM ,,,1126.0,8914.47,7
RC,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,1126.0,9295.52,7
RC,147,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,147,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,147,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,147,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,147,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,147,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,147,EPISTAXIS WITH MCC ,,,1126.0,13770.99,7
RC,147,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,147,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,147,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,147,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,147,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,147,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,147,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,147,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,147,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,147,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,147,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,147,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,147,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,147,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,147,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,147,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,147,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,147,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,147,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,147,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,147,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,147,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,147,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,147,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,147,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,147,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,147,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,147,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,147,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,147,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,147,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,147,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,147,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,147,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,147,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,147,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,147,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,147,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,147,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,147,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,147,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,147,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,147,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,147,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,147,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,147,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,147,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,147,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,147,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,147,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,147,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,147,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,147,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,147,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,147,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,147,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,147,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,147,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,147,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,147,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,147,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,147,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,147,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,147,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,147,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,147,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,147,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,147,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,147,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,147,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,147,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,147,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,147,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,147,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,147,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,147,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,147,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,147,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,147,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,147,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,147,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,147,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,147,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,147,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,147,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,147,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,147,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,147,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,147,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,147,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,147,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,147,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,147,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,147,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,147,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,147,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,147,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,147,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,147,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,147,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,147,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,147,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,147,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,147,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,147,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,147,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,147,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,147,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,147,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,147,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,147,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,147,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,147,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,147,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,147,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,147,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,147,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,147,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,147,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,147,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,147,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,147,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,147,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,147,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,147,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,147,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,147,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,147,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,147,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,147,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,147,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,147,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,147,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,147,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,147,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,147,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,147,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,147,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,147,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,147,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,147,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,147,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,147,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,147,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,147,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,147,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,147,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,147,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,147,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,147,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,147,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,147,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,147,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,147,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,147,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,147,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,147,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,147,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,147,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,147,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,147,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,147,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,147,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,147,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,147,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,147,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,147,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,147,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,147,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,147,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,147,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,147,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,147,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,147,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,147,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,147,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,147,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,147,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,147,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,147,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,147,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,147,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,147,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,147,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,147,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,147,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,147,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,147,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,147,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,147,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,147,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,147,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,147,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,147,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,147,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,147,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,147,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,147,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,147,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,147,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,147,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,147,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,147,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,147,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,147,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,147,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,147,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,147,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,147,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,147,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,147,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,147,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,147,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,147,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,147,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,147,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,147,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,147,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,147,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,147,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,147,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,147,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,147,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,147,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,147,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,147,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,147,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,147,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,147,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,147,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,147,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,147,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,147,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,147,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,147,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,147,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,147,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,147,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,147,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,147,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,147,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,147,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,147,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,147,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,147,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,147,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,147,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,147,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,147,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,147,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,147,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,147,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,147,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,147,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,147,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,147,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,147,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,147,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,147,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,147,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,147,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,147,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,147,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,147,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,147,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,147,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,147,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,147,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,147,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,147,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,147,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,147,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,147,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,147,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,147,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,147,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,147,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,147,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,147,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,147,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,147,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,147,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,147,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,147,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,147,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,147,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,147,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,147,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,147,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,147,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,147,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,147,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,147,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,147,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,147,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,147,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,147,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,147,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,147,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,147,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,147,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,147,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,147,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,147,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,147,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,147,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,147,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,147,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,147,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,147,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,147,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,147,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,147,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,147,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,147,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,147,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,147,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,147,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,147,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,147,PSYCHOSES ,,,1126.0,14317.87,7
RC,147,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,147,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,147,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,147,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,147,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,147,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,147,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,147,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,147,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,147,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,147,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,147,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,147,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,147,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,147,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,147,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,147,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,147,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,147,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,147,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,147,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,147,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,147,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,147,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,147,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,147,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,147,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,147,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,147,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,147,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,147,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,147,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,147,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,147,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,147,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,147,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,147,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,147,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,147,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,147,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,147,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,147,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,147,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,147,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,147,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,147,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,147,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,147,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,147,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,147,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,147,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,147,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,147,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,147,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,147,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,147,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,147,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,147,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,147,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,147,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,147,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,147,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,147,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,147,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,147,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,147,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,147,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,147,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,147,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,147,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,147,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,147,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,147,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,147,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,147,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,147,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,147,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,147,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,147,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,147,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,147,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,147,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,147,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,147,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,147,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,147,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,147,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,147,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,147,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,147,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,147,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,147,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,147,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,147,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,147,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,147,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,147,UNGROUPABLE ,,,2573.63,2620.01,6
RC,147,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,147,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,147,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,147,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,147,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,147,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,147,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,147,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,147,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,147,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,147,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,147,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,147,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,147,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,147,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,147,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,147,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,147,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,147,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,147,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,147,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,147,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,147,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,147,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,147,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,147,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,147,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,148, Room & Board - Deluxe Private Rehabilitation  ,,,600.0,3675.0,14
RC,148,AMPUTATION LOWER EXTREMITY M <47.50 ,,,31728.32,49387.01,56
RC,148,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,23852.79,37129.07,56
RC,148,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,20041.56,31196.53,56
RC,148,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,16496.81,25679.83,56
RC,148,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,26435.15,40422.37,56
RC,148,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,21105.56,32272.7,56
RC,148,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,18482.94,28260.56,56
RC,148,BURNS M <52.50 ,,,29665.5,53183.92,56
RC,148,BURNS M >=52.50 ,,,18720.67,33562.02,56
RC,148,CARDIAC M <45.50 ,,,28191.23,44860.81,56
RC,148,CARDIAC M >=45.50 AND M <55.50 ,,,22595.16,35956.77,56
RC,148,CARDIAC M >=55.50 AND M <68.50 ,,,18693.83,29748.39,56
RC,148,CARDIAC M >=68.50 ,,,14673.63,23351.95,56
RC,148,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 15 DAYS OR FEWER ",,,17480.29,19053.52,14
RC,148,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 16 DAYS OR MORE ",,,41948.48,45723.84,14
RC,148,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 13 DAYS OR FEWER ",,,16370.28,17843.6,14
RC,148,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 14 DAYS OR MORE ",,,39272.18,42806.68,14
RC,148,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,30516.7,47936.79,56
RC,148,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,24715.5,38821.69,56
RC,148,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,20173.84,31689.69,56
RC,148,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,16320.43,25638.03,56
RC,148,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,32506.67,57668.33,56
RC,148,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,22974.75,40758.81,56
RC,148,GUILLAIN-BARRÉ M >=66.50 ,,,15791.31,28016.07,56
RC,148,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,148,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,148,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,148,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,148,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,148,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,148,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,27984.18,43182.81,56
RC,148,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,23960.15,36974.44,56
RC,148,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,19261.29,29721.23,56
RC,148,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,15152.91,23381.2,56
RC,148,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,28499.89,45874.3,56
RC,148,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,24767.26,39866.52,56
RC,148,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,21107.48,33977.86,56
RC,148,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,17123.71,27564.7,56
RC,148,MISCELLANEOUS M <46.50 AND A <77.50 ,,,28950.41,46219.09,56
RC,148,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,27658.27,44156.6,56
RC,148,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,22679.52,36205.44,56
RC,148,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,19313.06,30832.93,56
RC,148,MISCELLANEOUS M >=66.50 ,,,15555.5,24833.51,56
RC,148,NEUROLOGICAL M <43.50 ,,,30091.1,51192.48,56
RC,148,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,23793.36,40476.7,56
RC,148,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,20008.97,34038.46,56
RC,148,NEUROLOGICAL M >=64.50 ,,,16084.63,27364.09,56
RC,148,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,28689.68,45209.78,56
RC,148,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,24218.96,38161.36,56
RC,148,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,20480.58,32274.79,56
RC,148,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,15833.48,24948.45,56
RC,148,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,39461.97,65285.14,56
RC,148,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,27773.3,45949.52,56
RC,148,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,23243.15,38453.91,56
RC,148,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,20526.59,33959.06,56
RC,148,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,16535.15,27353.64,56
RC,148,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,27031.38,44854.54,56
RC,148,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,26256.86,43569.4,56
RC,148,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,19614.04,32548.54,56
RC,148,OSTEOARTHRITIS M >=61.50 ,,,16682.77,27681.72,56
RC,148,OTHER ORTHOPEDIC M <44.5 ,,,28133.72,46979.73,56
RC,148,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,23363.93,39013.94,56
RC,148,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,19688.81,32876.61,56
RC,148,OTHER ORTHOPEDIC M >=63.50 ,,,15497.99,25880.43,56
RC,148,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,21820.65,32007.31,56
RC,148,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,18019.0,26430.01,56
RC,148,PAIN SYNDROME M >=65.50 ,,,14974.62,21966.5,56
RC,148,PULMONARY M <45.50 ,,,32326.46,48950.27,56
RC,148,PULMONARY M >=45.50 AND M <56.50 ,,,25777.58,39034.84,56
RC,148,PULMONARY M >=56.50 AND M <68.50 ,,,22112.05,33480.52,56
RC,148,PULMONARY M >=68.50 ,,,18082.26,27380.81,56
RC,148,REHABILITATION WITH CC/MCC ,,,1952.0,2960.0,7
RC,148,REHABILITATION WITHOUT CC/MCC ,,,1952.0,2960.0,7
RC,148,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,28275.59,43694.78,56
RC,148,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,22702.52,35081.2,56
RC,148,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,19984.05,30880.99,56
RC,148,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,18158.95,28059.95,56
RC,148,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,15931.26,24618.28,56
RC,148,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,29228.39,47878.28,56
RC,148,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,22645.01,37095.64,56
RC,148,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,19594.87,32097.17,56
RC,148,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,15981.1,26177.16,56
RC,148,"SHORT-STAY CASES, LENGTH OF STAY IS 3 DAYS OR FEWER ",,,3364.54,3667.35,14
RC,148,STROKE M <41.50 AND A <84.50 ,,,41440.44,59189.61,56
RC,148,STROKE M <41.50 AND A >=84.50 ,,,36789.51,52546.58,56
RC,148,STROKE M >=41.50 AND M <50.50 ,,,29519.8,42163.06,56
RC,148,STROKE M >=50.50 AND M <63.50 ,,,23112.78,33012.44,56
RC,148,STROKE M >=63.50 AND M <72.50 ,,,18005.58,25715.35,56
RC,148,STROKE M >=72.50 ,,,14146.42,20204.92,56
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,148,TRAUMATIC BRAIN INJURY M <35.50 ,,,35650.74,56939.04,56
RC,148,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,27788.64,44382.28,56
RC,148,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,22547.23,36011.1,56
RC,148,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,18135.94,28964.77,56
RC,148,TRAUMATIC BRAIN INJURY M >=73.50 ,,,13887.61,22179.65,56
RC,148,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,43857.93,66378.03,56
RC,148,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,34740.11,52577.92,56
RC,148,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,27065.88,40965.69,56
RC,148,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,23450.2,35492.87,56
RC,148,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,18705.33,28310.71,56
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149, Room & Board - Deluxe Private Other  ,,,,,0
RC,149,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,1318.0,1
RC,149,ABORTION WITHOUT D&C ,,,1126.0,1126.0,1
RC,149,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,1126.0,1
RC,149,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,1126.0,1
RC,149,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,1126.0,1
RC,149,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,149,ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,149,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,1318.0,1
RC,149,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,1126.0,1
RC,149,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,1126.0,1
RC,149,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,1126.0,1
RC,149,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,1126.0,1
RC,149,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,AFTERCARE WITH CC/MCC ,,,1126.0,1126.0,1
RC,149,AFTERCARE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,1126.0,1
RC,149,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,1126.0,1
RC,149,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,1126.0,1
RC,149,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,1126.0,1
RC,149,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,1126.0,1
RC,149,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,1126.0,1
RC,149,ALLERGIC REACTIONS WITH MCC ,,,1126.0,1126.0,1
RC,149,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,1318.0,1
RC,149,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,1318.0,1
RC,149,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,1318.0,1
RC,149,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,149,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,149,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,1318.0,1
RC,149,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,1318.0,3
RC,149,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,ANGINA PECTORIS ,,,1126.0,1126.0,1
RC,149,APPENDIX PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,APPENDIX PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,ATHEROSCLEROSIS WITH MCC ,,,1126.0,1126.0,1
RC,149,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,149,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,1318.0,1
RC,149,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,1126.0,1
RC,149,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,1126.0,1
RC,149,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,149,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,1318.0,3
RC,149,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,1318.0,1
RC,149,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,1318.0,1
RC,149,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,1126.0,1
RC,149,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,149,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,1126.0,1
RC,149,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,1126.0,1
RC,149,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,1126.0,1
RC,149,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,149,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,1318.0,1
RC,149,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,1318.0,1
RC,149,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,CELLULITIS WITH MCC ,,,1126.0,1126.0,1
RC,149,CELLULITIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,149,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,149,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,1126.0,1
RC,149,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,1126.0,1
RC,149,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,1126.0,1
RC,149,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,1126.0,1
RC,149,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,CHEST PAIN ,,,1126.0,1126.0,1
RC,149,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,149,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,149,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,149,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,149,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,1126.0,1
RC,149,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,149,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,1126.0,1
RC,149,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,1126.0,1
RC,149,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,COAGULATION DISORDERS ,,,1126.0,1126.0,1
RC,149,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,149,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,1318.0,1
RC,149,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,1126.0,1
RC,149,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,149,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,1126.0,1
RC,149,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,1126.0,1
RC,149,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,1318.0,1
RC,149,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,1318.0,1
RC,149,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,149,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,149,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,149,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,1318.0,1
RC,149,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,1126.0,1
RC,149,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,1126.0,1
RC,149,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,DEPRESSIVE NEUROSES ,,,1126.0,1126.0,1
RC,149,DIABETES WITH CC ,,,1126.0,1126.0,1
RC,149,DIABETES WITH MCC ,,,1126.0,1126.0,1
RC,149,DIABETES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,149,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,149,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,1126.0,1
RC,149,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,1126.0,1
RC,149,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,1126.0,1
RC,149,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,149,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,149,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,1126.0,1
RC,149,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,1126.0,1
RC,149,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,1126.0,1
RC,149,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,ENDOCRINE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,149,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,1318.0,1
RC,149,EPISTAXIS WITH MCC ,,,1126.0,1126.0,1
RC,149,EPISTAXIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,1126.0,1
RC,149,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,1126.0,1
RC,149,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,1318.0,1
RC,149,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,1126.0,1
RC,149,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,149,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,149,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,1318.0,1
RC,149,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,1126.0,1
RC,149,FOOT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,FOOT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,1126.0,2
RC,149,FRACTURES OF FEMUR WITH MCC ,,,1126.0,1126.0,1
RC,149,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,1126.0,1
RC,149,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,1126.0,1
RC,149,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,1126.0,1
RC,149,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,1126.0,1
RC,149,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,1126.0,1
RC,149,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,1126.0,1
RC,149,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,149,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,HAND PROCEDURES FOR INJURIES ,,,1318.0,1318.0,1
RC,149,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,1126.0,1
RC,149,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,1126.0,1
RC,149,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,1318.0,1
RC,149,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,1318.0,1
RC,149,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,1318.0,1
RC,149,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,1318.0,1
RC,149,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,1318.0,1
RC,149,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,1126.0,1
RC,149,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,1126.0,1
RC,149,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,1126.0,1
RC,149,HYPERTENSION WITH MCC ,,,1126.0,1126.0,1
RC,149,HYPERTENSION WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,1126.0,1
RC,149,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,149,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,149,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,1126.0,1
RC,149,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,1126.0,1
RC,149,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,149,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,1126.0,1
RC,149,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,149,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,149,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,149,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,149,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,149,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,149,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,149,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,149,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,149,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,KIDNEY TRANSPLANT ,,,1318.0,4321.0,3
RC,149,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,149,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,4321.0,4
RC,149,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,149,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,4321.0,4
RC,149,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,149,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,1318.0,1
RC,149,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,1318.0,1
RC,149,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,149,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,149,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,1318.0,3
RC,149,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,1318.0,1
RC,149,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,1318.0,1
RC,149,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,1318.0,1
RC,149,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,1318.0,1
RC,149,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,149,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,1126.0,1
RC,149,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,149,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,1126.0,3
RC,149,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,149,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,1318.0,1
RC,149,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,1318.0,1
RC,149,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,1318.0,1
RC,149,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,1126.0,1
RC,149,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,1126.0,1
RC,149,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,149,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,149,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,149,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,149,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,149,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,1126.0,1
RC,149,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,149,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,1126.0,1
RC,149,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,1126.0,1
RC,149,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,1318.0,3
RC,149,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,1318.0,1
RC,149,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,1318.0,3
RC,149,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,1318.0,2
RC,149,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,1126.0,1
RC,149,NON-EXTENSIVE BURNS ,,,1126.0,1126.0,1
RC,149,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,149,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,149,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,149,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,1318.0,1
RC,149,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,1318.0,1
RC,149,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,1318.0,1
RC,149,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,1318.0,1
RC,149,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,1126.0,1
RC,149,OSTEOMYELITIS WITH CC ,,,1126.0,1126.0,1
RC,149,OSTEOMYELITIS WITH MCC ,,,1126.0,1126.0,1
RC,149,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,1126.0,1
RC,149,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,1126.0,1
RC,149,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,149,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,149,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,149,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,149,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,1126.0,1
RC,149,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,149,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,149,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,149,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,1126.0,1
RC,149,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,149,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,149,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,149,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,1126.0,1
RC,149,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,149,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,149,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,1126.0,1
RC,149,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,1126.0,1
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,1318.0,1
RC,149,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,1126.0,3
RC,149,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,149,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,149,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,149,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,1126.0,1
RC,149,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,149,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,149,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,1126.0,3
RC,149,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,1318.0,1
RC,149,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,1318.0,1
RC,149,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,149,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,149,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,149,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,1318.0,1
RC,149,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,1318.0,1
RC,149,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,PLEURAL EFFUSION WITH CC ,,,1126.0,1126.0,1
RC,149,PLEURAL EFFUSION WITH MCC ,,,1126.0,1126.0,1
RC,149,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,PNEUMOTHORAX WITH CC ,,,1126.0,1126.0,1
RC,149,PNEUMOTHORAX WITH MCC ,,,1126.0,1126.0,1
RC,149,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,1126.0,1
RC,149,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,1318.0,1
RC,149,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,1126.0,1
RC,149,PROSTATECTOMY WITH CC ,,,1318.0,1318.0,1
RC,149,PROSTATECTOMY WITH MCC ,,,1318.0,1318.0,1
RC,149,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,PSYCHOSES ,,,1126.0,1126.0,1
RC,149,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,1126.0,1
RC,149,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,1126.0,1
RC,149,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,RADIOTHERAPY ,,,1126.0,1126.0,1
RC,149,RECTAL RESECTION WITH CC ,,,1318.0,1318.0,1
RC,149,RECTAL RESECTION WITH MCC ,,,1318.0,1318.0,1
RC,149,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,RENAL FAILURE WITH CC ,,,1126.0,1126.0,1
RC,149,RENAL FAILURE WITH MCC ,,,1126.0,1126.0,1
RC,149,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,1126.0,1
RC,149,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,1126.0,1
RC,149,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,149,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,149,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,1126.0,1
RC,149,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,1126.0,1
RC,149,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,1126.0,1
RC,149,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,149,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,149,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,1318.0,1
RC,149,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,1318.0,1
RC,149,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,SEPTIC ARTHRITIS WITH CC ,,,1126.0,1126.0,1
RC,149,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,1126.0,1
RC,149,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,1126.0,1
RC,149,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,1126.0,1
RC,149,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,149,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,149,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,1318.0,1
RC,149,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,1126.0,1
RC,149,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,149,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,1126.0,1
RC,149,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,1126.0,1
RC,149,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,1318.0,1
RC,149,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,1318.0,1
RC,149,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,149,SKIN DEBRIDEMENT WITH CC ,,,1318.0,1318.0,1
RC,149,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,1318.0,1
RC,149,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,149,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,149,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,149,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,149,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,1318.0,3
RC,149,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,SKIN ULCERS WITH CC ,,,1126.0,1126.0,1
RC,149,SKIN ULCERS WITH MCC ,,,1126.0,1126.0,1
RC,149,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,149,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,1318.0,3
RC,149,SPLENIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,SPLENIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,1126.0,1
RC,149,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,149,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,149,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,149,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,SYNCOPE AND COLLAPSE ,,,1126.0,1126.0,1
RC,149,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,1126.0,1
RC,149,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,1126.0,1
RC,149,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,149,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,149,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,149,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,149,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,149,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,149,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,1318.0,2
RC,149,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,1318.0,1
RC,149,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,149,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,149,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,149,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,URETHRAL STRICTURE ,,,1126.0,1126.0,1
RC,149,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,149,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,149,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,1318.0,1
RC,149,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,1318.0,1
RC,149,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,149,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,1318.0,1
RC,149,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,149,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,149,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,149,VEIN LIGATION AND STRIPPING ,,,1318.0,1318.0,1
RC,149,VIRAL ILLNESS WITH MCC ,,,1126.0,1126.0,1
RC,149,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,1126.0,1
RC,149,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,1318.0,3
RC,149,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,149,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,149,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,150, Room & Board - Ward General Classification  ,,,,,0
RC,150,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,150,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,150,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,150,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,150,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,150,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,150,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,150,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,150,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,150,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,150,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,150,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,150,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,150,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,150,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,150,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,150,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,150,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,150,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,150,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,150,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,150,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,150,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,150,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,150,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,150,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,150,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,150,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,150,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,150,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,150,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,150,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,150,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,150,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,150,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,150,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,150,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,150,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,150,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,150,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,150,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,150,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,150,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,150,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,150,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,150,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,150,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,150,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,150,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,150,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,150,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,150,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,150,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,150,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,150,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,150,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,150,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,150,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,150,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,150,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,150,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,150,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,150,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,150,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,150,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,150,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,150,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,150,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,150,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,150,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,150,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,150,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,150,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,150,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,150,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,150,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,150,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,150,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,150,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,150,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,150,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,150,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,150,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,150,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,150,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,150,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,150,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,150,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,150,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,150,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,150,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,150,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,150,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,150,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,150,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,150,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,150,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,150,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,150,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,150,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,150,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,150,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,150,CHEST PAIN ,,,1126.0,8649.83,7
RC,150,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,150,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,150,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,150,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,150,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,150,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,150,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,150,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,150,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,150,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,150,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,150,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,150,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,150,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,150,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,150,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,150,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,150,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,150,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,150,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,150,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,150,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,150,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,150,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,150,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,150,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,150,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,150,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,150,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,150,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,150,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,150,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,150,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,150,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,150,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,150,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,150,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,150,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,150,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,150,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,150,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,150,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,150,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,150,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,150,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,150,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,150,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,150,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,150,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,150,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,150,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,150,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,150,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,150,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,150,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,150,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,150,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,150,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,150,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,150,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,150,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,150,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,150,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,150,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,150,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,150,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,150,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,150,EPISTAXIS WITHOUT MCC ,,,1126.0,8767.08,7
RC,150,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,150,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,150,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,150,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,150,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,150,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,150,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,150,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,150,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,150,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,150,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,150,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,150,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,150,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,150,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,150,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,150,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,150,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,150,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,150,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,150,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,150,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,150,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,150,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,150,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,150,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,150,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,150,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,150,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,150,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,150,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,150,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,150,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,150,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,150,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,150,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,150,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,150,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,150,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,150,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,150,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,150,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,150,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,150,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,150,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,150,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,150,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,150,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,150,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,150,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,150,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,150,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,150,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,150,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,150,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,150,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,150,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,150,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,150,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,150,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,150,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,150,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,150,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,150,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,150,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,150,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,150,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,150,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,150,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,150,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,150,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,150,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,150,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,150,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,150,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,150,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,150,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,150,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,150,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,150,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,150,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,150,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,150,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,150,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,150,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,150,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,150,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,150,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,150,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,150,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,150,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,150,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,150,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,150,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,150,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,150,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,150,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,150,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,150,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,150,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,150,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,150,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,150,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,150,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,150,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,150,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,150,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,150,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,150,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,150,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,150,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,150,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,150,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,150,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,150,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,150,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,150,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,150,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,150,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,150,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,150,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,150,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,150,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,150,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,150,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,150,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,150,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,150,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,150,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,150,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,150,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,150,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,150,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,150,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,150,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,150,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,150,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,150,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,150,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,150,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,150,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,150,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,150,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,150,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,150,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,150,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,150,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,150,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,150,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,150,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,150,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,150,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,150,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,150,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,150,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,150,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,150,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,150,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,150,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,150,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,150,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,150,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,150,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,150,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,150,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,150,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,150,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,150,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,150,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,150,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,150,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,150,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,150,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,150,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,150,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,150,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,150,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,150,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,150,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,150,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,150,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,150,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,150,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,150,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,150,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,150,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,150,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,150,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,150,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,150,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,150,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,150,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,150,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,150,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,150,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,150,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,150,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,150,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,150,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,150,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,150,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,150,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,150,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,150,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,150,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,150,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,150,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,150,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,150,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,150,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,150,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,150,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,150,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,150,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,150,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,150,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,150,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,150,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,150,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,150,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,150,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,150,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,150,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,150,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,150,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,150,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,150,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,150,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,150,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,150,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,150,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,150,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,150,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,150,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,150,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,150,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,150,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,150,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,150,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,150,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,150,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,150,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,150,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,150,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,150,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,150,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,150,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,150,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,150,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,150,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,150,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,150,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,150,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,150,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,150,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,150,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,150,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,150,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,150,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,150,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,150,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,150,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,150,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,150,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,150,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,150,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,150,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,150,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,150,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,150,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,150,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,150,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,150,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,150,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,150,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,150,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,150,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,150,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,150,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,150,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,150,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,150,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,150,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,150,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,150,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,150,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,150,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,150,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,150,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,150,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,150,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,150,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,150,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,150,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,150,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,150,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,150,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,150,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,150,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,150,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,150,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,150,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,150,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,150,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,150,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,150,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,150,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,150,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,150,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,150,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,150,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,150,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,150,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,150,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,150,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,150,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,150,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,150,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,150,PSYCHOSES ,,,1126.0,14317.87,7
RC,150,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,150,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,150,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,150,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,150,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,150,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,150,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,150,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,150,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,150,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,150,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,150,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,150,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,150,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,150,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,150,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,150,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,150,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,150,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,150,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,150,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,150,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,150,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,150,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,150,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,150,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,150,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,150,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,150,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,150,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,150,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,150,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,150,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,150,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,150,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,150,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,150,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,150,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,150,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,150,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,150,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,150,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,150,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,150,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,150,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,150,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,150,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,150,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,150,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,150,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,150,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,150,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,150,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,150,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,150,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,150,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,150,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,150,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,150,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,150,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,150,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,150,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,150,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,150,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,150,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,150,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,150,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,150,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,150,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,150,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,150,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,150,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,150,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,150,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,150,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,150,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,150,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,150,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,150,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,150,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,150,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,150,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,150,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,150,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,150,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,150,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,150,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,150,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,150,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,150,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,150,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,150,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,150,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,150,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,150,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,150,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,150,UNGROUPABLE ,,,2573.63,2620.01,6
RC,150,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,150,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,150,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,150,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,150,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,150,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,150,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,150,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,150,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,150,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,150,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,150,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,150,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,150,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,150,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,150,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,150,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,150,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,150,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,150,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,150,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,150,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,150,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,150,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,150,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,150,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,150,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,151, Room & Board - Ward Medical/Surgical/GYN  ,,,,,0
RC,151,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,151,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,151,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,151,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,151,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,151,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,151,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,151,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,151,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,151,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,151,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,151,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,151,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,151,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,151,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,151,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,151,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,151,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,151,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,151,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,151,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,151,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,151,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,151,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,151,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,151,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,151,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,151,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,151,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,151,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,151,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,151,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,151,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,151,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,151,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,151,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,151,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,151,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,151,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,151,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,151,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,151,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,151,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,151,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,151,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,151,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,151,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,151,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,151,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,151,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,151,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,151,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,151,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,151,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,151,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,151,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,151,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,151,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,151,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,151,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,151,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,151,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,151,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,151,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,151,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,151,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,151,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,151,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,151,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,151,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,151,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,151,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,151,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,151,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,151,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,151,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,151,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,151,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,151,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,151,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,151,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,151,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,151,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,151,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,151,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,151,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,151,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,151,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,151,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,151,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,151,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,151,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,151,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,151,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,151,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,151,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,151,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,151,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,151,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,151,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,151,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,151,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,151,CHEST PAIN ,,,1126.0,8649.83,7
RC,151,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,151,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,151,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,151,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,151,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,151,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,151,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,151,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,151,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,151,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,151,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,151,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,151,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,151,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,151,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,151,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,151,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,151,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,151,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,151,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,151,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,151,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,151,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,151,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,151,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,151,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,151,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,151,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,151,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,151,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,151,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,151,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,151,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,151,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,151,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,151,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,151,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,151,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,151,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,151,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,151,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,151,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,151,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,151,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,151,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,151,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,151,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,151,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,151,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,151,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,151,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,151,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,151,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,151,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,151,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,151,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,151,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,151,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,151,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,151,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,151,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,151,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,151,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,151,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,151,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,151,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,151,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,151,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,151,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,151,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,151,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,151,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,151,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,151,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,151,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,151,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,151,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,151,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,151,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,151,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,151,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,151,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,151,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,151,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,151,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,151,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,151,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,151,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,151,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,151,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,151,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,151,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,151,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,151,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,151,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,151,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,151,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,151,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,151,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,151,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,151,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,151,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,151,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,151,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,151,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,151,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,151,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,151,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,151,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,151,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,151,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,151,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,151,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,151,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,151,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,151,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,151,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,151,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,151,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,151,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,151,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,151,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,151,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,151,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,151,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,151,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,151,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,151,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,151,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,151,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,151,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,151,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,151,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,151,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,151,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,151,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,151,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,151,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,151,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,151,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,151,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,151,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,151,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,151,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,151,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,151,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,151,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,151,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,151,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,151,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,151,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,151,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,151,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,151,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,151,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,151,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,151,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,151,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,151,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,151,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,151,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,151,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,151,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,151,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,151,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,151,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,151,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,151,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,151,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,151,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,151,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,151,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,151,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,151,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,151,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,151,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,151,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,151,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,151,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,151,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,151,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,151,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,151,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,151,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,151,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,151,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,151,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,151,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,151,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,151,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,151,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,151,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,151,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,151,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,151,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,151,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,151,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,151,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,151,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,151,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,151,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,151,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,151,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,151,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,151,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,151,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,151,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,151,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,151,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,151,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,151,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,151,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,151,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,151,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,151,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,151,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,151,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,151,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,151,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,151,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,151,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,151,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,151,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,151,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,151,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,151,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,151,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,151,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,151,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,151,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,151,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,151,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,151,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,151,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,151,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,151,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,151,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,151,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,151,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,151,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,151,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,151,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,151,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,151,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,151,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,151,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,151,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,151,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,151,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,151,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,151,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,151,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,151,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,151,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,151,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,151,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,151,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,151,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,151,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,151,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,151,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,151,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,151,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,151,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,151,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,151,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,151,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,151,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,151,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,151,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,151,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,151,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,151,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,151,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,151,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,151,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,151,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,151,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,151,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,151,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,151,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,151,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,151,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,151,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,151,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,151,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,151,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,151,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,151,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,151,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,151,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,151,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,151,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,151,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,151,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,151,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,151,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,151,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,151,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,151,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,151,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,151,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,151,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,151,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,151,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,151,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,151,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,151,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,151,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,151,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,151,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,151,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,151,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,151,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,151,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,151,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,151,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,151,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,151,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,151,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,151,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,151,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,151,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,151,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,151,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,151,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,151,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,151,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,151,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,151,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,151,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,151,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,151,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,151,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,151,OTITIS MEDIA AND URI WITH MCC ,,,1126.0,12520.64,7
RC,151,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,151,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,151,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,151,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,151,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,151,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,151,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,151,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,151,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,151,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,151,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,151,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,151,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,151,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,151,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,151,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,151,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,151,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,151,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,151,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,151,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,151,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,151,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,151,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,151,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,151,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,151,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,151,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,151,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,151,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,151,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,151,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,151,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,151,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,151,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,151,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,151,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,151,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,151,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,151,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,151,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,151,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,151,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,151,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,151,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,151,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,151,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,151,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,151,PSYCHOSES ,,,1126.0,14317.87,7
RC,151,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,151,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,151,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,151,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,151,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,151,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,151,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,151,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,151,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,151,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,151,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,151,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,151,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,151,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,151,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,151,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,151,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,151,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,151,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,151,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,151,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,151,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,151,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,151,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,151,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,151,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,151,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,151,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,151,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,151,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,151,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,151,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,151,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,151,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,151,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,151,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,151,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,151,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,151,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,151,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,151,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,151,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,151,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,151,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,151,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,151,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,151,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,151,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,151,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,151,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,151,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,151,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,151,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,151,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,151,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,151,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,151,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,151,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,151,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,151,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,151,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,151,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,151,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,151,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,151,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,151,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,151,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,151,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,151,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,151,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,151,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,151,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,151,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,151,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,151,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,151,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,151,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,151,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,151,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,151,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,151,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,151,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,151,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,151,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,151,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,151,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,151,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,151,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,151,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,151,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,151,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,151,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,151,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,151,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,151,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,151,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,151,UNGROUPABLE ,,,2573.63,2620.01,6
RC,151,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,151,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,151,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,151,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,151,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,151,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,151,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,151,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,151,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,151,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,151,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,151,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,151,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,151,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,151,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,151,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,151,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,151,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,151,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,151,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,151,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,151,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,151,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,151,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,151,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,151,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,151,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,152, Room & Board - Ward Obstetrics (OB)  ,,,,,0
RC,152,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,152,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,152,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,152,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,152,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,152,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,152,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,152,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,152,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,152,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,152,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,152,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,152,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,152,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,152,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,152,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,152,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,152,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,152,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,152,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,152,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,152,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,152,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,152,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,152,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,152,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,152,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,152,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,152,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,152,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,152,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,152,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,152,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,152,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,152,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,152,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,152,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,152,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,152,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,152,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,152,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,152,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,152,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,152,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,152,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,152,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,152,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,152,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,152,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,152,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,152,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,152,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,152,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,152,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,152,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,152,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,152,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,152,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,152,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,152,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,152,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,152,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,152,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,152,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,152,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,152,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,152,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,152,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,152,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,152,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,152,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,152,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,152,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,152,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,152,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,152,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,152,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,152,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,152,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,152,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,152,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,152,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,152,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,152,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,152,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,152,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,152,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,152,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,152,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,152,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,152,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,152,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,152,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,152,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,152,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,152,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,152,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,152,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,152,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,152,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,152,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,152,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,152,CHEST PAIN ,,,1126.0,8649.83,7
RC,152,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,152,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,152,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,152,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,152,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,152,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,152,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,152,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,152,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,152,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,152,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,152,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,152,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,152,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,152,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,152,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,152,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,152,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,152,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,152,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,152,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,152,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,152,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,152,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,152,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,152,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,152,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,152,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,152,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,152,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,152,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,152,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,152,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,152,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,152,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,152,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,152,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,152,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,152,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,152,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,152,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,152,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,152,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,152,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,152,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,152,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,152,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,152,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,152,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,152,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,152,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,152,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,152,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,152,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,152,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,152,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,152,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,152,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,152,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,152,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,152,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,152,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,152,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,152,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,152,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,152,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,152,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,152,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,152,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,152,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,152,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,152,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,152,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,152,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,152,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,152,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,152,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,152,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,152,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,152,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,152,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,152,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,152,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,152,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,152,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,152,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,152,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,152,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,152,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,152,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,152,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,152,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,152,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,152,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,152,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,152,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,152,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,152,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,152,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,152,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,152,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,152,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,152,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,152,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,152,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,152,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,152,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,152,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,152,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,152,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,152,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,152,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,152,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,152,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,152,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,152,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,152,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,152,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,152,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,152,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,152,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,152,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,152,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,152,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,152,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,152,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,152,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,152,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,152,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,152,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,152,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,152,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,152,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,152,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,152,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,152,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,152,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,152,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,152,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,152,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,152,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,152,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,152,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,152,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,152,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,152,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,152,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,152,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,152,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,152,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,152,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,152,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,152,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,152,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,152,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,152,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,152,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,152,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,152,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,152,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,152,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,152,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,152,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,152,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,152,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,152,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,152,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,152,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,152,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,152,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,152,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,152,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,152,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,152,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,152,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,152,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,152,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,152,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,152,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,152,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,152,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,152,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,152,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,152,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,152,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,152,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,152,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,152,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,152,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,152,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,152,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,152,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,152,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,152,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,152,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,152,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,152,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,152,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,152,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,152,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,152,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,152,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,152,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,152,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,152,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,152,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,152,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,152,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,152,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,152,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,152,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,152,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,152,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,152,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,152,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,152,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,152,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,152,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,152,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,152,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,152,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,152,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,152,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,152,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,152,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,152,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,152,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,152,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,152,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,152,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,152,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,152,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,152,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,152,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,152,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,152,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,152,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,152,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,152,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,152,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,152,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,152,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,152,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,152,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,152,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,152,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,152,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,152,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,152,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,152,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,152,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,152,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,152,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,152,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,152,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,152,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,152,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,152,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,152,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,152,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,152,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,152,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,152,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,152,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,152,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,152,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,152,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,152,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,152,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,152,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,152,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,152,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,152,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,152,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,152,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,152,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,152,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,152,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,152,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,152,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,152,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,152,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,152,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,152,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,152,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,152,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,152,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,152,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,152,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,152,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,152,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,152,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,152,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,152,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,152,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,152,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,152,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,152,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,152,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,152,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,152,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,152,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,152,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,152,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,152,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,152,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,152,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,152,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,152,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,152,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,152,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,152,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,152,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,152,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,152,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,152,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,152,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,152,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,152,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,152,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,152,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,152,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,152,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,152,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,152,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,152,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,152,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,152,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,152,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,152,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,152,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,152,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,152,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,152,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,152,OTITIS MEDIA AND URI WITHOUT MCC ,,,1126.0,8802.25,7
RC,152,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,152,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,152,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,152,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,152,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,152,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,152,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,152,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,152,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,152,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,152,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,152,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,152,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,152,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,152,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,152,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,152,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,152,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,152,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,152,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,152,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,152,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,152,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,152,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,152,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,152,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,152,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,152,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,152,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,152,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,152,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,152,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,152,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,152,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,152,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,152,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,152,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,152,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,152,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,152,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,152,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,152,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,152,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,152,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,152,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,152,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,152,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,152,PSYCHOSES ,,,1126.0,14317.87,7
RC,152,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,152,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,152,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,152,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,152,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,152,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,152,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,152,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,152,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,152,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,152,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,152,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,152,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,152,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,152,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,152,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,152,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,152,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,152,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,152,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,152,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,152,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,152,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,152,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,152,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,152,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,152,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,152,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,152,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,152,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,152,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,152,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,152,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,152,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,152,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,152,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,152,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,152,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,152,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,152,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,152,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,152,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,152,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,152,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,152,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,152,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,152,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,152,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,152,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,152,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,152,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,152,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,152,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,152,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,152,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,152,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,152,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,152,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,152,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,152,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,152,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,152,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,152,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,152,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,152,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,152,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,152,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,152,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,152,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,152,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,152,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,152,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,152,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,152,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,152,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,152,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,152,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,152,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,152,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,152,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,152,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,152,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,152,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,152,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,152,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,152,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,152,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,152,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,152,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,152,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,152,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,152,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,152,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,152,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,152,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,152,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,152,UNGROUPABLE ,,,2573.63,2620.01,6
RC,152,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,152,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,152,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,152,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,152,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,152,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,152,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,152,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,152,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,152,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,152,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,152,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,152,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,152,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,152,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,152,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,152,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,152,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,152,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,152,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,152,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,152,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,152,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,152,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,152,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,152,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,152,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,153, Room & Board - Ward Pediatric  ,,,,,0
RC,153,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,153,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,153,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,153,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,153,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,153,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,153,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,153,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,153,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,153,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,153,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,153,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,153,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,153,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,153,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,153,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,153,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,153,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,153,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,153,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,153,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,153,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,153,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,153,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,153,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,153,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,153,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,153,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,153,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,153,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,153,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,153,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,153,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,153,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,153,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,153,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,153,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,153,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,153,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,153,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,153,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,153,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,153,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,153,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,153,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,153,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,153,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,153,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,153,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,153,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,153,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,153,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,153,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,153,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,153,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,153,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,153,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,153,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,153,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,153,CHEST PAIN ,,,1126.0,8649.83,7
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,153,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,153,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,153,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,153,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,153,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,153,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,153,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,153,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,153,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,153,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,153,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,153,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,153,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,153,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,153,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,153,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,153,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,153,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,153,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,153,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,153,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,153,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,153,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,153,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,153,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,153,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,153,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,153,DENTAL AND ORAL DISEASES WITH MCC ,,,1126.0,16997.79,7
RC,153,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,153,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,153,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,153,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,153,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,153,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,153,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,153,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,153,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,153,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,153,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,153,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,153,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,153,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,153,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,153,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,153,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,153,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,153,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,153,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,153,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,153,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,153,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,153,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,153,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,153,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,153,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,153,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,153,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,153,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,153,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,153,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,153,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,153,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,153,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,153,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,153,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,153,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,153,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,153,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,153,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,153,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,153,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,153,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,153,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,153,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,153,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,153,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,153,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,153,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,153,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,153,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,153,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,153,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,153,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,153,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,153,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,153,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,153,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,153,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,153,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,153,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,153,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,153,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,153,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,153,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,153,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,153,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,153,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,153,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,153,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,153,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,153,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,153,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,153,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,153,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,153,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,153,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,153,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,153,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,153,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,153,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,153,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,153,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,153,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,153,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,153,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,153,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,153,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,153,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,153,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,153,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,153,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,153,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,153,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,153,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,153,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,153,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,153,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,153,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,153,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,153,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,153,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,153,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,153,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,153,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,153,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,153,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,153,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,153,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,153,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,153,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,153,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,153,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,153,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,153,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,153,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,153,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,153,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,153,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,153,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,153,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,153,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,153,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,153,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,153,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,153,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,153,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,153,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,153,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,153,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,153,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,153,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,153,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,153,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,153,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,153,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,153,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,153,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,153,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,153,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,153,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,153,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,153,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,153,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,153,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,153,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,153,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,153,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,153,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,153,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,153,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,153,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,153,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,153,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,153,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,153,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,153,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,153,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,153,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,153,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,1126.0,10295.47,7
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,1126.0,15713.94,7
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,1126.0,8407.8,7
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,153,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,153,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,153,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,153,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,153,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,153,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,153,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,153,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,153,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,153,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,153,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,153,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,153,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,153,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,153,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,153,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,153,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,153,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,153,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,153,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,153,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,153,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,153,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,153,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,153,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,153,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,153,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,153,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,153,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,153,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,153,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,153,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,153,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,153,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,153,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,153,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,153,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,153,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,153,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,153,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,153,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,153,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,153,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,153,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,153,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,153,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,153,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,153,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,153,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,153,PSYCHOSES ,,,1126.0,14317.87,7
RC,153,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,153,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,153,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,153,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,153,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,153,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,153,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,153,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,153,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,153,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,153,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,153,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,153,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,153,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,153,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,153,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,153,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,153,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,153,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,153,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,153,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,153,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,153,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,153,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,153,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,153,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,153,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,153,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,153,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,153,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,153,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,153,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,153,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,153,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,153,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,153,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,153,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,153,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,153,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,153,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,153,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,153,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,153,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,153,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,153,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,153,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,153,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,153,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,153,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,153,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,153,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,153,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,153,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,153,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,153,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,153,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,153,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,153,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,153,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,153,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,153,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,153,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,153,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,153,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,153,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,153,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,153,UNGROUPABLE ,,,2573.63,2620.01,6
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,153,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,153,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,153,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,153,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,153,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,153,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,153,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,153,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,153,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,153,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,153,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,153,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,153,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,153,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,153,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,153,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,153,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,153,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,154, Room & Board - Ward Psychiatric  ,,,525.0,3697.0,6
RC,154,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,154,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,154,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,154,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,154,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,154,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,154,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,154,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,154,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,154,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,154,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,154,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,154,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,154,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,154,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,154,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,154,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,154,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,154,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,154,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,154,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,154,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,154,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,154,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,154,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,154,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,154,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,154,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,154,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,154,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,154,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,154,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,154,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,154,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,154,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,154,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,154,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,154,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,154,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,154,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,154,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,154,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,154,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,154,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,154,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,154,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,154,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,154,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,154,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,154,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,154,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,154,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,154,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,154,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,154,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,154,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,154,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,154,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,154,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,154,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,154,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,154,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,154,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,154,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,154,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,154,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,154,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,154,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,154,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,154,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,154,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,154,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,154,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,154,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,154,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,154,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,154,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,154,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,154,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,154,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,154,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,154,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,154,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,154,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,154,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,154,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,154,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,154,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,154,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,154,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,154,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,154,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,154,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,154,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,154,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,154,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,154,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,154,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,154,CHEST PAIN ,,,8496.74,8649.83,6
RC,154,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,154,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,154,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,154,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,154,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,154,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,154,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,154,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,154,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,154,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,154,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,154,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,154,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,154,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,154,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,154,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,154,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,154,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,154,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,154,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,154,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,154,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,154,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,154,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,154,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,154,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,154,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,154,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,154,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,154,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,154,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,154,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,154,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,154,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,154,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,154,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,154,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,154,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,154,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,154,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,154,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,154,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,154,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,154,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,154,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,154,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,154,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,154,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,154,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,154,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,154,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,154,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,154,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,154,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,154,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,154,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,154,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,154,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,154,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,154,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,154,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,154,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,154,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,154,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,154,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,154,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,154,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,154,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,154,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,154,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,154,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,154,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,154,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,154,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,154,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,154,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,154,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,154,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,154,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,154,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,154,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,154,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,154,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,154,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,154,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,154,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,154,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,154,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,154,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,154,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,154,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,154,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,154,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,154,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,154,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,154,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,154,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,154,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,154,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,154,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,154,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,154,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,154,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,154,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,154,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,154,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,154,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,154,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,154,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,154,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,154,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,154,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,154,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,154,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,154,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,154,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,154,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,154,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,154,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,154,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,154,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,154,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,154,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,154,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,154,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,154,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,154,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,154,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,154,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,154,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,154,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,154,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,154,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,154,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,154,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,154,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,154,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,154,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,154,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,154,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,154,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,154,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,154,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,154,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,154,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,154,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,154,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,154,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,154,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,154,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,154,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,154,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,154,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,154,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,154,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,154,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,154,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,154,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,154,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,154,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,154,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,154,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,154,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,154,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,154,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,154,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,154,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,154,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,154,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,154,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,154,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,154,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,154,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,154,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,154,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,154,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,154,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,154,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,154,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,154,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,154,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,154,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,154,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,154,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,154,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,154,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,154,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,154,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,154,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,154,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,154,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,154,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,154,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,154,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,154,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,154,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,154,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,154,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,154,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,154,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,154,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,154,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,154,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,154,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,154,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,154,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,154,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,154,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,154,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,154,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,154,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,154,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,154,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,154,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,154,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,154,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,154,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,154,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,154,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,154,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,154,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,154,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,154,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,154,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,154,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,154,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,154,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,154,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,154,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,154,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,154,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,154,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,154,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,154,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,154,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,154,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,154,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,154,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,154,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,154,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,154,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,154,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,154,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,154,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,154,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,154,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,154,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,154,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,154,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,154,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,154,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,154,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,154,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,154,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,154,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,154,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,154,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,154,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,154,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,154,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,154,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,154,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,154,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,154,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,154,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,154,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,154,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,154,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,154,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,154,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,154,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,154,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,154,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,154,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,154,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,154,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,10113.25,10295.47,6
RC,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,8258.99,8407.8,6
RC,154,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,154,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,154,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,154,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,154,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,154,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,154,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,154,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,154,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,154,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,154,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,154,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,154,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,154,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,154,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,154,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,154,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,154,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,154,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,154,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,154,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,154,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,154,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,154,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,154,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,154,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,154,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,154,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,154,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,154,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,154,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,154,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,154,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,154,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,154,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,154,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,154,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,154,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,154,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,154,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,154,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,154,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,154,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,154,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,154,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,154,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,154,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,154,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,154,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,154,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,154,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,154,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,154,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,154,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,154,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,154,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,154,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,154,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,154,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,154,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,154,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,154,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,154,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,154,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,154,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,154,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,154,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,154,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,154,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,154,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,154,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,154,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,154,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,154,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,154,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,154,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,154,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,154,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,154,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,154,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,154,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,154,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,154,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,154,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,154,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,154,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,154,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,154,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,154,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,154,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,154,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,154,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,154,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,154,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,154,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,154,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,154,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,154,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,154,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,154,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,154,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,154,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,154,PSYCHOSES ,,,14064.45,14317.87,6
RC,154,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,154,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,154,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,154,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,154,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,154,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,154,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,154,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,154,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,154,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,154,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,154,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,154,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,154,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,154,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,154,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,154,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,154,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,154,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,154,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,154,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,154,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,154,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,154,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,154,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,154,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,154,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,154,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,154,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,154,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,154,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,154,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,154,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,154,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,154,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,154,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,154,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,154,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,154,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,154,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,154,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,154,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,154,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,154,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,154,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,154,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,154,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,154,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,154,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,154,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,154,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,154,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,154,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,154,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,154,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,154,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,154,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,154,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,154,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,154,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,154,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,154,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,154,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,154,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,154,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,154,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,154,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,154,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,154,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,154,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,154,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,154,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,154,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,154,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,154,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,154,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,154,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,154,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,154,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,154,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,154,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,154,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,154,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,154,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,154,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,154,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,154,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,154,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,154,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,154,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,154,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,154,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,154,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,154,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,154,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,154,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,154,UNGROUPABLE ,,,2573.63,2620.01,6
RC,154,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,154,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,154,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,154,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,154,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,154,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,154,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,154,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,154,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,154,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,154,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,154,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,154,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,154,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,154,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,154,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,154,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,154,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,154,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,154,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,154,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,154,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,154,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,154,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,154,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,154,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,154,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,155, Room & Board - Ward Hospice  ,,,2195.0,4441.0,7
RC,155,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,155,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,155,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,155,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,155,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,155,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156, Room & Board - Ward Detoxification  ,,,450.0,450.0,2
RC,156,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,156,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,156,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,156,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,156,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,156,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,156,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,156,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,156,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,156,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,156,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,156,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,156,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,156,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,156,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,156,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,156,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,156,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,156,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,156,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,156,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,156,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,156,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,156,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,156,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,156,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,156,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,156,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,156,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,156,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,156,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,156,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,156,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,156,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,156,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,156,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,156,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,156,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,156,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,156,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,156,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,156,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,156,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,156,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,156,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,156,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,156,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,156,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,156,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,156,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,156,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,156,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,156,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,156,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,156,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,156,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,156,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,156,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,156,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,156,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,156,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,156,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,156,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,156,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,156,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,156,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,156,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,156,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,156,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,156,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,156,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,156,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,156,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,156,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,156,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,156,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,156,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,156,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,156,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,156,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,156,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,156,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,156,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,156,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,156,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,156,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,156,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,156,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,156,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,156,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,156,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,156,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,156,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,156,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,156,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,156,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,156,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,156,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,156,CHEST PAIN ,,,8496.74,8649.83,6
RC,156,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,156,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,156,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,156,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,156,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,156,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,156,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,156,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,156,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,156,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,156,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,156,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,156,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,156,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,156,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,156,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,156,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,156,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,156,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,156,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,156,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,156,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,156,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,156,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,156,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,156,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,156,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,156,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,156,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,156,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,156,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,156,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,156,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,156,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,156,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,156,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,156,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,156,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,156,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,156,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,156,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,156,DENTAL AND ORAL DISEASES WITH CC ,,,10058.13,10239.36,6
RC,156,DENTAL AND ORAL DISEASES WITH MCC ,,,16696.94,16997.79,6
RC,156,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,8402.13,8553.52,6
RC,156,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,156,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,156,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,156,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,156,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,156,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,156,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,156,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,156,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,156,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,156,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,156,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,156,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,156,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,156,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,156,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,156,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,156,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,156,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,156,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,156,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,156,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,156,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,156,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,156,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,156,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,156,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,156,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,156,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,156,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,156,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,156,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,156,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,156,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,156,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,156,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,156,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,156,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,156,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,156,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,156,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,156,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,156,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,156,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,156,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,156,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,156,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,156,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,156,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,156,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,156,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,156,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,156,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,156,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,156,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,156,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,156,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,156,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,156,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,156,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,156,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,156,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,156,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,156,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,156,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,156,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,156,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,156,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,156,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,156,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,156,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,156,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,156,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,156,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,156,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,156,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,156,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,156,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,156,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,156,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,156,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,156,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,156,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,156,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,156,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,156,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,156,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,156,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,156,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,156,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,156,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,156,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,156,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,156,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,156,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,156,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,156,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,156,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,156,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,156,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,156,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,156,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,156,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,156,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,156,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,156,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,156,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,156,KIDNEY TRANSPLANT ,,,3885.0,29666.29,8
RC,156,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,156,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,41993.08,9
RC,156,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,156,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,33655.17,9
RC,156,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,156,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,156,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,156,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,156,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,156,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,156,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,156,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,156,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,156,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,156,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,156,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,156,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,156,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,156,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,156,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,156,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,156,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,156,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,156,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,156,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,156,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,156,MAJOR CHEST PROCEDURES WITH CC ,,,23337.39,23757.89,6
RC,156,MAJOR CHEST PROCEDURES WITH MCC ,,,39443.3,40153.98,6
RC,156,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,18320.86,18650.97,6
RC,156,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,156,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,156,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,156,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,156,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,156,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,156,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,156,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,156,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,156,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,156,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,156,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,156,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,156,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,156,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,156,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,156,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,156,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,156,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,156,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,156,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,156,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,156,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,156,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,156,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,156,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,156,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,156,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,156,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,156,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,156,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,156,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,156,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,156,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,156,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,156,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,156,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,156,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,156,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,156,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,156,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,156,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,156,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,156,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,156,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,156,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,156,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,156,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,156,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,156,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,156,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,156,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,156,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,156,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,156,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,156,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,156,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,156,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,156,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,156,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,156,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,156,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,156,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,156,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,156,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,156,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,156,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,156,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,156,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,156,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,156,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,156,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,156,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,156,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,156,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,156,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,156,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,156,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,156,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,156,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,156,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,156,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,156,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,156,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,156,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,156,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,156,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,156,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,156,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,156,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,156,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,156,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,156,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,156,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,156,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,156,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,156,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,156,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,156,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,156,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,156,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,156,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,156,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,156,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,156,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,156,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,156,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,156,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,156,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,156,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,156,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,156,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,156,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,156,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,156,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,156,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,156,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,156,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,156,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,156,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,156,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,156,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,156,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,156,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,156,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,156,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,156,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,156,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,156,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,156,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,156,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,156,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,156,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,156,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,156,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,156,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,156,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,156,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,156,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,156,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,156,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,156,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,156,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,156,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,17409.36,17723.04,6
RC,156,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,33321.93,33922.33,6
RC,156,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13814.36,14063.27,6
RC,156,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,156,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,156,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,156,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,156,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,156,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,156,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,156,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,156,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,156,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,156,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,156,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,156,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,156,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,156,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,156,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,156,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,156,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,156,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,156,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,156,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,156,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,156,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,156,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,156,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,156,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,156,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,156,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,156,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,156,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,156,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,156,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,156,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,156,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,156,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,156,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,156,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,156,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,156,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,156,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,156,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,156,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,156,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,156,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,156,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,156,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,156,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,156,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,156,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,156,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,156,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,156,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,156,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,156,PSYCHOSES ,,,14064.45,14317.87,6
RC,156,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,156,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,156,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,156,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,156,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,156,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,156,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,156,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,156,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,156,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,156,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,156,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,156,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,156,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,156,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,156,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,156,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,156,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,156,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,156,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,156,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,156,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,156,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,156,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,156,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,156,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,156,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,156,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,156,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,156,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,156,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,156,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,156,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,156,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,156,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,156,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,156,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,156,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,156,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,156,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,156,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,156,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,156,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,156,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,156,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,156,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,156,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,156,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,156,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,156,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,156,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,156,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,156,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,156,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,156,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,156,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,156,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,156,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,156,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,156,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,156,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,156,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,156,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,156,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,156,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,156,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,156,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,156,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,156,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,156,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,156,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,156,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,156,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,156,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,156,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,156,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,156,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,156,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,156,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,156,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,156,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,156,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,156,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,156,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,156,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,156,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,156,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,156,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,156,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,156,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,156,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,156,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,156,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,156,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,156,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,156,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,156,UNGROUPABLE ,,,2573.63,2620.01,6
RC,156,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,156,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,156,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,156,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,156,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,156,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,156,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,156,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,156,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,156,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,156,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,156,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,156,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,156,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,156,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,156,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,156,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,156,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,156,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,156,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,156,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,156,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,156,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,156,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,156,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,156,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,156,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,157, Room & Board - Ward Oncology  ,,,,,0
RC,157,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,157,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,157,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,157,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,157,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,157,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,157,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,157,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,157,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,157,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,157,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,157,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,157,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,157,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,157,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,157,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,157,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,157,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,157,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,157,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,157,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,157,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,157,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,157,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,157,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,157,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,157,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,157,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,157,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,157,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,157,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,157,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,157,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,157,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,157,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,157,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,157,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,157,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,157,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,157,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,157,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,157,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,157,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,157,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,157,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,157,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,157,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,157,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,157,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,157,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,157,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,157,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,157,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,157,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,157,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,157,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,157,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,157,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,157,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,157,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,157,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,157,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,157,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,157,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,157,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,157,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,157,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,157,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,157,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,157,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,157,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,157,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,157,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,157,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,157,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,157,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,157,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,157,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,157,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,157,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,157,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,157,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,157,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,157,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,157,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,157,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,157,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,157,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,157,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,157,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,157,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,157,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,157,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,157,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,157,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,157,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,157,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,157,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,157,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,157,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,157,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,157,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,157,CHEST PAIN ,,,1126.0,8649.83,7
RC,157,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,157,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,157,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,157,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,157,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,157,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,157,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,157,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,157,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,157,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,157,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,157,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,157,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,157,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,157,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,157,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,157,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,157,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,157,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,157,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,157,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,157,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,157,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,157,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,157,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,157,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,157,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,157,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,157,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,157,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,157,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,157,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,157,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,157,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,157,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,157,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,157,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,157,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,157,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,157,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,157,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,157,DENTAL AND ORAL DISEASES WITH CC ,,,1126.0,10239.36,7
RC,157,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,1126.0,8553.52,7
RC,157,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,157,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,157,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,157,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,157,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,157,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,157,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,157,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,157,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,157,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,157,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,157,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,157,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,157,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,157,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,157,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,157,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,157,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,157,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,157,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,157,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,157,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,157,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,157,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,157,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,157,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,157,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,157,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,157,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,157,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,157,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,157,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,157,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,157,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,157,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,157,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,157,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,157,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,157,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,157,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,157,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,157,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,157,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,157,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,157,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,157,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,157,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,157,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,157,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,157,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,157,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,157,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,157,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,157,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,157,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,157,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,157,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,157,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,157,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,157,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,157,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,157,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,157,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,157,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,157,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,157,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,157,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,157,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,157,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,157,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,157,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,157,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,157,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,157,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,157,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,157,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,157,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,157,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,157,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,157,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,157,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,157,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,157,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,157,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,157,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,157,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,157,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,157,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,157,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,157,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,157,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,157,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,157,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,157,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,157,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,157,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,157,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,157,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,157,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,157,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,157,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,157,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,157,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,157,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,157,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,157,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,157,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,157,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,157,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,157,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,157,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,157,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,157,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,157,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,157,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,157,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,157,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,157,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,157,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,157,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,157,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,157,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,157,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,157,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,157,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,157,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,157,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,157,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,157,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,157,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,157,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,157,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,157,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,157,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,157,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,157,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,157,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,157,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,157,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,157,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,157,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,157,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,157,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,157,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,157,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,157,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,157,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,157,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,157,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,157,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,157,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,157,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,157,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,157,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,157,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,157,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,157,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,157,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,157,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,157,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,157,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,157,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,157,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,157,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,157,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,157,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,157,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,157,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,157,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,157,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,157,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,157,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,157,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,157,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,157,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,157,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,157,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,157,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,157,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,157,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,157,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,157,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,157,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,157,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,157,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,157,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,157,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,157,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,157,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,157,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,157,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,157,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,157,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,157,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,157,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,157,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,157,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,157,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,157,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,157,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,157,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,157,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,157,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,157,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,157,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,157,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,157,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,157,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,157,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,157,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,157,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,157,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,157,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,157,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,157,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,157,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,157,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,157,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,157,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,157,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,157,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,157,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,157,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,157,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,157,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,157,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,157,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,157,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,157,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,157,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,157,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,157,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,157,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,157,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,157,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,157,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,157,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,157,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,157,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,157,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,157,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,157,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,157,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,157,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,157,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,157,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,157,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,157,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,157,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,157,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,157,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,157,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,157,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,157,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,157,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,157,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,157,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,157,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,157,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,157,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,157,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,157,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,157,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,157,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,157,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,157,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,157,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,157,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,157,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,157,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,157,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,157,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,157,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,157,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,157,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,157,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,157,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,157,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,157,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,157,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,157,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,157,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,157,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,157,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,157,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,157,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,157,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,157,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,157,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,157,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,157,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,157,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,157,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,157,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,157,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,157,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,157,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,157,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,157,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,157,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,157,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,157,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,157,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,157,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,157,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,157,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,157,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,157,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,157,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,157,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,157,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,157,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,157,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,157,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,157,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,157,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,157,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,157,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,157,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,157,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,157,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,157,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,157,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,157,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,157,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,157,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,157,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,157,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,157,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,157,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,157,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,157,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,157,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,157,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,157,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,157,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,157,PSYCHOSES ,,,1126.0,14317.87,7
RC,157,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,157,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,157,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,157,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,157,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,157,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,157,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,157,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,157,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,157,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,157,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,157,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,157,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,157,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,157,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,157,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,157,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,157,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,157,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,157,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,157,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,157,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,157,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,157,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,157,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,157,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,157,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,157,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,157,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,157,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,157,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,157,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,157,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,157,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,157,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,157,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,157,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,157,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,157,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,157,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,157,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,157,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,157,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,157,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,157,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,157,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,157,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,157,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,157,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,157,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,157,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,157,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,157,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,157,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,157,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,157,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,157,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,157,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,157,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,157,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,157,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,157,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,157,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,157,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,157,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,157,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,157,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,157,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,157,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,157,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,157,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,157,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,157,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,157,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,157,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,157,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,157,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,157,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,157,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,157,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,157,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,157,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,157,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,157,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,157,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,157,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,157,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,157,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,157,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,157,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,157,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,157,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,157,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,157,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,157,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,157,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,157,UNGROUPABLE ,,,2573.63,2620.01,6
RC,157,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,157,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,157,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,157,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,157,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,157,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,157,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,157,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,157,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,157,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,157,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,157,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,157,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,157,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,157,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,157,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,157,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,157,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,157,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,157,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,157,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,157,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,157,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,157,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,157,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,157,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,157,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,158, Room & Board - Ward Rehabilitation  ,,,600.0,3675.0,14
RC,158,AMPUTATION LOWER EXTREMITY M <47.50 ,,,31728.32,49387.01,56
RC,158,AMPUTATION LOWER EXTREMITY M >=47.50 AND M <55.50 ,,,23852.79,37129.07,56
RC,158,AMPUTATION LOWER EXTREMITY M >=55.50 AND M <64.50 ,,,20041.56,31196.53,56
RC,158,AMPUTATION LOWER EXTREMITY M >=64.50 ,,,16496.81,25679.83,56
RC,158,AMPUTATION NON-LOWER EXTREMITY M <52.50 ,,,26435.15,40422.37,56
RC,158,AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50 ,,,21105.56,32272.7,56
RC,158,AMPUTATION NON-LOWER EXTREMITY M >=58.50 ,,,18482.94,28260.56,56
RC,158,BURNS M <52.50 ,,,29665.5,53183.92,56
RC,158,BURNS M >=52.50 ,,,18720.67,33562.02,56
RC,158,CARDIAC M <45.50 ,,,28191.23,44860.81,56
RC,158,CARDIAC M >=45.50 AND M <55.50 ,,,22595.16,35956.77,56
RC,158,CARDIAC M >=55.50 AND M <68.50 ,,,18693.83,29748.39,56
RC,158,CARDIAC M >=68.50 ,,,14673.63,23351.95,56
RC,158,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 15 DAYS OR FEWER ",,,17480.29,19053.52,14
RC,158,"EXPIRED, NOT ORTHOPEDIC, LENGTH OF STAY IS 16 DAYS OR MORE ",,,41948.48,45723.84,14
RC,158,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 13 DAYS OR FEWER ",,,16370.28,17843.6,14
RC,158,"EXPIRED, ORTHOPEDIC, LENGTH OF STAY IS 14 DAYS OR MORE ",,,39272.18,42806.68,14
RC,158,FRACTURE OF LOWER EXTREMITY M <41.50 ,,,30516.7,47936.79,56
RC,158,FRACTURE OF LOWER EXTREMITY M >=41.50 AND M <52.50 ,,,24715.5,38821.69,56
RC,158,FRACTURE OF LOWER EXTREMITY M >=52.50 AND M <61.50 ,,,20173.84,31689.69,56
RC,158,FRACTURE OF LOWER EXTREMITY M >=61.50 ,,,16320.43,25638.03,56
RC,158,GUILLAIN-BARRÉ M >=38.50 AND M <51.50 ,,,32506.67,57668.33,56
RC,158,GUILLAIN-BARRÉ M >=51.50 AND M <66.50 ,,,22974.75,40758.81,56
RC,158,GUILLAIN-BARRÉ M >=66.50 ,,,15791.31,28016.07,56
RC,158,KIDNEY TRANSPLANT ,,,3885.0,4321.0,2
RC,158,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,158,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,4321.0,3
RC,158,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,158,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,4321.0,3
RC,158,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,158,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=40.50 AND M <45.50 ,,,27984.18,43182.81,56
RC,158,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=45.50 AND M <55.50 ,,,23960.15,36974.44,56
RC,158,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=55.50 AND M <67.50 ,,,19261.29,29721.23,56
RC,158,MAJOR MULTIPLE TRAUMA WITH BRAIN OR SPINAL CORD INJURY M >=67.50 ,,,15152.91,23381.2,56
RC,158,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=36.50 AND M <41.50 ,,,28499.89,45874.3,56
RC,158,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=41.50 AND M <50.50 ,,,24767.26,39866.52,56
RC,158,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=50.50 AND M <57.50 ,,,21107.48,33977.86,56
RC,158,MAJOR MULTIPLE TRAUMA WITHOUT BRAIN OR SPINAL CORD INJURY M >=57.50 ,,,17123.71,27564.7,56
RC,158,MISCELLANEOUS M <46.50 AND A <77.50 ,,,28950.41,46219.09,56
RC,158,MISCELLANEOUS M <46.50 AND A >=77.50 ,,,27658.27,44156.6,56
RC,158,MISCELLANEOUS M >=46.50 AND M <55.50 ,,,22679.52,36205.44,56
RC,158,MISCELLANEOUS M >=55.50 AND M <66.50 ,,,19313.06,30832.93,56
RC,158,MISCELLANEOUS M >=66.50 ,,,15555.5,24833.51,56
RC,158,NEUROLOGICAL M <43.50 ,,,30091.1,51192.48,56
RC,158,NEUROLOGICAL M >=43.50 AND M <52.50 ,,,23793.36,40476.7,56
RC,158,NEUROLOGICAL M >=52.50 AND M <64.50 ,,,20008.97,34038.46,56
RC,158,NEUROLOGICAL M >=64.50 ,,,16084.63,27364.09,56
RC,158,NON-TRAUMATIC BRAIN INJURY M <42.50 AND A >=78.50 ,,,28689.68,45209.78,56
RC,158,NON-TRAUMATIC BRAIN INJURY M >=42.50 AND M <52.50 ,,,24218.96,38161.36,56
RC,158,NON-TRAUMATIC BRAIN INJURY M >=52.50 AND M <65.50 ,,,20480.58,32274.79,56
RC,158,NON-TRAUMATIC BRAIN INJURY M >=65.50 ,,,15833.48,24948.45,56
RC,158,NON-TRAUMATIC SPINAL CORD INJURY M <39.50 ,,,39461.97,65285.14,56
RC,158,NON-TRAUMATIC SPINAL CORD INJURY M >=39.50 AND M <48.50 ,,,27773.3,45949.52,56
RC,158,NON-TRAUMATIC SPINAL CORD INJURY M >=48.50 AND M <53.50 ,,,23243.15,38453.91,56
RC,158,NON-TRAUMATIC SPINAL CORD INJURY M >=53.50 AND M <60.50 ,,,20526.59,33959.06,56
RC,158,NON-TRAUMATIC SPINAL CORD INJURY M >=60.50 ,,,16535.15,27353.64,56
RC,158,OSTEOARTHRITIS M <49.50 AND A <74.50 ,,,27031.38,44854.54,56
RC,158,OSTEOARTHRITIS M <49.50 AND A >=74.50 ,,,26256.86,43569.4,56
RC,158,OSTEOARTHRITIS M >=49.50 AND M <61.50 ,,,19614.04,32548.54,56
RC,158,OSTEOARTHRITIS M >=61.50 ,,,16682.77,27681.72,56
RC,158,OTHER ORTHOPEDIC M <44.5 ,,,28133.72,46979.73,56
RC,158,OTHER ORTHOPEDIC M >=44.50 AND M <51.50 ,,,23363.93,39013.94,56
RC,158,OTHER ORTHOPEDIC M >=51.50 AND M <63.50 ,,,19688.81,32876.61,56
RC,158,OTHER ORTHOPEDIC M >=63.50 ,,,15497.99,25880.43,56
RC,158,PAIN SYNDROME M >=43.50 AND M <58.50 ,,,21820.65,32007.31,56
RC,158,PAIN SYNDROME M >=58.50 AND M <65.50 ,,,18019.0,26430.01,56
RC,158,PAIN SYNDROME M >=65.50 ,,,14974.62,21966.5,56
RC,158,PULMONARY M <45.50 ,,,32326.46,48950.27,56
RC,158,PULMONARY M >=45.50 AND M <56.50 ,,,25777.58,39034.84,56
RC,158,PULMONARY M >=56.50 AND M <68.50 ,,,22112.05,33480.52,56
RC,158,PULMONARY M >=68.50 ,,,18082.26,27380.81,56
RC,158,REHABILITATION WITH CC/MCC ,,,1952.0,2960.0,7
RC,158,REHABILITATION WITHOUT CC/MCC ,,,1952.0,2960.0,7
RC,158,REPLACEMENT OF LOWER-EXTREMITY JOINT M <42.50 ,,,28275.59,43694.78,56
RC,158,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=42.50 AND M <51.50 ,,,22702.52,35081.2,56
RC,158,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=51.50 AND M <57.50 ,,,19984.05,30880.99,56
RC,158,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=57.50 AND M <63.50 ,,,18158.95,28059.95,56
RC,158,REPLACEMENT OF LOWER-EXTREMITY JOINT M >=63.50 ,,,15931.26,24618.28,56
RC,158,RHEUMATOID OTHER ARTHRITIS M <44.50 AND A >=64.50 ,,,29228.39,47878.28,56
RC,158,RHEUMATOID OTHER ARTHRITIS M >=44.50 AND M <51.50 AND A >=64.50 ,,,22645.01,37095.64,56
RC,158,RHEUMATOID OTHER ARTHRITIS M >=51.50 AND M <62.50 ,,,19594.87,32097.17,56
RC,158,RHEUMATOID OTHER ARTHRITIS M >=62.50 ,,,15981.1,26177.16,56
RC,158,"SHORT-STAY CASES, LENGTH OF STAY IS 3 DAYS OR FEWER ",,,3364.54,3667.35,14
RC,158,STROKE M <41.50 AND A <84.50 ,,,41440.44,59189.61,56
RC,158,STROKE M <41.50 AND A >=84.50 ,,,36789.51,52546.58,56
RC,158,STROKE M >=41.50 AND M <50.50 ,,,29519.8,42163.06,56
RC,158,STROKE M >=50.50 AND M <63.50 ,,,23112.78,33012.44,56
RC,158,STROKE M >=63.50 AND M <72.50 ,,,18005.58,25715.35,56
RC,158,STROKE M >=72.50 ,,,14146.42,20204.92,56
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,158,TRAUMATIC BRAIN INJURY M <35.50 ,,,35650.74,56939.04,56
RC,158,TRAUMATIC BRAIN INJURY M >=35.50 AND M <49.50 ,,,27788.64,44382.28,56
RC,158,TRAUMATIC BRAIN INJURY M >=49.50 AND M <61.50 ,,,22547.23,36011.1,56
RC,158,TRAUMATIC BRAIN INJURY M >=61.50 AND M <73.50 ,,,18135.94,28964.77,56
RC,158,TRAUMATIC BRAIN INJURY M >=73.50 ,,,13887.61,22179.65,56
RC,158,TRAUMATIC SPINAL CORD INJURY M <31.50 AND A <61.50 ,,,43857.93,66378.03,56
RC,158,TRAUMATIC SPINAL CORD INJURY M >=31.50 AND M <41.50 ,,,34740.11,52577.92,56
RC,158,TRAUMATIC SPINAL CORD INJURY M >=41.50 AND M <47.50 ,,,27065.88,40965.69,56
RC,158,TRAUMATIC SPINAL CORD INJURY M >=47.50 AND M <56.50 ,,,23450.2,35492.87,56
RC,158,TRAUMATIC SPINAL CORD INJURY M >=56.50 ,,,18705.33,28310.71,56
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159, Room & Board - Ward Other  ,,,,,0
RC,159,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,1318.0,1
RC,159,ABORTION WITHOUT D&C ,,,1126.0,1126.0,1
RC,159,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,1126.0,1
RC,159,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,1126.0,1
RC,159,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,1126.0,1
RC,159,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,159,ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,159,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,1318.0,1
RC,159,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,1126.0,1
RC,159,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,1126.0,1
RC,159,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,159,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,1126.0,1
RC,159,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,1126.0,1
RC,159,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,159,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,AFTERCARE WITH CC/MCC ,,,1126.0,1126.0,1
RC,159,AFTERCARE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,1126.0,1
RC,159,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,1126.0,1
RC,159,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,159,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,1126.0,1
RC,159,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,1126.0,1
RC,159,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,1126.0,1
RC,159,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,1126.0,1
RC,159,ALLERGIC REACTIONS WITH MCC ,,,1126.0,1126.0,1
RC,159,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,1318.0,1
RC,159,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,1318.0,1
RC,159,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,1318.0,1
RC,159,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,159,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,159,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,1318.0,1
RC,159,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,1318.0,3
RC,159,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,ANGINA PECTORIS ,,,1126.0,1126.0,1
RC,159,APPENDIX PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,APPENDIX PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,ATHEROSCLEROSIS WITH MCC ,,,1126.0,1126.0,1
RC,159,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,159,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,1318.0,1
RC,159,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,1126.0,1
RC,159,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,1126.0,1
RC,159,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,159,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,1318.0,3
RC,159,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,1318.0,1
RC,159,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,1318.0,1
RC,159,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,1126.0,1
RC,159,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,159,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,1126.0,1
RC,159,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,1126.0,1
RC,159,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,1126.0,1
RC,159,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,159,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,159,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,1318.0,1
RC,159,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,1318.0,1
RC,159,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,CELLULITIS WITH MCC ,,,1126.0,1126.0,1
RC,159,CELLULITIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,1318.0,1
RC,159,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,159,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,1126.0,1
RC,159,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,1126.0,1
RC,159,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,1126.0,1
RC,159,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,1126.0,1
RC,159,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,CHEST PAIN ,,,1126.0,1126.0,1
RC,159,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,159,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,159,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,159,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,159,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,1126.0,1
RC,159,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,159,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,1126.0,1
RC,159,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,1126.0,1
RC,159,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,COAGULATION DISORDERS ,,,1126.0,1126.0,1
RC,159,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,1318.0,1
RC,159,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,1318.0,1
RC,159,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,1126.0,1
RC,159,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,159,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,1126.0,1
RC,159,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,1126.0,1
RC,159,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,1318.0,1
RC,159,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,1318.0,1
RC,159,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,159,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,159,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,159,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,1318.0,1
RC,159,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,DEPRESSIVE NEUROSES ,,,1126.0,1126.0,1
RC,159,DIABETES WITH CC ,,,1126.0,1126.0,1
RC,159,DIABETES WITH MCC ,,,1126.0,1126.0,1
RC,159,DIABETES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,159,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,159,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,1126.0,1
RC,159,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,1126.0,1
RC,159,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,1126.0,1
RC,159,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,1126.0,1
RC,159,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,1126.0,1
RC,159,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,1126.0,1
RC,159,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,1126.0,1
RC,159,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,1126.0,1
RC,159,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,ENDOCRINE DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,159,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,1318.0,1
RC,159,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,1126.0,1
RC,159,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,1126.0,1
RC,159,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,1318.0,1
RC,159,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,1126.0,1
RC,159,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,159,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,159,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,1318.0,1
RC,159,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,1126.0,1
RC,159,FOOT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,FOOT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,1126.0,2
RC,159,FRACTURES OF FEMUR WITH MCC ,,,1126.0,1126.0,1
RC,159,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,1126.0,1
RC,159,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,1126.0,1
RC,159,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,1126.0,1
RC,159,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,1126.0,1
RC,159,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,1126.0,1
RC,159,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,1126.0,1
RC,159,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,159,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,HAND PROCEDURES FOR INJURIES ,,,1318.0,1318.0,1
RC,159,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,1126.0,1
RC,159,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,1126.0,1
RC,159,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,1318.0,1
RC,159,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,1318.0,1
RC,159,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,1318.0,1
RC,159,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,1318.0,1
RC,159,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,1318.0,1
RC,159,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,1126.0,1
RC,159,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,1126.0,1
RC,159,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,1126.0,1
RC,159,HYPERTENSION WITH MCC ,,,1126.0,1126.0,1
RC,159,HYPERTENSION WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,1126.0,1
RC,159,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,159,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,159,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,159,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,1126.0,1
RC,159,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,1126.0,1
RC,159,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,159,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,1126.0,1
RC,159,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,1126.0,1
RC,159,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,159,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,159,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,1318.0,1
RC,159,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,1318.0,1
RC,159,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,159,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,159,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,159,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,159,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,KIDNEY TRANSPLANT ,,,1318.0,4321.0,3
RC,159,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,159,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,4321.0,4
RC,159,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,159,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,4321.0,4
RC,159,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,159,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,1318.0,1
RC,159,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,1318.0,1
RC,159,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,1318.0,1
RC,159,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,1318.0,1
RC,159,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,1318.0,3
RC,159,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,1318.0,1
RC,159,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,1318.0,1
RC,159,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,1318.0,1
RC,159,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,1318.0,1
RC,159,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,1126.0,1
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,1126.0,1
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,159,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,1126.0,1
RC,159,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,1126.0,1
RC,159,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,1126.0,3
RC,159,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,1318.0,1
RC,159,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,1318.0,1
RC,159,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,1318.0,1
RC,159,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,1318.0,1
RC,159,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,1126.0,1
RC,159,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,1126.0,1
RC,159,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,159,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,159,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,159,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,1126.0,1
RC,159,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,1126.0,1
RC,159,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,159,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,159,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,1126.0,1
RC,159,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,159,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,1126.0,1
RC,159,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,1126.0,1
RC,159,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,1318.0,3
RC,159,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,1318.0,1
RC,159,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,1318.0,3
RC,159,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,1318.0,2
RC,159,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,1126.0,1
RC,159,NON-EXTENSIVE BURNS ,,,1126.0,1126.0,1
RC,159,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,1318.0,1
RC,159,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,1318.0,1
RC,159,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,1126.0,1
RC,159,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,1318.0,1
RC,159,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,1318.0,1
RC,159,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,1318.0,1
RC,159,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,1318.0,1
RC,159,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,1126.0,1
RC,159,OSTEOMYELITIS WITH CC ,,,1126.0,1126.0,1
RC,159,OSTEOMYELITIS WITH MCC ,,,1126.0,1126.0,1
RC,159,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,1126.0,1
RC,159,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,1126.0,1
RC,159,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,159,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,159,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,159,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,159,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,159,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,159,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,1126.0,1
RC,159,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,159,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,159,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,1126.0,1
RC,159,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,1126.0,1
RC,159,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,159,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,159,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,1126.0,1
RC,159,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,1126.0,1
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,1126.0,1
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,1318.0,1
RC,159,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,1126.0,3
RC,159,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,1126.0,1
RC,159,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,159,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,159,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,159,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,159,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,1126.0,3
RC,159,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,1318.0,1
RC,159,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,1318.0,1
RC,159,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,1318.0,1
RC,159,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,1318.0,1
RC,159,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,159,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,1318.0,1
RC,159,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,1318.0,1
RC,159,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,PLEURAL EFFUSION WITH CC ,,,1126.0,1126.0,1
RC,159,PLEURAL EFFUSION WITH MCC ,,,1126.0,1126.0,1
RC,159,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,PNEUMOTHORAX WITH CC ,,,1126.0,1126.0,1
RC,159,PNEUMOTHORAX WITH MCC ,,,1126.0,1126.0,1
RC,159,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,1126.0,1
RC,159,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,1318.0,1
RC,159,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,1126.0,1
RC,159,PROSTATECTOMY WITH CC ,,,1318.0,1318.0,1
RC,159,PROSTATECTOMY WITH MCC ,,,1318.0,1318.0,1
RC,159,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,PSYCHOSES ,,,1126.0,1126.0,1
RC,159,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,1126.0,1
RC,159,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,1126.0,1
RC,159,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,RADIOTHERAPY ,,,1126.0,1126.0,1
RC,159,RECTAL RESECTION WITH CC ,,,1318.0,1318.0,1
RC,159,RECTAL RESECTION WITH MCC ,,,1318.0,1318.0,1
RC,159,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,RENAL FAILURE WITH CC ,,,1126.0,1126.0,1
RC,159,RENAL FAILURE WITH MCC ,,,1126.0,1126.0,1
RC,159,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,1126.0,1
RC,159,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,1126.0,1
RC,159,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,1126.0,1
RC,159,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,1126.0,1
RC,159,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,1126.0,1
RC,159,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,1126.0,1
RC,159,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,1126.0,1
RC,159,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,1126.0,1
RC,159,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,1126.0,1
RC,159,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,1318.0,1
RC,159,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,1318.0,1
RC,159,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,SEPTIC ARTHRITIS WITH CC ,,,1126.0,1126.0,1
RC,159,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,1126.0,1
RC,159,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,1126.0,1
RC,159,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,1126.0,1
RC,159,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,159,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,159,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,1318.0,1
RC,159,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,1126.0,1
RC,159,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,1126.0,1
RC,159,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,1126.0,1
RC,159,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,1126.0,1
RC,159,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,1318.0,1
RC,159,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,1318.0,1
RC,159,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,1318.0,1
RC,159,SKIN DEBRIDEMENT WITH CC ,,,1318.0,1318.0,1
RC,159,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,1318.0,1
RC,159,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,159,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,159,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,1318.0,1
RC,159,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,1318.0,1
RC,159,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,1318.0,3
RC,159,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,SKIN ULCERS WITH CC ,,,1126.0,1126.0,1
RC,159,SKIN ULCERS WITH MCC ,,,1126.0,1126.0,1
RC,159,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,1126.0,1
RC,159,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,1318.0,3
RC,159,SPLENIC PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,SPLENIC PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,1126.0,1
RC,159,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,1126.0,1
RC,159,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,159,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,159,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,SYNCOPE AND COLLAPSE ,,,1126.0,1126.0,1
RC,159,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,1126.0,1
RC,159,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,1126.0,1
RC,159,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,1318.0,1
RC,159,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,1318.0,1
RC,159,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,159,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,1318.0,1
RC,159,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,1318.0,1
RC,159,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,159,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,1318.0,2
RC,159,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,1318.0,1
RC,159,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,1126.0,1
RC,159,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,1318.0,1
RC,159,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,1318.0,1
RC,159,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,URETHRAL STRICTURE ,,,1126.0,1126.0,1
RC,159,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,1318.0,1
RC,159,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,159,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,1318.0,1
RC,159,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,1318.0,1
RC,159,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,1318.0,1
RC,159,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,1318.0,1
RC,159,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,159,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,1318.0,1
RC,159,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,1318.0,1
RC,159,VEIN LIGATION AND STRIPPING ,,,1318.0,1318.0,1
RC,159,VIRAL ILLNESS WITH MCC ,,,1126.0,1126.0,1
RC,159,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,1126.0,1
RC,159,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,1318.0,3
RC,159,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,1318.0,1
RC,159,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,1318.0,1
RC,159,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,1318.0,1
RC,160, Room & Board - Other General Classification  ,,,,,0
RC,160,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,160,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,160,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,160,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,160,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,160,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,160,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,160,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,160,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,160,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,160,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,160,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,160,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,160,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,160,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,160,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,160,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,160,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,160,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,160,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,160,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,160,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,160,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,160,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,160,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,160,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,160,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,160,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,160,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,160,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,160,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,160,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,160,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,160,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,160,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,160,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,160,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,160,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,160,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,160,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,160,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,160,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,160,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,160,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,160,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,160,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,160,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,160,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,160,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,160,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,160,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,160,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,160,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,160,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,160,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,160,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,160,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,160,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,160,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,160,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,160,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,160,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,160,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,160,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,160,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,160,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,160,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,160,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,160,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,160,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,160,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,160,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,160,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,160,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,160,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,160,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,160,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,160,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,160,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,160,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,160,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,160,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,160,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,160,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,160,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,160,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,160,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,160,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,160,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,160,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,160,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,160,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,160,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,160,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,160,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,160,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,160,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,160,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,160,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,160,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,160,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,160,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,160,CHEST PAIN ,,,1126.0,8649.83,7
RC,160,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,160,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,160,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,160,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,160,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,160,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,160,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,160,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,160,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,160,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,160,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,160,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,160,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,160,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,160,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,160,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,160,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,160,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,160,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,160,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,160,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,160,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,160,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,160,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,160,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,160,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,160,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,160,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,160,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,160,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,160,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,160,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,160,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,160,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,160,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,160,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,160,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,160,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,160,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,160,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,160,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,160,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,160,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,160,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,160,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,160,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,160,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,160,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,160,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,160,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,160,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,160,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,160,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,160,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,160,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,160,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,160,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,160,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,160,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,160,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,160,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,160,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,160,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,160,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,160,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,160,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,160,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,160,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,160,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,160,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,160,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,160,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,160,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,160,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,160,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,160,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,160,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,160,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,160,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,160,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,160,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,160,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,160,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,160,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,160,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,160,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,160,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,160,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,160,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,160,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,160,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,160,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,160,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,160,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,160,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,160,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,160,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,160,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,160,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,160,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,160,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,160,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,160,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,160,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,160,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,160,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,160,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,160,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,160,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,160,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,160,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,160,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,160,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,160,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,160,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,160,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,160,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,160,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,160,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,160,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,160,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,160,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,160,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,160,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,160,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,160,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,160,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,160,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,160,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,160,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,160,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,160,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,160,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,160,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,160,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,160,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,160,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,160,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,160,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,160,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,160,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,160,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,160,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,160,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,160,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,160,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,160,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,160,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,160,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,160,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,160,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,160,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,160,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,160,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,160,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,160,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,160,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,160,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,160,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,160,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,160,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,160,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,160,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,160,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,160,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,160,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,160,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,160,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,160,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,160,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,160,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,160,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,160,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,160,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,160,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,160,MAJOR CHEST PROCEDURES WITH CC ,,,1318.0,23757.89,7
RC,160,MAJOR CHEST PROCEDURES WITH MCC ,,,1318.0,40153.98,7
RC,160,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,160,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,160,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,160,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,160,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,160,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,160,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,160,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,160,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,160,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,160,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,160,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,160,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,160,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,160,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,160,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,160,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,160,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,160,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,160,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,160,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,160,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,160,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,160,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,160,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,160,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,160,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,160,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,160,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,160,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,160,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,160,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,160,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,160,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,160,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,160,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,160,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,160,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,160,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,160,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,160,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,160,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,160,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,160,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,160,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,160,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,160,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,160,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,160,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,160,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,160,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,160,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,160,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,160,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,160,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,160,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,160,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,160,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,160,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,160,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,160,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,160,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,160,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,160,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,160,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,160,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,160,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,160,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,160,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,160,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,160,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,160,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,160,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,160,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,160,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,160,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,160,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,160,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,160,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,160,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,160,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,160,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,160,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,160,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,160,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,160,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,160,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,160,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,160,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,160,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,160,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,160,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,160,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,160,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,160,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,160,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,160,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,160,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,160,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,160,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,160,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,160,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,160,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,160,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,160,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,160,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,160,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,160,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,160,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,160,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,160,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,160,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,160,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,160,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,160,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,160,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,160,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,160,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,160,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,160,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,160,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,160,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,160,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,160,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,160,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,160,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,160,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,160,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,160,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,160,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,160,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,160,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,160,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,160,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,160,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,160,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,160,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,160,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,160,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,160,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,160,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,160,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,160,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,160,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,160,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,160,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,160,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,160,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,160,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,160,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,160,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,160,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,160,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,160,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,160,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,160,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,160,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,160,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,160,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,160,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,160,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,160,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,160,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,160,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,160,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,160,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,160,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,160,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,160,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,160,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,160,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,160,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,160,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,160,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,160,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,160,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,160,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,160,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,160,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,160,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,160,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,160,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,160,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,160,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,160,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,160,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,160,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,160,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,160,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,160,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,160,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,160,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,160,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,160,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,160,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,160,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,160,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,160,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,160,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,160,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,160,PSYCHOSES ,,,1126.0,14317.87,7
RC,160,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,160,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,160,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,160,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,160,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,160,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,160,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,160,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,160,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,160,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,160,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,160,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,160,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,160,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,160,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,160,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,160,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,160,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,160,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,160,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,160,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,160,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,160,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,160,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,160,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,160,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,160,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,160,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,160,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,160,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,160,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,160,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,160,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,160,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,160,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,160,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,160,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,160,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,160,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,160,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,160,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,160,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,160,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,160,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,160,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,160,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,160,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,160,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,160,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,160,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,160,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,160,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,160,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,160,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,160,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,160,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,160,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,160,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,160,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,160,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,160,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,160,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,160,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,160,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,160,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,160,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,160,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,160,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,160,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,160,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,160,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,160,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,160,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,160,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,160,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,160,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,160,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,160,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,160,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,160,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,160,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,160,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,160,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,160,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,160,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,160,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,160,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,160,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,160,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,160,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,160,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,160,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,160,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,160,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,160,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,160,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,160,UNGROUPABLE ,,,2573.63,2620.01,6
RC,160,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,160,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,160,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,160,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,160,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,160,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,160,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,160,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,160,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,160,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,160,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,160,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,160,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,160,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,160,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,160,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,160,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,160,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,160,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,160,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,160,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,160,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,160,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,160,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,160,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,160,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,160,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,164, Room & Board - Other Sterile Environment  ,,,,,0
RC,164,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,164,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,164,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,164,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,164,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,164,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,164,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,164,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,164,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,164,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,164,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,164,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,164,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,164,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,164,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,164,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,164,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,164,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,164,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,164,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,164,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,164,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,164,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,164,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,164,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,164,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,164,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,164,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,164,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,164,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,164,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,164,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,164,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,164,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,164,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,164,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,164,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,164,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,164,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,164,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,164,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,164,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,164,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,164,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,164,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,164,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,164,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,164,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,164,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,164,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,164,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,164,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,164,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,164,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,164,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,164,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,164,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,164,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,164,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,164,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,164,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,164,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,164,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,164,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,164,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,164,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,164,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,164,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,164,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,164,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,164,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,164,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,164,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,164,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,164,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,164,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,164,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,164,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,164,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,164,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,164,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,164,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,164,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,164,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,164,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,164,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,164,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,164,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,164,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,164,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,164,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,164,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,164,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,164,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,164,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,164,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,164,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,164,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,164,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,164,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,164,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,164,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,164,CHEST PAIN ,,,1126.0,8649.83,7
RC,164,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,164,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,164,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,164,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,164,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,164,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,164,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,164,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,164,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,164,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,164,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,164,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,164,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,164,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,164,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,164,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,164,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,164,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,164,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,164,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,164,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,164,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,164,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,164,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,164,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,164,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,164,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,164,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,164,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,164,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,164,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,164,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,164,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,164,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,164,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,164,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,164,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,164,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,164,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,164,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,164,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,164,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,164,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,164,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,164,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,164,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,164,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,164,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,164,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,164,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,164,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,164,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,164,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,164,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,164,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,164,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,164,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,164,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,164,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,164,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,164,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,164,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,164,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,164,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,164,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,164,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,164,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,164,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,164,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,164,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,164,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,164,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,164,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,164,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,164,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,164,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,164,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,164,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,164,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,164,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,164,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,164,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,164,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,164,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,164,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,164,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,164,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,164,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,164,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,164,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,164,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,164,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,164,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,164,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,164,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,164,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,164,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,164,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,164,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,164,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,164,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,164,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,164,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,164,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,164,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,164,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,164,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,164,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,164,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,164,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,164,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,164,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,164,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,164,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,164,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,164,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,164,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,164,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,164,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,164,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,164,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,164,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,164,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,164,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,164,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,164,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,164,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,164,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,164,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,164,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,164,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,164,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,164,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,164,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,164,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,164,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,164,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,164,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,164,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,164,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,164,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,164,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,164,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,164,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,164,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,164,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,164,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,164,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,164,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,164,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,164,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,164,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,164,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,164,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,164,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,164,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,164,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,164,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,164,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,164,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,164,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,164,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,164,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,164,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,164,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,164,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,164,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,164,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,164,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,164,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,164,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,164,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,164,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,164,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,164,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,164,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,1318.0,18650.97,7
RC,164,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,164,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,164,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,164,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,164,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,164,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,164,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,164,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,164,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,164,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,164,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,164,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,164,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,164,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,164,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,164,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,164,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,164,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,164,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,164,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,164,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,164,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,164,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,164,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,164,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,164,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,164,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,164,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,164,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,164,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,164,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,164,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,164,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,164,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,164,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,164,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,164,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,164,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,164,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,164,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,164,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,164,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,164,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,164,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,164,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,164,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,164,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,164,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,164,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,164,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,164,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,164,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,164,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,164,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,164,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,164,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,164,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,164,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,164,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,164,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,164,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,164,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,164,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,164,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,164,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,164,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,164,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,164,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,164,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,164,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,164,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,164,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,164,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,164,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,164,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,164,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,164,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,164,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,164,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,164,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,164,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,164,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,164,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,164,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,164,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,164,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,164,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,164,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,164,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,164,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,164,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,164,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,164,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,164,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,164,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,164,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,164,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,164,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,164,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,164,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,164,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,164,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,164,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,164,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,164,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,164,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,164,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,164,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,164,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,164,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,164,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,164,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,164,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,164,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,164,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,164,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,164,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,164,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,164,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,164,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,164,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,164,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,164,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,164,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,164,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,164,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,164,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,164,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,164,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,164,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,164,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,164,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,164,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,164,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,164,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,164,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,164,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,164,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,164,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,164,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,164,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,164,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,164,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,164,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,17723.04,7
RC,164,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,33922.33,7
RC,164,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,164,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,164,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,164,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,164,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,164,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,164,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,164,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,164,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,164,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,164,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,164,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,164,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,164,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,164,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,164,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,164,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,164,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,164,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,164,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,164,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,164,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,164,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,164,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,164,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,164,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,164,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,164,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,164,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,164,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,164,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,164,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,164,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,164,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,164,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,164,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,164,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,164,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,164,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,164,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,164,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,164,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,164,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,164,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,164,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,164,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,164,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,164,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,164,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,164,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,164,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,164,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,164,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,164,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,164,PSYCHOSES ,,,1126.0,14317.87,7
RC,164,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,164,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,164,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,164,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,164,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,164,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,164,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,164,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,164,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,164,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,164,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,164,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,164,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,164,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,164,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,164,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,164,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,164,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,164,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,164,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,164,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,164,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,164,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,164,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,164,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,164,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,164,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,164,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,164,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,164,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,164,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,164,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,164,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,164,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,164,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,164,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,164,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,164,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,164,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,164,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,164,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,164,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,164,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,164,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,164,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,164,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,164,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,164,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,164,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,164,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,164,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,164,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,164,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,164,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,164,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,164,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,164,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,164,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,164,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,164,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,164,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,164,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,164,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,164,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,164,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,164,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,164,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,164,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,164,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,164,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,164,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,164,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,164,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,164,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,164,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,164,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,164,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,164,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,164,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,164,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,164,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,164,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,164,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,164,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,164,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,164,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,164,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,164,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,164,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,164,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,164,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,164,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,164,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,164,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,164,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,164,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,164,UNGROUPABLE ,,,2573.63,2620.01,6
RC,164,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,164,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,164,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,164,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,164,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,164,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,164,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,164,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,164,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,164,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,164,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,164,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,164,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,164,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,164,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,164,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,164,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,164,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,164,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,164,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,164,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,164,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,164,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,164,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,164,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,164,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,164,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,167, Room & Board - Other Self Care  ,,,,,0
RC,167,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,167,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,167,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,167,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,167,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,167,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,167,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,167,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,167,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,167,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,167,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,167,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,167,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,167,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,167,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,167,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,167,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,167,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,167,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,167,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,167,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,167,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,167,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,167,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,167,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,167,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,167,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,167,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,167,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,167,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,167,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,167,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,167,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,167,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,167,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,167,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,167,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,167,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,167,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,167,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,167,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,167,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,167,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,167,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,167,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,167,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,167,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,167,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,167,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,167,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,167,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,167,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,167,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,167,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,167,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,167,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,167,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,167,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,167,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,167,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,167,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,167,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,167,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,167,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,167,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,167,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,167,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,167,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,167,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,167,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,167,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,167,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,167,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,167,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,167,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,167,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,167,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,167,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,167,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,167,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,167,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,167,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,167,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,167,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,167,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,167,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,167,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,167,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,167,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,167,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,167,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,717.0,11498.09,8
RC,167,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,717.0,23180.87,8
RC,167,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,717.0,10641.35,8
RC,167,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,717.0,11972.94,8
RC,167,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,717.0,16434.17,8
RC,167,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,717.0,10649.72,8
RC,167,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,167,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,167,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,167,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,167,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,167,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,167,CHEST PAIN ,,,1126.0,8649.83,7
RC,167,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,167,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,167,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,167,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,167,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,167,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,167,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,167,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,167,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,167,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,167,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,167,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,167,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,167,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,167,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,167,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,167,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,167,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,167,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,167,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,167,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,167,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,167,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,167,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,167,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,167,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,167,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,167,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,167,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,167,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,167,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,167,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,167,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,167,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,167,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,167,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,167,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,167,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,167,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,167,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,167,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,167,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,167,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,167,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,167,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,167,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,167,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,167,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,167,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,167,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,167,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,167,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,167,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,167,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,167,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,167,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,167,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,167,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,167,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,167,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,167,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,167,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,167,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,167,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,167,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,167,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,167,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,167,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,167,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,167,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,167,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,167,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,167,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,167,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,167,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,167,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,167,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,167,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,167,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,167,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,167,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,167,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,167,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,167,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,167,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,167,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,167,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,167,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,167,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,167,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,167,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,167,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,167,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,167,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,167,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,167,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,167,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,167,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,167,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,167,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,167,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,167,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,167,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,167,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,167,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,167,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,167,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,167,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,167,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,167,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,167,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,167,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,167,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,167,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,167,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,167,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,167,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,167,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,167,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,167,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,167,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,167,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,167,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,167,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,167,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,167,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,167,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,167,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,167,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,167,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,167,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,167,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,167,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,167,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,167,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,167,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,167,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,167,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,167,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,167,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,167,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,167,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,167,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,167,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,167,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,167,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,167,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,167,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,167,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,167,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,167,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,167,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,167,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,167,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,167,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,167,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,167,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,167,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,167,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,167,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,167,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,167,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,167,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,167,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,167,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,167,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,167,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,167,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,167,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,167,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,167,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,167,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,167,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,167,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,167,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,167,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,167,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,167,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,167,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,167,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,167,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,167,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,167,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,167,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,167,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,167,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,167,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,167,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,167,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,167,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,167,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,167,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,167,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,167,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,167,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,167,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,167,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,167,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,167,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,167,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,167,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,167,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,167,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,167,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,167,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,167,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,167,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,167,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,167,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,167,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,167,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,167,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,167,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,167,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,167,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,167,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,167,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,167,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,167,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,167,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,167,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,167,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,167,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,167,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,167,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,167,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,167,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,167,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,167,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,167,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,167,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,167,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,167,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,167,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,167,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,167,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,167,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,167,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,167,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,167,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,167,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,167,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,167,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,167,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,167,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,167,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,167,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,167,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,167,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,167,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,167,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,167,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,167,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,167,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,167,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,167,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,167,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,167,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,167,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,167,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,167,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,167,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,167,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,167,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,167,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,167,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,167,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,167,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,167,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,167,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,167,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,167,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,167,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,167,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,167,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,167,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,167,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,167,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,167,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,167,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,167,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,167,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,167,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,167,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,167,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,167,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,167,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,167,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,167,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,167,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,167,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,167,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,167,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,167,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,167,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,167,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,167,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,167,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,167,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,167,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,167,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,167,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,167,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,167,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,167,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,167,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,167,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,167,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,167,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,167,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,167,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,167,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,167,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,167,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,167,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,167,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,167,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,167,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14063.27,7
RC,167,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,167,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,167,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,167,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,167,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,167,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,167,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,167,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,167,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,167,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,167,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,167,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,167,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,167,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,167,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,167,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,167,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,167,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,167,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,167,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,167,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,167,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,167,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,167,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,167,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,167,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,167,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,167,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,167,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,167,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,167,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,167,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,167,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,167,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,167,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,167,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,167,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,167,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,167,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,167,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,167,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,167,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,167,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,167,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,167,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,167,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,167,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,167,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,167,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,167,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,167,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,167,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,167,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,167,PSYCHOSES ,,,1126.0,14317.87,7
RC,167,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,167,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,167,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,167,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,167,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,167,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,167,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,167,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,167,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,167,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,167,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,167,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,167,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,167,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,167,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,167,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,167,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,167,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,167,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,167,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,167,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,167,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,167,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,167,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,167,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,167,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,167,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,167,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,167,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,167,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,167,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,167,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,167,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,167,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,167,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,167,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,167,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,167,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,167,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,167,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,167,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,167,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,167,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,167,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,167,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,167,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,167,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,167,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,167,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,167,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,167,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,167,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,167,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,167,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,167,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,167,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,167,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,167,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,167,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,167,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,167,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,167,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,167,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,167,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,167,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,167,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,167,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,167,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,167,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,167,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,167,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,167,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,167,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,167,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,167,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,167,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,167,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,167,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,167,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,167,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,167,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,167,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,167,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,167,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,167,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,167,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,167,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,167,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,167,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,167,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,167,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,167,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,167,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,167,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,167,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,167,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,167,UNGROUPABLE ,,,2573.63,2620.01,6
RC,167,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,167,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,167,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,167,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,167,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,167,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,167,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,167,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,167,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,167,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,167,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,167,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,167,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,167,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,714.0,11594.4,8
RC,167,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,714.0,10998.11,8
RC,167,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,714.0,12393.34,8
RC,167,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,714.0,10635.49,8
RC,167,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,714.0,8934.57,8
RC,167,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,714.0,11658.04,8
RC,167,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,714.0,8266.27,8
RC,167,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,167,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,167,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,167,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,167,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,167,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,167,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,169, Room & Board - Other Other  ,,,,,0
RC,169,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1318.0,11017.37,7
RC,169,ABORTION WITHOUT D&C ,,,1126.0,9665.69,7
RC,169,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,1126.0,10661.45,7
RC,169,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,1126.0,16914.88,7
RC,169,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,1126.0,25283.77,7
RC,169,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,1126.0,10406.02,7
RC,169,ACUTE LEUKEMIA WITH CC ,,,1126.0,20088.07,7
RC,169,ACUTE LEUKEMIA WITH MCC ,,,1126.0,48596.58,7
RC,169,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,1318.0,75141.2,7
RC,169,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,12833.03,7
RC,169,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,1126.0,10317.24,7
RC,169,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,1126.0,16053.96,7
RC,169,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,1126.0,8675.79,7
RC,169,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,1126.0,8417.01,7
RC,169,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,1126.0,19208.72,7
RC,169,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,1126.0,7635.65,7
RC,169,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,1318.0,20975.79,7
RC,169,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,1318.0,14338.81,7
RC,169,AFTERCARE WITH CC/MCC ,,,1126.0,12583.45,7
RC,169,AFTERCARE WITHOUT CC/MCC ,,,1126.0,7876.84,7
RC,169,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,1126.0,12050.82,7
RC,169,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,1126.0,18238.09,7
RC,169,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,1126.0,9352.47,7
RC,169,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,169,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,169,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,1126.0,14475.31,7
RC,169,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,1126.0,17234.79,7
RC,169,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,1126.0,10013.24,7
RC,169,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,1126.0,7786.39,7
RC,169,ALLERGIC REACTIONS WITH MCC ,,,1126.0,16702.99,7
RC,169,ALLERGIC REACTIONS WITHOUT MCC ,,,1126.0,8200.11,7
RC,169,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,1318.0,26492.25,7
RC,169,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,1318.0,43838.04,7
RC,169,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,1318.0,14214.02,7
RC,169,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,1318.0,21678.44,7
RC,169,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1318.0,38572.0,7
RC,169,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,1318.0,12503.89,7
RC,169,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,1318.0,31826.13,21
RC,169,ANAL AND STOMAL PROCEDURES WITH CC ,,,1318.0,13580.88,7
RC,169,ANAL AND STOMAL PROCEDURES WITH MCC ,,,1318.0,21845.09,7
RC,169,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,9911.07,7
RC,169,ANGINA PECTORIS ,,,1126.0,8498.25,7
RC,169,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,169,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,169,APPENDIX PROCEDURES WITH CC ,,,1318.0,15296.04,7
RC,169,APPENDIX PROCEDURES WITH MCC ,,,1318.0,22676.7,7
RC,169,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,1318.0,12206.59,7
RC,169,ATHEROSCLEROSIS WITH MCC ,,,1126.0,12641.24,7
RC,169,ATHEROSCLEROSIS WITHOUT MCC ,,,1126.0,8257.89,7
RC,169,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,1318.0,19371.19,7
RC,169,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,1318.0,33918.98,7
RC,169,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,15131.05,7
RC,169,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,1126.0,20000.14,7
RC,169,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,1126.0,12420.15,7
RC,169,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,1126.0,8666.58,7
RC,169,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,1318.0,48873.78,7
RC,169,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,1318.0,24896.86,7
RC,169,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,1318.0,32481.04,21
RC,169,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,1318.0,23215.21,7
RC,169,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1318.0,31551.44,7
RC,169,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,1318.0,18187.84,7
RC,169,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,1126.0,13476.2,7
RC,169,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,1126.0,9571.89,7
RC,169,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,1318.0,20547.84,7
RC,169,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,18775.75,7
RC,169,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,1126.0,10753.57,7
RC,169,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,1126.0,8231.09,7
RC,169,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,1126.0,7929.6,7
RC,169,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,1126.0,15700.54,7
RC,169,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,1126.0,6431.36,7
RC,169,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,1126.0,8781.31,7
RC,169,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,1126.0,12703.21,7
RC,169,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,1126.0,7360.96,7
RC,169,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,1126.0,15816.95,7
RC,169,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,1126.0,10267.83,7
RC,169,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,1318.0,62335.37,7
RC,169,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,1318.0,52923.81,7
RC,169,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,1318.0,41298.81,7
RC,169,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,169,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,169,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,169,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,169,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,169,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,169,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,169,CELLULITIS WITH MCC ,,,1126.0,14523.04,7
RC,169,CELLULITIS WITHOUT MCC ,,,1126.0,9913.58,7
RC,169,CERVICAL SPINAL FUSION WITH CC ,,,1318.0,27292.88,7
RC,169,CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,43059.19,7
RC,169,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,1318.0,23065.3,7
RC,169,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,169,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,169,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,169,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,169,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,169,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,169,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,1126.0,42854.84,7
RC,169,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,1126.0,20101.47,7
RC,169,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,14712.32,7
RC,169,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,1126.0,13575.87,7
RC,169,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,1126.0,24331.57,7
RC,169,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,1126.0,9733.52,7
RC,169,CHEST PAIN ,,,1126.0,8649.83,7
RC,169,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,1318.0,19928.11,7
RC,169,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,1318.0,32455.91,7
RC,169,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14037.31,7
RC,169,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,1318.0,20227.93,7
RC,169,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,1318.0,30284.34,7
RC,169,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,1318.0,16526.28,7
RC,169,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,1126.0,9679.93,7
RC,169,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,1126.0,11896.72,7
RC,169,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,1126.0,7996.6,7
RC,169,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,169,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,169,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,1126.0,11465.42,7
RC,169,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,1126.0,19103.2,7
RC,169,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,1126.0,8587.02,7
RC,169,COAGULATION DISORDERS ,,,1126.0,15394.02,7
RC,169,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,1318.0,78073.2,7
RC,169,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,1318.0,50918.06,7
RC,169,COMPLEX AORTIC ARCH PROCEDURES ,,,1318.0,97412.19,7
RC,169,COMPLICATED PEPTIC ULCER WITH CC ,,,1126.0,11694.05,7
RC,169,COMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,19052.95,7
RC,169,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,1126.0,9324.84,7
RC,169,COMPLICATIONS OF TREATMENT WITH CC ,,,1126.0,11014.02,7
RC,169,COMPLICATIONS OF TREATMENT WITH MCC ,,,1126.0,17952.51,7
RC,169,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,1126.0,8385.19,7
RC,169,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,1318.0,93687.94,7
RC,169,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,1318.0,58617.81,7
RC,169,CONNECTIVE TISSUE DISORDERS WITH CC ,,,1126.0,12279.45,7
RC,169,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,1126.0,23403.63,7
RC,169,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,1126.0,9622.98,7
RC,169,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,169,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,169,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,169,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,169,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,169,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,169,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,38860.93,7
RC,169,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,29008.86,7
RC,169,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,29506.32,7
RC,169,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,169,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,1318.0,19780.72,7
RC,169,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,1318.0,12146.29,7
RC,169,DEPRESSIVE NEUROSES ,,,1126.0,10499.81,7
RC,169,DIABETES WITH CC ,,,1126.0,10125.46,7
RC,169,DIABETES WITH MCC ,,,1126.0,14652.02,7
RC,169,DIABETES WITHOUT CC/MCC ,,,1126.0,7822.4,7
RC,169,DIGESTIVE MALIGNANCY WITH CC ,,,1126.0,12750.11,7
RC,169,DIGESTIVE MALIGNANCY WITH MCC ,,,1126.0,20531.09,7
RC,169,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,1126.0,10360.79,7
RC,169,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,1126.0,10704.16,7
RC,169,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,1126.0,17650.18,7
RC,169,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,1126.0,8479.82,7
RC,169,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,1126.0,9664.85,7
RC,169,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,1126.0,16272.53,7
RC,169,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1126.0,7824.08,7
RC,169,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,1126.0,19087.29,7
RC,169,DISORDERS OF THE BILIARY TRACT WITH CC ,,,1126.0,11785.33,7
RC,169,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,1126.0,16613.38,7
RC,169,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,1126.0,9548.44,7
RC,169,ENDOCRINE DISORDERS WITH CC ,,,1126.0,11204.13,7
RC,169,ENDOCRINE DISORDERS WITH MCC ,,,1126.0,16405.69,7
RC,169,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,1126.0,9054.33,7
RC,169,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,1318.0,50413.9,7
RC,169,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,169,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,169,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,1126.0,13241.71,7
RC,169,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,1126.0,9148.97,7
RC,169,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,1318.0,181425.23,7
RC,169,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,1126.0,35232.98,7
RC,169,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,23209.34,7
RC,169,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,41912.68,7
RC,169,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,16974.34,7
RC,169,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,169,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,1318.0,14238.31,7
RC,169,FEVER AND INFLAMMATORY CONDITIONS ,,,1126.0,10054.28,7
RC,169,FOOT PROCEDURES WITH CC ,,,1318.0,18274.1,7
RC,169,FOOT PROCEDURES WITH MCC ,,,1318.0,25994.79,7
RC,169,FOOT PROCEDURES WITHOUT CC/MCC ,,,1318.0,17634.27,7
RC,169,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,1126.0,14552.35,14
RC,169,FRACTURES OF FEMUR WITH MCC ,,,1126.0,15749.12,7
RC,169,FRACTURES OF FEMUR WITHOUT MCC ,,,1126.0,9370.9,7
RC,169,FRACTURES OF HIP AND PELVIS WITH MCC ,,,1126.0,13356.44,7
RC,169,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,1126.0,9383.46,7
RC,169,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,169,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,1318.0,62689.62,7
RC,169,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,1318.0,29593.42,7
RC,169,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,1126.0,21133.24,7
RC,169,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,1126.0,10833.13,7
RC,169,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,1126.0,17929.05,7
RC,169,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,1126.0,7899.45,7
RC,169,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,1126.0,9234.39,7
RC,169,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,1126.0,14987.85,7
RC,169,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,1126.0,7175.87,7
RC,169,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,1318.0,15804.38,7
RC,169,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,1318.0,11181.52,7
RC,169,HAND PROCEDURES FOR INJURIES ,,,1318.0,19070.54,7
RC,169,HEART FAILURE AND SHOCK WITH CC ,,,1126.0,9730.17,7
RC,169,HEART FAILURE AND SHOCK WITH MCC ,,,1126.0,13371.52,7
RC,169,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,1126.0,7360.12,7
RC,169,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,1318.0,17171.14,7
RC,169,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,1318.0,31153.64,7
RC,169,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,14340.48,7
RC,169,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,1318.0,16709.69,7
RC,169,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,1318.0,26923.55,7
RC,169,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,1318.0,13884.05,7
RC,169,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,1318.0,20160.93,7
RC,169,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,1318.0,27009.8,7
RC,169,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,1318.0,16279.23,7
RC,169,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,1318.0,26657.23,7
RC,169,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,1318.0,20355.22,7
RC,169,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,1318.0,53884.4,7
RC,169,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,1318.0,24707.59,7
RC,169,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,1126.0,13465.32,7
RC,169,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,1126.0,26789.55,7
RC,169,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,1126.0,10179.9,7
RC,169,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,1126.0,13487.93,7
RC,169,HYPERTENSION WITH MCC ,,,1126.0,12585.96,7
RC,169,HYPERTENSION WITHOUT MCC ,,,1126.0,8943.79,7
RC,169,INBORN AND OTHER DISORDERS OF METABOLISM ,,,1126.0,14529.74,7
RC,169,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,10818.89,7
RC,169,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,14611.82,7
RC,169,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8177.49,7
RC,169,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,1318.0,19353.6,7
RC,169,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,43979.58,7
RC,169,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15158.69,7
RC,169,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,1126.0,15038.93,7
RC,169,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,1126.0,9413.61,7
RC,169,INFLAMMATORY BOWEL DISEASE WITH CC ,,,1126.0,10796.28,7
RC,169,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,1126.0,15871.38,7
RC,169,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,1126.0,8325.73,7
RC,169,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,1318.0,15387.32,7
RC,169,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,1318.0,23489.06,7
RC,169,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,1318.0,12400.04,7
RC,169,INTERSTITIAL LUNG DISEASE WITH CC ,,,1126.0,10568.49,7
RC,169,INTERSTITIAL LUNG DISEASE WITH MCC ,,,1126.0,18424.84,7
RC,169,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,1126.0,8618.01,7
RC,169,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,1318.0,17945.81,7
RC,169,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,1318.0,29283.55,7
RC,169,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,1318.0,15615.96,7
RC,169,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,1318.0,13688.92,7
RC,169,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,1318.0,23899.42,7
RC,169,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,1318.0,11291.23,7
RC,169,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,1126.0,12337.24,7
RC,169,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,1126.0,9399.37,7
RC,169,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,1126.0,11395.08,7
RC,169,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,1126.0,17725.55,7
RC,169,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,1126.0,9238.58,7
RC,169,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,12199.05,7
RC,169,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,8390.21,7
RC,169,KIDNEY TRANSPLANT ,,,1318.0,29666.29,9
RC,169,KIDNEY TRANSPLANT Pediatric,,,4321.0,4321.0,1
RC,169,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,1318.0,41993.08,10
RC,169,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,4321.0,4321.0,1
RC,169,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,1318.0,33655.17,10
RC,169,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,4321.0,4321.0,1
RC,169,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,1318.0,20132.45,7
RC,169,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,1318.0,29646.18,7
RC,169,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,15736.55,7
RC,169,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,1318.0,17434.11,7
RC,169,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,1318.0,11972.94,7
RC,169,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,1318.0,16786.75,7
RC,169,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,1318.0,22605.53,7
RC,169,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,1318.0,14058.25,7
RC,169,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,169,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,1318.0,32984.36,21
RC,169,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,1318.0,27884.96,7
RC,169,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,1318.0,19493.46,7
RC,169,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,1318.0,23859.23,7
RC,169,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,1318.0,33368.76,7
RC,169,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,1318.0,19423.95,7
RC,169,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,1318.0,21367.73,7
RC,169,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,1318.0,51736.27,7
RC,169,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,12703.21,7
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,1126.0,16282.59,7
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,1126.0,29711.51,7
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,1318.0,21593.85,7
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,1318.0,41016.58,7
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,1318.0,13920.9,7
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,1126.0,11081.86,7
RC,169,MAJOR BLADDER PROCEDURES WITH CC ,,,1318.0,26063.46,7
RC,169,MAJOR BLADDER PROCEDURES WITH MCC ,,,1318.0,46138.59,7
RC,169,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,20346.01,7
RC,169,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,169,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,169,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,169,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,1126.0,10996.44,7
RC,169,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,1126.0,15951.78,7
RC,169,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,1126.0,8489.04,7
RC,169,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,1126.0,11170.63,7
RC,169,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,1126.0,17469.28,7
RC,169,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,1126.0,8711.8,7
RC,169,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,1126.0,21110.63,21
RC,169,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,1318.0,28022.32,7
RC,169,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,1318.0,18774.07,7
RC,169,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,1318.0,25833.99,7
RC,169,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,1318.0,19372.03,7
RC,169,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,15468.56,7
RC,169,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,1318.0,17748.16,7
RC,169,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,1318.0,15302.74,7
RC,169,MAJOR SKIN DISORDERS WITH MCC ,,,1126.0,20380.35,7
RC,169,MAJOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,11685.68,7
RC,169,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,22695.97,7
RC,169,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,41114.56,7
RC,169,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,16713.89,7
RC,169,MAJOR THUMB OR JOINT PROCEDURES ,,,1318.0,13919.23,7
RC,169,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,1126.0,12092.69,7
RC,169,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,1126.0,18001.92,7
RC,169,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,1126.0,9766.19,7
RC,169,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,11730.07,7
RC,169,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,18043.79,7
RC,169,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,10663.96,7
RC,169,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,1126.0,12189.84,7
RC,169,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,1126.0,17775.8,7
RC,169,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,1126.0,8111.33,7
RC,169,MALIGNANT BREAST DISORDERS WITH CC ,,,1126.0,12094.37,7
RC,169,MALIGNANT BREAST DISORDERS WITH MCC ,,,1126.0,16581.56,7
RC,169,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,9063.54,7
RC,169,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,1318.0,18754.81,7
RC,169,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,17061.44,7
RC,169,MEDICAL BACK PROBLEMS WITH MCC ,,,1126.0,16656.93,7
RC,169,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,1126.0,10670.66,7
RC,169,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,1126.0,11057.57,7
RC,169,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,1126.0,7397.8,7
RC,169,MINOR BLADDER PROCEDURES WITH CC ,,,1318.0,15351.31,7
RC,169,MINOR BLADDER PROCEDURES WITH MCC ,,,1318.0,28259.32,7
RC,169,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,1318.0,11387.54,7
RC,169,MINOR SKIN DISORDERS WITH MCC ,,,1126.0,15292.69,7
RC,169,MINOR SKIN DISORDERS WITHOUT MCC ,,,1126.0,10210.89,7
RC,169,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,1318.0,15221.51,7
RC,169,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,1318.0,24250.32,7
RC,169,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,1318.0,12554.14,7
RC,169,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,1126.0,13805.33,7
RC,169,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,1126.0,9137.24,7
RC,169,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,1318.0,94919.86,21
RC,169,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,1318.0,58576.77,7
RC,169,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,38135.67,7
RC,169,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,1318.0,41795.43,21
RC,169,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,1318.0,29084.23,14
RC,169,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,169,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,169,NEUROSES EXCEPT DEPRESSIVE ,,,1126.0,11612.82,7
RC,169,NON-EXTENSIVE BURNS ,,,1126.0,19872.0,7
RC,169,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,1318.0,16384.75,7
RC,169,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,1318.0,31332.02,7
RC,169,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,1318.0,12663.02,7
RC,169,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,1126.0,11343.15,7
RC,169,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1126.0,7686.73,7
RC,169,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,169,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,169,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,169,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,169,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,1318.0,22190.97,7
RC,169,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,1318.0,33007.81,7
RC,169,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,1318.0,19601.5,7
RC,169,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,1318.0,34987.6,7
RC,169,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,1126.0,16094.15,7
RC,169,OSTEOMYELITIS WITH CC ,,,1126.0,13476.2,7
RC,169,OSTEOMYELITIS WITH MCC ,,,1126.0,19115.76,7
RC,169,OSTEOMYELITIS WITHOUT CC/MCC ,,,1126.0,9214.29,7
RC,169,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,1318.0,12328.02,7
RC,169,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,1318.0,21727.85,7
RC,169,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,9821.46,7
RC,169,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,1126.0,8663.23,7
RC,169,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,1126.0,12690.65,7
RC,169,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1126.0,6999.17,7
RC,169,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,169,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,169,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,1126.0,10687.41,7
RC,169,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,20083.05,7
RC,169,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8332.43,7
RC,169,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,169,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,1126.0,10456.27,7
RC,169,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,1126.0,16013.75,7
RC,169,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8055.22,7
RC,169,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,1318.0,22095.5,7
RC,169,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,1318.0,39408.64,7
RC,169,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14327.08,7
RC,169,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,1318.0,20866.92,7
RC,169,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,1318.0,33831.05,7
RC,169,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,1318.0,14842.97,7
RC,169,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,1318.0,39995.71,7
RC,169,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,1318.0,22763.8,7
RC,169,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,1126.0,7276.37,7
RC,169,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,1318.0,24123.03,7
RC,169,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,14979.47,7
RC,169,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,169,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,1318.0,20943.14,7
RC,169,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,1318.0,37400.37,7
RC,169,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,1318.0,15184.66,7
RC,169,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,1126.0,11255.22,7
RC,169,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,1126.0,20150.05,7
RC,169,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8731.07,7
RC,169,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,1126.0,17270.81,7
RC,169,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,1126.0,11143.0,7
RC,169,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,1126.0,11120.38,7
RC,169,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,1126.0,16475.21,7
RC,169,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8397.75,7
RC,169,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,1318.0,22205.21,7
RC,169,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,1318.0,37807.38,7
RC,169,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,1318.0,16366.33,7
RC,169,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,169,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,169,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,169,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,1126.0,11486.36,7
RC,169,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8247.84,7
RC,169,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,1318.0,18452.48,7
RC,169,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13868.14,7
RC,169,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,1318.0,21356.85,7
RC,169,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14939.27,7
RC,169,OTHER MENTAL DISORDER DIAGNOSES ,,,1126.0,11588.53,7
RC,169,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,169,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,169,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,1126.0,10780.37,7
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,1126.0,15547.27,7
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,1126.0,8895.21,7
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,1318.0,20023.59,7
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,1318.0,29309.51,7
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,1318.0,15489.5,7
RC,169,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,1126.0,19325.97,21
RC,169,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,1318.0,19329.32,7
RC,169,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,1318.0,34773.21,7
RC,169,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,1318.0,13613.55,7
RC,169,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,169,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,169,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,169,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,1318.0,18187.84,7
RC,169,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,1318.0,35985.87,7
RC,169,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,1318.0,13976.18,7
RC,169,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,1126.0,17954.19,7
RC,169,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,1126.0,10501.49,7
RC,169,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,1318.0,17091.59,7
RC,169,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,1318.0,29741.66,7
RC,169,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,1318.0,14705.62,7
RC,169,OTHER VASCULAR PROCEDURES WITH CC ,,,1318.0,24357.52,7
RC,169,OTHER VASCULAR PROCEDURES WITH MCC ,,,1318.0,31833.67,7
RC,169,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,1318.0,17541.31,7
RC,169,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,1318.0,26908.48,7
RC,169,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,1318.0,48434.11,7
RC,169,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,1318.0,21208.62,7
RC,169,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,1126.0,17414.01,21
RC,169,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,1318.0,20458.23,7
RC,169,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,1318.0,13888.24,7
RC,169,PENIS PROCEDURES WITH CC/MCC ,,,1318.0,22108.9,7
RC,169,PENIS PROCEDURES WITHOUT CC/MCC ,,,1318.0,14354.72,7
RC,169,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,169,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,169,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,1318.0,25406.04,7
RC,169,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,17384.7,7
RC,169,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,169,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,169,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,1318.0,31417.44,7
RC,169,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,1318.0,22839.18,7
RC,169,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,1318.0,22905.34,7
RC,169,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,1126.0,11560.06,7
RC,169,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,1126.0,16293.47,7
RC,169,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,1126.0,8647.32,7
RC,169,PERITONEAL ADHESIOLYSIS WITH CC ,,,1318.0,20279.85,7
RC,169,PERITONEAL ADHESIOLYSIS WITH MCC ,,,1318.0,32525.42,7
RC,169,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,1318.0,15475.26,7
RC,169,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,169,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,169,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,169,PLEURAL EFFUSION WITH CC ,,,1126.0,10903.48,7
RC,169,PLEURAL EFFUSION WITH MCC ,,,1126.0,15672.06,7
RC,169,PLEURAL EFFUSION WITHOUT CC/MCC ,,,1126.0,8626.38,7
RC,169,PNEUMOTHORAX WITH CC ,,,1126.0,11826.38,7
RC,169,PNEUMOTHORAX WITH MCC ,,,1126.0,17393.91,7
RC,169,PNEUMOTHORAX WITHOUT CC/MCC ,,,1126.0,8608.79,7
RC,169,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,1126.0,15754.97,7
RC,169,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,1126.0,9798.01,7
RC,169,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,169,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,169,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,169,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,169,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,169,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,1318.0,16771.66,7
RC,169,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1126.0,8102.96,7
RC,169,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,169,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,169,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,169,PROSTATECTOMY WITH CC ,,,1318.0,17269.97,7
RC,169,PROSTATECTOMY WITH MCC ,,,1318.0,28759.29,7
RC,169,PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11884.16,7
RC,169,PSYCHOSES ,,,1126.0,14317.87,7
RC,169,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,1126.0,12966.18,7
RC,169,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,1126.0,14123.58,7
RC,169,PULMONARY EMBOLISM WITHOUT MCC ,,,1126.0,9361.69,7
RC,169,RADIOTHERAPY ,,,1126.0,25311.4,7
RC,169,RECTAL RESECTION WITH CC ,,,1318.0,22235.36,7
RC,169,RECTAL RESECTION WITH MCC ,,,1318.0,32942.48,7
RC,169,RECTAL RESECTION WITHOUT CC/MCC ,,,1318.0,16337.02,7
RC,169,RED BLOOD CELL DISORDERS WITH MCC ,,,1126.0,14380.67,7
RC,169,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,1126.0,10309.71,7
RC,169,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,169,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,169,RENAL FAILURE WITH CC ,,,1126.0,9954.62,7
RC,169,RENAL FAILURE WITH MCC ,,,1126.0,15023.02,7
RC,169,RENAL FAILURE WITHOUT CC/MCC ,,,1126.0,7647.37,7
RC,169,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,1126.0,10793.77,7
RC,169,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,1126.0,15707.24,7
RC,169,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,1126.0,8942.95,7
RC,169,RESPIRATORY NEOPLASMS WITH CC ,,,1126.0,11589.37,7
RC,169,RESPIRATORY NEOPLASMS WITH MCC ,,,1126.0,17409.82,7
RC,169,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,1126.0,8932.9,7
RC,169,RESPIRATORY SIGNS AND SYMPTOMS ,,,1126.0,9381.78,7
RC,169,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,1126.0,25639.7,7
RC,169,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,1126.0,56509.04,7
RC,169,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,1126.0,11112.01,7
RC,169,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,1126.0,20430.6,7
RC,169,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,1126.0,7912.85,7
RC,169,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,1318.0,32154.42,7
RC,169,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,1318.0,46213.96,7
RC,169,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,1318.0,25633.84,7
RC,169,SEPTIC ARTHRITIS WITH CC ,,,1126.0,12730.01,7
RC,169,SEPTIC ARTHRITIS WITH MCC ,,,1126.0,18790.83,7
RC,169,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,1126.0,9940.38,7
RC,169,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,1126.0,60504.64,7
RC,169,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,1126.0,18887.97,7
RC,169,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,1126.0,11189.9,7
RC,169,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,1318.0,20034.47,7
RC,169,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,1318.0,27915.96,7
RC,169,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,1318.0,16483.58,7
RC,169,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,1126.0,13689.76,7
RC,169,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,1126.0,9576.08,7
RC,169,SIGNS AND SYMPTOMS WITH MCC ,,,1126.0,13250.92,7
RC,169,SIGNS AND SYMPTOMS WITHOUT MCC ,,,1126.0,9324.0,7
RC,169,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,1126.0,9369.22,7
RC,169,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,1126.0,13627.79,7
RC,169,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,1126.0,7883.54,7
RC,169,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,1318.0,36290.71,7
RC,169,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,1318.0,47254.1,7
RC,169,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,1318.0,29673.82,7
RC,169,SKIN DEBRIDEMENT WITH CC ,,,1318.0,16769.15,7
RC,169,SKIN DEBRIDEMENT WITH MCC ,,,1318.0,27251.0,7
RC,169,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,1318.0,12219.99,7
RC,169,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,24818.97,7
RC,169,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,43666.36,7
RC,169,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,16073.21,7
RC,169,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,1318.0,31692.13,7
RC,169,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,1318.0,57486.38,7
RC,169,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,1318.0,17669.44,7
RC,169,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,1318.0,32427.44,21
RC,169,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,1318.0,33381.32,7
RC,169,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,15043.12,7
RC,169,SKIN ULCERS WITH CC ,,,1126.0,12554.98,7
RC,169,SKIN ULCERS WITH MCC ,,,1126.0,18827.68,7
RC,169,SKIN ULCERS WITHOUT CC/MCC ,,,1126.0,9879.24,7
RC,169,SOFT TISSUE PROCEDURES WITH CC ,,,1318.0,17259.91,7
RC,169,SOFT TISSUE PROCEDURES WITH MCC ,,,1318.0,29124.43,7
RC,169,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,1318.0,13891.59,7
RC,169,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,1318.0,72996.43,21
RC,169,SPLENIC PROCEDURES WITH CC ,,,1318.0,26148.04,7
RC,169,SPLENIC PROCEDURES WITH MCC ,,,1318.0,40548.43,7
RC,169,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,1318.0,18606.58,7
RC,169,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,1126.0,10612.04,7
RC,169,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,1126.0,8652.34,7
RC,169,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,1318.0,23089.58,7
RC,169,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,1318.0,44388.26,7
RC,169,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,16038.88,7
RC,169,SYNCOPE AND COLLAPSE ,,,1126.0,9919.44,7
RC,169,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,1126.0,15072.43,7
RC,169,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,1126.0,10100.34,7
RC,169,TESTES PROCEDURES WITH CC/MCC ,,,1318.0,20071.32,7
RC,169,TESTES PROCEDURES WITHOUT CC/MCC ,,,1318.0,11829.72,7
RC,169,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,1318.0,15177.12,7
RC,169,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,1318.0,27912.6,7
RC,169,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,1318.0,13744.19,7
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,3885.0,3885.0,1
RC,169,TRANSURETHRAL PROCEDURES WITH CC ,,,1318.0,15617.63,7
RC,169,TRANSURETHRAL PROCEDURES WITH MCC ,,,1318.0,27074.29,7
RC,169,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,10804.66,7
RC,169,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,1318.0,15210.61,7
RC,169,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,1318.0,11475.48,7
RC,169,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,169,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,169,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,169,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,3885.0,1
RC,169,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,1318.0,49235.57,14
RC,169,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,1318.0,27546.63,7
RC,169,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,1126.0,14183.04,7
RC,169,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,1126.0,9778.75,7
RC,169,UNGROUPABLE ,,,2573.63,2620.01,6
RC,169,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,1318.0,16839.51,7
RC,169,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,1318.0,25210.07,7
RC,169,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,1318.0,11766.92,7
RC,169,URETHRAL PROCEDURES WITH CC/MCC ,,,1318.0,17652.69,7
RC,169,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,1318.0,11660.56,7
RC,169,URETHRAL STRICTURE ,,,1126.0,11646.32,7
RC,169,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,169,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,1318.0,17986.01,7
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,1318.0,13010.57,7
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,1318.0,17774.97,7
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,1318.0,32625.08,7
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,1318.0,14563.25,7
RC,169,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,1318.0,19877.03,7
RC,169,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,1318.0,32555.57,7
RC,169,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,1318.0,14918.34,7
RC,169,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,1318.0,17167.8,7
RC,169,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,1318.0,9819.78,7
RC,169,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,169,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,169,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,169,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,169,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,169,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,169,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,169,VEIN LIGATION AND STRIPPING ,,,1318.0,28224.98,7
RC,169,VIRAL ILLNESS WITH MCC ,,,1126.0,15167.9,7
RC,169,VIRAL ILLNESS WITHOUT MCC ,,,1126.0,9902.69,7
RC,169,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,1318.0,50351.93,21
RC,169,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,1318.0,18653.47,7
RC,169,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,1318.0,37765.5,7
RC,169,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,1318.0,12415.12,7
RC,170, Nursery General Classification  ,,,479.0,1462.0,12
RC,171, Nursery Newborn - Level I  ,,,479.0,1462.0,12
RC,171,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,440.0,440.0,1
RC,171,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,440.0,440.0,1
RC,171,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,440.0,440.0,1
RC,171,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,440.0,440.0,1
RC,171,NORMAL NEWBORN ,,,440.0,440.0,1
RC,171,PREMATURITY WITH MAJOR PROBLEMS ,,,440.0,440.0,1
RC,171,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,440.0,440.0,1
RC,172, Nursery Newborn - Level II  ,,,1731.0,6470.0,12
RC,172,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,172,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,172,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,172,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,172,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,172,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,172,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,172,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,172,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,172,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,172,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,172,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,172,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,172,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,172,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,172,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,172,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,172,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,172,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,172,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,172,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,172,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,172,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,172,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,172,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,172,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,172,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,172,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,172,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,172,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,172,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,172,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,172,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,172,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,172,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,172,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,172,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,172,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,172,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,172,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,172,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,172,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,172,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,172,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,172,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,172,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,172,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,172,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,172,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,172,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,172,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,172,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,172,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,172,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,172,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,172,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,172,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,172,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,172,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,172,CHEST PAIN ,,,8496.74,8649.83,6
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,172,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,172,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,172,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,172,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,172,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,172,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,172,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,172,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,172,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,172,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,172,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,172,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,172,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,172,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,172,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,172,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,172,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,172,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,172,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,172,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,172,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,172,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,172,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,172,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,172,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,172,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,172,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,172,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,172,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,172,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,172,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,172,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,172,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,172,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,172,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,172,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,172,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,172,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,172,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,172,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,172,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,172,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,172,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,172,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,172,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,172,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,172,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,172,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,933.0,52395.37,7
RC,172,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,172,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,172,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,172,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,172,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,172,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,172,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,172,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,172,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,172,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,172,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,933.0,37539.39,7
RC,172,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,172,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,172,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,172,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,172,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,172,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,172,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,172,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,172,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,172,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,172,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,172,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,172,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,172,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,172,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,172,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,172,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,172,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,172,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,172,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,172,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,172,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,172,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,172,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,172,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,172,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,172,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,172,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,172,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,172,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,172,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,172,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,172,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,172,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,172,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,172,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,172,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,172,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,172,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,172,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,172,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,172,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,172,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,172,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,172,KIDNEY TRANSPLANT ,,,29141.22,29666.29,6
RC,172,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,41249.84,41993.08,6
RC,172,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,33059.51,33655.17,6
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,172,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,172,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,172,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,172,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,172,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,172,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,172,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,172,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,172,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,172,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,172,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,172,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,172,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,172,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,172,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,172,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,172,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,172,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,172,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,172,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,172,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,172,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,172,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,172,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,172,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,172,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,172,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,172,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,172,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,172,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,172,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,172,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,172,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,172,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,172,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,172,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,172,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,172,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,172,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,172,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,172,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,172,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,172,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,172,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,172,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,172,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,172,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,172,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,172,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,172,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,172,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,172,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,172,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,172,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,172,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,172,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,172,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,933.0,14980.31,7
RC,172,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,933.0,17712.99,7
RC,172,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,172,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,172,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,172,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,172,NORMAL NEWBORN ,,,933.0,4293.28,7
RC,172,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,172,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,172,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,172,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,172,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,172,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,172,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,172,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,172,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,172,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,172,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,172,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,172,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,172,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,172,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,172,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,172,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,172,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,172,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,172,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,172,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,172,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,172,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,172,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,172,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,172,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,172,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,172,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,172,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,172,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,172,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,172,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,172,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,172,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,172,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,172,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,172,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,172,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,172,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,172,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,172,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,172,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,172,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,172,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,172,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,172,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,172,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,172,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,172,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,172,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,172,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,172,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,172,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,172,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,172,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,172,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,172,PREMATURITY WITH MAJOR PROBLEMS ,,,933.0,36613.14,7
RC,172,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,933.0,23131.46,7
RC,172,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,172,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,172,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,172,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,172,PSYCHOSES ,,,14064.45,14317.87,6
RC,172,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,172,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,172,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,172,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,172,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,172,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,172,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,172,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,172,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,172,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,172,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,172,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,172,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,172,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,172,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,172,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,172,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,172,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,172,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,172,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,172,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,172,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,172,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,172,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,172,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,172,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,172,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,172,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,172,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,172,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,172,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,172,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,172,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,172,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,172,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,172,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,172,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,172,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,172,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,172,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,172,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,172,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,172,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,172,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,172,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,172,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,172,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,172,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,172,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,172,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,172,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,172,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,172,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,172,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,172,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,172,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,172,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,172,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,172,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,172,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,172,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,172,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,172,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,172,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,27059.08,27546.63,6
RC,172,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,172,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,172,UNGROUPABLE ,,,2573.63,2620.01,6
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,172,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,172,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,172,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,172,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,172,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,172,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,172,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,172,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,172,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,172,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,172,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,172,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,172,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,172,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,172,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,172,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,172,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,172,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,173, Nursery Newborn - Level III  ,,,1731.0,6470.0,12
RC,173,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,173,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,173,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,173,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,173,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,173,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,173,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,173,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,173,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,173,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,173,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,173,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,173,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,173,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,173,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,173,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,173,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,173,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,173,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,173,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,173,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,173,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,173,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,173,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,173,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,173,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,173,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,173,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,173,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,173,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,173,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,173,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,173,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,173,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,173,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,173,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,173,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,173,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,173,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,173,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,173,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,173,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,173,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,173,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,173,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,173,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,173,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,173,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,173,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,173,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,173,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,173,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,173,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,173,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,173,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,173,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,173,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,173,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,173,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,173,CHEST PAIN ,,,8496.74,8649.83,6
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,173,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,173,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,173,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,173,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,173,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,173,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,173,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,173,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,173,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,173,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,173,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,173,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,173,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,173,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,173,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,173,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,173,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,173,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,173,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,173,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,173,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,173,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,173,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,173,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,173,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,173,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,173,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,173,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,173,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,173,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,173,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,173,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,173,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,173,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,173,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,173,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,173,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,173,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,173,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,173,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,173,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,173,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,173,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,173,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,173,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,173,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,173,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,173,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,1757.0,52395.37,7
RC,173,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,173,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,173,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,173,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,173,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,173,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,173,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,173,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,173,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,173,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,173,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,1757.0,37539.39,7
RC,173,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,173,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,173,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,173,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,173,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,173,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,173,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,173,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,173,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,173,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,173,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,173,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,173,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,173,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,173,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,173,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,173,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,173,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,173,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,173,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,173,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,173,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,173,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,173,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,173,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,173,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,173,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,173,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,173,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,173,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,173,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,173,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,173,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,173,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,173,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,173,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,173,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,173,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,173,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,173,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,173,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,173,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,173,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,173,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,173,KIDNEY TRANSPLANT ,,,29141.22,29666.29,6
RC,173,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,41249.84,41993.08,6
RC,173,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,33059.51,33655.17,6
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,173,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,173,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,173,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,173,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,173,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,173,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,173,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,173,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,173,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,173,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,173,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,173,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,173,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,173,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,173,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,173,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,173,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,173,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,173,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,173,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,173,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,173,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,173,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,173,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,173,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,173,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,173,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,173,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,173,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,173,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,173,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,173,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,173,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,173,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,173,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,173,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,173,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,173,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,173,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,173,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,173,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,173,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,173,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,173,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,173,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,173,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,173,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,173,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,173,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,173,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,173,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,173,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,173,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,173,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,173,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,173,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,173,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,1757.0,14980.31,7
RC,173,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,1757.0,17712.99,7
RC,173,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,173,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,173,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,173,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,173,NORMAL NEWBORN ,,,1757.0,4293.28,7
RC,173,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,173,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,173,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,173,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,173,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,173,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,173,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,173,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,173,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,173,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,173,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,173,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,173,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,173,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,173,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,173,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,173,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,173,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,173,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,173,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,173,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,173,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,173,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,173,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,173,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,173,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,173,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,173,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,173,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,173,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,173,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,173,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,173,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,173,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,173,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,173,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,173,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,173,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,173,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,173,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,173,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,173,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,173,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,173,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,173,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,173,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,173,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,173,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,173,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,173,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,173,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,173,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,173,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,173,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,173,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,173,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,173,PREMATURITY WITH MAJOR PROBLEMS ,,,1757.0,36613.14,7
RC,173,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,1757.0,23131.46,7
RC,173,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,173,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,173,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,173,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,173,PSYCHOSES ,,,14064.45,14317.87,6
RC,173,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,173,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,173,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,173,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,173,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,173,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,173,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,173,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,173,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,173,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,173,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,173,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,173,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,173,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,173,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,173,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,173,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,173,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,173,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,173,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,173,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,173,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,173,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,173,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,173,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,173,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,173,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,173,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,173,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,173,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,173,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,173,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,173,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,173,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,173,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,173,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,173,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,173,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,173,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,173,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,173,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,173,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,173,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,173,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,173,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,173,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,173,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,173,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,173,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,173,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,173,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,173,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,173,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,173,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,173,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,173,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,173,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,173,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,173,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,173,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,173,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,173,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,173,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,173,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,173,UNGROUPABLE ,,,2573.63,2620.01,6
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,173,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,173,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,173,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,173,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,173,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,173,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,173,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,173,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,173,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,173,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,173,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,173,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,173,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,173,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,173,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,173,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,173,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,173,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,174, Nursery Newborn - Level IV  ,,,1731.0,6470.0,12
RC,174,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,174,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,174,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,174,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,174,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,174,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,174,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,174,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,174,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,174,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,174,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,174,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,174,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,174,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,174,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,174,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,174,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,174,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,174,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,174,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,174,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,174,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,174,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,174,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,174,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,174,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,174,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,174,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,174,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,174,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,174,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,174,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,174,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,174,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,174,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,174,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,174,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,174,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,174,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,174,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,174,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,174,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,174,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,174,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,174,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,174,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,174,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,174,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,174,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,174,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,174,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,174,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,174,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,174,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,174,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,174,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,174,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,174,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,174,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,174,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,174,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,174,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,174,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,174,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,174,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,174,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,174,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,174,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,174,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,174,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,174,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,174,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,174,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,174,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,174,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,174,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,174,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,174,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,174,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,174,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,174,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,174,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,174,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,174,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,174,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,174,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,174,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,174,CHEST PAIN ,,,8496.74,8649.83,6
RC,174,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,174,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,174,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,174,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,174,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,174,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,174,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,9508.6,9679.93,6
RC,174,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,11686.16,11896.72,6
RC,174,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7855.07,7996.6,6
RC,174,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,174,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,174,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,174,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,174,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,174,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,174,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,174,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,174,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,174,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,174,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,174,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,174,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,174,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,174,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,174,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,174,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,174,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,174,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,174,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,174,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,174,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,174,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,174,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,174,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,174,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,174,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,174,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,174,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,174,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,174,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,174,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,174,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,174,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,174,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,174,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,174,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,174,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,174,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,174,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,174,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,174,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,174,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,174,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,174,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,174,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,174,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,174,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,174,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,174,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,174,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,174,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,174,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,174,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,174,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,174,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,174,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,174,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,174,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,174,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,1977.0,52395.37,7
RC,174,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,174,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,174,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,174,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,174,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,174,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,174,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,174,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,174,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,174,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,174,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,1977.0,37539.39,7
RC,174,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,174,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,174,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,174,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,174,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,174,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,174,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,174,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,174,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,174,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,174,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,174,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,174,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,174,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,174,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,174,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,174,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,174,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,174,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,174,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,174,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,174,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,174,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,174,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,174,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,174,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,174,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,174,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,174,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,174,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,174,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,174,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,174,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,174,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,174,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,174,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,174,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,174,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,174,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,174,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,174,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,174,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,174,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,174,INTERSTITIAL LUNG DISEASE WITH CC ,,,10381.43,10568.49,6
RC,174,INTERSTITIAL LUNG DISEASE WITH MCC ,,,18098.74,18424.84,6
RC,174,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,8465.48,8618.01,6
RC,174,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,174,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,174,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,174,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,174,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,174,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,174,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,174,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,174,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,174,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,174,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,174,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,174,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,174,KIDNEY TRANSPLANT ,,,29141.22,29666.29,6
RC,174,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,41249.84,41993.08,6
RC,174,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,33059.51,33655.17,6
RC,174,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,174,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,174,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,174,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,174,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,174,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,174,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,174,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,174,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,174,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,174,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,174,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,174,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,174,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,174,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,174,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,174,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,174,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,174,MAJOR CHEST TRAUMA WITH CC ,,,11327.48,11531.58,6
RC,174,MAJOR CHEST TRAUMA WITH MCC ,,,15159.4,15432.55,6
RC,174,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,9043.8,9206.75,6
RC,174,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,174,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,174,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,174,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,174,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,174,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,174,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,174,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,174,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,174,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,174,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,174,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,174,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,174,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,174,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,174,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,174,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,174,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,174,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,174,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,174,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,174,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,174,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,174,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,174,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,174,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,174,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,174,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,174,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,174,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,174,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,174,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,174,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,174,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,174,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,174,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,174,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,174,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,174,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,174,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,174,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,174,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,174,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,174,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,174,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,174,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,174,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,174,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,174,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,174,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,174,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,174,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,174,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,174,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,1977.0,14980.31,7
RC,174,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,1977.0,17712.99,7
RC,174,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,174,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,174,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,174,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,174,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,174,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,174,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,174,NORMAL NEWBORN ,,,1977.0,4293.28,7
RC,174,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,174,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,174,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,174,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,174,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,174,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,174,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,174,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,174,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,174,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,174,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,174,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,174,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,174,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,174,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,174,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,174,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,174,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,174,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,174,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,174,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,174,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,174,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,174,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,174,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,174,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,174,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,174,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,174,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,174,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,174,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,174,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,174,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,174,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,174,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,174,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,174,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,174,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,174,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,174,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,174,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,174,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,174,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,174,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,174,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,174,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,174,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,174,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,174,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,174,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,174,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,174,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,174,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,174,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,174,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,174,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,174,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,174,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,174,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,174,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,174,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,174,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,174,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,174,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,174,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,174,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,174,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,174,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,174,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,174,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,174,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,174,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,174,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,174,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,174,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,174,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,174,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,174,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,174,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,174,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,174,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,174,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,174,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,174,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,174,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,174,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,174,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,174,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,174,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,174,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,174,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,174,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,174,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,174,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,174,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,174,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,174,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,174,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,174,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,174,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,174,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,174,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,174,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,174,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,174,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,174,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,174,PLEURAL EFFUSION WITH CC ,,,10710.5,10903.48,6
RC,174,PLEURAL EFFUSION WITH MCC ,,,15394.68,15672.06,6
RC,174,PLEURAL EFFUSION WITHOUT CC/MCC ,,,8473.7,8626.38,6
RC,174,PNEUMOTHORAX WITH CC ,,,11617.06,11826.38,6
RC,174,PNEUMOTHORAX WITH MCC ,,,17086.05,17393.91,6
RC,174,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,174,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,174,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,174,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,174,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,174,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,174,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,174,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,174,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,174,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,174,PREMATURITY WITH MAJOR PROBLEMS ,,,1977.0,36613.14,7
RC,174,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,1977.0,23131.46,7
RC,174,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,174,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,174,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,174,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,174,PSYCHOSES ,,,14064.45,14317.87,6
RC,174,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,12736.7,12966.18,6
RC,174,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13873.6,14123.58,6
RC,174,PULMONARY EMBOLISM WITHOUT MCC ,,,9195.99,9361.69,6
RC,174,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,174,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,174,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,174,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,174,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,174,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,174,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,174,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,174,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,174,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,174,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,174,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,10602.73,10793.77,6
RC,174,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,15429.23,15707.24,6
RC,174,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,8784.67,8942.95,6
RC,174,RESPIRATORY NEOPLASMS WITH CC ,,,11384.25,11589.37,6
RC,174,RESPIRATORY NEOPLASMS WITH MCC ,,,17101.68,17409.82,6
RC,174,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,8774.79,8932.9,6
RC,174,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,174,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,174,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,174,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,174,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,174,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,174,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,174,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,174,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,174,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,174,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,174,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,174,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,174,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,174,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,174,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,174,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,174,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,174,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,174,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,174,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,174,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,9203.4,9369.22,6
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,13386.59,13627.79,6
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7744.01,7883.54,6
RC,174,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,174,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,174,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,174,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,174,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,174,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,174,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,174,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,174,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,174,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,174,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,174,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,174,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,174,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,174,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,174,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,174,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,174,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,174,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,174,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,174,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,174,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,174,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,174,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,174,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,174,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,174,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,174,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,174,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,174,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,174,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,174,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,174,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,174,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,174,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,174,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,174,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,174,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,174,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,174,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,174,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,174,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,174,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,174,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,174,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,174,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,174,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,174,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,174,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,174,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,174,UNGROUPABLE ,,,2573.63,2620.01,6
RC,174,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,174,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,174,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,174,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,174,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,174,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,174,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,174,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,174,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,174,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,174,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,174,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,174,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,174,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,174,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,174,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,174,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,174,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,174,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,174,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,174,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,174,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,174,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,174,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,174,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,174,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,174,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,179, Nursery Other Nursery  ,,,723.0,1462.0,5
RC,179,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,440.0,440.0,1
RC,179,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,440.0,440.0,1
RC,179,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,440.0,440.0,1
RC,179,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,440.0,440.0,1
RC,179,NORMAL NEWBORN ,,,440.0,440.0,1
RC,179,PREMATURITY WITH MAJOR PROBLEMS ,,,440.0,440.0,1
RC,179,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,440.0,440.0,1
RC,180, Leave of Absence General Classification   ,,,,,0
RC,182, Leave of Absence Patient Convenience  ,,,,,0
RC,183, Leave of Absence Therapeutic Leave  ,,,,,0
RC,185, Leave of Absence Nursing Home (for Hospitalization)  ,,,,,0
RC,189, Leave of Absence Other LOA  ,,,,,0
RC,190, Subacute Care General Classification  ,,,2095.0,6767.0,11
RC,191, Subacute Care - Level I  ,,,2095.0,6767.0,11
RC,192, Subacute Care - Level II  ,,,2095.0,6767.0,11
RC,193, Subacute Care - Level III  ,,,2095.0,6767.0,11
RC,194, Subacute Care - Level IV  ,,,2095.0,6767.0,11
RC,199, Subacute Care Other Subacute Care  ,,,2095.0,6767.0,11
RC,200, Intensive Care Unit General Classification  ,,,1731.0,4110.0,8
RC,200,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,200,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,200,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,200,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,200,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,200,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,200,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,200,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,200,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,200,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,200,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,200,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,200,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,200,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,200,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,200,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,200,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,200,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,200,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,200,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,200,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,200,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,200,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,200,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,200,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,200,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,200,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,200,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,200,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,200,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,200,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,200,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,200,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,200,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,200,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,200,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,200,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,200,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,200,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,200,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,200,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,200,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,200,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,200,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,200,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,200,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,200,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,200,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,200,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,200,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,200,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,200,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,200,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,200,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,200,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,200,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,200,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,200,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,200,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,200,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,200,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,200,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,200,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,200,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,200,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,200,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,200,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,200,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,200,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,200,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,200,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,200,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,200,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,200,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,200,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,200,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,200,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,200,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,200,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,200,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,200,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,200,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,200,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,200,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,200,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,200,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,200,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,200,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,200,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,200,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,200,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,200,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,200,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,200,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,200,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,200,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,200,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,200,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,200,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,200,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,200,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,200,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,200,CHEST PAIN ,,,8496.74,8649.83,6
RC,200,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,200,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,200,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,200,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,200,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,200,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,200,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,200,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,200,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,200,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,200,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,200,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,200,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,200,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,200,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,200,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,200,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,200,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,200,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,200,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,200,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,200,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,200,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,200,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,200,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,200,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,200,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,200,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,200,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,200,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,200,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,200,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,200,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,200,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,200,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,200,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,200,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,200,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,200,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,200,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,200,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,200,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,200,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,200,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,200,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,200,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,200,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,200,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,200,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,200,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,200,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,200,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,200,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,200,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,200,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,200,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,200,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,200,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,200,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,200,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,200,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,200,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,200,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,200,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,200,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,200,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,200,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,200,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,200,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,200,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,200,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,200,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,200,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,200,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,200,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,200,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,200,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,200,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,200,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,200,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,200,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,200,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,200,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,200,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,200,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,200,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,200,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,200,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,200,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,200,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,200,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,200,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,200,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,200,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,200,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,200,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,200,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,200,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,200,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,200,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,200,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,200,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,200,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,200,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,200,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,200,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,200,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,200,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,200,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,200,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,200,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,200,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,200,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,200,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,200,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,200,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,200,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,200,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,200,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,200,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,200,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,200,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,200,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,200,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,200,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,200,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,200,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,200,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,200,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,200,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,200,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,200,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,200,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,200,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,200,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,200,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,200,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,200,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,200,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,200,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,200,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,200,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,200,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,200,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,200,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,200,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,200,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,200,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,200,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,200,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,200,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,200,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,200,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,200,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,200,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,200,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,200,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,200,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,200,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,200,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,200,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,200,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,200,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,200,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,200,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,200,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,200,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,200,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,200,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,200,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,200,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,200,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,200,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,200,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,200,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,200,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,200,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,200,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,200,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,200,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,200,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,200,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,200,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,200,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,200,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,200,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,200,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,200,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,200,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,200,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,200,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,200,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,200,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,200,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,200,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,200,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,200,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,200,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,200,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,200,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,200,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,200,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,200,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,200,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,200,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,200,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,200,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,200,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,200,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,200,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,200,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,200,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,200,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,200,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,200,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,200,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,200,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,200,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,200,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,200,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,200,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,200,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,200,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,200,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,200,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,200,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,200,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,200,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,200,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,200,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,200,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,200,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,200,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,200,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,200,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,200,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,200,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,200,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,200,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,200,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,200,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,200,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,200,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,200,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,200,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,200,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,200,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,200,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,200,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,200,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,200,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,200,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,200,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,200,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,200,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,200,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,200,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,200,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,200,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,200,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,200,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,200,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,200,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,200,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,200,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,200,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,200,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,200,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,200,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,200,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,200,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,200,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,200,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,200,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,200,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,200,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,200,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,200,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,200,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,200,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,200,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,200,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,200,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,200,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,200,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,200,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,200,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,200,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,200,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,200,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,200,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,200,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,200,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,200,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,200,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,200,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,200,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,200,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,200,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,200,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,200,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,200,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,200,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,200,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,200,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,200,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,200,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,200,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,200,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,200,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,200,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,200,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,200,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,200,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,200,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,200,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,200,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,200,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,200,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,200,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,200,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,200,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,200,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,200,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,200,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,200,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,200,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,200,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,200,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,200,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,200,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,200,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,200,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,200,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,200,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,200,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,200,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,200,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,200,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,200,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,200,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,200,PNEUMOTHORAX WITHOUT CC/MCC ,,,8456.43,8608.79,6
RC,200,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,200,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,200,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,200,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,200,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,200,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,200,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,200,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,200,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,200,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,200,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,200,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,200,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,200,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,200,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,200,PSYCHOSES ,,,14064.45,14317.87,6
RC,200,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,200,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,200,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,200,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,200,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,200,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,200,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,200,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,200,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,200,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,200,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,200,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,200,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,200,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,200,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,200,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,200,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,200,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,200,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,200,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,200,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,200,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,200,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,200,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,200,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,200,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,200,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,200,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,200,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,200,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,200,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,200,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,200,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,200,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,200,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,200,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,200,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,200,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,200,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,200,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,200,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,200,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,200,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,200,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,200,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,200,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,200,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,200,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,200,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,200,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,200,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,200,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,200,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,200,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,200,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,200,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,200,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,200,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,200,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,200,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,200,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,200,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,200,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,200,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,200,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,200,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,200,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,200,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,200,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,200,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,200,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,200,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,200,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,200,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,200,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,200,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,200,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,200,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,200,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,200,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,200,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,200,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,200,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,200,UNGROUPABLE ,,,2573.63,2620.01,6
RC,200,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,200,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,200,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,200,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,200,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,200,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,200,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,200,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,200,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,200,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,200,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,200,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,200,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,200,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,200,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,200,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,200,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,200,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,200,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,200,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,200,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,200,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,200,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,200,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,200,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,200,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,200,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,201, Intensive Care Unit Surgical  ,,,1731.0,4110.0,8
RC,201,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,201,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,201,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,201,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,201,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,201,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,201,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,201,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,201,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,201,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,201,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,201,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,201,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,201,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,201,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,201,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,201,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,201,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,201,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,201,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,201,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,201,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,201,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,201,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,201,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,201,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,201,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,201,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,201,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,201,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,201,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,201,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,201,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,201,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,201,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,201,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,201,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,201,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,201,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,201,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,201,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,201,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,201,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,201,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,201,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,201,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,201,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,201,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,201,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,201,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,201,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,201,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,201,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,201,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,201,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,201,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,201,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,201,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,201,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,201,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,201,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,201,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,201,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,201,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,201,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,201,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,10563.24,10753.57,6
RC,201,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,201,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,201,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,201,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,201,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,201,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,201,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,201,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,201,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,201,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,201,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,201,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,201,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,201,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,201,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,201,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,201,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,201,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,201,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,201,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,201,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,201,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,201,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,201,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,201,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,201,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,201,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,201,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,201,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,201,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,201,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,201,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,201,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,201,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,201,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,201,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,201,CHEST PAIN ,,,8496.74,8649.83,6
RC,201,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,201,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,201,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,201,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,201,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,201,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,201,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,201,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,201,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,201,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,201,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,201,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,201,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,201,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,201,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,201,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,201,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,201,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,201,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,201,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,201,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,201,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,201,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,201,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,201,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,201,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,201,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,201,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,201,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,201,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,201,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,201,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,201,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,201,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,201,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,201,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,201,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,201,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,201,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,201,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,201,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,201,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,201,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,201,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,201,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,201,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,201,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,201,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,201,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,201,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,201,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,201,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,201,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,201,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,201,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,201,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,201,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,201,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,201,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,201,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,201,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,201,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,201,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,201,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,201,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,201,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,201,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,201,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,201,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,201,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,201,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,201,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,201,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,201,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,201,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,201,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,201,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,201,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,201,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,201,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,201,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,201,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,201,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,201,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,201,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,201,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,201,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,201,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,201,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,201,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,201,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,201,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,201,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,201,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,201,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,201,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,201,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,201,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,201,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,201,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,201,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,201,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,201,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,201,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,201,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,201,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,201,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,201,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,201,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,201,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,201,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,201,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,201,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,201,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,201,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,201,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,201,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,201,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,201,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,201,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,201,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,201,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,201,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,201,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,201,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,201,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,201,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,201,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,201,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,201,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,201,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,201,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,201,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,201,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,201,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,201,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,201,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,201,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,201,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,201,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,201,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,201,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,201,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,201,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,201,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,201,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,201,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,201,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,201,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,201,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,201,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,201,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,201,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,201,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,201,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,201,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,201,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,201,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,201,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,201,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,201,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,201,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,201,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,201,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,201,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,201,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,201,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,201,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,201,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,201,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,201,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,201,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,201,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,201,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,201,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,201,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,201,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,201,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,201,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,201,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,201,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,201,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,201,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,201,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,201,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,201,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,201,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,201,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,201,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,201,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,201,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,201,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,201,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,201,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,201,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,201,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,201,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,201,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,201,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,201,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,201,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,201,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,201,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,201,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,201,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,201,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,201,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,201,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,201,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,201,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,201,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,201,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,201,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,201,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,201,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,201,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,201,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,201,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,201,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,201,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,201,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,201,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,201,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,201,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,201,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,201,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,201,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,201,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,201,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,201,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,201,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,201,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,201,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,201,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,201,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,201,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,201,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,201,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,201,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,201,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,201,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,201,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,201,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,201,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,201,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,201,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,201,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,201,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,201,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,201,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,201,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,201,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,201,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,201,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,201,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,201,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,201,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,201,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,201,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,201,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,201,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,201,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,201,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,201,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,201,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,201,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,201,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,201,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,201,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,201,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,201,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,201,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,201,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,201,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,201,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,201,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,201,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,201,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,201,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,201,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,201,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,201,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,201,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,201,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,201,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,201,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,201,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,201,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,201,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,201,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,201,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,201,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,201,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,201,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,201,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,201,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,201,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,201,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,201,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,201,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,201,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,201,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,201,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,201,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,201,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,201,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,201,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,201,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,201,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,201,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,201,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,201,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,201,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,201,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,201,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,201,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,201,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,201,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,201,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,201,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,201,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,201,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,201,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,201,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,201,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,201,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,201,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,201,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,201,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,201,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,201,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,201,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,201,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,201,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,201,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,201,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,201,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,201,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,201,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,201,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,201,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,201,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,201,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,201,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,201,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,201,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,201,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,201,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,201,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,201,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,201,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,201,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,201,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,201,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,201,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,201,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,201,PSYCHOSES ,,,14064.45,14317.87,6
RC,201,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,201,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,201,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,201,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,201,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,201,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,201,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,201,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,201,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,201,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,201,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,201,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,201,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,201,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,201,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,201,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,201,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,201,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,201,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,201,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,201,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,201,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,201,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,201,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,201,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,201,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,201,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,201,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,201,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,201,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,201,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,201,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,201,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,201,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,201,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,201,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,201,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,201,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,201,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,201,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,201,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,201,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,201,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,201,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,201,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,201,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,201,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,201,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,201,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,201,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,201,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,201,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,201,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,201,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,201,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,201,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,201,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,201,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,201,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,201,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,201,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,201,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,201,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,201,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,201,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,201,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,201,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,201,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,201,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,201,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,201,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,201,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,201,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,201,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,201,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,201,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,201,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,201,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,201,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,201,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,201,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,201,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,201,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,201,UNGROUPABLE ,,,2573.63,2620.01,6
RC,201,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,201,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,201,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,201,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,201,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,201,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,201,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,201,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,201,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,201,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,201,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,201,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,201,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,201,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,201,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,201,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,201,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,201,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,201,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,201,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,201,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,201,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,201,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,201,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,201,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,201,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,201,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,202, Intensive Care Unit Medical  ,,,1731.0,4110.0,8
RC,202,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,202,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,202,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,202,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,202,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,202,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,202,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,202,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,202,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,202,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,202,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,202,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,202,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,202,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,202,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,202,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,202,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,202,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,202,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,202,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,202,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,202,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,202,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,202,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,202,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,202,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,202,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,202,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,202,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,202,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,202,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,202,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,202,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,202,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,202,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,202,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,202,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,202,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,202,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,202,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,202,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,202,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,202,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,202,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,202,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,202,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,202,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,202,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,202,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,202,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,202,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,202,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,202,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,202,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,202,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,202,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,202,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,202,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,202,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,202,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,202,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,202,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,202,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,202,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,202,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,202,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,8085.41,8231.09,6
RC,202,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,202,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,202,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,202,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,202,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,202,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,202,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,202,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,202,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,202,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,202,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,202,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,202,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,202,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,202,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,202,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,202,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,202,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,202,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,202,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,202,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,202,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,202,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,202,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,202,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,202,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,202,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,202,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,202,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,202,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,202,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,202,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,202,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,202,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,202,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,202,CHEST PAIN ,,,8496.74,8649.83,6
RC,202,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,202,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,202,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,202,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,202,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,202,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,202,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,202,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,202,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,202,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,202,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,202,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,202,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,202,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,202,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,202,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,202,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,202,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,202,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,202,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,202,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,202,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,202,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,202,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,202,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,202,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,202,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,202,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,202,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,202,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,202,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,202,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,202,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,202,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,202,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,202,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,202,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,202,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,202,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,202,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,202,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,202,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,202,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,202,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,202,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,202,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,202,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,202,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,202,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,202,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,202,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,202,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,202,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,202,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,202,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,202,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,202,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,202,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,202,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,202,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,202,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,202,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,202,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,202,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,202,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,202,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,202,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,202,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,202,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,202,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,202,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,202,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,202,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,202,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,202,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,202,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,202,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,202,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,202,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,202,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,202,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,202,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,202,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,202,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,202,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,202,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,202,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,202,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,202,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,202,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,202,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,202,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,202,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,202,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,202,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,202,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,202,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,202,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,202,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,202,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,202,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,202,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,202,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,202,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,202,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,202,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,202,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,202,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,202,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,202,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,202,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,202,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,202,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,202,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,202,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,202,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,202,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,202,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,202,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,202,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,202,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,202,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,202,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,202,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,202,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,202,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,202,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,202,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,202,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,202,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,202,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,202,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,202,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,202,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,202,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,202,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,202,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,202,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,202,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,202,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,202,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,202,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,202,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,202,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,202,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,202,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,202,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,202,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,202,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,202,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,202,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,202,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,202,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,202,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,202,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,202,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,202,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,202,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,202,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,202,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,202,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,202,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,202,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,202,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,202,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,202,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,202,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,202,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,202,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,202,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,202,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,202,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,202,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,202,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,202,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,202,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,202,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,202,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,202,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,202,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,202,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,202,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,202,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,202,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,202,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,202,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,202,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,202,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,202,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,202,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,202,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,202,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,202,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,202,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,202,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,202,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,202,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,202,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,202,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,202,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,202,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,202,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,202,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,202,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,202,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,202,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,202,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,202,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,202,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,202,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,202,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,202,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,202,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,202,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,202,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,202,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,202,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,202,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,202,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,202,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,202,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,202,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,202,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,202,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,202,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,202,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,202,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,202,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,202,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,202,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,202,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,202,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,202,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,202,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,202,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,202,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,202,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,202,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,202,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,202,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,202,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,202,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,202,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,202,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,202,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,202,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,202,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,202,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,202,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,202,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,202,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,202,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,202,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,202,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,202,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,202,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,202,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,202,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,202,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,202,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,202,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,202,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,202,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,202,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,202,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,202,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,202,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,202,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,202,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,202,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,202,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,202,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,202,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,202,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,202,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,202,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,202,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,202,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,202,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,202,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,202,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,202,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,202,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,202,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,202,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,202,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,202,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,202,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,202,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,202,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,202,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,202,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,202,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,202,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,202,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,202,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,202,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,202,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,202,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,202,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,202,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,202,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,202,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,202,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,202,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,202,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,202,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,202,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,202,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,202,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,202,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,202,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,202,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,202,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,202,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,202,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,202,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,202,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,202,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,202,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,202,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,202,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,202,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,202,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,202,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,202,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,202,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,202,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,202,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,202,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,202,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,202,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,202,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,202,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,202,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,202,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,202,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,202,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,202,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,202,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,202,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,202,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,202,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,202,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,202,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,202,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,202,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,202,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,202,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,202,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,202,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,202,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,202,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,202,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,202,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,202,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,202,PSYCHOSES ,,,14064.45,14317.87,6
RC,202,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,202,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,202,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,202,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,202,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,202,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,202,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,202,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,202,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,202,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,202,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,202,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,202,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,202,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,202,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,202,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,202,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,202,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,202,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,202,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,202,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,202,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,202,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,202,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,202,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,202,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,202,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,202,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,202,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,202,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,202,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,202,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,202,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,202,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,202,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,202,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,202,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,202,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,202,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,202,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,202,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,202,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,202,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,202,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,202,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,202,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,202,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,202,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,202,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,202,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,202,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,202,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,202,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,202,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,202,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,202,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,202,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,202,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,202,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,202,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,202,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,202,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,202,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,202,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,202,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,202,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,202,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,202,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,202,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,202,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,202,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,202,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,202,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,202,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,202,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,202,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,202,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,202,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,202,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,202,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,202,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,202,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,202,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,202,UNGROUPABLE ,,,2573.63,2620.01,6
RC,202,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,202,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,202,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,202,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,202,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,202,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,202,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,202,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,202,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,202,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,202,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,202,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,202,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,202,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,202,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,202,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,202,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,202,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,202,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,202,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,202,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,202,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,202,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,202,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,202,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,202,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,202,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,203, Intersive Care Unit Pediatric  ,,,1731.0,4110.0,8
RC,203,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,203,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,203,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,203,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,203,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,203,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,203,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,203,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,203,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,203,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,203,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,203,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,203,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,203,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,203,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,203,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,203,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,203,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,203,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,203,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,203,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,203,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,203,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,203,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,203,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,203,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,203,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,203,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,203,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,203,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,203,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,203,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,203,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,203,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,203,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,203,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,203,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,203,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,203,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,203,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,203,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,203,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,203,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,203,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,203,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,203,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,203,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,203,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,203,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,203,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,203,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,203,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,203,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,203,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,203,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,203,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,203,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,203,CHEST PAIN ,,,8496.74,8649.83,6
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,203,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,203,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,203,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,203,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,203,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,203,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,203,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,203,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,203,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,203,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,203,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,203,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,203,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,203,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,203,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,203,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,203,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,203,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,203,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,203,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,203,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,203,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,203,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,203,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,203,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,203,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,203,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,203,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,203,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,203,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,203,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,203,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,203,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,203,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,203,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,203,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,203,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,203,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,203,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,203,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,203,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,203,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,203,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,203,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,203,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,203,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,203,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,203,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,203,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,203,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,203,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,203,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,203,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,203,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,203,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,203,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,203,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,203,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,203,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,203,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,203,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,203,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,203,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,203,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,203,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,203,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,203,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,203,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,203,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,203,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,203,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,203,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,203,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,203,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,203,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,203,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,203,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,203,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,203,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,203,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,203,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,203,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,203,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,203,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,203,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,203,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,203,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,203,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,203,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,203,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,203,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,203,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,203,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,203,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,203,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,203,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,203,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,203,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,203,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,203,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,203,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,203,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,203,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,203,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,203,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,203,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,203,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,203,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,203,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,203,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,203,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,203,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,203,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,203,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,203,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,203,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,203,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,203,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,203,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,203,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,203,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,203,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,203,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,203,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,203,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,203,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,203,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,203,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,203,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,203,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,203,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,203,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,203,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,203,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,203,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,203,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,203,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,203,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,203,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,203,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,203,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,203,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,203,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,203,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,203,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,203,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,203,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,203,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,203,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,203,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,203,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,203,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,203,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,203,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,203,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,203,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,203,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,203,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,203,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,203,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,203,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,203,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,203,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,203,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,203,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,203,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,203,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,203,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,203,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,203,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,203,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,203,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,203,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,203,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,203,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,203,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,203,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,203,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,203,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,203,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,203,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,203,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,203,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,203,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,203,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,203,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,203,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,203,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,203,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,203,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,203,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,203,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,203,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,203,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,203,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,203,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,203,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,203,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,203,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,203,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,203,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,203,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,203,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,203,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,203,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,203,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,203,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,203,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,203,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,203,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,203,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,203,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,203,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,203,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,203,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,203,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,203,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,203,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,203,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,203,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,203,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,203,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,203,PSYCHOSES ,,,14064.45,14317.87,6
RC,203,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,203,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,203,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,203,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,203,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,203,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,203,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,203,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,203,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,203,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,203,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,203,RESPIRATORY SIGNS AND SYMPTOMS ,,,9215.74,9381.78,6
RC,203,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,203,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,203,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,203,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,203,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,203,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,203,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,203,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,203,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,203,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,203,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,203,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,203,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,203,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,203,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,203,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,203,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,203,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,203,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,203,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,203,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,203,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,203,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,203,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,203,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,203,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,203,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,203,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,203,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,203,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,203,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,203,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,203,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,203,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,203,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,203,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,203,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,203,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,203,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,203,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,203,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,203,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,203,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,203,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,203,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,203,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,203,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,203,UNGROUPABLE ,,,2573.63,2620.01,6
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,203,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,203,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,203,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,203,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,203,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,203,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,203,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,203,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,203,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,203,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,203,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,203,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,203,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,203,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,203,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,203,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,203,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,203,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,204, Intensive Care Unit Psychiatric  ,,,525.0,4110.0,8
RC,204,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,204,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,204,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,204,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,204,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,204,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,204,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,204,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,204,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,204,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,204,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,204,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,204,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,204,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,204,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,204,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,204,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,204,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,204,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,204,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,204,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,204,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,204,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,204,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,204,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,204,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,204,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,204,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,204,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,204,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,204,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,204,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,204,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,204,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,204,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,204,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,204,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,204,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,204,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,204,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,204,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,204,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,204,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,204,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,204,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,204,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,204,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,204,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,204,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,204,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,204,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,204,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,204,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,204,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,204,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,204,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,204,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,204,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,204,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,204,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,204,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,204,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,204,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,204,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,204,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,204,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,204,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,204,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,204,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,204,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,204,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,204,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,204,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,204,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,204,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,204,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,204,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,204,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,204,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,204,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,204,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,204,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,204,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,204,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,204,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,204,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,204,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,204,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,204,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,204,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,204,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,204,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,204,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,204,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,204,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,204,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,204,CHEST PAIN ,,,8496.74,8649.83,6
RC,204,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,204,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,204,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,204,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,204,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,204,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,204,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,204,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,204,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,204,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,204,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,204,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,204,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,204,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,204,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,204,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,204,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,204,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,204,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,204,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,204,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,204,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,204,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,204,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,204,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,204,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,204,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,204,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,204,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,204,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,204,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,204,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,204,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,204,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,204,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,204,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,204,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,204,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,204,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,204,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,204,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,204,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,204,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,204,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,204,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,204,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,204,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,204,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,204,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,204,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,204,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,204,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,204,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,204,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,204,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,204,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,204,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,204,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,204,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,204,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,204,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,204,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,204,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,204,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,204,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,204,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,204,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,204,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,204,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,204,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,204,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,204,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,204,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,204,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,204,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,204,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,204,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,204,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,204,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,204,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,204,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,204,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,204,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,204,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,204,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,204,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,204,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,204,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,204,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,204,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,204,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,204,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,204,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,204,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,204,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,204,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,204,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,204,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,204,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,204,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,204,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,204,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,204,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,204,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,204,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,204,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,204,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,204,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,204,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,204,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,204,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,204,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,204,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,204,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,204,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,204,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,204,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,204,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,204,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,204,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,204,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,204,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,204,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,204,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,204,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,204,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,204,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,204,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,204,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,204,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,204,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,204,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,204,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,204,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,204,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,204,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,204,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,204,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,204,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,204,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,204,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,204,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,204,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,204,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,204,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,204,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,204,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,204,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,204,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,204,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,204,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,204,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,204,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,204,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,204,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,204,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,204,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,204,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,204,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,204,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,204,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,204,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,204,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,204,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,204,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,204,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,204,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,204,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,204,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,204,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,204,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,204,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,204,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,204,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,204,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,204,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,204,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,204,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,204,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,204,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,204,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,204,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,204,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,204,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,204,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,204,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,204,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,204,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,204,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,204,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,204,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,204,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,204,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,204,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,204,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,204,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,204,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,204,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,204,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,204,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,204,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,204,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,204,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,204,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,204,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,204,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,204,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,204,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,204,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,204,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,204,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,204,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,204,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,204,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,204,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,204,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,204,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,204,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,204,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,204,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,204,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,204,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,204,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,204,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,204,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,204,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,204,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,204,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,204,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,204,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,204,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,204,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,204,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,204,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,204,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,204,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,204,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,204,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,204,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,204,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,204,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,204,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,204,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,204,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,204,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,204,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,204,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,204,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,204,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,204,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,204,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,204,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,204,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,204,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,204,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,204,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,204,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,204,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,204,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,204,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,204,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,204,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,204,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,204,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,204,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,204,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,204,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,204,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,204,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,204,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,204,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,204,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,204,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,204,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,204,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,204,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,204,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,204,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,204,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,204,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,204,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,204,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,204,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,204,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,204,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,204,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,204,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,204,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,204,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,204,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,204,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,204,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,204,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,204,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,204,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,204,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,204,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,204,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,204,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,204,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,204,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,204,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,204,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,204,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,204,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,204,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,204,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,204,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,17636.41,17954.19,6
RC,204,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,10315.62,10501.49,6
RC,204,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,204,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,204,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,204,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,204,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,204,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,204,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,204,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,204,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,204,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,204,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,204,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,204,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,204,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,204,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,204,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,204,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,204,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,204,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,204,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,204,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,204,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,204,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,204,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,204,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,204,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,204,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,204,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,204,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,204,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,204,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,204,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,204,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,204,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,204,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,204,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,204,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,204,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,204,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,204,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,204,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,204,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,204,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,204,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,204,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,204,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,204,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,204,PSYCHOSES ,,,14064.45,14317.87,6
RC,204,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,204,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,204,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,204,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,204,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,204,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,204,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,204,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,204,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,204,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,204,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,204,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,204,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,204,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,204,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,204,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,204,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,204,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,204,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,204,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,204,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,204,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,204,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,204,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,204,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,204,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,204,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,204,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,204,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,204,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,204,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,204,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,204,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,204,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,204,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,204,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,204,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,204,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,204,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,204,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,204,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,204,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,204,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,204,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,204,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,204,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,204,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,204,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,204,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,204,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,204,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,204,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,204,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,204,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,204,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,204,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,204,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,204,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,204,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,204,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,204,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,204,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,204,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,204,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,204,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,204,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,204,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,204,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,204,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,204,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,204,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,204,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,204,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,204,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,204,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,204,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,204,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,204,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,204,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,204,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,204,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,204,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,204,UNGROUPABLE ,,,2573.63,2620.01,6
RC,204,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,204,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,204,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,204,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,204,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,204,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,204,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,204,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,204,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,204,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,204,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,204,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,204,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,204,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,204,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,204,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,204,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,204,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,204,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,204,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,204,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,204,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,204,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,204,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,204,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,204,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,204,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,206, Intensive Care Unit Intermediate ICU  ,,,1538.0,4110.0,8
RC,206,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,206,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,206,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,206,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,206,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,206,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,206,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,206,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,206,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,206,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,206,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,206,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,206,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,206,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,206,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,206,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,206,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,206,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,206,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,206,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,206,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,206,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,206,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,206,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,206,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,206,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,206,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,206,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,206,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,206,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,206,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,206,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,206,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,206,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,206,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,206,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,206,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,206,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,206,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,206,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,206,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,206,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,206,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,206,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,206,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,206,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,206,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,206,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,206,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,206,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,206,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,206,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,206,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,206,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,206,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,206,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,206,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,206,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,206,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,206,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,206,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,206,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,206,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,206,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,206,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,206,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,206,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,206,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,206,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,206,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,206,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,206,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,206,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,206,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,206,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,206,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,206,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,206,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,206,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,206,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,206,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,206,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,206,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,206,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,206,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,206,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,206,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,206,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,206,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,206,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,206,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,206,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,206,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,206,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,206,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,206,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,206,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,206,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,206,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,206,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,206,CHEST PAIN ,,,8496.74,8649.83,6
RC,206,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,206,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,206,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,206,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,206,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,206,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,206,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,206,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,206,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,206,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,206,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,206,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,206,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,206,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,206,COMPLEX AORTIC ARCH PROCEDURES ,,,95688.08,97412.19,6
RC,206,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,206,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,206,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,206,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,206,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,206,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,206,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,206,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,206,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,206,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,206,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,206,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,206,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,206,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,206,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,206,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,206,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,206,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,206,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,206,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,206,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,206,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,206,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,206,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,206,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,206,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,206,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,206,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,206,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,206,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,206,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,206,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,206,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,206,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,206,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,206,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,206,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,206,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,206,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,206,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,206,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,206,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,206,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,206,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,206,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,206,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,206,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,206,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,206,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,206,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,206,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,206,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,206,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,206,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,206,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,206,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,206,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,206,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,206,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,206,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,206,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,206,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,206,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,206,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,206,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,206,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,206,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,206,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,206,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,206,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,206,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,206,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,206,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,206,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,206,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,206,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,206,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,206,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,206,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,206,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,206,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,206,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,206,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,206,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,206,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,206,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,206,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,206,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,206,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,206,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,206,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,206,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,206,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,206,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,206,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,206,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,206,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,206,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,206,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,206,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,206,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,206,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,206,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,206,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,206,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,206,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,206,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,206,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,206,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,206,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,206,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,206,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,206,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,206,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,206,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,206,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,206,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,206,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,206,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,206,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,206,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,206,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,206,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,206,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,206,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,206,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,206,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,206,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,206,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,206,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,206,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,206,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,206,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,206,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,206,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,206,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,206,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,206,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,206,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,206,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,206,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,206,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,206,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,206,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,206,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,206,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,206,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,206,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,206,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,206,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,206,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,206,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,206,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,206,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,206,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,206,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,206,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,206,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,206,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,206,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,206,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,206,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,206,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,206,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,206,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,206,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,206,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,206,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,206,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,206,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,206,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,206,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,206,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,206,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,206,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,206,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,206,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,206,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,206,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,206,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,206,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,206,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,206,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,206,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,206,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,206,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,206,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,206,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,206,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,206,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,206,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,206,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,206,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,206,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,206,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,206,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,206,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,206,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,206,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,206,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,206,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,206,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,206,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,206,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,206,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,206,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,206,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,206,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,206,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,206,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,206,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,206,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,206,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,206,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,206,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,206,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,206,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,206,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,206,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,206,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,206,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,206,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,206,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,206,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,206,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,206,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,206,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,206,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,206,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,206,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,206,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,206,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,206,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,206,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,206,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,206,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,206,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,206,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,206,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,206,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,206,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,206,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,206,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,206,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,206,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,206,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,206,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,206,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,206,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,206,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,206,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,206,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,206,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,206,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,206,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,206,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,206,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,206,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,206,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,206,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,206,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,206,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,206,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,206,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,206,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,206,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,206,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,206,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,206,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,206,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,206,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,206,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,206,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,206,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,206,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,206,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,206,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,206,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,206,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,206,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,206,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,206,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,206,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,206,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,206,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,206,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,206,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,206,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,206,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,206,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,206,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,206,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,206,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,206,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,206,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,206,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,206,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,206,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,206,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,206,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,206,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,206,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,206,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,206,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,206,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,206,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,206,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,206,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,206,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,206,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,206,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,206,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,206,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,206,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,206,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,206,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,206,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,206,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,206,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,206,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,206,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,206,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,206,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,206,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,206,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,206,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,206,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,206,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,206,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,206,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,206,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,206,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,206,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,206,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,206,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,206,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,206,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,206,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,206,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,206,PSYCHOSES ,,,14064.45,14317.87,6
RC,206,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,206,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,206,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,206,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,206,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,206,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,206,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,206,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,206,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,206,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,206,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,206,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,25185.9,25639.7,6
RC,206,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,55508.88,56509.04,6
RC,206,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,206,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,206,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,206,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,206,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,206,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,206,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,206,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,206,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,206,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,206,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,206,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,206,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,206,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,206,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,206,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,206,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,206,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,206,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,206,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,206,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,206,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,206,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,206,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,206,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,206,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,206,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,206,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,206,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,206,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,206,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,206,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,206,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,206,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,206,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,206,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,206,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,206,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,206,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,206,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,206,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,206,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,206,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,206,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,206,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,206,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,206,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,206,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,206,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,206,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,206,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,206,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,206,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,206,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,206,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,206,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,206,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,206,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,206,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,206,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,206,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,206,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,206,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,206,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,206,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,206,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,206,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,206,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,206,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,206,UNGROUPABLE ,,,2573.63,2620.01,6
RC,206,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,206,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,206,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,206,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,206,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,206,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,206,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,206,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,206,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,206,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,206,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,206,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,206,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,206,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,206,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,206,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,206,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,206,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,206,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,206,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,206,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,206,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,206,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,206,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,206,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,206,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,206,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,207, Intensive Care Unit Burn Care  ,,,1731.0,4110.0,8
RC,207, Intensive Care Unit Burn Care  Burn,,,,,0
RC,207,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,,,0
RC,207,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,,,0
RC,207,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,,,0
RC,207,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,,,0
RC,207,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,,,0
RC,207,KIDNEY TRANSPLANT ,,,4200.0,6099.0,2
RC,207,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,207,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,6099.0,3
RC,207,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,207,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,6099.0,3
RC,207,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,207,NON-EXTENSIVE BURNS ,,,,,0
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208, Intensive Care Unit Trauma  ,,,948.0,8000.0,11
RC,208, Intensive Care Unit Trauma  Trauma,,,,,0
RC,208,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,,,0
RC,208,KIDNEY TRANSPLANT ,,,4200.0,6099.0,2
RC,208,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,208,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,6099.0,3
RC,208,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,208,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,6099.0,3
RC,208,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,208,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,,,0
RC,208,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,208,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,208,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,208,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,208,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,208,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,208,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,,,0
RC,208,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,,,0
RC,208,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,,,0
RC,208,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,,,0
RC,208,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,,,0
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,208,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,,,0
RC,208,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,,,0
RC,208,TRAUMATIC INJURY WITH MCC ,,,,,0
RC,208,TRAUMATIC INJURY WITHOUT MCC ,,,,,0
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209, Intensive Care Unit Other Intensive Care  ,,,1731.0,4110.0,8
RC,209,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,209,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,209,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,209,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,209,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,209,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,209,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,209,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,209,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,209,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,209,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,209,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,209,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,209,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,209,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,209,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,209,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,209,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,209,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,209,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,209,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,209,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,209,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,209,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,209,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,209,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,209,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,209,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,209,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,209,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,209,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,209,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,209,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,209,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,209,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,209,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,209,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,209,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,209,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,209,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,209,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,209,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,209,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,209,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,209,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,209,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,209,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,209,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,209,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,209,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,209,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,209,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,209,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,209,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,209,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,209,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,209,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,209,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,209,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,209,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,209,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,209,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,209,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,209,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,209,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,209,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,209,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,209,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,209,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,209,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,209,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,209,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,209,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,209,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,209,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,209,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,209,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,209,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,209,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,209,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,209,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,209,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,209,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,209,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,209,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,209,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,209,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,209,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,209,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,209,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,209,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,209,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,209,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,209,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,209,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,209,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,209,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,209,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,209,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,209,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,209,CHEST PAIN ,,,8496.74,8649.83,6
RC,209,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,209,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,209,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,209,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,209,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,209,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,209,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,209,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,209,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,209,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,209,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,209,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,209,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,209,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,209,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,209,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,209,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,209,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,209,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,209,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,209,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,209,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,209,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,209,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,209,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,209,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,209,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,209,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,209,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,209,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,209,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,209,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,209,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,209,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,209,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,209,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,209,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,209,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,209,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,209,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,209,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,209,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,209,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,209,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,209,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,209,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,209,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,209,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,209,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,209,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,209,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,209,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,209,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,209,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,209,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,209,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,209,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,209,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,209,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,209,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,209,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,209,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,209,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,209,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,209,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,209,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,209,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,209,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,209,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,209,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,209,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,209,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,209,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,209,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,209,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,209,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,209,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,209,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,209,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,209,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,209,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,209,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,209,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,209,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,209,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,209,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,209,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,209,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,209,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,209,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,209,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,209,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,209,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,209,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,209,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,209,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,209,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,209,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,209,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,209,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,209,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,209,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,209,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,209,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,209,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,209,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,209,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,209,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,209,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,209,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,209,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,209,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,209,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,209,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,209,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,209,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,209,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,209,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,209,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,209,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,209,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,209,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,209,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,209,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,209,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,209,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,209,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,209,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,209,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,209,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,209,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,209,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,209,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,209,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,209,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,209,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,209,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,209,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,209,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,209,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,209,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,209,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,209,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,209,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,209,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,209,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,209,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,209,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,209,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,209,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,209,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,209,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,209,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,209,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,209,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,209,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,209,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,209,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,209,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,209,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,209,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,209,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,209,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,209,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,209,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,209,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,209,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,209,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,209,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,209,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,209,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,209,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,209,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,209,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,209,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,209,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,209,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,209,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,209,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,209,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,209,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,209,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,209,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,209,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,209,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,209,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,209,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,209,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,209,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,209,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,209,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,209,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,209,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,209,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,209,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,209,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,209,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,209,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,209,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,209,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,209,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,209,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,209,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,209,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,209,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,209,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,209,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,209,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,209,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,209,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,209,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,209,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,209,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,209,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,209,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,209,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,209,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,209,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,209,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,209,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,209,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,209,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,209,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,209,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,209,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,209,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,209,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,209,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,209,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,209,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,209,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,209,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,209,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,209,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,209,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,209,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,209,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,209,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,209,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,209,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,209,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,209,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,209,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,209,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,209,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,209,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,209,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,209,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,209,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,209,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,209,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,209,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,209,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,209,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,209,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,209,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,209,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,209,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,209,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,209,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,209,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,209,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,209,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,209,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,209,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,209,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,209,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,209,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,209,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,209,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,209,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,209,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,209,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,209,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,209,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,209,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,209,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,209,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,209,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,209,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,209,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,209,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,209,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,209,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,209,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,209,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,209,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,209,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,209,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,209,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,209,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,209,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,209,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,209,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,209,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,209,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,209,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,209,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,209,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,209,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,209,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,209,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,209,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,209,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,209,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,209,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,209,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,209,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,209,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,209,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,209,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,209,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,209,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,209,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,209,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,209,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,209,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,209,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,209,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,209,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,209,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,209,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,209,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,209,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,209,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,209,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,209,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,209,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,209,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,209,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,209,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,209,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,209,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,209,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,209,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,209,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,209,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,209,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,209,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,209,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,209,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,209,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,209,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,209,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,209,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,209,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,209,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,209,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,209,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,209,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,209,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,209,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,209,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,209,PSYCHOSES ,,,14064.45,14317.87,6
RC,209,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,209,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,209,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,209,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,209,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,209,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,209,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,209,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,209,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,209,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,209,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,209,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,209,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,209,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,209,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,209,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,209,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,209,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,209,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,209,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,209,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,209,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,209,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,209,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,209,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,209,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,209,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,209,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,209,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,209,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,209,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,209,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,209,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,209,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,209,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,209,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,209,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,209,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,209,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,209,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,209,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,209,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,209,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,209,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,209,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,209,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,209,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,209,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,209,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,209,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,209,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,209,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,209,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,209,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,209,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,209,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,209,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,209,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,209,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,209,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,209,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,209,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,209,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,209,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,209,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,209,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,209,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,209,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,209,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,209,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,209,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,209,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,209,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,209,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,209,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,209,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,209,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,209,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,209,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,209,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,209,UNGROUPABLE ,,,2573.63,2620.01,6
RC,209,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,209,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,209,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,209,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,209,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,209,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,209,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,209,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,209,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,209,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,209,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,209,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,209,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,209,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,209,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,209,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,209,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,209,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,209,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,209,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,209,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,209,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,209,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,209,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,209,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,209,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,209,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,210, Coronary Care Unit General Classification  ,,,1731.0,4110.0,8
RC,210,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,210,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,210,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,210,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,210,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,210,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,210,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,210,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,210,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,210,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,210,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,210,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,210,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,210,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,210,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,210,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,210,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,210,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,210,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,210,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,210,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,210,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,210,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,210,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,210,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,210,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,210,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,210,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,210,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,210,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,210,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,210,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,210,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,210,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,210,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,210,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,210,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,210,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,210,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,210,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,210,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,210,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,210,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,210,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,210,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,210,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,210,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,210,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,210,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,210,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,210,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,210,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,210,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,210,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,210,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,210,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,210,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,210,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,210,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,210,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,210,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,210,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,210,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,210,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,210,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,210,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,210,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,210,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,210,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,210,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,210,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,210,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,210,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,210,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,210,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,210,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,210,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,210,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,210,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,210,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,210,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,210,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,210,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,210,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,210,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,210,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,210,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,210,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,210,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,210,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,210,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,210,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,210,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,210,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,210,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,210,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,210,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,210,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,210,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,210,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,210,CHEST PAIN ,,,8496.74,8649.83,6
RC,210,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,210,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,210,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,210,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,210,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,210,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,210,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,210,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,210,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,210,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,210,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,210,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,210,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,210,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,210,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,210,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,210,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,210,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,210,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,210,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,210,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,210,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,210,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,210,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,210,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,210,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,210,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,210,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,210,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,210,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,210,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,210,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,210,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,210,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,210,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,210,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,210,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,210,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,210,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,210,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,210,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,210,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,210,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,210,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,210,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,210,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,210,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,210,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,210,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,210,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,210,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,210,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,210,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,210,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,210,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,210,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,210,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,210,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,210,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,210,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,210,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,210,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,210,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,210,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,210,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,210,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,210,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,210,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,210,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,210,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,210,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,210,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,210,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,210,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,210,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,210,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,210,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,210,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,210,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,210,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,210,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,210,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,210,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,210,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,210,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,210,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,210,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,210,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,210,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,210,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,210,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,210,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,210,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,210,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,210,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,210,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,210,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,210,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,210,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,210,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,210,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,210,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,210,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,210,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,210,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,210,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,210,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,210,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,210,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,210,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,210,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,210,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,210,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,210,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,210,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,210,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,210,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,210,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,210,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,210,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,210,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,210,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,210,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,210,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,210,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,210,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,210,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,210,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,210,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,210,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,210,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,210,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,210,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,210,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,210,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,210,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,210,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,210,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,210,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,210,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,210,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,210,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,210,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,210,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,210,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,210,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,210,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,210,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,210,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,210,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,210,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,210,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,210,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,210,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,210,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,210,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,210,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,210,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,210,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,210,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,210,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,210,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,210,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,210,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,210,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,210,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,210,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,210,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,210,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,210,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,210,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,210,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,210,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,210,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,210,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,210,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,210,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,210,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,210,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,210,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,210,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,210,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,210,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,210,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,210,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,210,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,210,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,210,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,210,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,210,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,210,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,210,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,210,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,210,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,210,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,210,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,210,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,210,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,210,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,210,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,210,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,210,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,210,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,210,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,210,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,210,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,210,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,210,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,210,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,210,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,210,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,210,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,210,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,210,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,210,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,210,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,210,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,210,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,210,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,210,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,210,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,210,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,210,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,210,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,210,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,210,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,210,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,210,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,210,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,210,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,210,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,210,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,210,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,210,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,210,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,210,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,210,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,210,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,210,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,210,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,210,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,210,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,210,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,210,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,210,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,210,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,210,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,210,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,210,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,210,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,210,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,210,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,210,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,210,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,210,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,210,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,210,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,210,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,210,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,210,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,210,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,210,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,210,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,210,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,210,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,210,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,210,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,210,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,210,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,210,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,210,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,210,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,210,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,210,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,210,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,210,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,210,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,210,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,210,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,210,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,210,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,210,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,210,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,210,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,210,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,210,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,210,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,210,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,210,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,210,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,210,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,210,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,210,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,210,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,210,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,210,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,210,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,210,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,210,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,210,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,210,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,210,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,210,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,210,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,210,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,210,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,210,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,210,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,210,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,210,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,210,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,210,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,210,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,210,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,210,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,210,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,210,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,210,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,210,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,210,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,210,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,210,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,210,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,210,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,210,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,210,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,210,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,210,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,210,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,210,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,210,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,210,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,210,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,210,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,210,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,210,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,210,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,210,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,210,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,210,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,210,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,210,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,210,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,210,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,210,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,210,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,210,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,210,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,210,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,210,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,210,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,210,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,210,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,210,PSYCHOSES ,,,14064.45,14317.87,6
RC,210,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,210,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,210,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,210,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,210,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,210,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,210,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,210,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,210,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,210,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,210,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,210,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,210,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,210,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,210,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,210,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,210,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,210,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,210,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,210,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,210,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,210,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,210,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,210,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,210,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,210,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,210,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,210,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,210,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,210,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,210,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,210,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,210,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,210,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,210,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,210,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,210,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,210,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,210,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,210,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,210,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,210,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,210,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,210,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,210,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,210,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,210,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,210,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,210,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,210,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,210,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,210,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,210,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,210,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,210,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,210,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,210,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,210,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,210,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,210,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,210,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,210,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,210,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,210,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,210,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,210,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,210,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,210,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,210,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,210,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,210,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,210,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,210,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,210,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,210,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,210,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,210,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,210,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,210,UNGROUPABLE ,,,2573.63,2620.01,6
RC,210,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,210,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,210,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,210,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,210,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,210,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,210,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,210,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,210,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,210,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,210,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,210,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,210,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,210,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,210,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,210,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,210,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,210,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,210,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,210,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,210,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,210,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,210,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,210,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,210,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,210,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,210,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,2101, Alternative Therapy Services Acupuncture  ,,,,,0
RC,2103, Alternative Therapy Services Massage  ,,,,,0
RC,211, Coronary Care Unit Myocardial Infarction  ,,,1731.0,4110.0,8
RC,211,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,211,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,211,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,211,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,211,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,211,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,211,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,211,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,211,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,211,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,211,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,211,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,211,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,211,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,211,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,211,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,211,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,211,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,211,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,211,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,211,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,211,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,211,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,211,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,211,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,211,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,211,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,211,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,211,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,211,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,211,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,211,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,211,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,211,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,211,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,211,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,211,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,211,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,211,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,211,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,211,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,211,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,211,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,211,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,211,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,211,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,211,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,211,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,211,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,211,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,211,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,211,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,211,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,211,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,211,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,211,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,211,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,211,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,211,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,211,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,211,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,211,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,211,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,211,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,211,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,211,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,211,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,211,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,211,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,211,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,211,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,211,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,211,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,211,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,211,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,211,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,211,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,211,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,211,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,211,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,211,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,211,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,211,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,211,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,211,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,211,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,211,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,211,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,211,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,211,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,211,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,211,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,211,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,211,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,211,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,211,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,211,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,211,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,211,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,211,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,211,CHEST PAIN ,,,8496.74,8649.83,6
RC,211,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,211,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,211,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,211,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,211,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,211,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,211,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,211,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,211,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,211,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,211,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,211,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,211,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,211,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,211,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,211,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,211,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,211,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,211,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,211,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,211,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,92029.74,93687.94,6
RC,211,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,211,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,211,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,211,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,211,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,211,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,211,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,211,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,211,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,211,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,211,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,211,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,211,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,211,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,211,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,211,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,211,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,211,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,211,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,211,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,211,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,211,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,211,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,211,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,211,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,211,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,211,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,211,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,211,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,211,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,211,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,211,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,211,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,211,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,211,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,211,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,211,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,211,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,211,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,211,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,211,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,211,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,211,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,211,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,211,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,211,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,211,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,211,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,211,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,211,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,211,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,211,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,211,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,211,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,211,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,211,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,211,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,211,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,211,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,211,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,211,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,211,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,211,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,211,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,211,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,211,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,211,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,211,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,211,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,211,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,211,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,211,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,211,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,211,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,211,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,211,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,211,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,211,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,211,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,211,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,211,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,211,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,211,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,211,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,211,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,211,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,211,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,211,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,211,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,211,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,211,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,211,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,211,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,211,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,211,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,211,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,211,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,211,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,211,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,211,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,211,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,211,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,211,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,211,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,211,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,211,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,211,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,211,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,211,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,211,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,211,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,211,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,211,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,211,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,211,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,211,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,211,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,211,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,211,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,211,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,211,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,211,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,211,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,211,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,211,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,211,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,211,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,211,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,211,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,211,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,211,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,211,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,211,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,211,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,211,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,211,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,211,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,211,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,211,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,211,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,211,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,211,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,211,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,211,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,211,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,211,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,211,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,211,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,211,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,211,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,211,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,211,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,211,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,211,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,211,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,211,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,211,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,211,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,211,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,211,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,211,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,211,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,211,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,211,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,211,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,211,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,211,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,211,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,211,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,211,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,211,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,211,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,211,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,211,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,211,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,211,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,211,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,211,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,211,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,211,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,211,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,211,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,211,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,211,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,211,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,211,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,211,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,211,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,211,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,211,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,211,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,211,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,211,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,211,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,211,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,211,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,211,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,211,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,211,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,211,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,211,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,211,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,211,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,211,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,211,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,211,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,211,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,211,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,211,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,211,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,211,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,211,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,211,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,211,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,211,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,211,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,211,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,211,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,211,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,211,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,211,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,211,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,211,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,211,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,211,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,211,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,211,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,211,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,211,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,211,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,211,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,211,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,211,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,211,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,211,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,211,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,211,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,211,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,211,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,211,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,211,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,211,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,211,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,211,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,211,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,211,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,211,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,211,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,211,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,211,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,211,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,211,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,211,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,211,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,211,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,211,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,211,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,211,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,211,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,211,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,211,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,211,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,211,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,211,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,211,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,211,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,211,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,211,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,211,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,211,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,211,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,211,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,211,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,211,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,211,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,211,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,211,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,211,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,211,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,211,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,211,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,211,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,211,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,211,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,211,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,211,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,211,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,211,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,211,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,211,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,211,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,211,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,211,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,211,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,211,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,211,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,211,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,211,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,211,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,211,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,211,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,211,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,211,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,211,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,211,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,211,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,211,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,211,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,211,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,211,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,211,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,211,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,211,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,211,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,211,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,211,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,211,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,211,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,211,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,211,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,211,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,211,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,211,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,211,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,211,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,211,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,211,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,211,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,211,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,211,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,211,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,211,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,211,PSYCHOSES ,,,14064.45,14317.87,6
RC,211,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,211,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,211,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,211,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,211,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,211,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,211,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,211,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,211,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,211,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,211,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,211,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,211,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,211,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,211,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,211,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,211,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,211,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,211,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,211,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,211,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,211,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,211,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,211,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,211,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,211,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,211,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,211,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,211,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,211,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,211,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,211,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,211,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,211,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,211,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,211,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,211,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,211,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,211,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,211,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,211,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,211,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,211,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,211,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,211,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,211,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,211,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,211,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,211,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,211,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,211,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,211,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,211,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,211,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,211,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,211,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,211,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,211,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,211,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,211,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,211,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,211,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,211,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,211,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,211,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,211,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,211,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,211,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,211,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,211,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,211,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,211,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,211,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,211,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,211,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,211,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,211,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,211,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,211,UNGROUPABLE ,,,2573.63,2620.01,6
RC,211,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,211,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,211,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,211,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,211,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,211,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,211,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,211,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,211,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,211,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,211,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,211,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,211,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,211,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,211,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,211,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,211,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,211,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,211,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,211,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,211,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,211,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,211,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,211,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,211,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,211,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,211,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,212, Coronary Care Unit Pulmonary Care  ,,,1731.0,4110.0,8
RC,212,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,212,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,212,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,212,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,212,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,212,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,212,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,212,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,212,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,212,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,212,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,212,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,212,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,212,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,212,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,212,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,212,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,212,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,212,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,212,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,212,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,212,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,212,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,212,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,212,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,212,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,212,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,212,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,212,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,212,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,212,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,212,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,212,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,212,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,212,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,212,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,212,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,212,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,212,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,212,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,212,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,212,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,212,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,212,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,212,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,212,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,212,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,212,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,212,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,212,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,212,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,212,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,212,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,212,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,212,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,212,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,212,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,212,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,212,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,212,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,212,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,212,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,212,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,212,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,212,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,212,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,212,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,212,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,212,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,212,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,212,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,212,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,212,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,212,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,212,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,212,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,212,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,212,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,212,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,212,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,212,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,212,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,212,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,212,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,212,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,212,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,212,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,212,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,212,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,212,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,212,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,212,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,212,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,212,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,212,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,212,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,212,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,212,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,212,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,212,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,212,CHEST PAIN ,,,8496.74,8649.83,6
RC,212,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,212,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,212,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,212,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,212,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,212,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,212,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,212,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,212,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,212,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,212,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,212,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,212,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,212,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,212,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,212,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,212,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,212,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,212,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,212,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,212,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,212,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,212,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,212,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,212,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,212,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,212,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,212,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,212,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,212,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,212,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,212,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,212,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,212,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,212,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,212,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,212,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,212,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,212,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,212,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,212,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,212,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,212,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,212,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,212,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,212,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,212,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,212,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,212,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,212,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,212,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,212,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,212,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,212,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,212,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,212,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,212,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,49521.62,50413.9,6
RC,212,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,212,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,212,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,212,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,212,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,212,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,212,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,212,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,212,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,212,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,212,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,212,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,212,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,212,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,212,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,212,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,212,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,212,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,212,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,212,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,212,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,212,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,212,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,212,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,212,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,212,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,212,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,212,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,212,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,212,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,212,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,212,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,212,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,212,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,212,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,212,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,212,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,212,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,212,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,212,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,212,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,212,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,212,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,212,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,212,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,212,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,212,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,212,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,212,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,212,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,212,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,212,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,212,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,212,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,212,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,212,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,212,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,212,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,212,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,212,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,212,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,212,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,212,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,212,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,212,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,212,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,212,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,212,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,212,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,212,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,212,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,212,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,212,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,212,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,212,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,212,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,212,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,212,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,212,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,212,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,212,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,212,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,212,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,212,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,212,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,212,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,212,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,212,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,212,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,212,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,212,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,212,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,212,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,212,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,212,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,212,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,212,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,212,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,212,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,212,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,212,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,212,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,212,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,212,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,212,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,212,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,212,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,212,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,212,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,212,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,212,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,212,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,212,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,212,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,212,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,212,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,212,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,212,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,212,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,212,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,212,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,212,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,212,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,212,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,212,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,212,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,212,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,212,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,212,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,212,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,212,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,212,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,212,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,212,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,212,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,212,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,212,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,212,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,212,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,212,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,212,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,212,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,212,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,212,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,212,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,212,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,212,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,212,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,212,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,212,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,212,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,212,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,212,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,212,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,212,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,212,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,212,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,212,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,212,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,212,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,212,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,212,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,212,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,212,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,212,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,212,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,212,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,212,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,212,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,212,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,212,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,212,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,212,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,212,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,212,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,212,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,212,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,212,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,212,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,212,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,212,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,212,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,212,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,212,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,212,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,212,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,212,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,212,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,212,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,212,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,212,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,212,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,212,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,212,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,212,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,212,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,212,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,212,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,212,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,212,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,212,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,212,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,212,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,212,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,212,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,212,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,212,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,212,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,212,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,212,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,212,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,212,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,212,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,212,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,212,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,212,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,212,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,212,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,212,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,212,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,212,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,212,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,212,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,212,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,212,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,212,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,212,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,212,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,212,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,212,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,212,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,212,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,212,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,212,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,212,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,212,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,212,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,212,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,212,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,212,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,212,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,212,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,212,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,212,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,212,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,212,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,212,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,212,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,212,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,212,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,212,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,212,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,212,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,212,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,212,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,212,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,212,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,212,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,212,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,212,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,212,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,212,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,212,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,212,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,212,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,212,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,212,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,212,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,212,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,212,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,212,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,212,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,212,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,212,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,212,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,212,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,212,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,212,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,212,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,212,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,212,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,212,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,212,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,212,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,212,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,212,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,212,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,212,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,212,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,212,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,212,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,212,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,212,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,212,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,212,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,212,PSYCHOSES ,,,14064.45,14317.87,6
RC,212,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,212,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,212,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,212,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,212,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,212,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,212,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,212,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,212,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,212,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,212,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,212,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,212,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,212,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,212,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,212,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,212,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,212,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,212,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,212,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,212,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,212,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,212,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,212,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,212,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,212,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,212,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,212,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,212,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,212,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,212,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,212,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,212,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,212,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,212,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,212,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,212,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,212,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,212,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,212,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,212,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,212,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,212,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,212,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,212,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,212,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,212,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,212,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,212,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,212,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,212,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,212,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,212,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,212,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,212,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,212,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,212,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,212,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,212,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,212,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,212,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,212,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,212,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,212,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,212,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,212,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,212,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,212,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,212,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,212,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,212,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,212,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,212,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,212,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,212,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,212,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,212,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,212,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,212,UNGROUPABLE ,,,2573.63,2620.01,6
RC,212,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,212,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,212,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,212,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,212,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,212,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,212,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,212,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,212,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,212,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,212,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,212,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,212,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,212,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,212,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,212,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,212,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,212,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,212,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,212,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,212,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,212,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,212,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,212,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,212,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,212,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,212,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,213, Coronary Care Unit Heart Transplant  ,,,1731.0,4110.0,8
RC,213,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,213,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,213,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,213,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,213,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,213,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,213,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,213,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,213,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,213,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,213,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,213,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,213,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,213,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,213,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,213,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,213,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,213,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,213,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,213,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,213,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,213,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,213,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,213,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,213,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,213,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,213,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,213,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,213,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,213,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,213,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,213,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,213,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,213,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,213,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,213,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,213,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,213,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,213,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,213,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,213,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,213,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,213,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,213,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,213,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,213,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,213,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,213,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,213,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,213,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,213,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,213,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,213,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,213,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,213,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,213,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,213,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,213,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,213,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,213,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,213,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,213,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,213,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,213,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,213,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,213,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,213,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,213,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,213,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,213,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,213,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,213,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,213,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,213,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,213,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,213,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,213,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,213,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,213,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,213,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,213,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,213,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,213,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,213,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,213,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,213,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,213,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,213,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,213,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,213,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,213,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,213,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,213,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,213,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,213,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,213,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,213,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,213,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,213,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,213,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,213,CHEST PAIN ,,,8496.74,8649.83,6
RC,213,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,213,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,213,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,213,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,213,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,213,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,213,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,213,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,213,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,213,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,213,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,213,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,213,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,213,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,213,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,213,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,213,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,213,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,213,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,213,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,213,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,213,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,213,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,213,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,213,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,213,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,213,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,213,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,213,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,213,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,213,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,213,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,213,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,213,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,213,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,213,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,213,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,213,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,213,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,213,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,213,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,213,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,213,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,213,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,213,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,213,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,213,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,213,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,213,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,213,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,213,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,213,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,213,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,213,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,213,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,213,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,213,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,213,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,213,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,213,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,213,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,213,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,213,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,213,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,213,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,213,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,213,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,213,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,213,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,213,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,213,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,213,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,213,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,213,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,213,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,213,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,213,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,213,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,213,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,213,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,213,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,213,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,213,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,213,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,213,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,213,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,213,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,213,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,213,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,213,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,213,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,213,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,213,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,213,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,213,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,213,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,213,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,213,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,213,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,213,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,213,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,213,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,213,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,213,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,213,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,213,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,213,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,213,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,213,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,213,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,213,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,213,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,213,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,213,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,213,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,213,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,213,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,213,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,213,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,213,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,213,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,213,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,213,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,213,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,213,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,213,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,213,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,213,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,213,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,213,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,213,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,213,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,213,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,213,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,213,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,213,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,213,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,213,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,213,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,213,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,213,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,213,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,213,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,213,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,213,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,213,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,213,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,213,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,213,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,213,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,213,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,213,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,213,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,213,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,213,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,213,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,213,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,213,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,213,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,213,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,213,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,213,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,213,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,213,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,213,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,213,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,213,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,213,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,213,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,213,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,213,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,213,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,213,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,213,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,213,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,213,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,213,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,213,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,213,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,213,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,213,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,213,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,213,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,213,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,213,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,213,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,213,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,213,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,213,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,213,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,213,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,213,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,213,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,213,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,213,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,213,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,213,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,213,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,213,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,213,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,213,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,213,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,213,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,213,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,213,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,213,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,213,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,213,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,213,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,213,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,213,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,213,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,213,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,213,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,213,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,213,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,213,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,213,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,213,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,213,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,213,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,213,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,213,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,213,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,213,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,213,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,213,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,213,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,213,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,213,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,213,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,213,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,213,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,213,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,213,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,213,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,213,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,213,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,213,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,213,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,213,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,213,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,213,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,213,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,213,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,213,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,213,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,213,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,213,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,213,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,213,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,213,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,213,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,213,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,213,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,213,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,213,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,213,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,213,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,213,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,213,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,213,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,213,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,213,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,213,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,213,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,213,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,213,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,213,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,213,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,213,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,213,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,213,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,213,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,213,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,213,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,213,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,213,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,213,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,213,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,213,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,213,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,213,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,213,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,213,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,213,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,213,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,213,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,213,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,213,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,213,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,213,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,213,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,213,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,213,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,213,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,213,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,213,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,213,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,213,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,213,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,213,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,213,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,213,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,213,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,213,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,213,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,213,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,213,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,213,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,213,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,213,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,213,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,213,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,213,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,213,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,213,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,213,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,213,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,213,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,213,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,213,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,213,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,213,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,213,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,213,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,213,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,213,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,213,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,213,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,213,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,213,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,213,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,213,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,213,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,213,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,213,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,213,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,213,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,213,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,213,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,213,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,213,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,213,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,213,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,213,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,213,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,213,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,213,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,213,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,213,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,213,PSYCHOSES ,,,14064.45,14317.87,6
RC,213,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,213,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,213,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,213,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,213,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,213,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,213,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,213,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,213,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,213,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,213,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,213,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,213,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,213,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,213,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,213,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,213,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,213,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,213,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,213,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,213,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,213,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,213,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,213,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,213,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,213,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,213,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,213,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,213,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,213,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,213,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,213,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,213,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,213,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,213,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,213,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,213,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,213,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,213,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,213,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,213,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,213,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,213,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,213,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,213,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,213,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,213,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,213,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,213,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,213,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,213,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,213,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,213,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,213,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,213,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,213,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,213,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,213,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,213,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,213,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,213,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,213,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,213,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,213,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,213,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,213,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,213,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,213,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,213,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,213,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,213,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,213,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,213,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,213,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,213,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,213,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,213,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,213,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,213,UNGROUPABLE ,,,2573.63,2620.01,6
RC,213,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,213,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,213,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,213,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,213,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,213,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,213,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,213,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,213,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,213,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,213,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,213,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,213,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,213,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,213,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,213,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,213,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,213,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,213,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,213,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,213,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,213,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,213,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,213,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,213,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,213,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,213,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,214, Coronary Care Unit Intermediate CCU  ,,,1538.0,4110.0,8
RC,214,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,214,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,214,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,214,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,214,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,214,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,214,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,214,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,214,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,214,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,214,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,214,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,214,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,214,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,214,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,214,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,214,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,214,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,214,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,214,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,214,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,214,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,214,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,214,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,214,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,214,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,214,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,214,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,214,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,214,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,214,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,214,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,214,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,214,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,214,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,214,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,214,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,214,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,214,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,214,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,214,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,214,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,214,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,214,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,214,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,214,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,214,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,214,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,214,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,214,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,214,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,214,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,214,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,214,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,214,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,214,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,214,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,214,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,214,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,214,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,214,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,214,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,214,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,214,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,214,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,214,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,214,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,214,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,214,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,214,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,214,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,214,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,214,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,214,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,214,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,214,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,214,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,214,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,214,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,214,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,214,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,214,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,56665.53,84548.57,18
RC,214,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,66923.89,18
RC,214,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,214,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,214,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,214,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,214,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,214,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,214,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,214,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,214,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,214,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,214,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,214,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,214,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,214,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,214,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,214,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,214,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,214,CHEST PAIN ,,,8496.74,8649.83,6
RC,214,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,214,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,214,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,214,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,214,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,214,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,214,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,214,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,214,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,214,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,214,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,214,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,214,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,214,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,214,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,214,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,214,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,214,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,214,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,214,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,214,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,214,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,214,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,214,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,214,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,214,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,214,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,214,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,214,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,214,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,214,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,214,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,214,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,214,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,214,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,214,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,214,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,214,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,214,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,214,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,214,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,214,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,214,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,214,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,214,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,214,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,214,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,214,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,214,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,214,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,214,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,214,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,214,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,214,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,214,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,214,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,214,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,214,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,214,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,214,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,214,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,214,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,214,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,214,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,214,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,214,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,214,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,214,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,214,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,214,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,214,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,214,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,214,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,214,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,214,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,214,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,214,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,214,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,214,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,214,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,214,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,214,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,214,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,214,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,214,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,214,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,214,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,214,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,214,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,214,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,214,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,214,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,214,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,214,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,214,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,214,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,214,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,214,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,214,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,214,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,214,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,214,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,214,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,214,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,214,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,214,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,214,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,214,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,214,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,214,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,214,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,214,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,214,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,214,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,214,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,214,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,214,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,214,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,214,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,214,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,214,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,214,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,214,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,214,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,214,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,214,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,214,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,214,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,214,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,214,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,214,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,214,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,214,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,214,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,214,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,214,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,214,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,214,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,214,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,214,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,214,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,214,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,214,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,214,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,214,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,214,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,214,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,214,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,214,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,214,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,214,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,214,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,214,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,214,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,214,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,214,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,214,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,214,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,214,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,214,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,214,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,214,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,214,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,214,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,214,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,214,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,214,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,214,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,214,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,214,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,214,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,214,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,214,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,214,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,214,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,214,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,214,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,214,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,214,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,214,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,214,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,214,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,214,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,214,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,214,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,214,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,214,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,214,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,214,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,214,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,214,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,214,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,214,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,214,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,214,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,214,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,214,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,214,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,214,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,214,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,214,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,214,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,214,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,214,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,214,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,214,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,214,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,214,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,214,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,214,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,214,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,214,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,214,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,214,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,214,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,214,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,214,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,214,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,214,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,214,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,214,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,214,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,214,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,214,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,214,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,214,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,214,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,214,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,214,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,214,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,214,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,214,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,214,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,214,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,214,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,214,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,214,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,214,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,214,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,214,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,214,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,214,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,214,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,214,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,214,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,214,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,214,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,214,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,214,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,214,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,214,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,214,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,214,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,214,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,214,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,214,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,214,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,214,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,214,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,214,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,214,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,214,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,214,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,214,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,214,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,214,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,214,OTHER HEART ASSIST SYSTEM IMPLANT ,,,84485.2,86007.45,6
RC,214,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,214,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,214,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,214,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,214,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,214,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,214,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,214,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,214,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,214,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,214,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,214,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,214,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,214,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,214,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,214,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,214,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,214,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,214,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,214,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,214,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,214,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,214,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,214,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,214,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,214,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,214,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,214,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,214,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,214,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,214,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,214,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,214,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,214,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,214,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,214,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,214,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,214,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,214,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,214,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,214,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,214,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,214,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,214,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,214,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,214,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,214,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,214,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,214,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,214,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,214,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,214,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,214,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,214,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,214,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,214,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,214,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,214,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,214,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,214,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,214,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,214,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,214,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,214,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,214,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,214,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,214,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,214,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,214,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,214,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,214,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,214,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,214,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,214,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,214,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,214,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,214,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,214,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,214,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,214,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,214,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,214,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,214,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,214,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,214,PSYCHOSES ,,,14064.45,14317.87,6
RC,214,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,214,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,214,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,214,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,214,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,214,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,214,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,214,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,214,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,214,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,214,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,214,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,214,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,214,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,214,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,214,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,214,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,214,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,214,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,214,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,214,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,214,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,214,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,214,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,214,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,214,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,214,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,214,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,214,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,214,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,214,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,214,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,214,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,214,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,214,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,214,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,214,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,214,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,214,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,214,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,214,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,214,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,214,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,214,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,214,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,214,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,214,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,214,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,214,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,214,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,214,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,214,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,214,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,214,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,214,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,214,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,214,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,214,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,214,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,214,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,214,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,214,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,214,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,214,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,214,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,214,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,214,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,214,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,214,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,214,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,214,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,214,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,214,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,214,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,214,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,214,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,214,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,214,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,214,UNGROUPABLE ,,,2573.63,2620.01,6
RC,214,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,214,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,214,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,214,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,214,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,214,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,214,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,214,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,214,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,214,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,214,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,214,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,214,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,214,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,214,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,214,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,214,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,214,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,214,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,214,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,214,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,214,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,214,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,214,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,214,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,214,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,214,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,219, Coronary Care Unit Other Coronary CCU  ,,,1731.0,4110.0,8
RC,219,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,10822.38,11017.37,6
RC,219,ABORTION WITHOUT D&C ,,,9494.61,9665.69,6
RC,219,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,10472.75,10661.45,6
RC,219,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,16615.5,16914.88,6
RC,219,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,24836.27,25283.77,6
RC,219,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,10221.84,10406.02,6
RC,219,ACUTE LEUKEMIA WITH CC ,,,19732.53,20088.07,6
RC,219,ACUTE LEUKEMIA WITH MCC ,,,47736.46,48596.58,6
RC,219,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,73811.27,75141.2,6
RC,219,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12605.89,12833.03,6
RC,219,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,10134.64,10317.24,6
RC,219,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,15769.81,16053.96,6
RC,219,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,8522.24,8675.79,6
RC,219,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,8268.04,8417.01,6
RC,219,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,18868.75,19208.72,6
RC,219,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7500.5,7635.65,6
RC,219,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,20604.54,20975.79,6
RC,219,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,14085.02,14338.81,6
RC,219,AFTERCARE WITH CC/MCC ,,,12360.74,12583.45,6
RC,219,AFTERCARE WITHOUT CC/MCC ,,,7737.43,7876.84,6
RC,219,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,11837.53,12050.82,6
RC,219,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,17915.29,18238.09,6
RC,219,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,9186.94,9352.47,6
RC,219,AICD GENERATOR PROCEDURES ,,,40106.35,40828.99,6
RC,219,AICD LEAD PROCEDURES ,,,32338.86,32921.54,6
RC,219,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,14219.11,14475.31,6
RC,219,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,16929.75,17234.79,6
RC,219,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,9836.02,10013.24,6
RC,219,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,7648.58,7786.39,6
RC,219,ALLERGIC REACTIONS WITH MCC ,,,16407.37,16702.99,6
RC,219,ALLERGIC REACTIONS WITHOUT MCC ,,,8054.97,8200.11,6
RC,219,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,26023.36,26492.25,6
RC,219,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,43062.15,43838.04,6
RC,219,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13962.45,14214.02,6
RC,219,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,21294.75,21678.44,6
RC,219,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37889.31,38572.0,6
RC,219,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,12282.58,12503.89,6
RC,219,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,14241.32,31826.13,18
RC,219,ANAL AND STOMAL PROCEDURES WITH CC ,,,13340.51,13580.88,6
RC,219,ANAL AND STOMAL PROCEDURES WITH MCC ,,,21458.45,21845.09,6
RC,219,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,9735.65,9911.07,6
RC,219,ANGINA PECTORIS ,,,8347.84,8498.25,6
RC,219,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59154.89,60220.74,6
RC,219,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,37315.91,37988.27,6
RC,219,APPENDIX PROCEDURES WITH CC ,,,15025.32,15296.04,6
RC,219,APPENDIX PROCEDURES WITH MCC ,,,22275.35,22676.7,6
RC,219,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,11990.54,12206.59,6
RC,219,ATHEROSCLEROSIS WITH MCC ,,,12417.5,12641.24,6
RC,219,ATHEROSCLEROSIS WITHOUT MCC ,,,8111.73,8257.89,6
RC,219,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,19028.34,19371.19,6
RC,219,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,33318.65,33918.98,6
RC,219,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,14863.24,15131.05,6
RC,219,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,19646.16,20000.14,6
RC,219,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,12200.32,12420.15,6
RC,219,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,8513.19,8666.58,6
RC,219,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,48008.75,48873.78,6
RC,219,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24456.21,24896.86,6
RC,219,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,15634.89,32481.04,18
RC,219,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,22804.32,23215.21,6
RC,219,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,30993.01,31551.44,6
RC,219,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,17865.93,18187.84,6
RC,219,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13237.68,13476.2,6
RC,219,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,9402.48,9571.89,6
RC,219,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,20184.16,20547.84,6
RC,219,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,18443.44,18775.75,6
RC,219,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,7789.26,7929.6,6
RC,219,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,15422.65,15700.54,6
RC,219,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,6317.53,6431.36,6
RC,219,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,8625.89,8781.31,6
RC,219,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,12478.38,12703.21,6
RC,219,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7230.67,7360.96,6
RC,219,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,15537.0,15816.95,6
RC,219,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,10086.1,10267.83,6
RC,219,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61232.08,62335.37,6
RC,219,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,51987.11,52923.81,6
RC,219,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,40567.86,41298.81,6
RC,219,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,28422.22,28934.33,6
RC,219,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,19208.51,19554.6,6
RC,219,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,18125.89,18452.48,6
RC,219,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,29332.89,29861.41,6
RC,219,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,15982.06,16270.02,6
RC,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,44036.99,47280.91,12
RC,219,CELLULITIS WITH MCC ,,,14266.0,14523.04,6
RC,219,CELLULITIS WITHOUT MCC ,,,9738.12,9913.58,6
RC,219,CERVICAL SPINAL FUSION WITH CC ,,,26809.82,27292.88,6
RC,219,CERVICAL SPINAL FUSION WITH MCC ,,,42297.08,43059.19,6
RC,219,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,22657.06,23065.3,6
RC,219,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,11294.58,11498.09,6
RC,219,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,22770.58,23180.87,6
RC,219,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,10453.01,10641.35,6
RC,219,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,11761.03,11972.94,6
RC,219,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,16143.3,16434.17,6
RC,219,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,10461.23,10649.72,6
RC,219,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42096.35,42854.84,6
RC,219,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,19745.69,20101.47,6
RC,219,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,14451.92,14712.32,6
RC,219,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13335.58,13575.87,6
RC,219,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,23900.92,24331.57,6
RC,219,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9561.25,9733.52,6
RC,219,CHEST PAIN ,,,8496.74,8649.83,6
RC,219,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,19575.41,19928.11,6
RC,219,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,31881.46,32455.91,6
RC,219,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13788.86,14037.31,6
RC,219,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,19869.91,20227.93,6
RC,219,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,29748.33,30284.34,6
RC,219,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,16233.78,16526.28,6
RC,219,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,20777.3,21151.67,6
RC,219,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,11376.85,11581.83,6
RC,219,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,11262.49,11465.42,6
RC,219,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,18765.09,19103.2,6
RC,219,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,8435.04,8587.02,6
RC,219,COAGULATION DISORDERS ,,,15121.56,15394.02,6
RC,219,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,76691.38,78073.2,6
RC,219,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,50016.86,50918.06,6
RC,219,COMPLICATED PEPTIC ULCER WITH CC ,,,11487.08,11694.05,6
RC,219,COMPLICATED PEPTIC ULCER WITH MCC ,,,18715.73,19052.95,6
RC,219,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,9159.79,9324.84,6
RC,219,COMPLICATIONS OF TREATMENT WITH CC ,,,10819.09,11014.02,6
RC,219,COMPLICATIONS OF TREATMENT WITH MCC ,,,17634.77,17952.51,6
RC,219,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,8236.78,8385.19,6
RC,219,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,57580.33,58617.81,6
RC,219,CONNECTIVE TISSUE DISORDERS WITH CC ,,,12062.11,12279.45,6
RC,219,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,22989.41,23403.63,6
RC,219,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,9452.66,9622.98,6
RC,219,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,65467.1,66646.69,6
RC,219,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,47512.7,48368.78,6
RC,219,CORONARY BYPASS WITH PTCA WITH MCC ,,,71922.46,73218.36,6
RC,219,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,52447.8,53392.81,6
RC,219,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,50851.85,51768.1,6
RC,219,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,37032.92,37700.18,6
RC,219,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38173.12,38860.93,6
RC,219,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,28495.43,29008.86,6
RC,219,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,28984.09,29506.32,6
RC,219,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,57947.23,58991.32,6
RC,219,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,19430.62,19780.72,6
RC,219,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,11931.31,12146.29,6
RC,219,DEPRESSIVE NEUROSES ,,,10313.98,10499.81,6
RC,219,DIABETES WITH CC ,,,9946.25,10125.46,6
RC,219,DIABETES WITH MCC ,,,14392.69,14652.02,6
RC,219,DIABETES WITHOUT CC/MCC ,,,7683.96,7822.4,6
RC,219,DIGESTIVE MALIGNANCY WITH CC ,,,12524.44,12750.11,6
RC,219,DIGESTIVE MALIGNANCY WITH MCC ,,,20167.71,20531.09,6
RC,219,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,10177.42,10360.79,6
RC,219,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,10514.7,10704.16,6
RC,219,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,17337.79,17650.18,6
RC,219,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,8329.74,8479.82,6
RC,219,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,9493.79,9664.85,6
RC,219,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,15984.52,16272.53,6
RC,219,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7685.6,7824.08,6
RC,219,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,18749.47,19087.29,6
RC,219,DISORDERS OF THE BILIARY TRACT WITH CC ,,,11576.75,11785.33,6
RC,219,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,16319.34,16613.38,6
RC,219,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,9379.44,9548.44,6
RC,219,ENDOCRINE DISORDERS WITH CC ,,,11005.83,11204.13,6
RC,219,ENDOCRINE DISORDERS WITH MCC ,,,16115.32,16405.69,6
RC,219,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,8894.08,9054.33,6
RC,219,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,52989.1,53943.86,6
RC,219,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,41738.5,42490.54,6
RC,219,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13007.35,13241.71,6
RC,219,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,8987.04,9148.97,6
RC,219,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,178214.16,181425.23,6
RC,219,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,34609.39,35232.98,6
RC,219,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,22798.56,23209.34,6
RC,219,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41170.87,41912.68,6
RC,219,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16673.91,16974.34,6
RC,219,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,51468.01,52395.37,6
RC,219,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,13986.3,14238.31,6
RC,219,FEVER AND INFLAMMATORY CONDITIONS ,,,9876.33,10054.28,6
RC,219,FOOT PROCEDURES WITH CC ,,,17950.66,18274.1,6
RC,219,FOOT PROCEDURES WITH MCC ,,,25534.71,25994.79,6
RC,219,FOOT PROCEDURES WITHOUT CC/MCC ,,,17322.16,17634.27,6
RC,219,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9940.49,14552.35,12
RC,219,FRACTURES OF FEMUR WITH MCC ,,,15470.37,15749.12,6
RC,219,FRACTURES OF FEMUR WITHOUT MCC ,,,9205.04,9370.9,6
RC,219,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13120.04,13356.44,6
RC,219,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,9217.38,9383.46,6
RC,219,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36874.98,37539.39,6
RC,219,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,61580.07,62689.62,6
RC,219,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,29069.65,29593.42,6
RC,219,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,20759.2,21133.24,6
RC,219,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,10641.39,10833.13,6
RC,219,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,17611.73,17929.05,6
RC,219,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,7759.64,7899.45,6
RC,219,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,9070.95,9234.39,6
RC,219,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,14722.57,14987.85,6
RC,219,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,7048.87,7175.87,6
RC,219,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,15524.66,15804.38,6
RC,219,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,10983.62,11181.52,6
RC,219,HAND PROCEDURES FOR INJURIES ,,,18733.0,19070.54,6
RC,219,HEART FAILURE AND SHOCK WITH CC ,,,9557.96,9730.17,6
RC,219,HEART FAILURE AND SHOCK WITH MCC ,,,13134.85,13371.52,6
RC,219,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7229.85,7360.12,6
RC,219,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,16867.23,17171.14,6
RC,219,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,30602.24,31153.64,6
RC,219,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,14086.67,14340.48,6
RC,219,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,16413.95,16709.69,6
RC,219,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,26447.03,26923.55,6
RC,219,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13638.31,13884.05,6
RC,219,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,19804.1,20160.93,6
RC,219,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,26531.75,27009.8,6
RC,219,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,15991.1,16279.23,6
RC,219,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26185.42,26657.23,6
RC,219,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19994.95,20355.22,6
RC,219,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,52930.69,53884.4,6
RC,219,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24270.28,24707.59,6
RC,219,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13226.99,13465.32,6
RC,219,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,26315.4,26789.55,6
RC,219,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,9999.72,10179.9,6
RC,219,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13249.2,13487.93,6
RC,219,HYPERTENSION WITH MCC ,,,12363.2,12585.96,6
RC,219,HYPERTENSION WITHOUT MCC ,,,8785.49,8943.79,6
RC,219,INBORN AND OTHER DISORDERS OF METABOLISM ,,,14272.58,14529.74,6
RC,219,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10627.41,10818.89,6
RC,219,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,14353.2,14611.82,6
RC,219,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8032.76,8177.49,6
RC,219,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,19011.06,19353.6,6
RC,219,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43201.18,43979.58,6
RC,219,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14890.39,15158.69,6
RC,219,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14772.76,15038.93,6
RC,219,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,9247.0,9413.61,6
RC,219,INFLAMMATORY BOWEL DISEASE WITH CC ,,,10605.2,10796.28,6
RC,219,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,15590.47,15871.38,6
RC,219,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,8178.37,8325.73,6
RC,219,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,15114.98,15387.32,6
RC,219,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,23073.33,23489.06,6
RC,219,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,12180.57,12400.04,6
RC,219,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17628.19,17945.81,6
RC,219,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,28765.26,29283.55,6
RC,219,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,15339.57,15615.96,6
RC,219,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13446.64,13688.92,6
RC,219,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,23476.42,23899.42,6
RC,219,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,11091.38,11291.23,6
RC,219,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,12118.88,12337.24,6
RC,219,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,9233.01,9399.37,6
RC,219,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,11193.4,11395.08,6
RC,219,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,17411.83,17725.55,6
RC,219,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,9075.06,9238.58,6
RC,219,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,11983.14,12199.05,6
RC,219,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,8241.71,8390.21,6
RC,219,KIDNEY TRANSPLANT ,,,4200.0,29666.29,8
RC,219,KIDNEY TRANSPLANT Pediatric,,,6099.0,6099.0,1
RC,219,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,41993.08,9
RC,219,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Pediatric,,,6099.0,6099.0,1
RC,219,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,33655.17,9
RC,219,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Pediatric,,,6099.0,6099.0,1
RC,219,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,19776.13,20132.45,6
RC,219,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,29121.47,29646.18,6
RC,219,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15458.03,15736.55,6
RC,219,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,17125.55,17434.11,6
RC,219,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,11761.03,11972.94,6
RC,219,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,16489.64,16786.75,6
RC,219,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,22205.43,22605.53,6
RC,219,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,13809.43,14058.25,6
RC,219,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33530.07,34134.22,6
RC,219,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12513.75,32984.36,18
RC,219,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,27391.43,27884.96,6
RC,219,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,19148.44,19493.46,6
RC,219,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,23436.94,23859.23,6
RC,219,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,32778.17,33368.76,6
RC,219,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,19080.17,19423.95,6
RC,219,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,20989.55,21367.73,6
RC,219,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,50820.58,51736.27,6
RC,219,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,12478.38,12703.21,6
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,15994.4,16282.59,6
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,29185.64,29711.51,6
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,21211.66,21593.85,6
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,40290.62,41016.58,6
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13674.51,13920.9,6
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,10885.72,11081.86,6
RC,219,MAJOR BLADDER PROCEDURES WITH CC ,,,25602.16,26063.46,6
RC,219,MAJOR BLADDER PROCEDURES WITH MCC ,,,45321.98,46138.59,6
RC,219,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,19985.91,20346.01,6
RC,219,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,10801.81,10996.44,6
RC,219,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,15669.45,15951.78,6
RC,219,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,8338.79,8489.04,6
RC,219,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,10972.92,11170.63,6
RC,219,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,17160.09,17469.28,6
RC,219,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,8557.61,8711.8,6
RC,219,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,11183.52,21110.63,18
RC,219,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,27526.35,28022.32,6
RC,219,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,18441.78,18774.07,6
RC,219,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,25376.75,25833.99,6
RC,219,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,19029.16,19372.03,6
RC,219,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15194.78,15468.56,6
RC,219,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,17434.04,17748.16,6
RC,219,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,15031.9,15302.74,6
RC,219,MAJOR SKIN DISORDERS WITH MCC ,,,20019.64,20380.35,6
RC,219,MAJOR SKIN DISORDERS WITHOUT MCC ,,,11478.85,11685.68,6
RC,219,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,22294.27,22695.97,6
RC,219,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,40386.87,41114.56,6
RC,219,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16418.07,16713.89,6
RC,219,MAJOR THUMB OR JOINT PROCEDURES ,,,13672.87,13919.23,6
RC,219,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,11878.67,12092.69,6
RC,219,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,17683.3,18001.92,6
RC,219,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,9593.33,9766.19,6
RC,219,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,11522.45,11730.07,6
RC,219,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17724.44,18043.79,6
RC,219,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10475.22,10663.96,6
RC,219,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,11974.09,12189.84,6
RC,219,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,17461.19,17775.8,6
RC,219,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7967.77,8111.33,6
RC,219,MALIGNANT BREAST DISORDERS WITH CC ,,,11880.31,12094.37,6
RC,219,MALIGNANT BREAST DISORDERS WITH MCC ,,,16288.08,16581.56,6
RC,219,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,8903.13,9063.54,6
RC,219,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,18422.87,18754.81,6
RC,219,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16759.47,17061.44,6
RC,219,MEDICAL BACK PROBLEMS WITH MCC ,,,16362.12,16656.93,6
RC,219,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,10481.8,10670.66,6
RC,219,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,10861.86,11057.57,6
RC,219,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,7266.87,7397.8,6
RC,219,MINOR BLADDER PROCEDURES WITH CC ,,,15079.61,15351.31,6
RC,219,MINOR BLADDER PROCEDURES WITH MCC ,,,27759.16,28259.32,6
RC,219,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,11185.99,11387.54,6
RC,219,MINOR SKIN DISORDERS WITH MCC ,,,15022.02,15292.69,6
RC,219,MINOR SKIN DISORDERS WITHOUT MCC ,,,10030.16,10210.89,6
RC,219,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,14952.1,15221.51,6
RC,219,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23821.11,24250.32,6
RC,219,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,12331.94,12554.14,6
RC,219,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13560.99,13805.33,6
RC,219,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,8975.52,9137.24,6
RC,219,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,48823.18,94919.86,18
RC,219,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,57540.01,58576.77,6
RC,219,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,37460.7,38135.67,6
RC,219,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,16589.99,41795.43,18
RC,219,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,14954.56,29084.23,12
RC,219,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,14715.17,14980.31,6
RC,219,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,17399.48,17712.99,6
RC,219,NEUROSES EXCEPT DEPRESSIVE ,,,11407.28,11612.82,6
RC,219,NON-EXTENSIVE BURNS ,,,19520.28,19872.0,6
RC,219,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,16094.76,16384.75,6
RC,219,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,30777.47,31332.02,6
RC,219,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12438.89,12663.02,6
RC,219,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,11142.39,11343.15,6
RC,219,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7550.69,7686.73,6
RC,219,NORMAL NEWBORN ,,,4217.3,4293.28,6
RC,219,O.R. PROCEDURES FOR OBESITY WITH CC ,,,15738.55,16022.12,6
RC,219,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,26326.91,26801.27,6
RC,219,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,14982.54,15252.49,6
RC,219,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,21798.21,22190.97,6
RC,219,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,32423.6,33007.81,6
RC,219,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,19254.57,19601.5,6
RC,219,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,34368.35,34987.6,6
RC,219,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15809.3,16094.15,6
RC,219,OSTEOMYELITIS WITH CC ,,,13237.68,13476.2,6
RC,219,OSTEOMYELITIS WITH MCC ,,,18777.43,19115.76,6
RC,219,OSTEOMYELITIS WITHOUT CC/MCC ,,,9051.2,9214.29,6
RC,219,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12109.82,12328.02,6
RC,219,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,21343.29,21727.85,6
RC,219,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,9647.63,9821.46,6
RC,219,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,8509.9,8663.23,6
RC,219,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,12466.03,12690.65,6
RC,219,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,6875.29,6999.17,6
RC,219,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43273.57,44053.28,6
RC,219,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,28483.09,28996.3,6
RC,219,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,10498.25,10687.41,6
RC,219,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,19727.6,20083.05,6
RC,219,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8184.95,8332.43,6
RC,219,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,30055.18,30596.72,6
RC,219,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,10271.2,10456.27,6
RC,219,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,15730.32,16013.75,6
RC,219,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7912.65,8055.22,6
RC,219,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,21704.43,22095.5,6
RC,219,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,38711.14,39408.64,6
RC,219,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14073.5,14327.08,6
RC,219,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,20497.59,20866.92,6
RC,219,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,33232.27,33831.05,6
RC,219,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,14580.26,14842.97,6
RC,219,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,39287.82,39995.71,6
RC,219,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,22360.91,22763.8,6
RC,219,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,7147.59,7276.37,6
RC,219,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,23696.07,24123.03,6
RC,219,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,14714.35,14979.47,6
RC,219,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,20572.46,20943.14,6
RC,219,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,36738.41,37400.37,6
RC,219,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,14915.9,15184.66,6
RC,219,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,11056.01,11255.22,6
RC,219,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,19793.41,20150.05,6
RC,219,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,8576.53,8731.07,6
RC,219,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,16965.13,17270.81,6
RC,219,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,10945.77,11143.0,6
RC,219,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,10923.56,11120.38,6
RC,219,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,16183.61,16475.21,6
RC,219,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,8249.12,8397.75,6
RC,219,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,21812.2,22205.21,6
RC,219,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,37138.22,37807.38,6
RC,219,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,16076.66,16366.33,6
RC,219,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,31829.64,32403.15,6
RC,219,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,45979.27,46807.73,6
RC,219,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,23575.97,24000.76,6
RC,219,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,11283.06,11486.36,6
RC,219,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,8101.86,8247.84,6
RC,219,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,18125.89,18452.48,6
RC,219,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13622.69,13868.14,6
RC,219,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,20978.86,21356.85,6
RC,219,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,14674.85,14939.27,6
RC,219,OTHER MENTAL DISORDER DIAGNOSES ,,,11383.43,11588.53,6
RC,219,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,15181.61,15455.16,6
RC,219,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,25063.32,25514.91,6
RC,219,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,10310.69,10496.46,6
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,10589.57,10780.37,6
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,15272.1,15547.27,6
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,8737.77,8895.21,6
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,19669.19,20023.59,6
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,28790.76,29309.51,6
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,15215.35,15489.5,6
RC,219,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9579.35,19325.97,18
RC,219,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,18987.2,19329.32,6
RC,219,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,34157.75,34773.21,6
RC,219,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13372.6,13613.55,6
RC,219,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,37239.41,37910.39,6
RC,219,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,65258.96,66434.8,6
RC,219,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,26793.36,27276.12,6
RC,219,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17865.93,18187.84,6
RC,219,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,35348.95,35985.87,6
RC,219,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13728.81,13976.18,6
RC,219,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16789.08,17091.59,6
RC,219,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29215.26,29741.66,6
RC,219,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,14445.34,14705.62,6
RC,219,OTHER VASCULAR PROCEDURES WITH CC ,,,23926.42,24357.52,6
RC,219,OTHER VASCULAR PROCEDURES WITH MCC ,,,31270.24,31833.67,6
RC,219,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,17230.84,17541.31,6
RC,219,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,26432.22,26908.48,6
RC,219,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47576.86,48434.11,6
RC,219,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,20833.25,21208.62,6
RC,219,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,8781.37,17414.01,18
RC,219,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,20096.14,20458.23,6
RC,219,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13642.43,13888.24,6
RC,219,PENIS PROCEDURES WITH CC/MCC ,,,21717.59,22108.9,6
RC,219,PENIS PROCEDURES WITHOUT CC/MCC ,,,14100.65,14354.72,6
RC,219,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,36512.18,37170.06,6
RC,219,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,29652.91,30187.19,6
RC,219,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24956.37,25406.04,6
RC,219,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17077.01,17384.7,6
RC,219,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20528.04,20897.91,6
RC,219,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,14868.18,15136.08,6
RC,219,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,30861.37,31417.44,6
RC,219,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22434.94,22839.18,6
RC,219,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,22499.93,22905.34,6
RC,219,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,11355.46,11560.06,6
RC,219,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,16005.09,16293.47,6
RC,219,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,8494.27,8647.32,6
RC,219,PERITONEAL ADHESIOLYSIS WITH CC ,,,19920.91,20279.85,6
RC,219,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31949.75,32525.42,6
RC,219,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,15201.36,15475.26,6
RC,219,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,20103.54,20465.77,6
RC,219,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,28839.3,29358.93,6
RC,219,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,17443.08,17757.37,6
RC,219,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,15476.12,15754.97,6
RC,219,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,9624.59,9798.01,6
RC,219,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,17576.36,17893.05,6
RC,219,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,10782.89,10977.17,6
RC,219,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,20190.74,20554.54,6
RC,219,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,39993.66,40714.26,6
RC,219,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14032.36,14285.2,6
RC,219,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,16474.82,16771.66,6
RC,219,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,7959.54,8102.96,6
RC,219,PREMATURITY WITH MAJOR PROBLEMS ,,,35965.12,36613.14,6
RC,219,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,22722.06,23131.46,6
RC,219,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,2573.63,2620.01,6
RC,219,PROSTATECTOMY WITH CC ,,,16964.31,17269.97,6
RC,219,PROSTATECTOMY WITH MCC ,,,28250.28,28759.29,6
RC,219,PROSTATECTOMY WITHOUT CC/MCC ,,,11673.83,11884.16,6
RC,219,PSYCHOSES ,,,14064.45,14317.87,6
RC,219,RADIOTHERAPY ,,,24863.41,25311.4,6
RC,219,RECTAL RESECTION WITH CC ,,,21841.81,22235.36,6
RC,219,RECTAL RESECTION WITH MCC ,,,32359.43,32942.48,6
RC,219,RECTAL RESECTION WITHOUT CC/MCC ,,,16047.87,16337.02,6
RC,219,RED BLOOD CELL DISORDERS WITH MCC ,,,14126.15,14380.67,6
RC,219,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,10127.23,10309.71,6
RC,219,REHABILITATION WITH CC/MCC ,,,15313.24,15313.24,5
RC,219,REHABILITATION WITHOUT CC/MCC ,,,12007.82,12007.82,5
RC,219,RENAL FAILURE WITH CC ,,,9778.43,9954.62,6
RC,219,RENAL FAILURE WITH MCC ,,,14757.13,15023.02,6
RC,219,RENAL FAILURE WITHOUT CC/MCC ,,,7512.02,7647.37,6
RC,219,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,10915.34,11112.01,6
RC,219,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,20069.0,20430.6,6
RC,219,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,7772.8,7912.85,6
RC,219,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,31585.32,32154.42,6
RC,219,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45396.01,46213.96,6
RC,219,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,25180.14,25633.84,6
RC,219,SEPTIC ARTHRITIS WITH CC ,,,12504.71,12730.01,6
RC,219,SEPTIC ARTHRITIS WITH MCC ,,,18458.25,18790.83,6
RC,219,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,9764.44,9940.38,6
RC,219,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,59433.76,60504.64,6
RC,219,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,18553.67,18887.97,6
RC,219,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,10991.84,11189.9,6
RC,219,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,19679.88,20034.47,6
RC,219,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,27421.87,27915.96,6
RC,219,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,16191.84,16483.58,6
RC,219,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13447.46,13689.76,6
RC,219,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,9406.59,9576.08,6
RC,219,SIGNS AND SYMPTOMS WITH MCC ,,,13016.39,13250.92,6
RC,219,SIGNS AND SYMPTOMS WITHOUT MCC ,,,9158.97,9324.0,6
RC,219,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,35648.39,36290.71,6
RC,219,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,46417.75,47254.1,6
RC,219,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,29148.62,29673.82,6
RC,219,SKIN DEBRIDEMENT WITH CC ,,,16472.36,16769.15,6
RC,219,SKIN DEBRIDEMENT WITH MCC ,,,26768.68,27251.0,6
RC,219,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12003.71,12219.99,6
RC,219,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,24379.7,24818.97,6
RC,219,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,42893.51,43666.36,6
RC,219,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,15788.73,16073.21,6
RC,219,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,31131.2,31692.13,6
RC,219,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56468.92,57486.38,6
RC,219,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17356.7,17669.44,6
RC,219,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,12872.43,32427.44,18
RC,219,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,32790.5,33381.32,6
RC,219,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,14776.88,15043.12,6
RC,219,SKIN ULCERS WITH CC ,,,12332.77,12554.98,6
RC,219,SKIN ULCERS WITH MCC ,,,18494.44,18827.68,6
RC,219,SKIN ULCERS WITHOUT CC/MCC ,,,9704.39,9879.24,6
RC,219,SOFT TISSUE PROCEDURES WITH CC ,,,16954.43,17259.91,6
RC,219,SOFT TISSUE PROCEDURES WITH MCC ,,,28608.95,29124.43,6
RC,219,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13645.72,13891.59,6
RC,219,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,36899.65,72996.43,18
RC,219,SPLENIC PROCEDURES WITH CC ,,,25685.24,26148.04,6
RC,219,SPLENIC PROCEDURES WITH MCC ,,,39830.76,40548.43,6
RC,219,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,18277.26,18606.58,6
RC,219,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,10424.21,10612.04,6
RC,219,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,8499.2,8652.34,6
RC,219,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22680.92,23089.58,6
RC,219,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,43602.63,44388.26,6
RC,219,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,15755.01,16038.88,6
RC,219,SYNCOPE AND COLLAPSE ,,,9743.88,9919.44,6
RC,219,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,14805.66,15072.43,6
RC,219,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,9921.57,10100.34,6
RC,219,TESTES PROCEDURES WITH CC/MCC ,,,19716.08,20071.32,6
RC,219,TESTES PROCEDURES WITHOUT CC/MCC ,,,11620.35,11829.72,6
RC,219,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,14908.5,15177.12,6
RC,219,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,27418.58,27912.6,6
RC,219,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13500.93,13744.19,6
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,TRANSURETHRAL PROCEDURES WITH CC ,,,15341.21,15617.63,6
RC,219,TRANSURETHRAL PROCEDURES WITH MCC ,,,26595.1,27074.29,6
RC,219,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,10613.42,10804.66,6
RC,219,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,14941.4,15210.61,6
RC,219,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,11272.37,11475.48,6
RC,219,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,14683.91,14948.49,6
RC,219,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,10109.14,10291.28,6
RC,219,TRAUMATIC INJURY WITH MCC ,,,16020.72,16309.38,6
RC,219,TRAUMATIC INJURY WITHOUT MCC ,,,9858.23,10035.85,6
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,32241.79,49235.57,12
RC,219,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13932.01,14183.04,6
RC,219,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,9605.67,9778.75,6
RC,219,UNGROUPABLE ,,,2573.63,2620.01,6
RC,219,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,16541.46,16839.51,6
RC,219,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,24763.88,25210.07,6
RC,219,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,11558.65,11766.92,6
RC,219,URETHRAL PROCEDURES WITH CC/MCC ,,,17340.25,17652.69,6
RC,219,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,11454.18,11660.56,6
RC,219,URETHRAL STRICTURE ,,,11440.19,11646.32,6
RC,219,URINARY STONES WITH MCC ,,,13634.21,13879.87,6
RC,219,URINARY STONES WITHOUT MCC ,,,9004.31,9166.55,6
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,17667.67,17986.01,6
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,12780.3,13010.57,6
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,17460.37,17774.97,6
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,32047.64,32625.08,6
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14305.49,14563.25,6
RC,219,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,19525.22,19877.03,6
RC,219,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,31979.37,32555.57,6
RC,219,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,14654.3,14918.34,6
RC,219,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,16863.94,17167.8,6
RC,219,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,9645.98,9819.78,6
RC,219,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,11389.19,11594.4,6
RC,219,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,10803.46,10998.11,6
RC,219,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,12173.99,12393.34,6
RC,219,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,10447.25,10635.49,6
RC,219,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,8776.44,8934.57,6
RC,219,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,11451.7,11658.04,6
RC,219,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,8119.96,8266.27,6
RC,219,VEIN LIGATION AND STRIPPING ,,,27725.42,28224.98,6
RC,219,VIRAL ILLNESS WITH MCC ,,,14899.44,15167.9,6
RC,219,VIRAL ILLNESS WITHOUT MCC ,,,9727.43,9902.69,6
RC,219,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17576.36,50351.93,18
RC,219,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,18323.33,18653.47,6
RC,219,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37097.09,37765.5,6
RC,219,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,12195.38,12415.12,6
RC,230, Incremental Nursing Charge General Classification  ,,,,,0
RC,231, Incremental Nursing Charge Nursery  ,,,,,0
RC,232, Incremental Nursing Charge OB  ,,,,,0
RC,233, Incremental Nursing Charge ICU  ,,,,,0
RC,234, Incremental Nursing Charge CCU  ,,,,,0
RC,235, Incremental Nursing Charge Hospice  ,,,,,0
RC,239, Incremental Nursing Charge Other  ,,,,,0
RC,240, All Inclusive Ancillary General Classification  ,,,,,0
RC,241, All Inclusive Ancillary Basic  ,,,,,0
RC,242, All Inclusive Ancillary Comprehensive  ,,,,,0
RC,243, All Inclusive Ancillary Specialty  ,,,,,0
RC,249, All Inclusive Ancillary Other  ,,,,,0
RC,250, Pharmacy General Classification  ,,,,,0
RC,251, Pharmacy Generic Drugs  ,,,,,0
RC,252, Pharmacy  ,,,,,0
RC,254, Pharmacy  ,,,,,0
RC,255, Pharmacy  ,,,,,0
RC,257, Pharmacy  ,,,,,0
RC,258, Pharmacy  ,,,,,0
RC,259, Pharmacy  ,,,,,0
RC,260, IV Therapy General Classification  ,,,,,0
RC,261, IV Therapy Infusion Pump  ,,,,,0
RC,262, IV Therapy/Pharmacy Services  ,,,,,0
RC,263, IV Therapy/Drug/Supply/Delivery  ,,,,,0
RC,264, IV Therapy/Supplies  ,,,,,0
RC,269, IV Therapy Other  ,,,,,0
RC,270, Medical/Surgical Supplies and Devices General Classification  ,,,,,0
RC,271, Medical/Surgical Supplies and Devices Non-Sterile Supply  ,,,,,0
RC,272, Medical/Surgical Supplies and Devices Sterile Supply  ,,,,,0
RC,274, Medical/Surgical Supplies and Devices Prosthetic/Orthotic Devices  ,,,,,0
RC,274,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,6200.0,60000.0,2
RC,274,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,2
RC,274,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,6200.0,101900.0,2
RC,274,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,6200.0,98225.0,2
RC,275, Medical/Surgical Supplies and Devices Pacemaker  ,,,,,0
RC,275,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,6200.0,60000.0,2
RC,275,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,2
RC,275,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,6200.0,101900.0,2
RC,275,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,6200.0,98225.0,2
RC,276, Medical/Surgical Supplies and Devices Intraocular Lens  ,,,,,0
RC,278, Medical/Surgical Supplies and Devices Other Implant  ,,,,,0
RC,278,"Brachytherapy source, non-stranded, yttrium-90, per source ",198750.0,198750.0,17424.0,41800.0,3
RC,278,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,6200.0,60000.0,2
RC,278,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,5000.0,32500.0,2
RC,278,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,6200.0,101900.0,2
RC,278,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,6200.0,98225.0,2
RC,279, Medical/Surgical Supplies and Devices Other Supplies/Devices  ,,,,,0
RC,280, Oncology General Classification  ,,,1209.0,2000.0,3
RC,289, Oncology Other  ,,,1209.0,2000.0,3
RC,290, Durable Medical Equipment (other than Renal) General Classification  ,,,,,0
RC,291, Durable Medical Equipment (other than Renal) Rental  ,,,,,0
RC,292, Durable Medical Equipment (other than Renal) Purchase of New DME  ,,,,,0
RC,293, Durable Medical Equipment (other than Renal) Purchase of Used DME  ,,,,,0
RC,294, Durable Medical Equipment (other than Renal) Supplies/Druge for DME  ,,,,,0
RC,299, Durable Medical Equipment (other than Renal) Other  ,,,,,0
RC,300, Laboratory General Classification  ,,,,,0
RC,300,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,300,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,300,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,300,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,300,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,300,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,300,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,300,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,300,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,300,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,300,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,300,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,Acetaminophen ,,,18.64,18.64,3
RC,300,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,300,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,300,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,300,Acetylcholinesterase ,,,12.29,12.29,3
RC,300,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,300,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,300,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,300,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,300,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,300,Adalimumab ,,,38.57,38.57,3
RC,300,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,300,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,300,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,300,Albumin; ischemia modified ,,,33.94,33.94,3
RC,300,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,300,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,300,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,300,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,300,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,300,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,300,Aldolase ,,,9.71,9.71,3
RC,300,Aldosterone ,,,40.75,40.75,3
RC,300,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,300,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,300,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,300,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,300,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,300,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,300,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,300,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,300,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,300,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,300,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,300,Aluminum ,,,25.48,25.48,3
RC,300,Amikacin ,,,15.08,15.08,3
RC,300,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,300,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,300,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,300,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,300,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,300,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,300,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,300,Amiodarone ,,,18.64,18.64,3
RC,300,Ammonia ,,,14.57,14.57,3
RC,300,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,300,Amylase ,,,6.48,6.48,3
RC,300,Androstanediol glucuronide ,,,28.83,28.83,3
RC,300,Androstenedione ,,,29.28,29.28,3
RC,300,Androsterone ,,,25.55,25.55,3
RC,300,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,300,Angiotensin II ,,,20.52,20.52,3
RC,300,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,300,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,300,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,300,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,300,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,300,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,300,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,300,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,300,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,300,Antibody; Aspergillus ,,,15.05,15.05,3
RC,300,Antibody; Bartonella ,,,10.18,10.18,3
RC,300,Antibody; Blastomyces ,,,12.9,12.9,3
RC,300,Antibody; Bordetella ,,,13.19,13.19,3
RC,300,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,300,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,300,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,300,Antibody; Brucella ,,,8.93,8.93,3
RC,300,Antibody; Campylobacter ,,,13.12,13.12,3
RC,300,Antibody; Candida ,,,12.01,12.01,3
RC,300,Antibody; Chlamydia ,,,11.82,11.82,3
RC,300,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,300,Antibody; Coccidioides ,,,11.47,11.47,3
RC,300,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,300,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,300,Antibody; Diphtheria ,,,15.21,15.21,3
RC,300,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,300,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,300,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,300,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,300,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,300,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,300,Antibody; HIV-1 ,,,8.89,8.89,3
RC,300,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,300,Antibody; HIV-2 ,,,13.52,13.52,3
RC,300,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,300,Antibody; HTLV-I ,,,9.09,9.09,3
RC,300,Antibody; HTLV-II ,,,14.0,14.0,3
RC,300,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,300,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,300,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,300,Antibody; Legionella ,,,15.3,15.3,3
RC,300,Antibody; Leishmania ,,,12.25,12.25,3
RC,300,Antibody; Leptospira ,,,16.2,16.2,3
RC,300,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,300,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,300,Antibody; Nocardia ,,,15.99,15.99,3
RC,300,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,300,Antibody; Rickettsia ,,,19.35,19.35,3
RC,300,Antibody; Salmonella ,,,13.19,13.19,3
RC,300,Antibody; Shigella ,,,24.48,24.48,3
RC,300,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,300,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,300,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,300,Antibody; Trichinella ,,,12.56,12.56,3
RC,300,Antibody; West Nile virus ,,,14.39,14.39,3
RC,300,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,300,Antibody; Yersinia ,,,13.19,13.19,3
RC,300,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,300,Antibody; actinomyces ,,,10.18,10.18,3
RC,300,Antibody; adenovirus ,,,12.87,12.87,3
RC,300,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,300,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,300,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,300,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,300,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,300,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,300,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,300,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,300,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,300,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,300,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,300,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,300,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,300,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,300,Antibody; histoplasma ,,,13.79,13.79,3
RC,300,Antibody; influenza virus ,,,13.55,13.55,3
RC,300,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,300,Antibody; mucormycosis ,,,15.0,15.0,3
RC,300,Antibody; mumps ,,,13.05,13.05,3
RC,300,Antibody; mycoplasma ,,,13.24,13.24,3
RC,300,Antibody; parvovirus ,,,15.03,15.03,3
RC,300,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,300,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,300,Antibody; rotavirus ,,,18.23,18.23,3
RC,300,Antibody; rubella ,,,14.39,14.39,3
RC,300,Antibody; rubeola ,,,12.88,12.88,3
RC,300,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,300,Antibody; tetanus ,,,14.8,14.8,3
RC,300,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,300,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,300,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,300,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,300,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,300,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,300,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,300,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,300,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,300,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,300,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,300,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,300,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,300,"Apolipoprotein, each ",,,21.09,21.09,3
RC,300,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,300,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,300,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,300,Arsenic ,,,18.97,18.97,3
RC,300,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,300,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,300,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,300,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,300,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,300,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,300,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,300,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,300,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,300,"B cells, total count ",,,37.73,37.73,3
RC,300,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,300,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,300,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,300,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,300,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,300,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,300,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,300,Beta-2 microglobulin ,,,16.18,16.18,3
RC,300,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,300,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,300,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,300,Bile acids; total ,,,17.12,17.12,3
RC,300,"Bilirubin, total, transcutaneous ",150.07,150.07,5.02,5.02,3
RC,300,Bilirubin; direct ,,,5.02,5.02,3
RC,300,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,300,Bilirubin; total ,,,5.02,5.02,3
RC,300,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,300,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,300,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,300,Bleeding time ,,,4.82,4.82,3
RC,300,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,300,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,300,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,300,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,300,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,300,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,300,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,300,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,300,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,300,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,300,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,300,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,300,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,300,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,300,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,300,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,300,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,300,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,300,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,300,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,300,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,300,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,300,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,300,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,300,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,300,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,300,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,300,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,300,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,300,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,300,Bradykinin ,,,5.16,5.16,3
RC,300,C-peptide ,,,20.81,20.81,3
RC,300,C-reactive protein; ,,,5.18,5.18,3
RC,300,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,300,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,300,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,300,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,300,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,300,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,300,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,300,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,300,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,300,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,300,Cadmium ,,,23.64,23.64,3
RC,300,Caffeine ,,,38.57,38.57,3
RC,300,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,300,Calcitonin ,,,26.79,26.79,3
RC,300,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,300,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,300,Calcium; ionized ,,,13.68,13.68,3
RC,300,Calcium; total ,,,5.16,5.16,3
RC,300,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,300,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,300,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,300,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,300,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,300,"Calprotectin, fecal ",,,19.63,19.63,3
RC,300,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,300,Carbamazepine; free ,,,13.25,13.25,3
RC,300,Carbamazepine; total ,,,14.57,14.57,3
RC,300,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,300,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,300,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,300,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,300,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,300,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,300,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,300,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,300,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,300,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,300,Carotene ,,,9.22,9.22,3
RC,300,Catecholamines; blood ,,,29.08,29.08,3
RC,300,Catecholamines; fractionated ,,,25.25,25.25,3
RC,300,Catecholamines; total urine ,,,27.3,27.3,3
RC,300,Cathepsin-D ,,,18.06,18.06,3
RC,300,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,300,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,300,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,300,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,300,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,300,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,300,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,300,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,300,Ceruloplasmin ,,,10.74,10.74,3
RC,300,Chemiluminescent assay ,,,14.12,14.12,3
RC,300,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,300,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,300,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,300,Chloramphenicol ,,,12.67,12.67,3
RC,300,Chloride; blood ,,,4.6,4.6,3
RC,300,Chloride; other source ,,,5.0,5.0,3
RC,300,Chloride; urine ,,,5.75,5.75,3
RC,300,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,300,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,300,Cholinesterase; RBC ,,,9.81,9.81,3
RC,300,Cholinesterase; serum ,,,7.87,7.87,3
RC,300,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,300,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,300,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,300,Chromium ,,,20.28,20.28,3
RC,300,Chromogenic substrate assay ,,,11.89,11.89,3
RC,300,Citrate ,,,27.8,27.8,3
RC,300,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,300,Clot retraction ,,,16.3,16.3,3
RC,300,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,300,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,300,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,300,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,300,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,300,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,300,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,300,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,300,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,300,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,300,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,300,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,300,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,300,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,300,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,300,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,300,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,300,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,300,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,300,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,300,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,300,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,300,Clozapine ,,,20.15,20.15,3
RC,300,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,300,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,300,Coagulation time; activated ,,,4.28,4.28,3
RC,300,Coagulation time; other methods ,,,4.49,4.49,3
RC,300,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,300,Cold agglutinin; screen ,,,8.07,8.07,3
RC,300,Cold agglutinin; titer ,,,8.06,8.06,3
RC,300,"Collagen cross links, any method ",,,18.68,18.68,3
RC,300,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",85.52,85.52,3.14,3.14,3
RC,300,Collection of venous blood by venipuncture ,85.52,85.52,3.0,3.0,3
RC,300,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,300,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,300,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,300,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,300,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,300,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,300,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,300,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,300,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,300,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,300,"Complement; antigen, each component ",,,12.0,12.0,3
RC,300,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,300,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,300,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,300,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,300,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,300,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,300,"Congo red, blood ",,,4.95,4.95,3
RC,300,Copper ,,,12.41,12.41,3
RC,300,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,300,Corticosterone ,,,22.52,22.52,3
RC,300,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,300,Cortisol; free ,,,16.71,16.71,3
RC,300,Cortisol; total ,,,16.3,16.3,3
RC,300,Creatine ,,,4.64,4.64,3
RC,300,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,300,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,300,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,300,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,300,Creatinine; blood ,,,5.12,5.12,3
RC,300,Creatinine; clearance ,,,9.46,9.46,3
RC,300,Creatinine; other source ,,,5.18,5.18,3
RC,300,Cryofibrinogen ,,,14.14,14.14,3
RC,300,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,300,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,300,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,300,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,300,Cryopreservation; sperm ,,,149.16,149.16,3
RC,300,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,300,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,300,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,300,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,300,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,300,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,300,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,300,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,300,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,300,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,300,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,300,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,300,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,300,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,300,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,300,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,300,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,300,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,300,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,300,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,300,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,300,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,300,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,300,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,300,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,300,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,300,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,300,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,300,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,300,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,300,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,300,"Culture, typing; other methods ",,,7.74,7.74,3
RC,300,Cyanide ,,,19.4,19.4,3
RC,300,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,300,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,300,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,300,Cyclosporine ,,,18.05,18.05,3
RC,300,Cystatin C ,,,18.52,18.52,3
RC,300,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,300,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,300,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,300,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,300,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,300,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,300,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,300,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,300,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,300,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,300,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,300,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,300,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,300,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,300,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,300,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,300,Dibucaine number ,,,12.25,12.25,3
RC,300,Digoxin; free ,,,13.28,13.28,3
RC,300,Digoxin; total ,,,13.28,13.28,3
RC,300,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,300,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,300,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,300,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,300,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,300,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,300,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,300,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,300,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,300,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,300,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,300,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,300,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,300,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,300,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,300,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,300,Erythropoietin ,,,18.79,18.79,3
RC,300,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,300,Estradiol; total ,,,27.94,27.94,3
RC,300,Estriol ,,,24.18,24.18,3
RC,300,Estrogens; fractionated ,,,32.3,32.3,3
RC,300,Estrogens; total ,,,21.7,21.7,3
RC,300,Estrone ,,,24.95,24.95,3
RC,300,Ethosuximide ,,,16.34,16.34,3
RC,300,Ethylene glycol ,,,14.9,14.9,3
RC,300,Etiocholanolone ,,,26.24,26.24,3
RC,300,Euglobulin lysis ,,,8.41,8.41,3
RC,300,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,300,Everolimus ,,,13.73,13.73,3
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,300,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,300,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,300,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,300,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,300,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,300,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,300,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,300,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,300,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,300,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,300,Factor inhibitor test ,,,12.87,12.87,3
RC,300,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,300,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,300,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,300,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,300,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,300,Felbamate ,,,18.64,18.64,3
RC,300,Fern test ,,,9.74,9.74,3
RC,300,Ferritin ,,,13.63,13.63,3
RC,300,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,300,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,300,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,300,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,300,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,300,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,300,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,300,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,300,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,300,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,300,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,300,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,300,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,300,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,300,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,300,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,300,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,300,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,300,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,300,Fibrinogen; activity ,,,9.72,9.72,3
RC,300,Fibrinogen; antigen ,,,14.46,14.46,3
RC,300,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,300,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,300,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,300,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,300,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,300,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,300,Flecainide ,,,18.64,18.64,3
RC,300,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,300,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,300,Fluoride ,,,18.54,18.54,3
RC,300,Folic acid; RBC ,,,17.65,17.65,3
RC,300,Folic acid; serum ,,,14.7,14.7,3
RC,300,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,300,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,300,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,300,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,300,"Fructose, semen ",,,17.34,17.34,3
RC,300,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,300,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,300,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,300,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,300,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,300,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,300,"Galactokinase, RBC ",,,21.48,21.48,3
RC,300,Galactose ,,,11.2,11.2,3
RC,300,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,300,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,300,Galectin-3 ,,,44.25,44.25,3
RC,300,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,300,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,300,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,300,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,300,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,300,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,300,"Gases, blood, pH only ",,,11.0,11.0,3
RC,300,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,300,Gastrin ,,,17.63,17.63,3
RC,300,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,300,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,300,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,300,Gentamicin ,,,16.38,16.38,3
RC,300,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,300,Glucagon ,,,14.29,14.29,3
RC,300,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,300,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,300,Glucagon tolerance test ,,,17.77,17.77,3
RC,300,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,300,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,300,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,300,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,300,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,300,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,300,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,300,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,300,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,300,"Glucosidase, beta ",,,21.48,21.48,3
RC,300,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,300,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,300,Glutathione ,,,15.45,15.45,3
RC,300,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,300,Glycated protein ,,,16.76,16.76,3
RC,300,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,300,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,300,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,300,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,300,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,300,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,300,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,300,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,300,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,300,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,300,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,300,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,300,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,300,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,300,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,300,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,300,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,300,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,300,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,300,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,300,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,300,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,300,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,300,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,300,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,300,Haloperidol ,,,15.78,15.78,3
RC,300,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,119.39,119.39,5.58,5.58,3
RC,300,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,254.93,254.93,6.63,6.63,3
RC,300,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,300,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,300,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,300,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,300,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,300,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,300,Heinz bodies; direct ,,,4.2,4.2,3
RC,300,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,300,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,300,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,300,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,300,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,300,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,300,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,300,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,300,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,300,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,300,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,300,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,300,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,300,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,300,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,300,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,300,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,300,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,300,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,300,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,300,Hemoglobin; plasma ,,,7.31,7.31,3
RC,300,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,300,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,300,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,300,Hemoglobin; urine ,,,3.95,3.95,3
RC,300,"Hemolysin, acid ",,,8.87,8.87,3
RC,300,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,300,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,300,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,300,Heparin assay ,,,13.09,13.09,3
RC,300,Heparin neutralization ,,,11.84,11.84,3
RC,300,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,300,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,300,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,300,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,300,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,300,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,300,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,300,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,300,Hepatitis C antibody; ,,,14.27,14.27,3
RC,300,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,300,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,300,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,300,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,300,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,300,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,300,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,300,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,300,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,300,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,300,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,300,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,300,Histamine ,,,29.53,29.53,3
RC,300,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,300,Homocysteine ,,,17.92,17.92,3
RC,300,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,300,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,300,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,300,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,300,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,300,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,300,Hydroxychloroquine ,,,18.64,18.64,3
RC,300,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,300,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,300,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,300,Hydroxyproline; free ,,,22.65,22.65,3
RC,300,Hydroxyproline; total ,,,24.3,24.3,3
RC,300,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,300,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,300,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,300,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,300,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,300,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,300,Immune complex assay ,,,24.37,24.37,3
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,300,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,300,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,300,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,300,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,300,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,300,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,300,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,300,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,300,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,300,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,300,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,300,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,300,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,300,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,300,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,300,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,300,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,300,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,300,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,300,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,300,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,300,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,300,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,300,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,300,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,300,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,300,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,300,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,300,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,300,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,300,Infliximab ,,,38.57,38.57,3
RC,300,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,300,Inhibin A ,,,15.59,15.59,3
RC,300,Insemination of oocytes ,,,149.16,149.16,3
RC,300,Insulin antibodies ,,,21.41,21.41,3
RC,300,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,300,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,300,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,300,Insulin; free ,,,12.95,12.95,3
RC,300,Insulin; total ,,,11.43,11.43,3
RC,300,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,300,Intrinsic factor ,,,19.82,19.82,3
RC,300,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,300,Iron ,,,6.47,6.47,3
RC,300,Iron binding capacity ,,,8.74,8.74,3
RC,300,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,300,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,300,Islet cell antibody ,,,23.57,23.57,3
RC,300,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,300,Itraconazole ,,,27.11,27.11,3
RC,300,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,300,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,300,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,300,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,300,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,300,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,300,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,300,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,300,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,300,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,300,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,300,Lacosamide ,,,27.11,27.11,3
RC,300,Lactate (lactic acid) ,,,11.57,11.57,3
RC,300,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,300,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,300,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,300,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,300,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,300,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,300,Lamotrigine ,,,13.25,13.25,3
RC,300,Lead ,,,12.11,12.11,3
RC,300,Leflunomide ,,,38.57,38.57,3
RC,300,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,300,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,300,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,300,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,300,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,300,Leukocyte transfusion ,,,149.16,149.16,3
RC,300,Levetiracetam ,,,13.25,13.25,3
RC,300,Lidocaine ,,,14.69,14.69,3
RC,300,Lipase ,,,6.89,6.89,3
RC,300,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,300,Lipoprotein (a) ,,,14.32,14.32,3
RC,300,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,300,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,300,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,300,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,300,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,300,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,300,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,300,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,300,Lithium ,,,6.61,6.61,3
RC,300,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,300,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,300,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,300,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,300,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,300,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,300,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,300,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,300,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,300,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,300,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,300,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,300,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,300,Magnesium ,,,6.7,6.7,3
RC,300,Malate dehydrogenase ,,,7.37,7.37,3
RC,300,Manganese ,,,26.65,26.65,3
RC,300,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,300,"Meat fibers, feces ",,,4.85,4.85,3
RC,300,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,300,"Mercury, quantitative ",,,16.26,16.26,3
RC,300,Metanephrines ,,,16.94,16.94,3
RC,300,Methemalbumin ,,,10.74,10.74,3
RC,300,Methotrexate ,,,38.57,38.57,3
RC,300,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,300,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,300,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,300,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,300,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,300,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,300,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,300,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,300,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,300,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,300,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,300,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,300,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,300,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,300,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,300,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,300,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,300,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,300,Muramidase ,,,18.75,18.75,3
RC,300,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,300,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,300,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,300,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,300,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,300,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,300,Myoglobin ,,,12.92,12.92,3
RC,300,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,300,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,300,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,300,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,300,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,300,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,300,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,300,Nasal smear for eosinophils ,342.07,342.07,5.79,5.79,3
RC,300,Natriuretic peptide ,,,39.26,39.26,3
RC,300,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,300,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,300,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,300,"Neutralization test, viral ",,,16.91,16.91,3
RC,300,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,300,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,300,Nickel ,,,24.51,24.51,3
RC,300,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,300,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,300,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,300,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,300,Nucleotidase 5'- ,,,11.15,11.15,3
RC,300,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,300,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,300,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,300,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,300,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,300,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,300,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,300,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,300,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,300,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,300,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,300,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,300,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,300,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,300,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,300,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,300,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,300,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,300,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,300,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,300,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,300,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,300,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,300,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,300,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,300,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,300,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,300,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,300,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,300,Osmolality; blood ,,,6.61,6.61,3
RC,300,Osmolality; urine ,,,6.82,6.82,3
RC,300,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,300,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,300,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,300,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,300,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,300,Oxalate ,,,14.45,14.45,3
RC,300,Oxcarbazepine ,,,13.25,13.25,3
RC,300,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,300,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,300,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,300,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,300,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,300,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,300,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,300,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,300,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,300,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,300,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,300,Phenobarbital ,,,15.3,15.3,3
RC,300,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,300,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,300,Phenytoin; free ,,,13.76,13.76,3
RC,300,Phenytoin; total ,,,13.25,13.25,3
RC,300,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,300,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,300,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,300,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,300,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,300,Phosphatidylglycerol ,,,16.52,16.52,3
RC,300,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,300,Phosphohexose isomerase ,,,10.73,10.73,3
RC,300,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,300,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,300,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,300,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,300,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,300,Pinworm examinations ,,,4.27,4.27,3
RC,300,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,300,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,300,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,300,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,300,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,300,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,300,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,300,Posaconazole ,,,27.11,27.11,3
RC,300,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,300,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,300,Potassium; urine ,,,4.73,4.73,3
RC,300,Prealbumin ,,,14.59,14.59,3
RC,300,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,300,Pregnanediol ,,,21.27,21.27,3
RC,300,Pregnanetriol ,,,21.05,21.05,3
RC,300,Pregnenolone ,,,20.67,20.67,3
RC,300,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,300,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,300,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,300,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,300,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,300,Primidone ,,,16.59,16.59,3
RC,300,Procainamide; ,,,60.0,60.0,3
RC,300,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,300,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,300,Progesterone ,,,20.86,20.86,3
RC,300,Proinsulin ,,,26.69,26.69,3
RC,300,Prolactin ,,,19.38,19.38,3
RC,300,"Prostaglandin, each ",,,41.77,41.77,3
RC,300,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,300,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,300,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,300,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,300,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,300,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,300,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,300,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,300,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,300,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,300,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,300,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,300,Prothrombin time; ,,,4.29,4.29,3
RC,300,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,300,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,300,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,300,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,300,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,300,Pyruvate ,,,14.48,14.48,3
RC,300,Pyruvate kinase ,,,9.44,9.44,3
RC,300,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,300,Quinidine ,,,14.6,14.6,3
RC,300,Quinine ,,,11.63,11.63,3
RC,300,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,300,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,300,Receptor assay; estrogen ,,,87.88,87.88,3
RC,300,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,300,Receptor assay; progesterone ,,,64.88,64.88,3
RC,300,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,300,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,300,Renin ,,,21.99,21.99,3
RC,300,Reptilase test ,,,9.85,9.85,3
RC,300,Reticulated platelet assay ,,,35.74,35.74,3
RC,300,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,300,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,300,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,300,Rufinamide ,,,27.11,27.11,3
RC,300,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,300,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,300,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,300,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,300,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,300,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,300,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,300,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,300,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,300,Salicylate ,,,18.64,18.64,3
RC,300,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,300,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,300,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,300,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,300,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,300,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,300,Selenium ,,,25.53,25.53,3
RC,300,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,300,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,300,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,300,"Semen analysis; sperm presence and motility of sperm, if performed ",311.41,311.41,12.05,12.05,3
RC,300,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,300,Serotonin ,,,30.98,30.98,3
RC,300,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,300,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,300,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,300,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,300,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,300,Sialic acid ,,,13.44,13.44,3
RC,300,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,300,Silica ,,,25.21,25.21,3
RC,300,Sirolimus ,,,13.73,13.73,3
RC,300,Skin test; candida ,,,24.67,24.67,3
RC,300,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,300,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,300,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,300,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,300,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,300,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,300,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,300,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,300,Sodium; other source ,,,4.86,4.86,3
RC,300,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,300,Sodium; urine ,,,5.06,5.06,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,300,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,300,Somatomedin ,,,21.26,21.26,3
RC,300,Somatostatin ,,,18.28,18.28,3
RC,300,Specific gravity (except urine) ,,,3.28,3.28,3
RC,300,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,300,Sperm antibodies ,,,10.67,10.67,3
RC,300,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,300,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,300,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,300,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,300,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,300,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,300,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,300,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,300,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,300,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,300,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,300,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,300,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,300,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,300,"Streptokinase, antibody ",,,12.66,12.66,3
RC,300,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,300,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,300,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,300,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,300,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,300,"Sulfate, urine ",,,5.49,5.49,3
RC,300,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,300,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,300,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,300,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,300,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,300,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,300,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,300,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,300,Sweat collection by iontophoresis ,1413.44,1413.44,49.76,49.76,3
RC,300,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,300,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,300,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,300,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,300,T cells; total count ,,,37.73,37.73,3
RC,300,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,300,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,300,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,300,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,300,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,300,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,300,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,300,Tacrolimus ,,,13.73,13.73,3
RC,300,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,300,"Tau, total (tTau) ",,,128.92,128.92,3
RC,300,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,300,Testosterone; free ,,,25.47,25.47,3
RC,300,Testosterone; total ,,,25.81,25.81,3
RC,300,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,300,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,300,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,300,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,300,Theophylline ,,,14.14,14.14,3
RC,300,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,300,Thiocyanate ,,,11.63,11.63,3
RC,300,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,300,Thrombin time; plasma ,,,5.77,5.77,3
RC,300,Thrombin time; titer ,,,6.85,6.85,3
RC,300,Thrombomodulin ,,,17.27,17.27,3
RC,300,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,300,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,300,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,300,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,300,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,300,Thyroglobulin ,,,16.06,16.06,3
RC,300,Thyroglobulin antibody ,,,15.91,15.91,3
RC,300,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,300,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,300,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,300,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,300,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,300,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,300,Thyroxine; free ,,,9.02,9.02,3
RC,300,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,300,Thyroxine; total ,,,6.87,6.87,3
RC,300,Tiagabine ,,,27.11,27.11,3
RC,300,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,300,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,300,Tobramycin ,,,16.13,16.13,3
RC,300,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,300,Topiramate ,,,11.92,11.92,3
RC,300,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,300,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,300,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,300,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,300,Transferrin ,,,12.76,12.76,3
RC,300,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,300,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,300,Triglycerides ,,,5.74,5.74,3
RC,300,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,300,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,300,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,300,"Troponin, qualitative ",,,10.09,10.09,3
RC,300,"Troponin, quantitative ",,,12.47,12.47,3
RC,300,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,300,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,300,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,300,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,300,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,300,Tyrosine ,,,10.63,10.63,3
RC,300,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,300,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,300,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,300,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,300,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,300,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,300,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,300,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,300,Uric acid; blood ,,,4.52,4.52,3
RC,300,Uric acid; other source ,,,5.08,5.08,3
RC,300,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,300,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,300,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,300,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,300,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,300,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,300,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,300,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,300,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,300,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,300,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,300,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,300,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,300,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,300,Vancomycin ,,,13.54,13.54,3
RC,300,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,300,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,300,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,300,Vedolizumab ,,,38.57,38.57,3
RC,300,Very long chain fatty acids ,,,19.75,19.75,3
RC,300,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,300,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,300,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,300,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,300,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,300,Viscosity ,,,11.67,11.67,3
RC,300,Vitamin A ,,,11.61,11.61,3
RC,300,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,300,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,300,Vitamin K ,,,13.72,13.72,3
RC,300,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,300,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,300,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,300,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,300,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,300,Voriconazole ,,,27.11,27.11,3
RC,300,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,300,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,300,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,300,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,300,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,300,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,300,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,300,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,300,Zinc ,,,11.39,11.39,3
RC,300,Zonisamide ,,,13.25,13.25,3
RC,300,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,300,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,300,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,301, Laboratory Chemistry  ,,,,,0
RC,301,17-hydroxypregnenolone ,1124.62,1124.62,22.81,22.81,3
RC,301,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,301,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,301,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,301,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,301,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,301,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,301,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,301,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,301,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,301,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,301,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,301,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,301,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,301,Acetylcholinesterase ,1536.05,1536.05,12.29,12.29,3
RC,301,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,301,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,301,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,301,"Acylcarnitines; qualitative, each specimen ",1413.44,1413.44,16.49,16.49,3
RC,301,"Acylcarnitines; quantitative, each specimen ",940.68,940.68,16.87,16.87,3
RC,301,Adalimumab ,,,38.57,38.57,3
RC,301,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",2145.97,2145.97,25.8,25.8,3
RC,301,Adrenocorticotropic hormone (ACTH) ,2633.24,2633.24,38.62,38.62,3
RC,301,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,301,Albumin; ischemia modified ,,,33.94,33.94,3
RC,301,"Albumin; other source, quantitative, each specimen ",913.25,913.25,7.78,7.78,3
RC,301,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,301,"Albumin; urine (eg, microalbumin), quantitative ",400.15,400.15,5.78,5.78,3
RC,301,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",971.32,971.32,6.23,6.23,3
RC,301,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,301,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,301,Aldolase ,1048.78,1048.78,9.71,9.71,3
RC,301,Aldosterone ,1799.07,1799.07,40.75,40.75,3
RC,301,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,301,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,301,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,301,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,301,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,301,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,301,Alpha-1-antitrypsin; phenotype ,630.87,630.87,14.46,14.46,3
RC,301,Alpha-1-antitrypsin; total ,585.69,585.69,13.44,13.44,3
RC,301,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,1345.67,1345.67,64.41,64.41,3
RC,301,Alpha-fetoprotein (AFP); amniotic fluid ,1715.16,1715.16,17.0,17.0,3
RC,301,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,301,Aluminum ,535.68,535.68,25.48,25.48,3
RC,301,Amikacin ,721.23,721.23,15.08,15.08,3
RC,301,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,301,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",857.86,857.86,19.61,19.61,3
RC,301,"Amino acids, 6 or more amino acids, quantitative, each specimen ",1029.41,1029.41,16.87,16.87,3
RC,301,"Amino acids; multiple, qualitative, each specimen ",1048.78,1048.78,13.87,13.87,3
RC,301,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,301,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,301,"Aminolevulinic acid, delta (ALA) ",1589.3,1589.3,16.45,16.45,3
RC,301,Ammonia ,,,14.57,14.57,3
RC,301,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,301,Amylase ,,,6.48,6.48,3
RC,301,Androstanediol glucuronide ,,,28.83,28.83,3
RC,301,Androstenedione ,1991.08,1991.08,29.28,29.28,3
RC,301,Androsterone ,,,25.55,25.55,3
RC,301,Angiotensin I - converting enzyme (ACE) ,1368.27,1368.27,14.6,14.6,3
RC,301,Angiotensin II ,,,20.52,20.52,3
RC,301,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,301,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,301,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,301,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,301,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,301,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,301,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,301,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,301,Antibody; Aspergillus ,,,15.05,15.05,3
RC,301,Antibody; Bartonella ,,,10.18,10.18,3
RC,301,Antibody; Blastomyces ,,,12.9,12.9,3
RC,301,Antibody; Bordetella ,,,13.19,13.19,3
RC,301,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,301,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,301,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,301,Antibody; Brucella ,,,8.93,8.93,3
RC,301,Antibody; Campylobacter ,,,13.12,13.12,3
RC,301,Antibody; Candida ,,,12.01,12.01,3
RC,301,Antibody; Chlamydia ,,,11.82,11.82,3
RC,301,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,301,Antibody; Coccidioides ,,,11.47,11.47,3
RC,301,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,301,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,301,Antibody; Diphtheria ,,,15.21,15.21,3
RC,301,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,301,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,301,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,301,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,301,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,301,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,301,Antibody; HIV-1 ,,,8.89,8.89,3
RC,301,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,301,Antibody; HIV-2 ,,,13.52,13.52,3
RC,301,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,301,Antibody; HTLV-I ,,,9.09,9.09,3
RC,301,Antibody; HTLV-II ,,,14.0,14.0,3
RC,301,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,301,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,301,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,301,Antibody; Legionella ,,,15.3,15.3,3
RC,301,Antibody; Leishmania ,,,12.25,12.25,3
RC,301,Antibody; Leptospira ,,,16.2,16.2,3
RC,301,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,301,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,301,Antibody; Nocardia ,,,15.99,15.99,3
RC,301,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,301,Antibody; Rickettsia ,,,19.35,19.35,3
RC,301,Antibody; Salmonella ,,,13.19,13.19,3
RC,301,Antibody; Shigella ,,,24.48,24.48,3
RC,301,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,301,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,301,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,301,Antibody; Trichinella ,,,12.56,12.56,3
RC,301,Antibody; West Nile virus ,,,14.39,14.39,3
RC,301,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,301,Antibody; Yersinia ,,,13.19,13.19,3
RC,301,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,301,Antibody; actinomyces ,,,10.18,10.18,3
RC,301,Antibody; adenovirus ,,,12.87,12.87,3
RC,301,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,301,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,301,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,301,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,301,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,301,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,301,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,301,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,301,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,301,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,301,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,301,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,301,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,301,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,301,Antibody; histoplasma ,,,13.79,13.79,3
RC,301,Antibody; influenza virus ,,,13.55,13.55,3
RC,301,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,301,Antibody; mucormycosis ,,,15.0,15.0,3
RC,301,Antibody; mumps ,,,13.05,13.05,3
RC,301,Antibody; mycoplasma ,,,13.24,13.24,3
RC,301,Antibody; parvovirus ,,,15.03,15.03,3
RC,301,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,301,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,301,Antibody; rotavirus ,,,18.23,18.23,3
RC,301,Antibody; rubella ,,,14.39,14.39,3
RC,301,Antibody; rubeola ,,,12.88,12.88,3
RC,301,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,301,Antibody; tetanus ,,,14.8,14.8,3
RC,301,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,301,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,301,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,301,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,301,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,301,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,301,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,301,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,301,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,301,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,301,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,301,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,301,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,301,"Apolipoprotein, each ",,,21.09,21.09,3
RC,301,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,301,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,301,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,301,Arsenic ,,,18.97,18.97,3
RC,301,"Ascorbic acid (Vitamin C), blood ",5443.99,5443.99,9.89,9.89,3
RC,301,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,301,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,301,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,301,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,301,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,301,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,301,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,301,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,301,"B cells, total count ",,,37.73,37.73,3
RC,301,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,301,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,301,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,301,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,301,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,301,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,301,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,301,Beta-2 microglobulin ,419.51,419.51,16.18,16.18,3
RC,301,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,301,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,301,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,301,Bile acids; total ,490.52,490.52,17.12,17.12,3
RC,301,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,301,Bilirubin; direct ,,,5.02,5.02,3
RC,301,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,301,Bilirubin; total ,,,5.02,5.02,3
RC,301,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,301,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,301,"Biotinidase, each specimen ",1253.7,1253.7,16.87,16.87,3
RC,301,Bleeding time ,,,4.82,4.82,3
RC,301,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,301,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,301,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,301,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,301,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,301,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,301,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,301,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,301,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,301,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,301,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,301,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,301,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,301,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,301,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,301,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,301,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,301,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,301,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,301,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,301,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,301,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,301,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,301,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,301,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,301,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,301,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,301,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,301,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,301,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",354.98,354.98,4.23,4.23,3
RC,301,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,301,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",361.41,361.41,5.32,5.32,3
RC,301,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,301,Bradykinin ,,,5.16,5.16,3
RC,301,C-peptide ,1413.44,1413.44,20.81,20.81,3
RC,301,C-reactive protein; ,,,5.18,5.18,3
RC,301,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,301,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,301,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,301,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,301,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,301,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,301,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,301,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,301,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,301,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,301,Cadmium ,1318.25,1318.25,23.64,23.64,3
RC,301,Caffeine ,1363.42,1363.42,38.57,38.57,3
RC,301,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,301,Calcitonin ,727.7,727.7,26.79,26.79,3
RC,301,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,301,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,301,Calcium; ionized ,,,13.68,13.68,3
RC,301,Calcium; total ,,,5.16,5.16,3
RC,301,"Calcium; urine quantitative, timed specimen ",1203.67,1203.67,6.03,6.03,3
RC,301,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,301,Calculus; infrared spectroscopy ,335.6,335.6,12.9,12.9,3
RC,301,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,301,"Calculus; quantitative analysis, chemical ",1223.04,1223.04,12.87,12.87,3
RC,301,"Calprotectin, fecal ",1137.51,1137.51,19.63,19.63,3
RC,301,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,301,Carbamazepine; free ,,,13.25,13.25,3
RC,301,Carbamazepine; total ,,,14.57,14.57,3
RC,301,Carbohydrate deficient transferrin ,1479.6,1479.6,18.06,18.06,3
RC,301,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,301,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,301,Carboxyhemoglobin; quantitative ,772.88,772.88,12.32,12.32,3
RC,301,Carcinoembryonic antigen (CEA) ,822.9,822.9,18.96,18.96,3
RC,301,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,301,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,301,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,301,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,301,"Carnitine (total and free), quantitative, each specimen ",3262.52,3262.52,16.87,16.87,3
RC,301,Carotene ,951.97,951.97,9.22,9.22,3
RC,301,Catecholamines; blood ,,,29.08,29.08,3
RC,301,Catecholamines; fractionated ,,,25.25,25.25,3
RC,301,Catecholamines; total urine ,1921.68,1921.68,27.3,27.3,3
RC,301,Cathepsin-D ,,,18.06,18.06,3
RC,301,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,301,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,301,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,301,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,301,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,301,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,301,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,301,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,301,Ceruloplasmin ,1048.78,1048.78,10.74,10.74,3
RC,301,Chemiluminescent assay ,,,14.12,14.12,3
RC,301,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,301,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,301,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,301,Chloramphenicol ,406.6,406.6,12.67,12.67,3
RC,301,Chloride; blood ,,,4.6,4.6,3
RC,301,Chloride; other source ,,,5.0,5.0,3
RC,301,Chloride; urine ,367.88,367.88,5.75,5.75,3
RC,301,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,301,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,301,Cholinesterase; RBC ,348.52,348.52,9.81,9.81,3
RC,301,Cholinesterase; serum ,509.87,509.87,7.87,7.87,3
RC,301,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,301,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,301,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,301,Chromium ,1318.25,1318.25,20.28,20.28,3
RC,301,Chromogenic substrate assay ,,,11.89,11.89,3
RC,301,Citrate ,2094.34,2094.34,27.8,27.8,3
RC,301,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,301,Clot retraction ,,,16.3,16.3,3
RC,301,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,301,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,301,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,301,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,301,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,301,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,301,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,301,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,301,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,301,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,301,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,301,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,301,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,301,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,301,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,301,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,301,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,301,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,301,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,301,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,301,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,301,Clozapine ,1426.35,1426.35,20.15,20.15,3
RC,301,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,301,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,301,Coagulation time; activated ,,,4.28,4.28,3
RC,301,Coagulation time; other methods ,,,4.49,4.49,3
RC,301,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,301,Cold agglutinin; screen ,,,8.07,8.07,3
RC,301,Cold agglutinin; titer ,,,8.06,8.06,3
RC,301,"Collagen cross links, any method ",,,18.68,18.68,3
RC,301,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,301,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,301,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,301,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,301,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,301,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,301,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,301,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,301,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,301,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,301,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,301,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,301,"Complement; antigen, each component ",,,12.0,12.0,3
RC,301,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,301,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,301,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,301,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,301,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,301,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,301,"Congo red, blood ",,,4.95,4.95,3
RC,301,Copper ,,,12.41,12.41,3
RC,301,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,301,Corticosterone ,,,22.52,22.52,3
RC,301,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,301,Cortisol; free ,,,16.71,16.71,3
RC,301,Cortisol; total ,1516.7,1516.7,16.3,16.3,3
RC,301,Creatine ,,,4.64,4.64,3
RC,301,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,301,"Creatine kinase (CK), (CPK); isoenzymes ",1516.7,1516.7,13.39,13.39,3
RC,301,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,301,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,301,Creatinine; blood ,,,5.12,5.12,3
RC,301,Creatinine; clearance ,1406.99,1406.99,9.46,9.46,3
RC,301,Creatinine; other source ,,,5.18,5.18,3
RC,301,Cryofibrinogen ,475.99,475.99,14.14,14.14,3
RC,301,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",792.24,792.24,6.47,6.47,3
RC,301,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,301,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,301,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,301,Cryopreservation; sperm ,,,149.16,149.16,3
RC,301,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,301,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,301,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,301,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,301,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,301,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,301,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,301,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,301,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,301,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,301,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,301,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,301,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,301,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,301,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,301,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,301,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,301,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,301,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,301,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,301,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,301,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,301,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,301,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,301,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,301,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,301,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,301,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,301,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,301,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,301,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,301,"Culture, typing; other methods ",,,7.74,7.74,3
RC,301,Cyanide ,516.33,516.33,19.4,19.4,3
RC,301,Cyanocobalamin (Vitamin B-12); ,1184.32,1184.32,15.08,15.08,3
RC,301,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,2736.52,2736.52,14.32,14.32,3
RC,301,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,301,Cyclosporine ,2139.52,2139.52,18.05,18.05,3
RC,301,Cystatin C ,351.74,351.74,18.52,18.52,3
RC,301,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,301,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,301,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,301,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,301,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,301,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,301,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,301,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,301,Dehydroepiandrosterone (DHEA) ,951.97,951.97,25.27,25.27,3
RC,301,Dehydroepiandrosterone-sulfate (DHEA-S) ,951.97,951.97,22.23,22.23,3
RC,301,"Deoxycortisol, 11- ",695.43,695.43,29.28,29.28,3
RC,301,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,301,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,301,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,301,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,301,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,301,Dibucaine number ,509.87,509.87,12.25,12.25,3
RC,301,Digoxin; free ,,,13.28,13.28,3
RC,301,Digoxin; total ,,,13.28,13.28,3
RC,301,Dihydrotestosterone (DHT) ,953.59,953.59,29.28,29.28,3
RC,301,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,301,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,301,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,301,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,301,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,301,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,301,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",145.23,145.23,11.53,11.53,3
RC,301,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,301,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,301,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,301,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,301,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,301,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,301,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,301,Erythropoietin ,1566.72,1566.72,18.79,18.79,3
RC,301,Estradiol; total ,2062.06,2062.06,27.94,27.94,3
RC,301,Estriol ,637.35,637.35,24.18,24.18,3
RC,301,Estrogens; fractionated ,,,32.3,32.3,3
RC,301,Estrogens; total ,2191.15,2191.15,21.7,21.7,3
RC,301,Estrone ,2191.15,2191.15,24.95,24.95,3
RC,301,Ethosuximide ,555.04,555.04,16.34,16.34,3
RC,301,Ethylene glycol ,521.16,521.16,14.9,14.9,3
RC,301,Etiocholanolone ,,,26.24,26.24,3
RC,301,Euglobulin lysis ,,,8.41,8.41,3
RC,301,Everolimus ,540.52,540.52,13.73,13.73,3
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,301,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,301,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,301,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,301,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,301,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,301,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,301,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,301,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,301,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,301,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,301,Factor inhibitor test ,,,12.87,12.87,3
RC,301,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,301,"Fat or lipids, feces; qualitative ",598.61,598.61,5.1,5.1,3
RC,301,"Fat or lipids, feces; quantitative ",2844.63,2844.63,16.8,16.8,3
RC,301,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,301,"Fatty acids, nonesterified ",784.17,784.17,18.77,18.77,3
RC,301,Fern test ,,,9.74,9.74,3
RC,301,Ferritin ,1356.97,1356.97,13.63,13.63,3
RC,301,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,301,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,301,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,301,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,301,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,301,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,301,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,301,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,301,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",2126.61,2126.61,64.41,64.41,3
RC,301,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,301,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,301,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,301,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,2820.42,2820.42,21.99,21.99,3
RC,301,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,301,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,301,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,301,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,301,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,301,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,301,Fibrinogen; activity ,,,9.72,9.72,3
RC,301,Fibrinogen; antigen ,,,14.46,14.46,3
RC,301,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,301,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,301,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,301,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,301,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,301,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,301,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,301,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,301,Fluoride ,748.67,748.67,18.54,18.54,3
RC,301,Folic acid; RBC ,964.88,964.88,17.65,17.65,3
RC,301,Folic acid; serum ,1266.6,1266.6,14.7,14.7,3
RC,301,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,301,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,301,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,301,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,301,"Fructose, semen ",,,17.34,17.34,3
RC,301,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,301,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,301,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,301,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,301,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,301,"Gabapentin, whole blood, serum, or plasma ",1548.97,1548.97,21.67,21.67,3
RC,301,"Galactokinase, RBC ",,,21.48,21.48,3
RC,301,Galactose ,,,11.2,11.2,3
RC,301,Galactose-1-phosphate uridyl transferase; quantitative ,1581.24,1581.24,21.07,21.07,3
RC,301,Galactose-1-phosphate uridyl transferase; screen ,1581.24,1581.24,11.74,11.74,3
RC,301,Galectin-3 ,,,44.25,44.25,3
RC,301,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,301,Gammaglobulin (immunoglobulin); IgE ,498.57,498.57,16.46,16.46,3
RC,301,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",127.47,127.47,8.02,8.02,3
RC,301,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,301,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,301,"Gastric acid analysis, includes pH if performed, each specimen ",475.99,475.99,6.71,6.71,3
RC,301,Gastrin ,1477.97,1477.97,17.63,17.63,3
RC,301,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,301,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,301,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,301,Gentamicin ,1066.53,1066.53,16.38,16.38,3
RC,301,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,301,Glucagon ,997.16,997.16,14.29,14.29,3
RC,301,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,301,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,301,Glucagon tolerance test ,,,17.77,17.77,3
RC,301,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,301,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,301,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,753.52,753.52,9.7,9.7,3
RC,301,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,301,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,301,Glucose; post glucose dose (includes glucose) ,1363.42,1363.42,4.75,4.75,3
RC,301,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,301,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",1523.16,1523.16,12.87,12.87,3
RC,301,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,301,"Glucosidase, beta ",1131.08,1131.08,21.48,21.48,3
RC,301,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,301,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,301,Glutathione ,,,15.45,15.45,3
RC,301,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,301,Glycated protein ,,,16.76,16.76,3
RC,301,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,301,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,301,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,301,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,301,Gonadotropin; follicle stimulating hormone (FSH) ,2131.44,2131.44,18.58,18.58,3
RC,301,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,301,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",5091.53,5091.53,66.7,66.7,3
RC,301,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,301,"Growth hormone, human (HGH) (somatotropin) ",1273.06,1273.06,16.67,16.67,3
RC,301,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,301,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,301,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,301,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,301,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,301,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,301,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,301,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,301,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,301,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,301,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,301,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,301,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,301,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,301,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,301,Haloperidol ,1587.71,1587.71,15.78,15.78,3
RC,301,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,301,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,301,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,301,Haptoglobin; quantitative ,658.31,658.31,12.58,12.58,3
RC,301,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,301,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,301,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,301,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,301,Heinz bodies; direct ,,,4.2,4.2,3
RC,301,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,301,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,301,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,301,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,301,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,301,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,301,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",379.18,379.18,18.06,18.06,3
RC,301,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,301,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,301,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,301,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,301,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,301,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,301,"Hemoglobin; F (fetal), chemical ",663.16,663.16,10.74,10.74,3
RC,301,"Hemoglobin; F (fetal), qualitative ",150.07,150.07,8.0,8.0,3
RC,301,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,301,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,301,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,301,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,301,"Hemoglobin; methemoglobin, quantitative ",613.14,613.14,8.2,8.2,3
RC,301,Hemoglobin; plasma ,734.15,734.15,7.31,7.31,3
RC,301,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,301,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,301,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,301,Hemoglobin; urine ,424.35,424.35,3.95,3.95,3
RC,301,"Hemolysin, acid ",,,8.87,8.87,3
RC,301,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,301,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,301,"Hemosiderin, qualitative ",658.31,658.31,4.75,4.75,3
RC,301,Heparin assay ,,,13.09,13.09,3
RC,301,Heparin neutralization ,,,11.84,11.84,3
RC,301,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,301,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,301,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,301,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,301,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,301,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,301,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,301,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,301,Hepatitis C antibody; ,,,14.27,14.27,3
RC,301,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,301,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,301,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,301,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,301,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,301,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,301,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,301,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,301,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,301,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,301,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,301,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,301,Histamine ,,,29.53,29.53,3
RC,301,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,301,Homocysteine ,2305.71,2305.71,17.92,17.92,3
RC,301,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,301,Homovanillic acid (HVA) ,1240.79,1240.79,22.41,22.41,3
RC,301,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,301,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,301,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,301,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,301,Hydroxychloroquine ,,,18.64,18.64,3
RC,301,"Hydroxycorticosteroids, 17- (17-OHCS) ",613.14,613.14,17.9,17.9,3
RC,301,"Hydroxyindolacetic acid, 5-(HIAA) ",1574.79,1574.79,12.9,12.9,3
RC,301,"Hydroxyprogesterone, 17-d ",1079.44,1079.44,27.17,27.17,3
RC,301,Hydroxyproline; free ,2107.25,2107.25,22.65,22.65,3
RC,301,Hydroxyproline; total ,2107.25,2107.25,24.3,24.3,3
RC,301,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,301,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,301,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,301,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,301,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,301,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,301,Immune complex assay ,,,24.37,24.37,3
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,301,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,301,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,301,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,301,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,301,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,301,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,301,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,301,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,301,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,301,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,301,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,301,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,301,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,301,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,301,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,301,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,301,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,301,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,301,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,301,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,301,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,301,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,301,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,301,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,301,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,301,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,301,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,301,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,301,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,301,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,301,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,301,Infliximab ,911.63,911.63,38.57,38.57,3
RC,301,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,301,Inhibin A ,,,15.59,15.59,3
RC,301,Insemination of oocytes ,,,149.16,149.16,3
RC,301,Insulin antibodies ,,,21.41,21.41,3
RC,301,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,301,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,301,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,301,Insulin; free ,,,12.95,12.95,3
RC,301,Insulin; total ,1368.27,1368.27,11.43,11.43,3
RC,301,Intrinsic factor ,,,19.82,19.82,3
RC,301,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,301,Iron ,,,6.47,6.47,3
RC,301,Iron binding capacity ,964.88,964.88,8.74,8.74,3
RC,301,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,301,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,301,Islet cell antibody ,,,23.57,23.57,3
RC,301,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,301,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,301,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,301,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,301,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,301,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,301,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,301,"Ketogenic steroids, fractionation ",1223.04,1223.04,15.47,15.47,3
RC,301,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",56.47,56.47,4.52,4.52,3
RC,301,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,301,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,301,"Ketosteroids, 17- (17-KS); total ",1223.04,1223.04,12.8,12.8,3
RC,301,Lacosamide ,911.63,911.63,27.11,27.11,3
RC,301,Lactate (lactic acid) ,,,11.57,11.57,3
RC,301,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,301,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",1773.25,1773.25,12.79,12.79,3
RC,301,"Lactoferrin, fecal; qualitative ",411.44,411.44,19.7,19.7,3
RC,301,"Lactoferrin, fecal; quantitative ",230.73,230.73,19.63,19.63,3
RC,301,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",1247.25,1247.25,20.22,20.22,3
RC,301,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,301,Lamotrigine ,559.89,559.89,13.25,13.25,3
RC,301,Lead ,,,12.11,12.11,3
RC,301,Leucine aminopeptidase (LAP) ,311.41,311.41,9.81,9.81,3
RC,301,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,301,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,301,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,301,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,301,Leukocyte transfusion ,,,149.16,149.16,3
RC,301,Levetiracetam ,1085.9,1085.9,13.25,13.25,3
RC,301,Lidocaine ,958.43,958.43,14.69,14.69,3
RC,301,Lipase ,,,6.89,6.89,3
RC,301,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,301,Lipoprotein (a) ,,,14.32,14.32,3
RC,301,"Lipoprotein, blood; electrophoretic separation and quantitation ",1163.35,1163.35,11.26,11.26,3
RC,301,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,301,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,301,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,301,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,301,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,301,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,301,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,301,Lithium ,1061.7,1061.7,6.61,6.61,3
RC,301,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,301,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,301,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,301,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,301,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,301,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,301,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,301,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,301,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,301,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,301,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,301,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,301,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,301,Magnesium ,,,6.7,6.7,3
RC,301,Malate dehydrogenase ,,,7.37,7.37,3
RC,301,Manganese ,1093.97,1093.97,26.65,26.65,3
RC,301,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,301,"Meat fibers, feces ",,,4.85,4.85,3
RC,301,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,301,"Mercury, quantitative ",,,16.26,16.26,3
RC,301,Metanephrines ,,,16.94,16.94,3
RC,301,Methemalbumin ,,,10.74,10.74,3
RC,301,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,301,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,301,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,301,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,301,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,301,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,301,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,301,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,301,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,301,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,301,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,301,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,301,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,301,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,301,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,301,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,301,"Mucopolysaccharides, acid, quantitative ",1085.9,1085.9,28.5,28.5,3
RC,301,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,301,Muramidase ,,,18.75,18.75,3
RC,301,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,301,Mycophenolate (mycophenolic acid) ,456.62,456.62,18.05,18.05,3
RC,301,"Myelin basic protein, cerebrospinal fluid ",1344.06,1344.06,17.2,17.2,3
RC,301,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,301,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,301,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,301,Myoglobin ,,,12.92,12.92,3
RC,301,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,301,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,301,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,301,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,301,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,301,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,301,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,301,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,301,Natriuretic peptide ,,,39.26,39.26,3
RC,301,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,301,"Nephelometry, each analyte not elsewhere specified ",1303.73,1303.73,13.6,13.6,3
RC,301,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,301,"Neutralization test, viral ",,,16.91,16.91,3
RC,301,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,301,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,301,Nickel ,,,24.51,24.51,3
RC,301,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,301,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,301,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,301,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,301,Nucleotidase 5'- ,316.24,316.24,11.15,11.15,3
RC,301,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,301,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,301,Oligoclonal immune (oligoclonal bands) ,1029.41,1029.41,27.39,27.39,3
RC,301,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,301,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,301,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,301,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,301,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,301,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,301,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,301,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,301,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,301,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,301,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,301,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,301,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,301,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,301,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,301,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,301,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,301,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,301,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,301,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,301,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,1345.67,1345.67,64.41,64.41,3
RC,301,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,301,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,301,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,301,"Organic acids; qualitative, each specimen ",4616.27,4616.27,16.45,16.45,3
RC,301,"Organic acids; total, quantitative, each specimen ",1127.83,1127.83,23.6,23.6,3
RC,301,Osmolality; blood ,926.14,926.14,6.61,6.61,3
RC,301,Osmolality; urine ,926.14,926.14,6.82,6.82,3
RC,301,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,301,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,301,Osteocalcin (bone g1a protein) ,1042.33,1042.33,29.85,29.85,3
RC,301,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,301,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,301,Oxalate ,995.54,995.54,14.45,14.45,3
RC,301,Oxcarbazepine ,940.68,940.68,13.25,13.25,3
RC,301,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,301,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,301,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,301,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,301,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,301,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,301,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,301,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,301,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,301,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,301,Phencyclidine (PCP) ,1071.37,1071.37,41.52,41.52,3
RC,301,Phenobarbital ,103.2,103.2,15.3,15.3,3
RC,301,"Phenylalanine (PKU), blood ",776.1,776.1,5.5,5.5,3
RC,301,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,301,Phenytoin; free ,1158.51,1158.51,13.76,13.76,3
RC,301,Phenytoin; total ,1445.7,1445.7,13.25,13.25,3
RC,301,"Phosphatase, acid; prostatic ",548.61,548.61,9.66,9.66,3
RC,301,"Phosphatase, acid; total ",459.84,459.84,7.64,7.64,3
RC,301,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,301,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,301,"Phosphatase, alkaline; isoenzymes ",1440.87,1440.87,14.78,14.78,3
RC,301,Phosphatidylglycerol ,1844.26,1844.26,16.52,16.52,3
RC,301,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,301,Phosphohexose isomerase ,,,10.73,10.73,3
RC,301,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,301,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,301,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,301,Phosphorus inorganic (phosphate); urine ,1868.46,1868.46,5.78,5.78,3
RC,301,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,301,Pinworm examinations ,,,4.27,4.27,3
RC,301,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,301,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,301,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,301,"Porphobilinogen, urine; quantitative ",1021.35,1021.35,8.44,8.44,3
RC,301,"Porphyrins, feces, quantitative ",1122.98,1122.98,39.11,39.11,3
RC,301,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,301,"Porphyrins, urine; quantitation and fractionation ",1208.52,1208.52,14.71,14.71,3
RC,301,Posaconazole ,726.08,726.08,27.11,27.11,3
RC,301,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,301,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,301,Potassium; urine ,714.79,714.79,4.73,4.73,3
RC,301,Prealbumin ,555.04,555.04,14.59,14.59,3
RC,301,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,301,Pregnanediol ,475.99,475.99,21.27,21.27,3
RC,301,Pregnanetriol ,1055.24,1055.24,21.05,21.05,3
RC,301,Pregnenolone ,1749.05,1749.05,20.67,20.67,3
RC,301,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,301,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,301,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,301,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,301,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,301,Primidone ,1548.97,1548.97,16.59,16.59,3
RC,301,Procainamide; ,,,60.0,60.0,3
RC,301,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",598.61,598.61,16.75,16.75,3
RC,301,Procalcitonin (PCT) ,1140.75,1140.75,27.22,27.22,3
RC,301,Progesterone ,887.44,887.44,20.86,20.86,3
RC,301,Proinsulin ,1458.62,1458.62,26.69,26.69,3
RC,301,Prolactin ,1947.51,1947.51,19.38,19.38,3
RC,301,"Prostaglandin, each ",,,41.77,41.77,3
RC,301,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,301,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,301,Prostate specific antigen (PSA); free ,556.67,556.67,18.39,18.39,3
RC,301,Prostate specific antigen (PSA); total ,556.67,556.67,18.39,18.39,3
RC,301,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,301,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,301,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,301,"Protein, total, except by refractometry; urine ",98.42,98.42,3.67,3.67,3
RC,301,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,301,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,301,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,301,"Protein; electrophoretic fractionation and quantitation, serum ",2050.77,2050.77,10.74,10.74,3
RC,301,Prothrombin time; ,,,4.29,4.29,3
RC,301,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,301,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,301,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,301,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,301,Pyridoxal phosphate (Vitamin B-6) ,1022.97,1022.97,28.1,28.1,3
RC,301,Pyruvate ,688.96,688.96,14.48,14.48,3
RC,301,Pyruvate kinase ,,,9.44,9.44,3
RC,301,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,301,Quinidine ,367.88,367.88,14.6,14.6,3
RC,301,Quinine ,,,11.63,11.63,3
RC,301,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,301,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,301,Receptor assay; estrogen ,509.87,509.87,87.88,87.88,3
RC,301,Receptor assay; non-endocrine (specify receptor) ,1026.2,1026.2,36.57,36.57,3
RC,301,Receptor assay; progesterone ,509.87,509.87,64.88,64.88,3
RC,301,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,301,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,301,Renin ,1973.33,1973.33,21.99,21.99,3
RC,301,Reptilase test ,,,9.85,9.85,3
RC,301,Reticulated platelet assay ,,,35.74,35.74,3
RC,301,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,301,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,301,Riboflavin (Vitamin B-2) ,2839.78,2839.78,20.24,20.24,3
RC,301,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,301,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,301,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,301,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,301,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,301,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,301,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,301,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,301,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,301,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,301,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,301,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,301,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,301,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,301,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,301,Selenium ,1163.35,1163.35,25.53,25.53,3
RC,301,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,301,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,301,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,301,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,301,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,301,Serotonin ,2068.52,2068.52,30.98,30.98,3
RC,301,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,301,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,301,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,301,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,301,Sex hormone binding globulin (SHBG) ,1139.15,1139.15,21.73,21.73,3
RC,301,Sialic acid ,529.23,529.23,13.44,13.44,3
RC,301,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,301,Silica ,,,25.21,25.21,3
RC,301,Sirolimus ,1363.42,1363.42,13.73,13.73,3
RC,301,Skin test; candida ,,,24.67,24.67,3
RC,301,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,301,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,301,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,301,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,301,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,301,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,301,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,301,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,301,Sodium; other source ,,,4.86,4.86,3
RC,301,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,301,Sodium; urine ,169.42,169.42,5.06,5.06,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,301,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,301,Somatomedin ,2318.63,2318.63,21.26,21.26,3
RC,301,Somatostatin ,990.69,990.69,18.28,18.28,3
RC,301,Specific gravity (except urine) ,361.41,361.41,3.28,3.28,3
RC,301,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,301,Sperm antibodies ,,,10.67,10.67,3
RC,301,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,301,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,301,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,301,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,301,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,301,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,301,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,301,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,301,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,301,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,301,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,301,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,301,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,301,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,301,"Streptokinase, antibody ",,,12.66,12.66,3
RC,301,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",98.42,98.42,5.5,5.5,3
RC,301,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,301,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",1103.65,1103.65,5.5,5.5,3
RC,301,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,301,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,301,"Sulfate, urine ",,,5.49,5.49,3
RC,301,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,301,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,301,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,301,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,301,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,301,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,301,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,301,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,301,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,301,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,301,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,301,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,301,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,301,T cells; total count ,,,37.73,37.73,3
RC,301,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,301,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,301,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,301,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,301,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,301,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,301,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,301,Tacrolimus ,1932.98,1932.98,13.73,13.73,3
RC,301,"Tau, total (tTau) ",,,128.92,128.92,3
RC,301,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,301,Testosterone; free ,3114.07,3114.07,25.47,25.47,3
RC,301,Testosterone; total ,,,25.81,25.81,3
RC,301,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,301,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,301,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,301,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,301,Theophylline ,1208.52,1208.52,14.14,14.14,3
RC,301,Thiamine (Vitamin B-1) ,2107.25,2107.25,21.23,21.23,3
RC,301,Thiocyanate ,990.69,990.69,11.63,11.63,3
RC,301,Thiopurine S-methyltransferase (TPMT) ,1173.02,1173.02,22.17,22.17,3
RC,301,Thrombin time; plasma ,,,5.77,5.77,3
RC,301,Thrombin time; titer ,,,6.85,6.85,3
RC,301,Thrombomodulin ,,,17.27,17.27,3
RC,301,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,301,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,301,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,301,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,301,Thyroglobulin ,1458.62,1458.62,16.06,16.06,3
RC,301,Thyroglobulin antibody ,,,15.91,15.91,3
RC,301,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,958.43,958.43,6.47,6.47,3
RC,301,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,301,Thyroid stimulating immune globulins (TSI) ,5040.62,5040.62,50.86,50.86,3
RC,301,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,301,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,301,Thyroxine binding globulin (TBG) ,1303.73,1303.73,14.78,14.78,3
RC,301,Thyroxine; free ,1266.6,1266.6,9.02,9.02,3
RC,301,"Thyroxine; requiring elution (eg, neonatal) ",1061.7,1061.7,6.47,6.47,3
RC,301,Thyroxine; total ,1131.08,1131.08,6.87,6.87,3
RC,301,Tiagabine ,1016.52,1016.52,27.11,27.11,3
RC,301,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,301,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,301,Tobramycin ,1066.53,1066.53,16.13,16.13,3
RC,301,Tocopherol alpha (Vitamin E) ,2383.15,2383.15,14.18,14.18,3
RC,301,Topiramate ,555.04,555.04,11.92,11.92,3
RC,301,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,301,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,301,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,301,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,301,Transferrin ,861.61,861.61,12.76,12.76,3
RC,301,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,301,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,301,Triglycerides ,,,5.74,5.74,3
RC,301,Triiodothyronine T3; free ,2115.31,2115.31,16.94,16.94,3
RC,301,Triiodothyronine T3; reverse ,1921.68,1921.68,15.76,15.76,3
RC,301,Triiodothyronine T3; total (TT-3) ,1292.42,1292.42,14.18,14.18,3
RC,301,"Troponin, qualitative ",,,10.09,10.09,3
RC,301,"Troponin, quantitative ",,,12.47,12.47,3
RC,301,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,301,"Trypsin; feces, qualitative ",1581.24,1581.24,7.3,7.3,3
RC,301,"Trypsin; feces, quantitative, 24-hour collection ",577.63,577.63,9.93,9.93,3
RC,301,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,301,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,301,Tyrosine ,,,10.63,10.63,3
RC,301,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,301,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,301,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,301,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,301,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,301,"Urea nitrogen, urine ",643.78,643.78,5.56,5.56,3
RC,301,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,301,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,301,Uric acid; blood ,,,4.52,4.52,3
RC,301,Uric acid; other source ,,,5.08,5.08,3
RC,301,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,301,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,301,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,301,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,301,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,301,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,301,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,301,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,301,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,301,"Urobilinogen, urine; quantitative, timed specimen ",1413.44,1413.44,9.55,9.55,3
RC,301,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,301,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,301,Valproic acid (dipropylacetic acid); free ,1058.46,1058.46,13.54,13.54,3
RC,301,Valproic acid (dipropylacetic acid); total ,1253.7,1253.7,13.54,13.54,3
RC,301,Vancomycin ,1066.53,1066.53,13.54,13.54,3
RC,301,"Vanillylmandelic acid (VMA), urine ",1626.42,1626.42,15.5,15.5,3
RC,301,Vasoactive intestinal peptide (VIP) ,413.06,413.06,35.33,35.33,3
RC,301,"Vasopressin (antidiuretic hormone, ADH) ",2865.6,2865.6,33.94,33.94,3
RC,301,Vedolizumab ,,,38.57,38.57,3
RC,301,Very long chain fatty acids ,1048.78,1048.78,19.75,19.75,3
RC,301,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,301,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,301,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,301,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,301,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,301,Viscosity ,,,11.67,11.67,3
RC,301,Vitamin A ,1908.79,1908.79,11.61,11.61,3
RC,301,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",1006.83,1006.83,38.5,38.5,3
RC,301,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",711.56,711.56,29.6,29.6,3
RC,301,Vitamin K ,2960.79,2960.79,13.72,13.72,3
RC,301,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,301,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,301,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,301,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,301,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,301,Voriconazole ,416.28,416.28,27.11,27.11,3
RC,301,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,301,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,301,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,301,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,301,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,301,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,301,"Xylose absorption test, blood and/or urine ",1394.08,1394.08,12.91,12.91,3
RC,301,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,301,Zinc ,,,11.39,11.39,3
RC,301,Zonisamide ,,,13.25,13.25,3
RC,301,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,301,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,301,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,302, Laboratory Immunology   ,,,,,0
RC,302,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,302,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,302,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,302,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,302,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,302,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,302,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,302,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,302,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,302,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,302,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,302,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,Acetaminophen ,,,18.64,18.64,3
RC,302,Acetylcholinesterase ,,,12.29,12.29,3
RC,302,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,302,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,302,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,302,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,302,Adalimumab ,,,38.57,38.57,3
RC,302,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,302,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,302,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,302,Albumin; ischemia modified ,,,33.94,33.94,3
RC,302,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,302,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,302,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,302,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,302,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,302,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,302,Aldolase ,,,9.71,9.71,3
RC,302,Aldosterone ,,,40.75,40.75,3
RC,302,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,302,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,302,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,302,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,302,"Allergen specific IgG quantitative or semiquantitative, each allergen ",317.86,317.86,7.82,7.82,3
RC,302,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,302,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,302,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,302,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,302,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,302,Aluminum ,,,25.48,25.48,3
RC,302,Amikacin ,,,15.08,15.08,3
RC,302,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,302,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,302,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,302,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,302,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,302,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,302,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,302,Amiodarone ,,,18.64,18.64,3
RC,302,Ammonia ,,,14.57,14.57,3
RC,302,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,302,Amylase ,,,6.48,6.48,3
RC,302,Androstanediol glucuronide ,,,28.83,28.83,3
RC,302,Androstenedione ,,,29.28,29.28,3
RC,302,Androsterone ,,,25.55,25.55,3
RC,302,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,302,Angiotensin II ,,,20.52,20.52,3
RC,302,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,302,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,302,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,302,"Antibody elution (RBC), each elution ",1445.7,1445.7,149.16,149.16,3
RC,302,"Antibody identification, RBC antibodies, each panel for each serum technique ",2031.42,2031.42,291.26,291.26,3
RC,302,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,302,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,302,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,302,"Antibody screen, RBC, each serum technique ",971.32,971.32,9.77,9.77,3
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,302,Antibody; Aspergillus ,,,15.05,15.05,3
RC,302,Antibody; Bartonella ,,,10.18,10.18,3
RC,302,Antibody; Blastomyces ,250.09,250.09,12.9,12.9,3
RC,302,Antibody; Bordetella ,,,13.19,13.19,3
RC,302,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,302,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,302,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,302,Antibody; Brucella ,,,8.93,8.93,3
RC,302,Antibody; Campylobacter ,861.61,861.61,13.12,13.12,3
RC,302,Antibody; Candida ,,,12.01,12.01,3
RC,302,Antibody; Chlamydia ,,,11.82,11.82,3
RC,302,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,302,Antibody; Coccidioides ,,,11.47,11.47,3
RC,302,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,302,Antibody; Cryptococcus ,1029.41,1029.41,14.41,14.41,3
RC,302,Antibody; Diphtheria ,,,15.21,15.21,3
RC,302,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,302,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",1139.15,1139.15,13.12,13.12,3
RC,302,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",1139.15,1139.15,15.29,15.29,3
RC,302,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,302,Antibody; Francisella tularensis ,759.96,759.96,14.16,14.16,3
RC,302,Antibody; Giardia lamblia ,1029.41,1029.41,14.72,14.72,3
RC,302,Antibody; HIV-1 ,1260.15,1260.15,8.89,8.89,3
RC,302,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,302,Antibody; HIV-2 ,1432.8,1432.8,13.52,13.52,3
RC,302,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",2473.52,2473.52,19.35,19.35,3
RC,302,Antibody; HTLV-I ,538.93,538.93,9.09,9.09,3
RC,302,Antibody; HTLV-II ,538.93,538.93,14.0,14.0,3
RC,302,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,302,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,302,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,302,Antibody; Legionella ,,,15.3,15.3,3
RC,302,Antibody; Leishmania ,,,12.25,12.25,3
RC,302,Antibody; Leptospira ,1287.59,1287.59,16.2,16.2,3
RC,302,Antibody; Listeria monocytogenes ,1035.88,1035.88,13.19,13.19,3
RC,302,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,302,Antibody; Nocardia ,,,15.99,15.99,3
RC,302,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,302,Antibody; Rickettsia ,,,19.35,19.35,3
RC,302,Antibody; Salmonella ,2691.34,2691.34,13.19,13.19,3
RC,302,Antibody; Shigella ,,,24.48,24.48,3
RC,302,Antibody; Toxoplasma ,1079.44,1079.44,14.39,14.39,3
RC,302,"Antibody; Toxoplasma, IgM ",1079.44,1079.44,14.41,14.41,3
RC,302,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,302,Antibody; Trichinella ,1363.42,1363.42,12.56,12.56,3
RC,302,Antibody; West Nile virus ,,,14.39,14.39,3
RC,302,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,302,Antibody; Yersinia ,,,13.19,13.19,3
RC,302,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,302,Antibody; actinomyces ,,,10.18,10.18,3
RC,302,Antibody; adenovirus ,619.58,619.58,12.87,12.87,3
RC,302,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,302,Antibody; cytomegalovirus (CMV) ,1223.04,1223.04,14.39,14.39,3
RC,302,"Antibody; cytomegalovirus (CMV), IgM ",1223.04,1223.04,16.85,16.85,3
RC,302,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,302,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,302,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,302,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,302,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,302,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,302,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,302,"Antibody; hepatitis, delta agent ",1740.98,1740.98,17.16,17.16,3
RC,302,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,302,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,302,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,302,Antibody; histoplasma ,,,13.79,13.79,3
RC,302,Antibody; influenza virus ,,,13.55,13.55,3
RC,302,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,302,Antibody; mucormycosis ,,,15.0,15.0,3
RC,302,Antibody; mumps ,,,13.05,13.05,3
RC,302,Antibody; mycoplasma ,,,13.24,13.24,3
RC,302,Antibody; parvovirus ,,,15.03,15.03,3
RC,302,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,302,Antibody; respiratory syncytial virus ,1240.79,1240.79,15.89,15.89,3
RC,302,Antibody; rotavirus ,,,18.23,18.23,3
RC,302,Antibody; rubella ,,,14.39,14.39,3
RC,302,Antibody; rubeola ,,,12.88,12.88,3
RC,302,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,302,Antibody; tetanus ,,,14.8,14.8,3
RC,302,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,302,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,302,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,302,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",1331.14,1331.14,5.18,5.18,3
RC,302,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,302,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,302,Antinuclear antibodies (ANA); ,772.88,772.88,12.09,12.09,3
RC,302,Antinuclear antibodies (ANA); titer ,1779.71,1779.71,11.16,11.16,3
RC,302,Antistreptolysin 0; screen ,940.68,940.68,5.77,5.77,3
RC,302,Antistreptolysin 0; titer ,1048.78,1048.78,7.3,7.3,3
RC,302,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,302,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,302,"Apolipoprotein, each ",,,21.09,21.09,3
RC,302,Arsenic ,,,18.97,18.97,3
RC,302,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,302,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,302,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,302,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,302,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,302,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,302,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,302,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,302,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,302,"B cells, total count ",,,37.73,37.73,3
RC,302,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,302,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,302,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,302,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,302,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,302,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,302,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,302,Beta-2 microglobulin ,,,16.18,16.18,3
RC,302,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,302,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,302,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,302,Bile acids; total ,,,17.12,17.12,3
RC,302,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,302,Bilirubin; direct ,,,5.02,5.02,3
RC,302,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,302,Bilirubin; total ,,,5.02,5.02,3
RC,302,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,302,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,302,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,302,Bleeding time ,,,4.82,4.82,3
RC,302,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,302,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,302,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,302,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,302,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,302,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,302,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,302,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,302,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,302,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,302,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,302,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,302,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,302,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,302,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,302,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,302,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,302,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,302,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,302,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,302,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,302,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,302,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,302,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",868.07,868.07,3.83,3.83,3
RC,302,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,302,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,302,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,302,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",868.07,868.07,6.35,6.35,3
RC,302,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,302,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,302,Bradykinin ,,,5.16,5.16,3
RC,302,C-peptide ,,,20.81,20.81,3
RC,302,C-reactive protein; ,,,5.18,5.18,3
RC,302,C-reactive protein; high sensitivity (hsCRP) ,579.25,579.25,12.95,12.95,3
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,302,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,302,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,302,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,302,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,302,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,302,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,302,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,302,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,302,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,302,Cadmium ,,,23.64,23.64,3
RC,302,Caffeine ,,,38.57,38.57,3
RC,302,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,302,Calcitonin ,,,26.79,26.79,3
RC,302,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,302,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,302,Calcium; ionized ,,,13.68,13.68,3
RC,302,Calcium; total ,,,5.16,5.16,3
RC,302,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,302,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,302,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,302,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,302,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,302,"Calprotectin, fecal ",,,19.63,19.63,3
RC,302,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,302,Carbamazepine; free ,,,13.25,13.25,3
RC,302,Carbamazepine; total ,,,14.57,14.57,3
RC,302,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,302,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,302,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,302,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,302,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,302,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,302,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,302,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,302,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,302,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,302,Carotene ,,,9.22,9.22,3
RC,302,Catecholamines; blood ,,,29.08,29.08,3
RC,302,Catecholamines; fractionated ,,,25.25,25.25,3
RC,302,Catecholamines; total urine ,,,27.3,27.3,3
RC,302,Cathepsin-D ,,,18.06,18.06,3
RC,302,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,302,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,302,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,302,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,302,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,302,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,302,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,302,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,302,Ceruloplasmin ,,,10.74,10.74,3
RC,302,Chemiluminescent assay ,,,14.12,14.12,3
RC,302,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,302,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,302,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,302,Chloramphenicol ,,,12.67,12.67,3
RC,302,Chloride; blood ,,,4.6,4.6,3
RC,302,Chloride; other source ,,,5.0,5.0,3
RC,302,Chloride; urine ,,,5.75,5.75,3
RC,302,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,302,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,302,Cholinesterase; RBC ,,,9.81,9.81,3
RC,302,Cholinesterase; serum ,,,7.87,7.87,3
RC,302,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,302,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,302,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,302,Chromium ,,,20.28,20.28,3
RC,302,Chromogenic substrate assay ,,,11.89,11.89,3
RC,302,Citrate ,,,27.8,27.8,3
RC,302,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,302,Clot retraction ,,,16.3,16.3,3
RC,302,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,302,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,302,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,302,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,302,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,302,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,302,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,302,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,302,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,302,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,302,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,302,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,302,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,302,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,302,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,302,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,302,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,302,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,302,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,302,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,302,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,302,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,302,Clozapine ,,,20.15,20.15,3
RC,302,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,302,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,302,Coagulation time; activated ,,,4.28,4.28,3
RC,302,Coagulation time; other methods ,,,4.49,4.49,3
RC,302,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,302,Cold agglutinin; screen ,,,8.07,8.07,3
RC,302,Cold agglutinin; titer ,445.33,445.33,8.06,8.06,3
RC,302,"Collagen cross links, any method ",,,18.68,18.68,3
RC,302,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,302,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,302,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,302,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,302,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,302,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,302,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,302,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,302,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,302,Compatibility test each unit; immediate spin technique ,395.32,395.32,149.16,149.16,3
RC,302,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,302,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,302,"Complement; antigen, each component ",,,12.0,12.0,3
RC,302,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,302,Complement; total hemolytic (CH50) ,1669.98,1669.98,20.32,20.32,3
RC,302,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,302,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,302,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,302,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,302,"Congo red, blood ",,,4.95,4.95,3
RC,302,Copper ,,,12.41,12.41,3
RC,302,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,302,Corticosterone ,,,22.52,22.52,3
RC,302,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,302,Cortisol; free ,,,16.71,16.71,3
RC,302,Cortisol; total ,,,16.3,16.3,3
RC,302,Creatine ,,,4.64,4.64,3
RC,302,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,302,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,302,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,302,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,302,Creatinine; blood ,,,5.12,5.12,3
RC,302,Creatinine; clearance ,,,9.46,9.46,3
RC,302,Creatinine; other source ,,,5.18,5.18,3
RC,302,Cryofibrinogen ,,,14.14,14.14,3
RC,302,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,302,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,302,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,302,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,302,Cryopreservation; sperm ,,,149.16,149.16,3
RC,302,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,302,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,302,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,302,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,302,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,302,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,302,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,302,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,302,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,302,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,302,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,302,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,302,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,302,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,302,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,302,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,302,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,302,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,302,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,302,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,302,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,302,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,302,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,302,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,302,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,302,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,302,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,302,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,302,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,302,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,302,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,302,"Culture, typing; other methods ",,,7.74,7.74,3
RC,302,Cyanide ,,,19.4,19.4,3
RC,302,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,302,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,302,"Cyclic citrullinated peptide (CCP), antibody ",432.43,432.43,12.95,12.95,3
RC,302,Cyclosporine ,,,18.05,18.05,3
RC,302,Cystatin C ,,,18.52,18.52,3
RC,302,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,302,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,302,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,302,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,302,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,302,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,302,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,302,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,302,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,302,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,302,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,302,"Deoxyribonuclease, antibody ",643.78,643.78,13.25,13.25,3
RC,302,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,1368.27,1368.27,13.74,13.74,3
RC,302,Deoxyribonucleic acid (DNA) antibody; single stranded ,759.96,759.96,12.11,12.11,3
RC,302,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,302,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,302,Dibucaine number ,,,12.25,12.25,3
RC,302,Digoxin; free ,,,13.28,13.28,3
RC,302,Digoxin; total ,,,13.28,13.28,3
RC,302,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,302,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,302,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,302,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,302,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,302,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,302,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,302,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,302,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,302,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,302,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,302,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,302,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,302,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,302,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,302,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,302,Erythropoietin ,,,18.79,18.79,3
RC,302,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,302,Estradiol; total ,,,27.94,27.94,3
RC,302,Estriol ,,,24.18,24.18,3
RC,302,Estrogens; fractionated ,,,32.3,32.3,3
RC,302,Estrogens; total ,,,21.7,21.7,3
RC,302,Estrone ,,,24.95,24.95,3
RC,302,Ethosuximide ,,,16.34,16.34,3
RC,302,Ethylene glycol ,,,14.9,14.9,3
RC,302,Etiocholanolone ,,,26.24,26.24,3
RC,302,Euglobulin lysis ,,,8.41,8.41,3
RC,302,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,302,Everolimus ,,,13.73,13.73,3
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,302,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,302,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,302,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,302,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,302,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,302,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,302,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,302,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,302,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,302,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,302,Factor inhibitor test ,,,12.87,12.87,3
RC,302,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,302,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,302,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,302,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,302,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,302,Felbamate ,,,18.64,18.64,3
RC,302,Fern test ,,,9.74,9.74,3
RC,302,Ferritin ,,,13.63,13.63,3
RC,302,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,302,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,302,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,302,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,302,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,302,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,302,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,302,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,302,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,302,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,302,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,302,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,302,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,302,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,302,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,302,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,302,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,302,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,302,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,302,Fibrinogen; activity ,,,9.72,9.72,3
RC,302,Fibrinogen; antigen ,,,14.46,14.46,3
RC,302,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,302,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,302,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,302,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,302,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,302,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,302,Flecainide ,,,18.64,18.64,3
RC,302,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,302,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,302,Fluoride ,,,18.54,18.54,3
RC,302,Folic acid; RBC ,,,17.65,17.65,3
RC,302,Folic acid; serum ,,,14.7,14.7,3
RC,302,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,302,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,302,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,302,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,302,"Fructose, semen ",,,17.34,17.34,3
RC,302,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,302,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,302,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,302,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,302,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,302,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,302,"Galactokinase, RBC ",,,21.48,21.48,3
RC,302,Galactose ,,,11.2,11.2,3
RC,302,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,302,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,302,Galectin-3 ,,,44.25,44.25,3
RC,302,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,302,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,302,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,302,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,302,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,302,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,302,"Gases, blood, pH only ",,,11.0,11.0,3
RC,302,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,302,Gastrin ,,,17.63,17.63,3
RC,302,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,302,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,302,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,302,Gentamicin ,,,16.38,16.38,3
RC,302,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,302,Glucagon ,,,14.29,14.29,3
RC,302,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,302,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,302,Glucagon tolerance test ,,,17.77,17.77,3
RC,302,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,302,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,302,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,302,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,302,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,302,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,302,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,302,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,302,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,302,"Glucosidase, beta ",,,21.48,21.48,3
RC,302,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,302,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,302,Glutathione ,,,15.45,15.45,3
RC,302,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,302,Glycated protein ,,,16.76,16.76,3
RC,302,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,302,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,302,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,302,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,302,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,302,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,302,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,302,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,302,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,302,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,302,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,302,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,302,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,302,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,302,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,302,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,302,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,302,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,302,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",637.35,637.35,25.81,25.81,3
RC,302,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,302,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,302,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,302,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,302,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,302,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,302,Haloperidol ,,,15.78,15.78,3
RC,302,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,302,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,302,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,302,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,302,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,302,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,302,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,302,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,302,Heinz bodies; direct ,,,4.2,4.2,3
RC,302,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,302,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,302,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,302,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,302,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,302,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,302,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,302,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,302,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,302,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,302,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,302,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,302,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,302,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,302,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,302,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,302,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,302,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,302,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,302,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,302,Hemoglobin; plasma ,,,7.31,7.31,3
RC,302,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,302,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,302,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,302,Hemoglobin; urine ,,,3.95,3.95,3
RC,302,"Hemolysin, acid ",,,8.87,8.87,3
RC,302,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,302,Hemolysins and agglutinins; incubated ,580.87,580.87,12.11,12.11,3
RC,302,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,302,Heparin assay ,,,13.09,13.09,3
RC,302,Heparin neutralization ,,,11.84,11.84,3
RC,302,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,302,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,302,Hepatitis A antibody (HAAb) ,721.23,721.23,12.39,12.39,3
RC,302,"Hepatitis A antibody (HAAb), IgM antibody ",1158.51,1158.51,11.26,11.26,3
RC,302,Hepatitis B core antibody (HBcAb); IgM antibody ,1203.67,1203.67,11.77,11.77,3
RC,302,Hepatitis B core antibody (HBcAb); total ,721.23,721.23,12.05,12.05,3
RC,302,Hepatitis B surface antibody (HBsAb) ,1124.62,1124.62,10.74,10.74,3
RC,302,Hepatitis Be antibody (HBeAb) ,619.58,619.58,11.57,11.57,3
RC,302,Hepatitis C antibody; ,1928.16,1928.16,14.27,14.27,3
RC,302,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",2504.17,2504.17,15.49,15.49,3
RC,302,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,302,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,302,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,302,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,302,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,302,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,302,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,302,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,302,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,302,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,302,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,302,Histamine ,,,29.53,29.53,3
RC,302,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,302,Homocysteine ,,,17.92,17.92,3
RC,302,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,302,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,302,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,302,Human epididymis protein 4 (HE4) ,1213.36,1213.36,20.81,20.81,3
RC,302,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",774.47,774.47,36.53,36.53,3
RC,302,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",774.47,774.47,109.49,109.49,3
RC,302,Hydroxychloroquine ,,,18.64,18.64,3
RC,302,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,302,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,302,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,302,Hydroxyproline; free ,,,22.65,22.65,3
RC,302,Hydroxyproline; total ,,,24.3,24.3,3
RC,302,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,302,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,302,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,302,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,302,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,302,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,302,Immune complex assay ,,,24.37,24.37,3
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,302,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,302,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,302,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,302,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,302,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,302,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,302,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",2626.8,2626.8,20.81,20.81,3
RC,302,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,302,Immunodiffusion; not elsewhere specified ,830.98,830.98,14.05,14.05,3
RC,302,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,302,Immunoelectrophoresis; serum ,535.68,535.68,29.92,29.92,3
RC,302,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,302,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,302,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,302,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,302,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,302,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,302,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,302,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,302,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,302,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,302,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,302,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,302,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,302,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,302,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,302,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,302,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,302,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,302,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,302,Infliximab ,,,38.57,38.57,3
RC,302,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,302,Inhibin A ,1066.53,1066.53,15.59,15.59,3
RC,302,Insemination of oocytes ,,,149.16,149.16,3
RC,302,Insulin antibodies ,585.69,585.69,21.41,21.41,3
RC,302,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,302,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,302,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,302,Insulin; free ,,,12.95,12.95,3
RC,302,Insulin; total ,,,11.43,11.43,3
RC,302,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,302,Intrinsic factor ,,,19.82,19.82,3
RC,302,Intrinsic factor antibodies ,1042.33,1042.33,15.08,15.08,3
RC,302,Iron ,,,6.47,6.47,3
RC,302,Iron binding capacity ,,,8.74,8.74,3
RC,302,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,302,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,302,Islet cell antibody ,,,23.57,23.57,3
RC,302,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,302,Itraconazole ,,,27.11,27.11,3
RC,302,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,302,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,302,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,302,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,302,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,302,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,302,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,302,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,302,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,302,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,302,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,302,Lacosamide ,,,27.11,27.11,3
RC,302,Lactate (lactic acid) ,,,11.57,11.57,3
RC,302,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,302,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,302,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,302,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,302,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,302,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,302,Lamotrigine ,,,13.25,13.25,3
RC,302,Lead ,,,12.11,12.11,3
RC,302,Leflunomide ,,,38.57,38.57,3
RC,302,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,302,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,302,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,302,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,302,Leukocyte phagocytosis ,209.76,209.76,10.39,10.39,3
RC,302,Leukocyte transfusion ,,,149.16,149.16,3
RC,302,Levetiracetam ,,,13.25,13.25,3
RC,302,Lidocaine ,,,14.69,14.69,3
RC,302,Lipase ,,,6.89,6.89,3
RC,302,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,302,Lipoprotein (a) ,,,14.32,14.32,3
RC,302,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,302,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,302,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,302,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,302,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,302,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,302,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,302,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,302,Lithium ,,,6.61,6.61,3
RC,302,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,302,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,302,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,302,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,302,"Lymphocytotoxicity assay, visual crossmatch; without titration ",2439.64,2439.64,47.59,47.59,3
RC,302,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,302,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,302,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,302,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,302,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,302,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,302,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,302,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,302,Magnesium ,,,6.7,6.7,3
RC,302,Malate dehydrogenase ,,,7.37,7.37,3
RC,302,Manganese ,,,26.65,26.65,3
RC,302,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,302,"Meat fibers, feces ",,,4.85,4.85,3
RC,302,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,302,"Mercury, quantitative ",,,16.26,16.26,3
RC,302,Metanephrines ,,,16.94,16.94,3
RC,302,Methemalbumin ,,,10.74,10.74,3
RC,302,Methotrexate ,,,38.57,38.57,3
RC,302,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,302,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,302,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,302,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,302,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,302,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,302,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,302,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,302,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,302,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,302,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,302,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,302,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,302,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,302,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,302,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,302,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,302,Muramidase ,,,18.75,18.75,3
RC,302,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,302,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,302,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,302,Myoglobin ,,,12.92,12.92,3
RC,302,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,302,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,302,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,302,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,302,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,302,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,302,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,302,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,302,Natriuretic peptide ,,,39.26,39.26,3
RC,302,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,302,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,302,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,302,"Neutralization test, viral ",,,16.91,16.91,3
RC,302,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,302,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,302,Nickel ,,,24.51,24.51,3
RC,302,Nitroblue tetrazolium dye test (NTD) ,1331.14,1331.14,13.61,13.61,3
RC,302,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,302,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,302,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,302,Nucleotidase 5'- ,,,11.15,11.15,3
RC,302,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,302,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,302,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,302,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,302,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,302,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,302,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,302,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,302,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,302,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,302,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,302,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,302,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,302,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,302,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,302,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,302,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,302,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,302,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,302,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,302,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,302,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,302,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,302,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,302,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,302,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,302,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,302,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,302,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,302,Osmolality; blood ,,,6.61,6.61,3
RC,302,Osmolality; urine ,,,6.82,6.82,3
RC,302,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,302,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,302,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,302,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,302,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,302,Oxalate ,,,14.45,14.45,3
RC,302,Oxcarbazepine ,,,13.25,13.25,3
RC,302,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,302,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,302,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,302,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,302,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,302,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,302,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,302,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,302,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,302,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,302,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,302,Phenobarbital ,,,15.3,15.3,3
RC,302,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,302,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,302,Phenytoin; free ,,,13.76,13.76,3
RC,302,Phenytoin; total ,,,13.25,13.25,3
RC,302,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,302,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,302,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,302,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,302,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,302,Phosphatidylglycerol ,,,16.52,16.52,3
RC,302,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,302,Phosphohexose isomerase ,,,10.73,10.73,3
RC,302,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,302,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,302,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,302,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,302,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,302,Pinworm examinations ,,,4.27,4.27,3
RC,302,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,302,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,302,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,302,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,302,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,302,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,302,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,302,Posaconazole ,,,27.11,27.11,3
RC,302,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,302,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,302,Potassium; urine ,,,4.73,4.73,3
RC,302,Prealbumin ,,,14.59,14.59,3
RC,302,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,302,Pregnanediol ,,,21.27,21.27,3
RC,302,Pregnanetriol ,,,21.05,21.05,3
RC,302,Pregnenolone ,,,20.67,20.67,3
RC,302,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,302,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,302,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,302,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,302,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",2031.42,2031.42,33.84,33.84,3
RC,302,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,302,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,302,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,302,Primidone ,,,16.59,16.59,3
RC,302,Procainamide; ,,,60.0,60.0,3
RC,302,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,302,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,302,Progesterone ,,,20.86,20.86,3
RC,302,Proinsulin ,,,26.69,26.69,3
RC,302,Prolactin ,,,19.38,19.38,3
RC,302,"Prostaglandin, each ",,,41.77,41.77,3
RC,302,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,302,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,302,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,302,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,302,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,302,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,302,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,302,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,302,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,302,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,302,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,302,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,302,Prothrombin time; ,,,4.29,4.29,3
RC,302,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,302,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,302,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,302,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,302,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,302,Pyruvate ,,,14.48,14.48,3
RC,302,Pyruvate kinase ,,,9.44,9.44,3
RC,302,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,302,Quinidine ,,,14.6,14.6,3
RC,302,Quinine ,,,11.63,11.63,3
RC,302,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,302,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,302,Receptor assay; estrogen ,,,87.88,87.88,3
RC,302,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,302,Receptor assay; progesterone ,,,64.88,64.88,3
RC,302,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,302,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,302,Renin ,,,21.99,21.99,3
RC,302,Reptilase test ,,,9.85,9.85,3
RC,302,Reticulated platelet assay ,,,35.74,35.74,3
RC,302,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,302,Rheumatoid factor; quantitative ,772.88,772.88,5.67,5.67,3
RC,302,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,302,Rufinamide ,,,27.11,27.11,3
RC,302,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,302,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,302,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,302,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,302,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,302,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,302,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,302,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,302,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,302,Salicylate ,,,18.64,18.64,3
RC,302,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,302,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,302,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,302,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,302,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,302,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,302,Selenium ,,,25.53,25.53,3
RC,302,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,302,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,302,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,302,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,302,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,302,Serotonin ,,,30.98,30.98,3
RC,302,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,302,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,743.84,743.84,29.68,29.68,3
RC,302,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,302,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,302,Sialic acid ,,,13.44,13.44,3
RC,302,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,302,Silica ,,,25.21,25.21,3
RC,302,Sirolimus ,,,13.73,13.73,3
RC,302,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,302,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,302,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,302,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,302,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,302,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,302,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,302,Sodium; other source ,,,4.86,4.86,3
RC,302,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,302,Sodium; urine ,,,5.06,5.06,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,302,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,302,Somatomedin ,,,21.26,21.26,3
RC,302,Somatostatin ,,,18.28,18.28,3
RC,302,Specific gravity (except urine) ,,,3.28,3.28,3
RC,302,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,302,Sperm antibodies ,,,10.67,10.67,3
RC,302,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,302,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,302,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,302,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,302,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,302,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,302,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,302,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,302,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,302,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,302,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,302,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,302,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,302,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,302,"Streptokinase, antibody ",,,12.66,12.66,3
RC,302,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,302,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,302,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,302,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,302,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,302,"Sulfate, urine ",,,5.49,5.49,3
RC,302,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,302,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,302,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,302,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,302,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,302,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,302,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,302,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,302,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,302,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,302,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,302,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,302,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,302,T cells; total count ,,,37.73,37.73,3
RC,302,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,302,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,302,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,302,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,302,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,302,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,302,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,302,Tacrolimus ,,,13.73,13.73,3
RC,302,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,302,"Tau, total (tTau) ",,,128.92,128.92,3
RC,302,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,302,Testosterone; free ,,,25.47,25.47,3
RC,302,Testosterone; total ,,,25.81,25.81,3
RC,302,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,302,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,302,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,302,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,302,Theophylline ,,,14.14,14.14,3
RC,302,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,302,Thiocyanate ,,,11.63,11.63,3
RC,302,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,302,Thrombin time; plasma ,,,5.77,5.77,3
RC,302,Thrombin time; titer ,,,6.85,6.85,3
RC,302,Thrombomodulin ,,,17.27,17.27,3
RC,302,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,302,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,302,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,302,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,302,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,302,Thyroglobulin ,,,16.06,16.06,3
RC,302,Thyroglobulin antibody ,,,15.91,15.91,3
RC,302,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,302,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,302,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,302,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,302,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,302,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,302,Thyroxine; free ,,,9.02,9.02,3
RC,302,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,302,Thyroxine; total ,,,6.87,6.87,3
RC,302,Tiagabine ,,,27.11,27.11,3
RC,302,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,302,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,302,Tobramycin ,,,16.13,16.13,3
RC,302,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,302,Topiramate ,,,11.92,11.92,3
RC,302,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,302,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,302,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,302,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,302,Transferrin ,,,12.76,12.76,3
RC,302,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,302,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,302,Triglycerides ,,,5.74,5.74,3
RC,302,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,302,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,302,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,302,"Troponin, qualitative ",,,10.09,10.09,3
RC,302,"Troponin, quantitative ",,,12.47,12.47,3
RC,302,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,302,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,302,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,302,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",1185.92,1185.92,100.0,100.0,3
RC,302,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",1871.67,1871.67,61.98,61.98,3
RC,302,Tyrosine ,,,10.63,10.63,3
RC,302,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,302,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,302,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,302,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,302,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,302,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,302,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,302,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,302,Uric acid; blood ,,,4.52,4.52,3
RC,302,Uric acid; other source ,,,5.08,5.08,3
RC,302,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,302,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,302,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,302,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,302,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,302,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,302,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,302,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,302,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,302,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,302,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,302,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,302,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,302,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,302,Vancomycin ,,,13.54,13.54,3
RC,302,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,302,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,302,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,302,Vedolizumab ,,,38.57,38.57,3
RC,302,Very long chain fatty acids ,,,19.75,19.75,3
RC,302,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,302,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,302,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,302,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,302,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,302,Viscosity ,,,11.67,11.67,3
RC,302,Vitamin A ,,,11.61,11.61,3
RC,302,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,302,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,302,Vitamin K ,,,13.72,13.72,3
RC,302,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,302,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,302,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,302,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,302,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,302,Voriconazole ,,,27.11,27.11,3
RC,302,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,302,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,302,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,302,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,302,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,302,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,302,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,302,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,302,Zinc ,,,11.39,11.39,3
RC,302,Zonisamide ,,,13.25,13.25,3
RC,302,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,302,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,302,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,303, Laboratory Renal Patient (Home)  ,,,,,0
RC,303,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,303,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,303,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,303,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,303,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,303,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,303,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,303,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,303,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,303,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,303,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,303,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,Acetaminophen ,,,18.64,18.64,3
RC,303,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,303,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,303,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,303,Acetylcholinesterase ,,,12.29,12.29,3
RC,303,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,303,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,303,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,303,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,303,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,303,Adalimumab ,,,38.57,38.57,3
RC,303,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,303,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,303,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,303,Albumin; ischemia modified ,,,33.94,33.94,3
RC,303,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,303,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,303,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,303,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,303,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,303,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,303,Aldolase ,,,9.71,9.71,3
RC,303,Aldosterone ,,,40.75,40.75,3
RC,303,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,303,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,303,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,303,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,303,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,303,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,303,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,303,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,303,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,303,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,303,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,303,Aluminum ,,,25.48,25.48,3
RC,303,Amikacin ,,,15.08,15.08,3
RC,303,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,303,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,303,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,303,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,303,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,303,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,303,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,303,Amiodarone ,,,18.64,18.64,3
RC,303,Ammonia ,,,14.57,14.57,3
RC,303,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,303,Amylase ,,,6.48,6.48,3
RC,303,Androstanediol glucuronide ,,,28.83,28.83,3
RC,303,Androstenedione ,,,29.28,29.28,3
RC,303,Androsterone ,,,25.55,25.55,3
RC,303,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,303,Angiotensin II ,,,20.52,20.52,3
RC,303,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,303,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,303,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,303,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,303,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,303,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,303,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,303,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,303,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,303,Antibody; Aspergillus ,,,15.05,15.05,3
RC,303,Antibody; Bartonella ,,,10.18,10.18,3
RC,303,Antibody; Blastomyces ,,,12.9,12.9,3
RC,303,Antibody; Bordetella ,,,13.19,13.19,3
RC,303,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,303,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,303,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,303,Antibody; Brucella ,,,8.93,8.93,3
RC,303,Antibody; Campylobacter ,,,13.12,13.12,3
RC,303,Antibody; Candida ,,,12.01,12.01,3
RC,303,Antibody; Chlamydia ,,,11.82,11.82,3
RC,303,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,303,Antibody; Coccidioides ,,,11.47,11.47,3
RC,303,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,303,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,303,Antibody; Diphtheria ,,,15.21,15.21,3
RC,303,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,303,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,303,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,303,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,303,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,303,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,303,Antibody; HIV-1 ,,,8.89,8.89,3
RC,303,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,303,Antibody; HIV-2 ,,,13.52,13.52,3
RC,303,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,303,Antibody; HTLV-I ,,,9.09,9.09,3
RC,303,Antibody; HTLV-II ,,,14.0,14.0,3
RC,303,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,303,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,303,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,303,Antibody; Legionella ,,,15.3,15.3,3
RC,303,Antibody; Leishmania ,,,12.25,12.25,3
RC,303,Antibody; Leptospira ,,,16.2,16.2,3
RC,303,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,303,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,303,Antibody; Nocardia ,,,15.99,15.99,3
RC,303,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,303,Antibody; Rickettsia ,,,19.35,19.35,3
RC,303,Antibody; Salmonella ,,,13.19,13.19,3
RC,303,Antibody; Shigella ,,,24.48,24.48,3
RC,303,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,303,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,303,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,303,Antibody; Trichinella ,,,12.56,12.56,3
RC,303,Antibody; West Nile virus ,,,14.39,14.39,3
RC,303,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,303,Antibody; Yersinia ,,,13.19,13.19,3
RC,303,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,303,Antibody; actinomyces ,,,10.18,10.18,3
RC,303,Antibody; adenovirus ,,,12.87,12.87,3
RC,303,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,303,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,303,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,303,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,303,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,303,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,303,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,303,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,303,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,303,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,303,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,303,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,303,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,303,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,303,Antibody; histoplasma ,,,13.79,13.79,3
RC,303,Antibody; influenza virus ,,,13.55,13.55,3
RC,303,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,303,Antibody; mucormycosis ,,,15.0,15.0,3
RC,303,Antibody; mumps ,,,13.05,13.05,3
RC,303,Antibody; mycoplasma ,,,13.24,13.24,3
RC,303,Antibody; parvovirus ,,,15.03,15.03,3
RC,303,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,303,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,303,Antibody; rotavirus ,,,18.23,18.23,3
RC,303,Antibody; rubella ,,,14.39,14.39,3
RC,303,Antibody; rubeola ,,,12.88,12.88,3
RC,303,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,303,Antibody; tetanus ,,,14.8,14.8,3
RC,303,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,303,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,303,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,303,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,303,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,303,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,303,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,303,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,303,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,303,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,303,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,303,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,303,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,303,"Apolipoprotein, each ",,,21.09,21.09,3
RC,303,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,303,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,303,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,303,Arsenic ,,,18.97,18.97,3
RC,303,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,303,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,303,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,303,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,303,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,303,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,303,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,303,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,303,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,303,"B cells, total count ",,,37.73,37.73,3
RC,303,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,303,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,303,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,303,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,303,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,303,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,303,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,303,Beta-2 microglobulin ,,,16.18,16.18,3
RC,303,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,303,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,303,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,303,Bile acids; total ,,,17.12,17.12,3
RC,303,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,303,Bilirubin; direct ,,,5.02,5.02,3
RC,303,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,303,Bilirubin; total ,,,5.02,5.02,3
RC,303,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,303,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,303,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,303,Bleeding time ,,,4.82,4.82,3
RC,303,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,303,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,303,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,303,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,303,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,303,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,303,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,303,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,303,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,303,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,303,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,303,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,303,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,303,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,303,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,303,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,303,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,303,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,303,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,303,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,303,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,303,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,303,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,303,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,303,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,303,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,303,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,303,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,303,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,303,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,303,Bradykinin ,,,5.16,5.16,3
RC,303,C-peptide ,,,20.81,20.81,3
RC,303,C-reactive protein; ,,,5.18,5.18,3
RC,303,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,303,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,303,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,303,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,303,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,303,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,303,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,303,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,303,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,303,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,303,Cadmium ,,,23.64,23.64,3
RC,303,Caffeine ,,,38.57,38.57,3
RC,303,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,303,Calcitonin ,,,26.79,26.79,3
RC,303,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,303,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,303,Calcium; ionized ,,,13.68,13.68,3
RC,303,Calcium; total ,,,5.16,5.16,3
RC,303,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,303,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,303,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,303,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,303,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,303,"Calprotectin, fecal ",,,19.63,19.63,3
RC,303,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,303,Carbamazepine; free ,,,13.25,13.25,3
RC,303,Carbamazepine; total ,,,14.57,14.57,3
RC,303,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,303,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,303,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,303,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,303,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,303,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,303,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,303,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,303,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,303,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,303,Carotene ,,,9.22,9.22,3
RC,303,Catecholamines; blood ,,,29.08,29.08,3
RC,303,Catecholamines; fractionated ,,,25.25,25.25,3
RC,303,Catecholamines; total urine ,,,27.3,27.3,3
RC,303,Cathepsin-D ,,,18.06,18.06,3
RC,303,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,303,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,303,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,303,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,303,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,303,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,303,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,303,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,303,Ceruloplasmin ,,,10.74,10.74,3
RC,303,Chemiluminescent assay ,,,14.12,14.12,3
RC,303,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,303,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,303,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,303,Chloramphenicol ,,,12.67,12.67,3
RC,303,Chloride; blood ,,,4.6,4.6,3
RC,303,Chloride; other source ,,,5.0,5.0,3
RC,303,Chloride; urine ,,,5.75,5.75,3
RC,303,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,303,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,303,Cholinesterase; RBC ,,,9.81,9.81,3
RC,303,Cholinesterase; serum ,,,7.87,7.87,3
RC,303,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,303,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,303,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,303,Chromium ,,,20.28,20.28,3
RC,303,Chromogenic substrate assay ,,,11.89,11.89,3
RC,303,Citrate ,,,27.8,27.8,3
RC,303,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,303,Clot retraction ,,,16.3,16.3,3
RC,303,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,303,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,303,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,303,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,303,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,303,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,303,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,303,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,303,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,303,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,303,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,303,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,303,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,303,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,303,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,303,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,303,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,303,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,303,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,303,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,303,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,303,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,303,Clozapine ,,,20.15,20.15,3
RC,303,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,303,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,303,Coagulation time; activated ,,,4.28,4.28,3
RC,303,Coagulation time; other methods ,,,4.49,4.49,3
RC,303,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,303,Cold agglutinin; screen ,,,8.07,8.07,3
RC,303,Cold agglutinin; titer ,,,8.06,8.06,3
RC,303,"Collagen cross links, any method ",,,18.68,18.68,3
RC,303,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,303,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,303,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,303,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,303,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,303,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,303,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,303,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,303,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,303,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,303,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,303,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,303,"Complement; antigen, each component ",,,12.0,12.0,3
RC,303,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,303,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,303,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,303,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,303,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,303,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,303,"Congo red, blood ",,,4.95,4.95,3
RC,303,Copper ,,,12.41,12.41,3
RC,303,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,303,Corticosterone ,,,22.52,22.52,3
RC,303,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,303,Cortisol; free ,,,16.71,16.71,3
RC,303,Cortisol; total ,,,16.3,16.3,3
RC,303,Creatine ,,,4.64,4.64,3
RC,303,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,303,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,303,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,303,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,303,Creatinine; blood ,,,5.12,5.12,3
RC,303,Creatinine; clearance ,,,9.46,9.46,3
RC,303,Creatinine; other source ,,,5.18,5.18,3
RC,303,Cryofibrinogen ,,,14.14,14.14,3
RC,303,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,303,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,303,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,303,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,303,Cryopreservation; sperm ,,,149.16,149.16,3
RC,303,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,303,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,303,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,303,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,303,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,303,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,303,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,303,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,303,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,303,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,303,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,303,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,303,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,303,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,303,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,303,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,303,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,303,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,303,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,303,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,303,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,303,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,303,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,303,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,303,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,303,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,303,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,303,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,303,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,303,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,303,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,303,"Culture, typing; other methods ",,,7.74,7.74,3
RC,303,Cyanide ,,,19.4,19.4,3
RC,303,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,303,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,303,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,303,Cyclosporine ,,,18.05,18.05,3
RC,303,Cystatin C ,,,18.52,18.52,3
RC,303,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,303,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,303,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,303,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,303,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,303,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,303,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,303,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,303,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,303,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,303,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,303,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,303,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,303,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,303,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,303,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,303,Dibucaine number ,,,12.25,12.25,3
RC,303,Digoxin; free ,,,13.28,13.28,3
RC,303,Digoxin; total ,,,13.28,13.28,3
RC,303,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,303,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,303,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,303,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,303,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,303,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,303,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,303,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,303,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,303,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,303,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,303,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,303,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,303,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,303,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,303,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,303,Erythropoietin ,,,18.79,18.79,3
RC,303,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,303,Estradiol; total ,,,27.94,27.94,3
RC,303,Estriol ,,,24.18,24.18,3
RC,303,Estrogens; fractionated ,,,32.3,32.3,3
RC,303,Estrogens; total ,,,21.7,21.7,3
RC,303,Estrone ,,,24.95,24.95,3
RC,303,Ethosuximide ,,,16.34,16.34,3
RC,303,Ethylene glycol ,,,14.9,14.9,3
RC,303,Etiocholanolone ,,,26.24,26.24,3
RC,303,Euglobulin lysis ,,,8.41,8.41,3
RC,303,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,303,Everolimus ,,,13.73,13.73,3
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,303,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,303,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,303,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,303,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,303,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,303,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,303,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,303,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,303,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,303,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,303,Factor inhibitor test ,,,12.87,12.87,3
RC,303,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,303,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,303,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,303,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,303,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,303,Felbamate ,,,18.64,18.64,3
RC,303,Fern test ,,,9.74,9.74,3
RC,303,Ferritin ,,,13.63,13.63,3
RC,303,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,303,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,303,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,303,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,303,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,303,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,303,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,303,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,303,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,303,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,303,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,303,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,303,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,303,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,303,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,303,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,303,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,303,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,303,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,303,Fibrinogen; activity ,,,9.72,9.72,3
RC,303,Fibrinogen; antigen ,,,14.46,14.46,3
RC,303,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,303,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,303,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,303,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,303,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,303,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,303,Flecainide ,,,18.64,18.64,3
RC,303,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,303,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,303,Fluoride ,,,18.54,18.54,3
RC,303,Folic acid; RBC ,,,17.65,17.65,3
RC,303,Folic acid; serum ,,,14.7,14.7,3
RC,303,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,303,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,303,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,303,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,303,"Fructose, semen ",,,17.34,17.34,3
RC,303,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,303,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,303,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,303,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,303,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,303,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,303,"Galactokinase, RBC ",,,21.48,21.48,3
RC,303,Galactose ,,,11.2,11.2,3
RC,303,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,303,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,303,Galectin-3 ,,,44.25,44.25,3
RC,303,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,303,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,303,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,303,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,303,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,303,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,303,"Gases, blood, pH only ",,,11.0,11.0,3
RC,303,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,303,Gastrin ,,,17.63,17.63,3
RC,303,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,303,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,303,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,303,Gentamicin ,,,16.38,16.38,3
RC,303,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,303,Glucagon ,,,14.29,14.29,3
RC,303,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,303,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,303,Glucagon tolerance test ,,,17.77,17.77,3
RC,303,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,303,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,303,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,303,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,303,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,303,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,303,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,303,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,303,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,303,"Glucosidase, beta ",,,21.48,21.48,3
RC,303,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,303,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,303,Glutathione ,,,15.45,15.45,3
RC,303,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,303,Glycated protein ,,,16.76,16.76,3
RC,303,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,303,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,303,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,303,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,303,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,303,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,303,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,303,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,303,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,303,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,303,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,303,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,303,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,303,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,303,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,303,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,303,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,303,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,303,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,303,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,303,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,303,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,303,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,303,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,303,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,303,Haloperidol ,,,15.78,15.78,3
RC,303,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,303,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,303,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,303,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,303,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,303,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,303,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,303,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,303,Heinz bodies; direct ,,,4.2,4.2,3
RC,303,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,303,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,303,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,303,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,303,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,303,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,303,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,303,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,303,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,303,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,303,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,303,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,303,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,303,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,303,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,303,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,303,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,303,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,303,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,303,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,303,Hemoglobin; plasma ,,,7.31,7.31,3
RC,303,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,303,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,303,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,303,Hemoglobin; urine ,,,3.95,3.95,3
RC,303,"Hemolysin, acid ",,,8.87,8.87,3
RC,303,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,303,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,303,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,303,Heparin assay ,,,13.09,13.09,3
RC,303,Heparin neutralization ,,,11.84,11.84,3
RC,303,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,303,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,303,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,303,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,303,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,303,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,303,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,303,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,303,Hepatitis C antibody; ,,,14.27,14.27,3
RC,303,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,303,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,303,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,303,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,303,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,303,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,303,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,303,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,303,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,303,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,303,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,303,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,303,Histamine ,,,29.53,29.53,3
RC,303,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,303,Homocysteine ,,,17.92,17.92,3
RC,303,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,303,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,303,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,303,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,303,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,303,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,303,Hydroxychloroquine ,,,18.64,18.64,3
RC,303,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,303,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,303,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,303,Hydroxyproline; free ,,,22.65,22.65,3
RC,303,Hydroxyproline; total ,,,24.3,24.3,3
RC,303,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,303,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,303,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,303,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,303,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,303,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,303,Immune complex assay ,,,24.37,24.37,3
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,303,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,303,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,303,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,303,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,303,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,303,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,303,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,303,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,303,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,303,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,303,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,303,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,303,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,303,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,303,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,303,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,303,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,303,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,303,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,303,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,303,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,303,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,303,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,303,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,303,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,303,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,303,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,303,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,303,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,303,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,303,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,303,Infliximab ,,,38.57,38.57,3
RC,303,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,303,Inhibin A ,,,15.59,15.59,3
RC,303,Insemination of oocytes ,,,149.16,149.16,3
RC,303,Insulin antibodies ,,,21.41,21.41,3
RC,303,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,303,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,303,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,303,Insulin; free ,,,12.95,12.95,3
RC,303,Insulin; total ,,,11.43,11.43,3
RC,303,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,303,Intrinsic factor ,,,19.82,19.82,3
RC,303,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,303,Iron ,,,6.47,6.47,3
RC,303,Iron binding capacity ,,,8.74,8.74,3
RC,303,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,303,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,303,Islet cell antibody ,,,23.57,23.57,3
RC,303,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,303,Itraconazole ,,,27.11,27.11,3
RC,303,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,303,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,303,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,303,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,303,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,303,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,303,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,303,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,303,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,303,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,303,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,303,Lacosamide ,,,27.11,27.11,3
RC,303,Lactate (lactic acid) ,,,11.57,11.57,3
RC,303,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,303,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,303,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,303,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,303,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,303,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,303,Lamotrigine ,,,13.25,13.25,3
RC,303,Lead ,,,12.11,12.11,3
RC,303,Leflunomide ,,,38.57,38.57,3
RC,303,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,303,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,303,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,303,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,303,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,303,Leukocyte transfusion ,,,149.16,149.16,3
RC,303,Levetiracetam ,,,13.25,13.25,3
RC,303,Lidocaine ,,,14.69,14.69,3
RC,303,Lipase ,,,6.89,6.89,3
RC,303,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,303,Lipoprotein (a) ,,,14.32,14.32,3
RC,303,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,303,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,303,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,303,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,303,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,303,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,303,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,303,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,303,Lithium ,,,6.61,6.61,3
RC,303,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,303,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,303,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,303,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,303,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,303,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,303,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,303,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,303,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,303,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,303,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,303,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,303,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,303,Magnesium ,,,6.7,6.7,3
RC,303,Malate dehydrogenase ,,,7.37,7.37,3
RC,303,Manganese ,,,26.65,26.65,3
RC,303,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,303,"Meat fibers, feces ",,,4.85,4.85,3
RC,303,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,303,"Mercury, quantitative ",,,16.26,16.26,3
RC,303,Metanephrines ,,,16.94,16.94,3
RC,303,Methemalbumin ,,,10.74,10.74,3
RC,303,Methotrexate ,,,38.57,38.57,3
RC,303,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,303,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,303,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,303,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,303,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,303,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,303,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,303,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,303,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,303,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,303,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,303,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,303,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,303,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,303,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,303,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,303,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,303,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,303,Muramidase ,,,18.75,18.75,3
RC,303,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,303,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,303,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,303,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,303,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,303,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,303,Myoglobin ,,,12.92,12.92,3
RC,303,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,303,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,303,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,303,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,303,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,303,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,303,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,303,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,303,Natriuretic peptide ,,,39.26,39.26,3
RC,303,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,303,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,303,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,303,"Neutralization test, viral ",,,16.91,16.91,3
RC,303,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,303,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,303,Nickel ,,,24.51,24.51,3
RC,303,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,303,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,303,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,303,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,303,Nucleotidase 5'- ,,,11.15,11.15,3
RC,303,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,303,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,303,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,303,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,303,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,303,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,303,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,303,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,303,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,303,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,303,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,303,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,303,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,303,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,303,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,303,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,303,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,303,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,303,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,303,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,303,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,303,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,303,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,303,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,303,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,303,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,303,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,303,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,303,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,303,Osmolality; blood ,,,6.61,6.61,3
RC,303,Osmolality; urine ,,,6.82,6.82,3
RC,303,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,303,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,303,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,303,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,303,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,303,Oxalate ,,,14.45,14.45,3
RC,303,Oxcarbazepine ,,,13.25,13.25,3
RC,303,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,303,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,303,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,303,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,303,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,303,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,303,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,303,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,303,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,303,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,303,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,303,Phenobarbital ,,,15.3,15.3,3
RC,303,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,303,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,303,Phenytoin; free ,,,13.76,13.76,3
RC,303,Phenytoin; total ,,,13.25,13.25,3
RC,303,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,303,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,303,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,303,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,303,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,303,Phosphatidylglycerol ,,,16.52,16.52,3
RC,303,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,303,Phosphohexose isomerase ,,,10.73,10.73,3
RC,303,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,303,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,303,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,303,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,303,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,303,Pinworm examinations ,,,4.27,4.27,3
RC,303,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,303,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,303,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,303,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,303,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,303,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,303,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,303,Posaconazole ,,,27.11,27.11,3
RC,303,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,303,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,303,Potassium; urine ,,,4.73,4.73,3
RC,303,Prealbumin ,,,14.59,14.59,3
RC,303,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,303,Pregnanediol ,,,21.27,21.27,3
RC,303,Pregnanetriol ,,,21.05,21.05,3
RC,303,Pregnenolone ,,,20.67,20.67,3
RC,303,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,303,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,303,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,303,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,303,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,303,Primidone ,,,16.59,16.59,3
RC,303,Procainamide; ,,,60.0,60.0,3
RC,303,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,303,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,303,Progesterone ,,,20.86,20.86,3
RC,303,Proinsulin ,,,26.69,26.69,3
RC,303,Prolactin ,,,19.38,19.38,3
RC,303,"Prostaglandin, each ",,,41.77,41.77,3
RC,303,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,303,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,303,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,303,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,303,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,303,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,303,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,303,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,303,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,303,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,303,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,303,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,303,Prothrombin time; ,,,4.29,4.29,3
RC,303,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,303,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,303,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,303,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,303,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,303,Pyruvate ,,,14.48,14.48,3
RC,303,Pyruvate kinase ,,,9.44,9.44,3
RC,303,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,303,Quinidine ,,,14.6,14.6,3
RC,303,Quinine ,,,11.63,11.63,3
RC,303,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,303,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,303,Receptor assay; estrogen ,,,87.88,87.88,3
RC,303,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,303,Receptor assay; progesterone ,,,64.88,64.88,3
RC,303,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,303,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,303,Renin ,,,21.99,21.99,3
RC,303,Reptilase test ,,,9.85,9.85,3
RC,303,Reticulated platelet assay ,,,35.74,35.74,3
RC,303,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,303,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,303,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,303,Rufinamide ,,,27.11,27.11,3
RC,303,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,303,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,303,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,303,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,303,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,303,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,303,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,303,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,303,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,303,Salicylate ,,,18.64,18.64,3
RC,303,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,303,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,303,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,303,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,303,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,303,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,303,Selenium ,,,25.53,25.53,3
RC,303,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,303,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,303,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,303,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,303,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,303,Serotonin ,,,30.98,30.98,3
RC,303,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,303,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,303,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,303,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,303,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,303,Sialic acid ,,,13.44,13.44,3
RC,303,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,303,Silica ,,,25.21,25.21,3
RC,303,Sirolimus ,,,13.73,13.73,3
RC,303,Skin test; candida ,,,24.67,24.67,3
RC,303,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,303,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,303,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,303,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,303,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,303,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,303,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,303,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,303,Sodium; other source ,,,4.86,4.86,3
RC,303,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,303,Sodium; urine ,,,5.06,5.06,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,303,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,303,Somatomedin ,,,21.26,21.26,3
RC,303,Somatostatin ,,,18.28,18.28,3
RC,303,Specific gravity (except urine) ,,,3.28,3.28,3
RC,303,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,303,Sperm antibodies ,,,10.67,10.67,3
RC,303,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,303,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,303,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,303,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,303,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,303,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,303,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,303,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,303,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,303,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,303,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,303,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,303,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,303,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,303,"Streptokinase, antibody ",,,12.66,12.66,3
RC,303,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,303,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,303,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,303,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,303,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,303,"Sulfate, urine ",,,5.49,5.49,3
RC,303,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,303,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,303,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,303,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,303,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,303,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,303,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,303,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,303,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,303,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,303,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,303,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,303,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,303,T cells; total count ,,,37.73,37.73,3
RC,303,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,303,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,303,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,303,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,303,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,303,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,303,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,303,Tacrolimus ,,,13.73,13.73,3
RC,303,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,303,"Tau, total (tTau) ",,,128.92,128.92,3
RC,303,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,303,Testosterone; free ,,,25.47,25.47,3
RC,303,Testosterone; total ,,,25.81,25.81,3
RC,303,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,303,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,303,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,303,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,303,Theophylline ,,,14.14,14.14,3
RC,303,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,303,Thiocyanate ,,,11.63,11.63,3
RC,303,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,303,Thrombin time; plasma ,,,5.77,5.77,3
RC,303,Thrombin time; titer ,,,6.85,6.85,3
RC,303,Thrombomodulin ,,,17.27,17.27,3
RC,303,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,303,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,303,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,303,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,303,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,303,Thyroglobulin ,,,16.06,16.06,3
RC,303,Thyroglobulin antibody ,,,15.91,15.91,3
RC,303,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,303,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,303,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,303,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,303,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,303,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,303,Thyroxine; free ,,,9.02,9.02,3
RC,303,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,303,Thyroxine; total ,,,6.87,6.87,3
RC,303,Tiagabine ,,,27.11,27.11,3
RC,303,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,303,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,303,Tobramycin ,,,16.13,16.13,3
RC,303,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,303,Topiramate ,,,11.92,11.92,3
RC,303,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,303,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,303,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,303,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,303,Transferrin ,,,12.76,12.76,3
RC,303,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,303,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,303,Triglycerides ,,,5.74,5.74,3
RC,303,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,303,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,303,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,303,"Troponin, qualitative ",,,10.09,10.09,3
RC,303,"Troponin, quantitative ",,,12.47,12.47,3
RC,303,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,303,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,303,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,303,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,303,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,303,Tyrosine ,,,10.63,10.63,3
RC,303,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,303,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,303,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,303,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,303,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,303,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,303,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,303,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,303,Uric acid; blood ,,,4.52,4.52,3
RC,303,Uric acid; other source ,,,5.08,5.08,3
RC,303,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,303,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,303,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,303,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,303,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,303,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,303,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,303,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,303,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,303,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,303,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,303,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,303,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,303,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,303,Vancomycin ,,,13.54,13.54,3
RC,303,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,303,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,303,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,303,Vedolizumab ,,,38.57,38.57,3
RC,303,Very long chain fatty acids ,,,19.75,19.75,3
RC,303,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,303,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,303,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,303,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,303,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,303,Viscosity ,,,11.67,11.67,3
RC,303,Vitamin A ,,,11.61,11.61,3
RC,303,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,303,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,303,Vitamin K ,,,13.72,13.72,3
RC,303,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,303,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,303,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,303,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,303,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,303,Voriconazole ,,,27.11,27.11,3
RC,303,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,303,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,303,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,303,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,303,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,303,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,303,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,303,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,303,Zinc ,,,11.39,11.39,3
RC,303,Zonisamide ,,,13.25,13.25,3
RC,303,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,303,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,303,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,304, Laboratory Non-Routine Dialysis  ,,,,,0
RC,304,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,304,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,304,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,304,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,304,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,304,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,304,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,304,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,304,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,304,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,304,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,304,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,Acetaminophen ,,,18.64,18.64,3
RC,304,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,304,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,304,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,304,Acetylcholinesterase ,,,12.29,12.29,3
RC,304,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,304,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,304,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,304,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,304,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,304,Adalimumab ,,,38.57,38.57,3
RC,304,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,304,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,304,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,304,Albumin; ischemia modified ,,,33.94,33.94,3
RC,304,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,304,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,304,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,304,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,304,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,304,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,304,Aldolase ,,,9.71,9.71,3
RC,304,Aldosterone ,,,40.75,40.75,3
RC,304,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,304,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,304,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,304,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,304,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,304,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,304,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,304,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,304,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,304,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,304,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,304,Aluminum ,,,25.48,25.48,3
RC,304,Amikacin ,,,15.08,15.08,3
RC,304,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,304,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,304,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,304,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,304,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,304,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,304,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,304,Amiodarone ,,,18.64,18.64,3
RC,304,Ammonia ,,,14.57,14.57,3
RC,304,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,304,Amylase ,,,6.48,6.48,3
RC,304,Androstanediol glucuronide ,,,28.83,28.83,3
RC,304,Androstenedione ,,,29.28,29.28,3
RC,304,Androsterone ,,,25.55,25.55,3
RC,304,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,304,Angiotensin II ,,,20.52,20.52,3
RC,304,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,304,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,304,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,304,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,304,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,304,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,304,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,304,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,304,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,304,Antibody; Aspergillus ,,,15.05,15.05,3
RC,304,Antibody; Bartonella ,,,10.18,10.18,3
RC,304,Antibody; Blastomyces ,,,12.9,12.9,3
RC,304,Antibody; Bordetella ,,,13.19,13.19,3
RC,304,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,304,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,304,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,304,Antibody; Brucella ,,,8.93,8.93,3
RC,304,Antibody; Campylobacter ,,,13.12,13.12,3
RC,304,Antibody; Candida ,,,12.01,12.01,3
RC,304,Antibody; Chlamydia ,,,11.82,11.82,3
RC,304,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,304,Antibody; Coccidioides ,,,11.47,11.47,3
RC,304,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,304,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,304,Antibody; Diphtheria ,,,15.21,15.21,3
RC,304,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,304,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,304,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,304,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,304,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,304,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,304,Antibody; HIV-1 ,,,8.89,8.89,3
RC,304,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,304,Antibody; HIV-2 ,,,13.52,13.52,3
RC,304,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,304,Antibody; HTLV-I ,,,9.09,9.09,3
RC,304,Antibody; HTLV-II ,,,14.0,14.0,3
RC,304,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,304,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,304,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,304,Antibody; Legionella ,,,15.3,15.3,3
RC,304,Antibody; Leishmania ,,,12.25,12.25,3
RC,304,Antibody; Leptospira ,,,16.2,16.2,3
RC,304,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,304,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,304,Antibody; Nocardia ,,,15.99,15.99,3
RC,304,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,304,Antibody; Rickettsia ,,,19.35,19.35,3
RC,304,Antibody; Salmonella ,,,13.19,13.19,3
RC,304,Antibody; Shigella ,,,24.48,24.48,3
RC,304,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,304,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,304,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,304,Antibody; Trichinella ,,,12.56,12.56,3
RC,304,Antibody; West Nile virus ,,,14.39,14.39,3
RC,304,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,304,Antibody; Yersinia ,,,13.19,13.19,3
RC,304,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,304,Antibody; actinomyces ,,,10.18,10.18,3
RC,304,Antibody; adenovirus ,,,12.87,12.87,3
RC,304,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,304,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,304,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,304,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,304,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,304,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,304,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,304,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,304,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,304,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,304,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,304,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,304,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,304,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,304,Antibody; histoplasma ,,,13.79,13.79,3
RC,304,Antibody; influenza virus ,,,13.55,13.55,3
RC,304,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,304,Antibody; mucormycosis ,,,15.0,15.0,3
RC,304,Antibody; mumps ,,,13.05,13.05,3
RC,304,Antibody; mycoplasma ,,,13.24,13.24,3
RC,304,Antibody; parvovirus ,,,15.03,15.03,3
RC,304,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,304,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,304,Antibody; rotavirus ,,,18.23,18.23,3
RC,304,Antibody; rubella ,,,14.39,14.39,3
RC,304,Antibody; rubeola ,,,12.88,12.88,3
RC,304,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,304,Antibody; tetanus ,,,14.8,14.8,3
RC,304,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,304,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,304,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,304,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,304,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,304,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,304,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,304,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,304,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,304,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,304,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,304,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,304,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,304,"Apolipoprotein, each ",,,21.09,21.09,3
RC,304,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,304,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,304,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,304,Arsenic ,,,18.97,18.97,3
RC,304,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,304,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,304,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,304,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,304,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,304,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,304,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,304,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,304,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,304,"B cells, total count ",,,37.73,37.73,3
RC,304,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,304,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,304,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,304,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,304,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,304,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,304,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,304,Beta-2 microglobulin ,,,16.18,16.18,3
RC,304,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,304,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,304,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,304,Bile acids; total ,,,17.12,17.12,3
RC,304,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,304,Bilirubin; direct ,,,5.02,5.02,3
RC,304,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,304,Bilirubin; total ,,,5.02,5.02,3
RC,304,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,304,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,304,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,304,Bleeding time ,,,4.82,4.82,3
RC,304,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,304,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,304,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,304,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,304,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,304,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,304,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,304,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,304,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,304,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,304,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,304,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,304,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,304,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,304,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,304,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,304,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,304,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,304,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,304,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,304,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,304,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,304,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,304,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,304,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,304,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,304,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,304,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,304,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,304,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,304,Bradykinin ,,,5.16,5.16,3
RC,304,C-peptide ,,,20.81,20.81,3
RC,304,C-reactive protein; ,,,5.18,5.18,3
RC,304,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,304,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,304,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,304,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,304,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,304,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,304,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,304,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,304,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,304,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,304,Cadmium ,,,23.64,23.64,3
RC,304,Caffeine ,,,38.57,38.57,3
RC,304,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,304,Calcitonin ,,,26.79,26.79,3
RC,304,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,304,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,304,Calcium; ionized ,,,13.68,13.68,3
RC,304,Calcium; total ,,,5.16,5.16,3
RC,304,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,304,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,304,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,304,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,304,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,304,"Calprotectin, fecal ",,,19.63,19.63,3
RC,304,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,304,Carbamazepine; free ,,,13.25,13.25,3
RC,304,Carbamazepine; total ,,,14.57,14.57,3
RC,304,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,304,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,304,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,304,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,304,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,304,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,304,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,304,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,304,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,304,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,304,Carotene ,,,9.22,9.22,3
RC,304,Catecholamines; blood ,,,29.08,29.08,3
RC,304,Catecholamines; fractionated ,,,25.25,25.25,3
RC,304,Catecholamines; total urine ,,,27.3,27.3,3
RC,304,Cathepsin-D ,,,18.06,18.06,3
RC,304,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,304,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,304,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,304,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,304,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,304,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,304,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,304,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,304,Ceruloplasmin ,,,10.74,10.74,3
RC,304,Chemiluminescent assay ,,,14.12,14.12,3
RC,304,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,304,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,304,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,304,Chloramphenicol ,,,12.67,12.67,3
RC,304,Chloride; blood ,,,4.6,4.6,3
RC,304,Chloride; other source ,,,5.0,5.0,3
RC,304,Chloride; urine ,,,5.75,5.75,3
RC,304,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,304,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,304,Cholinesterase; RBC ,,,9.81,9.81,3
RC,304,Cholinesterase; serum ,,,7.87,7.87,3
RC,304,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,304,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,304,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,304,Chromium ,,,20.28,20.28,3
RC,304,Chromogenic substrate assay ,,,11.89,11.89,3
RC,304,Citrate ,,,27.8,27.8,3
RC,304,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,304,Clot retraction ,,,16.3,16.3,3
RC,304,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,304,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,304,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,304,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,304,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,304,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,304,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,304,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,304,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,304,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,304,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,304,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,304,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,304,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,304,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,304,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,304,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,304,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,304,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,304,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,304,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,304,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,304,Clozapine ,,,20.15,20.15,3
RC,304,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,304,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,304,Coagulation time; activated ,,,4.28,4.28,3
RC,304,Coagulation time; other methods ,,,4.49,4.49,3
RC,304,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,304,Cold agglutinin; screen ,,,8.07,8.07,3
RC,304,Cold agglutinin; titer ,,,8.06,8.06,3
RC,304,"Collagen cross links, any method ",,,18.68,18.68,3
RC,304,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,304,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,304,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,304,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,304,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,304,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,304,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,304,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,304,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,304,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,304,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,304,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,304,"Complement; antigen, each component ",,,12.0,12.0,3
RC,304,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,304,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,304,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,304,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,304,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,304,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,304,"Congo red, blood ",,,4.95,4.95,3
RC,304,Copper ,,,12.41,12.41,3
RC,304,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,304,Corticosterone ,,,22.52,22.52,3
RC,304,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,304,Cortisol; free ,,,16.71,16.71,3
RC,304,Cortisol; total ,,,16.3,16.3,3
RC,304,Creatine ,,,4.64,4.64,3
RC,304,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,304,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,304,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,304,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,304,Creatinine; blood ,,,5.12,5.12,3
RC,304,Creatinine; clearance ,,,9.46,9.46,3
RC,304,Creatinine; other source ,,,5.18,5.18,3
RC,304,Cryofibrinogen ,,,14.14,14.14,3
RC,304,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,304,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,304,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,304,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,304,Cryopreservation; sperm ,,,149.16,149.16,3
RC,304,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,304,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,304,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,304,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,304,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,304,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,304,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,304,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,304,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,304,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,304,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,304,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,304,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,304,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,304,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,304,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,304,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,304,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,304,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,304,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,304,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,304,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,304,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,304,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,304,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,304,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,304,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,304,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,304,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,304,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,304,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,304,"Culture, typing; other methods ",,,7.74,7.74,3
RC,304,Cyanide ,,,19.4,19.4,3
RC,304,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,304,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,304,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,304,Cyclosporine ,,,18.05,18.05,3
RC,304,Cystatin C ,,,18.52,18.52,3
RC,304,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,304,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,304,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,304,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,304,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,304,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,304,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,304,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,304,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,304,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,304,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,304,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,304,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,304,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,304,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,304,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,304,Dibucaine number ,,,12.25,12.25,3
RC,304,Digoxin; free ,,,13.28,13.28,3
RC,304,Digoxin; total ,,,13.28,13.28,3
RC,304,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,304,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,304,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,304,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,304,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,304,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,304,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,304,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,304,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,304,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,304,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,304,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,304,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,304,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,304,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,304,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,304,Erythropoietin ,,,18.79,18.79,3
RC,304,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,304,Estradiol; total ,,,27.94,27.94,3
RC,304,Estriol ,,,24.18,24.18,3
RC,304,Estrogens; fractionated ,,,32.3,32.3,3
RC,304,Estrogens; total ,,,21.7,21.7,3
RC,304,Estrone ,,,24.95,24.95,3
RC,304,Ethosuximide ,,,16.34,16.34,3
RC,304,Ethylene glycol ,,,14.9,14.9,3
RC,304,Etiocholanolone ,,,26.24,26.24,3
RC,304,Euglobulin lysis ,,,8.41,8.41,3
RC,304,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,304,Everolimus ,,,13.73,13.73,3
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,304,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,304,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,304,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,304,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,304,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,304,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,304,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,304,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,304,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,304,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,304,Factor inhibitor test ,,,12.87,12.87,3
RC,304,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,304,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,304,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,304,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,304,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,304,Felbamate ,,,18.64,18.64,3
RC,304,Fern test ,,,9.74,9.74,3
RC,304,Ferritin ,,,13.63,13.63,3
RC,304,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,304,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,304,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,304,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,304,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,304,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,304,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,304,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,304,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,304,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,304,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,304,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,304,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,304,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,304,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,304,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,304,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,304,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,304,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,304,Fibrinogen; activity ,,,9.72,9.72,3
RC,304,Fibrinogen; antigen ,,,14.46,14.46,3
RC,304,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,304,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,304,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,304,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,304,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,304,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,304,Flecainide ,,,18.64,18.64,3
RC,304,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,304,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,304,Fluoride ,,,18.54,18.54,3
RC,304,Folic acid; RBC ,,,17.65,17.65,3
RC,304,Folic acid; serum ,,,14.7,14.7,3
RC,304,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,304,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,304,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,304,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,304,"Fructose, semen ",,,17.34,17.34,3
RC,304,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,304,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,304,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,304,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,304,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,304,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,304,"Galactokinase, RBC ",,,21.48,21.48,3
RC,304,Galactose ,,,11.2,11.2,3
RC,304,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,304,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,304,Galectin-3 ,,,44.25,44.25,3
RC,304,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,304,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,304,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,304,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,304,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,304,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,304,"Gases, blood, pH only ",,,11.0,11.0,3
RC,304,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,304,Gastrin ,,,17.63,17.63,3
RC,304,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,304,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,304,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,304,Gentamicin ,,,16.38,16.38,3
RC,304,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,304,Glucagon ,,,14.29,14.29,3
RC,304,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,304,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,304,Glucagon tolerance test ,,,17.77,17.77,3
RC,304,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,304,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,304,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,304,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,304,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,304,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,304,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,304,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,304,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,304,"Glucosidase, beta ",,,21.48,21.48,3
RC,304,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,304,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,304,Glutathione ,,,15.45,15.45,3
RC,304,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,304,Glycated protein ,,,16.76,16.76,3
RC,304,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,304,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,304,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,304,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,304,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,304,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,304,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,304,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,304,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,304,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,304,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,304,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,304,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,304,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,304,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,304,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,304,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,304,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,304,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,304,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,304,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,304,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,304,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,304,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,304,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,304,Haloperidol ,,,15.78,15.78,3
RC,304,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,304,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,304,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,304,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,304,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,304,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,304,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,304,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,304,Heinz bodies; direct ,,,4.2,4.2,3
RC,304,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,304,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,304,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,304,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,304,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,304,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,304,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,304,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,304,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,304,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,304,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,304,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,304,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,304,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,304,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,304,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,304,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,304,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,304,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,304,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,304,Hemoglobin; plasma ,,,7.31,7.31,3
RC,304,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,304,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,304,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,304,Hemoglobin; urine ,,,3.95,3.95,3
RC,304,"Hemolysin, acid ",,,8.87,8.87,3
RC,304,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,304,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,304,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,304,Heparin assay ,,,13.09,13.09,3
RC,304,Heparin neutralization ,,,11.84,11.84,3
RC,304,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,304,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,304,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,304,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,304,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,304,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,304,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,304,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,304,Hepatitis C antibody; ,,,14.27,14.27,3
RC,304,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,304,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,304,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,304,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,304,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,304,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,304,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,304,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,304,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,304,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,304,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,304,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,304,Histamine ,,,29.53,29.53,3
RC,304,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,304,Homocysteine ,,,17.92,17.92,3
RC,304,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,304,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,304,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,304,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,304,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,304,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,304,Hydroxychloroquine ,,,18.64,18.64,3
RC,304,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,304,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,304,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,304,Hydroxyproline; free ,,,22.65,22.65,3
RC,304,Hydroxyproline; total ,,,24.3,24.3,3
RC,304,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,304,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,304,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,304,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,304,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,304,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,304,Immune complex assay ,,,24.37,24.37,3
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,304,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,304,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,304,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,304,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,304,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,304,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,304,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,304,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,304,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,304,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,304,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,304,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,304,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,304,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,304,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,304,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,304,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,304,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,304,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,304,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,304,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,304,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,304,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,304,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,304,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,304,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,304,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,304,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,304,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,304,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,304,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,304,Infliximab ,,,38.57,38.57,3
RC,304,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,304,Inhibin A ,,,15.59,15.59,3
RC,304,Insemination of oocytes ,,,149.16,149.16,3
RC,304,Insulin antibodies ,,,21.41,21.41,3
RC,304,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,304,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,304,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,304,Insulin; free ,,,12.95,12.95,3
RC,304,Insulin; total ,,,11.43,11.43,3
RC,304,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,304,Intrinsic factor ,,,19.82,19.82,3
RC,304,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,304,Iron ,,,6.47,6.47,3
RC,304,Iron binding capacity ,,,8.74,8.74,3
RC,304,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,304,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,304,Islet cell antibody ,,,23.57,23.57,3
RC,304,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,304,Itraconazole ,,,27.11,27.11,3
RC,304,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,304,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,304,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,304,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,304,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,304,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,304,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,304,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,304,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,304,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,304,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,304,Lacosamide ,,,27.11,27.11,3
RC,304,Lactate (lactic acid) ,,,11.57,11.57,3
RC,304,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,304,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,304,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,304,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,304,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,304,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,304,Lamotrigine ,,,13.25,13.25,3
RC,304,Lead ,,,12.11,12.11,3
RC,304,Leflunomide ,,,38.57,38.57,3
RC,304,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,304,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,304,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,304,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,304,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,304,Leukocyte transfusion ,,,149.16,149.16,3
RC,304,Levetiracetam ,,,13.25,13.25,3
RC,304,Lidocaine ,,,14.69,14.69,3
RC,304,Lipase ,,,6.89,6.89,3
RC,304,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,304,Lipoprotein (a) ,,,14.32,14.32,3
RC,304,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,304,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,304,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,304,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,304,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,304,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,304,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,304,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,304,Lithium ,,,6.61,6.61,3
RC,304,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,304,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,304,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,304,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,304,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,304,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,304,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,304,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,304,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,304,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,304,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,304,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,304,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,304,Magnesium ,,,6.7,6.7,3
RC,304,Malate dehydrogenase ,,,7.37,7.37,3
RC,304,Manganese ,,,26.65,26.65,3
RC,304,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,304,"Meat fibers, feces ",,,4.85,4.85,3
RC,304,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,304,"Mercury, quantitative ",,,16.26,16.26,3
RC,304,Metanephrines ,,,16.94,16.94,3
RC,304,Methemalbumin ,,,10.74,10.74,3
RC,304,Methotrexate ,,,38.57,38.57,3
RC,304,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,304,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,304,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,304,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,304,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,304,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,304,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,304,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,304,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,304,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,304,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,304,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,304,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,304,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,304,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,304,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,304,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,304,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,304,Muramidase ,,,18.75,18.75,3
RC,304,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,304,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,304,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,304,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,304,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,304,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,304,Myoglobin ,,,12.92,12.92,3
RC,304,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,304,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,304,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,304,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,304,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,304,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,304,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,304,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,304,Natriuretic peptide ,,,39.26,39.26,3
RC,304,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,304,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,304,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,304,"Neutralization test, viral ",,,16.91,16.91,3
RC,304,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,304,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,304,Nickel ,,,24.51,24.51,3
RC,304,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,304,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,304,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,304,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,304,Nucleotidase 5'- ,,,11.15,11.15,3
RC,304,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,304,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,304,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,304,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,304,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,304,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,304,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,304,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,304,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,304,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,304,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,304,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,304,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,304,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,304,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,304,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,304,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,304,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,304,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,304,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,304,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,304,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,304,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,304,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,304,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,304,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,304,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,304,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,304,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,304,Osmolality; blood ,,,6.61,6.61,3
RC,304,Osmolality; urine ,,,6.82,6.82,3
RC,304,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,304,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,304,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,304,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,304,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,304,Oxalate ,,,14.45,14.45,3
RC,304,Oxcarbazepine ,,,13.25,13.25,3
RC,304,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,304,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,304,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,304,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,304,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,304,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,304,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,304,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,304,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,304,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,304,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,304,Phenobarbital ,,,15.3,15.3,3
RC,304,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,304,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,304,Phenytoin; free ,,,13.76,13.76,3
RC,304,Phenytoin; total ,,,13.25,13.25,3
RC,304,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,304,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,304,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,304,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,304,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,304,Phosphatidylglycerol ,,,16.52,16.52,3
RC,304,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,304,Phosphohexose isomerase ,,,10.73,10.73,3
RC,304,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,304,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,304,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,304,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,304,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,304,Pinworm examinations ,,,4.27,4.27,3
RC,304,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,304,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,304,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,304,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,304,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,304,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,304,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,304,Posaconazole ,,,27.11,27.11,3
RC,304,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,304,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,304,Potassium; urine ,,,4.73,4.73,3
RC,304,Prealbumin ,,,14.59,14.59,3
RC,304,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,304,Pregnanediol ,,,21.27,21.27,3
RC,304,Pregnanetriol ,,,21.05,21.05,3
RC,304,Pregnenolone ,,,20.67,20.67,3
RC,304,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,304,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,304,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,304,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,304,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,304,Primidone ,,,16.59,16.59,3
RC,304,Procainamide; ,,,60.0,60.0,3
RC,304,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,304,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,304,Progesterone ,,,20.86,20.86,3
RC,304,Proinsulin ,,,26.69,26.69,3
RC,304,Prolactin ,,,19.38,19.38,3
RC,304,"Prostaglandin, each ",,,41.77,41.77,3
RC,304,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,304,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,304,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,304,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,304,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,304,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,304,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,304,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,304,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,304,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,304,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,304,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,304,Prothrombin time; ,,,4.29,4.29,3
RC,304,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,304,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,304,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,304,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,304,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,304,Pyruvate ,,,14.48,14.48,3
RC,304,Pyruvate kinase ,,,9.44,9.44,3
RC,304,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,304,Quinidine ,,,14.6,14.6,3
RC,304,Quinine ,,,11.63,11.63,3
RC,304,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,304,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,304,Receptor assay; estrogen ,,,87.88,87.88,3
RC,304,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,304,Receptor assay; progesterone ,,,64.88,64.88,3
RC,304,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,304,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,304,Renin ,,,21.99,21.99,3
RC,304,Reptilase test ,,,9.85,9.85,3
RC,304,Reticulated platelet assay ,,,35.74,35.74,3
RC,304,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,304,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,304,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,304,Rufinamide ,,,27.11,27.11,3
RC,304,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,304,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,304,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,304,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,304,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,304,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,304,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,304,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,304,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,304,Salicylate ,,,18.64,18.64,3
RC,304,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,304,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,304,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,304,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,304,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,304,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,304,Selenium ,,,25.53,25.53,3
RC,304,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,304,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,304,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,304,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,304,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,304,Serotonin ,,,30.98,30.98,3
RC,304,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,304,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,304,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,304,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,304,Sialic acid ,,,13.44,13.44,3
RC,304,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,304,Silica ,,,25.21,25.21,3
RC,304,Sirolimus ,,,13.73,13.73,3
RC,304,Skin test; candida ,,,24.67,24.67,3
RC,304,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,304,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,304,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,304,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,304,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,304,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,304,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,304,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,304,Sodium; other source ,,,4.86,4.86,3
RC,304,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,304,Sodium; urine ,,,5.06,5.06,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,304,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,304,Somatomedin ,,,21.26,21.26,3
RC,304,Somatostatin ,,,18.28,18.28,3
RC,304,Specific gravity (except urine) ,,,3.28,3.28,3
RC,304,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,304,Sperm antibodies ,,,10.67,10.67,3
RC,304,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,304,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,304,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,304,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,304,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,304,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,304,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,304,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,304,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,304,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,304,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,304,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,304,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,304,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,304,"Streptokinase, antibody ",,,12.66,12.66,3
RC,304,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,304,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,304,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,304,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,304,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,304,"Sulfate, urine ",,,5.49,5.49,3
RC,304,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,304,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,304,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,304,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,304,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,304,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,304,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,304,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,304,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,304,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,304,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,304,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,304,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,304,T cells; total count ,,,37.73,37.73,3
RC,304,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,304,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,304,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,304,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,304,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,304,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,304,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,304,Tacrolimus ,,,13.73,13.73,3
RC,304,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,304,"Tau, total (tTau) ",,,128.92,128.92,3
RC,304,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,304,Testosterone; free ,,,25.47,25.47,3
RC,304,Testosterone; total ,,,25.81,25.81,3
RC,304,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,304,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,304,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,304,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,304,Theophylline ,,,14.14,14.14,3
RC,304,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,304,Thiocyanate ,,,11.63,11.63,3
RC,304,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,304,Thrombin time; plasma ,,,5.77,5.77,3
RC,304,Thrombin time; titer ,,,6.85,6.85,3
RC,304,Thrombomodulin ,,,17.27,17.27,3
RC,304,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,304,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,304,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,304,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,304,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,304,Thyroglobulin ,,,16.06,16.06,3
RC,304,Thyroglobulin antibody ,,,15.91,15.91,3
RC,304,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,304,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,304,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,304,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,304,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,304,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,304,Thyroxine; free ,,,9.02,9.02,3
RC,304,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,304,Thyroxine; total ,,,6.87,6.87,3
RC,304,Tiagabine ,,,27.11,27.11,3
RC,304,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,304,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,304,Tobramycin ,,,16.13,16.13,3
RC,304,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,304,Topiramate ,,,11.92,11.92,3
RC,304,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,304,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,304,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,304,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,304,Transferrin ,,,12.76,12.76,3
RC,304,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,304,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,304,Triglycerides ,,,5.74,5.74,3
RC,304,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,304,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,304,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,304,"Troponin, qualitative ",,,10.09,10.09,3
RC,304,"Troponin, quantitative ",,,12.47,12.47,3
RC,304,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,304,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,304,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,304,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,304,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,304,Tyrosine ,,,10.63,10.63,3
RC,304,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,304,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,304,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,304,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,304,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,304,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,304,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,304,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,304,Uric acid; blood ,,,4.52,4.52,3
RC,304,Uric acid; other source ,,,5.08,5.08,3
RC,304,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,304,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,304,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,304,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,304,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,304,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,304,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,304,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,304,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,304,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,304,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,304,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,304,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,304,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,304,Vancomycin ,,,13.54,13.54,3
RC,304,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,304,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,304,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,304,Vedolizumab ,,,38.57,38.57,3
RC,304,Very long chain fatty acids ,,,19.75,19.75,3
RC,304,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,304,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,304,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,304,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,304,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,304,Viscosity ,,,11.67,11.67,3
RC,304,Vitamin A ,,,11.61,11.61,3
RC,304,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,304,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,304,Vitamin K ,,,13.72,13.72,3
RC,304,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,304,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,304,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,304,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,304,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,304,Voriconazole ,,,27.11,27.11,3
RC,304,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,304,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,304,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,304,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,304,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,304,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,304,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,304,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,304,Zinc ,,,11.39,11.39,3
RC,304,Zonisamide ,,,13.25,13.25,3
RC,304,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,304,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,304,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,305, Laboratory Hematology  ,,,,,0
RC,305,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,305,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,305,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,305,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,305,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,305,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,305,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,305,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,305,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,305,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,305,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,305,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,Acetaminophen ,,,18.64,18.64,3
RC,305,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,305,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,305,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,305,Acetylcholinesterase ,,,12.29,12.29,3
RC,305,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,305,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,305,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,305,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,305,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,305,Adalimumab ,,,38.57,38.57,3
RC,305,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,305,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,305,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,305,Albumin; ischemia modified ,,,33.94,33.94,3
RC,305,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,305,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,305,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,305,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,305,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,305,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,305,Aldolase ,,,9.71,9.71,3
RC,305,Aldosterone ,,,40.75,40.75,3
RC,305,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,305,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,305,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,305,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,305,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,305,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,305,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,305,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,305,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,305,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,305,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,305,Aluminum ,,,25.48,25.48,3
RC,305,Amikacin ,,,15.08,15.08,3
RC,305,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,305,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,305,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,305,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,305,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,305,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,305,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,305,Amiodarone ,,,18.64,18.64,3
RC,305,Ammonia ,,,14.57,14.57,3
RC,305,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,305,Amylase ,,,6.48,6.48,3
RC,305,Androstanediol glucuronide ,,,28.83,28.83,3
RC,305,Androstenedione ,,,29.28,29.28,3
RC,305,Androsterone ,,,25.55,25.55,3
RC,305,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,305,Angiotensin II ,,,20.52,20.52,3
RC,305,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,305,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,305,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,305,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,305,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,305,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,305,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,305,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,305,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,305,Antibody; Aspergillus ,,,15.05,15.05,3
RC,305,Antibody; Bartonella ,,,10.18,10.18,3
RC,305,Antibody; Blastomyces ,,,12.9,12.9,3
RC,305,Antibody; Bordetella ,,,13.19,13.19,3
RC,305,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,305,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,305,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,305,Antibody; Brucella ,,,8.93,8.93,3
RC,305,Antibody; Campylobacter ,,,13.12,13.12,3
RC,305,Antibody; Candida ,,,12.01,12.01,3
RC,305,Antibody; Chlamydia ,,,11.82,11.82,3
RC,305,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,305,Antibody; Coccidioides ,,,11.47,11.47,3
RC,305,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,305,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,305,Antibody; Diphtheria ,,,15.21,15.21,3
RC,305,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,305,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,305,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,305,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,305,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,305,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,305,Antibody; HIV-1 ,,,8.89,8.89,3
RC,305,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,305,Antibody; HIV-2 ,,,13.52,13.52,3
RC,305,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,305,Antibody; HTLV-I ,,,9.09,9.09,3
RC,305,Antibody; HTLV-II ,,,14.0,14.0,3
RC,305,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,305,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,305,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,305,Antibody; Legionella ,,,15.3,15.3,3
RC,305,Antibody; Leishmania ,,,12.25,12.25,3
RC,305,Antibody; Leptospira ,,,16.2,16.2,3
RC,305,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,305,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,305,Antibody; Nocardia ,,,15.99,15.99,3
RC,305,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,305,Antibody; Rickettsia ,,,19.35,19.35,3
RC,305,Antibody; Salmonella ,,,13.19,13.19,3
RC,305,Antibody; Shigella ,,,24.48,24.48,3
RC,305,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,305,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,305,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,305,Antibody; Trichinella ,,,12.56,12.56,3
RC,305,Antibody; West Nile virus ,,,14.39,14.39,3
RC,305,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,305,Antibody; Yersinia ,,,13.19,13.19,3
RC,305,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,305,Antibody; actinomyces ,,,10.18,10.18,3
RC,305,Antibody; adenovirus ,,,12.87,12.87,3
RC,305,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,305,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,305,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,305,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,305,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,305,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,305,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,305,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,305,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,305,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,305,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,305,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,305,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,305,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,305,Antibody; histoplasma ,,,13.79,13.79,3
RC,305,Antibody; influenza virus ,,,13.55,13.55,3
RC,305,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,305,Antibody; mucormycosis ,,,15.0,15.0,3
RC,305,Antibody; mumps ,,,13.05,13.05,3
RC,305,Antibody; mycoplasma ,,,13.24,13.24,3
RC,305,Antibody; parvovirus ,,,15.03,15.03,3
RC,305,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,305,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,305,Antibody; rotavirus ,,,18.23,18.23,3
RC,305,Antibody; rubella ,,,14.39,14.39,3
RC,305,Antibody; rubeola ,,,12.88,12.88,3
RC,305,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,305,Antibody; tetanus ,,,14.8,14.8,3
RC,305,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,305,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,305,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,305,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,305,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,305,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,305,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,305,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,305,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,305,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,305,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,305,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,305,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,305,"Apolipoprotein, each ",,,21.09,21.09,3
RC,305,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,305,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,305,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,305,Arsenic ,,,18.97,18.97,3
RC,305,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,305,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,305,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,305,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,305,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,305,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,305,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,305,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,305,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,305,"B cells, total count ",,,37.73,37.73,3
RC,305,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,305,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,305,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,305,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,305,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,305,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,305,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,305,Beta-2 microglobulin ,,,16.18,16.18,3
RC,305,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,305,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,305,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,305,Bile acids; total ,,,17.12,17.12,3
RC,305,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,305,Bilirubin; direct ,,,5.02,5.02,3
RC,305,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,305,Bilirubin; total ,,,5.02,5.02,3
RC,305,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,305,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,305,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,305,Bleeding time ,605.07,605.07,4.82,4.82,3
RC,305,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,305,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,305,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,305,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,305,"Blood count; blood smear, microscopic examination with manual differential WBC count ",593.77,593.77,3.8,3.8,3
RC,305,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,305,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,305,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,305,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,305,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,305,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,305,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",630.87,630.87,4.31,4.31,3
RC,305,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,305,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,305,"Blood count; red blood cell (RBC), automated ",251.72,251.72,3.02,3.02,3
RC,305,"Blood count; reticulocyte, automated ",605.07,605.07,3.99,3.99,3
RC,305,"Blood count; reticulocyte, manual ",605.07,605.07,4.31,4.31,3
RC,305,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,305,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,305,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,305,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,305,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,305,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,305,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,305,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,305,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,305,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,305,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,305,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,305,Bradykinin ,,,5.16,5.16,3
RC,305,C-peptide ,,,20.81,20.81,3
RC,305,C-reactive protein; ,,,5.18,5.18,3
RC,305,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,305,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,305,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,305,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,305,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,305,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,305,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,305,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,305,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,305,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,305,Cadmium ,,,23.64,23.64,3
RC,305,Caffeine ,,,38.57,38.57,3
RC,305,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,305,Calcitonin ,,,26.79,26.79,3
RC,305,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,305,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,305,Calcium; ionized ,,,13.68,13.68,3
RC,305,Calcium; total ,,,5.16,5.16,3
RC,305,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,305,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,305,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,305,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,305,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,305,"Calprotectin, fecal ",,,19.63,19.63,3
RC,305,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,305,Carbamazepine; free ,,,13.25,13.25,3
RC,305,Carbamazepine; total ,,,14.57,14.57,3
RC,305,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,305,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,305,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,305,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,305,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,305,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,305,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,305,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,305,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,305,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,305,Carotene ,,,9.22,9.22,3
RC,305,Catecholamines; blood ,,,29.08,29.08,3
RC,305,Catecholamines; fractionated ,,,25.25,25.25,3
RC,305,Catecholamines; total urine ,,,27.3,27.3,3
RC,305,Cathepsin-D ,,,18.06,18.06,3
RC,305,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,305,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,305,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,305,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,305,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,305,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,305,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,305,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,305,Ceruloplasmin ,,,10.74,10.74,3
RC,305,Chemiluminescent assay ,,,14.12,14.12,3
RC,305,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,305,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,305,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,305,Chloramphenicol ,,,12.67,12.67,3
RC,305,Chloride; blood ,,,4.6,4.6,3
RC,305,Chloride; other source ,,,5.0,5.0,3
RC,305,Chloride; urine ,,,5.75,5.75,3
RC,305,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,305,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,305,Cholinesterase; RBC ,,,9.81,9.81,3
RC,305,Cholinesterase; serum ,,,7.87,7.87,3
RC,305,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,305,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,305,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,305,Chromium ,,,20.28,20.28,3
RC,305,Chromogenic substrate assay ,,,11.89,11.89,3
RC,305,Citrate ,,,27.8,27.8,3
RC,305,"Clot lysis time, whole blood dilution ",129.08,129.08,20.37,20.37,3
RC,305,Clot retraction ,,,16.3,16.3,3
RC,305,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",1403.75,1403.75,11.85,11.85,3
RC,305,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,305,"Clotting inhibitors or anticoagulants; protein C, activity ",363.05,363.05,13.84,13.84,3
RC,305,"Clotting inhibitors or anticoagulants; protein C, antigen ",738.99,738.99,12.01,12.01,3
RC,305,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,305,"Clotting inhibitors or anticoagulants; protein S, total ",782.56,782.56,11.61,11.61,3
RC,305,"Clotting; factor II, prothrombin, specific ",1021.35,1021.35,12.98,12.98,3
RC,305,Clotting; factor IX (PTC or Christmas) ,663.16,663.16,19.04,19.04,3
RC,305,"Clotting; factor V (AcG or proaccelerin), labile factor ",1021.35,1021.35,17.65,17.65,3
RC,305,"Clotting; factor VII (proconvertin, stable factor) ",1021.35,1021.35,17.9,17.9,3
RC,305,"Clotting; factor VIII (AHG), 1-stage ",1021.35,1021.35,17.9,17.9,3
RC,305,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,305,"Clotting; factor VIII, VW factor antigen ",926.14,926.14,22.94,22.94,3
RC,305,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,305,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",1016.52,1016.52,22.94,22.94,3
RC,305,Clotting; factor X (Stuart-Prower) ,964.88,964.88,17.9,17.9,3
RC,305,Clotting; factor XI (PTA) ,1703.87,1703.87,17.9,17.9,3
RC,305,Clotting; factor XII (Hageman) ,1010.06,1010.06,19.35,19.35,3
RC,305,Clotting; factor XIII (fibrin stabilizing) ,1010.06,1010.06,16.34,16.34,3
RC,305,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,305,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,305,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,305,Clozapine ,,,20.15,20.15,3
RC,305,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,305,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,305,Coagulation time; activated ,643.78,643.78,4.28,4.28,3
RC,305,Coagulation time; other methods ,,,4.49,4.49,3
RC,305,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,305,Cold agglutinin; screen ,,,8.07,8.07,3
RC,305,Cold agglutinin; titer ,,,8.06,8.06,3
RC,305,"Collagen cross links, any method ",,,18.68,18.68,3
RC,305,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,305,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,305,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,305,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,305,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,305,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,305,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,305,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,305,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,305,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,305,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,305,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,305,"Complement; antigen, each component ",,,12.0,12.0,3
RC,305,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,305,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,305,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,305,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,305,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,305,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,305,"Congo red, blood ",,,4.95,4.95,3
RC,305,Copper ,,,12.41,12.41,3
RC,305,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,305,Corticosterone ,,,22.52,22.52,3
RC,305,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,305,Cortisol; free ,,,16.71,16.71,3
RC,305,Cortisol; total ,,,16.3,16.3,3
RC,305,Creatine ,,,4.64,4.64,3
RC,305,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,305,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,305,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,305,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,305,Creatinine; blood ,,,5.12,5.12,3
RC,305,Creatinine; clearance ,,,9.46,9.46,3
RC,305,Creatinine; other source ,,,5.18,5.18,3
RC,305,Cryofibrinogen ,,,14.14,14.14,3
RC,305,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,305,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,305,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,305,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,305,Cryopreservation; sperm ,,,149.16,149.16,3
RC,305,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,305,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,305,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,305,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,305,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,305,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,305,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,305,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,305,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,305,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,305,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,305,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,305,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,305,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,305,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,305,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,305,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,305,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,305,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,305,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,305,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,305,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,305,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,305,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,305,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,305,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,305,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,305,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,305,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,305,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,305,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,305,"Culture, typing; other methods ",,,7.74,7.74,3
RC,305,Cyanide ,,,19.4,19.4,3
RC,305,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,305,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,305,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,305,Cyclosporine ,,,18.05,18.05,3
RC,305,Cystatin C ,,,18.52,18.52,3
RC,305,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,305,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,305,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,305,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,305,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,305,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,305,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,305,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,305,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,305,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,305,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,305,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,305,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,305,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,305,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,305,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,305,Dibucaine number ,,,12.25,12.25,3
RC,305,Digoxin; free ,,,13.28,13.28,3
RC,305,Digoxin; total ,,,13.28,13.28,3
RC,305,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,305,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,305,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,305,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,305,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,305,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,305,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,305,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,305,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,305,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,305,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,305,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,305,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,305,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,305,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,305,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,305,Erythropoietin ,,,18.79,18.79,3
RC,305,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,305,Estradiol; total ,,,27.94,27.94,3
RC,305,Estriol ,,,24.18,24.18,3
RC,305,Estrogens; fractionated ,,,32.3,32.3,3
RC,305,Estrogens; total ,,,21.7,21.7,3
RC,305,Estrone ,,,24.95,24.95,3
RC,305,Ethosuximide ,,,16.34,16.34,3
RC,305,Ethylene glycol ,,,14.9,14.9,3
RC,305,Etiocholanolone ,,,26.24,26.24,3
RC,305,Euglobulin lysis ,,,8.41,8.41,3
RC,305,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,305,Everolimus ,,,13.73,13.73,3
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,305,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,305,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,305,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,305,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,305,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,305,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,305,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,305,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,305,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,305,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,305,Factor inhibitor test ,,,12.87,12.87,3
RC,305,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,305,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,305,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,305,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,305,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,305,Felbamate ,,,18.64,18.64,3
RC,305,Fern test ,,,9.74,9.74,3
RC,305,Ferritin ,,,13.63,13.63,3
RC,305,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,305,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,305,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,305,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,305,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,305,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,305,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,305,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,305,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,305,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,305,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,305,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,305,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,305,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,305,"Fibrin degradation products, D-dimer; quantitative ",658.31,658.31,10.18,10.18,3
RC,305,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,305,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",1529.62,1529.62,6.89,6.89,3
RC,305,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,305,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,305,Fibrinogen; activity ,,,9.72,9.72,3
RC,305,Fibrinogen; antigen ,740.6,740.6,14.46,14.46,3
RC,305,"Fibrinolysins or coagulopathy screen, interpretation and report ",179.1,179.1,15.48,15.48,3
RC,305,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,1952.35,1952.35,7.71,7.71,3
RC,305,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,305,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,305,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",2805.9,2805.9,10.18,10.18,3
RC,305,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",1169.79,1169.79,6.53,6.53,3
RC,305,Flecainide ,,,18.64,18.64,3
RC,305,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,305,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,305,Fluoride ,,,18.54,18.54,3
RC,305,Folic acid; RBC ,,,17.65,17.65,3
RC,305,Folic acid; serum ,,,14.7,14.7,3
RC,305,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,305,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,305,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,305,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,305,"Fructose, semen ",,,17.34,17.34,3
RC,305,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,305,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,305,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,305,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,305,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,305,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,305,"Galactokinase, RBC ",,,21.48,21.48,3
RC,305,Galactose ,,,11.2,11.2,3
RC,305,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,305,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,305,Galectin-3 ,,,44.25,44.25,3
RC,305,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,305,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,305,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,305,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,305,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,305,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,305,"Gases, blood, pH only ",,,11.0,11.0,3
RC,305,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,305,Gastrin ,,,17.63,17.63,3
RC,305,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,305,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,305,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,305,Gentamicin ,,,16.38,16.38,3
RC,305,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,305,Glucagon ,,,14.29,14.29,3
RC,305,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,305,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,305,Glucagon tolerance test ,,,17.77,17.77,3
RC,305,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,305,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,305,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,305,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,305,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,305,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,305,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,305,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,305,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,305,"Glucosidase, beta ",,,21.48,21.48,3
RC,305,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,305,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,305,Glutathione ,,,15.45,15.45,3
RC,305,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,305,Glycated protein ,,,16.76,16.76,3
RC,305,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,305,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,305,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,305,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,305,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,305,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,305,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,305,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,305,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,305,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,305,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,305,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,305,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,305,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,305,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,305,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,305,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,305,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,305,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,305,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,305,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,305,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,305,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,305,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,305,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,305,Haloperidol ,,,15.78,15.78,3
RC,305,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,305,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,305,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,305,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,305,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,305,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,305,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,305,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,305,Heinz bodies; direct ,,,4.2,4.2,3
RC,305,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,305,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,305,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,305,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,305,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,305,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,305,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,305,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,305,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",882.59,882.59,7.73,7.73,3
RC,305,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",246.88,246.88,9.36,9.36,3
RC,305,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,305,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,305,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,305,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,305,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,305,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,305,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,305,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,305,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,305,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,305,Hemoglobin; plasma ,,,7.31,7.31,3
RC,305,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,305,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,305,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,305,Hemoglobin; urine ,,,3.95,3.95,3
RC,305,"Hemolysin, acid ",714.79,714.79,8.87,8.87,3
RC,305,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,305,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,305,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,305,Heparin assay ,,,13.09,13.09,3
RC,305,Heparin neutralization ,,,11.84,11.84,3
RC,305,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,305,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,305,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,305,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,305,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,305,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,305,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,305,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,305,Hepatitis C antibody; ,,,14.27,14.27,3
RC,305,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,305,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,305,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,305,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,305,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,305,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,305,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,305,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,305,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,305,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,305,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,305,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,305,Histamine ,,,29.53,29.53,3
RC,305,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,305,Homocysteine ,,,17.92,17.92,3
RC,305,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,305,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,305,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,305,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,305,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,305,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,305,Hydroxychloroquine ,,,18.64,18.64,3
RC,305,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,305,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,305,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,305,Hydroxyproline; free ,,,22.65,22.65,3
RC,305,Hydroxyproline; total ,,,24.3,24.3,3
RC,305,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,305,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,305,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,305,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,305,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,305,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,305,Immune complex assay ,,,24.37,24.37,3
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,305,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,305,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,305,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,305,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,305,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,305,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,305,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,305,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,305,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,305,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,305,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,305,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,305,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,305,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,305,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,305,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,305,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,305,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,305,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,305,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,305,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,305,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,305,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,305,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,305,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,305,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,305,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,305,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,305,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,305,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,305,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,305,Infliximab ,,,38.57,38.57,3
RC,305,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,305,Inhibin A ,,,15.59,15.59,3
RC,305,Insemination of oocytes ,,,149.16,149.16,3
RC,305,Insulin antibodies ,,,21.41,21.41,3
RC,305,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,305,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,305,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,305,Insulin; free ,,,12.95,12.95,3
RC,305,Insulin; total ,,,11.43,11.43,3
RC,305,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,305,Intrinsic factor ,,,19.82,19.82,3
RC,305,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,305,Iron ,,,6.47,6.47,3
RC,305,Iron binding capacity ,,,8.74,8.74,3
RC,305,"Iron stain, peripheral blood ",1753.89,1753.89,6.88,6.88,3
RC,305,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,305,Islet cell antibody ,,,23.57,23.57,3
RC,305,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,305,Itraconazole ,,,27.11,27.11,3
RC,305,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,305,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,305,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,305,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,305,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,305,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,305,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,305,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,305,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,305,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,305,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,305,Lacosamide ,,,27.11,27.11,3
RC,305,Lactate (lactic acid) ,,,11.57,11.57,3
RC,305,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,305,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,305,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,305,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,305,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,305,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,305,Lamotrigine ,,,13.25,13.25,3
RC,305,Lead ,,,12.11,12.11,3
RC,305,Leflunomide ,,,38.57,38.57,3
RC,305,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,305,Leukocyte alkaline phosphatase with count ,316.24,316.24,8.6,8.6,3
RC,305,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,305,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,305,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,305,Leukocyte transfusion ,,,149.16,149.16,3
RC,305,Levetiracetam ,,,13.25,13.25,3
RC,305,Lidocaine ,,,14.69,14.69,3
RC,305,Lipase ,,,6.89,6.89,3
RC,305,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,305,Lipoprotein (a) ,,,14.32,14.32,3
RC,305,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,305,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,305,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,305,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,305,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,305,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,305,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,305,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,305,Lithium ,,,6.61,6.61,3
RC,305,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,305,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,305,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,305,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,305,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,305,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,305,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,305,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,305,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,305,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,305,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,305,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,305,Magnesium ,,,6.7,6.7,3
RC,305,Malate dehydrogenase ,,,7.37,7.37,3
RC,305,Manganese ,,,26.65,26.65,3
RC,305,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,305,"Meat fibers, feces ",,,4.85,4.85,3
RC,305,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,305,"Mercury, quantitative ",,,16.26,16.26,3
RC,305,Metanephrines ,,,16.94,16.94,3
RC,305,Methemalbumin ,,,10.74,10.74,3
RC,305,Methotrexate ,,,38.57,38.57,3
RC,305,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,305,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,305,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,305,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,305,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,305,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,305,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,305,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,305,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,305,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,305,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,305,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,305,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,305,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,305,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,305,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,305,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,305,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,305,Muramidase ,1124.62,1124.62,18.75,18.75,3
RC,305,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,305,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,305,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,305,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,305,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,305,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,305,Myoglobin ,,,12.92,12.92,3
RC,305,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,305,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,305,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,305,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,305,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,305,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,305,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,305,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,305,Natriuretic peptide ,,,39.26,39.26,3
RC,305,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,305,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,305,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,305,"Neutralization test, viral ",,,16.91,16.91,3
RC,305,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,305,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,305,Nickel ,,,24.51,24.51,3
RC,305,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,305,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,305,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,305,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,305,Nucleotidase 5'- ,,,11.15,11.15,3
RC,305,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,305,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,305,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,305,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,305,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,305,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,305,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,305,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,305,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,305,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,305,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,305,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,305,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,305,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,305,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,305,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,305,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,305,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,305,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,305,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,305,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,305,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,305,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,305,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,305,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,305,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,305,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,305,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,305,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,305,Osmolality; blood ,,,6.61,6.61,3
RC,305,Osmolality; urine ,,,6.82,6.82,3
RC,305,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,305,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,305,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,305,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,305,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,305,Oxalate ,,,14.45,14.45,3
RC,305,Oxcarbazepine ,,,13.25,13.25,3
RC,305,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,305,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,305,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,305,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,305,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,305,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,305,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,305,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,305,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,305,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,305,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,305,Phenobarbital ,,,15.3,15.3,3
RC,305,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,305,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,305,Phenytoin; free ,,,13.76,13.76,3
RC,305,Phenytoin; total ,,,13.25,13.25,3
RC,305,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,305,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,305,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,305,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,305,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,305,Phosphatidylglycerol ,,,16.52,16.52,3
RC,305,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,305,Phosphohexose isomerase ,,,10.73,10.73,3
RC,305,Phospholipid neutralization; hexagonal phospholipid ,380.78,380.78,17.98,17.98,3
RC,305,Phospholipid neutralization; platelet ,311.41,311.41,17.98,17.98,3
RC,305,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,305,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,305,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,305,Pinworm examinations ,,,4.27,4.27,3
RC,305,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,305,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,305,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,305,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,305,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,305,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,305,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,305,Posaconazole ,,,27.11,27.11,3
RC,305,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,305,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,305,Potassium; urine ,,,4.73,4.73,3
RC,305,Prealbumin ,,,14.59,14.59,3
RC,305,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,305,Pregnanediol ,,,21.27,21.27,3
RC,305,Pregnanetriol ,,,21.05,21.05,3
RC,305,Pregnenolone ,,,20.67,20.67,3
RC,305,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,305,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,305,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,305,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,305,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,305,Primidone ,,,16.59,16.59,3
RC,305,Procainamide; ,,,60.0,60.0,3
RC,305,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,305,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,305,Progesterone ,,,20.86,20.86,3
RC,305,Proinsulin ,,,26.69,26.69,3
RC,305,Prolactin ,,,19.38,19.38,3
RC,305,"Prostaglandin, each ",,,41.77,41.77,3
RC,305,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,305,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,305,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,305,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,305,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,305,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,305,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,305,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,305,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,305,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,305,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,305,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,305,Prothrombin time; ,,,4.29,4.29,3
RC,305,"Prothrombin time; substitution, plasma fractions, each ",753.52,753.52,3.94,3.94,3
RC,305,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,305,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,305,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,305,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,305,Pyruvate ,,,14.48,14.48,3
RC,305,Pyruvate kinase ,,,9.44,9.44,3
RC,305,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,305,Quinidine ,,,14.6,14.6,3
RC,305,Quinine ,,,11.63,11.63,3
RC,305,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,305,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,305,Receptor assay; estrogen ,,,87.88,87.88,3
RC,305,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,305,Receptor assay; progesterone ,,,64.88,64.88,3
RC,305,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,305,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,305,Renin ,,,21.99,21.99,3
RC,305,Reptilase test ,,,9.85,9.85,3
RC,305,Reticulated platelet assay ,,,35.74,35.74,3
RC,305,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,305,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,305,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,305,Rufinamide ,,,27.11,27.11,3
RC,305,Russell viper venom time (includes venom); diluted ,895.49,895.49,9.58,9.58,3
RC,305,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,305,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,305,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,305,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,305,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,305,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,305,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,305,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,305,Salicylate ,,,18.64,18.64,3
RC,305,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,305,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,305,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,305,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,305,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,305,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,305,Selenium ,,,25.53,25.53,3
RC,305,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,305,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,305,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,305,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,305,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,305,Serotonin ,,,30.98,30.98,3
RC,305,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,305,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,305,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,305,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,305,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,305,Sialic acid ,,,13.44,13.44,3
RC,305,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,305,Silica ,,,25.21,25.21,3
RC,305,Sirolimus ,,,13.73,13.73,3
RC,305,Skin test; candida ,,,24.67,24.67,3
RC,305,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,305,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,305,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,305,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,305,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,305,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,305,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,305,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,305,Sodium; other source ,,,4.86,4.86,3
RC,305,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,305,Sodium; urine ,,,5.06,5.06,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,305,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,305,Somatomedin ,,,21.26,21.26,3
RC,305,Somatostatin ,,,18.28,18.28,3
RC,305,Specific gravity (except urine) ,,,3.28,3.28,3
RC,305,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,305,Sperm antibodies ,,,10.67,10.67,3
RC,305,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,305,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,305,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,305,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,305,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,305,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,305,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,305,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,305,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,305,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,305,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,305,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,305,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,305,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,305,"Streptokinase, antibody ",,,12.66,12.66,3
RC,305,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,305,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,305,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,305,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,305,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,305,"Sulfate, urine ",,,5.49,5.49,3
RC,305,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,305,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,305,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,305,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,305,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,305,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,305,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,305,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,305,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,305,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,305,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,305,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,305,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,305,T cells; total count ,,,37.73,37.73,3
RC,305,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,305,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,305,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,305,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,305,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,305,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,305,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,305,Tacrolimus ,,,13.73,13.73,3
RC,305,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,305,"Tau, total (tTau) ",,,128.92,128.92,3
RC,305,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,305,Testosterone; free ,,,25.47,25.47,3
RC,305,Testosterone; total ,,,25.81,25.81,3
RC,305,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,305,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,305,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,305,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,305,Theophylline ,,,14.14,14.14,3
RC,305,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,305,Thiocyanate ,,,11.63,11.63,3
RC,305,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,305,Thrombin time; plasma ,613.14,613.14,5.77,5.77,3
RC,305,Thrombin time; titer ,,,6.85,6.85,3
RC,305,Thrombomodulin ,,,17.27,17.27,3
RC,305,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,305,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,305,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,305,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,305,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,305,Thyroglobulin ,,,16.06,16.06,3
RC,305,Thyroglobulin antibody ,,,15.91,15.91,3
RC,305,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,305,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,305,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,305,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,305,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,305,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,305,Thyroxine; free ,,,9.02,9.02,3
RC,305,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,305,Thyroxine; total ,,,6.87,6.87,3
RC,305,Tiagabine ,,,27.11,27.11,3
RC,305,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,305,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,305,Tobramycin ,,,16.13,16.13,3
RC,305,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,305,Topiramate ,,,11.92,11.92,3
RC,305,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,305,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,305,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,305,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,305,Transferrin ,,,12.76,12.76,3
RC,305,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,305,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,305,Triglycerides ,,,5.74,5.74,3
RC,305,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,305,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,305,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,305,"Troponin, qualitative ",,,10.09,10.09,3
RC,305,"Troponin, quantitative ",,,12.47,12.47,3
RC,305,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,305,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,305,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,305,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,305,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,305,Tyrosine ,,,10.63,10.63,3
RC,305,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,305,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,305,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,305,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,305,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,305,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,305,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,305,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,305,Uric acid; blood ,,,4.52,4.52,3
RC,305,Uric acid; other source ,,,5.08,5.08,3
RC,305,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,305,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,305,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,305,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,305,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,305,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,305,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,305,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,305,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,305,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,305,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,305,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,305,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,305,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,305,Vancomycin ,,,13.54,13.54,3
RC,305,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,305,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,305,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,305,Vedolizumab ,,,38.57,38.57,3
RC,305,Very long chain fatty acids ,,,19.75,19.75,3
RC,305,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,305,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,305,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,305,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,305,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,305,Viscosity ,303.33,303.33,11.67,11.67,3
RC,305,Vitamin A ,,,11.61,11.61,3
RC,305,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,305,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,305,Vitamin K ,,,13.72,13.72,3
RC,305,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,305,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,305,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,305,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,305,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,305,Voriconazole ,,,27.11,27.11,3
RC,305,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,305,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,305,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,305,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,305,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,305,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,305,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,305,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,305,Zinc ,,,11.39,11.39,3
RC,305,Zonisamide ,,,13.25,13.25,3
RC,305,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,305,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,305,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,306, Laboratory Bacteriology & Microbiology  ,,,,,0
RC,306,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,306,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,306,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,306,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,306,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,306,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,306,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,306,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,306,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,306,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,306,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,Acetaminophen ,,,18.64,18.64,3
RC,306,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,306,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,306,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,306,Acetylcholinesterase ,,,12.29,12.29,3
RC,306,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,306,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,306,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,306,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,306,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,306,Adalimumab ,,,38.57,38.57,3
RC,306,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,306,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,306,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,306,Albumin; ischemia modified ,,,33.94,33.94,3
RC,306,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,306,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,306,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,306,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,306,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,306,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,306,Aldolase ,,,9.71,9.71,3
RC,306,Aldosterone ,,,40.75,40.75,3
RC,306,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,306,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,306,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,306,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,306,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,306,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,306,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,306,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,306,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,306,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,306,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,306,Aluminum ,,,25.48,25.48,3
RC,306,Amikacin ,,,15.08,15.08,3
RC,306,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,306,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,306,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,306,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,306,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,306,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,306,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,306,Amiodarone ,,,18.64,18.64,3
RC,306,Ammonia ,,,14.57,14.57,3
RC,306,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,306,Amylase ,,,6.48,6.48,3
RC,306,Androstanediol glucuronide ,,,28.83,28.83,3
RC,306,Androstenedione ,,,29.28,29.28,3
RC,306,Androsterone ,,,25.55,25.55,3
RC,306,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,306,Angiotensin II ,,,20.52,20.52,3
RC,306,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,306,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,306,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,306,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,306,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,306,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,306,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,306,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,306,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,306,Antibody; Aspergillus ,,,15.05,15.05,3
RC,306,Antibody; Bartonella ,,,10.18,10.18,3
RC,306,Antibody; Blastomyces ,,,12.9,12.9,3
RC,306,Antibody; Bordetella ,,,13.19,13.19,3
RC,306,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,306,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,306,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,306,Antibody; Brucella ,,,8.93,8.93,3
RC,306,Antibody; Campylobacter ,,,13.12,13.12,3
RC,306,Antibody; Candida ,,,12.01,12.01,3
RC,306,Antibody; Chlamydia ,,,11.82,11.82,3
RC,306,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,306,Antibody; Coccidioides ,,,11.47,11.47,3
RC,306,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,306,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,306,Antibody; Diphtheria ,,,15.21,15.21,3
RC,306,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,306,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,306,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,306,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,306,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,306,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,306,Antibody; HIV-1 ,,,8.89,8.89,3
RC,306,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,306,Antibody; HIV-2 ,,,13.52,13.52,3
RC,306,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,306,Antibody; HTLV-I ,,,9.09,9.09,3
RC,306,Antibody; HTLV-II ,,,14.0,14.0,3
RC,306,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,306,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,306,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,306,Antibody; Legionella ,,,15.3,15.3,3
RC,306,Antibody; Leishmania ,,,12.25,12.25,3
RC,306,Antibody; Leptospira ,,,16.2,16.2,3
RC,306,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,306,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,306,Antibody; Nocardia ,,,15.99,15.99,3
RC,306,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,306,Antibody; Rickettsia ,,,19.35,19.35,3
RC,306,Antibody; Salmonella ,,,13.19,13.19,3
RC,306,Antibody; Shigella ,,,24.48,24.48,3
RC,306,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,306,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,306,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,306,Antibody; Trichinella ,,,12.56,12.56,3
RC,306,Antibody; West Nile virus ,,,14.39,14.39,3
RC,306,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,306,Antibody; Yersinia ,,,13.19,13.19,3
RC,306,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,306,Antibody; actinomyces ,,,10.18,10.18,3
RC,306,Antibody; adenovirus ,,,12.87,12.87,3
RC,306,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,306,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,306,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,306,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,306,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,306,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,306,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,306,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,306,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,306,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,306,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,306,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,306,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,306,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,306,Antibody; histoplasma ,,,13.79,13.79,3
RC,306,Antibody; influenza virus ,,,13.55,13.55,3
RC,306,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,306,Antibody; mucormycosis ,,,15.0,15.0,3
RC,306,Antibody; mumps ,,,13.05,13.05,3
RC,306,Antibody; mycoplasma ,,,13.24,13.24,3
RC,306,Antibody; parvovirus ,,,15.03,15.03,3
RC,306,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,306,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,306,Antibody; rotavirus ,,,18.23,18.23,3
RC,306,Antibody; rubella ,,,14.39,14.39,3
RC,306,Antibody; rubeola ,,,12.88,12.88,3
RC,306,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,306,Antibody; tetanus ,,,14.8,14.8,3
RC,306,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,306,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,306,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,306,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,306,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,306,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,306,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,306,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,306,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,306,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,306,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,306,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,306,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,306,"Apolipoprotein, each ",,,21.09,21.09,3
RC,306,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,306,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,306,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,306,Arsenic ,,,18.97,18.97,3
RC,306,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,306,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,306,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,306,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,306,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,306,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,306,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,306,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,306,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,306,"B cells, total count ",,,37.73,37.73,3
RC,306,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,306,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,306,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,306,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,306,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,306,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,306,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,306,Beta-2 microglobulin ,,,16.18,16.18,3
RC,306,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,306,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,306,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,306,Bile acids; total ,,,17.12,17.12,3
RC,306,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,306,Bilirubin; direct ,,,5.02,5.02,3
RC,306,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,306,Bilirubin; total ,,,5.02,5.02,3
RC,306,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,306,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,306,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,306,Bleeding time ,,,4.82,4.82,3
RC,306,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,306,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,306,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,306,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,306,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,306,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,306,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,306,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,306,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,306,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,306,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,306,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,306,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,306,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,306,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,306,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,306,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,306,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,306,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,306,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,306,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,306,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,306,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,306,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,306,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,306,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,306,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,306,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,306,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,306,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,306,Bradykinin ,,,5.16,5.16,3
RC,306,C-peptide ,,,20.81,20.81,3
RC,306,C-reactive protein; ,,,5.18,5.18,3
RC,306,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,306,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,306,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,306,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,306,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,306,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,306,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,306,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,306,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,306,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,306,Cadmium ,,,23.64,23.64,3
RC,306,Caffeine ,,,38.57,38.57,3
RC,306,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,306,Calcitonin ,,,26.79,26.79,3
RC,306,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,306,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,306,Calcium; ionized ,,,13.68,13.68,3
RC,306,Calcium; total ,,,5.16,5.16,3
RC,306,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,306,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,306,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,306,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,306,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,306,"Calprotectin, fecal ",,,19.63,19.63,3
RC,306,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,306,Carbamazepine; free ,,,13.25,13.25,3
RC,306,Carbamazepine; total ,,,14.57,14.57,3
RC,306,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,306,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,306,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,306,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,306,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,306,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,306,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,306,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,306,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,306,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,306,Carotene ,,,9.22,9.22,3
RC,306,Catecholamines; blood ,,,29.08,29.08,3
RC,306,Catecholamines; fractionated ,,,25.25,25.25,3
RC,306,Catecholamines; total urine ,,,27.3,27.3,3
RC,306,Cathepsin-D ,,,18.06,18.06,3
RC,306,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,306,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,306,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,306,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,306,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,306,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,306,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,306,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,306,Ceruloplasmin ,,,10.74,10.74,3
RC,306,Chemiluminescent assay ,,,14.12,14.12,3
RC,306,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,306,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,306,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,306,Chloramphenicol ,,,12.67,12.67,3
RC,306,Chloride; blood ,,,4.6,4.6,3
RC,306,Chloride; other source ,,,5.0,5.0,3
RC,306,Chloride; urine ,,,5.75,5.75,3
RC,306,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,306,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,306,Cholinesterase; RBC ,,,9.81,9.81,3
RC,306,Cholinesterase; serum ,,,7.87,7.87,3
RC,306,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,306,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,306,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,306,Chromium ,,,20.28,20.28,3
RC,306,Chromogenic substrate assay ,,,11.89,11.89,3
RC,306,Citrate ,,,27.8,27.8,3
RC,306,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,306,Clot retraction ,,,16.3,16.3,3
RC,306,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,306,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,306,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,306,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,306,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,306,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,306,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,306,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,306,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,306,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,306,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,306,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,306,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,306,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,306,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,306,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,306,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,306,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,306,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,306,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,306,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,306,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,306,Clozapine ,,,20.15,20.15,3
RC,306,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,306,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,306,Coagulation time; activated ,,,4.28,4.28,3
RC,306,Coagulation time; other methods ,,,4.49,4.49,3
RC,306,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,306,Cold agglutinin; screen ,,,8.07,8.07,3
RC,306,Cold agglutinin; titer ,,,8.06,8.06,3
RC,306,"Collagen cross links, any method ",,,18.68,18.68,3
RC,306,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,306,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,306,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,306,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,306,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,306,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,306,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,306,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,306,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,306,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,306,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,306,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,306,"Complement; antigen, each component ",,,12.0,12.0,3
RC,306,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,306,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,306,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,306,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,306,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,306,"Congo red, blood ",,,4.95,4.95,3
RC,306,Copper ,,,12.41,12.41,3
RC,306,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,306,Corticosterone ,,,22.52,22.52,3
RC,306,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,306,Cortisol; free ,,,16.71,16.71,3
RC,306,Cortisol; total ,,,16.3,16.3,3
RC,306,Creatine ,,,4.64,4.64,3
RC,306,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,306,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,306,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,306,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,306,Creatinine; blood ,,,5.12,5.12,3
RC,306,Creatinine; clearance ,,,9.46,9.46,3
RC,306,Creatinine; other source ,,,5.18,5.18,3
RC,306,Cryofibrinogen ,,,14.14,14.14,3
RC,306,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,306,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,306,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,306,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,306,Cryopreservation; sperm ,,,149.16,149.16,3
RC,306,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,306,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,306,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,306,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,306,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,306,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",271.07,271.07,8.08,8.08,3
RC,306,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,306,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",1779.71,1779.71,9.47,9.47,3
RC,306,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",1440.87,1440.87,10.32,10.32,3
RC,306,"Culture, bacterial; quantitative colony count, urine ",1195.6,1195.6,8.07,8.07,3
RC,306,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",311.41,311.41,9.89,9.89,3
RC,306,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,306,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",316.24,316.24,9.44,9.44,3
RC,306,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",1413.44,1413.44,9.44,9.44,3
RC,306,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",271.07,271.07,8.09,8.09,3
RC,306,"Culture, chlamydia, any source ",1723.25,1723.25,19.6,19.6,3
RC,306,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",1394.08,1394.08,20.46,20.46,3
RC,306,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",1394.08,1394.08,8.41,8.41,3
RC,306,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,306,"Culture, fungi, definitive identification, each organism; mold ",848.71,848.71,10.32,10.32,3
RC,306,"Culture, fungi, definitive identification, each organism; yeast ",345.3,345.3,10.32,10.32,3
RC,306,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,306,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,306,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,306,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,306,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",1356.97,1356.97,10.8,10.8,3
RC,306,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,306,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",522.77,522.77,35.09,35.09,3
RC,306,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",674.45,674.45,20.05,20.05,3
RC,306,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",1715.16,1715.16,115.36,115.36,3
RC,306,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,306,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,306,"Culture, typing; immunofluorescent method, each antiserum ",141.97,141.97,5.57,5.57,3
RC,306,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,306,"Culture, typing; other methods ",,,7.74,7.74,3
RC,306,Cyanide ,,,19.4,19.4,3
RC,306,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,306,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,306,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,306,Cyclosporine ,,,18.05,18.05,3
RC,306,Cystatin C ,,,18.52,18.52,3
RC,306,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,306,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,306,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,306,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,306,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,306,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,306,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",906.79,906.79,10.74,10.74,3
RC,306,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,306,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,306,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,306,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,306,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,306,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,306,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,306,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,306,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,306,Dibucaine number ,,,12.25,12.25,3
RC,306,Digoxin; free ,,,13.28,13.28,3
RC,306,Digoxin; total ,,,13.28,13.28,3
RC,306,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,306,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,306,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,306,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,306,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,306,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,306,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,306,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,306,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,306,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,306,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,306,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,306,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,306,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,306,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,306,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,306,Erythropoietin ,,,18.79,18.79,3
RC,306,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,306,Estradiol; total ,,,27.94,27.94,3
RC,306,Estriol ,,,24.18,24.18,3
RC,306,Estrogens; fractionated ,,,32.3,32.3,3
RC,306,Estrogens; total ,,,21.7,21.7,3
RC,306,Estrone ,,,24.95,24.95,3
RC,306,Ethosuximide ,,,16.34,16.34,3
RC,306,Ethylene glycol ,,,14.9,14.9,3
RC,306,Etiocholanolone ,,,26.24,26.24,3
RC,306,Euglobulin lysis ,,,8.41,8.41,3
RC,306,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,306,Everolimus ,,,13.73,13.73,3
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,306,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,306,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,306,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,306,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,306,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,306,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,306,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,306,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,306,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,306,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,306,Factor inhibitor test ,,,12.87,12.87,3
RC,306,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,306,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,306,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,306,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,306,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,306,Felbamate ,,,18.64,18.64,3
RC,306,Fern test ,,,9.74,9.74,3
RC,306,Ferritin ,,,13.63,13.63,3
RC,306,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,306,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,306,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,306,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,306,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,306,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,306,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,306,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,306,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,306,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,306,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,306,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,306,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,306,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,306,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,306,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,306,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,306,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,306,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,306,Fibrinogen; activity ,,,9.72,9.72,3
RC,306,Fibrinogen; antigen ,,,14.46,14.46,3
RC,306,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,306,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,306,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,306,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,306,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,306,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,306,Flecainide ,,,18.64,18.64,3
RC,306,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,306,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,306,Fluoride ,,,18.54,18.54,3
RC,306,Folic acid; RBC ,,,17.65,17.65,3
RC,306,Folic acid; serum ,,,14.7,14.7,3
RC,306,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,306,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,306,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,306,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,306,"Fructose, semen ",,,17.34,17.34,3
RC,306,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,306,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,306,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,306,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,306,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,306,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,306,"Galactokinase, RBC ",,,21.48,21.48,3
RC,306,Galactose ,,,11.2,11.2,3
RC,306,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,306,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,306,Galectin-3 ,,,44.25,44.25,3
RC,306,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,306,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,306,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,306,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,306,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,306,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,306,"Gases, blood, pH only ",,,11.0,11.0,3
RC,306,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,306,Gastrin ,,,17.63,17.63,3
RC,306,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,306,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,306,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,306,Gentamicin ,,,16.38,16.38,3
RC,306,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,306,Glucagon ,,,14.29,14.29,3
RC,306,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,306,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,306,Glucagon tolerance test ,,,17.77,17.77,3
RC,306,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,306,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,306,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,306,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,306,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,306,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,306,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,306,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,306,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,306,"Glucosidase, beta ",,,21.48,21.48,3
RC,306,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,306,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,306,Glutathione ,,,15.45,15.45,3
RC,306,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,306,Glycated protein ,,,16.76,16.76,3
RC,306,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,306,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,306,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,306,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,306,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,306,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,306,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,306,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,306,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,306,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,306,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,306,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,306,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,306,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,306,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,306,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,306,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,306,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,306,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,306,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,306,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,306,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,306,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,306,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,306,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,306,Haloperidol ,,,15.78,15.78,3
RC,306,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,306,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,306,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,306,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,306,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,306,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,306,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,306,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,306,Heinz bodies; direct ,,,4.2,4.2,3
RC,306,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,306,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,306,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,306,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,306,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,306,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,306,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,306,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,306,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,306,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,306,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,306,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,306,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,306,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,306,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,306,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,306,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,306,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,306,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,306,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,306,Hemoglobin; plasma ,,,7.31,7.31,3
RC,306,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,306,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,306,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,306,Hemoglobin; urine ,,,3.95,3.95,3
RC,306,"Hemolysin, acid ",,,8.87,8.87,3
RC,306,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,306,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,306,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,306,Heparin assay ,,,13.09,13.09,3
RC,306,Heparin neutralization ,,,11.84,11.84,3
RC,306,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,306,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,306,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,306,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,306,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,306,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,306,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,306,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,306,Hepatitis C antibody; ,,,14.27,14.27,3
RC,306,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,306,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,306,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,306,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,306,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,306,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,306,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,306,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,306,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,306,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,306,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,306,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,306,Histamine ,,,29.53,29.53,3
RC,306,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,306,Homocysteine ,,,17.92,17.92,3
RC,306,"Homogenization, tissue, for culture ",198.48,198.48,5.88,5.88,3
RC,306,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,306,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,306,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,306,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,306,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,306,Hydroxychloroquine ,,,18.64,18.64,3
RC,306,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,306,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,306,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,306,Hydroxyproline; free ,,,22.65,22.65,3
RC,306,Hydroxyproline; total ,,,24.3,24.3,3
RC,306,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,306,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,306,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,306,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,306,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,306,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,306,Immune complex assay ,,,24.37,24.37,3
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,306,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,306,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,306,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,306,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,306,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,306,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,306,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,306,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,306,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,306,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,306,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,306,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,306,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,306,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,306,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,306,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,306,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,306,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,306,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,306,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,306,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,306,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,306,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",592.155,592.155,10.33,73.62,93
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",822.9,822.9,12.73,12.73,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,364.66,364.66,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,387.26,387.26,11.98,11.98,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",1195.6,1195.6,13.42,13.42,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,1695.8,1695.8,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,1695.8,1695.8,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,537.29,537.29,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,887.44,887.44,13.42,13.42,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,337.23,337.23,14.43,14.43,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",316.24,316.24,16.1,16.1,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",1429.56,1429.56,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",1061.7,1061.7,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",1082.66,1082.66,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",984.23,984.23,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",1163.35,1163.35,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",1163.35,1163.35,53.47,53.47,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",2016.89,2016.89,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",1818.42,1818.42,85.1,85.1,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",1645.78,1645.78,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",747.05,747.05,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",1440.87,1440.87,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",748.67,748.67,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",3733.67,3733.67,48.24,48.24,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",1639.32,1639.32,41.68,41.68,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",1061.7,1061.7,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",1247.25,1247.25,26.88,26.88,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",1247.25,1247.25,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",1260.15,1260.15,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",446.94,446.94,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",984.23,984.23,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",3736.48,3736.48,416.78,416.78,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",1452.15,1452.15,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",2286.34,2286.34,416.78,416.78,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",1184.32,1184.32,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",2492.89,2492.89,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",2286.34,2286.34,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",1668.37,1668.37,39.26,39.26,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",1360.2,1360.2,51.31,51.31,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,306,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,306,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,306,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",6210.41,6210.41,128.73,128.73,3
RC,306,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",2768.79,2768.79,257.45,257.45,3
RC,306,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,4269.35,4269.35,257.45,257.45,3
RC,306,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,3941.81,3941.81,257.45,257.45,3
RC,306,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,13518.01,13518.01,257.45,257.45,3
RC,306,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,306,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",613.14,613.14,26.07,26.07,3
RC,306,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",8645.22,8645.22,488.66,488.66,3
RC,306,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,306,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,306,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,306,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,306,Infliximab ,,,38.57,38.57,3
RC,306,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,306,Inhibin A ,,,15.59,15.59,3
RC,306,Insemination of oocytes ,,,149.16,149.16,3
RC,306,Insulin antibodies ,,,21.41,21.41,3
RC,306,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,306,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,306,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,306,Insulin; free ,,,12.95,12.95,3
RC,306,Insulin; total ,,,11.43,11.43,3
RC,306,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,306,Intrinsic factor ,,,19.82,19.82,3
RC,306,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,306,Iron ,,,6.47,6.47,3
RC,306,Iron binding capacity ,,,8.74,8.74,3
RC,306,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,306,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,306,Islet cell antibody ,,,23.57,23.57,3
RC,306,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,306,Itraconazole ,,,27.11,27.11,3
RC,306,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,306,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,306,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,306,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,306,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,306,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,306,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,306,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,306,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,306,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,306,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,306,Lacosamide ,,,27.11,27.11,3
RC,306,Lactate (lactic acid) ,,,11.57,11.57,3
RC,306,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,306,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,306,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,306,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,306,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,306,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,306,Lamotrigine ,,,13.25,13.25,3
RC,306,Lead ,,,12.11,12.11,3
RC,306,Leflunomide ,,,38.57,38.57,3
RC,306,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,306,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,306,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,306,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,306,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,306,Leukocyte transfusion ,,,149.16,149.16,3
RC,306,Levetiracetam ,,,13.25,13.25,3
RC,306,Lidocaine ,,,14.69,14.69,3
RC,306,Lipase ,,,6.89,6.89,3
RC,306,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,306,Lipoprotein (a) ,,,14.32,14.32,3
RC,306,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,306,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,306,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,306,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,306,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,306,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,306,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,306,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,306,Lithium ,,,6.61,6.61,3
RC,306,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,306,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,306,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,306,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,306,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,306,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,306,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,306,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,306,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,306,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,306,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,306,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,306,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,306,Magnesium ,,,6.7,6.7,3
RC,306,Malate dehydrogenase ,,,7.37,7.37,3
RC,306,Manganese ,,,26.65,26.65,3
RC,306,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,306,"Meat fibers, feces ",,,4.85,4.85,3
RC,306,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,306,"Mercury, quantitative ",,,16.26,16.26,3
RC,306,Metanephrines ,,,16.94,16.94,3
RC,306,Methemalbumin ,,,10.74,10.74,3
RC,306,Methotrexate ,,,38.57,38.57,3
RC,306,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,306,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,306,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,306,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,306,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,306,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,306,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,306,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,306,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,306,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,306,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,306,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,306,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,306,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,306,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,306,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,306,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,306,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,306,Muramidase ,,,18.75,18.75,3
RC,306,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,306,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,306,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,306,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,306,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,306,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,306,Myoglobin ,,,12.92,12.92,3
RC,306,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,306,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,306,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,306,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,306,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,306,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,306,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,306,Natriuretic peptide ,,,39.26,39.26,3
RC,306,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,306,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,306,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,306,"Neutralization test, viral ",,,16.91,16.91,3
RC,306,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,306,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,306,Nickel ,,,24.51,24.51,3
RC,306,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,306,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,306,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,306,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,306,Nucleotidase 5'- ,,,11.15,11.15,3
RC,306,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,306,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,306,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,306,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,306,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,306,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,306,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,306,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,306,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,306,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,306,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,306,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,306,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,306,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,306,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,306,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,306,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,306,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,306,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,306,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,306,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,306,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,306,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,306,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,306,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,306,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,306,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,306,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,306,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,306,Osmolality; blood ,,,6.61,6.61,3
RC,306,Osmolality; urine ,,,6.82,6.82,3
RC,306,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,306,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,306,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,306,"Ova and parasites, direct smears, concentration and identification ",206.52,206.52,8.9,8.9,3
RC,306,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,306,Oxalate ,,,14.45,14.45,3
RC,306,Oxcarbazepine ,,,13.25,13.25,3
RC,306,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,306,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,306,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,306,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,306,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,306,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,306,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,306,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,306,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,306,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,306,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,306,Phenobarbital ,,,15.3,15.3,3
RC,306,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,306,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,306,Phenytoin; free ,,,13.76,13.76,3
RC,306,Phenytoin; total ,,,13.25,13.25,3
RC,306,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,306,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,306,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,306,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,306,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,306,Phosphatidylglycerol ,,,16.52,16.52,3
RC,306,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,306,Phosphohexose isomerase ,,,10.73,10.73,3
RC,306,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,306,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,306,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,306,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,306,"Pinworm exam (eg, cellophane tape prep) ",292.05,292.05,4.27,4.27,3
RC,306,Pinworm examinations ,,,4.27,4.27,3
RC,306,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,306,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,306,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,306,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,306,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,306,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,306,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,306,Posaconazole ,,,27.11,27.11,3
RC,306,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,306,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,306,Potassium; urine ,,,4.73,4.73,3
RC,306,Prealbumin ,,,14.59,14.59,3
RC,306,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,306,Pregnanediol ,,,21.27,21.27,3
RC,306,Pregnanetriol ,,,21.05,21.05,3
RC,306,Pregnenolone ,,,20.67,20.67,3
RC,306,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,306,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,306,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,306,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,306,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,306,Primidone ,,,16.59,16.59,3
RC,306,Procainamide; ,,,60.0,60.0,3
RC,306,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,306,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,306,Progesterone ,,,20.86,20.86,3
RC,306,Proinsulin ,,,26.69,26.69,3
RC,306,Prolactin ,,,19.38,19.38,3
RC,306,"Prostaglandin, each ",,,41.77,41.77,3
RC,306,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,306,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,306,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,306,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,306,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,306,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,306,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,306,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,306,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,306,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,306,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,306,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,306,Prothrombin time; ,,,4.29,4.29,3
RC,306,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,306,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,306,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,306,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,306,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,306,Pyruvate ,,,14.48,14.48,3
RC,306,Pyruvate kinase ,,,9.44,9.44,3
RC,306,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,306,Quinidine ,,,14.6,14.6,3
RC,306,Quinine ,,,11.63,11.63,3
RC,306,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,306,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,306,Receptor assay; estrogen ,,,87.88,87.88,3
RC,306,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,306,Receptor assay; progesterone ,,,64.88,64.88,3
RC,306,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,306,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,306,Renin ,,,21.99,21.99,3
RC,306,Reptilase test ,,,9.85,9.85,3
RC,306,Reticulated platelet assay ,,,35.74,35.74,3
RC,306,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,306,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,306,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,306,Rufinamide ,,,27.11,27.11,3
RC,306,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,306,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,306,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,306,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,306,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,306,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,306,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,306,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,306,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,306,Salicylate ,,,18.64,18.64,3
RC,306,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,306,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,306,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,306,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,306,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,306,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,306,Selenium ,,,25.53,25.53,3
RC,306,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,306,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,306,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,306,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,306,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,306,Serotonin ,,,30.98,30.98,3
RC,306,Serum bactericidal titer (Schlichter test) ,406.6,406.6,15.02,15.02,3
RC,306,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,306,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,306,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,306,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,306,Sialic acid ,,,13.44,13.44,3
RC,306,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,306,Silica ,,,25.21,25.21,3
RC,306,Sirolimus ,,,13.73,13.73,3
RC,306,Skin test; candida ,,,24.67,24.67,3
RC,306,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,306,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,306,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,306,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,306,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",422.74,422.74,17.98,17.98,3
RC,306,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,306,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,306,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,306,Sodium; other source ,,,4.86,4.86,3
RC,306,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,306,Sodium; urine ,,,5.06,5.06,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,306,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,306,Somatomedin ,,,21.26,21.26,3
RC,306,Somatostatin ,,,18.28,18.28,3
RC,306,Specific gravity (except urine) ,,,3.28,3.28,3
RC,306,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,306,Sperm antibodies ,,,10.67,10.67,3
RC,306,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,306,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,306,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,306,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,306,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,306,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,306,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,306,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,306,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,306,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,306,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,306,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,306,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,306,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,306,"Streptokinase, antibody ",,,12.66,12.66,3
RC,306,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,306,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,306,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,306,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,306,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,306,"Sulfate, urine ",,,5.49,5.49,3
RC,306,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,306,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,306,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,306,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",161.35,161.35,4.75,4.75,3
RC,306,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",203.31,203.31,6.64,6.64,3
RC,306,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",856.79,856.79,8.65,8.65,3
RC,306,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,306,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",1558.65,1558.65,7.31,7.31,3
RC,306,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,306,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,306,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,306,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,306,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,306,T cells; total count ,,,37.73,37.73,3
RC,306,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,306,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,306,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,306,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,306,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,306,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,306,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,306,Tacrolimus ,,,13.73,13.73,3
RC,306,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,306,"Tau, total (tTau) ",,,128.92,128.92,3
RC,306,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,306,Testosterone; free ,,,25.47,25.47,3
RC,306,Testosterone; total ,,,25.81,25.81,3
RC,306,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,306,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,306,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,306,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,306,Theophylline ,,,14.14,14.14,3
RC,306,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,306,Thiocyanate ,,,11.63,11.63,3
RC,306,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,306,Thrombin time; plasma ,,,5.77,5.77,3
RC,306,Thrombin time; titer ,,,6.85,6.85,3
RC,306,Thrombomodulin ,,,17.27,17.27,3
RC,306,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,306,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,306,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,306,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,306,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,306,Thyroglobulin ,,,16.06,16.06,3
RC,306,Thyroglobulin antibody ,,,15.91,15.91,3
RC,306,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,306,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,306,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,306,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,306,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,306,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,306,Thyroxine; free ,,,9.02,9.02,3
RC,306,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,306,Thyroxine; total ,,,6.87,6.87,3
RC,306,Tiagabine ,,,27.11,27.11,3
RC,306,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,306,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,306,Tobramycin ,,,16.13,16.13,3
RC,306,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,306,Topiramate ,,,11.92,11.92,3
RC,306,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",1600.6,1600.6,19.74,19.74,3
RC,306,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,306,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,306,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,306,Transferrin ,,,12.76,12.76,3
RC,306,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,306,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,306,Triglycerides ,,,5.74,5.74,3
RC,306,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,306,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,306,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,306,"Troponin, qualitative ",,,10.09,10.09,3
RC,306,"Troponin, quantitative ",,,12.47,12.47,3
RC,306,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,306,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,306,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,306,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,306,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,306,Tyrosine ,,,10.63,10.63,3
RC,306,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,306,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,306,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,306,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,306,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,306,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,306,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,306,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,306,Uric acid; blood ,,,4.52,4.52,3
RC,306,Uric acid; other source ,,,5.08,5.08,3
RC,306,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,306,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,306,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,306,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,306,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,306,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,306,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,306,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,306,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,306,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,306,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,306,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,306,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,306,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,306,Vancomycin ,,,13.54,13.54,3
RC,306,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,306,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,306,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,306,Vedolizumab ,,,38.57,38.57,3
RC,306,Very long chain fatty acids ,,,19.75,19.75,3
RC,306,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,306,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",847.09,847.09,33.86,33.86,3
RC,306,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,306,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,306,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",1637.71,1637.71,20.2,20.2,3
RC,306,Viscosity ,,,11.67,11.67,3
RC,306,Vitamin A ,,,11.61,11.61,3
RC,306,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,306,Vitamin K ,,,13.72,13.72,3
RC,306,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,306,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,306,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,306,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,306,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,306,Voriconazole ,,,27.11,27.11,3
RC,306,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,306,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,306,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,306,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,306,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,306,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,306,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,306,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,306,Zinc ,,,11.39,11.39,3
RC,306,Zonisamide ,,,13.25,13.25,3
RC,306,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,306,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,306,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,307, Laboratory Urology  ,,,,,0
RC,307,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,307,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,307,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,307,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,307,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,307,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,307,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,307,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,307,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,307,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,307,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,307,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,Acetaminophen ,,,18.64,18.64,3
RC,307,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,307,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,307,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,307,Acetylcholinesterase ,,,12.29,12.29,3
RC,307,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,307,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,307,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,307,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,307,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,307,Adalimumab ,,,38.57,38.57,3
RC,307,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,307,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,307,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,307,Albumin; ischemia modified ,,,33.94,33.94,3
RC,307,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,307,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,307,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,307,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,307,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,307,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,307,Aldolase ,,,9.71,9.71,3
RC,307,Aldosterone ,,,40.75,40.75,3
RC,307,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,307,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,307,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,307,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,307,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,307,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,307,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,307,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,307,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,307,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,307,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,307,Aluminum ,,,25.48,25.48,3
RC,307,Amikacin ,,,15.08,15.08,3
RC,307,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,307,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,307,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,307,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,307,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,307,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,307,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,307,Amiodarone ,,,18.64,18.64,3
RC,307,Ammonia ,,,14.57,14.57,3
RC,307,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,307,Amylase ,,,6.48,6.48,3
RC,307,Androstanediol glucuronide ,,,28.83,28.83,3
RC,307,Androstenedione ,,,29.28,29.28,3
RC,307,Androsterone ,,,25.55,25.55,3
RC,307,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,307,Angiotensin II ,,,20.52,20.52,3
RC,307,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,307,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,307,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,307,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,307,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,307,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,307,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,307,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,307,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,307,Antibody; Aspergillus ,,,15.05,15.05,3
RC,307,Antibody; Bartonella ,,,10.18,10.18,3
RC,307,Antibody; Blastomyces ,,,12.9,12.9,3
RC,307,Antibody; Bordetella ,,,13.19,13.19,3
RC,307,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,307,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,307,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,307,Antibody; Brucella ,,,8.93,8.93,3
RC,307,Antibody; Campylobacter ,,,13.12,13.12,3
RC,307,Antibody; Candida ,,,12.01,12.01,3
RC,307,Antibody; Chlamydia ,,,11.82,11.82,3
RC,307,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,307,Antibody; Coccidioides ,,,11.47,11.47,3
RC,307,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,307,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,307,Antibody; Diphtheria ,,,15.21,15.21,3
RC,307,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,307,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,307,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,307,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,307,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,307,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,307,Antibody; HIV-1 ,,,8.89,8.89,3
RC,307,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,307,Antibody; HIV-2 ,,,13.52,13.52,3
RC,307,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,307,Antibody; HTLV-I ,,,9.09,9.09,3
RC,307,Antibody; HTLV-II ,,,14.0,14.0,3
RC,307,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,307,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,307,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,307,Antibody; Legionella ,,,15.3,15.3,3
RC,307,Antibody; Leishmania ,,,12.25,12.25,3
RC,307,Antibody; Leptospira ,,,16.2,16.2,3
RC,307,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,307,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,307,Antibody; Nocardia ,,,15.99,15.99,3
RC,307,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,307,Antibody; Rickettsia ,,,19.35,19.35,3
RC,307,Antibody; Salmonella ,,,13.19,13.19,3
RC,307,Antibody; Shigella ,,,24.48,24.48,3
RC,307,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,307,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,307,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,307,Antibody; Trichinella ,,,12.56,12.56,3
RC,307,Antibody; West Nile virus ,,,14.39,14.39,3
RC,307,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,307,Antibody; Yersinia ,,,13.19,13.19,3
RC,307,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,307,Antibody; actinomyces ,,,10.18,10.18,3
RC,307,Antibody; adenovirus ,,,12.87,12.87,3
RC,307,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,307,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,307,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,307,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,307,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,307,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,307,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,307,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,307,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,307,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,307,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,307,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,307,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,307,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,307,Antibody; histoplasma ,,,13.79,13.79,3
RC,307,Antibody; influenza virus ,,,13.55,13.55,3
RC,307,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,307,Antibody; mucormycosis ,,,15.0,15.0,3
RC,307,Antibody; mumps ,,,13.05,13.05,3
RC,307,Antibody; mycoplasma ,,,13.24,13.24,3
RC,307,Antibody; parvovirus ,,,15.03,15.03,3
RC,307,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,307,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,307,Antibody; rotavirus ,,,18.23,18.23,3
RC,307,Antibody; rubella ,,,14.39,14.39,3
RC,307,Antibody; rubeola ,,,12.88,12.88,3
RC,307,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,307,Antibody; tetanus ,,,14.8,14.8,3
RC,307,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,307,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,307,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,307,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,307,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,307,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,307,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,307,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,307,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,307,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,307,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,307,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,307,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,307,"Apolipoprotein, each ",,,21.09,21.09,3
RC,307,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,307,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,307,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,307,Arsenic ,,,18.97,18.97,3
RC,307,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,307,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,307,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,307,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,307,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,307,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,307,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,307,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,307,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,307,"B cells, total count ",,,37.73,37.73,3
RC,307,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,307,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,307,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,307,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,307,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,307,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,307,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,307,Beta-2 microglobulin ,,,16.18,16.18,3
RC,307,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,307,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,307,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,307,Bile acids; total ,,,17.12,17.12,3
RC,307,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,307,Bilirubin; direct ,,,5.02,5.02,3
RC,307,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,307,Bilirubin; total ,,,5.02,5.02,3
RC,307,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,307,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,307,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,307,Bleeding time ,,,4.82,4.82,3
RC,307,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,307,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,307,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,307,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,307,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,307,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,307,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,307,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,307,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,307,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,307,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,307,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,307,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,307,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,307,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,307,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,307,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,307,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,307,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,307,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,307,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,307,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,307,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,307,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,307,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,307,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,307,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,307,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,307,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,307,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,307,Bradykinin ,,,5.16,5.16,3
RC,307,C-peptide ,,,20.81,20.81,3
RC,307,C-reactive protein; ,,,5.18,5.18,3
RC,307,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,307,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,307,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,307,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,307,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,307,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,307,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,307,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,307,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,307,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,307,Cadmium ,,,23.64,23.64,3
RC,307,Caffeine ,,,38.57,38.57,3
RC,307,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,307,Calcitonin ,,,26.79,26.79,3
RC,307,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,307,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,307,Calcium; ionized ,,,13.68,13.68,3
RC,307,Calcium; total ,,,5.16,5.16,3
RC,307,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,307,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,307,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,307,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,307,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,307,"Calprotectin, fecal ",,,19.63,19.63,3
RC,307,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,307,Carbamazepine; free ,,,13.25,13.25,3
RC,307,Carbamazepine; total ,,,14.57,14.57,3
RC,307,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,307,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,307,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,307,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,307,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,307,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,307,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,307,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,307,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,307,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,307,Carotene ,,,9.22,9.22,3
RC,307,Catecholamines; blood ,,,29.08,29.08,3
RC,307,Catecholamines; fractionated ,,,25.25,25.25,3
RC,307,Catecholamines; total urine ,,,27.3,27.3,3
RC,307,Cathepsin-D ,,,18.06,18.06,3
RC,307,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,307,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,307,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,307,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,307,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,307,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,307,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,307,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,307,Ceruloplasmin ,,,10.74,10.74,3
RC,307,Chemiluminescent assay ,,,14.12,14.12,3
RC,307,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,307,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,307,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,307,Chloramphenicol ,,,12.67,12.67,3
RC,307,Chloride; blood ,,,4.6,4.6,3
RC,307,Chloride; other source ,,,5.0,5.0,3
RC,307,Chloride; urine ,,,5.75,5.75,3
RC,307,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,307,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,307,Cholinesterase; RBC ,,,9.81,9.81,3
RC,307,Cholinesterase; serum ,,,7.87,7.87,3
RC,307,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,307,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,307,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,307,Chromium ,,,20.28,20.28,3
RC,307,Chromogenic substrate assay ,,,11.89,11.89,3
RC,307,Citrate ,,,27.8,27.8,3
RC,307,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,307,Clot retraction ,,,16.3,16.3,3
RC,307,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,307,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,307,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,307,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,307,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,307,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,307,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,307,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,307,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,307,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,307,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,307,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,307,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,307,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,307,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,307,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,307,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,307,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,307,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,307,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,307,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,307,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,307,Clozapine ,,,20.15,20.15,3
RC,307,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,307,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,307,Coagulation time; activated ,,,4.28,4.28,3
RC,307,Coagulation time; other methods ,,,4.49,4.49,3
RC,307,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,307,Cold agglutinin; screen ,,,8.07,8.07,3
RC,307,Cold agglutinin; titer ,,,8.06,8.06,3
RC,307,"Collagen cross links, any method ",,,18.68,18.68,3
RC,307,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,307,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,307,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,307,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,307,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,307,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,307,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,307,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,307,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,307,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,307,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,307,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,307,"Complement; antigen, each component ",,,12.0,12.0,3
RC,307,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,307,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,307,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,307,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,307,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,307,"Congo red, blood ",,,4.95,4.95,3
RC,307,Copper ,,,12.41,12.41,3
RC,307,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,307,Corticosterone ,,,22.52,22.52,3
RC,307,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,307,Cortisol; free ,,,16.71,16.71,3
RC,307,Cortisol; total ,,,16.3,16.3,3
RC,307,Creatine ,,,4.64,4.64,3
RC,307,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,307,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,307,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,307,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,307,Creatinine; blood ,,,5.12,5.12,3
RC,307,Creatinine; clearance ,,,9.46,9.46,3
RC,307,Creatinine; other source ,,,5.18,5.18,3
RC,307,Cryofibrinogen ,,,14.14,14.14,3
RC,307,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,307,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,307,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,307,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,307,Cryopreservation; sperm ,,,149.16,149.16,3
RC,307,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,307,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,307,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,307,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,307,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,307,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,307,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,307,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,307,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,307,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,307,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,307,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,307,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,307,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,307,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,307,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,307,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,307,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,307,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,307,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,307,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,307,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,307,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,307,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,307,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,307,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,307,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,307,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,307,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,307,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,307,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,307,"Culture, typing; other methods ",,,7.74,7.74,3
RC,307,Cyanide ,,,19.4,19.4,3
RC,307,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,307,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,307,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,307,Cyclosporine ,,,18.05,18.05,3
RC,307,Cystatin C ,,,18.52,18.52,3
RC,307,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,307,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,307,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,307,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,307,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,307,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,307,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,307,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,307,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,307,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,307,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,307,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,307,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,307,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,307,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,307,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,307,Dibucaine number ,,,12.25,12.25,3
RC,307,Digoxin; free ,,,13.28,13.28,3
RC,307,Digoxin; total ,,,13.28,13.28,3
RC,307,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,307,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,307,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,307,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,307,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,307,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,307,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,307,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,307,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,307,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,307,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,307,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,307,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,307,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,307,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,307,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,307,Erythropoietin ,,,18.79,18.79,3
RC,307,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,307,Estradiol; total ,,,27.94,27.94,3
RC,307,Estriol ,,,24.18,24.18,3
RC,307,Estrogens; fractionated ,,,32.3,32.3,3
RC,307,Estrogens; total ,,,21.7,21.7,3
RC,307,Estrone ,,,24.95,24.95,3
RC,307,Ethosuximide ,,,16.34,16.34,3
RC,307,Ethylene glycol ,,,14.9,14.9,3
RC,307,Etiocholanolone ,,,26.24,26.24,3
RC,307,Euglobulin lysis ,,,8.41,8.41,3
RC,307,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,307,Everolimus ,,,13.73,13.73,3
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,307,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,307,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,307,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,307,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,307,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,307,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,307,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,307,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,307,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,307,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,307,Factor inhibitor test ,,,12.87,12.87,3
RC,307,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,307,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,307,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,307,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,307,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,307,Felbamate ,,,18.64,18.64,3
RC,307,Fern test ,,,9.74,9.74,3
RC,307,Ferritin ,,,13.63,13.63,3
RC,307,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,307,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,307,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,307,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,307,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,307,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,307,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,307,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,307,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,307,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,307,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,307,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,307,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,307,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,307,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,307,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,307,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,307,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,307,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,307,Fibrinogen; activity ,,,9.72,9.72,3
RC,307,Fibrinogen; antigen ,,,14.46,14.46,3
RC,307,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,307,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,307,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,307,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,307,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,307,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,307,Flecainide ,,,18.64,18.64,3
RC,307,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,307,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,307,Fluoride ,,,18.54,18.54,3
RC,307,Folic acid; RBC ,,,17.65,17.65,3
RC,307,Folic acid; serum ,,,14.7,14.7,3
RC,307,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,307,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,307,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,307,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,307,"Fructose, semen ",,,17.34,17.34,3
RC,307,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,307,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,307,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,307,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,307,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,307,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,307,"Galactokinase, RBC ",,,21.48,21.48,3
RC,307,Galactose ,,,11.2,11.2,3
RC,307,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,307,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,307,Galectin-3 ,,,44.25,44.25,3
RC,307,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,307,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,307,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,307,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,307,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,307,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,307,"Gases, blood, pH only ",,,11.0,11.0,3
RC,307,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,307,Gastrin ,,,17.63,17.63,3
RC,307,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,307,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,307,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,307,Gentamicin ,,,16.38,16.38,3
RC,307,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,307,Glucagon ,,,14.29,14.29,3
RC,307,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,307,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,307,Glucagon tolerance test ,,,17.77,17.77,3
RC,307,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,307,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,307,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,307,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,307,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,307,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,307,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,307,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,307,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,307,"Glucosidase, beta ",,,21.48,21.48,3
RC,307,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,307,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,307,Glutathione ,,,15.45,15.45,3
RC,307,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,307,Glycated protein ,,,16.76,16.76,3
RC,307,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,307,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,307,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,307,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,307,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,307,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,307,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,307,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,307,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,307,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,307,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,307,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,307,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,307,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,307,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,307,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,307,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,307,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,307,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,307,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,307,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,307,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,307,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,307,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,307,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,307,Haloperidol ,,,15.78,15.78,3
RC,307,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,307,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,307,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,307,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,307,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,307,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,307,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,307,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,307,Heinz bodies; direct ,,,4.2,4.2,3
RC,307,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,307,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,307,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,307,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,307,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,307,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,307,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,307,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,307,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,307,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,307,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,307,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,307,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,307,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,307,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,307,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,307,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,307,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,307,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,307,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,307,Hemoglobin; plasma ,,,7.31,7.31,3
RC,307,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,307,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,307,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,307,Hemoglobin; urine ,,,3.95,3.95,3
RC,307,"Hemolysin, acid ",,,8.87,8.87,3
RC,307,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,307,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,307,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,307,Heparin assay ,,,13.09,13.09,3
RC,307,Heparin neutralization ,,,11.84,11.84,3
RC,307,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,307,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,307,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,307,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,307,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,307,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,307,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,307,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,307,Hepatitis C antibody; ,,,14.27,14.27,3
RC,307,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,307,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,307,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,307,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,307,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,307,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,307,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,307,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,307,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,307,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,307,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,307,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,307,Histamine ,,,29.53,29.53,3
RC,307,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,307,Homocysteine ,,,17.92,17.92,3
RC,307,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,307,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,307,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,307,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,307,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,307,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,307,Hydroxychloroquine ,,,18.64,18.64,3
RC,307,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,307,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,307,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,307,Hydroxyproline; free ,,,22.65,22.65,3
RC,307,Hydroxyproline; total ,,,24.3,24.3,3
RC,307,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,307,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,307,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,307,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,307,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,307,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,307,Immune complex assay ,,,24.37,24.37,3
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,307,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,307,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,307,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,307,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,307,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,307,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,307,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,307,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,307,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,307,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,307,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,307,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,307,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,307,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,307,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,307,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,307,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,307,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,307,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,307,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,307,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,307,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,307,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,307,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,307,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,307,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,307,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,307,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,307,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,307,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,307,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,307,Infliximab ,,,38.57,38.57,3
RC,307,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,307,Inhibin A ,,,15.59,15.59,3
RC,307,Insemination of oocytes ,,,149.16,149.16,3
RC,307,Insulin antibodies ,,,21.41,21.41,3
RC,307,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,307,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,307,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,307,Insulin; free ,,,12.95,12.95,3
RC,307,Insulin; total ,,,11.43,11.43,3
RC,307,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,307,Intrinsic factor ,,,19.82,19.82,3
RC,307,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,307,Iron ,,,6.47,6.47,3
RC,307,Iron binding capacity ,,,8.74,8.74,3
RC,307,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,307,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,307,Islet cell antibody ,,,23.57,23.57,3
RC,307,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,307,Itraconazole ,,,27.11,27.11,3
RC,307,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,307,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,307,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,307,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,307,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,307,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,307,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,307,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,307,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,307,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,307,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,307,Lacosamide ,,,27.11,27.11,3
RC,307,Lactate (lactic acid) ,,,11.57,11.57,3
RC,307,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,307,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,307,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,307,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,307,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,307,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,307,Lamotrigine ,,,13.25,13.25,3
RC,307,Lead ,,,12.11,12.11,3
RC,307,Leflunomide ,,,38.57,38.57,3
RC,307,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,307,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,307,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,307,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,307,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,307,Leukocyte transfusion ,,,149.16,149.16,3
RC,307,Levetiracetam ,,,13.25,13.25,3
RC,307,Lidocaine ,,,14.69,14.69,3
RC,307,Lipase ,,,6.89,6.89,3
RC,307,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,307,Lipoprotein (a) ,,,14.32,14.32,3
RC,307,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,307,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,307,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,307,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,307,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,307,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,307,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,307,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,307,Lithium ,,,6.61,6.61,3
RC,307,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,307,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,307,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,307,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,307,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,307,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,307,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,307,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,307,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,307,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,307,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,307,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,307,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,307,Magnesium ,,,6.7,6.7,3
RC,307,Malate dehydrogenase ,,,7.37,7.37,3
RC,307,Manganese ,,,26.65,26.65,3
RC,307,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,307,"Meat fibers, feces ",,,4.85,4.85,3
RC,307,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,307,"Mercury, quantitative ",,,16.26,16.26,3
RC,307,Metanephrines ,,,16.94,16.94,3
RC,307,Methemalbumin ,,,10.74,10.74,3
RC,307,Methotrexate ,,,38.57,38.57,3
RC,307,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,307,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,307,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,307,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,307,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,307,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,307,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,307,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,307,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,307,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,307,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,307,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,307,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,307,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,307,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,307,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,307,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,307,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,307,Muramidase ,,,18.75,18.75,3
RC,307,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,307,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,307,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,307,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,307,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,307,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,307,Myoglobin ,,,12.92,12.92,3
RC,307,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,307,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,307,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,307,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,307,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,307,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,307,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,307,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,307,Natriuretic peptide ,,,39.26,39.26,3
RC,307,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,307,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,307,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,307,"Neutralization test, viral ",,,16.91,16.91,3
RC,307,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,307,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,307,Nickel ,,,24.51,24.51,3
RC,307,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,307,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,307,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,307,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,307,Nucleotidase 5'- ,,,11.15,11.15,3
RC,307,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,307,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,307,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,307,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,307,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,307,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,307,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,307,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,307,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,307,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,307,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,307,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,307,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,307,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,307,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,307,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,307,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,307,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,307,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,307,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,307,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,307,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,307,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,307,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,307,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,307,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,307,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,307,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,307,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,307,Osmolality; blood ,,,6.61,6.61,3
RC,307,Osmolality; urine ,,,6.82,6.82,3
RC,307,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,307,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,307,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,307,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,307,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,307,Oxalate ,,,14.45,14.45,3
RC,307,Oxcarbazepine ,,,13.25,13.25,3
RC,307,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,307,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,307,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,307,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,307,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,307,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,307,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,307,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,307,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,307,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,307,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,307,Phenobarbital ,,,15.3,15.3,3
RC,307,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,307,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,307,Phenytoin; free ,,,13.76,13.76,3
RC,307,Phenytoin; total ,,,13.25,13.25,3
RC,307,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,307,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,307,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,307,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,307,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,307,Phosphatidylglycerol ,,,16.52,16.52,3
RC,307,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,307,Phosphohexose isomerase ,,,10.73,10.73,3
RC,307,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,307,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,307,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,307,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,307,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,307,Pinworm examinations ,,,4.27,4.27,3
RC,307,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,307,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,307,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,307,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,307,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,307,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,307,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,307,Posaconazole ,,,27.11,27.11,3
RC,307,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,307,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,307,Potassium; urine ,,,4.73,4.73,3
RC,307,Prealbumin ,,,14.59,14.59,3
RC,307,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,307,Pregnanediol ,,,21.27,21.27,3
RC,307,Pregnanetriol ,,,21.05,21.05,3
RC,307,Pregnenolone ,,,20.67,20.67,3
RC,307,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,307,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,307,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,307,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,307,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,307,Primidone ,,,16.59,16.59,3
RC,307,Procainamide; ,,,60.0,60.0,3
RC,307,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,307,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,307,Progesterone ,,,20.86,20.86,3
RC,307,Proinsulin ,,,26.69,26.69,3
RC,307,Prolactin ,,,19.38,19.38,3
RC,307,"Prostaglandin, each ",,,41.77,41.77,3
RC,307,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,307,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,307,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,307,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,307,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,307,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,307,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,307,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,307,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,307,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,307,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,307,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,307,Prothrombin time; ,,,4.29,4.29,3
RC,307,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,307,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,307,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,307,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,307,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,307,Pyruvate ,,,14.48,14.48,3
RC,307,Pyruvate kinase ,,,9.44,9.44,3
RC,307,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,307,Quinidine ,,,14.6,14.6,3
RC,307,Quinine ,,,11.63,11.63,3
RC,307,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,307,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,307,Receptor assay; estrogen ,,,87.88,87.88,3
RC,307,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,307,Receptor assay; progesterone ,,,64.88,64.88,3
RC,307,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,307,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,307,Renin ,,,21.99,21.99,3
RC,307,Reptilase test ,,,9.85,9.85,3
RC,307,Reticulated platelet assay ,,,35.74,35.74,3
RC,307,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,307,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,307,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,307,Rufinamide ,,,27.11,27.11,3
RC,307,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,307,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,307,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,307,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,307,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,307,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,307,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,307,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,307,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,307,Salicylate ,,,18.64,18.64,3
RC,307,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,307,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,307,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,307,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,307,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,307,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,307,Selenium ,,,25.53,25.53,3
RC,307,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,307,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,307,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,307,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,307,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,307,Serotonin ,,,30.98,30.98,3
RC,307,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,307,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,307,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,307,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,307,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,307,Sialic acid ,,,13.44,13.44,3
RC,307,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,307,Silica ,,,25.21,25.21,3
RC,307,Sirolimus ,,,13.73,13.73,3
RC,307,Skin test; candida ,,,24.67,24.67,3
RC,307,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,307,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,307,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,307,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,307,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,307,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,307,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,307,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,307,Sodium; other source ,,,4.86,4.86,3
RC,307,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,307,Sodium; urine ,,,5.06,5.06,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,307,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,307,Somatomedin ,,,21.26,21.26,3
RC,307,Somatostatin ,,,18.28,18.28,3
RC,307,Specific gravity (except urine) ,,,3.28,3.28,3
RC,307,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,307,Sperm antibodies ,,,10.67,10.67,3
RC,307,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,307,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,307,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,307,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,307,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,307,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,307,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,307,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,307,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,307,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,307,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,307,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,307,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,307,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,307,"Streptokinase, antibody ",,,12.66,12.66,3
RC,307,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,307,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,307,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,307,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,307,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,307,"Sulfate, urine ",,,5.49,5.49,3
RC,307,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,307,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,307,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,307,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,307,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,307,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,307,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,307,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,307,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,307,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,307,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,307,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,307,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,307,T cells; total count ,,,37.73,37.73,3
RC,307,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,307,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,307,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,307,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,307,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,307,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,307,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,307,Tacrolimus ,,,13.73,13.73,3
RC,307,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,307,"Tau, total (tTau) ",,,128.92,128.92,3
RC,307,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,307,Testosterone; free ,,,25.47,25.47,3
RC,307,Testosterone; total ,,,25.81,25.81,3
RC,307,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,307,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,307,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,307,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,307,Theophylline ,,,14.14,14.14,3
RC,307,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,307,Thiocyanate ,,,11.63,11.63,3
RC,307,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,307,Thrombin time; plasma ,,,5.77,5.77,3
RC,307,Thrombin time; titer ,,,6.85,6.85,3
RC,307,Thrombomodulin ,,,17.27,17.27,3
RC,307,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,307,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,307,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,307,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,307,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,307,Thyroglobulin ,,,16.06,16.06,3
RC,307,Thyroglobulin antibody ,,,15.91,15.91,3
RC,307,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,307,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,307,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,307,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,307,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,307,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,307,Thyroxine; free ,,,9.02,9.02,3
RC,307,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,307,Thyroxine; total ,,,6.87,6.87,3
RC,307,Tiagabine ,,,27.11,27.11,3
RC,307,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,307,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,307,Tobramycin ,,,16.13,16.13,3
RC,307,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,307,Topiramate ,,,11.92,11.92,3
RC,307,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,307,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,307,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,307,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,307,Transferrin ,,,12.76,12.76,3
RC,307,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,307,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,307,Triglycerides ,,,5.74,5.74,3
RC,307,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,307,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,307,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,307,"Troponin, qualitative ",,,10.09,10.09,3
RC,307,"Troponin, quantitative ",,,12.47,12.47,3
RC,307,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,307,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,307,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,307,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,307,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,307,Tyrosine ,,,10.63,10.63,3
RC,307,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,307,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,307,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,307,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,307,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,307,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,307,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,307,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,307,Uric acid; blood ,,,4.52,4.52,3
RC,307,Uric acid; other source ,,,5.08,5.08,3
RC,307,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,307,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,307,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,307,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,307,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,307,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,307,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,307,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,307,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,307,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,307,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,307,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,307,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,307,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,307,Vancomycin ,,,13.54,13.54,3
RC,307,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,307,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,307,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,307,Vedolizumab ,,,38.57,38.57,3
RC,307,Very long chain fatty acids ,,,19.75,19.75,3
RC,307,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,307,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,307,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,307,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,307,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,307,Viscosity ,,,11.67,11.67,3
RC,307,Vitamin A ,,,11.61,11.61,3
RC,307,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,307,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,307,Vitamin K ,,,13.72,13.72,3
RC,307,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,307,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,307,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,307,"Volume measurement for timed collection, each ",174.27,174.27,3.64,3.64,3
RC,307,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,307,Voriconazole ,,,27.11,27.11,3
RC,307,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,307,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,307,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,307,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,307,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,307,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,307,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,307,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,307,Zinc ,,,11.39,11.39,3
RC,307,Zonisamide ,,,13.25,13.25,3
RC,307,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,307,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,307,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,309, Laboratory Other  ,,,,,0
RC,309,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,309,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,309,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,309,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,309,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,309,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,309,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,309,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,309,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,309,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,309,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,309,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,Acetaminophen ,,,18.64,18.64,3
RC,309,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,309,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,309,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,309,Acetylcholinesterase ,,,12.29,12.29,3
RC,309,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,309,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,309,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,309,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,309,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,309,Adalimumab ,,,38.57,38.57,3
RC,309,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,309,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,309,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,309,Albumin; ischemia modified ,,,33.94,33.94,3
RC,309,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,309,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,309,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,309,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,309,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,309,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,309,Aldolase ,,,9.71,9.71,3
RC,309,Aldosterone ,,,40.75,40.75,3
RC,309,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,309,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,309,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,309,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,309,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,309,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,309,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,309,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,309,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,309,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,309,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,309,Aluminum ,,,25.48,25.48,3
RC,309,Amikacin ,,,15.08,15.08,3
RC,309,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,309,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,309,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,309,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,309,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,309,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,309,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,309,Amiodarone ,,,18.64,18.64,3
RC,309,Ammonia ,,,14.57,14.57,3
RC,309,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,309,Amylase ,,,6.48,6.48,3
RC,309,Androstanediol glucuronide ,,,28.83,28.83,3
RC,309,Androstenedione ,,,29.28,29.28,3
RC,309,Androsterone ,,,25.55,25.55,3
RC,309,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,309,Angiotensin II ,,,20.52,20.52,3
RC,309,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,309,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,309,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,309,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,309,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,309,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,309,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,309,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,309,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,309,Antibody; Aspergillus ,,,15.05,15.05,3
RC,309,Antibody; Bartonella ,,,10.18,10.18,3
RC,309,Antibody; Blastomyces ,,,12.9,12.9,3
RC,309,Antibody; Bordetella ,,,13.19,13.19,3
RC,309,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,309,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,309,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,309,Antibody; Brucella ,,,8.93,8.93,3
RC,309,Antibody; Campylobacter ,,,13.12,13.12,3
RC,309,Antibody; Candida ,,,12.01,12.01,3
RC,309,Antibody; Chlamydia ,,,11.82,11.82,3
RC,309,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,309,Antibody; Coccidioides ,,,11.47,11.47,3
RC,309,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,309,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,309,Antibody; Diphtheria ,,,15.21,15.21,3
RC,309,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,309,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,309,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,309,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,309,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,309,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,309,Antibody; HIV-1 ,,,8.89,8.89,3
RC,309,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,309,Antibody; HIV-2 ,,,13.52,13.52,3
RC,309,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,309,Antibody; HTLV-I ,,,9.09,9.09,3
RC,309,Antibody; HTLV-II ,,,14.0,14.0,3
RC,309,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,309,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,309,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,309,Antibody; Legionella ,,,15.3,15.3,3
RC,309,Antibody; Leishmania ,,,12.25,12.25,3
RC,309,Antibody; Leptospira ,,,16.2,16.2,3
RC,309,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,309,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,309,Antibody; Nocardia ,,,15.99,15.99,3
RC,309,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,309,Antibody; Rickettsia ,,,19.35,19.35,3
RC,309,Antibody; Salmonella ,,,13.19,13.19,3
RC,309,Antibody; Shigella ,,,24.48,24.48,3
RC,309,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,309,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,309,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,309,Antibody; Trichinella ,,,12.56,12.56,3
RC,309,Antibody; West Nile virus ,,,14.39,14.39,3
RC,309,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,309,Antibody; Yersinia ,,,13.19,13.19,3
RC,309,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,309,Antibody; actinomyces ,,,10.18,10.18,3
RC,309,Antibody; adenovirus ,,,12.87,12.87,3
RC,309,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,309,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,309,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,309,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,309,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,309,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,309,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,309,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,309,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,309,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,309,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,309,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,309,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,309,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,309,Antibody; histoplasma ,,,13.79,13.79,3
RC,309,Antibody; influenza virus ,,,13.55,13.55,3
RC,309,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,309,Antibody; mucormycosis ,,,15.0,15.0,3
RC,309,Antibody; mumps ,,,13.05,13.05,3
RC,309,Antibody; mycoplasma ,,,13.24,13.24,3
RC,309,Antibody; parvovirus ,,,15.03,15.03,3
RC,309,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,309,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,309,Antibody; rotavirus ,,,18.23,18.23,3
RC,309,Antibody; rubella ,,,14.39,14.39,3
RC,309,Antibody; rubeola ,,,12.88,12.88,3
RC,309,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,309,Antibody; tetanus ,,,14.8,14.8,3
RC,309,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,309,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,309,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,309,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,309,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,309,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,309,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,309,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,309,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,309,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,309,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,309,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,309,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,309,"Apolipoprotein, each ",,,21.09,21.09,3
RC,309,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,309,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,309,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,309,Arsenic ,,,18.97,18.97,3
RC,309,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,309,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,309,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,309,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,309,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,309,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,309,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,309,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,309,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,309,"B cells, total count ",,,37.73,37.73,3
RC,309,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,309,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,309,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,309,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,309,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,309,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,309,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,309,Beta-2 microglobulin ,,,16.18,16.18,3
RC,309,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,309,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,309,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,309,Bile acids; total ,,,17.12,17.12,3
RC,309,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,309,Bilirubin; direct ,,,5.02,5.02,3
RC,309,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,309,Bilirubin; total ,,,5.02,5.02,3
RC,309,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,309,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,309,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,309,Bleeding time ,,,4.82,4.82,3
RC,309,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,309,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,309,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,309,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,309,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,309,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,309,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,309,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,309,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,309,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,309,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,309,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,309,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,309,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,309,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,309,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,309,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,309,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,309,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,309,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,309,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,309,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,309,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,309,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,309,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,309,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,309,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,309,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,309,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,309,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,309,Bradykinin ,,,5.16,5.16,3
RC,309,C-peptide ,,,20.81,20.81,3
RC,309,C-reactive protein; ,,,5.18,5.18,3
RC,309,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,309,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,309,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,309,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,309,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,309,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,309,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,309,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,309,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,309,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,309,Cadmium ,,,23.64,23.64,3
RC,309,Caffeine ,,,38.57,38.57,3
RC,309,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,309,Calcitonin ,,,26.79,26.79,3
RC,309,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,309,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,309,Calcium; ionized ,,,13.68,13.68,3
RC,309,Calcium; total ,,,5.16,5.16,3
RC,309,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,309,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,309,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,309,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,309,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,309,"Calprotectin, fecal ",,,19.63,19.63,3
RC,309,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,309,Carbamazepine; free ,,,13.25,13.25,3
RC,309,Carbamazepine; total ,,,14.57,14.57,3
RC,309,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,309,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,309,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,309,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,309,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,309,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,309,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,309,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,309,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,309,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,309,Carotene ,,,9.22,9.22,3
RC,309,Catecholamines; blood ,,,29.08,29.08,3
RC,309,Catecholamines; fractionated ,,,25.25,25.25,3
RC,309,Catecholamines; total urine ,,,27.3,27.3,3
RC,309,Cathepsin-D ,,,18.06,18.06,3
RC,309,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,309,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,309,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,309,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",432.43,432.43,4.72,4.72,3
RC,309,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,309,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,309,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,309,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,309,Ceruloplasmin ,,,10.74,10.74,3
RC,309,Chemiluminescent assay ,,,14.12,14.12,3
RC,309,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,309,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,309,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,309,Chloramphenicol ,,,12.67,12.67,3
RC,309,Chloride; blood ,,,4.6,4.6,3
RC,309,Chloride; other source ,,,5.0,5.0,3
RC,309,Chloride; urine ,,,5.75,5.75,3
RC,309,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,309,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,309,Cholinesterase; RBC ,,,9.81,9.81,3
RC,309,Cholinesterase; serum ,,,7.87,7.87,3
RC,309,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,309,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,309,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,309,Chromium ,,,20.28,20.28,3
RC,309,Chromogenic substrate assay ,,,11.89,11.89,3
RC,309,Citrate ,,,27.8,27.8,3
RC,309,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,309,Clot retraction ,,,16.3,16.3,3
RC,309,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,309,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,309,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,309,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,309,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,309,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,309,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,309,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,309,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,309,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,309,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,309,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,309,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,309,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,309,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,309,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,309,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,309,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,309,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,309,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,309,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,309,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,309,Clozapine ,,,20.15,20.15,3
RC,309,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,309,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,309,Coagulation time; activated ,,,4.28,4.28,3
RC,309,Coagulation time; other methods ,,,4.49,4.49,3
RC,309,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,309,Cold agglutinin; screen ,,,8.07,8.07,3
RC,309,Cold agglutinin; titer ,,,8.06,8.06,3
RC,309,"Collagen cross links, any method ",,,18.68,18.68,3
RC,309,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,309,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,309,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,309,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,309,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,309,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,309,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,309,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,309,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,309,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,309,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,309,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,309,"Complement; antigen, each component ",,,12.0,12.0,3
RC,309,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,309,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,309,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,309,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,309,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,309,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,309,"Congo red, blood ",,,4.95,4.95,3
RC,309,Copper ,,,12.41,12.41,3
RC,309,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,309,Corticosterone ,,,22.52,22.52,3
RC,309,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,309,Cortisol; free ,,,16.71,16.71,3
RC,309,Cortisol; total ,,,16.3,16.3,3
RC,309,Creatine ,,,4.64,4.64,3
RC,309,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,309,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,309,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,309,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,309,Creatinine; blood ,,,5.12,5.12,3
RC,309,Creatinine; clearance ,,,9.46,9.46,3
RC,309,Creatinine; other source ,,,5.18,5.18,3
RC,309,Cryofibrinogen ,,,14.14,14.14,3
RC,309,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,309,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,309,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,309,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,309,Cryopreservation; sperm ,,,149.16,149.16,3
RC,309,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,309,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,309,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,309,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,309,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,309,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,309,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,309,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,309,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,309,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,309,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,309,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,309,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,309,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,309,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,309,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,309,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,309,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,309,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,309,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,309,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,309,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,309,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,309,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,309,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,309,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,309,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,309,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,309,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,309,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,309,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,309,"Culture, typing; other methods ",,,7.74,7.74,3
RC,309,Cyanide ,,,19.4,19.4,3
RC,309,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,309,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,309,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,309,Cyclosporine ,,,18.05,18.05,3
RC,309,Cystatin C ,,,18.52,18.52,3
RC,309,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,309,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,309,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,309,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,309,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,309,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,309,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,309,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,309,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,309,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,309,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,309,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,309,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,309,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,309,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,309,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,309,Dibucaine number ,,,12.25,12.25,3
RC,309,Digoxin; free ,,,13.28,13.28,3
RC,309,Digoxin; total ,,,13.28,13.28,3
RC,309,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,309,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,309,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,309,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,309,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,309,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,309,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,309,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,309,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,309,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,309,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,309,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,309,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,309,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,309,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,309,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,309,Erythropoietin ,,,18.79,18.79,3
RC,309,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,309,Estradiol; total ,,,27.94,27.94,3
RC,309,Estriol ,,,24.18,24.18,3
RC,309,Estrogens; fractionated ,,,32.3,32.3,3
RC,309,Estrogens; total ,,,21.7,21.7,3
RC,309,Estrone ,,,24.95,24.95,3
RC,309,Ethosuximide ,,,16.34,16.34,3
RC,309,Ethylene glycol ,,,14.9,14.9,3
RC,309,Etiocholanolone ,,,26.24,26.24,3
RC,309,Euglobulin lysis ,,,8.41,8.41,3
RC,309,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,309,Everolimus ,,,13.73,13.73,3
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,309,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,309,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,309,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,309,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,309,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,309,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,309,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,309,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,309,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,309,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,309,Factor inhibitor test ,,,12.87,12.87,3
RC,309,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,309,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,309,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,309,"Fat stain, feces, urine, or respiratory secretions ",598.61,598.61,5.88,5.88,3
RC,309,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,309,Felbamate ,,,18.64,18.64,3
RC,309,Fern test ,,,9.74,9.74,3
RC,309,Ferritin ,,,13.63,13.63,3
RC,309,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,309,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,309,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,309,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,309,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,309,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,309,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,309,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,309,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,309,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,309,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,309,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,309,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,309,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,309,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,309,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,309,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,309,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,309,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,309,Fibrinogen; activity ,,,9.72,9.72,3
RC,309,Fibrinogen; antigen ,,,14.46,14.46,3
RC,309,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,309,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,309,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,309,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,309,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,309,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,309,Flecainide ,,,18.64,18.64,3
RC,309,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,309,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,309,Fluoride ,,,18.54,18.54,3
RC,309,Folic acid; RBC ,,,17.65,17.65,3
RC,309,Folic acid; serum ,,,14.7,14.7,3
RC,309,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,309,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,309,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,309,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,309,"Fructose, semen ",,,17.34,17.34,3
RC,309,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,309,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,309,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,309,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,309,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,309,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,309,"Galactokinase, RBC ",,,21.48,21.48,3
RC,309,Galactose ,,,11.2,11.2,3
RC,309,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,309,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,309,Galectin-3 ,,,44.25,44.25,3
RC,309,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,309,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,309,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,309,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,309,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,309,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,309,"Gases, blood, pH only ",,,11.0,11.0,3
RC,309,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,309,Gastrin ,,,17.63,17.63,3
RC,309,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,309,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,309,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,309,Gentamicin ,,,16.38,16.38,3
RC,309,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,309,Glucagon ,,,14.29,14.29,3
RC,309,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,309,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,309,Glucagon tolerance test ,,,17.77,17.77,3
RC,309,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,309,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,309,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,309,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,309,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,309,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,309,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,309,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,309,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,309,"Glucosidase, beta ",,,21.48,21.48,3
RC,309,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,309,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,309,Glutathione ,,,15.45,15.45,3
RC,309,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,309,Glycated protein ,,,16.76,16.76,3
RC,309,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,309,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,309,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,309,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,309,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,309,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,309,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,309,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,309,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,309,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,309,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,309,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,309,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,309,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,309,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,309,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,309,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,309,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,309,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,309,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,309,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,309,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,309,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,309,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,309,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,309,Haloperidol ,,,15.78,15.78,3
RC,309,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,309,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,309,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,309,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,309,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,309,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,309,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,309,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,309,Heinz bodies; direct ,,,4.2,4.2,3
RC,309,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,309,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,309,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,309,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,309,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,309,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,309,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,309,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,309,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,309,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,309,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,309,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,309,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,309,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,309,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,309,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,309,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,309,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,309,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,309,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,309,Hemoglobin; plasma ,,,7.31,7.31,3
RC,309,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,309,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,309,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,309,Hemoglobin; urine ,,,3.95,3.95,3
RC,309,"Hemolysin, acid ",,,8.87,8.87,3
RC,309,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,309,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,309,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,309,Heparin assay ,,,13.09,13.09,3
RC,309,Heparin neutralization ,,,11.84,11.84,3
RC,309,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,309,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,309,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,309,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,309,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,309,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,309,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,309,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,309,Hepatitis C antibody; ,,,14.27,14.27,3
RC,309,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,309,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,309,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,309,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,309,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,309,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,309,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,309,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,309,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,309,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,309,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,309,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,309,Histamine ,,,29.53,29.53,3
RC,309,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,309,Homocysteine ,,,17.92,17.92,3
RC,309,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,309,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,309,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,309,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,309,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,309,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,309,Hydroxychloroquine ,,,18.64,18.64,3
RC,309,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,309,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,309,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,309,Hydroxyproline; free ,,,22.65,22.65,3
RC,309,Hydroxyproline; total ,,,24.3,24.3,3
RC,309,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,309,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,309,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,309,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,309,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,309,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,309,Immune complex assay ,,,24.37,24.37,3
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,309,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,309,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,309,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,309,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,309,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,309,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,309,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,309,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,309,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,309,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,309,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,309,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,309,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,309,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,309,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,309,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,309,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,309,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,309,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,309,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,309,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,309,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,309,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,309,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,309,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,309,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,309,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,309,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,309,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,309,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,309,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,309,Infliximab ,,,38.57,38.57,3
RC,309,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,309,Inhibin A ,,,15.59,15.59,3
RC,309,Insemination of oocytes ,,,149.16,149.16,3
RC,309,Insulin antibodies ,,,21.41,21.41,3
RC,309,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,309,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,309,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,309,Insulin; free ,,,12.95,12.95,3
RC,309,Insulin; total ,,,11.43,11.43,3
RC,309,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,309,Intrinsic factor ,,,19.82,19.82,3
RC,309,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,309,Iron ,,,6.47,6.47,3
RC,309,Iron binding capacity ,,,8.74,8.74,3
RC,309,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,309,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,309,Islet cell antibody ,,,23.57,23.57,3
RC,309,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,309,Itraconazole ,,,27.11,27.11,3
RC,309,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,309,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,309,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,309,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,309,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,309,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,309,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,309,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,309,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,309,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,309,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,309,Lacosamide ,,,27.11,27.11,3
RC,309,Lactate (lactic acid) ,,,11.57,11.57,3
RC,309,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,309,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,309,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,309,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,309,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,309,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,309,Lamotrigine ,,,13.25,13.25,3
RC,309,Lead ,,,12.11,12.11,3
RC,309,Leflunomide ,,,38.57,38.57,3
RC,309,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,309,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,309,"Leukocyte assessment, fecal, qualitative or semiquantitative ",613.14,613.14,4.27,4.27,3
RC,309,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,309,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,309,Leukocyte transfusion ,,,149.16,149.16,3
RC,309,Levetiracetam ,,,13.25,13.25,3
RC,309,Lidocaine ,,,14.69,14.69,3
RC,309,Lipase ,,,6.89,6.89,3
RC,309,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,309,Lipoprotein (a) ,,,14.32,14.32,3
RC,309,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,309,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,309,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,309,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,309,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,309,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,309,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,309,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,309,Lithium ,,,6.61,6.61,3
RC,309,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,309,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,309,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,309,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,309,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,309,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,309,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,309,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,309,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,309,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,309,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,309,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,309,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,309,Magnesium ,,,6.7,6.7,3
RC,309,Malate dehydrogenase ,,,7.37,7.37,3
RC,309,Manganese ,,,26.65,26.65,3
RC,309,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,309,"Meat fibers, feces ",,,4.85,4.85,3
RC,309,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,309,"Mercury, quantitative ",,,16.26,16.26,3
RC,309,Metanephrines ,,,16.94,16.94,3
RC,309,Methemalbumin ,,,10.74,10.74,3
RC,309,Methotrexate ,,,38.57,38.57,3
RC,309,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,309,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,309,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,309,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,309,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,309,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,309,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,309,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,309,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,309,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,309,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,309,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,309,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,309,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,309,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,309,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,309,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,309,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,309,Muramidase ,,,18.75,18.75,3
RC,309,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,309,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,309,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,309,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,309,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,309,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,309,Myoglobin ,,,12.92,12.92,3
RC,309,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,309,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,309,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,309,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,309,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,309,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,309,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,309,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,309,Natriuretic peptide ,,,39.26,39.26,3
RC,309,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,309,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,309,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,309,"Neutralization test, viral ",,,16.91,16.91,3
RC,309,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,309,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,309,Nickel ,,,24.51,24.51,3
RC,309,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,309,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,309,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,309,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,309,Nucleotidase 5'- ,,,11.15,11.15,3
RC,309,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,309,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,309,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,309,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,309,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,309,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,309,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,309,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,309,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,309,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,309,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,309,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,309,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,309,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,309,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,309,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,309,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,309,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,309,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,309,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,309,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,309,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,309,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,309,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,309,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,309,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,309,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,309,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,309,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,309,Osmolality; blood ,,,6.61,6.61,3
RC,309,Osmolality; urine ,,,6.82,6.82,3
RC,309,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,309,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,309,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,309,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,309,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,309,Oxalate ,,,14.45,14.45,3
RC,309,Oxcarbazepine ,,,13.25,13.25,3
RC,309,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,309,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,309,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,309,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,309,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,309,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,309,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,309,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,309,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,309,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,309,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,309,Phenobarbital ,,,15.3,15.3,3
RC,309,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,309,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,309,Phenytoin; free ,,,13.76,13.76,3
RC,309,Phenytoin; total ,,,13.25,13.25,3
RC,309,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,309,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,309,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,309,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,309,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,309,Phosphatidylglycerol ,,,16.52,16.52,3
RC,309,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,309,Phosphohexose isomerase ,,,10.73,10.73,3
RC,309,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,309,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,309,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,309,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,309,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,309,Pinworm examinations ,,,4.27,4.27,3
RC,309,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,309,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,309,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,309,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,309,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,309,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,309,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,309,Posaconazole ,,,27.11,27.11,3
RC,309,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,309,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,309,Potassium; urine ,,,4.73,4.73,3
RC,309,Prealbumin ,,,14.59,14.59,3
RC,309,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,309,Pregnanediol ,,,21.27,21.27,3
RC,309,Pregnanetriol ,,,21.05,21.05,3
RC,309,Pregnenolone ,,,20.67,20.67,3
RC,309,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,309,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,309,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,309,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,309,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,309,Primidone ,,,16.59,16.59,3
RC,309,Procainamide; ,,,60.0,60.0,3
RC,309,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,309,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,309,Progesterone ,,,20.86,20.86,3
RC,309,Proinsulin ,,,26.69,26.69,3
RC,309,Prolactin ,,,19.38,19.38,3
RC,309,"Prostaglandin, each ",,,41.77,41.77,3
RC,309,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,309,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,309,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,309,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,309,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,309,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,309,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,309,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,309,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,309,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,309,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,309,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,309,Prothrombin time; ,,,4.29,4.29,3
RC,309,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,309,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,309,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,309,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,309,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,309,Pyruvate ,,,14.48,14.48,3
RC,309,Pyruvate kinase ,,,9.44,9.44,3
RC,309,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,309,Quinidine ,,,14.6,14.6,3
RC,309,Quinine ,,,11.63,11.63,3
RC,309,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,309,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,309,Receptor assay; estrogen ,,,87.88,87.88,3
RC,309,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,309,Receptor assay; progesterone ,,,64.88,64.88,3
RC,309,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,309,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,309,Renin ,,,21.99,21.99,3
RC,309,Reptilase test ,,,9.85,9.85,3
RC,309,Reticulated platelet assay ,,,35.74,35.74,3
RC,309,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,309,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,309,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,309,Rufinamide ,,,27.11,27.11,3
RC,309,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,309,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,309,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,309,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,309,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,309,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,309,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,309,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,309,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,309,Salicylate ,,,18.64,18.64,3
RC,309,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,309,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,309,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,309,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,309,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,309,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,309,Selenium ,,,25.53,25.53,3
RC,309,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,309,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,309,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,309,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,309,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,309,Serotonin ,,,30.98,30.98,3
RC,309,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,309,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,309,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,309,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,309,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,309,Sialic acid ,,,13.44,13.44,3
RC,309,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,309,Silica ,,,25.21,25.21,3
RC,309,Sirolimus ,,,13.73,13.73,3
RC,309,Skin test; candida ,,,24.67,24.67,3
RC,309,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,309,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,309,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,309,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,309,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,309,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,309,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,309,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,309,Sodium; other source ,,,4.86,4.86,3
RC,309,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,309,Sodium; urine ,,,5.06,5.06,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,309,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,309,Somatomedin ,,,21.26,21.26,3
RC,309,Somatostatin ,,,18.28,18.28,3
RC,309,Specific gravity (except urine) ,,,3.28,3.28,3
RC,309,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,309,Sperm antibodies ,,,10.67,10.67,3
RC,309,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,309,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,309,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,309,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,309,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,309,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,309,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,309,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,309,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,309,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,309,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,309,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,309,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,309,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,309,"Streptokinase, antibody ",,,12.66,12.66,3
RC,309,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,309,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,309,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,309,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,309,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,309,"Sulfate, urine ",,,5.49,5.49,3
RC,309,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,309,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,309,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,309,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,309,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,309,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,309,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,309,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,309,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,309,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,309,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,309,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,309,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,309,T cells; total count ,,,37.73,37.73,3
RC,309,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,309,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,309,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,309,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,309,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,309,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,309,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,309,Tacrolimus ,,,13.73,13.73,3
RC,309,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,309,"Tau, total (tTau) ",,,128.92,128.92,3
RC,309,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,309,Testosterone; free ,,,25.47,25.47,3
RC,309,Testosterone; total ,,,25.81,25.81,3
RC,309,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,309,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,309,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,309,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,309,Theophylline ,,,14.14,14.14,3
RC,309,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,309,Thiocyanate ,,,11.63,11.63,3
RC,309,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,309,Thrombin time; plasma ,,,5.77,5.77,3
RC,309,Thrombin time; titer ,,,6.85,6.85,3
RC,309,Thrombomodulin ,,,17.27,17.27,3
RC,309,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,309,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,309,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,309,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,309,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,309,Thyroglobulin ,,,16.06,16.06,3
RC,309,Thyroglobulin antibody ,,,15.91,15.91,3
RC,309,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,309,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,309,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,309,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,309,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,309,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,309,Thyroxine; free ,,,9.02,9.02,3
RC,309,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,309,Thyroxine; total ,,,6.87,6.87,3
RC,309,Tiagabine ,,,27.11,27.11,3
RC,309,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,309,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,309,Tobramycin ,,,16.13,16.13,3
RC,309,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,309,Topiramate ,,,11.92,11.92,3
RC,309,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,309,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,309,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,309,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,309,Transferrin ,,,12.76,12.76,3
RC,309,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,309,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,309,Triglycerides ,,,5.74,5.74,3
RC,309,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,309,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,309,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,309,"Troponin, qualitative ",,,10.09,10.09,3
RC,309,"Troponin, quantitative ",,,12.47,12.47,3
RC,309,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,309,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,309,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,309,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,309,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,309,Tyrosine ,,,10.63,10.63,3
RC,309,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,309,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,309,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,309,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,309,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,309,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,309,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,309,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,309,Uric acid; blood ,,,4.52,4.52,3
RC,309,Uric acid; other source ,,,5.08,5.08,3
RC,309,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,309,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,309,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,309,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,309,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,309,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,309,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,309,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,309,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,309,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,309,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,309,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,309,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,309,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,309,Vancomycin ,,,13.54,13.54,3
RC,309,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,309,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,309,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,309,Vedolizumab ,,,38.57,38.57,3
RC,309,Very long chain fatty acids ,,,19.75,19.75,3
RC,309,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,309,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,309,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,309,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,309,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,309,Viscosity ,,,11.67,11.67,3
RC,309,Vitamin A ,,,11.61,11.61,3
RC,309,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,309,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,309,Vitamin K ,,,13.72,13.72,3
RC,309,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,309,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,309,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,309,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,309,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,309,Voriconazole ,,,27.11,27.11,3
RC,309,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,309,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,309,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,309,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,309,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,309,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,309,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,309,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,309,Zinc ,,,11.39,11.39,3
RC,309,Zonisamide ,,,13.25,13.25,3
RC,309,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,309,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,309,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,310, Laboratory Pathology General Classification  ,,,,,0
RC,310,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,310,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,310,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,310,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,310,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,310,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,310,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,310,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,310,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,310,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,310,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,310,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,310,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,310,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,310,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,310,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,310,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,310,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,310,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,310,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,310,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,310,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,310,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,310,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,310,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,310,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,310,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,310,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,310,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,310,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,310,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,310,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,310,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,310,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,310,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,310,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,310,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,310,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,310,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,310,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,310,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,310,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,310,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,310,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,310,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,310,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,310,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,310,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,310,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,310,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,310,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,310,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,310,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,310,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,310,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,310,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,310,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,310,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,310,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,310,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,310,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,310,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,310,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,310,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,310,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,310,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,310,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,310,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,310,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,310,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,310,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,310,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,310,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,310,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,310,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,310,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,310,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,310,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,310,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,310,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,310,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,310,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,310,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,310,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,310,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,310,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,310,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,310,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,310,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,310,Nerve teasing preparations ,1581.24,1581.24,656.15,656.15,3
RC,310,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,310,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,310,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,310,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,310,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,310,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,310,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,310,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,310,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,310,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,310,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,310,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,310,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,310,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,310,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,310,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,310,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,310,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,310,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,310,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,310,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,310,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,310,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,310,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,310,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,310,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,310,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,310,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,310,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,310,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,310,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,310,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,3
RC,310,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,310,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,310,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,3
RC,310,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,3
RC,310,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,310,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,310,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,310,Unlisted surgical pathology procedure ,558.28,558.28,49.76,49.76,3
RC,311, Laboratory Pathology Cytology  ,,,,,0
RC,311,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,311,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,311,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,311,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,311,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,311,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,311,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,311,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,311,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,311,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,311,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,311,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,311,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,311,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,311,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,311,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,311,"Cryopreservation, freezing and storage of cells, each cell line ",801.92,801.92,13.07,13.07,3
RC,311,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,311,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,311,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,311,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",424.35,424.35,20.26,20.26,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,311,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,311,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,311,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,311,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,311,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,311,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,311,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,311,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,311,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,311,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",298.49,298.49,15.15,15.15,3
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,311,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,311,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,311,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,311,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,311,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,311,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,311,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,311,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,311,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,311,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,311,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,311,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,311,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,311,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,311,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,311,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,311,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,311,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,311,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,311,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,311,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,311,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,311,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,311,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,311,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,311,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,311,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,311,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,311,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,311,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,311,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,311,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,311,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,311,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,311,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,311,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,311,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,311,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,311,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,311,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,311,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,311,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,311,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,311,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,311,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,311,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,311,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,311,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,311,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,311,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,311,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,311,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,311,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,311,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,311,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,311,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,311,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,311,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,311,Nerve teasing preparations ,,,656.15,656.15,3
RC,311,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,311,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,311,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,311,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,311,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,311,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,311,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,311,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,311,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,311,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,311,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,311,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,311,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,311,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,311,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,311,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,311,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,311,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,311,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,311,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,311,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,311,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,311,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,311,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,311,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,311,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,311,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,311,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,311,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,311,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,311,"Thawing and expansion of frozen cells, each aliquot ",671.23,671.23,12.09,12.09,3
RC,311,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",3815.96,3815.96,143.75,143.75,3
RC,311,Tissue culture for neoplastic disorders; solid tumor ,4456.53,4456.53,147.52,147.52,3
RC,311,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,4119.3,4119.3,150.3,150.3,3
RC,311,Tissue culture for non-neoplastic disorders; lymphocyte ,3519.06,3519.06,116.49,116.49,3
RC,311,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,4251.6,4251.6,140.73,140.73,3
RC,311,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,311,Unlisted cytopathology procedure ,918.07,918.07,49.76,49.76,3
RC,311,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,311,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,312, Laboratory Pathology Histology  ,,,,,0
RC,312,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,312,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,312,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,312,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,312,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,312,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,312,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,312,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,312,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,312,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,312,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,312,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,312,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,312,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,312,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,312,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,312,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,312,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,312,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,312,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,312,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,312,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,312,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,312,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,312,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,312,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,312,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,312,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,312,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,312,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,312,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,312,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,312,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,312,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,312,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,312,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,312,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,312,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,312,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,312,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,312,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,312,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,312,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,312,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,312,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,312,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,312,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,312,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,312,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,312,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,312,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,312,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,312,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,312,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,312,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,312,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,312,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,312,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,312,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,312,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,312,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,312,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,312,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,312,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,312,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,312,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,312,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,312,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,312,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,312,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,312,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,312,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,312,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,312,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,312,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,312,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,312,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,312,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,312,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,312,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,312,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,312,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,312,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,312,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,312,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,312,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,312,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,312,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,312,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,312,Nerve teasing preparations ,,,656.15,656.15,3
RC,312,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,312,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,312,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,312,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,312,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,312,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,312,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,312,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,312,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,312,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,312,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,312,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,312,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,312,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,312,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,312,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,312,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,312,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,312,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,312,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,312,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,312,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,312,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,312,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,312,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,312,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,312,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,312,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,312,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,312,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",2258.92,2258.92,291.26,291.26,3
RC,312,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,312,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,3
RC,312,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,312,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,312,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,3
RC,312,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,3
RC,312,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,312,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,312,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,312,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,314, Laboratory Pathology Biopsy  ,,,,,0
RC,314,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,314,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,314,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,314,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,314,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,314,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,314,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,314,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,314,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,314,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,314,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,314,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,314,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,314,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,314,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,314,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,314,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,314,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,314,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,314,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,314,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,314,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,314,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,314,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,314,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,314,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,314,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,314,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,314,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,314,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,314,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,314,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,314,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,314,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,314,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,314,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,314,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,314,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,314,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,314,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,314,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,314,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,314,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,314,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,314,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,314,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,314,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,314,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,314,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,314,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,314,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,314,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,314,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,314,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,314,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,314,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,314,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,314,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,314,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,314,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,314,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,314,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,314,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,314,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,314,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,314,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,314,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,314,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,314,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,314,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,314,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,314,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,314,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,314,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,314,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,314,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,314,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,314,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,314,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,314,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,314,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,314,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,314,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,314,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,314,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,314,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,314,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,314,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,314,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,314,Nerve teasing preparations ,,,656.15,656.15,3
RC,314,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,314,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,314,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,314,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,314,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,314,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,314,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,314,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,314,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,314,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,314,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,314,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,314,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,314,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,314,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,314,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,314,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,314,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,314,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,314,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,314,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,314,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,314,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,314,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,314,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,314,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,314,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,314,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,314,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,314,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,314,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,314,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,3
RC,314,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,314,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,314,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,3
RC,314,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,3
RC,314,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,314,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,314,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,314,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,319, Laboratory Pathology Other  ,,,,,0
RC,319,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,319,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,319,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,319,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,319,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,319,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,319,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,319,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,319,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,319,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,319,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,319,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,319,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,319,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,319,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,319,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,319,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,319,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,319,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,319,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,319,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,319,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,319,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,319,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,319,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,319,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,319,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,319,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,319,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,319,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,319,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,319,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,319,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,319,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,319,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,319,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,319,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,319,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,319,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,319,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,319,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,319,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,319,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,319,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,319,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,319,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,319,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,319,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,319,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,319,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,319,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,319,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,319,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,319,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,319,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,319,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,319,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,319,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,319,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,319,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,319,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,319,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,319,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,319,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,319,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,319,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,319,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,319,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,319,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,319,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,319,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,319,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,319,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,319,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,319,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,319,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,319,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,319,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,319,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,319,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,319,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,319,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,319,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,319,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,319,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,319,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,319,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,319,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,319,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,319,Nerve teasing preparations ,,,656.15,656.15,3
RC,319,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,319,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,319,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,319,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,319,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,319,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,319,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,319,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,319,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,319,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,319,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,319,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,319,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,319,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,319,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,319,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,319,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,319,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,319,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,319,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,319,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,319,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,319,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,319,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,319,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,319,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,319,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,319,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,319,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,319,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,319,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,319,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,3
RC,319,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,319,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,319,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,3
RC,319,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,3
RC,319,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,319,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,319,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,319,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,320, Radiology - Diagnostic General Classification  ,,,190.0,190.0,1
RC,320,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,352.04,3
RC,320,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,198.11,3
RC,320,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,6438.74,3
RC,320,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,320,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,320,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,320,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,320,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,320,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,320,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,Bone age studies ,,,154.52,245.18,3
RC,320,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,245.18,3
RC,320,"Cephalogram, orthodontic ",,,83.86,182.03,3
RC,320,"Cholecystography, oral contrast ",,,341.2,401.74,3
RC,320,"Cineradiography/videoradiography, except where specifically included ",,,154.52,245.18,3
RC,320,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,320,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,517.79,3
RC,320,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,700.65,3
RC,320,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,245.18,3
RC,320,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,828.27,3
RC,320,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,320,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",8637.23,8637.23,2289.17,4034.23,3
RC,320,"Discography, cervical or thoracic, radiological supervision and interpretation ",13746.76,13746.76,2174.18,3947.38,3
RC,320,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,320,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,182.03,3
RC,320,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,517.79,3
RC,320,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,320,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,245.18,3
RC,320,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,320,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",1985.72,1985.72,826.97,1218.65,3
RC,320,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,182.03,3
RC,320,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,285.46,3
RC,320,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,1609.16,3
RC,320,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,320,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,320,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,828.27,3
RC,320,"Myelography, thoracic, radiological supervision and interpretation ",3497.36,3497.36,920.54,1609.16,3
RC,320,Non-ophthalmic fluorescent vascular angiography ,,,313.62,828.27,3
RC,320,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,182.03,3
RC,320,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",6383.33,6383.33,1327.01,6438.74,3
RC,320,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,517.79,3
RC,320,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",2470.98,2470.98,657.03,1086.5,3
RC,320,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,2138.63,3
RC,320,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,182.03,3
RC,320,"Radiologic examination, abdomen; 1 view ",,,83.86,182.03,3
RC,320,"Radiologic examination, abdomen; 2 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, abdomen; 3 or more views ",,,154.52,245.18,3
RC,320,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,320,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,320,"Radiologic examination, ankle; 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, chest; 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, chest; 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, chest; 4 or more views ",,,154.52,245.18,3
RC,320,"Radiologic examination, chest; single view ",,,83.86,182.03,3
RC,320,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,401.74,3
RC,320,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,320,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,245.18,3
RC,320,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,320,"Radiologic examination, elbow; 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,401.74,3
RC,320,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,320,"Radiologic examination, eye, for detection of foreign body ",,,83.86,182.03,3
RC,320,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, facial bones; less than 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, femur; 1 view ",,,83.86,182.03,3
RC,320,"Radiologic examination, femur; minimum 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, foot; 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, hand; 2 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, hand; minimum of 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,182.03,3
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, internal auditory meati, complete ",,,313.62,1086.5,3
RC,320,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,320,"Radiologic examination, knee; 1 or 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, knee; 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,182.03,3
RC,320,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,245.18,3
RC,320,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,245.18,3
RC,320,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,245.18,3
RC,320,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, osseous survey, infant ",,,154.52,245.18,3
RC,320,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,245.18,3
RC,320,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,245.18,3
RC,320,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,401.74,3
RC,320,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",2057.53,2057.53,313.62,1086.5,3
RC,320,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,245.18,3
RC,320,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, salivary gland for calculus ",,,83.86,182.03,3
RC,320,"Radiologic examination, sella turcica ",,,83.86,182.03,3
RC,320,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,320,"Radiologic examination, shoulder; 1 view ",,,83.86,182.03,3
RC,320,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,245.18,3
RC,320,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, skull; less than 4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,401.74,3
RC,320,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,401.74,3
RC,320,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,182.03,3
RC,320,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine, single view, specify level ",,,83.86,182.03,3
RC,320,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,401.74,3
RC,320,"Radiologic examination, teeth; complete, full mouth ",,,313.62,517.79,3
RC,320,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,517.79,3
RC,320,"Radiologic examination, teeth; single view ",,,83.86,182.03,3
RC,320,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,182.03,3
RC,320,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,182.03,3
RC,320,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,401.74,3
RC,320,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,320,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,828.27,3
RC,320,"Radiologic examination, wrist; 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,182.03,3
RC,320,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; clavicle, complete ",,,83.86,182.03,3
RC,320,"Radiologic examination; forearm, 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; neck, soft tissue ",,,83.86,182.03,3
RC,320,Radiologic examination; optic foramina ,,,83.86,182.03,3
RC,320,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,245.18,3
RC,320,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,182.03,3
RC,320,"Radiologic examination; scapula, complete ",,,154.52,245.18,3
RC,320,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,182.03,3
RC,320,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,245.18,3
RC,320,"Radiological examination, surgical specimen ",,,657.03,1086.5,3
RC,320,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,245.18,3
RC,320,"Sialography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,320,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,245.18,3
RC,320,"Splenoportography, radiological supervision and interpretation ",5010.57,5010.57,1327.01,6438.74,3
RC,320,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,320,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,401.74,3
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,23.36,3
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,185.87,3
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,185.87,3
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,93.44,3
RC,320,Unlisted diagnostic radiographic procedure ,,,83.86,182.03,3
RC,320,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,320,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,517.79,3
RC,320,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,517.79,3
RC,320,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,401.74,3
RC,320,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,828.27,3
RC,320,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,401.74,3
RC,320,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,401.74,3
RC,320,"Urography, retrograde, with or without KUB ",,,616.1,828.27,3
RC,320,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",1452.56,1452.56,313.62,517.79,3
RC,320,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",6277.98,6277.98,3365.2,6438.74,3
RC,320,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,320,"Venography, epidural, radiological supervision and interpretation ",5010.57,5010.57,826.97,1218.65,3
RC,320,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,3163.82,3
RC,320,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,320,"Venography, orbital, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,320,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,3365.2,6438.74,3
RC,320,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Venography, superior sagittal sinus, radiological supervision and interpretation ",2249.09,2249.09,826.97,6438.74,3
RC,320,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,320,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",20607.36,20607.36,5757.7,10733.33,3
RC,320,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,182.03,3
RC,321, Radiology - Diagnostic Angiocardiology  ,,,190.0,190.0,1
RC,321,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,352.04,3
RC,321,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,198.11,3
RC,321,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,6438.74,3
RC,321,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,321,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,321,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,321,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,321,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,321,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,321,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,Bone age studies ,,,154.52,245.18,3
RC,321,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,245.18,3
RC,321,"Cephalogram, orthodontic ",,,83.86,182.03,3
RC,321,"Cholecystography, oral contrast ",,,341.2,401.74,3
RC,321,"Cineradiography/videoradiography, except where specifically included ",,,154.52,245.18,3
RC,321,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,321,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,517.79,3
RC,321,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,700.65,3
RC,321,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,245.18,3
RC,321,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,828.27,3
RC,321,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,321,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,4034.23,3
RC,321,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,321,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,182.03,3
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,245.18,3
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,245.18,3
RC,321,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,517.79,3
RC,321,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,321,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,245.18,3
RC,321,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,321,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,321,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,321,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,182.03,3
RC,321,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,285.46,3
RC,321,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,1609.16,3
RC,321,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,321,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,321,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,828.27,3
RC,321,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,321,Non-ophthalmic fluorescent vascular angiography ,,,313.62,828.27,3
RC,321,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,182.03,3
RC,321,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,321,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,517.79,3
RC,321,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,1086.5,3
RC,321,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,2138.63,3
RC,321,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,182.03,3
RC,321,"Radiologic examination, abdomen; 1 view ",,,83.86,182.03,3
RC,321,"Radiologic examination, abdomen; 2 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, abdomen; 3 or more views ",,,154.52,245.18,3
RC,321,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,321,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,321,"Radiologic examination, ankle; 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, chest; 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, chest; 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, chest; 4 or more views ",,,154.52,245.18,3
RC,321,"Radiologic examination, chest; single view ",,,83.86,182.03,3
RC,321,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,401.74,3
RC,321,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,321,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,245.18,3
RC,321,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,321,"Radiologic examination, elbow; 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,401.74,3
RC,321,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,321,"Radiologic examination, eye, for detection of foreign body ",,,83.86,182.03,3
RC,321,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, facial bones; less than 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, femur; 1 view ",,,83.86,182.03,3
RC,321,"Radiologic examination, femur; minimum 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, foot; 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, hand; 2 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, hand; minimum of 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,182.03,3
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, internal auditory meati, complete ",,,313.62,1086.5,3
RC,321,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,321,"Radiologic examination, knee; 1 or 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, knee; 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,182.03,3
RC,321,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,245.18,3
RC,321,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,245.18,3
RC,321,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,245.18,3
RC,321,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, osseous survey, infant ",,,154.52,245.18,3
RC,321,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,245.18,3
RC,321,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,245.18,3
RC,321,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,401.74,3
RC,321,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,321,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,245.18,3
RC,321,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, salivary gland for calculus ",,,83.86,182.03,3
RC,321,"Radiologic examination, sella turcica ",,,83.86,182.03,3
RC,321,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,321,"Radiologic examination, shoulder; 1 view ",,,83.86,182.03,3
RC,321,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,245.18,3
RC,321,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, skull; less than 4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,401.74,3
RC,321,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,401.74,3
RC,321,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,182.03,3
RC,321,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine, single view, specify level ",,,83.86,182.03,3
RC,321,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,401.74,3
RC,321,"Radiologic examination, teeth; complete, full mouth ",,,313.62,517.79,3
RC,321,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,517.79,3
RC,321,"Radiologic examination, teeth; single view ",,,83.86,182.03,3
RC,321,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,182.03,3
RC,321,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,182.03,3
RC,321,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,401.74,3
RC,321,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,321,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,828.27,3
RC,321,"Radiologic examination, wrist; 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,182.03,3
RC,321,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; clavicle, complete ",,,83.86,182.03,3
RC,321,"Radiologic examination; forearm, 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; neck, soft tissue ",,,83.86,182.03,3
RC,321,Radiologic examination; optic foramina ,,,83.86,182.03,3
RC,321,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,245.18,3
RC,321,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,182.03,3
RC,321,"Radiologic examination; scapula, complete ",,,154.52,245.18,3
RC,321,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,182.03,3
RC,321,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,245.18,3
RC,321,"Radiological examination, surgical specimen ",,,657.03,1086.5,3
RC,321,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,245.18,3
RC,321,"Sialography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,321,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,245.18,3
RC,321,"Splenoportography, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,321,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,321,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,401.74,3
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,23.36,3
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,185.87,3
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,185.87,3
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,93.44,3
RC,321,Unlisted diagnostic radiographic procedure ,,,83.86,182.03,3
RC,321,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,321,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,517.79,3
RC,321,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,517.79,3
RC,321,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,401.74,3
RC,321,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,828.27,3
RC,321,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,401.74,3
RC,321,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,401.74,3
RC,321,"Urography, retrograde, with or without KUB ",,,616.1,828.27,3
RC,321,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,321,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,321,"Venography, epidural, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,321,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,3163.82,3
RC,321,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,321,"Venography, orbital, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,321,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,321,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,321,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,321,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,182.03,3
RC,322, Radiology - Diagnostic Arthrography  ,,,190.0,190.0,1
RC,322,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,352.04,3
RC,322,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,198.11,3
RC,322,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,6438.74,3
RC,322,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,322,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,322,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,322,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,322,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,322,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,322,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,Bone age studies ,,,154.52,245.18,3
RC,322,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,245.18,3
RC,322,"Cephalogram, orthodontic ",,,83.86,182.03,3
RC,322,"Cholecystography, oral contrast ",,,341.2,401.74,3
RC,322,"Cineradiography/videoradiography, except where specifically included ",,,154.52,245.18,3
RC,322,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,322,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,517.79,3
RC,322,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,700.65,3
RC,322,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,245.18,3
RC,322,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,828.27,3
RC,322,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,322,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,4034.23,3
RC,322,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,322,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,182.03,3
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,245.18,3
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,245.18,3
RC,322,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,517.79,3
RC,322,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,322,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,245.18,3
RC,322,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,322,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,322,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,322,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,182.03,3
RC,322,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,285.46,3
RC,322,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,1609.16,3
RC,322,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,322,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,322,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,828.27,3
RC,322,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,322,Non-ophthalmic fluorescent vascular angiography ,,,313.62,828.27,3
RC,322,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,182.03,3
RC,322,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,322,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,517.79,3
RC,322,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,1086.5,3
RC,322,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,2138.63,3
RC,322,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,182.03,3
RC,322,"Radiologic examination, abdomen; 1 view ",,,83.86,182.03,3
RC,322,"Radiologic examination, abdomen; 2 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, abdomen; 3 or more views ",,,154.52,245.18,3
RC,322,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,322,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,322,"Radiologic examination, ankle; 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, chest; 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, chest; 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, chest; 4 or more views ",,,154.52,245.18,3
RC,322,"Radiologic examination, chest; single view ",,,83.86,182.03,3
RC,322,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,401.74,3
RC,322,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,322,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,245.18,3
RC,322,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,322,"Radiologic examination, elbow; 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,401.74,3
RC,322,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,322,"Radiologic examination, eye, for detection of foreign body ",,,83.86,182.03,3
RC,322,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, facial bones; less than 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, femur; 1 view ",,,83.86,182.03,3
RC,322,"Radiologic examination, femur; minimum 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, foot; 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, hand; 2 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, hand; minimum of 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,182.03,3
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, internal auditory meati, complete ",,,313.62,1086.5,3
RC,322,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,322,"Radiologic examination, knee; 1 or 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, knee; 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,182.03,3
RC,322,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,245.18,3
RC,322,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,245.18,3
RC,322,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,245.18,3
RC,322,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, osseous survey, infant ",,,154.52,245.18,3
RC,322,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,245.18,3
RC,322,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,245.18,3
RC,322,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,401.74,3
RC,322,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,322,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,245.18,3
RC,322,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, salivary gland for calculus ",,,83.86,182.03,3
RC,322,"Radiologic examination, sella turcica ",,,83.86,182.03,3
RC,322,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,322,"Radiologic examination, shoulder; 1 view ",,,83.86,182.03,3
RC,322,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,245.18,3
RC,322,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, skull; less than 4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,401.74,3
RC,322,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,401.74,3
RC,322,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,182.03,3
RC,322,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine, single view, specify level ",,,83.86,182.03,3
RC,322,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,401.74,3
RC,322,"Radiologic examination, teeth; complete, full mouth ",,,313.62,517.79,3
RC,322,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,517.79,3
RC,322,"Radiologic examination, teeth; single view ",,,83.86,182.03,3
RC,322,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,182.03,3
RC,322,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,182.03,3
RC,322,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,401.74,3
RC,322,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,322,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,828.27,3
RC,322,"Radiologic examination, wrist; 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,182.03,3
RC,322,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; clavicle, complete ",,,83.86,182.03,3
RC,322,"Radiologic examination; forearm, 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; neck, soft tissue ",,,83.86,182.03,3
RC,322,Radiologic examination; optic foramina ,,,83.86,182.03,3
RC,322,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,245.18,3
RC,322,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,182.03,3
RC,322,"Radiologic examination; scapula, complete ",,,154.52,245.18,3
RC,322,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,182.03,3
RC,322,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,245.18,3
RC,322,"Radiological examination, surgical specimen ",,,657.03,1086.5,3
RC,322,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,245.18,3
RC,322,"Sialography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,322,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,245.18,3
RC,322,"Splenoportography, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,322,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,322,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,401.74,3
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,23.36,3
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,185.87,3
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,185.87,3
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,93.44,3
RC,322,Unlisted diagnostic radiographic procedure ,,,83.86,182.03,3
RC,322,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,322,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,517.79,3
RC,322,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,517.79,3
RC,322,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,401.74,3
RC,322,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,828.27,3
RC,322,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,401.74,3
RC,322,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,401.74,3
RC,322,"Urography, retrograde, with or without KUB ",,,616.1,828.27,3
RC,322,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,322,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,322,"Venography, epidural, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,322,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,3163.82,3
RC,322,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,322,"Venography, orbital, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,322,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,322,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,322,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,322,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,182.03,3
RC,323, Radiology - Diagnostic Arteriography  ,,,190.0,190.0,1
RC,323,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,352.04,3
RC,323,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,198.11,3
RC,323,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,6438.74,3
RC,323,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,3365.2,6438.74,3
RC,323,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",5010.57,5010.57,826.97,6438.74,3
RC,323,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,323,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,323,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Angiography, spinal, selective, radiological supervision and interpretation ",20607.36,20607.36,5757.7,10733.33,3
RC,323,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,323,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,323,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,Bone age studies ,,,154.52,245.18,3
RC,323,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,245.18,3
RC,323,"Cephalogram, orthodontic ",,,83.86,182.03,3
RC,323,"Cholecystography, oral contrast ",,,341.2,401.74,3
RC,323,"Cineradiography/videoradiography, except where specifically included ",,,154.52,245.18,3
RC,323,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,323,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,517.79,3
RC,323,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,700.65,3
RC,323,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,245.18,3
RC,323,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,828.27,3
RC,323,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,323,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,4034.23,3
RC,323,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,323,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,182.03,3
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,245.18,3
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,245.18,3
RC,323,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,517.79,3
RC,323,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,323,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,245.18,3
RC,323,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,323,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,323,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,323,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,182.03,3
RC,323,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,285.46,3
RC,323,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,1609.16,3
RC,323,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,323,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,323,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,828.27,3
RC,323,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,323,Non-ophthalmic fluorescent vascular angiography ,,,313.62,828.27,3
RC,323,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,182.03,3
RC,323,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,323,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,517.79,3
RC,323,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,1086.5,3
RC,323,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,2138.63,3
RC,323,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,182.03,3
RC,323,"Radiologic examination, abdomen; 1 view ",,,83.86,182.03,3
RC,323,"Radiologic examination, abdomen; 2 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, abdomen; 3 or more views ",,,154.52,245.18,3
RC,323,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,323,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,323,"Radiologic examination, ankle; 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, chest; 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, chest; 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, chest; 4 or more views ",,,154.52,245.18,3
RC,323,"Radiologic examination, chest; single view ",,,83.86,182.03,3
RC,323,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,401.74,3
RC,323,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,323,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,245.18,3
RC,323,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,323,"Radiologic examination, elbow; 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,401.74,3
RC,323,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,323,"Radiologic examination, eye, for detection of foreign body ",,,83.86,182.03,3
RC,323,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, facial bones; less than 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, femur; 1 view ",,,83.86,182.03,3
RC,323,"Radiologic examination, femur; minimum 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, foot; 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, hand; 2 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, hand; minimum of 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,182.03,3
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, internal auditory meati, complete ",,,313.62,1086.5,3
RC,323,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,323,"Radiologic examination, knee; 1 or 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, knee; 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,182.03,3
RC,323,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,245.18,3
RC,323,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,245.18,3
RC,323,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,245.18,3
RC,323,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, osseous survey, infant ",,,154.52,245.18,3
RC,323,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,245.18,3
RC,323,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,245.18,3
RC,323,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,401.74,3
RC,323,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,323,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,245.18,3
RC,323,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, salivary gland for calculus ",,,83.86,182.03,3
RC,323,"Radiologic examination, sella turcica ",,,83.86,182.03,3
RC,323,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,323,"Radiologic examination, shoulder; 1 view ",,,83.86,182.03,3
RC,323,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,245.18,3
RC,323,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, skull; less than 4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,401.74,3
RC,323,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,401.74,3
RC,323,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,182.03,3
RC,323,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine, single view, specify level ",,,83.86,182.03,3
RC,323,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,401.74,3
RC,323,"Radiologic examination, teeth; complete, full mouth ",,,313.62,517.79,3
RC,323,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,517.79,3
RC,323,"Radiologic examination, teeth; single view ",,,83.86,182.03,3
RC,323,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,182.03,3
RC,323,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,182.03,3
RC,323,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,401.74,3
RC,323,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,323,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,828.27,3
RC,323,"Radiologic examination, wrist; 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,182.03,3
RC,323,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; clavicle, complete ",,,83.86,182.03,3
RC,323,"Radiologic examination; forearm, 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; neck, soft tissue ",,,83.86,182.03,3
RC,323,Radiologic examination; optic foramina ,,,83.86,182.03,3
RC,323,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,245.18,3
RC,323,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,182.03,3
RC,323,"Radiologic examination; scapula, complete ",,,154.52,245.18,3
RC,323,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,182.03,3
RC,323,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,245.18,3
RC,323,"Radiological examination, surgical specimen ",,,657.03,1086.5,3
RC,323,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,245.18,3
RC,323,"Sialography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,323,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,245.18,3
RC,323,"Splenoportography, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,323,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,323,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,401.74,3
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,23.36,3
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,185.87,3
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,185.87,3
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,93.44,3
RC,323,Unlisted diagnostic radiographic procedure ,,,83.86,182.03,3
RC,323,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,323,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,517.79,3
RC,323,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,517.79,3
RC,323,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,401.74,3
RC,323,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,828.27,3
RC,323,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,401.74,3
RC,323,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,401.74,3
RC,323,"Urography, retrograde, with or without KUB ",,,616.1,828.27,3
RC,323,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,323,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,323,"Venography, epidural, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,323,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,3163.82,3
RC,323,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,323,"Venography, orbital, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,323,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,323,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,323,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,323,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,182.03,3
RC,324, Radiology - Diagnostic Chest X-Ray  ,,,190.0,190.0,1
RC,324,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,352.04,3
RC,324,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,198.11,3
RC,324,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,6438.74,3
RC,324,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,324,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,324,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,324,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,324,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,324,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,324,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,Bone age studies ,,,154.52,245.18,3
RC,324,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,245.18,3
RC,324,"Cephalogram, orthodontic ",,,83.86,182.03,3
RC,324,"Cholecystography, oral contrast ",,,341.2,401.74,3
RC,324,"Cineradiography/videoradiography, except where specifically included ",,,154.52,245.18,3
RC,324,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,324,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,517.79,3
RC,324,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,700.65,3
RC,324,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,245.18,3
RC,324,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,828.27,3
RC,324,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,324,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,4034.23,3
RC,324,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,324,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,182.03,3
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,245.18,3
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,245.18,3
RC,324,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,517.79,3
RC,324,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,324,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,245.18,3
RC,324,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,324,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,324,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,324,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,182.03,3
RC,324,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,285.46,3
RC,324,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,1609.16,3
RC,324,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,324,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,324,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,828.27,3
RC,324,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,324,Non-ophthalmic fluorescent vascular angiography ,,,313.62,828.27,3
RC,324,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,182.03,3
RC,324,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,324,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,517.79,3
RC,324,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,1086.5,3
RC,324,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,2138.63,3
RC,324,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,182.03,3
RC,324,"Radiologic examination, abdomen; 1 view ",,,83.86,182.03,3
RC,324,"Radiologic examination, abdomen; 2 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, abdomen; 3 or more views ",,,154.52,245.18,3
RC,324,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,324,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,324,"Radiologic examination, ankle; 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, chest; 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, chest; 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, chest; 4 or more views ",,,154.52,245.18,3
RC,324,"Radiologic examination, chest; single view ",,,83.86,182.03,3
RC,324,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,401.74,3
RC,324,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,324,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,245.18,3
RC,324,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,324,"Radiologic examination, elbow; 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,401.74,3
RC,324,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,324,"Radiologic examination, eye, for detection of foreign body ",,,83.86,182.03,3
RC,324,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, facial bones; less than 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, femur; 1 view ",,,83.86,182.03,3
RC,324,"Radiologic examination, femur; minimum 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, foot; 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, hand; 2 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, hand; minimum of 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,182.03,3
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, internal auditory meati, complete ",,,313.62,1086.5,3
RC,324,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,324,"Radiologic examination, knee; 1 or 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, knee; 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,182.03,3
RC,324,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,245.18,3
RC,324,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,245.18,3
RC,324,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,245.18,3
RC,324,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, osseous survey, infant ",,,154.52,245.18,3
RC,324,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,245.18,3
RC,324,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,245.18,3
RC,324,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,401.74,3
RC,324,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,324,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,245.18,3
RC,324,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, salivary gland for calculus ",,,83.86,182.03,3
RC,324,"Radiologic examination, sella turcica ",,,83.86,182.03,3
RC,324,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,324,"Radiologic examination, shoulder; 1 view ",,,83.86,182.03,3
RC,324,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,245.18,3
RC,324,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, skull; less than 4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,401.74,3
RC,324,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,401.74,3
RC,324,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,182.03,3
RC,324,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine, single view, specify level ",,,83.86,182.03,3
RC,324,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,401.74,3
RC,324,"Radiologic examination, teeth; complete, full mouth ",,,313.62,517.79,3
RC,324,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,517.79,3
RC,324,"Radiologic examination, teeth; single view ",,,83.86,182.03,3
RC,324,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,182.03,3
RC,324,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,182.03,3
RC,324,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,401.74,3
RC,324,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,324,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,828.27,3
RC,324,"Radiologic examination, wrist; 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,182.03,3
RC,324,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; clavicle, complete ",,,83.86,182.03,3
RC,324,"Radiologic examination; forearm, 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; neck, soft tissue ",,,83.86,182.03,3
RC,324,Radiologic examination; optic foramina ,,,83.86,182.03,3
RC,324,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,245.18,3
RC,324,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,182.03,3
RC,324,"Radiologic examination; scapula, complete ",,,154.52,245.18,3
RC,324,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,182.03,3
RC,324,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,245.18,3
RC,324,"Radiological examination, surgical specimen ",,,657.03,1086.5,3
RC,324,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,245.18,3
RC,324,"Sialography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,324,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,245.18,3
RC,324,"Splenoportography, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,324,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,324,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,401.74,3
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,23.36,3
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,185.87,3
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,185.87,3
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,93.44,3
RC,324,Unlisted diagnostic radiographic procedure ,,,83.86,182.03,3
RC,324,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,324,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,517.79,3
RC,324,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,517.79,3
RC,324,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,401.74,3
RC,324,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,828.27,3
RC,324,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,401.74,3
RC,324,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,401.74,3
RC,324,"Urography, retrograde, with or without KUB ",,,616.1,828.27,3
RC,324,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,324,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,324,"Venography, epidural, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,324,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,3163.82,3
RC,324,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,324,"Venography, orbital, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,324,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,324,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,324,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,324,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,182.03,3
RC,329, Radiology Diagnostic Other  ,,,190.0,190.0,1
RC,329,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,352.04,3
RC,329,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,198.11,3
RC,329,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,6438.74,3
RC,329,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,329,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,329,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,329,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,329,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,329,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,329,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,Bone age studies ,,,154.52,245.18,3
RC,329,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,245.18,3
RC,329,"Cephalogram, orthodontic ",,,83.86,182.03,3
RC,329,"Cholecystography, oral contrast ",,,341.2,401.74,3
RC,329,"Cineradiography/videoradiography, except where specifically included ",,,154.52,245.18,3
RC,329,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,329,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,517.79,3
RC,329,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,700.65,3
RC,329,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,245.18,3
RC,329,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,828.27,3
RC,329,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,329,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,4034.23,3
RC,329,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,329,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,182.03,3
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,245.18,3
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,245.18,3
RC,329,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,517.79,3
RC,329,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,329,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,245.18,3
RC,329,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,329,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,329,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,329,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,182.03,3
RC,329,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,285.46,3
RC,329,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,1609.16,3
RC,329,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,329,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,329,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,828.27,3
RC,329,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,329,Non-ophthalmic fluorescent vascular angiography ,,,313.62,828.27,3
RC,329,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,182.03,3
RC,329,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,329,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,517.79,3
RC,329,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,1086.5,3
RC,329,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,2138.63,3
RC,329,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,182.03,3
RC,329,"Radiologic examination, abdomen; 1 view ",,,83.86,182.03,3
RC,329,"Radiologic examination, abdomen; 2 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, abdomen; 3 or more views ",,,154.52,245.18,3
RC,329,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,329,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,329,"Radiologic examination, ankle; 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, chest; 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, chest; 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, chest; 4 or more views ",,,154.52,245.18,3
RC,329,"Radiologic examination, chest; single view ",,,83.86,182.03,3
RC,329,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,401.74,3
RC,329,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,329,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,245.18,3
RC,329,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,329,"Radiologic examination, elbow; 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,401.74,3
RC,329,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,329,"Radiologic examination, eye, for detection of foreign body ",,,83.86,182.03,3
RC,329,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, facial bones; less than 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, femur; 1 view ",,,83.86,182.03,3
RC,329,"Radiologic examination, femur; minimum 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, foot; 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, hand; 2 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, hand; minimum of 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,182.03,3
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, internal auditory meati, complete ",,,313.62,1086.5,3
RC,329,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,329,"Radiologic examination, knee; 1 or 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, knee; 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,182.03,3
RC,329,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,245.18,3
RC,329,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,245.18,3
RC,329,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,245.18,3
RC,329,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, osseous survey, infant ",,,154.52,245.18,3
RC,329,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,245.18,3
RC,329,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,245.18,3
RC,329,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,401.74,3
RC,329,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,329,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,245.18,3
RC,329,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, salivary gland for calculus ",,,83.86,182.03,3
RC,329,"Radiologic examination, sella turcica ",,,83.86,182.03,3
RC,329,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,329,"Radiologic examination, shoulder; 1 view ",,,83.86,182.03,3
RC,329,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,245.18,3
RC,329,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, skull; less than 4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,401.74,3
RC,329,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,401.74,3
RC,329,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,182.03,3
RC,329,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine, single view, specify level ",,,83.86,182.03,3
RC,329,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,401.74,3
RC,329,"Radiologic examination, teeth; complete, full mouth ",,,313.62,517.79,3
RC,329,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,517.79,3
RC,329,"Radiologic examination, teeth; single view ",,,83.86,182.03,3
RC,329,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,182.03,3
RC,329,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,182.03,3
RC,329,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,401.74,3
RC,329,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,329,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,828.27,3
RC,329,"Radiologic examination, wrist; 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,182.03,3
RC,329,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; clavicle, complete ",,,83.86,182.03,3
RC,329,"Radiologic examination; forearm, 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; neck, soft tissue ",,,83.86,182.03,3
RC,329,Radiologic examination; optic foramina ,,,83.86,182.03,3
RC,329,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,245.18,3
RC,329,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,182.03,3
RC,329,"Radiologic examination; scapula, complete ",,,154.52,245.18,3
RC,329,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,182.03,3
RC,329,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,245.18,3
RC,329,"Radiological examination, surgical specimen ",,,657.03,1086.5,3
RC,329,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,245.18,3
RC,329,"Sialography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,329,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,245.18,3
RC,329,"Splenoportography, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,329,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,329,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,401.74,3
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,23.36,3
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,185.87,3
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,185.87,3
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,93.44,3
RC,329,Unlisted diagnostic radiographic procedure ,,,83.86,182.03,3
RC,329,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,329,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,517.79,3
RC,329,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,517.79,3
RC,329,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,401.74,3
RC,329,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,828.27,3
RC,329,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,401.74,3
RC,329,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,401.74,3
RC,329,"Urography, retrograde, with or without KUB ",,,616.1,828.27,3
RC,329,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,329,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,329,"Venography, epidural, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,329,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,3163.82,3
RC,329,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,329,"Venography, orbital, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,329,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,329,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,329,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,329,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,182.03,3
RC,330, Radiology - Therapeutic and/or Chemotherapy Administration General Classification  ,,,618.0,1100.0,3
RC,331, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - Injected  ,,,248.0,2794.0,9
RC,332, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - Oral  ,,,248.0,2794.0,9
RC,333, Radiology - Therapeutic and/or Chemotherapy Administration Radiation Therapy  ,,,618.0,2564.0,9
RC,333,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,15000.0,58176.0,10
RC,333,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based ",,,12000.0,58176.0,6
RC,333,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based ",,,15000.0,58176.0,10
RC,333,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",,,7500.0,39710.0,10
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,15000.0,58176.0,10
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,15000.0,58176.0,10
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,15000.0,58176.0,10
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,15000.0,58176.0,10
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,15000.0,58176.0,10
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,15000.0,58176.0,10
RC,335, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - IV  ,,,248.0,2794.0,9
RC,339, Radiology - Therapeutic and/or Chemotherapy Administration Other   ,,,618.0,1100.0,3
RC,340, Nuclear Medicine General Classification  ,,,1264.0,2522.0,7
RC,340,Acute gastrointestinal blood loss imaging ,,,471.74,848.52,3
RC,340,"Acute venous thrombosis imaging, peptide ",,,1623.62,2938.37,3
RC,340,"Adrenal imaging, cortex and/or medulla ",,,1623.62,2938.37,3
RC,340,Bone and/or joint imaging; 3 phase study ,,,471.74,848.52,3
RC,340,Bone and/or joint imaging; limited area ,,,471.74,848.52,3
RC,340,Bone and/or joint imaging; multiple areas ,,,471.74,848.52,3
RC,340,Bone and/or joint imaging; whole body ,,,471.74,848.52,3
RC,340,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,34.54,3
RC,340,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.62,48.67,3
RC,340,Bone marrow imaging; limited area ,,,471.74,848.52,3
RC,340,Bone marrow imaging; multiple areas ,,,471.74,848.52,3
RC,340,Bone marrow imaging; whole body ,,,471.74,848.52,3
RC,340,"Brain imaging, less than 4 static views; ",,,471.74,848.52,3
RC,340,"Brain imaging, less than 4 static views; with vascular flow ",,,471.74,848.52,3
RC,340,"Brain imaging, minimum 4 static views; ",,,611.66,1101.15,3
RC,340,"Brain imaging, minimum 4 static views; with vascular flow ",,,611.66,1101.15,3
RC,340,"Brain imaging, vascular flow only ",,,611.66,1101.15,3
RC,340,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,611.66,1101.15,3
RC,340,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,611.66,1101.15,3
RC,340,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,471.74,848.52,3
RC,340,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,471.74,848.52,3
RC,340,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,471.74,848.52,3
RC,340,Cardiac shunt detection ,,,471.74,848.52,3
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,611.66,1101.15,3
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,611.66,1101.15,3
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,611.66,1101.15,3
RC,340,Cerebrospinal fluid leakage detection and localization ,,,1623.62,2938.37,3
RC,340,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,611.66,1101.15,3
RC,340,Esophageal motility ,,,471.74,848.52,3
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,471.74,848.52,3
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,611.66,1101.15,3
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,471.74,848.52,3
RC,340,Gastric mucosa imaging ,,,471.74,848.52,3
RC,340,Gastroesophageal reflux study ,,,471.74,848.52,3
RC,340,Gastrointestinal protein loss ,,,471.74,848.52,3
RC,340,"Hepatobiliary system imaging, including gallbladder when present; ",,,471.74,848.52,3
RC,340,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,611.66,1101.15,3
RC,340,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,471.74,848.52,3
RC,340,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,471.74,848.52,3
RC,340,"Kidney function study, non-imaging radioisotopic study ",,,471.74,848.52,3
RC,340,Kidney imaging morphology; ,,,471.74,848.52,3
RC,340,Kidney imaging morphology; with vascular flow ,,,471.74,848.52,3
RC,340,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,1101.15,3
RC,340,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,611.66,1101.15,3
RC,340,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,1101.15,3
RC,340,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,471.74,848.52,3
RC,340,Liver and spleen imaging; static only ,,,471.74,848.52,3
RC,340,Liver and spleen imaging; with vascular flow ,,,471.74,848.52,3
RC,340,Liver imaging; static only ,,,1101.15,1623.62,3
RC,340,Liver imaging; with vascular flow ,,,1101.15,1623.62,3
RC,340,Lymphatics and lymph nodes imaging ,,,611.66,1101.15,3
RC,340,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,471.74,848.52,3
RC,340,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,1101.15,1623.62,3
RC,340,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,611.66,1101.15,3
RC,340,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,1623.62,2938.37,3
RC,340,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,1623.62,2938.37,3
RC,340,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,1623.62,2938.37,6
RC,340,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,471.74,848.52,3
RC,340,"Parathyroid planar imaging (including subtraction, when performed); ",,,471.74,848.52,3
RC,340,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,471.74,848.52,3
RC,340,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,611.66,1101.15,3
RC,340,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,471.74,848.52,3
RC,340,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,1623.62,2938.37,3
RC,340,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,1623.62,2938.37,3
RC,340,Platelet survival study ,,,471.74,848.52,3
RC,340,"Pulmonary perfusion imaging (eg, particulate) ",,,471.74,848.52,3
RC,340,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,611.66,1101.15,3
RC,340,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,471.74,848.52,3
RC,340,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,611.66,1101.15,3
RC,340,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,471.74,848.52,3
RC,340,Radiopharmaceutical dacryocystography ,,,471.74,848.52,3
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,471.74,848.52,3
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,471.74,848.52,3
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,1623.62,2938.37,3
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,1623.62,2938.37,3
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,1717.27,3330.77,6
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,1717.27,2938.37,3
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,611.66,2938.37,3
RC,340,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,321.95,561.65,3
RC,340,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,321.95,561.65,3
RC,340,"Radiopharmaceutical therapy, by intra-articular administration ",,,321.95,561.65,3
RC,340,"Radiopharmaceutical therapy, by intracavitary administration ",,,321.95,561.65,3
RC,340,"Radiopharmaceutical therapy, by intravenous administration ",,,321.95,561.65,3
RC,340,"Radiopharmaceutical therapy, by oral administration ",,,321.95,561.65,3
RC,340,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,321.95,561.65,3
RC,340,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,561.65,3
RC,340,Red cell survival study ,,,471.74,848.52,3
RC,340,Red cell volume determination (separate procedure); multiple samplings ,,,611.66,1101.15,3
RC,340,Red cell volume determination (separate procedure); single sampling ,,,471.74,848.52,3
RC,340,Salivary gland function study ,,,471.74,848.52,3
RC,340,Salivary gland imaging; ,,,471.74,848.52,3
RC,340,Salivary gland imaging; with serial images ,,,471.74,848.52,3
RC,340,"Spleen imaging only, with or without vascular flow ",,,471.74,848.52,3
RC,340,Testicular imaging with vascular flow ,,,471.74,848.52,3
RC,340,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,471.74,848.52,3
RC,340,Thyroid carcinoma metastases imaging; whole body ,,,611.66,1101.15,3
RC,340,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,471.74,848.52,3
RC,340,"Thyroid imaging (including vascular flow, when performed); ",,,471.74,848.52,3
RC,340,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,848.52,3
RC,340,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,848.52,3
RC,340,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,340,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,14.93,24.89,3
RC,340,"Urea breath test, C-14 (isotopic); analysis ",,,127.45,212.42,3
RC,340,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,471.74,848.52,3
RC,340,"Venous thrombosis imaging, venogram; bilateral ",,,471.74,848.52,3
RC,340,"Venous thrombosis imaging, venogram; unilateral ",,,1101.15,1623.62,3
RC,340,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,611.66,1101.15,3
RC,341, Nuclear Medicine Diagnostic  ,,,1264.0,2522.0,7
RC,341,Acute gastrointestinal blood loss imaging ,4116.06,4116.06,471.74,848.52,3
RC,341,"Acute venous thrombosis imaging, peptide ",,,1623.62,2938.37,3
RC,341,"Adrenal imaging, cortex and/or medulla ",6986.57,6986.57,1623.62,2938.37,3
RC,341,Bone and/or joint imaging; 3 phase study ,6665.91,6665.91,471.74,848.52,3
RC,341,Bone and/or joint imaging; limited area ,3640.82,3640.82,471.74,848.52,3
RC,341,Bone and/or joint imaging; multiple areas ,3934.65,3934.65,471.74,848.52,3
RC,341,Bone and/or joint imaging; whole body ,4841.67,4841.67,471.74,848.52,3
RC,341,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,34.54,3
RC,341,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.62,48.67,3
RC,341,Bone marrow imaging; limited area ,2299.48,2299.48,471.74,848.52,3
RC,341,Bone marrow imaging; multiple areas ,2250.93,2250.93,471.74,848.52,3
RC,341,Bone marrow imaging; whole body ,4193.99,4193.99,471.74,848.52,3
RC,341,"Brain imaging, less than 4 static views; ",2005.65,2005.65,471.74,848.52,3
RC,341,"Brain imaging, less than 4 static views; with vascular flow ",1649.24,1649.24,471.74,848.52,3
RC,341,"Brain imaging, minimum 4 static views; ",2139.8,2139.8,611.66,1101.15,3
RC,341,"Brain imaging, minimum 4 static views; with vascular flow ",2792.59,2792.59,611.66,1101.15,3
RC,341,"Brain imaging, vascular flow only ",3220.54,3220.54,611.66,1101.15,3
RC,341,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",6437.26,6437.26,611.66,1101.15,3
RC,341,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",3332.96,3332.96,611.66,1101.15,3
RC,341,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",4960.46,4960.46,471.74,848.52,3
RC,341,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",8220.62,8220.62,471.74,848.52,3
RC,341,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",4960.46,4960.46,471.74,848.52,3
RC,341,Cardiac shunt detection ,904.46,904.46,471.74,848.52,3
RC,341,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",4526.13,4526.13,611.66,1101.15,3
RC,341,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",2577.97,2577.97,611.66,1101.15,3
RC,341,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",3916.77,3916.77,611.66,1101.15,3
RC,341,Cerebrospinal fluid leakage detection and localization ,4239.97,4239.97,1623.62,2938.37,3
RC,341,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,611.66,1101.15,3
RC,341,Esophageal motility ,,,471.74,848.52,3
RC,341,"Gastric emptying imaging study (eg, solid, liquid, or both); ",5518.74,5518.74,471.74,848.52,3
RC,341,Gastric mucosa imaging ,,,471.74,848.52,3
RC,341,Gastroesophageal reflux study ,2553.68,2553.68,471.74,848.52,3
RC,341,Gastrointestinal protein loss ,,,471.74,848.52,3
RC,341,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,471.74,848.52,3
RC,341,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",3681.71,3681.71,471.74,848.52,3
RC,341,"Kidney function study, non-imaging radioisotopic study ",2942.05,2942.05,471.74,848.52,3
RC,341,Kidney imaging morphology; ,2569.01,2569.01,471.74,848.52,3
RC,341,Kidney imaging morphology; with vascular flow ,3265.26,3265.26,471.74,848.52,3
RC,341,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,1101.15,3
RC,341,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",6986.57,6986.57,611.66,1101.15,3
RC,341,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",3516.91,3516.91,611.66,1101.15,3
RC,341,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,471.74,848.52,3
RC,341,Liver and spleen imaging; static only ,3403.23,3403.23,471.74,848.52,3
RC,341,Liver and spleen imaging; with vascular flow ,3476.04,3476.04,471.74,848.52,3
RC,341,Liver imaging; static only ,2309.69,2309.69,1101.15,1623.62,3
RC,341,Liver imaging; with vascular flow ,2995.69,2995.69,1101.15,1623.62,3
RC,341,Lymphatics and lymph nodes imaging ,4190.16,4190.16,611.66,1101.15,3
RC,341,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",3511.81,3511.81,471.74,848.52,3
RC,341,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",4102.01,4102.01,1101.15,1623.62,3
RC,341,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",2081.04,2081.04,611.66,1101.15,3
RC,341,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",1217.43,1217.43,471.74,848.52,3
RC,341,"Parathyroid planar imaging (including subtraction, when performed); ",3993.41,3993.41,471.74,848.52,3
RC,341,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,471.74,848.52,3
RC,341,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",1305.59,1305.59,471.74,848.52,3
RC,341,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,1623.62,2938.37,3
RC,341,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,1623.62,2938.37,3
RC,341,Platelet survival study ,,,471.74,848.52,3
RC,341,"Pulmonary perfusion imaging (eg, particulate) ",5518.74,5518.74,471.74,848.52,3
RC,341,Radiopharmaceutical dacryocystography ,1355.41,1355.41,471.74,848.52,3
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",4480.15,4480.15,471.74,848.52,3
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",3849.06,3849.06,471.74,848.52,3
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",5051.19,5051.19,1623.62,2938.37,3
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",7804.16,7804.16,1717.27,3330.77,6
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",7667.47,7667.47,1717.27,2938.37,3
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",8132.48,8132.48,611.66,2938.37,3
RC,341,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,321.95,561.65,3
RC,341,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,321.95,561.65,3
RC,341,"Radiopharmaceutical therapy, by intra-articular administration ",,,321.95,561.65,3
RC,341,"Radiopharmaceutical therapy, by intracavitary administration ",,,321.95,561.65,3
RC,341,"Radiopharmaceutical therapy, by intravenous administration ",,,321.95,561.65,3
RC,341,"Radiopharmaceutical therapy, by oral administration ",,,321.95,561.65,3
RC,341,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,321.95,561.65,3
RC,341,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,561.65,3
RC,341,Red cell survival study ,4434.15,4434.15,471.74,848.52,3
RC,341,Red cell volume determination (separate procedure); multiple samplings ,6522.84,6522.84,611.66,1101.15,3
RC,341,Red cell volume determination (separate procedure); single sampling ,3926.99,3926.99,471.74,848.52,3
RC,341,Salivary gland function study ,2401.68,2401.68,471.74,848.52,3
RC,341,Salivary gland imaging; ,3111.96,3111.96,471.74,848.52,3
RC,341,Salivary gland imaging; with serial images ,,,471.74,848.52,3
RC,341,"Spleen imaging only, with or without vascular flow ",1829.35,1829.35,471.74,848.52,3
RC,341,Testicular imaging with vascular flow ,2768.3,2768.3,471.74,848.52,3
RC,341,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",2818.14,2818.14,471.74,848.52,3
RC,341,Thyroid carcinoma metastases imaging; whole body ,4366.45,4366.45,611.66,1101.15,3
RC,341,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",807.37,807.37,471.74,848.52,3
RC,341,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,341,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,14.93,24.89,3
RC,341,"Urea breath test, C-14 (isotopic); analysis ",,,127.45,212.42,3
RC,341,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,2930.56,2930.56,471.74,848.52,3
RC,341,"Venous thrombosis imaging, venogram; bilateral ",1992.88,1992.88,471.74,848.52,3
RC,341,"Venous thrombosis imaging, venogram; unilateral ",4538.91,4538.91,1101.15,1623.62,3
RC,341,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,611.66,1101.15,3
RC,342, Nuclear Medicine Therapeutic  ,,,1264.0,2522.0,7
RC,342,Acute gastrointestinal blood loss imaging ,,,471.74,848.52,3
RC,342,"Acute venous thrombosis imaging, peptide ",,,1623.62,2938.37,3
RC,342,"Adrenal imaging, cortex and/or medulla ",,,1623.62,2938.37,3
RC,342,Bone and/or joint imaging; 3 phase study ,,,471.74,848.52,3
RC,342,Bone and/or joint imaging; limited area ,,,471.74,848.52,3
RC,342,Bone and/or joint imaging; multiple areas ,,,471.74,848.52,3
RC,342,Bone and/or joint imaging; whole body ,,,471.74,848.52,3
RC,342,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,34.54,3
RC,342,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.62,48.67,3
RC,342,Bone marrow imaging; limited area ,,,471.74,848.52,3
RC,342,Bone marrow imaging; multiple areas ,,,471.74,848.52,3
RC,342,Bone marrow imaging; whole body ,,,471.74,848.52,3
RC,342,"Brain imaging, less than 4 static views; ",,,471.74,848.52,3
RC,342,"Brain imaging, less than 4 static views; with vascular flow ",,,471.74,848.52,3
RC,342,"Brain imaging, minimum 4 static views; ",,,611.66,1101.15,3
RC,342,"Brain imaging, minimum 4 static views; with vascular flow ",,,611.66,1101.15,3
RC,342,"Brain imaging, vascular flow only ",,,611.66,1101.15,3
RC,342,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,611.66,1101.15,3
RC,342,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,611.66,1101.15,3
RC,342,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,471.74,848.52,3
RC,342,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,471.74,848.52,3
RC,342,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,471.74,848.52,3
RC,342,Cardiac shunt detection ,,,471.74,848.52,3
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,611.66,1101.15,3
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,611.66,1101.15,3
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,611.66,1101.15,3
RC,342,Cerebrospinal fluid leakage detection and localization ,,,1623.62,2938.37,3
RC,342,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,611.66,1101.15,3
RC,342,Esophageal motility ,,,471.74,848.52,3
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,471.74,848.52,3
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,611.66,1101.15,3
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,471.74,848.52,3
RC,342,Gastric mucosa imaging ,,,471.74,848.52,3
RC,342,Gastroesophageal reflux study ,,,471.74,848.52,3
RC,342,Gastrointestinal protein loss ,,,471.74,848.52,3
RC,342,"Hepatobiliary system imaging, including gallbladder when present; ",,,471.74,848.52,3
RC,342,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,611.66,1101.15,3
RC,342,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,471.74,848.52,3
RC,342,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,471.74,848.52,3
RC,342,"Kidney function study, non-imaging radioisotopic study ",,,471.74,848.52,3
RC,342,Kidney imaging morphology; ,,,471.74,848.52,3
RC,342,Kidney imaging morphology; with vascular flow ,,,471.74,848.52,3
RC,342,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,1101.15,3
RC,342,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,611.66,1101.15,3
RC,342,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,1101.15,3
RC,342,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,471.74,848.52,3
RC,342,Liver and spleen imaging; static only ,,,471.74,848.52,3
RC,342,Liver and spleen imaging; with vascular flow ,,,471.74,848.52,3
RC,342,Liver imaging; static only ,,,1101.15,1623.62,3
RC,342,Liver imaging; with vascular flow ,,,1101.15,1623.62,3
RC,342,Lymphatics and lymph nodes imaging ,,,611.66,1101.15,3
RC,342,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,471.74,848.52,3
RC,342,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,1101.15,1623.62,3
RC,342,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,611.66,1101.15,3
RC,342,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,1623.62,2938.37,3
RC,342,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,1623.62,2938.37,3
RC,342,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,1623.62,2938.37,6
RC,342,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,471.74,848.52,3
RC,342,"Parathyroid planar imaging (including subtraction, when performed); ",,,471.74,848.52,3
RC,342,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,471.74,848.52,3
RC,342,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,611.66,1101.15,3
RC,342,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,471.74,848.52,3
RC,342,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,1623.62,2938.37,3
RC,342,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,1623.62,2938.37,3
RC,342,Platelet survival study ,,,471.74,848.52,3
RC,342,"Pulmonary perfusion imaging (eg, particulate) ",,,471.74,848.52,3
RC,342,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,611.66,1101.15,3
RC,342,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,471.74,848.52,3
RC,342,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,611.66,1101.15,3
RC,342,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,471.74,848.52,3
RC,342,Radiopharmaceutical dacryocystography ,,,471.74,848.52,3
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,471.74,848.52,3
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,471.74,848.52,3
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,1623.62,2938.37,3
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,1623.62,2938.37,3
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,1717.27,3330.77,6
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,1717.27,2938.37,3
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,611.66,2938.37,3
RC,342,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,321.95,561.65,3
RC,342,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,321.95,561.65,3
RC,342,"Radiopharmaceutical therapy, by intra-articular administration ",,,321.95,561.65,3
RC,342,"Radiopharmaceutical therapy, by intracavitary administration ",,,321.95,561.65,3
RC,342,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,561.65,3
RC,342,Red cell survival study ,,,471.74,848.52,3
RC,342,Red cell volume determination (separate procedure); multiple samplings ,,,611.66,1101.15,3
RC,342,Red cell volume determination (separate procedure); single sampling ,,,471.74,848.52,3
RC,342,Salivary gland function study ,,,471.74,848.52,3
RC,342,Salivary gland imaging; ,,,471.74,848.52,3
RC,342,Salivary gland imaging; with serial images ,,,471.74,848.52,3
RC,342,"Spleen imaging only, with or without vascular flow ",,,471.74,848.52,3
RC,342,Testicular imaging with vascular flow ,,,471.74,848.52,3
RC,342,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,471.74,848.52,3
RC,342,Thyroid carcinoma metastases imaging; whole body ,,,611.66,1101.15,3
RC,342,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,471.74,848.52,3
RC,342,"Thyroid imaging (including vascular flow, when performed); ",,,471.74,848.52,3
RC,342,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,848.52,3
RC,342,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,848.52,3
RC,342,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,342,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,14.93,24.89,3
RC,342,"Urea breath test, C-14 (isotopic); analysis ",,,127.45,212.42,3
RC,342,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,471.74,848.52,3
RC,342,"Venous thrombosis imaging, venogram; bilateral ",,,471.74,848.52,3
RC,342,"Venous thrombosis imaging, venogram; unilateral ",,,1101.15,1623.62,3
RC,342,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,611.66,1101.15,3
RC,343, Nuclear Medicine Diagnostic Radiopharmaceuticals  ,,,,,0
RC,343,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,3
RC,343,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,3
RC,343,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,3
RC,343,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,3
RC,343,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,3
RC,343,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,3
RC,343,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,3
RC,343,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,3
RC,343,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,3
RC,343,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,3
RC,343,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,51.33,51.33,3
RC,343,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,3
RC,343,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,3
RC,343,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,3
RC,343,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,3
RC,343,"Anti-inhibitor, per i.u. ",,,3.99,3.99,3
RC,343,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,3
RC,343,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Aprepitant, oral, 5 mg ",,,3.94,3.94,3
RC,343,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,3
RC,343,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Ascent, 0.5 mg ",,,113.75,113.75,3
RC,343,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,3
RC,343,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,3
RC,343,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Azathioprine, oral, 50 mg ",,,0.3,0.3,3
RC,343,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,3
RC,343,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,3
RC,343,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,3
RC,343,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,3
RC,343,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,3
RC,343,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,3
RC,343,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Biobrane, per square centimeter ",,,209.78,209.78,3
RC,343,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,3
RC,343,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,3
RC,343,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,3
RC,343,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,3
RC,343,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,3
RC,343,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,3
RC,343,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,3
RC,343,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,3
RC,343,"Busulfan; oral, 2 mg ",,,16.7,16.7,3
RC,343,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,3
RC,343,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,3
RC,343,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,3
RC,343,"Capecitabine, oral, 50 mg ",,,0.05,0.05,3
RC,343,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,3
RC,343,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,3
RC,343,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,3
RC,343,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,3
RC,343,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,3
RC,343,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,3
RC,343,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,3
RC,343,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,3
RC,343,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,3
RC,343,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,3
RC,343,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,3
RC,343,"Coretext or protext, per cc ",,,5313.0,5313.0,3
RC,343,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,3
RC,343,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,3
RC,343,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,3
RC,343,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,3
RC,343,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,3
RC,343,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,3
RC,343,"Cyclosporine, oral, 25 mg ",,,1.04,1.04,3
RC,343,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,3
RC,343,"Dacarbazine, 100 mg ",,,6.35,6.35,3
RC,343,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,3
RC,343,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,3
RC,343,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,3
RC,343,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,3
RC,343,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,3
RC,343,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,3
RC,343,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,3
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,3
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,233.1,233.1,3
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,3
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,3
RC,343,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,61.12,61.12,3
RC,343,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,3
RC,343,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,91.03,91.03,3
RC,343,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,3
RC,343,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,3
RC,343,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Edetate disodium, per 150 mg ",,,0.54,0.54,3
RC,343,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,3
RC,343,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,0.81,0.81,3
RC,343,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,3
RC,343,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Epifix, injectable, 1 mg ",,,31.96,31.96,3
RC,343,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,3
RC,343,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,3
RC,343,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,3
RC,343,"Etoposide; oral, 50 mg ",,,143.29,143.29,3
RC,343,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,3
RC,343,"Excellagen, 0.1 cc ",,,287.1,287.1,3
RC,343,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,3
RC,343,"Factor ix, complex, per i.u. ",,,2.81,2.81,3
RC,343,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,3
RC,343,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,3
RC,343,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,3
RC,343,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,3
RC,343,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,3
RC,343,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,3
RC,343,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,3
RC,343,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,3
RC,343,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,3
RC,343,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,3
RC,343,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,3
RC,343,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,3
RC,343,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,3
RC,343,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,3
RC,343,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,3
RC,343,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,3
RC,343,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,3
RC,343,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,3
RC,343,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,3
RC,343,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,3
RC,343,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,3
RC,343,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,3
RC,343,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,3
RC,343,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,3
RC,343,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,3
RC,343,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,3
RC,343,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,3
RC,343,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,3
RC,343,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Gefitinib, oral, 250 mg ",,,480.15,480.15,3
RC,343,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,3
RC,343,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,3
RC,343,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,3
RC,343,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,3
RC,343,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,3
RC,343,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,3
RC,343,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,3
RC,343,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,3
RC,343,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,3
RC,343,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,3
RC,343,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,3
RC,343,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,3
RC,343,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,3
RC,343,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,3
RC,343,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,3
RC,343,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,343,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,343,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,343,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,343,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,54.78,54.78,3
RC,343,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,3
RC,343,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,3
RC,343,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,3
RC,343,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,3
RC,343,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,3
RC,343,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,3
RC,343,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,3
RC,343,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,3
RC,343,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,3
RC,343,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,3
RC,343,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,3
RC,343,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,3
RC,343,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,3
RC,343,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,3
RC,343,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,3
RC,343,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,3
RC,343,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,3
RC,343,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,3
RC,343,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,3
RC,343,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,3
RC,343,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,3
RC,343,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,3
RC,343,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,3
RC,343,"Hypertonic saline solution, 1 ml ",,,0.17,0.17,3
RC,343,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,3
RC,343,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,3
RC,343,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,3
RC,343,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,3
RC,343,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,3
RC,343,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",22596.16,22596.16,2854.98,2854.98,3
RC,343,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,3
RC,343,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,3
RC,343,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,3
RC,343,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,3
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,3
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,3
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,3
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,3
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,3
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,3
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,38.31,38.31,3
RC,343,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,3
RC,343,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,3
RC,343,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,3
RC,343,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,3
RC,343,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,3
RC,343,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,3
RC,343,"Infusion, albumin (human), 5%, 50 ml ",,,17.52,17.52,3
RC,343,"Infusion, d5w, 1000 cc ",,,5.07,5.07,3
RC,343,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,3
RC,343,"Infusion, normal saline solution , 1000 cc ",,,3.61,3.61,3
RC,343,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,3
RC,343,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,3
RC,343,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,3
RC,343,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,3
RC,343,"Injection abciximab, 10 mg ",,,951.77,951.77,3
RC,343,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,3
RC,343,"Injection fluconazole, 200 mg ",,,6.39,6.39,3
RC,343,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,3
RC,343,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,3
RC,343,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,343,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,343,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,3
RC,343,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,3
RC,343,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,3
RC,343,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,3
RC,343,"Injection, acetylcysteine, 100 mg ",,,0.84,0.84,3
RC,343,"Injection, acyclovir, 5 mg ",,,0.03,0.03,3
RC,343,"Injection, adalimumab, 1 mg ",,,269.25,269.25,3
RC,343,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,3
RC,343,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,3
RC,343,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,3
RC,343,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,3
RC,343,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,3
RC,343,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,3
RC,343,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,3
RC,343,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,3
RC,343,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,3
RC,343,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,3
RC,343,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,3
RC,343,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,3
RC,343,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,3
RC,343,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,3
RC,343,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,3
RC,343,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,3
RC,343,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,3
RC,343,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,3
RC,343,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,0.79,0.79,3
RC,343,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,3
RC,343,"Injection, amifostine, 500 mg ",,,722.52,722.52,3
RC,343,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,3
RC,343,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,3
RC,343,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,3
RC,343,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,3
RC,343,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,3
RC,343,"Injection, amisulpride, 1 mg ",,,15.77,15.77,3
RC,343,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,3
RC,343,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,3
RC,343,"Injection, amphotericin b lipid complex, 10 mg ",,,30.86,30.86,3
RC,343,"Injection, amphotericin b liposome, 10 mg ",,,37.64,37.64,3
RC,343,"Injection, amphotericin b, 50 mg ",,,73.14,73.14,3
RC,343,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,3
RC,343,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,3
RC,343,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,3
RC,343,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,3
RC,343,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,3
RC,343,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,3
RC,343,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,3
RC,343,"Injection, aprepitant, 1 mg ",,,2.79,2.79,3
RC,343,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,3
RC,343,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,3
RC,343,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,3
RC,343,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,3
RC,343,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,3
RC,343,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,3
RC,343,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,3
RC,343,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,3
RC,343,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,3
RC,343,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,3
RC,343,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,3
RC,343,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,3
RC,343,"Injection, artesunate, 1 mg ",,,85.52,85.52,3
RC,343,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,3
RC,343,"Injection, atezolizumab, 10 mg ",,,155.1,155.1,3
RC,343,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,3
RC,343,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,3
RC,343,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,3
RC,343,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,3
RC,343,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,3
RC,343,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,3
RC,343,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,3
RC,343,"Injection, avelumab, 10 mg ",,,174.16,174.16,3
RC,343,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,3
RC,343,"Injection, azacitidine, 1 mg ",,,0.68,0.68,3
RC,343,"Injection, azithromycin, 500 mg ",,,3.2,3.2,3
RC,343,"Injection, aztreonam, 100 mg ",,,3.78,3.78,3
RC,343,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,3
RC,343,"Injection, baclofen, 10 mg ",,,293.78,293.78,3
RC,343,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,3
RC,343,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,3
RC,343,"Injection, belatacept, 1 mg ",,,6.42,6.42,3
RC,343,"Injection, belimumab, 10 mg ",,,94.36,94.36,3
RC,343,"Injection, belinostat, 10 mg ",,,87.63,87.63,3
RC,343,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,3
RC,343,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,3
RC,343,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,3
RC,343,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,3
RC,343,"Injection, benralizumab, 1 mg ",,,269.54,269.54,3
RC,343,"Injection, benztropine mesylate, per 1 mg ",,,22.31,22.31,3
RC,343,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,3
RC,343,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,3
RC,343,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,3
RC,343,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,3
RC,343,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,3
RC,343,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,3
RC,343,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,3
RC,343,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,3
RC,343,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,3
RC,343,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,3
RC,343,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,3
RC,343,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,3
RC,343,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,3
RC,343,"Injection, bleomycin sulfate, 15 units ",,,27.39,27.39,3
RC,343,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,3
RC,343,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,3
RC,343,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,3
RC,343,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,3
RC,343,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,3
RC,343,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,3
RC,343,"Injection, brentuximab vedotin, 1 mg ",,,443.4,443.4,3
RC,343,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,3
RC,343,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,3
RC,343,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,3
RC,343,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,3
RC,343,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,3
RC,343,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,3
RC,343,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,3
RC,343,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,3
RC,343,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,3
RC,343,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,3
RC,343,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,3
RC,343,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,3
RC,343,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,3
RC,343,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,3
RC,343,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,3
RC,343,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,3
RC,343,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,3
RC,343,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,3
RC,343,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,3
RC,343,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,3
RC,343,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,3
RC,343,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,3
RC,343,"Injection, calcitriol, 0.1 mcg ",,,1.96,1.96,3
RC,343,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,3
RC,343,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,3
RC,343,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,3
RC,343,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,3
RC,343,"Injection, canakinumab, 1 mg ",,,246.79,246.79,3
RC,343,"Injection, cangrelor, 1 mg ",,,33.03,33.03,3
RC,343,"Injection, caplacizumab-yhdp, 1 mg ",,,1322.08,1322.08,3
RC,343,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,3
RC,343,"Injection, carboplatin, 50 mg ",,,4.85,4.85,3
RC,343,"Injection, carboprost tromethamine, 0.1 mg ",,,25.67,25.67,3
RC,343,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,3
RC,343,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,3
RC,343,"Injection, carmustine, 100 mg ",,,398.97,398.97,3
RC,343,"Injection, casimersen, 10 mg ",,,274.23,274.23,3
RC,343,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,3
RC,343,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,3
RC,343,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,3
RC,343,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,3
RC,343,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,3
RC,343,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,3
RC,343,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,3
RC,343,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,3
RC,343,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,3
RC,343,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,3
RC,343,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,3
RC,343,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,3
RC,343,"Injection, ceftaroline fosamil, 10 mg ",,,7.01,7.01,3
RC,343,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,172.84,172.84,3
RC,343,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,3
RC,343,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,3
RC,343,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,14.59,14.59,3
RC,343,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,3
RC,343,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,3
RC,343,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,3
RC,343,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,3
RC,343,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,3
RC,343,"Injection, cetuximab, 10 mg ",,,132.76,132.76,3
RC,343,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,3
RC,343,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,3
RC,343,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,3
RC,343,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,3
RC,343,"Injection, chlorpromazine hcl, up to 50 mg ",,,34.58,34.58,3
RC,343,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,3
RC,343,"Injection, cidofovir, 375 mg ",,,925.3,925.3,3
RC,343,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,3
RC,343,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,3
RC,343,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,3
RC,343,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,3
RC,343,"Injection, cladribine, per 1 mg ",,,14.4,14.4,3
RC,343,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,3
RC,343,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,3
RC,343,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,3
RC,343,"Injection, clofarabine, 1 mg ",,,18.05,18.05,3
RC,343,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,3
RC,343,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,3
RC,343,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,3
RC,343,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,3
RC,343,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,3
RC,343,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,3
RC,343,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,3
RC,343,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,3
RC,343,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,3
RC,343,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,3
RC,343,"Injection, cosyntropin, 0.25 mg ",,,26.83,26.83,3
RC,343,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,3
RC,343,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,2613.6,2613.6,3
RC,343,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,3037.68,3037.68,3
RC,343,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,3
RC,343,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,3
RC,343,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,3
RC,343,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,3
RC,343,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,3
RC,343,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,3
RC,343,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,3
RC,343,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,3
RC,343,"Injection, cytarabine, 100 mg ",,,1.32,1.32,3
RC,343,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,3
RC,343,"Injection, dactinomycin, 0.5 mg ",,,557.16,557.16,3
RC,343,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,3
RC,343,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,3
RC,343,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,3
RC,343,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,3
RC,343,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,3
RC,343,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,3
RC,343,"Injection, daptomycin, 1 mg ",,,0.05,0.05,3
RC,343,"Injection, daratumumab, 10 mg ",,,116.77,116.77,3
RC,343,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,3
RC,343,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,3
RC,343,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,3
RC,343,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,3
RC,343,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,3
RC,343,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,3
RC,343,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,3
RC,343,"Injection, decitabine, 1 mg ",,,1.65,1.65,3
RC,343,"Injection, deferoxamine mesylate, 500 mg ",,,14.16,14.16,3
RC,343,"Injection, degarelix, 1 mg ",,,7.36,7.36,3
RC,343,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,3
RC,343,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,3
RC,343,"Injection, denosumab, 1 mg ",,,48.69,48.69,3
RC,343,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,3
RC,343,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,3
RC,343,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,3
RC,343,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,3
RC,343,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,3
RC,343,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,3
RC,343,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,3
RC,343,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,3
RC,343,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,3
RC,343,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,3
RC,343,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,3
RC,343,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,3
RC,343,"Injection, diazepam, up to 5 mg ",,,14.04,14.04,3
RC,343,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,3
RC,343,"Injection, dicyclomine hcl, up to 20 mg ",,,15.46,15.46,3
RC,343,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,3
RC,343,"Injection, digoxin immune fab (ovine), per vial ",,,8525.53,8525.53,3
RC,343,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,3
RC,343,"Injection, dihydroergotamine mesylate, per 1 mg ",,,90.57,90.57,3
RC,343,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,3
RC,343,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,3
RC,343,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,3
RC,343,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.14,1.14,3
RC,343,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,3
RC,343,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,3
RC,343,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,3
RC,343,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,3
RC,343,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,3
RC,343,"Injection, docetaxel, 1 mg ",,,0.92,0.92,3
RC,343,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,3
RC,343,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,3
RC,343,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,3
RC,343,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,3
RC,343,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,3
RC,343,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,3
RC,343,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,3
RC,343,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,118.57,118.57,3
RC,343,"Injection, doxycycline hyclate, 1 mg ",,,0.15,0.15,3
RC,343,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,3
RC,343,"Injection, durvalumab, 10 mg ",,,142.15,142.15,3
RC,343,"Injection, ecallantide, 1 mg ",,,954.94,954.94,3
RC,343,"Injection, eculizumab, 2 mg ",,,73.76,73.76,3
RC,343,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,3
RC,343,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,3
RC,343,"Injection, edaravone, 1 mg ",,,25.05,25.05,3
RC,343,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,3
RC,343,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,3
RC,343,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,3
RC,343,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,3
RC,343,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,3
RC,343,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,3
RC,343,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,3
RC,343,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,3
RC,343,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,3
RC,343,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,3
RC,343,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,3
RC,343,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,3
RC,343,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,3
RC,343,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,3
RC,343,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,3
RC,343,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,3
RC,343,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,3
RC,343,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,3
RC,343,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,3
RC,343,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,3
RC,343,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,3
RC,343,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,3
RC,343,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,3
RC,343,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,3
RC,343,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,3
RC,343,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,3
RC,343,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,3
RC,343,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,3
RC,343,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,3
RC,343,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,3
RC,343,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,3
RC,343,"Injection, epoprostenol, 0.5 mg ",,,24.55,24.55,3
RC,343,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,3
RC,343,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,3
RC,343,"Injection, eravacycline, 1 mg ",,,2.13,2.13,3
RC,343,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,3
RC,343,"Injection, ertapenem sodium, 500 mg ",,,11.91,11.91,3
RC,343,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,3
RC,343,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,3
RC,343,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,3
RC,343,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,3
RC,343,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,3
RC,343,"Injection, estrogen conjugated, per 25 mg ",,,646.34,646.34,3
RC,343,"Injection, estrone, per 1 mg ",,,0.54,0.54,3
RC,343,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,3
RC,343,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,3
RC,343,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,3
RC,343,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,3
RC,343,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,3
RC,343,"Injection, etoposide, 10 mg ",,,1.49,1.49,3
RC,343,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,3
RC,343,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,3
RC,343,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,3
RC,343,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,3
RC,343,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,3
RC,343,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,3
RC,343,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,3
RC,343,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,3
RC,343,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,3
RC,343,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,3
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,3
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,3
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,3
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,3
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,3
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,3
RC,343,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,3
RC,343,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,3
RC,343,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,3
RC,343,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,3
RC,343,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,3
RC,343,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,3
RC,343,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,3
RC,343,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,3
RC,343,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,3
RC,343,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,3
RC,343,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,3
RC,343,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,3
RC,343,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,3
RC,343,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,3
RC,343,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,3
RC,343,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,3
RC,343,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,3
RC,343,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,3
RC,343,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,3
RC,343,"Injection, floxuridine, 500 mg ",,,7014.1,7014.1,3
RC,343,"Injection, fludarabine phosphate, 50 mg ",,,359.25,359.25,3
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,3
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,3
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,3
RC,343,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,3
RC,343,"Injection, fluphenazine decanoate, up to 25 mg ",,,9.22,9.22,3
RC,343,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,3
RC,343,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,3
RC,343,"Injection, fomepizole, 15 mg ",,,10.79,10.79,3
RC,343,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,3
RC,343,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,3
RC,343,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,3
RC,343,"Injection, fosaprepitant, 1 mg ",,,0.18,0.18,3
RC,343,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,3
RC,343,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,3
RC,343,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,3
RC,343,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,3
RC,343,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,3
RC,343,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,3
RC,343,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,3
RC,343,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,3
RC,343,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,3
RC,343,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,3
RC,343,"Injection, furosemide, 1 mg ",,,0.03,0.03,3
RC,343,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,3
RC,343,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,3
RC,343,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,3
RC,343,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,3
RC,343,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,3
RC,343,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,3
RC,343,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,3
RC,343,"Injection, gadoxetate disodium, 1 ml ",,,24.3,24.3,3
RC,343,"Injection, galsulfase, 1 mg ",,,847.44,847.44,3
RC,343,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,3
RC,343,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,3
RC,343,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,3
RC,343,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,3
RC,343,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,3
RC,343,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,3
RC,343,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,3
RC,343,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,3
RC,343,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,3
RC,343,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,3
RC,343,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,3
RC,343,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,3
RC,343,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,3
RC,343,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,3
RC,343,"Injection, glucagon hydrochloride, per 1 mg ",,,241.44,241.44,3
RC,343,"Injection, glucarpidase, 10 units ",,,741.02,741.02,3
RC,343,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,3
RC,343,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,3
RC,343,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,3
RC,343,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,3
RC,343,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,3
RC,343,"Injection, golodirsen, 10 mg ",,,316.8,316.8,3
RC,343,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,3
RC,343,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,3
RC,343,"Injection, guselkumab, 1 mg ",,,111.89,111.89,3
RC,343,"Injection, haloperidol decanoate, per 50 mg ",,,10.02,10.02,3
RC,343,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,3
RC,343,"Injection, hemin, 1 mg ",,,58.26,58.26,3
RC,343,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,3
RC,343,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,3
RC,343,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,3
RC,343,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,3
RC,343,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,3
RC,343,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,3
RC,343,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,3
RC,343,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,3
RC,343,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,3
RC,343,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,3
RC,343,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,3
RC,343,"Injection, hyaluronidase, up to 150 units ",,,52.06,52.06,3
RC,343,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,3
RC,343,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,3
RC,343,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,3
RC,343,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,3
RC,343,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,8.98,8.98,3
RC,343,"Injection, hydroxyzine hcl, up to 25 mg ",,,25.03,25.03,3
RC,343,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,3
RC,343,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,3
RC,343,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,3
RC,343,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,3
RC,343,"Injection, ibutilide fumarate, 1 mg ",,,361.71,361.71,3
RC,343,"Injection, icatibant, 1 mg ",,,518.38,518.38,3
RC,343,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,3
RC,343,"Injection, idursulfase, 1 mg ",,,921.06,921.06,3
RC,343,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,3
RC,343,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,3
RC,343,"Injection, imetelstat, 1 mg ",,,95.98,95.98,3
RC,343,"Injection, imiglucerase, 10 units ",,,70.67,70.67,3
RC,343,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,3
RC,343,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,3
RC,343,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,3
RC,343,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,3
RC,343,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,3
RC,343,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,3
RC,343,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,3
RC,343,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,3
RC,343,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,3
RC,343,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,3
RC,343,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,3
RC,343,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,3
RC,343,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,3
RC,343,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,3
RC,343,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,3
RC,343,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,3
RC,343,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,3
RC,343,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,3
RC,343,"Injection, inclisiran, 1 mg ",,,20.81,20.81,3
RC,343,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,3
RC,343,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,3
RC,343,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,3
RC,343,"Injection, infliximab, excludes biosimilar, 10 mg ",,,51.22,51.22,3
RC,343,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,44.22,44.22,3
RC,343,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,3
RC,343,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,3
RC,343,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,3
RC,343,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,3
RC,343,"Injection, insulin, per 5 units ",,,0.81,0.81,3
RC,343,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,3
RC,343,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,3
RC,343,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,3
RC,343,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,3
RC,343,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,3
RC,343,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,3
RC,343,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,3
RC,343,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,3
RC,343,"Injection, ipilimumab, 1 mg ",,,308.83,308.83,3
RC,343,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,3
RC,343,"Injection, irinotecan, 20 mg ",,,2.52,2.52,3
RC,343,"Injection, iron dextran, 50 mg ",,,29.88,29.88,3
RC,343,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,3
RC,343,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,3
RC,343,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,3
RC,343,"Injection, isoniazid, 1 mg ",,,0.5,0.5,3
RC,343,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,3
RC,343,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,3
RC,343,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,3
RC,343,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,3
RC,343,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,3
RC,343,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,3
RC,343,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,3
RC,343,"Injection, lanreotide, 1 mg ",,,58.94,58.94,3
RC,343,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,3
RC,343,"Injection, lefamulin, 1 mg ",,,1.35,1.35,3
RC,343,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,3
RC,343,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,3
RC,343,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,3
RC,343,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,3
RC,343,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,3
RC,343,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,3
RC,343,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,3
RC,343,"Injection, levocarnitine, per 1 gm ",,,38.1,38.1,3
RC,343,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,3
RC,343,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,3
RC,343,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,3
RC,343,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,3
RC,343,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,3
RC,343,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,3
RC,343,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,3
RC,343,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,3
RC,343,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,3
RC,343,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,343,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,3
RC,343,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,3
RC,343,"Injection, linezolid, 200 mg ",,,4.09,4.09,3
RC,343,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,3
RC,343,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,3
RC,343,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,3
RC,343,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,3
RC,343,"Injection, lorazepam, 2 mg ",,,2.74,2.74,3
RC,343,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,3
RC,343,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,3
RC,343,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,3
RC,343,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,3
RC,343,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,3
RC,343,"Injection, mannitol, 250 mg ",,,0.08,0.08,3
RC,343,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,3
RC,343,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,3
RC,343,"Injection, mecasermin, 1 mg ",,,763.93,763.93,3
RC,343,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,3
RC,343,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.79,0.79,3
RC,343,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,3
RC,343,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,3
RC,343,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,3
RC,343,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,3
RC,343,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,199.11,199.11,3
RC,343,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,3
RC,343,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,3
RC,343,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,3
RC,343,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,3
RC,343,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,3
RC,343,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,3
RC,343,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,3
RC,343,"Injection, meropenem, 100 mg ",,,0.61,0.61,3
RC,343,"Injection, mesna, 200 mg ",,,2.19,2.19,3
RC,343,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,3
RC,343,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,3
RC,343,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,3
RC,343,"Injection, methyldopate hcl, up to 250 mg ",,,15.99,15.99,3
RC,343,"Injection, methylergonovine maleate, up to 0.2 mg ",,,35.66,35.66,3
RC,343,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,3
RC,343,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,3
RC,343,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,3
RC,343,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,3
RC,343,"Injection, metoprolol tartrate, 1 mg ",,,0.21,0.21,3
RC,343,"Injection, metronidazole, 10 mg ",,,0.05,0.05,3
RC,343,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,3
RC,343,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,3
RC,343,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,3
RC,343,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,3
RC,343,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,3
RC,343,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,3
RC,343,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,3
RC,343,"Injection, minocycline hydrochloride, 1 mg ",,,4.39,4.39,3
RC,343,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,3
RC,343,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,3
RC,343,"Injection, mitomycin, 5 mg ",,,46.96,46.96,3
RC,343,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,63.71,63.71,3
RC,343,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,3
RC,343,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,3
RC,343,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,20.05,20.05,3
RC,343,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,3
RC,343,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,3
RC,343,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,3
RC,343,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,3
RC,343,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,3
RC,343,"Injection, moxifloxacin, 100 mg ",,,14.42,14.42,3
RC,343,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,3
RC,343,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,3
RC,343,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,3
RC,343,"Injection, nalbuphine hydrochloride, per 10 mg ",,,5.64,5.64,3
RC,343,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,3
RC,343,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,3
RC,343,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,3
RC,343,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,3
RC,343,"Injection, natalizumab, 1 mg ",,,40.13,40.13,3
RC,343,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,3
RC,343,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,3
RC,343,"Injection, necitumumab, 1 mg ",,,9.45,9.45,3
RC,343,"Injection, nelarabine, 50 mg ",,,86.97,86.97,3
RC,343,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,3
RC,343,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,2.33,2.33,3
RC,343,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,3
RC,343,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,3
RC,343,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,3
RC,343,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,3
RC,343,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,3
RC,343,"Injection, nivolumab, 1 mg ",,,55.47,55.47,3
RC,343,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,3
RC,343,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,3
RC,343,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,3
RC,343,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,3
RC,343,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,3
RC,343,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,3
RC,343,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,3
RC,343,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,3
RC,343,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,3
RC,343,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,3
RC,343,"Injection, ofatumumab, 10 mg ",,,102.68,102.68,3
RC,343,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,3
RC,343,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,3
RC,343,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,3
RC,343,"Injection, omadacycline, 1 mg ",,,6.81,6.81,3
RC,343,"Injection, omalizumab, 5 mg ",,,69.0,69.0,3
RC,343,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,3
RC,343,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,3
RC,343,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,3
RC,343,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,3
RC,343,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,3
RC,343,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,3
RC,343,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,3
RC,343,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,3
RC,343,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,3
RC,343,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,3
RC,343,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,3
RC,343,"Injection, oxytocin, up to 10 units ",,,4.47,4.47,3
RC,343,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,3
RC,343,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,3
RC,343,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,3
RC,343,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,3
RC,343,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,3
RC,343,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,3
RC,343,"Injection, palonosetron hcl, 25 mcg ",,,1.07,1.07,3
RC,343,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,3
RC,343,"Injection, pamidronate disodium, per 30 mg ",,,20.49,20.49,3
RC,343,"Injection, panitumumab, 10 mg ",,,287.74,287.74,3
RC,343,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,3
RC,343,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,3
RC,343,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,3
RC,343,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,3
RC,343,"Injection, paricalcitol, 1 mcg ",,,1.68,1.68,3
RC,343,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,3
RC,343,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,3
RC,343,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,3
RC,343,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,3
RC,343,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,210.18,210.18,3
RC,343,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,3
RC,343,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,3
RC,343,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,3
RC,343,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,3
RC,343,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,3
RC,343,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,3
RC,343,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,3
RC,343,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,3
RC,343,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,3
RC,343,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,3
RC,343,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,3
RC,343,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,3
RC,343,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,3
RC,343,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,3
RC,343,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,3
RC,343,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,3
RC,343,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,3
RC,343,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,3
RC,343,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,3
RC,343,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,3
RC,343,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,3
RC,343,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,3
RC,343,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,3
RC,343,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,3
RC,343,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,3
RC,343,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,3
RC,343,"Injection, pentamidine isethionate, 1 mg ",,,0.26,0.26,3
RC,343,"Injection, pentazocine, 30 mg ",,,45.19,45.19,3
RC,343,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,3
RC,343,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,3
RC,343,"Injection, peramivir, 1 mg ",,,2.77,2.77,3
RC,343,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,3
RC,343,"Injection, pertuzumab, 1 mg ",,,28.08,28.08,3
RC,343,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,3
RC,343,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,3
RC,343,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,3
RC,343,"Injection, phentolamine mesylate, up to 5 mg ",,,424.79,424.79,3
RC,343,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,3
RC,343,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,3
RC,343,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,3
RC,343,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,3
RC,343,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,3
RC,343,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,3
RC,343,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,3
RC,343,"Injection, plazomicin, 5 mg ",,,5.79,5.79,3
RC,343,"Injection, plerixafor, 1 mg ",,,54.02,54.02,3
RC,343,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,3
RC,343,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,3
RC,343,"Injection, posaconazole, 1 mg ",,,0.58,0.58,3
RC,343,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,3
RC,343,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,3
RC,343,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,3
RC,343,"Injection, pralidoxime chloride, up to 1 gm ",,,171.67,171.67,3
RC,343,"Injection, procainamide hcl, up to 1 gm ",,,354.44,354.44,3
RC,343,"Injection, prochlorperazine, up to 10 mg ",,,5.49,5.49,3
RC,343,"Injection, progesterone, per 50 mg ",,,1.09,1.09,3
RC,343,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,3
RC,343,"Injection, propofol, 10 mg ",,,0.15,0.15,3
RC,343,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,3
RC,343,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,3
RC,343,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,3
RC,343,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,3
RC,343,"Injection, pyridoxine hcl, 100 mg ",,,24.59,24.59,3
RC,343,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,3
RC,343,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,3
RC,343,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,3
RC,343,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,3
RC,343,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,3
RC,343,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,3
RC,343,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,3
RC,343,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,3
RC,343,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,3
RC,343,"Injection, regadenoson, 0.1 mg ",,,4.79,4.79,3
RC,343,"Injection, remdesivir, 1 mg ",,,11.39,11.39,3
RC,343,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,3
RC,343,"Injection, remimazolam, 1 mg ",,,4.6,4.6,3
RC,343,"Injection, reslizumab, 1 mg ",,,19.02,19.02,3
RC,343,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,3
RC,343,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,3
RC,343,"Injection, rezafungin, 1 mg ",,,17.8,17.8,3
RC,343,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,3
RC,343,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,3
RC,343,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,3
RC,343,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,8.0,8.0,3
RC,343,"Injection, rifampin, 1 mg ",,,0.28,0.28,3
RC,343,"Injection, rilonacept, 1 mg ",,,56.03,56.03,3
RC,343,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,3
RC,343,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,3
RC,343,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,3
RC,343,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,3
RC,343,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,3
RC,343,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,3
RC,343,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,3
RC,343,"Injection, rituximab, 10 mg ",,,122.36,122.36,3
RC,343,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,3
RC,343,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,3
RC,343,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,3
RC,343,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,3
RC,343,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,3
RC,343,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,3
RC,343,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,3
RC,343,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,343,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,3
RC,343,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,3
RC,343,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,3
RC,343,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,3
RC,343,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,3
RC,343,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,3
RC,343,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,3
RC,343,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,3
RC,343,"Injection, siltuximab, 10 mg ",,,287.23,287.23,3
RC,343,"Injection, sincalide, 5 micrograms ",,,178.53,178.53,3
RC,343,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,3
RC,343,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,3.94,3.94,3
RC,343,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,3
RC,343,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,3
RC,343,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,3
RC,343,"Injection, somatropin, 1 mg ",,,272.56,272.56,3
RC,343,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,3
RC,343,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,3
RC,343,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,3
RC,343,"Injection, streptozocin, 1 gram ",,,289.33,289.33,3
RC,343,"Injection, succinylcholine chloride, up to 20 mg ",,,2.46,2.46,3
RC,343,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,3
RC,343,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,3
RC,343,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,293.16,293.16,3
RC,343,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,3
RC,343,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,3
RC,343,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,3
RC,343,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,3
RC,343,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,3
RC,343,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,3
RC,343,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,3
RC,343,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,3
RC,343,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,3
RC,343,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,3
RC,343,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,3
RC,343,"Injection, telavancin, 10 mg ",,,11.6,11.6,3
RC,343,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,3
RC,343,"Injection, temozolomide, 1 mg ",,,17.16,17.16,3
RC,343,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,3
RC,343,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,3
RC,343,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,3
RC,343,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,3
RC,343,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,3
RC,343,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,3
RC,343,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,3
RC,343,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,3
RC,343,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,3
RC,343,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,3
RC,343,"Injection, tetanus immune globulin, human, up to 250 units ",,,920.9,920.9,3
RC,343,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,3
RC,343,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,3
RC,343,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,3
RC,343,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,3
RC,343,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,3
RC,343,"Injection, tigecycline, 1 mg ",,,0.94,0.94,3
RC,343,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,3
RC,343,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,3
RC,343,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,3
RC,343,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,3
RC,343,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,3
RC,343,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,3
RC,343,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,3
RC,343,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,3
RC,343,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,3
RC,343,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,3
RC,343,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,3
RC,343,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,3
RC,343,"Injection, tofersen, 1 mg ",,,264.02,264.02,3
RC,343,"Injection, topotecan, 0.1 mg ",,,3.48,3.48,3
RC,343,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,3
RC,343,"Injection, trabectedin, 0.1 mg ",,,645.27,645.27,3
RC,343,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,3
RC,343,"Injection, tranexamic acid, 5 mg ",,,0.21,0.21,3
RC,343,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,3
RC,343,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,121.16,121.16,3
RC,343,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,3
RC,343,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,3
RC,343,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,3
RC,343,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,3
RC,343,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,3
RC,343,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,3
RC,343,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,3
RC,343,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,3
RC,343,"Injection, treosulfan, 50 mg ",,,52.16,52.16,3
RC,343,"Injection, treprostinil, 1 mg ",,,91.06,91.06,3
RC,343,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,3
RC,343,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,3
RC,343,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,3
RC,343,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,3
RC,343,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,3
RC,343,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,3
RC,343,"Injection, trilaciclib, 1mg ",,,9.06,9.06,3
RC,343,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,3
RC,343,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,3
RC,343,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,3
RC,343,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,3
RC,343,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,3
RC,343,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,3
RC,343,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,3
RC,343,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,3
RC,343,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,3
RC,343,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,3
RC,343,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,3
RC,343,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,3
RC,343,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,3
RC,343,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,3
RC,343,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,3
RC,343,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,3
RC,343,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,3
RC,343,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,3
RC,343,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,3
RC,343,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,3
RC,343,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,3
RC,343,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,3
RC,343,"Injection, vasopressin, 1 unit ",,,0.87,0.87,3
RC,343,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,3
RC,343,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,3
RC,343,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,3
RC,343,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,3
RC,343,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,3
RC,343,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,3
RC,343,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,3
RC,343,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,3
RC,343,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.11,1.11,3
RC,343,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,3
RC,343,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,3
RC,343,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,3
RC,343,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,3
RC,343,"Injection, voriconazole, 10 mg ",,,1.07,1.07,3
RC,343,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,3
RC,343,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,3
RC,343,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,3
RC,343,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,3
RC,343,"Injection, zidovudine, 10 mg ",,,2.49,2.49,3
RC,343,"Injection, ziprasidone mesylate, 10 mg ",,,9.69,9.69,3
RC,343,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,3
RC,343,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,3
RC,343,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,3
RC,343,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,3
RC,343,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Innovamatrix pd, 1 mg ",,,28.1,28.1,3
RC,343,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,3
RC,343,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,3
RC,343,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,3
RC,343,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,3
RC,343,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,3
RC,343,"Insulin (fiasp), per 5 units ",,,1.12,1.12,3
RC,343,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,3
RC,343,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,3
RC,343,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,3
RC,343,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,3
RC,343,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Interfyl, 1 mg ",,,64.27,64.27,3
RC,343,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,3
RC,343,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,3
RC,343,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,3
RC,343,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,3
RC,343,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,3
RC,343,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",636.2,636.2,167.54,167.54,3
RC,343,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,3
RC,343,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,3
RC,343,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,3
RC,343,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",817.99,817.99,1572.47,1572.47,3
RC,343,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,3
RC,343,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,39.72,39.72,3
RC,343,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,3
RC,343,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,3
RC,343,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,3
RC,343,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,3
RC,343,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,3
RC,343,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,3
RC,343,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,3
RC,343,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,3
RC,343,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,3
RC,343,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,3
RC,343,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,3
RC,343,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,3
RC,343,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,3
RC,343,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,3
RC,343,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,3
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,3
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,3
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,3
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,3
RC,343,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,3
RC,343,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,3
RC,343,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,3
RC,343,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,3
RC,343,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,3
RC,343,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,3
RC,343,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,3
RC,343,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,3
RC,343,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,3
RC,343,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Matristem micromatrix, 1 mg ",,,13.08,13.08,3
RC,343,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,193.28,193.28,3
RC,343,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,3
RC,343,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Melphalan; oral, 2 mg ",,,7.72,7.72,3
RC,343,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,3
RC,343,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,3
RC,343,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,3
RC,343,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,3
RC,343,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,3
RC,343,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,3
RC,343,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,447.05,447.05,3
RC,343,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,3
RC,343,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,1.8,1.8,3
RC,343,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,3
RC,343,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,3
RC,343,"Methotrexate; oral, 2.5 mg ",,,0.23,0.23,3
RC,343,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,3
RC,343,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Microlyte painguard, per square centimeter ",,,209.78,209.78,3
RC,343,"Miglustat, oral, 65 mg ",,,70.39,70.39,3
RC,343,"Miro3d fibers, per milligram ",,,27.09,27.09,3
RC,343,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,3
RC,343,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,3
RC,343,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,3
RC,343,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,3
RC,343,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,3
RC,343,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,3
RC,343,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,3
RC,343,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,3
RC,343,"Myriad morcells, 4 milligrams ",,,21.78,21.78,3
RC,343,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,3
RC,343,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,3
RC,343,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,3
RC,343,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,3
RC,343,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,3
RC,343,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,3
RC,343,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,3
RC,343,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.03,0.03,3
RC,343,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,3
RC,343,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,3
RC,343,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,3
RC,343,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,3
RC,343,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,3
RC,343,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,3
RC,343,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,3
RC,343,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,444.36,444.36,3
RC,343,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,516.29,516.29,3
RC,343,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,3
RC,343,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,220.23,220.23,3
RC,343,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,94.41,94.41,3
RC,343,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Prednisolone oral, per 5 mg ",,,1.22,1.22,3
RC,343,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,3
RC,343,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Procenta, per 100 mg ",,,9801.5,9801.5,3
RC,343,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,3
RC,343,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.48,0.48,3
RC,343,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,3
RC,343,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,3
RC,343,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,3
RC,343,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,3
RC,343,"Rabies vaccine, for intradermal use ",,,390.82,390.82,3
RC,343,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,3
RC,343,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,3
RC,343,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,3
RC,343,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,3
RC,343,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,3
RC,343,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,3
RC,343,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,3
RC,343,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,3
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,3
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1178.22,1178.22,3
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,3
RC,343,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,3
RC,343,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,3
RC,343,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,3
RC,343,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,3
RC,343,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,3
RC,343,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,3
RC,343,"Rolapitant, oral, 1 mg ",,,7.28,7.28,3
RC,343,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,3
RC,343,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,3
RC,343,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,5213.67,5213.67,3
RC,343,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,3
RC,343,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,3
RC,343,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,3
RC,343,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,3
RC,343,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,3
RC,343,"Sirolimus, oral, 1 mg ",,,2.1,2.1,3
RC,343,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,3
RC,343,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,3
RC,343,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,3
RC,343,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,3
RC,343,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,6841.46,6841.46,3
RC,343,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,3
RC,343,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Suzetrigine, oral 1 mg ",,,0.54,0.54,3
RC,343,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,3
RC,343,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,3
RC,343,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,3
RC,343,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,3
RC,343,"Tacrolimus, parenteral, 5 mg ",,,428.93,428.93,3
RC,343,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,3
RC,343,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,3
RC,343,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,3
RC,343,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,3
RC,343,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,3
RC,343,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,3
RC,343,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,3
RC,343,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",186.51,186.51,74.96,74.96,3
RC,343,"Temozolomide, oral, 5 mg ",,,0.66,0.66,3
RC,343,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,3
RC,343,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,3
RC,343,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,3
RC,343,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,63.94,63.94,3
RC,343,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,3
RC,343,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,65.14,65.14,3
RC,343,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",826.54,826.54,91.49,91.49,3
RC,343,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,3
RC,343,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,3
RC,343,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,12.82,12.82,3
RC,343,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,3
RC,343,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,3
RC,343,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,3
RC,343,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,3
RC,343,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,3
RC,343,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,3
RC,343,"Typhoid vaccine, live, oral ",,,232.22,232.22,3
RC,343,Unlisted immune globulin ,,,706.02,706.02,3
RC,343,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,3
RC,343,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,3
RC,343,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,3
RC,343,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,3
RC,343,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,3
RC,343,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3899.36,3899.36,3
RC,343,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Vincristine sulfate, 1 mg ",,,13.38,13.38,3
RC,343,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,3
RC,343,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xcellistem, 1 mg ",,,25.74,25.74,3
RC,343,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,3
RC,343,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,3
RC,343,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,3
RC,343,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,343,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,3
RC,343,"injection, busulfan, 1 mg ",,,1.12,1.12,3
RC,344, Nuclear Medicine Therapeutic Radiopharmaceuticals  ,,,,,0
RC,344,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,3
RC,344,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,3
RC,344,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,3
RC,344,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,3
RC,344,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,3
RC,344,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,3
RC,344,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,3
RC,344,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,3
RC,344,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,3
RC,344,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,3
RC,344,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,51.33,51.33,3
RC,344,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,3
RC,344,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,3
RC,344,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,3
RC,344,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,3
RC,344,"Anti-inhibitor, per i.u. ",,,3.99,3.99,3
RC,344,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,3
RC,344,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Aprepitant, oral, 5 mg ",,,3.94,3.94,3
RC,344,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,3
RC,344,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Ascent, 0.5 mg ",,,113.75,113.75,3
RC,344,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,3
RC,344,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,3
RC,344,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Azathioprine, oral, 50 mg ",,,0.3,0.3,3
RC,344,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,3
RC,344,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,3
RC,344,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,3
RC,344,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,3
RC,344,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,3
RC,344,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,3
RC,344,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Biobrane, per square centimeter ",,,209.78,209.78,3
RC,344,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,3
RC,344,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,3
RC,344,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,3
RC,344,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,3
RC,344,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,3
RC,344,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,3
RC,344,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,3
RC,344,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,3
RC,344,"Busulfan; oral, 2 mg ",,,16.7,16.7,3
RC,344,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,3
RC,344,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,3
RC,344,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,3
RC,344,"Capecitabine, oral, 50 mg ",,,0.05,0.05,3
RC,344,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,3
RC,344,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,3
RC,344,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,3
RC,344,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,3
RC,344,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,3
RC,344,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,3
RC,344,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,3
RC,344,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,3
RC,344,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,3
RC,344,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,3
RC,344,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,3
RC,344,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,3
RC,344,"Coretext or protext, per cc ",,,5313.0,5313.0,3
RC,344,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,3
RC,344,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,3
RC,344,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,3
RC,344,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,3
RC,344,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,3
RC,344,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,3
RC,344,"Cyclosporine, oral, 25 mg ",,,1.04,1.04,3
RC,344,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,3
RC,344,"Dacarbazine, 100 mg ",,,6.35,6.35,3
RC,344,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,3
RC,344,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,3
RC,344,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,3
RC,344,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,3
RC,344,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,3
RC,344,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,3
RC,344,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,3
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,3
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,233.1,233.1,3
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,3
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,3
RC,344,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,61.12,61.12,3
RC,344,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,3
RC,344,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,91.03,91.03,3
RC,344,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,3
RC,344,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,3
RC,344,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Edetate disodium, per 150 mg ",,,0.54,0.54,3
RC,344,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,3
RC,344,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,0.81,0.81,3
RC,344,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,3
RC,344,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Epifix, injectable, 1 mg ",,,31.96,31.96,3
RC,344,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,3
RC,344,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,3
RC,344,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,3
RC,344,"Etoposide; oral, 50 mg ",,,143.29,143.29,3
RC,344,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,3
RC,344,"Excellagen, 0.1 cc ",,,287.1,287.1,3
RC,344,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,3
RC,344,"Factor ix, complex, per i.u. ",,,2.81,2.81,3
RC,344,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,3
RC,344,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,3
RC,344,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,3
RC,344,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,3
RC,344,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,3
RC,344,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,3
RC,344,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,3
RC,344,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,3
RC,344,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,3
RC,344,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,3
RC,344,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,3
RC,344,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,3
RC,344,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,3
RC,344,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,3
RC,344,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,3
RC,344,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,3
RC,344,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,3
RC,344,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,3
RC,344,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,3
RC,344,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,3
RC,344,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,3
RC,344,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,3
RC,344,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,3
RC,344,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,37.47,37.47,3
RC,344,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,3
RC,344,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,3
RC,344,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,3
RC,344,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,3
RC,344,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,3
RC,344,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,3
RC,344,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,3
RC,344,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Gefitinib, oral, 250 mg ",,,480.15,480.15,3
RC,344,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,3
RC,344,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,3
RC,344,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,3
RC,344,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,3
RC,344,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,3
RC,344,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,3
RC,344,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,3
RC,344,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,3
RC,344,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,3
RC,344,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,3
RC,344,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,3
RC,344,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,3
RC,344,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,3
RC,344,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,3
RC,344,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,3
RC,344,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,344,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,344,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,344,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,344,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,54.78,54.78,3
RC,344,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,3
RC,344,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,3
RC,344,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,3
RC,344,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,3
RC,344,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,3
RC,344,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,3
RC,344,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,3
RC,344,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,3
RC,344,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,3
RC,344,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,3
RC,344,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,3
RC,344,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,3
RC,344,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,3
RC,344,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,3
RC,344,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,3
RC,344,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,3
RC,344,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,3
RC,344,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,3
RC,344,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,3
RC,344,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,3
RC,344,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,3
RC,344,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,3
RC,344,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,3
RC,344,"Hypertonic saline solution, 1 ml ",,,0.17,0.17,3
RC,344,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,3
RC,344,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,3
RC,344,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,3
RC,344,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,3
RC,344,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,3
RC,344,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,2854.98,2854.98,3
RC,344,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,3
RC,344,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,3
RC,344,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,1820.26,1820.26,3
RC,344,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,3
RC,344,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1230.27,1230.27,3
RC,344,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,3301.55,3301.55,3
RC,344,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,3
RC,344,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,3
RC,344,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,3
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,3
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,3
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,3
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,3
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,3
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,3
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,38.31,38.31,3
RC,344,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,3
RC,344,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,3
RC,344,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,3
RC,344,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,3
RC,344,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,3
RC,344,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,3
RC,344,"Infusion, albumin (human), 5%, 50 ml ",,,17.52,17.52,3
RC,344,"Infusion, d5w, 1000 cc ",,,5.07,5.07,3
RC,344,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,3
RC,344,"Infusion, normal saline solution , 1000 cc ",,,3.61,3.61,3
RC,344,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,3
RC,344,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,3
RC,344,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,3
RC,344,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,3
RC,344,"Injection abciximab, 10 mg ",,,951.77,951.77,3
RC,344,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,3
RC,344,"Injection fluconazole, 200 mg ",,,6.39,6.39,3
RC,344,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,3
RC,344,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,3
RC,344,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,344,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,344,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,3
RC,344,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,3
RC,344,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,3
RC,344,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,3
RC,344,"Injection, acetylcysteine, 100 mg ",,,0.84,0.84,3
RC,344,"Injection, acyclovir, 5 mg ",,,0.03,0.03,3
RC,344,"Injection, adalimumab, 1 mg ",,,269.25,269.25,3
RC,344,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,3
RC,344,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,3
RC,344,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,3
RC,344,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,3
RC,344,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,3
RC,344,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,3
RC,344,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,3
RC,344,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,3
RC,344,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,3
RC,344,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,3
RC,344,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,3
RC,344,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,3
RC,344,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,3
RC,344,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,3
RC,344,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,3
RC,344,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,3
RC,344,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,3
RC,344,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,3
RC,344,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,0.79,0.79,3
RC,344,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,3
RC,344,"Injection, amifostine, 500 mg ",,,722.52,722.52,3
RC,344,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,3
RC,344,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,3
RC,344,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,3
RC,344,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,3
RC,344,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,3
RC,344,"Injection, amisulpride, 1 mg ",,,15.77,15.77,3
RC,344,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,3
RC,344,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,3
RC,344,"Injection, amphotericin b lipid complex, 10 mg ",,,30.86,30.86,3
RC,344,"Injection, amphotericin b liposome, 10 mg ",,,37.64,37.64,3
RC,344,"Injection, amphotericin b, 50 mg ",,,73.14,73.14,3
RC,344,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,3
RC,344,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,3
RC,344,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,3
RC,344,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,3
RC,344,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,3
RC,344,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,3
RC,344,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,3
RC,344,"Injection, aprepitant, 1 mg ",,,2.79,2.79,3
RC,344,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,3
RC,344,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,3
RC,344,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,3
RC,344,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,3
RC,344,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,3
RC,344,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,3
RC,344,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,3
RC,344,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,3
RC,344,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,3
RC,344,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,3
RC,344,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,3
RC,344,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,3
RC,344,"Injection, artesunate, 1 mg ",,,85.52,85.52,3
RC,344,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,3
RC,344,"Injection, atezolizumab, 10 mg ",,,155.1,155.1,3
RC,344,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,3
RC,344,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,3
RC,344,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,3
RC,344,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,3
RC,344,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,3
RC,344,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,3
RC,344,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,3
RC,344,"Injection, avelumab, 10 mg ",,,174.16,174.16,3
RC,344,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,3
RC,344,"Injection, azacitidine, 1 mg ",,,0.68,0.68,3
RC,344,"Injection, azithromycin, 500 mg ",,,3.2,3.2,3
RC,344,"Injection, aztreonam, 100 mg ",,,3.78,3.78,3
RC,344,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,3
RC,344,"Injection, baclofen, 10 mg ",,,293.78,293.78,3
RC,344,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,3
RC,344,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,3
RC,344,"Injection, belatacept, 1 mg ",,,6.42,6.42,3
RC,344,"Injection, belimumab, 10 mg ",,,94.36,94.36,3
RC,344,"Injection, belinostat, 10 mg ",,,87.63,87.63,3
RC,344,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,3
RC,344,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,3
RC,344,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,3
RC,344,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,3
RC,344,"Injection, benralizumab, 1 mg ",,,269.54,269.54,3
RC,344,"Injection, benztropine mesylate, per 1 mg ",,,22.31,22.31,3
RC,344,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,3
RC,344,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,3
RC,344,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,3
RC,344,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,3
RC,344,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,3
RC,344,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,3
RC,344,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,3
RC,344,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,3
RC,344,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,3
RC,344,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,3
RC,344,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,3
RC,344,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,3
RC,344,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,3
RC,344,"Injection, bleomycin sulfate, 15 units ",,,27.39,27.39,3
RC,344,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,3
RC,344,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,3
RC,344,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,3
RC,344,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,3
RC,344,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,3
RC,344,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,3
RC,344,"Injection, brentuximab vedotin, 1 mg ",,,443.4,443.4,3
RC,344,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,3
RC,344,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,3
RC,344,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,3
RC,344,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,3
RC,344,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,3
RC,344,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,3
RC,344,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,3
RC,344,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,3
RC,344,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,3
RC,344,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,3
RC,344,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,3
RC,344,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,3
RC,344,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,3
RC,344,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,3
RC,344,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,3
RC,344,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,3
RC,344,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,3
RC,344,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,3
RC,344,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,3
RC,344,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,3
RC,344,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,3
RC,344,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,3
RC,344,"Injection, calcitriol, 0.1 mcg ",,,1.96,1.96,3
RC,344,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,3
RC,344,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,3
RC,344,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,3
RC,344,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,3
RC,344,"Injection, canakinumab, 1 mg ",,,246.79,246.79,3
RC,344,"Injection, cangrelor, 1 mg ",,,33.03,33.03,3
RC,344,"Injection, caplacizumab-yhdp, 1 mg ",,,1322.08,1322.08,3
RC,344,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,3
RC,344,"Injection, carboplatin, 50 mg ",,,4.85,4.85,3
RC,344,"Injection, carboprost tromethamine, 0.1 mg ",,,25.67,25.67,3
RC,344,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,3
RC,344,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,3
RC,344,"Injection, carmustine, 100 mg ",,,398.97,398.97,3
RC,344,"Injection, casimersen, 10 mg ",,,274.23,274.23,3
RC,344,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,3
RC,344,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,3
RC,344,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,3
RC,344,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,3
RC,344,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,3
RC,344,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,3
RC,344,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,3
RC,344,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,3
RC,344,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,3
RC,344,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,3
RC,344,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,3
RC,344,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,3
RC,344,"Injection, ceftaroline fosamil, 10 mg ",,,7.01,7.01,3
RC,344,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,172.84,172.84,3
RC,344,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,3
RC,344,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,3
RC,344,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,14.59,14.59,3
RC,344,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,3
RC,344,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,3
RC,344,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,3
RC,344,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,3
RC,344,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,3
RC,344,"Injection, cetuximab, 10 mg ",,,132.76,132.76,3
RC,344,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,3
RC,344,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,3
RC,344,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,3
RC,344,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,3
RC,344,"Injection, chlorpromazine hcl, up to 50 mg ",,,34.58,34.58,3
RC,344,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,3
RC,344,"Injection, cidofovir, 375 mg ",,,925.3,925.3,3
RC,344,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,3
RC,344,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,3
RC,344,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,3
RC,344,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,3
RC,344,"Injection, cladribine, per 1 mg ",,,14.4,14.4,3
RC,344,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,3
RC,344,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,3
RC,344,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,3
RC,344,"Injection, clofarabine, 1 mg ",,,18.05,18.05,3
RC,344,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,3
RC,344,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,3
RC,344,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,3
RC,344,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,3
RC,344,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,3
RC,344,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,3
RC,344,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,3
RC,344,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,3
RC,344,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,3
RC,344,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,3
RC,344,"Injection, cosyntropin, 0.25 mg ",,,26.83,26.83,3
RC,344,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,3
RC,344,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,2613.6,2613.6,3
RC,344,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,3037.68,3037.68,3
RC,344,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,3
RC,344,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,3
RC,344,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,3
RC,344,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,3
RC,344,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,3
RC,344,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,3
RC,344,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,3
RC,344,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,3
RC,344,"Injection, cytarabine, 100 mg ",,,1.32,1.32,3
RC,344,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,3
RC,344,"Injection, dactinomycin, 0.5 mg ",,,557.16,557.16,3
RC,344,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,3
RC,344,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,3
RC,344,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,3
RC,344,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,3
RC,344,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,3
RC,344,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,3
RC,344,"Injection, daptomycin, 1 mg ",,,0.05,0.05,3
RC,344,"Injection, daratumumab, 10 mg ",,,116.77,116.77,3
RC,344,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,3
RC,344,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,3
RC,344,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,3
RC,344,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,3
RC,344,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,3
RC,344,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,3
RC,344,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,3
RC,344,"Injection, decitabine, 1 mg ",,,1.65,1.65,3
RC,344,"Injection, deferoxamine mesylate, 500 mg ",,,14.16,14.16,3
RC,344,"Injection, degarelix, 1 mg ",,,7.36,7.36,3
RC,344,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,3
RC,344,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,3
RC,344,"Injection, denosumab, 1 mg ",,,48.69,48.69,3
RC,344,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,3
RC,344,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,3
RC,344,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,3
RC,344,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,3
RC,344,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,3
RC,344,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,3
RC,344,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,3
RC,344,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,3
RC,344,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,3
RC,344,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,3
RC,344,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,3
RC,344,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,3
RC,344,"Injection, diazepam, up to 5 mg ",,,14.04,14.04,3
RC,344,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,3
RC,344,"Injection, dicyclomine hcl, up to 20 mg ",,,15.46,15.46,3
RC,344,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,3
RC,344,"Injection, digoxin immune fab (ovine), per vial ",,,8525.53,8525.53,3
RC,344,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,3
RC,344,"Injection, dihydroergotamine mesylate, per 1 mg ",,,90.57,90.57,3
RC,344,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,3
RC,344,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,3
RC,344,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,3
RC,344,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.14,1.14,3
RC,344,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,3
RC,344,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,3
RC,344,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,3
RC,344,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,3
RC,344,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,3
RC,344,"Injection, docetaxel, 1 mg ",,,0.92,0.92,3
RC,344,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,3
RC,344,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,3
RC,344,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,3
RC,344,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,3
RC,344,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,3
RC,344,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,3
RC,344,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,3
RC,344,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,118.57,118.57,3
RC,344,"Injection, doxycycline hyclate, 1 mg ",,,0.15,0.15,3
RC,344,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,3
RC,344,"Injection, durvalumab, 10 mg ",,,142.15,142.15,3
RC,344,"Injection, ecallantide, 1 mg ",,,954.94,954.94,3
RC,344,"Injection, eculizumab, 2 mg ",,,73.76,73.76,3
RC,344,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,3
RC,344,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,3
RC,344,"Injection, edaravone, 1 mg ",,,25.05,25.05,3
RC,344,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,3
RC,344,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,3
RC,344,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,3
RC,344,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,3
RC,344,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,3
RC,344,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,3
RC,344,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,3
RC,344,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,3
RC,344,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,3
RC,344,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,3
RC,344,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,3
RC,344,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,3
RC,344,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,3
RC,344,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,3
RC,344,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,3
RC,344,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,3
RC,344,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,3
RC,344,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,3
RC,344,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,3
RC,344,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,3
RC,344,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,3
RC,344,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,3
RC,344,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,3
RC,344,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,3
RC,344,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,3
RC,344,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,3
RC,344,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,3
RC,344,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,3
RC,344,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,3
RC,344,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,3
RC,344,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,3
RC,344,"Injection, epoprostenol, 0.5 mg ",,,24.55,24.55,3
RC,344,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,3
RC,344,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,3
RC,344,"Injection, eravacycline, 1 mg ",,,2.13,2.13,3
RC,344,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,3
RC,344,"Injection, ertapenem sodium, 500 mg ",,,11.91,11.91,3
RC,344,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,3
RC,344,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,3
RC,344,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,3
RC,344,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,3
RC,344,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,3
RC,344,"Injection, estrogen conjugated, per 25 mg ",,,646.34,646.34,3
RC,344,"Injection, estrone, per 1 mg ",,,0.54,0.54,3
RC,344,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,3
RC,344,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,3
RC,344,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,3
RC,344,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,3
RC,344,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,3
RC,344,"Injection, etoposide, 10 mg ",,,1.49,1.49,3
RC,344,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,3
RC,344,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,3
RC,344,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,3
RC,344,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,3
RC,344,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,3
RC,344,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,3
RC,344,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,3
RC,344,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,3
RC,344,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,3
RC,344,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,3
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,3
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,3
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,3
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,3
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,3
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,3
RC,344,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,3
RC,344,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,3
RC,344,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,3
RC,344,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,3
RC,344,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,3
RC,344,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,3
RC,344,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,3
RC,344,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,3
RC,344,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,3
RC,344,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,3
RC,344,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,3
RC,344,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,3
RC,344,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,3
RC,344,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,3
RC,344,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,3
RC,344,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,3
RC,344,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,3
RC,344,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,3
RC,344,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,3
RC,344,"Injection, floxuridine, 500 mg ",,,7014.1,7014.1,3
RC,344,"Injection, fludarabine phosphate, 50 mg ",,,359.25,359.25,3
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,3
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,3
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,3
RC,344,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,3
RC,344,"Injection, fluphenazine decanoate, up to 25 mg ",,,9.22,9.22,3
RC,344,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,3
RC,344,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,3
RC,344,"Injection, fomepizole, 15 mg ",,,10.79,10.79,3
RC,344,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,3
RC,344,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,3
RC,344,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,3
RC,344,"Injection, fosaprepitant, 1 mg ",,,0.18,0.18,3
RC,344,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,3
RC,344,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,3
RC,344,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,3
RC,344,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,3
RC,344,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,3
RC,344,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,3
RC,344,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,3
RC,344,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,3
RC,344,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,3
RC,344,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,3
RC,344,"Injection, furosemide, 1 mg ",,,0.03,0.03,3
RC,344,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,3
RC,344,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,3
RC,344,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,3
RC,344,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,3
RC,344,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,3
RC,344,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,3
RC,344,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,3
RC,344,"Injection, gadoxetate disodium, 1 ml ",,,24.3,24.3,3
RC,344,"Injection, galsulfase, 1 mg ",,,847.44,847.44,3
RC,344,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,3
RC,344,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,3
RC,344,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,3
RC,344,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,3
RC,344,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,3
RC,344,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,3
RC,344,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,3
RC,344,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,3
RC,344,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,3
RC,344,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,3
RC,344,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,3
RC,344,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,3
RC,344,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,3
RC,344,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,3
RC,344,"Injection, glucagon hydrochloride, per 1 mg ",,,241.44,241.44,3
RC,344,"Injection, glucarpidase, 10 units ",,,741.02,741.02,3
RC,344,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,3
RC,344,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,3
RC,344,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,3
RC,344,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,3
RC,344,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,3
RC,344,"Injection, golodirsen, 10 mg ",,,316.8,316.8,3
RC,344,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,3
RC,344,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,3
RC,344,"Injection, guselkumab, 1 mg ",,,111.89,111.89,3
RC,344,"Injection, haloperidol decanoate, per 50 mg ",,,10.02,10.02,3
RC,344,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,3
RC,344,"Injection, hemin, 1 mg ",,,58.26,58.26,3
RC,344,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,3
RC,344,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,3
RC,344,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,3
RC,344,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,3
RC,344,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,3
RC,344,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,3
RC,344,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,3
RC,344,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,3
RC,344,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,3
RC,344,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,3
RC,344,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,3
RC,344,"Injection, hyaluronidase, up to 150 units ",,,52.06,52.06,3
RC,344,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,3
RC,344,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,3
RC,344,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,3
RC,344,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,3
RC,344,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,8.98,8.98,3
RC,344,"Injection, hydroxyzine hcl, up to 25 mg ",,,25.03,25.03,3
RC,344,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,3
RC,344,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,3
RC,344,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,3
RC,344,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,3
RC,344,"Injection, ibutilide fumarate, 1 mg ",,,361.71,361.71,3
RC,344,"Injection, icatibant, 1 mg ",,,518.38,518.38,3
RC,344,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,3
RC,344,"Injection, idursulfase, 1 mg ",,,921.06,921.06,3
RC,344,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,3
RC,344,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,3
RC,344,"Injection, imetelstat, 1 mg ",,,95.98,95.98,3
RC,344,"Injection, imiglucerase, 10 units ",,,70.67,70.67,3
RC,344,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,3
RC,344,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,3
RC,344,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,3
RC,344,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,3
RC,344,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,3
RC,344,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,3
RC,344,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,3
RC,344,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,3
RC,344,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,3
RC,344,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,3
RC,344,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,3
RC,344,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,3
RC,344,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,3
RC,344,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,3
RC,344,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,3
RC,344,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,3
RC,344,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,3
RC,344,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,3
RC,344,"Injection, inclisiran, 1 mg ",,,20.81,20.81,3
RC,344,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,3
RC,344,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,3
RC,344,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,3
RC,344,"Injection, infliximab, excludes biosimilar, 10 mg ",,,51.22,51.22,3
RC,344,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,44.22,44.22,3
RC,344,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,3
RC,344,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,3
RC,344,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,3
RC,344,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,3
RC,344,"Injection, insulin, per 5 units ",,,0.81,0.81,3
RC,344,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,3
RC,344,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,3
RC,344,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,3
RC,344,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,3
RC,344,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,3
RC,344,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,3
RC,344,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,3
RC,344,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,3
RC,344,"Injection, ipilimumab, 1 mg ",,,308.83,308.83,3
RC,344,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,3
RC,344,"Injection, irinotecan, 20 mg ",,,2.52,2.52,3
RC,344,"Injection, iron dextran, 50 mg ",,,29.88,29.88,3
RC,344,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,3
RC,344,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,3
RC,344,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,3
RC,344,"Injection, isoniazid, 1 mg ",,,0.5,0.5,3
RC,344,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,3
RC,344,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,3
RC,344,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,3
RC,344,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,3
RC,344,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,3
RC,344,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,3
RC,344,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,3
RC,344,"Injection, lanreotide, 1 mg ",,,58.94,58.94,3
RC,344,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,3
RC,344,"Injection, lefamulin, 1 mg ",,,1.35,1.35,3
RC,344,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,3
RC,344,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,3
RC,344,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,3
RC,344,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,3
RC,344,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,3
RC,344,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,3
RC,344,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,3
RC,344,"Injection, levocarnitine, per 1 gm ",,,38.1,38.1,3
RC,344,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,3
RC,344,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,3
RC,344,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,3
RC,344,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,3
RC,344,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,3
RC,344,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,3
RC,344,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,3
RC,344,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,3
RC,344,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,3
RC,344,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,344,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,3
RC,344,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,3
RC,344,"Injection, linezolid, 200 mg ",,,4.09,4.09,3
RC,344,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,3
RC,344,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,3
RC,344,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,3
RC,344,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,3
RC,344,"Injection, lorazepam, 2 mg ",,,2.74,2.74,3
RC,344,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,3
RC,344,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,3
RC,344,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,3
RC,344,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,3
RC,344,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,3
RC,344,"Injection, mannitol, 250 mg ",,,0.08,0.08,3
RC,344,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,3
RC,344,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,3
RC,344,"Injection, mecasermin, 1 mg ",,,763.93,763.93,3
RC,344,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,3
RC,344,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.79,0.79,3
RC,344,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,3
RC,344,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,3
RC,344,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,3
RC,344,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,3
RC,344,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,199.11,199.11,3
RC,344,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,3
RC,344,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,3
RC,344,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,3
RC,344,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,3
RC,344,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,3
RC,344,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,3
RC,344,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,3
RC,344,"Injection, meropenem, 100 mg ",,,0.61,0.61,3
RC,344,"Injection, mesna, 200 mg ",,,2.19,2.19,3
RC,344,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,3
RC,344,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,3
RC,344,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,3
RC,344,"Injection, methyldopate hcl, up to 250 mg ",,,15.99,15.99,3
RC,344,"Injection, methylergonovine maleate, up to 0.2 mg ",,,35.66,35.66,3
RC,344,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,3
RC,344,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,3
RC,344,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,3
RC,344,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,3
RC,344,"Injection, metoprolol tartrate, 1 mg ",,,0.21,0.21,3
RC,344,"Injection, metronidazole, 10 mg ",,,0.05,0.05,3
RC,344,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,3
RC,344,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,3
RC,344,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,3
RC,344,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,3
RC,344,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,3
RC,344,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,3
RC,344,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,3
RC,344,"Injection, minocycline hydrochloride, 1 mg ",,,4.39,4.39,3
RC,344,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,3
RC,344,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,3
RC,344,"Injection, mitomycin, 5 mg ",,,46.96,46.96,3
RC,344,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,63.71,63.71,3
RC,344,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,3
RC,344,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,3
RC,344,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,20.05,20.05,3
RC,344,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,3
RC,344,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,3
RC,344,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,3
RC,344,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,3
RC,344,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,3
RC,344,"Injection, moxifloxacin, 100 mg ",,,14.42,14.42,3
RC,344,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,3
RC,344,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,3
RC,344,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,3
RC,344,"Injection, nalbuphine hydrochloride, per 10 mg ",,,5.64,5.64,3
RC,344,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,3
RC,344,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,3
RC,344,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,3
RC,344,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,3
RC,344,"Injection, natalizumab, 1 mg ",,,40.13,40.13,3
RC,344,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,3
RC,344,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,3
RC,344,"Injection, necitumumab, 1 mg ",,,9.45,9.45,3
RC,344,"Injection, nelarabine, 50 mg ",,,86.97,86.97,3
RC,344,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,3
RC,344,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,2.33,2.33,3
RC,344,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,3
RC,344,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,3
RC,344,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,3
RC,344,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,3
RC,344,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,3
RC,344,"Injection, nivolumab, 1 mg ",,,55.47,55.47,3
RC,344,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,3
RC,344,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,3
RC,344,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,3
RC,344,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,3
RC,344,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,3
RC,344,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,3
RC,344,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,3
RC,344,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,3
RC,344,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,3
RC,344,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,3
RC,344,"Injection, ofatumumab, 10 mg ",,,102.68,102.68,3
RC,344,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,3
RC,344,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,3
RC,344,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,3
RC,344,"Injection, omadacycline, 1 mg ",,,6.81,6.81,3
RC,344,"Injection, omalizumab, 5 mg ",,,69.0,69.0,3
RC,344,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,3
RC,344,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,3
RC,344,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,3
RC,344,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,3
RC,344,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,3
RC,344,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,3
RC,344,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,3
RC,344,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,3
RC,344,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,3
RC,344,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,3
RC,344,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,3
RC,344,"Injection, oxytocin, up to 10 units ",,,4.47,4.47,3
RC,344,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,3
RC,344,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,3
RC,344,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,3
RC,344,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,3
RC,344,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,3
RC,344,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,3
RC,344,"Injection, palonosetron hcl, 25 mcg ",,,1.07,1.07,3
RC,344,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,3
RC,344,"Injection, pamidronate disodium, per 30 mg ",,,20.49,20.49,3
RC,344,"Injection, panitumumab, 10 mg ",,,287.74,287.74,3
RC,344,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,3
RC,344,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,3
RC,344,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,3
RC,344,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,3
RC,344,"Injection, paricalcitol, 1 mcg ",,,1.68,1.68,3
RC,344,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,3
RC,344,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,3
RC,344,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,3
RC,344,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,3
RC,344,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,210.18,210.18,3
RC,344,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,3
RC,344,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,3
RC,344,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,3
RC,344,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,3
RC,344,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,3
RC,344,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,3
RC,344,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,3
RC,344,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,3
RC,344,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,3
RC,344,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,3
RC,344,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,3
RC,344,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,3
RC,344,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,3
RC,344,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,3
RC,344,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,3
RC,344,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,3
RC,344,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,3
RC,344,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,3
RC,344,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,3
RC,344,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,3
RC,344,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,3
RC,344,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,3
RC,344,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,3
RC,344,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,3
RC,344,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,3
RC,344,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,3
RC,344,"Injection, pentamidine isethionate, 1 mg ",,,0.26,0.26,3
RC,344,"Injection, pentazocine, 30 mg ",,,45.19,45.19,3
RC,344,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,3
RC,344,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,3
RC,344,"Injection, peramivir, 1 mg ",,,2.77,2.77,3
RC,344,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,3
RC,344,"Injection, pertuzumab, 1 mg ",,,28.08,28.08,3
RC,344,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,3
RC,344,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,3
RC,344,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,3
RC,344,"Injection, phentolamine mesylate, up to 5 mg ",,,424.79,424.79,3
RC,344,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,3
RC,344,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,3
RC,344,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,3
RC,344,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,3
RC,344,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,3
RC,344,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,3
RC,344,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,3
RC,344,"Injection, plazomicin, 5 mg ",,,5.79,5.79,3
RC,344,"Injection, plerixafor, 1 mg ",,,54.02,54.02,3
RC,344,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,3
RC,344,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,3
RC,344,"Injection, posaconazole, 1 mg ",,,0.58,0.58,3
RC,344,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,3
RC,344,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,3
RC,344,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,3
RC,344,"Injection, pralidoxime chloride, up to 1 gm ",,,171.67,171.67,3
RC,344,"Injection, procainamide hcl, up to 1 gm ",,,354.44,354.44,3
RC,344,"Injection, prochlorperazine, up to 10 mg ",,,5.49,5.49,3
RC,344,"Injection, progesterone, per 50 mg ",,,1.09,1.09,3
RC,344,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,3
RC,344,"Injection, propofol, 10 mg ",,,0.15,0.15,3
RC,344,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,3
RC,344,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,3
RC,344,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,3
RC,344,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,3
RC,344,"Injection, pyridoxine hcl, 100 mg ",,,24.59,24.59,3
RC,344,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,3
RC,344,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,3
RC,344,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,3
RC,344,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,3
RC,344,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,3
RC,344,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,3
RC,344,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,3
RC,344,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,3
RC,344,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,3
RC,344,"Injection, regadenoson, 0.1 mg ",,,4.79,4.79,3
RC,344,"Injection, remdesivir, 1 mg ",,,11.39,11.39,3
RC,344,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,3
RC,344,"Injection, remimazolam, 1 mg ",,,4.6,4.6,3
RC,344,"Injection, reslizumab, 1 mg ",,,19.02,19.02,3
RC,344,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,3
RC,344,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,3
RC,344,"Injection, rezafungin, 1 mg ",,,17.8,17.8,3
RC,344,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,3
RC,344,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,3
RC,344,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,3
RC,344,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,8.0,8.0,3
RC,344,"Injection, rifampin, 1 mg ",,,0.28,0.28,3
RC,344,"Injection, rilonacept, 1 mg ",,,56.03,56.03,3
RC,344,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,3
RC,344,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,3
RC,344,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,3
RC,344,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,3
RC,344,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,3
RC,344,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,3
RC,344,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,3
RC,344,"Injection, rituximab, 10 mg ",,,122.36,122.36,3
RC,344,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,3
RC,344,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,3
RC,344,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,3
RC,344,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,3
RC,344,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,3
RC,344,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,3
RC,344,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,3
RC,344,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,344,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,3
RC,344,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,3
RC,344,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,3
RC,344,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,3
RC,344,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,3
RC,344,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,3
RC,344,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,3
RC,344,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,3
RC,344,"Injection, siltuximab, 10 mg ",,,287.23,287.23,3
RC,344,"Injection, sincalide, 5 micrograms ",,,178.53,178.53,3
RC,344,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,3
RC,344,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,3.94,3.94,3
RC,344,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,3
RC,344,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,3
RC,344,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,3
RC,344,"Injection, somatropin, 1 mg ",,,272.56,272.56,3
RC,344,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,3
RC,344,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,3
RC,344,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,3
RC,344,"Injection, streptozocin, 1 gram ",,,289.33,289.33,3
RC,344,"Injection, succinylcholine chloride, up to 20 mg ",,,2.46,2.46,3
RC,344,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,3
RC,344,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,3
RC,344,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,293.16,293.16,3
RC,344,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,3
RC,344,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,3
RC,344,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,3
RC,344,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,3
RC,344,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,3
RC,344,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,3
RC,344,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,3
RC,344,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,3
RC,344,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,3
RC,344,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,3
RC,344,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,3
RC,344,"Injection, telavancin, 10 mg ",,,11.6,11.6,3
RC,344,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,3
RC,344,"Injection, temozolomide, 1 mg ",,,17.16,17.16,3
RC,344,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,3
RC,344,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,3
RC,344,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,3
RC,344,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,3
RC,344,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,3
RC,344,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,3
RC,344,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,3
RC,344,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,3
RC,344,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,3
RC,344,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,3
RC,344,"Injection, tetanus immune globulin, human, up to 250 units ",,,920.9,920.9,3
RC,344,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,3
RC,344,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,3
RC,344,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,3
RC,344,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,3
RC,344,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,3
RC,344,"Injection, tigecycline, 1 mg ",,,0.94,0.94,3
RC,344,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,3
RC,344,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,3
RC,344,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,3
RC,344,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,3
RC,344,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,3
RC,344,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,3
RC,344,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,3
RC,344,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,3
RC,344,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,3
RC,344,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,3
RC,344,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,3
RC,344,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,3
RC,344,"Injection, tofersen, 1 mg ",,,264.02,264.02,3
RC,344,"Injection, topotecan, 0.1 mg ",,,3.48,3.48,3
RC,344,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,3
RC,344,"Injection, trabectedin, 0.1 mg ",,,645.27,645.27,3
RC,344,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,3
RC,344,"Injection, tranexamic acid, 5 mg ",,,0.21,0.21,3
RC,344,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,3
RC,344,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,121.16,121.16,3
RC,344,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,3
RC,344,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,3
RC,344,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,3
RC,344,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,3
RC,344,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,3
RC,344,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,3
RC,344,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,3
RC,344,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,3
RC,344,"Injection, treosulfan, 50 mg ",,,52.16,52.16,3
RC,344,"Injection, treprostinil, 1 mg ",,,91.06,91.06,3
RC,344,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,3
RC,344,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,3
RC,344,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,3
RC,344,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,3
RC,344,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,3
RC,344,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,3
RC,344,"Injection, trilaciclib, 1mg ",,,9.06,9.06,3
RC,344,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,3
RC,344,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,3
RC,344,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,3
RC,344,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,3
RC,344,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,3
RC,344,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,3
RC,344,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,3
RC,344,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,3
RC,344,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,3
RC,344,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,3
RC,344,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,3
RC,344,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,3
RC,344,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,3
RC,344,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,3
RC,344,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,3
RC,344,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,3
RC,344,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,3
RC,344,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,3
RC,344,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,3
RC,344,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,3
RC,344,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,3
RC,344,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,3
RC,344,"Injection, vasopressin, 1 unit ",,,0.87,0.87,3
RC,344,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,3
RC,344,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,3
RC,344,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,3
RC,344,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,3
RC,344,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,3
RC,344,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,3
RC,344,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,3
RC,344,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,3
RC,344,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.11,1.11,3
RC,344,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,3
RC,344,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,3
RC,344,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,3
RC,344,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,3
RC,344,"Injection, voriconazole, 10 mg ",,,1.07,1.07,3
RC,344,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,3
RC,344,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,3
RC,344,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,3
RC,344,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,3
RC,344,"Injection, zidovudine, 10 mg ",,,2.49,2.49,3
RC,344,"Injection, ziprasidone mesylate, 10 mg ",,,9.69,9.69,3
RC,344,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,3
RC,344,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,3
RC,344,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,3
RC,344,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,3
RC,344,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Innovamatrix pd, 1 mg ",,,28.1,28.1,3
RC,344,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,3
RC,344,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,3
RC,344,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,3
RC,344,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,3
RC,344,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,3
RC,344,"Insulin (fiasp), per 5 units ",,,1.12,1.12,3
RC,344,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,3
RC,344,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,3
RC,344,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,3
RC,344,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,3
RC,344,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Interfyl, 1 mg ",,,64.27,64.27,3
RC,344,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,3
RC,344,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,3
RC,344,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,3
RC,344,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,3
RC,344,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,3
RC,344,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,3
RC,344,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,3
RC,344,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,167.54,167.54,3
RC,344,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,3
RC,344,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,3
RC,344,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,3
RC,344,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,3
RC,344,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1572.47,1572.47,3
RC,344,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,3
RC,344,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,160.92,160.92,3
RC,344,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",387.07,387.07,39.72,39.72,3
RC,344,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,3
RC,344,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,3
RC,344,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,3
RC,344,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,3
RC,344,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,3
RC,344,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,3
RC,344,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,3
RC,344,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,3
RC,344,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,3
RC,344,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,3
RC,344,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,3
RC,344,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,3
RC,344,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,3
RC,344,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,3
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,3
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,3
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,3
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,3
RC,344,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,3
RC,344,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,3
RC,344,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,3
RC,344,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,3
RC,344,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,3
RC,344,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,3
RC,344,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,3
RC,344,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,3
RC,344,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,3
RC,344,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Matristem micromatrix, 1 mg ",,,13.08,13.08,3
RC,344,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,193.28,193.28,3
RC,344,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,3
RC,344,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Melphalan; oral, 2 mg ",,,7.72,7.72,3
RC,344,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,3
RC,344,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,3
RC,344,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,3
RC,344,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,3
RC,344,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,3
RC,344,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,3
RC,344,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,447.05,447.05,3
RC,344,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,3
RC,344,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,1.8,1.8,3
RC,344,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,3
RC,344,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,3
RC,344,"Methotrexate; oral, 2.5 mg ",,,0.23,0.23,3
RC,344,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,3
RC,344,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Microlyte painguard, per square centimeter ",,,209.78,209.78,3
RC,344,"Miglustat, oral, 65 mg ",,,70.39,70.39,3
RC,344,"Miro3d fibers, per milligram ",,,27.09,27.09,3
RC,344,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,3
RC,344,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,3
RC,344,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,3
RC,344,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,3
RC,344,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,3
RC,344,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,3
RC,344,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,3
RC,344,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,3
RC,344,"Myriad morcells, 4 milligrams ",,,21.78,21.78,3
RC,344,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,3
RC,344,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,3
RC,344,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,3
RC,344,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,3
RC,344,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,3
RC,344,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,3
RC,344,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,3
RC,344,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.03,0.03,3
RC,344,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,3
RC,344,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,3
RC,344,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,3
RC,344,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,3
RC,344,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,3
RC,344,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,3
RC,344,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,3
RC,344,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,444.36,444.36,3
RC,344,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,516.29,516.29,3
RC,344,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,3
RC,344,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,220.23,220.23,3
RC,344,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,94.41,94.41,3
RC,344,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Prednisolone oral, per 5 mg ",,,1.22,1.22,3
RC,344,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,3
RC,344,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Procenta, per 100 mg ",,,9801.5,9801.5,3
RC,344,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,3
RC,344,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.48,0.48,3
RC,344,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,3
RC,344,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,3
RC,344,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,3
RC,344,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,3
RC,344,"Rabies vaccine, for intradermal use ",,,390.82,390.82,3
RC,344,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,3
RC,344,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,3
RC,344,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,3
RC,344,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,3
RC,344,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,3
RC,344,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,3
RC,344,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,3
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,3
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1178.22,1178.22,3
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,3
RC,344,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,3
RC,344,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,3
RC,344,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,3
RC,344,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,3
RC,344,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,3
RC,344,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,3
RC,344,"Rolapitant, oral, 1 mg ",,,7.28,7.28,3
RC,344,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,3
RC,344,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,3
RC,344,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,3
RC,344,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,3
RC,344,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,3
RC,344,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,3
RC,344,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,3
RC,344,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,3
RC,344,"Sirolimus, oral, 1 mg ",,,2.1,2.1,3
RC,344,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,3
RC,344,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,3
RC,344,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,3
RC,344,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,3
RC,344,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Strontium sr-89 chloride, therapeutic, per millicurie ",44063.03,44063.03,6841.46,6841.46,3
RC,344,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,3
RC,344,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Suzetrigine, oral 1 mg ",,,0.54,0.54,3
RC,344,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,3
RC,344,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,3
RC,344,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,3
RC,344,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,3
RC,344,"Tacrolimus, parenteral, 5 mg ",,,428.93,428.93,3
RC,344,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,3
RC,344,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,3
RC,344,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,3
RC,344,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,3
RC,344,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,3
RC,344,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,3
RC,344,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,1541.31,1541.31,3
RC,344,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2644.26,2644.26,3
RC,344,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,3
RC,344,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,50.14,50.14,3
RC,344,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,187.21,187.21,3
RC,344,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,106.36,106.36,3
RC,344,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,1308.9,1308.9,3
RC,344,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,3
RC,344,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,3
RC,344,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,47.39,47.39,3
RC,344,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,18.18,18.18,3
RC,344,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,74.96,74.96,3
RC,344,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,743.46,743.46,3
RC,344,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1088.88,1088.88,3
RC,344,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1239.81,1239.81,3
RC,344,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,192.89,192.89,3
RC,344,"Temozolomide, oral, 5 mg ",,,0.66,0.66,3
RC,344,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,3
RC,344,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,3
RC,344,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,3
RC,344,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,63.94,63.94,3
RC,344,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,3
RC,344,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,65.14,65.14,3
RC,344,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,91.49,91.49,3
RC,344,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,3
RC,344,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,3
RC,344,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,12.82,12.82,3
RC,344,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,3
RC,344,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,3
RC,344,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,3
RC,344,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,3
RC,344,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,3
RC,344,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,3
RC,344,"Typhoid vaccine, live, oral ",,,232.22,232.22,3
RC,344,Unlisted immune globulin ,,,706.02,706.02,3
RC,344,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,3
RC,344,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,3
RC,344,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,3
RC,344,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,3
RC,344,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,3
RC,344,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3899.36,3899.36,3
RC,344,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Vincristine sulfate, 1 mg ",,,13.38,13.38,3
RC,344,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,3
RC,344,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xcellistem, 1 mg ",,,25.74,25.74,3
RC,344,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,3
RC,344,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,3
RC,344,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,3
RC,344,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,344,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,3
RC,344,"injection, busulfan, 1 mg ",,,1.12,1.12,3
RC,349, Nuclear Medicine Other  ,,,1264.0,2522.0,7
RC,349,Acute gastrointestinal blood loss imaging ,,,471.74,848.52,3
RC,349,"Acute venous thrombosis imaging, peptide ",,,1623.62,2938.37,3
RC,349,"Adrenal imaging, cortex and/or medulla ",,,1623.62,2938.37,3
RC,349,Bone and/or joint imaging; 3 phase study ,,,471.74,848.52,3
RC,349,Bone and/or joint imaging; limited area ,,,471.74,848.52,3
RC,349,Bone and/or joint imaging; multiple areas ,,,471.74,848.52,3
RC,349,Bone and/or joint imaging; whole body ,,,471.74,848.52,3
RC,349,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,34.54,3
RC,349,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.62,48.67,3
RC,349,Bone marrow imaging; limited area ,,,471.74,848.52,3
RC,349,Bone marrow imaging; multiple areas ,,,471.74,848.52,3
RC,349,Bone marrow imaging; whole body ,,,471.74,848.52,3
RC,349,"Brain imaging, less than 4 static views; ",,,471.74,848.52,3
RC,349,"Brain imaging, less than 4 static views; with vascular flow ",,,471.74,848.52,3
RC,349,"Brain imaging, minimum 4 static views; ",,,611.66,1101.15,3
RC,349,"Brain imaging, minimum 4 static views; with vascular flow ",,,611.66,1101.15,3
RC,349,"Brain imaging, vascular flow only ",,,611.66,1101.15,3
RC,349,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,611.66,1101.15,3
RC,349,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,611.66,1101.15,3
RC,349,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,471.74,848.52,3
RC,349,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,471.74,848.52,3
RC,349,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,471.74,848.52,3
RC,349,Cardiac shunt detection ,,,471.74,848.52,3
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,611.66,1101.15,3
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,611.66,1101.15,3
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,611.66,1101.15,3
RC,349,Cerebrospinal fluid leakage detection and localization ,,,1623.62,2938.37,3
RC,349,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,611.66,1101.15,3
RC,349,Esophageal motility ,,,471.74,848.52,3
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,471.74,848.52,3
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,611.66,1101.15,3
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,471.74,848.52,3
RC,349,Gastric mucosa imaging ,,,471.74,848.52,3
RC,349,Gastroesophageal reflux study ,,,471.74,848.52,3
RC,349,Gastrointestinal protein loss ,,,471.74,848.52,3
RC,349,"Hepatobiliary system imaging, including gallbladder when present; ",,,471.74,848.52,3
RC,349,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,611.66,1101.15,3
RC,349,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,471.74,848.52,3
RC,349,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,471.74,848.52,3
RC,349,"Kidney function study, non-imaging radioisotopic study ",,,471.74,848.52,3
RC,349,Kidney imaging morphology; ,,,471.74,848.52,3
RC,349,Kidney imaging morphology; with vascular flow ,,,471.74,848.52,3
RC,349,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,1101.15,3
RC,349,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,611.66,1101.15,3
RC,349,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,1101.15,3
RC,349,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,471.74,848.52,3
RC,349,Liver and spleen imaging; static only ,,,471.74,848.52,3
RC,349,Liver and spleen imaging; with vascular flow ,,,471.74,848.52,3
RC,349,Liver imaging; static only ,,,1101.15,1623.62,3
RC,349,Liver imaging; with vascular flow ,,,1101.15,1623.62,3
RC,349,Lymphatics and lymph nodes imaging ,,,611.66,1101.15,3
RC,349,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,471.74,848.52,3
RC,349,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,1101.15,1623.62,3
RC,349,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,611.66,1101.15,3
RC,349,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,1623.62,2938.37,3
RC,349,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,1623.62,2938.37,3
RC,349,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,1623.62,2938.37,6
RC,349,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,471.74,848.52,3
RC,349,"Parathyroid planar imaging (including subtraction, when performed); ",,,471.74,848.52,3
RC,349,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,471.74,848.52,3
RC,349,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,611.66,1101.15,3
RC,349,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,471.74,848.52,3
RC,349,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,1623.62,2938.37,3
RC,349,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,1623.62,2938.37,3
RC,349,Platelet survival study ,,,471.74,848.52,3
RC,349,"Pulmonary perfusion imaging (eg, particulate) ",,,471.74,848.52,3
RC,349,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,611.66,1101.15,3
RC,349,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,471.74,848.52,3
RC,349,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,611.66,1101.15,3
RC,349,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,471.74,848.52,3
RC,349,Radiopharmaceutical dacryocystography ,,,471.74,848.52,3
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,471.74,848.52,3
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,471.74,848.52,3
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,1623.62,2938.37,3
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,1623.62,2938.37,3
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,1717.27,3330.77,6
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,1717.27,2938.37,3
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,611.66,2938.37,3
RC,349,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,321.95,561.65,3
RC,349,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,321.95,561.65,3
RC,349,"Radiopharmaceutical therapy, by intra-articular administration ",,,321.95,561.65,3
RC,349,"Radiopharmaceutical therapy, by intracavitary administration ",,,321.95,561.65,3
RC,349,"Radiopharmaceutical therapy, by intravenous administration ",,,321.95,561.65,3
RC,349,"Radiopharmaceutical therapy, by oral administration ",,,321.95,561.65,3
RC,349,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,321.95,561.65,3
RC,349,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,561.65,3
RC,349,Red cell survival study ,,,471.74,848.52,3
RC,349,Red cell volume determination (separate procedure); multiple samplings ,,,611.66,1101.15,3
RC,349,Red cell volume determination (separate procedure); single sampling ,,,471.74,848.52,3
RC,349,Salivary gland function study ,,,471.74,848.52,3
RC,349,Salivary gland imaging; ,,,471.74,848.52,3
RC,349,Salivary gland imaging; with serial images ,,,471.74,848.52,3
RC,349,"Spleen imaging only, with or without vascular flow ",,,471.74,848.52,3
RC,349,Testicular imaging with vascular flow ,,,471.74,848.52,3
RC,349,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,471.74,848.52,3
RC,349,Thyroid carcinoma metastases imaging; whole body ,,,611.66,1101.15,3
RC,349,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,471.74,848.52,3
RC,349,"Thyroid imaging (including vascular flow, when performed); ",,,471.74,848.52,3
RC,349,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,848.52,3
RC,349,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,848.52,3
RC,349,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,848.52,3
RC,349,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,14.93,24.89,3
RC,349,"Urea breath test, C-14 (isotopic); analysis ",,,127.45,212.42,3
RC,349,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,471.74,848.52,3
RC,349,"Venous thrombosis imaging, venogram; bilateral ",,,471.74,848.52,3
RC,349,"Venous thrombosis imaging, venogram; unilateral ",,,1101.15,1623.62,3
RC,349,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,611.66,1101.15,3
RC,350, CT Scan General Classification  ,,,411.0,1895.0,12
RC,350,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,403.2,3
RC,350,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,341.2,401.74,3
RC,350,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,891.31,1486.98,3
RC,350,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,801.97,3
RC,350,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,828.27,3
RC,350,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,350,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,350,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,350,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,350,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,341.2,401.74,3
RC,350,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,350,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,350,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,350,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,350,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,341.2,828.27,3
RC,350,"Computed tomography, abdomen and pelvis; without contrast material ",,,313.62,517.79,3
RC,350,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,828.27,3
RC,350,"Computed tomography, abdomen; with contrast material(s) ",,,341.2,401.74,3
RC,350,"Computed tomography, abdomen; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,182.03,3
RC,350,"Computed tomography, cervical spine; with contrast material ",,,616.1,828.27,3
RC,350,"Computed tomography, cervical spine; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, head or brain; with contrast material(s) ",,,341.2,401.74,3
RC,350,"Computed tomography, head or brain; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,341.2,401.74,3
RC,350,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,341.2,401.74,3
RC,350,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,182.03,3
RC,350,"Computed tomography, limited or localized follow-up study ",,,83.86,182.03,3
RC,350,"Computed tomography, lower extremity; with contrast material(s) ",,,341.2,401.74,3
RC,350,"Computed tomography, lower extremity; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, lumbar spine; with contrast material ",,,616.1,828.27,3
RC,350,"Computed tomography, lumbar spine; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, maxillofacial area; with contrast material(s) ",,,341.2,401.74,3
RC,350,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,341.2,401.74,3
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, pelvis; with contrast material(s) ",,,341.2,401.74,3
RC,350,"Computed tomography, pelvis; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, soft tissue neck; with contrast material(s) ",,,341.2,401.74,3
RC,350,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, thoracic spine; with contrast material ",,,341.2,401.74,3
RC,350,"Computed tomography, thoracic spine; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,341.2,401.74,3
RC,350,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,109.22,182.03,3
RC,350,"Computed tomography, upper extremity; with contrast material(s) ",,,341.2,828.27,3
RC,350,"Computed tomography, upper extremity; without contrast material ",,,154.52,245.18,3
RC,350,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,350,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1344.84,2241.41,3
RC,350,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,351, CT Scan - Head Scan  ,,,411.0,1895.0,12
RC,351,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,403.2,3
RC,351,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,341.2,401.74,3
RC,351,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,891.31,1486.98,3
RC,351,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,801.97,3
RC,351,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,828.27,3
RC,351,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,351,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,351,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,351,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,351,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,341.2,401.74,3
RC,351,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,351,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,351,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,351,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,351,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,341.2,828.27,3
RC,351,"Computed tomography, abdomen and pelvis; without contrast material ",,,313.62,517.79,3
RC,351,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,828.27,3
RC,351,"Computed tomography, abdomen; with contrast material(s) ",,,341.2,401.74,3
RC,351,"Computed tomography, abdomen; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,182.03,3
RC,351,"Computed tomography, cervical spine; with contrast material ",,,616.1,828.27,3
RC,351,"Computed tomography, cervical spine; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, head or brain; with contrast material(s) ",,,341.2,401.74,3
RC,351,"Computed tomography, head or brain; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,341.2,401.74,3
RC,351,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,341.2,401.74,3
RC,351,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,182.03,3
RC,351,"Computed tomography, limited or localized follow-up study ",,,83.86,182.03,3
RC,351,"Computed tomography, lower extremity; with contrast material(s) ",,,341.2,401.74,3
RC,351,"Computed tomography, lower extremity; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, lumbar spine; with contrast material ",,,616.1,828.27,3
RC,351,"Computed tomography, lumbar spine; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, maxillofacial area; with contrast material(s) ",,,341.2,401.74,3
RC,351,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,341.2,401.74,3
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, pelvis; with contrast material(s) ",,,341.2,401.74,3
RC,351,"Computed tomography, pelvis; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, soft tissue neck; with contrast material(s) ",,,341.2,401.74,3
RC,351,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, thoracic spine; with contrast material ",,,341.2,401.74,3
RC,351,"Computed tomography, thoracic spine; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,341.2,401.74,3
RC,351,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,109.22,182.03,3
RC,351,"Computed tomography, upper extremity; with contrast material(s) ",,,341.2,828.27,3
RC,351,"Computed tomography, upper extremity; without contrast material ",,,154.52,245.18,3
RC,351,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,351,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1344.84,2241.41,3
RC,351,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,352, CT Scan - Body Scan  ,,,411.0,1895.0,12
RC,352,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,403.2,3
RC,352,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,341.2,401.74,3
RC,352,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,891.31,1486.98,3
RC,352,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,801.97,3
RC,352,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,828.27,3
RC,352,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,352,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,352,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,352,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,352,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,341.2,401.74,3
RC,352,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,352,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,352,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,352,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,341.2,828.27,3
RC,352,"Computed tomography, abdomen and pelvis; without contrast material ",,,313.62,517.79,3
RC,352,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,828.27,3
RC,352,"Computed tomography, abdomen; with contrast material(s) ",,,341.2,401.74,3
RC,352,"Computed tomography, abdomen; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,182.03,3
RC,352,"Computed tomography, cervical spine; with contrast material ",,,616.1,828.27,3
RC,352,"Computed tomography, cervical spine; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, head or brain; with contrast material(s) ",,,341.2,401.74,3
RC,352,"Computed tomography, head or brain; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,341.2,401.74,3
RC,352,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,341.2,401.74,3
RC,352,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,182.03,3
RC,352,"Computed tomography, limited or localized follow-up study ",,,83.86,182.03,3
RC,352,"Computed tomography, lower extremity; with contrast material(s) ",,,341.2,401.74,3
RC,352,"Computed tomography, lower extremity; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, lumbar spine; with contrast material ",,,616.1,828.27,3
RC,352,"Computed tomography, lumbar spine; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, maxillofacial area; with contrast material(s) ",,,341.2,401.74,3
RC,352,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,341.2,401.74,3
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, pelvis; with contrast material(s) ",,,341.2,401.74,3
RC,352,"Computed tomography, pelvis; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, soft tissue neck; with contrast material(s) ",,,341.2,401.74,3
RC,352,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, thoracic spine; with contrast material ",,,341.2,401.74,3
RC,352,"Computed tomography, thoracic spine; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,341.2,401.74,3
RC,352,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,109.22,182.03,3
RC,352,"Computed tomography, upper extremity; with contrast material(s) ",,,341.2,828.27,3
RC,352,"Computed tomography, upper extremity; without contrast material ",,,154.52,245.18,3
RC,352,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,352,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1344.84,2241.41,3
RC,352,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,359, CT Scan - Other  ,,,411.0,1895.0,12
RC,359,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,403.2,3
RC,359,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,341.2,401.74,3
RC,359,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,891.31,1486.98,3
RC,359,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,801.97,3
RC,359,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,828.27,3
RC,359,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,359,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,359,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,359,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,359,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,341.2,401.74,3
RC,359,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,359,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,359,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,359,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,401.74,3
RC,359,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,341.2,828.27,3
RC,359,"Computed tomography, abdomen and pelvis; without contrast material ",,,313.62,517.79,3
RC,359,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,828.27,3
RC,359,"Computed tomography, abdomen; with contrast material(s) ",,,341.2,401.74,3
RC,359,"Computed tomography, abdomen; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,182.03,3
RC,359,"Computed tomography, cervical spine; with contrast material ",,,616.1,828.27,3
RC,359,"Computed tomography, cervical spine; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, head or brain; with contrast material(s) ",,,341.2,401.74,3
RC,359,"Computed tomography, head or brain; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,341.2,401.74,3
RC,359,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,341.2,401.74,3
RC,359,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,182.03,3
RC,359,"Computed tomography, limited or localized follow-up study ",,,83.86,182.03,3
RC,359,"Computed tomography, lower extremity; with contrast material(s) ",,,341.2,401.74,3
RC,359,"Computed tomography, lower extremity; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, lumbar spine; with contrast material ",,,616.1,828.27,3
RC,359,"Computed tomography, lumbar spine; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, maxillofacial area; with contrast material(s) ",,,341.2,401.74,3
RC,359,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,341.2,401.74,3
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, pelvis; with contrast material(s) ",,,341.2,401.74,3
RC,359,"Computed tomography, pelvis; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, soft tissue neck; with contrast material(s) ",,,341.2,401.74,3
RC,359,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, thoracic spine; with contrast material ",,,341.2,401.74,3
RC,359,"Computed tomography, thoracic spine; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,341.2,401.74,3
RC,359,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,109.22,182.03,3
RC,359,"Computed tomography, upper extremity; with contrast material(s) ",,,341.2,828.27,3
RC,359,"Computed tomography, upper extremity; without contrast material ",,,154.52,245.18,3
RC,359,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,401.74,3
RC,359,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1344.84,2241.41,3
RC,359,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,360, Operating Room Services General Classification  ,,,15184.0,43180.0,7
RC,360,1 epidur inject-C/thor ,,,2152.0,6587.0,4
RC,360,1 epidural inject anes-L ,,,2152.0,6587.0,4
RC,360,1 inject anes-subarach ,,,2152.0,6587.0,4
RC,360,1 subar inject anes-cont ,,,2152.0,6587.0,4
RC,360,1 subar inject anes-diff ,,,2152.0,6587.0,4
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,948.0,17510.0,33
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,948.0,12360.0,33
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,948.0,17510.0,33
RC,360,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,948.0,12360.0,33
RC,360,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,948.0,25655.0,31
RC,360,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,948.0,25655.0,31
RC,360,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,360,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,360,510K Skin Substitute Produ ,,,136.26,136.26,3
RC,360,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,360,ACCESS AV DIAL GRFT FOR EVAL ,,,2214.0,4723.0,5
RC,360,ACCESS AV DIAL GRFT FOR PROC ,,,2152.0,2636.0,4
RC,360,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,360,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,360,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,360,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,360,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,360,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,360,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,360,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2152.0,2636.0,4
RC,360,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,360,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,360,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,360,ARTERY TO VEIN SHUNT ,,,2152.0,6587.0,4
RC,360,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,360,ASPIRATE/INJECT THYRIOD CYST ,,,2152.0,6587.0,4
RC,360,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,360,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,360,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,1
RC,360,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,1
RC,360,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,Abatacept injection ,,,49.99,49.99,3
RC,360,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,360,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,351.7,6680.0,33
RC,360,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,351.7,6680.0,33
RC,360,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,948.0,25655.0,31
RC,360,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,360,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,948.0,6587.0,21
RC,360,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,948.0,12499.0,31
RC,360,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,948.0,12875.0,21
RC,360,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,948.0,36378.78,21
RC,360,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,948.0,33769.0,33
RC,360,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,948.0,25655.0,33
RC,360,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,948.0,21630.0,33
RC,360,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,948.0,30408.2,20
RC,360,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,948.0,30408.2,20
RC,360,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,948.0,27335.06,31
RC,360,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,948.0,32999.3,31
RC,360,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,948.0,32509.89,31
RC,360,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,948.0,33769.0,33
RC,360,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,360,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,360,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,360,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,360,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,360,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,360,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,360,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,360,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,360,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,3
RC,360,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,360,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,360,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,360,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,360,Acetaminophen ,,,20.32,20.32,3
RC,360,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,360,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,360,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,360,Acetylcholinesterase ,,,13.4,13.4,3
RC,360,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,360,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,360,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,360,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,360,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,360,Adalimumab ,,,42.04,42.04,3
RC,360,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,360,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,360,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,360,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,360,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,360,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,360,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,360,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,360,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,360,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,360,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,360,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,360,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,360,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,360,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,360,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,360,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,360,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,360,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,360,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,360,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,360,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,360,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,360,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,360,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,360,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,360,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,360,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,360,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,360,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,360,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,360,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,360,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,360,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,360,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,360,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,360,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,360,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,360,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,360,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,360,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,360,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,360,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,360,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,360,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,360,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,360,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,360,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,360,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,360,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,360,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,360,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,360,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,360,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,360,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,360,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,360,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,360,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,360,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,360,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,360,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,360,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,360,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,360,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,360,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,360,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,360,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,360,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,360,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,360,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,360,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,360,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,360,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,360,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,360,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,360,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,360,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,360,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,360,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,360,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,360,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,360,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,360,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,360,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,360,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,360,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,360,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,360,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,360,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,360,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,360,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,360,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,360,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,360,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,360,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,360,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,360,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,360,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,360,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,360,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,360,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,360,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,360,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,360,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,360,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,360,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,360,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,360,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,360,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,360,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,360,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,360,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,360,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,360,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,360,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,360,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,360,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,360,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,360,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,360,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,360,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,360,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,360,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,360,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,360,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,360,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,360,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,360,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,360,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,360,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,360,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,360,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,360,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,360,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,360,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,360,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,360,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,360,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,360,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,360,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,360,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,360,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,360,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,360,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,360,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,360,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,360,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,360,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,360,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,360,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,360,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,360,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,360,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,360,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,360,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,360,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,360,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,360,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,360,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,360,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,360,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,360,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,360,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,360,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,360,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,360,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,360,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,360,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,360,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,360,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,360,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,360,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,360,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,360,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,360,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,360,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,360,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,360,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,360,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,360,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,360,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,360,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,360,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,360,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,360,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,360,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,360,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,360,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,360,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,360,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,360,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,360,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,360,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,360,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,360,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,360,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,360,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,360,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,360,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,360,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,360,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,360,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,360,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,360,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,360,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,360,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,360,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,360,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,360,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,360,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,360,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,360,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,360,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,360,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,360,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,360,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,360,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,360,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,360,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,360,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,360,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,360,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,360,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,360,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,360,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,360,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,360,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,360,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,360,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,360,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,360,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,360,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,360,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,360,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,360,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,360,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,360,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,360,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,360,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,360,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,43890.0,9
RC,360,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,360,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,360,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,360,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,360,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,360,"Adenoidectomy, primary; age 12 or over ",,,930.95,19415.0,33
RC,360,"Adenoidectomy, primary; younger than age 12 ",,,930.95,19415.0,33
RC,360,"Adenoidectomy, secondary; age 12 or over ",,,930.95,19415.0,33
RC,360,"Adenoidectomy, secondary; younger than age 12 ",,,930.95,19415.0,33
RC,360,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,360,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,360,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,360,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,360,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,360,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,360,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,360,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,360,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,8
RC,360,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,360,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,360,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,10
RC,360,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,360,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,360,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,360,Adrenal tissue transplant to brain ,,,21210.0,23307.22,6
RC,360,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,948.0,25655.0,31
RC,360,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,948.0,27467.01,27
RC,360,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,360,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,360,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,360,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,360,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,360,Agalsidase beta injection ,,,253.66,253.66,3
RC,360,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,360,Air fluidized bed ,,,4606.97,4606.97,3
RC,360,Air pressure mattress ,,,25.02,25.02,3
RC,360,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,360,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,360,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,360,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,360,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,360,Albumin; ischemia modified ,,,36.99,36.99,3
RC,360,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,360,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,360,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,360,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,360,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,360,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,360,Aldesleukin injection ,,,3639.37,3639.37,3
RC,360,Aldolase ,,,10.58,10.58,3
RC,360,Aldosterone ,,,44.42,44.42,3
RC,360,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,360,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,360,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,360,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,360,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,360,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,360,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,360,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,360,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,360,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,360,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,360,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,360,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,360,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,360,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,360,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,360,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,360,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,360,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,360,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,360,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,360,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,360,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,360,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,360,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,360,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,360,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,360,Allogeneic lymphocyte infusions ,,,592.85,25655.0,29
RC,360,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,360,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,360,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,360,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,360,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,360,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,360,Alteplase recombinant ,,,107.46,107.46,3
RC,360,Altuviiio per factor viii ,,,5.05,5.05,3
RC,360,Aluminum ,,,27.77,27.77,3
RC,360,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,289.82,25655.0,33
RC,360,"Alveoloplasty, each quadrant (specify) ",,,234.0,25655.0,33
RC,360,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,360,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,360,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,360,Amikacin ,,,16.44,16.44,3
RC,360,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,360,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,360,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,360,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,360,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,360,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,360,Aminolevulinic acid hcl to ,,,424.32,424.32,3
RC,360,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,360,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,360,Amiodarone ,,,20.32,20.32,3
RC,360,Ammonia ,,,15.88,15.88,3
RC,360,Amniocentesis; diagnostic ,,,52.04,5932.0,27
RC,360,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,122.58,5932.0,27
RC,360,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,360,Amphotericin b liposome in ,,,21.63,21.63,3
RC,360,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,34001.63,27
RC,360,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,948.0,26837.67,27
RC,360,Amputation of penis; complete ,,,948.0,25655.0,31
RC,360,Amputation of penis; partial ,,,948.0,12360.0,33
RC,360,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,360,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,360,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,360,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,360,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,360,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,360,Amylase ,,,7.06,7.06,3
RC,360,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,948.0,55858.73,27
RC,360,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,948.0,73380.11,27
RC,360,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,948.0,58904.51,27
RC,360,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,948.0,50870.39,27
RC,360,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,948.0,68352.96,27
RC,360,Anastomosis; facial-hypoglossal ,,,948.0,25655.0,27
RC,360,Anastomosis; facial-spinal accessory ,,,948.0,28585.97,27
RC,360,Ancillary Outpatient Servi ,,,15249.85,15249.85,3
RC,360,Androstanediol glucuronide ,,,31.42,31.42,3
RC,360,Androstenedione ,,,31.92,31.92,3
RC,360,Androsterone ,,,27.85,27.85,3
RC,360,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,360,Angiotensin II ,,,22.37,22.37,3
RC,360,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,360,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,360,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,360,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,360,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,360,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,360,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,360,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,360,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,360,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,360,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,360,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,360,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,360,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,360,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,360,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,360,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,360,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,360,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,360,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,360,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,360,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,360,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,360,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,360,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,360,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,360,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,360,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,360,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,360,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,360,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,360,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,360,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,360,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,360,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,360,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,360,"Anoplasty, plastic operation for stricture; adult ",,,948.0,9908.0,33
RC,360,"Anoplasty, plastic operation for stricture; infant ",,,948.0,25655.0,27
RC,360,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,948.0,6680.0,33
RC,360,Anorectal manometry ,,,1266.0,2636.0,6
RC,360,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1481.0,5932.0,7
RC,360,Anorectal myomectomy ,,,948.0,8858.0,33
RC,360,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,237.69,5932.0,31
RC,360,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,237.69,5932.0,31
RC,360,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,948.0,8858.0,33
RC,360,"Anoscopy; with biopsy, single or multiple ",,,211.33,25655.0,33
RC,360,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,115.98,25655.0,33
RC,360,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,450.72,25655.0,33
RC,360,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,948.0,9012.0,31
RC,360,Anoscopy; with removal of foreign body ,,,344.93,5932.0,33
RC,360,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,948.0,8858.0,33
RC,360,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,948.0,8858.0,33
RC,360,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,344.93,5932.0,33
RC,360,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,360,Antepartum care only; 4-6 visits ,,,948.0,7925.46,17
RC,360,Antepartum care only; 7 or more visits ,,,948.0,13978.21,17
RC,360,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,360,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,948.0,18490.0,33
RC,360,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,948.0,25655.0,31
RC,360,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,948.0,25655.0,31
RC,360,Anti-inhibitor ,,,2.67,2.67,3
RC,360,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,360,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,360,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,360,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,360,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,360,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,360,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,360,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,360,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,360,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,360,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,360,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,360,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,360,Antibody; Aspergillus ,,,16.4,16.4,3
RC,360,Antibody; Bartonella ,,,11.1,11.1,3
RC,360,Antibody; Blastomyces ,,,14.06,14.06,3
RC,360,Antibody; Bordetella ,,,14.38,14.38,3
RC,360,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,360,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,360,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,360,Antibody; Brucella ,,,9.73,9.73,3
RC,360,Antibody; Campylobacter ,,,14.3,14.3,3
RC,360,Antibody; Candida ,,,13.09,13.09,3
RC,360,Antibody; Chlamydia ,,,12.88,12.88,3
RC,360,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,360,Antibody; Coccidioides ,,,12.5,12.5,3
RC,360,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,360,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,360,Antibody; Diphtheria ,,,16.58,16.58,3
RC,360,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,360,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,360,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,360,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,360,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,360,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,360,Antibody; HIV-1 ,,,9.69,9.69,3
RC,360,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,360,Antibody; HIV-2 ,,,14.74,14.74,3
RC,360,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,360,Antibody; HTLV-I ,,,9.91,9.91,3
RC,360,Antibody; HTLV-II ,,,15.26,15.26,3
RC,360,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,360,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,360,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,360,Antibody; Legionella ,,,16.68,16.68,3
RC,360,Antibody; Leishmania ,,,13.35,13.35,3
RC,360,Antibody; Leptospira ,,,17.66,17.66,3
RC,360,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,360,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,360,Antibody; Nocardia ,,,17.43,17.43,3
RC,360,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,360,Antibody; Rickettsia ,,,21.09,21.09,3
RC,360,Antibody; Salmonella ,,,14.38,14.38,3
RC,360,Antibody; Shigella ,,,26.68,26.68,3
RC,360,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,360,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,360,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,360,Antibody; Trichinella ,,,13.69,13.69,3
RC,360,Antibody; West Nile virus ,,,15.69,15.69,3
RC,360,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,360,Antibody; Yersinia ,,,14.38,14.38,3
RC,360,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,360,Antibody; actinomyces ,,,11.1,11.1,3
RC,360,Antibody; adenovirus ,,,14.03,14.03,3
RC,360,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,360,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,360,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,360,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,360,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,360,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,360,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,360,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,360,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,360,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,360,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,360,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,360,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,360,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,360,Antibody; histoplasma ,,,15.03,15.03,3
RC,360,Antibody; influenza virus ,,,14.77,14.77,3
RC,360,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,360,Antibody; mucormycosis ,,,16.35,16.35,3
RC,360,Antibody; mumps ,,,14.22,14.22,3
RC,360,Antibody; mycoplasma ,,,14.43,14.43,3
RC,360,Antibody; parvovirus ,,,16.38,16.38,3
RC,360,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,360,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,360,Antibody; rotavirus ,,,19.87,19.87,3
RC,360,Antibody; rubella ,,,15.69,15.69,3
RC,360,Antibody; rubeola ,,,14.04,14.04,3
RC,360,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,360,Antibody; tetanus ,,,16.13,16.13,3
RC,360,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,360,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,360,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,360,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,360,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,360,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,360,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,360,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,360,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,360,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,360,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,360,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,360,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,360,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,360,Apheresis w/ adsorp/reinfuse ,,,2152.0,6587.0,4
RC,360,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,360,"Apolipoprotein, each ",,,22.99,22.99,3
RC,360,Appendectomy; ,,,948.0,25655.0,31
RC,360,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,948.0,25655.0,27
RC,360,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,948.0,2636.0,15
RC,360,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,360,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,360,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,360,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,360,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,360,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,360,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,360,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,360,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,360,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,360,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,360,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,360,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,360,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,14
RC,360,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,14
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,22
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,6
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,12
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,6
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,12499.0,16
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,6
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,12
RC,360,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,360,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,948.0,3512.12,12
RC,360,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,360,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,360,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,360,Aqueous shunt ,,,855.38,855.38,3
RC,360,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,948.0,18490.0,32
RC,360,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,948.0,19415.0,33
RC,360,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,360,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,360,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,360,"Arm rest, each ",,,23.28,23.28,3
RC,360,Arsenic ,,,20.68,20.68,3
RC,360,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,948.0,11220.0,32
RC,360,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,948.0,11220.0,14
RC,360,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",,,948.0,11220.0,18
RC,360,"Arterial puncture, withdrawal of blood for diagnosis ",,,237.69,11220.0,23
RC,360,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,1995.0,12869.33,27
RC,360,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,1995.0,12869.33,27
RC,360,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,1995.0,12869.33,27
RC,360,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,1174.13,11220.0,27
RC,360,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,25655.0,20
RC,360,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,13
RC,360,"Arthroereisis, subtalar ",,,21210.0,23307.22,6
RC,360,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,23307.22,6
RC,360,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,2636.0,5
RC,360,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,25655.0,20
RC,360,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,2587.42,6
RC,360,Artificial cornea ,,,8791.45,8791.45,3
RC,360,Artificial insemination; intra-cervical ,,,267.26,3092.0,27
RC,360,Artificial insemination; intra-uterine ,,,282.68,3092.0,27
RC,360,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,360,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,360,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,360,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,270.48,5932.0,33
RC,360,"Aspiration and/or injection, thyroid cyst ",,,62.5,5932.0,33
RC,360,Aspiration of bladder; by needle ,,,38.37,5932.0,33
RC,360,Aspiration of bladder; by trocar or intracatheter ,,,103.77,5932.0,33
RC,360,Aspiration of bladder; with insertion of suprapubic catheter ,,,685.44,8858.0,33
RC,360,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,892.44,8858.0,28
RC,360,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,360,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,360,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,360,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,360,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,360,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,360,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,360,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,360,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,360,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,6
RC,360,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,6
RC,360,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,360,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,360,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,360,Axillary crutch extension ,,,246.97,246.97,3
RC,360,Axillary lymphadenectomy; complete ,,,948.0,21630.0,33
RC,360,Axillary lymphadenectomy; superficial ,,,948.0,21630.0,33
RC,360,Azathioprine parenteral ,,,277.69,277.69,3
RC,360,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,360,"B cells, total count ",,,41.13,41.13,3
RC,360,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,360,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,360,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,360,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,360,BIOPSY EYE MUSCLE ,,,2152.0,6587.0,4
RC,360,BIOPSY OF STOMACH ,,,2152.0,6587.0,4
RC,360,BIOPSY OF THROAT ,,,2152.0,6587.0,4
RC,360,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,360,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,360,BRAIN SURGERY USING COMPUTER ,,,2152.0,6587.0,4
RC,360,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,360,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,360,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,360,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,360,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,360,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,360,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,360,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,360,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,360,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,360,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,360,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,948.0,2636.0,15
RC,360,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,948.0,25655.0,23
RC,360,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,948.0,25655.0,27
RC,360,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,948.0,25655.0,27
RC,360,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,948.0,25655.0,27
RC,360,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,948.0,25655.0,27
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,948.0,25655.0,27
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,948.0,25655.0,27
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,948.0,25655.0,27
RC,360,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,948.0,40979.09,23
RC,360,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,948.0,31872.58,27
RC,360,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,948.0,52362.13,81
RC,360,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,948.0,25655.0,27
RC,360,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,948.0,34149.32,27
RC,360,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,360,"Balance lens, per lens ",,,70.71,70.71,3
RC,360,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,948.0,31577.42,27
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,948.0,16144.0,27
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,948.0,16144.0,27
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,948.0,16144.0,27
RC,360,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,948.0,5932.0,19
RC,360,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,948.0,5932.0,19
RC,360,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,360,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,360,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,360,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,360,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,360,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,360,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,360,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,360,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,360,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,360,"Bed cradle, any type ",,,42.41,42.41,3
RC,360,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,360,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,360,"Bed side rails, full length ",,,149.47,149.47,3
RC,360,"Bed side rails, half length ",,,14.69,14.69,3
RC,360,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,360,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,360,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,360,Belatacept injection ,,,4.23,4.23,3
RC,360,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,360,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,360,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,360,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,360,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,360,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,360,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,360,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,360,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,360,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,360,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,360,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,360,Beta-2 microglobulin ,,,17.64,17.64,3
RC,360,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,360,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,360,Bevacizumab injection ,,,81.56,81.56,3
RC,360,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,948.0,54817.59,27
RC,360,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,360,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,360,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,360,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,948.0,45780.94,27
RC,360,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,948.0,49712.62,27
RC,360,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,948.0,31064.51,27
RC,360,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,360,Bile acids; total ,,,18.66,18.66,3
RC,360,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,948.0,12360.0,33
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,948.0,21630.0,33
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,948.0,21630.0,33
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,948.0,12360.0,33
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,948.0,21630.0,33
RC,360,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,360,Bilirubin; direct ,,,5.47,5.47,3
RC,360,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,360,Bilirubin; total ,,,5.47,5.47,3
RC,360,Biofeedback training by any modality ,,,39.38,44.74,6
RC,360,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,360,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,360,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,948.0,8485.0,33
RC,360,Biopsy external auditory canal ,,,99.71,25655.0,29
RC,360,Biopsy external ear ,,,57.56,3092.0,29
RC,360,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,948.0,6563.7,33
RC,360,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,95.93,5932.0,33
RC,360,Biopsy of conjunctiva ,,,113.96,8485.0,33
RC,360,Biopsy of cornea ,,,733.22,6680.0,33
RC,360,"Biopsy of epididymis, needle ",,,510.77,5932.0,33
RC,360,Biopsy of extraocular muscle ,,,948.0,12360.0,33
RC,360,Biopsy of floor of mouth ,,,110.18,5932.0,33
RC,360,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,351.7,5932.0,33
RC,360,Biopsy of lacrimal gland ,,,733.22,8858.0,33
RC,360,Biopsy of lacrimal sac ,,,733.22,8858.0,33
RC,360,Biopsy of lip ,,,67.44,2636.0,29
RC,360,"Biopsy of liver, needle; percutaneous ",,,510.77,5932.0,33
RC,360,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,360,"Biopsy of liver, wedge ",,,948.0,25655.0,27
RC,360,Biopsy of nerve ,,,692.94,8858.0,33
RC,360,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,948.0,9908.0,33
RC,360,"Biopsy of palate, uvula ",,,596.33,5932.0,31
RC,360,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,948.0,25655.0,27
RC,360,"Biopsy of pancreas, percutaneous needle ",,,510.77,5932.0,33
RC,360,Biopsy of penis; (separate procedure) ,,,510.77,5932.0,33
RC,360,Biopsy of penis; deep structures ,,,855.96,8858.0,33
RC,360,Biopsy of salivary gland; incisional ,,,441.67,6680.0,33
RC,360,Biopsy of salivary gland; needle ,,,60.46,5932.0,33
RC,360,"Biopsy of spinal cord, percutaneous needle ",,,510.77,5932.0,33
RC,360,"Biopsy of stomach, by laparotomy ",,,948.0,25655.0,27
RC,360,"Biopsy of testis, incisional (separate procedure) ",,,948.0,8858.0,33
RC,360,"Biopsy of testis, needle (separate procedure) ",,,855.96,6492.89,33
RC,360,Biopsy of tongue; anterior two-thirds ,,,116.86,5932.0,33
RC,360,Biopsy of tongue; posterior one-third ,,,115.11,6680.0,33
RC,360,Biopsy of urethra ,,,685.44,8858.0,33
RC,360,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,948.0,8858.0,33
RC,360,Biopsy of vaginal mucosa; simple (separate procedure) ,,,49.41,5932.0,33
RC,360,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,47.09,5932.0,33
RC,360,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,360,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,510.77,5932.0,33
RC,360,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,1011.84,8858.0,28
RC,360,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,1011.84,8858.0,28
RC,360,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,1011.84,8858.0,28
RC,360,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,948.0,25655.0,31
RC,360,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,948.0,8858.0,33
RC,360,"Biopsy or excision of lymph node(s); open, superficial ",,,948.0,8858.0,33
RC,360,"Biopsy thyroid, percutaneous core needle ",,,44.76,5932.0,33
RC,360,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,510.77,5932.0,33
RC,360,"Biopsy, prostate, any approach, nonimaging-guided ",,,948.0,6680.0,33
RC,360,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,948.0,5932.0,14
RC,360,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,948.0,15338.2,20
RC,360,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,948.0,15338.2,20
RC,360,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,948.0,10083.72,20
RC,360,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,948.0,10083.72,20
RC,360,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,948.0,10083.72,20
RC,360,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,948.0,10083.72,20
RC,360,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,948.0,10083.72,20
RC,360,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,948.0,10083.72,20
RC,360,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,685.44,4723.0,7
RC,360,"Biopsy, vestibule of mouth ",,,113.09,5932.0,33
RC,360,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,930.95,8858.0,33
RC,360,"Biopsy; nasopharynx, visible lesion, simple ",,,930.95,7334.01,33
RC,360,Biopsy; oropharynx ,,,89.82,25655.0,33
RC,360,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,360,Bladder instillation of anticarcinogenic agent (including retention time) ,,,47.09,6587.0,29
RC,360,"Bladder irrigation, simple, lavage and/or instillation ",,,46.52,6587.0,33
RC,360,Bleeding time ,,,5.25,5.25,3
RC,360,"Blepharotomy, drainage of abscess, eyelid ",,,113.7,5932.0,33
RC,360,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,14
RC,360,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,25655.0,21
RC,360,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,21256.09,27301.4,9
RC,360,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,21538.0,35001.4,9
RC,360,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,14
RC,360,Blood component/product no ,,,38.5,38.5,3
RC,360,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,360,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,360,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,360,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,360,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,360,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,360,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,360,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,360,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,360,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,360,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,360,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,360,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,360,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,360,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,360,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,360,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,360,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,360,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,360,Blood split unit ,,,169.87,169.87,3
RC,360,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,360,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,360,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,360,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,360,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,360,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,360,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,360,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,360,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,360,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,360,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,360,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,360,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,360,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,948.0,25655.0,27
RC,360,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,592.85,25655.0,29
RC,360,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,360,Bone marrow harvesting for transplantation; allogeneic ,,,592.85,25655.0,33
RC,360,Bone marrow harvesting for transplantation; autologous ,,,948.0,17510.0,33
RC,360,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,6
RC,360,Bradykinin ,,,5.62,5.62,3
RC,360,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,360,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,360,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,360,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,360,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,360,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,360,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,360,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,360,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,6
RC,360,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,6
RC,360,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,6
RC,360,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1481.0,2636.0,5
RC,360,Breathing circuits ,,,11.75,11.75,3
RC,360,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,360,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,360,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,360,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,360,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,13
RC,360,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,10
RC,360,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,25655.0,11
RC,360,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,16
RC,360,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,360,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,20
RC,360,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,20
RC,360,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,360,Bundle of His recording ,,,12830.85,43890.0,14
RC,360,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,360,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,360,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,948.0,25655.0,27
RC,360,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,948.0,25655.0,27
RC,360,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,948.0,25655.0,27
RC,360,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,948.0,28702.4,27
RC,360,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,948.0,30924.8,27
RC,360,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,948.0,25655.0,27
RC,360,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,948.0,28857.84,27
RC,360,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,948.0,25655.0,27
RC,360,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,948.0,28376.19,27
RC,360,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,360,C-peptide ,,,22.68,22.68,3
RC,360,C-reactive protein; ,,,5.65,5.65,3
RC,360,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,360,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,360,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,360,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,360,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,360,CATHETERIZE MIDDLE EAR CANAL ,,,2152.0,6587.0,4
RC,360,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,360,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,360,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,360,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,360,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,360,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,360,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,360,CHANGE BILE DUCT CATHETER ,,,2152.0,6587.0,4
RC,360,CHANGE IV CATH AT THROMB TX ,,,2152.0,6587.0,4
RC,360,CHANGE KIDNEY TUBE ,,,2152.0,6587.0,4
RC,360,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,2152.0,2636.0,4
RC,360,CIRCUMCISION ,,,2152.0,6587.0,4
RC,360,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,COLLECT BLOOD VENOUS DEVICE ,,,2152.0,6587.0,4
RC,360,COLONOSCOPY LESION REMOVAL ,,,2152.0,6587.0,4
RC,360,COLONOSCOPY W/STENT ,,,2152.0,6587.0,8
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,1
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,360,CONTROL POSTOP BLEEDING ,,,2152.0,6587.0,4
RC,360,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,2152.0,16144.0,5
RC,360,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,2152.0,16144.0,5
RC,360,CREATE SALIVARY CYST DRAIN ,,,2152.0,6587.0,8
RC,360,CRYOTHERAPY OF RECTAL LESION ,,,2152.0,6587.0,8
RC,360,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,360,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,360,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,360,CT and CTA without Contras ,,,242.29,242.29,3
RC,360,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,360,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,360,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,360,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,360,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,360,"CYSTOSCOPY, RESECT DUCTS ",,,2152.0,6587.0,4
RC,360,Cabazitaxel injection ,,,254.77,254.77,3
RC,360,Cadmium ,,,25.77,25.77,3
RC,360,Caffeine ,,,42.04,42.04,3
RC,360,Calcitonin ,,,29.2,29.2,3
RC,360,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,360,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,360,Calcium; ionized ,,,14.91,14.91,3
RC,360,Calcium; total ,,,5.62,5.62,3
RC,360,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,360,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,360,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,360,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,360,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,360,"Calprotectin, fecal ",,,21.4,21.4,3
RC,360,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,360,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,360,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,360,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,360,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,360,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,360,"Cannula, nasal ",,,1.13,1.13,3
RC,360,"Cannulation, thoracic duct ",,,948.0,2636.0,15
RC,360,"Cantharidin top, applicato ",,,757.78,757.78,3
RC,360,Canthoplasty (reconstruction of canthus) ,,,733.22,8858.0,33
RC,360,Canthotomy (separate procedure) ,,,733.22,8858.0,33
RC,360,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,360,Capsaicin 8% patch ,,,3.82,3.82,3
RC,360,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,360,Carbamazepine; free ,,,14.44,14.44,3
RC,360,Carbamazepine; total ,,,15.88,15.88,3
RC,360,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,360,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,360,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,360,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,360,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,360,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,360,Cardiac Rehabilitation ,,,141.15,141.15,3
RC,360,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,360,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,360,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,1481.0,2174.0,4
RC,360,Cardioassist-method of circulatory assist; external ,,,2152.0,16144.0,8
RC,360,Cardioassist-method of circulatory assist; internal ,,,2152.0,16144.0,14
RC,360,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,360,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,360,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,551.76,2636.0,11
RC,360,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,15
RC,360,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1169.48,3293.0,15
RC,360,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,360,Carmustine injection ,,,261.61,261.61,3
RC,360,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,360,Carotene ,,,10.05,10.05,3
RC,360,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,360,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,360,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,360,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,360,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,360,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,360,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,360,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,360,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,360,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,360,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,360,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,360,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,360,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,360,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,360,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,360,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,360,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,360,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,360,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,360,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,360,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,360,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,360,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,360,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,360,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,360,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,360,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,360,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,360,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,360,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,360,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,360,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,360,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,360,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,360,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,360,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,360,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,360,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,360,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,360,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,360,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,360,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,360,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,360,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,360,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,360,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,360,"Caster pin lock, each ",,,46.34,46.34,3
RC,360,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,360,Catecholamines; blood ,,,31.7,31.7,3
RC,360,Catecholamines; fractionated ,,,27.52,27.52,3
RC,360,Catecholamines; total urine ,,,29.76,29.76,3
RC,360,Cathepsin-D ,,,19.69,19.69,3
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,12875.0,10
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,12875.0,10
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,42
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,13254.68,9
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,12875.0,40
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,12875.0,30
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,13254.68,9
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,12875.0,9
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,6
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,9119.84,22644.0,14
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,22644.0,38
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9119.84,22644.0,28
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,33769.0,51
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9119.84,22644.0,14
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,14
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,23113.0,14
RC,360,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,948.0,5932.0,19
RC,360,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,360,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,13
RC,360,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,948.0,2636.0,15
RC,360,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,508.76,6587.0,21
RC,360,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,948.0,25655.0,26
RC,360,"Cautery of cervix; cryocautery, initial or repeat ",,,110.18,5932.0,33
RC,360,Cautery of cervix; electro or thermal ,,,83.14,25655.0,33
RC,360,Cautery of cervix; laser ablation ,,,948.0,8858.0,33
RC,360,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,360,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,360,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,360,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,360,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,360,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,360,"Cerclage of cervix, during pregnancy; abdominal ",,,948.0,25655.0,31
RC,360,"Cerclage of cervix, during pregnancy; vaginal ",,,948.0,8858.0,33
RC,360,"Cerclage of uterine cervix, nonobstetrical ",,,948.0,8858.0,31
RC,360,Ceruloplasmin ,,,11.71,11.71,3
RC,360,Cervical head harness/halter ,,,30.83,30.83,3
RC,360,Cervical lymphadenectomy (complete) ,,,948.0,25655.0,31
RC,360,Cervical lymphadenectomy (modified radical neck dissection) ,,,948.0,32377.73,31
RC,360,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,360,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,360,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,360,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,360,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,360,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,360,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,360,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,360,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,360,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,360,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,360,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,360,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,360,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,360,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,360,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,360,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,948.0,25655.0,23
RC,360,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,948.0,29129.93,17
RC,360,Cesarean delivery only; ,,,948.0,25655.0,26
RC,360,Cesarean delivery only; including postpartum care ,,,948.0,28282.84,24
RC,360,Cetuximab injection ,,,89.02,89.02,3
RC,360,Change of cystostomy tube; complicated ,,,250.06,6587.0,33
RC,360,Change of cystostomy tube; simple ,,,54.36,6587.0,33
RC,360,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,685.44,5932.0,33
RC,360,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,20
RC,360,Chemiluminescent assay ,,,15.39,15.39,3
RC,360,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,6
RC,360,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,6
RC,360,Chemodenervation of eccrine glands; both axillae ,,,53.19,5932.0,33
RC,360,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,60.75,5932.0,33
RC,360,Chemodenervation of extraocular muscle ,,,107.27,5932.0,33
RC,360,Chemodenervation of internal anal sphincter ,,,450.72,5932.0,33
RC,360,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,78.19,6587.0,33
RC,360,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,68.02,5932.0,33
RC,360,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,62.21,5932.0,33
RC,360,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,60.16,5932.0,33
RC,360,Chemodenervation of one extremity; 1-4 muscle(s) ,,,72.09,5932.0,33
RC,360,Chemodenervation of one extremity; 5 or more muscles ,,,89.82,5932.0,33
RC,360,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,360,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,360,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,70.93,5932.0,33
RC,360,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,72.09,5932.0,33
RC,360,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,79.06,5932.0,33
RC,360,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,948.0,6587.0,11
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,948.0,12875.0,11
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,948.0,12875.0,11
RC,360,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,948.0,12875.0,11
RC,360,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,360,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,360,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,360,Chloramphenicol ,,,13.81,13.81,3
RC,360,Chloride; blood ,,,5.01,5.01,3
RC,360,Chloride; other source ,,,5.45,5.45,3
RC,360,Chloride; urine ,,,6.27,6.27,3
RC,360,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,360,Cholecystectomy with exploration of common duct; ,,,948.0,76895.0,30
RC,360,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,948.0,76895.0,30
RC,360,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,948.0,30753.83,30
RC,360,Cholecystectomy; ,,,2152.0,25655.0,25
RC,360,Cholecystectomy; with cholangiography ,,,2152.0,25655.0,25
RC,360,Cholecystoenterostomy; Roux-en-Y ,,,948.0,29339.71,27
RC,360,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,948.0,33232.37,27
RC,360,Cholecystoenterostomy; direct ,,,948.0,25975.27,27
RC,360,Cholecystoenterostomy; with gastroenterostomy ,,,948.0,30575.1,27
RC,360,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,948.0,25655.0,27
RC,360,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,948.0,25655.0,27
RC,360,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,948.0,30854.73,27
RC,360,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,948.0,30225.4,27
RC,360,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,360,Choline c-11 ,,,2742.91,2742.91,3
RC,360,Cholinesterase; RBC ,,,10.69,10.69,3
RC,360,Cholinesterase; serum ,,,8.58,8.58,3
RC,360,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,360,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,360,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,360,"Chorionic villus sampling, any method ",,,52.32,3293.0,29
RC,360,Chromium ,,,22.11,22.11,3
RC,360,Chromogenic substrate assay ,,,12.96,12.96,3
RC,360,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,360,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,360,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,360,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,360,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,360,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,360,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,360,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,360,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,360,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,360,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,360,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,360,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,360,"Chromotubation of oviduct, including materials ",,,948.0,12360.0,31
RC,360,Cidofovir injection ,,,583.95,583.95,3
RC,360,Ciliary body destruction; cryotherapy ,,,733.22,8858.0,33
RC,360,Ciliary body destruction; cyclodialysis ,,,733.22,8858.0,33
RC,360,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,892.44,8858.0,33
RC,360,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,733.22,8858.0,33
RC,360,Ciliary body destruction; diathermy ,,,892.44,6680.0,33
RC,360,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,360,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,250.06,8858.0,33
RC,360,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,685.44,8858.0,33
RC,360,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,685.44,8858.0,33
RC,360,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,113.56,5932.0,33
RC,360,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,113.56,5932.0,33
RC,360,Citrate ,,,30.3,30.3,3
RC,360,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,360,Clinic Visits and Related ,,,145.78,145.78,3
RC,360,Clitoroplasty for intersex state ,,,948.0,25655.0,29
RC,360,Closure of anal fistula with rectal advancement flap ,,,948.0,19415.0,33
RC,360,Closure of cystostomy (separate procedure) ,,,948.0,8858.0,33
RC,360,Closure of enteroenteric or enterocolic fistula ,,,948.0,32533.18,27
RC,360,"Closure of enterostomy, large or small intestine; ",,,948.0,25655.0,27
RC,360,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,948.0,25655.0,27
RC,360,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,948.0,36076.35,27
RC,360,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,948.0,34949.62,27
RC,360,Closure of enterovesical fistula; without intestinal or bladder resection ,,,948.0,30069.95,27
RC,360,Closure of esophagostomy or fistula; cervical approach ,,,948.0,25655.0,31
RC,360,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,948.0,32354.45,27
RC,360,Closure of gastrocolic fistula ,,,948.0,35882.09,27
RC,360,"Closure of gastrostomy, surgical ",,,948.0,8858.0,33
RC,360,Closure of intestinal cutaneous fistula ,,,948.0,31585.18,27
RC,360,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,91.96,2636.0,29
RC,360,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,196.58,5932.0,33
RC,360,Closure of lacrimal fistula (separate procedure) ,,,733.22,19415.0,33
RC,360,Closure of nephrocutaneous or pyelocutaneous fistula ,,,948.0,26107.22,31
RC,360,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,948.0,33131.47,27
RC,360,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,948.0,35516.87,27
RC,360,Closure of rectourethral fistula; ,,,948.0,28515.9,27
RC,360,Closure of rectourethral fistula; with colostomy ,,,948.0,34530.06,27
RC,360,Closure of rectovaginal fistula; abdominal approach ,,,948.0,25655.0,31
RC,360,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,948.0,25655.0,27
RC,360,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,948.0,25655.0,27
RC,360,Closure of rectovaginal fistula; vaginal or transanal approach ,,,948.0,9908.0,33
RC,360,Closure of rectovesical fistula; ,,,948.0,28352.91,27
RC,360,Closure of rectovesical fistula; with colostomy ,,,948.0,33069.16,27
RC,360,"Closure of the lacrimal punctum; by plug, each ",,,82.55,5932.0,33
RC,360,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,113.7,5932.0,33
RC,360,Closure of ureterocutaneous fistula ,,,948.0,25655.0,27
RC,360,Closure of ureterovisceral fistula (including visceral repair) ,,,948.0,25655.0,27
RC,360,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,948.0,12360.0,33
RC,360,Closure of urethrovaginal fistula; ,,,948.0,18770.08,33
RC,360,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,948.0,25655.0,31
RC,360,Closure of vesicouterine fistula; ,,,948.0,25655.0,31
RC,360,Closure of vesicouterine fistula; with hysterectomy ,,,948.0,25655.0,27
RC,360,"Closure of vesicovaginal fistula, abdominal approach ",,,948.0,25655.0,31
RC,360,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,948.0,25655.0,27
RC,360,Closure of vesicovaginal fistula; vaginal approach ,,,948.0,12360.0,33
RC,360,"Closure postauricular fistula, mastoid (separate procedure) ",,,441.67,9908.0,33
RC,360,Closure salivary fistula ,,,930.95,7334.01,33
RC,360,"Closure, exstrophy of bladder ",,,948.0,36923.22,27
RC,360,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,360,Clot retraction ,,,17.77,17.77,3
RC,360,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,360,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,360,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,360,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,360,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,360,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,360,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,360,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,360,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,360,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,360,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,360,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,360,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,360,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,360,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,360,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,360,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,360,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,360,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,360,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,360,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,360,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,360,Clozapine ,,,21.96,21.96,3
RC,360,Clubfoot wedge ,,,66.8,66.8,3
RC,360,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,360,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,360,Coagulation time; activated ,,,4.67,4.67,3
RC,360,Coagulation time; other methods ,,,4.89,4.89,3
RC,360,Cochlear Implant Procedure ,,,36103.38,36103.38,3
RC,360,"Cochlear device implantation, with or without mastoidectomy ",,,8325.0,111180.0,26
RC,360,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,360,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,360,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,360,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,360,Cold agglutinin; screen ,,,8.8,8.8,3
RC,360,Cold agglutinin; titer ,,,8.79,8.79,3
RC,360,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,948.0,27979.92,27
RC,360,"Colectomy, partial; abdominal and transanal approach ",,,948.0,43784.05,27
RC,360,"Colectomy, partial; with anastomosis ",,,948.0,30240.92,27
RC,360,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,948.0,37335.02,27
RC,360,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,948.0,47676.92,27
RC,360,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,948.0,37505.99,27
RC,360,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,948.0,39891.39,27
RC,360,"Colectomy, partial; with skin level cecostomy or colostomy ",,,948.0,41119.02,27
RC,360,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,948.0,51693.98,27
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,948.0,50730.46,27
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,948.0,49417.46,27
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,948.0,46736.69,27
RC,360,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,948.0,48687.01,27
RC,360,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,948.0,42027.99,27
RC,360,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,360,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,360,"Collagen cross links, any method ",,,20.36,20.36,3
RC,360,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,360,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,360,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,360,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,360,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,16144.0,14
RC,360,Collection of blood specimen from a completely implantable venous access device ,,,948.0,11220.0,17
RC,360,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,948.0,11220.0,17
RC,360,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,948.0,1995.0,6
RC,360,Collection of venous blood by venipuncture ,,,10.18,1995.0,9
RC,360,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,360,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1481.0,2174.0,4
RC,360,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,5932.0,33
RC,360,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,948.0,9012.0,31
RC,360,"Colonoscopy through stoma; with biopsy, single or multiple ",,,450.72,5932.0,33
RC,360,"Colonoscopy through stoma; with control of bleeding, any method ",,,450.72,5932.0,33
RC,360,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,344.93,9012.0,33
RC,360,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,450.72,9012.0,33
RC,360,Colonoscopy through stoma; with endoscopic mucosal resection ,,,450.72,9012.0,33
RC,360,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,31
RC,360,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,450.72,9012.0,33
RC,360,Colonoscopy through stoma; with removal of foreign body(s) ,,,344.93,5932.0,33
RC,360,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,450.72,5932.0,33
RC,360,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,5932.0,33
RC,360,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,450.72,9012.0,33
RC,360,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,450.72,9012.0,33
RC,360,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,6680.0,33
RC,360,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,450.72,9012.0,33
RC,360,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,450.72,9012.0,33
RC,360,"Colonoscopy, flexible; with biopsy, single or multiple ",,,450.72,6680.0,33
RC,360,"Colonoscopy, flexible; with control of bleeding, any method ",,,450.72,6680.0,33
RC,360,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,450.72,9012.0,33
RC,360,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,450.72,6680.0,33
RC,360,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,948.0,9012.0,33
RC,360,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,33
RC,360,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,450.72,6680.0,33
RC,360,"Colonoscopy, flexible; with removal of foreign body(s) ",,,450.72,6680.0,33
RC,360,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,450.72,6680.0,33
RC,360,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,6680.0,33
RC,360,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,450.72,6680.0,33
RC,360,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,450.72,6680.0,33
RC,360,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1266.0,6680.0,25
RC,360,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1266.0,6680.0,25
RC,360,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,360,Colorectal cancer screening; flexible sigmoidoscopy ,,,890.09,5932.0,19
RC,360,Colostomy or skin level cecostomy; ,,,948.0,27078.5,27
RC,360,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,948.0,25655.0,27
RC,360,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,31
RC,360,Colpocentesis (separate procedure) ,,,948.0,11960.31,33
RC,360,Colpocleisis (Le Fort type) ,,,948.0,25655.0,33
RC,360,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,948.0,8858.0,33
RC,360,"Colpopexy, abdominal approach ",,,948.0,25655.0,31
RC,360,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,948.0,25655.0,31
RC,360,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,948.0,25655.0,31
RC,360,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,25655.0,20
RC,360,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,948.0,8858.0,33
RC,360,Colposcopy of the cervix including upper/adjacent vagina; ,,,59.59,6680.0,33
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,73.54,5932.0,33
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,68.31,6680.0,33
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,69.76,5932.0,33
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,183.14,25655.0,33
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,194.48,9908.0,33
RC,360,"Colposcopy of the entire vagina, with cervix if present; ",,,60.75,5932.0,33
RC,360,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,79.95,5932.0,33
RC,360,Colposcopy of the vulva; ,,,57.86,5932.0,33
RC,360,Colposcopy of the vulva; with biopsy(s) ,,,76.17,5932.0,33
RC,360,Colpotomy; with drainage of pelvic abscess ,,,948.0,8858.0,33
RC,360,Colpotomy; with exploration ,,,948.0,8858.0,33
RC,360,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,360,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,360,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,360,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,948.0,18490.0,33
RC,360,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,948.0,23113.0,33
RC,360,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,360,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,360,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,360,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,360,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,360,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,360,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,360,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,360,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,360,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,360,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,360,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,360,"Complement; antigen, each component ",,,13.08,13.08,3
RC,360,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,360,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,360,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,360,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,360,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,6
RC,360,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,6
RC,360,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,6
RC,360,Complex GI Procedures ,,,6647.43,6647.43,3
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,115.66,6587.0,33
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,229.65,6587.0,33
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,233.43,6587.0,33
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,233.71,6587.0,33
RC,360,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,360,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,301.6,6587.0,27
RC,360,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,360,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,43890.0,12
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,43890.0,12
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,12830.85,43890.0,14
RC,360,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,57218.76,30
RC,360,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,25253.0,43890.0,8
RC,360,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,57218.76,15
RC,360,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,360,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,360,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,948.0,6587.0,15
RC,360,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,360,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,360,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,360,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,360,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,360,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,360,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,360,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,360,"Congo red, blood ",,,5.4,5.4,3
RC,360,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,948.0,8858.0,33
RC,360,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,948.0,8858.0,33
RC,360,Conjunctival flap; bridge or partial (separate procedure) ,,,948.0,12360.0,33
RC,360,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,733.22,8858.0,33
RC,360,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,733.22,19415.0,33
RC,360,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,948.0,19415.0,33
RC,360,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,948.0,19415.0,33
RC,360,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,733.22,19415.0,33
RC,360,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,948.0,19415.0,33
RC,360,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,948.0,19415.0,33
RC,360,Construction of artificial vagina; with graft ,,,948.0,25655.0,31
RC,360,Construction of artificial vagina; without graft ,,,948.0,18490.0,33
RC,360,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,733.22,9908.0,33
RC,360,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,733.22,9908.0,33
RC,360,Cont epidur inject-lumb ,,,2152.0,6587.0,4
RC,360,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,360,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,360,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,360,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,360,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,360,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,360,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,360,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,360,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,360,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,360,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,360,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,360,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,360,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,360,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,360,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,360,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,360,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,360,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,948.0,37358.31,27
RC,360,Continent ileostomy (Kock procedure) (separate procedure) ,,,948.0,31919.36,27
RC,360,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1481.0,2636.0,5
RC,360,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,360,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,360,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,948.0,5932.0,19
RC,360,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,83.43,11220.0,32
RC,360,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,508.03,5932.0,31
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,948.0,25655.0,27
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,91.96,5932.0,33
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,930.95,9908.0,33
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,948.0,25655.0,27
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,196.58,5932.0,33
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,930.95,8858.0,33
RC,360,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,360,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,948.0,12499.0,33
RC,360,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,5932.0,33
RC,360,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,20
RC,360,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,685.44,8485.0,33
RC,360,Copper ,,,13.53,13.53,3
RC,360,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,360,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,6
RC,360,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,6
RC,360,"Cordocentesis (intrauterine), any method ",,,590.17,2636.0,27
RC,360,Corneal relaxing incision for correction of surgically induced astigmatism ,,,351.98,19415.0,33
RC,360,Corneal wedge resection for correction of surgically induced astigmatism ,,,733.22,19415.0,33
RC,360,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,360,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,948.0,25655.0,26
RC,360,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,948.0,19415.0,32
RC,360,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,948.0,19415.0,32
RC,360,"Correction of everted punctum, cautery ",,,113.7,5932.0,33
RC,360,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,733.22,9908.0,33
RC,360,Correction of lid retraction ,,,733.22,9908.0,33
RC,360,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,948.0,33722.0,31
RC,360,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,70.63,3092.0,29
RC,360,"Correction of trichiasis; epilation, by forceps only ",,,237.69,2636.0,27
RC,360,Correction of trichiasis; incision of lid margin ,,,351.98,6680.0,33
RC,360,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,733.22,8858.0,33
RC,360,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,360,Corticosterone ,,,24.55,24.55,3
RC,360,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,360,Cortisol; free ,,,18.21,18.21,3
RC,360,Cortisol; total ,,,17.77,17.77,3
RC,360,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,948.0,2636.0,15
RC,360,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,948.0,21630.0,27
RC,360,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,360,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,360,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,360,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,360,Cr51 chromate ,,,2090.58,2090.58,3
RC,360,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,360,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,360,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,360,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,360,Craniectomy for craniosynostosis; multiple cranial sutures ,,,948.0,33815.14,27
RC,360,Craniectomy for craniosynostosis; single cranial suture ,,,948.0,25655.0,27
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,948.0,85726.66,27
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,948.0,62976.11,27
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,948.0,67404.97,27
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,948.0,72820.62,27
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,948.0,41390.89,27
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,948.0,46954.23,27
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,948.0,47311.7,27
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,948.0,45097.27,27
RC,360,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,948.0,35571.2,27
RC,360,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,948.0,54242.59,27
RC,360,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,948.0,54196.02,27
RC,360,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,948.0,47941.03,27
RC,360,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,948.0,43170.23,27
RC,360,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,948.0,45578.92,27
RC,360,"Craniectomy or craniotomy, exploratory; supratentorial ",,,948.0,37412.64,27
RC,360,Craniectomy or craniotomy; with excision of foreign body from brain ,,,948.0,42362.17,27
RC,360,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,948.0,44545.55,27
RC,360,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,948.0,76099.69,27
RC,360,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,948.0,70769.41,27
RC,360,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,948.0,48912.31,27
RC,360,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,948.0,47296.17,27
RC,360,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,948.0,49782.69,27
RC,360,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,948.0,45749.89,27
RC,360,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,948.0,47956.55,27
RC,360,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,948.0,43512.18,27
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,948.0,43481.13,27
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,948.0,49798.21,27
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,948.0,58127.7,27
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,948.0,42315.6,27
RC,360,Craniectomy; for osteomyelitis ,,,948.0,25773.26,27
RC,360,Craniectomy; with excision of tumor or other bone lesion of skull ,,,948.0,33769.0,31
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,948.0,54693.19,27
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,948.0,59176.59,27
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,948.0,68834.61,27
RC,360,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,948.0,65454.65,27
RC,360,Cranioplasty for skull defect with reparative brain surgery ,,,948.0,31880.34,27
RC,360,Cranioplasty for skull defect; larger than 5 cm diameter ,,,948.0,25788.78,27
RC,360,Cranioplasty for skull defect; up to 5 cm diameter ,,,948.0,25655.0,27
RC,360,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,948.0,32610.79,27
RC,360,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,948.0,26627.89,27
RC,360,Craniotomy for craniosynostosis; bifrontal bone flap ,,,948.0,38399.44,27
RC,360,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,948.0,38982.2,27
RC,360,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,948.0,52408.91,27
RC,360,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,948.0,36068.59,27
RC,360,"Craniotomy for repair of encephalocele, skull base ",,,948.0,35532.39,27
RC,360,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,948.0,58453.9,27
RC,360,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,948.0,72276.88,27
RC,360,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,948.0,36860.92,27
RC,360,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,948.0,43512.18,27
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,948.0,54110.43,27
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,948.0,49005.66,27
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,948.0,60831.54,27
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,948.0,56301.57,27
RC,360,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,948.0,56674.56,27
RC,360,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,948.0,47956.55,27
RC,360,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,948.0,25655.0,27
RC,360,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,948.0,50404.26,27
RC,360,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,948.0,34545.59,27
RC,360,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,948.0,48725.82,27
RC,360,Creatine ,,,5.06,5.06,3
RC,360,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,360,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,360,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,360,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,360,Creatinine; blood ,,,5.58,5.58,3
RC,360,Creatinine; clearance ,,,10.31,10.31,3
RC,360,Creatinine; other source ,,,5.65,5.65,3
RC,360,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,1995.0,19415.0,27
RC,360,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,1995.0,19415.0,27
RC,360,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,948.0,25655.0,27
RC,360,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,948.0,36363.74,27
RC,360,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,692.94,9908.0,33
RC,360,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,692.94,9908.0,33
RC,360,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,692.94,9012.0,33
RC,360,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,948.0,25655.0,27
RC,360,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,948.0,25655.0,31
RC,360,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,948.0,25655.0,27
RC,360,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,948.0,25655.0,27
RC,360,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,948.0,25655.0,27
RC,360,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,948.0,25655.0,27
RC,360,Cricopharyngeal myotomy ,,,948.0,25655.0,29
RC,360,Critical Care ,,,904.47,904.47,3
RC,360,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,360,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,360,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,360,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,360,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,360,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,360,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,360,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,360,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,360,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,360,Cryofibrinogen ,,,15.41,15.41,3
RC,360,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,360,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,360,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,360,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,360,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,6
RC,360,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,948.0,55080.0,27
RC,360,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,360,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,360,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,360,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,360,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,360,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,360,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,360,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,360,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,360,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,360,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,360,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,360,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,360,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,360,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,360,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,360,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,360,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,360,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,360,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,360,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,360,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,360,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,360,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,360,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,360,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,360,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,360,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,360,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,360,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,360,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,360,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,360,"Culture, typing; other methods ",,,8.44,8.44,3
RC,360,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,154.64,25655.0,33
RC,360,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,948.0,5932.0,31
RC,360,"Curettage, postpartum ",,,948.0,9908.0,33
RC,360,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,360,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,360,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,360,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,360,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,360,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,360,Cutaneous appendico-vesicostomy ,,,948.0,28096.35,27
RC,360,Cutaneous vesicostomy ,,,948.0,25655.0,27
RC,360,Cyanide ,,,21.15,21.15,3
RC,360,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,360,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,360,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,360,Cyclosporine ,,,19.67,19.67,3
RC,360,Cystatin C ,,,20.19,20.19,3
RC,360,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,948.0,52968.39,27
RC,360,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,948.0,43488.89,27
RC,360,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,49223.2,27
RC,360,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,948.0,42556.42,27
RC,360,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,47436.1,27
RC,360,"Cystectomy, complete; (separate procedure) ",,,948.0,33131.47,27
RC,360,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,40994.62,27
RC,360,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,948.0,29176.5,27
RC,360,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,948.0,28508.14,27
RC,360,"Cystectomy, partial; simple ",,,948.0,25655.0,27
RC,360,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,360,Cysto w Bx/fulgur les ,,,2152.0,6587.0,4
RC,360,Cysto w lithotripsy ,,,2152.0,6587.0,4
RC,360,Cysto w rmvl/manip CAL ,,,2152.0,6587.0,4
RC,360,Cysto w tumor resection ,,,2152.0,6587.0,4
RC,360,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,948.0,19415.0,33
RC,360,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,948.0,25655.0,31
RC,360,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,948.0,25655.0,31
RC,360,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,948.0,25655.0,31
RC,360,"Cystostomy, cystotomy with drainage ",,,685.44,19415.0,33
RC,360,"Cystotomy for excision, incision, or repair of ureterocele ",,,948.0,25655.0,27
RC,360,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,948.0,19415.0,33
RC,360,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,3796.0,5381.0,5
RC,360,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,948.0,19415.0,33
RC,360,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,685.44,19415.0,33
RC,360,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,948.0,25655.0,27
RC,360,Cystotomy; for excision of bladder tumor ,,,948.0,25655.0,27
RC,360,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,948.0,19415.0,33
RC,360,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,948.0,25655.0,31
RC,360,Cystourethroscopy ,,,2152.0,6587.0,4
RC,360,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1773.9,19415.0,28
RC,360,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,1200.05,8858.0,28
RC,360,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1200.05,18490.0,28
RC,360,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,1995.0,17510.0,28
RC,360,Cystourethroscopy (separate procedure) ,,,250.06,3293.0,29
RC,360,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,250.06,6680.0,33
RC,360,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,20
RC,360,Cystourethroscopy with direct vision internal urethrotomy ,,,685.44,9908.0,33
RC,360,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,948.0,9908.0,33
RC,360,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,948.0,27080.2,20
RC,360,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,948.0,25080.0,33
RC,360,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,948.0,25892.02,21
RC,360,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1200.05,9908.0,28
RC,360,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,948.0,8451.91,33
RC,360,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,948.0,9908.0,31
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1773.9,11848.54,28
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,360,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,20
RC,360,"Cystourethroscopy, with biopsy(s) ",,,685.44,8858.0,33
RC,360,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,685.44,6680.0,33
RC,360,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,685.44,6680.0,33
RC,360,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,234.3,6680.0,33
RC,360,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,250.06,6680.0,33
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,948.0,11848.54,33
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,948.0,9908.0,33
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,948.0,8858.0,33
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,948.0,8858.0,33
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,948.0,8858.0,33
RC,360,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,685.44,9868.0,33
RC,360,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1200.05,8858.0,24
RC,360,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,948.0,5932.0,25
RC,360,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,948.0,9908.0,25
RC,360,"Cystourethroscopy, with insertion of permanent urethral stent ",,,948.0,12499.0,33
RC,360,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,12499.0,11
RC,360,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,3796.0,19415.0,25
RC,360,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,25655.0,25
RC,360,"Cystourethroscopy, with internal urethrotomy; female ",,,685.44,6680.0,33
RC,360,"Cystourethroscopy, with internal urethrotomy; male ",,,685.44,8858.0,33
RC,360,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,948.0,13804.22,30
RC,360,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,685.44,8858.0,33
RC,360,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,685.44,6680.0,33
RC,360,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,948.0,8858.0,33
RC,360,"Cystourethroscopy, with steroid injection into stricture ",,,685.44,8858.0,33
RC,360,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,685.44,8858.0,29
RC,360,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,948.0,8858.0,33
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,12499.0,16
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,7
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1200.05,9908.0,28
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1773.9,19415.0,28
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,6
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1773.9,17510.0,31
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,948.0,17510.0,29
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1200.05,19415.0,28
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1773.9,19415.0,28
RC,360,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,948.0,11848.54,33
RC,360,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,948.0,9908.0,33
RC,360,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,948.0,8858.0,33
RC,360,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,360,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,360,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,360,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,685.44,8858.0,33
RC,360,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,360,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,360,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,360,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,360,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,360,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,360,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,360,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,360,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,360,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,360,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,360,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,360,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,360,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,360,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,360,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,360,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,360,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,360,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,360,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,360,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,360,D & C OF RESIDUAL CERVIX ,,,2152.0,6587.0,4
RC,360,DECLOT VASCULAR DEVICE ,,,2152.0,6587.0,4
RC,360,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,6587.0,8
RC,360,DESTR PARAVERTEBRL NERVE C/T ,,,2152.0,6587.0,4
RC,360,DESTR PARAVERTEBRL NERVE L/S ,,,2152.0,6587.0,4
RC,360,DESTROY NERVE EXTREM MUSC ,,,2152.0,6587.0,4
RC,360,DESTROY NERVE NECK MUSCLE ,,,2152.0,6587.0,4
RC,360,DESTRUCTION OF HEMORRHOIDS ,,,2152.0,6587.0,12
RC,360,DILATE ESOPHAGUS ,,,2152.0,6587.0,8
RC,360,DILATION PROSTATIC URETHRA ,,,2152.0,6587.0,4
RC,360,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,360,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,360,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,360,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,360,DRAIN ABDOMINAL ABSCESS ,,,2152.0,6587.0,4
RC,360,DRAIN APP ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,360,DRAIN PANCREATIC PSEUDOCYST ,,,2152.0,6587.0,4
RC,360,DRAIN PELVIC ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,360,DRAIN PERCUT ABDOM ABSCESS ,,,2152.0,6587.0,4
RC,360,DRAIN PERCUT RETROPER ABSC ,,,2152.0,6587.0,4
RC,360,DRAINAGE OF BLADDER ,,,2152.0,6587.0,12
RC,360,DRAINAGE OF EYE ,,,2152.0,6587.0,4
RC,360,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,948.0,19415.0,33
RC,360,Dactinomycin injection ,,,335.08,335.08,3
RC,360,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,360,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,360,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,360,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,360,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,24
RC,360,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1481.0,5932.0,8
RC,360,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,20
RC,360,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,140.69,25655.0,33
RC,360,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,380.91,2636.0,27
RC,360,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,27.62,11220.0,32
RC,360,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,948.0,25655.0,31
RC,360,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,948.0,18490.0,33
RC,360,Decompression internal auditory canal ,,,948.0,25655.0,27
RC,360,"Decompression of orbit only, transcranial approach ",,,948.0,25655.0,27
RC,360,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,6
RC,360,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,692.94,12499.0,29
RC,360,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,948.0,5932.0,14
RC,360,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,948.0,21630.0,20
RC,360,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,948.0,8858.0,20
RC,360,Decompression; plantar digital nerve ,,,692.94,8858.0,33
RC,360,Decompression; unspecified nerve(s) (specify) ,,,692.94,8858.0,33
RC,360,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,4
RC,360,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,360,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,360,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,593.22,8485.0,33
RC,360,Deligation of ureter ,,,948.0,25655.0,27
RC,360,Delivery of placenta (separate procedure) ,,,948.0,25655.0,29
RC,360,Dental Procedures ,,,707.88,707.88,3
RC,360,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,360,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,360,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,360,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,360,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,4723.0,5
RC,360,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,360,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,692.94,8858.0,33
RC,360,"Destruction by neurolytic agent, intercostal nerve ",,,357.81,5932.0,33
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,948.0,5932.0,19
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,692.94,8858.0,33
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,948.0,5932.0,19
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,692.94,9868.0,33
RC,360,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,692.94,8858.0,33
RC,360,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,692.94,8858.0,33
RC,360,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,357.81,5932.0,33
RC,360,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,357.81,6680.0,33
RC,360,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,357.81,6680.0,33
RC,360,Destruction by neurolytic agent; other peripheral nerve or branch ,,,152.61,5932.0,33
RC,360,Destruction by neurolytic agent; plantar common digital nerve ,,,38.66,5932.0,33
RC,360,Destruction by neurolytic agent; pudendal nerve ,,,357.81,6680.0,33
RC,360,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,218.75,5932.0,33
RC,360,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,140.41,12360.0,28
RC,360,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,137.5,9868.0,33
RC,360,"Destruction of lesion (except excision), dentoalveolar structures ",,,441.67,25655.0,33
RC,360,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,113.7,5932.0,33
RC,360,Destruction of lesion of lid margin (up to 1 cm) ,,,132.27,5932.0,33
RC,360,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,187.2,5932.0,33
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,948.0,8858.0,33
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,144.76,5932.0,33
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,78.06,6680.0,33
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,168.02,25655.0,33
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,948.0,8858.0,33
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,948.0,8858.0,33
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,5932.0,33
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,696.53,2636.0,27
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,380.91,2636.0,27
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,76.74,25655.0,29
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,744.46,5932.0,33
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,744.46,5932.0,33
RC,360,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,9908.0,33
RC,360,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,116.57,25655.0,33
RC,360,"Destruction of lesion, conjunctiva ",,,74.13,8858.0,33
RC,360,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,142.44,5932.0,33
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,218.75,5932.0,28
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,123.25,5932.0,28
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1481.0,5932.0,14
RC,360,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1266.0,5932.0,25
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,113.7,18490.0,28
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,218.75,18490.0,28
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1158.59,18490.0,28
RC,360,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,948.0,12499.0,33
RC,360,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,948.0,8858.0,33
RC,360,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,103.77,25655.0,33
RC,360,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,360,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,360,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,360,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,360,Dexamethasone intra implan ,,,221.99,221.99,3
RC,360,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,360,Dexrazoxane HCl injection ,,,45.17,45.17,3
RC,360,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,360,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,360,Diagnostic bone marrow; aspiration(s) ,,,97.38,5932.0,33
RC,360,Diagnostic bone marrow; biopsy(ies) ,,,100.58,5932.0,33
RC,360,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,855.96,6587.0,33
RC,360,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,360,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,25655.0,20
RC,360,Diagnostic hysteroscopy ,,,2152.0,6587.0,4
RC,360,Diagnostic laparoscopy ,,,2152.0,6587.0,4
RC,360,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,360,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,360,Dialysis ,,,751.49,751.49,3
RC,360,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,948.0,5932.0,19
RC,360,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,25655.0,80
RC,360,Diaphragm or cervical cap fitting with instructions ,,,37.5,6587.0,29
RC,360,Dibucaine number ,,,13.35,13.35,3
RC,360,Digoxin; free ,,,14.48,14.48,3
RC,360,Digoxin; total ,,,14.48,14.48,3
RC,360,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,360,"Dilation and catheterization of salivary duct, with or without injection ",,,59.88,5932.0,33
RC,360,Dilation and curettage of cervical stump ,,,948.0,9908.0,33
RC,360,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,948.0,8858.0,33
RC,360,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,450.72,5932.0,33
RC,360,"Dilation of cervical canal, instrumental (separate procedure) ",,,41.85,8858.0,33
RC,360,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,351.7,5932.0,33
RC,360,"Dilation of esophagus, over guide wire ",,,593.22,5932.0,33
RC,360,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,948.0,25655.0,66
RC,360,Dilation of female urethra including suppository and/or instillation; initial ,,,41.57,5932.0,33
RC,360,Dilation of female urethra including suppository and/or instillation; subsequent ,,,31.08,2636.0,29
RC,360,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,685.44,8858.0,33
RC,360,"Dilation of lacrimal punctum, with or without irrigation ",,,792.63,2636.0,27
RC,360,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,450.72,5932.0,33
RC,360,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,97.08,25655.0,33
RC,360,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,98.84,5932.0,33
RC,360,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,36.62,5932.0,33
RC,360,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,41.02,5932.0,33
RC,360,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,948.0,6680.0,33
RC,360,Dilation of vagina under anesthesia (other than local) ,,,948.0,8858.0,33
RC,360,Dilation salivary duct ,,,39.25,5932.0,33
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,948.0,2636.0,15
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,948.0,25655.0,27
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,948.0,25655.0,27
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,948.0,34374.62,27
RC,360,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,218.75,6680.0,33
RC,360,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,892.44,5932.0,33
RC,360,"Discission of vitreous strands (without removal), pars plana approach ",,,892.44,8858.0,28
RC,360,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,6
RC,360,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,6
RC,360,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,360,"Dissection, deep jugular node(s) ",,,948.0,21630.0,33
RC,360,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,1995.0,25655.0,25
RC,360,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,948.0,25655.0,33
RC,360,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,948.0,33061.4,27
RC,360,Division of stricture of rectum ,,,450.72,6680.0,33
RC,360,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,360,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,360,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,948.0,25655.0,27
RC,360,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,948.0,43527.7,27
RC,360,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,948.0,41352.08,27
RC,360,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,948.0,80544.06,27
RC,360,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,948.0,96418.26,27
RC,360,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,948.0,106092.02,27
RC,360,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,6
RC,360,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,948.0,29168.74,27
RC,360,"Donor nephrectomy (including cold preservation); open, from living donor ",,,948.0,33760.8,27
RC,360,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,948.0,29386.28,23
RC,360,Doxorubicin inj 10mg ,,,127.1,127.1,3
RC,360,"Drainage external auditory canal, abscess ",,,154.94,5932.0,33
RC,360,"Drainage external ear, abscess or hematoma; complicated ",,,118.89,25655.0,33
RC,360,"Drainage external ear, abscess or hematoma; simple ",,,112.5,5932.0,33
RC,360,Drainage of Skene's gland abscess or cyst ,,,501.35,25655.0,31
RC,360,"Drainage of abscess of palate, uvula ",,,91.96,6680.0,33
RC,360,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,237.69,5932.0,31
RC,360,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,196.58,6680.0,33
RC,360,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,138.37,2636.0,29
RC,360,"Drainage of abscess; parotid, complicated ",,,930.95,8858.0,33
RC,360,"Drainage of abscess; parotid, simple ",,,441.67,5932.0,33
RC,360,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,196.58,5932.0,33
RC,360,"Drainage of abscess; submaxillary, external ",,,196.58,5932.0,33
RC,360,Drainage of deep periurethral abscess ,,,948.0,8858.0,33
RC,360,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,948.0,25655.0,27
RC,360,Drainage of lymph node abscess or lymphadenitis; extensive ,,,855.96,8858.0,33
RC,360,Drainage of lymph node abscess or lymphadenitis; simple ,,,855.96,6492.89,33
RC,360,Drainage of ovarian abscess; abdominal approach ,,,948.0,25655.0,31
RC,360,"Drainage of ovarian abscess; vaginal approach, open ",,,948.0,9908.0,33
RC,360,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,948.0,25655.0,33
RC,360,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,948.0,9908.0,33
RC,360,Drainage of perineal urinary extravasation; complicated ,,,948.0,25655.0,27
RC,360,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,250.06,9908.0,33
RC,360,"Drainage of perirenal or renal abscess, open ",,,948.0,25655.0,31
RC,360,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,948.0,35843.07,27
RC,360,Drainage of perivesical or prevesical space abscess ,,,855.96,6492.89,33
RC,360,"Drainage of retroperitoneal abscess, open ",,,948.0,25655.0,27
RC,360,Drainage of scrotal wall abscess ,,,510.77,5932.0,33
RC,360,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,948.0,25655.0,27
RC,360,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,360,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,360,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,360,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,360,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,360,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,360,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,360,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,360,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,71.55,6680.0,33
RC,360,Dry pressure mattress ,,,207.18,207.18,3
RC,360,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,360,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,948.0,40326.47,27
RC,360,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,351.7,5932.0,33
RC,360,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,948.0,5932.0,31
RC,360,Duodenal motility (manometric) study ,,,1481.0,5932.0,13
RC,360,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,31
RC,360,"Dural graft, spinal ",,,948.0,25655.0,27
RC,360,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,360,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,360,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,360,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,360,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,360,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,360,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,360,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,360,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,360,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,360,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,360,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,360,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,395.35,25655.0,27
RC,360,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,360,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,360,EMBOLIZATION UTERINE FIBROID ,,,2152.0,6587.0,4
RC,360,ENDO CHOLANGIOPANCREATOGRAPH ,,,2152.0,6587.0,20
RC,360,ESOPH ENDOSCOPY ABLATION ,,,2152.0,6587.0,4
RC,360,ESOPHAGUS ENDOSCOPY ,,,2152.0,6587.0,4
RC,360,EXCISION OF RECTAL LESION ,,,2152.0,6587.0,4
RC,360,EXPLORATION OF EPIDIDYMIS ,,,2152.0,6587.0,4
RC,360,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,2152.0,16144.0,5
RC,360,EXPLORE ORBIT/REMOVE OBJECT ,,,2152.0,6587.0,4
RC,360,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,360,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,360,Ear piercing ,,,791.86,16144.0,21
RC,360,Ecallantide injection ,,,649.58,649.58,3
RC,360,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,360,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,360,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,360,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,360,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,360,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,360,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,360,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,360,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,360,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,360,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,360,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,360,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,360,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,360,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,360,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,360,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,360,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,360,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,360,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,360,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,360,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,360,"Electric heat pad, moist ",,,110.05,110.05,3
RC,360,"Electric heat pad, standard ",,,43.12,43.12,3
RC,360,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,360,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,360,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,360,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,360,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,360,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,360,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,360,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,360,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,360,Electroejaculation ,,,474.85,5932.0,31
RC,360,"Electrogastrography, diagnostic, transcutaneous; ",,,1481.0,2636.0,5
RC,360,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1481.0,2636.0,5
RC,360,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,360,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,360,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,6
RC,360,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,23.25,6587.0,29
RC,360,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,305.28,12
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,948.0,6680.0,25
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,406.37,6680.0,58
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,948.0,6680.0,25
RC,360,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,360,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,360,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,360,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,360,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,360,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,360,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,360,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,360,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,360,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,360,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,360,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1481.0,43890.0,18
RC,360,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2270.0,43890.0,9
RC,360,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1481.0,2636.0,5
RC,360,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,25253.0,43890.0,8
RC,360,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,360,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,360,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,360,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,360,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,948.0,28477.09,27
RC,360,"Elevation of depressed skull fracture; simple, extradural ",,,948.0,25655.0,27
RC,360,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,948.0,34755.37,27
RC,360,"Embryo transfer, intrauterine ",,,948.0,5932.0,31
RC,360,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,360,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,360,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,360,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,360,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,360,Endocervical curettage (not done as part of a dilation and curettage) ,,,96.51,5932.0,33
RC,360,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,360,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,948.0,5932.0,19
RC,360,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,948.0,5932.0,19
RC,360,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1481.0,43890.0,18
RC,360,Endolymphatic sac operation; with shunt ,,,948.0,23113.0,33
RC,360,Endolymphatic sac operation; without shunt ,,,948.0,23113.0,33
RC,360,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.34,18747.0,24
RC,360,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,948.0,25655.0,29
RC,360,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,360,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,48.26,5932.0,33
RC,360,Endomyocardial biopsy ,,,5381.0,17384.0,15
RC,360,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,360,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,948.0,12499.0,25
RC,360,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,948.0,25655.0,33
RC,360,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,13
RC,360,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,5932.0,33
RC,360,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,344.93,5932.0,33
RC,360,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,948.0,12360.0,33
RC,360,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,20
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,948.0,8858.0,33
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,948.0,12499.0,33
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,948.0,8858.0,33
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,948.0,13386.32,30
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,948.0,13386.32,33
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,948.0,8858.0,33
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,948.0,13386.32,33
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,948.0,8858.0,33
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,948.0,12499.0,33
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,948.0,8858.0,33
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,948.0,12499.0,33
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,25655.0,20
RC,360,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,19
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,360,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,12499.0,20
RC,360,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,360,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,360,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,360,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,948.0,25655.0,27
RC,360,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,948.0,25655.0,27
RC,360,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,948.0,76895.0,31
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,948.0,25655.0,50
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,948.0,12499.0,33
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,948.0,5932.0,19
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,948.0,12360.0,33
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,948.0,5932.0,19
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,948.0,12499.0,33
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,948.0,5932.0,19
RC,360,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,948.0,25655.0,27
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,948.0,64483.37,27
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,948.0,55423.65,27
RC,360,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,360,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,948.0,27568.13,27
RC,360,"Enterectomy, resection of small intestine; with enterostomy ",,,948.0,26573.56,27
RC,360,"Enterocystoplasty, including intestinal anastomosis ",,,948.0,31119.06,27
RC,360,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,948.0,29619.34,27
RC,360,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,948.0,25655.0,31
RC,360,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,948.0,25655.0,27
RC,360,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,31
RC,360,"Enucleation of eye; with implant, muscles attached to implant ",,,948.0,19415.0,33
RC,360,"Enucleation of eye; with implant, muscles not attached to implant ",,,948.0,12360.0,33
RC,360,Enucleation of eye; without implant ,,,948.0,12360.0,33
RC,360,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,360,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,360,Epididymectomy; bilateral ,,,948.0,19415.0,33
RC,360,Epididymectomy; unilateral ,,,948.0,9908.0,33
RC,360,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,948.0,19415.0,31
RC,360,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,948.0,19415.0,31
RC,360,Epikeratoplasty ,,,948.0,28718.14,31
RC,360,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,360,"Episiotomy or vaginal repair, by other than attending ",,,684.71,25655.0,31
RC,360,Eptifibatide injection ,,,4.22,4.22,3
RC,360,Erythropoietin ,,,20.48,20.48,3
RC,360,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1481.0,2636.0,5
RC,360,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1481.0,2636.0,5
RC,360,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1481.0,2636.0,5
RC,360,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,360,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1481.0,5932.0,9
RC,360,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1481.0,2636.0,5
RC,360,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,12499.0,14
RC,360,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,25253.0,43890.0,8
RC,360,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,25253.0,43890.0,8
RC,360,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,1995.0,80917.05,22
RC,360,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,1995.0,70699.55,22
RC,360,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,1995.0,84265.97,22
RC,360,Esophagogastric fundoplasty partial or complete; laparotomy ,,,948.0,25655.0,27
RC,360,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,948.0,25655.0,27
RC,360,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,948.0,30582.86,27
RC,360,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,948.0,25655.0,27
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,593.22,9908.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,351.7,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,948.0,9908.0,31
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,948.0,18747.0,31
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,593.22,6680.0,27
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,351.7,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,593.22,9908.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,593.22,9908.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,948.0,23556.71,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,351.7,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,948.0,9868.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,351.7,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,948.0,9868.0,31
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,593.22,6680.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,593.22,9908.0,33
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,948.0,8858.0,33
RC,360,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,948.0,31437.5,27
RC,360,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,948.0,30979.13,27
RC,360,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,948.0,31546.38,27
RC,360,Esophagomyotomy (Heller type); abdominal approach ,,,948.0,30069.95,27
RC,360,Esophagomyotomy (Heller type); thoracic approach ,,,948.0,30093.23,27
RC,360,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,948.0,25655.0,27
RC,360,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,948.0,25655.0,27
RC,360,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,948.0,35850.83,27
RC,360,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,948.0,33349.01,27
RC,360,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,948.0,64071.58,27
RC,360,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,948.0,61631.85,27
RC,360,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,117.44,8485.0,33
RC,360,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,125.86,8485.0,33
RC,360,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,33
RC,360,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,12499.0,33
RC,360,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,593.22,5932.0,33
RC,360,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,593.22,5932.0,33
RC,360,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,593.22,6680.0,33
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,33
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,33
RC,360,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,593.22,5932.0,33
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,593.22,8485.0,33
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,593.22,6680.0,33
RC,360,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,593.22,5932.0,33
RC,360,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,593.22,5932.0,33
RC,360,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,593.22,9868.0,33
RC,360,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,33
RC,360,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,593.22,5932.0,33
RC,360,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,593.22,8858.0,33
RC,360,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6587.0,33
RC,360,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,593.22,6680.0,33
RC,360,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,593.22,6680.0,33
RC,360,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,948.0,13581.48,33
RC,360,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,593.22,8485.0,33
RC,360,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,948.0,9868.0,33
RC,360,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,593.22,9868.0,33
RC,360,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,593.22,9868.0,33
RC,360,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,948.0,9868.0,33
RC,360,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,593.22,9868.0,33
RC,360,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,948.0,25655.0,27
RC,360,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,948.0,29277.4,27
RC,360,"Esophagotomy, cervical approach, with removal of foreign body ",,,948.0,5047.0,27
RC,360,"Esophagotomy, thoracic approach, with removal of foreign body ",,,948.0,29269.64,27
RC,360,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1481.0,2636.0,5
RC,360,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1672.0,2636.0,5
RC,360,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1481.0,2636.0,5
RC,360,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,360,Estradiol; total ,,,30.45,30.45,3
RC,360,Estriol ,,,26.36,26.36,3
RC,360,Estrogens; fractionated ,,,35.21,35.21,3
RC,360,Estrogens; total ,,,23.65,23.65,3
RC,360,Estrone ,,,27.2,27.2,3
RC,360,Ethosuximide ,,,17.81,17.81,3
RC,360,Ethylene glycol ,,,16.24,16.24,3
RC,360,Etiocholanolone ,,,28.6,28.6,3
RC,360,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,360,Euflexxa inj per dose ,,,106.97,106.97,3
RC,360,Euglobulin lysis ,,,9.17,9.17,3
RC,360,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,360,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,360,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,360,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1481.0,43890.0,9
RC,360,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,360,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,360,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,360,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,360,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,360,Everolimus ,,,14.97,14.97,3
RC,360,Evisceration of ocular contents; with implant ,,,948.0,12360.0,33
RC,360,Evisceration of ocular contents; without implant ,,,948.0,12360.0,33
RC,360,Exc biopsy of saliv glands ,,,10868.0,12875.0,3
RC,360,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,3
RC,360,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,685.44,8485.0,33
RC,360,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,20
RC,360,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,948.0,12499.0,33
RC,360,Exchange of intraocular lens ,,,892.44,76895.0,33
RC,360,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,593.22,25655.0,33
RC,360,"Exchange transfusion, blood; newborn ",,,172.52,5932.0,33
RC,360,"Exchange transfusion, blood; other than newborn ",,,172.52,5932.0,33
RC,360,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,10
RC,360,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,10
RC,360,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,10
RC,360,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,733.22,9908.0,66
RC,360,Excision aural glomus tumor; extended (extratemporal) ,,,948.0,55827.68,27
RC,360,Excision aural glomus tumor; transcanal ,,,948.0,18490.0,33
RC,360,Excision aural glomus tumor; transmastoid ,,,948.0,23113.0,33
RC,360,Excision aural polyp ,,,143.6,25655.0,33
RC,360,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,930.95,9908.0,33
RC,360,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,948.0,18490.0,33
RC,360,"Excision exostosis(es), external auditory canal ",,,948.0,13581.48,33
RC,360,Excision external ear; complete amputation ,,,948.0,13581.48,33
RC,360,"Excision external ear; partial, simple repair ",,,855.96,6492.89,33
RC,360,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,948.0,25655.0,27
RC,360,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,948.0,25655.0,27
RC,360,Excision of Bartholin's gland or cyst ,,,948.0,9908.0,33
RC,360,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,948.0,25655.0,27
RC,360,Excision of Mullerian duct cyst ,,,948.0,8858.0,33
RC,360,Excision of ampulla of Vater ,,,948.0,28111.87,27
RC,360,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,948.0,35066.05,27
RC,360,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,948.0,44972.87,27
RC,360,Excision of bulbourethral gland (Cowper's gland) ,,,948.0,8858.0,33
RC,360,Excision of carotid body tumor; with excision of carotid artery ,,,948.0,37265.17,27
RC,360,Excision of carotid body tumor; without excision of carotid artery ,,,948.0,30792.64,27
RC,360,"Excision of cervical stump, abdominal approach; ",,,948.0,25655.0,27
RC,360,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,948.0,25655.0,27
RC,360,"Excision of cervical stump, vaginal approach; ",,,948.0,11960.31,33
RC,360,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,948.0,25655.0,27
RC,360,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,948.0,18490.0,33
RC,360,"Excision of chalazion; multiple, different lids ",,,101.16,5932.0,33
RC,360,"Excision of chalazion; multiple, same lid ",,,78.49,5932.0,33
RC,360,Excision of chalazion; single ,,,65.12,5932.0,33
RC,360,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,733.22,8858.0,33
RC,360,Excision of choledochal cyst ,,,948.0,29883.45,27
RC,360,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,948.0,21630.0,33
RC,360,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,948.0,19415.0,33
RC,360,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,948.0,9908.0,33
RC,360,Excision of extraparenchymal lesion of testis ,,,948.0,8858.0,33
RC,360,"Excision of fibrous tuberosities, dentoalveolar structures ",,,948.0,25655.0,31
RC,360,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,441.67,5932.0,33
RC,360,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,948.0,12360.0,33
RC,360,Excision of hydrocele; bilateral ,,,948.0,18490.0,33
RC,360,Excision of hydrocele; unilateral ,,,948.0,12360.0,33
RC,360,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,198.25,25655.0,33
RC,360,Excision of ileoanal reservoir with ileostomy ,,,948.0,41476.48,27
RC,360,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,948.0,12360.0,33
RC,360,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,948.0,12360.0,33
RC,360,Excision of lacrimal gland tumor; frontal approach ,,,733.22,9908.0,33
RC,360,Excision of lacrimal gland tumor; involving osteotomy ,,,948.0,12360.0,33
RC,360,Excision of lacrimal sac (dacryocystectomy) ,,,948.0,12360.0,33
RC,360,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,177.9,6680.0,33
RC,360,Excision of lesion of mesentery (separate procedure) ,,,948.0,25655.0,27
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,930.95,8858.0,33
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,930.95,8858.0,33
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,172.67,25655.0,33
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,144.47,25655.0,33
RC,360,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,948.0,25655.0,27
RC,360,Excision of lesion of spermatic cord (separate procedure) ,,,948.0,19415.0,33
RC,360,Excision of lesion of tongue with closure; anterior two-thirds ,,,930.95,7334.01,33
RC,360,Excision of lesion of tongue with closure; posterior one-third ,,,930.95,7334.01,33
RC,360,Excision of lesion of tongue with closure; with local tongue flap ,,,930.95,8858.0,33
RC,360,Excision of lesion of tongue without closure ,,,149.42,5932.0,33
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,948.0,17510.0,33
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,188.37,25655.0,33
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,146.52,25655.0,33
RC,360,"Excision of lesion, conjunctiva; over 1 cm ",,,733.22,8858.0,33
RC,360,"Excision of lesion, conjunctiva; up to 1 cm ",,,147.09,8858.0,33
RC,360,"Excision of lesion, conjunctiva; with adjacent sclera ",,,733.22,8858.0,33
RC,360,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,351.98,5932.0,33
RC,360,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,948.0,25655.0,27
RC,360,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,948.0,25655.0,27
RC,360,"Excision of lesion, sclera ",,,733.22,23113.0,33
RC,360,Excision of lingual frenum (frenectomy) ,,,170.34,5932.0,33
RC,360,Excision of lip; V-excision with primary direct linear closure ,,,930.95,7334.01,33
RC,360,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,948.0,13581.48,33
RC,360,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,930.95,8858.0,33
RC,360,Excision of lip; transverse wedge excision with primary closure ,,,930.95,8858.0,33
RC,360,Excision of local lesion of epididymis ,,,948.0,9908.0,33
RC,360,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,25655.0,20
RC,360,Excision of mucosa of vestibule of mouth as donor graft ,,,196.58,5932.0,33
RC,360,"Excision of multiple external papillae or tags, anus ",,,948.0,6563.7,33
RC,360,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,692.94,9908.0,33
RC,360,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,948.0,17510.0,33
RC,360,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,692.94,9908.0,33
RC,360,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,692.94,8858.0,33
RC,360,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,692.94,9908.0,33
RC,360,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,360,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,360,"Excision of neuroma; hand or foot, except digital nerve ",,,692.94,9908.0,33
RC,360,"Excision of neuroma; major peripheral nerve, except sciatic ",,,692.94,9908.0,33
RC,360,Excision of neuroma; sciatic nerve ,,,948.0,17510.0,33
RC,360,"Excision of osseous tuberosities, dentoalveolar structures ",,,948.0,25655.0,31
RC,360,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,948.0,23113.0,33
RC,360,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,948.0,17510.0,33
RC,360,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,948.0,23113.0,33
RC,360,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,948.0,23113.0,33
RC,360,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,948.0,30155.54,27
RC,360,Excision of penile plaque (Peyronie disease); ,,,948.0,17510.0,33
RC,360,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,948.0,22590.2,33
RC,360,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,948.0,17510.0,33
RC,360,Excision of perinephric cyst ,,,948.0,25655.0,27
RC,360,Excision of presacral or sacrococcygeal tumor ,,,948.0,49945.68,27
RC,360,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,948.0,29285.16,27
RC,360,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,948.0,25655.0,27
RC,360,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,948.0,8858.0,33
RC,360,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,948.0,12499.0,33
RC,360,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,948.0,9868.0,33
RC,360,"Excision of single external papilla or tag, anus ",,,450.72,5932.0,33
RC,360,"Excision of spermatocele, with or without epididymectomy ",,,685.44,19415.0,33
RC,360,Excision of sublingual gland ,,,948.0,13581.48,33
RC,360,Excision of sublingual salivary cyst (ranula) ,,,930.95,9908.0,33
RC,360,Excision of submandibular (submaxillary) gland ,,,948.0,17510.0,33
RC,360,"Excision of thrombosed hemorrhoid, external ",,,131.97,5932.0,33
RC,360,Excision of thyroglossal duct cyst or sinus; ,,,948.0,21630.0,33
RC,360,Excision of thyroglossal duct cyst or sinus; recurrent ,,,948.0,21630.0,33
RC,360,Excision of tonsil tags ,,,930.95,9908.0,33
RC,360,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,948.0,19415.0,33
RC,360,Excision of urethral diverticulum (separate procedure); female ,,,948.0,12360.0,33
RC,360,Excision of urethral diverticulum (separate procedure); male ,,,948.0,11848.54,33
RC,360,Excision of vaginal cyst or tumor ,,,948.0,8858.0,33
RC,360,Excision of vaginal septum ,,,948.0,8858.0,33
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,948.0,19415.0,33
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,948.0,19415.0,33
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,948.0,18490.0,33
RC,360,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,948.0,13581.48,33
RC,360,"Excision or destruction of lesion of pharynx, any method ",,,930.95,8858.0,33
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,948.0,44070.36,17
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,948.0,51266.66,17
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,948.0,28858.92,17
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,948.0,36881.18,17
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,948.0,63197.53,17
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,3796.0,5381.0,5
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8024.0,9417.0,5
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8024.0,9417.0,5
RC,360,Excision or fulguration of carcinoma of urethra ,,,948.0,12360.0,33
RC,360,Excision or fulguration; Skene's glands ,,,948.0,8858.0,33
RC,360,Excision or fulguration; urethral caruncle ,,,685.44,8858.0,33
RC,360,"Excision or fulguration; urethral polyp(s), distal urethra ",,,948.0,8858.0,33
RC,360,Excision or fulguration; urethral prolapse ,,,948.0,8858.0,33
RC,360,Excision or transposition of pterygium; with graft ,,,733.22,18490.0,33
RC,360,Excision or transposition of pterygium; without graft ,,,733.22,8858.0,33
RC,360,Excision or unroofing of cyst(s) of kidney ,,,948.0,25655.0,27
RC,360,"Excision soft tissue lesion, external auditory canal ",,,855.96,6680.0,33
RC,360,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,948.0,55128.27,27
RC,360,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,948.0,44700.99,27
RC,360,"Excision, lesion of floor of mouth ",,,930.95,8858.0,33
RC,360,"Excision, lesion of palate, uvula; with local flap closure ",,,948.0,13581.48,33
RC,360,"Excision, lesion of palate, uvula; with simple primary closure ",,,155.23,6680.0,33
RC,360,"Excision, lesion of palate, uvula; without closure ",,,133.14,6680.0,33
RC,360,"Excision, local; malignant tumor of stomach ",,,948.0,27637.98,27
RC,360,"Excision, local; ulcer or benign tumor of stomach ",,,948.0,25655.0,27
RC,360,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,948.0,25655.0,27
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,948.0,18490.0,33
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,948.0,23113.0,33
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,948.0,23113.0,33
RC,360,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,360,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,360,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,360,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,360,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,948.0,25655.0,27
RC,360,Exploration for undescended testis (inguinal or scrotal area) ,,,948.0,19415.0,33
RC,360,Exploration for undescended testis with abdominal exploration ,,,685.44,25655.0,33
RC,360,"Exploration of epididymis, with or without biopsy ",,,948.0,8858.0,33
RC,360,"Exploration of orbit (transcranial approach), with removal of lesion ",,,948.0,46340.42,27
RC,360,"Exploration, repair, and presacral drainage for rectal injury; ",,,948.0,25655.0,27
RC,360,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,948.0,37086.43,27
RC,360,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,948.0,25655.0,31
RC,360,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,948.0,25655.0,31
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,948.0,25655.0,33
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,29821.36,27
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,25655.0,27
RC,360,"Expression of conjunctival follicles (eg, for trachoma) ",,,26.74,2636.0,29
RC,360,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,360,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,948.0,42952.69,27
RC,360,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,948.0,51686.22,27
RC,360,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,360,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,360,External cannula declotting (separate procedure); with balloon catheter ,,,1995.0,12869.33,27
RC,360,External cannula declotting (separate procedure); without balloon catheter ,,,468.58,11220.0,27
RC,360,"External cephalic version, with or without tocolysis ",,,948.0,8858.0,27
RC,360,"External counterpulsation, per treatment session ",,,2187.0,3092.0,6
RC,360,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,360,"External drainage, pseudocyst of pancreas, open ",,,948.0,25655.0,27
RC,360,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,360,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,360,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,360,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,360,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,360,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,360,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,360,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,360,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,948.0,76895.0,33
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,948.0,76895.0,33
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,892.44,18490.0,33
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,892.44,76895.0,99
RC,360,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,21210.0,23307.22,6
RC,360,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,441.67,5932.0,33
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,196.58,5932.0,33
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,930.95,7334.01,33
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,948.0,13581.48,33
RC,360,Extremity belt/harness ,,,58.52,58.52,3
RC,360,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,360,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,360,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,360,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,360,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,360,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2214.0,4723.0,5
RC,360,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,360,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,360,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,360,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,360,FOCUS RADIATION BEAM ,,,2152.0,6587.0,4
RC,360,FUSE PANCREAS AND BOWEL ,,,2152.0,6587.0,4
RC,360,FUSION OF BILE DUCT CYST ,,,2152.0,6587.0,8
RC,360,FUSION OF FACIAL/OTHER NERVE ,,,2152.0,6587.0,4
RC,360,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,360,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,360,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,360,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,360,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,6
RC,360,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,360,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,360,Face tent ,,,2.8,2.8,3
RC,360,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,360,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,360,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,7069.89,25655.0,16
RC,360,Factor IX non-recombinant ,,,1.53,1.53,3
RC,360,Factor inhibitor test ,,,14.03,14.03,3
RC,360,Factor ix complex ,,,1.9,1.9,3
RC,360,Factor ix idelvion inj ,,,6.0,6.0,3
RC,360,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,360,Factor ix recombinant nos ,,,2.03,2.03,3
RC,360,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,360,Factor viii ,,,1.36,1.36,3
RC,360,Factor viii recombinant ,,,1.72,1.72,3
RC,360,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,360,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,360,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,360,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,360,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,360,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,360,Felbamate ,,,20.32,20.32,3
RC,360,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,360,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,360,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,360,Fern test ,,,10.62,10.62,3
RC,360,Ferritin ,,,14.86,14.86,3
RC,360,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,360,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,360,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,360,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,360,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,360,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,360,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,360,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,360,Fetal contraction stress test ,,,28.49,2636.0,23
RC,360,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,360,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,122.58,5932.0,33
RC,360,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,360,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,360,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,360,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,360,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,855.63,16144.0,21
RC,360,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,948.0,2636.0,21
RC,360,Fetal non-stress test ,,,16.57,2636.0,17
RC,360,Fetal scalp blood sampling ,,,590.17,2636.0,27
RC,360,"Fetal shunt placement, including ultrasound guidance ",,,590.17,5932.0,31
RC,360,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,590.17,5932.0,31
RC,360,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,6
RC,360,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,360,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,360,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,360,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,360,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,360,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,360,Fibrinogen; activity ,,,10.59,10.59,3
RC,360,Fibrinogen; antigen ,,,15.76,15.76,3
RC,360,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,360,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,360,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,360,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,360,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,360,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,360,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,360,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,360,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,360,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,360,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,360,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,360,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,360,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,360,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,360,Fimbrioplasty ,,,948.0,25655.0,31
RC,360,Fine needle aspiration of orbital contents ,,,733.22,8858.0,33
RC,360,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,360,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,360,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,360,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,360,"Finger splint, static ",,,2.92,2.92,3
RC,360,"Fissurectomy, including sphincterotomy, when performed ",,,948.0,8858.0,33
RC,360,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,892.44,8858.0,33
RC,360,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,948.0,19415.0,33
RC,360,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,892.44,19415.0,33
RC,360,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,892.44,19415.0,33
RC,360,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,948.0,19415.0,33
RC,360,Fitting and insertion of pessary or other intravaginal support device ,,,35.18,2636.0,29
RC,360,Fixation of contralateral testis (separate procedure) ,,,948.0,9908.0,33
RC,360,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,360,Flebogamma injection ,,,98.91,98.91,3
RC,360,Flecainide ,,,20.32,20.32,3
RC,360,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,360,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,360,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,360,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,360,Flortaucipir inj 1 millicu ,,,404.39,404.39,3
RC,360,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,360,Floxuridine injection ,,,4792.18,4792.18,3
RC,360,Fluciclovine f-18 ,,,351.27,351.27,3
RC,360,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,360,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,360,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,360,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,360,Fluoride ,,,20.21,20.21,3
RC,360,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,360,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,360,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,360,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,360,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,360,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,360,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,360,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,360,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,33321.99,18
RC,360,Folic acid; RBC ,,,19.24,19.24,3
RC,360,Folic acid; serum ,,,16.02,16.02,3
RC,360,"Follicle puncture for oocyte retrieval, any method ",,,948.0,5932.0,31
RC,360,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,360,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,360,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,360,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,360,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,360,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,360,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,360,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,360,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,360,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,360,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,360,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,360,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,360,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,360,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,360,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,360,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,360,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,360,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,360,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,360,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,360,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,360,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,360,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,360,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,360,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,360,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,360,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,360,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,360,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,360,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,360,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,360,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,115.66,5932.0,33
RC,360,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,360,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,360,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,360,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,360,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,360,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,360,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,360,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,360,"Frames, purchases ",,,89.85,89.85,3
RC,360,Free jejunum transfer with microvascular anastomosis ,,,948.0,48990.14,27
RC,360,Free omental flap with microvascular anastomosis ,,,948.0,36425.84,27
RC,360,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,930.95,17510.0,33
RC,360,Frenulotomy of penis ,,,685.44,8858.0,33
RC,360,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,360,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,360,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,360,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,360,"Fructose, semen ",,,18.9,18.9,3
RC,360,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,360,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,360,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,360,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,360,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,360,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,360,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,360,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,360,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,360,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,360,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,360,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,360,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,360,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,360,GLAUCOMA SURGERY ,,,2152.0,6587.0,4
RC,360,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,360,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,360,"Galactokinase, RBC ",,,23.41,23.41,3
RC,360,Galactose ,,,12.21,12.21,3
RC,360,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,360,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,360,Galectin-3 ,,,48.23,48.23,3
RC,360,Gallium ga-68 ,,,54.1,54.1,3
RC,360,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,360,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,360,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,360,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,360,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,360,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,360,Galsulfase injection ,,,573.3,573.3,3
RC,360,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,590.17,5932.0,31
RC,360,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,360,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,360,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,360,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,360,Gammaplex IVIG ,,,72.24,72.24,3
RC,360,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,360,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,360,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,360,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,360,"Gases, blood, pH only ",,,11.99,11.99,3
RC,360,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,360,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,948.0,43364.49,27
RC,360,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,948.0,47770.06,27
RC,360,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,948.0,32704.15,27
RC,360,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,948.0,45905.34,27
RC,360,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,948.0,51274.42,27
RC,360,"Gastrectomy, total; with esophagoenterostomy ",,,948.0,44289.2,27
RC,360,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,948.0,52059.21,27
RC,360,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,360,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,551.76,5932.0,31
RC,360,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,301.6,5932.0,31
RC,360,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,551.76,5932.0,31
RC,360,Gastric motility (manometric) studies ,,,1481.0,5932.0,9
RC,360,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,948.0,43900.69,24
RC,360,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,11
RC,360,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,948.0,12360.0,27
RC,360,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,744.46,5932.0,27
RC,360,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,948.0,12360.0,27
RC,360,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,948.0,30408.2,20
RC,360,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,948.0,36526.95,24
RC,360,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,948.0,40481.92,24
RC,360,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,948.0,28438.29,18
RC,360,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,948.0,26876.48,21
RC,360,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,360,Gastrin ,,,19.22,19.22,3
RC,360,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,360,Gastroduodenostomy ,,,948.0,25655.0,27
RC,360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,948.0,60862.59,27
RC,360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,948.0,50683.89,27
RC,360,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2214.0,5047.0,9
RC,360,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2214.0,5047.0,9
RC,360,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2214.0,5047.0,9
RC,360,"Gastrojejunostomy; with vagotomy, any type ",,,948.0,29432.85,27
RC,360,Gastrojejunostomy; without vagotomy ,,,948.0,30279.73,27
RC,360,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,948.0,30644.95,27
RC,360,"Gastrostomy, open; neonatal, for feeding ",,,948.0,25655.0,27
RC,360,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,948.0,25655.0,27
RC,360,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,948.0,25655.0,27
RC,360,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,948.0,25655.0,27
RC,360,Gastrotomy; with exploration or foreign body removal ,,,948.0,25655.0,27
RC,360,Gastrotomy; with suture repair of bleeding ulcer ,,,948.0,30334.27,27
RC,360,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,948.0,34188.12,27
RC,360,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,360,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,360,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,360,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,360,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,360,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,360,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,360,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,360,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,360,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,360,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,360,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,360,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,360,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,360,Gel pressure mattress ,,,42.62,42.62,3
RC,360,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,360,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,360,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,360,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,360,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,360,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,360,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,360,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,360,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,360,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,360,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,360,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,360,Gentamicin ,,,17.85,17.85,3
RC,360,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,360,"Gingivectomy, excision gingiva, each quadrant ",,,930.95,8858.0,33
RC,360,"Gingivoplasty, each quadrant (specify) ",,,304.35,25655.0,29
RC,360,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,360,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,21210.0,23307.22,6
RC,360,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,948.0,62020.36,27
RC,360,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,948.0,48958.88,27
RC,360,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,948.0,49355.15,27
RC,360,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,948.0,67777.96,27
RC,360,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,948.0,53496.61,27
RC,360,Glossectomy; hemiglossectomy ,,,948.0,29596.06,27
RC,360,Glossectomy; less than one-half tongue ,,,948.0,18490.0,33
RC,360,"Glossectomy; partial, with unilateral radical neck dissection ",,,948.0,48889.02,27
RC,360,Glucagon ,,,15.58,15.58,3
RC,360,Glucagon hydrochloride ,,,127.89,127.89,3
RC,360,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,360,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,360,Glucagon tolerance test ,,,19.37,19.37,3
RC,360,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,360,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,360,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,360,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,360,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,360,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,360,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,360,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,360,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,360,"Glucosidase, beta ",,,23.41,23.41,3
RC,360,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,360,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,360,Glutathione ,,,16.84,16.84,3
RC,360,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,360,Glycated protein ,,,18.27,18.27,3
RC,360,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,360,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,360,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,360,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,360,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,360,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,360,Goniotomy ,,,948.0,10691.32,33
RC,360,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,360,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,360,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,360,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,360,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,360,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,360,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,360,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,360,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,360,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,360,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,360,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,360,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,360,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,360,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,360,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,360,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,360,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,360,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,360,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,360,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,360,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,360,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,360,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,360,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,360,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,360,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,360,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,360,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,360,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,360,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,360,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,360,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,360,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,360,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,360,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,360,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,360,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,360,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,360,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,360,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,360,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,360,"Gradient compression glove, each ",,,79.56,79.56,3
RC,360,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,360,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,360,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,360,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,360,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,360,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,360,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,360,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,360,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,360,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,360,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,360,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,360,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,360,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,360,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,360,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,360,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,360,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,360,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,360,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,360,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,360,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,360,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,360,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,360,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,360,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,360,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,360,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,360,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,360,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,360,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,360,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,948.0,9908.0,33
RC,360,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,360,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,360,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,360,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,360,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,360,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,360,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,360,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,360,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,360,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,4
RC,360,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,4
RC,360,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,360,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,360,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,360,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,360,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,360,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,360,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,360,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,360,HCT/P Skin Substitute Prod ,,,136.26,136.26,3
RC,360,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,360,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,360,HFenestration semicircular canal ,,,7592.0,8072.0,5
RC,360,HIntroduction of needle or intracatheter; retrograde brachial artery ,,,2152.0,2636.0,4
RC,360,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,360,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,360,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,360,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,360,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,360,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,360,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,360,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,360,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,360,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,360,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,360,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,360,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,360,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,360,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,360,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,360,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,360,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,360,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,360,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,3796.0,5381.0,5
RC,360,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,77554.0,8
RC,360,HRevision fenestration operation ,,,7592.0,8072.0,5
RC,360,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,360,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,7168.0,8072.0,5
RC,360,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,360,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,360,Hallux implant ,,,388.42,388.42,3
RC,360,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,360,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,360,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,360,Haloperidol ,,,17.2,17.2,3
RC,360,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,360,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,360,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,360,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,360,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,360,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,360,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,360,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,360,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,360,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,360,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,360,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,360,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,360,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,360,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,360,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,360,"Harvesting conjunctival allograft, living donor ",,,948.0,8858.0,31
RC,360,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,6
RC,360,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,360,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,360,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,360,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,360,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,360,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,360,Heavy duty wheelchair ,,,83.68,83.68,3
RC,360,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,360,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,360,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,360,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,360,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,360,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,360,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,360,Heel wedge ,,,30.8,30.8,3
RC,360,"Heel wedge, sach ",,,114.72,114.72,3
RC,360,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,360,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,360,"Heel, new leather, standard ",,,54.84,54.84,3
RC,360,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,360,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,360,"Heel, sach cushion type ",,,142.14,142.14,3
RC,360,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,360,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,360,Heinz bodies; direct ,,,4.58,4.58,3
RC,360,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,360,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,360,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,360,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,360,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,360,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,360,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,360,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,360,Hematopoietic progenitor cell (HPC); HPC boost ,,,592.85,5932.0,33
RC,360,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,948.0,104820.46,31
RC,360,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,592.85,25655.0,33
RC,360,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,360,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,360,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,360,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,360,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,360,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,360,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,360,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,360,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,360,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,360,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,360,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,360,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,360,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,360,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,360,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,360,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,360,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,360,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,360,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,360,Hemoglobin; plasma ,,,7.97,7.97,3
RC,360,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,360,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,360,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,360,Hemoglobin; urine ,,,4.31,4.31,3
RC,360,"Hemolysin, acid ",,,9.67,9.67,3
RC,360,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,360,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,360,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,948.0,9908.0,33
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,948.0,9908.0,33
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,948.0,19415.0,33
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,948.0,19415.0,33
RC,360,"Hemorrhoidectomy, internal and external, single column/group; ",,,948.0,9908.0,33
RC,360,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,948.0,9908.0,33
RC,360,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,948.0,9908.0,33
RC,360,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,948.0,8858.0,33
RC,360,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,948.0,25655.0,33
RC,360,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,171.8,5932.0,33
RC,360,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,948.0,18747.0,33
RC,360,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,948.0,23113.0,31
RC,360,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,360,Hepagam b im injection ,,,71.51,71.51,3
RC,360,Heparin assay ,,,14.27,14.27,3
RC,360,Heparin neutralization ,,,12.91,12.91,3
RC,360,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,360,"Hepatectomy, resection of liver; partial lobectomy ",,,948.0,52673.02,27
RC,360,"Hepatectomy, resection of liver; total left lobectomy ",,,948.0,69572.83,27
RC,360,"Hepatectomy, resection of liver; total right lobectomy ",,,948.0,74747.66,27
RC,360,"Hepatectomy, resection of liver; trisegmentectomy ",,,948.0,77443.95,27
RC,360,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,360,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,948.0,48655.96,27
RC,360,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,360,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,360,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,360,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,360,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,360,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,360,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,360,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,360,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,360,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,360,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,360,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,360,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,360,Hepatitis C antibody; ,,,15.55,15.55,3
RC,360,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,360,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,360,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,360,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,948.0,27327.3,27
RC,360,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,360,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,360,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,360,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,360,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,360,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,360,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,360,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,360,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,360,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,360,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,360,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,360,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,360,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,360,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,360,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,360,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,360,Hip core decompression ,,,21210.0,23307.22,6
RC,360,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,360,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,360,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,360,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,360,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,360,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,360,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,360,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,360,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,360,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,360,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,360,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,360,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,360,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,360,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,360,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,360,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,360,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,360,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,360,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,360,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,360,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,360,Histamine ,,,32.19,32.19,3
RC,360,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,25655.0,10
RC,360,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,360,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,360,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,360,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,360,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,360,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,360,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,360,Home blood glucose monitor ,,,103.8,103.8,3
RC,360,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,360,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,360,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,360,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,360,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,360,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,360,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,360,Homocysteine ,,,19.53,19.53,3
RC,360,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,360,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,360,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,360,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,360,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,360,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,360,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,360,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,360,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,360,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,360,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,360,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,360,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,360,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,360,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,360,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,360,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,360,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,360,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,360,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,360,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,360,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,360,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,360,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,360,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,360,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,360,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,360,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,360,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,360,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,360,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,360,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,360,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,360,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,360,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,360,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,360,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,360,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,360,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,360,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,360,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,360,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,360,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,360,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,360,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,360,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,360,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,360,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,360,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,360,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,360,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,360,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,360,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,360,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,360,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,360,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,360,Hydroxychloroquine ,,,20.32,20.32,3
RC,360,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,360,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,360,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,360,Hydroxyproline; free ,,,24.69,24.69,3
RC,360,Hydroxyproline; total ,,,26.49,26.49,3
RC,360,"Hymenotomy, simple incision ",,,948.0,8858.0,33
RC,360,Hyperbaric Oxygen ,,,150.68,150.68,3
RC,360,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,948.0,35625.53,27
RC,360,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,948.0,25655.0,31
RC,360,Hysterorrhaphy of ruptured uterus ,,,948.0,25655.0,23
RC,360,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,948.0,25655.0,31
RC,360,"Hysteroscopy, diagnostic (separate procedure) ",,,1116.7,8858.0,24
RC,360,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1995.0,17510.0,24
RC,360,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1603.34,12360.0,24
RC,360,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.34,12499.0,24
RC,360,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,1603.34,11960.31,24
RC,360,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1116.7,8858.0,24
RC,360,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1603.34,12360.0,24
RC,360,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1116.7,8858.0,24
RC,360,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,948.0,12224.1,27
RC,360,Hystscp IU ADHESIO ,,,2152.0,6587.0,4
RC,360,Hystscp div IU septum ,,,2152.0,6587.0,4
RC,360,Hystscp impacted FB rmvl ,,,2152.0,6587.0,4
RC,360,Hystscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,360,Hystscp w Bx/polypectomy ,,,2152.0,6587.0,4
RC,360,Hystscp w endomet ablat ,,,2152.0,6587.0,4
RC,360,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,360,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,360,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,360,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,360,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,360,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,360,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,360,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,360,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,360,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,360,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,360,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,360,ILEOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,360,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,16
RC,360,"IMPLANT NEUROSTIMUL, SUBCORT ",,,2152.0,6587.0,4
RC,360,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2152.0,2636.0,4
RC,360,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,360,INCISE INNER EAR ,,,2152.0,6587.0,4
RC,360,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,12
RC,360,INCISION OF HYMEN ,,,2152.0,6587.0,4
RC,360,INCISION OF PELVIS NERVE ,,,2152.0,6587.0,4
RC,360,INCISION OF VAGUS NERVE ,,,2152.0,6587.0,4
RC,360,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,360,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,360,INFLATE MIDDLE EAR CANAL ,,,2152.0,6587.0,8
RC,360,INJ PARAVERTEBRAL C/T ,,,2152.0,6587.0,4
RC,360,INJ PARAVERTEBRAL C/T ADD-ON ,,,2152.0,6587.0,4
RC,360,INJ PARAVERTEBRAL L/S ,,,2152.0,6587.0,4
RC,360,INJ PARAVERTEBRAL L/S ADD-ON ,,,2152.0,6587.0,4
RC,360,INJECT SPINE CERV/THORACIC ,,,1266.0,3293.0,5
RC,360,INJECT SPINE LUMBAR/SACRAL ,,,1266.0,3293.0,5
RC,360,INJECT SPINE W/CATH CRV/THRC ,,,1266.0,3293.0,5
RC,360,INJECT SPINE W/CATH LMB/SCRL ,,,1266.0,3293.0,5
RC,360,INJECTION FOR KIDNEY X-RAY ,,,2152.0,6587.0,4
RC,360,INJECTION FOR LIVER X-RAYS ,,,2152.0,6587.0,8
RC,360,INJECTION(S) SPIDER VEINS ,,,2152.0,6587.0,4
RC,360,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2152.0,2636.0,4
RC,360,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1266.0,3293.0,5
RC,360,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2152.0,2636.0,4
RC,360,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1266.0,2636.0,5
RC,360,"INSERT ABDOM DRAIN, TEMP ",,,2152.0,6587.0,4
RC,360,INSERT BILE DUCT DRAIN ,,,2152.0,6587.0,4
RC,360,INSERT CATHETER BILE DUCT ,,,2152.0,6587.0,4
RC,360,INSERT KIDNEY DRAIN ,,,2152.0,6587.0,4
RC,360,INSERT URETERAL TUBE ,,,2152.0,6587.0,4
RC,360,INSERTION OF ACCESS DEVICE ,,,2152.0,6587.0,4
RC,360,INSERTION OF CANNULA(S) ,,,2152.0,2235.0,3
RC,360,"INSERTION OF CATHETER, VEIN ",,,2152.0,6587.0,16
RC,360,INSERTION OF INFUSION PUMP ,,,2152.0,6587.0,4
RC,360,INSET MIDDLE EAR (BAFFLE) ,,,2152.0,6587.0,4
RC,360,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,3796.0,5381.0,5
RC,360,IV US EACH ADD VESSEL ADD-ON ,,,2152.0,6587.0,4
RC,360,IV US FIRST VESSEL ADD-ON ,,,2152.0,6587.0,4
RC,360,Ibuprofen injection ,,,3.54,3.54,3
RC,360,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,360,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,360,Idursulfase injection ,,,621.35,621.35,3
RC,360,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,33
RC,360,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,351.7,5932.0,33
RC,360,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,9012.0,31
RC,360,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,593.22,9012.0,33
RC,360,"Ileostomy or jejunostomy, non-tube ",,,948.0,25655.0,27
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,510.77,12499.0,33
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,510.77,9908.0,33
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,948.0,12499.0,31
RC,360,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7592.0,25655.0,15
RC,360,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5694.0,25655.0,15
RC,360,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,948.0,25655.0,27
RC,360,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,360,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,360,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,360,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,360,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,360,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,360,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,360,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,360,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,360,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,360,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,360,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,360,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,360,Immune complex assay ,,,26.56,26.56,3
RC,360,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,360,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,360,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,360,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,360,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,360,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,360,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,360,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,360,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,360,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,360,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,360,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,360,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,360,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,360,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,360,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,360,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,360,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,360,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,360,Impl cereb subcort elec ,,,2152.0,6587.0,4
RC,360,Impl subcort electrodes ,,,2152.0,6587.0,4
RC,360,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,360,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,360,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,360,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,360,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,360,Implantation Wireless PA P ,,,31407.33,31407.33,3
RC,360,Implantation of Drug Infus ,,,19735.53,19735.53,3
RC,360,Implantation of auditory brain stem implant ,,,21210.0,23307.22,6
RC,360,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,948.0,25655.0,27
RC,360,Implantation of intrastromal corneal ring segments ,,,948.0,25655.0,33
RC,360,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1995.0,36053.16,28
RC,360,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,948.0,45966.03,21
RC,360,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,6
RC,360,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,13
RC,360,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,948.0,6680.0,19
RC,360,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,948.0,70380.0,32
RC,360,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,1995.0,70380.0,27
RC,360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,948.0,70380.0,33
RC,360,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,948.0,17510.0,31
RC,360,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,948.0,37568.08,27
RC,360,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,948.0,36534.62,33
RC,360,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,948.0,35261.21,33
RC,360,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,33769.0,33
RC,360,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,948.0,21630.0,31
RC,360,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,948.0,17510.0,33
RC,360,In111 capromab ,,,1886.02,1886.02,3
RC,360,In111 oxyquinoline ,,,906.29,906.29,3
RC,360,In111 pentetate ,,,812.73,812.73,3
RC,360,Incision and drainage abscess; peritonsillar ,,,91.96,5932.0,33
RC,360,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,948.0,17510.0,33
RC,360,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,930.95,7334.01,33
RC,360,Incision and drainage of Bartholin's gland abscess ,,,74.05,5932.0,33
RC,360,"Incision and drainage of appendiceal abscess, open ",,,948.0,25655.0,27
RC,360,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,948.0,6680.0,33
RC,360,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,685.44,8858.0,33
RC,360,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,948.0,8858.0,33
RC,360,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,450.72,9908.0,33
RC,360,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,948.0,6680.0,33
RC,360,"Incision and drainage of penis, deep ",,,510.77,19415.0,33
RC,360,"Incision and drainage of submucosal abscess, rectum ",,,450.72,6680.0,33
RC,360,"Incision and drainage of thyroglossal duct cyst, infected ",,,441.67,5932.0,33
RC,360,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,855.96,8858.0,33
RC,360,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,855.96,25655.0,33
RC,360,Incision and drainage of vulva or perineal abscess ,,,79.36,6680.0,33
RC,360,"Incision and drainage, perianal abscess, superficial ",,,344.93,5932.0,33
RC,360,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,948.0,25655.0,27
RC,360,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,948.0,25655.0,31
RC,360,"Incision of conjunctiva, drainage of cyst ",,,58.72,25655.0,33
RC,360,Incision of labial frenum (frenotomy) ,,,76.45,5932.0,33
RC,360,Incision of lingual frenum (frenotomy) ,,,441.67,5932.0,33
RC,360,"Incision of thrombosed hemorrhoid, external ",,,115.66,5932.0,33
RC,360,"Incision, anal septum (infant) ",,,948.0,25655.0,33
RC,360,"Incision, drainage of lacrimal gland ",,,948.0,5932.0,31
RC,360,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,214.82,9868.0,33
RC,360,Incisional biopsy of eyelid skin including lid margin ,,,113.7,5932.0,33
RC,360,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,360,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,360,Indexing for osteotomy ,,,10868.0,12875.0,3
RC,360,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,360,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,360,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,360,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,6
RC,360,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,6
RC,360,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,6
RC,360,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,6
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,948.0,16144.0,31
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,948.0,16144.0,31
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,948.0,25655.0,31
RC,360,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,948.0,25655.0,27
RC,360,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,948.0,25655.0,62
RC,360,"Induced abortion, by dilation and curettage ",,,948.0,18490.0,33
RC,360,"Induced abortion, by dilation and evacuation ",,,948.0,18490.0,33
RC,360,Induction of arrhythmia by electrical pacing ,,,25253.0,43890.0,8
RC,360,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,360,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,360,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,360,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,360,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,360,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,360,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,360,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,360,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,360,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,360,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,360,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,360,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,360,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,360,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,360,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,360,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,360,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,360,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,360,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,360,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,360,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,360,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,360,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,360,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,360,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,360,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,360,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,360,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,360,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,360,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,360,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,360,Infliximab ,,,42.04,42.04,3
RC,360,Infliximab not biosimil 10 ,,,34.31,34.31,3
RC,360,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,360,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,360,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,360,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,360,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,360,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,360,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,360,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,948.0,69269.91,27
RC,360,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,948.0,68516.17,27
RC,360,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,360,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,360,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,360,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,360,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,948.0,29238.59,27
RC,360,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,948.0,14664.41,33
RC,360,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,360,Inhibin A ,,,16.99,16.99,3
RC,360,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,948.0,126001.4,20
RC,360,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1481.0,2636.0,5
RC,360,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,360,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,360,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,360,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,360,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,360,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,360,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,360,Inj avacincaptad pegol 0.1 ,,,112.49,112.49,3
RC,360,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,360,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,360,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,360,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,360,"Inj brixadi, more than 7 d ",,,1877.31,1877.31,3
RC,360,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,360,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,360,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,360,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,360,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,360,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,360,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,360,Inj cyclophos dr reddys 5 ,,,0.54,0.54,3
RC,360,Inj cyclophos frindovyx 5 ,,,9.72,9.72,3
RC,360,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,360,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,360,Inj daxibotulinumtoxina-la ,,,3.34,3.34,3
RC,360,Inj delandistrogene mox ro ,,,3615417.73,3615417.73,3
RC,360,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,360,Inj efgart-alfa 2mg hya-qv ,,,37.34,37.34,3
RC,360,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,360,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,360,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,360,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,360,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,360,Inj estrogen conjugate ,,,437.64,437.64,3
RC,360,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,360,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,360,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,360,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,360,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,360,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,360,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,360,"Inj glofitamab gxbm, 2.5 m ",,,3122.5,3122.5,3
RC,360,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,360,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,360,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,360,Inj hydroxocobalamin iv 25 ,,,5.93,5.93,3
RC,360,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,360,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,360,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,360,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,360,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,360,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,360,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,360,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,360,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,360,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,360,Inj melphalan (hepzato) 1 ,,,873.61,873.61,3
RC,360,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,360,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,360,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,360,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,360,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,360,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,360,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,360,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,360,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,360,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,360,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,360,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,360,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,360,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,360,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,360,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,360,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,360,Inj recombin esperoct per ,,,2.5,2.5,3
RC,360,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,360,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,360,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,360,Inj roctavian ml 2x10^13vc ,,,13683.54,13683.54,3
RC,360,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,360,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,360,Inj rozanolixizum-noli 1 m ,,,25.71,25.71,3
RC,360,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,360,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,360,Inj secukinumab intrav 1mg ,,,19.87,19.87,3
RC,360,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,360,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,360,Inj talquetamab-tgvs 0.25 ,,,83.63,83.63,3
RC,360,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,360,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,360,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,360,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,360,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,360,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,360,Inj travoprost intra impl ,,,214.45,214.45,3
RC,360,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,360,Inj truxima 10 mg ,,,37.67,37.67,3
RC,360,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,360,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,360,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,360,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,360,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,360,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,360,Inj velmanase alfa-tycv 1 ,,,522.32,522.32,3
RC,360,Inj xipere 1 mg ,,,52.07,52.07,3
RC,360,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,360,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,360,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,360,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,360,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,360,"Inj, adzynma, 10 iu ",,,39.47,39.47,3
RC,360,"Inj, aflibercept hd, 1 mg ",,,325.56,325.56,3
RC,360,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,360,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,360,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,360,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,360,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,360,"Inj, artesunate, 1mg ",,,56.49,56.49,3
RC,360,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,360,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,360,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,360,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,360,"Inj, betibeglogene autotem ",,,3193983.4,3193983.4,3
RC,360,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,360,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,360,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,360,"Inj, brixadi, 7 days or le ",,,469.33,469.33,3
RC,360,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,360,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,360,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,360,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,360,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,360,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,360,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,360,"Inj, cipaglucosidase, 5 mg ",,,104.97,104.97,3
RC,360,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,360,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,360,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,360,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,360,"Inj, cyclophosphamide, nos ",,,0.63,0.63,3
RC,360,"Inj, denosumab ",,,32.81,32.81,3
RC,360,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,360,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,360,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,360,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,360,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,360,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,360,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,360,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,360,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,360,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,360,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,360,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,360,"Inj, elranatamab-bcmm, 1 m ",,,209.81,209.81,3
RC,360,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,360,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,360,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,360,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,360,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,360,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,360,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,360,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,360,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,360,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,360,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,360,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,360,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,360,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,360,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,360,"Inj, human-lans, per i.u ",,,1.89,1.89,3
RC,360,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,360,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,360,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,360,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,360,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,360,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,360,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,360,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,360,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,360,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,360,"Inj, levothyroxine, freska ",,,7.45,7.45,3
RC,360,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,360,"Inj, lovotibeglogene autot ",,,3526481.36,3526481.36,3
RC,360,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,360,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,360,"Inj, mirikizumab-mrkz, 1 m ",,,35.6,35.6,3
RC,360,"Inj, motixafortide, 0.25 m ",,,28.86,28.86,3
RC,360,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,360,"Inj, nithiodote, 3mg / 125 ",,,2.36,2.36,3
RC,360,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,360,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,360,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,360,"Inj, nyvepria ",,,149.23,149.23,3
RC,360,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,360,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,360,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,360,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,360,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,360,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,360,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,360,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,360,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,360,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,360,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,360,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,360,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,360,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,360,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,360,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,360,"Inj, rykindo, 0.5 mg ",,,14.2,14.2,3
RC,360,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,360,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,360,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,360,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,360,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,360,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,360,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,360,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,360,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,360,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,360,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,360,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,360,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,360,"Inj, toripalimab-tpzi, 1 m ",,,44.57,44.57,3
RC,360,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,360,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,360,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,360,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,360,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,360,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,360,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,360,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,360,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,360,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,360,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,360,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,360,"Inj, zolbetuximab-clzb, 2 ",,,36.98,36.98,3
RC,360,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,360,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,360,Inj. asceniv ,,,554.96,554.96,3
RC,360,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,360,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,360,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,360,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,360,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,360,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,360,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,360,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,360,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,360,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,360,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,360,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,360,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,360,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,360,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,360,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,360,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,360,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,360,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,360,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,360,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,360,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,360,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,360,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,360,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,360,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,360,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,360,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,360,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,360,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,360,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,360,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,360,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,360,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,360,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,360,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,360,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,360,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,360,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,360,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,360,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,360,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,360,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,360,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,360,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,360,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,360,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,360,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,360,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,360,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,360,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,360,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,360,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,360,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,360,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,360,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,360,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,360,Inject anes 1 L facet N ,,,2152.0,6587.0,4
RC,360,Inject anes 1 paravert N ,,,2152.0,6587.0,4
RC,360,Inject anes >1 paravert ,,,2152.0,6587.0,4
RC,360,Inject anes L facet-ADDL ,,,2152.0,6587.0,4
RC,360,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,360,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,360,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,360,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,360,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,360,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,948.0,5932.0,19
RC,360,Injection of contrast medium for dacryocystography ,,,948.0,5932.0,19
RC,360,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,36.92,2636.0,29
RC,360,Injection of medication or other substance into Tenon's capsule ,,,20.35,5932.0,33
RC,360,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,744.46,12499.0,33
RC,360,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,744.46,12499.0,33
RC,360,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,122.09,5932.0,33
RC,360,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,74.13,5932.0,33
RC,360,"Injection of sclerosing solution, hemorrhoids ",,,220.64,25655.0,29
RC,360,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,892.44,8858.0,28
RC,360,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,948.0,5932.0,19
RC,360,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,948.0,2636.0,15
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1481.0,17384.0,9
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1481.0,17384.0,9
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1481.0,17384.0,9
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1481.0,17384.0,9
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,1481.0,2174.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,1481.0,2174.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,1481.0,2174.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1481.0,17384.0,9
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1481.0,17384.0,9
RC,360,Injection procedure for Peyronie disease; ,,,63.08,3092.0,29
RC,360,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,948.0,19415.0,33
RC,360,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,948.0,8485.0,62
RC,360,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,948.0,8858.0,31
RC,360,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,948.0,12499.0,62
RC,360,Injection procedure for corpora cavernosography ,,,948.0,5932.0,19
RC,360,Injection procedure for cystography or voiding urethrocystography ,,,948.0,2636.0,15
RC,360,"Injection procedure for discography, each level; cervical or thoracic ",,,948.0,5932.0,19
RC,360,"Injection procedure for discography, each level; lumbar ",,,948.0,5932.0,19
RC,360,Injection procedure for extremity venography (including introduction of needle or intracatheter) ,,,948.0,5932.0,19
RC,360,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,948.0,25655.0,27
RC,360,"Injection procedure for myelography and/or computed tomography, lumbar ",,,948.0,5932.0,19
RC,360,Injection procedure for retrograde urethrocystography ,,,948.0,2636.0,15
RC,360,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,9
RC,360,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,25
RC,360,Injection procedure for sialography ,,,948.0,5932.0,19
RC,360,Injection procedure for splenoportography ,,,948.0,5932.0,19
RC,360,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,948.0,5932.0,19
RC,360,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,948.0,5932.0,19
RC,360,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,948.0,9908.0,31
RC,360,Injection procedure; lymphangiography ,,,948.0,5932.0,19
RC,360,Injection procedure; radioactive tracer for identification of sentinel node ,,,802.52,5932.0,31
RC,360,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm ",,,234.94,5932.0,33
RC,360,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,360,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,380.91,5932.0,31
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,357.81,6587.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,357.81,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,465.81,5381.0,29
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,41.85,3293.0,29
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,146.8,6587.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,31.69,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,64.83,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,357.81,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,276.0,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,357.81,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,276.0,6587.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,41.28,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,45.35,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,18.89,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,357.81,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,3293.0,29
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,77.32,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,40.7,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,948.0,5932.0,19
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,357.81,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,948.0,5932.0,19
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,357.81,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,70.93,5932.0,33
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,249.57,5932.0,31
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,948.0,5932.0,19
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,357.81,5932.0,33
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,948.0,5932.0,19
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,948.0,5932.0,19
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,357.81,5932.0,33
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,948.0,5932.0,19
RC,360,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,357.81,5932.0,132
RC,360,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,276.0,5932.0,132
RC,360,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,360,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,357.81,5932.0,33
RC,360,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,357.81,5932.0,33
RC,360,"Injection, anesthetic agent; sphenopalatine ganglion ",,,74.13,5932.0,33
RC,360,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,357.81,5932.0,33
RC,360,"Injection, anesthetic agent; superior hypogastric plexus ",,,357.81,6680.0,33
RC,360,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,892.44,5932.0,33
RC,360,"Injection, anterior chamber of eye (separate procedure); medication ",,,892.44,5932.0,33
RC,360,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,360,"Injection, blinatumomab ",,,188.46,188.46,3
RC,360,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,360,"Injection, cangrelor ",,,22.1,22.1,3
RC,360,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,360,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,360,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,360,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,360,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,360,"Injection, epidural, of blood or clot patch ",,,276.0,5932.0,33
RC,360,"Injection, fulphila ",,,73.06,73.06,3
RC,360,"Injection, glucarpidase ",,,489.52,489.52,3
RC,360,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,360,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,360,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,360,"Injection, ixabepilone ",,,152.33,152.33,3
RC,360,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,360,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,360,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,360,"Injection, nivolumab ",,,37.3,37.3,3
RC,360,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,360,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,360,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,360,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,360,"Injection, peramivir ",,,1.83,1.83,3
RC,360,"Injection, renflexis ",,,29.01,29.01,3
RC,360,"Injection, reslizumab ",,,12.78,12.78,3
RC,360,"Injection, ruconest ",,,41.24,41.24,3
RC,360,"Injection, siltuximab ",,,189.73,189.73,3
RC,360,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,360,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,360,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,360,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,360,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,360,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,360,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,360,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,6054.0,4
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,357.81,5932.0,33
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,357.81,5932.0,33
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,357.81,5932.0,33
RC,360,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,360,Insert urinary catheter ,,,2152.0,6587.0,8
RC,360,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,1796.0,7927.29,15
RC,360,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,6
RC,360,Insertion of Heyman capsules for clinical brachytherapy ,,,948.0,11960.31,33
RC,360,Insertion of Thomas shunt (separate procedure) ,,,1747.39,19415.0,27
RC,360,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,536.91,5932.0,33
RC,360,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,122.58,6680.0,33
RC,360,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,948.0,17510.0,33
RC,360,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,1995.0,31390.93,21
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,1174.13,11220.0,27
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,1995.0,12869.33,27
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,1995.0,12869.33,27
RC,360,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,450.72,9868.0,33
RC,360,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,20
RC,360,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,344.56,5932.0,31
RC,360,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,709.9,8858.0,31
RC,360,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,33
RC,360,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,33
RC,360,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,948.0,38760.0,33
RC,360,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,5047.0,15
RC,360,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,948.0,49207.09,33
RC,360,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,892.44,76895.0,33
RC,360,Insertion of intrauterine device (IUD) ,,,948.0,5932.0,31
RC,360,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,948.0,25655.0,31
RC,360,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,6
RC,360,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,948.0,23113.0,19
RC,360,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,6004.0,54082.0,25
RC,360,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,25655.0,20
RC,360,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,25655.0,20
RC,360,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,25655.0,20
RC,360,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,20
RC,360,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,237.69,6587.0,31
RC,360,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,948.0,11220.0,32
RC,360,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,948.0,11220.0,32
RC,360,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,948.0,12360.0,33
RC,360,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,948.0,12360.0,33
RC,360,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,948.0,12360.0,33
RC,360,Insertion of penile prosthesis; inflatable (self-contained) ,,,6004.0,54082.0,25
RC,360,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,948.0,54082.0,30
RC,360,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,948.0,11220.0,32
RC,360,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,948.0,11220.0,32
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,234.94,11220.0,64
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,468.58,11220.0,32
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,468.58,11220.0,32
RC,360,Insertion of peritoneal-venous shunt ,,,948.0,25655.0,31
RC,360,Insertion of pin-retained palatal prosthesis ,,,948.0,13581.48,33
RC,360,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,13
RC,360,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,948.0,27704.6,26
RC,360,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,360,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,948.0,38760.0,33
RC,360,Insertion of tandem cuff (dual cuff) ,,,948.0,49207.09,33
RC,360,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,60.68,6587.0,33
RC,360,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,237.69,6587.0,31
RC,360,Insertion of testicular prosthesis (separate procedure) ,,,948.0,11848.54,33
RC,360,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,948.0,12875.0,21
RC,360,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,948.0,33769.0,31
RC,360,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,948.0,12869.33,32
RC,360,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,948.0,18747.0,32
RC,360,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,948.0,11220.0,32
RC,360,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,948.0,11220.0,32
RC,360,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,948.0,11220.0,32
RC,360,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,948.0,11220.0,32
RC,360,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,948.0,12869.33,32
RC,360,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,948.0,12499.0,33
RC,360,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,948.0,12360.0,33
RC,360,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,948.0,21630.0,33
RC,360,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,948.0,25080.0,33
RC,360,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,25655.0,20
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,948.0,81532.47,32
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,948.0,77554.0,32
RC,360,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,948.0,6587.0,18
RC,360,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,948.0,36341.06,30
RC,360,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,948.0,77554.0,32
RC,360,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,948.0,81532.47,32
RC,360,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,360,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,360,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,360,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,360,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,360,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,360,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,360,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,360,Inst tauro 1.35mg/hep 100u ,,,4.59,4.59,3
RC,360,"Instill adstiladrin, tx do ",,,70121.45,70121.45,3
RC,360,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,360,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,12499.0,20
RC,360,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,43.61,5932.0,33
RC,360,Insulin antibodies ,,,23.34,23.34,3
RC,360,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,360,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,360,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,360,Insulin; free ,,,14.12,14.12,3
RC,360,Insulin; total ,,,12.46,12.46,3
RC,360,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,360,Intensive Outpatient (3 se ,,,136.91,342.3,6
RC,360,Intensive Outpatient (4 or ,,,179.39,448.48,6
RC,360,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,360,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,360,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,360,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,360,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,360,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,360,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,360,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,360,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,948.0,29417.33,27
RC,360,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,948.0,25655.0,27
RC,360,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,948.0,5932.0,19
RC,360,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,360,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,360,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1481.0,2636.0,5
RC,360,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,360,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,360,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,360,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,360,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,360,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,360,Intersex surgery; female to male ,,,948.0,25655.0,23
RC,360,Intersex surgery; male to female ,,,948.0,25655.0,23
RC,360,Intestinal allotransplantation; from cadaver donor ,,,948.0,68912.44,27
RC,360,Intestinal allotransplantation; from living donor ,,,948.0,77723.58,27
RC,360,Intestinal plication (separate procedure) ,,,948.0,25655.0,27
RC,360,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,948.0,25655.0,27
RC,360,Intra-atrial pacing ,,,12830.85,43890.0,14
RC,360,Intra-atrial recording ,,,12830.85,43890.0,14
RC,360,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,25253.0,43890.0,8
RC,360,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,892.44,18490.0,33
RC,360,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,43890.0,9
RC,360,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,12830.85,43890.0,14
RC,360,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1481.0,43890.0,9
RC,360,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,360,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,6
RC,360,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,948.0,2636.0,15
RC,360,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,1481.0,2174.0,3
RC,360,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,1481.0,2174.0,3
RC,360,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,360,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1481.0,5932.0,8
RC,360,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,7
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,87.5,5932.0,33
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,196.58,5932.0,33
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,441.67,5932.0,33
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,91.96,5932.0,33
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,930.95,7334.01,33
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,441.67,5932.0,33
RC,360,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1481.0,2636.0,10
RC,360,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,948.0,2287.0,10
RC,360,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,948.0,2287.0,10
RC,360,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,1481.0,5932.0,14
RC,360,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,1481.0,5932.0,14
RC,360,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,6
RC,360,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,25253.0,43890.0,8
RC,360,Intraventricular pacing ,,,12830.85,43890.0,14
RC,360,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,67046.86,12
RC,360,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,50.87,5932.0,28
RC,360,Intrinsic factor ,,,21.6,21.6,3
RC,360,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,360,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,74.05,3092.0,29
RC,360,"Introduction of catheter, aorta ",,,948.0,6680.0,19
RC,360,"Introduction of catheter, right heart or main pulmonary artery ",,,948.0,5932.0,19
RC,360,"Introduction of catheter, superior or inferior vena cava ",,,948.0,5932.0,19
RC,360,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,351.7,5047.0,29
RC,360,"Introduction of needle or intracatheter, aortic, translumbar ",,,948.0,6680.0,19
RC,360,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,948.0,5932.0,19
RC,360,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,948.0,5932.0,19
RC,360,"Introduction of needle or intracatheter, vein ",,,948.0,2287.0,11
RC,360,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,468.58,27743.74,86
RC,360,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,360,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,360,Ipilimumab injection ,,,207.57,207.57,3
RC,360,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,360,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,948.0,10691.32,33
RC,360,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,892.44,9908.0,33
RC,360,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,892.44,9908.0,33
RC,360,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,892.44,9908.0,33
RC,360,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,892.44,17510.0,33
RC,360,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,218.75,5932.0,33
RC,360,Iridotomy by stab incision (separate procedure); except transfixion ,,,892.44,5932.0,33
RC,360,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,892.44,5932.0,33
RC,360,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,161.05,5932.0,33
RC,360,Iris supported intraocular lens ,,,158.85,158.85,3
RC,360,Iron ,,,7.05,7.05,3
RC,360,Iron binding capacity ,,,9.53,9.53,3
RC,360,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,360,Irrigation of corpora cavernosa for priapism ,,,115.66,5932.0,33
RC,360,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,119.92,2636.0,27
RC,360,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,360,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,360,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,360,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,360,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,360,Islet cell antibody ,,,25.69,25.69,3
RC,360,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,6
RC,360,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,360,Itraconazole ,,,29.55,29.55,3
RC,360,"Iv hanger, each ",,,131.03,131.03,3
RC,360,Iv pole ,,,189.03,189.03,3
RC,360,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,360,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,360,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,360,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,360,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,360,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,360,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,360,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,360,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,360,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,360,Keratomileusis ,,,948.0,32812.81,31
RC,360,Keratophakia ,,,948.0,35889.85,31
RC,360,Keratoplasty (corneal transplant); anterior lamellar ,,,948.0,23113.0,33
RC,360,Keratoplasty (corneal transplant); endothelial ,,,948.0,23113.0,33
RC,360,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,948.0,23113.0,33
RC,360,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,948.0,23113.0,33
RC,360,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,948.0,23113.0,33
RC,360,Keratoprosthesis ,,,948.0,25655.0,31
RC,360,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,360,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,360,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,360,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,360,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,360,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,360,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,360,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,360,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,360,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,360,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,360,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,360,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,360,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,360,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,360,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,360,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,360,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,360,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,360,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,360,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,360,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,360,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,360,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,360,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,360,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,360,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,360,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,360,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,360,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,360,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,360,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,360,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,360,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,360,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,360,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,360,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,360,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,360,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,360,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,360,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,360,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,360,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,360,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,2152.0,16144.0,5
RC,360,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,2152.0,16144.0,5
RC,360,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,2152.0,16144.0,5
RC,360,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,2152.0,16144.0,5
RC,360,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,360,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,2152.0,16144.0,5
RC,360,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,360,LAPARO W/CHOLANGIO/BIOPSY ,,,2152.0,6587.0,4
RC,360,"LAPAROSCOPE PROC, RECTUM ",,,2152.0,6587.0,4
RC,360,LAPAROSCOPY W/CHOLANGIO ,,,2152.0,6587.0,4
RC,360,"LAPAROSCOPY, ENTEROLYSIS ",,,2152.0,6587.0,4
RC,360,"LAPAROSCOPY, JEJUNOSTOMY ",,,2152.0,6587.0,4
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,360,LAVH ,,,2152.0,6587.0,4
RC,360,LESION REMOVAL COLONOSCOPY ,,,2152.0,6587.0,4
RC,360,Labyrinthectomy; transcanal ,,,948.0,23113.0,33
RC,360,Labyrinthectomy; with mastoidectomy ,,,948.0,23113.0,33
RC,360,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,130.52,18490.0,33
RC,360,Lacosamide ,,,29.55,29.55,3
RC,360,Lactate (lactic acid) ,,,12.61,12.61,3
RC,360,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,360,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,360,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,360,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,360,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,360,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,360,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,948.0,63201.42,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,948.0,40878.19,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,948.0,35244.78,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,948.0,35967.47,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,948.0,40613.87,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,948.0,48135.29,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,948.0,44833.16,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,948.0,47575.81,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,948.0,59689.29,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,948.0,58788.08,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,948.0,62261.18,21
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,948.0,42999.26,21
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,948.0,46954.23,21
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,948.0,42875.08,21
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,948.0,42323.36,21
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,948.0,46954.23,21
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,948.0,21630.0,21
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,948.0,16749.46,21
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,948.0,21630.0,21
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,948.0,21630.0,21
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,948.0,66534.81,21
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,948.0,69487.45,21
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,948.0,69091.18,21
RC,360,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,948.0,77554.0,27
RC,360,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,948.0,35866.35,21
RC,360,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,948.0,38935.64,21
RC,360,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,948.0,31437.5,21
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,948.0,21630.0,23
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,948.0,21630.0,23
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,948.0,21630.0,21
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,948.0,21630.0,23
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,948.0,21630.0,21
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,948.0,21630.0,21
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,948.0,21630.0,21
RC,360,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,948.0,36076.35,21
RC,360,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,948.0,21630.0,21
RC,360,Laminectomy with rhizotomy; 1 or 2 segments ,,,948.0,25827.59,21
RC,360,Laminectomy with rhizotomy; more than 2 segments ,,,948.0,27964.4,21
RC,360,Laminectomy with section of spinal accessory nerve ,,,948.0,31484.07,21
RC,360,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,948.0,21630.0,84
RC,360,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,948.0,6587.0,30
RC,360,"Laminectomy, with release of tethered spinal cord, lumbar ",,,948.0,34739.84,21
RC,360,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,948.0,33799.61,27
RC,360,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,948.0,38624.74,27
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,14
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,948.0,21630.0,21
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,948.0,12360.0,30
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,948.0,21630.0,23
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,948.0,21630.0,23
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1995.0,21630.0,18
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,948.0,2636.0,15
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,948.0,12875.0,20
RC,360,Lamotrigine ,,,14.44,14.44,3
RC,360,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,360,"Laparoscope proc, intestine ",,,2152.0,6587.0,4
RC,360,Laparoscopic APPY ,,,2152.0,6587.0,4
RC,360,Laparoscopic THC w/o Bx ,,,2152.0,6587.0,4
RC,360,Laparoscopic aspiration ,,,2152.0,6587.0,4
RC,360,Laparoscopic enterolysis ,,,2152.0,6587.0,4
RC,360,Laparoscopic esophagomyotomy (heller type) ,,,21210.0,23307.22,6
RC,360,Laparoscopic fulgur FALL ,,,2152.0,6587.0,4
RC,360,Laparoscopic fulgur les ,,,2152.0,6587.0,4
RC,360,Laparoscopic jejunostomy ,,,2152.0,6587.0,4
RC,360,Laparoscopic occl FALL ,,,2152.0,6587.0,4
RC,360,Laparoscopic orchiectomy ,,,2152.0,6587.0,4
RC,360,Laparoscopic rmvl adnexa ,,,2152.0,6587.0,4
RC,360,Laparoscopic splenectomy ,,,2152.0,6587.0,4
RC,360,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1983.29,25655.0,24
RC,360,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1983.29,25655.0,24
RC,360,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,14304.35,25655.0,12
RC,360,Laparoscopy w ADHESIO ,,,2152.0,6587.0,4
RC,360,Laparoscopy w biopsy ,,,2152.0,6587.0,4
RC,360,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1983.29,17510.0,24
RC,360,"Laparoscopy, remove myoma ",,,2152.0,6587.0,4
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,948.0,25750.0,18
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,948.0,30408.2,20
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,948.0,30408.2,20
RC,360,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,948.0,25655.0,31
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,948.0,25750.0,27
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,948.0,25750.0,27
RC,360,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1995.0,25655.0,24
RC,360,"Laparoscopy, surgical, appendectomy ",,,8024.0,21630.0,15
RC,360,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,948.0,37505.99,27
RC,360,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,948.0,27552.6,27
RC,360,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,948.0,25655.0,27
RC,360,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,948.0,21630.0,27
RC,360,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1995.0,25655.0,22
RC,360,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1995.0,25655.0,22
RC,360,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1995.0,23556.71,22
RC,360,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,948.0,29052.1,27
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,948.0,25143.92,21
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,948.0,34680.0,18
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,948.0,34680.0,18
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,948.0,34680.0,18
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,948.0,34680.0,18
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,948.0,34680.0,18
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,948.0,39036.54,18
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,948.0,41779.4,18
RC,360,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,948.0,25655.0,27
RC,360,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1983.29,17510.0,24
RC,360,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,1995.0,23556.71,24
RC,360,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,1995.0,25655.0,22
RC,360,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1995.0,25655.0,22
RC,360,"Laparoscopy, surgical, splenectomy ",,,1995.0,23556.71,22
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,948.0,21630.0,20
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,948.0,23556.71,20
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,948.0,23556.71,18
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,948.0,23556.71,18
RC,360,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1995.0,42292.31,16
RC,360,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1995.0,26814.39,22
RC,360,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,1995.0,42781.72,13
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,1995.0,23556.71,15
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,1995.0,23556.71,13
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1983.29,21630.0,15
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,1995.0,23556.71,15
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,360,"Laparoscopy, surgical; ablation of renal cysts ",,,1995.0,17510.0,22
RC,360,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,1995.0,25750.0,22
RC,360,"Laparoscopy, surgical; cholecystectomy ",,,1983.29,21630.0,17
RC,360,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1983.29,21630.0,17
RC,360,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1983.29,21630.0,23
RC,360,"Laparoscopy, surgical; cholecystoenterostomy ",,,2152.0,25655.0,21
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,1995.0,34662.01,22
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,1995.0,40932.52,22
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,1995.0,44607.64,22
RC,360,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1995.0,39386.24,22
RC,360,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1995.0,30116.73,22
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,948.0,48912.31,27
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,948.0,45967.43,27
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,1995.0,40015.58,22
RC,360,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1995.0,36122.92,22
RC,360,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,1995.0,25655.0,22
RC,360,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1995.0,31181.15,22
RC,360,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,948.0,25655.0,27
RC,360,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,948.0,25750.0,27
RC,360,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,948.0,21630.0,27
RC,360,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1995.0,30295.25,22
RC,360,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1995.0,27078.5,22
RC,360,"Laparoscopy, surgical; orchiectomy ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; partial nephrectomy ",,,1995.0,25655.0,22
RC,360,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,948.0,48290.73,27
RC,360,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,948.0,44390.1,27
RC,360,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,948.0,25655.0,27
RC,360,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,948.0,34055.96,27
RC,360,"Laparoscopy, surgical; pyeloplasty ",,,1995.0,23556.71,22
RC,360,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1995.0,30124.49,22
RC,360,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1983.29,21630.0,23
RC,360,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1983.29,21630.0,23
RC,360,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,948.0,17510.0,27
RC,360,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1995.0,18422.0,24
RC,360,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1995.0,21630.0,22
RC,360,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1995.0,21630.0,22
RC,360,"Laparoscopy, surgical; ureterolithotomy ",,,948.0,21630.0,27
RC,360,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,948.0,21630.0,29
RC,360,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,948.0,23556.71,29
RC,360,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1995.0,21630.0,22
RC,360,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1983.29,17510.0,23
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,1995.0,23556.71,24
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,1995.0,23556.71,24
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,1995.0,25655.0,24
RC,360,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1983.29,17510.0,23
RC,360,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,6376.0,17510.0,21
RC,360,"Laparoscopy, surgical; with fimbrioplasty ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1983.29,17510.0,23
RC,360,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1481.0,12499.0,15
RC,360,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1481.0,12499.0,15
RC,360,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1983.29,21630.0,24
RC,360,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1983.29,17510.0,23
RC,360,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1983.29,21630.0,24
RC,360,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25959.75,12
RC,360,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,948.0,25655.0,31
RC,360,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,948.0,26254.91,27
RC,360,Lapscp CHOLE w CDE ,,,2152.0,6587.0,4
RC,360,Lapscp CHOLE&cholangrphy ,,,2152.0,6587.0,4
RC,360,Lapscp EG fundoplasty ,,,2152.0,6587.0,4
RC,360,Lapscp REP init IH ,,,2152.0,6587.0,4
RC,360,Lapscp REP recur IH ,,,2152.0,6587.0,4
RC,360,Lapscp adrenalectomy ,,,2152.0,6587.0,4
RC,360,Lapscp bilat pelv LYMPH ,,,2152.0,6587.0,4
RC,360,Lapscp cholcystentstmy ,,,2152.0,6587.0,4
RC,360,Lapscp cholecystectomy ,,,2152.0,6587.0,4
RC,360,Lapscp fimbrioplasty ,,,2152.0,6587.0,4
RC,360,Lapscp intest resect ,,,2152.0,6587.0,4
RC,360,Lapscp lig sperm vein ,,,2152.0,6587.0,4
RC,360,Lapscp lymphocele drain ,,,2152.0,6587.0,4
RC,360,Lapscp pelvic LYMPH & Bx ,,,2152.0,6587.0,4
RC,360,Lapscp retroperit LN Bx ,,,2152.0,6587.0,4
RC,360,Lapscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,360,Lapscp salpingostomy ,,,2152.0,6587.0,4
RC,360,Lapscp select vagotomy ,,,2152.0,6587.0,4
RC,360,Lapscp temp gastrostomy ,,,2152.0,6587.0,4
RC,360,Lapscp truncal vagotomy ,,,2152.0,6587.0,4
RC,360,"Large size footplate, each ",,,65.96,65.96,3
RC,360,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,360,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,360,Laronidase injection ,,,45.22,45.22,3
RC,360,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,360,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,4723.0,5
RC,360,Laser Eye Procedures ,,,602.23,602.23,3
RC,360,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1773.9,8072.0,7
RC,360,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,948.0,18490.0,33
RC,360,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,6
RC,360,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,948.0,25655.0,27
RC,360,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,948.0,25655.0,27
RC,360,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1773.9,18490.0,28
RC,360,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,6
RC,360,Lead ,,,13.2,13.2,3
RC,360,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,360,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,360,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,360,Leflunomide ,,,42.04,42.04,3
RC,360,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,12818.0,22644.0,8
RC,360,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,7799.0,17510.0,10
RC,360,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,360,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,360,"Leg strap, each ",,,32.14,32.14,3
RC,360,"Leg strap, h style, each ",,,69.02,69.02,3
RC,360,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,360,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,360,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,360,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,360,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,360,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,360,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,360,"Lengthening of palate, and pharyngeal flap ",,,948.0,18490.0,33
RC,360,"Lengthening of palate, with island flap ",,,948.0,25655.0,29
RC,360,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,360,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,360,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,360,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,360,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,360,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,360,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,360,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,360,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,360,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,360,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,360,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,360,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,360,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,360,Leuprolide acetate ,,,2006.97,2006.97,3
RC,360,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,360,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,360,Level 1 Abdominal/Peritone ,,,3920.42,3920.42,3
RC,360,Level 1 Airway Endoscopy ,,,218.56,218.56,3
RC,360,Level 1 Blood Product Exch ,,,483.07,483.07,3
RC,360,Level 1 Breast/Lymphatic S ,,,4287.27,4287.27,3
RC,360,Level 1 Diagnostic Tests a ,,,140.89,140.89,3
RC,360,Level 1 Drug Administratio ,,,51.27,51.27,3
RC,360,Level 1 ENT Procedures ,,,259.34,259.34,3
RC,360,Level 1 Electronic Analysi ,,,40.87,40.87,3
RC,360,Level 1 Electrophysiologic ,,,1333.16,1333.16,3
RC,360,Level 1 Endovascular Proce ,,,3549.81,3549.81,3
RC,360,Level 1 Excision/ Biopsy/ ,,,775.38,775.38,3
RC,360,"Level 1 Extraocular, Repai ",,,347.55,347.55,3
RC,360,Level 1 Gynecologic Proced ,,,221.37,221.37,3
RC,360,Level 1 Health and Behavio ,,,41.03,41.03,3
RC,360,Level 1 ICD and Similar Pr ,,,24355.98,24355.98,3
RC,360,Level 1 Imaging with Contr ,,,192.06,192.06,3
RC,360,Level 1 Imaging without Co ,,,95.29,95.29,3
RC,360,Level 1 Intraocular Proced ,,,2526.99,2526.99,3
RC,360,Level 1 Laparoscopy and Re ,,,6619.65,6619.65,3
RC,360,Level 1 Lower GI Procedure ,,,1018.27,1018.27,3
RC,360,Level 1 Minor Procedures ,,,31.67,31.67,3
RC,360,Level 1 Musculoskeletal Pr ,,,270.09,270.09,3
RC,360,Level 1 Nerve Injections ,,,336.1,336.1,3
RC,360,Level 1 Nerve Procedures ,,,2138.17,2138.17,3
RC,360,Level 1 Neurostimulator an ,,,3828.12,3828.12,3
RC,360,Level 1 Nuclear Medicine a ,,,437.74,437.74,3
RC,360,Level 1 Pacemaker and Simi ,,,4091.85,4091.85,3
RC,360,Level 1 Pathology ,,,57.06,57.06,3
RC,360,Level 1 Radiation Therapy ,,,111.72,111.72,3
RC,360,Level 1 Skin Procedures ,,,219.69,219.69,3
RC,360,Level 1 Strapping and Cast ,,,177.93,177.93,3
RC,360,Level 1 Therapeutic Radiat ,,,147.17,147.17,3
RC,360,Level 1 Upper GI Procedure ,,,993.12,993.12,3
RC,360,Level 1 Urology and Relate ,,,273.58,273.58,3
RC,360,Level 1 Vascular Procedure ,,,686.88,686.88,3
RC,360,Level 2 Abdominal/Peritone ,,,7088.62,7088.62,3
RC,360,Level 2 Airway Endoscopy ,,,428.26,428.26,3
RC,360,Level 2 Blood Product Exch ,,,1705.33,1705.33,3
RC,360,Level 2 Breast/Lymphatic S ,,,7270.76,7270.76,3
RC,360,Level 2 Diagnostic Tests a ,,,236.43,236.43,3
RC,360,Level 2 Drug Administratio ,,,78.84,78.84,3
RC,360,Level 2 ENT Procedures ,,,590.55,590.55,3
RC,360,Level 2 Electronic Analysi ,,,104.1,104.1,3
RC,360,Level 2 Electrophysiologic ,,,8540.37,8540.37,3
RC,360,Level 2 Endovascular Proce ,,,6232.08,6232.08,3
RC,360,Level 2 Excision/ Biopsy/ ,,,1808.44,1808.44,3
RC,360,"Level 2 Extraocular, Repai ",,,1091.55,1091.55,3
RC,360,Level 2 Gynecologic Proced ,,,333.67,333.67,3
RC,360,Level 2 Health and Behavio ,,,111.24,111.24,3
RC,360,Level 2 ICD and Similar Pr ,,,34369.77,34369.77,3
RC,360,Level 2 Imaging with Contr ,,,382.0,382.0,3
RC,360,Level 2 Imaging without Co ,,,114.47,114.47,3
RC,360,Level 2 Intraocular Proced ,,,4525.96,4525.96,3
RC,360,Level 2 Laparoscopy and Re ,,,11639.31,11639.31,3
RC,360,Level 2 Lower GI Procedure ,,,1310.28,1310.28,3
RC,360,Level 2 Minor Procedures ,,,40.9,40.9,3
RC,360,Level 2 Musculoskeletal Pr ,,,1760.7,1760.7,3
RC,360,Level 2 Nerve Injections ,,,772.92,772.92,3
RC,360,Level 2 Nerve Procedures ,,,3740.57,3740.57,3
RC,360,Level 2 Neurostimulator an ,,,6978.22,6978.22,3
RC,360,Level 2 Nuclear Medicine a ,,,594.53,594.53,3
RC,360,Level 2 Pacemaker and Simi ,,,9061.28,9061.28,3
RC,360,Level 2 Pathology ,,,186.55,186.55,3
RC,360,Level 2 Radiation Therapy ,,,422.32,422.32,3
RC,360,Level 2 Skin Procedures ,,,445.12,445.12,3
RC,360,Level 2 Strapping and Cast ,,,306.25,306.25,3
RC,360,Level 2 Therapeutic Radiat ,,,409.99,409.99,3
RC,360,Level 2 Upper GI Procedure ,,,2101.14,2101.14,3
RC,360,Level 2 Urology and Relate ,,,763.52,763.52,3
RC,360,Level 2 Vascular Procedure ,,,1723.65,1723.65,3
RC,360,Level 3 Airway Endoscopy ,,,1948.93,1948.93,3
RC,360,Level 3 Blood Product Exch ,,,4769.13,4769.13,3
RC,360,Level 3 Breast/Lymphatic S ,,,8949.59,8949.59,3
RC,360,Level 3 Diagnostic Tests a ,,,408.6,408.6,3
RC,360,Level 3 Drug Administratio ,,,232.9,232.9,3
RC,360,Level 3 ENT Procedures ,,,1698.93,1698.93,3
RC,360,Level 3 Electronic Analysi ,,,336.31,336.31,3
RC,360,Level 3 Electrophysiologic ,,,28620.09,28620.09,3
RC,360,Level 3 Endovascular Proce ,,,12640.5,12640.5,3
RC,360,Level 3 Excision/ Biopsy/ ,,,3180.57,3180.57,3
RC,360,"Level 3 Extraocular, Repai ",,,2603.27,2603.27,3
RC,360,Level 3 Gynecologic Proced ,,,1008.52,1008.52,3
RC,360,Level 3 Health and Behavio ,,,194.35,194.35,3
RC,360,Level 3 Imaging with Contr ,,,858.37,858.37,3
RC,360,Level 3 Imaging without Co ,,,261.26,261.26,3
RC,360,Level 3 Intraocular Proced ,,,5826.65,5826.65,3
RC,360,Level 3 Lower GI Procedure ,,,3039.26,3039.26,3
RC,360,Level 3 Minor Procedures ,,,64.59,64.59,3
RC,360,Level 3 Musculoskeletal Pr ,,,3582.73,3582.73,3
RC,360,Level 3 Nerve Injections ,,,968.47,968.47,3
RC,360,Level 3 Nerve Procedures ,,,9609.27,9609.27,3
RC,360,Level 3 Neurostimulator an ,,,12200.88,12200.88,3
RC,360,Level 3 Nuclear Medicine a ,,,1417.6,1417.6,3
RC,360,Level 3 Pacemaker and Simi ,,,11444.59,11444.59,3
RC,360,Level 3 Pathology ,,,392.49,392.49,3
RC,360,Level 3 Radiation Therapy ,,,605.02,605.02,3
RC,360,Level 3 Skin Procedures ,,,809.26,809.26,3
RC,360,Level 3 Therapeutic Radiat ,,,1515.58,1515.58,3
RC,360,Level 3 Upper GI Procedure ,,,4221.62,4221.62,3
RC,360,Level 3 Urology and Relate ,,,2288.9,2288.9,3
RC,360,Level 3 Vascular Procedure ,,,3457.34,3457.34,3
RC,360,Level 4 Airway Endoscopy ,,,4082.42,4082.42,3
RC,360,Level 4 Blood Product Exch ,,,68874.65,68874.65,3
RC,360,Level 4 Breast/Lymphatic S ,,,15089.69,15089.69,3
RC,360,Level 4 Diagnostic Tests a ,,,940.29,940.29,3
RC,360,Level 4 Drug Administratio ,,,361.67,361.67,3
RC,360,Level 4 ENT Procedures ,,,3630.32,3630.32,3
RC,360,Level 4 Endovascular Proce ,,,20072.54,20072.54,3
RC,360,"Level 4 Extraocular, Repai ",,,4304.75,4304.75,3
RC,360,Level 4 Gynecologic Proced ,,,3544.55,3544.55,3
RC,360,Level 4 Imaging without Co ,,,598.31,598.31,3
RC,360,Level 4 Intraocular Proced ,,,15883.71,15883.71,3
RC,360,Level 4 Minor Procedures ,,,145.68,145.68,3
RC,360,Level 4 Musculoskeletal Pr ,,,7945.32,7945.32,3
RC,360,Level 4 Neurostimulator an ,,,21242.49,21242.49,3
RC,360,Level 4 Nuclear Medicine a ,,,1565.75,1565.75,3
RC,360,Level 4 Pacemaker and Simi ,,,21090.91,21090.91,3
RC,360,Level 4 Pathology ,,,882.19,882.19,3
RC,360,Level 4 Radiation Therapy ,,,762.62,762.62,3
RC,360,Level 4 Skin Procedures ,,,2259.22,2259.22,3
RC,360,Level 4 Urology and Relate ,,,3859.74,3859.74,3
RC,360,Level 4 Vascular Procedure ,,,6092.93,6092.93,3
RC,360,Level 5 Airway Endoscopy ,,,7727.68,7727.68,3
RC,360,Level 5 ENT Procedures ,,,6482.02,6482.02,3
RC,360,Level 5 Gynecologic Proced ,,,5477.52,5477.52,3
RC,360,Level 5 Intraocular Proced ,,,15278.03,15278.03,3
RC,360,Level 5 Minor Procedures ,,,489.15,489.15,3
RC,360,Level 5 Musculoskeletal Pr ,,,14057.94,14057.94,3
RC,360,Level 5 Neurostimulator an ,,,33788.16,33788.16,3
RC,360,Level 5 Radiation Therapy ,,,1368.43,1368.43,3
RC,360,Level 5 Skin Procedures ,,,3880.26,3880.26,3
RC,360,Level 5 Urology and Relate ,,,5870.99,5870.99,3
RC,360,Level 6 Gynecologic Proced ,,,8119.66,8119.66,3
RC,360,Level 6 Intraocular Proced ,,,18024.07,18024.07,3
RC,360,Level 6 Musculoskeletal Pr ,,,19198.95,19198.95,3
RC,360,Level 6 Radiation Therapy ,,,1957.86,1957.86,3
RC,360,Level 6 Urology and Relate ,,,10365.46,10365.46,3
RC,360,Level 7 Musculoskeletal Pr ,,,29710.86,29710.86,3
RC,360,Level 7 Radiation Therapy ,,,8064.75,8064.75,3
RC,360,Level 7 Urology and Relate ,,,14446.4,14446.4,3
RC,360,Level 8 Urology and Relate ,,,22694.42,22694.42,3
RC,360,Levetiracetam ,,,14.44,14.44,3
RC,360,Lidocaine ,,,16.01,16.01,3
RC,360,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,360,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,360,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,360,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,360,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,360,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1174.13,12360.0,28
RC,360,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,1174.13,12360.0,28
RC,360,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,948.0,9908.0,33
RC,360,Ligation of common iliac vein ,,,948.0,29580.54,27
RC,360,Ligation of femoral vein ,,,948.0,12360.0,33
RC,360,Ligation of inferior vena cava ,,,948.0,25655.0,31
RC,360,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,948.0,9908.0,33
RC,360,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1174.13,12360.0,28
RC,360,Ligation of peritoneal-venous shunt ,,,948.0,25655.0,27
RC,360,Ligation or banding of angioaccess arteriovenous fistula ,,,948.0,12360.0,33
RC,360,"Ligation or biopsy, temporal artery ",,,510.77,6680.0,33
RC,360,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,948.0,32626.32,27
RC,360,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,948.0,25655.0,31
RC,360,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,948.0,25655.0,31
RC,360,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,948.0,9868.0,33
RC,360,"Ligation salivary duct, intraoral ",,,930.95,23113.0,33
RC,360,"Ligation, direct, esophageal varices ",,,948.0,34374.62,27
RC,360,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1174.13,12360.0,28
RC,360,"Ligation, division, and stripping, short saphenous vein ",,,1174.13,12360.0,28
RC,360,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,948.0,12360.0,33
RC,360,"Ligation, internal jugular vein ",,,948.0,25655.0,27
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,948.0,30178.83,27
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,948.0,25655.0,27
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,948.0,25655.0,27
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,948.0,25655.0,27
RC,360,Ligation; external carotid artery ,,,948.0,25655.0,27
RC,360,Ligation; internal or common carotid artery ,,,948.0,25655.0,27
RC,360,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,948.0,25655.0,27
RC,360,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,360,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,360,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,360,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,360,Lightweight wheelchair ,,,48.42,48.42,3
RC,360,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,360,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,360,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,948.0,25655.0,27
RC,360,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,948.0,25655.0,27
RC,360,Limited pharyngectomy ,,,948.0,23113.0,33
RC,360,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,360,Lipase ,,,7.51,7.51,3
RC,360,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,360,Lipoprotein (a) ,,,15.61,15.61,3
RC,360,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,360,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,360,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,360,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,360,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,360,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,360,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,360,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,360,Lithium ,,,7.2,7.2,3
RC,360,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,360,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,360,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,360,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,360,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,948.0,8858.0,33
RC,360,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,948.0,8858.0,33
RC,360,"Lithotripsy, extracorporeal shock wave ",,,1200.05,21630.0,25
RC,360,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,948.0,121445.54,27
RC,360,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,360,Lobar lung transplantation ,,,21210.0,23307.22,6
RC,360,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,6
RC,360,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,360,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,948.0,12499.0,31
RC,360,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,360,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,360,"Lso, corset front ",,,166.52,166.52,3
RC,360,"Lso, full corset ",,,235.72,235.72,3
RC,360,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,360,"Lubricant, per ounce ",,,2.47,2.47,3
RC,360,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,360,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,360,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,360,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,360,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,360,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,360,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,360,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,360,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,360,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,360,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,360,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,360,Lumbar/caudal inject NEC ,,,2152.0,6587.0,4
RC,360,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,360,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,360,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,360,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,360,Lymphangiotomy or other operations on lymphatic channels ,,,948.0,8858.0,33
RC,360,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,360,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,360,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,360,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,360,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,948.0,25655.0,31
RC,360,Lysis of labial adhesions ,,,948.0,8858.0,33
RC,360,Lysis or excision of penile post-circumcision adhesions ,,,685.44,8858.0,33
RC,360,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,360,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,360,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,360,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,360,MEDIASTINOSCOPY INCL BIOPSY ,,,2152.0,6587.0,4
RC,360,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,360,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,360,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,360,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,360,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,360,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,360,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,360,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,360,MRI and MRA without Contra ,,,576.44,576.44,3
RC,360,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,360,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,360,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,360,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,360,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,360,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,360,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,360,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,360,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,360,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,360,Magnesium ,,,7.3,7.3,3
RC,360,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,948.0,25750.0,15
RC,360,Malate dehydrogenase ,,,8.03,8.03,3
RC,360,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,360,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,948.0,42331.12,27
RC,360,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,948.0,68376.25,27
RC,360,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,948.0,32727.43,27
RC,360,Management of liver hemorrhage; simple suture of liver wound or injury ,,,948.0,30846.97,27
RC,360,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,948.0,6587.0,11
RC,360,Manganese ,,,29.05,29.05,3
RC,360,Manipulation Therapy ,,,23.64,23.64,3
RC,360,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,250.06,5932.0,33
RC,360,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,60.68,2636.0,29
RC,360,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,360,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,360,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,360,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,360,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,360,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,360,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,360,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,360,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,360,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,360,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,360,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,360,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,360,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,360,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,360,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,360,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,360,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,360,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,360,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,360,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,360,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,360,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,360,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,360,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,360,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,360,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,360,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,360,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,360,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,360,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,360,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,360,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,360,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,360,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,360,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,360,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,360,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,360,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,360,Marsupialization of Bartholin's gland cyst ,,,948.0,8858.0,33
RC,360,Marsupialization of cyst or abscess of liver ,,,948.0,25655.0,27
RC,360,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,4
RC,360,Marsupialization of pancreatic cyst ,,,948.0,25967.51,27
RC,360,Marsupialization of sublingual salivary cyst (ranula) ,,,930.95,9908.0,33
RC,360,"Marsupialization of urethral diverticulum, male or female ",,,948.0,12360.0,33
RC,360,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,360,Mastoid obliteration (separate procedure) ,,,1995.0,17510.0,28
RC,360,Mastoidectomy; complete ,,,948.0,23113.0,33
RC,360,Mastoidectomy; modified radical ,,,948.0,23113.0,33
RC,360,Mastoidectomy; radical ,,,948.0,23113.0,33
RC,360,"Mattress, foam rubber ",,,182.92,182.92,3
RC,360,"Mattress, innerspring ",,,162.65,162.65,3
RC,360,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,3
RC,360,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,3
RC,360,Maxillary impression for palatal prosthesis ,,,742.11,5932.0,31
RC,360,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,119.92,6587.0,27
RC,360,"Meat fibers, feces ",,,5.29,5.29,3
RC,360,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,685.44,8858.0,33
RC,360,"Meatotomy, cutting of meatus (separate procedure); infant ",,,948.0,25655.0,31
RC,360,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,360,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,468.58,11220.0,32
RC,360,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,351.7,5932.0,33
RC,360,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,948.0,19415.0,32
RC,360,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,948.0,25655.0,31
RC,360,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,948.0,25655.0,31
RC,360,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,948.0,25655.0,27
RC,360,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,948.0,25655.0,27
RC,360,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,360,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,360,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,360,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,360,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,360,Mental Health Services Com ,,,448.48,448.48,3
RC,360,"Mercury, quantitative ",,,17.72,17.72,3
RC,360,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,360,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,360,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,6
RC,360,Metanephrines ,,,18.46,18.46,3
RC,360,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,360,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,360,Metatarsal joint implant ,,,467.12,467.12,3
RC,360,Methemalbumin ,,,11.71,11.71,3
RC,360,Methotrexate ,,,42.04,42.04,3
RC,360,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,360,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,360,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,360,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,360,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,360,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,360,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,360,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,360,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,6
RC,360,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,360,Middle ear exploration through postauricular or ear canal incision ,,,930.95,9908.0,33
RC,360,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,360,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,6
RC,360,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,6
RC,360,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,6
RC,360,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,6
RC,360,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,6
RC,360,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,360,Mitomycin instillation ,,,359.63,359.63,3
RC,360,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,360,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,360,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,360,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,948.0,25655.0,27
RC,360,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,360,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,733.22,9868.0,29
RC,360,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,360,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,360,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,360,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,360,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,360,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,360,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,360,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,360,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,360,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,360,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,360,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,360,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,360,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,360,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,360,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,360,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,360,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,360,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,360,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,360,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,360,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,360,Mouth piece ,,,4.82,4.82,3
RC,360,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,360,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,360,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,360,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,360,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,360,Multifetal pregnancy reduction(s) (MPR) ,,,590.17,3092.0,27
RC,360,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,242.73,25655.0,33
RC,360,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,360,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,360,Muramidase ,,,20.44,20.44,3
RC,360,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,360,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,360,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,360,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,360,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,948.0,9012.0,31
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,948.0,9012.0,31
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,948.0,9012.0,31
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,948.0,9012.0,31
RC,360,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,360,Myoglobin ,,,14.08,14.08,3
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,948.0,25655.0,31
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,948.0,18490.0,33
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,948.0,25655.0,27
RC,360,Myringoplasty (surgery confined to drumhead and donor area) ,,,930.95,8858.0,33
RC,360,Myringotomy including aspiration and/or eustachian tube inflation ,,,91.96,9908.0,33
RC,360,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,930.95,9908.0,33
RC,360,"Myringotomy, laser-assisted ",,,7839.0,23307.22,10
RC,360,N BLOCK INJ SPINAL ACCESSOR ,,,2152.0,6587.0,4
RC,360,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,2152.0,16144.0,5
RC,360,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,360,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,360,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,360,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,360,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,360,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,360,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,360,"Naltrexone, depot form ",,,4.93,4.93,3
RC,360,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,360,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,360,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,23307.22,12
RC,360,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,360,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,360,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,360,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,360,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,360,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,1
RC,360,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,117.96,6680.0,33
RC,360,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,360,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,948.0,17510.0,33
RC,360,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,948.0,17510.0,33
RC,360,Natalizumab injection ,,,26.6,26.6,3
RC,360,Natriuretic peptide ,,,42.79,42.79,3
RC,360,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,360,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,360,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,360,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,360,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,360,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,360,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,115.66,6587.0,33
RC,360,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,360,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,360,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,360,Nelarabine injection ,,,71.29,71.29,3
RC,360,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,360,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,948.0,29300.69,27
RC,360,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,948.0,32952.74,27
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,948.0,25655.0,27
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,948.0,27086.26,27
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,948.0,28834.56,27
RC,360,"Nephrectomy, partial ",,,948.0,29798.08,27
RC,360,Nephrolithotomy; complicated by congenital kidney abnormality ,,,948.0,26658.94,27
RC,360,Nephrolithotomy; removal of calculus ,,,948.0,25655.0,27
RC,360,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,948.0,32735.19,27
RC,360,Nephrolithotomy; secondary surgical operation for calculus ,,,948.0,27179.61,27
RC,360,"Nephrorrhaphy, suture of kidney wound or injury ",,,948.0,28997.77,27
RC,360,"Nephrostomy, nephrotomy with drainage ",,,948.0,25655.0,31
RC,360,"Nephrotomy, with exploration ",,,948.0,25655.0,27
RC,360,Nerve dissection ,,,10868.0,12875.0,3
RC,360,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,948.0,17510.0,33
RC,360,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,360,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,360,Nerve pedicle transfer; first stage ,,,948.0,17510.0,33
RC,360,Nerve pedicle transfer; second stage ,,,948.0,17510.0,33
RC,360,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,948.0,17510.0,31
RC,360,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,360,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,948.0,25655.0,33
RC,360,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,948.0,17510.0,33
RC,360,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,360,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,948.0,34297.0,27
RC,360,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,948.0,47451.62,27
RC,360,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,948.0,34662.01,27
RC,360,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,948.0,43007.03,27
RC,360,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,360,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,360,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,360,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,360,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,360,Neuroplasty and/or transposition; cranial nerve (specify) ,,,692.94,9908.0,33
RC,360,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,692.94,8858.0,28
RC,360,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,692.94,8858.0,33
RC,360,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,692.94,8858.0,33
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,692.94,8858.0,33
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,692.94,8858.0,33
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,692.94,8858.0,33
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,692.94,8858.0,33
RC,360,"Neuroplasty; digital, 1 or both, same digit ",,,692.94,8858.0,33
RC,360,Neuroplasty; nerve of hand or foot ,,,692.94,8858.0,33
RC,360,"Neutralization test, viral ",,,18.43,18.43,3
RC,360,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,360,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,360,Nickel ,,,26.72,26.72,3
RC,360,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,360,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,360,Nivestym ,,,0.35,0.35,3
RC,360,Nocturnal penile tumescence and/or rigidity test ,,,75.09,5932.0,31
RC,360,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,360,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,360,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,360,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,360,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,360,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,360,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,360,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,360,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,360,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,360,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,26773.0,42427.0,3
RC,360,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,360,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,360,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,360,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,360,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,948.0,25655.0,31
RC,360,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,360,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,360,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,360,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,360,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,360,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,360,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,360,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,360,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,360,Nucleotidase 5'- ,,,12.15,12.15,3
RC,360,OPERATIVE UPPER GI ENDOSCOPY ,,,2152.0,6587.0,4
RC,360,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,360,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,948.0,75353.71,27
RC,360,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,360,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,360,"Occluder lens, per lens ",,,28.56,28.56,3
RC,360,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,948.0,25655.0,33
RC,360,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,360,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,360,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,360,Octagam injection ,,,51.29,51.29,3
RC,360,Ocular implant ,,,885.23,885.23,3
RC,360,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,948.0,18490.0,33
RC,360,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,948.0,18490.0,31
RC,360,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,948.0,18490.0,31
RC,360,Ofatumumab injection ,,,67.84,67.84,3
RC,360,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,360,Omalizumab injection ,,,50.78,50.78,3
RC,360,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,948.0,31826.01,27
RC,360,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,360,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,948.0,25655.0,31
RC,360,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,360,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,360,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,360,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,360,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,360,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,360,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,360,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,360,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,360,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,360,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,360,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,360,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,360,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,360,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,360,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,360,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,360,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,360,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,360,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,360,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,360,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,360,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,360,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,360,One way chest drain valve ,,,63.18,63.18,3
RC,360,"Oophorectomy, partial or total, unilateral or bilateral; ",,,948.0,25655.0,31
RC,360,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,948.0,26565.8,27
RC,360,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,25655.0,20
RC,360,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,948.0,81532.47,32
RC,360,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,7
RC,360,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,948.0,84177.74,32
RC,360,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,7
RC,360,Open implantation of neurostimulator electrode array; neuromuscular ,,,948.0,77554.0,33
RC,360,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,948.0,77554.0,33
RC,360,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,948.0,25750.0,33
RC,360,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,24
RC,360,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,25655.0,24
RC,360,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,24
RC,360,"Operculectomy, excision pericoronal tissues ",,,948.0,5932.0,31
RC,360,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,8858.0,15
RC,360,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,8858.0,15
RC,360,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,948.0,19415.0,33
RC,360,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,360,Oral busulfan ,,,11.03,11.03,3
RC,360,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,360,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,360,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,360,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,360,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,360,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,360,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,360,Orbital implant (implant outside muscle cone); insertion ,,,948.0,19415.0,33
RC,360,Orbital implant (implant outside muscle cone); removal or revision ,,,948.0,12360.0,33
RC,360,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,360,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,948.0,73970.64,27
RC,360,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,948.0,65050.62,27
RC,360,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,948.0,71919.42,27
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,948.0,18490.0,33
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,948.0,18490.0,33
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,948.0,18490.0,33
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,948.0,18490.0,33
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,948.0,18490.0,33
RC,360,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,948.0,12360.0,33
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,733.22,19415.0,33
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,948.0,25655.0,33
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,733.22,18490.0,33
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,733.22,18490.0,33
RC,360,"Orchiectomy, partial ",,,948.0,9908.0,33
RC,360,"Orchiectomy, radical, for tumor; inguinal approach ",,,948.0,19415.0,33
RC,360,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,948.0,25655.0,27
RC,360,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,948.0,12360.0,33
RC,360,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,948.0,25655.0,31
RC,360,"Orchiopexy, inguinal or scrotal approach ",,,948.0,19415.0,33
RC,360,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,360,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,360,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,360,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,360,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,360,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,360,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,360,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,360,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,360,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,360,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,360,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,360,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,360,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,360,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,360,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,360,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,360,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,360,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,360,Orthovisc inj per dose ,,,109.36,109.36,3
RC,360,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,360,Osmolality; blood ,,,7.2,7.2,3
RC,360,Osmolality; urine ,,,7.43,7.43,3
RC,360,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,360,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,360,Ossicula implant ,,,401.67,401.67,3
RC,360,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,360,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,360,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,360,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,360,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,360,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,948.0,16144.0,21
RC,360,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,6
RC,360,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,360,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,360,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,360,"Ostomy belt, each ",,,10.57,10.57,3
RC,360,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,360,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,360,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,360,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,360,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,360,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,360,Ostomy irrigation set ,,,75.92,75.92,3
RC,360,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,360,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,360,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,360,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,360,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,360,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,360,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,360,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,360,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,360,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,360,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,360,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,360,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,360,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,360,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,360,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,360,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,360,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,360,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,360,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,360,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,360,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,360,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,360,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,360,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,360,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,360,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,360,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,360,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,360,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,360,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,360,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,360,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,360,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,360,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,360,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,360,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,360,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,360,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,360,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,360,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,360,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,360,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,360,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,360,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,360,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,360,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,360,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,360,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,360,"Ostomy ring, each ",,,2.61,2.61,3
RC,360,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,360,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,360,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,360,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,360,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,360,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,360,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,360,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,360,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,360,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,360,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,360,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,360,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,360,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,360,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,360,"Other cranial decompression, posterior fossa ",,,948.0,46355.94,27
RC,360,Other manual wheelchair/base ,,,111.03,111.03,3
RC,360,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,360,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,360,Other spinal injection ,,,2152.0,6587.0,4
RC,360,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,11
RC,360,"Otoplasty, protruding ear, with or without size reduction ",,,930.95,9908.0,33
RC,360,Outflare wedge ,,,66.8,66.8,3
RC,360,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,360,"Ovarian cystectomy, unilateral or bilateral ",,,948.0,25655.0,31
RC,360,"Oversize lens, per lens ",,,16.72,16.72,3
RC,360,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,360,Oxalate ,,,15.75,15.75,3
RC,360,Oxcarbazepine ,,,14.44,14.44,3
RC,360,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,360,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,360,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,360,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,360,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,360,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,360,PAROTID DUCT DIVERSION ,,,2152.0,6587.0,4
RC,360,"PARTIAL REMOVAL, DONOR LIVER ",,,2152.0,6587.0,4
RC,360,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,360,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,360,PERCUT DRAIN LIVER LESION ,,,2152.0,6587.0,4
RC,360,PERCUT THROMBECT AV FISTULA ,,,7592.0,8072.0,4
RC,360,"PERCUT/NEEDLE INSERT, PROS ",,,2152.0,6587.0,4
RC,360,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,360,PLACE GASTROSTOMY TUBE ,,,2152.0,6587.0,4
RC,360,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,360,PMA Skin Substitute Produc ,,,136.26,136.26,3
RC,360,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,360,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,360,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,360,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,360,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,360,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,360,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,360,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,360,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"PROSTATECTOMY, FIRST STAGE ",,,2152.0,6587.0,4
RC,360,"PROSTATECTOMY, SECOND STAGE ",,,2152.0,6587.0,4
RC,360,PROSTATIC WATER THERMOTHER ,,,2152.0,6587.0,4
RC,360,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,360,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,360,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,360,PUNCTURE PERITONEAL CAVITY ,,,2152.0,6587.0,4
RC,360,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,360,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,360,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,360,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,360,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,360,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,360,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,2051.93,18490.0,27
RC,360,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,948.0,18490.0,33
RC,360,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,930.95,18490.0,33
RC,360,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,948.0,18490.0,33
RC,360,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,948.0,18490.0,33
RC,360,Palatoplasty for cleft palate; major revision ,,,948.0,23113.0,33
RC,360,Palatoplasty for cleft palate; secondary lengthening procedure ,,,948.0,18490.0,33
RC,360,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,948.0,36783.3,27
RC,360,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,948.0,35314.85,27
RC,360,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,948.0,42354.4,27
RC,360,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,948.0,70070.22,27
RC,360,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,948.0,65571.29,27
RC,360,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,948.0,70396.42,27
RC,360,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,948.0,65175.02,27
RC,360,"Pancreatectomy, total ",,,948.0,40924.76,27
RC,360,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,948.0,23307.22,21
RC,360,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,948.0,37467.18,27
RC,360,Pancreatorrhaphy for injury ,,,948.0,30233.16,27
RC,360,Panitumumab injection ,,,198.59,198.59,3
RC,360,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,892.44,5932.0,33
RC,360,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,892.44,8858.0,33
RC,360,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,892.44,9908.0,33
RC,360,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,360,"Paraffin, per pound ",,,5.3,5.3,3
RC,360,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,360,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,948.0,9908.0,19
RC,360,Parathyroidectomy or exploration of parathyroid(s); ,,,948.0,25655.0,33
RC,360,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,948.0,23113.0,31
RC,360,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,948.0,31204.43,27
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,948.0,23556.71,31
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,948.0,25655.0,31
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,948.0,19415.0,31
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,276.0,5932.0,33
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,948.0,5932.0,19
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,276.0,5932.0,33
RC,360,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,948.0,17510.0,33
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,948.0,19415.0,33
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,930.95,19415.0,33
RC,360,Partial Hospitalization (3 ,,,136.91,342.3,6
RC,360,Partial Hospitalization (4 ,,,179.39,448.48,6
RC,360,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,948.0,113154.86,27
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,948.0,82129.15,27
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,948.0,73341.3,27
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,948.0,63947.39,27
RC,360,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,948.0,101018.09,27
RC,360,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,948.0,57583.74,27
RC,360,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,845.93,6587.0,31
RC,360,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,3
RC,360,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,360,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,360,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,360,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,360,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,360,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,360,Partial hymenectomy or revision of hymenal ring ,,,948.0,8858.0,33
RC,360,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,948.0,25655.0,33
RC,360,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,948.0,25655.0,33
RC,360,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,360,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,360,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,360,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,360,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,360,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,360,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,360,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,360,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,360,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,360,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,360,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,360,Pegaspargase injection ,,,32333.72,32333.72,3
RC,360,Pegunigalsidase alfa-iwxj ,,,245.97,245.97,3
RC,360,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,360,Pelvic examination under anesthesia (other than local) ,,,948.0,8858.0,33
RC,360,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,948.0,62595.36,27
RC,360,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1995.0,65905.47,22
RC,360,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,948.0,51561.82,27
RC,360,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,948.0,25655.0,27
RC,360,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,360,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,360,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,360,Penile plethysmography ,,,231.89,5932.0,31
RC,360,"Penile revascularization, artery, with or without vein graft ",,,948.0,28422.76,27
RC,360,Penile venous occlusive procedure ,,,948.0,12360.0,31
RC,360,Pentostatin injection ,,,2940.81,2940.81,3
RC,360,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,360,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,948.0,76895.0,31
RC,360,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,1995.0,48097.28,27
RC,360,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,1995.0,48097.28,27
RC,360,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,270.48,5932.0,33
RC,360,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,357.81,5932.0,33
RC,360,Percutaneous balloon valvuloplasty; aortic valve ,,,15852.51,43890.0,14
RC,360,Percutaneous balloon valvuloplasty; mitral valve ,,,16482.0,48155.21,14
RC,360,Percutaneous balloon valvuloplasty; pulmonary valve ,,,16482.0,48155.21,14
RC,360,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,20
RC,360,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,20
RC,360,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,360,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,948.0,5932.0,17
RC,360,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,10868.0,25655.0,16
RC,360,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,948.0,77554.0,33
RC,360,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,948.0,77554.0,33
RC,360,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,948.0,77554.0,33
RC,360,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,948.0,77554.0,33
RC,360,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,25655.0,12
RC,360,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,357.81,5932.0,66
RC,360,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,948.0,25655.0,60
RC,360,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,7
RC,360,Percutaneous portal vein catheterization by any method ,,,948.0,5932.0,19
RC,360,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,25
RC,360,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,11388.0,44631.92,18
RC,360,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,11388.0,44631.92,18
RC,360,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,4
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,77468.25,10
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,77468.25,10
RC,360,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,77468.25,19
RC,360,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,360,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,27837.0,94000.0,8
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,25794.0,48155.21,14
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,17031.0,91021.43,14
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,9417.0,2
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,15852.51,43890.0,14
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,31792.18,9
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,9
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,12875.0,10
RC,360,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,9417.0,2
RC,360,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,21909.0,48155.21,14
RC,360,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,10763.0,1
RC,360,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,360,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,27837.0,94000.0,8
RC,360,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,25794.0,77468.25,14
RC,360,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,9417.0,2
RC,360,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,8
RC,360,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,948.0,44631.92,81
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,948.0,33769.0,33
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,13
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,948.0,33769.0,33
RC,360,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,18279.0,43890.0,8
RC,360,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,18279.0,48155.21,14
RC,360,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,46000.0,14
RC,360,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,21210.0,94000.0,14
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,27837.0,94000.0,22
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,9417.0,2
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,25794.0,57319.96,21
RC,360,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,27837.0,94000.0,22
RC,360,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,48155.21,16
RC,360,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,25655.0,20
RC,360,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,25655.0,20
RC,360,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,25655.0,20
RC,360,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,25655.0,20
RC,360,"Pereyra procedure, including anterior colporrhaphy ",,,948.0,18770.08,33
RC,360,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,360,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,4
RC,360,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,4
RC,360,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,948.0,18490.0,33
RC,360,Periodontal mucosal grafting ,,,441.67,25655.0,33
RC,360,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,360,Perirectal injection of sclerosing solution for prolapse ,,,948.0,5932.0,31
RC,360,"Peritoneal lavage, including imaging guidance, when performed ",,,351.7,6680.0,33
RC,360,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,948.0,32843.89,31
RC,360,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,843.46,6587.0,31
RC,360,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,948.0,25655.0,31
RC,360,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,948.0,25655.0,31
RC,360,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,360,Pertnscp cholangram w bx ,,,2152.0,6587.0,4
RC,360,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,360,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,360,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,360,Petrous apicectomy including radical mastoidectomy ,,,948.0,23113.0,33
RC,360,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1481.0,2636.0,5
RC,360,Pharyngoesophageal repair ,,,948.0,25655.0,27
RC,360,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,948.0,13581.48,33
RC,360,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,441.67,6680.0,33
RC,360,Phenobarbital ,,,16.68,16.68,3
RC,360,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,360,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,360,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,360,Phenytoin; free ,,,15.0,15.0,3
RC,360,Phenytoin; total ,,,14.44,14.44,3
RC,360,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,6
RC,360,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,360,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,360,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,360,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,360,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,360,Phosphatidylglycerol ,,,18.01,18.01,3
RC,360,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,360,Phosphohexose isomerase ,,,11.7,11.7,3
RC,360,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,360,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,360,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,360,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,360,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1481.0,2636.0,5
RC,360,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1481.0,2636.0,5
RC,360,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1481.0,2636.0,5
RC,360,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,1481.0,2174.0,4
RC,360,"Photopheresis, extracorporeal ",,,948.0,25655.0,33
RC,360,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,6
RC,360,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,6
RC,360,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,360,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,360,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,360,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,360,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,360,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,5
RC,360,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,360,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,360,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,360,Pinworm examinations ,,,4.65,4.65,3
RC,360,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,5
RC,360,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,948.0,12499.0,33
RC,360,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,948.0,19415.0,19
RC,360,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,948.0,12360.0,31
RC,360,Placement of amniotic membrane on the ocular surface; without sutures ,,,948.0,5932.0,31
RC,360,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,948.0,12499.0,66
RC,360,Placement of choledochal stent ,,,948.0,25655.0,27
RC,360,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,948.0,42494.33,27
RC,360,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,948.0,51802.86,27
RC,360,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,3293.0,15
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,948.0,25655.0,27
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,311.04,5932.0,33
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,74.41,5932.0,33
RC,360,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,6
RC,360,Placement of needle for intraosseous infusion ,,,792.63,11220.0,30
RC,360,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,948.0,12499.0,31
RC,360,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,948.0,18747.0,31
RC,360,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,685.44,18747.0,33
RC,360,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,948.0,18747.0,33
RC,360,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,5
RC,360,Placement of seton ,,,948.0,9908.0,33
RC,360,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,948.0,21630.0,99
RC,360,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,948.0,12499.0,99
RC,360,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,948.0,25655.0,31
RC,360,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,360,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,360,Plasma and/or cell exchange ,,,2152.0,6587.0,4
RC,360,Plasma cryo redu path each ,,,145.8,145.8,3
RC,360,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,360,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,360,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,360,Plastic operation of penis for injury ,,,948.0,19415.0,32
RC,360,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,948.0,17510.0,33
RC,360,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,948.0,17510.0,33
RC,360,Plastic operation on penis for epispadias distal to external sphincter; ,,,685.44,12360.0,33
RC,360,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,948.0,27917.61,27
RC,360,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,685.44,12360.0,33
RC,360,Plastic operation on penis to correct angulation ,,,948.0,17510.0,33
RC,360,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,948.0,17510.0,33
RC,360,Plastic repair of canaliculi ,,,733.22,8858.0,33
RC,360,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,948.0,25655.0,33
RC,360,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,948.0,23113.0,33
RC,360,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,948.0,23113.0,33
RC,360,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,930.95,23113.0,33
RC,360,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,948.0,17510.0,33
RC,360,Plastic repair of introitus ,,,948.0,9908.0,33
RC,360,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,948.0,13581.48,33
RC,360,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,948.0,19415.0,33
RC,360,Plastic repair of urethrocele ,,,948.0,9908.0,33
RC,360,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,360,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,360,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,360,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,360,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,360,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,360,Platelets pheresis path re ,,,662.1,662.1,3
RC,360,"Platelets, each unit ",,,57.96,57.96,3
RC,360,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,360,"Platelets, irradiated ",,,428.34,428.34,3
RC,360,"Platelets, pheresis ",,,336.77,336.77,3
RC,360,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,360,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,360,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,360,Plerixafor injection ,,,31.05,31.05,3
RC,360,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,360,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,360,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,360,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,360,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,360,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,360,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,360,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,360,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,360,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,360,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,360,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,360,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,360,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,360,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,360,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,360,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,360,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,360,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,360,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,360,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,360,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,360,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,360,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,360,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,360,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,360,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,360,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,360,"Portoenterostomy (eg, Kasai procedure) ",,,948.0,38508.32,27
RC,360,Posaconazole ,,,29.55,29.55,3
RC,360,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,360,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,360,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,360,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,360,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,360,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,360,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,360,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,360,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,360,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,360,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,948.0,18490.0,33
RC,360,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,640.52,5932.0,31
RC,360,Postpartum care only (separate procedure) ,,,948.0,6587.0,21
RC,360,Postural drainage board ,,,31.28,31.28,3
RC,360,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,360,Potassium; urine ,,,5.16,5.16,3
RC,360,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,360,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,360,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,360,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,360,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,360,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,360,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,360,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,360,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,360,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,360,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,360,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,360,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,360,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,360,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,360,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,360,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,360,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,360,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,360,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,360,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,360,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,360,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,360,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,360,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,360,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,360,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,360,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,360,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,360,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,360,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,360,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,360,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,360,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,360,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,360,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,360,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,360,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,360,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,360,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,360,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,360,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,360,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,360,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,360,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,360,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,360,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,360,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,360,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,360,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,360,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,360,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,360,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,360,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,360,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,360,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,360,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,360,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,360,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,360,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,360,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,360,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,360,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,360,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,360,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,360,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,360,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,360,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,360,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,360,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,360,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,360,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,360,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,360,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,360,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,360,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,360,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,360,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,360,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,360,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,360,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,360,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,360,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,360,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,360,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,360,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,360,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,360,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,360,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,360,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,360,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,360,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,360,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,360,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,360,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,360,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,360,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,360,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,360,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,360,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,360,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,360,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,360,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,360,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,360,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,360,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,360,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,360,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,360,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,360,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,360,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,360,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,360,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,360,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,360,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,360,Pralatrexate injection ,,,420.87,420.87,3
RC,360,Prealbumin ,,,15.9,15.9,3
RC,360,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,360,Pregnanediol ,,,23.18,23.18,3
RC,360,Pregnanetriol ,,,22.94,22.94,3
RC,360,Pregnenolone ,,,22.53,22.53,3
RC,360,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,360,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,948.0,6587.0,21
RC,360,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,10
RC,360,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,360,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,360,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,360,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,360,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,360,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,360,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,360,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,360,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,360,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,360,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,360,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,360,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,360,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,360,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,360,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,360,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,360,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,360,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,948.0,25655.0,27
RC,360,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,360,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,948.0,33769.0,52
RC,360,Primidone ,,,18.08,18.08,3
RC,360,"Prism, per lens ",,,17.53,17.53,3
RC,360,"Probing of lacrimal canaliculi, with or without irrigation ",,,72.68,5932.0,33
RC,360,"Probing of nasolacrimal duct, with or without irrigation; ",,,113.7,5932.0,33
RC,360,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,733.22,8858.0,33
RC,360,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,733.22,8858.0,33
RC,360,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,733.22,9868.0,33
RC,360,Procainamide hcl injection ,,,321.94,321.94,3
RC,360,Procainamide; ,,,65.4,65.4,3
RC,360,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,360,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,360,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,948.0,43473.37,27
RC,360,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,948.0,41973.65,27
RC,360,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,948.0,35773.21,27
RC,360,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,948.0,38826.76,27
RC,360,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,948.0,40878.19,27
RC,360,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,948.0,35058.28,27
RC,360,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,948.0,42494.33,27
RC,360,"Proctectomy, partial, without anastomosis, perineal approach ",,,948.0,25655.0,27
RC,360,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,948.0,41437.67,27
RC,360,"Proctectomy; partial resection of rectum, transabdominal approach ",,,948.0,25655.0,27
RC,360,"Proctopexy (eg, for prolapse); abdominal approach ",,,948.0,25655.0,27
RC,360,"Proctopexy (eg, for prolapse); perineal approach ",,,948.0,25655.0,33
RC,360,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,948.0,32952.74,27
RC,360,Proctoplasty; for prolapse of mucous membrane ,,,948.0,12360.0,33
RC,360,Proctoplasty; for stenosis ,,,948.0,8858.0,33
RC,360,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,86.63,5932.0,33
RC,360,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,948.0,8858.0,33
RC,360,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,450.72,5932.0,33
RC,360,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,450.72,6587.0,33
RC,360,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,948.0,8858.0,33
RC,360,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,450.72,5932.0,33
RC,360,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,948.0,8858.0,33
RC,360,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,450.72,5932.0,33
RC,360,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,948.0,6563.7,33
RC,360,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,450.72,5932.0,33
RC,360,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,948.0,13386.32,33
RC,360,Progesterone ,,,22.74,22.74,3
RC,360,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,360,Proinsulin ,,,29.09,29.09,3
RC,360,Prolactin ,,,21.12,21.12,3
RC,360,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,113.7,6680.0,28
RC,360,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,125.86,5932.0,28
RC,360,"Prostaglandin, each ",,,45.53,45.53,3
RC,360,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,360,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,360,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,360,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,360,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,948.0,25655.0,27
RC,360,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,948.0,25655.0,27
RC,360,"Prostatectomy, perineal radical; ",,,948.0,29541.73,27
RC,360,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,39526.16,27
RC,360,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,36192.77,27
RC,360,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,948.0,25655.0,27
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,948.0,26348.26,27
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,30676.0,31
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,26371.55,27
RC,360,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,948.0,8858.0,33
RC,360,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,948.0,8858.0,33
RC,360,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,360,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,360,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,360,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,360,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,360,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,360,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,360,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,360,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,360,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,360,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,360,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,360,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,360,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,360,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,360,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,360,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,360,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,360,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,360,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,360,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,360,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,360,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,360,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,360,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,360,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,360,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,360,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,360,Prothrombin time; ,,,4.68,4.68,3
RC,360,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,360,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,360,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,360,Pulmonary Treatment ,,,239.77,239.77,3
RC,360,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,360,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,360,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,360,Pump for water circulating pad ,,,68.74,68.74,3
RC,360,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,56.97,3293.0,29
RC,360,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,276.0,5932.0,33
RC,360,"Push transfusion, blood, 2 years or younger ",,,948.0,5932.0,31
RC,360,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,948.0,31367.64,27
RC,360,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,948.0,26076.17,27
RC,360,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,2152.0,16144.0,5
RC,360,"Pyelotomy; with drainage, pyelostomy ",,,948.0,25655.0,27
RC,360,Pyelotomy; with exploration ,,,948.0,25655.0,27
RC,360,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,948.0,25655.0,27
RC,360,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,948.0,25655.0,27
RC,360,Pyloroplasty ,,,948.0,25655.0,27
RC,360,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,360,Pyruvate ,,,15.78,15.78,3
RC,360,Pyruvate kinase ,,,10.29,10.29,3
RC,360,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,360,Quinidine ,,,15.91,15.91,3
RC,360,Quinine ,,,12.68,12.68,3
RC,360,RBC deglycerolized ,,,341.17,341.17,3
RC,360,RBC irradiated ,,,158.29,158.29,3
RC,360,RBC leukocytes reduced ,,,201.55,201.55,3
RC,360,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,360,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,360,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,360,RECONSTRUCTION OF URETHRA ,,,2152.0,6587.0,4
RC,360,REDUCTION OF SKULL DEFECT ,,,2152.0,6587.0,4
RC,360,REMOVAL OF ABDOMINAL FLUID ,,,2152.0,6587.0,4
RC,360,REMOVAL OF ABDOMINAL LESION ,,,2152.0,6587.0,4
RC,360,REMOVAL OF ACCESS DEVICE ,,,2152.0,6587.0,4
RC,360,REMOVAL OF ANAL CRYPT ,,,2152.0,6587.0,4
RC,360,REMOVAL OF ANAL CRYPTS ,,,2152.0,6587.0,4
RC,360,REMOVAL OF BRAIN TISSUE ,,,2152.0,6587.0,4
RC,360,REMOVAL OF COLON/ILEOSTOMY ,,,2152.0,6587.0,8
RC,360,REMOVAL OF INFUSION PUMP ,,,2152.0,6587.0,4
RC,360,REMOVAL OF LEG VEIN ,,,2152.0,6587.0,4
RC,360,REMOVAL OF LEG VEINS ,,,2152.0,6587.0,4
RC,360,"REMOVAL OF STOMACH, PARTIAL ",,,2152.0,6587.0,8
RC,360,REMOVAL OF TESTIS LESION ,,,2152.0,6587.0,4
RC,360,"REMOVE ABDOM LESION, COMPLEX ",,,2152.0,6587.0,4
RC,360,REMOVE ABDOMEN FOREIGN BODY ,,,2152.0,6587.0,4
RC,360,REMOVE BILE DUCT STONE ,,,2152.0,6587.0,4
RC,360,REMOVE MULTI-COMP PROSTHESIS ,,,2152.0,6587.0,4
RC,360,REMOVE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,360,REMOVE RESIDUAL PROSTATE ,,,2152.0,6587.0,4
RC,360,RENAL ABSCESS PERCUT DRAIN ,,,2152.0,6587.0,4
RC,360,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,6587.0,8
RC,360,REPAIR A-V ANEURYSM ,,,2152.0,2235.0,3
RC,360,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,360,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,5694.0,7168.0,5
RC,360,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,360,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,360,REPAIR OF DIAPHRAGM HERNIA ,,,2152.0,6587.0,12
RC,360,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,3796.0,5381.0,5
RC,360,REPAIR PARAESOPHAGEAL HERNIA ,,,2152.0,6587.0,4
RC,360,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,360,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,360,REPAIR SPIGELIAN HERNIA ,,,5694.0,7168.0,5
RC,360,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,360,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,5694.0,7168.0,5
RC,360,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,360,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,5694.0,7168.0,5
RC,360,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,360,REPOSITIONING OF CVC ,,,2152.0,6587.0,4
RC,360,REREPAIR DETACHED RETINA ,,,2152.0,6587.0,4
RC,360,RESECT/DEBRIDE PANCREAS ,,,2152.0,6587.0,4
RC,360,REVISE ESOPHAGUS & STOMACH ,,,2152.0,6587.0,8
RC,360,REVISE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,360,REVISE/REINSERT BILE TUBE ,,,2152.0,6587.0,4
RC,360,REVISE/REMOVE NEUROELECTRODE ,,,2152.0,6587.0,4
RC,360,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,7592.0,8072.0,5
RC,360,REVISION OF ACCESS DEVICE ,,,2152.0,6587.0,4
RC,360,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY ,,,2152.0,16144.0,5
RC,360,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY ,,,2152.0,16144.0,5
RC,360,REVISION OF INFUSION PUMP ,,,2152.0,6587.0,4
RC,360,REVISION OF MAJOR VEIN ,,,2152.0,6587.0,4
RC,360,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,360,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,360,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,360,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,360,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,360,"Rabies vaccine, id ",,,258.18,258.18,3
RC,360,"Rabies vaccine, im ",,,361.85,361.85,3
RC,360,Radial keratotomy ,,,948.0,23113.0,31
RC,360,Radiation tx delivery lvl ,,,85.19,419.55,9
RC,360,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,41507.53,26
RC,360,Radical excision external auditory canal lesion; with neck dissection ,,,948.0,36542.48,27
RC,360,Radical excision external auditory canal lesion; without neck dissection ,,,948.0,13581.48,33
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,948.0,25655.0,27
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,948.0,49976.73,27
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,948.0,25655.0,27
RC,360,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,948.0,37195.1,27
RC,360,Radiesse injection ,,,380.62,380.62,3
RC,360,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,692.94,19415.0,33
RC,360,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,360,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,360,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,360,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,360,Ranibizumab injection ,,,55.69,55.69,3
RC,360,Rasburicase ,,,422.32,422.32,3
RC,360,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,360,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,360,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,360,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,360,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,948.0,25655.0,27
RC,360,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,360,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,360,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,360,Receptor assay; estrogen ,,,95.79,95.79,3
RC,360,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,360,Receptor assay; progesterone ,,,70.72,70.72,3
RC,360,Recipient nephrectomy (separate procedure) ,,,948.0,25655.0,27
RC,360,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,360,"Reconstruction external auditory canal for congenital atresia, single stage ",,,948.0,23113.0,33
RC,360,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,948.0,17510.0,33
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,733.22,9908.0,33
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,733.22,9908.0,33
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,948.0,12360.0,33
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,733.22,9908.0,33
RC,360,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,948.0,35392.46,27
RC,360,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,360,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,360,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1481.0,5932.0,7
RC,360,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,2
RC,360,Red blood cells unit ,,,164.12,164.12,3
RC,360,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,948.0,38236.23,27
RC,360,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,948.0,44941.82,27
RC,360,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,360,Reduction of overcorrection of ptosis ,,,733.22,19415.0,33
RC,360,Reduction of procidentia (separate procedure) under anesthesia ,,,344.93,5932.0,33
RC,360,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,948.0,19415.0,33
RC,360,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,948.0,76895.0,31
RC,360,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1481.0,2636.0,5
RC,360,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1481.0,2636.0,5
RC,360,Regulator ,,,43.99,43.99,3
RC,360,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,360,Reinsertion of ocular implant; with or without conjunctival graft ,,,948.0,12360.0,33
RC,360,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,948.0,12360.0,33
RC,360,Release of encircling material (posterior segment) ,,,1610.16,10691.32,28
RC,360,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,733.22,23113.0,33
RC,360,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,360,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,360,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,360,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,360,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,360,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,33
RC,360,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,685.44,9868.0,33
RC,360,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,33
RC,360,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,572.66,8858.0,33
RC,360,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,6004.0,54082.0,25
RC,360,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,948.0,54082.0,30
RC,360,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,685.44,5932.0,33
RC,360,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,20
RC,360,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,948.0,49207.09,33
RC,360,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,948.0,28733.66,27
RC,360,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,948.0,54082.0,30
RC,360,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,948.0,54082.0,30
RC,360,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,855.96,8858.0,33
RC,360,Removal foreign body from external auditory canal; with general anesthesia ,,,510.77,5932.0,33
RC,360,Removal foreign body from external auditory canal; without general anesthesia ,,,237.69,2636.0,27
RC,360,"Removal impacted cerumen requiring instrumentation, unilateral ",,,119.92,5932.0,31
RC,360,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,119.92,5932.0,31
RC,360,"Removal of Thiersch wire or suture, anal canal ",,,948.0,6680.0,33
RC,360,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1200.05,12360.0,27
RC,360,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,3
RC,360,"Removal of anal seton, other marker ",,,450.72,5932.0,33
RC,360,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,948.0,12360.0,20
RC,360,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,948.0,12360.0,20
RC,360,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,948.0,12360.0,20
RC,360,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,351.7,5932.0,33
RC,360,"Removal of blood clot, anterior segment of eye ",,,892.44,18490.0,33
RC,360,Removal of bone flap or prosthetic plate of skull ,,,948.0,25655.0,27
RC,360,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,948.0,5932.0,19
RC,360,Removal of cerclage suture under anesthesia (other than local) ,,,948.0,18490.0,33
RC,360,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,948.0,25655.0,27
RC,360,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,948.0,25655.0,31
RC,360,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,176.16,8858.0,33
RC,360,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,40.7,5932.0,33
RC,360,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,948.0,15425.23,33
RC,360,Removal of embedded foreign body from dentoalveolar structures; bone ,,,272.38,5932.0,33
RC,360,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,231.98,5932.0,33
RC,360,"Removal of embedded foreign body, eyelid ",,,113.7,5932.0,33
RC,360,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,158.14,6680.0,33
RC,360,"Removal of embedded foreign body, vestibule of mouth; simple ",,,948.0,5047.0,27
RC,360,Removal of entire lumbosubarachnoid shunt system without replacement ,,,692.94,8858.0,33
RC,360,"Removal of epithelial downgrowth, anterior chamber of eye ",,,892.44,18490.0,33
RC,360,Removal of esophageal sphincter augmentation device ,,,1995.0,25655.0,22
RC,360,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,450.72,5932.0,33
RC,360,Removal of foreign body from pharynx ,,,792.63,5932.0,31
RC,360,Removal of foreign body in scrotum ,,,685.44,8858.0,33
RC,360,"Removal of foreign body or dacryolith, lacrimal passages ",,,113.7,5932.0,33
RC,360,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,792.63,2636.0,27
RC,360,"Removal of foreign body, external eye; conjunctival superficial ",,,237.69,2636.0,27
RC,360,"Removal of foreign body, external eye; corneal, with slit lamp ",,,237.69,2636.0,27
RC,360,"Removal of foreign body, external eye; corneal, without slit lamp ",,,792.63,2636.0,27
RC,360,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,892.44,8858.0,33
RC,360,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,892.44,9908.0,33
RC,360,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,892.44,19415.0,33
RC,360,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,7
RC,360,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,948.0,25655.0,33
RC,360,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,7
RC,360,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,5
RC,360,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,948.0,8858.0,33
RC,360,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,4
RC,360,Removal of implanted intra-arterial infusion pump ,,,948.0,12360.0,33
RC,360,"Removal of implanted material, anterior segment of eye ",,,892.44,23113.0,33
RC,360,"Removal of implanted material, posterior segment; extraocular ",,,892.44,8858.0,28
RC,360,"Removal of implanted material, posterior segment; intraocular ",,,892.44,12360.0,28
RC,360,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,948.0,21630.0,33
RC,360,Removal of intrauterine device (IUD) ,,,53.78,5932.0,33
RC,360,"Removal of lens material; aspiration technique, 1 or more stages ",,,892.44,19415.0,33
RC,360,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,892.44,18490.0,33
RC,360,Removal of lens material; intracapsular ,,,892.44,19415.0,33
RC,360,"Removal of lens material; intracapsular, for dislocated lens ",,,948.0,18490.0,33
RC,360,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,948.0,19415.0,33
RC,360,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,892.44,23113.0,33
RC,360,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,250.06,5932.0,33
RC,360,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,360,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,948.0,12360.0,32
RC,360,Removal of non-resorbable barrier ,,,10868.0,12875.0,4
RC,360,Removal of ocular implant ,,,948.0,12360.0,33
RC,360,Removal of pancreatic calculus ,,,948.0,26565.8,27
RC,360,Removal of peritoneal foreign body from peritoneal cavity ,,,948.0,12360.0,33
RC,360,Removal of peritoneal-venous shunt ,,,948.0,25655.0,33
RC,360,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,25655.0,20
RC,360,Removal of previously implanted intrathecal or epidural catheter ,,,692.94,8858.0,33
RC,360,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,892.44,19415.0,33
RC,360,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,948.0,12499.0,30
RC,360,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,692.94,18747.0,33
RC,360,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,948.0,18747.0,33
RC,360,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,948.0,15425.23,33
RC,360,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,6
RC,360,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,4
RC,360,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,4
RC,360,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,4
RC,360,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,948.0,6587.0,19
RC,360,"Removal of transplanted intestinal allograft, complete ",,,948.0,35237.02,27
RC,360,Removal of transplanted pancreatic allograft ,,,948.0,28710.16,23
RC,360,Removal of transplanted renal allograft ,,,948.0,27101.78,27
RC,360,"Removal of tumor, temporal bone ",,,948.0,25655.0,31
RC,360,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,468.58,11220.0,32
RC,360,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,234.94,11220.0,32
RC,360,Removal of tunneled intraperitoneal catheter ,,,948.0,12360.0,33
RC,360,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,892.44,19415.0,28
RC,360,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,892.44,19415.0,28
RC,360,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,930.95,17510.0,33
RC,360,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,948.0,12360.0,33
RC,360,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,948.0,25655.0,33
RC,360,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,360,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,948.0,25655.0,33
RC,360,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,948.0,12360.0,33
RC,360,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,12360.0,33
RC,360,Remove interim implant component ,,,10868.0,12875.0,4
RC,360,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,948.0,64499.11,27
RC,360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,948.0,54444.61,27
RC,360,"Renal autotransplantation, reimplantation of kidney ",,,948.0,44949.58,27
RC,360,Renal biopsy; by surgical exposure of kidney ,,,948.0,25655.0,27
RC,360,"Renal biopsy; percutaneous, by trocar or needle ",,,510.77,5932.0,33
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,11848.54,33
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,22590.2,33
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,948.0,22590.2,33
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,948.0,11848.54,33
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,948.0,22590.2,33
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,948.0,11848.54,33
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,5932.0,33
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,948.0,25655.0,29
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,948.0,25655.0,33
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,25655.0,33
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,250.06,5932.0,33
RC,360,"Renal exploration, not necessitating other specific procedures ",,,948.0,25655.0,27
RC,360,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,360,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,360,Renin ,,,23.97,23.97,3
RC,360,Reopening of recent laparotomy ,,,948.0,25655.0,27
RC,360,Repair incomplete circumcision ,,,685.44,8858.0,33
RC,360,"Repair inguinal hernia, sliding, any age ",,,1209.12,19415.0,28
RC,360,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,360,"Repair initial femoral hernia, any age; reducible ",,,1209.12,18490.0,28
RC,360,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,360,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1209.12,19415.0,27
RC,360,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,948.0,19415.0,33
RC,360,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,948.0,19415.0,33
RC,360,"Repair lip, full thickness; over one-half vertical height, or complex ",,,441.67,9908.0,33
RC,360,"Repair lip, full thickness; up to half vertical height ",,,196.58,9908.0,33
RC,360,"Repair lip, full thickness; vermilion only ",,,196.58,9908.0,33
RC,360,Repair lumbar hernia ,,,1983.29,13534.39,28
RC,360,Repair of anal fistula with fibrin glue ,,,948.0,8858.0,33
RC,360,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,948.0,12499.0,29
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,13
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,23698.54,196
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,28718.14,192
RC,360,"Repair of anterior palate, including vomer flap ",,,948.0,18490.0,33
RC,360,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,733.22,19415.0,33
RC,360,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,733.22,19415.0,33
RC,360,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,733.22,19415.0,33
RC,360,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,948.0,18490.0,33
RC,360,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,733.22,18490.0,33
RC,360,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,948.0,18490.0,33
RC,360,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,733.22,19415.0,33
RC,360,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,468.58,11220.0,32
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,948.0,87855.71,27
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,948.0,95361.6,27
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,948.0,78671.58,27
RC,360,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1610.16,18490.0,28
RC,360,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,6004.0,17510.0,25
RC,360,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,4
RC,360,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,948.0,25655.0,27
RC,360,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,948.0,25655.0,27
RC,360,Repair of ectropion; excision tarsal wedge ,,,733.22,19415.0,33
RC,360,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,733.22,19415.0,33
RC,360,Repair of ectropion; suture ,,,733.22,9908.0,33
RC,360,Repair of ectropion; thermocauterization ,,,210.46,9908.0,33
RC,360,"Repair of encephalocele, skull vault, including cranioplasty ",,,948.0,48135.29,27
RC,360,"Repair of enterocele, abdominal approach (separate procedure) ",,,948.0,25655.0,27
RC,360,"Repair of enterocele, vaginal approach (separate procedure) ",,,948.0,11960.31,33
RC,360,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,25655.0,19
RC,360,Repair of entropion; excision tarsal wedge ,,,733.22,19415.0,33
RC,360,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,733.22,19415.0,33
RC,360,Repair of entropion; suture ,,,733.22,9908.0,33
RC,360,Repair of entropion; thermocauterization ,,,201.75,25655.0,33
RC,360,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,948.0,56122.84,27
RC,360,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,948.0,48446.18,27
RC,360,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,948.0,51157.78,27
RC,360,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,948.0,44328.01,27
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,948.0,12360.0,33
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,948.0,12360.0,33
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,948.0,12360.0,33
RC,360,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,948.0,50303.15,31
RC,360,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,948.0,25655.0,31
RC,360,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,948.0,12360.0,33
RC,360,"Repair of iris, ciliary body (as for iridodialysis) ",,,892.44,9908.0,33
RC,360,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,237.69,6680.0,31
RC,360,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,91.96,6680.0,33
RC,360,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,91.96,6680.0,33
RC,360,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,391.57,6680.0,33
RC,360,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,948.0,25655.0,31
RC,360,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,733.22,8858.0,33
RC,360,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,733.22,8858.0,33
RC,360,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,948.0,19415.0,33
RC,360,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,948.0,19415.0,33
RC,360,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,948.0,19415.0,33
RC,360,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,948.0,110738.41,31
RC,360,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,948.0,25655.0,27
RC,360,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,948.0,25655.0,27
RC,360,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,948.0,27288.28,27
RC,360,Repair of meningocele; larger than 5 cm diameter ,,,948.0,32502.13,27
RC,360,Repair of meningocele; less than 5 cm diameter ,,,948.0,29510.68,27
RC,360,Repair of myelomeningocele; larger than 5 cm diameter ,,,948.0,40171.02,27
RC,360,Repair of myelomeningocele; less than 5 cm diameter ,,,948.0,36223.82,27
RC,360,Repair of nasolabial fistula ,,,948.0,19415.0,33
RC,360,Repair of omphalocele (Gross type operation); first stage ,,,948.0,25655.0,27
RC,360,Repair of omphalocele (Gross type operation); second stage ,,,948.0,25655.0,27
RC,360,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,360,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,948.0,21630.0,31
RC,360,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,948.0,21630.0,31
RC,360,Repair of rectocele (separate procedure) ,,,948.0,12360.0,33
RC,360,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,174.12,19415.0,28
RC,360,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,144.47,18490.0,28
RC,360,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,434.01,25655.0,24
RC,360,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1610.16,18490.0,28
RC,360,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1610.16,23113.0,28
RC,360,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,948.0,28780.23,27
RC,360,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,360,Repair of scleral staphyloma with graft ,,,948.0,19415.0,33
RC,360,"Repair of small omphalocele, with primary closure ",,,948.0,19415.0,33
RC,360,"Repair of symblepharon; conjunctivoplasty, without graft ",,,892.44,19415.0,33
RC,360,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,733.22,19415.0,33
RC,360,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,948.0,19415.0,33
RC,360,Repair of traumatic corporeal tear(s) ,,,948.0,18747.0,32
RC,360,Repair of tunica vaginalis hydrocele (Bottle type) ,,,948.0,19415.0,33
RC,360,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,234.94,11220.0,32
RC,360,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,948.0,12360.0,33
RC,360,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,360,Repair oval window fistula ,,,930.95,19415.0,28
RC,360,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,360,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1209.12,19415.0,28
RC,360,Repair recurrent femoral hernia; reducible ,,,1209.12,18490.0,28
RC,360,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,360,"Repair recurrent inguinal hernia, any age; reducible ",,,1209.12,19415.0,28
RC,360,Repair round window fistula ,,,930.95,19415.0,28
RC,360,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,360,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,6
RC,360,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,6
RC,360,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,948.0,25655.0,27
RC,360,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,948.0,25655.0,27
RC,360,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,360,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,948.0,19415.0,66
RC,360,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,948.0,25655.0,31
RC,360,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,948.0,25655.0,31
RC,360,"Repair, laceration of diaphragm, any approach ",,,948.0,25655.0,27
RC,360,"Repair, laceration of palate; over 2 cm or complex ",,,948.0,13581.48,33
RC,360,"Repair, laceration of palate; up to 2 cm ",,,196.58,5932.0,33
RC,360,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,360,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,948.0,135035.45,27
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,28422.76,27
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,26099.46,27
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,30100.99,27
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,28135.37,27
RC,360,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,34646.49,27
RC,360,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,34048.2,27
RC,360,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,360,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,360,Replace high roll cuff ,,,398.06,398.06,3
RC,360,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,360,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,360,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,360,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,360,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,360,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,360,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,360,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,360,Replace pretibial shell ,,,724.27,724.27,3
RC,360,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,360,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,360,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,360,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,360,Replace trilateral socket brim ,,,862.54,862.54,3
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,948.0,36534.62,33
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,948.0,35261.21,33
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,33769.0,33
RC,360,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,360,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,360,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,360,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,360,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,360,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,360,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,360,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,360,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,360,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,360,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,360,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,360,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,360,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,360,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,360,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,360,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,360,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,360,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,360,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,360,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,948.0,27630.22,27
RC,360,Replacement of an implant screw ,,,10868.0,12875.0,3
RC,360,Replacement of bone flap or prosthetic plate of skull ,,,948.0,25655.0,27
RC,360,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,33
RC,360,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,33
RC,360,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,33
RC,360,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,115.66,6587.0,33
RC,360,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,115.66,6587.0,33
RC,360,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,4
RC,360,"Replacement or irrigation, subarachnoid/subdural catheter ",,,692.94,8858.0,33
RC,360,"Replacement or irrigation, ventricular catheter ",,,948.0,15425.23,33
RC,360,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,948.0,17510.0,33
RC,360,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,360,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,360,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,360,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,360,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,360,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,360,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,360,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,360,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,948.0,11220.0,32
RC,360,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,635.9,11220.0,32
RC,360,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,948.0,11220.0,32
RC,360,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,468.58,11220.0,32
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,948.0,11220.0,32
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,948.0,12869.33,32
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,948.0,11220.0,32
RC,360,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,360,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,948.0,17510.0,33
RC,360,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,360,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,360,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,360,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,360,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,360,"Replantation, penis, complete amputation including urethral repair ",,,2152.0,16144.0,5
RC,360,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,115.66,5932.0,33
RC,360,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,892.44,19415.0,33
RC,360,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,948.0,25655.0,31
RC,360,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,468.58,11220.0,32
RC,360,Reprogramming of programmable cerebrospinal shunt ,,,31.39,3092.0,29
RC,360,Reptilase test ,,,10.74,10.74,3
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,948.0,25655.0,27
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,948.0,37156.29,27
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,948.0,32750.72,27
RC,360,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,948.0,39813.56,27
RC,360,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,2152.0,16144.0,5
RC,360,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,948.0,23113.0,33
RC,360,"Resection of lip, more than one-fourth, without reconstruction ",,,930.95,8858.0,33
RC,360,Resection of mediastinal cyst ,,,948.0,25655.0,27
RC,360,Resection of mediastinal tumor ,,,948.0,25655.0,27
RC,360,Resection of palate or extensive resection of lesion ,,,948.0,19415.0,33
RC,360,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,948.0,53263.55,27
RC,360,Resection of scrotum ,,,948.0,8858.0,33
RC,360,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,948.0,64056.05,27
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,948.0,47847.89,27
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,948.0,54467.89,27
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,948.0,63652.02,27
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,948.0,75602.3,27
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,948.0,48290.73,27
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,948.0,66589.14,27
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,948.0,60474.08,27
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,948.0,74359.15,27
RC,360,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,3
RC,360,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,3
RC,360,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,3
RC,360,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,3
RC,360,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,360,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,360,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,360,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,360,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,360,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,360,"Resection temporal bone, external approach ",,,948.0,59603.91,27
RC,360,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,948.0,27917.61,27
RC,360,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,948.0,25655.0,27
RC,360,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,360,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,360,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,360,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,360,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,360,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,360,Resuscitation and Cardiove ,,,723.71,723.71,3
RC,360,Reticulated platelet assay ,,,38.96,38.96,3
RC,360,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,948.0,25655.0,31
RC,360,Retrobulbar injection; alcohol ,,,36.62,5932.0,33
RC,360,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,27.62,2636.0,29
RC,360,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,948.0,25655.0,27
RC,360,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,360,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,9875.0,44979.2,20
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,948.0,21630.0,52
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,948.0,52440.33,52
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,948.0,33023.84,52
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,948.0,52440.33,52
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,18490.0,14
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,18490.0,14
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,18490.0,14
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,5796.69,10763.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,2638.63,9417.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,7668.0,13453.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,5604.99,10763.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,8024.0,9417.0,2
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,8024.0,9417.0,2
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,2454.04,9417.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,5352.25,10763.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,948.0,21630.0,52
RC,360,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,948.0,33023.84,52
RC,360,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,948.0,33023.84,52
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,20
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,20
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,20
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,25655.0,20
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,948.0,33023.84,52
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,948.0,52440.33,52
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,948.0,52440.33,52
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,948.0,52440.33,52
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,7008.0,10763.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,4988.47,9417.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,7668.0,13453.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,7008.0,10763.0,4
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,28120.23,20
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,44979.2,20
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,9875.0,44979.2,20
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,7008.0,10763.0,2
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,8024.0,9417.0,2
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,8024.0,9417.0,2
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,8024.0,9417.0,2
RC,360,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,948.0,18770.08,29
RC,360,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,948.0,25655.0,27
RC,360,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,948.0,9908.0,33
RC,360,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,948.0,21630.0,33
RC,360,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,948.0,53982.38,33
RC,360,Revision mastoidectomy; resulting in complete mastoidectomy ,,,948.0,23113.0,33
RC,360,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,948.0,23113.0,33
RC,360,Revision mastoidectomy; resulting in radical mastoidectomy ,,,948.0,23113.0,33
RC,360,Revision mastoidectomy; resulting in tympanoplasty ,,,948.0,23113.0,33
RC,360,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,892.44,8858.0,33
RC,360,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,892.44,12499.0,33
RC,360,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,948.0,25655.0,31
RC,360,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,948.0,12360.0,33
RC,360,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,948.0,26627.89,31
RC,360,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,948.0,38399.44,27
RC,360,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,948.0,36853.15,27
RC,360,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,948.0,25655.0,31
RC,360,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,948.0,12360.0,33
RC,360,Revision of implanted intra-arterial infusion pump ,,,948.0,12360.0,33
RC,360,Revision of peritoneal-venous shunt ,,,948.0,12360.0,33
RC,360,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,948.0,17510.0,33
RC,360,Revision of stapedectomy or stapedotomy ,,,1995.0,18490.0,28
RC,360,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,948.0,33769.0,31
RC,360,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,948.0,25655.0,29
RC,360,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,948.0,25655.0,27
RC,360,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,948.0,17323.96,33
RC,360,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,948.0,40163.26,27
RC,360,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,948.0,12360.0,33
RC,360,Revision or removal of intracranial neurostimulator electrodes ,,,948.0,25655.0,29
RC,360,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,948.0,12774.62,30
RC,360,Revision or removal of peripheral neurostimulator electrode array ,,,948.0,12360.0,33
RC,360,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,948.0,12360.0,33
RC,360,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,733.22,8858.0,33
RC,360,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,948.0,12360.0,20
RC,360,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,948.0,88272.97,20
RC,360,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,948.0,21630.0,33
RC,360,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,948.0,32153.46,33
RC,360,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,7
RC,360,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,7
RC,360,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,948.0,58359.95,30
RC,360,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1995.0,19415.0,27
RC,360,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1995.0,19415.0,27
RC,360,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,948.0,43442.32,18
RC,360,Rh ig minidose im ,,,87.2,87.2,3
RC,360,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,360,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,360,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,360,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,360,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,7799.0,22644.0,10
RC,360,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,7799.0,22644.0,10
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,7799.0,22644.0,10
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,7799.0,22644.0,10
RC,360,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9119.84,22644.0,14
RC,360,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,7168.0,5
RC,360,Right ventricular recording ,,,2152.88,43890.0,14
RC,360,"Risperidone, long acting ",,,12.1,12.1,3
RC,360,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,360,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,360,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,2222.0,12
RC,360,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,6
RC,360,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,948.0,52059.21,17
RC,360,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,948.0,52742.87,17
RC,360,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,948.0,46954.23,17
RC,360,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,948.0,49269.77,17
RC,360,Rsv mab im 50mg ,,,476.06,476.06,3
RC,360,Rufinamide ,,,29.55,29.55,3
RC,360,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,360,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,360,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,360,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,360,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,360,SIGMOIDOSCOPY W/ABLATE TUMR ,,,2152.0,6587.0,4
RC,360,SIGMOIDOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,360,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,360,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,360,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,360,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,360,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,360,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,360,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,5694.0,7168.0,5
RC,360,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,360,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,2152.0,16144.0,5
RC,360,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2214.0,4723.0,5
RC,360,STRIP RETINAL MEMBRANE ,,,2152.0,6587.0,4
RC,360,SURGICAL COLONOSCOPY ,,,2152.0,6587.0,4
RC,360,SURGICAL OPENING ESOPHAGUS ,,,2152.0,6587.0,4
RC,360,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,2152.0,16144.0,5
RC,360,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,360,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,360,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,360,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,360,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,360,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,360,Salicylate ,,,20.32,20.32,3
RC,360,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,948.0,25655.0,31
RC,360,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,948.0,25655.0,31
RC,360,Salpingostomy (salpingoneostomy) ,,,948.0,25655.0,31
RC,360,Sargramostim injection ,,,68.1,68.1,3
RC,360,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,6
RC,360,Scleral cover shell ,,,1932.53,1932.53,3
RC,360,Scleral reinforcement (separate procedure); with graft ,,,892.44,9908.0,33
RC,360,Scleral reinforcement (separate procedure); without graft ,,,733.22,9908.0,33
RC,360,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,948.0,18747.0,31
RC,360,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,360,"Scraping of cornea, diagnostic, for smear and/or culture ",,,792.63,2636.0,27
RC,360,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,360,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,360,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,360,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,360,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,360,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,360,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,360,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,360,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,360,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,360,Screening proctoscopy ,,,735.36,808.07,6
RC,360,Scrotal exploration ,,,948.0,8858.0,33
RC,360,Scrotoplasty; complicated ,,,948.0,11848.54,33
RC,360,Scrotoplasty; simple ,,,948.0,17510.0,33
RC,360,"Seat attachment, walker ",,,20.26,20.26,3
RC,360,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,360,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,360,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,360,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,948.0,5932.0,19
RC,360,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,948.0,29184.26,27
RC,360,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,948.0,32167.95,27
RC,360,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,360,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,360,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,360,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,360,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,360,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,360,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,360,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,360,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,360,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,360,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,360,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,360,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,360,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,948.0,25655.0,62
RC,360,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,948.0,6680.0,19
RC,360,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,948.0,6680.0,19
RC,360,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,19
RC,360,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,19
RC,360,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,19
RC,360,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,19
RC,360,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,19
RC,360,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,19
RC,360,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,948.0,25655.0,31
RC,360,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,948.0,25655.0,31
RC,360,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,948.0,25655.0,25
RC,360,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,948.0,25655.0,25
RC,360,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,948.0,25655.0,31
RC,360,"Selective catheter placement, left or right pulmonary artery ",,,948.0,5932.0,19
RC,360,"Selective catheter placement, segmental or subsegmental pulmonary artery ",,,948.0,5932.0,19
RC,360,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,948.0,25655.0,31
RC,360,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) ",,,948.0,5932.0,19
RC,360,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) ",,,948.0,5932.0,19
RC,360,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,948.0,25655.0,31
RC,360,Selenium ,,,27.83,27.83,3
RC,360,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,360,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,360,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,360,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,360,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,360,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,360,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,360,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,360,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,360,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,360,Semi-precision abutment - placement ,,,10868.0,12875.0,4
RC,360,Semi-precision attachment - placement ,,,10868.0,12875.0,4
RC,360,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,360,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,360,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,360,Serotonin ,,,33.77,33.77,3
RC,360,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,360,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,360,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,360,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,360,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,360,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,360,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,360,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,360,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,360,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,360,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,892.44,19415.0,33
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,948.0,19415.0,33
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,892.44,8858.0,33
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,892.44,19415.0,33
RC,360,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,148.54,19415.0,33
RC,360,Severing of tarsorrhaphy ,,,179.07,5932.0,33
RC,360,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,218.75,6680.0,28
RC,360,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,360,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,360,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,360,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,360,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,360,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,360,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,360,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,360,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,360,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,360,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,360,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,360,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,360,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,360,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,360,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,360,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,360,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,360,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,360,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,360,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,360,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,360,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,360,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,360,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,360,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,360,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,360,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,360,Sialic acid ,,,14.65,14.65,3
RC,360,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,930.95,7334.01,33
RC,360,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,265.4,9908.0,33
RC,360,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,127.91,25655.0,33
RC,360,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,360,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,137.2,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,450.72,9012.0,33
RC,360,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,450.72,9012.0,33
RC,360,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,344.93,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,450.72,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,344.93,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,344.93,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,948.0,9012.0,33
RC,360,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,344.93,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,33
RC,360,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,450.72,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,344.93,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,450.72,5932.0,33
RC,360,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,450.72,5932.0,33
RC,360,Silica ,,,27.48,27.48,3
RC,360,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,115.66,6587.0,33
RC,360,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,237.69,6587.0,27
RC,360,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,6
RC,360,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,6
RC,360,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,360,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,360,Sirolimus ,,,14.97,14.97,3
RC,360,Sitz bath chair ,,,192.39,192.39,3
RC,360,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,360,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,360,"Six volt battery, each ",,,321.31,321.31,3
RC,360,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,360,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,360,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,360,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,360,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,360,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,360,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,360,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,360,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,360,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,360,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,360,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,360,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,360,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,360,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,948.0,22590.2,33
RC,360,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,948.0,18490.0,33
RC,360,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,360,Slings ,,,11.97,11.97,3
RC,360,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,685.44,8858.0,33
RC,360,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,948.0,8858.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,948.0,18490.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6680.0,33
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,948.0,18490.0,33
RC,360,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,360,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,360,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,360,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,360,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,360,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,360,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,360,Snip incision of lacrimal punctum ,,,56.97,5932.0,33
RC,360,Sodium; other source ,,,5.3,5.3,3
RC,360,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,360,Sodium; urine ,,,5.52,5.52,3
RC,360,"Sole wedge, between sole ",,,66.8,66.8,3
RC,360,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,360,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,360,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,360,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,360,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,360,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,360,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,360,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,360,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,360,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,360,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,6
RC,360,Somatomedin ,,,23.17,23.17,3
RC,360,Somatostatin ,,,19.93,19.93,3
RC,360,Special back height for wheelchair ,,,43.53,43.53,3
RC,360,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,360,Special height arms for wheelchair ,,,366.41,366.41,3
RC,360,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,360,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,360,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,360,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,360,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,360,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,360,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,360,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,360,Specific gravity (except urine) ,,,3.58,3.58,3
RC,360,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,360,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,360,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,360,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,360,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,360,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,360,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,360,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,360,Sperm antibodies ,,,11.63,11.63,3
RC,360,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,360,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,360,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,360,Sperm washing for artificial insemination ,,,37.58,3092.0,27
RC,360,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,360,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,360,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,360,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,360,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,360,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,360,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,360,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,360,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,360,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,360,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,360,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,360,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,360,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,360,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,360,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,360,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,360,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,360,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,360,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,360,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,360,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,360,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,360,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,360,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,360,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,360,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,360,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,360,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,360,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,360,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,360,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,360,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,360,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,360,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,360,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,360,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,360,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,360,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,360,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,360,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,360,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,360,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,360,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,360,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,360,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,948.0,12360.0,33
RC,360,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,948.0,25655.0,27
RC,360,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,948.0,12360.0,33
RC,360,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,948.0,12360.0,33
RC,360,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,948.0,9908.0,33
RC,360,"Spinal puncture, lumbar, diagnostic; ",,,276.0,5932.0,33
RC,360,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,276.0,6587.0,33
RC,360,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,276.0,5932.0,33
RC,360,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,276.0,6587.0,33
RC,360,Splenectomy; partial (separate procedure) ,,,948.0,26060.65,27
RC,360,Splenectomy; total (separate procedure) ,,,948.0,25990.8,27
RC,360,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,360,"Spoke protectors, each ",,,61.65,61.65,3
RC,360,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,360,Sr89 strontium ,,,4519.51,4519.51,3
RC,360,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,204.65,12360.0,33
RC,360,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,223.55,12360.0,33
RC,360,Stand/rack ,,,33.16,33.16,3
RC,360,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,360,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,360,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,360,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,360,Standard wheelchair ,,,31.09,31.09,3
RC,360,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,360,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1995.0,18490.0,28
RC,360,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1995.0,18490.0,28
RC,360,Stapes mobilization ,,,930.95,23113.0,28
RC,360,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,360,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,360,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,360,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,360,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,360,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,360,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,360,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,360,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,360,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,360,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,360,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,360,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,360,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,360,Stem cell collection ,,,2152.0,6587.0,4
RC,360,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,360,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,948.0,32183.47,27
RC,360,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,948.0,31453.02,27
RC,360,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,360,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,360,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,948.0,6587.0,15
RC,360,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,948.0,35780.98,27
RC,360,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,948.0,17510.0,27
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,948.0,37457.0,12
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,1995.0,37457.0,7
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,948.0,37457.0,12
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,360,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,948.0,8485.0,33
RC,360,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,360,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,360,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,6
RC,360,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,119.92,6587.0,27
RC,360,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,360,Stoma cap ,,,2.17,2.17,3
RC,360,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,360,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,948.0,19415.0,19
RC,360,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,948.0,19415.0,19
RC,360,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,948.0,19415.0,19
RC,360,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,948.0,19415.0,19
RC,360,"Strabismus surgery, any procedure, superior oblique muscle ",,,733.22,19415.0,33
RC,360,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,733.22,9908.0,33
RC,360,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,733.22,19415.0,33
RC,360,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,948.0,19415.0,33
RC,360,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,733.22,19415.0,33
RC,360,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,360,"Streptokinase, antibody ",,,13.8,13.8,3
RC,360,Subarachnoid inject NEC ,,,2152.0,6587.0,4
RC,360,Subconjunctival injection ,,,237.69,2636.0,27
RC,360,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,948.0,27404.92,27
RC,360,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,276.0,5932.0,33
RC,360,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,276.0,5932.0,33
RC,360,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,948.0,18747.0,31
RC,360,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,948.0,32183.47,27
RC,360,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,948.0,25655.0,23
RC,360,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,360,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,360,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,360,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,360,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,360,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,360,"Sulfate, urine ",,,5.98,5.98,3
RC,360,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,948.0,25655.0,62
RC,360,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,360,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,360,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,360,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,360,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,360,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,360,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,360,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,360,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,360,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,25655.0,26
RC,360,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,386.78,6587.0,26
RC,360,Suprahyoid lymphadenectomy ,,,948.0,14664.41,33
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,948.0,49254.25,27
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,948.0,57187.47,27
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,948.0,58415.1,27
RC,360,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,948.0,97490.65,27
RC,360,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,948.0,108788.09,27
RC,360,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,948.0,30318.75,27
RC,360,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,948.0,84545.6,27
RC,360,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,948.0,49471.79,27
RC,360,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,948.0,106006.42,27
RC,360,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,948.0,64607.77,27
RC,360,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,948.0,95959.89,27
RC,360,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,948.0,51359.8,27
RC,360,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,948.0,78283.07,27
RC,360,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,948.0,91911.79,27
RC,360,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,360,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,360,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,4
RC,360,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,4
RC,360,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,4
RC,360,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,4
RC,360,Surgical placement zygomatic implant ,,,10868.0,12875.0,4
RC,360,Surgical repair of root resorption - molar ,,,10868.0,12875.0,4
RC,360,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,4
RC,360,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,4
RC,360,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,6
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,948.0,9908.0,33
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,948.0,8858.0,33
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,948.0,9908.0,33
RC,360,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,948.0,19415.0,33
RC,360,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,948.0,25655.0,27
RC,360,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,948.0,25655.0,27
RC,360,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,948.0,25655.0,27
RC,360,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,948.0,25655.0,31
RC,360,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,948.0,25655.0,31
RC,360,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,360,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,360,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,360,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,360,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,360,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,360,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,360,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,360,Suture and/or ligation of thoracic duct; abdominal approach ,,,948.0,25655.0,27
RC,360,Suture and/or ligation of thoracic duct; cervical approach ,,,948.0,25655.0,27
RC,360,Suture and/or ligation of thoracic duct; thoracic approach ,,,948.0,25655.0,27
RC,360,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,948.0,18490.0,33
RC,360,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,948.0,18490.0,33
RC,360,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,948.0,17510.0,33
RC,360,Suture of 1 nerve; median motor thenar ,,,948.0,17510.0,33
RC,360,Suture of 1 nerve; ulnar motor ,,,948.0,17510.0,33
RC,360,"Suture of digital nerve, hand or foot; 1 nerve ",,,692.94,19415.0,33
RC,360,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,360,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,360,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,360,Suture of esophageal wound or injury; cervical approach ,,,948.0,25655.0,27
RC,360,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,948.0,58011.06,27
RC,360,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,948.0,30885.78,27
RC,360,Suture of facial nerve; extracranial ,,,948.0,17510.0,33
RC,360,"Suture of facial nerve; infratemporal, with or without grafting ",,,948.0,19415.0,33
RC,360,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,892.44,8858.0,33
RC,360,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,948.0,29355.23,27
RC,360,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,948.0,25655.0,27
RC,360,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,948.0,17510.0,33
RC,360,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,948.0,17510.0,33
RC,360,Suture of mesentery (separate procedure) ,,,948.0,25655.0,27
RC,360,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,948.0,9908.0,19
RC,360,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,948.0,6680.0,19
RC,360,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,948.0,9908.0,19
RC,360,Suture of posterior tibial nerve ,,,948.0,17510.0,33
RC,360,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,733.22,8858.0,33
RC,360,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,203.77,9868.0,33
RC,360,Suture of sciatic nerve ,,,948.0,12360.0,33
RC,360,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,948.0,36526.95,27
RC,360,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,948.0,31826.01,27
RC,360,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,930.95,7334.01,33
RC,360,Suture of; brachial plexus ,,,692.94,12360.0,33
RC,360,Suture of; lumbar plexus ,,,948.0,17510.0,33
RC,360,Suture or repair of testicular injury ,,,948.0,9908.0,33
RC,360,Suture pharynx for wound or injury ,,,783.57,5932.0,33
RC,360,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,948.0,25655.0,27
RC,360,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,360,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,360,"Sympathectomy, cervical ",,,692.94,6680.0,33
RC,360,"Sympathectomy, cervicothoracic ",,,948.0,25655.0,27
RC,360,"Sympathectomy, lumbar ",,,948.0,25655.0,27
RC,360,"Sympathectomy, thoracolumbar ",,,948.0,25655.0,27
RC,360,"Sympathectomy; digital arteries, each digit ",,,692.94,25655.0,29
RC,360,Sympathectomy; radial artery ,,,948.0,19415.0,33
RC,360,Sympathectomy; superficial palmar arch ,,,948.0,12360.0,33
RC,360,Sympathectomy; ulnar artery ,,,948.0,12360.0,33
RC,360,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,948.0,25718.71,27
RC,360,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,360,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,360,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,360,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,360,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,360,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,360,T cells; total count ,,,41.13,41.13,3
RC,360,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,360,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,360,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,360,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,360,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,360,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,360,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,360,TRANSCATH IV STENT OPEN ,,,2152.0,2235.0,3
RC,360,TRANSCATH IV STENT PERCUT ,,,2152.0,2235.0,3
RC,360,TRANSCATH IV STENT/OPEN ADDL ,,,2152.0,2235.0,3
RC,360,TRANSCATH IV STENT/PERC ADDL ,,,2152.0,2235.0,3
RC,360,TRANSCATHETER OCCLUSION ,,,2152.0,2235.0,3
RC,360,TRANSCATHETER RETRIEVAL ,,,2152.0,2235.0,3
RC,360,TRANSCATHETER THERAPY INFUSE ,,,2152.0,6587.0,7
RC,360,TRANSECT ARTERY SINUS ,,,2152.0,6587.0,4
RC,360,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES ",,,2152.0,16144.0,5
RC,360,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,360,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,360,TRANSPLANTATION OF LIVER ,,,2152.0,6587.0,4
RC,360,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,360,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,360,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,360,TUR cong post valve/fold ,,,2152.0,6587.0,4
RC,360,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,360,Tacrolimus ,,,14.97,14.97,3
RC,360,Tacrolimus injection ,,,292.31,292.31,3
RC,360,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,360,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,360,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,360,"Tau, total (tTau) ",,,140.52,140.52,3
RC,360,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,360,Tc99m bicisate ,,,845.32,845.32,3
RC,360,Tc99m succimer ,,,719.32,719.32,3
RC,360,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,360,Telavancin injection ,,,8.16,8.16,3
RC,360,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,360,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,360,Temozolomide injection ,,,11.34,11.34,3
RC,360,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,351.98,5932.0,33
RC,360,Temporary transcutaneous pacing ,,,1169.48,3293.0,15
RC,360,Tenecteplase injection ,,,236.99,236.99,3
RC,360,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,360,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,360,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,360,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,360,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,360,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,360,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,360,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,360,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,360,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,360,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,360,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,360,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,360,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,360,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,360,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,360,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,360,Testosterone; free ,,,27.76,27.76,3
RC,360,Testosterone; total ,,,28.13,28.13,3
RC,360,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,360,Theophylline ,,,15.41,15.41,3
RC,360,Therapeutic Nuclear Medici ,,,255.5,255.5,3
RC,360,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,360,Therapeutic apheresis; for plasma pheresis ,,,592.85,25655.0,33
RC,360,Therapeutic apheresis; for platelets ,,,172.52,25655.0,33
RC,360,Therapeutic apheresis; for red blood cells ,,,592.85,25655.0,33
RC,360,Therapeutic apheresis; for white blood cells ,,,592.85,25655.0,33
RC,360,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,948.0,25655.0,33
RC,360,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,360,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,360,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,360,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,360,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,360,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,360,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,360,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,360,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,360,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,948.0,35261.21,33
RC,360,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,360,Thiocyanate ,,,12.68,12.68,3
RC,360,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,360,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,360,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,360,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,360,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,360,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,360,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,360,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,360,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1995.0,23113.0,27
RC,360,Thrombin time; plasma ,,,6.29,6.29,3
RC,360,Thrombin time; titer ,,,7.47,7.47,3
RC,360,"Thrombolysis, cerebral, by intravenous infusion ",,,674.93,3092.0,26
RC,360,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,16144.0,2
RC,360,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,2636.0,2
RC,360,Thrombomodulin ,,,18.82,18.82,3
RC,360,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,360,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,360,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,360,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,360,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,948.0,30699.28,27
RC,360,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,948.0,25655.0,27
RC,360,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,948.0,25655.0,31
RC,360,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,360,Thyroglobulin ,,,17.51,17.51,3
RC,360,Thyroglobulin antibody ,,,17.34,17.34,3
RC,360,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,360,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,360,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,360,"Thyroidectomy, including substernal thyroid; cervical approach ",,,948.0,25655.0,31
RC,360,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,948.0,30644.95,27
RC,360,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,948.0,25655.0,31
RC,360,"Thyroidectomy, total or complete ",,,948.0,25655.0,33
RC,360,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,25655.0,20
RC,360,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,948.0,25655.0,31
RC,360,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,948.0,37404.88,31
RC,360,Thyrotropin injection ,,,2352.94,2352.94,3
RC,360,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,360,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,360,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,360,Thyroxine; free ,,,9.83,9.83,3
RC,360,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,360,Thyroxine; total ,,,7.49,7.49,3
RC,360,Tiagabine ,,,29.55,29.55,3
RC,360,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,360,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,360,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,360,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,360,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,360,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,360,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,360,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,360,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,360,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,360,"Tlso, corset front ",,,182.11,182.11,3
RC,360,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,360,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,360,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,360,"Tlso, full corset ",,,251.72,251.72,3
RC,360,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,360,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,360,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,360,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,360,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,360,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,360,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,360,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,360,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,360,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,360,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,360,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,360,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,360,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,360,Tobramycin ,,,17.58,17.58,3
RC,360,Tocilizumab injection ,,,5.89,5.89,3
RC,360,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,360,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,360,"Tongue base suspension, permanent suture technique ",,,948.0,17510.0,31
RC,360,Tonsillectomy and adenoidectomy; age 12 or over ,,,930.95,18490.0,33
RC,360,Tonsillectomy and adenoidectomy; younger than age 12 ,,,948.0,13581.48,33
RC,360,"Tonsillectomy, primary or secondary; age 12 or over ",,,930.95,19415.0,33
RC,360,"Tonsillectomy, primary or secondary; younger than age 12 ",,,948.0,19415.0,33
RC,360,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,360,Topiramate ,,,12.99,12.99,3
RC,360,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,948.0,25655.0,31
RC,360,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,948.0,27653.5,31
RC,360,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,30854.73,26
RC,360,Total facial nerve decompression and/or repair (may include graft) ,,,948.0,25655.0,31
RC,360,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,948.0,98547.31,27
RC,360,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,948.0,78982.26,27
RC,360,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,948.0,100955.99,27
RC,360,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,948.0,67210.71,27
RC,360,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,948.0,85835.53,27
RC,360,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,948.0,21630.0,33
RC,360,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,948.0,21630.0,33
RC,360,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,360,Trabeculoplasty by laser surgery ,,,114.82,6680.0,33
RC,360,Trabeculotomy ab externo ,,,892.44,19415.0,33
RC,360,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,360,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,360,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,948.0,11960.31,33
RC,360,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,948.0,9908.0,33
RC,360,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,360,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,360,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,360,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,360,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,360,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,360,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,360,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,360,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,360,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,360,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,360,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,360,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,360,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,360,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,360,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,360,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,360,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,360,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,360,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,360,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,360,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,360,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,360,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,360,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,360,"Transabdominal amnioinfusion, including ultrasound guidance ",,,590.17,5932.0,31
RC,360,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,360,Transcatheter biopsy ,,,948.0,21630.0,32
RC,360,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,1481.0,2174.0,4
RC,360,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,10
RC,360,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,948.0,76895.0,62
RC,360,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,1995.0,43890.0,34
RC,360,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,1995.0,43890.0,10
RC,360,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1995.0,43890.0,24
RC,360,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,948.0,5932.0,19
RC,360,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,18151.0,46000.0,20
RC,360,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,18151.0,46000.0,20
RC,360,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,948.0,33108.18,27
RC,360,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1995.0,43890.0,26
RC,360,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1995.0,43890.0,26
RC,360,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,9
RC,360,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,948.0,12499.0,32
RC,360,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,2214.0,12869.33,26
RC,360,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,2012.0,12499.0,48
RC,360,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1594.88,11220.0,26
RC,360,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,948.0,25655.0,30
RC,360,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,948.0,25655.0,31
RC,360,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,948.0,54467.89,27
RC,360,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,948.0,66449.21,27
RC,360,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,360,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,360,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,360,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,360,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,360,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,360,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,948.0,28523.88,27
RC,360,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,692.94,5047.0,29
RC,360,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,948.0,12360.0,27
RC,360,"Transection or avulsion of other cranial nerve, extradural ",,,692.94,8858.0,33
RC,360,"Transection or avulsion of other spinal nerve, extradural ",,,692.94,8858.0,33
RC,360,"Transection or avulsion of; facial nerve, differential or complete ",,,692.94,8858.0,33
RC,360,Transection or avulsion of; greater occipital nerve ,,,692.94,8858.0,33
RC,360,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,692.94,6680.0,33
RC,360,Transection or avulsion of; infraorbital nerve ,,,692.94,6680.0,33
RC,360,Transection or avulsion of; lingual nerve ,,,692.94,8858.0,33
RC,360,Transection or avulsion of; mental nerve ,,,692.94,6680.0,33
RC,360,Transection or avulsion of; phrenic nerve ,,,692.94,6680.0,33
RC,360,Transection or avulsion of; supraorbital nerve ,,,692.94,6680.0,33
RC,360,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,948.0,25655.0,27
RC,360,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,948.0,25655.0,27
RC,360,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,360,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,948.0,25655.0,27
RC,360,"Transfer device, any type, each ",,,61.38,61.38,3
RC,360,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,360,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,360,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,360,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,360,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,360,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,360,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,360,Transferrin ,,,13.91,13.91,3
RC,360,"Transfusion, blood or blood components ",,,32.27,5932.0,33
RC,360,"Transfusion, intrauterine, fetal ",,,845.93,5932.0,31
RC,360,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1481.0,25655.0,34
RC,360,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,23113.0,14
RC,360,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1481.0,28600.76,47
RC,360,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,1481.0,2636.0,10
RC,360,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,948.0,18490.0,31
RC,360,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,948.0,18490.0,31
RC,360,Transmastoid antrotomy (simple mastoidectomy) ,,,948.0,23113.0,33
RC,360,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,360,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,360,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,360,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,948.0,57202.99,27
RC,360,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,948.0,94133.98,27
RC,360,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,360,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,360,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,948.0,2636.0,15
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,948.0,21630.0,29
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,948.0,21630.0,29
RC,360,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,948.0,21630.0,33
RC,360,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1773.9,25080.0,23
RC,360,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,948.0,64413.52,27
RC,360,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,845.93,3293.0,27
RC,360,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,845.93,3092.0,27
RC,360,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,845.93,3293.0,27
RC,360,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,845.93,3293.0,27
RC,360,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,845.93,3293.0,27
RC,360,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,845.93,3293.0,27
RC,360,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,845.93,3092.0,27
RC,360,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,845.93,3092.0,27
RC,360,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,845.93,3293.0,27
RC,360,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,360,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,360,Transplantation of multivisceral organs ,,,21210.0,23307.22,6
RC,360,Transplantation of pancreatic allograft ,,,948.0,57420.53,23
RC,360,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,6
RC,360,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,948.0,9908.0,33
RC,360,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,360,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,360,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,360,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,948.0,19415.0,19
RC,360,"Transposition, ovary(s) ",,,948.0,25655.0,31
RC,360,Transrectal drainage of pelvic abscess ,,,450.72,5932.0,33
RC,360,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,948.0,52944.89,27
RC,360,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,360,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,948.0,25912.96,27
RC,360,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,948.0,33769.0,33
RC,360,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,948.0,12499.0,33
RC,360,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,948.0,25655.0,33
RC,360,Transurethral drainage of prostatic abscess ,,,948.0,8858.0,33
RC,360,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1773.9,19415.0,28
RC,360,Transurethral incision of prostate ,,,948.0,9908.0,33
RC,360,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,948.0,18747.0,31
RC,360,Transurethral resection of bladder neck (separate procedure) ,,,948.0,9908.0,33
RC,360,Transurethral resection; of postoperative bladder neck contracture ,,,1200.05,8858.0,28
RC,360,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,1773.9,17510.0,28
RC,360,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,948.0,27080.2,20
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,60.45,6680.0,21
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,53.82,6680.0,21
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,49.82,6680.0,21
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,43.49,6680.0,21
RC,360,Transvesical ureterolithotomy ,,,948.0,25655.0,27
RC,360,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,360,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,360,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,360,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,360,Trauma Response with Criti ,,,1459.49,1459.49,3
RC,360,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,149.42,5932.0,28
RC,360,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,218.75,6680.0,33
RC,360,"Treatment of incomplete abortion, any trimester, completed surgically ",,,948.0,18490.0,33
RC,360,"Treatment of missed abortion, completed surgically; first trimester ",,,948.0,18490.0,33
RC,360,"Treatment of missed abortion, completed surgically; second trimester ",,,948.0,18490.0,33
RC,360,"Treatment of septic abortion, completed surgically ",,,948.0,25655.0,31
RC,360,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,360,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,360,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,360,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,360,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,360,Triglycerides ,,,6.26,6.26,3
RC,360,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,360,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,360,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,360,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,17
RC,360,Triptorelin pamoate ,,,508.34,508.34,3
RC,360,"Troponin, qualitative ",,,11.0,11.0,3
RC,360,"Troponin, quantitative ",,,13.59,13.59,3
RC,360,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,360,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,360,"Truss, double with standard pads ",,,177.72,177.72,3
RC,360,"Truss, single with standard pad ",,,112.58,112.58,3
RC,360,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,360,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,360,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,360,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,948.0,25655.0,27
RC,360,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,360,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,360,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,360,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,360,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,360,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,360,Tubotubal anastomosis ,,,948.0,25655.0,31
RC,360,Tubouterine implantation ,,,948.0,25655.0,31
RC,360,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,360,"Twelve volt battery, each ",,,703.98,703.98,3
RC,360,Twist drill hole for subdural or ventricular puncture ,,,948.0,25655.0,27
RC,360,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,948.0,25655.0,27
RC,360,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,948.0,25655.0,27
RC,360,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,948.0,25655.0,27
RC,360,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,948.0,51966.07,108
RC,360,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,183.72,25655.0,33
RC,360,Tympanic neurectomy ,,,930.95,9908.0,28
RC,360,"Tympanolysis, transcanal ",,,930.95,17510.0,33
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1995.0,23113.0,28
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1995.0,18490.0,28
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1995.0,18490.0,28
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1995.0,18490.0,28
RC,360,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,441.67,9908.0,33
RC,360,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,123.54,9908.0,33
RC,360,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,7
RC,360,Tyrosine ,,,11.59,11.59,3
RC,360,U-tube hepaticoenterostomy ,,,2152.0,16144.0,5
RC,360,"U-v lens, per lens ",,,29.55,29.55,3
RC,360,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,360,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,360,UPPER GI ENDOSCOPY EXAM ,,,2152.0,6587.0,4
RC,360,UPPR GI ENDOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,360,URETER ENDOSCOPY & TRACER ,,,2152.0,6587.0,8
RC,360,URETHRA PRESSURE PROFILE ,,,2152.0,6587.0,4
RC,360,URINE VOIDING PRESSURE STUDY ,,,2152.0,6587.0,4
RC,360,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,360,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,360,Ultrasound Composite ,,,322.14,322.14,3
RC,360,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,360,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,360,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,360,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,360,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,948.0,19415.0,33
RC,360,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,360,Unlist px-laparascopy ,,,2152.0,6587.0,4
RC,360,Unlisted cardiovascular service or procedure ,,,1481.0,2636.0,5
RC,360,Unlisted diagnostic gastroenterology procedure ,,,1481.0,2636.0,5
RC,360,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,361.99,25655.0,31
RC,360,"Unlisted hysteroscopy procedure, uterus ",,,361.99,25655.0,22
RC,360,"Unlisted laparoscopic procedure, liver ",,,948.0,25655.0,27
RC,360,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,7592.0,25655.0,21
RC,360,"Unlisted laparoscopy procedure, appendix ",,,7592.0,17510.0,15
RC,360,"Unlisted laparoscopy procedure, biliary tract ",,,7592.0,25655.0,21
RC,360,"Unlisted laparoscopy procedure, bladder ",,,948.0,25655.0,27
RC,360,"Unlisted laparoscopy procedure, endocrine system ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, esophagus ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,7592.0,25655.0,21
RC,360,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,948.0,25655.0,27
RC,360,"Unlisted laparoscopy procedure, lymphatic system ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1995.0,25655.0,26
RC,360,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, rectum ",,,948.0,25655.0,27
RC,360,"Unlisted laparoscopy procedure, renal ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, spermatic cord ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, spleen ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, stomach ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, testis ",,,1995.0,25655.0,22
RC,360,"Unlisted laparoscopy procedure, ureter ",,,948.0,25655.0,27
RC,360,"Unlisted laparoscopy procedure, uterus ",,,1995.0,25655.0,22
RC,360,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,948.0,25655.0,27
RC,360,"Unlisted procedure, abdomen, peritoneum and omentum ",,,948.0,25655.0,31
RC,360,"Unlisted procedure, anterior segment of eye ",,,948.0,25655.0,31
RC,360,"Unlisted procedure, anus ",,,948.0,25655.0,31
RC,360,"Unlisted procedure, biliary tract ",,,948.0,25655.0,27
RC,360,"Unlisted procedure, colon ",,,948.0,9868.0,31
RC,360,"Unlisted procedure, conjunctiva ",,,589.67,25655.0,27
RC,360,"Unlisted procedure, dentoalveolar structures ",,,443.94,25655.0,33
RC,360,"Unlisted procedure, diaphragm ",,,948.0,25655.0,27
RC,360,"Unlisted procedure, endocrine system ",,,948.0,25655.0,31
RC,360,"Unlisted procedure, esophagus ",,,948.0,25655.0,31
RC,360,"Unlisted procedure, external ear ",,,443.94,2636.0,27
RC,360,"Unlisted procedure, extraocular muscle ",,,589.67,25655.0,27
RC,360,"Unlisted procedure, eyelids ",,,589.67,25655.0,27
RC,360,"Unlisted procedure, female genital system (nonobstetrical) ",,,361.99,25655.0,31
RC,360,"Unlisted procedure, hemic or lymphatic system ",,,845.93,25655.0,31
RC,360,"Unlisted procedure, inner ear ",,,443.94,25655.0,31
RC,360,"Unlisted procedure, lacrimal system ",,,589.67,25655.0,27
RC,360,"Unlisted procedure, lips ",,,443.94,25655.0,27
RC,360,"Unlisted procedure, liver ",,,948.0,25655.0,27
RC,360,"Unlisted procedure, male genital system ",,,512.08,25655.0,31
RC,360,"Unlisted procedure, maternity care and delivery ",,,361.99,25655.0,31
RC,360,"Unlisted procedure, mediastinum ",,,948.0,25655.0,27
RC,360,"Unlisted procedure, middle ear ",,,443.94,25655.0,31
RC,360,"Unlisted procedure, nervous system ",,,570.66,25655.0,31
RC,360,"Unlisted procedure, orbit ",,,589.67,25655.0,27
RC,360,"Unlisted procedure, palate, uvula ",,,443.94,25655.0,27
RC,360,"Unlisted procedure, pancreas ",,,948.0,25655.0,27
RC,360,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,443.94,25655.0,31
RC,360,"Unlisted procedure, posterior segment ",,,948.0,25655.0,27
RC,360,"Unlisted procedure, rectum ",,,948.0,25655.0,27
RC,360,"Unlisted procedure, salivary glands or ducts ",,,443.94,25655.0,31
RC,360,"Unlisted procedure, small intestine ",,,948.0,25655.0,31
RC,360,"Unlisted procedure, stomach ",,,948.0,25655.0,28
RC,360,"Unlisted procedure, temporal bone, middle fossa approach ",,,443.94,25655.0,31
RC,360,"Unlisted procedure, tongue, floor of mouth ",,,443.94,25655.0,27
RC,360,"Unlisted procedure, urinary system ",,,512.08,25655.0,31
RC,360,"Unlisted procedure, vascular injection ",,,948.0,2636.0,14
RC,360,"Unlisted procedure, vascular surgery ",,,948.0,25655.0,31
RC,360,"Unlisted procedure, vestibule of mouth ",,,443.94,25655.0,31
RC,360,Unlisted vascular endoscopy procedure ,,,948.0,25655.0,27
RC,360,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,360,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,360,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,360,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,360,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,360,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,360,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,360,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,360,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,360,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,360,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,360,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,360,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,360,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,360,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,360,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,360,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,360,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,360,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,360,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,360,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,360,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,360,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,360,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,360,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,360,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,360,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,360,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,360,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,360,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,360,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,360,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,360,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,360,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,360,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,360,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,360,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,360,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,360,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,360,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,360,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,360,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,360,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,360,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,360,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,360,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,360,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,360,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,360,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,360,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,360,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,360,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,360,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,360,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,360,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,360,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,360,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,360,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,360,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,360,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,948.0,5932.0,19
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,11848.54,33
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,948.0,11848.54,33
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,11848.54,33
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,948.0,8451.91,33
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,11848.54,33
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,948.0,11848.54,33
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,11848.54,33
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,948.0,8451.91,33
RC,360,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,948.0,76895.0,31
RC,360,"Ureterectomy, with bladder cuff (separate procedure) ",,,948.0,76895.0,31
RC,360,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,948.0,25944.23,27
RC,360,"Ureterocolon conduit, including intestine anastomosis ",,,948.0,27482.53,27
RC,360,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,948.0,25655.0,27
RC,360,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,948.0,29549.49,27
RC,360,Ureterolithotomy; lower one-third of ureter ,,,948.0,25655.0,31
RC,360,Ureterolithotomy; middle one-third of ureter ,,,948.0,25655.0,31
RC,360,Ureterolithotomy; upper one-third of ureter ,,,948.0,25655.0,31
RC,360,Ureterolysis for ovarian vein syndrome ,,,948.0,25655.0,27
RC,360,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,948.0,25655.0,27
RC,360,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,948.0,27389.39,27
RC,360,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,948.0,25655.0,27
RC,360,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,948.0,25655.0,27
RC,360,Ureteroneocystostomy; with extensive ureteral tailoring ,,,948.0,25655.0,27
RC,360,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,948.0,27303.8,27
RC,360,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,948.0,25655.0,27
RC,360,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,948.0,27568.13,27
RC,360,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,948.0,25655.0,27
RC,360,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,948.0,31523.09,27
RC,360,"Ureterostomy, transplantation of ureter to skin ",,,948.0,25655.0,27
RC,360,"Ureterotomy for insertion of indwelling stent, all types ",,,948.0,25655.0,31
RC,360,Ureterotomy with exploration or drainage (separate procedure) ,,,948.0,25655.0,31
RC,360,Ureteroureterostomy ,,,948.0,25655.0,27
RC,360,"Urethrectomy, total, including cystostomy; female ",,,948.0,18490.0,33
RC,360,"Urethrectomy, total, including cystostomy; male ",,,948.0,18490.0,33
RC,360,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,948.0,25655.0,31
RC,360,"Urethromeatoplasty, with mucosal advancement ",,,948.0,12360.0,33
RC,360,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,948.0,8858.0,33
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,948.0,12360.0,33
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,948.0,12360.0,33
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,948.0,17510.0,33
RC,360,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,948.0,12360.0,33
RC,360,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,948.0,12360.0,33
RC,360,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,948.0,12360.0,33
RC,360,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,948.0,12360.0,33
RC,360,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,948.0,12360.0,33
RC,360,"Urethroplasty, reconstruction of female urethra ",,,948.0,12360.0,33
RC,360,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,948.0,25655.0,27
RC,360,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,948.0,12360.0,33
RC,360,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,948.0,12360.0,33
RC,360,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,948.0,8858.0,33
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,948.0,12360.0,33
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,948.0,11848.54,33
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,948.0,12360.0,33
RC,360,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,685.44,8858.0,33
RC,360,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,948.0,11848.54,33
RC,360,Uric acid; blood ,,,4.93,4.93,3
RC,360,Uric acid; other source ,,,5.54,5.54,3
RC,360,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,360,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,360,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,360,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,360,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,360,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,360,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,360,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,360,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,360,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,360,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,360,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,360,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,360,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,948.0,40520.73,27
RC,360,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,360,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,360,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,360,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,360,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,360,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,360,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,360,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,360,Uterine evacuation and curettage for hydatidiform mole ,,,948.0,18490.0,33
RC,360,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,948.0,25655.0,31
RC,360,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,948.0,25655.0,27
RC,360,"Uvulectomy, excision of uvula ",,,930.95,7334.01,33
RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,5694.0,7168.0,5
RC,360,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,2152.0,16144.0,5
RC,360,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,360,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,360,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,360,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,948.0,25655.0,31
RC,360,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,948.0,23263.46,21
RC,360,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,948.0,25655.0,31
RC,360,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,948.0,25376.98,17
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.34,18490.0,28
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,948.0,25655.0,27
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,948.0,18490.0,33
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,948.0,18490.0,31
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,948.0,18490.0,31
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,948.0,25655.0,31
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,948.0,25655.0,31
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,948.0,25655.0,31
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,948.0,25655.0,31
RC,360,"Vaginal hysterectomy, radical (Schauta type operation) ",,,948.0,32525.42,27
RC,360,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,948.0,25655.0,27
RC,360,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,948.0,25655.0,27
RC,360,"Vaginectomy, complete removal of vaginal wall; ",,,948.0,25655.0,31
RC,360,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,948.0,39611.54,31
RC,360,"Vaginectomy, partial removal of vaginal wall; ",,,948.0,25655.0,31
RC,360,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,948.0,25655.0,31
RC,360,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,948.0,25655.0,31
RC,360,Vaginoplasty for intersex state ,,,948.0,25655.0,31
RC,360,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,948.0,26915.29,27
RC,360,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,948.0,26565.8,27
RC,360,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,948.0,25655.0,27
RC,360,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,360,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,360,Vancomycin ,,,14.76,14.76,3
RC,360,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,360,"Vaporizer, room type ",,,41.03,41.03,3
RC,360,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,360,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,360,Variable concentration mask ,,,0.94,0.94,3
RC,360,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,360,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,3
RC,360,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,19
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,1995.0,27743.74,28
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,1995.0,27743.74,26
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1995.0,27743.74,28
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,1995.0,28151.19,28
RC,360,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,2036.11,7168.0,7
RC,360,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,360,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,685.44,8858.0,33
RC,360,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,360,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,360,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,948.0,6680.0,19
RC,360,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,948.0,8858.0,31
RC,360,"Vasovasostomy, vasovasorrhaphy ",,,948.0,8858.0,31
RC,360,Vedolizumab ,,,42.04,42.04,3
RC,360,Velaglucerase alfa ,,,428.2,428.2,3
RC,360,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",,,948.0,1995.0,6
RC,360,"Venipuncture, cutdown; age 1 or over ",,,792.63,2287.0,23
RC,360,"Venipuncture, cutdown; younger than age 1 year ",,,119.92,2287.0,23
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,948.0,1995.0,6
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,948.0,1995.0,6
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,948.0,1995.0,6
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,360,"Venous anastomosis, open; caval-mesenteric ",,,948.0,49899.11,27
RC,360,"Venous anastomosis, open; portocaval ",,,948.0,52370.1,27
RC,360,"Venous anastomosis, open; renoportal ",,,948.0,48562.61,27
RC,360,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,948.0,52370.1,27
RC,360,"Venous anastomosis, open; splenorenal, proximal ",,,948.0,47964.32,27
RC,360,Venous catheterization for selective organ blood sampling ,,,948.0,5932.0,19
RC,360,Ventilating tube removal requiring general anesthesia ,,,85.18,12360.0,33
RC,360,Ventilation Initiation and ,,,676.46,676.46,3
RC,360,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,276.0,5932.0,33
RC,360,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,357.81,5932.0,33
RC,360,Ventriculocisternostomy (Torkildsen type operation) ,,,948.0,36573.52,27
RC,360,"Ventriculocisternostomy, third ventricle; ",,,948.0,31305.55,27
RC,360,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,948.0,27498.06,27
RC,360,"Vermilionectomy (lip shave), with mucosal advancement ",,,930.95,7334.01,33
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,948.0,25655.0,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,948.0,39735.94,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,948.0,25655.0,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,948.0,54638.86,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,948.0,25655.0,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,948.0,41662.98,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,948.0,49098.8,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,948.0,49192.16,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,948.0,49860.3,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,948.0,52463.24,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,948.0,55167.3,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,948.0,54584.53,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,948.0,57342.92,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,948.0,52696.31,81
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,948.0,44273.68,54
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,948.0,25655.0,27
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,948.0,43504.41,27
RC,360,Very long chain fatty acids ,,,21.53,21.53,3
RC,360,"Vesiculectomy, any approach ",,,948.0,25655.0,31
RC,360,Vesiculotomy; ,,,685.44,8858.0,33
RC,360,Vesiculotomy; complicated ,,,948.0,25655.0,31
RC,360,"Vestibular nerve section, transcranial approach ",,,948.0,39324.15,27
RC,360,"Vestibular nerve section, translabyrinthine approach ",,,930.95,23113.0,33
RC,360,Vestibuloplasty; anterior ,,,948.0,13581.48,33
RC,360,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,948.0,18490.0,33
RC,360,Vestibuloplasty; entire arch ,,,948.0,18490.0,33
RC,360,"Vestibuloplasty; posterior, bilateral ",,,948.0,13581.48,33
RC,360,"Vestibuloplasty; posterior, unilateral ",,,948.0,13581.48,33
RC,360,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,360,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,360,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,360,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,360,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,360,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,360,Viscosity ,,,12.72,12.72,3
RC,360,Vitamin A ,,,12.65,12.65,3
RC,360,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,360,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,360,Vitamin K ,,,14.95,14.95,3
RC,360,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,360,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,1
RC,360,"Vitrectomy, mechanical, pars plana approach; ",,,1610.16,19415.0,27
RC,360,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1610.16,23113.0,28
RC,360,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1610.16,23113.0,28
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1610.16,18490.0,28
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1610.16,18490.0,28
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1610.16,23113.0,28
RC,360,Voice amplifier ,,,340.98,340.98,3
RC,360,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,360,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,360,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,360,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,360,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,360,Voriconazole ,,,29.55,29.55,3
RC,360,Vulvectomy simple; complete ,,,948.0,76895.0,33
RC,360,Vulvectomy simple; partial ,,,948.0,18490.0,33
RC,360,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,948.0,33877.23,27
RC,360,"Vulvectomy, radical, complete; ",,,948.0,27474.77,27
RC,360,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,948.0,34133.79,27
RC,360,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,948.0,29440.61,27
RC,360,"Vulvectomy, radical, partial; ",,,948.0,25655.0,31
RC,360,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,948.0,31608.47,27
RC,360,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,948.0,26783.34,27
RC,360,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1125.36,1125.36,3
RC,360,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,360,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,360,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,360,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,360,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,360,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,360,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,360,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,360,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,360,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,360,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,360,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,360,Washed red blood cells uni ,,,401.75,401.75,3
RC,360,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,360,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,360,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,360,Water pressure mattress ,,,29.3,29.3,3
RC,360,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,360,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,360,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,360,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,948.0,25655.0,31
RC,360,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,360,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,360,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,360,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,360,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,360,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,360,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,360,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,360,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,360,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,360,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,360,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,360,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,360,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,360,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,360,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,360,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,360,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,360,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,360,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,360,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,360,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,360,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,360,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,360,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,360,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,360,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,360,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,360,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,360,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,360,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,360,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,360,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,360,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,360,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,360,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,360,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,360,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,360,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,360,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,360,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,360,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,360,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,360,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,360,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,360,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,360,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,360,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,360,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,360,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,360,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,360,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,360,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,360,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,360,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,360,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,360,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,360,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,360,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,360,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,360,Whole blood for transfusio ,,,206.93,206.93,3
RC,360,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,360,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,360,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,360,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,360,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,360,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,11
RC,360,"Wound pouch, each ",,,21.65,21.65,3
RC,360,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,360,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,360,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,360,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,360,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,360,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,360,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,360,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,360,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,360,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,360,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,360,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,360,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,360,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,360,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,360,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,360,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,360,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,360,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,360,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,360,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,360,Zinc ,,,12.42,12.42,3
RC,360,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,360,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,360,Zonisamide ,,,14.44,14.44,3
RC,360,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,360,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,360,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,360,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,361, Operating Room Services Minor Surgery  ,,,15184.0,43180.0,7
RC,361,1 epidur inject-C/thor ,,,2152.0,6587.0,4
RC,361,1 epidural inject anes-L ,,,2152.0,6587.0,4
RC,361,1 inject anes-subarach ,,,2152.0,6587.0,4
RC,361,1 subar inject anes-cont ,,,2152.0,6587.0,4
RC,361,1 subar inject anes-diff ,,,2152.0,6587.0,4
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,948.0,17510.0,33
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,948.0,12360.0,33
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,948.0,17510.0,33
RC,361,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,948.0,12360.0,33
RC,361,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,948.0,25655.0,31
RC,361,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,948.0,25655.0,31
RC,361,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,361,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,361,510K Skin Substitute Produ ,,,136.26,136.26,3
RC,361,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,361,ACCESS AV DIAL GRFT FOR EVAL ,,,2214.0,4723.0,5
RC,361,ACCESS AV DIAL GRFT FOR PROC ,,,2152.0,2636.0,4
RC,361,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,361,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,361,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,361,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,361,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,361,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,361,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,361,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2152.0,2636.0,4
RC,361,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,361,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,361,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,361,ARTERY TO VEIN SHUNT ,,,2152.0,6587.0,4
RC,361,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,361,ASPIRATE/INJECT THYRIOD CYST ,,,2152.0,6587.0,4
RC,361,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,361,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,361,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,1
RC,361,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,1
RC,361,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,Abatacept injection ,,,49.99,49.99,3
RC,361,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,361,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,351.7,6680.0,33
RC,361,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,351.7,6680.0,33
RC,361,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,948.0,25655.0,31
RC,361,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,361,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,948.0,6587.0,21
RC,361,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,948.0,12499.0,31
RC,361,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,948.0,12875.0,21
RC,361,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,948.0,36378.78,21
RC,361,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,948.0,33769.0,33
RC,361,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,948.0,25655.0,33
RC,361,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,948.0,21630.0,33
RC,361,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,948.0,30408.2,20
RC,361,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,948.0,30408.2,20
RC,361,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,948.0,27335.06,31
RC,361,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,948.0,32999.3,31
RC,361,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,948.0,32509.89,31
RC,361,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,948.0,33769.0,33
RC,361,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,361,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,361,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,361,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,361,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,361,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,361,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,361,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,361,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,361,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,3
RC,361,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,361,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,361,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,361,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,361,Acetaminophen ,,,20.32,20.32,3
RC,361,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,361,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,361,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,361,Acetylcholinesterase ,,,13.4,13.4,3
RC,361,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,361,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,361,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,361,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,361,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,361,Adalimumab ,,,42.04,42.04,3
RC,361,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,361,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,361,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,361,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,361,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,361,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,361,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,361,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,361,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,361,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,361,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,361,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,361,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,361,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,361,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,361,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,361,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,361,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,361,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,361,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,361,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,361,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,361,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,361,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,361,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,361,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,361,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,361,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,361,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,361,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,361,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,361,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,361,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,361,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,361,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,361,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,361,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,361,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,361,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,361,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,361,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,361,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,361,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,361,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,361,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,361,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,361,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,361,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,361,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,361,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,361,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,361,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,361,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,361,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,361,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,361,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,361,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,361,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,361,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,361,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,361,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,361,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,361,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,361,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,361,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,361,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,361,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,361,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,361,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,361,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,361,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,361,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,361,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,361,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,361,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,361,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,361,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,361,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,361,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,361,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,361,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,361,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,361,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,361,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,361,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,361,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,361,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,361,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,361,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,361,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,361,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,361,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,361,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,361,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,361,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,361,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,361,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,361,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,361,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,361,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,361,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,361,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,361,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,361,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,361,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,361,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,361,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,361,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,361,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,361,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,361,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,361,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,361,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,361,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,361,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,361,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,361,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,361,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,361,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,361,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,361,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,361,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,361,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,361,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,361,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,361,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,361,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,361,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,361,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,361,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,361,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,361,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,361,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,361,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,361,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,361,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,361,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,361,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,361,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,361,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,361,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,361,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,361,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,361,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,361,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,361,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,361,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,361,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,361,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,361,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,361,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,361,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,361,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,361,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,361,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,361,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,361,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,361,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,361,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,361,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,361,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,361,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,361,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,361,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,361,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,361,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,361,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,361,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,361,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,361,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,361,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,361,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,361,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,361,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,361,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,361,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,361,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,361,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,361,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,361,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,361,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,361,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,361,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,361,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,361,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,361,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,361,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,361,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,361,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,361,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,361,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,361,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,361,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,361,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,361,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,361,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,361,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,361,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,361,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,361,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,361,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,361,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,361,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,361,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,361,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,361,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,361,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,361,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,361,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,361,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,361,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,361,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,361,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,361,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,361,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,361,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,361,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,361,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,361,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,361,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,361,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,361,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,361,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,361,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,361,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,361,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,361,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,361,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,361,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,361,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,361,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,361,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,361,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,361,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,361,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,361,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,361,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,361,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,361,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,361,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,43890.0,9
RC,361,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,361,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,361,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,361,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,361,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,361,"Adenoidectomy, primary; age 12 or over ",,,930.95,19415.0,33
RC,361,"Adenoidectomy, primary; younger than age 12 ",,,930.95,19415.0,33
RC,361,"Adenoidectomy, secondary; age 12 or over ",,,930.95,19415.0,33
RC,361,"Adenoidectomy, secondary; younger than age 12 ",,,930.95,19415.0,33
RC,361,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,361,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,361,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,361,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,361,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,361,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,361,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,361,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,361,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,8
RC,361,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,361,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,361,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,10
RC,361,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,361,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,361,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,361,Adrenal tissue transplant to brain ,,,21210.0,23307.22,6
RC,361,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,948.0,25655.0,31
RC,361,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,948.0,27467.01,27
RC,361,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,361,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,361,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,361,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,361,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,361,Agalsidase beta injection ,,,253.66,253.66,3
RC,361,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,361,Air fluidized bed ,,,4606.97,4606.97,3
RC,361,Air pressure mattress ,,,25.02,25.02,3
RC,361,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,361,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,361,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,361,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,361,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,361,Albumin; ischemia modified ,,,36.99,36.99,3
RC,361,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,361,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,361,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,361,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,361,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,361,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,361,Aldesleukin injection ,,,3639.37,3639.37,3
RC,361,Aldolase ,,,10.58,10.58,3
RC,361,Aldosterone ,,,44.42,44.42,3
RC,361,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,361,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,361,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,361,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,361,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,361,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,361,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,361,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,361,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,361,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,361,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,361,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,361,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,361,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,361,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,361,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,361,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,361,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,361,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,361,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,361,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,361,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,361,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,361,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,361,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,361,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,361,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,361,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,361,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,361,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,361,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,361,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,361,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,361,Alteplase recombinant ,,,107.46,107.46,3
RC,361,Altuviiio per factor viii ,,,5.05,5.05,3
RC,361,Aluminum ,,,27.77,27.77,3
RC,361,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,289.82,25655.0,33
RC,361,"Alveoloplasty, each quadrant (specify) ",,,234.0,25655.0,33
RC,361,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,361,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,361,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,361,Amikacin ,,,16.44,16.44,3
RC,361,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,361,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,361,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,361,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,361,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,361,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,361,Aminolevulinic acid hcl to ,,,424.32,424.32,3
RC,361,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,361,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,361,Amiodarone ,,,20.32,20.32,3
RC,361,Ammonia ,,,15.88,15.88,3
RC,361,Amniocentesis; diagnostic ,,,52.04,5932.0,27
RC,361,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,122.58,5932.0,27
RC,361,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,361,Amphotericin b liposome in ,,,21.63,21.63,3
RC,361,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,34001.63,27
RC,361,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,948.0,26837.67,27
RC,361,Amputation of penis; complete ,,,948.0,25655.0,31
RC,361,Amputation of penis; partial ,,,948.0,12360.0,33
RC,361,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,361,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,361,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,361,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,361,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,361,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,361,Amylase ,,,7.06,7.06,3
RC,361,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,948.0,55858.73,27
RC,361,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,948.0,73380.11,27
RC,361,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,948.0,58904.51,27
RC,361,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,948.0,50870.39,27
RC,361,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,948.0,68352.96,27
RC,361,Anastomosis; facial-hypoglossal ,,,948.0,25655.0,27
RC,361,Anastomosis; facial-spinal accessory ,,,948.0,28585.97,27
RC,361,Ancillary Outpatient Servi ,,,15249.85,15249.85,3
RC,361,Androstanediol glucuronide ,,,31.42,31.42,3
RC,361,Androstenedione ,,,31.92,31.92,3
RC,361,Androsterone ,,,27.85,27.85,3
RC,361,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,361,Angiotensin II ,,,22.37,22.37,3
RC,361,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,361,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,361,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,361,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,361,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,361,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,361,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,361,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,361,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,361,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,361,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,361,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,361,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,361,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,361,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,361,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,361,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,361,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,361,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,361,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,361,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,361,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,361,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,361,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,361,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,361,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,361,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,361,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,361,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,361,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,361,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,361,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,361,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,361,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,361,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,361,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,361,"Anoplasty, plastic operation for stricture; adult ",,,948.0,9908.0,33
RC,361,"Anoplasty, plastic operation for stricture; infant ",,,948.0,25655.0,27
RC,361,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,948.0,6680.0,33
RC,361,Anorectal manometry ,,,1266.0,2636.0,6
RC,361,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1481.0,5932.0,7
RC,361,Anorectal myomectomy ,,,948.0,8858.0,33
RC,361,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,237.69,5932.0,31
RC,361,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,237.69,5932.0,31
RC,361,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,948.0,8858.0,33
RC,361,"Anoscopy; with biopsy, single or multiple ",,,211.33,25655.0,33
RC,361,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,115.98,25655.0,33
RC,361,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,450.72,25655.0,33
RC,361,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,948.0,9012.0,31
RC,361,Anoscopy; with removal of foreign body ,,,344.93,5932.0,33
RC,361,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,948.0,8858.0,33
RC,361,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,948.0,8858.0,33
RC,361,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,344.93,5932.0,33
RC,361,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,361,Antepartum care only; 4-6 visits ,,,948.0,7925.46,17
RC,361,Antepartum care only; 7 or more visits ,,,948.0,13978.21,17
RC,361,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,361,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,948.0,18490.0,33
RC,361,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,948.0,25655.0,31
RC,361,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,948.0,25655.0,31
RC,361,Anti-inhibitor ,,,2.67,2.67,3
RC,361,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,361,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,361,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,361,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,361,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,361,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,361,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,361,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,361,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,361,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,361,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,361,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,361,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,361,Antibody; Aspergillus ,,,16.4,16.4,3
RC,361,Antibody; Bartonella ,,,11.1,11.1,3
RC,361,Antibody; Blastomyces ,,,14.06,14.06,3
RC,361,Antibody; Bordetella ,,,14.38,14.38,3
RC,361,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,361,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,361,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,361,Antibody; Brucella ,,,9.73,9.73,3
RC,361,Antibody; Campylobacter ,,,14.3,14.3,3
RC,361,Antibody; Candida ,,,13.09,13.09,3
RC,361,Antibody; Chlamydia ,,,12.88,12.88,3
RC,361,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,361,Antibody; Coccidioides ,,,12.5,12.5,3
RC,361,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,361,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,361,Antibody; Diphtheria ,,,16.58,16.58,3
RC,361,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,361,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,361,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,361,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,361,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,361,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,361,Antibody; HIV-1 ,,,9.69,9.69,3
RC,361,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,361,Antibody; HIV-2 ,,,14.74,14.74,3
RC,361,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,361,Antibody; HTLV-I ,,,9.91,9.91,3
RC,361,Antibody; HTLV-II ,,,15.26,15.26,3
RC,361,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,361,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,361,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,361,Antibody; Legionella ,,,16.68,16.68,3
RC,361,Antibody; Leishmania ,,,13.35,13.35,3
RC,361,Antibody; Leptospira ,,,17.66,17.66,3
RC,361,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,361,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,361,Antibody; Nocardia ,,,17.43,17.43,3
RC,361,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,361,Antibody; Rickettsia ,,,21.09,21.09,3
RC,361,Antibody; Salmonella ,,,14.38,14.38,3
RC,361,Antibody; Shigella ,,,26.68,26.68,3
RC,361,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,361,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,361,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,361,Antibody; Trichinella ,,,13.69,13.69,3
RC,361,Antibody; West Nile virus ,,,15.69,15.69,3
RC,361,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,361,Antibody; Yersinia ,,,14.38,14.38,3
RC,361,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,361,Antibody; actinomyces ,,,11.1,11.1,3
RC,361,Antibody; adenovirus ,,,14.03,14.03,3
RC,361,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,361,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,361,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,361,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,361,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,361,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,361,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,361,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,361,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,361,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,361,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,361,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,361,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,361,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,361,Antibody; histoplasma ,,,15.03,15.03,3
RC,361,Antibody; influenza virus ,,,14.77,14.77,3
RC,361,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,361,Antibody; mucormycosis ,,,16.35,16.35,3
RC,361,Antibody; mumps ,,,14.22,14.22,3
RC,361,Antibody; mycoplasma ,,,14.43,14.43,3
RC,361,Antibody; parvovirus ,,,16.38,16.38,3
RC,361,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,361,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,361,Antibody; rotavirus ,,,19.87,19.87,3
RC,361,Antibody; rubella ,,,15.69,15.69,3
RC,361,Antibody; rubeola ,,,14.04,14.04,3
RC,361,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,361,Antibody; tetanus ,,,16.13,16.13,3
RC,361,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,361,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,361,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,361,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,361,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,361,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,361,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,361,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,361,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,361,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,361,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,361,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,361,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,361,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,361,Apheresis w/ adsorp/reinfuse ,,,2152.0,6587.0,4
RC,361,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,361,"Apolipoprotein, each ",,,22.99,22.99,3
RC,361,Appendectomy; ,,,948.0,25655.0,31
RC,361,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,948.0,25655.0,27
RC,361,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,948.0,2636.0,15
RC,361,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,361,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,361,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,361,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,361,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,361,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,361,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,361,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,361,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,361,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,361,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,361,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,361,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,361,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,14
RC,361,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,14
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,22
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,6
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,12
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,6
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,12499.0,16
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,6
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,12
RC,361,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,361,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,948.0,3512.12,12
RC,361,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,361,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,361,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,361,Aqueous shunt ,,,855.38,855.38,3
RC,361,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,948.0,18490.0,32
RC,361,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,948.0,19415.0,33
RC,361,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,361,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,361,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,361,"Arm rest, each ",,,23.28,23.28,3
RC,361,Arsenic ,,,20.68,20.68,3
RC,361,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,948.0,11220.0,32
RC,361,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,948.0,11220.0,14
RC,361,"Arterial puncture, withdrawal of blood for diagnosis ",,,237.69,11220.0,23
RC,361,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,1995.0,12869.33,27
RC,361,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,1995.0,12869.33,27
RC,361,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,1995.0,12869.33,27
RC,361,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,1174.13,11220.0,27
RC,361,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,25655.0,20
RC,361,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,13
RC,361,"Arthroereisis, subtalar ",,,21210.0,23307.22,6
RC,361,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,23307.22,6
RC,361,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,2636.0,5
RC,361,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,25655.0,20
RC,361,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,2587.42,6
RC,361,Artificial cornea ,,,8791.45,8791.45,3
RC,361,Artificial insemination; intra-cervical ,,,267.26,3092.0,27
RC,361,Artificial insemination; intra-uterine ,,,282.68,3092.0,27
RC,361,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,361,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,361,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,361,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,270.48,5932.0,33
RC,361,"Aspiration and/or injection, thyroid cyst ",,,62.5,5932.0,33
RC,361,Aspiration of bladder; by needle ,,,38.37,5932.0,33
RC,361,Aspiration of bladder; by trocar or intracatheter ,,,103.77,5932.0,33
RC,361,Aspiration of bladder; with insertion of suprapubic catheter ,,,685.44,8858.0,33
RC,361,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,892.44,8858.0,28
RC,361,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,361,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,361,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,361,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,361,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,361,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,361,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,361,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,361,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,361,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,6
RC,361,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,6
RC,361,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,361,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,361,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,361,Axillary crutch extension ,,,246.97,246.97,3
RC,361,Axillary lymphadenectomy; complete ,,,948.0,21630.0,33
RC,361,Axillary lymphadenectomy; superficial ,,,948.0,21630.0,33
RC,361,Azathioprine parenteral ,,,277.69,277.69,3
RC,361,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,361,"B cells, total count ",,,41.13,41.13,3
RC,361,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,361,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,361,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,361,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,361,BIOPSY EYE MUSCLE ,,,2152.0,6587.0,4
RC,361,BIOPSY OF STOMACH ,,,2152.0,6587.0,4
RC,361,BIOPSY OF THROAT ,,,2152.0,6587.0,4
RC,361,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,361,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,361,BRAIN SURGERY USING COMPUTER ,,,2152.0,6587.0,4
RC,361,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,361,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,361,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,361,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,361,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,361,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,361,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,361,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,361,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,361,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,361,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,361,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,948.0,2636.0,15
RC,361,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,948.0,25655.0,23
RC,361,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,948.0,25655.0,27
RC,361,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,948.0,25655.0,27
RC,361,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,948.0,25655.0,27
RC,361,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,948.0,25655.0,27
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,948.0,25655.0,27
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,948.0,25655.0,27
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,948.0,25655.0,27
RC,361,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,948.0,40979.09,23
RC,361,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,948.0,31872.58,27
RC,361,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,948.0,52362.13,81
RC,361,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,948.0,25655.0,27
RC,361,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,948.0,34149.32,27
RC,361,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,361,"Balance lens, per lens ",,,70.71,70.71,3
RC,361,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,948.0,31577.42,27
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,948.0,16144.0,27
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,948.0,16144.0,27
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,948.0,16144.0,27
RC,361,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,948.0,5932.0,19
RC,361,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,948.0,5932.0,19
RC,361,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,361,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,361,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,361,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,361,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,361,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,361,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,361,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,361,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,361,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,361,"Bed cradle, any type ",,,42.41,42.41,3
RC,361,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,361,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,361,"Bed side rails, full length ",,,149.47,149.47,3
RC,361,"Bed side rails, half length ",,,14.69,14.69,3
RC,361,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,361,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,361,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,361,Belatacept injection ,,,4.23,4.23,3
RC,361,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,361,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,361,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,361,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,361,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,361,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,361,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,361,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,361,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,361,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,361,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,361,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,361,Beta-2 microglobulin ,,,17.64,17.64,3
RC,361,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,361,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,361,Bevacizumab injection ,,,81.56,81.56,3
RC,361,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,948.0,54817.59,27
RC,361,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,361,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,361,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,361,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,948.0,45780.94,27
RC,361,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,948.0,49712.62,27
RC,361,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,948.0,31064.51,27
RC,361,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,361,Bile acids; total ,,,18.66,18.66,3
RC,361,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,948.0,12360.0,33
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,948.0,21630.0,33
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,948.0,21630.0,33
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,948.0,12360.0,33
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,948.0,21630.0,33
RC,361,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,361,Bilirubin; direct ,,,5.47,5.47,3
RC,361,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,361,Bilirubin; total ,,,5.47,5.47,3
RC,361,Biofeedback training by any modality ,,,39.38,44.74,6
RC,361,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,361,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,361,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,948.0,8485.0,33
RC,361,Biopsy external auditory canal ,,,99.71,25655.0,29
RC,361,Biopsy external ear ,,,57.56,3092.0,29
RC,361,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,948.0,6563.7,33
RC,361,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,95.93,5932.0,33
RC,361,Biopsy of conjunctiva ,,,113.96,8485.0,33
RC,361,Biopsy of cornea ,,,733.22,6680.0,33
RC,361,"Biopsy of epididymis, needle ",,,510.77,5932.0,33
RC,361,Biopsy of extraocular muscle ,,,948.0,12360.0,33
RC,361,Biopsy of floor of mouth ,,,110.18,5932.0,33
RC,361,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,351.7,5932.0,33
RC,361,Biopsy of lacrimal gland ,,,733.22,8858.0,33
RC,361,Biopsy of lacrimal sac ,,,733.22,8858.0,33
RC,361,Biopsy of lip ,,,67.44,2636.0,29
RC,361,"Biopsy of liver, needle; percutaneous ",,,510.77,5932.0,33
RC,361,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,361,"Biopsy of liver, wedge ",,,948.0,25655.0,27
RC,361,Biopsy of nerve ,,,692.94,8858.0,33
RC,361,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,948.0,9908.0,33
RC,361,"Biopsy of palate, uvula ",,,596.33,5932.0,31
RC,361,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,948.0,25655.0,27
RC,361,"Biopsy of pancreas, percutaneous needle ",,,510.77,5932.0,33
RC,361,Biopsy of penis; (separate procedure) ,,,510.77,5932.0,33
RC,361,Biopsy of penis; deep structures ,,,855.96,8858.0,33
RC,361,Biopsy of salivary gland; incisional ,,,441.67,6680.0,33
RC,361,Biopsy of salivary gland; needle ,,,60.46,5932.0,33
RC,361,"Biopsy of spinal cord, percutaneous needle ",,,510.77,5932.0,33
RC,361,"Biopsy of stomach, by laparotomy ",,,948.0,25655.0,27
RC,361,"Biopsy of testis, incisional (separate procedure) ",,,948.0,8858.0,33
RC,361,"Biopsy of testis, needle (separate procedure) ",,,855.96,6492.89,33
RC,361,Biopsy of tongue; anterior two-thirds ,,,116.86,5932.0,33
RC,361,Biopsy of tongue; posterior one-third ,,,115.11,6680.0,33
RC,361,Biopsy of urethra ,,,685.44,8858.0,33
RC,361,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,948.0,8858.0,33
RC,361,Biopsy of vaginal mucosa; simple (separate procedure) ,,,49.41,5932.0,33
RC,361,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,47.09,5932.0,33
RC,361,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,361,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,510.77,5932.0,33
RC,361,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,1011.84,8858.0,28
RC,361,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,1011.84,8858.0,28
RC,361,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,1011.84,8858.0,28
RC,361,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,948.0,25655.0,31
RC,361,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,948.0,8858.0,33
RC,361,"Biopsy or excision of lymph node(s); open, superficial ",,,948.0,8858.0,33
RC,361,"Biopsy thyroid, percutaneous core needle ",,,44.76,5932.0,33
RC,361,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,510.77,5932.0,33
RC,361,"Biopsy, prostate, any approach, nonimaging-guided ",,,948.0,6680.0,33
RC,361,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,948.0,5932.0,14
RC,361,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,948.0,15338.2,20
RC,361,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,948.0,15338.2,20
RC,361,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,948.0,10083.72,20
RC,361,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,948.0,10083.72,20
RC,361,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,948.0,10083.72,20
RC,361,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,948.0,10083.72,20
RC,361,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,948.0,10083.72,20
RC,361,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,948.0,10083.72,20
RC,361,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,685.44,4723.0,7
RC,361,"Biopsy, vestibule of mouth ",,,113.09,5932.0,33
RC,361,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,930.95,8858.0,33
RC,361,"Biopsy; nasopharynx, visible lesion, simple ",,,930.95,7334.01,33
RC,361,Biopsy; oropharynx ,,,89.82,25655.0,33
RC,361,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,361,Bladder instillation of anticarcinogenic agent (including retention time) ,,,47.09,6587.0,29
RC,361,"Bladder irrigation, simple, lavage and/or instillation ",,,46.52,6587.0,33
RC,361,Bleeding time ,,,5.25,5.25,3
RC,361,"Blepharotomy, drainage of abscess, eyelid ",,,113.7,5932.0,33
RC,361,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,14
RC,361,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,25655.0,21
RC,361,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,21256.09,27301.4,9
RC,361,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,21538.0,35001.4,9
RC,361,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,14
RC,361,Blood component/product no ,,,38.5,38.5,3
RC,361,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,361,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,361,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,361,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,361,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,361,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,361,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,361,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,361,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,361,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,361,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,361,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,361,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,361,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,361,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,361,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,361,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,361,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,361,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,361,Blood split unit ,,,169.87,169.87,3
RC,361,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,361,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,361,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,361,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,361,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,361,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,361,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,361,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,361,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,361,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,361,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,361,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,361,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,361,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,948.0,25655.0,27
RC,361,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,592.85,25655.0,29
RC,361,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,361,Bone marrow harvesting for transplantation; allogeneic ,,,592.85,25655.0,33
RC,361,Bone marrow harvesting for transplantation; autologous ,,,948.0,17510.0,33
RC,361,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,6
RC,361,Bradykinin ,,,5.62,5.62,3
RC,361,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,361,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,361,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,361,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,361,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,361,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,361,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,361,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,361,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,6
RC,361,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,6
RC,361,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,6
RC,361,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1481.0,2636.0,5
RC,361,Breathing circuits ,,,11.75,11.75,3
RC,361,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,361,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,361,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,361,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,361,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,13
RC,361,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,10
RC,361,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,25655.0,11
RC,361,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,16
RC,361,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,361,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,20
RC,361,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,20
RC,361,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,361,Bundle of His recording ,,,12830.85,43890.0,14
RC,361,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,361,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,361,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,948.0,25655.0,27
RC,361,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,948.0,25655.0,27
RC,361,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,948.0,25655.0,27
RC,361,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,948.0,28702.4,27
RC,361,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,948.0,30924.8,27
RC,361,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,948.0,25655.0,27
RC,361,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,948.0,28857.84,27
RC,361,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,948.0,25655.0,27
RC,361,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,948.0,28376.19,27
RC,361,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,361,C-peptide ,,,22.68,22.68,3
RC,361,C-reactive protein; ,,,5.65,5.65,3
RC,361,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,361,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,361,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,361,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,361,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,361,CATHETERIZE MIDDLE EAR CANAL ,,,2152.0,6587.0,4
RC,361,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,361,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,361,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,361,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,361,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,361,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,361,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,361,CHANGE BILE DUCT CATHETER ,,,2152.0,6587.0,4
RC,361,CHANGE IV CATH AT THROMB TX ,,,2152.0,6587.0,4
RC,361,CHANGE KIDNEY TUBE ,,,2152.0,6587.0,4
RC,361,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,2152.0,2636.0,4
RC,361,CIRCUMCISION ,,,2152.0,6587.0,4
RC,361,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,COLLECT BLOOD VENOUS DEVICE ,,,2152.0,6587.0,4
RC,361,COLONOSCOPY LESION REMOVAL ,,,2152.0,6587.0,4
RC,361,COLONOSCOPY W/STENT ,,,2152.0,6587.0,8
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,1
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,361,CONTROL POSTOP BLEEDING ,,,2152.0,6587.0,4
RC,361,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,2152.0,16144.0,5
RC,361,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,2152.0,16144.0,5
RC,361,CREATE SALIVARY CYST DRAIN ,,,2152.0,6587.0,8
RC,361,CRYOTHERAPY OF RECTAL LESION ,,,2152.0,6587.0,8
RC,361,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,361,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,361,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,361,CT and CTA without Contras ,,,242.29,242.29,3
RC,361,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,361,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,361,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,361,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,361,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,361,"CYSTOSCOPY, RESECT DUCTS ",,,2152.0,6587.0,4
RC,361,Cabazitaxel injection ,,,254.77,254.77,3
RC,361,Cadmium ,,,25.77,25.77,3
RC,361,Caffeine ,,,42.04,42.04,3
RC,361,Calcitonin ,,,29.2,29.2,3
RC,361,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,361,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,361,Calcium; ionized ,,,14.91,14.91,3
RC,361,Calcium; total ,,,5.62,5.62,3
RC,361,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,361,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,361,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,361,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,361,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,361,"Calprotectin, fecal ",,,21.4,21.4,3
RC,361,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,361,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,361,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,361,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,361,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,361,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,361,"Cannula, nasal ",,,1.13,1.13,3
RC,361,"Cannulation, thoracic duct ",,,948.0,2636.0,15
RC,361,"Cantharidin top, applicato ",,,757.78,757.78,3
RC,361,Canthoplasty (reconstruction of canthus) ,,,733.22,8858.0,33
RC,361,Canthotomy (separate procedure) ,,,733.22,8858.0,33
RC,361,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,361,Capsaicin 8% patch ,,,3.82,3.82,3
RC,361,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,361,Carbamazepine; free ,,,14.44,14.44,3
RC,361,Carbamazepine; total ,,,15.88,15.88,3
RC,361,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,361,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,361,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,361,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,361,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,361,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,361,Cardiac Rehabilitation ,,,141.15,141.15,3
RC,361,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,361,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,361,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,1481.0,2174.0,4
RC,361,Cardioassist-method of circulatory assist; external ,,,2152.0,16144.0,8
RC,361,Cardioassist-method of circulatory assist; internal ,,,2152.0,16144.0,14
RC,361,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,361,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,361,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,551.76,2636.0,11
RC,361,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,15
RC,361,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1169.48,3293.0,15
RC,361,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,361,Carmustine injection ,,,261.61,261.61,3
RC,361,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,361,Carotene ,,,10.05,10.05,3
RC,361,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,361,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,361,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,361,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,361,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,361,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,361,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,361,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,361,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,361,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,361,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,361,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,361,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,361,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,361,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,361,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,361,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,361,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,361,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,361,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,361,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,361,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,361,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,361,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,361,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,361,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,361,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,361,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,361,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,361,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,361,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,361,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,361,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,361,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,361,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,361,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,361,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,361,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,361,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,361,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,361,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,361,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,361,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,361,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,361,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,361,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,361,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,361,"Caster pin lock, each ",,,46.34,46.34,3
RC,361,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,361,Catecholamines; blood ,,,31.7,31.7,3
RC,361,Catecholamines; fractionated ,,,27.52,27.52,3
RC,361,Catecholamines; total urine ,,,29.76,29.76,3
RC,361,Cathepsin-D ,,,19.69,19.69,3
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,12875.0,10
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,12875.0,10
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,42
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,13254.68,9
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,12875.0,40
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,12875.0,30
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,13254.68,9
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,12875.0,9
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,6
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,9119.84,22644.0,14
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,22644.0,38
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9119.84,22644.0,28
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,33769.0,51
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9119.84,22644.0,14
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,14
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,23113.0,14
RC,361,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,948.0,5932.0,19
RC,361,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,361,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,13
RC,361,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,948.0,2636.0,15
RC,361,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,508.76,6587.0,21
RC,361,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,948.0,25655.0,26
RC,361,"Cautery of cervix; cryocautery, initial or repeat ",,,110.18,5932.0,33
RC,361,Cautery of cervix; electro or thermal ,,,83.14,25655.0,33
RC,361,Cautery of cervix; laser ablation ,,,948.0,8858.0,33
RC,361,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,361,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,361,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,361,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,361,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,361,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,361,"Cerclage of cervix, during pregnancy; abdominal ",,,948.0,25655.0,31
RC,361,"Cerclage of cervix, during pregnancy; vaginal ",,,948.0,8858.0,33
RC,361,"Cerclage of uterine cervix, nonobstetrical ",,,948.0,8858.0,31
RC,361,Ceruloplasmin ,,,11.71,11.71,3
RC,361,Cervical head harness/halter ,,,30.83,30.83,3
RC,361,Cervical lymphadenectomy (complete) ,,,948.0,25655.0,31
RC,361,Cervical lymphadenectomy (modified radical neck dissection) ,,,948.0,32377.73,31
RC,361,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,361,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,361,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,361,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,361,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,361,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,361,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,361,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,361,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,361,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,361,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,361,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,361,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,361,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,361,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,361,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,361,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,948.0,25655.0,23
RC,361,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,948.0,29129.93,17
RC,361,Cesarean delivery only; ,,,948.0,25655.0,26
RC,361,Cesarean delivery only; including postpartum care ,,,948.0,28282.84,24
RC,361,Cetuximab injection ,,,89.02,89.02,3
RC,361,Change of cystostomy tube; complicated ,,,250.06,6587.0,33
RC,361,Change of cystostomy tube; simple ,,,54.36,6587.0,33
RC,361,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,685.44,5932.0,33
RC,361,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,20
RC,361,Chemiluminescent assay ,,,15.39,15.39,3
RC,361,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,6
RC,361,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,6
RC,361,Chemodenervation of eccrine glands; both axillae ,,,53.19,5932.0,33
RC,361,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,60.75,5932.0,33
RC,361,Chemodenervation of extraocular muscle ,,,107.27,5932.0,33
RC,361,Chemodenervation of internal anal sphincter ,,,450.72,5932.0,33
RC,361,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,78.19,6587.0,33
RC,361,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,68.02,5932.0,33
RC,361,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,62.21,5932.0,33
RC,361,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,60.16,5932.0,33
RC,361,Chemodenervation of one extremity; 1-4 muscle(s) ,,,72.09,5932.0,33
RC,361,Chemodenervation of one extremity; 5 or more muscles ,,,89.82,5932.0,33
RC,361,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,361,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,361,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,70.93,5932.0,33
RC,361,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,72.09,5932.0,33
RC,361,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,79.06,5932.0,33
RC,361,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,948.0,6587.0,11
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,948.0,12875.0,11
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,948.0,12875.0,11
RC,361,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,948.0,12875.0,11
RC,361,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,361,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,361,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,361,Chloramphenicol ,,,13.81,13.81,3
RC,361,Chloride; blood ,,,5.01,5.01,3
RC,361,Chloride; other source ,,,5.45,5.45,3
RC,361,Chloride; urine ,,,6.27,6.27,3
RC,361,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,361,Cholecystectomy with exploration of common duct; ,,,948.0,76895.0,30
RC,361,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,948.0,76895.0,30
RC,361,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,948.0,30753.83,30
RC,361,Cholecystectomy; ,,,2152.0,25655.0,25
RC,361,Cholecystectomy; with cholangiography ,,,2152.0,25655.0,25
RC,361,Cholecystoenterostomy; Roux-en-Y ,,,948.0,29339.71,27
RC,361,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,948.0,33232.37,27
RC,361,Cholecystoenterostomy; direct ,,,948.0,25975.27,27
RC,361,Cholecystoenterostomy; with gastroenterostomy ,,,948.0,30575.1,27
RC,361,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,948.0,25655.0,27
RC,361,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,948.0,25655.0,27
RC,361,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,948.0,30854.73,27
RC,361,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,948.0,30225.4,27
RC,361,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,361,Choline c-11 ,,,2742.91,2742.91,3
RC,361,Cholinesterase; RBC ,,,10.69,10.69,3
RC,361,Cholinesterase; serum ,,,8.58,8.58,3
RC,361,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,361,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,361,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,361,"Chorionic villus sampling, any method ",,,52.32,3293.0,29
RC,361,Chromium ,,,22.11,22.11,3
RC,361,Chromogenic substrate assay ,,,12.96,12.96,3
RC,361,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,361,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,361,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,361,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,361,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,361,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,361,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,361,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,361,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,361,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,361,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,361,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,361,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,361,"Chromotubation of oviduct, including materials ",,,948.0,12360.0,31
RC,361,Cidofovir injection ,,,583.95,583.95,3
RC,361,Ciliary body destruction; cryotherapy ,,,733.22,8858.0,33
RC,361,Ciliary body destruction; cyclodialysis ,,,733.22,8858.0,33
RC,361,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,892.44,8858.0,33
RC,361,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,733.22,8858.0,33
RC,361,Ciliary body destruction; diathermy ,,,892.44,6680.0,33
RC,361,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,361,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,250.06,8858.0,33
RC,361,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,685.44,8858.0,33
RC,361,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,685.44,8858.0,33
RC,361,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,113.56,5932.0,33
RC,361,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,113.56,5932.0,33
RC,361,Citrate ,,,30.3,30.3,3
RC,361,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,361,Clinic Visits and Related ,,,145.78,145.78,3
RC,361,Clitoroplasty for intersex state ,,,948.0,25655.0,29
RC,361,Closure of anal fistula with rectal advancement flap ,,,948.0,19415.0,33
RC,361,Closure of cystostomy (separate procedure) ,,,948.0,8858.0,33
RC,361,Closure of enteroenteric or enterocolic fistula ,,,948.0,32533.18,27
RC,361,"Closure of enterostomy, large or small intestine; ",,,948.0,25655.0,27
RC,361,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,948.0,25655.0,27
RC,361,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,948.0,36076.35,27
RC,361,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,948.0,34949.62,27
RC,361,Closure of enterovesical fistula; without intestinal or bladder resection ,,,948.0,30069.95,27
RC,361,Closure of esophagostomy or fistula; cervical approach ,,,948.0,25655.0,31
RC,361,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,948.0,32354.45,27
RC,361,Closure of gastrocolic fistula ,,,948.0,35882.09,27
RC,361,"Closure of gastrostomy, surgical ",,,948.0,8858.0,33
RC,361,Closure of intestinal cutaneous fistula ,,,948.0,31585.18,27
RC,361,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,91.96,2636.0,29
RC,361,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,196.58,5932.0,33
RC,361,Closure of lacrimal fistula (separate procedure) ,,,733.22,19415.0,33
RC,361,Closure of nephrocutaneous or pyelocutaneous fistula ,,,948.0,26107.22,31
RC,361,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,948.0,33131.47,27
RC,361,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,948.0,35516.87,27
RC,361,Closure of rectourethral fistula; ,,,948.0,28515.9,27
RC,361,Closure of rectourethral fistula; with colostomy ,,,948.0,34530.06,27
RC,361,Closure of rectovaginal fistula; abdominal approach ,,,948.0,25655.0,31
RC,361,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,948.0,25655.0,27
RC,361,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,948.0,25655.0,27
RC,361,Closure of rectovaginal fistula; vaginal or transanal approach ,,,948.0,9908.0,33
RC,361,Closure of rectovesical fistula; ,,,948.0,28352.91,27
RC,361,Closure of rectovesical fistula; with colostomy ,,,948.0,33069.16,27
RC,361,"Closure of the lacrimal punctum; by plug, each ",,,82.55,5932.0,33
RC,361,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,113.7,5932.0,33
RC,361,Closure of ureterocutaneous fistula ,,,948.0,25655.0,27
RC,361,Closure of ureterovisceral fistula (including visceral repair) ,,,948.0,25655.0,27
RC,361,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,948.0,12360.0,33
RC,361,Closure of urethrovaginal fistula; ,,,948.0,18770.08,33
RC,361,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,948.0,25655.0,31
RC,361,Closure of vesicouterine fistula; ,,,948.0,25655.0,31
RC,361,Closure of vesicouterine fistula; with hysterectomy ,,,948.0,25655.0,27
RC,361,"Closure of vesicovaginal fistula, abdominal approach ",,,948.0,25655.0,31
RC,361,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,948.0,25655.0,27
RC,361,Closure of vesicovaginal fistula; vaginal approach ,,,948.0,12360.0,33
RC,361,"Closure postauricular fistula, mastoid (separate procedure) ",,,441.67,9908.0,33
RC,361,Closure salivary fistula ,,,930.95,7334.01,33
RC,361,"Closure, exstrophy of bladder ",,,948.0,36923.22,27
RC,361,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,361,Clot retraction ,,,17.77,17.77,3
RC,361,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,361,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,361,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,361,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,361,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,361,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,361,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,361,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,361,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,361,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,361,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,361,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,361,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,361,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,361,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,361,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,361,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,361,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,361,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,361,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,361,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,361,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,361,Clozapine ,,,21.96,21.96,3
RC,361,Clubfoot wedge ,,,66.8,66.8,3
RC,361,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,361,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,361,Coagulation time; activated ,,,4.67,4.67,3
RC,361,Coagulation time; other methods ,,,4.89,4.89,3
RC,361,Cochlear Implant Procedure ,,,36103.38,36103.38,3
RC,361,"Cochlear device implantation, with or without mastoidectomy ",,,8325.0,111180.0,26
RC,361,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,361,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,361,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,361,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,361,Cold agglutinin; screen ,,,8.8,8.8,3
RC,361,Cold agglutinin; titer ,,,8.79,8.79,3
RC,361,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,948.0,27979.92,27
RC,361,"Colectomy, partial; abdominal and transanal approach ",,,948.0,43784.05,27
RC,361,"Colectomy, partial; with anastomosis ",,,948.0,30240.92,27
RC,361,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,948.0,37335.02,27
RC,361,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,948.0,47676.92,27
RC,361,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,948.0,37505.99,27
RC,361,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,948.0,39891.39,27
RC,361,"Colectomy, partial; with skin level cecostomy or colostomy ",,,948.0,41119.02,27
RC,361,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,948.0,51693.98,27
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,948.0,50730.46,27
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,948.0,49417.46,27
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,948.0,46736.69,27
RC,361,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,948.0,48687.01,27
RC,361,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,948.0,42027.99,27
RC,361,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,361,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,361,"Collagen cross links, any method ",,,20.36,20.36,3
RC,361,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,361,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,361,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,361,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,361,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,16144.0,14
RC,361,Collection of blood specimen from a completely implantable venous access device ,,,948.0,11220.0,17
RC,361,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,948.0,11220.0,17
RC,361,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,948.0,1995.0,6
RC,361,Collection of venous blood by venipuncture ,,,10.18,1995.0,9
RC,361,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,361,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1481.0,2174.0,4
RC,361,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,5932.0,33
RC,361,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,948.0,9012.0,31
RC,361,"Colonoscopy through stoma; with biopsy, single or multiple ",,,450.72,5932.0,33
RC,361,"Colonoscopy through stoma; with control of bleeding, any method ",,,450.72,5932.0,33
RC,361,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,344.93,9012.0,33
RC,361,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,450.72,9012.0,33
RC,361,Colonoscopy through stoma; with endoscopic mucosal resection ,,,450.72,9012.0,33
RC,361,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,31
RC,361,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,450.72,9012.0,33
RC,361,Colonoscopy through stoma; with removal of foreign body(s) ,,,344.93,5932.0,33
RC,361,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,450.72,5932.0,33
RC,361,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,5932.0,33
RC,361,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,450.72,9012.0,33
RC,361,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,450.72,9012.0,33
RC,361,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,6680.0,33
RC,361,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,450.72,9012.0,33
RC,361,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,450.72,9012.0,33
RC,361,"Colonoscopy, flexible; with biopsy, single or multiple ",,,450.72,6680.0,33
RC,361,"Colonoscopy, flexible; with control of bleeding, any method ",,,450.72,6680.0,33
RC,361,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,450.72,9012.0,33
RC,361,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,450.72,6680.0,33
RC,361,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,948.0,9012.0,33
RC,361,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,33
RC,361,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,450.72,6680.0,33
RC,361,"Colonoscopy, flexible; with removal of foreign body(s) ",,,450.72,6680.0,33
RC,361,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,450.72,6680.0,33
RC,361,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,6680.0,33
RC,361,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,450.72,6680.0,33
RC,361,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,450.72,6680.0,33
RC,361,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1266.0,6680.0,25
RC,361,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1266.0,6680.0,25
RC,361,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,361,Colorectal cancer screening; flexible sigmoidoscopy ,,,890.09,5932.0,19
RC,361,Colostomy or skin level cecostomy; ,,,948.0,27078.5,27
RC,361,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,948.0,25655.0,27
RC,361,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,31
RC,361,Colpocentesis (separate procedure) ,,,948.0,11960.31,33
RC,361,Colpocleisis (Le Fort type) ,,,948.0,25655.0,33
RC,361,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,948.0,8858.0,33
RC,361,"Colpopexy, abdominal approach ",,,948.0,25655.0,31
RC,361,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,948.0,25655.0,31
RC,361,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,948.0,25655.0,31
RC,361,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,25655.0,20
RC,361,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,948.0,8858.0,33
RC,361,Colposcopy of the cervix including upper/adjacent vagina; ,,,59.59,6680.0,33
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,73.54,5932.0,33
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,68.31,6680.0,33
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,69.76,5932.0,33
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,183.14,25655.0,33
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,194.48,9908.0,33
RC,361,"Colposcopy of the entire vagina, with cervix if present; ",,,60.75,5932.0,33
RC,361,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,79.95,5932.0,33
RC,361,Colposcopy of the vulva; ,,,57.86,5932.0,33
RC,361,Colposcopy of the vulva; with biopsy(s) ,,,76.17,5932.0,33
RC,361,Colpotomy; with drainage of pelvic abscess ,,,948.0,8858.0,33
RC,361,Colpotomy; with exploration ,,,948.0,8858.0,33
RC,361,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,361,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,361,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,361,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,948.0,18490.0,33
RC,361,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,948.0,23113.0,33
RC,361,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,361,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,361,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,361,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,361,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,361,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,361,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,361,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,361,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,361,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,361,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,361,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,361,"Complement; antigen, each component ",,,13.08,13.08,3
RC,361,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,361,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,361,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,361,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,361,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,6
RC,361,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,6
RC,361,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,6
RC,361,Complex GI Procedures ,,,6647.43,6647.43,3
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,115.66,6587.0,33
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,229.65,6587.0,33
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,233.43,6587.0,33
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,233.71,6587.0,33
RC,361,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,361,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,301.6,6587.0,27
RC,361,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,361,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,43890.0,12
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,43890.0,12
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,12830.85,43890.0,14
RC,361,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,57218.76,30
RC,361,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,25253.0,43890.0,8
RC,361,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,57218.76,15
RC,361,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,361,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,361,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,948.0,6587.0,15
RC,361,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,361,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,361,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,361,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,361,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,361,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,361,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,361,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,361,"Congo red, blood ",,,5.4,5.4,3
RC,361,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,948.0,8858.0,33
RC,361,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,948.0,8858.0,33
RC,361,Conjunctival flap; bridge or partial (separate procedure) ,,,948.0,12360.0,33
RC,361,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,733.22,8858.0,33
RC,361,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,733.22,19415.0,33
RC,361,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,948.0,19415.0,33
RC,361,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,948.0,19415.0,33
RC,361,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,733.22,19415.0,33
RC,361,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,948.0,19415.0,33
RC,361,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,948.0,19415.0,33
RC,361,Construction of artificial vagina; with graft ,,,948.0,25655.0,31
RC,361,Construction of artificial vagina; without graft ,,,948.0,18490.0,33
RC,361,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,733.22,9908.0,33
RC,361,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,733.22,9908.0,33
RC,361,Cont epidur inject-lumb ,,,2152.0,6587.0,4
RC,361,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,361,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,361,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,361,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,361,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,361,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,361,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,361,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,361,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,361,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,361,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,361,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,361,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,361,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,361,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,361,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,361,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,361,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,361,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,948.0,37358.31,27
RC,361,Continent ileostomy (Kock procedure) (separate procedure) ,,,948.0,31919.36,27
RC,361,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1481.0,2636.0,5
RC,361,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,361,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,361,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,948.0,5932.0,19
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,948.0,25655.0,27
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,91.96,5932.0,33
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,930.95,9908.0,33
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,948.0,25655.0,27
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,196.58,5932.0,33
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,930.95,8858.0,33
RC,361,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,361,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,948.0,12499.0,33
RC,361,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,20
RC,361,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,685.44,8485.0,33
RC,361,Copper ,,,13.53,13.53,3
RC,361,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,361,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,6
RC,361,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,6
RC,361,"Cordocentesis (intrauterine), any method ",,,590.17,2636.0,27
RC,361,Corneal relaxing incision for correction of surgically induced astigmatism ,,,351.98,19415.0,33
RC,361,Corneal wedge resection for correction of surgically induced astigmatism ,,,733.22,19415.0,33
RC,361,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,361,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,948.0,25655.0,26
RC,361,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,948.0,19415.0,32
RC,361,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,948.0,19415.0,32
RC,361,"Correction of everted punctum, cautery ",,,113.7,5932.0,33
RC,361,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,733.22,9908.0,33
RC,361,Correction of lid retraction ,,,733.22,9908.0,33
RC,361,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,948.0,33722.0,31
RC,361,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,70.63,3092.0,29
RC,361,"Correction of trichiasis; epilation, by forceps only ",,,237.69,2636.0,27
RC,361,Correction of trichiasis; incision of lid margin ,,,351.98,6680.0,33
RC,361,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,733.22,8858.0,33
RC,361,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,361,Corticosterone ,,,24.55,24.55,3
RC,361,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,361,Cortisol; free ,,,18.21,18.21,3
RC,361,Cortisol; total ,,,17.77,17.77,3
RC,361,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,948.0,2636.0,15
RC,361,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,948.0,21630.0,27
RC,361,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,361,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,361,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,361,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,361,Cr51 chromate ,,,2090.58,2090.58,3
RC,361,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,361,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,361,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,361,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,361,Craniectomy for craniosynostosis; multiple cranial sutures ,,,948.0,33815.14,27
RC,361,Craniectomy for craniosynostosis; single cranial suture ,,,948.0,25655.0,27
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,948.0,85726.66,27
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,948.0,62976.11,27
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,948.0,67404.97,27
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,948.0,72820.62,27
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,948.0,41390.89,27
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,948.0,46954.23,27
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,948.0,47311.7,27
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,948.0,45097.27,27
RC,361,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,948.0,35571.2,27
RC,361,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,948.0,54242.59,27
RC,361,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,948.0,54196.02,27
RC,361,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,948.0,47941.03,27
RC,361,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,948.0,43170.23,27
RC,361,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,948.0,45578.92,27
RC,361,"Craniectomy or craniotomy, exploratory; supratentorial ",,,948.0,37412.64,27
RC,361,Craniectomy or craniotomy; with excision of foreign body from brain ,,,948.0,42362.17,27
RC,361,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,948.0,44545.55,27
RC,361,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,948.0,76099.69,27
RC,361,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,948.0,70769.41,27
RC,361,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,948.0,48912.31,27
RC,361,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,948.0,47296.17,27
RC,361,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,948.0,49782.69,27
RC,361,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,948.0,45749.89,27
RC,361,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,948.0,47956.55,27
RC,361,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,948.0,43512.18,27
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,948.0,43481.13,27
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,948.0,49798.21,27
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,948.0,58127.7,27
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,948.0,42315.6,27
RC,361,Craniectomy; for osteomyelitis ,,,948.0,25773.26,27
RC,361,Craniectomy; with excision of tumor or other bone lesion of skull ,,,948.0,33769.0,31
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,948.0,54693.19,27
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,948.0,59176.59,27
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,948.0,68834.61,27
RC,361,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,948.0,65454.65,27
RC,361,Cranioplasty for skull defect with reparative brain surgery ,,,948.0,31880.34,27
RC,361,Cranioplasty for skull defect; larger than 5 cm diameter ,,,948.0,25788.78,27
RC,361,Cranioplasty for skull defect; up to 5 cm diameter ,,,948.0,25655.0,27
RC,361,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,948.0,32610.79,27
RC,361,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,948.0,26627.89,27
RC,361,Craniotomy for craniosynostosis; bifrontal bone flap ,,,948.0,38399.44,27
RC,361,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,948.0,38982.2,27
RC,361,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,948.0,52408.91,27
RC,361,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,948.0,36068.59,27
RC,361,"Craniotomy for repair of encephalocele, skull base ",,,948.0,35532.39,27
RC,361,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,948.0,58453.9,27
RC,361,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,948.0,72276.88,27
RC,361,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,948.0,36860.92,27
RC,361,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,948.0,43512.18,27
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,948.0,54110.43,27
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,948.0,49005.66,27
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,948.0,60831.54,27
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,948.0,56301.57,27
RC,361,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,948.0,56674.56,27
RC,361,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,948.0,47956.55,27
RC,361,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,948.0,25655.0,27
RC,361,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,948.0,50404.26,27
RC,361,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,948.0,34545.59,27
RC,361,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,948.0,48725.82,27
RC,361,Creatine ,,,5.06,5.06,3
RC,361,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,361,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,361,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,361,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,361,Creatinine; blood ,,,5.58,5.58,3
RC,361,Creatinine; clearance ,,,10.31,10.31,3
RC,361,Creatinine; other source ,,,5.65,5.65,3
RC,361,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,1995.0,19415.0,27
RC,361,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,1995.0,19415.0,27
RC,361,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,948.0,25655.0,27
RC,361,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,948.0,36363.74,27
RC,361,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,692.94,9908.0,33
RC,361,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,692.94,9908.0,33
RC,361,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,692.94,9012.0,33
RC,361,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,948.0,25655.0,27
RC,361,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,948.0,25655.0,31
RC,361,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,948.0,25655.0,27
RC,361,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,948.0,25655.0,27
RC,361,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,948.0,25655.0,27
RC,361,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,948.0,25655.0,27
RC,361,Cricopharyngeal myotomy ,,,948.0,25655.0,29
RC,361,Critical Care ,,,904.47,904.47,3
RC,361,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,361,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,361,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,361,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,361,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,361,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,361,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,361,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,361,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,361,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,361,Cryofibrinogen ,,,15.41,15.41,3
RC,361,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,361,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,361,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,361,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,361,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,6
RC,361,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,948.0,55080.0,27
RC,361,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,361,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,361,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,361,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,361,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,361,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,361,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,361,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,361,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,361,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,361,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,361,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,361,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,361,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,361,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,361,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,361,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,361,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,361,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,361,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,361,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,361,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,361,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,361,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,361,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,361,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,361,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,361,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,361,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,361,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,361,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,361,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,361,"Culture, typing; other methods ",,,8.44,8.44,3
RC,361,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,154.64,25655.0,33
RC,361,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,948.0,5932.0,31
RC,361,"Curettage, postpartum ",,,948.0,9908.0,33
RC,361,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,361,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,361,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,361,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,361,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,361,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,361,Cutaneous appendico-vesicostomy ,,,948.0,28096.35,27
RC,361,Cutaneous vesicostomy ,,,948.0,25655.0,27
RC,361,Cyanide ,,,21.15,21.15,3
RC,361,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,361,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,361,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,361,Cyclosporine ,,,19.67,19.67,3
RC,361,Cystatin C ,,,20.19,20.19,3
RC,361,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,948.0,52968.39,27
RC,361,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,948.0,43488.89,27
RC,361,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,49223.2,27
RC,361,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,948.0,42556.42,27
RC,361,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,47436.1,27
RC,361,"Cystectomy, complete; (separate procedure) ",,,948.0,33131.47,27
RC,361,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,40994.62,27
RC,361,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,948.0,29176.5,27
RC,361,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,948.0,28508.14,27
RC,361,"Cystectomy, partial; simple ",,,948.0,25655.0,27
RC,361,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,361,Cysto w Bx/fulgur les ,,,2152.0,6587.0,4
RC,361,Cysto w lithotripsy ,,,2152.0,6587.0,4
RC,361,Cysto w rmvl/manip CAL ,,,2152.0,6587.0,4
RC,361,Cysto w tumor resection ,,,2152.0,6587.0,4
RC,361,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,948.0,19415.0,33
RC,361,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,948.0,25655.0,31
RC,361,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,948.0,25655.0,31
RC,361,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,948.0,25655.0,31
RC,361,"Cystostomy, cystotomy with drainage ",,,685.44,19415.0,33
RC,361,"Cystotomy for excision, incision, or repair of ureterocele ",,,948.0,25655.0,27
RC,361,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,948.0,19415.0,33
RC,361,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,3796.0,5381.0,5
RC,361,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,948.0,19415.0,33
RC,361,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,685.44,19415.0,33
RC,361,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,948.0,25655.0,27
RC,361,Cystotomy; for excision of bladder tumor ,,,948.0,25655.0,27
RC,361,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,948.0,19415.0,33
RC,361,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,948.0,25655.0,31
RC,361,Cystourethroscopy ,,,2152.0,6587.0,4
RC,361,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1773.9,19415.0,28
RC,361,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,1200.05,8858.0,28
RC,361,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1200.05,18490.0,28
RC,361,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,1995.0,17510.0,28
RC,361,Cystourethroscopy (separate procedure) ,,,250.06,3293.0,29
RC,361,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,250.06,6680.0,33
RC,361,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,20
RC,361,Cystourethroscopy with direct vision internal urethrotomy ,,,685.44,9908.0,33
RC,361,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,948.0,9908.0,33
RC,361,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,948.0,27080.2,20
RC,361,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,948.0,25080.0,33
RC,361,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,948.0,25892.02,21
RC,361,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1200.05,9908.0,28
RC,361,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,948.0,8451.91,33
RC,361,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,948.0,9908.0,31
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1773.9,11848.54,28
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,361,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,20
RC,361,"Cystourethroscopy, with biopsy(s) ",,,685.44,8858.0,33
RC,361,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,685.44,6680.0,33
RC,361,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,685.44,6680.0,33
RC,361,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,234.3,6680.0,33
RC,361,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,250.06,6680.0,33
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,948.0,11848.54,33
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,948.0,9908.0,33
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,948.0,8858.0,33
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,948.0,8858.0,33
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,948.0,8858.0,33
RC,361,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,685.44,9868.0,33
RC,361,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1200.05,8858.0,24
RC,361,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,948.0,5932.0,25
RC,361,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,948.0,9908.0,25
RC,361,"Cystourethroscopy, with insertion of permanent urethral stent ",,,948.0,12499.0,33
RC,361,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,12499.0,11
RC,361,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,3796.0,19415.0,25
RC,361,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,25655.0,25
RC,361,"Cystourethroscopy, with internal urethrotomy; female ",,,685.44,6680.0,33
RC,361,"Cystourethroscopy, with internal urethrotomy; male ",,,685.44,8858.0,33
RC,361,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,948.0,13804.22,30
RC,361,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,685.44,8858.0,33
RC,361,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,685.44,6680.0,33
RC,361,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,948.0,8858.0,33
RC,361,"Cystourethroscopy, with steroid injection into stricture ",,,685.44,8858.0,33
RC,361,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,685.44,8858.0,29
RC,361,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,948.0,8858.0,33
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,12499.0,16
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,7
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1200.05,9908.0,28
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1773.9,19415.0,28
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,6
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1773.9,17510.0,20
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,948.0,17510.0,29
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1200.05,19415.0,28
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1773.9,19415.0,28
RC,361,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,948.0,11848.54,33
RC,361,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,948.0,9908.0,33
RC,361,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,948.0,8858.0,33
RC,361,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,361,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,361,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,361,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,685.44,8858.0,33
RC,361,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,361,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,361,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,361,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,361,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,361,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,361,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,361,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,361,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,361,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,361,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,361,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,361,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,361,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,361,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,361,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,361,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,361,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,361,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,361,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,361,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,361,D & C OF RESIDUAL CERVIX ,,,2152.0,6587.0,4
RC,361,DECLOT VASCULAR DEVICE ,,,2152.0,6587.0,4
RC,361,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,6587.0,8
RC,361,DESTR PARAVERTEBRL NERVE C/T ,,,2152.0,6587.0,4
RC,361,DESTR PARAVERTEBRL NERVE L/S ,,,2152.0,6587.0,4
RC,361,DESTROY NERVE EXTREM MUSC ,,,2152.0,6587.0,4
RC,361,DESTROY NERVE NECK MUSCLE ,,,2152.0,6587.0,4
RC,361,DESTRUCTION OF HEMORRHOIDS ,,,2152.0,6587.0,12
RC,361,DILATE ESOPHAGUS ,,,2152.0,6587.0,8
RC,361,DILATION PROSTATIC URETHRA ,,,2152.0,6587.0,4
RC,361,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,361,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,361,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,361,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,361,DRAIN ABDOMINAL ABSCESS ,,,2152.0,6587.0,4
RC,361,DRAIN APP ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,361,DRAIN PANCREATIC PSEUDOCYST ,,,2152.0,6587.0,4
RC,361,DRAIN PELVIC ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,361,DRAIN PERCUT ABDOM ABSCESS ,,,2152.0,6587.0,4
RC,361,DRAIN PERCUT RETROPER ABSC ,,,2152.0,6587.0,4
RC,361,DRAINAGE OF BLADDER ,,,2152.0,6587.0,12
RC,361,DRAINAGE OF EYE ,,,2152.0,6587.0,4
RC,361,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,948.0,19415.0,33
RC,361,Dactinomycin injection ,,,335.08,335.08,3
RC,361,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,361,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,361,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,361,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,361,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,24
RC,361,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1481.0,5932.0,8
RC,361,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,20
RC,361,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,140.69,25655.0,33
RC,361,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,380.91,2636.0,27
RC,361,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,27.62,11220.0,32
RC,361,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,948.0,25655.0,31
RC,361,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,948.0,18490.0,33
RC,361,Decompression internal auditory canal ,,,948.0,25655.0,27
RC,361,"Decompression of orbit only, transcranial approach ",,,948.0,25655.0,27
RC,361,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,6
RC,361,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,692.94,12499.0,29
RC,361,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,948.0,5932.0,14
RC,361,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,948.0,21630.0,20
RC,361,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,948.0,8858.0,20
RC,361,Decompression; plantar digital nerve ,,,692.94,8858.0,33
RC,361,Decompression; unspecified nerve(s) (specify) ,,,692.94,8858.0,33
RC,361,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,4
RC,361,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,361,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,361,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,593.22,8485.0,33
RC,361,Deligation of ureter ,,,948.0,25655.0,27
RC,361,Delivery of placenta (separate procedure) ,,,948.0,25655.0,29
RC,361,Dental Procedures ,,,707.88,707.88,3
RC,361,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,361,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,361,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,361,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,361,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,4723.0,5
RC,361,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,361,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,692.94,8858.0,33
RC,361,"Destruction by neurolytic agent, intercostal nerve ",,,357.81,5932.0,33
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,948.0,5932.0,19
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,692.94,8858.0,33
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,948.0,5932.0,19
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,692.94,9868.0,33
RC,361,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,692.94,8858.0,33
RC,361,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,692.94,8858.0,33
RC,361,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,357.81,5932.0,33
RC,361,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,357.81,6680.0,33
RC,361,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,357.81,6680.0,33
RC,361,Destruction by neurolytic agent; other peripheral nerve or branch ,,,152.61,5932.0,33
RC,361,Destruction by neurolytic agent; plantar common digital nerve ,,,38.66,5932.0,33
RC,361,Destruction by neurolytic agent; pudendal nerve ,,,357.81,6680.0,33
RC,361,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,218.75,5932.0,33
RC,361,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,140.41,12360.0,28
RC,361,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,137.5,9868.0,33
RC,361,"Destruction of lesion (except excision), dentoalveolar structures ",,,441.67,25655.0,33
RC,361,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,113.7,5932.0,33
RC,361,Destruction of lesion of lid margin (up to 1 cm) ,,,132.27,5932.0,33
RC,361,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,187.2,5932.0,33
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,948.0,8858.0,33
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,144.76,5932.0,33
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,78.06,6680.0,33
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,168.02,25655.0,33
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,948.0,8858.0,33
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,948.0,8858.0,33
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,5932.0,33
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,696.53,2636.0,27
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,380.91,2636.0,27
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,76.74,25655.0,29
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,744.46,5932.0,33
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,744.46,5932.0,33
RC,361,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,9908.0,33
RC,361,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,116.57,25655.0,33
RC,361,"Destruction of lesion, conjunctiva ",,,74.13,8858.0,33
RC,361,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,142.44,5932.0,33
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,218.75,5932.0,28
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,123.25,5932.0,28
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1481.0,5932.0,14
RC,361,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1266.0,5932.0,25
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,113.7,18490.0,28
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,218.75,18490.0,28
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1158.59,18490.0,28
RC,361,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,948.0,12499.0,33
RC,361,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,948.0,8858.0,33
RC,361,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,103.77,25655.0,33
RC,361,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,361,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,361,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,361,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,361,Dexamethasone intra implan ,,,221.99,221.99,3
RC,361,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,361,Dexrazoxane HCl injection ,,,45.17,45.17,3
RC,361,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,361,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,361,Diagnostic bone marrow; aspiration(s) ,,,97.38,5932.0,33
RC,361,Diagnostic bone marrow; biopsy(ies) ,,,100.58,5932.0,33
RC,361,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,855.96,6587.0,33
RC,361,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,361,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,25655.0,20
RC,361,Diagnostic hysteroscopy ,,,2152.0,6587.0,4
RC,361,Diagnostic laparoscopy ,,,2152.0,6587.0,4
RC,361,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,361,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,361,Dialysis ,,,751.49,751.49,3
RC,361,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,25655.0,80
RC,361,Diaphragm or cervical cap fitting with instructions ,,,37.5,6587.0,29
RC,361,Dibucaine number ,,,13.35,13.35,3
RC,361,Digoxin; free ,,,14.48,14.48,3
RC,361,Digoxin; total ,,,14.48,14.48,3
RC,361,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,361,"Dilation and catheterization of salivary duct, with or without injection ",,,59.88,5932.0,33
RC,361,Dilation and curettage of cervical stump ,,,948.0,9908.0,33
RC,361,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,948.0,8858.0,33
RC,361,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,450.72,5932.0,33
RC,361,"Dilation of cervical canal, instrumental (separate procedure) ",,,41.85,8858.0,33
RC,361,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,351.7,5932.0,33
RC,361,"Dilation of esophagus, over guide wire ",,,593.22,5932.0,33
RC,361,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,948.0,25655.0,66
RC,361,Dilation of female urethra including suppository and/or instillation; initial ,,,41.57,5932.0,33
RC,361,Dilation of female urethra including suppository and/or instillation; subsequent ,,,31.08,2636.0,29
RC,361,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,685.44,8858.0,33
RC,361,"Dilation of lacrimal punctum, with or without irrigation ",,,792.63,2636.0,27
RC,361,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,450.72,5932.0,33
RC,361,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,97.08,25655.0,33
RC,361,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,98.84,5932.0,33
RC,361,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,36.62,5932.0,33
RC,361,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,41.02,5932.0,33
RC,361,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,948.0,6680.0,33
RC,361,Dilation of vagina under anesthesia (other than local) ,,,948.0,8858.0,33
RC,361,Dilation salivary duct ,,,39.25,5932.0,33
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,948.0,2636.0,15
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,948.0,25655.0,27
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,948.0,25655.0,27
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,948.0,34374.62,27
RC,361,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,218.75,6680.0,33
RC,361,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,892.44,5932.0,33
RC,361,"Discission of vitreous strands (without removal), pars plana approach ",,,892.44,8858.0,28
RC,361,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,6
RC,361,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,6
RC,361,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,361,"Dissection, deep jugular node(s) ",,,948.0,21630.0,33
RC,361,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,1995.0,25655.0,25
RC,361,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,948.0,25655.0,33
RC,361,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,948.0,33061.4,27
RC,361,Division of stricture of rectum ,,,450.72,6680.0,33
RC,361,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,361,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,361,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,948.0,25655.0,27
RC,361,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,948.0,43527.7,27
RC,361,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,948.0,41352.08,27
RC,361,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,948.0,80544.06,27
RC,361,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,948.0,96418.26,27
RC,361,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,948.0,106092.02,27
RC,361,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,6
RC,361,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,948.0,29168.74,27
RC,361,"Donor nephrectomy (including cold preservation); open, from living donor ",,,948.0,33760.8,27
RC,361,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,948.0,29386.28,23
RC,361,Doxorubicin inj 10mg ,,,127.1,127.1,3
RC,361,"Drainage external auditory canal, abscess ",,,154.94,5932.0,33
RC,361,"Drainage external ear, abscess or hematoma; complicated ",,,118.89,25655.0,33
RC,361,"Drainage external ear, abscess or hematoma; simple ",,,112.5,5932.0,33
RC,361,Drainage of Skene's gland abscess or cyst ,,,501.35,25655.0,31
RC,361,"Drainage of abscess of palate, uvula ",,,91.96,6680.0,33
RC,361,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,237.69,5932.0,31
RC,361,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,196.58,6680.0,33
RC,361,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,138.37,2636.0,29
RC,361,"Drainage of abscess; parotid, complicated ",,,930.95,8858.0,33
RC,361,"Drainage of abscess; parotid, simple ",,,441.67,5932.0,33
RC,361,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,196.58,5932.0,33
RC,361,"Drainage of abscess; submaxillary, external ",,,196.58,5932.0,33
RC,361,Drainage of deep periurethral abscess ,,,948.0,8858.0,33
RC,361,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,948.0,25655.0,27
RC,361,Drainage of lymph node abscess or lymphadenitis; extensive ,,,855.96,8858.0,33
RC,361,Drainage of lymph node abscess or lymphadenitis; simple ,,,855.96,6492.89,33
RC,361,Drainage of ovarian abscess; abdominal approach ,,,948.0,25655.0,31
RC,361,"Drainage of ovarian abscess; vaginal approach, open ",,,948.0,9908.0,33
RC,361,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,948.0,25655.0,33
RC,361,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,948.0,9908.0,33
RC,361,Drainage of perineal urinary extravasation; complicated ,,,948.0,25655.0,27
RC,361,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,250.06,9908.0,33
RC,361,"Drainage of perirenal or renal abscess, open ",,,948.0,25655.0,31
RC,361,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,948.0,35843.07,27
RC,361,Drainage of perivesical or prevesical space abscess ,,,855.96,6492.89,33
RC,361,"Drainage of retroperitoneal abscess, open ",,,948.0,25655.0,27
RC,361,Drainage of scrotal wall abscess ,,,510.77,5932.0,33
RC,361,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,948.0,25655.0,27
RC,361,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,361,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,361,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,361,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,361,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,361,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,361,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,361,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,361,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,71.55,6680.0,33
RC,361,Dry pressure mattress ,,,207.18,207.18,3
RC,361,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,361,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,948.0,40326.47,27
RC,361,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,351.7,5932.0,33
RC,361,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,948.0,5932.0,31
RC,361,Duodenal motility (manometric) study ,,,1481.0,5932.0,13
RC,361,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,31
RC,361,"Dural graft, spinal ",,,948.0,25655.0,27
RC,361,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,361,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,361,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,361,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,361,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,361,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,361,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,361,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,361,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,361,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,361,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,361,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,361,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,395.35,25655.0,27
RC,361,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,361,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,361,EMBOLIZATION UTERINE FIBROID ,,,2152.0,6587.0,4
RC,361,ENDO CHOLANGIOPANCREATOGRAPH ,,,2152.0,6587.0,20
RC,361,ESOPH ENDOSCOPY ABLATION ,,,2152.0,6587.0,4
RC,361,ESOPHAGUS ENDOSCOPY ,,,2152.0,6587.0,4
RC,361,EXCISION OF RECTAL LESION ,,,2152.0,6587.0,4
RC,361,EXPLORATION OF EPIDIDYMIS ,,,2152.0,6587.0,4
RC,361,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,2152.0,16144.0,5
RC,361,EXPLORE ORBIT/REMOVE OBJECT ,,,2152.0,6587.0,4
RC,361,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,361,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,361,Ear piercing ,,,791.86,16144.0,21
RC,361,Ecallantide injection ,,,649.58,649.58,3
RC,361,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,361,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,361,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,361,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,361,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,361,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,361,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,361,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,361,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,361,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,361,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,361,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,361,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,361,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,361,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,361,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,361,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,361,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,361,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,361,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,361,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,361,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,361,"Electric heat pad, moist ",,,110.05,110.05,3
RC,361,"Electric heat pad, standard ",,,43.12,43.12,3
RC,361,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,361,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,361,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,361,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,361,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,361,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,361,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,361,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,361,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,361,Electroejaculation ,,,474.85,5932.0,31
RC,361,"Electrogastrography, diagnostic, transcutaneous; ",,,1481.0,2636.0,5
RC,361,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1481.0,2636.0,5
RC,361,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,361,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,361,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,6
RC,361,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,23.25,6587.0,29
RC,361,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,305.28,12
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,948.0,6680.0,25
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,406.37,6680.0,58
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,948.0,6680.0,25
RC,361,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,361,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,361,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,361,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,361,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,361,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,361,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,361,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,361,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,361,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,361,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,361,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1481.0,43890.0,18
RC,361,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2270.0,43890.0,9
RC,361,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1481.0,2636.0,5
RC,361,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,25253.0,43890.0,8
RC,361,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,361,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,361,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,361,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,361,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,948.0,28477.09,27
RC,361,"Elevation of depressed skull fracture; simple, extradural ",,,948.0,25655.0,27
RC,361,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,948.0,34755.37,27
RC,361,"Embryo transfer, intrauterine ",,,948.0,5932.0,31
RC,361,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,361,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,361,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,361,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,361,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,361,Endocervical curettage (not done as part of a dilation and curettage) ,,,96.51,5932.0,33
RC,361,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,361,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,948.0,5932.0,19
RC,361,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,948.0,5932.0,19
RC,361,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1481.0,43890.0,18
RC,361,Endolymphatic sac operation; with shunt ,,,948.0,23113.0,33
RC,361,Endolymphatic sac operation; without shunt ,,,948.0,23113.0,33
RC,361,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.34,18747.0,24
RC,361,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,948.0,25655.0,29
RC,361,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,361,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,48.26,5932.0,33
RC,361,Endomyocardial biopsy ,,,5381.0,17384.0,15
RC,361,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,361,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,948.0,12499.0,25
RC,361,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,948.0,25655.0,33
RC,361,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,13
RC,361,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,5932.0,33
RC,361,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,344.93,5932.0,33
RC,361,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,948.0,12360.0,33
RC,361,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,20
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,948.0,8858.0,33
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,948.0,12499.0,33
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,948.0,8858.0,33
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,948.0,13386.32,30
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,948.0,13386.32,33
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,948.0,8858.0,33
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,948.0,13386.32,33
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,948.0,8858.0,33
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,948.0,12499.0,33
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,948.0,8858.0,33
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,948.0,12499.0,33
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,25655.0,20
RC,361,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,19
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,361,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,12499.0,20
RC,361,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,361,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,361,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,361,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,948.0,25655.0,27
RC,361,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,948.0,25655.0,27
RC,361,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,948.0,76895.0,31
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,948.0,25655.0,50
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,948.0,12499.0,33
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,948.0,5932.0,19
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,948.0,12360.0,33
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,948.0,5932.0,19
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,948.0,12499.0,33
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,948.0,5932.0,19
RC,361,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,948.0,25655.0,27
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,948.0,64483.37,27
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,948.0,55423.65,27
RC,361,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,361,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,948.0,27568.13,27
RC,361,"Enterectomy, resection of small intestine; with enterostomy ",,,948.0,26573.56,27
RC,361,"Enterocystoplasty, including intestinal anastomosis ",,,948.0,31119.06,27
RC,361,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,948.0,29619.34,27
RC,361,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,948.0,25655.0,31
RC,361,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,948.0,25655.0,27
RC,361,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,948.0,76895.0,31
RC,361,"Enucleation of eye; with implant, muscles attached to implant ",,,948.0,19415.0,33
RC,361,"Enucleation of eye; with implant, muscles not attached to implant ",,,948.0,12360.0,33
RC,361,Enucleation of eye; without implant ,,,948.0,12360.0,33
RC,361,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,361,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,361,Epididymectomy; bilateral ,,,948.0,19415.0,33
RC,361,Epididymectomy; unilateral ,,,948.0,9908.0,33
RC,361,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,948.0,19415.0,31
RC,361,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,948.0,19415.0,31
RC,361,Epikeratoplasty ,,,948.0,28718.14,31
RC,361,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,361,"Episiotomy or vaginal repair, by other than attending ",,,684.71,25655.0,31
RC,361,Eptifibatide injection ,,,4.22,4.22,3
RC,361,Erythropoietin ,,,20.48,20.48,3
RC,361,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1481.0,2636.0,5
RC,361,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1481.0,2636.0,5
RC,361,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1481.0,2636.0,5
RC,361,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,361,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1481.0,5932.0,9
RC,361,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1481.0,2636.0,5
RC,361,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,12499.0,14
RC,361,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,25253.0,43890.0,8
RC,361,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,25253.0,43890.0,8
RC,361,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,1995.0,80917.05,22
RC,361,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,1995.0,70699.55,22
RC,361,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,1995.0,84265.97,22
RC,361,Esophagogastric fundoplasty partial or complete; laparotomy ,,,948.0,25655.0,27
RC,361,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,948.0,25655.0,27
RC,361,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,948.0,30582.86,27
RC,361,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,948.0,25655.0,27
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,593.22,9908.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,351.7,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,948.0,9908.0,31
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,948.0,18747.0,31
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,593.22,6680.0,27
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,351.7,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,593.22,9908.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,593.22,9908.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,948.0,23556.71,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,351.7,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,948.0,9868.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,351.7,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,948.0,9868.0,31
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,593.22,6680.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,593.22,9908.0,33
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,948.0,8858.0,33
RC,361,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,948.0,31437.5,27
RC,361,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,948.0,30979.13,27
RC,361,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,948.0,31546.38,27
RC,361,Esophagomyotomy (Heller type); abdominal approach ,,,948.0,30069.95,27
RC,361,Esophagomyotomy (Heller type); thoracic approach ,,,948.0,30093.23,27
RC,361,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,948.0,25655.0,27
RC,361,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,948.0,25655.0,27
RC,361,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,948.0,35850.83,27
RC,361,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,948.0,33349.01,27
RC,361,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,948.0,64071.58,27
RC,361,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,948.0,61631.85,27
RC,361,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,117.44,8485.0,33
RC,361,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,125.86,8485.0,33
RC,361,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,33
RC,361,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,12499.0,33
RC,361,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,593.22,5932.0,33
RC,361,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,593.22,5932.0,33
RC,361,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,593.22,6680.0,33
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,33
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,33
RC,361,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,593.22,5932.0,33
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,593.22,8485.0,33
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,593.22,6680.0,33
RC,361,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,593.22,5932.0,33
RC,361,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,593.22,5932.0,33
RC,361,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,593.22,9868.0,33
RC,361,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,33
RC,361,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,593.22,5932.0,33
RC,361,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,593.22,8858.0,33
RC,361,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6587.0,33
RC,361,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,593.22,6680.0,33
RC,361,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,593.22,6680.0,33
RC,361,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,948.0,13581.48,33
RC,361,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,593.22,8485.0,33
RC,361,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,948.0,9868.0,33
RC,361,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,593.22,9868.0,33
RC,361,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,593.22,9868.0,33
RC,361,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,948.0,9868.0,33
RC,361,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,593.22,9868.0,33
RC,361,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,948.0,25655.0,27
RC,361,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,948.0,29277.4,27
RC,361,"Esophagotomy, cervical approach, with removal of foreign body ",,,948.0,5047.0,27
RC,361,"Esophagotomy, thoracic approach, with removal of foreign body ",,,948.0,29269.64,27
RC,361,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1481.0,2636.0,5
RC,361,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1672.0,2636.0,5
RC,361,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1481.0,2636.0,5
RC,361,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,361,Estradiol; total ,,,30.45,30.45,3
RC,361,Estriol ,,,26.36,26.36,3
RC,361,Estrogens; fractionated ,,,35.21,35.21,3
RC,361,Estrogens; total ,,,23.65,23.65,3
RC,361,Estrone ,,,27.2,27.2,3
RC,361,Ethosuximide ,,,17.81,17.81,3
RC,361,Ethylene glycol ,,,16.24,16.24,3
RC,361,Etiocholanolone ,,,28.6,28.6,3
RC,361,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,361,Euflexxa inj per dose ,,,106.97,106.97,3
RC,361,Euglobulin lysis ,,,9.17,9.17,3
RC,361,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,361,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,361,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,361,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1481.0,43890.0,9
RC,361,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,361,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,361,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,361,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,361,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,361,Everolimus ,,,14.97,14.97,3
RC,361,Evisceration of ocular contents; with implant ,,,948.0,12360.0,33
RC,361,Evisceration of ocular contents; without implant ,,,948.0,12360.0,33
RC,361,Exc biopsy of saliv glands ,,,10868.0,12875.0,3
RC,361,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,3
RC,361,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,685.44,8485.0,33
RC,361,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,20
RC,361,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,948.0,12499.0,33
RC,361,Exchange of intraocular lens ,,,892.44,76895.0,33
RC,361,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,593.22,25655.0,33
RC,361,"Exchange transfusion, blood; newborn ",,,172.52,5932.0,33
RC,361,"Exchange transfusion, blood; other than newborn ",,,172.52,5932.0,33
RC,361,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,10
RC,361,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,10
RC,361,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,10
RC,361,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,733.22,9908.0,66
RC,361,Excision aural glomus tumor; extended (extratemporal) ,,,948.0,55827.68,27
RC,361,Excision aural glomus tumor; transcanal ,,,948.0,18490.0,33
RC,361,Excision aural glomus tumor; transmastoid ,,,948.0,23113.0,33
RC,361,Excision aural polyp ,,,143.6,25655.0,33
RC,361,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,930.95,9908.0,33
RC,361,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,948.0,18490.0,33
RC,361,"Excision exostosis(es), external auditory canal ",,,948.0,13581.48,33
RC,361,Excision external ear; complete amputation ,,,948.0,13581.48,33
RC,361,"Excision external ear; partial, simple repair ",,,855.96,6492.89,33
RC,361,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,948.0,25655.0,27
RC,361,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,948.0,25655.0,27
RC,361,Excision of Bartholin's gland or cyst ,,,948.0,9908.0,33
RC,361,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,948.0,25655.0,27
RC,361,Excision of Mullerian duct cyst ,,,948.0,8858.0,33
RC,361,Excision of ampulla of Vater ,,,948.0,28111.87,27
RC,361,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,948.0,35066.05,27
RC,361,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,948.0,44972.87,27
RC,361,Excision of bulbourethral gland (Cowper's gland) ,,,948.0,8858.0,33
RC,361,Excision of carotid body tumor; with excision of carotid artery ,,,948.0,37265.17,27
RC,361,Excision of carotid body tumor; without excision of carotid artery ,,,948.0,30792.64,27
RC,361,"Excision of cervical stump, abdominal approach; ",,,948.0,25655.0,27
RC,361,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,948.0,25655.0,27
RC,361,"Excision of cervical stump, vaginal approach; ",,,948.0,11960.31,33
RC,361,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,948.0,25655.0,27
RC,361,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,948.0,18490.0,33
RC,361,"Excision of chalazion; multiple, different lids ",,,101.16,5932.0,33
RC,361,"Excision of chalazion; multiple, same lid ",,,78.49,5932.0,33
RC,361,Excision of chalazion; single ,,,65.12,5932.0,33
RC,361,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,733.22,8858.0,33
RC,361,Excision of choledochal cyst ,,,948.0,29883.45,27
RC,361,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,948.0,21630.0,33
RC,361,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,948.0,19415.0,33
RC,361,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,948.0,9908.0,33
RC,361,Excision of extraparenchymal lesion of testis ,,,948.0,8858.0,33
RC,361,"Excision of fibrous tuberosities, dentoalveolar structures ",,,948.0,25655.0,31
RC,361,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,441.67,5932.0,33
RC,361,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,948.0,12360.0,33
RC,361,Excision of hydrocele; bilateral ,,,948.0,18490.0,33
RC,361,Excision of hydrocele; unilateral ,,,948.0,12360.0,33
RC,361,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,198.25,25655.0,33
RC,361,Excision of ileoanal reservoir with ileostomy ,,,948.0,41476.48,27
RC,361,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,948.0,12360.0,33
RC,361,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,948.0,12360.0,33
RC,361,Excision of lacrimal gland tumor; frontal approach ,,,733.22,9908.0,33
RC,361,Excision of lacrimal gland tumor; involving osteotomy ,,,948.0,12360.0,33
RC,361,Excision of lacrimal sac (dacryocystectomy) ,,,948.0,12360.0,33
RC,361,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,177.9,6680.0,33
RC,361,Excision of lesion of mesentery (separate procedure) ,,,948.0,25655.0,27
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,930.95,8858.0,33
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,930.95,8858.0,33
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,172.67,25655.0,33
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,144.47,25655.0,33
RC,361,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,948.0,25655.0,27
RC,361,Excision of lesion of spermatic cord (separate procedure) ,,,948.0,19415.0,33
RC,361,Excision of lesion of tongue with closure; anterior two-thirds ,,,930.95,7334.01,33
RC,361,Excision of lesion of tongue with closure; posterior one-third ,,,930.95,7334.01,33
RC,361,Excision of lesion of tongue with closure; with local tongue flap ,,,930.95,8858.0,33
RC,361,Excision of lesion of tongue without closure ,,,149.42,5932.0,33
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,948.0,17510.0,33
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,188.37,25655.0,33
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,146.52,25655.0,33
RC,361,"Excision of lesion, conjunctiva; over 1 cm ",,,733.22,8858.0,33
RC,361,"Excision of lesion, conjunctiva; up to 1 cm ",,,147.09,8858.0,33
RC,361,"Excision of lesion, conjunctiva; with adjacent sclera ",,,733.22,8858.0,33
RC,361,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,351.98,5932.0,33
RC,361,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,948.0,25655.0,27
RC,361,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,948.0,25655.0,27
RC,361,"Excision of lesion, sclera ",,,733.22,23113.0,33
RC,361,Excision of lingual frenum (frenectomy) ,,,170.34,5932.0,33
RC,361,Excision of lip; V-excision with primary direct linear closure ,,,930.95,7334.01,33
RC,361,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,948.0,13581.48,33
RC,361,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,930.95,8858.0,33
RC,361,Excision of lip; transverse wedge excision with primary closure ,,,930.95,8858.0,33
RC,361,Excision of local lesion of epididymis ,,,948.0,9908.0,33
RC,361,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,25655.0,20
RC,361,Excision of mucosa of vestibule of mouth as donor graft ,,,196.58,5932.0,33
RC,361,"Excision of multiple external papillae or tags, anus ",,,948.0,6563.7,33
RC,361,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,692.94,9908.0,33
RC,361,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,948.0,17510.0,33
RC,361,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,692.94,9908.0,33
RC,361,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,692.94,8858.0,33
RC,361,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,692.94,9908.0,33
RC,361,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,361,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,361,"Excision of neuroma; hand or foot, except digital nerve ",,,692.94,9908.0,33
RC,361,"Excision of neuroma; major peripheral nerve, except sciatic ",,,692.94,9908.0,33
RC,361,Excision of neuroma; sciatic nerve ,,,948.0,17510.0,33
RC,361,"Excision of osseous tuberosities, dentoalveolar structures ",,,948.0,25655.0,31
RC,361,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,948.0,23113.0,33
RC,361,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,948.0,17510.0,33
RC,361,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,948.0,23113.0,33
RC,361,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,948.0,23113.0,33
RC,361,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,948.0,30155.54,27
RC,361,Excision of penile plaque (Peyronie disease); ,,,948.0,17510.0,33
RC,361,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,948.0,22590.2,33
RC,361,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,948.0,17510.0,33
RC,361,Excision of perinephric cyst ,,,948.0,25655.0,27
RC,361,Excision of presacral or sacrococcygeal tumor ,,,948.0,49945.68,27
RC,361,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,948.0,29285.16,27
RC,361,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,948.0,25655.0,27
RC,361,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,948.0,8858.0,33
RC,361,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,948.0,12499.0,33
RC,361,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,948.0,9868.0,33
RC,361,"Excision of single external papilla or tag, anus ",,,450.72,5932.0,33
RC,361,"Excision of spermatocele, with or without epididymectomy ",,,685.44,19415.0,33
RC,361,Excision of sublingual gland ,,,948.0,13581.48,33
RC,361,Excision of sublingual salivary cyst (ranula) ,,,930.95,9908.0,33
RC,361,Excision of submandibular (submaxillary) gland ,,,948.0,17510.0,33
RC,361,"Excision of thrombosed hemorrhoid, external ",,,131.97,5932.0,33
RC,361,Excision of thyroglossal duct cyst or sinus; ,,,948.0,21630.0,33
RC,361,Excision of thyroglossal duct cyst or sinus; recurrent ,,,948.0,21630.0,33
RC,361,Excision of tonsil tags ,,,930.95,9908.0,33
RC,361,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,948.0,19415.0,33
RC,361,Excision of urethral diverticulum (separate procedure); female ,,,948.0,12360.0,33
RC,361,Excision of urethral diverticulum (separate procedure); male ,,,948.0,11848.54,33
RC,361,Excision of vaginal cyst or tumor ,,,948.0,8858.0,33
RC,361,Excision of vaginal septum ,,,948.0,8858.0,33
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,948.0,19415.0,33
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,948.0,19415.0,33
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,948.0,18490.0,33
RC,361,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,948.0,13581.48,33
RC,361,"Excision or destruction of lesion of pharynx, any method ",,,930.95,8858.0,33
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,948.0,44070.36,17
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,948.0,51266.66,17
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,948.0,28858.92,17
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,948.0,36881.18,17
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,948.0,63197.53,17
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,3796.0,5381.0,5
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8024.0,9417.0,5
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8024.0,9417.0,5
RC,361,Excision or fulguration of carcinoma of urethra ,,,948.0,12360.0,33
RC,361,Excision or fulguration; Skene's glands ,,,948.0,8858.0,33
RC,361,Excision or fulguration; urethral caruncle ,,,685.44,8858.0,33
RC,361,"Excision or fulguration; urethral polyp(s), distal urethra ",,,948.0,8858.0,33
RC,361,Excision or fulguration; urethral prolapse ,,,948.0,8858.0,33
RC,361,Excision or transposition of pterygium; with graft ,,,733.22,18490.0,33
RC,361,Excision or transposition of pterygium; without graft ,,,733.22,8858.0,33
RC,361,Excision or unroofing of cyst(s) of kidney ,,,948.0,25655.0,27
RC,361,"Excision soft tissue lesion, external auditory canal ",,,855.96,6680.0,33
RC,361,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,948.0,55128.27,27
RC,361,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,948.0,44700.99,27
RC,361,"Excision, lesion of floor of mouth ",,,930.95,8858.0,33
RC,361,"Excision, lesion of palate, uvula; with local flap closure ",,,948.0,13581.48,33
RC,361,"Excision, lesion of palate, uvula; with simple primary closure ",,,155.23,6680.0,33
RC,361,"Excision, lesion of palate, uvula; without closure ",,,133.14,6680.0,33
RC,361,"Excision, local; malignant tumor of stomach ",,,948.0,27637.98,27
RC,361,"Excision, local; ulcer or benign tumor of stomach ",,,948.0,25655.0,27
RC,361,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,948.0,25655.0,27
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,948.0,18490.0,33
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,948.0,23113.0,33
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,948.0,23113.0,33
RC,361,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,361,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,361,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,361,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,361,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,948.0,25655.0,27
RC,361,Exploration for undescended testis (inguinal or scrotal area) ,,,948.0,19415.0,33
RC,361,Exploration for undescended testis with abdominal exploration ,,,685.44,25655.0,33
RC,361,"Exploration of epididymis, with or without biopsy ",,,948.0,8858.0,33
RC,361,"Exploration of orbit (transcranial approach), with removal of lesion ",,,948.0,46340.42,27
RC,361,"Exploration, repair, and presacral drainage for rectal injury; ",,,948.0,25655.0,27
RC,361,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,948.0,37086.43,27
RC,361,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,948.0,25655.0,31
RC,361,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,948.0,25655.0,31
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,948.0,25655.0,33
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,29821.36,27
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,25655.0,27
RC,361,"Expression of conjunctival follicles (eg, for trachoma) ",,,26.74,2636.0,29
RC,361,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,361,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,948.0,42952.69,27
RC,361,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,948.0,51686.22,27
RC,361,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,361,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,361,External cannula declotting (separate procedure); with balloon catheter ,,,1995.0,12869.33,27
RC,361,External cannula declotting (separate procedure); without balloon catheter ,,,468.58,11220.0,27
RC,361,"External cephalic version, with or without tocolysis ",,,948.0,8858.0,27
RC,361,"External counterpulsation, per treatment session ",,,2187.0,3092.0,6
RC,361,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,361,"External drainage, pseudocyst of pancreas, open ",,,948.0,25655.0,27
RC,361,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,361,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,361,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,361,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,361,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,361,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,361,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,361,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,361,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,948.0,76895.0,33
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,948.0,76895.0,33
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,892.44,18490.0,33
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,892.44,76895.0,99
RC,361,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,21210.0,23307.22,6
RC,361,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,441.67,5932.0,33
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,196.58,5932.0,33
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,930.95,7334.01,33
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,948.0,13581.48,33
RC,361,Extremity belt/harness ,,,58.52,58.52,3
RC,361,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,361,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,361,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,361,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,361,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,361,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2214.0,4723.0,5
RC,361,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,361,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,361,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,361,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,361,FOCUS RADIATION BEAM ,,,2152.0,6587.0,4
RC,361,FUSE PANCREAS AND BOWEL ,,,2152.0,6587.0,4
RC,361,FUSION OF BILE DUCT CYST ,,,2152.0,6587.0,8
RC,361,FUSION OF FACIAL/OTHER NERVE ,,,2152.0,6587.0,4
RC,361,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,361,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,361,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,361,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,361,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,6
RC,361,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,361,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,361,Face tent ,,,2.8,2.8,3
RC,361,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,361,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,361,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,7069.89,25655.0,16
RC,361,Factor IX non-recombinant ,,,1.53,1.53,3
RC,361,Factor inhibitor test ,,,14.03,14.03,3
RC,361,Factor ix complex ,,,1.9,1.9,3
RC,361,Factor ix idelvion inj ,,,6.0,6.0,3
RC,361,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,361,Factor ix recombinant nos ,,,2.03,2.03,3
RC,361,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,361,Factor viii ,,,1.36,1.36,3
RC,361,Factor viii recombinant ,,,1.72,1.72,3
RC,361,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,361,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,361,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,361,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,361,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,361,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,361,Felbamate ,,,20.32,20.32,3
RC,361,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,361,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,361,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,361,Fern test ,,,10.62,10.62,3
RC,361,Ferritin ,,,14.86,14.86,3
RC,361,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,361,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,361,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,361,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,361,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,361,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,361,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,361,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,361,Fetal contraction stress test ,,,28.49,2636.0,23
RC,361,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,361,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,122.58,5932.0,33
RC,361,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,361,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,361,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,361,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,361,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,855.63,16144.0,21
RC,361,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,948.0,2636.0,21
RC,361,Fetal non-stress test ,,,16.57,2636.0,17
RC,361,Fetal scalp blood sampling ,,,590.17,2636.0,27
RC,361,"Fetal shunt placement, including ultrasound guidance ",,,590.17,5932.0,31
RC,361,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,590.17,5932.0,31
RC,361,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,6
RC,361,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,361,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,361,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,361,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,361,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,361,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,361,Fibrinogen; activity ,,,10.59,10.59,3
RC,361,Fibrinogen; antigen ,,,15.76,15.76,3
RC,361,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,361,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,361,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,361,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,361,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,361,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,361,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,361,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,361,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,361,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,361,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,361,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,361,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,361,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,361,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,361,Fimbrioplasty ,,,948.0,25655.0,31
RC,361,Fine needle aspiration of orbital contents ,,,733.22,8858.0,33
RC,361,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,361,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,361,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,361,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,361,"Finger splint, static ",,,2.92,2.92,3
RC,361,"Fissurectomy, including sphincterotomy, when performed ",,,948.0,8858.0,33
RC,361,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,892.44,8858.0,33
RC,361,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,948.0,19415.0,33
RC,361,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,892.44,19415.0,33
RC,361,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,892.44,19415.0,33
RC,361,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,948.0,19415.0,33
RC,361,Fitting and insertion of pessary or other intravaginal support device ,,,35.18,2636.0,29
RC,361,Fixation of contralateral testis (separate procedure) ,,,948.0,9908.0,33
RC,361,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,361,Flebogamma injection ,,,98.91,98.91,3
RC,361,Flecainide ,,,20.32,20.32,3
RC,361,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,361,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,361,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,361,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,361,Flortaucipir inj 1 millicu ,,,404.39,404.39,3
RC,361,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,361,Floxuridine injection ,,,4792.18,4792.18,3
RC,361,Fluciclovine f-18 ,,,351.27,351.27,3
RC,361,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,361,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,361,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,361,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,361,Fluoride ,,,20.21,20.21,3
RC,361,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,361,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,361,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,361,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,361,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,361,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,361,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,361,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,361,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,33321.99,18
RC,361,Folic acid; RBC ,,,19.24,19.24,3
RC,361,Folic acid; serum ,,,16.02,16.02,3
RC,361,"Follicle puncture for oocyte retrieval, any method ",,,948.0,5932.0,31
RC,361,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,361,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,361,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,361,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,361,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,361,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,361,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,361,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,361,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,361,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,361,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,361,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,361,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,361,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,361,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,361,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,361,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,361,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,361,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,361,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,361,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,361,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,361,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,361,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,361,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,361,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,361,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,361,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,361,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,361,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,361,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,361,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,361,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,115.66,5932.0,33
RC,361,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,361,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,361,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,361,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,361,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,361,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,361,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,361,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,361,"Frames, purchases ",,,89.85,89.85,3
RC,361,Free jejunum transfer with microvascular anastomosis ,,,948.0,48990.14,27
RC,361,Free omental flap with microvascular anastomosis ,,,948.0,36425.84,27
RC,361,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,930.95,17510.0,33
RC,361,Frenulotomy of penis ,,,685.44,8858.0,33
RC,361,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,361,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,361,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,361,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,361,"Fructose, semen ",,,18.9,18.9,3
RC,361,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,361,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,361,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,361,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,361,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,361,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,361,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,361,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,361,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,361,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,361,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,361,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,361,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,361,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,361,GLAUCOMA SURGERY ,,,2152.0,6587.0,4
RC,361,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,361,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,361,"Galactokinase, RBC ",,,23.41,23.41,3
RC,361,Galactose ,,,12.21,12.21,3
RC,361,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,361,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,361,Galectin-3 ,,,48.23,48.23,3
RC,361,Gallium ga-68 ,,,54.1,54.1,3
RC,361,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,361,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,361,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,361,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,361,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,361,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,361,Galsulfase injection ,,,573.3,573.3,3
RC,361,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,590.17,5932.0,31
RC,361,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,361,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,361,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,361,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,361,Gammaplex IVIG ,,,72.24,72.24,3
RC,361,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,361,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,361,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,361,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,361,"Gases, blood, pH only ",,,11.99,11.99,3
RC,361,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,361,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,948.0,43364.49,27
RC,361,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,948.0,47770.06,27
RC,361,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,948.0,32704.15,27
RC,361,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,948.0,45905.34,27
RC,361,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,948.0,51274.42,27
RC,361,"Gastrectomy, total; with esophagoenterostomy ",,,948.0,44289.2,27
RC,361,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,948.0,52059.21,27
RC,361,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,361,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,551.76,5932.0,31
RC,361,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,301.6,5932.0,31
RC,361,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,551.76,5932.0,31
RC,361,Gastric motility (manometric) studies ,,,1481.0,5932.0,9
RC,361,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,948.0,43900.69,24
RC,361,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,11
RC,361,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,948.0,12360.0,27
RC,361,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,744.46,5932.0,27
RC,361,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,948.0,12360.0,27
RC,361,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,948.0,30408.2,20
RC,361,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,948.0,36526.95,24
RC,361,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,948.0,40481.92,24
RC,361,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,948.0,28438.29,18
RC,361,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,948.0,26876.48,21
RC,361,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,361,Gastrin ,,,19.22,19.22,3
RC,361,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,361,Gastroduodenostomy ,,,948.0,25655.0,27
RC,361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,948.0,60862.59,27
RC,361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,948.0,50683.89,27
RC,361,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2214.0,5047.0,9
RC,361,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2214.0,5047.0,9
RC,361,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2214.0,5047.0,9
RC,361,"Gastrojejunostomy; with vagotomy, any type ",,,948.0,29432.85,27
RC,361,Gastrojejunostomy; without vagotomy ,,,948.0,30279.73,27
RC,361,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,948.0,30644.95,27
RC,361,"Gastrostomy, open; neonatal, for feeding ",,,948.0,25655.0,27
RC,361,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,948.0,25655.0,27
RC,361,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,948.0,25655.0,27
RC,361,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,948.0,25655.0,27
RC,361,Gastrotomy; with exploration or foreign body removal ,,,948.0,25655.0,27
RC,361,Gastrotomy; with suture repair of bleeding ulcer ,,,948.0,30334.27,27
RC,361,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,948.0,34188.12,27
RC,361,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,361,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,361,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,361,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,361,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,361,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,361,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,361,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,361,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,361,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,361,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,361,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,361,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,361,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,361,Gel pressure mattress ,,,42.62,42.62,3
RC,361,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,361,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,361,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,361,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,361,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,361,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,361,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,361,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,361,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,361,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,361,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,361,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,361,Gentamicin ,,,17.85,17.85,3
RC,361,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,361,"Gingivectomy, excision gingiva, each quadrant ",,,930.95,8858.0,33
RC,361,"Gingivoplasty, each quadrant (specify) ",,,304.35,25655.0,29
RC,361,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,361,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,21210.0,23307.22,6
RC,361,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,948.0,62020.36,27
RC,361,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,948.0,48958.88,27
RC,361,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,948.0,49355.15,27
RC,361,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,948.0,67777.96,27
RC,361,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,948.0,53496.61,27
RC,361,Glossectomy; hemiglossectomy ,,,948.0,29596.06,27
RC,361,Glossectomy; less than one-half tongue ,,,948.0,18490.0,33
RC,361,"Glossectomy; partial, with unilateral radical neck dissection ",,,948.0,48889.02,27
RC,361,Glucagon ,,,15.58,15.58,3
RC,361,Glucagon hydrochloride ,,,127.89,127.89,3
RC,361,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,361,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,361,Glucagon tolerance test ,,,19.37,19.37,3
RC,361,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,361,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,361,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,361,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,361,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,361,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,361,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,361,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,361,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,361,"Glucosidase, beta ",,,23.41,23.41,3
RC,361,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,361,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,361,Glutathione ,,,16.84,16.84,3
RC,361,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,361,Glycated protein ,,,18.27,18.27,3
RC,361,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,361,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,361,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,361,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,361,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,361,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,361,Goniotomy ,,,948.0,10691.32,33
RC,361,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,361,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,361,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,361,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,361,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,361,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,361,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,361,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,361,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,361,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,361,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,361,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,361,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,361,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,361,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,361,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,361,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,361,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,361,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,361,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,361,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,361,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,361,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,361,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,361,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,361,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,361,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,361,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,361,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,361,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,361,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,361,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,361,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,361,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,361,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,361,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,361,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,361,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,361,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,361,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,361,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,361,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,361,"Gradient compression glove, each ",,,79.56,79.56,3
RC,361,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,361,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,361,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,361,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,361,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,361,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,361,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,361,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,361,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,361,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,361,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,361,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,361,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,361,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,361,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,361,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,361,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,361,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,361,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,361,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,361,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,361,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,361,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,361,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,361,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,361,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,361,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,361,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,361,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,361,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,361,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,361,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,948.0,9908.0,33
RC,361,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,361,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,361,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,361,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,361,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,361,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,361,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,361,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,361,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,361,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,4
RC,361,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,4
RC,361,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,361,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,361,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,361,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,361,HCT/P Skin Substitute Prod ,,,136.26,136.26,3
RC,361,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,361,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,361,HFenestration semicircular canal ,,,7592.0,8072.0,5
RC,361,HIntroduction of needle or intracatheter; retrograde brachial artery ,,,2152.0,2636.0,4
RC,361,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,361,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,361,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,361,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,361,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,361,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,361,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,361,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,361,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,361,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,361,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,361,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,361,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,361,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,361,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,361,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,361,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,361,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,361,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,361,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,3796.0,5381.0,5
RC,361,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,77554.0,8
RC,361,HRevision fenestration operation ,,,7592.0,8072.0,5
RC,361,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,361,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,7168.0,8072.0,5
RC,361,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,361,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,361,Hallux implant ,,,388.42,388.42,3
RC,361,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,361,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,361,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,361,Haloperidol ,,,17.2,17.2,3
RC,361,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,361,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,361,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,361,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,361,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,361,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,361,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,361,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,361,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,361,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,361,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,361,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,361,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,361,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,361,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,361,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,361,"Harvesting conjunctival allograft, living donor ",,,948.0,8858.0,31
RC,361,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,6
RC,361,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,361,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,361,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,361,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,361,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,361,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,361,Heavy duty wheelchair ,,,83.68,83.68,3
RC,361,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,361,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,361,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,361,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,361,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,361,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,361,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,361,Heel wedge ,,,30.8,30.8,3
RC,361,"Heel wedge, sach ",,,114.72,114.72,3
RC,361,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,361,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,361,"Heel, new leather, standard ",,,54.84,54.84,3
RC,361,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,361,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,361,"Heel, sach cushion type ",,,142.14,142.14,3
RC,361,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,361,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,361,Heinz bodies; direct ,,,4.58,4.58,3
RC,361,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,361,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,361,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,361,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,361,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,361,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,361,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,361,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,361,Hematopoietic progenitor cell (HPC); HPC boost ,,,592.85,5932.0,33
RC,361,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,948.0,104820.46,31
RC,361,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,592.85,25655.0,33
RC,361,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,361,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,361,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,361,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,361,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,361,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,361,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,361,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,361,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,361,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,361,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,361,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,361,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,361,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,361,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,361,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,361,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,361,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,361,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,361,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,361,Hemoglobin; plasma ,,,7.97,7.97,3
RC,361,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,361,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,361,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,361,Hemoglobin; urine ,,,4.31,4.31,3
RC,361,"Hemolysin, acid ",,,9.67,9.67,3
RC,361,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,361,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,361,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,948.0,9908.0,33
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,948.0,9908.0,33
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,948.0,19415.0,33
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,948.0,19415.0,33
RC,361,"Hemorrhoidectomy, internal and external, single column/group; ",,,948.0,9908.0,33
RC,361,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,948.0,9908.0,33
RC,361,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,948.0,9908.0,33
RC,361,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,948.0,8858.0,33
RC,361,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,948.0,25655.0,33
RC,361,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,171.8,5932.0,33
RC,361,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,948.0,18747.0,33
RC,361,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,948.0,23113.0,31
RC,361,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,361,Hepagam b im injection ,,,71.51,71.51,3
RC,361,Heparin assay ,,,14.27,14.27,3
RC,361,Heparin neutralization ,,,12.91,12.91,3
RC,361,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,361,"Hepatectomy, resection of liver; partial lobectomy ",,,948.0,52673.02,27
RC,361,"Hepatectomy, resection of liver; total left lobectomy ",,,948.0,69572.83,27
RC,361,"Hepatectomy, resection of liver; total right lobectomy ",,,948.0,74747.66,27
RC,361,"Hepatectomy, resection of liver; trisegmentectomy ",,,948.0,77443.95,27
RC,361,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,361,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,948.0,48655.96,27
RC,361,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,361,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,361,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,361,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,361,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,361,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,361,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,361,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,361,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,361,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,361,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,361,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,361,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,361,Hepatitis C antibody; ,,,15.55,15.55,3
RC,361,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,361,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,361,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,361,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,948.0,27327.3,27
RC,361,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,361,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,361,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,361,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,361,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,361,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,361,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,361,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,361,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,361,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,361,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,361,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,361,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,361,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,361,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,361,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,361,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,361,Hip core decompression ,,,21210.0,23307.22,6
RC,361,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,361,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,361,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,361,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,361,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,361,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,361,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,361,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,361,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,361,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,361,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,361,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,361,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,361,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,361,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,361,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,361,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,361,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,361,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,361,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,361,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,361,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,361,Histamine ,,,32.19,32.19,3
RC,361,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,25655.0,10
RC,361,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,361,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,361,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,361,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,361,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,361,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,361,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,361,Home blood glucose monitor ,,,103.8,103.8,3
RC,361,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,361,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,361,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,361,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,361,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,361,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,361,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,361,Homocysteine ,,,19.53,19.53,3
RC,361,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,361,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,361,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,361,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,361,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,361,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,361,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,361,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,361,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,361,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,361,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,361,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,361,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,361,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,361,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,361,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,361,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,361,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,361,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,361,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,361,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,361,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,361,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,361,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,361,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,361,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,361,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,361,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,361,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,361,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,361,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,361,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,361,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,361,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,361,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,361,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,361,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,361,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,361,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,361,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,361,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,361,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,361,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,361,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,361,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,361,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,361,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,361,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,361,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,361,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,361,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,361,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,361,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,361,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,361,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,361,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,361,Hydroxychloroquine ,,,20.32,20.32,3
RC,361,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,361,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,361,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,361,Hydroxyproline; free ,,,24.69,24.69,3
RC,361,Hydroxyproline; total ,,,26.49,26.49,3
RC,361,"Hymenotomy, simple incision ",,,948.0,8858.0,33
RC,361,Hyperbaric Oxygen ,,,150.68,150.68,3
RC,361,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,948.0,35625.53,27
RC,361,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,948.0,25655.0,31
RC,361,Hysterorrhaphy of ruptured uterus ,,,948.0,25655.0,23
RC,361,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,948.0,25655.0,31
RC,361,"Hysteroscopy, diagnostic (separate procedure) ",,,1116.7,8858.0,24
RC,361,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1995.0,17510.0,24
RC,361,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1603.34,12360.0,24
RC,361,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.34,12499.0,24
RC,361,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,1603.34,11960.31,24
RC,361,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1116.7,8858.0,24
RC,361,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1603.34,12360.0,24
RC,361,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1116.7,8858.0,24
RC,361,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,948.0,12224.1,27
RC,361,Hystscp IU ADHESIO ,,,2152.0,6587.0,4
RC,361,Hystscp div IU septum ,,,2152.0,6587.0,4
RC,361,Hystscp impacted FB rmvl ,,,2152.0,6587.0,4
RC,361,Hystscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,361,Hystscp w Bx/polypectomy ,,,2152.0,6587.0,4
RC,361,Hystscp w endomet ablat ,,,2152.0,6587.0,4
RC,361,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,361,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,361,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,361,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,361,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,361,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,361,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,361,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,361,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,361,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,361,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,361,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,361,ILEOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,361,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,16
RC,361,"IMPLANT NEUROSTIMUL, SUBCORT ",,,2152.0,6587.0,4
RC,361,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2152.0,2636.0,4
RC,361,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,361,INCISE INNER EAR ,,,2152.0,6587.0,4
RC,361,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,12
RC,361,INCISION OF HYMEN ,,,2152.0,6587.0,4
RC,361,INCISION OF PELVIS NERVE ,,,2152.0,6587.0,4
RC,361,INCISION OF VAGUS NERVE ,,,2152.0,6587.0,4
RC,361,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,361,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,361,INFLATE MIDDLE EAR CANAL ,,,2152.0,6587.0,8
RC,361,INJ PARAVERTEBRAL C/T ,,,2152.0,6587.0,4
RC,361,INJ PARAVERTEBRAL C/T ADD-ON ,,,2152.0,6587.0,4
RC,361,INJ PARAVERTEBRAL L/S ,,,2152.0,6587.0,4
RC,361,INJ PARAVERTEBRAL L/S ADD-ON ,,,2152.0,6587.0,4
RC,361,INJECT SPINE CERV/THORACIC ,,,1266.0,3293.0,5
RC,361,INJECT SPINE LUMBAR/SACRAL ,,,1266.0,3293.0,5
RC,361,INJECT SPINE W/CATH CRV/THRC ,,,1266.0,3293.0,5
RC,361,INJECT SPINE W/CATH LMB/SCRL ,,,1266.0,3293.0,5
RC,361,INJECTION FOR KIDNEY X-RAY ,,,2152.0,6587.0,4
RC,361,INJECTION FOR LIVER X-RAYS ,,,2152.0,6587.0,8
RC,361,INJECTION(S) SPIDER VEINS ,,,2152.0,6587.0,4
RC,361,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2152.0,2636.0,4
RC,361,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1266.0,3293.0,5
RC,361,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2152.0,2636.0,4
RC,361,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1266.0,2636.0,5
RC,361,"INSERT ABDOM DRAIN, TEMP ",,,2152.0,6587.0,4
RC,361,INSERT BILE DUCT DRAIN ,,,2152.0,6587.0,4
RC,361,INSERT CATHETER BILE DUCT ,,,2152.0,6587.0,4
RC,361,INSERT KIDNEY DRAIN ,,,2152.0,6587.0,4
RC,361,INSERT URETERAL TUBE ,,,2152.0,6587.0,4
RC,361,INSERTION OF ACCESS DEVICE ,,,2152.0,6587.0,4
RC,361,INSERTION OF CANNULA(S) ,,,2152.0,2235.0,3
RC,361,"INSERTION OF CATHETER, VEIN ",,,2152.0,6587.0,16
RC,361,INSERTION OF INFUSION PUMP ,,,2152.0,6587.0,4
RC,361,INSET MIDDLE EAR (BAFFLE) ,,,2152.0,6587.0,4
RC,361,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,3796.0,5381.0,5
RC,361,IV US EACH ADD VESSEL ADD-ON ,,,2152.0,6587.0,4
RC,361,IV US FIRST VESSEL ADD-ON ,,,2152.0,6587.0,4
RC,361,Ibuprofen injection ,,,3.54,3.54,3
RC,361,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,361,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,361,Idursulfase injection ,,,621.35,621.35,3
RC,361,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,33
RC,361,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,351.7,5932.0,33
RC,361,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,9012.0,31
RC,361,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,593.22,9012.0,33
RC,361,"Ileostomy or jejunostomy, non-tube ",,,948.0,25655.0,27
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,510.77,12499.0,33
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,510.77,9908.0,33
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,948.0,12499.0,31
RC,361,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7592.0,25655.0,15
RC,361,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5694.0,25655.0,15
RC,361,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,948.0,25655.0,27
RC,361,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,361,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,361,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,361,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,361,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,361,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,361,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,361,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,361,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,361,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,361,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,361,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,361,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,361,Immune complex assay ,,,26.56,26.56,3
RC,361,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,361,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,361,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,361,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,361,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,361,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,361,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,361,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,361,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,361,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,361,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,361,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,361,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,361,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,361,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,361,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,361,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,361,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,361,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,361,Impl cereb subcort elec ,,,2152.0,6587.0,4
RC,361,Impl subcort electrodes ,,,2152.0,6587.0,4
RC,361,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,361,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,361,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,361,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,361,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,361,Implantation Wireless PA P ,,,31407.33,31407.33,3
RC,361,Implantation of Drug Infus ,,,19735.53,19735.53,3
RC,361,Implantation of auditory brain stem implant ,,,21210.0,23307.22,6
RC,361,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,948.0,25655.0,27
RC,361,Implantation of intrastromal corneal ring segments ,,,948.0,25655.0,33
RC,361,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1995.0,36053.16,28
RC,361,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,948.0,45966.03,21
RC,361,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,6
RC,361,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,13
RC,361,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,948.0,6680.0,19
RC,361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,948.0,70380.0,32
RC,361,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,1995.0,70380.0,27
RC,361,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,948.0,70380.0,33
RC,361,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,948.0,17510.0,31
RC,361,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,948.0,37568.08,27
RC,361,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,948.0,36534.62,33
RC,361,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,948.0,35261.21,33
RC,361,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,33769.0,33
RC,361,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,948.0,21630.0,31
RC,361,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,948.0,17510.0,33
RC,361,In111 capromab ,,,1886.02,1886.02,3
RC,361,In111 oxyquinoline ,,,906.29,906.29,3
RC,361,In111 pentetate ,,,812.73,812.73,3
RC,361,Incision and drainage abscess; peritonsillar ,,,91.96,5932.0,33
RC,361,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,948.0,17510.0,33
RC,361,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,930.95,7334.01,33
RC,361,Incision and drainage of Bartholin's gland abscess ,,,74.05,5932.0,33
RC,361,"Incision and drainage of appendiceal abscess, open ",,,948.0,25655.0,27
RC,361,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,948.0,6680.0,33
RC,361,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,685.44,8858.0,33
RC,361,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,948.0,8858.0,33
RC,361,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,450.72,9908.0,33
RC,361,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,948.0,6680.0,33
RC,361,"Incision and drainage of penis, deep ",,,510.77,19415.0,33
RC,361,"Incision and drainage of submucosal abscess, rectum ",,,450.72,6680.0,33
RC,361,"Incision and drainage of thyroglossal duct cyst, infected ",,,441.67,5932.0,33
RC,361,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,855.96,8858.0,33
RC,361,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,855.96,25655.0,33
RC,361,Incision and drainage of vulva or perineal abscess ,,,79.36,6680.0,33
RC,361,"Incision and drainage, perianal abscess, superficial ",,,344.93,5932.0,33
RC,361,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,948.0,25655.0,27
RC,361,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,948.0,25655.0,31
RC,361,"Incision of conjunctiva, drainage of cyst ",,,58.72,25655.0,33
RC,361,Incision of labial frenum (frenotomy) ,,,76.45,5932.0,33
RC,361,Incision of lingual frenum (frenotomy) ,,,441.67,5932.0,33
RC,361,"Incision of thrombosed hemorrhoid, external ",,,115.66,5932.0,33
RC,361,"Incision, anal septum (infant) ",,,948.0,25655.0,33
RC,361,"Incision, drainage of lacrimal gland ",,,948.0,5932.0,31
RC,361,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,214.82,9868.0,33
RC,361,Incisional biopsy of eyelid skin including lid margin ,,,113.7,5932.0,33
RC,361,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,361,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,361,Indexing for osteotomy ,,,10868.0,12875.0,3
RC,361,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,361,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,361,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,361,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,6
RC,361,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,6
RC,361,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,6
RC,361,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,6
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,948.0,16144.0,31
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,948.0,16144.0,31
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,948.0,25655.0,31
RC,361,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,948.0,25655.0,27
RC,361,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,948.0,25655.0,62
RC,361,"Induced abortion, by dilation and curettage ",,,948.0,18490.0,33
RC,361,"Induced abortion, by dilation and evacuation ",,,948.0,18490.0,33
RC,361,Induction of arrhythmia by electrical pacing ,,,25253.0,43890.0,8
RC,361,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,361,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,361,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,361,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,361,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,361,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,361,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,361,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,361,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,361,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,361,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,361,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,361,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,361,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,361,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,361,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,361,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,361,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,361,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,361,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,361,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,361,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,361,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,361,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,361,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,361,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,361,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,361,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,361,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,361,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,361,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,361,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,361,Infliximab ,,,42.04,42.04,3
RC,361,Infliximab not biosimil 10 ,,,34.31,34.31,3
RC,361,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,361,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,361,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,361,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,361,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,361,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,361,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,361,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,948.0,69269.91,27
RC,361,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,948.0,68516.17,27
RC,361,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,361,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,361,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,361,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,361,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,948.0,29238.59,27
RC,361,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,948.0,14664.41,33
RC,361,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,361,Inhibin A ,,,16.99,16.99,3
RC,361,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,948.0,126001.4,20
RC,361,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1481.0,2636.0,5
RC,361,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,361,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,361,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,361,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,361,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,361,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,361,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,361,Inj avacincaptad pegol 0.1 ,,,112.49,112.49,3
RC,361,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,361,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,361,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,361,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,361,"Inj brixadi, more than 7 d ",,,1877.31,1877.31,3
RC,361,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,361,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,361,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,361,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,361,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,361,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,361,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,361,Inj cyclophos dr reddys 5 ,,,0.54,0.54,3
RC,361,Inj cyclophos frindovyx 5 ,,,9.72,9.72,3
RC,361,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,361,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,361,Inj daxibotulinumtoxina-la ,,,3.34,3.34,3
RC,361,Inj delandistrogene mox ro ,,,3615417.73,3615417.73,3
RC,361,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,361,Inj efgart-alfa 2mg hya-qv ,,,37.34,37.34,3
RC,361,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,361,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,361,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,361,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,361,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,361,Inj estrogen conjugate ,,,437.64,437.64,3
RC,361,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,361,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,361,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,361,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,361,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,361,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,361,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,361,"Inj glofitamab gxbm, 2.5 m ",,,3122.5,3122.5,3
RC,361,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,361,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,361,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,361,Inj hydroxocobalamin iv 25 ,,,5.93,5.93,3
RC,361,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,361,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,361,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,361,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,361,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,361,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,361,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,361,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,361,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,361,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,361,Inj melphalan (hepzato) 1 ,,,873.61,873.61,3
RC,361,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,361,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,361,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,361,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,361,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,361,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,361,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,361,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,361,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,361,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,361,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,361,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,361,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,361,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,361,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,361,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,361,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,361,Inj recombin esperoct per ,,,2.5,2.5,3
RC,361,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,361,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,361,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,361,Inj roctavian ml 2x10^13vc ,,,13683.54,13683.54,3
RC,361,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,361,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,361,Inj rozanolixizum-noli 1 m ,,,25.71,25.71,3
RC,361,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,361,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,361,Inj secukinumab intrav 1mg ,,,19.87,19.87,3
RC,361,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,361,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,361,Inj talquetamab-tgvs 0.25 ,,,83.63,83.63,3
RC,361,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,361,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,361,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,361,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,361,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,361,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,361,Inj travoprost intra impl ,,,214.45,214.45,3
RC,361,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,361,Inj truxima 10 mg ,,,37.67,37.67,3
RC,361,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,361,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,361,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,361,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,361,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,361,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,361,Inj velmanase alfa-tycv 1 ,,,522.32,522.32,3
RC,361,Inj xipere 1 mg ,,,52.07,52.07,3
RC,361,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,361,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,361,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,361,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,361,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,361,"Inj, adzynma, 10 iu ",,,39.47,39.47,3
RC,361,"Inj, aflibercept hd, 1 mg ",,,325.56,325.56,3
RC,361,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,361,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,361,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,361,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,361,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,361,"Inj, artesunate, 1mg ",,,56.49,56.49,3
RC,361,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,361,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,361,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,361,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,361,"Inj, betibeglogene autotem ",,,3193983.4,3193983.4,3
RC,361,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,361,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,361,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,361,"Inj, brixadi, 7 days or le ",,,469.33,469.33,3
RC,361,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,361,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,361,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,361,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,361,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,361,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,361,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,361,"Inj, cipaglucosidase, 5 mg ",,,104.97,104.97,3
RC,361,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,361,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,361,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,361,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,361,"Inj, cyclophosphamide, nos ",,,0.63,0.63,3
RC,361,"Inj, denosumab ",,,32.81,32.81,3
RC,361,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,361,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,361,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,361,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,361,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,361,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,361,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,361,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,361,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,361,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,361,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,361,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,361,"Inj, elranatamab-bcmm, 1 m ",,,209.81,209.81,3
RC,361,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,361,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,361,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,361,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,361,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,361,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,361,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,361,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,361,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,361,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,361,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,361,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,361,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,361,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,361,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,361,"Inj, human-lans, per i.u ",,,1.89,1.89,3
RC,361,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,361,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,361,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,361,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,361,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,361,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,361,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,361,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,361,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,361,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,361,"Inj, levothyroxine, freska ",,,7.45,7.45,3
RC,361,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,361,"Inj, lovotibeglogene autot ",,,3526481.36,3526481.36,3
RC,361,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,361,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,361,"Inj, mirikizumab-mrkz, 1 m ",,,35.6,35.6,3
RC,361,"Inj, motixafortide, 0.25 m ",,,28.86,28.86,3
RC,361,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,361,"Inj, nithiodote, 3mg / 125 ",,,2.36,2.36,3
RC,361,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,361,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,361,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,361,"Inj, nyvepria ",,,149.23,149.23,3
RC,361,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,361,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,361,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,361,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,361,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,361,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,361,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,361,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,361,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,361,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,361,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,361,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,361,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,361,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,361,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,361,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,361,"Inj, rykindo, 0.5 mg ",,,14.2,14.2,3
RC,361,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,361,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,361,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,361,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,361,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,361,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,361,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,361,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,361,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,361,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,361,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,361,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,361,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,361,"Inj, toripalimab-tpzi, 1 m ",,,44.57,44.57,3
RC,361,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,361,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,361,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,361,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,361,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,361,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,361,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,361,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,361,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,361,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,361,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,361,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,361,"Inj, zolbetuximab-clzb, 2 ",,,36.98,36.98,3
RC,361,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,361,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,361,Inj. asceniv ,,,554.96,554.96,3
RC,361,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,361,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,361,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,361,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,361,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,361,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,361,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,361,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,361,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,361,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,361,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,361,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,361,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,361,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,361,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,361,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,361,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,361,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,361,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,361,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,361,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,361,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,361,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,361,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,361,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,361,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,361,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,361,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,361,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,361,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,361,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,361,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,361,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,361,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,361,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,361,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,361,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,361,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,361,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,361,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,361,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,361,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,361,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,361,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,361,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,361,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,361,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,361,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,361,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,361,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,361,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,361,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,361,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,361,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,361,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,361,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,361,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,361,Inject anes 1 L facet N ,,,2152.0,6587.0,4
RC,361,Inject anes 1 paravert N ,,,2152.0,6587.0,4
RC,361,Inject anes >1 paravert ,,,2152.0,6587.0,4
RC,361,Inject anes L facet-ADDL ,,,2152.0,6587.0,4
RC,361,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,361,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,361,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,361,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,361,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,361,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,948.0,5932.0,19
RC,361,Injection of contrast medium for dacryocystography ,,,948.0,5932.0,19
RC,361,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,36.92,2636.0,29
RC,361,Injection of medication or other substance into Tenon's capsule ,,,20.35,5932.0,33
RC,361,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,744.46,12499.0,33
RC,361,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,744.46,12499.0,33
RC,361,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,122.09,5932.0,33
RC,361,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,74.13,5932.0,33
RC,361,"Injection of sclerosing solution, hemorrhoids ",,,220.64,25655.0,29
RC,361,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,892.44,8858.0,28
RC,361,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,948.0,5932.0,19
RC,361,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,948.0,2636.0,15
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1481.0,17384.0,9
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1481.0,17384.0,9
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1481.0,17384.0,9
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1481.0,17384.0,9
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,1481.0,2174.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,1481.0,2174.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,1481.0,2174.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1481.0,17384.0,9
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1481.0,17384.0,9
RC,361,Injection procedure for Peyronie disease; ,,,63.08,3092.0,29
RC,361,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,948.0,19415.0,33
RC,361,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,948.0,8485.0,62
RC,361,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,948.0,8858.0,31
RC,361,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,948.0,12499.0,62
RC,361,Injection procedure for corpora cavernosography ,,,948.0,5932.0,19
RC,361,Injection procedure for cystography or voiding urethrocystography ,,,948.0,2636.0,15
RC,361,"Injection procedure for discography, each level; cervical or thoracic ",,,948.0,5932.0,19
RC,361,"Injection procedure for discography, each level; lumbar ",,,948.0,5932.0,19
RC,361,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,948.0,25655.0,27
RC,361,"Injection procedure for myelography and/or computed tomography, lumbar ",,,948.0,5932.0,19
RC,361,Injection procedure for retrograde urethrocystography ,,,948.0,2636.0,15
RC,361,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,9
RC,361,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,25
RC,361,Injection procedure for sialography ,,,948.0,5932.0,19
RC,361,Injection procedure for splenoportography ,,,948.0,5932.0,19
RC,361,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,948.0,5932.0,19
RC,361,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,948.0,5932.0,19
RC,361,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,948.0,9908.0,31
RC,361,Injection procedure; lymphangiography ,,,948.0,5932.0,19
RC,361,Injection procedure; radioactive tracer for identification of sentinel node ,,,802.52,5932.0,31
RC,361,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,361,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,380.91,5932.0,31
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,357.81,6587.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,357.81,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,465.81,5381.0,29
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,41.85,3293.0,29
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,146.8,6587.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,64.83,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,357.81,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,276.0,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,357.81,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,276.0,6587.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,41.28,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,45.35,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,18.89,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,357.81,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,3293.0,29
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,77.32,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,40.7,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,948.0,5932.0,19
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,357.81,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,948.0,5932.0,19
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,357.81,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,70.93,5932.0,33
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,249.57,5932.0,31
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,948.0,5932.0,19
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,357.81,5932.0,33
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,948.0,5932.0,19
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,948.0,5932.0,19
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,357.81,5932.0,33
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,948.0,5932.0,19
RC,361,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,357.81,5932.0,132
RC,361,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,276.0,5932.0,132
RC,361,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,361,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,357.81,5932.0,33
RC,361,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,357.81,5932.0,33
RC,361,"Injection, anesthetic agent; sphenopalatine ganglion ",,,74.13,5932.0,33
RC,361,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,357.81,5932.0,33
RC,361,"Injection, anesthetic agent; superior hypogastric plexus ",,,357.81,6680.0,33
RC,361,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,892.44,5932.0,33
RC,361,"Injection, anterior chamber of eye (separate procedure); medication ",,,892.44,5932.0,33
RC,361,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,361,"Injection, blinatumomab ",,,188.46,188.46,3
RC,361,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,361,"Injection, cangrelor ",,,22.1,22.1,3
RC,361,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,361,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,361,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,361,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,361,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,361,"Injection, epidural, of blood or clot patch ",,,276.0,5932.0,33
RC,361,"Injection, fulphila ",,,73.06,73.06,3
RC,361,"Injection, glucarpidase ",,,489.52,489.52,3
RC,361,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,361,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,361,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,361,"Injection, ixabepilone ",,,152.33,152.33,3
RC,361,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,361,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,361,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,361,"Injection, nivolumab ",,,37.3,37.3,3
RC,361,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,361,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,361,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,361,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,361,"Injection, peramivir ",,,1.83,1.83,3
RC,361,"Injection, renflexis ",,,29.01,29.01,3
RC,361,"Injection, reslizumab ",,,12.78,12.78,3
RC,361,"Injection, ruconest ",,,41.24,41.24,3
RC,361,"Injection, siltuximab ",,,189.73,189.73,3
RC,361,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,361,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,361,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,361,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,361,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,361,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,361,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,361,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,6054.0,4
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,357.81,5932.0,33
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,357.81,5932.0,33
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,357.81,5932.0,33
RC,361,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,361,Insert urinary catheter ,,,2152.0,6587.0,8
RC,361,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,1796.0,7927.29,15
RC,361,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,6
RC,361,Insertion of Heyman capsules for clinical brachytherapy ,,,948.0,11960.31,33
RC,361,Insertion of Thomas shunt (separate procedure) ,,,1747.39,19415.0,27
RC,361,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,536.91,5932.0,33
RC,361,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,122.58,6680.0,33
RC,361,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,948.0,17510.0,33
RC,361,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,1995.0,31390.93,21
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,1174.13,11220.0,27
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,1995.0,12869.33,27
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,1995.0,12869.33,27
RC,361,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,450.72,9868.0,33
RC,361,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,20
RC,361,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,344.56,5932.0,31
RC,361,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,709.9,8858.0,31
RC,361,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,33
RC,361,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,948.0,38760.0,33
RC,361,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,5047.0,15
RC,361,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,948.0,49207.09,33
RC,361,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,892.44,76895.0,33
RC,361,Insertion of intrauterine device (IUD) ,,,948.0,5932.0,31
RC,361,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,6
RC,361,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,948.0,23113.0,19
RC,361,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,6004.0,54082.0,25
RC,361,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,25655.0,20
RC,361,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,25655.0,20
RC,361,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,25655.0,20
RC,361,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,20
RC,361,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,237.69,6587.0,31
RC,361,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,948.0,12360.0,33
RC,361,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,948.0,12360.0,33
RC,361,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,948.0,12360.0,33
RC,361,Insertion of penile prosthesis; inflatable (self-contained) ,,,6004.0,54082.0,25
RC,361,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,948.0,54082.0,30
RC,361,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,948.0,11220.0,32
RC,361,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,948.0,11220.0,32
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,234.94,11220.0,32
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,468.58,11220.0,32
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,468.58,11220.0,32
RC,361,Insertion of peritoneal-venous shunt ,,,948.0,25655.0,31
RC,361,Insertion of pin-retained palatal prosthesis ,,,948.0,13581.48,33
RC,361,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,13
RC,361,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,948.0,27704.6,26
RC,361,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,361,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,948.0,38760.0,33
RC,361,Insertion of tandem cuff (dual cuff) ,,,948.0,49207.09,33
RC,361,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,60.68,6587.0,33
RC,361,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,237.69,6587.0,31
RC,361,Insertion of testicular prosthesis (separate procedure) ,,,948.0,11848.54,33
RC,361,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,948.0,12875.0,21
RC,361,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,948.0,33769.0,31
RC,361,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,948.0,12869.33,32
RC,361,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,948.0,18747.0,32
RC,361,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,948.0,11220.0,32
RC,361,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,948.0,11220.0,32
RC,361,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,948.0,11220.0,32
RC,361,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,948.0,12869.33,32
RC,361,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,948.0,12499.0,33
RC,361,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,948.0,12360.0,33
RC,361,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,948.0,21630.0,33
RC,361,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,948.0,25080.0,33
RC,361,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,25655.0,20
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,948.0,81532.47,32
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,948.0,77554.0,32
RC,361,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,948.0,6587.0,18
RC,361,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,948.0,36341.06,30
RC,361,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,948.0,77554.0,32
RC,361,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,948.0,81532.47,32
RC,361,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,361,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,361,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,361,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,361,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,361,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,361,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,361,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,361,Inst tauro 1.35mg/hep 100u ,,,4.59,4.59,3
RC,361,"Instill adstiladrin, tx do ",,,70121.45,70121.45,3
RC,361,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,361,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,12499.0,20
RC,361,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,43.61,5932.0,33
RC,361,Insulin antibodies ,,,23.34,23.34,3
RC,361,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,361,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,361,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,361,Insulin; free ,,,14.12,14.12,3
RC,361,Insulin; total ,,,12.46,12.46,3
RC,361,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,361,Intensive Outpatient (3 se ,,,136.91,342.3,6
RC,361,Intensive Outpatient (4 or ,,,179.39,448.48,6
RC,361,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,361,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,361,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,361,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,361,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,361,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,361,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,361,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,361,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,948.0,29417.33,27
RC,361,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,948.0,25655.0,27
RC,361,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,948.0,5932.0,19
RC,361,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,361,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,361,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1481.0,2636.0,5
RC,361,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,361,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,361,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,361,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,361,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,361,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,361,Intersex surgery; female to male ,,,948.0,25655.0,23
RC,361,Intersex surgery; male to female ,,,948.0,25655.0,23
RC,361,Intestinal allotransplantation; from cadaver donor ,,,948.0,68912.44,27
RC,361,Intestinal allotransplantation; from living donor ,,,948.0,77723.58,27
RC,361,Intestinal plication (separate procedure) ,,,948.0,25655.0,27
RC,361,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,948.0,25655.0,27
RC,361,Intra-atrial pacing ,,,12830.85,43890.0,14
RC,361,Intra-atrial recording ,,,12830.85,43890.0,14
RC,361,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,25253.0,43890.0,8
RC,361,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,892.44,18490.0,33
RC,361,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,43890.0,9
RC,361,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,12830.85,43890.0,14
RC,361,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1481.0,43890.0,9
RC,361,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,361,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,6
RC,361,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,948.0,2636.0,15
RC,361,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,1481.0,2174.0,3
RC,361,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,1481.0,2174.0,3
RC,361,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,361,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1481.0,5932.0,8
RC,361,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,7
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,87.5,5932.0,33
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,196.58,5932.0,33
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,441.67,5932.0,33
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,91.96,5932.0,33
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,930.95,7334.01,33
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,441.67,5932.0,33
RC,361,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1481.0,2636.0,10
RC,361,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,948.0,2287.0,10
RC,361,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,948.0,2287.0,10
RC,361,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,6
RC,361,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,25253.0,43890.0,8
RC,361,Intraventricular pacing ,,,12830.85,43890.0,14
RC,361,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,67046.86,12
RC,361,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,50.87,5932.0,28
RC,361,Intrinsic factor ,,,21.6,21.6,3
RC,361,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,361,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,74.05,3092.0,29
RC,361,"Introduction of catheter, aorta ",,,948.0,6680.0,19
RC,361,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,351.7,5047.0,29
RC,361,"Introduction of needle or intracatheter, aortic, translumbar ",,,948.0,6680.0,19
RC,361,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,948.0,5932.0,19
RC,361,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,948.0,5932.0,19
RC,361,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,361,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,361,Ipilimumab injection ,,,207.57,207.57,3
RC,361,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,361,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,948.0,10691.32,33
RC,361,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,892.44,9908.0,33
RC,361,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,892.44,9908.0,33
RC,361,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,892.44,9908.0,33
RC,361,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,892.44,17510.0,33
RC,361,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,218.75,5932.0,33
RC,361,Iridotomy by stab incision (separate procedure); except transfixion ,,,892.44,5932.0,33
RC,361,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,892.44,5932.0,33
RC,361,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,161.05,5932.0,33
RC,361,Iris supported intraocular lens ,,,158.85,158.85,3
RC,361,Iron ,,,7.05,7.05,3
RC,361,Iron binding capacity ,,,9.53,9.53,3
RC,361,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,361,Irrigation of corpora cavernosa for priapism ,,,115.66,5932.0,33
RC,361,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,119.92,2636.0,27
RC,361,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,361,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,361,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,361,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,361,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,361,Islet cell antibody ,,,25.69,25.69,3
RC,361,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,6
RC,361,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,361,Itraconazole ,,,29.55,29.55,3
RC,361,"Iv hanger, each ",,,131.03,131.03,3
RC,361,Iv pole ,,,189.03,189.03,3
RC,361,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,361,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,361,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,361,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,361,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,361,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,361,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,361,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,361,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,361,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,361,Keratomileusis ,,,948.0,32812.81,31
RC,361,Keratophakia ,,,948.0,35889.85,31
RC,361,Keratoplasty (corneal transplant); anterior lamellar ,,,948.0,23113.0,33
RC,361,Keratoplasty (corneal transplant); endothelial ,,,948.0,23113.0,33
RC,361,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,948.0,23113.0,33
RC,361,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,948.0,23113.0,33
RC,361,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,948.0,23113.0,33
RC,361,Keratoprosthesis ,,,948.0,25655.0,31
RC,361,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,361,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,361,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,361,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,361,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,361,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,361,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,361,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,361,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,361,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,361,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,361,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,361,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,361,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,361,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,361,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,361,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,361,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,361,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,361,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,361,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,361,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,361,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,361,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,361,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,361,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,361,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,361,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,361,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,361,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,361,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,361,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,361,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,361,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,361,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,361,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,361,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,361,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,361,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,361,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,361,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,361,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,361,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,361,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,2152.0,16144.0,5
RC,361,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,2152.0,16144.0,5
RC,361,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,2152.0,16144.0,5
RC,361,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,2152.0,16144.0,5
RC,361,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,361,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,2152.0,16144.0,5
RC,361,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,361,LAPARO W/CHOLANGIO/BIOPSY ,,,2152.0,6587.0,4
RC,361,"LAPAROSCOPE PROC, RECTUM ",,,2152.0,6587.0,4
RC,361,LAPAROSCOPY W/CHOLANGIO ,,,2152.0,6587.0,4
RC,361,"LAPAROSCOPY, ENTEROLYSIS ",,,2152.0,6587.0,4
RC,361,"LAPAROSCOPY, JEJUNOSTOMY ",,,2152.0,6587.0,4
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,361,LAVH ,,,2152.0,6587.0,4
RC,361,LESION REMOVAL COLONOSCOPY ,,,2152.0,6587.0,4
RC,361,Labyrinthectomy; transcanal ,,,948.0,23113.0,33
RC,361,Labyrinthectomy; with mastoidectomy ,,,948.0,23113.0,33
RC,361,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,130.52,18490.0,33
RC,361,Lacosamide ,,,29.55,29.55,3
RC,361,Lactate (lactic acid) ,,,12.61,12.61,3
RC,361,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,361,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,361,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,361,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,361,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,361,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,361,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,948.0,63201.42,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,948.0,40878.19,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,948.0,35244.78,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,948.0,35967.47,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,948.0,40613.87,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,948.0,48135.29,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,948.0,44833.16,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,948.0,47575.81,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,948.0,59689.29,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,948.0,58788.08,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,948.0,62261.18,21
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,948.0,42999.26,21
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,948.0,46954.23,21
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,948.0,42875.08,21
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,948.0,42323.36,21
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,948.0,46954.23,21
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,948.0,21630.0,21
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,948.0,16749.46,21
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,948.0,21630.0,21
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,948.0,21630.0,21
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,948.0,66534.81,21
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,948.0,69487.45,21
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,948.0,69091.18,21
RC,361,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,948.0,77554.0,27
RC,361,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,948.0,35866.35,21
RC,361,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,948.0,38935.64,21
RC,361,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,948.0,31437.5,21
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,948.0,21630.0,23
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,948.0,21630.0,23
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,948.0,21630.0,21
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,948.0,21630.0,23
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,948.0,21630.0,21
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,948.0,21630.0,21
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,948.0,21630.0,21
RC,361,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,948.0,36076.35,21
RC,361,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,948.0,21630.0,21
RC,361,Laminectomy with rhizotomy; 1 or 2 segments ,,,948.0,25827.59,21
RC,361,Laminectomy with rhizotomy; more than 2 segments ,,,948.0,27964.4,21
RC,361,Laminectomy with section of spinal accessory nerve ,,,948.0,31484.07,21
RC,361,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,948.0,21630.0,84
RC,361,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,948.0,6587.0,30
RC,361,"Laminectomy, with release of tethered spinal cord, lumbar ",,,948.0,34739.84,21
RC,361,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,948.0,33799.61,27
RC,361,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,948.0,38624.74,27
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,14
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,948.0,21630.0,21
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,948.0,12360.0,30
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,948.0,21630.0,23
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,948.0,21630.0,23
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1995.0,21630.0,18
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,948.0,2636.0,15
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,948.0,12875.0,20
RC,361,Lamotrigine ,,,14.44,14.44,3
RC,361,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,361,"Laparoscope proc, intestine ",,,2152.0,6587.0,4
RC,361,Laparoscopic APPY ,,,2152.0,6587.0,4
RC,361,Laparoscopic THC w/o Bx ,,,2152.0,6587.0,4
RC,361,Laparoscopic aspiration ,,,2152.0,6587.0,4
RC,361,Laparoscopic enterolysis ,,,2152.0,6587.0,4
RC,361,Laparoscopic esophagomyotomy (heller type) ,,,21210.0,23307.22,6
RC,361,Laparoscopic fulgur FALL ,,,2152.0,6587.0,4
RC,361,Laparoscopic fulgur les ,,,2152.0,6587.0,4
RC,361,Laparoscopic jejunostomy ,,,2152.0,6587.0,4
RC,361,Laparoscopic occl FALL ,,,2152.0,6587.0,4
RC,361,Laparoscopic orchiectomy ,,,2152.0,6587.0,4
RC,361,Laparoscopic rmvl adnexa ,,,2152.0,6587.0,4
RC,361,Laparoscopic splenectomy ,,,2152.0,6587.0,4
RC,361,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1983.29,25655.0,24
RC,361,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1983.29,25655.0,24
RC,361,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,14304.35,25655.0,12
RC,361,Laparoscopy w ADHESIO ,,,2152.0,6587.0,4
RC,361,Laparoscopy w biopsy ,,,2152.0,6587.0,4
RC,361,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1983.29,17510.0,24
RC,361,"Laparoscopy, remove myoma ",,,2152.0,6587.0,4
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,948.0,25750.0,18
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,948.0,30408.2,20
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,948.0,30408.2,20
RC,361,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,948.0,25655.0,31
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,948.0,25750.0,27
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,948.0,25750.0,27
RC,361,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1995.0,25655.0,24
RC,361,"Laparoscopy, surgical, appendectomy ",,,8024.0,21630.0,15
RC,361,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,948.0,37505.99,27
RC,361,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,948.0,27552.6,27
RC,361,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,948.0,25655.0,27
RC,361,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,948.0,21630.0,27
RC,361,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1995.0,25655.0,22
RC,361,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1995.0,25655.0,22
RC,361,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1995.0,23556.71,22
RC,361,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,948.0,29052.1,27
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,948.0,25143.92,21
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,948.0,34680.0,18
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,948.0,34680.0,18
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,948.0,34680.0,18
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,948.0,34680.0,18
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,948.0,34680.0,18
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,948.0,39036.54,18
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,948.0,41779.4,18
RC,361,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,948.0,25655.0,27
RC,361,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1983.29,17510.0,24
RC,361,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,1995.0,23556.71,24
RC,361,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,1995.0,25655.0,22
RC,361,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1995.0,25655.0,22
RC,361,"Laparoscopy, surgical, splenectomy ",,,1995.0,23556.71,22
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,948.0,21630.0,20
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,948.0,23556.71,20
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,948.0,23556.71,18
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,948.0,23556.71,18
RC,361,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1995.0,42292.31,16
RC,361,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1995.0,26814.39,22
RC,361,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,1995.0,42781.72,13
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,1995.0,23556.71,15
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,1995.0,23556.71,13
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1983.29,21630.0,15
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,1995.0,23556.71,15
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,361,"Laparoscopy, surgical; ablation of renal cysts ",,,1995.0,17510.0,22
RC,361,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,1995.0,25750.0,22
RC,361,"Laparoscopy, surgical; cholecystectomy ",,,1983.29,21630.0,17
RC,361,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1983.29,21630.0,17
RC,361,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1983.29,21630.0,23
RC,361,"Laparoscopy, surgical; cholecystoenterostomy ",,,2152.0,25655.0,21
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,1995.0,34662.01,22
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,1995.0,40932.52,22
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,1995.0,44607.64,22
RC,361,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1995.0,39386.24,22
RC,361,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1995.0,30116.73,22
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,948.0,48912.31,27
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,948.0,45967.43,27
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,1995.0,40015.58,22
RC,361,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1995.0,36122.92,22
RC,361,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,1995.0,25655.0,22
RC,361,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1995.0,31181.15,22
RC,361,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,948.0,25655.0,27
RC,361,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,948.0,25750.0,27
RC,361,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,948.0,21630.0,27
RC,361,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1995.0,30295.25,22
RC,361,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1995.0,27078.5,22
RC,361,"Laparoscopy, surgical; orchiectomy ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; partial nephrectomy ",,,1995.0,25655.0,22
RC,361,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,948.0,48290.73,27
RC,361,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,948.0,44390.1,27
RC,361,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,948.0,25655.0,27
RC,361,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,948.0,34055.96,27
RC,361,"Laparoscopy, surgical; pyeloplasty ",,,1995.0,23556.71,22
RC,361,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1995.0,30124.49,22
RC,361,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1983.29,21630.0,23
RC,361,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1983.29,21630.0,23
RC,361,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,948.0,17510.0,27
RC,361,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1995.0,18422.0,24
RC,361,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1995.0,21630.0,22
RC,361,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1995.0,21630.0,22
RC,361,"Laparoscopy, surgical; ureterolithotomy ",,,948.0,21630.0,27
RC,361,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,948.0,21630.0,29
RC,361,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,948.0,23556.71,29
RC,361,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1995.0,21630.0,22
RC,361,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1983.29,17510.0,23
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,1995.0,23556.71,24
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,1995.0,23556.71,24
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,1995.0,25655.0,24
RC,361,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1983.29,17510.0,23
RC,361,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,6376.0,17510.0,21
RC,361,"Laparoscopy, surgical; with fimbrioplasty ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1983.29,17510.0,23
RC,361,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1481.0,12499.0,15
RC,361,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1481.0,12499.0,15
RC,361,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1983.29,21630.0,24
RC,361,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1983.29,17510.0,23
RC,361,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1983.29,21630.0,24
RC,361,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25959.75,12
RC,361,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,948.0,25655.0,31
RC,361,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,948.0,26254.91,27
RC,361,Lapscp CHOLE w CDE ,,,2152.0,6587.0,4
RC,361,Lapscp CHOLE&cholangrphy ,,,2152.0,6587.0,4
RC,361,Lapscp EG fundoplasty ,,,2152.0,6587.0,4
RC,361,Lapscp REP init IH ,,,2152.0,6587.0,4
RC,361,Lapscp REP recur IH ,,,2152.0,6587.0,4
RC,361,Lapscp adrenalectomy ,,,2152.0,6587.0,4
RC,361,Lapscp bilat pelv LYMPH ,,,2152.0,6587.0,4
RC,361,Lapscp cholcystentstmy ,,,2152.0,6587.0,4
RC,361,Lapscp cholecystectomy ,,,2152.0,6587.0,4
RC,361,Lapscp fimbrioplasty ,,,2152.0,6587.0,4
RC,361,Lapscp intest resect ,,,2152.0,6587.0,4
RC,361,Lapscp lig sperm vein ,,,2152.0,6587.0,4
RC,361,Lapscp lymphocele drain ,,,2152.0,6587.0,4
RC,361,Lapscp pelvic LYMPH & Bx ,,,2152.0,6587.0,4
RC,361,Lapscp retroperit LN Bx ,,,2152.0,6587.0,4
RC,361,Lapscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,361,Lapscp salpingostomy ,,,2152.0,6587.0,4
RC,361,Lapscp select vagotomy ,,,2152.0,6587.0,4
RC,361,Lapscp temp gastrostomy ,,,2152.0,6587.0,4
RC,361,Lapscp truncal vagotomy ,,,2152.0,6587.0,4
RC,361,"Large size footplate, each ",,,65.96,65.96,3
RC,361,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,361,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,361,Laronidase injection ,,,45.22,45.22,3
RC,361,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,361,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,4723.0,5
RC,361,Laser Eye Procedures ,,,602.23,602.23,3
RC,361,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1773.9,8072.0,7
RC,361,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,948.0,18490.0,33
RC,361,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,6
RC,361,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,948.0,25655.0,27
RC,361,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,948.0,25655.0,27
RC,361,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1773.9,18490.0,28
RC,361,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,6
RC,361,Lead ,,,13.2,13.2,3
RC,361,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,361,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,361,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,361,Leflunomide ,,,42.04,42.04,3
RC,361,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,12818.0,22644.0,8
RC,361,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,7799.0,17510.0,10
RC,361,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,361,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,361,"Leg strap, each ",,,32.14,32.14,3
RC,361,"Leg strap, h style, each ",,,69.02,69.02,3
RC,361,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,361,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,361,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,361,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,361,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,361,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,361,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,361,"Lengthening of palate, and pharyngeal flap ",,,948.0,18490.0,33
RC,361,"Lengthening of palate, with island flap ",,,948.0,25655.0,29
RC,361,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,361,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,361,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,361,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,361,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,361,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,361,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,361,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,361,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,361,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,361,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,361,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,361,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,361,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,361,Leuprolide acetate ,,,2006.97,2006.97,3
RC,361,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,361,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,361,Level 1 Abdominal/Peritone ,,,3920.42,3920.42,3
RC,361,Level 1 Airway Endoscopy ,,,218.56,218.56,3
RC,361,Level 1 Blood Product Exch ,,,483.07,483.07,3
RC,361,Level 1 Breast/Lymphatic S ,,,4287.27,4287.27,3
RC,361,Level 1 Diagnostic Tests a ,,,140.89,140.89,3
RC,361,Level 1 Drug Administratio ,,,51.27,51.27,3
RC,361,Level 1 ENT Procedures ,,,259.34,259.34,3
RC,361,Level 1 Electronic Analysi ,,,40.87,40.87,3
RC,361,Level 1 Electrophysiologic ,,,1333.16,1333.16,3
RC,361,Level 1 Endovascular Proce ,,,3549.81,3549.81,3
RC,361,Level 1 Excision/ Biopsy/ ,,,775.38,775.38,3
RC,361,"Level 1 Extraocular, Repai ",,,347.55,347.55,3
RC,361,Level 1 Gynecologic Proced ,,,221.37,221.37,3
RC,361,Level 1 Health and Behavio ,,,41.03,41.03,3
RC,361,Level 1 ICD and Similar Pr ,,,24355.98,24355.98,3
RC,361,Level 1 Imaging with Contr ,,,192.06,192.06,3
RC,361,Level 1 Imaging without Co ,,,95.29,95.29,3
RC,361,Level 1 Intraocular Proced ,,,2526.99,2526.99,3
RC,361,Level 1 Laparoscopy and Re ,,,6619.65,6619.65,3
RC,361,Level 1 Lower GI Procedure ,,,1018.27,1018.27,3
RC,361,Level 1 Minor Procedures ,,,31.67,31.67,3
RC,361,Level 1 Musculoskeletal Pr ,,,270.09,270.09,3
RC,361,Level 1 Nerve Injections ,,,336.1,336.1,3
RC,361,Level 1 Nerve Procedures ,,,2138.17,2138.17,3
RC,361,Level 1 Neurostimulator an ,,,3828.12,3828.12,3
RC,361,Level 1 Nuclear Medicine a ,,,437.74,437.74,3
RC,361,Level 1 Pacemaker and Simi ,,,4091.85,4091.85,3
RC,361,Level 1 Pathology ,,,57.06,57.06,3
RC,361,Level 1 Radiation Therapy ,,,111.72,111.72,3
RC,361,Level 1 Skin Procedures ,,,219.69,219.69,3
RC,361,Level 1 Strapping and Cast ,,,177.93,177.93,3
RC,361,Level 1 Therapeutic Radiat ,,,147.17,147.17,3
RC,361,Level 1 Upper GI Procedure ,,,993.12,993.12,3
RC,361,Level 1 Urology and Relate ,,,273.58,273.58,3
RC,361,Level 1 Vascular Procedure ,,,686.88,686.88,3
RC,361,Level 2 Abdominal/Peritone ,,,7088.62,7088.62,3
RC,361,Level 2 Airway Endoscopy ,,,428.26,428.26,3
RC,361,Level 2 Blood Product Exch ,,,1705.33,1705.33,3
RC,361,Level 2 Breast/Lymphatic S ,,,7270.76,7270.76,3
RC,361,Level 2 Diagnostic Tests a ,,,236.43,236.43,3
RC,361,Level 2 Drug Administratio ,,,78.84,78.84,3
RC,361,Level 2 ENT Procedures ,,,590.55,590.55,3
RC,361,Level 2 Electronic Analysi ,,,104.1,104.1,3
RC,361,Level 2 Electrophysiologic ,,,8540.37,8540.37,3
RC,361,Level 2 Endovascular Proce ,,,6232.08,6232.08,3
RC,361,Level 2 Excision/ Biopsy/ ,,,1808.44,1808.44,3
RC,361,"Level 2 Extraocular, Repai ",,,1091.55,1091.55,3
RC,361,Level 2 Gynecologic Proced ,,,333.67,333.67,3
RC,361,Level 2 Health and Behavio ,,,111.24,111.24,3
RC,361,Level 2 ICD and Similar Pr ,,,34369.77,34369.77,3
RC,361,Level 2 Imaging with Contr ,,,382.0,382.0,3
RC,361,Level 2 Imaging without Co ,,,114.47,114.47,3
RC,361,Level 2 Intraocular Proced ,,,4525.96,4525.96,3
RC,361,Level 2 Laparoscopy and Re ,,,11639.31,11639.31,3
RC,361,Level 2 Lower GI Procedure ,,,1310.28,1310.28,3
RC,361,Level 2 Minor Procedures ,,,40.9,40.9,3
RC,361,Level 2 Musculoskeletal Pr ,,,1760.7,1760.7,3
RC,361,Level 2 Nerve Injections ,,,772.92,772.92,3
RC,361,Level 2 Nerve Procedures ,,,3740.57,3740.57,3
RC,361,Level 2 Neurostimulator an ,,,6978.22,6978.22,3
RC,361,Level 2 Nuclear Medicine a ,,,594.53,594.53,3
RC,361,Level 2 Pacemaker and Simi ,,,9061.28,9061.28,3
RC,361,Level 2 Pathology ,,,186.55,186.55,3
RC,361,Level 2 Radiation Therapy ,,,422.32,422.32,3
RC,361,Level 2 Skin Procedures ,,,445.12,445.12,3
RC,361,Level 2 Strapping and Cast ,,,306.25,306.25,3
RC,361,Level 2 Therapeutic Radiat ,,,409.99,409.99,3
RC,361,Level 2 Upper GI Procedure ,,,2101.14,2101.14,3
RC,361,Level 2 Urology and Relate ,,,763.52,763.52,3
RC,361,Level 2 Vascular Procedure ,,,1723.65,1723.65,3
RC,361,Level 3 Airway Endoscopy ,,,1948.93,1948.93,3
RC,361,Level 3 Blood Product Exch ,,,4769.13,4769.13,3
RC,361,Level 3 Breast/Lymphatic S ,,,8949.59,8949.59,3
RC,361,Level 3 Diagnostic Tests a ,,,408.6,408.6,3
RC,361,Level 3 Drug Administratio ,,,232.9,232.9,3
RC,361,Level 3 ENT Procedures ,,,1698.93,1698.93,3
RC,361,Level 3 Electronic Analysi ,,,336.31,336.31,3
RC,361,Level 3 Electrophysiologic ,,,28620.09,28620.09,3
RC,361,Level 3 Endovascular Proce ,,,12640.5,12640.5,3
RC,361,Level 3 Excision/ Biopsy/ ,,,3180.57,3180.57,3
RC,361,"Level 3 Extraocular, Repai ",,,2603.27,2603.27,3
RC,361,Level 3 Gynecologic Proced ,,,1008.52,1008.52,3
RC,361,Level 3 Health and Behavio ,,,194.35,194.35,3
RC,361,Level 3 Imaging with Contr ,,,858.37,858.37,3
RC,361,Level 3 Imaging without Co ,,,261.26,261.26,3
RC,361,Level 3 Intraocular Proced ,,,5826.65,5826.65,3
RC,361,Level 3 Lower GI Procedure ,,,3039.26,3039.26,3
RC,361,Level 3 Minor Procedures ,,,64.59,64.59,3
RC,361,Level 3 Musculoskeletal Pr ,,,3582.73,3582.73,3
RC,361,Level 3 Nerve Injections ,,,968.47,968.47,3
RC,361,Level 3 Nerve Procedures ,,,9609.27,9609.27,3
RC,361,Level 3 Neurostimulator an ,,,12200.88,12200.88,3
RC,361,Level 3 Nuclear Medicine a ,,,1417.6,1417.6,3
RC,361,Level 3 Pacemaker and Simi ,,,11444.59,11444.59,3
RC,361,Level 3 Pathology ,,,392.49,392.49,3
RC,361,Level 3 Radiation Therapy ,,,605.02,605.02,3
RC,361,Level 3 Skin Procedures ,,,809.26,809.26,3
RC,361,Level 3 Therapeutic Radiat ,,,1515.58,1515.58,3
RC,361,Level 3 Upper GI Procedure ,,,4221.62,4221.62,3
RC,361,Level 3 Urology and Relate ,,,2288.9,2288.9,3
RC,361,Level 3 Vascular Procedure ,,,3457.34,3457.34,3
RC,361,Level 4 Airway Endoscopy ,,,4082.42,4082.42,3
RC,361,Level 4 Blood Product Exch ,,,68874.65,68874.65,3
RC,361,Level 4 Breast/Lymphatic S ,,,15089.69,15089.69,3
RC,361,Level 4 Diagnostic Tests a ,,,940.29,940.29,3
RC,361,Level 4 Drug Administratio ,,,361.67,361.67,3
RC,361,Level 4 ENT Procedures ,,,3630.32,3630.32,3
RC,361,Level 4 Endovascular Proce ,,,20072.54,20072.54,3
RC,361,"Level 4 Extraocular, Repai ",,,4304.75,4304.75,3
RC,361,Level 4 Gynecologic Proced ,,,3544.55,3544.55,3
RC,361,Level 4 Imaging without Co ,,,598.31,598.31,3
RC,361,Level 4 Intraocular Proced ,,,15883.71,15883.71,3
RC,361,Level 4 Minor Procedures ,,,145.68,145.68,3
RC,361,Level 4 Musculoskeletal Pr ,,,7945.32,7945.32,3
RC,361,Level 4 Neurostimulator an ,,,21242.49,21242.49,3
RC,361,Level 4 Nuclear Medicine a ,,,1565.75,1565.75,3
RC,361,Level 4 Pacemaker and Simi ,,,21090.91,21090.91,3
RC,361,Level 4 Pathology ,,,882.19,882.19,3
RC,361,Level 4 Radiation Therapy ,,,762.62,762.62,3
RC,361,Level 4 Skin Procedures ,,,2259.22,2259.22,3
RC,361,Level 4 Urology and Relate ,,,3859.74,3859.74,3
RC,361,Level 4 Vascular Procedure ,,,6092.93,6092.93,3
RC,361,Level 5 Airway Endoscopy ,,,7727.68,7727.68,3
RC,361,Level 5 ENT Procedures ,,,6482.02,6482.02,3
RC,361,Level 5 Gynecologic Proced ,,,5477.52,5477.52,3
RC,361,Level 5 Intraocular Proced ,,,15278.03,15278.03,3
RC,361,Level 5 Minor Procedures ,,,489.15,489.15,3
RC,361,Level 5 Musculoskeletal Pr ,,,14057.94,14057.94,3
RC,361,Level 5 Neurostimulator an ,,,33788.16,33788.16,3
RC,361,Level 5 Radiation Therapy ,,,1368.43,1368.43,3
RC,361,Level 5 Skin Procedures ,,,3880.26,3880.26,3
RC,361,Level 5 Urology and Relate ,,,5870.99,5870.99,3
RC,361,Level 6 Gynecologic Proced ,,,8119.66,8119.66,3
RC,361,Level 6 Intraocular Proced ,,,18024.07,18024.07,3
RC,361,Level 6 Musculoskeletal Pr ,,,19198.95,19198.95,3
RC,361,Level 6 Radiation Therapy ,,,1957.86,1957.86,3
RC,361,Level 6 Urology and Relate ,,,10365.46,10365.46,3
RC,361,Level 7 Musculoskeletal Pr ,,,29710.86,29710.86,3
RC,361,Level 7 Radiation Therapy ,,,8064.75,8064.75,3
RC,361,Level 7 Urology and Relate ,,,14446.4,14446.4,3
RC,361,Level 8 Urology and Relate ,,,22694.42,22694.42,3
RC,361,Levetiracetam ,,,14.44,14.44,3
RC,361,Lidocaine ,,,16.01,16.01,3
RC,361,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,361,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,361,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,361,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,361,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,361,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1174.13,12360.0,28
RC,361,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,1174.13,12360.0,28
RC,361,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,948.0,9908.0,33
RC,361,Ligation of common iliac vein ,,,948.0,29580.54,27
RC,361,Ligation of femoral vein ,,,948.0,12360.0,33
RC,361,Ligation of inferior vena cava ,,,948.0,25655.0,31
RC,361,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,948.0,9908.0,33
RC,361,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1174.13,12360.0,28
RC,361,Ligation of peritoneal-venous shunt ,,,948.0,25655.0,27
RC,361,Ligation or banding of angioaccess arteriovenous fistula ,,,948.0,12360.0,33
RC,361,"Ligation or biopsy, temporal artery ",,,510.77,6680.0,33
RC,361,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,948.0,32626.32,27
RC,361,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,948.0,25655.0,31
RC,361,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,948.0,25655.0,31
RC,361,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,948.0,9868.0,33
RC,361,"Ligation salivary duct, intraoral ",,,930.95,23113.0,33
RC,361,"Ligation, direct, esophageal varices ",,,948.0,34374.62,27
RC,361,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1174.13,12360.0,28
RC,361,"Ligation, division, and stripping, short saphenous vein ",,,1174.13,12360.0,28
RC,361,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,948.0,12360.0,33
RC,361,"Ligation, internal jugular vein ",,,948.0,25655.0,27
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,948.0,30178.83,27
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,948.0,25655.0,27
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,948.0,25655.0,27
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,948.0,25655.0,27
RC,361,Ligation; external carotid artery ,,,948.0,25655.0,27
RC,361,Ligation; internal or common carotid artery ,,,948.0,25655.0,27
RC,361,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,948.0,25655.0,27
RC,361,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,361,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,361,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,361,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,361,Lightweight wheelchair ,,,48.42,48.42,3
RC,361,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,361,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,361,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,948.0,25655.0,27
RC,361,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,948.0,25655.0,27
RC,361,Limited pharyngectomy ,,,948.0,23113.0,33
RC,361,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,361,Lipase ,,,7.51,7.51,3
RC,361,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,361,Lipoprotein (a) ,,,15.61,15.61,3
RC,361,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,361,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,361,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,361,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,361,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,361,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,361,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,361,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,361,Lithium ,,,7.2,7.2,3
RC,361,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,361,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,361,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,361,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,361,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,948.0,8858.0,33
RC,361,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,948.0,8858.0,33
RC,361,"Lithotripsy, extracorporeal shock wave ",,,1200.05,21630.0,14
RC,361,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,948.0,121445.54,27
RC,361,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,361,Lobar lung transplantation ,,,21210.0,23307.22,6
RC,361,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,6
RC,361,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,361,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,948.0,12499.0,31
RC,361,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,361,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,361,"Lso, corset front ",,,166.52,166.52,3
RC,361,"Lso, full corset ",,,235.72,235.72,3
RC,361,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,361,"Lubricant, per ounce ",,,2.47,2.47,3
RC,361,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,361,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,361,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,361,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,361,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,361,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,361,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,361,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,361,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,361,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,361,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,361,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,361,Lumbar/caudal inject NEC ,,,2152.0,6587.0,4
RC,361,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,361,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,361,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,361,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,361,Lymphangiotomy or other operations on lymphatic channels ,,,948.0,8858.0,33
RC,361,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,361,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,361,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,361,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,361,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,948.0,25655.0,31
RC,361,Lysis of labial adhesions ,,,948.0,8858.0,33
RC,361,Lysis or excision of penile post-circumcision adhesions ,,,685.44,8858.0,33
RC,361,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,361,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,361,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,361,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,361,MEDIASTINOSCOPY INCL BIOPSY ,,,2152.0,6587.0,4
RC,361,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,361,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,361,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,361,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,361,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,361,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,361,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,361,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,361,MRI and MRA without Contra ,,,576.44,576.44,3
RC,361,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,361,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,361,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,361,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,361,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,361,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,361,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,361,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,361,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,361,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,361,Magnesium ,,,7.3,7.3,3
RC,361,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,948.0,25750.0,15
RC,361,Malate dehydrogenase ,,,8.03,8.03,3
RC,361,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,361,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,361,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,948.0,42331.12,27
RC,361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,948.0,68376.25,27
RC,361,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,948.0,32727.43,27
RC,361,Management of liver hemorrhage; simple suture of liver wound or injury ,,,948.0,30846.97,27
RC,361,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,948.0,6587.0,11
RC,361,Manganese ,,,29.05,29.05,3
RC,361,Manipulation Therapy ,,,23.64,23.64,3
RC,361,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,250.06,5932.0,33
RC,361,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,60.68,2636.0,29
RC,361,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,361,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,361,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,361,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,361,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,361,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,361,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,361,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,361,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,361,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,361,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,361,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,361,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,361,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,361,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,361,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,361,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,361,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,361,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,361,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,361,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,361,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,361,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,361,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,361,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,361,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,361,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,361,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,361,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,361,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,361,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,361,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,361,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,361,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,361,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,361,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,361,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,361,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,361,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,361,Marsupialization of Bartholin's gland cyst ,,,948.0,8858.0,33
RC,361,Marsupialization of cyst or abscess of liver ,,,948.0,25655.0,27
RC,361,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,4
RC,361,Marsupialization of pancreatic cyst ,,,948.0,25967.51,27
RC,361,Marsupialization of sublingual salivary cyst (ranula) ,,,930.95,9908.0,33
RC,361,"Marsupialization of urethral diverticulum, male or female ",,,948.0,12360.0,33
RC,361,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,361,Mastoid obliteration (separate procedure) ,,,1995.0,17510.0,28
RC,361,Mastoidectomy; complete ,,,948.0,23113.0,33
RC,361,Mastoidectomy; modified radical ,,,948.0,23113.0,33
RC,361,Mastoidectomy; radical ,,,948.0,23113.0,33
RC,361,"Mattress, foam rubber ",,,182.92,182.92,3
RC,361,"Mattress, innerspring ",,,162.65,162.65,3
RC,361,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,3
RC,361,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,3
RC,361,Maxillary impression for palatal prosthesis ,,,742.11,5932.0,31
RC,361,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,119.92,6587.0,27
RC,361,"Meat fibers, feces ",,,5.29,5.29,3
RC,361,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,685.44,8858.0,33
RC,361,"Meatotomy, cutting of meatus (separate procedure); infant ",,,948.0,25655.0,31
RC,361,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,361,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,468.58,11220.0,32
RC,361,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,351.7,5932.0,33
RC,361,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,948.0,19415.0,32
RC,361,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,948.0,25655.0,31
RC,361,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,948.0,25655.0,31
RC,361,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,948.0,25655.0,27
RC,361,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,948.0,25655.0,27
RC,361,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,361,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,361,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,361,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,361,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,361,Mental Health Services Com ,,,448.48,448.48,3
RC,361,"Mercury, quantitative ",,,17.72,17.72,3
RC,361,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,361,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,361,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,6
RC,361,Metanephrines ,,,18.46,18.46,3
RC,361,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,361,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,361,Metatarsal joint implant ,,,467.12,467.12,3
RC,361,Methemalbumin ,,,11.71,11.71,3
RC,361,Methotrexate ,,,42.04,42.04,3
RC,361,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,361,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,361,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,361,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,361,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,361,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,361,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,361,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,361,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,6
RC,361,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,361,Middle ear exploration through postauricular or ear canal incision ,,,930.95,9908.0,33
RC,361,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,361,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,6
RC,361,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,6
RC,361,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,6
RC,361,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,6
RC,361,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,6
RC,361,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,361,Mitomycin instillation ,,,359.63,359.63,3
RC,361,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,361,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,361,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,361,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,948.0,25655.0,27
RC,361,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,361,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,733.22,9868.0,29
RC,361,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,361,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,361,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,361,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,361,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,361,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,361,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,361,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,361,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,361,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,361,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,361,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,361,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,361,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,361,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,361,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,361,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,361,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,361,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,361,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,361,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,361,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,361,Mouth piece ,,,4.82,4.82,3
RC,361,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,361,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,361,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,361,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,361,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,361,Multifetal pregnancy reduction(s) (MPR) ,,,590.17,3092.0,27
RC,361,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,242.73,25655.0,33
RC,361,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,361,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,361,Muramidase ,,,20.44,20.44,3
RC,361,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,361,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,361,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,361,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,361,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,948.0,9012.0,31
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,948.0,9012.0,31
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,948.0,9012.0,31
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,948.0,9012.0,31
RC,361,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,361,Myoglobin ,,,14.08,14.08,3
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,948.0,25655.0,31
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,948.0,18490.0,33
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,948.0,25655.0,27
RC,361,Myringoplasty (surgery confined to drumhead and donor area) ,,,930.95,8858.0,33
RC,361,Myringotomy including aspiration and/or eustachian tube inflation ,,,91.96,9908.0,33
RC,361,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,930.95,9908.0,33
RC,361,"Myringotomy, laser-assisted ",,,7839.0,23307.22,10
RC,361,N BLOCK INJ SPINAL ACCESSOR ,,,2152.0,6587.0,4
RC,361,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,2152.0,16144.0,5
RC,361,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,361,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,361,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,361,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,361,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,361,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,361,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,361,"Naltrexone, depot form ",,,4.93,4.93,3
RC,361,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,361,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,361,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,23307.22,12
RC,361,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,361,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,361,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,361,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,361,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,361,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,1
RC,361,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,117.96,6680.0,33
RC,361,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,361,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,948.0,17510.0,33
RC,361,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,948.0,17510.0,33
RC,361,Natalizumab injection ,,,26.6,26.6,3
RC,361,Natriuretic peptide ,,,42.79,42.79,3
RC,361,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,361,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,361,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,361,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,361,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,361,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,361,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,115.66,6587.0,33
RC,361,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,361,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,361,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,361,Nelarabine injection ,,,71.29,71.29,3
RC,361,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,361,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,948.0,29300.69,27
RC,361,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,948.0,32952.74,27
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,948.0,25655.0,27
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,948.0,27086.26,27
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,948.0,28834.56,27
RC,361,"Nephrectomy, partial ",,,948.0,29798.08,27
RC,361,Nephrolithotomy; complicated by congenital kidney abnormality ,,,948.0,26658.94,27
RC,361,Nephrolithotomy; removal of calculus ,,,948.0,25655.0,27
RC,361,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,948.0,32735.19,27
RC,361,Nephrolithotomy; secondary surgical operation for calculus ,,,948.0,27179.61,27
RC,361,"Nephrorrhaphy, suture of kidney wound or injury ",,,948.0,28997.77,27
RC,361,"Nephrostomy, nephrotomy with drainage ",,,948.0,25655.0,31
RC,361,"Nephrotomy, with exploration ",,,948.0,25655.0,27
RC,361,Nerve dissection ,,,10868.0,12875.0,3
RC,361,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,948.0,17510.0,33
RC,361,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,361,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,361,Nerve pedicle transfer; first stage ,,,948.0,17510.0,33
RC,361,Nerve pedicle transfer; second stage ,,,948.0,17510.0,33
RC,361,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,948.0,17510.0,31
RC,361,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,361,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,948.0,25655.0,33
RC,361,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,948.0,17510.0,33
RC,361,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,361,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,948.0,34297.0,27
RC,361,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,948.0,47451.62,27
RC,361,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,948.0,34662.01,27
RC,361,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,948.0,43007.03,27
RC,361,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,361,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,361,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,361,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,361,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,361,Neuroplasty and/or transposition; cranial nerve (specify) ,,,692.94,9908.0,33
RC,361,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,692.94,8858.0,28
RC,361,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,692.94,8858.0,33
RC,361,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,692.94,8858.0,33
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,692.94,8858.0,33
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,692.94,8858.0,33
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,692.94,8858.0,33
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,692.94,8858.0,33
RC,361,"Neuroplasty; digital, 1 or both, same digit ",,,692.94,8858.0,33
RC,361,Neuroplasty; nerve of hand or foot ,,,692.94,8858.0,33
RC,361,"Neutralization test, viral ",,,18.43,18.43,3
RC,361,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,361,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,361,Nickel ,,,26.72,26.72,3
RC,361,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,361,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,361,Nivestym ,,,0.35,0.35,3
RC,361,Nocturnal penile tumescence and/or rigidity test ,,,75.09,5932.0,31
RC,361,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,361,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,361,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,361,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,361,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,361,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,361,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,361,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,361,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,361,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,361,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,26773.0,42427.0,3
RC,361,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,361,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,361,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,361,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,361,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,361,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,361,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,361,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,361,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,361,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,361,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,361,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,361,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,361,Nucleotidase 5'- ,,,12.15,12.15,3
RC,361,OPERATIVE UPPER GI ENDOSCOPY ,,,2152.0,6587.0,4
RC,361,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,361,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,948.0,75353.71,27
RC,361,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,361,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,361,"Occluder lens, per lens ",,,28.56,28.56,3
RC,361,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,948.0,25655.0,33
RC,361,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,361,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,361,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,361,Octagam injection ,,,51.29,51.29,3
RC,361,Ocular implant ,,,885.23,885.23,3
RC,361,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,948.0,18490.0,33
RC,361,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,948.0,18490.0,31
RC,361,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,948.0,18490.0,31
RC,361,Ofatumumab injection ,,,67.84,67.84,3
RC,361,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,361,Omalizumab injection ,,,50.78,50.78,3
RC,361,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,948.0,31826.01,27
RC,361,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,361,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,948.0,25655.0,31
RC,361,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,361,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,361,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,361,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,361,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,361,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,361,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,361,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,361,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,361,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,361,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,361,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,361,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,361,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,361,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,361,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,361,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,361,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,361,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,361,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,361,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,361,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,361,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,361,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,361,One way chest drain valve ,,,63.18,63.18,3
RC,361,"Oophorectomy, partial or total, unilateral or bilateral; ",,,948.0,25655.0,31
RC,361,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,948.0,26565.8,27
RC,361,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,25655.0,20
RC,361,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,948.0,81532.47,32
RC,361,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,7
RC,361,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,948.0,84177.74,32
RC,361,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,7
RC,361,Open implantation of neurostimulator electrode array; neuromuscular ,,,948.0,77554.0,33
RC,361,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,948.0,77554.0,33
RC,361,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,948.0,25750.0,33
RC,361,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,24
RC,361,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,25655.0,24
RC,361,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,24
RC,361,"Operculectomy, excision pericoronal tissues ",,,948.0,5932.0,31
RC,361,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,8858.0,15
RC,361,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,8858.0,15
RC,361,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,948.0,19415.0,33
RC,361,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,361,Oral busulfan ,,,11.03,11.03,3
RC,361,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,361,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,361,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,361,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,361,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,361,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,361,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,361,Orbital implant (implant outside muscle cone); insertion ,,,948.0,19415.0,33
RC,361,Orbital implant (implant outside muscle cone); removal or revision ,,,948.0,12360.0,33
RC,361,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,361,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,948.0,73970.64,27
RC,361,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,948.0,65050.62,27
RC,361,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,948.0,71919.42,27
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,948.0,18490.0,33
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,948.0,18490.0,33
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,948.0,18490.0,33
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,948.0,18490.0,33
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,948.0,18490.0,33
RC,361,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,948.0,12360.0,33
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,733.22,19415.0,33
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,948.0,25655.0,33
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,733.22,18490.0,33
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,733.22,18490.0,33
RC,361,"Orchiectomy, partial ",,,948.0,9908.0,33
RC,361,"Orchiectomy, radical, for tumor; inguinal approach ",,,948.0,19415.0,33
RC,361,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,948.0,25655.0,27
RC,361,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,948.0,12360.0,33
RC,361,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,948.0,25655.0,31
RC,361,"Orchiopexy, inguinal or scrotal approach ",,,948.0,19415.0,33
RC,361,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,361,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,361,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,361,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,361,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,361,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,361,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,361,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,361,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,361,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,361,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,361,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,361,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,361,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,361,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,361,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,361,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,361,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,361,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,361,Orthovisc inj per dose ,,,109.36,109.36,3
RC,361,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,361,Osmolality; blood ,,,7.2,7.2,3
RC,361,Osmolality; urine ,,,7.43,7.43,3
RC,361,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,361,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,361,Ossicula implant ,,,401.67,401.67,3
RC,361,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,361,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,361,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,361,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,361,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,361,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,948.0,16144.0,21
RC,361,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,6
RC,361,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,361,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,361,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,361,"Ostomy belt, each ",,,10.57,10.57,3
RC,361,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,361,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,361,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,361,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,361,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,361,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,361,Ostomy irrigation set ,,,75.92,75.92,3
RC,361,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,361,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,361,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,361,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,361,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,361,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,361,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,361,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,361,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,361,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,361,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,361,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,361,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,361,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,361,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,361,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,361,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,361,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,361,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,361,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,361,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,361,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,361,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,361,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,361,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,361,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,361,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,361,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,361,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,361,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,361,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,361,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,361,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,361,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,361,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,361,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,361,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,361,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,361,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,361,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,361,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,361,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,361,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,361,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,361,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,361,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,361,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,361,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,361,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,361,"Ostomy ring, each ",,,2.61,2.61,3
RC,361,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,361,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,361,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,361,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,361,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,361,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,361,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,361,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,361,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,361,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,361,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,361,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,361,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,361,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,361,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,361,"Other cranial decompression, posterior fossa ",,,948.0,46355.94,27
RC,361,Other manual wheelchair/base ,,,111.03,111.03,3
RC,361,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,361,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,361,Other spinal injection ,,,2152.0,6587.0,4
RC,361,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,11
RC,361,"Otoplasty, protruding ear, with or without size reduction ",,,930.95,9908.0,33
RC,361,Outflare wedge ,,,66.8,66.8,3
RC,361,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,361,"Ovarian cystectomy, unilateral or bilateral ",,,948.0,25655.0,31
RC,361,"Oversize lens, per lens ",,,16.72,16.72,3
RC,361,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,361,Oxalate ,,,15.75,15.75,3
RC,361,Oxcarbazepine ,,,14.44,14.44,3
RC,361,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,361,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,361,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,361,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,361,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,361,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,361,PAROTID DUCT DIVERSION ,,,2152.0,6587.0,4
RC,361,"PARTIAL REMOVAL, DONOR LIVER ",,,2152.0,6587.0,4
RC,361,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,361,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,361,PERCUT DRAIN LIVER LESION ,,,2152.0,6587.0,4
RC,361,PERCUT THROMBECT AV FISTULA ,,,7592.0,8072.0,4
RC,361,"PERCUT/NEEDLE INSERT, PROS ",,,2152.0,6587.0,4
RC,361,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,361,PLACE GASTROSTOMY TUBE ,,,2152.0,6587.0,4
RC,361,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,361,PMA Skin Substitute Produc ,,,136.26,136.26,3
RC,361,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,361,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,361,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,361,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,361,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,361,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,361,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,361,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,361,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"PROSTATECTOMY, FIRST STAGE ",,,2152.0,6587.0,4
RC,361,"PROSTATECTOMY, SECOND STAGE ",,,2152.0,6587.0,4
RC,361,PROSTATIC WATER THERMOTHER ,,,2152.0,6587.0,4
RC,361,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,361,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,361,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,361,PUNCTURE PERITONEAL CAVITY ,,,2152.0,6587.0,4
RC,361,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,361,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,361,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,361,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,361,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,361,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,361,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,2051.93,18490.0,27
RC,361,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,948.0,18490.0,33
RC,361,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,930.95,18490.0,33
RC,361,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,948.0,18490.0,33
RC,361,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,948.0,18490.0,33
RC,361,Palatoplasty for cleft palate; major revision ,,,948.0,23113.0,33
RC,361,Palatoplasty for cleft palate; secondary lengthening procedure ,,,948.0,18490.0,33
RC,361,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,948.0,36783.3,27
RC,361,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,948.0,35314.85,27
RC,361,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,948.0,42354.4,27
RC,361,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,948.0,70070.22,27
RC,361,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,948.0,65571.29,27
RC,361,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,948.0,70396.42,27
RC,361,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,948.0,65175.02,27
RC,361,"Pancreatectomy, total ",,,948.0,40924.76,27
RC,361,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,948.0,23307.22,21
RC,361,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,948.0,37467.18,27
RC,361,Pancreatorrhaphy for injury ,,,948.0,30233.16,27
RC,361,Panitumumab injection ,,,198.59,198.59,3
RC,361,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,892.44,5932.0,33
RC,361,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,892.44,8858.0,33
RC,361,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,892.44,9908.0,33
RC,361,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,361,"Paraffin, per pound ",,,5.3,5.3,3
RC,361,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,361,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,948.0,9908.0,19
RC,361,Parathyroidectomy or exploration of parathyroid(s); ,,,948.0,25655.0,33
RC,361,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,948.0,23113.0,31
RC,361,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,948.0,31204.43,27
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,948.0,23556.71,31
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,948.0,25655.0,31
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,948.0,19415.0,31
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,276.0,5932.0,33
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,948.0,5932.0,19
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,276.0,5932.0,33
RC,361,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,948.0,17510.0,33
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,948.0,19415.0,33
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,930.95,19415.0,33
RC,361,Partial Hospitalization (3 ,,,136.91,342.3,6
RC,361,Partial Hospitalization (4 ,,,179.39,448.48,6
RC,361,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,948.0,113154.86,27
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,948.0,82129.15,27
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,948.0,73341.3,27
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,948.0,63947.39,27
RC,361,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,948.0,101018.09,27
RC,361,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,948.0,57583.74,27
RC,361,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,845.93,6587.0,31
RC,361,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,3
RC,361,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,361,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,361,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,361,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,361,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,361,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,361,Partial hymenectomy or revision of hymenal ring ,,,948.0,8858.0,33
RC,361,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,948.0,25655.0,33
RC,361,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,948.0,25655.0,33
RC,361,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,361,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,361,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,361,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,361,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,361,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,361,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,361,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,361,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,361,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,361,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,361,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,361,Pegaspargase injection ,,,32333.72,32333.72,3
RC,361,Pegunigalsidase alfa-iwxj ,,,245.97,245.97,3
RC,361,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,361,Pelvic examination under anesthesia (other than local) ,,,948.0,8858.0,33
RC,361,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,948.0,62595.36,27
RC,361,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1995.0,65905.47,22
RC,361,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,948.0,51561.82,27
RC,361,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,948.0,25655.0,27
RC,361,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,361,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,361,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,361,Penile plethysmography ,,,231.89,5932.0,31
RC,361,"Penile revascularization, artery, with or without vein graft ",,,948.0,28422.76,27
RC,361,Penile venous occlusive procedure ,,,948.0,12360.0,31
RC,361,Pentostatin injection ,,,2940.81,2940.81,3
RC,361,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,361,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,948.0,76895.0,31
RC,361,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,1995.0,48097.28,27
RC,361,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,1995.0,48097.28,27
RC,361,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,270.48,5932.0,33
RC,361,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,357.81,5932.0,33
RC,361,Percutaneous balloon valvuloplasty; aortic valve ,,,15852.51,43890.0,14
RC,361,Percutaneous balloon valvuloplasty; mitral valve ,,,16482.0,48155.21,14
RC,361,Percutaneous balloon valvuloplasty; pulmonary valve ,,,16482.0,48155.21,14
RC,361,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,20
RC,361,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,20
RC,361,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,361,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,948.0,5932.0,17
RC,361,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,10868.0,25655.0,16
RC,361,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,948.0,77554.0,33
RC,361,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,948.0,77554.0,33
RC,361,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,948.0,77554.0,33
RC,361,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,948.0,77554.0,33
RC,361,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,25655.0,12
RC,361,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,357.81,5932.0,66
RC,361,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,948.0,25655.0,60
RC,361,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,7
RC,361,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,25
RC,361,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,11388.0,44631.92,18
RC,361,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,11388.0,44631.92,18
RC,361,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,4
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,77468.25,10
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,77468.25,10
RC,361,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,77468.25,19
RC,361,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,361,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,27837.0,94000.0,8
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,25794.0,48155.21,14
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,17031.0,91021.43,14
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,9417.0,2
RC,361,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,2152.0,43890.0,18
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,15852.51,43890.0,14
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,31792.18,9
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,9
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,12875.0,10
RC,361,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,9417.0,2
RC,361,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,21909.0,48155.21,14
RC,361,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,10763.0,1
RC,361,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,361,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,27837.0,94000.0,8
RC,361,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,25794.0,77468.25,14
RC,361,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,9417.0,2
RC,361,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,8
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,948.0,33769.0,33
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,13
RC,361,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,18279.0,43890.0,8
RC,361,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,18279.0,48155.21,14
RC,361,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,46000.0,14
RC,361,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,21210.0,94000.0,14
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,27837.0,94000.0,22
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,9417.0,2
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,25794.0,57319.96,21
RC,361,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,27837.0,94000.0,22
RC,361,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,48155.21,16
RC,361,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,25655.0,20
RC,361,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,25655.0,20
RC,361,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,25655.0,20
RC,361,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,25655.0,20
RC,361,"Pereyra procedure, including anterior colporrhaphy ",,,948.0,18770.08,33
RC,361,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,361,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,4
RC,361,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,4
RC,361,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,948.0,18490.0,33
RC,361,Periodontal mucosal grafting ,,,441.67,25655.0,33
RC,361,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,361,Perirectal injection of sclerosing solution for prolapse ,,,948.0,5932.0,31
RC,361,"Peritoneal lavage, including imaging guidance, when performed ",,,351.7,6680.0,33
RC,361,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,948.0,32843.89,31
RC,361,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,843.46,6587.0,31
RC,361,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,948.0,25655.0,31
RC,361,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,948.0,25655.0,31
RC,361,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,361,Pertnscp cholangram w bx ,,,2152.0,6587.0,4
RC,361,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,361,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,361,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,361,Petrous apicectomy including radical mastoidectomy ,,,948.0,23113.0,33
RC,361,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1481.0,2636.0,5
RC,361,Pharyngoesophageal repair ,,,948.0,25655.0,27
RC,361,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,948.0,13581.48,33
RC,361,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,441.67,6680.0,33
RC,361,Phenobarbital ,,,16.68,16.68,3
RC,361,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,361,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,361,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,361,Phenytoin; free ,,,15.0,15.0,3
RC,361,Phenytoin; total ,,,14.44,14.44,3
RC,361,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,6
RC,361,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,361,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,361,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,361,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,361,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,361,Phosphatidylglycerol ,,,18.01,18.01,3
RC,361,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,361,Phosphohexose isomerase ,,,11.7,11.7,3
RC,361,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,361,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,361,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,361,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,361,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1481.0,2636.0,5
RC,361,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1481.0,2636.0,5
RC,361,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1481.0,2636.0,5
RC,361,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,1481.0,2174.0,4
RC,361,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,6
RC,361,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,6
RC,361,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,361,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,361,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,361,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,361,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,361,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,5
RC,361,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,361,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,361,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,361,Pinworm examinations ,,,4.65,4.65,3
RC,361,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,5
RC,361,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,948.0,12499.0,33
RC,361,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,948.0,19415.0,19
RC,361,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,948.0,12360.0,31
RC,361,Placement of amniotic membrane on the ocular surface; without sutures ,,,948.0,5932.0,31
RC,361,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,948.0,12499.0,66
RC,361,Placement of choledochal stent ,,,948.0,25655.0,27
RC,361,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,948.0,42494.33,27
RC,361,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,948.0,51802.86,27
RC,361,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,3293.0,15
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,948.0,25655.0,27
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,311.04,5932.0,33
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,74.41,5932.0,33
RC,361,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,6
RC,361,Placement of needle for intraosseous infusion ,,,792.63,11220.0,30
RC,361,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,948.0,12499.0,31
RC,361,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,948.0,18747.0,31
RC,361,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,685.44,18747.0,33
RC,361,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,948.0,18747.0,33
RC,361,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,5
RC,361,Placement of seton ,,,948.0,9908.0,33
RC,361,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,948.0,21630.0,66
RC,361,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,948.0,12499.0,99
RC,361,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,948.0,25655.0,31
RC,361,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,361,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,361,Plasma and/or cell exchange ,,,2152.0,6587.0,4
RC,361,Plasma cryo redu path each ,,,145.8,145.8,3
RC,361,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,361,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,361,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,361,Plastic operation of penis for injury ,,,948.0,19415.0,32
RC,361,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,948.0,17510.0,33
RC,361,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,948.0,17510.0,33
RC,361,Plastic operation on penis for epispadias distal to external sphincter; ,,,685.44,12360.0,33
RC,361,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,948.0,27917.61,27
RC,361,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,685.44,12360.0,33
RC,361,Plastic operation on penis to correct angulation ,,,948.0,17510.0,33
RC,361,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,948.0,17510.0,33
RC,361,Plastic repair of canaliculi ,,,733.22,8858.0,33
RC,361,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,948.0,25655.0,33
RC,361,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,948.0,23113.0,33
RC,361,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,948.0,23113.0,33
RC,361,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,930.95,23113.0,33
RC,361,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,948.0,17510.0,33
RC,361,Plastic repair of introitus ,,,948.0,9908.0,33
RC,361,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,948.0,13581.48,33
RC,361,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,948.0,19415.0,33
RC,361,Plastic repair of urethrocele ,,,948.0,9908.0,33
RC,361,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,361,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,361,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,361,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,361,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,361,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,361,Platelets pheresis path re ,,,662.1,662.1,3
RC,361,"Platelets, each unit ",,,57.96,57.96,3
RC,361,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,361,"Platelets, irradiated ",,,428.34,428.34,3
RC,361,"Platelets, pheresis ",,,336.77,336.77,3
RC,361,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,361,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,361,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,361,Plerixafor injection ,,,31.05,31.05,3
RC,361,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,361,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,361,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,361,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,361,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,361,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,361,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,361,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,361,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,361,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,361,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,361,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,361,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,361,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,361,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,361,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,361,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,361,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,361,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,361,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,361,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,361,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,361,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,361,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,361,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,361,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,361,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,361,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,361,"Portoenterostomy (eg, Kasai procedure) ",,,948.0,38508.32,27
RC,361,Posaconazole ,,,29.55,29.55,3
RC,361,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,361,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,361,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,361,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,361,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,361,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,361,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,361,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,361,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,361,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,361,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,948.0,18490.0,33
RC,361,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,640.52,5932.0,31
RC,361,Postpartum care only (separate procedure) ,,,948.0,6587.0,21
RC,361,Postural drainage board ,,,31.28,31.28,3
RC,361,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,361,Potassium; urine ,,,5.16,5.16,3
RC,361,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,361,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,361,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,361,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,361,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,361,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,361,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,361,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,361,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,361,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,361,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,361,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,361,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,361,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,361,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,361,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,361,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,361,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,361,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,361,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,361,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,361,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,361,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,361,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,361,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,361,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,361,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,361,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,361,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,361,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,361,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,361,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,361,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,361,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,361,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,361,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,361,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,361,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,361,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,361,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,361,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,361,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,361,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,361,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,361,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,361,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,361,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,361,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,361,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,361,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,361,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,361,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,361,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,361,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,361,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,361,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,361,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,361,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,361,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,361,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,361,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,361,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,361,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,361,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,361,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,361,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,361,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,361,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,361,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,361,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,361,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,361,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,361,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,361,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,361,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,361,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,361,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,361,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,361,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,361,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,361,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,361,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,361,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,361,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,361,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,361,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,361,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,361,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,361,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,361,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,361,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,361,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,361,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,361,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,361,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,361,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,361,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,361,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,361,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,361,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,361,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,361,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,361,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,361,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,361,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,361,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,361,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,361,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,361,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,361,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,361,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,361,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,361,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,361,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,361,Pralatrexate injection ,,,420.87,420.87,3
RC,361,Prealbumin ,,,15.9,15.9,3
RC,361,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,361,Pregnanediol ,,,23.18,23.18,3
RC,361,Pregnanetriol ,,,22.94,22.94,3
RC,361,Pregnenolone ,,,22.53,22.53,3
RC,361,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,361,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,948.0,6587.0,21
RC,361,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,10
RC,361,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,361,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,361,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,361,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,361,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,361,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,361,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,361,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,361,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,361,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,361,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,361,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,361,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,361,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,361,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,361,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,361,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,361,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,361,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,948.0,25655.0,27
RC,361,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,361,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,948.0,33769.0,33
RC,361,Primidone ,,,18.08,18.08,3
RC,361,"Prism, per lens ",,,17.53,17.53,3
RC,361,"Probing of lacrimal canaliculi, with or without irrigation ",,,72.68,5932.0,33
RC,361,"Probing of nasolacrimal duct, with or without irrigation; ",,,113.7,5932.0,33
RC,361,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,733.22,8858.0,33
RC,361,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,733.22,8858.0,33
RC,361,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,733.22,9868.0,33
RC,361,Procainamide hcl injection ,,,321.94,321.94,3
RC,361,Procainamide; ,,,65.4,65.4,3
RC,361,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,361,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,361,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,948.0,43473.37,27
RC,361,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,948.0,41973.65,27
RC,361,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,948.0,35773.21,27
RC,361,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,948.0,38826.76,27
RC,361,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,948.0,40878.19,27
RC,361,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,948.0,35058.28,27
RC,361,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,948.0,42494.33,27
RC,361,"Proctectomy, partial, without anastomosis, perineal approach ",,,948.0,25655.0,27
RC,361,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,948.0,41437.67,27
RC,361,"Proctectomy; partial resection of rectum, transabdominal approach ",,,948.0,25655.0,27
RC,361,"Proctopexy (eg, for prolapse); abdominal approach ",,,948.0,25655.0,27
RC,361,"Proctopexy (eg, for prolapse); perineal approach ",,,948.0,25655.0,33
RC,361,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,948.0,32952.74,27
RC,361,Proctoplasty; for prolapse of mucous membrane ,,,948.0,12360.0,33
RC,361,Proctoplasty; for stenosis ,,,948.0,8858.0,33
RC,361,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,86.63,5932.0,33
RC,361,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,948.0,8858.0,33
RC,361,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,450.72,5932.0,33
RC,361,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,450.72,6587.0,33
RC,361,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,948.0,8858.0,33
RC,361,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,450.72,5932.0,33
RC,361,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,948.0,8858.0,33
RC,361,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,450.72,5932.0,33
RC,361,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,948.0,6563.7,33
RC,361,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,450.72,5932.0,33
RC,361,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,948.0,13386.32,33
RC,361,Progesterone ,,,22.74,22.74,3
RC,361,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,361,Proinsulin ,,,29.09,29.09,3
RC,361,Prolactin ,,,21.12,21.12,3
RC,361,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,113.7,6680.0,28
RC,361,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,125.86,5932.0,28
RC,361,"Prostaglandin, each ",,,45.53,45.53,3
RC,361,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,361,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,361,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,361,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,361,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,948.0,25655.0,27
RC,361,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,948.0,25655.0,27
RC,361,"Prostatectomy, perineal radical; ",,,948.0,29541.73,27
RC,361,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,39526.16,27
RC,361,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,36192.77,27
RC,361,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,948.0,25655.0,27
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,948.0,26348.26,27
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,30676.0,31
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,26371.55,27
RC,361,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,948.0,8858.0,33
RC,361,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,948.0,8858.0,33
RC,361,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,361,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,361,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,361,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,361,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,361,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,361,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,361,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,361,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,361,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,361,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,361,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,361,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,361,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,361,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,361,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,361,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,361,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,361,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,361,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,361,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,361,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,361,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,361,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,361,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,361,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,361,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,361,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,361,Prothrombin time; ,,,4.68,4.68,3
RC,361,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,361,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,361,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,361,Pulmonary Treatment ,,,239.77,239.77,3
RC,361,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,361,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,361,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,361,Pump for water circulating pad ,,,68.74,68.74,3
RC,361,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,56.97,3293.0,29
RC,361,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,276.0,5932.0,33
RC,361,"Push transfusion, blood, 2 years or younger ",,,948.0,5932.0,31
RC,361,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,948.0,31367.64,27
RC,361,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,948.0,26076.17,27
RC,361,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,2152.0,16144.0,5
RC,361,"Pyelotomy; with drainage, pyelostomy ",,,948.0,25655.0,27
RC,361,Pyelotomy; with exploration ,,,948.0,25655.0,27
RC,361,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,948.0,25655.0,27
RC,361,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,948.0,25655.0,27
RC,361,Pyloroplasty ,,,948.0,25655.0,27
RC,361,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,361,Pyruvate ,,,15.78,15.78,3
RC,361,Pyruvate kinase ,,,10.29,10.29,3
RC,361,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,361,Quinidine ,,,15.91,15.91,3
RC,361,Quinine ,,,12.68,12.68,3
RC,361,RBC deglycerolized ,,,341.17,341.17,3
RC,361,RBC irradiated ,,,158.29,158.29,3
RC,361,RBC leukocytes reduced ,,,201.55,201.55,3
RC,361,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,361,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,361,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,361,RECONSTRUCTION OF URETHRA ,,,2152.0,6587.0,4
RC,361,REDUCTION OF SKULL DEFECT ,,,2152.0,6587.0,4
RC,361,REMOVAL OF ABDOMINAL FLUID ,,,2152.0,6587.0,4
RC,361,REMOVAL OF ABDOMINAL LESION ,,,2152.0,6587.0,4
RC,361,REMOVAL OF ACCESS DEVICE ,,,2152.0,6587.0,4
RC,361,REMOVAL OF ANAL CRYPT ,,,2152.0,6587.0,4
RC,361,REMOVAL OF ANAL CRYPTS ,,,2152.0,6587.0,4
RC,361,REMOVAL OF BRAIN TISSUE ,,,2152.0,6587.0,4
RC,361,REMOVAL OF COLON/ILEOSTOMY ,,,2152.0,6587.0,8
RC,361,REMOVAL OF INFUSION PUMP ,,,2152.0,6587.0,4
RC,361,REMOVAL OF LEG VEIN ,,,2152.0,6587.0,4
RC,361,REMOVAL OF LEG VEINS ,,,2152.0,6587.0,4
RC,361,"REMOVAL OF STOMACH, PARTIAL ",,,2152.0,6587.0,8
RC,361,REMOVAL OF TESTIS LESION ,,,2152.0,6587.0,4
RC,361,"REMOVE ABDOM LESION, COMPLEX ",,,2152.0,6587.0,4
RC,361,REMOVE ABDOMEN FOREIGN BODY ,,,2152.0,6587.0,4
RC,361,REMOVE BILE DUCT STONE ,,,2152.0,6587.0,4
RC,361,REMOVE MULTI-COMP PROSTHESIS ,,,2152.0,6587.0,4
RC,361,REMOVE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,361,REMOVE RESIDUAL PROSTATE ,,,2152.0,6587.0,4
RC,361,RENAL ABSCESS PERCUT DRAIN ,,,2152.0,6587.0,4
RC,361,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,6587.0,8
RC,361,REPAIR A-V ANEURYSM ,,,2152.0,2235.0,3
RC,361,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,361,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,5694.0,7168.0,5
RC,361,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,361,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,361,REPAIR OF DIAPHRAGM HERNIA ,,,2152.0,6587.0,12
RC,361,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,3796.0,5381.0,5
RC,361,REPAIR PARAESOPHAGEAL HERNIA ,,,2152.0,6587.0,4
RC,361,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,361,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,361,REPAIR SPIGELIAN HERNIA ,,,5694.0,7168.0,5
RC,361,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,361,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,5694.0,7168.0,5
RC,361,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,361,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,5694.0,7168.0,5
RC,361,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,361,REPOSITIONING OF CVC ,,,2152.0,6587.0,4
RC,361,REREPAIR DETACHED RETINA ,,,2152.0,6587.0,4
RC,361,RESECT/DEBRIDE PANCREAS ,,,2152.0,6587.0,4
RC,361,REVISE ESOPHAGUS & STOMACH ,,,2152.0,6587.0,8
RC,361,REVISE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,361,REVISE/REINSERT BILE TUBE ,,,2152.0,6587.0,4
RC,361,REVISE/REMOVE NEUROELECTRODE ,,,2152.0,6587.0,4
RC,361,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,7592.0,8072.0,5
RC,361,REVISION OF ACCESS DEVICE ,,,2152.0,6587.0,4
RC,361,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY ,,,2152.0,16144.0,5
RC,361,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY ,,,2152.0,16144.0,5
RC,361,REVISION OF INFUSION PUMP ,,,2152.0,6587.0,4
RC,361,REVISION OF MAJOR VEIN ,,,2152.0,6587.0,4
RC,361,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,361,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,361,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,361,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,361,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,361,"Rabies vaccine, id ",,,258.18,258.18,3
RC,361,"Rabies vaccine, im ",,,361.85,361.85,3
RC,361,Radial keratotomy ,,,948.0,23113.0,31
RC,361,Radiation tx delivery lvl ,,,85.19,419.55,9
RC,361,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,41507.53,26
RC,361,Radical excision external auditory canal lesion; with neck dissection ,,,948.0,36542.48,27
RC,361,Radical excision external auditory canal lesion; without neck dissection ,,,948.0,13581.48,33
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,948.0,25655.0,27
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,948.0,49976.73,27
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,948.0,25655.0,27
RC,361,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,948.0,37195.1,27
RC,361,Radiesse injection ,,,380.62,380.62,3
RC,361,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,692.94,19415.0,33
RC,361,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,361,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,361,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,361,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,361,Ranibizumab injection ,,,55.69,55.69,3
RC,361,Rasburicase ,,,422.32,422.32,3
RC,361,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,361,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,361,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,361,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,361,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,948.0,25655.0,27
RC,361,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,361,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,361,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,361,Receptor assay; estrogen ,,,95.79,95.79,3
RC,361,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,361,Receptor assay; progesterone ,,,70.72,70.72,3
RC,361,Recipient nephrectomy (separate procedure) ,,,948.0,25655.0,27
RC,361,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,361,"Reconstruction external auditory canal for congenital atresia, single stage ",,,948.0,23113.0,33
RC,361,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,948.0,17510.0,33
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,733.22,9908.0,33
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,733.22,9908.0,33
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,948.0,12360.0,33
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,733.22,9908.0,33
RC,361,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,948.0,35392.46,27
RC,361,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,361,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,361,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1481.0,5932.0,7
RC,361,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,2
RC,361,Red blood cells unit ,,,164.12,164.12,3
RC,361,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,948.0,38236.23,27
RC,361,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,948.0,44941.82,27
RC,361,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,361,Reduction of overcorrection of ptosis ,,,733.22,19415.0,33
RC,361,Reduction of procidentia (separate procedure) under anesthesia ,,,344.93,5932.0,33
RC,361,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,948.0,19415.0,33
RC,361,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,948.0,76895.0,31
RC,361,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1481.0,2636.0,5
RC,361,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1481.0,2636.0,5
RC,361,Regulator ,,,43.99,43.99,3
RC,361,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,361,Reinsertion of ocular implant; with or without conjunctival graft ,,,948.0,12360.0,33
RC,361,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,948.0,12360.0,33
RC,361,Release of encircling material (posterior segment) ,,,1610.16,10691.32,28
RC,361,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,733.22,23113.0,33
RC,361,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,361,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,361,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,361,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,361,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,361,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,33
RC,361,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,685.44,9868.0,33
RC,361,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,33
RC,361,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,572.66,8858.0,33
RC,361,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,6004.0,54082.0,25
RC,361,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,948.0,54082.0,30
RC,361,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,685.44,5932.0,33
RC,361,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,20
RC,361,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,948.0,49207.09,33
RC,361,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,948.0,28733.66,27
RC,361,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,948.0,54082.0,30
RC,361,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,948.0,54082.0,30
RC,361,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,855.96,8858.0,33
RC,361,Removal foreign body from external auditory canal; with general anesthesia ,,,510.77,5932.0,33
RC,361,Removal foreign body from external auditory canal; without general anesthesia ,,,237.69,2636.0,27
RC,361,"Removal impacted cerumen requiring instrumentation, unilateral ",,,119.92,5932.0,31
RC,361,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,119.92,5932.0,31
RC,361,"Removal of Thiersch wire or suture, anal canal ",,,948.0,6680.0,33
RC,361,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1200.05,12360.0,27
RC,361,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,3
RC,361,"Removal of anal seton, other marker ",,,450.72,5932.0,33
RC,361,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,948.0,12360.0,20
RC,361,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,948.0,12360.0,20
RC,361,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,948.0,12360.0,20
RC,361,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,351.7,5932.0,33
RC,361,"Removal of blood clot, anterior segment of eye ",,,892.44,18490.0,33
RC,361,Removal of bone flap or prosthetic plate of skull ,,,948.0,25655.0,27
RC,361,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,948.0,5932.0,19
RC,361,Removal of cerclage suture under anesthesia (other than local) ,,,948.0,18490.0,33
RC,361,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,948.0,25655.0,27
RC,361,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,948.0,25655.0,31
RC,361,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,176.16,8858.0,33
RC,361,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,40.7,5932.0,33
RC,361,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,948.0,15425.23,33
RC,361,Removal of embedded foreign body from dentoalveolar structures; bone ,,,272.38,5932.0,33
RC,361,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,231.98,5932.0,33
RC,361,"Removal of embedded foreign body, eyelid ",,,113.7,5932.0,33
RC,361,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,158.14,6680.0,33
RC,361,"Removal of embedded foreign body, vestibule of mouth; simple ",,,948.0,5047.0,27
RC,361,Removal of entire lumbosubarachnoid shunt system without replacement ,,,692.94,8858.0,33
RC,361,"Removal of epithelial downgrowth, anterior chamber of eye ",,,892.44,18490.0,33
RC,361,Removal of esophageal sphincter augmentation device ,,,1995.0,25655.0,22
RC,361,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,450.72,5932.0,33
RC,361,Removal of foreign body from pharynx ,,,792.63,5932.0,31
RC,361,Removal of foreign body in scrotum ,,,685.44,8858.0,33
RC,361,"Removal of foreign body or dacryolith, lacrimal passages ",,,113.7,5932.0,33
RC,361,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,792.63,2636.0,27
RC,361,"Removal of foreign body, external eye; conjunctival superficial ",,,237.69,2636.0,27
RC,361,"Removal of foreign body, external eye; corneal, with slit lamp ",,,237.69,2636.0,27
RC,361,"Removal of foreign body, external eye; corneal, without slit lamp ",,,792.63,2636.0,27
RC,361,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,892.44,8858.0,33
RC,361,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,892.44,9908.0,33
RC,361,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,892.44,19415.0,33
RC,361,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,7
RC,361,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,948.0,25655.0,33
RC,361,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,7
RC,361,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,5
RC,361,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,948.0,8858.0,33
RC,361,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,4
RC,361,Removal of implanted intra-arterial infusion pump ,,,948.0,12360.0,33
RC,361,"Removal of implanted material, anterior segment of eye ",,,892.44,23113.0,33
RC,361,"Removal of implanted material, posterior segment; extraocular ",,,892.44,8858.0,28
RC,361,"Removal of implanted material, posterior segment; intraocular ",,,892.44,12360.0,28
RC,361,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,948.0,21630.0,33
RC,361,Removal of intrauterine device (IUD) ,,,53.78,5932.0,33
RC,361,"Removal of lens material; aspiration technique, 1 or more stages ",,,892.44,19415.0,33
RC,361,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,892.44,18490.0,33
RC,361,Removal of lens material; intracapsular ,,,892.44,19415.0,33
RC,361,"Removal of lens material; intracapsular, for dislocated lens ",,,948.0,18490.0,33
RC,361,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,948.0,19415.0,33
RC,361,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,892.44,23113.0,33
RC,361,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,250.06,5932.0,33
RC,361,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,361,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,948.0,12360.0,32
RC,361,Removal of non-resorbable barrier ,,,10868.0,12875.0,4
RC,361,Removal of ocular implant ,,,948.0,12360.0,33
RC,361,Removal of pancreatic calculus ,,,948.0,26565.8,27
RC,361,Removal of peritoneal foreign body from peritoneal cavity ,,,948.0,12360.0,33
RC,361,Removal of peritoneal-venous shunt ,,,948.0,25655.0,33
RC,361,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,25655.0,20
RC,361,Removal of previously implanted intrathecal or epidural catheter ,,,692.94,8858.0,33
RC,361,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,892.44,19415.0,33
RC,361,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,948.0,12499.0,30
RC,361,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,692.94,18747.0,33
RC,361,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,948.0,18747.0,33
RC,361,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,948.0,15425.23,33
RC,361,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,6
RC,361,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,4
RC,361,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,4
RC,361,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,4
RC,361,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,948.0,6587.0,19
RC,361,"Removal of transplanted intestinal allograft, complete ",,,948.0,35237.02,27
RC,361,Removal of transplanted pancreatic allograft ,,,948.0,28710.16,23
RC,361,Removal of transplanted renal allograft ,,,948.0,27101.78,27
RC,361,"Removal of tumor, temporal bone ",,,948.0,25655.0,31
RC,361,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,234.94,11220.0,32
RC,361,Removal of tunneled intraperitoneal catheter ,,,948.0,12360.0,33
RC,361,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,892.44,19415.0,28
RC,361,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,892.44,19415.0,28
RC,361,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,930.95,17510.0,33
RC,361,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,948.0,12360.0,33
RC,361,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,948.0,25655.0,33
RC,361,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,361,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,948.0,25655.0,33
RC,361,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,948.0,12360.0,33
RC,361,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,12360.0,33
RC,361,Remove interim implant component ,,,10868.0,12875.0,4
RC,361,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,948.0,64499.11,27
RC,361,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,948.0,54444.61,27
RC,361,"Renal autotransplantation, reimplantation of kidney ",,,948.0,44949.58,27
RC,361,Renal biopsy; by surgical exposure of kidney ,,,948.0,25655.0,27
RC,361,"Renal biopsy; percutaneous, by trocar or needle ",,,510.77,5932.0,33
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,11848.54,33
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,22590.2,33
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,948.0,22590.2,33
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,948.0,11848.54,33
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,948.0,22590.2,33
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,948.0,11848.54,33
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,5932.0,33
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,948.0,25655.0,29
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,948.0,25655.0,33
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,25655.0,33
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,250.06,5932.0,33
RC,361,"Renal exploration, not necessitating other specific procedures ",,,948.0,25655.0,27
RC,361,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,361,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,361,Renin ,,,23.97,23.97,3
RC,361,Reopening of recent laparotomy ,,,948.0,25655.0,27
RC,361,Repair incomplete circumcision ,,,685.44,8858.0,33
RC,361,"Repair inguinal hernia, sliding, any age ",,,1209.12,19415.0,28
RC,361,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,361,"Repair initial femoral hernia, any age; reducible ",,,1209.12,18490.0,28
RC,361,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,361,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1209.12,19415.0,27
RC,361,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,948.0,19415.0,33
RC,361,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,948.0,19415.0,33
RC,361,"Repair lip, full thickness; over one-half vertical height, or complex ",,,441.67,9908.0,33
RC,361,"Repair lip, full thickness; up to half vertical height ",,,196.58,9908.0,33
RC,361,"Repair lip, full thickness; vermilion only ",,,196.58,9908.0,33
RC,361,Repair lumbar hernia ,,,1983.29,13534.39,28
RC,361,Repair of anal fistula with fibrin glue ,,,948.0,8858.0,33
RC,361,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,948.0,12499.0,29
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,13
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,23698.54,196
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,28718.14,192
RC,361,"Repair of anterior palate, including vomer flap ",,,948.0,18490.0,33
RC,361,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,733.22,19415.0,33
RC,361,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,733.22,19415.0,33
RC,361,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,733.22,19415.0,33
RC,361,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,948.0,18490.0,33
RC,361,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,733.22,18490.0,33
RC,361,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,948.0,18490.0,33
RC,361,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,733.22,19415.0,33
RC,361,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,468.58,11220.0,32
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,948.0,87855.71,27
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,948.0,95361.6,27
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,948.0,78671.58,27
RC,361,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1610.16,18490.0,28
RC,361,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,6004.0,17510.0,25
RC,361,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,4
RC,361,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,948.0,25655.0,27
RC,361,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,948.0,25655.0,27
RC,361,Repair of ectropion; excision tarsal wedge ,,,733.22,19415.0,33
RC,361,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,733.22,19415.0,33
RC,361,Repair of ectropion; suture ,,,733.22,9908.0,33
RC,361,Repair of ectropion; thermocauterization ,,,210.46,9908.0,33
RC,361,"Repair of encephalocele, skull vault, including cranioplasty ",,,948.0,48135.29,27
RC,361,"Repair of enterocele, abdominal approach (separate procedure) ",,,948.0,25655.0,27
RC,361,"Repair of enterocele, vaginal approach (separate procedure) ",,,948.0,11960.31,33
RC,361,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,25655.0,19
RC,361,Repair of entropion; excision tarsal wedge ,,,733.22,19415.0,33
RC,361,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,733.22,19415.0,33
RC,361,Repair of entropion; suture ,,,733.22,9908.0,33
RC,361,Repair of entropion; thermocauterization ,,,201.75,25655.0,33
RC,361,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,948.0,56122.84,27
RC,361,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,948.0,48446.18,27
RC,361,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,948.0,51157.78,27
RC,361,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,948.0,44328.01,27
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,948.0,12360.0,33
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,948.0,12360.0,33
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,948.0,12360.0,33
RC,361,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,948.0,50303.15,31
RC,361,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,948.0,25655.0,31
RC,361,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,948.0,12360.0,33
RC,361,"Repair of iris, ciliary body (as for iridodialysis) ",,,892.44,9908.0,33
RC,361,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,237.69,6680.0,31
RC,361,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,91.96,6680.0,33
RC,361,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,91.96,6680.0,33
RC,361,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,391.57,6680.0,33
RC,361,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,948.0,25655.0,31
RC,361,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,733.22,8858.0,33
RC,361,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,733.22,8858.0,33
RC,361,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,948.0,19415.0,33
RC,361,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,948.0,19415.0,33
RC,361,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,948.0,19415.0,33
RC,361,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,948.0,110738.41,31
RC,361,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,948.0,25655.0,27
RC,361,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,948.0,25655.0,27
RC,361,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,948.0,27288.28,27
RC,361,Repair of meningocele; larger than 5 cm diameter ,,,948.0,32502.13,27
RC,361,Repair of meningocele; less than 5 cm diameter ,,,948.0,29510.68,27
RC,361,Repair of myelomeningocele; larger than 5 cm diameter ,,,948.0,40171.02,27
RC,361,Repair of myelomeningocele; less than 5 cm diameter ,,,948.0,36223.82,27
RC,361,Repair of nasolabial fistula ,,,948.0,19415.0,33
RC,361,Repair of omphalocele (Gross type operation); first stage ,,,948.0,25655.0,27
RC,361,Repair of omphalocele (Gross type operation); second stage ,,,948.0,25655.0,27
RC,361,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,361,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,948.0,21630.0,31
RC,361,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,948.0,21630.0,31
RC,361,Repair of rectocele (separate procedure) ,,,948.0,12360.0,33
RC,361,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,174.12,19415.0,28
RC,361,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,144.47,18490.0,28
RC,361,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,434.01,25655.0,24
RC,361,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1610.16,18490.0,28
RC,361,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1610.16,23113.0,28
RC,361,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,948.0,28780.23,27
RC,361,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,361,Repair of scleral staphyloma with graft ,,,948.0,19415.0,33
RC,361,"Repair of small omphalocele, with primary closure ",,,948.0,19415.0,33
RC,361,"Repair of symblepharon; conjunctivoplasty, without graft ",,,892.44,19415.0,33
RC,361,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,733.22,19415.0,33
RC,361,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,948.0,19415.0,33
RC,361,Repair of traumatic corporeal tear(s) ,,,948.0,18747.0,32
RC,361,Repair of tunica vaginalis hydrocele (Bottle type) ,,,948.0,19415.0,33
RC,361,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,234.94,11220.0,32
RC,361,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,948.0,12360.0,33
RC,361,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,361,Repair oval window fistula ,,,930.95,19415.0,28
RC,361,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,361,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1209.12,19415.0,28
RC,361,Repair recurrent femoral hernia; reducible ,,,1209.12,18490.0,28
RC,361,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,361,"Repair recurrent inguinal hernia, any age; reducible ",,,1209.12,19415.0,28
RC,361,Repair round window fistula ,,,930.95,19415.0,28
RC,361,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,361,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,6
RC,361,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,6
RC,361,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,948.0,25655.0,27
RC,361,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,948.0,25655.0,27
RC,361,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,361,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,948.0,19415.0,66
RC,361,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,948.0,25655.0,31
RC,361,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,948.0,25655.0,31
RC,361,"Repair, laceration of diaphragm, any approach ",,,948.0,25655.0,27
RC,361,"Repair, laceration of palate; over 2 cm or complex ",,,948.0,13581.48,33
RC,361,"Repair, laceration of palate; up to 2 cm ",,,196.58,5932.0,33
RC,361,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,361,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,948.0,135035.45,27
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,28422.76,27
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,26099.46,27
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,30100.99,27
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,28135.37,27
RC,361,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,948.0,34646.49,27
RC,361,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,948.0,34048.2,27
RC,361,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,361,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,361,Replace high roll cuff ,,,398.06,398.06,3
RC,361,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,361,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,361,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,361,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,361,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,361,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,361,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,361,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,361,Replace pretibial shell ,,,724.27,724.27,3
RC,361,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,361,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,361,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,361,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,361,Replace trilateral socket brim ,,,862.54,862.54,3
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,948.0,36534.62,33
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,948.0,35261.21,33
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,33769.0,33
RC,361,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,361,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,361,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,361,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,361,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,361,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,361,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,361,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,361,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,361,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,361,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,361,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,361,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,361,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,361,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,361,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,361,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,361,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,361,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,361,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,361,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,948.0,27630.22,27
RC,361,Replacement of an implant screw ,,,10868.0,12875.0,3
RC,361,Replacement of bone flap or prosthetic plate of skull ,,,948.0,25655.0,27
RC,361,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,33
RC,361,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,33
RC,361,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,115.66,6587.0,33
RC,361,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,115.66,6587.0,33
RC,361,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,4
RC,361,"Replacement or irrigation, subarachnoid/subdural catheter ",,,692.94,8858.0,33
RC,361,"Replacement or irrigation, ventricular catheter ",,,948.0,15425.23,33
RC,361,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,948.0,17510.0,33
RC,361,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,361,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,361,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,361,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,361,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,361,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,361,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,361,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,361,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,948.0,11220.0,32
RC,361,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,948.0,11220.0,32
RC,361,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,468.58,11220.0,32
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,948.0,11220.0,32
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,948.0,12869.33,32
RC,361,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,361,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,948.0,17510.0,33
RC,361,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,361,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,361,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,361,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,361,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,361,"Replantation, penis, complete amputation including urethral repair ",,,2152.0,16144.0,5
RC,361,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,115.66,5932.0,33
RC,361,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,892.44,19415.0,33
RC,361,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,948.0,25655.0,31
RC,361,Reprogramming of programmable cerebrospinal shunt ,,,31.39,3092.0,29
RC,361,Reptilase test ,,,10.74,10.74,3
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,948.0,25655.0,27
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,948.0,37156.29,27
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,948.0,32750.72,27
RC,361,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,948.0,39813.56,27
RC,361,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,2152.0,16144.0,5
RC,361,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,948.0,23113.0,33
RC,361,"Resection of lip, more than one-fourth, without reconstruction ",,,930.95,8858.0,33
RC,361,Resection of mediastinal cyst ,,,948.0,25655.0,27
RC,361,Resection of mediastinal tumor ,,,948.0,25655.0,27
RC,361,Resection of palate or extensive resection of lesion ,,,948.0,19415.0,33
RC,361,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,948.0,53263.55,27
RC,361,Resection of scrotum ,,,948.0,8858.0,33
RC,361,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,948.0,64056.05,27
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,948.0,47847.89,27
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,948.0,54467.89,27
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,948.0,63652.02,27
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,948.0,75602.3,27
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,948.0,48290.73,27
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,948.0,66589.14,27
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,948.0,60474.08,27
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,948.0,74359.15,27
RC,361,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,3
RC,361,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,3
RC,361,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,3
RC,361,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,3
RC,361,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,361,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,361,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,361,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,361,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,361,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,361,"Resection temporal bone, external approach ",,,948.0,59603.91,27
RC,361,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,948.0,27917.61,27
RC,361,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,948.0,25655.0,27
RC,361,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,361,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,361,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,361,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,361,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,361,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,361,Resuscitation and Cardiove ,,,723.71,723.71,3
RC,361,Reticulated platelet assay ,,,38.96,38.96,3
RC,361,Retrobulbar injection; alcohol ,,,36.62,5932.0,33
RC,361,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,27.62,2636.0,29
RC,361,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,948.0,25655.0,27
RC,361,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,361,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,9875.0,44979.2,20
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,948.0,21630.0,52
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,948.0,52440.33,52
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,948.0,33023.84,52
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,948.0,52440.33,52
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,18490.0,14
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,18490.0,14
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,18490.0,14
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,5796.69,10763.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,2638.63,9417.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,7668.0,13453.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,5604.99,10763.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,8024.0,9417.0,2
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,8024.0,9417.0,2
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,2454.04,9417.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,5352.25,10763.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,948.0,21630.0,52
RC,361,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,948.0,33023.84,52
RC,361,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,948.0,33023.84,52
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,20
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,20
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,20
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,25655.0,20
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,948.0,33023.84,52
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,948.0,52440.33,52
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,948.0,52440.33,52
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,948.0,52440.33,52
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,7008.0,10763.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,4988.47,9417.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,7668.0,13453.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,7008.0,10763.0,4
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,28120.23,20
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,9875.0,44979.2,20
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,7008.0,10763.0,2
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,8024.0,9417.0,2
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,8024.0,9417.0,2
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,8024.0,9417.0,2
RC,361,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,948.0,18770.08,29
RC,361,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,948.0,25655.0,27
RC,361,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,948.0,9908.0,33
RC,361,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,948.0,21630.0,33
RC,361,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,948.0,53982.38,33
RC,361,Revision mastoidectomy; resulting in complete mastoidectomy ,,,948.0,23113.0,33
RC,361,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,948.0,23113.0,33
RC,361,Revision mastoidectomy; resulting in radical mastoidectomy ,,,948.0,23113.0,33
RC,361,Revision mastoidectomy; resulting in tympanoplasty ,,,948.0,23113.0,33
RC,361,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,892.44,8858.0,33
RC,361,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,892.44,12499.0,33
RC,361,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,948.0,25655.0,31
RC,361,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,948.0,12360.0,33
RC,361,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,948.0,26627.89,31
RC,361,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,948.0,38399.44,27
RC,361,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,948.0,36853.15,27
RC,361,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,948.0,25655.0,31
RC,361,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,948.0,12360.0,33
RC,361,Revision of implanted intra-arterial infusion pump ,,,948.0,12360.0,33
RC,361,Revision of peritoneal-venous shunt ,,,948.0,12360.0,33
RC,361,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,948.0,17510.0,33
RC,361,Revision of stapedectomy or stapedotomy ,,,1995.0,18490.0,28
RC,361,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,948.0,33769.0,31
RC,361,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,948.0,25655.0,29
RC,361,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,948.0,25655.0,27
RC,361,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,948.0,17323.96,33
RC,361,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,948.0,40163.26,27
RC,361,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,948.0,12360.0,33
RC,361,Revision or removal of intracranial neurostimulator electrodes ,,,948.0,25655.0,29
RC,361,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,948.0,12774.62,30
RC,361,Revision or removal of peripheral neurostimulator electrode array ,,,948.0,12360.0,33
RC,361,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,948.0,12360.0,33
RC,361,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,733.22,8858.0,33
RC,361,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,948.0,12360.0,20
RC,361,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,948.0,88272.97,20
RC,361,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,948.0,21630.0,33
RC,361,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,948.0,32153.46,33
RC,361,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,7
RC,361,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,7
RC,361,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,948.0,58359.95,30
RC,361,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1995.0,19415.0,27
RC,361,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1995.0,19415.0,27
RC,361,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,948.0,43442.32,18
RC,361,Rh ig minidose im ,,,87.2,87.2,3
RC,361,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,361,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,361,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,361,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,361,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,7799.0,22644.0,10
RC,361,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,7799.0,22644.0,10
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,7799.0,22644.0,10
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,7799.0,22644.0,10
RC,361,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9119.84,22644.0,14
RC,361,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,7168.0,5
RC,361,Right ventricular recording ,,,2152.88,43890.0,14
RC,361,"Risperidone, long acting ",,,12.1,12.1,3
RC,361,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,361,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,361,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,2222.0,12
RC,361,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,6
RC,361,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,948.0,52059.21,17
RC,361,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,948.0,52742.87,17
RC,361,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,948.0,46954.23,17
RC,361,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,948.0,49269.77,17
RC,361,Rsv mab im 50mg ,,,476.06,476.06,3
RC,361,Rufinamide ,,,29.55,29.55,3
RC,361,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,361,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,361,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,361,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,361,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,361,SIGMOIDOSCOPY W/ABLATE TUMR ,,,2152.0,6587.0,4
RC,361,SIGMOIDOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,361,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,361,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,361,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,361,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,361,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,361,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,361,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,5694.0,7168.0,5
RC,361,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,361,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,2152.0,16144.0,5
RC,361,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2214.0,4723.0,5
RC,361,STRIP RETINAL MEMBRANE ,,,2152.0,6587.0,4
RC,361,SURGICAL COLONOSCOPY ,,,2152.0,6587.0,4
RC,361,SURGICAL OPENING ESOPHAGUS ,,,2152.0,6587.0,4
RC,361,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,2152.0,16144.0,5
RC,361,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,361,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,361,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,361,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,361,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,361,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,361,Salicylate ,,,20.32,20.32,3
RC,361,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,948.0,25655.0,31
RC,361,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,948.0,25655.0,31
RC,361,Salpingostomy (salpingoneostomy) ,,,948.0,25655.0,31
RC,361,Sargramostim injection ,,,68.1,68.1,3
RC,361,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,6
RC,361,Scleral cover shell ,,,1932.53,1932.53,3
RC,361,Scleral reinforcement (separate procedure); with graft ,,,892.44,9908.0,33
RC,361,Scleral reinforcement (separate procedure); without graft ,,,733.22,9908.0,33
RC,361,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,948.0,18747.0,31
RC,361,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,361,"Scraping of cornea, diagnostic, for smear and/or culture ",,,792.63,2636.0,27
RC,361,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,361,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,361,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,361,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,361,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,361,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,361,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,361,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,361,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,361,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,361,Screening proctoscopy ,,,735.36,808.07,6
RC,361,Scrotal exploration ,,,948.0,8858.0,33
RC,361,Scrotoplasty; complicated ,,,948.0,11848.54,33
RC,361,Scrotoplasty; simple ,,,948.0,17510.0,33
RC,361,"Seat attachment, walker ",,,20.26,20.26,3
RC,361,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,361,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,361,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,361,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,948.0,29184.26,27
RC,361,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,948.0,32167.95,27
RC,361,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,361,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,361,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,361,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,361,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,361,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,361,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,361,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,361,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,361,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,361,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,361,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,361,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,361,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,948.0,25655.0,31
RC,361,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,948.0,6680.0,19
RC,361,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,948.0,6680.0,19
RC,361,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,19
RC,361,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,19
RC,361,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,19
RC,361,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,19
RC,361,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,948.0,6680.0,19
RC,361,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,948.0,6680.0,19
RC,361,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,948.0,25655.0,31
RC,361,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,948.0,25655.0,31
RC,361,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,948.0,25655.0,25
RC,361,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,948.0,25655.0,25
RC,361,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,948.0,25655.0,31
RC,361,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,948.0,25655.0,31
RC,361,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,948.0,25655.0,31
RC,361,Selenium ,,,27.83,27.83,3
RC,361,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,361,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,361,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,361,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,361,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,361,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,361,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,361,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,361,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,361,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,361,Semi-precision abutment - placement ,,,10868.0,12875.0,4
RC,361,Semi-precision attachment - placement ,,,10868.0,12875.0,4
RC,361,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,361,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,361,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,361,Serotonin ,,,33.77,33.77,3
RC,361,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,361,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,361,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,361,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,361,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,361,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,361,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,361,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,361,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,361,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,361,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,892.44,19415.0,33
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,948.0,19415.0,33
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,892.44,8858.0,33
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,892.44,19415.0,33
RC,361,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,148.54,19415.0,33
RC,361,Severing of tarsorrhaphy ,,,179.07,5932.0,33
RC,361,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,218.75,6680.0,28
RC,361,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,361,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,361,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,361,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,361,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,361,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,361,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,361,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,361,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,361,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,361,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,361,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,361,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,361,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,361,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,361,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,361,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,361,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,361,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,361,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,361,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,361,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,361,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,361,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,361,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,361,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,361,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,361,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,361,Sialic acid ,,,14.65,14.65,3
RC,361,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,930.95,7334.01,33
RC,361,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,265.4,9908.0,33
RC,361,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,127.91,25655.0,33
RC,361,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,361,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,137.2,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,450.72,9012.0,33
RC,361,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,450.72,9012.0,33
RC,361,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,344.93,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,450.72,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,344.93,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,344.93,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,948.0,9012.0,33
RC,361,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,344.93,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,948.0,13386.32,33
RC,361,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,450.72,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,344.93,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,450.72,5932.0,33
RC,361,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,450.72,5932.0,33
RC,361,Silica ,,,27.48,27.48,3
RC,361,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,115.66,6587.0,33
RC,361,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,237.69,6587.0,27
RC,361,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,6
RC,361,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,6
RC,361,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,361,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,361,Sirolimus ,,,14.97,14.97,3
RC,361,Sitz bath chair ,,,192.39,192.39,3
RC,361,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,361,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,361,"Six volt battery, each ",,,321.31,321.31,3
RC,361,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,361,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,361,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,361,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,361,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,361,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,361,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,361,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,361,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,361,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,361,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,361,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,361,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,361,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,361,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,948.0,22590.2,33
RC,361,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,948.0,18490.0,33
RC,361,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,361,Slings ,,,11.97,11.97,3
RC,361,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,685.44,8858.0,33
RC,361,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,948.0,8858.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,948.0,18490.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6680.0,33
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,948.0,18490.0,33
RC,361,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,361,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,361,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,361,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,361,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,361,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,361,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,361,Snip incision of lacrimal punctum ,,,56.97,5932.0,33
RC,361,Sodium; other source ,,,5.3,5.3,3
RC,361,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,361,Sodium; urine ,,,5.52,5.52,3
RC,361,"Sole wedge, between sole ",,,66.8,66.8,3
RC,361,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,361,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,361,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,361,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,361,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,361,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,361,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,361,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,361,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,361,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,361,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,6
RC,361,Somatomedin ,,,23.17,23.17,3
RC,361,Somatostatin ,,,19.93,19.93,3
RC,361,Special back height for wheelchair ,,,43.53,43.53,3
RC,361,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,361,Special height arms for wheelchair ,,,366.41,366.41,3
RC,361,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,361,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,361,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,361,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,361,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,361,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,361,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,361,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,361,Specific gravity (except urine) ,,,3.58,3.58,3
RC,361,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,361,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,361,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,361,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,361,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,361,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,361,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,361,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,361,Sperm antibodies ,,,11.63,11.63,3
RC,361,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,361,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,361,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,361,Sperm washing for artificial insemination ,,,37.58,3092.0,27
RC,361,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,361,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,361,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,361,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,361,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,361,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,361,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,361,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,361,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,361,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,361,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,361,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,361,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,361,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,361,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,361,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,361,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,361,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,361,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,361,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,361,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,361,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,361,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,361,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,361,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,361,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,361,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,361,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,361,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,361,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,361,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,361,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,361,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,361,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,361,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,361,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,361,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,361,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,361,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,361,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,361,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,361,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,361,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,361,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,361,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,361,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,948.0,12360.0,33
RC,361,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,948.0,25655.0,27
RC,361,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,948.0,12360.0,33
RC,361,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,948.0,12360.0,33
RC,361,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,948.0,9908.0,33
RC,361,"Spinal puncture, lumbar, diagnostic; ",,,276.0,5932.0,33
RC,361,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,276.0,6587.0,33
RC,361,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,276.0,5932.0,33
RC,361,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,276.0,6587.0,33
RC,361,Splenectomy; partial (separate procedure) ,,,948.0,26060.65,27
RC,361,Splenectomy; total (separate procedure) ,,,948.0,25990.8,27
RC,361,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,361,"Spoke protectors, each ",,,61.65,61.65,3
RC,361,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,361,Sr89 strontium ,,,4519.51,4519.51,3
RC,361,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,204.65,12360.0,33
RC,361,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,223.55,12360.0,33
RC,361,Stand/rack ,,,33.16,33.16,3
RC,361,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,361,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,361,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,361,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,361,Standard wheelchair ,,,31.09,31.09,3
RC,361,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,361,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1995.0,18490.0,28
RC,361,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1995.0,18490.0,28
RC,361,Stapes mobilization ,,,930.95,23113.0,28
RC,361,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,361,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,361,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,361,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,361,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,361,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,361,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,361,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,361,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,361,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,361,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,361,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,361,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,361,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,361,Stem cell collection ,,,2152.0,6587.0,4
RC,361,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,361,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,948.0,32183.47,27
RC,361,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,948.0,31453.02,27
RC,361,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,361,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,361,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,948.0,6587.0,15
RC,361,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,948.0,35780.98,27
RC,361,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,948.0,17510.0,27
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,948.0,37457.0,12
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,1995.0,37457.0,7
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,948.0,37457.0,12
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,361,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,948.0,8485.0,33
RC,361,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,361,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,361,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,6
RC,361,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,119.92,6587.0,27
RC,361,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,361,Stoma cap ,,,2.17,2.17,3
RC,361,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,361,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,948.0,19415.0,19
RC,361,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,948.0,19415.0,19
RC,361,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,948.0,19415.0,19
RC,361,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,948.0,19415.0,19
RC,361,"Strabismus surgery, any procedure, superior oblique muscle ",,,733.22,19415.0,33
RC,361,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,733.22,9908.0,33
RC,361,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,733.22,19415.0,33
RC,361,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,948.0,19415.0,33
RC,361,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,733.22,19415.0,33
RC,361,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,361,"Streptokinase, antibody ",,,13.8,13.8,3
RC,361,Subarachnoid inject NEC ,,,2152.0,6587.0,4
RC,361,Subconjunctival injection ,,,237.69,2636.0,27
RC,361,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,948.0,27404.92,27
RC,361,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,276.0,5932.0,33
RC,361,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,276.0,5932.0,33
RC,361,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,948.0,18747.0,31
RC,361,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,948.0,32183.47,27
RC,361,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,948.0,25655.0,23
RC,361,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,361,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,361,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,361,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,361,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,361,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,361,"Sulfate, urine ",,,5.98,5.98,3
RC,361,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,948.0,25655.0,31
RC,361,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,361,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,361,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,361,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,361,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,361,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,361,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,361,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,361,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,361,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,25655.0,26
RC,361,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,386.78,6587.0,26
RC,361,Suprahyoid lymphadenectomy ,,,948.0,14664.41,33
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,948.0,49254.25,27
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,948.0,57187.47,27
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,948.0,58415.1,27
RC,361,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,948.0,97490.65,27
RC,361,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,948.0,108788.09,27
RC,361,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,948.0,30318.75,27
RC,361,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,948.0,84545.6,27
RC,361,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,948.0,49471.79,27
RC,361,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,948.0,106006.42,27
RC,361,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,948.0,64607.77,27
RC,361,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,948.0,95959.89,27
RC,361,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,948.0,51359.8,27
RC,361,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,948.0,78283.07,27
RC,361,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,948.0,91911.79,27
RC,361,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,361,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,361,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,4
RC,361,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,4
RC,361,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,4
RC,361,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,4
RC,361,Surgical placement zygomatic implant ,,,10868.0,12875.0,4
RC,361,Surgical repair of root resorption - molar ,,,10868.0,12875.0,4
RC,361,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,4
RC,361,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,4
RC,361,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,6
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,948.0,9908.0,33
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,948.0,8858.0,33
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,948.0,9908.0,33
RC,361,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,948.0,19415.0,33
RC,361,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,948.0,25655.0,27
RC,361,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,948.0,25655.0,27
RC,361,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,948.0,25655.0,27
RC,361,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,948.0,25655.0,31
RC,361,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,948.0,25655.0,31
RC,361,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,361,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,361,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,361,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,361,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,361,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,361,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,361,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,361,Suture and/or ligation of thoracic duct; abdominal approach ,,,948.0,25655.0,27
RC,361,Suture and/or ligation of thoracic duct; cervical approach ,,,948.0,25655.0,27
RC,361,Suture and/or ligation of thoracic duct; thoracic approach ,,,948.0,25655.0,27
RC,361,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,948.0,18490.0,33
RC,361,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,948.0,18490.0,33
RC,361,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,948.0,17510.0,33
RC,361,Suture of 1 nerve; median motor thenar ,,,948.0,17510.0,33
RC,361,Suture of 1 nerve; ulnar motor ,,,948.0,17510.0,33
RC,361,"Suture of digital nerve, hand or foot; 1 nerve ",,,692.94,19415.0,33
RC,361,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,361,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,361,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,361,Suture of esophageal wound or injury; cervical approach ,,,948.0,25655.0,27
RC,361,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,948.0,58011.06,27
RC,361,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,948.0,30885.78,27
RC,361,Suture of facial nerve; extracranial ,,,948.0,17510.0,33
RC,361,"Suture of facial nerve; infratemporal, with or without grafting ",,,948.0,19415.0,33
RC,361,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,892.44,8858.0,33
RC,361,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,948.0,29355.23,27
RC,361,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,948.0,25655.0,27
RC,361,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,948.0,17510.0,33
RC,361,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,948.0,17510.0,33
RC,361,Suture of mesentery (separate procedure) ,,,948.0,25655.0,27
RC,361,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,948.0,9908.0,19
RC,361,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,948.0,6680.0,19
RC,361,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,948.0,9908.0,19
RC,361,Suture of posterior tibial nerve ,,,948.0,17510.0,33
RC,361,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,733.22,8858.0,33
RC,361,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,203.77,9868.0,33
RC,361,Suture of sciatic nerve ,,,948.0,12360.0,33
RC,361,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,948.0,36526.95,27
RC,361,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,948.0,31826.01,27
RC,361,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,930.95,7334.01,33
RC,361,Suture of; brachial plexus ,,,692.94,12360.0,33
RC,361,Suture of; lumbar plexus ,,,948.0,17510.0,33
RC,361,Suture or repair of testicular injury ,,,948.0,9908.0,33
RC,361,Suture pharynx for wound or injury ,,,783.57,5932.0,33
RC,361,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,948.0,25655.0,27
RC,361,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,361,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,361,"Sympathectomy, cervical ",,,692.94,6680.0,33
RC,361,"Sympathectomy, cervicothoracic ",,,948.0,25655.0,27
RC,361,"Sympathectomy, lumbar ",,,948.0,25655.0,27
RC,361,"Sympathectomy, thoracolumbar ",,,948.0,25655.0,27
RC,361,"Sympathectomy; digital arteries, each digit ",,,692.94,25655.0,29
RC,361,Sympathectomy; radial artery ,,,948.0,19415.0,33
RC,361,Sympathectomy; superficial palmar arch ,,,948.0,12360.0,33
RC,361,Sympathectomy; ulnar artery ,,,948.0,12360.0,33
RC,361,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,948.0,25718.71,27
RC,361,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,361,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,361,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,361,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,361,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,361,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,361,T cells; total count ,,,41.13,41.13,3
RC,361,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,361,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,361,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,361,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,361,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,361,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,361,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,361,TRANSCATH IV STENT OPEN ,,,2152.0,2235.0,3
RC,361,TRANSCATH IV STENT PERCUT ,,,2152.0,2235.0,3
RC,361,TRANSCATH IV STENT/OPEN ADDL ,,,2152.0,2235.0,3
RC,361,TRANSCATH IV STENT/PERC ADDL ,,,2152.0,2235.0,3
RC,361,TRANSCATHETER OCCLUSION ,,,2152.0,2235.0,3
RC,361,TRANSCATHETER RETRIEVAL ,,,2152.0,2235.0,3
RC,361,TRANSCATHETER THERAPY INFUSE ,,,2152.0,6587.0,7
RC,361,TRANSECT ARTERY SINUS ,,,2152.0,6587.0,4
RC,361,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES ",,,2152.0,16144.0,5
RC,361,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,361,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,361,TRANSPLANTATION OF LIVER ,,,2152.0,6587.0,4
RC,361,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,361,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,361,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,361,TUR cong post valve/fold ,,,2152.0,6587.0,4
RC,361,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,361,Tacrolimus ,,,14.97,14.97,3
RC,361,Tacrolimus injection ,,,292.31,292.31,3
RC,361,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,361,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,361,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,361,"Tau, total (tTau) ",,,140.52,140.52,3
RC,361,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,361,Tc99m bicisate ,,,845.32,845.32,3
RC,361,Tc99m succimer ,,,719.32,719.32,3
RC,361,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,361,Telavancin injection ,,,8.16,8.16,3
RC,361,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,361,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,361,Temozolomide injection ,,,11.34,11.34,3
RC,361,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,351.98,5932.0,33
RC,361,Temporary transcutaneous pacing ,,,1169.48,3293.0,15
RC,361,Tenecteplase injection ,,,236.99,236.99,3
RC,361,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,361,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,361,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,361,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,361,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,361,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,361,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,361,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,361,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,361,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,361,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,361,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,361,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,361,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,361,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,361,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,361,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,361,Testosterone; free ,,,27.76,27.76,3
RC,361,Testosterone; total ,,,28.13,28.13,3
RC,361,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,361,Theophylline ,,,15.41,15.41,3
RC,361,Therapeutic Nuclear Medici ,,,255.5,255.5,3
RC,361,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,361,Therapeutic apheresis; for plasma pheresis ,,,592.85,25655.0,33
RC,361,Therapeutic apheresis; for white blood cells ,,,592.85,25655.0,33
RC,361,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,948.0,25655.0,33
RC,361,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,361,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,361,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,361,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,361,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,361,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,361,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,361,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,361,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,361,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,948.0,35261.21,33
RC,361,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,361,Thiocyanate ,,,12.68,12.68,3
RC,361,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,361,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,361,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,361,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,361,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,361,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,361,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,361,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,361,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1995.0,23113.0,27
RC,361,Thrombin time; plasma ,,,6.29,6.29,3
RC,361,Thrombin time; titer ,,,7.47,7.47,3
RC,361,"Thrombolysis, cerebral, by intravenous infusion ",,,674.93,3092.0,26
RC,361,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,16144.0,2
RC,361,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,2636.0,2
RC,361,Thrombomodulin ,,,18.82,18.82,3
RC,361,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,361,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,361,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,361,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,361,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,948.0,30699.28,27
RC,361,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,948.0,25655.0,27
RC,361,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,948.0,25655.0,31
RC,361,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,361,Thyroglobulin ,,,17.51,17.51,3
RC,361,Thyroglobulin antibody ,,,17.34,17.34,3
RC,361,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,361,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,361,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,361,"Thyroidectomy, including substernal thyroid; cervical approach ",,,948.0,25655.0,31
RC,361,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,948.0,30644.95,27
RC,361,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,948.0,25655.0,31
RC,361,"Thyroidectomy, total or complete ",,,948.0,25655.0,33
RC,361,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,25655.0,20
RC,361,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,948.0,25655.0,31
RC,361,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,948.0,37404.88,31
RC,361,Thyrotropin injection ,,,2352.94,2352.94,3
RC,361,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,361,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,361,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,361,Thyroxine; free ,,,9.83,9.83,3
RC,361,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,361,Thyroxine; total ,,,7.49,7.49,3
RC,361,Tiagabine ,,,29.55,29.55,3
RC,361,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,361,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,361,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,361,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,361,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,361,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,361,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,361,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,361,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,361,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,361,"Tlso, corset front ",,,182.11,182.11,3
RC,361,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,361,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,361,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,361,"Tlso, full corset ",,,251.72,251.72,3
RC,361,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,361,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,361,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,361,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,361,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,361,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,361,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,361,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,361,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,361,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,361,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,361,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,361,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,361,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,361,Tobramycin ,,,17.58,17.58,3
RC,361,Tocilizumab injection ,,,5.89,5.89,3
RC,361,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,361,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,361,"Tongue base suspension, permanent suture technique ",,,948.0,17510.0,31
RC,361,Tonsillectomy and adenoidectomy; age 12 or over ,,,930.95,18490.0,33
RC,361,Tonsillectomy and adenoidectomy; younger than age 12 ,,,948.0,13581.48,33
RC,361,"Tonsillectomy, primary or secondary; age 12 or over ",,,930.95,19415.0,33
RC,361,"Tonsillectomy, primary or secondary; younger than age 12 ",,,948.0,19415.0,33
RC,361,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,361,Topiramate ,,,12.99,12.99,3
RC,361,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,948.0,25655.0,31
RC,361,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,948.0,27653.5,31
RC,361,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,30854.73,26
RC,361,Total facial nerve decompression and/or repair (may include graft) ,,,948.0,25655.0,31
RC,361,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,948.0,98547.31,27
RC,361,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,948.0,78982.26,27
RC,361,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,948.0,100955.99,27
RC,361,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,948.0,67210.71,27
RC,361,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,948.0,85835.53,27
RC,361,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,948.0,21630.0,33
RC,361,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,948.0,21630.0,33
RC,361,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,361,Trabeculoplasty by laser surgery ,,,114.82,6680.0,33
RC,361,Trabeculotomy ab externo ,,,892.44,19415.0,33
RC,361,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,361,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,361,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,948.0,11960.31,33
RC,361,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,948.0,9908.0,33
RC,361,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,361,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,361,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,361,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,361,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,361,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,361,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,361,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,361,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,361,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,361,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,361,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,361,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,361,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,361,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,361,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,361,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,361,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,361,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,361,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,361,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,361,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,361,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,361,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,361,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,361,"Transabdominal amnioinfusion, including ultrasound guidance ",,,590.17,5932.0,31
RC,361,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,361,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,1481.0,2174.0,4
RC,361,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,10
RC,361,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,948.0,76895.0,62
RC,361,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,1995.0,43890.0,34
RC,361,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,1995.0,43890.0,10
RC,361,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1995.0,43890.0,24
RC,361,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,18151.0,46000.0,20
RC,361,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,948.0,33108.18,27
RC,361,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1995.0,43890.0,26
RC,361,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1995.0,43890.0,26
RC,361,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,9
RC,361,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,2214.0,12869.33,26
RC,361,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1594.88,11220.0,26
RC,361,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,948.0,25655.0,30
RC,361,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,948.0,25655.0,31
RC,361,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,948.0,54467.89,27
RC,361,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,948.0,66449.21,27
RC,361,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,361,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,361,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,361,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,361,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,361,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,361,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,948.0,28523.88,27
RC,361,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,692.94,5047.0,29
RC,361,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,948.0,12360.0,27
RC,361,"Transection or avulsion of other cranial nerve, extradural ",,,692.94,8858.0,33
RC,361,"Transection or avulsion of other spinal nerve, extradural ",,,692.94,8858.0,33
RC,361,"Transection or avulsion of; facial nerve, differential or complete ",,,692.94,8858.0,33
RC,361,Transection or avulsion of; greater occipital nerve ,,,692.94,8858.0,33
RC,361,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,692.94,6680.0,33
RC,361,Transection or avulsion of; infraorbital nerve ,,,692.94,6680.0,33
RC,361,Transection or avulsion of; lingual nerve ,,,692.94,8858.0,33
RC,361,Transection or avulsion of; mental nerve ,,,692.94,6680.0,33
RC,361,Transection or avulsion of; phrenic nerve ,,,692.94,6680.0,33
RC,361,Transection or avulsion of; supraorbital nerve ,,,692.94,6680.0,33
RC,361,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,948.0,25655.0,27
RC,361,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,948.0,25655.0,27
RC,361,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,361,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,948.0,25655.0,27
RC,361,"Transfer device, any type, each ",,,61.38,61.38,3
RC,361,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,361,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,361,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,361,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,361,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,361,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,361,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,361,Transferrin ,,,13.91,13.91,3
RC,361,"Transfusion, blood or blood components ",,,32.27,5932.0,33
RC,361,"Transfusion, intrauterine, fetal ",,,845.93,5932.0,31
RC,361,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1481.0,25655.0,34
RC,361,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,23113.0,14
RC,361,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,10868.0,28600.76,13
RC,361,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,948.0,18490.0,31
RC,361,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,948.0,18490.0,31
RC,361,Transmastoid antrotomy (simple mastoidectomy) ,,,948.0,23113.0,33
RC,361,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,361,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,361,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,361,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,948.0,57202.99,27
RC,361,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,948.0,94133.98,27
RC,361,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,361,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,361,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,948.0,2636.0,15
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,948.0,21630.0,29
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,948.0,21630.0,29
RC,361,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,948.0,21630.0,33
RC,361,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1773.9,25080.0,23
RC,361,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,948.0,64413.52,27
RC,361,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,845.93,3293.0,27
RC,361,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,845.93,3092.0,27
RC,361,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,845.93,3293.0,27
RC,361,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,845.93,3293.0,27
RC,361,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,845.93,3293.0,27
RC,361,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,845.93,3293.0,27
RC,361,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,845.93,3092.0,27
RC,361,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,845.93,3092.0,27
RC,361,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,845.93,3293.0,27
RC,361,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,361,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,361,Transplantation of multivisceral organs ,,,21210.0,23307.22,6
RC,361,Transplantation of pancreatic allograft ,,,948.0,57420.53,23
RC,361,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,6
RC,361,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,948.0,9908.0,33
RC,361,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,361,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,361,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,361,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,948.0,19415.0,19
RC,361,"Transposition, ovary(s) ",,,948.0,25655.0,31
RC,361,Transrectal drainage of pelvic abscess ,,,450.72,5932.0,33
RC,361,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,948.0,52944.89,27
RC,361,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,361,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,948.0,25912.96,27
RC,361,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,948.0,33769.0,33
RC,361,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,948.0,12499.0,33
RC,361,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,948.0,25655.0,33
RC,361,Transurethral drainage of prostatic abscess ,,,948.0,8858.0,33
RC,361,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1773.9,19415.0,28
RC,361,Transurethral incision of prostate ,,,948.0,9908.0,33
RC,361,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,948.0,18747.0,31
RC,361,Transurethral resection of bladder neck (separate procedure) ,,,948.0,9908.0,33
RC,361,Transurethral resection; of postoperative bladder neck contracture ,,,1200.05,8858.0,28
RC,361,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,1773.9,17510.0,28
RC,361,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,948.0,27080.2,20
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,60.45,6680.0,21
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,53.82,6680.0,21
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,49.82,6680.0,21
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,43.49,6680.0,21
RC,361,Transvesical ureterolithotomy ,,,948.0,25655.0,27
RC,361,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,361,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,361,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,361,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,361,Trauma Response with Criti ,,,1459.49,1459.49,3
RC,361,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,149.42,5932.0,28
RC,361,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,218.75,6680.0,33
RC,361,"Treatment of incomplete abortion, any trimester, completed surgically ",,,948.0,18490.0,33
RC,361,"Treatment of missed abortion, completed surgically; first trimester ",,,948.0,18490.0,33
RC,361,"Treatment of missed abortion, completed surgically; second trimester ",,,948.0,18490.0,33
RC,361,"Treatment of septic abortion, completed surgically ",,,948.0,25655.0,31
RC,361,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,361,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,361,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,361,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,361,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,361,Triglycerides ,,,6.26,6.26,3
RC,361,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,361,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,361,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,361,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,17
RC,361,Triptorelin pamoate ,,,508.34,508.34,3
RC,361,"Troponin, qualitative ",,,11.0,11.0,3
RC,361,"Troponin, quantitative ",,,13.59,13.59,3
RC,361,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,361,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,361,"Truss, double with standard pads ",,,177.72,177.72,3
RC,361,"Truss, single with standard pad ",,,112.58,112.58,3
RC,361,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,361,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,361,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,361,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,948.0,25655.0,27
RC,361,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,361,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,361,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,361,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,361,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,361,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,361,Tubotubal anastomosis ,,,948.0,25655.0,31
RC,361,Tubouterine implantation ,,,948.0,25655.0,31
RC,361,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,361,"Twelve volt battery, each ",,,703.98,703.98,3
RC,361,Twist drill hole for subdural or ventricular puncture ,,,948.0,25655.0,27
RC,361,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,948.0,25655.0,27
RC,361,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,948.0,25655.0,27
RC,361,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,948.0,25655.0,27
RC,361,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,948.0,51966.07,108
RC,361,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,183.72,25655.0,33
RC,361,Tympanic neurectomy ,,,930.95,9908.0,28
RC,361,"Tympanolysis, transcanal ",,,930.95,17510.0,33
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1995.0,23113.0,28
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1995.0,18490.0,28
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1995.0,18490.0,28
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1995.0,18490.0,28
RC,361,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,441.67,9908.0,33
RC,361,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,123.54,9908.0,33
RC,361,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,7
RC,361,Tyrosine ,,,11.59,11.59,3
RC,361,U-tube hepaticoenterostomy ,,,2152.0,16144.0,5
RC,361,"U-v lens, per lens ",,,29.55,29.55,3
RC,361,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,361,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,361,UPPER GI ENDOSCOPY EXAM ,,,2152.0,6587.0,4
RC,361,UPPR GI ENDOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,361,URETER ENDOSCOPY & TRACER ,,,2152.0,6587.0,8
RC,361,URETHRA PRESSURE PROFILE ,,,2152.0,6587.0,4
RC,361,URINE VOIDING PRESSURE STUDY ,,,2152.0,6587.0,4
RC,361,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,361,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,361,Ultrasound Composite ,,,322.14,322.14,3
RC,361,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,361,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,361,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,361,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,361,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,948.0,19415.0,33
RC,361,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,361,Unlist px-laparascopy ,,,2152.0,6587.0,4
RC,361,Unlisted cardiovascular service or procedure ,,,1481.0,2636.0,5
RC,361,Unlisted diagnostic gastroenterology procedure ,,,1481.0,2636.0,5
RC,361,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,361.99,25655.0,31
RC,361,"Unlisted hysteroscopy procedure, uterus ",,,361.99,25655.0,22
RC,361,"Unlisted laparoscopic procedure, liver ",,,948.0,25655.0,27
RC,361,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,7592.0,25655.0,21
RC,361,"Unlisted laparoscopy procedure, appendix ",,,7592.0,17510.0,15
RC,361,"Unlisted laparoscopy procedure, biliary tract ",,,7592.0,25655.0,21
RC,361,"Unlisted laparoscopy procedure, bladder ",,,948.0,25655.0,27
RC,361,"Unlisted laparoscopy procedure, endocrine system ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, esophagus ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,7592.0,25655.0,21
RC,361,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,948.0,25655.0,27
RC,361,"Unlisted laparoscopy procedure, lymphatic system ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1995.0,25655.0,26
RC,361,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, rectum ",,,948.0,25655.0,27
RC,361,"Unlisted laparoscopy procedure, renal ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, spermatic cord ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, spleen ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, stomach ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, testis ",,,1995.0,25655.0,22
RC,361,"Unlisted laparoscopy procedure, ureter ",,,948.0,25655.0,27
RC,361,"Unlisted laparoscopy procedure, uterus ",,,1995.0,25655.0,22
RC,361,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,948.0,25655.0,27
RC,361,"Unlisted procedure, abdomen, peritoneum and omentum ",,,948.0,25655.0,31
RC,361,"Unlisted procedure, anterior segment of eye ",,,948.0,25655.0,31
RC,361,"Unlisted procedure, anus ",,,948.0,25655.0,31
RC,361,"Unlisted procedure, biliary tract ",,,948.0,25655.0,27
RC,361,"Unlisted procedure, colon ",,,948.0,9868.0,31
RC,361,"Unlisted procedure, conjunctiva ",,,589.67,25655.0,27
RC,361,"Unlisted procedure, dentoalveolar structures ",,,443.94,25655.0,31
RC,361,"Unlisted procedure, diaphragm ",,,948.0,25655.0,27
RC,361,"Unlisted procedure, endocrine system ",,,948.0,25655.0,31
RC,361,"Unlisted procedure, esophagus ",,,948.0,25655.0,31
RC,361,"Unlisted procedure, external ear ",,,443.94,2636.0,27
RC,361,"Unlisted procedure, extraocular muscle ",,,589.67,25655.0,27
RC,361,"Unlisted procedure, eyelids ",,,589.67,25655.0,27
RC,361,"Unlisted procedure, female genital system (nonobstetrical) ",,,361.99,25655.0,31
RC,361,"Unlisted procedure, hemic or lymphatic system ",,,845.93,25655.0,31
RC,361,"Unlisted procedure, inner ear ",,,443.94,25655.0,31
RC,361,"Unlisted procedure, lacrimal system ",,,589.67,25655.0,27
RC,361,"Unlisted procedure, lips ",,,443.94,25655.0,27
RC,361,"Unlisted procedure, liver ",,,948.0,25655.0,27
RC,361,"Unlisted procedure, male genital system ",,,512.08,25655.0,31
RC,361,"Unlisted procedure, maternity care and delivery ",,,361.99,25655.0,31
RC,361,"Unlisted procedure, mediastinum ",,,948.0,25655.0,27
RC,361,"Unlisted procedure, middle ear ",,,443.94,25655.0,31
RC,361,"Unlisted procedure, nervous system ",,,570.66,25655.0,31
RC,361,"Unlisted procedure, orbit ",,,589.67,25655.0,27
RC,361,"Unlisted procedure, palate, uvula ",,,443.94,25655.0,27
RC,361,"Unlisted procedure, pancreas ",,,948.0,25655.0,27
RC,361,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,443.94,25655.0,31
RC,361,"Unlisted procedure, posterior segment ",,,948.0,25655.0,27
RC,361,"Unlisted procedure, rectum ",,,948.0,25655.0,27
RC,361,"Unlisted procedure, salivary glands or ducts ",,,443.94,25655.0,31
RC,361,"Unlisted procedure, small intestine ",,,948.0,25655.0,31
RC,361,"Unlisted procedure, stomach ",,,948.0,25655.0,28
RC,361,"Unlisted procedure, temporal bone, middle fossa approach ",,,443.94,25655.0,31
RC,361,"Unlisted procedure, tongue, floor of mouth ",,,443.94,25655.0,27
RC,361,"Unlisted procedure, urinary system ",,,512.08,25655.0,31
RC,361,"Unlisted procedure, vascular injection ",,,948.0,2636.0,14
RC,361,"Unlisted procedure, vestibule of mouth ",,,443.94,25655.0,31
RC,361,Unlisted vascular endoscopy procedure ,,,948.0,25655.0,27
RC,361,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,361,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,361,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,361,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,361,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,361,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,361,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,361,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,361,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,361,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,361,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,361,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,361,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,361,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,361,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,361,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,361,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,361,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,361,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,361,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,361,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,361,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,361,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,361,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,361,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,361,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,361,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,361,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,361,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,361,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,361,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,361,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,361,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,361,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,361,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,361,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,361,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,361,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,361,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,361,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,361,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,361,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,361,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,361,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,361,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,361,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,361,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,361,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,361,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,361,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,361,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,361,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,361,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,361,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,361,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,361,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,361,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,361,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,361,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,361,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,948.0,5932.0,19
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,11848.54,33
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,948.0,11848.54,33
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,11848.54,33
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,948.0,8451.91,33
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,11848.54,33
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,948.0,11848.54,33
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,11848.54,33
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,948.0,8451.91,33
RC,361,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,948.0,76895.0,31
RC,361,"Ureterectomy, with bladder cuff (separate procedure) ",,,948.0,76895.0,31
RC,361,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,948.0,25944.23,27
RC,361,"Ureterocolon conduit, including intestine anastomosis ",,,948.0,27482.53,27
RC,361,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,948.0,25655.0,27
RC,361,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,948.0,29549.49,27
RC,361,Ureterolithotomy; lower one-third of ureter ,,,948.0,25655.0,31
RC,361,Ureterolithotomy; middle one-third of ureter ,,,948.0,25655.0,31
RC,361,Ureterolithotomy; upper one-third of ureter ,,,948.0,25655.0,31
RC,361,Ureterolysis for ovarian vein syndrome ,,,948.0,25655.0,27
RC,361,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,948.0,25655.0,27
RC,361,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,948.0,27389.39,27
RC,361,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,948.0,25655.0,27
RC,361,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,948.0,25655.0,27
RC,361,Ureteroneocystostomy; with extensive ureteral tailoring ,,,948.0,25655.0,27
RC,361,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,948.0,27303.8,27
RC,361,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,948.0,25655.0,27
RC,361,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,948.0,27568.13,27
RC,361,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,948.0,25655.0,27
RC,361,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,948.0,31523.09,27
RC,361,"Ureterostomy, transplantation of ureter to skin ",,,948.0,25655.0,27
RC,361,"Ureterotomy for insertion of indwelling stent, all types ",,,948.0,25655.0,31
RC,361,Ureterotomy with exploration or drainage (separate procedure) ,,,948.0,25655.0,31
RC,361,Ureteroureterostomy ,,,948.0,25655.0,27
RC,361,"Urethrectomy, total, including cystostomy; female ",,,948.0,18490.0,33
RC,361,"Urethrectomy, total, including cystostomy; male ",,,948.0,18490.0,33
RC,361,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,948.0,25655.0,31
RC,361,"Urethromeatoplasty, with mucosal advancement ",,,948.0,12360.0,33
RC,361,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,948.0,8858.0,33
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,948.0,12360.0,33
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,948.0,12360.0,33
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,948.0,17510.0,33
RC,361,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,948.0,12360.0,33
RC,361,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,948.0,12360.0,33
RC,361,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,948.0,12360.0,33
RC,361,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,948.0,12360.0,33
RC,361,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,948.0,12360.0,33
RC,361,"Urethroplasty, reconstruction of female urethra ",,,948.0,12360.0,33
RC,361,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,948.0,25655.0,27
RC,361,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,948.0,12360.0,33
RC,361,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,948.0,12360.0,33
RC,361,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,948.0,8858.0,33
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,948.0,12360.0,33
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,948.0,11848.54,33
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,948.0,12360.0,33
RC,361,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,685.44,8858.0,33
RC,361,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,948.0,11848.54,33
RC,361,Uric acid; blood ,,,4.93,4.93,3
RC,361,Uric acid; other source ,,,5.54,5.54,3
RC,361,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,361,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,361,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,361,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,361,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,361,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,361,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,361,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,361,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,361,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,361,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,361,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,361,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,361,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,948.0,40520.73,27
RC,361,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,361,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,361,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,361,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,361,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,361,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,361,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,361,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,361,Uterine evacuation and curettage for hydatidiform mole ,,,948.0,18490.0,33
RC,361,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,948.0,25655.0,31
RC,361,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,948.0,25655.0,27
RC,361,"Uvulectomy, excision of uvula ",,,930.95,7334.01,33
RC,361,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,5694.0,7168.0,5
RC,361,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,2152.0,16144.0,5
RC,361,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,361,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,361,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,361,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,948.0,25655.0,31
RC,361,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,948.0,23263.46,21
RC,361,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,948.0,25655.0,31
RC,361,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,948.0,25376.98,17
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.34,18490.0,28
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,948.0,25655.0,27
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,948.0,18490.0,33
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,948.0,18490.0,31
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,948.0,18490.0,31
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,948.0,25655.0,31
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,948.0,25655.0,31
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,948.0,25655.0,31
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,948.0,25655.0,31
RC,361,"Vaginal hysterectomy, radical (Schauta type operation) ",,,948.0,32525.42,27
RC,361,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,948.0,25655.0,27
RC,361,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,948.0,25655.0,27
RC,361,"Vaginectomy, complete removal of vaginal wall; ",,,948.0,25655.0,31
RC,361,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,948.0,39611.54,31
RC,361,"Vaginectomy, partial removal of vaginal wall; ",,,948.0,25655.0,31
RC,361,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,948.0,25655.0,31
RC,361,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,948.0,25655.0,31
RC,361,Vaginoplasty for intersex state ,,,948.0,25655.0,31
RC,361,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,948.0,26915.29,27
RC,361,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,948.0,26565.8,27
RC,361,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,948.0,25655.0,27
RC,361,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,361,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,361,Vancomycin ,,,14.76,14.76,3
RC,361,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,361,"Vaporizer, room type ",,,41.03,41.03,3
RC,361,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,361,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,361,Variable concentration mask ,,,0.94,0.94,3
RC,361,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,361,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,3
RC,361,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,19
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1995.0,27743.74,28
RC,361,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,2036.11,7168.0,7
RC,361,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,361,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,685.44,8858.0,33
RC,361,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,361,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,361,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,948.0,6680.0,19
RC,361,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,948.0,8858.0,31
RC,361,"Vasovasostomy, vasovasorrhaphy ",,,948.0,8858.0,31
RC,361,Vedolizumab ,,,42.04,42.04,3
RC,361,Velaglucerase alfa ,,,428.2,428.2,3
RC,361,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",,,948.0,1995.0,6
RC,361,"Venipuncture, cutdown; age 1 or over ",,,792.63,2287.0,23
RC,361,"Venipuncture, cutdown; younger than age 1 year ",,,119.92,2287.0,23
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,948.0,1995.0,6
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,948.0,1995.0,6
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,948.0,1995.0,6
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,361,"Venous anastomosis, open; caval-mesenteric ",,,948.0,49899.11,27
RC,361,"Venous anastomosis, open; portocaval ",,,948.0,52370.1,27
RC,361,"Venous anastomosis, open; renoportal ",,,948.0,48562.61,27
RC,361,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,948.0,52370.1,27
RC,361,"Venous anastomosis, open; splenorenal, proximal ",,,948.0,47964.32,27
RC,361,Venous catheterization for selective organ blood sampling ,,,948.0,5932.0,19
RC,361,Ventilating tube removal requiring general anesthesia ,,,85.18,12360.0,33
RC,361,Ventilation Initiation and ,,,676.46,676.46,3
RC,361,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,276.0,5932.0,33
RC,361,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,357.81,5932.0,33
RC,361,Ventriculocisternostomy (Torkildsen type operation) ,,,948.0,36573.52,27
RC,361,"Ventriculocisternostomy, third ventricle; ",,,948.0,31305.55,27
RC,361,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,948.0,27498.06,27
RC,361,"Vermilionectomy (lip shave), with mucosal advancement ",,,930.95,7334.01,33
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,948.0,25655.0,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,948.0,39735.94,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,948.0,25655.0,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,948.0,54638.86,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,948.0,25655.0,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,948.0,41662.98,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,948.0,49098.8,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,948.0,49192.16,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,948.0,49860.3,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,948.0,52463.24,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,948.0,55167.3,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,948.0,54584.53,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,948.0,57342.92,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,948.0,52696.31,81
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,948.0,44273.68,54
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,948.0,25655.0,27
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,948.0,43504.41,27
RC,361,Very long chain fatty acids ,,,21.53,21.53,3
RC,361,"Vesiculectomy, any approach ",,,948.0,25655.0,31
RC,361,Vesiculotomy; ,,,685.44,8858.0,33
RC,361,Vesiculotomy; complicated ,,,948.0,25655.0,31
RC,361,"Vestibular nerve section, transcranial approach ",,,948.0,39324.15,27
RC,361,"Vestibular nerve section, translabyrinthine approach ",,,930.95,23113.0,33
RC,361,Vestibuloplasty; anterior ,,,948.0,13581.48,33
RC,361,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,948.0,18490.0,33
RC,361,Vestibuloplasty; entire arch ,,,948.0,18490.0,33
RC,361,"Vestibuloplasty; posterior, bilateral ",,,948.0,13581.48,33
RC,361,"Vestibuloplasty; posterior, unilateral ",,,948.0,13581.48,33
RC,361,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,361,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,361,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,361,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,361,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,361,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,361,Viscosity ,,,12.72,12.72,3
RC,361,Vitamin A ,,,12.65,12.65,3
RC,361,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,361,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,361,Vitamin K ,,,14.95,14.95,3
RC,361,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,361,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,1
RC,361,"Vitrectomy, mechanical, pars plana approach; ",,,1610.16,19415.0,27
RC,361,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1610.16,23113.0,28
RC,361,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1610.16,23113.0,28
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1610.16,18490.0,28
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1610.16,18490.0,28
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1610.16,23113.0,28
RC,361,Voice amplifier ,,,340.98,340.98,3
RC,361,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,361,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,361,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,361,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,361,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,361,Voriconazole ,,,29.55,29.55,3
RC,361,Vulvectomy simple; complete ,,,948.0,76895.0,33
RC,361,Vulvectomy simple; partial ,,,948.0,18490.0,33
RC,361,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,948.0,33877.23,27
RC,361,"Vulvectomy, radical, complete; ",,,948.0,27474.77,27
RC,361,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,948.0,34133.79,27
RC,361,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,948.0,29440.61,27
RC,361,"Vulvectomy, radical, partial; ",,,948.0,25655.0,31
RC,361,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,948.0,31608.47,27
RC,361,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,948.0,26783.34,27
RC,361,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1125.36,1125.36,3
RC,361,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,361,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,361,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,361,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,361,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,361,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,361,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,361,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,361,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,361,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,361,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,361,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,361,Washed red blood cells uni ,,,401.75,401.75,3
RC,361,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,361,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,361,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,361,Water pressure mattress ,,,29.3,29.3,3
RC,361,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,361,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,361,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,361,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,948.0,25655.0,31
RC,361,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,361,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,361,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,361,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,361,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,361,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,361,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,361,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,361,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,361,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,361,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,361,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,361,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,361,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,361,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,361,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,361,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,361,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,361,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,361,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,361,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,361,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,361,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,361,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,361,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,361,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,361,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,361,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,361,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,361,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,361,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,361,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,361,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,361,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,361,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,361,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,361,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,361,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,361,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,361,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,361,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,361,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,361,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,361,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,361,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,361,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,361,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,361,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,361,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,361,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,361,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,361,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,361,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,361,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,361,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,361,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,361,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,361,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,361,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,361,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,361,Whole blood for transfusio ,,,206.93,206.93,3
RC,361,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,361,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,361,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,361,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,361,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,361,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,11
RC,361,"Wound pouch, each ",,,21.65,21.65,3
RC,361,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,361,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,361,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,361,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,361,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,361,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,361,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,361,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,361,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,361,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,361,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,361,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,361,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,361,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,361,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,361,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,361,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,361,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,361,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,361,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,361,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,361,Zinc ,,,12.42,12.42,3
RC,361,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,361,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,361,Zonisamide ,,,14.44,14.44,3
RC,361,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,361,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,361,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,361,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,362, Operating Room Services Organ Transplant-Other than Kidney  ,,,34164.0,43180.0,4
RC,362,1 epidur inject-C/thor ,,,6587.0,6587.0,1
RC,362,1 epidural inject anes-L ,,,6587.0,6587.0,1
RC,362,1 inject anes-subarach ,,,6587.0,6587.0,1
RC,362,1 subar inject anes-cont ,,,6587.0,6587.0,1
RC,362,1 subar inject anes-diff ,,,6587.0,6587.0,1
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1200.05,9908.0,7
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1200.05,9908.0,7
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1200.05,9908.0,7
RC,362,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1200.05,9908.0,7
RC,362,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,7168.0,23113.0,5
RC,362,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,7168.0,18490.0,5
RC,362,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,362,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,362,510K Skin Substitute Produ ,,,136.26,136.26,3
RC,362,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,362,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,362,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,362,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,362,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,362,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,362,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,362,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,362,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2636.0,2636.0,1
RC,362,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,362,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,362,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,362,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,362,ASPIRATE/INJECT THYRIOD CYST ,,,6587.0,6587.0,1
RC,362,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,362,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,362,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,Abatacept injection ,,,49.99,49.99,3
RC,362,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,351.7,6680.0,7
RC,362,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,351.7,6680.0,7
RC,362,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,8024.0,18490.0,5
RC,362,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,4693.0,6587.0,5
RC,362,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,4693.0,6587.0,5
RC,362,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,5286.0,6680.0,5
RC,362,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,5286.0,6680.0,5
RC,362,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,6587.0,9908.0,5
RC,362,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,2954.51,33769.0,7
RC,362,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1983.29,19415.0,7
RC,362,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1983.29,19415.0,7
RC,362,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,15362.0,19415.0,4
RC,362,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,5286.0,6680.0,4
RC,362,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,6587.0,23113.0,5
RC,362,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,6587.0,18490.0,5
RC,362,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,6587.0,18490.0,5
RC,362,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,4877.66,33769.0,7
RC,362,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,362,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,362,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,362,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,362,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,362,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,362,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,362,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,362,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,362,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,362,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,362,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,362,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,362,Acetaminophen ,,,20.32,20.32,3
RC,362,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,362,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,362,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,362,Acetylcholinesterase ,,,13.4,13.4,3
RC,362,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,362,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,362,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,362,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,362,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,362,Adalimumab ,,,42.04,42.04,3
RC,362,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,362,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,362,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,362,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,362,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,362,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,362,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,362,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,362,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,362,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,362,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,362,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,362,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,362,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,362,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,362,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,362,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,362,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,362,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,362,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,362,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,362,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,362,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,362,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,362,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,362,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,362,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,362,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,362,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,362,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,362,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,362,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,362,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,362,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,362,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,362,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,362,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,362,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,362,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,362,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,362,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,362,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,362,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,362,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,362,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,362,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,362,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,362,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,362,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,362,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,362,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,362,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,362,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,362,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,362,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,362,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,362,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,362,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,362,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,362,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,362,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,362,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,362,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,362,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,362,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,362,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,362,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,362,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,362,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,362,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,362,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,362,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,362,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,362,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,362,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,362,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,362,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,362,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,362,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,362,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,362,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,362,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,362,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,362,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,362,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,362,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,362,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,362,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,362,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,362,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,362,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,362,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,362,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,362,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,362,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,362,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,362,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,362,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,362,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,362,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,362,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,362,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,362,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,362,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,362,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,362,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,362,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,362,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,362,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,362,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,362,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,362,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,362,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,362,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,362,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,362,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,362,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,362,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,362,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,362,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,362,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,362,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,362,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,362,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,362,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,362,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,362,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,362,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,362,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,362,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,362,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,362,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,362,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,362,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,362,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,362,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,362,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,362,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,362,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,362,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,362,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,362,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,362,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,362,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,362,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,362,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,362,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,362,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,362,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,362,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,362,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,362,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,362,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,362,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,362,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,362,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,362,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,362,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,362,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,362,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,362,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,362,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,362,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,362,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,362,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,362,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,362,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,362,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,362,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,362,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,362,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,362,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,362,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,362,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,362,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,362,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,362,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,362,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,362,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,362,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,362,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,362,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,362,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,362,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,362,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,362,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,362,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,362,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,362,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,362,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,362,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,362,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,362,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,362,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,362,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,362,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,362,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,362,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,362,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,362,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,362,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,362,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,362,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,362,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,362,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,362,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,362,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,362,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,362,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,362,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,362,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,362,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,362,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,362,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,362,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,362,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,362,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,362,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,362,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,362,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,362,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,362,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,362,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,362,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,362,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,362,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,362,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,362,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,362,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,362,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,362,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,362,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,362,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,362,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,362,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,362,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,362,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,362,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,362,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,362,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,2636.0,1
RC,362,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,362,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,362,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,362,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,362,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,362,"Adenoidectomy, primary; age 12 or over ",,,930.95,19415.0,7
RC,362,"Adenoidectomy, primary; younger than age 12 ",,,930.95,19415.0,7
RC,362,"Adenoidectomy, secondary; age 12 or over ",,,930.95,19415.0,7
RC,362,"Adenoidectomy, secondary; younger than age 12 ",,,930.95,19415.0,7
RC,362,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,362,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,362,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,362,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,362,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,362,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,362,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,362,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,362,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,362,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,362,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,362,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,5932.0,4
RC,362,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,362,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,362,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,362,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,6587.0,23113.0,5
RC,362,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,6587.0,6587.0,1
RC,362,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,362,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,362,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,362,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,362,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,362,Agalsidase beta injection ,,,253.66,253.66,3
RC,362,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,362,Air fluidized bed ,,,4606.97,4606.97,3
RC,362,Air pressure mattress ,,,25.02,25.02,3
RC,362,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,362,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,362,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,362,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,362,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,362,Albumin; ischemia modified ,,,36.99,36.99,3
RC,362,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,362,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,362,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,362,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,362,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,362,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,362,Aldesleukin injection ,,,3639.37,3639.37,3
RC,362,Aldolase ,,,10.58,10.58,3
RC,362,Aldosterone ,,,44.42,44.42,3
RC,362,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,362,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,362,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,362,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,362,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,362,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,362,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,362,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,362,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,362,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,362,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,362,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,362,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,362,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,362,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,362,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,362,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,362,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,362,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,362,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,362,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,362,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,362,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,362,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,362,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,362,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,362,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,362,Allogeneic lymphocyte infusions ,,,592.85,4723.0,3
RC,362,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,362,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,362,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,362,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,362,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,362,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,362,Alteplase recombinant ,,,107.46,107.46,3
RC,362,Altuviiio per factor viii ,,,5.05,5.05,3
RC,362,Aluminum ,,,27.77,27.77,3
RC,362,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,289.82,5932.0,7
RC,362,"Alveoloplasty, each quadrant (specify) ",,,234.0,5932.0,7
RC,362,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,362,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,362,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,362,Amikacin ,,,16.44,16.44,3
RC,362,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,362,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,362,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,362,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,362,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,362,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,362,Aminolevulinic acid hcl to ,,,424.32,424.32,3
RC,362,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,362,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,362,Amiodarone ,,,20.32,20.32,3
RC,362,Ammonia ,,,15.88,15.88,3
RC,362,Amniocentesis; diagnostic ,,,52.04,5932.0,7
RC,362,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,122.58,5932.0,7
RC,362,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,362,Amphotericin b liposome in ,,,21.63,21.63,3
RC,362,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,6587.0,6587.0,1
RC,362,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,6587.0,6587.0,1
RC,362,Amputation of penis; complete ,,,4723.0,6680.0,5
RC,362,Amputation of penis; partial ,,,1200.05,7168.0,7
RC,362,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,362,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,362,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,362,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,362,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,362,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,362,Amylase ,,,7.06,7.06,3
RC,362,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,6587.0,6587.0,1
RC,362,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,6587.0,6587.0,1
RC,362,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,6587.0,6587.0,1
RC,362,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,6587.0,6587.0,1
RC,362,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,6587.0,6587.0,1
RC,362,Anastomosis; facial-hypoglossal ,,,6587.0,6587.0,1
RC,362,Anastomosis; facial-spinal accessory ,,,6587.0,6587.0,1
RC,362,Ancillary Outpatient Servi ,,,15249.85,15249.85,3
RC,362,Androstanediol glucuronide ,,,31.42,31.42,3
RC,362,Androstenedione ,,,31.92,31.92,3
RC,362,Androsterone ,,,27.85,27.85,3
RC,362,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,362,Angiotensin II ,,,22.37,22.37,3
RC,362,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,362,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,362,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,362,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,362,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,362,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,362,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,362,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,362,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,362,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,362,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,362,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,362,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,362,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,362,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,362,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,362,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,362,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,362,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,362,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,362,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,362,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,362,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,362,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,362,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,362,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,362,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,362,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,362,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,362,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,362,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,362,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,362,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,362,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,362,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,362,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,362,"Anoplasty, plastic operation for stricture; adult ",,,986.93,9908.0,7
RC,362,"Anoplasty, plastic operation for stricture; infant ",,,6587.0,6587.0,1
RC,362,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,986.93,6680.0,7
RC,362,Anorectal manometry ,,,2636.0,2636.0,1
RC,362,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,4693.0,5932.0,4
RC,362,Anorectal myomectomy ,,,986.93,6680.0,7
RC,362,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2636.0,5932.0,5
RC,362,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,2636.0,5932.0,5
RC,362,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,986.93,6680.0,7
RC,362,"Anoscopy; with biopsy, single or multiple ",,,211.33,5932.0,7
RC,362,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,115.98,5932.0,7
RC,362,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,450.72,5932.0,7
RC,362,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,362,Anoscopy; with removal of foreign body ,,,344.93,5932.0,7
RC,362,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,986.93,5932.0,7
RC,362,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,986.93,5932.0,7
RC,362,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,344.93,5932.0,7
RC,362,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,362,Antepartum care only; 4-6 visits ,,,6587.0,6587.0,1
RC,362,Antepartum care only; 7 or more visits ,,,6587.0,6587.0,1
RC,362,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,362,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.34,18490.0,7
RC,362,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,5381.0,23113.0,5
RC,362,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,5381.0,23113.0,5
RC,362,Anti-inhibitor ,,,2.67,2.67,3
RC,362,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,362,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,362,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,362,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,362,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,362,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,362,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,362,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,362,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,362,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,362,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,362,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,362,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,362,Antibody; Aspergillus ,,,16.4,16.4,3
RC,362,Antibody; Bartonella ,,,11.1,11.1,3
RC,362,Antibody; Blastomyces ,,,14.06,14.06,3
RC,362,Antibody; Bordetella ,,,14.38,14.38,3
RC,362,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,362,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,362,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,362,Antibody; Brucella ,,,9.73,9.73,3
RC,362,Antibody; Campylobacter ,,,14.3,14.3,3
RC,362,Antibody; Candida ,,,13.09,13.09,3
RC,362,Antibody; Chlamydia ,,,12.88,12.88,3
RC,362,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,362,Antibody; Coccidioides ,,,12.5,12.5,3
RC,362,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,362,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,362,Antibody; Diphtheria ,,,16.58,16.58,3
RC,362,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,362,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,362,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,362,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,362,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,362,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,362,Antibody; HIV-1 ,,,9.69,9.69,3
RC,362,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,362,Antibody; HIV-2 ,,,14.74,14.74,3
RC,362,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,362,Antibody; HTLV-I ,,,9.91,9.91,3
RC,362,Antibody; HTLV-II ,,,15.26,15.26,3
RC,362,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,362,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,362,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,362,Antibody; Legionella ,,,16.68,16.68,3
RC,362,Antibody; Leishmania ,,,13.35,13.35,3
RC,362,Antibody; Leptospira ,,,17.66,17.66,3
RC,362,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,362,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,362,Antibody; Nocardia ,,,17.43,17.43,3
RC,362,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,362,Antibody; Rickettsia ,,,21.09,21.09,3
RC,362,Antibody; Salmonella ,,,14.38,14.38,3
RC,362,Antibody; Shigella ,,,26.68,26.68,3
RC,362,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,362,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,362,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,362,Antibody; Trichinella ,,,13.69,13.69,3
RC,362,Antibody; West Nile virus ,,,15.69,15.69,3
RC,362,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,362,Antibody; Yersinia ,,,14.38,14.38,3
RC,362,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,362,Antibody; actinomyces ,,,11.1,11.1,3
RC,362,Antibody; adenovirus ,,,14.03,14.03,3
RC,362,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,362,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,362,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,362,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,362,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,362,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,362,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,362,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,362,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,362,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,362,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,362,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,362,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,362,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,362,Antibody; histoplasma ,,,15.03,15.03,3
RC,362,Antibody; influenza virus ,,,14.77,14.77,3
RC,362,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,362,Antibody; mucormycosis ,,,16.35,16.35,3
RC,362,Antibody; mumps ,,,14.22,14.22,3
RC,362,Antibody; mycoplasma ,,,14.43,14.43,3
RC,362,Antibody; parvovirus ,,,16.38,16.38,3
RC,362,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,362,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,362,Antibody; rotavirus ,,,19.87,19.87,3
RC,362,Antibody; rubella ,,,15.69,15.69,3
RC,362,Antibody; rubeola ,,,14.04,14.04,3
RC,362,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,362,Antibody; tetanus ,,,16.13,16.13,3
RC,362,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,362,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,362,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,362,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,362,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,362,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,362,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,362,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,362,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,362,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,362,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,362,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,362,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,362,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,362,Apheresis w/ adsorp/reinfuse ,,,6587.0,6587.0,1
RC,362,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,362,"Apolipoprotein, each ",,,22.99,22.99,3
RC,362,Appendectomy; ,,,7168.0,19415.0,5
RC,362,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,6587.0,6587.0,1
RC,362,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,2636.0,2636.0,1
RC,362,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,362,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,362,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,362,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,362,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,362,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,362,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,362,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,362,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,362,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,362,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,362,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,362,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,362,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,6680.0,8
RC,362,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,6680.0,8
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,2636.0,6680.0,10
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,2636.0,5932.0,5
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,3293.0,6680.0,5
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,2636.0,5932.0,5
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,4723.0,6680.0,5
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,2636.0,5932.0,5
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,3293.0,6680.0,5
RC,362,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,362,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,362,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,362,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,362,Aqueous shunt ,,,855.38,855.38,3
RC,362,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,2167.86,18490.0,7
RC,362,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2091.35,19415.0,7
RC,362,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,362,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,362,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,362,"Arm rest, each ",,,23.28,23.28,3
RC,362,Arsenic ,,,20.68,20.68,3
RC,362,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,1174.13,5932.0,6
RC,362,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",,,4693.0,5932.0,4
RC,362,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,2036.11,9908.0,6
RC,362,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,2036.11,9908.0,6
RC,362,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,2036.11,9908.0,6
RC,362,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,1174.13,9908.0,6
RC,362,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,9908.0,4
RC,362,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,15362.0,19415.0,4
RC,362,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,2636.0,2636.0,1
RC,362,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,14630.0,18490.0,4
RC,362,Artificial cornea ,,,8791.45,8791.45,3
RC,362,Artificial insemination; intra-cervical ,,,2636.0,2636.0,1
RC,362,Artificial insemination; intra-uterine ,,,2636.0,2636.0,1
RC,362,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,362,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,362,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,362,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,270.48,5932.0,7
RC,362,"Aspiration and/or injection, thyroid cyst ",,,62.5,5932.0,7
RC,362,Aspiration of bladder; by needle ,,,38.37,5932.0,7
RC,362,Aspiration of bladder; by trocar or intracatheter ,,,103.77,5932.0,7
RC,362,Aspiration of bladder; with insertion of suprapubic catheter ,,,685.44,5932.0,7
RC,362,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,892.44,5932.0,7
RC,362,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,362,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,362,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,362,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,362,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,362,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,362,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,362,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,362,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,362,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,362,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,362,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,362,Axillary crutch extension ,,,246.97,246.97,3
RC,362,Axillary lymphadenectomy; complete ,,,1983.29,19415.0,7
RC,362,Axillary lymphadenectomy; superficial ,,,1983.29,8024.0,7
RC,362,Azathioprine parenteral ,,,277.69,277.69,3
RC,362,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,362,"B cells, total count ",,,41.13,41.13,3
RC,362,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,362,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,362,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,362,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,362,BIOPSY EYE MUSCLE ,,,6587.0,6587.0,1
RC,362,BIOPSY OF STOMACH ,,,6587.0,6587.0,1
RC,362,BIOPSY OF THROAT ,,,6587.0,6587.0,1
RC,362,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,362,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,362,BRAIN SURGERY USING COMPUTER ,,,6587.0,6587.0,1
RC,362,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,362,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,362,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,362,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,362,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,362,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,362,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,362,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,362,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,362,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,362,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,362,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,2636.0,2636.0,1
RC,362,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,6587.0,6587.0,1
RC,362,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,6587.0,6587.0,1
RC,362,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,6587.0,6587.0,1
RC,362,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,6587.0,6587.0,1
RC,362,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,6587.0,6587.0,1
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,6587.0,6587.0,1
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,6587.0,6587.0,1
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,6587.0,6587.0,1
RC,362,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,6587.0,6587.0,1
RC,362,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,6587.0,6587.0,1
RC,362,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,6587.0,6587.0,3
RC,362,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,6587.0,6587.0,1
RC,362,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,6587.0,6587.0,1
RC,362,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,362,"Balance lens, per lens ",,,70.71,70.71,3
RC,362,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,6587.0,6587.0,1
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,6587.0,6587.0,1
RC,362,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,2636.0,5932.0,5
RC,362,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,2636.0,5932.0,5
RC,362,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,362,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,362,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,362,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,362,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,362,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,362,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,362,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,362,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,362,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,362,"Bed cradle, any type ",,,42.41,42.41,3
RC,362,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,362,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,362,"Bed side rails, full length ",,,149.47,149.47,3
RC,362,"Bed side rails, half length ",,,14.69,14.69,3
RC,362,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,362,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,362,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,362,Belatacept injection ,,,4.23,4.23,3
RC,362,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,362,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,362,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,362,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,362,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,362,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,362,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,362,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,362,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,362,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,362,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,362,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,362,Beta-2 microglobulin ,,,17.64,17.64,3
RC,362,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,362,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,362,Bevacizumab injection ,,,81.56,81.56,3
RC,362,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,6587.0,6587.0,1
RC,362,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,362,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,362,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,362,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,6587.0,6587.0,1
RC,362,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,6587.0,6587.0,1
RC,362,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,6587.0,6587.0,1
RC,362,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,362,Bile acids; total ,,,18.66,18.66,3
RC,362,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,3293.0,3293.0,1
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,1209.12,6680.0,7
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1209.12,9908.0,7
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,2960.31,9908.0,7
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1637.09,9908.0,7
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1983.29,9908.0,7
RC,362,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,362,Bilirubin; direct ,,,5.47,5.47,3
RC,362,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,362,Bilirubin; total ,,,5.47,5.47,3
RC,362,Biofeedback training by any modality ,,,39.38,44.74,6
RC,362,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,362,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,362,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,1200.05,6680.0,7
RC,362,Biopsy external auditory canal ,,,99.71,4723.0,3
RC,362,Biopsy external ear ,,,57.56,2636.0,3
RC,362,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,986.93,5932.0,7
RC,362,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,95.93,5932.0,7
RC,362,Biopsy of conjunctiva ,,,113.96,5932.0,7
RC,362,Biopsy of cornea ,,,733.22,6680.0,7
RC,362,"Biopsy of epididymis, needle ",,,510.77,5932.0,7
RC,362,Biopsy of extraocular muscle ,,,1158.59,5932.0,7
RC,362,Biopsy of floor of mouth ,,,110.18,5932.0,7
RC,362,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,351.7,5932.0,7
RC,362,Biopsy of lacrimal gland ,,,733.22,5932.0,7
RC,362,Biopsy of lacrimal sac ,,,733.22,5932.0,7
RC,362,Biopsy of lip ,,,67.44,2636.0,3
RC,362,"Biopsy of liver, needle; percutaneous ",,,510.77,5932.0,7
RC,362,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,362,"Biopsy of liver, wedge ",,,6587.0,6587.0,1
RC,362,Biopsy of nerve ,,,692.94,6680.0,7
RC,362,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1116.7,9908.0,7
RC,362,"Biopsy of palate, uvula ",,,3293.0,5932.0,5
RC,362,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,6587.0,6587.0,1
RC,362,"Biopsy of pancreas, percutaneous needle ",,,510.77,5932.0,7
RC,362,Biopsy of penis; (separate procedure) ,,,510.77,5932.0,7
RC,362,Biopsy of penis; deep structures ,,,855.96,5932.0,7
RC,362,Biopsy of salivary gland; incisional ,,,441.67,6680.0,7
RC,362,Biopsy of salivary gland; needle ,,,60.46,5932.0,7
RC,362,"Biopsy of spinal cord, percutaneous needle ",,,510.77,5932.0,7
RC,362,"Biopsy of stomach, by laparotomy ",,,5381.0,5381.0,1
RC,362,"Biopsy of testis, incisional (separate procedure) ",,,1200.05,5932.0,7
RC,362,"Biopsy of testis, needle (separate procedure) ",,,855.96,5932.0,7
RC,362,Biopsy of tongue; anterior two-thirds ,,,116.86,5932.0,7
RC,362,Biopsy of tongue; posterior one-third ,,,115.11,6680.0,7
RC,362,Biopsy of urethra ,,,685.44,5932.0,7
RC,362,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,1116.7,6680.0,7
RC,362,Biopsy of vaginal mucosa; simple (separate procedure) ,,,49.41,5932.0,7
RC,362,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,47.09,5932.0,7
RC,362,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,2636.0,5932.0,5
RC,362,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,510.77,5932.0,7
RC,362,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,1011.84,6680.0,7
RC,362,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,1011.84,6680.0,7
RC,362,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,1011.84,6680.0,7
RC,362,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,5286.0,6680.0,5
RC,362,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,1011.84,6680.0,7
RC,362,"Biopsy or excision of lymph node(s); open, superficial ",,,1011.84,6680.0,7
RC,362,"Biopsy thyroid, percutaneous core needle ",,,44.76,5932.0,7
RC,362,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,510.77,5932.0,7
RC,362,"Biopsy, prostate, any approach, nonimaging-guided ",,,1200.05,6680.0,7
RC,362,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,362,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,7839.0,9908.0,4
RC,362,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,7839.0,9908.0,4
RC,362,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,5286.0,6680.0,4
RC,362,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,5286.0,6680.0,4
RC,362,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,5286.0,6680.0,4
RC,362,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,5286.0,6680.0,4
RC,362,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,5286.0,6680.0,4
RC,362,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,5286.0,6680.0,4
RC,362,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,685.44,4723.0,3
RC,362,"Biopsy, vestibule of mouth ",,,113.09,5932.0,7
RC,362,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,930.95,6680.0,7
RC,362,"Biopsy; nasopharynx, visible lesion, simple ",,,930.95,5932.0,7
RC,362,Biopsy; oropharynx ,,,89.82,5932.0,7
RC,362,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,362,Bladder instillation of anticarcinogenic agent (including retention time) ,,,47.09,6587.0,3
RC,362,"Bladder irrigation, simple, lavage and/or instillation ",,,46.52,6587.0,7
RC,362,Bleeding time ,,,5.25,5.25,3
RC,362,"Blepharotomy, drainage of abscess, eyelid ",,,113.7,5932.0,7
RC,362,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,18288.0,23113.0,4
RC,362,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,8024.0,1
RC,362,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,18288.0,23113.0,4
RC,362,Blood component/product no ,,,38.5,38.5,3
RC,362,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,362,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,362,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,362,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,362,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,362,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,362,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,362,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,362,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,362,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,362,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,362,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,362,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,362,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,362,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,362,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,362,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,362,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,362,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,362,Blood split unit ,,,169.87,169.87,3
RC,362,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,362,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,362,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,362,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,362,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,362,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,362,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,362,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,362,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,362,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,362,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,362,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,362,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,362,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,2636.0,2636.0,1
RC,362,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,362,Bone marrow harvesting for transplantation; allogeneic ,,,592.85,18490.0,7
RC,362,Bone marrow harvesting for transplantation; autologous ,,,1757.86,9908.0,7
RC,362,Bradykinin ,,,5.62,5.62,3
RC,362,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,362,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,362,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,362,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,362,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,362,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,362,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,362,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,362,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,2636.0,2636.0,1
RC,362,Breathing circuits ,,,11.75,11.75,3
RC,362,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,362,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,362,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,362,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,9908.0,4
RC,362,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,6680.0,4
RC,362,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,18288.0,23113.0,4
RC,362,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,18288.0,23113.0,4
RC,362,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,6680.0,4
RC,362,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,9908.0,4
RC,362,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,9908.0,4
RC,362,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,9908.0,4
RC,362,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,362,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,362,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,6587.0,6587.0,1
RC,362,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,6587.0,6587.0,1
RC,362,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,6587.0,6587.0,1
RC,362,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,6587.0,6587.0,1
RC,362,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,6587.0,6587.0,1
RC,362,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,6587.0,6587.0,1
RC,362,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,6587.0,6587.0,1
RC,362,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,6587.0,6587.0,1
RC,362,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,362,C-peptide ,,,22.68,22.68,3
RC,362,C-reactive protein; ,,,5.65,5.65,3
RC,362,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,362,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,362,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,362,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,362,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,362,CATHETERIZE MIDDLE EAR CANAL ,,,6587.0,6587.0,1
RC,362,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,362,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,362,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,362,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,362,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,362,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,362,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,362,CHANGE BILE DUCT CATHETER ,,,6587.0,6587.0,1
RC,362,CHANGE IV CATH AT THROMB TX ,,,6587.0,6587.0,1
RC,362,CHANGE KIDNEY TUBE ,,,6587.0,6587.0,1
RC,362,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,2636.0,2636.0,1
RC,362,CIRCUMCISION ,,,6587.0,6587.0,1
RC,362,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,COLLECT BLOOD VENOUS DEVICE ,,,6587.0,6587.0,1
RC,362,COLONOSCOPY LESION REMOVAL ,,,6587.0,6587.0,1
RC,362,COLONOSCOPY W/STENT ,,,6587.0,6587.0,2
RC,362,CONTROL POSTOP BLEEDING ,,,6587.0,6587.0,1
RC,362,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,7168.0,7168.0,1
RC,362,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,6587.0,6587.0,1
RC,362,CREATE SALIVARY CYST DRAIN ,,,6587.0,6587.0,2
RC,362,CRYOTHERAPY OF RECTAL LESION ,,,6587.0,6587.0,2
RC,362,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,362,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,362,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,362,CT and CTA without Contras ,,,242.29,242.29,3
RC,362,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,362,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,362,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,362,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,362,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,362,"CYSTOSCOPY, RESECT DUCTS ",,,6587.0,6587.0,1
RC,362,Cabazitaxel injection ,,,254.77,254.77,3
RC,362,Cadmium ,,,25.77,25.77,3
RC,362,Caffeine ,,,42.04,42.04,3
RC,362,Calcitonin ,,,29.2,29.2,3
RC,362,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,362,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,362,Calcium; ionized ,,,14.91,14.91,3
RC,362,Calcium; total ,,,5.62,5.62,3
RC,362,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,362,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,362,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,362,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,362,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,362,"Calprotectin, fecal ",,,21.4,21.4,3
RC,362,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,362,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,362,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,362,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,362,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,362,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,362,"Cannula, nasal ",,,1.13,1.13,3
RC,362,"Cannulation, thoracic duct ",,,2636.0,2636.0,1
RC,362,"Cantharidin top, applicato ",,,757.78,757.78,3
RC,362,Canthoplasty (reconstruction of canthus) ,,,733.22,6680.0,7
RC,362,Canthotomy (separate procedure) ,,,733.22,5932.0,7
RC,362,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,362,Capsaicin 8% patch ,,,3.82,3.82,3
RC,362,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,362,Carbamazepine; free ,,,14.44,14.44,3
RC,362,Carbamazepine; total ,,,15.88,15.88,3
RC,362,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,362,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,362,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,362,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,362,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,362,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,362,Cardiac Rehabilitation ,,,141.15,141.15,3
RC,362,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,362,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,362,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,362,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,362,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,2636.0,2636.0,1
RC,362,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,3293.0,3293.0,1
RC,362,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,3293.0,3293.0,1
RC,362,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,362,Carmustine injection ,,,261.61,261.61,3
RC,362,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,362,Carotene ,,,10.05,10.05,3
RC,362,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,362,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,362,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,362,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,362,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,362,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,362,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,362,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,362,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,362,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,362,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,362,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,362,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,362,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,362,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,362,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,362,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,362,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,362,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,362,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,362,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,362,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,362,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,362,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,362,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,362,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,362,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,362,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,362,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,362,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,362,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,362,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,362,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,362,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,362,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,362,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,362,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,362,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,362,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,362,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,362,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,362,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,362,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,362,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,362,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,362,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,362,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,362,"Caster pin lock, each ",,,46.34,46.34,3
RC,362,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,362,Catecholamines; blood ,,,31.7,31.7,3
RC,362,Catecholamines; fractionated ,,,27.52,27.52,3
RC,362,Catecholamines; total urine ,,,29.76,29.76,3
RC,362,Cathepsin-D ,,,19.69,19.69,3
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,18288.0,33769.0,12
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,26718.0,33769.0,4
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,26718.0,33769.0,4
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,18288.0,23113.0,4
RC,362,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,2636.0,5932.0,5
RC,362,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,362,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,7
RC,362,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,2636.0,2636.0,1
RC,362,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,4693.0,6587.0,5
RC,362,"Cautery of cervix; cryocautery, initial or repeat ",,,110.18,5932.0,7
RC,362,Cautery of cervix; electro or thermal ,,,83.14,6680.0,7
RC,362,Cautery of cervix; laser ablation ,,,1116.7,6680.0,7
RC,362,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,362,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,362,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,362,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,362,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,362,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,362,"Cerclage of cervix, during pregnancy; abdominal ",,,6587.0,19415.0,5
RC,362,"Cerclage of cervix, during pregnancy; vaginal ",,,1116.7,5932.0,7
RC,362,"Cerclage of uterine cervix, nonobstetrical ",,,4693.0,5932.0,5
RC,362,Ceruloplasmin ,,,11.71,11.71,3
RC,362,Cervical head harness/halter ,,,30.83,30.83,3
RC,362,Cervical lymphadenectomy (complete) ,,,5381.0,19415.0,5
RC,362,Cervical lymphadenectomy (modified radical neck dissection) ,,,6587.0,19415.0,5
RC,362,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,362,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,362,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,362,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,362,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,362,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,362,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,362,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,362,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,362,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,362,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,362,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,362,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,362,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,362,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,362,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,362,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,6587.0,6587.0,1
RC,362,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,6587.0,6587.0,1
RC,362,Cesarean delivery only; ,,,6587.0,6587.0,1
RC,362,Cesarean delivery only; including postpartum care ,,,6587.0,18490.0,5
RC,362,Cetuximab injection ,,,89.02,89.02,3
RC,362,Change of cystostomy tube; complicated ,,,250.06,6587.0,7
RC,362,Change of cystostomy tube; simple ,,,54.36,6587.0,7
RC,362,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,685.44,5932.0,7
RC,362,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,6680.0,4
RC,362,Chemiluminescent assay ,,,15.39,15.39,3
RC,362,Chemodenervation of eccrine glands; both axillae ,,,53.19,5932.0,7
RC,362,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,60.75,5932.0,7
RC,362,Chemodenervation of extraocular muscle ,,,107.27,5932.0,7
RC,362,Chemodenervation of internal anal sphincter ,,,450.72,5932.0,7
RC,362,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,78.19,6587.0,7
RC,362,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,68.02,5932.0,7
RC,362,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,62.21,5932.0,7
RC,362,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,60.16,5932.0,7
RC,362,Chemodenervation of one extremity; 1-4 muscle(s) ,,,72.09,5932.0,7
RC,362,Chemodenervation of one extremity; 5 or more muscles ,,,89.82,5932.0,7
RC,362,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,362,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,362,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,70.93,5932.0,7
RC,362,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,72.09,5932.0,7
RC,362,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,79.06,5932.0,7
RC,362,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,6587.0,6587.0,1
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,6587.0,6587.0,1
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,6587.0,6587.0,1
RC,362,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,6587.0,6587.0,1
RC,362,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,362,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,362,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,362,Chloramphenicol ,,,13.81,13.81,3
RC,362,Chloride; blood ,,,5.01,5.01,3
RC,362,Chloride; other source ,,,5.45,5.45,3
RC,362,Chloride; urine ,,,6.27,6.27,3
RC,362,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,362,Cholecystectomy with exploration of common duct; ,,,6587.0,76895.0,5
RC,362,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,6587.0,76895.0,5
RC,362,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,6587.0,23113.0,5
RC,362,Cholecystectomy; ,,,6587.0,19415.0,5
RC,362,Cholecystectomy; with cholangiography ,,,6587.0,18490.0,5
RC,362,Cholecystoenterostomy; Roux-en-Y ,,,6587.0,6587.0,1
RC,362,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,6587.0,6587.0,1
RC,362,Cholecystoenterostomy; direct ,,,6587.0,6587.0,1
RC,362,Cholecystoenterostomy; with gastroenterostomy ,,,6587.0,6587.0,1
RC,362,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,5381.0,5381.0,1
RC,362,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,6587.0,6587.0,1
RC,362,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,6587.0,6587.0,1
RC,362,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,362,Choline c-11 ,,,2742.91,2742.91,3
RC,362,Cholinesterase; RBC ,,,10.69,10.69,3
RC,362,Cholinesterase; serum ,,,8.58,8.58,3
RC,362,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,362,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,362,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,362,"Chorionic villus sampling, any method ",,,52.32,3293.0,3
RC,362,Chromium ,,,22.11,22.11,3
RC,362,Chromogenic substrate assay ,,,12.96,12.96,3
RC,362,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,362,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,362,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,362,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,362,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,362,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,362,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,362,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,362,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,362,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,362,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,362,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,362,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,362,"Chromotubation of oviduct, including materials ",,,7168.0,9908.0,5
RC,362,Cidofovir injection ,,,583.95,583.95,3
RC,362,Ciliary body destruction; cryotherapy ,,,733.22,6680.0,7
RC,362,Ciliary body destruction; cyclodialysis ,,,733.22,6680.0,7
RC,362,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,892.44,6680.0,7
RC,362,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,733.22,6680.0,7
RC,362,Ciliary body destruction; diathermy ,,,892.44,6680.0,7
RC,362,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,362,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,250.06,6680.0,7
RC,362,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,685.44,6680.0,7
RC,362,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,685.44,5932.0,7
RC,362,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,113.56,5932.0,7
RC,362,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,113.56,5932.0,7
RC,362,Citrate ,,,30.3,30.3,3
RC,362,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,362,Clinic Visits and Related ,,,145.78,145.78,3
RC,362,Clitoroplasty for intersex state ,,,1116.7,5381.0,3
RC,362,Closure of anal fistula with rectal advancement flap ,,,986.93,19415.0,7
RC,362,Closure of cystostomy (separate procedure) ,,,1200.05,5932.0,7
RC,362,Closure of enteroenteric or enterocolic fistula ,,,6587.0,6587.0,1
RC,362,"Closure of enterostomy, large or small intestine; ",,,6587.0,6587.0,1
RC,362,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,6587.0,6587.0,1
RC,362,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,6587.0,6587.0,1
RC,362,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,6587.0,6587.0,1
RC,362,Closure of enterovesical fistula; without intestinal or bladder resection ,,,6587.0,6587.0,1
RC,362,Closure of esophagostomy or fistula; cervical approach ,,,5286.0,6680.0,5
RC,362,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,6587.0,6587.0,1
RC,362,Closure of gastrocolic fistula ,,,6587.0,6587.0,1
RC,362,"Closure of gastrostomy, surgical ",,,1175.22,5932.0,7
RC,362,Closure of intestinal cutaneous fistula ,,,6587.0,6587.0,1
RC,362,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,91.96,2636.0,3
RC,362,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,196.58,5932.0,7
RC,362,Closure of lacrimal fistula (separate procedure) ,,,733.22,19415.0,7
RC,362,Closure of nephrocutaneous or pyelocutaneous fistula ,,,3293.0,5932.0,5
RC,362,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,6587.0,6587.0,1
RC,362,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,6587.0,6587.0,1
RC,362,Closure of rectourethral fistula; ,,,6587.0,6587.0,1
RC,362,Closure of rectourethral fistula; with colostomy ,,,6587.0,6587.0,1
RC,362,Closure of rectovaginal fistula; abdominal approach ,,,6587.0,18490.0,5
RC,362,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,6587.0,6587.0,1
RC,362,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,5381.0,5381.0,1
RC,362,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1116.7,9908.0,7
RC,362,Closure of rectovesical fistula; ,,,6587.0,6587.0,1
RC,362,Closure of rectovesical fistula; with colostomy ,,,6587.0,6587.0,1
RC,362,"Closure of the lacrimal punctum; by plug, each ",,,82.55,5932.0,7
RC,362,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,113.7,5932.0,7
RC,362,Closure of ureterocutaneous fistula ,,,6587.0,6587.0,1
RC,362,Closure of ureterovisceral fistula (including visceral repair) ,,,6587.0,6587.0,1
RC,362,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,1773.9,7168.0,7
RC,362,Closure of urethrovaginal fistula; ,,,2390.64,9908.0,7
RC,362,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,7168.0,19415.0,5
RC,362,Closure of vesicouterine fistula; ,,,5381.0,9908.0,5
RC,362,Closure of vesicouterine fistula; with hysterectomy ,,,6587.0,6587.0,1
RC,362,"Closure of vesicovaginal fistula, abdominal approach ",,,7168.0,19415.0,5
RC,362,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,7168.0,7168.0,1
RC,362,Closure of vesicovaginal fistula; vaginal approach ,,,1603.34,9908.0,7
RC,362,"Closure postauricular fistula, mastoid (separate procedure) ",,,441.67,9908.0,7
RC,362,Closure salivary fistula ,,,930.95,5932.0,7
RC,362,"Closure, exstrophy of bladder ",,,6587.0,6587.0,1
RC,362,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,362,Clot retraction ,,,17.77,17.77,3
RC,362,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,362,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,362,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,362,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,362,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,362,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,362,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,362,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,362,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,362,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,362,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,362,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,362,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,362,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,362,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,362,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,362,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,362,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,362,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,362,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,362,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,362,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,362,Clozapine ,,,21.96,21.96,3
RC,362,Clubfoot wedge ,,,66.8,66.8,3
RC,362,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,362,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,362,Coagulation time; activated ,,,4.67,4.67,3
RC,362,Coagulation time; other methods ,,,4.89,4.89,3
RC,362,Cochlear Implant Procedure ,,,36103.38,36103.38,3
RC,362,"Cochlear device implantation, with or without mastoidectomy ",,,8325.0,27258.08,7
RC,362,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,362,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,362,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,362,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,362,Cold agglutinin; screen ,,,8.8,8.8,3
RC,362,Cold agglutinin; titer ,,,8.79,8.79,3
RC,362,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,6587.0,6587.0,1
RC,362,"Colectomy, partial; abdominal and transanal approach ",,,6587.0,6587.0,1
RC,362,"Colectomy, partial; with anastomosis ",,,6587.0,6587.0,1
RC,362,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,6587.0,6587.0,1
RC,362,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,6587.0,6587.0,1
RC,362,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,6587.0,6587.0,1
RC,362,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,6587.0,6587.0,1
RC,362,"Colectomy, partial; with skin level cecostomy or colostomy ",,,6587.0,6587.0,1
RC,362,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,6587.0,6587.0,1
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,6587.0,6587.0,1
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,6587.0,6587.0,1
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,6587.0,6587.0,1
RC,362,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,6587.0,6587.0,1
RC,362,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,6587.0,6587.0,1
RC,362,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,362,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,362,"Collagen cross links, any method ",,,20.36,20.36,3
RC,362,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,362,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,362,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,362,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,362,Collection of venous blood by venipuncture ,,,10.18,10.18,3
RC,362,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,362,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,5932.0,7
RC,362,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,4693.0,5932.0,5
RC,362,"Colonoscopy through stoma; with biopsy, single or multiple ",,,450.72,5932.0,7
RC,362,"Colonoscopy through stoma; with control of bleeding, any method ",,,450.72,5932.0,7
RC,362,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,344.93,5932.0,7
RC,362,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,450.72,5932.0,7
RC,362,Colonoscopy through stoma; with endoscopic mucosal resection ,,,450.72,5932.0,7
RC,362,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,4693.0,5932.0,5
RC,362,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,450.72,5932.0,7
RC,362,Colonoscopy through stoma; with removal of foreign body(s) ,,,344.93,5932.0,7
RC,362,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,450.72,5932.0,7
RC,362,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,5932.0,7
RC,362,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,450.72,5932.0,7
RC,362,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,450.72,5932.0,7
RC,362,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,6680.0,7
RC,362,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with biopsy, single or multiple ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with control of bleeding, any method ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,986.93,6680.0,7
RC,362,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,2941.94,6680.0,7
RC,362,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with removal of foreign body(s) ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,450.72,6680.0,7
RC,362,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,450.72,6680.0,7
RC,362,Colorectal cancer screening; colonoscopy on individual at high risk ,,,3293.0,6680.0,5
RC,362,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,3293.0,6680.0,5
RC,362,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,362,Colorectal cancer screening; flexible sigmoidoscopy ,,,3293.0,5932.0,5
RC,362,Colostomy or skin level cecostomy; ,,,6587.0,6587.0,1
RC,362,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,6587.0,76895.0,5
RC,362,Colpocentesis (separate procedure) ,,,1603.34,6680.0,7
RC,362,Colpocleisis (Le Fort type) ,,,1603.34,18490.0,7
RC,362,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,1116.7,6680.0,7
RC,362,"Colpopexy, abdominal approach ",,,5381.0,18490.0,5
RC,362,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,8024.0,18490.0,5
RC,362,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,8024.0,18490.0,5
RC,362,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,14630.0,18490.0,4
RC,362,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,1116.7,5932.0,7
RC,362,Colposcopy of the cervix including upper/adjacent vagina; ,,,59.59,6680.0,7
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,73.54,5932.0,7
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,68.31,6680.0,7
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,69.76,5932.0,7
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,183.14,6680.0,7
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,194.48,9908.0,7
RC,362,"Colposcopy of the entire vagina, with cervix if present; ",,,60.75,5932.0,7
RC,362,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,79.95,5932.0,7
RC,362,Colposcopy of the vulva; ,,,57.86,5932.0,7
RC,362,Colposcopy of the vulva; with biopsy(s) ,,,76.17,5932.0,7
RC,362,Colpotomy; with drainage of pelvic abscess ,,,1116.7,6680.0,7
RC,362,Colpotomy; with exploration ,,,1116.7,5932.0,7
RC,362,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,362,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,362,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,362,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.34,18490.0,7
RC,362,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.34,23113.0,7
RC,362,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,362,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,362,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,362,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,362,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,362,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,362,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,362,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,362,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,362,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,362,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,362,"Complement; antigen, each component ",,,13.08,13.08,3
RC,362,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,362,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,362,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,362,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,362,Complex GI Procedures ,,,6647.43,6647.43,3
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,115.66,6587.0,7
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,229.65,6587.0,7
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,233.43,6587.0,7
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,233.71,6587.0,7
RC,362,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,362,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,6587.0,6587.0,1
RC,362,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,362,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,362,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,23113.0,4
RC,362,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,23113.0,4
RC,362,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,7668.0,2
RC,362,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,7668.0,1
RC,362,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,362,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,362,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,6587.0,6587.0,1
RC,362,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,362,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,362,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,362,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,362,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,362,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,362,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,362,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,362,"Congo red, blood ",,,5.4,5.4,3
RC,362,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,1116.7,6680.0,7
RC,362,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,1116.7,6680.0,7
RC,362,Conjunctival flap; bridge or partial (separate procedure) ,,,1158.59,7168.0,7
RC,362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,733.22,6680.0,7
RC,362,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,733.22,19415.0,7
RC,362,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1158.59,19415.0,7
RC,362,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1158.59,19415.0,7
RC,362,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,733.22,19415.0,7
RC,362,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1158.59,19415.0,7
RC,362,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1158.59,19415.0,7
RC,362,Construction of artificial vagina; with graft ,,,7168.0,19415.0,5
RC,362,Construction of artificial vagina; without graft ,,,1603.34,18490.0,7
RC,362,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,733.22,9908.0,7
RC,362,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,733.22,9908.0,7
RC,362,Cont epidur inject-lumb ,,,6587.0,6587.0,1
RC,362,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,362,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,362,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,362,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,362,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,362,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,362,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,362,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,362,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,362,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,362,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,362,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,362,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,362,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,362,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,362,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,362,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,362,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,362,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,6587.0,6587.0,1
RC,362,Continent ileostomy (Kock procedure) (separate procedure) ,,,6587.0,6587.0,1
RC,362,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,2636.0,2636.0,1
RC,362,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,362,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,362,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,2636.0,5932.0,5
RC,362,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,83.43,6680.0,6
RC,362,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,2636.0,5932.0,5
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,6587.0,6587.0,1
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,91.96,5932.0,7
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,930.95,9908.0,7
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,6587.0,6587.0,1
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,196.58,5932.0,7
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,930.95,6680.0,7
RC,362,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,362,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,1209.12,7168.0,7
RC,362,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,5932.0,7
RC,362,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,5286.0,6680.0,4
RC,362,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,685.44,5932.0,7
RC,362,Copper ,,,13.53,13.53,3
RC,362,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,362,"Cordocentesis (intrauterine), any method ",,,2636.0,2636.0,1
RC,362,Corneal relaxing incision for correction of surgically induced astigmatism ,,,351.98,19415.0,7
RC,362,Corneal wedge resection for correction of surgically induced astigmatism ,,,733.22,19415.0,7
RC,362,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,362,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,6587.0,6587.0,1
RC,362,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1200.05,19415.0,7
RC,362,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1200.05,19415.0,7
RC,362,"Correction of everted punctum, cautery ",,,113.7,5932.0,7
RC,362,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,733.22,9908.0,7
RC,362,Correction of lid retraction ,,,733.22,9908.0,7
RC,362,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,6587.0,23113.0,5
RC,362,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,70.63,2636.0,3
RC,362,"Correction of trichiasis; epilation, by forceps only ",,,2636.0,2636.0,1
RC,362,Correction of trichiasis; incision of lid margin ,,,351.98,6680.0,7
RC,362,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,733.22,6680.0,7
RC,362,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,362,Corticosterone ,,,24.55,24.55,3
RC,362,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,362,Cortisol; free ,,,18.21,18.21,3
RC,362,Cortisol; total ,,,17.77,17.77,3
RC,362,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,2636.0,2636.0,1
RC,362,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,8024.0,8024.0,1
RC,362,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,362,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,362,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,362,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,362,Cr51 chromate ,,,2090.58,2090.58,3
RC,362,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,362,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,362,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,362,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,362,Craniectomy for craniosynostosis; multiple cranial sutures ,,,6587.0,6587.0,1
RC,362,Craniectomy for craniosynostosis; single cranial suture ,,,6587.0,6587.0,1
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,6587.0,6587.0,1
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,6587.0,6587.0,1
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,6587.0,6587.0,1
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,4723.0,4723.0,1
RC,362,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,6587.0,6587.0,1
RC,362,"Craniectomy or craniotomy, exploratory; supratentorial ",,,6587.0,6587.0,1
RC,362,Craniectomy or craniotomy; with excision of foreign body from brain ,,,6587.0,6587.0,1
RC,362,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,6587.0,6587.0,1
RC,362,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,6587.0,6587.0,1
RC,362,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,6587.0,6587.0,1
RC,362,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,6587.0,6587.0,1
RC,362,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,6587.0,6587.0,1
RC,362,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,6587.0,6587.0,1
RC,362,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,6587.0,6587.0,1
RC,362,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,6587.0,6587.0,1
RC,362,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,6587.0,6587.0,1
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,6587.0,6587.0,1
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,6587.0,6587.0,1
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,6587.0,6587.0,1
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,6587.0,6587.0,1
RC,362,Craniectomy; for osteomyelitis ,,,6587.0,6587.0,1
RC,362,Craniectomy; with excision of tumor or other bone lesion of skull ,,,8024.0,33769.0,5
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,6587.0,6587.0,1
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,6587.0,6587.0,1
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,6587.0,6587.0,1
RC,362,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,6587.0,6587.0,1
RC,362,Cranioplasty for skull defect with reparative brain surgery ,,,6587.0,6587.0,1
RC,362,Cranioplasty for skull defect; larger than 5 cm diameter ,,,6587.0,6587.0,1
RC,362,Cranioplasty for skull defect; up to 5 cm diameter ,,,6587.0,6587.0,1
RC,362,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,6587.0,6587.0,1
RC,362,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,6587.0,6587.0,1
RC,362,Craniotomy for craniosynostosis; bifrontal bone flap ,,,6587.0,6587.0,1
RC,362,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,6587.0,6587.0,1
RC,362,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,6587.0,6587.0,1
RC,362,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,6587.0,6587.0,1
RC,362,"Craniotomy for repair of encephalocele, skull base ",,,6587.0,6587.0,1
RC,362,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,6587.0,6587.0,1
RC,362,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,6587.0,6587.0,1
RC,362,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,6587.0,6587.0,1
RC,362,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,6587.0,6587.0,1
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,6587.0,6587.0,1
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,6587.0,6587.0,1
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,6587.0,6587.0,1
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,6587.0,6587.0,1
RC,362,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,6587.0,6587.0,1
RC,362,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,6587.0,6587.0,1
RC,362,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,6587.0,6587.0,1
RC,362,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,6587.0,6587.0,1
RC,362,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,6587.0,6587.0,1
RC,362,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,6587.0,6587.0,1
RC,362,Creatine ,,,5.06,5.06,3
RC,362,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,362,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,362,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,362,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,362,Creatinine; blood ,,,5.58,5.58,3
RC,362,Creatinine; clearance ,,,10.31,10.31,3
RC,362,Creatinine; other source ,,,5.65,5.65,3
RC,362,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,2036.11,19415.0,6
RC,362,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,2036.11,19415.0,6
RC,362,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,6587.0,6587.0,1
RC,362,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,6587.0,6587.0,1
RC,362,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,692.94,9908.0,7
RC,362,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,692.94,9908.0,7
RC,362,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,692.94,6680.0,7
RC,362,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,6587.0,6587.0,1
RC,362,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,5286.0,7168.0,5
RC,362,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,6587.0,6587.0,1
RC,362,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,6587.0,6587.0,1
RC,362,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,6587.0,6587.0,1
RC,362,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,6587.0,6587.0,1
RC,362,Cricopharyngeal myotomy ,,,2051.93,8024.0,3
RC,362,Critical Care ,,,904.47,904.47,3
RC,362,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,362,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,362,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,362,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,362,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,362,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,362,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,362,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,362,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,362,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,362,Cryofibrinogen ,,,15.41,15.41,3
RC,362,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,362,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,362,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,362,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,362,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,7008.0,7008.0,1
RC,362,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,362,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,362,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,362,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,362,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,362,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,362,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,362,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,362,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,362,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,362,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,362,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,362,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,362,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,362,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,362,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,362,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,362,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,362,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,362,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,362,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,362,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,362,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,362,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,362,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,362,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,362,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,362,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,362,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,362,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,362,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,362,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,362,"Culture, typing; other methods ",,,8.44,8.44,3
RC,362,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,154.64,5932.0,7
RC,362,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,3293.0,5932.0,5
RC,362,"Curettage, postpartum ",,,1116.7,9908.0,7
RC,362,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,362,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,362,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,362,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,362,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,362,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,362,Cutaneous appendico-vesicostomy ,,,6587.0,6587.0,1
RC,362,Cutaneous vesicostomy ,,,5381.0,5381.0,1
RC,362,Cyanide ,,,21.15,21.15,3
RC,362,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,362,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,362,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,362,Cyclosporine ,,,19.67,19.67,3
RC,362,Cystatin C ,,,20.19,20.19,3
RC,362,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,6587.0,6587.0,1
RC,362,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,6587.0,6587.0,1
RC,362,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,6587.0,6587.0,1
RC,362,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,6587.0,6587.0,1
RC,362,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,6587.0,6587.0,1
RC,362,"Cystectomy, complete; (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,6587.0,6587.0,1
RC,362,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,6587.0,6587.0,1
RC,362,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,6587.0,6587.0,1
RC,362,"Cystectomy, partial; simple ",,,6587.0,6587.0,1
RC,362,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,362,Cysto w Bx/fulgur les ,,,6587.0,6587.0,1
RC,362,Cysto w lithotripsy ,,,6587.0,6587.0,1
RC,362,Cysto w rmvl/manip CAL ,,,6587.0,6587.0,1
RC,362,Cysto w tumor resection ,,,6587.0,6587.0,1
RC,362,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1773.9,19415.0,7
RC,362,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2636.0,23113.0,5
RC,362,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,7168.0,19415.0,5
RC,362,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,5286.0,6680.0,5
RC,362,"Cystostomy, cystotomy with drainage ",,,685.44,19415.0,7
RC,362,"Cystotomy for excision, incision, or repair of ureterocele ",,,5381.0,5381.0,1
RC,362,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1200.05,19415.0,7
RC,362,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5381.0,5381.0,1
RC,362,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1200.05,19415.0,7
RC,362,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,685.44,19415.0,7
RC,362,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,7168.0,7168.0,1
RC,362,Cystotomy; for excision of bladder tumor ,,,7168.0,7168.0,1
RC,362,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1200.05,19415.0,7
RC,362,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2636.0,23113.0,5
RC,362,Cystourethroscopy ,,,6587.0,6587.0,1
RC,362,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1773.9,19415.0,7
RC,362,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,1200.05,6680.0,7
RC,362,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1200.05,18490.0,7
RC,362,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,2550.35,8024.0,7
RC,362,Cystourethroscopy (separate procedure) ,,,250.06,3293.0,3
RC,362,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,250.06,6680.0,7
RC,362,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,6680.0,4
RC,362,Cystourethroscopy with direct vision internal urethrotomy ,,,685.44,9908.0,7
RC,362,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1200.05,9908.0,7
RC,362,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,7839.0,9908.0,4
RC,362,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1200.05,19415.0,7
RC,362,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,6587.0,9908.0,5
RC,362,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1200.05,9908.0,7
RC,362,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,1200.05,6680.0,7
RC,362,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,5381.0,9908.0,5
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1773.9,9908.0,7
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,6680.0,4
RC,362,"Cystourethroscopy, with biopsy(s) ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,234.3,6680.0,7
RC,362,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,250.06,6680.0,7
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1773.9,9908.0,7
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,1200.05,6680.0,7
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,1200.05,6680.0,7
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,1200.05,6680.0,7
RC,362,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1200.05,5381.0,3
RC,362,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,2636.0,5932.0,5
RC,362,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,2636.0,9908.0,5
RC,362,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,7839.0,9908.0,4
RC,362,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5381.0,19415.0,5
RC,362,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,18490.0,5
RC,362,"Cystourethroscopy, with internal urethrotomy; female ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with internal urethrotomy; male ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,6587.0,9908.0,5
RC,362,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,1200.05,6680.0,7
RC,362,"Cystourethroscopy, with steroid injection into stricture ",,,685.44,6680.0,7
RC,362,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,685.44,5381.0,3
RC,362,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,1200.05,6680.0,7
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,15362.0,19415.0,4
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1773.9,19415.0,7
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1773.9,1773.9,2
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1773.9,8024.0,3
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1200.05,19415.0,7
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1773.9,19415.0,7
RC,362,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,1773.9,6680.0,7
RC,362,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,1200.05,6680.0,7
RC,362,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,7
RC,362,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,685.44,6680.0,7
RC,362,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,362,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,362,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,362,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,362,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,362,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,362,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,362,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,362,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,362,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,362,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,362,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,362,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,362,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,362,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,362,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,362,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,362,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,362,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,362,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,362,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,362,D & C OF RESIDUAL CERVIX ,,,6587.0,6587.0,1
RC,362,DECLOT VASCULAR DEVICE ,,,6587.0,6587.0,1
RC,362,DESTR PARAVERTEBRAL N ADD-ON ,,,6587.0,6587.0,2
RC,362,DESTR PARAVERTEBRL NERVE C/T ,,,6587.0,6587.0,1
RC,362,DESTR PARAVERTEBRL NERVE L/S ,,,6587.0,6587.0,1
RC,362,DESTROY NERVE EXTREM MUSC ,,,6587.0,6587.0,1
RC,362,DESTROY NERVE NECK MUSCLE ,,,6587.0,6587.0,1
RC,362,DESTRUCTION OF HEMORRHOIDS ,,,6587.0,6587.0,3
RC,362,DILATE ESOPHAGUS ,,,6587.0,6587.0,2
RC,362,DILATION PROSTATIC URETHRA ,,,6587.0,6587.0,1
RC,362,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,362,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,362,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,362,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,362,DRAIN ABDOMINAL ABSCESS ,,,6587.0,6587.0,1
RC,362,DRAIN APP ABSCESS PERCUT ,,,6587.0,6587.0,1
RC,362,DRAIN PANCREATIC PSEUDOCYST ,,,6587.0,6587.0,1
RC,362,DRAIN PELVIC ABSCESS PERCUT ,,,6587.0,6587.0,1
RC,362,DRAIN PERCUT ABDOM ABSCESS ,,,6587.0,6587.0,1
RC,362,DRAIN PERCUT RETROPER ABSC ,,,6587.0,6587.0,1
RC,362,DRAINAGE OF BLADDER ,,,6587.0,6587.0,3
RC,362,DRAINAGE OF EYE ,,,6587.0,6587.0,1
RC,362,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1158.59,19415.0,7
RC,362,Dactinomycin injection ,,,335.08,335.08,3
RC,362,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,362,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,362,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,362,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,362,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,16
RC,362,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,4693.0,5932.0,4
RC,362,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,6680.0,4
RC,362,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,140.69,6680.0,7
RC,362,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,2636.0,2636.0,1
RC,362,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,27.62,5932.0,6
RC,362,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,8024.0,18490.0,5
RC,362,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2051.93,18490.0,7
RC,362,Decompression internal auditory canal ,,,8024.0,8024.0,1
RC,362,"Decompression of orbit only, transcranial approach ",,,8024.0,8024.0,1
RC,362,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,692.94,7168.0,3
RC,362,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,4693.0,5932.0,4
RC,362,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,15362.0,19415.0,4
RC,362,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,5286.0,6680.0,4
RC,362,Decompression; plantar digital nerve ,,,692.94,5932.0,7
RC,362,Decompression; unspecified nerve(s) (specify) ,,,692.94,5932.0,7
RC,362,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,362,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,362,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,593.22,5932.0,7
RC,362,Deligation of ureter ,,,6587.0,6587.0,1
RC,362,Delivery of placenta (separate procedure) ,,,1116.7,5381.0,3
RC,362,Dental Procedures ,,,707.88,707.88,3
RC,362,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,362,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,362,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,362,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,362,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,4723.0,4723.0,1
RC,362,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,362,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,692.94,6587.0,7
RC,362,"Destruction by neurolytic agent, intercostal nerve ",,,357.81,5932.0,7
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,2636.0,5932.0,5
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,692.94,5932.0,7
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,2636.0,5932.0,5
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,692.94,5932.0,7
RC,362,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,692.94,5932.0,7
RC,362,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,692.94,5932.0,7
RC,362,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,357.81,5932.0,7
RC,362,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,357.81,6680.0,7
RC,362,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,357.81,6680.0,7
RC,362,Destruction by neurolytic agent; other peripheral nerve or branch ,,,152.61,5932.0,7
RC,362,Destruction by neurolytic agent; plantar common digital nerve ,,,38.66,5932.0,7
RC,362,Destruction by neurolytic agent; pudendal nerve ,,,357.81,6680.0,7
RC,362,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,218.75,5932.0,7
RC,362,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,140.41,7168.0,7
RC,362,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,137.5,5932.0,7
RC,362,"Destruction of lesion (except excision), dentoalveolar structures ",,,441.67,5932.0,7
RC,362,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,113.7,5932.0,7
RC,362,Destruction of lesion of lid margin (up to 1 cm) ,,,132.27,5932.0,7
RC,362,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,187.2,5932.0,7
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,986.93,5932.0,7
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,144.76,5932.0,7
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,78.06,6680.0,7
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,168.02,6680.0,7
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,986.93,6587.0,7
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,986.93,5932.0,7
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,5932.0,7
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,2636.0,2636.0,1
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,2636.0,2636.0,1
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,76.74,4723.0,3
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,744.46,5932.0,7
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,744.46,5932.0,7
RC,362,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,9908.0,7
RC,362,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,116.57,5932.0,7
RC,362,"Destruction of lesion, conjunctiva ",,,74.13,5932.0,7
RC,362,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,142.44,5932.0,7
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,218.75,5932.0,7
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,123.25,5932.0,7
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,2636.0,5932.0,5
RC,362,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,3293.0,5932.0,5
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,113.7,18490.0,7
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,218.75,18490.0,7
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1158.59,18490.0,7
RC,362,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,986.93,6680.0,7
RC,362,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1116.7,5932.0,7
RC,362,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,103.77,5932.0,7
RC,362,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,362,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,362,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,362,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,362,Dexamethasone intra implan ,,,221.99,221.99,3
RC,362,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,362,Dexrazoxane HCl injection ,,,45.17,45.17,3
RC,362,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,362,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,362,Diagnostic bone marrow; aspiration(s) ,,,97.38,5932.0,7
RC,362,Diagnostic bone marrow; biopsy(ies) ,,,100.58,5932.0,7
RC,362,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,855.96,6587.0,7
RC,362,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,362,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,9908.0,4
RC,362,Diagnostic hysteroscopy ,,,6587.0,6587.0,1
RC,362,Diagnostic laparoscopy ,,,6587.0,6587.0,1
RC,362,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,362,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,362,Dialysis ,,,751.49,751.49,3
RC,362,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,2636.0,5932.0,5
RC,362,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,18288.0,23113.0,16
RC,362,Diaphragm or cervical cap fitting with instructions ,,,37.5,6587.0,3
RC,362,Dibucaine number ,,,13.35,13.35,3
RC,362,Digoxin; free ,,,14.48,14.48,3
RC,362,Digoxin; total ,,,14.48,14.48,3
RC,362,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,362,"Dilation and catheterization of salivary duct, with or without injection ",,,59.88,5932.0,7
RC,362,Dilation and curettage of cervical stump ,,,1116.7,9908.0,7
RC,362,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,1116.7,6680.0,7
RC,362,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,450.72,5932.0,7
RC,362,"Dilation of cervical canal, instrumental (separate procedure) ",,,41.85,5932.0,7
RC,362,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,351.7,5932.0,7
RC,362,"Dilation of esophagus, over guide wire ",,,593.22,5932.0,7
RC,362,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1200.05,6680.0,14
RC,362,Dilation of female urethra including suppository and/or instillation; initial ,,,41.57,5932.0,7
RC,362,Dilation of female urethra including suppository and/or instillation; subsequent ,,,31.08,2636.0,3
RC,362,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,685.44,5932.0,7
RC,362,"Dilation of lacrimal punctum, with or without irrigation ",,,2636.0,2636.0,1
RC,362,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,450.72,5932.0,7
RC,362,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,97.08,5932.0,7
RC,362,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,98.84,5932.0,7
RC,362,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,36.62,5932.0,7
RC,362,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,41.02,5932.0,7
RC,362,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,1200.05,6680.0,7
RC,362,Dilation of vagina under anesthesia (other than local) ,,,1116.7,6680.0,7
RC,362,Dilation salivary duct ,,,39.25,5932.0,7
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,2636.0,2636.0,1
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,8024.0,8024.0,1
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,6587.0,6587.0,1
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,6587.0,6587.0,1
RC,362,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,218.75,6680.0,7
RC,362,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,892.44,5932.0,7
RC,362,"Discission of vitreous strands (without removal), pars plana approach ",,,892.44,5932.0,7
RC,362,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,362,"Dissection, deep jugular node(s) ",,,1983.29,8024.0,7
RC,362,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,15362.0,19415.0,4
RC,362,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,2051.93,18490.0,7
RC,362,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,6587.0,6587.0,1
RC,362,Division of stricture of rectum ,,,450.72,6680.0,7
RC,362,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,362,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,362,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,6587.0,6587.0,1
RC,362,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,6587.0,6587.0,1
RC,362,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,6587.0,6587.0,1
RC,362,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,6587.0,6587.0,1
RC,362,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,6587.0,6587.0,1
RC,362,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,6587.0,6587.0,1
RC,362,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,6587.0,6587.0,1
RC,362,"Donor nephrectomy (including cold preservation); open, from living donor ",,,6587.0,6587.0,1
RC,362,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,6587.0,6587.0,1
RC,362,Doxorubicin inj 10mg ,,,127.1,127.1,3
RC,362,"Drainage external auditory canal, abscess ",,,154.94,5932.0,7
RC,362,"Drainage external ear, abscess or hematoma; complicated ",,,118.89,5932.0,7
RC,362,"Drainage external ear, abscess or hematoma; simple ",,,112.5,5932.0,7
RC,362,Drainage of Skene's gland abscess or cyst ,,,4693.0,5932.0,5
RC,362,"Drainage of abscess of palate, uvula ",,,91.96,6680.0,7
RC,362,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,2636.0,5932.0,5
RC,362,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,196.58,6680.0,7
RC,362,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,138.37,2636.0,3
RC,362,"Drainage of abscess; parotid, complicated ",,,930.95,6680.0,7
RC,362,"Drainage of abscess; parotid, simple ",,,441.67,5932.0,7
RC,362,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,196.58,5932.0,7
RC,362,"Drainage of abscess; submaxillary, external ",,,196.58,5932.0,7
RC,362,Drainage of deep periurethral abscess ,,,1200.05,6680.0,7
RC,362,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,6587.0,6587.0,1
RC,362,Drainage of lymph node abscess or lymphadenitis; extensive ,,,855.96,6680.0,7
RC,362,Drainage of lymph node abscess or lymphadenitis; simple ,,,855.96,5932.0,7
RC,362,Drainage of ovarian abscess; abdominal approach ,,,7168.0,9908.0,5
RC,362,"Drainage of ovarian abscess; vaginal approach, open ",,,1116.7,9908.0,7
RC,362,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1116.7,9908.0,7
RC,362,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1116.7,9908.0,7
RC,362,Drainage of perineal urinary extravasation; complicated ,,,5381.0,5381.0,1
RC,362,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,250.06,9908.0,7
RC,362,"Drainage of perirenal or renal abscess, open ",,,5286.0,6680.0,5
RC,362,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,6587.0,6587.0,1
RC,362,Drainage of perivesical or prevesical space abscess ,,,855.96,5932.0,7
RC,362,"Drainage of retroperitoneal abscess, open ",,,6587.0,6587.0,1
RC,362,Drainage of scrotal wall abscess ,,,510.77,5932.0,7
RC,362,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,6587.0,6587.0,1
RC,362,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,362,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,362,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,362,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,362,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,362,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,362,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,362,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,362,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,71.55,6680.0,7
RC,362,Dry pressure mattress ,,,207.18,207.18,3
RC,362,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,362,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,6587.0,6587.0,1
RC,362,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,351.7,5932.0,7
RC,362,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,2636.0,5932.0,5
RC,362,Duodenal motility (manometric) study ,,,2636.0,5932.0,5
RC,362,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,6587.0,76895.0,5
RC,362,"Dural graft, spinal ",,,6587.0,6587.0,1
RC,362,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,362,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,362,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,362,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,362,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,362,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,362,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,362,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,362,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,362,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,362,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,362,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,362,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,4723.0,4723.0,1
RC,362,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,362,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,362,EMBOLIZATION UTERINE FIBROID ,,,6587.0,6587.0,1
RC,362,ENDO CHOLANGIOPANCREATOGRAPH ,,,6587.0,6587.0,5
RC,362,ESOPH ENDOSCOPY ABLATION ,,,6587.0,6587.0,1
RC,362,ESOPHAGUS ENDOSCOPY ,,,6587.0,6587.0,1
RC,362,EXCISION OF RECTAL LESION ,,,6587.0,6587.0,1
RC,362,EXPLORATION OF EPIDIDYMIS ,,,6587.0,6587.0,1
RC,362,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,6587.0,6587.0,1
RC,362,EXPLORE ORBIT/REMOVE OBJECT ,,,6587.0,6587.0,1
RC,362,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,362,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,362,Ear piercing ,,,6587.0,6587.0,1
RC,362,Ecallantide injection ,,,649.58,649.58,3
RC,362,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,362,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,362,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,362,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,362,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,362,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,362,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,362,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,362,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,362,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,362,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,362,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,362,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,362,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,362,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,362,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,362,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,362,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,362,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,362,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,362,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,362,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,362,"Electric heat pad, moist ",,,110.05,110.05,3
RC,362,"Electric heat pad, standard ",,,43.12,43.12,3
RC,362,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,362,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,362,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,362,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,362,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,362,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,362,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,362,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,362,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,362,Electroejaculation ,,,3293.0,5932.0,5
RC,362,"Electrogastrography, diagnostic, transcutaneous; ",,,2636.0,2636.0,1
RC,362,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,2636.0,2636.0,1
RC,362,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,362,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,362,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,23.25,6587.0,3
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,2636.0,6680.0,5
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,2636.0,6680.0,6
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,2636.0,6680.0,5
RC,362,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,362,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,362,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,362,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,362,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,362,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,362,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,362,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,362,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,362,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,362,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,362,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,2636.0,2636.0,2
RC,362,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,4723.0,4723.0,1
RC,362,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,2636.0,2636.0,1
RC,362,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,362,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,362,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,362,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,362,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,6587.0,6587.0,1
RC,362,"Elevation of depressed skull fracture; simple, extradural ",,,8024.0,8024.0,1
RC,362,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,6587.0,6587.0,1
RC,362,"Embryo transfer, intrauterine ",,,3293.0,5932.0,5
RC,362,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,362,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,362,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,362,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,362,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,362,Endocervical curettage (not done as part of a dilation and curettage) ,,,96.51,5932.0,7
RC,362,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,362,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,2636.0,5932.0,5
RC,362,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,2636.0,5932.0,5
RC,362,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,2636.0,2636.0,2
RC,362,Endolymphatic sac operation; with shunt ,,,2051.93,23113.0,7
RC,362,Endolymphatic sac operation; without shunt ,,,2051.93,23113.0,7
RC,362,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.34,7168.0,3
RC,362,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1299.68,8024.0,3
RC,362,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,2636.0,5932.0,5
RC,362,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,48.26,5932.0,7
RC,362,Endomyocardial biopsy ,,,5381.0,5381.0,1
RC,362,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,362,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,2636.0,6680.0,5
RC,362,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2518.45,18490.0,7
RC,362,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,9908.0,4
RC,362,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,5932.0,7
RC,362,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,344.93,5932.0,7
RC,362,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1639.76,9908.0,7
RC,362,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,9908.0,4
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1175.22,6680.0,7
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,1175.22,9908.0,7
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,1175.22,6680.0,7
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,1770.48,6680.0,6
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,2327.33,9908.0,7
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,1175.22,6680.0,7
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,2363.19,9908.0,7
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,1175.22,6680.0,7
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,1175.22,9908.0,7
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,1175.22,6680.0,7
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1175.22,9908.0,7
RC,362,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,9908.0,4
RC,362,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,9908.0,4
RC,362,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,9908.0,4
RC,362,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,9908.0,4
RC,362,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7839.0,9908.0,4
RC,362,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,362,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,362,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,362,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,6587.0,6587.0,1
RC,362,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,6587.0,6587.0,1
RC,362,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,7008.0,76895.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,4693.0,9908.0,10
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,1174.13,9908.0,7
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,2636.0,5932.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,981.96,9908.0,7
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,2636.0,5932.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,1174.13,9908.0,7
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,2636.0,5932.0,5
RC,362,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,6587.0,6587.0,1
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,6587.0,6587.0,1
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,6587.0,6587.0,1
RC,362,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,6587.0,6587.0,1
RC,362,"Enterectomy, resection of small intestine; with enterostomy ",,,6587.0,6587.0,1
RC,362,"Enterocystoplasty, including intestinal anastomosis ",,,6587.0,6587.0,1
RC,362,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,6587.0,6587.0,1
RC,362,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,6587.0,23113.0,5
RC,362,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,6587.0,6587.0,1
RC,362,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,6587.0,76895.0,5
RC,362,"Enucleation of eye; with implant, muscles attached to implant ",,,1158.59,19415.0,7
RC,362,"Enucleation of eye; with implant, muscles not attached to implant ",,,1158.59,9908.0,7
RC,362,Enucleation of eye; without implant ,,,1158.59,9908.0,7
RC,362,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,362,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,362,Epididymectomy; bilateral ,,,1200.05,19415.0,7
RC,362,Epididymectomy; unilateral ,,,1200.05,9908.0,7
RC,362,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,5381.0,19415.0,5
RC,362,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,5381.0,19415.0,5
RC,362,Epikeratoplasty ,,,5381.0,23113.0,5
RC,362,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,362,"Episiotomy or vaginal repair, by other than attending ",,,5286.0,6680.0,5
RC,362,Eptifibatide injection ,,,4.22,4.22,3
RC,362,Erythropoietin ,,,20.48,20.48,3
RC,362,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,2636.0,2636.0,1
RC,362,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,2636.0,2636.0,1
RC,362,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,2636.0,2636.0,1
RC,362,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,2636.0,5932.0,5
RC,362,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,2636.0,2636.0,1
RC,362,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,5932.0,4
RC,362,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,6587.0,6587.0,1
RC,362,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,6587.0,6587.0,1
RC,362,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,6587.0,6587.0,1
RC,362,Esophagogastric fundoplasty partial or complete; laparotomy ,,,6587.0,6587.0,1
RC,362,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,6587.0,6587.0,1
RC,362,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,6587.0,6587.0,1
RC,362,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,6587.0,6587.0,1
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,593.22,9908.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,351.7,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,5381.0,9908.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,6587.0,9908.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,351.7,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,593.22,9908.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,593.22,9908.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,4234.08,9908.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,351.7,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,1175.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2856.08,9908.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,351.7,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,5286.0,6680.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,593.22,6680.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,593.22,9908.0,7
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,2955.56,6680.0,7
RC,362,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,6587.0,6587.0,1
RC,362,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,6587.0,6587.0,1
RC,362,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,6587.0,6587.0,1
RC,362,Esophagomyotomy (Heller type); abdominal approach ,,,6587.0,6587.0,1
RC,362,Esophagomyotomy (Heller type); thoracic approach ,,,6587.0,6587.0,1
RC,362,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,362,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,362,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,362,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,362,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,362,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,362,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,117.44,5932.0,7
RC,362,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,125.86,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,1536.84,6680.0,7
RC,362,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,593.22,6680.0,7
RC,362,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,593.22,6680.0,7
RC,362,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,593.22,6680.0,7
RC,362,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,593.22,6680.0,7
RC,362,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,593.22,6680.0,7
RC,362,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2800.92,7168.0,7
RC,362,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6587.0,7
RC,362,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,593.22,6680.0,7
RC,362,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,593.22,6680.0,7
RC,362,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,2051.93,6680.0,7
RC,362,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,1175.22,6680.0,7
RC,362,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,593.22,5932.0,7
RC,362,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,1175.22,6680.0,7
RC,362,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,593.22,5932.0,7
RC,362,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,6587.0,6587.0,1
RC,362,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,6587.0,6587.0,1
RC,362,"Esophagotomy, cervical approach, with removal of foreign body ",,,3293.0,3293.0,1
RC,362,"Esophagotomy, thoracic approach, with removal of foreign body ",,,6587.0,6587.0,1
RC,362,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,2636.0,2636.0,1
RC,362,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,2636.0,2636.0,1
RC,362,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,2636.0,2636.0,1
RC,362,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,362,Estradiol; total ,,,30.45,30.45,3
RC,362,Estriol ,,,26.36,26.36,3
RC,362,Estrogens; fractionated ,,,35.21,35.21,3
RC,362,Estrogens; total ,,,23.65,23.65,3
RC,362,Estrone ,,,27.2,27.2,3
RC,362,Ethosuximide ,,,17.81,17.81,3
RC,362,Ethylene glycol ,,,16.24,16.24,3
RC,362,Etiocholanolone ,,,28.6,28.6,3
RC,362,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,362,Euflexxa inj per dose ,,,106.97,106.97,3
RC,362,Euglobulin lysis ,,,9.17,9.17,3
RC,362,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,362,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,362,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,362,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,2636.0,2636.0,1
RC,362,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,362,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,362,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,362,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,362,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,362,Everolimus ,,,14.97,14.97,3
RC,362,Evisceration of ocular contents; with implant ,,,1158.59,9908.0,7
RC,362,Evisceration of ocular contents; without implant ,,,1158.59,9908.0,7
RC,362,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,685.44,5932.0,7
RC,362,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,5286.0,6680.0,4
RC,362,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,1209.12,7168.0,7
RC,362,Exchange of intraocular lens ,,,892.44,76895.0,7
RC,362,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,593.22,5932.0,7
RC,362,"Exchange transfusion, blood; newborn ",,,172.52,5932.0,7
RC,362,"Exchange transfusion, blood; other than newborn ",,,172.52,5932.0,7
RC,362,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,4693.0,5932.0,4
RC,362,Excimer laser treatment for psoriasis; over 500 sq cm ,,,4693.0,5932.0,4
RC,362,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,4693.0,5932.0,4
RC,362,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,733.22,9908.0,14
RC,362,Excision aural glomus tumor; extended (extratemporal) ,,,6587.0,6587.0,1
RC,362,Excision aural glomus tumor; transcanal ,,,2051.93,18490.0,7
RC,362,Excision aural glomus tumor; transmastoid ,,,2051.93,23113.0,7
RC,362,Excision aural polyp ,,,143.6,6680.0,7
RC,362,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,930.95,9908.0,7
RC,362,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,2051.93,18490.0,7
RC,362,"Excision exostosis(es), external auditory canal ",,,2051.93,6680.0,7
RC,362,Excision external ear; complete amputation ,,,2051.93,6680.0,7
RC,362,"Excision external ear; partial, simple repair ",,,855.96,5932.0,7
RC,362,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,6587.0,6587.0,1
RC,362,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,6587.0,6587.0,1
RC,362,Excision of Bartholin's gland or cyst ,,,1116.7,9908.0,7
RC,362,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,6587.0,6587.0,1
RC,362,Excision of Mullerian duct cyst ,,,1200.05,5932.0,7
RC,362,Excision of ampulla of Vater ,,,6587.0,6587.0,1
RC,362,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,6587.0,6587.0,1
RC,362,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,6587.0,6587.0,1
RC,362,Excision of bulbourethral gland (Cowper's gland) ,,,1200.05,6680.0,7
RC,362,Excision of carotid body tumor; with excision of carotid artery ,,,6587.0,6587.0,1
RC,362,Excision of carotid body tumor; without excision of carotid artery ,,,6587.0,6587.0,1
RC,362,"Excision of cervical stump, abdominal approach; ",,,6587.0,6587.0,1
RC,362,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,6587.0,6587.0,1
RC,362,"Excision of cervical stump, vaginal approach; ",,,1603.34,9908.0,7
RC,362,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,7168.0,7168.0,1
RC,362,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.34,18490.0,7
RC,362,"Excision of chalazion; multiple, different lids ",,,101.16,5932.0,7
RC,362,"Excision of chalazion; multiple, same lid ",,,78.49,5932.0,7
RC,362,Excision of chalazion; single ,,,65.12,5932.0,7
RC,362,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,733.22,6680.0,7
RC,362,Excision of choledochal cyst ,,,6587.0,6587.0,1
RC,362,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,1983.29,8024.0,7
RC,362,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1937.47,19415.0,7
RC,362,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1011.84,9908.0,7
RC,362,Excision of extraparenchymal lesion of testis ,,,1200.05,6680.0,7
RC,362,"Excision of fibrous tuberosities, dentoalveolar structures ",,,3293.0,5932.0,5
RC,362,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,441.67,5932.0,7
RC,362,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1200.05,9908.0,7
RC,362,Excision of hydrocele; bilateral ,,,1209.12,18490.0,7
RC,362,Excision of hydrocele; unilateral ,,,1209.12,9908.0,7
RC,362,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,198.25,5932.0,7
RC,362,Excision of ileoanal reservoir with ileostomy ,,,6587.0,6587.0,1
RC,362,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1158.59,9908.0,7
RC,362,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1158.59,9908.0,7
RC,362,Excision of lacrimal gland tumor; frontal approach ,,,733.22,9908.0,7
RC,362,Excision of lacrimal gland tumor; involving osteotomy ,,,1158.59,9908.0,7
RC,362,Excision of lacrimal sac (dacryocystectomy) ,,,1158.59,9908.0,7
RC,362,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,177.9,6680.0,7
RC,362,Excision of lesion of mesentery (separate procedure) ,,,6587.0,6587.0,1
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,930.95,6680.0,7
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,930.95,6680.0,7
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,172.67,5932.0,7
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,144.47,5932.0,7
RC,362,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,6587.0,6587.0,1
RC,362,Excision of lesion of spermatic cord (separate procedure) ,,,1200.05,19415.0,7
RC,362,Excision of lesion of tongue with closure; anterior two-thirds ,,,930.95,6680.0,7
RC,362,Excision of lesion of tongue with closure; posterior one-third ,,,930.95,6680.0,7
RC,362,Excision of lesion of tongue with closure; with local tongue flap ,,,930.95,6680.0,7
RC,362,Excision of lesion of tongue without closure ,,,149.42,5932.0,7
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,2051.93,8024.0,7
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,188.37,5932.0,7
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,146.52,5932.0,7
RC,362,"Excision of lesion, conjunctiva; over 1 cm ",,,733.22,6680.0,7
RC,362,"Excision of lesion, conjunctiva; up to 1 cm ",,,147.09,6680.0,7
RC,362,"Excision of lesion, conjunctiva; with adjacent sclera ",,,733.22,6680.0,7
RC,362,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,351.98,5932.0,7
RC,362,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,6587.0,6587.0,1
RC,362,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,6587.0,6587.0,1
RC,362,"Excision of lesion, sclera ",,,733.22,23113.0,7
RC,362,Excision of lingual frenum (frenectomy) ,,,170.34,5932.0,7
RC,362,Excision of lip; V-excision with primary direct linear closure ,,,930.95,6680.0,7
RC,362,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,2051.93,6680.0,7
RC,362,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,930.95,6680.0,7
RC,362,Excision of lip; transverse wedge excision with primary closure ,,,930.95,6680.0,7
RC,362,Excision of local lesion of epididymis ,,,1200.05,9908.0,7
RC,362,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,9908.0,4
RC,362,Excision of mucosa of vestibule of mouth as donor graft ,,,196.58,5932.0,7
RC,362,"Excision of multiple external papillae or tags, anus ",,,986.93,5932.0,7
RC,362,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,692.94,9908.0,7
RC,362,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2096.41,9908.0,7
RC,362,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,692.94,9908.0,7
RC,362,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,692.94,6680.0,7
RC,362,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,692.94,9908.0,7
RC,362,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,2636.0,6680.0,5
RC,362,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,2636.0,6680.0,5
RC,362,"Excision of neuroma; hand or foot, except digital nerve ",,,692.94,9908.0,7
RC,362,"Excision of neuroma; major peripheral nerve, except sciatic ",,,692.94,9908.0,7
RC,362,Excision of neuroma; sciatic nerve ,,,2096.41,9908.0,7
RC,362,"Excision of osseous tuberosities, dentoalveolar structures ",,,5286.0,6680.0,5
RC,362,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,2051.93,23113.0,7
RC,362,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,2051.93,9908.0,7
RC,362,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,2051.93,23113.0,7
RC,362,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,2051.93,23113.0,7
RC,362,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,6587.0,6587.0,1
RC,362,Excision of penile plaque (Peyronie disease); ,,,1200.05,8024.0,7
RC,362,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,3488.38,8024.0,7
RC,362,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,1773.9,8024.0,7
RC,362,Excision of perinephric cyst ,,,6587.0,6587.0,1
RC,362,Excision of presacral or sacrococcygeal tumor ,,,6587.0,6587.0,1
RC,362,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,6587.0,6587.0,1
RC,362,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,6587.0,6587.0,1
RC,362,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,986.93,6680.0,7
RC,362,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,986.93,6680.0,7
RC,362,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,986.93,6587.0,7
RC,362,"Excision of single external papilla or tag, anus ",,,450.72,5932.0,7
RC,362,"Excision of spermatocele, with or without epididymectomy ",,,685.44,19415.0,7
RC,362,Excision of sublingual gland ,,,2051.93,6680.0,7
RC,362,Excision of sublingual salivary cyst (ranula) ,,,930.95,9908.0,7
RC,362,Excision of submandibular (submaxillary) gland ,,,2051.93,9908.0,7
RC,362,"Excision of thrombosed hemorrhoid, external ",,,131.97,5932.0,7
RC,362,Excision of thyroglossal duct cyst or sinus; ,,,1983.29,19415.0,7
RC,362,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1983.29,19415.0,7
RC,362,Excision of tonsil tags ,,,930.95,9908.0,7
RC,362,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1983.29,19415.0,7
RC,362,Excision of urethral diverticulum (separate procedure); female ,,,1773.9,7168.0,7
RC,362,Excision of urethral diverticulum (separate procedure); male ,,,1773.9,9908.0,7
RC,362,Excision of vaginal cyst or tumor ,,,1116.7,6680.0,7
RC,362,Excision of vaginal septum ,,,1116.7,6680.0,7
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1200.05,19415.0,7
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1209.12,19415.0,7
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1209.12,18490.0,7
RC,362,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,2051.93,9908.0,7
RC,362,"Excision or destruction of lesion of pharynx, any method ",,,930.95,6680.0,7
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,6587.0,6587.0,1
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,6587.0,6587.0,1
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,6587.0,6587.0,1
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,6587.0,6587.0,1
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,6587.0,6587.0,1
RC,362,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5381.0,5381.0,1
RC,362,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8024.0,8024.0,1
RC,362,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8024.0,8024.0,1
RC,362,Excision or fulguration of carcinoma of urethra ,,,1200.05,7168.0,7
RC,362,Excision or fulguration; Skene's glands ,,,1200.05,6680.0,7
RC,362,Excision or fulguration; urethral caruncle ,,,685.44,6680.0,7
RC,362,"Excision or fulguration; urethral polyp(s), distal urethra ",,,1200.05,6680.0,7
RC,362,Excision or fulguration; urethral prolapse ,,,1200.05,6680.0,7
RC,362,Excision or transposition of pterygium; with graft ,,,733.22,18490.0,7
RC,362,Excision or transposition of pterygium; without graft ,,,733.22,6680.0,7
RC,362,Excision or unroofing of cyst(s) of kidney ,,,6587.0,6587.0,1
RC,362,"Excision soft tissue lesion, external auditory canal ",,,855.96,6680.0,7
RC,362,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,6587.0,6587.0,1
RC,362,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,6587.0,6587.0,1
RC,362,"Excision, lesion of floor of mouth ",,,930.95,5932.0,7
RC,362,"Excision, lesion of palate, uvula; with local flap closure ",,,2051.93,6680.0,7
RC,362,"Excision, lesion of palate, uvula; with simple primary closure ",,,155.23,6680.0,7
RC,362,"Excision, lesion of palate, uvula; without closure ",,,133.14,6680.0,7
RC,362,"Excision, local; malignant tumor of stomach ",,,6587.0,6587.0,1
RC,362,"Excision, local; ulcer or benign tumor of stomach ",,,6587.0,6587.0,1
RC,362,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,6587.0,6587.0,1
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1158.59,18490.0,7
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1158.59,23113.0,7
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1158.59,23113.0,7
RC,362,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,362,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,362,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,362,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,362,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,6587.0,6587.0,1
RC,362,Exploration for undescended testis (inguinal or scrotal area) ,,,1209.12,19415.0,7
RC,362,Exploration for undescended testis with abdominal exploration ,,,685.44,19415.0,7
RC,362,"Exploration of epididymis, with or without biopsy ",,,1200.05,5932.0,7
RC,362,"Exploration of orbit (transcranial approach), with removal of lesion ",,,6587.0,6587.0,1
RC,362,"Exploration, repair, and presacral drainage for rectal injury; ",,,6587.0,6587.0,1
RC,362,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,6587.0,6587.0,1
RC,362,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,6587.0,19415.0,5
RC,362,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,7168.0,19415.0,5
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,1773.9,5932.0,7
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,6587.0,6587.0,1
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,6587.0,6587.0,1
RC,362,"Expression of conjunctival follicles (eg, for trachoma) ",,,26.74,2636.0,3
RC,362,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,362,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,6587.0,6587.0,1
RC,362,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,6587.0,6587.0,1
RC,362,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,362,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,362,External cannula declotting (separate procedure); with balloon catheter ,,,2861.3,9908.0,6
RC,362,External cannula declotting (separate procedure); without balloon catheter ,,,468.58,6680.0,6
RC,362,"External cephalic version, with or without tocolysis ",,,5381.0,5381.0,1
RC,362,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,362,"External drainage, pseudocyst of pancreas, open ",,,6587.0,6587.0,1
RC,362,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,362,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,362,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,362,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,362,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,362,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,362,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,362,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,362,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2096.2,76895.0,7
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2725.44,76895.0,7
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,892.44,18490.0,7
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,892.44,76895.0,21
RC,362,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,441.67,5932.0,7
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,196.58,5932.0,7
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,930.95,6587.0,7
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,2051.93,5932.0,7
RC,362,Extremity belt/harness ,,,58.52,58.52,3
RC,362,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,362,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,362,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,362,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,362,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,362,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,4723.0,4723.0,1
RC,362,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,362,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,362,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,362,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,362,FOCUS RADIATION BEAM ,,,6587.0,6587.0,1
RC,362,FUSE PANCREAS AND BOWEL ,,,6587.0,6587.0,1
RC,362,FUSION OF BILE DUCT CYST ,,,6587.0,6587.0,2
RC,362,FUSION OF FACIAL/OTHER NERVE ,,,6587.0,6587.0,1
RC,362,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,362,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,362,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,362,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,362,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,362,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,362,Face tent ,,,2.8,2.8,3
RC,362,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,362,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,362,Factor IX non-recombinant ,,,1.53,1.53,3
RC,362,Factor inhibitor test ,,,14.03,14.03,3
RC,362,Factor ix complex ,,,1.9,1.9,3
RC,362,Factor ix idelvion inj ,,,6.0,6.0,3
RC,362,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,362,Factor ix recombinant nos ,,,2.03,2.03,3
RC,362,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,362,Factor viii ,,,1.36,1.36,3
RC,362,Factor viii recombinant ,,,1.72,1.72,3
RC,362,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,362,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,362,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,362,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,362,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,362,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,362,Felbamate ,,,20.32,20.32,3
RC,362,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,362,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,362,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,362,Fern test ,,,10.62,10.62,3
RC,362,Ferritin ,,,14.86,14.86,3
RC,362,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,362,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,362,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,362,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,362,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,362,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,362,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,362,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,362,Fetal contraction stress test ,,,28.49,2636.0,3
RC,362,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,362,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,122.58,5932.0,7
RC,362,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,362,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,362,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,362,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,362,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,6587.0,6587.0,1
RC,362,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,2636.0,2636.0,1
RC,362,Fetal non-stress test ,,,16.57,2636.0,3
RC,362,Fetal scalp blood sampling ,,,2636.0,2636.0,1
RC,362,"Fetal shunt placement, including ultrasound guidance ",,,2636.0,5932.0,5
RC,362,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,2636.0,5932.0,5
RC,362,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,362,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,362,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,362,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,362,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,362,Fibrinogen; activity ,,,10.59,10.59,3
RC,362,Fibrinogen; antigen ,,,15.76,15.76,3
RC,362,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,362,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,362,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,362,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,362,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,362,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,362,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,362,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,362,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,362,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,362,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,362,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,362,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,362,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,362,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,362,Fimbrioplasty ,,,7168.0,18490.0,5
RC,362,Fine needle aspiration of orbital contents ,,,733.22,5932.0,7
RC,362,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,362,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,362,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,362,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,362,"Finger splint, static ",,,2.92,2.92,3
RC,362,"Fissurectomy, including sphincterotomy, when performed ",,,986.93,6680.0,7
RC,362,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,892.44,6680.0,7
RC,362,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2317.12,19415.0,7
RC,362,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,892.44,19415.0,7
RC,362,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,892.44,19415.0,7
RC,362,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1610.16,19415.0,7
RC,362,Fitting and insertion of pessary or other intravaginal support device ,,,35.18,2636.0,3
RC,362,Fixation of contralateral testis (separate procedure) ,,,1200.05,9908.0,7
RC,362,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,362,Flebogamma injection ,,,98.91,98.91,3
RC,362,Flecainide ,,,20.32,20.32,3
RC,362,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,362,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,362,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,362,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,362,Flortaucipir inj 1 millicu ,,,404.39,404.39,3
RC,362,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,362,Floxuridine injection ,,,4792.18,4792.18,3
RC,362,Fluciclovine f-18 ,,,351.27,351.27,3
RC,362,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,362,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,362,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,362,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,362,Fluoride ,,,20.21,20.21,3
RC,362,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,362,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,362,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,362,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,362,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,362,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,362,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,362,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,362,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5381.0,5381.0,1
RC,362,Folic acid; RBC ,,,19.24,19.24,3
RC,362,Folic acid; serum ,,,16.02,16.02,3
RC,362,"Follicle puncture for oocyte retrieval, any method ",,,3293.0,5932.0,5
RC,362,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,362,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,362,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,362,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,362,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,362,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,362,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,362,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,362,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,362,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,362,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,362,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,362,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,362,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,362,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,362,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,362,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,362,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,362,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,362,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,362,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,362,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,362,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,362,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,362,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,362,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,362,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,362,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,362,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,362,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,362,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,362,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,362,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,115.66,5932.0,7
RC,362,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,362,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,362,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,362,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,362,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,362,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,362,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,362,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,362,"Frames, purchases ",,,89.85,89.85,3
RC,362,Free jejunum transfer with microvascular anastomosis ,,,6587.0,6587.0,1
RC,362,Free omental flap with microvascular anastomosis ,,,6587.0,6587.0,1
RC,362,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,930.95,8024.0,7
RC,362,Frenulotomy of penis ,,,685.44,6680.0,7
RC,362,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,362,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,362,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,362,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,362,"Fructose, semen ",,,18.9,18.9,3
RC,362,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,362,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,362,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,362,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,362,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,362,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,362,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,362,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,362,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,362,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,362,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,362,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,362,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,362,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,362,GLAUCOMA SURGERY ,,,6587.0,6587.0,1
RC,362,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,362,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,362,"Galactokinase, RBC ",,,23.41,23.41,3
RC,362,Galactose ,,,12.21,12.21,3
RC,362,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,362,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,362,Galectin-3 ,,,48.23,48.23,3
RC,362,Gallium ga-68 ,,,54.1,54.1,3
RC,362,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,362,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,362,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,362,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,362,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,362,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,362,Galsulfase injection ,,,573.3,573.3,3
RC,362,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,2636.0,5932.0,5
RC,362,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,362,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,362,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,362,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,362,Gammaplex IVIG ,,,72.24,72.24,3
RC,362,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,362,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,362,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,362,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,362,"Gases, blood, pH only ",,,11.99,11.99,3
RC,362,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,362,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,6587.0,6587.0,1
RC,362,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,6587.0,6587.0,1
RC,362,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,6587.0,6587.0,1
RC,362,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,6587.0,6587.0,1
RC,362,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,6587.0,6587.0,1
RC,362,"Gastrectomy, total; with esophagoenterostomy ",,,6587.0,6587.0,1
RC,362,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,6587.0,6587.0,1
RC,362,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,362,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,2636.0,5932.0,5
RC,362,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,2636.0,5932.0,5
RC,362,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,2636.0,5932.0,5
RC,362,Gastric motility (manometric) studies ,,,2636.0,5932.0,5
RC,362,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,9908.0,4
RC,362,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,1530.5,7168.0,7
RC,362,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,744.46,5932.0,7
RC,362,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,1530.5,7168.0,7
RC,362,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,7839.0,9908.0,4
RC,362,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,6587.0,6587.0,1
RC,362,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,362,Gastrin ,,,19.22,19.22,3
RC,362,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,362,Gastroduodenostomy ,,,6587.0,6587.0,1
RC,362,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,6587.0,6587.0,1
RC,362,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,6587.0,6587.0,1
RC,362,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,4723.0,4723.0,1
RC,362,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,4723.0,4723.0,1
RC,362,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,4723.0,4723.0,1
RC,362,"Gastrojejunostomy; with vagotomy, any type ",,,6587.0,6587.0,1
RC,362,Gastrojejunostomy; without vagotomy ,,,6587.0,6587.0,1
RC,362,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,6587.0,6587.0,1
RC,362,"Gastrostomy, open; neonatal, for feeding ",,,4723.0,4723.0,1
RC,362,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,6587.0,6587.0,1
RC,362,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,5381.0,5381.0,1
RC,362,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,4723.0,4723.0,1
RC,362,Gastrotomy; with exploration or foreign body removal ,,,6587.0,6587.0,1
RC,362,Gastrotomy; with suture repair of bleeding ulcer ,,,6587.0,6587.0,1
RC,362,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,6587.0,6587.0,1
RC,362,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,362,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,362,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,362,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,362,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,362,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,362,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,362,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,362,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,362,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,362,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,362,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,362,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,362,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,362,Gel pressure mattress ,,,42.62,42.62,3
RC,362,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,362,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,362,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,362,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,362,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,362,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,362,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,362,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,362,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,362,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,362,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,362,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,362,Gentamicin ,,,17.85,17.85,3
RC,362,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,362,"Gingivectomy, excision gingiva, each quadrant ",,,930.95,5932.0,7
RC,362,"Gingivoplasty, each quadrant (specify) ",,,304.35,8024.0,3
RC,362,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,362,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,6587.0,6587.0,1
RC,362,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,6587.0,6587.0,1
RC,362,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,6587.0,6587.0,1
RC,362,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,6587.0,6587.0,1
RC,362,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,6587.0,6587.0,1
RC,362,Glossectomy; hemiglossectomy ,,,6587.0,6587.0,1
RC,362,Glossectomy; less than one-half tongue ,,,2051.93,18490.0,7
RC,362,"Glossectomy; partial, with unilateral radical neck dissection ",,,6587.0,6587.0,1
RC,362,Glucagon ,,,15.58,15.58,3
RC,362,Glucagon hydrochloride ,,,127.89,127.89,3
RC,362,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,362,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,362,Glucagon tolerance test ,,,19.37,19.37,3
RC,362,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,362,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,362,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,362,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,362,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,362,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,362,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,362,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,362,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,362,"Glucosidase, beta ",,,23.41,23.41,3
RC,362,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,362,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,362,Glutathione ,,,16.84,16.84,3
RC,362,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,362,Glycated protein ,,,18.27,18.27,3
RC,362,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,362,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,362,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,362,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,362,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,362,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,362,Goniotomy ,,,1610.16,5932.0,7
RC,362,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,362,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,362,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,362,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,362,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,362,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,362,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,362,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,362,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,362,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,362,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,362,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,362,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,362,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,362,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,362,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,362,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,362,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,362,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,362,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,362,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,362,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,362,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,362,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,362,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,362,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,362,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,362,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,362,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,362,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,362,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,362,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,362,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,362,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,362,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,362,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,362,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,362,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,362,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,362,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,362,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,362,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,362,"Gradient compression glove, each ",,,79.56,79.56,3
RC,362,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,362,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,362,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,362,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,362,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,362,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,362,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,362,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,362,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,362,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,362,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,362,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,362,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,362,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,362,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,362,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,362,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,362,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,362,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,362,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,362,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,362,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,362,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,362,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,362,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,362,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,362,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,362,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,362,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,362,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,362,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,362,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,986.93,9908.0,7
RC,362,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,362,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,362,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,362,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,362,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,362,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,362,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,362,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,362,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,362,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,362,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,362,HCT/P Skin Substitute Prod ,,,136.26,136.26,3
RC,362,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,362,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,362,HFenestration semicircular canal ,,,8024.0,8024.0,1
RC,362,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,362,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,362,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,362,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,362,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,362,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,362,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,362,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,362,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,362,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,362,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,362,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,362,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,362,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,362,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,362,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,362,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,362,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,362,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,362,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5381.0,5381.0,1
RC,362,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,8024.0,1
RC,362,HRevision fenestration operation ,,,8024.0,8024.0,1
RC,362,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,362,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,7168.0,7168.0,1
RC,362,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,362,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,362,Hallux implant ,,,388.42,388.42,3
RC,362,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,362,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,362,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,362,Haloperidol ,,,17.2,17.2,3
RC,362,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,362,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,362,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,362,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,362,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,362,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,362,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,362,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,362,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,362,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,362,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,362,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,362,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,362,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,362,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,362,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,362,"Harvesting conjunctival allograft, living donor ",,,5286.0,6680.0,5
RC,362,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,362,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,362,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,362,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,362,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,362,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,362,Heavy duty wheelchair ,,,83.68,83.68,3
RC,362,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,362,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,362,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,362,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,362,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,362,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,362,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,362,Heel wedge ,,,30.8,30.8,3
RC,362,"Heel wedge, sach ",,,114.72,114.72,3
RC,362,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,362,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,362,"Heel, new leather, standard ",,,54.84,54.84,3
RC,362,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,362,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,362,"Heel, sach cushion type ",,,142.14,142.14,3
RC,362,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,362,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,362,Heinz bodies; direct ,,,4.58,4.58,3
RC,362,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,362,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,362,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,362,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,362,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,362,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,362,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,362,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,362,Hematopoietic progenitor cell (HPC); HPC boost ,,,592.85,5932.0,7
RC,362,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,362,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,362,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,362,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,362,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,362,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,362,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,362,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,362,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,362,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,362,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,362,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,362,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,362,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,362,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,362,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,362,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,362,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,362,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,362,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,362,Hemoglobin; plasma ,,,7.97,7.97,3
RC,362,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,362,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,362,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,362,Hemoglobin; urine ,,,4.31,4.31,3
RC,362,"Hemolysin, acid ",,,9.67,9.67,3
RC,362,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,362,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,362,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,986.93,9908.0,7
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,986.93,9908.0,7
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,986.93,19415.0,7
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,986.93,19415.0,7
RC,362,"Hemorrhoidectomy, internal and external, single column/group; ",,,986.93,9908.0,7
RC,362,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,986.93,9908.0,7
RC,362,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,986.93,9908.0,7
RC,362,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,986.93,6680.0,7
RC,362,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,986.93,6680.0,7
RC,362,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,171.8,5932.0,7
RC,362,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,986.93,6680.0,7
RC,362,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,7168.0,23113.0,5
RC,362,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,362,Hepagam b im injection ,,,71.51,71.51,3
RC,362,Heparin assay ,,,14.27,14.27,3
RC,362,Heparin neutralization ,,,12.91,12.91,3
RC,362,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,362,"Hepatectomy, resection of liver; partial lobectomy ",,,6587.0,6587.0,1
RC,362,"Hepatectomy, resection of liver; total left lobectomy ",,,6587.0,6587.0,1
RC,362,"Hepatectomy, resection of liver; total right lobectomy ",,,6587.0,6587.0,1
RC,362,"Hepatectomy, resection of liver; trisegmentectomy ",,,6587.0,6587.0,1
RC,362,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,362,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,6587.0,6587.0,1
RC,362,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,362,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,362,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,362,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,362,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,362,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,362,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,362,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,362,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,362,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,362,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,362,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,362,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,362,Hepatitis C antibody; ,,,15.55,15.55,3
RC,362,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,362,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,362,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,362,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,6587.0,6587.0,1
RC,362,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,362,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,362,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,362,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,362,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,362,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,362,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,362,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,362,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,362,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,362,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,362,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,362,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,362,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,362,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,362,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,362,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,362,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,362,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,362,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,362,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,362,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,362,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,362,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,362,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,362,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,362,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,362,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,362,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,362,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,362,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,362,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,362,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,362,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,362,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,362,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,362,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,362,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,362,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,362,Histamine ,,,32.19,32.19,3
RC,362,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,19415.0,4
RC,362,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,362,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,362,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,362,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,362,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,362,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,362,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,362,Home blood glucose monitor ,,,103.8,103.8,3
RC,362,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,362,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,362,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,362,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,362,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,362,Homocysteine ,,,19.53,19.53,3
RC,362,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,362,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,362,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,362,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,362,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,362,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,362,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,362,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,362,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,362,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,362,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,362,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,362,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,362,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,362,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,362,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,362,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,362,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,362,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,362,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,362,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,362,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,362,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,362,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,362,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,362,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,362,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,362,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,362,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,362,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,362,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,362,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,362,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,362,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,362,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,362,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,362,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,362,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,362,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,362,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,362,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,362,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,362,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,362,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,362,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,362,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,362,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,362,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,362,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,362,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,362,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,362,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,362,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,362,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,362,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,362,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,362,Hydroxychloroquine ,,,20.32,20.32,3
RC,362,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,362,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,362,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,362,Hydroxyproline; free ,,,24.69,24.69,3
RC,362,Hydroxyproline; total ,,,26.49,26.49,3
RC,362,"Hymenotomy, simple incision ",,,1116.7,5932.0,7
RC,362,Hyperbaric Oxygen ,,,150.68,150.68,3
RC,362,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,6587.0,6587.0,1
RC,362,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,6587.0,23113.0,5
RC,362,Hysterorrhaphy of ruptured uterus ,,,6587.0,6587.0,1
RC,362,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,6587.0,18490.0,5
RC,362,"Hysteroscopy, diagnostic (separate procedure) ",,,1116.7,5381.0,3
RC,362,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,2087.34,8024.0,3
RC,362,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1603.34,7168.0,3
RC,362,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.34,7168.0,3
RC,362,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,1603.34,5381.0,3
RC,362,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1116.7,5381.0,3
RC,362,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1603.34,7168.0,3
RC,362,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1116.7,5381.0,3
RC,362,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,5381.0,5381.0,1
RC,362,Hystscp IU ADHESIO ,,,6587.0,6587.0,1
RC,362,Hystscp div IU septum ,,,6587.0,6587.0,1
RC,362,Hystscp impacted FB rmvl ,,,6587.0,6587.0,1
RC,362,Hystscp rmvl leiomyomata ,,,6587.0,6587.0,1
RC,362,Hystscp w Bx/polypectomy ,,,6587.0,6587.0,1
RC,362,Hystscp w endomet ablat ,,,6587.0,6587.0,1
RC,362,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,362,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,362,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,362,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,362,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,362,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,362,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,362,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,362,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,362,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,362,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,362,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,362,ILEOSCOPY W/STENT ,,,6587.0,6587.0,1
RC,362,IMPLANT NEUROELECTRODES ,,,6587.0,6587.0,4
RC,362,"IMPLANT NEUROSTIMUL, SUBCORT ",,,6587.0,6587.0,1
RC,362,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2636.0,2636.0,1
RC,362,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,7008.0,1
RC,362,INCISE INNER EAR ,,,6587.0,6587.0,1
RC,362,INCISE SKULL FOR SURGERY ,,,6587.0,6587.0,3
RC,362,INCISION OF HYMEN ,,,6587.0,6587.0,1
RC,362,INCISION OF PELVIS NERVE ,,,6587.0,6587.0,1
RC,362,INCISION OF VAGUS NERVE ,,,6587.0,6587.0,1
RC,362,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,362,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,362,INFLATE MIDDLE EAR CANAL ,,,6587.0,6587.0,2
RC,362,INJ PARAVERTEBRAL C/T ,,,6587.0,6587.0,1
RC,362,INJ PARAVERTEBRAL C/T ADD-ON ,,,6587.0,6587.0,1
RC,362,INJ PARAVERTEBRAL L/S ,,,6587.0,6587.0,1
RC,362,INJ PARAVERTEBRAL L/S ADD-ON ,,,6587.0,6587.0,1
RC,362,INJECT SPINE CERV/THORACIC ,,,3293.0,3293.0,1
RC,362,INJECT SPINE LUMBAR/SACRAL ,,,3293.0,3293.0,1
RC,362,INJECT SPINE W/CATH CRV/THRC ,,,3293.0,3293.0,1
RC,362,INJECT SPINE W/CATH LMB/SCRL ,,,3293.0,3293.0,1
RC,362,INJECTION FOR KIDNEY X-RAY ,,,6587.0,6587.0,1
RC,362,INJECTION FOR LIVER X-RAYS ,,,6587.0,6587.0,2
RC,362,INJECTION(S) SPIDER VEINS ,,,6587.0,6587.0,1
RC,362,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,362,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,3293.0,3293.0,1
RC,362,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2636.0,2636.0,1
RC,362,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,2636.0,2636.0,1
RC,362,"INSERT ABDOM DRAIN, TEMP ",,,6587.0,6587.0,1
RC,362,INSERT BILE DUCT DRAIN ,,,6587.0,6587.0,1
RC,362,INSERT CATHETER BILE DUCT ,,,6587.0,6587.0,1
RC,362,INSERT KIDNEY DRAIN ,,,6587.0,6587.0,1
RC,362,INSERT URETERAL TUBE ,,,6587.0,6587.0,1
RC,362,INSERTION OF ACCESS DEVICE ,,,6587.0,6587.0,1
RC,362,"INSERTION OF CATHETER, VEIN ",,,6587.0,6587.0,4
RC,362,INSERTION OF INFUSION PUMP ,,,6587.0,6587.0,1
RC,362,INSET MIDDLE EAR (BAFFLE) ,,,6587.0,6587.0,1
RC,362,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5381.0,5381.0,1
RC,362,IV US EACH ADD VESSEL ADD-ON ,,,6587.0,6587.0,1
RC,362,IV US FIRST VESSEL ADD-ON ,,,6587.0,6587.0,1
RC,362,Ibuprofen injection ,,,3.54,3.54,3
RC,362,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,362,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,362,Idursulfase injection ,,,621.35,621.35,3
RC,362,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,7
RC,362,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,351.7,5932.0,7
RC,362,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,4723.0,6680.0,5
RC,362,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,593.22,5932.0,7
RC,362,"Ileostomy or jejunostomy, non-tube ",,,6587.0,6587.0,1
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,510.77,6680.0,7
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,510.77,9908.0,7
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,4723.0,6680.0,5
RC,362,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,8024.0,8024.0,1
RC,362,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7168.0,7168.0,1
RC,362,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,6587.0,6587.0,1
RC,362,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,362,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,362,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,362,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,362,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,362,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,362,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,362,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,362,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,362,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,362,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,362,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,362,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,362,Immune complex assay ,,,26.56,26.56,3
RC,362,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,362,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,362,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,362,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,362,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,362,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,362,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,362,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,362,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,362,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,362,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,362,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,362,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,362,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,362,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,362,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,362,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,362,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,362,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,362,Impl cereb subcort elec ,,,6587.0,6587.0,1
RC,362,Impl subcort electrodes ,,,6587.0,6587.0,1
RC,362,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,362,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,362,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,362,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,362,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,362,Implantation Wireless PA P ,,,31407.33,31407.33,3
RC,362,Implantation of Drug Infus ,,,19735.53,19735.53,3
RC,362,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,362,Implantation of intrastromal corneal ring segments ,,,1610.16,19415.0,7
RC,362,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,2052.31,19415.0,7
RC,362,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,6587.0,18490.0,5
RC,362,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,19415.0,4
RC,362,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,2636.0,6680.0,5
RC,362,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,5286.0,11543.55,7
RC,362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,5286.0,12153.86,7
RC,362,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,5286.0,11838.6,7
RC,362,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,7839.0,9908.0,5
RC,362,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,6587.0,6587.0,1
RC,362,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,6576.47,33769.0,7
RC,362,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,6576.47,33769.0,7
RC,362,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,7008.0,33769.0,7
RC,362,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,5286.0,8024.0,5
RC,362,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,3035.04,8024.0,7
RC,362,In111 capromab ,,,1886.02,1886.02,3
RC,362,In111 oxyquinoline ,,,906.29,906.29,3
RC,362,In111 pentetate ,,,812.73,812.73,3
RC,362,Incision and drainage abscess; peritonsillar ,,,91.96,5932.0,7
RC,362,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,2051.93,8024.0,7
RC,362,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,930.95,5932.0,7
RC,362,Incision and drainage of Bartholin's gland abscess ,,,74.05,5932.0,7
RC,362,"Incision and drainage of appendiceal abscess, open ",,,6587.0,6587.0,1
RC,362,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,986.93,6680.0,7
RC,362,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,685.44,6680.0,7
RC,362,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,986.93,6680.0,7
RC,362,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,450.72,9908.0,7
RC,362,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,986.93,6680.0,7
RC,362,"Incision and drainage of penis, deep ",,,510.77,19415.0,7
RC,362,"Incision and drainage of submucosal abscess, rectum ",,,450.72,6680.0,7
RC,362,"Incision and drainage of thyroglossal duct cyst, infected ",,,441.67,5932.0,7
RC,362,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,855.96,5932.0,7
RC,362,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,855.96,6680.0,7
RC,362,Incision and drainage of vulva or perineal abscess ,,,79.36,6680.0,7
RC,362,"Incision and drainage, perianal abscess, superficial ",,,344.93,5932.0,7
RC,362,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,362,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,4693.0,6587.0,5
RC,362,"Incision of conjunctiva, drainage of cyst ",,,58.72,6680.0,7
RC,362,Incision of labial frenum (frenotomy) ,,,76.45,5932.0,7
RC,362,Incision of lingual frenum (frenotomy) ,,,441.67,5932.0,7
RC,362,"Incision of thrombosed hemorrhoid, external ",,,115.66,5932.0,7
RC,362,"Incision, anal septum (infant) ",,,986.93,5932.0,7
RC,362,"Incision, drainage of lacrimal gland ",,,3293.0,5932.0,5
RC,362,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,214.82,5932.0,7
RC,362,Incisional biopsy of eyelid skin including lid margin ,,,113.7,5932.0,7
RC,362,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,362,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,362,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,362,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,362,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,5286.0,6680.0,5
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,5286.0,6680.0,5
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,5286.0,6680.0,5
RC,362,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,6587.0,6587.0,1
RC,362,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,5286.0,6680.0,10
RC,362,"Induced abortion, by dilation and curettage ",,,1116.7,18490.0,7
RC,362,"Induced abortion, by dilation and evacuation ",,,1116.7,18490.0,7
RC,362,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,362,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,362,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,362,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,362,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,362,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,362,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,362,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,362,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,362,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,362,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,362,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,362,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,362,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,362,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,362,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,362,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,362,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,362,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,362,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,362,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,362,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,362,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,362,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,362,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,362,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,362,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,362,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,362,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,362,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,362,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,362,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,362,Infliximab ,,,42.04,42.04,3
RC,362,Infliximab not biosimil 10 ,,,34.31,34.31,3
RC,362,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,362,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,362,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,362,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,362,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,362,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,362,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,362,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,6587.0,6587.0,1
RC,362,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,6587.0,6587.0,1
RC,362,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,362,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,362,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,362,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,362,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,1937.47,6680.0,7
RC,362,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,362,Inhibin A ,,,16.99,16.99,3
RC,362,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,14630.0,18490.0,4
RC,362,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,2636.0,2636.0,1
RC,362,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,362,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,362,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,362,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,362,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,362,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,362,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,362,Inj avacincaptad pegol 0.1 ,,,112.49,112.49,3
RC,362,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,362,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,362,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,362,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,362,"Inj brixadi, more than 7 d ",,,1877.31,1877.31,3
RC,362,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,362,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,362,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,362,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,362,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,362,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,362,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,362,Inj cyclophos dr reddys 5 ,,,0.54,0.54,3
RC,362,Inj cyclophos frindovyx 5 ,,,9.72,9.72,3
RC,362,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,362,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,362,Inj daxibotulinumtoxina-la ,,,3.34,3.34,3
RC,362,Inj delandistrogene mox ro ,,,3615417.73,3615417.73,3
RC,362,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,362,Inj efgart-alfa 2mg hya-qv ,,,37.34,37.34,3
RC,362,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,362,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,362,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,362,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,362,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,362,Inj estrogen conjugate ,,,437.64,437.64,3
RC,362,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,362,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,362,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,362,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,362,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,362,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,362,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,362,"Inj glofitamab gxbm, 2.5 m ",,,3122.5,3122.5,3
RC,362,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,362,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,362,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,362,Inj hydroxocobalamin iv 25 ,,,5.93,5.93,3
RC,362,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,362,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,362,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,362,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,362,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,362,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,362,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,362,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,362,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,362,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,362,Inj melphalan (hepzato) 1 ,,,873.61,873.61,3
RC,362,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,362,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,362,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,362,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,362,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,362,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,362,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,362,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,362,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,362,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,362,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,362,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,362,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,362,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,362,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,362,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,362,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,362,Inj recombin esperoct per ,,,2.5,2.5,3
RC,362,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,362,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,362,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,362,Inj roctavian ml 2x10^13vc ,,,13683.54,13683.54,3
RC,362,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,362,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,362,Inj rozanolixizum-noli 1 m ,,,25.71,25.71,3
RC,362,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,362,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,362,Inj secukinumab intrav 1mg ,,,19.87,19.87,3
RC,362,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,362,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,362,Inj talquetamab-tgvs 0.25 ,,,83.63,83.63,3
RC,362,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,362,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,362,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,362,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,362,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,362,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,362,Inj travoprost intra impl ,,,214.45,214.45,3
RC,362,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,362,Inj truxima 10 mg ,,,37.67,37.67,3
RC,362,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,362,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,362,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,362,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,362,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,362,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,362,Inj velmanase alfa-tycv 1 ,,,522.32,522.32,3
RC,362,Inj xipere 1 mg ,,,52.07,52.07,3
RC,362,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,362,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,362,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,362,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,362,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,362,"Inj, adzynma, 10 iu ",,,39.47,39.47,3
RC,362,"Inj, aflibercept hd, 1 mg ",,,325.56,325.56,3
RC,362,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,362,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,362,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,362,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,362,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,362,"Inj, artesunate, 1mg ",,,56.49,56.49,3
RC,362,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,362,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,362,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,362,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,362,"Inj, betibeglogene autotem ",,,3193983.4,3193983.4,3
RC,362,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,362,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,362,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,362,"Inj, brixadi, 7 days or le ",,,469.33,469.33,3
RC,362,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,362,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,362,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,362,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,362,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,362,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,362,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,362,"Inj, cipaglucosidase, 5 mg ",,,104.97,104.97,3
RC,362,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,362,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,362,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,362,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,362,"Inj, cyclophosphamide, nos ",,,0.63,0.63,3
RC,362,"Inj, denosumab ",,,32.81,32.81,3
RC,362,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,362,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,362,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,362,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,362,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,362,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,362,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,362,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,362,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,362,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,362,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,362,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,362,"Inj, elranatamab-bcmm, 1 m ",,,209.81,209.81,3
RC,362,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,362,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,362,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,362,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,362,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,362,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,362,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,362,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,362,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,362,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,362,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,362,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,362,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,362,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,362,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,362,"Inj, human-lans, per i.u ",,,1.89,1.89,3
RC,362,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,362,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,362,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,362,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,362,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,362,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,362,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,362,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,362,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,362,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,362,"Inj, levothyroxine, freska ",,,7.45,7.45,3
RC,362,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,362,"Inj, lovotibeglogene autot ",,,3526481.36,3526481.36,3
RC,362,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,362,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,362,"Inj, mirikizumab-mrkz, 1 m ",,,35.6,35.6,3
RC,362,"Inj, motixafortide, 0.25 m ",,,28.86,28.86,3
RC,362,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,362,"Inj, nithiodote, 3mg / 125 ",,,2.36,2.36,3
RC,362,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,362,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,362,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,362,"Inj, nyvepria ",,,149.23,149.23,3
RC,362,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,362,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,362,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,362,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,362,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,362,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,362,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,362,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,362,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,362,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,362,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,362,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,362,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,362,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,362,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,362,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,362,"Inj, rykindo, 0.5 mg ",,,14.2,14.2,3
RC,362,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,362,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,362,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,362,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,362,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,362,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,362,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,362,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,362,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,362,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,362,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,362,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,362,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,362,"Inj, toripalimab-tpzi, 1 m ",,,44.57,44.57,3
RC,362,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,362,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,362,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,362,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,362,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,362,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,362,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,362,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,362,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,362,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,362,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,362,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,362,"Inj, zolbetuximab-clzb, 2 ",,,36.98,36.98,3
RC,362,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,362,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,362,Inj. asceniv ,,,554.96,554.96,3
RC,362,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,362,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,362,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,362,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,362,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,362,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,362,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,362,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,362,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,362,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,362,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,362,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,362,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,362,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,362,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,362,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,362,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,362,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,362,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,362,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,362,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,362,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,362,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,362,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,362,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,362,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,362,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,362,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,362,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,362,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,362,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,362,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,362,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,362,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,362,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,362,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,362,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,362,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,362,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,362,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,362,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,362,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,362,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,362,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,362,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,362,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,362,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,362,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,362,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,362,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,362,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,362,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,362,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,362,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,362,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,362,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,362,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,362,Inject anes 1 L facet N ,,,6587.0,6587.0,1
RC,362,Inject anes 1 paravert N ,,,6587.0,6587.0,1
RC,362,Inject anes >1 paravert ,,,6587.0,6587.0,1
RC,362,Inject anes L facet-ADDL ,,,6587.0,6587.0,1
RC,362,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,362,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,362,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,362,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,362,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,362,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,2636.0,5932.0,5
RC,362,Injection of contrast medium for dacryocystography ,,,2636.0,5932.0,5
RC,362,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,36.92,2636.0,3
RC,362,Injection of medication or other substance into Tenon's capsule ,,,20.35,5932.0,7
RC,362,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,744.46,6680.0,7
RC,362,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,744.46,6680.0,7
RC,362,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,122.09,5932.0,7
RC,362,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,74.13,5932.0,7
RC,362,"Injection of sclerosing solution, hemorrhoids ",,,220.64,3293.0,3
RC,362,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,892.44,5932.0,7
RC,362,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,2636.0,5932.0,5
RC,362,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,2636.0,2636.0,1
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,2636.0,2636.0,1
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,2636.0,2636.0,1
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,2636.0,2636.0,1
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,2636.0,2636.0,1
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,2636.0,2636.0,1
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,2636.0,2636.0,1
RC,362,Injection procedure for Peyronie disease; ,,,63.08,2636.0,3
RC,362,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1773.9,19415.0,7
RC,362,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,3293.0,5932.0,10
RC,362,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,5286.0,6680.0,5
RC,362,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,2636.0,7168.0,10
RC,362,Injection procedure for corpora cavernosography ,,,2636.0,5932.0,5
RC,362,Injection procedure for cystography or voiding urethrocystography ,,,2636.0,2636.0,1
RC,362,"Injection procedure for discography, each level; cervical or thoracic ",,,2636.0,5932.0,5
RC,362,"Injection procedure for discography, each level; lumbar ",,,2636.0,5932.0,5
RC,362,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,362,"Injection procedure for myelography and/or computed tomography, lumbar ",,,2636.0,5932.0,5
RC,362,Injection procedure for retrograde urethrocystography ,,,2636.0,2636.0,1
RC,362,Injection procedure for sacroiliac joint; arthrography ,,,2636.0,5932.0,5
RC,362,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,3293.0,5932.0,5
RC,362,Injection procedure for sialography ,,,2636.0,5932.0,5
RC,362,Injection procedure for splenoportography ,,,2636.0,5932.0,5
RC,362,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,2636.0,5932.0,5
RC,362,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,2636.0,5932.0,5
RC,362,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,3293.0,9908.0,5
RC,362,Injection procedure; lymphangiography ,,,2636.0,5932.0,5
RC,362,Injection procedure; radioactive tracer for identification of sentinel node ,,,2636.0,5932.0,5
RC,362,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,362,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,2636.0,5932.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,357.81,6587.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,357.81,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,465.81,5381.0,3
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,41.85,3293.0,3
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,146.8,6587.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,31.69,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,64.83,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,357.81,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,276.0,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,357.81,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,276.0,6587.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,41.28,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,45.35,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,18.89,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,357.81,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,3293.0,3
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,77.32,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,40.7,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,2636.0,5932.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,357.81,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,2636.0,5932.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,357.81,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,70.93,5932.0,7
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,2636.0,5932.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,2636.0,5932.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,357.81,5932.0,7
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,2636.0,5932.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,2636.0,5932.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,357.81,5932.0,7
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,2636.0,5932.0,5
RC,362,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,357.81,5932.0,28
RC,362,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,276.0,5932.0,28
RC,362,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,362,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,357.81,5932.0,7
RC,362,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,357.81,5932.0,7
RC,362,"Injection, anesthetic agent; sphenopalatine ganglion ",,,74.13,5932.0,7
RC,362,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,357.81,5932.0,7
RC,362,"Injection, anesthetic agent; superior hypogastric plexus ",,,357.81,6680.0,7
RC,362,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,892.44,5932.0,7
RC,362,"Injection, anterior chamber of eye (separate procedure); medication ",,,892.44,5932.0,7
RC,362,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,362,"Injection, blinatumomab ",,,188.46,188.46,3
RC,362,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,362,"Injection, cangrelor ",,,22.1,22.1,3
RC,362,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,362,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,362,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,362,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,362,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,362,"Injection, epidural, of blood or clot patch ",,,276.0,5932.0,7
RC,362,"Injection, fulphila ",,,73.06,73.06,3
RC,362,"Injection, glucarpidase ",,,489.52,489.52,3
RC,362,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,362,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,362,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,362,"Injection, ixabepilone ",,,152.33,152.33,3
RC,362,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,362,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,362,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,362,"Injection, nivolumab ",,,37.3,37.3,3
RC,362,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,362,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,362,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,362,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,362,"Injection, peramivir ",,,1.83,1.83,3
RC,362,"Injection, renflexis ",,,29.01,29.01,3
RC,362,"Injection, reslizumab ",,,12.78,12.78,3
RC,362,"Injection, ruconest ",,,41.24,41.24,3
RC,362,"Injection, siltuximab ",,,189.73,189.73,3
RC,362,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,362,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,362,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,362,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,362,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,362,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,362,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,357.81,5932.0,7
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,357.81,5932.0,7
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,357.81,5932.0,7
RC,362,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,362,Insert urinary catheter ,,,6587.0,6587.0,2
RC,362,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,5381.0,5381.0,1
RC,362,Insertion of Heyman capsules for clinical brachytherapy ,,,1603.34,6680.0,7
RC,362,Insertion of Thomas shunt (separate procedure) ,,,1747.39,19415.0,6
RC,362,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,536.91,5932.0,7
RC,362,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,122.58,6680.0,7
RC,362,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,2340.64,9908.0,7
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,1174.13,9908.0,6
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,2036.11,9908.0,6
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,2036.11,9908.0,6
RC,362,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,450.72,6680.0,7
RC,362,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,9908.0,4
RC,362,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,2636.0,5932.0,5
RC,362,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,4693.0,6587.0,5
RC,362,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,7
RC,362,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,7
RC,362,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,2036.11,9908.0,7
RC,362,Insertion of implants into the soft palate; minimum of three implants ,,,3293.0,3293.0,1
RC,362,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,4693.0,13357.3,7
RC,362,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,892.44,76895.0,7
RC,362,Insertion of intrauterine device (IUD) ,,,2636.0,5932.0,5
RC,362,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,7168.0,9908.0,5
RC,362,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,2636.0,23113.0,5
RC,362,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,7668.0,9908.0,5
RC,362,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,18288.0,23113.0,4
RC,362,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,18288.0,23113.0,4
RC,362,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,18288.0,23113.0,4
RC,362,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,4693.0,5932.0,4
RC,362,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,4693.0,6587.0,5
RC,362,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,1174.13,5932.0,6
RC,362,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,1174.13,5932.0,6
RC,362,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1158.59,9908.0,7
RC,362,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,1158.59,7168.0,7
RC,362,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1158.59,9908.0,7
RC,362,Insertion of penile prosthesis; inflatable (self-contained) ,,,7668.0,9908.0,5
RC,362,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,7008.0,9908.0,5
RC,362,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1174.13,9908.0,6
RC,362,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1174.13,9908.0,6
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,234.94,5932.0,12
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,468.58,5932.0,6
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,468.58,5932.0,6
RC,362,Insertion of peritoneal-venous shunt ,,,4723.0,6680.0,5
RC,362,Insertion of pin-retained palatal prosthesis ,,,2051.93,9908.0,7
RC,362,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,6680.0,4
RC,362,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,6587.0,6587.0,1
RC,362,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,4693.0,5932.0,5
RC,362,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2096.41,9908.0,7
RC,362,Insertion of tandem cuff (dual cuff) ,,,5286.0,12767.55,7
RC,362,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,60.68,6587.0,7
RC,362,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,4693.0,6587.0,5
RC,362,Insertion of testicular prosthesis (separate procedure) ,,,2626.34,6680.0,7
RC,362,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,5286.0,6680.0,5
RC,362,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,6587.0,33769.0,5
RC,362,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,3619.47,9908.0,6
RC,362,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,2036.11,9908.0,6
RC,362,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,1174.13,9908.0,6
RC,362,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1174.13,9908.0,6
RC,362,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1174.13,9908.0,6
RC,362,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,1174.13,6680.0,6
RC,362,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,2655.69,6680.0,6
RC,362,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,1209.12,7168.0,7
RC,362,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,1209.12,7168.0,7
RC,362,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2036.11,7168.0,7
RC,362,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1603.34,6680.0,7
RC,362,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,7839.0,20613.2,7
RC,362,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,5286.0,15616.36,7
RC,362,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,4693.0,6587.0,5
RC,362,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,5286.0,6680.0,5
RC,362,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,5286.0,15482.58,7
RC,362,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,5286.0,20514.82,7
RC,362,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,362,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,362,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,362,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,362,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,362,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,362,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,362,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,362,Inst tauro 1.35mg/hep 100u ,,,4.59,4.59,3
RC,362,"Instill adstiladrin, tx do ",,,70121.45,70121.45,3
RC,362,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,362,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5286.0,6680.0,4
RC,362,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,43.61,5932.0,7
RC,362,Insulin antibodies ,,,23.34,23.34,3
RC,362,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,362,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,362,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,362,Insulin; free ,,,14.12,14.12,3
RC,362,Insulin; total ,,,12.46,12.46,3
RC,362,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,362,Intensive Outpatient (3 se ,,,136.91,342.3,6
RC,362,Intensive Outpatient (4 or ,,,179.39,448.48,6
RC,362,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,362,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,362,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,362,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,362,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,362,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,362,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,362,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,362,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,6587.0,6587.0,1
RC,362,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,6587.0,6587.0,1
RC,362,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,2636.0,5932.0,5
RC,362,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,362,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,362,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,2636.0,2636.0,1
RC,362,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,362,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,362,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,362,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,362,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,362,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,362,Intersex surgery; female to male ,,,6587.0,6587.0,1
RC,362,Intersex surgery; male to female ,,,6587.0,6587.0,1
RC,362,Intestinal allotransplantation; from cadaver donor ,,,6587.0,6587.0,1
RC,362,Intestinal allotransplantation; from living donor ,,,6587.0,6587.0,1
RC,362,Intestinal plication (separate procedure) ,,,6587.0,6587.0,1
RC,362,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,6587.0,6587.0,1
RC,362,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,892.44,18490.0,7
RC,362,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,2636.0,1
RC,362,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,2636.0,2636.0,1
RC,362,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,2636.0,2636.0,1
RC,362,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,362,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,4693.0,5932.0,4
RC,362,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,4693.0,5932.0,4
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,87.5,5932.0,7
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,196.58,5932.0,7
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,441.67,5932.0,7
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,91.96,5932.0,7
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,930.95,5932.0,7
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,441.67,5932.0,7
RC,362,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,2636.0,2636.0,2
RC,362,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,2636.0,5932.0,5
RC,362,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,2636.0,5932.0,5
RC,362,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,50.87,5932.0,7
RC,362,Intrinsic factor ,,,21.6,21.6,3
RC,362,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,362,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,74.05,2636.0,3
RC,362,"Introduction of catheter, aorta ",,,2636.0,6680.0,5
RC,362,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,351.7,3293.0,3
RC,362,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,468.58,7668.0,13
RC,362,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,362,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,362,Ipilimumab injection ,,,207.57,207.57,3
RC,362,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,362,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1610.16,9908.0,7
RC,362,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,892.44,9908.0,7
RC,362,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,892.44,9908.0,7
RC,362,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,892.44,9908.0,7
RC,362,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,892.44,9908.0,7
RC,362,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,218.75,5932.0,7
RC,362,Iridotomy by stab incision (separate procedure); except transfixion ,,,892.44,5932.0,7
RC,362,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,892.44,5932.0,7
RC,362,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,161.05,5932.0,7
RC,362,Iris supported intraocular lens ,,,158.85,158.85,3
RC,362,Iron ,,,7.05,7.05,3
RC,362,Iron binding capacity ,,,9.53,9.53,3
RC,362,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,362,Irrigation of corpora cavernosa for priapism ,,,115.66,5932.0,7
RC,362,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,2636.0,2636.0,1
RC,362,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,362,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,362,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,362,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,362,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,362,Islet cell antibody ,,,25.69,25.69,3
RC,362,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,362,Itraconazole ,,,29.55,29.55,3
RC,362,"Iv hanger, each ",,,131.03,131.03,3
RC,362,Iv pole ,,,189.03,189.03,3
RC,362,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,362,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,362,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,362,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,362,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,362,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,362,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,362,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,362,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,362,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,362,Keratomileusis ,,,5381.0,23113.0,5
RC,362,Keratophakia ,,,5381.0,23113.0,5
RC,362,Keratoplasty (corneal transplant); anterior lamellar ,,,1610.16,23113.0,7
RC,362,Keratoplasty (corneal transplant); endothelial ,,,1610.16,23113.0,7
RC,362,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1610.16,23113.0,7
RC,362,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1610.16,23113.0,7
RC,362,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1610.16,23113.0,7
RC,362,Keratoprosthesis ,,,7008.0,23113.0,5
RC,362,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,362,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,362,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,362,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,362,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,362,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,362,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,362,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,362,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,362,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,362,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,362,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,362,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,362,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,362,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,362,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,362,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,362,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,362,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,362,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,362,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,362,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,362,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,362,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,362,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,362,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,362,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,362,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,362,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,362,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,362,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,362,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,362,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,362,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,362,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,362,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,362,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,362,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,362,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,362,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,362,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,362,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,362,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,362,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,6587.0,6587.0,1
RC,362,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,6587.0,6587.0,1
RC,362,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,6587.0,6587.0,1
RC,362,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,6587.0,6587.0,1
RC,362,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,6587.0,6587.0,1
RC,362,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,6587.0,6587.0,1
RC,362,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,6587.0,6587.0,1
RC,362,LAPARO W/CHOLANGIO/BIOPSY ,,,6587.0,6587.0,1
RC,362,"LAPAROSCOPE PROC, RECTUM ",,,6587.0,6587.0,1
RC,362,LAPAROSCOPY W/CHOLANGIO ,,,6587.0,6587.0,1
RC,362,"LAPAROSCOPY, ENTEROLYSIS ",,,6587.0,6587.0,1
RC,362,"LAPAROSCOPY, JEJUNOSTOMY ",,,6587.0,6587.0,1
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,8024.0,1
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,8024.0,1
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,8024.0,1
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,8024.0,1
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,8024.0,1
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,8024.0,1
RC,362,LAVH ,,,6587.0,6587.0,1
RC,362,LESION REMOVAL COLONOSCOPY ,,,6587.0,6587.0,1
RC,362,Labyrinthectomy; transcanal ,,,2051.93,23113.0,7
RC,362,Labyrinthectomy; with mastoidectomy ,,,2051.93,23113.0,7
RC,362,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,130.52,18490.0,7
RC,362,Lacosamide ,,,29.55,29.55,3
RC,362,Lactate (lactic acid) ,,,12.61,12.61,3
RC,362,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,362,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,362,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,362,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,362,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,362,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,362,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7008.0,7008.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,6587.0,6587.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7008.0,7008.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,6587.0,6587.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,6587.0,6587.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,6587.0,6587.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7008.0,7008.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,6587.0,6587.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,6587.0,6587.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,6587.0,6587.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7008.0,7008.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,6587.0,6587.0,1
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,6587.0,6587.0,1
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,7008.0,7008.0,1
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,6587.0,6587.0,1
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,6587.0,6587.0,1
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,6587.0,6587.0,1
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,5381.0,5381.0,1
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,6587.0,6587.0,1
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,6587.0,6587.0,1
RC,362,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,6587.0,6587.0,1
RC,362,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,6587.0,6587.0,1
RC,362,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7008.0,7008.0,1
RC,362,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,7008.0,76895.0,7
RC,362,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,6587.0,6587.0,1
RC,362,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,6587.0,6587.0,1
RC,362,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,6587.0,6587.0,1
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2518.45,8024.0,3
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,2518.45,8024.0,3
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,8024.0,8024.0,1
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2518.45,8024.0,3
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,8024.0,8024.0,1
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,6587.0,6587.0,1
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,8024.0,8024.0,1
RC,362,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,6587.0,6587.0,1
RC,362,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,8024.0,8024.0,1
RC,362,Laminectomy with rhizotomy; 1 or 2 segments ,,,7008.0,7008.0,1
RC,362,Laminectomy with rhizotomy; more than 2 segments ,,,7008.0,7008.0,1
RC,362,Laminectomy with section of spinal accessory nerve ,,,7008.0,7008.0,1
RC,362,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,2518.45,8024.0,10
RC,362,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,6587.0,6587.0,2
RC,362,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7008.0,7008.0,1
RC,362,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,6587.0,6587.0,1
RC,362,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,6587.0,6587.0,1
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,14630.0,18490.0,4
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,8024.0,8024.0,1
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,7168.0,7168.0,2
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,2518.45,8024.0,3
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,2518.45,8024.0,3
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,2518.45,8024.0,3
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,2636.0,2636.0,1
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4693.0,5932.0,4
RC,362,Lamotrigine ,,,14.44,14.44,3
RC,362,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,362,"Laparoscope proc, intestine ",,,6587.0,6587.0,1
RC,362,Laparoscopic APPY ,,,6587.0,6587.0,1
RC,362,Laparoscopic THC w/o Bx ,,,6587.0,6587.0,1
RC,362,Laparoscopic aspiration ,,,6587.0,6587.0,1
RC,362,Laparoscopic enterolysis ,,,6587.0,6587.0,1
RC,362,Laparoscopic fulgur FALL ,,,6587.0,6587.0,1
RC,362,Laparoscopic fulgur les ,,,6587.0,6587.0,1
RC,362,Laparoscopic jejunostomy ,,,6587.0,6587.0,1
RC,362,Laparoscopic occl FALL ,,,6587.0,6587.0,1
RC,362,Laparoscopic orchiectomy ,,,6587.0,6587.0,1
RC,362,Laparoscopic rmvl adnexa ,,,6587.0,6587.0,1
RC,362,Laparoscopic splenectomy ,,,6587.0,6587.0,1
RC,362,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1983.29,8024.0,3
RC,362,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1983.29,8024.0,3
RC,362,Laparoscopy w ADHESIO ,,,6587.0,6587.0,1
RC,362,Laparoscopy w biopsy ,,,6587.0,6587.0,1
RC,362,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, remove myoma ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,14630.0,18490.0,4
RC,362,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,14630.0,18490.0,4
RC,362,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,6587.0,18490.0,5
RC,362,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,7008.0,7008.0,1
RC,362,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,7008.0,7008.0,1
RC,362,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,3265.51,7008.0,3
RC,362,"Laparoscopy, surgical, appendectomy ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,7008.0,7008.0,1
RC,362,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,3265.51,8024.0,3
RC,362,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, splenectomy ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1983.29,1983.29,2
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,3265.51,2
RC,362,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,3265.51,3265.51,2
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,3265.51,2
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,3265.51,3265.51,2
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1983.29,1983.29,2
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,3265.51,2
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,3265.51,3265.51,2
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,3265.51,3265.51,2
RC,362,"Laparoscopy, surgical; ablation of renal cysts ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,7008.0,7008.0,1
RC,362,"Laparoscopy, surgical; cholecystectomy ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; cholecystoenterostomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,7008.0,7008.0,1
RC,362,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; orchiectomy ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; partial nephrectomy ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; pyeloplasty ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,6587.0,6587.0,1
RC,362,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,2724.11,8024.0,3
RC,362,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; ureterolithotomy ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,3265.51,8024.0,3
RC,362,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,3265.51,8024.0,3
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,3265.51,8024.0,3
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,3265.51,6587.0,3
RC,362,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,8024.0,8024.0,1
RC,362,"Laparoscopy, surgical; with fimbrioplasty ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,2636.0,2636.0,1
RC,362,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,2636.0,2636.0,1
RC,362,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1983.29,8024.0,3
RC,362,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1983.29,8024.0,3
RC,362,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,8024.0,23113.0,5
RC,362,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,4723.0,4723.0,1
RC,362,Lapscp CHOLE w CDE ,,,6587.0,6587.0,1
RC,362,Lapscp CHOLE&cholangrphy ,,,6587.0,6587.0,1
RC,362,Lapscp EG fundoplasty ,,,6587.0,6587.0,1
RC,362,Lapscp REP init IH ,,,6587.0,6587.0,1
RC,362,Lapscp REP recur IH ,,,6587.0,6587.0,1
RC,362,Lapscp adrenalectomy ,,,6587.0,6587.0,1
RC,362,Lapscp bilat pelv LYMPH ,,,6587.0,6587.0,1
RC,362,Lapscp cholcystentstmy ,,,6587.0,6587.0,1
RC,362,Lapscp cholecystectomy ,,,6587.0,6587.0,1
RC,362,Lapscp fimbrioplasty ,,,6587.0,6587.0,1
RC,362,Lapscp intest resect ,,,6587.0,6587.0,1
RC,362,Lapscp lig sperm vein ,,,6587.0,6587.0,1
RC,362,Lapscp lymphocele drain ,,,6587.0,6587.0,1
RC,362,Lapscp pelvic LYMPH & Bx ,,,6587.0,6587.0,1
RC,362,Lapscp retroperit LN Bx ,,,6587.0,6587.0,1
RC,362,Lapscp rmvl leiomyomata ,,,6587.0,6587.0,1
RC,362,Lapscp salpingostomy ,,,6587.0,6587.0,1
RC,362,Lapscp select vagotomy ,,,6587.0,6587.0,1
RC,362,Lapscp temp gastrostomy ,,,6587.0,6587.0,1
RC,362,Lapscp truncal vagotomy ,,,6587.0,6587.0,1
RC,362,"Large size footplate, each ",,,65.96,65.96,3
RC,362,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,362,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,362,Laronidase injection ,,,45.22,45.22,3
RC,362,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,362,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,4723.0,4723.0,1
RC,362,Laser Eye Procedures ,,,602.23,602.23,3
RC,362,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1773.9,8024.0,3
RC,362,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1773.9,18490.0,7
RC,362,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,6587.0,6587.0,1
RC,362,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,6587.0,6587.0,1
RC,362,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1773.9,18490.0,7
RC,362,Lead ,,,13.2,13.2,3
RC,362,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,362,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,362,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,362,Leflunomide ,,,42.04,42.04,3
RC,362,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,362,"Leg strap, each ",,,32.14,32.14,3
RC,362,"Leg strap, h style, each ",,,69.02,69.02,3
RC,362,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,362,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,362,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,362,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,362,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,362,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,362,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,362,"Lengthening of palate, and pharyngeal flap ",,,2051.93,18490.0,7
RC,362,"Lengthening of palate, with island flap ",,,2051.93,8024.0,3
RC,362,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,362,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,362,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,362,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,362,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,362,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,362,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,362,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,362,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,362,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,362,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,362,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,362,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,362,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,362,Leuprolide acetate ,,,2006.97,2006.97,3
RC,362,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,362,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,362,Level 1 Abdominal/Peritone ,,,3920.42,3920.42,3
RC,362,Level 1 Airway Endoscopy ,,,218.56,218.56,3
RC,362,Level 1 Blood Product Exch ,,,483.07,483.07,3
RC,362,Level 1 Breast/Lymphatic S ,,,4287.27,4287.27,3
RC,362,Level 1 Diagnostic Tests a ,,,140.89,140.89,3
RC,362,Level 1 Drug Administratio ,,,51.27,51.27,3
RC,362,Level 1 ENT Procedures ,,,259.34,259.34,3
RC,362,Level 1 Electronic Analysi ,,,40.87,40.87,3
RC,362,Level 1 Electrophysiologic ,,,1333.16,1333.16,3
RC,362,Level 1 Endovascular Proce ,,,3549.81,3549.81,3
RC,362,Level 1 Excision/ Biopsy/ ,,,775.38,775.38,3
RC,362,"Level 1 Extraocular, Repai ",,,347.55,347.55,3
RC,362,Level 1 Gynecologic Proced ,,,221.37,221.37,3
RC,362,Level 1 Health and Behavio ,,,41.03,41.03,3
RC,362,Level 1 ICD and Similar Pr ,,,24355.98,24355.98,3
RC,362,Level 1 Imaging with Contr ,,,192.06,192.06,3
RC,362,Level 1 Imaging without Co ,,,95.29,95.29,3
RC,362,Level 1 Intraocular Proced ,,,2526.99,2526.99,3
RC,362,Level 1 Laparoscopy and Re ,,,6619.65,6619.65,3
RC,362,Level 1 Lower GI Procedure ,,,1018.27,1018.27,3
RC,362,Level 1 Minor Procedures ,,,31.67,31.67,3
RC,362,Level 1 Musculoskeletal Pr ,,,270.09,270.09,3
RC,362,Level 1 Nerve Injections ,,,336.1,336.1,3
RC,362,Level 1 Nerve Procedures ,,,2138.17,2138.17,3
RC,362,Level 1 Neurostimulator an ,,,3828.12,3828.12,3
RC,362,Level 1 Nuclear Medicine a ,,,437.74,437.74,3
RC,362,Level 1 Pacemaker and Simi ,,,4091.85,4091.85,3
RC,362,Level 1 Pathology ,,,57.06,57.06,3
RC,362,Level 1 Radiation Therapy ,,,111.72,111.72,3
RC,362,Level 1 Skin Procedures ,,,219.69,219.69,3
RC,362,Level 1 Strapping and Cast ,,,177.93,177.93,3
RC,362,Level 1 Therapeutic Radiat ,,,147.17,147.17,3
RC,362,Level 1 Upper GI Procedure ,,,993.12,993.12,3
RC,362,Level 1 Urology and Relate ,,,273.58,273.58,3
RC,362,Level 1 Vascular Procedure ,,,686.88,686.88,3
RC,362,Level 2 Abdominal/Peritone ,,,7088.62,7088.62,3
RC,362,Level 2 Airway Endoscopy ,,,428.26,428.26,3
RC,362,Level 2 Blood Product Exch ,,,1705.33,1705.33,3
RC,362,Level 2 Breast/Lymphatic S ,,,7270.76,7270.76,3
RC,362,Level 2 Diagnostic Tests a ,,,236.43,236.43,3
RC,362,Level 2 Drug Administratio ,,,78.84,78.84,3
RC,362,Level 2 ENT Procedures ,,,590.55,590.55,3
RC,362,Level 2 Electronic Analysi ,,,104.1,104.1,3
RC,362,Level 2 Electrophysiologic ,,,8540.37,8540.37,3
RC,362,Level 2 Endovascular Proce ,,,6232.08,6232.08,3
RC,362,Level 2 Excision/ Biopsy/ ,,,1808.44,1808.44,3
RC,362,"Level 2 Extraocular, Repai ",,,1091.55,1091.55,3
RC,362,Level 2 Gynecologic Proced ,,,333.67,333.67,3
RC,362,Level 2 Health and Behavio ,,,111.24,111.24,3
RC,362,Level 2 ICD and Similar Pr ,,,34369.77,34369.77,3
RC,362,Level 2 Imaging with Contr ,,,382.0,382.0,3
RC,362,Level 2 Imaging without Co ,,,114.47,114.47,3
RC,362,Level 2 Intraocular Proced ,,,4525.96,4525.96,3
RC,362,Level 2 Laparoscopy and Re ,,,11639.31,11639.31,3
RC,362,Level 2 Lower GI Procedure ,,,1310.28,1310.28,3
RC,362,Level 2 Minor Procedures ,,,40.9,40.9,3
RC,362,Level 2 Musculoskeletal Pr ,,,1760.7,1760.7,3
RC,362,Level 2 Nerve Injections ,,,772.92,772.92,3
RC,362,Level 2 Nerve Procedures ,,,3740.57,3740.57,3
RC,362,Level 2 Neurostimulator an ,,,6978.22,6978.22,3
RC,362,Level 2 Nuclear Medicine a ,,,594.53,594.53,3
RC,362,Level 2 Pacemaker and Simi ,,,9061.28,9061.28,3
RC,362,Level 2 Pathology ,,,186.55,186.55,3
RC,362,Level 2 Radiation Therapy ,,,422.32,422.32,3
RC,362,Level 2 Skin Procedures ,,,445.12,445.12,3
RC,362,Level 2 Strapping and Cast ,,,306.25,306.25,3
RC,362,Level 2 Therapeutic Radiat ,,,409.99,409.99,3
RC,362,Level 2 Upper GI Procedure ,,,2101.14,2101.14,3
RC,362,Level 2 Urology and Relate ,,,763.52,763.52,3
RC,362,Level 2 Vascular Procedure ,,,1723.65,1723.65,3
RC,362,Level 3 Airway Endoscopy ,,,1948.93,1948.93,3
RC,362,Level 3 Blood Product Exch ,,,4769.13,4769.13,3
RC,362,Level 3 Breast/Lymphatic S ,,,8949.59,8949.59,3
RC,362,Level 3 Diagnostic Tests a ,,,408.6,408.6,3
RC,362,Level 3 Drug Administratio ,,,232.9,232.9,3
RC,362,Level 3 ENT Procedures ,,,1698.93,1698.93,3
RC,362,Level 3 Electronic Analysi ,,,336.31,336.31,3
RC,362,Level 3 Electrophysiologic ,,,28620.09,28620.09,3
RC,362,Level 3 Endovascular Proce ,,,12640.5,12640.5,3
RC,362,Level 3 Excision/ Biopsy/ ,,,3180.57,3180.57,3
RC,362,"Level 3 Extraocular, Repai ",,,2603.27,2603.27,3
RC,362,Level 3 Gynecologic Proced ,,,1008.52,1008.52,3
RC,362,Level 3 Health and Behavio ,,,194.35,194.35,3
RC,362,Level 3 Imaging with Contr ,,,858.37,858.37,3
RC,362,Level 3 Imaging without Co ,,,261.26,261.26,3
RC,362,Level 3 Intraocular Proced ,,,5826.65,5826.65,3
RC,362,Level 3 Lower GI Procedure ,,,3039.26,3039.26,3
RC,362,Level 3 Minor Procedures ,,,64.59,64.59,3
RC,362,Level 3 Musculoskeletal Pr ,,,3582.73,3582.73,3
RC,362,Level 3 Nerve Injections ,,,968.47,968.47,3
RC,362,Level 3 Nerve Procedures ,,,9609.27,9609.27,3
RC,362,Level 3 Neurostimulator an ,,,12200.88,12200.88,3
RC,362,Level 3 Nuclear Medicine a ,,,1417.6,1417.6,3
RC,362,Level 3 Pacemaker and Simi ,,,11444.59,11444.59,3
RC,362,Level 3 Pathology ,,,392.49,392.49,3
RC,362,Level 3 Radiation Therapy ,,,605.02,605.02,3
RC,362,Level 3 Skin Procedures ,,,809.26,809.26,3
RC,362,Level 3 Therapeutic Radiat ,,,1515.58,1515.58,3
RC,362,Level 3 Upper GI Procedure ,,,4221.62,4221.62,3
RC,362,Level 3 Urology and Relate ,,,2288.9,2288.9,3
RC,362,Level 3 Vascular Procedure ,,,3457.34,3457.34,3
RC,362,Level 4 Airway Endoscopy ,,,4082.42,4082.42,3
RC,362,Level 4 Blood Product Exch ,,,68874.65,68874.65,3
RC,362,Level 4 Breast/Lymphatic S ,,,15089.69,15089.69,3
RC,362,Level 4 Diagnostic Tests a ,,,940.29,940.29,3
RC,362,Level 4 Drug Administratio ,,,361.67,361.67,3
RC,362,Level 4 ENT Procedures ,,,3630.32,3630.32,3
RC,362,Level 4 Endovascular Proce ,,,20072.54,20072.54,3
RC,362,"Level 4 Extraocular, Repai ",,,4304.75,4304.75,3
RC,362,Level 4 Gynecologic Proced ,,,3544.55,3544.55,3
RC,362,Level 4 Imaging without Co ,,,598.31,598.31,3
RC,362,Level 4 Intraocular Proced ,,,15883.71,15883.71,3
RC,362,Level 4 Minor Procedures ,,,145.68,145.68,3
RC,362,Level 4 Musculoskeletal Pr ,,,7945.32,7945.32,3
RC,362,Level 4 Neurostimulator an ,,,21242.49,21242.49,3
RC,362,Level 4 Nuclear Medicine a ,,,1565.75,1565.75,3
RC,362,Level 4 Pacemaker and Simi ,,,21090.91,21090.91,3
RC,362,Level 4 Pathology ,,,882.19,882.19,3
RC,362,Level 4 Radiation Therapy ,,,762.62,762.62,3
RC,362,Level 4 Skin Procedures ,,,2259.22,2259.22,3
RC,362,Level 4 Urology and Relate ,,,3859.74,3859.74,3
RC,362,Level 4 Vascular Procedure ,,,6092.93,6092.93,3
RC,362,Level 5 Airway Endoscopy ,,,7727.68,7727.68,3
RC,362,Level 5 ENT Procedures ,,,6482.02,6482.02,3
RC,362,Level 5 Gynecologic Proced ,,,5477.52,5477.52,3
RC,362,Level 5 Intraocular Proced ,,,15278.03,15278.03,3
RC,362,Level 5 Minor Procedures ,,,489.15,489.15,3
RC,362,Level 5 Musculoskeletal Pr ,,,14057.94,14057.94,3
RC,362,Level 5 Neurostimulator an ,,,33788.16,33788.16,3
RC,362,Level 5 Radiation Therapy ,,,1368.43,1368.43,3
RC,362,Level 5 Skin Procedures ,,,3880.26,3880.26,3
RC,362,Level 5 Urology and Relate ,,,5870.99,5870.99,3
RC,362,Level 6 Gynecologic Proced ,,,8119.66,8119.66,3
RC,362,Level 6 Intraocular Proced ,,,18024.07,18024.07,3
RC,362,Level 6 Musculoskeletal Pr ,,,19198.95,19198.95,3
RC,362,Level 6 Radiation Therapy ,,,1957.86,1957.86,3
RC,362,Level 6 Urology and Relate ,,,10365.46,10365.46,3
RC,362,Level 7 Musculoskeletal Pr ,,,29710.86,29710.86,3
RC,362,Level 7 Radiation Therapy ,,,8064.75,8064.75,3
RC,362,Level 7 Urology and Relate ,,,14446.4,14446.4,3
RC,362,Level 8 Urology and Relate ,,,22694.42,22694.42,3
RC,362,Levetiracetam ,,,14.44,14.44,3
RC,362,Lidocaine ,,,16.01,16.01,3
RC,362,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,362,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,362,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,362,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,362,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,362,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1174.13,9908.0,7
RC,362,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,1174.13,7168.0,7
RC,362,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,1174.13,9908.0,7
RC,362,Ligation of common iliac vein ,,,6587.0,6587.0,1
RC,362,Ligation of femoral vein ,,,1174.13,7168.0,7
RC,362,Ligation of inferior vena cava ,,,7168.0,9908.0,5
RC,362,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,1174.13,9908.0,7
RC,362,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1174.13,9908.0,7
RC,362,Ligation of peritoneal-venous shunt ,,,4723.0,4723.0,1
RC,362,Ligation or banding of angioaccess arteriovenous fistula ,,,1174.13,9908.0,7
RC,362,"Ligation or biopsy, temporal artery ",,,510.77,6680.0,7
RC,362,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,6587.0,6587.0,1
RC,362,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,4693.0,6587.0,5
RC,362,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,4723.0,6680.0,5
RC,362,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,1116.7,6680.0,7
RC,362,"Ligation salivary duct, intraoral ",,,930.95,23113.0,7
RC,362,"Ligation, direct, esophageal varices ",,,8024.0,8024.0,1
RC,362,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1174.13,9908.0,7
RC,362,"Ligation, division, and stripping, short saphenous vein ",,,1174.13,9908.0,7
RC,362,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1174.13,9908.0,7
RC,362,"Ligation, internal jugular vein ",,,7168.0,7168.0,1
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,6587.0,6587.0,1
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,6587.0,6587.0,1
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,6587.0,6587.0,1
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,7168.0,7168.0,1
RC,362,Ligation; external carotid artery ,,,7168.0,7168.0,1
RC,362,Ligation; internal or common carotid artery ,,,7168.0,7168.0,1
RC,362,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,7168.0,7168.0,1
RC,362,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,362,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,362,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,362,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,362,Lightweight wheelchair ,,,48.42,48.42,3
RC,362,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,362,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,362,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,6587.0,6587.0,1
RC,362,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,6587.0,6587.0,1
RC,362,Limited pharyngectomy ,,,2051.93,23113.0,7
RC,362,Lipase ,,,7.51,7.51,3
RC,362,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,362,Lipoprotein (a) ,,,15.61,15.61,3
RC,362,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,362,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,362,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,362,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,362,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,362,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,362,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,362,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,362,Lithium ,,,7.2,7.2,3
RC,362,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,362,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,362,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,362,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,362,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,1200.05,6680.0,7
RC,362,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,1200.05,6587.0,7
RC,362,"Lithotripsy, extracorporeal shock wave ",,,1200.05,1200.05,2
RC,362,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,6587.0,6587.0,1
RC,362,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,362,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,362,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,5286.0,6680.0,5
RC,362,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,362,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,362,"Lso, corset front ",,,166.52,166.52,3
RC,362,"Lso, full corset ",,,235.72,235.72,3
RC,362,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,362,"Lubricant, per ounce ",,,2.47,2.47,3
RC,362,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,362,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,362,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,362,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,362,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,362,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,362,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,362,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,362,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,362,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,362,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,362,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,362,Lumbar/caudal inject NEC ,,,6587.0,6587.0,1
RC,362,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,362,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,362,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,362,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,362,Lymphangiotomy or other operations on lymphatic channels ,,,1011.84,6680.0,7
RC,362,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,362,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,362,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,362,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,362,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,5381.0,18490.0,5
RC,362,Lysis of labial adhesions ,,,1116.7,5932.0,7
RC,362,Lysis or excision of penile post-circumcision adhesions ,,,685.44,6680.0,7
RC,362,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,362,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,362,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,362,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,362,MEDIASTINOSCOPY INCL BIOPSY ,,,6587.0,6587.0,1
RC,362,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,362,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,362,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,362,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,362,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,362,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,362,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,362,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,362,MRI and MRA without Contra ,,,576.44,576.44,3
RC,362,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,362,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,362,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,362,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,362,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,362,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,362,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,362,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,362,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,362,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,362,Magnesium ,,,7.3,7.3,3
RC,362,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,6587.0,9908.0,5
RC,362,Malate dehydrogenase ,,,8.03,8.03,3
RC,362,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,362,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,362,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,6587.0,6587.0,1
RC,362,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,6587.0,6587.0,1
RC,362,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,6587.0,6587.0,1
RC,362,Management of liver hemorrhage; simple suture of liver wound or injury ,,,6587.0,6587.0,1
RC,362,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,6587.0,6587.0,1
RC,362,Manganese ,,,29.05,29.05,3
RC,362,Manipulation Therapy ,,,23.64,23.64,3
RC,362,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,250.06,5932.0,7
RC,362,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,60.68,2636.0,3
RC,362,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,362,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,362,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,362,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,362,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,362,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,362,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,362,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,362,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,362,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,362,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,362,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,362,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,362,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,362,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,362,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,362,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,362,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,362,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,362,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,362,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,362,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,362,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,362,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,362,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,362,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,362,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,362,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,362,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,362,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,362,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,362,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,362,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,362,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,362,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,362,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,362,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,362,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,362,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,362,Marsupialization of Bartholin's gland cyst ,,,1116.7,6680.0,7
RC,362,Marsupialization of cyst or abscess of liver ,,,6587.0,6587.0,1
RC,362,Marsupialization of pancreatic cyst ,,,6587.0,6587.0,1
RC,362,Marsupialization of sublingual salivary cyst (ranula) ,,,930.95,9908.0,7
RC,362,"Marsupialization of urethral diverticulum, male or female ",,,1200.05,7168.0,7
RC,362,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,362,Mastoid obliteration (separate procedure) ,,,2051.93,9908.0,7
RC,362,Mastoidectomy; complete ,,,2051.93,23113.0,7
RC,362,Mastoidectomy; modified radical ,,,2051.93,23113.0,7
RC,362,Mastoidectomy; radical ,,,2051.93,23113.0,7
RC,362,"Mattress, foam rubber ",,,182.92,182.92,3
RC,362,"Mattress, innerspring ",,,162.65,162.65,3
RC,362,Maxillary impression for palatal prosthesis ,,,2636.0,5932.0,5
RC,362,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,6587.0,6587.0,1
RC,362,"Meat fibers, feces ",,,5.29,5.29,3
RC,362,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,685.44,5932.0,7
RC,362,"Meatotomy, cutting of meatus (separate procedure); infant ",,,4693.0,5932.0,5
RC,362,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,362,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,468.58,5932.0,6
RC,362,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,351.7,5932.0,7
RC,362,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,1525.02,19415.0,6
RC,362,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,7839.0,9908.0,5
RC,362,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,7839.0,9908.0,5
RC,362,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,6587.0,6587.0,1
RC,362,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,6587.0,6587.0,1
RC,362,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,362,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,362,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,362,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,362,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,362,Mental Health Services Com ,,,448.48,448.48,3
RC,362,"Mercury, quantitative ",,,17.72,17.72,3
RC,362,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,362,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,362,Metanephrines ,,,18.46,18.46,3
RC,362,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,362,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,362,Metatarsal joint implant ,,,467.12,467.12,3
RC,362,Methemalbumin ,,,11.71,11.71,3
RC,362,Methotrexate ,,,42.04,42.04,3
RC,362,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,362,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,362,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,362,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,362,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,362,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,362,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,362,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,362,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,362,Middle ear exploration through postauricular or ear canal incision ,,,930.95,9908.0,7
RC,362,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,362,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,362,Mitomycin instillation ,,,359.63,359.63,3
RC,362,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,362,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,362,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,362,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,6587.0,6587.0,1
RC,362,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,362,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,733.22,5381.0,3
RC,362,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,362,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,362,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,362,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,362,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,362,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,362,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,362,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,362,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,362,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,362,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,362,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,362,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,362,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,362,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,362,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,362,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,362,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,362,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,362,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,362,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,362,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,362,Mouth piece ,,,4.82,4.82,3
RC,362,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,362,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,362,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,362,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,362,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,362,Multifetal pregnancy reduction(s) (MPR) ,,,2636.0,2636.0,1
RC,362,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,242.73,5932.0,7
RC,362,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,362,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,362,Muramidase ,,,20.44,20.44,3
RC,362,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,362,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,362,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,3293.0,6680.0,5
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,3293.0,5932.0,5
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,3293.0,5932.0,5
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,3293.0,5932.0,5
RC,362,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,362,Myoglobin ,,,14.08,14.08,3
RC,362,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,7168.0,23113.0,5
RC,362,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1116.7,18490.0,7
RC,362,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,7168.0,7168.0,1
RC,362,Myringoplasty (surgery confined to drumhead and donor area) ,,,930.95,6680.0,7
RC,362,Myringotomy including aspiration and/or eustachian tube inflation ,,,91.96,9908.0,7
RC,362,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,930.95,9908.0,7
RC,362,"Myringotomy, laser-assisted ",,,7839.0,9908.0,4
RC,362,N BLOCK INJ SPINAL ACCESSOR ,,,6587.0,6587.0,1
RC,362,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,6587.0,6587.0,1
RC,362,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,362,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,362,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,362,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,362,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,362,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,362,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,362,"Naltrexone, depot form ",,,4.93,4.93,3
RC,362,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,362,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,362,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,362,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,362,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,362,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,362,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,362,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,117.96,6680.0,7
RC,362,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,362,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,3062.57,6680.0,7
RC,362,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,3062.57,6587.0,7
RC,362,Natalizumab injection ,,,26.6,26.6,3
RC,362,Natriuretic peptide ,,,42.79,42.79,3
RC,362,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,362,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,362,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,362,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,362,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,362,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,362,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,115.66,6587.0,7
RC,362,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,362,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,362,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,362,Nelarabine injection ,,,71.29,71.29,3
RC,362,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,362,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,6587.0,6587.0,1
RC,362,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,6587.0,6587.0,1
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,6587.0,6587.0,1
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,6587.0,6587.0,1
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,6587.0,6587.0,1
RC,362,"Nephrectomy, partial ",,,6587.0,6587.0,1
RC,362,Nephrolithotomy; complicated by congenital kidney abnormality ,,,6587.0,6587.0,1
RC,362,Nephrolithotomy; removal of calculus ,,,6587.0,6587.0,1
RC,362,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,6587.0,6587.0,1
RC,362,Nephrolithotomy; secondary surgical operation for calculus ,,,6587.0,6587.0,1
RC,362,"Nephrorrhaphy, suture of kidney wound or injury ",,,6587.0,6587.0,1
RC,362,"Nephrostomy, nephrotomy with drainage ",,,5381.0,9908.0,5
RC,362,"Nephrotomy, with exploration ",,,6587.0,6587.0,1
RC,362,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,3565.6,7168.0,7
RC,362,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2096.41,7168.0,7
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2096.41,9908.0,7
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2096.41,9908.0,7
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2096.41,9908.0,7
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2096.41,9908.0,7
RC,362,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2096.41,7168.0,7
RC,362,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,3123.03,7168.0,7
RC,362,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2729.23,7168.0,7
RC,362,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2729.23,7168.0,7
RC,362,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,2636.0,6680.0,5
RC,362,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,2636.0,6680.0,5
RC,362,Nerve pedicle transfer; first stage ,,,2096.41,7168.0,7
RC,362,Nerve pedicle transfer; second stage ,,,2096.41,7168.0,7
RC,362,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,5286.0,7168.0,5
RC,362,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,4693.0,6587.0,5
RC,362,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,3248.57,6680.0,7
RC,362,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,3260.21,7168.0,7
RC,362,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,362,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,6587.0,6587.0,1
RC,362,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,6587.0,6587.0,1
RC,362,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,6587.0,6587.0,1
RC,362,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,6587.0,6587.0,1
RC,362,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,362,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,362,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,362,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,362,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,362,Neuroplasty and/or transposition; cranial nerve (specify) ,,,692.94,9908.0,7
RC,362,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,692.94,6680.0,7
RC,362,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,692.94,6680.0,7
RC,362,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,692.94,6680.0,7
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,692.94,6680.0,7
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,692.94,6680.0,7
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,692.94,6680.0,7
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,692.94,6680.0,7
RC,362,"Neuroplasty; digital, 1 or both, same digit ",,,692.94,5932.0,7
RC,362,Neuroplasty; nerve of hand or foot ,,,692.94,5932.0,7
RC,362,"Neutralization test, viral ",,,18.43,18.43,3
RC,362,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,362,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,362,Nickel ,,,26.72,26.72,3
RC,362,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,362,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,362,Nivestym ,,,0.35,0.35,3
RC,362,Nocturnal penile tumescence and/or rigidity test ,,,2636.0,5932.0,5
RC,362,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,362,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,362,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,362,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,362,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,362,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,362,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,362,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,362,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,362,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,362,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,362,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,362,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,362,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,362,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,5286.0,7168.0,5
RC,362,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,362,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,362,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,362,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,362,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,362,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,362,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,362,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,362,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,362,Nucleotidase 5'- ,,,12.15,12.15,3
RC,362,OPERATIVE UPPER GI ENDOSCOPY ,,,6587.0,6587.0,1
RC,362,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,362,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,6587.0,6587.0,1
RC,362,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,362,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,362,"Occluder lens, per lens ",,,28.56,28.56,3
RC,362,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1116.7,9908.0,7
RC,362,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,362,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,362,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,362,Octagam injection ,,,51.29,51.29,3
RC,362,Ocular implant ,,,885.23,885.23,3
RC,362,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1499.06,18490.0,7
RC,362,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,7168.0,18490.0,5
RC,362,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,8024.0,18490.0,5
RC,362,Ofatumumab injection ,,,67.84,67.84,3
RC,362,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,362,Omalizumab injection ,,,50.78,50.78,3
RC,362,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,6587.0,6587.0,1
RC,362,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,6587.0,19415.0,5
RC,362,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,362,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,362,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,362,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,362,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,362,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,362,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,362,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,362,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,362,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,362,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,362,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,362,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,362,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,362,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,362,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,362,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,362,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,362,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,362,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,362,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,362,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,362,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,362,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,362,One way chest drain valve ,,,63.18,63.18,3
RC,362,"Oophorectomy, partial or total, unilateral or bilateral; ",,,7168.0,18490.0,5
RC,362,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,7168.0,7168.0,1
RC,362,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,6680.0,4
RC,362,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,5286.0,20854.81,7
RC,362,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,6680.0,4
RC,362,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,5286.0,20854.81,7
RC,362,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,6680.0,4
RC,362,Open implantation of neurostimulator electrode array; neuromuscular ,,,4693.0,12450.41,7
RC,362,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4693.0,8596.27,7
RC,362,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4154.17,9908.0,7
RC,362,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,60840.0,76895.0,4
RC,362,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,14630.0,18490.0,4
RC,362,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,60840.0,76895.0,4
RC,362,"Operculectomy, excision pericoronal tissues ",,,3293.0,5932.0,5
RC,362,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5381.0,5381.0,1
RC,362,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5381.0,5381.0,1
RC,362,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1158.59,19415.0,7
RC,362,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,362,Oral busulfan ,,,11.03,11.03,3
RC,362,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,362,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,362,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,362,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,362,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,362,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,362,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,362,Orbital implant (implant outside muscle cone); insertion ,,,1158.59,19415.0,7
RC,362,Orbital implant (implant outside muscle cone); removal or revision ,,,1158.59,6680.0,7
RC,362,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,362,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,6587.0,6587.0,1
RC,362,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,6587.0,6587.0,1
RC,362,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,6587.0,6587.0,1
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1158.59,18490.0,7
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1158.59,18490.0,7
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1158.59,18490.0,7
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1158.59,18490.0,7
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1158.59,18490.0,7
RC,362,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1158.59,9908.0,7
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,733.22,19415.0,7
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1158.59,18490.0,7
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,733.22,18490.0,7
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,733.22,18490.0,7
RC,362,"Orchiectomy, partial ",,,1200.05,9908.0,7
RC,362,"Orchiectomy, radical, for tumor; inguinal approach ",,,1209.12,19415.0,7
RC,362,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,7168.0,7168.0,1
RC,362,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1200.05,9908.0,7
RC,362,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,7168.0,19415.0,5
RC,362,"Orchiopexy, inguinal or scrotal approach ",,,1209.12,19415.0,7
RC,362,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,362,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,362,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,362,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,362,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,362,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,362,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,362,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,362,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,362,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,362,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,362,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,362,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,362,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,362,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,362,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,362,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,362,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,362,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,362,Orthovisc inj per dose ,,,109.36,109.36,3
RC,362,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,362,Osmolality; blood ,,,7.2,7.2,3
RC,362,Osmolality; urine ,,,7.43,7.43,3
RC,362,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,362,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,362,Ossicula implant ,,,401.67,401.67,3
RC,362,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,362,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,362,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,362,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,362,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,362,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,362,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,362,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,362,"Ostomy belt, each ",,,10.57,10.57,3
RC,362,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,362,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,362,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,362,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,362,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,362,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,362,Ostomy irrigation set ,,,75.92,75.92,3
RC,362,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,362,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,362,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,362,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,362,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,362,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,362,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,362,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,362,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,362,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,362,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,362,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,362,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,362,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,362,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,362,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,362,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,362,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,362,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,362,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,362,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,362,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,362,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,362,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,362,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,362,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,362,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,362,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,362,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,362,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,362,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,362,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,362,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,362,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,362,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,362,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,362,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,362,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,362,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,362,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,362,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,362,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,362,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,362,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,362,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,362,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,362,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,362,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,362,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,362,"Ostomy ring, each ",,,2.61,2.61,3
RC,362,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,362,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,362,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,362,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,362,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,362,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,362,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,362,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,362,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,362,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,362,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,362,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,362,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,362,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,362,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,362,"Other cranial decompression, posterior fossa ",,,6587.0,6587.0,1
RC,362,Other manual wheelchair/base ,,,111.03,111.03,3
RC,362,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,362,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,362,Other spinal injection ,,,6587.0,6587.0,1
RC,362,Otolaryngologic examination under general anesthesia ,,,2636.0,2636.0,1
RC,362,"Otoplasty, protruding ear, with or without size reduction ",,,930.95,9908.0,7
RC,362,Outflare wedge ,,,66.8,66.8,3
RC,362,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,362,"Ovarian cystectomy, unilateral or bilateral ",,,7168.0,18490.0,5
RC,362,"Oversize lens, per lens ",,,16.72,16.72,3
RC,362,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,362,Oxalate ,,,15.75,15.75,3
RC,362,Oxcarbazepine ,,,14.44,14.44,3
RC,362,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,362,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,362,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,362,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,362,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,362,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,362,PAROTID DUCT DIVERSION ,,,6587.0,6587.0,1
RC,362,"PARTIAL REMOVAL, DONOR LIVER ",,,6587.0,6587.0,1
RC,362,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,362,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,362,PERCUT DRAIN LIVER LESION ,,,6587.0,6587.0,1
RC,362,"PERCUT/NEEDLE INSERT, PROS ",,,6587.0,6587.0,1
RC,362,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,362,PLACE GASTROSTOMY TUBE ,,,6587.0,6587.0,1
RC,362,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,362,PMA Skin Substitute Produc ,,,136.26,136.26,3
RC,362,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,362,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,362,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,362,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,362,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,362,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,362,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,362,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,362,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"PROSTATECTOMY, FIRST STAGE ",,,6587.0,6587.0,1
RC,362,"PROSTATECTOMY, SECOND STAGE ",,,6587.0,6587.0,1
RC,362,PROSTATIC WATER THERMOTHER ,,,6587.0,6587.0,1
RC,362,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,362,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,362,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,362,PUNCTURE PERITONEAL CAVITY ,,,6587.0,6587.0,1
RC,362,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,362,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,362,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,362,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,362,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,362,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,362,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,2051.93,18490.0,7
RC,362,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,2051.93,18490.0,7
RC,362,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,930.95,18490.0,7
RC,362,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,3268.77,18490.0,7
RC,362,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,2051.93,18490.0,7
RC,362,Palatoplasty for cleft palate; major revision ,,,2051.93,23113.0,7
RC,362,Palatoplasty for cleft palate; secondary lengthening procedure ,,,2051.93,18490.0,7
RC,362,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,6587.0,6587.0,1
RC,362,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,6587.0,6587.0,1
RC,362,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,6587.0,6587.0,1
RC,362,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,6587.0,6587.0,1
RC,362,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,6587.0,6587.0,1
RC,362,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,6587.0,6587.0,1
RC,362,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,6587.0,6587.0,1
RC,362,"Pancreatectomy, total ",,,6587.0,6587.0,1
RC,362,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,6587.0,6587.0,1
RC,362,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,6587.0,6587.0,1
RC,362,Pancreatorrhaphy for injury ,,,6587.0,6587.0,1
RC,362,Panitumumab injection ,,,198.59,198.59,3
RC,362,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,892.44,5932.0,7
RC,362,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,892.44,6680.0,7
RC,362,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,892.44,9908.0,7
RC,362,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,362,"Paraffin, per pound ",,,5.3,5.3,3
RC,362,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,362,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,2636.0,9908.0,5
RC,362,Parathyroidectomy or exploration of parathyroid(s); ,,,2051.93,23113.0,7
RC,362,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,8024.0,23113.0,5
RC,362,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,6587.0,6587.0,1
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,8024.0,18490.0,5
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,8024.0,18490.0,5
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,8024.0,19415.0,5
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,276.0,5932.0,7
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,2636.0,5932.0,5
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,276.0,5932.0,7
RC,362,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,2051.93,9908.0,7
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,2051.93,19415.0,7
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,930.95,19415.0,7
RC,362,Partial Hospitalization (3 ,,,136.91,342.3,6
RC,362,Partial Hospitalization (4 ,,,179.39,448.48,6
RC,362,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,6587.0,6587.0,1
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,6587.0,6587.0,1
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,6587.0,6587.0,1
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,6587.0,6587.0,1
RC,362,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,6587.0,6587.0,1
RC,362,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,6587.0,6587.0,1
RC,362,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,4693.0,6587.0,5
RC,362,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,362,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,362,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,362,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,362,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,362,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,362,Partial hymenectomy or revision of hymenal ring ,,,1116.7,5932.0,7
RC,362,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1983.29,19415.0,7
RC,362,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1983.29,19415.0,7
RC,362,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,362,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,362,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,362,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,362,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,362,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,362,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,362,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,362,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,362,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,362,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,362,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,362,Pegaspargase injection ,,,32333.72,32333.72,3
RC,362,Pegunigalsidase alfa-iwxj ,,,245.97,245.97,3
RC,362,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,362,Pelvic examination under anesthesia (other than local) ,,,1116.7,6680.0,7
RC,362,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,6587.0,6587.0,1
RC,362,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,6587.0,6587.0,1
RC,362,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,6587.0,6587.0,1
RC,362,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,6587.0,6587.0,1
RC,362,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,362,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,362,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,362,Penile plethysmography ,,,2636.0,5932.0,5
RC,362,"Penile revascularization, artery, with or without vein graft ",,,6587.0,6587.0,1
RC,362,Penile venous occlusive procedure ,,,7168.0,9908.0,5
RC,362,Pentostatin injection ,,,2940.81,2940.81,3
RC,362,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,362,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,6587.0,76895.0,5
RC,362,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,2036.11,23113.0,6
RC,362,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,2036.11,23113.0,6
RC,362,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,270.48,5932.0,7
RC,362,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,357.81,5932.0,7
RC,362,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,9908.0,4
RC,362,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,6680.0,4
RC,362,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,362,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4693.0,5932.0,4
RC,362,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,3838.82,8024.0,7
RC,362,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4693.0,8347.69,7
RC,362,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4103.8,8024.0,7
RC,362,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,3924.71,9908.0,7
RC,362,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,357.81,5932.0,14
RC,362,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,3488.38,19415.0,12
RC,362,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,9908.0,4
RC,362,Percutaneous portal vein catheterization by any method ,,,2636.0,5932.0,5
RC,362,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7168.0,18490.0,5
RC,362,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,26718.0,33769.0,4
RC,362,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,26718.0,33769.0,4
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,8325.0,1
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,8325.0,1
RC,362,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,33769.0,5
RC,362,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,26718.0,33769.0,4
RC,362,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2480.92,9155.69,9
RC,362,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,5616.06,33769.0,7
RC,362,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,18288.0,23113.0,4
RC,362,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,1621.98,33769.0,7
RC,362,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,14630.0,18490.0,4
RC,362,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,14630.0,18490.0,4
RC,362,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,15362.0,19415.0,4
RC,362,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,15362.0,19415.0,4
RC,362,"Pereyra procedure, including anterior colporrhaphy ",,,2390.64,18490.0,7
RC,362,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,362,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1116.7,18490.0,7
RC,362,Periodontal mucosal grafting ,,,441.67,6680.0,7
RC,362,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,362,Perirectal injection of sclerosing solution for prolapse ,,,2636.0,5932.0,5
RC,362,"Peritoneal lavage, including imaging guidance, when performed ",,,351.7,6680.0,7
RC,362,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,6587.0,19415.0,5
RC,362,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,4693.0,6587.0,5
RC,362,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,5286.0,6680.0,5
RC,362,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,6587.0,9908.0,5
RC,362,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,362,Pertnscp cholangram w bx ,,,6587.0,6587.0,1
RC,362,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,362,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,362,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,362,Petrous apicectomy including radical mastoidectomy ,,,2051.93,23113.0,7
RC,362,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,2636.0,2636.0,1
RC,362,Pharyngoesophageal repair ,,,6587.0,6587.0,1
RC,362,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,2051.93,6680.0,7
RC,362,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,441.67,6680.0,7
RC,362,Phenobarbital ,,,16.68,16.68,3
RC,362,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,362,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,362,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,362,Phenytoin; free ,,,15.0,15.0,3
RC,362,Phenytoin; total ,,,14.44,14.44,3
RC,362,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,362,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,362,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,362,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,362,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,362,Phosphatidylglycerol ,,,18.01,18.01,3
RC,362,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,362,Phosphohexose isomerase ,,,11.7,11.7,3
RC,362,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,362,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,362,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,362,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,362,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,2636.0,2636.0,1
RC,362,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,2636.0,2636.0,1
RC,362,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,2636.0,2636.0,1
RC,362,"Photopheresis, extracorporeal ",,,1757.86,7168.0,7
RC,362,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,362,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,362,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,362,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,362,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,362,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,2636.0,2636.0,1
RC,362,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,362,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,362,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,362,Pinworm examinations ,,,4.65,4.65,3
RC,362,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,2636.0,2636.0,1
RC,362,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,1209.12,7168.0,7
RC,362,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,2636.0,19415.0,5
RC,362,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,4693.0,7168.0,5
RC,362,Placement of amniotic membrane on the ocular surface; without sutures ,,,3293.0,5932.0,5
RC,362,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,1209.12,7168.0,14
RC,362,Placement of choledochal stent ,,,6587.0,6587.0,1
RC,362,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,6587.0,6587.0,1
RC,362,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,6587.0,6587.0,1
RC,362,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,3293.0,3293.0,1
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,6587.0,6587.0,1
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,311.04,5932.0,7
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,74.41,5932.0,7
RC,362,Placement of needle for intraosseous infusion ,,,4693.0,5932.0,4
RC,362,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,4693.0,7168.0,5
RC,362,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,4693.0,5932.0,5
RC,362,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,685.44,6680.0,7
RC,362,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,1200.05,6680.0,7
RC,362,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,2636.0,2636.0,1
RC,362,Placement of seton ,,,986.93,9908.0,7
RC,362,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,2687.03,9908.0,21
RC,362,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1200.05,9908.0,21
RC,362,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,5286.0,6680.0,5
RC,362,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,362,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,362,Plasma and/or cell exchange ,,,6587.0,6587.0,1
RC,362,Plasma cryo redu path each ,,,145.8,145.8,3
RC,362,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,362,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,362,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,362,Plastic operation of penis for injury ,,,1200.05,19415.0,7
RC,362,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1200.05,9908.0,7
RC,362,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1200.05,9908.0,7
RC,362,Plastic operation on penis for epispadias distal to external sphincter; ,,,685.44,9908.0,7
RC,362,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,8024.0,8024.0,1
RC,362,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,685.44,9908.0,7
RC,362,Plastic operation on penis to correct angulation ,,,1200.05,9908.0,7
RC,362,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1603.34,9908.0,7
RC,362,Plastic repair of canaliculi ,,,733.22,6680.0,7
RC,362,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,2051.93,9908.0,7
RC,362,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,2051.93,23113.0,7
RC,362,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,2051.93,23113.0,7
RC,362,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,930.95,23113.0,7
RC,362,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,2051.93,9908.0,7
RC,362,Plastic repair of introitus ,,,1116.7,9908.0,7
RC,362,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,2051.93,9908.0,7
RC,362,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,2051.93,19415.0,7
RC,362,Plastic repair of urethrocele ,,,1116.7,9908.0,7
RC,362,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,362,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,362,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,362,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,362,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,362,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,362,Platelets pheresis path re ,,,662.1,662.1,3
RC,362,"Platelets, each unit ",,,57.96,57.96,3
RC,362,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,362,"Platelets, irradiated ",,,428.34,428.34,3
RC,362,"Platelets, pheresis ",,,336.77,336.77,3
RC,362,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,362,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,362,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,362,Plerixafor injection ,,,31.05,31.05,3
RC,362,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,362,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,362,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,362,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,362,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,362,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,362,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,362,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,362,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,362,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,362,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,362,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,362,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,362,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,362,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,362,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,362,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,362,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,362,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,362,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,362,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,362,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,362,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,362,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,362,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,362,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,362,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,362,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,362,"Portoenterostomy (eg, Kasai procedure) ",,,6587.0,6587.0,1
RC,362,Posaconazole ,,,29.55,29.55,3
RC,362,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,362,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,362,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,362,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,362,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,362,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,362,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,362,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,362,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,362,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,362,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.34,18490.0,7
RC,362,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,2636.0,5932.0,5
RC,362,Postpartum care only (separate procedure) ,,,4693.0,6587.0,5
RC,362,Postural drainage board ,,,31.28,31.28,3
RC,362,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,362,Potassium; urine ,,,5.16,5.16,3
RC,362,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,362,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,362,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,362,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,362,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,362,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,362,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,362,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,362,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,362,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,362,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,362,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,362,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,362,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,362,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,362,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,362,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,362,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,362,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,362,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,362,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,362,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,362,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,362,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,362,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,362,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,362,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,362,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,362,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,362,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,362,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,362,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,362,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,362,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,362,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,362,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,362,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,362,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,362,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,362,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,362,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,362,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,362,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,362,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,362,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,362,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,362,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,362,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,362,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,362,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,362,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,362,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,362,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,362,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,362,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,362,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,362,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,362,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,362,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,362,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,362,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,362,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,362,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,362,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,362,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,362,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,362,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,362,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,362,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,362,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,362,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,362,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,362,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,362,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,362,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,362,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,362,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,362,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,362,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,362,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,362,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,362,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,362,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,362,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,362,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,362,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,362,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,362,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,362,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,362,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,362,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,362,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,362,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,362,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,362,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,362,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,362,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,362,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,362,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,362,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,362,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,362,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,362,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,362,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,362,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,362,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,362,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,362,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,362,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,362,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,362,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,362,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,362,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,362,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,362,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,362,Pralatrexate injection ,,,420.87,420.87,3
RC,362,Prealbumin ,,,15.9,15.9,3
RC,362,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,362,Pregnanediol ,,,23.18,23.18,3
RC,362,Pregnanetriol ,,,22.94,22.94,3
RC,362,Pregnenolone ,,,22.53,22.53,3
RC,362,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,362,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,4693.0,6587.0,5
RC,362,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,4693.0,5932.0,4
RC,362,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,362,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,362,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,362,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,362,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,362,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,362,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,362,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,362,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,362,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,362,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,362,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,362,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,362,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,362,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,362,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,362,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,362,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,362,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,6587.0,6587.0,1
RC,362,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,362,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,2636.0,33769.0,12
RC,362,Primidone ,,,18.08,18.08,3
RC,362,"Prism, per lens ",,,17.53,17.53,3
RC,362,"Probing of lacrimal canaliculi, with or without irrigation ",,,72.68,5932.0,7
RC,362,"Probing of nasolacrimal duct, with or without irrigation; ",,,113.7,5932.0,7
RC,362,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,733.22,6680.0,7
RC,362,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,733.22,6680.0,7
RC,362,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,733.22,6680.0,7
RC,362,Procainamide hcl injection ,,,321.94,321.94,3
RC,362,Procainamide; ,,,65.4,65.4,3
RC,362,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,362,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,362,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,6587.0,6587.0,1
RC,362,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,6587.0,6587.0,1
RC,362,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,6587.0,6587.0,1
RC,362,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,6587.0,6587.0,1
RC,362,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,6587.0,6587.0,1
RC,362,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,6587.0,6587.0,1
RC,362,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,6587.0,6587.0,1
RC,362,"Proctectomy, partial, without anastomosis, perineal approach ",,,8024.0,8024.0,1
RC,362,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,6587.0,6587.0,1
RC,362,"Proctectomy; partial resection of rectum, transabdominal approach ",,,6587.0,6587.0,1
RC,362,"Proctopexy (eg, for prolapse); abdominal approach ",,,6587.0,6587.0,1
RC,362,"Proctopexy (eg, for prolapse); perineal approach ",,,986.93,7168.0,7
RC,362,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,6587.0,6587.0,1
RC,362,Proctoplasty; for prolapse of mucous membrane ,,,986.93,7168.0,7
RC,362,Proctoplasty; for stenosis ,,,986.93,6680.0,7
RC,362,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,86.63,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,986.93,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,450.72,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,450.72,6587.0,7
RC,362,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,986.93,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,450.72,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,986.93,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,450.72,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,986.93,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,450.72,5932.0,7
RC,362,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,2288.54,7168.0,7
RC,362,Progesterone ,,,22.74,22.74,3
RC,362,Proinsulin ,,,29.09,29.09,3
RC,362,Prolactin ,,,21.12,21.12,3
RC,362,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,113.7,6680.0,7
RC,362,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,125.86,5932.0,7
RC,362,"Prostaglandin, each ",,,45.53,45.53,3
RC,362,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,362,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,362,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,362,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,362,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,6587.0,6587.0,1
RC,362,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,6587.0,6587.0,1
RC,362,"Prostatectomy, perineal radical; ",,,6587.0,6587.0,1
RC,362,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,6587.0,6587.0,1
RC,362,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,6587.0,6587.0,1
RC,362,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,6587.0,6587.0,1
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,6587.0,6587.0,1
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,6587.0,23113.0,5
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,6587.0,6587.0,1
RC,362,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,1200.05,6680.0,7
RC,362,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,1200.05,5932.0,7
RC,362,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,362,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,362,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,362,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,362,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,362,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,362,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,362,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,362,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,362,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,362,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,362,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,362,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,362,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,362,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,362,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,362,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,362,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,362,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,362,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,362,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,362,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,362,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,362,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,362,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,362,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,362,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,362,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,362,Prothrombin time; ,,,4.68,4.68,3
RC,362,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,362,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,362,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,362,Pulmonary Treatment ,,,239.77,239.77,3
RC,362,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,362,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,362,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,362,Pump for water circulating pad ,,,68.74,68.74,3
RC,362,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,56.97,3293.0,3
RC,362,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,276.0,5932.0,7
RC,362,"Push transfusion, blood, 2 years or younger ",,,2636.0,5932.0,5
RC,362,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,6587.0,6587.0,1
RC,362,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,6587.0,6587.0,1
RC,362,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,6587.0,6587.0,1
RC,362,"Pyelotomy; with drainage, pyelostomy ",,,6587.0,6587.0,1
RC,362,Pyelotomy; with exploration ,,,6587.0,6587.0,1
RC,362,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,6587.0,6587.0,1
RC,362,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,6587.0,6587.0,1
RC,362,Pyloroplasty ,,,6587.0,6587.0,1
RC,362,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,362,Pyruvate ,,,15.78,15.78,3
RC,362,Pyruvate kinase ,,,10.29,10.29,3
RC,362,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,362,Quinidine ,,,15.91,15.91,3
RC,362,Quinine ,,,12.68,12.68,3
RC,362,RBC deglycerolized ,,,341.17,341.17,3
RC,362,RBC irradiated ,,,158.29,158.29,3
RC,362,RBC leukocytes reduced ,,,201.55,201.55,3
RC,362,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,362,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,362,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,362,RECONSTRUCTION OF URETHRA ,,,6587.0,6587.0,1
RC,362,REDUCTION OF SKULL DEFECT ,,,6587.0,6587.0,1
RC,362,REMOVAL OF ABDOMINAL FLUID ,,,6587.0,6587.0,1
RC,362,REMOVAL OF ABDOMINAL LESION ,,,6587.0,6587.0,1
RC,362,REMOVAL OF ACCESS DEVICE ,,,6587.0,6587.0,1
RC,362,REMOVAL OF ANAL CRYPT ,,,6587.0,6587.0,1
RC,362,REMOVAL OF ANAL CRYPTS ,,,6587.0,6587.0,1
RC,362,REMOVAL OF BRAIN TISSUE ,,,6587.0,6587.0,1
RC,362,REMOVAL OF COLON/ILEOSTOMY ,,,6587.0,6587.0,2
RC,362,REMOVAL OF INFUSION PUMP ,,,6587.0,6587.0,1
RC,362,REMOVAL OF LEG VEIN ,,,6587.0,6587.0,1
RC,362,REMOVAL OF LEG VEINS ,,,6587.0,6587.0,1
RC,362,"REMOVAL OF STOMACH, PARTIAL ",,,6587.0,6587.0,2
RC,362,REMOVAL OF TESTIS LESION ,,,6587.0,6587.0,1
RC,362,"REMOVE ABDOM LESION, COMPLEX ",,,6587.0,6587.0,1
RC,362,REMOVE ABDOMEN FOREIGN BODY ,,,6587.0,6587.0,1
RC,362,REMOVE BILE DUCT STONE ,,,6587.0,6587.0,1
RC,362,REMOVE MULTI-COMP PROSTHESIS ,,,6587.0,6587.0,1
RC,362,REMOVE PENIS PROSTHESIS ,,,6587.0,6587.0,1
RC,362,REMOVE RESIDUAL PROSTATE ,,,6587.0,6587.0,1
RC,362,RENAL ABSCESS PERCUT DRAIN ,,,6587.0,6587.0,1
RC,362,RENAL ENDOSCOPY/RADIOTRACER ,,,6587.0,6587.0,2
RC,362,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7168.0,7168.0,1
RC,362,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7168.0,7168.0,1
RC,362,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7168.0,7168.0,1
RC,362,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7168.0,7168.0,1
RC,362,REPAIR OF DIAPHRAGM HERNIA ,,,6587.0,6587.0,3
RC,362,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5381.0,5381.0,1
RC,362,REPAIR PARAESOPHAGEAL HERNIA ,,,6587.0,6587.0,1
RC,362,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7168.0,7168.0,1
RC,362,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7168.0,7168.0,1
RC,362,REPAIR SPIGELIAN HERNIA ,,,7168.0,7168.0,1
RC,362,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7168.0,7168.0,1
RC,362,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7168.0,7168.0,1
RC,362,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7168.0,7168.0,1
RC,362,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7168.0,7168.0,1
RC,362,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,7008.0,1
RC,362,REPOSITIONING OF CVC ,,,6587.0,6587.0,1
RC,362,REREPAIR DETACHED RETINA ,,,6587.0,6587.0,1
RC,362,RESECT/DEBRIDE PANCREAS ,,,6587.0,6587.0,1
RC,362,REVISE ESOPHAGUS & STOMACH ,,,6587.0,6587.0,2
RC,362,REVISE PENIS PROSTHESIS ,,,6587.0,6587.0,1
RC,362,REVISE/REINSERT BILE TUBE ,,,6587.0,6587.0,1
RC,362,REVISE/REMOVE NEUROELECTRODE ,,,6587.0,6587.0,1
RC,362,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,8024.0,8024.0,1
RC,362,REVISION OF ACCESS DEVICE ,,,6587.0,6587.0,1
RC,362,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY ,,,6587.0,6587.0,1
RC,362,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY ,,,6587.0,6587.0,1
RC,362,REVISION OF INFUSION PUMP ,,,6587.0,6587.0,1
RC,362,REVISION OF MAJOR VEIN ,,,6587.0,6587.0,1
RC,362,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,362,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,362,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,362,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,362,"Rabies vaccine, id ",,,258.18,258.18,3
RC,362,"Rabies vaccine, im ",,,361.85,361.85,3
RC,362,Radial keratotomy ,,,5381.0,23113.0,5
RC,362,Radiation tx delivery lvl ,,,85.19,419.55,9
RC,362,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,6587.0,23113.0,5
RC,362,Radical excision external auditory canal lesion; with neck dissection ,,,6587.0,6587.0,1
RC,362,Radical excision external auditory canal lesion; without neck dissection ,,,2051.93,9908.0,7
RC,362,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,8024.0,8024.0,1
RC,362,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,6587.0,6587.0,1
RC,362,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,5381.0,5381.0,1
RC,362,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,6587.0,6587.0,1
RC,362,Radiesse injection ,,,380.62,380.62,3
RC,362,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,692.94,19415.0,7
RC,362,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,362,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,362,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,362,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,362,Ranibizumab injection ,,,55.69,55.69,3
RC,362,Rasburicase ,,,422.32,422.32,3
RC,362,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,362,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,362,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,362,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,362,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,6587.0,6587.0,1
RC,362,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,362,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,362,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,362,Receptor assay; estrogen ,,,95.79,95.79,3
RC,362,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,362,Receptor assay; progesterone ,,,70.72,70.72,3
RC,362,Recipient nephrectomy (separate procedure) ,,,6587.0,6587.0,1
RC,362,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,362,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2051.93,23113.0,7
RC,362,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2051.93,9908.0,7
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,733.22,9908.0,7
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,733.22,9908.0,7
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1158.59,9908.0,7
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,733.22,9908.0,7
RC,362,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,6587.0,6587.0,1
RC,362,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,362,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,362,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,4693.0,5932.0,4
RC,362,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,2636.0,2636.0,1
RC,362,Red blood cells unit ,,,164.12,164.12,3
RC,362,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,6587.0,6587.0,1
RC,362,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,6587.0,6587.0,1
RC,362,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,362,Reduction of overcorrection of ptosis ,,,733.22,19415.0,7
RC,362,Reduction of procidentia (separate procedure) under anesthesia ,,,344.93,5932.0,7
RC,362,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1200.05,19415.0,7
RC,362,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,6587.0,76895.0,5
RC,362,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,2636.0,2636.0,1
RC,362,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,2636.0,2636.0,1
RC,362,Regulator ,,,43.99,43.99,3
RC,362,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,362,Reinsertion of ocular implant; with or without conjunctival graft ,,,1158.59,6680.0,7
RC,362,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1158.59,9908.0,7
RC,362,Release of encircling material (posterior segment) ,,,1610.16,6680.0,7
RC,362,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,733.22,23113.0,7
RC,362,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,362,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,362,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,362,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,362,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,362,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,5932.0,7
RC,362,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,685.44,5932.0,7
RC,362,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,5932.0,7
RC,362,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,572.66,5932.0,7
RC,362,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,7668.0,9908.0,5
RC,362,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,2636.0,18490.0,5
RC,362,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,685.44,5932.0,7
RC,362,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,6680.0,4
RC,362,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,4693.0,13215.03,7
RC,362,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,3293.0,3293.0,1
RC,362,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,7668.0,9908.0,5
RC,362,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,6587.0,19415.0,5
RC,362,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,855.96,5932.0,7
RC,362,Removal foreign body from external auditory canal; with general anesthesia ,,,510.77,5932.0,7
RC,362,Removal foreign body from external auditory canal; without general anesthesia ,,,2636.0,2636.0,1
RC,362,"Removal impacted cerumen requiring instrumentation, unilateral ",,,2636.0,5932.0,5
RC,362,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,2636.0,5932.0,5
RC,362,"Removal of Thiersch wire or suture, anal canal ",,,986.93,6680.0,7
RC,362,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1200.05,9908.0,7
RC,362,"Removal of anal seton, other marker ",,,450.72,5932.0,7
RC,362,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,5286.0,6680.0,4
RC,362,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,5286.0,6680.0,4
RC,362,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,5286.0,6680.0,4
RC,362,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,351.7,5932.0,7
RC,362,"Removal of blood clot, anterior segment of eye ",,,892.44,18490.0,7
RC,362,Removal of bone flap or prosthetic plate of skull ,,,6587.0,6587.0,1
RC,362,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,2636.0,5932.0,5
RC,362,Removal of cerclage suture under anesthesia (other than local) ,,,1116.7,18490.0,7
RC,362,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,6587.0,6587.0,1
RC,362,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,4723.0,6680.0,5
RC,362,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,176.16,5932.0,7
RC,362,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,40.7,5932.0,7
RC,362,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2096.41,7168.0,7
RC,362,Removal of embedded foreign body from dentoalveolar structures; bone ,,,272.38,5932.0,7
RC,362,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,231.98,5932.0,7
RC,362,"Removal of embedded foreign body, eyelid ",,,113.7,5932.0,7
RC,362,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,158.14,6680.0,7
RC,362,"Removal of embedded foreign body, vestibule of mouth; simple ",,,2636.0,2636.0,1
RC,362,Removal of entire lumbosubarachnoid shunt system without replacement ,,,692.94,6680.0,7
RC,362,"Removal of epithelial downgrowth, anterior chamber of eye ",,,892.44,18490.0,7
RC,362,Removal of esophageal sphincter augmentation device ,,,7008.0,7008.0,1
RC,362,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,450.72,5932.0,7
RC,362,Removal of foreign body from pharynx ,,,2636.0,5932.0,5
RC,362,Removal of foreign body in scrotum ,,,685.44,6680.0,7
RC,362,"Removal of foreign body or dacryolith, lacrimal passages ",,,113.7,5932.0,7
RC,362,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,2636.0,2636.0,1
RC,362,"Removal of foreign body, external eye; conjunctival superficial ",,,2636.0,2636.0,1
RC,362,"Removal of foreign body, external eye; corneal, with slit lamp ",,,2636.0,2636.0,1
RC,362,"Removal of foreign body, external eye; corneal, without slit lamp ",,,2636.0,2636.0,1
RC,362,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,892.44,6680.0,7
RC,362,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,892.44,9908.0,7
RC,362,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,892.44,19415.0,7
RC,362,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,5932.0,4
RC,362,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2096.41,6587.0,7
RC,362,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,5932.0,4
RC,362,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,2636.0,2636.0,1
RC,362,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,1116.7,6680.0,7
RC,362,Removal of implanted intra-arterial infusion pump ,,,1496.71,7168.0,7
RC,362,"Removal of implanted material, anterior segment of eye ",,,892.44,23113.0,7
RC,362,"Removal of implanted material, posterior segment; extraocular ",,,892.44,6680.0,7
RC,362,"Removal of implanted material, posterior segment; intraocular ",,,892.44,8024.0,7
RC,362,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1773.9,7168.0,7
RC,362,Removal of intrauterine device (IUD) ,,,53.78,5932.0,7
RC,362,"Removal of lens material; aspiration technique, 1 or more stages ",,,892.44,19415.0,7
RC,362,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,892.44,18490.0,7
RC,362,Removal of lens material; intracapsular ,,,892.44,19415.0,7
RC,362,"Removal of lens material; intracapsular, for dislocated lens ",,,1610.16,18490.0,7
RC,362,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1610.16,19415.0,7
RC,362,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,892.44,23113.0,7
RC,362,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,250.06,5932.0,7
RC,362,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,4693.0,5932.0,4
RC,362,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1200.05,9908.0,7
RC,362,Removal of ocular implant ,,,1158.59,6587.0,7
RC,362,Removal of pancreatic calculus ,,,6587.0,6587.0,1
RC,362,Removal of peritoneal foreign body from peritoneal cavity ,,,1209.12,7168.0,7
RC,362,Removal of peritoneal-venous shunt ,,,1174.13,6680.0,7
RC,362,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,18288.0,23113.0,4
RC,362,Removal of previously implanted intrathecal or epidural catheter ,,,692.94,6680.0,7
RC,362,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,892.44,19415.0,7
RC,362,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,5286.0,6680.0,5
RC,362,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,692.94,5932.0,7
RC,362,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,1574.7,5932.0,7
RC,362,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2096.41,7168.0,7
RC,362,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,4693.0,6587.0,5
RC,362,"Removal of transplanted intestinal allograft, complete ",,,6587.0,6587.0,1
RC,362,Removal of transplanted pancreatic allograft ,,,6587.0,6587.0,1
RC,362,Removal of transplanted renal allograft ,,,6587.0,6587.0,1
RC,362,"Removal of tumor, temporal bone ",,,8024.0,19415.0,5
RC,362,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,468.58,5932.0,6
RC,362,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,234.94,5932.0,6
RC,362,Removal of tunneled intraperitoneal catheter ,,,1174.13,5932.0,7
RC,362,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,892.44,19415.0,7
RC,362,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,892.44,19415.0,7
RC,362,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,930.95,8024.0,7
RC,362,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2327.17,7168.0,7
RC,362,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1116.7,18490.0,7
RC,362,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,4693.0,5932.0,4
RC,362,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1142.68,6680.0,7
RC,362,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1142.68,6680.0,7
RC,362,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1142.68,6680.0,7
RC,362,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,6587.0,6587.0,1
RC,362,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,6587.0,6587.0,1
RC,362,"Renal autotransplantation, reimplantation of kidney ",,,6587.0,6587.0,1
RC,362,Renal biopsy; by surgical exposure of kidney ,,,6587.0,6587.0,1
RC,362,"Renal biopsy; percutaneous, by trocar or needle ",,,510.77,5932.0,7
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1773.9,5932.0,7
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,3293.0,5932.0,7
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,3488.38,5932.0,7
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,1773.9,5932.0,7
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,3293.0,6680.0,7
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,1773.9,5932.0,7
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,5932.0,7
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1200.05,5932.0,7
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1773.9,8024.0,3
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,1773.9,5932.0,7
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,5932.0,7
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,250.06,5932.0,7
RC,362,"Renal exploration, not necessitating other specific procedures ",,,6587.0,6587.0,1
RC,362,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,362,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,362,Renin ,,,23.97,23.97,3
RC,362,Reopening of recent laparotomy ,,,6587.0,6587.0,1
RC,362,Repair incomplete circumcision ,,,685.44,6680.0,7
RC,362,"Repair inguinal hernia, sliding, any age ",,,1209.12,19415.0,7
RC,362,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,7
RC,362,"Repair initial femoral hernia, any age; reducible ",,,1209.12,18490.0,7
RC,362,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1209.12,19415.0,7
RC,362,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1209.12,19415.0,7
RC,362,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1209.12,19415.0,7
RC,362,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1209.12,19415.0,7
RC,362,"Repair lip, full thickness; over one-half vertical height, or complex ",,,441.67,9908.0,7
RC,362,"Repair lip, full thickness; up to half vertical height ",,,196.58,9908.0,7
RC,362,"Repair lip, full thickness; vermilion only ",,,196.58,9908.0,7
RC,362,Repair lumbar hernia ,,,1983.29,7168.0,7
RC,362,Repair of anal fistula with fibrin glue ,,,986.93,5932.0,7
RC,362,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,1295.61,7168.0,3
RC,362,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,15362.0,19415.0,4
RC,362,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1209.12,19415.0,40
RC,362,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1983.29,19415.0,36
RC,362,"Repair of anterior palate, including vomer flap ",,,2051.93,18490.0,7
RC,362,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,733.22,19415.0,7
RC,362,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,733.22,19415.0,7
RC,362,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,733.22,19415.0,7
RC,362,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1158.59,18490.0,7
RC,362,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,733.22,18490.0,7
RC,362,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1158.59,18490.0,7
RC,362,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,733.22,19415.0,7
RC,362,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,468.58,6680.0,6
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,6587.0,6587.0,1
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,6587.0,6587.0,1
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,6587.0,6587.0,1
RC,362,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1610.16,18490.0,7
RC,362,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,7839.0,9908.0,5
RC,362,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,6587.0,6587.0,1
RC,362,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,6587.0,6587.0,1
RC,362,Repair of ectropion; excision tarsal wedge ,,,733.22,19415.0,7
RC,362,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,733.22,19415.0,7
RC,362,Repair of ectropion; suture ,,,733.22,9908.0,7
RC,362,Repair of ectropion; thermocauterization ,,,210.46,9908.0,7
RC,362,"Repair of encephalocele, skull vault, including cranioplasty ",,,6587.0,6587.0,1
RC,362,"Repair of enterocele, abdominal approach (separate procedure) ",,,5381.0,5381.0,1
RC,362,"Repair of enterocele, vaginal approach (separate procedure) ",,,1603.34,9908.0,7
RC,362,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5286.0,6680.0,4
RC,362,Repair of entropion; excision tarsal wedge ,,,733.22,19415.0,7
RC,362,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,733.22,19415.0,7
RC,362,Repair of entropion; suture ,,,733.22,9908.0,7
RC,362,Repair of entropion; thermocauterization ,,,201.75,9908.0,7
RC,362,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,6587.0,6587.0,1
RC,362,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,6587.0,6587.0,1
RC,362,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,6587.0,6587.0,1
RC,362,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,6587.0,6587.0,1
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1200.05,9908.0,7
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1773.9,9908.0,7
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1773.9,9908.0,7
RC,362,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,6587.0,9908.0,5
RC,362,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,6587.0,9908.0,5
RC,362,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1773.9,7168.0,7
RC,362,"Repair of iris, ciliary body (as for iridodialysis) ",,,892.44,9908.0,7
RC,362,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,2636.0,6680.0,5
RC,362,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,91.96,6680.0,7
RC,362,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,91.96,6680.0,7
RC,362,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,391.57,6680.0,7
RC,362,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,5286.0,6680.0,5
RC,362,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,733.22,6680.0,7
RC,362,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,733.22,6680.0,7
RC,362,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1610.16,19415.0,7
RC,362,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1610.16,19415.0,7
RC,362,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1158.59,19415.0,7
RC,362,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,6587.0,19415.0,5
RC,362,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,6587.0,6587.0,1
RC,362,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,6587.0,6587.0,1
RC,362,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,6587.0,6587.0,1
RC,362,Repair of meningocele; larger than 5 cm diameter ,,,6587.0,6587.0,1
RC,362,Repair of meningocele; less than 5 cm diameter ,,,6587.0,6587.0,1
RC,362,Repair of myelomeningocele; larger than 5 cm diameter ,,,6587.0,6587.0,1
RC,362,Repair of myelomeningocele; less than 5 cm diameter ,,,6587.0,6587.0,1
RC,362,Repair of nasolabial fistula ,,,2051.93,19415.0,7
RC,362,Repair of omphalocele (Gross type operation); first stage ,,,6587.0,6587.0,1
RC,362,Repair of omphalocele (Gross type operation); second stage ,,,6587.0,6587.0,1
RC,362,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,362,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,6587.0,18490.0,5
RC,362,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,6587.0,19415.0,5
RC,362,Repair of rectocele (separate procedure) ,,,986.93,7168.0,7
RC,362,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,174.12,19415.0,7
RC,362,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,144.47,18490.0,7
RC,362,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,434.01,5381.0,3
RC,362,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1610.16,18490.0,7
RC,362,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1610.16,23113.0,7
RC,362,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,6587.0,6587.0,1
RC,362,Repair of scleral staphyloma with graft ,,,2141.05,19415.0,7
RC,362,"Repair of small omphalocele, with primary closure ",,,1209.12,19415.0,7
RC,362,"Repair of symblepharon; conjunctivoplasty, without graft ",,,892.44,19415.0,7
RC,362,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,733.22,19415.0,7
RC,362,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1158.59,19415.0,7
RC,362,Repair of traumatic corporeal tear(s) ,,,1200.05,6680.0,7
RC,362,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1200.05,19415.0,7
RC,362,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,234.94,6680.0,6
RC,362,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1158.59,9908.0,7
RC,362,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,362,Repair oval window fistula ,,,930.95,19415.0,7
RC,362,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,362,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1209.12,19415.0,7
RC,362,Repair recurrent femoral hernia; reducible ,,,1209.12,18490.0,7
RC,362,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,7
RC,362,"Repair recurrent inguinal hernia, any age; reducible ",,,1209.12,19415.0,7
RC,362,Repair round window fistula ,,,930.95,19415.0,7
RC,362,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,6587.0,6587.0,1
RC,362,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,6587.0,6587.0,1
RC,362,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1209.12,19415.0,14
RC,362,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,7168.0,18490.0,5
RC,362,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,7168.0,19415.0,5
RC,362,"Repair, laceration of diaphragm, any approach ",,,6587.0,6587.0,1
RC,362,"Repair, laceration of palate; over 2 cm or complex ",,,2051.93,6680.0,7
RC,362,"Repair, laceration of palate; up to 2 cm ",,,196.58,5932.0,7
RC,362,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,6587.0,6587.0,1
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,362,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,362,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,362,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,362,Replace high roll cuff ,,,398.06,398.06,3
RC,362,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,362,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,362,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,362,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,362,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,362,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,362,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,362,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,362,Replace pretibial shell ,,,724.27,724.27,3
RC,362,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,362,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,362,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,362,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,362,Replace trilateral socket brim ,,,862.54,862.54,3
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,6576.47,33769.0,7
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,6576.47,33769.0,7
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,4002.6,33769.0,7
RC,362,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,362,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,362,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,362,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,362,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,362,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,362,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,362,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,362,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,362,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,362,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,362,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,362,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,362,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,362,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,362,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,362,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,362,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,362,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,362,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,362,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,6587.0,6587.0,1
RC,362,Replacement of bone flap or prosthetic plate of skull ,,,6587.0,6587.0,1
RC,362,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,7
RC,362,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,7
RC,362,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,7
RC,362,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,115.66,6587.0,7
RC,362,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,115.66,6587.0,7
RC,362,"Replacement or irrigation, subarachnoid/subdural catheter ",,,692.94,5932.0,7
RC,362,"Replacement or irrigation, ventricular catheter ",,,2096.41,5932.0,7
RC,362,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2096.41,7168.0,7
RC,362,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,362,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,362,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,362,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,362,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,362,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,362,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,362,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,362,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,1576.12,6680.0,6
RC,362,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,635.9,5932.0,6
RC,362,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,1174.13,9908.0,6
RC,362,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,468.58,5932.0,6
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,1174.13,9908.0,6
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,3506.05,9908.0,6
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,1551.66,6680.0,6
RC,362,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,362,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2884.18,9908.0,7
RC,362,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,362,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,362,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,362,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,362,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,362,"Replantation, penis, complete amputation including urethral repair ",,,6587.0,6587.0,1
RC,362,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,115.66,5932.0,7
RC,362,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,892.44,19415.0,7
RC,362,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,7168.0,9908.0,5
RC,362,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,468.58,5932.0,6
RC,362,Reprogramming of programmable cerebrospinal shunt ,,,31.39,2636.0,3
RC,362,Reptilase test ,,,10.74,10.74,3
RC,362,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,7168.0,7168.0,1
RC,362,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,6587.0,6587.0,1
RC,362,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,6587.0,6587.0,1
RC,362,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,6587.0,6587.0,1
RC,362,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,6587.0,6587.0,1
RC,362,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,2051.93,23113.0,7
RC,362,"Resection of lip, more than one-fourth, without reconstruction ",,,930.95,6680.0,7
RC,362,Resection of mediastinal cyst ,,,6587.0,6587.0,1
RC,362,Resection of mediastinal tumor ,,,6587.0,6587.0,1
RC,362,Resection of palate or extensive resection of lesion ,,,2051.93,19415.0,7
RC,362,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,6587.0,6587.0,1
RC,362,Resection of scrotum ,,,1200.05,5932.0,7
RC,362,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,6587.0,6587.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,6587.0,6587.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,6587.0,6587.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,6587.0,6587.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,6587.0,6587.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,6587.0,6587.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,6587.0,6587.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,6587.0,6587.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,6587.0,6587.0,1
RC,362,"Resection temporal bone, external approach ",,,6587.0,6587.0,1
RC,362,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,6587.0,6587.0,1
RC,362,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,6587.0,6587.0,1
RC,362,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,362,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,362,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,362,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,362,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,362,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,362,Resuscitation and Cardiove ,,,723.71,723.71,3
RC,362,Reticulated platelet assay ,,,38.96,38.96,3
RC,362,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,7168.0,9908.0,5
RC,362,Retrobulbar injection; alcohol ,,,36.62,5932.0,7
RC,362,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,27.62,2636.0,3
RC,362,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,362,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,15362.0,19415.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,14630.0,18490.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,14630.0,18490.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,14630.0,18490.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,5796.69,7008.0,3
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,2638.63,8024.0,3
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,7668.0,9688.25,3
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,5604.99,7008.0,3
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,8024.0,8024.0,1
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,8024.0,8024.0,1
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,2454.04,8024.0,3
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,5352.25,7008.0,3
RC,362,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,14630.0,18490.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,14630.0,18490.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,15362.0,19415.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15362.0,19415.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,7008.0,9049.29,3
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,4988.47,8024.0,3
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,7668.0,9081.21,3
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,7008.0,8922.21,3
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,15362.0,19415.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,15362.0,19415.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,15362.0,19415.0,4
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,7008.0,7008.0,1
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,8024.0,8024.0,1
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,8024.0,8024.0,1
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,8024.0,8024.0,1
RC,362,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2390.64,7168.0,3
RC,362,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,6587.0,6587.0,1
RC,362,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1116.7,9908.0,7
RC,362,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,3859.98,8024.0,7
RC,362,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,8024.0,7
RC,362,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2051.93,23113.0,7
RC,362,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2051.93,23113.0,7
RC,362,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2051.93,23113.0,7
RC,362,Revision mastoidectomy; resulting in tympanoplasty ,,,2051.93,23113.0,7
RC,362,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,892.44,8024.0,7
RC,362,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,892.44,9908.0,7
RC,362,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,7168.0,19415.0,5
RC,362,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1530.5,9908.0,7
RC,362,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,7168.0,19415.0,5
RC,362,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,6587.0,6587.0,1
RC,362,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,6587.0,6587.0,1
RC,362,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,6587.0,19415.0,5
RC,362,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,1530.5,7168.0,7
RC,362,Revision of implanted intra-arterial infusion pump ,,,2252.39,7168.0,7
RC,362,Revision of peritoneal-venous shunt ,,,1209.12,7168.0,7
RC,362,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1773.9,9908.0,7
RC,362,Revision of stapedectomy or stapedotomy ,,,2051.93,18490.0,7
RC,362,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,7008.0,33769.0,5
RC,362,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1200.05,5381.0,3
RC,362,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,6587.0,6587.0,1
RC,362,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,5286.0,8616.6,7
RC,362,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,6587.0,6587.0,1
RC,362,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2175.62,5932.0,7
RC,362,Revision or removal of intracranial neurostimulator electrodes ,,,1574.7,5381.0,3
RC,362,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,4693.0,6587.0,5
RC,362,Revision or removal of peripheral neurostimulator electrode array ,,,1574.7,5932.0,7
RC,362,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2517.56,5932.0,7
RC,362,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,733.22,6680.0,7
RC,362,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,7839.0,9908.0,4
RC,362,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,7839.0,9908.0,4
RC,362,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,5286.0,9487.38,7
RC,362,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,5286.0,6796.25,7
RC,362,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,6680.0,4
RC,362,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,6680.0,4
RC,362,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,5381.0,9908.0,5
RC,362,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2036.11,19415.0,6
RC,362,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2036.11,19415.0,6
RC,362,Rh ig minidose im ,,,87.2,87.2,3
RC,362,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,362,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,362,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,362,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,362,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7168.0,7168.0,1
RC,362,"Risperidone, long acting ",,,12.1,12.1,3
RC,362,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,362,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,362,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,6587.0,6587.0,1
RC,362,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,6587.0,6587.0,1
RC,362,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,6587.0,6587.0,1
RC,362,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,6587.0,6587.0,1
RC,362,Rsv mab im 50mg ,,,476.06,476.06,3
RC,362,Rufinamide ,,,29.55,29.55,3
RC,362,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,362,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,362,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,362,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,362,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,362,SIGMOIDOSCOPY W/ABLATE TUMR ,,,6587.0,6587.0,1
RC,362,SIGMOIDOSCOPY W/STENT ,,,6587.0,6587.0,1
RC,362,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,362,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,362,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,362,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,362,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,362,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,362,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,7168.0,7168.0,1
RC,362,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,362,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,6587.0,6587.0,1
RC,362,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,4723.0,4723.0,1
RC,362,STRIP RETINAL MEMBRANE ,,,6587.0,6587.0,1
RC,362,SURGICAL COLONOSCOPY ,,,6587.0,6587.0,1
RC,362,SURGICAL OPENING ESOPHAGUS ,,,6587.0,6587.0,1
RC,362,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,6587.0,6587.0,1
RC,362,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,362,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,362,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,362,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,362,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,362,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,362,Salicylate ,,,20.32,20.32,3
RC,362,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,7168.0,18490.0,5
RC,362,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,8024.0,18490.0,5
RC,362,Salpingostomy (salpingoneostomy) ,,,5381.0,18490.0,5
RC,362,Sargramostim injection ,,,68.1,68.1,3
RC,362,Scleral cover shell ,,,1932.53,1932.53,3
RC,362,Scleral reinforcement (separate procedure); with graft ,,,892.44,9908.0,7
RC,362,Scleral reinforcement (separate procedure); without graft ,,,733.22,9908.0,7
RC,362,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,4723.0,6680.0,5
RC,362,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,362,"Scraping of cornea, diagnostic, for smear and/or culture ",,,2636.0,2636.0,1
RC,362,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,362,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,362,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,362,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,362,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,362,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,362,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,362,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,362,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,362,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,362,Scrotal exploration ,,,1200.05,6680.0,7
RC,362,Scrotoplasty; complicated ,,,1773.9,6680.0,7
RC,362,Scrotoplasty; simple ,,,1200.05,6587.0,7
RC,362,"Seat attachment, walker ",,,20.26,20.26,3
RC,362,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,362,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,362,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,362,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,2636.0,5932.0,5
RC,362,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,6587.0,6587.0,1
RC,362,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,6587.0,6587.0,1
RC,362,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,362,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,362,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,362,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,362,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,362,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,362,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,362,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,362,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,362,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,362,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,362,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,362,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,362,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,5286.0,7168.0,10
RC,362,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,2636.0,6680.0,5
RC,362,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,2636.0,6680.0,5
RC,362,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,2636.0,6680.0,5
RC,362,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,2636.0,6680.0,5
RC,362,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,2636.0,6680.0,5
RC,362,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,2636.0,6680.0,5
RC,362,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,2636.0,6680.0,5
RC,362,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,5286.0,6680.0,5
RC,362,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,5286.0,7168.0,5
RC,362,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,5286.0,7168.0,5
RC,362,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,2636.0,5932.0,5
RC,362,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,2636.0,5932.0,5
RC,362,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,7839.0,9908.0,5
RC,362,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,5286.0,7168.0,5
RC,362,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,7839.0,9908.0,5
RC,362,Selenium ,,,27.83,27.83,3
RC,362,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,362,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,362,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,362,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,362,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,362,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,362,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,362,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,362,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,362,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,362,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,362,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,362,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,362,Serotonin ,,,33.77,33.77,3
RC,362,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,362,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,362,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,362,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,362,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,362,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,362,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,362,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,362,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,362,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,362,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,892.44,19415.0,7
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1610.16,19415.0,7
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,892.44,5932.0,7
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,892.44,19415.0,7
RC,362,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,148.54,19415.0,7
RC,362,Severing of tarsorrhaphy ,,,179.07,5932.0,7
RC,362,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,218.75,6680.0,7
RC,362,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,362,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,362,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,362,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,362,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,362,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,362,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,362,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,362,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,362,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,362,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,362,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,362,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,362,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,362,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,362,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,362,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,362,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,362,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,362,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,362,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,362,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,362,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,362,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,362,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,362,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,362,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,362,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,362,Sialic acid ,,,14.65,14.65,3
RC,362,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,930.95,6680.0,7
RC,362,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,265.4,9908.0,7
RC,362,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,127.91,5932.0,7
RC,362,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,362,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,137.2,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,450.72,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,450.72,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,344.93,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,450.72,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,344.93,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,344.93,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,986.93,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,344.93,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2907.97,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,450.72,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,344.93,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,450.72,5932.0,7
RC,362,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,450.72,5932.0,7
RC,362,Silica ,,,27.48,27.48,3
RC,362,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,115.66,6587.0,7
RC,362,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,6587.0,6587.0,1
RC,362,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,362,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,362,Sirolimus ,,,14.97,14.97,3
RC,362,Sitz bath chair ,,,192.39,192.39,3
RC,362,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,362,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,362,"Six volt battery, each ",,,321.31,321.31,3
RC,362,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,362,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,362,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,362,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,362,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,362,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,362,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,362,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,362,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,362,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,362,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,362,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,362,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,362,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,362,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,5286.0,7961.33,7
RC,362,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,2171.17,18490.0,7
RC,362,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,362,Slings ,,,11.97,11.97,3
RC,362,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,685.44,6680.0,7
RC,362,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,1200.05,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1770.48,18490.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6680.0,7
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,3062.79,18490.0,7
RC,362,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,362,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,362,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,362,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,362,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,362,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,362,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,362,Snip incision of lacrimal punctum ,,,56.97,5932.0,7
RC,362,Sodium; other source ,,,5.3,5.3,3
RC,362,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,362,Sodium; urine ,,,5.52,5.52,3
RC,362,"Sole wedge, between sole ",,,66.8,66.8,3
RC,362,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,362,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,362,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,362,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,362,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,362,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,362,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,362,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,362,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,362,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,362,Somatomedin ,,,23.17,23.17,3
RC,362,Somatostatin ,,,19.93,19.93,3
RC,362,Special back height for wheelchair ,,,43.53,43.53,3
RC,362,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,362,Special height arms for wheelchair ,,,366.41,366.41,3
RC,362,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,362,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,362,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,362,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,362,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,362,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,362,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,362,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,362,Specific gravity (except urine) ,,,3.58,3.58,3
RC,362,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,362,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,362,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,362,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,362,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,362,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,362,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,362,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,362,Sperm antibodies ,,,11.63,11.63,3
RC,362,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,362,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,362,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,362,Sperm washing for artificial insemination ,,,2636.0,2636.0,1
RC,362,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,362,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,362,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,362,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,362,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,362,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,362,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,362,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,362,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,362,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,362,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,362,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,362,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,362,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,362,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,362,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,362,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,362,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,362,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,362,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,362,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,362,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,362,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,362,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,362,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,362,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,362,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,362,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,362,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,362,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,362,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,362,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,362,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,362,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,362,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,362,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,362,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,362,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,362,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,362,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,362,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,362,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,362,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,362,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,362,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,362,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,986.93,9908.0,7
RC,362,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,6587.0,6587.0,1
RC,362,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,986.93,9908.0,7
RC,362,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,986.93,7168.0,7
RC,362,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,986.93,9908.0,7
RC,362,"Spinal puncture, lumbar, diagnostic; ",,,276.0,5932.0,7
RC,362,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,276.0,6587.0,7
RC,362,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,276.0,5932.0,7
RC,362,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,276.0,6587.0,7
RC,362,Splenectomy; partial (separate procedure) ,,,6587.0,6587.0,1
RC,362,Splenectomy; total (separate procedure) ,,,6587.0,6587.0,1
RC,362,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Spoke protectors, each ",,,61.65,61.65,3
RC,362,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,362,Sr89 strontium ,,,4519.51,4519.51,3
RC,362,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,204.65,9908.0,7
RC,362,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,223.55,9908.0,7
RC,362,Stand/rack ,,,33.16,33.16,3
RC,362,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,362,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,362,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,362,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,362,Standard wheelchair ,,,31.09,31.09,3
RC,362,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,362,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,2051.93,18490.0,7
RC,362,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,2051.93,18490.0,7
RC,362,Stapes mobilization ,,,930.95,23113.0,7
RC,362,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,362,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,362,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,362,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,362,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,362,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,362,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,362,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,362,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,362,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,362,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,362,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,362,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,362,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,362,Stem cell collection ,,,6587.0,6587.0,1
RC,362,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,362,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,6587.0,6587.0,1
RC,362,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,6587.0,6587.0,1
RC,362,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,362,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,6587.0,6587.0,1
RC,362,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,6587.0,6587.0,1
RC,362,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,1022.29,5932.0,7
RC,362,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,362,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,362,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,6587.0,6587.0,1
RC,362,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,362,Stoma cap ,,,2.17,2.17,3
RC,362,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,362,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,2636.0,19415.0,5
RC,362,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,2636.0,19415.0,5
RC,362,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,2636.0,19415.0,5
RC,362,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,2636.0,19415.0,5
RC,362,"Strabismus surgery, any procedure, superior oblique muscle ",,,733.22,19415.0,7
RC,362,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,733.22,9908.0,7
RC,362,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,733.22,19415.0,7
RC,362,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1158.59,19415.0,7
RC,362,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,733.22,19415.0,7
RC,362,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,362,"Streptokinase, antibody ",,,13.8,13.8,3
RC,362,Subarachnoid inject NEC ,,,6587.0,6587.0,1
RC,362,Subconjunctival injection ,,,2636.0,2636.0,1
RC,362,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,4723.0,4723.0,1
RC,362,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,276.0,5932.0,7
RC,362,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,276.0,5932.0,7
RC,362,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,4693.0,5932.0,5
RC,362,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,6587.0,6587.0,1
RC,362,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,362,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,362,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,362,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,362,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,362,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,362,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,362,"Sulfate, urine ",,,5.98,5.98,3
RC,362,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,5286.0,7168.0,10
RC,362,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,362,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,362,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,362,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,362,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,362,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,362,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,362,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,362,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,362,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,6587.0,23113.0,5
RC,362,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,6587.0,6587.0,1
RC,362,Suprahyoid lymphadenectomy ,,,1937.47,6680.0,7
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,6587.0,6587.0,1
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,6587.0,6587.0,1
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,6587.0,6587.0,1
RC,362,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,6587.0,6587.0,1
RC,362,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,6587.0,6587.0,1
RC,362,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,6587.0,6587.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,6587.0,6587.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,6587.0,6587.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,6587.0,6587.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,6587.0,6587.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,6587.0,6587.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,6587.0,6587.0,1
RC,362,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,6587.0,6587.0,1
RC,362,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,6587.0,6587.0,1
RC,362,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,362,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,986.93,9908.0,7
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,986.93,5932.0,7
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,986.93,9908.0,7
RC,362,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,986.93,19415.0,7
RC,362,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,6587.0,6587.0,1
RC,362,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,6587.0,6587.0,1
RC,362,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,6587.0,6587.0,1
RC,362,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,7168.0,9908.0,5
RC,362,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,7168.0,19415.0,5
RC,362,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,362,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,362,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,362,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,362,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,362,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,362,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,362,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,362,Suture and/or ligation of thoracic duct; abdominal approach ,,,6587.0,6587.0,1
RC,362,Suture and/or ligation of thoracic duct; cervical approach ,,,6587.0,6587.0,1
RC,362,Suture and/or ligation of thoracic duct; thoracic approach ,,,6587.0,6587.0,1
RC,362,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2051.93,18490.0,7
RC,362,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2051.93,18490.0,7
RC,362,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2096.41,7168.0,7
RC,362,Suture of 1 nerve; median motor thenar ,,,2096.41,9908.0,7
RC,362,Suture of 1 nerve; ulnar motor ,,,2096.41,9908.0,7
RC,362,"Suture of digital nerve, hand or foot; 1 nerve ",,,692.94,19415.0,7
RC,362,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,362,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,2636.0,5932.0,5
RC,362,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,362,Suture of esophageal wound or injury; cervical approach ,,,6587.0,6587.0,1
RC,362,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,6587.0,6587.0,1
RC,362,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,6587.0,6587.0,1
RC,362,Suture of facial nerve; extracranial ,,,2096.41,9908.0,7
RC,362,"Suture of facial nerve; infratemporal, with or without grafting ",,,2096.41,19415.0,7
RC,362,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,892.44,6680.0,7
RC,362,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,6587.0,6587.0,1
RC,362,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,6587.0,6587.0,1
RC,362,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2096.41,7168.0,7
RC,362,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2096.41,7168.0,7
RC,362,Suture of mesentery (separate procedure) ,,,6587.0,6587.0,1
RC,362,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,2636.0,9908.0,5
RC,362,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,2636.0,6680.0,5
RC,362,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,2636.0,9908.0,5
RC,362,Suture of posterior tibial nerve ,,,2096.41,7168.0,7
RC,362,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,733.22,6680.0,7
RC,362,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,203.77,6680.0,7
RC,362,Suture of sciatic nerve ,,,1230.86,7168.0,7
RC,362,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,6587.0,6587.0,1
RC,362,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,6587.0,6587.0,1
RC,362,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,930.95,5932.0,7
RC,362,Suture of; brachial plexus ,,,692.94,9908.0,7
RC,362,Suture of; lumbar plexus ,,,2096.41,9908.0,7
RC,362,Suture or repair of testicular injury ,,,1200.05,9908.0,7
RC,362,Suture pharynx for wound or injury ,,,783.57,5932.0,7
RC,362,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,6587.0,6587.0,1
RC,362,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,362,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,362,"Sympathectomy, cervical ",,,692.94,6680.0,7
RC,362,"Sympathectomy, cervicothoracic ",,,4723.0,4723.0,1
RC,362,"Sympathectomy, lumbar ",,,6587.0,6587.0,1
RC,362,"Sympathectomy, thoracolumbar ",,,6587.0,6587.0,1
RC,362,"Sympathectomy; digital arteries, each digit ",,,692.94,5381.0,3
RC,362,Sympathectomy; radial artery ,,,1142.68,19415.0,7
RC,362,Sympathectomy; superficial palmar arch ,,,1142.68,7168.0,7
RC,362,Sympathectomy; ulnar artery ,,,1142.68,7168.0,7
RC,362,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,6587.0,6587.0,1
RC,362,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,362,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,362,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,362,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,362,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,362,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,362,T cells; total count ,,,41.13,41.13,3
RC,362,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,362,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,362,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,362,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,362,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,362,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,362,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,362,TRANSCATHETER THERAPY INFUSE ,,,6587.0,6587.0,1
RC,362,TRANSECT ARTERY SINUS ,,,6587.0,6587.0,1
RC,362,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES ",,,6587.0,6587.0,1
RC,362,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,6587.0,6587.0,1
RC,362,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,6587.0,6587.0,1
RC,362,TRANSPLANTATION OF LIVER ,,,6587.0,6587.0,1
RC,362,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,362,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,362,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,362,TUR cong post valve/fold ,,,6587.0,6587.0,1
RC,362,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,362,Tacrolimus ,,,14.97,14.97,3
RC,362,Tacrolimus injection ,,,292.31,292.31,3
RC,362,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,362,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,362,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,362,"Tau, total (tTau) ",,,140.52,140.52,3
RC,362,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,362,Tc99m bicisate ,,,845.32,845.32,3
RC,362,Tc99m succimer ,,,719.32,719.32,3
RC,362,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,362,Telavancin injection ,,,8.16,8.16,3
RC,362,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,362,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,362,Temozolomide injection ,,,11.34,11.34,3
RC,362,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,351.98,5932.0,7
RC,362,Temporary transcutaneous pacing ,,,3293.0,3293.0,1
RC,362,Tenecteplase injection ,,,236.99,236.99,3
RC,362,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,362,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,362,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,362,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,362,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,362,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,362,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,362,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,362,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,362,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,362,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,362,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,362,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,362,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,362,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,362,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,362,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,362,Testosterone; free ,,,27.76,27.76,3
RC,362,Testosterone; total ,,,28.13,28.13,3
RC,362,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,362,Theophylline ,,,15.41,15.41,3
RC,362,Therapeutic Nuclear Medici ,,,255.5,255.5,3
RC,362,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,362,Therapeutic apheresis; for plasma pheresis ,,,592.85,6680.0,7
RC,362,Therapeutic apheresis; for platelets ,,,172.52,6680.0,7
RC,362,Therapeutic apheresis; for red blood cells ,,,592.85,6680.0,7
RC,362,Therapeutic apheresis; for white blood cells ,,,592.85,6680.0,7
RC,362,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,1535.14,23113.0,7
RC,362,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,362,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,362,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,362,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,362,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,362,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,362,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,362,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,362,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,4693.0,6587.0,5
RC,362,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,6587.0,18490.0,7
RC,362,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,362,Thiocyanate ,,,12.68,12.68,3
RC,362,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,362,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,362,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,362,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,362,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,362,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,362,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,362,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2036.11,23113.0,6
RC,362,Thrombin time; plasma ,,,6.29,6.29,3
RC,362,Thrombin time; titer ,,,7.47,7.47,3
RC,362,"Thrombolysis, cerebral, by intravenous infusion ",,,2636.0,2636.0,1
RC,362,"Thrombolysis, coronary; by intravenous infusion ",,,2636.0,2636.0,1
RC,362,Thrombomodulin ,,,18.82,18.82,3
RC,362,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,362,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,362,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,362,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,362,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,8024.0,19415.0,5
RC,362,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,362,Thyroglobulin ,,,17.51,17.51,3
RC,362,Thyroglobulin antibody ,,,17.34,17.34,3
RC,362,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,362,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,362,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,362,"Thyroidectomy, including substernal thyroid; cervical approach ",,,8024.0,19415.0,5
RC,362,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,4723.0,4723.0,1
RC,362,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,8024.0,18490.0,5
RC,362,"Thyroidectomy, total or complete ",,,1983.29,23113.0,7
RC,362,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,18288.0,23113.0,4
RC,362,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,8024.0,23113.0,5
RC,362,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,5381.0,23113.0,5
RC,362,Thyrotropin injection ,,,2352.94,2352.94,3
RC,362,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,362,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,362,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,362,Thyroxine; free ,,,9.83,9.83,3
RC,362,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,362,Thyroxine; total ,,,7.49,7.49,3
RC,362,Tiagabine ,,,29.55,29.55,3
RC,362,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,362,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,362,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,362,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,362,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,362,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,362,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,362,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,362,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,362,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,362,"Tlso, corset front ",,,182.11,182.11,3
RC,362,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,362,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,362,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,362,"Tlso, full corset ",,,251.72,251.72,3
RC,362,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,362,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,362,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,362,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,362,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,362,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,362,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,362,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,362,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,362,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,362,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,362,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,362,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,362,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,362,Tobramycin ,,,17.58,17.58,3
RC,362,Tocilizumab injection ,,,5.89,5.89,3
RC,362,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,362,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,362,"Tongue base suspension, permanent suture technique ",,,5286.0,8024.0,5
RC,362,Tonsillectomy and adenoidectomy; age 12 or over ,,,930.95,18490.0,7
RC,362,Tonsillectomy and adenoidectomy; younger than age 12 ,,,2051.93,9908.0,7
RC,362,"Tonsillectomy, primary or secondary; age 12 or over ",,,930.95,19415.0,7
RC,362,"Tonsillectomy, primary or secondary; younger than age 12 ",,,2051.93,19415.0,7
RC,362,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,362,Topiramate ,,,12.99,12.99,3
RC,362,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,6587.0,23113.0,5
RC,362,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,6587.0,23113.0,5
RC,362,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,6587.0,23113.0,5
RC,362,Total facial nerve decompression and/or repair (may include graft) ,,,8024.0,19415.0,5
RC,362,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,6587.0,6587.0,1
RC,362,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,6587.0,6587.0,1
RC,362,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,6587.0,6587.0,1
RC,362,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,6587.0,6587.0,1
RC,362,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,6587.0,6587.0,1
RC,362,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1983.29,9908.0,7
RC,362,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1983.29,8024.0,7
RC,362,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,362,Trabeculoplasty by laser surgery ,,,114.82,6680.0,7
RC,362,Trabeculotomy ab externo ,,,892.44,19415.0,7
RC,362,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,362,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,362,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1603.34,9908.0,7
RC,362,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1116.7,9908.0,7
RC,362,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,362,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,362,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,362,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,362,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,362,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,362,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,362,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,362,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,362,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,362,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,362,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,362,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,362,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,362,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,362,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,362,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,362,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,362,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,362,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,362,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,362,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,362,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,362,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,362,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,362,"Transabdominal amnioinfusion, including ultrasound guidance ",,,3293.0,5932.0,5
RC,362,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,362,Transcatheter biopsy ,,,2036.11,19415.0,7
RC,362,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,9908.0,4
RC,362,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,6587.0,76895.0,10
RC,362,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,5254.79,8024.0,4
RC,362,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,8024.0,8024.0,1
RC,362,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,5370.45,7008.0,3
RC,362,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,2636.0,5932.0,5
RC,362,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,6587.0,6587.0,1
RC,362,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,6587.0,9908.0,5
RC,362,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,6587.0,9908.0,5
RC,362,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,2636.0,2636.0,1
RC,362,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,1174.13,9908.0,7
RC,362,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,2658.87,5932.0,6
RC,362,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,7839.0,9908.0,8
RC,362,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1594.88,5932.0,6
RC,362,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,6587.0,18490.0,5
RC,362,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,4693.0,5932.0,5
RC,362,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,6587.0,6587.0,1
RC,362,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,6587.0,6587.0,1
RC,362,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,362,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,362,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,362,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,362,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,362,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,362,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,692.94,4723.0,3
RC,362,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,7168.0,7168.0,1
RC,362,"Transection or avulsion of other cranial nerve, extradural ",,,692.94,6680.0,7
RC,362,"Transection or avulsion of other spinal nerve, extradural ",,,692.94,6680.0,7
RC,362,"Transection or avulsion of; facial nerve, differential or complete ",,,692.94,6680.0,7
RC,362,Transection or avulsion of; greater occipital nerve ,,,692.94,6680.0,7
RC,362,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,692.94,6680.0,7
RC,362,Transection or avulsion of; infraorbital nerve ,,,692.94,6680.0,7
RC,362,Transection or avulsion of; lingual nerve ,,,692.94,6680.0,7
RC,362,Transection or avulsion of; mental nerve ,,,692.94,6680.0,7
RC,362,Transection or avulsion of; phrenic nerve ,,,692.94,6680.0,7
RC,362,Transection or avulsion of; supraorbital nerve ,,,692.94,6680.0,7
RC,362,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,6587.0,6587.0,1
RC,362,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,6587.0,6587.0,1
RC,362,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,362,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,6587.0,6587.0,1
RC,362,"Transfer device, any type, each ",,,61.38,61.38,3
RC,362,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,362,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,362,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,362,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,362,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,362,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,362,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,362,Transferrin ,,,13.91,13.91,3
RC,362,"Transfusion, blood or blood components ",,,32.27,5932.0,7
RC,362,"Transfusion, intrauterine, fetal ",,,2636.0,5932.0,5
RC,362,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1853.13,7008.0,4
RC,362,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,18288.0,23113.0,4
RC,362,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,2415.23,23113.0,8
RC,362,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,2636.0,2636.0,1
RC,362,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,6587.0,18490.0,5
RC,362,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,6587.0,18490.0,5
RC,362,Transmastoid antrotomy (simple mastoidectomy) ,,,2051.93,23113.0,7
RC,362,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,362,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,362,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,362,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,6587.0,6587.0,1
RC,362,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,6587.0,6587.0,1
RC,362,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,362,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,362,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,2636.0,2636.0,1
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2518.45,8024.0,3
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,2518.45,8024.0,3
RC,362,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2525.82,6587.0,7
RC,362,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1773.9,5381.0,3
RC,362,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,6587.0,6587.0,1
RC,362,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",5098.91,5098.91,3293.0,3293.0,1
RC,362,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,2636.0,2636.0,1
RC,362,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,3293.0,3293.0,1
RC,362,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,3293.0,3293.0,1
RC,362,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",3042.99,3042.99,2636.0,2636.0,1
RC,362,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,3293.0,3293.0,1
RC,362,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,362,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,362,Transplantation of pancreatic allograft ,,,6587.0,6587.0,1
RC,362,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1200.05,9908.0,7
RC,362,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,362,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,362,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,362,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,2636.0,19415.0,5
RC,362,"Transposition, ovary(s) ",,,7168.0,9908.0,5
RC,362,Transrectal drainage of pelvic abscess ,,,450.72,5932.0,7
RC,362,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,6587.0,6587.0,1
RC,362,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,362,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,6587.0,6587.0,1
RC,362,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,1090.68,33769.0,7
RC,362,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1200.05,6680.0,7
RC,362,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,1042.71,8024.0,7
RC,362,Transurethral drainage of prostatic abscess ,,,1200.05,6680.0,7
RC,362,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1773.9,19415.0,7
RC,362,Transurethral incision of prostate ,,,1200.05,9908.0,7
RC,362,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,4723.0,6680.0,5
RC,362,Transurethral resection of bladder neck (separate procedure) ,,,1200.05,9908.0,7
RC,362,Transurethral resection; of postoperative bladder neck contracture ,,,1200.05,6680.0,7
RC,362,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,1773.9,8024.0,7
RC,362,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,5286.0,6680.0,4
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,60.45,6680.0,7
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,53.82,6680.0,7
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,49.82,6680.0,7
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,43.49,6680.0,7
RC,362,Transvesical ureterolithotomy ,,,8024.0,8024.0,1
RC,362,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,362,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,362,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,362,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,362,Trauma Response with Criti ,,,1459.49,1459.49,3
RC,362,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,149.42,5932.0,7
RC,362,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,218.75,6680.0,7
RC,362,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1116.7,18490.0,7
RC,362,"Treatment of missed abortion, completed surgically; first trimester ",,,1116.7,18490.0,7
RC,362,"Treatment of missed abortion, completed surgically; second trimester ",,,1116.7,18490.0,7
RC,362,"Treatment of septic abortion, completed surgically ",,,5286.0,6680.0,5
RC,362,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,362,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,362,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,362,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,362,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,362,Triglycerides ,,,6.26,6.26,3
RC,362,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,362,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,362,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,362,"Trimming of dystrophic nails, any number ",,,2636.0,2636.0,1
RC,362,Triptorelin pamoate ,,,508.34,508.34,3
RC,362,"Troponin, qualitative ",,,11.0,11.0,3
RC,362,"Troponin, quantitative ",,,13.59,13.59,3
RC,362,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,362,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,362,"Truss, double with standard pads ",,,177.72,177.72,3
RC,362,"Truss, single with standard pad ",,,112.58,112.58,3
RC,362,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,362,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,362,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,362,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,6587.0,6587.0,1
RC,362,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,362,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,362,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,362,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,362,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,362,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,362,Tubotubal anastomosis ,,,7168.0,18490.0,5
RC,362,Tubouterine implantation ,,,7168.0,18490.0,5
RC,362,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,362,"Twelve volt battery, each ",,,703.98,703.98,3
RC,362,Twist drill hole for subdural or ventricular puncture ,,,6587.0,6587.0,1
RC,362,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,6587.0,6587.0,1
RC,362,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,6587.0,6587.0,1
RC,362,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,6587.0,6587.0,1
RC,362,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,6587.0,6587.0,4
RC,362,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,183.72,9908.0,7
RC,362,Tympanic neurectomy ,,,930.95,9908.0,7
RC,362,"Tympanolysis, transcanal ",,,930.95,8024.0,7
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,2051.93,23113.0,7
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,2051.93,23113.0,7
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,2051.93,23113.0,7
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,2051.93,23113.0,7
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,2051.93,23113.0,7
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,2051.93,23113.0,7
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,2051.93,23113.0,7
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,2051.93,23113.0,7
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,2051.93,23113.0,7
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,2051.93,18490.0,7
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,2051.93,18490.0,7
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,2051.93,18490.0,7
RC,362,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,441.67,9908.0,7
RC,362,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,123.54,9908.0,7
RC,362,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,4693.0,5932.0,4
RC,362,Tyrosine ,,,11.59,11.59,3
RC,362,U-tube hepaticoenterostomy ,,,6587.0,6587.0,1
RC,362,"U-v lens, per lens ",,,29.55,29.55,3
RC,362,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,362,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,362,UPPER GI ENDOSCOPY EXAM ,,,6587.0,6587.0,1
RC,362,UPPR GI ENDOSCOPY W/STENT ,,,6587.0,6587.0,1
RC,362,URETER ENDOSCOPY & TRACER ,,,6587.0,6587.0,2
RC,362,URETHRA PRESSURE PROFILE ,,,6587.0,6587.0,1
RC,362,URINE VOIDING PRESSURE STUDY ,,,6587.0,6587.0,1
RC,362,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,362,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,362,Ultrasound Composite ,,,322.14,322.14,3
RC,362,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,362,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,362,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,362,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,362,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1209.12,19415.0,7
RC,362,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,362,Unlist px-laparascopy ,,,6587.0,6587.0,1
RC,362,Unlisted cardiovascular service or procedure ,,,2636.0,2636.0,1
RC,362,Unlisted diagnostic gastroenterology procedure ,,,2636.0,2636.0,1
RC,362,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,2636.0,5932.0,5
RC,362,"Unlisted hysteroscopy procedure, uterus ",,,2636.0,2636.0,1
RC,362,"Unlisted laparoscopic procedure, liver ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, appendix ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, biliary tract ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, bladder ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, endocrine system ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, esophagus ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, lymphatic system ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, maternity care and delivery ",,,7839.0,9908.0,5
RC,362,"Unlisted laparoscopy procedure, oviduct, ovary ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, rectum ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, renal ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, spermatic cord ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, spleen ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, stomach ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, testis ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, ureter ",,,8024.0,8024.0,1
RC,362,"Unlisted laparoscopy procedure, uterus ",,,8024.0,8024.0,1
RC,362,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,6587.0,6587.0,1
RC,362,"Unlisted procedure, abdomen, peritoneum and omentum ",,,4693.0,7168.0,5
RC,362,"Unlisted procedure, anterior segment of eye ",,,4693.0,5932.0,5
RC,362,"Unlisted procedure, anus ",,,3293.0,5932.0,5
RC,362,"Unlisted procedure, biliary tract ",,,5381.0,5381.0,1
RC,362,"Unlisted procedure, colon ",,,4693.0,5932.0,5
RC,362,"Unlisted procedure, conjunctiva ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, dentoalveolar structures ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, diaphragm ",,,6587.0,6587.0,1
RC,362,"Unlisted procedure, endocrine system ",,,4693.0,8024.0,5
RC,362,"Unlisted procedure, esophagus ",,,4693.0,5932.0,5
RC,362,"Unlisted procedure, external ear ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, extraocular muscle ",,,5381.0,5381.0,1
RC,362,"Unlisted procedure, eyelids ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, female genital system (nonobstetrical) ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, hemic or lymphatic system ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, inner ear ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, lacrimal system ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, lips ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, liver ",,,3293.0,3293.0,1
RC,362,"Unlisted procedure, male genital system ",,,2636.0,6680.0,5
RC,362,"Unlisted procedure, maternity care and delivery ",,,2636.0,6680.0,5
RC,362,"Unlisted procedure, mediastinum ",,,6587.0,6587.0,1
RC,362,"Unlisted procedure, middle ear ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, nervous system ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, orbit ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, palate, uvula ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, pancreas ",,,3293.0,3293.0,1
RC,362,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, posterior segment ",,,4723.0,4723.0,1
RC,362,"Unlisted procedure, rectum ",,,3293.0,3293.0,1
RC,362,"Unlisted procedure, salivary glands or ducts ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, small intestine ",,,4693.0,7168.0,5
RC,362,"Unlisted procedure, stomach ",,,4693.0,5932.0,4
RC,362,"Unlisted procedure, temporal bone, middle fossa approach ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, tongue, floor of mouth ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, urinary system ",,,2636.0,5932.0,5
RC,362,"Unlisted procedure, vascular injection ",,,2636.0,2636.0,1
RC,362,"Unlisted procedure, vascular surgery ",,,2636.0,6680.0,5
RC,362,"Unlisted procedure, vestibule of mouth ",,,2636.0,18490.0,5
RC,362,Unlisted vascular endoscopy procedure ,,,7168.0,7168.0,1
RC,362,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,362,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,362,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,362,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,362,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,362,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,362,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,362,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,362,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,362,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,362,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,362,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,362,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,362,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,362,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,362,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,362,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,362,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,362,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,362,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,362,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,362,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,362,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,362,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,362,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,362,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,362,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,362,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,362,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,362,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,362,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,362,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,362,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,362,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,362,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,362,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,362,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,362,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,362,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,362,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,362,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,362,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,362,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,362,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,362,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,362,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,362,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,362,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,362,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,362,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,362,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,362,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,362,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,362,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,362,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,362,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,362,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,362,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,362,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,362,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,2636.0,5932.0,5
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,5932.0,7
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1773.9,5932.0,7
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,1773.9,5932.0,7
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,5932.0,7
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1200.05,5932.0,7
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,5932.0,7
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1773.9,5932.0,7
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,1773.9,5932.0,7
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,5932.0,7
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1200.05,5932.0,7
RC,362,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,6587.0,76895.0,5
RC,362,"Ureterectomy, with bladder cuff (separate procedure) ",,,6587.0,76895.0,5
RC,362,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,6587.0,6587.0,1
RC,362,"Ureterocolon conduit, including intestine anastomosis ",,,6587.0,6587.0,1
RC,362,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,6587.0,6587.0,1
RC,362,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,6587.0,6587.0,1
RC,362,Ureterolithotomy; lower one-third of ureter ,,,6587.0,18490.0,5
RC,362,Ureterolithotomy; middle one-third of ureter ,,,6587.0,18490.0,5
RC,362,Ureterolithotomy; upper one-third of ureter ,,,6587.0,18490.0,5
RC,362,Ureterolysis for ovarian vein syndrome ,,,6587.0,6587.0,1
RC,362,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,6587.0,6587.0,1
RC,362,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,6587.0,6587.0,1
RC,362,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,6587.0,6587.0,1
RC,362,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,6587.0,6587.0,1
RC,362,Ureteroneocystostomy; with extensive ureteral tailoring ,,,6587.0,6587.0,1
RC,362,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,6587.0,6587.0,1
RC,362,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,6587.0,6587.0,1
RC,362,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,6587.0,6587.0,1
RC,362,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,6587.0,6587.0,1
RC,362,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,6587.0,6587.0,1
RC,362,"Ureterostomy, transplantation of ureter to skin ",,,6587.0,6587.0,1
RC,362,"Ureterotomy for insertion of indwelling stent, all types ",,,6587.0,18490.0,5
RC,362,Ureterotomy with exploration or drainage (separate procedure) ,,,6587.0,18490.0,5
RC,362,Ureteroureterostomy ,,,6587.0,6587.0,1
RC,362,"Urethrectomy, total, including cystostomy; female ",,,1200.05,18490.0,7
RC,362,"Urethrectomy, total, including cystostomy; male ",,,1773.9,18490.0,7
RC,362,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,7168.0,18490.0,5
RC,362,"Urethromeatoplasty, with mucosal advancement ",,,1200.05,7168.0,7
RC,362,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,1200.05,5932.0,7
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1773.9,9908.0,7
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1200.05,9908.0,7
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1773.9,9908.0,7
RC,362,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1200.05,9908.0,7
RC,362,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,1773.9,7168.0,7
RC,362,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,1773.9,7168.0,7
RC,362,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1773.9,9908.0,7
RC,362,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,1773.9,7168.0,7
RC,362,"Urethroplasty, reconstruction of female urethra ",,,1773.9,7168.0,7
RC,362,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,8024.0,8024.0,1
RC,362,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1773.9,9908.0,7
RC,362,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,1773.9,7168.0,7
RC,362,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,1200.05,6680.0,7
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,1773.9,7168.0,7
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,1773.9,6680.0,7
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,1773.9,7168.0,7
RC,362,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,685.44,5932.0,7
RC,362,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,1773.9,5932.0,7
RC,362,Uric acid; blood ,,,4.93,4.93,3
RC,362,Uric acid; other source ,,,5.54,5.54,3
RC,362,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,362,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,362,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,362,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,362,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,362,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,362,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,362,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,362,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,362,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,362,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,362,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,362,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,362,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,6587.0,6587.0,1
RC,362,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,362,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,362,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,362,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,362,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,362,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,2636.0,5932.0,5
RC,362,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,362,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,362,Uterine evacuation and curettage for hydatidiform mole ,,,1116.7,18490.0,7
RC,362,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,6587.0,18490.0,5
RC,362,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,6587.0,6587.0,1
RC,362,"Uvulectomy, excision of uvula ",,,930.95,6680.0,7
RC,362,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7168.0,7168.0,1
RC,362,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,6587.0,6587.0,1
RC,362,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,362,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,362,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,362,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,4693.0,5932.0,5
RC,362,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,4693.0,6587.0,5
RC,362,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,5381.0,9908.0,5
RC,362,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,6587.0,6587.0,1
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.34,18490.0,7
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,7168.0,7168.0,1
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.34,18490.0,7
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,7168.0,18490.0,5
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,7168.0,18490.0,5
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,8024.0,18490.0,5
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8024.0,18490.0,5
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,8024.0,18490.0,5
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,8024.0,18490.0,5
RC,362,"Vaginal hysterectomy, radical (Schauta type operation) ",,,6587.0,6587.0,1
RC,362,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,7168.0,7168.0,1
RC,362,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,7168.0,7168.0,1
RC,362,"Vaginectomy, complete removal of vaginal wall; ",,,6587.0,9908.0,5
RC,362,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,7168.0,9908.0,5
RC,362,"Vaginectomy, partial removal of vaginal wall; ",,,5381.0,9908.0,5
RC,362,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,5286.0,6680.0,5
RC,362,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,4693.0,5932.0,5
RC,362,Vaginoplasty for intersex state ,,,5381.0,9908.0,5
RC,362,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,6587.0,6587.0,1
RC,362,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,6587.0,6587.0,1
RC,362,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,6587.0,6587.0,1
RC,362,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,362,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,362,Vancomycin ,,,14.76,14.76,3
RC,362,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,362,"Vaporizer, room type ",,,41.03,41.03,3
RC,362,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,362,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,362,Variable concentration mask ,,,0.94,0.94,3
RC,362,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,362,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,9908.0,4
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,5455.41,9908.0,7
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,7008.0,9908.0,5
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,3666.16,9908.0,7
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,4772.84,9908.0,7
RC,362,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,2036.11,7168.0,3
RC,362,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,362,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,685.44,6680.0,7
RC,362,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,362,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,362,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,2636.0,6680.0,5
RC,362,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,5286.0,6680.0,5
RC,362,"Vasovasostomy, vasovasorrhaphy ",,,4693.0,5932.0,5
RC,362,Vedolizumab ,,,42.04,42.04,3
RC,362,Velaglucerase alfa ,,,428.2,428.2,3
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,362,"Venous anastomosis, open; caval-mesenteric ",,,6587.0,6587.0,1
RC,362,"Venous anastomosis, open; portocaval ",,,6587.0,6587.0,1
RC,362,"Venous anastomosis, open; renoportal ",,,6587.0,6587.0,1
RC,362,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,6587.0,6587.0,1
RC,362,"Venous anastomosis, open; splenorenal, proximal ",,,6587.0,6587.0,1
RC,362,Venous catheterization for selective organ blood sampling ,,,2636.0,5932.0,5
RC,362,Ventilating tube removal requiring general anesthesia ,,,85.18,5932.0,7
RC,362,Ventilation Initiation and ,,,676.46,676.46,3
RC,362,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,276.0,5932.0,7
RC,362,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,357.81,5932.0,7
RC,362,Ventriculocisternostomy (Torkildsen type operation) ,,,6587.0,6587.0,1
RC,362,"Ventriculocisternostomy, third ventricle; ",,,6587.0,6587.0,1
RC,362,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,6587.0,6587.0,1
RC,362,"Vermilionectomy (lip shave), with mucosal advancement ",,,930.95,6680.0,7
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,6587.0,6587.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,6587.0,6587.0,2
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,6587.0,6587.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,6587.0,6587.0,1
RC,362,Very long chain fatty acids ,,,21.53,21.53,3
RC,362,"Vesiculectomy, any approach ",,,3293.0,5932.0,5
RC,362,Vesiculotomy; ,,,685.44,5932.0,7
RC,362,Vesiculotomy; complicated ,,,3293.0,5932.0,5
RC,362,"Vestibular nerve section, transcranial approach ",,,6587.0,6587.0,1
RC,362,"Vestibular nerve section, translabyrinthine approach ",,,930.95,23113.0,7
RC,362,Vestibuloplasty; anterior ,,,2051.93,6680.0,7
RC,362,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,2051.93,18490.0,7
RC,362,Vestibuloplasty; entire arch ,,,2051.93,18490.0,7
RC,362,"Vestibuloplasty; posterior, bilateral ",,,2051.93,9908.0,7
RC,362,"Vestibuloplasty; posterior, unilateral ",,,2051.93,9908.0,7
RC,362,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,362,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,362,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,362,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,362,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,362,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,362,Viscosity ,,,12.72,12.72,3
RC,362,Vitamin A ,,,12.65,12.65,3
RC,362,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,362,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,362,Vitamin K ,,,14.95,14.95,3
RC,362,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,362,"Vitrectomy, mechanical, pars plana approach; ",,,1610.16,19415.0,7
RC,362,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1610.16,23113.0,7
RC,362,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1610.16,23113.0,7
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1610.16,18490.0,7
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1610.16,18490.0,7
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1610.16,23113.0,7
RC,362,Voice amplifier ,,,340.98,340.98,3
RC,362,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,4693.0,6587.0,5
RC,362,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,362,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,362,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,362,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,362,Voriconazole ,,,29.55,29.55,3
RC,362,Vulvectomy simple; complete ,,,1116.7,76895.0,7
RC,362,Vulvectomy simple; partial ,,,1116.7,18490.0,7
RC,362,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,6587.0,6587.0,1
RC,362,"Vulvectomy, radical, complete; ",,,7008.0,7008.0,1
RC,362,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,7008.0,1
RC,362,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,7008.0,1
RC,362,"Vulvectomy, radical, partial; ",,,6587.0,23113.0,5
RC,362,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,7008.0,1
RC,362,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,7008.0,1
RC,362,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1125.36,1125.36,3
RC,362,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,362,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,362,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,362,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,362,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,362,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,362,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,362,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,362,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,362,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,362,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,362,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,362,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,362,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,362,Washed red blood cells uni ,,,401.75,401.75,3
RC,362,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,362,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,362,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,362,Water pressure mattress ,,,29.3,29.3,3
RC,362,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,362,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,362,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,362,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,7168.0,9908.0,5
RC,362,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,362,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,362,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,362,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,362,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,362,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,362,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,362,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,362,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,362,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,362,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,362,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,362,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,362,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,362,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,362,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,362,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,362,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,362,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,362,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,362,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,362,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,362,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,362,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,362,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,362,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,362,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,362,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,362,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,362,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,362,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,362,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,362,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,362,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,362,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,362,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,362,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,362,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,362,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,362,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,362,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,362,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,362,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,362,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,362,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,362,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,362,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,362,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,362,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,362,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,362,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,362,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,362,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,362,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,362,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,362,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,362,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,362,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,362,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,362,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,362,Whole blood for transfusio ,,,206.93,206.93,3
RC,362,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,362,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,362,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,362,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,362,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,362,Wound closure utilizing tissue adhesive(s) only ,,,2636.0,2636.0,1
RC,362,"Wound pouch, each ",,,21.65,21.65,3
RC,362,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,362,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,362,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,362,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,362,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,362,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,362,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,362,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,362,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,362,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,362,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,362,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,362,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,362,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,362,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,362,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,362,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,362,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,362,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,362,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,362,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,362,Zinc ,,,12.42,12.42,3
RC,362,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,362,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,362,Zonisamide ,,,14.44,14.44,3
RC,362,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,362,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,362,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,362,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,367, Operating Room Services Kidney Transplant  ,,,34164.0,43180.0,4
RC,367,1 epidur inject-C/thor ,,,6587.0,6587.0,1
RC,367,1 epidural inject anes-L ,,,6587.0,6587.0,1
RC,367,1 inject anes-subarach ,,,6587.0,6587.0,1
RC,367,1 subar inject anes-cont ,,,6587.0,6587.0,1
RC,367,1 subar inject anes-diff ,,,6587.0,6587.0,1
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,7839.0,9908.0,5
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,7168.0,9908.0,5
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,7839.0,9908.0,5
RC,367,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,7168.0,9908.0,5
RC,367,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,7168.0,23113.0,5
RC,367,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,7168.0,18490.0,5
RC,367,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,367,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,367,510K Skin Substitute Produ ,,,136.26,136.26,3
RC,367,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,367,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,367,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,367,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,367,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,367,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,367,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,367,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,367,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2636.0,2636.0,1
RC,367,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,367,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,367,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,367,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,367,ASPIRATE/INJECT THYRIOD CYST ,,,6587.0,6587.0,1
RC,367,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,367,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,367,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,Abatacept injection ,,,49.99,49.99,3
RC,367,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,3293.0,6680.0,5
RC,367,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,3293.0,6680.0,5
RC,367,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,8024.0,18490.0,5
RC,367,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,4693.0,6587.0,5
RC,367,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,4693.0,6587.0,5
RC,367,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,5286.0,6680.0,5
RC,367,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,5286.0,6680.0,5
RC,367,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,6587.0,9908.0,5
RC,367,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,8024.0,33769.0,5
RC,367,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,8024.0,19415.0,5
RC,367,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,8024.0,19415.0,5
RC,367,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,15362.0,19415.0,4
RC,367,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,5286.0,6680.0,4
RC,367,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,6587.0,23113.0,5
RC,367,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,6587.0,18490.0,5
RC,367,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,6587.0,18490.0,5
RC,367,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,8024.0,33769.0,5
RC,367,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,367,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,367,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,367,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,367,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,367,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,367,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,367,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,367,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,367,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,367,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,367,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,367,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,367,Acetaminophen ,,,20.32,20.32,3
RC,367,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,367,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,367,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,367,Acetylcholinesterase ,,,13.4,13.4,3
RC,367,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,367,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,367,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,367,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,367,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,367,Adalimumab ,,,42.04,42.04,3
RC,367,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,367,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,367,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,367,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,367,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,367,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,367,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,367,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,367,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,367,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,367,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,367,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,367,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,367,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,367,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,367,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,367,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,367,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,367,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,367,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,367,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,367,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,367,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,367,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,367,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,367,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,367,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,367,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,367,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,367,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,367,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,367,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,367,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,367,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,367,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,367,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,367,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,367,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,367,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,367,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,367,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,367,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,367,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,367,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,367,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,367,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,367,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,367,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,367,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,367,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,367,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,367,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,367,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,367,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,367,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,367,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,367,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,367,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,367,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,367,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,367,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,367,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,367,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,367,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,367,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,367,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,367,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,367,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,367,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,367,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,367,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,367,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,367,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,367,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,367,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,367,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,367,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,367,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,367,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,367,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,367,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,367,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,367,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,367,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,367,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,367,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,367,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,367,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,367,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,367,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,367,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,367,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,367,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,367,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,367,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,367,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,367,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,367,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,367,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,367,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,367,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,367,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,367,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,367,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,367,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,367,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,367,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,367,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,367,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,367,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,367,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,367,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,367,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,367,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,367,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,367,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,367,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,367,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,367,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,367,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,367,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,367,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,367,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,367,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,367,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,367,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,367,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,367,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,367,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,367,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,367,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,367,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,367,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,367,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,367,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,367,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,367,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,367,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,367,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,367,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,367,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,367,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,367,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,367,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,367,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,367,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,367,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,367,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,367,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,367,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,367,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,367,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,367,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,367,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,367,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,367,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,367,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,367,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,367,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,367,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,367,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,367,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,367,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,367,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,367,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,367,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,367,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,367,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,367,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,367,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,367,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,367,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,367,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,367,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,367,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,367,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,367,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,367,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,367,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,367,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,367,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,367,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,367,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,367,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,367,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,367,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,367,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,367,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,367,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,367,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,367,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,367,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,367,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,367,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,367,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,367,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,367,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,367,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,367,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,367,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,367,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,367,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,367,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,367,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,367,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,367,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,367,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,367,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,367,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,367,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,367,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,367,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,367,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,367,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,367,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,367,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,367,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,367,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,367,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,367,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,367,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,367,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,367,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,367,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,367,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,367,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,367,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,367,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,367,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,367,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,367,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,367,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,367,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,367,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,367,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,367,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,367,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,367,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,367,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,367,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,2636.0,1
RC,367,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,367,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,367,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,367,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,367,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,367,"Adenoidectomy, primary; age 12 or over ",,,5381.0,19415.0,5
RC,367,"Adenoidectomy, primary; younger than age 12 ",,,5381.0,19415.0,5
RC,367,"Adenoidectomy, secondary; age 12 or over ",,,5381.0,19415.0,5
RC,367,"Adenoidectomy, secondary; younger than age 12 ",,,5381.0,19415.0,5
RC,367,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,367,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,367,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,367,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,367,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,367,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,367,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,367,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,367,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,367,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,367,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,367,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,5932.0,4
RC,367,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,367,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,367,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,367,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,6587.0,23113.0,5
RC,367,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,6587.0,6587.0,1
RC,367,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,367,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,367,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,367,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,367,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,367,Agalsidase beta injection ,,,253.66,253.66,3
RC,367,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,367,Air fluidized bed ,,,4606.97,4606.97,3
RC,367,Air pressure mattress ,,,25.02,25.02,3
RC,367,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,367,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,367,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,367,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,367,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,367,Albumin; ischemia modified ,,,36.99,36.99,3
RC,367,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,367,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,367,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,367,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,367,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,367,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,367,Aldesleukin injection ,,,3639.37,3639.37,3
RC,367,Aldolase ,,,10.58,10.58,3
RC,367,Aldosterone ,,,44.42,44.42,3
RC,367,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,367,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,367,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,367,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,367,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,367,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,367,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,367,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,367,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,367,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,367,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,367,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,367,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,367,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,367,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,367,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,367,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,367,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,367,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,367,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,367,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,367,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,367,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,367,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,367,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,367,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,367,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,367,Allogeneic lymphocyte infusions ,,,4723.0,4723.0,1
RC,367,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,367,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,367,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,367,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,367,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,367,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,367,Alteplase recombinant ,,,107.46,107.46,3
RC,367,Altuviiio per factor viii ,,,5.05,5.05,3
RC,367,Aluminum ,,,27.77,27.77,3
RC,367,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,4693.0,5932.0,5
RC,367,"Alveoloplasty, each quadrant (specify) ",,,4693.0,5932.0,5
RC,367,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,367,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,367,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,367,Amikacin ,,,16.44,16.44,3
RC,367,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,367,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,367,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,367,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,367,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,367,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,367,Aminolevulinic acid hcl to ,,,424.32,424.32,3
RC,367,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,367,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,367,Amiodarone ,,,20.32,20.32,3
RC,367,Ammonia ,,,15.88,15.88,3
RC,367,Amniocentesis; diagnostic ,,,3293.0,5932.0,5
RC,367,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,2636.0,5932.0,5
RC,367,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,367,Amphotericin b liposome in ,,,21.63,21.63,3
RC,367,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,6587.0,6587.0,1
RC,367,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,6587.0,6587.0,1
RC,367,Amputation of penis; complete ,,,4723.0,6680.0,5
RC,367,Amputation of penis; partial ,,,5286.0,7168.0,5
RC,367,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,367,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,367,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,367,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,367,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,367,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,367,Amylase ,,,7.06,7.06,3
RC,367,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,6587.0,6587.0,1
RC,367,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,6587.0,6587.0,1
RC,367,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,6587.0,6587.0,1
RC,367,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,6587.0,6587.0,1
RC,367,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,6587.0,6587.0,1
RC,367,Anastomosis; facial-hypoglossal ,,,6587.0,6587.0,1
RC,367,Anastomosis; facial-spinal accessory ,,,6587.0,6587.0,1
RC,367,Ancillary Outpatient Servi ,,,15249.85,15249.85,3
RC,367,Androstanediol glucuronide ,,,31.42,31.42,3
RC,367,Androstenedione ,,,31.92,31.92,3
RC,367,Androsterone ,,,27.85,27.85,3
RC,367,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,367,Angiotensin II ,,,22.37,22.37,3
RC,367,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,367,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,367,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,367,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,367,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,367,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,367,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,367,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,367,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,367,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,367,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,367,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,367,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,367,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,367,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,367,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,367,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,367,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,367,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,367,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,367,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,367,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,367,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,367,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,367,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,367,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,367,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,367,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,367,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,367,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,367,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,367,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,367,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,367,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,367,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,367,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,367,"Anoplasty, plastic operation for stricture; adult ",,,5381.0,9908.0,5
RC,367,"Anoplasty, plastic operation for stricture; infant ",,,6587.0,6587.0,1
RC,367,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,4723.0,6680.0,5
RC,367,Anorectal manometry ,,,2636.0,2636.0,1
RC,367,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,4693.0,5932.0,4
RC,367,Anorectal myomectomy ,,,5286.0,6680.0,5
RC,367,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2636.0,5932.0,5
RC,367,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,2636.0,5932.0,5
RC,367,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,5286.0,6680.0,5
RC,367,"Anoscopy; with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,4693.0,5932.0,5
RC,367,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,4693.0,5932.0,5
RC,367,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,Anoscopy; with removal of foreign body ,,,4693.0,5932.0,5
RC,367,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,4693.0,5932.0,5
RC,367,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,4693.0,5932.0,5
RC,367,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,4693.0,5932.0,5
RC,367,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,367,Antepartum care only; 4-6 visits ,,,6587.0,6587.0,1
RC,367,Antepartum care only; 7 or more visits ,,,6587.0,6587.0,1
RC,367,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,367,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,7168.0,18490.0,5
RC,367,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,5381.0,23113.0,5
RC,367,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,5381.0,23113.0,5
RC,367,Anti-inhibitor ,,,2.67,2.67,3
RC,367,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,367,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,367,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,367,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,367,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,367,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,367,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,367,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,367,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,367,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,367,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,367,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,367,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,367,Antibody; Aspergillus ,,,16.4,16.4,3
RC,367,Antibody; Bartonella ,,,11.1,11.1,3
RC,367,Antibody; Blastomyces ,,,14.06,14.06,3
RC,367,Antibody; Bordetella ,,,14.38,14.38,3
RC,367,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,367,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,367,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,367,Antibody; Brucella ,,,9.73,9.73,3
RC,367,Antibody; Campylobacter ,,,14.3,14.3,3
RC,367,Antibody; Candida ,,,13.09,13.09,3
RC,367,Antibody; Chlamydia ,,,12.88,12.88,3
RC,367,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,367,Antibody; Coccidioides ,,,12.5,12.5,3
RC,367,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,367,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,367,Antibody; Diphtheria ,,,16.58,16.58,3
RC,367,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,367,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,367,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,367,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,367,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,367,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,367,Antibody; HIV-1 ,,,9.69,9.69,3
RC,367,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,367,Antibody; HIV-2 ,,,14.74,14.74,3
RC,367,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,367,Antibody; HTLV-I ,,,9.91,9.91,3
RC,367,Antibody; HTLV-II ,,,15.26,15.26,3
RC,367,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,367,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,367,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,367,Antibody; Legionella ,,,16.68,16.68,3
RC,367,Antibody; Leishmania ,,,13.35,13.35,3
RC,367,Antibody; Leptospira ,,,17.66,17.66,3
RC,367,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,367,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,367,Antibody; Nocardia ,,,17.43,17.43,3
RC,367,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,367,Antibody; Rickettsia ,,,21.09,21.09,3
RC,367,Antibody; Salmonella ,,,14.38,14.38,3
RC,367,Antibody; Shigella ,,,26.68,26.68,3
RC,367,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,367,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,367,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,367,Antibody; Trichinella ,,,13.69,13.69,3
RC,367,Antibody; West Nile virus ,,,15.69,15.69,3
RC,367,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,367,Antibody; Yersinia ,,,14.38,14.38,3
RC,367,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,367,Antibody; actinomyces ,,,11.1,11.1,3
RC,367,Antibody; adenovirus ,,,14.03,14.03,3
RC,367,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,367,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,367,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,367,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,367,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,367,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,367,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,367,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,367,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,367,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,367,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,367,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,367,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,367,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,367,Antibody; histoplasma ,,,15.03,15.03,3
RC,367,Antibody; influenza virus ,,,14.77,14.77,3
RC,367,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,367,Antibody; mucormycosis ,,,16.35,16.35,3
RC,367,Antibody; mumps ,,,14.22,14.22,3
RC,367,Antibody; mycoplasma ,,,14.43,14.43,3
RC,367,Antibody; parvovirus ,,,16.38,16.38,3
RC,367,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,367,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,367,Antibody; rotavirus ,,,19.87,19.87,3
RC,367,Antibody; rubella ,,,15.69,15.69,3
RC,367,Antibody; rubeola ,,,14.04,14.04,3
RC,367,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,367,Antibody; tetanus ,,,16.13,16.13,3
RC,367,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,367,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,367,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,367,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,367,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,367,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,367,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,367,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,367,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,367,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,367,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,367,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,367,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,367,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,367,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,367,"Apolipoprotein, each ",,,22.99,22.99,3
RC,367,Appendectomy; ,,,7168.0,19415.0,5
RC,367,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,6587.0,6587.0,1
RC,367,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,2636.0,2636.0,1
RC,367,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,367,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,367,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,367,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,367,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,367,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,367,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,367,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,367,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,367,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,367,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,367,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,367,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,367,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,6680.0,8
RC,367,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,6680.0,8
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,2636.0,6680.0,10
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,2636.0,5932.0,5
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,3293.0,6680.0,5
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,2636.0,5932.0,5
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,4723.0,6680.0,5
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,2636.0,5932.0,5
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,3293.0,6680.0,5
RC,367,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,367,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,367,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,367,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,367,Aqueous shunt ,,,855.38,855.38,3
RC,367,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,8024.0,18490.0,5
RC,367,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,6587.0,19415.0,5
RC,367,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,367,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,367,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,367,"Arm rest, each ",,,23.28,23.28,3
RC,367,Arsenic ,,,20.68,20.68,3
RC,367,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,7839.0,9908.0,4
RC,367,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,7839.0,9908.0,4
RC,367,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,7839.0,9908.0,4
RC,367,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,7839.0,9908.0,4
RC,367,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,9908.0,4
RC,367,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,15362.0,19415.0,4
RC,367,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,2636.0,2636.0,1
RC,367,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,14630.0,18490.0,4
RC,367,Artificial cornea ,,,8791.45,8791.45,3
RC,367,Artificial insemination; intra-cervical ,,,2636.0,2636.0,1
RC,367,Artificial insemination; intra-uterine ,,,2636.0,2636.0,1
RC,367,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,367,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,367,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,367,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,4693.0,5932.0,5
RC,367,"Aspiration and/or injection, thyroid cyst ",,,3293.0,5932.0,5
RC,367,Aspiration of bladder; by needle ,,,2636.0,5932.0,5
RC,367,Aspiration of bladder; by trocar or intracatheter ,,,2636.0,5932.0,5
RC,367,Aspiration of bladder; with insertion of suprapubic catheter ,,,4693.0,5932.0,5
RC,367,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,4693.0,5932.0,5
RC,367,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,367,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,367,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,367,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,367,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,367,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,367,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,367,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,367,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,367,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,367,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,367,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,367,Axillary crutch extension ,,,246.97,246.97,3
RC,367,Axillary lymphadenectomy; complete ,,,8024.0,19415.0,5
RC,367,Axillary lymphadenectomy; superficial ,,,5286.0,8024.0,5
RC,367,Azathioprine parenteral ,,,277.69,277.69,3
RC,367,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,367,"B cells, total count ",,,41.13,41.13,3
RC,367,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,367,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,367,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,367,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,367,BIOPSY EYE MUSCLE ,,,6587.0,6587.0,1
RC,367,BIOPSY OF STOMACH ,,,6587.0,6587.0,1
RC,367,BIOPSY OF THROAT ,,,6587.0,6587.0,1
RC,367,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,367,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,367,BRAIN SURGERY USING COMPUTER ,,,6587.0,6587.0,1
RC,367,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,367,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,367,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,367,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,367,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,367,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,367,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,367,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,367,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,367,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,367,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,367,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,2636.0,2636.0,1
RC,367,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,6587.0,6587.0,1
RC,367,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,6587.0,6587.0,1
RC,367,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,6587.0,6587.0,1
RC,367,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,6587.0,6587.0,1
RC,367,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,6587.0,6587.0,1
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,6587.0,6587.0,1
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,6587.0,6587.0,1
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,6587.0,6587.0,1
RC,367,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,6587.0,6587.0,1
RC,367,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,6587.0,6587.0,1
RC,367,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,6587.0,6587.0,3
RC,367,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,6587.0,6587.0,1
RC,367,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,6587.0,6587.0,1
RC,367,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,367,"Balance lens, per lens ",,,70.71,70.71,3
RC,367,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,6587.0,6587.0,1
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,6587.0,6587.0,1
RC,367,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,2636.0,5932.0,5
RC,367,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,2636.0,5932.0,5
RC,367,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,367,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,367,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,367,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,367,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,367,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,367,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,367,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,367,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,367,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,367,"Bed cradle, any type ",,,42.41,42.41,3
RC,367,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,367,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,367,"Bed side rails, full length ",,,149.47,149.47,3
RC,367,"Bed side rails, half length ",,,14.69,14.69,3
RC,367,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,367,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,367,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,367,Belatacept injection ,,,4.23,4.23,3
RC,367,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,367,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,367,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,367,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,367,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,367,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,367,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,367,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,367,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,367,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,367,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,367,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,367,Beta-2 microglobulin ,,,17.64,17.64,3
RC,367,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,367,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,367,Bevacizumab injection ,,,81.56,81.56,3
RC,367,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,6587.0,6587.0,1
RC,367,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,367,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,367,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,367,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,6587.0,6587.0,1
RC,367,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,6587.0,6587.0,1
RC,367,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,6587.0,6587.0,1
RC,367,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,367,Bile acids; total ,,,18.66,18.66,3
RC,367,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,3293.0,3293.0,1
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,5286.0,6680.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,7839.0,9908.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,7839.0,9908.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,5381.0,9908.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,5381.0,9908.0,5
RC,367,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,367,Bilirubin; direct ,,,5.47,5.47,3
RC,367,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,367,Bilirubin; total ,,,5.47,5.47,3
RC,367,Biofeedback training by any modality ,,,39.38,44.74,6
RC,367,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,367,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,367,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,4723.0,6680.0,5
RC,367,Biopsy external auditory canal ,,,4723.0,4723.0,1
RC,367,Biopsy external ear ,,,2636.0,2636.0,1
RC,367,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,4693.0,5932.0,5
RC,367,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,3293.0,5932.0,5
RC,367,Biopsy of conjunctiva ,,,3293.0,5932.0,5
RC,367,Biopsy of cornea ,,,3293.0,6680.0,5
RC,367,"Biopsy of epididymis, needle ",,,3293.0,5932.0,5
RC,367,Biopsy of extraocular muscle ,,,4693.0,5932.0,5
RC,367,Biopsy of floor of mouth ,,,3293.0,5932.0,5
RC,367,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,4693.0,5932.0,5
RC,367,Biopsy of lacrimal gland ,,,4693.0,5932.0,5
RC,367,Biopsy of lacrimal sac ,,,4693.0,5932.0,5
RC,367,Biopsy of lip ,,,2636.0,2636.0,1
RC,367,"Biopsy of liver, needle; percutaneous ",,,4693.0,5932.0,5
RC,367,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,367,"Biopsy of liver, wedge ",,,6587.0,6587.0,1
RC,367,Biopsy of nerve ,,,5286.0,6680.0,5
RC,367,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,5381.0,9908.0,5
RC,367,"Biopsy of palate, uvula ",,,3293.0,5932.0,5
RC,367,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,6587.0,6587.0,1
RC,367,"Biopsy of pancreas, percutaneous needle ",,,4693.0,5932.0,5
RC,367,Biopsy of penis; (separate procedure) ,,,4693.0,5932.0,5
RC,367,Biopsy of penis; deep structures ,,,4693.0,5932.0,5
RC,367,Biopsy of salivary gland; incisional ,,,5286.0,6680.0,5
RC,367,Biopsy of salivary gland; needle ,,,3293.0,5932.0,5
RC,367,"Biopsy of spinal cord, percutaneous needle ",,,4693.0,5932.0,5
RC,367,"Biopsy of stomach, by laparotomy ",,,5381.0,5381.0,1
RC,367,"Biopsy of testis, incisional (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Biopsy of testis, needle (separate procedure) ",,,4693.0,5932.0,5
RC,367,Biopsy of tongue; anterior two-thirds ,,,3293.0,5932.0,5
RC,367,Biopsy of tongue; posterior one-third ,,,4723.0,6680.0,5
RC,367,Biopsy of urethra ,,,4693.0,5932.0,5
RC,367,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,5286.0,6680.0,5
RC,367,Biopsy of vaginal mucosa; simple (separate procedure) ,,,3293.0,5932.0,5
RC,367,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,3293.0,5932.0,5
RC,367,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,2636.0,5932.0,5
RC,367,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,4693.0,5932.0,5
RC,367,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,5286.0,6680.0,5
RC,367,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,5286.0,6680.0,5
RC,367,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,5286.0,6680.0,5
RC,367,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,5286.0,6680.0,5
RC,367,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,5286.0,6680.0,5
RC,367,"Biopsy or excision of lymph node(s); open, superficial ",,,5286.0,6680.0,5
RC,367,"Biopsy thyroid, percutaneous core needle ",,,3293.0,5932.0,5
RC,367,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,4693.0,5932.0,5
RC,367,"Biopsy, prostate, any approach, nonimaging-guided ",,,4723.0,6680.0,5
RC,367,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,367,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,7839.0,9908.0,4
RC,367,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,7839.0,9908.0,4
RC,367,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,5286.0,6680.0,4
RC,367,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,5286.0,6680.0,4
RC,367,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,5286.0,6680.0,4
RC,367,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,5286.0,6680.0,4
RC,367,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,5286.0,6680.0,4
RC,367,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,5286.0,6680.0,4
RC,367,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,4723.0,4723.0,1
RC,367,"Biopsy, vestibule of mouth ",,,2636.0,5932.0,5
RC,367,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,5286.0,6680.0,5
RC,367,"Biopsy; nasopharynx, visible lesion, simple ",,,4693.0,5932.0,5
RC,367,Biopsy; oropharynx ,,,3293.0,5932.0,5
RC,367,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,367,Bladder instillation of anticarcinogenic agent (including retention time) ,,,6587.0,6587.0,1
RC,367,"Bladder irrigation, simple, lavage and/or instillation ",,,4693.0,6587.0,5
RC,367,Bleeding time ,,,5.25,5.25,3
RC,367,"Blepharotomy, drainage of abscess, eyelid ",,,2636.0,5932.0,5
RC,367,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,18288.0,23113.0,4
RC,367,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,8024.0,1
RC,367,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,18288.0,23113.0,4
RC,367,Blood component/product no ,,,38.5,38.5,3
RC,367,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,367,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,367,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,367,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,367,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,367,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,367,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,367,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,367,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,367,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,367,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,367,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,367,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,367,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,367,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,367,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,367,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,367,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,367,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,367,Blood split unit ,,,169.87,169.87,3
RC,367,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,367,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,367,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,367,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,367,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,367,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,367,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,367,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,367,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,367,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,367,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,367,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,367,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,367,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,2636.0,2636.0,1
RC,367,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,4723.0,4723.0,1
RC,367,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,367,Bone marrow harvesting for transplantation; allogeneic ,,,7168.0,18490.0,5
RC,367,Bone marrow harvesting for transplantation; autologous ,,,7168.0,9908.0,5
RC,367,Bradykinin ,,,5.62,5.62,3
RC,367,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,367,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,367,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,367,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,367,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,367,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,367,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,367,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,367,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,2636.0,2636.0,1
RC,367,Breathing circuits ,,,11.75,11.75,3
RC,367,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,367,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,367,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,367,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,9908.0,4
RC,367,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,6680.0,4
RC,367,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,18288.0,23113.0,4
RC,367,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,18288.0,23113.0,4
RC,367,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,6680.0,4
RC,367,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,9908.0,4
RC,367,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,9908.0,4
RC,367,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,9908.0,4
RC,367,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,367,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,367,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,6587.0,6587.0,1
RC,367,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,6587.0,6587.0,1
RC,367,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,6587.0,6587.0,1
RC,367,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,6587.0,6587.0,1
RC,367,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,6587.0,6587.0,1
RC,367,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,6587.0,6587.0,1
RC,367,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,6587.0,6587.0,1
RC,367,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,6587.0,6587.0,1
RC,367,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,367,C-peptide ,,,22.68,22.68,3
RC,367,C-reactive protein; ,,,5.65,5.65,3
RC,367,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,367,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,367,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,367,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,367,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,367,CATHETERIZE MIDDLE EAR CANAL ,,,6587.0,6587.0,1
RC,367,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,367,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,367,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,367,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,367,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,367,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,367,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,367,CHANGE BILE DUCT CATHETER ,,,6587.0,6587.0,1
RC,367,CHANGE IV CATH AT THROMB TX ,,,6587.0,6587.0,1
RC,367,CHANGE KIDNEY TUBE ,,,6587.0,6587.0,1
RC,367,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,2636.0,2636.0,1
RC,367,CIRCUMCISION ,,,6587.0,6587.0,1
RC,367,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,COLONOSCOPY LESION REMOVAL ,,,6587.0,6587.0,1
RC,367,COLONOSCOPY W/STENT ,,,6587.0,6587.0,2
RC,367,CONTROL POSTOP BLEEDING ,,,6587.0,6587.0,1
RC,367,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,7168.0,7168.0,1
RC,367,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,6587.0,6587.0,1
RC,367,CREATE SALIVARY CYST DRAIN ,,,6587.0,6587.0,2
RC,367,CRYOTHERAPY OF RECTAL LESION ,,,6587.0,6587.0,2
RC,367,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,367,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,367,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,367,CT and CTA without Contras ,,,242.29,242.29,3
RC,367,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,367,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,367,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,367,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,367,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,367,"CYSTOSCOPY, RESECT DUCTS ",,,6587.0,6587.0,1
RC,367,Cabazitaxel injection ,,,254.77,254.77,3
RC,367,Cadmium ,,,25.77,25.77,3
RC,367,Caffeine ,,,42.04,42.04,3
RC,367,Calcitonin ,,,29.2,29.2,3
RC,367,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,367,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,367,Calcium; ionized ,,,14.91,14.91,3
RC,367,Calcium; total ,,,5.62,5.62,3
RC,367,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,367,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,367,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,367,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,367,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,367,"Calprotectin, fecal ",,,21.4,21.4,3
RC,367,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,367,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,367,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,367,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,367,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,367,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,367,"Cannula, nasal ",,,1.13,1.13,3
RC,367,"Cannulation, thoracic duct ",,,2636.0,2636.0,1
RC,367,"Cantharidin top, applicato ",,,757.78,757.78,3
RC,367,Canthoplasty (reconstruction of canthus) ,,,5286.0,6680.0,5
RC,367,Canthotomy (separate procedure) ,,,4693.0,5932.0,5
RC,367,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,367,Capsaicin 8% patch ,,,3.82,3.82,3
RC,367,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,367,Carbamazepine; free ,,,14.44,14.44,3
RC,367,Carbamazepine; total ,,,15.88,15.88,3
RC,367,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,367,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,367,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,367,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,367,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,367,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,367,Cardiac Rehabilitation ,,,141.15,141.15,3
RC,367,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,367,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,367,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,367,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,367,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,2636.0,2636.0,1
RC,367,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,3293.0,3293.0,1
RC,367,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,3293.0,3293.0,1
RC,367,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,367,Carmustine injection ,,,261.61,261.61,3
RC,367,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,367,Carotene ,,,10.05,10.05,3
RC,367,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,367,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,367,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,367,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,367,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,367,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,367,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,367,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,367,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,367,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,367,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,367,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,367,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,367,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,367,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,367,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,367,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,367,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,367,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,367,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,367,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,367,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,367,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,367,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,367,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,367,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,367,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,367,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,367,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,367,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,367,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,367,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,367,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,367,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,367,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,367,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,367,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,367,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,367,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,367,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,367,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,367,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,367,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,367,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,367,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,367,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,367,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,367,"Caster pin lock, each ",,,46.34,46.34,3
RC,367,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,367,Catecholamines; blood ,,,31.7,31.7,3
RC,367,Catecholamines; fractionated ,,,27.52,27.52,3
RC,367,Catecholamines; total urine ,,,29.76,29.76,3
RC,367,Cathepsin-D ,,,19.69,19.69,3
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,18288.0,33769.0,12
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,26718.0,33769.0,4
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,26718.0,33769.0,4
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,18288.0,23113.0,4
RC,367,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,2636.0,5932.0,5
RC,367,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,367,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,7
RC,367,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,4693.0,6587.0,5
RC,367,"Cautery of cervix; cryocautery, initial or repeat ",,,2636.0,5932.0,5
RC,367,Cautery of cervix; electro or thermal ,,,5286.0,6680.0,5
RC,367,Cautery of cervix; laser ablation ,,,5286.0,6680.0,5
RC,367,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,367,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,367,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,367,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,367,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,367,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,367,"Cerclage of cervix, during pregnancy; abdominal ",,,6587.0,19415.0,5
RC,367,"Cerclage of cervix, during pregnancy; vaginal ",,,4693.0,5932.0,5
RC,367,"Cerclage of uterine cervix, nonobstetrical ",,,4693.0,5932.0,5
RC,367,Ceruloplasmin ,,,11.71,11.71,3
RC,367,Cervical head harness/halter ,,,30.83,30.83,3
RC,367,Cervical lymphadenectomy (complete) ,,,5381.0,19415.0,5
RC,367,Cervical lymphadenectomy (modified radical neck dissection) ,,,6587.0,19415.0,5
RC,367,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,367,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,367,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,367,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,367,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,367,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,367,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,367,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,367,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,367,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,367,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,367,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,367,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,367,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,367,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,367,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,367,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,6587.0,6587.0,1
RC,367,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,6587.0,6587.0,1
RC,367,Cesarean delivery only; ,,,6587.0,6587.0,1
RC,367,Cesarean delivery only; including postpartum care ,,,6587.0,18490.0,5
RC,367,Cetuximab injection ,,,89.02,89.02,3
RC,367,Change of cystostomy tube; complicated ,,,4693.0,6587.0,5
RC,367,Change of cystostomy tube; simple ,,,4693.0,6587.0,5
RC,367,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,4693.0,5932.0,5
RC,367,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,6680.0,4
RC,367,Chemiluminescent assay ,,,15.39,15.39,3
RC,367,Chemodenervation of eccrine glands; both axillae ,,,2636.0,5932.0,5
RC,367,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,2636.0,5932.0,5
RC,367,Chemodenervation of extraocular muscle ,,,2636.0,5932.0,5
RC,367,Chemodenervation of internal anal sphincter ,,,4693.0,5932.0,5
RC,367,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,4693.0,6587.0,5
RC,367,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,2636.0,5932.0,5
RC,367,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,2636.0,5932.0,5
RC,367,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,3293.0,5932.0,5
RC,367,Chemodenervation of one extremity; 1-4 muscle(s) ,,,3293.0,5932.0,5
RC,367,Chemodenervation of one extremity; 5 or more muscles ,,,3293.0,5932.0,5
RC,367,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,367,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,367,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,2636.0,5932.0,5
RC,367,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,3293.0,5932.0,5
RC,367,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,3293.0,5932.0,5
RC,367,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,6587.0,6587.0,1
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,6587.0,6587.0,1
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,6587.0,6587.0,1
RC,367,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,6587.0,6587.0,1
RC,367,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,367,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,367,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,367,Chloramphenicol ,,,13.81,13.81,3
RC,367,Chloride; blood ,,,5.01,5.01,3
RC,367,Chloride; other source ,,,5.45,5.45,3
RC,367,Chloride; urine ,,,6.27,6.27,3
RC,367,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,367,Cholecystectomy with exploration of common duct; ,,,6587.0,76895.0,5
RC,367,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,6587.0,76895.0,5
RC,367,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,6587.0,23113.0,5
RC,367,Cholecystectomy; ,,,6587.0,19415.0,5
RC,367,Cholecystectomy; with cholangiography ,,,6587.0,18490.0,5
RC,367,Cholecystoenterostomy; Roux-en-Y ,,,6587.0,6587.0,1
RC,367,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,6587.0,6587.0,1
RC,367,Cholecystoenterostomy; direct ,,,6587.0,6587.0,1
RC,367,Cholecystoenterostomy; with gastroenterostomy ,,,6587.0,6587.0,1
RC,367,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,5381.0,5381.0,1
RC,367,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,6587.0,6587.0,1
RC,367,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,6587.0,6587.0,1
RC,367,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,367,Choline c-11 ,,,2742.91,2742.91,3
RC,367,Cholinesterase; RBC ,,,10.69,10.69,3
RC,367,Cholinesterase; serum ,,,8.58,8.58,3
RC,367,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,367,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,367,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,367,"Chorionic villus sampling, any method ",,,3293.0,3293.0,1
RC,367,Chromium ,,,22.11,22.11,3
RC,367,Chromogenic substrate assay ,,,12.96,12.96,3
RC,367,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,367,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,367,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,367,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,367,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,367,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,367,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,367,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,367,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,367,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,367,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,367,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,367,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,367,"Chromotubation of oviduct, including materials ",,,7168.0,9908.0,5
RC,367,Cidofovir injection ,,,583.95,583.95,3
RC,367,Ciliary body destruction; cryotherapy ,,,5286.0,6680.0,5
RC,367,Ciliary body destruction; cyclodialysis ,,,5286.0,6680.0,5
RC,367,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,5286.0,6680.0,5
RC,367,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,5286.0,6680.0,5
RC,367,Ciliary body destruction; diathermy ,,,4723.0,6680.0,5
RC,367,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,367,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,5286.0,6680.0,5
RC,367,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,5286.0,6680.0,5
RC,367,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,4693.0,5932.0,5
RC,367,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,3293.0,5932.0,5
RC,367,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,4693.0,5932.0,5
RC,367,Citrate ,,,30.3,30.3,3
RC,367,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,367,Clinic Visits and Related ,,,145.78,145.78,3
RC,367,Clitoroplasty for intersex state ,,,5381.0,5381.0,1
RC,367,Closure of anal fistula with rectal advancement flap ,,,7168.0,19415.0,5
RC,367,Closure of cystostomy (separate procedure) ,,,4693.0,5932.0,5
RC,367,Closure of enteroenteric or enterocolic fistula ,,,6587.0,6587.0,1
RC,367,"Closure of enterostomy, large or small intestine; ",,,6587.0,6587.0,1
RC,367,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,6587.0,6587.0,1
RC,367,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,6587.0,6587.0,1
RC,367,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,6587.0,6587.0,1
RC,367,Closure of enterovesical fistula; without intestinal or bladder resection ,,,6587.0,6587.0,1
RC,367,Closure of esophagostomy or fistula; cervical approach ,,,5286.0,6680.0,5
RC,367,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,6587.0,6587.0,1
RC,367,Closure of gastrocolic fistula ,,,6587.0,6587.0,1
RC,367,"Closure of gastrostomy, surgical ",,,4693.0,5932.0,5
RC,367,Closure of intestinal cutaneous fistula ,,,6587.0,6587.0,1
RC,367,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,2636.0,2636.0,1
RC,367,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,3293.0,5932.0,5
RC,367,Closure of lacrimal fistula (separate procedure) ,,,3293.0,19415.0,5
RC,367,Closure of nephrocutaneous or pyelocutaneous fistula ,,,3293.0,5932.0,5
RC,367,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,6587.0,6587.0,1
RC,367,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,6587.0,6587.0,1
RC,367,Closure of rectourethral fistula; ,,,6587.0,6587.0,1
RC,367,Closure of rectourethral fistula; with colostomy ,,,6587.0,6587.0,1
RC,367,Closure of rectovaginal fistula; abdominal approach ,,,6587.0,18490.0,5
RC,367,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,6587.0,6587.0,1
RC,367,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,5381.0,5381.0,1
RC,367,Closure of rectovaginal fistula; vaginal or transanal approach ,,,5381.0,9908.0,5
RC,367,Closure of rectovesical fistula; ,,,6587.0,6587.0,1
RC,367,Closure of rectovesical fistula; with colostomy ,,,6587.0,6587.0,1
RC,367,"Closure of the lacrimal punctum; by plug, each ",,,2636.0,5932.0,5
RC,367,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,2636.0,5932.0,5
RC,367,Closure of ureterocutaneous fistula ,,,6587.0,6587.0,1
RC,367,Closure of ureterovisceral fistula (including visceral repair) ,,,6587.0,6587.0,1
RC,367,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,5286.0,7168.0,5
RC,367,Closure of urethrovaginal fistula; ,,,7839.0,9908.0,5
RC,367,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,7168.0,19415.0,5
RC,367,Closure of vesicouterine fistula; ,,,5381.0,9908.0,5
RC,367,Closure of vesicouterine fistula; with hysterectomy ,,,6587.0,6587.0,1
RC,367,"Closure of vesicovaginal fistula, abdominal approach ",,,7168.0,19415.0,5
RC,367,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,7168.0,7168.0,1
RC,367,Closure of vesicovaginal fistula; vaginal approach ,,,7168.0,9908.0,5
RC,367,"Closure postauricular fistula, mastoid (separate procedure) ",,,5381.0,9908.0,5
RC,367,Closure salivary fistula ,,,4693.0,5932.0,5
RC,367,"Closure, exstrophy of bladder ",,,6587.0,6587.0,1
RC,367,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,367,Clot retraction ,,,17.77,17.77,3
RC,367,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,367,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,367,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,367,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,367,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,367,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,367,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,367,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,367,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,367,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,367,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,367,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,367,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,367,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,367,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,367,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,367,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,367,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,367,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,367,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,367,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,367,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,367,Clozapine ,,,21.96,21.96,3
RC,367,Clubfoot wedge ,,,66.8,66.8,3
RC,367,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,367,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,367,Coagulation time; activated ,,,4.67,4.67,3
RC,367,Coagulation time; other methods ,,,4.89,4.89,3
RC,367,Cochlear Implant Procedure ,,,36103.38,36103.38,3
RC,367,"Cochlear device implantation, with or without mastoidectomy ",,,8325.0,23113.0,5
RC,367,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,367,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,367,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,367,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,367,Cold agglutinin; screen ,,,8.8,8.8,3
RC,367,Cold agglutinin; titer ,,,8.79,8.79,3
RC,367,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,6587.0,6587.0,1
RC,367,"Colectomy, partial; abdominal and transanal approach ",,,6587.0,6587.0,1
RC,367,"Colectomy, partial; with anastomosis ",,,6587.0,6587.0,1
RC,367,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,6587.0,6587.0,1
RC,367,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,6587.0,6587.0,1
RC,367,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,6587.0,6587.0,1
RC,367,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,6587.0,6587.0,1
RC,367,"Colectomy, partial; with skin level cecostomy or colostomy ",,,6587.0,6587.0,1
RC,367,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,6587.0,6587.0,1
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,6587.0,6587.0,1
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,6587.0,6587.0,1
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,6587.0,6587.0,1
RC,367,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,6587.0,6587.0,1
RC,367,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,6587.0,6587.0,1
RC,367,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,367,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,367,"Collagen cross links, any method ",,,20.36,20.36,3
RC,367,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,367,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,367,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,367,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,367,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,367,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with control of bleeding, any method ",,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,4693.0,5932.0,5
RC,367,Colonoscopy through stoma; with endoscopic mucosal resection ,,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,4693.0,5932.0,5
RC,367,Colonoscopy through stoma; with removal of foreign body(s) ,,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,4693.0,5932.0,5
RC,367,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,4693.0,5932.0,5
RC,367,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,4693.0,5932.0,5
RC,367,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with biopsy, single or multiple ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with control of bleeding, any method ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with removal of foreign body(s) ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,4723.0,6680.0,5
RC,367,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,4723.0,6680.0,5
RC,367,Colorectal cancer screening; colonoscopy on individual at high risk ,,,3293.0,6680.0,5
RC,367,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,3293.0,6680.0,5
RC,367,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,367,Colorectal cancer screening; flexible sigmoidoscopy ,,,3293.0,5932.0,5
RC,367,Colostomy or skin level cecostomy; ,,,6587.0,6587.0,1
RC,367,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,6587.0,76895.0,5
RC,367,Colpocentesis (separate procedure) ,,,5286.0,6680.0,5
RC,367,Colpocleisis (Le Fort type) ,,,7168.0,18490.0,5
RC,367,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,5286.0,6680.0,5
RC,367,"Colpopexy, abdominal approach ",,,5381.0,18490.0,5
RC,367,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,8024.0,18490.0,5
RC,367,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,8024.0,18490.0,5
RC,367,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,14630.0,18490.0,4
RC,367,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,4693.0,5932.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; ,,,2636.0,6680.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,2636.0,5932.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,2636.0,6680.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,2636.0,5932.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,5286.0,6680.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,5381.0,9908.0,5
RC,367,"Colposcopy of the entire vagina, with cervix if present; ",,,2636.0,5932.0,5
RC,367,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,3293.0,5932.0,5
RC,367,Colposcopy of the vulva; ,,,2636.0,5932.0,5
RC,367,Colposcopy of the vulva; with biopsy(s) ,,,2636.0,5932.0,5
RC,367,Colpotomy; with drainage of pelvic abscess ,,,5286.0,6680.0,5
RC,367,Colpotomy; with exploration ,,,4693.0,5932.0,5
RC,367,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,367,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,367,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,367,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,7168.0,18490.0,5
RC,367,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,8024.0,23113.0,5
RC,367,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,367,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,367,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,367,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,367,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,367,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,367,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,367,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,367,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,367,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,367,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,367,"Complement; antigen, each component ",,,13.08,13.08,3
RC,367,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,367,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,367,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,367,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,367,Complex GI Procedures ,,,6647.43,6647.43,3
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,4693.0,6587.0,5
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,4693.0,6587.0,5
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,4693.0,6587.0,5
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,4693.0,6587.0,5
RC,367,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,367,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,6587.0,6587.0,1
RC,367,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,367,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,367,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,23113.0,4
RC,367,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,23113.0,4
RC,367,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,7668.0,2
RC,367,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,7668.0,1
RC,367,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,367,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,367,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,6587.0,6587.0,1
RC,367,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,367,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,367,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,367,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,367,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,367,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,367,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,367,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,367,"Congo red, blood ",,,5.4,5.4,3
RC,367,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,5286.0,6680.0,5
RC,367,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,5286.0,6680.0,5
RC,367,Conjunctival flap; bridge or partial (separate procedure) ,,,5286.0,7168.0,5
RC,367,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,5286.0,6680.0,5
RC,367,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,5381.0,19415.0,5
RC,367,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,7168.0,19415.0,5
RC,367,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,7168.0,19415.0,5
RC,367,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,5381.0,19415.0,5
RC,367,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,5381.0,19415.0,5
RC,367,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,7168.0,19415.0,5
RC,367,Construction of artificial vagina; with graft ,,,7168.0,19415.0,5
RC,367,Construction of artificial vagina; without graft ,,,5381.0,18490.0,5
RC,367,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,5381.0,9908.0,5
RC,367,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,5381.0,9908.0,5
RC,367,Cont epidur inject-lumb ,,,6587.0,6587.0,1
RC,367,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,367,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,367,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,367,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,367,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,367,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,367,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,367,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,367,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,367,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,367,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,367,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,367,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,367,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,367,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,367,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,367,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,367,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,367,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,6587.0,6587.0,1
RC,367,Continent ileostomy (Kock procedure) (separate procedure) ,,,6587.0,6587.0,1
RC,367,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,2636.0,2636.0,1
RC,367,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,367,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,367,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,2636.0,5932.0,5
RC,367,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,2636.0,5932.0,5
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,6587.0,6587.0,1
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,2636.0,5932.0,5
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,4723.0,9908.0,5
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,6587.0,6587.0,1
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,2636.0,5932.0,5
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,5286.0,6680.0,5
RC,367,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,367,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,5286.0,7168.0,5
RC,367,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,4693.0,5932.0,5
RC,367,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,5286.0,6680.0,4
RC,367,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,3293.0,5932.0,5
RC,367,Copper ,,,13.53,13.53,3
RC,367,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,367,"Cordocentesis (intrauterine), any method ",,,2636.0,2636.0,1
RC,367,Corneal relaxing incision for correction of surgically induced astigmatism ,,,3293.0,19415.0,5
RC,367,Corneal wedge resection for correction of surgically induced astigmatism ,,,5381.0,19415.0,5
RC,367,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,367,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,6587.0,6587.0,1
RC,367,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,7168.0,19415.0,5
RC,367,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,7168.0,19415.0,5
RC,367,"Correction of everted punctum, cautery ",,,2636.0,5932.0,5
RC,367,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,5381.0,9908.0,5
RC,367,Correction of lid retraction ,,,5381.0,9908.0,5
RC,367,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,6587.0,23113.0,5
RC,367,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,2636.0,2636.0,1
RC,367,"Correction of trichiasis; epilation, by forceps only ",,,2636.0,2636.0,1
RC,367,Correction of trichiasis; incision of lid margin ,,,3293.0,6680.0,5
RC,367,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,5286.0,6680.0,5
RC,367,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,367,Corticosterone ,,,24.55,24.55,3
RC,367,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,367,Cortisol; free ,,,18.21,18.21,3
RC,367,Cortisol; total ,,,17.77,17.77,3
RC,367,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,2636.0,2636.0,1
RC,367,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,8024.0,8024.0,1
RC,367,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,367,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,367,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,367,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,367,Cr51 chromate ,,,2090.58,2090.58,3
RC,367,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,367,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,367,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,367,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,367,Craniectomy for craniosynostosis; multiple cranial sutures ,,,6587.0,6587.0,1
RC,367,Craniectomy for craniosynostosis; single cranial suture ,,,6587.0,6587.0,1
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,6587.0,6587.0,1
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,6587.0,6587.0,1
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,6587.0,6587.0,1
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,4723.0,4723.0,1
RC,367,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,6587.0,6587.0,1
RC,367,"Craniectomy or craniotomy, exploratory; supratentorial ",,,6587.0,6587.0,1
RC,367,Craniectomy or craniotomy; with excision of foreign body from brain ,,,6587.0,6587.0,1
RC,367,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,6587.0,6587.0,1
RC,367,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,6587.0,6587.0,1
RC,367,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,6587.0,6587.0,1
RC,367,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,6587.0,6587.0,1
RC,367,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,6587.0,6587.0,1
RC,367,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,6587.0,6587.0,1
RC,367,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,6587.0,6587.0,1
RC,367,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,6587.0,6587.0,1
RC,367,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,6587.0,6587.0,1
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,6587.0,6587.0,1
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,6587.0,6587.0,1
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,6587.0,6587.0,1
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,6587.0,6587.0,1
RC,367,Craniectomy; for osteomyelitis ,,,6587.0,6587.0,1
RC,367,Craniectomy; with excision of tumor or other bone lesion of skull ,,,8024.0,33769.0,5
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,6587.0,6587.0,1
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,6587.0,6587.0,1
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,6587.0,6587.0,1
RC,367,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,6587.0,6587.0,1
RC,367,Cranioplasty for skull defect with reparative brain surgery ,,,6587.0,6587.0,1
RC,367,Cranioplasty for skull defect; larger than 5 cm diameter ,,,6587.0,6587.0,1
RC,367,Cranioplasty for skull defect; up to 5 cm diameter ,,,6587.0,6587.0,1
RC,367,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,6587.0,6587.0,1
RC,367,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,6587.0,6587.0,1
RC,367,Craniotomy for craniosynostosis; bifrontal bone flap ,,,6587.0,6587.0,1
RC,367,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,6587.0,6587.0,1
RC,367,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,6587.0,6587.0,1
RC,367,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,6587.0,6587.0,1
RC,367,"Craniotomy for repair of encephalocele, skull base ",,,6587.0,6587.0,1
RC,367,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,6587.0,6587.0,1
RC,367,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,6587.0,6587.0,1
RC,367,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,6587.0,6587.0,1
RC,367,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,6587.0,6587.0,1
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,6587.0,6587.0,1
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,6587.0,6587.0,1
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,6587.0,6587.0,1
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,6587.0,6587.0,1
RC,367,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,6587.0,6587.0,1
RC,367,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,6587.0,6587.0,1
RC,367,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,6587.0,6587.0,1
RC,367,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,6587.0,6587.0,1
RC,367,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,6587.0,6587.0,1
RC,367,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,6587.0,6587.0,1
RC,367,Creatine ,,,5.06,5.06,3
RC,367,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,367,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,367,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,367,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,367,Creatinine; blood ,,,5.58,5.58,3
RC,367,Creatinine; clearance ,,,10.31,10.31,3
RC,367,Creatinine; other source ,,,5.65,5.65,3
RC,367,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,15362.0,19415.0,4
RC,367,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,15362.0,19415.0,4
RC,367,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,6587.0,6587.0,1
RC,367,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,6587.0,6587.0,1
RC,367,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,6587.0,9908.0,5
RC,367,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,6587.0,9908.0,5
RC,367,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,5286.0,6680.0,5
RC,367,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,6587.0,6587.0,1
RC,367,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,5286.0,7168.0,5
RC,367,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,6587.0,6587.0,1
RC,367,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,6587.0,6587.0,1
RC,367,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,6587.0,6587.0,1
RC,367,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,6587.0,6587.0,1
RC,367,Cricopharyngeal myotomy ,,,8024.0,8024.0,1
RC,367,Critical Care ,,,904.47,904.47,3
RC,367,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,367,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,367,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,367,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,367,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,367,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,367,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,367,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,367,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,367,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,367,Cryofibrinogen ,,,15.41,15.41,3
RC,367,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,367,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,367,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,367,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,367,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,7008.0,7008.0,1
RC,367,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,367,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,367,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,367,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,367,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,367,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,367,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,367,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,367,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,367,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,367,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,367,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,367,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,367,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,367,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,367,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,367,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,367,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,367,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,367,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,367,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,367,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,367,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,367,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,367,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,367,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,367,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,367,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,367,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,367,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,367,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,367,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,367,"Culture, typing; other methods ",,,8.44,8.44,3
RC,367,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,4693.0,5932.0,5
RC,367,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,3293.0,5932.0,5
RC,367,"Curettage, postpartum ",,,5381.0,9908.0,5
RC,367,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,367,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,367,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,367,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,367,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,367,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,367,Cutaneous appendico-vesicostomy ,,,6587.0,6587.0,1
RC,367,Cutaneous vesicostomy ,,,5381.0,5381.0,1
RC,367,Cyanide ,,,21.15,21.15,3
RC,367,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,367,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,367,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,367,Cyclosporine ,,,19.67,19.67,3
RC,367,Cystatin C ,,,20.19,20.19,3
RC,367,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,6587.0,6587.0,1
RC,367,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,6587.0,6587.0,1
RC,367,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,6587.0,6587.0,1
RC,367,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,6587.0,6587.0,1
RC,367,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,6587.0,6587.0,1
RC,367,"Cystectomy, complete; (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,6587.0,6587.0,1
RC,367,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,6587.0,6587.0,1
RC,367,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,6587.0,6587.0,1
RC,367,"Cystectomy, partial; simple ",,,6587.0,6587.0,1
RC,367,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,367,Cysto w Bx/fulgur les ,,,6587.0,6587.0,1
RC,367,Cysto w lithotripsy ,,,6587.0,6587.0,1
RC,367,Cysto w rmvl/manip CAL ,,,6587.0,6587.0,1
RC,367,Cysto w tumor resection ,,,6587.0,6587.0,1
RC,367,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,5381.0,19415.0,5
RC,367,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2636.0,23113.0,5
RC,367,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,7168.0,19415.0,5
RC,367,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,5286.0,6680.0,5
RC,367,"Cystostomy, cystotomy with drainage ",,,5381.0,19415.0,5
RC,367,"Cystotomy for excision, incision, or repair of ureterocele ",,,5381.0,5381.0,1
RC,367,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,5381.0,19415.0,5
RC,367,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5381.0,5381.0,1
RC,367,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,5381.0,19415.0,5
RC,367,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,3293.0,19415.0,5
RC,367,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,7168.0,7168.0,1
RC,367,Cystotomy; for excision of bladder tumor ,,,7168.0,7168.0,1
RC,367,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,5381.0,19415.0,5
RC,367,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2636.0,23113.0,5
RC,367,Cystourethroscopy ,,,6587.0,6587.0,1
RC,367,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,5381.0,19415.0,5
RC,367,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,5286.0,6680.0,5
RC,367,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,5381.0,18490.0,5
RC,367,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,5286.0,8024.0,5
RC,367,Cystourethroscopy (separate procedure) ,,,3293.0,3293.0,1
RC,367,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,4723.0,6680.0,5
RC,367,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,6680.0,4
RC,367,Cystourethroscopy with direct vision internal urethrotomy ,,,5381.0,9908.0,5
RC,367,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,5381.0,9908.0,5
RC,367,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,7839.0,9908.0,4
RC,367,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,5381.0,19415.0,5
RC,367,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,6587.0,9908.0,5
RC,367,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,5381.0,9908.0,5
RC,367,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,4723.0,6680.0,5
RC,367,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,5381.0,9908.0,5
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,6680.0,4
RC,367,"Cystourethroscopy, with biopsy(s) ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,4723.0,6680.0,5
RC,367,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,4723.0,6680.0,5
RC,367,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,3293.0,6680.0,5
RC,367,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,3293.0,6680.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,4723.0,6680.0,5
RC,367,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,5381.0,5381.0,1
RC,367,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,2636.0,5932.0,5
RC,367,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,2636.0,9908.0,5
RC,367,"Cystourethroscopy, with insertion of permanent urethral stent ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,7839.0,9908.0,4
RC,367,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5381.0,19415.0,5
RC,367,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,18490.0,5
RC,367,"Cystourethroscopy, with internal urethrotomy; female ",,,4723.0,6680.0,5
RC,367,"Cystourethroscopy, with internal urethrotomy; male ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,6587.0,9908.0,5
RC,367,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,4723.0,6680.0,5
RC,367,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with steroid injection into stricture ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,5381.0,5381.0,1
RC,367,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,15362.0,19415.0,4
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,5381.0,19415.0,5
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,8024.0,8024.0,1
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,5381.0,19415.0,5
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,5381.0,19415.0,5
RC,367,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,5286.0,6680.0,5
RC,367,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5381.0,9908.0,5
RC,367,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,5286.0,6680.0,5
RC,367,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,367,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,367,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,367,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,367,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,367,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,367,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,367,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,367,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,367,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,367,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,367,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,367,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,367,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,367,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,367,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,367,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,367,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,367,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,367,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,367,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,367,D & C OF RESIDUAL CERVIX ,,,6587.0,6587.0,1
RC,367,DESTR PARAVERTEBRAL N ADD-ON ,,,6587.0,6587.0,2
RC,367,DESTR PARAVERTEBRL NERVE C/T ,,,6587.0,6587.0,1
RC,367,DESTR PARAVERTEBRL NERVE L/S ,,,6587.0,6587.0,1
RC,367,DESTROY NERVE EXTREM MUSC ,,,6587.0,6587.0,1
RC,367,DESTROY NERVE NECK MUSCLE ,,,6587.0,6587.0,1
RC,367,DESTRUCTION OF HEMORRHOIDS ,,,6587.0,6587.0,3
RC,367,DILATE ESOPHAGUS ,,,6587.0,6587.0,2
RC,367,DILATION PROSTATIC URETHRA ,,,6587.0,6587.0,1
RC,367,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,367,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,367,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,367,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,367,DRAIN ABDOMINAL ABSCESS ,,,6587.0,6587.0,1
RC,367,DRAIN APP ABSCESS PERCUT ,,,6587.0,6587.0,1
RC,367,DRAIN PANCREATIC PSEUDOCYST ,,,6587.0,6587.0,1
RC,367,DRAIN PELVIC ABSCESS PERCUT ,,,6587.0,6587.0,1
RC,367,DRAIN PERCUT ABDOM ABSCESS ,,,6587.0,6587.0,1
RC,367,DRAIN PERCUT RETROPER ABSC ,,,6587.0,6587.0,1
RC,367,DRAINAGE OF BLADDER ,,,6587.0,6587.0,3
RC,367,DRAINAGE OF EYE ,,,6587.0,6587.0,1
RC,367,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,7168.0,19415.0,5
RC,367,Dactinomycin injection ,,,335.08,335.08,3
RC,367,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,367,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,367,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,367,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,367,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,16
RC,367,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,4693.0,5932.0,4
RC,367,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,6680.0,4
RC,367,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,3293.0,6680.0,5
RC,367,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,2636.0,2636.0,1
RC,367,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,8024.0,18490.0,5
RC,367,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,8024.0,18490.0,5
RC,367,Decompression internal auditory canal ,,,8024.0,8024.0,1
RC,367,"Decompression of orbit only, transcranial approach ",,,8024.0,8024.0,1
RC,367,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,7168.0,7168.0,1
RC,367,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,4693.0,5932.0,4
RC,367,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,15362.0,19415.0,4
RC,367,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,5286.0,6680.0,4
RC,367,Decompression; plantar digital nerve ,,,4693.0,5932.0,5
RC,367,Decompression; unspecified nerve(s) (specify) ,,,4693.0,5932.0,5
RC,367,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,367,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,367,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,4693.0,5932.0,5
RC,367,Deligation of ureter ,,,6587.0,6587.0,1
RC,367,Delivery of placenta (separate procedure) ,,,5381.0,5381.0,1
RC,367,Dental Procedures ,,,707.88,707.88,3
RC,367,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,367,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,367,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,367,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,367,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,4723.0,4723.0,1
RC,367,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,367,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Destruction by neurolytic agent, intercostal nerve ",,,4693.0,5932.0,5
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,2636.0,5932.0,5
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,4693.0,5932.0,5
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,2636.0,5932.0,5
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,4693.0,5932.0,5
RC,367,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,4693.0,5932.0,5
RC,367,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,4693.0,5932.0,5
RC,367,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,4693.0,5932.0,5
RC,367,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,5286.0,6680.0,5
RC,367,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,3293.0,6680.0,5
RC,367,Destruction by neurolytic agent; other peripheral nerve or branch ,,,3293.0,5932.0,5
RC,367,Destruction by neurolytic agent; plantar common digital nerve ,,,2636.0,5932.0,5
RC,367,Destruction by neurolytic agent; pudendal nerve ,,,3293.0,6680.0,5
RC,367,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,3293.0,5932.0,5
RC,367,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,4693.0,7168.0,5
RC,367,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,3293.0,5932.0,5
RC,367,"Destruction of lesion (except excision), dentoalveolar structures ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,2636.0,5932.0,5
RC,367,Destruction of lesion of lid margin (up to 1 cm) ,,,3293.0,5932.0,5
RC,367,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,2636.0,5932.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,2636.0,6680.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,4723.0,6680.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,4693.0,6587.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,2636.0,2636.0,1
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,2636.0,2636.0,1
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,4723.0,4723.0,1
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,4723.0,9908.0,5
RC,367,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion, conjunctiva ",,,4693.0,5932.0,5
RC,367,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,4693.0,5932.0,5
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,3293.0,5932.0,5
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,3293.0,5932.0,5
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,2636.0,5932.0,5
RC,367,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,3293.0,5932.0,5
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,2636.0,18490.0,5
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,3293.0,18490.0,5
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,5381.0,18490.0,5
RC,367,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,5286.0,6680.0,5
RC,367,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,4693.0,5932.0,5
RC,367,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,4693.0,5932.0,5
RC,367,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,367,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,367,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,367,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,367,Dexamethasone intra implan ,,,221.99,221.99,3
RC,367,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,367,Dexrazoxane HCl injection ,,,45.17,45.17,3
RC,367,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,367,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,367,Diagnostic bone marrow; aspiration(s) ,,,3293.0,5932.0,5
RC,367,Diagnostic bone marrow; biopsy(ies) ,,,3293.0,5932.0,5
RC,367,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,4693.0,6587.0,5
RC,367,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,367,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,9908.0,4
RC,367,Diagnostic hysteroscopy ,,,6587.0,6587.0,1
RC,367,Diagnostic laparoscopy ,,,6587.0,6587.0,1
RC,367,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,367,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,367,Dialysis ,,,751.49,751.49,3
RC,367,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,2636.0,5932.0,5
RC,367,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,18288.0,23113.0,16
RC,367,Diaphragm or cervical cap fitting with instructions ,,,6587.0,6587.0,1
RC,367,Dibucaine number ,,,13.35,13.35,3
RC,367,Digoxin; free ,,,14.48,14.48,3
RC,367,Digoxin; total ,,,14.48,14.48,3
RC,367,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,367,"Dilation and catheterization of salivary duct, with or without injection ",,,2636.0,5932.0,5
RC,367,Dilation and curettage of cervical stump ,,,5381.0,9908.0,5
RC,367,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,5286.0,6680.0,5
RC,367,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,4693.0,5932.0,5
RC,367,"Dilation of cervical canal, instrumental (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,4693.0,5932.0,5
RC,367,"Dilation of esophagus, over guide wire ",,,4693.0,5932.0,5
RC,367,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,4693.0,6680.0,10
RC,367,Dilation of female urethra including suppository and/or instillation; initial ,,,2636.0,5932.0,5
RC,367,Dilation of female urethra including suppository and/or instillation; subsequent ,,,2636.0,2636.0,1
RC,367,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,4693.0,5932.0,5
RC,367,"Dilation of lacrimal punctum, with or without irrigation ",,,2636.0,2636.0,1
RC,367,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,4693.0,5932.0,5
RC,367,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,3293.0,5932.0,5
RC,367,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,2636.0,5932.0,5
RC,367,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,2636.0,5932.0,5
RC,367,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,2636.0,5932.0,5
RC,367,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,4723.0,6680.0,5
RC,367,Dilation of vagina under anesthesia (other than local) ,,,5286.0,6680.0,5
RC,367,Dilation salivary duct ,,,4693.0,5932.0,5
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,2636.0,2636.0,1
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,8024.0,8024.0,1
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,6587.0,6587.0,1
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,6587.0,6587.0,1
RC,367,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,3293.0,6680.0,5
RC,367,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,2636.0,5932.0,5
RC,367,"Discission of vitreous strands (without removal), pars plana approach ",,,4693.0,5932.0,5
RC,367,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,367,"Dissection, deep jugular node(s) ",,,5286.0,8024.0,5
RC,367,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,15362.0,19415.0,4
RC,367,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,8024.0,18490.0,5
RC,367,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,6587.0,6587.0,1
RC,367,Division of stricture of rectum ,,,5286.0,6680.0,5
RC,367,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,367,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,367,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,6587.0,6587.0,1
RC,367,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,6587.0,6587.0,1
RC,367,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,6587.0,6587.0,1
RC,367,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,6587.0,6587.0,1
RC,367,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,6587.0,6587.0,1
RC,367,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,6587.0,6587.0,1
RC,367,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,6587.0,6587.0,1
RC,367,"Donor nephrectomy (including cold preservation); open, from living donor ",,,6587.0,6587.0,1
RC,367,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,6587.0,6587.0,1
RC,367,Doxorubicin inj 10mg ,,,127.1,127.1,3
RC,367,"Drainage external auditory canal, abscess ",,,2636.0,5932.0,5
RC,367,"Drainage external ear, abscess or hematoma; complicated ",,,4693.0,5932.0,5
RC,367,"Drainage external ear, abscess or hematoma; simple ",,,2636.0,5932.0,5
RC,367,Drainage of Skene's gland abscess or cyst ,,,4693.0,5932.0,5
RC,367,"Drainage of abscess of palate, uvula ",,,2636.0,6680.0,5
RC,367,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,2636.0,5932.0,5
RC,367,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,3293.0,6680.0,5
RC,367,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,2636.0,2636.0,1
RC,367,"Drainage of abscess; parotid, complicated ",,,5286.0,6680.0,5
RC,367,"Drainage of abscess; parotid, simple ",,,3293.0,5932.0,5
RC,367,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,2636.0,5932.0,5
RC,367,"Drainage of abscess; submaxillary, external ",,,2636.0,5932.0,5
RC,367,Drainage of deep periurethral abscess ,,,5286.0,6680.0,5
RC,367,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,6587.0,6587.0,1
RC,367,Drainage of lymph node abscess or lymphadenitis; extensive ,,,5286.0,6680.0,5
RC,367,Drainage of lymph node abscess or lymphadenitis; simple ,,,4693.0,5932.0,5
RC,367,Drainage of ovarian abscess; abdominal approach ,,,7168.0,9908.0,5
RC,367,"Drainage of ovarian abscess; vaginal approach, open ",,,5381.0,9908.0,5
RC,367,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,5381.0,9908.0,5
RC,367,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,5381.0,9908.0,5
RC,367,Drainage of perineal urinary extravasation; complicated ,,,5381.0,5381.0,1
RC,367,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,5381.0,9908.0,5
RC,367,"Drainage of perirenal or renal abscess, open ",,,5286.0,6680.0,5
RC,367,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,6587.0,6587.0,1
RC,367,Drainage of perivesical or prevesical space abscess ,,,4693.0,5932.0,5
RC,367,"Drainage of retroperitoneal abscess, open ",,,6587.0,6587.0,1
RC,367,Drainage of scrotal wall abscess ,,,4693.0,5932.0,5
RC,367,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,6587.0,6587.0,1
RC,367,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,367,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,367,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,367,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,367,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,367,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,367,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,367,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,367,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,5286.0,6680.0,5
RC,367,Dry pressure mattress ,,,207.18,207.18,3
RC,367,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,367,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,6587.0,6587.0,1
RC,367,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,2636.0,5932.0,5
RC,367,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,2636.0,5932.0,5
RC,367,Duodenal motility (manometric) study ,,,2636.0,5932.0,5
RC,367,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,6587.0,76895.0,5
RC,367,"Dural graft, spinal ",,,6587.0,6587.0,1
RC,367,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,367,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,367,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,367,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,367,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,367,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,367,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,367,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,367,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,367,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,367,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,367,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,367,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,4723.0,4723.0,1
RC,367,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,367,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,367,EMBOLIZATION UTERINE FIBROID ,,,6587.0,6587.0,1
RC,367,ENDO CHOLANGIOPANCREATOGRAPH ,,,6587.0,6587.0,5
RC,367,ESOPH ENDOSCOPY ABLATION ,,,6587.0,6587.0,1
RC,367,ESOPHAGUS ENDOSCOPY ,,,6587.0,6587.0,1
RC,367,EXCISION OF RECTAL LESION ,,,6587.0,6587.0,1
RC,367,EXPLORATION OF EPIDIDYMIS ,,,6587.0,6587.0,1
RC,367,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,6587.0,6587.0,1
RC,367,EXPLORE ORBIT/REMOVE OBJECT ,,,6587.0,6587.0,1
RC,367,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,367,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,367,Ear piercing ,,,6587.0,6587.0,1
RC,367,Ecallantide injection ,,,649.58,649.58,3
RC,367,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,367,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,367,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,367,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,367,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,367,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,367,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,367,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,367,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,367,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,367,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,367,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,367,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,367,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,367,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,367,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,367,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,367,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,367,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,367,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,367,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,367,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,367,"Electric heat pad, moist ",,,110.05,110.05,3
RC,367,"Electric heat pad, standard ",,,43.12,43.12,3
RC,367,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,367,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,367,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,367,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,367,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,367,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,367,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,367,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,367,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,367,Electroejaculation ,,,3293.0,5932.0,5
RC,367,"Electrogastrography, diagnostic, transcutaneous; ",,,2636.0,2636.0,1
RC,367,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,2636.0,2636.0,1
RC,367,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,367,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,367,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,6587.0,6587.0,1
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,2636.0,6680.0,5
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,2636.0,6680.0,6
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,2636.0,6680.0,5
RC,367,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,367,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,367,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,367,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,367,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,367,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,367,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,367,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,367,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,367,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,367,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,367,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,2636.0,2636.0,2
RC,367,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,4723.0,4723.0,1
RC,367,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,2636.0,2636.0,1
RC,367,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,367,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,367,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,367,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,367,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,6587.0,6587.0,1
RC,367,"Elevation of depressed skull fracture; simple, extradural ",,,8024.0,8024.0,1
RC,367,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,6587.0,6587.0,1
RC,367,"Embryo transfer, intrauterine ",,,3293.0,5932.0,5
RC,367,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,367,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,367,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,367,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,367,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,367,Endocervical curettage (not done as part of a dilation and curettage) ,,,3293.0,5932.0,5
RC,367,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,367,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,2636.0,5932.0,5
RC,367,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,2636.0,5932.0,5
RC,367,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,2636.0,2636.0,2
RC,367,Endolymphatic sac operation; with shunt ,,,8024.0,23113.0,5
RC,367,Endolymphatic sac operation; without shunt ,,,8024.0,23113.0,5
RC,367,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,7168.0,7168.0,1
RC,367,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,8024.0,8024.0,1
RC,367,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,2636.0,5932.0,5
RC,367,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,2636.0,5932.0,5
RC,367,Endomyocardial biopsy ,,,5381.0,5381.0,1
RC,367,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,367,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,2636.0,6680.0,5
RC,367,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,7008.0,18490.0,5
RC,367,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,9908.0,4
RC,367,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,6587.0,9908.0,5
RC,367,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,9908.0,4
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,5286.0,6680.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,5381.0,9908.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,5286.0,6680.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,5286.0,6680.0,4
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,5381.0,9908.0,5
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,5286.0,6680.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,5381.0,9908.0,5
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,5286.0,6680.0,5
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,5381.0,9908.0,5
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,5286.0,6680.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,5381.0,9908.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,9908.0,4
RC,367,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,9908.0,4
RC,367,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,9908.0,4
RC,367,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,9908.0,4
RC,367,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7839.0,9908.0,4
RC,367,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,367,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,367,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,367,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,6587.0,6587.0,1
RC,367,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,6587.0,6587.0,1
RC,367,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,7008.0,76895.0,5
RC,367,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,6587.0,6587.0,1
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,6587.0,6587.0,1
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,6587.0,6587.0,1
RC,367,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,6587.0,6587.0,1
RC,367,"Enterectomy, resection of small intestine; with enterostomy ",,,6587.0,6587.0,1
RC,367,"Enterocystoplasty, including intestinal anastomosis ",,,6587.0,6587.0,1
RC,367,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,6587.0,6587.0,1
RC,367,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,6587.0,23113.0,5
RC,367,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,6587.0,6587.0,1
RC,367,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,6587.0,76895.0,5
RC,367,"Enucleation of eye; with implant, muscles attached to implant ",,,7168.0,19415.0,5
RC,367,"Enucleation of eye; with implant, muscles not attached to implant ",,,7168.0,9908.0,5
RC,367,Enucleation of eye; without implant ,,,7168.0,9908.0,5
RC,367,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,367,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,367,Epididymectomy; bilateral ,,,5381.0,19415.0,5
RC,367,Epididymectomy; unilateral ,,,5381.0,9908.0,5
RC,367,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,5381.0,19415.0,5
RC,367,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,5381.0,19415.0,5
RC,367,Epikeratoplasty ,,,5381.0,23113.0,5
RC,367,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,367,"Episiotomy or vaginal repair, by other than attending ",,,5286.0,6680.0,5
RC,367,Eptifibatide injection ,,,4.22,4.22,3
RC,367,Erythropoietin ,,,20.48,20.48,3
RC,367,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,2636.0,2636.0,1
RC,367,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,2636.0,2636.0,1
RC,367,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,2636.0,2636.0,1
RC,367,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,2636.0,5932.0,5
RC,367,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,2636.0,2636.0,1
RC,367,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,5932.0,4
RC,367,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,6587.0,6587.0,1
RC,367,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,6587.0,6587.0,1
RC,367,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,6587.0,6587.0,1
RC,367,Esophagogastric fundoplasty partial or complete; laparotomy ,,,6587.0,6587.0,1
RC,367,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,6587.0,6587.0,1
RC,367,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,6587.0,6587.0,1
RC,367,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,6587.0,6587.0,1
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,4723.0,9908.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,5381.0,9908.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,6587.0,9908.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,4723.0,9908.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,4723.0,9908.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,7168.0,9908.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,7168.0,9908.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,5286.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,4723.0,6680.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,4723.0,9908.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,5286.0,6680.0,5
RC,367,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,6587.0,6587.0,1
RC,367,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,6587.0,6587.0,1
RC,367,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,6587.0,6587.0,1
RC,367,Esophagomyotomy (Heller type); abdominal approach ,,,6587.0,6587.0,1
RC,367,Esophagomyotomy (Heller type); thoracic approach ,,,6587.0,6587.0,1
RC,367,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,367,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,367,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,367,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,367,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,367,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,6587.0,6587.0,1
RC,367,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,5286.0,6680.0,5
RC,367,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,5286.0,7168.0,5
RC,367,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,4693.0,6587.0,5
RC,367,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,5286.0,6680.0,5
RC,367,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,4693.0,5932.0,5
RC,367,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,4723.0,6680.0,5
RC,367,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,4693.0,5932.0,5
RC,367,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,6587.0,6587.0,1
RC,367,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,6587.0,6587.0,1
RC,367,"Esophagotomy, cervical approach, with removal of foreign body ",,,3293.0,3293.0,1
RC,367,"Esophagotomy, thoracic approach, with removal of foreign body ",,,6587.0,6587.0,1
RC,367,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,2636.0,2636.0,1
RC,367,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,2636.0,2636.0,1
RC,367,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,2636.0,2636.0,1
RC,367,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,367,Estradiol; total ,,,30.45,30.45,3
RC,367,Estriol ,,,26.36,26.36,3
RC,367,Estrogens; fractionated ,,,35.21,35.21,3
RC,367,Estrogens; total ,,,23.65,23.65,3
RC,367,Estrone ,,,27.2,27.2,3
RC,367,Ethosuximide ,,,17.81,17.81,3
RC,367,Ethylene glycol ,,,16.24,16.24,3
RC,367,Etiocholanolone ,,,28.6,28.6,3
RC,367,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,367,Euflexxa inj per dose ,,,106.97,106.97,3
RC,367,Euglobulin lysis ,,,9.17,9.17,3
RC,367,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,367,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,367,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,367,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,2636.0,2636.0,1
RC,367,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,367,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,367,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,367,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,367,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,367,Everolimus ,,,14.97,14.97,3
RC,367,Evisceration of ocular contents; with implant ,,,7168.0,9908.0,5
RC,367,Evisceration of ocular contents; without implant ,,,5381.0,9908.0,5
RC,367,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,3293.0,5932.0,5
RC,367,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,5286.0,6680.0,4
RC,367,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,5286.0,7168.0,5
RC,367,Exchange of intraocular lens ,,,5381.0,76895.0,5
RC,367,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,4693.0,5932.0,5
RC,367,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,4693.0,5932.0,4
RC,367,Excimer laser treatment for psoriasis; over 500 sq cm ,,,4693.0,5932.0,4
RC,367,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,4693.0,5932.0,4
RC,367,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,5381.0,9908.0,10
RC,367,Excision aural glomus tumor; extended (extratemporal) ,,,6587.0,6587.0,1
RC,367,Excision aural glomus tumor; transcanal ,,,8024.0,18490.0,5
RC,367,Excision aural glomus tumor; transmastoid ,,,8024.0,23113.0,5
RC,367,Excision aural polyp ,,,4723.0,6680.0,5
RC,367,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,5381.0,9908.0,5
RC,367,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,8024.0,18490.0,5
RC,367,"Excision exostosis(es), external auditory canal ",,,5286.0,6680.0,5
RC,367,Excision external ear; complete amputation ,,,5286.0,6680.0,5
RC,367,"Excision external ear; partial, simple repair ",,,4693.0,5932.0,5
RC,367,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,6587.0,6587.0,1
RC,367,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,6587.0,6587.0,1
RC,367,Excision of Bartholin's gland or cyst ,,,5381.0,9908.0,5
RC,367,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,6587.0,6587.0,1
RC,367,Excision of Mullerian duct cyst ,,,4693.0,5932.0,5
RC,367,Excision of ampulla of Vater ,,,6587.0,6587.0,1
RC,367,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,6587.0,6587.0,1
RC,367,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,6587.0,6587.0,1
RC,367,Excision of bulbourethral gland (Cowper's gland) ,,,5286.0,6680.0,5
RC,367,Excision of carotid body tumor; with excision of carotid artery ,,,6587.0,6587.0,1
RC,367,Excision of carotid body tumor; without excision of carotid artery ,,,6587.0,6587.0,1
RC,367,"Excision of cervical stump, abdominal approach; ",,,6587.0,6587.0,1
RC,367,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,6587.0,6587.0,1
RC,367,"Excision of cervical stump, vaginal approach; ",,,5381.0,9908.0,5
RC,367,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,7168.0,7168.0,1
RC,367,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,8024.0,18490.0,5
RC,367,"Excision of chalazion; multiple, different lids ",,,2636.0,5932.0,5
RC,367,"Excision of chalazion; multiple, same lid ",,,3293.0,5932.0,5
RC,367,Excision of chalazion; single ,,,2636.0,5932.0,5
RC,367,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,5286.0,6680.0,5
RC,367,Excision of choledochal cyst ,,,6587.0,6587.0,1
RC,367,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,5286.0,8024.0,5
RC,367,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,5381.0,19415.0,5
RC,367,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,5381.0,9908.0,5
RC,367,Excision of extraparenchymal lesion of testis ,,,5286.0,6680.0,5
RC,367,"Excision of fibrous tuberosities, dentoalveolar structures ",,,3293.0,5932.0,5
RC,367,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,4693.0,5932.0,5
RC,367,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,7168.0,9908.0,5
RC,367,Excision of hydrocele; bilateral ,,,7168.0,18490.0,5
RC,367,Excision of hydrocele; unilateral ,,,7168.0,9908.0,5
RC,367,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,4693.0,5932.0,5
RC,367,Excision of ileoanal reservoir with ileostomy ,,,6587.0,6587.0,1
RC,367,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,5381.0,9908.0,5
RC,367,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,7168.0,9908.0,5
RC,367,Excision of lacrimal gland tumor; frontal approach ,,,5381.0,9908.0,5
RC,367,Excision of lacrimal gland tumor; involving osteotomy ,,,7168.0,9908.0,5
RC,367,Excision of lacrimal sac (dacryocystectomy) ,,,7168.0,9908.0,5
RC,367,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,3293.0,6680.0,5
RC,367,Excision of lesion of mesentery (separate procedure) ,,,6587.0,6587.0,1
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,5286.0,6680.0,5
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,5286.0,6680.0,5
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,4693.0,5932.0,5
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,4693.0,5932.0,5
RC,367,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,6587.0,6587.0,1
RC,367,Excision of lesion of spermatic cord (separate procedure) ,,,5381.0,19415.0,5
RC,367,Excision of lesion of tongue with closure; anterior two-thirds ,,,4723.0,6680.0,5
RC,367,Excision of lesion of tongue with closure; posterior one-third ,,,4723.0,6680.0,5
RC,367,Excision of lesion of tongue with closure; with local tongue flap ,,,5286.0,6680.0,5
RC,367,Excision of lesion of tongue without closure ,,,4693.0,5932.0,5
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,5286.0,8024.0,5
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,4693.0,5932.0,5
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,4693.0,5932.0,5
RC,367,"Excision of lesion, conjunctiva; over 1 cm ",,,5286.0,6680.0,5
RC,367,"Excision of lesion, conjunctiva; up to 1 cm ",,,5286.0,6680.0,5
RC,367,"Excision of lesion, conjunctiva; with adjacent sclera ",,,5286.0,6680.0,5
RC,367,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,3293.0,5932.0,5
RC,367,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,6587.0,6587.0,1
RC,367,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,6587.0,6587.0,1
RC,367,"Excision of lesion, sclera ",,,5381.0,23113.0,5
RC,367,Excision of lingual frenum (frenectomy) ,,,3293.0,5932.0,5
RC,367,Excision of lip; V-excision with primary direct linear closure ,,,4723.0,6680.0,5
RC,367,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,5286.0,6680.0,5
RC,367,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,5286.0,6680.0,5
RC,367,Excision of lip; transverse wedge excision with primary closure ,,,5286.0,6680.0,5
RC,367,Excision of local lesion of epididymis ,,,5381.0,9908.0,5
RC,367,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,9908.0,4
RC,367,Excision of mucosa of vestibule of mouth as donor graft ,,,2636.0,5932.0,5
RC,367,"Excision of multiple external papillae or tags, anus ",,,4693.0,5932.0,5
RC,367,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,5381.0,9908.0,5
RC,367,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,7168.0,9908.0,5
RC,367,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,5381.0,9908.0,5
RC,367,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,5286.0,6680.0,5
RC,367,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,5381.0,9908.0,5
RC,367,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,2636.0,6680.0,5
RC,367,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,2636.0,6680.0,5
RC,367,"Excision of neuroma; hand or foot, except digital nerve ",,,5381.0,9908.0,5
RC,367,"Excision of neuroma; major peripheral nerve, except sciatic ",,,5381.0,9908.0,5
RC,367,Excision of neuroma; sciatic nerve ,,,7168.0,9908.0,5
RC,367,"Excision of osseous tuberosities, dentoalveolar structures ",,,5286.0,6680.0,5
RC,367,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,8024.0,23113.0,5
RC,367,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,7839.0,9908.0,5
RC,367,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,8024.0,23113.0,5
RC,367,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,8024.0,23113.0,5
RC,367,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,6587.0,6587.0,1
RC,367,Excision of penile plaque (Peyronie disease); ,,,5286.0,8024.0,5
RC,367,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,5286.0,8024.0,5
RC,367,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,5286.0,8024.0,5
RC,367,Excision of perinephric cyst ,,,6587.0,6587.0,1
RC,367,Excision of presacral or sacrococcygeal tumor ,,,6587.0,6587.0,1
RC,367,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,6587.0,6587.0,1
RC,367,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,6587.0,6587.0,1
RC,367,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,5286.0,6680.0,5
RC,367,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,5286.0,6680.0,5
RC,367,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,4693.0,6587.0,5
RC,367,"Excision of single external papilla or tag, anus ",,,4693.0,5932.0,5
RC,367,"Excision of spermatocele, with or without epididymectomy ",,,5381.0,19415.0,5
RC,367,Excision of sublingual gland ,,,5286.0,6680.0,5
RC,367,Excision of sublingual salivary cyst (ranula) ,,,5381.0,9908.0,5
RC,367,Excision of submandibular (submaxillary) gland ,,,7839.0,9908.0,5
RC,367,"Excision of thrombosed hemorrhoid, external ",,,4693.0,5932.0,5
RC,367,Excision of thyroglossal duct cyst or sinus; ,,,8024.0,19415.0,5
RC,367,Excision of thyroglossal duct cyst or sinus; recurrent ,,,8024.0,19415.0,5
RC,367,Excision of tonsil tags ,,,5381.0,9908.0,5
RC,367,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,7168.0,19415.0,5
RC,367,Excision of urethral diverticulum (separate procedure); female ,,,5286.0,7168.0,5
RC,367,Excision of urethral diverticulum (separate procedure); male ,,,5381.0,9908.0,5
RC,367,Excision of vaginal cyst or tumor ,,,5286.0,6680.0,5
RC,367,Excision of vaginal septum ,,,5286.0,6680.0,5
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,5381.0,19415.0,5
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,7168.0,19415.0,5
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,7168.0,18490.0,5
RC,367,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,5381.0,9908.0,5
RC,367,"Excision or destruction of lesion of pharynx, any method ",,,5286.0,6680.0,5
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,6587.0,6587.0,1
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,6587.0,6587.0,1
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,6587.0,6587.0,1
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,6587.0,6587.0,1
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,6587.0,6587.0,1
RC,367,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5381.0,5381.0,1
RC,367,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8024.0,8024.0,1
RC,367,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8024.0,8024.0,1
RC,367,Excision or fulguration of carcinoma of urethra ,,,5286.0,7168.0,5
RC,367,Excision or fulguration; Skene's glands ,,,5286.0,6680.0,5
RC,367,Excision or fulguration; urethral caruncle ,,,5286.0,6680.0,5
RC,367,"Excision or fulguration; urethral polyp(s), distal urethra ",,,5286.0,6680.0,5
RC,367,Excision or fulguration; urethral prolapse ,,,5286.0,6680.0,5
RC,367,Excision or transposition of pterygium; with graft ,,,5381.0,18490.0,5
RC,367,Excision or transposition of pterygium; without graft ,,,5286.0,6680.0,5
RC,367,Excision or unroofing of cyst(s) of kidney ,,,6587.0,6587.0,1
RC,367,"Excision soft tissue lesion, external auditory canal ",,,4723.0,6680.0,5
RC,367,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,6587.0,6587.0,1
RC,367,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,6587.0,6587.0,1
RC,367,"Excision, lesion of floor of mouth ",,,4693.0,5932.0,5
RC,367,"Excision, lesion of palate, uvula; with local flap closure ",,,5286.0,6680.0,5
RC,367,"Excision, lesion of palate, uvula; with simple primary closure ",,,4723.0,6680.0,5
RC,367,"Excision, lesion of palate, uvula; without closure ",,,4723.0,6680.0,5
RC,367,"Excision, local; malignant tumor of stomach ",,,6587.0,6587.0,1
RC,367,"Excision, local; ulcer or benign tumor of stomach ",,,6587.0,6587.0,1
RC,367,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,6587.0,6587.0,1
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,7168.0,18490.0,5
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,7168.0,23113.0,5
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,7168.0,23113.0,5
RC,367,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,367,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,367,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,367,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,367,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,6587.0,6587.0,1
RC,367,Exploration for undescended testis (inguinal or scrotal area) ,,,7168.0,19415.0,5
RC,367,Exploration for undescended testis with abdominal exploration ,,,5381.0,19415.0,5
RC,367,"Exploration of epididymis, with or without biopsy ",,,4693.0,5932.0,5
RC,367,"Exploration of orbit (transcranial approach), with removal of lesion ",,,6587.0,6587.0,1
RC,367,"Exploration, repair, and presacral drainage for rectal injury; ",,,6587.0,6587.0,1
RC,367,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,6587.0,6587.0,1
RC,367,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,6587.0,19415.0,5
RC,367,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,7168.0,19415.0,5
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,4693.0,5932.0,5
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,6587.0,6587.0,1
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,6587.0,6587.0,1
RC,367,"Expression of conjunctival follicles (eg, for trachoma) ",,,2636.0,2636.0,1
RC,367,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,367,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,6587.0,6587.0,1
RC,367,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,6587.0,6587.0,1
RC,367,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,367,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,367,External cannula declotting (separate procedure); with balloon catheter ,,,7839.0,9908.0,4
RC,367,External cannula declotting (separate procedure); without balloon catheter ,,,5286.0,6680.0,4
RC,367,"External cephalic version, with or without tocolysis ",,,5381.0,5381.0,1
RC,367,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,367,"External drainage, pseudocyst of pancreas, open ",,,6587.0,6587.0,1
RC,367,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,367,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,367,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,367,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,367,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,367,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,367,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,367,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,367,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,6587.0,76895.0,5
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,6587.0,76895.0,5
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,5381.0,18490.0,5
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,5381.0,76895.0,15
RC,367,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,4693.0,5932.0,5
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,2636.0,5932.0,5
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,4693.0,6587.0,5
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,4693.0,5932.0,5
RC,367,Extremity belt/harness ,,,58.52,58.52,3
RC,367,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,367,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,367,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,367,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,367,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,367,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,4723.0,4723.0,1
RC,367,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,367,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,367,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,367,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,367,FOCUS RADIATION BEAM ,,,6587.0,6587.0,1
RC,367,FUSE PANCREAS AND BOWEL ,,,6587.0,6587.0,1
RC,367,FUSION OF BILE DUCT CYST ,,,6587.0,6587.0,2
RC,367,FUSION OF FACIAL/OTHER NERVE ,,,6587.0,6587.0,1
RC,367,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,367,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,367,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,367,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,367,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,367,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,367,Face tent ,,,2.8,2.8,3
RC,367,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,367,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,367,Factor IX non-recombinant ,,,1.53,1.53,3
RC,367,Factor inhibitor test ,,,14.03,14.03,3
RC,367,Factor ix complex ,,,1.9,1.9,3
RC,367,Factor ix idelvion inj ,,,6.0,6.0,3
RC,367,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,367,Factor ix recombinant nos ,,,2.03,2.03,3
RC,367,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,367,Factor viii ,,,1.36,1.36,3
RC,367,Factor viii recombinant ,,,1.72,1.72,3
RC,367,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,367,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,367,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,367,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,367,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,367,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,367,Felbamate ,,,20.32,20.32,3
RC,367,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,367,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,367,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,367,Fern test ,,,10.62,10.62,3
RC,367,Ferritin ,,,14.86,14.86,3
RC,367,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,367,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,367,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,367,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,367,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,367,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,367,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,367,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,367,Fetal contraction stress test ,,,2636.0,2636.0,1
RC,367,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,367,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,2636.0,5932.0,5
RC,367,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,367,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,367,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,367,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,367,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,6587.0,6587.0,1
RC,367,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,2636.0,2636.0,1
RC,367,Fetal non-stress test ,,,2636.0,2636.0,1
RC,367,Fetal scalp blood sampling ,,,2636.0,2636.0,1
RC,367,"Fetal shunt placement, including ultrasound guidance ",,,2636.0,5932.0,5
RC,367,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,2636.0,5932.0,5
RC,367,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,367,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,367,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,367,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,367,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,367,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,367,Fibrinogen; activity ,,,10.59,10.59,3
RC,367,Fibrinogen; antigen ,,,15.76,15.76,3
RC,367,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,367,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,367,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,367,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,367,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,367,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,367,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,367,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,367,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,367,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,367,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,367,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,367,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,367,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,367,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,367,Fimbrioplasty ,,,7168.0,18490.0,5
RC,367,Fine needle aspiration of orbital contents ,,,4693.0,5932.0,5
RC,367,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,367,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,367,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,367,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,367,"Finger splint, static ",,,2.92,2.92,3
RC,367,"Fissurectomy, including sphincterotomy, when performed ",,,5286.0,6680.0,5
RC,367,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,5286.0,6680.0,5
RC,367,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,5381.0,19415.0,5
RC,367,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,6587.0,19415.0,5
RC,367,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,6587.0,19415.0,5
RC,367,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,5381.0,19415.0,5
RC,367,Fitting and insertion of pessary or other intravaginal support device ,,,2636.0,2636.0,1
RC,367,Fixation of contralateral testis (separate procedure) ,,,5381.0,9908.0,5
RC,367,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,367,Flebogamma injection ,,,98.91,98.91,3
RC,367,Flecainide ,,,20.32,20.32,3
RC,367,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,367,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,367,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,367,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,367,Flortaucipir inj 1 millicu ,,,404.39,404.39,3
RC,367,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,367,Floxuridine injection ,,,4792.18,4792.18,3
RC,367,Fluciclovine f-18 ,,,351.27,351.27,3
RC,367,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,367,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,367,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,367,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,367,Fluoride ,,,20.21,20.21,3
RC,367,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,367,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,367,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,367,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,367,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,367,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,367,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,367,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,367,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5381.0,5381.0,1
RC,367,Folic acid; RBC ,,,19.24,19.24,3
RC,367,Folic acid; serum ,,,16.02,16.02,3
RC,367,"Follicle puncture for oocyte retrieval, any method ",,,3293.0,5932.0,5
RC,367,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,367,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,367,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,367,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,367,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,367,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,367,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,367,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,367,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,367,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,367,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,367,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,367,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,367,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,367,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,367,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,367,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,367,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,367,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,367,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,367,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,367,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,367,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,367,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,367,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,367,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,367,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,367,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,367,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,367,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,367,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,367,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,367,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,2636.0,5932.0,5
RC,367,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,367,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,367,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,367,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,367,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,367,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,367,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,367,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,367,"Frames, purchases ",,,89.85,89.85,3
RC,367,Free jejunum transfer with microvascular anastomosis ,,,6587.0,6587.0,1
RC,367,Free omental flap with microvascular anastomosis ,,,6587.0,6587.0,1
RC,367,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,5286.0,8024.0,5
RC,367,Frenulotomy of penis ,,,5286.0,6680.0,5
RC,367,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,367,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,367,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,367,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,367,"Fructose, semen ",,,18.9,18.9,3
RC,367,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,367,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,367,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,367,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,367,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,367,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,367,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,367,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,367,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,367,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,367,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,367,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,367,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,367,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,367,GLAUCOMA SURGERY ,,,6587.0,6587.0,1
RC,367,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,367,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,367,"Galactokinase, RBC ",,,23.41,23.41,3
RC,367,Galactose ,,,12.21,12.21,3
RC,367,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,367,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,367,Galectin-3 ,,,48.23,48.23,3
RC,367,Gallium ga-68 ,,,54.1,54.1,3
RC,367,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,367,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,367,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,367,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,367,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,367,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,367,Galsulfase injection ,,,573.3,573.3,3
RC,367,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,2636.0,5932.0,5
RC,367,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,367,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,367,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,367,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,367,Gammaplex IVIG ,,,72.24,72.24,3
RC,367,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,367,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,367,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,367,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,367,"Gases, blood, pH only ",,,11.99,11.99,3
RC,367,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,367,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,6587.0,6587.0,1
RC,367,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,6587.0,6587.0,1
RC,367,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,6587.0,6587.0,1
RC,367,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,6587.0,6587.0,1
RC,367,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,6587.0,6587.0,1
RC,367,"Gastrectomy, total; with esophagoenterostomy ",,,6587.0,6587.0,1
RC,367,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,6587.0,6587.0,1
RC,367,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,367,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,2636.0,5932.0,5
RC,367,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,2636.0,5932.0,5
RC,367,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,2636.0,5932.0,5
RC,367,Gastric motility (manometric) studies ,,,2636.0,5932.0,5
RC,367,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,9908.0,4
RC,367,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,5286.0,7168.0,5
RC,367,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,4693.0,5932.0,5
RC,367,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,4693.0,7168.0,5
RC,367,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,7839.0,9908.0,4
RC,367,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,6587.0,6587.0,1
RC,367,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,367,Gastrin ,,,19.22,19.22,3
RC,367,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,367,Gastroduodenostomy ,,,6587.0,6587.0,1
RC,367,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,6587.0,6587.0,1
RC,367,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,6587.0,6587.0,1
RC,367,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,4723.0,4723.0,1
RC,367,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,4723.0,4723.0,1
RC,367,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,4723.0,4723.0,1
RC,367,"Gastrojejunostomy; with vagotomy, any type ",,,6587.0,6587.0,1
RC,367,Gastrojejunostomy; without vagotomy ,,,6587.0,6587.0,1
RC,367,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,6587.0,6587.0,1
RC,367,"Gastrostomy, open; neonatal, for feeding ",,,4723.0,4723.0,1
RC,367,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,6587.0,6587.0,1
RC,367,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,5381.0,5381.0,1
RC,367,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,4723.0,4723.0,1
RC,367,Gastrotomy; with exploration or foreign body removal ,,,6587.0,6587.0,1
RC,367,Gastrotomy; with suture repair of bleeding ulcer ,,,6587.0,6587.0,1
RC,367,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,6587.0,6587.0,1
RC,367,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,367,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,367,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,367,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,367,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,367,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,367,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,367,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,367,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,367,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,367,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,367,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,367,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,367,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,367,Gel pressure mattress ,,,42.62,42.62,3
RC,367,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,367,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,367,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,367,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,367,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,367,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,367,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,367,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,367,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,367,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,367,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,367,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,367,Gentamicin ,,,17.85,17.85,3
RC,367,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,367,"Gingivectomy, excision gingiva, each quadrant ",,,4693.0,5932.0,5
RC,367,"Gingivoplasty, each quadrant (specify) ",,,8024.0,8024.0,1
RC,367,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,367,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,6587.0,6587.0,1
RC,367,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,6587.0,6587.0,1
RC,367,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,6587.0,6587.0,1
RC,367,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,6587.0,6587.0,1
RC,367,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,6587.0,6587.0,1
RC,367,Glossectomy; hemiglossectomy ,,,6587.0,6587.0,1
RC,367,Glossectomy; less than one-half tongue ,,,8024.0,18490.0,5
RC,367,"Glossectomy; partial, with unilateral radical neck dissection ",,,6587.0,6587.0,1
RC,367,Glucagon ,,,15.58,15.58,3
RC,367,Glucagon hydrochloride ,,,127.89,127.89,3
RC,367,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,367,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,367,Glucagon tolerance test ,,,19.37,19.37,3
RC,367,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,367,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,367,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,367,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,367,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,367,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,367,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,367,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,367,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,367,"Glucosidase, beta ",,,23.41,23.41,3
RC,367,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,367,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,367,Glutathione ,,,16.84,16.84,3
RC,367,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,367,Glycated protein ,,,18.27,18.27,3
RC,367,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,367,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,367,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,367,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,367,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,367,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,367,Goniotomy ,,,4693.0,5932.0,5
RC,367,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,367,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,367,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,367,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,367,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,367,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,367,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,367,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,367,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,367,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,367,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,367,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,367,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,367,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,367,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,367,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,367,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,367,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,367,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,367,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,367,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,367,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,367,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,367,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,367,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,367,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,367,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,367,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,367,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,367,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,367,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,367,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,367,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,367,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,367,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,367,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,367,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,367,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,367,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,367,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,367,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,367,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,367,"Gradient compression glove, each ",,,79.56,79.56,3
RC,367,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,367,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,367,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,367,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,367,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,367,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,367,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,367,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,367,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,367,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,367,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,367,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,367,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,367,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,367,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,367,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,367,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,367,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,367,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,367,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,367,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,367,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,367,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,367,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,367,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,367,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,367,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,367,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,367,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,367,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,367,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,367,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,5381.0,9908.0,5
RC,367,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,367,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,367,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,367,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,367,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,367,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,367,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,367,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,367,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,367,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,367,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,367,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,367,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,367,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,367,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,367,HCT/P Skin Substitute Prod ,,,136.26,136.26,3
RC,367,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,367,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,367,HFenestration semicircular canal ,,,8024.0,8024.0,1
RC,367,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,367,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,367,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,367,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,367,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,367,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,367,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,367,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,367,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,367,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,367,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,367,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,367,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,367,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,367,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,367,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,367,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,367,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,367,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,367,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5381.0,5381.0,1
RC,367,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,8024.0,1
RC,367,HRevision fenestration operation ,,,8024.0,8024.0,1
RC,367,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,367,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,367,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,367,Hallux implant ,,,388.42,388.42,3
RC,367,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,367,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,367,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,367,Haloperidol ,,,17.2,17.2,3
RC,367,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,367,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,367,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,367,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,367,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,367,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,367,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,367,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,367,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,367,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,367,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,367,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,367,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,367,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,367,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,367,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,367,"Harvesting conjunctival allograft, living donor ",,,5286.0,6680.0,5
RC,367,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,367,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,367,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,367,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,367,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,367,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,367,Heavy duty wheelchair ,,,83.68,83.68,3
RC,367,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,367,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,367,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,367,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,367,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,367,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,367,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,367,Heel wedge ,,,30.8,30.8,3
RC,367,"Heel wedge, sach ",,,114.72,114.72,3
RC,367,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,367,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,367,"Heel, new leather, standard ",,,54.84,54.84,3
RC,367,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,367,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,367,"Heel, sach cushion type ",,,142.14,142.14,3
RC,367,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,367,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,367,Heinz bodies; direct ,,,4.58,4.58,3
RC,367,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,367,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,367,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,367,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,367,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,367,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,367,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,367,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,367,Hematopoietic progenitor cell (HPC); HPC boost ,,,4693.0,5932.0,5
RC,367,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,7168.0,18490.0,5
RC,367,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,7168.0,18490.0,5
RC,367,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,367,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,367,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,367,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,367,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,367,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,367,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,367,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,367,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,367,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,367,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,367,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,367,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,367,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,367,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,367,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,367,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,367,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,367,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,367,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,367,Hemoglobin; plasma ,,,7.97,7.97,3
RC,367,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,367,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,367,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,367,Hemoglobin; urine ,,,4.31,4.31,3
RC,367,"Hemolysin, acid ",,,9.67,9.67,3
RC,367,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,367,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,367,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,5381.0,9908.0,5
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,5381.0,9908.0,5
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,5381.0,19415.0,5
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,5381.0,19415.0,5
RC,367,"Hemorrhoidectomy, internal and external, single column/group; ",,,5381.0,9908.0,5
RC,367,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,5381.0,9908.0,5
RC,367,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,5381.0,9908.0,5
RC,367,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,5286.0,6680.0,5
RC,367,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,5286.0,6680.0,5
RC,367,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,3293.0,5932.0,5
RC,367,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,5286.0,6680.0,5
RC,367,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,7168.0,23113.0,5
RC,367,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,367,Hepagam b im injection ,,,71.51,71.51,3
RC,367,Heparin assay ,,,14.27,14.27,3
RC,367,Heparin neutralization ,,,12.91,12.91,3
RC,367,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,367,"Hepatectomy, resection of liver; partial lobectomy ",,,6587.0,6587.0,1
RC,367,"Hepatectomy, resection of liver; total left lobectomy ",,,6587.0,6587.0,1
RC,367,"Hepatectomy, resection of liver; total right lobectomy ",,,6587.0,6587.0,1
RC,367,"Hepatectomy, resection of liver; trisegmentectomy ",,,6587.0,6587.0,1
RC,367,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,367,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,6587.0,6587.0,1
RC,367,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,367,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,367,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,367,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,367,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,367,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,367,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,367,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,367,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,367,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,367,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,367,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,367,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,367,Hepatitis C antibody; ,,,15.55,15.55,3
RC,367,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,367,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,367,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,367,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,6587.0,6587.0,1
RC,367,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,367,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,367,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,367,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,367,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,367,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,367,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,367,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,367,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,367,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,367,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,367,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,367,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,367,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,367,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,367,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,367,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,367,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,367,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,367,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,367,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,367,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,367,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,367,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,367,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,367,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,367,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,367,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,367,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,367,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,367,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,367,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,367,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,367,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,367,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,367,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,367,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,367,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,367,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,367,Histamine ,,,32.19,32.19,3
RC,367,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,19415.0,4
RC,367,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,367,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,367,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,367,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,367,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,367,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,367,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,367,Home blood glucose monitor ,,,103.8,103.8,3
RC,367,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,367,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,367,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,367,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,367,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,367,Homocysteine ,,,19.53,19.53,3
RC,367,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,367,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,367,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,367,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,367,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,367,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,367,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,367,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,367,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,367,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,367,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,367,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,367,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,367,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,367,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,367,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,367,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,367,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,367,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,367,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,367,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,367,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,367,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,367,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,367,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,367,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,367,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,367,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,367,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,367,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,367,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,367,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,367,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,367,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,367,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,367,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,367,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,367,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,367,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,367,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,367,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,367,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,367,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,367,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,367,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,367,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,367,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,367,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,367,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,367,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,367,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,367,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,367,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,367,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,367,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,367,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,367,Hydroxychloroquine ,,,20.32,20.32,3
RC,367,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,367,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,367,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,367,Hydroxyproline; free ,,,24.69,24.69,3
RC,367,Hydroxyproline; total ,,,26.49,26.49,3
RC,367,"Hymenotomy, simple incision ",,,4693.0,5932.0,5
RC,367,Hyperbaric Oxygen ,,,150.68,150.68,3
RC,367,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,6587.0,6587.0,1
RC,367,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,6587.0,23113.0,5
RC,367,Hysterorrhaphy of ruptured uterus ,,,6587.0,6587.0,1
RC,367,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,6587.0,18490.0,5
RC,367,"Hysteroscopy, diagnostic (separate procedure) ",,,5381.0,5381.0,1
RC,367,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,8024.0,8024.0,1
RC,367,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,7168.0,7168.0,1
RC,367,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,7168.0,7168.0,1
RC,367,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,5381.0,5381.0,1
RC,367,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,5381.0,5381.0,1
RC,367,"Hysteroscopy, surgical; with removal of leiomyomata ",,,7168.0,7168.0,1
RC,367,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,5381.0,5381.0,1
RC,367,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,5381.0,5381.0,1
RC,367,Hystscp IU ADHESIO ,,,6587.0,6587.0,1
RC,367,Hystscp div IU septum ,,,6587.0,6587.0,1
RC,367,Hystscp impacted FB rmvl ,,,6587.0,6587.0,1
RC,367,Hystscp rmvl leiomyomata ,,,6587.0,6587.0,1
RC,367,Hystscp w Bx/polypectomy ,,,6587.0,6587.0,1
RC,367,Hystscp w endomet ablat ,,,6587.0,6587.0,1
RC,367,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,367,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,367,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,367,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,367,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,367,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,367,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,367,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,367,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,367,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,367,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,367,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,367,ILEOSCOPY W/STENT ,,,6587.0,6587.0,1
RC,367,IMPLANT NEUROELECTRODES ,,,6587.0,6587.0,4
RC,367,"IMPLANT NEUROSTIMUL, SUBCORT ",,,6587.0,6587.0,1
RC,367,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2636.0,2636.0,1
RC,367,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,7008.0,1
RC,367,INCISE INNER EAR ,,,6587.0,6587.0,1
RC,367,INCISE SKULL FOR SURGERY ,,,6587.0,6587.0,3
RC,367,INCISION OF HYMEN ,,,6587.0,6587.0,1
RC,367,INCISION OF PELVIS NERVE ,,,6587.0,6587.0,1
RC,367,INCISION OF VAGUS NERVE ,,,6587.0,6587.0,1
RC,367,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,367,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,367,INFLATE MIDDLE EAR CANAL ,,,6587.0,6587.0,2
RC,367,INJ PARAVERTEBRAL C/T ,,,6587.0,6587.0,1
RC,367,INJ PARAVERTEBRAL C/T ADD-ON ,,,6587.0,6587.0,1
RC,367,INJ PARAVERTEBRAL L/S ,,,6587.0,6587.0,1
RC,367,INJ PARAVERTEBRAL L/S ADD-ON ,,,6587.0,6587.0,1
RC,367,INJECT SPINE CERV/THORACIC ,,,3293.0,3293.0,1
RC,367,INJECT SPINE LUMBAR/SACRAL ,,,3293.0,3293.0,1
RC,367,INJECT SPINE W/CATH CRV/THRC ,,,3293.0,3293.0,1
RC,367,INJECT SPINE W/CATH LMB/SCRL ,,,3293.0,3293.0,1
RC,367,INJECTION FOR KIDNEY X-RAY ,,,6587.0,6587.0,1
RC,367,INJECTION FOR LIVER X-RAYS ,,,6587.0,6587.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,367,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,3293.0,3293.0,1
RC,367,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2636.0,2636.0,1
RC,367,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,2636.0,2636.0,1
RC,367,"INSERT ABDOM DRAIN, TEMP ",,,6587.0,6587.0,1
RC,367,INSERT BILE DUCT DRAIN ,,,6587.0,6587.0,1
RC,367,INSERT CATHETER BILE DUCT ,,,6587.0,6587.0,1
RC,367,INSERT KIDNEY DRAIN ,,,6587.0,6587.0,1
RC,367,INSERT URETERAL TUBE ,,,6587.0,6587.0,1
RC,367,INSET MIDDLE EAR (BAFFLE) ,,,6587.0,6587.0,1
RC,367,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5381.0,5381.0,1
RC,367,IV US EACH ADD VESSEL ADD-ON ,,,6587.0,6587.0,1
RC,367,IV US FIRST VESSEL ADD-ON ,,,6587.0,6587.0,1
RC,367,Ibuprofen injection ,,,3.54,3.54,3
RC,367,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,367,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,367,Idursulfase injection ,,,621.35,621.35,3
RC,367,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,4723.0,6680.0,5
RC,367,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,4693.0,5932.0,5
RC,367,"Ileostomy or jejunostomy, non-tube ",,,6587.0,6587.0,1
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,4723.0,6680.0,5
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,4723.0,9908.0,5
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,4723.0,6680.0,5
RC,367,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,8024.0,8024.0,1
RC,367,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7168.0,7168.0,1
RC,367,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,6587.0,6587.0,1
RC,367,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,367,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,367,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,367,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,367,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,367,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,367,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,367,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,367,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,367,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,367,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,367,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,367,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,367,Immune complex assay ,,,26.56,26.56,3
RC,367,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,367,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,367,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,367,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,367,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,367,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,367,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,367,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,367,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,367,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,367,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,367,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,367,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,367,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,367,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,367,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,367,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,367,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,367,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,367,Impl cereb subcort elec ,,,6587.0,6587.0,1
RC,367,Impl subcort electrodes ,,,6587.0,6587.0,1
RC,367,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,367,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,367,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,367,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,367,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,367,Implantation Wireless PA P ,,,31407.33,31407.33,3
RC,367,Implantation of Drug Infus ,,,19735.53,19735.53,3
RC,367,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,367,Implantation of intrastromal corneal ring segments ,,,8024.0,19415.0,5
RC,367,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,8024.0,19415.0,5
RC,367,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,6587.0,18490.0,5
RC,367,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,19415.0,4
RC,367,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,2636.0,6680.0,5
RC,367,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,5286.0,7668.0,5
RC,367,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,5286.0,7668.0,5
RC,367,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,5286.0,8024.0,5
RC,367,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,7839.0,9908.0,5
RC,367,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,6587.0,6587.0,1
RC,367,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,6587.0,33769.0,5
RC,367,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,6587.0,33769.0,5
RC,367,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,7008.0,33769.0,5
RC,367,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,5286.0,8024.0,5
RC,367,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,5286.0,8024.0,5
RC,367,In111 capromab ,,,1886.02,1886.02,3
RC,367,In111 oxyquinoline ,,,906.29,906.29,3
RC,367,In111 pentetate ,,,812.73,812.73,3
RC,367,Incision and drainage abscess; peritonsillar ,,,2636.0,5932.0,5
RC,367,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,5286.0,8024.0,5
RC,367,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,4693.0,5932.0,5
RC,367,Incision and drainage of Bartholin's gland abscess ,,,2636.0,5932.0,5
RC,367,"Incision and drainage of appendiceal abscess, open ",,,6587.0,6587.0,1
RC,367,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,4723.0,6680.0,5
RC,367,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,5286.0,6680.0,5
RC,367,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,5286.0,6680.0,5
RC,367,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,4723.0,9908.0,5
RC,367,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,4723.0,6680.0,5
RC,367,"Incision and drainage of penis, deep ",,,5381.0,19415.0,5
RC,367,"Incision and drainage of submucosal abscess, rectum ",,,4723.0,6680.0,5
RC,367,"Incision and drainage of thyroglossal duct cyst, infected ",,,3293.0,5932.0,5
RC,367,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,4693.0,5932.0,5
RC,367,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,4723.0,6680.0,5
RC,367,Incision and drainage of vulva or perineal abscess ,,,2636.0,6680.0,5
RC,367,"Incision and drainage, perianal abscess, superficial ",,,3293.0,5932.0,5
RC,367,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,367,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,4693.0,6587.0,5
RC,367,"Incision of conjunctiva, drainage of cyst ",,,3293.0,6680.0,5
RC,367,Incision of labial frenum (frenotomy) ,,,2636.0,5932.0,5
RC,367,Incision of lingual frenum (frenotomy) ,,,3293.0,5932.0,5
RC,367,"Incision of thrombosed hemorrhoid, external ",,,2636.0,5932.0,5
RC,367,"Incision, anal septum (infant) ",,,4693.0,5932.0,5
RC,367,"Incision, drainage of lacrimal gland ",,,3293.0,5932.0,5
RC,367,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,3293.0,5932.0,5
RC,367,Incisional biopsy of eyelid skin including lid margin ,,,2636.0,5932.0,5
RC,367,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,367,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,367,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,367,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,367,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,5286.0,6680.0,5
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,5286.0,6680.0,5
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,5286.0,6680.0,5
RC,367,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,6587.0,6587.0,1
RC,367,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,5286.0,6680.0,10
RC,367,"Induced abortion, by dilation and curettage ",,,5381.0,18490.0,5
RC,367,"Induced abortion, by dilation and evacuation ",,,5381.0,18490.0,5
RC,367,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,367,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,367,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,367,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,367,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,367,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,367,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,367,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,367,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,367,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,367,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,367,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,367,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,367,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,367,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,367,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,367,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,367,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,367,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,367,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,367,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,367,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,367,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,367,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,367,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,367,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,367,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,367,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,367,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,367,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,367,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,367,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,367,Infliximab ,,,42.04,42.04,3
RC,367,Infliximab not biosimil 10 ,,,34.31,34.31,3
RC,367,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,367,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,367,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,367,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,367,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,367,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,367,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,367,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,6587.0,6587.0,1
RC,367,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,6587.0,6587.0,1
RC,367,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,367,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,367,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,367,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,367,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,5286.0,6680.0,5
RC,367,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,367,Inhibin A ,,,16.99,16.99,3
RC,367,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,14630.0,18490.0,4
RC,367,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,2636.0,2636.0,1
RC,367,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,367,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,367,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,367,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,367,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,367,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,367,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,367,Inj avacincaptad pegol 0.1 ,,,112.49,112.49,3
RC,367,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,367,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,367,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,367,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,367,"Inj brixadi, more than 7 d ",,,1877.31,1877.31,3
RC,367,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,367,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,367,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,367,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,367,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,367,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,367,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,367,Inj cyclophos dr reddys 5 ,,,0.54,0.54,3
RC,367,Inj cyclophos frindovyx 5 ,,,9.72,9.72,3
RC,367,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,367,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,367,Inj daxibotulinumtoxina-la ,,,3.34,3.34,3
RC,367,Inj delandistrogene mox ro ,,,3615417.73,3615417.73,3
RC,367,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,367,Inj efgart-alfa 2mg hya-qv ,,,37.34,37.34,3
RC,367,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,367,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,367,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,367,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,367,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,367,Inj estrogen conjugate ,,,437.64,437.64,3
RC,367,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,367,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,367,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,367,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,367,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,367,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,367,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,367,"Inj glofitamab gxbm, 2.5 m ",,,3122.5,3122.5,3
RC,367,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,367,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,367,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,367,Inj hydroxocobalamin iv 25 ,,,5.93,5.93,3
RC,367,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,367,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,367,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,367,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,367,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,367,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,367,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,367,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,367,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,367,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,367,Inj melphalan (hepzato) 1 ,,,873.61,873.61,3
RC,367,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,367,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,367,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,367,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,367,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,367,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,367,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,367,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,367,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,367,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,367,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,367,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,367,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,367,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,367,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,367,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,367,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,367,Inj recombin esperoct per ,,,2.5,2.5,3
RC,367,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,367,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,367,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,367,Inj roctavian ml 2x10^13vc ,,,13683.54,13683.54,3
RC,367,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,367,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,367,Inj rozanolixizum-noli 1 m ,,,25.71,25.71,3
RC,367,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,367,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,367,Inj secukinumab intrav 1mg ,,,19.87,19.87,3
RC,367,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,367,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,367,Inj talquetamab-tgvs 0.25 ,,,83.63,83.63,3
RC,367,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,367,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,367,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,367,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,367,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,367,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,367,Inj travoprost intra impl ,,,214.45,214.45,3
RC,367,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,367,Inj truxima 10 mg ,,,37.67,37.67,3
RC,367,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,367,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,367,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,367,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,367,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,367,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,367,Inj velmanase alfa-tycv 1 ,,,522.32,522.32,3
RC,367,Inj xipere 1 mg ,,,52.07,52.07,3
RC,367,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,367,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,367,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,367,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,367,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,367,"Inj, adzynma, 10 iu ",,,39.47,39.47,3
RC,367,"Inj, aflibercept hd, 1 mg ",,,325.56,325.56,3
RC,367,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,367,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,367,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,367,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,367,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,367,"Inj, artesunate, 1mg ",,,56.49,56.49,3
RC,367,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,367,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,367,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,367,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,367,"Inj, betibeglogene autotem ",,,3193983.4,3193983.4,3
RC,367,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,367,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,367,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,367,"Inj, brixadi, 7 days or le ",,,469.33,469.33,3
RC,367,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,367,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,367,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,367,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,367,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,367,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,367,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,367,"Inj, cipaglucosidase, 5 mg ",,,104.97,104.97,3
RC,367,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,367,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,367,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,367,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,367,"Inj, cyclophosphamide, nos ",,,0.63,0.63,3
RC,367,"Inj, denosumab ",,,32.81,32.81,3
RC,367,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,367,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,367,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,367,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,367,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,367,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,367,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,367,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,367,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,367,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,367,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,367,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,367,"Inj, elranatamab-bcmm, 1 m ",,,209.81,209.81,3
RC,367,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,367,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,367,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,367,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,367,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,367,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,367,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,367,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,367,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,367,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,367,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,367,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,367,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,367,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,367,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,367,"Inj, human-lans, per i.u ",,,1.89,1.89,3
RC,367,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,367,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,367,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,367,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,367,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,367,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,367,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,367,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,367,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,367,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,367,"Inj, levothyroxine, freska ",,,7.45,7.45,3
RC,367,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,367,"Inj, lovotibeglogene autot ",,,3526481.36,3526481.36,3
RC,367,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,367,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,367,"Inj, mirikizumab-mrkz, 1 m ",,,35.6,35.6,3
RC,367,"Inj, motixafortide, 0.25 m ",,,28.86,28.86,3
RC,367,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,367,"Inj, nithiodote, 3mg / 125 ",,,2.36,2.36,3
RC,367,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,367,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,367,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,367,"Inj, nyvepria ",,,149.23,149.23,3
RC,367,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,367,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,367,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,367,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,367,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,367,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,367,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,367,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,367,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,367,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,367,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,367,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,367,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,367,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,367,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,367,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,367,"Inj, rykindo, 0.5 mg ",,,14.2,14.2,3
RC,367,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,367,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,367,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,367,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,367,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,367,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,367,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,367,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,367,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,367,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,367,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,367,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,367,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,367,"Inj, toripalimab-tpzi, 1 m ",,,44.57,44.57,3
RC,367,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,367,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,367,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,367,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,367,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,367,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,367,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,367,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,367,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,367,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,367,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,367,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,367,"Inj, zolbetuximab-clzb, 2 ",,,36.98,36.98,3
RC,367,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,367,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,367,Inj. asceniv ,,,554.96,554.96,3
RC,367,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,367,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,367,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,367,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,367,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,367,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,367,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,367,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,367,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,367,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,367,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,367,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,367,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,367,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,367,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,367,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,367,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,367,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,367,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,367,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,367,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,367,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,367,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,367,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,367,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,367,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,367,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,367,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,367,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,367,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,367,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,367,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,367,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,367,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,367,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,367,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,367,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,367,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,367,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,367,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,367,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,367,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,367,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,367,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,367,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,367,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,367,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,367,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,367,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,367,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,367,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,367,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,367,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,367,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,367,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,367,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,367,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,367,Inject anes 1 L facet N ,,,6587.0,6587.0,1
RC,367,Inject anes 1 paravert N ,,,6587.0,6587.0,1
RC,367,Inject anes >1 paravert ,,,6587.0,6587.0,1
RC,367,Inject anes L facet-ADDL ,,,6587.0,6587.0,1
RC,367,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,367,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,367,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,367,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,367,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,367,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,2636.0,5932.0,5
RC,367,Injection of contrast medium for dacryocystography ,,,2636.0,5932.0,5
RC,367,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,2636.0,2636.0,1
RC,367,Injection of medication or other substance into Tenon's capsule ,,,2636.0,5932.0,5
RC,367,"Injection of sclerosing solution, hemorrhoids ",,,3293.0,3293.0,1
RC,367,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,4693.0,5932.0,5
RC,367,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,2636.0,5932.0,5
RC,367,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,2636.0,2636.0,1
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,2636.0,2636.0,1
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,2636.0,2636.0,1
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,2636.0,2636.0,1
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,2636.0,2636.0,1
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,2636.0,2636.0,1
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,2636.0,2636.0,1
RC,367,Injection procedure for Peyronie disease; ,,,2636.0,2636.0,1
RC,367,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,7168.0,19415.0,5
RC,367,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,3293.0,5932.0,10
RC,367,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,5286.0,6680.0,5
RC,367,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,2636.0,7168.0,10
RC,367,Injection procedure for corpora cavernosography ,,,2636.0,5932.0,5
RC,367,Injection procedure for cystography or voiding urethrocystography ,,,2636.0,2636.0,1
RC,367,"Injection procedure for discography, each level; cervical or thoracic ",,,2636.0,5932.0,5
RC,367,"Injection procedure for discography, each level; lumbar ",,,2636.0,5932.0,5
RC,367,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,367,"Injection procedure for myelography and/or computed tomography, lumbar ",,,2636.0,5932.0,5
RC,367,Injection procedure for retrograde urethrocystography ,,,2636.0,2636.0,1
RC,367,Injection procedure for sacroiliac joint; arthrography ,,,2636.0,5932.0,5
RC,367,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,3293.0,5932.0,5
RC,367,Injection procedure for sialography ,,,2636.0,5932.0,5
RC,367,Injection procedure for splenoportography ,,,2636.0,5932.0,5
RC,367,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,2636.0,5932.0,5
RC,367,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,2636.0,5932.0,5
RC,367,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,3293.0,9908.0,5
RC,367,Injection procedure; lymphangiography ,,,2636.0,5932.0,5
RC,367,Injection procedure; radioactive tracer for identification of sentinel node ,,,2636.0,5932.0,5
RC,367,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,5381.0,5381.0,1
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,3293.0,3293.0,1
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,4693.0,6587.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,2636.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,3293.0,3293.0,1
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,2636.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,2636.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,3293.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,2636.0,5932.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,2636.0,5932.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,2636.0,5932.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,3293.0,5932.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,2636.0,5932.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,2636.0,5932.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,3293.0,5932.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,2636.0,5932.0,5
RC,367,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,3293.0,5932.0,20
RC,367,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,3293.0,5932.0,20
RC,367,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,367,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,3293.0,5932.0,5
RC,367,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,3293.0,5932.0,5
RC,367,"Injection, anesthetic agent; sphenopalatine ganglion ",,,2636.0,5932.0,5
RC,367,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,3293.0,5932.0,5
RC,367,"Injection, anesthetic agent; superior hypogastric plexus ",,,5286.0,6680.0,5
RC,367,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,4693.0,5932.0,5
RC,367,"Injection, anterior chamber of eye (separate procedure); medication ",,,4693.0,5932.0,5
RC,367,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,367,"Injection, blinatumomab ",,,188.46,188.46,3
RC,367,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,367,"Injection, cangrelor ",,,22.1,22.1,3
RC,367,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,367,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,367,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,367,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,367,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,367,"Injection, epidural, of blood or clot patch ",,,3293.0,5932.0,5
RC,367,"Injection, fulphila ",,,73.06,73.06,3
RC,367,"Injection, glucarpidase ",,,489.52,489.52,3
RC,367,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,367,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,367,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,367,"Injection, ixabepilone ",,,152.33,152.33,3
RC,367,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,367,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,367,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,367,"Injection, nivolumab ",,,37.3,37.3,3
RC,367,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,367,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,367,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,367,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,367,"Injection, peramivir ",,,1.83,1.83,3
RC,367,"Injection, renflexis ",,,29.01,29.01,3
RC,367,"Injection, reslizumab ",,,12.78,12.78,3
RC,367,"Injection, ruconest ",,,41.24,41.24,3
RC,367,"Injection, siltuximab ",,,189.73,189.73,3
RC,367,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,367,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,367,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,367,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,367,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,367,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,367,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,4693.0,5932.0,5
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,4693.0,5932.0,5
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,3293.0,5932.0,5
RC,367,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,367,Insert urinary catheter ,,,6587.0,6587.0,2
RC,367,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,5381.0,5381.0,1
RC,367,Insertion of Heyman capsules for clinical brachytherapy ,,,5286.0,6680.0,5
RC,367,Insertion of Thomas shunt (separate procedure) ,,,15362.0,19415.0,4
RC,367,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,3293.0,5932.0,5
RC,367,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,2636.0,6680.0,5
RC,367,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,7839.0,9908.0,5
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,7839.0,9908.0,4
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,7839.0,9908.0,4
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,7839.0,9908.0,4
RC,367,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,4723.0,6680.0,5
RC,367,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,9908.0,4
RC,367,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,2636.0,5932.0,5
RC,367,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,4693.0,6587.0,5
RC,367,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,4723.0,6680.0,5
RC,367,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,4723.0,6680.0,5
RC,367,Insertion of implants into the soft palate; minimum of three implants ,,,3293.0,3293.0,1
RC,367,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,4693.0,7668.0,5
RC,367,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,5381.0,76895.0,5
RC,367,Insertion of intrauterine device (IUD) ,,,2636.0,5932.0,5
RC,367,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,7168.0,9908.0,5
RC,367,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,2636.0,23113.0,5
RC,367,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,7668.0,9908.0,5
RC,367,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,18288.0,23113.0,4
RC,367,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,18288.0,23113.0,4
RC,367,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,18288.0,23113.0,4
RC,367,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,4693.0,5932.0,4
RC,367,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,4693.0,6587.0,5
RC,367,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,7168.0,9908.0,5
RC,367,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,5286.0,7168.0,5
RC,367,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,7168.0,9908.0,5
RC,367,Insertion of penile prosthesis; inflatable (self-contained) ,,,7668.0,9908.0,5
RC,367,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,7008.0,9908.0,5
RC,367,Insertion of peritoneal-venous shunt ,,,4723.0,6680.0,5
RC,367,Insertion of pin-retained palatal prosthesis ,,,4723.0,9908.0,5
RC,367,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,6680.0,4
RC,367,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,6587.0,6587.0,1
RC,367,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,4693.0,5932.0,5
RC,367,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,7168.0,9908.0,5
RC,367,Insertion of tandem cuff (dual cuff) ,,,5286.0,7008.0,5
RC,367,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,4693.0,6587.0,5
RC,367,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,4693.0,6587.0,5
RC,367,Insertion of testicular prosthesis (separate procedure) ,,,5286.0,6680.0,5
RC,367,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,5286.0,6680.0,5
RC,367,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,6587.0,33769.0,5
RC,367,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,5286.0,7168.0,5
RC,367,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,5286.0,7168.0,5
RC,367,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,5286.0,7168.0,5
RC,367,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,3293.0,6680.0,5
RC,367,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,7839.0,9908.0,5
RC,367,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,5286.0,7668.0,5
RC,367,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,4693.0,6587.0,5
RC,367,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,5286.0,6680.0,5
RC,367,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,5286.0,7668.0,5
RC,367,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,5286.0,7668.0,5
RC,367,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,367,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,367,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,367,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,367,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,367,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,367,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,367,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,367,Inst tauro 1.35mg/hep 100u ,,,4.59,4.59,3
RC,367,"Instill adstiladrin, tx do ",,,70121.45,70121.45,3
RC,367,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,367,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5286.0,6680.0,4
RC,367,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,2636.0,5932.0,5
RC,367,Insulin antibodies ,,,23.34,23.34,3
RC,367,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,367,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,367,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,367,Insulin; free ,,,14.12,14.12,3
RC,367,Insulin; total ,,,12.46,12.46,3
RC,367,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,367,Intensive Outpatient (3 se ,,,136.91,342.3,6
RC,367,Intensive Outpatient (4 or ,,,179.39,448.48,6
RC,367,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,367,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,367,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,367,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,367,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,367,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,367,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,367,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,367,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,6587.0,6587.0,1
RC,367,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,6587.0,6587.0,1
RC,367,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,2636.0,5932.0,5
RC,367,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,367,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,367,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,2636.0,2636.0,1
RC,367,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,367,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,367,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,367,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,367,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,367,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,367,Intersex surgery; female to male ,,,6587.0,6587.0,1
RC,367,Intersex surgery; male to female ,,,6587.0,6587.0,1
RC,367,Intestinal allotransplantation; from cadaver donor ,,,6587.0,6587.0,1
RC,367,Intestinal allotransplantation; from living donor ,,,6587.0,6587.0,1
RC,367,Intestinal plication (separate procedure) ,,,6587.0,6587.0,1
RC,367,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,6587.0,6587.0,1
RC,367,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,5381.0,18490.0,5
RC,367,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,2636.0,1
RC,367,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,2636.0,2636.0,1
RC,367,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,2636.0,2636.0,1
RC,367,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,367,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,4693.0,5932.0,4
RC,367,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,4693.0,5932.0,4
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,3293.0,5932.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,2636.0,5932.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,4693.0,5932.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,2636.0,5932.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,4693.0,5932.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,4693.0,5932.0,5
RC,367,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,2636.0,2636.0,2
RC,367,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,2636.0,5932.0,5
RC,367,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,2636.0,5932.0,5
RC,367,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,2636.0,5932.0,5
RC,367,Intrinsic factor ,,,21.6,21.6,3
RC,367,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,367,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,2636.0,2636.0,1
RC,367,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,3293.0,3293.0,1
RC,367,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3293.0,7668.0,7
RC,367,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,367,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,367,Ipilimumab injection ,,,207.57,207.57,3
RC,367,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,367,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,5381.0,9908.0,5
RC,367,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,5381.0,9908.0,5
RC,367,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,4723.0,9908.0,5
RC,367,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,4723.0,9908.0,5
RC,367,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,7839.0,9908.0,5
RC,367,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,3293.0,5932.0,5
RC,367,Iridotomy by stab incision (separate procedure); except transfixion ,,,2636.0,5932.0,5
RC,367,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,4693.0,5932.0,5
RC,367,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,3293.0,5932.0,5
RC,367,Iris supported intraocular lens ,,,158.85,158.85,3
RC,367,Iron ,,,7.05,7.05,3
RC,367,Iron binding capacity ,,,9.53,9.53,3
RC,367,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,367,Irrigation of corpora cavernosa for priapism ,,,2636.0,5932.0,5
RC,367,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,2636.0,2636.0,1
RC,367,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,367,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,367,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,367,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,367,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,367,Islet cell antibody ,,,25.69,25.69,3
RC,367,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,367,Itraconazole ,,,29.55,29.55,3
RC,367,"Iv hanger, each ",,,131.03,131.03,3
RC,367,Iv pole ,,,189.03,189.03,3
RC,367,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,367,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,367,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,367,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,367,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,367,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,367,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,367,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,367,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,367,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,367,Keratomileusis ,,,5381.0,23113.0,5
RC,367,Keratophakia ,,,5381.0,23113.0,5
RC,367,Keratoplasty (corneal transplant); anterior lamellar ,,,8024.0,23113.0,5
RC,367,Keratoplasty (corneal transplant); endothelial ,,,8024.0,23113.0,5
RC,367,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,8024.0,23113.0,5
RC,367,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,8024.0,23113.0,5
RC,367,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,8024.0,23113.0,5
RC,367,Keratoprosthesis ,,,7008.0,23113.0,5
RC,367,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,367,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,367,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,367,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,367,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,367,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,367,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,367,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,367,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,367,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,367,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,367,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,367,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,367,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,367,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,367,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,367,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,367,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,367,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,367,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,367,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,367,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,367,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,367,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,367,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,367,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,367,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,367,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,367,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,367,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,367,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,367,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,367,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,367,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,367,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,367,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,367,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,367,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,367,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,367,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,367,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,367,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,367,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,367,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,6587.0,6587.0,1
RC,367,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,6587.0,6587.0,1
RC,367,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,6587.0,6587.0,1
RC,367,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,6587.0,6587.0,1
RC,367,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,6587.0,6587.0,1
RC,367,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,6587.0,6587.0,1
RC,367,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,6587.0,6587.0,1
RC,367,LAPARO W/CHOLANGIO/BIOPSY ,,,6587.0,6587.0,1
RC,367,"LAPAROSCOPE PROC, RECTUM ",,,6587.0,6587.0,1
RC,367,LAPAROSCOPY W/CHOLANGIO ,,,6587.0,6587.0,1
RC,367,"LAPAROSCOPY, ENTEROLYSIS ",,,6587.0,6587.0,1
RC,367,"LAPAROSCOPY, JEJUNOSTOMY ",,,6587.0,6587.0,1
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,8024.0,1
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,8024.0,1
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,8024.0,1
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,8024.0,1
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,8024.0,1
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,8024.0,1
RC,367,LAVH ,,,6587.0,6587.0,1
RC,367,LESION REMOVAL COLONOSCOPY ,,,6587.0,6587.0,1
RC,367,Labyrinthectomy; transcanal ,,,8024.0,23113.0,5
RC,367,Labyrinthectomy; with mastoidectomy ,,,8024.0,23113.0,5
RC,367,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,4723.0,18490.0,5
RC,367,Lacosamide ,,,29.55,29.55,3
RC,367,Lactate (lactic acid) ,,,12.61,12.61,3
RC,367,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,367,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,367,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,367,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,367,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,367,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,367,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7008.0,7008.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,6587.0,6587.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7008.0,7008.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,6587.0,6587.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,6587.0,6587.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,6587.0,6587.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7008.0,7008.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,6587.0,6587.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,6587.0,6587.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,6587.0,6587.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7008.0,7008.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,6587.0,6587.0,1
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,6587.0,6587.0,1
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,7008.0,7008.0,1
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,6587.0,6587.0,1
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,6587.0,6587.0,1
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,6587.0,6587.0,1
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,5381.0,5381.0,1
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,6587.0,6587.0,1
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,6587.0,6587.0,1
RC,367,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,6587.0,6587.0,1
RC,367,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,6587.0,6587.0,1
RC,367,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7008.0,7008.0,1
RC,367,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,7008.0,76895.0,5
RC,367,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,6587.0,6587.0,1
RC,367,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,6587.0,6587.0,1
RC,367,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,6587.0,6587.0,1
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,8024.0,8024.0,1
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,8024.0,8024.0,1
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,8024.0,8024.0,1
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,8024.0,8024.0,1
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,8024.0,8024.0,1
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,6587.0,6587.0,1
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,8024.0,8024.0,1
RC,367,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,6587.0,6587.0,1
RC,367,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,8024.0,8024.0,1
RC,367,Laminectomy with rhizotomy; 1 or 2 segments ,,,7008.0,7008.0,1
RC,367,Laminectomy with rhizotomy; more than 2 segments ,,,7008.0,7008.0,1
RC,367,Laminectomy with section of spinal accessory nerve ,,,7008.0,7008.0,1
RC,367,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,2636.0,8024.0,4
RC,367,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,6587.0,6587.0,2
RC,367,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7008.0,7008.0,1
RC,367,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,6587.0,6587.0,1
RC,367,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,6587.0,6587.0,1
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,14630.0,18490.0,4
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,8024.0,8024.0,1
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,7168.0,7168.0,2
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,8024.0,8024.0,1
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,8024.0,8024.0,1
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,8024.0,8024.0,1
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,2636.0,2636.0,1
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4693.0,5932.0,4
RC,367,Lamotrigine ,,,14.44,14.44,3
RC,367,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,367,"Laparoscope proc, intestine ",,,6587.0,6587.0,1
RC,367,Laparoscopic APPY ,,,6587.0,6587.0,1
RC,367,Laparoscopic THC w/o Bx ,,,6587.0,6587.0,1
RC,367,Laparoscopic aspiration ,,,6587.0,6587.0,1
RC,367,Laparoscopic enterolysis ,,,6587.0,6587.0,1
RC,367,Laparoscopic fulgur FALL ,,,6587.0,6587.0,1
RC,367,Laparoscopic fulgur les ,,,6587.0,6587.0,1
RC,367,Laparoscopic jejunostomy ,,,6587.0,6587.0,1
RC,367,Laparoscopic occl FALL ,,,6587.0,6587.0,1
RC,367,Laparoscopic orchiectomy ,,,6587.0,6587.0,1
RC,367,Laparoscopic rmvl adnexa ,,,6587.0,6587.0,1
RC,367,Laparoscopic splenectomy ,,,6587.0,6587.0,1
RC,367,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,8024.0,8024.0,1
RC,367,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,8024.0,8024.0,1
RC,367,Laparoscopy w ADHESIO ,,,6587.0,6587.0,1
RC,367,Laparoscopy w biopsy ,,,6587.0,6587.0,1
RC,367,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, remove myoma ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,14630.0,18490.0,4
RC,367,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,14630.0,18490.0,4
RC,367,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,6587.0,18490.0,5
RC,367,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,7008.0,7008.0,1
RC,367,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,7008.0,7008.0,1
RC,367,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,7008.0,7008.0,1
RC,367,"Laparoscopy, surgical, appendectomy ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,7008.0,7008.0,1
RC,367,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, splenectomy ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; ablation of renal cysts ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,7008.0,7008.0,1
RC,367,"Laparoscopy, surgical; cholecystectomy ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; cholecystoenterostomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,7008.0,7008.0,1
RC,367,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; orchiectomy ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; partial nephrectomy ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; pyeloplasty ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; repair initial inguinal hernia ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; ureterolithotomy ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,6587.0,6587.0,1
RC,367,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with fimbrioplasty ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,2636.0,2636.0,1
RC,367,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,2636.0,2636.0,1
RC,367,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,8024.0,8024.0,1
RC,367,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,8024.0,8024.0,1
RC,367,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,8024.0,23113.0,5
RC,367,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,4723.0,4723.0,1
RC,367,Lapscp CHOLE w CDE ,,,6587.0,6587.0,1
RC,367,Lapscp CHOLE&cholangrphy ,,,6587.0,6587.0,1
RC,367,Lapscp EG fundoplasty ,,,6587.0,6587.0,1
RC,367,Lapscp REP init IH ,,,6587.0,6587.0,1
RC,367,Lapscp REP recur IH ,,,6587.0,6587.0,1
RC,367,Lapscp adrenalectomy ,,,6587.0,6587.0,1
RC,367,Lapscp bilat pelv LYMPH ,,,6587.0,6587.0,1
RC,367,Lapscp cholcystentstmy ,,,6587.0,6587.0,1
RC,367,Lapscp cholecystectomy ,,,6587.0,6587.0,1
RC,367,Lapscp fimbrioplasty ,,,6587.0,6587.0,1
RC,367,Lapscp intest resect ,,,6587.0,6587.0,1
RC,367,Lapscp lig sperm vein ,,,6587.0,6587.0,1
RC,367,Lapscp lymphocele drain ,,,6587.0,6587.0,1
RC,367,Lapscp pelvic LYMPH & Bx ,,,6587.0,6587.0,1
RC,367,Lapscp retroperit LN Bx ,,,6587.0,6587.0,1
RC,367,Lapscp rmvl leiomyomata ,,,6587.0,6587.0,1
RC,367,Lapscp salpingostomy ,,,6587.0,6587.0,1
RC,367,Lapscp select vagotomy ,,,6587.0,6587.0,1
RC,367,Lapscp temp gastrostomy ,,,6587.0,6587.0,1
RC,367,Lapscp truncal vagotomy ,,,6587.0,6587.0,1
RC,367,"Large size footplate, each ",,,65.96,65.96,3
RC,367,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,367,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,367,Laronidase injection ,,,45.22,45.22,3
RC,367,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,367,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,4723.0,4723.0,1
RC,367,Laser Eye Procedures ,,,602.23,602.23,3
RC,367,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,8024.0,8024.0,1
RC,367,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,8024.0,18490.0,5
RC,367,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,6587.0,6587.0,1
RC,367,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,6587.0,6587.0,1
RC,367,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,8024.0,18490.0,5
RC,367,Lead ,,,13.2,13.2,3
RC,367,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,367,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,367,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,367,Leflunomide ,,,42.04,42.04,3
RC,367,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,367,"Leg strap, each ",,,32.14,32.14,3
RC,367,"Leg strap, h style, each ",,,69.02,69.02,3
RC,367,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,367,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,367,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,367,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,367,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,367,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,367,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,367,"Lengthening of palate, and pharyngeal flap ",,,8024.0,18490.0,5
RC,367,"Lengthening of palate, with island flap ",,,8024.0,8024.0,1
RC,367,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,367,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,367,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,367,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,367,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,367,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,367,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,367,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,367,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,367,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,367,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,367,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,367,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,367,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,367,Leuprolide acetate ,,,2006.97,2006.97,3
RC,367,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,367,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,367,Level 1 Abdominal/Peritone ,,,3920.42,3920.42,3
RC,367,Level 1 Airway Endoscopy ,,,218.56,218.56,3
RC,367,Level 1 Blood Product Exch ,,,483.07,483.07,3
RC,367,Level 1 Breast/Lymphatic S ,,,4287.27,4287.27,3
RC,367,Level 1 Diagnostic Tests a ,,,140.89,140.89,3
RC,367,Level 1 Drug Administratio ,,,51.27,51.27,3
RC,367,Level 1 ENT Procedures ,,,259.34,259.34,3
RC,367,Level 1 Electronic Analysi ,,,40.87,40.87,3
RC,367,Level 1 Electrophysiologic ,,,1333.16,1333.16,3
RC,367,Level 1 Endovascular Proce ,,,3549.81,3549.81,3
RC,367,Level 1 Excision/ Biopsy/ ,,,775.38,775.38,3
RC,367,"Level 1 Extraocular, Repai ",,,347.55,347.55,3
RC,367,Level 1 Gynecologic Proced ,,,221.37,221.37,3
RC,367,Level 1 Health and Behavio ,,,41.03,41.03,3
RC,367,Level 1 ICD and Similar Pr ,,,24355.98,24355.98,3
RC,367,Level 1 Imaging with Contr ,,,192.06,192.06,3
RC,367,Level 1 Imaging without Co ,,,95.29,95.29,3
RC,367,Level 1 Intraocular Proced ,,,2526.99,2526.99,3
RC,367,Level 1 Laparoscopy and Re ,,,6619.65,6619.65,3
RC,367,Level 1 Lower GI Procedure ,,,1018.27,1018.27,3
RC,367,Level 1 Minor Procedures ,,,31.67,31.67,3
RC,367,Level 1 Musculoskeletal Pr ,,,270.09,270.09,3
RC,367,Level 1 Nerve Injections ,,,336.1,336.1,3
RC,367,Level 1 Nerve Procedures ,,,2138.17,2138.17,3
RC,367,Level 1 Neurostimulator an ,,,3828.12,3828.12,3
RC,367,Level 1 Nuclear Medicine a ,,,437.74,437.74,3
RC,367,Level 1 Pacemaker and Simi ,,,4091.85,4091.85,3
RC,367,Level 1 Pathology ,,,57.06,57.06,3
RC,367,Level 1 Radiation Therapy ,,,111.72,111.72,3
RC,367,Level 1 Skin Procedures ,,,219.69,219.69,3
RC,367,Level 1 Strapping and Cast ,,,177.93,177.93,3
RC,367,Level 1 Therapeutic Radiat ,,,147.17,147.17,3
RC,367,Level 1 Upper GI Procedure ,,,993.12,993.12,3
RC,367,Level 1 Urology and Relate ,,,273.58,273.58,3
RC,367,Level 1 Vascular Procedure ,,,686.88,686.88,3
RC,367,Level 2 Abdominal/Peritone ,,,7088.62,7088.62,3
RC,367,Level 2 Airway Endoscopy ,,,428.26,428.26,3
RC,367,Level 2 Blood Product Exch ,,,1705.33,1705.33,3
RC,367,Level 2 Breast/Lymphatic S ,,,7270.76,7270.76,3
RC,367,Level 2 Diagnostic Tests a ,,,236.43,236.43,3
RC,367,Level 2 Drug Administratio ,,,78.84,78.84,3
RC,367,Level 2 ENT Procedures ,,,590.55,590.55,3
RC,367,Level 2 Electronic Analysi ,,,104.1,104.1,3
RC,367,Level 2 Electrophysiologic ,,,8540.37,8540.37,3
RC,367,Level 2 Endovascular Proce ,,,6232.08,6232.08,3
RC,367,Level 2 Excision/ Biopsy/ ,,,1808.44,1808.44,3
RC,367,"Level 2 Extraocular, Repai ",,,1091.55,1091.55,3
RC,367,Level 2 Gynecologic Proced ,,,333.67,333.67,3
RC,367,Level 2 Health and Behavio ,,,111.24,111.24,3
RC,367,Level 2 ICD and Similar Pr ,,,34369.77,34369.77,3
RC,367,Level 2 Imaging with Contr ,,,382.0,382.0,3
RC,367,Level 2 Imaging without Co ,,,114.47,114.47,3
RC,367,Level 2 Intraocular Proced ,,,4525.96,4525.96,3
RC,367,Level 2 Laparoscopy and Re ,,,11639.31,11639.31,3
RC,367,Level 2 Lower GI Procedure ,,,1310.28,1310.28,3
RC,367,Level 2 Minor Procedures ,,,40.9,40.9,3
RC,367,Level 2 Musculoskeletal Pr ,,,1760.7,1760.7,3
RC,367,Level 2 Nerve Injections ,,,772.92,772.92,3
RC,367,Level 2 Nerve Procedures ,,,3740.57,3740.57,3
RC,367,Level 2 Neurostimulator an ,,,6978.22,6978.22,3
RC,367,Level 2 Nuclear Medicine a ,,,594.53,594.53,3
RC,367,Level 2 Pacemaker and Simi ,,,9061.28,9061.28,3
RC,367,Level 2 Pathology ,,,186.55,186.55,3
RC,367,Level 2 Radiation Therapy ,,,422.32,422.32,3
RC,367,Level 2 Skin Procedures ,,,445.12,445.12,3
RC,367,Level 2 Strapping and Cast ,,,306.25,306.25,3
RC,367,Level 2 Therapeutic Radiat ,,,409.99,409.99,3
RC,367,Level 2 Upper GI Procedure ,,,2101.14,2101.14,3
RC,367,Level 2 Urology and Relate ,,,763.52,763.52,3
RC,367,Level 2 Vascular Procedure ,,,1723.65,1723.65,3
RC,367,Level 3 Airway Endoscopy ,,,1948.93,1948.93,3
RC,367,Level 3 Blood Product Exch ,,,4769.13,4769.13,3
RC,367,Level 3 Breast/Lymphatic S ,,,8949.59,8949.59,3
RC,367,Level 3 Diagnostic Tests a ,,,408.6,408.6,3
RC,367,Level 3 Drug Administratio ,,,232.9,232.9,3
RC,367,Level 3 ENT Procedures ,,,1698.93,1698.93,3
RC,367,Level 3 Electronic Analysi ,,,336.31,336.31,3
RC,367,Level 3 Electrophysiologic ,,,28620.09,28620.09,3
RC,367,Level 3 Endovascular Proce ,,,12640.5,12640.5,3
RC,367,Level 3 Excision/ Biopsy/ ,,,3180.57,3180.57,3
RC,367,"Level 3 Extraocular, Repai ",,,2603.27,2603.27,3
RC,367,Level 3 Gynecologic Proced ,,,1008.52,1008.52,3
RC,367,Level 3 Health and Behavio ,,,194.35,194.35,3
RC,367,Level 3 Imaging with Contr ,,,858.37,858.37,3
RC,367,Level 3 Imaging without Co ,,,261.26,261.26,3
RC,367,Level 3 Intraocular Proced ,,,5826.65,5826.65,3
RC,367,Level 3 Lower GI Procedure ,,,3039.26,3039.26,3
RC,367,Level 3 Minor Procedures ,,,64.59,64.59,3
RC,367,Level 3 Musculoskeletal Pr ,,,3582.73,3582.73,3
RC,367,Level 3 Nerve Injections ,,,968.47,968.47,3
RC,367,Level 3 Nerve Procedures ,,,9609.27,9609.27,3
RC,367,Level 3 Neurostimulator an ,,,12200.88,12200.88,3
RC,367,Level 3 Nuclear Medicine a ,,,1417.6,1417.6,3
RC,367,Level 3 Pacemaker and Simi ,,,11444.59,11444.59,3
RC,367,Level 3 Pathology ,,,392.49,392.49,3
RC,367,Level 3 Radiation Therapy ,,,605.02,605.02,3
RC,367,Level 3 Skin Procedures ,,,809.26,809.26,3
RC,367,Level 3 Therapeutic Radiat ,,,1515.58,1515.58,3
RC,367,Level 3 Upper GI Procedure ,,,4221.62,4221.62,3
RC,367,Level 3 Urology and Relate ,,,2288.9,2288.9,3
RC,367,Level 3 Vascular Procedure ,,,3457.34,3457.34,3
RC,367,Level 4 Airway Endoscopy ,,,4082.42,4082.42,3
RC,367,Level 4 Blood Product Exch ,,,68874.65,68874.65,3
RC,367,Level 4 Breast/Lymphatic S ,,,15089.69,15089.69,3
RC,367,Level 4 Diagnostic Tests a ,,,940.29,940.29,3
RC,367,Level 4 Drug Administratio ,,,361.67,361.67,3
RC,367,Level 4 ENT Procedures ,,,3630.32,3630.32,3
RC,367,Level 4 Endovascular Proce ,,,20072.54,20072.54,3
RC,367,"Level 4 Extraocular, Repai ",,,4304.75,4304.75,3
RC,367,Level 4 Gynecologic Proced ,,,3544.55,3544.55,3
RC,367,Level 4 Imaging without Co ,,,598.31,598.31,3
RC,367,Level 4 Intraocular Proced ,,,15883.71,15883.71,3
RC,367,Level 4 Minor Procedures ,,,145.68,145.68,3
RC,367,Level 4 Musculoskeletal Pr ,,,7945.32,7945.32,3
RC,367,Level 4 Neurostimulator an ,,,21242.49,21242.49,3
RC,367,Level 4 Nuclear Medicine a ,,,1565.75,1565.75,3
RC,367,Level 4 Pacemaker and Simi ,,,21090.91,21090.91,3
RC,367,Level 4 Pathology ,,,882.19,882.19,3
RC,367,Level 4 Radiation Therapy ,,,762.62,762.62,3
RC,367,Level 4 Skin Procedures ,,,2259.22,2259.22,3
RC,367,Level 4 Urology and Relate ,,,3859.74,3859.74,3
RC,367,Level 4 Vascular Procedure ,,,6092.93,6092.93,3
RC,367,Level 5 Airway Endoscopy ,,,7727.68,7727.68,3
RC,367,Level 5 ENT Procedures ,,,6482.02,6482.02,3
RC,367,Level 5 Gynecologic Proced ,,,5477.52,5477.52,3
RC,367,Level 5 Intraocular Proced ,,,15278.03,15278.03,3
RC,367,Level 5 Minor Procedures ,,,489.15,489.15,3
RC,367,Level 5 Musculoskeletal Pr ,,,14057.94,14057.94,3
RC,367,Level 5 Neurostimulator an ,,,33788.16,33788.16,3
RC,367,Level 5 Radiation Therapy ,,,1368.43,1368.43,3
RC,367,Level 5 Skin Procedures ,,,3880.26,3880.26,3
RC,367,Level 5 Urology and Relate ,,,5870.99,5870.99,3
RC,367,Level 6 Gynecologic Proced ,,,8119.66,8119.66,3
RC,367,Level 6 Intraocular Proced ,,,18024.07,18024.07,3
RC,367,Level 6 Musculoskeletal Pr ,,,19198.95,19198.95,3
RC,367,Level 6 Radiation Therapy ,,,1957.86,1957.86,3
RC,367,Level 6 Urology and Relate ,,,10365.46,10365.46,3
RC,367,Level 7 Musculoskeletal Pr ,,,29710.86,29710.86,3
RC,367,Level 7 Radiation Therapy ,,,8064.75,8064.75,3
RC,367,Level 7 Urology and Relate ,,,14446.4,14446.4,3
RC,367,Level 8 Urology and Relate ,,,22694.42,22694.42,3
RC,367,Levetiracetam ,,,14.44,14.44,3
RC,367,Lidocaine ,,,16.01,16.01,3
RC,367,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,367,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,367,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,367,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,367,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,367,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,7168.0,9908.0,5
RC,367,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,5286.0,7168.0,5
RC,367,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,7168.0,9908.0,5
RC,367,Ligation of common iliac vein ,,,6587.0,6587.0,1
RC,367,Ligation of femoral vein ,,,5286.0,7168.0,5
RC,367,Ligation of inferior vena cava ,,,7168.0,9908.0,5
RC,367,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,7168.0,9908.0,5
RC,367,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,7168.0,9908.0,5
RC,367,Ligation of peritoneal-venous shunt ,,,4723.0,4723.0,1
RC,367,Ligation or banding of angioaccess arteriovenous fistula ,,,7168.0,9908.0,5
RC,367,"Ligation or biopsy, temporal artery ",,,4723.0,6680.0,5
RC,367,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,6587.0,6587.0,1
RC,367,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,4693.0,6587.0,5
RC,367,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,4723.0,6680.0,5
RC,367,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,5286.0,6680.0,5
RC,367,"Ligation salivary duct, intraoral ",,,5381.0,23113.0,5
RC,367,"Ligation, direct, esophageal varices ",,,8024.0,8024.0,1
RC,367,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,7168.0,9908.0,5
RC,367,"Ligation, division, and stripping, short saphenous vein ",,,7168.0,9908.0,5
RC,367,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,7168.0,9908.0,5
RC,367,"Ligation, internal jugular vein ",,,7168.0,7168.0,1
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,6587.0,6587.0,1
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,6587.0,6587.0,1
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,6587.0,6587.0,1
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,7168.0,7168.0,1
RC,367,Ligation; external carotid artery ,,,7168.0,7168.0,1
RC,367,Ligation; internal or common carotid artery ,,,7168.0,7168.0,1
RC,367,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,7168.0,7168.0,1
RC,367,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,367,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,367,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,367,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,367,Lightweight wheelchair ,,,48.42,48.42,3
RC,367,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,367,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,367,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,6587.0,6587.0,1
RC,367,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,6587.0,6587.0,1
RC,367,Limited pharyngectomy ,,,8024.0,23113.0,5
RC,367,Lipase ,,,7.51,7.51,3
RC,367,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,367,Lipoprotein (a) ,,,15.61,15.61,3
RC,367,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,367,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,367,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,367,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,367,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,367,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,367,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,367,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,367,Lithium ,,,7.2,7.2,3
RC,367,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,367,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,367,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,367,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,367,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,5286.0,6680.0,5
RC,367,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,4693.0,6587.0,5
RC,367,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,6587.0,6587.0,1
RC,367,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,367,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,367,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,5286.0,6680.0,5
RC,367,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Lso, corset front ",,,166.52,166.52,3
RC,367,"Lso, full corset ",,,235.72,235.72,3
RC,367,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,367,"Lubricant, per ounce ",,,2.47,2.47,3
RC,367,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,367,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,367,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,367,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,367,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,367,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,367,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,367,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,367,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,367,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,367,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,367,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,367,Lumbar/caudal inject NEC ,,,6587.0,6587.0,1
RC,367,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,367,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,367,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,367,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,367,Lymphangiotomy or other operations on lymphatic channels ,,,5286.0,6680.0,5
RC,367,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,367,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,367,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,367,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,367,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,5381.0,18490.0,5
RC,367,Lysis of labial adhesions ,,,4693.0,5932.0,5
RC,367,Lysis or excision of penile post-circumcision adhesions ,,,5286.0,6680.0,5
RC,367,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,367,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,367,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,367,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,367,MEDIASTINOSCOPY INCL BIOPSY ,,,6587.0,6587.0,1
RC,367,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,367,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,367,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,367,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,367,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,367,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,367,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,367,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,367,MRI and MRA without Contra ,,,576.44,576.44,3
RC,367,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,367,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,367,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,367,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,367,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,367,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,367,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,367,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,367,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,367,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,367,Magnesium ,,,7.3,7.3,3
RC,367,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,6587.0,9908.0,5
RC,367,Malate dehydrogenase ,,,8.03,8.03,3
RC,367,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,367,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,367,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,6587.0,6587.0,1
RC,367,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,6587.0,6587.0,1
RC,367,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,6587.0,6587.0,1
RC,367,Management of liver hemorrhage; simple suture of liver wound or injury ,,,6587.0,6587.0,1
RC,367,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,6587.0,6587.0,1
RC,367,Manganese ,,,29.05,29.05,3
RC,367,Manipulation Therapy ,,,23.64,23.64,3
RC,367,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,2636.0,5932.0,5
RC,367,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,2636.0,2636.0,1
RC,367,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,367,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,367,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,367,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,367,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,367,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,367,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,367,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,367,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,367,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,367,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,367,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,367,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,367,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,367,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,367,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,367,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,367,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,367,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,367,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,367,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,367,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,367,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,367,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,367,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,367,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,367,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,367,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,367,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,367,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,367,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,367,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,367,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,367,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,367,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,367,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,367,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,367,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,367,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,367,Marsupialization of Bartholin's gland cyst ,,,5286.0,6680.0,5
RC,367,Marsupialization of cyst or abscess of liver ,,,6587.0,6587.0,1
RC,367,Marsupialization of pancreatic cyst ,,,6587.0,6587.0,1
RC,367,Marsupialization of sublingual salivary cyst (ranula) ,,,5381.0,9908.0,5
RC,367,"Marsupialization of urethral diverticulum, male or female ",,,5286.0,7168.0,5
RC,367,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,367,Mastoid obliteration (separate procedure) ,,,7839.0,9908.0,5
RC,367,Mastoidectomy; complete ,,,5381.0,23113.0,5
RC,367,Mastoidectomy; modified radical ,,,8024.0,23113.0,5
RC,367,Mastoidectomy; radical ,,,8024.0,23113.0,5
RC,367,"Mattress, foam rubber ",,,182.92,182.92,3
RC,367,"Mattress, innerspring ",,,162.65,162.65,3
RC,367,Maxillary impression for palatal prosthesis ,,,2636.0,5932.0,5
RC,367,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,6587.0,6587.0,1
RC,367,"Meat fibers, feces ",,,5.29,5.29,3
RC,367,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,4693.0,5932.0,5
RC,367,"Meatotomy, cutting of meatus (separate procedure); infant ",,,4693.0,5932.0,5
RC,367,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,367,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,3293.0,5932.0,5
RC,367,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,7839.0,9908.0,5
RC,367,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,7839.0,9908.0,5
RC,367,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,6587.0,6587.0,1
RC,367,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,6587.0,6587.0,1
RC,367,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,367,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,367,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,367,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,367,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,367,Mental Health Services Com ,,,448.48,448.48,3
RC,367,"Mercury, quantitative ",,,17.72,17.72,3
RC,367,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,367,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,367,Metanephrines ,,,18.46,18.46,3
RC,367,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,367,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,367,Metatarsal joint implant ,,,467.12,467.12,3
RC,367,Methemalbumin ,,,11.71,11.71,3
RC,367,Methotrexate ,,,42.04,42.04,3
RC,367,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,367,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,367,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,367,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,367,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,367,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,367,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,367,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,367,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,367,Middle ear exploration through postauricular or ear canal incision ,,,5381.0,9908.0,5
RC,367,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,367,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,367,Mitomycin instillation ,,,359.63,359.63,3
RC,367,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,367,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,367,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,367,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,6587.0,6587.0,1
RC,367,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,367,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,5381.0,5381.0,1
RC,367,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,367,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,367,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,367,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,367,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,367,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,367,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,367,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,367,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,367,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,367,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,367,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,367,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,367,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,367,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,367,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,367,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,367,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,367,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,367,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,367,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,367,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,367,Mouth piece ,,,4.82,4.82,3
RC,367,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,367,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,367,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,367,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,367,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,367,Multifetal pregnancy reduction(s) (MPR) ,,,2636.0,2636.0,1
RC,367,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,4693.0,5932.0,5
RC,367,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,367,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,367,Muramidase ,,,20.44,20.44,3
RC,367,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,367,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,367,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,367,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,367,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,3293.0,6680.0,5
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,3293.0,5932.0,5
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,3293.0,5932.0,5
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,3293.0,5932.0,5
RC,367,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,367,Myoglobin ,,,14.08,14.08,3
RC,367,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,7168.0,23113.0,5
RC,367,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,5381.0,18490.0,5
RC,367,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,7168.0,7168.0,1
RC,367,Myringoplasty (surgery confined to drumhead and donor area) ,,,5286.0,6680.0,5
RC,367,Myringotomy including aspiration and/or eustachian tube inflation ,,,2636.0,9908.0,5
RC,367,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,4723.0,9908.0,5
RC,367,"Myringotomy, laser-assisted ",,,7839.0,9908.0,4
RC,367,N BLOCK INJ SPINAL ACCESSOR ,,,6587.0,6587.0,1
RC,367,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,6587.0,6587.0,1
RC,367,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,367,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,367,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,367,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,367,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,367,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,367,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,367,"Naltrexone, depot form ",,,4.93,4.93,3
RC,367,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,367,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,367,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,367,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,367,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,367,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,367,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,367,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,2636.0,6680.0,5
RC,367,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,367,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,5286.0,6680.0,5
RC,367,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,4693.0,6587.0,5
RC,367,Natalizumab injection ,,,26.6,26.6,3
RC,367,Natriuretic peptide ,,,42.79,42.79,3
RC,367,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,367,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,367,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,367,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,367,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,367,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,367,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,4693.0,6587.0,5
RC,367,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,367,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,367,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,367,Nelarabine injection ,,,71.29,71.29,3
RC,367,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,367,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,6587.0,6587.0,1
RC,367,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,6587.0,6587.0,1
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,6587.0,6587.0,1
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,6587.0,6587.0,1
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,6587.0,6587.0,1
RC,367,"Nephrectomy, partial ",,,6587.0,6587.0,1
RC,367,Nephrolithotomy; complicated by congenital kidney abnormality ,,,6587.0,6587.0,1
RC,367,Nephrolithotomy; removal of calculus ,,,6587.0,6587.0,1
RC,367,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,6587.0,6587.0,1
RC,367,Nephrolithotomy; secondary surgical operation for calculus ,,,6587.0,6587.0,1
RC,367,"Nephrorrhaphy, suture of kidney wound or injury ",,,6587.0,6587.0,1
RC,367,"Nephrostomy, nephrotomy with drainage ",,,5381.0,9908.0,5
RC,367,"Nephrotomy, with exploration ",,,6587.0,6587.0,1
RC,367,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,5286.0,7168.0,5
RC,367,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,5286.0,7168.0,5
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,7168.0,9908.0,5
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,7168.0,9908.0,5
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,7168.0,9908.0,5
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,7168.0,9908.0,5
RC,367,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,5286.0,7168.0,5
RC,367,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,5286.0,7168.0,5
RC,367,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,5286.0,7168.0,5
RC,367,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,5286.0,7168.0,5
RC,367,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,2636.0,6680.0,5
RC,367,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,2636.0,6680.0,5
RC,367,Nerve pedicle transfer; first stage ,,,5286.0,7168.0,5
RC,367,Nerve pedicle transfer; second stage ,,,4693.0,7168.0,5
RC,367,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,5286.0,7168.0,5
RC,367,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,4693.0,6587.0,5
RC,367,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,5286.0,6680.0,5
RC,367,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,5286.0,7168.0,5
RC,367,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,367,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,6587.0,6587.0,1
RC,367,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,6587.0,6587.0,1
RC,367,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,6587.0,6587.0,1
RC,367,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,6587.0,6587.0,1
RC,367,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,367,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,367,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,367,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,367,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,367,Neuroplasty and/or transposition; cranial nerve (specify) ,,,5381.0,9908.0,5
RC,367,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,5286.0,6680.0,5
RC,367,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,5286.0,6680.0,5
RC,367,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,5286.0,6680.0,5
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,5286.0,6680.0,5
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,5286.0,6680.0,5
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,5286.0,6680.0,5
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,5286.0,6680.0,5
RC,367,"Neuroplasty; digital, 1 or both, same digit ",,,4693.0,5932.0,5
RC,367,Neuroplasty; nerve of hand or foot ,,,4693.0,5932.0,5
RC,367,"Neutralization test, viral ",,,18.43,18.43,3
RC,367,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,367,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,367,Nickel ,,,26.72,26.72,3
RC,367,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,367,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,367,Nivestym ,,,0.35,0.35,3
RC,367,Nocturnal penile tumescence and/or rigidity test ,,,2636.0,5932.0,5
RC,367,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,367,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,367,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,367,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,367,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,367,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,367,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,367,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,367,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,367,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,367,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,367,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,367,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,367,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,367,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,367,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,367,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,367,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,367,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,367,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,367,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,367,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,367,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,367,Nucleotidase 5'- ,,,12.15,12.15,3
RC,367,OPERATIVE UPPER GI ENDOSCOPY ,,,6587.0,6587.0,1
RC,367,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,367,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,6587.0,6587.0,1
RC,367,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,367,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,367,"Occluder lens, per lens ",,,28.56,28.56,3
RC,367,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,5381.0,9908.0,5
RC,367,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,367,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,367,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,367,Octagam injection ,,,51.29,51.29,3
RC,367,Ocular implant ,,,885.23,885.23,3
RC,367,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,7168.0,18490.0,5
RC,367,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,7168.0,18490.0,5
RC,367,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,8024.0,18490.0,5
RC,367,Ofatumumab injection ,,,67.84,67.84,3
RC,367,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,367,Omalizumab injection ,,,50.78,50.78,3
RC,367,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,6587.0,6587.0,1
RC,367,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,6587.0,19415.0,5
RC,367,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,367,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,367,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,367,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,367,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,367,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,367,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,367,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,367,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,367,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,367,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,367,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,367,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,367,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,367,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,367,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,367,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,367,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,367,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,367,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,367,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,367,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,367,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,367,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,367,One way chest drain valve ,,,63.18,63.18,3
RC,367,"Oophorectomy, partial or total, unilateral or bilateral; ",,,7168.0,18490.0,5
RC,367,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,7168.0,7168.0,1
RC,367,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,6680.0,4
RC,367,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,5286.0,8325.0,5
RC,367,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,6680.0,4
RC,367,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,5286.0,6680.0,5
RC,367,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,6680.0,4
RC,367,Open implantation of neurostimulator electrode array; neuromuscular ,,,4693.0,7008.0,5
RC,367,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4693.0,7008.0,5
RC,367,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,7008.0,9908.0,5
RC,367,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,60840.0,76895.0,4
RC,367,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,14630.0,18490.0,4
RC,367,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,60840.0,76895.0,4
RC,367,"Operculectomy, excision pericoronal tissues ",,,3293.0,5932.0,5
RC,367,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5381.0,5381.0,1
RC,367,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5381.0,5381.0,1
RC,367,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,5381.0,19415.0,5
RC,367,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,367,Oral busulfan ,,,11.03,11.03,3
RC,367,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,367,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,367,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,367,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,367,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,367,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,367,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,367,Orbital implant (implant outside muscle cone); insertion ,,,7168.0,19415.0,5
RC,367,Orbital implant (implant outside muscle cone); removal or revision ,,,5286.0,6680.0,5
RC,367,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,367,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,6587.0,6587.0,1
RC,367,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,6587.0,6587.0,1
RC,367,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,6587.0,6587.0,1
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,7168.0,18490.0,5
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,7168.0,18490.0,5
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,7168.0,18490.0,5
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,7168.0,18490.0,5
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,7168.0,18490.0,5
RC,367,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,7168.0,9908.0,5
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,5381.0,19415.0,5
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,7168.0,18490.0,5
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,5381.0,18490.0,5
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,5381.0,18490.0,5
RC,367,"Orchiectomy, partial ",,,5381.0,9908.0,5
RC,367,"Orchiectomy, radical, for tumor; inguinal approach ",,,7168.0,19415.0,5
RC,367,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,7168.0,7168.0,1
RC,367,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,7168.0,9908.0,5
RC,367,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,7168.0,19415.0,5
RC,367,"Orchiopexy, inguinal or scrotal approach ",,,7168.0,19415.0,5
RC,367,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,367,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,367,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,367,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,367,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,367,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,367,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,367,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,367,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,367,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,367,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,367,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,367,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,367,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,367,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,367,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,367,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,367,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,367,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,367,Orthovisc inj per dose ,,,109.36,109.36,3
RC,367,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,367,Osmolality; blood ,,,7.2,7.2,3
RC,367,Osmolality; urine ,,,7.43,7.43,3
RC,367,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,367,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,367,Ossicula implant ,,,401.67,401.67,3
RC,367,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,367,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,367,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,367,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,367,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,367,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,367,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,367,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,367,"Ostomy belt, each ",,,10.57,10.57,3
RC,367,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,367,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,367,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,367,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,367,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,367,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,367,Ostomy irrigation set ,,,75.92,75.92,3
RC,367,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,367,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,367,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,367,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,367,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,367,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,367,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,367,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,367,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,367,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,367,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,367,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,367,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,367,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,367,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,367,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,367,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,367,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,367,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,367,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,367,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,367,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,367,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,367,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,367,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,367,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,367,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,367,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,367,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,367,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,367,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,367,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,367,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,367,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,367,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,367,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,367,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,367,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,367,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,367,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,367,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,367,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,367,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,367,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,367,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,367,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,367,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,367,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,367,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,367,"Ostomy ring, each ",,,2.61,2.61,3
RC,367,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,367,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,367,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,367,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,367,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,367,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,367,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,367,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,367,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,367,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,367,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,367,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,367,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,367,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,367,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,367,"Other cranial decompression, posterior fossa ",,,6587.0,6587.0,1
RC,367,Other manual wheelchair/base ,,,111.03,111.03,3
RC,367,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,367,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,367,Other spinal injection ,,,6587.0,6587.0,1
RC,367,Otolaryngologic examination under general anesthesia ,,,2636.0,2636.0,1
RC,367,"Otoplasty, protruding ear, with or without size reduction ",,,5381.0,9908.0,5
RC,367,Outflare wedge ,,,66.8,66.8,3
RC,367,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,367,"Ovarian cystectomy, unilateral or bilateral ",,,7168.0,18490.0,5
RC,367,"Oversize lens, per lens ",,,16.72,16.72,3
RC,367,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,367,Oxalate ,,,15.75,15.75,3
RC,367,Oxcarbazepine ,,,14.44,14.44,3
RC,367,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,367,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,367,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,367,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,367,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,367,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,367,PAROTID DUCT DIVERSION ,,,6587.0,6587.0,1
RC,367,"PARTIAL REMOVAL, DONOR LIVER ",,,6587.0,6587.0,1
RC,367,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,367,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,367,PERCUT DRAIN LIVER LESION ,,,6587.0,6587.0,1
RC,367,"PERCUT/NEEDLE INSERT, PROS ",,,6587.0,6587.0,1
RC,367,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,367,PLACE GASTROSTOMY TUBE ,,,6587.0,6587.0,1
RC,367,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,367,PMA Skin Substitute Produc ,,,136.26,136.26,3
RC,367,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,367,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,367,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,367,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,367,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,367,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,367,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,367,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,367,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"PROSTATECTOMY, FIRST STAGE ",,,6587.0,6587.0,1
RC,367,"PROSTATECTOMY, SECOND STAGE ",,,6587.0,6587.0,1
RC,367,PROSTATIC WATER THERMOTHER ,,,6587.0,6587.0,1
RC,367,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,367,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,367,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,367,PUNCTURE PERITONEAL CAVITY ,,,6587.0,6587.0,1
RC,367,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,367,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,367,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,367,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,367,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,367,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,367,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,5381.0,18490.0,5
RC,367,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,8024.0,18490.0,5
RC,367,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,8024.0,18490.0,5
RC,367,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,8024.0,18490.0,5
RC,367,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,8024.0,18490.0,5
RC,367,Palatoplasty for cleft palate; major revision ,,,8024.0,23113.0,5
RC,367,Palatoplasty for cleft palate; secondary lengthening procedure ,,,8024.0,18490.0,5
RC,367,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,6587.0,6587.0,1
RC,367,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,6587.0,6587.0,1
RC,367,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,6587.0,6587.0,1
RC,367,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,6587.0,6587.0,1
RC,367,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,6587.0,6587.0,1
RC,367,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,6587.0,6587.0,1
RC,367,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,6587.0,6587.0,1
RC,367,"Pancreatectomy, total ",,,6587.0,6587.0,1
RC,367,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,6587.0,6587.0,1
RC,367,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,6587.0,6587.0,1
RC,367,Pancreatorrhaphy for injury ,,,6587.0,6587.0,1
RC,367,Panitumumab injection ,,,198.59,198.59,3
RC,367,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,2636.0,5932.0,5
RC,367,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,5286.0,6680.0,5
RC,367,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,5381.0,9908.0,5
RC,367,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,367,"Paraffin, per pound ",,,5.3,5.3,3
RC,367,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,367,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,2636.0,9908.0,5
RC,367,Parathyroidectomy or exploration of parathyroid(s); ,,,8024.0,23113.0,5
RC,367,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,8024.0,23113.0,5
RC,367,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,6587.0,6587.0,1
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,8024.0,18490.0,5
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,8024.0,18490.0,5
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,8024.0,19415.0,5
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,3293.0,5932.0,5
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,2636.0,5932.0,5
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,3293.0,5932.0,5
RC,367,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,7839.0,9908.0,5
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,8024.0,19415.0,5
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,8024.0,19415.0,5
RC,367,Partial Hospitalization (3 ,,,136.91,342.3,6
RC,367,Partial Hospitalization (4 ,,,179.39,448.48,6
RC,367,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,6587.0,6587.0,1
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,6587.0,6587.0,1
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,6587.0,6587.0,1
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,6587.0,6587.0,1
RC,367,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,6587.0,6587.0,1
RC,367,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,6587.0,6587.0,1
RC,367,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,367,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,367,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,367,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,367,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,367,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,367,Partial hymenectomy or revision of hymenal ring ,,,4693.0,5932.0,5
RC,367,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,8024.0,19415.0,5
RC,367,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,8024.0,19415.0,5
RC,367,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,367,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,367,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,367,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,367,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,367,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,367,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,367,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,367,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,367,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,367,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,367,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,367,Pegaspargase injection ,,,32333.72,32333.72,3
RC,367,Pegunigalsidase alfa-iwxj ,,,245.97,245.97,3
RC,367,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,367,Pelvic examination under anesthesia (other than local) ,,,5286.0,6680.0,5
RC,367,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,6587.0,6587.0,1
RC,367,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,6587.0,6587.0,1
RC,367,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,6587.0,6587.0,1
RC,367,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,6587.0,6587.0,1
RC,367,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,367,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,367,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,367,Penile plethysmography ,,,2636.0,5932.0,5
RC,367,"Penile revascularization, artery, with or without vein graft ",,,6587.0,6587.0,1
RC,367,Penile venous occlusive procedure ,,,7168.0,9908.0,5
RC,367,Pentostatin injection ,,,2940.81,2940.81,3
RC,367,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,367,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,6587.0,76895.0,5
RC,367,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,18288.0,23113.0,4
RC,367,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,18288.0,23113.0,4
RC,367,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,3293.0,5932.0,5
RC,367,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,3293.0,5932.0,5
RC,367,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,9908.0,4
RC,367,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,6680.0,4
RC,367,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,367,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4693.0,5932.0,4
RC,367,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,5286.0,8024.0,5
RC,367,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4693.0,8024.0,5
RC,367,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4693.0,8024.0,5
RC,367,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,7839.0,9908.0,5
RC,367,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,3293.0,5932.0,10
RC,367,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,14630.0,19415.0,8
RC,367,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,9908.0,4
RC,367,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7168.0,18490.0,5
RC,367,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,26718.0,33769.0,4
RC,367,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,26718.0,33769.0,4
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,8325.0,1
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,8325.0,1
RC,367,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,33769.0,5
RC,367,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,26718.0,33769.0,4
RC,367,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,7008.0,8325.0,3
RC,367,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,8024.0,33769.0,5
RC,367,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,18288.0,23113.0,4
RC,367,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,8024.0,33769.0,5
RC,367,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,14630.0,18490.0,4
RC,367,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,14630.0,18490.0,4
RC,367,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,15362.0,19415.0,4
RC,367,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,15362.0,19415.0,4
RC,367,"Pereyra procedure, including anterior colporrhaphy ",,,7168.0,18490.0,5
RC,367,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,367,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,5381.0,18490.0,5
RC,367,Periodontal mucosal grafting ,,,5286.0,6680.0,5
RC,367,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,367,Perirectal injection of sclerosing solution for prolapse ,,,2636.0,5932.0,5
RC,367,"Peritoneal lavage, including imaging guidance, when performed ",,,3293.0,6680.0,5
RC,367,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,6587.0,19415.0,5
RC,367,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,4693.0,6587.0,5
RC,367,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,5286.0,6680.0,5
RC,367,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,6587.0,9908.0,5
RC,367,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,367,Pertnscp cholangram w bx ,,,6587.0,6587.0,1
RC,367,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,367,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,367,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,367,Petrous apicectomy including radical mastoidectomy ,,,8024.0,23113.0,5
RC,367,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,2636.0,2636.0,1
RC,367,Pharyngoesophageal repair ,,,6587.0,6587.0,1
RC,367,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,5286.0,6680.0,5
RC,367,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,5286.0,6680.0,5
RC,367,Phenobarbital ,,,16.68,16.68,3
RC,367,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,367,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,367,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,367,Phenytoin; free ,,,15.0,15.0,3
RC,367,Phenytoin; total ,,,14.44,14.44,3
RC,367,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,367,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,367,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,367,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,367,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,367,Phosphatidylglycerol ,,,18.01,18.01,3
RC,367,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,367,Phosphohexose isomerase ,,,11.7,11.7,3
RC,367,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,367,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,367,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,367,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,367,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,2636.0,2636.0,1
RC,367,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,2636.0,2636.0,1
RC,367,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,2636.0,2636.0,1
RC,367,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,367,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,367,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,367,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,367,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,367,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,2636.0,2636.0,1
RC,367,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,367,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,367,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,367,Pinworm examinations ,,,4.65,4.65,3
RC,367,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,2636.0,2636.0,1
RC,367,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,5286.0,7168.0,5
RC,367,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,2636.0,19415.0,5
RC,367,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,4693.0,7168.0,5
RC,367,Placement of amniotic membrane on the ocular surface; without sutures ,,,3293.0,5932.0,5
RC,367,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,5286.0,7168.0,10
RC,367,Placement of choledochal stent ,,,6587.0,6587.0,1
RC,367,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,6587.0,6587.0,1
RC,367,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,6587.0,6587.0,1
RC,367,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,3293.0,3293.0,1
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,6587.0,6587.0,1
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,4693.0,5932.0,5
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,4693.0,5932.0,5
RC,367,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,4693.0,7168.0,5
RC,367,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,4693.0,5932.0,5
RC,367,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,5286.0,6680.0,5
RC,367,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,5286.0,6680.0,5
RC,367,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,2636.0,2636.0,1
RC,367,Placement of seton ,,,5381.0,9908.0,5
RC,367,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,7839.0,9908.0,15
RC,367,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,7168.0,9908.0,15
RC,367,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,5286.0,6680.0,5
RC,367,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,367,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,367,Plasma cryo redu path each ,,,145.8,145.8,3
RC,367,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,367,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,367,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,367,Plastic operation of penis for injury ,,,7168.0,19415.0,5
RC,367,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,7839.0,9908.0,5
RC,367,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,7839.0,9908.0,5
RC,367,Plastic operation on penis for epispadias distal to external sphincter; ,,,7168.0,9908.0,5
RC,367,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,8024.0,8024.0,1
RC,367,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,7168.0,9908.0,5
RC,367,Plastic operation on penis to correct angulation ,,,7839.0,9908.0,5
RC,367,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,7839.0,9908.0,5
RC,367,Plastic repair of canaliculi ,,,5286.0,6680.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,7839.0,9908.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,8024.0,23113.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,8024.0,23113.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,8024.0,23113.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,7839.0,9908.0,5
RC,367,Plastic repair of introitus ,,,5381.0,9908.0,5
RC,367,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,5381.0,9908.0,5
RC,367,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,8024.0,19415.0,5
RC,367,Plastic repair of urethrocele ,,,5381.0,9908.0,5
RC,367,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,367,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,367,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,367,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,367,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,367,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,367,Platelets pheresis path re ,,,662.1,662.1,3
RC,367,"Platelets, each unit ",,,57.96,57.96,3
RC,367,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,367,"Platelets, irradiated ",,,428.34,428.34,3
RC,367,"Platelets, pheresis ",,,336.77,336.77,3
RC,367,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,367,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,367,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,367,Plerixafor injection ,,,31.05,31.05,3
RC,367,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,367,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,367,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,367,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,367,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,367,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,367,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,367,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,367,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,367,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,367,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,367,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,367,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,367,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,367,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,367,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,367,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,367,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,367,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,367,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,367,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,367,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,367,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,367,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,367,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,367,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,367,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,367,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,367,"Portoenterostomy (eg, Kasai procedure) ",,,6587.0,6587.0,1
RC,367,Posaconazole ,,,29.55,29.55,3
RC,367,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,367,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,367,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,367,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,367,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,367,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,367,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,367,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,367,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,367,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,367,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,7168.0,18490.0,5
RC,367,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,2636.0,5932.0,5
RC,367,Postpartum care only (separate procedure) ,,,4693.0,6587.0,5
RC,367,Postural drainage board ,,,31.28,31.28,3
RC,367,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,367,Potassium; urine ,,,5.16,5.16,3
RC,367,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,367,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,367,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,367,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,367,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,367,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,367,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,367,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,367,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,367,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,367,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,367,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,367,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,367,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,367,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,367,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,367,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,367,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,367,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,367,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,367,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,367,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,367,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,367,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,367,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,367,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,367,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,367,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,367,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,367,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,367,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,367,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,367,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,367,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,367,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,367,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,367,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,367,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,367,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,367,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,367,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,367,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,367,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,367,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,367,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,367,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,367,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,367,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,367,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,367,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,367,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,367,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,367,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,367,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,367,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,367,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,367,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,367,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,367,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,367,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,367,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,367,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,367,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,367,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,367,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,367,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,367,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,367,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,367,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,367,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,367,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,367,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,367,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,367,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,367,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,367,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,367,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,367,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,367,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,367,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,367,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,367,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,367,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,367,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,367,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,367,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,367,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,367,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,367,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,367,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,367,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,367,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,367,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,367,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,367,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,367,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,367,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,367,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,367,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,367,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,367,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,367,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,367,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,367,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,367,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,367,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,367,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,367,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,367,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,367,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,367,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,367,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,367,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,367,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,367,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,367,Pralatrexate injection ,,,420.87,420.87,3
RC,367,Prealbumin ,,,15.9,15.9,3
RC,367,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,367,Pregnanediol ,,,23.18,23.18,3
RC,367,Pregnanetriol ,,,22.94,22.94,3
RC,367,Pregnenolone ,,,22.53,22.53,3
RC,367,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,367,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,4693.0,6587.0,5
RC,367,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,4693.0,5932.0,4
RC,367,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,367,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,367,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,367,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,367,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,367,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,367,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,367,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,367,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,367,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,367,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,367,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,367,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,367,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,367,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,367,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,367,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,367,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,367,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,6587.0,6587.0,1
RC,367,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,367,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,2636.0,33769.0,10
RC,367,Primidone ,,,18.08,18.08,3
RC,367,"Prism, per lens ",,,17.53,17.53,3
RC,367,"Probing of lacrimal canaliculi, with or without irrigation ",,,2636.0,5932.0,5
RC,367,"Probing of nasolacrimal duct, with or without irrigation; ",,,2636.0,5932.0,5
RC,367,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,5286.0,6680.0,5
RC,367,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,5286.0,6680.0,5
RC,367,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,5286.0,6680.0,5
RC,367,Procainamide hcl injection ,,,321.94,321.94,3
RC,367,Procainamide; ,,,65.4,65.4,3
RC,367,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,367,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,367,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,6587.0,6587.0,1
RC,367,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,6587.0,6587.0,1
RC,367,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,6587.0,6587.0,1
RC,367,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,6587.0,6587.0,1
RC,367,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,6587.0,6587.0,1
RC,367,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,6587.0,6587.0,1
RC,367,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,6587.0,6587.0,1
RC,367,"Proctectomy, partial, without anastomosis, perineal approach ",,,8024.0,8024.0,1
RC,367,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,6587.0,6587.0,1
RC,367,"Proctectomy; partial resection of rectum, transabdominal approach ",,,6587.0,6587.0,1
RC,367,"Proctopexy (eg, for prolapse); abdominal approach ",,,6587.0,6587.0,1
RC,367,"Proctopexy (eg, for prolapse); perineal approach ",,,5286.0,7168.0,5
RC,367,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,6587.0,6587.0,1
RC,367,Proctoplasty; for prolapse of mucous membrane ,,,5286.0,7168.0,5
RC,367,Proctoplasty; for stenosis ,,,5286.0,6680.0,5
RC,367,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,3293.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,4693.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,4693.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,4693.0,6587.0,5
RC,367,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,4693.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,4693.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,4693.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,4693.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,4693.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,4693.0,5932.0,5
RC,367,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,4693.0,7168.0,5
RC,367,Progesterone ,,,22.74,22.74,3
RC,367,Proinsulin ,,,29.09,29.09,3
RC,367,Prolactin ,,,21.12,21.12,3
RC,367,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,2636.0,6680.0,5
RC,367,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,3293.0,5932.0,5
RC,367,"Prostaglandin, each ",,,45.53,45.53,3
RC,367,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,367,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,367,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,367,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,367,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,6587.0,6587.0,1
RC,367,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,6587.0,6587.0,1
RC,367,"Prostatectomy, perineal radical; ",,,6587.0,6587.0,1
RC,367,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,6587.0,6587.0,1
RC,367,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,6587.0,6587.0,1
RC,367,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,6587.0,6587.0,1
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,6587.0,6587.0,1
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,6587.0,23113.0,5
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,6587.0,6587.0,1
RC,367,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,5286.0,6680.0,5
RC,367,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,4693.0,5932.0,5
RC,367,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,367,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,367,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,367,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,367,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,367,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,367,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,367,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,367,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,367,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,367,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,367,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,367,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,367,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,367,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,367,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,367,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,367,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,367,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,367,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,367,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,367,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,367,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,367,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,367,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,367,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,367,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,367,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,367,Prothrombin time; ,,,4.68,4.68,3
RC,367,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,367,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,367,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,367,Pulmonary Treatment ,,,239.77,239.77,3
RC,367,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,367,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,367,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,367,Pump for water circulating pad ,,,68.74,68.74,3
RC,367,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,3293.0,3293.0,1
RC,367,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,3293.0,5932.0,5
RC,367,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,6587.0,6587.0,1
RC,367,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,6587.0,6587.0,1
RC,367,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,6587.0,6587.0,1
RC,367,"Pyelotomy; with drainage, pyelostomy ",,,6587.0,6587.0,1
RC,367,Pyelotomy; with exploration ,,,6587.0,6587.0,1
RC,367,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,6587.0,6587.0,1
RC,367,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,6587.0,6587.0,1
RC,367,Pyloroplasty ,,,6587.0,6587.0,1
RC,367,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,367,Pyruvate ,,,15.78,15.78,3
RC,367,Pyruvate kinase ,,,10.29,10.29,3
RC,367,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,367,Quinidine ,,,15.91,15.91,3
RC,367,Quinine ,,,12.68,12.68,3
RC,367,RBC deglycerolized ,,,341.17,341.17,3
RC,367,RBC irradiated ,,,158.29,158.29,3
RC,367,RBC leukocytes reduced ,,,201.55,201.55,3
RC,367,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,367,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,367,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,367,RECONSTRUCTION OF URETHRA ,,,6587.0,6587.0,1
RC,367,REDUCTION OF SKULL DEFECT ,,,6587.0,6587.0,1
RC,367,REMOVAL OF ABDOMINAL FLUID ,,,6587.0,6587.0,1
RC,367,REMOVAL OF ABDOMINAL LESION ,,,6587.0,6587.0,1
RC,367,REMOVAL OF ANAL CRYPT ,,,6587.0,6587.0,1
RC,367,REMOVAL OF ANAL CRYPTS ,,,6587.0,6587.0,1
RC,367,REMOVAL OF BRAIN TISSUE ,,,6587.0,6587.0,1
RC,367,REMOVAL OF COLON/ILEOSTOMY ,,,6587.0,6587.0,2
RC,367,REMOVAL OF LEG VEIN ,,,6587.0,6587.0,1
RC,367,REMOVAL OF LEG VEINS ,,,6587.0,6587.0,1
RC,367,"REMOVAL OF STOMACH, PARTIAL ",,,6587.0,6587.0,2
RC,367,REMOVAL OF TESTIS LESION ,,,6587.0,6587.0,1
RC,367,"REMOVE ABDOM LESION, COMPLEX ",,,6587.0,6587.0,1
RC,367,REMOVE ABDOMEN FOREIGN BODY ,,,6587.0,6587.0,1
RC,367,REMOVE BILE DUCT STONE ,,,6587.0,6587.0,1
RC,367,REMOVE MULTI-COMP PROSTHESIS ,,,6587.0,6587.0,1
RC,367,REMOVE PENIS PROSTHESIS ,,,6587.0,6587.0,1
RC,367,REMOVE RESIDUAL PROSTATE ,,,6587.0,6587.0,1
RC,367,RENAL ABSCESS PERCUT DRAIN ,,,6587.0,6587.0,1
RC,367,RENAL ENDOSCOPY/RADIOTRACER ,,,6587.0,6587.0,2
RC,367,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7168.0,7168.0,1
RC,367,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7168.0,7168.0,1
RC,367,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7168.0,7168.0,1
RC,367,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7168.0,7168.0,1
RC,367,REPAIR OF DIAPHRAGM HERNIA ,,,6587.0,6587.0,3
RC,367,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5381.0,5381.0,1
RC,367,REPAIR PARAESOPHAGEAL HERNIA ,,,6587.0,6587.0,1
RC,367,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7168.0,7168.0,1
RC,367,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7168.0,7168.0,1
RC,367,REPAIR SPIGELIAN HERNIA ,,,7168.0,7168.0,1
RC,367,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7168.0,7168.0,1
RC,367,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7168.0,7168.0,1
RC,367,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7168.0,7168.0,1
RC,367,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7168.0,7168.0,1
RC,367,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,7008.0,1
RC,367,REREPAIR DETACHED RETINA ,,,6587.0,6587.0,1
RC,367,RESECT/DEBRIDE PANCREAS ,,,6587.0,6587.0,1
RC,367,REVISE ESOPHAGUS & STOMACH ,,,6587.0,6587.0,2
RC,367,REVISE PENIS PROSTHESIS ,,,6587.0,6587.0,1
RC,367,REVISE/REINSERT BILE TUBE ,,,6587.0,6587.0,1
RC,367,REVISE/REMOVE NEUROELECTRODE ,,,6587.0,6587.0,1
RC,367,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,8024.0,8024.0,1
RC,367,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY ,,,6587.0,6587.0,1
RC,367,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY ,,,6587.0,6587.0,1
RC,367,REVISION OF MAJOR VEIN ,,,6587.0,6587.0,1
RC,367,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,367,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,367,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,367,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,367,"Rabies vaccine, id ",,,258.18,258.18,3
RC,367,"Rabies vaccine, im ",,,361.85,361.85,3
RC,367,Radial keratotomy ,,,5381.0,23113.0,5
RC,367,Radiation tx delivery lvl ,,,85.19,419.55,9
RC,367,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,6587.0,23113.0,5
RC,367,Radical excision external auditory canal lesion; with neck dissection ,,,6587.0,6587.0,1
RC,367,Radical excision external auditory canal lesion; without neck dissection ,,,5381.0,9908.0,5
RC,367,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,8024.0,8024.0,1
RC,367,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,6587.0,6587.0,1
RC,367,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,5381.0,5381.0,1
RC,367,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,6587.0,6587.0,1
RC,367,Radiesse injection ,,,380.62,380.62,3
RC,367,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,6587.0,19415.0,5
RC,367,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,367,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,367,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,367,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,367,Ranibizumab injection ,,,55.69,55.69,3
RC,367,Rasburicase ,,,422.32,422.32,3
RC,367,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,367,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,367,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,367,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,367,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,6587.0,6587.0,1
RC,367,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,367,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,367,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,367,Receptor assay; estrogen ,,,95.79,95.79,3
RC,367,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,367,Receptor assay; progesterone ,,,70.72,70.72,3
RC,367,Recipient nephrectomy (separate procedure) ,,,6587.0,6587.0,1
RC,367,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,367,"Reconstruction external auditory canal for congenital atresia, single stage ",,,8024.0,23113.0,5
RC,367,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,7839.0,9908.0,5
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,5381.0,9908.0,5
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,5381.0,9908.0,5
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,5381.0,9908.0,5
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,5381.0,9908.0,5
RC,367,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,6587.0,6587.0,1
RC,367,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,367,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,367,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,4693.0,5932.0,4
RC,367,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,2636.0,2636.0,1
RC,367,Red blood cells unit ,,,164.12,164.12,3
RC,367,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,6587.0,6587.0,1
RC,367,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,6587.0,6587.0,1
RC,367,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,367,Reduction of overcorrection of ptosis ,,,5381.0,19415.0,5
RC,367,Reduction of procidentia (separate procedure) under anesthesia ,,,3293.0,5932.0,5
RC,367,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,5381.0,19415.0,5
RC,367,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,6587.0,76895.0,5
RC,367,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,2636.0,2636.0,1
RC,367,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,2636.0,2636.0,1
RC,367,Regulator ,,,43.99,43.99,3
RC,367,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,367,Reinsertion of ocular implant; with or without conjunctival graft ,,,5286.0,6680.0,5
RC,367,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,7168.0,9908.0,5
RC,367,Release of encircling material (posterior segment) ,,,5286.0,6680.0,5
RC,367,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,5381.0,23113.0,5
RC,367,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,367,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,367,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,367,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,367,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,367,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,4693.0,5932.0,5
RC,367,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,4693.0,5932.0,5
RC,367,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,4693.0,5932.0,5
RC,367,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,3293.0,5932.0,5
RC,367,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,7668.0,9908.0,5
RC,367,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,2636.0,18490.0,5
RC,367,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,4693.0,5932.0,5
RC,367,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,6680.0,4
RC,367,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,4693.0,7668.0,5
RC,367,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,3293.0,3293.0,1
RC,367,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,7668.0,9908.0,5
RC,367,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,6587.0,19415.0,5
RC,367,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,4693.0,5932.0,5
RC,367,Removal foreign body from external auditory canal; with general anesthesia ,,,4693.0,5932.0,5
RC,367,Removal foreign body from external auditory canal; without general anesthesia ,,,2636.0,2636.0,1
RC,367,"Removal impacted cerumen requiring instrumentation, unilateral ",,,2636.0,5932.0,5
RC,367,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,2636.0,5932.0,5
RC,367,"Removal of Thiersch wire or suture, anal canal ",,,4723.0,6680.0,5
RC,367,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,7168.0,9908.0,5
RC,367,"Removal of anal seton, other marker ",,,3293.0,5932.0,5
RC,367,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,5286.0,6680.0,4
RC,367,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,5286.0,6680.0,4
RC,367,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,5286.0,6680.0,4
RC,367,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,3293.0,5932.0,5
RC,367,"Removal of blood clot, anterior segment of eye ",,,5381.0,18490.0,5
RC,367,Removal of bone flap or prosthetic plate of skull ,,,6587.0,6587.0,1
RC,367,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,2636.0,5932.0,5
RC,367,Removal of cerclage suture under anesthesia (other than local) ,,,5381.0,18490.0,5
RC,367,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,6587.0,6587.0,1
RC,367,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,4723.0,6680.0,5
RC,367,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,4693.0,5932.0,5
RC,367,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,3293.0,5932.0,5
RC,367,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4693.0,7168.0,5
RC,367,Removal of embedded foreign body from dentoalveolar structures; bone ,,,4693.0,5932.0,5
RC,367,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,4693.0,5932.0,5
RC,367,"Removal of embedded foreign body, eyelid ",,,2636.0,5932.0,5
RC,367,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,5286.0,6680.0,5
RC,367,"Removal of embedded foreign body, vestibule of mouth; simple ",,,2636.0,2636.0,1
RC,367,Removal of entire lumbosubarachnoid shunt system without replacement ,,,5286.0,6680.0,5
RC,367,"Removal of epithelial downgrowth, anterior chamber of eye ",,,5381.0,18490.0,5
RC,367,Removal of esophageal sphincter augmentation device ,,,7008.0,7008.0,1
RC,367,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,4693.0,5932.0,5
RC,367,Removal of foreign body from pharynx ,,,2636.0,5932.0,5
RC,367,Removal of foreign body in scrotum ,,,5286.0,6680.0,5
RC,367,"Removal of foreign body or dacryolith, lacrimal passages ",,,2636.0,5932.0,5
RC,367,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,2636.0,2636.0,1
RC,367,"Removal of foreign body, external eye; conjunctival superficial ",,,2636.0,2636.0,1
RC,367,"Removal of foreign body, external eye; corneal, with slit lamp ",,,2636.0,2636.0,1
RC,367,"Removal of foreign body, external eye; corneal, without slit lamp ",,,2636.0,2636.0,1
RC,367,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,5286.0,6680.0,5
RC,367,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,2636.0,9908.0,5
RC,367,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,5381.0,19415.0,5
RC,367,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,5932.0,4
RC,367,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4693.0,6587.0,5
RC,367,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,5932.0,4
RC,367,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,2636.0,2636.0,1
RC,367,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,5286.0,6680.0,5
RC,367,"Removal of implanted material, anterior segment of eye ",,,5381.0,23113.0,5
RC,367,"Removal of implanted material, posterior segment; extraocular ",,,5286.0,6680.0,5
RC,367,"Removal of implanted material, posterior segment; intraocular ",,,5286.0,8024.0,5
RC,367,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,4693.0,7168.0,5
RC,367,Removal of intrauterine device (IUD) ,,,2636.0,5932.0,5
RC,367,"Removal of lens material; aspiration technique, 1 or more stages ",,,5381.0,19415.0,5
RC,367,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,4723.0,18490.0,5
RC,367,Removal of lens material; intracapsular ,,,5381.0,19415.0,5
RC,367,"Removal of lens material; intracapsular, for dislocated lens ",,,5381.0,18490.0,5
RC,367,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,8024.0,19415.0,5
RC,367,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,5381.0,23113.0,5
RC,367,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,3293.0,5932.0,5
RC,367,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,4693.0,5932.0,4
RC,367,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,7168.0,9908.0,5
RC,367,Removal of ocular implant ,,,4693.0,6587.0,5
RC,367,Removal of pancreatic calculus ,,,6587.0,6587.0,1
RC,367,Removal of peritoneal foreign body from peritoneal cavity ,,,5286.0,7168.0,5
RC,367,Removal of peritoneal-venous shunt ,,,5286.0,6680.0,5
RC,367,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,18288.0,23113.0,4
RC,367,Removal of previously implanted intrathecal or epidural catheter ,,,5286.0,6680.0,5
RC,367,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,5381.0,19415.0,5
RC,367,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,5286.0,6680.0,5
RC,367,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4693.0,5932.0,5
RC,367,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,5932.0,5
RC,367,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,5286.0,7168.0,5
RC,367,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,4693.0,6587.0,5
RC,367,"Removal of transplanted intestinal allograft, complete ",,,6587.0,6587.0,1
RC,367,Removal of transplanted pancreatic allograft ,,,6587.0,6587.0,1
RC,367,Removal of transplanted renal allograft ,,,6587.0,6587.0,1
RC,367,"Removal of tumor, temporal bone ",,,8024.0,19415.0,5
RC,367,Removal of tunneled intraperitoneal catheter ,,,4693.0,5932.0,5
RC,367,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,5381.0,19415.0,5
RC,367,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,5381.0,19415.0,5
RC,367,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,4693.0,8024.0,5
RC,367,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,4693.0,7168.0,5
RC,367,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,5381.0,18490.0,5
RC,367,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,4693.0,5932.0,4
RC,367,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,5286.0,6680.0,5
RC,367,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,5286.0,6680.0,5
RC,367,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,5286.0,6680.0,5
RC,367,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,6587.0,6587.0,1
RC,367,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,6587.0,6587.0,1
RC,367,"Renal autotransplantation, reimplantation of kidney ",,,6587.0,6587.0,1
RC,367,Renal biopsy; by surgical exposure of kidney ,,,6587.0,6587.0,1
RC,367,"Renal biopsy; percutaneous, by trocar or needle ",,,4693.0,5932.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,3293.0,5932.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,3293.0,5932.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,4693.0,5932.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,4693.0,5932.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,3293.0,6680.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,4693.0,5932.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,3293.0,5932.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,3293.0,5932.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,8024.0,8024.0,1
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,4693.0,5932.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,4693.0,5932.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,3293.0,5932.0,5
RC,367,"Renal exploration, not necessitating other specific procedures ",,,6587.0,6587.0,1
RC,367,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,367,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,367,Renin ,,,23.97,23.97,3
RC,367,Reopening of recent laparotomy ,,,6587.0,6587.0,1
RC,367,Repair incomplete circumcision ,,,5286.0,6680.0,5
RC,367,"Repair inguinal hernia, sliding, any age ",,,7168.0,19415.0,5
RC,367,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,7168.0,19415.0,5
RC,367,"Repair initial femoral hernia, any age; reducible ",,,7168.0,18490.0,5
RC,367,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,7168.0,19415.0,5
RC,367,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,7168.0,19415.0,5
RC,367,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,7168.0,19415.0,5
RC,367,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,7168.0,19415.0,5
RC,367,"Repair lip, full thickness; over one-half vertical height, or complex ",,,3293.0,9908.0,5
RC,367,"Repair lip, full thickness; up to half vertical height ",,,3293.0,9908.0,5
RC,367,"Repair lip, full thickness; vermilion only ",,,3293.0,9908.0,5
RC,367,Repair lumbar hernia ,,,5286.0,7168.0,5
RC,367,Repair of anal fistula with fibrin glue ,,,4693.0,5932.0,5
RC,367,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,7168.0,7168.0,1
RC,367,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,15362.0,19415.0,4
RC,367,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,6587.0,19415.0,30
RC,367,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,6587.0,19415.0,30
RC,367,"Repair of anterior palate, including vomer flap ",,,8024.0,18490.0,5
RC,367,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,5381.0,19415.0,5
RC,367,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,5381.0,19415.0,5
RC,367,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,5381.0,19415.0,5
RC,367,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,7168.0,18490.0,5
RC,367,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,5381.0,18490.0,5
RC,367,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,5381.0,18490.0,5
RC,367,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,5381.0,19415.0,5
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,6587.0,6587.0,1
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,6587.0,6587.0,1
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,6587.0,6587.0,1
RC,367,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,8024.0,18490.0,5
RC,367,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,7839.0,9908.0,5
RC,367,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,6587.0,6587.0,1
RC,367,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,6587.0,6587.0,1
RC,367,Repair of ectropion; excision tarsal wedge ,,,5381.0,19415.0,5
RC,367,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,6587.0,19415.0,5
RC,367,Repair of ectropion; suture ,,,5381.0,9908.0,5
RC,367,Repair of ectropion; thermocauterization ,,,5381.0,9908.0,5
RC,367,"Repair of encephalocele, skull vault, including cranioplasty ",,,6587.0,6587.0,1
RC,367,"Repair of enterocele, abdominal approach (separate procedure) ",,,5381.0,5381.0,1
RC,367,"Repair of enterocele, vaginal approach (separate procedure) ",,,5381.0,9908.0,5
RC,367,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5286.0,6680.0,4
RC,367,Repair of entropion; excision tarsal wedge ,,,5381.0,19415.0,5
RC,367,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,5381.0,19415.0,5
RC,367,Repair of entropion; suture ,,,5381.0,9908.0,5
RC,367,Repair of entropion; thermocauterization ,,,5381.0,9908.0,5
RC,367,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,6587.0,6587.0,1
RC,367,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,6587.0,6587.0,1
RC,367,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,6587.0,6587.0,1
RC,367,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,6587.0,6587.0,1
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,7168.0,9908.0,5
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,7168.0,9908.0,5
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,7168.0,9908.0,5
RC,367,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,6587.0,9908.0,5
RC,367,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,6587.0,9908.0,5
RC,367,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,4693.0,7168.0,5
RC,367,"Repair of iris, ciliary body (as for iridodialysis) ",,,5381.0,9908.0,5
RC,367,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,2636.0,6680.0,5
RC,367,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,2636.0,6680.0,5
RC,367,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,3293.0,6680.0,5
RC,367,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,4723.0,6680.0,5
RC,367,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,5286.0,6680.0,5
RC,367,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,5286.0,6680.0,5
RC,367,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,5286.0,6680.0,5
RC,367,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,5381.0,19415.0,5
RC,367,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,5381.0,19415.0,5
RC,367,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,7168.0,19415.0,5
RC,367,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,6587.0,19415.0,5
RC,367,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,6587.0,6587.0,1
RC,367,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,6587.0,6587.0,1
RC,367,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,6587.0,6587.0,1
RC,367,Repair of meningocele; larger than 5 cm diameter ,,,6587.0,6587.0,1
RC,367,Repair of meningocele; less than 5 cm diameter ,,,6587.0,6587.0,1
RC,367,Repair of myelomeningocele; larger than 5 cm diameter ,,,6587.0,6587.0,1
RC,367,Repair of myelomeningocele; less than 5 cm diameter ,,,6587.0,6587.0,1
RC,367,Repair of nasolabial fistula ,,,5381.0,19415.0,5
RC,367,Repair of omphalocele (Gross type operation); first stage ,,,6587.0,6587.0,1
RC,367,Repair of omphalocele (Gross type operation); second stage ,,,6587.0,6587.0,1
RC,367,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,367,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,6587.0,18490.0,5
RC,367,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,6587.0,19415.0,5
RC,367,Repair of rectocele (separate procedure) ,,,5286.0,7168.0,5
RC,367,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,5381.0,19415.0,5
RC,367,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,3293.0,18490.0,5
RC,367,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,5381.0,5381.0,1
RC,367,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,8024.0,18490.0,5
RC,367,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,8024.0,23113.0,5
RC,367,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,6587.0,6587.0,1
RC,367,Repair of scleral staphyloma with graft ,,,5381.0,19415.0,5
RC,367,"Repair of small omphalocele, with primary closure ",,,7168.0,19415.0,5
RC,367,"Repair of symblepharon; conjunctivoplasty, without graft ",,,5381.0,19415.0,5
RC,367,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,5381.0,19415.0,5
RC,367,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,7168.0,19415.0,5
RC,367,Repair of traumatic corporeal tear(s) ,,,5286.0,6680.0,5
RC,367,Repair of tunica vaginalis hydrocele (Bottle type) ,,,5381.0,19415.0,5
RC,367,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,5381.0,9908.0,5
RC,367,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,367,Repair oval window fistula ,,,5381.0,19415.0,5
RC,367,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,367,Repair recurrent femoral hernia; incarcerated or strangulated ,,,7168.0,19415.0,5
RC,367,Repair recurrent femoral hernia; reducible ,,,7168.0,18490.0,5
RC,367,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,7168.0,19415.0,5
RC,367,"Repair recurrent inguinal hernia, any age; reducible ",,,7168.0,19415.0,5
RC,367,Repair round window fistula ,,,5381.0,19415.0,5
RC,367,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,6587.0,6587.0,1
RC,367,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,6587.0,6587.0,1
RC,367,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,7168.0,19415.0,10
RC,367,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,7168.0,18490.0,5
RC,367,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,7168.0,19415.0,5
RC,367,"Repair, laceration of diaphragm, any approach ",,,6587.0,6587.0,1
RC,367,"Repair, laceration of palate; over 2 cm or complex ",,,5286.0,6680.0,5
RC,367,"Repair, laceration of palate; up to 2 cm ",,,2636.0,5932.0,5
RC,367,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,6587.0,6587.0,1
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,367,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,367,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,6587.0,6587.0,1
RC,367,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,367,Replace high roll cuff ,,,398.06,398.06,3
RC,367,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,367,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,367,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,367,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,367,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,367,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,367,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,367,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,367,Replace pretibial shell ,,,724.27,724.27,3
RC,367,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,367,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,367,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,367,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,367,Replace trilateral socket brim ,,,862.54,862.54,3
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,6587.0,33769.0,5
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,6587.0,33769.0,5
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,6587.0,33769.0,5
RC,367,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,367,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,367,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,367,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,367,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,367,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,367,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,367,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,367,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,367,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,367,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,367,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,367,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,367,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,367,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,367,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,367,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,367,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,367,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,367,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,367,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,6587.0,6587.0,1
RC,367,Replacement of bone flap or prosthetic plate of skull ,,,6587.0,6587.0,1
RC,367,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,3293.0,5932.0,5
RC,367,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,3293.0,5932.0,5
RC,367,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,3293.0,5932.0,5
RC,367,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,4693.0,6587.0,5
RC,367,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,4693.0,6587.0,5
RC,367,"Replacement or irrigation, subarachnoid/subdural catheter ",,,4693.0,5932.0,5
RC,367,"Replacement or irrigation, ventricular catheter ",,,4693.0,5932.0,5
RC,367,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,5286.0,7168.0,5
RC,367,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,367,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,367,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,367,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,367,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,367,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,367,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,367,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,367,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,367,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,7168.0,9908.0,5
RC,367,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,367,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,367,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,367,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,367,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,367,"Replantation, penis, complete amputation including urethral repair ",,,6587.0,6587.0,1
RC,367,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,4693.0,5932.0,5
RC,367,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,5381.0,19415.0,5
RC,367,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,7168.0,9908.0,5
RC,367,Reprogramming of programmable cerebrospinal shunt ,,,2636.0,2636.0,1
RC,367,Reptilase test ,,,10.74,10.74,3
RC,367,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,7168.0,7168.0,1
RC,367,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,6587.0,6587.0,1
RC,367,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,6587.0,6587.0,1
RC,367,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,6587.0,6587.0,1
RC,367,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,6587.0,6587.0,1
RC,367,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,8024.0,23113.0,5
RC,367,"Resection of lip, more than one-fourth, without reconstruction ",,,5286.0,6680.0,5
RC,367,Resection of mediastinal cyst ,,,6587.0,6587.0,1
RC,367,Resection of mediastinal tumor ,,,6587.0,6587.0,1
RC,367,Resection of palate or extensive resection of lesion ,,,5381.0,19415.0,5
RC,367,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,6587.0,6587.0,1
RC,367,Resection of scrotum ,,,4693.0,5932.0,5
RC,367,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,6587.0,6587.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,6587.0,6587.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,6587.0,6587.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,6587.0,6587.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,6587.0,6587.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,6587.0,6587.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,6587.0,6587.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,6587.0,6587.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,6587.0,6587.0,1
RC,367,"Resection temporal bone, external approach ",,,6587.0,6587.0,1
RC,367,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,6587.0,6587.0,1
RC,367,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,6587.0,6587.0,1
RC,367,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,367,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,367,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,367,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,367,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,367,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,367,Resuscitation and Cardiove ,,,723.71,723.71,3
RC,367,Reticulated platelet assay ,,,38.96,38.96,3
RC,367,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,7168.0,9908.0,5
RC,367,Retrobulbar injection; alcohol ,,,2636.0,5932.0,5
RC,367,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,2636.0,2636.0,1
RC,367,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,367,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,15362.0,19415.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,14630.0,18490.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,14630.0,18490.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,14630.0,18490.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,7008.0,7008.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,8024.0,8024.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,7668.0,7668.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,7008.0,7008.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,8024.0,8024.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,8024.0,8024.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,8024.0,8024.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,7008.0,7008.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,14630.0,18490.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,14630.0,18490.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,15362.0,19415.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15362.0,19415.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,7008.0,7008.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,8024.0,8024.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,7668.0,7668.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,7008.0,7008.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,15362.0,19415.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,15362.0,19415.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,15362.0,19415.0,4
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,7008.0,7008.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,8024.0,8024.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,8024.0,8024.0,1
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,8024.0,8024.0,1
RC,367,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,7168.0,7168.0,1
RC,367,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,6587.0,6587.0,1
RC,367,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,5381.0,9908.0,5
RC,367,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4693.0,8024.0,5
RC,367,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,8024.0,5
RC,367,Revision mastoidectomy; resulting in complete mastoidectomy ,,,8024.0,23113.0,5
RC,367,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,8024.0,23113.0,5
RC,367,Revision mastoidectomy; resulting in radical mastoidectomy ,,,8024.0,23113.0,5
RC,367,Revision mastoidectomy; resulting in tympanoplasty ,,,8024.0,23113.0,5
RC,367,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,5286.0,8024.0,5
RC,367,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,7839.0,9908.0,5
RC,367,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,7168.0,19415.0,5
RC,367,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,7168.0,9908.0,5
RC,367,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,7168.0,19415.0,5
RC,367,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,6587.0,6587.0,1
RC,367,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,6587.0,6587.0,1
RC,367,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,6587.0,19415.0,5
RC,367,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,4693.0,7168.0,5
RC,367,Revision of peritoneal-venous shunt ,,,5286.0,7168.0,5
RC,367,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,7839.0,9908.0,5
RC,367,Revision of stapedectomy or stapedotomy ,,,8024.0,18490.0,5
RC,367,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,7008.0,33769.0,5
RC,367,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,5381.0,5381.0,1
RC,367,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,6587.0,6587.0,1
RC,367,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,5286.0,7168.0,5
RC,367,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,6587.0,6587.0,1
RC,367,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4693.0,5932.0,5
RC,367,Revision or removal of intracranial neurostimulator electrodes ,,,5381.0,5381.0,1
RC,367,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,4693.0,6587.0,5
RC,367,Revision or removal of peripheral neurostimulator electrode array ,,,4693.0,5932.0,5
RC,367,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4693.0,5932.0,5
RC,367,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,5286.0,6680.0,5
RC,367,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,7839.0,9908.0,4
RC,367,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,7839.0,9908.0,4
RC,367,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,5286.0,8024.0,5
RC,367,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,5286.0,6680.0,5
RC,367,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,6680.0,4
RC,367,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,6680.0,4
RC,367,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,5381.0,9908.0,5
RC,367,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,15362.0,19415.0,4
RC,367,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,15362.0,19415.0,4
RC,367,Rh ig minidose im ,,,87.2,87.2,3
RC,367,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,367,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,367,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,367,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,367,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7168.0,7168.0,1
RC,367,"Risperidone, long acting ",,,12.1,12.1,3
RC,367,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,367,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,367,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,6587.0,6587.0,1
RC,367,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,6587.0,6587.0,1
RC,367,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,6587.0,6587.0,1
RC,367,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,6587.0,6587.0,1
RC,367,Rsv mab im 50mg ,,,476.06,476.06,3
RC,367,Rufinamide ,,,29.55,29.55,3
RC,367,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,367,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,367,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,367,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,367,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,367,SIGMOIDOSCOPY W/ABLATE TUMR ,,,6587.0,6587.0,1
RC,367,SIGMOIDOSCOPY W/STENT ,,,6587.0,6587.0,1
RC,367,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,367,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,367,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,367,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,367,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,367,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,367,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,7168.0,7168.0,1
RC,367,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,367,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,6587.0,6587.0,1
RC,367,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,4723.0,4723.0,1
RC,367,STRIP RETINAL MEMBRANE ,,,6587.0,6587.0,1
RC,367,SURGICAL COLONOSCOPY ,,,6587.0,6587.0,1
RC,367,SURGICAL OPENING ESOPHAGUS ,,,6587.0,6587.0,1
RC,367,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,6587.0,6587.0,1
RC,367,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,367,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,367,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,367,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,367,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,367,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,367,Salicylate ,,,20.32,20.32,3
RC,367,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,7168.0,18490.0,5
RC,367,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,8024.0,18490.0,5
RC,367,Salpingostomy (salpingoneostomy) ,,,5381.0,18490.0,5
RC,367,Sargramostim injection ,,,68.1,68.1,3
RC,367,Scleral cover shell ,,,1932.53,1932.53,3
RC,367,Scleral reinforcement (separate procedure); with graft ,,,5381.0,9908.0,5
RC,367,Scleral reinforcement (separate procedure); without graft ,,,5381.0,9908.0,5
RC,367,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,4723.0,6680.0,5
RC,367,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,367,"Scraping of cornea, diagnostic, for smear and/or culture ",,,2636.0,2636.0,1
RC,367,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,367,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,367,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,367,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,367,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,367,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,367,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,367,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,367,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,367,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,367,Scrotal exploration ,,,5286.0,6680.0,5
RC,367,Scrotoplasty; complicated ,,,5286.0,6680.0,5
RC,367,Scrotoplasty; simple ,,,4693.0,6587.0,5
RC,367,"Seat attachment, walker ",,,20.26,20.26,3
RC,367,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,367,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,367,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,367,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,2636.0,5932.0,5
RC,367,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,6587.0,6587.0,1
RC,367,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,6587.0,6587.0,1
RC,367,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,367,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,367,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,367,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,367,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,367,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,367,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,367,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,367,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,367,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,367,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,367,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,367,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,367,Selenium ,,,27.83,27.83,3
RC,367,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,367,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,367,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,367,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,367,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,367,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,367,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,367,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,367,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,367,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,367,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,367,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,367,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,367,Serotonin ,,,33.77,33.77,3
RC,367,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,367,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,367,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,367,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,367,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,367,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,367,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,367,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,367,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,367,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,367,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,5381.0,19415.0,5
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,5381.0,19415.0,5
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,4693.0,5932.0,5
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,5381.0,19415.0,5
RC,367,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,3293.0,19415.0,5
RC,367,Severing of tarsorrhaphy ,,,3293.0,5932.0,5
RC,367,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,3293.0,6680.0,5
RC,367,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,367,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,367,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,367,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,367,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,367,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,367,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,367,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,367,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,367,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,367,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,367,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,367,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,367,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,367,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,367,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,367,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,367,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,367,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,367,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,367,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,367,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,367,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,367,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,367,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,367,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,367,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,367,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,367,Sialic acid ,,,14.65,14.65,3
RC,367,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,4723.0,6680.0,5
RC,367,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,5381.0,9908.0,5
RC,367,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,4693.0,5932.0,5
RC,367,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,367,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,3293.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,3293.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,3293.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,3293.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,4693.0,5932.0,5
RC,367,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,4693.0,5932.0,5
RC,367,Silica ,,,27.48,27.48,3
RC,367,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,4693.0,6587.0,5
RC,367,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,6587.0,6587.0,1
RC,367,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,367,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,367,Sirolimus ,,,14.97,14.97,3
RC,367,Sitz bath chair ,,,192.39,192.39,3
RC,367,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,367,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,367,"Six volt battery, each ",,,321.31,321.31,3
RC,367,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,367,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,367,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,367,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,367,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,367,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,367,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,367,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,367,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,367,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,367,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,367,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,367,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,367,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,367,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,5286.0,7008.0,5
RC,367,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,8024.0,18490.0,5
RC,367,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,367,Slings ,,,11.97,11.97,3
RC,367,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,5286.0,6680.0,5
RC,367,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,5286.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,7168.0,18490.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,4723.0,6680.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,7168.0,18490.0,5
RC,367,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,367,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,367,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,367,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,367,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,367,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,367,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,367,Snip incision of lacrimal punctum ,,,2636.0,5932.0,5
RC,367,Sodium; other source ,,,5.3,5.3,3
RC,367,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,367,Sodium; urine ,,,5.52,5.52,3
RC,367,"Sole wedge, between sole ",,,66.8,66.8,3
RC,367,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,367,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,367,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,367,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,367,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,367,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,367,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,367,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,367,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,367,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,367,Somatomedin ,,,23.17,23.17,3
RC,367,Somatostatin ,,,19.93,19.93,3
RC,367,Special back height for wheelchair ,,,43.53,43.53,3
RC,367,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,367,Special height arms for wheelchair ,,,366.41,366.41,3
RC,367,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,367,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,367,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,367,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,367,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,367,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,367,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,367,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,367,Specific gravity (except urine) ,,,3.58,3.58,3
RC,367,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,367,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,367,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,367,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,367,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,367,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,367,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,367,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,367,Sperm antibodies ,,,11.63,11.63,3
RC,367,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,367,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,367,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,367,Sperm washing for artificial insemination ,,,2636.0,2636.0,1
RC,367,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,367,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,367,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,367,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,367,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,367,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,367,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,367,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,367,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,367,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,367,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,367,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,367,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,367,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,367,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,367,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,367,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,367,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,367,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,367,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,367,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,367,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,367,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,367,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,367,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,367,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,367,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,367,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,367,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,367,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,367,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,367,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,367,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,367,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,367,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,367,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,367,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,367,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,367,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,367,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,367,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,367,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,367,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,367,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,367,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,367,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,7168.0,9908.0,5
RC,367,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,6587.0,6587.0,1
RC,367,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,7168.0,9908.0,5
RC,367,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,5286.0,7168.0,5
RC,367,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,4723.0,9908.0,5
RC,367,"Spinal puncture, lumbar, diagnostic; ",,,3293.0,5932.0,5
RC,367,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,4693.0,6587.0,5
RC,367,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,3293.0,5932.0,5
RC,367,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,4693.0,6587.0,5
RC,367,Splenectomy; partial (separate procedure) ,,,6587.0,6587.0,1
RC,367,Splenectomy; total (separate procedure) ,,,6587.0,6587.0,1
RC,367,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Spoke protectors, each ",,,61.65,61.65,3
RC,367,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,367,Sr89 strontium ,,,4519.51,4519.51,3
RC,367,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,7168.0,9908.0,5
RC,367,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,7168.0,9908.0,5
RC,367,Stand/rack ,,,33.16,33.16,3
RC,367,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,367,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,367,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,367,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,367,Standard wheelchair ,,,31.09,31.09,3
RC,367,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,367,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,8024.0,18490.0,5
RC,367,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,8024.0,18490.0,5
RC,367,Stapes mobilization ,,,5381.0,23113.0,5
RC,367,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,367,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,367,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,367,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,367,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,367,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,367,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,367,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,367,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,367,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,367,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,367,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,367,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,367,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,367,Stem cell collection ,,,6587.0,6587.0,1
RC,367,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,367,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,6587.0,6587.0,1
RC,367,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,6587.0,6587.0,1
RC,367,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,367,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,6587.0,6587.0,1
RC,367,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,6587.0,6587.0,1
RC,367,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,4693.0,5932.0,5
RC,367,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,367,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,367,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,6587.0,6587.0,1
RC,367,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,367,Stoma cap ,,,2.17,2.17,3
RC,367,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,367,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,2636.0,19415.0,5
RC,367,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,2636.0,19415.0,5
RC,367,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,2636.0,19415.0,5
RC,367,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,2636.0,19415.0,5
RC,367,"Strabismus surgery, any procedure, superior oblique muscle ",,,5381.0,19415.0,5
RC,367,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,5381.0,9908.0,5
RC,367,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,5381.0,19415.0,5
RC,367,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,5381.0,19415.0,5
RC,367,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,5381.0,19415.0,5
RC,367,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,367,"Streptokinase, antibody ",,,13.8,13.8,3
RC,367,Subarachnoid inject NEC ,,,6587.0,6587.0,1
RC,367,Subconjunctival injection ,,,2636.0,2636.0,1
RC,367,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,4723.0,4723.0,1
RC,367,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,3293.0,5932.0,5
RC,367,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,3293.0,5932.0,5
RC,367,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,4693.0,5932.0,5
RC,367,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,6587.0,6587.0,1
RC,367,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,6587.0,6587.0,1
RC,367,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,367,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,367,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,367,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,367,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,367,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,367,"Sulfate, urine ",,,5.98,5.98,3
RC,367,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,367,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,367,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,367,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,367,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,367,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,367,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,367,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,367,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,367,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,6587.0,23113.0,5
RC,367,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,6587.0,6587.0,1
RC,367,Suprahyoid lymphadenectomy ,,,5286.0,6680.0,5
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,6587.0,6587.0,1
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,6587.0,6587.0,1
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,6587.0,6587.0,1
RC,367,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,6587.0,6587.0,1
RC,367,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,6587.0,6587.0,1
RC,367,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,6587.0,6587.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,6587.0,6587.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,6587.0,6587.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,6587.0,6587.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,6587.0,6587.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,6587.0,6587.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,6587.0,6587.0,1
RC,367,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,6587.0,6587.0,1
RC,367,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,6587.0,6587.0,1
RC,367,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,367,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,5381.0,9908.0,5
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,4693.0,5932.0,5
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,5381.0,9908.0,5
RC,367,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,5381.0,19415.0,5
RC,367,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,6587.0,6587.0,1
RC,367,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,6587.0,6587.0,1
RC,367,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,6587.0,6587.0,1
RC,367,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,7168.0,9908.0,5
RC,367,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,7168.0,19415.0,5
RC,367,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,367,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,367,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,367,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,367,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,367,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,367,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,367,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,367,Suture and/or ligation of thoracic duct; abdominal approach ,,,6587.0,6587.0,1
RC,367,Suture and/or ligation of thoracic duct; cervical approach ,,,6587.0,6587.0,1
RC,367,Suture and/or ligation of thoracic duct; thoracic approach ,,,6587.0,6587.0,1
RC,367,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,8024.0,18490.0,5
RC,367,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,8024.0,18490.0,5
RC,367,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,5286.0,7168.0,5
RC,367,Suture of 1 nerve; median motor thenar ,,,7168.0,9908.0,5
RC,367,Suture of 1 nerve; ulnar motor ,,,7168.0,9908.0,5
RC,367,"Suture of digital nerve, hand or foot; 1 nerve ",,,7168.0,19415.0,5
RC,367,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,367,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,2636.0,5932.0,5
RC,367,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,2636.0,5932.0,5
RC,367,Suture of esophageal wound or injury; cervical approach ,,,6587.0,6587.0,1
RC,367,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,6587.0,6587.0,1
RC,367,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,6587.0,6587.0,1
RC,367,Suture of facial nerve; extracranial ,,,7168.0,9908.0,5
RC,367,"Suture of facial nerve; infratemporal, with or without grafting ",,,7168.0,19415.0,5
RC,367,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,5286.0,6680.0,5
RC,367,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,6587.0,6587.0,1
RC,367,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,6587.0,6587.0,1
RC,367,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,5286.0,7168.0,5
RC,367,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,5286.0,7168.0,5
RC,367,Suture of mesentery (separate procedure) ,,,6587.0,6587.0,1
RC,367,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,2636.0,9908.0,5
RC,367,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,2636.0,6680.0,5
RC,367,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,2636.0,9908.0,5
RC,367,Suture of posterior tibial nerve ,,,5286.0,7168.0,5
RC,367,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,5286.0,6680.0,5
RC,367,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,5286.0,6680.0,5
RC,367,Suture of sciatic nerve ,,,5286.0,7168.0,5
RC,367,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,6587.0,6587.0,1
RC,367,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,6587.0,6587.0,1
RC,367,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,4693.0,5932.0,5
RC,367,Suture of; brachial plexus ,,,7168.0,9908.0,5
RC,367,Suture of; lumbar plexus ,,,7168.0,9908.0,5
RC,367,Suture or repair of testicular injury ,,,5381.0,9908.0,5
RC,367,Suture pharynx for wound or injury ,,,4693.0,5932.0,5
RC,367,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,6587.0,6587.0,1
RC,367,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,367,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,367,"Sympathectomy, cervical ",,,4723.0,6680.0,5
RC,367,"Sympathectomy, cervicothoracic ",,,4723.0,4723.0,1
RC,367,"Sympathectomy, lumbar ",,,6587.0,6587.0,1
RC,367,"Sympathectomy, thoracolumbar ",,,6587.0,6587.0,1
RC,367,"Sympathectomy; digital arteries, each digit ",,,5381.0,5381.0,1
RC,367,Sympathectomy; radial artery ,,,7168.0,19415.0,5
RC,367,Sympathectomy; superficial palmar arch ,,,5286.0,7168.0,5
RC,367,Sympathectomy; ulnar artery ,,,5286.0,7168.0,5
RC,367,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,6587.0,6587.0,1
RC,367,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,367,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,367,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,367,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,367,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,367,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,367,T cells; total count ,,,41.13,41.13,3
RC,367,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,367,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,367,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,367,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,367,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,367,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,367,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,367,TRANSCATHETER THERAPY INFUSE ,,,6587.0,6587.0,1
RC,367,TRANSECT ARTERY SINUS ,,,6587.0,6587.0,1
RC,367,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES ",,,6587.0,6587.0,1
RC,367,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,6587.0,6587.0,1
RC,367,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,6587.0,6587.0,1
RC,367,TRANSPLANTATION OF LIVER ,,,6587.0,6587.0,1
RC,367,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,367,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,367,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,367,TUR cong post valve/fold ,,,6587.0,6587.0,1
RC,367,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,367,Tacrolimus ,,,14.97,14.97,3
RC,367,Tacrolimus injection ,,,292.31,292.31,3
RC,367,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,367,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,367,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,367,"Tau, total (tTau) ",,,140.52,140.52,3
RC,367,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,367,Tc99m bicisate ,,,845.32,845.32,3
RC,367,Tc99m succimer ,,,719.32,719.32,3
RC,367,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,367,Telavancin injection ,,,8.16,8.16,3
RC,367,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,367,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,367,Temozolomide injection ,,,11.34,11.34,3
RC,367,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,3293.0,5932.0,5
RC,367,Temporary transcutaneous pacing ,,,3293.0,3293.0,1
RC,367,Tenecteplase injection ,,,236.99,236.99,3
RC,367,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,367,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,367,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,367,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,367,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,367,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,367,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,367,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,367,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,367,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,367,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,367,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,367,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,367,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,367,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,367,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,367,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,367,Testosterone; free ,,,27.76,27.76,3
RC,367,Testosterone; total ,,,28.13,28.13,3
RC,367,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,367,Theophylline ,,,15.41,15.41,3
RC,367,Therapeutic Nuclear Medici ,,,255.5,255.5,3
RC,367,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,367,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,367,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,367,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,367,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,367,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,367,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,367,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,367,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,367,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,4693.0,6587.0,5
RC,367,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,6587.0,18490.0,5
RC,367,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,367,Thiocyanate ,,,12.68,12.68,3
RC,367,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,367,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,367,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,367,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,18288.0,23113.0,4
RC,367,Thrombin time; plasma ,,,6.29,6.29,3
RC,367,Thrombin time; titer ,,,7.47,7.47,3
RC,367,"Thrombolysis, cerebral, by intravenous infusion ",,,2636.0,2636.0,1
RC,367,"Thrombolysis, coronary; by intravenous infusion ",,,2636.0,2636.0,1
RC,367,Thrombomodulin ,,,18.82,18.82,3
RC,367,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,367,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,367,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,367,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,367,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,8024.0,19415.0,5
RC,367,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,367,Thyroglobulin ,,,17.51,17.51,3
RC,367,Thyroglobulin antibody ,,,17.34,17.34,3
RC,367,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,367,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,367,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,367,"Thyroidectomy, including substernal thyroid; cervical approach ",,,8024.0,19415.0,5
RC,367,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,4723.0,4723.0,1
RC,367,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,8024.0,18490.0,5
RC,367,"Thyroidectomy, total or complete ",,,8024.0,23113.0,5
RC,367,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,18288.0,23113.0,4
RC,367,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,8024.0,23113.0,5
RC,367,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,5381.0,23113.0,5
RC,367,Thyrotropin injection ,,,2352.94,2352.94,3
RC,367,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,367,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,367,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,367,Thyroxine; free ,,,9.83,9.83,3
RC,367,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,367,Thyroxine; total ,,,7.49,7.49,3
RC,367,Tiagabine ,,,29.55,29.55,3
RC,367,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,367,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,367,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,367,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,367,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,367,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,367,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,367,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,367,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,367,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,367,"Tlso, corset front ",,,182.11,182.11,3
RC,367,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,367,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,367,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,367,"Tlso, full corset ",,,251.72,251.72,3
RC,367,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,367,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,367,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,367,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,367,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,367,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,367,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,367,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,367,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,367,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,367,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,367,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,367,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,367,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,367,Tobramycin ,,,17.58,17.58,3
RC,367,Tocilizumab injection ,,,5.89,5.89,3
RC,367,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,367,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,367,"Tongue base suspension, permanent suture technique ",,,5286.0,8024.0,5
RC,367,Tonsillectomy and adenoidectomy; age 12 or over ,,,5381.0,18490.0,5
RC,367,Tonsillectomy and adenoidectomy; younger than age 12 ,,,5381.0,9908.0,5
RC,367,"Tonsillectomy, primary or secondary; age 12 or over ",,,5381.0,19415.0,5
RC,367,"Tonsillectomy, primary or secondary; younger than age 12 ",,,5381.0,19415.0,5
RC,367,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,367,Topiramate ,,,12.99,12.99,3
RC,367,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,6587.0,23113.0,5
RC,367,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,6587.0,23113.0,5
RC,367,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,6587.0,23113.0,5
RC,367,Total facial nerve decompression and/or repair (may include graft) ,,,8024.0,19415.0,5
RC,367,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,6587.0,6587.0,1
RC,367,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,6587.0,6587.0,1
RC,367,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,6587.0,6587.0,1
RC,367,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,6587.0,6587.0,1
RC,367,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,6587.0,6587.0,1
RC,367,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,7839.0,9908.0,5
RC,367,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,5286.0,8024.0,5
RC,367,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,367,Trabeculoplasty by laser surgery ,,,3293.0,6680.0,5
RC,367,Trabeculotomy ab externo ,,,5381.0,19415.0,5
RC,367,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,367,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,367,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,5381.0,9908.0,5
RC,367,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,5381.0,9908.0,5
RC,367,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,367,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,367,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,367,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,367,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,367,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,367,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,367,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,367,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,367,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,367,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,367,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,367,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,367,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,367,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,367,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,367,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,367,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,367,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,367,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,367,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,367,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,367,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,367,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,367,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,367,"Transabdominal amnioinfusion, including ultrasound guidance ",,,3293.0,5932.0,5
RC,367,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,367,Transcatheter biopsy ,,,7168.0,19415.0,5
RC,367,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,9908.0,4
RC,367,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,6587.0,76895.0,10
RC,367,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,7008.0,8024.0,2
RC,367,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,8024.0,8024.0,1
RC,367,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,7008.0,7008.0,1
RC,367,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,2636.0,5932.0,5
RC,367,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,6587.0,6587.0,1
RC,367,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,6587.0,9908.0,5
RC,367,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,6587.0,9908.0,5
RC,367,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,2636.0,2636.0,1
RC,367,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,7168.0,9908.0,5
RC,367,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,4693.0,5932.0,4
RC,367,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,7839.0,9908.0,8
RC,367,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,4693.0,5932.0,4
RC,367,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,6587.0,18490.0,5
RC,367,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,4693.0,5932.0,5
RC,367,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,6587.0,6587.0,1
RC,367,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,6587.0,6587.0,1
RC,367,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,367,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,367,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,367,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,367,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,367,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,367,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,4723.0,4723.0,1
RC,367,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,7168.0,7168.0,1
RC,367,"Transection or avulsion of other cranial nerve, extradural ",,,5286.0,6680.0,5
RC,367,"Transection or avulsion of other spinal nerve, extradural ",,,5286.0,6680.0,5
RC,367,"Transection or avulsion of; facial nerve, differential or complete ",,,5286.0,6680.0,5
RC,367,Transection or avulsion of; greater occipital nerve ,,,5286.0,6680.0,5
RC,367,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,4723.0,6680.0,5
RC,367,Transection or avulsion of; infraorbital nerve ,,,4723.0,6680.0,5
RC,367,Transection or avulsion of; lingual nerve ,,,5286.0,6680.0,5
RC,367,Transection or avulsion of; mental nerve ,,,4723.0,6680.0,5
RC,367,Transection or avulsion of; phrenic nerve ,,,4723.0,6680.0,5
RC,367,Transection or avulsion of; supraorbital nerve ,,,4723.0,6680.0,5
RC,367,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,6587.0,6587.0,1
RC,367,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,6587.0,6587.0,1
RC,367,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,6587.0,6587.0,1
RC,367,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,6587.0,6587.0,1
RC,367,"Transfer device, any type, each ",,,61.38,61.38,3
RC,367,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,367,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,367,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,367,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,367,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,367,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,367,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,367,Transferrin ,,,13.91,13.91,3
RC,367,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,2636.0,7008.0,2
RC,367,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,18288.0,23113.0,4
RC,367,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,2636.0,23113.0,6
RC,367,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,2636.0,2636.0,1
RC,367,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,6587.0,18490.0,5
RC,367,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,6587.0,18490.0,5
RC,367,Transmastoid antrotomy (simple mastoidectomy) ,,,8024.0,23113.0,5
RC,367,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,367,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,367,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,367,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,6587.0,6587.0,1
RC,367,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,6587.0,6587.0,1
RC,367,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,367,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,367,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,2636.0,2636.0,1
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,8024.0,8024.0,1
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,8024.0,8024.0,1
RC,367,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,4693.0,6587.0,5
RC,367,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,5381.0,5381.0,1
RC,367,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,6587.0,6587.0,1
RC,367,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,3293.0,3293.0,1
RC,367,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,2636.0,2636.0,1
RC,367,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,3293.0,3293.0,1
RC,367,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,3293.0,3293.0,1
RC,367,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,3293.0,3293.0,1
RC,367,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,3293.0,3293.0,1
RC,367,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,2636.0,2636.0,1
RC,367,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,2636.0,2636.0,1
RC,367,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,3293.0,3293.0,1
RC,367,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,367,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,367,Transplantation of pancreatic allograft ,,,6587.0,6587.0,1
RC,367,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,5381.0,9908.0,5
RC,367,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,367,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,367,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,367,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,2636.0,19415.0,5
RC,367,"Transposition, ovary(s) ",,,7168.0,9908.0,5
RC,367,Transrectal drainage of pelvic abscess ,,,4693.0,5932.0,5
RC,367,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,6587.0,6587.0,1
RC,367,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,367,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,6587.0,6587.0,1
RC,367,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,4723.0,33769.0,5
RC,367,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,5286.0,6680.0,5
RC,367,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,5286.0,8024.0,5
RC,367,Transurethral drainage of prostatic abscess ,,,5286.0,6680.0,5
RC,367,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,8024.0,19415.0,5
RC,367,Transurethral incision of prostate ,,,5381.0,9908.0,5
RC,367,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,4723.0,6680.0,5
RC,367,Transurethral resection of bladder neck (separate procedure) ,,,5381.0,9908.0,5
RC,367,Transurethral resection; of postoperative bladder neck contracture ,,,5286.0,6680.0,5
RC,367,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,5286.0,8024.0,5
RC,367,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,5286.0,6680.0,4
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,2636.0,6680.0,5
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,2636.0,6680.0,5
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,2636.0,6680.0,5
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,2636.0,6680.0,5
RC,367,Transvesical ureterolithotomy ,,,8024.0,8024.0,1
RC,367,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,367,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,367,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,367,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,367,Trauma Response with Criti ,,,1459.49,1459.49,3
RC,367,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,3293.0,5932.0,5
RC,367,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,3293.0,6680.0,5
RC,367,"Treatment of incomplete abortion, any trimester, completed surgically ",,,5381.0,18490.0,5
RC,367,"Treatment of missed abortion, completed surgically; first trimester ",,,5381.0,18490.0,5
RC,367,"Treatment of missed abortion, completed surgically; second trimester ",,,5381.0,18490.0,5
RC,367,"Treatment of septic abortion, completed surgically ",,,5286.0,6680.0,5
RC,367,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,367,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,367,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,367,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,367,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,367,Triglycerides ,,,6.26,6.26,3
RC,367,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,367,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,367,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,367,"Trimming of dystrophic nails, any number ",,,2636.0,2636.0,1
RC,367,Triptorelin pamoate ,,,508.34,508.34,3
RC,367,"Troponin, qualitative ",,,11.0,11.0,3
RC,367,"Troponin, quantitative ",,,13.59,13.59,3
RC,367,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,367,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,367,"Truss, double with standard pads ",,,177.72,177.72,3
RC,367,"Truss, single with standard pad ",,,112.58,112.58,3
RC,367,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,367,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,367,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,367,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,6587.0,6587.0,1
RC,367,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,367,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,367,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,367,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,367,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,367,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,367,Tubotubal anastomosis ,,,7168.0,18490.0,5
RC,367,Tubouterine implantation ,,,7168.0,18490.0,5
RC,367,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,367,"Twelve volt battery, each ",,,703.98,703.98,3
RC,367,Twist drill hole for subdural or ventricular puncture ,,,6587.0,6587.0,1
RC,367,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,6587.0,6587.0,1
RC,367,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,6587.0,6587.0,1
RC,367,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,6587.0,6587.0,1
RC,367,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,6587.0,6587.0,4
RC,367,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,5381.0,9908.0,5
RC,367,Tympanic neurectomy ,,,5381.0,9908.0,5
RC,367,"Tympanolysis, transcanal ",,,4693.0,8024.0,5
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,8024.0,23113.0,5
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,8024.0,23113.0,5
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,8024.0,23113.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,8024.0,23113.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,8024.0,23113.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,8024.0,23113.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,8024.0,23113.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,8024.0,23113.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,8024.0,23113.0,5
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,8024.0,18490.0,5
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,8024.0,18490.0,5
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,8024.0,18490.0,5
RC,367,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,4723.0,9908.0,5
RC,367,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,2636.0,9908.0,5
RC,367,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,4693.0,5932.0,4
RC,367,Tyrosine ,,,11.59,11.59,3
RC,367,U-tube hepaticoenterostomy ,,,6587.0,6587.0,1
RC,367,"U-v lens, per lens ",,,29.55,29.55,3
RC,367,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,367,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,367,UPPER GI ENDOSCOPY EXAM ,,,6587.0,6587.0,1
RC,367,UPPR GI ENDOSCOPY W/STENT ,,,6587.0,6587.0,1
RC,367,URETER ENDOSCOPY & TRACER ,,,6587.0,6587.0,2
RC,367,URETHRA PRESSURE PROFILE ,,,6587.0,6587.0,1
RC,367,URINE VOIDING PRESSURE STUDY ,,,6587.0,6587.0,1
RC,367,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,367,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,367,Ultrasound Composite ,,,322.14,322.14,3
RC,367,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,367,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,367,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,367,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,367,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,7168.0,19415.0,5
RC,367,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,367,Unlist px-laparascopy ,,,6587.0,6587.0,1
RC,367,Unlisted cardiovascular service or procedure ,,,2636.0,2636.0,1
RC,367,Unlisted diagnostic gastroenterology procedure ,,,2636.0,2636.0,1
RC,367,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,2636.0,5932.0,5
RC,367,"Unlisted hysteroscopy procedure, uterus ",,,2636.0,2636.0,1
RC,367,"Unlisted laparoscopic procedure, liver ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, appendix ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, biliary tract ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, bladder ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, endocrine system ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, esophagus ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, lymphatic system ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, maternity care and delivery ",,,7839.0,9908.0,5
RC,367,"Unlisted laparoscopy procedure, oviduct, ovary ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, rectum ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, renal ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, spermatic cord ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, spleen ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, stomach ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, testis ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, ureter ",,,8024.0,8024.0,1
RC,367,"Unlisted laparoscopy procedure, uterus ",,,8024.0,8024.0,1
RC,367,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,6587.0,6587.0,1
RC,367,"Unlisted procedure, abdomen, peritoneum and omentum ",,,4693.0,7168.0,5
RC,367,"Unlisted procedure, anterior segment of eye ",,,4693.0,5932.0,5
RC,367,"Unlisted procedure, anus ",,,3293.0,5932.0,5
RC,367,"Unlisted procedure, biliary tract ",,,5381.0,5381.0,1
RC,367,"Unlisted procedure, colon ",,,4693.0,5932.0,5
RC,367,"Unlisted procedure, conjunctiva ",,,2636.0,2636.0,1
RC,367,"Unlisted procedure, dentoalveolar structures ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, diaphragm ",,,6587.0,6587.0,1
RC,367,"Unlisted procedure, endocrine system ",,,4693.0,8024.0,5
RC,367,"Unlisted procedure, esophagus ",,,4693.0,5932.0,5
RC,367,"Unlisted procedure, external ear ",,,2636.0,2636.0,1
RC,367,"Unlisted procedure, extraocular muscle ",,,5381.0,5381.0,1
RC,367,"Unlisted procedure, eyelids ",,,2636.0,2636.0,1
RC,367,"Unlisted procedure, female genital system (nonobstetrical) ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, hemic or lymphatic system ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, inner ear ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, lacrimal system ",,,2636.0,2636.0,1
RC,367,"Unlisted procedure, lips ",,,2636.0,2636.0,1
RC,367,"Unlisted procedure, liver ",,,3293.0,3293.0,1
RC,367,"Unlisted procedure, male genital system ",,,2636.0,6680.0,5
RC,367,"Unlisted procedure, maternity care and delivery ",,,2636.0,6680.0,5
RC,367,"Unlisted procedure, mediastinum ",,,6587.0,6587.0,1
RC,367,"Unlisted procedure, middle ear ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, nervous system ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, orbit ",,,2636.0,2636.0,1
RC,367,"Unlisted procedure, palate, uvula ",,,2636.0,2636.0,1
RC,367,"Unlisted procedure, pancreas ",,,3293.0,3293.0,1
RC,367,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, posterior segment ",,,4723.0,4723.0,1
RC,367,"Unlisted procedure, rectum ",,,3293.0,3293.0,1
RC,367,"Unlisted procedure, salivary glands or ducts ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, small intestine ",,,4693.0,7168.0,5
RC,367,"Unlisted procedure, stomach ",,,4693.0,5932.0,4
RC,367,"Unlisted procedure, temporal bone, middle fossa approach ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, tongue, floor of mouth ",,,2636.0,2636.0,1
RC,367,"Unlisted procedure, urinary system ",,,2636.0,5932.0,5
RC,367,"Unlisted procedure, vascular surgery ",,,2636.0,6680.0,5
RC,367,"Unlisted procedure, vestibule of mouth ",,,2636.0,18490.0,5
RC,367,Unlisted vascular endoscopy procedure ,,,7168.0,7168.0,1
RC,367,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,367,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,367,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,367,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,367,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,367,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,367,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,367,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,367,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,367,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,367,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,367,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,367,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,367,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,367,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,367,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,367,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,367,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,367,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,367,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,367,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,367,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,367,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,367,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,367,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,367,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,367,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,367,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,367,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,367,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,367,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,367,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,367,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,367,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,367,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,367,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,367,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,367,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,367,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,367,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,367,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,367,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,367,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,367,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,367,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,367,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,367,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,367,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,367,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,367,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,367,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,367,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,367,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,367,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,367,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,367,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,367,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,367,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,367,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,367,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,2636.0,5932.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,3293.0,5932.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,4693.0,5932.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,4693.0,5932.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,4693.0,5932.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,3293.0,5932.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,3293.0,5932.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,4693.0,5932.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,4693.0,5932.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,4693.0,5932.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,3293.0,5932.0,5
RC,367,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,6587.0,76895.0,5
RC,367,"Ureterectomy, with bladder cuff (separate procedure) ",,,6587.0,76895.0,5
RC,367,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,6587.0,6587.0,1
RC,367,"Ureterocolon conduit, including intestine anastomosis ",,,6587.0,6587.0,1
RC,367,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,6587.0,6587.0,1
RC,367,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,6587.0,6587.0,1
RC,367,Ureterolithotomy; lower one-third of ureter ,,,6587.0,18490.0,5
RC,367,Ureterolithotomy; middle one-third of ureter ,,,6587.0,18490.0,5
RC,367,Ureterolithotomy; upper one-third of ureter ,,,6587.0,18490.0,5
RC,367,Ureterolysis for ovarian vein syndrome ,,,6587.0,6587.0,1
RC,367,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,6587.0,6587.0,1
RC,367,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,6587.0,6587.0,1
RC,367,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,6587.0,6587.0,1
RC,367,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,6587.0,6587.0,1
RC,367,Ureteroneocystostomy; with extensive ureteral tailoring ,,,6587.0,6587.0,1
RC,367,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,6587.0,6587.0,1
RC,367,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,6587.0,6587.0,1
RC,367,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,6587.0,6587.0,1
RC,367,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,6587.0,6587.0,1
RC,367,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,6587.0,6587.0,1
RC,367,"Ureterostomy, transplantation of ureter to skin ",,,6587.0,6587.0,1
RC,367,"Ureterotomy for insertion of indwelling stent, all types ",,,6587.0,18490.0,5
RC,367,Ureterotomy with exploration or drainage (separate procedure) ,,,6587.0,18490.0,5
RC,367,Ureteroureterostomy ,,,6587.0,6587.0,1
RC,367,"Urethrectomy, total, including cystostomy; female ",,,7168.0,18490.0,5
RC,367,"Urethrectomy, total, including cystostomy; male ",,,5381.0,18490.0,5
RC,367,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,7168.0,18490.0,5
RC,367,"Urethromeatoplasty, with mucosal advancement ",,,4693.0,7168.0,5
RC,367,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,4693.0,5932.0,5
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,7168.0,9908.0,5
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,7168.0,9908.0,5
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,7839.0,9908.0,5
RC,367,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,7168.0,9908.0,5
RC,367,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,5286.0,7168.0,5
RC,367,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,5286.0,7168.0,5
RC,367,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,7168.0,9908.0,5
RC,367,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,5286.0,7168.0,5
RC,367,"Urethroplasty, reconstruction of female urethra ",,,5286.0,7168.0,5
RC,367,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,8024.0,8024.0,1
RC,367,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,7168.0,9908.0,5
RC,367,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,5286.0,7168.0,5
RC,367,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,5286.0,6680.0,5
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,5286.0,7168.0,5
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,5286.0,6680.0,5
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,5286.0,7168.0,5
RC,367,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,4693.0,5932.0,5
RC,367,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,4693.0,5932.0,5
RC,367,Uric acid; blood ,,,4.93,4.93,3
RC,367,Uric acid; other source ,,,5.54,5.54,3
RC,367,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,367,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,367,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,367,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,367,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,367,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,367,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,367,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,367,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,367,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,367,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,367,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,367,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,367,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,6587.0,6587.0,1
RC,367,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,367,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,367,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,367,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,367,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,367,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,2636.0,5932.0,5
RC,367,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,367,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,367,Uterine evacuation and curettage for hydatidiform mole ,,,5381.0,18490.0,5
RC,367,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,6587.0,18490.0,5
RC,367,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,6587.0,6587.0,1
RC,367,"Uvulectomy, excision of uvula ",,,4723.0,6680.0,5
RC,367,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7168.0,7168.0,1
RC,367,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,6587.0,6587.0,1
RC,367,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,367,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,367,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,367,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,4693.0,5932.0,5
RC,367,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,4693.0,6587.0,5
RC,367,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,5381.0,9908.0,5
RC,367,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,6587.0,6587.0,1
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; ",,,7168.0,18490.0,5
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,7168.0,7168.0,1
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,7168.0,18490.0,5
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,7168.0,18490.0,5
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,7168.0,18490.0,5
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,8024.0,18490.0,5
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8024.0,18490.0,5
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,8024.0,18490.0,5
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,8024.0,18490.0,5
RC,367,"Vaginal hysterectomy, radical (Schauta type operation) ",,,6587.0,6587.0,1
RC,367,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,7168.0,7168.0,1
RC,367,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,7168.0,7168.0,1
RC,367,"Vaginectomy, complete removal of vaginal wall; ",,,6587.0,9908.0,5
RC,367,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,7168.0,9908.0,5
RC,367,"Vaginectomy, partial removal of vaginal wall; ",,,5381.0,9908.0,5
RC,367,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,5286.0,6680.0,5
RC,367,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,4693.0,5932.0,5
RC,367,Vaginoplasty for intersex state ,,,5381.0,9908.0,5
RC,367,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,6587.0,6587.0,1
RC,367,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,6587.0,6587.0,1
RC,367,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,6587.0,6587.0,1
RC,367,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,367,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,367,Vancomycin ,,,14.76,14.76,3
RC,367,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,367,"Vaporizer, room type ",,,41.03,41.03,3
RC,367,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,367,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,367,Variable concentration mask ,,,0.94,0.94,3
RC,367,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,367,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,9908.0,4
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,7008.0,9908.0,5
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,7008.0,9908.0,5
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,7008.0,9908.0,5
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,7008.0,9908.0,5
RC,367,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,7168.0,7168.0,1
RC,367,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,367,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,5286.0,6680.0,5
RC,367,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,367,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,367,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,2636.0,6680.0,5
RC,367,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,5286.0,6680.0,5
RC,367,"Vasovasostomy, vasovasorrhaphy ",,,4693.0,5932.0,5
RC,367,Vedolizumab ,,,42.04,42.04,3
RC,367,Velaglucerase alfa ,,,428.2,428.2,3
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,367,"Venous anastomosis, open; caval-mesenteric ",,,6587.0,6587.0,1
RC,367,"Venous anastomosis, open; portocaval ",,,6587.0,6587.0,1
RC,367,"Venous anastomosis, open; renoportal ",,,6587.0,6587.0,1
RC,367,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,6587.0,6587.0,1
RC,367,"Venous anastomosis, open; splenorenal, proximal ",,,6587.0,6587.0,1
RC,367,Ventilating tube removal requiring general anesthesia ,,,4693.0,5932.0,5
RC,367,Ventilation Initiation and ,,,676.46,676.46,3
RC,367,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,3293.0,5932.0,5
RC,367,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,3293.0,5932.0,5
RC,367,Ventriculocisternostomy (Torkildsen type operation) ,,,6587.0,6587.0,1
RC,367,"Ventriculocisternostomy, third ventricle; ",,,6587.0,6587.0,1
RC,367,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,6587.0,6587.0,1
RC,367,"Vermilionectomy (lip shave), with mucosal advancement ",,,4723.0,6680.0,5
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,6587.0,6587.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,6587.0,6587.0,2
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,6587.0,6587.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,6587.0,6587.0,1
RC,367,Very long chain fatty acids ,,,21.53,21.53,3
RC,367,"Vesiculectomy, any approach ",,,3293.0,5932.0,5
RC,367,Vesiculotomy; ,,,4693.0,5932.0,5
RC,367,Vesiculotomy; complicated ,,,3293.0,5932.0,5
RC,367,"Vestibular nerve section, transcranial approach ",,,6587.0,6587.0,1
RC,367,"Vestibular nerve section, translabyrinthine approach ",,,8024.0,23113.0,5
RC,367,Vestibuloplasty; anterior ,,,5286.0,6680.0,5
RC,367,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,8024.0,18490.0,5
RC,367,Vestibuloplasty; entire arch ,,,8024.0,18490.0,5
RC,367,"Vestibuloplasty; posterior, bilateral ",,,5381.0,9908.0,5
RC,367,"Vestibuloplasty; posterior, unilateral ",,,5381.0,9908.0,5
RC,367,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,367,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,367,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,367,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,367,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,367,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,367,Viscosity ,,,12.72,12.72,3
RC,367,Vitamin A ,,,12.65,12.65,3
RC,367,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,367,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,367,Vitamin K ,,,14.95,14.95,3
RC,367,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,367,"Vitrectomy, mechanical, pars plana approach; ",,,8024.0,19415.0,5
RC,367,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,8024.0,23113.0,5
RC,367,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,8024.0,23113.0,5
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,8024.0,18490.0,5
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,8024.0,18490.0,5
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,8024.0,23113.0,5
RC,367,Voice amplifier ,,,340.98,340.98,3
RC,367,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,4693.0,6587.0,5
RC,367,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,367,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,367,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,367,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,367,Voriconazole ,,,29.55,29.55,3
RC,367,Vulvectomy simple; complete ,,,5381.0,76895.0,5
RC,367,Vulvectomy simple; partial ,,,5381.0,18490.0,5
RC,367,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,6587.0,6587.0,1
RC,367,"Vulvectomy, radical, complete; ",,,7008.0,7008.0,1
RC,367,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,7008.0,1
RC,367,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,7008.0,1
RC,367,"Vulvectomy, radical, partial; ",,,6587.0,23113.0,5
RC,367,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,7008.0,1
RC,367,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,7008.0,1
RC,367,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1125.36,1125.36,3
RC,367,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,367,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,367,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,367,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,367,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,367,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,367,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,367,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,367,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,367,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,367,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,367,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,367,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,367,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,367,Washed red blood cells uni ,,,401.75,401.75,3
RC,367,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,367,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,367,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,367,Water pressure mattress ,,,29.3,29.3,3
RC,367,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,367,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,367,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,367,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,7168.0,9908.0,5
RC,367,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,367,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,367,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,367,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,367,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,367,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,367,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,367,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,367,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,367,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,367,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,367,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,367,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,367,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,367,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,367,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,367,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,367,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,367,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,367,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,367,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,367,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,367,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,367,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,367,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,367,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,367,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,367,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,367,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,367,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,367,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,367,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,367,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,367,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,367,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,367,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,367,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,367,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,367,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,367,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,367,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,367,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,367,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,367,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,367,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,367,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,367,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,367,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,367,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,367,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,367,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,367,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,367,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,367,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,367,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,367,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,367,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,367,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,367,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,367,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,367,Whole blood for transfusio ,,,206.93,206.93,3
RC,367,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,367,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,367,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,367,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,367,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,367,Wound closure utilizing tissue adhesive(s) only ,,,2636.0,2636.0,1
RC,367,"Wound pouch, each ",,,21.65,21.65,3
RC,367,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,367,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,367,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,367,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,367,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,367,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,367,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,367,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,367,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,367,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,367,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,367,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,367,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,367,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,367,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,367,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,367,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,367,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,367,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,367,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,367,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,367,Zinc ,,,12.42,12.42,3
RC,367,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,367,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,367,Zonisamide ,,,14.44,14.44,3
RC,367,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,367,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,367,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,367,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,369, Operating Room Services Other  ,,,15184.0,43180.0,7
RC,369,1 epidur inject-C/thor ,,,2152.0,6587.0,4
RC,369,1 epidural inject anes-L ,,,2152.0,6587.0,4
RC,369,1 inject anes-subarach ,,,2152.0,6587.0,4
RC,369,1 subar inject anes-cont ,,,2152.0,6587.0,4
RC,369,1 subar inject anes-diff ,,,2152.0,6587.0,4
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1200.05,17510.0,27
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1200.05,12360.0,27
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1200.05,17510.0,27
RC,369,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1200.05,12360.0,27
RC,369,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5694.0,25655.0,25
RC,369,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5694.0,25655.0,25
RC,369,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,369,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,369,510K Skin Substitute Produ ,,,136.26,136.26,3
RC,369,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,369,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,369,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,369,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,369,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,369,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,369,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,369,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,369,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2152.0,2636.0,4
RC,369,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,369,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,369,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,369,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,369,ASPIRATE/INJECT THYRIOD CYST ,,,2152.0,6587.0,4
RC,369,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,369,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,369,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,1
RC,369,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,1
RC,369,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,Abatacept injection ,,,49.99,49.99,3
RC,369,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,369,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,351.7,6680.0,27
RC,369,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,351.7,6680.0,27
RC,369,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,7592.0,25655.0,25
RC,369,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,369,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2270.0,6587.0,15
RC,369,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2152.0,12499.0,25
RC,369,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2287.0,12875.0,15
RC,369,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2287.0,36378.78,15
RC,369,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,2954.51,33769.0,27
RC,369,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1983.29,25655.0,27
RC,369,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1983.29,21630.0,27
RC,369,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,2287.0,30408.2,14
RC,369,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2287.0,30408.2,14
RC,369,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2152.0,27335.06,25
RC,369,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,2152.0,32999.3,25
RC,369,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,2152.0,32509.89,25
RC,369,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,4877.66,33769.0,27
RC,369,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,369,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,369,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,369,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,369,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,369,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,369,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,369,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,369,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,369,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,3
RC,369,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,369,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,369,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,369,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,369,Acetaminophen ,,,20.32,20.32,3
RC,369,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,369,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,369,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,369,Acetylcholinesterase ,,,13.4,13.4,3
RC,369,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,369,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,369,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,369,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,369,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,369,Adalimumab ,,,42.04,42.04,3
RC,369,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,369,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,369,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,369,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,369,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,369,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,369,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,369,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,369,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,369,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,369,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,369,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,369,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,369,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,369,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,369,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,369,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,369,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,369,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,369,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,369,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,369,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,369,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,369,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,369,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,369,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,369,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,369,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,369,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,369,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,369,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,369,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,369,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,369,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,369,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,369,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,369,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,369,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,369,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,369,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,369,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,369,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,369,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,369,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,369,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,369,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,369,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,369,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,369,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,369,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,369,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,369,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,369,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,369,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,369,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,369,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,369,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,369,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,369,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,369,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,369,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,369,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,369,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,369,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,369,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,369,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,369,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,369,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,369,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,369,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,369,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,369,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,369,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,369,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,369,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,369,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,369,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,369,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,369,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,369,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,369,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,369,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,369,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,369,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,369,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,369,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,369,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,369,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,369,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,369,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,369,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,369,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,369,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,369,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,369,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,369,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,369,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,369,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,369,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,369,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,369,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,369,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,369,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,369,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,369,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,369,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,369,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,369,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,369,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,369,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,369,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,369,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,369,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,369,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,369,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,369,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,369,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,369,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,369,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,369,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,369,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,369,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,369,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,369,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,369,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,369,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,369,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,369,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,369,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,369,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,369,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,369,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,369,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,369,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,369,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,369,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,369,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,369,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,369,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,369,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,369,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,369,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,369,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,369,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,369,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,369,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,369,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,369,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,369,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,369,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,369,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,369,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,369,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,369,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,369,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,369,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,369,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,369,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,369,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,369,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,369,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,369,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,369,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,369,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,369,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,369,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,369,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,369,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,369,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,369,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,369,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,369,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,369,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,369,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,369,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,369,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,369,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,369,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,369,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,369,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,369,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,369,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,369,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,369,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,369,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,369,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,369,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,369,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,369,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,369,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,369,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,369,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,369,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,369,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,369,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,369,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,369,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,369,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,369,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,369,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,369,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,369,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,369,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,369,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,369,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,369,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,369,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,369,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,369,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,369,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,369,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,369,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,369,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,369,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,369,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,369,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,369,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,369,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,369,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,369,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,369,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,369,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,369,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,369,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,369,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,369,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,369,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,369,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,369,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,369,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,369,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,369,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,369,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,369,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,369,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,369,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,369,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,369,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,369,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,369,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,43890.0,9
RC,369,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,369,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,369,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,369,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,369,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,369,"Adenoidectomy, primary; age 12 or over ",,,930.95,19415.0,27
RC,369,"Adenoidectomy, primary; younger than age 12 ",,,930.95,19415.0,27
RC,369,"Adenoidectomy, secondary; age 12 or over ",,,930.95,19415.0,27
RC,369,"Adenoidectomy, secondary; younger than age 12 ",,,930.95,19415.0,27
RC,369,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,369,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,369,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,369,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,369,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,369,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,369,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,369,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,369,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,8
RC,369,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,369,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,369,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,10
RC,369,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,369,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,369,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,369,Adrenal tissue transplant to brain ,,,21210.0,23307.22,6
RC,369,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2152.0,25655.0,25
RC,369,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2152.0,27467.01,21
RC,369,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,369,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,369,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,369,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,369,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,369,Agalsidase beta injection ,,,253.66,253.66,3
RC,369,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,369,Air fluidized bed ,,,4606.97,4606.97,3
RC,369,Air pressure mattress ,,,25.02,25.02,3
RC,369,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,369,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,369,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,369,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,369,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,369,Albumin; ischemia modified ,,,36.99,36.99,3
RC,369,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,369,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,369,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,369,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,369,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,369,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,369,Aldesleukin injection ,,,3639.37,3639.37,3
RC,369,Aldolase ,,,10.58,10.58,3
RC,369,Aldosterone ,,,44.42,44.42,3
RC,369,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,369,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,369,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,369,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,369,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,369,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,369,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,369,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,369,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,369,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,369,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,369,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,369,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,369,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,369,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,369,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,369,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,369,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,369,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,369,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,369,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,369,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,369,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,369,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,369,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,369,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,369,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,369,Allogeneic lymphocyte infusions ,,,592.85,25655.0,23
RC,369,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,369,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,369,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,369,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,369,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,369,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,369,Alteplase recombinant ,,,107.46,107.46,3
RC,369,Altuviiio per factor viii ,,,5.05,5.05,3
RC,369,Aluminum ,,,27.77,27.77,3
RC,369,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,289.82,25655.0,27
RC,369,"Alveoloplasty, each quadrant (specify) ",,,234.0,25655.0,27
RC,369,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,369,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,369,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,369,Amikacin ,,,16.44,16.44,3
RC,369,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,369,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,369,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,369,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,369,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,369,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,369,Aminolevulinic acid hcl to ,,,424.32,424.32,3
RC,369,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,369,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,369,Amiodarone ,,,20.32,20.32,3
RC,369,Ammonia ,,,15.88,15.88,3
RC,369,Amniocentesis; diagnostic ,,,52.04,5932.0,21
RC,369,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,122.58,5932.0,21
RC,369,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,369,Amphotericin b liposome in ,,,21.63,21.63,3
RC,369,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,34001.63,21
RC,369,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2152.0,26837.67,21
RC,369,Amputation of penis; complete ,,,2214.0,25655.0,25
RC,369,Amputation of penis; partial ,,,1200.05,12360.0,27
RC,369,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,369,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,369,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,369,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,369,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,369,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,369,Amylase ,,,7.06,7.06,3
RC,369,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,2152.0,55858.73,21
RC,369,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,2152.0,73380.11,21
RC,369,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2152.0,58904.51,21
RC,369,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,2152.0,50870.39,21
RC,369,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,2152.0,68352.96,21
RC,369,Anastomosis; facial-hypoglossal ,,,2152.0,25655.0,21
RC,369,Anastomosis; facial-spinal accessory ,,,2152.0,28585.97,21
RC,369,Ancillary Outpatient Servi ,,,15249.85,15249.85,3
RC,369,Androstanediol glucuronide ,,,31.42,31.42,3
RC,369,Androstenedione ,,,31.92,31.92,3
RC,369,Androsterone ,,,27.85,27.85,3
RC,369,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,369,Angiotensin II ,,,22.37,22.37,3
RC,369,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,369,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,369,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,369,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,369,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,369,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,369,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,369,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,369,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,369,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,369,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,369,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,369,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,369,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,369,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,369,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,369,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,369,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,369,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,369,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,369,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,369,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,369,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,369,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,369,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,369,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,369,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,369,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,369,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,369,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,369,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,369,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,369,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,369,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,369,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,369,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,369,"Anoplasty, plastic operation for stricture; adult ",,,986.93,9908.0,27
RC,369,"Anoplasty, plastic operation for stricture; infant ",,,2152.0,25655.0,21
RC,369,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,986.93,6680.0,27
RC,369,Anorectal manometry ,,,1266.0,2636.0,6
RC,369,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1481.0,5932.0,7
RC,369,Anorectal myomectomy ,,,986.93,8858.0,27
RC,369,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,237.69,5932.0,25
RC,369,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,237.69,5932.0,25
RC,369,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,986.93,8858.0,27
RC,369,"Anoscopy; with biopsy, single or multiple ",,,211.33,25655.0,27
RC,369,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,115.98,25655.0,27
RC,369,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,450.72,25655.0,27
RC,369,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,2189.2,9012.0,25
RC,369,Anoscopy; with removal of foreign body ,,,344.93,5932.0,27
RC,369,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,986.93,8858.0,27
RC,369,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,986.93,8858.0,27
RC,369,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,344.93,5932.0,27
RC,369,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,369,Antepartum care only; 4-6 visits ,,,2152.0,7925.46,11
RC,369,Antepartum care only; 7 or more visits ,,,2152.0,13978.21,11
RC,369,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,369,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.34,18490.0,27
RC,369,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,3796.0,25655.0,25
RC,369,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,3796.0,25655.0,25
RC,369,Anti-inhibitor ,,,2.67,2.67,3
RC,369,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,369,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,369,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,369,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,369,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,369,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,369,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,369,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,369,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,369,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,369,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,369,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,369,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,369,Antibody; Aspergillus ,,,16.4,16.4,3
RC,369,Antibody; Bartonella ,,,11.1,11.1,3
RC,369,Antibody; Blastomyces ,,,14.06,14.06,3
RC,369,Antibody; Bordetella ,,,14.38,14.38,3
RC,369,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,369,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,369,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,369,Antibody; Brucella ,,,9.73,9.73,3
RC,369,Antibody; Campylobacter ,,,14.3,14.3,3
RC,369,Antibody; Candida ,,,13.09,13.09,3
RC,369,Antibody; Chlamydia ,,,12.88,12.88,3
RC,369,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,369,Antibody; Coccidioides ,,,12.5,12.5,3
RC,369,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,369,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,369,Antibody; Diphtheria ,,,16.58,16.58,3
RC,369,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,369,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,369,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,369,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,369,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,369,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,369,Antibody; HIV-1 ,,,9.69,9.69,3
RC,369,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,369,Antibody; HIV-2 ,,,14.74,14.74,3
RC,369,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,369,Antibody; HTLV-I ,,,9.91,9.91,3
RC,369,Antibody; HTLV-II ,,,15.26,15.26,3
RC,369,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,369,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,369,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,369,Antibody; Legionella ,,,16.68,16.68,3
RC,369,Antibody; Leishmania ,,,13.35,13.35,3
RC,369,Antibody; Leptospira ,,,17.66,17.66,3
RC,369,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,369,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,369,Antibody; Nocardia ,,,17.43,17.43,3
RC,369,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,369,Antibody; Rickettsia ,,,21.09,21.09,3
RC,369,Antibody; Salmonella ,,,14.38,14.38,3
RC,369,Antibody; Shigella ,,,26.68,26.68,3
RC,369,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,369,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,369,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,369,Antibody; Trichinella ,,,13.69,13.69,3
RC,369,Antibody; West Nile virus ,,,15.69,15.69,3
RC,369,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,369,Antibody; Yersinia ,,,14.38,14.38,3
RC,369,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,369,Antibody; actinomyces ,,,11.1,11.1,3
RC,369,Antibody; adenovirus ,,,14.03,14.03,3
RC,369,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,369,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,369,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,369,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,369,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,369,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,369,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,369,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,369,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,369,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,369,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,369,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,369,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,369,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,369,Antibody; histoplasma ,,,15.03,15.03,3
RC,369,Antibody; influenza virus ,,,14.77,14.77,3
RC,369,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,369,Antibody; mucormycosis ,,,16.35,16.35,3
RC,369,Antibody; mumps ,,,14.22,14.22,3
RC,369,Antibody; mycoplasma ,,,14.43,14.43,3
RC,369,Antibody; parvovirus ,,,16.38,16.38,3
RC,369,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,369,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,369,Antibody; rotavirus ,,,19.87,19.87,3
RC,369,Antibody; rubella ,,,15.69,15.69,3
RC,369,Antibody; rubeola ,,,14.04,14.04,3
RC,369,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,369,Antibody; tetanus ,,,16.13,16.13,3
RC,369,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,369,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,369,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,369,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,369,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,369,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,369,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,369,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,369,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,369,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,369,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,369,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,369,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,369,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,369,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,369,"Apolipoprotein, each ",,,22.99,22.99,3
RC,369,Appendectomy; ,,,5694.0,25655.0,25
RC,369,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,2152.0,25655.0,21
RC,369,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,1481.0,2636.0,9
RC,369,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,369,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,369,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,369,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,369,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,369,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,369,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,369,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,369,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,369,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,369,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,369,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,369,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,369,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,14
RC,369,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,14
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,22
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,6
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,12
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,6
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,12499.0,16
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,6
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,12
RC,369,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,369,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,3196.1,3512.12,6
RC,369,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,369,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,369,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,369,Aqueous shunt ,,,855.38,855.38,3
RC,369,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,2167.86,18490.0,27
RC,369,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2091.35,19415.0,27
RC,369,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,369,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,369,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,369,"Arm rest, each ",,,23.28,23.28,3
RC,369,Arsenic ,,,20.68,20.68,3
RC,369,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,25655.0,20
RC,369,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,13
RC,369,"Arthroereisis, subtalar ",,,21210.0,23307.22,6
RC,369,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,23307.22,6
RC,369,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,2636.0,5
RC,369,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,25655.0,20
RC,369,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,2587.42,6
RC,369,Artificial cornea ,,,8791.45,8791.45,3
RC,369,Artificial insemination; intra-cervical ,,,267.26,3092.0,21
RC,369,Artificial insemination; intra-uterine ,,,282.68,3092.0,21
RC,369,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,369,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,369,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,369,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,270.48,5932.0,27
RC,369,"Aspiration and/or injection, thyroid cyst ",,,62.5,5932.0,27
RC,369,Aspiration of bladder; by needle ,,,38.37,5932.0,27
RC,369,Aspiration of bladder; by trocar or intracatheter ,,,103.77,5932.0,27
RC,369,Aspiration of bladder; with insertion of suprapubic catheter ,,,685.44,8858.0,27
RC,369,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,892.44,8858.0,27
RC,369,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,369,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,369,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,369,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,369,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,369,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,369,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,369,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,369,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,369,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,6
RC,369,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,6
RC,369,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,369,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,369,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,369,Axillary crutch extension ,,,246.97,246.97,3
RC,369,Axillary lymphadenectomy; complete ,,,1983.29,21630.0,27
RC,369,Axillary lymphadenectomy; superficial ,,,1983.29,21630.0,27
RC,369,Azathioprine parenteral ,,,277.69,277.69,3
RC,369,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,369,"B cells, total count ",,,41.13,41.13,3
RC,369,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,369,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,369,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,369,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,369,BIOPSY EYE MUSCLE ,,,2152.0,6587.0,4
RC,369,BIOPSY OF STOMACH ,,,2152.0,6587.0,4
RC,369,BIOPSY OF THROAT ,,,2152.0,6587.0,4
RC,369,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,369,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,369,BRAIN SURGERY USING COMPUTER ,,,2152.0,6587.0,4
RC,369,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,369,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,369,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,369,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,369,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,369,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,369,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,369,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,369,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,369,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,369,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,369,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1481.0,2636.0,9
RC,369,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2152.0,25655.0,17
RC,369,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,2152.0,25655.0,21
RC,369,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,2152.0,25655.0,21
RC,369,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,2152.0,25655.0,21
RC,369,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,2152.0,25655.0,21
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2152.0,25655.0,21
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2152.0,25655.0,21
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2152.0,25655.0,21
RC,369,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2152.0,40979.09,17
RC,369,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2152.0,31872.58,21
RC,369,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,2152.0,52362.13,63
RC,369,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,2152.0,25655.0,21
RC,369,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2152.0,34149.32,21
RC,369,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,369,"Balance lens, per lens ",,,70.71,70.71,3
RC,369,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2152.0,31577.42,21
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,21
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,21
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2152.0,16144.0,21
RC,369,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,1481.0,5932.0,13
RC,369,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1481.0,5932.0,13
RC,369,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,369,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,369,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,369,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,369,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,369,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,369,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,369,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,369,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,369,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,369,"Bed cradle, any type ",,,42.41,42.41,3
RC,369,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,369,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,369,"Bed side rails, full length ",,,149.47,149.47,3
RC,369,"Bed side rails, half length ",,,14.69,14.69,3
RC,369,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,369,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,369,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,369,Belatacept injection ,,,4.23,4.23,3
RC,369,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,369,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,369,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,369,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,369,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,369,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,369,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,369,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,369,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,369,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,369,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,369,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,369,Beta-2 microglobulin ,,,17.64,17.64,3
RC,369,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,369,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,369,Bevacizumab injection ,,,81.56,81.56,3
RC,369,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2152.0,54817.59,21
RC,369,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,369,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,369,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,369,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2152.0,45780.94,21
RC,369,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2152.0,49712.62,21
RC,369,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2152.0,31064.51,21
RC,369,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,369,Bile acids; total ,,,18.66,18.66,3
RC,369,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,1266.0,25655.0,21
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,1209.12,12360.0,27
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1209.12,21630.0,27
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,2960.31,21630.0,27
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1637.09,12360.0,27
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1983.29,21630.0,27
RC,369,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,369,Bilirubin; direct ,,,5.47,5.47,3
RC,369,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,369,Bilirubin; total ,,,5.47,5.47,3
RC,369,Biofeedback training by any modality ,,,39.38,44.74,6
RC,369,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,369,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,369,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,1200.05,8485.0,27
RC,369,Biopsy external auditory canal ,,,99.71,25655.0,23
RC,369,Biopsy external ear ,,,57.56,3092.0,23
RC,369,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,986.93,6563.7,27
RC,369,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,95.93,5932.0,27
RC,369,Biopsy of conjunctiva ,,,113.96,8485.0,27
RC,369,Biopsy of cornea ,,,733.22,6680.0,27
RC,369,"Biopsy of epididymis, needle ",,,510.77,5932.0,27
RC,369,Biopsy of extraocular muscle ,,,1158.59,12360.0,27
RC,369,Biopsy of floor of mouth ,,,110.18,5932.0,27
RC,369,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,351.7,5932.0,27
RC,369,Biopsy of lacrimal gland ,,,733.22,8858.0,27
RC,369,Biopsy of lacrimal sac ,,,733.22,8858.0,27
RC,369,Biopsy of lip ,,,67.44,2636.0,23
RC,369,"Biopsy of liver, needle; percutaneous ",,,510.77,5932.0,27
RC,369,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,369,"Biopsy of liver, wedge ",,,2152.0,25655.0,21
RC,369,Biopsy of nerve ,,,692.94,8858.0,27
RC,369,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1116.7,9908.0,27
RC,369,"Biopsy of palate, uvula ",,,596.33,5932.0,25
RC,369,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2152.0,25655.0,21
RC,369,"Biopsy of pancreas, percutaneous needle ",,,510.77,5932.0,27
RC,369,Biopsy of penis; (separate procedure) ,,,510.77,5932.0,27
RC,369,Biopsy of penis; deep structures ,,,855.96,8858.0,27
RC,369,Biopsy of salivary gland; incisional ,,,441.67,6680.0,27
RC,369,Biopsy of salivary gland; needle ,,,60.46,5932.0,27
RC,369,"Biopsy of spinal cord, percutaneous needle ",,,510.77,5932.0,27
RC,369,"Biopsy of stomach, by laparotomy ",,,3796.0,25655.0,21
RC,369,"Biopsy of testis, incisional (separate procedure) ",,,1200.05,8858.0,27
RC,369,"Biopsy of testis, needle (separate procedure) ",,,855.96,6492.89,27
RC,369,Biopsy of tongue; anterior two-thirds ,,,116.86,5932.0,27
RC,369,Biopsy of tongue; posterior one-third ,,,115.11,6680.0,27
RC,369,Biopsy of urethra ,,,685.44,8858.0,27
RC,369,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,1116.7,8858.0,27
RC,369,Biopsy of vaginal mucosa; simple (separate procedure) ,,,49.41,5932.0,27
RC,369,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,47.09,5932.0,27
RC,369,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,369,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,510.77,5932.0,27
RC,369,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,1011.84,8858.0,27
RC,369,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,1011.84,8858.0,27
RC,369,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,1011.84,8858.0,27
RC,369,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,2152.0,25655.0,25
RC,369,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,1011.84,8858.0,27
RC,369,"Biopsy or excision of lymph node(s); open, superficial ",,,1011.84,8858.0,27
RC,369,"Biopsy thyroid, percutaneous core needle ",,,44.76,5932.0,27
RC,369,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,510.77,5932.0,27
RC,369,"Biopsy, prostate, any approach, nonimaging-guided ",,,1200.05,6680.0,27
RC,369,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,8
RC,369,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2287.0,15338.2,14
RC,369,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2287.0,15338.2,14
RC,369,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2287.0,10083.72,14
RC,369,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2287.0,10083.72,14
RC,369,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2287.0,10083.72,14
RC,369,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2287.0,10083.72,14
RC,369,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2287.0,10083.72,14
RC,369,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2287.0,10083.72,14
RC,369,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,685.44,4723.0,7
RC,369,"Biopsy, vestibule of mouth ",,,113.09,5932.0,27
RC,369,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,930.95,8858.0,27
RC,369,"Biopsy; nasopharynx, visible lesion, simple ",,,930.95,7334.01,27
RC,369,Biopsy; oropharynx ,,,89.82,25655.0,27
RC,369,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,369,Bladder instillation of anticarcinogenic agent (including retention time) ,,,47.09,6587.0,23
RC,369,"Bladder irrigation, simple, lavage and/or instillation ",,,46.52,6587.0,27
RC,369,Bleeding time ,,,5.25,5.25,3
RC,369,"Blepharotomy, drainage of abscess, eyelid ",,,113.7,5932.0,27
RC,369,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,14
RC,369,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,25655.0,21
RC,369,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,21256.09,27301.4,9
RC,369,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,21538.0,35001.4,9
RC,369,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,14
RC,369,Blood component/product no ,,,38.5,38.5,3
RC,369,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,369,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,369,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,369,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,369,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,369,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,369,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,369,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,369,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,369,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,369,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,369,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,369,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,369,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,369,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,369,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,369,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,369,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,369,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,369,Blood split unit ,,,169.87,169.87,3
RC,369,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,369,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,369,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,369,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,369,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,369,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,369,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,369,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,369,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,369,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,369,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,369,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,369,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,369,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,1481.0,25655.0,21
RC,369,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,592.85,25655.0,23
RC,369,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,369,Bone marrow harvesting for transplantation; allogeneic ,,,592.85,25655.0,27
RC,369,Bone marrow harvesting for transplantation; autologous ,,,1757.86,17510.0,27
RC,369,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,6
RC,369,Bradykinin ,,,5.62,5.62,3
RC,369,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,369,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,369,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,369,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,369,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,369,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,369,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,369,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,369,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,6
RC,369,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,6
RC,369,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,6
RC,369,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1481.0,2636.0,5
RC,369,Breathing circuits ,,,11.75,11.75,3
RC,369,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,369,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,369,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,369,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,369,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,13
RC,369,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,10
RC,369,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,25655.0,11
RC,369,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,16
RC,369,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,369,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,20
RC,369,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,20
RC,369,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,369,Bundle of His recording ,,,12830.85,43890.0,14
RC,369,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,369,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,369,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2152.0,25655.0,21
RC,369,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2152.0,25655.0,21
RC,369,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2152.0,25655.0,21
RC,369,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2152.0,28702.4,21
RC,369,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2152.0,30924.8,21
RC,369,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2152.0,25655.0,21
RC,369,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2152.0,28857.84,21
RC,369,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2152.0,25655.0,21
RC,369,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2152.0,28376.19,21
RC,369,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,369,C-peptide ,,,22.68,22.68,3
RC,369,C-reactive protein; ,,,5.65,5.65,3
RC,369,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,369,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,369,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,369,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,369,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,369,CATHETERIZE MIDDLE EAR CANAL ,,,2152.0,6587.0,4
RC,369,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,369,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,369,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,369,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,369,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,369,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,369,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,369,CHANGE BILE DUCT CATHETER ,,,2152.0,6587.0,4
RC,369,CHANGE IV CATH AT THROMB TX ,,,2152.0,6587.0,4
RC,369,CHANGE KIDNEY TUBE ,,,2152.0,6587.0,4
RC,369,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,2152.0,2636.0,4
RC,369,CIRCUMCISION ,,,2152.0,6587.0,4
RC,369,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,COLONOSCOPY LESION REMOVAL ,,,2152.0,6587.0,4
RC,369,COLONOSCOPY W/STENT ,,,2152.0,6587.0,8
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,1
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,369,CONTROL POSTOP BLEEDING ,,,2152.0,6587.0,4
RC,369,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,2152.0,16144.0,5
RC,369,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,2152.0,16144.0,5
RC,369,CREATE SALIVARY CYST DRAIN ,,,2152.0,6587.0,8
RC,369,CRYOTHERAPY OF RECTAL LESION ,,,2152.0,6587.0,8
RC,369,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,369,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,369,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,369,CT and CTA without Contras ,,,242.29,242.29,3
RC,369,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,369,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,369,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,369,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,369,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,369,"CYSTOSCOPY, RESECT DUCTS ",,,2152.0,6587.0,4
RC,369,Cabazitaxel injection ,,,254.77,254.77,3
RC,369,Cadmium ,,,25.77,25.77,3
RC,369,Caffeine ,,,42.04,42.04,3
RC,369,Calcitonin ,,,29.2,29.2,3
RC,369,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,369,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,369,Calcium; ionized ,,,14.91,14.91,3
RC,369,Calcium; total ,,,5.62,5.62,3
RC,369,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,369,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,369,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,369,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,369,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,369,"Calprotectin, fecal ",,,21.4,21.4,3
RC,369,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,369,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,369,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,369,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,369,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,369,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,369,"Cannula, nasal ",,,1.13,1.13,3
RC,369,"Cannulation, thoracic duct ",,,1481.0,2636.0,9
RC,369,"Cantharidin top, applicato ",,,757.78,757.78,3
RC,369,Canthoplasty (reconstruction of canthus) ,,,733.22,8858.0,27
RC,369,Canthotomy (separate procedure) ,,,733.22,8858.0,27
RC,369,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,369,Capsaicin 8% patch ,,,3.82,3.82,3
RC,369,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,369,Carbamazepine; free ,,,14.44,14.44,3
RC,369,Carbamazepine; total ,,,15.88,15.88,3
RC,369,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,369,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,369,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,369,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,369,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,369,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,369,Cardiac Rehabilitation ,,,141.15,141.15,3
RC,369,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,369,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,369,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,1481.0,2174.0,4
RC,369,Cardioassist-method of circulatory assist; external ,,,2152.0,16144.0,8
RC,369,Cardioassist-method of circulatory assist; internal ,,,2152.0,16144.0,14
RC,369,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,369,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,369,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,551.76,2636.0,11
RC,369,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,15
RC,369,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1169.48,3293.0,15
RC,369,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,369,Carmustine injection ,,,261.61,261.61,3
RC,369,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,369,Carotene ,,,10.05,10.05,3
RC,369,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,369,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,369,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,369,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,369,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,369,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,369,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,369,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,369,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,369,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,369,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,369,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,369,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,369,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,369,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,369,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,369,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,369,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,369,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,369,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,369,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,369,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,369,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,369,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,369,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,369,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,369,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,369,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,369,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,369,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,369,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,369,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,369,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,369,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,369,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,369,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,369,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,369,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,369,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,369,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,369,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,369,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,369,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,369,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,369,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,369,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,369,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,369,"Caster pin lock, each ",,,46.34,46.34,3
RC,369,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,369,Catecholamines; blood ,,,31.7,31.7,3
RC,369,Catecholamines; fractionated ,,,27.52,27.52,3
RC,369,Catecholamines; total urine ,,,29.76,29.76,3
RC,369,Cathepsin-D ,,,19.69,19.69,3
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,12875.0,10
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,12875.0,10
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,42
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,13254.68,9
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,12875.0,40
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,12875.0,30
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,13254.68,9
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,12875.0,9
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,6
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,9119.84,22644.0,14
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,22644.0,38
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9119.84,22644.0,28
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,33769.0,51
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9119.84,22644.0,14
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,14
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,23113.0,14
RC,369,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1481.0,5932.0,13
RC,369,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,369,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,13
RC,369,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,508.76,6587.0,15
RC,369,"Cautery of cervix; cryocautery, initial or repeat ",,,110.18,5932.0,27
RC,369,Cautery of cervix; electro or thermal ,,,83.14,25655.0,27
RC,369,Cautery of cervix; laser ablation ,,,1116.7,8858.0,27
RC,369,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,369,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,369,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,369,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,369,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,369,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,369,"Cerclage of cervix, during pregnancy; abdominal ",,,2152.0,25655.0,25
RC,369,"Cerclage of cervix, during pregnancy; vaginal ",,,1116.7,8858.0,27
RC,369,"Cerclage of uterine cervix, nonobstetrical ",,,2187.0,8858.0,25
RC,369,Ceruloplasmin ,,,11.71,11.71,3
RC,369,Cervical head harness/halter ,,,30.83,30.83,3
RC,369,Cervical lymphadenectomy (complete) ,,,3796.0,25655.0,25
RC,369,Cervical lymphadenectomy (modified radical neck dissection) ,,,3796.0,32377.73,25
RC,369,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,369,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,369,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,369,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,369,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,369,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,369,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,369,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,369,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,369,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,369,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,369,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,369,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,369,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,369,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,369,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,369,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2152.0,25655.0,17
RC,369,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2152.0,29129.93,11
RC,369,Cesarean delivery only; ,,,2152.0,25655.0,20
RC,369,Cesarean delivery only; including postpartum care ,,,2152.0,28282.84,18
RC,369,Cetuximab injection ,,,89.02,89.02,3
RC,369,Change of cystostomy tube; complicated ,,,250.06,6587.0,27
RC,369,Change of cystostomy tube; simple ,,,54.36,6587.0,27
RC,369,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,685.44,5932.0,27
RC,369,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,20
RC,369,Chemiluminescent assay ,,,15.39,15.39,3
RC,369,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,6
RC,369,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,6
RC,369,Chemodenervation of eccrine glands; both axillae ,,,53.19,5932.0,27
RC,369,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,60.75,5932.0,27
RC,369,Chemodenervation of extraocular muscle ,,,107.27,5932.0,27
RC,369,Chemodenervation of internal anal sphincter ,,,450.72,5932.0,27
RC,369,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,78.19,6587.0,27
RC,369,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,68.02,5932.0,27
RC,369,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,62.21,5932.0,27
RC,369,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,60.16,5932.0,27
RC,369,Chemodenervation of one extremity; 1-4 muscle(s) ,,,72.09,5932.0,27
RC,369,Chemodenervation of one extremity; 5 or more muscles ,,,89.82,5932.0,27
RC,369,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,369,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,369,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,70.93,5932.0,27
RC,369,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,72.09,5932.0,27
RC,369,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,79.06,5932.0,27
RC,369,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,1481.0,6587.0,5
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,2287.0,12875.0,5
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,2287.0,12875.0,5
RC,369,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,2287.0,12875.0,5
RC,369,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,369,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,369,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,369,Chloramphenicol ,,,13.81,13.81,3
RC,369,Chloride; blood ,,,5.01,5.01,3
RC,369,Chloride; other source ,,,5.45,5.45,3
RC,369,Chloride; urine ,,,6.27,6.27,3
RC,369,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,369,Cholecystectomy with exploration of common duct; ,,,2152.0,76895.0,25
RC,369,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,2152.0,76895.0,25
RC,369,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,2152.0,30753.83,25
RC,369,Cholecystectomy; ,,,2152.0,25655.0,25
RC,369,Cholecystectomy; with cholangiography ,,,2152.0,25655.0,25
RC,369,Cholecystoenterostomy; Roux-en-Y ,,,2152.0,29339.71,21
RC,369,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,2152.0,33232.37,21
RC,369,Cholecystoenterostomy; direct ,,,2152.0,25975.27,21
RC,369,Cholecystoenterostomy; with gastroenterostomy ,,,2152.0,30575.1,21
RC,369,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,5381.0,25655.0,21
RC,369,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,2152.0,25655.0,21
RC,369,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,2152.0,30854.73,21
RC,369,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,2152.0,30225.4,21
RC,369,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,369,Choline c-11 ,,,2742.91,2742.91,3
RC,369,Cholinesterase; RBC ,,,10.69,10.69,3
RC,369,Cholinesterase; serum ,,,8.58,8.58,3
RC,369,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,369,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,369,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,369,"Chorionic villus sampling, any method ",,,52.32,3293.0,23
RC,369,Chromium ,,,22.11,22.11,3
RC,369,Chromogenic substrate assay ,,,12.96,12.96,3
RC,369,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,369,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,369,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,369,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,369,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,369,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,369,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,369,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,369,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,369,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,369,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,369,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,369,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,369,"Chromotubation of oviduct, including materials ",,,5694.0,12360.0,25
RC,369,Cidofovir injection ,,,583.95,583.95,3
RC,369,Ciliary body destruction; cryotherapy ,,,733.22,8858.0,27
RC,369,Ciliary body destruction; cyclodialysis ,,,733.22,8858.0,27
RC,369,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,892.44,8858.0,27
RC,369,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,733.22,8858.0,27
RC,369,Ciliary body destruction; diathermy ,,,892.44,6680.0,27
RC,369,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,369,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,250.06,8858.0,27
RC,369,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,685.44,8858.0,27
RC,369,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,685.44,8858.0,27
RC,369,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,113.56,5932.0,27
RC,369,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,113.56,5932.0,27
RC,369,Citrate ,,,30.3,30.3,3
RC,369,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,369,Clinic Visits and Related ,,,145.78,145.78,3
RC,369,Clitoroplasty for intersex state ,,,1116.7,25655.0,23
RC,369,Closure of anal fistula with rectal advancement flap ,,,986.93,19415.0,27
RC,369,Closure of cystostomy (separate procedure) ,,,1200.05,8858.0,27
RC,369,Closure of enteroenteric or enterocolic fistula ,,,2152.0,32533.18,21
RC,369,"Closure of enterostomy, large or small intestine; ",,,2152.0,25655.0,21
RC,369,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,2152.0,25655.0,21
RC,369,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,2152.0,36076.35,21
RC,369,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,2152.0,34949.62,21
RC,369,Closure of enterovesical fistula; without intestinal or bladder resection ,,,2152.0,30069.95,21
RC,369,Closure of esophagostomy or fistula; cervical approach ,,,3796.0,25655.0,25
RC,369,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,2152.0,32354.45,21
RC,369,Closure of gastrocolic fistula ,,,2152.0,35882.09,21
RC,369,"Closure of gastrostomy, surgical ",,,1175.22,8858.0,27
RC,369,Closure of intestinal cutaneous fistula ,,,2152.0,31585.18,21
RC,369,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,91.96,2636.0,23
RC,369,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,196.58,5932.0,27
RC,369,Closure of lacrimal fistula (separate procedure) ,,,733.22,19415.0,27
RC,369,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1266.0,26107.22,25
RC,369,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2152.0,33131.47,21
RC,369,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2152.0,35516.87,21
RC,369,Closure of rectourethral fistula; ,,,2152.0,28515.9,21
RC,369,Closure of rectourethral fistula; with colostomy ,,,2152.0,34530.06,21
RC,369,Closure of rectovaginal fistula; abdominal approach ,,,2152.0,25655.0,25
RC,369,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,2152.0,25655.0,21
RC,369,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,3796.0,25655.0,21
RC,369,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1116.7,9908.0,27
RC,369,Closure of rectovesical fistula; ,,,2152.0,28352.91,21
RC,369,Closure of rectovesical fistula; with colostomy ,,,2152.0,33069.16,21
RC,369,"Closure of the lacrimal punctum; by plug, each ",,,82.55,5932.0,27
RC,369,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,113.7,5932.0,27
RC,369,Closure of ureterocutaneous fistula ,,,2152.0,25655.0,21
RC,369,Closure of ureterovisceral fistula (including visceral repair) ,,,2152.0,25655.0,21
RC,369,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,1773.9,12360.0,27
RC,369,Closure of urethrovaginal fistula; ,,,2390.64,18770.08,27
RC,369,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,5694.0,25655.0,25
RC,369,Closure of vesicouterine fistula; ,,,3796.0,25655.0,25
RC,369,Closure of vesicouterine fistula; with hysterectomy ,,,2152.0,25655.0,21
RC,369,"Closure of vesicovaginal fistula, abdominal approach ",,,5694.0,25655.0,25
RC,369,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,5694.0,25655.0,21
RC,369,Closure of vesicovaginal fistula; vaginal approach ,,,1603.34,12360.0,27
RC,369,"Closure postauricular fistula, mastoid (separate procedure) ",,,441.67,9908.0,27
RC,369,Closure salivary fistula ,,,930.95,7334.01,27
RC,369,"Closure, exstrophy of bladder ",,,2152.0,36923.22,21
RC,369,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,369,Clot retraction ,,,17.77,17.77,3
RC,369,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,369,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,369,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,369,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,369,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,369,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,369,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,369,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,369,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,369,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,369,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,369,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,369,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,369,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,369,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,369,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,369,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,369,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,369,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,369,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,369,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,369,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,369,Clozapine ,,,21.96,21.96,3
RC,369,Clubfoot wedge ,,,66.8,66.8,3
RC,369,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,369,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,369,Coagulation time; activated ,,,4.67,4.67,3
RC,369,Coagulation time; other methods ,,,4.89,4.89,3
RC,369,Cochlear Implant Procedure ,,,36103.38,36103.38,3
RC,369,"Cochlear device implantation, with or without mastoidectomy ",,,8325.0,111180.0,26
RC,369,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,369,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,369,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,369,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,369,Cold agglutinin; screen ,,,8.8,8.8,3
RC,369,Cold agglutinin; titer ,,,8.79,8.79,3
RC,369,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2152.0,27979.92,21
RC,369,"Colectomy, partial; abdominal and transanal approach ",,,2152.0,43784.05,21
RC,369,"Colectomy, partial; with anastomosis ",,,2152.0,30240.92,21
RC,369,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,2152.0,37335.02,21
RC,369,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,2152.0,47676.92,21
RC,369,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2152.0,37505.99,21
RC,369,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,2152.0,39891.39,21
RC,369,"Colectomy, partial; with skin level cecostomy or colostomy ",,,2152.0,41119.02,21
RC,369,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,2152.0,51693.98,21
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,2152.0,50730.46,21
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,2152.0,49417.46,21
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,2152.0,46736.69,21
RC,369,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,2152.0,48687.01,21
RC,369,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,2152.0,42027.99,21
RC,369,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,369,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,369,"Collagen cross links, any method ",,,20.36,20.36,3
RC,369,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,369,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,369,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,369,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,369,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,16144.0,14
RC,369,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,369,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1481.0,2174.0,4
RC,369,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,5932.0,27
RC,369,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,2189.2,9012.0,25
RC,369,"Colonoscopy through stoma; with biopsy, single or multiple ",,,450.72,5932.0,27
RC,369,"Colonoscopy through stoma; with control of bleeding, any method ",,,450.72,5932.0,27
RC,369,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,344.93,9012.0,27
RC,369,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,450.72,9012.0,27
RC,369,Colonoscopy through stoma; with endoscopic mucosal resection ,,,450.72,9012.0,27
RC,369,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,2214.0,13386.32,25
RC,369,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,450.72,9012.0,27
RC,369,Colonoscopy through stoma; with removal of foreign body(s) ,,,344.93,5932.0,27
RC,369,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,450.72,5932.0,27
RC,369,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,5932.0,27
RC,369,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,450.72,9012.0,27
RC,369,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,450.72,9012.0,27
RC,369,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,6680.0,27
RC,369,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,450.72,9012.0,27
RC,369,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,450.72,9012.0,27
RC,369,"Colonoscopy, flexible; with biopsy, single or multiple ",,,450.72,6680.0,27
RC,369,"Colonoscopy, flexible; with control of bleeding, any method ",,,450.72,6680.0,27
RC,369,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,450.72,9012.0,27
RC,369,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,450.72,6680.0,27
RC,369,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,986.93,9012.0,27
RC,369,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,2214.0,13386.32,27
RC,369,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,450.72,6680.0,27
RC,369,"Colonoscopy, flexible; with removal of foreign body(s) ",,,450.72,6680.0,27
RC,369,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,450.72,6680.0,27
RC,369,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,6680.0,27
RC,369,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,450.72,6680.0,27
RC,369,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,450.72,6680.0,27
RC,369,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1266.0,6680.0,25
RC,369,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1266.0,6680.0,25
RC,369,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,369,Colorectal cancer screening; flexible sigmoidoscopy ,,,890.09,5932.0,19
RC,369,Colostomy or skin level cecostomy; ,,,2152.0,27078.5,21
RC,369,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,2152.0,25655.0,21
RC,369,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,2152.0,76895.0,25
RC,369,Colpocentesis (separate procedure) ,,,1603.34,11960.31,27
RC,369,Colpocleisis (Le Fort type) ,,,1603.34,25655.0,27
RC,369,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,1116.7,8858.0,27
RC,369,"Colpopexy, abdominal approach ",,,3796.0,25655.0,25
RC,369,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,7592.0,25655.0,25
RC,369,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,7592.0,25655.0,25
RC,369,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,25655.0,20
RC,369,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,1116.7,8858.0,27
RC,369,Colposcopy of the cervix including upper/adjacent vagina; ,,,59.59,6680.0,27
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,73.54,5932.0,27
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,68.31,6680.0,27
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,69.76,5932.0,27
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,183.14,25655.0,27
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,194.48,9908.0,27
RC,369,"Colposcopy of the entire vagina, with cervix if present; ",,,60.75,5932.0,27
RC,369,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,79.95,5932.0,27
RC,369,Colposcopy of the vulva; ,,,57.86,5932.0,27
RC,369,Colposcopy of the vulva; with biopsy(s) ,,,76.17,5932.0,27
RC,369,Colpotomy; with drainage of pelvic abscess ,,,1116.7,8858.0,27
RC,369,Colpotomy; with exploration ,,,1116.7,8858.0,27
RC,369,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,369,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,369,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,369,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.34,18490.0,27
RC,369,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.34,23113.0,27
RC,369,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,369,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,369,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,369,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,369,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,369,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,369,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,369,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,369,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,369,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,369,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,369,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,369,"Complement; antigen, each component ",,,13.08,13.08,3
RC,369,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,369,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,369,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,369,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,369,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,6
RC,369,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,6
RC,369,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,6
RC,369,Complex GI Procedures ,,,6647.43,6647.43,3
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,115.66,6587.0,27
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,229.65,6587.0,27
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,233.43,6587.0,27
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,233.71,6587.0,27
RC,369,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,369,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,301.6,6587.0,21
RC,369,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,369,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,43890.0,12
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,43890.0,12
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,12830.85,43890.0,14
RC,369,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,57218.76,30
RC,369,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,25253.0,43890.0,8
RC,369,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,57218.76,15
RC,369,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,369,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,369,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,1481.0,6587.0,9
RC,369,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,369,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,369,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,369,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,369,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,369,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,369,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,369,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,369,"Congo red, blood ",,,5.4,5.4,3
RC,369,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,1116.7,8858.0,27
RC,369,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,1116.7,8858.0,27
RC,369,Conjunctival flap; bridge or partial (separate procedure) ,,,1158.59,12360.0,27
RC,369,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,733.22,8858.0,27
RC,369,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,733.22,19415.0,27
RC,369,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1158.59,19415.0,27
RC,369,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1158.59,19415.0,27
RC,369,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,733.22,19415.0,27
RC,369,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1158.59,19415.0,27
RC,369,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1158.59,19415.0,27
RC,369,Construction of artificial vagina; with graft ,,,5694.0,25655.0,25
RC,369,Construction of artificial vagina; without graft ,,,1603.34,18490.0,27
RC,369,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,733.22,9908.0,27
RC,369,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,733.22,9908.0,27
RC,369,Cont epidur inject-lumb ,,,2152.0,6587.0,4
RC,369,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,369,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,369,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,369,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,369,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,369,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,369,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,369,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,369,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,369,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,369,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,369,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,369,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,369,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,369,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,369,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,369,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,369,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,369,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2152.0,37358.31,21
RC,369,Continent ileostomy (Kock procedure) (separate procedure) ,,,2152.0,31919.36,21
RC,369,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1481.0,2636.0,5
RC,369,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,369,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,369,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1481.0,5932.0,13
RC,369,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,508.03,5932.0,25
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,2152.0,25655.0,21
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,91.96,5932.0,27
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,930.95,9908.0,27
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,2152.0,25655.0,21
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,196.58,5932.0,27
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,930.95,8858.0,27
RC,369,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,369,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,1209.12,12499.0,27
RC,369,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,5932.0,27
RC,369,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,20
RC,369,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,685.44,8485.0,27
RC,369,Copper ,,,13.53,13.53,3
RC,369,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,369,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,6
RC,369,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,6
RC,369,"Cordocentesis (intrauterine), any method ",,,590.17,2636.0,21
RC,369,Corneal relaxing incision for correction of surgically induced astigmatism ,,,351.98,19415.0,27
RC,369,Corneal wedge resection for correction of surgically induced astigmatism ,,,733.22,19415.0,27
RC,369,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,369,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,2152.0,25655.0,21
RC,369,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1200.05,19415.0,27
RC,369,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1200.05,19415.0,27
RC,369,"Correction of everted punctum, cautery ",,,113.7,5932.0,27
RC,369,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,733.22,9908.0,27
RC,369,Correction of lid retraction ,,,733.22,9908.0,27
RC,369,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,2152.0,33722.0,25
RC,369,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,70.63,3092.0,23
RC,369,"Correction of trichiasis; epilation, by forceps only ",,,237.69,2636.0,21
RC,369,Correction of trichiasis; incision of lid margin ,,,351.98,6680.0,27
RC,369,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,733.22,8858.0,27
RC,369,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,369,Corticosterone ,,,24.55,24.55,3
RC,369,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,369,Cortisol; free ,,,18.21,18.21,3
RC,369,Cortisol; total ,,,17.77,17.77,3
RC,369,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1481.0,2636.0,9
RC,369,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,8024.0,21630.0,21
RC,369,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,369,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,369,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,369,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,369,Cr51 chromate ,,,2090.58,2090.58,3
RC,369,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,369,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,369,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,369,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,369,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2152.0,33815.14,21
RC,369,Craniectomy for craniosynostosis; single cranial suture ,,,2152.0,25655.0,21
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2152.0,85726.66,21
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2152.0,62976.11,21
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2152.0,67404.97,21
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2152.0,72820.62,21
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2152.0,41390.89,21
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2152.0,46954.23,21
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2152.0,47311.7,21
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2152.0,45097.27,21
RC,369,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2152.0,35571.2,21
RC,369,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2152.0,54242.59,21
RC,369,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2152.0,54196.02,21
RC,369,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2152.0,47941.03,21
RC,369,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2152.0,43170.23,21
RC,369,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2152.0,45578.92,21
RC,369,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2152.0,37412.64,21
RC,369,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2152.0,42362.17,21
RC,369,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2152.0,44545.55,21
RC,369,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2152.0,76099.69,21
RC,369,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2152.0,70769.41,21
RC,369,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2152.0,48912.31,21
RC,369,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2152.0,47296.17,21
RC,369,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2152.0,49782.69,21
RC,369,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2152.0,45749.89,21
RC,369,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2152.0,47956.55,21
RC,369,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2152.0,43512.18,21
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2152.0,43481.13,21
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2152.0,49798.21,21
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2152.0,58127.7,21
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2152.0,42315.6,21
RC,369,Craniectomy; for osteomyelitis ,,,2152.0,25773.26,21
RC,369,Craniectomy; with excision of tumor or other bone lesion of skull ,,,8024.0,33769.0,25
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2152.0,54693.19,21
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2152.0,59176.59,21
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2152.0,68834.61,21
RC,369,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2152.0,65454.65,21
RC,369,Cranioplasty for skull defect with reparative brain surgery ,,,2152.0,31880.34,21
RC,369,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2152.0,25788.78,21
RC,369,Cranioplasty for skull defect; up to 5 cm diameter ,,,2152.0,25655.0,21
RC,369,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2152.0,32610.79,21
RC,369,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2152.0,26627.89,21
RC,369,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2152.0,38399.44,21
RC,369,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2152.0,38982.2,21
RC,369,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2152.0,52408.91,21
RC,369,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2152.0,36068.59,21
RC,369,"Craniotomy for repair of encephalocele, skull base ",,,2152.0,35532.39,21
RC,369,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2152.0,58453.9,21
RC,369,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2152.0,72276.88,21
RC,369,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2152.0,36860.92,21
RC,369,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2152.0,43512.18,21
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2152.0,54110.43,21
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2152.0,49005.66,21
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2152.0,60831.54,21
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2152.0,56301.57,21
RC,369,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2152.0,56674.56,21
RC,369,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2152.0,47956.55,21
RC,369,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2152.0,25655.0,21
RC,369,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2152.0,50404.26,21
RC,369,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2152.0,34545.59,21
RC,369,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2152.0,48725.82,21
RC,369,Creatine ,,,5.06,5.06,3
RC,369,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,369,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,369,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,369,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,369,Creatinine; blood ,,,5.58,5.58,3
RC,369,Creatinine; clearance ,,,10.31,10.31,3
RC,369,Creatinine; other source ,,,5.65,5.65,3
RC,369,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,6587.0,25655.0,21
RC,369,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2152.0,36363.74,21
RC,369,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,692.94,9908.0,27
RC,369,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,692.94,9908.0,27
RC,369,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,692.94,9012.0,27
RC,369,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2152.0,25655.0,21
RC,369,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,5286.0,25655.0,25
RC,369,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2152.0,25655.0,21
RC,369,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2152.0,25655.0,21
RC,369,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2152.0,25655.0,21
RC,369,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2152.0,25655.0,21
RC,369,Cricopharyngeal myotomy ,,,2051.93,25655.0,23
RC,369,Critical Care ,,,904.47,904.47,3
RC,369,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,369,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,369,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,369,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,369,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,369,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,369,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,369,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,369,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,369,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,369,Cryofibrinogen ,,,15.41,15.41,3
RC,369,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,369,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,369,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,369,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,369,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,6
RC,369,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,7008.0,55080.0,21
RC,369,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,369,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,369,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,369,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,369,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,369,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,369,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,369,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,369,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,369,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,369,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,369,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,369,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,369,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,369,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,369,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,369,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,369,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,369,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,369,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,369,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,369,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,369,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,369,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,369,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,369,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,369,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,369,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,369,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,369,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,369,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,369,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,369,"Culture, typing; other methods ",,,8.44,8.44,3
RC,369,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,154.64,25655.0,27
RC,369,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,965.19,5932.0,25
RC,369,"Curettage, postpartum ",,,1116.7,9908.0,27
RC,369,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,369,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,369,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,369,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,369,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,369,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,369,Cutaneous appendico-vesicostomy ,,,2152.0,28096.35,21
RC,369,Cutaneous vesicostomy ,,,3796.0,25655.0,21
RC,369,Cyanide ,,,21.15,21.15,3
RC,369,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,369,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,369,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,369,Cyclosporine ,,,19.67,19.67,3
RC,369,Cystatin C ,,,20.19,20.19,3
RC,369,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2152.0,52968.39,21
RC,369,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2152.0,43488.89,21
RC,369,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,49223.2,21
RC,369,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2152.0,42556.42,21
RC,369,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,47436.1,21
RC,369,"Cystectomy, complete; (separate procedure) ",,,2152.0,33131.47,21
RC,369,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,40994.62,21
RC,369,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2152.0,29176.5,21
RC,369,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2152.0,28508.14,21
RC,369,"Cystectomy, partial; simple ",,,2152.0,25655.0,21
RC,369,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,369,Cysto w Bx/fulgur les ,,,2152.0,6587.0,4
RC,369,Cysto w lithotripsy ,,,2152.0,6587.0,4
RC,369,Cysto w rmvl/manip CAL ,,,2152.0,6587.0,4
RC,369,Cysto w tumor resection ,,,2152.0,6587.0,4
RC,369,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1773.9,19415.0,27
RC,369,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2152.0,25655.0,25
RC,369,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,5694.0,25655.0,25
RC,369,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,3796.0,25655.0,25
RC,369,"Cystostomy, cystotomy with drainage ",,,685.44,19415.0,27
RC,369,"Cystotomy for excision, incision, or repair of ureterocele ",,,3796.0,25655.0,21
RC,369,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1200.05,19415.0,27
RC,369,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,3796.0,5381.0,5
RC,369,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1200.05,19415.0,27
RC,369,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,685.44,19415.0,27
RC,369,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,5694.0,25655.0,21
RC,369,Cystotomy; for excision of bladder tumor ,,,5694.0,25655.0,21
RC,369,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1200.05,19415.0,27
RC,369,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2152.0,25655.0,25
RC,369,Cystourethroscopy ,,,2152.0,6587.0,4
RC,369,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1773.9,19415.0,27
RC,369,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,1200.05,8858.0,27
RC,369,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1200.05,18490.0,27
RC,369,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,2550.35,17510.0,27
RC,369,Cystourethroscopy (separate procedure) ,,,250.06,3293.0,23
RC,369,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,250.06,6680.0,27
RC,369,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,20
RC,369,Cystourethroscopy with direct vision internal urethrotomy ,,,685.44,9908.0,27
RC,369,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1200.05,9908.0,27
RC,369,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2287.0,27080.2,14
RC,369,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1200.05,25080.0,27
RC,369,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2287.0,25892.02,15
RC,369,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1200.05,9908.0,27
RC,369,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,1200.05,8451.91,27
RC,369,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,3796.0,9908.0,25
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1773.9,11848.54,27
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,369,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,20
RC,369,"Cystourethroscopy, with biopsy(s) ",,,685.44,8858.0,27
RC,369,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,685.44,6680.0,27
RC,369,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,685.44,6680.0,27
RC,369,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,234.3,6680.0,27
RC,369,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,250.06,6680.0,27
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1773.9,11848.54,27
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1200.05,9908.0,27
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,1200.05,8858.0,27
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,1200.05,8858.0,27
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,1200.05,8858.0,27
RC,369,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,685.44,9868.0,27
RC,369,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1200.05,8858.0,23
RC,369,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1237.43,5932.0,19
RC,369,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1481.0,9908.0,19
RC,369,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1200.05,12499.0,27
RC,369,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,12499.0,11
RC,369,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,3796.0,19415.0,25
RC,369,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,25655.0,25
RC,369,"Cystourethroscopy, with internal urethrotomy; female ",,,685.44,6680.0,27
RC,369,"Cystourethroscopy, with internal urethrotomy; male ",,,685.44,8858.0,27
RC,369,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,2152.0,13804.22,24
RC,369,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,685.44,8858.0,27
RC,369,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,685.44,6680.0,27
RC,369,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,1200.05,8858.0,27
RC,369,"Cystourethroscopy, with steroid injection into stricture ",,,685.44,8858.0,27
RC,369,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,685.44,8858.0,23
RC,369,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,1200.05,8858.0,27
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,12499.0,16
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,7
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1200.05,9908.0,27
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1773.9,19415.0,27
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,6
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1773.9,17510.0,20
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1773.9,17510.0,23
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1200.05,19415.0,27
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1773.9,19415.0,27
RC,369,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,1773.9,11848.54,27
RC,369,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1200.05,9908.0,27
RC,369,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,1200.05,8858.0,27
RC,369,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,369,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,369,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,369,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,685.44,8858.0,27
RC,369,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,369,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,369,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,369,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,369,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,369,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,369,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,369,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,369,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,369,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,369,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,369,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,369,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,369,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,369,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,369,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,369,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,369,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,369,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,369,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,369,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,369,D & C OF RESIDUAL CERVIX ,,,2152.0,6587.0,4
RC,369,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,6587.0,8
RC,369,DESTR PARAVERTEBRL NERVE C/T ,,,2152.0,6587.0,4
RC,369,DESTR PARAVERTEBRL NERVE L/S ,,,2152.0,6587.0,4
RC,369,DESTROY NERVE EXTREM MUSC ,,,2152.0,6587.0,4
RC,369,DESTROY NERVE NECK MUSCLE ,,,2152.0,6587.0,4
RC,369,DESTRUCTION OF HEMORRHOIDS ,,,2152.0,6587.0,12
RC,369,DILATE ESOPHAGUS ,,,2152.0,6587.0,8
RC,369,DILATION PROSTATIC URETHRA ,,,2152.0,6587.0,4
RC,369,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,369,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,369,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,369,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,369,DRAIN ABDOMINAL ABSCESS ,,,2152.0,6587.0,4
RC,369,DRAIN APP ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,369,DRAIN PANCREATIC PSEUDOCYST ,,,2152.0,6587.0,4
RC,369,DRAIN PELVIC ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,369,DRAIN PERCUT ABDOM ABSCESS ,,,2152.0,6587.0,4
RC,369,DRAIN PERCUT RETROPER ABSC ,,,2152.0,6587.0,4
RC,369,DRAINAGE OF BLADDER ,,,2152.0,6587.0,12
RC,369,DRAINAGE OF EYE ,,,2152.0,6587.0,4
RC,369,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1158.59,19415.0,27
RC,369,Dactinomycin injection ,,,335.08,335.08,3
RC,369,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,369,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,369,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,369,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,369,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,24
RC,369,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1481.0,5932.0,8
RC,369,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,20
RC,369,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,140.69,25655.0,27
RC,369,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,380.91,2636.0,21
RC,369,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,7592.0,25655.0,25
RC,369,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2051.93,18490.0,27
RC,369,Decompression internal auditory canal ,,,7592.0,25655.0,21
RC,369,"Decompression of orbit only, transcranial approach ",,,5710.05,25655.0,21
RC,369,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,6
RC,369,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,692.94,12499.0,23
RC,369,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1481.0,5932.0,8
RC,369,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2287.0,21630.0,14
RC,369,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2287.0,8858.0,14
RC,369,Decompression; plantar digital nerve ,,,692.94,8858.0,27
RC,369,Decompression; unspecified nerve(s) (specify) ,,,692.94,8858.0,27
RC,369,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,4
RC,369,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,369,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,369,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,593.22,8485.0,27
RC,369,Deligation of ureter ,,,2152.0,25655.0,21
RC,369,Delivery of placenta (separate procedure) ,,,1116.7,25655.0,23
RC,369,Dental Procedures ,,,707.88,707.88,3
RC,369,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,369,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,369,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,369,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,369,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,4723.0,5
RC,369,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,369,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,692.94,8858.0,27
RC,369,"Destruction by neurolytic agent, intercostal nerve ",,,357.81,5932.0,27
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1481.0,5932.0,13
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,692.94,8858.0,27
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1481.0,5932.0,13
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,692.94,9868.0,27
RC,369,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,692.94,8858.0,27
RC,369,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,692.94,8858.0,27
RC,369,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,357.81,5932.0,27
RC,369,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,357.81,6680.0,27
RC,369,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,357.81,6680.0,27
RC,369,Destruction by neurolytic agent; other peripheral nerve or branch ,,,152.61,5932.0,27
RC,369,Destruction by neurolytic agent; plantar common digital nerve ,,,38.66,5932.0,27
RC,369,Destruction by neurolytic agent; pudendal nerve ,,,357.81,6680.0,27
RC,369,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,218.75,5932.0,27
RC,369,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,140.41,12360.0,27
RC,369,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,137.5,9868.0,27
RC,369,"Destruction of lesion (except excision), dentoalveolar structures ",,,441.67,25655.0,27
RC,369,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,113.7,5932.0,27
RC,369,Destruction of lesion of lid margin (up to 1 cm) ,,,132.27,5932.0,27
RC,369,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,187.2,5932.0,27
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,986.93,8858.0,27
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,144.76,5932.0,27
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,78.06,6680.0,27
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,168.02,25655.0,27
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,986.93,8858.0,27
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,986.93,8858.0,27
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,5932.0,27
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,696.53,2636.0,21
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,380.91,2636.0,21
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,76.74,25655.0,23
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,744.46,5932.0,27
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,744.46,5932.0,27
RC,369,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,9908.0,27
RC,369,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,116.57,25655.0,27
RC,369,"Destruction of lesion, conjunctiva ",,,74.13,8858.0,27
RC,369,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,142.44,5932.0,27
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,218.75,5932.0,27
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,123.25,5932.0,27
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1481.0,5932.0,13
RC,369,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1266.0,5932.0,25
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,113.7,18490.0,27
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,218.75,18490.0,27
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1158.59,18490.0,27
RC,369,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,986.93,12499.0,27
RC,369,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1116.7,8858.0,27
RC,369,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,103.77,25655.0,27
RC,369,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,369,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,369,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,369,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,369,Dexamethasone intra implan ,,,221.99,221.99,3
RC,369,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,369,Dexrazoxane HCl injection ,,,45.17,45.17,3
RC,369,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,369,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,369,Diagnostic bone marrow; aspiration(s) ,,,97.38,5932.0,27
RC,369,Diagnostic bone marrow; biopsy(ies) ,,,100.58,5932.0,27
RC,369,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,855.96,6587.0,27
RC,369,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,369,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,25655.0,20
RC,369,Diagnostic hysteroscopy ,,,2152.0,6587.0,4
RC,369,Diagnostic laparoscopy ,,,2152.0,6587.0,4
RC,369,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,369,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,369,Dialysis ,,,751.49,751.49,3
RC,369,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,1481.0,5932.0,13
RC,369,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,25655.0,80
RC,369,Diaphragm or cervical cap fitting with instructions ,,,37.5,6587.0,23
RC,369,Dibucaine number ,,,13.35,13.35,3
RC,369,Digoxin; free ,,,14.48,14.48,3
RC,369,Digoxin; total ,,,14.48,14.48,3
RC,369,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,369,"Dilation and catheterization of salivary duct, with or without injection ",,,59.88,5932.0,27
RC,369,Dilation and curettage of cervical stump ,,,1116.7,9908.0,27
RC,369,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,1116.7,8858.0,27
RC,369,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,450.72,5932.0,27
RC,369,"Dilation of cervical canal, instrumental (separate procedure) ",,,41.85,8858.0,27
RC,369,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,351.7,5932.0,27
RC,369,"Dilation of esophagus, over guide wire ",,,593.22,5932.0,27
RC,369,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1200.05,25655.0,54
RC,369,Dilation of female urethra including suppository and/or instillation; initial ,,,41.57,5932.0,27
RC,369,Dilation of female urethra including suppository and/or instillation; subsequent ,,,31.08,2636.0,23
RC,369,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,685.44,8858.0,27
RC,369,"Dilation of lacrimal punctum, with or without irrigation ",,,792.63,2636.0,21
RC,369,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,450.72,5932.0,27
RC,369,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,97.08,25655.0,27
RC,369,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,98.84,5932.0,27
RC,369,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,36.62,5932.0,27
RC,369,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,41.02,5932.0,27
RC,369,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,1200.05,6680.0,27
RC,369,Dilation of vagina under anesthesia (other than local) ,,,1116.7,8858.0,27
RC,369,Dilation salivary duct ,,,39.25,5932.0,27
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1481.0,2636.0,9
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,8024.0,25655.0,21
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,2152.0,25655.0,21
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,2152.0,34374.62,21
RC,369,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,218.75,6680.0,27
RC,369,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,892.44,5932.0,27
RC,369,"Discission of vitreous strands (without removal), pars plana approach ",,,892.44,8858.0,27
RC,369,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,6
RC,369,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,6
RC,369,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,369,"Dissection, deep jugular node(s) ",,,1983.29,21630.0,27
RC,369,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,2051.93,25655.0,27
RC,369,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,2152.0,33061.4,21
RC,369,Division of stricture of rectum ,,,450.72,6680.0,27
RC,369,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,369,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,369,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,2152.0,25655.0,21
RC,369,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,2152.0,43527.7,21
RC,369,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,2152.0,41352.08,21
RC,369,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,2152.0,80544.06,21
RC,369,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,2152.0,96418.26,21
RC,369,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,2152.0,106092.02,21
RC,369,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,6
RC,369,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2152.0,29168.74,21
RC,369,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2152.0,33760.8,21
RC,369,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2152.0,29386.28,17
RC,369,Doxorubicin inj 10mg ,,,127.1,127.1,3
RC,369,"Drainage external auditory canal, abscess ",,,154.94,5932.0,27
RC,369,"Drainage external ear, abscess or hematoma; complicated ",,,118.89,25655.0,27
RC,369,"Drainage external ear, abscess or hematoma; simple ",,,112.5,5932.0,27
RC,369,Drainage of Skene's gland abscess or cyst ,,,501.35,25655.0,25
RC,369,"Drainage of abscess of palate, uvula ",,,91.96,6680.0,27
RC,369,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,237.69,5932.0,25
RC,369,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,196.58,6680.0,27
RC,369,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,138.37,2636.0,23
RC,369,"Drainage of abscess; parotid, complicated ",,,930.95,8858.0,27
RC,369,"Drainage of abscess; parotid, simple ",,,441.67,5932.0,27
RC,369,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,196.58,5932.0,27
RC,369,"Drainage of abscess; submaxillary, external ",,,196.58,5932.0,27
RC,369,Drainage of deep periurethral abscess ,,,1200.05,8858.0,27
RC,369,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2152.0,25655.0,21
RC,369,Drainage of lymph node abscess or lymphadenitis; extensive ,,,855.96,8858.0,27
RC,369,Drainage of lymph node abscess or lymphadenitis; simple ,,,855.96,6492.89,27
RC,369,Drainage of ovarian abscess; abdominal approach ,,,5694.0,25655.0,25
RC,369,"Drainage of ovarian abscess; vaginal approach, open ",,,1116.7,9908.0,27
RC,369,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1116.7,25655.0,27
RC,369,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1116.7,9908.0,27
RC,369,Drainage of perineal urinary extravasation; complicated ,,,3796.0,25655.0,21
RC,369,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,250.06,9908.0,27
RC,369,"Drainage of perirenal or renal abscess, open ",,,3796.0,25655.0,25
RC,369,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2152.0,35843.07,21
RC,369,Drainage of perivesical or prevesical space abscess ,,,855.96,6492.89,27
RC,369,"Drainage of retroperitoneal abscess, open ",,,2152.0,25655.0,21
RC,369,Drainage of scrotal wall abscess ,,,510.77,5932.0,27
RC,369,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2152.0,25655.0,21
RC,369,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,369,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,369,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,369,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,369,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,369,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,369,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,369,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,369,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,71.55,6680.0,27
RC,369,Dry pressure mattress ,,,207.18,207.18,3
RC,369,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,369,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2152.0,40326.47,21
RC,369,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,351.7,5932.0,27
RC,369,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,1713.31,5932.0,25
RC,369,Duodenal motility (manometric) study ,,,1481.0,5932.0,13
RC,369,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,2152.0,76895.0,25
RC,369,"Dural graft, spinal ",,,2152.0,25655.0,21
RC,369,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,369,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,369,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,369,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,369,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,369,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,369,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,369,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,369,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,369,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,369,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,369,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,369,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,395.35,25655.0,21
RC,369,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,369,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,369,EMBOLIZATION UTERINE FIBROID ,,,2152.0,6587.0,4
RC,369,ENDO CHOLANGIOPANCREATOGRAPH ,,,2152.0,6587.0,20
RC,369,ESOPH ENDOSCOPY ABLATION ,,,2152.0,6587.0,4
RC,369,ESOPHAGUS ENDOSCOPY ,,,2152.0,6587.0,4
RC,369,EXCISION OF RECTAL LESION ,,,2152.0,6587.0,4
RC,369,EXPLORATION OF EPIDIDYMIS ,,,2152.0,6587.0,4
RC,369,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,2152.0,16144.0,5
RC,369,EXPLORE ORBIT/REMOVE OBJECT ,,,2152.0,6587.0,4
RC,369,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,369,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,369,Ear piercing ,,,791.86,16144.0,15
RC,369,Ecallantide injection ,,,649.58,649.58,3
RC,369,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,369,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,369,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,369,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,369,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,369,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,369,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,369,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,369,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,369,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,369,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,369,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,369,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,369,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,369,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,369,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,369,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,369,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,369,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,369,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,369,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,369,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,369,"Electric heat pad, moist ",,,110.05,110.05,3
RC,369,"Electric heat pad, standard ",,,43.12,43.12,3
RC,369,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,369,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,369,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,369,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,369,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,369,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,369,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,369,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,369,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,369,Electroejaculation ,,,474.85,5932.0,25
RC,369,"Electrogastrography, diagnostic, transcutaneous; ",,,1481.0,2636.0,5
RC,369,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1481.0,2636.0,5
RC,369,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,369,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,369,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,6
RC,369,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,23.25,6587.0,23
RC,369,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,305.28,12
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1481.0,6680.0,19
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,406.37,6680.0,46
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1481.0,6680.0,19
RC,369,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,369,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,369,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,369,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,369,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,369,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,369,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,369,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,369,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,369,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,369,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,369,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1481.0,43890.0,18
RC,369,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2270.0,43890.0,9
RC,369,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1481.0,2636.0,5
RC,369,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,25253.0,43890.0,8
RC,369,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,369,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,369,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,369,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,369,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2152.0,28477.09,21
RC,369,"Elevation of depressed skull fracture; simple, extradural ",,,5710.05,25655.0,21
RC,369,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2152.0,34755.37,21
RC,369,"Embryo transfer, intrauterine ",,,1391.84,5932.0,25
RC,369,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,369,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,369,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,369,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,369,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,369,Endocervical curettage (not done as part of a dilation and curettage) ,,,96.51,5932.0,27
RC,369,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,369,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1481.0,5932.0,13
RC,369,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,1481.0,5932.0,13
RC,369,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1481.0,43890.0,18
RC,369,Endolymphatic sac operation; with shunt ,,,2051.93,23113.0,27
RC,369,Endolymphatic sac operation; without shunt ,,,2051.93,23113.0,27
RC,369,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.34,18747.0,23
RC,369,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1299.68,25655.0,23
RC,369,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,369,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,48.26,5932.0,27
RC,369,Endomyocardial biopsy ,,,5381.0,17384.0,15
RC,369,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,369,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,1481.0,12499.0,19
RC,369,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2152.0,25655.0,27
RC,369,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,13
RC,369,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,344.93,5932.0,27
RC,369,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,344.93,5932.0,27
RC,369,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1639.76,12360.0,27
RC,369,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,20
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1175.22,8858.0,27
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,1175.22,12499.0,27
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,1175.22,8858.0,27
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,1770.48,13386.32,24
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,2327.33,13386.32,27
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,1175.22,8858.0,27
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,2363.19,13386.32,27
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,1175.22,8858.0,27
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,1175.22,12499.0,27
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,1175.22,8858.0,27
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1175.22,12499.0,27
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,25655.0,20
RC,369,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,19
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,369,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,12499.0,20
RC,369,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,369,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,369,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,369,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2152.0,25655.0,21
RC,369,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2152.0,25655.0,21
RC,369,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,7008.0,76895.0,25
RC,369,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,2152.0,25655.0,21
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,2152.0,64483.37,21
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,2152.0,55423.65,21
RC,369,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,369,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,2152.0,27568.13,21
RC,369,"Enterectomy, resection of small intestine; with enterostomy ",,,2152.0,26573.56,21
RC,369,"Enterocystoplasty, including intestinal anastomosis ",,,2152.0,31119.06,21
RC,369,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,2152.0,29619.34,21
RC,369,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,2152.0,25655.0,25
RC,369,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,2152.0,25655.0,21
RC,369,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,2152.0,76895.0,25
RC,369,"Enucleation of eye; with implant, muscles attached to implant ",,,1158.59,19415.0,27
RC,369,"Enucleation of eye; with implant, muscles not attached to implant ",,,1158.59,12360.0,27
RC,369,Enucleation of eye; without implant ,,,1158.59,12360.0,27
RC,369,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,369,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,369,Epididymectomy; bilateral ,,,1200.05,19415.0,27
RC,369,Epididymectomy; unilateral ,,,1200.05,9908.0,27
RC,369,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,3796.0,19415.0,25
RC,369,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,3796.0,19415.0,25
RC,369,Epikeratoplasty ,,,1572.0,28718.14,25
RC,369,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,369,"Episiotomy or vaginal repair, by other than attending ",,,684.71,25655.0,25
RC,369,Eptifibatide injection ,,,4.22,4.22,3
RC,369,Erythropoietin ,,,20.48,20.48,3
RC,369,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1481.0,2636.0,5
RC,369,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1481.0,2636.0,5
RC,369,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1481.0,2636.0,5
RC,369,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,369,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1481.0,5932.0,9
RC,369,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1481.0,2636.0,5
RC,369,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,12499.0,14
RC,369,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,25253.0,43890.0,8
RC,369,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,25253.0,43890.0,8
RC,369,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,2152.0,80917.05,21
RC,369,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,2152.0,70699.55,21
RC,369,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,2152.0,84265.97,21
RC,369,Esophagogastric fundoplasty partial or complete; laparotomy ,,,2152.0,25655.0,21
RC,369,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,2152.0,25655.0,21
RC,369,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,2152.0,30582.86,21
RC,369,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,2152.0,25655.0,21
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,593.22,9908.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,351.7,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,3796.0,9908.0,25
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,2152.0,18747.0,25
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,593.22,6680.0,21
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,351.7,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,593.22,9908.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,593.22,9908.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,4234.08,23556.71,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,351.7,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,1175.22,9868.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2856.08,13386.32,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,351.7,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,1799.61,9868.0,25
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,593.22,6680.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,593.22,9908.0,27
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,2700.0,8858.0,27
RC,369,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,2152.0,31437.5,21
RC,369,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,2152.0,30979.13,21
RC,369,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,2152.0,31546.38,21
RC,369,Esophagomyotomy (Heller type); abdominal approach ,,,2152.0,30069.95,21
RC,369,Esophagomyotomy (Heller type); thoracic approach ,,,2152.0,30093.23,21
RC,369,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,2152.0,25655.0,21
RC,369,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,2152.0,25655.0,21
RC,369,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,2152.0,35850.83,21
RC,369,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,2152.0,33349.01,21
RC,369,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,2152.0,64071.58,21
RC,369,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,2152.0,61631.85,21
RC,369,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,117.44,8485.0,27
RC,369,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,125.86,8485.0,27
RC,369,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,27
RC,369,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,1536.84,12499.0,27
RC,369,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,593.22,5932.0,27
RC,369,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,593.22,5932.0,27
RC,369,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,593.22,6680.0,27
RC,369,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,27
RC,369,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,593.22,9868.0,27
RC,369,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,593.22,5932.0,27
RC,369,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,593.22,8485.0,27
RC,369,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,593.22,6680.0,27
RC,369,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,593.22,5932.0,27
RC,369,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,593.22,5932.0,27
RC,369,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,593.22,9868.0,27
RC,369,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2800.92,13386.32,27
RC,369,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,593.22,5932.0,27
RC,369,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,593.22,8858.0,27
RC,369,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6587.0,27
RC,369,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,593.22,6680.0,27
RC,369,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,593.22,6680.0,27
RC,369,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,2051.93,13581.48,27
RC,369,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,593.22,8485.0,27
RC,369,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,1175.22,9868.0,27
RC,369,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,593.22,9868.0,27
RC,369,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,593.22,9868.0,27
RC,369,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,1175.22,9868.0,27
RC,369,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,593.22,9868.0,27
RC,369,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,2152.0,25655.0,21
RC,369,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,2152.0,29277.4,21
RC,369,"Esophagotomy, cervical approach, with removal of foreign body ",,,1266.0,5047.0,21
RC,369,"Esophagotomy, thoracic approach, with removal of foreign body ",,,2152.0,29269.64,21
RC,369,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1481.0,2636.0,5
RC,369,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1672.0,2636.0,5
RC,369,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1481.0,2636.0,5
RC,369,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,369,Estradiol; total ,,,30.45,30.45,3
RC,369,Estriol ,,,26.36,26.36,3
RC,369,Estrogens; fractionated ,,,35.21,35.21,3
RC,369,Estrogens; total ,,,23.65,23.65,3
RC,369,Estrone ,,,27.2,27.2,3
RC,369,Ethosuximide ,,,17.81,17.81,3
RC,369,Ethylene glycol ,,,16.24,16.24,3
RC,369,Etiocholanolone ,,,28.6,28.6,3
RC,369,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,369,Euflexxa inj per dose ,,,106.97,106.97,3
RC,369,Euglobulin lysis ,,,9.17,9.17,3
RC,369,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,369,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,369,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,369,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1481.0,43890.0,9
RC,369,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,369,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,369,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,369,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,369,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,369,Everolimus ,,,14.97,14.97,3
RC,369,Evisceration of ocular contents; with implant ,,,1158.59,12360.0,27
RC,369,Evisceration of ocular contents; without implant ,,,1158.59,12360.0,27
RC,369,Exc biopsy of saliv glands ,,,10868.0,12875.0,3
RC,369,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,3
RC,369,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,685.44,8485.0,27
RC,369,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,20
RC,369,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,1209.12,12499.0,27
RC,369,Exchange of intraocular lens ,,,892.44,76895.0,27
RC,369,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,593.22,25655.0,27
RC,369,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,10
RC,369,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,10
RC,369,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,10
RC,369,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,733.22,9908.0,54
RC,369,Excision aural glomus tumor; extended (extratemporal) ,,,2152.0,55827.68,21
RC,369,Excision aural glomus tumor; transcanal ,,,2051.93,18490.0,27
RC,369,Excision aural glomus tumor; transmastoid ,,,2051.93,23113.0,27
RC,369,Excision aural polyp ,,,143.6,25655.0,27
RC,369,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,930.95,9908.0,27
RC,369,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,2051.93,18490.0,27
RC,369,"Excision exostosis(es), external auditory canal ",,,2051.93,13581.48,27
RC,369,Excision external ear; complete amputation ,,,2051.93,13581.48,27
RC,369,"Excision external ear; partial, simple repair ",,,855.96,6492.89,27
RC,369,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,2152.0,25655.0,21
RC,369,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,2152.0,25655.0,21
RC,369,Excision of Bartholin's gland or cyst ,,,1116.7,9908.0,27
RC,369,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,2152.0,25655.0,21
RC,369,Excision of Mullerian duct cyst ,,,1200.05,8858.0,27
RC,369,Excision of ampulla of Vater ,,,2152.0,28111.87,21
RC,369,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,2152.0,35066.05,21
RC,369,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,2152.0,44972.87,21
RC,369,Excision of bulbourethral gland (Cowper's gland) ,,,1200.05,8858.0,27
RC,369,Excision of carotid body tumor; with excision of carotid artery ,,,2152.0,37265.17,21
RC,369,Excision of carotid body tumor; without excision of carotid artery ,,,2152.0,30792.64,21
RC,369,"Excision of cervical stump, abdominal approach; ",,,2152.0,25655.0,21
RC,369,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2152.0,25655.0,21
RC,369,"Excision of cervical stump, vaginal approach; ",,,1603.34,11960.31,27
RC,369,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,5694.0,25655.0,21
RC,369,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.34,18490.0,27
RC,369,"Excision of chalazion; multiple, different lids ",,,101.16,5932.0,27
RC,369,"Excision of chalazion; multiple, same lid ",,,78.49,5932.0,27
RC,369,Excision of chalazion; single ,,,65.12,5932.0,27
RC,369,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,733.22,8858.0,27
RC,369,Excision of choledochal cyst ,,,2152.0,29883.45,21
RC,369,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,1983.29,21630.0,27
RC,369,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1937.47,19415.0,27
RC,369,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1011.84,9908.0,27
RC,369,Excision of extraparenchymal lesion of testis ,,,1200.05,8858.0,27
RC,369,"Excision of fibrous tuberosities, dentoalveolar structures ",,,1266.0,25655.0,25
RC,369,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,441.67,5932.0,27
RC,369,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1200.05,12360.0,27
RC,369,Excision of hydrocele; bilateral ,,,1209.12,18490.0,27
RC,369,Excision of hydrocele; unilateral ,,,1209.12,12360.0,27
RC,369,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,198.25,25655.0,27
RC,369,Excision of ileoanal reservoir with ileostomy ,,,2152.0,41476.48,21
RC,369,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1158.59,12360.0,27
RC,369,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1158.59,12360.0,27
RC,369,Excision of lacrimal gland tumor; frontal approach ,,,733.22,9908.0,27
RC,369,Excision of lacrimal gland tumor; involving osteotomy ,,,1158.59,12360.0,27
RC,369,Excision of lacrimal sac (dacryocystectomy) ,,,1158.59,12360.0,27
RC,369,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,177.9,6680.0,27
RC,369,Excision of lesion of mesentery (separate procedure) ,,,2152.0,25655.0,21
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,930.95,8858.0,27
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,930.95,8858.0,27
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,172.67,25655.0,27
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,144.47,25655.0,27
RC,369,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2152.0,25655.0,21
RC,369,Excision of lesion of spermatic cord (separate procedure) ,,,1200.05,19415.0,27
RC,369,Excision of lesion of tongue with closure; anterior two-thirds ,,,930.95,7334.01,27
RC,369,Excision of lesion of tongue with closure; posterior one-third ,,,930.95,7334.01,27
RC,369,Excision of lesion of tongue with closure; with local tongue flap ,,,930.95,8858.0,27
RC,369,Excision of lesion of tongue without closure ,,,149.42,5932.0,27
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,2051.93,17510.0,27
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,188.37,25655.0,27
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,146.52,25655.0,27
RC,369,"Excision of lesion, conjunctiva; over 1 cm ",,,733.22,8858.0,27
RC,369,"Excision of lesion, conjunctiva; up to 1 cm ",,,147.09,8858.0,27
RC,369,"Excision of lesion, conjunctiva; with adjacent sclera ",,,733.22,8858.0,27
RC,369,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,351.98,5932.0,27
RC,369,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,2152.0,25655.0,21
RC,369,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,2152.0,25655.0,21
RC,369,"Excision of lesion, sclera ",,,733.22,23113.0,27
RC,369,Excision of lingual frenum (frenectomy) ,,,170.34,5932.0,27
RC,369,Excision of lip; V-excision with primary direct linear closure ,,,930.95,7334.01,27
RC,369,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,2051.93,13581.48,27
RC,369,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,930.95,8858.0,27
RC,369,Excision of lip; transverse wedge excision with primary closure ,,,930.95,8858.0,27
RC,369,Excision of local lesion of epididymis ,,,1200.05,9908.0,27
RC,369,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,25655.0,20
RC,369,Excision of mucosa of vestibule of mouth as donor graft ,,,196.58,5932.0,27
RC,369,"Excision of multiple external papillae or tags, anus ",,,986.93,6563.7,27
RC,369,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,692.94,9908.0,27
RC,369,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2096.41,17510.0,27
RC,369,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,692.94,9908.0,27
RC,369,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,692.94,8858.0,27
RC,369,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,692.94,9908.0,27
RC,369,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,369,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,369,"Excision of neuroma; hand or foot, except digital nerve ",,,692.94,9908.0,27
RC,369,"Excision of neuroma; major peripheral nerve, except sciatic ",,,692.94,9908.0,27
RC,369,Excision of neuroma; sciatic nerve ,,,2096.41,17510.0,27
RC,369,"Excision of osseous tuberosities, dentoalveolar structures ",,,2237.41,25655.0,25
RC,369,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,2051.93,23113.0,27
RC,369,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,2051.93,17510.0,27
RC,369,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,2051.93,23113.0,27
RC,369,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,2051.93,23113.0,27
RC,369,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,3796.0,30155.54,21
RC,369,Excision of penile plaque (Peyronie disease); ,,,1200.05,17510.0,27
RC,369,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2700.0,22590.2,27
RC,369,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,1773.9,17510.0,27
RC,369,Excision of perinephric cyst ,,,2152.0,25655.0,21
RC,369,Excision of presacral or sacrococcygeal tumor ,,,2152.0,49945.68,21
RC,369,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,2152.0,29285.16,21
RC,369,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,2152.0,25655.0,21
RC,369,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,986.93,8858.0,27
RC,369,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,986.93,12499.0,27
RC,369,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,986.93,9868.0,27
RC,369,"Excision of single external papilla or tag, anus ",,,450.72,5932.0,27
RC,369,"Excision of spermatocele, with or without epididymectomy ",,,685.44,19415.0,27
RC,369,Excision of sublingual gland ,,,2051.93,13581.48,27
RC,369,Excision of sublingual salivary cyst (ranula) ,,,930.95,9908.0,27
RC,369,Excision of submandibular (submaxillary) gland ,,,2051.93,17510.0,27
RC,369,"Excision of thrombosed hemorrhoid, external ",,,131.97,5932.0,27
RC,369,Excision of thyroglossal duct cyst or sinus; ,,,1983.29,21630.0,27
RC,369,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1983.29,21630.0,27
RC,369,Excision of tonsil tags ,,,930.95,9908.0,27
RC,369,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1983.29,19415.0,27
RC,369,Excision of urethral diverticulum (separate procedure); female ,,,1773.9,12360.0,27
RC,369,Excision of urethral diverticulum (separate procedure); male ,,,1773.9,11848.54,27
RC,369,Excision of vaginal cyst or tumor ,,,1116.7,8858.0,27
RC,369,Excision of vaginal septum ,,,1116.7,8858.0,27
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1200.05,19415.0,27
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1209.12,19415.0,27
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1209.12,18490.0,27
RC,369,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,2051.93,13581.48,27
RC,369,"Excision or destruction of lesion of pharynx, any method ",,,930.95,8858.0,27
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2287.0,44070.36,11
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2287.0,51266.66,11
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2287.0,28858.92,11
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2287.0,36881.18,11
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2287.0,63197.53,11
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,3796.0,5381.0,5
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8024.0,9417.0,5
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8024.0,9417.0,5
RC,369,Excision or fulguration of carcinoma of urethra ,,,1200.05,12360.0,27
RC,369,Excision or fulguration; Skene's glands ,,,1200.05,8858.0,27
RC,369,Excision or fulguration; urethral caruncle ,,,685.44,8858.0,27
RC,369,"Excision or fulguration; urethral polyp(s), distal urethra ",,,1200.05,8858.0,27
RC,369,Excision or fulguration; urethral prolapse ,,,1200.05,8858.0,27
RC,369,Excision or transposition of pterygium; with graft ,,,733.22,18490.0,27
RC,369,Excision or transposition of pterygium; without graft ,,,733.22,8858.0,27
RC,369,Excision or unroofing of cyst(s) of kidney ,,,2152.0,25655.0,21
RC,369,"Excision soft tissue lesion, external auditory canal ",,,855.96,6680.0,27
RC,369,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2152.0,55128.27,21
RC,369,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2152.0,44700.99,21
RC,369,"Excision, lesion of floor of mouth ",,,930.95,8858.0,27
RC,369,"Excision, lesion of palate, uvula; with local flap closure ",,,2051.93,13581.48,27
RC,369,"Excision, lesion of palate, uvula; with simple primary closure ",,,155.23,6680.0,27
RC,369,"Excision, lesion of palate, uvula; without closure ",,,133.14,6680.0,27
RC,369,"Excision, local; malignant tumor of stomach ",,,2152.0,27637.98,21
RC,369,"Excision, local; ulcer or benign tumor of stomach ",,,2152.0,25655.0,21
RC,369,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,2152.0,25655.0,21
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1158.59,18490.0,27
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1158.59,23113.0,27
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1158.59,23113.0,27
RC,369,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,369,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,369,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,369,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,369,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,2152.0,25655.0,21
RC,369,Exploration for undescended testis (inguinal or scrotal area) ,,,1209.12,19415.0,27
RC,369,Exploration for undescended testis with abdominal exploration ,,,685.44,25655.0,27
RC,369,"Exploration of epididymis, with or without biopsy ",,,1200.05,8858.0,27
RC,369,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2152.0,46340.42,21
RC,369,"Exploration, repair, and presacral drainage for rectal injury; ",,,2152.0,25655.0,21
RC,369,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,2152.0,37086.43,21
RC,369,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2152.0,25655.0,25
RC,369,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,5694.0,25655.0,25
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,1773.9,25655.0,27
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,29821.36,21
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,25655.0,21
RC,369,"Expression of conjunctival follicles (eg, for trachoma) ",,,26.74,2636.0,23
RC,369,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,369,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2152.0,42952.69,21
RC,369,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2152.0,51686.22,21
RC,369,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,369,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,369,"External cephalic version, with or without tocolysis ",,,2187.0,8858.0,21
RC,369,"External counterpulsation, per treatment session ",,,2187.0,3092.0,6
RC,369,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,369,"External drainage, pseudocyst of pancreas, open ",,,2152.0,25655.0,21
RC,369,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,369,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,369,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,369,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,369,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,369,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,369,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,369,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,369,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2096.2,76895.0,27
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2152.0,76895.0,27
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,892.44,18490.0,27
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,892.44,76895.0,81
RC,369,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,21210.0,23307.22,6
RC,369,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,441.67,5932.0,27
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,196.58,5932.0,27
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,930.95,7334.01,27
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,2051.93,13581.48,27
RC,369,Extremity belt/harness ,,,58.52,58.52,3
RC,369,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,369,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,369,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,369,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,369,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,369,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2214.0,4723.0,5
RC,369,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,369,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,369,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,369,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,369,FOCUS RADIATION BEAM ,,,2152.0,6587.0,4
RC,369,FUSE PANCREAS AND BOWEL ,,,2152.0,6587.0,4
RC,369,FUSION OF BILE DUCT CYST ,,,2152.0,6587.0,8
RC,369,FUSION OF FACIAL/OTHER NERVE ,,,2152.0,6587.0,4
RC,369,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,369,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,369,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,369,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,369,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,6
RC,369,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,369,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,369,Face tent ,,,2.8,2.8,3
RC,369,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,369,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,369,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,7069.89,25655.0,16
RC,369,Factor IX non-recombinant ,,,1.53,1.53,3
RC,369,Factor inhibitor test ,,,14.03,14.03,3
RC,369,Factor ix complex ,,,1.9,1.9,3
RC,369,Factor ix idelvion inj ,,,6.0,6.0,3
RC,369,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,369,Factor ix recombinant nos ,,,2.03,2.03,3
RC,369,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,369,Factor viii ,,,1.36,1.36,3
RC,369,Factor viii recombinant ,,,1.72,1.72,3
RC,369,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,369,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,369,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,369,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,369,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,369,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,369,Felbamate ,,,20.32,20.32,3
RC,369,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,369,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,369,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,369,Fern test ,,,10.62,10.62,3
RC,369,Ferritin ,,,14.86,14.86,3
RC,369,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,369,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,369,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,369,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,369,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,369,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,369,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,369,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,369,Fetal contraction stress test ,,,28.49,2636.0,17
RC,369,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,369,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,122.58,5932.0,27
RC,369,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,369,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,369,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,369,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,369,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,855.63,16144.0,15
RC,369,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1032.4,2636.0,15
RC,369,Fetal non-stress test ,,,16.57,2636.0,11
RC,369,Fetal scalp blood sampling ,,,590.17,2636.0,21
RC,369,"Fetal shunt placement, including ultrasound guidance ",,,590.17,5932.0,25
RC,369,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,590.17,5932.0,25
RC,369,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,6
RC,369,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,369,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,369,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,369,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,369,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,369,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,369,Fibrinogen; activity ,,,10.59,10.59,3
RC,369,Fibrinogen; antigen ,,,15.76,15.76,3
RC,369,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,369,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,369,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,369,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,369,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,369,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,369,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,369,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,369,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,369,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,369,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,369,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,369,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,369,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,369,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,369,Fimbrioplasty ,,,5694.0,25655.0,25
RC,369,Fine needle aspiration of orbital contents ,,,733.22,8858.0,27
RC,369,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,369,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,369,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,369,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,369,"Finger splint, static ",,,2.92,2.92,3
RC,369,"Fissurectomy, including sphincterotomy, when performed ",,,986.93,8858.0,27
RC,369,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,892.44,8858.0,27
RC,369,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2317.12,19415.0,27
RC,369,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,892.44,19415.0,27
RC,369,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,892.44,19415.0,27
RC,369,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1610.16,19415.0,27
RC,369,Fitting and insertion of pessary or other intravaginal support device ,,,35.18,2636.0,23
RC,369,Fixation of contralateral testis (separate procedure) ,,,1200.05,9908.0,27
RC,369,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,369,Flebogamma injection ,,,98.91,98.91,3
RC,369,Flecainide ,,,20.32,20.32,3
RC,369,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,369,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,369,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,369,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,369,Flortaucipir inj 1 millicu ,,,404.39,404.39,3
RC,369,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,369,Floxuridine injection ,,,4792.18,4792.18,3
RC,369,Fluciclovine f-18 ,,,351.27,351.27,3
RC,369,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,369,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,369,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,369,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,369,Fluoride ,,,20.21,20.21,3
RC,369,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,369,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,369,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,369,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,369,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,369,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,369,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,369,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,369,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,33321.99,18
RC,369,Folic acid; RBC ,,,19.24,19.24,3
RC,369,Folic acid; serum ,,,16.02,16.02,3
RC,369,"Follicle puncture for oocyte retrieval, any method ",,,1266.0,5932.0,25
RC,369,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,369,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,369,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,369,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,369,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,369,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,369,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,369,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,369,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,369,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,369,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,369,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,369,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,369,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,369,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,369,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,369,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,369,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,369,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,369,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,369,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,369,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,369,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,369,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,369,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,369,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,369,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,369,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,369,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,369,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,369,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,369,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,369,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,115.66,5932.0,27
RC,369,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,369,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,369,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,369,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,369,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,369,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,369,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,369,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,369,"Frames, purchases ",,,89.85,89.85,3
RC,369,Free jejunum transfer with microvascular anastomosis ,,,2152.0,48990.14,21
RC,369,Free omental flap with microvascular anastomosis ,,,2152.0,36425.84,21
RC,369,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,930.95,17510.0,27
RC,369,Frenulotomy of penis ,,,685.44,8858.0,27
RC,369,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,369,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,369,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,369,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,369,"Fructose, semen ",,,18.9,18.9,3
RC,369,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,369,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,369,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,369,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,369,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,369,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,369,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,369,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,369,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,369,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,369,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,369,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,369,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,369,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,369,GLAUCOMA SURGERY ,,,2152.0,6587.0,4
RC,369,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,369,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,369,"Galactokinase, RBC ",,,23.41,23.41,3
RC,369,Galactose ,,,12.21,12.21,3
RC,369,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,369,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,369,Galectin-3 ,,,48.23,48.23,3
RC,369,Gallium ga-68 ,,,54.1,54.1,3
RC,369,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,369,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,369,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,369,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,369,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,369,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,369,Galsulfase injection ,,,573.3,573.3,3
RC,369,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,590.17,5932.0,25
RC,369,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,369,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,369,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,369,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,369,Gammaplex IVIG ,,,72.24,72.24,3
RC,369,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,369,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,369,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,369,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,369,"Gases, blood, pH only ",,,11.99,11.99,3
RC,369,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,369,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,2152.0,43364.49,21
RC,369,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,2152.0,47770.06,21
RC,369,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,2152.0,32704.15,21
RC,369,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,2152.0,45905.34,21
RC,369,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,2152.0,51274.42,21
RC,369,"Gastrectomy, total; with esophagoenterostomy ",,,2152.0,44289.2,21
RC,369,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,2152.0,52059.21,21
RC,369,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,369,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,551.76,5932.0,25
RC,369,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,301.6,5932.0,25
RC,369,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,551.76,5932.0,25
RC,369,Gastric motility (manometric) studies ,,,1481.0,5932.0,9
RC,369,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,2152.0,43900.69,18
RC,369,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,11
RC,369,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,1530.5,12360.0,21
RC,369,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,744.46,5932.0,21
RC,369,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,1530.5,12360.0,21
RC,369,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,2287.0,30408.2,14
RC,369,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,2152.0,36526.95,18
RC,369,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,2152.0,40481.92,18
RC,369,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,7592.0,28438.29,12
RC,369,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,2152.0,26876.48,15
RC,369,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,369,Gastrin ,,,19.22,19.22,3
RC,369,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,369,Gastroduodenostomy ,,,2152.0,25655.0,21
RC,369,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,2152.0,60862.59,21
RC,369,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,2152.0,50683.89,21
RC,369,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2214.0,5047.0,9
RC,369,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2214.0,5047.0,9
RC,369,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2214.0,5047.0,9
RC,369,"Gastrojejunostomy; with vagotomy, any type ",,,2152.0,29432.85,21
RC,369,Gastrojejunostomy; without vagotomy ,,,2152.0,30279.73,21
RC,369,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,2152.0,30644.95,21
RC,369,"Gastrostomy, open; neonatal, for feeding ",,,1713.31,25655.0,21
RC,369,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,2152.0,25655.0,21
RC,369,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,3395.13,25655.0,21
RC,369,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,1713.31,25655.0,21
RC,369,Gastrotomy; with exploration or foreign body removal ,,,2152.0,25655.0,21
RC,369,Gastrotomy; with suture repair of bleeding ulcer ,,,2152.0,30334.27,21
RC,369,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,2152.0,34188.12,21
RC,369,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,369,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,369,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,369,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,369,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,369,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,369,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,369,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,369,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,369,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,369,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,369,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,369,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,369,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,369,Gel pressure mattress ,,,42.62,42.62,3
RC,369,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,369,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,369,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,369,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,369,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,369,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,369,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,369,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,369,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,369,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,369,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,369,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,369,Gentamicin ,,,17.85,17.85,3
RC,369,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,369,"Gingivectomy, excision gingiva, each quadrant ",,,930.95,8858.0,27
RC,369,"Gingivoplasty, each quadrant (specify) ",,,304.35,25655.0,23
RC,369,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,369,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,21210.0,23307.22,6
RC,369,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,2152.0,62020.36,21
RC,369,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,2152.0,48958.88,21
RC,369,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,2152.0,49355.15,21
RC,369,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,2152.0,67777.96,21
RC,369,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,2152.0,53496.61,21
RC,369,Glossectomy; hemiglossectomy ,,,2152.0,29596.06,21
RC,369,Glossectomy; less than one-half tongue ,,,2051.93,18490.0,27
RC,369,"Glossectomy; partial, with unilateral radical neck dissection ",,,3796.0,48889.02,21
RC,369,Glucagon ,,,15.58,15.58,3
RC,369,Glucagon hydrochloride ,,,127.89,127.89,3
RC,369,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,369,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,369,Glucagon tolerance test ,,,19.37,19.37,3
RC,369,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,369,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,369,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,369,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,369,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,369,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,369,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,369,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,369,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,369,"Glucosidase, beta ",,,23.41,23.41,3
RC,369,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,369,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,369,Glutathione ,,,16.84,16.84,3
RC,369,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,369,Glycated protein ,,,18.27,18.27,3
RC,369,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,369,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,369,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,369,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,369,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,369,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,369,Goniotomy ,,,1610.16,10691.32,27
RC,369,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,369,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,369,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,369,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,369,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,369,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,369,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,369,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,369,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,369,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,369,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,369,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,369,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,369,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,369,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,369,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,369,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,369,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,369,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,369,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,369,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,369,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,369,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,369,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,369,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,369,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,369,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,369,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,369,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,369,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,369,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,369,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,369,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,369,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,369,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,369,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,369,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,369,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,369,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,369,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,369,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,369,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,369,"Gradient compression glove, each ",,,79.56,79.56,3
RC,369,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,369,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,369,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,369,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,369,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,369,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,369,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,369,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,369,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,369,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,369,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,369,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,369,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,369,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,369,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,369,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,369,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,369,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,369,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,369,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,369,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,369,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,369,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,369,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,369,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,369,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,369,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,369,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,369,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,369,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,369,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,369,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,986.93,9908.0,27
RC,369,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,369,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,369,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,369,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,369,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,369,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,369,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,369,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,369,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,369,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,4
RC,369,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,4
RC,369,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,369,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,369,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,369,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,369,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,369,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,369,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,369,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,369,HCT/P Skin Substitute Prod ,,,136.26,136.26,3
RC,369,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,369,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,369,HFenestration semicircular canal ,,,7592.0,8072.0,5
RC,369,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,369,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,369,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,369,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,369,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,369,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,369,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,369,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,369,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,369,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,369,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,369,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,369,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,369,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,369,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,369,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,369,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,369,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,369,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,369,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,3796.0,5381.0,5
RC,369,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,77554.0,8
RC,369,HRevision fenestration operation ,,,7592.0,8072.0,5
RC,369,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,369,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,369,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,369,Hallux implant ,,,388.42,388.42,3
RC,369,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,369,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,369,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,369,Haloperidol ,,,17.2,17.2,3
RC,369,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,369,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,369,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,369,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,369,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,369,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,369,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,369,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,369,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,369,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,369,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,369,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,369,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,369,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,369,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,369,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,369,"Harvesting conjunctival allograft, living donor ",,,2700.0,8858.0,25
RC,369,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,6
RC,369,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,369,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,369,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,369,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,369,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,369,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,369,Heavy duty wheelchair ,,,83.68,83.68,3
RC,369,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,369,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,369,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,369,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,369,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,369,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,369,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,369,Heel wedge ,,,30.8,30.8,3
RC,369,"Heel wedge, sach ",,,114.72,114.72,3
RC,369,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,369,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,369,"Heel, new leather, standard ",,,54.84,54.84,3
RC,369,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,369,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,369,"Heel, sach cushion type ",,,142.14,142.14,3
RC,369,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,369,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,369,Heinz bodies; direct ,,,4.58,4.58,3
RC,369,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,369,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,369,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,369,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,369,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,369,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,369,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,369,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,369,Hematopoietic progenitor cell (HPC); HPC boost ,,,592.85,5932.0,27
RC,369,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,7168.0,104820.46,25
RC,369,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,592.85,25655.0,27
RC,369,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,369,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,369,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,369,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,369,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,369,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,369,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,369,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,369,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,369,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,369,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,369,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,369,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,369,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,369,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,369,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,369,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,369,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,369,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,369,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,369,Hemoglobin; plasma ,,,7.97,7.97,3
RC,369,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,369,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,369,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,369,Hemoglobin; urine ,,,4.31,4.31,3
RC,369,"Hemolysin, acid ",,,9.67,9.67,3
RC,369,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,369,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,369,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,986.93,9908.0,27
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,986.93,9908.0,27
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,986.93,19415.0,27
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,986.93,19415.0,27
RC,369,"Hemorrhoidectomy, internal and external, single column/group; ",,,986.93,9908.0,27
RC,369,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,986.93,9908.0,27
RC,369,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,986.93,9908.0,27
RC,369,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,986.93,8858.0,27
RC,369,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,986.93,25655.0,27
RC,369,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,171.8,5932.0,27
RC,369,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,986.93,18747.0,27
RC,369,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,5110.31,23113.0,25
RC,369,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,369,Hepagam b im injection ,,,71.51,71.51,3
RC,369,Heparin assay ,,,14.27,14.27,3
RC,369,Heparin neutralization ,,,12.91,12.91,3
RC,369,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,369,"Hepatectomy, resection of liver; partial lobectomy ",,,2152.0,52673.02,21
RC,369,"Hepatectomy, resection of liver; total left lobectomy ",,,2152.0,69572.83,21
RC,369,"Hepatectomy, resection of liver; total right lobectomy ",,,2152.0,74747.66,21
RC,369,"Hepatectomy, resection of liver; trisegmentectomy ",,,2152.0,77443.95,21
RC,369,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,369,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,2152.0,48655.96,21
RC,369,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,369,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,369,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,369,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,369,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,369,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,369,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,369,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,369,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,369,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,369,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,369,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,369,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,369,Hepatitis C antibody; ,,,15.55,15.55,3
RC,369,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,369,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,369,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,369,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,2152.0,27327.3,21
RC,369,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,369,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,369,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,369,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,369,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,369,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,369,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,369,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,369,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,369,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,369,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,369,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,369,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,369,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,369,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,369,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,369,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,369,Hip core decompression ,,,21210.0,23307.22,6
RC,369,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,369,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,369,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,369,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,369,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,369,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,369,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,369,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,369,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,369,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,369,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,369,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,369,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,369,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,369,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,369,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,369,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,369,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,369,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,369,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,369,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,369,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,369,Histamine ,,,32.19,32.19,3
RC,369,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,25655.0,10
RC,369,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,369,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,369,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,369,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,369,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,369,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,369,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,369,Home blood glucose monitor ,,,103.8,103.8,3
RC,369,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,369,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,369,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,369,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,369,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,369,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,369,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,369,Homocysteine ,,,19.53,19.53,3
RC,369,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,369,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,369,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,369,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,369,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,369,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,369,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,369,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,369,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,369,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,369,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,369,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,369,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,369,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,369,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,369,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,369,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,369,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,369,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,369,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,369,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,369,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,369,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,369,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,369,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,369,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,369,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,369,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,369,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,369,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,369,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,369,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,369,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,369,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,369,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,369,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,369,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,369,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,369,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,369,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,369,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,369,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,369,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,369,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,369,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,369,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,369,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,369,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,369,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,369,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,369,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,369,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,369,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,369,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,369,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,369,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,369,Hydroxychloroquine ,,,20.32,20.32,3
RC,369,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,369,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,369,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,369,Hydroxyproline; free ,,,24.69,24.69,3
RC,369,Hydroxyproline; total ,,,26.49,26.49,3
RC,369,"Hymenotomy, simple incision ",,,1116.7,8858.0,27
RC,369,Hyperbaric Oxygen ,,,150.68,150.68,3
RC,369,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2152.0,35625.53,21
RC,369,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2152.0,25655.0,25
RC,369,Hysterorrhaphy of ruptured uterus ,,,2152.0,25655.0,17
RC,369,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2152.0,25655.0,25
RC,369,"Hysteroscopy, diagnostic (separate procedure) ",,,1116.7,8858.0,23
RC,369,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,2087.34,17510.0,23
RC,369,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1603.34,12360.0,23
RC,369,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.34,12499.0,23
RC,369,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,1603.34,11960.31,23
RC,369,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1116.7,8858.0,23
RC,369,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1603.34,12360.0,23
RC,369,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1116.7,8858.0,23
RC,369,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,3796.0,12224.1,21
RC,369,Hystscp IU ADHESIO ,,,2152.0,6587.0,4
RC,369,Hystscp div IU septum ,,,2152.0,6587.0,4
RC,369,Hystscp impacted FB rmvl ,,,2152.0,6587.0,4
RC,369,Hystscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,369,Hystscp w Bx/polypectomy ,,,2152.0,6587.0,4
RC,369,Hystscp w endomet ablat ,,,2152.0,6587.0,4
RC,369,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,369,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,369,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,369,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,369,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,369,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,369,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,369,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,369,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,369,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,369,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,369,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,369,ILEOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,369,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,16
RC,369,"IMPLANT NEUROSTIMUL, SUBCORT ",,,2152.0,6587.0,4
RC,369,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2152.0,2636.0,4
RC,369,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,369,INCISE INNER EAR ,,,2152.0,6587.0,4
RC,369,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,12
RC,369,INCISION OF HYMEN ,,,2152.0,6587.0,4
RC,369,INCISION OF PELVIS NERVE ,,,2152.0,6587.0,4
RC,369,INCISION OF VAGUS NERVE ,,,2152.0,6587.0,4
RC,369,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,369,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,369,INFLATE MIDDLE EAR CANAL ,,,2152.0,6587.0,8
RC,369,INJ PARAVERTEBRAL C/T ,,,2152.0,6587.0,4
RC,369,INJ PARAVERTEBRAL C/T ADD-ON ,,,2152.0,6587.0,4
RC,369,INJ PARAVERTEBRAL L/S ,,,2152.0,6587.0,4
RC,369,INJ PARAVERTEBRAL L/S ADD-ON ,,,2152.0,6587.0,4
RC,369,INJECT SPINE CERV/THORACIC ,,,1266.0,3293.0,5
RC,369,INJECT SPINE LUMBAR/SACRAL ,,,1266.0,3293.0,5
RC,369,INJECT SPINE W/CATH CRV/THRC ,,,1266.0,3293.0,5
RC,369,INJECT SPINE W/CATH LMB/SCRL ,,,1266.0,3293.0,5
RC,369,INJECTION FOR KIDNEY X-RAY ,,,2152.0,6587.0,4
RC,369,INJECTION FOR LIVER X-RAYS ,,,2152.0,6587.0,8
RC,369,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2152.0,2636.0,4
RC,369,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1266.0,3293.0,5
RC,369,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2152.0,2636.0,4
RC,369,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1266.0,2636.0,5
RC,369,"INSERT ABDOM DRAIN, TEMP ",,,2152.0,6587.0,4
RC,369,INSERT BILE DUCT DRAIN ,,,2152.0,6587.0,4
RC,369,INSERT CATHETER BILE DUCT ,,,2152.0,6587.0,4
RC,369,INSERT KIDNEY DRAIN ,,,2152.0,6587.0,4
RC,369,INSERT URETERAL TUBE ,,,2152.0,6587.0,4
RC,369,INSET MIDDLE EAR (BAFFLE) ,,,2152.0,6587.0,4
RC,369,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,3796.0,5381.0,5
RC,369,IV US EACH ADD VESSEL ADD-ON ,,,2152.0,6587.0,4
RC,369,IV US FIRST VESSEL ADD-ON ,,,2152.0,6587.0,4
RC,369,Ibuprofen injection ,,,3.54,3.54,3
RC,369,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,369,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,369,Idursulfase injection ,,,621.35,621.35,3
RC,369,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,351.7,5932.0,27
RC,369,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,351.7,5932.0,27
RC,369,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2214.0,9012.0,25
RC,369,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,593.22,9012.0,27
RC,369,"Ileostomy or jejunostomy, non-tube ",,,2152.0,25655.0,21
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,510.77,12499.0,27
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,510.77,9908.0,27
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2214.0,12499.0,25
RC,369,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7592.0,25655.0,15
RC,369,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5694.0,25655.0,15
RC,369,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,2152.0,25655.0,21
RC,369,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,369,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,369,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,369,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,369,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,369,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,369,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,369,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,369,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,369,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,369,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,369,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,369,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,369,Immune complex assay ,,,26.56,26.56,3
RC,369,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,369,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,369,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,369,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,369,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,369,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,369,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,369,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,369,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,369,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,369,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,369,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,369,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,369,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,369,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,369,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,369,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,369,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,369,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,369,Impl cereb subcort elec ,,,2152.0,6587.0,4
RC,369,Impl subcort electrodes ,,,2152.0,6587.0,4
RC,369,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,369,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,369,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,369,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,369,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,369,Implantation Wireless PA P ,,,31407.33,31407.33,3
RC,369,Implantation of Drug Infus ,,,19735.53,19735.53,3
RC,369,Implantation of auditory brain stem implant ,,,21210.0,23307.22,6
RC,369,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1831.33,25655.0,21
RC,369,Implantation of intrastromal corneal ring segments ,,,1610.16,25655.0,27
RC,369,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,2052.31,36053.16,27
RC,369,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2287.0,45966.03,15
RC,369,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,6
RC,369,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,13
RC,369,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1481.0,6680.0,13
RC,369,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,2700.0,70380.0,26
RC,369,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,2700.0,70380.0,26
RC,369,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,2700.0,70380.0,27
RC,369,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,6004.0,17510.0,25
RC,369,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,2152.0,37568.08,21
RC,369,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2152.0,36534.62,27
RC,369,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2152.0,35261.21,27
RC,369,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,7008.0,33769.0,27
RC,369,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,5286.0,21630.0,25
RC,369,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2700.0,17510.0,27
RC,369,In111 capromab ,,,1886.02,1886.02,3
RC,369,In111 oxyquinoline ,,,906.29,906.29,3
RC,369,In111 pentetate ,,,812.73,812.73,3
RC,369,Incision and drainage abscess; peritonsillar ,,,91.96,5932.0,27
RC,369,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,2051.93,17510.0,27
RC,369,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,930.95,7334.01,27
RC,369,Incision and drainage of Bartholin's gland abscess ,,,74.05,5932.0,27
RC,369,"Incision and drainage of appendiceal abscess, open ",,,2152.0,25655.0,21
RC,369,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,986.93,6680.0,27
RC,369,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,685.44,8858.0,27
RC,369,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,986.93,8858.0,27
RC,369,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,450.72,9908.0,27
RC,369,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,986.93,6680.0,27
RC,369,"Incision and drainage of penis, deep ",,,510.77,19415.0,27
RC,369,"Incision and drainage of submucosal abscess, rectum ",,,450.72,6680.0,27
RC,369,"Incision and drainage of thyroglossal duct cyst, infected ",,,441.67,5932.0,27
RC,369,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,855.96,8858.0,27
RC,369,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,855.96,25655.0,27
RC,369,Incision and drainage of vulva or perineal abscess ,,,79.36,6680.0,27
RC,369,"Incision and drainage, perianal abscess, superficial ",,,344.93,5932.0,27
RC,369,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2152.0,25655.0,21
RC,369,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,1838.39,25655.0,25
RC,369,"Incision of conjunctiva, drainage of cyst ",,,58.72,25655.0,27
RC,369,Incision of labial frenum (frenotomy) ,,,76.45,5932.0,27
RC,369,Incision of lingual frenum (frenotomy) ,,,441.67,5932.0,27
RC,369,"Incision of thrombosed hemorrhoid, external ",,,115.66,5932.0,27
RC,369,"Incision, anal septum (infant) ",,,986.93,25655.0,27
RC,369,"Incision, drainage of lacrimal gland ",,,1266.0,5932.0,25
RC,369,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,214.82,9868.0,27
RC,369,Incisional biopsy of eyelid skin including lid margin ,,,113.7,5932.0,27
RC,369,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,369,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,369,Indexing for osteotomy ,,,10868.0,12875.0,3
RC,369,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,369,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,369,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,369,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,6
RC,369,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,6
RC,369,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,6
RC,369,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,6
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2152.0,16144.0,25
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2152.0,16144.0,25
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2152.0,25655.0,25
RC,369,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2152.0,25655.0,21
RC,369,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2152.0,25655.0,50
RC,369,"Induced abortion, by dilation and curettage ",,,1116.7,18490.0,27
RC,369,"Induced abortion, by dilation and evacuation ",,,1116.7,18490.0,27
RC,369,Induction of arrhythmia by electrical pacing ,,,25253.0,43890.0,8
RC,369,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,369,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,369,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,369,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,369,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,369,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,369,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,369,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,369,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,369,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,369,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,369,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,369,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,369,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,369,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,369,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,369,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,369,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,369,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,369,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,369,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,369,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,369,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,369,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,369,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,369,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,369,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,369,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,369,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,369,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,369,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,369,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,369,Infliximab ,,,42.04,42.04,3
RC,369,Infliximab not biosimil 10 ,,,34.31,34.31,3
RC,369,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,369,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,369,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,369,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,369,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,369,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,369,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,369,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2152.0,69269.91,21
RC,369,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2152.0,68516.17,21
RC,369,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,369,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,369,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,369,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,369,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2152.0,29238.59,21
RC,369,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,1937.47,14664.41,27
RC,369,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,369,Inhibin A ,,,16.99,16.99,3
RC,369,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2287.0,126001.4,14
RC,369,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1481.0,2636.0,5
RC,369,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,369,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,369,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,369,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,369,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,369,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,369,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,369,Inj avacincaptad pegol 0.1 ,,,112.49,112.49,3
RC,369,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,369,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,369,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,369,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,369,"Inj brixadi, more than 7 d ",,,1877.31,1877.31,3
RC,369,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,369,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,369,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,369,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,369,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,369,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,369,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,369,Inj cyclophos dr reddys 5 ,,,0.54,0.54,3
RC,369,Inj cyclophos frindovyx 5 ,,,9.72,9.72,3
RC,369,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,369,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,369,Inj daxibotulinumtoxina-la ,,,3.34,3.34,3
RC,369,Inj delandistrogene mox ro ,,,3615417.73,3615417.73,3
RC,369,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,369,Inj efgart-alfa 2mg hya-qv ,,,37.34,37.34,3
RC,369,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,369,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,369,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,369,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,369,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,369,Inj estrogen conjugate ,,,437.64,437.64,3
RC,369,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,369,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,369,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,369,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,369,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,369,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,369,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,369,"Inj glofitamab gxbm, 2.5 m ",,,3122.5,3122.5,3
RC,369,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,369,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,369,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,369,Inj hydroxocobalamin iv 25 ,,,5.93,5.93,3
RC,369,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,369,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,369,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,369,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,369,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,369,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,369,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,369,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,369,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,369,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,369,Inj melphalan (hepzato) 1 ,,,873.61,873.61,3
RC,369,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,369,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,369,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,369,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,369,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,369,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,369,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,369,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,369,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,369,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,369,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,369,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,369,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,369,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,369,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,369,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,369,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,369,Inj recombin esperoct per ,,,2.5,2.5,3
RC,369,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,369,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,369,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,369,Inj roctavian ml 2x10^13vc ,,,13683.54,13683.54,3
RC,369,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,369,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,369,Inj rozanolixizum-noli 1 m ,,,25.71,25.71,3
RC,369,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,369,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,369,Inj secukinumab intrav 1mg ,,,19.87,19.87,3
RC,369,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,369,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,369,Inj talquetamab-tgvs 0.25 ,,,83.63,83.63,3
RC,369,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,369,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,369,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,369,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,369,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,369,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,369,Inj travoprost intra impl ,,,214.45,214.45,3
RC,369,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,369,Inj truxima 10 mg ,,,37.67,37.67,3
RC,369,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,369,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,369,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,369,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,369,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,369,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,369,Inj velmanase alfa-tycv 1 ,,,522.32,522.32,3
RC,369,Inj xipere 1 mg ,,,52.07,52.07,3
RC,369,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,369,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,369,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,369,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,369,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,369,"Inj, adzynma, 10 iu ",,,39.47,39.47,3
RC,369,"Inj, aflibercept hd, 1 mg ",,,325.56,325.56,3
RC,369,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,369,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,369,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,369,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,369,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,369,"Inj, artesunate, 1mg ",,,56.49,56.49,3
RC,369,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,369,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,369,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,369,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,369,"Inj, betibeglogene autotem ",,,3193983.4,3193983.4,3
RC,369,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,369,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,369,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,369,"Inj, brixadi, 7 days or le ",,,469.33,469.33,3
RC,369,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,369,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,369,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,369,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,369,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,369,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,369,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,369,"Inj, cipaglucosidase, 5 mg ",,,104.97,104.97,3
RC,369,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,369,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,369,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,369,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,369,"Inj, cyclophosphamide, nos ",,,0.63,0.63,3
RC,369,"Inj, denosumab ",,,32.81,32.81,3
RC,369,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,369,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,369,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,369,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,369,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,369,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,369,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,369,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,369,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,369,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,369,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,369,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,369,"Inj, elranatamab-bcmm, 1 m ",,,209.81,209.81,3
RC,369,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,369,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,369,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,369,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,369,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,369,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,369,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,369,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,369,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,369,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,369,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,369,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,369,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,369,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,369,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,369,"Inj, human-lans, per i.u ",,,1.89,1.89,3
RC,369,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,369,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,369,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,369,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,369,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,369,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,369,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,369,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,369,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,369,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,369,"Inj, levothyroxine, freska ",,,7.45,7.45,3
RC,369,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,369,"Inj, lovotibeglogene autot ",,,3526481.36,3526481.36,3
RC,369,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,369,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,369,"Inj, mirikizumab-mrkz, 1 m ",,,35.6,35.6,3
RC,369,"Inj, motixafortide, 0.25 m ",,,28.86,28.86,3
RC,369,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,369,"Inj, nithiodote, 3mg / 125 ",,,2.36,2.36,3
RC,369,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,369,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,369,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,369,"Inj, nyvepria ",,,149.23,149.23,3
RC,369,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,369,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,369,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,369,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,369,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,369,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,369,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,369,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,369,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,369,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,369,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,369,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,369,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,369,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,369,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,369,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,369,"Inj, rykindo, 0.5 mg ",,,14.2,14.2,3
RC,369,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,369,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,369,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,369,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,369,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,369,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,369,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,369,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,369,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,369,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,369,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,369,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,369,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,369,"Inj, toripalimab-tpzi, 1 m ",,,44.57,44.57,3
RC,369,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,369,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,369,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,369,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,369,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,369,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,369,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,369,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,369,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,369,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,369,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,369,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,369,"Inj, zolbetuximab-clzb, 2 ",,,36.98,36.98,3
RC,369,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,369,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,369,Inj. asceniv ,,,554.96,554.96,3
RC,369,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,369,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,369,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,369,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,369,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,369,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,369,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,369,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,369,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,369,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,369,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,369,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,369,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,369,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,369,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,369,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,369,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,369,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,369,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,369,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,369,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,369,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,369,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,369,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,369,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,369,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,369,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,369,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,369,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,369,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,369,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,369,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,369,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,369,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,369,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,369,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,369,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,369,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,369,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,369,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,369,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,369,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,369,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,369,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,369,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,369,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,369,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,369,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,369,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,369,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,369,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,369,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,369,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,369,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,369,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,369,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,369,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,369,Inject anes 1 L facet N ,,,2152.0,6587.0,4
RC,369,Inject anes 1 paravert N ,,,2152.0,6587.0,4
RC,369,Inject anes >1 paravert ,,,2152.0,6587.0,4
RC,369,Inject anes L facet-ADDL ,,,2152.0,6587.0,4
RC,369,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,369,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,369,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,369,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,369,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,369,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1481.0,5932.0,13
RC,369,Injection of contrast medium for dacryocystography ,,,1481.0,5932.0,13
RC,369,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,36.92,2636.0,23
RC,369,Injection of medication or other substance into Tenon's capsule ,,,20.35,5932.0,27
RC,369,"Injection of sclerosing solution, hemorrhoids ",,,220.64,25655.0,23
RC,369,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,892.44,8858.0,27
RC,369,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1481.0,5932.0,13
RC,369,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1481.0,2636.0,9
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1481.0,17384.0,9
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1481.0,17384.0,9
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1481.0,17384.0,9
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1481.0,17384.0,9
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,1481.0,2174.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,1481.0,2174.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,1481.0,2174.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1481.0,17384.0,9
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1481.0,17384.0,9
RC,369,Injection procedure for Peyronie disease; ,,,63.08,3092.0,23
RC,369,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1773.9,19415.0,27
RC,369,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1213.24,8485.0,50
RC,369,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2187.0,8858.0,25
RC,369,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,2152.0,12499.0,50
RC,369,Injection procedure for corpora cavernosography ,,,1481.0,5932.0,13
RC,369,Injection procedure for cystography or voiding urethrocystography ,,,1481.0,2636.0,9
RC,369,"Injection procedure for discography, each level; cervical or thoracic ",,,1481.0,5932.0,13
RC,369,"Injection procedure for discography, each level; lumbar ",,,1481.0,5932.0,13
RC,369,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2152.0,25655.0,21
RC,369,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1481.0,5932.0,13
RC,369,Injection procedure for retrograde urethrocystography ,,,1481.0,2636.0,9
RC,369,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,9
RC,369,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,25
RC,369,Injection procedure for sialography ,,,1481.0,5932.0,13
RC,369,Injection procedure for splenoportography ,,,1481.0,5932.0,13
RC,369,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1481.0,5932.0,13
RC,369,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1481.0,5932.0,13
RC,369,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1266.0,9908.0,25
RC,369,Injection procedure; lymphangiography ,,,1481.0,5932.0,13
RC,369,Injection procedure; radioactive tracer for identification of sentinel node ,,,802.52,5932.0,25
RC,369,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,357.81,6587.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,357.81,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,465.81,5381.0,23
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,41.85,3293.0,23
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,146.8,6587.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,31.69,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,64.83,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,357.81,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,276.0,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,357.81,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,276.0,6587.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,41.28,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,45.35,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,18.89,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,357.81,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,3293.0,23
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,77.32,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,40.7,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1481.0,5932.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,357.81,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1481.0,5932.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,357.81,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,70.93,5932.0,27
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,249.57,5932.0,25
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1481.0,5932.0,13
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,357.81,5932.0,27
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1481.0,5932.0,13
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1481.0,5932.0,13
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,357.81,5932.0,27
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1481.0,5932.0,13
RC,369,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,357.81,5932.0,108
RC,369,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,276.0,5932.0,108
RC,369,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,369,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,357.81,5932.0,27
RC,369,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,357.81,5932.0,27
RC,369,"Injection, anesthetic agent; sphenopalatine ganglion ",,,74.13,5932.0,27
RC,369,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,357.81,5932.0,27
RC,369,"Injection, anesthetic agent; superior hypogastric plexus ",,,357.81,6680.0,27
RC,369,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,892.44,5932.0,27
RC,369,"Injection, anterior chamber of eye (separate procedure); medication ",,,892.44,5932.0,27
RC,369,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,369,"Injection, blinatumomab ",,,188.46,188.46,3
RC,369,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,369,"Injection, cangrelor ",,,22.1,22.1,3
RC,369,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,369,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,369,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,369,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,369,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,369,"Injection, epidural, of blood or clot patch ",,,276.0,5932.0,27
RC,369,"Injection, fulphila ",,,73.06,73.06,3
RC,369,"Injection, glucarpidase ",,,489.52,489.52,3
RC,369,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,369,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,369,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,369,"Injection, ixabepilone ",,,152.33,152.33,3
RC,369,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,369,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,369,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,369,"Injection, nivolumab ",,,37.3,37.3,3
RC,369,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,369,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,369,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,369,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,369,"Injection, peramivir ",,,1.83,1.83,3
RC,369,"Injection, renflexis ",,,29.01,29.01,3
RC,369,"Injection, reslizumab ",,,12.78,12.78,3
RC,369,"Injection, ruconest ",,,41.24,41.24,3
RC,369,"Injection, siltuximab ",,,189.73,189.73,3
RC,369,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,369,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,369,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,369,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,369,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,369,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,369,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,369,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,6054.0,4
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,357.81,5932.0,27
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,357.81,5932.0,27
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,357.81,5932.0,27
RC,369,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,369,Insert urinary catheter ,,,2152.0,6587.0,8
RC,369,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,1796.0,7927.29,15
RC,369,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,6
RC,369,Insertion of Heyman capsules for clinical brachytherapy ,,,1603.34,11960.31,27
RC,369,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,536.91,5932.0,27
RC,369,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,122.58,6680.0,27
RC,369,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,2340.64,17510.0,27
RC,369,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,450.72,9868.0,27
RC,369,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,20
RC,369,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,344.56,5932.0,25
RC,369,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,709.9,8858.0,25
RC,369,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,27
RC,369,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,27
RC,369,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,5047.0,15
RC,369,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2187.0,49207.09,27
RC,369,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,892.44,76895.0,27
RC,369,Insertion of intrauterine device (IUD) ,,,1088.91,5932.0,25
RC,369,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,5694.0,25655.0,25
RC,369,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,6
RC,369,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1481.0,23113.0,13
RC,369,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,6004.0,54082.0,25
RC,369,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,25655.0,20
RC,369,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,25655.0,20
RC,369,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,25655.0,20
RC,369,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,20
RC,369,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,237.69,6587.0,25
RC,369,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1158.59,12360.0,27
RC,369,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,1158.59,12360.0,27
RC,369,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1158.59,12360.0,27
RC,369,Insertion of penile prosthesis; inflatable (self-contained) ,,,6004.0,54082.0,25
RC,369,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,6004.0,54082.0,25
RC,369,Insertion of peritoneal-venous shunt ,,,2214.0,25655.0,25
RC,369,Insertion of pin-retained palatal prosthesis ,,,2051.93,13581.48,27
RC,369,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,13
RC,369,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2152.0,27704.6,20
RC,369,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2214.0,5932.0,13
RC,369,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2096.41,38760.0,27
RC,369,Insertion of tandem cuff (dual cuff) ,,,2700.0,49207.09,27
RC,369,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,60.68,6587.0,27
RC,369,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,237.69,6587.0,25
RC,369,Insertion of testicular prosthesis (separate procedure) ,,,2626.34,11848.54,27
RC,369,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2287.0,12875.0,15
RC,369,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2152.0,33769.0,25
RC,369,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,1209.12,12499.0,27
RC,369,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,1209.12,12360.0,27
RC,369,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2036.11,21630.0,27
RC,369,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1266.0,25080.0,27
RC,369,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,25655.0,20
RC,369,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,6004.0,81532.47,26
RC,369,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2700.0,77554.0,26
RC,369,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,1481.0,6587.0,12
RC,369,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2152.0,36341.06,24
RC,369,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,2700.0,77554.0,26
RC,369,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,2700.0,81532.47,26
RC,369,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,369,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,369,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,369,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,369,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,369,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,369,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,369,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,369,Inst tauro 1.35mg/hep 100u ,,,4.59,4.59,3
RC,369,"Instill adstiladrin, tx do ",,,70121.45,70121.45,3
RC,369,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,369,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,12499.0,20
RC,369,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,43.61,5932.0,27
RC,369,Insulin antibodies ,,,23.34,23.34,3
RC,369,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,369,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,369,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,369,Insulin; free ,,,14.12,14.12,3
RC,369,Insulin; total ,,,12.46,12.46,3
RC,369,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,369,Intensive Outpatient (3 se ,,,136.91,342.3,6
RC,369,Intensive Outpatient (4 or ,,,179.39,448.48,6
RC,369,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,369,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,369,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,369,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,369,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,369,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,369,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,369,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,369,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2152.0,29417.33,21
RC,369,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2152.0,25655.0,21
RC,369,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1481.0,5932.0,13
RC,369,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,369,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,369,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1481.0,2636.0,5
RC,369,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,369,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,369,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,369,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,369,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,369,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,369,Intersex surgery; female to male ,,,2152.0,25655.0,17
RC,369,Intersex surgery; male to female ,,,2152.0,25655.0,17
RC,369,Intestinal allotransplantation; from cadaver donor ,,,2152.0,68912.44,21
RC,369,Intestinal allotransplantation; from living donor ,,,2152.0,77723.58,21
RC,369,Intestinal plication (separate procedure) ,,,2152.0,25655.0,21
RC,369,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,2152.0,25655.0,21
RC,369,Intra-atrial pacing ,,,12830.85,43890.0,14
RC,369,Intra-atrial recording ,,,12830.85,43890.0,14
RC,369,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,25253.0,43890.0,8
RC,369,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,892.44,18490.0,27
RC,369,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,43890.0,9
RC,369,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,12830.85,43890.0,14
RC,369,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1481.0,43890.0,9
RC,369,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,369,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,6
RC,369,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,1481.0,2636.0,9
RC,369,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,1481.0,2174.0,3
RC,369,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,1481.0,2174.0,3
RC,369,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,369,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1481.0,5932.0,8
RC,369,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,7
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,87.5,5932.0,27
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,196.58,5932.0,27
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,441.67,5932.0,27
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,91.96,5932.0,27
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,930.95,7334.01,27
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,441.67,5932.0,27
RC,369,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1481.0,2636.0,10
RC,369,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,1481.0,2287.0,4
RC,369,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,1481.0,2287.0,4
RC,369,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,1481.0,5932.0,13
RC,369,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,1481.0,5932.0,13
RC,369,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,6
RC,369,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,25253.0,43890.0,8
RC,369,Intraventricular pacing ,,,12830.85,43890.0,14
RC,369,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,67046.86,12
RC,369,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,50.87,5932.0,27
RC,369,Intrinsic factor ,,,21.6,21.6,3
RC,369,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,369,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,74.05,3092.0,23
RC,369,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,351.7,5047.0,23
RC,369,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,468.58,27743.74,73
RC,369,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,369,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,369,Ipilimumab injection ,,,207.57,207.57,3
RC,369,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,369,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1610.16,10691.32,27
RC,369,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,892.44,9908.0,27
RC,369,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,892.44,9908.0,27
RC,369,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,892.44,9908.0,27
RC,369,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,892.44,17510.0,27
RC,369,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,218.75,5932.0,27
RC,369,Iridotomy by stab incision (separate procedure); except transfixion ,,,892.44,5932.0,27
RC,369,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,892.44,5932.0,27
RC,369,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,161.05,5932.0,27
RC,369,Iris supported intraocular lens ,,,158.85,158.85,3
RC,369,Iron ,,,7.05,7.05,3
RC,369,Iron binding capacity ,,,9.53,9.53,3
RC,369,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,369,Irrigation of corpora cavernosa for priapism ,,,115.66,5932.0,27
RC,369,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,119.92,2636.0,21
RC,369,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,369,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,369,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,369,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,369,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,369,Islet cell antibody ,,,25.69,25.69,3
RC,369,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,6
RC,369,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,369,Itraconazole ,,,29.55,29.55,3
RC,369,"Iv hanger, each ",,,131.03,131.03,3
RC,369,Iv pole ,,,189.03,189.03,3
RC,369,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,369,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,369,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,369,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,369,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,369,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,369,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,369,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,369,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,369,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,369,Keratomileusis ,,,1572.0,32812.81,25
RC,369,Keratophakia ,,,1572.0,35889.85,25
RC,369,Keratoplasty (corneal transplant); anterior lamellar ,,,1610.16,23113.0,27
RC,369,Keratoplasty (corneal transplant); endothelial ,,,1610.16,23113.0,27
RC,369,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1610.16,23113.0,27
RC,369,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1610.16,23113.0,27
RC,369,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1610.16,23113.0,27
RC,369,Keratoprosthesis ,,,7008.0,25655.0,25
RC,369,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,369,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,369,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,369,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,369,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,369,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,369,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,369,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,369,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,369,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,369,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,369,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,369,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,369,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,369,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,369,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,369,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,369,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,369,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,369,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,369,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,369,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,369,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,369,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,369,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,369,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,369,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,369,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,369,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,369,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,369,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,369,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,369,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,369,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,369,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,369,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,369,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,369,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,369,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,369,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,369,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,369,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,369,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,369,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,2152.0,16144.0,5
RC,369,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,2152.0,16144.0,5
RC,369,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,2152.0,16144.0,5
RC,369,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,2152.0,16144.0,5
RC,369,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,369,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,2152.0,16144.0,5
RC,369,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,369,LAPARO W/CHOLANGIO/BIOPSY ,,,2152.0,6587.0,4
RC,369,"LAPAROSCOPE PROC, RECTUM ",,,2152.0,6587.0,4
RC,369,LAPAROSCOPY W/CHOLANGIO ,,,2152.0,6587.0,4
RC,369,"LAPAROSCOPY, ENTEROLYSIS ",,,2152.0,6587.0,4
RC,369,"LAPAROSCOPY, JEJUNOSTOMY ",,,2152.0,6587.0,4
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,369,LAVH ,,,2152.0,6587.0,4
RC,369,LESION REMOVAL COLONOSCOPY ,,,2152.0,6587.0,4
RC,369,Labyrinthectomy; transcanal ,,,2051.93,23113.0,27
RC,369,Labyrinthectomy; with mastoidectomy ,,,2051.93,23113.0,27
RC,369,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,130.52,18490.0,27
RC,369,Lacosamide ,,,29.55,29.55,3
RC,369,Lactate (lactic acid) ,,,12.61,12.61,3
RC,369,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,369,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,369,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,369,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,369,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,369,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,369,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7008.0,63201.42,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,2152.0,40878.19,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7008.0,35244.78,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,2152.0,35967.47,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,2152.0,40613.87,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,2152.0,48135.29,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7008.0,44833.16,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,2152.0,47575.81,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,2152.0,59689.29,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,2152.0,58788.08,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7008.0,62261.18,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,2152.0,42999.26,15
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,2152.0,46954.23,15
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,7008.0,42875.08,15
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,2152.0,42323.36,15
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,2152.0,46954.23,15
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,2152.0,21630.0,15
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,3796.0,16749.46,15
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,2152.0,21630.0,15
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,2152.0,21630.0,15
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,2152.0,66534.81,15
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,2152.0,69487.45,15
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7008.0,69091.18,15
RC,369,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,7008.0,77554.0,21
RC,369,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,2152.0,35866.35,15
RC,369,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,2152.0,38935.64,15
RC,369,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,2152.0,31437.5,15
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2518.45,21630.0,17
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,2518.45,21630.0,17
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,8024.0,21630.0,15
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2518.45,21630.0,17
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,8024.0,21630.0,15
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,6587.0,21630.0,15
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,8024.0,21630.0,15
RC,369,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,2152.0,36076.35,15
RC,369,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,8024.0,21630.0,15
RC,369,Laminectomy with rhizotomy; 1 or 2 segments ,,,7008.0,25827.59,15
RC,369,Laminectomy with rhizotomy; more than 2 segments ,,,7008.0,27964.4,15
RC,369,Laminectomy with section of spinal accessory nerve ,,,7008.0,31484.07,15
RC,369,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1481.0,21630.0,60
RC,369,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,1481.0,6587.0,18
RC,369,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7008.0,34739.84,15
RC,369,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,2152.0,33799.61,21
RC,369,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,2152.0,38624.74,21
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,14
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,8024.0,21630.0,15
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,5694.0,12360.0,18
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,2518.45,21630.0,17
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,2518.45,21630.0,17
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,2518.45,21630.0,17
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1481.0,2636.0,9
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,2287.0,12875.0,14
RC,369,Lamotrigine ,,,14.44,14.44,3
RC,369,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,369,"Laparoscope proc, intestine ",,,2152.0,6587.0,4
RC,369,Laparoscopic APPY ,,,2152.0,6587.0,4
RC,369,Laparoscopic THC w/o Bx ,,,2152.0,6587.0,4
RC,369,Laparoscopic aspiration ,,,2152.0,6587.0,4
RC,369,Laparoscopic enterolysis ,,,2152.0,6587.0,4
RC,369,Laparoscopic esophagomyotomy (heller type) ,,,21210.0,23307.22,6
RC,369,Laparoscopic fulgur FALL ,,,2152.0,6587.0,4
RC,369,Laparoscopic fulgur les ,,,2152.0,6587.0,4
RC,369,Laparoscopic jejunostomy ,,,2152.0,6587.0,4
RC,369,Laparoscopic occl FALL ,,,2152.0,6587.0,4
RC,369,Laparoscopic orchiectomy ,,,2152.0,6587.0,4
RC,369,Laparoscopic rmvl adnexa ,,,2152.0,6587.0,4
RC,369,Laparoscopic splenectomy ,,,2152.0,6587.0,4
RC,369,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1983.29,25655.0,23
RC,369,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1983.29,25655.0,23
RC,369,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,14304.35,25655.0,12
RC,369,Laparoscopy w ADHESIO ,,,2152.0,6587.0,4
RC,369,Laparoscopy w biopsy ,,,2152.0,6587.0,4
RC,369,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1983.29,17510.0,23
RC,369,"Laparoscopy, remove myoma ",,,2152.0,6587.0,4
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,10122.0,25750.0,12
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2287.0,30408.2,14
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2287.0,30408.2,14
RC,369,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2152.0,25655.0,25
RC,369,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,7008.0,25750.0,21
RC,369,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,7008.0,25750.0,21
RC,369,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2152.0,25655.0,23
RC,369,"Laparoscopy, surgical, appendectomy ",,,8024.0,21630.0,15
RC,369,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,2152.0,37505.99,21
RC,369,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,2152.0,27552.6,21
RC,369,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,8024.0,25655.0,21
RC,369,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,6982.0,21630.0,21
RC,369,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,369,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,2152.0,25655.0,21
RC,369,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,6982.0,23556.71,21
RC,369,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,8024.0,29052.1,21
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,8024.0,25143.92,15
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,8858.0,34680.0,12
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,7592.0,34680.0,12
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,6537.99,34680.0,12
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,5694.0,34680.0,12
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,5694.0,34680.0,12
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,8858.0,39036.54,12
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,8858.0,41779.4,12
RC,369,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,2152.0,25655.0,21
RC,369,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1983.29,17510.0,23
RC,369,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,3265.51,23556.71,23
RC,369,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,8024.0,25655.0,21
RC,369,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,8024.0,25655.0,21
RC,369,"Laparoscopy, surgical, splenectomy ",,,6982.0,23556.71,21
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1983.29,21630.0,14
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,8858.0,23556.71,12
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8858.0,23556.71,12
RC,369,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,2152.0,42292.31,15
RC,369,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,7592.0,26814.39,21
RC,369,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,7592.0,42781.72,12
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,3265.51,23556.71,14
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,8858.0,23556.71,12
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1983.29,21630.0,14
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,3265.51,23556.71,14
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,369,"Laparoscopy, surgical; ablation of renal cysts ",,,6982.0,17510.0,21
RC,369,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,7008.0,25750.0,21
RC,369,"Laparoscopy, surgical; cholecystectomy ",,,1983.29,21630.0,17
RC,369,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1983.29,21630.0,17
RC,369,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; cholecystoenterostomy ",,,2152.0,25655.0,21
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,7592.0,34662.01,21
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,2152.0,40932.52,21
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,2152.0,44607.64,21
RC,369,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2152.0,39386.24,21
RC,369,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2152.0,30116.73,21
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,2152.0,48912.31,21
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,2152.0,45967.43,21
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,2152.0,40015.58,21
RC,369,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,2152.0,36122.92,21
RC,369,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,4921.28,25655.0,21
RC,369,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,7592.0,31181.15,21
RC,369,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,2152.0,25655.0,21
RC,369,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,7008.0,25750.0,21
RC,369,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,6982.0,21630.0,21
RC,369,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,2152.0,30295.25,21
RC,369,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,2152.0,27078.5,21
RC,369,"Laparoscopy, surgical; orchiectomy ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; partial nephrectomy ",,,8024.0,25655.0,21
RC,369,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,2152.0,48290.73,21
RC,369,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,2152.0,44390.1,21
RC,369,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,2152.0,25655.0,21
RC,369,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,2152.0,34055.96,21
RC,369,"Laparoscopy, surgical; pyeloplasty ",,,6982.0,23556.71,21
RC,369,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,2152.0,30124.49,21
RC,369,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,7592.0,17510.0,21
RC,369,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,2724.11,18422.0,23
RC,369,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,6982.0,21630.0,21
RC,369,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,6982.0,21630.0,21
RC,369,"Laparoscopy, surgical; ureterolithotomy ",,,6982.0,21630.0,21
RC,369,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,3265.51,23556.71,23
RC,369,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,6982.0,21630.0,21
RC,369,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1983.29,17510.0,23
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,3265.51,23556.71,23
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,3265.51,23556.71,23
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2152.0,25655.0,23
RC,369,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1983.29,17510.0,23
RC,369,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,6376.0,17510.0,21
RC,369,"Laparoscopy, surgical; with fimbrioplasty ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1983.29,17510.0,23
RC,369,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1481.0,12499.0,15
RC,369,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1481.0,12499.0,15
RC,369,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1983.29,21630.0,23
RC,369,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1983.29,17510.0,23
RC,369,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1983.29,21630.0,23
RC,369,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25959.75,12
RC,369,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,8024.0,25655.0,25
RC,369,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,2214.0,26254.91,21
RC,369,Lapscp CHOLE w CDE ,,,2152.0,6587.0,4
RC,369,Lapscp CHOLE&cholangrphy ,,,2152.0,6587.0,4
RC,369,Lapscp EG fundoplasty ,,,2152.0,6587.0,4
RC,369,Lapscp REP init IH ,,,2152.0,6587.0,4
RC,369,Lapscp REP recur IH ,,,2152.0,6587.0,4
RC,369,Lapscp adrenalectomy ,,,2152.0,6587.0,4
RC,369,Lapscp bilat pelv LYMPH ,,,2152.0,6587.0,4
RC,369,Lapscp cholcystentstmy ,,,2152.0,6587.0,4
RC,369,Lapscp cholecystectomy ,,,2152.0,6587.0,4
RC,369,Lapscp fimbrioplasty ,,,2152.0,6587.0,4
RC,369,Lapscp intest resect ,,,2152.0,6587.0,4
RC,369,Lapscp lig sperm vein ,,,2152.0,6587.0,4
RC,369,Lapscp lymphocele drain ,,,2152.0,6587.0,4
RC,369,Lapscp pelvic LYMPH & Bx ,,,2152.0,6587.0,4
RC,369,Lapscp retroperit LN Bx ,,,2152.0,6587.0,4
RC,369,Lapscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,369,Lapscp salpingostomy ,,,2152.0,6587.0,4
RC,369,Lapscp select vagotomy ,,,2152.0,6587.0,4
RC,369,Lapscp temp gastrostomy ,,,2152.0,6587.0,4
RC,369,Lapscp truncal vagotomy ,,,2152.0,6587.0,4
RC,369,"Large size footplate, each ",,,65.96,65.96,3
RC,369,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,369,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,369,Laronidase injection ,,,45.22,45.22,3
RC,369,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,369,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,4723.0,5
RC,369,Laser Eye Procedures ,,,602.23,602.23,3
RC,369,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1773.9,8072.0,7
RC,369,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1773.9,18490.0,27
RC,369,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,6
RC,369,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2152.0,25655.0,21
RC,369,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2152.0,25655.0,21
RC,369,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1773.9,18490.0,27
RC,369,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,6
RC,369,Lead ,,,13.2,13.2,3
RC,369,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,369,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,369,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,369,Leflunomide ,,,42.04,42.04,3
RC,369,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,12818.0,22644.0,8
RC,369,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,7799.0,17510.0,10
RC,369,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,369,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,369,"Leg strap, each ",,,32.14,32.14,3
RC,369,"Leg strap, h style, each ",,,69.02,69.02,3
RC,369,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,369,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,369,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,369,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,369,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,369,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,369,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,369,"Lengthening of palate, and pharyngeal flap ",,,2051.93,18490.0,27
RC,369,"Lengthening of palate, with island flap ",,,2051.93,25655.0,23
RC,369,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,369,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,369,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,369,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,369,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,369,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,369,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,369,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,369,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,369,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,369,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,369,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,369,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,369,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,369,Leuprolide acetate ,,,2006.97,2006.97,3
RC,369,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,369,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,369,Level 1 Abdominal/Peritone ,,,3920.42,3920.42,3
RC,369,Level 1 Airway Endoscopy ,,,218.56,218.56,3
RC,369,Level 1 Blood Product Exch ,,,483.07,483.07,3
RC,369,Level 1 Breast/Lymphatic S ,,,4287.27,4287.27,3
RC,369,Level 1 Diagnostic Tests a ,,,140.89,140.89,3
RC,369,Level 1 Drug Administratio ,,,51.27,51.27,3
RC,369,Level 1 ENT Procedures ,,,259.34,259.34,3
RC,369,Level 1 Electronic Analysi ,,,40.87,40.87,3
RC,369,Level 1 Electrophysiologic ,,,1333.16,1333.16,3
RC,369,Level 1 Endovascular Proce ,,,3549.81,3549.81,3
RC,369,Level 1 Excision/ Biopsy/ ,,,775.38,775.38,3
RC,369,"Level 1 Extraocular, Repai ",,,347.55,347.55,3
RC,369,Level 1 Gynecologic Proced ,,,221.37,221.37,3
RC,369,Level 1 Health and Behavio ,,,41.03,41.03,3
RC,369,Level 1 ICD and Similar Pr ,,,24355.98,24355.98,3
RC,369,Level 1 Imaging with Contr ,,,192.06,192.06,3
RC,369,Level 1 Imaging without Co ,,,95.29,95.29,3
RC,369,Level 1 Intraocular Proced ,,,2526.99,2526.99,3
RC,369,Level 1 Laparoscopy and Re ,,,6619.65,6619.65,3
RC,369,Level 1 Lower GI Procedure ,,,1018.27,1018.27,3
RC,369,Level 1 Minor Procedures ,,,31.67,31.67,3
RC,369,Level 1 Musculoskeletal Pr ,,,270.09,270.09,3
RC,369,Level 1 Nerve Injections ,,,336.1,336.1,3
RC,369,Level 1 Nerve Procedures ,,,2138.17,2138.17,3
RC,369,Level 1 Neurostimulator an ,,,3828.12,3828.12,3
RC,369,Level 1 Nuclear Medicine a ,,,437.74,437.74,3
RC,369,Level 1 Pacemaker and Simi ,,,4091.85,4091.85,3
RC,369,Level 1 Pathology ,,,57.06,57.06,3
RC,369,Level 1 Radiation Therapy ,,,111.72,111.72,3
RC,369,Level 1 Skin Procedures ,,,219.69,219.69,3
RC,369,Level 1 Strapping and Cast ,,,177.93,177.93,3
RC,369,Level 1 Therapeutic Radiat ,,,147.17,147.17,3
RC,369,Level 1 Upper GI Procedure ,,,993.12,993.12,3
RC,369,Level 1 Urology and Relate ,,,273.58,273.58,3
RC,369,Level 1 Vascular Procedure ,,,686.88,686.88,3
RC,369,Level 2 Abdominal/Peritone ,,,7088.62,7088.62,3
RC,369,Level 2 Airway Endoscopy ,,,428.26,428.26,3
RC,369,Level 2 Blood Product Exch ,,,1705.33,1705.33,3
RC,369,Level 2 Breast/Lymphatic S ,,,7270.76,7270.76,3
RC,369,Level 2 Diagnostic Tests a ,,,236.43,236.43,3
RC,369,Level 2 Drug Administratio ,,,78.84,78.84,3
RC,369,Level 2 ENT Procedures ,,,590.55,590.55,3
RC,369,Level 2 Electronic Analysi ,,,104.1,104.1,3
RC,369,Level 2 Electrophysiologic ,,,8540.37,8540.37,3
RC,369,Level 2 Endovascular Proce ,,,6232.08,6232.08,3
RC,369,Level 2 Excision/ Biopsy/ ,,,1808.44,1808.44,3
RC,369,"Level 2 Extraocular, Repai ",,,1091.55,1091.55,3
RC,369,Level 2 Gynecologic Proced ,,,333.67,333.67,3
RC,369,Level 2 Health and Behavio ,,,111.24,111.24,3
RC,369,Level 2 ICD and Similar Pr ,,,34369.77,34369.77,3
RC,369,Level 2 Imaging with Contr ,,,382.0,382.0,3
RC,369,Level 2 Imaging without Co ,,,114.47,114.47,3
RC,369,Level 2 Intraocular Proced ,,,4525.96,4525.96,3
RC,369,Level 2 Laparoscopy and Re ,,,11639.31,11639.31,3
RC,369,Level 2 Lower GI Procedure ,,,1310.28,1310.28,3
RC,369,Level 2 Minor Procedures ,,,40.9,40.9,3
RC,369,Level 2 Musculoskeletal Pr ,,,1760.7,1760.7,3
RC,369,Level 2 Nerve Injections ,,,772.92,772.92,3
RC,369,Level 2 Nerve Procedures ,,,3740.57,3740.57,3
RC,369,Level 2 Neurostimulator an ,,,6978.22,6978.22,3
RC,369,Level 2 Nuclear Medicine a ,,,594.53,594.53,3
RC,369,Level 2 Pacemaker and Simi ,,,9061.28,9061.28,3
RC,369,Level 2 Pathology ,,,186.55,186.55,3
RC,369,Level 2 Radiation Therapy ,,,422.32,422.32,3
RC,369,Level 2 Skin Procedures ,,,445.12,445.12,3
RC,369,Level 2 Strapping and Cast ,,,306.25,306.25,3
RC,369,Level 2 Therapeutic Radiat ,,,409.99,409.99,3
RC,369,Level 2 Upper GI Procedure ,,,2101.14,2101.14,3
RC,369,Level 2 Urology and Relate ,,,763.52,763.52,3
RC,369,Level 2 Vascular Procedure ,,,1723.65,1723.65,3
RC,369,Level 3 Airway Endoscopy ,,,1948.93,1948.93,3
RC,369,Level 3 Blood Product Exch ,,,4769.13,4769.13,3
RC,369,Level 3 Breast/Lymphatic S ,,,8949.59,8949.59,3
RC,369,Level 3 Diagnostic Tests a ,,,408.6,408.6,3
RC,369,Level 3 Drug Administratio ,,,232.9,232.9,3
RC,369,Level 3 ENT Procedures ,,,1698.93,1698.93,3
RC,369,Level 3 Electronic Analysi ,,,336.31,336.31,3
RC,369,Level 3 Electrophysiologic ,,,28620.09,28620.09,3
RC,369,Level 3 Endovascular Proce ,,,12640.5,12640.5,3
RC,369,Level 3 Excision/ Biopsy/ ,,,3180.57,3180.57,3
RC,369,"Level 3 Extraocular, Repai ",,,2603.27,2603.27,3
RC,369,Level 3 Gynecologic Proced ,,,1008.52,1008.52,3
RC,369,Level 3 Health and Behavio ,,,194.35,194.35,3
RC,369,Level 3 Imaging with Contr ,,,858.37,858.37,3
RC,369,Level 3 Imaging without Co ,,,261.26,261.26,3
RC,369,Level 3 Intraocular Proced ,,,5826.65,5826.65,3
RC,369,Level 3 Lower GI Procedure ,,,3039.26,3039.26,3
RC,369,Level 3 Minor Procedures ,,,64.59,64.59,3
RC,369,Level 3 Musculoskeletal Pr ,,,3582.73,3582.73,3
RC,369,Level 3 Nerve Injections ,,,968.47,968.47,3
RC,369,Level 3 Nerve Procedures ,,,9609.27,9609.27,3
RC,369,Level 3 Neurostimulator an ,,,12200.88,12200.88,3
RC,369,Level 3 Nuclear Medicine a ,,,1417.6,1417.6,3
RC,369,Level 3 Pacemaker and Simi ,,,11444.59,11444.59,3
RC,369,Level 3 Pathology ,,,392.49,392.49,3
RC,369,Level 3 Radiation Therapy ,,,605.02,605.02,3
RC,369,Level 3 Skin Procedures ,,,809.26,809.26,3
RC,369,Level 3 Therapeutic Radiat ,,,1515.58,1515.58,3
RC,369,Level 3 Upper GI Procedure ,,,4221.62,4221.62,3
RC,369,Level 3 Urology and Relate ,,,2288.9,2288.9,3
RC,369,Level 3 Vascular Procedure ,,,3457.34,3457.34,3
RC,369,Level 4 Airway Endoscopy ,,,4082.42,4082.42,3
RC,369,Level 4 Blood Product Exch ,,,68874.65,68874.65,3
RC,369,Level 4 Breast/Lymphatic S ,,,15089.69,15089.69,3
RC,369,Level 4 Diagnostic Tests a ,,,940.29,940.29,3
RC,369,Level 4 Drug Administratio ,,,361.67,361.67,3
RC,369,Level 4 ENT Procedures ,,,3630.32,3630.32,3
RC,369,Level 4 Endovascular Proce ,,,20072.54,20072.54,3
RC,369,"Level 4 Extraocular, Repai ",,,4304.75,4304.75,3
RC,369,Level 4 Gynecologic Proced ,,,3544.55,3544.55,3
RC,369,Level 4 Imaging without Co ,,,598.31,598.31,3
RC,369,Level 4 Intraocular Proced ,,,15883.71,15883.71,3
RC,369,Level 4 Minor Procedures ,,,145.68,145.68,3
RC,369,Level 4 Musculoskeletal Pr ,,,7945.32,7945.32,3
RC,369,Level 4 Neurostimulator an ,,,21242.49,21242.49,3
RC,369,Level 4 Nuclear Medicine a ,,,1565.75,1565.75,3
RC,369,Level 4 Pacemaker and Simi ,,,21090.91,21090.91,3
RC,369,Level 4 Pathology ,,,882.19,882.19,3
RC,369,Level 4 Radiation Therapy ,,,762.62,762.62,3
RC,369,Level 4 Skin Procedures ,,,2259.22,2259.22,3
RC,369,Level 4 Urology and Relate ,,,3859.74,3859.74,3
RC,369,Level 4 Vascular Procedure ,,,6092.93,6092.93,3
RC,369,Level 5 Airway Endoscopy ,,,7727.68,7727.68,3
RC,369,Level 5 ENT Procedures ,,,6482.02,6482.02,3
RC,369,Level 5 Gynecologic Proced ,,,5477.52,5477.52,3
RC,369,Level 5 Intraocular Proced ,,,15278.03,15278.03,3
RC,369,Level 5 Minor Procedures ,,,489.15,489.15,3
RC,369,Level 5 Musculoskeletal Pr ,,,14057.94,14057.94,3
RC,369,Level 5 Neurostimulator an ,,,33788.16,33788.16,3
RC,369,Level 5 Radiation Therapy ,,,1368.43,1368.43,3
RC,369,Level 5 Skin Procedures ,,,3880.26,3880.26,3
RC,369,Level 5 Urology and Relate ,,,5870.99,5870.99,3
RC,369,Level 6 Gynecologic Proced ,,,8119.66,8119.66,3
RC,369,Level 6 Intraocular Proced ,,,18024.07,18024.07,3
RC,369,Level 6 Musculoskeletal Pr ,,,19198.95,19198.95,3
RC,369,Level 6 Radiation Therapy ,,,1957.86,1957.86,3
RC,369,Level 6 Urology and Relate ,,,10365.46,10365.46,3
RC,369,Level 7 Musculoskeletal Pr ,,,29710.86,29710.86,3
RC,369,Level 7 Radiation Therapy ,,,8064.75,8064.75,3
RC,369,Level 7 Urology and Relate ,,,14446.4,14446.4,3
RC,369,Level 8 Urology and Relate ,,,22694.42,22694.42,3
RC,369,Levetiracetam ,,,14.44,14.44,3
RC,369,Lidocaine ,,,16.01,16.01,3
RC,369,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,369,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,369,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,369,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,369,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,369,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1174.13,12360.0,27
RC,369,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,1174.13,12360.0,27
RC,369,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,1174.13,9908.0,27
RC,369,Ligation of common iliac vein ,,,2152.0,29580.54,21
RC,369,Ligation of femoral vein ,,,1174.13,12360.0,27
RC,369,Ligation of inferior vena cava ,,,5694.0,25655.0,25
RC,369,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,1174.13,9908.0,27
RC,369,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1174.13,12360.0,27
RC,369,Ligation of peritoneal-venous shunt ,,,2214.0,25655.0,21
RC,369,Ligation or banding of angioaccess arteriovenous fistula ,,,1174.13,12360.0,27
RC,369,"Ligation or biopsy, temporal artery ",,,510.77,6680.0,27
RC,369,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,2152.0,32626.32,21
RC,369,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,1534.28,25655.0,25
RC,369,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2214.0,25655.0,25
RC,369,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,1116.7,9868.0,27
RC,369,"Ligation salivary duct, intraoral ",,,930.95,23113.0,27
RC,369,"Ligation, direct, esophageal varices ",,,8024.0,34374.62,21
RC,369,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1174.13,12360.0,27
RC,369,"Ligation, division, and stripping, short saphenous vein ",,,1174.13,12360.0,27
RC,369,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1174.13,12360.0,27
RC,369,"Ligation, internal jugular vein ",,,1796.0,25655.0,21
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,2152.0,30178.83,21
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,2152.0,25655.0,21
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,2152.0,25655.0,21
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,1796.0,25655.0,21
RC,369,Ligation; external carotid artery ,,,5694.0,25655.0,21
RC,369,Ligation; internal or common carotid artery ,,,5694.0,25655.0,21
RC,369,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,5694.0,25655.0,21
RC,369,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,369,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,369,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,369,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,369,Lightweight wheelchair ,,,48.42,48.42,3
RC,369,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,369,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,369,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2152.0,25655.0,21
RC,369,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,2152.0,25655.0,21
RC,369,Limited pharyngectomy ,,,2051.93,23113.0,27
RC,369,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,369,Lipase ,,,7.51,7.51,3
RC,369,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,369,Lipoprotein (a) ,,,15.61,15.61,3
RC,369,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,369,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,369,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,369,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,369,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,369,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,369,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,369,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,369,Lithium ,,,7.2,7.2,3
RC,369,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,369,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,369,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,369,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,369,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,1200.05,8858.0,27
RC,369,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,1200.05,8858.0,27
RC,369,"Lithotripsy, extracorporeal shock wave ",,,1200.05,21630.0,14
RC,369,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,2152.0,121445.54,21
RC,369,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,369,Lobar lung transplantation ,,,21210.0,23307.22,6
RC,369,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,6
RC,369,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,369,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,2152.0,12499.0,25
RC,369,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,369,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,369,"Lso, corset front ",,,166.52,166.52,3
RC,369,"Lso, full corset ",,,235.72,235.72,3
RC,369,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,369,"Lubricant, per ounce ",,,2.47,2.47,3
RC,369,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,369,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,369,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,369,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,369,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,369,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,369,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,369,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,369,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,369,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,369,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,369,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,369,Lumbar/caudal inject NEC ,,,2152.0,6587.0,4
RC,369,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,369,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,369,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,369,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,369,Lymphangiotomy or other operations on lymphatic channels ,,,1011.84,8858.0,27
RC,369,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,369,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,369,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,369,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,369,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,3796.0,25655.0,25
RC,369,Lysis of labial adhesions ,,,1116.7,8858.0,27
RC,369,Lysis or excision of penile post-circumcision adhesions ,,,685.44,8858.0,27
RC,369,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,369,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,369,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,369,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,369,MEDIASTINOSCOPY INCL BIOPSY ,,,2152.0,6587.0,4
RC,369,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,369,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,369,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,369,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,369,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,369,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,369,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,369,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,369,MRI and MRA without Contra ,,,576.44,576.44,3
RC,369,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,369,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,369,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,369,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,369,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,369,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,369,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,369,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,369,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,369,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,369,Magnesium ,,,7.3,7.3,3
RC,369,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2287.0,25750.0,9
RC,369,Malate dehydrogenase ,,,8.03,8.03,3
RC,369,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,369,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,369,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,2152.0,42331.12,21
RC,369,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,2152.0,68376.25,21
RC,369,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,2152.0,32727.43,21
RC,369,Management of liver hemorrhage; simple suture of liver wound or injury ,,,2152.0,30846.97,21
RC,369,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,2152.0,6587.0,5
RC,369,Manganese ,,,29.05,29.05,3
RC,369,Manipulation Therapy ,,,23.64,23.64,3
RC,369,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,250.06,5932.0,27
RC,369,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,60.68,2636.0,23
RC,369,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,369,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,369,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,369,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,369,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,369,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,369,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,369,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,369,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,369,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,369,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,369,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,369,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,369,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,369,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,369,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,369,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,369,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,369,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,369,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,369,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,369,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,369,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,369,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,369,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,369,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,369,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,369,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,369,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,369,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,369,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,369,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,369,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,369,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,369,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,369,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,369,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,369,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,369,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,369,Marsupialization of Bartholin's gland cyst ,,,1116.7,8858.0,27
RC,369,Marsupialization of cyst or abscess of liver ,,,2152.0,25655.0,21
RC,369,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,4
RC,369,Marsupialization of pancreatic cyst ,,,2152.0,25967.51,21
RC,369,Marsupialization of sublingual salivary cyst (ranula) ,,,930.95,9908.0,27
RC,369,"Marsupialization of urethral diverticulum, male or female ",,,1200.05,12360.0,27
RC,369,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,369,Mastoid obliteration (separate procedure) ,,,2051.93,17510.0,27
RC,369,Mastoidectomy; complete ,,,2051.93,23113.0,27
RC,369,Mastoidectomy; modified radical ,,,2051.93,23113.0,27
RC,369,Mastoidectomy; radical ,,,2051.93,23113.0,27
RC,369,"Mattress, foam rubber ",,,182.92,182.92,3
RC,369,"Mattress, innerspring ",,,162.65,162.65,3
RC,369,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,3
RC,369,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,3
RC,369,Maxillary impression for palatal prosthesis ,,,742.11,5932.0,25
RC,369,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,119.92,6587.0,21
RC,369,"Meat fibers, feces ",,,5.29,5.29,3
RC,369,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,685.44,8858.0,27
RC,369,"Meatotomy, cutting of meatus (separate procedure); infant ",,,3796.0,25655.0,25
RC,369,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,369,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,351.7,5932.0,27
RC,369,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,7592.0,25655.0,25
RC,369,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,7592.0,25655.0,25
RC,369,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,2152.0,25655.0,21
RC,369,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,2152.0,25655.0,21
RC,369,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,369,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,369,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,369,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,369,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,369,Mental Health Services Com ,,,448.48,448.48,3
RC,369,"Mercury, quantitative ",,,17.72,17.72,3
RC,369,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,369,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,369,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,6
RC,369,Metanephrines ,,,18.46,18.46,3
RC,369,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,369,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,369,Metatarsal joint implant ,,,467.12,467.12,3
RC,369,Methemalbumin ,,,11.71,11.71,3
RC,369,Methotrexate ,,,42.04,42.04,3
RC,369,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,369,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,369,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,369,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,369,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,369,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,369,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,369,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,369,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,6
RC,369,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,369,Middle ear exploration through postauricular or ear canal incision ,,,930.95,9908.0,27
RC,369,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,369,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,6
RC,369,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,6
RC,369,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,6
RC,369,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,6
RC,369,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,6
RC,369,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,369,Mitomycin instillation ,,,359.63,359.63,3
RC,369,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,369,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,369,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,369,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,2152.0,25655.0,21
RC,369,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,369,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,733.22,9868.0,23
RC,369,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,369,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,369,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,369,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,369,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,369,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,369,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,369,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,369,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,369,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,369,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,369,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,369,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,369,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,369,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,369,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,369,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,369,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,369,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,369,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,369,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,369,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,369,Mouth piece ,,,4.82,4.82,3
RC,369,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,369,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,369,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,369,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,369,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,369,Multifetal pregnancy reduction(s) (MPR) ,,,590.17,3092.0,21
RC,369,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,242.73,25655.0,27
RC,369,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,369,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,369,Muramidase ,,,20.44,20.44,3
RC,369,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,369,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,369,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,369,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,369,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1266.0,9012.0,25
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1266.0,9012.0,25
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1266.0,9012.0,25
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1266.0,9012.0,25
RC,369,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,369,Myoglobin ,,,14.08,14.08,3
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,5694.0,25655.0,25
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1116.7,18490.0,27
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,5694.0,25655.0,21
RC,369,Myringoplasty (surgery confined to drumhead and donor area) ,,,930.95,8858.0,27
RC,369,Myringotomy including aspiration and/or eustachian tube inflation ,,,91.96,9908.0,27
RC,369,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,930.95,9908.0,27
RC,369,"Myringotomy, laser-assisted ",,,7839.0,23307.22,10
RC,369,N BLOCK INJ SPINAL ACCESSOR ,,,2152.0,6587.0,4
RC,369,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,2152.0,16144.0,5
RC,369,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,369,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,369,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,369,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,369,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,369,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,369,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,369,"Naltrexone, depot form ",,,4.93,4.93,3
RC,369,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,369,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,369,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,23307.22,12
RC,369,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,369,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,369,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,369,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,369,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,369,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,1
RC,369,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,117.96,6680.0,27
RC,369,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,369,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2152.0,17510.0,27
RC,369,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2152.0,17510.0,27
RC,369,Natalizumab injection ,,,26.6,26.6,3
RC,369,Natriuretic peptide ,,,42.79,42.79,3
RC,369,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,369,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,369,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,369,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,369,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,369,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,369,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,115.66,6587.0,27
RC,369,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,369,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,369,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,369,Nelarabine injection ,,,71.29,71.29,3
RC,369,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,369,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2152.0,29300.69,21
RC,369,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2152.0,32952.74,21
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2152.0,25655.0,21
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2152.0,27086.26,21
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2152.0,28834.56,21
RC,369,"Nephrectomy, partial ",,,2152.0,29798.08,21
RC,369,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2152.0,26658.94,21
RC,369,Nephrolithotomy; removal of calculus ,,,2152.0,25655.0,21
RC,369,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2152.0,32735.19,21
RC,369,Nephrolithotomy; secondary surgical operation for calculus ,,,2152.0,27179.61,21
RC,369,"Nephrorrhaphy, suture of kidney wound or injury ",,,2152.0,28997.77,21
RC,369,"Nephrostomy, nephrotomy with drainage ",,,3796.0,25655.0,25
RC,369,"Nephrotomy, with exploration ",,,2152.0,25655.0,21
RC,369,Nerve dissection ,,,10868.0,12875.0,3
RC,369,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2700.0,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2096.41,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2096.41,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2096.41,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2096.41,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2096.41,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2096.41,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2700.0,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2700.0,17510.0,27
RC,369,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2700.0,17510.0,27
RC,369,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,369,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,369,Nerve pedicle transfer; first stage ,,,2096.41,17510.0,27
RC,369,Nerve pedicle transfer; second stage ,,,2096.41,17510.0,27
RC,369,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,5286.0,17510.0,25
RC,369,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,369,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2152.0,25655.0,27
RC,369,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,3260.21,17510.0,27
RC,369,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,369,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2152.0,34297.0,21
RC,369,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2152.0,47451.62,21
RC,369,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2152.0,34662.01,21
RC,369,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2152.0,43007.03,21
RC,369,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,369,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,369,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,369,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,369,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,369,Neuroplasty and/or transposition; cranial nerve (specify) ,,,692.94,9908.0,27
RC,369,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,692.94,8858.0,27
RC,369,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,692.94,8858.0,27
RC,369,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,692.94,8858.0,27
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,692.94,8858.0,27
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,692.94,8858.0,27
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,692.94,8858.0,27
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,692.94,8858.0,27
RC,369,"Neuroplasty; digital, 1 or both, same digit ",,,692.94,8858.0,27
RC,369,Neuroplasty; nerve of hand or foot ,,,692.94,8858.0,27
RC,369,"Neutralization test, viral ",,,18.43,18.43,3
RC,369,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,369,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,369,Nickel ,,,26.72,26.72,3
RC,369,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,369,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,369,Nivestym ,,,0.35,0.35,3
RC,369,Nocturnal penile tumescence and/or rigidity test ,,,75.09,5932.0,25
RC,369,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,369,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,369,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,369,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,369,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,369,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,369,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,369,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,369,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,369,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,369,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,26773.0,42427.0,3
RC,369,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,369,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,369,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,369,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,369,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,369,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,369,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,369,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,369,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,369,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,369,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,369,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,369,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,369,Nucleotidase 5'- ,,,12.15,12.15,3
RC,369,OPERATIVE UPPER GI ENDOSCOPY ,,,2152.0,6587.0,4
RC,369,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,369,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2152.0,75353.71,21
RC,369,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,369,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,369,"Occluder lens, per lens ",,,28.56,28.56,3
RC,369,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1116.7,25655.0,27
RC,369,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,369,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,369,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,369,Octagam injection ,,,51.29,51.29,3
RC,369,Ocular implant ,,,885.23,885.23,3
RC,369,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1499.06,18490.0,27
RC,369,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,5694.0,18490.0,25
RC,369,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,6982.0,18490.0,25
RC,369,Ofatumumab injection ,,,67.84,67.84,3
RC,369,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,369,Omalizumab injection ,,,50.78,50.78,3
RC,369,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2152.0,31826.01,21
RC,369,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,369,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2152.0,25655.0,25
RC,369,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,369,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,369,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,369,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,369,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,369,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,369,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,369,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,369,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,369,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,369,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,369,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,369,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,369,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,369,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,369,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,369,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,369,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,369,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,369,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,369,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,369,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,369,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,369,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,369,One way chest drain valve ,,,63.18,63.18,3
RC,369,"Oophorectomy, partial or total, unilateral or bilateral; ",,,5694.0,25655.0,25
RC,369,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,5694.0,26565.8,21
RC,369,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,25655.0,20
RC,369,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,5286.0,81532.47,26
RC,369,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,7
RC,369,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2152.0,84177.74,26
RC,369,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,7
RC,369,Open implantation of neurostimulator electrode array; neuromuscular ,,,2187.0,77554.0,27
RC,369,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2187.0,77554.0,27
RC,369,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4154.17,25750.0,27
RC,369,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,24
RC,369,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,25655.0,24
RC,369,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,24
RC,369,"Operculectomy, excision pericoronal tissues ",,,1266.0,5932.0,25
RC,369,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,8858.0,15
RC,369,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,8858.0,15
RC,369,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1158.59,19415.0,27
RC,369,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,369,Oral busulfan ,,,11.03,11.03,3
RC,369,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,369,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,369,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,369,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,369,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,369,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,369,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,369,Orbital implant (implant outside muscle cone); insertion ,,,1158.59,19415.0,27
RC,369,Orbital implant (implant outside muscle cone); removal or revision ,,,1158.59,12360.0,27
RC,369,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,369,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2152.0,73970.64,21
RC,369,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2152.0,65050.62,21
RC,369,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2152.0,71919.42,21
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1158.59,18490.0,27
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1158.59,18490.0,27
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1158.59,18490.0,27
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1158.59,18490.0,27
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1158.59,18490.0,27
RC,369,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1158.59,12360.0,27
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,733.22,19415.0,27
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1158.59,25655.0,27
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,733.22,18490.0,27
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,733.22,18490.0,27
RC,369,"Orchiectomy, partial ",,,1200.05,9908.0,27
RC,369,"Orchiectomy, radical, for tumor; inguinal approach ",,,1209.12,19415.0,27
RC,369,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,5694.0,25655.0,21
RC,369,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1200.05,12360.0,27
RC,369,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,5694.0,25655.0,25
RC,369,"Orchiopexy, inguinal or scrotal approach ",,,1209.12,19415.0,27
RC,369,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,369,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,369,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,369,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,369,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,369,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,369,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,369,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,369,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,369,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,369,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,369,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,369,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,369,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,369,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,369,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,369,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,369,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,369,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,369,Orthovisc inj per dose ,,,109.36,109.36,3
RC,369,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,369,Osmolality; blood ,,,7.2,7.2,3
RC,369,Osmolality; urine ,,,7.43,7.43,3
RC,369,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,369,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,369,Ossicula implant ,,,401.67,401.67,3
RC,369,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,369,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,369,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,369,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,369,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,369,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,15
RC,369,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,6
RC,369,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,369,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,369,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,369,"Ostomy belt, each ",,,10.57,10.57,3
RC,369,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,369,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,369,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,369,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,369,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,369,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,369,Ostomy irrigation set ,,,75.92,75.92,3
RC,369,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,369,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,369,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,369,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,369,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,369,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,369,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,369,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,369,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,369,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,369,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,369,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,369,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,369,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,369,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,369,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,369,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,369,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,369,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,369,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,369,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,369,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,369,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,369,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,369,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,369,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,369,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,369,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,369,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,369,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,369,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,369,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,369,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,369,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,369,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,369,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,369,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,369,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,369,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,369,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,369,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,369,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,369,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,369,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,369,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,369,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,369,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,369,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,369,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,369,"Ostomy ring, each ",,,2.61,2.61,3
RC,369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,369,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,369,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,369,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,369,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,369,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,369,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,369,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,369,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,369,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,369,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,369,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,369,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,369,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,369,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,369,"Other cranial decompression, posterior fossa ",,,2152.0,46355.94,21
RC,369,Other manual wheelchair/base ,,,111.03,111.03,3
RC,369,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,369,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,369,Other spinal injection ,,,2152.0,6587.0,4
RC,369,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,11
RC,369,"Otoplasty, protruding ear, with or without size reduction ",,,930.95,9908.0,27
RC,369,Outflare wedge ,,,66.8,66.8,3
RC,369,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,369,"Ovarian cystectomy, unilateral or bilateral ",,,5694.0,25655.0,25
RC,369,"Oversize lens, per lens ",,,16.72,16.72,3
RC,369,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,369,Oxalate ,,,15.75,15.75,3
RC,369,Oxcarbazepine ,,,14.44,14.44,3
RC,369,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,369,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,369,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,369,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,369,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,369,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,369,PAROTID DUCT DIVERSION ,,,2152.0,6587.0,4
RC,369,"PARTIAL REMOVAL, DONOR LIVER ",,,2152.0,6587.0,4
RC,369,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,369,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,369,PERCUT DRAIN LIVER LESION ,,,2152.0,6587.0,4
RC,369,"PERCUT/NEEDLE INSERT, PROS ",,,2152.0,6587.0,4
RC,369,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,369,PLACE GASTROSTOMY TUBE ,,,2152.0,6587.0,4
RC,369,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,369,PMA Skin Substitute Produc ,,,136.26,136.26,3
RC,369,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,369,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,369,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,369,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,369,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,369,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,369,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,369,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,369,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"PROSTATECTOMY, FIRST STAGE ",,,2152.0,6587.0,4
RC,369,"PROSTATECTOMY, SECOND STAGE ",,,2152.0,6587.0,4
RC,369,PROSTATIC WATER THERMOTHER ,,,2152.0,6587.0,4
RC,369,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,369,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,369,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,369,PUNCTURE PERITONEAL CAVITY ,,,2152.0,6587.0,4
RC,369,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,369,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,369,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,369,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,369,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,369,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,369,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,2051.93,18490.0,27
RC,369,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,2051.93,18490.0,27
RC,369,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,930.95,18490.0,27
RC,369,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,3268.77,18490.0,27
RC,369,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,2051.93,18490.0,27
RC,369,Palatoplasty for cleft palate; major revision ,,,2051.93,23113.0,27
RC,369,Palatoplasty for cleft palate; secondary lengthening procedure ,,,2051.93,18490.0,27
RC,369,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2152.0,36783.3,21
RC,369,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2152.0,35314.85,21
RC,369,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2152.0,42354.4,21
RC,369,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2152.0,70070.22,21
RC,369,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2152.0,65571.29,21
RC,369,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2152.0,70396.42,21
RC,369,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2152.0,65175.02,21
RC,369,"Pancreatectomy, total ",,,2152.0,40924.76,21
RC,369,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2152.0,23307.22,15
RC,369,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2152.0,37467.18,21
RC,369,Pancreatorrhaphy for injury ,,,2152.0,30233.16,21
RC,369,Panitumumab injection ,,,198.59,198.59,3
RC,369,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,892.44,5932.0,27
RC,369,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,892.44,8858.0,27
RC,369,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,892.44,9908.0,27
RC,369,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,369,"Paraffin, per pound ",,,5.3,5.3,3
RC,369,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,369,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1481.0,9908.0,13
RC,369,Parathyroidectomy or exploration of parathyroid(s); ,,,2051.93,25655.0,27
RC,369,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,7592.0,23113.0,25
RC,369,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2152.0,31204.43,21
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,8024.0,23556.71,25
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,7592.0,25655.0,25
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,7592.0,19415.0,25
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,276.0,5932.0,27
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1481.0,5932.0,13
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,276.0,5932.0,27
RC,369,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,2051.93,17510.0,27
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,2051.93,19415.0,27
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,930.95,19415.0,27
RC,369,Partial Hospitalization (3 ,,,136.91,342.3,6
RC,369,Partial Hospitalization (4 ,,,179.39,448.48,6
RC,369,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,2152.0,113154.86,21
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,2152.0,82129.15,21
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,2152.0,73341.3,21
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,2152.0,63947.39,21
RC,369,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,2152.0,101018.09,21
RC,369,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,2152.0,57583.74,21
RC,369,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,3
RC,369,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,369,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,369,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,369,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,369,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,369,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,369,Partial hymenectomy or revision of hymenal ring ,,,1116.7,8858.0,27
RC,369,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1983.29,25655.0,27
RC,369,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1983.29,25655.0,27
RC,369,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,369,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,369,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,369,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,369,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,369,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,369,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,369,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,369,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,369,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,369,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,369,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,369,Pegaspargase injection ,,,32333.72,32333.72,3
RC,369,Pegunigalsidase alfa-iwxj ,,,245.97,245.97,3
RC,369,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,369,Pelvic examination under anesthesia (other than local) ,,,1116.7,8858.0,27
RC,369,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,2152.0,62595.36,21
RC,369,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,2152.0,65905.47,21
RC,369,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2152.0,51561.82,21
RC,369,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2152.0,25655.0,21
RC,369,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,369,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,369,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,369,Penile plethysmography ,,,231.89,5932.0,25
RC,369,"Penile revascularization, artery, with or without vein graft ",,,2152.0,28422.76,21
RC,369,Penile venous occlusive procedure ,,,5694.0,12360.0,25
RC,369,Pentostatin injection ,,,2940.81,2940.81,3
RC,369,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,369,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2152.0,76895.0,25
RC,369,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,270.48,5932.0,27
RC,369,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,357.81,5932.0,27
RC,369,Percutaneous balloon valvuloplasty; aortic valve ,,,15852.51,43890.0,14
RC,369,Percutaneous balloon valvuloplasty; mitral valve ,,,16482.0,48155.21,14
RC,369,Percutaneous balloon valvuloplasty; pulmonary valve ,,,16482.0,48155.21,14
RC,369,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,20
RC,369,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,20
RC,369,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,369,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,2020.05,5932.0,11
RC,369,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,10868.0,25655.0,16
RC,369,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,3838.82,77554.0,27
RC,369,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,2187.0,77554.0,27
RC,369,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4103.8,77554.0,27
RC,369,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,3924.71,77554.0,27
RC,369,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,25655.0,12
RC,369,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,357.81,5932.0,54
RC,369,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,3488.38,25655.0,48
RC,369,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,7
RC,369,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,25
RC,369,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,11388.0,44631.92,18
RC,369,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,11388.0,44631.92,18
RC,369,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,4
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,77468.25,10
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,77468.25,10
RC,369,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,77468.25,19
RC,369,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,369,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,27837.0,94000.0,8
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,25794.0,48155.21,14
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,17031.0,91021.43,14
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,9417.0,2
RC,369,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,2152.0,43890.0,18
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,15852.51,43890.0,14
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,31792.18,9
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,9
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,12875.0,10
RC,369,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,9417.0,2
RC,369,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,21909.0,48155.21,14
RC,369,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,10763.0,1
RC,369,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,369,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,27837.0,94000.0,8
RC,369,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,25794.0,77468.25,14
RC,369,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,9417.0,2
RC,369,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,8
RC,369,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2152.0,44631.92,68
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,5616.06,33769.0,27
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,13
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,1621.98,33769.0,27
RC,369,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,18279.0,43890.0,8
RC,369,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,18279.0,48155.21,14
RC,369,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,46000.0,14
RC,369,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,21210.0,94000.0,14
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,27837.0,94000.0,22
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,9417.0,2
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,25794.0,57319.96,21
RC,369,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,27837.0,94000.0,22
RC,369,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,48155.21,16
RC,369,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,25655.0,20
RC,369,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,25655.0,20
RC,369,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,25655.0,20
RC,369,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,25655.0,20
RC,369,"Pereyra procedure, including anterior colporrhaphy ",,,2390.64,18770.08,27
RC,369,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,369,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,4
RC,369,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,4
RC,369,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1116.7,18490.0,27
RC,369,Periodontal mucosal grafting ,,,441.67,25655.0,27
RC,369,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,369,Perirectal injection of sclerosing solution for prolapse ,,,1572.0,5932.0,25
RC,369,"Peritoneal lavage, including imaging guidance, when performed ",,,351.7,6680.0,27
RC,369,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2152.0,32843.89,25
RC,369,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,843.46,6587.0,25
RC,369,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2152.0,25655.0,25
RC,369,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2152.0,25655.0,25
RC,369,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,369,Pertnscp cholangram w bx ,,,2152.0,6587.0,4
RC,369,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,369,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,369,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,369,Petrous apicectomy including radical mastoidectomy ,,,2051.93,23113.0,27
RC,369,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1481.0,2636.0,5
RC,369,Pharyngoesophageal repair ,,,2152.0,25655.0,21
RC,369,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,2051.93,13581.48,27
RC,369,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,441.67,6680.0,27
RC,369,Phenobarbital ,,,16.68,16.68,3
RC,369,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,369,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,369,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,369,Phenytoin; free ,,,15.0,15.0,3
RC,369,Phenytoin; total ,,,14.44,14.44,3
RC,369,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,6
RC,369,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,369,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,369,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,369,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,369,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,369,Phosphatidylglycerol ,,,18.01,18.01,3
RC,369,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,369,Phosphohexose isomerase ,,,11.7,11.7,3
RC,369,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,369,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,369,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,369,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,369,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1481.0,2636.0,5
RC,369,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1481.0,2636.0,5
RC,369,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1481.0,2636.0,5
RC,369,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,1481.0,2174.0,4
RC,369,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,6
RC,369,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,6
RC,369,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,369,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,369,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,369,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,369,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,369,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,5
RC,369,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,369,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,369,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,369,Pinworm examinations ,,,4.65,4.65,3
RC,369,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,5
RC,369,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,1209.12,12499.0,27
RC,369,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1481.0,19415.0,13
RC,369,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2700.0,12360.0,25
RC,369,Placement of amniotic membrane on the ocular surface; without sutures ,,,1266.0,5932.0,25
RC,369,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,1209.12,12499.0,54
RC,369,Placement of choledochal stent ,,,2152.0,25655.0,21
RC,369,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,2152.0,42494.33,21
RC,369,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,2152.0,51802.86,21
RC,369,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,3293.0,15
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1704.0,25655.0,21
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,311.04,5932.0,27
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,74.41,5932.0,27
RC,369,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,6
RC,369,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,4693.0,12499.0,25
RC,369,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,3796.0,18747.0,25
RC,369,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,685.44,18747.0,27
RC,369,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,1200.05,18747.0,27
RC,369,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,5
RC,369,Placement of seton ,,,986.93,9908.0,27
RC,369,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,2687.03,21630.0,81
RC,369,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1200.05,12499.0,81
RC,369,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,2152.0,25655.0,25
RC,369,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,369,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,369,Plasma cryo redu path each ,,,145.8,145.8,3
RC,369,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,369,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,369,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,369,Plastic operation of penis for injury ,,,1200.05,19415.0,27
RC,369,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1200.05,17510.0,27
RC,369,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1200.05,17510.0,27
RC,369,Plastic operation on penis for epispadias distal to external sphincter; ,,,685.44,12360.0,27
RC,369,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,7592.0,27917.61,21
RC,369,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,685.44,12360.0,27
RC,369,Plastic operation on penis to correct angulation ,,,1200.05,17510.0,27
RC,369,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1603.34,17510.0,27
RC,369,Plastic repair of canaliculi ,,,733.22,8858.0,27
RC,369,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,2051.93,25655.0,27
RC,369,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,2051.93,23113.0,27
RC,369,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,2051.93,23113.0,27
RC,369,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,930.95,23113.0,27
RC,369,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,2051.93,17510.0,27
RC,369,Plastic repair of introitus ,,,1116.7,9908.0,27
RC,369,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,2051.93,13581.48,27
RC,369,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,2051.93,19415.0,27
RC,369,Plastic repair of urethrocele ,,,1116.7,9908.0,27
RC,369,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,369,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,369,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,369,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,369,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,369,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,369,Platelets pheresis path re ,,,662.1,662.1,3
RC,369,"Platelets, each unit ",,,57.96,57.96,3
RC,369,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,369,"Platelets, irradiated ",,,428.34,428.34,3
RC,369,"Platelets, pheresis ",,,336.77,336.77,3
RC,369,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,369,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,369,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,369,Plerixafor injection ,,,31.05,31.05,3
RC,369,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,369,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,369,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,369,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,369,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,369,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,369,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,369,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,369,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,369,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,369,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,369,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,369,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,369,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,369,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,369,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,369,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,369,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,369,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,369,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,369,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,369,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,369,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,369,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,369,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,369,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,369,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,369,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,369,"Portoenterostomy (eg, Kasai procedure) ",,,2152.0,38508.32,21
RC,369,Posaconazole ,,,29.55,29.55,3
RC,369,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,369,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,369,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,369,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,369,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,369,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,369,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,369,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,369,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,369,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,369,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.34,18490.0,27
RC,369,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,640.52,5932.0,25
RC,369,Postpartum care only (separate procedure) ,,,2152.0,6587.0,15
RC,369,Postural drainage board ,,,31.28,31.28,3
RC,369,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,369,Potassium; urine ,,,5.16,5.16,3
RC,369,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,369,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,369,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,369,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,369,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,369,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,369,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,369,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,369,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,369,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,369,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,369,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,369,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,369,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,369,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,369,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,369,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,369,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,369,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,369,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,369,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,369,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,369,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,369,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,369,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,369,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,369,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,369,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,369,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,369,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,369,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,369,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,369,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,369,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,369,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,369,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,369,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,369,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,369,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,369,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,369,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,369,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,369,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,369,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,369,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,369,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,369,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,369,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,369,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,369,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,369,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,369,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,369,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,369,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,369,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,369,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,369,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,369,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,369,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,369,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,369,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,369,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,369,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,369,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,369,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,369,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,369,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,369,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,369,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,369,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,369,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,369,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,369,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,369,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,369,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,369,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,369,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,369,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,369,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,369,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,369,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,369,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,369,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,369,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,369,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,369,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,369,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,369,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,369,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,369,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,369,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,369,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,369,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,369,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,369,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,369,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,369,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,369,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,369,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,369,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,369,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,369,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,369,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,369,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,369,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,369,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,369,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,369,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,369,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,369,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,369,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,369,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,369,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,369,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,369,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,369,Pralatrexate injection ,,,420.87,420.87,3
RC,369,Prealbumin ,,,15.9,15.9,3
RC,369,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,369,Pregnanediol ,,,23.18,23.18,3
RC,369,Pregnanetriol ,,,22.94,22.94,3
RC,369,Pregnenolone ,,,22.53,22.53,3
RC,369,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,369,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,1527.22,6587.0,15
RC,369,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,10
RC,369,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,369,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,369,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,369,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,369,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,369,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,369,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,369,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,369,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,369,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,369,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,369,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,369,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,369,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,369,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,369,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,369,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,369,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,369,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2152.0,25655.0,21
RC,369,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,369,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,1481.0,33769.0,40
RC,369,Primidone ,,,18.08,18.08,3
RC,369,"Prism, per lens ",,,17.53,17.53,3
RC,369,"Probing of lacrimal canaliculi, with or without irrigation ",,,72.68,5932.0,27
RC,369,"Probing of nasolacrimal duct, with or without irrigation; ",,,113.7,5932.0,27
RC,369,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,733.22,8858.0,27
RC,369,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,733.22,8858.0,27
RC,369,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,733.22,9868.0,27
RC,369,Procainamide hcl injection ,,,321.94,321.94,3
RC,369,Procainamide; ,,,65.4,65.4,3
RC,369,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,369,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,369,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,2152.0,43473.37,21
RC,369,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,2152.0,41973.65,21
RC,369,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,2152.0,35773.21,21
RC,369,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,2152.0,38826.76,21
RC,369,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,2152.0,40878.19,21
RC,369,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,2152.0,35058.28,21
RC,369,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,2152.0,42494.33,21
RC,369,"Proctectomy, partial, without anastomosis, perineal approach ",,,8024.0,25655.0,21
RC,369,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,2152.0,41437.67,21
RC,369,"Proctectomy; partial resection of rectum, transabdominal approach ",,,2152.0,25655.0,21
RC,369,"Proctopexy (eg, for prolapse); abdominal approach ",,,2152.0,25655.0,21
RC,369,"Proctopexy (eg, for prolapse); perineal approach ",,,986.93,25655.0,27
RC,369,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,2152.0,32952.74,21
RC,369,Proctoplasty; for prolapse of mucous membrane ,,,986.93,12360.0,27
RC,369,Proctoplasty; for stenosis ,,,986.93,8858.0,27
RC,369,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,86.63,5932.0,27
RC,369,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,986.93,8858.0,27
RC,369,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,450.72,5932.0,27
RC,369,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,450.72,6587.0,27
RC,369,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,986.93,8858.0,27
RC,369,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,450.72,5932.0,27
RC,369,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,986.93,8858.0,27
RC,369,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,450.72,5932.0,27
RC,369,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,986.93,6563.7,27
RC,369,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,450.72,5932.0,27
RC,369,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,2187.0,13386.32,27
RC,369,Progesterone ,,,22.74,22.74,3
RC,369,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,369,Proinsulin ,,,29.09,29.09,3
RC,369,Prolactin ,,,21.12,21.12,3
RC,369,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,113.7,6680.0,27
RC,369,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,125.86,5932.0,27
RC,369,"Prostaglandin, each ",,,45.53,45.53,3
RC,369,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,369,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,369,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,369,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,369,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2152.0,25655.0,21
RC,369,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2152.0,25655.0,21
RC,369,"Prostatectomy, perineal radical; ",,,2152.0,29541.73,21
RC,369,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,39526.16,21
RC,369,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,36192.77,21
RC,369,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2152.0,25655.0,21
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2152.0,26348.26,21
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,30676.0,25
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,26371.55,21
RC,369,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,1200.05,8858.0,27
RC,369,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,1200.05,8858.0,27
RC,369,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,369,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,369,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,369,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,369,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,369,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,369,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,369,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,369,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,369,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,369,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,369,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,369,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,369,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,369,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,369,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,369,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,369,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,369,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,369,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,369,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,369,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,369,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,369,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,369,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,369,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,369,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,369,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,369,Prothrombin time; ,,,4.68,4.68,3
RC,369,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,369,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,369,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,369,Pulmonary Treatment ,,,239.77,239.77,3
RC,369,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,369,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,369,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,369,Pump for water circulating pad ,,,68.74,68.74,3
RC,369,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,56.97,3293.0,23
RC,369,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,276.0,5932.0,27
RC,369,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2152.0,31367.64,21
RC,369,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2152.0,26076.17,21
RC,369,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,2152.0,16144.0,5
RC,369,"Pyelotomy; with drainage, pyelostomy ",,,2152.0,25655.0,21
RC,369,Pyelotomy; with exploration ,,,2152.0,25655.0,21
RC,369,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2152.0,25655.0,21
RC,369,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,2152.0,25655.0,21
RC,369,Pyloroplasty ,,,2152.0,25655.0,21
RC,369,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,369,Pyruvate ,,,15.78,15.78,3
RC,369,Pyruvate kinase ,,,10.29,10.29,3
RC,369,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,369,Quinidine ,,,15.91,15.91,3
RC,369,Quinine ,,,12.68,12.68,3
RC,369,RBC deglycerolized ,,,341.17,341.17,3
RC,369,RBC irradiated ,,,158.29,158.29,3
RC,369,RBC leukocytes reduced ,,,201.55,201.55,3
RC,369,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,369,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,369,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,369,RECONSTRUCTION OF URETHRA ,,,2152.0,6587.0,4
RC,369,REDUCTION OF SKULL DEFECT ,,,2152.0,6587.0,4
RC,369,REMOVAL OF ABDOMINAL FLUID ,,,2152.0,6587.0,4
RC,369,REMOVAL OF ABDOMINAL LESION ,,,2152.0,6587.0,4
RC,369,REMOVAL OF ANAL CRYPT ,,,2152.0,6587.0,4
RC,369,REMOVAL OF ANAL CRYPTS ,,,2152.0,6587.0,4
RC,369,REMOVAL OF BRAIN TISSUE ,,,2152.0,6587.0,4
RC,369,REMOVAL OF COLON/ILEOSTOMY ,,,2152.0,6587.0,8
RC,369,REMOVAL OF LEG VEIN ,,,2152.0,6587.0,4
RC,369,REMOVAL OF LEG VEINS ,,,2152.0,6587.0,4
RC,369,"REMOVAL OF STOMACH, PARTIAL ",,,2152.0,6587.0,8
RC,369,REMOVAL OF TESTIS LESION ,,,2152.0,6587.0,4
RC,369,"REMOVE ABDOM LESION, COMPLEX ",,,2152.0,6587.0,4
RC,369,REMOVE ABDOMEN FOREIGN BODY ,,,2152.0,6587.0,4
RC,369,REMOVE BILE DUCT STONE ,,,2152.0,6587.0,4
RC,369,REMOVE MULTI-COMP PROSTHESIS ,,,2152.0,6587.0,4
RC,369,REMOVE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,369,REMOVE RESIDUAL PROSTATE ,,,2152.0,6587.0,4
RC,369,RENAL ABSCESS PERCUT DRAIN ,,,2152.0,6587.0,4
RC,369,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,6587.0,8
RC,369,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,369,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,5694.0,7168.0,5
RC,369,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,369,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,369,REPAIR OF DIAPHRAGM HERNIA ,,,2152.0,6587.0,12
RC,369,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,3796.0,5381.0,5
RC,369,REPAIR PARAESOPHAGEAL HERNIA ,,,2152.0,6587.0,4
RC,369,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,369,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,369,REPAIR SPIGELIAN HERNIA ,,,5694.0,7168.0,5
RC,369,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,369,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,5694.0,7168.0,5
RC,369,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,369,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,5694.0,7168.0,5
RC,369,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,369,REREPAIR DETACHED RETINA ,,,2152.0,6587.0,4
RC,369,RESECT/DEBRIDE PANCREAS ,,,2152.0,6587.0,4
RC,369,REVISE ESOPHAGUS & STOMACH ,,,2152.0,6587.0,8
RC,369,REVISE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,369,REVISE/REINSERT BILE TUBE ,,,2152.0,6587.0,4
RC,369,REVISE/REMOVE NEUROELECTRODE ,,,2152.0,6587.0,4
RC,369,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,7592.0,8072.0,5
RC,369,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY ,,,2152.0,16144.0,5
RC,369,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY ,,,2152.0,16144.0,5
RC,369,REVISION OF MAJOR VEIN ,,,2152.0,6587.0,4
RC,369,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,369,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,369,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,369,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,369,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,369,"Rabies vaccine, id ",,,258.18,258.18,3
RC,369,"Rabies vaccine, im ",,,361.85,361.85,3
RC,369,Radial keratotomy ,,,1572.0,23113.0,25
RC,369,Radiation tx delivery lvl ,,,85.19,419.55,9
RC,369,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,41507.53,25
RC,369,Radical excision external auditory canal lesion; with neck dissection ,,,2152.0,36542.48,21
RC,369,Radical excision external auditory canal lesion; without neck dissection ,,,2051.93,13581.48,27
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,7592.0,25655.0,21
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,2152.0,49976.73,21
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,3796.0,25655.0,21
RC,369,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,37195.1,21
RC,369,Radiesse injection ,,,380.62,380.62,3
RC,369,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,692.94,19415.0,27
RC,369,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,369,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,369,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,369,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,369,Ranibizumab injection ,,,55.69,55.69,3
RC,369,Rasburicase ,,,422.32,422.32,3
RC,369,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,369,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,369,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,369,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,369,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2152.0,25655.0,21
RC,369,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,369,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,369,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,369,Receptor assay; estrogen ,,,95.79,95.79,3
RC,369,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,369,Receptor assay; progesterone ,,,70.72,70.72,3
RC,369,Recipient nephrectomy (separate procedure) ,,,2152.0,25655.0,21
RC,369,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,369,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2051.93,23113.0,27
RC,369,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2051.93,17510.0,27
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,733.22,9908.0,27
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,733.22,9908.0,27
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1158.59,12360.0,27
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,733.22,9908.0,27
RC,369,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,2152.0,35392.46,21
RC,369,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,369,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,369,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1481.0,5932.0,7
RC,369,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,2
RC,369,Red blood cells unit ,,,164.12,164.12,3
RC,369,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2152.0,38236.23,21
RC,369,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2152.0,44941.82,21
RC,369,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,369,Reduction of overcorrection of ptosis ,,,733.22,19415.0,27
RC,369,Reduction of procidentia (separate procedure) under anesthesia ,,,344.93,5932.0,27
RC,369,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1200.05,19415.0,27
RC,369,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,2152.0,76895.0,25
RC,369,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1481.0,2636.0,5
RC,369,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1481.0,2636.0,5
RC,369,Regulator ,,,43.99,43.99,3
RC,369,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,369,Reinsertion of ocular implant; with or without conjunctival graft ,,,1158.59,12360.0,27
RC,369,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1158.59,12360.0,27
RC,369,Release of encircling material (posterior segment) ,,,1610.16,10691.32,27
RC,369,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,733.22,23113.0,27
RC,369,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,369,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,369,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,369,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,369,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,369,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,27
RC,369,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,685.44,9868.0,27
RC,369,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,27
RC,369,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,572.66,8858.0,27
RC,369,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,6004.0,54082.0,25
RC,369,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1672.0,54082.0,25
RC,369,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,685.44,5932.0,27
RC,369,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,20
RC,369,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2187.0,49207.09,27
RC,369,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1266.0,28733.66,21
RC,369,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,6004.0,54082.0,25
RC,369,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1266.0,54082.0,25
RC,369,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,855.96,8858.0,27
RC,369,Removal foreign body from external auditory canal; with general anesthesia ,,,510.77,5932.0,27
RC,369,Removal foreign body from external auditory canal; without general anesthesia ,,,237.69,2636.0,21
RC,369,"Removal impacted cerumen requiring instrumentation, unilateral ",,,119.92,5932.0,25
RC,369,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,119.92,5932.0,25
RC,369,"Removal of Thiersch wire or suture, anal canal ",,,986.93,6680.0,27
RC,369,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1200.05,12360.0,27
RC,369,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,3
RC,369,"Removal of anal seton, other marker ",,,450.72,5932.0,27
RC,369,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2287.0,12360.0,14
RC,369,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2287.0,12360.0,14
RC,369,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2287.0,12360.0,14
RC,369,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,351.7,5932.0,27
RC,369,"Removal of blood clot, anterior segment of eye ",,,892.44,18490.0,27
RC,369,Removal of bone flap or prosthetic plate of skull ,,,2152.0,25655.0,21
RC,369,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,1481.0,5932.0,13
RC,369,Removal of cerclage suture under anesthesia (other than local) ,,,1116.7,18490.0,27
RC,369,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2152.0,25655.0,21
RC,369,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2214.0,25655.0,25
RC,369,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,176.16,8858.0,27
RC,369,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,40.7,5932.0,27
RC,369,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2096.41,15425.23,27
RC,369,Removal of embedded foreign body from dentoalveolar structures; bone ,,,272.38,5932.0,27
RC,369,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,231.98,5932.0,27
RC,369,"Removal of embedded foreign body, eyelid ",,,113.7,5932.0,27
RC,369,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,158.14,6680.0,27
RC,369,"Removal of embedded foreign body, vestibule of mouth; simple ",,,1572.0,5047.0,21
RC,369,Removal of entire lumbosubarachnoid shunt system without replacement ,,,692.94,8858.0,27
RC,369,"Removal of epithelial downgrowth, anterior chamber of eye ",,,892.44,18490.0,27
RC,369,Removal of esophageal sphincter augmentation device ,,,2152.0,25655.0,21
RC,369,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,450.72,5932.0,27
RC,369,Removal of foreign body from pharynx ,,,792.63,5932.0,25
RC,369,Removal of foreign body in scrotum ,,,685.44,8858.0,27
RC,369,"Removal of foreign body or dacryolith, lacrimal passages ",,,113.7,5932.0,27
RC,369,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,792.63,2636.0,21
RC,369,"Removal of foreign body, external eye; conjunctival superficial ",,,237.69,2636.0,21
RC,369,"Removal of foreign body, external eye; corneal, with slit lamp ",,,237.69,2636.0,21
RC,369,"Removal of foreign body, external eye; corneal, without slit lamp ",,,792.63,2636.0,21
RC,369,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,892.44,8858.0,27
RC,369,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,892.44,9908.0,27
RC,369,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,892.44,19415.0,27
RC,369,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,7
RC,369,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2096.41,25655.0,27
RC,369,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,7
RC,369,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,5
RC,369,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,1116.7,8858.0,27
RC,369,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,4
RC,369,"Removal of implanted material, anterior segment of eye ",,,892.44,23113.0,27
RC,369,"Removal of implanted material, posterior segment; extraocular ",,,892.44,8858.0,27
RC,369,"Removal of implanted material, posterior segment; intraocular ",,,892.44,12360.0,27
RC,369,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1773.9,21630.0,27
RC,369,Removal of intrauterine device (IUD) ,,,53.78,5932.0,27
RC,369,"Removal of lens material; aspiration technique, 1 or more stages ",,,892.44,19415.0,27
RC,369,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,892.44,18490.0,27
RC,369,Removal of lens material; intracapsular ,,,892.44,19415.0,27
RC,369,"Removal of lens material; intracapsular, for dislocated lens ",,,1610.16,18490.0,27
RC,369,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1610.16,19415.0,27
RC,369,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,892.44,23113.0,27
RC,369,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,250.06,5932.0,27
RC,369,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,369,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1200.05,12360.0,27
RC,369,Removal of non-resorbable barrier ,,,10868.0,12875.0,4
RC,369,Removal of ocular implant ,,,1158.59,12360.0,27
RC,369,Removal of pancreatic calculus ,,,2152.0,26565.8,21
RC,369,Removal of peritoneal foreign body from peritoneal cavity ,,,1209.12,12360.0,27
RC,369,Removal of peritoneal-venous shunt ,,,1174.13,25655.0,27
RC,369,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,25655.0,20
RC,369,Removal of previously implanted intrathecal or epidural catheter ,,,692.94,8858.0,27
RC,369,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,892.44,19415.0,27
RC,369,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2152.0,12499.0,24
RC,369,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,692.94,18747.0,27
RC,369,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,1574.7,18747.0,27
RC,369,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2096.41,15425.23,27
RC,369,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,6
RC,369,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,4
RC,369,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,4
RC,369,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,4
RC,369,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,1481.0,6587.0,13
RC,369,"Removal of transplanted intestinal allograft, complete ",,,2152.0,35237.02,21
RC,369,Removal of transplanted pancreatic allograft ,,,2152.0,28710.16,17
RC,369,Removal of transplanted renal allograft ,,,2152.0,27101.78,21
RC,369,"Removal of tumor, temporal bone ",,,7592.0,25655.0,25
RC,369,Removal of tunneled intraperitoneal catheter ,,,1174.13,12360.0,27
RC,369,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,892.44,19415.0,27
RC,369,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,892.44,19415.0,27
RC,369,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,930.95,17510.0,27
RC,369,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2187.0,12360.0,27
RC,369,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1116.7,25655.0,27
RC,369,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,369,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1142.68,25655.0,27
RC,369,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1142.68,12360.0,27
RC,369,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1142.68,12360.0,27
RC,369,Remove interim implant component ,,,10868.0,12875.0,4
RC,369,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2152.0,64499.11,21
RC,369,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2152.0,54444.61,21
RC,369,"Renal autotransplantation, reimplantation of kidney ",,,2152.0,44949.58,21
RC,369,Renal biopsy; by surgical exposure of kidney ,,,2152.0,25655.0,21
RC,369,"Renal biopsy; percutaneous, by trocar or needle ",,,510.77,5932.0,27
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,11848.54,27
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1266.0,22590.2,27
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2187.0,22590.2,27
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,1773.9,11848.54,27
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1266.0,22590.2,27
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,1773.9,11848.54,27
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,8451.91,27
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1200.05,5932.0,27
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1773.9,25655.0,23
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,1773.9,25655.0,27
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,25655.0,27
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,250.06,5932.0,27
RC,369,"Renal exploration, not necessitating other specific procedures ",,,2152.0,25655.0,21
RC,369,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,369,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,369,Renin ,,,23.97,23.97,3
RC,369,Reopening of recent laparotomy ,,,2152.0,25655.0,21
RC,369,Repair incomplete circumcision ,,,685.44,8858.0,27
RC,369,"Repair inguinal hernia, sliding, any age ",,,1209.12,19415.0,27
RC,369,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,27
RC,369,"Repair initial femoral hernia, any age; reducible ",,,1209.12,18490.0,27
RC,369,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1209.12,19415.0,27
RC,369,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1209.12,19415.0,27
RC,369,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1209.12,19415.0,27
RC,369,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1209.12,19415.0,27
RC,369,"Repair lip, full thickness; over one-half vertical height, or complex ",,,441.67,9908.0,27
RC,369,"Repair lip, full thickness; up to half vertical height ",,,196.58,9908.0,27
RC,369,"Repair lip, full thickness; vermilion only ",,,196.58,9908.0,27
RC,369,Repair lumbar hernia ,,,1983.29,13534.39,27
RC,369,Repair of anal fistula with fibrin glue ,,,986.93,8858.0,27
RC,369,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,1295.61,12499.0,23
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,13
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1209.12,23698.54,160
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1983.29,28718.14,156
RC,369,"Repair of anterior palate, including vomer flap ",,,2051.93,18490.0,27
RC,369,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,733.22,19415.0,27
RC,369,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,733.22,19415.0,27
RC,369,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,733.22,19415.0,27
RC,369,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1158.59,18490.0,27
RC,369,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,733.22,18490.0,27
RC,369,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1158.59,18490.0,27
RC,369,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,733.22,19415.0,27
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,2152.0,87855.71,21
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,2152.0,95361.6,21
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,2152.0,78671.58,21
RC,369,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1610.16,18490.0,27
RC,369,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,6004.0,17510.0,25
RC,369,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,4
RC,369,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2152.0,25655.0,21
RC,369,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2152.0,25655.0,21
RC,369,Repair of ectropion; excision tarsal wedge ,,,733.22,19415.0,27
RC,369,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,733.22,19415.0,27
RC,369,Repair of ectropion; suture ,,,733.22,9908.0,27
RC,369,Repair of ectropion; thermocauterization ,,,210.46,9908.0,27
RC,369,"Repair of encephalocele, skull vault, including cranioplasty ",,,2152.0,48135.29,21
RC,369,"Repair of enterocele, abdominal approach (separate procedure) ",,,3796.0,25655.0,21
RC,369,"Repair of enterocele, vaginal approach (separate procedure) ",,,1603.34,11960.31,27
RC,369,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,25655.0,19
RC,369,Repair of entropion; excision tarsal wedge ,,,733.22,19415.0,27
RC,369,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,733.22,19415.0,27
RC,369,Repair of entropion; suture ,,,733.22,9908.0,27
RC,369,Repair of entropion; thermocauterization ,,,201.75,25655.0,27
RC,369,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,2152.0,56122.84,21
RC,369,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,2152.0,48446.18,21
RC,369,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,2152.0,51157.78,21
RC,369,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,2152.0,44328.01,21
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1200.05,12360.0,27
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1773.9,12360.0,27
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1773.9,12360.0,27
RC,369,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,2152.0,50303.15,25
RC,369,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,2152.0,25655.0,25
RC,369,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1773.9,12360.0,27
RC,369,"Repair of iris, ciliary body (as for iridodialysis) ",,,892.44,9908.0,27
RC,369,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,237.69,6680.0,25
RC,369,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,91.96,6680.0,27
RC,369,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,91.96,6680.0,27
RC,369,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,391.57,6680.0,27
RC,369,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2152.0,25655.0,25
RC,369,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,733.22,8858.0,27
RC,369,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,733.22,8858.0,27
RC,369,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1610.16,19415.0,27
RC,369,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1610.16,19415.0,27
RC,369,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1158.59,19415.0,27
RC,369,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,2152.0,110738.41,25
RC,369,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,2152.0,25655.0,21
RC,369,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,2152.0,25655.0,21
RC,369,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,2152.0,27288.28,21
RC,369,Repair of meningocele; larger than 5 cm diameter ,,,2152.0,32502.13,21
RC,369,Repair of meningocele; less than 5 cm diameter ,,,2152.0,29510.68,21
RC,369,Repair of myelomeningocele; larger than 5 cm diameter ,,,2152.0,40171.02,21
RC,369,Repair of myelomeningocele; less than 5 cm diameter ,,,2152.0,36223.82,21
RC,369,Repair of nasolabial fistula ,,,2051.93,19415.0,27
RC,369,Repair of omphalocele (Gross type operation); first stage ,,,2152.0,25655.0,21
RC,369,Repair of omphalocele (Gross type operation); second stage ,,,2152.0,25655.0,21
RC,369,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,369,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2152.0,21630.0,25
RC,369,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2152.0,21630.0,25
RC,369,Repair of rectocele (separate procedure) ,,,986.93,12360.0,27
RC,369,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,174.12,19415.0,27
RC,369,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,144.47,18490.0,27
RC,369,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,434.01,25655.0,23
RC,369,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1610.16,18490.0,27
RC,369,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1610.16,23113.0,27
RC,369,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,2152.0,28780.23,21
RC,369,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,369,Repair of scleral staphyloma with graft ,,,2141.05,19415.0,27
RC,369,"Repair of small omphalocele, with primary closure ",,,1209.12,19415.0,27
RC,369,"Repair of symblepharon; conjunctivoplasty, without graft ",,,892.44,19415.0,27
RC,369,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,733.22,19415.0,27
RC,369,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1158.59,19415.0,27
RC,369,Repair of traumatic corporeal tear(s) ,,,1200.05,18747.0,27
RC,369,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1200.05,19415.0,27
RC,369,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1158.59,12360.0,27
RC,369,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,369,Repair oval window fistula ,,,930.95,19415.0,27
RC,369,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,369,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1209.12,19415.0,27
RC,369,Repair recurrent femoral hernia; reducible ,,,1209.12,18490.0,27
RC,369,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,27
RC,369,"Repair recurrent inguinal hernia, any age; reducible ",,,1209.12,19415.0,27
RC,369,Repair round window fistula ,,,930.95,19415.0,27
RC,369,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,369,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,6
RC,369,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,6
RC,369,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,2152.0,25655.0,21
RC,369,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,2152.0,25655.0,21
RC,369,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,369,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1209.12,19415.0,54
RC,369,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,5694.0,25655.0,25
RC,369,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,5694.0,25655.0,25
RC,369,"Repair, laceration of diaphragm, any approach ",,,2152.0,25655.0,21
RC,369,"Repair, laceration of palate; over 2 cm or complex ",,,2051.93,13581.48,27
RC,369,"Repair, laceration of palate; up to 2 cm ",,,196.58,5932.0,27
RC,369,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,369,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,2152.0,135035.45,21
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2152.0,28422.76,21
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2152.0,26099.46,21
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2152.0,30100.99,21
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2152.0,28135.37,21
RC,369,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,2152.0,34646.49,21
RC,369,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,2152.0,34048.2,21
RC,369,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,369,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,369,Replace high roll cuff ,,,398.06,398.06,3
RC,369,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,369,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,369,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,369,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,369,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,369,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,369,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,369,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,369,Replace pretibial shell ,,,724.27,724.27,3
RC,369,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,369,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,369,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,369,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,369,Replace trilateral socket brim ,,,862.54,862.54,3
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2152.0,36534.62,27
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2152.0,35261.21,27
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,4002.6,33769.0,27
RC,369,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,369,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,369,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,369,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,369,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,369,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,369,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,369,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,369,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,369,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,369,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,369,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,369,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,369,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,369,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,369,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,369,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,369,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,369,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,369,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,369,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2152.0,27630.22,21
RC,369,Replacement of an implant screw ,,,10868.0,12875.0,3
RC,369,Replacement of bone flap or prosthetic plate of skull ,,,2152.0,25655.0,21
RC,369,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,27
RC,369,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,27
RC,369,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,27
RC,369,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,115.66,6587.0,27
RC,369,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,115.66,6587.0,27
RC,369,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,4
RC,369,"Replacement or irrigation, subarachnoid/subdural catheter ",,,692.94,8858.0,27
RC,369,"Replacement or irrigation, ventricular catheter ",,,2096.41,15425.23,27
RC,369,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2096.41,17510.0,27
RC,369,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,369,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,369,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,369,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,369,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,369,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,369,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,369,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,369,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,369,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2884.18,17510.0,27
RC,369,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,369,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,369,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,369,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,369,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,369,"Replantation, penis, complete amputation including urethral repair ",,,2152.0,16144.0,5
RC,369,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,115.66,5932.0,27
RC,369,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,892.44,19415.0,27
RC,369,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,5694.0,25655.0,25
RC,369,Reprogramming of programmable cerebrospinal shunt ,,,31.39,3092.0,23
RC,369,Reptilase test ,,,10.74,10.74,3
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,5694.0,25655.0,21
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2152.0,37156.29,21
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2152.0,32750.72,21
RC,369,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2152.0,39813.56,21
RC,369,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,2152.0,16144.0,5
RC,369,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,2051.93,23113.0,27
RC,369,"Resection of lip, more than one-fourth, without reconstruction ",,,930.95,8858.0,27
RC,369,Resection of mediastinal cyst ,,,2152.0,25655.0,21
RC,369,Resection of mediastinal tumor ,,,2152.0,25655.0,21
RC,369,Resection of palate or extensive resection of lesion ,,,2051.93,19415.0,27
RC,369,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,2152.0,53263.55,21
RC,369,Resection of scrotum ,,,1200.05,8858.0,27
RC,369,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2152.0,64056.05,21
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2152.0,47847.89,21
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2152.0,54467.89,21
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2152.0,63652.02,21
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2152.0,75602.3,21
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2152.0,48290.73,21
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2152.0,66589.14,21
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2152.0,60474.08,21
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2152.0,74359.15,21
RC,369,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,3
RC,369,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,3
RC,369,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,3
RC,369,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,3
RC,369,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,369,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,369,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,369,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,369,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,369,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,369,"Resection temporal bone, external approach ",,,2152.0,59603.91,21
RC,369,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,2152.0,27917.61,21
RC,369,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,2152.0,25655.0,21
RC,369,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,369,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,369,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,369,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,369,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,369,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,369,Resuscitation and Cardiove ,,,723.71,723.71,3
RC,369,Reticulated platelet assay ,,,38.96,38.96,3
RC,369,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,5694.0,25655.0,25
RC,369,Retrobulbar injection; alcohol ,,,36.62,5932.0,27
RC,369,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,27.62,2636.0,23
RC,369,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,2152.0,25655.0,21
RC,369,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,369,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,9875.0,44979.2,20
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1481.0,21630.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1481.0,52440.33,28
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1481.0,33023.84,28
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1481.0,52440.33,28
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,18490.0,14
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,18490.0,14
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,18490.0,14
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,5796.69,10763.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,2638.63,9417.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,7668.0,13453.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,5604.99,10763.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,8024.0,9417.0,2
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,8024.0,9417.0,2
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,2454.04,9417.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,5352.25,10763.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1481.0,21630.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1481.0,33023.84,28
RC,369,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1481.0,33023.84,28
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,20
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,20
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,20
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,25655.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1481.0,33023.84,28
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1481.0,52440.33,28
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1481.0,52440.33,28
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1481.0,52440.33,28
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,7008.0,10763.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,4988.47,9417.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,7668.0,13453.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,7008.0,10763.0,4
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,28120.23,20
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,44979.2,20
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,9875.0,44979.2,20
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,7008.0,10763.0,2
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,8024.0,9417.0,2
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,8024.0,9417.0,2
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,8024.0,9417.0,2
RC,369,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2390.64,18770.08,23
RC,369,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,2152.0,25655.0,21
RC,369,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1116.7,9908.0,27
RC,369,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,3859.98,21630.0,27
RC,369,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,53982.38,27
RC,369,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2051.93,23113.0,27
RC,369,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2051.93,23113.0,27
RC,369,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2051.93,23113.0,27
RC,369,Revision mastoidectomy; resulting in tympanoplasty ,,,2051.93,23113.0,27
RC,369,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,892.44,8858.0,27
RC,369,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,892.44,12499.0,27
RC,369,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,5694.0,25655.0,25
RC,369,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1530.5,12360.0,27
RC,369,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,5694.0,26627.89,25
RC,369,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,2152.0,38399.44,21
RC,369,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,2152.0,36853.15,21
RC,369,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2152.0,25655.0,25
RC,369,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,1530.5,12360.0,27
RC,369,Revision of peritoneal-venous shunt ,,,1209.12,12360.0,27
RC,369,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1773.9,17510.0,27
RC,369,Revision of stapedectomy or stapedotomy ,,,2051.93,18490.0,27
RC,369,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,7008.0,33769.0,25
RC,369,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1200.05,25655.0,23
RC,369,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2152.0,25655.0,21
RC,369,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2187.0,17323.96,27
RC,369,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,2152.0,40163.26,21
RC,369,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2175.62,12360.0,27
RC,369,Revision or removal of intracranial neurostimulator electrodes ,,,1574.7,25655.0,23
RC,369,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2152.0,12774.62,24
RC,369,Revision or removal of peripheral neurostimulator electrode array ,,,1574.7,12360.0,27
RC,369,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2187.0,12360.0,27
RC,369,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,733.22,8858.0,27
RC,369,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2287.0,12360.0,14
RC,369,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2287.0,88272.97,14
RC,369,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,5286.0,21630.0,27
RC,369,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,2152.0,32153.46,27
RC,369,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,7
RC,369,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,7
RC,369,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2152.0,58359.95,24
RC,369,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,2152.0,43442.32,12
RC,369,Rh ig minidose im ,,,87.2,87.2,3
RC,369,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,369,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,369,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,369,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,369,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,7799.0,22644.0,10
RC,369,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,7799.0,22644.0,10
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,7799.0,22644.0,10
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,7799.0,22644.0,10
RC,369,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9119.84,22644.0,14
RC,369,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,7168.0,5
RC,369,Right ventricular recording ,,,2152.88,43890.0,14
RC,369,"Risperidone, long acting ",,,12.1,12.1,3
RC,369,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,369,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,369,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,2222.0,12
RC,369,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,6
RC,369,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2152.0,52059.21,11
RC,369,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2152.0,52742.87,11
RC,369,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2152.0,46954.23,11
RC,369,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2152.0,49269.77,11
RC,369,Rsv mab im 50mg ,,,476.06,476.06,3
RC,369,Rufinamide ,,,29.55,29.55,3
RC,369,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,369,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,369,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,369,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,369,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,369,SIGMOIDOSCOPY W/ABLATE TUMR ,,,2152.0,6587.0,4
RC,369,SIGMOIDOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,369,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,369,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,369,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,369,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,369,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,369,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,369,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,5694.0,7168.0,5
RC,369,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,369,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,2152.0,16144.0,5
RC,369,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2214.0,4723.0,5
RC,369,STRIP RETINAL MEMBRANE ,,,2152.0,6587.0,4
RC,369,SURGICAL COLONOSCOPY ,,,2152.0,6587.0,4
RC,369,SURGICAL OPENING ESOPHAGUS ,,,2152.0,6587.0,4
RC,369,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,2152.0,16144.0,5
RC,369,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,369,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,369,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,369,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,369,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,369,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,369,Salicylate ,,,20.32,20.32,3
RC,369,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,5694.0,25655.0,25
RC,369,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,7592.0,25655.0,25
RC,369,Salpingostomy (salpingoneostomy) ,,,3796.0,25655.0,25
RC,369,Sargramostim injection ,,,68.1,68.1,3
RC,369,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,6
RC,369,Scleral cover shell ,,,1932.53,1932.53,3
RC,369,Scleral reinforcement (separate procedure); with graft ,,,892.44,9908.0,27
RC,369,Scleral reinforcement (separate procedure); without graft ,,,733.22,9908.0,27
RC,369,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,1329.82,18747.0,25
RC,369,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,369,"Scraping of cornea, diagnostic, for smear and/or culture ",,,792.63,2636.0,21
RC,369,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,369,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,369,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,369,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,369,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,369,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,369,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,369,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,369,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,369,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,369,Screening proctoscopy ,,,735.36,808.07,6
RC,369,Scrotal exploration ,,,1200.05,8858.0,27
RC,369,Scrotoplasty; complicated ,,,1773.9,11848.54,27
RC,369,Scrotoplasty; simple ,,,1200.05,17510.0,27
RC,369,"Seat attachment, walker ",,,20.26,20.26,3
RC,369,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,369,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,369,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,369,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,1481.0,5932.0,13
RC,369,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2152.0,29184.26,21
RC,369,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2152.0,32167.95,21
RC,369,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,369,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,369,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,369,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,369,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,369,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,369,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,369,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,369,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,369,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,369,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,369,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,369,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,369,Selenium ,,,27.83,27.83,3
RC,369,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,369,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,369,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,369,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,369,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,369,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,369,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,369,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,369,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,369,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,369,Semi-precision abutment - placement ,,,10868.0,12875.0,4
RC,369,Semi-precision attachment - placement ,,,10868.0,12875.0,4
RC,369,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,369,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,369,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,369,Serotonin ,,,33.77,33.77,3
RC,369,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,369,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,369,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,369,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,369,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,369,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,369,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,369,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,369,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,369,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,369,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,892.44,19415.0,27
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1610.16,19415.0,27
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,892.44,8858.0,27
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,892.44,19415.0,27
RC,369,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,148.54,19415.0,27
RC,369,Severing of tarsorrhaphy ,,,179.07,5932.0,27
RC,369,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,218.75,6680.0,27
RC,369,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,369,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,369,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,369,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,369,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,369,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,369,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,369,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,369,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,369,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,369,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,369,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,369,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,369,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,369,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,369,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,369,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,369,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,369,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,369,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,369,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,369,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,369,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,369,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,369,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,369,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,369,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,369,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,369,Sialic acid ,,,14.65,14.65,3
RC,369,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,930.95,7334.01,27
RC,369,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,265.4,9908.0,27
RC,369,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,127.91,25655.0,27
RC,369,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,369,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,137.2,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,450.72,9012.0,27
RC,369,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,450.72,9012.0,27
RC,369,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,344.93,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,450.72,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,344.93,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,344.93,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,986.93,9012.0,27
RC,369,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,344.93,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2214.0,13386.32,27
RC,369,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,450.72,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,344.93,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,450.72,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,450.72,5932.0,27
RC,369,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,450.72,5932.0,27
RC,369,Silica ,,,27.48,27.48,3
RC,369,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,115.66,6587.0,27
RC,369,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,237.69,6587.0,21
RC,369,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,6
RC,369,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,6
RC,369,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,369,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,369,Sirolimus ,,,14.97,14.97,3
RC,369,Sitz bath chair ,,,192.39,192.39,3
RC,369,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,369,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,369,"Six volt battery, each ",,,321.31,321.31,3
RC,369,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,369,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,369,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,369,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,369,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,369,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,369,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,369,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,369,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,369,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,369,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,369,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,369,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,369,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,369,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2700.0,22590.2,27
RC,369,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,2171.17,18490.0,27
RC,369,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,369,Slings ,,,11.97,11.97,3
RC,369,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,685.44,8858.0,27
RC,369,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,1200.05,8858.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1770.48,18490.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,593.22,6680.0,27
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,3062.79,18490.0,27
RC,369,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,369,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,369,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,369,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,369,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,369,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,369,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,369,Snip incision of lacrimal punctum ,,,56.97,5932.0,27
RC,369,Sodium; other source ,,,5.3,5.3,3
RC,369,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,369,Sodium; urine ,,,5.52,5.52,3
RC,369,"Sole wedge, between sole ",,,66.8,66.8,3
RC,369,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,369,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,369,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,369,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,369,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,369,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,369,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,369,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,369,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,369,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,369,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,6
RC,369,Somatomedin ,,,23.17,23.17,3
RC,369,Somatostatin ,,,19.93,19.93,3
RC,369,Special back height for wheelchair ,,,43.53,43.53,3
RC,369,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,369,Special height arms for wheelchair ,,,366.41,366.41,3
RC,369,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,369,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,369,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,369,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,369,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,369,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,369,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,369,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,369,Specific gravity (except urine) ,,,3.58,3.58,3
RC,369,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,369,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,369,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,369,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,369,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,369,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,369,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,369,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,369,Sperm antibodies ,,,11.63,11.63,3
RC,369,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,369,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,369,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,369,Sperm washing for artificial insemination ,,,37.58,3092.0,21
RC,369,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,369,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,369,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,369,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,369,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,369,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,369,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,369,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,369,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,369,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,369,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,369,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,369,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,369,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,369,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,369,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,369,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,369,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,369,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,369,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,369,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,369,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,369,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,369,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,369,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,369,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,369,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,369,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,369,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,369,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,369,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,369,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,369,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,369,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,369,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,369,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,369,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,369,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,369,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,369,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,369,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,369,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,369,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,369,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,369,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,369,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,986.93,12360.0,27
RC,369,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,2152.0,25655.0,21
RC,369,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,986.93,12360.0,27
RC,369,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,986.93,12360.0,27
RC,369,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,986.93,9908.0,27
RC,369,"Spinal puncture, lumbar, diagnostic; ",,,276.0,5932.0,27
RC,369,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,276.0,6587.0,27
RC,369,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,276.0,5932.0,27
RC,369,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,276.0,6587.0,27
RC,369,Splenectomy; partial (separate procedure) ,,,2152.0,26060.65,21
RC,369,Splenectomy; total (separate procedure) ,,,2152.0,25990.8,21
RC,369,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,369,"Spoke protectors, each ",,,61.65,61.65,3
RC,369,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,369,Sr89 strontium ,,,4519.51,4519.51,3
RC,369,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,204.65,12360.0,27
RC,369,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,223.55,12360.0,27
RC,369,Stand/rack ,,,33.16,33.16,3
RC,369,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,369,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,369,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,369,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,369,Standard wheelchair ,,,31.09,31.09,3
RC,369,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,369,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,2051.93,18490.0,27
RC,369,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,2051.93,18490.0,27
RC,369,Stapes mobilization ,,,930.95,23113.0,27
RC,369,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,369,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,369,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,369,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,369,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,369,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,369,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,369,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,369,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,369,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,369,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,369,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,369,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,369,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,369,Stem cell collection ,,,2152.0,6587.0,4
RC,369,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,369,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2152.0,32183.47,21
RC,369,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2152.0,31453.02,21
RC,369,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,369,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,369,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1481.0,6587.0,9
RC,369,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2214.0,35780.98,21
RC,369,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,6587.0,17510.0,21
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,24844.0,37457.0,6
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,24844.0,37457.0,6
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,24844.0,37457.0,6
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,369,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,1022.29,8485.0,27
RC,369,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,369,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,369,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,6
RC,369,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,119.92,6587.0,21
RC,369,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,369,Stoma cap ,,,2.17,2.17,3
RC,369,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,369,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1481.0,19415.0,13
RC,369,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1481.0,19415.0,13
RC,369,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1481.0,19415.0,13
RC,369,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1481.0,19415.0,13
RC,369,"Strabismus surgery, any procedure, superior oblique muscle ",,,733.22,19415.0,27
RC,369,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,733.22,9908.0,27
RC,369,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,733.22,19415.0,27
RC,369,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1158.59,19415.0,27
RC,369,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,733.22,19415.0,27
RC,369,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,369,"Streptokinase, antibody ",,,13.8,13.8,3
RC,369,Subarachnoid inject NEC ,,,2152.0,6587.0,4
RC,369,Subconjunctival injection ,,,237.69,2636.0,21
RC,369,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2214.0,27404.92,21
RC,369,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,276.0,5932.0,27
RC,369,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,276.0,5932.0,27
RC,369,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,3796.0,18747.0,25
RC,369,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2152.0,32183.47,21
RC,369,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2152.0,25655.0,17
RC,369,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,369,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,369,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,369,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,369,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,369,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,369,"Sulfate, urine ",,,5.98,5.98,3
RC,369,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,369,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,369,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,369,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,369,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,369,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,369,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,369,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,369,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,369,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,25655.0,25
RC,369,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,386.78,6587.0,20
RC,369,Suprahyoid lymphadenectomy ,,,1937.47,14664.41,27
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2152.0,49254.25,21
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2152.0,57187.47,21
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2152.0,58415.1,21
RC,369,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2152.0,97490.65,21
RC,369,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2152.0,108788.09,21
RC,369,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2152.0,30318.75,21
RC,369,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2152.0,84545.6,21
RC,369,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2152.0,49471.79,21
RC,369,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2152.0,106006.42,21
RC,369,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2152.0,64607.77,21
RC,369,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2152.0,95959.89,21
RC,369,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2152.0,51359.8,21
RC,369,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2152.0,78283.07,21
RC,369,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2152.0,91911.79,21
RC,369,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,369,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,369,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,4
RC,369,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,4
RC,369,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,4
RC,369,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,4
RC,369,Surgical placement zygomatic implant ,,,10868.0,12875.0,4
RC,369,Surgical repair of root resorption - molar ,,,10868.0,12875.0,4
RC,369,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,4
RC,369,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,4
RC,369,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,6
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,986.93,9908.0,27
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,986.93,8858.0,27
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,986.93,9908.0,27
RC,369,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,986.93,19415.0,27
RC,369,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2152.0,25655.0,21
RC,369,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2152.0,25655.0,21
RC,369,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2152.0,25655.0,21
RC,369,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,5694.0,25655.0,25
RC,369,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,5694.0,25655.0,25
RC,369,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,369,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,369,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,369,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,369,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,369,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,369,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,369,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,369,Suture and/or ligation of thoracic duct; abdominal approach ,,,2152.0,25655.0,21
RC,369,Suture and/or ligation of thoracic duct; cervical approach ,,,2152.0,25655.0,21
RC,369,Suture and/or ligation of thoracic duct; thoracic approach ,,,2152.0,25655.0,21
RC,369,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2051.93,18490.0,27
RC,369,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2051.93,18490.0,27
RC,369,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2096.41,17510.0,27
RC,369,Suture of 1 nerve; median motor thenar ,,,2096.41,17510.0,27
RC,369,Suture of 1 nerve; ulnar motor ,,,2096.41,17510.0,27
RC,369,"Suture of digital nerve, hand or foot; 1 nerve ",,,692.94,19415.0,27
RC,369,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,369,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,369,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,369,Suture of esophageal wound or injury; cervical approach ,,,2152.0,25655.0,21
RC,369,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,2152.0,58011.06,21
RC,369,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,2152.0,30885.78,21
RC,369,Suture of facial nerve; extracranial ,,,2096.41,17510.0,27
RC,369,"Suture of facial nerve; infratemporal, with or without grafting ",,,2096.41,19415.0,27
RC,369,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,892.44,8858.0,27
RC,369,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,2152.0,29355.23,21
RC,369,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,2152.0,25655.0,21
RC,369,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2096.41,17510.0,27
RC,369,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2096.41,17510.0,27
RC,369,Suture of mesentery (separate procedure) ,,,2152.0,25655.0,21
RC,369,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1481.0,9908.0,13
RC,369,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1481.0,6680.0,13
RC,369,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1481.0,9908.0,13
RC,369,Suture of posterior tibial nerve ,,,2096.41,17510.0,27
RC,369,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,733.22,8858.0,27
RC,369,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,203.77,9868.0,27
RC,369,Suture of sciatic nerve ,,,1230.86,12360.0,27
RC,369,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,2152.0,36526.95,21
RC,369,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,2152.0,31826.01,21
RC,369,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,930.95,7334.01,27
RC,369,Suture of; brachial plexus ,,,692.94,12360.0,27
RC,369,Suture of; lumbar plexus ,,,2096.41,17510.0,27
RC,369,Suture or repair of testicular injury ,,,1200.05,9908.0,27
RC,369,Suture pharynx for wound or injury ,,,783.57,5932.0,27
RC,369,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2152.0,25655.0,21
RC,369,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,369,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,369,"Sympathectomy, cervical ",,,692.94,6680.0,27
RC,369,"Sympathectomy, cervicothoracic ",,,2214.0,25655.0,21
RC,369,"Sympathectomy, lumbar ",,,2152.0,25655.0,21
RC,369,"Sympathectomy, thoracolumbar ",,,2152.0,25655.0,21
RC,369,"Sympathectomy; digital arteries, each digit ",,,692.94,25655.0,23
RC,369,Sympathectomy; radial artery ,,,1142.68,19415.0,27
RC,369,Sympathectomy; superficial palmar arch ,,,1142.68,12360.0,27
RC,369,Sympathectomy; ulnar artery ,,,1142.68,12360.0,27
RC,369,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2152.0,25718.71,21
RC,369,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,369,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,369,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,369,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,369,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,369,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,369,T cells; total count ,,,41.13,41.13,3
RC,369,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,369,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,369,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,369,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,369,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,369,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,369,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,369,TRANSCATH IV STENT OPEN ,,,2152.0,2235.0,3
RC,369,TRANSCATH IV STENT PERCUT ,,,2152.0,2235.0,3
RC,369,TRANSCATH IV STENT/OPEN ADDL ,,,2152.0,2235.0,3
RC,369,TRANSCATH IV STENT/PERC ADDL ,,,2152.0,2235.0,3
RC,369,TRANSCATHETER OCCLUSION ,,,2152.0,2235.0,3
RC,369,TRANSCATHETER RETRIEVAL ,,,2152.0,2235.0,3
RC,369,TRANSCATHETER THERAPY INFUSE ,,,2152.0,6587.0,7
RC,369,TRANSECT ARTERY SINUS ,,,2152.0,6587.0,4
RC,369,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES ",,,2152.0,16144.0,5
RC,369,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,369,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,369,TRANSPLANTATION OF LIVER ,,,2152.0,6587.0,4
RC,369,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,369,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,369,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,369,TUR cong post valve/fold ,,,2152.0,6587.0,4
RC,369,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,369,Tacrolimus ,,,14.97,14.97,3
RC,369,Tacrolimus injection ,,,292.31,292.31,3
RC,369,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,369,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,369,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,369,"Tau, total (tTau) ",,,140.52,140.52,3
RC,369,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,369,Tc99m bicisate ,,,845.32,845.32,3
RC,369,Tc99m succimer ,,,719.32,719.32,3
RC,369,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,369,Telavancin injection ,,,8.16,8.16,3
RC,369,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,369,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,369,Temozolomide injection ,,,11.34,11.34,3
RC,369,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,351.98,5932.0,27
RC,369,Temporary transcutaneous pacing ,,,1169.48,3293.0,15
RC,369,Tenecteplase injection ,,,236.99,236.99,3
RC,369,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,369,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,369,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,369,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,369,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,369,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,369,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,369,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,369,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,369,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,369,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,369,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,369,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,369,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,369,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,369,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,369,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,369,Testosterone; free ,,,27.76,27.76,3
RC,369,Testosterone; total ,,,28.13,28.13,3
RC,369,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,369,Theophylline ,,,15.41,15.41,3
RC,369,Therapeutic Nuclear Medici ,,,255.5,255.5,3
RC,369,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,369,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,369,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,369,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,369,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,369,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,369,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,369,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,369,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,369,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,369,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2152.0,35261.21,27
RC,369,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,369,Thiocyanate ,,,12.68,12.68,3
RC,369,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,369,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,369,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,369,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,369,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,369,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,369,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,369,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,369,Thrombin time; plasma ,,,6.29,6.29,3
RC,369,Thrombin time; titer ,,,7.47,7.47,3
RC,369,"Thrombolysis, cerebral, by intravenous infusion ",,,674.93,3092.0,21
RC,369,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,16144.0,2
RC,369,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,2636.0,2
RC,369,Thrombomodulin ,,,18.82,18.82,3
RC,369,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,369,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,369,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,369,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,369,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2152.0,30699.28,21
RC,369,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2152.0,25655.0,21
RC,369,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,7592.0,25655.0,25
RC,369,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,369,Thyroglobulin ,,,17.51,17.51,3
RC,369,Thyroglobulin antibody ,,,17.34,17.34,3
RC,369,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,369,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,369,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,369,"Thyroidectomy, including substernal thyroid; cervical approach ",,,7592.0,25655.0,25
RC,369,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2214.0,30644.95,21
RC,369,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,7592.0,25655.0,25
RC,369,"Thyroidectomy, total or complete ",,,1983.29,25655.0,27
RC,369,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,25655.0,20
RC,369,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,7592.0,25655.0,25
RC,369,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,3796.0,37404.88,25
RC,369,Thyrotropin injection ,,,2352.94,2352.94,3
RC,369,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,369,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,369,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,369,Thyroxine; free ,,,9.83,9.83,3
RC,369,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,369,Thyroxine; total ,,,7.49,7.49,3
RC,369,Tiagabine ,,,29.55,29.55,3
RC,369,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,369,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,369,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,369,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,369,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,369,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,369,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,369,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,369,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,369,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,369,"Tlso, corset front ",,,182.11,182.11,3
RC,369,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,369,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,369,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,369,"Tlso, full corset ",,,251.72,251.72,3
RC,369,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,369,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,369,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,369,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,369,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,369,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,369,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,369,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,369,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,369,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,369,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,369,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,369,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,369,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,369,Tobramycin ,,,17.58,17.58,3
RC,369,Tocilizumab injection ,,,5.89,5.89,3
RC,369,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,369,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,369,"Tongue base suspension, permanent suture technique ",,,5286.0,17510.0,25
RC,369,Tonsillectomy and adenoidectomy; age 12 or over ,,,930.95,18490.0,27
RC,369,Tonsillectomy and adenoidectomy; younger than age 12 ,,,2051.93,13581.48,27
RC,369,"Tonsillectomy, primary or secondary; age 12 or over ",,,930.95,19415.0,27
RC,369,"Tonsillectomy, primary or secondary; younger than age 12 ",,,2051.93,19415.0,27
RC,369,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,369,Topiramate ,,,12.99,12.99,3
RC,369,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2152.0,25655.0,25
RC,369,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2152.0,27653.5,25
RC,369,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,30854.73,25
RC,369,Total facial nerve decompression and/or repair (may include graft) ,,,7592.0,25655.0,25
RC,369,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,2152.0,98547.31,21
RC,369,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,2152.0,78982.26,21
RC,369,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,2152.0,100955.99,21
RC,369,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,2152.0,67210.71,21
RC,369,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,2152.0,85835.53,21
RC,369,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1983.29,21630.0,27
RC,369,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1983.29,21630.0,27
RC,369,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,369,Trabeculoplasty by laser surgery ,,,114.82,6680.0,27
RC,369,Trabeculotomy ab externo ,,,892.44,19415.0,27
RC,369,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,369,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,369,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1603.34,11960.31,27
RC,369,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1116.7,9908.0,27
RC,369,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,369,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,369,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,369,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,369,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,369,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,369,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,369,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,369,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,369,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,369,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,369,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,369,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,369,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,369,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,369,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,369,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,369,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,369,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,369,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,369,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,369,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,369,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,369,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,369,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,369,"Transabdominal amnioinfusion, including ultrasound guidance ",,,590.17,5932.0,25
RC,369,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,369,Transcatheter biopsy ,,,2036.11,21630.0,27
RC,369,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,1481.0,2174.0,4
RC,369,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,10
RC,369,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2152.0,76895.0,50
RC,369,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,5254.79,43890.0,32
RC,369,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,8024.0,43890.0,9
RC,369,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,5370.45,43890.0,23
RC,369,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,1481.0,5932.0,13
RC,369,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,18151.0,46000.0,20
RC,369,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,18151.0,46000.0,20
RC,369,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2152.0,33108.18,21
RC,369,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,6587.0,43890.0,25
RC,369,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,6587.0,43890.0,25
RC,369,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,9
RC,369,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,1174.13,12499.0,27
RC,369,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,2214.0,12869.33,26
RC,369,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,2012.0,12499.0,48
RC,369,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1594.88,11220.0,26
RC,369,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2152.0,25655.0,24
RC,369,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,3796.0,25655.0,25
RC,369,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2152.0,54467.89,21
RC,369,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2152.0,66449.21,21
RC,369,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,369,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,369,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,369,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,369,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,369,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,369,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,2152.0,28523.88,21
RC,369,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,692.94,5047.0,23
RC,369,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,3748.18,12360.0,21
RC,369,"Transection or avulsion of other cranial nerve, extradural ",,,692.94,8858.0,27
RC,369,"Transection or avulsion of other spinal nerve, extradural ",,,692.94,8858.0,27
RC,369,"Transection or avulsion of; facial nerve, differential or complete ",,,692.94,8858.0,27
RC,369,Transection or avulsion of; greater occipital nerve ,,,692.94,8858.0,27
RC,369,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,692.94,6680.0,27
RC,369,Transection or avulsion of; infraorbital nerve ,,,692.94,6680.0,27
RC,369,Transection or avulsion of; lingual nerve ,,,692.94,8858.0,27
RC,369,Transection or avulsion of; mental nerve ,,,692.94,6680.0,27
RC,369,Transection or avulsion of; phrenic nerve ,,,692.94,6680.0,27
RC,369,Transection or avulsion of; supraorbital nerve ,,,692.94,6680.0,27
RC,369,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2152.0,25655.0,21
RC,369,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2152.0,25655.0,21
RC,369,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,369,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2152.0,25655.0,21
RC,369,"Transfer device, any type, each ",,,61.38,61.38,3
RC,369,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,369,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,369,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,369,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,369,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,369,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,369,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,369,Transferrin ,,,13.91,13.91,3
RC,369,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1481.0,25655.0,32
RC,369,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,23113.0,14
RC,369,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1481.0,28600.76,45
RC,369,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,1481.0,2636.0,9
RC,369,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,6587.0,18490.0,25
RC,369,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,6587.0,18490.0,25
RC,369,Transmastoid antrotomy (simple mastoidectomy) ,,,2051.93,23113.0,27
RC,369,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,369,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,369,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,369,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2152.0,57202.99,21
RC,369,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2152.0,94133.98,21
RC,369,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,369,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,369,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1481.0,2636.0,9
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2518.45,21630.0,23
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,2518.45,21630.0,23
RC,369,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2152.0,21630.0,27
RC,369,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1773.9,25080.0,23
RC,369,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2152.0,64413.52,21
RC,369,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,845.93,3293.0,21
RC,369,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,845.93,3092.0,21
RC,369,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,845.93,3293.0,21
RC,369,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,845.93,3293.0,21
RC,369,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,845.93,3293.0,21
RC,369,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,845.93,3293.0,21
RC,369,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,845.93,3092.0,21
RC,369,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,845.93,3092.0,21
RC,369,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,845.93,3293.0,21
RC,369,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,369,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,369,Transplantation of multivisceral organs ,,,21210.0,23307.22,6
RC,369,Transplantation of pancreatic allograft ,,,2152.0,57420.53,17
RC,369,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,6
RC,369,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1200.05,9908.0,27
RC,369,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,369,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,369,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,369,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1481.0,19415.0,13
RC,369,"Transposition, ovary(s) ",,,5694.0,25655.0,25
RC,369,Transrectal drainage of pelvic abscess ,,,450.72,5932.0,27
RC,369,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2152.0,52944.89,21
RC,369,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,369,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2152.0,25912.96,21
RC,369,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,1090.68,33769.0,27
RC,369,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1200.05,12499.0,27
RC,369,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,1042.71,25655.0,27
RC,369,Transurethral drainage of prostatic abscess ,,,1200.05,8858.0,27
RC,369,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1773.9,19415.0,27
RC,369,Transurethral incision of prostate ,,,1200.05,9908.0,27
RC,369,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2214.0,18747.0,25
RC,369,Transurethral resection of bladder neck (separate procedure) ,,,1200.05,9908.0,27
RC,369,Transurethral resection; of postoperative bladder neck contracture ,,,1200.05,8858.0,27
RC,369,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,1773.9,17510.0,27
RC,369,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2287.0,27080.2,14
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,60.45,6680.0,15
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,53.82,6680.0,15
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,49.82,6680.0,15
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,43.49,6680.0,15
RC,369,Transvesical ureterolithotomy ,,,3861.98,25655.0,21
RC,369,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,369,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,369,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,369,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,369,Trauma Response with Criti ,,,1459.49,1459.49,3
RC,369,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,149.42,5932.0,27
RC,369,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,218.75,6680.0,27
RC,369,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1116.7,18490.0,27
RC,369,"Treatment of missed abortion, completed surgically; first trimester ",,,1116.7,18490.0,27
RC,369,"Treatment of missed abortion, completed surgically; second trimester ",,,1116.7,18490.0,27
RC,369,"Treatment of septic abortion, completed surgically ",,,2152.0,25655.0,25
RC,369,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,369,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,369,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,369,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,369,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,369,Triglycerides ,,,6.26,6.26,3
RC,369,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,369,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,369,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,369,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,17
RC,369,Triptorelin pamoate ,,,508.34,508.34,3
RC,369,"Troponin, qualitative ",,,11.0,11.0,3
RC,369,"Troponin, quantitative ",,,13.59,13.59,3
RC,369,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,369,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,369,"Truss, double with standard pads ",,,177.72,177.72,3
RC,369,"Truss, single with standard pad ",,,112.58,112.58,3
RC,369,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,369,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,369,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,369,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,2152.0,25655.0,21
RC,369,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,369,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,369,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,369,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,369,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,369,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,369,Tubotubal anastomosis ,,,5694.0,25655.0,25
RC,369,Tubouterine implantation ,,,5694.0,25655.0,25
RC,369,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,369,"Twelve volt battery, each ",,,703.98,703.98,3
RC,369,Twist drill hole for subdural or ventricular puncture ,,,2152.0,25655.0,21
RC,369,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2152.0,25655.0,21
RC,369,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2152.0,25655.0,21
RC,369,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2152.0,25655.0,21
RC,369,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2152.0,51966.07,84
RC,369,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,183.72,25655.0,27
RC,369,Tympanic neurectomy ,,,930.95,9908.0,27
RC,369,"Tympanolysis, transcanal ",,,930.95,17510.0,27
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,2051.93,23113.0,27
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,2051.93,18490.0,27
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,2051.93,18490.0,27
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,2051.93,18490.0,27
RC,369,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,441.67,9908.0,27
RC,369,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,123.54,9908.0,27
RC,369,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,7
RC,369,Tyrosine ,,,11.59,11.59,3
RC,369,U-tube hepaticoenterostomy ,,,2152.0,16144.0,5
RC,369,"U-v lens, per lens ",,,29.55,29.55,3
RC,369,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,369,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,369,UPPER GI ENDOSCOPY EXAM ,,,2152.0,6587.0,4
RC,369,UPPR GI ENDOSCOPY W/STENT ,,,2152.0,6587.0,4
RC,369,URETER ENDOSCOPY & TRACER ,,,2152.0,6587.0,8
RC,369,URETHRA PRESSURE PROFILE ,,,2152.0,6587.0,4
RC,369,URINE VOIDING PRESSURE STUDY ,,,2152.0,6587.0,4
RC,369,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,369,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,369,Ultrasound Composite ,,,322.14,322.14,3
RC,369,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,369,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,369,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,369,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,369,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1209.12,19415.0,27
RC,369,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,369,Unlist px-laparascopy ,,,2152.0,6587.0,4
RC,369,Unlisted cardiovascular service or procedure ,,,1481.0,2636.0,5
RC,369,Unlisted diagnostic gastroenterology procedure ,,,1481.0,2636.0,5
RC,369,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,361.99,25655.0,25
RC,369,"Unlisted hysteroscopy procedure, uterus ",,,361.99,25655.0,21
RC,369,"Unlisted laparoscopic procedure, liver ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, appendix ",,,7592.0,17510.0,15
RC,369,"Unlisted laparoscopy procedure, biliary tract ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, bladder ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, endocrine system ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, esophagus ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, lymphatic system ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, maternity care and delivery ",,,7592.0,25655.0,25
RC,369,"Unlisted laparoscopy procedure, oviduct, ovary ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, rectum ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, renal ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, spermatic cord ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, spleen ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, stomach ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, testis ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, ureter ",,,7592.0,25655.0,21
RC,369,"Unlisted laparoscopy procedure, uterus ",,,7592.0,25655.0,21
RC,369,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,2152.0,25655.0,21
RC,369,"Unlisted procedure, abdomen, peritoneum and omentum ",,,1713.31,25655.0,25
RC,369,"Unlisted procedure, anterior segment of eye ",,,2214.0,25655.0,25
RC,369,"Unlisted procedure, anus ",,,1266.0,25655.0,25
RC,369,"Unlisted procedure, biliary tract ",,,1713.31,25655.0,21
RC,369,"Unlisted procedure, colon ",,,1665.26,9868.0,25
RC,369,"Unlisted procedure, conjunctiva ",,,589.67,25655.0,21
RC,369,"Unlisted procedure, dentoalveolar structures ",,,443.94,25655.0,25
RC,369,"Unlisted procedure, diaphragm ",,,2152.0,25655.0,21
RC,369,"Unlisted procedure, endocrine system ",,,4693.0,25655.0,25
RC,369,"Unlisted procedure, esophagus ",,,1713.31,25655.0,25
RC,369,"Unlisted procedure, external ear ",,,443.94,2636.0,21
RC,369,"Unlisted procedure, extraocular muscle ",,,589.67,25655.0,21
RC,369,"Unlisted procedure, eyelids ",,,589.67,25655.0,21
RC,369,"Unlisted procedure, female genital system (nonobstetrical) ",,,361.99,25655.0,25
RC,369,"Unlisted procedure, hemic or lymphatic system ",,,845.93,25655.0,25
RC,369,"Unlisted procedure, inner ear ",,,443.94,25655.0,25
RC,369,"Unlisted procedure, lacrimal system ",,,589.67,25655.0,21
RC,369,"Unlisted procedure, lips ",,,443.94,25655.0,21
RC,369,"Unlisted procedure, liver ",,,1329.82,25655.0,21
RC,369,"Unlisted procedure, male genital system ",,,512.08,25655.0,25
RC,369,"Unlisted procedure, maternity care and delivery ",,,361.99,25655.0,25
RC,369,"Unlisted procedure, mediastinum ",,,2152.0,25655.0,21
RC,369,"Unlisted procedure, middle ear ",,,443.94,25655.0,25
RC,369,"Unlisted procedure, nervous system ",,,570.66,25655.0,25
RC,369,"Unlisted procedure, orbit ",,,589.67,25655.0,21
RC,369,"Unlisted procedure, palate, uvula ",,,443.94,25655.0,21
RC,369,"Unlisted procedure, pancreas ",,,1329.82,25655.0,21
RC,369,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,443.94,25655.0,25
RC,369,"Unlisted procedure, posterior segment ",,,2214.0,25655.0,21
RC,369,"Unlisted procedure, rectum ",,,1266.0,25655.0,21
RC,369,"Unlisted procedure, salivary glands or ducts ",,,443.94,25655.0,25
RC,369,"Unlisted procedure, small intestine ",,,1713.31,25655.0,25
RC,369,"Unlisted procedure, stomach ",,,1713.31,25655.0,22
RC,369,"Unlisted procedure, temporal bone, middle fossa approach ",,,443.94,25655.0,25
RC,369,"Unlisted procedure, tongue, floor of mouth ",,,443.94,25655.0,21
RC,369,"Unlisted procedure, urinary system ",,,512.08,25655.0,25
RC,369,"Unlisted procedure, vascular surgery ",,,1374.51,25655.0,25
RC,369,"Unlisted procedure, vestibule of mouth ",,,443.94,25655.0,25
RC,369,Unlisted vascular endoscopy procedure ,,,1374.51,25655.0,21
RC,369,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,369,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,369,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,369,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,369,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,369,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,369,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,369,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,369,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,369,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,369,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,369,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,369,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,369,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,369,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,369,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,369,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,369,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,369,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,369,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,369,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,369,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,369,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,369,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,369,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,369,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,369,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,369,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,369,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,369,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,369,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,369,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,369,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,369,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,369,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,369,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,369,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,369,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,369,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,369,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,369,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,369,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,369,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,369,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,369,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,369,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,369,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,369,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,369,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,369,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,369,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,369,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,369,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,369,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,369,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,369,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,369,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,369,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,369,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,369,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1481.0,5932.0,13
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,8451.91,27
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1773.9,11848.54,27
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,1773.9,11848.54,27
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,11848.54,27
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1200.05,8451.91,27
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,8451.91,27
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1773.9,11848.54,27
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,1773.9,11848.54,27
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,11848.54,27
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1200.05,8451.91,27
RC,369,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2152.0,76895.0,25
RC,369,"Ureterectomy, with bladder cuff (separate procedure) ",,,2152.0,76895.0,25
RC,369,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2152.0,25944.23,21
RC,369,"Ureterocolon conduit, including intestine anastomosis ",,,2152.0,27482.53,21
RC,369,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2152.0,25655.0,21
RC,369,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2152.0,29549.49,21
RC,369,Ureterolithotomy; lower one-third of ureter ,,,2152.0,25655.0,25
RC,369,Ureterolithotomy; middle one-third of ureter ,,,2152.0,25655.0,25
RC,369,Ureterolithotomy; upper one-third of ureter ,,,2152.0,25655.0,25
RC,369,Ureterolysis for ovarian vein syndrome ,,,2152.0,25655.0,21
RC,369,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2152.0,25655.0,21
RC,369,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2152.0,27389.39,21
RC,369,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2152.0,25655.0,21
RC,369,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2152.0,25655.0,21
RC,369,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2152.0,25655.0,21
RC,369,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2152.0,27303.8,21
RC,369,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2152.0,25655.0,21
RC,369,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2152.0,27568.13,21
RC,369,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2152.0,25655.0,21
RC,369,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2152.0,31523.09,21
RC,369,"Ureterostomy, transplantation of ureter to skin ",,,2152.0,25655.0,21
RC,369,"Ureterotomy for insertion of indwelling stent, all types ",,,2152.0,25655.0,25
RC,369,Ureterotomy with exploration or drainage (separate procedure) ,,,2152.0,25655.0,25
RC,369,Ureteroureterostomy ,,,2152.0,25655.0,21
RC,369,"Urethrectomy, total, including cystostomy; female ",,,1200.05,18490.0,27
RC,369,"Urethrectomy, total, including cystostomy; male ",,,1773.9,18490.0,27
RC,369,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,5694.0,25655.0,25
RC,369,"Urethromeatoplasty, with mucosal advancement ",,,1200.05,12360.0,27
RC,369,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,1200.05,8858.0,27
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1773.9,12360.0,27
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1200.05,12360.0,27
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1773.9,17510.0,27
RC,369,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1200.05,12360.0,27
RC,369,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,1773.9,12360.0,27
RC,369,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,1773.9,12360.0,27
RC,369,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1773.9,12360.0,27
RC,369,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,1773.9,12360.0,27
RC,369,"Urethroplasty, reconstruction of female urethra ",,,1773.9,12360.0,27
RC,369,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,7592.0,25655.0,21
RC,369,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1773.9,12360.0,27
RC,369,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,1773.9,12360.0,27
RC,369,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,1200.05,8858.0,27
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,1773.9,12360.0,27
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,1773.9,11848.54,27
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,1773.9,12360.0,27
RC,369,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,685.44,8858.0,27
RC,369,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,1773.9,11848.54,27
RC,369,Uric acid; blood ,,,4.93,4.93,3
RC,369,Uric acid; other source ,,,5.54,5.54,3
RC,369,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,369,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,369,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,369,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,369,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,369,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,369,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,369,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,369,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,369,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,369,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,369,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,369,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,369,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2152.0,40520.73,21
RC,369,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,369,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,369,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,369,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,369,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,369,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,369,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,369,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,369,Uterine evacuation and curettage for hydatidiform mole ,,,1116.7,18490.0,27
RC,369,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2152.0,25655.0,25
RC,369,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2152.0,25655.0,21
RC,369,"Uvulectomy, excision of uvula ",,,930.95,7334.01,27
RC,369,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,5694.0,7168.0,5
RC,369,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,2152.0,16144.0,5
RC,369,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,369,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,369,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,369,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,3796.0,25655.0,25
RC,369,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2152.0,23263.46,15
RC,369,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,3796.0,25655.0,25
RC,369,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2152.0,25376.98,11
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.34,18490.0,27
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,5694.0,25655.0,21
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.34,18490.0,27
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,5694.0,18490.0,25
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,5694.0,18490.0,25
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,7592.0,25655.0,25
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,7592.0,25655.0,25
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,7592.0,25655.0,25
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,7592.0,25655.0,25
RC,369,"Vaginal hysterectomy, radical (Schauta type operation) ",,,2152.0,32525.42,21
RC,369,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,5694.0,25655.0,21
RC,369,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,5694.0,25655.0,21
RC,369,"Vaginectomy, complete removal of vaginal wall; ",,,2152.0,25655.0,25
RC,369,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,5694.0,39611.54,25
RC,369,"Vaginectomy, partial removal of vaginal wall; ",,,3796.0,25655.0,25
RC,369,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,3796.0,25655.0,25
RC,369,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,3796.0,25655.0,25
RC,369,Vaginoplasty for intersex state ,,,3796.0,25655.0,25
RC,369,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,2152.0,26915.29,21
RC,369,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,2152.0,26565.8,21
RC,369,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,2152.0,25655.0,21
RC,369,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,369,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,369,Vancomycin ,,,14.76,14.76,3
RC,369,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,369,"Vaporizer, room type ",,,41.03,41.03,3
RC,369,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,369,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,369,Variable concentration mask ,,,0.94,0.94,3
RC,369,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,369,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,3
RC,369,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,19
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,5455.41,27743.74,27
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,5939.0,27743.74,25
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,3666.16,27743.74,27
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,4772.84,28151.19,27
RC,369,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,2036.11,7168.0,7
RC,369,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,369,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,685.44,8858.0,27
RC,369,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,369,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,369,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1481.0,6680.0,13
RC,369,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2700.0,8858.0,25
RC,369,"Vasovasostomy, vasovasorrhaphy ",,,2187.0,8858.0,25
RC,369,Vedolizumab ,,,42.04,42.04,3
RC,369,Velaglucerase alfa ,,,428.2,428.2,3
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,369,"Venous anastomosis, open; caval-mesenteric ",,,2152.0,49899.11,21
RC,369,"Venous anastomosis, open; portocaval ",,,2152.0,52370.1,21
RC,369,"Venous anastomosis, open; renoportal ",,,2152.0,48562.61,21
RC,369,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,2152.0,52370.1,21
RC,369,"Venous anastomosis, open; splenorenal, proximal ",,,2152.0,47964.32,21
RC,369,Ventilating tube removal requiring general anesthesia ,,,85.18,12360.0,27
RC,369,Ventilation Initiation and ,,,676.46,676.46,3
RC,369,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,276.0,5932.0,27
RC,369,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,357.81,5932.0,27
RC,369,Ventriculocisternostomy (Torkildsen type operation) ,,,2152.0,36573.52,21
RC,369,"Ventriculocisternostomy, third ventricle; ",,,2152.0,31305.55,21
RC,369,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2152.0,27498.06,21
RC,369,"Vermilionectomy (lip shave), with mucosal advancement ",,,930.95,7334.01,27
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,2152.0,25655.0,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2152.0,39735.94,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,2152.0,25655.0,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,2152.0,54638.86,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,2152.0,25655.0,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,2152.0,41662.98,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2152.0,49098.8,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,2152.0,49192.16,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,2152.0,49860.3,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,2152.0,52463.24,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2152.0,55167.3,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,2152.0,54584.53,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,2152.0,57342.92,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2152.0,52696.31,63
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2152.0,44273.68,42
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,2152.0,25655.0,21
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,2152.0,43504.41,21
RC,369,Very long chain fatty acids ,,,21.53,21.53,3
RC,369,"Vesiculectomy, any approach ",,,1266.0,25655.0,25
RC,369,Vesiculotomy; ,,,685.44,8858.0,27
RC,369,Vesiculotomy; complicated ,,,1266.0,25655.0,25
RC,369,"Vestibular nerve section, transcranial approach ",,,2152.0,39324.15,21
RC,369,"Vestibular nerve section, translabyrinthine approach ",,,930.95,23113.0,27
RC,369,Vestibuloplasty; anterior ,,,2051.93,13581.48,27
RC,369,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,2051.93,18490.0,27
RC,369,Vestibuloplasty; entire arch ,,,2051.93,18490.0,27
RC,369,"Vestibuloplasty; posterior, bilateral ",,,2051.93,13581.48,27
RC,369,"Vestibuloplasty; posterior, unilateral ",,,2051.93,13581.48,27
RC,369,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,369,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,369,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,369,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,369,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,369,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,369,Viscosity ,,,12.72,12.72,3
RC,369,Vitamin A ,,,12.65,12.65,3
RC,369,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,369,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,369,Vitamin K ,,,14.95,14.95,3
RC,369,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,369,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,1
RC,369,"Vitrectomy, mechanical, pars plana approach; ",,,1610.16,19415.0,27
RC,369,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1610.16,23113.0,27
RC,369,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1610.16,23113.0,27
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1610.16,18490.0,27
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1610.16,18490.0,27
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1610.16,23113.0,27
RC,369,Voice amplifier ,,,340.98,340.98,3
RC,369,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,369,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,369,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,369,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,369,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,369,Voriconazole ,,,29.55,29.55,3
RC,369,Vulvectomy simple; complete ,,,1116.7,76895.0,27
RC,369,Vulvectomy simple; partial ,,,1116.7,18490.0,27
RC,369,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2152.0,33877.23,21
RC,369,"Vulvectomy, radical, complete; ",,,7008.0,27474.77,21
RC,369,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,34133.79,21
RC,369,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,29440.61,21
RC,369,"Vulvectomy, radical, partial; ",,,2152.0,25655.0,25
RC,369,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,31608.47,21
RC,369,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,26783.34,21
RC,369,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1125.36,1125.36,3
RC,369,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,369,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,369,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,369,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,369,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,369,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,369,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,369,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,369,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,369,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,369,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,369,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,369,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,369,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,369,Washed red blood cells uni ,,,401.75,401.75,3
RC,369,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,369,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,369,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,369,Water pressure mattress ,,,29.3,29.3,3
RC,369,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,369,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,369,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,369,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,5694.0,25655.0,25
RC,369,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,369,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,369,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,369,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,369,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,369,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,369,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,369,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,369,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,369,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,369,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,369,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,369,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,369,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,369,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,369,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,369,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,369,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,369,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,369,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,369,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,369,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,369,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,369,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,369,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,369,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,369,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,369,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,369,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,369,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,369,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,369,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,369,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,369,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,369,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,369,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,369,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,369,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,369,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,369,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,369,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,369,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,369,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,369,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,369,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,369,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,369,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,369,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,369,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,369,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,369,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,369,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,369,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,369,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,369,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,369,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,369,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,369,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,369,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,369,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,369,Whole blood for transfusio ,,,206.93,206.93,3
RC,369,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,369,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,369,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,369,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,369,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,369,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,11
RC,369,"Wound pouch, each ",,,21.65,21.65,3
RC,369,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,369,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,369,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,369,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,369,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,369,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,369,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,369,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,369,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,369,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,369,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,369,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,369,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,369,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,369,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,369,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,369,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,369,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,369,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,369,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,369,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,369,Zinc ,,,12.42,12.42,3
RC,369,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,369,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,369,Zonisamide ,,,14.44,14.44,3
RC,369,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,369,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,369,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,369,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,370, Anesthesia General Classification  ,,,,,0
RC,371, Anesthesia Incident to Radiology  ,,,,,0
RC,372, Anesthesia Incident to Other DX Services  ,,,,,0
RC,374, Anesthesia Acupuncture  ,,,,,0
RC,379, Anesthesia Other  ,,,,,0
RC,380, Blood and Blood Components General Classification  ,,,,,0
RC,381, Blood and Blood Components Packed Red Cells  ,,,,,0
RC,382, Blood and Blood Components Whole Blood  ,,,,,0
RC,383, Blood and Blood Components Plasma  ,,,,,0
RC,384, Blood and Blood Components Platelets  ,,,,,0
RC,385, Blood and Blood Components Leukocytes  ,,,,,0
RC,386, Blood and Blood Components Other Blood Components  ,,,,,0
RC,387, Blood and Blood Components Other Derivatives (Cryoprecipitate)  ,,,,,0
RC,389, Blood and Blood Components Other  ,,,,,0
RC,390," Administration, Processing and Storage for Blood and Blood Components General Classification  ",,,,,0
RC,391," Administration, Processing and Storage for Blood and Blood Components Administration (e.g., Transfu ",,,,,0
RC,392," Administration, Processing and Storage for Blood and Blood Components Processing and Storage  ",,,,,0
RC,399," Administration, Processing and Storage for Blood and Blood Components Other Blood Handling  ",,,,,0
RC,400, Other Imaging Services General Classification  ,,,,,0
RC,400,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,352.04,3
RC,400,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,198.11,3
RC,400,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,6438.74,3
RC,400,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,400,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,400,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,400,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,400,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,400,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,400,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,Bone age studies ,,,154.52,245.18,3
RC,400,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,245.18,3
RC,400,"Cephalogram, orthodontic ",,,83.86,182.03,3
RC,400,"Cholecystography, oral contrast ",,,341.2,401.74,3
RC,400,"Cineradiography/videoradiography, except where specifically included ",,,154.52,245.18,3
RC,400,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,400,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,517.79,3
RC,400,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,700.65,3
RC,400,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,245.18,3
RC,400,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,828.27,3
RC,400,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,400,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,4034.23,3
RC,400,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,400,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,182.03,3
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,245.18,3
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,245.18,3
RC,400,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,517.79,3
RC,400,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,400,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,245.18,3
RC,400,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,400,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,400,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,400,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,182.03,3
RC,400,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,285.46,3
RC,400,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,1609.16,3
RC,400,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,400,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,400,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,828.27,3
RC,400,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,400,Non-ophthalmic fluorescent vascular angiography ,,,313.62,828.27,3
RC,400,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,182.03,3
RC,400,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,400,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,517.79,3
RC,400,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,1086.5,3
RC,400,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,2138.63,3
RC,400,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,182.03,3
RC,400,"Radiologic examination, abdomen; 1 view ",,,83.86,182.03,3
RC,400,"Radiologic examination, abdomen; 2 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, abdomen; 3 or more views ",,,154.52,245.18,3
RC,400,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,400,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,400,"Radiologic examination, ankle; 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, chest; 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, chest; 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, chest; 4 or more views ",,,154.52,245.18,3
RC,400,"Radiologic examination, chest; single view ",,,83.86,182.03,3
RC,400,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,401.74,3
RC,400,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,400,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,245.18,3
RC,400,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,400,"Radiologic examination, elbow; 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,401.74,3
RC,400,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,400,"Radiologic examination, eye, for detection of foreign body ",,,83.86,182.03,3
RC,400,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, facial bones; less than 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, femur; 1 view ",,,83.86,182.03,3
RC,400,"Radiologic examination, femur; minimum 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, foot; 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, hand; 2 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, hand; minimum of 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,182.03,3
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, internal auditory meati, complete ",,,313.62,1086.5,3
RC,400,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,400,"Radiologic examination, knee; 1 or 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, knee; 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,182.03,3
RC,400,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,245.18,3
RC,400,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,245.18,3
RC,400,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,245.18,3
RC,400,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, osseous survey, infant ",,,154.52,245.18,3
RC,400,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,245.18,3
RC,400,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,245.18,3
RC,400,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,401.74,3
RC,400,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,400,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,245.18,3
RC,400,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, salivary gland for calculus ",,,83.86,182.03,3
RC,400,"Radiologic examination, sella turcica ",,,83.86,182.03,3
RC,400,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,400,"Radiologic examination, shoulder; 1 view ",,,83.86,182.03,3
RC,400,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,245.18,3
RC,400,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, skull; less than 4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,401.74,3
RC,400,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,401.74,3
RC,400,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,182.03,3
RC,400,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine, single view, specify level ",,,83.86,182.03,3
RC,400,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,401.74,3
RC,400,"Radiologic examination, teeth; complete, full mouth ",,,313.62,517.79,3
RC,400,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,517.79,3
RC,400,"Radiologic examination, teeth; single view ",,,83.86,182.03,3
RC,400,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,182.03,3
RC,400,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,182.03,3
RC,400,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,401.74,3
RC,400,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,400,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,828.27,3
RC,400,"Radiologic examination, wrist; 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,182.03,3
RC,400,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; clavicle, complete ",,,83.86,182.03,3
RC,400,"Radiologic examination; forearm, 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; neck, soft tissue ",,,83.86,182.03,3
RC,400,Radiologic examination; optic foramina ,,,83.86,182.03,3
RC,400,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,245.18,3
RC,400,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,182.03,3
RC,400,"Radiologic examination; scapula, complete ",,,154.52,245.18,3
RC,400,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,182.03,3
RC,400,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,245.18,3
RC,400,"Radiological examination, surgical specimen ",,,657.03,1086.5,3
RC,400,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,245.18,3
RC,400,"Sialography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,400,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,245.18,3
RC,400,"Splenoportography, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,400,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,400,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,401.74,3
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,23.36,3
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,185.87,3
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,185.87,3
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,93.44,3
RC,400,Unlisted diagnostic radiographic procedure ,,,83.86,182.03,3
RC,400,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,400,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,517.79,3
RC,400,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,517.79,3
RC,400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,401.74,3
RC,400,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,828.27,3
RC,400,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,401.74,3
RC,400,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,401.74,3
RC,400,"Urography, retrograde, with or without KUB ",,,616.1,828.27,3
RC,400,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,400,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,400,"Venography, epidural, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,400,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,3163.82,3
RC,400,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,400,"Venography, orbital, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,400,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,400,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,400,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,400,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,182.03,3
RC,401, Other Imaging Services Diagnostic Mammography  ,,,148.0,688.0,11
RC,401,Diagnostic digital breast tomosynthesis; bilateral ,,,162.5,263.0,3
RC,401,Diagnostic digital breast tomosynthesis; unilateral ,,,126.98,205.7,3
RC,401,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,129.76,205.7,3
RC,401,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",,,186.77,313.99,3
RC,401,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",,,313.62,517.79,3
RC,401,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,401,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,34.51,57.31,3
RC,401,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,137.05,217.46,3
RC,402, Other Imaging Services Ultrasound  ,,,140.0,342.0,11
RC,402,"Doppler velocimetry, fetal; middle cerebral artery ",,,154.52,245.18,3
RC,402,"Doppler velocimetry, fetal; umbilical artery ",,,154.52,245.18,3
RC,402,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; ",,,657.03,1086.5,3
RC,402,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study ",,,313.62,517.79,3
RC,402,"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnor",,,154.52,245.18,3
RC,402,Fetal biophysical profile; with non-stress testing ,,,154.52,245.18,3
RC,402,"Gastrointestinal endoscopic ultrasound, supervision and interpretation ",,,313.62,517.79,3
RC,402,"Ophthalmic biometry by ultrasound echography, A-scan; ",,,154.52,245.18,3
RC,402,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation ",,,154.52,245.18,3
RC,402,Ophthalmic ultrasonic foreign body localization ,,,83.86,182.03,3
RC,402,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) ",,,154.52,245.18,3
RC,402,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter ",,,141.8,251.89,3
RC,402,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral ",,,154.52,245.18,3
RC,402,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) ",,,23.58,55.51,3
RC,402,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only ",,,154.52,245.18,3
RC,402,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed ",,,313.62,517.79,3
RC,402,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method ",,,154.52,245.18,3
RC,402,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) ",,,335.92,595.01,3
RC,402,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) ",,,154.52,245.18,3
RC,402,"Ultrasound, abdominal, real time with image documentation; complete ",,,154.52,245.18,3
RC,402,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) ",,,154.52,245.18,3
RC,402,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete ",,,154.52,245.18,3
RC,402,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited ",,,83.86,182.03,3
RC,402,"Ultrasound, chest (includes mediastinum), real time with image documentation ",,,154.52,245.18,3
RC,402,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation ",,,154.52,245.18,3
RC,402,"Ultrasound, elastography; first target lesion ",,,151.89,245.18,3
RC,402,"Ultrasound, elastography; parenchyma (eg, organ) ",,,151.89,245.18,3
RC,402,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) ",,,83.86,182.03,3
RC,402,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) ",,,83.86,182.03,3
RC,402,"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendonºs», muscleºs», nerveºs», other soft-tissue structureºs», or soft-tiss",,,154.52,245.18,3
RC,402,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity ",,,144.29,240.48,3
RC,402,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete ",,,154.52,245.18,3
RC,402,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) ",,,154.52,245.18,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation ",,,154.52,517.79,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation ",,,154.52,245.18,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation ",,,154.52,245.18,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation ",,,154.52,245.18,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ sy",,,154.52,245.18,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses ",,,154.52,245.18,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal ",,,154.52,245.18,3
RC,402,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete ",,,154.52,245.18,3
RC,402,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited ",,,154.52,245.18,3
RC,402,"Ultrasound, scrotum and contents ",,,154.52,245.18,3
RC,402,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation ",,,154.52,245.18,3
RC,402,"Ultrasound, spinal canal and contents ",,,154.52,245.18,3
RC,402,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion ",,,272.35,401.74,3
RC,402,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation ",,,154.52,245.18,3
RC,402,"Ultrasound, transrectal; ",,,154.52,245.18,3
RC,402,"Ultrasound, transvaginal ",,,154.52,245.18,3
RC,403, Other Imaging Services Screening Mammography  ,,,148.0,688.0,11
RC,403,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,34.51,57.31,3
RC,403,Diagnostic digital breast tomosynthesis; bilateral ,,,162.5,263.0,3
RC,403,Diagnostic digital breast tomosynthesis; unilateral ,,,126.98,205.7,3
RC,403,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,165.73,263.0,3
RC,403,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,129.76,205.7,3
RC,403,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",,,186.77,313.99,3
RC,403,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",,,313.62,517.79,3
RC,403,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,404, Other Imaging Services Positron Emission Tomography  ,,,1201.0,9314.0,12
RC,404,"Brain imaging, positron emission tomography (PET); metabolic evaluation ",18377.91,18377.91,1859.25,3330.77,3
RC,404,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",24783.225,24783.225,3713.18,6188.63,6
RC,404,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; ",21509.03,21509.03,1623.62,2938.37,3
RC,404,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; with concurrently a",26221.67,26221.67,1948.05,3330.77,3
RC,404,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",27814.05,27814.05,1859.25,5063.63,6
RC,404,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",23865.35,23865.35,1859.25,3330.77,6
RC,404,"Pet imaging, any site, not otherwise specified ",,,509.11,848.52,3
RC,404,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) ",,,1623.62,2938.37,3
RC,404,Positron emission tomography (PET) imaging; whole body ,28057.42,28057.42,1859.25,3330.77,3
RC,409, Other Imaging Services  ,,,,,0
RC,409,"3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,352.04,3
RC,409,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,198.11,3
RC,409,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,6438.74,3
RC,409,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,409,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,409,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,409,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,409,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,409,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,409,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,Bone age studies ,,,154.52,245.18,3
RC,409,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,245.18,3
RC,409,"Cephalogram, orthodontic ",,,83.86,182.03,3
RC,409,"Cholecystography, oral contrast ",,,341.2,401.74,3
RC,409,"Cineradiography/videoradiography, except where specifically included ",,,154.52,245.18,3
RC,409,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,409,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,517.79,3
RC,409,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,700.65,3
RC,409,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,245.18,3
RC,409,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,828.27,3
RC,409,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,517.79,3
RC,409,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,4034.23,3
RC,409,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,409,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,3947.38,3
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,182.03,3
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,245.18,3
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,245.18,3
RC,409,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,517.79,3
RC,409,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,409,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,245.18,3
RC,409,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,409,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,409,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,409,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,182.03,3
RC,409,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,285.46,3
RC,409,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,1609.16,3
RC,409,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,409,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,409,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,828.27,3
RC,409,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,1609.16,3
RC,409,Non-ophthalmic fluorescent vascular angiography ,,,313.62,828.27,3
RC,409,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,182.03,3
RC,409,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,409,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,517.79,3
RC,409,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,1086.5,3
RC,409,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,2138.63,3
RC,409,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,182.03,3
RC,409,"Radiologic examination, abdomen; 1 view ",,,83.86,182.03,3
RC,409,"Radiologic examination, abdomen; 2 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, abdomen; 3 or more views ",,,154.52,245.18,3
RC,409,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,409,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,409,"Radiologic examination, ankle; 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, chest; 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, chest; 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, chest; 4 or more views ",,,154.52,245.18,3
RC,409,"Radiologic examination, chest; single view ",,,83.86,182.03,3
RC,409,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,401.74,3
RC,409,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,409,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,245.18,3
RC,409,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,409,"Radiologic examination, elbow; 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,401.74,3
RC,409,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,409,"Radiologic examination, eye, for detection of foreign body ",,,83.86,182.03,3
RC,409,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, facial bones; less than 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, femur; 1 view ",,,83.86,182.03,3
RC,409,"Radiologic examination, femur; minimum 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, foot; 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, hand; 2 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, hand; minimum of 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,182.03,3
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, internal auditory meati, complete ",,,313.62,1086.5,3
RC,409,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,409,"Radiologic examination, knee; 1 or 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, knee; 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,182.03,3
RC,409,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,245.18,3
RC,409,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,245.18,3
RC,409,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,245.18,3
RC,409,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, osseous survey, infant ",,,154.52,245.18,3
RC,409,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,245.18,3
RC,409,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,245.18,3
RC,409,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,401.74,3
RC,409,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,1086.5,3
RC,409,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,245.18,3
RC,409,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, salivary gland for calculus ",,,83.86,182.03,3
RC,409,"Radiologic examination, sella turcica ",,,83.86,182.03,3
RC,409,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,828.27,3
RC,409,"Radiologic examination, shoulder; 1 view ",,,83.86,182.03,3
RC,409,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,245.18,3
RC,409,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, skull; less than 4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,401.74,3
RC,409,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,401.74,3
RC,409,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,182.03,3
RC,409,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine, single view, specify level ",,,83.86,182.03,3
RC,409,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,401.74,3
RC,409,"Radiologic examination, teeth; complete, full mouth ",,,313.62,517.79,3
RC,409,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,517.79,3
RC,409,"Radiologic examination, teeth; single view ",,,83.86,182.03,3
RC,409,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,182.03,3
RC,409,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,182.03,3
RC,409,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,401.74,3
RC,409,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,401.74,3
RC,409,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,828.27,3
RC,409,"Radiologic examination, wrist; 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,182.03,3
RC,409,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; clavicle, complete ",,,83.86,182.03,3
RC,409,"Radiologic examination; forearm, 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; neck, soft tissue ",,,83.86,182.03,3
RC,409,Radiologic examination; optic foramina ,,,83.86,182.03,3
RC,409,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,245.18,3
RC,409,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,182.03,3
RC,409,"Radiologic examination; scapula, complete ",,,154.52,245.18,3
RC,409,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,182.03,3
RC,409,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,245.18,3
RC,409,"Radiological examination, surgical specimen ",,,657.03,1086.5,3
RC,409,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,245.18,3
RC,409,"Sialography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,409,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,245.18,3
RC,409,"Splenoportography, radiological supervision and interpretation ",,,1327.01,6438.74,3
RC,409,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,409,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,401.74,3
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,23.36,3
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,185.87,3
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,185.87,3
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,93.44,3
RC,409,Unlisted diagnostic radiographic procedure ,,,83.86,182.03,3
RC,409,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,409,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,517.79,3
RC,409,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,517.79,3
RC,409,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,401.74,3
RC,409,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,828.27,3
RC,409,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,401.74,3
RC,409,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,401.74,3
RC,409,"Urography, retrograde, with or without KUB ",,,616.1,828.27,3
RC,409,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,517.79,3
RC,409,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,409,"Venography, epidural, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,409,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,3163.82,3
RC,409,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,3163.82,3
RC,409,"Venography, orbital, radiological supervision and interpretation ",,,826.97,1218.65,3
RC,409,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,6438.74,3
RC,409,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,6438.74,3
RC,409,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,10733.33,3
RC,409,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,182.03,3
RC,410, Respiratory Services General Classification  ,,,228.0,875.0,14
RC,412, Respiratory Services Inhalation Services  ,,,228.0,875.0,14
RC,413, Respiratory Services Hyperbaric Oxygen Therapy  ,,,228.0,3000.0,24
RC,419, Respiratory Services Other  ,,,228.0,875.0,14
RC,420, Physical Therapy General Classification  ,,,165.0,502.0,18
RC,421, Physical Therapy Visit  ,,,165.0,502.0,18
RC,422, Physical Therapy Hourly  ,,,165.0,502.0,18
RC,423, Physical Therapy Group  ,,,165.0,502.0,18
RC,424, Physical Therapy Evaluation or Reevaluation  ,,,165.0,502.0,18
RC,429, Physical Therapy Other  ,,,165.0,502.0,18
RC,430, Occupational Therapy General Classification  ,,,165.0,502.0,18
RC,431, Occupational Therapy Visit  ,,,165.0,502.0,18
RC,432, Occupational Therapy Hourly  ,,,165.0,502.0,18
RC,433, Occupational Therapy Group  ,,,165.0,502.0,18
RC,434, Occupational Therapy Evaluation or Reevaluation  ,,,165.0,502.0,18
RC,439, Occupational Therapy Other  ,,,165.0,502.0,18
RC,440, Speech Therapy - Language Pathology General Classification  ,,,165.0,502.0,18
RC,441, Speech Therapy - Language Pathology Visit  ,,,165.0,502.0,18
RC,442, Speech Therapy - Language Pathology Hourly  ,,,165.0,502.0,18
RC,443, Speech Therapy - Language Pathology Group  ,,,165.0,502.0,18
RC,444, Speech Therapy - Language Pathology Evaluation or Reevaluation  ,,,165.0,502.0,18
RC,449, Speech Therapy - Language Pathology Other  ,,,165.0,502.0,18
RC,450, Emergency Room General Classification  ,,,51.36,895.0,32
RC,450,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,8280.0,16
RC,450,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,8280.0,21
RC,450,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,140.0,1118.0,27
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,363.0,8280.0,27
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,200.0,3005.0,27
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,320.0,5296.0,27
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,140.0,1644.0,27
RC,450,Level 1 Type A ED Visits ,,,84.71,85.55,7
RC,450,Level 1 Type B ED Visits ,,,74.67,74.67,6
RC,450,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,295.0,640.0,9
RC,450,Level 2 Type A ED Visits ,,,154.24,155.79,7
RC,450,Level 2 Type B ED Visits ,,,93.31,93.31,6
RC,450,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,747.0,1400.0,9
RC,450,Level 3 Type A ED Visits ,,,274.22,276.96,7
RC,450,Level 3 Type B ED Visits ,,,172.67,172.67,6
RC,450,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1148.0,3005.0,9
RC,450,Level 4 Type A ED Visits ,,,419.16,423.36,7
RC,450,Level 4 Type B ED Visits ,,,265.51,265.51,6
RC,450,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1545.0,4180.0,9
RC,450,Level 5 Type A ED Visits ,,,604.23,604.23,1
RC,450,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,3448.0,8280.0,9
RC,451, Emergency Room EMTALA Emergency Medical Screening  ,,,51.36,895.0,32
RC,451,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,8280.0,16
RC,451,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,8280.0,21
RC,451,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,140.0,1118.0,27
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,363.0,8280.0,27
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,200.0,3005.0,27
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,320.0,5296.0,27
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,140.0,1644.0,27
RC,451,Level 1 Type A ED Visits ,,,84.71,85.55,7
RC,451,Level 1 Type B ED Visits ,,,74.67,74.67,6
RC,451,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,295.0,640.0,9
RC,451,Level 2 Type A ED Visits ,,,154.24,155.79,7
RC,451,Level 2 Type B ED Visits ,,,93.31,93.31,6
RC,451,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,747.0,1400.0,9
RC,451,Level 3 Type A ED Visits ,,,274.22,276.96,7
RC,451,Level 3 Type B ED Visits ,,,172.67,172.67,6
RC,451,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1148.0,3005.0,9
RC,451,Level 4 Type A ED Visits ,,,419.16,423.36,7
RC,451,Level 4 Type B ED Visits ,,,265.51,265.51,6
RC,451,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1545.0,4180.0,9
RC,451,Level 5 Type A ED Visits ,,,604.23,604.23,1
RC,451,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,3448.0,8280.0,9
RC,452, Emergency Room ER Beyond EMTALA  ,,,51.36,4060.0,33
RC,452,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,8280.0,16
RC,452,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,8280.0,21
RC,452,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,140.0,1118.0,27
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,363.0,8280.0,27
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,200.0,3005.0,27
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,320.0,5296.0,27
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,140.0,1644.0,27
RC,452,Level 1 Type A ED Visits ,,,84.71,85.55,7
RC,452,Level 1 Type B ED Visits ,,,74.67,74.67,6
RC,452,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,295.0,640.0,9
RC,452,Level 2 Type A ED Visits ,,,154.24,155.79,7
RC,452,Level 2 Type B ED Visits ,,,93.31,93.31,6
RC,452,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,747.0,1400.0,9
RC,452,Level 3 Type A ED Visits ,,,274.22,276.96,7
RC,452,Level 3 Type B ED Visits ,,,172.67,172.67,6
RC,452,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1148.0,3005.0,9
RC,452,Level 4 Type A ED Visits ,,,419.16,423.36,7
RC,452,Level 4 Type B ED Visits ,,,265.51,265.51,6
RC,452,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1545.0,4180.0,9
RC,452,Level 5 Type A ED Visits ,,,604.23,604.23,1
RC,452,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,3448.0,8280.0,9
RC,456, Emergency Room Urgent Care  ,,,51.36,1579.0,38
RC,456,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,800.0,1
RC,456,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,6166.0,6
RC,456,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,140.0,575.0,12
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,363.0,5622.0,12
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,200.0,1359.0,12
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,320.0,4206.0,12
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,140.0,1123.0,12
RC,456,Level 1 Type A ED Visits ,,,84.71,85.55,7
RC,456,Level 1 Type B ED Visits ,,,74.67,74.67,6
RC,456,Level 2 Type A ED Visits ,,,154.24,155.79,7
RC,456,Level 2 Type B ED Visits ,,,93.31,93.31,6
RC,456,Level 3 Type A ED Visits ,,,274.22,276.96,7
RC,456,Level 3 Type B ED Visits ,,,172.67,172.67,6
RC,456,Level 4 Type A ED Visits ,,,419.16,423.36,7
RC,456,Level 4 Type B ED Visits ,,,265.51,265.51,6
RC,456,Level 5 Type A ED Visits ,,,604.23,604.23,1
RC,459, Emergency Room Other  ,,,51.36,895.0,32
RC,459,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,8280.0,16
RC,459,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,8280.0,21
RC,459,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,140.0,1118.0,27
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,363.0,8280.0,27
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,200.0,3005.0,27
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,320.0,5296.0,27
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,140.0,1644.0,27
RC,459,Level 1 Type A ED Visits ,,,84.71,85.55,7
RC,459,Level 1 Type B ED Visits ,,,74.67,74.67,6
RC,459,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,295.0,640.0,9
RC,459,Level 2 Type A ED Visits ,,,154.24,155.79,7
RC,459,Level 2 Type B ED Visits ,,,93.31,93.31,6
RC,459,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,747.0,1400.0,9
RC,459,Level 3 Type A ED Visits ,,,274.22,276.96,7
RC,459,Level 3 Type B ED Visits ,,,172.67,172.67,6
RC,459,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1148.0,3005.0,9
RC,459,Level 4 Type A ED Visits ,,,419.16,423.36,7
RC,459,Level 4 Type B ED Visits ,,,265.51,265.51,6
RC,459,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,1545.0,4180.0,9
RC,459,Level 5 Type A ED Visits ,,,604.23,604.23,1
RC,459,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,3448.0,8280.0,9
RC,460, Pulmonary Function General Classification  ,,,519.0,1300.0,3
RC,469, Pulmonary Function Other  ,,,519.0,1300.0,3
RC,470, Audiology General Classification  ,,,626.0,1045.0,3
RC,471, Audiology Diagnostic  ,,,626.0,1045.0,3
RC,472, Audiology Treatment  ,,,626.0,1045.0,3
RC,479, Audiology Other  ,,,626.0,1045.0,3
RC,480, Cardiology General Classification  ,,,1379.0,43180.0,10
RC,480,1 epidur inject-C/thor ,,,2152.0,2235.0,3
RC,480,1 epidural inject anes-L ,,,2152.0,2235.0,3
RC,480,1 inject anes-subarach ,,,2152.0,2235.0,3
RC,480,1 subar inject anes-cont ,,,2152.0,2235.0,3
RC,480,1 subar inject anes-diff ,,,2152.0,2235.0,3
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,7592.0,9908.0,7
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,5694.0,9908.0,7
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,7592.0,9908.0,7
RC,480,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,5694.0,9908.0,7
RC,480,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5694.0,23113.0,7
RC,480,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5694.0,18490.0,7
RC,480,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2152.0,2235.0,3
RC,480,ASPIRATE/INJECT THYRIOD CYST ,,,2152.0,2235.0,3
RC,480,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1266.0,6680.0,7
RC,480,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1266.0,6680.0,7
RC,480,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,7592.0,18490.0,7
RC,480,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,480,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,4693.0,5932.0,4
RC,480,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2152.0,6680.0,7
RC,480,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,5286.0,6680.0,4
RC,480,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,7839.0,9908.0,4
RC,480,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,8858.0,19415.0,7
RC,480,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,5286.0,6680.0,4
RC,480,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2152.0,23113.0,7
RC,480,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,8858.0,33769.0,7
RC,480,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,27837.0,43890.0,5
RC,480,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,480,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,5932.0,4
RC,480,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2152.0,23113.0,7
RC,480,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2152.0,2235.0,3
RC,480,Amniocentesis; diagnostic ,,,1266.0,5932.0,7
RC,480,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,2152.0,5932.0,7
RC,480,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,2235.0,3
RC,480,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2152.0,2235.0,3
RC,480,Amputation of penis; complete ,,,2214.0,6680.0,7
RC,480,Amputation of penis; partial ,,,5286.0,6680.0,7
RC,480,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2152.0,2235.0,3
RC,480,Anastomosis; facial-hypoglossal ,,,2152.0,2235.0,3
RC,480,Anastomosis; facial-spinal accessory ,,,2152.0,2235.0,3
RC,480,Anorectal manometry ,,,1266.0,1314.0,3
RC,480,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,4693.0,5932.0,4
RC,480,Antepartum care only; 4-6 visits ,,,2152.0,2235.0,3
RC,480,Antepartum care only; 7 or more visits ,,,2152.0,2235.0,3
RC,480,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,5694.0,18490.0,7
RC,480,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,3796.0,23113.0,7
RC,480,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,3796.0,23113.0,7
RC,480,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,6680.0,8
RC,480,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,6680.0,8
RC,480,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,11
RC,480,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,4693.0,5932.0,4
RC,480,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,5286.0,6680.0,4
RC,480,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,4693.0,5932.0,4
RC,480,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,6680.0,7
RC,480,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,4693.0,5932.0,4
RC,480,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,5286.0,6680.0,4
RC,480,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,480,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,7592.0,18490.0,7
RC,480,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,7592.0,19415.0,7
RC,480,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,9908.0,4
RC,480,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,15362.0,19415.0,4
RC,480,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,14630.0,18490.0,4
RC,480,Artificial insemination; intra-cervical ,,,2152.0,2235.0,3
RC,480,Artificial insemination; intra-uterine ,,,2152.0,2235.0,3
RC,480,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2214.0,5932.0,7
RC,480,"Aspiration and/or injection, thyroid cyst ",,,1266.0,5932.0,7
RC,480,Aspiration of bladder; by needle ,,,1266.0,5932.0,7
RC,480,Aspiration of bladder; by trocar or intracatheter ,,,2214.0,5932.0,7
RC,480,Aspiration of bladder; with insertion of suprapubic catheter ,,,3796.0,5932.0,7
RC,480,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,3796.0,5932.0,7
RC,480,BIOPSY EYE MUSCLE ,,,2152.0,2235.0,3
RC,480,BRAIN SURGERY USING COMPUTER ,,,2152.0,2235.0,3
RC,480,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,2152.0,2235.0,3
RC,480,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2152.0,2235.0,3
RC,480,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2152.0,2235.0,3
RC,480,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2152.0,2235.0,3
RC,480,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2152.0,2235.0,3
RC,480,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2152.0,2235.0,3
RC,480,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2152.0,2235.0,3
RC,480,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2152.0,2235.0,3
RC,480,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2152.0,2235.0,3
RC,480,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2152.0,2235.0,3
RC,480,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2152.0,2235.0,3
RC,480,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2152.0,2235.0,3
RC,480,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,2152.0,5932.0,7
RC,480,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2152.0,2235.0,3
RC,480,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2152.0,2235.0,3
RC,480,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2152.0,2235.0,3
RC,480,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2152.0,2235.0,3
RC,480,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2214.0,6680.0,7
RC,480,Biopsy external auditory canal ,,,2214.0,2299.0,3
RC,480,Biopsy external ear ,,,2152.0,2235.0,3
RC,480,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1266.0,5932.0,7
RC,480,Biopsy of conjunctiva ,,,1266.0,5932.0,7
RC,480,Biopsy of cornea ,,,1266.0,6680.0,7
RC,480,"Biopsy of epididymis, needle ",,,1266.0,5932.0,7
RC,480,Biopsy of extraocular muscle ,,,4693.0,5932.0,7
RC,480,Biopsy of lacrimal gland ,,,3796.0,5932.0,7
RC,480,Biopsy of lacrimal sac ,,,3796.0,5932.0,7
RC,480,Biopsy of nerve ,,,3796.0,6680.0,7
RC,480,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,3796.0,9908.0,7
RC,480,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2152.0,2235.0,3
RC,480,"Biopsy of pancreas, percutaneous needle ",,,2214.0,5932.0,7
RC,480,Biopsy of penis; (separate procedure) ,,,2214.0,5932.0,7
RC,480,Biopsy of penis; deep structures ,,,3796.0,5932.0,7
RC,480,"Biopsy of spinal cord, percutaneous needle ",,,2214.0,5932.0,7
RC,480,"Biopsy of testis, incisional (separate procedure) ",,,3796.0,5932.0,7
RC,480,"Biopsy of testis, needle (separate procedure) ",,,2214.0,5932.0,7
RC,480,Biopsy of urethra ,,,3796.0,5932.0,7
RC,480,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,3796.0,6680.0,7
RC,480,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1266.0,5932.0,7
RC,480,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,2152.0,5932.0,7
RC,480,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,2152.0,5932.0,7
RC,480,"Biopsy thyroid, percutaneous core needle ",,,1266.0,5932.0,7
RC,480,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2214.0,5932.0,7
RC,480,"Biopsy, prostate, any approach, nonimaging-guided ",,,2214.0,6680.0,7
RC,480,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,480,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,7839.0,9908.0,4
RC,480,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,7839.0,9908.0,4
RC,480,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,5286.0,6680.0,4
RC,480,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,5286.0,6680.0,4
RC,480,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,5286.0,6680.0,4
RC,480,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,5286.0,6680.0,4
RC,480,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,5286.0,6680.0,4
RC,480,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,5286.0,6680.0,4
RC,480,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2214.0,2299.0,3
RC,480,Bladder instillation of anticarcinogenic agent (including retention time) ,,,2152.0,2235.0,3
RC,480,"Bladder irrigation, simple, lavage and/or instillation ",,,2152.0,5932.0,7
RC,480,"Blepharotomy, drainage of abscess, eyelid ",,,2152.0,5932.0,7
RC,480,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,18288.0,23113.0,4
RC,480,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8858.0,9198.0,3
RC,480,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,18288.0,23113.0,4
RC,480,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,9908.0,4
RC,480,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,6680.0,4
RC,480,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,18288.0,23113.0,4
RC,480,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,18288.0,23113.0,4
RC,480,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,6680.0,4
RC,480,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,9908.0,4
RC,480,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,9908.0,4
RC,480,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,9908.0,4
RC,480,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2152.0,2235.0,3
RC,480,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2152.0,2235.0,3
RC,480,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2152.0,2235.0,3
RC,480,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2152.0,2235.0,3
RC,480,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2152.0,2235.0,3
RC,480,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2152.0,2235.0,3
RC,480,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2152.0,2235.0,3
RC,480,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2152.0,2235.0,3
RC,480,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2152.0,2235.0,3
RC,480,CATHETERIZE MIDDLE EAR CANAL ,,,2152.0,2235.0,3
RC,480,CHANGE KIDNEY TUBE ,,,2152.0,2235.0,3
RC,480,CIRCUMCISION ,,,2152.0,2235.0,3
RC,480,CONTROL POSTOP BLEEDING ,,,2152.0,2235.0,3
RC,480,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,2152.0,2235.0,3
RC,480,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,2152.0,2235.0,3
RC,480,"CYSTOSCOPY, RESECT DUCTS ",,,2152.0,2235.0,3
RC,480,Canthoplasty (reconstruction of canthus) ,,,3796.0,6680.0,7
RC,480,Canthotomy (separate procedure) ,,,3796.0,5932.0,7
RC,480,Cardioassist-method of circulatory assist; external ,,,2152.0,2235.0,3
RC,480,Cardioassist-method of circulatory assist; internal ,,,2152.0,2235.0,3
RC,480,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1266.0,1314.0,3
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,18288.0,33769.0,12
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,15816.0,17384.0,5
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,15816.0,17384.0,10
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,15816.0,17384.0,10
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,15816.0,33769.0,14
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,15816.0,17384.0,5
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,26718.0,33769.0,4
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,18288.0,23113.0,4
RC,480,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,2152.0,5932.0,7
RC,480,Catheterization for collection of specimen(s) (multiple patients) ,,,4693.0,5932.0,4
RC,480,"Catheterization for collection of specimen, single patient, all places of service ",,,4693.0,5932.0,4
RC,480,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,4693.0,5932.0,4
RC,480,"Cautery of cervix; cryocautery, initial or repeat ",,,2152.0,5932.0,7
RC,480,Cautery of cervix; electro or thermal ,,,3796.0,6680.0,7
RC,480,Cautery of cervix; laser ablation ,,,3796.0,6680.0,7
RC,480,"Cerclage of cervix, during pregnancy; abdominal ",,,2152.0,19415.0,7
RC,480,"Cerclage of cervix, during pregnancy; vaginal ",,,3796.0,5932.0,7
RC,480,"Cerclage of uterine cervix, nonobstetrical ",,,3796.0,5932.0,7
RC,480,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2152.0,2235.0,3
RC,480,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2152.0,2235.0,3
RC,480,Cesarean delivery only; ,,,2152.0,2235.0,3
RC,480,Cesarean delivery only; including postpartum care ,,,2152.0,18490.0,7
RC,480,Change of cystostomy tube; complicated ,,,1266.0,5932.0,7
RC,480,Change of cystostomy tube; simple ,,,2152.0,5932.0,7
RC,480,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2214.0,5932.0,7
RC,480,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,6680.0,4
RC,480,Chemodenervation of eccrine glands; both axillae ,,,2152.0,5932.0,7
RC,480,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,2152.0,5932.0,7
RC,480,Chemodenervation of extraocular muscle ,,,2152.0,5932.0,7
RC,480,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1266.0,5932.0,7
RC,480,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,2152.0,5932.0,7
RC,480,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,2152.0,5932.0,7
RC,480,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1266.0,5932.0,7
RC,480,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1266.0,5932.0,7
RC,480,Chemodenervation of one extremity; 5 or more muscles ,,,1266.0,5932.0,7
RC,480,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,2152.0,5932.0,7
RC,480,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1266.0,5932.0,7
RC,480,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1266.0,5932.0,7
RC,480,"Chorionic villus sampling, any method ",,,1266.0,1314.0,3
RC,480,"Chromotubation of oviduct, including materials ",,,5694.0,9908.0,7
RC,480,Ciliary body destruction; cryotherapy ,,,3796.0,6680.0,7
RC,480,Ciliary body destruction; cyclodialysis ,,,3796.0,6680.0,7
RC,480,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,3796.0,6680.0,7
RC,480,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,3796.0,6680.0,7
RC,480,Ciliary body destruction; diathermy ,,,2214.0,6680.0,7
RC,480,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,3796.0,6680.0,7
RC,480,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,3796.0,6680.0,7
RC,480,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,3796.0,5932.0,7
RC,480,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1266.0,5932.0,7
RC,480,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,1266.0,5932.0,7
RC,480,Clitoroplasty for intersex state ,,,3796.0,3942.0,3
RC,480,Closure of cystostomy (separate procedure) ,,,3796.0,5932.0,7
RC,480,Closure of lacrimal fistula (separate procedure) ,,,1266.0,19415.0,7
RC,480,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1266.0,5932.0,7
RC,480,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2152.0,2235.0,3
RC,480,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2152.0,2235.0,3
RC,480,Closure of rectovaginal fistula; abdominal approach ,,,2152.0,18490.0,7
RC,480,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,2152.0,2235.0,3
RC,480,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,3796.0,3942.0,3
RC,480,Closure of rectovaginal fistula; vaginal or transanal approach ,,,3796.0,9908.0,7
RC,480,"Closure of the lacrimal punctum; by plug, each ",,,2152.0,5932.0,7
RC,480,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,2152.0,5932.0,7
RC,480,Closure of ureterocutaneous fistula ,,,2152.0,2235.0,3
RC,480,Closure of ureterovisceral fistula (including visceral repair) ,,,2152.0,2235.0,3
RC,480,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,5286.0,6680.0,7
RC,480,Closure of urethrovaginal fistula; ,,,7592.0,9908.0,7
RC,480,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,5694.0,19415.0,7
RC,480,Closure of vesicouterine fistula; ,,,3796.0,9908.0,7
RC,480,Closure of vesicouterine fistula; with hysterectomy ,,,2152.0,2235.0,3
RC,480,"Closure of vesicovaginal fistula, abdominal approach ",,,5694.0,19415.0,7
RC,480,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,5694.0,5913.0,3
RC,480,Closure of vesicovaginal fistula; vaginal approach ,,,5694.0,9908.0,7
RC,480,"Closure postauricular fistula, mastoid (separate procedure) ",,,1266.0,9908.0,7
RC,480,"Closure, exstrophy of bladder ",,,2152.0,2235.0,3
RC,480,"Cochlear device implantation, with or without mastoidectomy ",,,15184.0,23113.0,7
RC,480,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,2235.0,3
RC,480,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1266.0,6680.0,7
RC,480,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1266.0,6680.0,7
RC,480,Colorectal cancer screening; flexible sigmoidoscopy ,,,1266.0,5932.0,7
RC,480,Colpocentesis (separate procedure) ,,,3796.0,6680.0,7
RC,480,Colpocleisis (Le Fort type) ,,,5694.0,18490.0,7
RC,480,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,3796.0,6680.0,7
RC,480,"Colpopexy, abdominal approach ",,,3796.0,18490.0,7
RC,480,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,7592.0,18490.0,7
RC,480,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,7592.0,18490.0,7
RC,480,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,14630.0,18490.0,4
RC,480,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,3796.0,5932.0,7
RC,480,Colposcopy of the cervix including upper/adjacent vagina; ,,,2152.0,6680.0,7
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,2152.0,5932.0,7
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,2152.0,6680.0,7
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,2152.0,5932.0,7
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,3796.0,6680.0,7
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,3796.0,9908.0,7
RC,480,"Colposcopy of the entire vagina, with cervix if present; ",,,2152.0,5932.0,7
RC,480,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1266.0,5932.0,7
RC,480,Colposcopy of the vulva; ,,,2152.0,5932.0,7
RC,480,Colposcopy of the vulva; with biopsy(s) ,,,2152.0,5932.0,7
RC,480,Colpotomy; with drainage of pelvic abscess ,,,3796.0,6680.0,7
RC,480,Colpotomy; with exploration ,,,3796.0,5932.0,7
RC,480,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,5694.0,18490.0,7
RC,480,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,7592.0,23113.0,7
RC,480,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,15816.0,17384.0,5
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1266.0,5932.0,7
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1266.0,5932.0,7
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1266.0,5932.0,7
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1266.0,5932.0,7
RC,480,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,2152.0,2235.0,3
RC,480,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,43890.0,9
RC,480,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,27837.0,43890.0,10
RC,480,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,27837.0,43890.0,5
RC,480,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2152.0,2235.0,3
RC,480,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,3796.0,6680.0,7
RC,480,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,3796.0,6680.0,7
RC,480,Conjunctival flap; bridge or partial (separate procedure) ,,,5286.0,6680.0,7
RC,480,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,3796.0,6680.0,7
RC,480,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,3796.0,19415.0,7
RC,480,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,5694.0,19415.0,7
RC,480,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,5694.0,19415.0,7
RC,480,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,3796.0,19415.0,7
RC,480,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,5694.0,19415.0,7
RC,480,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,5694.0,19415.0,7
RC,480,Construction of artificial vagina; with graft ,,,5694.0,19415.0,7
RC,480,Construction of artificial vagina; without graft ,,,3796.0,18490.0,7
RC,480,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,3796.0,9908.0,7
RC,480,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,3796.0,9908.0,7
RC,480,Cont epidur inject-lumb ,,,2152.0,2235.0,3
RC,480,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2152.0,2235.0,3
RC,480,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,2152.0,5932.0,7
RC,480,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,2152.0,5932.0,7
RC,480,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2214.0,5932.0,7
RC,480,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,5286.0,6680.0,4
RC,480,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1266.0,5932.0,7
RC,480,"Cordocentesis (intrauterine), any method ",,,2152.0,2235.0,3
RC,480,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1266.0,19415.0,7
RC,480,Corneal wedge resection for correction of surgically induced astigmatism ,,,3796.0,19415.0,7
RC,480,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,2152.0,2235.0,3
RC,480,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,5694.0,19415.0,7
RC,480,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,5694.0,19415.0,7
RC,480,"Correction of everted punctum, cautery ",,,2152.0,5932.0,7
RC,480,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,3796.0,9908.0,7
RC,480,Correction of lid retraction ,,,3796.0,9908.0,7
RC,480,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,2152.0,2235.0,3
RC,480,"Correction of trichiasis; epilation, by forceps only ",,,2152.0,2235.0,3
RC,480,Correction of trichiasis; incision of lid margin ,,,1266.0,6680.0,7
RC,480,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,3796.0,6680.0,7
RC,480,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,2152.0,2235.0,3
RC,480,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,8858.0,9198.0,3
RC,480,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2152.0,2235.0,3
RC,480,Craniectomy for craniosynostosis; single cranial suture ,,,2152.0,2235.0,3
RC,480,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2152.0,2235.0,3
RC,480,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2152.0,2235.0,3
RC,480,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2152.0,2235.0,3
RC,480,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2152.0,2235.0,3
RC,480,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2152.0,2235.0,3
RC,480,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2152.0,2235.0,3
RC,480,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2152.0,2235.0,3
RC,480,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2152.0,2235.0,3
RC,480,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2152.0,2235.0,3
RC,480,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2152.0,2235.0,3
RC,480,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2152.0,2235.0,3
RC,480,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2152.0,2235.0,3
RC,480,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2152.0,2235.0,3
RC,480,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2152.0,2235.0,3
RC,480,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2152.0,2235.0,3
RC,480,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2152.0,2235.0,3
RC,480,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2152.0,2235.0,3
RC,480,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2152.0,2235.0,3
RC,480,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2152.0,2235.0,3
RC,480,Craniectomy; for osteomyelitis ,,,2152.0,2235.0,3
RC,480,Craniectomy; with excision of tumor or other bone lesion of skull ,,,8858.0,33769.0,7
RC,480,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2152.0,2235.0,3
RC,480,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2152.0,2235.0,3
RC,480,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2152.0,2235.0,3
RC,480,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2152.0,2235.0,3
RC,480,Cranioplasty for skull defect with reparative brain surgery ,,,2152.0,2235.0,3
RC,480,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2152.0,2235.0,3
RC,480,Cranioplasty for skull defect; up to 5 cm diameter ,,,2152.0,2235.0,3
RC,480,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2152.0,2235.0,3
RC,480,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2152.0,2235.0,3
RC,480,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2152.0,2235.0,3
RC,480,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2152.0,2235.0,3
RC,480,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2152.0,2235.0,3
RC,480,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2152.0,2235.0,3
RC,480,"Craniotomy for repair of encephalocele, skull base ",,,2152.0,2235.0,3
RC,480,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2152.0,2235.0,3
RC,480,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2152.0,2235.0,3
RC,480,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2152.0,2235.0,3
RC,480,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2152.0,2235.0,3
RC,480,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2152.0,2235.0,3
RC,480,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2152.0,2235.0,3
RC,480,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2152.0,2235.0,3
RC,480,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2152.0,2235.0,3
RC,480,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2152.0,2235.0,3
RC,480,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2152.0,2235.0,3
RC,480,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2152.0,2235.0,3
RC,480,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2152.0,2235.0,3
RC,480,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2152.0,2235.0,3
RC,480,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2152.0,2235.0,3
RC,480,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,7592.0,7884.0,3
RC,480,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2152.0,2235.0,3
RC,480,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,3796.0,9908.0,7
RC,480,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,3796.0,9908.0,7
RC,480,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,3796.0,6680.0,7
RC,480,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2152.0,2235.0,3
RC,480,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,5286.0,7884.0,7
RC,480,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2152.0,2235.0,3
RC,480,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2152.0,2235.0,3
RC,480,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2152.0,2235.0,3
RC,480,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2152.0,2235.0,3
RC,480,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,10122.0,10512.0,3
RC,480,"Curettage, postpartum ",,,3796.0,9908.0,7
RC,480,Cutaneous appendico-vesicostomy ,,,2152.0,2235.0,3
RC,480,Cutaneous vesicostomy ,,,3796.0,3942.0,3
RC,480,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2152.0,2235.0,3
RC,480,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2152.0,2235.0,3
RC,480,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,2235.0,3
RC,480,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2152.0,2235.0,3
RC,480,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,2235.0,3
RC,480,"Cystectomy, complete; (separate procedure) ",,,2152.0,2235.0,3
RC,480,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,2235.0,3
RC,480,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2152.0,2235.0,3
RC,480,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2152.0,2235.0,3
RC,480,"Cystectomy, partial; simple ",,,2152.0,2235.0,3
RC,480,Cysto w Bx/fulgur les ,,,2152.0,2235.0,3
RC,480,Cysto w lithotripsy ,,,2152.0,2235.0,3
RC,480,Cysto w rmvl/manip CAL ,,,2152.0,2235.0,3
RC,480,Cysto w tumor resection ,,,2152.0,2235.0,3
RC,480,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,3796.0,19415.0,7
RC,480,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2152.0,23113.0,7
RC,480,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,5694.0,19415.0,7
RC,480,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,3796.0,6680.0,7
RC,480,"Cystostomy, cystotomy with drainage ",,,3796.0,19415.0,7
RC,480,"Cystotomy for excision, incision, or repair of ureterocele ",,,3796.0,3942.0,3
RC,480,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,3796.0,19415.0,7
RC,480,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,3796.0,3942.0,3
RC,480,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,3796.0,19415.0,7
RC,480,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1266.0,19415.0,7
RC,480,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,5694.0,5913.0,3
RC,480,Cystotomy; for excision of bladder tumor ,,,5694.0,5913.0,3
RC,480,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,3796.0,19415.0,7
RC,480,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2152.0,23113.0,7
RC,480,Cystourethroscopy ,,,2152.0,2235.0,3
RC,480,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,3796.0,19415.0,7
RC,480,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,3796.0,6680.0,7
RC,480,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,3796.0,18490.0,7
RC,480,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,5286.0,7884.0,7
RC,480,Cystourethroscopy (separate procedure) ,,,1266.0,1314.0,3
RC,480,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2214.0,6680.0,7
RC,480,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,6680.0,4
RC,480,Cystourethroscopy with direct vision internal urethrotomy ,,,3796.0,9908.0,7
RC,480,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,3796.0,9908.0,7
RC,480,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,7839.0,9908.0,4
RC,480,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,3796.0,19415.0,7
RC,480,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,7839.0,9908.0,4
RC,480,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,3796.0,9908.0,7
RC,480,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2214.0,6680.0,7
RC,480,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,3796.0,9908.0,7
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,6680.0,4
RC,480,"Cystourethroscopy, with biopsy(s) ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2214.0,6680.0,7
RC,480,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2214.0,6680.0,7
RC,480,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1266.0,6680.0,7
RC,480,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1266.0,6680.0,7
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2214.0,6680.0,7
RC,480,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,3796.0,3942.0,3
RC,480,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,2152.0,5932.0,7
RC,480,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,2152.0,9908.0,7
RC,480,"Cystourethroscopy, with insertion of permanent urethral stent ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,7839.0,9908.0,4
RC,480,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,3796.0,19415.0,7
RC,480,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8858.0,18490.0,7
RC,480,"Cystourethroscopy, with internal urethrotomy; female ",,,2214.0,6680.0,7
RC,480,"Cystourethroscopy, with internal urethrotomy; male ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,2152.0,9908.0,7
RC,480,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2214.0,6680.0,7
RC,480,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with steroid injection into stricture ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,3796.0,3942.0,3
RC,480,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,15362.0,19415.0,4
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,3796.0,19415.0,7
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,7592.0,7884.0,3
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,7592.0,7884.0,3
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,3796.0,19415.0,7
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,3796.0,19415.0,7
RC,480,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,3796.0,6680.0,7
RC,480,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,7
RC,480,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,3796.0,6680.0,7
RC,480,D & C OF RESIDUAL CERVIX ,,,2152.0,2235.0,3
RC,480,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,2235.0,6
RC,480,DESTR PARAVERTEBRL NERVE C/T ,,,2152.0,2235.0,3
RC,480,DESTR PARAVERTEBRL NERVE L/S ,,,2152.0,2235.0,3
RC,480,DESTROY NERVE EXTREM MUSC ,,,2152.0,2235.0,3
RC,480,DESTROY NERVE NECK MUSCLE ,,,2152.0,2235.0,3
RC,480,DILATION PROSTATIC URETHRA ,,,2152.0,2235.0,3
RC,480,DRAIN ABDOMINAL ABSCESS ,,,2152.0,2235.0,3
RC,480,DRAIN PANCREATIC PSEUDOCYST ,,,2152.0,2235.0,3
RC,480,DRAIN PELVIC ABSCESS PERCUT ,,,2152.0,2235.0,3
RC,480,DRAIN PERCUT ABDOM ABSCESS ,,,2152.0,2235.0,3
RC,480,DRAIN PERCUT RETROPER ABSC ,,,2152.0,2235.0,3
RC,480,DRAINAGE OF BLADDER ,,,2152.0,2235.0,9
RC,480,DRAINAGE OF EYE ,,,2152.0,2235.0,3
RC,480,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,5694.0,19415.0,7
RC,480,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,4693.0,5932.0,8
RC,480,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,4693.0,5932.0,4
RC,480,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,6680.0,4
RC,480,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1266.0,6680.0,7
RC,480,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,2152.0,2235.0,3
RC,480,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,7592.0,18490.0,7
RC,480,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,7592.0,18490.0,7
RC,480,Decompression internal auditory canal ,,,7592.0,7884.0,3
RC,480,"Decompression of orbit only, transcranial approach ",,,7592.0,7884.0,3
RC,480,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,7592.0,7884.0,3
RC,480,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,4693.0,5932.0,4
RC,480,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,15362.0,19415.0,4
RC,480,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,5286.0,6680.0,4
RC,480,Decompression; plantar digital nerve ,,,3796.0,5932.0,7
RC,480,Decompression; unspecified nerve(s) (specify) ,,,3796.0,5932.0,7
RC,480,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2214.0,5932.0,7
RC,480,Deligation of ureter ,,,2152.0,2235.0,3
RC,480,Delivery of placenta (separate procedure) ,,,3796.0,3942.0,3
RC,480,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,2299.0,3
RC,480,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2152.0,5932.0,7
RC,480,"Destruction by neurolytic agent, intercostal nerve ",,,3796.0,5932.0,7
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,2152.0,5932.0,7
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,3796.0,5932.0,7
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,2152.0,5932.0,7
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,3796.0,5932.0,7
RC,480,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,3796.0,5932.0,7
RC,480,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,3796.0,5932.0,7
RC,480,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,3796.0,5932.0,7
RC,480,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,3796.0,6680.0,7
RC,480,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1266.0,6680.0,7
RC,480,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1266.0,5932.0,7
RC,480,Destruction by neurolytic agent; plantar common digital nerve ,,,2152.0,5932.0,7
RC,480,Destruction by neurolytic agent; pudendal nerve ,,,1266.0,6680.0,7
RC,480,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1266.0,5932.0,7
RC,480,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,4693.0,5932.0,7
RC,480,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,2152.0,5932.0,7
RC,480,Destruction of lesion of lid margin (up to 1 cm) ,,,1266.0,5932.0,7
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2214.0,5932.0,7
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,2152.0,2235.0,3
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,2152.0,2235.0,3
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2214.0,2299.0,3
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2214.0,5932.0,7
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2214.0,5932.0,7
RC,480,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2214.0,9908.0,7
RC,480,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2214.0,5932.0,7
RC,480,"Destruction of lesion, conjunctiva ",,,3796.0,5932.0,7
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1266.0,5932.0,7
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1266.0,5932.0,7
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,2152.0,5932.0,7
RC,480,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1266.0,5932.0,7
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,2152.0,18490.0,7
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1266.0,18490.0,7
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,5694.0,18490.0,7
RC,480,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,3796.0,5932.0,7
RC,480,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,3796.0,5932.0,7
RC,480,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,9908.0,4
RC,480,Diagnostic hysteroscopy ,,,2152.0,2235.0,3
RC,480,Diagnostic laparoscopy ,,,2152.0,2235.0,3
RC,480,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,18288.0,23113.0,16
RC,480,Diaphragm or cervical cap fitting with instructions ,,,2152.0,2235.0,3
RC,480,Dilation and curettage of cervical stump ,,,3796.0,9908.0,7
RC,480,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,3796.0,6680.0,7
RC,480,"Dilation of cervical canal, instrumental (separate procedure) ",,,3796.0,5932.0,7
RC,480,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2152.0,6680.0,14
RC,480,Dilation of female urethra including suppository and/or instillation; initial ,,,2152.0,5932.0,7
RC,480,Dilation of female urethra including suppository and/or instillation; subsequent ,,,2152.0,2235.0,3
RC,480,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,3796.0,5932.0,7
RC,480,"Dilation of lacrimal punctum, with or without irrigation ",,,2152.0,2235.0,3
RC,480,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1266.0,5932.0,7
RC,480,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,2152.0,5932.0,7
RC,480,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,2152.0,5932.0,7
RC,480,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,2152.0,5932.0,7
RC,480,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2214.0,6680.0,7
RC,480,Dilation of vagina under anesthesia (other than local) ,,,3796.0,6680.0,7
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,2152.0,2235.0,3
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,8858.0,9198.0,3
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,2152.0,2235.0,3
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,2152.0,2235.0,3
RC,480,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1266.0,6680.0,7
RC,480,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,2152.0,5932.0,7
RC,480,"Discission of vitreous strands (without removal), pars plana approach ",,,3796.0,5932.0,7
RC,480,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2152.0,2235.0,3
RC,480,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2152.0,2235.0,3
RC,480,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2152.0,2235.0,3
RC,480,"Drainage external auditory canal, abscess ",,,2152.0,5932.0,7
RC,480,"Drainage external ear, abscess or hematoma; complicated ",,,2214.0,5932.0,7
RC,480,"Drainage external ear, abscess or hematoma; simple ",,,2152.0,5932.0,7
RC,480,Drainage of Skene's gland abscess or cyst ,,,3796.0,5932.0,7
RC,480,Drainage of deep periurethral abscess ,,,3796.0,6680.0,7
RC,480,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2152.0,2235.0,3
RC,480,Drainage of ovarian abscess; abdominal approach ,,,5694.0,9908.0,7
RC,480,"Drainage of ovarian abscess; vaginal approach, open ",,,3796.0,9908.0,7
RC,480,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,3796.0,9908.0,7
RC,480,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,3796.0,9908.0,7
RC,480,Drainage of perineal urinary extravasation; complicated ,,,3796.0,3942.0,3
RC,480,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,3796.0,9908.0,7
RC,480,"Drainage of perirenal or renal abscess, open ",,,3796.0,6680.0,7
RC,480,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2152.0,2235.0,3
RC,480,Drainage of perivesical or prevesical space abscess ,,,2214.0,5932.0,7
RC,480,"Drainage of retroperitoneal abscess, open ",,,2152.0,2235.0,3
RC,480,Drainage of scrotal wall abscess ,,,2214.0,5932.0,7
RC,480,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2152.0,2235.0,3
RC,480,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2152.0,2235.0,3
RC,480,Duodenal motility (manometric) study ,,,2214.0,5932.0,7
RC,480,"Dural graft, spinal ",,,2152.0,2235.0,3
RC,480,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2214.0,2299.0,3
RC,480,EXPLORATION OF EPIDIDYMIS ,,,2152.0,2235.0,3
RC,480,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,2152.0,2235.0,3
RC,480,EXPLORE ORBIT/REMOVE OBJECT ,,,2152.0,2235.0,3
RC,480,Ear piercing ,,,2152.0,2235.0,3
RC,480,Electroejaculation ,,,1266.0,5932.0,7
RC,480,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,2152.0,2235.0,3
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,2152.0,6680.0,7
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,2152.0,6680.0,10
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,2152.0,6680.0,7
RC,480,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2152.0,2235.0,3
RC,480,"Elevation of depressed skull fracture; simple, extradural ",,,7592.0,7884.0,3
RC,480,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2152.0,2235.0,3
RC,480,"Embryo transfer, intrauterine ",,,2152.0,5932.0,7
RC,480,Endocervical curettage (not done as part of a dilation and curettage) ,,,1266.0,5932.0,7
RC,480,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,2152.0,5932.0,7
RC,480,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,27837.0,43890.0,10
RC,480,Endolymphatic sac operation; with shunt ,,,7592.0,23113.0,7
RC,480,Endolymphatic sac operation; without shunt ,,,7592.0,23113.0,7
RC,480,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,5694.0,5913.0,3
RC,480,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,7592.0,7884.0,3
RC,480,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,2152.0,5932.0,7
RC,480,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,2152.0,5932.0,7
RC,480,Endomyocardial biopsy ,,,15816.0,17384.0,5
RC,480,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2152.0,18490.0,7
RC,480,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,9908.0,4
RC,480,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,5694.0,9908.0,7
RC,480,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,9908.0,4
RC,480,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,9908.0,4
RC,480,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,9908.0,4
RC,480,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,9908.0,4
RC,480,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,9908.0,4
RC,480,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7839.0,9908.0,4
RC,480,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,480,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2152.0,2235.0,3
RC,480,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2152.0,2235.0,3
RC,480,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,10122.0,76895.0,7
RC,480,"Enterocystoplasty, including intestinal anastomosis ",,,2152.0,2235.0,3
RC,480,"Enucleation of eye; with implant, muscles attached to implant ",,,5694.0,19415.0,7
RC,480,"Enucleation of eye; with implant, muscles not attached to implant ",,,5694.0,9908.0,7
RC,480,Enucleation of eye; without implant ,,,5694.0,9908.0,7
RC,480,Epididymectomy; bilateral ,,,3796.0,19415.0,7
RC,480,Epididymectomy; unilateral ,,,3796.0,9908.0,7
RC,480,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,3796.0,19415.0,7
RC,480,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,3796.0,19415.0,7
RC,480,Epikeratoplasty ,,,3796.0,23113.0,7
RC,480,"Episiotomy or vaginal repair, by other than attending ",,,3796.0,6680.0,7
RC,480,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,4693.0,5932.0,4
RC,480,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,5932.0,4
RC,480,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,27837.0,43890.0,5
RC,480,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,27837.0,43890.0,5
RC,480,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,27837.0,43890.0,5
RC,480,Evisceration of ocular contents; with implant ,,,5694.0,9908.0,7
RC,480,Evisceration of ocular contents; without implant ,,,5694.0,9908.0,7
RC,480,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1266.0,5932.0,7
RC,480,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,5286.0,6680.0,4
RC,480,Exchange of intraocular lens ,,,3796.0,76895.0,7
RC,480,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2214.0,5932.0,7
RC,480,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,4693.0,5932.0,4
RC,480,Excimer laser treatment for psoriasis; over 500 sq cm ,,,4693.0,5932.0,4
RC,480,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,4693.0,5932.0,4
RC,480,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,3796.0,9908.0,14
RC,480,Excision aural glomus tumor; extended (extratemporal) ,,,2152.0,2235.0,3
RC,480,Excision aural glomus tumor; transcanal ,,,7592.0,18490.0,7
RC,480,Excision aural glomus tumor; transmastoid ,,,7592.0,23113.0,7
RC,480,Excision aural polyp ,,,2214.0,6680.0,7
RC,480,"Excision exostosis(es), external auditory canal ",,,3796.0,6680.0,7
RC,480,Excision external ear; complete amputation ,,,3796.0,6680.0,7
RC,480,"Excision external ear; partial, simple repair ",,,2214.0,5932.0,7
RC,480,Excision of Bartholin's gland or cyst ,,,3796.0,9908.0,7
RC,480,Excision of Mullerian duct cyst ,,,3796.0,5932.0,7
RC,480,Excision of ampulla of Vater ,,,2152.0,2235.0,3
RC,480,Excision of bulbourethral gland (Cowper's gland) ,,,3796.0,6680.0,7
RC,480,Excision of carotid body tumor; with excision of carotid artery ,,,2152.0,2235.0,3
RC,480,Excision of carotid body tumor; without excision of carotid artery ,,,2152.0,2235.0,3
RC,480,"Excision of cervical stump, abdominal approach; ",,,2152.0,2235.0,3
RC,480,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2152.0,2235.0,3
RC,480,"Excision of cervical stump, vaginal approach; ",,,3796.0,9908.0,7
RC,480,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,5694.0,5913.0,3
RC,480,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,7592.0,18490.0,7
RC,480,"Excision of chalazion; multiple, different lids ",,,2152.0,5932.0,7
RC,480,"Excision of chalazion; multiple, same lid ",,,1266.0,5932.0,7
RC,480,Excision of chalazion; single ,,,2152.0,5932.0,7
RC,480,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,3796.0,6680.0,7
RC,480,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,5286.0,9198.0,7
RC,480,Excision of extraparenchymal lesion of testis ,,,3796.0,6680.0,7
RC,480,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,5694.0,9908.0,7
RC,480,Excision of hydrocele; bilateral ,,,5694.0,18490.0,7
RC,480,Excision of hydrocele; unilateral ,,,5694.0,9908.0,7
RC,480,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,5694.0,9908.0,7
RC,480,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,5694.0,9908.0,7
RC,480,Excision of lacrimal gland tumor; frontal approach ,,,3796.0,9908.0,7
RC,480,Excision of lacrimal gland tumor; involving osteotomy ,,,5694.0,9908.0,7
RC,480,Excision of lacrimal sac (dacryocystectomy) ,,,5694.0,9908.0,7
RC,480,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1266.0,6680.0,7
RC,480,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2152.0,2235.0,3
RC,480,Excision of lesion of spermatic cord (separate procedure) ,,,3796.0,19415.0,7
RC,480,"Excision of lesion, conjunctiva; over 1 cm ",,,3796.0,6680.0,7
RC,480,"Excision of lesion, conjunctiva; up to 1 cm ",,,3796.0,6680.0,7
RC,480,"Excision of lesion, conjunctiva; with adjacent sclera ",,,3796.0,6680.0,7
RC,480,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1266.0,5932.0,7
RC,480,"Excision of lesion, sclera ",,,3796.0,23113.0,7
RC,480,Excision of local lesion of epididymis ,,,3796.0,9908.0,7
RC,480,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,9908.0,4
RC,480,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,3796.0,9908.0,7
RC,480,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,7592.0,9908.0,7
RC,480,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,3796.0,9908.0,7
RC,480,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,3796.0,6680.0,7
RC,480,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,3796.0,9908.0,7
RC,480,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,2152.0,6680.0,7
RC,480,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,2152.0,6680.0,7
RC,480,"Excision of neuroma; hand or foot, except digital nerve ",,,3796.0,9908.0,7
RC,480,"Excision of neuroma; major peripheral nerve, except sciatic ",,,3796.0,9908.0,7
RC,480,Excision of neuroma; sciatic nerve ,,,7592.0,9908.0,7
RC,480,Excision of penile plaque (Peyronie disease); ,,,5286.0,7884.0,7
RC,480,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,5286.0,7884.0,7
RC,480,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,5286.0,7884.0,7
RC,480,Excision of perinephric cyst ,,,2152.0,2235.0,3
RC,480,Excision of presacral or sacrococcygeal tumor ,,,2152.0,2235.0,3
RC,480,"Excision of spermatocele, with or without epididymectomy ",,,3796.0,19415.0,7
RC,480,Excision of thyroglossal duct cyst or sinus; ,,,8858.0,19415.0,7
RC,480,Excision of thyroglossal duct cyst or sinus; recurrent ,,,8858.0,19415.0,7
RC,480,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,5694.0,19415.0,7
RC,480,Excision of urethral diverticulum (separate procedure); female ,,,5286.0,6680.0,7
RC,480,Excision of urethral diverticulum (separate procedure); male ,,,3796.0,9908.0,7
RC,480,Excision of vaginal cyst or tumor ,,,3796.0,6680.0,7
RC,480,Excision of vaginal septum ,,,3796.0,6680.0,7
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,3796.0,19415.0,7
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,5694.0,19415.0,7
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,5694.0,18490.0,7
RC,480,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,3796.0,3942.0,3
RC,480,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8858.0,9198.0,3
RC,480,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8858.0,9198.0,3
RC,480,Excision or fulguration of carcinoma of urethra ,,,5286.0,6680.0,7
RC,480,Excision or fulguration; Skene's glands ,,,3796.0,6680.0,7
RC,480,Excision or fulguration; urethral caruncle ,,,3796.0,6680.0,7
RC,480,"Excision or fulguration; urethral polyp(s), distal urethra ",,,3796.0,6680.0,7
RC,480,Excision or fulguration; urethral prolapse ,,,3796.0,6680.0,7
RC,480,Excision or transposition of pterygium; with graft ,,,3796.0,18490.0,7
RC,480,Excision or transposition of pterygium; without graft ,,,3796.0,6680.0,7
RC,480,Excision or unroofing of cyst(s) of kidney ,,,2152.0,2235.0,3
RC,480,"Excision soft tissue lesion, external auditory canal ",,,2214.0,6680.0,7
RC,480,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2152.0,2235.0,3
RC,480,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2152.0,2235.0,3
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,5694.0,18490.0,7
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,5694.0,23113.0,7
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,5694.0,23113.0,7
RC,480,Exploration for undescended testis (inguinal or scrotal area) ,,,5694.0,19415.0,7
RC,480,Exploration for undescended testis with abdominal exploration ,,,3796.0,19415.0,7
RC,480,"Exploration of epididymis, with or without biopsy ",,,3796.0,5932.0,7
RC,480,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2152.0,2235.0,3
RC,480,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2152.0,19415.0,7
RC,480,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,5694.0,19415.0,7
RC,480,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,3796.0,5932.0,7
RC,480,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,2235.0,3
RC,480,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,2235.0,3
RC,480,"Expression of conjunctival follicles (eg, for trachoma) ",,,2152.0,2235.0,3
RC,480,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2152.0,2235.0,3
RC,480,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2152.0,2235.0,3
RC,480,"External cephalic version, with or without tocolysis ",,,3796.0,3942.0,3
RC,480,"External drainage, pseudocyst of pancreas, open ",,,2152.0,2235.0,3
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2152.0,76895.0,7
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2152.0,76895.0,7
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,3796.0,18490.0,7
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2152.0,76895.0,21
RC,480,FOCUS RADIATION BEAM ,,,2152.0,2235.0,3
RC,480,FUSE PANCREAS AND BOWEL ,,,2152.0,2235.0,3
RC,480,FUSION OF FACIAL/OTHER NERVE ,,,2152.0,2235.0,3
RC,480,Fetal contraction stress test ,,,2152.0,2235.0,3
RC,480,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,2152.0,5932.0,7
RC,480,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2152.0,2235.0,3
RC,480,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,2152.0,2235.0,3
RC,480,Fetal non-stress test ,,,2152.0,2235.0,3
RC,480,Fetal scalp blood sampling ,,,2152.0,2235.0,3
RC,480,"Fetal shunt placement, including ultrasound guidance ",,,2152.0,5932.0,7
RC,480,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,2152.0,5932.0,7
RC,480,Fimbrioplasty ,,,5694.0,18490.0,7
RC,480,Fine needle aspiration of orbital contents ,,,3796.0,5932.0,7
RC,480,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,3796.0,6680.0,7
RC,480,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,3796.0,19415.0,7
RC,480,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,3796.0,19415.0,7
RC,480,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,3796.0,19415.0,7
RC,480,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,3796.0,19415.0,7
RC,480,Fitting and insertion of pessary or other intravaginal support device ,,,2152.0,2235.0,3
RC,480,Fixation of contralateral testis (separate procedure) ,,,3796.0,9908.0,7
RC,480,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,3942.0,3
RC,480,"Follicle puncture for oocyte retrieval, any method ",,,1266.0,5932.0,7
RC,480,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,2152.0,5932.0,7
RC,480,Free omental flap with microvascular anastomosis ,,,2152.0,2235.0,3
RC,480,Frenulotomy of penis ,,,3796.0,6680.0,7
RC,480,GLAUCOMA SURGERY ,,,2152.0,2235.0,3
RC,480,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,2152.0,5932.0,7
RC,480,Gastric motility (manometric) studies ,,,4693.0,5932.0,4
RC,480,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,9908.0,4
RC,480,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2214.0,2299.0,3
RC,480,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2214.0,2299.0,3
RC,480,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2214.0,2299.0,3
RC,480,Goniotomy ,,,3796.0,5932.0,7
RC,480,HFenestration semicircular canal ,,,7592.0,7884.0,3
RC,480,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,3796.0,3942.0,3
RC,480,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8858.0,9198.0,3
RC,480,HRevision fenestration operation ,,,7592.0,7884.0,3
RC,480,"Harvesting conjunctival allograft, living donor ",,,3796.0,6680.0,7
RC,480,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,19415.0,4
RC,480,"Hymenotomy, simple incision ",,,3796.0,5932.0,7
RC,480,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2152.0,2235.0,3
RC,480,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2152.0,23113.0,7
RC,480,Hysterorrhaphy of ruptured uterus ,,,2152.0,2235.0,3
RC,480,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2152.0,18490.0,7
RC,480,"Hysteroscopy, diagnostic (separate procedure) ",,,3796.0,3942.0,3
RC,480,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,7592.0,7884.0,3
RC,480,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,5694.0,5913.0,3
RC,480,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,5694.0,5913.0,3
RC,480,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,3796.0,3942.0,3
RC,480,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,3796.0,3942.0,3
RC,480,"Hysteroscopy, surgical; with removal of leiomyomata ",,,5694.0,5913.0,3
RC,480,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,3796.0,3942.0,3
RC,480,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,3796.0,3942.0,3
RC,480,Hystscp IU ADHESIO ,,,2152.0,2235.0,3
RC,480,Hystscp div IU septum ,,,2152.0,2235.0,3
RC,480,Hystscp impacted FB rmvl ,,,2152.0,2235.0,3
RC,480,Hystscp rmvl leiomyomata ,,,2152.0,2235.0,3
RC,480,Hystscp w Bx/polypectomy ,,,2152.0,2235.0,3
RC,480,Hystscp w endomet ablat ,,,2152.0,2235.0,3
RC,480,IMPLANT NEUROELECTRODES ,,,2152.0,2235.0,12
RC,480,"IMPLANT NEUROSTIMUL, SUBCORT ",,,2152.0,2235.0,3
RC,480,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2152.0,2235.0,3
RC,480,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,10122.0,10512.0,3
RC,480,INCISE INNER EAR ,,,2152.0,2235.0,3
RC,480,INCISE SKULL FOR SURGERY ,,,2152.0,2235.0,9
RC,480,INCISION OF HYMEN ,,,2152.0,2235.0,3
RC,480,INCISION OF PELVIS NERVE ,,,2152.0,2235.0,3
RC,480,INCISION OF VAGUS NERVE ,,,2152.0,2235.0,3
RC,480,INFLATE MIDDLE EAR CANAL ,,,2152.0,2235.0,6
RC,480,INJ PARAVERTEBRAL C/T ,,,2152.0,2235.0,3
RC,480,INJ PARAVERTEBRAL C/T ADD-ON ,,,2152.0,2235.0,3
RC,480,INJ PARAVERTEBRAL L/S ,,,2152.0,2235.0,3
RC,480,INJ PARAVERTEBRAL L/S ADD-ON ,,,2152.0,2235.0,3
RC,480,INJECT SPINE CERV/THORACIC ,,,1266.0,1314.0,3
RC,480,INJECT SPINE LUMBAR/SACRAL ,,,1266.0,1314.0,3
RC,480,INJECT SPINE W/CATH CRV/THRC ,,,1266.0,1314.0,3
RC,480,INJECT SPINE W/CATH LMB/SCRL ,,,1266.0,1314.0,3
RC,480,INJECTION FOR KIDNEY X-RAY ,,,2152.0,2235.0,3
RC,480,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2152.0,2235.0,3
RC,480,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1266.0,1314.0,3
RC,480,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2152.0,2235.0,3
RC,480,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1266.0,1314.0,3
RC,480,"INSERT ABDOM DRAIN, TEMP ",,,2152.0,2235.0,3
RC,480,INSERT KIDNEY DRAIN ,,,2152.0,2235.0,3
RC,480,INSERT URETERAL TUBE ,,,2152.0,2235.0,3
RC,480,INSET MIDDLE EAR (BAFFLE) ,,,2152.0,2235.0,3
RC,480,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,3796.0,3942.0,3
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2214.0,6680.0,7
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2214.0,9908.0,7
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2214.0,6680.0,7
RC,480,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7592.0,7884.0,3
RC,480,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5694.0,5913.0,3
RC,480,Impl cereb subcort elec ,,,2152.0,2235.0,3
RC,480,Impl subcort electrodes ,,,2152.0,2235.0,3
RC,480,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2152.0,2235.0,3
RC,480,Implantation of intrastromal corneal ring segments ,,,7592.0,19415.0,7
RC,480,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,7592.0,19415.0,7
RC,480,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,14630.0,18490.0,4
RC,480,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,19415.0,4
RC,480,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,2152.0,6680.0,7
RC,480,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,5286.0,13140.0,7
RC,480,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,5286.0,13140.0,7
RC,480,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,5286.0,7884.0,7
RC,480,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,7592.0,9908.0,7
RC,480,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2152.0,33769.0,7
RC,480,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2152.0,33769.0,7
RC,480,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,10122.0,33769.0,7
RC,480,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,5286.0,9198.0,7
RC,480,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,5286.0,7884.0,7
RC,480,Incision and drainage of Bartholin's gland abscess ,,,2152.0,5932.0,7
RC,480,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,3796.0,6680.0,7
RC,480,"Incision and drainage of penis, deep ",,,2214.0,19415.0,7
RC,480,"Incision and drainage of thyroglossal duct cyst, infected ",,,1266.0,5932.0,7
RC,480,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,3796.0,5932.0,7
RC,480,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2214.0,6680.0,7
RC,480,Incision and drainage of vulva or perineal abscess ,,,2152.0,6680.0,7
RC,480,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2152.0,2235.0,3
RC,480,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2152.0,5932.0,7
RC,480,"Incision of conjunctiva, drainage of cyst ",,,1266.0,6680.0,7
RC,480,"Incision, drainage of lacrimal gland ",,,1266.0,5932.0,7
RC,480,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1266.0,5932.0,7
RC,480,Incisional biopsy of eyelid skin including lid margin ,,,2152.0,5932.0,7
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2152.0,6680.0,7
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2152.0,6680.0,7
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2152.0,6680.0,7
RC,480,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2152.0,2235.0,3
RC,480,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2152.0,6680.0,14
RC,480,"Induced abortion, by dilation and curettage ",,,3796.0,18490.0,7
RC,480,"Induced abortion, by dilation and evacuation ",,,3796.0,18490.0,7
RC,480,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2152.0,2235.0,3
RC,480,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2152.0,2235.0,3
RC,480,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,14630.0,18490.0,4
RC,480,Inject anes 1 L facet N ,,,2152.0,2235.0,3
RC,480,Inject anes 1 paravert N ,,,2152.0,2235.0,3
RC,480,Inject anes >1 paravert ,,,2152.0,2235.0,3
RC,480,Inject anes L facet-ADDL ,,,2152.0,2235.0,3
RC,480,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,2152.0,5932.0,7
RC,480,Injection of contrast medium for dacryocystography ,,,2152.0,5932.0,7
RC,480,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,2152.0,2235.0,3
RC,480,Injection of medication or other substance into Tenon's capsule ,,,2152.0,5932.0,7
RC,480,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,3796.0,5932.0,7
RC,480,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,2152.0,5932.0,7
RC,480,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,2152.0,2235.0,3
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,15816.0,17384.0,5
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,15816.0,17384.0,5
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,15816.0,17384.0,5
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,15816.0,17384.0,5
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,15816.0,17384.0,5
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,15816.0,17384.0,5
RC,480,Injection procedure for Peyronie disease; ,,,2152.0,2235.0,3
RC,480,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,5694.0,19415.0,7
RC,480,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1266.0,5932.0,14
RC,480,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,3796.0,6680.0,7
RC,480,Injection procedure for corpora cavernosography ,,,2152.0,5932.0,7
RC,480,Injection procedure for cystography or voiding urethrocystography ,,,2152.0,2235.0,3
RC,480,"Injection procedure for discography, each level; cervical or thoracic ",,,2152.0,5932.0,7
RC,480,"Injection procedure for discography, each level; lumbar ",,,2152.0,5932.0,7
RC,480,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2152.0,2235.0,3
RC,480,"Injection procedure for myelography and/or computed tomography, lumbar ",,,2152.0,5932.0,7
RC,480,Injection procedure for retrograde urethrocystography ,,,2152.0,2235.0,3
RC,480,Injection procedure for sacroiliac joint; arthrography ,,,4693.0,5932.0,4
RC,480,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,7
RC,480,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,2152.0,5932.0,7
RC,480,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,2152.0,5932.0,7
RC,480,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1266.0,9908.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,3796.0,3942.0,3
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1266.0,1314.0,3
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2152.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2152.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,2152.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1266.0,1314.0,3
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,2152.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,2152.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1266.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,2152.0,5932.0,7
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,2152.0,5932.0,7
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,2152.0,5932.0,7
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1266.0,5932.0,7
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,2152.0,5932.0,7
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,2152.0,5932.0,7
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1266.0,5932.0,7
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,2152.0,5932.0,7
RC,480,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,2152.0,5932.0,28
RC,480,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,2152.0,5932.0,28
RC,480,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1266.0,5932.0,7
RC,480,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1266.0,5932.0,7
RC,480,"Injection, anesthetic agent; sphenopalatine ganglion ",,,2152.0,5932.0,7
RC,480,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1266.0,5932.0,7
RC,480,"Injection, anesthetic agent; superior hypogastric plexus ",,,1266.0,6680.0,7
RC,480,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2214.0,5932.0,7
RC,480,"Injection, anterior chamber of eye (separate procedure); medication ",,,2214.0,5932.0,7
RC,480,"Injection, epidural, of blood or clot patch ",,,1266.0,5932.0,7
RC,480,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,5913.0,3
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,3796.0,5932.0,7
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,3796.0,5932.0,7
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1266.0,5932.0,7
RC,480,Insert urinary catheter ,,,2152.0,2235.0,6
RC,480,Insertion of Heyman capsules for clinical brachytherapy ,,,3796.0,6680.0,7
RC,480,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1266.0,5932.0,7
RC,480,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,2152.0,6680.0,7
RC,480,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,7592.0,9908.0,7
RC,480,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2214.0,6680.0,7
RC,480,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,9908.0,4
RC,480,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,2152.0,5932.0,7
RC,480,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2152.0,5932.0,7
RC,480,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2214.0,6680.0,7
RC,480,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2214.0,6680.0,7
RC,480,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,1314.0,3
RC,480,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,4693.0,11826.0,7
RC,480,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,3796.0,76895.0,7
RC,480,Insertion of intrauterine device (IUD) ,,,2152.0,5932.0,7
RC,480,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,2152.0,23113.0,7
RC,480,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,7839.0,11826.0,7
RC,480,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,18288.0,23113.0,4
RC,480,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,18288.0,23113.0,4
RC,480,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,18288.0,23113.0,4
RC,480,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,4693.0,5932.0,4
RC,480,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,2152.0,5932.0,7
RC,480,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,5694.0,9908.0,7
RC,480,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,5286.0,6680.0,7
RC,480,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,5694.0,9908.0,7
RC,480,Insertion of penile prosthesis; inflatable (self-contained) ,,,7839.0,11826.0,7
RC,480,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,7839.0,10512.0,7
RC,480,Insertion of peritoneal-venous shunt ,,,2214.0,6680.0,7
RC,480,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,6680.0,4
RC,480,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2152.0,2235.0,3
RC,480,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2214.0,5932.0,7
RC,480,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,7592.0,9908.0,7
RC,480,Insertion of tandem cuff (dual cuff) ,,,5286.0,10512.0,7
RC,480,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,2152.0,5932.0,7
RC,480,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,2152.0,5932.0,7
RC,480,Insertion of testicular prosthesis (separate procedure) ,,,3796.0,6680.0,7
RC,480,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,5286.0,6680.0,4
RC,480,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,5286.0,6680.0,7
RC,480,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,5286.0,6680.0,7
RC,480,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,5286.0,6680.0,7
RC,480,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1266.0,6680.0,7
RC,480,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,2152.0,2235.0,3
RC,480,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,7839.0,15768.0,7
RC,480,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,5286.0,13140.0,7
RC,480,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2152.0,5932.0,7
RC,480,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2152.0,6680.0,7
RC,480,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,5286.0,13140.0,7
RC,480,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,5286.0,13140.0,7
RC,480,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5286.0,6680.0,4
RC,480,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,2152.0,5932.0,7
RC,480,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2152.0,2235.0,3
RC,480,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2152.0,2235.0,3
RC,480,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,2152.0,5932.0,7
RC,480,Intersex surgery; female to male ,,,2152.0,2235.0,3
RC,480,Intersex surgery; male to female ,,,2152.0,2235.0,3
RC,480,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,3796.0,18490.0,7
RC,480,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,27837.0,43890.0,5
RC,480,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,27837.0,43890.0,5
RC,480,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,27837.0,43890.0,5
RC,480,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,4693.0,5932.0,4
RC,480,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,4693.0,5932.0,4
RC,480,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,2152.0,5932.0,7
RC,480,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,2152.0,2235.0,3
RC,480,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,3796.0,9908.0,7
RC,480,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,3796.0,9908.0,7
RC,480,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2214.0,9908.0,7
RC,480,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2214.0,9908.0,7
RC,480,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,7592.0,9908.0,7
RC,480,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1266.0,5932.0,7
RC,480,Iridotomy by stab incision (separate procedure); except transfixion ,,,2152.0,5932.0,7
RC,480,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2214.0,5932.0,7
RC,480,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1266.0,5932.0,7
RC,480,Irrigation of corpora cavernosa for priapism ,,,2152.0,5932.0,7
RC,480,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,2152.0,2235.0,3
RC,480,Keratomileusis ,,,3796.0,23113.0,7
RC,480,Keratophakia ,,,3796.0,23113.0,7
RC,480,Keratoplasty (corneal transplant); anterior lamellar ,,,7592.0,23113.0,7
RC,480,Keratoplasty (corneal transplant); endothelial ,,,7592.0,23113.0,7
RC,480,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,7592.0,23113.0,7
RC,480,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,7592.0,23113.0,7
RC,480,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,7592.0,23113.0,7
RC,480,Keratoprosthesis ,,,10122.0,23113.0,7
RC,480,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,2152.0,2235.0,3
RC,480,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,2152.0,2235.0,3
RC,480,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,2152.0,2235.0,3
RC,480,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,2152.0,2235.0,3
RC,480,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,2152.0,2235.0,3
RC,480,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,2152.0,2235.0,3
RC,480,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,2152.0,2235.0,3
RC,480,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8858.0,9198.0,3
RC,480,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8858.0,9198.0,3
RC,480,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8858.0,9198.0,3
RC,480,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8858.0,9198.0,3
RC,480,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8858.0,9198.0,3
RC,480,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8858.0,9198.0,3
RC,480,LAVH ,,,2152.0,2235.0,3
RC,480,Labyrinthectomy; transcanal ,,,7592.0,23113.0,7
RC,480,Labyrinthectomy; with mastoidectomy ,,,7592.0,23113.0,7
RC,480,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,1266.0,18490.0,7
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,10122.0,10512.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,2152.0,2235.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,10122.0,10512.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,2152.0,2235.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,2152.0,2235.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,2152.0,2235.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,10122.0,10512.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,2152.0,2235.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,2152.0,2235.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,2152.0,2235.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,10122.0,10512.0,3
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,2152.0,2235.0,3
RC,480,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,2152.0,2235.0,3
RC,480,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,10122.0,10512.0,3
RC,480,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,2152.0,2235.0,3
RC,480,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,2152.0,2235.0,3
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,2152.0,2235.0,3
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,3796.0,3942.0,3
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,2152.0,2235.0,3
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,2152.0,2235.0,3
RC,480,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,2152.0,2235.0,3
RC,480,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,2152.0,2235.0,3
RC,480,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,10122.0,10512.0,3
RC,480,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,10122.0,76895.0,7
RC,480,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,2152.0,2235.0,3
RC,480,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,2152.0,2235.0,3
RC,480,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,2152.0,2235.0,3
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,8858.0,9198.0,3
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,8858.0,9198.0,3
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,8858.0,9198.0,3
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,8858.0,9198.0,3
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,8858.0,9198.0,3
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,8858.0,9198.0,3
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,8858.0,9198.0,3
RC,480,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,2152.0,2235.0,3
RC,480,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,8858.0,9198.0,3
RC,480,Laminectomy with rhizotomy; 1 or 2 segments ,,,10122.0,10512.0,3
RC,480,Laminectomy with rhizotomy; more than 2 segments ,,,10122.0,10512.0,3
RC,480,Laminectomy with section of spinal accessory nerve ,,,10122.0,10512.0,3
RC,480,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,2152.0,9198.0,12
RC,480,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2152.0,2235.0,6
RC,480,"Laminectomy, with release of tethered spinal cord, lumbar ",,,10122.0,10512.0,3
RC,480,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,2152.0,2235.0,3
RC,480,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,2152.0,2235.0,3
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,14630.0,18490.0,4
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,8858.0,9198.0,3
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,5694.0,5913.0,6
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,8858.0,9198.0,3
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,8858.0,9198.0,3
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,8858.0,9198.0,3
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,2152.0,2235.0,3
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4693.0,5932.0,4
RC,480,Laparoscopic APPY ,,,2152.0,2235.0,3
RC,480,Laparoscopic THC w/o Bx ,,,2152.0,2235.0,3
RC,480,Laparoscopic aspiration ,,,2152.0,2235.0,3
RC,480,Laparoscopic enterolysis ,,,2152.0,2235.0,3
RC,480,Laparoscopic fulgur FALL ,,,2152.0,2235.0,3
RC,480,Laparoscopic fulgur les ,,,2152.0,2235.0,3
RC,480,Laparoscopic jejunostomy ,,,2152.0,2235.0,3
RC,480,Laparoscopic occl FALL ,,,2152.0,2235.0,3
RC,480,Laparoscopic orchiectomy ,,,2152.0,2235.0,3
RC,480,Laparoscopic rmvl adnexa ,,,2152.0,2235.0,3
RC,480,Laparoscopic splenectomy ,,,2152.0,2235.0,3
RC,480,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,8858.0,9198.0,3
RC,480,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,8858.0,9198.0,3
RC,480,Laparoscopy w ADHESIO ,,,2152.0,2235.0,3
RC,480,Laparoscopy w biopsy ,,,2152.0,2235.0,3
RC,480,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, remove myoma ",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,10122.0,10512.0,3
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,14630.0,18490.0,4
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,14630.0,18490.0,4
RC,480,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2152.0,18490.0,7
RC,480,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; ablation of renal cysts ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,10122.0,10512.0,3
RC,480,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical; orchiectomy ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; partial nephrectomy ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; pyeloplasty ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical; repair initial inguinal hernia ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; ureterolithotomy ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical; with fimbrioplasty ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,2152.0,2235.0,3
RC,480,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,8858.0,9198.0,3
RC,480,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,7592.0,7884.0,3
RC,480,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,8858.0,9198.0,3
RC,480,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,8858.0,23113.0,7
RC,480,Lapscp CHOLE w CDE ,,,2152.0,2235.0,3
RC,480,Lapscp CHOLE&cholangrphy ,,,2152.0,2235.0,3
RC,480,Lapscp EG fundoplasty ,,,2152.0,2235.0,3
RC,480,Lapscp REP init IH ,,,2152.0,2235.0,3
RC,480,Lapscp REP recur IH ,,,2152.0,2235.0,3
RC,480,Lapscp adrenalectomy ,,,2152.0,2235.0,3
RC,480,Lapscp bilat pelv LYMPH ,,,2152.0,2235.0,3
RC,480,Lapscp cholcystentstmy ,,,2152.0,2235.0,3
RC,480,Lapscp cholecystectomy ,,,2152.0,2235.0,3
RC,480,Lapscp fimbrioplasty ,,,2152.0,2235.0,3
RC,480,Lapscp intest resect ,,,2152.0,2235.0,3
RC,480,Lapscp lig sperm vein ,,,2152.0,2235.0,3
RC,480,Lapscp lymphocele drain ,,,2152.0,2235.0,3
RC,480,Lapscp pelvic LYMPH & Bx ,,,2152.0,2235.0,3
RC,480,Lapscp retroperit LN Bx ,,,2152.0,2235.0,3
RC,480,Lapscp rmvl leiomyomata ,,,2152.0,2235.0,3
RC,480,Lapscp salpingostomy ,,,2152.0,2235.0,3
RC,480,Lapscp select vagotomy ,,,2152.0,2235.0,3
RC,480,Lapscp temp gastrostomy ,,,2152.0,2235.0,3
RC,480,Lapscp truncal vagotomy ,,,2152.0,2235.0,3
RC,480,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,2299.0,3
RC,480,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,7592.0,7884.0,3
RC,480,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,7592.0,18490.0,7
RC,480,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2152.0,2235.0,3
RC,480,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2152.0,2235.0,3
RC,480,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,7592.0,18490.0,7
RC,480,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,15816.0,17384.0,5
RC,480,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,15816.0,17384.0,5
RC,480,Ligation of peritoneal-venous shunt ,,,2214.0,2299.0,3
RC,480,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2152.0,5932.0,7
RC,480,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2214.0,6680.0,7
RC,480,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,3796.0,6680.0,7
RC,480,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,3796.0,6680.0,7
RC,480,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,3796.0,5932.0,7
RC,480,"Lithotripsy, extracorporeal shock wave ",,,8858.0,9198.0,3
RC,480,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,5932.0,4
RC,480,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,5932.0,4
RC,480,Lumbar/caudal inject NEC ,,,2152.0,2235.0,3
RC,480,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,3796.0,18490.0,7
RC,480,Lysis of labial adhesions ,,,3796.0,5932.0,7
RC,480,Lysis or excision of penile post-circumcision adhesions ,,,3796.0,6680.0,7
RC,480,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,7839.0,9908.0,4
RC,480,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1266.0,5932.0,7
RC,480,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,2152.0,2235.0,3
RC,480,Marsupialization of Bartholin's gland cyst ,,,3796.0,6680.0,7
RC,480,Marsupialization of pancreatic cyst ,,,2152.0,2235.0,3
RC,480,"Marsupialization of urethral diverticulum, male or female ",,,5286.0,6680.0,7
RC,480,Mastoid obliteration (separate procedure) ,,,7592.0,9908.0,7
RC,480,Mastoidectomy; complete ,,,3796.0,23113.0,7
RC,480,Mastoidectomy; modified radical ,,,7592.0,23113.0,7
RC,480,Mastoidectomy; radical ,,,7592.0,23113.0,7
RC,480,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,2152.0,2235.0,3
RC,480,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,3796.0,5932.0,7
RC,480,"Meatotomy, cutting of meatus (separate procedure); infant ",,,3796.0,5932.0,7
RC,480,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1266.0,5932.0,7
RC,480,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,Middle ear exploration through postauricular or ear canal incision ,,,3796.0,9908.0,7
RC,480,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,3796.0,3942.0,3
RC,480,Multifetal pregnancy reduction(s) (MPR) ,,,2152.0,2235.0,3
RC,480,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,3796.0,5932.0,7
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1266.0,6680.0,7
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1266.0,5932.0,7
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1266.0,5932.0,7
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1266.0,5932.0,7
RC,480,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,5694.0,23113.0,7
RC,480,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,3796.0,18490.0,7
RC,480,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,5694.0,5913.0,3
RC,480,Myringoplasty (surgery confined to drumhead and donor area) ,,,3796.0,6680.0,7
RC,480,Myringotomy including aspiration and/or eustachian tube inflation ,,,2152.0,9908.0,7
RC,480,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2214.0,9908.0,7
RC,480,"Myringotomy, laser-assisted ",,,7839.0,9908.0,4
RC,480,N BLOCK INJ SPINAL ACCESSOR ,,,2152.0,2235.0,3
RC,480,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,2152.0,2235.0,3
RC,480,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,480,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2152.0,6680.0,7
RC,480,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2152.0,5932.0,7
RC,480,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,2152.0,5932.0,7
RC,480,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2152.0,2235.0,3
RC,480,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2152.0,2235.0,3
RC,480,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2152.0,2235.0,3
RC,480,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2152.0,2235.0,3
RC,480,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2152.0,2235.0,3
RC,480,"Nephrectomy, partial ",,,2152.0,2235.0,3
RC,480,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2152.0,2235.0,3
RC,480,Nephrolithotomy; removal of calculus ,,,2152.0,2235.0,3
RC,480,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2152.0,2235.0,3
RC,480,Nephrolithotomy; secondary surgical operation for calculus ,,,2152.0,2235.0,3
RC,480,"Nephrorrhaphy, suture of kidney wound or injury ",,,2152.0,2235.0,3
RC,480,"Nephrostomy, nephrotomy with drainage ",,,3796.0,9908.0,7
RC,480,"Nephrotomy, with exploration ",,,2152.0,2235.0,3
RC,480,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,5286.0,7884.0,7
RC,480,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,5286.0,7884.0,7
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,7592.0,9908.0,7
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,7592.0,9908.0,7
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,7592.0,9908.0,7
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,7592.0,9908.0,7
RC,480,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,5286.0,7884.0,7
RC,480,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,5286.0,7884.0,7
RC,480,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,5286.0,7884.0,7
RC,480,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,5286.0,7884.0,7
RC,480,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,2152.0,6680.0,7
RC,480,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,2152.0,6680.0,7
RC,480,Nerve pedicle transfer; first stage ,,,5286.0,7884.0,7
RC,480,Nerve pedicle transfer; second stage ,,,4693.0,7884.0,7
RC,480,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,5286.0,7884.0,7
RC,480,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2152.0,6680.0,7
RC,480,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,5286.0,7884.0,7
RC,480,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2152.0,2235.0,3
RC,480,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2152.0,2235.0,3
RC,480,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2152.0,2235.0,3
RC,480,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2152.0,2235.0,3
RC,480,Neuroplasty and/or transposition; cranial nerve (specify) ,,,3796.0,9908.0,7
RC,480,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,3796.0,6680.0,7
RC,480,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,3796.0,6680.0,7
RC,480,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,3796.0,6680.0,7
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,3796.0,6680.0,7
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,3796.0,6680.0,7
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,3796.0,6680.0,7
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,3796.0,6680.0,7
RC,480,"Neuroplasty; digital, 1 or both, same digit ",,,3796.0,5932.0,7
RC,480,Neuroplasty; nerve of hand or foot ,,,3796.0,5932.0,7
RC,480,Nocturnal penile tumescence and/or rigidity test ,,,2152.0,5932.0,7
RC,480,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2152.0,2235.0,3
RC,480,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,3796.0,9908.0,7
RC,480,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,5694.0,18490.0,7
RC,480,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,5694.0,18490.0,7
RC,480,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,7592.0,18490.0,7
RC,480,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2152.0,2235.0,3
RC,480,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2152.0,2235.0,3
RC,480,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2152.0,19415.0,7
RC,480,"Oophorectomy, partial or total, unilateral or bilateral; ",,,5694.0,18490.0,7
RC,480,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,5694.0,5913.0,3
RC,480,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,6680.0,4
RC,480,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,5286.0,15768.0,7
RC,480,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,6680.0,4
RC,480,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2152.0,6680.0,7
RC,480,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,6680.0,4
RC,480,Open implantation of neurostimulator electrode array; neuromuscular ,,,4693.0,10512.0,7
RC,480,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4693.0,10512.0,7
RC,480,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,7839.0,10512.0,7
RC,480,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,7
RC,480,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,18490.0,7
RC,480,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,7
RC,480,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,3942.0,3
RC,480,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,3942.0,3
RC,480,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,5694.0,19415.0,7
RC,480,Orbital implant (implant outside muscle cone); insertion ,,,5694.0,19415.0,7
RC,480,Orbital implant (implant outside muscle cone); removal or revision ,,,5286.0,6680.0,7
RC,480,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2152.0,2235.0,3
RC,480,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2152.0,2235.0,3
RC,480,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2152.0,2235.0,3
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,5694.0,18490.0,7
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,5694.0,18490.0,7
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,5694.0,18490.0,7
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,5694.0,18490.0,7
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,5694.0,18490.0,7
RC,480,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,5694.0,9908.0,7
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,3796.0,19415.0,7
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,5694.0,18490.0,7
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,3796.0,18490.0,7
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,3796.0,18490.0,7
RC,480,"Orchiectomy, partial ",,,3796.0,9908.0,7
RC,480,"Orchiectomy, radical, for tumor; inguinal approach ",,,5694.0,19415.0,7
RC,480,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,5694.0,5913.0,3
RC,480,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,5694.0,9908.0,7
RC,480,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,5694.0,19415.0,7
RC,480,"Orchiopexy, inguinal or scrotal approach ",,,5694.0,19415.0,7
RC,480,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,2152.0,2235.0,3
RC,480,"Other cranial decompression, posterior fossa ",,,2152.0,2235.0,3
RC,480,Other spinal injection ,,,2152.0,2235.0,3
RC,480,"Otoplasty, protruding ear, with or without size reduction ",,,3796.0,9908.0,7
RC,480,"Ovarian cystectomy, unilateral or bilateral ",,,5694.0,18490.0,7
RC,480,"PERCUT/NEEDLE INSERT, PROS ",,,2152.0,2235.0,3
RC,480,"PROSTATECTOMY, FIRST STAGE ",,,2152.0,2235.0,3
RC,480,"PROSTATECTOMY, SECOND STAGE ",,,2152.0,2235.0,3
RC,480,PROSTATIC WATER THERMOTHER ,,,2152.0,2235.0,3
RC,480,PUNCTURE PERITONEAL CAVITY ,,,2152.0,2235.0,3
RC,480,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2152.0,2235.0,3
RC,480,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2152.0,2235.0,3
RC,480,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2152.0,2235.0,3
RC,480,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2152.0,2235.0,3
RC,480,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2152.0,2235.0,3
RC,480,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2152.0,2235.0,3
RC,480,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2152.0,2235.0,3
RC,480,"Pancreatectomy, total ",,,2152.0,2235.0,3
RC,480,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2152.0,2235.0,3
RC,480,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2152.0,2235.0,3
RC,480,Pancreatorrhaphy for injury ,,,2152.0,2235.0,3
RC,480,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,2152.0,5932.0,7
RC,480,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,3796.0,6680.0,7
RC,480,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,3796.0,9908.0,7
RC,480,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,2152.0,9908.0,7
RC,480,Parathyroidectomy or exploration of parathyroid(s); ,,,7592.0,23113.0,7
RC,480,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,7592.0,23113.0,7
RC,480,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2152.0,2235.0,3
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,8858.0,18490.0,7
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,7592.0,18490.0,7
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,7592.0,19415.0,7
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1266.0,5932.0,7
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,2152.0,5932.0,7
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1266.0,5932.0,7
RC,480,Partial hymenectomy or revision of hymenal ring ,,,3796.0,5932.0,7
RC,480,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,8858.0,19415.0,7
RC,480,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,8858.0,19415.0,7
RC,480,Pelvic examination under anesthesia (other than local) ,,,3796.0,6680.0,7
RC,480,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,2152.0,2235.0,3
RC,480,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2152.0,2235.0,3
RC,480,Penile plethysmography ,,,2152.0,5932.0,7
RC,480,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2152.0,76895.0,7
RC,480,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,2214.0,5932.0,7
RC,480,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1266.0,5932.0,7
RC,480,Percutaneous balloon valvuloplasty; aortic valve ,,,27837.0,43890.0,5
RC,480,Percutaneous balloon valvuloplasty; mitral valve ,,,27837.0,43890.0,5
RC,480,Percutaneous balloon valvuloplasty; pulmonary valve ,,,27837.0,43890.0,5
RC,480,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,9908.0,4
RC,480,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,6680.0,4
RC,480,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4693.0,5932.0,4
RC,480,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,5286.0,9198.0,7
RC,480,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4693.0,9198.0,7
RC,480,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4693.0,9198.0,7
RC,480,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,7839.0,9908.0,7
RC,480,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1266.0,5932.0,14
RC,480,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,7592.0,19415.0,14
RC,480,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,9908.0,4
RC,480,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,7
RC,480,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,11388.0,43890.0,8
RC,480,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,11388.0,43890.0,8
RC,480,Percutaneous transcatheter closure of patent ductus arteriosus ,,,11388.0,43890.0,8
RC,480,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,43890.0,5
RC,480,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,27837.0,43890.0,5
RC,480,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,27837.0,43890.0,5
RC,480,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,27837.0,43890.0,5
RC,480,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,2152.0,43890.0,8
RC,480,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,27837.0,43890.0,5
RC,480,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,27837.0,43890.0,5
RC,480,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,43890.0,5
RC,480,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,27837.0,43890.0,5
RC,480,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,27837.0,43890.0,5
RC,480,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,27837.0,43890.0,5
RC,480,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,18288.0,23113.0,4
RC,480,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,27837.0,43890.0,5
RC,480,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,27837.0,43890.0,5
RC,480,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,27837.0,43890.0,5
RC,480,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,27837.0,43890.0,5
RC,480,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,27837.0,43890.0,10
RC,480,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,27837.0,43890.0,6
RC,480,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,27837.0,43890.0,10
RC,480,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,27837.0,43890.0,5
RC,480,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,14630.0,18490.0,4
RC,480,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,14630.0,18490.0,4
RC,480,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,15362.0,19415.0,4
RC,480,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,15362.0,19415.0,4
RC,480,"Pereyra procedure, including anterior colporrhaphy ",,,5694.0,18490.0,7
RC,480,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,3796.0,18490.0,7
RC,480,"Peritoneal lavage, including imaging guidance, when performed ",,,1266.0,6680.0,7
RC,480,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2152.0,19415.0,7
RC,480,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2152.0,5932.0,7
RC,480,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2152.0,6680.0,7
RC,480,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2152.0,9908.0,7
RC,480,Pertnscp cholangram w bx ,,,2152.0,2235.0,3
RC,480,Petrous apicectomy including radical mastoidectomy ,,,7592.0,23113.0,7
RC,480,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,2152.0,19415.0,7
RC,480,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,4693.0,5932.0,7
RC,480,Placement of amniotic membrane on the ocular surface; without sutures ,,,1266.0,5932.0,7
RC,480,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,2152.0,2235.0,3
RC,480,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,2152.0,2235.0,3
RC,480,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,1314.0,3
RC,480,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2152.0,2235.0,3
RC,480,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2214.0,5932.0,7
RC,480,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2214.0,5932.0,7
RC,480,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,4693.0,5932.0,7
RC,480,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,3796.0,6680.0,7
RC,480,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,3796.0,6680.0,7
RC,480,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,5694.0,9908.0,21
RC,480,Plastic operation of penis for injury ,,,5694.0,19415.0,7
RC,480,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,7592.0,9908.0,7
RC,480,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,7592.0,9908.0,7
RC,480,Plastic operation on penis for epispadias distal to external sphincter; ,,,5694.0,9908.0,7
RC,480,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,7592.0,7884.0,3
RC,480,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,5694.0,9908.0,7
RC,480,Plastic operation on penis to correct angulation ,,,7592.0,9908.0,7
RC,480,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,7592.0,9908.0,7
RC,480,Plastic repair of canaliculi ,,,3796.0,6680.0,7
RC,480,Plastic repair of introitus ,,,3796.0,9908.0,7
RC,480,Plastic repair of urethrocele ,,,3796.0,9908.0,7
RC,480,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,5694.0,18490.0,7
RC,480,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,2152.0,5932.0,7
RC,480,Postpartum care only (separate procedure) ,,,2152.0,5932.0,7
RC,480,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,4693.0,5932.0,4
RC,480,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2152.0,2235.0,3
RC,480,"Probing of lacrimal canaliculi, with or without irrigation ",,,2152.0,5932.0,7
RC,480,"Probing of nasolacrimal duct, with or without irrigation; ",,,2152.0,5932.0,7
RC,480,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,3796.0,6680.0,7
RC,480,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,3796.0,6680.0,7
RC,480,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,3796.0,6680.0,7
RC,480,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,27837.0,43890.0,5
RC,480,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,2152.0,6680.0,7
RC,480,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1266.0,5932.0,7
RC,480,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2152.0,2235.0,3
RC,480,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2152.0,2235.0,3
RC,480,"Prostatectomy, perineal radical; ",,,2152.0,2235.0,3
RC,480,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,2235.0,3
RC,480,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,2235.0,3
RC,480,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2152.0,2235.0,3
RC,480,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2152.0,2235.0,3
RC,480,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,23113.0,7
RC,480,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,2235.0,3
RC,480,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,3796.0,6680.0,7
RC,480,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,3796.0,5932.0,7
RC,480,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1266.0,1314.0,3
RC,480,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1266.0,5932.0,7
RC,480,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2152.0,2235.0,3
RC,480,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2152.0,2235.0,3
RC,480,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,2152.0,2235.0,3
RC,480,"Pyelotomy; with drainage, pyelostomy ",,,2152.0,2235.0,3
RC,480,Pyelotomy; with exploration ,,,2152.0,2235.0,3
RC,480,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2152.0,2235.0,3
RC,480,RECONSTRUCTION OF URETHRA ,,,2152.0,2235.0,3
RC,480,REDUCTION OF SKULL DEFECT ,,,2152.0,2235.0,3
RC,480,REMOVAL OF ABDOMINAL FLUID ,,,2152.0,2235.0,3
RC,480,REMOVAL OF ABDOMINAL LESION ,,,2152.0,2235.0,3
RC,480,REMOVAL OF BRAIN TISSUE ,,,2152.0,2235.0,3
RC,480,REMOVAL OF TESTIS LESION ,,,2152.0,2235.0,3
RC,480,"REMOVE ABDOM LESION, COMPLEX ",,,2152.0,2235.0,3
RC,480,REMOVE ABDOMEN FOREIGN BODY ,,,2152.0,2235.0,3
RC,480,REMOVE MULTI-COMP PROSTHESIS ,,,2152.0,2235.0,3
RC,480,REMOVE PENIS PROSTHESIS ,,,2152.0,2235.0,3
RC,480,REMOVE RESIDUAL PROSTATE ,,,2152.0,2235.0,3
RC,480,RENAL ABSCESS PERCUT DRAIN ,,,2152.0,2235.0,3
RC,480,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,2235.0,6
RC,480,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,5694.0,5913.0,3
RC,480,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,5694.0,5913.0,3
RC,480,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,5913.0,3
RC,480,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,5913.0,3
RC,480,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,3796.0,3942.0,3
RC,480,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,5913.0,3
RC,480,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,5913.0,3
RC,480,REPAIR SPIGELIAN HERNIA ,,,5694.0,5913.0,3
RC,480,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,5694.0,5913.0,3
RC,480,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,5694.0,5913.0,3
RC,480,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,5694.0,5913.0,3
RC,480,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,5694.0,5913.0,3
RC,480,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,10122.0,10512.0,3
RC,480,REREPAIR DETACHED RETINA ,,,2152.0,2235.0,3
RC,480,RESECT/DEBRIDE PANCREAS ,,,2152.0,2235.0,3
RC,480,REVISE PENIS PROSTHESIS ,,,2152.0,2235.0,3
RC,480,REVISE/REMOVE NEUROELECTRODE ,,,2152.0,2235.0,3
RC,480,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,7592.0,7884.0,3
RC,480,Radial keratotomy ,,,3796.0,23113.0,7
RC,480,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,23113.0,7
RC,480,Radical excision external auditory canal lesion; with neck dissection ,,,2152.0,2235.0,3
RC,480,Radical excision external auditory canal lesion; without neck dissection ,,,3796.0,9908.0,7
RC,480,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,2235.0,3
RC,480,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2152.0,19415.0,7
RC,480,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2152.0,2235.0,3
RC,480,Recipient nephrectomy (separate procedure) ,,,2152.0,2235.0,3
RC,480,"Reconstruction external auditory canal for congenital atresia, single stage ",,,7592.0,23113.0,7
RC,480,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,7592.0,9908.0,7
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,3796.0,9908.0,7
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,3796.0,9908.0,7
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,5694.0,9908.0,7
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,3796.0,9908.0,7
RC,480,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,4693.0,5932.0,4
RC,480,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2152.0,2235.0,3
RC,480,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2152.0,2235.0,3
RC,480,Reduction of overcorrection of ptosis ,,,3796.0,19415.0,7
RC,480,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,3796.0,19415.0,7
RC,480,Reinsertion of ocular implant; with or without conjunctival graft ,,,5286.0,6680.0,7
RC,480,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,5694.0,9908.0,7
RC,480,Release of encircling material (posterior segment) ,,,3796.0,6680.0,7
RC,480,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,3796.0,23113.0,7
RC,480,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,3796.0,5932.0,7
RC,480,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,3796.0,5932.0,7
RC,480,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2214.0,5932.0,7
RC,480,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1266.0,5932.0,7
RC,480,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,7839.0,11826.0,7
RC,480,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,2152.0,18490.0,7
RC,480,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2214.0,5932.0,7
RC,480,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,6680.0,4
RC,480,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,4693.0,11826.0,7
RC,480,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1266.0,1314.0,3
RC,480,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,7839.0,11826.0,7
RC,480,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1266.0,19415.0,7
RC,480,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,3796.0,5932.0,7
RC,480,Removal foreign body from external auditory canal; with general anesthesia ,,,2214.0,5932.0,7
RC,480,Removal foreign body from external auditory canal; without general anesthesia ,,,2152.0,2235.0,3
RC,480,"Removal impacted cerumen requiring instrumentation, unilateral ",,,2152.0,5932.0,7
RC,480,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,2152.0,5932.0,7
RC,480,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,5694.0,9908.0,7
RC,480,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,5286.0,6680.0,4
RC,480,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,5286.0,6680.0,4
RC,480,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,5286.0,6680.0,4
RC,480,"Removal of blood clot, anterior segment of eye ",,,3796.0,18490.0,7
RC,480,Removal of bone flap or prosthetic plate of skull ,,,2152.0,2235.0,3
RC,480,Removal of cerclage suture under anesthesia (other than local) ,,,3796.0,18490.0,7
RC,480,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2152.0,2235.0,3
RC,480,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2214.0,6680.0,7
RC,480,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,3796.0,5932.0,7
RC,480,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1266.0,5932.0,7
RC,480,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4693.0,7884.0,7
RC,480,"Removal of embedded foreign body, eyelid ",,,2152.0,5932.0,7
RC,480,Removal of entire lumbosubarachnoid shunt system without replacement ,,,3796.0,6680.0,7
RC,480,"Removal of epithelial downgrowth, anterior chamber of eye ",,,3796.0,18490.0,7
RC,480,Removal of foreign body in scrotum ,,,3796.0,6680.0,7
RC,480,"Removal of foreign body or dacryolith, lacrimal passages ",,,2152.0,5932.0,7
RC,480,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,2152.0,2235.0,3
RC,480,"Removal of foreign body, external eye; conjunctival superficial ",,,2152.0,2235.0,3
RC,480,"Removal of foreign body, external eye; corneal, with slit lamp ",,,2152.0,2235.0,3
RC,480,"Removal of foreign body, external eye; corneal, without slit lamp ",,,2152.0,2235.0,3
RC,480,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,3796.0,6680.0,7
RC,480,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,2152.0,9908.0,7
RC,480,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,3796.0,19415.0,7
RC,480,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,5932.0,4
RC,480,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2152.0,5932.0,7
RC,480,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,5932.0,4
RC,480,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,3796.0,6680.0,7
RC,480,"Removal of implanted material, anterior segment of eye ",,,3796.0,23113.0,7
RC,480,"Removal of implanted material, posterior segment; extraocular ",,,3796.0,6680.0,7
RC,480,"Removal of implanted material, posterior segment; intraocular ",,,5286.0,7884.0,7
RC,480,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,4693.0,7884.0,7
RC,480,Removal of intrauterine device (IUD) ,,,2152.0,5932.0,7
RC,480,"Removal of lens material; aspiration technique, 1 or more stages ",,,3796.0,19415.0,7
RC,480,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2214.0,18490.0,7
RC,480,Removal of lens material; intracapsular ,,,3796.0,19415.0,7
RC,480,"Removal of lens material; intracapsular, for dislocated lens ",,,3796.0,18490.0,7
RC,480,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,7592.0,19415.0,7
RC,480,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,3796.0,23113.0,7
RC,480,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1266.0,5932.0,7
RC,480,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,4693.0,5932.0,4
RC,480,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,5694.0,9908.0,7
RC,480,Removal of ocular implant ,,,4693.0,5932.0,7
RC,480,Removal of pancreatic calculus ,,,2152.0,2235.0,3
RC,480,Removal of peritoneal foreign body from peritoneal cavity ,,,5286.0,6680.0,7
RC,480,Removal of peritoneal-venous shunt ,,,5286.0,6680.0,7
RC,480,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,18288.0,23113.0,4
RC,480,Removal of previously implanted intrathecal or epidural catheter ,,,3796.0,6680.0,7
RC,480,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,3796.0,19415.0,7
RC,480,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2152.0,6680.0,7
RC,480,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,3796.0,5932.0,7
RC,480,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,5932.0,7
RC,480,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,5286.0,7884.0,7
RC,480,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,2152.0,5932.0,7
RC,480,Removal of transplanted pancreatic allograft ,,,2152.0,2235.0,3
RC,480,Removal of transplanted renal allograft ,,,2152.0,2235.0,3
RC,480,"Removal of tumor, temporal bone ",,,7592.0,19415.0,7
RC,480,Removal of tunneled intraperitoneal catheter ,,,4693.0,5932.0,7
RC,480,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,3796.0,19415.0,7
RC,480,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,3796.0,19415.0,7
RC,480,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,4693.0,7884.0,7
RC,480,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,4693.0,5932.0,7
RC,480,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,3796.0,18490.0,7
RC,480,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,4693.0,5932.0,4
RC,480,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2152.0,6680.0,7
RC,480,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2152.0,6680.0,7
RC,480,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2152.0,6680.0,7
RC,480,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2152.0,2235.0,3
RC,480,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2152.0,2235.0,3
RC,480,"Renal autotransplantation, reimplantation of kidney ",,,2152.0,2235.0,3
RC,480,Renal biopsy; by surgical exposure of kidney ,,,2152.0,2235.0,3
RC,480,"Renal biopsy; percutaneous, by trocar or needle ",,,2214.0,5932.0,7
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,5932.0,7
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1266.0,5932.0,7
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,3796.0,5932.0,7
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,3796.0,5932.0,7
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1266.0,6680.0,7
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,3796.0,5932.0,7
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,5932.0,7
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1266.0,5932.0,7
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,7592.0,7884.0,3
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2214.0,5932.0,7
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2214.0,5932.0,7
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1266.0,5932.0,7
RC,480,"Renal exploration, not necessitating other specific procedures ",,,2152.0,2235.0,3
RC,480,Reopening of recent laparotomy ,,,2152.0,2235.0,3
RC,480,Repair incomplete circumcision ,,,3796.0,6680.0,7
RC,480,"Repair inguinal hernia, sliding, any age ",,,5694.0,19415.0,7
RC,480,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,5694.0,19415.0,7
RC,480,"Repair initial femoral hernia, any age; reducible ",,,5694.0,18490.0,7
RC,480,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,5694.0,19415.0,7
RC,480,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,5694.0,19415.0,7
RC,480,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,5694.0,19415.0,7
RC,480,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,5694.0,19415.0,7
RC,480,Repair lumbar hernia ,,,5286.0,6680.0,7
RC,480,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,15362.0,19415.0,4
RC,480,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2152.0,19415.0,42
RC,480,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2152.0,19415.0,42
RC,480,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,3796.0,19415.0,7
RC,480,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,3796.0,19415.0,7
RC,480,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,3796.0,19415.0,7
RC,480,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,5694.0,18490.0,7
RC,480,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,3796.0,18490.0,7
RC,480,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,5694.0,18490.0,7
RC,480,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,3796.0,19415.0,7
RC,480,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,7592.0,18490.0,7
RC,480,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,7592.0,9908.0,7
RC,480,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2152.0,2235.0,3
RC,480,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2152.0,2235.0,3
RC,480,Repair of ectropion; excision tarsal wedge ,,,3796.0,19415.0,7
RC,480,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,3796.0,19415.0,7
RC,480,Repair of ectropion; suture ,,,3796.0,9908.0,7
RC,480,Repair of ectropion; thermocauterization ,,,3796.0,9908.0,7
RC,480,"Repair of encephalocele, skull vault, including cranioplasty ",,,2152.0,2235.0,3
RC,480,"Repair of enterocele, abdominal approach (separate procedure) ",,,3796.0,3942.0,3
RC,480,"Repair of enterocele, vaginal approach (separate procedure) ",,,3796.0,9908.0,7
RC,480,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5286.0,6680.0,4
RC,480,Repair of entropion; excision tarsal wedge ,,,3796.0,19415.0,7
RC,480,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,3796.0,19415.0,7
RC,480,Repair of entropion; suture ,,,3796.0,9908.0,7
RC,480,Repair of entropion; thermocauterization ,,,3796.0,9908.0,7
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,5694.0,9908.0,7
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,5694.0,9908.0,7
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,5694.0,9908.0,7
RC,480,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,4693.0,5932.0,7
RC,480,"Repair of iris, ciliary body (as for iridodialysis) ",,,3796.0,9908.0,7
RC,480,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2214.0,6680.0,7
RC,480,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2152.0,6680.0,7
RC,480,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,3796.0,6680.0,7
RC,480,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,3796.0,6680.0,7
RC,480,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,3796.0,19415.0,7
RC,480,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,3796.0,19415.0,7
RC,480,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,5694.0,19415.0,7
RC,480,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,2152.0,19415.0,7
RC,480,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,2152.0,2235.0,3
RC,480,Repair of meningocele; larger than 5 cm diameter ,,,2152.0,2235.0,3
RC,480,Repair of meningocele; less than 5 cm diameter ,,,2152.0,2235.0,3
RC,480,Repair of myelomeningocele; larger than 5 cm diameter ,,,2152.0,2235.0,3
RC,480,Repair of myelomeningocele; less than 5 cm diameter ,,,2152.0,2235.0,3
RC,480,Repair of omphalocele (Gross type operation); first stage ,,,2152.0,2235.0,3
RC,480,Repair of omphalocele (Gross type operation); second stage ,,,2152.0,2235.0,3
RC,480,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2152.0,18490.0,7
RC,480,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2152.0,19415.0,7
RC,480,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,3796.0,19415.0,7
RC,480,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1266.0,18490.0,7
RC,480,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,3796.0,3942.0,3
RC,480,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,7592.0,18490.0,7
RC,480,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,7592.0,23113.0,7
RC,480,Repair of scleral staphyloma with graft ,,,3796.0,19415.0,7
RC,480,"Repair of small omphalocele, with primary closure ",,,5694.0,19415.0,7
RC,480,"Repair of symblepharon; conjunctivoplasty, without graft ",,,3796.0,19415.0,7
RC,480,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,3796.0,19415.0,7
RC,480,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,5694.0,19415.0,7
RC,480,Repair of traumatic corporeal tear(s) ,,,3796.0,6680.0,7
RC,480,Repair of tunica vaginalis hydrocele (Bottle type) ,,,3796.0,19415.0,7
RC,480,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,5694.0,9908.0,7
RC,480,Repair oval window fistula ,,,3796.0,19415.0,7
RC,480,Repair recurrent femoral hernia; incarcerated or strangulated ,,,5694.0,19415.0,7
RC,480,Repair recurrent femoral hernia; reducible ,,,5694.0,18490.0,7
RC,480,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,5694.0,19415.0,7
RC,480,"Repair recurrent inguinal hernia, any age; reducible ",,,5694.0,19415.0,7
RC,480,Repair round window fistula ,,,3796.0,19415.0,7
RC,480,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,5694.0,19415.0,14
RC,480,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,5694.0,18490.0,7
RC,480,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,5694.0,19415.0,7
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2152.0,33769.0,7
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2152.0,33769.0,7
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,7592.0,33769.0,7
RC,480,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2152.0,2235.0,3
RC,480,Replacement of bone flap or prosthetic plate of skull ,,,2152.0,2235.0,3
RC,480,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1266.0,5932.0,7
RC,480,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1266.0,5932.0,7
RC,480,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1266.0,5932.0,7
RC,480,"Replacement or irrigation, subarachnoid/subdural catheter ",,,3796.0,5932.0,7
RC,480,"Replacement or irrigation, ventricular catheter ",,,2214.0,5932.0,7
RC,480,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,5286.0,7884.0,7
RC,480,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,7592.0,9908.0,7
RC,480,"Replantation, penis, complete amputation including urethral repair ",,,2152.0,2235.0,3
RC,480,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,3796.0,19415.0,7
RC,480,Reprogramming of programmable cerebrospinal shunt ,,,2152.0,2235.0,3
RC,480,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,5694.0,5913.0,3
RC,480,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2152.0,2235.0,3
RC,480,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2152.0,2235.0,3
RC,480,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2152.0,2235.0,3
RC,480,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,2152.0,2235.0,3
RC,480,Resection of scrotum ,,,3796.0,5932.0,7
RC,480,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2152.0,2235.0,3
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2152.0,2235.0,3
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2152.0,2235.0,3
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2152.0,2235.0,3
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2152.0,2235.0,3
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2152.0,2235.0,3
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2152.0,2235.0,3
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2152.0,2235.0,3
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2152.0,2235.0,3
RC,480,"Resection temporal bone, external approach ",,,2152.0,2235.0,3
RC,480,Retrobulbar injection; alcohol ,,,2152.0,5932.0,7
RC,480,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,2152.0,2235.0,3
RC,480,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,15362.0,19415.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,14630.0,18490.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,14630.0,18490.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,14630.0,18490.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,14630.0,18490.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,14630.0,18490.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,15362.0,19415.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15362.0,19415.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,15362.0,19415.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,15362.0,19415.0,4
RC,480,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,15362.0,19415.0,4
RC,480,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,5694.0,5913.0,3
RC,480,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,2152.0,2235.0,3
RC,480,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,3796.0,9908.0,7
RC,480,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4693.0,9198.0,7
RC,480,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,9198.0,7
RC,480,Revision mastoidectomy; resulting in complete mastoidectomy ,,,7592.0,23113.0,7
RC,480,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,7592.0,23113.0,7
RC,480,Revision mastoidectomy; resulting in radical mastoidectomy ,,,7592.0,23113.0,7
RC,480,Revision mastoidectomy; resulting in tympanoplasty ,,,7592.0,23113.0,7
RC,480,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,3796.0,6680.0,7
RC,480,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,3796.0,9908.0,7
RC,480,Revision of peritoneal-venous shunt ,,,5286.0,6680.0,7
RC,480,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,7592.0,9908.0,7
RC,480,Revision of stapedectomy or stapedotomy ,,,7592.0,18490.0,7
RC,480,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,3796.0,3942.0,3
RC,480,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2152.0,2235.0,3
RC,480,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,5286.0,6680.0,7
RC,480,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4693.0,5932.0,7
RC,480,Revision or removal of intracranial neurostimulator electrodes ,,,5694.0,5913.0,3
RC,480,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2152.0,5932.0,7
RC,480,Revision or removal of peripheral neurostimulator electrode array ,,,4693.0,5932.0,7
RC,480,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4693.0,5932.0,7
RC,480,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,3796.0,6680.0,7
RC,480,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,7839.0,9908.0,4
RC,480,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,7839.0,9908.0,4
RC,480,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,5286.0,9198.0,7
RC,480,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,2152.0,6680.0,7
RC,480,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,6680.0,4
RC,480,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,6680.0,4
RC,480,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2152.0,9908.0,7
RC,480,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,15816.0,17384.0,5
RC,480,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,5913.0,3
RC,480,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2152.0,2235.0,3
RC,480,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2152.0,2235.0,3
RC,480,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2152.0,2235.0,3
RC,480,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2152.0,2235.0,3
RC,480,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,2152.0,2235.0,3
RC,480,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2214.0,2299.0,3
RC,480,STRIP RETINAL MEMBRANE ,,,2152.0,2235.0,3
RC,480,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,2152.0,2235.0,3
RC,480,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,5694.0,18490.0,7
RC,480,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,7592.0,18490.0,7
RC,480,Salpingostomy (salpingoneostomy) ,,,3796.0,18490.0,7
RC,480,Scleral reinforcement (separate procedure); with graft ,,,3796.0,9908.0,7
RC,480,Scleral reinforcement (separate procedure); without graft ,,,3796.0,9908.0,7
RC,480,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2214.0,6680.0,7
RC,480,"Scraping of cornea, diagnostic, for smear and/or culture ",,,2152.0,2235.0,3
RC,480,Scrotal exploration ,,,3796.0,6680.0,7
RC,480,Scrotoplasty; complicated ,,,3796.0,6680.0,7
RC,480,Scrotoplasty; simple ,,,4693.0,7884.0,7
RC,480,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2152.0,2235.0,3
RC,480,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2152.0,2235.0,3
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,3796.0,19415.0,7
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,3796.0,19415.0,7
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,3796.0,5932.0,7
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,3796.0,19415.0,7
RC,480,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1266.0,19415.0,7
RC,480,Severing of tarsorrhaphy ,,,1266.0,5932.0,7
RC,480,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1266.0,6680.0,7
RC,480,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,2152.0,5932.0,7
RC,480,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,2152.0,2235.0,3
RC,480,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,5286.0,10512.0,7
RC,480,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,7592.0,18490.0,7
RC,480,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,3796.0,6680.0,7
RC,480,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,3796.0,6680.0,7
RC,480,Snip incision of lacrimal punctum ,,,2152.0,5932.0,7
RC,480,Sperm washing for artificial insemination ,,,2152.0,2235.0,3
RC,480,"Spinal puncture, lumbar, diagnostic; ",,,1266.0,5932.0,7
RC,480,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2152.0,5932.0,7
RC,480,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1266.0,5932.0,7
RC,480,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2152.0,5932.0,7
RC,480,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,7592.0,18490.0,7
RC,480,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,7592.0,18490.0,7
RC,480,Stapes mobilization ,,,3796.0,23113.0,7
RC,480,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2152.0,2235.0,3
RC,480,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2152.0,2235.0,3
RC,480,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,2152.0,2235.0,3
RC,480,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,2152.0,2235.0,3
RC,480,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,2152.0,2235.0,3
RC,480,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2214.0,2299.0,3
RC,480,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,7592.0,7884.0,3
RC,480,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2214.0,5932.0,7
RC,480,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,2152.0,2235.0,3
RC,480,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,2152.0,19415.0,7
RC,480,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,2152.0,19415.0,7
RC,480,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,2152.0,19415.0,7
RC,480,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,2152.0,19415.0,7
RC,480,"Strabismus surgery, any procedure, superior oblique muscle ",,,3796.0,19415.0,7
RC,480,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,3796.0,9908.0,7
RC,480,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,3796.0,19415.0,7
RC,480,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,5694.0,19415.0,7
RC,480,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,3796.0,19415.0,7
RC,480,Subarachnoid inject NEC ,,,2152.0,2235.0,3
RC,480,Subconjunctival injection ,,,2152.0,2235.0,3
RC,480,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2214.0,2299.0,3
RC,480,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1266.0,5932.0,7
RC,480,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1266.0,5932.0,7
RC,480,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2152.0,2235.0,3
RC,480,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2152.0,2235.0,3
RC,480,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,23113.0,7
RC,480,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2152.0,2235.0,3
RC,480,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2152.0,2235.0,3
RC,480,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2152.0,2235.0,3
RC,480,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2152.0,2235.0,3
RC,480,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2152.0,2235.0,3
RC,480,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2152.0,2235.0,3
RC,480,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2152.0,2235.0,3
RC,480,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2152.0,2235.0,3
RC,480,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2152.0,2235.0,3
RC,480,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2152.0,2235.0,3
RC,480,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2152.0,2235.0,3
RC,480,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2152.0,2235.0,3
RC,480,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2152.0,2235.0,3
RC,480,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2152.0,2235.0,3
RC,480,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2152.0,2235.0,3
RC,480,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2152.0,2235.0,3
RC,480,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2152.0,2235.0,3
RC,480,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2152.0,2235.0,3
RC,480,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,5694.0,9908.0,7
RC,480,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,5694.0,19415.0,7
RC,480,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,7592.0,18490.0,7
RC,480,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,7592.0,18490.0,7
RC,480,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,5286.0,7884.0,7
RC,480,Suture of 1 nerve; median motor thenar ,,,7592.0,9908.0,7
RC,480,Suture of 1 nerve; ulnar motor ,,,7592.0,9908.0,7
RC,480,"Suture of digital nerve, hand or foot; 1 nerve ",,,7592.0,19415.0,7
RC,480,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,2152.0,5932.0,7
RC,480,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,Suture of facial nerve; extracranial ,,,7592.0,9908.0,7
RC,480,"Suture of facial nerve; infratemporal, with or without grafting ",,,7592.0,19415.0,7
RC,480,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,3796.0,6680.0,7
RC,480,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,5286.0,7884.0,7
RC,480,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,5286.0,7884.0,7
RC,480,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,2152.0,9908.0,7
RC,480,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,2152.0,6680.0,7
RC,480,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,2152.0,9908.0,7
RC,480,Suture of posterior tibial nerve ,,,5286.0,7884.0,7
RC,480,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,3796.0,6680.0,7
RC,480,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,3796.0,6680.0,7
RC,480,Suture of sciatic nerve ,,,5286.0,7884.0,7
RC,480,Suture of; brachial plexus ,,,7592.0,9908.0,7
RC,480,Suture of; lumbar plexus ,,,7592.0,9908.0,7
RC,480,Suture or repair of testicular injury ,,,3796.0,9908.0,7
RC,480,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2152.0,2235.0,3
RC,480,"Sympathectomy, cervical ",,,2214.0,6680.0,7
RC,480,"Sympathectomy, cervicothoracic ",,,2214.0,2299.0,3
RC,480,"Sympathectomy, lumbar ",,,2152.0,2235.0,3
RC,480,"Sympathectomy, thoracolumbar ",,,2152.0,2235.0,3
RC,480,"Sympathectomy; digital arteries, each digit ",,,3796.0,3942.0,3
RC,480,Sympathectomy; radial artery ,,,5694.0,19415.0,7
RC,480,Sympathectomy; superficial palmar arch ,,,5286.0,6680.0,7
RC,480,Sympathectomy; ulnar artery ,,,5286.0,6680.0,7
RC,480,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2152.0,2235.0,3
RC,480,TRANSECT ARTERY SINUS ,,,2152.0,2235.0,3
RC,480,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,2235.0,3
RC,480,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,2235.0,3
RC,480,TUR cong post valve/fold ,,,2152.0,2235.0,3
RC,480,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1266.0,5932.0,7
RC,480,Temporary transcutaneous pacing ,,,1266.0,1314.0,3
RC,480,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2152.0,18490.0,7
RC,480,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,5932.0,4
RC,480,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,5932.0,4
RC,480,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,4693.0,5932.0,4
RC,480,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,4693.0,5932.0,4
RC,480,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2152.0,2235.0,3
RC,480,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2152.0,2235.0,3
RC,480,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,7592.0,19415.0,7
RC,480,"Thyroidectomy, including substernal thyroid; cervical approach ",,,7592.0,19415.0,7
RC,480,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2214.0,2299.0,3
RC,480,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,7592.0,18490.0,7
RC,480,"Thyroidectomy, total or complete ",,,8858.0,23113.0,7
RC,480,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,18288.0,23113.0,4
RC,480,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,7592.0,23113.0,7
RC,480,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,3796.0,23113.0,7
RC,480,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2152.0,23113.0,7
RC,480,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2152.0,23113.0,7
RC,480,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,23113.0,7
RC,480,Total facial nerve decompression and/or repair (may include graft) ,,,7592.0,19415.0,7
RC,480,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,7839.0,9908.0,7
RC,480,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,5286.0,9198.0,7
RC,480,Trabeculoplasty by laser surgery ,,,1266.0,6680.0,7
RC,480,Trabeculotomy ab externo ,,,3796.0,19415.0,7
RC,480,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,3796.0,9908.0,7
RC,480,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,3796.0,9908.0,7
RC,480,"Transabdominal amnioinfusion, including ultrasound guidance ",,,2152.0,5932.0,7
RC,480,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,9908.0,4
RC,480,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2152.0,76895.0,14
RC,480,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2152.0,2235.0,3
RC,480,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,27837.0,43890.0,5
RC,480,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2152.0,18490.0,7
RC,480,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,3796.0,5932.0,7
RC,480,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2152.0,2235.0,3
RC,480,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2152.0,2235.0,3
RC,480,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2214.0,2299.0,3
RC,480,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,7592.0,7884.0,3
RC,480,"Transection or avulsion of other cranial nerve, extradural ",,,3796.0,6680.0,7
RC,480,"Transection or avulsion of other spinal nerve, extradural ",,,3796.0,6680.0,7
RC,480,"Transection or avulsion of; facial nerve, differential or complete ",,,3796.0,6680.0,7
RC,480,Transection or avulsion of; greater occipital nerve ,,,3796.0,6680.0,7
RC,480,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2214.0,6680.0,7
RC,480,Transection or avulsion of; infraorbital nerve ,,,2214.0,6680.0,7
RC,480,Transection or avulsion of; lingual nerve ,,,3796.0,6680.0,7
RC,480,Transection or avulsion of; mental nerve ,,,2214.0,6680.0,7
RC,480,Transection or avulsion of; phrenic nerve ,,,2214.0,6680.0,7
RC,480,Transection or avulsion of; supraorbital nerve ,,,2214.0,6680.0,7
RC,480,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2152.0,2235.0,3
RC,480,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2152.0,2235.0,3
RC,480,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2152.0,2235.0,3
RC,480,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2152.0,2235.0,3
RC,480,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,18288.0,23113.0,4
RC,480,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,18288.0,23113.0,4
RC,480,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,7592.0,18490.0,7
RC,480,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,7592.0,18490.0,7
RC,480,Transmastoid antrotomy (simple mastoidectomy) ,,,7592.0,23113.0,7
RC,480,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2152.0,2235.0,3
RC,480,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2152.0,2235.0,3
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,2152.0,2235.0,3
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,8858.0,9198.0,3
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,8858.0,9198.0,3
RC,480,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2152.0,5932.0,7
RC,480,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,3796.0,3942.0,3
RC,480,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2152.0,2235.0,3
RC,480,Transplantation of pancreatic allograft ,,,2152.0,2235.0,3
RC,480,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,3796.0,9908.0,7
RC,480,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,2152.0,19415.0,7
RC,480,"Transposition, ovary(s) ",,,5694.0,9908.0,7
RC,480,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2152.0,2235.0,3
RC,480,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2152.0,2235.0,3
RC,480,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2214.0,33769.0,7
RC,480,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2152.0,6680.0,7
RC,480,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,5286.0,7884.0,7
RC,480,Transurethral drainage of prostatic abscess ,,,3796.0,6680.0,7
RC,480,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,7592.0,19415.0,7
RC,480,Transurethral incision of prostate ,,,3796.0,9908.0,7
RC,480,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2214.0,6680.0,7
RC,480,Transurethral resection of bladder neck (separate procedure) ,,,3796.0,9908.0,7
RC,480,Transurethral resection; of postoperative bladder neck contracture ,,,3796.0,6680.0,7
RC,480,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,5286.0,7884.0,7
RC,480,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,5286.0,6680.0,4
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,2152.0,6680.0,7
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,2152.0,6680.0,7
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,2152.0,6680.0,7
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,2152.0,6680.0,7
RC,480,Transvesical ureterolithotomy ,,,7592.0,7884.0,3
RC,480,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1266.0,5932.0,7
RC,480,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1266.0,6680.0,7
RC,480,"Treatment of incomplete abortion, any trimester, completed surgically ",,,3796.0,18490.0,7
RC,480,"Treatment of missed abortion, completed surgically; first trimester ",,,3796.0,18490.0,7
RC,480,"Treatment of missed abortion, completed surgically; second trimester ",,,3796.0,18490.0,7
RC,480,"Treatment of septic abortion, completed surgically ",,,2152.0,6680.0,7
RC,480,Tubotubal anastomosis ,,,5694.0,18490.0,7
RC,480,Tubouterine implantation ,,,5694.0,18490.0,7
RC,480,Twist drill hole for subdural or ventricular puncture ,,,2152.0,2235.0,3
RC,480,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2152.0,2235.0,3
RC,480,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2152.0,2235.0,3
RC,480,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2152.0,2235.0,3
RC,480,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2152.0,2235.0,12
RC,480,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,3796.0,9908.0,7
RC,480,Tympanic neurectomy ,,,3796.0,9908.0,7
RC,480,"Tympanolysis, transcanal ",,,4693.0,7884.0,7
RC,480,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,7592.0,23113.0,7
RC,480,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,7592.0,23113.0,7
RC,480,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,7592.0,23113.0,7
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,7592.0,23113.0,7
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,7592.0,23113.0,7
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,7592.0,23113.0,7
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,7592.0,23113.0,7
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,7592.0,23113.0,7
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,7592.0,23113.0,7
RC,480,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,7592.0,18490.0,7
RC,480,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,7592.0,18490.0,7
RC,480,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,7592.0,18490.0,7
RC,480,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2214.0,9908.0,7
RC,480,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,2152.0,9908.0,7
RC,480,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,4693.0,5932.0,4
RC,480,URETER ENDOSCOPY & TRACER ,,,2152.0,2235.0,6
RC,480,URETHRA PRESSURE PROFILE ,,,2152.0,2235.0,3
RC,480,URINE VOIDING PRESSURE STUDY ,,,2152.0,2235.0,3
RC,480,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,5694.0,19415.0,7
RC,480,Unlist px-laparascopy ,,,2152.0,2235.0,3
RC,480,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,2152.0,5932.0,7
RC,480,"Unlisted hysteroscopy procedure, uterus ",,,2152.0,2235.0,3
RC,480,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, bladder ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, endocrine system ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, maternity care and delivery ",,,7592.0,9908.0,7
RC,480,"Unlisted laparoscopy procedure, oviduct, ovary ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, renal ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, spermatic cord ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, testis ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, ureter ",,,7592.0,7884.0,3
RC,480,"Unlisted laparoscopy procedure, uterus ",,,7592.0,7884.0,3
RC,480,"Unlisted procedure, abdomen, peritoneum and omentum ",,,4693.0,5932.0,7
RC,480,"Unlisted procedure, anterior segment of eye ",,,2214.0,5932.0,7
RC,480,"Unlisted procedure, conjunctiva ",,,2152.0,2235.0,3
RC,480,"Unlisted procedure, endocrine system ",,,4693.0,9198.0,7
RC,480,"Unlisted procedure, external ear ",,,2152.0,2235.0,3
RC,480,"Unlisted procedure, extraocular muscle ",,,2152.0,2235.0,3
RC,480,"Unlisted procedure, eyelids ",,,2152.0,2235.0,3
RC,480,"Unlisted procedure, female genital system (nonobstetrical) ",,,2152.0,5932.0,7
RC,480,"Unlisted procedure, inner ear ",,,2152.0,5932.0,7
RC,480,"Unlisted procedure, lacrimal system ",,,2152.0,2235.0,3
RC,480,"Unlisted procedure, male genital system ",,,2152.0,6680.0,7
RC,480,"Unlisted procedure, maternity care and delivery ",,,2152.0,6680.0,7
RC,480,"Unlisted procedure, middle ear ",,,2152.0,5932.0,7
RC,480,"Unlisted procedure, nervous system ",,,2152.0,5932.0,7
RC,480,"Unlisted procedure, orbit ",,,2152.0,2235.0,3
RC,480,"Unlisted procedure, pancreas ",,,2152.0,2235.0,3
RC,480,"Unlisted procedure, posterior segment ",,,2214.0,2299.0,3
RC,480,"Unlisted procedure, temporal bone, middle fossa approach ",,,2152.0,5932.0,7
RC,480,"Unlisted procedure, urinary system ",,,2152.0,5932.0,7
RC,480,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,2152.0,5932.0,7
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,5932.0,7
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,3796.0,5932.0,7
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,3796.0,5932.0,7
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,3796.0,5932.0,7
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1266.0,5932.0,7
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,5932.0,7
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2214.0,5932.0,7
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2214.0,5932.0,7
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,3796.0,5932.0,7
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1266.0,5932.0,7
RC,480,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2152.0,76895.0,7
RC,480,"Ureterectomy, with bladder cuff (separate procedure) ",,,2152.0,76895.0,7
RC,480,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2152.0,2235.0,3
RC,480,"Ureterocolon conduit, including intestine anastomosis ",,,2152.0,2235.0,3
RC,480,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2152.0,2235.0,3
RC,480,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2152.0,2235.0,3
RC,480,Ureterolithotomy; lower one-third of ureter ,,,2152.0,18490.0,7
RC,480,Ureterolithotomy; middle one-third of ureter ,,,2152.0,18490.0,7
RC,480,Ureterolithotomy; upper one-third of ureter ,,,2152.0,18490.0,7
RC,480,Ureterolysis for ovarian vein syndrome ,,,2152.0,2235.0,3
RC,480,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2152.0,2235.0,3
RC,480,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2152.0,2235.0,3
RC,480,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2152.0,2235.0,3
RC,480,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2152.0,2235.0,3
RC,480,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2152.0,2235.0,3
RC,480,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2152.0,2235.0,3
RC,480,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2152.0,2235.0,3
RC,480,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2152.0,2235.0,3
RC,480,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2152.0,2235.0,3
RC,480,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2152.0,2235.0,3
RC,480,"Ureterostomy, transplantation of ureter to skin ",,,2152.0,2235.0,3
RC,480,"Ureterotomy for insertion of indwelling stent, all types ",,,2152.0,18490.0,7
RC,480,Ureterotomy with exploration or drainage (separate procedure) ,,,2152.0,18490.0,7
RC,480,Ureteroureterostomy ,,,2152.0,2235.0,3
RC,480,"Urethrectomy, total, including cystostomy; female ",,,5694.0,18490.0,7
RC,480,"Urethrectomy, total, including cystostomy; male ",,,3796.0,18490.0,7
RC,480,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,5694.0,18490.0,7
RC,480,"Urethromeatoplasty, with mucosal advancement ",,,4693.0,5932.0,7
RC,480,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,3796.0,5932.0,7
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,5694.0,9908.0,7
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,5694.0,9908.0,7
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,7592.0,9908.0,7
RC,480,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,5694.0,9908.0,7
RC,480,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,5286.0,6680.0,7
RC,480,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,5286.0,6680.0,7
RC,480,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,5694.0,9908.0,7
RC,480,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,5286.0,6680.0,7
RC,480,"Urethroplasty, reconstruction of female urethra ",,,5286.0,6680.0,7
RC,480,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,7592.0,7884.0,3
RC,480,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,5694.0,9908.0,7
RC,480,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,5286.0,6680.0,7
RC,480,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,3796.0,6680.0,7
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,5286.0,6680.0,7
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,3796.0,6680.0,7
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,5286.0,6680.0,7
RC,480,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,3796.0,5932.0,7
RC,480,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,3796.0,5932.0,7
RC,480,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2152.0,2235.0,3
RC,480,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,2152.0,5932.0,7
RC,480,Uterine evacuation and curettage for hydatidiform mole ,,,3796.0,18490.0,7
RC,480,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2152.0,18490.0,7
RC,480,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2152.0,2235.0,3
RC,480,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,5694.0,5913.0,3
RC,480,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,2152.0,2235.0,3
RC,480,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,3796.0,5932.0,7
RC,480,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2152.0,5932.0,7
RC,480,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,3796.0,9908.0,7
RC,480,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2152.0,2235.0,3
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; ",,,5694.0,18490.0,7
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,5694.0,5913.0,3
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,5694.0,18490.0,7
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,5694.0,18490.0,7
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,5694.0,18490.0,7
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,7592.0,18490.0,7
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,7592.0,18490.0,7
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,7592.0,18490.0,7
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,7592.0,18490.0,7
RC,480,"Vaginal hysterectomy, radical (Schauta type operation) ",,,2152.0,2235.0,3
RC,480,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,5694.0,5913.0,3
RC,480,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,5694.0,5913.0,3
RC,480,"Vaginectomy, complete removal of vaginal wall; ",,,2152.0,9908.0,7
RC,480,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,5694.0,9908.0,7
RC,480,"Vaginectomy, partial removal of vaginal wall; ",,,3796.0,9908.0,7
RC,480,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,3796.0,6680.0,7
RC,480,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,3796.0,5932.0,7
RC,480,Vaginoplasty for intersex state ,,,3796.0,9908.0,7
RC,480,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,9908.0,4
RC,480,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,3796.0,6680.0,7
RC,480,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,2152.0,6680.0,7
RC,480,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,3796.0,6680.0,7
RC,480,"Vasovasostomy, vasovasorrhaphy ",,,3796.0,5932.0,7
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,480,Ventilating tube removal requiring general anesthesia ,,,2214.0,5932.0,7
RC,480,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1266.0,5932.0,7
RC,480,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1266.0,5932.0,7
RC,480,Ventriculocisternostomy (Torkildsen type operation) ,,,2152.0,2235.0,3
RC,480,"Ventriculocisternostomy, third ventricle; ",,,2152.0,2235.0,3
RC,480,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2152.0,2235.0,9
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2152.0,2235.0,6
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,2152.0,2235.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,2152.0,2235.0,3
RC,480,"Vesiculectomy, any approach ",,,1266.0,5932.0,7
RC,480,Vesiculotomy; ,,,3796.0,5932.0,7
RC,480,Vesiculotomy; complicated ,,,1266.0,5932.0,7
RC,480,"Vestibular nerve section, transcranial approach ",,,2152.0,2235.0,3
RC,480,"Vestibular nerve section, translabyrinthine approach ",,,7592.0,23113.0,7
RC,480,"Vitrectomy, mechanical, pars plana approach; ",,,7592.0,19415.0,7
RC,480,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,7592.0,23113.0,7
RC,480,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,7592.0,23113.0,7
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,7592.0,18490.0,7
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,7592.0,18490.0,7
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,7592.0,23113.0,7
RC,480,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,2152.0,5932.0,7
RC,480,Vulvectomy simple; complete ,,,3796.0,76895.0,7
RC,480,Vulvectomy simple; partial ,,,3796.0,18490.0,7
RC,480,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2152.0,2235.0,3
RC,480,"Vulvectomy, radical, complete; ",,,10122.0,10512.0,3
RC,480,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,10122.0,10512.0,3
RC,480,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,10122.0,10512.0,3
RC,480,"Vulvectomy, radical, partial; ",,,2152.0,23113.0,7
RC,480,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,10122.0,10512.0,3
RC,480,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,10122.0,10512.0,3
RC,480,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,5694.0,9908.0,7
RC,481, Cardiology Cardiac Cath Lab  ,,,15184.0,55914.0,13
RC,481,1 epidur inject-C/thor ,,,2152.0,6587.0,4
RC,481,1 epidural inject anes-L ,,,2152.0,6587.0,4
RC,481,1 inject anes-subarach ,,,2152.0,6587.0,4
RC,481,1 subar inject anes-cont ,,,2152.0,6587.0,4
RC,481,1 subar inject anes-diff ,,,2152.0,6587.0,4
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,6580.42,17510.0,19
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,5694.0,12360.0,19
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,6580.42,17510.0,19
RC,481,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,3861.98,12360.0,19
RC,481,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5694.0,23113.0,19
RC,481,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5694.0,18490.0,19
RC,481,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,481,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,481,510K Skin Substitute Produ ,,,136.26,136.26,3
RC,481,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,481,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,481,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,481,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,481,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,481,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,481,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,481,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,481,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2152.0,2636.0,4
RC,481,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,481,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,481,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,481,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,481,ASPIRATE/INJECT THYRIOD CYST ,,,2152.0,6587.0,4
RC,481,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,481,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,481,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,1
RC,481,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,1
RC,481,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,Abatacept injection ,,,49.99,49.99,3
RC,481,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1266.0,6680.0,19
RC,481,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1266.0,6680.0,19
RC,481,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,7592.0,18490.0,19
RC,481,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,481,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2270.0,6587.0,15
RC,481,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2152.0,12358.92,19
RC,481,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2287.0,12875.0,15
RC,481,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2287.0,36378.78,15
RC,481,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,8024.0,21630.0,19
RC,481,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2287.0,30408.2,14
RC,481,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2152.0,27335.06,19
RC,481,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,8024.0,33769.0,19
RC,481,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,481,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,481,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,481,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,481,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,481,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,481,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,481,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,481,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,481,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,3
RC,481,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,481,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,481,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,481,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,481,Acetaminophen ,,,20.32,20.32,3
RC,481,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,481,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,481,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,481,Acetylcholinesterase ,,,13.4,13.4,3
RC,481,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,481,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,481,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,481,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,481,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,481,Adalimumab ,,,42.04,42.04,3
RC,481,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,481,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,481,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,481,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,481,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,481,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,481,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,481,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,481,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,481,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,481,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,481,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,481,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,481,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,481,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,481,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,481,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,481,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,481,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,481,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,481,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,481,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,481,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,481,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,481,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,481,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,481,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,481,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,481,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,481,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,481,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,481,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,481,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,481,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,481,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,481,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,481,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,481,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,481,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,481,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,481,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,481,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,481,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,481,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,481,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,481,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,481,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,481,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,481,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,481,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,481,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,481,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,481,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,481,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,481,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,481,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,481,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,481,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,481,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,481,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,481,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,481,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,481,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,481,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,481,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,481,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,481,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,481,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,481,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,481,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,481,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,481,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,481,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,481,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,481,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,481,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,481,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,481,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,481,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,481,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,481,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,481,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,481,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,481,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,481,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,481,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,481,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,481,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,481,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,481,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,481,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,481,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,481,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,481,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,481,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,481,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,481,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,481,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,481,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,481,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,481,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,481,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,481,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,481,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,481,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,481,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,481,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,481,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,481,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,481,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,481,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,481,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,481,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,481,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,481,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,481,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,481,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,481,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,481,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,481,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,481,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,481,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,481,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,481,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,481,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,481,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,481,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,481,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,481,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,481,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,481,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,481,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,481,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,481,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,481,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,481,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,481,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,481,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,481,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,481,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,481,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,481,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,481,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,481,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,481,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,481,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,481,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,481,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,481,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,481,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,481,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,481,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,481,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,481,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,481,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,481,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,481,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,481,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,481,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,481,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,481,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,481,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,481,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,481,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,481,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,481,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,481,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,481,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,481,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,481,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,481,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,481,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,481,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,481,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,481,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,481,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,481,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,481,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,481,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,481,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,481,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,481,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,481,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,481,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,481,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,481,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,481,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,481,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,481,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,481,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,481,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,481,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,481,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,481,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,481,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,481,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,481,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,481,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,481,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,481,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,481,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,481,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,481,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,481,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,481,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,481,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,481,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,481,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,481,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,481,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,481,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,481,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,481,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,481,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,481,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,481,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,481,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,481,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,481,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,481,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,481,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,481,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,481,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,481,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,481,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,481,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,481,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,481,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,481,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,481,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,481,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,481,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,481,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,481,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,481,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,481,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,481,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,481,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,481,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,481,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,481,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,481,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,481,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,481,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,481,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,481,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,481,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,481,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,481,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,481,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,481,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,481,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,481,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,8
RC,481,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,481,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,481,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,10
RC,481,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,481,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,481,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,481,Adrenal tissue transplant to brain ,,,21210.0,23307.22,6
RC,481,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2152.0,23993.91,19
RC,481,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2152.0,27467.01,15
RC,481,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,481,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,481,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,481,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,481,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,481,Agalsidase beta injection ,,,253.66,253.66,3
RC,481,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,481,Air fluidized bed ,,,4606.97,4606.97,3
RC,481,Air pressure mattress ,,,25.02,25.02,3
RC,481,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,481,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,481,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,481,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,481,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,481,Albumin; ischemia modified ,,,36.99,36.99,3
RC,481,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,481,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,481,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,481,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,481,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,481,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,481,Aldesleukin injection ,,,3639.37,3639.37,3
RC,481,Aldolase ,,,10.58,10.58,3
RC,481,Aldosterone ,,,44.42,44.42,3
RC,481,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,481,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,481,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,481,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,481,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,481,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,481,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,481,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,481,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,481,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,481,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,481,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,481,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,481,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,481,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,481,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,481,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,481,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,481,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,481,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,481,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,481,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,481,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,481,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,481,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,481,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,481,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,481,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,481,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,481,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,481,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,481,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,481,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,481,Alteplase recombinant ,,,107.46,107.46,3
RC,481,Altuviiio per factor viii ,,,5.05,5.05,3
RC,481,Aluminum ,,,27.77,27.77,3
RC,481,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,481,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,481,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,481,Amikacin ,,,16.44,16.44,3
RC,481,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,481,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,481,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,481,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,481,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,481,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,481,Aminolevulinic acid hcl to ,,,424.32,424.32,3
RC,481,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,481,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,481,Amiodarone ,,,20.32,20.32,3
RC,481,Ammonia ,,,15.88,15.88,3
RC,481,Amniocentesis; diagnostic ,,,401.96,5932.0,19
RC,481,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,837.15,5932.0,19
RC,481,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,481,Amphotericin b liposome in ,,,21.63,21.63,3
RC,481,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,34001.63,15
RC,481,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2152.0,26837.67,15
RC,481,Amputation of penis; complete ,,,2214.0,18313.93,19
RC,481,Amputation of penis; partial ,,,5286.0,12360.0,19
RC,481,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,481,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,481,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,481,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,481,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,481,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,481,Amylase ,,,7.06,7.06,3
RC,481,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2152.0,58904.51,15
RC,481,Anastomosis; facial-hypoglossal ,,,2152.0,22416.58,15
RC,481,Anastomosis; facial-spinal accessory ,,,2152.0,28585.97,15
RC,481,Ancillary Outpatient Servi ,,,15249.85,15249.85,3
RC,481,Androstanediol glucuronide ,,,31.42,31.42,3
RC,481,Androstenedione ,,,31.92,31.92,3
RC,481,Androsterone ,,,27.85,27.85,3
RC,481,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,481,Angiotensin II ,,,22.37,22.37,3
RC,481,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,481,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,481,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,481,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,481,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,481,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,481,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,481,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,481,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,481,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,481,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,481,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,481,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,481,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,481,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,481,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,481,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,481,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,481,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,481,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,481,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,481,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,481,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,481,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,481,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,481,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,481,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,481,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,481,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,481,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,481,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,481,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,481,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,481,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,481,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,481,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,481,Anorectal manometry ,,,1266.0,2636.0,6
RC,481,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1481.0,5932.0,7
RC,481,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,481,Antepartum care only; 4-6 visits ,,,2152.0,7925.46,11
RC,481,Antepartum care only; 7 or more visits ,,,2152.0,13978.21,11
RC,481,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,481,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,5694.0,18490.0,19
RC,481,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,3796.0,23113.0,19
RC,481,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,3796.0,23113.0,19
RC,481,Anti-inhibitor ,,,2.67,2.67,3
RC,481,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,481,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,481,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,481,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,481,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,481,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,481,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,481,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,481,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,481,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,481,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,481,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,481,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,481,Antibody; Aspergillus ,,,16.4,16.4,3
RC,481,Antibody; Bartonella ,,,11.1,11.1,3
RC,481,Antibody; Blastomyces ,,,14.06,14.06,3
RC,481,Antibody; Bordetella ,,,14.38,14.38,3
RC,481,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,481,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,481,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,481,Antibody; Brucella ,,,9.73,9.73,3
RC,481,Antibody; Campylobacter ,,,14.3,14.3,3
RC,481,Antibody; Candida ,,,13.09,13.09,3
RC,481,Antibody; Chlamydia ,,,12.88,12.88,3
RC,481,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,481,Antibody; Coccidioides ,,,12.5,12.5,3
RC,481,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,481,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,481,Antibody; Diphtheria ,,,16.58,16.58,3
RC,481,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,481,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,481,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,481,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,481,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,481,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,481,Antibody; HIV-1 ,,,9.69,9.69,3
RC,481,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,481,Antibody; HIV-2 ,,,14.74,14.74,3
RC,481,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,481,Antibody; HTLV-I ,,,9.91,9.91,3
RC,481,Antibody; HTLV-II ,,,15.26,15.26,3
RC,481,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,481,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,481,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,481,Antibody; Legionella ,,,16.68,16.68,3
RC,481,Antibody; Leishmania ,,,13.35,13.35,3
RC,481,Antibody; Leptospira ,,,17.66,17.66,3
RC,481,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,481,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,481,Antibody; Nocardia ,,,17.43,17.43,3
RC,481,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,481,Antibody; Rickettsia ,,,21.09,21.09,3
RC,481,Antibody; Salmonella ,,,14.38,14.38,3
RC,481,Antibody; Shigella ,,,26.68,26.68,3
RC,481,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,481,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,481,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,481,Antibody; Trichinella ,,,13.69,13.69,3
RC,481,Antibody; West Nile virus ,,,15.69,15.69,3
RC,481,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,481,Antibody; Yersinia ,,,14.38,14.38,3
RC,481,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,481,Antibody; actinomyces ,,,11.1,11.1,3
RC,481,Antibody; adenovirus ,,,14.03,14.03,3
RC,481,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,481,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,481,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,481,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,481,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,481,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,481,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,481,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,481,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,481,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,481,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,481,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,481,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,481,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,481,Antibody; histoplasma ,,,15.03,15.03,3
RC,481,Antibody; influenza virus ,,,14.77,14.77,3
RC,481,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,481,Antibody; mucormycosis ,,,16.35,16.35,3
RC,481,Antibody; mumps ,,,14.22,14.22,3
RC,481,Antibody; mycoplasma ,,,14.43,14.43,3
RC,481,Antibody; parvovirus ,,,16.38,16.38,3
RC,481,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,481,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,481,Antibody; rotavirus ,,,19.87,19.87,3
RC,481,Antibody; rubella ,,,15.69,15.69,3
RC,481,Antibody; rubeola ,,,14.04,14.04,3
RC,481,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,481,Antibody; tetanus ,,,16.13,16.13,3
RC,481,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,481,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,481,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,481,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,481,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,481,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,481,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,481,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,481,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,481,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,481,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,481,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,481,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,481,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,481,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,481,"Apolipoprotein, each ",,,22.99,22.99,3
RC,481,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,481,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,481,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,481,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,481,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,481,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,481,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,481,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,481,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,481,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,481,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,481,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,481,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,481,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,14
RC,481,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,14
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,16
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,6
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,6
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,6
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,6680.0,10
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,6
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,6
RC,481,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,481,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,3196.1,3512.12,6
RC,481,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,481,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,481,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,481,Aqueous shunt ,,,855.38,855.38,3
RC,481,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,7592.0,18490.0,19
RC,481,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,6587.0,19415.0,19
RC,481,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,481,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,481,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,481,"Arm rest, each ",,,23.28,23.28,3
RC,481,Arsenic ,,,20.68,20.68,3
RC,481,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,23307.22,14
RC,481,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,13
RC,481,"Arthroereisis, subtalar ",,,21210.0,23307.22,6
RC,481,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,23307.22,6
RC,481,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,2636.0,5
RC,481,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,21630.0,14
RC,481,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,2587.42,6
RC,481,Artificial cornea ,,,8791.45,8791.45,3
RC,481,Artificial insemination; intra-cervical ,,,267.26,2636.0,15
RC,481,Artificial insemination; intra-uterine ,,,282.68,2636.0,15
RC,481,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,481,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,481,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,481,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,1329.82,5932.0,19
RC,481,"Aspiration and/or injection, thyroid cyst ",,,481.52,5932.0,19
RC,481,Aspiration of bladder; by needle ,,,238.56,5932.0,19
RC,481,Aspiration of bladder; by trocar or intracatheter ,,,644.93,5932.0,19
RC,481,Aspiration of bladder; with insertion of suprapubic catheter ,,,3796.0,8858.0,19
RC,481,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,3796.0,8858.0,19
RC,481,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,481,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,481,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,481,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,481,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,481,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,481,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,481,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,481,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,481,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,6
RC,481,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,6
RC,481,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,481,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,481,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,481,Axillary crutch extension ,,,246.97,246.97,3
RC,481,Azathioprine parenteral ,,,277.69,277.69,3
RC,481,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,481,"B cells, total count ",,,41.13,41.13,3
RC,481,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,481,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,481,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,481,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,481,BIOPSY EYE MUSCLE ,,,2152.0,6587.0,4
RC,481,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,481,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,481,BRAIN SURGERY USING COMPUTER ,,,2152.0,6587.0,4
RC,481,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,481,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,481,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,481,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,481,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,481,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,481,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,481,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,481,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,481,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,481,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,481,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1481.0,2636.0,9
RC,481,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2152.0,6587.0,11
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2152.0,16144.0,15
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2152.0,16144.0,15
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2152.0,16144.0,15
RC,481,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2152.0,40979.09,11
RC,481,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2152.0,31872.58,15
RC,481,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2152.0,34149.32,15
RC,481,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,481,"Balance lens, per lens ",,,70.71,70.71,3
RC,481,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2152.0,31577.42,15
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,15
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,15
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2152.0,16144.0,15
RC,481,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1481.0,5932.0,13
RC,481,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,481,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,481,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,481,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,481,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,481,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,481,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,481,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,481,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,481,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,481,"Bed cradle, any type ",,,42.41,42.41,3
RC,481,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,481,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,481,"Bed side rails, full length ",,,149.47,149.47,3
RC,481,"Bed side rails, half length ",,,14.69,14.69,3
RC,481,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,481,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,481,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,481,Belatacept injection ,,,4.23,4.23,3
RC,481,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,481,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,481,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,481,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,481,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,481,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,481,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,481,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,481,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,481,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,481,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,481,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,481,Beta-2 microglobulin ,,,17.64,17.64,3
RC,481,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,481,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,481,Bevacizumab injection ,,,81.56,81.56,3
RC,481,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2152.0,54817.59,15
RC,481,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,481,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,481,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,481,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2152.0,45780.94,15
RC,481,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2152.0,49712.62,15
RC,481,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2152.0,31064.51,15
RC,481,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,481,Bile acids; total ,,,18.66,18.66,3
RC,481,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,481,Bilirubin; direct ,,,5.47,5.47,3
RC,481,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,481,Bilirubin; total ,,,5.47,5.47,3
RC,481,Biofeedback training by any modality ,,,39.38,44.74,6
RC,481,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,481,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,481,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2214.0,8451.91,19
RC,481,Biopsy external auditory canal ,,,671.43,5047.0,15
RC,481,Biopsy external ear ,,,417.45,2636.0,15
RC,481,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,600.74,5932.0,19
RC,481,Biopsy of conjunctiva ,,,795.11,5932.0,19
RC,481,Biopsy of cornea ,,,1266.0,6680.0,19
RC,481,"Biopsy of epididymis, needle ",,,1266.0,5932.0,19
RC,481,Biopsy of extraocular muscle ,,,4693.0,12360.0,19
RC,481,Biopsy of lacrimal gland ,,,3796.0,8858.0,19
RC,481,Biopsy of lacrimal sac ,,,3796.0,8858.0,19
RC,481,Biopsy of nerve ,,,3748.18,8858.0,19
RC,481,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,3796.0,9908.0,19
RC,481,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2152.0,20069.99,15
RC,481,"Biopsy of pancreas, percutaneous needle ",,,2214.0,5932.0,19
RC,481,Biopsy of penis; (separate procedure) ,,,2214.0,5932.0,19
RC,481,Biopsy of penis; deep structures ,,,3796.0,8858.0,19
RC,481,"Biopsy of spinal cord, percutaneous needle ",,,2214.0,5932.0,19
RC,481,"Biopsy of testis, incisional (separate procedure) ",,,3796.0,8858.0,19
RC,481,"Biopsy of testis, needle (separate procedure) ",,,2214.0,6492.89,19
RC,481,Biopsy of urethra ,,,3796.0,8858.0,19
RC,481,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,3796.0,8858.0,19
RC,481,Biopsy of vaginal mucosa; simple (separate procedure) ,,,304.78,5932.0,19
RC,481,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,291.56,5932.0,19
RC,481,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,481,"Biopsy thyroid, percutaneous core needle ",,,329.07,5932.0,19
RC,481,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2214.0,5932.0,19
RC,481,"Biopsy, prostate, any approach, nonimaging-guided ",,,2214.0,6680.0,19
RC,481,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,8
RC,481,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2287.0,15338.2,14
RC,481,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2287.0,15338.2,14
RC,481,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2287.0,10083.72,14
RC,481,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2287.0,10083.72,14
RC,481,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2287.0,10083.72,14
RC,481,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2287.0,10083.72,14
RC,481,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2287.0,10083.72,14
RC,481,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2287.0,10083.72,14
RC,481,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2214.0,4723.0,5
RC,481,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,481,Bladder instillation of anticarcinogenic agent (including retention time) ,,,313.65,6587.0,15
RC,481,"Bladder irrigation, simple, lavage and/or instillation ",,,320.26,6587.0,19
RC,481,Bleeding time ,,,5.25,5.25,3
RC,481,"Blepharotomy, drainage of abscess, eyelid ",,,836.48,5932.0,19
RC,481,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,14
RC,481,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,21630.0,15
RC,481,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,21256.09,27301.4,9
RC,481,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,21538.0,35001.4,9
RC,481,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,14
RC,481,Blood component/product no ,,,38.5,38.5,3
RC,481,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,481,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,481,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,481,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,481,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,481,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,481,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,481,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,481,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,481,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,481,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,481,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,481,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,481,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,481,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,481,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,481,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,481,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,481,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,481,Blood split unit ,,,169.87,169.87,3
RC,481,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,481,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,481,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,481,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,481,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,481,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,481,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,481,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,481,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,481,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,481,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,481,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,481,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,481,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,481,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,6
RC,481,Bradykinin ,,,5.62,5.62,3
RC,481,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,481,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,481,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,481,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,481,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,481,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,481,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,481,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,481,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,6
RC,481,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,6
RC,481,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,6
RC,481,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1481.0,2636.0,5
RC,481,Breathing circuits ,,,11.75,11.75,3
RC,481,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,481,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,481,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,481,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,14
RC,481,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,13
RC,481,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,10
RC,481,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,23113.0,5
RC,481,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,10
RC,481,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,14
RC,481,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,14
RC,481,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,14
RC,481,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,481,Bundle of His recording ,,,12830.85,43890.0,14
RC,481,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,481,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,481,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2152.0,16907.57,15
RC,481,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2152.0,22439.86,15
RC,481,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2152.0,19627.15,15
RC,481,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2152.0,28702.4,15
RC,481,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2152.0,30924.8,15
RC,481,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2152.0,22672.93,15
RC,481,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2152.0,28857.84,15
RC,481,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2152.0,16144.0,15
RC,481,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2152.0,28376.19,15
RC,481,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,481,C-peptide ,,,22.68,22.68,3
RC,481,C-reactive protein; ,,,5.65,5.65,3
RC,481,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,481,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,481,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,481,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,481,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,481,CATHETERIZE MIDDLE EAR CANAL ,,,2152.0,6587.0,4
RC,481,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,481,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,481,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,481,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,481,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,481,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,481,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,481,CHANGE KIDNEY TUBE ,,,2152.0,6587.0,4
RC,481,CIRCUMCISION ,,,2152.0,6587.0,4
RC,481,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,1
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,481,CONTROL POSTOP BLEEDING ,,,2152.0,6587.0,4
RC,481,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,2152.0,16144.0,5
RC,481,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,2152.0,16144.0,5
RC,481,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,481,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,481,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,481,CT and CTA without Contras ,,,242.29,242.29,3
RC,481,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,481,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,481,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,481,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,481,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,481,"CYSTOSCOPY, RESECT DUCTS ",,,2152.0,6587.0,4
RC,481,Cabazitaxel injection ,,,254.77,254.77,3
RC,481,Cadmium ,,,25.77,25.77,3
RC,481,Caffeine ,,,42.04,42.04,3
RC,481,Calcitonin ,,,29.2,29.2,3
RC,481,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,481,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,481,Calcium; ionized ,,,14.91,14.91,3
RC,481,Calcium; total ,,,5.62,5.62,3
RC,481,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,481,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,481,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,481,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,481,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,481,"Calprotectin, fecal ",,,21.4,21.4,3
RC,481,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,481,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,481,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,481,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,481,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,481,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,481,"Cannula, nasal ",,,1.13,1.13,3
RC,481,"Cantharidin top, applicato ",,,757.78,757.78,3
RC,481,Canthoplasty (reconstruction of canthus) ,,,3796.0,8858.0,19
RC,481,Canthotomy (separate procedure) ,,,3796.0,8858.0,19
RC,481,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,481,Capsaicin 8% patch ,,,3.82,3.82,3
RC,481,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,481,Carbamazepine; free ,,,14.44,14.44,3
RC,481,Carbamazepine; total ,,,15.88,15.88,3
RC,481,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,481,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,481,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,481,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,481,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,481,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,481,Cardiac Rehabilitation ,,,141.15,141.15,3
RC,481,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,481,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,481,Cardioassist-method of circulatory assist; external ,,,2152.0,16144.0,8
RC,481,Cardioassist-method of circulatory assist; internal ,,,2152.0,16144.0,14
RC,481,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,481,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,481,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,15
RC,481,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1169.48,3293.0,15
RC,481,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,481,Carmustine injection ,,,261.61,261.61,3
RC,481,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,481,Carotene ,,,10.05,10.05,3
RC,481,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,481,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,481,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,481,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,481,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,481,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,481,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,481,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,481,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,481,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,481,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,481,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,481,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,481,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,481,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,481,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,481,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,481,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,481,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,481,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,481,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,481,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,481,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,481,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,481,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,481,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,481,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,481,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,481,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,481,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,481,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,481,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,481,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,481,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,481,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,481,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,481,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,481,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,481,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,481,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,481,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,481,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,481,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,481,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,481,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,481,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,481,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,481,"Caster pin lock, each ",,,46.34,46.34,3
RC,481,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,481,Catecholamines; blood ,,,31.7,31.7,3
RC,481,Catecholamines; fractionated ,,,27.52,27.52,3
RC,481,Catecholamines; total urine ,,,29.76,29.76,3
RC,481,Cathepsin-D ,,,19.69,19.69,3
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,12875.0,10
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,12875.0,10
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,42
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,13254.68,9
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,12875.0,40
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,12875.0,30
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,13254.68,9
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,12875.0,9
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,9119.84,22644.0,14
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,22644.0,38
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9119.84,22644.0,28
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,33769.0,51
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9119.84,22644.0,14
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,14
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,23113.0,14
RC,481,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1481.0,5932.0,13
RC,481,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,481,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,13
RC,481,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,508.76,6587.0,15
RC,481,"Cautery of cervix; cryocautery, initial or repeat ",,,605.21,5932.0,19
RC,481,Cautery of cervix; electro or thermal ,,,470.44,8858.0,19
RC,481,Cautery of cervix; laser ablation ,,,3796.0,8858.0,19
RC,481,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,481,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,481,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,481,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,481,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,481,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,481,"Cerclage of cervix, during pregnancy; abdominal ",,,2152.0,19415.0,19
RC,481,"Cerclage of cervix, during pregnancy; vaginal ",,,3796.0,8858.0,19
RC,481,"Cerclage of uterine cervix, nonobstetrical ",,,3796.0,8858.0,19
RC,481,Ceruloplasmin ,,,11.71,11.71,3
RC,481,Cervical head harness/halter ,,,30.83,30.83,3
RC,481,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,481,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,481,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,481,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,481,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,481,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,481,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,481,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,481,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,481,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,481,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,481,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,481,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,481,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,481,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,481,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,481,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2152.0,21025.74,11
RC,481,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2152.0,29129.93,11
RC,481,Cesarean delivery only; ,,,2152.0,20458.5,14
RC,481,Cesarean delivery only; including postpartum care ,,,2152.0,28282.84,18
RC,481,Cetuximab injection ,,,89.02,89.02,3
RC,481,Change of cystostomy tube; complicated ,,,1213.24,6587.0,19
RC,481,Change of cystostomy tube; simple ,,,375.46,6587.0,19
RC,481,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2214.0,5932.0,19
RC,481,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,14
RC,481,Chemiluminescent assay ,,,15.39,15.39,3
RC,481,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,6
RC,481,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,6
RC,481,Chemodenervation of eccrine glands; both axillae ,,,329.07,5932.0,19
RC,481,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,379.87,5932.0,19
RC,481,Chemodenervation of extraocular muscle ,,,773.02,5932.0,19
RC,481,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,543.33,6587.0,19
RC,481,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,472.65,5932.0,19
RC,481,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,417.45,5932.0,19
RC,481,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,399.76,5932.0,19
RC,481,Chemodenervation of one extremity; 1-4 muscle(s) ,,,483.72,5932.0,19
RC,481,Chemodenervation of one extremity; 5 or more muscles ,,,596.33,5932.0,19
RC,481,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,481,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,481,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,461.63,5932.0,19
RC,481,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,485.93,5932.0,19
RC,481,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,534.52,5932.0,19
RC,481,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,481,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,481,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,481,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,481,Chloramphenicol ,,,13.81,13.81,3
RC,481,Chloride; blood ,,,5.01,5.01,3
RC,481,Chloride; other source ,,,5.45,5.45,3
RC,481,Chloride; urine ,,,6.27,6.27,3
RC,481,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,481,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,481,Choline c-11 ,,,2742.91,2742.91,3
RC,481,Cholinesterase; RBC ,,,10.69,10.69,3
RC,481,Cholinesterase; serum ,,,8.58,8.58,3
RC,481,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,481,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,481,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,481,"Chorionic villus sampling, any method ",,,377.67,3293.0,15
RC,481,Chromium ,,,22.11,22.11,3
RC,481,Chromogenic substrate assay ,,,12.96,12.96,3
RC,481,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,481,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,481,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,481,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,481,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,481,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,481,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,481,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,481,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,481,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,481,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,481,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,481,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,481,"Chromotubation of oviduct, including materials ",,,5694.0,12360.0,19
RC,481,Cidofovir injection ,,,583.95,583.95,3
RC,481,Ciliary body destruction; cryotherapy ,,,3796.0,8858.0,19
RC,481,Ciliary body destruction; cyclodialysis ,,,3796.0,8858.0,19
RC,481,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,3796.0,8858.0,19
RC,481,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,3796.0,8858.0,19
RC,481,Ciliary body destruction; diathermy ,,,2214.0,6680.0,19
RC,481,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,481,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,1213.24,8858.0,19
RC,481,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,3796.0,8858.0,19
RC,481,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,3796.0,8858.0,19
RC,481,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,570.66,5932.0,19
RC,481,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,570.66,5932.0,19
RC,481,Citrate ,,,30.3,30.3,3
RC,481,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,481,Clinic Visits and Related ,,,145.78,145.78,3
RC,481,Clitoroplasty for intersex state ,,,3796.0,8858.0,15
RC,481,Closure of cystostomy (separate procedure) ,,,3796.0,8858.0,19
RC,481,Closure of lacrimal fistula (separate procedure) ,,,1266.0,19415.0,19
RC,481,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1266.0,26107.22,19
RC,481,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2152.0,33131.47,15
RC,481,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2152.0,35516.87,15
RC,481,Closure of rectovaginal fistula; abdominal approach ,,,2152.0,21243.28,19
RC,481,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,2152.0,23146.82,15
RC,481,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,3796.0,14747.47,15
RC,481,Closure of rectovaginal fistula; vaginal or transanal approach ,,,3796.0,9908.0,19
RC,481,"Closure of the lacrimal punctum; by plug, each ",,,596.33,5932.0,19
RC,481,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,836.48,5932.0,19
RC,481,Closure of ureterocutaneous fistula ,,,2152.0,19720.29,15
RC,481,Closure of ureterovisceral fistula (including visceral repair) ,,,2152.0,24778.69,15
RC,481,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,5286.0,12360.0,19
RC,481,Closure of urethrovaginal fistula; ,,,7592.0,18770.08,19
RC,481,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,5694.0,19415.0,19
RC,481,Closure of vesicouterine fistula; ,,,3796.0,17156.15,19
RC,481,Closure of vesicouterine fistula; with hysterectomy ,,,2152.0,22944.8,15
RC,481,"Closure of vesicovaginal fistula, abdominal approach ",,,5694.0,19415.0,19
RC,481,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,5694.0,18770.08,15
RC,481,Closure of vesicovaginal fistula; vaginal approach ,,,5694.0,12360.0,19
RC,481,"Closure postauricular fistula, mastoid (separate procedure) ",,,1266.0,9908.0,19
RC,481,"Closure, exstrophy of bladder ",,,2152.0,36923.22,15
RC,481,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,481,Clot retraction ,,,17.77,17.77,3
RC,481,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,481,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,481,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,481,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,481,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,481,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,481,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,481,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,481,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,481,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,481,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,481,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,481,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,481,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,481,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,481,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,481,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,481,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,481,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,481,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,481,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,481,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,481,Clozapine ,,,21.96,21.96,3
RC,481,Clubfoot wedge ,,,66.8,66.8,3
RC,481,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,481,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,481,Coagulation time; activated ,,,4.67,4.67,3
RC,481,Coagulation time; other methods ,,,4.89,4.89,3
RC,481,Cochlear Implant Procedure ,,,36103.38,36103.38,3
RC,481,"Cochlear device implantation, with or without mastoidectomy ",,,8325.0,111180.0,18
RC,481,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,481,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,481,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,481,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,481,Cold agglutinin; screen ,,,8.8,8.8,3
RC,481,Cold agglutinin; titer ,,,8.79,8.79,3
RC,481,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,481,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,481,"Collagen cross links, any method ",,,20.36,20.36,3
RC,481,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,481,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,481,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,481,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,481,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,16144.0,14
RC,481,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,481,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1481.0,2174.0,4
RC,481,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1266.0,6680.0,19
RC,481,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1266.0,6680.0,19
RC,481,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,481,Colorectal cancer screening; flexible sigmoidoscopy ,,,890.09,5932.0,19
RC,481,Colpocentesis (separate procedure) ,,,3796.0,11960.31,19
RC,481,Colpocleisis (Le Fort type) ,,,5694.0,18490.0,19
RC,481,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,3796.0,8858.0,19
RC,481,"Colpopexy, abdominal approach ",,,3796.0,21188.95,19
RC,481,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,7592.0,18770.08,19
RC,481,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,7592.0,18770.08,19
RC,481,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,18490.0,14
RC,481,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,3796.0,8858.0,19
RC,481,Colposcopy of the cervix including upper/adjacent vagina; ,,,377.67,6680.0,19
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,472.65,5932.0,19
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,443.94,6680.0,19
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,450.55,5932.0,19
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,1216.96,8858.0,19
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1298.73,9908.0,19
RC,481,"Colposcopy of the entire vagina, with cervix if present; ",,,386.54,5932.0,19
RC,481,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,510.22,5932.0,19
RC,481,Colposcopy of the vulva; ,,,373.26,5932.0,19
RC,481,Colposcopy of the vulva; with biopsy(s) ,,,485.93,5932.0,19
RC,481,Colpotomy; with drainage of pelvic abscess ,,,3796.0,8858.0,19
RC,481,Colpotomy; with exploration ,,,3796.0,8858.0,19
RC,481,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,481,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,481,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,481,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,5694.0,18490.0,19
RC,481,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,7592.0,23113.0,19
RC,481,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,481,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,481,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,481,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,481,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,481,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,481,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,481,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,481,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,481,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,481,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,481,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,481,"Complement; antigen, each component ",,,13.08,13.08,3
RC,481,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,481,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,481,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,481,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,481,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,6
RC,481,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,6
RC,481,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,6
RC,481,Complex GI Procedures ,,,6647.43,6647.43,3
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,512.08,6587.0,19
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1266.0,6587.0,19
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1266.0,6587.0,19
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1266.0,6587.0,19
RC,481,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,481,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,301.6,6587.0,15
RC,481,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,481,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,481,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,43890.0,12
RC,481,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,12830.85,43890.0,14
RC,481,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,57218.76,15
RC,481,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,25253.0,43890.0,8
RC,481,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,57218.76,15
RC,481,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,481,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,481,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,1481.0,6587.0,9
RC,481,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,481,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,481,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,481,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,481,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,481,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,481,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,481,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,481,"Congo red, blood ",,,5.4,5.4,3
RC,481,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,3796.0,8858.0,19
RC,481,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,3796.0,8858.0,19
RC,481,Conjunctival flap; bridge or partial (separate procedure) ,,,5286.0,12360.0,19
RC,481,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,3796.0,8858.0,19
RC,481,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,3796.0,19415.0,19
RC,481,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,5694.0,19415.0,19
RC,481,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,5694.0,19415.0,19
RC,481,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,3796.0,19415.0,19
RC,481,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,5381.0,19415.0,19
RC,481,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,5694.0,19415.0,19
RC,481,Construction of artificial vagina; with graft ,,,5694.0,19415.0,19
RC,481,Construction of artificial vagina; without graft ,,,3796.0,18490.0,19
RC,481,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,3796.0,9908.0,19
RC,481,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,3796.0,9908.0,19
RC,481,Cont epidur inject-lumb ,,,2152.0,6587.0,4
RC,481,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,481,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,481,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,481,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,481,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,481,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,481,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,481,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,481,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,481,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,481,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,481,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,481,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,481,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,481,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,481,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,481,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,481,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,481,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2152.0,37358.31,15
RC,481,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1481.0,2636.0,5
RC,481,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,481,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,481,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1481.0,5932.0,13
RC,481,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,508.03,5932.0,19
RC,481,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,481,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2214.0,5932.0,19
RC,481,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,14
RC,481,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1266.0,5932.0,19
RC,481,Copper ,,,13.53,13.53,3
RC,481,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,481,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,6
RC,481,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,6
RC,481,"Cordocentesis (intrauterine), any method ",,,590.17,2636.0,15
RC,481,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1266.0,19415.0,19
RC,481,Corneal wedge resection for correction of surgically induced astigmatism ,,,3796.0,19415.0,19
RC,481,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,481,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,2152.0,16144.0,15
RC,481,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,5694.0,19415.0,19
RC,481,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,3861.98,19415.0,19
RC,481,"Correction of everted punctum, cautery ",,,836.48,5932.0,19
RC,481,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,3796.0,9908.0,19
RC,481,Correction of lid retraction ,,,3796.0,9908.0,19
RC,481,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,492.54,2636.0,15
RC,481,"Correction of trichiasis; epilation, by forceps only ",,,237.69,2636.0,15
RC,481,Correction of trichiasis; incision of lid margin ,,,1266.0,6680.0,19
RC,481,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,3796.0,8858.0,19
RC,481,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,481,Corticosterone ,,,24.55,24.55,3
RC,481,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,481,Cortisol; free ,,,18.21,18.21,3
RC,481,Cortisol; total ,,,17.77,17.77,3
RC,481,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1481.0,2636.0,9
RC,481,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,8024.0,21630.0,15
RC,481,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,481,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,481,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,481,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,481,Cr51 chromate ,,,2090.58,2090.58,3
RC,481,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,481,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,481,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,481,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,481,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2152.0,33815.14,15
RC,481,Craniectomy for craniosynostosis; single cranial suture ,,,2152.0,24965.19,15
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2152.0,85726.66,15
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2152.0,62976.11,15
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2152.0,67404.97,15
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2152.0,72820.62,15
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2152.0,41390.89,15
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2152.0,46954.23,15
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2152.0,47311.7,15
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2152.0,45097.27,15
RC,481,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2152.0,35571.2,15
RC,481,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2152.0,54242.59,15
RC,481,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2152.0,54196.02,15
RC,481,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2152.0,47941.03,15
RC,481,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2152.0,43170.23,15
RC,481,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2152.0,45578.92,15
RC,481,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2152.0,37412.64,15
RC,481,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2152.0,42362.17,15
RC,481,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2152.0,44545.55,15
RC,481,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2152.0,76099.69,15
RC,481,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2152.0,70769.41,15
RC,481,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2152.0,48912.31,15
RC,481,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2152.0,47296.17,15
RC,481,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2152.0,49782.69,15
RC,481,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2152.0,45749.89,15
RC,481,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2152.0,47956.55,15
RC,481,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2152.0,43512.18,15
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2152.0,43481.13,15
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2152.0,49798.21,15
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2152.0,58127.7,15
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2152.0,42315.6,15
RC,481,Craniectomy; for osteomyelitis ,,,2152.0,25773.26,15
RC,481,Craniectomy; with excision of tumor or other bone lesion of skull ,,,8024.0,33769.0,19
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2152.0,54693.19,15
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2152.0,59176.59,15
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2152.0,68834.61,15
RC,481,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2152.0,65454.65,15
RC,481,Cranioplasty for skull defect with reparative brain surgery ,,,2152.0,31880.34,15
RC,481,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2152.0,25788.78,15
RC,481,Cranioplasty for skull defect; up to 5 cm diameter ,,,2152.0,23271.22,15
RC,481,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2152.0,32610.79,15
RC,481,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2152.0,26627.89,15
RC,481,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2152.0,38399.44,15
RC,481,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2152.0,38982.2,15
RC,481,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2152.0,52408.91,15
RC,481,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2152.0,36068.59,15
RC,481,"Craniotomy for repair of encephalocele, skull base ",,,2152.0,35532.39,15
RC,481,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2152.0,58453.9,15
RC,481,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2152.0,72276.88,15
RC,481,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2152.0,36860.92,15
RC,481,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2152.0,43512.18,15
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2152.0,54110.43,15
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2152.0,49005.66,15
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2152.0,60831.54,15
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2152.0,56301.57,15
RC,481,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2152.0,56674.56,15
RC,481,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2152.0,47956.55,15
RC,481,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2152.0,22649.64,15
RC,481,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2152.0,50404.26,15
RC,481,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2152.0,34545.59,15
RC,481,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2152.0,48725.82,15
RC,481,Creatine ,,,5.06,5.06,3
RC,481,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,481,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,481,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,481,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,481,Creatinine; blood ,,,5.58,5.58,3
RC,481,Creatinine; clearance ,,,10.31,10.31,3
RC,481,Creatinine; other source ,,,5.65,5.65,3
RC,481,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,6587.0,17510.0,15
RC,481,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2152.0,36363.74,15
RC,481,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,3748.18,9908.0,19
RC,481,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,3748.18,9908.0,19
RC,481,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,3748.18,8858.0,19
RC,481,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2152.0,22059.11,15
RC,481,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,5286.0,17510.0,19
RC,481,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2152.0,21080.07,15
RC,481,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2152.0,22214.56,15
RC,481,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2152.0,22750.54,15
RC,481,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2152.0,23589.87,15
RC,481,Critical Care ,,,904.47,904.47,3
RC,481,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,481,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,481,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,481,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,481,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,481,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,481,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,481,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,481,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,481,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,481,Cryofibrinogen ,,,15.41,15.41,3
RC,481,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,481,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,481,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,481,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,481,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,6
RC,481,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,7008.0,55080.0,15
RC,481,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,481,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,481,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,481,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,481,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,481,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,481,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,481,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,481,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,481,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,481,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,481,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,481,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,481,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,481,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,481,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,481,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,481,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,481,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,481,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,481,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,481,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,481,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,481,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,481,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,481,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,481,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,481,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,481,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,481,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,481,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,481,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,481,"Culture, typing; other methods ",,,8.44,8.44,3
RC,481,"Curettage, postpartum ",,,3796.0,9908.0,19
RC,481,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,481,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,481,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,481,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,481,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,481,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,481,Cutaneous appendico-vesicostomy ,,,2152.0,28096.35,15
RC,481,Cutaneous vesicostomy ,,,3796.0,16021.88,15
RC,481,Cyanide ,,,21.15,21.15,3
RC,481,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,481,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,481,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,481,Cyclosporine ,,,19.67,19.67,3
RC,481,Cystatin C ,,,20.19,20.19,3
RC,481,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2152.0,52968.39,15
RC,481,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2152.0,43488.89,15
RC,481,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,49223.2,15
RC,481,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2152.0,42556.42,15
RC,481,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,47436.1,15
RC,481,"Cystectomy, complete; (separate procedure) ",,,2152.0,33131.47,15
RC,481,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,40994.62,15
RC,481,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2152.0,29176.5,15
RC,481,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2152.0,28508.14,15
RC,481,"Cystectomy, partial; simple ",,,2152.0,21678.36,15
RC,481,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,481,Cysto w Bx/fulgur les ,,,2152.0,6587.0,4
RC,481,Cysto w lithotripsy ,,,2152.0,6587.0,4
RC,481,Cysto w rmvl/manip CAL ,,,2152.0,6587.0,4
RC,481,Cysto w tumor resection ,,,2152.0,6587.0,4
RC,481,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,3796.0,19415.0,19
RC,481,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2152.0,23613.16,19
RC,481,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,5694.0,20163.13,19
RC,481,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,3796.0,11848.54,19
RC,481,"Cystostomy, cystotomy with drainage ",,,3796.0,19415.0,19
RC,481,"Cystotomy for excision, incision, or repair of ureterocele ",,,3796.0,8858.0,15
RC,481,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,3796.0,19415.0,19
RC,481,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,3796.0,5381.0,5
RC,481,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,3796.0,19415.0,19
RC,481,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1266.0,19415.0,19
RC,481,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,5694.0,19300.73,15
RC,481,Cystotomy; for excision of bladder tumor ,,,5694.0,17288.32,15
RC,481,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,3796.0,19415.0,19
RC,481,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2152.0,24374.66,19
RC,481,Cystourethroscopy ,,,2152.0,6587.0,4
RC,481,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,3796.0,19415.0,19
RC,481,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,3796.0,8858.0,19
RC,481,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,3796.0,18490.0,19
RC,481,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,5286.0,17510.0,19
RC,481,Cystourethroscopy (separate procedure) ,,,1213.24,3293.0,15
RC,481,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,1213.24,6680.0,19
RC,481,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,14
RC,481,Cystourethroscopy with direct vision internal urethrotomy ,,,3796.0,9908.0,19
RC,481,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,3796.0,9908.0,19
RC,481,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2287.0,27080.2,14
RC,481,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,3796.0,25080.0,19
RC,481,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2287.0,25892.02,15
RC,481,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,3796.0,9908.0,19
RC,481,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2214.0,8451.91,19
RC,481,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,3796.0,9908.0,19
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,11848.54,19
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,14
RC,481,"Cystourethroscopy, with biopsy(s) ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2214.0,6680.0,19
RC,481,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2214.0,6680.0,19
RC,481,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1266.0,6680.0,19
RC,481,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1213.24,6680.0,19
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,3796.0,11848.54,19
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2214.0,6680.0,19
RC,481,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,3796.0,8858.0,15
RC,481,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1237.43,5932.0,19
RC,481,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1481.0,9908.0,19
RC,481,"Cystourethroscopy, with insertion of permanent urethral stent ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,9908.0,5
RC,481,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,3796.0,19415.0,19
RC,481,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,22590.2,19
RC,481,"Cystourethroscopy, with internal urethrotomy; female ",,,2214.0,6680.0,19
RC,481,"Cystourethroscopy, with internal urethrotomy; male ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,2152.0,13804.22,18
RC,481,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2214.0,6680.0,19
RC,481,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with steroid injection into stricture ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,3796.0,8858.0,15
RC,481,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,11848.54,10
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,7
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,3796.0,19415.0,19
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,6
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,7592.0,17510.0,12
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,7592.0,17510.0,15
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,3796.0,19415.0,19
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,3796.0,19415.0,19
RC,481,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,3796.0,11848.54,19
RC,481,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,3796.0,8858.0,19
RC,481,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,3796.0,9908.0,19
RC,481,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,3796.0,8858.0,19
RC,481,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,481,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,481,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,481,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,481,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,481,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,481,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,481,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,481,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,481,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,481,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,481,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,481,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,481,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,481,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,481,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,481,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,481,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,481,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,481,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,481,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,481,D & C OF RESIDUAL CERVIX ,,,2152.0,6587.0,4
RC,481,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,6587.0,8
RC,481,DESTR PARAVERTEBRL NERVE C/T ,,,2152.0,6587.0,4
RC,481,DESTR PARAVERTEBRL NERVE L/S ,,,2152.0,6587.0,4
RC,481,DESTROY NERVE EXTREM MUSC ,,,2152.0,6587.0,4
RC,481,DESTROY NERVE NECK MUSCLE ,,,2152.0,6587.0,4
RC,481,DILATION PROSTATIC URETHRA ,,,2152.0,6587.0,4
RC,481,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,481,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,481,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,481,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,481,DRAIN ABDOMINAL ABSCESS ,,,2152.0,6587.0,4
RC,481,DRAIN PANCREATIC PSEUDOCYST ,,,2152.0,6587.0,4
RC,481,DRAIN PELVIC ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,481,DRAIN PERCUT ABDOM ABSCESS ,,,2152.0,6587.0,4
RC,481,DRAIN PERCUT RETROPER ABSC ,,,2152.0,6587.0,4
RC,481,DRAINAGE OF BLADDER ,,,2152.0,6587.0,12
RC,481,DRAINAGE OF EYE ,,,2152.0,6587.0,4
RC,481,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,5694.0,19415.0,19
RC,481,Dactinomycin injection ,,,335.08,335.08,3
RC,481,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,481,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,481,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,481,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,481,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,24
RC,481,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1481.0,5932.0,8
RC,481,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,14
RC,481,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,962.98,6680.0,19
RC,481,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,380.91,2636.0,15
RC,481,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,7592.0,18490.0,19
RC,481,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,7592.0,18490.0,19
RC,481,Decompression internal auditory canal ,,,7592.0,17510.0,15
RC,481,"Decompression of orbit only, transcranial approach ",,,5710.05,17510.0,15
RC,481,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,6
RC,481,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,3748.18,12360.0,15
RC,481,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1481.0,5932.0,8
RC,481,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2287.0,21630.0,14
RC,481,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2287.0,8858.0,14
RC,481,Decompression; plantar digital nerve ,,,3748.18,8858.0,19
RC,481,Decompression; unspecified nerve(s) (specify) ,,,3748.18,8858.0,19
RC,481,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,4
RC,481,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,481,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,481,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2214.0,5932.0,19
RC,481,Deligation of ureter ,,,2152.0,19914.54,15
RC,481,Delivery of placenta (separate procedure) ,,,3796.0,8858.0,15
RC,481,Dental Procedures ,,,707.88,707.88,3
RC,481,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,481,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,481,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,481,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,481,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,4723.0,5
RC,481,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,481,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1950.26,8858.0,19
RC,481,"Destruction by neurolytic agent, intercostal nerve ",,,1770.27,5932.0,19
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1481.0,5932.0,13
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,3748.18,8858.0,19
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1481.0,5932.0,13
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,3748.18,8858.0,19
RC,481,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,3748.18,8858.0,19
RC,481,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,3748.18,8858.0,19
RC,481,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,1770.27,5932.0,19
RC,481,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,1770.27,6680.0,19
RC,481,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1266.0,6680.0,19
RC,481,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1080.06,5932.0,19
RC,481,Destruction by neurolytic agent; plantar common digital nerve ,,,260.65,5932.0,19
RC,481,Destruction by neurolytic agent; pudendal nerve ,,,1266.0,6680.0,19
RC,481,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1266.0,5932.0,19
RC,481,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,1007.17,12360.0,19
RC,481,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,589.67,5932.0,19
RC,481,Destruction of lesion of lid margin (up to 1 cm) ,,,938.69,5932.0,19
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2214.0,5932.0,19
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,696.53,2636.0,15
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,380.91,2636.0,15
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,488.13,5047.0,15
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2214.0,5932.0,19
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2214.0,5932.0,19
RC,481,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2214.0,9908.0,19
RC,481,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,633.91,5932.0,19
RC,481,"Destruction of lesion, conjunctiva ",,,538.93,8858.0,19
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1266.0,5932.0,19
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,936.48,5932.0,19
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1481.0,5932.0,13
RC,481,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1266.0,5932.0,19
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,836.48,18490.0,19
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1266.0,18490.0,19
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,5381.0,18490.0,19
RC,481,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,3796.0,8858.0,19
RC,481,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,561.02,8858.0,19
RC,481,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,481,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,481,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,481,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,481,Dexamethasone intra implan ,,,221.99,221.99,3
RC,481,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,481,Dexrazoxane HCl injection ,,,45.17,45.17,3
RC,481,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,481,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,481,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,481,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,23307.22,14
RC,481,Diagnostic hysteroscopy ,,,2152.0,6587.0,4
RC,481,Diagnostic laparoscopy ,,,2152.0,6587.0,4
RC,481,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,481,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,481,Dialysis ,,,751.49,751.49,3
RC,481,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,23113.0,56
RC,481,Diaphragm or cervical cap fitting with instructions ,,,216.46,6587.0,15
RC,481,Dibucaine number ,,,13.35,13.35,3
RC,481,Digoxin; free ,,,14.48,14.48,3
RC,481,Digoxin; total ,,,14.48,14.48,3
RC,481,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,481,Dilation and curettage of cervical stump ,,,3796.0,9908.0,19
RC,481,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,3796.0,8858.0,19
RC,481,"Dilation of cervical canal, instrumental (separate procedure) ",,,247.37,8858.0,19
RC,481,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2152.0,12360.0,38
RC,481,Dilation of female urethra including suppository and/or instillation; initial ,,,269.46,5932.0,19
RC,481,Dilation of female urethra including suppository and/or instillation; subsequent ,,,237.69,2636.0,15
RC,481,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,3796.0,8858.0,19
RC,481,"Dilation of lacrimal punctum, with or without irrigation ",,,792.63,2636.0,15
RC,481,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,534.52,5932.0,19
RC,481,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,547.74,5932.0,19
RC,481,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,240.76,5932.0,19
RC,481,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,237.69,5932.0,19
RC,481,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2214.0,6680.0,19
RC,481,Dilation of vagina under anesthesia (other than local) ,,,3796.0,8858.0,19
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1481.0,2636.0,9
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,8024.0,21630.0,15
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,2152.0,16144.0,15
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,2152.0,34374.62,15
RC,481,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1105.11,6680.0,19
RC,481,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1481.0,5932.0,19
RC,481,"Discission of vitreous strands (without removal), pars plana approach ",,,3796.0,8858.0,19
RC,481,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,6
RC,481,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,6
RC,481,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,481,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,481,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,481,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,6
RC,481,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2152.0,29168.74,15
RC,481,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2152.0,33760.8,15
RC,481,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2152.0,29386.28,11
RC,481,Doxorubicin inj 10mg ,,,127.1,127.1,3
RC,481,"Drainage external auditory canal, abscess ",,,1060.17,5932.0,19
RC,481,"Drainage external ear, abscess or hematoma; complicated ",,,819.41,5932.0,19
RC,481,"Drainage external ear, abscess or hematoma; simple ",,,797.31,5932.0,19
RC,481,Drainage of Skene's gland abscess or cyst ,,,501.35,8858.0,19
RC,481,Drainage of deep periurethral abscess ,,,3796.0,8858.0,19
RC,481,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2152.0,16620.17,15
RC,481,Drainage of ovarian abscess; abdominal approach ,,,5694.0,15392.33,19
RC,481,"Drainage of ovarian abscess; vaginal approach, open ",,,3796.0,9908.0,19
RC,481,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,3796.0,9908.0,19
RC,481,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,3796.0,9908.0,19
RC,481,Drainage of perineal urinary extravasation; complicated ,,,3796.0,8858.0,15
RC,481,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,1213.24,9908.0,19
RC,481,"Drainage of perirenal or renal abscess, open ",,,3796.0,8858.0,19
RC,481,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2152.0,35843.07,15
RC,481,Drainage of perivesical or prevesical space abscess ,,,2214.0,6492.89,19
RC,481,"Drainage of retroperitoneal abscess, open ",,,2152.0,24739.67,15
RC,481,Drainage of scrotal wall abscess ,,,2214.0,5932.0,19
RC,481,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2152.0,22455.39,15
RC,481,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,481,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,481,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,481,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,481,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,481,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,481,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,481,Dry pressure mattress ,,,207.18,207.18,3
RC,481,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,481,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2152.0,40326.47,15
RC,481,Duodenal motility (manometric) study ,,,1481.0,5932.0,13
RC,481,"Dural graft, spinal ",,,2152.0,24553.39,15
RC,481,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,481,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,481,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,481,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,481,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,481,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,481,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,481,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,481,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,481,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,481,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,481,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,481,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,395.35,5047.0,15
RC,481,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,481,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,481,EXPLORATION OF EPIDIDYMIS ,,,2152.0,6587.0,4
RC,481,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,2152.0,16144.0,5
RC,481,EXPLORE ORBIT/REMOVE OBJECT ,,,2152.0,6587.0,4
RC,481,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,481,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,481,Ear piercing ,,,791.86,16144.0,15
RC,481,Ecallantide injection ,,,649.58,649.58,3
RC,481,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,481,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,481,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,481,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,481,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,481,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,481,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,481,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,481,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,481,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,481,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,481,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,481,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,481,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,481,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,481,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,481,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,481,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,481,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,481,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,481,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,481,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,481,"Electric heat pad, moist ",,,110.05,110.05,3
RC,481,"Electric heat pad, standard ",,,43.12,43.12,3
RC,481,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,481,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,481,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,481,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,481,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,481,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,481,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,481,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,481,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,481,Electroejaculation ,,,474.85,5932.0,19
RC,481,"Electrogastrography, diagnostic, transcutaneous; ",,,1481.0,2636.0,5
RC,481,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1481.0,2636.0,5
RC,481,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,481,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,481,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,6
RC,481,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,178.89,6587.0,15
RC,481,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,305.28,12
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1481.0,6680.0,13
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,406.37,6680.0,34
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1481.0,6680.0,13
RC,481,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,481,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,481,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,481,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,481,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,481,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,481,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,481,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,481,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,481,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,481,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,481,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1481.0,43890.0,18
RC,481,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2270.0,43890.0,9
RC,481,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1481.0,2636.0,5
RC,481,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,25253.0,43890.0,8
RC,481,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,481,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,481,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,481,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,481,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2152.0,28477.09,15
RC,481,"Elevation of depressed skull fracture; simple, extradural ",,,5710.05,17510.0,15
RC,481,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2152.0,34755.37,15
RC,481,"Embryo transfer, intrauterine ",,,1391.84,5932.0,19
RC,481,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,481,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,481,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,481,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,481,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,481,Endocervical curettage (not done as part of a dilation and curettage) ,,,512.43,5932.0,19
RC,481,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,481,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1481.0,5932.0,13
RC,481,Endolymphatic sac operation; with shunt ,,,7592.0,23113.0,19
RC,481,Endolymphatic sac operation; without shunt ,,,7592.0,23113.0,19
RC,481,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,5694.0,13961.0,15
RC,481,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,7592.0,13961.0,15
RC,481,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,481,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,309.24,5932.0,19
RC,481,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,481,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2152.0,21630.0,19
RC,481,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,13
RC,481,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,5694.0,12360.0,19
RC,481,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25444.44,14
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,23307.22,14
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,23307.22,14
RC,481,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,13
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,23307.22,14
RC,481,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,9908.0,14
RC,481,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,481,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,481,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,481,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2152.0,16144.0,15
RC,481,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2152.0,16144.0,15
RC,481,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,7008.0,76895.0,19
RC,481,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,481,"Enterocystoplasty, including intestinal anastomosis ",,,2152.0,31119.06,15
RC,481,"Enucleation of eye; with implant, muscles attached to implant ",,,5694.0,19415.0,19
RC,481,"Enucleation of eye; with implant, muscles not attached to implant ",,,5694.0,12360.0,19
RC,481,Enucleation of eye; without implant ,,,5694.0,12360.0,19
RC,481,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,481,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,481,Epididymectomy; bilateral ,,,3796.0,19415.0,19
RC,481,Epididymectomy; unilateral ,,,3796.0,9908.0,19
RC,481,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,3796.0,19415.0,19
RC,481,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,3796.0,19415.0,19
RC,481,Epikeratoplasty ,,,3796.0,28718.14,19
RC,481,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,481,"Episiotomy or vaginal repair, by other than attending ",,,684.71,8858.0,19
RC,481,Eptifibatide injection ,,,4.22,4.22,3
RC,481,Erythropoietin ,,,20.48,20.48,3
RC,481,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1481.0,2636.0,5
RC,481,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1481.0,2636.0,5
RC,481,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1481.0,2636.0,5
RC,481,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1481.0,5932.0,9
RC,481,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1481.0,2636.0,5
RC,481,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,8858.0,8
RC,481,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,25253.0,43890.0,8
RC,481,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,25253.0,43890.0,8
RC,481,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1481.0,2636.0,5
RC,481,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1672.0,2636.0,5
RC,481,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1481.0,2636.0,5
RC,481,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,481,Estradiol; total ,,,30.45,30.45,3
RC,481,Estriol ,,,26.36,26.36,3
RC,481,Estrogens; fractionated ,,,35.21,35.21,3
RC,481,Estrogens; total ,,,23.65,23.65,3
RC,481,Estrone ,,,27.2,27.2,3
RC,481,Ethosuximide ,,,17.81,17.81,3
RC,481,Ethylene glycol ,,,16.24,16.24,3
RC,481,Etiocholanolone ,,,28.6,28.6,3
RC,481,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,481,Euflexxa inj per dose ,,,106.97,106.97,3
RC,481,Euglobulin lysis ,,,9.17,9.17,3
RC,481,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,481,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,481,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,481,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1481.0,43890.0,9
RC,481,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,481,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,481,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,481,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,481,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,481,Everolimus ,,,14.97,14.97,3
RC,481,Evisceration of ocular contents; with implant ,,,5694.0,12360.0,19
RC,481,Evisceration of ocular contents; without implant ,,,5381.0,12360.0,19
RC,481,Exc biopsy of saliv glands ,,,10868.0,12875.0,3
RC,481,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,3
RC,481,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1266.0,5932.0,19
RC,481,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,14
RC,481,Exchange of intraocular lens ,,,3796.0,76895.0,19
RC,481,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2214.0,5932.0,19
RC,481,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,10
RC,481,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,10
RC,481,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,10
RC,481,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,3796.0,9908.0,38
RC,481,Excision aural glomus tumor; extended (extratemporal) ,,,2152.0,55827.68,15
RC,481,Excision aural glomus tumor; transcanal ,,,7592.0,18490.0,19
RC,481,Excision aural glomus tumor; transmastoid ,,,7592.0,23113.0,19
RC,481,Excision aural polyp ,,,971.79,6680.0,19
RC,481,"Excision exostosis(es), external auditory canal ",,,3796.0,13581.48,19
RC,481,Excision external ear; complete amputation ,,,3796.0,13581.48,19
RC,481,"Excision external ear; partial, simple repair ",,,2214.0,6492.89,19
RC,481,Excision of Bartholin's gland or cyst ,,,3796.0,9908.0,19
RC,481,Excision of Mullerian duct cyst ,,,3796.0,8858.0,19
RC,481,Excision of ampulla of Vater ,,,2152.0,28111.87,15
RC,481,Excision of bulbourethral gland (Cowper's gland) ,,,3796.0,8858.0,19
RC,481,Excision of carotid body tumor; with excision of carotid artery ,,,2152.0,37265.17,15
RC,481,Excision of carotid body tumor; without excision of carotid artery ,,,2152.0,30792.64,15
RC,481,"Excision of cervical stump, abdominal approach; ",,,2152.0,17078.54,15
RC,481,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2152.0,18104.15,15
RC,481,"Excision of cervical stump, vaginal approach; ",,,3796.0,11960.31,19
RC,481,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,5694.0,12360.0,15
RC,481,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,7592.0,18490.0,19
RC,481,"Excision of chalazion; multiple, different lids ",,,726.63,5932.0,19
RC,481,"Excision of chalazion; multiple, same lid ",,,567.63,5932.0,19
RC,481,Excision of chalazion; single ,,,468.24,5932.0,19
RC,481,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,3796.0,8858.0,19
RC,481,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,5286.0,21630.0,19
RC,481,Excision of extraparenchymal lesion of testis ,,,3796.0,8858.0,19
RC,481,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,5694.0,12360.0,19
RC,481,Excision of hydrocele; bilateral ,,,5694.0,18490.0,19
RC,481,Excision of hydrocele; unilateral ,,,5694.0,12360.0,19
RC,481,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,5381.0,12360.0,19
RC,481,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,5694.0,12360.0,19
RC,481,Excision of lacrimal gland tumor; frontal approach ,,,3796.0,9908.0,19
RC,481,Excision of lacrimal gland tumor; involving osteotomy ,,,5694.0,12360.0,19
RC,481,Excision of lacrimal sac (dacryocystectomy) ,,,5694.0,12360.0,19
RC,481,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1250.13,6680.0,19
RC,481,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2152.0,24926.16,15
RC,481,Excision of lesion of spermatic cord (separate procedure) ,,,3796.0,19415.0,19
RC,481,"Excision of lesion, conjunctiva; over 1 cm ",,,3796.0,8858.0,19
RC,481,"Excision of lesion, conjunctiva; up to 1 cm ",,,1033.67,8858.0,19
RC,481,"Excision of lesion, conjunctiva; with adjacent sclera ",,,3796.0,8858.0,19
RC,481,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1266.0,5932.0,19
RC,481,"Excision of lesion, sclera ",,,3796.0,23113.0,19
RC,481,Excision of local lesion of epididymis ,,,3796.0,9908.0,19
RC,481,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,23307.22,14
RC,481,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,3748.18,9908.0,19
RC,481,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,7168.0,17510.0,19
RC,481,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,3748.18,9908.0,19
RC,481,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,3748.18,8858.0,19
RC,481,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,3748.18,9908.0,19
RC,481,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,481,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,481,"Excision of neuroma; hand or foot, except digital nerve ",,,3748.18,9908.0,19
RC,481,"Excision of neuroma; major peripheral nerve, except sciatic ",,,3748.18,9908.0,19
RC,481,Excision of neuroma; sciatic nerve ,,,7168.0,17510.0,19
RC,481,Excision of penile plaque (Peyronie disease); ,,,5286.0,17510.0,19
RC,481,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,5286.0,22590.2,19
RC,481,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,5286.0,17510.0,19
RC,481,Excision of perinephric cyst ,,,2152.0,20194.39,15
RC,481,Excision of presacral or sacrococcygeal tumor ,,,2152.0,49945.68,15
RC,481,"Excision of spermatocele, with or without epididymectomy ",,,3796.0,19415.0,19
RC,481,Excision of thyroglossal duct cyst or sinus; ,,,8024.0,21630.0,19
RC,481,Excision of thyroglossal duct cyst or sinus; recurrent ,,,8024.0,21630.0,19
RC,481,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,5694.0,19415.0,19
RC,481,Excision of urethral diverticulum (separate procedure); female ,,,5286.0,12360.0,19
RC,481,Excision of urethral diverticulum (separate procedure); male ,,,3796.0,11848.54,19
RC,481,Excision of vaginal cyst or tumor ,,,3796.0,8858.0,19
RC,481,Excision of vaginal septum ,,,3796.0,8858.0,19
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,3796.0,19415.0,19
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,5694.0,19415.0,19
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,5694.0,18490.0,19
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2287.0,44070.36,11
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2287.0,51266.66,11
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2287.0,28858.92,11
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2287.0,36881.18,11
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2287.0,63197.53,11
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,3796.0,5381.0,5
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8024.0,9417.0,5
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8024.0,9417.0,5
RC,481,Excision or fulguration of carcinoma of urethra ,,,5286.0,12360.0,19
RC,481,Excision or fulguration; Skene's glands ,,,3796.0,8858.0,19
RC,481,Excision or fulguration; urethral caruncle ,,,3796.0,8858.0,19
RC,481,"Excision or fulguration; urethral polyp(s), distal urethra ",,,3796.0,8858.0,19
RC,481,Excision or fulguration; urethral prolapse ,,,3796.0,8858.0,19
RC,481,Excision or transposition of pterygium; with graft ,,,3796.0,18490.0,19
RC,481,Excision or transposition of pterygium; without graft ,,,3796.0,8858.0,19
RC,481,Excision or unroofing of cyst(s) of kidney ,,,2152.0,21499.63,15
RC,481,"Excision soft tissue lesion, external auditory canal ",,,2214.0,6680.0,19
RC,481,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2152.0,55128.27,15
RC,481,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2152.0,44700.99,15
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,5694.0,18490.0,19
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,5694.0,23113.0,19
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,5694.0,23113.0,19
RC,481,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,481,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,481,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,481,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,481,Exploration for undescended testis (inguinal or scrotal area) ,,,5694.0,19415.0,19
RC,481,Exploration for undescended testis with abdominal exploration ,,,3796.0,19415.0,19
RC,481,"Exploration of epididymis, with or without biopsy ",,,3796.0,8858.0,19
RC,481,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2152.0,46340.42,15
RC,481,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2152.0,20901.34,19
RC,481,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,5694.0,19415.0,19
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,3796.0,25080.0,19
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,29821.36,15
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,25080.0,15
RC,481,"Expression of conjunctival follicles (eg, for trachoma) ",,,194.37,2636.0,15
RC,481,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,481,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2152.0,42952.69,15
RC,481,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2152.0,51686.22,15
RC,481,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,481,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,481,"External cephalic version, with or without tocolysis ",,,3796.0,8858.0,15
RC,481,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,481,"External drainage, pseudocyst of pancreas, open ",,,2152.0,24700.86,15
RC,481,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,481,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,481,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,481,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,481,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,481,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,481,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,481,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,481,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2152.0,76895.0,19
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2152.0,76895.0,19
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,3796.0,18490.0,19
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2152.0,76895.0,57
RC,481,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,21210.0,23307.22,6
RC,481,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,481,Extremity belt/harness ,,,58.52,58.52,3
RC,481,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,481,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,481,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,481,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,481,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,481,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,481,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,481,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,481,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,481,FOCUS RADIATION BEAM ,,,2152.0,6587.0,4
RC,481,FUSE PANCREAS AND BOWEL ,,,2152.0,6587.0,4
RC,481,FUSION OF FACIAL/OTHER NERVE ,,,2152.0,6587.0,4
RC,481,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,481,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,481,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,481,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,481,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,6
RC,481,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,481,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,481,Face tent ,,,2.8,2.8,3
RC,481,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,481,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,481,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,7069.89,12875.0,10
RC,481,Factor IX non-recombinant ,,,1.53,1.53,3
RC,481,Factor inhibitor test ,,,14.03,14.03,3
RC,481,Factor ix complex ,,,1.9,1.9,3
RC,481,Factor ix idelvion inj ,,,6.0,6.0,3
RC,481,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,481,Factor ix recombinant nos ,,,2.03,2.03,3
RC,481,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,481,Factor viii ,,,1.36,1.36,3
RC,481,Factor viii recombinant ,,,1.72,1.72,3
RC,481,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,481,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,481,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,481,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,481,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,481,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,481,Felbamate ,,,20.32,20.32,3
RC,481,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,481,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,481,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,481,Fern test ,,,10.62,10.62,3
RC,481,Ferritin ,,,14.86,14.86,3
RC,481,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,481,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,481,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,481,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,481,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,481,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,481,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,481,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,481,Fetal contraction stress test ,,,1481.0,2636.0,9
RC,481,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,481,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,590.17,5932.0,19
RC,481,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,481,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,481,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,481,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,481,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,855.63,16144.0,15
RC,481,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1032.4,2636.0,15
RC,481,Fetal non-stress test ,,,1481.0,2636.0,9
RC,481,Fetal scalp blood sampling ,,,590.17,2636.0,15
RC,481,"Fetal shunt placement, including ultrasound guidance ",,,590.17,5932.0,19
RC,481,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,590.17,5932.0,19
RC,481,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,6
RC,481,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,481,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,481,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,481,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,481,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,481,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,481,Fibrinogen; activity ,,,10.59,10.59,3
RC,481,Fibrinogen; antigen ,,,15.76,15.76,3
RC,481,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,481,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,481,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,481,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,481,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,481,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,481,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,481,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,481,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,481,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,481,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,481,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,481,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,481,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,481,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,481,Fimbrioplasty ,,,5694.0,18490.0,19
RC,481,Fine needle aspiration of orbital contents ,,,3796.0,8858.0,19
RC,481,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,481,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,481,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,481,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,481,"Finger splint, static ",,,2.92,2.92,3
RC,481,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,3796.0,8858.0,19
RC,481,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,3796.0,19415.0,19
RC,481,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,3796.0,19415.0,19
RC,481,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,3796.0,19415.0,19
RC,481,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,3796.0,19415.0,19
RC,481,Fitting and insertion of pessary or other intravaginal support device ,,,207.59,2636.0,15
RC,481,Fixation of contralateral testis (separate procedure) ,,,3796.0,9908.0,19
RC,481,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,481,Flebogamma injection ,,,98.91,98.91,3
RC,481,Flecainide ,,,20.32,20.32,3
RC,481,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,481,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,481,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,481,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,481,Flortaucipir inj 1 millicu ,,,404.39,404.39,3
RC,481,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,481,Floxuridine injection ,,,4792.18,4792.18,3
RC,481,Fluciclovine f-18 ,,,351.27,351.27,3
RC,481,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,481,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,481,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,481,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,481,Fluoride ,,,20.21,20.21,3
RC,481,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,481,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,481,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,481,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,481,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,481,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,481,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,481,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,481,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,33321.99,12
RC,481,Folic acid; RBC ,,,19.24,19.24,3
RC,481,Folic acid; serum ,,,16.02,16.02,3
RC,481,"Follicle puncture for oocyte retrieval, any method ",,,1266.0,5932.0,19
RC,481,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,481,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,481,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,481,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,481,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,481,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,481,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,481,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,481,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,481,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,481,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,481,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,481,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,481,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,481,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,481,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,481,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,481,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,481,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,481,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,481,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,481,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,481,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,481,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,481,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,481,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,481,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,481,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,481,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,481,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,481,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,481,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,481,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,512.08,5932.0,19
RC,481,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,481,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,481,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,481,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,481,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,481,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,481,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,481,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,481,"Frames, purchases ",,,89.85,89.85,3
RC,481,Free omental flap with microvascular anastomosis ,,,2152.0,36425.84,15
RC,481,Frenulotomy of penis ,,,3796.0,8858.0,19
RC,481,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,481,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,481,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,481,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,481,"Fructose, semen ",,,18.9,18.9,3
RC,481,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,481,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,481,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,481,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,481,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,481,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,481,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,481,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,481,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,481,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,481,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,481,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,481,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,481,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,481,GLAUCOMA SURGERY ,,,2152.0,6587.0,4
RC,481,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,481,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,481,"Galactokinase, RBC ",,,23.41,23.41,3
RC,481,Galactose ,,,12.21,12.21,3
RC,481,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,481,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,481,Galectin-3 ,,,48.23,48.23,3
RC,481,Gallium ga-68 ,,,54.1,54.1,3
RC,481,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,481,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,481,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,481,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,481,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,481,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,481,Galsulfase injection ,,,573.3,573.3,3
RC,481,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,590.17,5932.0,19
RC,481,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,481,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,481,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,481,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,481,Gammaplex IVIG ,,,72.24,72.24,3
RC,481,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,481,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,481,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,481,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,481,"Gases, blood, pH only ",,,11.99,11.99,3
RC,481,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,481,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,481,Gastric motility (manometric) studies ,,,1481.0,5932.0,9
RC,481,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,9908.0,5
RC,481,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,481,Gastrin ,,,19.22,19.22,3
RC,481,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,481,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2214.0,5047.0,9
RC,481,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2214.0,5047.0,9
RC,481,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2214.0,5047.0,9
RC,481,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,481,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,481,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,481,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,481,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,481,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,481,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,481,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,481,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,481,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,481,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,481,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,481,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,481,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,481,Gel pressure mattress ,,,42.62,42.62,3
RC,481,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,481,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,481,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,481,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,481,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,481,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,481,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,481,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,481,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,481,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,481,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,481,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,481,Gentamicin ,,,17.85,17.85,3
RC,481,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,481,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,481,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,21210.0,23307.22,6
RC,481,Glucagon ,,,15.58,15.58,3
RC,481,Glucagon hydrochloride ,,,127.89,127.89,3
RC,481,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,481,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,481,Glucagon tolerance test ,,,19.37,19.37,3
RC,481,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,481,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,481,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,481,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,481,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,481,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,481,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,481,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,481,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,481,"Glucosidase, beta ",,,23.41,23.41,3
RC,481,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,481,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,481,Glutathione ,,,16.84,16.84,3
RC,481,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,481,Glycated protein ,,,18.27,18.27,3
RC,481,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,481,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,481,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,481,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,481,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,481,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,481,Goniotomy ,,,3796.0,10691.32,19
RC,481,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,481,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,481,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,481,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,481,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,481,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,481,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,481,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,481,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,481,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,481,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,481,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,481,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,481,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,481,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,481,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,481,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,481,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,481,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,481,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,481,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,481,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,481,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,481,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,481,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,481,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,481,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,481,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,481,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,481,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,481,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,481,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,481,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,481,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,481,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,481,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,481,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,481,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,481,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,481,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,481,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,481,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,481,"Gradient compression glove, each ",,,79.56,79.56,3
RC,481,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,481,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,481,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,481,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,481,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,481,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,481,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,481,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,481,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,481,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,481,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,481,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,481,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,481,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,481,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,481,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,481,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,481,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,481,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,481,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,481,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,481,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,481,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,481,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,481,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,481,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,481,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,481,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,481,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,481,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,481,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,481,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,481,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,481,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,481,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,481,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,481,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,481,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,481,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,481,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,481,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,4
RC,481,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,4
RC,481,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,481,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,481,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,481,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,481,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,481,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,481,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,481,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,481,HCT/P Skin Substitute Prod ,,,136.26,136.26,3
RC,481,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,481,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,481,HFenestration semicircular canal ,,,7592.0,8072.0,5
RC,481,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,481,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,481,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,481,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,481,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,481,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,481,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,481,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,481,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,481,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,481,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,481,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,481,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,481,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,481,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,481,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,481,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,481,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,481,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,481,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,3796.0,5381.0,5
RC,481,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,77554.0,8
RC,481,HRevision fenestration operation ,,,7592.0,8072.0,5
RC,481,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,481,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,481,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,481,Hallux implant ,,,388.42,388.42,3
RC,481,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,481,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,481,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,481,Haloperidol ,,,17.2,17.2,3
RC,481,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,481,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,481,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,481,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,481,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,481,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,481,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,481,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,481,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,481,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,481,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,481,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,481,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,481,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,481,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,481,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,481,"Harvesting conjunctival allograft, living donor ",,,3796.0,8858.0,19
RC,481,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,6
RC,481,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,481,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,481,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,481,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,481,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,481,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,481,Heavy duty wheelchair ,,,83.68,83.68,3
RC,481,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,481,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,481,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,481,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,481,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,481,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,481,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,481,Heel wedge ,,,30.8,30.8,3
RC,481,"Heel wedge, sach ",,,114.72,114.72,3
RC,481,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,481,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,481,"Heel, new leather, standard ",,,54.84,54.84,3
RC,481,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,481,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,481,"Heel, sach cushion type ",,,142.14,142.14,3
RC,481,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,481,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,481,Heinz bodies; direct ,,,4.58,4.58,3
RC,481,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,481,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,481,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,481,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,481,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,481,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,481,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,481,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,481,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,481,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,481,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,481,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,481,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,481,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,481,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,481,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,481,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,481,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,481,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,481,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,481,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,481,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,481,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,481,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,481,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,481,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,481,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,481,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,481,Hemoglobin; plasma ,,,7.97,7.97,3
RC,481,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,481,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,481,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,481,Hemoglobin; urine ,,,4.31,4.31,3
RC,481,"Hemolysin, acid ",,,9.67,9.67,3
RC,481,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,481,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,481,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,481,Hepagam b im injection ,,,71.51,71.51,3
RC,481,Heparin assay ,,,14.27,14.27,3
RC,481,Heparin neutralization ,,,12.91,12.91,3
RC,481,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,481,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,481,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,481,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,481,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,481,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,481,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,481,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,481,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,481,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,481,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,481,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,481,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,481,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,481,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,481,Hepatitis C antibody; ,,,15.55,15.55,3
RC,481,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,481,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,481,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,481,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,481,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,481,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,481,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,481,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,481,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,481,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,481,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,481,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,481,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,481,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,481,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,481,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,481,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,481,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,481,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,481,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,481,Hip core decompression ,,,21210.0,23307.22,6
RC,481,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,481,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,481,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,481,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,481,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,481,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,481,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,481,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,481,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,481,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,481,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,481,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,481,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,481,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,481,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,481,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,481,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,481,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,481,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,481,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,481,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,481,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,481,Histamine ,,,32.19,32.19,3
RC,481,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,19415.0,4
RC,481,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,481,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,481,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,481,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,481,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,481,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,481,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,481,Home blood glucose monitor ,,,103.8,103.8,3
RC,481,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,481,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,481,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,481,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,481,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,481,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,481,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,481,Homocysteine ,,,19.53,19.53,3
RC,481,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,481,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,481,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,481,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,481,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,481,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,481,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,481,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,481,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,481,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,481,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,481,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,481,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,481,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,481,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,481,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,481,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,481,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,481,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,481,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,481,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,481,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,481,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,481,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,481,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,481,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,481,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,481,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,481,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,481,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,481,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,481,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,481,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,481,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,481,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,481,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,481,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,481,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,481,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,481,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,481,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,481,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,481,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,481,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,481,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,481,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,481,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,481,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,481,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,481,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,481,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,481,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,481,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,481,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,481,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,481,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,481,Hydroxychloroquine ,,,20.32,20.32,3
RC,481,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,481,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,481,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,481,Hydroxyproline; free ,,,24.69,24.69,3
RC,481,Hydroxyproline; total ,,,26.49,26.49,3
RC,481,"Hymenotomy, simple incision ",,,3796.0,8858.0,19
RC,481,Hyperbaric Oxygen ,,,150.68,150.68,3
RC,481,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2152.0,35625.53,15
RC,481,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2152.0,23113.0,19
RC,481,Hysterorrhaphy of ruptured uterus ,,,2152.0,6587.0,11
RC,481,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2152.0,18490.0,19
RC,481,"Hysteroscopy, diagnostic (separate procedure) ",,,3796.0,8858.0,15
RC,481,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,7592.0,17510.0,15
RC,481,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,5694.0,12360.0,15
RC,481,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,5694.0,12360.0,15
RC,481,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,3796.0,11960.31,15
RC,481,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,3796.0,8858.0,15
RC,481,"Hysteroscopy, surgical; with removal of leiomyomata ",,,5694.0,12360.0,15
RC,481,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,3796.0,8858.0,15
RC,481,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,3796.0,12224.1,15
RC,481,Hystscp IU ADHESIO ,,,2152.0,6587.0,4
RC,481,Hystscp div IU septum ,,,2152.0,6587.0,4
RC,481,Hystscp impacted FB rmvl ,,,2152.0,6587.0,4
RC,481,Hystscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,481,Hystscp w Bx/polypectomy ,,,2152.0,6587.0,4
RC,481,Hystscp w endomet ablat ,,,2152.0,6587.0,4
RC,481,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,481,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,481,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,481,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,481,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,481,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,481,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,481,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,481,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,481,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,481,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,481,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,481,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,16
RC,481,"IMPLANT NEUROSTIMUL, SUBCORT ",,,2152.0,6587.0,4
RC,481,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2152.0,2636.0,4
RC,481,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,481,INCISE INNER EAR ,,,2152.0,6587.0,4
RC,481,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,12
RC,481,INCISION OF HYMEN ,,,2152.0,6587.0,4
RC,481,INCISION OF PELVIS NERVE ,,,2152.0,6587.0,4
RC,481,INCISION OF VAGUS NERVE ,,,2152.0,6587.0,4
RC,481,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,481,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,481,INFLATE MIDDLE EAR CANAL ,,,2152.0,6587.0,8
RC,481,INJ PARAVERTEBRAL C/T ,,,2152.0,6587.0,4
RC,481,INJ PARAVERTEBRAL C/T ADD-ON ,,,2152.0,6587.0,4
RC,481,INJ PARAVERTEBRAL L/S ,,,2152.0,6587.0,4
RC,481,INJ PARAVERTEBRAL L/S ADD-ON ,,,2152.0,6587.0,4
RC,481,INJECT SPINE CERV/THORACIC ,,,1266.0,3293.0,5
RC,481,INJECT SPINE LUMBAR/SACRAL ,,,1266.0,3293.0,5
RC,481,INJECT SPINE W/CATH CRV/THRC ,,,1266.0,3293.0,5
RC,481,INJECT SPINE W/CATH LMB/SCRL ,,,1266.0,3293.0,5
RC,481,INJECTION FOR KIDNEY X-RAY ,,,2152.0,6587.0,4
RC,481,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2152.0,2636.0,4
RC,481,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1266.0,3293.0,5
RC,481,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2152.0,2636.0,4
RC,481,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1266.0,2636.0,5
RC,481,"INSERT ABDOM DRAIN, TEMP ",,,2152.0,6587.0,4
RC,481,INSERT KIDNEY DRAIN ,,,2152.0,6587.0,4
RC,481,INSERT URETERAL TUBE ,,,2152.0,6587.0,4
RC,481,INSET MIDDLE EAR (BAFFLE) ,,,2152.0,6587.0,4
RC,481,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,3796.0,5381.0,5
RC,481,Ibuprofen injection ,,,3.54,3.54,3
RC,481,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,481,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,481,Idursulfase injection ,,,621.35,621.35,3
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2214.0,6680.0,19
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2214.0,9908.0,19
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2214.0,6680.0,19
RC,481,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7592.0,17510.0,9
RC,481,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5694.0,12360.0,9
RC,481,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,481,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,481,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,481,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,481,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,481,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,481,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,481,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,481,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,481,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,481,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,481,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,481,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,481,Immune complex assay ,,,26.56,26.56,3
RC,481,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,481,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,481,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,481,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,481,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,481,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,481,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,481,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,481,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,481,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,481,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,481,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,481,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,481,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,481,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,481,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,481,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,481,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,481,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,481,Impl cereb subcort elec ,,,2152.0,6587.0,4
RC,481,Impl subcort electrodes ,,,2152.0,6587.0,4
RC,481,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,481,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,481,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,481,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,481,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,481,Implantation Wireless PA P ,,,31407.33,31407.33,3
RC,481,Implantation of Drug Infus ,,,19735.53,19735.53,3
RC,481,Implantation of auditory brain stem implant ,,,21210.0,23307.22,6
RC,481,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1831.33,16144.0,15
RC,481,Implantation of intrastromal corneal ring segments ,,,7592.0,19415.0,19
RC,481,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,7592.0,36053.16,19
RC,481,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2287.0,45966.03,15
RC,481,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,6
RC,481,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,13
RC,481,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1481.0,6680.0,13
RC,481,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,5286.0,70380.0,18
RC,481,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,5286.0,70380.0,18
RC,481,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,5286.0,70380.0,19
RC,481,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,7592.0,17510.0,19
RC,481,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2152.0,36534.62,19
RC,481,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2152.0,35261.21,19
RC,481,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,7008.0,33769.0,19
RC,481,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,5286.0,21630.0,19
RC,481,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,5286.0,17510.0,19
RC,481,In111 capromab ,,,1886.02,1886.02,3
RC,481,In111 oxyquinoline ,,,906.29,906.29,3
RC,481,In111 pentetate ,,,812.73,812.73,3
RC,481,Incision and drainage of Bartholin's gland abscess ,,,513.47,5932.0,19
RC,481,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,3796.0,8858.0,19
RC,481,"Incision and drainage of penis, deep ",,,2214.0,19415.0,19
RC,481,"Incision and drainage of thyroglossal duct cyst, infected ",,,1266.0,5932.0,19
RC,481,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,3796.0,8858.0,19
RC,481,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2214.0,6691.91,19
RC,481,Incision and drainage of vulva or perineal abscess ,,,428.46,6680.0,19
RC,481,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2152.0,16144.0,15
RC,481,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,1838.39,16144.0,19
RC,481,"Incision of conjunctiva, drainage of cyst ",,,419.65,6680.0,19
RC,481,"Incision, drainage of lacrimal gland ",,,1266.0,5932.0,19
RC,481,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1266.0,5932.0,19
RC,481,Incisional biopsy of eyelid skin including lid margin ,,,836.48,5932.0,19
RC,481,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,481,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,481,Indexing for osteotomy ,,,10868.0,12875.0,3
RC,481,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,481,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,481,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,481,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,6
RC,481,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,6
RC,481,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,6
RC,481,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,6
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2152.0,16144.0,19
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2152.0,16144.0,19
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2152.0,16144.0,19
RC,481,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2152.0,16144.0,15
RC,481,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2152.0,16144.0,38
RC,481,"Induced abortion, by dilation and curettage ",,,3796.0,18490.0,19
RC,481,"Induced abortion, by dilation and evacuation ",,,3796.0,18490.0,19
RC,481,Induction of arrhythmia by electrical pacing ,,,25253.0,43890.0,8
RC,481,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,481,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,481,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,481,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,481,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,481,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,481,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,481,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,481,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,481,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,481,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,481,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,481,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,481,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,481,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,481,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,481,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,481,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,481,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,481,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,481,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,481,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,481,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,481,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,481,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,481,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,481,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,481,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,481,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,481,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,481,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,481,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,481,Infliximab ,,,42.04,42.04,3
RC,481,Infliximab not biosimil 10 ,,,34.31,34.31,3
RC,481,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,481,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,481,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,481,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,481,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,481,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,481,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,481,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2152.0,69269.91,15
RC,481,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2152.0,68516.17,15
RC,481,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,481,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,481,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,481,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,481,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,481,Inhibin A ,,,16.99,16.99,3
RC,481,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2287.0,126001.4,14
RC,481,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1481.0,2636.0,5
RC,481,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,481,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,481,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,481,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,481,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,481,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,481,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,481,Inj avacincaptad pegol 0.1 ,,,112.49,112.49,3
RC,481,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,481,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,481,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,481,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,481,"Inj brixadi, more than 7 d ",,,1877.31,1877.31,3
RC,481,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,481,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,481,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,481,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,481,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,481,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,481,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,481,Inj cyclophos dr reddys 5 ,,,0.54,0.54,3
RC,481,Inj cyclophos frindovyx 5 ,,,9.72,9.72,3
RC,481,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,481,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,481,Inj daxibotulinumtoxina-la ,,,3.34,3.34,3
RC,481,Inj delandistrogene mox ro ,,,3615417.73,3615417.73,3
RC,481,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,481,Inj efgart-alfa 2mg hya-qv ,,,37.34,37.34,3
RC,481,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,481,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,481,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,481,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,481,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,481,Inj estrogen conjugate ,,,437.64,437.64,3
RC,481,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,481,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,481,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,481,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,481,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,481,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,481,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,481,"Inj glofitamab gxbm, 2.5 m ",,,3122.5,3122.5,3
RC,481,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,481,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,481,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,481,Inj hydroxocobalamin iv 25 ,,,5.93,5.93,3
RC,481,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,481,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,481,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,481,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,481,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,481,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,481,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,481,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,481,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,481,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,481,Inj melphalan (hepzato) 1 ,,,873.61,873.61,3
RC,481,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,481,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,481,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,481,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,481,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,481,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,481,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,481,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,481,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,481,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,481,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,481,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,481,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,481,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,481,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,481,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,481,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,481,Inj recombin esperoct per ,,,2.5,2.5,3
RC,481,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,481,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,481,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,481,Inj roctavian ml 2x10^13vc ,,,13683.54,13683.54,3
RC,481,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,481,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,481,Inj rozanolixizum-noli 1 m ,,,25.71,25.71,3
RC,481,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,481,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,481,Inj secukinumab intrav 1mg ,,,19.87,19.87,3
RC,481,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,481,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,481,Inj talquetamab-tgvs 0.25 ,,,83.63,83.63,3
RC,481,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,481,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,481,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,481,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,481,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,481,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,481,Inj travoprost intra impl ,,,214.45,214.45,3
RC,481,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,481,Inj truxima 10 mg ,,,37.67,37.67,3
RC,481,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,481,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,481,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,481,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,481,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,481,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,481,Inj velmanase alfa-tycv 1 ,,,522.32,522.32,3
RC,481,Inj xipere 1 mg ,,,52.07,52.07,3
RC,481,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,481,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,481,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,481,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,481,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,481,"Inj, adzynma, 10 iu ",,,39.47,39.47,3
RC,481,"Inj, aflibercept hd, 1 mg ",,,325.56,325.56,3
RC,481,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,481,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,481,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,481,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,481,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,481,"Inj, artesunate, 1mg ",,,56.49,56.49,3
RC,481,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,481,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,481,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,481,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,481,"Inj, betibeglogene autotem ",,,3193983.4,3193983.4,3
RC,481,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,481,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,481,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,481,"Inj, brixadi, 7 days or le ",,,469.33,469.33,3
RC,481,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,481,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,481,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,481,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,481,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,481,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,481,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,481,"Inj, cipaglucosidase, 5 mg ",,,104.97,104.97,3
RC,481,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,481,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,481,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,481,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,481,"Inj, cyclophosphamide, nos ",,,0.63,0.63,3
RC,481,"Inj, denosumab ",,,32.81,32.81,3
RC,481,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,481,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,481,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,481,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,481,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,481,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,481,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,481,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,481,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,481,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,481,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,481,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,481,"Inj, elranatamab-bcmm, 1 m ",,,209.81,209.81,3
RC,481,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,481,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,481,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,481,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,481,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,481,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,481,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,481,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,481,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,481,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,481,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,481,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,481,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,481,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,481,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,481,"Inj, human-lans, per i.u ",,,1.89,1.89,3
RC,481,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,481,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,481,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,481,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,481,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,481,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,481,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,481,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,481,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,481,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,481,"Inj, levothyroxine, freska ",,,7.45,7.45,3
RC,481,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,481,"Inj, lovotibeglogene autot ",,,3526481.36,3526481.36,3
RC,481,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,481,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,481,"Inj, mirikizumab-mrkz, 1 m ",,,35.6,35.6,3
RC,481,"Inj, motixafortide, 0.25 m ",,,28.86,28.86,3
RC,481,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,481,"Inj, nithiodote, 3mg / 125 ",,,2.36,2.36,3
RC,481,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,481,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,481,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,481,"Inj, nyvepria ",,,149.23,149.23,3
RC,481,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,481,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,481,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,481,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,481,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,481,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,481,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,481,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,481,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,481,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,481,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,481,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,481,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,481,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,481,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,481,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,481,"Inj, rykindo, 0.5 mg ",,,14.2,14.2,3
RC,481,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,481,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,481,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,481,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,481,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,481,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,481,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,481,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,481,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,481,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,481,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,481,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,481,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,481,"Inj, toripalimab-tpzi, 1 m ",,,44.57,44.57,3
RC,481,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,481,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,481,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,481,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,481,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,481,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,481,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,481,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,481,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,481,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,481,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,481,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,481,"Inj, zolbetuximab-clzb, 2 ",,,36.98,36.98,3
RC,481,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,481,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,481,Inj. asceniv ,,,554.96,554.96,3
RC,481,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,481,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,481,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,481,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,481,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,481,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,481,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,481,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,481,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,481,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,481,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,481,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,481,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,481,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,481,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,481,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,481,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,481,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,481,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,481,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,481,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,481,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,481,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,481,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,481,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,481,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,481,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,481,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,481,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,481,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,481,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,481,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,481,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,481,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,481,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,481,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,481,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,481,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,481,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,481,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,481,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,481,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,481,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,481,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,481,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,481,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,481,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,481,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,481,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,481,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,481,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,481,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,481,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,481,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,481,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,481,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,481,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,481,Inject anes 1 L facet N ,,,2152.0,6587.0,4
RC,481,Inject anes 1 paravert N ,,,2152.0,6587.0,4
RC,481,Inject anes >1 paravert ,,,2152.0,6587.0,4
RC,481,Inject anes L facet-ADDL ,,,2152.0,6587.0,4
RC,481,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,481,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,481,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,481,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,481,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,481,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1481.0,5932.0,13
RC,481,Injection of contrast medium for dacryocystography ,,,1481.0,5932.0,13
RC,481,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,267.26,2636.0,15
RC,481,Injection of medication or other substance into Tenon's capsule ,,,220.87,5932.0,19
RC,481,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,3796.0,8858.0,19
RC,481,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1481.0,5932.0,13
RC,481,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1481.0,2636.0,9
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,4
RC,481,Injection procedure for Peyronie disease; ,,,428.46,2636.0,15
RC,481,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,5694.0,19415.0,19
RC,481,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1213.24,5932.0,38
RC,481,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,3796.0,8858.0,19
RC,481,Injection procedure for corpora cavernosography ,,,1481.0,5932.0,13
RC,481,Injection procedure for cystography or voiding urethrocystography ,,,1481.0,2636.0,9
RC,481,"Injection procedure for discography, each level; cervical or thoracic ",,,1481.0,5932.0,13
RC,481,"Injection procedure for discography, each level; lumbar ",,,1481.0,5932.0,13
RC,481,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2152.0,16144.0,15
RC,481,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1481.0,5932.0,13
RC,481,Injection procedure for retrograde urethrocystography ,,,1481.0,2636.0,9
RC,481,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,9
RC,481,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,19
RC,481,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1481.0,5932.0,13
RC,481,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1481.0,5932.0,13
RC,481,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1266.0,9908.0,19
RC,481,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1266.0,6587.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1266.0,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1266.0,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1770.27,5381.0,15
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,295.96,3293.0,15
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,967.39,6587.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,203.18,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,459.43,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1266.0,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1266.0,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1266.0,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1362.61,6587.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,295.96,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,271.67,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,125.89,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1266.0,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1266.0,3293.0,15
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,547.74,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,265.06,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1481.0,5932.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1266.0,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1481.0,5932.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1266.0,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,468.24,5932.0,19
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,249.57,5932.0,19
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1481.0,5932.0,13
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1266.0,5932.0,19
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1481.0,5932.0,13
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1481.0,5932.0,13
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1266.0,5932.0,19
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1481.0,5932.0,13
RC,481,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1770.27,5932.0,76
RC,481,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1362.61,5932.0,76
RC,481,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,481,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1266.0,5932.0,19
RC,481,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1266.0,5932.0,19
RC,481,"Injection, anesthetic agent; sphenopalatine ganglion ",,,437.34,5932.0,19
RC,481,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1266.0,5932.0,19
RC,481,"Injection, anesthetic agent; superior hypogastric plexus ",,,1266.0,6680.0,19
RC,481,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2214.0,5932.0,19
RC,481,"Injection, anterior chamber of eye (separate procedure); medication ",,,2214.0,5932.0,19
RC,481,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,481,"Injection, blinatumomab ",,,188.46,188.46,3
RC,481,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,481,"Injection, cangrelor ",,,22.1,22.1,3
RC,481,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,481,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,481,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,481,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,481,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,481,"Injection, epidural, of blood or clot patch ",,,1266.0,5932.0,19
RC,481,"Injection, fulphila ",,,73.06,73.06,3
RC,481,"Injection, glucarpidase ",,,489.52,489.52,3
RC,481,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,481,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,481,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,481,"Injection, ixabepilone ",,,152.33,152.33,3
RC,481,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,481,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,481,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,481,"Injection, nivolumab ",,,37.3,37.3,3
RC,481,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,481,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,481,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,481,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,481,"Injection, peramivir ",,,1.83,1.83,3
RC,481,"Injection, renflexis ",,,29.01,29.01,3
RC,481,"Injection, reslizumab ",,,12.78,12.78,3
RC,481,"Injection, ruconest ",,,41.24,41.24,3
RC,481,"Injection, siltuximab ",,,189.73,189.73,3
RC,481,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,481,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,481,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,481,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,481,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,481,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,481,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,481,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,6054.0,4
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,1770.27,5932.0,19
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,1770.27,5932.0,19
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1266.0,5932.0,19
RC,481,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,481,Insert urinary catheter ,,,2152.0,6587.0,8
RC,481,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,1796.0,7927.29,15
RC,481,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,6
RC,481,Insertion of Heyman capsules for clinical brachytherapy ,,,3796.0,11960.31,19
RC,481,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1266.0,5932.0,19
RC,481,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,590.17,6680.0,19
RC,481,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,7592.0,17510.0,19
RC,481,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2189.2,6680.0,19
RC,481,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,14
RC,481,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,344.56,5932.0,19
RC,481,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,709.9,8858.0,19
RC,481,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2214.0,6680.0,19
RC,481,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2214.0,6680.0,19
RC,481,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,5047.0,15
RC,481,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,4693.0,49207.09,19
RC,481,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,3796.0,76895.0,19
RC,481,Insertion of intrauterine device (IUD) ,,,1088.91,5932.0,19
RC,481,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,6
RC,481,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1481.0,23113.0,13
RC,481,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,7668.0,54082.0,19
RC,481,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,23113.0,14
RC,481,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,23113.0,14
RC,481,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,23113.0,14
RC,481,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,14
RC,481,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,237.69,6587.0,19
RC,481,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,5694.0,12360.0,19
RC,481,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,5286.0,12360.0,19
RC,481,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,5694.0,12360.0,19
RC,481,Insertion of penile prosthesis; inflatable (self-contained) ,,,7668.0,54082.0,19
RC,481,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,7008.0,54082.0,19
RC,481,Insertion of peritoneal-venous shunt ,,,2214.0,16200.62,19
RC,481,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,13
RC,481,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2152.0,27704.6,14
RC,481,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2214.0,5932.0,13
RC,481,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,7168.0,38760.0,19
RC,481,Insertion of tandem cuff (dual cuff) ,,,5286.0,49207.09,19
RC,481,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,427.85,6587.0,19
RC,481,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,237.69,6587.0,19
RC,481,Insertion of testicular prosthesis (separate procedure) ,,,3796.0,11848.54,19
RC,481,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2287.0,12875.0,15
RC,481,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,5286.0,12360.0,19
RC,481,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,5286.0,12360.0,19
RC,481,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,5286.0,21630.0,19
RC,481,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1266.0,25080.0,19
RC,481,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,16144.0,14
RC,481,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,7839.0,81532.47,18
RC,481,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,5286.0,77554.0,18
RC,481,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,1481.0,6587.0,12
RC,481,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2152.0,36341.06,18
RC,481,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,5286.0,77554.0,18
RC,481,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,5286.0,81532.47,18
RC,481,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,481,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,481,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,481,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,481,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,481,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,481,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,481,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,481,Inst tauro 1.35mg/hep 100u ,,,4.59,4.59,3
RC,481,"Instill adstiladrin, tx do ",,,70121.45,70121.45,3
RC,481,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,481,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,6680.0,14
RC,481,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,300.37,5932.0,19
RC,481,Insulin antibodies ,,,23.34,23.34,3
RC,481,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,481,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,481,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,481,Insulin; free ,,,14.12,14.12,3
RC,481,Insulin; total ,,,12.46,12.46,3
RC,481,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,481,Intensive Outpatient (3 se ,,,136.91,342.3,6
RC,481,Intensive Outpatient (4 or ,,,179.39,448.48,6
RC,481,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,481,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,481,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,481,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,481,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,481,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,481,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,481,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,481,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2152.0,29417.33,15
RC,481,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2152.0,24537.65,15
RC,481,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1481.0,5932.0,13
RC,481,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,481,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,481,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1481.0,2636.0,5
RC,481,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,481,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,481,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,481,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,481,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,481,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,481,Intersex surgery; female to male ,,,2152.0,8451.91,11
RC,481,Intersex surgery; male to female ,,,2152.0,11960.31,11
RC,481,Intra-atrial pacing ,,,12830.85,43890.0,14
RC,481,Intra-atrial recording ,,,12830.85,43890.0,14
RC,481,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,25253.0,43890.0,8
RC,481,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,3796.0,18490.0,19
RC,481,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,12830.85,43890.0,14
RC,481,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,6
RC,481,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,1481.0,2174.0,3
RC,481,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,1481.0,2174.0,3
RC,481,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1481.0,5932.0,8
RC,481,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,7
RC,481,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,6
RC,481,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,25253.0,43890.0,8
RC,481,Intraventricular pacing ,,,12830.85,43890.0,14
RC,481,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,61013.88,67046.86,6
RC,481,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,289.35,5932.0,19
RC,481,Intrinsic factor ,,,21.6,21.6,3
RC,481,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,481,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,361.99,2636.0,15
RC,481,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,481,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,481,Ipilimumab injection ,,,207.57,207.57,3
RC,481,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,481,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,3796.0,10691.32,19
RC,481,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,3796.0,9908.0,19
RC,481,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2214.0,9908.0,19
RC,481,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2214.0,9908.0,19
RC,481,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,4407.65,17510.0,19
RC,481,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1266.0,5932.0,19
RC,481,Iridotomy by stab incision (separate procedure); except transfixion ,,,1481.0,5932.0,19
RC,481,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2214.0,5932.0,19
RC,481,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1161.76,5932.0,19
RC,481,Iris supported intraocular lens ,,,158.85,158.85,3
RC,481,Iron ,,,7.05,7.05,3
RC,481,Iron binding capacity ,,,9.53,9.53,3
RC,481,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,481,Irrigation of corpora cavernosa for priapism ,,,512.08,5932.0,19
RC,481,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,119.92,2636.0,15
RC,481,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,481,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,481,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,481,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,481,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,481,Islet cell antibody ,,,25.69,25.69,3
RC,481,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,6
RC,481,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,481,Itraconazole ,,,29.55,29.55,3
RC,481,"Iv hanger, each ",,,131.03,131.03,3
RC,481,Iv pole ,,,189.03,189.03,3
RC,481,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,481,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,481,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,481,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,481,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,481,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,481,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,481,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,481,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,481,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,481,Keratomileusis ,,,3796.0,32812.81,19
RC,481,Keratophakia ,,,3796.0,35889.85,19
RC,481,Keratoplasty (corneal transplant); anterior lamellar ,,,7592.0,23113.0,19
RC,481,Keratoplasty (corneal transplant); endothelial ,,,7592.0,23113.0,19
RC,481,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,7592.0,23113.0,19
RC,481,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,7592.0,23113.0,19
RC,481,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,7592.0,23113.0,19
RC,481,Keratoprosthesis ,,,7008.0,23113.0,19
RC,481,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,481,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,481,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,481,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,481,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,481,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,481,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,481,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,481,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,481,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,481,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,481,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,481,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,481,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,481,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,481,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,481,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,481,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,481,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,481,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,481,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,481,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,481,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,481,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,481,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,481,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,481,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,481,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,481,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,481,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,481,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,481,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,481,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,481,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,481,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,481,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,481,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,481,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,481,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,481,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,481,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,481,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,481,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,481,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,2152.0,16144.0,5
RC,481,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,2152.0,16144.0,5
RC,481,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,2152.0,16144.0,5
RC,481,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,2152.0,16144.0,5
RC,481,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,481,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,2152.0,16144.0,5
RC,481,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,481,LAVH ,,,2152.0,6587.0,4
RC,481,Labyrinthectomy; transcanal ,,,7592.0,23113.0,19
RC,481,Labyrinthectomy; with mastoidectomy ,,,7592.0,23113.0,19
RC,481,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,819.41,18490.0,19
RC,481,Lacosamide ,,,29.55,29.55,3
RC,481,Lactate (lactic acid) ,,,12.61,12.61,3
RC,481,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,481,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,481,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,481,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,481,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,481,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,481,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7008.0,63201.42,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,2152.0,40878.19,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7008.0,35244.78,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,2152.0,35967.47,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,2152.0,40613.87,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,2152.0,48135.29,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7008.0,44833.16,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,2152.0,47575.81,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,2152.0,59689.29,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,2152.0,58788.08,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7008.0,62261.18,15
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,2152.0,42999.26,15
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,2152.0,46954.23,15
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,7008.0,42875.08,15
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,2152.0,42323.36,15
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,2152.0,46954.23,15
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,2152.0,21630.0,15
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,3796.0,16749.46,15
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,2152.0,21630.0,15
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,2152.0,21630.0,15
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,2152.0,66534.81,15
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,2152.0,69487.45,15
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7008.0,69091.18,15
RC,481,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,7008.0,77554.0,19
RC,481,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,2152.0,35866.35,15
RC,481,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,2152.0,38935.64,15
RC,481,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,2152.0,31437.5,15
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,8024.0,21630.0,15
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,8024.0,21630.0,15
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,8024.0,21630.0,15
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,8024.0,21630.0,15
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,8024.0,21630.0,15
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,6587.0,21630.0,15
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,8024.0,21630.0,15
RC,481,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,2152.0,36076.35,15
RC,481,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,8024.0,21630.0,15
RC,481,Laminectomy with rhizotomy; 1 or 2 segments ,,,7008.0,25827.59,15
RC,481,Laminectomy with rhizotomy; more than 2 segments ,,,7008.0,27964.4,15
RC,481,Laminectomy with section of spinal accessory nerve ,,,7008.0,31484.07,15
RC,481,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1481.0,21630.0,54
RC,481,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,1481.0,6587.0,18
RC,481,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7008.0,34739.84,15
RC,481,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,2152.0,33799.61,15
RC,481,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,2152.0,38624.74,15
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,14
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,8024.0,21630.0,15
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,5694.0,12360.0,18
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,8024.0,21630.0,15
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,8024.0,21630.0,15
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,8024.0,21630.0,15
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1481.0,2636.0,9
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,2287.0,12875.0,14
RC,481,Lamotrigine ,,,14.44,14.44,3
RC,481,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,481,Laparoscopic APPY ,,,2152.0,6587.0,4
RC,481,Laparoscopic THC w/o Bx ,,,2152.0,6587.0,4
RC,481,Laparoscopic aspiration ,,,2152.0,6587.0,4
RC,481,Laparoscopic enterolysis ,,,2152.0,6587.0,4
RC,481,Laparoscopic esophagomyotomy (heller type) ,,,21210.0,23307.22,6
RC,481,Laparoscopic fulgur FALL ,,,2152.0,6587.0,4
RC,481,Laparoscopic fulgur les ,,,2152.0,6587.0,4
RC,481,Laparoscopic jejunostomy ,,,2152.0,6587.0,4
RC,481,Laparoscopic occl FALL ,,,2152.0,6587.0,4
RC,481,Laparoscopic orchiectomy ,,,2152.0,6587.0,4
RC,481,Laparoscopic rmvl adnexa ,,,2152.0,6587.0,4
RC,481,Laparoscopic splenectomy ,,,2152.0,6587.0,4
RC,481,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,8024.0,21630.0,15
RC,481,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,8024.0,21630.0,15
RC,481,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,14304.35,15718.75,6
RC,481,Laparoscopy w ADHESIO ,,,2152.0,6587.0,4
RC,481,Laparoscopy w biopsy ,,,2152.0,6587.0,4
RC,481,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,7592.0,17510.0,15
RC,481,"Laparoscopy, remove myoma ",,,2152.0,6587.0,4
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,10122.0,25750.0,12
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2287.0,30408.2,14
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2287.0,30408.2,14
RC,481,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2152.0,25444.44,19
RC,481,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2152.0,23556.71,15
RC,481,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,8024.0,23556.71,15
RC,481,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,7592.0,17510.0,15
RC,481,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,8024.0,23556.71,15
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,8858.0,21630.0,12
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,2152.0,42292.31,15
RC,481,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,7592.0,26814.39,15
RC,481,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,7592.0,42781.72,12
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,8858.0,21630.0,12
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8858.0,23556.71,12
RC,481,"Laparoscopy, surgical; ablation of renal cysts ",,,7592.0,17510.0,15
RC,481,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,7008.0,25750.0,15
RC,481,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,2152.0,36122.92,15
RC,481,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,2152.0,30295.25,15
RC,481,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,2152.0,27078.5,15
RC,481,"Laparoscopy, surgical; orchiectomy ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; partial nephrectomy ",,,8024.0,23556.71,15
RC,481,"Laparoscopy, surgical; pyeloplasty ",,,8024.0,23556.71,15
RC,481,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,2152.0,30124.49,15
RC,481,"Laparoscopy, surgical; repair initial inguinal hernia ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,8024.0,18422.0,15
RC,481,"Laparoscopy, surgical; ureterolithotomy ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,8024.0,23556.71,15
RC,481,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,7592.0,17510.0,15
RC,481,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,7592.0,17510.0,15
RC,481,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,7592.0,17510.0,15
RC,481,"Laparoscopy, surgical; with fimbrioplasty ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,7592.0,17510.0,15
RC,481,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,9
RC,481,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1481.0,2636.0,9
RC,481,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,8024.0,21630.0,15
RC,481,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,7592.0,17510.0,15
RC,481,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,8024.0,21630.0,15
RC,481,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,23623.85,25959.75,6
RC,481,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,8024.0,23113.0,19
RC,481,Lapscp CHOLE w CDE ,,,2152.0,6587.0,4
RC,481,Lapscp CHOLE&cholangrphy ,,,2152.0,6587.0,4
RC,481,Lapscp EG fundoplasty ,,,2152.0,6587.0,4
RC,481,Lapscp REP init IH ,,,2152.0,6587.0,4
RC,481,Lapscp REP recur IH ,,,2152.0,6587.0,4
RC,481,Lapscp adrenalectomy ,,,2152.0,6587.0,4
RC,481,Lapscp bilat pelv LYMPH ,,,2152.0,6587.0,4
RC,481,Lapscp cholcystentstmy ,,,2152.0,6587.0,4
RC,481,Lapscp cholecystectomy ,,,2152.0,6587.0,4
RC,481,Lapscp fimbrioplasty ,,,2152.0,6587.0,4
RC,481,Lapscp intest resect ,,,2152.0,6587.0,4
RC,481,Lapscp lig sperm vein ,,,2152.0,6587.0,4
RC,481,Lapscp lymphocele drain ,,,2152.0,6587.0,4
RC,481,Lapscp pelvic LYMPH & Bx ,,,2152.0,6587.0,4
RC,481,Lapscp retroperit LN Bx ,,,2152.0,6587.0,4
RC,481,Lapscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,481,Lapscp salpingostomy ,,,2152.0,6587.0,4
RC,481,Lapscp select vagotomy ,,,2152.0,6587.0,4
RC,481,Lapscp temp gastrostomy ,,,2152.0,6587.0,4
RC,481,Lapscp truncal vagotomy ,,,2152.0,6587.0,4
RC,481,"Large size footplate, each ",,,65.96,65.96,3
RC,481,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,481,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,481,Laronidase injection ,,,45.22,45.22,3
RC,481,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,481,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,4723.0,5
RC,481,Laser Eye Procedures ,,,602.23,602.23,3
RC,481,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,7592.0,8072.0,5
RC,481,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,7592.0,18490.0,19
RC,481,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,6
RC,481,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2152.0,24731.91,15
RC,481,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2152.0,20761.42,15
RC,481,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,7592.0,18490.0,19
RC,481,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,6
RC,481,Lead ,,,13.2,13.2,3
RC,481,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,481,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,481,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,481,Leflunomide ,,,42.04,42.04,3
RC,481,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,481,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,481,"Leg strap, each ",,,32.14,32.14,3
RC,481,"Leg strap, h style, each ",,,69.02,69.02,3
RC,481,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,481,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,481,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,481,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,481,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,481,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,481,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,481,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,481,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,481,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,481,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,481,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,481,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,481,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,481,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,481,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,481,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,481,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,481,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,481,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,481,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,481,Leuprolide acetate ,,,2006.97,2006.97,3
RC,481,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,481,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,481,Level 1 Abdominal/Peritone ,,,3920.42,3920.42,3
RC,481,Level 1 Airway Endoscopy ,,,218.56,218.56,3
RC,481,Level 1 Blood Product Exch ,,,483.07,483.07,3
RC,481,Level 1 Breast/Lymphatic S ,,,4287.27,4287.27,3
RC,481,Level 1 Diagnostic Tests a ,,,140.89,140.89,3
RC,481,Level 1 Drug Administratio ,,,51.27,51.27,3
RC,481,Level 1 ENT Procedures ,,,259.34,259.34,3
RC,481,Level 1 Electronic Analysi ,,,40.87,40.87,3
RC,481,Level 1 Electrophysiologic ,,,1333.16,1333.16,3
RC,481,Level 1 Endovascular Proce ,,,3549.81,3549.81,3
RC,481,Level 1 Excision/ Biopsy/ ,,,775.38,775.38,3
RC,481,"Level 1 Extraocular, Repai ",,,347.55,347.55,3
RC,481,Level 1 Gynecologic Proced ,,,221.37,221.37,3
RC,481,Level 1 Health and Behavio ,,,41.03,41.03,3
RC,481,Level 1 ICD and Similar Pr ,,,24355.98,24355.98,3
RC,481,Level 1 Imaging with Contr ,,,192.06,192.06,3
RC,481,Level 1 Imaging without Co ,,,95.29,95.29,3
RC,481,Level 1 Intraocular Proced ,,,2526.99,2526.99,3
RC,481,Level 1 Laparoscopy and Re ,,,6619.65,6619.65,3
RC,481,Level 1 Lower GI Procedure ,,,1018.27,1018.27,3
RC,481,Level 1 Minor Procedures ,,,31.67,31.67,3
RC,481,Level 1 Musculoskeletal Pr ,,,270.09,270.09,3
RC,481,Level 1 Nerve Injections ,,,336.1,336.1,3
RC,481,Level 1 Nerve Procedures ,,,2138.17,2138.17,3
RC,481,Level 1 Neurostimulator an ,,,3828.12,3828.12,3
RC,481,Level 1 Nuclear Medicine a ,,,437.74,437.74,3
RC,481,Level 1 Pacemaker and Simi ,,,4091.85,4091.85,3
RC,481,Level 1 Pathology ,,,57.06,57.06,3
RC,481,Level 1 Radiation Therapy ,,,111.72,111.72,3
RC,481,Level 1 Skin Procedures ,,,219.69,219.69,3
RC,481,Level 1 Strapping and Cast ,,,177.93,177.93,3
RC,481,Level 1 Therapeutic Radiat ,,,147.17,147.17,3
RC,481,Level 1 Upper GI Procedure ,,,993.12,993.12,3
RC,481,Level 1 Urology and Relate ,,,273.58,273.58,3
RC,481,Level 1 Vascular Procedure ,,,686.88,686.88,3
RC,481,Level 2 Abdominal/Peritone ,,,7088.62,7088.62,3
RC,481,Level 2 Airway Endoscopy ,,,428.26,428.26,3
RC,481,Level 2 Blood Product Exch ,,,1705.33,1705.33,3
RC,481,Level 2 Breast/Lymphatic S ,,,7270.76,7270.76,3
RC,481,Level 2 Diagnostic Tests a ,,,236.43,236.43,3
RC,481,Level 2 Drug Administratio ,,,78.84,78.84,3
RC,481,Level 2 ENT Procedures ,,,590.55,590.55,3
RC,481,Level 2 Electronic Analysi ,,,104.1,104.1,3
RC,481,Level 2 Electrophysiologic ,,,8540.37,8540.37,3
RC,481,Level 2 Endovascular Proce ,,,6232.08,6232.08,3
RC,481,Level 2 Excision/ Biopsy/ ,,,1808.44,1808.44,3
RC,481,"Level 2 Extraocular, Repai ",,,1091.55,1091.55,3
RC,481,Level 2 Gynecologic Proced ,,,333.67,333.67,3
RC,481,Level 2 Health and Behavio ,,,111.24,111.24,3
RC,481,Level 2 ICD and Similar Pr ,,,34369.77,34369.77,3
RC,481,Level 2 Imaging with Contr ,,,382.0,382.0,3
RC,481,Level 2 Imaging without Co ,,,114.47,114.47,3
RC,481,Level 2 Intraocular Proced ,,,4525.96,4525.96,3
RC,481,Level 2 Laparoscopy and Re ,,,11639.31,11639.31,3
RC,481,Level 2 Lower GI Procedure ,,,1310.28,1310.28,3
RC,481,Level 2 Minor Procedures ,,,40.9,40.9,3
RC,481,Level 2 Musculoskeletal Pr ,,,1760.7,1760.7,3
RC,481,Level 2 Nerve Injections ,,,772.92,772.92,3
RC,481,Level 2 Nerve Procedures ,,,3740.57,3740.57,3
RC,481,Level 2 Neurostimulator an ,,,6978.22,6978.22,3
RC,481,Level 2 Nuclear Medicine a ,,,594.53,594.53,3
RC,481,Level 2 Pacemaker and Simi ,,,9061.28,9061.28,3
RC,481,Level 2 Pathology ,,,186.55,186.55,3
RC,481,Level 2 Radiation Therapy ,,,422.32,422.32,3
RC,481,Level 2 Skin Procedures ,,,445.12,445.12,3
RC,481,Level 2 Strapping and Cast ,,,306.25,306.25,3
RC,481,Level 2 Therapeutic Radiat ,,,409.99,409.99,3
RC,481,Level 2 Upper GI Procedure ,,,2101.14,2101.14,3
RC,481,Level 2 Urology and Relate ,,,763.52,763.52,3
RC,481,Level 2 Vascular Procedure ,,,1723.65,1723.65,3
RC,481,Level 3 Airway Endoscopy ,,,1948.93,1948.93,3
RC,481,Level 3 Blood Product Exch ,,,4769.13,4769.13,3
RC,481,Level 3 Breast/Lymphatic S ,,,8949.59,8949.59,3
RC,481,Level 3 Diagnostic Tests a ,,,408.6,408.6,3
RC,481,Level 3 Drug Administratio ,,,232.9,232.9,3
RC,481,Level 3 ENT Procedures ,,,1698.93,1698.93,3
RC,481,Level 3 Electronic Analysi ,,,336.31,336.31,3
RC,481,Level 3 Electrophysiologic ,,,28620.09,28620.09,3
RC,481,Level 3 Endovascular Proce ,,,12640.5,12640.5,3
RC,481,Level 3 Excision/ Biopsy/ ,,,3180.57,3180.57,3
RC,481,"Level 3 Extraocular, Repai ",,,2603.27,2603.27,3
RC,481,Level 3 Gynecologic Proced ,,,1008.52,1008.52,3
RC,481,Level 3 Health and Behavio ,,,194.35,194.35,3
RC,481,Level 3 Imaging with Contr ,,,858.37,858.37,3
RC,481,Level 3 Imaging without Co ,,,261.26,261.26,3
RC,481,Level 3 Intraocular Proced ,,,5826.65,5826.65,3
RC,481,Level 3 Lower GI Procedure ,,,3039.26,3039.26,3
RC,481,Level 3 Minor Procedures ,,,64.59,64.59,3
RC,481,Level 3 Musculoskeletal Pr ,,,3582.73,3582.73,3
RC,481,Level 3 Nerve Injections ,,,968.47,968.47,3
RC,481,Level 3 Nerve Procedures ,,,9609.27,9609.27,3
RC,481,Level 3 Neurostimulator an ,,,12200.88,12200.88,3
RC,481,Level 3 Nuclear Medicine a ,,,1417.6,1417.6,3
RC,481,Level 3 Pacemaker and Simi ,,,11444.59,11444.59,3
RC,481,Level 3 Pathology ,,,392.49,392.49,3
RC,481,Level 3 Radiation Therapy ,,,605.02,605.02,3
RC,481,Level 3 Skin Procedures ,,,809.26,809.26,3
RC,481,Level 3 Therapeutic Radiat ,,,1515.58,1515.58,3
RC,481,Level 3 Upper GI Procedure ,,,4221.62,4221.62,3
RC,481,Level 3 Urology and Relate ,,,2288.9,2288.9,3
RC,481,Level 3 Vascular Procedure ,,,3457.34,3457.34,3
RC,481,Level 4 Airway Endoscopy ,,,4082.42,4082.42,3
RC,481,Level 4 Blood Product Exch ,,,68874.65,68874.65,3
RC,481,Level 4 Breast/Lymphatic S ,,,15089.69,15089.69,3
RC,481,Level 4 Diagnostic Tests a ,,,940.29,940.29,3
RC,481,Level 4 Drug Administratio ,,,361.67,361.67,3
RC,481,Level 4 ENT Procedures ,,,3630.32,3630.32,3
RC,481,Level 4 Endovascular Proce ,,,20072.54,20072.54,3
RC,481,"Level 4 Extraocular, Repai ",,,4304.75,4304.75,3
RC,481,Level 4 Gynecologic Proced ,,,3544.55,3544.55,3
RC,481,Level 4 Imaging without Co ,,,598.31,598.31,3
RC,481,Level 4 Intraocular Proced ,,,15883.71,15883.71,3
RC,481,Level 4 Minor Procedures ,,,145.68,145.68,3
RC,481,Level 4 Musculoskeletal Pr ,,,7945.32,7945.32,3
RC,481,Level 4 Neurostimulator an ,,,21242.49,21242.49,3
RC,481,Level 4 Nuclear Medicine a ,,,1565.75,1565.75,3
RC,481,Level 4 Pacemaker and Simi ,,,21090.91,21090.91,3
RC,481,Level 4 Pathology ,,,882.19,882.19,3
RC,481,Level 4 Radiation Therapy ,,,762.62,762.62,3
RC,481,Level 4 Skin Procedures ,,,2259.22,2259.22,3
RC,481,Level 4 Urology and Relate ,,,3859.74,3859.74,3
RC,481,Level 4 Vascular Procedure ,,,6092.93,6092.93,3
RC,481,Level 5 Airway Endoscopy ,,,7727.68,7727.68,3
RC,481,Level 5 ENT Procedures ,,,6482.02,6482.02,3
RC,481,Level 5 Gynecologic Proced ,,,5477.52,5477.52,3
RC,481,Level 5 Intraocular Proced ,,,15278.03,15278.03,3
RC,481,Level 5 Minor Procedures ,,,489.15,489.15,3
RC,481,Level 5 Musculoskeletal Pr ,,,14057.94,14057.94,3
RC,481,Level 5 Neurostimulator an ,,,33788.16,33788.16,3
RC,481,Level 5 Radiation Therapy ,,,1368.43,1368.43,3
RC,481,Level 5 Skin Procedures ,,,3880.26,3880.26,3
RC,481,Level 5 Urology and Relate ,,,5870.99,5870.99,3
RC,481,Level 6 Gynecologic Proced ,,,8119.66,8119.66,3
RC,481,Level 6 Intraocular Proced ,,,18024.07,18024.07,3
RC,481,Level 6 Musculoskeletal Pr ,,,19198.95,19198.95,3
RC,481,Level 6 Radiation Therapy ,,,1957.86,1957.86,3
RC,481,Level 6 Urology and Relate ,,,10365.46,10365.46,3
RC,481,Level 7 Musculoskeletal Pr ,,,29710.86,29710.86,3
RC,481,Level 7 Radiation Therapy ,,,8064.75,8064.75,3
RC,481,Level 7 Urology and Relate ,,,14446.4,14446.4,3
RC,481,Level 8 Urology and Relate ,,,22694.42,22694.42,3
RC,481,Levetiracetam ,,,14.44,14.44,3
RC,481,Lidocaine ,,,16.01,16.01,3
RC,481,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,481,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,481,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,481,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,481,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,481,Ligation of peritoneal-venous shunt ,,,2214.0,9720.33,15
RC,481,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,1534.28,16144.0,19
RC,481,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2214.0,7265.07,19
RC,481,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,3796.0,8858.0,19
RC,481,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,481,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,481,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,481,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,481,Lightweight wheelchair ,,,48.42,48.42,3
RC,481,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,481,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,481,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,481,Lipase ,,,7.51,7.51,3
RC,481,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,481,Lipoprotein (a) ,,,15.61,15.61,3
RC,481,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,481,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,481,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,481,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,481,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,481,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,481,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,481,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,481,Lithium ,,,7.2,7.2,3
RC,481,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,481,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,481,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,481,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,481,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,3796.0,8858.0,19
RC,481,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,3796.0,8858.0,19
RC,481,"Lithotripsy, extracorporeal shock wave ",,,6580.42,21630.0,12
RC,481,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,481,Lobar lung transplantation ,,,21210.0,23307.22,6
RC,481,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,6
RC,481,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,481,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,481,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,481,"Lso, corset front ",,,166.52,166.52,3
RC,481,"Lso, full corset ",,,235.72,235.72,3
RC,481,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,481,"Lubricant, per ounce ",,,2.47,2.47,3
RC,481,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,481,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,481,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,481,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,481,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,481,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,481,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,481,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,481,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,481,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,481,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,481,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,481,Lumbar/caudal inject NEC ,,,2152.0,6587.0,4
RC,481,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,481,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,481,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,481,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,481,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,481,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,481,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,481,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,481,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,3796.0,19844.69,19
RC,481,Lysis of labial adhesions ,,,3796.0,8858.0,19
RC,481,Lysis or excision of penile post-circumcision adhesions ,,,3796.0,8858.0,19
RC,481,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,481,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,481,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,481,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,481,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,481,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,481,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,481,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,481,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,481,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,481,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,481,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,481,MRI and MRA without Contra ,,,576.44,576.44,3
RC,481,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,481,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,481,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,481,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,481,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,481,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,481,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,481,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,481,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,481,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,481,Magnesium ,,,7.3,7.3,3
RC,481,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2287.0,25750.0,9
RC,481,Malate dehydrogenase ,,,8.03,8.03,3
RC,481,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,481,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,481,Manganese ,,,29.05,29.05,3
RC,481,Manipulation Therapy ,,,23.64,23.64,3
RC,481,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1213.24,5932.0,19
RC,481,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,427.85,2636.0,15
RC,481,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,481,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,481,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,481,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,481,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,481,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,481,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,481,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,481,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,481,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,481,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,481,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,481,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,481,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,481,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,481,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,481,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,481,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,481,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,481,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,481,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,481,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,481,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,481,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,481,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,481,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,481,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,481,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,481,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,481,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,481,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,481,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,481,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,481,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,481,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,481,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,481,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,481,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,481,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,481,Marsupialization of Bartholin's gland cyst ,,,3796.0,8858.0,19
RC,481,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,4
RC,481,Marsupialization of pancreatic cyst ,,,2152.0,25967.51,15
RC,481,"Marsupialization of urethral diverticulum, male or female ",,,5286.0,12360.0,19
RC,481,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,481,Mastoid obliteration (separate procedure) ,,,7592.0,17510.0,19
RC,481,Mastoidectomy; complete ,,,3796.0,23113.0,19
RC,481,Mastoidectomy; modified radical ,,,7592.0,23113.0,19
RC,481,Mastoidectomy; radical ,,,7592.0,23113.0,19
RC,481,"Mattress, foam rubber ",,,182.92,182.92,3
RC,481,"Mattress, innerspring ",,,162.65,162.65,3
RC,481,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,3
RC,481,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,3
RC,481,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,119.92,6587.0,15
RC,481,"Meat fibers, feces ",,,5.29,5.29,3
RC,481,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,3796.0,8858.0,19
RC,481,"Meatotomy, cutting of meatus (separate procedure); infant ",,,3796.0,8858.0,19
RC,481,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,481,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1266.0,5932.0,19
RC,481,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,481,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,481,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,481,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,481,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,481,Mental Health Services Com ,,,448.48,448.48,3
RC,481,"Mercury, quantitative ",,,17.72,17.72,3
RC,481,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,481,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,481,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,6
RC,481,Metanephrines ,,,18.46,18.46,3
RC,481,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,481,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,481,Metatarsal joint implant ,,,467.12,467.12,3
RC,481,Methemalbumin ,,,11.71,11.71,3
RC,481,Methotrexate ,,,42.04,42.04,3
RC,481,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,481,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,481,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,481,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,481,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,481,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,481,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,481,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,481,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,6
RC,481,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,481,Middle ear exploration through postauricular or ear canal incision ,,,3796.0,9908.0,19
RC,481,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,481,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,6
RC,481,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,6
RC,481,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,6
RC,481,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,6
RC,481,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,6
RC,481,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,481,Mitomycin instillation ,,,359.63,359.63,3
RC,481,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,481,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,481,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,481,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,481,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,3796.0,8858.0,15
RC,481,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,481,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,481,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,481,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,481,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,481,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,481,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,481,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,481,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,481,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,481,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,481,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,481,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,481,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,481,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,481,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,481,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,481,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,481,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,481,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,481,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,481,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,481,Mouth piece ,,,4.82,4.82,3
RC,481,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,481,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,481,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,481,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,481,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,481,Multifetal pregnancy reduction(s) (MPR) ,,,590.17,2636.0,15
RC,481,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,1592.49,8858.0,19
RC,481,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,481,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,481,Muramidase ,,,20.44,20.44,3
RC,481,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,481,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,481,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,481,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,481,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1266.0,6680.0,19
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1266.0,5932.0,19
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1266.0,5932.0,19
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1266.0,5932.0,19
RC,481,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,481,Myoglobin ,,,14.08,14.08,3
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,5694.0,23113.0,19
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,3796.0,18490.0,19
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,5694.0,25291.39,15
RC,481,Myringoplasty (surgery confined to drumhead and donor area) ,,,3796.0,8858.0,19
RC,481,Myringotomy including aspiration and/or eustachian tube inflation ,,,629.69,9908.0,19
RC,481,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2214.0,9908.0,19
RC,481,"Myringotomy, laser-assisted ",,,7839.0,23307.22,10
RC,481,N BLOCK INJ SPINAL ACCESSOR ,,,2152.0,6587.0,4
RC,481,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,2152.0,16144.0,5
RC,481,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,481,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,481,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,481,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,481,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,481,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,481,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,481,"Naltrexone, depot form ",,,4.93,4.93,3
RC,481,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,481,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,481,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,21210.0,23307.22,6
RC,481,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,481,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,481,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,481,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,481,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,481,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,1
RC,481,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,481,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2152.0,17510.0,19
RC,481,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2152.0,17510.0,19
RC,481,Natalizumab injection ,,,26.6,26.6,3
RC,481,Natriuretic peptide ,,,42.79,42.79,3
RC,481,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,481,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,481,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,481,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,481,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,481,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,481,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,512.08,6587.0,19
RC,481,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,481,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,481,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,481,Nelarabine injection ,,,71.29,71.29,3
RC,481,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,481,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2152.0,29300.69,15
RC,481,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2152.0,32952.74,15
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2152.0,23558.83,15
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2152.0,27086.26,15
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2152.0,28834.56,15
RC,481,"Nephrectomy, partial ",,,2152.0,29798.08,15
RC,481,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2152.0,26658.94,15
RC,481,Nephrolithotomy; removal of calculus ,,,2152.0,25641.09,15
RC,481,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2152.0,32735.19,15
RC,481,Nephrolithotomy; secondary surgical operation for calculus ,,,2152.0,27179.61,15
RC,481,"Nephrorrhaphy, suture of kidney wound or injury ",,,2152.0,28997.77,15
RC,481,"Nephrostomy, nephrotomy with drainage ",,,3796.0,20823.73,19
RC,481,"Nephrotomy, with exploration ",,,2152.0,20955.67,15
RC,481,Nerve dissection ,,,10868.0,12875.0,3
RC,481,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,5286.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,5286.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,7168.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,7168.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,7168.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,7168.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,5286.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,5286.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,5286.0,17510.0,19
RC,481,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,5286.0,17510.0,19
RC,481,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,481,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,481,Nerve pedicle transfer; first stage ,,,5286.0,17510.0,19
RC,481,Nerve pedicle transfer; second stage ,,,4693.0,17510.0,19
RC,481,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,5286.0,17510.0,19
RC,481,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,481,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2152.0,17510.0,19
RC,481,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,5286.0,17510.0,19
RC,481,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,481,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2152.0,34297.0,15
RC,481,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2152.0,47451.62,15
RC,481,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2152.0,34662.01,15
RC,481,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2152.0,43007.03,15
RC,481,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,481,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,481,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,481,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,481,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,481,Neuroplasty and/or transposition; cranial nerve (specify) ,,,3748.18,9908.0,19
RC,481,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,3748.18,8858.0,19
RC,481,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,3748.18,8858.0,19
RC,481,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,3748.18,8858.0,19
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,3748.18,8858.0,19
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,3748.18,8858.0,19
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,3748.18,8858.0,19
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,3748.18,8858.0,19
RC,481,"Neuroplasty; digital, 1 or both, same digit ",,,3748.18,8858.0,19
RC,481,Neuroplasty; nerve of hand or foot ,,,3748.18,8858.0,19
RC,481,"Neutralization test, viral ",,,18.43,18.43,3
RC,481,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,481,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,481,Nickel ,,,26.72,26.72,3
RC,481,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,481,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,481,Nivestym ,,,0.35,0.35,3
RC,481,Nocturnal penile tumescence and/or rigidity test ,,,75.09,5932.0,19
RC,481,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,481,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,481,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,481,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,481,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,481,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,481,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,481,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,481,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,481,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,481,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,26773.0,42427.0,3
RC,481,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,481,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,481,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,481,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,481,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,481,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,481,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,481,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,481,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,481,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,481,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,481,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,481,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,481,Nucleotidase 5'- ,,,12.15,12.15,3
RC,481,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,481,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2152.0,75353.71,15
RC,481,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,481,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,481,"Occluder lens, per lens ",,,28.56,28.56,3
RC,481,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,3796.0,9908.0,19
RC,481,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,481,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,481,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,481,Octagam injection ,,,51.29,51.29,3
RC,481,Ocular implant ,,,885.23,885.23,3
RC,481,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,5694.0,18490.0,19
RC,481,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,5694.0,18490.0,19
RC,481,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,7592.0,18490.0,19
RC,481,Ofatumumab injection ,,,67.84,67.84,3
RC,481,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,481,Omalizumab injection ,,,50.78,50.78,3
RC,481,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2152.0,31826.01,15
RC,481,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2152.0,17510.0,15
RC,481,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2152.0,19415.0,19
RC,481,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,481,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,481,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,481,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,481,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,481,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,481,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,481,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,481,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,481,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,481,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,481,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,481,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,481,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,481,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,481,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,481,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,481,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,481,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,481,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,481,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,481,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,481,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,481,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,481,One way chest drain valve ,,,63.18,63.18,3
RC,481,"Oophorectomy, partial or total, unilateral or bilateral; ",,,5694.0,18490.0,19
RC,481,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,5694.0,26565.8,15
RC,481,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,23307.22,14
RC,481,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,5286.0,81532.47,18
RC,481,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,7
RC,481,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2152.0,84177.74,18
RC,481,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,7
RC,481,Open implantation of neurostimulator electrode array; neuromuscular ,,,4693.0,77554.0,19
RC,481,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4693.0,77554.0,19
RC,481,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,7008.0,25750.0,19
RC,481,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,18
RC,481,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,21630.0,18
RC,481,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,18
RC,481,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,8858.0,15
RC,481,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,8858.0,15
RC,481,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,5381.0,19415.0,19
RC,481,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,481,Oral busulfan ,,,11.03,11.03,3
RC,481,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,481,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,481,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,481,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,481,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,481,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,481,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,481,Orbital implant (implant outside muscle cone); insertion ,,,5694.0,19415.0,19
RC,481,Orbital implant (implant outside muscle cone); removal or revision ,,,5286.0,12360.0,19
RC,481,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,481,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2152.0,73970.64,15
RC,481,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2152.0,65050.62,15
RC,481,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2152.0,71919.42,15
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,5694.0,18490.0,19
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,5694.0,18490.0,19
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,5694.0,18490.0,19
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,5694.0,18490.0,19
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,5694.0,18490.0,19
RC,481,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,5694.0,12360.0,19
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,3796.0,19415.0,19
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,5694.0,18490.0,19
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,3796.0,18490.0,19
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,3796.0,18490.0,19
RC,481,"Orchiectomy, partial ",,,3796.0,9908.0,19
RC,481,"Orchiectomy, radical, for tumor; inguinal approach ",,,5694.0,19415.0,19
RC,481,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,5694.0,12360.0,15
RC,481,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,5694.0,12360.0,19
RC,481,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,5694.0,19415.0,19
RC,481,"Orchiopexy, inguinal or scrotal approach ",,,5694.0,19415.0,19
RC,481,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,481,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,481,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,481,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,481,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,481,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,481,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,481,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,481,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,481,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,481,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,481,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,481,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,481,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,481,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,481,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,481,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,481,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,481,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,481,Orthovisc inj per dose ,,,109.36,109.36,3
RC,481,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,481,Osmolality; blood ,,,7.2,7.2,3
RC,481,Osmolality; urine ,,,7.43,7.43,3
RC,481,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,481,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,481,Ossicula implant ,,,401.67,401.67,3
RC,481,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,481,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,481,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,481,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,481,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,481,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,15
RC,481,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,6
RC,481,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,481,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,481,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,481,"Ostomy belt, each ",,,10.57,10.57,3
RC,481,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,481,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,481,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,481,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,481,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,481,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,481,Ostomy irrigation set ,,,75.92,75.92,3
RC,481,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,481,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,481,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,481,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,481,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,481,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,481,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,481,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,481,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,481,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,481,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,481,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,481,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,481,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,481,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,481,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,481,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,481,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,481,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,481,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,481,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,481,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,481,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,481,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,481,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,481,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,481,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,481,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,481,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,481,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,481,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,481,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,481,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,481,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,481,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,481,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,481,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,481,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,481,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,481,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,481,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,481,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,481,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,481,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,481,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,481,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,481,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,481,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,481,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,481,"Ostomy ring, each ",,,2.61,2.61,3
RC,481,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,481,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,481,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,481,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,481,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,481,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,481,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,481,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,481,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,481,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,481,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,481,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,481,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,481,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,481,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,481,"Other cranial decompression, posterior fossa ",,,2152.0,46355.94,15
RC,481,Other manual wheelchair/base ,,,111.03,111.03,3
RC,481,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,481,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,481,Other spinal injection ,,,2152.0,6587.0,4
RC,481,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,11
RC,481,"Otoplasty, protruding ear, with or without size reduction ",,,3796.0,9908.0,19
RC,481,Outflare wedge ,,,66.8,66.8,3
RC,481,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,481,"Ovarian cystectomy, unilateral or bilateral ",,,5694.0,18490.0,19
RC,481,"Oversize lens, per lens ",,,16.72,16.72,3
RC,481,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,481,Oxalate ,,,15.75,15.75,3
RC,481,Oxcarbazepine ,,,14.44,14.44,3
RC,481,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,481,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,481,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,481,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,481,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,481,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,481,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,481,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,481,"PERCUT/NEEDLE INSERT, PROS ",,,2152.0,6587.0,4
RC,481,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,481,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,481,PMA Skin Substitute Produc ,,,136.26,136.26,3
RC,481,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,481,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,481,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,481,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,481,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,481,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,481,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,481,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,481,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"PROSTATECTOMY, FIRST STAGE ",,,2152.0,6587.0,4
RC,481,"PROSTATECTOMY, SECOND STAGE ",,,2152.0,6587.0,4
RC,481,PROSTATIC WATER THERMOTHER ,,,2152.0,6587.0,4
RC,481,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,481,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,481,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,481,PUNCTURE PERITONEAL CAVITY ,,,2152.0,6587.0,4
RC,481,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,481,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,481,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,481,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,481,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,481,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,481,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2152.0,36783.3,15
RC,481,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2152.0,35314.85,15
RC,481,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2152.0,42354.4,15
RC,481,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2152.0,70070.22,15
RC,481,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2152.0,65571.29,15
RC,481,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2152.0,70396.42,15
RC,481,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2152.0,65175.02,15
RC,481,"Pancreatectomy, total ",,,2152.0,40924.76,15
RC,481,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2152.0,23307.22,15
RC,481,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2152.0,37467.18,15
RC,481,Pancreatorrhaphy for injury ,,,2152.0,30233.16,15
RC,481,Panitumumab injection ,,,198.59,198.59,3
RC,481,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1481.0,5932.0,19
RC,481,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,3796.0,8858.0,19
RC,481,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,3796.0,9908.0,19
RC,481,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,481,"Paraffin, per pound ",,,5.3,5.3,3
RC,481,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,481,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1481.0,9908.0,13
RC,481,Parathyroidectomy or exploration of parathyroid(s); ,,,7592.0,23113.0,19
RC,481,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,7592.0,23113.0,19
RC,481,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2152.0,31204.43,15
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,8024.0,23556.71,19
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,7592.0,18490.0,19
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,7592.0,19415.0,19
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1266.0,5932.0,19
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1481.0,5932.0,13
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1266.0,5932.0,19
RC,481,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,481,Partial Hospitalization (3 ,,,136.91,342.3,6
RC,481,Partial Hospitalization (4 ,,,179.39,448.48,6
RC,481,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,3
RC,481,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,481,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,481,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,481,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,481,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,481,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,481,Partial hymenectomy or revision of hymenal ring ,,,3796.0,8858.0,19
RC,481,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,8024.0,21630.0,19
RC,481,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,8024.0,21630.0,19
RC,481,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,481,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,481,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,481,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,481,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,481,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,481,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,481,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,481,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,481,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,481,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,481,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,481,Pegaspargase injection ,,,32333.72,32333.72,3
RC,481,Pegunigalsidase alfa-iwxj ,,,245.97,245.97,3
RC,481,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,481,Pelvic examination under anesthesia (other than local) ,,,3796.0,8858.0,19
RC,481,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,2152.0,65905.47,15
RC,481,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2152.0,51561.82,15
RC,481,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,481,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,481,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,481,Penile plethysmography ,,,231.89,5932.0,19
RC,481,Pentostatin injection ,,,2940.81,2940.81,3
RC,481,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,481,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2152.0,76895.0,19
RC,481,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1329.82,5932.0,19
RC,481,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1266.0,5932.0,19
RC,481,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,14
RC,481,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,14
RC,481,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,481,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,2020.05,5932.0,11
RC,481,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,10868.0,23307.22,10
RC,481,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,5286.0,77554.0,19
RC,481,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4693.0,77554.0,19
RC,481,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4693.0,77554.0,19
RC,481,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,7839.0,77554.0,19
RC,481,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,8376.06,6
RC,481,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1266.0,5932.0,38
RC,481,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,7592.0,22590.2,32
RC,481,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,7
RC,481,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,19
RC,481,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,4
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,77468.25,10
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,77468.25,10
RC,481,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,481,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,27837.0,94000.0,8
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,25794.0,48155.21,14
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,17031.0,91021.43,14
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,9417.0,2
RC,481,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,2152.0,43890.0,18
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,15852.51,43890.0,14
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,31792.18,9
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,9
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,12875.0,10
RC,481,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,9417.0,2
RC,481,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,21909.0,48155.21,14
RC,481,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,10763.0,1
RC,481,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,481,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,27837.0,94000.0,8
RC,481,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,25794.0,77468.25,14
RC,481,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,9417.0,2
RC,481,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,13
RC,481,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,18279.0,43890.0,8
RC,481,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,18279.0,48155.21,14
RC,481,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,46000.0,14
RC,481,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,21210.0,94000.0,14
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,27837.0,94000.0,22
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,9417.0,2
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,25794.0,57319.96,21
RC,481,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,27837.0,94000.0,22
RC,481,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,48155.21,16
RC,481,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,23307.22,14
RC,481,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,23307.22,14
RC,481,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,23307.22,14
RC,481,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,23307.22,14
RC,481,"Pereyra procedure, including anterior colporrhaphy ",,,5694.0,18770.08,19
RC,481,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,481,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,4
RC,481,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,4
RC,481,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,3796.0,18490.0,19
RC,481,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,481,"Peritoneal lavage, including imaging guidance, when performed ",,,1266.0,6680.0,19
RC,481,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2152.0,32843.89,19
RC,481,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,843.46,6587.0,19
RC,481,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2152.0,8858.0,19
RC,481,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2152.0,12616.49,19
RC,481,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,481,Pertnscp cholangram w bx ,,,2152.0,6587.0,4
RC,481,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,481,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,481,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,481,Petrous apicectomy including radical mastoidectomy ,,,7592.0,23113.0,19
RC,481,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1481.0,2636.0,5
RC,481,Phenobarbital ,,,16.68,16.68,3
RC,481,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,481,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,481,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,481,Phenytoin; free ,,,15.0,15.0,3
RC,481,Phenytoin; total ,,,14.44,14.44,3
RC,481,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,6
RC,481,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,481,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,481,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,481,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,481,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,481,Phosphatidylglycerol ,,,18.01,18.01,3
RC,481,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,481,Phosphohexose isomerase ,,,11.7,11.7,3
RC,481,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,481,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,481,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,481,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,481,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1481.0,2636.0,5
RC,481,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1481.0,2636.0,5
RC,481,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1481.0,2636.0,5
RC,481,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,1481.0,2174.0,4
RC,481,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,6
RC,481,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,6
RC,481,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,481,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,481,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,481,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,481,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,481,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,5
RC,481,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,481,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,481,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,481,Pinworm examinations ,,,4.65,4.65,3
RC,481,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,5
RC,481,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1481.0,19415.0,13
RC,481,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,4693.0,12360.0,19
RC,481,Placement of amniotic membrane on the ocular surface; without sutures ,,,1266.0,5932.0,19
RC,481,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,3293.0,15
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1704.0,16144.0,15
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2214.0,5932.0,19
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,496.94,5932.0,19
RC,481,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,6
RC,481,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,4693.0,12360.0,19
RC,481,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,3796.0,8858.0,19
RC,481,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,3796.0,8858.0,19
RC,481,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,5
RC,481,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,5694.0,12360.0,57
RC,481,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,481,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,481,Plasma cryo redu path each ,,,145.8,145.8,3
RC,481,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,481,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,481,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,481,Plastic operation of penis for injury ,,,5694.0,19415.0,19
RC,481,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,6580.42,17510.0,19
RC,481,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,6580.42,17510.0,19
RC,481,Plastic operation on penis for epispadias distal to external sphincter; ,,,3861.98,12360.0,19
RC,481,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,7592.0,27917.61,15
RC,481,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,3861.98,12360.0,19
RC,481,Plastic operation on penis to correct angulation ,,,6580.42,17510.0,19
RC,481,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,7592.0,17510.0,19
RC,481,Plastic repair of canaliculi ,,,3796.0,8858.0,19
RC,481,Plastic repair of introitus ,,,3796.0,9908.0,19
RC,481,Plastic repair of urethrocele ,,,3796.0,9908.0,19
RC,481,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,481,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,481,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,481,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,481,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,481,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,481,Platelets pheresis path re ,,,662.1,662.1,3
RC,481,"Platelets, each unit ",,,57.96,57.96,3
RC,481,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,481,"Platelets, irradiated ",,,428.34,428.34,3
RC,481,"Platelets, pheresis ",,,336.77,336.77,3
RC,481,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,481,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,481,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,481,Plerixafor injection ,,,31.05,31.05,3
RC,481,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,481,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,481,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,481,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,481,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,481,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,481,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,481,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,481,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,481,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,481,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,481,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,481,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,481,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,481,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,481,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,481,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,481,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,481,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,481,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,481,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,481,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,481,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,481,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,481,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,481,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,481,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,481,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,481,Posaconazole ,,,29.55,29.55,3
RC,481,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,481,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,481,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,481,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,481,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,481,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,481,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,481,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,481,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,481,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,481,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,5694.0,18490.0,19
RC,481,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,640.52,5932.0,19
RC,481,Postpartum care only (separate procedure) ,,,2152.0,6587.0,15
RC,481,Postural drainage board ,,,31.28,31.28,3
RC,481,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,481,Potassium; urine ,,,5.16,5.16,3
RC,481,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,481,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,481,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,481,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,481,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,481,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,481,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,481,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,481,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,481,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,481,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,481,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,481,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,481,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,481,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,481,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,481,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,481,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,481,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,481,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,481,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,481,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,481,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,481,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,481,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,481,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,481,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,481,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,481,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,481,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,481,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,481,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,481,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,481,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,481,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,481,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,481,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,481,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,481,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,481,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,481,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,481,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,481,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,481,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,481,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,481,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,481,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,481,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,481,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,481,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,481,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,481,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,481,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,481,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,481,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,481,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,481,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,481,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,481,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,481,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,481,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,481,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,481,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,481,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,481,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,481,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,481,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,481,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,481,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,481,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,481,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,481,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,481,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,481,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,481,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,481,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,481,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,481,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,481,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,481,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,481,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,481,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,481,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,481,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,481,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,481,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,481,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,481,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,481,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,481,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,481,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,481,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,481,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,481,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,481,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,481,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,481,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,481,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,481,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,481,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,481,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,481,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,481,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,481,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,481,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,481,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,481,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,481,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,481,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,481,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,481,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,481,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,481,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,481,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,481,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,481,Pralatrexate injection ,,,420.87,420.87,3
RC,481,Prealbumin ,,,15.9,15.9,3
RC,481,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,481,Pregnanediol ,,,23.18,23.18,3
RC,481,Pregnanetriol ,,,22.94,22.94,3
RC,481,Pregnenolone ,,,22.53,22.53,3
RC,481,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,481,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,10
RC,481,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,481,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,481,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,481,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,481,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,481,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,481,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,481,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,481,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,481,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,481,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,481,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,481,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,481,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,481,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,481,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,481,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,481,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,481,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2152.0,12875.0,15
RC,481,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,481,Primidone ,,,18.08,18.08,3
RC,481,"Prism, per lens ",,,17.53,17.53,3
RC,481,"Probing of lacrimal canaliculi, with or without irrigation ",,,510.22,5932.0,19
RC,481,"Probing of nasolacrimal duct, with or without irrigation; ",,,589.67,5932.0,19
RC,481,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,3796.0,8858.0,19
RC,481,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,3796.0,8858.0,19
RC,481,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,3796.0,8858.0,19
RC,481,Procainamide hcl injection ,,,321.94,321.94,3
RC,481,Procainamide; ,,,65.4,65.4,3
RC,481,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,481,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,481,Progesterone ,,,22.74,22.74,3
RC,481,Proinsulin ,,,29.09,29.09,3
RC,481,Prolactin ,,,21.12,21.12,3
RC,481,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,589.67,6680.0,19
RC,481,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1266.0,5932.0,19
RC,481,"Prostaglandin, each ",,,45.53,45.53,3
RC,481,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,481,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,481,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,481,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,481,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2152.0,21251.05,15
RC,481,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2152.0,19642.67,15
RC,481,"Prostatectomy, perineal radical; ",,,2152.0,29541.73,15
RC,481,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,39526.16,15
RC,481,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,36192.77,15
RC,481,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2152.0,24584.44,15
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2152.0,26348.26,15
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,30676.0,19
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,26371.55,15
RC,481,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,3796.0,8858.0,19
RC,481,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,3796.0,8858.0,19
RC,481,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,481,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,481,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,481,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,481,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,481,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,481,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,481,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,481,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,481,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,481,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,481,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,481,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,481,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,481,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,481,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,481,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,481,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,481,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,481,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,481,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,481,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,481,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,481,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,481,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,481,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,481,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,481,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,481,Prothrombin time; ,,,4.68,4.68,3
RC,481,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,481,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,481,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,481,Pulmonary Treatment ,,,239.77,239.77,3
RC,481,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,481,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,481,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,481,Pump for water circulating pad ,,,68.74,68.74,3
RC,481,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,393.15,3293.0,15
RC,481,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1266.0,5932.0,19
RC,481,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2152.0,31367.64,15
RC,481,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2152.0,26076.17,15
RC,481,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,2152.0,16144.0,5
RC,481,"Pyelotomy; with drainage, pyelostomy ",,,2152.0,22090.16,15
RC,481,Pyelotomy; with exploration ,,,2152.0,21336.42,15
RC,481,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2152.0,23209.12,15
RC,481,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,481,Pyruvate ,,,15.78,15.78,3
RC,481,Pyruvate kinase ,,,10.29,10.29,3
RC,481,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,481,Quinidine ,,,15.91,15.91,3
RC,481,Quinine ,,,12.68,12.68,3
RC,481,RBC deglycerolized ,,,341.17,341.17,3
RC,481,RBC irradiated ,,,158.29,158.29,3
RC,481,RBC leukocytes reduced ,,,201.55,201.55,3
RC,481,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,481,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,481,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,481,RECONSTRUCTION OF URETHRA ,,,2152.0,6587.0,4
RC,481,REDUCTION OF SKULL DEFECT ,,,2152.0,6587.0,4
RC,481,REMOVAL OF ABDOMINAL FLUID ,,,2152.0,6587.0,4
RC,481,REMOVAL OF ABDOMINAL LESION ,,,2152.0,6587.0,4
RC,481,REMOVAL OF BRAIN TISSUE ,,,2152.0,6587.0,4
RC,481,REMOVAL OF TESTIS LESION ,,,2152.0,6587.0,4
RC,481,"REMOVE ABDOM LESION, COMPLEX ",,,2152.0,6587.0,4
RC,481,REMOVE ABDOMEN FOREIGN BODY ,,,2152.0,6587.0,4
RC,481,REMOVE MULTI-COMP PROSTHESIS ,,,2152.0,6587.0,4
RC,481,REMOVE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,481,REMOVE RESIDUAL PROSTATE ,,,2152.0,6587.0,4
RC,481,RENAL ABSCESS PERCUT DRAIN ,,,2152.0,6587.0,4
RC,481,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,6587.0,8
RC,481,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,481,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,5694.0,7168.0,5
RC,481,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,481,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,481,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,3796.0,5381.0,5
RC,481,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,481,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,481,REPAIR SPIGELIAN HERNIA ,,,5694.0,7168.0,5
RC,481,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,481,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,5694.0,7168.0,5
RC,481,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,481,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,5694.0,7168.0,5
RC,481,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,481,REREPAIR DETACHED RETINA ,,,2152.0,6587.0,4
RC,481,REVISE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,481,REVISE/REMOVE NEUROELECTRODE ,,,2152.0,6587.0,4
RC,481,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,7592.0,8072.0,5
RC,481,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,481,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,481,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,481,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,481,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,481,"Rabies vaccine, id ",,,258.18,258.18,3
RC,481,"Rabies vaccine, im ",,,361.85,361.85,3
RC,481,Radial keratotomy ,,,3796.0,23113.0,19
RC,481,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,41507.53,19
RC,481,Radical excision external auditory canal lesion; with neck dissection ,,,2152.0,36542.48,15
RC,481,Radical excision external auditory canal lesion; without neck dissection ,,,3796.0,13581.48,19
RC,481,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,37195.1,15
RC,481,Radiesse injection ,,,380.62,380.62,3
RC,481,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2152.0,19415.0,19
RC,481,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,481,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,481,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,481,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,481,Ranibizumab injection ,,,55.69,55.69,3
RC,481,Rasburicase ,,,422.32,422.32,3
RC,481,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,481,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,481,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,481,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,481,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2152.0,12875.0,15
RC,481,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,481,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,481,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,481,Receptor assay; estrogen ,,,95.79,95.79,3
RC,481,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,481,Receptor assay; progesterone ,,,70.72,70.72,3
RC,481,Recipient nephrectomy (separate procedure) ,,,2152.0,21344.18,15
RC,481,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,481,"Reconstruction external auditory canal for congenital atresia, single stage ",,,7592.0,23113.0,19
RC,481,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,7592.0,17510.0,19
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,3796.0,9908.0,19
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,3796.0,9908.0,19
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,5381.0,12360.0,19
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,3796.0,9908.0,19
RC,481,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,481,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,481,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1481.0,5932.0,7
RC,481,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,2
RC,481,Red blood cells unit ,,,164.12,164.12,3
RC,481,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2152.0,38236.23,15
RC,481,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2152.0,44941.82,15
RC,481,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,481,Reduction of overcorrection of ptosis ,,,3796.0,19415.0,19
RC,481,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,3796.0,19415.0,19
RC,481,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1481.0,2636.0,5
RC,481,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1481.0,2636.0,5
RC,481,Regulator ,,,43.99,43.99,3
RC,481,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,481,Reinsertion of ocular implant; with or without conjunctival graft ,,,5286.0,12360.0,19
RC,481,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,5694.0,12360.0,19
RC,481,Release of encircling material (posterior segment) ,,,3796.0,10691.32,19
RC,481,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,3796.0,23113.0,19
RC,481,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,481,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,481,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,481,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,481,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,481,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,3796.0,8858.0,19
RC,481,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,3796.0,8858.0,19
RC,481,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2214.0,8858.0,19
RC,481,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1266.0,8858.0,19
RC,481,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,7668.0,54082.0,19
RC,481,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1672.0,54082.0,19
RC,481,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2214.0,5932.0,19
RC,481,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,14
RC,481,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,4693.0,49207.09,19
RC,481,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1266.0,28733.66,15
RC,481,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,7668.0,54082.0,19
RC,481,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1266.0,54082.0,19
RC,481,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,3796.0,8858.0,19
RC,481,Removal foreign body from external auditory canal; with general anesthesia ,,,2214.0,5932.0,19
RC,481,Removal foreign body from external auditory canal; without general anesthesia ,,,237.69,2636.0,15
RC,481,"Removal impacted cerumen requiring instrumentation, unilateral ",,,119.92,5932.0,19
RC,481,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,119.92,5932.0,19
RC,481,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,5694.0,12360.0,19
RC,481,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,3
RC,481,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2287.0,12360.0,14
RC,481,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2287.0,12360.0,14
RC,481,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2287.0,12360.0,14
RC,481,"Removal of blood clot, anterior segment of eye ",,,3796.0,18490.0,19
RC,481,Removal of bone flap or prosthetic plate of skull ,,,2152.0,20046.7,15
RC,481,Removal of cerclage suture under anesthesia (other than local) ,,,3796.0,18490.0,19
RC,481,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2152.0,25299.15,15
RC,481,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2214.0,13628.72,19
RC,481,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,1278.84,8858.0,19
RC,481,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,293.76,5932.0,19
RC,481,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4693.0,15425.23,19
RC,481,"Removal of embedded foreign body, eyelid ",,,836.48,5932.0,19
RC,481,Removal of entire lumbosubarachnoid shunt system without replacement ,,,3748.18,8858.0,19
RC,481,"Removal of epithelial downgrowth, anterior chamber of eye ",,,3796.0,18490.0,19
RC,481,Removal of foreign body in scrotum ,,,3796.0,8858.0,19
RC,481,"Removal of foreign body or dacryolith, lacrimal passages ",,,836.48,5932.0,19
RC,481,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,792.63,2636.0,15
RC,481,"Removal of foreign body, external eye; conjunctival superficial ",,,237.69,2636.0,15
RC,481,"Removal of foreign body, external eye; corneal, with slit lamp ",,,237.69,2636.0,15
RC,481,"Removal of foreign body, external eye; corneal, without slit lamp ",,,792.63,2636.0,15
RC,481,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,3796.0,8858.0,19
RC,481,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1481.0,9908.0,19
RC,481,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,3796.0,19415.0,19
RC,481,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,7
RC,481,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2152.0,16307.06,19
RC,481,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,7
RC,481,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,5
RC,481,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,3796.0,8858.0,19
RC,481,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,4
RC,481,"Removal of implanted material, anterior segment of eye ",,,3796.0,23113.0,19
RC,481,"Removal of implanted material, posterior segment; extraocular ",,,3796.0,8858.0,19
RC,481,"Removal of implanted material, posterior segment; intraocular ",,,4407.65,12360.0,19
RC,481,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,4693.0,21630.0,19
RC,481,Removal of intrauterine device (IUD) ,,,320.26,5932.0,19
RC,481,"Removal of lens material; aspiration technique, 1 or more stages ",,,3796.0,19415.0,19
RC,481,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2214.0,18490.0,19
RC,481,Removal of lens material; intracapsular ,,,3796.0,19415.0,19
RC,481,"Removal of lens material; intracapsular, for dislocated lens ",,,3796.0,18490.0,19
RC,481,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,7592.0,19415.0,19
RC,481,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,3796.0,23113.0,19
RC,481,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1213.24,5932.0,19
RC,481,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,14
RC,481,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,5694.0,12360.0,19
RC,481,Removal of non-resorbable barrier ,,,10868.0,12875.0,4
RC,481,Removal of ocular implant ,,,4693.0,12360.0,19
RC,481,Removal of peritoneal foreign body from peritoneal cavity ,,,5286.0,12360.0,19
RC,481,Removal of peritoneal-venous shunt ,,,5286.0,12360.0,19
RC,481,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,23113.0,14
RC,481,Removal of previously implanted intrathecal or epidural catheter ,,,3748.18,8858.0,19
RC,481,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,3796.0,19415.0,19
RC,481,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2152.0,12360.0,18
RC,481,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,3748.18,8858.0,19
RC,481,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,12360.0,19
RC,481,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,5286.0,15425.23,19
RC,481,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,6
RC,481,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,4
RC,481,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,4
RC,481,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,4
RC,481,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,1481.0,6587.0,13
RC,481,Removal of transplanted pancreatic allograft ,,,2152.0,28710.16,11
RC,481,Removal of transplanted renal allograft ,,,2152.0,27101.78,15
RC,481,"Removal of tumor, temporal bone ",,,7592.0,19415.0,19
RC,481,Removal of tunneled intraperitoneal catheter ,,,4693.0,12360.0,19
RC,481,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,3796.0,19415.0,19
RC,481,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,3796.0,19415.0,19
RC,481,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,4693.0,17510.0,19
RC,481,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,4693.0,12360.0,19
RC,481,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,3796.0,18490.0,19
RC,481,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,14
RC,481,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2152.0,12360.0,19
RC,481,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2152.0,12360.0,19
RC,481,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2152.0,12360.0,19
RC,481,Remove interim implant component ,,,10868.0,12875.0,4
RC,481,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2152.0,64499.11,15
RC,481,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2152.0,54444.61,15
RC,481,"Renal autotransplantation, reimplantation of kidney ",,,2152.0,44949.58,15
RC,481,Renal biopsy; by surgical exposure of kidney ,,,2152.0,16985.18,15
RC,481,"Renal biopsy; percutaneous, by trocar or needle ",,,2214.0,5932.0,19
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,11848.54,19
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1266.0,22590.2,19
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,3796.0,22590.2,19
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,3796.0,11848.54,19
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1266.0,22590.2,19
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,3796.0,11848.54,19
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,8451.91,19
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1266.0,5932.0,19
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,7592.0,17510.0,15
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2214.0,11848.54,19
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2214.0,11848.54,19
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1213.24,5932.0,19
RC,481,"Renal exploration, not necessitating other specific procedures ",,,2152.0,16488.01,15
RC,481,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,481,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,481,Renin ,,,23.97,23.97,3
RC,481,Reopening of recent laparotomy ,,,2152.0,23574.35,15
RC,481,Repair incomplete circumcision ,,,3796.0,8858.0,19
RC,481,"Repair inguinal hernia, sliding, any age ",,,5694.0,19415.0,19
RC,481,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,5694.0,19415.0,19
RC,481,"Repair initial femoral hernia, any age; reducible ",,,5694.0,18490.0,19
RC,481,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,5694.0,19415.0,19
RC,481,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,5694.0,19415.0,19
RC,481,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,5694.0,19415.0,19
RC,481,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,5694.0,19415.0,19
RC,481,Repair lumbar hernia ,,,5286.0,13534.39,19
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,13
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2152.0,23698.54,114
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2152.0,28718.14,114
RC,481,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,3796.0,19415.0,19
RC,481,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,3796.0,19415.0,19
RC,481,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,3796.0,19415.0,19
RC,481,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,5694.0,18490.0,19
RC,481,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,3796.0,18490.0,19
RC,481,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,5381.0,18490.0,19
RC,481,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,3796.0,19415.0,19
RC,481,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,7592.0,18490.0,19
RC,481,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,7592.0,17510.0,19
RC,481,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,4
RC,481,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2152.0,24902.88,15
RC,481,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2152.0,20963.43,15
RC,481,Repair of ectropion; excision tarsal wedge ,,,3796.0,19415.0,19
RC,481,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,3796.0,19415.0,19
RC,481,Repair of ectropion; suture ,,,3796.0,9908.0,19
RC,481,Repair of ectropion; thermocauterization ,,,1431.22,9908.0,19
RC,481,"Repair of encephalocele, skull vault, including cranioplasty ",,,2152.0,48135.29,15
RC,481,"Repair of enterocele, abdominal approach (separate procedure) ",,,3796.0,17894.37,15
RC,481,"Repair of enterocele, vaginal approach (separate procedure) ",,,3796.0,11960.31,19
RC,481,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,8858.0,13
RC,481,Repair of entropion; excision tarsal wedge ,,,3796.0,19415.0,19
RC,481,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,3796.0,19415.0,19
RC,481,Repair of entropion; suture ,,,3796.0,9908.0,19
RC,481,Repair of entropion; thermocauterization ,,,1382.63,9908.0,19
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,5694.0,12360.0,19
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,5694.0,12360.0,19
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,5694.0,12360.0,19
RC,481,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,4693.0,12360.0,19
RC,481,"Repair of iris, ciliary body (as for iridodialysis) ",,,3796.0,9908.0,19
RC,481,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2214.0,6680.0,19
RC,481,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2152.0,16144.0,19
RC,481,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,3796.0,8858.0,19
RC,481,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,3796.0,8858.0,19
RC,481,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,3796.0,19415.0,19
RC,481,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,3796.0,19415.0,19
RC,481,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,5694.0,19415.0,19
RC,481,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,2152.0,110738.41,19
RC,481,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,2152.0,25571.24,15
RC,481,Repair of meningocele; larger than 5 cm diameter ,,,2152.0,32502.13,15
RC,481,Repair of meningocele; less than 5 cm diameter ,,,2152.0,29510.68,15
RC,481,Repair of myelomeningocele; larger than 5 cm diameter ,,,2152.0,40171.02,15
RC,481,Repair of myelomeningocele; less than 5 cm diameter ,,,2152.0,36223.82,15
RC,481,Repair of omphalocele (Gross type operation); first stage ,,,2152.0,16144.0,15
RC,481,Repair of omphalocele (Gross type operation); second stage ,,,2152.0,16144.0,15
RC,481,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,481,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2152.0,21630.0,19
RC,481,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2152.0,21630.0,19
RC,481,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1241.26,19415.0,19
RC,481,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1049.15,18490.0,19
RC,481,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,3112.02,8858.0,15
RC,481,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,7592.0,18490.0,19
RC,481,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,7592.0,23113.0,19
RC,481,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,481,Repair of scleral staphyloma with graft ,,,3796.0,19415.0,19
RC,481,"Repair of small omphalocele, with primary closure ",,,5694.0,19415.0,19
RC,481,"Repair of symblepharon; conjunctivoplasty, without graft ",,,3796.0,19415.0,19
RC,481,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,3796.0,19415.0,19
RC,481,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,5694.0,19415.0,19
RC,481,Repair of traumatic corporeal tear(s) ,,,3796.0,8858.0,19
RC,481,Repair of tunica vaginalis hydrocele (Bottle type) ,,,3796.0,19415.0,19
RC,481,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,5381.0,12360.0,19
RC,481,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,481,Repair oval window fistula ,,,3796.0,19415.0,19
RC,481,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,481,Repair recurrent femoral hernia; incarcerated or strangulated ,,,5694.0,19415.0,19
RC,481,Repair recurrent femoral hernia; reducible ,,,5694.0,18490.0,19
RC,481,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,5694.0,19415.0,19
RC,481,"Repair recurrent inguinal hernia, any age; reducible ",,,5694.0,19415.0,19
RC,481,Repair round window fistula ,,,3796.0,19415.0,19
RC,481,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,481,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,6
RC,481,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,6
RC,481,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,481,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,5694.0,19415.0,38
RC,481,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,5694.0,18490.0,19
RC,481,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,5694.0,19415.0,19
RC,481,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,481,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,481,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,481,Replace high roll cuff ,,,398.06,398.06,3
RC,481,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,481,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,481,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,481,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,481,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,481,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,481,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,481,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,481,Replace pretibial shell ,,,724.27,724.27,3
RC,481,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,481,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,481,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,481,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,481,Replace trilateral socket brim ,,,862.54,862.54,3
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2152.0,36534.62,19
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2152.0,35261.21,19
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,6587.0,33769.0,19
RC,481,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,481,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,481,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,481,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,481,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,481,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,481,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,481,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,481,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,481,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,481,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,481,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,481,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,481,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,481,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,481,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,481,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,481,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,481,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,481,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,481,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2152.0,27630.22,15
RC,481,Replacement of an implant screw ,,,10868.0,12875.0,3
RC,481,Replacement of bone flap or prosthetic plate of skull ,,,2152.0,23605.4,15
RC,481,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1266.0,5932.0,19
RC,481,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1266.0,5932.0,19
RC,481,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1266.0,5932.0,19
RC,481,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,4
RC,481,"Replacement or irrigation, subarachnoid/subdural catheter ",,,3748.18,8858.0,19
RC,481,"Replacement or irrigation, ventricular catheter ",,,2214.0,15425.23,19
RC,481,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,5286.0,17510.0,19
RC,481,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,481,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,481,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,481,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,481,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,481,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,481,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,481,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,481,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,481,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,7168.0,17510.0,19
RC,481,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,481,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,481,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,481,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,481,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,481,"Replantation, penis, complete amputation including urethral repair ",,,2152.0,16144.0,5
RC,481,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,3796.0,19415.0,19
RC,481,Reprogramming of programmable cerebrospinal shunt ,,,214.26,2636.0,15
RC,481,Reptilase test ,,,10.74,10.74,3
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,5694.0,25617.81,15
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2152.0,37156.29,15
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2152.0,32750.72,15
RC,481,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2152.0,39813.56,15
RC,481,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,2152.0,16144.0,5
RC,481,Resection of scrotum ,,,3796.0,8858.0,19
RC,481,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2152.0,64056.05,15
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2152.0,47847.89,15
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2152.0,54467.89,15
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2152.0,63652.02,15
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2152.0,75602.3,15
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2152.0,48290.73,15
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2152.0,66589.14,15
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2152.0,60474.08,15
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2152.0,74359.15,15
RC,481,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,3
RC,481,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,3
RC,481,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,3
RC,481,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,3
RC,481,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,481,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,481,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,481,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,481,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,481,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,481,"Resection temporal bone, external approach ",,,2152.0,59603.91,15
RC,481,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,481,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,481,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,481,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,481,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,481,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,481,Resuscitation and Cardiove ,,,723.71,723.71,3
RC,481,Reticulated platelet assay ,,,38.96,38.96,3
RC,481,Retrobulbar injection; alcohol ,,,238.56,5932.0,19
RC,481,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,589.67,2636.0,15
RC,481,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,481,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,9875.0,44979.2,14
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,18490.0,14
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,18490.0,14
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,18490.0,14
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,14
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,14
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,14
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,21630.0,14
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,28120.23,14
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,44979.2,14
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,9875.0,44979.2,14
RC,481,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,5694.0,18770.08,15
RC,481,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,2152.0,20901.34,15
RC,481,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,3796.0,9908.0,19
RC,481,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4693.0,21630.0,19
RC,481,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,53982.38,19
RC,481,Revision mastoidectomy; resulting in complete mastoidectomy ,,,7592.0,23113.0,19
RC,481,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,7592.0,23113.0,19
RC,481,Revision mastoidectomy; resulting in radical mastoidectomy ,,,7592.0,23113.0,19
RC,481,Revision mastoidectomy; resulting in tympanoplasty ,,,7592.0,23113.0,19
RC,481,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,3796.0,8858.0,19
RC,481,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,3796.0,9908.0,19
RC,481,Revision of peritoneal-venous shunt ,,,5286.0,12360.0,19
RC,481,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,7592.0,17510.0,19
RC,481,Revision of stapedectomy or stapedotomy ,,,7592.0,18490.0,19
RC,481,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,3796.0,8858.0,15
RC,481,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2152.0,16495.77,15
RC,481,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,5286.0,17323.96,19
RC,481,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4693.0,12360.0,19
RC,481,Revision or removal of intracranial neurostimulator electrodes ,,,5381.0,12360.0,15
RC,481,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2152.0,12774.62,18
RC,481,Revision or removal of peripheral neurostimulator electrode array ,,,4693.0,12360.0,19
RC,481,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4693.0,12360.0,19
RC,481,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,3796.0,8858.0,19
RC,481,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2287.0,12360.0,14
RC,481,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2287.0,88272.97,14
RC,481,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,5286.0,21630.0,19
RC,481,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,2152.0,32153.46,19
RC,481,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,7
RC,481,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,7
RC,481,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2152.0,58359.95,18
RC,481,Rh ig minidose im ,,,87.2,87.2,3
RC,481,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,481,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,481,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,481,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,481,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9119.84,22644.0,14
RC,481,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,7168.0,5
RC,481,Right ventricular recording ,,,2152.88,43890.0,14
RC,481,"Risperidone, long acting ",,,12.1,12.1,3
RC,481,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,481,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,481,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,489.24,6
RC,481,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,6
RC,481,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2152.0,52059.21,11
RC,481,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2152.0,52742.87,11
RC,481,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2152.0,46954.23,11
RC,481,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2152.0,49269.77,11
RC,481,Rsv mab im 50mg ,,,476.06,476.06,3
RC,481,Rufinamide ,,,29.55,29.55,3
RC,481,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,481,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,481,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,481,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,481,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,481,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,481,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,481,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,481,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,481,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,481,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,481,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,481,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,2152.0,16144.0,5
RC,481,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2214.0,4723.0,5
RC,481,STRIP RETINAL MEMBRANE ,,,2152.0,6587.0,4
RC,481,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,2152.0,16144.0,5
RC,481,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,481,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,481,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,481,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,481,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,481,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,481,Salicylate ,,,20.32,20.32,3
RC,481,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,5694.0,18490.0,19
RC,481,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,7592.0,18490.0,19
RC,481,Salpingostomy (salpingoneostomy) ,,,3796.0,18490.0,19
RC,481,Sargramostim injection ,,,68.1,68.1,3
RC,481,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,6
RC,481,Scleral cover shell ,,,1932.53,1932.53,3
RC,481,Scleral reinforcement (separate procedure); with graft ,,,3796.0,9908.0,19
RC,481,Scleral reinforcement (separate procedure); without graft ,,,3796.0,9908.0,19
RC,481,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,1329.82,6680.0,19
RC,481,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,481,"Scraping of cornea, diagnostic, for smear and/or culture ",,,792.63,2636.0,15
RC,481,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,481,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,481,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,481,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,481,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,481,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,481,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,481,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,481,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,481,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,481,Screening proctoscopy ,,,735.36,808.07,6
RC,481,Scrotal exploration ,,,3796.0,8858.0,19
RC,481,Scrotoplasty; complicated ,,,3796.0,11848.54,19
RC,481,Scrotoplasty; simple ,,,4693.0,17510.0,19
RC,481,"Seat attachment, walker ",,,20.26,20.26,3
RC,481,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,481,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,481,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,481,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2152.0,29184.26,15
RC,481,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2152.0,32167.95,15
RC,481,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,481,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,481,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,481,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,481,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,481,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,481,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,481,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,481,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,481,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,481,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,481,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,481,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,481,Selenium ,,,27.83,27.83,3
RC,481,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,481,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,481,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,481,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,481,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,481,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,481,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,481,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,481,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,481,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,481,Semi-precision abutment - placement ,,,10868.0,12875.0,4
RC,481,Semi-precision attachment - placement ,,,10868.0,12875.0,4
RC,481,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,481,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,481,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,481,Serotonin ,,,33.77,33.77,3
RC,481,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,481,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,481,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,481,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,481,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,481,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,481,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,481,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,481,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,481,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,481,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,3796.0,19415.0,19
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,3796.0,19415.0,19
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,3796.0,8858.0,19
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,3796.0,19415.0,19
RC,481,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1084.46,19415.0,19
RC,481,Severing of tarsorrhaphy ,,,1219.17,5932.0,19
RC,481,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1105.11,6680.0,19
RC,481,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,481,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,481,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,481,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,481,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,481,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,481,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,481,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,481,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,481,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,481,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,481,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,481,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,481,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,481,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,481,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,481,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,481,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,481,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,481,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,481,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,481,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,481,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,481,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,481,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,481,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,481,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,481,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,481,Sialic acid ,,,14.65,14.65,3
RC,481,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,481,Silica ,,,27.48,27.48,3
RC,481,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,726.38,6587.0,19
RC,481,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,237.69,6587.0,15
RC,481,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,6
RC,481,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,6
RC,481,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,481,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,481,Sirolimus ,,,14.97,14.97,3
RC,481,Sitz bath chair ,,,192.39,192.39,3
RC,481,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,481,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,481,"Six volt battery, each ",,,321.31,321.31,3
RC,481,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,481,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,481,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,481,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,481,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,481,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,481,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,481,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,481,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,481,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,481,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,481,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,481,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,481,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,481,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,5286.0,22590.2,19
RC,481,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,7592.0,18490.0,19
RC,481,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,481,Slings ,,,11.97,11.97,3
RC,481,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,3796.0,8858.0,19
RC,481,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,3796.0,8858.0,19
RC,481,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,481,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,481,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,481,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,481,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,481,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,481,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,481,Snip incision of lacrimal punctum ,,,406.37,5932.0,19
RC,481,Sodium; other source ,,,5.3,5.3,3
RC,481,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,481,Sodium; urine ,,,5.52,5.52,3
RC,481,"Sole wedge, between sole ",,,66.8,66.8,3
RC,481,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,481,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,481,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,481,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,481,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,481,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,481,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,481,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,481,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,481,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,481,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,6
RC,481,Somatomedin ,,,23.17,23.17,3
RC,481,Somatostatin ,,,19.93,19.93,3
RC,481,Special back height for wheelchair ,,,43.53,43.53,3
RC,481,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,481,Special height arms for wheelchair ,,,366.41,366.41,3
RC,481,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,481,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,481,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,481,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,481,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,481,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,481,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,481,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,481,Specific gravity (except urine) ,,,3.58,3.58,3
RC,481,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,481,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,481,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,481,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,481,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,481,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,481,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,481,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,481,Sperm antibodies ,,,11.63,11.63,3
RC,481,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,481,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,481,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,481,Sperm washing for artificial insemination ,,,37.58,2636.0,15
RC,481,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,481,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,481,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,481,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,481,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,481,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,481,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,481,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,481,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,481,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,481,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,481,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,481,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,481,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,481,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,481,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,481,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,481,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,481,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,481,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,481,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,481,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,481,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,481,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,481,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,481,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,481,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,481,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,481,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,481,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,481,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,481,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,481,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,481,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,481,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,481,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,481,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,481,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,481,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,481,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,481,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,481,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,481,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,481,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,481,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,481,"Spinal puncture, lumbar, diagnostic; ",,,1266.0,5932.0,19
RC,481,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,1362.61,6587.0,19
RC,481,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1266.0,5932.0,19
RC,481,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,1362.61,6587.0,19
RC,481,"Spoke protectors, each ",,,61.65,61.65,3
RC,481,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,481,Sr89 strontium ,,,4519.51,4519.51,3
RC,481,Stand/rack ,,,33.16,33.16,3
RC,481,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,481,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,481,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,481,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,481,Standard wheelchair ,,,31.09,31.09,3
RC,481,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,481,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,7592.0,18490.0,19
RC,481,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,7592.0,18490.0,19
RC,481,Stapes mobilization ,,,3796.0,23113.0,19
RC,481,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,481,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,481,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,481,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,481,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,481,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,481,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,481,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,481,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,481,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,481,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,481,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,481,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,481,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,481,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,481,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2152.0,32183.47,15
RC,481,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2152.0,31453.02,15
RC,481,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,481,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,481,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1481.0,6587.0,9
RC,481,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2214.0,35780.98,15
RC,481,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,6587.0,17510.0,15
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,24844.0,37457.0,6
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,24844.0,37457.0,6
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,24844.0,37457.0,6
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,481,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2214.0,5932.0,19
RC,481,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,481,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,481,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,6
RC,481,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,119.92,6587.0,15
RC,481,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,481,Stoma cap ,,,2.17,2.17,3
RC,481,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,481,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1481.0,19415.0,13
RC,481,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1481.0,19415.0,13
RC,481,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1481.0,19415.0,13
RC,481,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1481.0,19415.0,13
RC,481,"Strabismus surgery, any procedure, superior oblique muscle ",,,3796.0,19415.0,19
RC,481,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,3796.0,9908.0,19
RC,481,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,3796.0,19415.0,19
RC,481,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,5381.0,19415.0,19
RC,481,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,3796.0,19415.0,19
RC,481,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,481,"Streptokinase, antibody ",,,13.8,13.8,3
RC,481,Subarachnoid inject NEC ,,,2152.0,6587.0,4
RC,481,Subconjunctival injection ,,,237.69,2636.0,15
RC,481,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2214.0,27404.92,15
RC,481,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1266.0,5932.0,19
RC,481,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1266.0,5932.0,19
RC,481,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2152.0,32183.47,15
RC,481,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2152.0,10847.05,11
RC,481,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,481,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,481,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,481,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,481,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,481,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,481,"Sulfate, urine ",,,5.98,5.98,3
RC,481,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,481,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,481,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,481,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,481,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,481,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,481,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,481,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,481,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,481,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,23113.0,19
RC,481,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,386.78,6587.0,14
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2152.0,49254.25,15
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2152.0,57187.47,15
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2152.0,58415.1,15
RC,481,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2152.0,97490.65,15
RC,481,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2152.0,108788.09,15
RC,481,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2152.0,30318.75,15
RC,481,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2152.0,84545.6,15
RC,481,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2152.0,49471.79,15
RC,481,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2152.0,106006.42,15
RC,481,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2152.0,64607.77,15
RC,481,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2152.0,95959.89,15
RC,481,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2152.0,51359.8,15
RC,481,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2152.0,78283.07,15
RC,481,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2152.0,91911.79,15
RC,481,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,481,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,481,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,4
RC,481,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,4
RC,481,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,4
RC,481,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,4
RC,481,Surgical placement zygomatic implant ,,,10868.0,12875.0,4
RC,481,Surgical repair of root resorption - molar ,,,10868.0,12875.0,4
RC,481,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,4
RC,481,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,4
RC,481,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,6
RC,481,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2152.0,20893.58,15
RC,481,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2152.0,16144.0,15
RC,481,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2152.0,19790.36,15
RC,481,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,5694.0,17902.13,19
RC,481,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,5694.0,19415.0,19
RC,481,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,481,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,481,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,481,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,481,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,481,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,481,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,481,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,481,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,7592.0,18490.0,19
RC,481,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,7592.0,18490.0,19
RC,481,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,5286.0,17510.0,19
RC,481,Suture of 1 nerve; median motor thenar ,,,7168.0,17510.0,19
RC,481,Suture of 1 nerve; ulnar motor ,,,7168.0,17510.0,19
RC,481,"Suture of digital nerve, hand or foot; 1 nerve ",,,3748.18,19415.0,19
RC,481,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,481,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,481,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,481,Suture of facial nerve; extracranial ,,,7168.0,17510.0,19
RC,481,"Suture of facial nerve; infratemporal, with or without grafting ",,,7168.0,19415.0,19
RC,481,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,3796.0,8858.0,19
RC,481,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,5286.0,17510.0,19
RC,481,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,5286.0,17510.0,19
RC,481,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1481.0,9908.0,13
RC,481,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1481.0,6680.0,13
RC,481,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1481.0,9908.0,13
RC,481,Suture of posterior tibial nerve ,,,5286.0,17510.0,19
RC,481,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,3796.0,8858.0,19
RC,481,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,1440.04,8858.0,19
RC,481,Suture of sciatic nerve ,,,3748.18,12360.0,19
RC,481,Suture of; brachial plexus ,,,3748.18,12360.0,19
RC,481,Suture of; lumbar plexus ,,,7168.0,17510.0,19
RC,481,Suture or repair of testicular injury ,,,3796.0,9908.0,19
RC,481,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2152.0,18368.26,15
RC,481,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,481,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,481,"Sympathectomy, cervical ",,,2214.0,6680.0,19
RC,481,"Sympathectomy, cervicothoracic ",,,2214.0,5047.0,15
RC,481,"Sympathectomy, lumbar ",,,2152.0,17521.38,15
RC,481,"Sympathectomy, thoracolumbar ",,,2152.0,24110.33,15
RC,481,"Sympathectomy; digital arteries, each digit ",,,3748.18,8858.0,15
RC,481,Sympathectomy; radial artery ,,,5694.0,19415.0,19
RC,481,Sympathectomy; superficial palmar arch ,,,5286.0,12360.0,19
RC,481,Sympathectomy; ulnar artery ,,,5286.0,12360.0,19
RC,481,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2152.0,25718.71,15
RC,481,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,481,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,481,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,481,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,481,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,481,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,481,T cells; total count ,,,41.13,41.13,3
RC,481,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,481,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,481,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,481,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,481,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,481,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,481,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,481,TRANSECT ARTERY SINUS ,,,2152.0,6587.0,4
RC,481,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,481,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,481,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,481,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,481,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,481,TUR cong post valve/fold ,,,2152.0,6587.0,4
RC,481,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,481,Tacrolimus ,,,14.97,14.97,3
RC,481,Tacrolimus injection ,,,292.31,292.31,3
RC,481,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,481,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,481,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,481,"Tau, total (tTau) ",,,140.52,140.52,3
RC,481,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,481,Tc99m bicisate ,,,845.32,845.32,3
RC,481,Tc99m succimer ,,,719.32,719.32,3
RC,481,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,481,Telavancin injection ,,,8.16,8.16,3
RC,481,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,481,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,481,Temozolomide injection ,,,11.34,11.34,3
RC,481,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1266.0,5932.0,19
RC,481,Tenecteplase injection ,,,236.99,236.99,3
RC,481,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,481,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,481,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,481,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,481,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,481,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,481,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,481,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,481,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,481,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,481,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,481,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,481,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,481,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,481,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,481,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,481,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,481,Testosterone; free ,,,27.76,27.76,3
RC,481,Testosterone; total ,,,28.13,28.13,3
RC,481,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,481,Theophylline ,,,15.41,15.41,3
RC,481,Therapeutic Nuclear Medici ,,,255.5,255.5,3
RC,481,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,481,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,481,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,481,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,481,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,481,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,481,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,481,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,481,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,481,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,481,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2152.0,35261.21,19
RC,481,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,481,Thiocyanate ,,,12.68,12.68,3
RC,481,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,481,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,481,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,481,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,481,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,481,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,481,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,481,Thrombin time; plasma ,,,6.29,6.29,3
RC,481,Thrombin time; titer ,,,7.47,7.47,3
RC,481,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,16144.0,2
RC,481,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,2636.0,2
RC,481,Thrombomodulin ,,,18.82,18.82,3
RC,481,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,481,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,481,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,481,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,481,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2152.0,30699.28,15
RC,481,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2152.0,25182.73,15
RC,481,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,7592.0,19415.0,19
RC,481,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,481,Thyroglobulin ,,,17.51,17.51,3
RC,481,Thyroglobulin antibody ,,,17.34,17.34,3
RC,481,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,481,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,481,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,481,"Thyroidectomy, including substernal thyroid; cervical approach ",,,7592.0,19415.0,19
RC,481,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2214.0,30644.95,15
RC,481,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,7592.0,18490.0,19
RC,481,"Thyroidectomy, total or complete ",,,8024.0,23113.0,19
RC,481,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,23307.22,14
RC,481,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,7592.0,23113.0,19
RC,481,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,3796.0,37404.88,19
RC,481,Thyrotropin injection ,,,2352.94,2352.94,3
RC,481,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,481,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,481,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,481,Thyroxine; free ,,,9.83,9.83,3
RC,481,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,481,Thyroxine; total ,,,7.49,7.49,3
RC,481,Tiagabine ,,,29.55,29.55,3
RC,481,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,481,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,481,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,481,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,481,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,481,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,481,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,481,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,481,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,481,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,481,"Tlso, corset front ",,,182.11,182.11,3
RC,481,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,481,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,481,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,481,"Tlso, full corset ",,,251.72,251.72,3
RC,481,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,481,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,481,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,481,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,481,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,481,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,481,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,481,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,481,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,481,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,481,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,481,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,481,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,481,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,481,Tobramycin ,,,17.58,17.58,3
RC,481,Tocilizumab injection ,,,5.89,5.89,3
RC,481,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,481,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,481,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,481,Topiramate ,,,12.99,12.99,3
RC,481,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2152.0,23113.0,19
RC,481,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2152.0,27653.5,19
RC,481,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,30854.73,19
RC,481,Total facial nerve decompression and/or repair (may include graft) ,,,7592.0,19415.0,19
RC,481,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,7839.0,21630.0,19
RC,481,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,5286.0,21630.0,19
RC,481,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,481,Trabeculoplasty by laser surgery ,,,830.48,6680.0,19
RC,481,Trabeculotomy ab externo ,,,3796.0,19415.0,19
RC,481,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,481,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,481,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,3796.0,11960.31,19
RC,481,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,3796.0,9908.0,19
RC,481,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,481,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,481,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,481,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,481,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,481,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,481,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,481,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,481,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,481,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,481,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,481,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,481,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,481,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,481,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,481,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,481,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,481,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,481,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,481,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,481,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,481,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,481,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,481,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,481,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,481,"Transabdominal amnioinfusion, including ultrasound guidance ",,,590.17,5932.0,19
RC,481,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,481,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,1481.0,2174.0,4
RC,481,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,10
RC,481,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2152.0,76895.0,38
RC,481,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2152.0,33108.18,15
RC,481,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,9
RC,481,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2152.0,20159.44,18
RC,481,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,3796.0,8858.0,19
RC,481,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2152.0,54467.89,15
RC,481,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2152.0,66449.21,15
RC,481,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,481,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,481,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,481,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,481,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,481,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,481,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2214.0,5047.0,15
RC,481,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,3748.18,12360.0,15
RC,481,"Transection or avulsion of other cranial nerve, extradural ",,,3748.18,8858.0,19
RC,481,"Transection or avulsion of other spinal nerve, extradural ",,,3748.18,8858.0,19
RC,481,"Transection or avulsion of; facial nerve, differential or complete ",,,3748.18,8858.0,19
RC,481,Transection or avulsion of; greater occipital nerve ,,,3748.18,8858.0,19
RC,481,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2214.0,6680.0,19
RC,481,Transection or avulsion of; infraorbital nerve ,,,2214.0,6680.0,19
RC,481,Transection or avulsion of; lingual nerve ,,,3748.18,8858.0,19
RC,481,Transection or avulsion of; mental nerve ,,,2214.0,6680.0,19
RC,481,Transection or avulsion of; phrenic nerve ,,,2214.0,6680.0,19
RC,481,Transection or avulsion of; supraorbital nerve ,,,2214.0,6680.0,19
RC,481,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2152.0,16144.0,15
RC,481,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2152.0,20442.98,15
RC,481,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,15
RC,481,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2152.0,23636.44,15
RC,481,"Transfer device, any type, each ",,,61.38,61.38,3
RC,481,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,481,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,481,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,481,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,481,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,481,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,481,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,481,Transferrin ,,,13.91,13.91,3
RC,481,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,23113.0,14
RC,481,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,10868.0,28600.76,13
RC,481,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,6587.0,18490.0,19
RC,481,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,6587.0,18490.0,19
RC,481,Transmastoid antrotomy (simple mastoidectomy) ,,,7592.0,23113.0,19
RC,481,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,481,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,481,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,481,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2152.0,57202.99,15
RC,481,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2152.0,94133.98,15
RC,481,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,481,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,481,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1481.0,2636.0,9
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,8024.0,21630.0,15
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,8024.0,21630.0,15
RC,481,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2152.0,21630.0,19
RC,481,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,3796.0,25080.0,15
RC,481,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2152.0,64413.52,15
RC,481,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,481,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,481,Transplantation of multivisceral organs ,,,21210.0,23307.22,6
RC,481,Transplantation of pancreatic allograft ,,,2152.0,57420.53,11
RC,481,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,6
RC,481,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,3796.0,9908.0,19
RC,481,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,481,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,481,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,481,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1481.0,19415.0,13
RC,481,"Transposition, ovary(s) ",,,5694.0,15283.67,19
RC,481,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2152.0,52944.89,15
RC,481,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,481,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2152.0,25912.96,15
RC,481,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2214.0,33769.0,19
RC,481,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2152.0,8858.0,19
RC,481,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,5286.0,17510.0,19
RC,481,Transurethral drainage of prostatic abscess ,,,3796.0,8858.0,19
RC,481,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,7592.0,19415.0,19
RC,481,Transurethral incision of prostate ,,,3796.0,9908.0,19
RC,481,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2214.0,6680.0,19
RC,481,Transurethral resection of bladder neck (separate procedure) ,,,3796.0,9908.0,19
RC,481,Transurethral resection; of postoperative bladder neck contracture ,,,3796.0,8858.0,19
RC,481,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,5286.0,17510.0,19
RC,481,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2287.0,27080.2,14
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1481.0,6680.0,13
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1481.0,6680.0,13
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1481.0,6680.0,13
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1481.0,6680.0,13
RC,481,Transvesical ureterolithotomy ,,,3861.98,17510.0,15
RC,481,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,481,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,481,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,481,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,481,Trauma Response with Criti ,,,1459.49,1459.49,3
RC,481,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1095.48,5932.0,19
RC,481,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1266.0,6680.0,19
RC,481,"Treatment of incomplete abortion, any trimester, completed surgically ",,,3796.0,18490.0,19
RC,481,"Treatment of missed abortion, completed surgically; first trimester ",,,3796.0,18490.0,19
RC,481,"Treatment of missed abortion, completed surgically; second trimester ",,,3796.0,18490.0,19
RC,481,"Treatment of septic abortion, completed surgically ",,,2152.0,16144.0,19
RC,481,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,481,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,481,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,481,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,481,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,481,Triglycerides ,,,6.26,6.26,3
RC,481,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,481,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,481,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,481,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,11
RC,481,Triptorelin pamoate ,,,508.34,508.34,3
RC,481,"Troponin, qualitative ",,,11.0,11.0,3
RC,481,"Troponin, quantitative ",,,13.59,13.59,3
RC,481,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,481,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,481,"Truss, double with standard pads ",,,177.72,177.72,3
RC,481,"Truss, single with standard pad ",,,112.58,112.58,3
RC,481,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,481,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,481,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,481,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,481,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,481,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,481,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,481,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,481,Tubotubal anastomosis ,,,5694.0,19813.64,19
RC,481,Tubouterine implantation ,,,5694.0,19759.09,19
RC,481,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,481,"Twelve volt battery, each ",,,703.98,703.98,3
RC,481,Twist drill hole for subdural or ventricular puncture ,,,2152.0,16144.0,15
RC,481,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2152.0,20225.44,15
RC,481,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2152.0,16144.0,15
RC,481,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2152.0,21895.9,15
RC,481,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2152.0,51966.07,60
RC,481,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,1250.13,9908.0,19
RC,481,Tympanic neurectomy ,,,3796.0,9908.0,19
RC,481,"Tympanolysis, transcanal ",,,4693.0,17510.0,19
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,7592.0,23113.0,19
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,7592.0,23113.0,19
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,7592.0,23113.0,19
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,7592.0,23113.0,19
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,7592.0,23113.0,19
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,7592.0,23113.0,19
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,7592.0,23113.0,19
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,7592.0,23113.0,19
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,7592.0,23113.0,19
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,7592.0,18490.0,19
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,7592.0,18490.0,19
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,7592.0,18490.0,19
RC,481,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2214.0,9908.0,19
RC,481,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,845.91,9908.0,19
RC,481,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,7
RC,481,Tyrosine ,,,11.59,11.59,3
RC,481,"U-v lens, per lens ",,,29.55,29.55,3
RC,481,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,481,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,481,URETER ENDOSCOPY & TRACER ,,,2152.0,6587.0,8
RC,481,URETHRA PRESSURE PROFILE ,,,2152.0,6587.0,4
RC,481,URINE VOIDING PRESSURE STUDY ,,,2152.0,6587.0,4
RC,481,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,481,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,481,Ultrasound Composite ,,,322.14,322.14,3
RC,481,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,481,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,481,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,481,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,481,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,5694.0,19415.0,19
RC,481,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,481,Unlist px-laparascopy ,,,2152.0,6587.0,4
RC,481,Unlisted cardiovascular service or procedure ,,,1481.0,2636.0,5
RC,481,Unlisted diagnostic gastroenterology procedure ,,,1481.0,2636.0,5
RC,481,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,361.99,5932.0,19
RC,481,"Unlisted hysteroscopy procedure, uterus ",,,361.99,2636.0,15
RC,481,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, bladder ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, endocrine system ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, maternity care and delivery ",,,7592.0,17510.0,19
RC,481,"Unlisted laparoscopy procedure, oviduct, ovary ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, renal ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, spermatic cord ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, testis ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, ureter ",,,7592.0,17510.0,15
RC,481,"Unlisted laparoscopy procedure, uterus ",,,7592.0,17510.0,15
RC,481,"Unlisted procedure, abdomen, peritoneum and omentum ",,,1713.31,7168.0,19
RC,481,"Unlisted procedure, anterior segment of eye ",,,2214.0,5932.0,19
RC,481,"Unlisted procedure, conjunctiva ",,,589.67,2636.0,15
RC,481,"Unlisted procedure, endocrine system ",,,4693.0,21630.0,19
RC,481,"Unlisted procedure, external ear ",,,443.94,2636.0,15
RC,481,"Unlisted procedure, extraocular muscle ",,,589.67,5381.0,15
RC,481,"Unlisted procedure, eyelids ",,,589.67,2636.0,15
RC,481,"Unlisted procedure, female genital system (nonobstetrical) ",,,361.99,5932.0,19
RC,481,"Unlisted procedure, inner ear ",,,443.94,5932.0,19
RC,481,"Unlisted procedure, lacrimal system ",,,589.67,2636.0,15
RC,481,"Unlisted procedure, male genital system ",,,512.08,6680.0,19
RC,481,"Unlisted procedure, maternity care and delivery ",,,361.99,6680.0,19
RC,481,"Unlisted procedure, middle ear ",,,443.94,5932.0,19
RC,481,"Unlisted procedure, nervous system ",,,570.66,5932.0,19
RC,481,"Unlisted procedure, orbit ",,,589.67,2636.0,15
RC,481,"Unlisted procedure, pancreas ",,,1329.82,3293.0,15
RC,481,"Unlisted procedure, posterior segment ",,,2214.0,5661.21,15
RC,481,"Unlisted procedure, temporal bone, middle fossa approach ",,,443.94,5932.0,19
RC,481,"Unlisted procedure, urinary system ",,,512.08,5932.0,19
RC,481,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,481,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,481,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,481,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,481,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,481,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,481,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,481,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,481,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,481,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,481,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,481,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,481,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,481,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,481,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,481,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,481,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,481,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,481,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,481,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,481,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,481,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,481,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,481,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,481,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,481,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,481,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,481,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,481,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,481,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,481,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,481,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,481,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,481,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,481,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,481,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,481,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,481,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,481,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,481,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,481,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,481,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,481,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,481,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,481,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,481,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,481,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,481,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,481,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,481,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,481,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,481,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,481,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,481,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,481,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,481,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,481,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,481,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,481,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,481,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1481.0,5932.0,13
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,8451.91,19
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,3796.0,11848.54,19
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,3796.0,11848.54,19
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,3796.0,11848.54,19
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1266.0,8451.91,19
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,8451.91,19
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2214.0,11848.54,19
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2214.0,11848.54,19
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,3796.0,11848.54,19
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1266.0,8451.91,19
RC,481,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2152.0,76895.0,19
RC,481,"Ureterectomy, with bladder cuff (separate procedure) ",,,2152.0,76895.0,19
RC,481,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2152.0,25944.23,15
RC,481,"Ureterocolon conduit, including intestine anastomosis ",,,2152.0,27482.53,15
RC,481,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2152.0,20870.3,15
RC,481,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2152.0,29549.49,15
RC,481,Ureterolithotomy; lower one-third of ureter ,,,2152.0,20069.99,19
RC,481,Ureterolithotomy; middle one-third of ureter ,,,2152.0,20279.77,19
RC,481,Ureterolithotomy; upper one-third of ureter ,,,2152.0,21188.95,19
RC,481,Ureterolysis for ovarian vein syndrome ,,,2152.0,22603.07,15
RC,481,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2152.0,24786.45,15
RC,481,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2152.0,27389.39,15
RC,481,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2152.0,24141.38,15
RC,481,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2152.0,24848.55,15
RC,481,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2152.0,25353.7,15
RC,481,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2152.0,27303.8,15
RC,481,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2152.0,20800.44,15
RC,481,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2152.0,27568.13,15
RC,481,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2152.0,18919.98,15
RC,481,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2152.0,31523.09,15
RC,481,"Ureterostomy, transplantation of ureter to skin ",,,2152.0,21235.52,15
RC,481,"Ureterotomy for insertion of indwelling stent, all types ",,,2152.0,22276.65,19
RC,481,Ureterotomy with exploration or drainage (separate procedure) ,,,2152.0,21103.36,19
RC,481,Ureteroureterostomy ,,,2152.0,25361.46,15
RC,481,"Urethrectomy, total, including cystostomy; female ",,,5694.0,18490.0,19
RC,481,"Urethrectomy, total, including cystostomy; male ",,,3796.0,18490.0,19
RC,481,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,5694.0,18490.0,19
RC,481,"Urethromeatoplasty, with mucosal advancement ",,,4693.0,12360.0,19
RC,481,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,3796.0,8858.0,19
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,5694.0,12360.0,19
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,5694.0,12360.0,19
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,7592.0,17510.0,19
RC,481,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,5694.0,12360.0,19
RC,481,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,5286.0,12360.0,19
RC,481,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,5286.0,12360.0,19
RC,481,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,5694.0,12360.0,19
RC,481,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,5286.0,12360.0,19
RC,481,"Urethroplasty, reconstruction of female urethra ",,,5286.0,12360.0,19
RC,481,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,7592.0,25408.03,15
RC,481,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,5694.0,12360.0,19
RC,481,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,5286.0,12360.0,19
RC,481,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,3796.0,8858.0,19
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,5286.0,12360.0,19
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,3796.0,11848.54,19
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,5286.0,12360.0,19
RC,481,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,3796.0,8858.0,19
RC,481,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,3796.0,11848.54,19
RC,481,Uric acid; blood ,,,4.93,4.93,3
RC,481,Uric acid; other source ,,,5.54,5.54,3
RC,481,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,481,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,481,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,481,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,481,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,481,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,481,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,481,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,481,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,481,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,481,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,481,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,481,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,481,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2152.0,40520.73,15
RC,481,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,481,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,481,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,481,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,481,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,481,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,481,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,481,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,481,Uterine evacuation and curettage for hydatidiform mole ,,,3796.0,18490.0,19
RC,481,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2152.0,18490.0,19
RC,481,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2152.0,17707.87,15
RC,481,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,5694.0,7168.0,5
RC,481,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,2152.0,16144.0,5
RC,481,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,481,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,481,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,481,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,3796.0,8858.0,19
RC,481,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2152.0,23263.46,15
RC,481,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,3796.0,9908.0,19
RC,481,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2152.0,25376.98,11
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; ",,,5694.0,18490.0,19
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,5694.0,23193.6,15
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,5694.0,18490.0,19
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,5694.0,18490.0,19
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,5694.0,18490.0,19
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,7592.0,18770.08,19
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,7592.0,18490.0,19
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,7592.0,18770.08,19
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,7592.0,18490.0,19
RC,481,"Vaginal hysterectomy, radical (Schauta type operation) ",,,2152.0,32525.42,15
RC,481,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,5694.0,21693.89,15
RC,481,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,5694.0,23100.25,15
RC,481,"Vaginectomy, complete removal of vaginal wall; ",,,2152.0,19728.05,19
RC,481,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,5694.0,39611.54,19
RC,481,"Vaginectomy, partial removal of vaginal wall; ",,,3796.0,9908.0,19
RC,481,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,3796.0,8858.0,19
RC,481,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,3796.0,8858.0,19
RC,481,Vaginoplasty for intersex state ,,,3796.0,11960.31,19
RC,481,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,481,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,481,Vancomycin ,,,14.76,14.76,3
RC,481,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,481,"Vaporizer, room type ",,,41.03,41.03,3
RC,481,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,481,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,481,Variable concentration mask ,,,0.94,0.94,3
RC,481,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,481,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,3
RC,481,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,13
RC,481,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,481,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,3796.0,8858.0,19
RC,481,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,481,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,481,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1481.0,6680.0,13
RC,481,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,3796.0,8858.0,19
RC,481,"Vasovasostomy, vasovasorrhaphy ",,,3796.0,8858.0,19
RC,481,Vedolizumab ,,,42.04,42.04,3
RC,481,Velaglucerase alfa ,,,428.2,428.2,3
RC,481,Ventilating tube removal requiring general anesthesia ,,,587.52,12360.0,19
RC,481,Ventilation Initiation and ,,,676.46,676.46,3
RC,481,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1266.0,5932.0,19
RC,481,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1266.0,5932.0,19
RC,481,Ventriculocisternostomy (Torkildsen type operation) ,,,2152.0,36573.52,15
RC,481,"Ventriculocisternostomy, third ventricle; ",,,2152.0,31305.55,15
RC,481,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2152.0,27498.06,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,2152.0,16144.0,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2152.0,39735.94,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,2152.0,16144.0,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,2152.0,54638.86,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,2152.0,16144.0,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,2152.0,41662.98,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2152.0,49098.8,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,2152.0,49192.16,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,2152.0,49860.3,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,2152.0,52463.24,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2152.0,55167.3,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,2152.0,54584.53,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,2152.0,57342.92,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2152.0,52696.31,45
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2152.0,44273.68,30
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,2152.0,16144.0,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,2152.0,43504.41,15
RC,481,Very long chain fatty acids ,,,21.53,21.53,3
RC,481,"Vesiculectomy, any approach ",,,1266.0,16099.5,19
RC,481,Vesiculotomy; ,,,3796.0,8858.0,19
RC,481,Vesiculotomy; complicated ,,,1266.0,11732.74,19
RC,481,"Vestibular nerve section, transcranial approach ",,,2152.0,39324.15,15
RC,481,"Vestibular nerve section, translabyrinthine approach ",,,5710.05,23113.0,19
RC,481,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,481,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,481,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,481,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,481,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,481,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,481,Viscosity ,,,12.72,12.72,3
RC,481,Vitamin A ,,,12.65,12.65,3
RC,481,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,481,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,481,Vitamin K ,,,14.95,14.95,3
RC,481,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,481,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,1
RC,481,"Vitrectomy, mechanical, pars plana approach; ",,,7592.0,19415.0,19
RC,481,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,7592.0,23113.0,19
RC,481,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,7592.0,23113.0,19
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,7592.0,18490.0,19
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,7592.0,18490.0,19
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,7592.0,23113.0,19
RC,481,Voice amplifier ,,,340.98,340.98,3
RC,481,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,481,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,481,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,481,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,481,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,481,Voriconazole ,,,29.55,29.55,3
RC,481,Vulvectomy simple; complete ,,,3796.0,76895.0,19
RC,481,Vulvectomy simple; partial ,,,3796.0,18490.0,19
RC,481,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2152.0,33877.23,15
RC,481,"Vulvectomy, radical, complete; ",,,7008.0,27474.77,15
RC,481,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,34133.79,15
RC,481,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,29440.61,15
RC,481,"Vulvectomy, radical, partial; ",,,2152.0,23113.0,19
RC,481,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,31608.47,15
RC,481,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,26783.34,15
RC,481,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1125.36,1125.36,3
RC,481,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,481,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,481,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,481,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,481,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,481,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,481,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,481,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,481,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,481,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,481,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,481,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,481,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,481,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,481,Washed red blood cells uni ,,,401.75,401.75,3
RC,481,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,481,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,481,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,481,Water pressure mattress ,,,29.3,29.3,3
RC,481,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,481,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,481,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,481,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,5694.0,18770.08,19
RC,481,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,481,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,481,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,481,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,481,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,481,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,481,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,481,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,481,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,481,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,481,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,481,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,481,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,481,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,481,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,481,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,481,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,481,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,481,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,481,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,481,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,481,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,481,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,481,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,481,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,481,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,481,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,481,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,481,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,481,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,481,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,481,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,481,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,481,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,481,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,481,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,481,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,481,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,481,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,481,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,481,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,481,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,481,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,481,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,481,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,481,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,481,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,481,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,481,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,481,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,481,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,481,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,481,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,481,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,481,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,481,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,481,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,481,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,481,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,481,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,481,Whole blood for transfusio ,,,206.93,206.93,3
RC,481,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,481,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,481,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,481,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,481,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,481,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,11
RC,481,"Wound pouch, each ",,,21.65,21.65,3
RC,481,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,481,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,481,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,481,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,481,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,481,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,481,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,481,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,481,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,481,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,481,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,481,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,481,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,481,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,481,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,481,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,481,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,481,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,481,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,481,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,481,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,481,Zinc ,,,12.42,12.42,3
RC,481,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,481,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,481,Zonisamide ,,,14.44,14.44,3
RC,481,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,481,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,481,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,481,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,482, Cardiology Stress Test  ,,,1763.0,4350.0,3
RC,483, Cardiology Echocardiology  ,,,509.0,1160.0,3
RC,489, Cardiology Other  ,,,1379.0,2600.0,3
RC,490, Ambulatory Surgical Care General Classification  ,,,15184.0,43180.0,7
RC,490,1 epidur inject-C/thor ,,,2152.0,6587.0,4
RC,490,1 epidural inject anes-L ,,,2152.0,6587.0,4
RC,490,1 inject anes-subarach ,,,2152.0,6587.0,4
RC,490,1 subar inject anes-cont ,,,2152.0,6587.0,4
RC,490,1 subar inject anes-diff ,,,2152.0,6587.0,4
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,948.0,17510.0,33
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,948.0,12360.0,33
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,948.0,17510.0,33
RC,490,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,948.0,12360.0,33
RC,490,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,948.0,25655.0,31
RC,490,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,948.0,25655.0,31
RC,490,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,490,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,490,510K Skin Substitute Produ ,,,136.26,136.26,3
RC,490,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,490,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,490,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,490,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,490,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,490,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,490,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,490,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,490,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2152.0,2636.0,4
RC,490,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,490,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,490,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,490,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,490,ASPIRATE/INJECT THYRIOD CYST ,,,2152.0,6587.0,4
RC,490,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,490,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,490,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,1
RC,490,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,1
RC,490,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,Abatacept injection ,,,49.99,49.99,3
RC,490,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,351.7,6680.0,33
RC,490,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,351.7,6680.0,33
RC,490,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,948.0,25655.0,31
RC,490,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,490,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,948.0,6587.0,21
RC,490,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,948.0,12499.0,31
RC,490,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,948.0,12875.0,21
RC,490,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,948.0,36378.78,21
RC,490,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,948.0,21630.0,33
RC,490,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,948.0,30408.2,20
RC,490,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,948.0,27335.06,31
RC,490,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,948.0,33769.0,33
RC,490,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,490,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,490,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,490,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,490,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,490,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,490,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,490,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,490,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,490,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,3
RC,490,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,490,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,490,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,490,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,490,Acetaminophen ,,,20.32,20.32,3
RC,490,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,490,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,490,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,490,Acetylcholinesterase ,,,13.4,13.4,3
RC,490,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,490,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,490,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,490,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,490,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,490,Adalimumab ,,,42.04,42.04,3
RC,490,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,490,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,490,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,490,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,490,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,490,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,490,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,490,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,490,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,490,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,490,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,490,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,490,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,490,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,490,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,490,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,490,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,490,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,490,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,490,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,490,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,490,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,490,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,490,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,490,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,490,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,490,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,490,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,490,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,490,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,490,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,490,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,490,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,490,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,490,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,490,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,490,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,490,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,490,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,490,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,490,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,490,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,490,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,490,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,490,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,490,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,490,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,490,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,490,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,490,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,490,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,490,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,490,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,490,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,490,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,490,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,490,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,490,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,490,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,490,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,490,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,490,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,490,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,490,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,490,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,490,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,490,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,490,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,490,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,490,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,490,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,490,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,490,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,490,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,490,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,490,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,490,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,490,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,490,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,490,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,490,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,490,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,490,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,490,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,490,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,490,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,490,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,490,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,490,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,490,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,490,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,490,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,490,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,490,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,490,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,490,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,490,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,490,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,490,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,490,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,490,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,490,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,490,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,490,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,490,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,490,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,490,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,490,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,490,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,490,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,490,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,490,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,490,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,490,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,490,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,490,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,490,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,490,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,490,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,490,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,490,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,490,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,490,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,490,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,490,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,490,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,490,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,490,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,490,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,490,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,490,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,490,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,490,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,490,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,490,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,490,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,490,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,490,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,490,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,490,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,490,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,490,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,490,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,490,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,490,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,490,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,490,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,490,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,490,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,490,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,490,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,490,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,490,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,490,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,490,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,490,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,490,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,490,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,490,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,490,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,490,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,490,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,490,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,490,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,490,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,490,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,490,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,490,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,490,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,490,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,490,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,490,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,490,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,490,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,490,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,490,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,490,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,490,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,490,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,490,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,490,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,490,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,490,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,490,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,490,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,490,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,490,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,490,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,490,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,490,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,490,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,490,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,490,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,490,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,490,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,490,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,490,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,490,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,490,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,490,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,490,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,490,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,490,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,490,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,490,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,490,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,490,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,490,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,490,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,490,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,490,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,490,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,490,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,490,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,490,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,490,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,490,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,490,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,490,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,490,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,490,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,490,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,490,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,490,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,490,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,490,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,490,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,490,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,490,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,490,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,490,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,490,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,490,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,490,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,490,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,490,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,490,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,490,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,490,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,490,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,43890.0,9
RC,490,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,490,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,490,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,490,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,490,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,490,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,490,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,490,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,490,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,490,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,490,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,490,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,490,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,490,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,8
RC,490,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,490,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,490,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,10
RC,490,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,490,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,490,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,490,Adrenal tissue transplant to brain ,,,21210.0,23307.22,6
RC,490,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,948.0,25655.0,31
RC,490,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,948.0,27467.01,27
RC,490,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,490,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,490,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,490,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,490,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,490,Agalsidase beta injection ,,,253.66,253.66,3
RC,490,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,490,Air fluidized bed ,,,4606.97,4606.97,3
RC,490,Air pressure mattress ,,,25.02,25.02,3
RC,490,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,490,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,490,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,490,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,490,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,490,Albumin; ischemia modified ,,,36.99,36.99,3
RC,490,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,490,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,490,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,490,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,490,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,490,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,490,Aldesleukin injection ,,,3639.37,3639.37,3
RC,490,Aldolase ,,,10.58,10.58,3
RC,490,Aldosterone ,,,44.42,44.42,3
RC,490,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,490,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,490,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,490,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,490,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,490,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,490,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,490,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,490,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,490,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,490,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,490,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,490,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,490,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,490,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,490,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,490,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,490,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,490,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,490,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,490,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,490,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,490,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,490,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,490,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,490,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,490,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,490,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,490,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,490,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,490,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,490,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,490,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,490,Alteplase recombinant ,,,107.46,107.46,3
RC,490,Altuviiio per factor viii ,,,5.05,5.05,3
RC,490,Aluminum ,,,27.77,27.77,3
RC,490,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,490,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,490,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,490,Amikacin ,,,16.44,16.44,3
RC,490,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,490,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,490,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,490,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,490,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,490,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,490,Aminolevulinic acid hcl to ,,,424.32,424.32,3
RC,490,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,490,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,490,Amiodarone ,,,20.32,20.32,3
RC,490,Ammonia ,,,15.88,15.88,3
RC,490,Amniocentesis; diagnostic ,,,52.04,5932.0,27
RC,490,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,122.58,5932.0,27
RC,490,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,490,Amphotericin b liposome in ,,,21.63,21.63,3
RC,490,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,34001.63,27
RC,490,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,948.0,26837.67,27
RC,490,Amputation of penis; complete ,,,948.0,25655.0,31
RC,490,Amputation of penis; partial ,,,948.0,12360.0,33
RC,490,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,490,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,490,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,490,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,490,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,490,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,490,Amylase ,,,7.06,7.06,3
RC,490,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,948.0,58904.51,27
RC,490,Anastomosis; facial-hypoglossal ,,,948.0,25655.0,27
RC,490,Anastomosis; facial-spinal accessory ,,,948.0,28585.97,27
RC,490,Ancillary Outpatient Servi ,,,15249.85,15249.85,3
RC,490,Androstanediol glucuronide ,,,31.42,31.42,3
RC,490,Androstenedione ,,,31.92,31.92,3
RC,490,Androsterone ,,,27.85,27.85,3
RC,490,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,490,Angiotensin II ,,,22.37,22.37,3
RC,490,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,490,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,490,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,490,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,490,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,490,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,490,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,490,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,490,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,490,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,490,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,490,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,490,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,490,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,490,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,490,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,490,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,490,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,490,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,490,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,490,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,490,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,490,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,490,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,490,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,490,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,490,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,490,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,490,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,490,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,490,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,490,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,490,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,490,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,490,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,490,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,490,Anorectal manometry ,,,1266.0,2636.0,6
RC,490,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1481.0,5932.0,7
RC,490,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,490,Antepartum care only; 4-6 visits ,,,948.0,7925.46,17
RC,490,Antepartum care only; 7 or more visits ,,,948.0,13978.21,17
RC,490,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,490,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,948.0,18490.0,33
RC,490,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,948.0,25655.0,31
RC,490,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,948.0,25655.0,31
RC,490,Anti-inhibitor ,,,2.67,2.67,3
RC,490,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,490,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,490,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,490,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,490,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,490,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,490,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,490,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,490,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,490,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,490,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,490,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,490,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,490,Antibody; Aspergillus ,,,16.4,16.4,3
RC,490,Antibody; Bartonella ,,,11.1,11.1,3
RC,490,Antibody; Blastomyces ,,,14.06,14.06,3
RC,490,Antibody; Bordetella ,,,14.38,14.38,3
RC,490,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,490,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,490,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,490,Antibody; Brucella ,,,9.73,9.73,3
RC,490,Antibody; Campylobacter ,,,14.3,14.3,3
RC,490,Antibody; Candida ,,,13.09,13.09,3
RC,490,Antibody; Chlamydia ,,,12.88,12.88,3
RC,490,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,490,Antibody; Coccidioides ,,,12.5,12.5,3
RC,490,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,490,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,490,Antibody; Diphtheria ,,,16.58,16.58,3
RC,490,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,490,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,490,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,490,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,490,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,490,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,490,Antibody; HIV-1 ,,,9.69,9.69,3
RC,490,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,490,Antibody; HIV-2 ,,,14.74,14.74,3
RC,490,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,490,Antibody; HTLV-I ,,,9.91,9.91,3
RC,490,Antibody; HTLV-II ,,,15.26,15.26,3
RC,490,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,490,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,490,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,490,Antibody; Legionella ,,,16.68,16.68,3
RC,490,Antibody; Leishmania ,,,13.35,13.35,3
RC,490,Antibody; Leptospira ,,,17.66,17.66,3
RC,490,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,490,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,490,Antibody; Nocardia ,,,17.43,17.43,3
RC,490,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,490,Antibody; Rickettsia ,,,21.09,21.09,3
RC,490,Antibody; Salmonella ,,,14.38,14.38,3
RC,490,Antibody; Shigella ,,,26.68,26.68,3
RC,490,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,490,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,490,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,490,Antibody; Trichinella ,,,13.69,13.69,3
RC,490,Antibody; West Nile virus ,,,15.69,15.69,3
RC,490,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,490,Antibody; Yersinia ,,,14.38,14.38,3
RC,490,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,490,Antibody; actinomyces ,,,11.1,11.1,3
RC,490,Antibody; adenovirus ,,,14.03,14.03,3
RC,490,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,490,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,490,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,490,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,490,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,490,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,490,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,490,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,490,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,490,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,490,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,490,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,490,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,490,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,490,Antibody; histoplasma ,,,15.03,15.03,3
RC,490,Antibody; influenza virus ,,,14.77,14.77,3
RC,490,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,490,Antibody; mucormycosis ,,,16.35,16.35,3
RC,490,Antibody; mumps ,,,14.22,14.22,3
RC,490,Antibody; mycoplasma ,,,14.43,14.43,3
RC,490,Antibody; parvovirus ,,,16.38,16.38,3
RC,490,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,490,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,490,Antibody; rotavirus ,,,19.87,19.87,3
RC,490,Antibody; rubella ,,,15.69,15.69,3
RC,490,Antibody; rubeola ,,,14.04,14.04,3
RC,490,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,490,Antibody; tetanus ,,,16.13,16.13,3
RC,490,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,490,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,490,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,490,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,490,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,490,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,490,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,490,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,490,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,490,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,490,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,490,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,490,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,490,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,490,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,490,"Apolipoprotein, each ",,,22.99,22.99,3
RC,490,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,490,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,490,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,490,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,490,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,490,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,490,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,490,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,490,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,490,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,490,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,490,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,490,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,490,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,14
RC,490,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,14
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,22
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,6
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,12
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,6
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,12499.0,16
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,6
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,12
RC,490,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,490,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,948.0,3512.12,12
RC,490,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,490,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,490,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,490,Aqueous shunt ,,,855.38,855.38,3
RC,490,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,948.0,18490.0,32
RC,490,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,948.0,19415.0,33
RC,490,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,490,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,490,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,490,"Arm rest, each ",,,23.28,23.28,3
RC,490,Arsenic ,,,20.68,20.68,3
RC,490,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,25655.0,20
RC,490,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,13
RC,490,"Arthroereisis, subtalar ",,,21210.0,23307.22,6
RC,490,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,23307.22,6
RC,490,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,2636.0,5
RC,490,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,25655.0,20
RC,490,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,2587.42,6
RC,490,Artificial cornea ,,,8791.45,8791.45,3
RC,490,Artificial insemination; intra-cervical ,,,267.26,3092.0,27
RC,490,Artificial insemination; intra-uterine ,,,282.68,3092.0,27
RC,490,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,490,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,490,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,490,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,270.48,5932.0,33
RC,490,"Aspiration and/or injection, thyroid cyst ",,,62.5,5932.0,33
RC,490,Aspiration of bladder; by needle ,,,38.37,5932.0,33
RC,490,Aspiration of bladder; by trocar or intracatheter ,,,103.77,5932.0,33
RC,490,Aspiration of bladder; with insertion of suprapubic catheter ,,,685.44,8858.0,33
RC,490,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,892.44,8858.0,28
RC,490,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,490,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,490,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,490,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,490,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,490,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,490,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,490,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,490,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,6
RC,490,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,6
RC,490,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,490,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,490,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,490,Axillary crutch extension ,,,246.97,246.97,3
RC,490,Azathioprine parenteral ,,,277.69,277.69,3
RC,490,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,490,"B cells, total count ",,,41.13,41.13,3
RC,490,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,490,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,490,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,490,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,490,BIOPSY EYE MUSCLE ,,,2152.0,6587.0,4
RC,490,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,490,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,490,BRAIN SURGERY USING COMPUTER ,,,2152.0,6587.0,4
RC,490,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,490,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,490,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,490,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,490,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,490,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,490,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,490,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,490,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,490,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,490,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,490,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,948.0,2636.0,15
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,948.0,25655.0,27
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,948.0,25655.0,27
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,948.0,25655.0,27
RC,490,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,948.0,31872.58,27
RC,490,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,948.0,34149.32,27
RC,490,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,490,"Balance lens, per lens ",,,70.71,70.71,3
RC,490,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,948.0,31577.42,27
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,948.0,16144.0,27
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,948.0,16144.0,27
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,948.0,16144.0,27
RC,490,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,948.0,5932.0,19
RC,490,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,490,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,490,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,490,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,490,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,490,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,490,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,490,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,490,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,490,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,490,"Bed cradle, any type ",,,42.41,42.41,3
RC,490,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,490,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,490,"Bed side rails, full length ",,,149.47,149.47,3
RC,490,"Bed side rails, half length ",,,14.69,14.69,3
RC,490,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,490,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,490,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,490,Belatacept injection ,,,4.23,4.23,3
RC,490,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,490,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,490,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,490,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,490,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,490,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,490,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,490,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,490,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,490,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,490,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,490,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,490,Beta-2 microglobulin ,,,17.64,17.64,3
RC,490,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,490,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,490,Bevacizumab injection ,,,81.56,81.56,3
RC,490,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,948.0,54817.59,27
RC,490,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,490,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,490,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,490,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,948.0,45780.94,27
RC,490,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,948.0,49712.62,27
RC,490,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,948.0,31064.51,27
RC,490,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,490,Bile acids; total ,,,18.66,18.66,3
RC,490,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,490,Bilirubin; direct ,,,5.47,5.47,3
RC,490,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,490,Bilirubin; total ,,,5.47,5.47,3
RC,490,Biofeedback training by any modality ,,,39.38,44.74,6
RC,490,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,490,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,490,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,948.0,8485.0,33
RC,490,Biopsy external auditory canal ,,,99.71,25655.0,29
RC,490,Biopsy external ear ,,,57.56,3092.0,29
RC,490,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,95.93,5932.0,33
RC,490,Biopsy of conjunctiva ,,,113.96,8485.0,33
RC,490,Biopsy of cornea ,,,733.22,6680.0,33
RC,490,"Biopsy of epididymis, needle ",,,510.77,5932.0,33
RC,490,Biopsy of extraocular muscle ,,,948.0,12360.0,33
RC,490,Biopsy of lacrimal gland ,,,733.22,8858.0,33
RC,490,Biopsy of lacrimal sac ,,,733.22,8858.0,33
RC,490,Biopsy of nerve ,,,692.94,8858.0,33
RC,490,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,948.0,9908.0,33
RC,490,Biopsy of penis; (separate procedure) ,,,510.77,5932.0,33
RC,490,Biopsy of penis; deep structures ,,,855.96,8858.0,33
RC,490,"Biopsy of spinal cord, percutaneous needle ",,,510.77,5932.0,33
RC,490,"Biopsy of testis, incisional (separate procedure) ",,,948.0,8858.0,33
RC,490,"Biopsy of testis, needle (separate procedure) ",,,855.96,6492.89,33
RC,490,Biopsy of urethra ,,,685.44,8858.0,33
RC,490,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,948.0,8858.0,33
RC,490,Biopsy of vaginal mucosa; simple (separate procedure) ,,,49.41,5932.0,33
RC,490,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,47.09,5932.0,33
RC,490,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,490,"Biopsy thyroid, percutaneous core needle ",,,44.76,5932.0,33
RC,490,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,510.77,5932.0,33
RC,490,"Biopsy, prostate, any approach, nonimaging-guided ",,,948.0,6680.0,33
RC,490,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,948.0,5932.0,14
RC,490,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,948.0,15338.2,20
RC,490,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,948.0,15338.2,20
RC,490,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,948.0,10083.72,20
RC,490,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,948.0,10083.72,20
RC,490,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,948.0,10083.72,20
RC,490,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,948.0,10083.72,20
RC,490,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,948.0,10083.72,20
RC,490,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,948.0,10083.72,20
RC,490,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,685.44,4723.0,7
RC,490,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,490,Bladder instillation of anticarcinogenic agent (including retention time) ,,,47.09,6587.0,29
RC,490,"Bladder irrigation, simple, lavage and/or instillation ",,,46.52,6587.0,33
RC,490,Bleeding time ,,,5.25,5.25,3
RC,490,"Blepharotomy, drainage of abscess, eyelid ",,,113.7,5932.0,33
RC,490,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,14
RC,490,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,25655.0,21
RC,490,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,21256.09,27301.4,9
RC,490,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,21538.0,35001.4,9
RC,490,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,14
RC,490,Blood component/product no ,,,38.5,38.5,3
RC,490,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,490,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,490,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,490,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,490,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,490,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,490,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,490,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,490,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,490,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,490,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,490,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,490,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,490,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,490,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,490,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,490,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,490,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,490,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,490,Blood split unit ,,,169.87,169.87,3
RC,490,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,490,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,490,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,490,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,490,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,490,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,490,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,490,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,490,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,490,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,490,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,490,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,490,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,490,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,490,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,6
RC,490,Bradykinin ,,,5.62,5.62,3
RC,490,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,490,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,490,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,490,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,490,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,490,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,490,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,490,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,490,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,6
RC,490,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,6
RC,490,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,6
RC,490,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1481.0,2636.0,5
RC,490,Breathing circuits ,,,11.75,11.75,3
RC,490,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,490,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,490,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,490,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,490,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,13
RC,490,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,10
RC,490,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,25655.0,11
RC,490,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,16
RC,490,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,490,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,20
RC,490,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,20
RC,490,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,490,Bundle of His recording ,,,12830.85,43890.0,14
RC,490,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,490,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,490,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,948.0,25655.0,27
RC,490,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,948.0,25655.0,27
RC,490,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,948.0,25655.0,27
RC,490,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,948.0,28702.4,27
RC,490,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,948.0,30924.8,27
RC,490,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,948.0,25655.0,27
RC,490,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,948.0,28857.84,27
RC,490,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,948.0,25655.0,27
RC,490,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,948.0,28376.19,27
RC,490,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,490,C-peptide ,,,22.68,22.68,3
RC,490,C-reactive protein; ,,,5.65,5.65,3
RC,490,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,490,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,490,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,490,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,490,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,490,CATHETERIZE MIDDLE EAR CANAL ,,,2152.0,6587.0,4
RC,490,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,490,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,490,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,490,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,490,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,490,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,490,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,490,CHANGE KIDNEY TUBE ,,,2152.0,6587.0,4
RC,490,CIRCUMCISION ,,,2152.0,6587.0,4
RC,490,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,1
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,490,CONTROL POSTOP BLEEDING ,,,2152.0,6587.0,4
RC,490,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,2152.0,16144.0,5
RC,490,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,2152.0,16144.0,5
RC,490,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,490,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,490,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,490,CT and CTA without Contras ,,,242.29,242.29,3
RC,490,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,490,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,490,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,490,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,490,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,490,"CYSTOSCOPY, RESECT DUCTS ",,,2152.0,6587.0,4
RC,490,Cabazitaxel injection ,,,254.77,254.77,3
RC,490,Cadmium ,,,25.77,25.77,3
RC,490,Caffeine ,,,42.04,42.04,3
RC,490,Calcitonin ,,,29.2,29.2,3
RC,490,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,490,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,490,Calcium; ionized ,,,14.91,14.91,3
RC,490,Calcium; total ,,,5.62,5.62,3
RC,490,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,490,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,490,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,490,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,490,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,490,"Calprotectin, fecal ",,,21.4,21.4,3
RC,490,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,490,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,490,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,490,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,490,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,490,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,490,"Cannula, nasal ",,,1.13,1.13,3
RC,490,"Cantharidin top, applicato ",,,757.78,757.78,3
RC,490,Canthoplasty (reconstruction of canthus) ,,,733.22,8858.0,33
RC,490,Canthotomy (separate procedure) ,,,733.22,8858.0,33
RC,490,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,490,Capsaicin 8% patch ,,,3.82,3.82,3
RC,490,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,490,Carbamazepine; free ,,,14.44,14.44,3
RC,490,Carbamazepine; total ,,,15.88,15.88,3
RC,490,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,490,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,490,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,490,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,490,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,490,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,490,Cardiac Rehabilitation ,,,141.15,141.15,3
RC,490,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,490,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,490,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,1481.0,2174.0,4
RC,490,Cardioassist-method of circulatory assist; external ,,,2152.0,16144.0,8
RC,490,Cardioassist-method of circulatory assist; internal ,,,2152.0,16144.0,14
RC,490,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,490,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,490,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,551.76,2636.0,11
RC,490,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,15
RC,490,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1169.48,3293.0,15
RC,490,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,490,Carmustine injection ,,,261.61,261.61,3
RC,490,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,490,Carotene ,,,10.05,10.05,3
RC,490,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,490,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,490,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,490,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,490,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,490,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,490,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,490,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,490,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,490,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,490,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,490,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,490,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,490,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,490,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,490,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,490,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,490,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,490,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,490,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,490,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,490,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,490,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,490,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,490,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,490,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,490,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,490,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,490,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,490,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,490,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,490,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,490,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,490,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,490,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,490,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,490,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,490,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,490,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,490,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,490,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,490,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,490,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,490,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,490,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,490,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,490,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,490,"Caster pin lock, each ",,,46.34,46.34,3
RC,490,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,490,Catecholamines; blood ,,,31.7,31.7,3
RC,490,Catecholamines; fractionated ,,,27.52,27.52,3
RC,490,Catecholamines; total urine ,,,29.76,29.76,3
RC,490,Cathepsin-D ,,,19.69,19.69,3
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,12875.0,10
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,12875.0,10
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,42
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,13254.68,9
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,12875.0,40
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,12875.0,30
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,13254.68,9
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,12875.0,9
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,6
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,9119.84,22644.0,14
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,22644.0,38
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9119.84,22644.0,28
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,33769.0,51
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9119.84,22644.0,14
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,14
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,23113.0,14
RC,490,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,948.0,5932.0,19
RC,490,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,490,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,13
RC,490,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,508.76,6587.0,21
RC,490,"Cautery of cervix; cryocautery, initial or repeat ",,,110.18,5932.0,33
RC,490,Cautery of cervix; electro or thermal ,,,83.14,25655.0,33
RC,490,Cautery of cervix; laser ablation ,,,948.0,8858.0,33
RC,490,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,490,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,490,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,490,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,490,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,490,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,490,"Cerclage of cervix, during pregnancy; abdominal ",,,948.0,25655.0,31
RC,490,"Cerclage of cervix, during pregnancy; vaginal ",,,948.0,8858.0,33
RC,490,"Cerclage of uterine cervix, nonobstetrical ",,,948.0,8858.0,31
RC,490,Ceruloplasmin ,,,11.71,11.71,3
RC,490,Cervical head harness/halter ,,,30.83,30.83,3
RC,490,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,490,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,490,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,490,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,490,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,490,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,490,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,490,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,490,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,490,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,490,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,490,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,490,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,490,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,490,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,490,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,490,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,948.0,25655.0,23
RC,490,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,948.0,29129.93,17
RC,490,Cesarean delivery only; ,,,948.0,25655.0,26
RC,490,Cesarean delivery only; including postpartum care ,,,948.0,28282.84,24
RC,490,Cetuximab injection ,,,89.02,89.02,3
RC,490,Change of cystostomy tube; complicated ,,,250.06,6587.0,33
RC,490,Change of cystostomy tube; simple ,,,54.36,6587.0,33
RC,490,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,685.44,5932.0,33
RC,490,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,20
RC,490,Chemiluminescent assay ,,,15.39,15.39,3
RC,490,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,6
RC,490,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,6
RC,490,Chemodenervation of eccrine glands; both axillae ,,,53.19,5932.0,33
RC,490,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,60.75,5932.0,33
RC,490,Chemodenervation of extraocular muscle ,,,107.27,5932.0,33
RC,490,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,78.19,6587.0,33
RC,490,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,68.02,5932.0,33
RC,490,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,62.21,5932.0,33
RC,490,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,60.16,5932.0,33
RC,490,Chemodenervation of one extremity; 1-4 muscle(s) ,,,72.09,5932.0,33
RC,490,Chemodenervation of one extremity; 5 or more muscles ,,,89.82,5932.0,33
RC,490,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,490,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,490,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,70.93,5932.0,33
RC,490,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,72.09,5932.0,33
RC,490,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,79.06,5932.0,33
RC,490,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,490,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,490,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,490,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,490,Chloramphenicol ,,,13.81,13.81,3
RC,490,Chloride; blood ,,,5.01,5.01,3
RC,490,Chloride; other source ,,,5.45,5.45,3
RC,490,Chloride; urine ,,,6.27,6.27,3
RC,490,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,490,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,490,Choline c-11 ,,,2742.91,2742.91,3
RC,490,Cholinesterase; RBC ,,,10.69,10.69,3
RC,490,Cholinesterase; serum ,,,8.58,8.58,3
RC,490,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,490,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,490,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,490,"Chorionic villus sampling, any method ",,,52.32,3293.0,29
RC,490,Chromium ,,,22.11,22.11,3
RC,490,Chromogenic substrate assay ,,,12.96,12.96,3
RC,490,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,490,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,490,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,490,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,490,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,490,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,490,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,490,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,490,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,490,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,490,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,490,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,490,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,490,"Chromotubation of oviduct, including materials ",,,948.0,12360.0,31
RC,490,Cidofovir injection ,,,583.95,583.95,3
RC,490,Ciliary body destruction; cryotherapy ,,,733.22,8858.0,33
RC,490,Ciliary body destruction; cyclodialysis ,,,733.22,8858.0,33
RC,490,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,892.44,8858.0,33
RC,490,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,733.22,8858.0,33
RC,490,Ciliary body destruction; diathermy ,,,892.44,6680.0,33
RC,490,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,490,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,250.06,8858.0,33
RC,490,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,685.44,8858.0,33
RC,490,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,685.44,8858.0,33
RC,490,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,113.56,5932.0,33
RC,490,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,113.56,5932.0,33
RC,490,Citrate ,,,30.3,30.3,3
RC,490,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,490,Clinic Visits and Related ,,,145.78,145.78,3
RC,490,Clitoroplasty for intersex state ,,,948.0,25655.0,29
RC,490,Closure of cystostomy (separate procedure) ,,,948.0,8858.0,33
RC,490,Closure of lacrimal fistula (separate procedure) ,,,733.22,19415.0,33
RC,490,Closure of nephrocutaneous or pyelocutaneous fistula ,,,948.0,26107.22,31
RC,490,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,948.0,33131.47,27
RC,490,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,948.0,35516.87,27
RC,490,Closure of rectovaginal fistula; abdominal approach ,,,948.0,25655.0,31
RC,490,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,948.0,25655.0,27
RC,490,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,948.0,25655.0,27
RC,490,Closure of rectovaginal fistula; vaginal or transanal approach ,,,948.0,9908.0,33
RC,490,"Closure of the lacrimal punctum; by plug, each ",,,82.55,5932.0,33
RC,490,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,113.7,5932.0,33
RC,490,Closure of ureterocutaneous fistula ,,,948.0,25655.0,27
RC,490,Closure of ureterovisceral fistula (including visceral repair) ,,,948.0,25655.0,27
RC,490,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,948.0,12360.0,33
RC,490,Closure of urethrovaginal fistula; ,,,948.0,18770.08,33
RC,490,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,948.0,25655.0,31
RC,490,Closure of vesicouterine fistula; ,,,948.0,25655.0,31
RC,490,Closure of vesicouterine fistula; with hysterectomy ,,,948.0,25655.0,27
RC,490,"Closure of vesicovaginal fistula, abdominal approach ",,,948.0,25655.0,31
RC,490,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,948.0,25655.0,27
RC,490,Closure of vesicovaginal fistula; vaginal approach ,,,948.0,12360.0,33
RC,490,"Closure postauricular fistula, mastoid (separate procedure) ",,,441.67,9908.0,33
RC,490,"Closure, exstrophy of bladder ",,,948.0,36923.22,27
RC,490,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,490,Clot retraction ,,,17.77,17.77,3
RC,490,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,490,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,490,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,490,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,490,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,490,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,490,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,490,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,490,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,490,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,490,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,490,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,490,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,490,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,490,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,490,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,490,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,490,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,490,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,490,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,490,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,490,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,490,Clozapine ,,,21.96,21.96,3
RC,490,Clubfoot wedge ,,,66.8,66.8,3
RC,490,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,490,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,490,Coagulation time; activated ,,,4.67,4.67,3
RC,490,Coagulation time; other methods ,,,4.89,4.89,3
RC,490,Cochlear Implant Procedure ,,,36103.38,36103.38,3
RC,490,"Cochlear device implantation, with or without mastoidectomy ",,,8325.0,111180.0,26
RC,490,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,490,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,490,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,490,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,490,Cold agglutinin; screen ,,,8.8,8.8,3
RC,490,Cold agglutinin; titer ,,,8.79,8.79,3
RC,490,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,490,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,490,"Collagen cross links, any method ",,,20.36,20.36,3
RC,490,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,490,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,490,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,490,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,490,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,16144.0,14
RC,490,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,490,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1481.0,2174.0,4
RC,490,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1266.0,6680.0,25
RC,490,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1266.0,6680.0,25
RC,490,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,490,Colorectal cancer screening; flexible sigmoidoscopy ,,,890.09,5932.0,19
RC,490,Colpocentesis (separate procedure) ,,,948.0,11960.31,33
RC,490,Colpocleisis (Le Fort type) ,,,948.0,25655.0,33
RC,490,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,948.0,8858.0,33
RC,490,"Colpopexy, abdominal approach ",,,948.0,25655.0,31
RC,490,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,948.0,25655.0,31
RC,490,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,948.0,25655.0,31
RC,490,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,25655.0,20
RC,490,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,948.0,8858.0,33
RC,490,Colposcopy of the cervix including upper/adjacent vagina; ,,,59.59,6680.0,33
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,73.54,5932.0,33
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,68.31,6680.0,33
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,69.76,5932.0,33
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,183.14,25655.0,33
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,194.48,9908.0,33
RC,490,"Colposcopy of the entire vagina, with cervix if present; ",,,60.75,5932.0,33
RC,490,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,79.95,5932.0,33
RC,490,Colposcopy of the vulva; ,,,57.86,5932.0,33
RC,490,Colposcopy of the vulva; with biopsy(s) ,,,76.17,5932.0,33
RC,490,Colpotomy; with drainage of pelvic abscess ,,,948.0,8858.0,33
RC,490,Colpotomy; with exploration ,,,948.0,8858.0,33
RC,490,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,490,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,490,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,490,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,948.0,18490.0,33
RC,490,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,948.0,23113.0,33
RC,490,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,490,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,490,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,490,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,490,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,490,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,490,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,490,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,490,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,490,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,490,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,490,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,490,"Complement; antigen, each component ",,,13.08,13.08,3
RC,490,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,490,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,490,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,490,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,490,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,6
RC,490,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,6
RC,490,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,6
RC,490,Complex GI Procedures ,,,6647.43,6647.43,3
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,115.66,6587.0,33
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,229.65,6587.0,33
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,233.43,6587.0,33
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,233.71,6587.0,33
RC,490,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,490,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,301.6,6587.0,27
RC,490,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,490,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,43890.0,12
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,43890.0,12
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,12830.85,43890.0,14
RC,490,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,57218.76,30
RC,490,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,25253.0,43890.0,8
RC,490,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,57218.76,15
RC,490,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,490,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,490,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,948.0,6587.0,15
RC,490,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,490,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,490,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,490,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,490,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,490,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,490,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,490,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,490,"Congo red, blood ",,,5.4,5.4,3
RC,490,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,948.0,8858.0,33
RC,490,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,948.0,8858.0,33
RC,490,Conjunctival flap; bridge or partial (separate procedure) ,,,948.0,12360.0,33
RC,490,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,733.22,8858.0,33
RC,490,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,733.22,19415.0,33
RC,490,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,948.0,19415.0,33
RC,490,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,948.0,19415.0,33
RC,490,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,733.22,19415.0,33
RC,490,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,948.0,19415.0,33
RC,490,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,948.0,19415.0,33
RC,490,Construction of artificial vagina; with graft ,,,948.0,25655.0,31
RC,490,Construction of artificial vagina; without graft ,,,948.0,18490.0,33
RC,490,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,733.22,9908.0,33
RC,490,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,733.22,9908.0,33
RC,490,Cont epidur inject-lumb ,,,2152.0,6587.0,4
RC,490,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,490,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,490,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,490,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,490,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,490,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,490,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,490,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,490,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,490,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,490,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,490,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,490,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,490,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,490,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,490,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,490,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,490,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,490,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,948.0,37358.31,27
RC,490,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1481.0,2636.0,5
RC,490,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,490,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,490,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,948.0,5932.0,19
RC,490,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,508.03,5932.0,31
RC,490,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,490,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,5932.0,33
RC,490,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,20
RC,490,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,685.44,8485.0,33
RC,490,Copper ,,,13.53,13.53,3
RC,490,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,490,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,6
RC,490,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,6
RC,490,"Cordocentesis (intrauterine), any method ",,,590.17,2636.0,27
RC,490,Corneal relaxing incision for correction of surgically induced astigmatism ,,,351.98,19415.0,33
RC,490,Corneal wedge resection for correction of surgically induced astigmatism ,,,733.22,19415.0,33
RC,490,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,490,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,948.0,25655.0,26
RC,490,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,948.0,19415.0,32
RC,490,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,948.0,19415.0,32
RC,490,"Correction of everted punctum, cautery ",,,113.7,5932.0,33
RC,490,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,733.22,9908.0,33
RC,490,Correction of lid retraction ,,,733.22,9908.0,33
RC,490,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,70.63,3092.0,29
RC,490,"Correction of trichiasis; epilation, by forceps only ",,,237.69,2636.0,27
RC,490,Correction of trichiasis; incision of lid margin ,,,351.98,6680.0,33
RC,490,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,733.22,8858.0,33
RC,490,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,490,Corticosterone ,,,24.55,24.55,3
RC,490,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,490,Cortisol; free ,,,18.21,18.21,3
RC,490,Cortisol; total ,,,17.77,17.77,3
RC,490,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,948.0,2636.0,15
RC,490,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,948.0,21630.0,27
RC,490,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,490,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,490,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,490,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,490,Cr51 chromate ,,,2090.58,2090.58,3
RC,490,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,490,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,490,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,490,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,490,Craniectomy for craniosynostosis; multiple cranial sutures ,,,948.0,33815.14,27
RC,490,Craniectomy for craniosynostosis; single cranial suture ,,,948.0,25655.0,27
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,948.0,85726.66,27
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,948.0,62976.11,27
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,948.0,67404.97,27
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,948.0,72820.62,27
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,948.0,41390.89,27
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,948.0,46954.23,27
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,948.0,47311.7,27
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,948.0,45097.27,27
RC,490,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,948.0,35571.2,27
RC,490,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,948.0,54242.59,27
RC,490,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,948.0,54196.02,27
RC,490,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,948.0,47941.03,27
RC,490,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,948.0,43170.23,27
RC,490,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,948.0,45578.92,27
RC,490,"Craniectomy or craniotomy, exploratory; supratentorial ",,,948.0,37412.64,27
RC,490,Craniectomy or craniotomy; with excision of foreign body from brain ,,,948.0,42362.17,27
RC,490,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,948.0,44545.55,27
RC,490,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,948.0,76099.69,27
RC,490,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,948.0,70769.41,27
RC,490,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,948.0,48912.31,27
RC,490,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,948.0,47296.17,27
RC,490,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,948.0,49782.69,27
RC,490,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,948.0,45749.89,27
RC,490,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,948.0,47956.55,27
RC,490,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,948.0,43512.18,27
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,948.0,43481.13,27
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,948.0,49798.21,27
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,948.0,58127.7,27
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,948.0,42315.6,27
RC,490,Craniectomy; for osteomyelitis ,,,948.0,25773.26,27
RC,490,Craniectomy; with excision of tumor or other bone lesion of skull ,,,948.0,33769.0,31
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,948.0,54693.19,27
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,948.0,59176.59,27
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,948.0,68834.61,27
RC,490,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,948.0,65454.65,27
RC,490,Cranioplasty for skull defect with reparative brain surgery ,,,948.0,31880.34,27
RC,490,Cranioplasty for skull defect; larger than 5 cm diameter ,,,948.0,25788.78,27
RC,490,Cranioplasty for skull defect; up to 5 cm diameter ,,,948.0,25655.0,27
RC,490,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,948.0,32610.79,27
RC,490,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,948.0,26627.89,27
RC,490,Craniotomy for craniosynostosis; bifrontal bone flap ,,,948.0,38399.44,27
RC,490,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,948.0,38982.2,27
RC,490,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,948.0,52408.91,27
RC,490,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,948.0,36068.59,27
RC,490,"Craniotomy for repair of encephalocele, skull base ",,,948.0,35532.39,27
RC,490,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,948.0,58453.9,27
RC,490,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,948.0,72276.88,27
RC,490,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,948.0,36860.92,27
RC,490,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,948.0,43512.18,27
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,948.0,54110.43,27
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,948.0,49005.66,27
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,948.0,60831.54,27
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,948.0,56301.57,27
RC,490,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,948.0,56674.56,27
RC,490,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,948.0,47956.55,27
RC,490,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,948.0,25655.0,27
RC,490,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,948.0,50404.26,27
RC,490,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,948.0,34545.59,27
RC,490,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,948.0,48725.82,27
RC,490,Creatine ,,,5.06,5.06,3
RC,490,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,490,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,490,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,490,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,490,Creatinine; blood ,,,5.58,5.58,3
RC,490,Creatinine; clearance ,,,10.31,10.31,3
RC,490,Creatinine; other source ,,,5.65,5.65,3
RC,490,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,948.0,25655.0,27
RC,490,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,948.0,36363.74,27
RC,490,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,692.94,9908.0,33
RC,490,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,692.94,9908.0,33
RC,490,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,692.94,9012.0,33
RC,490,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,948.0,25655.0,27
RC,490,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,948.0,25655.0,31
RC,490,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,948.0,25655.0,27
RC,490,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,948.0,25655.0,27
RC,490,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,948.0,25655.0,27
RC,490,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,948.0,25655.0,27
RC,490,Critical Care ,,,904.47,904.47,3
RC,490,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,490,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,490,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,490,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,490,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,490,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,490,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,490,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,490,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,490,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,490,Cryofibrinogen ,,,15.41,15.41,3
RC,490,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,490,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,490,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,490,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,490,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,6
RC,490,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,948.0,55080.0,27
RC,490,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,490,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,490,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,490,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,490,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,490,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,490,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,490,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,490,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,490,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,490,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,490,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,490,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,490,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,490,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,490,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,490,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,490,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,490,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,490,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,490,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,490,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,490,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,490,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,490,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,490,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,490,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,490,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,490,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,490,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,490,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,490,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,490,"Culture, typing; other methods ",,,8.44,8.44,3
RC,490,"Curettage, postpartum ",,,948.0,9908.0,33
RC,490,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,490,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,490,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,490,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,490,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,490,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,490,Cutaneous appendico-vesicostomy ,,,948.0,28096.35,27
RC,490,Cutaneous vesicostomy ,,,948.0,25655.0,27
RC,490,Cyanide ,,,21.15,21.15,3
RC,490,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,490,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,490,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,490,Cyclosporine ,,,19.67,19.67,3
RC,490,Cystatin C ,,,20.19,20.19,3
RC,490,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,948.0,52968.39,27
RC,490,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,948.0,43488.89,27
RC,490,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,49223.2,27
RC,490,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,948.0,42556.42,27
RC,490,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,47436.1,27
RC,490,"Cystectomy, complete; (separate procedure) ",,,948.0,33131.47,27
RC,490,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,40994.62,27
RC,490,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,948.0,29176.5,27
RC,490,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,948.0,28508.14,27
RC,490,"Cystectomy, partial; simple ",,,948.0,25655.0,27
RC,490,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,490,Cysto w Bx/fulgur les ,,,2152.0,6587.0,4
RC,490,Cysto w lithotripsy ,,,2152.0,6587.0,4
RC,490,Cysto w rmvl/manip CAL ,,,2152.0,6587.0,4
RC,490,Cysto w tumor resection ,,,2152.0,6587.0,4
RC,490,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,948.0,19415.0,33
RC,490,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,948.0,25655.0,31
RC,490,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,948.0,25655.0,31
RC,490,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,948.0,25655.0,31
RC,490,"Cystostomy, cystotomy with drainage ",,,685.44,19415.0,33
RC,490,"Cystotomy for excision, incision, or repair of ureterocele ",,,948.0,25655.0,27
RC,490,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,948.0,19415.0,33
RC,490,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,3796.0,5381.0,5
RC,490,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,948.0,19415.0,33
RC,490,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,685.44,19415.0,33
RC,490,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,948.0,25655.0,27
RC,490,Cystotomy; for excision of bladder tumor ,,,948.0,25655.0,27
RC,490,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,948.0,19415.0,33
RC,490,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,948.0,25655.0,31
RC,490,Cystourethroscopy ,,,2152.0,6587.0,4
RC,490,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1773.9,19415.0,28
RC,490,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,1200.05,8858.0,28
RC,490,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1200.05,18490.0,28
RC,490,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,1995.0,17510.0,28
RC,490,Cystourethroscopy (separate procedure) ,,,250.06,3293.0,29
RC,490,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,250.06,6680.0,33
RC,490,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,20
RC,490,Cystourethroscopy with direct vision internal urethrotomy ,,,685.44,9908.0,33
RC,490,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,948.0,9908.0,33
RC,490,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,948.0,27080.2,20
RC,490,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,948.0,25080.0,33
RC,490,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,948.0,25892.02,21
RC,490,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1200.05,9908.0,28
RC,490,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,948.0,8451.91,33
RC,490,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,948.0,9908.0,31
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1773.9,11848.54,28
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,490,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,20
RC,490,"Cystourethroscopy, with biopsy(s) ",,,685.44,8858.0,33
RC,490,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,685.44,6680.0,33
RC,490,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,685.44,6680.0,33
RC,490,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,234.3,6680.0,33
RC,490,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,250.06,6680.0,33
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,948.0,11848.54,33
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,948.0,9908.0,33
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,948.0,8858.0,33
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,948.0,8858.0,33
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,948.0,8858.0,33
RC,490,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,685.44,9868.0,33
RC,490,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1200.05,8858.0,24
RC,490,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,948.0,5932.0,25
RC,490,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,948.0,9908.0,25
RC,490,"Cystourethroscopy, with insertion of permanent urethral stent ",,,948.0,12499.0,33
RC,490,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,12499.0,11
RC,490,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,3796.0,19415.0,25
RC,490,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,25655.0,25
RC,490,"Cystourethroscopy, with internal urethrotomy; female ",,,685.44,6680.0,33
RC,490,"Cystourethroscopy, with internal urethrotomy; male ",,,685.44,8858.0,33
RC,490,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,948.0,13804.22,30
RC,490,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,685.44,8858.0,33
RC,490,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,685.44,6680.0,33
RC,490,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,948.0,8858.0,33
RC,490,"Cystourethroscopy, with steroid injection into stricture ",,,685.44,8858.0,33
RC,490,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,685.44,8858.0,29
RC,490,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,948.0,8858.0,33
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,12499.0,16
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,7
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1200.05,9908.0,28
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1773.9,19415.0,28
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,6
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1773.9,17510.0,20
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,948.0,17510.0,29
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1200.05,19415.0,28
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1773.9,19415.0,28
RC,490,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,948.0,11848.54,33
RC,490,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,948.0,9908.0,33
RC,490,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,948.0,8858.0,33
RC,490,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,490,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,490,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,28
RC,490,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,685.44,8858.0,33
RC,490,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,490,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,490,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,490,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,490,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,490,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,490,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,490,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,490,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,490,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,490,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,490,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,490,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,490,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,490,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,490,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,490,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,490,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,490,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,490,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,490,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,490,D & C OF RESIDUAL CERVIX ,,,2152.0,6587.0,4
RC,490,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,6587.0,8
RC,490,DESTR PARAVERTEBRL NERVE C/T ,,,2152.0,6587.0,4
RC,490,DESTR PARAVERTEBRL NERVE L/S ,,,2152.0,6587.0,4
RC,490,DESTROY NERVE EXTREM MUSC ,,,2152.0,6587.0,4
RC,490,DESTROY NERVE NECK MUSCLE ,,,2152.0,6587.0,4
RC,490,DILATION PROSTATIC URETHRA ,,,2152.0,6587.0,4
RC,490,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,490,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,490,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,490,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,490,DRAIN ABDOMINAL ABSCESS ,,,2152.0,6587.0,4
RC,490,DRAIN PELVIC ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,490,DRAIN PERCUT ABDOM ABSCESS ,,,2152.0,6587.0,4
RC,490,DRAIN PERCUT RETROPER ABSC ,,,2152.0,6587.0,4
RC,490,DRAINAGE OF BLADDER ,,,2152.0,6587.0,12
RC,490,DRAINAGE OF EYE ,,,2152.0,6587.0,4
RC,490,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,948.0,19415.0,33
RC,490,Dactinomycin injection ,,,335.08,335.08,3
RC,490,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,490,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,490,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,490,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,490,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,24
RC,490,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1481.0,5932.0,8
RC,490,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,20
RC,490,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,140.69,25655.0,33
RC,490,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,380.91,2636.0,27
RC,490,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,948.0,25655.0,31
RC,490,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,948.0,18490.0,33
RC,490,Decompression internal auditory canal ,,,948.0,25655.0,27
RC,490,"Decompression of orbit only, transcranial approach ",,,948.0,25655.0,27
RC,490,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,6
RC,490,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,692.94,12499.0,29
RC,490,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,948.0,5932.0,14
RC,490,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,948.0,21630.0,20
RC,490,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,948.0,8858.0,20
RC,490,Decompression; plantar digital nerve ,,,692.94,8858.0,33
RC,490,Decompression; unspecified nerve(s) (specify) ,,,692.94,8858.0,33
RC,490,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,4
RC,490,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,490,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,490,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,593.22,8485.0,33
RC,490,Deligation of ureter ,,,948.0,25655.0,27
RC,490,Delivery of placenta (separate procedure) ,,,948.0,25655.0,29
RC,490,Dental Procedures ,,,707.88,707.88,3
RC,490,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,490,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,490,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,490,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,490,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,4723.0,5
RC,490,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,490,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,692.94,8858.0,33
RC,490,"Destruction by neurolytic agent, intercostal nerve ",,,357.81,5932.0,33
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,948.0,5932.0,19
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,692.94,8858.0,33
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,948.0,5932.0,19
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,692.94,9868.0,33
RC,490,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,692.94,8858.0,33
RC,490,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,692.94,8858.0,33
RC,490,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,357.81,5932.0,33
RC,490,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,357.81,6680.0,33
RC,490,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,357.81,6680.0,33
RC,490,Destruction by neurolytic agent; other peripheral nerve or branch ,,,152.61,5932.0,33
RC,490,Destruction by neurolytic agent; plantar common digital nerve ,,,38.66,5932.0,33
RC,490,Destruction by neurolytic agent; pudendal nerve ,,,357.81,6680.0,33
RC,490,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,218.75,5932.0,33
RC,490,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,140.41,12360.0,28
RC,490,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,113.7,5932.0,33
RC,490,Destruction of lesion of lid margin (up to 1 cm) ,,,132.27,5932.0,33
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,5932.0,33
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,696.53,2636.0,27
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,380.91,2636.0,27
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,76.74,25655.0,29
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,744.46,5932.0,33
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,744.46,5932.0,33
RC,490,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,9908.0,33
RC,490,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,116.57,25655.0,33
RC,490,"Destruction of lesion, conjunctiva ",,,74.13,8858.0,33
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,218.75,5932.0,28
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,123.25,5932.0,28
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1481.0,5932.0,14
RC,490,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1266.0,5932.0,25
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,113.7,18490.0,28
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,218.75,18490.0,28
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1158.59,18490.0,28
RC,490,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,948.0,8858.0,33
RC,490,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,103.77,25655.0,33
RC,490,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,490,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,490,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,490,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,490,Dexamethasone intra implan ,,,221.99,221.99,3
RC,490,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,490,Dexrazoxane HCl injection ,,,45.17,45.17,3
RC,490,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,490,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,490,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,490,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,25655.0,20
RC,490,Diagnostic hysteroscopy ,,,2152.0,6587.0,4
RC,490,Diagnostic laparoscopy ,,,2152.0,6587.0,4
RC,490,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,490,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,490,Dialysis ,,,751.49,751.49,3
RC,490,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,25655.0,80
RC,490,Diaphragm or cervical cap fitting with instructions ,,,37.5,6587.0,29
RC,490,Dibucaine number ,,,13.35,13.35,3
RC,490,Digoxin; free ,,,14.48,14.48,3
RC,490,Digoxin; total ,,,14.48,14.48,3
RC,490,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,490,Dilation and curettage of cervical stump ,,,948.0,9908.0,33
RC,490,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,948.0,8858.0,33
RC,490,"Dilation of cervical canal, instrumental (separate procedure) ",,,41.85,8858.0,33
RC,490,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,948.0,25655.0,66
RC,490,Dilation of female urethra including suppository and/or instillation; initial ,,,41.57,5932.0,33
RC,490,Dilation of female urethra including suppository and/or instillation; subsequent ,,,31.08,2636.0,29
RC,490,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,685.44,8858.0,33
RC,490,"Dilation of lacrimal punctum, with or without irrigation ",,,792.63,2636.0,27
RC,490,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,97.08,25655.0,33
RC,490,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,98.84,5932.0,33
RC,490,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,36.62,5932.0,33
RC,490,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,41.02,5932.0,33
RC,490,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,948.0,6680.0,33
RC,490,Dilation of vagina under anesthesia (other than local) ,,,948.0,8858.0,33
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,948.0,2636.0,15
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,948.0,25655.0,27
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,948.0,25655.0,27
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,948.0,34374.62,27
RC,490,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,218.75,6680.0,33
RC,490,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,892.44,5932.0,33
RC,490,"Discission of vitreous strands (without removal), pars plana approach ",,,892.44,8858.0,28
RC,490,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,6
RC,490,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,6
RC,490,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,490,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,490,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,490,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,6
RC,490,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,948.0,29168.74,27
RC,490,"Donor nephrectomy (including cold preservation); open, from living donor ",,,948.0,33760.8,27
RC,490,Doxorubicin inj 10mg ,,,127.1,127.1,3
RC,490,"Drainage external auditory canal, abscess ",,,154.94,5932.0,33
RC,490,"Drainage external ear, abscess or hematoma; complicated ",,,118.89,25655.0,33
RC,490,"Drainage external ear, abscess or hematoma; simple ",,,112.5,5932.0,33
RC,490,Drainage of Skene's gland abscess or cyst ,,,501.35,25655.0,31
RC,490,Drainage of deep periurethral abscess ,,,948.0,8858.0,33
RC,490,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,948.0,25655.0,27
RC,490,Drainage of ovarian abscess; abdominal approach ,,,948.0,25655.0,31
RC,490,"Drainage of ovarian abscess; vaginal approach, open ",,,948.0,9908.0,33
RC,490,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,948.0,25655.0,33
RC,490,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,948.0,9908.0,33
RC,490,Drainage of perineal urinary extravasation; complicated ,,,948.0,25655.0,27
RC,490,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,250.06,9908.0,33
RC,490,"Drainage of perirenal or renal abscess, open ",,,948.0,25655.0,31
RC,490,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,948.0,35843.07,27
RC,490,Drainage of perivesical or prevesical space abscess ,,,855.96,6492.89,33
RC,490,"Drainage of retroperitoneal abscess, open ",,,948.0,25655.0,27
RC,490,Drainage of scrotal wall abscess ,,,510.77,5932.0,33
RC,490,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,948.0,25655.0,27
RC,490,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,490,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,490,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,490,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,490,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,490,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,490,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,490,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,490,Dry pressure mattress ,,,207.18,207.18,3
RC,490,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,490,Duodenal motility (manometric) study ,,,1481.0,5932.0,13
RC,490,"Dural graft, spinal ",,,948.0,25655.0,27
RC,490,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,490,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,490,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,490,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,490,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,490,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,490,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,490,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,490,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,490,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,490,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,490,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,490,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,395.35,25655.0,27
RC,490,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,490,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,490,EXPLORATION OF EPIDIDYMIS ,,,2152.0,6587.0,4
RC,490,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,2152.0,16144.0,5
RC,490,EXPLORE ORBIT/REMOVE OBJECT ,,,2152.0,6587.0,4
RC,490,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,490,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,490,Ear piercing ,,,791.86,16144.0,21
RC,490,Ecallantide injection ,,,649.58,649.58,3
RC,490,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,490,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,490,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,490,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,490,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,490,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,490,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,490,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,490,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,490,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,490,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,490,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,490,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,490,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,490,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,490,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,490,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,490,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,490,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,490,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,490,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,490,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,490,"Electric heat pad, moist ",,,110.05,110.05,3
RC,490,"Electric heat pad, standard ",,,43.12,43.12,3
RC,490,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,490,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,490,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,490,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,490,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,490,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,490,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,490,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,490,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,490,Electroejaculation ,,,474.85,5932.0,31
RC,490,"Electrogastrography, diagnostic, transcutaneous; ",,,1481.0,2636.0,5
RC,490,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1481.0,2636.0,5
RC,490,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,490,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,490,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,6
RC,490,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,23.25,6587.0,29
RC,490,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,305.28,12
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,948.0,6680.0,25
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,406.37,6680.0,58
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,948.0,6680.0,25
RC,490,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,490,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,490,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,490,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,490,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,490,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,490,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,490,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,490,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,490,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,490,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,490,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1481.0,43890.0,18
RC,490,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2270.0,43890.0,9
RC,490,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1481.0,2636.0,5
RC,490,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,25253.0,43890.0,8
RC,490,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,490,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,490,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,490,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,490,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,948.0,28477.09,27
RC,490,"Elevation of depressed skull fracture; simple, extradural ",,,948.0,25655.0,27
RC,490,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,948.0,34755.37,27
RC,490,"Embryo transfer, intrauterine ",,,948.0,5932.0,31
RC,490,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,490,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,490,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,490,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,490,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,490,Endocervical curettage (not done as part of a dilation and curettage) ,,,96.51,5932.0,33
RC,490,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,490,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,948.0,5932.0,19
RC,490,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1481.0,43890.0,18
RC,490,Endolymphatic sac operation; with shunt ,,,948.0,23113.0,33
RC,490,Endolymphatic sac operation; without shunt ,,,948.0,23113.0,33
RC,490,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.34,18747.0,24
RC,490,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,948.0,25655.0,29
RC,490,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,490,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,48.26,5932.0,33
RC,490,Endomyocardial biopsy ,,,5381.0,17384.0,15
RC,490,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,490,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,948.0,25655.0,33
RC,490,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,13
RC,490,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,948.0,12360.0,33
RC,490,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,20
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,25655.0,20
RC,490,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,19
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,490,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,12499.0,20
RC,490,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,490,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,490,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,490,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,948.0,25655.0,27
RC,490,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,948.0,25655.0,27
RC,490,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,948.0,76895.0,31
RC,490,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,490,"Enterocystoplasty, including intestinal anastomosis ",,,948.0,31119.06,27
RC,490,"Enucleation of eye; with implant, muscles attached to implant ",,,948.0,19415.0,33
RC,490,"Enucleation of eye; with implant, muscles not attached to implant ",,,948.0,12360.0,33
RC,490,Enucleation of eye; without implant ,,,948.0,12360.0,33
RC,490,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,490,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,490,Epididymectomy; bilateral ,,,948.0,19415.0,33
RC,490,Epididymectomy; unilateral ,,,948.0,9908.0,33
RC,490,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,948.0,19415.0,31
RC,490,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,948.0,19415.0,31
RC,490,Epikeratoplasty ,,,948.0,28718.14,31
RC,490,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,490,"Episiotomy or vaginal repair, by other than attending ",,,684.71,25655.0,31
RC,490,Eptifibatide injection ,,,4.22,4.22,3
RC,490,Erythropoietin ,,,20.48,20.48,3
RC,490,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1481.0,2636.0,5
RC,490,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1481.0,2636.0,5
RC,490,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1481.0,2636.0,5
RC,490,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1481.0,5932.0,9
RC,490,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1481.0,2636.0,5
RC,490,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,12499.0,14
RC,490,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,25253.0,43890.0,8
RC,490,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,25253.0,43890.0,8
RC,490,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1481.0,2636.0,5
RC,490,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1672.0,2636.0,5
RC,490,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1481.0,2636.0,5
RC,490,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,490,Estradiol; total ,,,30.45,30.45,3
RC,490,Estriol ,,,26.36,26.36,3
RC,490,Estrogens; fractionated ,,,35.21,35.21,3
RC,490,Estrogens; total ,,,23.65,23.65,3
RC,490,Estrone ,,,27.2,27.2,3
RC,490,Ethosuximide ,,,17.81,17.81,3
RC,490,Ethylene glycol ,,,16.24,16.24,3
RC,490,Etiocholanolone ,,,28.6,28.6,3
RC,490,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,490,Euflexxa inj per dose ,,,106.97,106.97,3
RC,490,Euglobulin lysis ,,,9.17,9.17,3
RC,490,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,490,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,490,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,490,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1481.0,43890.0,9
RC,490,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,490,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,490,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,490,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,490,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,490,Everolimus ,,,14.97,14.97,3
RC,490,Evisceration of ocular contents; with implant ,,,948.0,12360.0,33
RC,490,Evisceration of ocular contents; without implant ,,,948.0,12360.0,33
RC,490,Exc biopsy of saliv glands ,,,10868.0,12875.0,3
RC,490,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,3
RC,490,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,685.44,8485.0,33
RC,490,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,20
RC,490,Exchange of intraocular lens ,,,892.44,76895.0,33
RC,490,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,593.22,25655.0,33
RC,490,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,10
RC,490,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,10
RC,490,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,10
RC,490,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,733.22,9908.0,66
RC,490,Excision aural glomus tumor; extended (extratemporal) ,,,948.0,55827.68,27
RC,490,Excision aural glomus tumor; transcanal ,,,948.0,18490.0,33
RC,490,Excision aural glomus tumor; transmastoid ,,,948.0,23113.0,33
RC,490,Excision aural polyp ,,,143.6,25655.0,33
RC,490,"Excision exostosis(es), external auditory canal ",,,948.0,13581.48,33
RC,490,Excision external ear; complete amputation ,,,948.0,13581.48,33
RC,490,"Excision external ear; partial, simple repair ",,,855.96,6492.89,33
RC,490,Excision of Bartholin's gland or cyst ,,,948.0,9908.0,33
RC,490,Excision of Mullerian duct cyst ,,,948.0,8858.0,33
RC,490,Excision of bulbourethral gland (Cowper's gland) ,,,948.0,8858.0,33
RC,490,Excision of carotid body tumor; with excision of carotid artery ,,,948.0,37265.17,27
RC,490,Excision of carotid body tumor; without excision of carotid artery ,,,948.0,30792.64,27
RC,490,"Excision of cervical stump, abdominal approach; ",,,948.0,25655.0,27
RC,490,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,948.0,25655.0,27
RC,490,"Excision of cervical stump, vaginal approach; ",,,948.0,11960.31,33
RC,490,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,948.0,25655.0,27
RC,490,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,948.0,18490.0,33
RC,490,"Excision of chalazion; multiple, different lids ",,,101.16,5932.0,33
RC,490,"Excision of chalazion; multiple, same lid ",,,78.49,5932.0,33
RC,490,Excision of chalazion; single ,,,65.12,5932.0,33
RC,490,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,733.22,8858.0,33
RC,490,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,948.0,21630.0,33
RC,490,Excision of extraparenchymal lesion of testis ,,,948.0,8858.0,33
RC,490,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,948.0,12360.0,33
RC,490,Excision of hydrocele; bilateral ,,,948.0,18490.0,33
RC,490,Excision of hydrocele; unilateral ,,,948.0,12360.0,33
RC,490,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,948.0,12360.0,33
RC,490,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,948.0,12360.0,33
RC,490,Excision of lacrimal gland tumor; frontal approach ,,,733.22,9908.0,33
RC,490,Excision of lacrimal gland tumor; involving osteotomy ,,,948.0,12360.0,33
RC,490,Excision of lacrimal sac (dacryocystectomy) ,,,948.0,12360.0,33
RC,490,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,177.9,6680.0,33
RC,490,Excision of lesion of spermatic cord (separate procedure) ,,,948.0,19415.0,33
RC,490,"Excision of lesion, conjunctiva; over 1 cm ",,,733.22,8858.0,33
RC,490,"Excision of lesion, conjunctiva; up to 1 cm ",,,147.09,8858.0,33
RC,490,"Excision of lesion, conjunctiva; with adjacent sclera ",,,733.22,8858.0,33
RC,490,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,351.98,5932.0,33
RC,490,"Excision of lesion, sclera ",,,733.22,23113.0,33
RC,490,Excision of local lesion of epididymis ,,,948.0,9908.0,33
RC,490,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,25655.0,20
RC,490,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,692.94,9908.0,33
RC,490,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,948.0,17510.0,33
RC,490,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,692.94,9908.0,33
RC,490,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,692.94,8858.0,33
RC,490,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,692.94,9908.0,33
RC,490,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,490,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,490,"Excision of neuroma; hand or foot, except digital nerve ",,,692.94,9908.0,33
RC,490,"Excision of neuroma; major peripheral nerve, except sciatic ",,,692.94,9908.0,33
RC,490,Excision of neuroma; sciatic nerve ,,,948.0,17510.0,33
RC,490,Excision of penile plaque (Peyronie disease); ,,,948.0,17510.0,33
RC,490,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,948.0,22590.2,33
RC,490,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,948.0,17510.0,33
RC,490,Excision of perinephric cyst ,,,948.0,25655.0,27
RC,490,Excision of presacral or sacrococcygeal tumor ,,,948.0,49945.68,27
RC,490,"Excision of spermatocele, with or without epididymectomy ",,,685.44,19415.0,33
RC,490,Excision of thyroglossal duct cyst or sinus; ,,,948.0,21630.0,33
RC,490,Excision of thyroglossal duct cyst or sinus; recurrent ,,,948.0,21630.0,33
RC,490,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,948.0,19415.0,33
RC,490,Excision of urethral diverticulum (separate procedure); female ,,,948.0,12360.0,33
RC,490,Excision of urethral diverticulum (separate procedure); male ,,,948.0,11848.54,33
RC,490,Excision of vaginal cyst or tumor ,,,948.0,8858.0,33
RC,490,Excision of vaginal septum ,,,948.0,8858.0,33
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,948.0,19415.0,33
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,948.0,19415.0,33
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,948.0,18490.0,33
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,948.0,44070.36,17
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,948.0,51266.66,17
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,948.0,28858.92,17
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,948.0,36881.18,17
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,948.0,63197.53,17
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,3796.0,5381.0,5
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,8024.0,9417.0,5
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,8024.0,9417.0,5
RC,490,Excision or fulguration of carcinoma of urethra ,,,948.0,12360.0,33
RC,490,Excision or fulguration; Skene's glands ,,,948.0,8858.0,33
RC,490,Excision or fulguration; urethral caruncle ,,,685.44,8858.0,33
RC,490,"Excision or fulguration; urethral polyp(s), distal urethra ",,,948.0,8858.0,33
RC,490,Excision or fulguration; urethral prolapse ,,,948.0,8858.0,33
RC,490,Excision or transposition of pterygium; with graft ,,,733.22,18490.0,33
RC,490,Excision or transposition of pterygium; without graft ,,,733.22,8858.0,33
RC,490,Excision or unroofing of cyst(s) of kidney ,,,948.0,25655.0,27
RC,490,"Excision soft tissue lesion, external auditory canal ",,,855.96,6680.0,33
RC,490,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,948.0,55128.27,27
RC,490,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,948.0,44700.99,27
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,948.0,18490.0,33
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,948.0,23113.0,33
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,948.0,23113.0,33
RC,490,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,490,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,490,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,490,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,490,Exploration for undescended testis (inguinal or scrotal area) ,,,948.0,19415.0,33
RC,490,Exploration for undescended testis with abdominal exploration ,,,685.44,25655.0,33
RC,490,"Exploration of epididymis, with or without biopsy ",,,948.0,8858.0,33
RC,490,"Exploration of orbit (transcranial approach), with removal of lesion ",,,948.0,46340.42,27
RC,490,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,948.0,25655.0,31
RC,490,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,948.0,25655.0,31
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,948.0,25655.0,33
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,29821.36,27
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,25655.0,27
RC,490,"Expression of conjunctival follicles (eg, for trachoma) ",,,26.74,2636.0,29
RC,490,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,490,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,948.0,42952.69,27
RC,490,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,948.0,51686.22,27
RC,490,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,490,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,490,"External cephalic version, with or without tocolysis ",,,948.0,8858.0,27
RC,490,"External counterpulsation, per treatment session ",,,2187.0,3092.0,6
RC,490,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,490,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,490,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,490,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,490,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,490,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,490,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,490,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,490,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,490,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,948.0,76895.0,33
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,948.0,76895.0,33
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,892.44,18490.0,33
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,892.44,76895.0,99
RC,490,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,21210.0,23307.22,6
RC,490,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,490,Extremity belt/harness ,,,58.52,58.52,3
RC,490,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,490,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,490,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,490,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,490,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,490,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,490,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,490,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,490,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,490,FOCUS RADIATION BEAM ,,,2152.0,6587.0,4
RC,490,FUSION OF FACIAL/OTHER NERVE ,,,2152.0,6587.0,4
RC,490,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,490,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,490,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,490,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,490,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,6
RC,490,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,490,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,490,Face tent ,,,2.8,2.8,3
RC,490,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,490,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,490,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,7069.89,25655.0,16
RC,490,Factor IX non-recombinant ,,,1.53,1.53,3
RC,490,Factor inhibitor test ,,,14.03,14.03,3
RC,490,Factor ix complex ,,,1.9,1.9,3
RC,490,Factor ix idelvion inj ,,,6.0,6.0,3
RC,490,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,490,Factor ix recombinant nos ,,,2.03,2.03,3
RC,490,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,490,Factor viii ,,,1.36,1.36,3
RC,490,Factor viii recombinant ,,,1.72,1.72,3
RC,490,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,490,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,490,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,490,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,490,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,490,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,490,Felbamate ,,,20.32,20.32,3
RC,490,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,490,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,490,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,490,Fern test ,,,10.62,10.62,3
RC,490,Ferritin ,,,14.86,14.86,3
RC,490,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,490,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,490,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,490,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,490,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,490,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,490,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,490,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,490,Fetal contraction stress test ,,,28.49,2636.0,23
RC,490,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,490,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,122.58,5932.0,33
RC,490,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,490,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,490,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,490,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,490,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,855.63,16144.0,21
RC,490,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,948.0,2636.0,21
RC,490,Fetal non-stress test ,,,16.57,2636.0,17
RC,490,Fetal scalp blood sampling ,,,590.17,2636.0,27
RC,490,"Fetal shunt placement, including ultrasound guidance ",,,590.17,5932.0,31
RC,490,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,590.17,5932.0,31
RC,490,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,6
RC,490,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,490,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,490,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,490,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,490,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,490,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,490,Fibrinogen; activity ,,,10.59,10.59,3
RC,490,Fibrinogen; antigen ,,,15.76,15.76,3
RC,490,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,490,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,490,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,490,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,490,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,490,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,490,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,490,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,490,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,490,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,490,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,490,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,490,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,490,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,490,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,490,Fimbrioplasty ,,,948.0,25655.0,31
RC,490,Fine needle aspiration of orbital contents ,,,733.22,8858.0,33
RC,490,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,490,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,490,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,490,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,490,"Finger splint, static ",,,2.92,2.92,3
RC,490,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,892.44,8858.0,33
RC,490,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,948.0,19415.0,33
RC,490,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,892.44,19415.0,33
RC,490,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,892.44,19415.0,33
RC,490,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,948.0,19415.0,33
RC,490,Fitting and insertion of pessary or other intravaginal support device ,,,35.18,2636.0,29
RC,490,Fixation of contralateral testis (separate procedure) ,,,948.0,9908.0,33
RC,490,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,490,Flebogamma injection ,,,98.91,98.91,3
RC,490,Flecainide ,,,20.32,20.32,3
RC,490,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,490,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,490,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,490,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,490,Flortaucipir inj 1 millicu ,,,404.39,404.39,3
RC,490,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,490,Floxuridine injection ,,,4792.18,4792.18,3
RC,490,Fluciclovine f-18 ,,,351.27,351.27,3
RC,490,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,490,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,490,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,490,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,490,Fluoride ,,,20.21,20.21,3
RC,490,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,490,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,490,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,490,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,490,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,490,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,490,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,490,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,490,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,33321.99,18
RC,490,Folic acid; RBC ,,,19.24,19.24,3
RC,490,Folic acid; serum ,,,16.02,16.02,3
RC,490,"Follicle puncture for oocyte retrieval, any method ",,,948.0,5932.0,31
RC,490,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,490,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,490,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,490,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,490,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,490,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,490,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,490,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,490,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,490,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,490,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,490,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,490,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,490,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,490,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,490,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,490,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,490,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,490,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,490,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,490,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,490,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,490,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,490,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,490,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,490,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,490,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,490,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,490,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,490,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,490,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,490,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,490,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,115.66,5932.0,33
RC,490,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,490,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,490,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,490,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,490,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,490,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,490,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,490,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,490,"Frames, purchases ",,,89.85,89.85,3
RC,490,Free omental flap with microvascular anastomosis ,,,948.0,36425.84,27
RC,490,Frenulotomy of penis ,,,685.44,8858.0,33
RC,490,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,490,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,490,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,490,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,490,"Fructose, semen ",,,18.9,18.9,3
RC,490,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,490,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,490,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,490,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,490,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,490,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,490,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,490,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,490,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,490,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,490,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,490,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,490,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,490,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,490,GLAUCOMA SURGERY ,,,2152.0,6587.0,4
RC,490,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,490,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,490,"Galactokinase, RBC ",,,23.41,23.41,3
RC,490,Galactose ,,,12.21,12.21,3
RC,490,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,490,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,490,Galectin-3 ,,,48.23,48.23,3
RC,490,Gallium ga-68 ,,,54.1,54.1,3
RC,490,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,490,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,490,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,490,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,490,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,490,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,490,Galsulfase injection ,,,573.3,573.3,3
RC,490,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,590.17,5932.0,31
RC,490,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,490,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,490,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,490,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,490,Gammaplex IVIG ,,,72.24,72.24,3
RC,490,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,490,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,490,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,490,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,490,"Gases, blood, pH only ",,,11.99,11.99,3
RC,490,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,490,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,490,Gastric motility (manometric) studies ,,,1481.0,5932.0,9
RC,490,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,11
RC,490,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,490,Gastrin ,,,19.22,19.22,3
RC,490,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,490,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2214.0,5047.0,9
RC,490,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2214.0,5047.0,9
RC,490,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2214.0,5047.0,9
RC,490,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,490,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,490,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,490,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,490,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,490,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,490,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,490,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,490,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,490,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,490,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,490,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,490,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,490,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,490,Gel pressure mattress ,,,42.62,42.62,3
RC,490,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,490,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,490,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,490,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,490,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,490,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,490,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,490,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,490,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,490,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,490,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,490,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,490,Gentamicin ,,,17.85,17.85,3
RC,490,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,490,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,490,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,21210.0,23307.22,6
RC,490,Glucagon ,,,15.58,15.58,3
RC,490,Glucagon hydrochloride ,,,127.89,127.89,3
RC,490,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,490,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,490,Glucagon tolerance test ,,,19.37,19.37,3
RC,490,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,490,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,490,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,490,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,490,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,490,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,490,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,490,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,490,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,490,"Glucosidase, beta ",,,23.41,23.41,3
RC,490,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,490,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,490,Glutathione ,,,16.84,16.84,3
RC,490,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,490,Glycated protein ,,,18.27,18.27,3
RC,490,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,490,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,490,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,490,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,490,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,490,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,490,Goniotomy ,,,948.0,10691.32,33
RC,490,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,490,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,490,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,490,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,490,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,490,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,490,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,490,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,490,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,490,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,490,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,490,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,490,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,490,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,490,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,490,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,490,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,490,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,490,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,490,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,490,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,490,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,490,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,490,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,490,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,490,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,490,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,490,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,490,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,490,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,490,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,490,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,490,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,490,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,490,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,490,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,490,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,490,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,490,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,490,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,490,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,490,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,490,"Gradient compression glove, each ",,,79.56,79.56,3
RC,490,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,490,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,490,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,490,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,490,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,490,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,490,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,490,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,490,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,490,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,490,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,490,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,490,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,490,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,490,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,490,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,490,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,490,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,490,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,490,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,490,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,490,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,490,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,490,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,490,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,490,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,490,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,490,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,490,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,490,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,490,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,490,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,490,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,490,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,490,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,490,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,490,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,490,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,490,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,490,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,490,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,4
RC,490,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,4
RC,490,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,490,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,490,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,490,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,490,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,490,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,490,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,490,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,490,HCT/P Skin Substitute Prod ,,,136.26,136.26,3
RC,490,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,490,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,490,HFenestration semicircular canal ,,,7592.0,8072.0,5
RC,490,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,490,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,490,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,490,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,490,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,490,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,490,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,490,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,490,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,490,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,490,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,490,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,490,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,490,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,490,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,490,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,490,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,490,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,490,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,490,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,3796.0,5381.0,5
RC,490,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,77554.0,8
RC,490,HRevision fenestration operation ,,,7592.0,8072.0,5
RC,490,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,490,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,490,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,490,Hallux implant ,,,388.42,388.42,3
RC,490,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,490,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,490,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,490,Haloperidol ,,,17.2,17.2,3
RC,490,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,490,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,490,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,490,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,490,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,490,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,490,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,490,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,490,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,490,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,490,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,490,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,490,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,490,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,490,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,490,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,490,"Harvesting conjunctival allograft, living donor ",,,948.0,8858.0,31
RC,490,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,6
RC,490,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,490,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,490,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,490,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,490,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,490,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,490,Heavy duty wheelchair ,,,83.68,83.68,3
RC,490,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,490,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,490,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,490,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,490,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,490,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,490,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,490,Heel wedge ,,,30.8,30.8,3
RC,490,"Heel wedge, sach ",,,114.72,114.72,3
RC,490,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,490,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,490,"Heel, new leather, standard ",,,54.84,54.84,3
RC,490,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,490,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,490,"Heel, sach cushion type ",,,142.14,142.14,3
RC,490,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,490,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,490,Heinz bodies; direct ,,,4.58,4.58,3
RC,490,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,490,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,490,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,490,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,490,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,490,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,490,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,490,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,490,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,490,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,490,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,490,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,490,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,490,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,490,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,490,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,490,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,490,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,490,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,490,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,490,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,490,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,490,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,490,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,490,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,490,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,490,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,490,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,490,Hemoglobin; plasma ,,,7.97,7.97,3
RC,490,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,490,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,490,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,490,Hemoglobin; urine ,,,4.31,4.31,3
RC,490,"Hemolysin, acid ",,,9.67,9.67,3
RC,490,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,490,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,490,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,490,Hepagam b im injection ,,,71.51,71.51,3
RC,490,Heparin assay ,,,14.27,14.27,3
RC,490,Heparin neutralization ,,,12.91,12.91,3
RC,490,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,490,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,490,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,490,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,490,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,490,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,490,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,490,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,490,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,490,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,490,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,490,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,490,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,490,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,490,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,490,Hepatitis C antibody; ,,,15.55,15.55,3
RC,490,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,490,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,490,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,490,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,490,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,490,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,490,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,490,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,490,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,490,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,490,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,490,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,490,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,490,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,490,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,490,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,490,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,490,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,490,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,490,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,490,Hip core decompression ,,,21210.0,23307.22,6
RC,490,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,490,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,490,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,490,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,490,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,490,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,490,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,490,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,490,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,490,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,490,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,490,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,490,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,490,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,490,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,490,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,490,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,490,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,490,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,490,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,490,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,490,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,490,Histamine ,,,32.19,32.19,3
RC,490,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,25655.0,10
RC,490,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,490,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,490,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,490,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,490,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,490,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,490,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,490,Home blood glucose monitor ,,,103.8,103.8,3
RC,490,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,490,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,490,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,490,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,490,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,490,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,490,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,490,Homocysteine ,,,19.53,19.53,3
RC,490,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,490,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,490,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,490,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,490,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,490,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,490,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,490,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,490,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,490,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,490,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,490,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,490,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,490,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,490,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,490,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,490,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,490,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,490,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,490,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,490,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,490,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,490,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,490,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,490,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,490,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,490,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,490,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,490,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,490,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,490,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,490,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,490,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,490,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,490,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,490,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,490,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,490,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,490,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,490,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,490,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,490,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,490,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,490,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,490,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,490,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,490,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,490,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,490,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,490,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,490,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,490,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,490,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,490,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,490,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,490,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,490,Hydroxychloroquine ,,,20.32,20.32,3
RC,490,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,490,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,490,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,490,Hydroxyproline; free ,,,24.69,24.69,3
RC,490,Hydroxyproline; total ,,,26.49,26.49,3
RC,490,"Hymenotomy, simple incision ",,,948.0,8858.0,33
RC,490,Hyperbaric Oxygen ,,,150.68,150.68,3
RC,490,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,948.0,35625.53,27
RC,490,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,948.0,25655.0,31
RC,490,Hysterorrhaphy of ruptured uterus ,,,948.0,25655.0,23
RC,490,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,948.0,25655.0,31
RC,490,"Hysteroscopy, diagnostic (separate procedure) ",,,1116.7,8858.0,24
RC,490,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1995.0,17510.0,24
RC,490,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1603.34,12360.0,24
RC,490,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.34,12499.0,24
RC,490,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,1603.34,11960.31,24
RC,490,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1116.7,8858.0,24
RC,490,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1603.34,12360.0,24
RC,490,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1116.7,8858.0,24
RC,490,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,948.0,12224.1,27
RC,490,Hystscp IU ADHESIO ,,,2152.0,6587.0,4
RC,490,Hystscp div IU septum ,,,2152.0,6587.0,4
RC,490,Hystscp impacted FB rmvl ,,,2152.0,6587.0,4
RC,490,Hystscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,490,Hystscp w Bx/polypectomy ,,,2152.0,6587.0,4
RC,490,Hystscp w endomet ablat ,,,2152.0,6587.0,4
RC,490,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,490,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,490,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,490,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,490,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,490,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,490,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,490,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,490,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,490,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,490,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,490,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,490,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,16
RC,490,"IMPLANT NEUROSTIMUL, SUBCORT ",,,2152.0,6587.0,4
RC,490,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,2152.0,2636.0,4
RC,490,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,490,INCISE INNER EAR ,,,2152.0,6587.0,4
RC,490,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,12
RC,490,INCISION OF HYMEN ,,,2152.0,6587.0,4
RC,490,INCISION OF PELVIS NERVE ,,,2152.0,6587.0,4
RC,490,INCISION OF VAGUS NERVE ,,,2152.0,6587.0,4
RC,490,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,490,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,490,INFLATE MIDDLE EAR CANAL ,,,2152.0,6587.0,8
RC,490,INJ PARAVERTEBRAL C/T ,,,2152.0,6587.0,4
RC,490,INJ PARAVERTEBRAL C/T ADD-ON ,,,2152.0,6587.0,4
RC,490,INJ PARAVERTEBRAL L/S ,,,2152.0,6587.0,4
RC,490,INJ PARAVERTEBRAL L/S ADD-ON ,,,2152.0,6587.0,4
RC,490,INJECT SPINE CERV/THORACIC ,,,1266.0,3293.0,5
RC,490,INJECT SPINE LUMBAR/SACRAL ,,,1266.0,3293.0,5
RC,490,INJECT SPINE W/CATH CRV/THRC ,,,1266.0,3293.0,5
RC,490,INJECT SPINE W/CATH LMB/SCRL ,,,1266.0,3293.0,5
RC,490,INJECTION FOR KIDNEY X-RAY ,,,2152.0,6587.0,4
RC,490,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2152.0,2636.0,4
RC,490,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1266.0,3293.0,5
RC,490,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2152.0,2636.0,4
RC,490,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1266.0,2636.0,5
RC,490,"INSERT ABDOM DRAIN, TEMP ",,,2152.0,6587.0,4
RC,490,INSERT KIDNEY DRAIN ,,,2152.0,6587.0,4
RC,490,INSERT URETERAL TUBE ,,,2152.0,6587.0,4
RC,490,INSET MIDDLE EAR (BAFFLE) ,,,2152.0,6587.0,4
RC,490,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,3796.0,5381.0,5
RC,490,Ibuprofen injection ,,,3.54,3.54,3
RC,490,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,490,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,490,Idursulfase injection ,,,621.35,621.35,3
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,510.77,12499.0,33
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,510.77,9908.0,33
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,948.0,12499.0,31
RC,490,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7592.0,25655.0,15
RC,490,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5694.0,25655.0,15
RC,490,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,490,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,490,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,490,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,490,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,490,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,490,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,490,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,490,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,490,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,490,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,490,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,490,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,490,Immune complex assay ,,,26.56,26.56,3
RC,490,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,490,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,490,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,490,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,490,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,490,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,490,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,490,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,490,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,490,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,490,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,490,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,490,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,490,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,490,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,490,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,490,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,490,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,490,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,490,Impl cereb subcort elec ,,,2152.0,6587.0,4
RC,490,Impl subcort electrodes ,,,2152.0,6587.0,4
RC,490,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,490,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,490,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,490,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,490,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,490,Implantation Wireless PA P ,,,31407.33,31407.33,3
RC,490,Implantation of Drug Infus ,,,19735.53,19735.53,3
RC,490,Implantation of auditory brain stem implant ,,,21210.0,23307.22,6
RC,490,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,948.0,25655.0,27
RC,490,Implantation of intrastromal corneal ring segments ,,,948.0,25655.0,33
RC,490,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1995.0,36053.16,28
RC,490,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,948.0,45966.03,21
RC,490,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,6
RC,490,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,13
RC,490,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,948.0,6680.0,19
RC,490,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,948.0,70380.0,32
RC,490,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,1995.0,70380.0,27
RC,490,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,948.0,70380.0,33
RC,490,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,948.0,17510.0,31
RC,490,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,948.0,36534.62,33
RC,490,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,948.0,35261.21,33
RC,490,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,33769.0,33
RC,490,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,948.0,21630.0,31
RC,490,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,948.0,17510.0,33
RC,490,In111 capromab ,,,1886.02,1886.02,3
RC,490,In111 oxyquinoline ,,,906.29,906.29,3
RC,490,In111 pentetate ,,,812.73,812.73,3
RC,490,Incision and drainage of Bartholin's gland abscess ,,,74.05,5932.0,33
RC,490,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,685.44,8858.0,33
RC,490,"Incision and drainage of penis, deep ",,,510.77,19415.0,33
RC,490,"Incision and drainage of thyroglossal duct cyst, infected ",,,441.67,5932.0,33
RC,490,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,855.96,8858.0,33
RC,490,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,855.96,25655.0,33
RC,490,Incision and drainage of vulva or perineal abscess ,,,79.36,6680.0,33
RC,490,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,948.0,25655.0,27
RC,490,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,948.0,25655.0,31
RC,490,"Incision of conjunctiva, drainage of cyst ",,,58.72,25655.0,33
RC,490,"Incision, drainage of lacrimal gland ",,,948.0,5932.0,31
RC,490,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,214.82,9868.0,33
RC,490,Incisional biopsy of eyelid skin including lid margin ,,,113.7,5932.0,33
RC,490,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,490,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,490,Indexing for osteotomy ,,,10868.0,12875.0,3
RC,490,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,490,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,490,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,490,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,6
RC,490,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,6
RC,490,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,6
RC,490,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,6
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,948.0,16144.0,31
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,948.0,16144.0,31
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,948.0,25655.0,31
RC,490,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,948.0,25655.0,27
RC,490,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,948.0,25655.0,62
RC,490,"Induced abortion, by dilation and curettage ",,,948.0,18490.0,33
RC,490,"Induced abortion, by dilation and evacuation ",,,948.0,18490.0,33
RC,490,Induction of arrhythmia by electrical pacing ,,,25253.0,43890.0,8
RC,490,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,490,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,490,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,490,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,490,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,490,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,490,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,490,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,490,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,490,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,490,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,490,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,490,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,490,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,490,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,490,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,490,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,490,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,490,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,490,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,490,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,490,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,490,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,490,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,490,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,490,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,490,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,490,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,490,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,490,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,490,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,490,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,490,Infliximab ,,,42.04,42.04,3
RC,490,Infliximab not biosimil 10 ,,,34.31,34.31,3
RC,490,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,490,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,490,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,490,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,490,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,490,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,490,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,490,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,948.0,69269.91,27
RC,490,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,948.0,68516.17,27
RC,490,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,490,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,490,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,490,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,490,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,490,Inhibin A ,,,16.99,16.99,3
RC,490,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,948.0,126001.4,20
RC,490,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1481.0,2636.0,5
RC,490,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,490,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,490,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,490,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,490,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,490,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,490,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,490,Inj avacincaptad pegol 0.1 ,,,112.49,112.49,3
RC,490,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,490,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,490,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,490,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,490,"Inj brixadi, more than 7 d ",,,1877.31,1877.31,3
RC,490,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,490,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,490,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,490,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,490,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,490,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,490,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,490,Inj cyclophos dr reddys 5 ,,,0.54,0.54,3
RC,490,Inj cyclophos frindovyx 5 ,,,9.72,9.72,3
RC,490,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,490,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,490,Inj daxibotulinumtoxina-la ,,,3.34,3.34,3
RC,490,Inj delandistrogene mox ro ,,,3615417.73,3615417.73,3
RC,490,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,490,Inj efgart-alfa 2mg hya-qv ,,,37.34,37.34,3
RC,490,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,490,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,490,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,490,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,490,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,490,Inj estrogen conjugate ,,,437.64,437.64,3
RC,490,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,490,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,490,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,490,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,490,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,490,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,490,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,490,"Inj glofitamab gxbm, 2.5 m ",,,3122.5,3122.5,3
RC,490,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,490,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,490,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,490,Inj hydroxocobalamin iv 25 ,,,5.93,5.93,3
RC,490,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,490,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,490,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,490,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,490,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,490,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,490,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,490,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,490,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,490,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,490,Inj melphalan (hepzato) 1 ,,,873.61,873.61,3
RC,490,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,490,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,490,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,490,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,490,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,490,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,490,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,490,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,490,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,490,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,490,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,490,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,490,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,490,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,490,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,490,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,490,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,490,Inj recombin esperoct per ,,,2.5,2.5,3
RC,490,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,490,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,490,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,490,Inj roctavian ml 2x10^13vc ,,,13683.54,13683.54,3
RC,490,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,490,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,490,Inj rozanolixizum-noli 1 m ,,,25.71,25.71,3
RC,490,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,490,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,490,Inj secukinumab intrav 1mg ,,,19.87,19.87,3
RC,490,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,490,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,490,Inj talquetamab-tgvs 0.25 ,,,83.63,83.63,3
RC,490,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,490,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,490,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,490,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,490,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,490,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,490,Inj travoprost intra impl ,,,214.45,214.45,3
RC,490,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,490,Inj truxima 10 mg ,,,37.67,37.67,3
RC,490,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,490,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,490,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,490,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,490,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,490,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,490,Inj velmanase alfa-tycv 1 ,,,522.32,522.32,3
RC,490,Inj xipere 1 mg ,,,52.07,52.07,3
RC,490,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,490,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,490,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,490,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,490,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,490,"Inj, adzynma, 10 iu ",,,39.47,39.47,3
RC,490,"Inj, aflibercept hd, 1 mg ",,,325.56,325.56,3
RC,490,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,490,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,490,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,490,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,490,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,490,"Inj, artesunate, 1mg ",,,56.49,56.49,3
RC,490,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,490,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,490,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,490,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,490,"Inj, betibeglogene autotem ",,,3193983.4,3193983.4,3
RC,490,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,490,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,490,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,490,"Inj, brixadi, 7 days or le ",,,469.33,469.33,3
RC,490,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,490,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,490,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,490,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,490,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,490,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,490,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,490,"Inj, cipaglucosidase, 5 mg ",,,104.97,104.97,3
RC,490,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,490,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,490,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,490,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,490,"Inj, cyclophosphamide, nos ",,,0.63,0.63,3
RC,490,"Inj, denosumab ",,,32.81,32.81,3
RC,490,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,490,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,490,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,490,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,490,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,490,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,490,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,490,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,490,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,490,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,490,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,490,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,490,"Inj, elranatamab-bcmm, 1 m ",,,209.81,209.81,3
RC,490,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,490,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,490,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,490,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,490,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,490,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,490,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,490,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,490,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,490,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,490,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,490,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,490,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,490,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,490,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,490,"Inj, human-lans, per i.u ",,,1.89,1.89,3
RC,490,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,490,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,490,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,490,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,490,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,490,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,490,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,490,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,490,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,490,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,490,"Inj, levothyroxine, freska ",,,7.45,7.45,3
RC,490,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,490,"Inj, lovotibeglogene autot ",,,3526481.36,3526481.36,3
RC,490,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,490,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,490,"Inj, mirikizumab-mrkz, 1 m ",,,35.6,35.6,3
RC,490,"Inj, motixafortide, 0.25 m ",,,28.86,28.86,3
RC,490,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,490,"Inj, nithiodote, 3mg / 125 ",,,2.36,2.36,3
RC,490,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,490,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,490,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,490,"Inj, nyvepria ",,,149.23,149.23,3
RC,490,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,490,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,490,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,490,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,490,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,490,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,490,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,490,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,490,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,490,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,490,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,490,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,490,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,490,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,490,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,490,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,490,"Inj, rykindo, 0.5 mg ",,,14.2,14.2,3
RC,490,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,490,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,490,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,490,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,490,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,490,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,490,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,490,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,490,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,490,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,490,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,490,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,490,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,490,"Inj, toripalimab-tpzi, 1 m ",,,44.57,44.57,3
RC,490,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,490,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,490,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,490,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,490,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,490,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,490,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,490,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,490,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,490,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,490,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,490,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,490,"Inj, zolbetuximab-clzb, 2 ",,,36.98,36.98,3
RC,490,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,490,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,490,Inj. asceniv ,,,554.96,554.96,3
RC,490,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,490,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,490,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,490,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,490,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,490,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,490,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,490,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,490,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,490,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,490,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,490,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,490,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,490,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,490,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,490,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,490,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,490,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,490,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,490,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,490,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,490,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,490,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,490,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,490,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,490,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,490,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,490,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,490,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,490,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,490,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,490,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,490,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,490,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,490,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,490,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,490,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,490,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,490,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,490,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,490,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,490,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,490,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,490,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,490,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,490,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,490,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,490,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,490,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,490,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,490,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,490,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,490,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,490,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,490,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,490,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,490,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,490,Inject anes 1 L facet N ,,,2152.0,6587.0,4
RC,490,Inject anes 1 paravert N ,,,2152.0,6587.0,4
RC,490,Inject anes >1 paravert ,,,2152.0,6587.0,4
RC,490,Inject anes L facet-ADDL ,,,2152.0,6587.0,4
RC,490,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,490,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,490,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,490,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,490,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,490,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,948.0,5932.0,19
RC,490,Injection of contrast medium for dacryocystography ,,,948.0,5932.0,19
RC,490,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,36.92,2636.0,29
RC,490,Injection of medication or other substance into Tenon's capsule ,,,20.35,5932.0,33
RC,490,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,892.44,8858.0,28
RC,490,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,948.0,5932.0,19
RC,490,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,948.0,2636.0,15
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1481.0,17384.0,9
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1481.0,17384.0,9
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1481.0,17384.0,9
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1481.0,17384.0,9
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,1481.0,2174.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,1481.0,2174.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,1481.0,2174.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1481.0,17384.0,9
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1481.0,17384.0,9
RC,490,Injection procedure for Peyronie disease; ,,,63.08,3092.0,29
RC,490,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,948.0,19415.0,33
RC,490,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,948.0,8485.0,62
RC,490,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,948.0,8858.0,31
RC,490,Injection procedure for corpora cavernosography ,,,948.0,5932.0,19
RC,490,Injection procedure for cystography or voiding urethrocystography ,,,948.0,2636.0,15
RC,490,"Injection procedure for discography, each level; cervical or thoracic ",,,948.0,5932.0,19
RC,490,"Injection procedure for discography, each level; lumbar ",,,948.0,5932.0,19
RC,490,"Injection procedure for myelography and/or computed tomography, lumbar ",,,948.0,5932.0,19
RC,490,Injection procedure for retrograde urethrocystography ,,,948.0,2636.0,15
RC,490,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,9
RC,490,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,25
RC,490,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,948.0,5932.0,19
RC,490,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,948.0,5932.0,19
RC,490,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,948.0,9908.0,31
RC,490,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,357.81,6587.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,357.81,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,465.81,5381.0,29
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,41.85,3293.0,29
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,146.8,6587.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,31.69,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,64.83,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,357.81,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,276.0,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,357.81,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,276.0,6587.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,41.28,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,45.35,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,18.89,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,357.81,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,3293.0,29
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,77.32,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,40.7,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,948.0,5932.0,19
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,357.81,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,948.0,5932.0,19
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,357.81,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,70.93,5932.0,33
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,249.57,5932.0,31
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,948.0,5932.0,19
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,357.81,5932.0,33
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,948.0,5932.0,19
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,948.0,5932.0,19
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,357.81,5932.0,33
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,948.0,5932.0,19
RC,490,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,357.81,5932.0,132
RC,490,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,276.0,5932.0,132
RC,490,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,490,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,357.81,5932.0,33
RC,490,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,357.81,5932.0,33
RC,490,"Injection, anesthetic agent; sphenopalatine ganglion ",,,74.13,5932.0,33
RC,490,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,357.81,5932.0,33
RC,490,"Injection, anesthetic agent; superior hypogastric plexus ",,,357.81,6680.0,33
RC,490,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,892.44,5932.0,33
RC,490,"Injection, anterior chamber of eye (separate procedure); medication ",,,892.44,5932.0,33
RC,490,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,490,"Injection, blinatumomab ",,,188.46,188.46,3
RC,490,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,490,"Injection, cangrelor ",,,22.1,22.1,3
RC,490,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,490,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,490,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,490,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,490,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,490,"Injection, epidural, of blood or clot patch ",,,276.0,5932.0,33
RC,490,"Injection, fulphila ",,,73.06,73.06,3
RC,490,"Injection, glucarpidase ",,,489.52,489.52,3
RC,490,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,490,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,490,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,490,"Injection, ixabepilone ",,,152.33,152.33,3
RC,490,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,490,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,490,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,490,"Injection, nivolumab ",,,37.3,37.3,3
RC,490,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,490,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,490,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,490,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,490,"Injection, peramivir ",,,1.83,1.83,3
RC,490,"Injection, renflexis ",,,29.01,29.01,3
RC,490,"Injection, reslizumab ",,,12.78,12.78,3
RC,490,"Injection, ruconest ",,,41.24,41.24,3
RC,490,"Injection, siltuximab ",,,189.73,189.73,3
RC,490,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,490,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,490,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,490,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,490,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,490,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,490,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,490,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,6054.0,4
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,357.81,5932.0,33
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,357.81,5932.0,33
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,357.81,5932.0,33
RC,490,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,490,Insert urinary catheter ,,,2152.0,6587.0,8
RC,490,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,1796.0,7927.29,15
RC,490,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,6
RC,490,Insertion of Heyman capsules for clinical brachytherapy ,,,948.0,11960.31,33
RC,490,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,536.91,5932.0,33
RC,490,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,122.58,6680.0,33
RC,490,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,948.0,17510.0,33
RC,490,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,450.72,9868.0,33
RC,490,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,20
RC,490,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,344.56,5932.0,31
RC,490,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,709.9,8858.0,31
RC,490,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,33
RC,490,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,593.22,6680.0,33
RC,490,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,5047.0,15
RC,490,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,948.0,49207.09,33
RC,490,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,892.44,76895.0,33
RC,490,Insertion of intrauterine device (IUD) ,,,948.0,5932.0,31
RC,490,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,6
RC,490,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,948.0,23113.0,19
RC,490,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,6004.0,54082.0,25
RC,490,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,25655.0,20
RC,490,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,25655.0,20
RC,490,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,25655.0,20
RC,490,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,20
RC,490,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,237.69,6587.0,31
RC,490,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,948.0,12360.0,33
RC,490,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,948.0,12360.0,33
RC,490,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,948.0,12360.0,33
RC,490,Insertion of penile prosthesis; inflatable (self-contained) ,,,6004.0,54082.0,25
RC,490,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,948.0,54082.0,30
RC,490,Insertion of peritoneal-venous shunt ,,,948.0,25655.0,31
RC,490,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,13
RC,490,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,948.0,27704.6,26
RC,490,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,490,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,948.0,38760.0,33
RC,490,Insertion of tandem cuff (dual cuff) ,,,948.0,49207.09,33
RC,490,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,60.68,6587.0,33
RC,490,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,237.69,6587.0,31
RC,490,Insertion of testicular prosthesis (separate procedure) ,,,948.0,11848.54,33
RC,490,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,948.0,12875.0,21
RC,490,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,948.0,12499.0,33
RC,490,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,948.0,12360.0,33
RC,490,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,948.0,21630.0,33
RC,490,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,948.0,25080.0,33
RC,490,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,25655.0,20
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,948.0,81532.47,32
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,948.0,77554.0,32
RC,490,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,948.0,6587.0,18
RC,490,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,948.0,36341.06,30
RC,490,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,948.0,77554.0,32
RC,490,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,948.0,81532.47,32
RC,490,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,490,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,490,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,490,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,490,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,490,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,490,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,490,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,490,Inst tauro 1.35mg/hep 100u ,,,4.59,4.59,3
RC,490,"Instill adstiladrin, tx do ",,,70121.45,70121.45,3
RC,490,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,490,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,12499.0,20
RC,490,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,43.61,5932.0,33
RC,490,Insulin antibodies ,,,23.34,23.34,3
RC,490,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,490,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,490,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,490,Insulin; free ,,,14.12,14.12,3
RC,490,Insulin; total ,,,12.46,12.46,3
RC,490,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,490,Intensive Outpatient (3 se ,,,136.91,342.3,6
RC,490,Intensive Outpatient (4 or ,,,179.39,448.48,6
RC,490,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,490,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,490,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,490,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,490,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,490,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,490,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,490,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,490,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,948.0,5932.0,19
RC,490,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,490,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,490,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1481.0,2636.0,5
RC,490,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,490,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,490,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,490,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,490,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,490,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,490,Intersex surgery; female to male ,,,948.0,25655.0,23
RC,490,Intersex surgery; male to female ,,,948.0,25655.0,23
RC,490,Intra-atrial pacing ,,,12830.85,43890.0,14
RC,490,Intra-atrial recording ,,,12830.85,43890.0,14
RC,490,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,25253.0,43890.0,8
RC,490,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,892.44,18490.0,33
RC,490,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,43890.0,9
RC,490,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,12830.85,43890.0,14
RC,490,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1481.0,43890.0,9
RC,490,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,490,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,6
RC,490,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,1481.0,2174.0,3
RC,490,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,1481.0,2174.0,3
RC,490,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1481.0,5932.0,8
RC,490,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,7
RC,490,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1481.0,2636.0,10
RC,490,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,6
RC,490,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,25253.0,43890.0,8
RC,490,Intraventricular pacing ,,,12830.85,43890.0,14
RC,490,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,67046.86,12
RC,490,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,50.87,5932.0,28
RC,490,Intrinsic factor ,,,21.6,21.6,3
RC,490,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,490,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,74.05,3092.0,29
RC,490,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,490,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,490,Ipilimumab injection ,,,207.57,207.57,3
RC,490,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,490,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,948.0,10691.32,33
RC,490,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,892.44,9908.0,33
RC,490,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,892.44,9908.0,33
RC,490,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,892.44,9908.0,33
RC,490,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,892.44,17510.0,33
RC,490,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,218.75,5932.0,33
RC,490,Iridotomy by stab incision (separate procedure); except transfixion ,,,892.44,5932.0,33
RC,490,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,892.44,5932.0,33
RC,490,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,161.05,5932.0,33
RC,490,Iris supported intraocular lens ,,,158.85,158.85,3
RC,490,Iron ,,,7.05,7.05,3
RC,490,Iron binding capacity ,,,9.53,9.53,3
RC,490,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,490,Irrigation of corpora cavernosa for priapism ,,,115.66,5932.0,33
RC,490,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,119.92,2636.0,27
RC,490,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,490,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,490,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,490,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,490,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,490,Islet cell antibody ,,,25.69,25.69,3
RC,490,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,6
RC,490,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,490,Itraconazole ,,,29.55,29.55,3
RC,490,"Iv hanger, each ",,,131.03,131.03,3
RC,490,Iv pole ,,,189.03,189.03,3
RC,490,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,490,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,490,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,490,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,490,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,490,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,490,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,490,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,490,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,490,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,490,Keratomileusis ,,,948.0,32812.81,31
RC,490,Keratophakia ,,,948.0,35889.85,31
RC,490,Keratoplasty (corneal transplant); anterior lamellar ,,,948.0,23113.0,33
RC,490,Keratoplasty (corneal transplant); endothelial ,,,948.0,23113.0,33
RC,490,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,948.0,23113.0,33
RC,490,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,948.0,23113.0,33
RC,490,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,948.0,23113.0,33
RC,490,Keratoprosthesis ,,,948.0,25655.0,31
RC,490,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,490,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,490,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,490,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,490,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,490,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,490,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,490,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,490,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,490,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,490,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,490,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,490,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,490,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,490,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,490,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,490,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,490,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,490,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,490,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,490,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,490,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,490,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,490,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,490,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,490,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,490,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,490,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,490,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,490,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,490,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,490,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,490,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,490,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,490,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,490,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,490,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,490,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,490,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,490,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,490,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,490,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,490,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,490,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,2152.0,16144.0,5
RC,490,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,2152.0,16144.0,5
RC,490,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,2152.0,16144.0,5
RC,490,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,2152.0,16144.0,5
RC,490,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,490,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,2152.0,16144.0,5
RC,490,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,8024.0,9417.0,5
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,8024.0,9417.0,5
RC,490,LAVH ,,,2152.0,6587.0,4
RC,490,Labyrinthectomy; transcanal ,,,948.0,23113.0,33
RC,490,Labyrinthectomy; with mastoidectomy ,,,948.0,23113.0,33
RC,490,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,130.52,18490.0,33
RC,490,Lacosamide ,,,29.55,29.55,3
RC,490,Lactate (lactic acid) ,,,12.61,12.61,3
RC,490,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,490,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,490,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,490,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,490,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,490,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,490,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,948.0,63201.42,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,948.0,40878.19,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,948.0,35244.78,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,948.0,35967.47,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,948.0,40613.87,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,948.0,48135.29,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,948.0,44833.16,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,948.0,47575.81,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,948.0,59689.29,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,948.0,58788.08,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,948.0,62261.18,21
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,948.0,42999.26,21
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,948.0,46954.23,21
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,948.0,42875.08,21
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,948.0,42323.36,21
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,948.0,46954.23,21
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,948.0,21630.0,21
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,948.0,16749.46,21
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,948.0,21630.0,21
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,948.0,21630.0,21
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,948.0,66534.81,21
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,948.0,69487.45,21
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,948.0,69091.18,21
RC,490,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,948.0,77554.0,27
RC,490,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,948.0,35866.35,21
RC,490,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,948.0,38935.64,21
RC,490,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,948.0,31437.5,21
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,948.0,21630.0,23
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,948.0,21630.0,23
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,948.0,21630.0,21
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,948.0,21630.0,23
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,948.0,21630.0,21
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,948.0,21630.0,21
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,948.0,21630.0,21
RC,490,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,948.0,36076.35,21
RC,490,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,948.0,21630.0,21
RC,490,Laminectomy with rhizotomy; 1 or 2 segments ,,,948.0,25827.59,21
RC,490,Laminectomy with rhizotomy; more than 2 segments ,,,948.0,27964.4,21
RC,490,Laminectomy with section of spinal accessory nerve ,,,948.0,31484.07,21
RC,490,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,948.0,21630.0,84
RC,490,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,948.0,6587.0,30
RC,490,"Laminectomy, with release of tethered spinal cord, lumbar ",,,948.0,34739.84,21
RC,490,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,948.0,33799.61,27
RC,490,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,948.0,38624.74,27
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,14
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,948.0,21630.0,21
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,948.0,12360.0,30
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,948.0,21630.0,23
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,948.0,21630.0,23
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1995.0,21630.0,18
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,948.0,2636.0,15
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,948.0,12875.0,20
RC,490,Lamotrigine ,,,14.44,14.44,3
RC,490,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,490,Laparoscopic APPY ,,,2152.0,6587.0,4
RC,490,Laparoscopic THC w/o Bx ,,,2152.0,6587.0,4
RC,490,Laparoscopic aspiration ,,,2152.0,6587.0,4
RC,490,Laparoscopic enterolysis ,,,2152.0,6587.0,4
RC,490,Laparoscopic esophagomyotomy (heller type) ,,,21210.0,23307.22,6
RC,490,Laparoscopic fulgur FALL ,,,2152.0,6587.0,4
RC,490,Laparoscopic fulgur les ,,,2152.0,6587.0,4
RC,490,Laparoscopic jejunostomy ,,,2152.0,6587.0,4
RC,490,Laparoscopic occl FALL ,,,2152.0,6587.0,4
RC,490,Laparoscopic orchiectomy ,,,2152.0,6587.0,4
RC,490,Laparoscopic rmvl adnexa ,,,2152.0,6587.0,4
RC,490,Laparoscopic splenectomy ,,,2152.0,6587.0,4
RC,490,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1983.29,25655.0,24
RC,490,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1983.29,25655.0,24
RC,490,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,14304.35,25655.0,12
RC,490,Laparoscopy w ADHESIO ,,,2152.0,6587.0,4
RC,490,Laparoscopy w biopsy ,,,2152.0,6587.0,4
RC,490,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1983.29,17510.0,24
RC,490,"Laparoscopy, remove myoma ",,,2152.0,6587.0,4
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,948.0,25750.0,18
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,948.0,30408.2,20
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,948.0,30408.2,20
RC,490,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,948.0,25655.0,31
RC,490,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1995.0,25655.0,24
RC,490,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,948.0,25655.0,27
RC,490,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1983.29,17510.0,24
RC,490,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,1995.0,23556.71,24
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,948.0,21630.0,20
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,948.0,23556.71,20
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,948.0,23556.71,18
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,948.0,23556.71,18
RC,490,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1995.0,42292.31,16
RC,490,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1995.0,26814.39,22
RC,490,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,1995.0,42781.72,13
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,1995.0,23556.71,15
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,1995.0,23556.71,13
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1983.29,21630.0,15
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,1995.0,23556.71,15
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1995.0,23556.71,15
RC,490,"Laparoscopy, surgical; ablation of renal cysts ",,,1995.0,17510.0,22
RC,490,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,1995.0,25750.0,22
RC,490,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1995.0,36122.92,22
RC,490,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1995.0,30295.25,22
RC,490,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1995.0,27078.5,22
RC,490,"Laparoscopy, surgical; orchiectomy ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical; partial nephrectomy ",,,1995.0,25655.0,22
RC,490,"Laparoscopy, surgical; pyeloplasty ",,,1995.0,23556.71,22
RC,490,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1995.0,30124.49,22
RC,490,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1983.29,21630.0,23
RC,490,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1983.29,21630.0,23
RC,490,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1995.0,18422.0,24
RC,490,"Laparoscopy, surgical; ureterolithotomy ",,,948.0,21630.0,27
RC,490,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,948.0,21630.0,29
RC,490,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,948.0,23556.71,29
RC,490,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1995.0,21630.0,22
RC,490,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1983.29,17510.0,23
RC,490,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1983.29,17510.0,23
RC,490,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,6376.0,17510.0,21
RC,490,"Laparoscopy, surgical; with fimbrioplasty ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1983.29,17510.0,23
RC,490,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1481.0,12499.0,15
RC,490,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1481.0,12499.0,15
RC,490,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1983.29,21630.0,24
RC,490,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1983.29,17510.0,23
RC,490,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1983.29,21630.0,24
RC,490,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25959.75,12
RC,490,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,948.0,25655.0,31
RC,490,Lapscp CHOLE w CDE ,,,2152.0,6587.0,4
RC,490,Lapscp CHOLE&cholangrphy ,,,2152.0,6587.0,4
RC,490,Lapscp EG fundoplasty ,,,2152.0,6587.0,4
RC,490,Lapscp REP init IH ,,,2152.0,6587.0,4
RC,490,Lapscp REP recur IH ,,,2152.0,6587.0,4
RC,490,Lapscp adrenalectomy ,,,2152.0,6587.0,4
RC,490,Lapscp bilat pelv LYMPH ,,,2152.0,6587.0,4
RC,490,Lapscp cholcystentstmy ,,,2152.0,6587.0,4
RC,490,Lapscp cholecystectomy ,,,2152.0,6587.0,4
RC,490,Lapscp fimbrioplasty ,,,2152.0,6587.0,4
RC,490,Lapscp intest resect ,,,2152.0,6587.0,4
RC,490,Lapscp lig sperm vein ,,,2152.0,6587.0,4
RC,490,Lapscp lymphocele drain ,,,2152.0,6587.0,4
RC,490,Lapscp pelvic LYMPH & Bx ,,,2152.0,6587.0,4
RC,490,Lapscp retroperit LN Bx ,,,2152.0,6587.0,4
RC,490,Lapscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,490,Lapscp salpingostomy ,,,2152.0,6587.0,4
RC,490,Lapscp select vagotomy ,,,2152.0,6587.0,4
RC,490,Lapscp temp gastrostomy ,,,2152.0,6587.0,4
RC,490,Lapscp truncal vagotomy ,,,2152.0,6587.0,4
RC,490,"Large size footplate, each ",,,65.96,65.96,3
RC,490,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,490,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,490,Laronidase injection ,,,45.22,45.22,3
RC,490,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,490,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,4723.0,5
RC,490,Laser Eye Procedures ,,,602.23,602.23,3
RC,490,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1773.9,8072.0,7
RC,490,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,948.0,18490.0,33
RC,490,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,6
RC,490,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,948.0,25655.0,27
RC,490,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,948.0,25655.0,27
RC,490,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1773.9,18490.0,28
RC,490,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,6
RC,490,Lead ,,,13.2,13.2,3
RC,490,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,490,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,490,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,490,Leflunomide ,,,42.04,42.04,3
RC,490,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,12818.0,22644.0,8
RC,490,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,7799.0,17510.0,10
RC,490,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,490,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,490,"Leg strap, each ",,,32.14,32.14,3
RC,490,"Leg strap, h style, each ",,,69.02,69.02,3
RC,490,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,490,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,490,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,490,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,490,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,490,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,490,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,490,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,490,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,490,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,490,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,490,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,490,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,490,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,490,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,490,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,490,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,490,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,490,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,490,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,490,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,490,Leuprolide acetate ,,,2006.97,2006.97,3
RC,490,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,490,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,490,Level 1 Abdominal/Peritone ,,,3920.42,3920.42,3
RC,490,Level 1 Airway Endoscopy ,,,218.56,218.56,3
RC,490,Level 1 Blood Product Exch ,,,483.07,483.07,3
RC,490,Level 1 Breast/Lymphatic S ,,,4287.27,4287.27,3
RC,490,Level 1 Diagnostic Tests a ,,,140.89,140.89,3
RC,490,Level 1 Drug Administratio ,,,51.27,51.27,3
RC,490,Level 1 ENT Procedures ,,,259.34,259.34,3
RC,490,Level 1 Electronic Analysi ,,,40.87,40.87,3
RC,490,Level 1 Electrophysiologic ,,,1333.16,1333.16,3
RC,490,Level 1 Endovascular Proce ,,,3549.81,3549.81,3
RC,490,Level 1 Excision/ Biopsy/ ,,,775.38,775.38,3
RC,490,"Level 1 Extraocular, Repai ",,,347.55,347.55,3
RC,490,Level 1 Gynecologic Proced ,,,221.37,221.37,3
RC,490,Level 1 Health and Behavio ,,,41.03,41.03,3
RC,490,Level 1 ICD and Similar Pr ,,,24355.98,24355.98,3
RC,490,Level 1 Imaging with Contr ,,,192.06,192.06,3
RC,490,Level 1 Imaging without Co ,,,95.29,95.29,3
RC,490,Level 1 Intraocular Proced ,,,2526.99,2526.99,3
RC,490,Level 1 Laparoscopy and Re ,,,6619.65,6619.65,3
RC,490,Level 1 Lower GI Procedure ,,,1018.27,1018.27,3
RC,490,Level 1 Minor Procedures ,,,31.67,31.67,3
RC,490,Level 1 Musculoskeletal Pr ,,,270.09,270.09,3
RC,490,Level 1 Nerve Injections ,,,336.1,336.1,3
RC,490,Level 1 Nerve Procedures ,,,2138.17,2138.17,3
RC,490,Level 1 Neurostimulator an ,,,3828.12,3828.12,3
RC,490,Level 1 Nuclear Medicine a ,,,437.74,437.74,3
RC,490,Level 1 Pacemaker and Simi ,,,4091.85,4091.85,3
RC,490,Level 1 Pathology ,,,57.06,57.06,3
RC,490,Level 1 Radiation Therapy ,,,111.72,111.72,3
RC,490,Level 1 Skin Procedures ,,,219.69,219.69,3
RC,490,Level 1 Strapping and Cast ,,,177.93,177.93,3
RC,490,Level 1 Therapeutic Radiat ,,,147.17,147.17,3
RC,490,Level 1 Upper GI Procedure ,,,993.12,993.12,3
RC,490,Level 1 Urology and Relate ,,,273.58,273.58,3
RC,490,Level 1 Vascular Procedure ,,,686.88,686.88,3
RC,490,Level 2 Abdominal/Peritone ,,,7088.62,7088.62,3
RC,490,Level 2 Airway Endoscopy ,,,428.26,428.26,3
RC,490,Level 2 Blood Product Exch ,,,1705.33,1705.33,3
RC,490,Level 2 Breast/Lymphatic S ,,,7270.76,7270.76,3
RC,490,Level 2 Diagnostic Tests a ,,,236.43,236.43,3
RC,490,Level 2 Drug Administratio ,,,78.84,78.84,3
RC,490,Level 2 ENT Procedures ,,,590.55,590.55,3
RC,490,Level 2 Electronic Analysi ,,,104.1,104.1,3
RC,490,Level 2 Electrophysiologic ,,,8540.37,8540.37,3
RC,490,Level 2 Endovascular Proce ,,,6232.08,6232.08,3
RC,490,Level 2 Excision/ Biopsy/ ,,,1808.44,1808.44,3
RC,490,"Level 2 Extraocular, Repai ",,,1091.55,1091.55,3
RC,490,Level 2 Gynecologic Proced ,,,333.67,333.67,3
RC,490,Level 2 Health and Behavio ,,,111.24,111.24,3
RC,490,Level 2 ICD and Similar Pr ,,,34369.77,34369.77,3
RC,490,Level 2 Imaging with Contr ,,,382.0,382.0,3
RC,490,Level 2 Imaging without Co ,,,114.47,114.47,3
RC,490,Level 2 Intraocular Proced ,,,4525.96,4525.96,3
RC,490,Level 2 Laparoscopy and Re ,,,11639.31,11639.31,3
RC,490,Level 2 Lower GI Procedure ,,,1310.28,1310.28,3
RC,490,Level 2 Minor Procedures ,,,40.9,40.9,3
RC,490,Level 2 Musculoskeletal Pr ,,,1760.7,1760.7,3
RC,490,Level 2 Nerve Injections ,,,772.92,772.92,3
RC,490,Level 2 Nerve Procedures ,,,3740.57,3740.57,3
RC,490,Level 2 Neurostimulator an ,,,6978.22,6978.22,3
RC,490,Level 2 Nuclear Medicine a ,,,594.53,594.53,3
RC,490,Level 2 Pacemaker and Simi ,,,9061.28,9061.28,3
RC,490,Level 2 Pathology ,,,186.55,186.55,3
RC,490,Level 2 Radiation Therapy ,,,422.32,422.32,3
RC,490,Level 2 Skin Procedures ,,,445.12,445.12,3
RC,490,Level 2 Strapping and Cast ,,,306.25,306.25,3
RC,490,Level 2 Therapeutic Radiat ,,,409.99,409.99,3
RC,490,Level 2 Upper GI Procedure ,,,2101.14,2101.14,3
RC,490,Level 2 Urology and Relate ,,,763.52,763.52,3
RC,490,Level 2 Vascular Procedure ,,,1723.65,1723.65,3
RC,490,Level 3 Airway Endoscopy ,,,1948.93,1948.93,3
RC,490,Level 3 Blood Product Exch ,,,4769.13,4769.13,3
RC,490,Level 3 Breast/Lymphatic S ,,,8949.59,8949.59,3
RC,490,Level 3 Diagnostic Tests a ,,,408.6,408.6,3
RC,490,Level 3 Drug Administratio ,,,232.9,232.9,3
RC,490,Level 3 ENT Procedures ,,,1698.93,1698.93,3
RC,490,Level 3 Electronic Analysi ,,,336.31,336.31,3
RC,490,Level 3 Electrophysiologic ,,,28620.09,28620.09,3
RC,490,Level 3 Endovascular Proce ,,,12640.5,12640.5,3
RC,490,Level 3 Excision/ Biopsy/ ,,,3180.57,3180.57,3
RC,490,"Level 3 Extraocular, Repai ",,,2603.27,2603.27,3
RC,490,Level 3 Gynecologic Proced ,,,1008.52,1008.52,3
RC,490,Level 3 Health and Behavio ,,,194.35,194.35,3
RC,490,Level 3 Imaging with Contr ,,,858.37,858.37,3
RC,490,Level 3 Imaging without Co ,,,261.26,261.26,3
RC,490,Level 3 Intraocular Proced ,,,5826.65,5826.65,3
RC,490,Level 3 Lower GI Procedure ,,,3039.26,3039.26,3
RC,490,Level 3 Minor Procedures ,,,64.59,64.59,3
RC,490,Level 3 Musculoskeletal Pr ,,,3582.73,3582.73,3
RC,490,Level 3 Nerve Injections ,,,968.47,968.47,3
RC,490,Level 3 Nerve Procedures ,,,9609.27,9609.27,3
RC,490,Level 3 Neurostimulator an ,,,12200.88,12200.88,3
RC,490,Level 3 Nuclear Medicine a ,,,1417.6,1417.6,3
RC,490,Level 3 Pacemaker and Simi ,,,11444.59,11444.59,3
RC,490,Level 3 Pathology ,,,392.49,392.49,3
RC,490,Level 3 Radiation Therapy ,,,605.02,605.02,3
RC,490,Level 3 Skin Procedures ,,,809.26,809.26,3
RC,490,Level 3 Therapeutic Radiat ,,,1515.58,1515.58,3
RC,490,Level 3 Upper GI Procedure ,,,4221.62,4221.62,3
RC,490,Level 3 Urology and Relate ,,,2288.9,2288.9,3
RC,490,Level 3 Vascular Procedure ,,,3457.34,3457.34,3
RC,490,Level 4 Airway Endoscopy ,,,4082.42,4082.42,3
RC,490,Level 4 Blood Product Exch ,,,68874.65,68874.65,3
RC,490,Level 4 Breast/Lymphatic S ,,,15089.69,15089.69,3
RC,490,Level 4 Diagnostic Tests a ,,,940.29,940.29,3
RC,490,Level 4 Drug Administratio ,,,361.67,361.67,3
RC,490,Level 4 ENT Procedures ,,,3630.32,3630.32,3
RC,490,Level 4 Endovascular Proce ,,,20072.54,20072.54,3
RC,490,"Level 4 Extraocular, Repai ",,,4304.75,4304.75,3
RC,490,Level 4 Gynecologic Proced ,,,3544.55,3544.55,3
RC,490,Level 4 Imaging without Co ,,,598.31,598.31,3
RC,490,Level 4 Intraocular Proced ,,,15883.71,15883.71,3
RC,490,Level 4 Minor Procedures ,,,145.68,145.68,3
RC,490,Level 4 Musculoskeletal Pr ,,,7945.32,7945.32,3
RC,490,Level 4 Neurostimulator an ,,,21242.49,21242.49,3
RC,490,Level 4 Nuclear Medicine a ,,,1565.75,1565.75,3
RC,490,Level 4 Pacemaker and Simi ,,,21090.91,21090.91,3
RC,490,Level 4 Pathology ,,,882.19,882.19,3
RC,490,Level 4 Radiation Therapy ,,,762.62,762.62,3
RC,490,Level 4 Skin Procedures ,,,2259.22,2259.22,3
RC,490,Level 4 Urology and Relate ,,,3859.74,3859.74,3
RC,490,Level 4 Vascular Procedure ,,,6092.93,6092.93,3
RC,490,Level 5 Airway Endoscopy ,,,7727.68,7727.68,3
RC,490,Level 5 ENT Procedures ,,,6482.02,6482.02,3
RC,490,Level 5 Gynecologic Proced ,,,5477.52,5477.52,3
RC,490,Level 5 Intraocular Proced ,,,15278.03,15278.03,3
RC,490,Level 5 Minor Procedures ,,,489.15,489.15,3
RC,490,Level 5 Musculoskeletal Pr ,,,14057.94,14057.94,3
RC,490,Level 5 Neurostimulator an ,,,33788.16,33788.16,3
RC,490,Level 5 Radiation Therapy ,,,1368.43,1368.43,3
RC,490,Level 5 Skin Procedures ,,,3880.26,3880.26,3
RC,490,Level 5 Urology and Relate ,,,5870.99,5870.99,3
RC,490,Level 6 Gynecologic Proced ,,,8119.66,8119.66,3
RC,490,Level 6 Intraocular Proced ,,,18024.07,18024.07,3
RC,490,Level 6 Musculoskeletal Pr ,,,19198.95,19198.95,3
RC,490,Level 6 Radiation Therapy ,,,1957.86,1957.86,3
RC,490,Level 6 Urology and Relate ,,,10365.46,10365.46,3
RC,490,Level 7 Musculoskeletal Pr ,,,29710.86,29710.86,3
RC,490,Level 7 Radiation Therapy ,,,8064.75,8064.75,3
RC,490,Level 7 Urology and Relate ,,,14446.4,14446.4,3
RC,490,Level 8 Urology and Relate ,,,22694.42,22694.42,3
RC,490,Levetiracetam ,,,14.44,14.44,3
RC,490,Lidocaine ,,,16.01,16.01,3
RC,490,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,490,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,490,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,490,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,490,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,490,Ligation of peritoneal-venous shunt ,,,948.0,25655.0,27
RC,490,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,948.0,25655.0,31
RC,490,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,948.0,25655.0,31
RC,490,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,948.0,9868.0,33
RC,490,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,490,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,490,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,490,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,490,Lightweight wheelchair ,,,48.42,48.42,3
RC,490,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,490,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,490,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,490,Lipase ,,,7.51,7.51,3
RC,490,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,490,Lipoprotein (a) ,,,15.61,15.61,3
RC,490,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,490,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,490,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,490,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,490,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,490,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,490,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,490,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,490,Lithium ,,,7.2,7.2,3
RC,490,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,490,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,490,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,490,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,490,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,948.0,8858.0,33
RC,490,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,948.0,8858.0,33
RC,490,"Lithotripsy, extracorporeal shock wave ",,,1200.05,21630.0,14
RC,490,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,490,Lobar lung transplantation ,,,21210.0,23307.22,6
RC,490,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,6
RC,490,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,490,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,490,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,490,"Lso, corset front ",,,166.52,166.52,3
RC,490,"Lso, full corset ",,,235.72,235.72,3
RC,490,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,490,"Lubricant, per ounce ",,,2.47,2.47,3
RC,490,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,490,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,490,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,490,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,490,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,490,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,490,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,490,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,490,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,490,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,490,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,490,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,490,Lumbar/caudal inject NEC ,,,2152.0,6587.0,4
RC,490,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,490,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,490,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,490,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,490,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,490,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,490,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,490,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,490,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,948.0,25655.0,31
RC,490,Lysis of labial adhesions ,,,948.0,8858.0,33
RC,490,Lysis or excision of penile post-circumcision adhesions ,,,685.44,8858.0,33
RC,490,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,490,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,490,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,490,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,490,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,490,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,490,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,490,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,490,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,490,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,490,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,490,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,490,MRI and MRA without Contra ,,,576.44,576.44,3
RC,490,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,490,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,490,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,490,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,490,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,490,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,490,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,490,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,490,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,490,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,490,Magnesium ,,,7.3,7.3,3
RC,490,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,948.0,25750.0,15
RC,490,Malate dehydrogenase ,,,8.03,8.03,3
RC,490,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,490,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,490,Manganese ,,,29.05,29.05,3
RC,490,Manipulation Therapy ,,,23.64,23.64,3
RC,490,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,250.06,5932.0,33
RC,490,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,60.68,2636.0,29
RC,490,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,490,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,490,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,490,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,490,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,490,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,490,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,490,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,490,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,490,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,490,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,490,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,490,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,490,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,490,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,490,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,490,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,490,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,490,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,490,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,490,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,490,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,490,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,490,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,490,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,490,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,490,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,490,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,490,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,490,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,490,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,490,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,490,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,490,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,490,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,490,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,490,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,490,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,490,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,490,Marsupialization of Bartholin's gland cyst ,,,948.0,8858.0,33
RC,490,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,4
RC,490,"Marsupialization of urethral diverticulum, male or female ",,,948.0,12360.0,33
RC,490,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,490,Mastoid obliteration (separate procedure) ,,,1995.0,17510.0,28
RC,490,Mastoidectomy; complete ,,,948.0,23113.0,33
RC,490,Mastoidectomy; modified radical ,,,948.0,23113.0,33
RC,490,Mastoidectomy; radical ,,,948.0,23113.0,33
RC,490,"Mattress, foam rubber ",,,182.92,182.92,3
RC,490,"Mattress, innerspring ",,,162.65,162.65,3
RC,490,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,3
RC,490,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,3
RC,490,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,119.92,6587.0,27
RC,490,"Meat fibers, feces ",,,5.29,5.29,3
RC,490,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,685.44,8858.0,33
RC,490,"Meatotomy, cutting of meatus (separate procedure); infant ",,,948.0,25655.0,31
RC,490,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,490,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,351.7,5932.0,33
RC,490,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,490,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,490,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,490,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,490,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,490,Mental Health Services Com ,,,448.48,448.48,3
RC,490,"Mercury, quantitative ",,,17.72,17.72,3
RC,490,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,490,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,490,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,6
RC,490,Metanephrines ,,,18.46,18.46,3
RC,490,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,490,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,490,Metatarsal joint implant ,,,467.12,467.12,3
RC,490,Methemalbumin ,,,11.71,11.71,3
RC,490,Methotrexate ,,,42.04,42.04,3
RC,490,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,490,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,490,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,490,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,490,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,490,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,490,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,490,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,490,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,6
RC,490,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,490,Middle ear exploration through postauricular or ear canal incision ,,,930.95,9908.0,33
RC,490,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,490,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,6
RC,490,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,6
RC,490,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,6
RC,490,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,6
RC,490,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,6
RC,490,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,490,Mitomycin instillation ,,,359.63,359.63,3
RC,490,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,490,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,490,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,490,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,490,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,733.22,9868.0,29
RC,490,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,490,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,490,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,490,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,490,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,490,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,490,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,490,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,490,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,490,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,490,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,490,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,490,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,490,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,490,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,490,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,490,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,490,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,490,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,490,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,490,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,490,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,490,Mouth piece ,,,4.82,4.82,3
RC,490,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,490,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,490,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,490,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,490,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,490,Multifetal pregnancy reduction(s) (MPR) ,,,590.17,3092.0,27
RC,490,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,242.73,25655.0,33
RC,490,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,490,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,490,Muramidase ,,,20.44,20.44,3
RC,490,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,490,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,490,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,490,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,490,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,948.0,9012.0,31
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,948.0,9012.0,31
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,948.0,9012.0,31
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,948.0,9012.0,31
RC,490,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,490,Myoglobin ,,,14.08,14.08,3
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,948.0,25655.0,31
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,948.0,18490.0,33
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,948.0,25655.0,27
RC,490,Myringoplasty (surgery confined to drumhead and donor area) ,,,930.95,8858.0,33
RC,490,Myringotomy including aspiration and/or eustachian tube inflation ,,,91.96,9908.0,33
RC,490,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,930.95,9908.0,33
RC,490,"Myringotomy, laser-assisted ",,,7839.0,23307.22,10
RC,490,N BLOCK INJ SPINAL ACCESSOR ,,,2152.0,6587.0,4
RC,490,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,2152.0,16144.0,5
RC,490,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,490,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,490,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,490,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,490,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,490,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,490,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,490,"Naltrexone, depot form ",,,4.93,4.93,3
RC,490,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,490,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,490,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,23307.22,12
RC,490,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,490,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,490,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,490,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,490,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,490,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,1
RC,490,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,490,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,948.0,17510.0,33
RC,490,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,948.0,17510.0,33
RC,490,Natalizumab injection ,,,26.6,26.6,3
RC,490,Natriuretic peptide ,,,42.79,42.79,3
RC,490,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,490,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,490,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,490,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,490,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,490,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,490,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,115.66,6587.0,33
RC,490,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,490,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,490,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,490,Nelarabine injection ,,,71.29,71.29,3
RC,490,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,490,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,948.0,29300.69,27
RC,490,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,948.0,32952.74,27
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,948.0,25655.0,27
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,948.0,27086.26,27
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,948.0,28834.56,27
RC,490,"Nephrectomy, partial ",,,948.0,29798.08,27
RC,490,Nephrolithotomy; complicated by congenital kidney abnormality ,,,948.0,26658.94,27
RC,490,Nephrolithotomy; removal of calculus ,,,948.0,25655.0,27
RC,490,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,948.0,32735.19,27
RC,490,Nephrolithotomy; secondary surgical operation for calculus ,,,948.0,27179.61,27
RC,490,"Nephrorrhaphy, suture of kidney wound or injury ",,,948.0,28997.77,27
RC,490,"Nephrostomy, nephrotomy with drainage ",,,948.0,25655.0,31
RC,490,"Nephrotomy, with exploration ",,,948.0,25655.0,27
RC,490,Nerve dissection ,,,10868.0,12875.0,3
RC,490,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,948.0,17510.0,33
RC,490,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,490,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,948.0,6680.0,19
RC,490,Nerve pedicle transfer; first stage ,,,948.0,17510.0,33
RC,490,Nerve pedicle transfer; second stage ,,,948.0,17510.0,33
RC,490,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,948.0,17510.0,31
RC,490,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,490,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,948.0,25655.0,33
RC,490,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,948.0,17510.0,33
RC,490,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,490,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,948.0,34297.0,27
RC,490,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,948.0,47451.62,27
RC,490,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,948.0,34662.01,27
RC,490,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,948.0,43007.03,27
RC,490,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,490,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,490,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,490,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,490,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,490,Neuroplasty and/or transposition; cranial nerve (specify) ,,,692.94,9908.0,33
RC,490,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,692.94,8858.0,28
RC,490,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,692.94,8858.0,33
RC,490,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,692.94,8858.0,33
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,692.94,8858.0,33
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,692.94,8858.0,33
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,692.94,8858.0,33
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,692.94,8858.0,33
RC,490,"Neuroplasty; digital, 1 or both, same digit ",,,692.94,8858.0,33
RC,490,Neuroplasty; nerve of hand or foot ,,,692.94,8858.0,33
RC,490,"Neutralization test, viral ",,,18.43,18.43,3
RC,490,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,490,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,490,Nickel ,,,26.72,26.72,3
RC,490,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,490,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,490,Nivestym ,,,0.35,0.35,3
RC,490,Nocturnal penile tumescence and/or rigidity test ,,,75.09,5932.0,31
RC,490,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,490,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,490,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,490,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,490,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,490,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,490,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,490,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,490,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,490,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,490,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,26773.0,42427.0,3
RC,490,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,490,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,490,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,490,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,490,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,490,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,490,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,490,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,490,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,490,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,490,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,490,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,490,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,490,Nucleotidase 5'- ,,,12.15,12.15,3
RC,490,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,490,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,948.0,75353.71,27
RC,490,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,490,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,490,"Occluder lens, per lens ",,,28.56,28.56,3
RC,490,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,948.0,25655.0,33
RC,490,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,490,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,490,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,490,Octagam injection ,,,51.29,51.29,3
RC,490,Ocular implant ,,,885.23,885.23,3
RC,490,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,948.0,18490.0,33
RC,490,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,948.0,18490.0,31
RC,490,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,948.0,18490.0,31
RC,490,Ofatumumab injection ,,,67.84,67.84,3
RC,490,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,490,Omalizumab injection ,,,50.78,50.78,3
RC,490,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,948.0,31826.01,27
RC,490,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,490,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,948.0,25655.0,31
RC,490,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,490,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,490,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,490,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,490,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,490,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,490,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,490,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,490,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,490,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,490,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,490,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,490,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,490,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,490,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,490,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,490,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,490,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,490,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,490,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,490,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,490,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,490,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,490,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,490,One way chest drain valve ,,,63.18,63.18,3
RC,490,"Oophorectomy, partial or total, unilateral or bilateral; ",,,948.0,25655.0,31
RC,490,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,948.0,26565.8,27
RC,490,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,25655.0,20
RC,490,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,948.0,81532.47,32
RC,490,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,7
RC,490,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,948.0,84177.74,32
RC,490,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,7
RC,490,Open implantation of neurostimulator electrode array; neuromuscular ,,,948.0,77554.0,33
RC,490,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,948.0,77554.0,33
RC,490,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,948.0,25750.0,33
RC,490,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,24
RC,490,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,25655.0,24
RC,490,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,24
RC,490,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,8858.0,15
RC,490,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,8858.0,15
RC,490,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,948.0,19415.0,33
RC,490,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,490,Oral busulfan ,,,11.03,11.03,3
RC,490,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,490,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,490,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,490,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,490,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,490,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,490,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,490,Orbital implant (implant outside muscle cone); insertion ,,,948.0,19415.0,33
RC,490,Orbital implant (implant outside muscle cone); removal or revision ,,,948.0,12360.0,33
RC,490,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,490,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,948.0,73970.64,27
RC,490,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,948.0,65050.62,27
RC,490,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,948.0,71919.42,27
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,948.0,18490.0,33
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,948.0,18490.0,33
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,948.0,18490.0,33
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,948.0,18490.0,33
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,948.0,18490.0,33
RC,490,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,948.0,12360.0,33
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,733.22,19415.0,33
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,948.0,25655.0,33
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,733.22,18490.0,33
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,733.22,18490.0,33
RC,490,"Orchiectomy, partial ",,,948.0,9908.0,33
RC,490,"Orchiectomy, radical, for tumor; inguinal approach ",,,948.0,19415.0,33
RC,490,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,948.0,25655.0,27
RC,490,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,948.0,12360.0,33
RC,490,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,948.0,25655.0,31
RC,490,"Orchiopexy, inguinal or scrotal approach ",,,948.0,19415.0,33
RC,490,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,490,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,490,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,490,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,490,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,490,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,490,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,490,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,490,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,490,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,490,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,490,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,490,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,490,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,490,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,490,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,490,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,490,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,490,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,490,Orthovisc inj per dose ,,,109.36,109.36,3
RC,490,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,490,Osmolality; blood ,,,7.2,7.2,3
RC,490,Osmolality; urine ,,,7.43,7.43,3
RC,490,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,490,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,490,Ossicula implant ,,,401.67,401.67,3
RC,490,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,490,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,490,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,490,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,490,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,490,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,948.0,16144.0,21
RC,490,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,6
RC,490,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,490,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,490,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,490,"Ostomy belt, each ",,,10.57,10.57,3
RC,490,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,490,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,490,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,490,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,490,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,490,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,490,Ostomy irrigation set ,,,75.92,75.92,3
RC,490,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,490,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,490,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,490,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,490,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,490,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,490,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,490,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,490,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,490,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,490,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,490,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,490,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,490,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,490,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,490,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,490,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,490,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,490,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,490,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,490,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,490,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,490,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,490,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,490,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,490,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,490,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,490,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,490,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,490,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,490,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,490,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,490,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,490,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,490,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,490,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,490,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,490,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,490,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,490,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,490,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,490,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,490,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,490,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,490,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,490,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,490,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,490,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,490,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,490,"Ostomy ring, each ",,,2.61,2.61,3
RC,490,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,490,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,490,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,490,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,490,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,490,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,490,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,490,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,490,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,490,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,490,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,490,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,490,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,490,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,490,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,490,"Other cranial decompression, posterior fossa ",,,948.0,46355.94,27
RC,490,Other manual wheelchair/base ,,,111.03,111.03,3
RC,490,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,490,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,490,Other spinal injection ,,,2152.0,6587.0,4
RC,490,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,11
RC,490,"Otoplasty, protruding ear, with or without size reduction ",,,930.95,9908.0,33
RC,490,Outflare wedge ,,,66.8,66.8,3
RC,490,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,490,"Ovarian cystectomy, unilateral or bilateral ",,,948.0,25655.0,31
RC,490,"Oversize lens, per lens ",,,16.72,16.72,3
RC,490,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,490,Oxalate ,,,15.75,15.75,3
RC,490,Oxcarbazepine ,,,14.44,14.44,3
RC,490,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,490,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,490,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,490,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,490,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,490,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,490,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,490,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,490,"PERCUT/NEEDLE INSERT, PROS ",,,2152.0,6587.0,4
RC,490,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,490,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,490,PMA Skin Substitute Produc ,,,136.26,136.26,3
RC,490,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,490,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,490,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,490,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,490,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,490,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,490,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,490,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,490,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"PROSTATECTOMY, FIRST STAGE ",,,2152.0,6587.0,4
RC,490,"PROSTATECTOMY, SECOND STAGE ",,,2152.0,6587.0,4
RC,490,PROSTATIC WATER THERMOTHER ,,,2152.0,6587.0,4
RC,490,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,490,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,490,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,490,PUNCTURE PERITONEAL CAVITY ,,,2152.0,6587.0,4
RC,490,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,490,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,490,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,490,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,490,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,490,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,490,Panitumumab injection ,,,198.59,198.59,3
RC,490,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,892.44,5932.0,33
RC,490,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,892.44,8858.0,33
RC,490,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,892.44,9908.0,33
RC,490,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,490,"Paraffin, per pound ",,,5.3,5.3,3
RC,490,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,490,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,948.0,9908.0,19
RC,490,Parathyroidectomy or exploration of parathyroid(s); ,,,948.0,25655.0,33
RC,490,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,948.0,23113.0,31
RC,490,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,948.0,31204.43,27
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,948.0,23556.71,31
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,948.0,25655.0,31
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,948.0,19415.0,31
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,276.0,5932.0,33
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,948.0,5932.0,19
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,276.0,5932.0,33
RC,490,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,490,Partial Hospitalization (3 ,,,136.91,342.3,6
RC,490,Partial Hospitalization (4 ,,,179.39,448.48,6
RC,490,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,3
RC,490,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,490,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,490,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,490,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,490,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,490,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,490,Partial hymenectomy or revision of hymenal ring ,,,948.0,8858.0,33
RC,490,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,948.0,25655.0,33
RC,490,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,948.0,25655.0,33
RC,490,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,490,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,490,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,490,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,490,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,490,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,490,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,490,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,490,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,490,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,490,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,490,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,490,Pegaspargase injection ,,,32333.72,32333.72,3
RC,490,Pegunigalsidase alfa-iwxj ,,,245.97,245.97,3
RC,490,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,490,Pelvic examination under anesthesia (other than local) ,,,948.0,8858.0,33
RC,490,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1995.0,65905.47,22
RC,490,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,948.0,51561.82,27
RC,490,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,490,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,490,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,490,Penile plethysmography ,,,231.89,5932.0,31
RC,490,Pentostatin injection ,,,2940.81,2940.81,3
RC,490,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,490,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,948.0,76895.0,31
RC,490,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,270.48,5932.0,33
RC,490,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,357.81,5932.0,33
RC,490,Percutaneous balloon valvuloplasty; aortic valve ,,,15852.51,43890.0,14
RC,490,Percutaneous balloon valvuloplasty; mitral valve ,,,16482.0,48155.21,14
RC,490,Percutaneous balloon valvuloplasty; pulmonary valve ,,,16482.0,48155.21,14
RC,490,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,20
RC,490,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,20
RC,490,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,490,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,948.0,5932.0,17
RC,490,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,10868.0,25655.0,16
RC,490,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,948.0,77554.0,33
RC,490,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,948.0,77554.0,33
RC,490,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,948.0,77554.0,33
RC,490,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,948.0,77554.0,33
RC,490,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,25655.0,12
RC,490,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,357.81,5932.0,66
RC,490,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,948.0,25655.0,60
RC,490,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,7
RC,490,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,25
RC,490,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,11388.0,44631.92,18
RC,490,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,11388.0,44631.92,18
RC,490,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,4
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,77468.25,10
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,77468.25,10
RC,490,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,77468.25,19
RC,490,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,490,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,27837.0,94000.0,8
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,25794.0,48155.21,14
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,17031.0,91021.43,14
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,9417.0,2
RC,490,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,2152.0,43890.0,18
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,15852.51,43890.0,14
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,31792.18,9
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,9
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,12875.0,10
RC,490,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,9417.0,2
RC,490,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,21909.0,48155.21,14
RC,490,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,10763.0,1
RC,490,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,490,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,27837.0,94000.0,8
RC,490,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,25794.0,77468.25,14
RC,490,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,9417.0,2
RC,490,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,8
RC,490,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,13
RC,490,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,18279.0,43890.0,8
RC,490,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,18279.0,48155.21,14
RC,490,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,46000.0,14
RC,490,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,21210.0,94000.0,14
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,27837.0,94000.0,22
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,9417.0,2
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,25794.0,57319.96,21
RC,490,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,27837.0,94000.0,22
RC,490,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,48155.21,16
RC,490,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,25655.0,20
RC,490,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,25655.0,20
RC,490,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,25655.0,20
RC,490,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,25655.0,20
RC,490,"Pereyra procedure, including anterior colporrhaphy ",,,948.0,18770.08,33
RC,490,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,490,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,4
RC,490,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,4
RC,490,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,948.0,18490.0,33
RC,490,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,490,"Peritoneal lavage, including imaging guidance, when performed ",,,351.7,6680.0,33
RC,490,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,948.0,32843.89,31
RC,490,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,843.46,6587.0,31
RC,490,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,948.0,25655.0,31
RC,490,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,948.0,25655.0,31
RC,490,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,490,Pertnscp cholangram w bx ,,,2152.0,6587.0,4
RC,490,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,490,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,490,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,490,Petrous apicectomy including radical mastoidectomy ,,,948.0,23113.0,33
RC,490,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1481.0,2636.0,5
RC,490,Phenobarbital ,,,16.68,16.68,3
RC,490,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,490,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,490,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,490,Phenytoin; free ,,,15.0,15.0,3
RC,490,Phenytoin; total ,,,14.44,14.44,3
RC,490,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,6
RC,490,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,490,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,490,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,490,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,490,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,490,Phosphatidylglycerol ,,,18.01,18.01,3
RC,490,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,490,Phosphohexose isomerase ,,,11.7,11.7,3
RC,490,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,490,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,490,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,490,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,490,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1481.0,2636.0,5
RC,490,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1481.0,2636.0,5
RC,490,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1481.0,2636.0,5
RC,490,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,1481.0,2174.0,4
RC,490,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,6
RC,490,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,6
RC,490,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,490,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,490,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,490,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,490,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,490,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,5
RC,490,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,490,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,490,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,490,Pinworm examinations ,,,4.65,4.65,3
RC,490,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,5
RC,490,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,948.0,19415.0,19
RC,490,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,948.0,12360.0,31
RC,490,Placement of amniotic membrane on the ocular surface; without sutures ,,,948.0,5932.0,31
RC,490,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,3293.0,15
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,948.0,25655.0,27
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,311.04,5932.0,33
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,74.41,5932.0,33
RC,490,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,6
RC,490,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,948.0,12499.0,31
RC,490,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,685.44,18747.0,33
RC,490,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,948.0,18747.0,33
RC,490,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,5
RC,490,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,948.0,12499.0,99
RC,490,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,490,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,490,Plasma cryo redu path each ,,,145.8,145.8,3
RC,490,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,490,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,490,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,490,Plastic operation of penis for injury ,,,948.0,19415.0,32
RC,490,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,948.0,17510.0,33
RC,490,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,948.0,17510.0,33
RC,490,Plastic operation on penis for epispadias distal to external sphincter; ,,,685.44,12360.0,33
RC,490,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,948.0,27917.61,27
RC,490,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,685.44,12360.0,33
RC,490,Plastic operation on penis to correct angulation ,,,948.0,17510.0,33
RC,490,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,948.0,17510.0,33
RC,490,Plastic repair of canaliculi ,,,733.22,8858.0,33
RC,490,Plastic repair of introitus ,,,948.0,9908.0,33
RC,490,Plastic repair of urethrocele ,,,948.0,9908.0,33
RC,490,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,490,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,490,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,490,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,490,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,490,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,490,Platelets pheresis path re ,,,662.1,662.1,3
RC,490,"Platelets, each unit ",,,57.96,57.96,3
RC,490,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,490,"Platelets, irradiated ",,,428.34,428.34,3
RC,490,"Platelets, pheresis ",,,336.77,336.77,3
RC,490,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,490,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,490,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,490,Plerixafor injection ,,,31.05,31.05,3
RC,490,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,490,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,490,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,490,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,490,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,490,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,490,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,490,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,490,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,490,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,490,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,490,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,490,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,490,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,490,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,490,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,490,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,490,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,490,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,490,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,490,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,490,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,490,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,490,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,490,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,490,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,490,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,490,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,490,Posaconazole ,,,29.55,29.55,3
RC,490,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,490,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,490,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,490,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,490,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,490,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,490,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,490,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,490,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,490,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,490,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,948.0,18490.0,33
RC,490,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,640.52,5932.0,31
RC,490,Postpartum care only (separate procedure) ,,,948.0,6587.0,21
RC,490,Postural drainage board ,,,31.28,31.28,3
RC,490,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,490,Potassium; urine ,,,5.16,5.16,3
RC,490,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,490,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,490,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,490,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,490,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,490,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,490,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,490,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,490,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,490,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,490,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,490,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,490,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,490,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,490,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,490,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,490,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,490,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,490,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,490,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,490,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,490,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,490,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,490,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,490,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,490,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,490,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,490,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,490,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,490,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,490,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,490,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,490,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,490,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,490,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,490,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,490,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,490,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,490,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,490,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,490,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,490,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,490,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,490,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,490,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,490,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,490,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,490,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,490,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,490,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,490,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,490,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,490,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,490,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,490,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,490,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,490,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,490,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,490,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,490,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,490,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,490,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,490,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,490,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,490,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,490,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,490,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,490,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,490,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,490,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,490,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,490,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,490,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,490,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,490,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,490,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,490,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,490,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,490,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,490,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,490,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,490,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,490,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,490,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,490,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,490,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,490,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,490,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,490,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,490,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,490,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,490,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,490,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,490,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,490,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,490,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,490,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,490,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,490,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,490,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,490,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,490,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,490,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,490,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,490,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,490,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,490,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,490,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,490,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,490,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,490,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,490,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,490,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,490,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,490,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,490,Pralatrexate injection ,,,420.87,420.87,3
RC,490,Prealbumin ,,,15.9,15.9,3
RC,490,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,490,Pregnanediol ,,,23.18,23.18,3
RC,490,Pregnanetriol ,,,22.94,22.94,3
RC,490,Pregnenolone ,,,22.53,22.53,3
RC,490,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,490,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,10
RC,490,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,490,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,490,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,490,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,490,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,490,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,490,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,490,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,490,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,490,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,490,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,490,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,490,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,490,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,490,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,490,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,490,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,490,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,490,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,948.0,25655.0,27
RC,490,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,490,Primidone ,,,18.08,18.08,3
RC,490,"Prism, per lens ",,,17.53,17.53,3
RC,490,"Probing of lacrimal canaliculi, with or without irrigation ",,,72.68,5932.0,33
RC,490,"Probing of nasolacrimal duct, with or without irrigation; ",,,113.7,5932.0,33
RC,490,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,733.22,8858.0,33
RC,490,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,733.22,8858.0,33
RC,490,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,733.22,9868.0,33
RC,490,Procainamide hcl injection ,,,321.94,321.94,3
RC,490,Procainamide; ,,,65.4,65.4,3
RC,490,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,490,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,490,Progesterone ,,,22.74,22.74,3
RC,490,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,490,Proinsulin ,,,29.09,29.09,3
RC,490,Prolactin ,,,21.12,21.12,3
RC,490,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,113.7,6680.0,28
RC,490,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,125.86,5932.0,28
RC,490,"Prostaglandin, each ",,,45.53,45.53,3
RC,490,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,490,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,490,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,490,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,490,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,948.0,25655.0,27
RC,490,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,948.0,25655.0,27
RC,490,"Prostatectomy, perineal radical; ",,,948.0,29541.73,27
RC,490,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,948.0,39526.16,27
RC,490,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,36192.77,27
RC,490,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,948.0,25655.0,27
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,948.0,26348.26,27
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,948.0,30676.0,31
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,948.0,26371.55,27
RC,490,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,948.0,8858.0,33
RC,490,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,948.0,8858.0,33
RC,490,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,490,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,490,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,490,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,490,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,490,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,490,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,490,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,490,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,490,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,490,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,490,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,490,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,490,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,490,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,490,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,490,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,490,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,490,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,490,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,490,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,490,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,490,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,490,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,490,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,490,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,490,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,490,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,490,Prothrombin time; ,,,4.68,4.68,3
RC,490,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,490,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,490,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,490,Pulmonary Treatment ,,,239.77,239.77,3
RC,490,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,490,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,490,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,490,Pump for water circulating pad ,,,68.74,68.74,3
RC,490,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,56.97,3293.0,29
RC,490,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,276.0,5932.0,33
RC,490,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,948.0,31367.64,27
RC,490,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,948.0,26076.17,27
RC,490,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,2152.0,16144.0,5
RC,490,"Pyelotomy; with drainage, pyelostomy ",,,948.0,25655.0,27
RC,490,Pyelotomy; with exploration ,,,948.0,25655.0,27
RC,490,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,948.0,25655.0,27
RC,490,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,490,Pyruvate ,,,15.78,15.78,3
RC,490,Pyruvate kinase ,,,10.29,10.29,3
RC,490,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,490,Quinidine ,,,15.91,15.91,3
RC,490,Quinine ,,,12.68,12.68,3
RC,490,RBC deglycerolized ,,,341.17,341.17,3
RC,490,RBC irradiated ,,,158.29,158.29,3
RC,490,RBC leukocytes reduced ,,,201.55,201.55,3
RC,490,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,490,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,490,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,490,RECONSTRUCTION OF URETHRA ,,,2152.0,6587.0,4
RC,490,REDUCTION OF SKULL DEFECT ,,,2152.0,6587.0,4
RC,490,REMOVAL OF ABDOMINAL FLUID ,,,2152.0,6587.0,4
RC,490,REMOVAL OF ABDOMINAL LESION ,,,2152.0,6587.0,4
RC,490,REMOVAL OF BRAIN TISSUE ,,,2152.0,6587.0,4
RC,490,REMOVAL OF TESTIS LESION ,,,2152.0,6587.0,4
RC,490,"REMOVE ABDOM LESION, COMPLEX ",,,2152.0,6587.0,4
RC,490,REMOVE ABDOMEN FOREIGN BODY ,,,2152.0,6587.0,4
RC,490,REMOVE MULTI-COMP PROSTHESIS ,,,2152.0,6587.0,4
RC,490,REMOVE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,490,REMOVE RESIDUAL PROSTATE ,,,2152.0,6587.0,4
RC,490,RENAL ABSCESS PERCUT DRAIN ,,,2152.0,6587.0,4
RC,490,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,6587.0,8
RC,490,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,490,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,5694.0,7168.0,5
RC,490,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,490,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,490,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,3796.0,5381.0,5
RC,490,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,5694.0,7168.0,5
RC,490,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,5694.0,7168.0,5
RC,490,REPAIR SPIGELIAN HERNIA ,,,5694.0,7168.0,5
RC,490,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,490,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,5694.0,7168.0,5
RC,490,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,5694.0,7168.0,5
RC,490,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,5694.0,7168.0,5
RC,490,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,490,REREPAIR DETACHED RETINA ,,,2152.0,6587.0,4
RC,490,REVISE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,490,REVISE/REMOVE NEUROELECTRODE ,,,2152.0,6587.0,4
RC,490,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,7592.0,8072.0,5
RC,490,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,490,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,490,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,490,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,490,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,490,"Rabies vaccine, id ",,,258.18,258.18,3
RC,490,"Rabies vaccine, im ",,,361.85,361.85,3
RC,490,Radial keratotomy ,,,948.0,23113.0,31
RC,490,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,41507.53,26
RC,490,Radical excision external auditory canal lesion; with neck dissection ,,,948.0,36542.48,27
RC,490,Radical excision external auditory canal lesion; without neck dissection ,,,948.0,13581.48,33
RC,490,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,948.0,37195.1,27
RC,490,Radiesse injection ,,,380.62,380.62,3
RC,490,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,692.94,19415.0,33
RC,490,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,490,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,490,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,490,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,490,Ranibizumab injection ,,,55.69,55.69,3
RC,490,Rasburicase ,,,422.32,422.32,3
RC,490,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,490,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,490,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,490,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,490,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,948.0,25655.0,27
RC,490,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,490,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,490,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,490,Receptor assay; estrogen ,,,95.79,95.79,3
RC,490,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,490,Receptor assay; progesterone ,,,70.72,70.72,3
RC,490,Recipient nephrectomy (separate procedure) ,,,948.0,25655.0,27
RC,490,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,490,"Reconstruction external auditory canal for congenital atresia, single stage ",,,948.0,23113.0,33
RC,490,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,948.0,17510.0,33
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,733.22,9908.0,33
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,733.22,9908.0,33
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,948.0,12360.0,33
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,733.22,9908.0,33
RC,490,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,490,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,490,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1481.0,5932.0,7
RC,490,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,2
RC,490,Red blood cells unit ,,,164.12,164.12,3
RC,490,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,948.0,38236.23,27
RC,490,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,948.0,44941.82,27
RC,490,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,490,Reduction of overcorrection of ptosis ,,,733.22,19415.0,33
RC,490,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,948.0,19415.0,33
RC,490,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1481.0,2636.0,5
RC,490,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1481.0,2636.0,5
RC,490,Regulator ,,,43.99,43.99,3
RC,490,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,490,Reinsertion of ocular implant; with or without conjunctival graft ,,,948.0,12360.0,33
RC,490,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,948.0,12360.0,33
RC,490,Release of encircling material (posterior segment) ,,,1610.16,10691.32,28
RC,490,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,733.22,23113.0,33
RC,490,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,490,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,490,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,490,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,490,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,490,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,33
RC,490,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,685.44,9868.0,33
RC,490,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,33
RC,490,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,572.66,8858.0,33
RC,490,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,6004.0,54082.0,25
RC,490,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,948.0,54082.0,30
RC,490,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,685.44,5932.0,33
RC,490,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,20
RC,490,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,948.0,49207.09,33
RC,490,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,948.0,28733.66,27
RC,490,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,948.0,54082.0,30
RC,490,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,948.0,54082.0,30
RC,490,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,855.96,8858.0,33
RC,490,Removal foreign body from external auditory canal; with general anesthesia ,,,510.77,5932.0,33
RC,490,Removal foreign body from external auditory canal; without general anesthesia ,,,237.69,2636.0,27
RC,490,"Removal impacted cerumen requiring instrumentation, unilateral ",,,119.92,5932.0,31
RC,490,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,119.92,5932.0,31
RC,490,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1200.05,12360.0,27
RC,490,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,3
RC,490,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,948.0,12360.0,20
RC,490,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,948.0,12360.0,20
RC,490,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,948.0,12360.0,20
RC,490,"Removal of blood clot, anterior segment of eye ",,,892.44,18490.0,33
RC,490,Removal of bone flap or prosthetic plate of skull ,,,948.0,25655.0,27
RC,490,Removal of cerclage suture under anesthesia (other than local) ,,,948.0,18490.0,33
RC,490,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,948.0,25655.0,27
RC,490,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,948.0,25655.0,31
RC,490,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,176.16,8858.0,33
RC,490,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,40.7,5932.0,33
RC,490,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,948.0,15425.23,33
RC,490,"Removal of embedded foreign body, eyelid ",,,113.7,5932.0,33
RC,490,Removal of entire lumbosubarachnoid shunt system without replacement ,,,692.94,8858.0,33
RC,490,"Removal of epithelial downgrowth, anterior chamber of eye ",,,892.44,18490.0,33
RC,490,Removal of foreign body in scrotum ,,,685.44,8858.0,33
RC,490,"Removal of foreign body or dacryolith, lacrimal passages ",,,113.7,5932.0,33
RC,490,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,792.63,2636.0,27
RC,490,"Removal of foreign body, external eye; conjunctival superficial ",,,237.69,2636.0,27
RC,490,"Removal of foreign body, external eye; corneal, with slit lamp ",,,237.69,2636.0,27
RC,490,"Removal of foreign body, external eye; corneal, without slit lamp ",,,792.63,2636.0,27
RC,490,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,892.44,8858.0,33
RC,490,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,892.44,9908.0,33
RC,490,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,892.44,19415.0,33
RC,490,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,7
RC,490,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,948.0,25655.0,33
RC,490,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,7
RC,490,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,5
RC,490,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,948.0,8858.0,33
RC,490,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,4
RC,490,"Removal of implanted material, anterior segment of eye ",,,892.44,23113.0,33
RC,490,"Removal of implanted material, posterior segment; extraocular ",,,892.44,8858.0,28
RC,490,"Removal of implanted material, posterior segment; intraocular ",,,892.44,12360.0,28
RC,490,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,948.0,21630.0,33
RC,490,Removal of intrauterine device (IUD) ,,,53.78,5932.0,33
RC,490,"Removal of lens material; aspiration technique, 1 or more stages ",,,892.44,19415.0,33
RC,490,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,892.44,18490.0,33
RC,490,Removal of lens material; intracapsular ,,,892.44,19415.0,33
RC,490,"Removal of lens material; intracapsular, for dislocated lens ",,,948.0,18490.0,33
RC,490,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,948.0,19415.0,33
RC,490,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,892.44,23113.0,33
RC,490,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,250.06,5932.0,33
RC,490,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,490,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,948.0,12360.0,32
RC,490,Removal of non-resorbable barrier ,,,10868.0,12875.0,4
RC,490,Removal of ocular implant ,,,948.0,12360.0,33
RC,490,Removal of peritoneal foreign body from peritoneal cavity ,,,948.0,12360.0,33
RC,490,Removal of peritoneal-venous shunt ,,,948.0,25655.0,33
RC,490,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,25655.0,20
RC,490,Removal of previously implanted intrathecal or epidural catheter ,,,692.94,8858.0,33
RC,490,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,892.44,19415.0,33
RC,490,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,948.0,12499.0,30
RC,490,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,692.94,18747.0,33
RC,490,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,948.0,18747.0,33
RC,490,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,948.0,15425.23,33
RC,490,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,6
RC,490,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,4
RC,490,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,4
RC,490,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,4
RC,490,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,948.0,6587.0,19
RC,490,Removal of transplanted renal allograft ,,,948.0,27101.78,27
RC,490,"Removal of tumor, temporal bone ",,,948.0,25655.0,31
RC,490,Removal of tunneled intraperitoneal catheter ,,,948.0,12360.0,33
RC,490,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,892.44,19415.0,28
RC,490,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,892.44,19415.0,28
RC,490,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,930.95,17510.0,33
RC,490,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,948.0,12360.0,33
RC,490,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,948.0,25655.0,33
RC,490,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,490,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,948.0,25655.0,33
RC,490,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,948.0,12360.0,33
RC,490,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,12360.0,33
RC,490,Remove interim implant component ,,,10868.0,12875.0,4
RC,490,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,948.0,64499.11,27
RC,490,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,948.0,54444.61,27
RC,490,"Renal autotransplantation, reimplantation of kidney ",,,948.0,44949.58,27
RC,490,Renal biopsy; by surgical exposure of kidney ,,,948.0,25655.0,27
RC,490,"Renal biopsy; percutaneous, by trocar or needle ",,,510.77,5932.0,33
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,11848.54,33
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,22590.2,33
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,948.0,22590.2,33
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,948.0,11848.54,33
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,948.0,22590.2,33
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,948.0,11848.54,33
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,5932.0,33
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,948.0,25655.0,29
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,948.0,25655.0,33
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,25655.0,33
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,250.06,5932.0,33
RC,490,"Renal exploration, not necessitating other specific procedures ",,,948.0,25655.0,27
RC,490,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,490,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,490,Renin ,,,23.97,23.97,3
RC,490,Reopening of recent laparotomy ,,,948.0,25655.0,27
RC,490,Repair incomplete circumcision ,,,685.44,8858.0,33
RC,490,"Repair inguinal hernia, sliding, any age ",,,1209.12,19415.0,28
RC,490,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,490,"Repair initial femoral hernia, any age; reducible ",,,1209.12,18490.0,28
RC,490,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,490,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1209.12,19415.0,27
RC,490,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,948.0,19415.0,33
RC,490,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,948.0,19415.0,33
RC,490,Repair lumbar hernia ,,,1983.29,13534.39,28
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,13
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,948.0,23698.54,196
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,948.0,28718.14,192
RC,490,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,733.22,19415.0,33
RC,490,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,733.22,19415.0,33
RC,490,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,733.22,19415.0,33
RC,490,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,948.0,18490.0,33
RC,490,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,733.22,18490.0,33
RC,490,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,948.0,18490.0,33
RC,490,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,733.22,19415.0,33
RC,490,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1610.16,18490.0,28
RC,490,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,6004.0,17510.0,25
RC,490,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,4
RC,490,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,948.0,25655.0,27
RC,490,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,948.0,25655.0,27
RC,490,Repair of ectropion; excision tarsal wedge ,,,733.22,19415.0,33
RC,490,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,733.22,19415.0,33
RC,490,Repair of ectropion; suture ,,,733.22,9908.0,33
RC,490,Repair of ectropion; thermocauterization ,,,210.46,9908.0,33
RC,490,"Repair of encephalocele, skull vault, including cranioplasty ",,,948.0,48135.29,27
RC,490,"Repair of enterocele, abdominal approach (separate procedure) ",,,948.0,25655.0,27
RC,490,"Repair of enterocele, vaginal approach (separate procedure) ",,,948.0,11960.31,33
RC,490,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,25655.0,19
RC,490,Repair of entropion; excision tarsal wedge ,,,733.22,19415.0,33
RC,490,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,733.22,19415.0,33
RC,490,Repair of entropion; suture ,,,733.22,9908.0,33
RC,490,Repair of entropion; thermocauterization ,,,201.75,25655.0,33
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,948.0,12360.0,33
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,948.0,12360.0,33
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,948.0,12360.0,33
RC,490,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,948.0,12360.0,33
RC,490,"Repair of iris, ciliary body (as for iridodialysis) ",,,892.44,9908.0,33
RC,490,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,391.57,6680.0,33
RC,490,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,948.0,25655.0,31
RC,490,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,733.22,8858.0,33
RC,490,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,733.22,8858.0,33
RC,490,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,948.0,19415.0,33
RC,490,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,948.0,19415.0,33
RC,490,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,948.0,19415.0,33
RC,490,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,948.0,110738.41,31
RC,490,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,948.0,25655.0,27
RC,490,Repair of meningocele; larger than 5 cm diameter ,,,948.0,32502.13,27
RC,490,Repair of meningocele; less than 5 cm diameter ,,,948.0,29510.68,27
RC,490,Repair of myelomeningocele; larger than 5 cm diameter ,,,948.0,40171.02,27
RC,490,Repair of myelomeningocele; less than 5 cm diameter ,,,948.0,36223.82,27
RC,490,Repair of omphalocele (Gross type operation); first stage ,,,948.0,25655.0,27
RC,490,Repair of omphalocele (Gross type operation); second stage ,,,948.0,25655.0,27
RC,490,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,490,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,948.0,21630.0,31
RC,490,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,948.0,21630.0,31
RC,490,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,174.12,19415.0,28
RC,490,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,144.47,18490.0,28
RC,490,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,434.01,25655.0,24
RC,490,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1610.16,18490.0,28
RC,490,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1610.16,23113.0,28
RC,490,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,490,Repair of scleral staphyloma with graft ,,,948.0,19415.0,33
RC,490,"Repair of small omphalocele, with primary closure ",,,948.0,19415.0,33
RC,490,"Repair of symblepharon; conjunctivoplasty, without graft ",,,892.44,19415.0,33
RC,490,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,733.22,19415.0,33
RC,490,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,948.0,19415.0,33
RC,490,Repair of traumatic corporeal tear(s) ,,,948.0,18747.0,32
RC,490,Repair of tunica vaginalis hydrocele (Bottle type) ,,,948.0,19415.0,33
RC,490,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,948.0,12360.0,33
RC,490,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,490,Repair oval window fistula ,,,930.95,19415.0,28
RC,490,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,490,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1209.12,19415.0,28
RC,490,Repair recurrent femoral hernia; reducible ,,,1209.12,18490.0,28
RC,490,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1209.12,19415.0,28
RC,490,"Repair recurrent inguinal hernia, any age; reducible ",,,1209.12,19415.0,28
RC,490,Repair round window fistula ,,,930.95,19415.0,28
RC,490,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,490,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,6
RC,490,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,6
RC,490,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,490,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,948.0,19415.0,66
RC,490,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,948.0,25655.0,31
RC,490,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,948.0,25655.0,31
RC,490,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,490,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,490,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,490,Replace high roll cuff ,,,398.06,398.06,3
RC,490,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,490,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,490,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,490,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,490,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,490,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,490,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,490,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,490,Replace pretibial shell ,,,724.27,724.27,3
RC,490,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,490,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,490,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,490,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,490,Replace trilateral socket brim ,,,862.54,862.54,3
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,948.0,36534.62,33
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,948.0,35261.21,33
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,948.0,33769.0,33
RC,490,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,490,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,490,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,490,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,490,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,490,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,490,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,490,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,490,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,490,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,490,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,490,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,490,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,490,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,490,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,490,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,490,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,490,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,490,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,490,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,490,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,948.0,27630.22,27
RC,490,Replacement of an implant screw ,,,10868.0,12875.0,3
RC,490,Replacement of bone flap or prosthetic plate of skull ,,,948.0,25655.0,27
RC,490,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,33
RC,490,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,33
RC,490,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,351.7,5932.0,33
RC,490,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,4
RC,490,"Replacement or irrigation, subarachnoid/subdural catheter ",,,692.94,8858.0,33
RC,490,"Replacement or irrigation, ventricular catheter ",,,948.0,15425.23,33
RC,490,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,948.0,17510.0,33
RC,490,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,490,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,490,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,490,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,490,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,490,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,490,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,490,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,490,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,490,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,948.0,17510.0,33
RC,490,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,490,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,490,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,490,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,490,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,490,"Replantation, penis, complete amputation including urethral repair ",,,2152.0,16144.0,5
RC,490,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,892.44,19415.0,33
RC,490,Reprogramming of programmable cerebrospinal shunt ,,,31.39,3092.0,29
RC,490,Reptilase test ,,,10.74,10.74,3
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,948.0,25655.0,27
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,948.0,37156.29,27
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,948.0,32750.72,27
RC,490,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,948.0,39813.56,27
RC,490,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,2152.0,16144.0,5
RC,490,Resection of scrotum ,,,948.0,8858.0,33
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,948.0,47847.89,27
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,948.0,54467.89,27
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,948.0,63652.02,27
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,948.0,75602.3,27
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,948.0,48290.73,27
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,948.0,66589.14,27
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,948.0,60474.08,27
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,948.0,74359.15,27
RC,490,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,3
RC,490,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,3
RC,490,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,3
RC,490,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,3
RC,490,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,490,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,490,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,490,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,490,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,490,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,490,"Resection temporal bone, external approach ",,,948.0,59603.91,27
RC,490,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,490,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,490,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,490,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,490,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,490,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,490,Resuscitation and Cardiove ,,,723.71,723.71,3
RC,490,Reticulated platelet assay ,,,38.96,38.96,3
RC,490,Retrobulbar injection; alcohol ,,,36.62,5932.0,33
RC,490,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,27.62,2636.0,29
RC,490,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,490,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,9875.0,44979.2,20
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,18490.0,14
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,18490.0,14
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,18490.0,14
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,20
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,20
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,20
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,25655.0,20
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,28120.23,20
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,44979.2,20
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,9875.0,44979.2,20
RC,490,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,948.0,18770.08,29
RC,490,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,948.0,25655.0,27
RC,490,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,948.0,9908.0,33
RC,490,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,948.0,21630.0,33
RC,490,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,948.0,53982.38,33
RC,490,Revision mastoidectomy; resulting in complete mastoidectomy ,,,948.0,23113.0,33
RC,490,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,948.0,23113.0,33
RC,490,Revision mastoidectomy; resulting in radical mastoidectomy ,,,948.0,23113.0,33
RC,490,Revision mastoidectomy; resulting in tympanoplasty ,,,948.0,23113.0,33
RC,490,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,892.44,8858.0,33
RC,490,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,892.44,12499.0,33
RC,490,Revision of peritoneal-venous shunt ,,,948.0,12360.0,33
RC,490,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,948.0,17510.0,33
RC,490,Revision of stapedectomy or stapedotomy ,,,1995.0,18490.0,28
RC,490,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,948.0,25655.0,29
RC,490,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,948.0,25655.0,27
RC,490,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,948.0,17323.96,33
RC,490,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,948.0,12360.0,33
RC,490,Revision or removal of intracranial neurostimulator electrodes ,,,948.0,25655.0,29
RC,490,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,948.0,12774.62,30
RC,490,Revision or removal of peripheral neurostimulator electrode array ,,,948.0,12360.0,33
RC,490,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,948.0,12360.0,33
RC,490,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,733.22,8858.0,33
RC,490,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,948.0,12360.0,20
RC,490,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,948.0,88272.97,20
RC,490,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,948.0,21630.0,33
RC,490,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,948.0,32153.46,33
RC,490,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,7
RC,490,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,7
RC,490,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,948.0,58359.95,30
RC,490,Rh ig minidose im ,,,87.2,87.2,3
RC,490,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,490,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,490,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,490,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,490,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,7799.0,22644.0,10
RC,490,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,7799.0,22644.0,10
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,7799.0,22644.0,10
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,7799.0,22644.0,10
RC,490,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9119.84,22644.0,14
RC,490,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,7168.0,5
RC,490,Right ventricular recording ,,,2152.88,43890.0,14
RC,490,"Risperidone, long acting ",,,12.1,12.1,3
RC,490,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,490,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,490,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,2222.0,12
RC,490,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,6
RC,490,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,948.0,52059.21,17
RC,490,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,948.0,52742.87,17
RC,490,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,948.0,46954.23,17
RC,490,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,948.0,49269.77,17
RC,490,Rsv mab im 50mg ,,,476.06,476.06,3
RC,490,Rufinamide ,,,29.55,29.55,3
RC,490,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,490,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,490,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,490,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,490,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,490,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,490,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,490,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,490,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,490,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,490,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,490,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,490,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,2152.0,16144.0,5
RC,490,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2214.0,4723.0,5
RC,490,STRIP RETINAL MEMBRANE ,,,2152.0,6587.0,4
RC,490,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,2152.0,16144.0,5
RC,490,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,490,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,490,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,490,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,490,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,490,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,490,Salicylate ,,,20.32,20.32,3
RC,490,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,948.0,25655.0,31
RC,490,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,948.0,25655.0,31
RC,490,Salpingostomy (salpingoneostomy) ,,,948.0,25655.0,31
RC,490,Sargramostim injection ,,,68.1,68.1,3
RC,490,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,6
RC,490,Scleral cover shell ,,,1932.53,1932.53,3
RC,490,Scleral reinforcement (separate procedure); with graft ,,,892.44,9908.0,33
RC,490,Scleral reinforcement (separate procedure); without graft ,,,733.22,9908.0,33
RC,490,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,948.0,18747.0,31
RC,490,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,490,"Scraping of cornea, diagnostic, for smear and/or culture ",,,792.63,2636.0,27
RC,490,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,490,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,490,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,490,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,490,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,490,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,490,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,490,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,490,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,490,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,490,Screening proctoscopy ,,,735.36,808.07,6
RC,490,Scrotal exploration ,,,948.0,8858.0,33
RC,490,Scrotoplasty; complicated ,,,948.0,11848.54,33
RC,490,Scrotoplasty; simple ,,,948.0,17510.0,33
RC,490,"Seat attachment, walker ",,,20.26,20.26,3
RC,490,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,490,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,490,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,490,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,948.0,29184.26,27
RC,490,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,948.0,32167.95,27
RC,490,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,490,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,490,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,490,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,490,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,490,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,490,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,490,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,490,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,490,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,490,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,490,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,490,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,490,Selenium ,,,27.83,27.83,3
RC,490,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,490,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,490,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,490,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,490,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,490,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,490,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,490,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,490,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,490,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,490,Semi-precision abutment - placement ,,,10868.0,12875.0,4
RC,490,Semi-precision attachment - placement ,,,10868.0,12875.0,4
RC,490,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,490,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,490,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,490,Serotonin ,,,33.77,33.77,3
RC,490,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,490,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,490,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,490,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,490,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,490,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,490,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,490,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,490,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,490,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,490,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,892.44,19415.0,33
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,948.0,19415.0,33
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,892.44,8858.0,33
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,892.44,19415.0,33
RC,490,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,148.54,19415.0,33
RC,490,Severing of tarsorrhaphy ,,,179.07,5932.0,33
RC,490,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,218.75,6680.0,28
RC,490,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,490,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,490,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,490,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,490,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,490,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,490,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,490,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,490,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,490,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,490,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,490,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,490,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,490,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,490,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,490,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,490,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,490,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,490,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,490,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,490,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,490,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,490,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,490,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,490,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,490,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,490,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,490,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,490,Sialic acid ,,,14.65,14.65,3
RC,490,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,490,Silica ,,,27.48,27.48,3
RC,490,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,115.66,6587.0,33
RC,490,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,237.69,6587.0,27
RC,490,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,6
RC,490,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,6
RC,490,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,490,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,490,Sirolimus ,,,14.97,14.97,3
RC,490,Sitz bath chair ,,,192.39,192.39,3
RC,490,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,490,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,490,"Six volt battery, each ",,,321.31,321.31,3
RC,490,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,490,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,490,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,490,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,490,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,490,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,490,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,490,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,490,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,490,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,490,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,490,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,490,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,490,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,490,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,948.0,22590.2,33
RC,490,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,948.0,18490.0,33
RC,490,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,490,Slings ,,,11.97,11.97,3
RC,490,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,685.44,8858.0,33
RC,490,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,948.0,8858.0,33
RC,490,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,490,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,490,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,490,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,490,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,490,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,490,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,490,Snip incision of lacrimal punctum ,,,56.97,5932.0,33
RC,490,Sodium; other source ,,,5.3,5.3,3
RC,490,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,490,Sodium; urine ,,,5.52,5.52,3
RC,490,"Sole wedge, between sole ",,,66.8,66.8,3
RC,490,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,490,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,490,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,490,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,490,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,490,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,490,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,490,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,490,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,490,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,490,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,6
RC,490,Somatomedin ,,,23.17,23.17,3
RC,490,Somatostatin ,,,19.93,19.93,3
RC,490,Special back height for wheelchair ,,,43.53,43.53,3
RC,490,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,490,Special height arms for wheelchair ,,,366.41,366.41,3
RC,490,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,490,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,490,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,490,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,490,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,490,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,490,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,490,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,490,Specific gravity (except urine) ,,,3.58,3.58,3
RC,490,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,490,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,490,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,490,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,490,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,490,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,490,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,490,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,490,Sperm antibodies ,,,11.63,11.63,3
RC,490,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,490,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,490,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,490,Sperm washing for artificial insemination ,,,37.58,3092.0,27
RC,490,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,490,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,490,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,490,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,490,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,490,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,490,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,490,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,490,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,490,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,490,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,490,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,490,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,490,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,490,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,490,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,490,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,490,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,490,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,490,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,490,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,490,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,490,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,490,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,490,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,490,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,490,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,490,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,490,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,490,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,490,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,490,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,490,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,490,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,490,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,490,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,490,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,490,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,490,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,490,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,490,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,490,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,490,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,490,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,490,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,490,"Spinal puncture, lumbar, diagnostic; ",,,276.0,5932.0,33
RC,490,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,276.0,6587.0,33
RC,490,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,276.0,5932.0,33
RC,490,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,276.0,6587.0,33
RC,490,"Spoke protectors, each ",,,61.65,61.65,3
RC,490,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,490,Sr89 strontium ,,,4519.51,4519.51,3
RC,490,Stand/rack ,,,33.16,33.16,3
RC,490,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,490,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,490,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,490,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,490,Standard wheelchair ,,,31.09,31.09,3
RC,490,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,490,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1995.0,18490.0,28
RC,490,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1995.0,18490.0,28
RC,490,Stapes mobilization ,,,930.95,23113.0,28
RC,490,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,490,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,490,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,490,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,490,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,490,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,490,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,490,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,490,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,490,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,490,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,490,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,490,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,490,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,490,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,490,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,948.0,32183.47,27
RC,490,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,948.0,31453.02,27
RC,490,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,490,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,948.0,6587.0,15
RC,490,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,948.0,6587.0,15
RC,490,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,948.0,35780.98,27
RC,490,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,948.0,17510.0,27
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,948.0,37457.0,12
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,1995.0,37457.0,7
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,948.0,37457.0,12
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,948.0,37457.0,12
RC,490,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,948.0,8485.0,33
RC,490,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,490,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,490,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,6
RC,490,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,119.92,6587.0,27
RC,490,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,490,Stoma cap ,,,2.17,2.17,3
RC,490,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,490,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,948.0,19415.0,19
RC,490,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,948.0,19415.0,19
RC,490,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,948.0,19415.0,19
RC,490,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,948.0,19415.0,19
RC,490,"Strabismus surgery, any procedure, superior oblique muscle ",,,733.22,19415.0,33
RC,490,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,733.22,9908.0,33
RC,490,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,733.22,19415.0,33
RC,490,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,948.0,19415.0,33
RC,490,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,733.22,19415.0,33
RC,490,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,490,"Streptokinase, antibody ",,,13.8,13.8,3
RC,490,Subarachnoid inject NEC ,,,2152.0,6587.0,4
RC,490,Subconjunctival injection ,,,237.69,2636.0,27
RC,490,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,948.0,27404.92,27
RC,490,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,276.0,5932.0,33
RC,490,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,276.0,5932.0,33
RC,490,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,948.0,32183.47,27
RC,490,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,948.0,25655.0,23
RC,490,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,490,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,490,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,490,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,490,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,490,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,490,"Sulfate, urine ",,,5.98,5.98,3
RC,490,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,490,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,490,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,490,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,490,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,490,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,490,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,490,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,490,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,490,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,25655.0,26
RC,490,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,386.78,6587.0,26
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,948.0,49254.25,27
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,948.0,57187.47,27
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,948.0,58415.1,27
RC,490,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,948.0,97490.65,27
RC,490,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,948.0,108788.09,27
RC,490,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,948.0,30318.75,27
RC,490,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,948.0,84545.6,27
RC,490,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,948.0,49471.79,27
RC,490,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,948.0,106006.42,27
RC,490,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,948.0,64607.77,27
RC,490,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,948.0,95959.89,27
RC,490,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,948.0,51359.8,27
RC,490,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,948.0,78283.07,27
RC,490,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,948.0,91911.79,27
RC,490,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,490,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,490,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,4
RC,490,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,4
RC,490,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,4
RC,490,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,4
RC,490,Surgical placement zygomatic implant ,,,10868.0,12875.0,4
RC,490,Surgical repair of root resorption - molar ,,,10868.0,12875.0,4
RC,490,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,4
RC,490,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,4
RC,490,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,6
RC,490,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,948.0,25655.0,27
RC,490,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,948.0,25655.0,27
RC,490,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,948.0,25655.0,27
RC,490,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,948.0,25655.0,31
RC,490,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,948.0,25655.0,31
RC,490,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,490,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,490,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,490,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,490,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,490,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,490,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,490,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,490,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,948.0,18490.0,33
RC,490,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,948.0,18490.0,33
RC,490,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,948.0,17510.0,33
RC,490,Suture of 1 nerve; median motor thenar ,,,948.0,17510.0,33
RC,490,Suture of 1 nerve; ulnar motor ,,,948.0,17510.0,33
RC,490,"Suture of digital nerve, hand or foot; 1 nerve ",,,692.94,19415.0,33
RC,490,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,490,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,490,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,948.0,5932.0,19
RC,490,Suture of facial nerve; extracranial ,,,948.0,17510.0,33
RC,490,"Suture of facial nerve; infratemporal, with or without grafting ",,,948.0,19415.0,33
RC,490,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,892.44,8858.0,33
RC,490,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,948.0,17510.0,33
RC,490,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,948.0,17510.0,33
RC,490,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,948.0,9908.0,19
RC,490,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,948.0,6680.0,19
RC,490,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,948.0,9908.0,19
RC,490,Suture of posterior tibial nerve ,,,948.0,17510.0,33
RC,490,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,733.22,8858.0,33
RC,490,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,203.77,9868.0,33
RC,490,Suture of sciatic nerve ,,,948.0,12360.0,33
RC,490,Suture of; brachial plexus ,,,692.94,12360.0,33
RC,490,Suture of; lumbar plexus ,,,948.0,17510.0,33
RC,490,Suture or repair of testicular injury ,,,948.0,9908.0,33
RC,490,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,948.0,25655.0,27
RC,490,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,490,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,490,"Sympathectomy, cervical ",,,692.94,6680.0,33
RC,490,"Sympathectomy, cervicothoracic ",,,948.0,25655.0,27
RC,490,"Sympathectomy, lumbar ",,,948.0,25655.0,27
RC,490,"Sympathectomy, thoracolumbar ",,,948.0,25655.0,27
RC,490,"Sympathectomy; digital arteries, each digit ",,,692.94,25655.0,29
RC,490,Sympathectomy; radial artery ,,,948.0,19415.0,33
RC,490,Sympathectomy; superficial palmar arch ,,,948.0,12360.0,33
RC,490,Sympathectomy; ulnar artery ,,,948.0,12360.0,33
RC,490,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,948.0,25718.71,27
RC,490,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,490,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,490,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,490,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,490,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,490,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,490,T cells; total count ,,,41.13,41.13,3
RC,490,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,490,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,490,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,490,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,490,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,490,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,490,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,490,TRANSECT ARTERY SINUS ,,,2152.0,6587.0,4
RC,490,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,490,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,490,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,490,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,490,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,490,TUR cong post valve/fold ,,,2152.0,6587.0,4
RC,490,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,490,Tacrolimus ,,,14.97,14.97,3
RC,490,Tacrolimus injection ,,,292.31,292.31,3
RC,490,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,490,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,490,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,490,"Tau, total (tTau) ",,,140.52,140.52,3
RC,490,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,490,Tc99m bicisate ,,,845.32,845.32,3
RC,490,Tc99m succimer ,,,719.32,719.32,3
RC,490,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,490,Telavancin injection ,,,8.16,8.16,3
RC,490,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,490,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,490,Temozolomide injection ,,,11.34,11.34,3
RC,490,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,351.98,5932.0,33
RC,490,Temporary transcutaneous pacing ,,,1169.48,3293.0,15
RC,490,Tenecteplase injection ,,,236.99,236.99,3
RC,490,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,490,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,490,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,490,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,490,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,490,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,490,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,490,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,490,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,490,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,490,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,490,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,490,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,490,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,490,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,490,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,490,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,490,Testosterone; free ,,,27.76,27.76,3
RC,490,Testosterone; total ,,,28.13,28.13,3
RC,490,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,490,Theophylline ,,,15.41,15.41,3
RC,490,Therapeutic Nuclear Medici ,,,255.5,255.5,3
RC,490,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,490,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,490,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,490,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,490,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,490,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,490,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,490,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,490,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,490,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,490,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,948.0,35261.21,33
RC,490,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,490,Thiocyanate ,,,12.68,12.68,3
RC,490,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,490,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,490,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,490,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,490,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,948.0,6587.0,15
RC,490,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,490,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,490,Thrombin time; plasma ,,,6.29,6.29,3
RC,490,Thrombin time; titer ,,,7.47,7.47,3
RC,490,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,16144.0,2
RC,490,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,2636.0,2
RC,490,Thrombomodulin ,,,18.82,18.82,3
RC,490,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,490,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,490,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,490,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,490,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,948.0,30699.28,27
RC,490,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,948.0,25655.0,27
RC,490,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,948.0,25655.0,31
RC,490,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,490,Thyroglobulin ,,,17.51,17.51,3
RC,490,Thyroglobulin antibody ,,,17.34,17.34,3
RC,490,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,490,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,490,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,490,"Thyroidectomy, including substernal thyroid; cervical approach ",,,948.0,25655.0,31
RC,490,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,948.0,30644.95,27
RC,490,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,948.0,25655.0,31
RC,490,"Thyroidectomy, total or complete ",,,948.0,25655.0,33
RC,490,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,25655.0,20
RC,490,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,948.0,25655.0,31
RC,490,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,948.0,37404.88,31
RC,490,Thyrotropin injection ,,,2352.94,2352.94,3
RC,490,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,490,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,490,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,490,Thyroxine; free ,,,9.83,9.83,3
RC,490,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,490,Thyroxine; total ,,,7.49,7.49,3
RC,490,Tiagabine ,,,29.55,29.55,3
RC,490,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,490,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,490,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,490,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,490,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,490,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,490,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,490,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,490,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,490,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,490,"Tlso, corset front ",,,182.11,182.11,3
RC,490,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,490,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,490,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,490,"Tlso, full corset ",,,251.72,251.72,3
RC,490,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,490,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,490,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,490,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,490,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,490,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,490,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,490,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,490,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,490,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,490,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,490,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,490,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,490,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,490,Tobramycin ,,,17.58,17.58,3
RC,490,Tocilizumab injection ,,,5.89,5.89,3
RC,490,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,490,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,490,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,490,Topiramate ,,,12.99,12.99,3
RC,490,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,948.0,25655.0,31
RC,490,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,948.0,27653.5,31
RC,490,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1995.0,30854.73,26
RC,490,Total facial nerve decompression and/or repair (may include graft) ,,,948.0,25655.0,31
RC,490,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,948.0,21630.0,33
RC,490,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,948.0,21630.0,33
RC,490,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,490,Trabeculoplasty by laser surgery ,,,114.82,6680.0,33
RC,490,Trabeculotomy ab externo ,,,892.44,19415.0,33
RC,490,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,490,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,490,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,948.0,11960.31,33
RC,490,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,948.0,9908.0,33
RC,490,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,490,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,490,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,490,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,490,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,490,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,490,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,490,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,490,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,490,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,490,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,490,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,490,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,490,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,490,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,490,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,490,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,490,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,490,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,490,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,490,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,490,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,490,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,490,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,490,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,490,"Transabdominal amnioinfusion, including ultrasound guidance ",,,590.17,5932.0,31
RC,490,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,490,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,1481.0,2174.0,4
RC,490,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,10
RC,490,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,948.0,76895.0,62
RC,490,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,948.0,33108.18,27
RC,490,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,9
RC,490,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,948.0,25655.0,30
RC,490,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,948.0,25655.0,31
RC,490,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,948.0,54467.89,27
RC,490,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,948.0,66449.21,27
RC,490,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,490,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,490,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,490,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,490,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,490,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,490,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,692.94,5047.0,29
RC,490,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,948.0,12360.0,27
RC,490,"Transection or avulsion of other cranial nerve, extradural ",,,692.94,8858.0,33
RC,490,"Transection or avulsion of other spinal nerve, extradural ",,,692.94,8858.0,33
RC,490,"Transection or avulsion of; facial nerve, differential or complete ",,,692.94,8858.0,33
RC,490,Transection or avulsion of; greater occipital nerve ,,,692.94,8858.0,33
RC,490,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,692.94,6680.0,33
RC,490,Transection or avulsion of; infraorbital nerve ,,,692.94,6680.0,33
RC,490,Transection or avulsion of; lingual nerve ,,,692.94,8858.0,33
RC,490,Transection or avulsion of; mental nerve ,,,692.94,6680.0,33
RC,490,Transection or avulsion of; phrenic nerve ,,,692.94,6680.0,33
RC,490,Transection or avulsion of; supraorbital nerve ,,,692.94,6680.0,33
RC,490,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,948.0,25655.0,27
RC,490,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,948.0,25655.0,27
RC,490,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,948.0,25655.0,27
RC,490,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,948.0,25655.0,27
RC,490,"Transfer device, any type, each ",,,61.38,61.38,3
RC,490,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,490,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,490,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,490,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,490,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,490,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,490,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,490,Transferrin ,,,13.91,13.91,3
RC,490,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,23113.0,14
RC,490,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,10868.0,28600.76,13
RC,490,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,948.0,18490.0,31
RC,490,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,948.0,18490.0,31
RC,490,Transmastoid antrotomy (simple mastoidectomy) ,,,948.0,23113.0,33
RC,490,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,490,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,490,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,490,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,948.0,57202.99,27
RC,490,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,948.0,94133.98,27
RC,490,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,490,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,490,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,948.0,2636.0,15
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,948.0,21630.0,29
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,948.0,21630.0,29
RC,490,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,948.0,21630.0,33
RC,490,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1773.9,25080.0,23
RC,490,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,948.0,64413.52,27
RC,490,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,490,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,490,Transplantation of multivisceral organs ,,,21210.0,23307.22,6
RC,490,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,6
RC,490,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,948.0,9908.0,33
RC,490,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,490,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,490,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,490,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,948.0,19415.0,19
RC,490,"Transposition, ovary(s) ",,,948.0,25655.0,31
RC,490,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,948.0,52944.89,27
RC,490,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,490,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,948.0,25912.96,27
RC,490,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,948.0,33769.0,33
RC,490,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,948.0,12499.0,33
RC,490,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,948.0,25655.0,33
RC,490,Transurethral drainage of prostatic abscess ,,,948.0,8858.0,33
RC,490,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1773.9,19415.0,28
RC,490,Transurethral incision of prostate ,,,948.0,9908.0,33
RC,490,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,948.0,18747.0,31
RC,490,Transurethral resection of bladder neck (separate procedure) ,,,948.0,9908.0,33
RC,490,Transurethral resection; of postoperative bladder neck contracture ,,,1200.05,8858.0,28
RC,490,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,1773.9,17510.0,28
RC,490,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,948.0,27080.2,20
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,60.45,6680.0,21
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,53.82,6680.0,21
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,49.82,6680.0,21
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,43.49,6680.0,21
RC,490,Transvesical ureterolithotomy ,,,948.0,25655.0,27
RC,490,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,490,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,490,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,490,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,490,Trauma Response with Criti ,,,1459.49,1459.49,3
RC,490,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,149.42,5932.0,28
RC,490,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,218.75,6680.0,33
RC,490,"Treatment of incomplete abortion, any trimester, completed surgically ",,,948.0,18490.0,33
RC,490,"Treatment of missed abortion, completed surgically; first trimester ",,,948.0,18490.0,33
RC,490,"Treatment of missed abortion, completed surgically; second trimester ",,,948.0,18490.0,33
RC,490,"Treatment of septic abortion, completed surgically ",,,948.0,25655.0,31
RC,490,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,490,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,490,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,490,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,490,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,490,Triglycerides ,,,6.26,6.26,3
RC,490,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,490,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,490,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,490,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,17
RC,490,Triptorelin pamoate ,,,508.34,508.34,3
RC,490,"Troponin, qualitative ",,,11.0,11.0,3
RC,490,"Troponin, quantitative ",,,13.59,13.59,3
RC,490,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,490,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,490,"Truss, double with standard pads ",,,177.72,177.72,3
RC,490,"Truss, single with standard pad ",,,112.58,112.58,3
RC,490,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,490,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,490,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,490,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,490,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,490,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,490,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,490,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,490,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,490,Tubotubal anastomosis ,,,948.0,25655.0,31
RC,490,Tubouterine implantation ,,,948.0,25655.0,31
RC,490,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,490,"Twelve volt battery, each ",,,703.98,703.98,3
RC,490,Twist drill hole for subdural or ventricular puncture ,,,948.0,25655.0,27
RC,490,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,948.0,25655.0,27
RC,490,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,948.0,25655.0,27
RC,490,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,948.0,25655.0,27
RC,490,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,948.0,51966.07,108
RC,490,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,183.72,25655.0,33
RC,490,Tympanic neurectomy ,,,930.95,9908.0,28
RC,490,"Tympanolysis, transcanal ",,,930.95,17510.0,33
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1995.0,23113.0,28
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1995.0,23113.0,28
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1995.0,18490.0,28
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1995.0,18490.0,28
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1995.0,18490.0,28
RC,490,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,441.67,9908.0,33
RC,490,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,123.54,9908.0,33
RC,490,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,7
RC,490,Tyrosine ,,,11.59,11.59,3
RC,490,"U-v lens, per lens ",,,29.55,29.55,3
RC,490,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,490,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,490,URETER ENDOSCOPY & TRACER ,,,2152.0,6587.0,8
RC,490,URETHRA PRESSURE PROFILE ,,,2152.0,6587.0,4
RC,490,URINE VOIDING PRESSURE STUDY ,,,2152.0,6587.0,4
RC,490,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,490,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,490,Ultrasound Composite ,,,322.14,322.14,3
RC,490,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,490,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,490,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,490,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,490,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,948.0,19415.0,33
RC,490,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,490,Unlist px-laparascopy ,,,2152.0,6587.0,4
RC,490,Unlisted cardiovascular service or procedure ,,,1481.0,2636.0,5
RC,490,Unlisted diagnostic gastroenterology procedure ,,,1481.0,2636.0,5
RC,490,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,361.99,25655.0,31
RC,490,"Unlisted hysteroscopy procedure, uterus ",,,361.99,25655.0,22
RC,490,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,7592.0,25655.0,21
RC,490,"Unlisted laparoscopy procedure, bladder ",,,948.0,25655.0,27
RC,490,"Unlisted laparoscopy procedure, endocrine system ",,,1995.0,25655.0,22
RC,490,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,7592.0,25655.0,21
RC,490,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1995.0,25655.0,26
RC,490,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1995.0,25655.0,22
RC,490,"Unlisted laparoscopy procedure, renal ",,,1995.0,25655.0,22
RC,490,"Unlisted laparoscopy procedure, spermatic cord ",,,1995.0,25655.0,22
RC,490,"Unlisted laparoscopy procedure, testis ",,,1995.0,25655.0,22
RC,490,"Unlisted laparoscopy procedure, ureter ",,,948.0,25655.0,27
RC,490,"Unlisted laparoscopy procedure, uterus ",,,1995.0,25655.0,22
RC,490,"Unlisted procedure, abdomen, peritoneum and omentum ",,,948.0,25655.0,31
RC,490,"Unlisted procedure, anterior segment of eye ",,,948.0,25655.0,31
RC,490,"Unlisted procedure, conjunctiva ",,,589.67,25655.0,27
RC,490,"Unlisted procedure, endocrine system ",,,948.0,25655.0,31
RC,490,"Unlisted procedure, external ear ",,,443.94,2636.0,27
RC,490,"Unlisted procedure, extraocular muscle ",,,589.67,25655.0,27
RC,490,"Unlisted procedure, eyelids ",,,589.67,25655.0,27
RC,490,"Unlisted procedure, female genital system (nonobstetrical) ",,,361.99,25655.0,31
RC,490,"Unlisted procedure, inner ear ",,,443.94,25655.0,31
RC,490,"Unlisted procedure, lacrimal system ",,,589.67,25655.0,27
RC,490,"Unlisted procedure, male genital system ",,,512.08,25655.0,31
RC,490,"Unlisted procedure, maternity care and delivery ",,,361.99,25655.0,31
RC,490,"Unlisted procedure, middle ear ",,,443.94,25655.0,31
RC,490,"Unlisted procedure, nervous system ",,,570.66,25655.0,31
RC,490,"Unlisted procedure, orbit ",,,589.67,25655.0,27
RC,490,"Unlisted procedure, posterior segment ",,,948.0,25655.0,27
RC,490,"Unlisted procedure, temporal bone, middle fossa approach ",,,443.94,25655.0,31
RC,490,"Unlisted procedure, urinary system ",,,512.08,25655.0,31
RC,490,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,490,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,490,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,490,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,490,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,490,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,490,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,490,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,490,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,490,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,490,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,490,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,490,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,490,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,490,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,490,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,490,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,490,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,490,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,490,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,490,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,490,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,490,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,490,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,490,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,490,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,490,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,490,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,490,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,490,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,490,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,490,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,490,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,490,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,490,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,490,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,490,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,490,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,490,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,490,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,490,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,490,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,490,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,490,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,490,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,490,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,490,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,490,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,490,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,490,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,490,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,490,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,490,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,490,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,490,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,490,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,490,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,490,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,490,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,490,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,948.0,5932.0,19
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,11848.54,33
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,948.0,11848.54,33
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,11848.54,33
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,948.0,8451.91,33
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,948.0,8451.91,33
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,948.0,11848.54,33
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,948.0,11848.54,33
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,948.0,11848.54,33
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,948.0,8451.91,33
RC,490,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,948.0,76895.0,31
RC,490,"Ureterectomy, with bladder cuff (separate procedure) ",,,948.0,76895.0,31
RC,490,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,948.0,25944.23,27
RC,490,"Ureterocolon conduit, including intestine anastomosis ",,,948.0,27482.53,27
RC,490,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,948.0,25655.0,27
RC,490,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,948.0,29549.49,27
RC,490,Ureterolithotomy; lower one-third of ureter ,,,948.0,25655.0,31
RC,490,Ureterolithotomy; middle one-third of ureter ,,,948.0,25655.0,31
RC,490,Ureterolithotomy; upper one-third of ureter ,,,948.0,25655.0,31
RC,490,Ureterolysis for ovarian vein syndrome ,,,948.0,25655.0,27
RC,490,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,948.0,25655.0,27
RC,490,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,948.0,27389.39,27
RC,490,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,948.0,25655.0,27
RC,490,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,948.0,25655.0,27
RC,490,Ureteroneocystostomy; with extensive ureteral tailoring ,,,948.0,25655.0,27
RC,490,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,948.0,27303.8,27
RC,490,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,948.0,25655.0,27
RC,490,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,948.0,27568.13,27
RC,490,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,948.0,25655.0,27
RC,490,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,948.0,31523.09,27
RC,490,"Ureterostomy, transplantation of ureter to skin ",,,948.0,25655.0,27
RC,490,"Ureterotomy for insertion of indwelling stent, all types ",,,948.0,25655.0,31
RC,490,Ureterotomy with exploration or drainage (separate procedure) ,,,948.0,25655.0,31
RC,490,Ureteroureterostomy ,,,948.0,25655.0,27
RC,490,"Urethrectomy, total, including cystostomy; female ",,,948.0,18490.0,33
RC,490,"Urethrectomy, total, including cystostomy; male ",,,948.0,18490.0,33
RC,490,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,948.0,25655.0,31
RC,490,"Urethromeatoplasty, with mucosal advancement ",,,948.0,12360.0,33
RC,490,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,948.0,8858.0,33
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,948.0,12360.0,33
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,948.0,12360.0,33
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,948.0,17510.0,33
RC,490,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,948.0,12360.0,33
RC,490,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,948.0,12360.0,33
RC,490,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,948.0,12360.0,33
RC,490,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,948.0,12360.0,33
RC,490,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,948.0,12360.0,33
RC,490,"Urethroplasty, reconstruction of female urethra ",,,948.0,12360.0,33
RC,490,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,948.0,25655.0,27
RC,490,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,948.0,12360.0,33
RC,490,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,948.0,12360.0,33
RC,490,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,948.0,8858.0,33
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,948.0,12360.0,33
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,948.0,11848.54,33
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,948.0,12360.0,33
RC,490,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,685.44,8858.0,33
RC,490,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,948.0,11848.54,33
RC,490,Uric acid; blood ,,,4.93,4.93,3
RC,490,Uric acid; other source ,,,5.54,5.54,3
RC,490,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,490,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,490,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,490,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,490,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,490,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,490,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,490,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,490,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,490,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,490,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,490,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,490,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,490,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,948.0,40520.73,27
RC,490,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,490,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,490,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,490,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,490,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,490,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,948.0,5932.0,19
RC,490,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,490,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,490,Uterine evacuation and curettage for hydatidiform mole ,,,948.0,18490.0,33
RC,490,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,948.0,25655.0,31
RC,490,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,948.0,25655.0,27
RC,490,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,5694.0,7168.0,5
RC,490,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,2152.0,16144.0,5
RC,490,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,490,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,490,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,490,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,948.0,25655.0,31
RC,490,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,948.0,23263.46,21
RC,490,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,948.0,25655.0,31
RC,490,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,948.0,25376.98,17
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.34,18490.0,28
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,948.0,25655.0,27
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,948.0,18490.0,33
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,948.0,18490.0,31
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,948.0,18490.0,31
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,948.0,25655.0,31
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,948.0,25655.0,31
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,948.0,25655.0,31
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,948.0,25655.0,31
RC,490,"Vaginal hysterectomy, radical (Schauta type operation) ",,,948.0,32525.42,27
RC,490,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,948.0,25655.0,27
RC,490,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,948.0,25655.0,27
RC,490,"Vaginectomy, complete removal of vaginal wall; ",,,948.0,25655.0,31
RC,490,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,948.0,39611.54,31
RC,490,"Vaginectomy, partial removal of vaginal wall; ",,,948.0,25655.0,31
RC,490,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,948.0,25655.0,31
RC,490,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,948.0,25655.0,31
RC,490,Vaginoplasty for intersex state ,,,948.0,25655.0,31
RC,490,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,490,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,490,Vancomycin ,,,14.76,14.76,3
RC,490,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,490,"Vaporizer, room type ",,,41.03,41.03,3
RC,490,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,490,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,490,Variable concentration mask ,,,0.94,0.94,3
RC,490,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,490,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,3
RC,490,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,19
RC,490,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,490,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,685.44,8858.0,33
RC,490,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,490,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,490,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,948.0,6680.0,19
RC,490,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,948.0,8858.0,31
RC,490,"Vasovasostomy, vasovasorrhaphy ",,,948.0,8858.0,31
RC,490,Vedolizumab ,,,42.04,42.04,3
RC,490,Velaglucerase alfa ,,,428.2,428.2,3
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,490,Ventilating tube removal requiring general anesthesia ,,,85.18,12360.0,33
RC,490,Ventilation Initiation and ,,,676.46,676.46,3
RC,490,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,276.0,5932.0,33
RC,490,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,357.81,5932.0,33
RC,490,Ventriculocisternostomy (Torkildsen type operation) ,,,948.0,36573.52,27
RC,490,"Ventriculocisternostomy, third ventricle; ",,,948.0,31305.55,27
RC,490,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,948.0,27498.06,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,948.0,25655.0,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,948.0,39735.94,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,948.0,25655.0,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,948.0,54638.86,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,948.0,25655.0,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,948.0,41662.98,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,948.0,49098.8,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,948.0,49192.16,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,948.0,49860.3,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,948.0,52463.24,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,948.0,55167.3,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,948.0,54584.53,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,948.0,57342.92,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,948.0,52696.31,81
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,948.0,44273.68,54
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,948.0,25655.0,27
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,948.0,43504.41,27
RC,490,Very long chain fatty acids ,,,21.53,21.53,3
RC,490,"Vesiculectomy, any approach ",,,948.0,25655.0,31
RC,490,Vesiculotomy; ,,,685.44,8858.0,33
RC,490,Vesiculotomy; complicated ,,,948.0,25655.0,31
RC,490,"Vestibular nerve section, transcranial approach ",,,948.0,39324.15,27
RC,490,"Vestibular nerve section, translabyrinthine approach ",,,930.95,23113.0,33
RC,490,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,490,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,490,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,490,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,490,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,490,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,490,Viscosity ,,,12.72,12.72,3
RC,490,Vitamin A ,,,12.65,12.65,3
RC,490,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,490,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,490,Vitamin K ,,,14.95,14.95,3
RC,490,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,490,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,1
RC,490,"Vitrectomy, mechanical, pars plana approach; ",,,1610.16,19415.0,27
RC,490,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1610.16,23113.0,28
RC,490,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1610.16,23113.0,28
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1610.16,18490.0,28
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1610.16,18490.0,28
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1610.16,23113.0,28
RC,490,Voice amplifier ,,,340.98,340.98,3
RC,490,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,948.0,6587.0,19
RC,490,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,490,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,490,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,490,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,490,Voriconazole ,,,29.55,29.55,3
RC,490,Vulvectomy simple; complete ,,,948.0,76895.0,33
RC,490,Vulvectomy simple; partial ,,,948.0,18490.0,33
RC,490,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,948.0,33877.23,27
RC,490,"Vulvectomy, radical, complete; ",,,948.0,27474.77,27
RC,490,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,948.0,34133.79,27
RC,490,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,948.0,29440.61,27
RC,490,"Vulvectomy, radical, partial; ",,,948.0,25655.0,31
RC,490,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,948.0,31608.47,27
RC,490,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,948.0,26783.34,27
RC,490,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1125.36,1125.36,3
RC,490,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,490,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,490,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,490,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,490,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,490,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,490,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,490,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,490,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,490,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,490,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,490,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,490,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,490,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,490,Washed red blood cells uni ,,,401.75,401.75,3
RC,490,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,490,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,490,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,490,Water pressure mattress ,,,29.3,29.3,3
RC,490,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,490,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,490,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,490,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,948.0,25655.0,31
RC,490,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,490,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,490,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,490,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,490,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,490,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,490,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,490,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,490,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,490,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,490,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,490,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,490,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,490,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,490,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,490,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,490,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,490,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,490,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,490,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,490,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,490,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,490,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,490,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,490,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,490,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,490,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,490,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,490,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,490,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,490,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,490,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,490,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,490,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,490,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,490,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,490,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,490,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,490,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,490,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,490,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,490,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,490,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,490,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,490,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,490,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,490,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,490,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,490,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,490,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,490,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,490,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,490,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,490,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,490,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,490,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,490,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,490,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,490,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,490,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,490,Whole blood for transfusio ,,,206.93,206.93,3
RC,490,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,490,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,490,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,490,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,490,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,490,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,11
RC,490,"Wound pouch, each ",,,21.65,21.65,3
RC,490,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,490,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,490,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,490,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,490,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,490,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,490,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,490,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,490,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,490,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,490,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,490,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,490,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,490,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,490,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,490,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,490,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,490,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,490,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,490,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,490,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,490,Zinc ,,,12.42,12.42,3
RC,490,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,490,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,490,Zonisamide ,,,14.44,14.44,3
RC,490,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,490,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,490,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,490,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,499, Ambulatory Surgical Care Other  ,,,15184.0,43180.0,7
RC,499,1 epidur inject-C/thor ,,,2152.0,6587.0,4
RC,499,1 epidural inject anes-L ,,,2152.0,6587.0,4
RC,499,1 inject anes-subarach ,,,2152.0,6587.0,4
RC,499,1 subar inject anes-cont ,,,2152.0,6587.0,4
RC,499,1 subar inject anes-diff ,,,2152.0,6587.0,4
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1200.05,17510.0,27
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1200.05,12360.0,27
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1200.05,17510.0,27
RC,499,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1200.05,12360.0,27
RC,499,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5694.0,25655.0,25
RC,499,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5694.0,25655.0,25
RC,499,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,499,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,499,510K Skin Substitute Produ ,,,136.26,136.26,3
RC,499,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,499,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,499,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,499,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,499,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,499,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,499,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,499,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,499,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,2152.0,2636.0,4
RC,499,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,499,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,499,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,499,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,499,ASPIRATE/INJECT THYRIOD CYST ,,,2152.0,6587.0,4
RC,499,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,499,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,499,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,1
RC,499,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,1
RC,499,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,Abatacept injection ,,,49.99,49.99,3
RC,499,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,7592.0,25655.0,25
RC,499,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,499,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2270.0,6587.0,15
RC,499,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2152.0,12499.0,25
RC,499,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2287.0,12875.0,15
RC,499,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2287.0,36378.78,15
RC,499,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1983.29,21630.0,27
RC,499,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2287.0,30408.2,14
RC,499,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2152.0,27335.06,25
RC,499,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,4877.66,33769.0,27
RC,499,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,499,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,499,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,499,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,499,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,499,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,499,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,499,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,499,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,499,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,3
RC,499,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,499,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,499,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,499,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,499,Acetaminophen ,,,20.32,20.32,3
RC,499,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,499,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,499,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,499,Acetylcholinesterase ,,,13.4,13.4,3
RC,499,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,499,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,499,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,499,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,499,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,499,Adalimumab ,,,42.04,42.04,3
RC,499,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,499,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,499,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,499,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,499,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,499,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,499,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,499,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,499,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,499,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,499,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,499,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,499,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,499,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,499,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,499,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,499,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,499,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,499,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,499,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,499,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,499,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,499,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,499,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,499,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,499,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,499,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,499,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,499,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,499,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,499,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,499,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,499,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,499,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,499,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,499,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,499,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,499,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,499,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,499,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,499,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,499,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,499,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,499,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,499,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,499,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,499,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,499,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,499,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,499,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,499,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,499,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,499,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,499,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,499,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,499,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,499,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,499,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,499,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,499,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,499,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,499,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,499,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,499,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,499,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,499,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,499,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,499,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,499,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,499,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,499,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,499,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,499,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,499,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,499,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,499,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,499,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,499,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,499,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,499,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,499,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,499,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,499,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,499,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,499,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,499,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,499,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,499,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,499,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,499,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,499,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,499,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,499,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,499,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,499,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,499,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,499,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,499,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,499,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,499,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,499,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,499,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,499,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,499,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,499,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,499,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,499,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,499,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,499,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,499,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,499,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,499,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,499,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,499,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,499,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,499,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,499,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,499,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,499,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,499,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,499,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,499,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,499,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,499,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,499,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,499,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,499,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,499,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,499,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,499,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,499,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,499,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,499,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,499,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,499,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,499,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,499,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,499,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,499,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,499,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,499,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,499,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,499,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,499,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,499,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,499,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,499,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,499,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,499,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,499,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,499,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,499,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,499,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,499,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,499,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,499,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,499,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,499,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,499,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,499,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,499,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,499,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,499,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,499,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,499,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,499,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,499,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,499,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,499,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,499,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,499,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,499,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,499,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,499,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,499,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,499,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,499,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,499,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,499,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,499,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,499,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,499,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,499,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,499,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,499,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,499,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,499,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,499,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,499,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,499,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,499,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,499,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,499,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,499,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,499,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,499,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,499,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,499,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,499,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,499,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,499,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,499,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,499,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,499,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,499,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,499,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,499,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,499,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,499,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,499,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,499,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,499,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,499,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,499,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,499,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,499,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,499,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,499,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,499,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,499,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,499,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,499,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,499,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,499,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,499,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,499,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,499,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,499,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,499,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,499,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,499,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,499,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,499,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,499,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,499,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,499,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,499,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,499,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,499,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,499,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,43890.0,9
RC,499,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,499,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,499,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,499,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,499,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,499,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,499,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,499,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,499,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,499,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,499,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,499,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,499,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,499,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,8
RC,499,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,499,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,499,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,10
RC,499,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,499,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,499,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,499,Adrenal tissue transplant to brain ,,,21210.0,23307.22,6
RC,499,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2152.0,25655.0,25
RC,499,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2152.0,27467.01,21
RC,499,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,499,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,499,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,499,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,499,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,499,Agalsidase beta injection ,,,253.66,253.66,3
RC,499,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,499,Air fluidized bed ,,,4606.97,4606.97,3
RC,499,Air pressure mattress ,,,25.02,25.02,3
RC,499,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,499,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,499,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,499,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,499,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,499,Albumin; ischemia modified ,,,36.99,36.99,3
RC,499,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,499,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,499,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,499,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,499,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,499,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,499,Aldesleukin injection ,,,3639.37,3639.37,3
RC,499,Aldolase ,,,10.58,10.58,3
RC,499,Aldosterone ,,,44.42,44.42,3
RC,499,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,499,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,499,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,499,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,499,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,499,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,499,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,499,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,499,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,499,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,499,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,499,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,499,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,499,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,499,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,499,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,499,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,499,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,499,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,499,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,499,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,499,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,499,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,499,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,499,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,499,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,499,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,499,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,499,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,499,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,499,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,499,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,499,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,499,Alteplase recombinant ,,,107.46,107.46,3
RC,499,Altuviiio per factor viii ,,,5.05,5.05,3
RC,499,Aluminum ,,,27.77,27.77,3
RC,499,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,499,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,499,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,499,Amikacin ,,,16.44,16.44,3
RC,499,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,499,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,499,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,499,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,499,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,499,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,499,Aminolevulinic acid hcl to ,,,424.32,424.32,3
RC,499,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,499,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,499,Amiodarone ,,,20.32,20.32,3
RC,499,Ammonia ,,,15.88,15.88,3
RC,499,Amniocentesis; diagnostic ,,,52.04,5932.0,21
RC,499,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,122.58,5932.0,21
RC,499,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,499,Amphotericin b liposome in ,,,21.63,21.63,3
RC,499,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,34001.63,21
RC,499,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2152.0,26837.67,21
RC,499,Amputation of penis; complete ,,,2214.0,25655.0,25
RC,499,Amputation of penis; partial ,,,1200.05,12360.0,27
RC,499,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,499,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,499,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,499,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,499,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,499,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,499,Amylase ,,,7.06,7.06,3
RC,499,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2152.0,58904.51,21
RC,499,Anastomosis; facial-hypoglossal ,,,2152.0,25655.0,21
RC,499,Anastomosis; facial-spinal accessory ,,,2152.0,28585.97,21
RC,499,Ancillary Outpatient Servi ,,,15249.85,15249.85,3
RC,499,Androstanediol glucuronide ,,,31.42,31.42,3
RC,499,Androstenedione ,,,31.92,31.92,3
RC,499,Androsterone ,,,27.85,27.85,3
RC,499,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,499,Angiotensin II ,,,22.37,22.37,3
RC,499,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,499,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,499,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,499,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,499,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,499,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,499,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,499,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,499,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,499,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,499,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,499,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,499,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,499,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,499,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,499,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,499,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,499,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,499,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,499,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,499,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,499,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,499,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,499,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,499,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,499,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,499,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,499,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,499,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,499,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,499,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,499,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,499,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,499,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,499,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,499,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,499,Anorectal manometry ,,,1266.0,2636.0,6
RC,499,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1481.0,5932.0,7
RC,499,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,499,Antepartum care only; 4-6 visits ,,,2152.0,7925.46,11
RC,499,Antepartum care only; 7 or more visits ,,,2152.0,13978.21,11
RC,499,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,499,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.34,18490.0,27
RC,499,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,3796.0,25655.0,25
RC,499,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,3796.0,25655.0,25
RC,499,Anti-inhibitor ,,,2.67,2.67,3
RC,499,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,499,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,499,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,499,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,499,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,499,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,499,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,499,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,499,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,499,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,499,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,499,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,499,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,499,Antibody; Aspergillus ,,,16.4,16.4,3
RC,499,Antibody; Bartonella ,,,11.1,11.1,3
RC,499,Antibody; Blastomyces ,,,14.06,14.06,3
RC,499,Antibody; Bordetella ,,,14.38,14.38,3
RC,499,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,499,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,499,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,499,Antibody; Brucella ,,,9.73,9.73,3
RC,499,Antibody; Campylobacter ,,,14.3,14.3,3
RC,499,Antibody; Candida ,,,13.09,13.09,3
RC,499,Antibody; Chlamydia ,,,12.88,12.88,3
RC,499,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,499,Antibody; Coccidioides ,,,12.5,12.5,3
RC,499,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,499,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,499,Antibody; Diphtheria ,,,16.58,16.58,3
RC,499,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,499,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,499,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,499,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,499,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,499,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,499,Antibody; HIV-1 ,,,9.69,9.69,3
RC,499,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,499,Antibody; HIV-2 ,,,14.74,14.74,3
RC,499,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,499,Antibody; HTLV-I ,,,9.91,9.91,3
RC,499,Antibody; HTLV-II ,,,15.26,15.26,3
RC,499,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,499,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,499,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,499,Antibody; Legionella ,,,16.68,16.68,3
RC,499,Antibody; Leishmania ,,,13.35,13.35,3
RC,499,Antibody; Leptospira ,,,17.66,17.66,3
RC,499,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,499,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,499,Antibody; Nocardia ,,,17.43,17.43,3
RC,499,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,499,Antibody; Rickettsia ,,,21.09,21.09,3
RC,499,Antibody; Salmonella ,,,14.38,14.38,3
RC,499,Antibody; Shigella ,,,26.68,26.68,3
RC,499,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,499,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,499,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,499,Antibody; Trichinella ,,,13.69,13.69,3
RC,499,Antibody; West Nile virus ,,,15.69,15.69,3
RC,499,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,499,Antibody; Yersinia ,,,14.38,14.38,3
RC,499,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,499,Antibody; actinomyces ,,,11.1,11.1,3
RC,499,Antibody; adenovirus ,,,14.03,14.03,3
RC,499,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,499,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,499,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,499,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,499,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,499,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,499,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,499,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,499,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,499,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,499,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,499,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,499,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,499,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,499,Antibody; histoplasma ,,,15.03,15.03,3
RC,499,Antibody; influenza virus ,,,14.77,14.77,3
RC,499,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,499,Antibody; mucormycosis ,,,16.35,16.35,3
RC,499,Antibody; mumps ,,,14.22,14.22,3
RC,499,Antibody; mycoplasma ,,,14.43,14.43,3
RC,499,Antibody; parvovirus ,,,16.38,16.38,3
RC,499,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,499,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,499,Antibody; rotavirus ,,,19.87,19.87,3
RC,499,Antibody; rubella ,,,15.69,15.69,3
RC,499,Antibody; rubeola ,,,14.04,14.04,3
RC,499,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,499,Antibody; tetanus ,,,16.13,16.13,3
RC,499,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,499,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,499,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,499,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,499,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,499,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,499,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,499,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,499,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,499,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,499,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,499,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,499,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,499,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,499,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,499,"Apolipoprotein, each ",,,22.99,22.99,3
RC,499,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,499,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,499,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,499,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,499,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,499,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,499,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,499,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,499,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,499,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,499,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,499,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,499,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,499,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,14
RC,499,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,14
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,22
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,6
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,12
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,6
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,12499.0,16
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,6
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,12
RC,499,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,499,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,3196.1,3512.12,6
RC,499,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,499,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,499,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,499,Aqueous shunt ,,,855.38,855.38,3
RC,499,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,2167.86,18490.0,27
RC,499,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2091.35,19415.0,27
RC,499,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,499,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,499,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,499,"Arm rest, each ",,,23.28,23.28,3
RC,499,Arsenic ,,,20.68,20.68,3
RC,499,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,25655.0,20
RC,499,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,13
RC,499,"Arthroereisis, subtalar ",,,21210.0,23307.22,6
RC,499,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,23307.22,6
RC,499,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,2636.0,5
RC,499,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,25655.0,20
RC,499,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,2587.42,6
RC,499,Artificial cornea ,,,8791.45,8791.45,3
RC,499,Artificial insemination; intra-cervical ,,,267.26,3092.0,21
RC,499,Artificial insemination; intra-uterine ,,,282.68,3092.0,21
RC,499,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,499,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,499,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,499,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,270.48,5932.0,27
RC,499,"Aspiration and/or injection, thyroid cyst ",,,62.5,5932.0,27
RC,499,Aspiration of bladder; by needle ,,,38.37,5932.0,27
RC,499,Aspiration of bladder; by trocar or intracatheter ,,,103.77,5932.0,27
RC,499,Aspiration of bladder; with insertion of suprapubic catheter ,,,685.44,8858.0,27
RC,499,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,892.44,8858.0,27
RC,499,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,499,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,499,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,499,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,499,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,499,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,499,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,499,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,499,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,499,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,6
RC,499,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,6
RC,499,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,499,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,499,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,499,Axillary crutch extension ,,,246.97,246.97,3
RC,499,Azathioprine parenteral ,,,277.69,277.69,3
RC,499,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,499,"B cells, total count ",,,41.13,41.13,3
RC,499,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,499,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,499,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,499,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,499,BIOPSY EYE MUSCLE ,,,2152.0,6587.0,4
RC,499,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,499,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,499,BRAIN SURGERY USING COMPUTER ,,,2152.0,6587.0,4
RC,499,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,499,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,499,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,499,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,499,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,499,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,499,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,499,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,499,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,499,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,499,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,499,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1481.0,2636.0,9
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2152.0,25655.0,21
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2152.0,25655.0,21
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2152.0,25655.0,21
RC,499,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2152.0,31872.58,21
RC,499,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2152.0,34149.32,21
RC,499,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,499,"Balance lens, per lens ",,,70.71,70.71,3
RC,499,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2152.0,31577.42,21
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,21
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,21
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2152.0,16144.0,21
RC,499,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1481.0,5932.0,13
RC,499,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,499,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,499,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,499,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,499,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,499,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,499,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,499,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,499,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,499,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,499,"Bed cradle, any type ",,,42.41,42.41,3
RC,499,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,499,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,499,"Bed side rails, full length ",,,149.47,149.47,3
RC,499,"Bed side rails, half length ",,,14.69,14.69,3
RC,499,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,499,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,499,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,499,Belatacept injection ,,,4.23,4.23,3
RC,499,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,499,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,499,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,499,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,499,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,499,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,499,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,499,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,499,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,499,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,499,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,499,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,499,Beta-2 microglobulin ,,,17.64,17.64,3
RC,499,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,499,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,499,Bevacizumab injection ,,,81.56,81.56,3
RC,499,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2152.0,54817.59,21
RC,499,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,499,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,499,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,499,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2152.0,45780.94,21
RC,499,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2152.0,49712.62,21
RC,499,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2152.0,31064.51,21
RC,499,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,499,Bile acids; total ,,,18.66,18.66,3
RC,499,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,499,Bilirubin; direct ,,,5.47,5.47,3
RC,499,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,499,Bilirubin; total ,,,5.47,5.47,3
RC,499,Biofeedback training by any modality ,,,39.38,44.74,6
RC,499,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,499,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,499,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,1200.05,8485.0,27
RC,499,Biopsy external auditory canal ,,,99.71,25655.0,23
RC,499,Biopsy external ear ,,,57.56,3092.0,23
RC,499,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,95.93,5932.0,27
RC,499,Biopsy of conjunctiva ,,,113.96,8485.0,27
RC,499,Biopsy of cornea ,,,733.22,6680.0,27
RC,499,"Biopsy of epididymis, needle ",,,510.77,5932.0,27
RC,499,Biopsy of extraocular muscle ,,,1158.59,12360.0,27
RC,499,Biopsy of lacrimal gland ,,,733.22,8858.0,27
RC,499,Biopsy of lacrimal sac ,,,733.22,8858.0,27
RC,499,Biopsy of nerve ,,,692.94,8858.0,27
RC,499,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1116.7,9908.0,27
RC,499,Biopsy of penis; (separate procedure) ,,,510.77,5932.0,27
RC,499,Biopsy of penis; deep structures ,,,855.96,8858.0,27
RC,499,"Biopsy of spinal cord, percutaneous needle ",,,510.77,5932.0,27
RC,499,"Biopsy of testis, incisional (separate procedure) ",,,1200.05,8858.0,27
RC,499,"Biopsy of testis, needle (separate procedure) ",,,855.96,6492.89,27
RC,499,Biopsy of urethra ,,,685.44,8858.0,27
RC,499,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,1116.7,8858.0,27
RC,499,Biopsy of vaginal mucosa; simple (separate procedure) ,,,49.41,5932.0,27
RC,499,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,47.09,5932.0,27
RC,499,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,499,"Biopsy thyroid, percutaneous core needle ",,,44.76,5932.0,27
RC,499,"Biopsy, prostate, any approach, nonimaging-guided ",,,1200.05,6680.0,27
RC,499,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,8
RC,499,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2287.0,15338.2,14
RC,499,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2287.0,15338.2,14
RC,499,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2287.0,10083.72,14
RC,499,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2287.0,10083.72,14
RC,499,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2287.0,10083.72,14
RC,499,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2287.0,10083.72,14
RC,499,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2287.0,10083.72,14
RC,499,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2287.0,10083.72,14
RC,499,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,685.44,4723.0,7
RC,499,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,499,Bladder instillation of anticarcinogenic agent (including retention time) ,,,47.09,6587.0,23
RC,499,"Bladder irrigation, simple, lavage and/or instillation ",,,46.52,6587.0,27
RC,499,Bleeding time ,,,5.25,5.25,3
RC,499,"Blepharotomy, drainage of abscess, eyelid ",,,113.7,5932.0,27
RC,499,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,14
RC,499,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,25655.0,21
RC,499,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,21256.09,27301.4,9
RC,499,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,21538.0,35001.4,9
RC,499,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,14
RC,499,Blood component/product no ,,,38.5,38.5,3
RC,499,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,499,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,499,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,499,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,499,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,499,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,499,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,499,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,499,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,499,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,499,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,499,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,499,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,499,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,499,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,499,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,499,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,499,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,499,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,499,Blood split unit ,,,169.87,169.87,3
RC,499,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,499,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,499,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,499,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,499,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,499,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,499,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,499,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,499,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,499,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,499,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,499,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,499,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,499,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,499,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,6
RC,499,Bradykinin ,,,5.62,5.62,3
RC,499,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,499,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,499,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,499,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,499,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,499,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,499,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,499,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,499,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,6
RC,499,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,6
RC,499,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,6
RC,499,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1481.0,2636.0,5
RC,499,Breathing circuits ,,,11.75,11.75,3
RC,499,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,499,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,499,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,499,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,499,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,13
RC,499,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,10
RC,499,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,25655.0,11
RC,499,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,16
RC,499,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,499,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,20
RC,499,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,20
RC,499,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,499,Bundle of His recording ,,,12830.85,43890.0,14
RC,499,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,499,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,499,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2152.0,25655.0,21
RC,499,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2152.0,25655.0,21
RC,499,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2152.0,25655.0,21
RC,499,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2152.0,28702.4,21
RC,499,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2152.0,30924.8,21
RC,499,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2152.0,25655.0,21
RC,499,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2152.0,28857.84,21
RC,499,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2152.0,25655.0,21
RC,499,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2152.0,28376.19,21
RC,499,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,499,C-peptide ,,,22.68,22.68,3
RC,499,C-reactive protein; ,,,5.65,5.65,3
RC,499,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,499,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,499,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,499,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,499,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,499,CATHETERIZE MIDDLE EAR CANAL ,,,2152.0,6587.0,4
RC,499,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,499,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,499,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,499,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,499,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,499,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,499,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,499,CHANGE KIDNEY TUBE ,,,2152.0,6587.0,4
RC,499,CIRCUMCISION ,,,2152.0,6587.0,4
RC,499,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,1
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,499,CONTROL POSTOP BLEEDING ,,,2152.0,6587.0,4
RC,499,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,2152.0,16144.0,5
RC,499,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,2152.0,16144.0,5
RC,499,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,499,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,499,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,499,CT and CTA without Contras ,,,242.29,242.29,3
RC,499,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,499,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,499,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,499,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,499,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,499,"CYSTOSCOPY, RESECT DUCTS ",,,2152.0,6587.0,4
RC,499,Cabazitaxel injection ,,,254.77,254.77,3
RC,499,Cadmium ,,,25.77,25.77,3
RC,499,Caffeine ,,,42.04,42.04,3
RC,499,Calcitonin ,,,29.2,29.2,3
RC,499,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,499,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,499,Calcium; ionized ,,,14.91,14.91,3
RC,499,Calcium; total ,,,5.62,5.62,3
RC,499,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,499,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,499,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,499,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,499,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,499,"Calprotectin, fecal ",,,21.4,21.4,3
RC,499,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,499,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,499,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,499,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,499,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,499,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,499,"Cannula, nasal ",,,1.13,1.13,3
RC,499,"Cantharidin top, applicato ",,,757.78,757.78,3
RC,499,Canthoplasty (reconstruction of canthus) ,,,733.22,8858.0,27
RC,499,Canthotomy (separate procedure) ,,,733.22,8858.0,27
RC,499,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,499,Capsaicin 8% patch ,,,3.82,3.82,3
RC,499,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,499,Carbamazepine; free ,,,14.44,14.44,3
RC,499,Carbamazepine; total ,,,15.88,15.88,3
RC,499,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,499,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,499,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,499,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,499,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,499,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,499,Cardiac Rehabilitation ,,,141.15,141.15,3
RC,499,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,499,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,499,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,1481.0,2174.0,4
RC,499,Cardioassist-method of circulatory assist; external ,,,2152.0,16144.0,8
RC,499,Cardioassist-method of circulatory assist; internal ,,,2152.0,16144.0,14
RC,499,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,499,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,499,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,551.76,2636.0,11
RC,499,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,15
RC,499,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1169.48,3293.0,15
RC,499,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,499,Carmustine injection ,,,261.61,261.61,3
RC,499,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,499,Carotene ,,,10.05,10.05,3
RC,499,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,499,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,499,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,499,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,499,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,499,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,499,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,499,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,499,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,499,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,499,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,499,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,499,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,499,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,499,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,499,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,499,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,499,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,499,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,499,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,499,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,499,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,499,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,499,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,499,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,499,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,499,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,499,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,499,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,499,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,499,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,499,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,499,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,499,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,499,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,499,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,499,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,499,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,499,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,499,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,499,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,499,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,499,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,499,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,499,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,499,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,499,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,499,"Caster pin lock, each ",,,46.34,46.34,3
RC,499,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,499,Catecholamines; blood ,,,31.7,31.7,3
RC,499,Catecholamines; fractionated ,,,27.52,27.52,3
RC,499,Catecholamines; total urine ,,,29.76,29.76,3
RC,499,Cathepsin-D ,,,19.69,19.69,3
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,12875.0,10
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,12875.0,10
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,42
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,13254.68,9
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,12875.0,40
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,12875.0,30
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,13254.68,9
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,12875.0,9
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,6
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,9119.84,22644.0,14
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,22644.0,38
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9119.84,22644.0,28
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,33769.0,51
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9119.84,22644.0,14
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,14
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,23113.0,14
RC,499,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1481.0,5932.0,13
RC,499,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,499,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,13
RC,499,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,508.76,6587.0,15
RC,499,"Cautery of cervix; cryocautery, initial or repeat ",,,110.18,5932.0,27
RC,499,Cautery of cervix; electro or thermal ,,,83.14,25655.0,27
RC,499,Cautery of cervix; laser ablation ,,,1116.7,8858.0,27
RC,499,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,499,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,499,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,499,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,499,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,499,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,499,"Cerclage of cervix, during pregnancy; abdominal ",,,2152.0,25655.0,25
RC,499,"Cerclage of cervix, during pregnancy; vaginal ",,,1116.7,8858.0,27
RC,499,"Cerclage of uterine cervix, nonobstetrical ",,,2187.0,8858.0,25
RC,499,Ceruloplasmin ,,,11.71,11.71,3
RC,499,Cervical head harness/halter ,,,30.83,30.83,3
RC,499,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,499,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,499,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,499,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,499,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,499,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,499,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,499,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,499,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,499,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,499,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,499,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,499,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,499,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,499,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,499,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,499,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2152.0,25655.0,17
RC,499,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2152.0,29129.93,11
RC,499,Cesarean delivery only; ,,,2152.0,25655.0,20
RC,499,Cesarean delivery only; including postpartum care ,,,2152.0,28282.84,18
RC,499,Cetuximab injection ,,,89.02,89.02,3
RC,499,Change of cystostomy tube; complicated ,,,250.06,6587.0,27
RC,499,Change of cystostomy tube; simple ,,,54.36,6587.0,27
RC,499,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,685.44,5932.0,27
RC,499,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,20
RC,499,Chemiluminescent assay ,,,15.39,15.39,3
RC,499,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,6
RC,499,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,6
RC,499,Chemodenervation of eccrine glands; both axillae ,,,53.19,5932.0,27
RC,499,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,60.75,5932.0,27
RC,499,Chemodenervation of extraocular muscle ,,,107.27,5932.0,27
RC,499,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,78.19,6587.0,27
RC,499,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,68.02,5932.0,27
RC,499,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,62.21,5932.0,27
RC,499,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,60.16,5932.0,27
RC,499,Chemodenervation of one extremity; 1-4 muscle(s) ,,,72.09,5932.0,27
RC,499,Chemodenervation of one extremity; 5 or more muscles ,,,89.82,5932.0,27
RC,499,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,499,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,499,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,70.93,5932.0,27
RC,499,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,72.09,5932.0,27
RC,499,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,79.06,5932.0,27
RC,499,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,499,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,499,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,499,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,499,Chloramphenicol ,,,13.81,13.81,3
RC,499,Chloride; blood ,,,5.01,5.01,3
RC,499,Chloride; other source ,,,5.45,5.45,3
RC,499,Chloride; urine ,,,6.27,6.27,3
RC,499,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,499,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,499,Choline c-11 ,,,2742.91,2742.91,3
RC,499,Cholinesterase; RBC ,,,10.69,10.69,3
RC,499,Cholinesterase; serum ,,,8.58,8.58,3
RC,499,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,499,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,499,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,499,"Chorionic villus sampling, any method ",,,52.32,3293.0,23
RC,499,Chromium ,,,22.11,22.11,3
RC,499,Chromogenic substrate assay ,,,12.96,12.96,3
RC,499,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,499,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,499,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,499,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,499,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,499,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,499,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,499,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,499,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,499,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,499,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,499,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,499,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,499,"Chromotubation of oviduct, including materials ",,,5694.0,12360.0,25
RC,499,Cidofovir injection ,,,583.95,583.95,3
RC,499,Ciliary body destruction; cryotherapy ,,,733.22,8858.0,27
RC,499,Ciliary body destruction; cyclodialysis ,,,733.22,8858.0,27
RC,499,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,892.44,8858.0,27
RC,499,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,733.22,8858.0,27
RC,499,Ciliary body destruction; diathermy ,,,892.44,6680.0,27
RC,499,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,499,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,250.06,8858.0,27
RC,499,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,685.44,8858.0,27
RC,499,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,685.44,8858.0,27
RC,499,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,113.56,5932.0,27
RC,499,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,113.56,5932.0,27
RC,499,Citrate ,,,30.3,30.3,3
RC,499,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,499,Clinic Visits and Related ,,,145.78,145.78,3
RC,499,Clitoroplasty for intersex state ,,,1116.7,25655.0,23
RC,499,Closure of cystostomy (separate procedure) ,,,1200.05,8858.0,27
RC,499,Closure of lacrimal fistula (separate procedure) ,,,733.22,19415.0,27
RC,499,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1266.0,26107.22,25
RC,499,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2152.0,33131.47,21
RC,499,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2152.0,35516.87,21
RC,499,Closure of rectovaginal fistula; abdominal approach ,,,2152.0,25655.0,25
RC,499,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,2152.0,25655.0,21
RC,499,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,3796.0,25655.0,21
RC,499,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1116.7,9908.0,27
RC,499,"Closure of the lacrimal punctum; by plug, each ",,,82.55,5932.0,27
RC,499,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,113.7,5932.0,27
RC,499,Closure of ureterocutaneous fistula ,,,2152.0,25655.0,21
RC,499,Closure of ureterovisceral fistula (including visceral repair) ,,,2152.0,25655.0,21
RC,499,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,1773.9,12360.0,27
RC,499,Closure of urethrovaginal fistula; ,,,2390.64,18770.08,27
RC,499,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,5694.0,25655.0,25
RC,499,Closure of vesicouterine fistula; ,,,3796.0,25655.0,25
RC,499,Closure of vesicouterine fistula; with hysterectomy ,,,2152.0,25655.0,21
RC,499,"Closure of vesicovaginal fistula, abdominal approach ",,,5694.0,25655.0,25
RC,499,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,5694.0,25655.0,21
RC,499,Closure of vesicovaginal fistula; vaginal approach ,,,1603.34,12360.0,27
RC,499,"Closure postauricular fistula, mastoid (separate procedure) ",,,441.67,9908.0,27
RC,499,"Closure, exstrophy of bladder ",,,2152.0,36923.22,21
RC,499,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,499,Clot retraction ,,,17.77,17.77,3
RC,499,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,499,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,499,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,499,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,499,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,499,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,499,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,499,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,499,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,499,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,499,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,499,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,499,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,499,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,499,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,499,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,499,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,499,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,499,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,499,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,499,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,499,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,499,Clozapine ,,,21.96,21.96,3
RC,499,Clubfoot wedge ,,,66.8,66.8,3
RC,499,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,499,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,499,Coagulation time; activated ,,,4.67,4.67,3
RC,499,Coagulation time; other methods ,,,4.89,4.89,3
RC,499,Cochlear Implant Procedure ,,,36103.38,36103.38,3
RC,499,"Cochlear device implantation, with or without mastoidectomy ",,,8325.0,111180.0,26
RC,499,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,499,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,499,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,499,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,499,Cold agglutinin; screen ,,,8.8,8.8,3
RC,499,Cold agglutinin; titer ,,,8.79,8.79,3
RC,499,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,499,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,499,"Collagen cross links, any method ",,,20.36,20.36,3
RC,499,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,499,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,499,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,499,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,499,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,16144.0,14
RC,499,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,499,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1481.0,2174.0,4
RC,499,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1266.0,6680.0,25
RC,499,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1266.0,6680.0,25
RC,499,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,499,Colorectal cancer screening; flexible sigmoidoscopy ,,,890.09,5932.0,19
RC,499,Colpocentesis (separate procedure) ,,,1603.34,11960.31,27
RC,499,Colpocleisis (Le Fort type) ,,,1603.34,25655.0,27
RC,499,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,1116.7,8858.0,27
RC,499,"Colpopexy, abdominal approach ",,,3796.0,25655.0,25
RC,499,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,7592.0,25655.0,25
RC,499,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,7592.0,25655.0,25
RC,499,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,25655.0,20
RC,499,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,1116.7,8858.0,27
RC,499,Colposcopy of the cervix including upper/adjacent vagina; ,,,59.59,6680.0,27
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,73.54,5932.0,27
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,68.31,6680.0,27
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,69.76,5932.0,27
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,183.14,25655.0,27
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,194.48,9908.0,27
RC,499,"Colposcopy of the entire vagina, with cervix if present; ",,,60.75,5932.0,27
RC,499,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,79.95,5932.0,27
RC,499,Colposcopy of the vulva; ,,,57.86,5932.0,27
RC,499,Colposcopy of the vulva; with biopsy(s) ,,,76.17,5932.0,27
RC,499,Colpotomy; with drainage of pelvic abscess ,,,1116.7,8858.0,27
RC,499,Colpotomy; with exploration ,,,1116.7,8858.0,27
RC,499,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,499,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,499,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,499,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.34,18490.0,27
RC,499,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.34,23113.0,27
RC,499,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,499,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,499,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,499,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,499,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,499,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,499,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,499,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,499,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,499,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,499,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,499,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,499,"Complement; antigen, each component ",,,13.08,13.08,3
RC,499,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,499,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,499,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,499,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,499,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,6
RC,499,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,6
RC,499,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,6
RC,499,Complex GI Procedures ,,,6647.43,6647.43,3
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,115.66,6587.0,27
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,229.65,6587.0,27
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,233.43,6587.0,27
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,233.71,6587.0,27
RC,499,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,499,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,301.6,6587.0,21
RC,499,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,499,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,43890.0,12
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,43890.0,12
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,12830.85,43890.0,14
RC,499,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,57218.76,30
RC,499,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,25253.0,43890.0,8
RC,499,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,57218.76,15
RC,499,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,499,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,499,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,1481.0,6587.0,9
RC,499,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,499,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,499,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,499,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,499,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,499,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,499,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,499,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,499,"Congo red, blood ",,,5.4,5.4,3
RC,499,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,1116.7,8858.0,27
RC,499,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,1116.7,8858.0,27
RC,499,Conjunctival flap; bridge or partial (separate procedure) ,,,1158.59,12360.0,27
RC,499,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,733.22,8858.0,27
RC,499,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,733.22,19415.0,27
RC,499,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1158.59,19415.0,27
RC,499,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1158.59,19415.0,27
RC,499,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,733.22,19415.0,27
RC,499,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1158.59,19415.0,27
RC,499,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1158.59,19415.0,27
RC,499,Construction of artificial vagina; with graft ,,,5694.0,25655.0,25
RC,499,Construction of artificial vagina; without graft ,,,1603.34,18490.0,27
RC,499,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,733.22,9908.0,27
RC,499,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,733.22,9908.0,27
RC,499,Cont epidur inject-lumb ,,,2152.0,6587.0,4
RC,499,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,499,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,499,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,499,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,499,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,499,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,499,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,499,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,499,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,499,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,499,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,499,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,499,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,499,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,499,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,499,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,499,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,499,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,499,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2152.0,37358.31,21
RC,499,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1481.0,2636.0,5
RC,499,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,499,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,499,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,499,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,20
RC,499,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,685.44,8485.0,27
RC,499,Copper ,,,13.53,13.53,3
RC,499,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,499,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,6
RC,499,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,6
RC,499,"Cordocentesis (intrauterine), any method ",,,590.17,2636.0,21
RC,499,Corneal relaxing incision for correction of surgically induced astigmatism ,,,351.98,19415.0,27
RC,499,Corneal wedge resection for correction of surgically induced astigmatism ,,,733.22,19415.0,27
RC,499,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,499,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,2152.0,25655.0,21
RC,499,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1200.05,19415.0,27
RC,499,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1200.05,19415.0,27
RC,499,"Correction of everted punctum, cautery ",,,113.7,5932.0,27
RC,499,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,733.22,9908.0,27
RC,499,Correction of lid retraction ,,,733.22,9908.0,27
RC,499,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,70.63,3092.0,23
RC,499,"Correction of trichiasis; epilation, by forceps only ",,,237.69,2636.0,21
RC,499,Correction of trichiasis; incision of lid margin ,,,351.98,6680.0,27
RC,499,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,733.22,8858.0,27
RC,499,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,499,Corticosterone ,,,24.55,24.55,3
RC,499,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,499,Cortisol; free ,,,18.21,18.21,3
RC,499,Cortisol; total ,,,17.77,17.77,3
RC,499,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1481.0,2636.0,9
RC,499,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,8024.0,21630.0,21
RC,499,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,499,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,499,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,499,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,499,Cr51 chromate ,,,2090.58,2090.58,3
RC,499,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,499,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,499,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,499,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,499,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2152.0,33815.14,21
RC,499,Craniectomy for craniosynostosis; single cranial suture ,,,2152.0,25655.0,21
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2152.0,85726.66,21
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2152.0,62976.11,21
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2152.0,67404.97,21
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2152.0,72820.62,21
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2152.0,41390.89,21
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2152.0,46954.23,21
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2152.0,47311.7,21
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2152.0,45097.27,21
RC,499,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2152.0,35571.2,21
RC,499,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2152.0,54242.59,21
RC,499,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2152.0,54196.02,21
RC,499,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2152.0,47941.03,21
RC,499,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2152.0,43170.23,21
RC,499,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2152.0,45578.92,21
RC,499,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2152.0,37412.64,21
RC,499,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2152.0,42362.17,21
RC,499,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2152.0,44545.55,21
RC,499,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2152.0,76099.69,21
RC,499,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2152.0,70769.41,21
RC,499,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2152.0,48912.31,21
RC,499,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2152.0,47296.17,21
RC,499,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2152.0,49782.69,21
RC,499,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2152.0,45749.89,21
RC,499,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2152.0,47956.55,21
RC,499,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2152.0,43512.18,21
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2152.0,43481.13,21
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2152.0,49798.21,21
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2152.0,58127.7,21
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2152.0,42315.6,21
RC,499,Craniectomy; for osteomyelitis ,,,2152.0,25773.26,21
RC,499,Craniectomy; with excision of tumor or other bone lesion of skull ,,,8024.0,33769.0,25
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2152.0,54693.19,21
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2152.0,59176.59,21
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2152.0,68834.61,21
RC,499,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2152.0,65454.65,21
RC,499,Cranioplasty for skull defect with reparative brain surgery ,,,2152.0,31880.34,21
RC,499,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2152.0,25788.78,21
RC,499,Cranioplasty for skull defect; up to 5 cm diameter ,,,2152.0,25655.0,21
RC,499,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2152.0,32610.79,21
RC,499,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2152.0,26627.89,21
RC,499,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2152.0,38399.44,21
RC,499,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2152.0,38982.2,21
RC,499,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2152.0,52408.91,21
RC,499,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2152.0,36068.59,21
RC,499,"Craniotomy for repair of encephalocele, skull base ",,,2152.0,35532.39,21
RC,499,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2152.0,58453.9,21
RC,499,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2152.0,72276.88,21
RC,499,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2152.0,36860.92,21
RC,499,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2152.0,43512.18,21
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2152.0,54110.43,21
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2152.0,49005.66,21
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2152.0,60831.54,21
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2152.0,56301.57,21
RC,499,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2152.0,56674.56,21
RC,499,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2152.0,47956.55,21
RC,499,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2152.0,25655.0,21
RC,499,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2152.0,50404.26,21
RC,499,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2152.0,34545.59,21
RC,499,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2152.0,48725.82,21
RC,499,Creatine ,,,5.06,5.06,3
RC,499,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,499,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,499,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,499,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,499,Creatinine; blood ,,,5.58,5.58,3
RC,499,Creatinine; clearance ,,,10.31,10.31,3
RC,499,Creatinine; other source ,,,5.65,5.65,3
RC,499,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,6587.0,25655.0,21
RC,499,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2152.0,36363.74,21
RC,499,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,692.94,9908.0,27
RC,499,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,692.94,9908.0,27
RC,499,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,692.94,9012.0,27
RC,499,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2152.0,25655.0,21
RC,499,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,5286.0,25655.0,25
RC,499,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2152.0,25655.0,21
RC,499,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2152.0,25655.0,21
RC,499,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2152.0,25655.0,21
RC,499,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2152.0,25655.0,21
RC,499,Critical Care ,,,904.47,904.47,3
RC,499,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,499,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,499,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,499,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,499,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,499,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,499,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,499,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,499,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,499,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,499,Cryofibrinogen ,,,15.41,15.41,3
RC,499,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,499,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,499,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,499,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,499,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,6
RC,499,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,7008.0,55080.0,21
RC,499,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,499,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,499,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,499,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,499,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,499,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,499,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,499,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,499,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,499,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,499,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,499,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,499,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,499,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,499,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,499,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,499,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,499,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,499,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,499,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,499,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,499,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,499,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,499,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,499,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,499,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,499,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,499,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,499,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,499,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,499,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,499,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,499,"Culture, typing; other methods ",,,8.44,8.44,3
RC,499,"Curettage, postpartum ",,,1116.7,9908.0,27
RC,499,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,499,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,499,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,499,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,499,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,499,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,499,Cutaneous appendico-vesicostomy ,,,2152.0,28096.35,21
RC,499,Cutaneous vesicostomy ,,,3796.0,25655.0,21
RC,499,Cyanide ,,,21.15,21.15,3
RC,499,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,499,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,499,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,499,Cyclosporine ,,,19.67,19.67,3
RC,499,Cystatin C ,,,20.19,20.19,3
RC,499,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2152.0,52968.39,21
RC,499,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2152.0,43488.89,21
RC,499,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,49223.2,21
RC,499,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2152.0,42556.42,21
RC,499,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,47436.1,21
RC,499,"Cystectomy, complete; (separate procedure) ",,,2152.0,33131.47,21
RC,499,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,40994.62,21
RC,499,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2152.0,29176.5,21
RC,499,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2152.0,28508.14,21
RC,499,"Cystectomy, partial; simple ",,,2152.0,25655.0,21
RC,499,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,499,Cysto w Bx/fulgur les ,,,2152.0,6587.0,4
RC,499,Cysto w lithotripsy ,,,2152.0,6587.0,4
RC,499,Cysto w rmvl/manip CAL ,,,2152.0,6587.0,4
RC,499,Cysto w tumor resection ,,,2152.0,6587.0,4
RC,499,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1773.9,19415.0,27
RC,499,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2152.0,25655.0,25
RC,499,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,5694.0,25655.0,25
RC,499,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,3796.0,25655.0,25
RC,499,"Cystostomy, cystotomy with drainage ",,,685.44,19415.0,27
RC,499,"Cystotomy for excision, incision, or repair of ureterocele ",,,3796.0,25655.0,21
RC,499,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1200.05,19415.0,27
RC,499,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,3796.0,5381.0,5
RC,499,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1200.05,19415.0,27
RC,499,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,685.44,19415.0,27
RC,499,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,5694.0,25655.0,21
RC,499,Cystotomy; for excision of bladder tumor ,,,5694.0,25655.0,21
RC,499,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1200.05,19415.0,27
RC,499,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2152.0,25655.0,25
RC,499,Cystourethroscopy ,,,2152.0,6587.0,4
RC,499,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1773.9,19415.0,27
RC,499,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,1200.05,8858.0,27
RC,499,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1200.05,18490.0,27
RC,499,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,2550.35,17510.0,27
RC,499,Cystourethroscopy (separate procedure) ,,,250.06,3293.0,23
RC,499,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,250.06,6680.0,27
RC,499,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,20
RC,499,Cystourethroscopy with direct vision internal urethrotomy ,,,685.44,9908.0,27
RC,499,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1200.05,9908.0,27
RC,499,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2287.0,27080.2,14
RC,499,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1200.05,25080.0,27
RC,499,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2287.0,25892.02,15
RC,499,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1200.05,9908.0,27
RC,499,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,1200.05,8451.91,27
RC,499,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,3796.0,9908.0,25
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1773.9,11848.54,27
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,499,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,20
RC,499,"Cystourethroscopy, with biopsy(s) ",,,685.44,8858.0,27
RC,499,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,685.44,6680.0,27
RC,499,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,685.44,6680.0,27
RC,499,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,234.3,6680.0,27
RC,499,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,250.06,6680.0,27
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1773.9,11848.54,27
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1200.05,9908.0,27
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,1200.05,8858.0,27
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,1200.05,8858.0,27
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,1200.05,8858.0,27
RC,499,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,685.44,9868.0,27
RC,499,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1200.05,8858.0,23
RC,499,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1237.43,5932.0,19
RC,499,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1481.0,9908.0,19
RC,499,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1200.05,12499.0,27
RC,499,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,12499.0,11
RC,499,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,3796.0,19415.0,25
RC,499,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,25655.0,25
RC,499,"Cystourethroscopy, with internal urethrotomy; female ",,,685.44,6680.0,27
RC,499,"Cystourethroscopy, with internal urethrotomy; male ",,,685.44,8858.0,27
RC,499,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,2152.0,13804.22,24
RC,499,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,685.44,8858.0,27
RC,499,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,685.44,6680.0,27
RC,499,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,1200.05,8858.0,27
RC,499,"Cystourethroscopy, with steroid injection into stricture ",,,685.44,8858.0,27
RC,499,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,685.44,8858.0,23
RC,499,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,1200.05,8858.0,27
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,12499.0,16
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,7
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1200.05,9908.0,27
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1773.9,19415.0,27
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,6
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1773.9,17510.0,20
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1773.9,17510.0,23
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1200.05,19415.0,27
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1773.9,19415.0,27
RC,499,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,1773.9,11848.54,27
RC,499,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1200.05,9908.0,27
RC,499,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,1200.05,8858.0,27
RC,499,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,499,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,499,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1200.05,9908.0,27
RC,499,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,685.44,8858.0,27
RC,499,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,499,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,499,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,499,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,499,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,499,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,499,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,499,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,499,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,499,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,499,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,499,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,499,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,499,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,499,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,499,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,499,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,499,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,499,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,499,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,499,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,499,D & C OF RESIDUAL CERVIX ,,,2152.0,6587.0,4
RC,499,DESTR PARAVERTEBRAL N ADD-ON ,,,2152.0,6587.0,8
RC,499,DESTR PARAVERTEBRL NERVE C/T ,,,2152.0,6587.0,4
RC,499,DESTR PARAVERTEBRL NERVE L/S ,,,2152.0,6587.0,4
RC,499,DESTROY NERVE EXTREM MUSC ,,,2152.0,6587.0,4
RC,499,DESTROY NERVE NECK MUSCLE ,,,2152.0,6587.0,4
RC,499,DILATION PROSTATIC URETHRA ,,,2152.0,6587.0,4
RC,499,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,499,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,499,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,499,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,499,DRAIN PELVIC ABSCESS PERCUT ,,,2152.0,6587.0,4
RC,499,DRAINAGE OF BLADDER ,,,2152.0,6587.0,12
RC,499,DRAINAGE OF EYE ,,,2152.0,6587.0,4
RC,499,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1158.59,19415.0,27
RC,499,Dactinomycin injection ,,,335.08,335.08,3
RC,499,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,499,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,499,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,499,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,499,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,24
RC,499,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1481.0,5932.0,8
RC,499,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,20
RC,499,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,140.69,25655.0,27
RC,499,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,380.91,2636.0,21
RC,499,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,7592.0,25655.0,25
RC,499,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2051.93,18490.0,27
RC,499,Decompression internal auditory canal ,,,7592.0,25655.0,21
RC,499,"Decompression of orbit only, transcranial approach ",,,5710.05,25655.0,21
RC,499,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,6
RC,499,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,692.94,12499.0,23
RC,499,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1481.0,5932.0,8
RC,499,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2287.0,21630.0,14
RC,499,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2287.0,8858.0,14
RC,499,Decompression; plantar digital nerve ,,,692.94,8858.0,27
RC,499,Decompression; unspecified nerve(s) (specify) ,,,692.94,8858.0,27
RC,499,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,4
RC,499,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,499,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,499,Deligation of ureter ,,,2152.0,25655.0,21
RC,499,Delivery of placenta (separate procedure) ,,,1116.7,25655.0,23
RC,499,Dental Procedures ,,,707.88,707.88,3
RC,499,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,499,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,499,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,499,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,499,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,4723.0,5
RC,499,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,499,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,692.94,8858.0,27
RC,499,"Destruction by neurolytic agent, intercostal nerve ",,,357.81,5932.0,27
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1481.0,5932.0,13
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,692.94,8858.0,27
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1481.0,5932.0,13
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,692.94,9868.0,27
RC,499,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,692.94,8858.0,27
RC,499,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,692.94,8858.0,27
RC,499,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,357.81,5932.0,27
RC,499,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,357.81,6680.0,27
RC,499,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,357.81,6680.0,27
RC,499,Destruction by neurolytic agent; other peripheral nerve or branch ,,,152.61,5932.0,27
RC,499,Destruction by neurolytic agent; plantar common digital nerve ,,,38.66,5932.0,27
RC,499,Destruction by neurolytic agent; pudendal nerve ,,,357.81,6680.0,27
RC,499,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,218.75,5932.0,27
RC,499,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,140.41,12360.0,27
RC,499,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,113.7,5932.0,27
RC,499,Destruction of lesion of lid margin (up to 1 cm) ,,,132.27,5932.0,27
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,5932.0,27
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,696.53,2636.0,21
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,380.91,2636.0,21
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,76.74,25655.0,23
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,744.46,5932.0,27
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,744.46,5932.0,27
RC,499,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,744.46,9908.0,27
RC,499,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,116.57,25655.0,27
RC,499,"Destruction of lesion, conjunctiva ",,,74.13,8858.0,27
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,218.75,5932.0,27
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,123.25,5932.0,27
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1481.0,5932.0,13
RC,499,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1266.0,5932.0,25
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,113.7,18490.0,27
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,218.75,18490.0,27
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1158.59,18490.0,27
RC,499,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1116.7,8858.0,27
RC,499,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,103.77,25655.0,27
RC,499,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,499,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,499,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,499,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,499,Dexamethasone intra implan ,,,221.99,221.99,3
RC,499,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,499,Dexrazoxane HCl injection ,,,45.17,45.17,3
RC,499,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,499,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,499,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,499,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,25655.0,20
RC,499,Diagnostic hysteroscopy ,,,2152.0,6587.0,4
RC,499,Diagnostic laparoscopy ,,,2152.0,6587.0,4
RC,499,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,499,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,499,Dialysis ,,,751.49,751.49,3
RC,499,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,25655.0,80
RC,499,Diaphragm or cervical cap fitting with instructions ,,,37.5,6587.0,23
RC,499,Dibucaine number ,,,13.35,13.35,3
RC,499,Digoxin; free ,,,14.48,14.48,3
RC,499,Digoxin; total ,,,14.48,14.48,3
RC,499,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,499,Dilation and curettage of cervical stump ,,,1116.7,9908.0,27
RC,499,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,1116.7,8858.0,27
RC,499,"Dilation of cervical canal, instrumental (separate procedure) ",,,41.85,8858.0,27
RC,499,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1200.05,25655.0,54
RC,499,Dilation of female urethra including suppository and/or instillation; initial ,,,41.57,5932.0,27
RC,499,Dilation of female urethra including suppository and/or instillation; subsequent ,,,31.08,2636.0,23
RC,499,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,685.44,8858.0,27
RC,499,"Dilation of lacrimal punctum, with or without irrigation ",,,792.63,2636.0,21
RC,499,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,97.08,25655.0,27
RC,499,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,98.84,5932.0,27
RC,499,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,36.62,5932.0,27
RC,499,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,41.02,5932.0,27
RC,499,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,1200.05,6680.0,27
RC,499,Dilation of vagina under anesthesia (other than local) ,,,1116.7,8858.0,27
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1481.0,2636.0,9
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,8024.0,25655.0,21
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,2152.0,25655.0,21
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,2152.0,34374.62,21
RC,499,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,218.75,6680.0,27
RC,499,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,892.44,5932.0,27
RC,499,"Discission of vitreous strands (without removal), pars plana approach ",,,892.44,8858.0,27
RC,499,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,6
RC,499,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,6
RC,499,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,499,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,499,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,499,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,6
RC,499,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2152.0,29168.74,21
RC,499,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2152.0,33760.8,21
RC,499,Doxorubicin inj 10mg ,,,127.1,127.1,3
RC,499,"Drainage external auditory canal, abscess ",,,154.94,5932.0,27
RC,499,"Drainage external ear, abscess or hematoma; complicated ",,,118.89,25655.0,27
RC,499,"Drainage external ear, abscess or hematoma; simple ",,,112.5,5932.0,27
RC,499,Drainage of Skene's gland abscess or cyst ,,,501.35,25655.0,25
RC,499,Drainage of deep periurethral abscess ,,,1200.05,8858.0,27
RC,499,Drainage of ovarian abscess; abdominal approach ,,,5694.0,25655.0,25
RC,499,"Drainage of ovarian abscess; vaginal approach, open ",,,1116.7,9908.0,27
RC,499,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1116.7,25655.0,27
RC,499,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1116.7,9908.0,27
RC,499,Drainage of perineal urinary extravasation; complicated ,,,3796.0,25655.0,21
RC,499,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,250.06,9908.0,27
RC,499,"Drainage of perirenal or renal abscess, open ",,,3796.0,25655.0,25
RC,499,Drainage of perivesical or prevesical space abscess ,,,855.96,6492.89,27
RC,499,Drainage of scrotal wall abscess ,,,510.77,5932.0,27
RC,499,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,499,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,499,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,499,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,499,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,499,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,499,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,499,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,499,Dry pressure mattress ,,,207.18,207.18,3
RC,499,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,499,Duodenal motility (manometric) study ,,,1481.0,5932.0,13
RC,499,"Dural graft, spinal ",,,2152.0,25655.0,21
RC,499,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,499,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,499,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,499,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,499,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,499,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,499,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,499,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,499,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,499,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,499,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,499,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,499,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,395.35,25655.0,21
RC,499,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,499,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,499,EXPLORATION OF EPIDIDYMIS ,,,2152.0,6587.0,4
RC,499,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,2152.0,16144.0,5
RC,499,EXPLORE ORBIT/REMOVE OBJECT ,,,2152.0,6587.0,4
RC,499,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,499,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,499,Ear piercing ,,,791.86,16144.0,15
RC,499,Ecallantide injection ,,,649.58,649.58,3
RC,499,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,499,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,499,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,499,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,499,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,499,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,499,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,499,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,499,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,499,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,499,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,499,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,499,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,499,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,499,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,499,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,499,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,499,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,499,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,499,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,499,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,499,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,499,"Electric heat pad, moist ",,,110.05,110.05,3
RC,499,"Electric heat pad, standard ",,,43.12,43.12,3
RC,499,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,499,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,499,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,499,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,499,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,499,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,499,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,499,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,499,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,499,Electroejaculation ,,,474.85,5932.0,25
RC,499,"Electrogastrography, diagnostic, transcutaneous; ",,,1481.0,2636.0,5
RC,499,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1481.0,2636.0,5
RC,499,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,499,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,499,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,6
RC,499,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,23.25,6587.0,23
RC,499,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,305.28,12
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1481.0,6680.0,19
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,406.37,6680.0,46
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1481.0,6680.0,19
RC,499,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,499,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,499,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,499,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,499,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,499,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,499,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,499,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,499,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,499,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,499,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,499,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1481.0,43890.0,18
RC,499,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2270.0,43890.0,9
RC,499,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1481.0,2636.0,5
RC,499,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,25253.0,43890.0,8
RC,499,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,499,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,499,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,499,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,499,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2152.0,28477.09,21
RC,499,"Elevation of depressed skull fracture; simple, extradural ",,,5710.05,25655.0,21
RC,499,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2152.0,34755.37,21
RC,499,"Embryo transfer, intrauterine ",,,1391.84,5932.0,25
RC,499,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,499,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,499,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,499,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,499,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,499,Endocervical curettage (not done as part of a dilation and curettage) ,,,96.51,5932.0,27
RC,499,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,499,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1481.0,5932.0,13
RC,499,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1481.0,43890.0,18
RC,499,Endolymphatic sac operation; with shunt ,,,2051.93,23113.0,27
RC,499,Endolymphatic sac operation; without shunt ,,,2051.93,23113.0,27
RC,499,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.34,18747.0,23
RC,499,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1299.68,25655.0,23
RC,499,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,499,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,48.26,5932.0,27
RC,499,Endomyocardial biopsy ,,,5381.0,17384.0,15
RC,499,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,499,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2152.0,25655.0,27
RC,499,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,13
RC,499,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1639.76,12360.0,27
RC,499,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,20
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,25655.0,20
RC,499,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,19
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,499,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,12499.0,20
RC,499,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,499,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,499,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,499,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2152.0,25655.0,21
RC,499,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2152.0,25655.0,21
RC,499,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,7008.0,76895.0,25
RC,499,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,499,"Enterocystoplasty, including intestinal anastomosis ",,,2152.0,31119.06,21
RC,499,"Enucleation of eye; with implant, muscles attached to implant ",,,1158.59,19415.0,27
RC,499,"Enucleation of eye; with implant, muscles not attached to implant ",,,1158.59,12360.0,27
RC,499,Enucleation of eye; without implant ,,,1158.59,12360.0,27
RC,499,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,499,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,499,Epididymectomy; bilateral ,,,1200.05,19415.0,27
RC,499,Epididymectomy; unilateral ,,,1200.05,9908.0,27
RC,499,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,3796.0,19415.0,25
RC,499,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,3796.0,19415.0,25
RC,499,Epikeratoplasty ,,,1572.0,28718.14,25
RC,499,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,499,"Episiotomy or vaginal repair, by other than attending ",,,684.71,25655.0,25
RC,499,Eptifibatide injection ,,,4.22,4.22,3
RC,499,Erythropoietin ,,,20.48,20.48,3
RC,499,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1481.0,2636.0,5
RC,499,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1481.0,2636.0,5
RC,499,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1481.0,2636.0,5
RC,499,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1481.0,5932.0,9
RC,499,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1481.0,2636.0,5
RC,499,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,12499.0,14
RC,499,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,25253.0,43890.0,8
RC,499,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,25253.0,43890.0,8
RC,499,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1481.0,2636.0,5
RC,499,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1672.0,2636.0,5
RC,499,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1481.0,2636.0,5
RC,499,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,499,Estradiol; total ,,,30.45,30.45,3
RC,499,Estriol ,,,26.36,26.36,3
RC,499,Estrogens; fractionated ,,,35.21,35.21,3
RC,499,Estrogens; total ,,,23.65,23.65,3
RC,499,Estrone ,,,27.2,27.2,3
RC,499,Ethosuximide ,,,17.81,17.81,3
RC,499,Ethylene glycol ,,,16.24,16.24,3
RC,499,Etiocholanolone ,,,28.6,28.6,3
RC,499,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,499,Euflexxa inj per dose ,,,106.97,106.97,3
RC,499,Euglobulin lysis ,,,9.17,9.17,3
RC,499,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,499,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,499,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,499,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1481.0,43890.0,9
RC,499,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,499,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,499,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,499,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,499,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,499,Everolimus ,,,14.97,14.97,3
RC,499,Evisceration of ocular contents; with implant ,,,1158.59,12360.0,27
RC,499,Evisceration of ocular contents; without implant ,,,1158.59,12360.0,27
RC,499,Exc biopsy of saliv glands ,,,10868.0,12875.0,3
RC,499,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,3
RC,499,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,685.44,8485.0,27
RC,499,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,20
RC,499,Exchange of intraocular lens ,,,892.44,76895.0,27
RC,499,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,10
RC,499,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,10
RC,499,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,10
RC,499,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,733.22,9908.0,54
RC,499,Excision aural glomus tumor; extended (extratemporal) ,,,2152.0,55827.68,21
RC,499,Excision aural glomus tumor; transcanal ,,,2051.93,18490.0,27
RC,499,Excision aural glomus tumor; transmastoid ,,,2051.93,23113.0,27
RC,499,Excision aural polyp ,,,143.6,25655.0,27
RC,499,"Excision exostosis(es), external auditory canal ",,,2051.93,13581.48,27
RC,499,Excision external ear; complete amputation ,,,2051.93,13581.48,27
RC,499,"Excision external ear; partial, simple repair ",,,855.96,6492.89,27
RC,499,Excision of Bartholin's gland or cyst ,,,1116.7,9908.0,27
RC,499,Excision of Mullerian duct cyst ,,,1200.05,8858.0,27
RC,499,Excision of bulbourethral gland (Cowper's gland) ,,,1200.05,8858.0,27
RC,499,Excision of carotid body tumor; with excision of carotid artery ,,,2152.0,37265.17,21
RC,499,Excision of carotid body tumor; without excision of carotid artery ,,,2152.0,30792.64,21
RC,499,"Excision of cervical stump, abdominal approach; ",,,2152.0,25655.0,21
RC,499,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2152.0,25655.0,21
RC,499,"Excision of cervical stump, vaginal approach; ",,,1603.34,11960.31,27
RC,499,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,5694.0,25655.0,21
RC,499,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.34,18490.0,27
RC,499,"Excision of chalazion; multiple, different lids ",,,101.16,5932.0,27
RC,499,"Excision of chalazion; multiple, same lid ",,,78.49,5932.0,27
RC,499,Excision of chalazion; single ,,,65.12,5932.0,27
RC,499,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,733.22,8858.0,27
RC,499,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,1983.29,21630.0,27
RC,499,Excision of extraparenchymal lesion of testis ,,,1200.05,8858.0,27
RC,499,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1200.05,12360.0,27
RC,499,Excision of hydrocele; bilateral ,,,1209.12,18490.0,27
RC,499,Excision of hydrocele; unilateral ,,,1209.12,12360.0,27
RC,499,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1158.59,12360.0,27
RC,499,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1158.59,12360.0,27
RC,499,Excision of lacrimal gland tumor; frontal approach ,,,733.22,9908.0,27
RC,499,Excision of lacrimal gland tumor; involving osteotomy ,,,1158.59,12360.0,27
RC,499,Excision of lacrimal sac (dacryocystectomy) ,,,1158.59,12360.0,27
RC,499,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,177.9,6680.0,27
RC,499,Excision of lesion of spermatic cord (separate procedure) ,,,1200.05,19415.0,27
RC,499,"Excision of lesion, conjunctiva; over 1 cm ",,,733.22,8858.0,27
RC,499,"Excision of lesion, conjunctiva; up to 1 cm ",,,147.09,8858.0,27
RC,499,"Excision of lesion, conjunctiva; with adjacent sclera ",,,733.22,8858.0,27
RC,499,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,351.98,5932.0,27
RC,499,"Excision of lesion, sclera ",,,733.22,23113.0,27
RC,499,Excision of local lesion of epididymis ,,,1200.05,9908.0,27
RC,499,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,25655.0,20
RC,499,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,692.94,9908.0,27
RC,499,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2096.41,17510.0,27
RC,499,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,692.94,9908.0,27
RC,499,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,692.94,8858.0,27
RC,499,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,692.94,9908.0,27
RC,499,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,499,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,499,"Excision of neuroma; hand or foot, except digital nerve ",,,692.94,9908.0,27
RC,499,"Excision of neuroma; major peripheral nerve, except sciatic ",,,692.94,9908.0,27
RC,499,Excision of neuroma; sciatic nerve ,,,2096.41,17510.0,27
RC,499,Excision of penile plaque (Peyronie disease); ,,,1200.05,17510.0,27
RC,499,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2700.0,22590.2,27
RC,499,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,1773.9,17510.0,27
RC,499,Excision of perinephric cyst ,,,2152.0,25655.0,21
RC,499,"Excision of spermatocele, with or without epididymectomy ",,,685.44,19415.0,27
RC,499,Excision of thyroglossal duct cyst or sinus; ,,,1983.29,21630.0,27
RC,499,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1983.29,21630.0,27
RC,499,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1983.29,19415.0,27
RC,499,Excision of urethral diverticulum (separate procedure); female ,,,1773.9,12360.0,27
RC,499,Excision of urethral diverticulum (separate procedure); male ,,,1773.9,11848.54,27
RC,499,Excision of vaginal cyst or tumor ,,,1116.7,8858.0,27
RC,499,Excision of vaginal septum ,,,1116.7,8858.0,27
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1200.05,19415.0,27
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1209.12,19415.0,27
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1209.12,18490.0,27
RC,499,Excision or fulguration of carcinoma of urethra ,,,1200.05,12360.0,27
RC,499,Excision or fulguration; Skene's glands ,,,1200.05,8858.0,27
RC,499,Excision or fulguration; urethral caruncle ,,,685.44,8858.0,27
RC,499,"Excision or fulguration; urethral polyp(s), distal urethra ",,,1200.05,8858.0,27
RC,499,Excision or fulguration; urethral prolapse ,,,1200.05,8858.0,27
RC,499,Excision or transposition of pterygium; with graft ,,,733.22,18490.0,27
RC,499,Excision or transposition of pterygium; without graft ,,,733.22,8858.0,27
RC,499,Excision or unroofing of cyst(s) of kidney ,,,2152.0,25655.0,21
RC,499,"Excision soft tissue lesion, external auditory canal ",,,855.96,6680.0,27
RC,499,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2152.0,55128.27,21
RC,499,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2152.0,44700.99,21
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1158.59,18490.0,27
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1158.59,23113.0,27
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1158.59,23113.0,27
RC,499,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,499,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,499,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,499,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,499,Exploration for undescended testis (inguinal or scrotal area) ,,,1209.12,19415.0,27
RC,499,Exploration for undescended testis with abdominal exploration ,,,685.44,25655.0,27
RC,499,"Exploration of epididymis, with or without biopsy ",,,1200.05,8858.0,27
RC,499,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2152.0,46340.42,21
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,1773.9,25655.0,27
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,29821.36,21
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,25655.0,21
RC,499,"Expression of conjunctival follicles (eg, for trachoma) ",,,26.74,2636.0,23
RC,499,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,499,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2152.0,42952.69,21
RC,499,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2152.0,51686.22,21
RC,499,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,499,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,499,"External cephalic version, with or without tocolysis ",,,2187.0,8858.0,21
RC,499,"External counterpulsation, per treatment session ",,,2187.0,3092.0,6
RC,499,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,499,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,499,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,499,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,499,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,499,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,499,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,499,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,499,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,499,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2096.2,76895.0,27
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2152.0,76895.0,27
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,892.44,18490.0,27
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,892.44,76895.0,81
RC,499,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,21210.0,23307.22,6
RC,499,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,499,Extremity belt/harness ,,,58.52,58.52,3
RC,499,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,499,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,499,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,499,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,499,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,499,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,499,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,499,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,499,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,499,FOCUS RADIATION BEAM ,,,2152.0,6587.0,4
RC,499,FUSION OF FACIAL/OTHER NERVE ,,,2152.0,6587.0,4
RC,499,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,499,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,499,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,499,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,499,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,6
RC,499,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,499,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,499,Face tent ,,,2.8,2.8,3
RC,499,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,499,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,499,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,7069.89,25655.0,16
RC,499,Factor IX non-recombinant ,,,1.53,1.53,3
RC,499,Factor inhibitor test ,,,14.03,14.03,3
RC,499,Factor ix complex ,,,1.9,1.9,3
RC,499,Factor ix idelvion inj ,,,6.0,6.0,3
RC,499,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,499,Factor ix recombinant nos ,,,2.03,2.03,3
RC,499,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,499,Factor viii ,,,1.36,1.36,3
RC,499,Factor viii recombinant ,,,1.72,1.72,3
RC,499,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,499,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,499,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,499,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,499,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,499,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,499,Felbamate ,,,20.32,20.32,3
RC,499,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,499,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,499,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,499,Fern test ,,,10.62,10.62,3
RC,499,Ferritin ,,,14.86,14.86,3
RC,499,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,499,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,499,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,499,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,499,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,499,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,499,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,499,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,499,Fetal contraction stress test ,,,28.49,2636.0,17
RC,499,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,499,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,122.58,5932.0,27
RC,499,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,499,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,499,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,499,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,499,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,855.63,16144.0,15
RC,499,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1032.4,2636.0,15
RC,499,Fetal non-stress test ,,,16.57,2636.0,11
RC,499,Fetal scalp blood sampling ,,,590.17,2636.0,21
RC,499,"Fetal shunt placement, including ultrasound guidance ",,,590.17,5932.0,25
RC,499,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,590.17,5932.0,25
RC,499,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,6
RC,499,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,499,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,499,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,499,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,499,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,499,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,499,Fibrinogen; activity ,,,10.59,10.59,3
RC,499,Fibrinogen; antigen ,,,15.76,15.76,3
RC,499,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,499,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,499,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,499,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,499,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,499,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,499,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,499,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,499,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,499,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,499,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,499,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,499,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,499,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,499,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,499,Fimbrioplasty ,,,5694.0,25655.0,25
RC,499,Fine needle aspiration of orbital contents ,,,733.22,8858.0,27
RC,499,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,499,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,499,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,499,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,499,"Finger splint, static ",,,2.92,2.92,3
RC,499,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,892.44,8858.0,27
RC,499,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2317.12,19415.0,27
RC,499,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,892.44,19415.0,27
RC,499,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,892.44,19415.0,27
RC,499,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1610.16,19415.0,27
RC,499,Fitting and insertion of pessary or other intravaginal support device ,,,35.18,2636.0,23
RC,499,Fixation of contralateral testis (separate procedure) ,,,1200.05,9908.0,27
RC,499,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,499,Flebogamma injection ,,,98.91,98.91,3
RC,499,Flecainide ,,,20.32,20.32,3
RC,499,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,499,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,499,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,499,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,499,Flortaucipir inj 1 millicu ,,,404.39,404.39,3
RC,499,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,499,Floxuridine injection ,,,4792.18,4792.18,3
RC,499,Fluciclovine f-18 ,,,351.27,351.27,3
RC,499,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,499,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,499,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,499,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,499,Fluoride ,,,20.21,20.21,3
RC,499,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,499,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,499,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,499,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,499,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,499,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,499,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,499,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,499,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,33321.99,18
RC,499,Folic acid; RBC ,,,19.24,19.24,3
RC,499,Folic acid; serum ,,,16.02,16.02,3
RC,499,"Follicle puncture for oocyte retrieval, any method ",,,1266.0,5932.0,25
RC,499,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,499,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,499,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,499,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,499,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,499,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,499,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,499,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,499,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,499,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,499,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,499,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,499,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,499,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,499,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,499,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,499,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,499,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,499,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,499,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,499,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,499,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,499,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,499,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,499,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,499,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,499,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,499,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,499,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,499,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,499,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,499,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,499,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,115.66,5932.0,27
RC,499,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,499,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,499,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,499,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,499,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,499,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,499,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,499,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,499,"Frames, purchases ",,,89.85,89.85,3
RC,499,Free omental flap with microvascular anastomosis ,,,2152.0,36425.84,21
RC,499,Frenulotomy of penis ,,,685.44,8858.0,27
RC,499,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,499,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,499,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,499,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,499,"Fructose, semen ",,,18.9,18.9,3
RC,499,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,499,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,499,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,499,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,499,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,499,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,499,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,499,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,499,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,499,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,499,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,499,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,499,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,499,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,499,GLAUCOMA SURGERY ,,,2152.0,6587.0,4
RC,499,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,499,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,499,"Galactokinase, RBC ",,,23.41,23.41,3
RC,499,Galactose ,,,12.21,12.21,3
RC,499,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,499,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,499,Galectin-3 ,,,48.23,48.23,3
RC,499,Gallium ga-68 ,,,54.1,54.1,3
RC,499,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,499,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,499,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,499,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,499,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,499,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,499,Galsulfase injection ,,,573.3,573.3,3
RC,499,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,590.17,5932.0,25
RC,499,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,499,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,499,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,499,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,499,Gammaplex IVIG ,,,72.24,72.24,3
RC,499,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,499,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,499,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,499,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,499,"Gases, blood, pH only ",,,11.99,11.99,3
RC,499,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,499,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,499,Gastric motility (manometric) studies ,,,1481.0,5932.0,9
RC,499,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,11
RC,499,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,499,Gastrin ,,,19.22,19.22,3
RC,499,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,499,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2214.0,5047.0,9
RC,499,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2214.0,5047.0,9
RC,499,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2214.0,5047.0,9
RC,499,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,499,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,499,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,499,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,499,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,499,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,499,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,499,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,499,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,499,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,499,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,499,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,499,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,499,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,499,Gel pressure mattress ,,,42.62,42.62,3
RC,499,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,499,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,499,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,499,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,499,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,499,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,499,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,499,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,499,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,499,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,499,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,499,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,499,Gentamicin ,,,17.85,17.85,3
RC,499,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,499,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,499,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,21210.0,23307.22,6
RC,499,Glucagon ,,,15.58,15.58,3
RC,499,Glucagon hydrochloride ,,,127.89,127.89,3
RC,499,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,499,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,499,Glucagon tolerance test ,,,19.37,19.37,3
RC,499,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,499,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,499,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,499,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,499,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,499,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,499,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,499,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,499,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,499,"Glucosidase, beta ",,,23.41,23.41,3
RC,499,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,499,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,499,Glutathione ,,,16.84,16.84,3
RC,499,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,499,Glycated protein ,,,18.27,18.27,3
RC,499,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,499,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,499,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,499,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,499,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,499,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,499,Goniotomy ,,,1610.16,10691.32,27
RC,499,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,499,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,499,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,499,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,499,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,499,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,499,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,499,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,499,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,499,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,499,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,499,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,499,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,499,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,499,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,499,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,499,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,499,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,499,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,499,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,499,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,499,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,499,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,499,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,499,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,499,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,499,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,499,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,499,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,499,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,499,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,499,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,499,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,499,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,499,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,499,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,499,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,499,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,499,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,499,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,499,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,499,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,499,"Gradient compression glove, each ",,,79.56,79.56,3
RC,499,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,499,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,499,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,499,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,499,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,499,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,499,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,499,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,499,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,499,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,499,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,499,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,499,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,499,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,499,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,499,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,499,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,499,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,499,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,499,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,499,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,499,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,499,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,499,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,499,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,499,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,499,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,499,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,499,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,499,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,499,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,499,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,499,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,499,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,499,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,499,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,499,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,499,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,499,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,499,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,499,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,4
RC,499,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,4
RC,499,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,499,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,499,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,499,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,499,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,499,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,499,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,499,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,499,HCT/P Skin Substitute Prod ,,,136.26,136.26,3
RC,499,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,499,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,499,HFenestration semicircular canal ,,,7592.0,8072.0,5
RC,499,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,499,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,499,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,499,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,499,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,499,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,499,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,499,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,499,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,499,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,499,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,499,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,499,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,499,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,499,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,499,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,499,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,499,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,499,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,499,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,3796.0,5381.0,5
RC,499,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,8024.0,77554.0,8
RC,499,HRevision fenestration operation ,,,7592.0,8072.0,5
RC,499,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,499,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,499,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,499,Hallux implant ,,,388.42,388.42,3
RC,499,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,499,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,499,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,499,Haloperidol ,,,17.2,17.2,3
RC,499,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,499,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,499,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,499,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,499,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,499,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,499,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,499,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,499,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,499,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,499,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,499,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,499,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,499,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,499,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,499,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,499,"Harvesting conjunctival allograft, living donor ",,,2700.0,8858.0,25
RC,499,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,6
RC,499,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,499,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,499,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,499,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,499,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,499,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,499,Heavy duty wheelchair ,,,83.68,83.68,3
RC,499,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,499,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,499,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,499,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,499,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,499,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,499,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,499,Heel wedge ,,,30.8,30.8,3
RC,499,"Heel wedge, sach ",,,114.72,114.72,3
RC,499,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,499,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,499,"Heel, new leather, standard ",,,54.84,54.84,3
RC,499,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,499,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,499,"Heel, sach cushion type ",,,142.14,142.14,3
RC,499,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,499,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,499,Heinz bodies; direct ,,,4.58,4.58,3
RC,499,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,499,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,499,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,499,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,499,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,499,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,499,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,499,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,499,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,499,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,499,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,499,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,499,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,499,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,499,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,499,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,499,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,499,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,499,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,499,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,499,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,499,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,499,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,499,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,499,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,499,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,499,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,499,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,499,Hemoglobin; plasma ,,,7.97,7.97,3
RC,499,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,499,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,499,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,499,Hemoglobin; urine ,,,4.31,4.31,3
RC,499,"Hemolysin, acid ",,,9.67,9.67,3
RC,499,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,499,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,499,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,499,Hepagam b im injection ,,,71.51,71.51,3
RC,499,Heparin assay ,,,14.27,14.27,3
RC,499,Heparin neutralization ,,,12.91,12.91,3
RC,499,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,499,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,499,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,499,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,499,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,499,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,499,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,499,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,499,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,499,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,499,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,499,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,499,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,499,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,499,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,499,Hepatitis C antibody; ,,,15.55,15.55,3
RC,499,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,499,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,499,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,499,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,499,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,499,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,499,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,499,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,499,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,499,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,499,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,499,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,499,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,499,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,499,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,499,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,499,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,499,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,499,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,499,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,499,Hip core decompression ,,,21210.0,23307.22,6
RC,499,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,499,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,499,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,499,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,499,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,499,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,499,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,499,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,499,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,499,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,499,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,499,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,499,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,499,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,499,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,499,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,499,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,499,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,499,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,499,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,499,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,499,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,499,Histamine ,,,32.19,32.19,3
RC,499,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,25655.0,10
RC,499,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,499,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,499,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,499,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,499,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,499,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,499,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,499,Home blood glucose monitor ,,,103.8,103.8,3
RC,499,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,499,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,499,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,499,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,499,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,499,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,499,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,499,Homocysteine ,,,19.53,19.53,3
RC,499,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,499,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,499,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,499,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,499,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,499,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,499,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,499,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,499,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,499,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,499,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,499,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,499,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,499,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,499,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,499,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,499,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,499,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,499,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,499,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,499,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,499,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,499,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,499,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,499,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,499,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,499,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,499,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,499,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,499,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,499,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,499,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,499,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,499,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,499,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,499,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,499,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,499,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,499,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,499,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,499,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,499,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,499,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,499,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,499,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,499,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,499,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,499,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,499,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,499,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,499,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,499,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,499,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,499,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,499,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,499,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,499,Hydroxychloroquine ,,,20.32,20.32,3
RC,499,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,499,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,499,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,499,Hydroxyproline; free ,,,24.69,24.69,3
RC,499,Hydroxyproline; total ,,,26.49,26.49,3
RC,499,"Hymenotomy, simple incision ",,,1116.7,8858.0,27
RC,499,Hyperbaric Oxygen ,,,150.68,150.68,3
RC,499,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2152.0,35625.53,21
RC,499,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2152.0,25655.0,25
RC,499,Hysterorrhaphy of ruptured uterus ,,,2152.0,25655.0,17
RC,499,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2152.0,25655.0,25
RC,499,"Hysteroscopy, diagnostic (separate procedure) ",,,1116.7,8858.0,23
RC,499,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,2087.34,17510.0,23
RC,499,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1603.34,12360.0,23
RC,499,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.34,12499.0,23
RC,499,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,1603.34,11960.31,23
RC,499,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1116.7,8858.0,23
RC,499,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1603.34,12360.0,23
RC,499,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1116.7,8858.0,23
RC,499,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,3796.0,12224.1,21
RC,499,Hystscp IU ADHESIO ,,,2152.0,6587.0,4
RC,499,Hystscp div IU septum ,,,2152.0,6587.0,4
RC,499,Hystscp impacted FB rmvl ,,,2152.0,6587.0,4
RC,499,Hystscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,499,Hystscp w Bx/polypectomy ,,,2152.0,6587.0,4
RC,499,Hystscp w endomet ablat ,,,2152.0,6587.0,4
RC,499,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,499,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,499,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,499,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,499,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,499,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,499,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,499,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,499,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,499,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,499,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,499,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,499,IMPLANT NEUROELECTRODES ,,,2152.0,6587.0,16
RC,499,"IMPLANT NEUROSTIMUL, SUBCORT ",,,2152.0,6587.0,4
RC,499,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,499,INCISE INNER EAR ,,,2152.0,6587.0,4
RC,499,INCISE SKULL FOR SURGERY ,,,2152.0,6587.0,12
RC,499,INCISION OF HYMEN ,,,2152.0,6587.0,4
RC,499,INCISION OF PELVIS NERVE ,,,2152.0,6587.0,4
RC,499,INCISION OF VAGUS NERVE ,,,2152.0,6587.0,4
RC,499,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,499,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,499,INFLATE MIDDLE EAR CANAL ,,,2152.0,6587.0,8
RC,499,INJ PARAVERTEBRAL C/T ,,,2152.0,6587.0,4
RC,499,INJ PARAVERTEBRAL C/T ADD-ON ,,,2152.0,6587.0,4
RC,499,INJ PARAVERTEBRAL L/S ,,,2152.0,6587.0,4
RC,499,INJ PARAVERTEBRAL L/S ADD-ON ,,,2152.0,6587.0,4
RC,499,INJECT SPINE CERV/THORACIC ,,,1266.0,3293.0,5
RC,499,INJECT SPINE LUMBAR/SACRAL ,,,1266.0,3293.0,5
RC,499,INJECT SPINE W/CATH CRV/THRC ,,,1266.0,3293.0,5
RC,499,INJECT SPINE W/CATH LMB/SCRL ,,,1266.0,3293.0,5
RC,499,INJECTION FOR KIDNEY X-RAY ,,,2152.0,6587.0,4
RC,499,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,2152.0,2636.0,4
RC,499,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1266.0,3293.0,5
RC,499,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,2152.0,2636.0,4
RC,499,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1266.0,2636.0,5
RC,499,INSERT KIDNEY DRAIN ,,,2152.0,6587.0,4
RC,499,INSERT URETERAL TUBE ,,,2152.0,6587.0,4
RC,499,INSET MIDDLE EAR (BAFFLE) ,,,2152.0,6587.0,4
RC,499,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,3796.0,5381.0,5
RC,499,Ibuprofen injection ,,,3.54,3.54,3
RC,499,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,499,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,499,Idursulfase injection ,,,621.35,621.35,3
RC,499,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7592.0,25655.0,15
RC,499,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5694.0,25655.0,15
RC,499,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,499,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,499,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,499,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,499,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,499,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,499,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,499,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,499,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,499,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,499,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,499,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,499,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,499,Immune complex assay ,,,26.56,26.56,3
RC,499,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,499,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,499,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,499,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,499,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,499,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,499,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,499,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,499,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,499,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,499,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,499,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,499,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,499,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,499,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,499,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,499,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,499,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,499,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,499,Impl cereb subcort elec ,,,2152.0,6587.0,4
RC,499,Impl subcort electrodes ,,,2152.0,6587.0,4
RC,499,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,499,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,499,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,499,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,499,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,499,Implantation Wireless PA P ,,,31407.33,31407.33,3
RC,499,Implantation of Drug Infus ,,,19735.53,19735.53,3
RC,499,Implantation of auditory brain stem implant ,,,21210.0,23307.22,6
RC,499,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1831.33,25655.0,21
RC,499,Implantation of intrastromal corneal ring segments ,,,1610.16,25655.0,27
RC,499,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,2052.31,36053.16,27
RC,499,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2287.0,45966.03,15
RC,499,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,6
RC,499,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,13
RC,499,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1481.0,6680.0,13
RC,499,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,2700.0,70380.0,26
RC,499,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,2700.0,70380.0,26
RC,499,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,2700.0,70380.0,27
RC,499,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,6004.0,17510.0,25
RC,499,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2152.0,36534.62,27
RC,499,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2152.0,35261.21,27
RC,499,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,7008.0,33769.0,27
RC,499,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,5286.0,21630.0,25
RC,499,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2700.0,17510.0,27
RC,499,In111 capromab ,,,1886.02,1886.02,3
RC,499,In111 oxyquinoline ,,,906.29,906.29,3
RC,499,In111 pentetate ,,,812.73,812.73,3
RC,499,Incision and drainage of Bartholin's gland abscess ,,,74.05,5932.0,27
RC,499,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,685.44,8858.0,27
RC,499,"Incision and drainage of penis, deep ",,,510.77,19415.0,27
RC,499,"Incision and drainage of thyroglossal duct cyst, infected ",,,441.67,5932.0,27
RC,499,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,855.96,8858.0,27
RC,499,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,855.96,25655.0,27
RC,499,Incision and drainage of vulva or perineal abscess ,,,79.36,6680.0,27
RC,499,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2152.0,25655.0,21
RC,499,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,1838.39,25655.0,25
RC,499,"Incision of conjunctiva, drainage of cyst ",,,58.72,25655.0,27
RC,499,"Incision, drainage of lacrimal gland ",,,1266.0,5932.0,25
RC,499,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,214.82,9868.0,27
RC,499,Incisional biopsy of eyelid skin including lid margin ,,,113.7,5932.0,27
RC,499,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,499,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,499,Indexing for osteotomy ,,,10868.0,12875.0,3
RC,499,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,499,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,499,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,499,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,6
RC,499,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,6
RC,499,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,6
RC,499,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,6
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2152.0,16144.0,25
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2152.0,16144.0,25
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2152.0,25655.0,25
RC,499,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2152.0,25655.0,21
RC,499,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2152.0,25655.0,50
RC,499,"Induced abortion, by dilation and curettage ",,,1116.7,18490.0,27
RC,499,"Induced abortion, by dilation and evacuation ",,,1116.7,18490.0,27
RC,499,Induction of arrhythmia by electrical pacing ,,,25253.0,43890.0,8
RC,499,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,499,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,499,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,499,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,499,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,499,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,499,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,499,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,499,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,499,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,499,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,499,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,499,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,499,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,499,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,499,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,499,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,499,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,499,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,499,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,499,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,499,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,499,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,499,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,499,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,499,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,499,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,499,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,499,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,499,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,499,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,499,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,499,Infliximab ,,,42.04,42.04,3
RC,499,Infliximab not biosimil 10 ,,,34.31,34.31,3
RC,499,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,499,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,499,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,499,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,499,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,499,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,499,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,499,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2152.0,69269.91,21
RC,499,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2152.0,68516.17,21
RC,499,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,499,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,499,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,499,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,499,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,499,Inhibin A ,,,16.99,16.99,3
RC,499,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2287.0,126001.4,14
RC,499,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1481.0,2636.0,5
RC,499,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,499,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,499,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,499,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,499,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,499,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,499,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,499,Inj avacincaptad pegol 0.1 ,,,112.49,112.49,3
RC,499,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,499,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,499,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,499,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,499,"Inj brixadi, more than 7 d ",,,1877.31,1877.31,3
RC,499,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,499,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,499,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,499,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,499,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,499,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,499,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,499,Inj cyclophos dr reddys 5 ,,,0.54,0.54,3
RC,499,Inj cyclophos frindovyx 5 ,,,9.72,9.72,3
RC,499,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,499,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,499,Inj daxibotulinumtoxina-la ,,,3.34,3.34,3
RC,499,Inj delandistrogene mox ro ,,,3615417.73,3615417.73,3
RC,499,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,499,Inj efgart-alfa 2mg hya-qv ,,,37.34,37.34,3
RC,499,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,499,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,499,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,499,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,499,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,499,Inj estrogen conjugate ,,,437.64,437.64,3
RC,499,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,499,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,499,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,499,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,499,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,499,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,499,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,499,"Inj glofitamab gxbm, 2.5 m ",,,3122.5,3122.5,3
RC,499,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,499,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,499,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,499,Inj hydroxocobalamin iv 25 ,,,5.93,5.93,3
RC,499,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,499,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,499,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,499,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,499,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,499,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,499,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,499,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,499,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,499,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,499,Inj melphalan (hepzato) 1 ,,,873.61,873.61,3
RC,499,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,499,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,499,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,499,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,499,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,499,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,499,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,499,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,499,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,499,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,499,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,499,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,499,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,499,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,499,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,499,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,499,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,499,Inj recombin esperoct per ,,,2.5,2.5,3
RC,499,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,499,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,499,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,499,Inj roctavian ml 2x10^13vc ,,,13683.54,13683.54,3
RC,499,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,499,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,499,Inj rozanolixizum-noli 1 m ,,,25.71,25.71,3
RC,499,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,499,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,499,Inj secukinumab intrav 1mg ,,,19.87,19.87,3
RC,499,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,499,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,499,Inj talquetamab-tgvs 0.25 ,,,83.63,83.63,3
RC,499,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,499,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,499,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,499,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,499,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,499,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,499,Inj travoprost intra impl ,,,214.45,214.45,3
RC,499,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,499,Inj truxima 10 mg ,,,37.67,37.67,3
RC,499,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,499,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,499,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,499,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,499,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,499,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,499,Inj velmanase alfa-tycv 1 ,,,522.32,522.32,3
RC,499,Inj xipere 1 mg ,,,52.07,52.07,3
RC,499,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,499,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,499,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,499,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,499,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,499,"Inj, adzynma, 10 iu ",,,39.47,39.47,3
RC,499,"Inj, aflibercept hd, 1 mg ",,,325.56,325.56,3
RC,499,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,499,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,499,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,499,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,499,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,499,"Inj, artesunate, 1mg ",,,56.49,56.49,3
RC,499,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,499,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,499,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,499,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,499,"Inj, betibeglogene autotem ",,,3193983.4,3193983.4,3
RC,499,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,499,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,499,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,499,"Inj, brixadi, 7 days or le ",,,469.33,469.33,3
RC,499,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,499,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,499,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,499,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,499,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,499,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,499,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,499,"Inj, cipaglucosidase, 5 mg ",,,104.97,104.97,3
RC,499,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,499,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,499,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,499,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,499,"Inj, cyclophosphamide, nos ",,,0.63,0.63,3
RC,499,"Inj, denosumab ",,,32.81,32.81,3
RC,499,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,499,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,499,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,499,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,499,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,499,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,499,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,499,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,499,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,499,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,499,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,499,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,499,"Inj, elranatamab-bcmm, 1 m ",,,209.81,209.81,3
RC,499,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,499,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,499,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,499,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,499,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,499,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,499,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,499,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,499,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,499,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,499,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,499,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,499,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,499,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,499,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,499,"Inj, human-lans, per i.u ",,,1.89,1.89,3
RC,499,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,499,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,499,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,499,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,499,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,499,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,499,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,499,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,499,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,499,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,499,"Inj, levothyroxine, freska ",,,7.45,7.45,3
RC,499,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,499,"Inj, lovotibeglogene autot ",,,3526481.36,3526481.36,3
RC,499,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,499,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,499,"Inj, mirikizumab-mrkz, 1 m ",,,35.6,35.6,3
RC,499,"Inj, motixafortide, 0.25 m ",,,28.86,28.86,3
RC,499,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,499,"Inj, nithiodote, 3mg / 125 ",,,2.36,2.36,3
RC,499,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,499,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,499,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,499,"Inj, nyvepria ",,,149.23,149.23,3
RC,499,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,499,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,499,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,499,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,499,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,499,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,499,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,499,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,499,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,499,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,499,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,499,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,499,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,499,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,499,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,499,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,499,"Inj, rykindo, 0.5 mg ",,,14.2,14.2,3
RC,499,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,499,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,499,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,499,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,499,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,499,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,499,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,499,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,499,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,499,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,499,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,499,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,499,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,499,"Inj, toripalimab-tpzi, 1 m ",,,44.57,44.57,3
RC,499,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,499,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,499,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,499,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,499,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,499,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,499,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,499,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,499,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,499,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,499,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,499,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,499,"Inj, zolbetuximab-clzb, 2 ",,,36.98,36.98,3
RC,499,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,499,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,499,Inj. asceniv ,,,554.96,554.96,3
RC,499,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,499,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,499,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,499,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,499,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,499,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,499,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,499,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,499,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,499,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,499,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,499,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,499,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,499,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,499,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,499,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,499,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,499,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,499,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,499,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,499,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,499,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,499,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,499,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,499,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,499,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,499,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,499,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,499,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,499,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,499,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,499,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,499,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,499,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,499,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,499,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,499,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,499,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,499,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,499,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,499,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,499,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,499,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,499,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,499,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,499,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,499,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,499,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,499,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,499,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,499,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,499,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,499,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,499,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,499,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,499,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,499,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,499,Inject anes 1 L facet N ,,,2152.0,6587.0,4
RC,499,Inject anes 1 paravert N ,,,2152.0,6587.0,4
RC,499,Inject anes >1 paravert ,,,2152.0,6587.0,4
RC,499,Inject anes L facet-ADDL ,,,2152.0,6587.0,4
RC,499,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,499,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,499,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,499,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,499,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,499,Injection of contrast medium for dacryocystography ,,,1481.0,5932.0,13
RC,499,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,36.92,2636.0,23
RC,499,Injection of medication or other substance into Tenon's capsule ,,,20.35,5932.0,27
RC,499,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,892.44,8858.0,27
RC,499,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1481.0,2636.0,9
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1481.0,17384.0,9
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1481.0,17384.0,9
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1481.0,17384.0,9
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1481.0,17384.0,9
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,1481.0,2174.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,1481.0,2174.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,1481.0,2174.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1481.0,17384.0,9
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1481.0,17384.0,9
RC,499,Injection procedure for Peyronie disease; ,,,63.08,3092.0,23
RC,499,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1773.9,19415.0,27
RC,499,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1213.24,8485.0,50
RC,499,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2187.0,8858.0,25
RC,499,Injection procedure for corpora cavernosography ,,,1481.0,5932.0,13
RC,499,Injection procedure for cystography or voiding urethrocystography ,,,1481.0,2636.0,9
RC,499,"Injection procedure for discography, each level; cervical or thoracic ",,,1481.0,5932.0,13
RC,499,"Injection procedure for discography, each level; lumbar ",,,1481.0,5932.0,13
RC,499,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1481.0,5932.0,13
RC,499,Injection procedure for retrograde urethrocystography ,,,1481.0,2636.0,9
RC,499,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,9
RC,499,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,25
RC,499,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1481.0,5932.0,13
RC,499,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1481.0,5932.0,13
RC,499,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1266.0,9908.0,25
RC,499,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,357.81,6587.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,357.81,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,465.81,5381.0,23
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,41.85,3293.0,23
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,146.8,6587.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,31.69,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,64.83,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,357.81,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,276.0,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,357.81,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,276.0,6587.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,41.28,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,45.35,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,18.89,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,357.81,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,357.81,3293.0,23
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,77.32,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,40.7,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1481.0,5932.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,357.81,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1481.0,5932.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,357.81,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,70.93,5932.0,27
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,249.57,5932.0,25
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1481.0,5932.0,13
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,357.81,5932.0,27
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1481.0,5932.0,13
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1481.0,5932.0,13
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,357.81,5932.0,27
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1481.0,5932.0,13
RC,499,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,357.81,5932.0,108
RC,499,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,276.0,5932.0,108
RC,499,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,499,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,357.81,5932.0,27
RC,499,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,357.81,5932.0,27
RC,499,"Injection, anesthetic agent; sphenopalatine ganglion ",,,74.13,5932.0,27
RC,499,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,357.81,5932.0,27
RC,499,"Injection, anesthetic agent; superior hypogastric plexus ",,,357.81,6680.0,27
RC,499,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,892.44,5932.0,27
RC,499,"Injection, anterior chamber of eye (separate procedure); medication ",,,892.44,5932.0,27
RC,499,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,499,"Injection, blinatumomab ",,,188.46,188.46,3
RC,499,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,499,"Injection, cangrelor ",,,22.1,22.1,3
RC,499,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,499,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,499,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,499,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,499,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,499,"Injection, epidural, of blood or clot patch ",,,276.0,5932.0,27
RC,499,"Injection, fulphila ",,,73.06,73.06,3
RC,499,"Injection, glucarpidase ",,,489.52,489.52,3
RC,499,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,499,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,499,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,499,"Injection, ixabepilone ",,,152.33,152.33,3
RC,499,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,499,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,499,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,499,"Injection, nivolumab ",,,37.3,37.3,3
RC,499,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,499,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,499,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,499,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,499,"Injection, peramivir ",,,1.83,1.83,3
RC,499,"Injection, renflexis ",,,29.01,29.01,3
RC,499,"Injection, reslizumab ",,,12.78,12.78,3
RC,499,"Injection, ruconest ",,,41.24,41.24,3
RC,499,"Injection, siltuximab ",,,189.73,189.73,3
RC,499,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,499,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,499,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,499,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,499,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,499,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,499,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,499,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,6054.0,4
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,357.81,5932.0,27
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,357.81,5932.0,27
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,357.81,5932.0,27
RC,499,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,499,Insert urinary catheter ,,,2152.0,6587.0,8
RC,499,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,1796.0,7927.29,15
RC,499,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,6
RC,499,Insertion of Heyman capsules for clinical brachytherapy ,,,1603.34,11960.31,27
RC,499,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,536.91,5932.0,27
RC,499,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,122.58,6680.0,27
RC,499,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,2340.64,17510.0,27
RC,499,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,20
RC,499,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,344.56,5932.0,25
RC,499,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,709.9,8858.0,25
RC,499,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,5047.0,15
RC,499,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2187.0,49207.09,27
RC,499,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,892.44,76895.0,27
RC,499,Insertion of intrauterine device (IUD) ,,,1088.91,5932.0,25
RC,499,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,6
RC,499,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1481.0,23113.0,13
RC,499,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,6004.0,54082.0,25
RC,499,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,25655.0,20
RC,499,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,25655.0,20
RC,499,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,25655.0,20
RC,499,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,20
RC,499,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,237.69,6587.0,25
RC,499,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1158.59,12360.0,27
RC,499,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,1158.59,12360.0,27
RC,499,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1158.59,12360.0,27
RC,499,Insertion of penile prosthesis; inflatable (self-contained) ,,,6004.0,54082.0,25
RC,499,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,6004.0,54082.0,25
RC,499,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,13
RC,499,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2152.0,27704.6,20
RC,499,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2096.41,38760.0,27
RC,499,Insertion of tandem cuff (dual cuff) ,,,2700.0,49207.09,27
RC,499,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,60.68,6587.0,27
RC,499,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,237.69,6587.0,25
RC,499,Insertion of testicular prosthesis (separate procedure) ,,,2626.34,11848.54,27
RC,499,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2287.0,12875.0,15
RC,499,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1266.0,25080.0,27
RC,499,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,25655.0,20
RC,499,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,6004.0,81532.47,26
RC,499,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2700.0,77554.0,26
RC,499,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,1481.0,6587.0,12
RC,499,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2152.0,36341.06,24
RC,499,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,2700.0,77554.0,26
RC,499,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,2700.0,81532.47,26
RC,499,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,499,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,499,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,499,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,499,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,499,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,499,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,499,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,499,Inst tauro 1.35mg/hep 100u ,,,4.59,4.59,3
RC,499,"Instill adstiladrin, tx do ",,,70121.45,70121.45,3
RC,499,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,499,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,12499.0,20
RC,499,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,43.61,5932.0,27
RC,499,Insulin antibodies ,,,23.34,23.34,3
RC,499,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,499,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,499,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,499,Insulin; free ,,,14.12,14.12,3
RC,499,Insulin; total ,,,12.46,12.46,3
RC,499,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,499,Intensive Outpatient (3 se ,,,136.91,342.3,6
RC,499,Intensive Outpatient (4 or ,,,179.39,448.48,6
RC,499,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,499,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,499,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,499,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,499,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,499,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,499,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,499,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,499,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1481.0,5932.0,13
RC,499,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,499,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,499,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1481.0,2636.0,5
RC,499,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,499,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,499,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,499,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,499,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,499,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,499,Intersex surgery; female to male ,,,2152.0,25655.0,17
RC,499,Intersex surgery; male to female ,,,2152.0,25655.0,17
RC,499,Intra-atrial pacing ,,,12830.85,43890.0,14
RC,499,Intra-atrial recording ,,,12830.85,43890.0,14
RC,499,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,25253.0,43890.0,8
RC,499,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,892.44,18490.0,27
RC,499,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,43890.0,9
RC,499,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,12830.85,43890.0,14
RC,499,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1481.0,43890.0,9
RC,499,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,499,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,6
RC,499,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,1481.0,2174.0,3
RC,499,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,1481.0,2174.0,3
RC,499,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1481.0,5932.0,8
RC,499,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,7
RC,499,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1481.0,2636.0,10
RC,499,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,6
RC,499,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,25253.0,43890.0,8
RC,499,Intraventricular pacing ,,,12830.85,43890.0,14
RC,499,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,67046.86,12
RC,499,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,50.87,5932.0,27
RC,499,Intrinsic factor ,,,21.6,21.6,3
RC,499,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,499,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,74.05,3092.0,23
RC,499,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,499,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,499,Ipilimumab injection ,,,207.57,207.57,3
RC,499,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,499,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1610.16,10691.32,27
RC,499,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,892.44,9908.0,27
RC,499,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,892.44,9908.0,27
RC,499,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,892.44,9908.0,27
RC,499,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,892.44,17510.0,27
RC,499,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,218.75,5932.0,27
RC,499,Iridotomy by stab incision (separate procedure); except transfixion ,,,892.44,5932.0,27
RC,499,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,892.44,5932.0,27
RC,499,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,161.05,5932.0,27
RC,499,Iris supported intraocular lens ,,,158.85,158.85,3
RC,499,Iron ,,,7.05,7.05,3
RC,499,Iron binding capacity ,,,9.53,9.53,3
RC,499,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,499,Irrigation of corpora cavernosa for priapism ,,,115.66,5932.0,27
RC,499,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,119.92,2636.0,21
RC,499,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,499,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,499,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,499,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,499,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,499,Islet cell antibody ,,,25.69,25.69,3
RC,499,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,6
RC,499,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,499,Itraconazole ,,,29.55,29.55,3
RC,499,"Iv hanger, each ",,,131.03,131.03,3
RC,499,Iv pole ,,,189.03,189.03,3
RC,499,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,499,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,499,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,499,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,499,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,499,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,499,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,499,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,499,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,499,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,499,Keratomileusis ,,,1572.0,32812.81,25
RC,499,Keratophakia ,,,1572.0,35889.85,25
RC,499,Keratoplasty (corneal transplant); anterior lamellar ,,,1610.16,23113.0,27
RC,499,Keratoplasty (corneal transplant); endothelial ,,,1610.16,23113.0,27
RC,499,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1610.16,23113.0,27
RC,499,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1610.16,23113.0,27
RC,499,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1610.16,23113.0,27
RC,499,Keratoprosthesis ,,,7008.0,25655.0,25
RC,499,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,499,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,499,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,499,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,499,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,499,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,499,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,499,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,499,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,499,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,499,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,499,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,499,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,499,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,499,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,499,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,499,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,499,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,499,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,499,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,499,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,499,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,499,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,499,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,499,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,499,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,499,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,499,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,499,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,499,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,499,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,499,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,499,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,499,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,499,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,499,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,499,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,499,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,499,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,499,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,499,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,499,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,499,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,499,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,2152.0,16144.0,5
RC,499,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,2152.0,16144.0,5
RC,499,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,2152.0,16144.0,5
RC,499,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,2152.0,16144.0,5
RC,499,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,499,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,2152.0,16144.0,5
RC,499,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,2152.0,16144.0,5
RC,499,LAVH ,,,2152.0,6587.0,4
RC,499,Labyrinthectomy; transcanal ,,,2051.93,23113.0,27
RC,499,Labyrinthectomy; with mastoidectomy ,,,2051.93,23113.0,27
RC,499,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,130.52,18490.0,27
RC,499,Lacosamide ,,,29.55,29.55,3
RC,499,Lactate (lactic acid) ,,,12.61,12.61,3
RC,499,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,499,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,499,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,499,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,499,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,499,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,499,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7008.0,63201.42,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,2152.0,40878.19,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7008.0,35244.78,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,2152.0,35967.47,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,2152.0,40613.87,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,2152.0,48135.29,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7008.0,44833.16,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,2152.0,47575.81,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,2152.0,59689.29,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,2152.0,58788.08,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7008.0,62261.18,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,2152.0,42999.26,15
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,2152.0,46954.23,15
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,7008.0,42875.08,15
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,2152.0,42323.36,15
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,2152.0,46954.23,15
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,2152.0,21630.0,15
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,3796.0,16749.46,15
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,2152.0,21630.0,15
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,2152.0,21630.0,15
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,2152.0,66534.81,15
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,2152.0,69487.45,15
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7008.0,69091.18,15
RC,499,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,7008.0,77554.0,21
RC,499,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,2152.0,35866.35,15
RC,499,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,2152.0,38935.64,15
RC,499,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,2152.0,31437.5,15
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2518.45,21630.0,17
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,2518.45,21630.0,17
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,8024.0,21630.0,15
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2518.45,21630.0,17
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,8024.0,21630.0,15
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,6587.0,21630.0,15
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,8024.0,21630.0,15
RC,499,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,2152.0,36076.35,15
RC,499,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,8024.0,21630.0,15
RC,499,Laminectomy with rhizotomy; 1 or 2 segments ,,,7008.0,25827.59,15
RC,499,Laminectomy with rhizotomy; more than 2 segments ,,,7008.0,27964.4,15
RC,499,Laminectomy with section of spinal accessory nerve ,,,7008.0,31484.07,15
RC,499,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1481.0,21630.0,60
RC,499,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,1481.0,6587.0,18
RC,499,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7008.0,34739.84,15
RC,499,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,2152.0,33799.61,21
RC,499,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,2152.0,38624.74,21
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,14
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,8024.0,21630.0,15
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,5694.0,12360.0,18
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,2518.45,21630.0,17
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,2518.45,21630.0,17
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,2518.45,21630.0,17
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1481.0,2636.0,9
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,2287.0,12875.0,14
RC,499,Lamotrigine ,,,14.44,14.44,3
RC,499,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,499,Laparoscopic APPY ,,,2152.0,6587.0,4
RC,499,Laparoscopic THC w/o Bx ,,,2152.0,6587.0,4
RC,499,Laparoscopic aspiration ,,,2152.0,6587.0,4
RC,499,Laparoscopic enterolysis ,,,2152.0,6587.0,4
RC,499,Laparoscopic esophagomyotomy (heller type) ,,,21210.0,23307.22,6
RC,499,Laparoscopic fulgur FALL ,,,2152.0,6587.0,4
RC,499,Laparoscopic fulgur les ,,,2152.0,6587.0,4
RC,499,Laparoscopic jejunostomy ,,,2152.0,6587.0,4
RC,499,Laparoscopic occl FALL ,,,2152.0,6587.0,4
RC,499,Laparoscopic orchiectomy ,,,2152.0,6587.0,4
RC,499,Laparoscopic rmvl adnexa ,,,2152.0,6587.0,4
RC,499,Laparoscopic splenectomy ,,,2152.0,6587.0,4
RC,499,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1983.29,25655.0,23
RC,499,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1983.29,25655.0,23
RC,499,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,14304.35,25655.0,12
RC,499,Laparoscopy w ADHESIO ,,,2152.0,6587.0,4
RC,499,Laparoscopy w biopsy ,,,2152.0,6587.0,4
RC,499,"Laparoscopy, remove myoma ",,,2152.0,6587.0,4
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,10122.0,25750.0,12
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2287.0,30408.2,14
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2287.0,30408.2,14
RC,499,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2152.0,25655.0,25
RC,499,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2152.0,25655.0,23
RC,499,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,8024.0,25655.0,21
RC,499,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1983.29,17510.0,23
RC,499,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,3265.51,23556.71,23
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1983.29,21630.0,14
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,8858.0,23556.71,12
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8858.0,23556.71,12
RC,499,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,2152.0,42292.31,15
RC,499,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,7592.0,26814.39,21
RC,499,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,7592.0,42781.72,12
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,3265.51,23556.71,14
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,8858.0,23556.71,12
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1983.29,21630.0,14
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,3265.51,23556.71,14
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,3265.51,23556.71,14
RC,499,"Laparoscopy, surgical; ablation of renal cysts ",,,6982.0,17510.0,21
RC,499,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,7008.0,25750.0,21
RC,499,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,2152.0,36122.92,21
RC,499,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,2152.0,30295.25,21
RC,499,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,2152.0,27078.5,21
RC,499,"Laparoscopy, surgical; orchiectomy ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; partial nephrectomy ",,,8024.0,25655.0,21
RC,499,"Laparoscopy, surgical; pyeloplasty ",,,6982.0,23556.71,21
RC,499,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,2152.0,30124.49,21
RC,499,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,2724.11,18422.0,23
RC,499,"Laparoscopy, surgical; ureterolithotomy ",,,6982.0,21630.0,21
RC,499,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,3265.51,23556.71,23
RC,499,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,6982.0,21630.0,21
RC,499,"Laparoscopy, surgical; with fimbrioplasty ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1983.29,21630.0,23
RC,499,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1983.29,21630.0,23
RC,499,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25959.75,12
RC,499,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,8024.0,25655.0,25
RC,499,Lapscp CHOLE w CDE ,,,2152.0,6587.0,4
RC,499,Lapscp CHOLE&cholangrphy ,,,2152.0,6587.0,4
RC,499,Lapscp EG fundoplasty ,,,2152.0,6587.0,4
RC,499,Lapscp REP init IH ,,,2152.0,6587.0,4
RC,499,Lapscp REP recur IH ,,,2152.0,6587.0,4
RC,499,Lapscp adrenalectomy ,,,2152.0,6587.0,4
RC,499,Lapscp bilat pelv LYMPH ,,,2152.0,6587.0,4
RC,499,Lapscp cholcystentstmy ,,,2152.0,6587.0,4
RC,499,Lapscp cholecystectomy ,,,2152.0,6587.0,4
RC,499,Lapscp fimbrioplasty ,,,2152.0,6587.0,4
RC,499,Lapscp intest resect ,,,2152.0,6587.0,4
RC,499,Lapscp lig sperm vein ,,,2152.0,6587.0,4
RC,499,Lapscp lymphocele drain ,,,2152.0,6587.0,4
RC,499,Lapscp pelvic LYMPH & Bx ,,,2152.0,6587.0,4
RC,499,Lapscp retroperit LN Bx ,,,2152.0,6587.0,4
RC,499,Lapscp rmvl leiomyomata ,,,2152.0,6587.0,4
RC,499,Lapscp salpingostomy ,,,2152.0,6587.0,4
RC,499,Lapscp select vagotomy ,,,2152.0,6587.0,4
RC,499,Lapscp temp gastrostomy ,,,2152.0,6587.0,4
RC,499,Lapscp truncal vagotomy ,,,2152.0,6587.0,4
RC,499,"Large size footplate, each ",,,65.96,65.96,3
RC,499,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,499,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,499,Laronidase injection ,,,45.22,45.22,3
RC,499,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,499,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,4723.0,5
RC,499,Laser Eye Procedures ,,,602.23,602.23,3
RC,499,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1773.9,8072.0,7
RC,499,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1773.9,18490.0,27
RC,499,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,6
RC,499,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2152.0,25655.0,21
RC,499,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2152.0,25655.0,21
RC,499,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1773.9,18490.0,27
RC,499,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,6
RC,499,Lead ,,,13.2,13.2,3
RC,499,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,499,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,499,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,499,Leflunomide ,,,42.04,42.04,3
RC,499,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,12818.0,22644.0,8
RC,499,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,7799.0,17510.0,10
RC,499,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,499,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,499,"Leg strap, each ",,,32.14,32.14,3
RC,499,"Leg strap, h style, each ",,,69.02,69.02,3
RC,499,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,499,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,499,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,499,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,499,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,499,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,499,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,499,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,499,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,499,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,499,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,499,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,499,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,499,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,499,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,499,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,499,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,499,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,499,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,499,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,499,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,499,Leuprolide acetate ,,,2006.97,2006.97,3
RC,499,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,499,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,499,Level 1 Abdominal/Peritone ,,,3920.42,3920.42,3
RC,499,Level 1 Airway Endoscopy ,,,218.56,218.56,3
RC,499,Level 1 Blood Product Exch ,,,483.07,483.07,3
RC,499,Level 1 Breast/Lymphatic S ,,,4287.27,4287.27,3
RC,499,Level 1 Diagnostic Tests a ,,,140.89,140.89,3
RC,499,Level 1 Drug Administratio ,,,51.27,51.27,3
RC,499,Level 1 ENT Procedures ,,,259.34,259.34,3
RC,499,Level 1 Electronic Analysi ,,,40.87,40.87,3
RC,499,Level 1 Electrophysiologic ,,,1333.16,1333.16,3
RC,499,Level 1 Endovascular Proce ,,,3549.81,3549.81,3
RC,499,Level 1 Excision/ Biopsy/ ,,,775.38,775.38,3
RC,499,"Level 1 Extraocular, Repai ",,,347.55,347.55,3
RC,499,Level 1 Gynecologic Proced ,,,221.37,221.37,3
RC,499,Level 1 Health and Behavio ,,,41.03,41.03,3
RC,499,Level 1 ICD and Similar Pr ,,,24355.98,24355.98,3
RC,499,Level 1 Imaging with Contr ,,,192.06,192.06,3
RC,499,Level 1 Imaging without Co ,,,95.29,95.29,3
RC,499,Level 1 Intraocular Proced ,,,2526.99,2526.99,3
RC,499,Level 1 Laparoscopy and Re ,,,6619.65,6619.65,3
RC,499,Level 1 Lower GI Procedure ,,,1018.27,1018.27,3
RC,499,Level 1 Minor Procedures ,,,31.67,31.67,3
RC,499,Level 1 Musculoskeletal Pr ,,,270.09,270.09,3
RC,499,Level 1 Nerve Injections ,,,336.1,336.1,3
RC,499,Level 1 Nerve Procedures ,,,2138.17,2138.17,3
RC,499,Level 1 Neurostimulator an ,,,3828.12,3828.12,3
RC,499,Level 1 Nuclear Medicine a ,,,437.74,437.74,3
RC,499,Level 1 Pacemaker and Simi ,,,4091.85,4091.85,3
RC,499,Level 1 Pathology ,,,57.06,57.06,3
RC,499,Level 1 Radiation Therapy ,,,111.72,111.72,3
RC,499,Level 1 Skin Procedures ,,,219.69,219.69,3
RC,499,Level 1 Strapping and Cast ,,,177.93,177.93,3
RC,499,Level 1 Therapeutic Radiat ,,,147.17,147.17,3
RC,499,Level 1 Upper GI Procedure ,,,993.12,993.12,3
RC,499,Level 1 Urology and Relate ,,,273.58,273.58,3
RC,499,Level 1 Vascular Procedure ,,,686.88,686.88,3
RC,499,Level 2 Abdominal/Peritone ,,,7088.62,7088.62,3
RC,499,Level 2 Airway Endoscopy ,,,428.26,428.26,3
RC,499,Level 2 Blood Product Exch ,,,1705.33,1705.33,3
RC,499,Level 2 Breast/Lymphatic S ,,,7270.76,7270.76,3
RC,499,Level 2 Diagnostic Tests a ,,,236.43,236.43,3
RC,499,Level 2 Drug Administratio ,,,78.84,78.84,3
RC,499,Level 2 ENT Procedures ,,,590.55,590.55,3
RC,499,Level 2 Electronic Analysi ,,,104.1,104.1,3
RC,499,Level 2 Electrophysiologic ,,,8540.37,8540.37,3
RC,499,Level 2 Endovascular Proce ,,,6232.08,6232.08,3
RC,499,Level 2 Excision/ Biopsy/ ,,,1808.44,1808.44,3
RC,499,"Level 2 Extraocular, Repai ",,,1091.55,1091.55,3
RC,499,Level 2 Gynecologic Proced ,,,333.67,333.67,3
RC,499,Level 2 Health and Behavio ,,,111.24,111.24,3
RC,499,Level 2 ICD and Similar Pr ,,,34369.77,34369.77,3
RC,499,Level 2 Imaging with Contr ,,,382.0,382.0,3
RC,499,Level 2 Imaging without Co ,,,114.47,114.47,3
RC,499,Level 2 Intraocular Proced ,,,4525.96,4525.96,3
RC,499,Level 2 Laparoscopy and Re ,,,11639.31,11639.31,3
RC,499,Level 2 Lower GI Procedure ,,,1310.28,1310.28,3
RC,499,Level 2 Minor Procedures ,,,40.9,40.9,3
RC,499,Level 2 Musculoskeletal Pr ,,,1760.7,1760.7,3
RC,499,Level 2 Nerve Injections ,,,772.92,772.92,3
RC,499,Level 2 Nerve Procedures ,,,3740.57,3740.57,3
RC,499,Level 2 Neurostimulator an ,,,6978.22,6978.22,3
RC,499,Level 2 Nuclear Medicine a ,,,594.53,594.53,3
RC,499,Level 2 Pacemaker and Simi ,,,9061.28,9061.28,3
RC,499,Level 2 Pathology ,,,186.55,186.55,3
RC,499,Level 2 Radiation Therapy ,,,422.32,422.32,3
RC,499,Level 2 Skin Procedures ,,,445.12,445.12,3
RC,499,Level 2 Strapping and Cast ,,,306.25,306.25,3
RC,499,Level 2 Therapeutic Radiat ,,,409.99,409.99,3
RC,499,Level 2 Upper GI Procedure ,,,2101.14,2101.14,3
RC,499,Level 2 Urology and Relate ,,,763.52,763.52,3
RC,499,Level 2 Vascular Procedure ,,,1723.65,1723.65,3
RC,499,Level 3 Airway Endoscopy ,,,1948.93,1948.93,3
RC,499,Level 3 Blood Product Exch ,,,4769.13,4769.13,3
RC,499,Level 3 Breast/Lymphatic S ,,,8949.59,8949.59,3
RC,499,Level 3 Diagnostic Tests a ,,,408.6,408.6,3
RC,499,Level 3 Drug Administratio ,,,232.9,232.9,3
RC,499,Level 3 ENT Procedures ,,,1698.93,1698.93,3
RC,499,Level 3 Electronic Analysi ,,,336.31,336.31,3
RC,499,Level 3 Electrophysiologic ,,,28620.09,28620.09,3
RC,499,Level 3 Endovascular Proce ,,,12640.5,12640.5,3
RC,499,Level 3 Excision/ Biopsy/ ,,,3180.57,3180.57,3
RC,499,"Level 3 Extraocular, Repai ",,,2603.27,2603.27,3
RC,499,Level 3 Gynecologic Proced ,,,1008.52,1008.52,3
RC,499,Level 3 Health and Behavio ,,,194.35,194.35,3
RC,499,Level 3 Imaging with Contr ,,,858.37,858.37,3
RC,499,Level 3 Imaging without Co ,,,261.26,261.26,3
RC,499,Level 3 Intraocular Proced ,,,5826.65,5826.65,3
RC,499,Level 3 Lower GI Procedure ,,,3039.26,3039.26,3
RC,499,Level 3 Minor Procedures ,,,64.59,64.59,3
RC,499,Level 3 Musculoskeletal Pr ,,,3582.73,3582.73,3
RC,499,Level 3 Nerve Injections ,,,968.47,968.47,3
RC,499,Level 3 Nerve Procedures ,,,9609.27,9609.27,3
RC,499,Level 3 Neurostimulator an ,,,12200.88,12200.88,3
RC,499,Level 3 Nuclear Medicine a ,,,1417.6,1417.6,3
RC,499,Level 3 Pacemaker and Simi ,,,11444.59,11444.59,3
RC,499,Level 3 Pathology ,,,392.49,392.49,3
RC,499,Level 3 Radiation Therapy ,,,605.02,605.02,3
RC,499,Level 3 Skin Procedures ,,,809.26,809.26,3
RC,499,Level 3 Therapeutic Radiat ,,,1515.58,1515.58,3
RC,499,Level 3 Upper GI Procedure ,,,4221.62,4221.62,3
RC,499,Level 3 Urology and Relate ,,,2288.9,2288.9,3
RC,499,Level 3 Vascular Procedure ,,,3457.34,3457.34,3
RC,499,Level 4 Airway Endoscopy ,,,4082.42,4082.42,3
RC,499,Level 4 Blood Product Exch ,,,68874.65,68874.65,3
RC,499,Level 4 Breast/Lymphatic S ,,,15089.69,15089.69,3
RC,499,Level 4 Diagnostic Tests a ,,,940.29,940.29,3
RC,499,Level 4 Drug Administratio ,,,361.67,361.67,3
RC,499,Level 4 ENT Procedures ,,,3630.32,3630.32,3
RC,499,Level 4 Endovascular Proce ,,,20072.54,20072.54,3
RC,499,"Level 4 Extraocular, Repai ",,,4304.75,4304.75,3
RC,499,Level 4 Gynecologic Proced ,,,3544.55,3544.55,3
RC,499,Level 4 Imaging without Co ,,,598.31,598.31,3
RC,499,Level 4 Intraocular Proced ,,,15883.71,15883.71,3
RC,499,Level 4 Minor Procedures ,,,145.68,145.68,3
RC,499,Level 4 Musculoskeletal Pr ,,,7945.32,7945.32,3
RC,499,Level 4 Neurostimulator an ,,,21242.49,21242.49,3
RC,499,Level 4 Nuclear Medicine a ,,,1565.75,1565.75,3
RC,499,Level 4 Pacemaker and Simi ,,,21090.91,21090.91,3
RC,499,Level 4 Pathology ,,,882.19,882.19,3
RC,499,Level 4 Radiation Therapy ,,,762.62,762.62,3
RC,499,Level 4 Skin Procedures ,,,2259.22,2259.22,3
RC,499,Level 4 Urology and Relate ,,,3859.74,3859.74,3
RC,499,Level 4 Vascular Procedure ,,,6092.93,6092.93,3
RC,499,Level 5 Airway Endoscopy ,,,7727.68,7727.68,3
RC,499,Level 5 ENT Procedures ,,,6482.02,6482.02,3
RC,499,Level 5 Gynecologic Proced ,,,5477.52,5477.52,3
RC,499,Level 5 Intraocular Proced ,,,15278.03,15278.03,3
RC,499,Level 5 Minor Procedures ,,,489.15,489.15,3
RC,499,Level 5 Musculoskeletal Pr ,,,14057.94,14057.94,3
RC,499,Level 5 Neurostimulator an ,,,33788.16,33788.16,3
RC,499,Level 5 Radiation Therapy ,,,1368.43,1368.43,3
RC,499,Level 5 Skin Procedures ,,,3880.26,3880.26,3
RC,499,Level 5 Urology and Relate ,,,5870.99,5870.99,3
RC,499,Level 6 Gynecologic Proced ,,,8119.66,8119.66,3
RC,499,Level 6 Intraocular Proced ,,,18024.07,18024.07,3
RC,499,Level 6 Musculoskeletal Pr ,,,19198.95,19198.95,3
RC,499,Level 6 Radiation Therapy ,,,1957.86,1957.86,3
RC,499,Level 6 Urology and Relate ,,,10365.46,10365.46,3
RC,499,Level 7 Musculoskeletal Pr ,,,29710.86,29710.86,3
RC,499,Level 7 Radiation Therapy ,,,8064.75,8064.75,3
RC,499,Level 7 Urology and Relate ,,,14446.4,14446.4,3
RC,499,Level 8 Urology and Relate ,,,22694.42,22694.42,3
RC,499,Levetiracetam ,,,14.44,14.44,3
RC,499,Lidocaine ,,,16.01,16.01,3
RC,499,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,499,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,499,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,499,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,499,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,499,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,1534.28,25655.0,25
RC,499,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2214.0,25655.0,25
RC,499,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,1116.7,9868.0,27
RC,499,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,499,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,499,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,499,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,499,Lightweight wheelchair ,,,48.42,48.42,3
RC,499,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,499,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,499,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,499,Lipase ,,,7.51,7.51,3
RC,499,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,499,Lipoprotein (a) ,,,15.61,15.61,3
RC,499,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,499,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,499,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,499,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,499,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,499,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,499,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,499,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,499,Lithium ,,,7.2,7.2,3
RC,499,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,499,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,499,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,499,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,499,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,1200.05,8858.0,27
RC,499,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,1200.05,8858.0,27
RC,499,"Lithotripsy, extracorporeal shock wave ",,,1200.05,21630.0,14
RC,499,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,499,Lobar lung transplantation ,,,21210.0,23307.22,6
RC,499,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,6
RC,499,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,499,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,499,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,499,"Lso, corset front ",,,166.52,166.52,3
RC,499,"Lso, full corset ",,,235.72,235.72,3
RC,499,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,499,"Lubricant, per ounce ",,,2.47,2.47,3
RC,499,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,499,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,499,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,499,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,499,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,499,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,499,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,499,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,499,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,499,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,499,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,499,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,499,Lumbar/caudal inject NEC ,,,2152.0,6587.0,4
RC,499,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,499,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,499,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,499,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,499,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,499,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,499,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,499,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,499,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,3796.0,25655.0,25
RC,499,Lysis of labial adhesions ,,,1116.7,8858.0,27
RC,499,Lysis or excision of penile post-circumcision adhesions ,,,685.44,8858.0,27
RC,499,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,499,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,499,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,499,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,499,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,499,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,499,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,499,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,499,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,499,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,499,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,499,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,499,MRI and MRA without Contra ,,,576.44,576.44,3
RC,499,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,499,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,499,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,499,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,499,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,499,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,499,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,499,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,499,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,499,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,499,Magnesium ,,,7.3,7.3,3
RC,499,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2287.0,25750.0,9
RC,499,Malate dehydrogenase ,,,8.03,8.03,3
RC,499,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,499,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,499,Manganese ,,,29.05,29.05,3
RC,499,Manipulation Therapy ,,,23.64,23.64,3
RC,499,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,250.06,5932.0,27
RC,499,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,60.68,2636.0,23
RC,499,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,499,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,499,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,499,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,499,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,499,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,499,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,499,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,499,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,499,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,499,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,499,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,499,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,499,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,499,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,499,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,499,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,499,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,499,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,499,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,499,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,499,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,499,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,499,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,499,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,499,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,499,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,499,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,499,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,499,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,499,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,499,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,499,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,499,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,499,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,499,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,499,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,499,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,499,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,499,Marsupialization of Bartholin's gland cyst ,,,1116.7,8858.0,27
RC,499,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,4
RC,499,"Marsupialization of urethral diverticulum, male or female ",,,1200.05,12360.0,27
RC,499,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,499,Mastoid obliteration (separate procedure) ,,,2051.93,17510.0,27
RC,499,Mastoidectomy; complete ,,,2051.93,23113.0,27
RC,499,Mastoidectomy; modified radical ,,,2051.93,23113.0,27
RC,499,Mastoidectomy; radical ,,,2051.93,23113.0,27
RC,499,"Mattress, foam rubber ",,,182.92,182.92,3
RC,499,"Mattress, innerspring ",,,162.65,162.65,3
RC,499,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,3
RC,499,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,3
RC,499,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,119.92,6587.0,21
RC,499,"Meat fibers, feces ",,,5.29,5.29,3
RC,499,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,685.44,8858.0,27
RC,499,"Meatotomy, cutting of meatus (separate procedure); infant ",,,3796.0,25655.0,25
RC,499,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,499,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,499,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,499,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,499,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,499,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,499,Mental Health Services Com ,,,448.48,448.48,3
RC,499,"Mercury, quantitative ",,,17.72,17.72,3
RC,499,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,499,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,499,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,6
RC,499,Metanephrines ,,,18.46,18.46,3
RC,499,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,499,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,499,Metatarsal joint implant ,,,467.12,467.12,3
RC,499,Methemalbumin ,,,11.71,11.71,3
RC,499,Methotrexate ,,,42.04,42.04,3
RC,499,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,499,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,499,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,499,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,499,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,499,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,499,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,499,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,499,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,6
RC,499,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,499,Middle ear exploration through postauricular or ear canal incision ,,,930.95,9908.0,27
RC,499,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,499,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,6
RC,499,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,6
RC,499,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,6
RC,499,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,6
RC,499,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,6
RC,499,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,499,Mitomycin instillation ,,,359.63,359.63,3
RC,499,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,499,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,499,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,499,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,499,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,733.22,9868.0,23
RC,499,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,499,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,499,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,499,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,499,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,499,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,499,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,499,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,499,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,499,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,499,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,499,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,499,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,499,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,499,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,499,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,499,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,499,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,499,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,499,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,499,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,499,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,499,Mouth piece ,,,4.82,4.82,3
RC,499,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,499,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,499,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,499,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,499,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,499,Multifetal pregnancy reduction(s) (MPR) ,,,590.17,3092.0,21
RC,499,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,242.73,25655.0,27
RC,499,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,499,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,499,Muramidase ,,,20.44,20.44,3
RC,499,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,499,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,499,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,499,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,499,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1266.0,9012.0,25
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1266.0,9012.0,25
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1266.0,9012.0,25
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1266.0,9012.0,25
RC,499,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,499,Myoglobin ,,,14.08,14.08,3
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,5694.0,25655.0,25
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1116.7,18490.0,27
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,5694.0,25655.0,21
RC,499,Myringoplasty (surgery confined to drumhead and donor area) ,,,930.95,8858.0,27
RC,499,Myringotomy including aspiration and/or eustachian tube inflation ,,,91.96,9908.0,27
RC,499,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,930.95,9908.0,27
RC,499,"Myringotomy, laser-assisted ",,,7839.0,23307.22,10
RC,499,N BLOCK INJ SPINAL ACCESSOR ,,,2152.0,6587.0,4
RC,499,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,2152.0,16144.0,5
RC,499,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,499,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,499,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,499,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,499,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,499,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,499,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,499,"Naltrexone, depot form ",,,4.93,4.93,3
RC,499,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,499,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,499,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,23307.22,12
RC,499,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,499,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,499,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,499,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,499,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,499,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,1
RC,499,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,499,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2152.0,17510.0,27
RC,499,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2152.0,17510.0,27
RC,499,Natalizumab injection ,,,26.6,26.6,3
RC,499,Natriuretic peptide ,,,42.79,42.79,3
RC,499,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,499,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,499,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,499,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,499,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,499,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,499,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,115.66,6587.0,27
RC,499,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,499,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,499,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,499,Nelarabine injection ,,,71.29,71.29,3
RC,499,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,499,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2152.0,29300.69,21
RC,499,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2152.0,32952.74,21
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2152.0,25655.0,21
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2152.0,27086.26,21
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2152.0,28834.56,21
RC,499,"Nephrectomy, partial ",,,2152.0,29798.08,21
RC,499,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2152.0,26658.94,21
RC,499,Nephrolithotomy; removal of calculus ,,,2152.0,25655.0,21
RC,499,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2152.0,32735.19,21
RC,499,Nephrolithotomy; secondary surgical operation for calculus ,,,2152.0,27179.61,21
RC,499,"Nephrorrhaphy, suture of kidney wound or injury ",,,2152.0,28997.77,21
RC,499,"Nephrostomy, nephrotomy with drainage ",,,3796.0,25655.0,25
RC,499,"Nephrotomy, with exploration ",,,2152.0,25655.0,21
RC,499,Nerve dissection ,,,10868.0,12875.0,3
RC,499,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2700.0,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2096.41,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2096.41,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2096.41,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2096.41,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2096.41,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2096.41,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2700.0,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2700.0,17510.0,27
RC,499,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2700.0,17510.0,27
RC,499,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,499,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1481.0,6680.0,13
RC,499,Nerve pedicle transfer; first stage ,,,2096.41,17510.0,27
RC,499,Nerve pedicle transfer; second stage ,,,2096.41,17510.0,27
RC,499,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,5286.0,17510.0,25
RC,499,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,499,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2152.0,25655.0,27
RC,499,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,3260.21,17510.0,27
RC,499,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,499,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2152.0,34297.0,21
RC,499,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2152.0,47451.62,21
RC,499,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2152.0,34662.01,21
RC,499,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2152.0,43007.03,21
RC,499,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,499,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,499,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,499,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,499,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,499,Neuroplasty and/or transposition; cranial nerve (specify) ,,,692.94,9908.0,27
RC,499,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,692.94,8858.0,27
RC,499,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,692.94,8858.0,27
RC,499,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,692.94,8858.0,27
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,692.94,8858.0,27
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,692.94,8858.0,27
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,692.94,8858.0,27
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,692.94,8858.0,27
RC,499,"Neuroplasty; digital, 1 or both, same digit ",,,692.94,8858.0,27
RC,499,Neuroplasty; nerve of hand or foot ,,,692.94,8858.0,27
RC,499,"Neutralization test, viral ",,,18.43,18.43,3
RC,499,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,499,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,499,Nickel ,,,26.72,26.72,3
RC,499,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,499,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,499,Nivestym ,,,0.35,0.35,3
RC,499,Nocturnal penile tumescence and/or rigidity test ,,,75.09,5932.0,25
RC,499,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,499,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,499,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,499,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,499,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,499,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,499,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,499,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,499,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,499,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,499,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,26773.0,42427.0,3
RC,499,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,499,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,499,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,499,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,499,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,499,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,499,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,499,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,499,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,499,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,499,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,499,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,499,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,499,Nucleotidase 5'- ,,,12.15,12.15,3
RC,499,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,499,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2152.0,75353.71,21
RC,499,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,499,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,499,"Occluder lens, per lens ",,,28.56,28.56,3
RC,499,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1116.7,25655.0,27
RC,499,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,499,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,499,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,499,Octagam injection ,,,51.29,51.29,3
RC,499,Ocular implant ,,,885.23,885.23,3
RC,499,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1499.06,18490.0,27
RC,499,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,5694.0,18490.0,25
RC,499,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,6982.0,18490.0,25
RC,499,Ofatumumab injection ,,,67.84,67.84,3
RC,499,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,499,Omalizumab injection ,,,50.78,50.78,3
RC,499,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2152.0,31826.01,21
RC,499,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,499,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,499,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,499,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,499,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,499,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,499,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,499,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,499,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,499,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,499,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,499,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,499,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,499,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,499,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,499,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,499,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,499,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,499,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,499,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,499,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,499,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,499,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,499,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,499,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,499,One way chest drain valve ,,,63.18,63.18,3
RC,499,"Oophorectomy, partial or total, unilateral or bilateral; ",,,5694.0,25655.0,25
RC,499,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,5694.0,26565.8,21
RC,499,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,25655.0,20
RC,499,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,5286.0,81532.47,26
RC,499,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,7
RC,499,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2152.0,84177.74,26
RC,499,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,7
RC,499,Open implantation of neurostimulator electrode array; neuromuscular ,,,2187.0,77554.0,27
RC,499,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2187.0,77554.0,27
RC,499,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4154.17,25750.0,27
RC,499,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,24
RC,499,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,25655.0,24
RC,499,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,24
RC,499,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,8858.0,15
RC,499,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,8858.0,15
RC,499,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1158.59,19415.0,27
RC,499,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,499,Oral busulfan ,,,11.03,11.03,3
RC,499,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,499,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,499,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,499,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,499,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,499,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,499,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,499,Orbital implant (implant outside muscle cone); insertion ,,,1158.59,19415.0,27
RC,499,Orbital implant (implant outside muscle cone); removal or revision ,,,1158.59,12360.0,27
RC,499,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,499,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2152.0,73970.64,21
RC,499,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2152.0,65050.62,21
RC,499,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2152.0,71919.42,21
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1158.59,18490.0,27
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1158.59,18490.0,27
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1158.59,18490.0,27
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1158.59,18490.0,27
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1158.59,18490.0,27
RC,499,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1158.59,12360.0,27
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,733.22,19415.0,27
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1158.59,25655.0,27
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,733.22,18490.0,27
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,733.22,18490.0,27
RC,499,"Orchiectomy, partial ",,,1200.05,9908.0,27
RC,499,"Orchiectomy, radical, for tumor; inguinal approach ",,,1209.12,19415.0,27
RC,499,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,5694.0,25655.0,21
RC,499,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1200.05,12360.0,27
RC,499,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,5694.0,25655.0,25
RC,499,"Orchiopexy, inguinal or scrotal approach ",,,1209.12,19415.0,27
RC,499,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,499,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,499,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,499,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,499,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,499,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,499,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,499,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,499,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,499,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,499,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,499,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,499,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,499,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,499,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,499,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,499,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,499,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,499,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,499,Orthovisc inj per dose ,,,109.36,109.36,3
RC,499,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,499,Osmolality; blood ,,,7.2,7.2,3
RC,499,Osmolality; urine ,,,7.43,7.43,3
RC,499,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,499,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,499,Ossicula implant ,,,401.67,401.67,3
RC,499,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,499,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,499,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,499,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,499,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,499,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,2152.0,16144.0,15
RC,499,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,6
RC,499,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,499,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,499,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,499,"Ostomy belt, each ",,,10.57,10.57,3
RC,499,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,499,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,499,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,499,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,499,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,499,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,499,Ostomy irrigation set ,,,75.92,75.92,3
RC,499,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,499,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,499,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,499,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,499,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,499,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,499,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,499,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,499,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,499,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,499,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,499,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,499,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,499,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,499,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,499,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,499,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,499,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,499,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,499,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,499,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,499,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,499,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,499,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,499,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,499,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,499,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,499,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,499,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,499,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,499,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,499,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,499,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,499,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,499,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,499,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,499,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,499,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,499,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,499,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,499,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,499,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,499,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,499,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,499,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,499,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,499,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,499,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,499,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,499,"Ostomy ring, each ",,,2.61,2.61,3
RC,499,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,499,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,499,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,499,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,499,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,499,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,499,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,499,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,499,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,499,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,499,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,499,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,499,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,499,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,499,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,499,"Other cranial decompression, posterior fossa ",,,2152.0,46355.94,21
RC,499,Other manual wheelchair/base ,,,111.03,111.03,3
RC,499,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,499,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,499,Other spinal injection ,,,2152.0,6587.0,4
RC,499,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,11
RC,499,"Otoplasty, protruding ear, with or without size reduction ",,,930.95,9908.0,27
RC,499,Outflare wedge ,,,66.8,66.8,3
RC,499,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,499,"Ovarian cystectomy, unilateral or bilateral ",,,5694.0,25655.0,25
RC,499,"Oversize lens, per lens ",,,16.72,16.72,3
RC,499,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,499,Oxalate ,,,15.75,15.75,3
RC,499,Oxcarbazepine ,,,14.44,14.44,3
RC,499,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,499,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,499,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,499,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,499,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,499,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,499,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,499,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,499,"PERCUT/NEEDLE INSERT, PROS ",,,2152.0,6587.0,4
RC,499,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,499,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,499,PMA Skin Substitute Produc ,,,136.26,136.26,3
RC,499,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,499,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,499,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,499,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,499,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,499,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,499,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,499,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,499,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"PROSTATECTOMY, FIRST STAGE ",,,2152.0,6587.0,4
RC,499,"PROSTATECTOMY, SECOND STAGE ",,,2152.0,6587.0,4
RC,499,PROSTATIC WATER THERMOTHER ,,,2152.0,6587.0,4
RC,499,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,499,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,499,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,499,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,499,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,499,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,499,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,499,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,499,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,499,Panitumumab injection ,,,198.59,198.59,3
RC,499,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,892.44,5932.0,27
RC,499,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,892.44,8858.0,27
RC,499,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,892.44,9908.0,27
RC,499,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,499,"Paraffin, per pound ",,,5.3,5.3,3
RC,499,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,499,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1481.0,9908.0,13
RC,499,Parathyroidectomy or exploration of parathyroid(s); ,,,2051.93,25655.0,27
RC,499,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,7592.0,23113.0,25
RC,499,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2152.0,31204.43,21
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,8024.0,23556.71,25
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,7592.0,25655.0,25
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,7592.0,19415.0,25
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,276.0,5932.0,27
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1481.0,5932.0,13
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,276.0,5932.0,27
RC,499,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,499,Partial Hospitalization (3 ,,,136.91,342.3,6
RC,499,Partial Hospitalization (4 ,,,179.39,448.48,6
RC,499,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,3
RC,499,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,499,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,499,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,499,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,499,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,499,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,499,Partial hymenectomy or revision of hymenal ring ,,,1116.7,8858.0,27
RC,499,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1983.29,25655.0,27
RC,499,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1983.29,25655.0,27
RC,499,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,499,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,499,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,499,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,499,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,499,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,499,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,499,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,499,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,499,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,499,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,499,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,499,Pegaspargase injection ,,,32333.72,32333.72,3
RC,499,Pegunigalsidase alfa-iwxj ,,,245.97,245.97,3
RC,499,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,499,Pelvic examination under anesthesia (other than local) ,,,1116.7,8858.0,27
RC,499,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,2152.0,65905.47,21
RC,499,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2152.0,51561.82,21
RC,499,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,499,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,499,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,499,Penile plethysmography ,,,231.89,5932.0,25
RC,499,Pentostatin injection ,,,2940.81,2940.81,3
RC,499,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,499,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2152.0,76895.0,25
RC,499,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,270.48,5932.0,27
RC,499,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,357.81,5932.0,27
RC,499,Percutaneous balloon valvuloplasty; aortic valve ,,,15852.51,43890.0,14
RC,499,Percutaneous balloon valvuloplasty; mitral valve ,,,16482.0,48155.21,14
RC,499,Percutaneous balloon valvuloplasty; pulmonary valve ,,,16482.0,48155.21,14
RC,499,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,20
RC,499,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,20
RC,499,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,499,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,2020.05,5932.0,11
RC,499,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,10868.0,25655.0,16
RC,499,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,3838.82,77554.0,27
RC,499,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,2187.0,77554.0,27
RC,499,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4103.8,77554.0,27
RC,499,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,3924.71,77554.0,27
RC,499,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,25655.0,12
RC,499,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,357.81,5932.0,54
RC,499,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,3488.38,25655.0,48
RC,499,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,7
RC,499,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,25
RC,499,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,11388.0,44631.92,18
RC,499,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,11388.0,44631.92,18
RC,499,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,4
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,77468.25,10
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,77468.25,10
RC,499,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,77468.25,19
RC,499,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,499,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,27837.0,94000.0,8
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,25794.0,48155.21,14
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,17031.0,91021.43,14
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,9417.0,2
RC,499,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,2152.0,43890.0,18
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,15852.51,43890.0,14
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,31792.18,9
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,9
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,12875.0,10
RC,499,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,9417.0,2
RC,499,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,21909.0,48155.21,14
RC,499,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,10763.0,1
RC,499,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,499,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,27837.0,94000.0,8
RC,499,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,25794.0,77468.25,14
RC,499,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,9417.0,2
RC,499,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,8
RC,499,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,13
RC,499,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,18279.0,43890.0,8
RC,499,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,18279.0,48155.21,14
RC,499,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,46000.0,14
RC,499,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,21210.0,94000.0,14
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,27837.0,94000.0,22
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,9417.0,2
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,25794.0,57319.96,21
RC,499,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,27837.0,94000.0,22
RC,499,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,48155.21,16
RC,499,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,25655.0,20
RC,499,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,25655.0,20
RC,499,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,25655.0,20
RC,499,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,25655.0,20
RC,499,"Pereyra procedure, including anterior colporrhaphy ",,,2390.64,18770.08,27
RC,499,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,499,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,4
RC,499,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,4
RC,499,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1116.7,18490.0,27
RC,499,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,499,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2152.0,32843.89,25
RC,499,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,843.46,6587.0,25
RC,499,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2152.0,25655.0,25
RC,499,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2152.0,25655.0,25
RC,499,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,499,Pertnscp cholangram w bx ,,,2152.0,6587.0,4
RC,499,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,499,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,499,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,499,Petrous apicectomy including radical mastoidectomy ,,,2051.93,23113.0,27
RC,499,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1481.0,2636.0,5
RC,499,Phenobarbital ,,,16.68,16.68,3
RC,499,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,499,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,499,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,499,Phenytoin; free ,,,15.0,15.0,3
RC,499,Phenytoin; total ,,,14.44,14.44,3
RC,499,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,6
RC,499,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,499,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,499,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,499,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,499,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,499,Phosphatidylglycerol ,,,18.01,18.01,3
RC,499,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,499,Phosphohexose isomerase ,,,11.7,11.7,3
RC,499,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,499,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,499,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,499,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,499,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1481.0,2636.0,5
RC,499,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1481.0,2636.0,5
RC,499,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1481.0,2636.0,5
RC,499,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,1481.0,2174.0,4
RC,499,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,6
RC,499,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,6
RC,499,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,499,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,499,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,499,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,499,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,499,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,5
RC,499,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,499,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,499,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,499,Pinworm examinations ,,,4.65,4.65,3
RC,499,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,5
RC,499,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1481.0,19415.0,13
RC,499,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2700.0,12360.0,25
RC,499,Placement of amniotic membrane on the ocular surface; without sutures ,,,1266.0,5932.0,25
RC,499,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,3293.0,15
RC,499,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,74.41,5932.0,27
RC,499,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,6
RC,499,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,4693.0,12499.0,25
RC,499,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,685.44,18747.0,27
RC,499,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,1200.05,18747.0,27
RC,499,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,5
RC,499,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1200.05,12499.0,81
RC,499,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,499,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,499,Plasma cryo redu path each ,,,145.8,145.8,3
RC,499,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,499,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,499,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,499,Plastic operation of penis for injury ,,,1200.05,19415.0,27
RC,499,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1200.05,17510.0,27
RC,499,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1200.05,17510.0,27
RC,499,Plastic operation on penis for epispadias distal to external sphincter; ,,,685.44,12360.0,27
RC,499,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,7592.0,27917.61,21
RC,499,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,685.44,12360.0,27
RC,499,Plastic operation on penis to correct angulation ,,,1200.05,17510.0,27
RC,499,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1603.34,17510.0,27
RC,499,Plastic repair of canaliculi ,,,733.22,8858.0,27
RC,499,Plastic repair of introitus ,,,1116.7,9908.0,27
RC,499,Plastic repair of urethrocele ,,,1116.7,9908.0,27
RC,499,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,499,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,499,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,499,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,499,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,499,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,499,Platelets pheresis path re ,,,662.1,662.1,3
RC,499,"Platelets, each unit ",,,57.96,57.96,3
RC,499,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,499,"Platelets, irradiated ",,,428.34,428.34,3
RC,499,"Platelets, pheresis ",,,336.77,336.77,3
RC,499,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,499,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,499,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,499,Plerixafor injection ,,,31.05,31.05,3
RC,499,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,499,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,499,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,499,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,499,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,499,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,499,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,499,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,499,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,499,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,499,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,499,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,499,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,499,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,499,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,499,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,499,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,499,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,499,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,499,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,499,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,499,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,499,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,499,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,499,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,499,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,499,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,499,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,499,Posaconazole ,,,29.55,29.55,3
RC,499,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,499,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,499,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,499,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,499,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,499,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,499,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,499,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,499,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,499,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,499,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.34,18490.0,27
RC,499,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,640.52,5932.0,25
RC,499,Postpartum care only (separate procedure) ,,,2152.0,6587.0,15
RC,499,Postural drainage board ,,,31.28,31.28,3
RC,499,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,499,Potassium; urine ,,,5.16,5.16,3
RC,499,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,499,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,499,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,499,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,499,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,499,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,499,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,499,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,499,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,499,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,499,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,499,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,499,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,499,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,499,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,499,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,499,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,499,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,499,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,499,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,499,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,499,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,499,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,499,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,499,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,499,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,499,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,499,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,499,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,499,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,499,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,499,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,499,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,499,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,499,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,499,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,499,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,499,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,499,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,499,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,499,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,499,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,499,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,499,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,499,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,499,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,499,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,499,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,499,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,499,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,499,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,499,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,499,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,499,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,499,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,499,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,499,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,499,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,499,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,499,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,499,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,499,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,499,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,499,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,499,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,499,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,499,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,499,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,499,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,499,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,499,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,499,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,499,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,499,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,499,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,499,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,499,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,499,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,499,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,499,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,499,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,499,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,499,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,499,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,499,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,499,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,499,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,499,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,499,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,499,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,499,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,499,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,499,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,499,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,499,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,499,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,499,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,499,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,499,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,499,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,499,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,499,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,499,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,499,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,499,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,499,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,499,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,499,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,499,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,499,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,499,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,499,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,499,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,499,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,499,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,499,Pralatrexate injection ,,,420.87,420.87,3
RC,499,Prealbumin ,,,15.9,15.9,3
RC,499,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,499,Pregnanediol ,,,23.18,23.18,3
RC,499,Pregnanetriol ,,,22.94,22.94,3
RC,499,Pregnenolone ,,,22.53,22.53,3
RC,499,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,499,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,10
RC,499,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,499,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,499,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,499,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,499,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,499,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,499,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,499,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,499,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,499,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,499,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,499,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,499,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,499,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,499,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,499,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,499,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,499,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,499,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,499,Primidone ,,,18.08,18.08,3
RC,499,"Prism, per lens ",,,17.53,17.53,3
RC,499,"Probing of lacrimal canaliculi, with or without irrigation ",,,72.68,5932.0,27
RC,499,"Probing of nasolacrimal duct, with or without irrigation; ",,,113.7,5932.0,27
RC,499,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,733.22,8858.0,27
RC,499,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,733.22,8858.0,27
RC,499,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,733.22,9868.0,27
RC,499,Procainamide hcl injection ,,,321.94,321.94,3
RC,499,Procainamide; ,,,65.4,65.4,3
RC,499,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,499,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,499,Progesterone ,,,22.74,22.74,3
RC,499,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,499,Proinsulin ,,,29.09,29.09,3
RC,499,Prolactin ,,,21.12,21.12,3
RC,499,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,113.7,6680.0,27
RC,499,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,125.86,5932.0,27
RC,499,"Prostaglandin, each ",,,45.53,45.53,3
RC,499,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,499,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,499,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,499,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,499,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2152.0,25655.0,21
RC,499,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2152.0,25655.0,21
RC,499,"Prostatectomy, perineal radical; ",,,2152.0,29541.73,21
RC,499,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2152.0,39526.16,21
RC,499,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,36192.77,21
RC,499,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2152.0,25655.0,21
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2152.0,26348.26,21
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2152.0,30676.0,25
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2152.0,26371.55,21
RC,499,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,1200.05,8858.0,27
RC,499,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,1200.05,8858.0,27
RC,499,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,499,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,499,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,499,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,499,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,499,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,499,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,499,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,499,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,499,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,499,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,499,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,499,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,499,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,499,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,499,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,499,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,499,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,499,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,499,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,499,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,499,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,499,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,499,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,499,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,499,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,499,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,499,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,499,Prothrombin time; ,,,4.68,4.68,3
RC,499,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,499,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,499,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,499,Pulmonary Treatment ,,,239.77,239.77,3
RC,499,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,499,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,499,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,499,Pump for water circulating pad ,,,68.74,68.74,3
RC,499,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,56.97,3293.0,23
RC,499,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,276.0,5932.0,27
RC,499,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2152.0,31367.64,21
RC,499,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2152.0,26076.17,21
RC,499,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,2152.0,16144.0,5
RC,499,"Pyelotomy; with drainage, pyelostomy ",,,2152.0,25655.0,21
RC,499,Pyelotomy; with exploration ,,,2152.0,25655.0,21
RC,499,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2152.0,25655.0,21
RC,499,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,499,Pyruvate ,,,15.78,15.78,3
RC,499,Pyruvate kinase ,,,10.29,10.29,3
RC,499,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,499,Quinidine ,,,15.91,15.91,3
RC,499,Quinine ,,,12.68,12.68,3
RC,499,RBC deglycerolized ,,,341.17,341.17,3
RC,499,RBC irradiated ,,,158.29,158.29,3
RC,499,RBC leukocytes reduced ,,,201.55,201.55,3
RC,499,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,499,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,499,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,499,RECONSTRUCTION OF URETHRA ,,,2152.0,6587.0,4
RC,499,REDUCTION OF SKULL DEFECT ,,,2152.0,6587.0,4
RC,499,REMOVAL OF BRAIN TISSUE ,,,2152.0,6587.0,4
RC,499,REMOVAL OF TESTIS LESION ,,,2152.0,6587.0,4
RC,499,REMOVE MULTI-COMP PROSTHESIS ,,,2152.0,6587.0,4
RC,499,REMOVE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,499,REMOVE RESIDUAL PROSTATE ,,,2152.0,6587.0,4
RC,499,RENAL ABSCESS PERCUT DRAIN ,,,2152.0,6587.0,4
RC,499,RENAL ENDOSCOPY/RADIOTRACER ,,,2152.0,6587.0,8
RC,499,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,3796.0,5381.0,5
RC,499,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,7008.0,10763.0,5
RC,499,REREPAIR DETACHED RETINA ,,,2152.0,6587.0,4
RC,499,REVISE PENIS PROSTHESIS ,,,2152.0,6587.0,4
RC,499,REVISE/REMOVE NEUROELECTRODE ,,,2152.0,6587.0,4
RC,499,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,7592.0,8072.0,5
RC,499,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,499,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,499,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,499,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,499,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,499,"Rabies vaccine, id ",,,258.18,258.18,3
RC,499,"Rabies vaccine, im ",,,361.85,361.85,3
RC,499,Radial keratotomy ,,,1572.0,23113.0,25
RC,499,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,41507.53,25
RC,499,Radical excision external auditory canal lesion; with neck dissection ,,,2152.0,36542.48,21
RC,499,Radical excision external auditory canal lesion; without neck dissection ,,,2051.93,13581.48,27
RC,499,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,37195.1,21
RC,499,Radiesse injection ,,,380.62,380.62,3
RC,499,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,692.94,19415.0,27
RC,499,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,499,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,499,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,499,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,499,Ranibizumab injection ,,,55.69,55.69,3
RC,499,Rasburicase ,,,422.32,422.32,3
RC,499,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,499,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,499,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,499,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,499,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,499,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,499,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,499,Receptor assay; estrogen ,,,95.79,95.79,3
RC,499,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,499,Receptor assay; progesterone ,,,70.72,70.72,3
RC,499,Recipient nephrectomy (separate procedure) ,,,2152.0,25655.0,21
RC,499,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,499,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2051.93,23113.0,27
RC,499,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2051.93,17510.0,27
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,733.22,9908.0,27
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,733.22,9908.0,27
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1158.59,12360.0,27
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,733.22,9908.0,27
RC,499,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,499,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,499,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1481.0,5932.0,7
RC,499,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,2
RC,499,Red blood cells unit ,,,164.12,164.12,3
RC,499,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2152.0,38236.23,21
RC,499,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2152.0,44941.82,21
RC,499,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,499,Reduction of overcorrection of ptosis ,,,733.22,19415.0,27
RC,499,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1200.05,19415.0,27
RC,499,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1481.0,2636.0,5
RC,499,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1481.0,2636.0,5
RC,499,Regulator ,,,43.99,43.99,3
RC,499,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,499,Reinsertion of ocular implant; with or without conjunctival graft ,,,1158.59,12360.0,27
RC,499,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1158.59,12360.0,27
RC,499,Release of encircling material (posterior segment) ,,,1610.16,10691.32,27
RC,499,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,733.22,23113.0,27
RC,499,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,499,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,499,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,499,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,499,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,499,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,27
RC,499,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,685.44,9868.0,27
RC,499,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,685.44,8858.0,27
RC,499,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,572.66,8858.0,27
RC,499,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,6004.0,54082.0,25
RC,499,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1672.0,54082.0,25
RC,499,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,685.44,5932.0,27
RC,499,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,20
RC,499,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2187.0,49207.09,27
RC,499,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1266.0,28733.66,21
RC,499,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,6004.0,54082.0,25
RC,499,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1266.0,54082.0,25
RC,499,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,855.96,8858.0,27
RC,499,Removal foreign body from external auditory canal; with general anesthesia ,,,510.77,5932.0,27
RC,499,Removal foreign body from external auditory canal; without general anesthesia ,,,237.69,2636.0,21
RC,499,"Removal impacted cerumen requiring instrumentation, unilateral ",,,119.92,5932.0,25
RC,499,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,119.92,5932.0,25
RC,499,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1200.05,12360.0,27
RC,499,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,3
RC,499,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2287.0,12360.0,14
RC,499,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2287.0,12360.0,14
RC,499,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2287.0,12360.0,14
RC,499,"Removal of blood clot, anterior segment of eye ",,,892.44,18490.0,27
RC,499,Removal of bone flap or prosthetic plate of skull ,,,2152.0,25655.0,21
RC,499,Removal of cerclage suture under anesthesia (other than local) ,,,1116.7,18490.0,27
RC,499,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2152.0,25655.0,21
RC,499,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2214.0,25655.0,25
RC,499,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,176.16,8858.0,27
RC,499,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,40.7,5932.0,27
RC,499,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2096.41,15425.23,27
RC,499,"Removal of embedded foreign body, eyelid ",,,113.7,5932.0,27
RC,499,Removal of entire lumbosubarachnoid shunt system without replacement ,,,692.94,8858.0,27
RC,499,"Removal of epithelial downgrowth, anterior chamber of eye ",,,892.44,18490.0,27
RC,499,Removal of foreign body in scrotum ,,,685.44,8858.0,27
RC,499,"Removal of foreign body or dacryolith, lacrimal passages ",,,113.7,5932.0,27
RC,499,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,792.63,2636.0,21
RC,499,"Removal of foreign body, external eye; conjunctival superficial ",,,237.69,2636.0,21
RC,499,"Removal of foreign body, external eye; corneal, with slit lamp ",,,237.69,2636.0,21
RC,499,"Removal of foreign body, external eye; corneal, without slit lamp ",,,792.63,2636.0,21
RC,499,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,892.44,8858.0,27
RC,499,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,892.44,9908.0,27
RC,499,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,892.44,19415.0,27
RC,499,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,7
RC,499,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2096.41,25655.0,27
RC,499,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,7
RC,499,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,5
RC,499,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,1116.7,8858.0,27
RC,499,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,4
RC,499,"Removal of implanted material, anterior segment of eye ",,,892.44,23113.0,27
RC,499,"Removal of implanted material, posterior segment; extraocular ",,,892.44,8858.0,27
RC,499,"Removal of implanted material, posterior segment; intraocular ",,,892.44,12360.0,27
RC,499,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1773.9,21630.0,27
RC,499,Removal of intrauterine device (IUD) ,,,53.78,5932.0,27
RC,499,"Removal of lens material; aspiration technique, 1 or more stages ",,,892.44,19415.0,27
RC,499,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,892.44,18490.0,27
RC,499,Removal of lens material; intracapsular ,,,892.44,19415.0,27
RC,499,"Removal of lens material; intracapsular, for dislocated lens ",,,1610.16,18490.0,27
RC,499,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1610.16,19415.0,27
RC,499,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,892.44,23113.0,27
RC,499,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,250.06,5932.0,27
RC,499,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,499,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1200.05,12360.0,27
RC,499,Removal of non-resorbable barrier ,,,10868.0,12875.0,4
RC,499,Removal of ocular implant ,,,1158.59,12360.0,27
RC,499,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,25655.0,20
RC,499,Removal of previously implanted intrathecal or epidural catheter ,,,692.94,8858.0,27
RC,499,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,892.44,19415.0,27
RC,499,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2152.0,12499.0,24
RC,499,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,692.94,18747.0,27
RC,499,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,1574.7,18747.0,27
RC,499,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2096.41,15425.23,27
RC,499,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,6
RC,499,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,4
RC,499,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,4
RC,499,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,4
RC,499,Removal of transplanted renal allograft ,,,2152.0,27101.78,21
RC,499,"Removal of tumor, temporal bone ",,,7592.0,25655.0,25
RC,499,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,892.44,19415.0,27
RC,499,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,892.44,19415.0,27
RC,499,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,930.95,17510.0,27
RC,499,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2187.0,12360.0,27
RC,499,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1116.7,25655.0,27
RC,499,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,499,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1142.68,25655.0,27
RC,499,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1142.68,12360.0,27
RC,499,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1142.68,12360.0,27
RC,499,Remove interim implant component ,,,10868.0,12875.0,4
RC,499,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2152.0,64499.11,21
RC,499,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2152.0,54444.61,21
RC,499,"Renal autotransplantation, reimplantation of kidney ",,,2152.0,44949.58,21
RC,499,Renal biopsy; by surgical exposure of kidney ,,,2152.0,25655.0,21
RC,499,"Renal biopsy; percutaneous, by trocar or needle ",,,510.77,5932.0,27
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1266.0,11848.54,27
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1266.0,22590.2,27
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2187.0,22590.2,27
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,1773.9,11848.54,27
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1266.0,22590.2,27
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,1773.9,11848.54,27
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,8451.91,27
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1200.05,5932.0,27
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1773.9,25655.0,23
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,1773.9,25655.0,27
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,25655.0,27
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,250.06,5932.0,27
RC,499,"Renal exploration, not necessitating other specific procedures ",,,2152.0,25655.0,21
RC,499,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,499,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,499,Renin ,,,23.97,23.97,3
RC,499,Repair incomplete circumcision ,,,685.44,8858.0,27
RC,499,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,13
RC,499,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,733.22,19415.0,27
RC,499,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,733.22,19415.0,27
RC,499,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,733.22,19415.0,27
RC,499,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1158.59,18490.0,27
RC,499,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,733.22,18490.0,27
RC,499,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1158.59,18490.0,27
RC,499,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,733.22,19415.0,27
RC,499,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1610.16,18490.0,27
RC,499,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,6004.0,17510.0,25
RC,499,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,4
RC,499,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2152.0,25655.0,21
RC,499,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2152.0,25655.0,21
RC,499,Repair of ectropion; excision tarsal wedge ,,,733.22,19415.0,27
RC,499,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,733.22,19415.0,27
RC,499,Repair of ectropion; suture ,,,733.22,9908.0,27
RC,499,Repair of ectropion; thermocauterization ,,,210.46,9908.0,27
RC,499,"Repair of encephalocele, skull vault, including cranioplasty ",,,2152.0,48135.29,21
RC,499,"Repair of enterocele, abdominal approach (separate procedure) ",,,3796.0,25655.0,21
RC,499,"Repair of enterocele, vaginal approach (separate procedure) ",,,1603.34,11960.31,27
RC,499,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,25655.0,19
RC,499,Repair of entropion; excision tarsal wedge ,,,733.22,19415.0,27
RC,499,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,733.22,19415.0,27
RC,499,Repair of entropion; suture ,,,733.22,9908.0,27
RC,499,Repair of entropion; thermocauterization ,,,201.75,25655.0,27
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1200.05,12360.0,27
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1773.9,12360.0,27
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1773.9,12360.0,27
RC,499,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1773.9,12360.0,27
RC,499,"Repair of iris, ciliary body (as for iridodialysis) ",,,892.44,9908.0,27
RC,499,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,391.57,6680.0,27
RC,499,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2152.0,25655.0,25
RC,499,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,733.22,8858.0,27
RC,499,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,733.22,8858.0,27
RC,499,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1610.16,19415.0,27
RC,499,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1610.16,19415.0,27
RC,499,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1158.59,19415.0,27
RC,499,Repair of meningocele; larger than 5 cm diameter ,,,2152.0,32502.13,21
RC,499,Repair of meningocele; less than 5 cm diameter ,,,2152.0,29510.68,21
RC,499,Repair of myelomeningocele; larger than 5 cm diameter ,,,2152.0,40171.02,21
RC,499,Repair of myelomeningocele; less than 5 cm diameter ,,,2152.0,36223.82,21
RC,499,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,499,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,174.12,19415.0,27
RC,499,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,144.47,18490.0,27
RC,499,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,434.01,25655.0,23
RC,499,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1610.16,18490.0,27
RC,499,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1610.16,23113.0,27
RC,499,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,499,Repair of scleral staphyloma with graft ,,,2141.05,19415.0,27
RC,499,"Repair of symblepharon; conjunctivoplasty, without graft ",,,892.44,19415.0,27
RC,499,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,733.22,19415.0,27
RC,499,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1158.59,19415.0,27
RC,499,Repair of traumatic corporeal tear(s) ,,,1200.05,18747.0,27
RC,499,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1200.05,19415.0,27
RC,499,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1158.59,12360.0,27
RC,499,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,499,Repair oval window fistula ,,,930.95,19415.0,27
RC,499,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,499,Repair round window fistula ,,,930.95,19415.0,27
RC,499,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,499,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,6
RC,499,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,6
RC,499,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,499,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,499,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,499,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,499,Replace high roll cuff ,,,398.06,398.06,3
RC,499,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,499,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,499,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,499,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,499,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,499,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,499,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,499,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,499,Replace pretibial shell ,,,724.27,724.27,3
RC,499,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,499,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,499,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,499,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,499,Replace trilateral socket brim ,,,862.54,862.54,3
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2152.0,36534.62,27
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2152.0,35261.21,27
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,4002.6,33769.0,27
RC,499,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,499,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,499,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,499,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,499,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,499,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,499,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,499,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,499,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,499,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,499,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,499,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,499,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,499,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,499,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,499,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,499,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,499,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,499,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,499,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,499,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2152.0,27630.22,21
RC,499,Replacement of an implant screw ,,,10868.0,12875.0,3
RC,499,Replacement of bone flap or prosthetic plate of skull ,,,2152.0,25655.0,21
RC,499,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,4
RC,499,"Replacement or irrigation, subarachnoid/subdural catheter ",,,692.94,8858.0,27
RC,499,"Replacement or irrigation, ventricular catheter ",,,2096.41,15425.23,27
RC,499,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2096.41,17510.0,27
RC,499,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,499,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,499,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,499,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,499,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,499,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,499,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,499,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,499,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,499,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2884.18,17510.0,27
RC,499,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,499,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,499,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,499,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,499,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,499,"Replantation, penis, complete amputation including urethral repair ",,,2152.0,16144.0,5
RC,499,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,892.44,19415.0,27
RC,499,Reprogramming of programmable cerebrospinal shunt ,,,31.39,3092.0,23
RC,499,Reptilase test ,,,10.74,10.74,3
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,5694.0,25655.0,21
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2152.0,37156.29,21
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2152.0,32750.72,21
RC,499,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2152.0,39813.56,21
RC,499,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,2152.0,16144.0,5
RC,499,Resection of scrotum ,,,1200.05,8858.0,27
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2152.0,47847.89,21
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2152.0,54467.89,21
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2152.0,63652.02,21
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2152.0,75602.3,21
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2152.0,48290.73,21
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2152.0,66589.14,21
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2152.0,60474.08,21
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2152.0,74359.15,21
RC,499,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,3
RC,499,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,3
RC,499,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,3
RC,499,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,3
RC,499,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,499,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,499,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,499,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,499,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,499,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,499,"Resection temporal bone, external approach ",,,2152.0,59603.91,21
RC,499,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,499,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,499,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,499,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,499,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,499,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,499,Resuscitation and Cardiove ,,,723.71,723.71,3
RC,499,Reticulated platelet assay ,,,38.96,38.96,3
RC,499,Retrobulbar injection; alcohol ,,,36.62,5932.0,27
RC,499,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,27.62,2636.0,23
RC,499,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,499,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,9875.0,44979.2,20
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,18490.0,14
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,18490.0,14
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,18490.0,14
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,20
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,20
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,20
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,25655.0,20
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,28120.23,20
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,44979.2,20
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,9875.0,44979.2,20
RC,499,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2390.64,18770.08,23
RC,499,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,2152.0,25655.0,21
RC,499,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1116.7,9908.0,27
RC,499,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,3859.98,21630.0,27
RC,499,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4693.0,53982.38,27
RC,499,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2051.93,23113.0,27
RC,499,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2051.93,23113.0,27
RC,499,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2051.93,23113.0,27
RC,499,Revision mastoidectomy; resulting in tympanoplasty ,,,2051.93,23113.0,27
RC,499,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,892.44,8858.0,27
RC,499,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,892.44,12499.0,27
RC,499,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1773.9,17510.0,27
RC,499,Revision of stapedectomy or stapedotomy ,,,2051.93,18490.0,27
RC,499,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1200.05,25655.0,23
RC,499,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2152.0,25655.0,21
RC,499,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2187.0,17323.96,27
RC,499,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2175.62,12360.0,27
RC,499,Revision or removal of intracranial neurostimulator electrodes ,,,1574.7,25655.0,23
RC,499,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2152.0,12774.62,24
RC,499,Revision or removal of peripheral neurostimulator electrode array ,,,1574.7,12360.0,27
RC,499,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2187.0,12360.0,27
RC,499,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,733.22,8858.0,27
RC,499,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2287.0,12360.0,14
RC,499,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2287.0,88272.97,14
RC,499,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,5286.0,21630.0,27
RC,499,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,2152.0,32153.46,27
RC,499,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,7
RC,499,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,7
RC,499,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2152.0,58359.95,24
RC,499,Rh ig minidose im ,,,87.2,87.2,3
RC,499,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,499,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,499,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,499,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,499,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,7799.0,22644.0,10
RC,499,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,7799.0,22644.0,10
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,7799.0,22644.0,10
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,7799.0,22644.0,10
RC,499,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9119.84,22644.0,14
RC,499,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,7168.0,5
RC,499,Right ventricular recording ,,,2152.88,43890.0,14
RC,499,"Risperidone, long acting ",,,12.1,12.1,3
RC,499,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,499,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,499,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,2222.0,12
RC,499,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,6
RC,499,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2152.0,52059.21,11
RC,499,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2152.0,52742.87,11
RC,499,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2152.0,46954.23,11
RC,499,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2152.0,49269.77,11
RC,499,Rsv mab im 50mg ,,,476.06,476.06,3
RC,499,Rufinamide ,,,29.55,29.55,3
RC,499,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,499,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,499,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,499,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,499,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,499,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,499,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,499,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,499,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,499,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,499,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,499,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,499,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2214.0,4723.0,5
RC,499,STRIP RETINAL MEMBRANE ,,,2152.0,6587.0,4
RC,499,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,2152.0,16144.0,5
RC,499,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,499,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,499,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,499,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,499,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,499,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,499,Salicylate ,,,20.32,20.32,3
RC,499,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,5694.0,25655.0,25
RC,499,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,7592.0,25655.0,25
RC,499,Salpingostomy (salpingoneostomy) ,,,3796.0,25655.0,25
RC,499,Sargramostim injection ,,,68.1,68.1,3
RC,499,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,6
RC,499,Scleral cover shell ,,,1932.53,1932.53,3
RC,499,Scleral reinforcement (separate procedure); with graft ,,,892.44,9908.0,27
RC,499,Scleral reinforcement (separate procedure); without graft ,,,733.22,9908.0,27
RC,499,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,499,"Scraping of cornea, diagnostic, for smear and/or culture ",,,792.63,2636.0,21
RC,499,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,499,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,499,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,499,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,499,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,499,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,499,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,499,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,499,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,499,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,499,Screening proctoscopy ,,,735.36,808.07,6
RC,499,Scrotal exploration ,,,1200.05,8858.0,27
RC,499,Scrotoplasty; complicated ,,,1773.9,11848.54,27
RC,499,Scrotoplasty; simple ,,,1200.05,17510.0,27
RC,499,"Seat attachment, walker ",,,20.26,20.26,3
RC,499,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,499,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,499,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,499,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2152.0,29184.26,21
RC,499,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2152.0,32167.95,21
RC,499,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,499,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,499,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,499,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,499,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,499,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,499,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,499,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,499,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,499,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,499,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,499,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,499,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,499,Selenium ,,,27.83,27.83,3
RC,499,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,499,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,499,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,499,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,499,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,499,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,499,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,499,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,499,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,499,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,499,Semi-precision abutment - placement ,,,10868.0,12875.0,4
RC,499,Semi-precision attachment - placement ,,,10868.0,12875.0,4
RC,499,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,499,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,499,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,499,Serotonin ,,,33.77,33.77,3
RC,499,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,499,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,499,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,499,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,499,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,499,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,499,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,499,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,499,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,499,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,499,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,892.44,19415.0,27
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1610.16,19415.0,27
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,892.44,8858.0,27
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,892.44,19415.0,27
RC,499,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,148.54,19415.0,27
RC,499,Severing of tarsorrhaphy ,,,179.07,5932.0,27
RC,499,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,218.75,6680.0,27
RC,499,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,499,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,499,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,499,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,499,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,499,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,499,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,499,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,499,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,499,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,499,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,499,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,499,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,499,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,499,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,499,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,499,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,499,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,499,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,499,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,499,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,499,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,499,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,499,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,499,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,499,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,499,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,499,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,499,Sialic acid ,,,14.65,14.65,3
RC,499,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,499,Silica ,,,27.48,27.48,3
RC,499,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,115.66,6587.0,27
RC,499,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,237.69,6587.0,21
RC,499,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,6
RC,499,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,6
RC,499,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,499,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,499,Sirolimus ,,,14.97,14.97,3
RC,499,Sitz bath chair ,,,192.39,192.39,3
RC,499,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,499,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,499,"Six volt battery, each ",,,321.31,321.31,3
RC,499,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,499,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,499,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,499,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,499,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,499,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,499,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,499,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,499,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,499,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,499,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,499,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,499,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,499,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,499,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2700.0,22590.2,27
RC,499,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,2171.17,18490.0,27
RC,499,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,499,Slings ,,,11.97,11.97,3
RC,499,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,685.44,8858.0,27
RC,499,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,1200.05,8858.0,27
RC,499,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,499,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,499,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,499,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,499,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,499,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,499,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,499,Snip incision of lacrimal punctum ,,,56.97,5932.0,27
RC,499,Sodium; other source ,,,5.3,5.3,3
RC,499,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,499,Sodium; urine ,,,5.52,5.52,3
RC,499,"Sole wedge, between sole ",,,66.8,66.8,3
RC,499,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,499,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,499,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,499,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,499,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,499,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,499,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,499,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,499,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,499,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,499,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,6
RC,499,Somatomedin ,,,23.17,23.17,3
RC,499,Somatostatin ,,,19.93,19.93,3
RC,499,Special back height for wheelchair ,,,43.53,43.53,3
RC,499,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,499,Special height arms for wheelchair ,,,366.41,366.41,3
RC,499,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,499,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,499,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,499,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,499,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,499,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,499,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,499,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,499,Specific gravity (except urine) ,,,3.58,3.58,3
RC,499,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,499,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,499,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,499,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,499,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,499,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,499,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,499,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,499,Sperm antibodies ,,,11.63,11.63,3
RC,499,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,499,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,499,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,499,Sperm washing for artificial insemination ,,,37.58,3092.0,21
RC,499,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,499,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,499,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,499,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,499,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,499,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,499,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,499,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,499,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,499,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,499,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,499,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,499,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,499,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,499,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,499,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,499,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,499,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,499,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,499,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,499,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,499,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,499,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,499,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,499,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,499,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,499,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,499,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,499,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,499,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,499,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,499,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,499,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,499,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,499,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,499,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,499,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,499,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,499,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,499,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,499,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,499,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,499,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,499,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,499,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,499,"Spinal puncture, lumbar, diagnostic; ",,,276.0,5932.0,27
RC,499,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,276.0,6587.0,27
RC,499,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,276.0,5932.0,27
RC,499,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,276.0,6587.0,27
RC,499,"Spoke protectors, each ",,,61.65,61.65,3
RC,499,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,499,Sr89 strontium ,,,4519.51,4519.51,3
RC,499,Stand/rack ,,,33.16,33.16,3
RC,499,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,499,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,499,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,499,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,499,Standard wheelchair ,,,31.09,31.09,3
RC,499,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,499,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,2051.93,18490.0,27
RC,499,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,2051.93,18490.0,27
RC,499,Stapes mobilization ,,,930.95,23113.0,27
RC,499,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,499,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,499,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,499,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,499,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,499,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,499,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,499,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,499,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,499,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,499,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,499,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,499,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,499,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,499,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,499,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2152.0,32183.47,21
RC,499,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2152.0,31453.02,21
RC,499,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,499,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,9
RC,499,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1481.0,6587.0,9
RC,499,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2214.0,35780.98,21
RC,499,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,6587.0,17510.0,21
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,24844.0,37457.0,6
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,24844.0,37457.0,6
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,24844.0,37457.0,6
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,24844.0,37457.0,6
RC,499,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,1022.29,8485.0,27
RC,499,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,499,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,499,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,6
RC,499,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,119.92,6587.0,21
RC,499,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,499,Stoma cap ,,,2.17,2.17,3
RC,499,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,499,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1481.0,19415.0,13
RC,499,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1481.0,19415.0,13
RC,499,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1481.0,19415.0,13
RC,499,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1481.0,19415.0,13
RC,499,"Strabismus surgery, any procedure, superior oblique muscle ",,,733.22,19415.0,27
RC,499,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,733.22,9908.0,27
RC,499,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,733.22,19415.0,27
RC,499,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1158.59,19415.0,27
RC,499,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,733.22,19415.0,27
RC,499,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,499,"Streptokinase, antibody ",,,13.8,13.8,3
RC,499,Subarachnoid inject NEC ,,,2152.0,6587.0,4
RC,499,Subconjunctival injection ,,,237.69,2636.0,21
RC,499,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2214.0,27404.92,21
RC,499,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,276.0,5932.0,27
RC,499,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,276.0,5932.0,27
RC,499,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2152.0,32183.47,21
RC,499,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2152.0,25655.0,17
RC,499,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,499,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,499,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,499,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,499,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,499,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,499,"Sulfate, urine ",,,5.98,5.98,3
RC,499,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,499,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,499,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,499,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,499,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,499,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,499,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,499,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,499,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,499,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,25655.0,25
RC,499,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,386.78,6587.0,20
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2152.0,49254.25,21
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2152.0,57187.47,21
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2152.0,58415.1,21
RC,499,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2152.0,97490.65,21
RC,499,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2152.0,108788.09,21
RC,499,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2152.0,30318.75,21
RC,499,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2152.0,84545.6,21
RC,499,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2152.0,49471.79,21
RC,499,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2152.0,106006.42,21
RC,499,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2152.0,64607.77,21
RC,499,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2152.0,95959.89,21
RC,499,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2152.0,51359.8,21
RC,499,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2152.0,78283.07,21
RC,499,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2152.0,91911.79,21
RC,499,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,499,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,499,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,4
RC,499,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,4
RC,499,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,4
RC,499,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,4
RC,499,Surgical placement zygomatic implant ,,,10868.0,12875.0,4
RC,499,Surgical repair of root resorption - molar ,,,10868.0,12875.0,4
RC,499,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,4
RC,499,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,4
RC,499,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,6
RC,499,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2152.0,25655.0,21
RC,499,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2152.0,25655.0,21
RC,499,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2152.0,25655.0,21
RC,499,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,5694.0,25655.0,25
RC,499,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,5694.0,25655.0,25
RC,499,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,499,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,499,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,499,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,499,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,499,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,499,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,499,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,499,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2051.93,18490.0,27
RC,499,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2051.93,18490.0,27
RC,499,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2096.41,17510.0,27
RC,499,Suture of 1 nerve; median motor thenar ,,,2096.41,17510.0,27
RC,499,Suture of 1 nerve; ulnar motor ,,,2096.41,17510.0,27
RC,499,"Suture of digital nerve, hand or foot; 1 nerve ",,,692.94,19415.0,27
RC,499,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,499,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,499,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1481.0,5932.0,13
RC,499,Suture of facial nerve; extracranial ,,,2096.41,17510.0,27
RC,499,"Suture of facial nerve; infratemporal, with or without grafting ",,,2096.41,19415.0,27
RC,499,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,892.44,8858.0,27
RC,499,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2096.41,17510.0,27
RC,499,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2096.41,17510.0,27
RC,499,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1481.0,9908.0,13
RC,499,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1481.0,6680.0,13
RC,499,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1481.0,9908.0,13
RC,499,Suture of posterior tibial nerve ,,,2096.41,17510.0,27
RC,499,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,733.22,8858.0,27
RC,499,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,203.77,9868.0,27
RC,499,Suture of sciatic nerve ,,,1230.86,12360.0,27
RC,499,Suture of; brachial plexus ,,,692.94,12360.0,27
RC,499,Suture of; lumbar plexus ,,,2096.41,17510.0,27
RC,499,Suture or repair of testicular injury ,,,1200.05,9908.0,27
RC,499,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2152.0,25655.0,21
RC,499,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,499,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,499,"Sympathectomy, cervical ",,,692.94,6680.0,27
RC,499,"Sympathectomy, cervicothoracic ",,,2214.0,25655.0,21
RC,499,"Sympathectomy, lumbar ",,,2152.0,25655.0,21
RC,499,"Sympathectomy, thoracolumbar ",,,2152.0,25655.0,21
RC,499,"Sympathectomy; digital arteries, each digit ",,,692.94,25655.0,23
RC,499,Sympathectomy; radial artery ,,,1142.68,19415.0,27
RC,499,Sympathectomy; superficial palmar arch ,,,1142.68,12360.0,27
RC,499,Sympathectomy; ulnar artery ,,,1142.68,12360.0,27
RC,499,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2152.0,25718.71,21
RC,499,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,499,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,499,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,499,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,499,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,499,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,499,T cells; total count ,,,41.13,41.13,3
RC,499,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,499,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,499,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,499,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,499,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,499,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,499,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,499,TRANSECT ARTERY SINUS ,,,2152.0,6587.0,4
RC,499,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,499,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,2152.0,16144.0,5
RC,499,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,499,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,499,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,499,TUR cong post valve/fold ,,,2152.0,6587.0,4
RC,499,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,499,Tacrolimus ,,,14.97,14.97,3
RC,499,Tacrolimus injection ,,,292.31,292.31,3
RC,499,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,499,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,499,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,499,"Tau, total (tTau) ",,,140.52,140.52,3
RC,499,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,499,Tc99m bicisate ,,,845.32,845.32,3
RC,499,Tc99m succimer ,,,719.32,719.32,3
RC,499,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,499,Telavancin injection ,,,8.16,8.16,3
RC,499,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,499,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,499,Temozolomide injection ,,,11.34,11.34,3
RC,499,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,351.98,5932.0,27
RC,499,Temporary transcutaneous pacing ,,,1169.48,3293.0,15
RC,499,Tenecteplase injection ,,,236.99,236.99,3
RC,499,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,499,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,499,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,499,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,499,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,499,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,499,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,499,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,499,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,499,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,499,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,499,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,499,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,499,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,499,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,499,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,499,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,499,Testosterone; free ,,,27.76,27.76,3
RC,499,Testosterone; total ,,,28.13,28.13,3
RC,499,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,499,Theophylline ,,,15.41,15.41,3
RC,499,Therapeutic Nuclear Medici ,,,255.5,255.5,3
RC,499,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,499,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,499,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,499,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,499,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,499,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,499,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,499,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,499,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,499,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,499,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2152.0,35261.21,27
RC,499,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,499,Thiocyanate ,,,12.68,12.68,3
RC,499,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,499,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,499,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,499,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,499,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1481.0,6587.0,9
RC,499,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,499,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,499,Thrombin time; plasma ,,,6.29,6.29,3
RC,499,Thrombin time; titer ,,,7.47,7.47,3
RC,499,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,16144.0,2
RC,499,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,2636.0,2
RC,499,Thrombomodulin ,,,18.82,18.82,3
RC,499,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,499,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,499,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,499,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,499,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2152.0,30699.28,21
RC,499,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2152.0,25655.0,21
RC,499,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,7592.0,25655.0,25
RC,499,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,499,Thyroglobulin ,,,17.51,17.51,3
RC,499,Thyroglobulin antibody ,,,17.34,17.34,3
RC,499,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,499,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,499,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,499,"Thyroidectomy, including substernal thyroid; cervical approach ",,,7592.0,25655.0,25
RC,499,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2214.0,30644.95,21
RC,499,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,7592.0,25655.0,25
RC,499,"Thyroidectomy, total or complete ",,,1983.29,25655.0,27
RC,499,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,25655.0,20
RC,499,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,7592.0,25655.0,25
RC,499,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,3796.0,37404.88,25
RC,499,Thyrotropin injection ,,,2352.94,2352.94,3
RC,499,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,499,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,499,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,499,Thyroxine; free ,,,9.83,9.83,3
RC,499,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,499,Thyroxine; total ,,,7.49,7.49,3
RC,499,Tiagabine ,,,29.55,29.55,3
RC,499,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,499,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,499,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,499,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,499,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,499,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,499,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,499,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,499,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,499,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,499,"Tlso, corset front ",,,182.11,182.11,3
RC,499,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,499,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,499,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,499,"Tlso, full corset ",,,251.72,251.72,3
RC,499,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,499,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,499,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,499,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,499,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,499,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,499,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,499,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,499,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,499,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,499,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,499,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,499,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,499,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,499,Tobramycin ,,,17.58,17.58,3
RC,499,Tocilizumab injection ,,,5.89,5.89,3
RC,499,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,499,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,499,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,499,Topiramate ,,,12.99,12.99,3
RC,499,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2152.0,25655.0,25
RC,499,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2152.0,27653.5,25
RC,499,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,2152.0,30854.73,25
RC,499,Total facial nerve decompression and/or repair (may include graft) ,,,7592.0,25655.0,25
RC,499,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1983.29,21630.0,27
RC,499,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1983.29,21630.0,27
RC,499,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,499,Trabeculoplasty by laser surgery ,,,114.82,6680.0,27
RC,499,Trabeculotomy ab externo ,,,892.44,19415.0,27
RC,499,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,499,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,499,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1603.34,11960.31,27
RC,499,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1116.7,9908.0,27
RC,499,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,499,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,499,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,499,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,499,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,499,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,499,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,499,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,499,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,499,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,499,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,499,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,499,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,499,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,499,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,499,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,499,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,499,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,499,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,499,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,499,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,499,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,499,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,499,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,499,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,499,"Transabdominal amnioinfusion, including ultrasound guidance ",,,590.17,5932.0,25
RC,499,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,499,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,1481.0,2174.0,4
RC,499,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,10
RC,499,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2152.0,76895.0,50
RC,499,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2152.0,33108.18,21
RC,499,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,9
RC,499,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2152.0,25655.0,24
RC,499,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,3796.0,25655.0,25
RC,499,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2152.0,54467.89,21
RC,499,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2152.0,66449.21,21
RC,499,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,499,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,499,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,499,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,499,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,499,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,499,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,692.94,5047.0,23
RC,499,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,3748.18,12360.0,21
RC,499,"Transection or avulsion of other cranial nerve, extradural ",,,692.94,8858.0,27
RC,499,"Transection or avulsion of other spinal nerve, extradural ",,,692.94,8858.0,27
RC,499,"Transection or avulsion of; facial nerve, differential or complete ",,,692.94,8858.0,27
RC,499,Transection or avulsion of; greater occipital nerve ,,,692.94,8858.0,27
RC,499,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,692.94,6680.0,27
RC,499,Transection or avulsion of; infraorbital nerve ,,,692.94,6680.0,27
RC,499,Transection or avulsion of; lingual nerve ,,,692.94,8858.0,27
RC,499,Transection or avulsion of; mental nerve ,,,692.94,6680.0,27
RC,499,Transection or avulsion of; phrenic nerve ,,,692.94,6680.0,27
RC,499,Transection or avulsion of; supraorbital nerve ,,,692.94,6680.0,27
RC,499,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2152.0,25655.0,21
RC,499,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2152.0,25655.0,21
RC,499,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2152.0,25655.0,21
RC,499,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2152.0,25655.0,21
RC,499,"Transfer device, any type, each ",,,61.38,61.38,3
RC,499,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,499,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,499,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,499,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,499,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,499,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,499,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,499,Transferrin ,,,13.91,13.91,3
RC,499,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,23113.0,14
RC,499,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,10868.0,28600.76,13
RC,499,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,6587.0,18490.0,25
RC,499,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,6587.0,18490.0,25
RC,499,Transmastoid antrotomy (simple mastoidectomy) ,,,2051.93,23113.0,27
RC,499,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,499,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,499,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,499,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2152.0,57202.99,21
RC,499,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2152.0,94133.98,21
RC,499,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,499,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,499,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1481.0,2636.0,9
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2518.45,21630.0,23
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,2518.45,21630.0,23
RC,499,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2152.0,21630.0,27
RC,499,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1773.9,25080.0,23
RC,499,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2152.0,64413.52,21
RC,499,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,499,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,499,Transplantation of multivisceral organs ,,,21210.0,23307.22,6
RC,499,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,6
RC,499,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1200.05,9908.0,27
RC,499,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,499,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,499,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,499,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1481.0,19415.0,13
RC,499,"Transposition, ovary(s) ",,,5694.0,25655.0,25
RC,499,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2152.0,52944.89,21
RC,499,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,499,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2152.0,25912.96,21
RC,499,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,1090.68,33769.0,27
RC,499,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1200.05,12499.0,27
RC,499,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,1042.71,25655.0,27
RC,499,Transurethral drainage of prostatic abscess ,,,1200.05,8858.0,27
RC,499,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1773.9,19415.0,27
RC,499,Transurethral incision of prostate ,,,1200.05,9908.0,27
RC,499,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2214.0,18747.0,25
RC,499,Transurethral resection of bladder neck (separate procedure) ,,,1200.05,9908.0,27
RC,499,Transurethral resection; of postoperative bladder neck contracture ,,,1200.05,8858.0,27
RC,499,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,1773.9,17510.0,27
RC,499,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2287.0,27080.2,14
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,60.45,6680.0,15
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,53.82,6680.0,15
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,49.82,6680.0,15
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,43.49,6680.0,15
RC,499,Transvesical ureterolithotomy ,,,3861.98,25655.0,21
RC,499,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,499,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,499,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,499,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,499,Trauma Response with Criti ,,,1459.49,1459.49,3
RC,499,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,149.42,5932.0,27
RC,499,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,218.75,6680.0,27
RC,499,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1116.7,18490.0,27
RC,499,"Treatment of missed abortion, completed surgically; first trimester ",,,1116.7,18490.0,27
RC,499,"Treatment of missed abortion, completed surgically; second trimester ",,,1116.7,18490.0,27
RC,499,"Treatment of septic abortion, completed surgically ",,,2152.0,25655.0,25
RC,499,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,499,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,499,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,499,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,499,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,499,Triglycerides ,,,6.26,6.26,3
RC,499,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,499,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,499,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,499,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,17
RC,499,Triptorelin pamoate ,,,508.34,508.34,3
RC,499,"Troponin, qualitative ",,,11.0,11.0,3
RC,499,"Troponin, quantitative ",,,13.59,13.59,3
RC,499,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,499,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,499,"Truss, double with standard pads ",,,177.72,177.72,3
RC,499,"Truss, single with standard pad ",,,112.58,112.58,3
RC,499,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,499,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,499,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,499,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,499,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,499,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,499,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,499,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,499,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,499,Tubotubal anastomosis ,,,5694.0,25655.0,25
RC,499,Tubouterine implantation ,,,5694.0,25655.0,25
RC,499,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,499,"Twelve volt battery, each ",,,703.98,703.98,3
RC,499,Twist drill hole for subdural or ventricular puncture ,,,2152.0,25655.0,21
RC,499,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2152.0,25655.0,21
RC,499,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2152.0,25655.0,21
RC,499,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2152.0,25655.0,21
RC,499,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2152.0,51966.07,84
RC,499,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,183.72,25655.0,27
RC,499,Tympanic neurectomy ,,,930.95,9908.0,27
RC,499,"Tympanolysis, transcanal ",,,930.95,17510.0,27
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,2051.93,23113.0,27
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,2051.93,23113.0,27
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,2051.93,18490.0,27
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,2051.93,18490.0,27
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,2051.93,18490.0,27
RC,499,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,441.67,9908.0,27
RC,499,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,123.54,9908.0,27
RC,499,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,7
RC,499,Tyrosine ,,,11.59,11.59,3
RC,499,"U-v lens, per lens ",,,29.55,29.55,3
RC,499,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,499,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,499,URETER ENDOSCOPY & TRACER ,,,2152.0,6587.0,8
RC,499,URETHRA PRESSURE PROFILE ,,,2152.0,6587.0,4
RC,499,URINE VOIDING PRESSURE STUDY ,,,2152.0,6587.0,4
RC,499,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,499,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,499,Ultrasound Composite ,,,322.14,322.14,3
RC,499,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,499,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,499,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,499,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,499,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,499,Unlist px-laparascopy ,,,2152.0,6587.0,4
RC,499,Unlisted cardiovascular service or procedure ,,,1481.0,2636.0,5
RC,499,Unlisted diagnostic gastroenterology procedure ,,,1481.0,2636.0,5
RC,499,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,361.99,25655.0,25
RC,499,"Unlisted hysteroscopy procedure, uterus ",,,361.99,25655.0,21
RC,499,"Unlisted laparoscopy procedure, bladder ",,,7592.0,25655.0,21
RC,499,"Unlisted laparoscopy procedure, endocrine system ",,,7592.0,25655.0,21
RC,499,"Unlisted laparoscopy procedure, maternity care and delivery ",,,7592.0,25655.0,25
RC,499,"Unlisted laparoscopy procedure, oviduct, ovary ",,,7592.0,25655.0,21
RC,499,"Unlisted laparoscopy procedure, renal ",,,7592.0,25655.0,21
RC,499,"Unlisted laparoscopy procedure, spermatic cord ",,,7592.0,25655.0,21
RC,499,"Unlisted laparoscopy procedure, testis ",,,7592.0,25655.0,21
RC,499,"Unlisted laparoscopy procedure, ureter ",,,7592.0,25655.0,21
RC,499,"Unlisted laparoscopy procedure, uterus ",,,7592.0,25655.0,21
RC,499,"Unlisted procedure, abdomen, peritoneum and omentum ",,,1713.31,25655.0,25
RC,499,"Unlisted procedure, anterior segment of eye ",,,2214.0,25655.0,25
RC,499,"Unlisted procedure, conjunctiva ",,,589.67,25655.0,21
RC,499,"Unlisted procedure, endocrine system ",,,4693.0,25655.0,25
RC,499,"Unlisted procedure, external ear ",,,443.94,2636.0,21
RC,499,"Unlisted procedure, extraocular muscle ",,,589.67,25655.0,21
RC,499,"Unlisted procedure, eyelids ",,,589.67,25655.0,21
RC,499,"Unlisted procedure, female genital system (nonobstetrical) ",,,361.99,25655.0,25
RC,499,"Unlisted procedure, inner ear ",,,443.94,25655.0,25
RC,499,"Unlisted procedure, lacrimal system ",,,589.67,25655.0,21
RC,499,"Unlisted procedure, male genital system ",,,512.08,25655.0,25
RC,499,"Unlisted procedure, maternity care and delivery ",,,361.99,25655.0,25
RC,499,"Unlisted procedure, middle ear ",,,443.94,25655.0,25
RC,499,"Unlisted procedure, nervous system ",,,570.66,25655.0,25
RC,499,"Unlisted procedure, orbit ",,,589.67,25655.0,21
RC,499,"Unlisted procedure, posterior segment ",,,2214.0,25655.0,21
RC,499,"Unlisted procedure, temporal bone, middle fossa approach ",,,443.94,25655.0,25
RC,499,"Unlisted procedure, urinary system ",,,512.08,25655.0,25
RC,499,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,499,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,499,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,499,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,499,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,499,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,499,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,499,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,499,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,499,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,499,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,499,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,499,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,499,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,499,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,499,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,499,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,499,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,499,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,499,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,499,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,499,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,499,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,499,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,499,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,499,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,499,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,499,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,499,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,499,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,499,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,499,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,499,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,499,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,499,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,499,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,499,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,499,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,499,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,499,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,499,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,499,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,499,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,499,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,499,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,499,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,499,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,499,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,499,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,499,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,499,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,499,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,499,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,499,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,499,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,499,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,499,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,499,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,499,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,499,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1481.0,5932.0,13
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,8451.91,27
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1773.9,11848.54,27
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,1773.9,11848.54,27
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,11848.54,27
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1200.05,8451.91,27
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1200.05,8451.91,27
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1773.9,11848.54,27
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,1773.9,11848.54,27
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1773.9,11848.54,27
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1200.05,8451.91,27
RC,499,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2152.0,76895.0,25
RC,499,"Ureterectomy, with bladder cuff (separate procedure) ",,,2152.0,76895.0,25
RC,499,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2152.0,25944.23,21
RC,499,"Ureterocolon conduit, including intestine anastomosis ",,,2152.0,27482.53,21
RC,499,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2152.0,25655.0,21
RC,499,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2152.0,29549.49,21
RC,499,Ureterolithotomy; lower one-third of ureter ,,,2152.0,25655.0,25
RC,499,Ureterolithotomy; middle one-third of ureter ,,,2152.0,25655.0,25
RC,499,Ureterolithotomy; upper one-third of ureter ,,,2152.0,25655.0,25
RC,499,Ureterolysis for ovarian vein syndrome ,,,2152.0,25655.0,21
RC,499,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2152.0,25655.0,21
RC,499,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2152.0,27389.39,21
RC,499,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2152.0,25655.0,21
RC,499,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2152.0,25655.0,21
RC,499,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2152.0,25655.0,21
RC,499,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2152.0,27303.8,21
RC,499,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2152.0,25655.0,21
RC,499,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2152.0,27568.13,21
RC,499,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2152.0,25655.0,21
RC,499,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2152.0,31523.09,21
RC,499,"Ureterostomy, transplantation of ureter to skin ",,,2152.0,25655.0,21
RC,499,"Ureterotomy for insertion of indwelling stent, all types ",,,2152.0,25655.0,25
RC,499,Ureterotomy with exploration or drainage (separate procedure) ,,,2152.0,25655.0,25
RC,499,Ureteroureterostomy ,,,2152.0,25655.0,21
RC,499,"Urethrectomy, total, including cystostomy; female ",,,1200.05,18490.0,27
RC,499,"Urethrectomy, total, including cystostomy; male ",,,1773.9,18490.0,27
RC,499,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,5694.0,25655.0,25
RC,499,"Urethromeatoplasty, with mucosal advancement ",,,1200.05,12360.0,27
RC,499,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,1200.05,8858.0,27
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1773.9,12360.0,27
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1200.05,12360.0,27
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1773.9,17510.0,27
RC,499,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1200.05,12360.0,27
RC,499,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,1773.9,12360.0,27
RC,499,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,1773.9,12360.0,27
RC,499,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1773.9,12360.0,27
RC,499,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,1773.9,12360.0,27
RC,499,"Urethroplasty, reconstruction of female urethra ",,,1773.9,12360.0,27
RC,499,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,7592.0,25655.0,21
RC,499,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1773.9,12360.0,27
RC,499,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,1773.9,12360.0,27
RC,499,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,1200.05,8858.0,27
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,1773.9,12360.0,27
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,1773.9,11848.54,27
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,1773.9,12360.0,27
RC,499,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,685.44,8858.0,27
RC,499,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,1773.9,11848.54,27
RC,499,Uric acid; blood ,,,4.93,4.93,3
RC,499,Uric acid; other source ,,,5.54,5.54,3
RC,499,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,499,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,499,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,499,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,499,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,499,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,499,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,499,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,499,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,499,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,499,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,499,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,499,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,499,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2152.0,40520.73,21
RC,499,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,499,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,499,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,499,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,499,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,499,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1481.0,5932.0,13
RC,499,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,499,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,499,Uterine evacuation and curettage for hydatidiform mole ,,,1116.7,18490.0,27
RC,499,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2152.0,25655.0,25
RC,499,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2152.0,25655.0,21
RC,499,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,5694.0,7168.0,5
RC,499,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,2152.0,16144.0,5
RC,499,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,499,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,499,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,499,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,3796.0,25655.0,25
RC,499,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2152.0,23263.46,15
RC,499,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,3796.0,25655.0,25
RC,499,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2152.0,25376.98,11
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.34,18490.0,27
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,5694.0,25655.0,21
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.34,18490.0,27
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,5694.0,18490.0,25
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,5694.0,18490.0,25
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,7592.0,25655.0,25
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,7592.0,25655.0,25
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,7592.0,25655.0,25
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,7592.0,25655.0,25
RC,499,"Vaginal hysterectomy, radical (Schauta type operation) ",,,2152.0,32525.42,21
RC,499,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,5694.0,25655.0,21
RC,499,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,5694.0,25655.0,21
RC,499,"Vaginectomy, complete removal of vaginal wall; ",,,2152.0,25655.0,25
RC,499,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,5694.0,39611.54,25
RC,499,"Vaginectomy, partial removal of vaginal wall; ",,,3796.0,25655.0,25
RC,499,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,3796.0,25655.0,25
RC,499,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,3796.0,25655.0,25
RC,499,Vaginoplasty for intersex state ,,,3796.0,25655.0,25
RC,499,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,499,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,499,Vancomycin ,,,14.76,14.76,3
RC,499,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,499,"Vaporizer, room type ",,,41.03,41.03,3
RC,499,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,499,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,499,Variable concentration mask ,,,0.94,0.94,3
RC,499,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,499,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,3
RC,499,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,19
RC,499,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,499,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,685.44,8858.0,27
RC,499,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,499,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,499,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1481.0,6680.0,13
RC,499,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2700.0,8858.0,25
RC,499,"Vasovasostomy, vasovasorrhaphy ",,,2187.0,8858.0,25
RC,499,Vedolizumab ,,,42.04,42.04,3
RC,499,Velaglucerase alfa ,,,428.2,428.2,3
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,499,Ventilating tube removal requiring general anesthesia ,,,85.18,12360.0,27
RC,499,Ventilation Initiation and ,,,676.46,676.46,3
RC,499,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,276.0,5932.0,27
RC,499,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,357.81,5932.0,27
RC,499,Ventriculocisternostomy (Torkildsen type operation) ,,,2152.0,36573.52,21
RC,499,"Ventriculocisternostomy, third ventricle; ",,,2152.0,31305.55,21
RC,499,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2152.0,27498.06,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,2152.0,25655.0,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2152.0,39735.94,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,2152.0,25655.0,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,2152.0,54638.86,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,2152.0,25655.0,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,2152.0,41662.98,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2152.0,49098.8,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,2152.0,49192.16,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,2152.0,49860.3,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,2152.0,52463.24,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2152.0,55167.3,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,2152.0,54584.53,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,2152.0,57342.92,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2152.0,52696.31,63
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2152.0,44273.68,42
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,2152.0,25655.0,21
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,2152.0,43504.41,21
RC,499,Very long chain fatty acids ,,,21.53,21.53,3
RC,499,"Vesiculectomy, any approach ",,,1266.0,25655.0,25
RC,499,Vesiculotomy; ,,,685.44,8858.0,27
RC,499,Vesiculotomy; complicated ,,,1266.0,25655.0,25
RC,499,"Vestibular nerve section, transcranial approach ",,,2152.0,39324.15,21
RC,499,"Vestibular nerve section, translabyrinthine approach ",,,930.95,23113.0,27
RC,499,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,499,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,499,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,499,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,499,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,499,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,499,Viscosity ,,,12.72,12.72,3
RC,499,Vitamin A ,,,12.65,12.65,3
RC,499,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,499,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,499,Vitamin K ,,,14.95,14.95,3
RC,499,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,499,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,1
RC,499,"Vitrectomy, mechanical, pars plana approach; ",,,1610.16,19415.0,27
RC,499,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1610.16,23113.0,27
RC,499,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1610.16,23113.0,27
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1610.16,18490.0,27
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1610.16,18490.0,27
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1610.16,23113.0,27
RC,499,Voice amplifier ,,,340.98,340.98,3
RC,499,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1481.0,6587.0,13
RC,499,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,499,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,499,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,499,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,499,Voriconazole ,,,29.55,29.55,3
RC,499,Vulvectomy simple; complete ,,,1116.7,76895.0,27
RC,499,Vulvectomy simple; partial ,,,1116.7,18490.0,27
RC,499,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2152.0,33877.23,21
RC,499,"Vulvectomy, radical, complete; ",,,7008.0,27474.77,21
RC,499,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,34133.79,21
RC,499,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,29440.61,21
RC,499,"Vulvectomy, radical, partial; ",,,2152.0,25655.0,25
RC,499,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7008.0,31608.47,21
RC,499,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7008.0,26783.34,21
RC,499,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1125.36,1125.36,3
RC,499,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,499,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,499,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,499,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,499,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,499,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,499,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,499,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,499,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,499,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,499,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,499,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,499,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,499,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,499,Washed red blood cells uni ,,,401.75,401.75,3
RC,499,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,499,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,499,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,499,Water pressure mattress ,,,29.3,29.3,3
RC,499,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,499,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,499,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,499,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,5694.0,25655.0,25
RC,499,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,499,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,499,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,499,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,499,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,499,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,499,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,499,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,499,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,499,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,499,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,499,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,499,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,499,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,499,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,499,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,499,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,499,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,499,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,499,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,499,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,499,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,499,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,499,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,499,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,499,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,499,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,499,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,499,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,499,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,499,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,499,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,499,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,499,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,499,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,499,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,499,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,499,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,499,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,499,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,499,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,499,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,499,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,499,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,499,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,499,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,499,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,499,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,499,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,499,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,499,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,499,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,499,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,499,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,499,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,499,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,499,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,499,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,499,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,499,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,499,Whole blood for transfusio ,,,206.93,206.93,3
RC,499,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,499,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,499,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,499,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,499,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,499,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,11
RC,499,"Wound pouch, each ",,,21.65,21.65,3
RC,499,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,499,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,499,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,499,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,499,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,499,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,499,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,499,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,499,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,499,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,499,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,499,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,499,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,499,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,499,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,499,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,499,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,499,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,499,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,499,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,499,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,499,Zinc ,,,12.42,12.42,3
RC,499,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,499,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,499,Zonisamide ,,,14.44,14.44,3
RC,499,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,499,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,499,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,499,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,500, Outpatient Services General Classification  ,,,,,0
RC,509, Outpatient Services Other  ,,,,,0
RC,510, Clinic General Classification  ,,,,,0
RC,511, Clinic Chronic Pain Center  ,,,,,0
RC,514, Clinic OB-GYN  ,,,,,0
RC,515, Clinic Pediatric  ,,,,,0
RC,516, Clinic Urgent Care  ,,,,,0
RC,517, Clinic Family Practice  ,,,,,0
RC,519, Clinic Other  ,,,,,0
RC,520, Freestanding Clinic General Classification  ,,,,,0
RC,523, Freestanding Clinic Family Practice Clinic  ,,,,,0
RC,526, Freestanding Clinic Urgent Care Clinic  ,,,,,0
RC,529, Freestanding Clinic Other  ,,,,,0
RC,530, Osteopathic Services General Classification  ,,,,,0
RC,531, Osteopathic Services Osteopathic Therapy  ,,,,,0
RC,539, Osteopathic Services Other  ,,,,,0
RC,540, Ambulance General Classification  ,,,355.25,1000.0,4
RC,541, Ambulance Supplies  ,,,,,0
RC,542, Ambulance Medical Transport  ,,,355.25,1000.0,4
RC,543, Ambulance Heart Mobile  ,,,355.25,1000.0,4
RC,544, Ambulance Oxygen  ,,,,,0
RC,545, Ambulance Air Ambulance  ,,,2334.5,2334.5,1
RC,546, Ambulance Neonatal Ambulance Services  ,,,355.25,1000.0,4
RC,547, Ambulance Pharmacy  ,,,355.25,1000.0,4
RC,548, Ambulance EKG Transmission  ,,,355.25,1000.0,4
RC,549, Ambulance Other  ,,,355.25,1000.0,4
RC,610, Magnetic Resonance Technology (MRT) General Classification  ,,,631.0,3421.0,12
RC,610,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",7224.18,7224.18,616.1,828.27,3
RC,610,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,3634.45,3634.45,313.62,517.79,3
RC,610,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,1086.5,3
RC,610,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,1086.5,3
RC,610,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,198.11,3
RC,610,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,133.65,3
RC,610,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,543.87,3
RC,610,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",7224.18,7224.18,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",6541.99,6541.99,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",8373.93,8373.93,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,401.74,3
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1086.5,6
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",8439.06,8439.06,920.54,1609.16,3
RC,610,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",5290.08,5290.08,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",7548.66,7548.66,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",8235.95,8235.95,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",6457.7,6457.7,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",6934.19,6934.19,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",6692.75,6692.75,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",5233.86,5233.86,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",7224.18,7224.18,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",7159.04,7159.04,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,828.27,3
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,610,"Magnetic resonance angiography with contrast, abdomen ",4422.65,4422.65,341.2,828.27,3
RC,610,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",4555.52,4555.52,341.2,828.27,3
RC,610,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,828.27,3
RC,610,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,828.27,3
RC,610,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,828.27,3
RC,610,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,828.27,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",5365.45,5365.45,616.1,828.27,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",5028.19,5028.19,616.1,828.27,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,828.27,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",4779.08,4779.08,616.1,828.27,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,828.27,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,828.27,3
RC,610,"Magnetic resonance angiography without contrast, abdomen ",3992.14,3992.14,313.62,517.79,3
RC,610,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",7224.18,7224.18,313.62,517.79,3
RC,610,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,517.79,3
RC,610,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,517.79,3
RC,610,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,517.79,3
RC,610,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,517.79,3
RC,610,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,672.82,3
RC,610,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,665.75,3
RC,610,"Magnetic resonance angiography, head; with contrast material(s) ",5115.05,5115.05,341.2,828.27,3
RC,610,"Magnetic resonance angiography, head; without contrast material(s) ",4084.13,4084.13,313.62,517.79,3
RC,610,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",6188.13,6188.13,616.1,828.27,3
RC,610,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,668.12,3
RC,610,"Magnetic resonance angiography, neck; with contrast material(s) ",5062.68,5062.68,341.2,828.27,3
RC,610,"Magnetic resonance angiography, neck; without contrast material(s) ",3674.04,3674.04,313.62,517.79,3
RC,610,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",5259.41,5259.41,616.1,828.27,3
RC,610,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,672.03,3
RC,610,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",3470.93,3470.93,438.37,693.25,3
RC,610,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",3470.93,3470.93,443.23,693.25,3
RC,610,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,401.74,3
RC,610,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,2813.63,3
RC,610,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,828.27,3
RC,610,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,517.79,3
RC,610,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,517.79,3
RC,610,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,397.49,639.07,3
RC,610,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,517.79,3
RC,610,Magnetic resonance spectroscopy ,5465.08,5465.08,182.03,521.48,3
RC,611, Magnetic Resonance Technology (MRT) MRI - Brain/Brainstem  ,,,631.0,3421.0,12
RC,611,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,828.27,3
RC,611,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,1609.16,3
RC,611,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,517.79,3
RC,611,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,1086.5,3
RC,611,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,1086.5,3
RC,611,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,1086.5,3
RC,611,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,198.11,3
RC,611,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,55.1,3
RC,611,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,206.53,3
RC,611,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,133.65,3
RC,611,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,543.87,3
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,401.74,3
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1086.5,6
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",7438.8,7438.8,341.2,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",6582.88,6582.88,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",8746.95,8746.95,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,1609.16,3
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance (eg, vibration) elastography ",,,311.26,517.79,3
RC,611,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,828.27,3
RC,611,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,828.27,3
RC,611,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,828.27,3
RC,611,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,828.27,3
RC,611,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,828.27,3
RC,611,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,828.27,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,828.27,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,828.27,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,828.27,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,828.27,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,828.27,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,828.27,3
RC,611,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,517.79,3
RC,611,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,517.79,3
RC,611,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,517.79,3
RC,611,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,517.79,3
RC,611,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,517.79,3
RC,611,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,517.79,3
RC,611,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,672.82,3
RC,611,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,665.75,3
RC,611,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,828.27,3
RC,611,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,668.12,3
RC,611,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,828.27,3
RC,611,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,517.79,3
RC,611,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,611,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,672.03,3
RC,611,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,693.25,3
RC,611,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,693.25,3
RC,611,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,828.27,3
RC,611,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,401.74,3
RC,611,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,2813.63,3
RC,611,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,828.27,3
RC,611,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,828.27,3
RC,611,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,517.79,3
RC,611,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,517.79,3
RC,611,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,639.07,6
RC,611,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,517.79,3
RC,611,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,517.79,3
RC,611,Magnetic resonance spectroscopy ,,,182.03,521.48,3
RC,611,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,612, Magnetic Resonance Technology (MRT) MRI - Spinal Code/Spine  ,,,631.0,3421.0,12
RC,612,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,828.27,3
RC,612,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,1609.16,3
RC,612,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,517.79,3
RC,612,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,1086.5,3
RC,612,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,1086.5,3
RC,612,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,1086.5,3
RC,612,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,198.11,3
RC,612,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,55.1,3
RC,612,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,206.53,3
RC,612,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,133.65,3
RC,612,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,543.87,3
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,401.74,3
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1086.5,6
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,1609.16,3
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",7326.39,7326.39,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",6305.67,6305.67,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",7603.6,7603.6,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",6871.61,6871.61,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",7146.26,7146.26,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",7070.9,7070.9,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",8587.26,8587.26,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",8740.56,8740.56,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",8652.42,8652.42,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance (eg, vibration) elastography ",,,311.26,517.79,3
RC,612,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,828.27,3
RC,612,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,828.27,3
RC,612,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,828.27,3
RC,612,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,828.27,3
RC,612,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,828.27,3
RC,612,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,828.27,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,828.27,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,828.27,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,828.27,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,828.27,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,828.27,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,828.27,3
RC,612,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,517.79,3
RC,612,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,517.79,3
RC,612,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,517.79,3
RC,612,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,517.79,3
RC,612,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,517.79,3
RC,612,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,517.79,3
RC,612,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,672.82,3
RC,612,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,665.75,3
RC,612,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,828.27,3
RC,612,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,668.12,3
RC,612,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,828.27,3
RC,612,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,517.79,3
RC,612,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,612,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,672.03,3
RC,612,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,693.25,3
RC,612,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,693.25,3
RC,612,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,828.27,3
RC,612,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,401.74,3
RC,612,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,2813.63,3
RC,612,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,828.27,3
RC,612,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,828.27,3
RC,612,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,517.79,3
RC,612,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,517.79,3
RC,612,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,639.07,6
RC,612,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,517.79,3
RC,612,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,517.79,3
RC,612,Magnetic resonance spectroscopy ,,,182.03,521.48,3
RC,612,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,614, Magnetic Resonance Technology (MRT) MRI - Other  ,,,631.0,3421.0,12
RC,614,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,828.27,3
RC,614,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,1609.16,3
RC,614,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,517.79,3
RC,614,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,1086.5,3
RC,614,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,1086.5,3
RC,614,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,1086.5,3
RC,614,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,198.11,3
RC,614,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,55.1,3
RC,614,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,206.53,3
RC,614,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,133.65,3
RC,614,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,543.87,3
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,401.74,3
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1086.5,6
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,1609.16,3
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance (eg, vibration) elastography ",,,311.26,517.79,3
RC,614,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,828.27,3
RC,614,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,828.27,3
RC,614,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,828.27,3
RC,614,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,828.27,3
RC,614,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,828.27,3
RC,614,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,828.27,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,828.27,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,828.27,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,828.27,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,828.27,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,828.27,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,828.27,3
RC,614,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,517.79,3
RC,614,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,517.79,3
RC,614,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,517.79,3
RC,614,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,517.79,3
RC,614,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,517.79,3
RC,614,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,517.79,3
RC,614,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,672.82,3
RC,614,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,665.75,3
RC,614,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,828.27,3
RC,614,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,668.12,3
RC,614,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,828.27,3
RC,614,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,517.79,3
RC,614,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,614,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,672.03,3
RC,614,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,693.25,3
RC,614,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,693.25,3
RC,614,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,828.27,3
RC,614,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,401.74,3
RC,614,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,2813.63,3
RC,614,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,828.27,3
RC,614,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,828.27,3
RC,614,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,517.79,3
RC,614,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,517.79,3
RC,614,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,639.07,6
RC,614,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,517.79,3
RC,614,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,517.79,3
RC,614,Magnetic resonance spectroscopy ,,,182.03,521.48,3
RC,614,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,615, Magnetic Resonance Technology (MRT) MRA - Head and Neck  ,,,631.0,3421.0,12
RC,615,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,828.27,3
RC,615,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,1609.16,3
RC,615,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,517.79,3
RC,615,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,1086.5,3
RC,615,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,1086.5,3
RC,615,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,1086.5,3
RC,615,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,198.11,3
RC,615,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,55.1,3
RC,615,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,206.53,3
RC,615,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,133.65,3
RC,615,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,543.87,3
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,401.74,3
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1086.5,6
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,1609.16,3
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance (eg, vibration) elastography ",,,311.26,517.79,3
RC,615,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,828.27,3
RC,615,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,828.27,3
RC,615,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,828.27,3
RC,615,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,828.27,3
RC,615,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,828.27,3
RC,615,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,828.27,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,828.27,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,828.27,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,828.27,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,828.27,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,828.27,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,828.27,3
RC,615,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,517.79,3
RC,615,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,517.79,3
RC,615,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,517.79,3
RC,615,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,517.79,3
RC,615,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,517.79,3
RC,615,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,517.79,3
RC,615,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,672.82,3
RC,615,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,665.75,3
RC,615,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,828.27,3
RC,615,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,668.12,3
RC,615,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,828.27,3
RC,615,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,517.79,3
RC,615,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,615,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,672.03,3
RC,615,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,693.25,3
RC,615,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,693.25,3
RC,615,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,828.27,3
RC,615,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,401.74,3
RC,615,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,2813.63,3
RC,615,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,828.27,3
RC,615,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,828.27,3
RC,615,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,517.79,3
RC,615,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,517.79,3
RC,615,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,639.07,6
RC,615,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,517.79,3
RC,615,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,517.79,3
RC,615,Magnetic resonance spectroscopy ,,,182.03,521.48,3
RC,615,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,616, Magnetic Resonance Technology (MRT) MRA - Lower Extremities  ,,,631.0,3421.0,12
RC,616,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,828.27,3
RC,616,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,1609.16,3
RC,616,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,517.79,3
RC,616,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,1086.5,3
RC,616,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,1086.5,3
RC,616,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,1086.5,3
RC,616,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,198.11,3
RC,616,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,55.1,3
RC,616,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,206.53,3
RC,616,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,133.65,3
RC,616,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,543.87,3
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,401.74,3
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1086.5,6
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,1609.16,3
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance (eg, vibration) elastography ",,,311.26,517.79,3
RC,616,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,828.27,3
RC,616,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,828.27,3
RC,616,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,828.27,3
RC,616,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,828.27,3
RC,616,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,828.27,3
RC,616,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,828.27,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,828.27,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,828.27,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,828.27,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,828.27,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,828.27,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,828.27,3
RC,616,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,517.79,3
RC,616,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,517.79,3
RC,616,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,517.79,3
RC,616,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,517.79,3
RC,616,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,517.79,3
RC,616,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,517.79,3
RC,616,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,672.82,3
RC,616,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,665.75,3
RC,616,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,828.27,3
RC,616,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,668.12,3
RC,616,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,828.27,3
RC,616,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,517.79,3
RC,616,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,616,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,672.03,3
RC,616,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,693.25,3
RC,616,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,693.25,3
RC,616,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,828.27,3
RC,616,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,401.74,3
RC,616,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,2813.63,3
RC,616,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,828.27,3
RC,616,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,828.27,3
RC,616,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,517.79,3
RC,616,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,517.79,3
RC,616,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,639.07,6
RC,616,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,517.79,3
RC,616,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,517.79,3
RC,616,Magnetic resonance spectroscopy ,,,182.03,521.48,3
RC,616,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,618, Magnetic Resonance Technolgy (MRT) MRA - Other  ,,,631.0,3421.0,12
RC,618,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,828.27,3
RC,618,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,1609.16,3
RC,618,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,517.79,3
RC,618,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,1086.5,3
RC,618,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,1086.5,3
RC,618,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,1086.5,3
RC,618,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,198.11,3
RC,618,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,55.1,3
RC,618,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,206.53,3
RC,618,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,133.65,3
RC,618,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,543.87,3
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,401.74,3
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1086.5,6
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,1609.16,3
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance (eg, vibration) elastography ",,,311.26,517.79,3
RC,618,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,828.27,3
RC,618,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,828.27,3
RC,618,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,828.27,3
RC,618,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,828.27,3
RC,618,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,828.27,3
RC,618,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,828.27,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,828.27,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,828.27,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,828.27,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,828.27,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,828.27,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,828.27,3
RC,618,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,517.79,3
RC,618,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,517.79,3
RC,618,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,517.79,3
RC,618,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,517.79,3
RC,618,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,517.79,3
RC,618,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,517.79,3
RC,618,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,672.82,3
RC,618,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,665.75,3
RC,618,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,828.27,3
RC,618,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,668.12,3
RC,618,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,828.27,3
RC,618,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,517.79,3
RC,618,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,618,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,672.03,3
RC,618,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,693.25,3
RC,618,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,693.25,3
RC,618,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,828.27,3
RC,618,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,401.74,3
RC,618,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,2813.63,3
RC,618,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,828.27,3
RC,618,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,828.27,3
RC,618,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,517.79,3
RC,618,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,517.79,3
RC,618,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,639.07,6
RC,618,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,517.79,3
RC,618,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,517.79,3
RC,618,Magnetic resonance spectroscopy ,,,182.03,521.48,3
RC,618,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,619, Magnetic Resonance Technology (MRT) Other  ,,,631.0,3421.0,12
RC,619,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,828.27,3
RC,619,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,1609.16,3
RC,619,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,517.79,3
RC,619,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,1086.5,3
RC,619,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,1086.5,3
RC,619,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,1086.5,3
RC,619,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,198.11,3
RC,619,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,55.1,3
RC,619,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,206.53,3
RC,619,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,133.65,3
RC,619,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,543.87,3
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,1609.16,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,401.74,3
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1086.5,6
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,1609.16,3
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance (eg, vibration) elastography ",,,311.26,517.79,3
RC,619,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,828.27,3
RC,619,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,828.27,3
RC,619,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,828.27,3
RC,619,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,828.27,3
RC,619,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,828.27,3
RC,619,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,828.27,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,828.27,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,828.27,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,828.27,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,828.27,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,828.27,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,828.27,3
RC,619,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,517.79,3
RC,619,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,517.79,3
RC,619,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,517.79,3
RC,619,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,517.79,3
RC,619,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,517.79,3
RC,619,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,517.79,3
RC,619,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,672.82,3
RC,619,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,665.75,3
RC,619,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,828.27,3
RC,619,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,668.12,3
RC,619,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,828.27,3
RC,619,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,517.79,3
RC,619,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,828.27,3
RC,619,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,672.03,3
RC,619,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,693.25,3
RC,619,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,693.25,3
RC,619,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,828.27,3
RC,619,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,401.74,3
RC,619,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,2813.63,3
RC,619,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,828.27,3
RC,619,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,828.27,3
RC,619,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,517.79,3
RC,619,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,517.79,3
RC,619,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,639.07,6
RC,619,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,517.79,3
RC,619,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,517.79,3
RC,619,Magnetic resonance spectroscopy ,,,182.03,521.48,3
RC,619,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,182.03,3
RC,621, Medical/Surgical Supplies and Devices Supplies Incident to Radiology  ,,,,,0
RC,622, Medical/Surgical Supplies and Devices Supplies Incident to Other DX Services  ,,,,,0
RC,623, Medical/Surgical Supplies and Devices Surgical Dressings  ,,,,,0
RC,624, Medical/Surgical Supplies and Devices FDA Investigational Devices  ,,,,,0
RC,631, Pharmacy - Single Source Drug  ,,,,,0
RC,632, Pharmacy - Multiple Source Drug  ,,,,,0
RC,633, Pharmacy - Restrictive Prescription  ,,,,,0
RC,634," Pharmacy - Erythropoietin (EPO) < 10,000 Units  ",,,,,0
RC,635," Pharmacy - Erythropoietin (EPO) > 10,000 Units  ",,,,,0
RC,636, Pharmacy - Drugs Requiring Detailed Coding  ,,,,,0
RC,636,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,3
RC,636,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,3
RC,636,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,3
RC,636,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,3
RC,636,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,3
RC,636,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,3
RC,636,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,3
RC,636,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,3
RC,636,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,51.33,51.33,3
RC,636,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,3
RC,636,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,3
RC,636,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,3
RC,636,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,3
RC,636,"Anti-inhibitor, per i.u. ",,,3.99,3.99,3
RC,636,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,3
RC,636,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Ascent, 0.5 mg ",,,113.75,113.75,3
RC,636,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,3
RC,636,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,3
RC,636,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,3
RC,636,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,3
RC,636,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,3
RC,636,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,3
RC,636,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,3
RC,636,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,3
RC,636,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Biobrane, per square centimeter ",,,209.78,209.78,3
RC,636,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,3
RC,636,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,3
RC,636,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,3
RC,636,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,3
RC,636,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,3
RC,636,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,3
RC,636,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,3
RC,636,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,3
RC,636,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,3
RC,636,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,3
RC,636,"Capecitabine, oral, 50 mg ",,,0.05,0.05,3
RC,636,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,3
RC,636,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,3
RC,636,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,3
RC,636,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,3
RC,636,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,3
RC,636,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,3
RC,636,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,3
RC,636,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,3
RC,636,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,3
RC,636,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,3
RC,636,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,3
RC,636,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,3
RC,636,"Coretext or protext, per cc ",,,5313.0,5313.0,3
RC,636,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,3
RC,636,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,3
RC,636,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,3
RC,636,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,3
RC,636,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,3
RC,636,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,3
RC,636,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,3
RC,636,"Dacarbazine, 100 mg ",,,6.35,6.35,3
RC,636,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,3
RC,636,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,3
RC,636,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,3
RC,636,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,3
RC,636,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,3
RC,636,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,3
RC,636,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,3
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,3
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,3
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,3
RC,636,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,3
RC,636,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,3
RC,636,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,3
RC,636,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Edetate disodium, per 150 mg ",,,0.54,0.54,3
RC,636,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,3
RC,636,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Epifix, injectable, 1 mg ",,,31.96,31.96,3
RC,636,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,3
RC,636,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,3
RC,636,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,3
RC,636,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,3
RC,636,"Excellagen, 0.1 cc ",,,287.1,287.1,3
RC,636,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,3
RC,636,"Factor ix, complex, per i.u. ",,,2.81,2.81,3
RC,636,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,3
RC,636,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,3
RC,636,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,3
RC,636,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,3
RC,636,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,3
RC,636,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,3
RC,636,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,3
RC,636,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,3
RC,636,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,3
RC,636,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,3
RC,636,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,3
RC,636,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,3
RC,636,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,3
RC,636,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,3
RC,636,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,3
RC,636,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,3
RC,636,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,3
RC,636,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,3
RC,636,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,3
RC,636,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,3
RC,636,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,3
RC,636,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,3
RC,636,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,37.47,37.47,3
RC,636,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,3
RC,636,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,3
RC,636,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,3
RC,636,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,3
RC,636,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,3
RC,636,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,3
RC,636,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,3
RC,636,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Gefitinib, oral, 250 mg ",,,480.15,480.15,3
RC,636,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,3
RC,636,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,3
RC,636,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,3
RC,636,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,3
RC,636,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,3
RC,636,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,3
RC,636,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,3
RC,636,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,3
RC,636,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,3
RC,636,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,3
RC,636,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,3
RC,636,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,3
RC,636,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,3
RC,636,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,636,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,636,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,636,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,636,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,3
RC,636,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,3
RC,636,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,3
RC,636,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,3
RC,636,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,3
RC,636,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1714.0,1714.0,209.78,209.78,3
RC,636,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,3
RC,636,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,3
RC,636,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,3
RC,636,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,3
RC,636,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,3
RC,636,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,3
RC,636,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,3
RC,636,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,3
RC,636,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,3
RC,636,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,3
RC,636,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,3
RC,636,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,3
RC,636,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,3
RC,636,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,3
RC,636,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,3
RC,636,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,3
RC,636,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,3
RC,636,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,3
RC,636,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,3
RC,636,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,3
RC,636,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,3
RC,636,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,3
RC,636,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,3
RC,636,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,2854.98,2854.98,3
RC,636,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,3
RC,636,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,3
RC,636,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,1820.26,1820.26,3
RC,636,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,3
RC,636,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1230.27,1230.27,3
RC,636,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,3301.55,3301.55,3
RC,636,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,3
RC,636,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,3
RC,636,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,3
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,3
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,3
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,3
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,3
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,3
RC,636,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,3
RC,636,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,3
RC,636,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,3
RC,636,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,3
RC,636,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,3
RC,636,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,3
RC,636,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,3
RC,636,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,3
RC,636,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,3
RC,636,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,3
RC,636,"Injection abciximab, 10 mg ",,,951.77,951.77,3
RC,636,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,3
RC,636,"Injection fluconazole, 200 mg ",,,6.39,6.39,3
RC,636,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,3
RC,636,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,3
RC,636,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,636,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,636,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,3
RC,636,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,3
RC,636,"Injection, adalimumab, 1 mg ",,,269.25,269.25,3
RC,636,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,3
RC,636,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,3
RC,636,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,3
RC,636,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,3
RC,636,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,3
RC,636,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,3
RC,636,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,3
RC,636,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,3
RC,636,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,3
RC,636,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,3
RC,636,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,3
RC,636,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,3
RC,636,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,3
RC,636,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,3
RC,636,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,3
RC,636,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,3
RC,636,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,3
RC,636,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,3
RC,636,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,3
RC,636,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,3
RC,636,"Injection, amisulpride, 1 mg ",,,15.77,15.77,3
RC,636,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,3
RC,636,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,3
RC,636,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,3
RC,636,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,3
RC,636,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,3
RC,636,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,3
RC,636,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,3
RC,636,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,3
RC,636,"Injection, aprepitant, 1 mg ",,,2.79,2.79,3
RC,636,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,3
RC,636,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,3
RC,636,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,3
RC,636,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,3
RC,636,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,3
RC,636,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,3
RC,636,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,3
RC,636,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,3
RC,636,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,3
RC,636,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,3
RC,636,"Injection, artesunate, 1 mg ",,,85.52,85.52,3
RC,636,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,3
RC,636,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,3
RC,636,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,3
RC,636,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,3
RC,636,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,3
RC,636,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,3
RC,636,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,3
RC,636,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,3
RC,636,"Injection, avelumab, 10 mg ",,,174.16,174.16,3
RC,636,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,3
RC,636,"Injection, azithromycin, 500 mg ",,,3.2,3.2,3
RC,636,"Injection, aztreonam, 100 mg ",,,3.78,3.78,3
RC,636,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,3
RC,636,"Injection, baclofen, 10 mg ",,,293.78,293.78,3
RC,636,"Injection, belatacept, 1 mg ",,,6.42,6.42,3
RC,636,"Injection, belimumab, 10 mg ",,,94.36,94.36,3
RC,636,"Injection, belinostat, 10 mg ",,,87.63,87.63,3
RC,636,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,3
RC,636,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,3
RC,636,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,3
RC,636,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,3
RC,636,"Injection, benralizumab, 1 mg ",,,269.54,269.54,3
RC,636,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,3
RC,636,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,3
RC,636,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,3
RC,636,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,3
RC,636,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,3
RC,636,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,3
RC,636,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,3
RC,636,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,3
RC,636,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,3
RC,636,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,3
RC,636,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,3
RC,636,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,3
RC,636,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,3
RC,636,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,3
RC,636,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,3
RC,636,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,3
RC,636,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,3
RC,636,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,3
RC,636,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,3
RC,636,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,3
RC,636,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,3
RC,636,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,3
RC,636,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,3
RC,636,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,3
RC,636,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,3
RC,636,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,3
RC,636,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,3
RC,636,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,3
RC,636,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,3
RC,636,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,3
RC,636,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,3
RC,636,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,3
RC,636,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,3
RC,636,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,3
RC,636,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,3
RC,636,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,3
RC,636,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,3
RC,636,"Injection, canakinumab, 1 mg ",,,246.79,246.79,3
RC,636,"Injection, cangrelor, 1 mg ",,,33.03,33.03,3
RC,636,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,3
RC,636,"Injection, carboplatin, 50 mg ",,,4.85,4.85,3
RC,636,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,3
RC,636,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,3
RC,636,"Injection, casimersen, 10 mg ",,,274.23,274.23,3
RC,636,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,3
RC,636,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,3
RC,636,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,3
RC,636,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,3
RC,636,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,3
RC,636,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,3
RC,636,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,3
RC,636,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,3
RC,636,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,3
RC,636,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,3
RC,636,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,3
RC,636,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,3
RC,636,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,3
RC,636,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,3
RC,636,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,3
RC,636,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,3
RC,636,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,3
RC,636,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,3
RC,636,"Injection, cetuximab, 10 mg ",,,132.76,132.76,3
RC,636,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,3
RC,636,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,3
RC,636,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,3
RC,636,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,3
RC,636,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,3
RC,636,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,3
RC,636,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,3
RC,636,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,3
RC,636,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,3
RC,636,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,3
RC,636,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,3
RC,636,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,3
RC,636,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,3
RC,636,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,3
RC,636,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,3
RC,636,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,3
RC,636,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,3
RC,636,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,3
RC,636,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,3
RC,636,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,3
RC,636,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,3
RC,636,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,3
RC,636,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,3
RC,636,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,3
RC,636,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,3
RC,636,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,3
RC,636,"Injection, cytarabine, 100 mg ",,,1.32,1.32,3
RC,636,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,3
RC,636,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,3
RC,636,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,3
RC,636,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,3
RC,636,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,3
RC,636,"Injection, daratumumab, 10 mg ",,,116.77,116.77,3
RC,636,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,3
RC,636,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,3
RC,636,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,3
RC,636,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,3
RC,636,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,3
RC,636,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,3
RC,636,"Injection, decitabine, 1 mg ",,,1.65,1.65,3
RC,636,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,3
RC,636,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,3
RC,636,"Injection, denosumab, 1 mg ",,,48.69,48.69,3
RC,636,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,3
RC,636,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,3
RC,636,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,3
RC,636,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,3
RC,636,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,3
RC,636,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,3
RC,636,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,3
RC,636,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,3
RC,636,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,3
RC,636,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,3
RC,636,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,3
RC,636,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,3
RC,636,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,3
RC,636,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,3
RC,636,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,3
RC,636,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,3
RC,636,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,3
RC,636,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,3
RC,636,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,3
RC,636,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,3
RC,636,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,3
RC,636,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,3
RC,636,"Injection, docetaxel, 1 mg ",,,0.92,0.92,3
RC,636,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,3
RC,636,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,3
RC,636,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,3
RC,636,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,3
RC,636,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,3
RC,636,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,3
RC,636,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,3
RC,636,"Injection, durvalumab, 10 mg ",,,142.15,142.15,3
RC,636,"Injection, ecallantide, 1 mg ",,,954.94,954.94,3
RC,636,"Injection, eculizumab, 10 mg ",,,,,0
RC,636,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,3
RC,636,"Injection, edaravone, 1 mg ",,,25.05,25.05,3
RC,636,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,3
RC,636,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,3
RC,636,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,3
RC,636,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,3
RC,636,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,3
RC,636,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,3
RC,636,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,3
RC,636,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,3
RC,636,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,3
RC,636,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,3
RC,636,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,3
RC,636,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,3
RC,636,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,3
RC,636,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,3
RC,636,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,3
RC,636,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,3
RC,636,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,3
RC,636,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,3
RC,636,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,3
RC,636,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,3
RC,636,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,3
RC,636,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,3
RC,636,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,3
RC,636,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,3
RC,636,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,3
RC,636,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,3
RC,636,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,3
RC,636,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,3
RC,636,"Injection, eravacycline, 1 mg ",,,2.13,2.13,3
RC,636,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,3
RC,636,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,3
RC,636,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,3
RC,636,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,3
RC,636,"Injection, estrone, per 1 mg ",,,0.54,0.54,3
RC,636,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,3
RC,636,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,3
RC,636,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,3
RC,636,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,3
RC,636,"Injection, etoposide, 10 mg ",,,1.49,1.49,3
RC,636,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,3
RC,636,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,3
RC,636,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,3
RC,636,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,3
RC,636,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,3
RC,636,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,3
RC,636,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,3
RC,636,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,3
RC,636,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,3
RC,636,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,3
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,3
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,3
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,3
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,3
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,3
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,3
RC,636,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,3
RC,636,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,3
RC,636,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,3
RC,636,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,3
RC,636,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,3
RC,636,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,3
RC,636,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,3
RC,636,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,3
RC,636,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,3
RC,636,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,3
RC,636,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,3
RC,636,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,3
RC,636,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,3
RC,636,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,3
RC,636,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,3
RC,636,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,3
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,3
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,3
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,3
RC,636,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,3
RC,636,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,3
RC,636,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,3
RC,636,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,3
RC,636,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,3
RC,636,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,3
RC,636,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,3
RC,636,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,3
RC,636,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,3
RC,636,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,3
RC,636,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,3
RC,636,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,3
RC,636,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,3
RC,636,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,3
RC,636,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,3
RC,636,"Injection, furosemide, 1 mg ",,,0.03,0.03,3
RC,636,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,3
RC,636,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,3
RC,636,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,3
RC,636,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,3
RC,636,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,3
RC,636,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,3
RC,636,"Injection, galsulfase, 1 mg ",,,847.44,847.44,3
RC,636,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,3
RC,636,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,3
RC,636,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,3
RC,636,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,3
RC,636,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,3
RC,636,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,3
RC,636,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,3
RC,636,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,3
RC,636,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,3
RC,636,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,3
RC,636,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,3
RC,636,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,3
RC,636,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,3
RC,636,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,3
RC,636,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,3
RC,636,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,3
RC,636,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,3
RC,636,"Injection, golodirsen, 10 mg ",,,316.8,316.8,3
RC,636,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,3
RC,636,"Injection, guselkumab, 1 mg ",,,111.89,111.89,3
RC,636,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,3
RC,636,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,3
RC,636,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,3
RC,636,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,3
RC,636,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,3
RC,636,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,3
RC,636,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,3
RC,636,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,3
RC,636,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,3
RC,636,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,3
RC,636,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,3
RC,636,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,3
RC,636,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,3
RC,636,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,3
RC,636,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,3
RC,636,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,3
RC,636,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,3
RC,636,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,3
RC,636,"Injection, icatibant, 1 mg ",,,518.38,518.38,3
RC,636,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,3
RC,636,"Injection, idursulfase, 1 mg ",,,921.06,921.06,3
RC,636,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,3
RC,636,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,3
RC,636,"Injection, imetelstat, 1 mg ",,,95.98,95.98,3
RC,636,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,3
RC,636,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,3
RC,636,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,3
RC,636,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,3
RC,636,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,3
RC,636,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,3
RC,636,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,3
RC,636,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,3
RC,636,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,3
RC,636,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,3
RC,636,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,3
RC,636,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,3
RC,636,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,3
RC,636,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,3
RC,636,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,3
RC,636,"Injection, inclisiran, 1 mg ",,,20.81,20.81,3
RC,636,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,3
RC,636,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,3
RC,636,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,3
RC,636,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,3
RC,636,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,3
RC,636,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,3
RC,636,"Injection, insulin, per 5 units ",,,0.81,0.81,3
RC,636,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,3
RC,636,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,3
RC,636,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,3
RC,636,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,3
RC,636,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,3
RC,636,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,3
RC,636,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,3
RC,636,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,3
RC,636,"Injection, isoniazid, 1 mg ",,,0.5,0.5,3
RC,636,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,3
RC,636,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,3
RC,636,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,3
RC,636,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,3
RC,636,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,3
RC,636,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,3
RC,636,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,3
RC,636,"Injection, lanreotide, 1 mg ",,,58.94,58.94,3
RC,636,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,3
RC,636,"Injection, lefamulin, 1 mg ",,,1.35,1.35,3
RC,636,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,3
RC,636,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,3
RC,636,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,3
RC,636,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,3
RC,636,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,3
RC,636,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,3
RC,636,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,3
RC,636,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,3
RC,636,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,3
RC,636,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,3
RC,636,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,3
RC,636,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,3
RC,636,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,3
RC,636,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,3
RC,636,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,3
RC,636,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,3
RC,636,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,636,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,3
RC,636,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,3
RC,636,"Injection, linezolid, 200 mg ",,,4.09,4.09,3
RC,636,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,3
RC,636,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,3
RC,636,"Injection, lorazepam, 2 mg ",,,2.74,2.74,3
RC,636,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,3
RC,636,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,3
RC,636,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,3
RC,636,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,3
RC,636,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,3
RC,636,"Injection, mannitol, 250 mg ",,,0.08,0.08,3
RC,636,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,3
RC,636,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,3
RC,636,"Injection, mecasermin, 1 mg ",,,763.93,763.93,3
RC,636,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,3
RC,636,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,3
RC,636,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,3
RC,636,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,3
RC,636,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,3
RC,636,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,3
RC,636,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,3
RC,636,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,3
RC,636,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,3
RC,636,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,3
RC,636,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,3
RC,636,"Injection, meropenem, 100 mg ",,,0.61,0.61,3
RC,636,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,3
RC,636,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,3
RC,636,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,3
RC,636,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,3
RC,636,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,3
RC,636,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,3
RC,636,"Injection, metronidazole, 10 mg ",,,0.05,0.05,3
RC,636,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,3
RC,636,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,3
RC,636,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,3
RC,636,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,3
RC,636,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,3
RC,636,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,3
RC,636,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,3
RC,636,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,3
RC,636,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,3
RC,636,"Injection, mitomycin, 5 mg ",,,46.96,46.96,3
RC,636,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,3
RC,636,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,3
RC,636,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,3
RC,636,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,3
RC,636,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,3
RC,636,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,3
RC,636,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,3
RC,636,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,3
RC,636,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,3
RC,636,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,3
RC,636,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,3
RC,636,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,3
RC,636,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,3
RC,636,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,3
RC,636,"Injection, natalizumab, 1 mg ",,,40.13,40.13,3
RC,636,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,3
RC,636,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,3
RC,636,"Injection, necitumumab, 1 mg ",,,9.45,9.45,3
RC,636,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,3
RC,636,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,3
RC,636,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,3
RC,636,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,3
RC,636,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,3
RC,636,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,3
RC,636,"Injection, nivolumab, 1 mg ",,,55.47,55.47,3
RC,636,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,3
RC,636,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,3
RC,636,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,3
RC,636,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,3
RC,636,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,3
RC,636,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,3
RC,636,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,3
RC,636,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,3
RC,636,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,3
RC,636,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,3
RC,636,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,3
RC,636,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,3
RC,636,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,3
RC,636,"Injection, omalizumab, 5 mg ",,,69.0,69.0,3
RC,636,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,3
RC,636,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,3
RC,636,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,3
RC,636,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,3
RC,636,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,3
RC,636,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,3
RC,636,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,3
RC,636,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,3
RC,636,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,3
RC,636,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,3
RC,636,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,3
RC,636,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,3
RC,636,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,3
RC,636,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,3
RC,636,"Injection, panitumumab, 10 mg ",,,287.74,287.74,3
RC,636,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,3
RC,636,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,3
RC,636,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,3
RC,636,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,3
RC,636,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,3
RC,636,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,3
RC,636,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,3
RC,636,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,3
RC,636,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,3
RC,636,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,3
RC,636,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,3
RC,636,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,3
RC,636,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,3
RC,636,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,3
RC,636,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,3
RC,636,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,3
RC,636,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,3
RC,636,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,3
RC,636,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,3
RC,636,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,3
RC,636,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,3
RC,636,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,3
RC,636,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,3
RC,636,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,3
RC,636,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,3
RC,636,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,3
RC,636,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,3
RC,636,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,3
RC,636,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,3
RC,636,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,3
RC,636,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,3
RC,636,"Injection, pentazocine, 30 mg ",,,45.19,45.19,3
RC,636,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,3
RC,636,"Injection, peramivir, 1 mg ",,,2.77,2.77,3
RC,636,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,3
RC,636,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,3
RC,636,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,3
RC,636,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,3
RC,636,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,3
RC,636,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,3
RC,636,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,3
RC,636,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,3
RC,636,"Injection, plazomicin, 5 mg ",,,5.79,5.79,3
RC,636,"Injection, plerixafor, 1 mg ",,,54.02,54.02,3
RC,636,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,3
RC,636,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,3
RC,636,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,3
RC,636,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,3
RC,636,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,3
RC,636,"Injection, procainamide hcl, up to 1 gm ",558.57,558.57,354.44,354.44,3
RC,636,"Injection, propofol, 10 mg ",,,0.15,0.15,3
RC,636,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,3
RC,636,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,3
RC,636,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,3
RC,636,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,3
RC,636,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,3
RC,636,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,3
RC,636,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,3
RC,636,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,3
RC,636,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,3
RC,636,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,3
RC,636,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,3
RC,636,"Injection, remdesivir, 1 mg ",,,11.39,11.39,3
RC,636,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,3
RC,636,"Injection, remimazolam, 1 mg ",,,4.6,4.6,3
RC,636,"Injection, reslizumab, 1 mg ",,,19.02,19.02,3
RC,636,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,3
RC,636,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,3
RC,636,"Injection, rezafungin, 1 mg ",,,17.8,17.8,3
RC,636,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,3
RC,636,"Injection, rifampin, 1 mg ",,,0.28,0.28,3
RC,636,"Injection, rilonacept, 1 mg ",,,56.03,56.03,3
RC,636,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,3
RC,636,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,3
RC,636,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,3
RC,636,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,3
RC,636,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,3
RC,636,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,3
RC,636,"Injection, rituximab, 10 mg ",,,122.36,122.36,3
RC,636,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,3
RC,636,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,3
RC,636,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,3
RC,636,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,3
RC,636,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,3
RC,636,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,3
RC,636,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,636,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,3
RC,636,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,3
RC,636,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,3
RC,636,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,3
RC,636,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,3
RC,636,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,3
RC,636,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,3
RC,636,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,3
RC,636,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,3
RC,636,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,3
RC,636,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,3
RC,636,"Injection, streptozocin, 1 gram ",,,289.33,289.33,3
RC,636,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,3
RC,636,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,3
RC,636,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,3
RC,636,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,3
RC,636,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,3
RC,636,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,3
RC,636,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,3
RC,636,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,3
RC,636,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,3
RC,636,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,3
RC,636,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,3
RC,636,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,3
RC,636,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,3
RC,636,"Injection, telavancin, 10 mg ",,,11.6,11.6,3
RC,636,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,3
RC,636,"Injection, temozolomide, 1 mg ",,,17.16,17.16,3
RC,636,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,3
RC,636,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,3
RC,636,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,3
RC,636,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,3
RC,636,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,3
RC,636,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,3
RC,636,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,3
RC,636,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,3
RC,636,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,3
RC,636,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,3
RC,636,"Injection, thiotepa, 15 mg ",,,,,0
RC,636,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,3
RC,636,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,3
RC,636,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,3
RC,636,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,3
RC,636,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,3
RC,636,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,3
RC,636,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,3
RC,636,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,3
RC,636,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,3
RC,636,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,3
RC,636,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,3
RC,636,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,3
RC,636,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,3
RC,636,"Injection, tofersen, 1 mg ",,,264.02,264.02,3
RC,636,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,3
RC,636,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,3
RC,636,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,3
RC,636,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,3
RC,636,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,3
RC,636,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,3
RC,636,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,3
RC,636,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,3
RC,636,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,3
RC,636,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,3
RC,636,"Injection, treosulfan, 50 mg ",,,52.16,52.16,3
RC,636,"Injection, treprostinil, 1 mg ",,,91.06,91.06,3
RC,636,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,3
RC,636,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,3
RC,636,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,3
RC,636,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,3
RC,636,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,3
RC,636,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,3
RC,636,"Injection, trilaciclib, 1mg ",,,9.06,9.06,3
RC,636,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,3
RC,636,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,3
RC,636,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,3
RC,636,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,3
RC,636,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,3
RC,636,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,3
RC,636,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,3
RC,636,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,3
RC,636,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,3
RC,636,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,3
RC,636,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,3
RC,636,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,3
RC,636,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,3
RC,636,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,3
RC,636,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,3
RC,636,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,3
RC,636,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,3
RC,636,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,3
RC,636,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,3
RC,636,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,3
RC,636,"Injection, vasopressin, 1 unit ",,,0.87,0.87,3
RC,636,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,3
RC,636,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,3
RC,636,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,3
RC,636,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,3
RC,636,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,3
RC,636,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,3
RC,636,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,3
RC,636,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,3
RC,636,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,3
RC,636,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,3
RC,636,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,3
RC,636,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,3
RC,636,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,3
RC,636,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,3
RC,636,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,3
RC,636,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,3
RC,636,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,3
RC,636,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,3
RC,636,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,3
RC,636,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Innovamatrix pd, 1 mg ",,,28.1,28.1,3
RC,636,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,3
RC,636,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,3
RC,636,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,3
RC,636,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,3
RC,636,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,3
RC,636,"Insulin (fiasp), per 5 units ",,,1.12,1.12,3
RC,636,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,3
RC,636,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,3
RC,636,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,3
RC,636,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,3
RC,636,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Interfyl, 1 mg ",,,64.27,64.27,3
RC,636,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,3
RC,636,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,3
RC,636,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,3
RC,636,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,3
RC,636,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,3
RC,636,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,3
RC,636,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,3
RC,636,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,167.54,167.54,3
RC,636,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,3
RC,636,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,3
RC,636,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,3
RC,636,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,3
RC,636,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1572.47,1572.47,3
RC,636,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,3
RC,636,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,160.92,160.92,3
RC,636,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,39.72,39.72,3
RC,636,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,3
RC,636,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,3
RC,636,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,3
RC,636,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,3
RC,636,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,3
RC,636,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,3
RC,636,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,3
RC,636,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,3
RC,636,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,3
RC,636,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,3
RC,636,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,3
RC,636,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,3
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,3
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,3
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,3
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,3
RC,636,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,3
RC,636,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,3
RC,636,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,3
RC,636,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,3
RC,636,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,3
RC,636,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,3
RC,636,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,3
RC,636,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Matristem micromatrix, 1 mg ",,,13.08,13.08,3
RC,636,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,3
RC,636,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Melphalan; oral, 2 mg ",,,7.72,7.72,3
RC,636,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,3
RC,636,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,3
RC,636,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,3
RC,636,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,3
RC,636,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,3
RC,636,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,3
RC,636,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,3
RC,636,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Microlyte painguard, per square centimeter ",,,209.78,209.78,3
RC,636,"Miglustat, oral, 65 mg ",,,70.39,70.39,3
RC,636,"Miro3d fibers, per milligram ",,,27.09,27.09,3
RC,636,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,3
RC,636,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,3
RC,636,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,3
RC,636,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,3
RC,636,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,3
RC,636,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,3
RC,636,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,3
RC,636,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,3
RC,636,"Myriad morcells, 4 milligrams ",,,21.78,21.78,3
RC,636,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,3
RC,636,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,3
RC,636,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,3
RC,636,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,3
RC,636,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,3
RC,636,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,3
RC,636,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,3
RC,636,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,3
RC,636,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,3
RC,636,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,3
RC,636,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,3
RC,636,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,3
RC,636,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,3
RC,636,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,3
RC,636,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Prednisolone oral, per 5 mg ",,,1.22,1.22,3
RC,636,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,3
RC,636,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Procenta, per 100 mg ",,,9801.5,9801.5,3
RC,636,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,3
RC,636,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,3
RC,636,"Rabies vaccine, for intradermal use ",,,390.82,390.82,3
RC,636,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,3
RC,636,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,3
RC,636,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,3
RC,636,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,3
RC,636,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,3
RC,636,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,3
RC,636,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,3
RC,636,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,3
RC,636,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,3
RC,636,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,3
RC,636,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,3
RC,636,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,3
RC,636,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,3
RC,636,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,3
RC,636,"Rolapitant, oral, 1 mg ",,,7.28,7.28,3
RC,636,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,3
RC,636,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,3
RC,636,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,5213.67,5213.67,3
RC,636,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,3
RC,636,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,3
RC,636,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,3
RC,636,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,3
RC,636,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,3
RC,636,"Sirolimus, oral, 1 mg ",,,2.1,2.1,3
RC,636,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,3
RC,636,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,3
RC,636,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,3
RC,636,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,3
RC,636,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,6841.46,6841.46,3
RC,636,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,3
RC,636,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Suzetrigine, oral 1 mg ",,,0.54,0.54,3
RC,636,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,3
RC,636,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,3
RC,636,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,3
RC,636,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,3
RC,636,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,3
RC,636,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,3
RC,636,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,3
RC,636,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,3
RC,636,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,3
RC,636,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,3
RC,636,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,1541.31,1541.31,3
RC,636,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2644.26,2644.26,3
RC,636,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,3
RC,636,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,50.14,50.14,3
RC,636,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,187.21,187.21,3
RC,636,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,106.36,106.36,3
RC,636,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,1308.9,1308.9,3
RC,636,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,3
RC,636,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,3
RC,636,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,47.39,47.39,3
RC,636,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,18.18,18.18,3
RC,636,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,74.96,74.96,3
RC,636,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,743.46,743.46,3
RC,636,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1088.88,1088.88,3
RC,636,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1239.81,1239.81,3
RC,636,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,192.89,192.89,3
RC,636,"Temozolomide, oral, 5 mg ",,,0.66,0.66,3
RC,636,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,3
RC,636,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,3
RC,636,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,3
RC,636,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,3
RC,636,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,91.49,91.49,3
RC,636,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,3
RC,636,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,3
RC,636,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,3
RC,636,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,3
RC,636,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,3
RC,636,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,3
RC,636,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,3
RC,636,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,3
RC,636,"Typhoid vaccine, live, oral ",,,232.22,232.22,3
RC,636,Unclassified drugs or biologicals ,,,,,0
RC,636,Unlisted immune globulin ,,,706.02,706.02,3
RC,636,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,3
RC,636,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,3
RC,636,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,3
RC,636,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,3
RC,636,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xcellistem, 1 mg ",,,25.74,25.74,3
RC,636,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,3
RC,636,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,3
RC,636,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,3
RC,636,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,636,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,3
RC,637, Pharmacy - Self-Administrable Drugs  ,,,,,0
RC,655, Hospice Service Inpatient Respite Care  ,,,2195.0,4441.0,7
RC,656, Hospice Service General Inpatient Care Non-Respite  ,,,2195.0,4441.0,7
RC,680, Not Used  ,,,948.0,948.0,5
RC,680, Not Used  Trauma,,,,,0
RC,681, Trauma Response - Level I Trauma  ,,,2096.0,19507.0,30
RC,681, Trauma Response - Level I Trauma  Trauma,,,,,0
RC,681,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,,,0
RC,681,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,,,0
RC,681,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,681,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,681,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,681,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,681,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,681,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,681,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,,,0
RC,681,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,,,0
RC,681,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,,,0
RC,681,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,,,0
RC,681,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,,,0
RC,681,TRAUMATIC INJURY WITH MCC ,,,,,0
RC,681,TRAUMATIC INJURY WITHOUT MCC ,,,,,0
RC,682, Trauma Response - Level II Trauma  ,,,2096.0,13013.0,30
RC,682, Trauma Response - Level II Trauma  Trauma,,,,,0
RC,682,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,,,0
RC,682,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,,,0
RC,682,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,682,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,682,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,682,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,682,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,682,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,682,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,,,0
RC,682,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,,,0
RC,682,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,,,0
RC,682,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,,,0
RC,682,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,,,0
RC,682,TRAUMATIC INJURY WITH MCC ,,,,,0
RC,682,TRAUMATIC INJURY WITHOUT MCC ,,,,,0
RC,683, Trauma Response - Level III Trauma  ,,,2096.0,13000.0,48
RC,683, Trauma Response - Level III Trauma  Trauma,,,,,0
RC,683,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,,,0
RC,683,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,,,0
RC,683,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,683,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,683,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,683,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,683,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,683,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,683,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,,,0
RC,683,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,,,0
RC,683,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,,,0
RC,683,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,,,0
RC,683,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,,,0
RC,683,TRAUMATIC INJURY WITH MCC ,,,,,0
RC,683,TRAUMATIC INJURY WITHOUT MCC ,,,,,0
RC,684, Trauma Response - Level IV Trauma  ,,,948.0,8000.0,8
RC,684, Trauma Response - Level IV Trauma  Trauma,,,,,0
RC,684,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,,,0
RC,684,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,,,0
RC,684,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,684,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,684,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,684,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,,,0
RC,684,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,,,0
RC,684,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,,,0
RC,684,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,,,0
RC,684,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,,,0
RC,684,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,,,0
RC,684,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,,,0
RC,684,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,,,0
RC,684,TRAUMATIC INJURY WITH MCC ,,,,,0
RC,684,TRAUMATIC INJURY WITHOUT MCC ,,,,,0
RC,689, Trauma Response - Other   ,,,948.0,8000.0,8
RC,689, Trauma Response - Other   Trauma,,,,,0
RC,690, Pre-hospice/Palliative Care Services General Classification  ,,,,,0
RC,691, Pre-hospice/Palliative Care Services Visit Charge  ,,,,,0
RC,692, Pre-hospice/Palliative Care Services Hourly Charge  ,,,,,0
RC,693, Pre-hospice/Palliative Care Services Evaluation  ,,,,,0
RC,694, Pre-hospice/Palliative Care Services Consultation and Education  ,,,,,0
RC,695, Pre-hospice/Palliative Care Services Inpatient Care  ,,,,,0
RC,696, Pre-hospice/Palliative Care Services Physician Services  ,,,,,0
RC,699, Pre-hospice/Palliative Care Services Other  ,,,,,0
RC,700, Cast Room General Classification  ,,,,,0
RC,710, Recovery Room General Classification  ,,,,,0
RC,720, Labor Room/Delivery General Classification  ,,,715.0,1100.0,3
RC,721, Labor Room/Delivery Labor  ,,,715.0,1100.0,3
RC,722, Labor Room/Delivery Delivery Room  ,,,715.0,1100.0,3
RC,723, Labor Room/Delivery Circumcision  ,,,,,0
RC,724, Labor Room/Delivery Birthing Center  ,,,715.0,1100.0,3
RC,729, Labor Room/Delivery Other  ,,,715.0,1100.0,3
RC,730, EKG/ECG (Electrocardiogram) General Classification  ,,,215.0,430.0,3
RC,731, EKG/ECG (Electrocardiogram) Holter Monitor  ,,,594.0,1060.0,3
RC,732, EKG/ECG (Electrocardiogram) Telemetry  ,,,594.0,1060.0,3
RC,739, EKG/ECG (Electrogardiogram) Other  ,,,215.0,430.0,3
RC,740, EEG (Electoencephalogram) General Classification  ,,,585.0,1350.0,2
RC,740,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,1927.0,3130.0,3
RC,740,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1927.0,3130.0,3
RC,740,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,1927.0,3130.0,3
RC,740,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,1927.0,3130.0,3
RC,740,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1927.0,3130.0,3
RC,740,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,1927.0,3130.0,3
RC,740,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,1927.0,3130.0,3
RC,740,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,1927.0,3130.0,3
RC,740,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,1927.0,3130.0,3
RC,740,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,1927.0,3130.0,3
RC,750, Gastro-Intestinal (GI) Services General Classification  ,,,15184.0,43180.0,7
RC,750,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,750,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,750,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,750,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,750,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,750,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,750,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,750,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,750,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,750,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,750,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,750,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,750,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,750,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,750,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,750,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,750,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,1
RC,750,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,1
RC,750,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,Abatacept injection ,,,49.99,49.99,3
RC,750,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,750,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,750,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,750,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,750,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,750,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,750,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,750,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,750,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,750,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,3
RC,750,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,750,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,750,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,750,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,750,Acetaminophen ,,,20.32,20.32,3
RC,750,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,750,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,750,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,750,Acetylcholinesterase ,,,13.4,13.4,3
RC,750,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,750,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,750,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,750,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,750,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,750,Adalimumab ,,,42.04,42.04,3
RC,750,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,750,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,750,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,750,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,750,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,750,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,750,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,750,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,750,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,750,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,750,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,750,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,750,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,750,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,750,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,750,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,750,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,750,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,750,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,750,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,750,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,750,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,750,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,750,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,750,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,750,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,750,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,750,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,750,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,750,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,750,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,750,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,750,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,750,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,750,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,750,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,750,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,750,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,750,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,750,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,750,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,750,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,750,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,750,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,750,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,750,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,750,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,750,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,750,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,750,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,750,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,750,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,750,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,750,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,750,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,750,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,750,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,750,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,750,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,750,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,750,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,750,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,750,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,750,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,750,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,750,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,750,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,750,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,750,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,750,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,750,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,750,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,750,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,750,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,750,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,750,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,750,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,750,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,750,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,750,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,750,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,750,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,750,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,750,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,750,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,750,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,750,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,750,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,750,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,750,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,750,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,750,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,750,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,750,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,750,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,750,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,750,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,750,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,750,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,750,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,750,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,750,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,750,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,750,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,750,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,750,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,750,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,750,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,750,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,750,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,750,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,750,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,750,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,750,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,750,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,750,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,750,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,750,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,750,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,750,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,750,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,750,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,750,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,750,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,750,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,750,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,750,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,750,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,750,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,750,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,750,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,750,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,750,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,750,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,750,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,750,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,750,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,750,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,750,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,750,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,750,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,750,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,750,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,750,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,750,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,750,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,750,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,750,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,750,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,750,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,750,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,750,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,750,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,750,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,750,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,750,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,750,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,750,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,750,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,750,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,750,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,750,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,750,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,750,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,750,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,750,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,750,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,750,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,750,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,750,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,750,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,750,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,750,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,750,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,750,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,750,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,750,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,750,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,750,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,750,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,750,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,750,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,750,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,750,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,750,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,750,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,750,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,750,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,750,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,750,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,750,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,750,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,750,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,750,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,750,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,750,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,750,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,750,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,750,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,750,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,750,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,750,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,750,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,750,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,750,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,750,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,750,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,750,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,750,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,750,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,750,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,750,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,750,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,750,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,750,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,750,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,750,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,750,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,750,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,750,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,750,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,750,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,750,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,750,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,750,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,750,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,750,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,750,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,750,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,750,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,750,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,750,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,750,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,750,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,750,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,750,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,750,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,750,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,750,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,750,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,43890.0,9
RC,750,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,750,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,750,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,750,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,750,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,750,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,750,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,750,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,750,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,750,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,750,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,750,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,750,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,750,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,8
RC,750,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,750,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,750,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,10
RC,750,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,750,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,750,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,750,Adrenal tissue transplant to brain ,,,21210.0,23307.22,6
RC,750,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,750,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,750,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,750,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,750,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,750,Agalsidase beta injection ,,,253.66,253.66,3
RC,750,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,750,Air fluidized bed ,,,4606.97,4606.97,3
RC,750,Air pressure mattress ,,,25.02,25.02,3
RC,750,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,750,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,750,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,750,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,750,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,750,Albumin; ischemia modified ,,,36.99,36.99,3
RC,750,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,750,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,750,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,750,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,750,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,750,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,750,Aldesleukin injection ,,,3639.37,3639.37,3
RC,750,Aldolase ,,,10.58,10.58,3
RC,750,Aldosterone ,,,44.42,44.42,3
RC,750,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,750,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,750,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,750,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,750,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,750,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,750,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,750,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,750,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,750,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,750,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,750,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,750,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,750,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,750,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,750,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,750,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,750,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,750,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,750,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,750,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,750,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,750,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,750,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,750,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,750,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,750,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,750,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,750,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,750,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,750,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,750,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,750,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,750,Altuviiio per factor viii ,,,5.05,5.05,3
RC,750,Aluminum ,,,27.77,27.77,3
RC,750,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,750,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,750,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,750,Amikacin ,,,16.44,16.44,3
RC,750,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,750,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,750,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,750,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,750,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,750,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,750,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,750,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,750,Amiodarone ,,,20.32,20.32,3
RC,750,Ammonia ,,,15.88,15.88,3
RC,750,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,750,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,750,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,750,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,750,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,750,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,750,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,750,Amylase ,,,7.06,7.06,3
RC,750,Androstanediol glucuronide ,,,31.42,31.42,3
RC,750,Androstenedione ,,,31.92,31.92,3
RC,750,Androsterone ,,,27.85,27.85,3
RC,750,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,750,Angiotensin II ,,,22.37,22.37,3
RC,750,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,750,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,750,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,750,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,750,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,750,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,750,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,750,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,750,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,750,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,750,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,750,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,750,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,750,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,750,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,750,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,750,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,750,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,750,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,750,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,750,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,750,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,750,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,750,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,750,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,750,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,750,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,750,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,750,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,750,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,750,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,750,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,750,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,750,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,750,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,750,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,750,Anorectal manometry ,,,1266.0,2636.0,6
RC,750,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1481.0,5932.0,7
RC,750,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,750,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,750,Anti-inhibitor ,,,2.67,2.67,3
RC,750,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,750,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,750,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,750,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,750,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,750,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,750,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,750,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,750,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,750,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,750,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,750,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,750,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,750,Antibody; Aspergillus ,,,16.4,16.4,3
RC,750,Antibody; Bartonella ,,,11.1,11.1,3
RC,750,Antibody; Blastomyces ,,,14.06,14.06,3
RC,750,Antibody; Bordetella ,,,14.38,14.38,3
RC,750,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,750,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,750,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,750,Antibody; Brucella ,,,9.73,9.73,3
RC,750,Antibody; Campylobacter ,,,14.3,14.3,3
RC,750,Antibody; Candida ,,,13.09,13.09,3
RC,750,Antibody; Chlamydia ,,,12.88,12.88,3
RC,750,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,750,Antibody; Coccidioides ,,,12.5,12.5,3
RC,750,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,750,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,750,Antibody; Diphtheria ,,,16.58,16.58,3
RC,750,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,750,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,750,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,750,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,750,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,750,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,750,Antibody; HIV-1 ,,,9.69,9.69,3
RC,750,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,750,Antibody; HIV-2 ,,,14.74,14.74,3
RC,750,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,750,Antibody; HTLV-I ,,,9.91,9.91,3
RC,750,Antibody; HTLV-II ,,,15.26,15.26,3
RC,750,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,750,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,750,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,750,Antibody; Legionella ,,,16.68,16.68,3
RC,750,Antibody; Leishmania ,,,13.35,13.35,3
RC,750,Antibody; Leptospira ,,,17.66,17.66,3
RC,750,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,750,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,750,Antibody; Nocardia ,,,17.43,17.43,3
RC,750,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,750,Antibody; Rickettsia ,,,21.09,21.09,3
RC,750,Antibody; Salmonella ,,,14.38,14.38,3
RC,750,Antibody; Shigella ,,,26.68,26.68,3
RC,750,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,750,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,750,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,750,Antibody; Trichinella ,,,13.69,13.69,3
RC,750,Antibody; West Nile virus ,,,15.69,15.69,3
RC,750,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,750,Antibody; Yersinia ,,,14.38,14.38,3
RC,750,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,750,Antibody; actinomyces ,,,11.1,11.1,3
RC,750,Antibody; adenovirus ,,,14.03,14.03,3
RC,750,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,750,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,750,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,750,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,750,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,750,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,750,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,750,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,750,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,750,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,750,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,750,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,750,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,750,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,750,Antibody; histoplasma ,,,15.03,15.03,3
RC,750,Antibody; influenza virus ,,,14.77,14.77,3
RC,750,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,750,Antibody; mucormycosis ,,,16.35,16.35,3
RC,750,Antibody; mumps ,,,14.22,14.22,3
RC,750,Antibody; mycoplasma ,,,14.43,14.43,3
RC,750,Antibody; parvovirus ,,,16.38,16.38,3
RC,750,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,750,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,750,Antibody; rotavirus ,,,19.87,19.87,3
RC,750,Antibody; rubella ,,,15.69,15.69,3
RC,750,Antibody; rubeola ,,,14.04,14.04,3
RC,750,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,750,Antibody; tetanus ,,,16.13,16.13,3
RC,750,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,750,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,750,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,750,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,750,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,750,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,750,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,750,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,750,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,750,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,750,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,750,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,750,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,750,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,750,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,750,"Apolipoprotein, each ",,,22.99,22.99,3
RC,750,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,750,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,750,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,750,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,750,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,750,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,750,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,750,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,750,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,750,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,750,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,750,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,750,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,750,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,14
RC,750,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,14
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1266.0,6680.0,22
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,6
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,12
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,6
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2214.0,12499.0,16
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,6
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,12
RC,750,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,750,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,750,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,750,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,750,Aqueous shunt ,,,855.38,855.38,3
RC,750,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,750,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,750,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,750,"Arm rest, each ",,,23.28,23.28,3
RC,750,Arsenic ,,,20.68,20.68,3
RC,750,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,25655.0,20
RC,750,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,13
RC,750,"Arthroereisis, subtalar ",,,21210.0,23307.22,6
RC,750,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,23307.22,6
RC,750,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,2636.0,5
RC,750,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,25655.0,20
RC,750,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,2587.42,6
RC,750,Artificial cornea ,,,8791.45,8791.45,3
RC,750,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,750,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,750,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,750,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,750,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,750,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,750,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,750,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,750,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,750,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,750,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,750,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,750,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,6
RC,750,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,6
RC,750,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,750,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,750,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,750,Axillary crutch extension ,,,246.97,246.97,3
RC,750,Azathioprine parenteral ,,,277.69,277.69,3
RC,750,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,750,"B cells, total count ",,,41.13,41.13,3
RC,750,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,750,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,750,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,750,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,750,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,750,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,750,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,750,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,750,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,750,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,750,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,750,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,750,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,750,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,750,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,750,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,750,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,750,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,750,"Balance lens, per lens ",,,70.71,70.71,3
RC,750,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,750,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,750,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,750,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,750,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,750,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,750,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,750,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,750,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,750,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,750,"Bed cradle, any type ",,,42.41,42.41,3
RC,750,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,750,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,750,"Bed side rails, full length ",,,149.47,149.47,3
RC,750,"Bed side rails, half length ",,,14.69,14.69,3
RC,750,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,750,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,750,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,750,Belatacept injection ,,,4.23,4.23,3
RC,750,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,750,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,750,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,750,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,750,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,750,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,750,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,750,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,750,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,750,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,750,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,750,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,750,Beta-2 microglobulin ,,,17.64,17.64,3
RC,750,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,750,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,750,Bevacizumab injection ,,,81.56,81.56,3
RC,750,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,750,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,750,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,750,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,750,Bile acids; total ,,,18.66,18.66,3
RC,750,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,750,Bilirubin; direct ,,,5.47,5.47,3
RC,750,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,750,Bilirubin; total ,,,5.47,5.47,3
RC,750,Biofeedback training by any modality ,,,39.38,44.74,6
RC,750,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,750,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,750,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,750,Bleeding time ,,,5.25,5.25,3
RC,750,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,14
RC,750,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,25655.0,21
RC,750,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,21256.09,27301.4,9
RC,750,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,21538.0,35001.4,9
RC,750,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,14
RC,750,Blood component/product no ,,,38.5,38.5,3
RC,750,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,750,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,750,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,750,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,750,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,750,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,750,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,750,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,750,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,750,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,750,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,750,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,750,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,750,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,750,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,750,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,750,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,750,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,750,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,750,Blood split unit ,,,169.87,169.87,3
RC,750,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,750,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,750,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,750,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,750,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,750,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,750,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,750,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,750,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,750,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,750,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,750,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,750,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,750,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,750,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,6
RC,750,Bradykinin ,,,5.62,5.62,3
RC,750,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,750,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,750,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,750,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,750,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,750,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,750,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,750,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,750,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,6
RC,750,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,6
RC,750,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,6
RC,750,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1481.0,2636.0,5
RC,750,Breathing circuits ,,,11.75,11.75,3
RC,750,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,750,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,750,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,750,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,750,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,13
RC,750,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,10
RC,750,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,25655.0,11
RC,750,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,16
RC,750,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,750,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,20
RC,750,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,20
RC,750,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,750,Bundle of His recording ,,,12830.85,43890.0,14
RC,750,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,750,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,750,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,750,C-peptide ,,,22.68,22.68,3
RC,750,C-reactive protein; ,,,5.65,5.65,3
RC,750,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,750,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,750,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,750,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,750,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,750,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,750,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,750,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,750,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,750,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,750,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,750,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,750,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,1
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,750,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,750,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,750,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,750,CT and CTA without Contras ,,,242.29,242.29,3
RC,750,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,750,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,750,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,750,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,750,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,750,Cabazitaxel injection ,,,254.77,254.77,3
RC,750,Cadmium ,,,25.77,25.77,3
RC,750,Caffeine ,,,42.04,42.04,3
RC,750,Calcitonin ,,,29.2,29.2,3
RC,750,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,750,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,750,Calcium; ionized ,,,14.91,14.91,3
RC,750,Calcium; total ,,,5.62,5.62,3
RC,750,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,750,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,750,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,750,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,750,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,750,"Calprotectin, fecal ",,,21.4,21.4,3
RC,750,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,750,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,750,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,750,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,750,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,750,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,750,"Cannula, nasal ",,,1.13,1.13,3
RC,750,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,750,Capsaicin 8% patch ,,,3.82,3.82,3
RC,750,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,750,Carbamazepine; free ,,,14.44,14.44,3
RC,750,Carbamazepine; total ,,,15.88,15.88,3
RC,750,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,750,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,750,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,750,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,750,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,750,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,750,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,750,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,750,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,1481.0,2174.0,4
RC,750,Cardioassist-method of circulatory assist; external ,,,2152.0,16144.0,8
RC,750,Cardioassist-method of circulatory assist; internal ,,,2152.0,16144.0,14
RC,750,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,750,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,750,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,551.76,2636.0,11
RC,750,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,15
RC,750,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1169.48,3293.0,15
RC,750,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,750,Carmustine injection ,,,261.61,261.61,3
RC,750,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,750,Carotene ,,,10.05,10.05,3
RC,750,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,750,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,750,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,750,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,750,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,750,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,750,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,750,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,750,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,750,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,750,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,750,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,750,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,750,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,750,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,750,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,750,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,750,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,750,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,750,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,750,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,750,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,750,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,750,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,750,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,750,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,750,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,750,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,750,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,750,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,750,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,750,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,750,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,750,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,750,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,750,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,750,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,750,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,750,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,750,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,750,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,750,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,750,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,750,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,750,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,750,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,750,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,750,"Caster pin lock, each ",,,46.34,46.34,3
RC,750,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,750,Catecholamines; blood ,,,31.7,31.7,3
RC,750,Catecholamines; fractionated ,,,27.52,27.52,3
RC,750,Catecholamines; total urine ,,,29.76,29.76,3
RC,750,Cathepsin-D ,,,19.69,19.69,3
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,12875.0,10
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,12875.0,10
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,42
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,13254.68,9
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,12875.0,40
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,12875.0,30
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,13254.68,9
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,12875.0,9
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,6
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,9119.84,22644.0,14
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,22644.0,38
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9119.84,22644.0,28
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,33769.0,51
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9119.84,22644.0,14
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,14
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,23113.0,14
RC,750,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,750,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,13
RC,750,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,750,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,750,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,750,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,750,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,750,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,750,Ceruloplasmin ,,,11.71,11.71,3
RC,750,Cervical head harness/halter ,,,30.83,30.83,3
RC,750,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,750,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,750,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,750,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,750,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,750,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,750,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,750,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,750,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,750,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,750,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,750,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,750,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,750,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,750,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,750,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,750,Cetuximab injection ,,,89.02,89.02,3
RC,750,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,20
RC,750,Chemiluminescent assay ,,,15.39,15.39,3
RC,750,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,6
RC,750,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,6
RC,750,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,750,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,750,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,750,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,750,Chloramphenicol ,,,13.81,13.81,3
RC,750,Chloride; blood ,,,5.01,5.01,3
RC,750,Chloride; other source ,,,5.45,5.45,3
RC,750,Chloride; urine ,,,6.27,6.27,3
RC,750,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,750,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,750,Choline c-11 ,,,2742.91,2742.91,3
RC,750,Cholinesterase; RBC ,,,10.69,10.69,3
RC,750,Cholinesterase; serum ,,,8.58,8.58,3
RC,750,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,750,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,750,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,750,Chromium ,,,22.11,22.11,3
RC,750,Chromogenic substrate assay ,,,12.96,12.96,3
RC,750,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,750,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,750,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,750,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,750,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,750,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,750,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,750,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,750,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,750,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,750,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,750,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,750,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,750,Cidofovir injection ,,,583.95,583.95,3
RC,750,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,750,Citrate ,,,30.3,30.3,3
RC,750,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,750,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,750,Clot retraction ,,,17.77,17.77,3
RC,750,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,750,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,750,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,750,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,750,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,750,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,750,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,750,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,750,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,750,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,750,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,750,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,750,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,750,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,750,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,750,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,750,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,750,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,750,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,750,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,750,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,750,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,750,Clozapine ,,,21.96,21.96,3
RC,750,Clubfoot wedge ,,,66.8,66.8,3
RC,750,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,750,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,750,Coagulation time; activated ,,,4.67,4.67,3
RC,750,Coagulation time; other methods ,,,4.89,4.89,3
RC,750,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,750,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,750,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,750,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,750,Cold agglutinin; screen ,,,8.8,8.8,3
RC,750,Cold agglutinin; titer ,,,8.79,8.79,3
RC,750,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,750,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,750,"Collagen cross links, any method ",,,20.36,20.36,3
RC,750,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,750,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,750,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,750,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,750,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2152.0,16144.0,14
RC,750,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,750,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1481.0,2174.0,4
RC,750,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1266.0,6680.0,25
RC,750,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1266.0,6680.0,25
RC,750,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,750,Colorectal cancer screening; flexible sigmoidoscopy ,,,890.09,5932.0,19
RC,750,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,25655.0,20
RC,750,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,750,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,750,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,750,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,750,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,750,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,750,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,750,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,750,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,750,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,750,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,750,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,750,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,750,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,750,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,750,"Complement; antigen, each component ",,,13.08,13.08,3
RC,750,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,750,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,750,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,750,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,750,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,6
RC,750,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,6
RC,750,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,6
RC,750,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,750,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,750,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,43890.0,12
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,43890.0,12
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,12830.85,43890.0,14
RC,750,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,57218.76,30
RC,750,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,25253.0,43890.0,8
RC,750,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,57218.76,15
RC,750,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,750,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,750,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,750,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,750,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,750,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,750,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,750,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,750,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,750,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,750,"Congo red, blood ",,,5.4,5.4,3
RC,750,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,750,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,750,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,750,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,750,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,750,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,750,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,750,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,750,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,750,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,750,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,750,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,750,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,750,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,750,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,750,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,750,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,750,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,750,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1481.0,2636.0,5
RC,750,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,750,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,750,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,750,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,20
RC,750,Copper ,,,13.53,13.53,3
RC,750,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,750,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,6
RC,750,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,6
RC,750,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,750,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,750,Corticosterone ,,,24.55,24.55,3
RC,750,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,750,Cortisol; free ,,,18.21,18.21,3
RC,750,Cortisol; total ,,,17.77,17.77,3
RC,750,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,750,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,750,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,750,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,750,Cr51 chromate ,,,2090.58,2090.58,3
RC,750,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,750,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,750,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,750,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,750,Creatine ,,,5.06,5.06,3
RC,750,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,750,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,750,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,750,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,750,Creatinine; blood ,,,5.58,5.58,3
RC,750,Creatinine; clearance ,,,10.31,10.31,3
RC,750,Creatinine; other source ,,,5.65,5.65,3
RC,750,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,750,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,750,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,750,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,750,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,750,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,750,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,750,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,750,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,750,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,750,Cryofibrinogen ,,,15.41,15.41,3
RC,750,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,750,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,750,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,750,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,750,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,6
RC,750,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,750,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,750,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,750,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,750,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,750,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,750,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,750,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,750,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,750,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,750,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,750,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,750,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,750,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,750,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,750,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,750,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,750,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,750,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,750,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,750,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,750,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,750,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,750,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,750,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,750,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,750,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,750,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,750,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,750,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,750,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,750,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,750,"Culture, typing; other methods ",,,8.44,8.44,3
RC,750,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,750,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,750,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,750,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,750,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,750,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,750,Cyanide ,,,21.15,21.15,3
RC,750,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,750,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,750,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,750,Cyclosporine ,,,19.67,19.67,3
RC,750,Cystatin C ,,,20.19,20.19,3
RC,750,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,750,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,20
RC,750,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,20
RC,750,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,12499.0,11
RC,750,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,3796.0,19415.0,25
RC,750,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,25655.0,25
RC,750,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,12499.0,16
RC,750,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,7
RC,750,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,6
RC,750,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,750,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,750,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,750,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,750,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,750,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,750,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,750,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,750,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,750,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,750,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,750,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,750,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,750,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,750,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,750,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,750,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,750,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,750,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,750,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,750,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,750,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,750,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,750,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,750,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,750,Dactinomycin injection ,,,335.08,335.08,3
RC,750,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,750,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,750,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,750,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,750,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,24
RC,750,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1481.0,5932.0,8
RC,750,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,20
RC,750,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,6
RC,750,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,4
RC,750,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,750,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,750,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,750,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,750,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,750,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,750,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2214.0,4723.0,5
RC,750,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,750,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1266.0,5932.0,25
RC,750,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,750,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,750,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,750,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,750,Dexamethasone intra implan ,,,221.99,221.99,3
RC,750,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,750,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,750,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,750,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,750,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,25655.0,20
RC,750,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,119.92,119.92,3
RC,750,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,93.5,93.5,3
RC,750,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,25655.0,80
RC,750,Dibucaine number ,,,13.35,13.35,3
RC,750,Digoxin; free ,,,14.48,14.48,3
RC,750,Digoxin; total ,,,14.48,14.48,3
RC,750,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,750,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,6
RC,750,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,6
RC,750,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,750,"Docetaxel (docivyx), 1 mg ",,,50.45,50.45,3
RC,750,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,750,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,6
RC,750,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,750,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,750,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,750,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,750,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,750,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,750,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,750,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,750,Dry pressure mattress ,,,207.18,207.18,3
RC,750,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,750,Duodenal motility (manometric) study ,,,1481.0,5932.0,13
RC,750,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,750,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,750,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,750,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,750,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,750,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,750,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,750,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,750,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,750,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,750,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,750,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,750,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,750,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,750,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,750,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,750,Ecallantide injection ,,,649.58,649.58,3
RC,750,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,750,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,750,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,750,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,750,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,750,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,750,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,750,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,750,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,750,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,750,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,750,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,750,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,750,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,750,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,750,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,750,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,750,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,750,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,750,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,750,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,750,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,750,"Electric heat pad, moist ",,,110.05,110.05,3
RC,750,"Electric heat pad, standard ",,,43.12,43.12,3
RC,750,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,750,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,750,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,750,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,750,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,750,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,750,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,750,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,750,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,750,"Electrogastrography, diagnostic, transcutaneous; ",,,1481.0,2636.0,5
RC,750,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1481.0,2636.0,5
RC,750,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,750,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,750,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,6
RC,750,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,305.28,12
RC,750,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,750,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,750,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,750,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,750,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,750,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,750,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,750,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,750,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,750,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,750,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,750,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1481.0,43890.0,18
RC,750,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2270.0,43890.0,9
RC,750,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1481.0,2636.0,5
RC,750,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,25253.0,43890.0,8
RC,750,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,750,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,750,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,750,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,750,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,750,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,750,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,750,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,750,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,750,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,750,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1481.0,43890.0,18
RC,750,Endomyocardial biopsy ,,,5381.0,17384.0,15
RC,750,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,750,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,13
RC,750,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,20
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,25655.0,20
RC,750,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,19
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,750,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,12499.0,20
RC,750,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,750,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,750,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,750,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,750,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,750,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,750,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,750,Eptifibatide injection ,,,4.22,4.22,3
RC,750,Erythropoietin ,,,20.48,20.48,3
RC,750,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1481.0,2636.0,5
RC,750,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1481.0,2636.0,5
RC,750,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,12499.0,14
RC,750,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,25253.0,43890.0,8
RC,750,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,25253.0,43890.0,8
RC,750,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1481.0,2636.0,5
RC,750,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1672.0,2636.0,5
RC,750,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,750,Estradiol; total ,,,30.45,30.45,3
RC,750,Estriol ,,,26.36,26.36,3
RC,750,Estrogens; fractionated ,,,35.21,35.21,3
RC,750,Estrogens; total ,,,23.65,23.65,3
RC,750,Estrone ,,,27.2,27.2,3
RC,750,Ethosuximide ,,,17.81,17.81,3
RC,750,Ethylene glycol ,,,16.24,16.24,3
RC,750,Etiocholanolone ,,,28.6,28.6,3
RC,750,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,750,Euflexxa inj per dose ,,,106.97,106.97,3
RC,750,Euglobulin lysis ,,,9.17,9.17,3
RC,750,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,750,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,750,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,750,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1481.0,43890.0,9
RC,750,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,750,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,750,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,750,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,750,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,750,Everolimus ,,,14.97,14.97,3
RC,750,Exc biopsy of saliv glands ,,,10868.0,12875.0,3
RC,750,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,3
RC,750,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,20
RC,750,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,10
RC,750,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,10
RC,750,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,10
RC,750,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,25655.0,20
RC,750,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,750,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,750,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,750,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,750,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,750,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,750,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,750,"External counterpulsation, per treatment session ",,,2187.0,3092.0,6
RC,750,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,750,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,750,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,750,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,750,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,750,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,750,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,750,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,750,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,750,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,750,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,21210.0,23307.22,6
RC,750,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,750,Extremity belt/harness ,,,58.52,58.52,3
RC,750,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,750,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,750,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,750,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,750,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,750,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,750,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,750,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,750,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,750,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,750,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,750,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,750,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,750,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,6
RC,750,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,750,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,750,Face tent ,,,2.8,2.8,3
RC,750,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,750,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,750,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,7069.89,25655.0,16
RC,750,Factor IX non-recombinant ,,,1.53,1.53,3
RC,750,Factor inhibitor test ,,,14.03,14.03,3
RC,750,Factor ix complex ,,,1.9,1.9,3
RC,750,Factor ix idelvion inj ,,,6.0,6.0,3
RC,750,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,750,Factor ix recombinant nos ,,,2.03,2.03,3
RC,750,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,750,Factor viii ,,,1.36,1.36,3
RC,750,Factor viii recombinant ,,,1.72,1.72,3
RC,750,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,750,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,750,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,750,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,750,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,750,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,750,Felbamate ,,,20.32,20.32,3
RC,750,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,750,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,750,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,750,Fern test ,,,10.62,10.62,3
RC,750,Ferritin ,,,14.86,14.86,3
RC,750,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,750,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,750,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,750,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,750,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,750,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,750,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,750,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,750,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,750,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,750,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,750,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,750,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,750,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,6
RC,750,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,750,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,750,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,750,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,750,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,750,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,750,Fibrinogen; activity ,,,10.59,10.59,3
RC,750,Fibrinogen; antigen ,,,15.76,15.76,3
RC,750,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,750,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,750,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,750,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,750,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,750,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,750,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,750,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,750,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,750,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,750,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,750,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,750,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,750,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,750,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,750,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,750,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,750,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,750,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,750,"Finger splint, static ",,,2.92,2.92,3
RC,750,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,750,Flebogamma injection ,,,98.91,98.91,3
RC,750,Flecainide ,,,20.32,20.32,3
RC,750,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,750,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,750,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,750,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,750,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,750,Floxuridine injection ,,,4792.18,4792.18,3
RC,750,Fluciclovine f-18 ,,,351.27,351.27,3
RC,750,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,750,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,750,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,750,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,750,Fluoride ,,,20.21,20.21,3
RC,750,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,750,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,750,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,750,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,750,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,750,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,750,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,750,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,750,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,3796.0,33321.99,18
RC,750,Folic acid; RBC ,,,19.24,19.24,3
RC,750,Folic acid; serum ,,,16.02,16.02,3
RC,750,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,750,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,750,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,750,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,750,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,750,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,750,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,750,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,750,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,750,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,750,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,750,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,750,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,750,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,750,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,750,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,750,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,750,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,750,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,750,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,750,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,750,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,750,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,750,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,750,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,750,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,750,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,750,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,750,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,750,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,750,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,750,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,750,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,750,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,750,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,750,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,750,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,750,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,750,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,750,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,750,"Frames, purchases ",,,89.85,89.85,3
RC,750,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,750,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,750,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,750,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,750,"Fructose, semen ",,,18.9,18.9,3
RC,750,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,750,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,750,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,750,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,750,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,750,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,750,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,750,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,750,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,750,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,750,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,750,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,750,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,750,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,750,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,750,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,750,"Galactokinase, RBC ",,,23.41,23.41,3
RC,750,Galactose ,,,12.21,12.21,3
RC,750,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,750,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,750,Galectin-3 ,,,48.23,48.23,3
RC,750,Gallium ga-68 ,,,54.1,54.1,3
RC,750,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,750,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,750,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,750,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,750,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,750,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,750,Galsulfase injection ,,,573.3,573.3,3
RC,750,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,750,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,750,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,750,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,750,Gammaplex IVIG ,,,72.24,72.24,3
RC,750,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,750,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,750,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,750,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,750,"Gases, blood, pH only ",,,11.99,11.99,3
RC,750,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,750,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,750,Gastric motility (manometric) studies ,,,1481.0,5932.0,9
RC,750,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,11
RC,750,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,750,Gastrin ,,,19.22,19.22,3
RC,750,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,750,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2214.0,5047.0,9
RC,750,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2214.0,5047.0,9
RC,750,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,750,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,750,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,750,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,750,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,750,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,750,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,750,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,750,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,750,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,750,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,750,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,750,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,750,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,750,Gel pressure mattress ,,,42.62,42.62,3
RC,750,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,750,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,750,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,750,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,750,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,750,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,750,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,750,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,750,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,750,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,750,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,750,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,750,Gentamicin ,,,17.85,17.85,3
RC,750,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,750,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,750,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,21210.0,23307.22,6
RC,750,Glucagon ,,,15.58,15.58,3
RC,750,Glucagon hydrochloride ,,,127.89,127.89,3
RC,750,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,750,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,750,Glucagon tolerance test ,,,19.37,19.37,3
RC,750,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,750,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,750,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,750,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,750,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,750,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,750,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,750,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,750,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,750,"Glucosidase, beta ",,,23.41,23.41,3
RC,750,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,750,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,750,Glutathione ,,,16.84,16.84,3
RC,750,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,750,Glycated protein ,,,18.27,18.27,3
RC,750,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,750,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,750,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,750,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,750,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,750,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,750,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,750,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,750,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,750,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,750,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,750,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,750,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,750,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,750,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,750,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,750,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,750,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,750,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,750,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,750,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,750,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,750,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,750,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,750,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,750,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,750,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,750,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,750,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,750,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,750,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,750,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,750,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,750,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,750,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,750,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,750,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,750,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,750,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,750,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,750,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,750,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,750,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,750,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,750,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,750,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,750,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,750,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,750,"Gradient compression glove, each ",,,79.56,79.56,3
RC,750,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,750,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,750,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,750,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,750,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,750,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,750,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,750,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,750,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,750,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,750,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,750,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,750,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,750,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,750,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,750,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,750,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,750,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,750,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,750,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,750,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,750,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,750,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,750,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,750,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,750,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,750,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,750,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,750,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,750,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,750,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,750,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,750,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,750,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,750,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,750,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,750,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,750,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,750,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,750,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,750,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,4
RC,750,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,4
RC,750,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,750,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,750,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,750,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,750,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,750,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,750,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,750,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,750,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,750,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,750,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,750,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,750,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,750,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,750,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,750,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,750,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,750,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,750,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,750,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,750,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,750,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,750,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,750,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,750,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,750,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,750,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,750,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,750,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,750,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,750,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,750,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,750,Hallux implant ,,,388.42,388.42,3
RC,750,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,750,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,750,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,750,Haloperidol ,,,17.2,17.2,3
RC,750,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,750,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,750,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,750,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,750,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,750,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,750,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,750,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,750,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,750,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,750,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,750,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,750,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,750,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,750,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,750,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,750,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,6
RC,750,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,750,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,750,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,750,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,750,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,750,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,750,Heavy duty wheelchair ,,,83.68,83.68,3
RC,750,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,750,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,750,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,750,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,750,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,750,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,750,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,750,Heel wedge ,,,30.8,30.8,3
RC,750,"Heel wedge, sach ",,,114.72,114.72,3
RC,750,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,750,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,750,"Heel, new leather, standard ",,,54.84,54.84,3
RC,750,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,750,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,750,"Heel, sach cushion type ",,,142.14,142.14,3
RC,750,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,750,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,750,Heinz bodies; direct ,,,4.58,4.58,3
RC,750,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,750,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,750,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,750,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,750,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,750,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,750,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,750,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,750,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,750,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,750,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,750,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,750,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,750,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,750,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,750,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,750,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,750,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,750,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,750,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,750,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,750,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,750,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,750,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,750,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,750,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,750,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,750,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,750,Hemoglobin; plasma ,,,7.97,7.97,3
RC,750,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,750,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,750,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,750,Hemoglobin; urine ,,,4.31,4.31,3
RC,750,"Hemolysin, acid ",,,9.67,9.67,3
RC,750,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,750,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,750,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,750,Hepagam b im injection ,,,71.51,71.51,3
RC,750,Heparin assay ,,,14.27,14.27,3
RC,750,Heparin neutralization ,,,12.91,12.91,3
RC,750,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,750,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,750,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,750,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,750,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,750,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,750,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,750,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,750,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,750,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,750,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,750,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,750,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,750,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,750,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,750,Hepatitis C antibody; ,,,15.55,15.55,3
RC,750,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,750,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,750,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,750,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,750,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,750,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,750,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,750,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,750,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,750,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,750,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,750,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,750,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,750,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,750,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,750,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,750,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,750,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,750,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,750,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,750,Hip core decompression ,,,21210.0,23307.22,6
RC,750,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,750,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,750,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,750,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,750,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,750,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,750,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,750,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,750,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,750,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,750,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,750,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,750,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,750,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,750,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,750,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,750,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,750,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,750,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,750,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,750,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,750,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,750,Histamine ,,,32.19,32.19,3
RC,750,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,25655.0,10
RC,750,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,750,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,750,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,750,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,750,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,750,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,750,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,750,Home blood glucose monitor ,,,103.8,103.8,3
RC,750,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,750,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,750,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,750,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,750,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,750,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,750,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,750,Homocysteine ,,,19.53,19.53,3
RC,750,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,750,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,750,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,750,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,750,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,750,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,750,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,750,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,750,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,750,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,750,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,750,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,750,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,750,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,750,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,750,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,750,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,750,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,750,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,750,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,750,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,750,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,750,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,750,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,750,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,750,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,750,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,750,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,750,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,750,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,750,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,750,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,750,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,750,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,750,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,750,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,750,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,750,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,750,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,750,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,750,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,750,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,750,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,750,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,750,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,750,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,750,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,750,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,750,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,750,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,750,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,750,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,750,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,750,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,750,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,750,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,750,Hydroxychloroquine ,,,20.32,20.32,3
RC,750,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,750,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,750,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,750,Hydroxyproline; free ,,,24.69,24.69,3
RC,750,Hydroxyproline; total ,,,26.49,26.49,3
RC,750,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,750,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,750,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,750,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,750,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,750,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,750,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,750,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,750,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,750,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,750,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,750,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,750,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,750,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,750,Ibuprofen injection ,,,3.54,3.54,3
RC,750,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,750,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,750,Idursulfase injection ,,,621.35,621.35,3
RC,750,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7592.0,25655.0,15
RC,750,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5694.0,25655.0,15
RC,750,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,750,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,750,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,750,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,750,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,750,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,750,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,750,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,750,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,750,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,750,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,750,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,750,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,750,Immune complex assay ,,,26.56,26.56,3
RC,750,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,750,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,750,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,750,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,750,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,750,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,750,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,750,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,750,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,750,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,750,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,750,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,750,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,750,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,750,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,750,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,750,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,750,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,750,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,750,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,750,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,750,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,750,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,750,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,750,Implantation of auditory brain stem implant ,,,21210.0,23307.22,6
RC,750,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,6
RC,750,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,13
RC,750,In111 capromab ,,,1886.02,1886.02,3
RC,750,In111 oxyquinoline ,,,906.29,906.29,3
RC,750,In111 pentetate ,,,812.73,812.73,3
RC,750,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,750,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,750,Indexing for osteotomy ,,,10868.0,12875.0,3
RC,750,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,750,Indium in-111 auto wbc ,,,1202.48,1202.48,3
RC,750,Indium in-111 pentetreotid ,,,2181.02,2181.02,3
RC,750,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,6
RC,750,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,6
RC,750,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,6
RC,750,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,6
RC,750,Induction of arrhythmia by electrical pacing ,,,25253.0,43890.0,8
RC,750,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,750,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,750,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,750,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,750,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,750,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,750,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,750,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,750,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,750,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,750,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,750,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,750,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,750,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,750,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,750,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,750,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,750,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,750,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,750,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,750,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,750,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,750,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,750,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,750,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,750,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,750,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,750,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,750,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,750,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,750,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,750,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,750,Infliximab ,,,42.04,42.04,3
RC,750,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,750,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,750,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,750,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,750,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,750,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,750,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,750,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,750,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,750,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,750,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,750,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,750,Inhibin A ,,,16.99,16.99,3
RC,750,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1481.0,2636.0,5
RC,750,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,750,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,750,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,750,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,750,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,750,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,750,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,750,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,750,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,750,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,750,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,750,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,750,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,750,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,750,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,750,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,750,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,750,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,750,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,750,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,750,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,750,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,750,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,750,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,750,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,750,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,750,Inj estrogen conjugate ,,,437.64,437.64,3
RC,750,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,750,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,750,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,750,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,750,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,750,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,750,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,750,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,750,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,750,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,750,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,750,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,750,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,750,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,750,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,750,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,750,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,750,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,750,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,750,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,750,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,750,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,750,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,750,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,750,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,750,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,750,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,750,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,750,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,750,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,750,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,750,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,750,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,750,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,750,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,750,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,750,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,750,Inj recombin esperoct per ,,,2.5,2.5,3
RC,750,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,750,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,750,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,750,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,750,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,750,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,750,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,750,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,750,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,750,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,750,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,750,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,750,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,750,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,750,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,750,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,750,Inj truxima 10 mg ,,,37.67,37.67,3
RC,750,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,750,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,750,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,750,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,750,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,750,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,750,Inj xipere 1 mg ,,,52.07,52.07,3
RC,750,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,750,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,750,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,750,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,750,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,750,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,750,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,750,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,750,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,750,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,750,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,750,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,750,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,750,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,750,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,750,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,750,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,750,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,750,"Inj, bupivacaine liposome ",,,1.58,1.58,3
RC,750,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,750,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,750,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,750,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,750,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,750,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,750,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,750,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,750,"Inj, cyclophosphamd, sando ",,,3.75,3.75,3
RC,750,"Inj, denosumab ",,,32.81,32.81,3
RC,750,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,750,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,750,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,750,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,750,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,750,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,750,"Inj, donanemab-azbt, 2 mg ",,,4.54,4.54,3
RC,750,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,750,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,750,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,750,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,750,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,750,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,750,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,750,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,750,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,750,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,750,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,750,"Inj, focinvez, 1mg ",,,2.68,2.68,3
RC,750,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,750,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,750,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,750,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,750,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,750,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,750,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,750,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,750,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,750,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,750,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,750,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,750,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,750,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,750,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,750,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,750,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,750,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,750,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,750,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,750,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,750,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,750,"Inj, nogapendekin pmln 1 m ",,,102.79,102.79,3
RC,750,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,750,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,750,"Inj, nyvepria ",,,149.23,149.23,3
RC,750,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,750,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,750,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,750,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,750,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,750,"Inj, pegulicianine, 1 mg ",,,40.88,40.88,3
RC,750,"Inj, pemrydi rtu, 10 mg ",,,74.05,74.05,3
RC,750,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,750,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,750,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,750,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,750,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,750,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,750,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,750,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,750,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,750,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,750,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,750,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,750,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,750,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,750,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,750,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,750,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,750,"Inj, tarlatamab-dlle, 1 mg ",,,1757.54,1757.54,3
RC,750,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,750,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,750,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,750,"Inj, tofidence, 1 mg ",,,5.46,5.46,3
RC,750,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,750,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,750,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,750,"Inj, tyenne, 1 mg ",,,4.42,4.42,3
RC,750,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,750,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,750,"Inj, vasopressin (baxter) ",,,1.91,1.91,3
RC,750,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,750,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,750,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,750,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,750,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,750,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,750,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,750,Inj. asceniv ,,,554.96,554.96,3
RC,750,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,750,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,750,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,750,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,750,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,750,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,750,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,750,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,750,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,750,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,750,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,750,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,750,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,750,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,750,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,750,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,750,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,750,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,750,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,750,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,750,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,750,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,750,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,750,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,750,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,750,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,750,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,750,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,750,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,750,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,750,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,750,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,750,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,750,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,750,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,750,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,750,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,750,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,750,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,750,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,750,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,750,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,750,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,750,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,750,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,750,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,750,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,750,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,750,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,750,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,750,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,750,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,750,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,750,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,750,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,750,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,750,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,750,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,750,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,750,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,750,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,750,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1481.0,17384.0,9
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1481.0,17384.0,9
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1481.0,17384.0,9
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1481.0,17384.0,9
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,1481.0,2174.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,1481.0,2174.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,1481.0,2174.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1481.0,17384.0,9
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1481.0,17384.0,9
RC,750,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,9
RC,750,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1266.0,5932.0,25
RC,750,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,750,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,750,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,750,"Injection, blinatumomab ",,,188.46,188.46,3
RC,750,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,750,"Injection, cangrelor ",,,22.1,22.1,3
RC,750,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,750,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,750,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,750,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,750,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,750,"Injection, fulphila ",,,73.06,73.06,3
RC,750,"Injection, glucarpidase ",,,489.52,489.52,3
RC,750,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,750,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,750,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,750,"Injection, ixabepilone ",,,152.33,152.33,3
RC,750,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,750,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,750,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,750,"Injection, nivolumab ",,,37.3,37.3,3
RC,750,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,750,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,750,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,750,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,750,"Injection, peramivir ",,,1.83,1.83,3
RC,750,"Injection, renflexis ",,,29.01,29.01,3
RC,750,"Injection, reslizumab ",,,12.78,12.78,3
RC,750,"Injection, ruconest ",,,41.24,41.24,3
RC,750,"Injection, siltuximab ",,,189.73,189.73,3
RC,750,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,750,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,750,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,750,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,750,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,750,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,750,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,750,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,5694.0,6054.0,4
RC,750,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,750,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,1796.0,7927.29,15
RC,750,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,6
RC,750,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,20
RC,750,Insertion of implants into the soft palate; minimum of three implants ,,,1266.0,5047.0,15
RC,750,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,6
RC,750,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,25655.0,20
RC,750,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,25655.0,20
RC,750,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,25655.0,20
RC,750,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,20
RC,750,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,13
RC,750,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,25655.0,20
RC,750,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,750,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,750,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,750,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,750,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,750,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,750,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,750,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,750,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,750,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,12499.0,20
RC,750,Insulin antibodies ,,,23.34,23.34,3
RC,750,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,750,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,750,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,750,Insulin; free ,,,14.12,14.12,3
RC,750,Insulin; total ,,,12.46,12.46,3
RC,750,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,750,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,750,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,750,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,750,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,750,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,750,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,750,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,750,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,750,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,750,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,750,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1481.0,2636.0,5
RC,750,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,750,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,750,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,750,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,750,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,750,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,750,Intra-atrial pacing ,,,12830.85,43890.0,14
RC,750,Intra-atrial recording ,,,12830.85,43890.0,14
RC,750,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,25253.0,43890.0,8
RC,750,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,43890.0,9
RC,750,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,12830.85,43890.0,14
RC,750,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1481.0,43890.0,9
RC,750,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,750,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,6
RC,750,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,1481.0,2174.0,3
RC,750,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,1481.0,2174.0,3
RC,750,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1481.0,5932.0,8
RC,750,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,7
RC,750,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1481.0,2636.0,10
RC,750,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,6
RC,750,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,25253.0,43890.0,8
RC,750,Intraventricular pacing ,,,12830.85,43890.0,14
RC,750,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,67046.86,12
RC,750,Intrinsic factor ,,,21.6,21.6,3
RC,750,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,750,Iodine i-123 iobenguane ,,,2526.08,2526.08,3
RC,750,Iodine i-123 ioflupane ,,,1512.64,1512.64,3
RC,750,Ipilimumab injection ,,,207.57,207.57,3
RC,750,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,750,Iris supported intraocular lens ,,,158.85,158.85,3
RC,750,Iron ,,,7.05,7.05,3
RC,750,Iron binding capacity ,,,9.53,9.53,3
RC,750,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,750,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,750,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,750,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,750,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,750,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,750,Islet cell antibody ,,,25.69,25.69,3
RC,750,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,6
RC,750,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,750,Itraconazole ,,,29.55,29.55,3
RC,750,"Iv hanger, each ",,,131.03,131.03,3
RC,750,Iv pole ,,,189.03,189.03,3
RC,750,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,750,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,750,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,750,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,750,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,750,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,750,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,750,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,750,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,750,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,750,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,750,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,750,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,750,Ketorolac tromethamine inj ,,,0.31,0.31,3
RC,750,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,750,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,750,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,750,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,750,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,750,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,750,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,750,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,750,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,750,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,750,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,750,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,750,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,750,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,750,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,750,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,750,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,750,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,750,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,750,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,750,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,750,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,750,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,750,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,750,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,750,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,750,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,750,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,750,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,750,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,750,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,750,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,750,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,750,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,750,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,750,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,750,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,750,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,750,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,750,Lacosamide ,,,29.55,29.55,3
RC,750,Lactate (lactic acid) ,,,12.61,12.61,3
RC,750,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,750,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,750,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,750,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,750,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,750,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,750,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,750,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,14
RC,750,Lamotrigine ,,,14.44,14.44,3
RC,750,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,750,Laparoscopic esophagomyotomy (heller type) ,,,21210.0,23307.22,6
RC,750,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,14304.35,25655.0,12
RC,750,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25959.75,12
RC,750,"Large size footplate, each ",,,65.96,65.96,3
RC,750,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,750,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,750,Laronidase injection ,,,45.22,45.22,3
RC,750,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,750,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2214.0,4723.0,5
RC,750,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,6
RC,750,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,6
RC,750,Lead ,,,13.2,13.2,3
RC,750,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,750,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,750,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,750,Leflunomide ,,,42.04,42.04,3
RC,750,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,12818.0,22644.0,8
RC,750,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,7799.0,17510.0,10
RC,750,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,14
RC,750,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,750,"Leg strap, each ",,,32.14,32.14,3
RC,750,"Leg strap, h style, each ",,,69.02,69.02,3
RC,750,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,750,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,750,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,750,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,750,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,750,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,750,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,750,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,750,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,750,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,750,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,750,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,750,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,750,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,750,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,750,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,750,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,750,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,750,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,750,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,750,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,750,Leuprolide acetate ,,,2006.97,2006.97,3
RC,750,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,750,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,750,Levetiracetam ,,,14.44,14.44,3
RC,750,Lidocaine ,,,16.01,16.01,3
RC,750,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,750,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,750,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,750,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,750,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,750,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,750,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,750,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,750,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,750,Lightweight wheelchair ,,,48.42,48.42,3
RC,750,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,750,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,750,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,750,Lipase ,,,7.51,7.51,3
RC,750,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,750,Lipoprotein (a) ,,,15.61,15.61,3
RC,750,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,750,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,750,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,750,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,750,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,750,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,750,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,750,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,750,Lithium ,,,7.2,7.2,3
RC,750,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,750,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,750,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,750,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,750,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,750,Lobar lung transplantation ,,,21210.0,23307.22,6
RC,750,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,6
RC,750,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,750,"Lso, corset front ",,,166.52,166.52,3
RC,750,"Lso, full corset ",,,235.72,235.72,3
RC,750,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,750,"Lubricant, per ounce ",,,2.47,2.47,3
RC,750,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,750,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,750,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,750,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,750,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,750,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,750,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,750,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,750,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,750,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,750,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,750,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,750,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,750,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,750,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,750,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,750,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,750,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,750,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,750,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,750,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,750,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,750,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,750,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,750,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,750,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,750,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,750,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,750,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,750,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,750,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,750,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,750,MRI and MRA without Contra ,,,576.44,576.44,3
RC,750,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,750,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,750,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,750,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,750,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,750,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,750,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,750,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,750,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,750,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,750,Magnesium ,,,7.3,7.3,3
RC,750,Malate dehydrogenase ,,,8.03,8.03,3
RC,750,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,750,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,750,Manganese ,,,29.05,29.05,3
RC,750,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,750,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,750,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,750,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,750,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,750,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,750,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,750,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,750,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,750,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,750,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,750,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,750,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,750,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,750,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,750,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,750,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,750,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,750,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,750,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,750,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,750,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,750,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,750,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,750,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,750,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,750,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,750,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,750,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,750,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,750,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,750,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,750,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,750,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,750,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,750,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,750,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,750,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,750,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,750,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,4
RC,750,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,750,"Mattress, foam rubber ",,,182.92,182.92,3
RC,750,"Mattress, innerspring ",,,162.65,162.65,3
RC,750,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,3
RC,750,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,3
RC,750,"Meat fibers, feces ",,,5.29,5.29,3
RC,750,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,750,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,750,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,750,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,750,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,750,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,750,Mental Health Services Com ,,,448.48,448.48,3
RC,750,"Mercury, quantitative ",,,17.72,17.72,3
RC,750,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,750,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,750,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,6
RC,750,Metanephrines ,,,18.46,18.46,3
RC,750,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,750,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,750,Metatarsal joint implant ,,,467.12,467.12,3
RC,750,Methemalbumin ,,,11.71,11.71,3
RC,750,Methotrexate ,,,42.04,42.04,3
RC,750,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,750,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,750,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,750,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,750,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,750,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,750,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,750,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,750,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,6
RC,750,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,750,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,6
RC,750,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,6
RC,750,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,6
RC,750,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,6
RC,750,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,6
RC,750,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,750,Mitomycin instillation ,,,359.63,359.63,3
RC,750,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,750,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,750,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,750,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,750,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,750,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,750,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,750,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,750,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,750,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,750,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,750,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,750,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,750,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,750,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,750,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,750,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,750,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,750,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,750,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,750,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,750,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,750,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,750,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,750,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,750,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,750,Mouth piece ,,,4.82,4.82,3
RC,750,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,750,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,750,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,750,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,750,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,750,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,750,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,750,Muramidase ,,,20.44,20.44,3
RC,750,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,750,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,750,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,750,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,750,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,750,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,750,Myoglobin ,,,14.08,14.08,3
RC,750,"Myringotomy, laser-assisted ",,,7839.0,23307.22,10
RC,750,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,750,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,750,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,750,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,750,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,750,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,750,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,750,"Naltrexone, depot form ",,,4.93,4.93,3
RC,750,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,750,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,750,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,23307.22,12
RC,750,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,750,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,750,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,750,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,750,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,750,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,1
RC,750,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,750,Natalizumab injection ,,,26.6,26.6,3
RC,750,Natriuretic peptide ,,,42.79,42.79,3
RC,750,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,750,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,750,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,750,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,750,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,750,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,750,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,750,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,750,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,750,Nelarabine injection ,,,71.29,71.29,3
RC,750,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,750,Nerve dissection ,,,10868.0,12875.0,3
RC,750,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,750,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,750,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,750,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,750,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,750,"Neutralization test, viral ",,,18.43,18.43,3
RC,750,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,750,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,750,Nickel ,,,26.72,26.72,3
RC,750,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,750,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,750,Nivestym ,,,0.35,0.35,3
RC,750,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,750,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,750,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,750,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,750,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,750,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,750,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,750,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,750,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,750,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,750,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,26773.0,42427.0,3
RC,750,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,750,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,750,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,750,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,750,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,750,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,750,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,750,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,750,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,750,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,750,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,750,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,750,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,750,Nucleotidase 5'- ,,,12.15,12.15,3
RC,750,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,750,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,750,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,750,"Occluder lens, per lens ",,,28.56,28.56,3
RC,750,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,750,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,750,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,750,Octagam injection ,,,51.29,51.29,3
RC,750,Ocular implant ,,,885.23,885.23,3
RC,750,Ofatumumab injection ,,,67.84,67.84,3
RC,750,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,750,Omalizumab injection ,,,50.78,50.78,3
RC,750,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,750,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,750,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,750,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,750,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,750,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,750,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,750,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,750,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,750,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,750,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,750,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,750,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,750,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,750,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,750,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,750,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,750,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,750,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,750,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,750,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,750,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,750,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,750,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,750,One way chest drain valve ,,,63.18,63.18,3
RC,750,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,25655.0,20
RC,750,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,7
RC,750,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,7
RC,750,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2152.0,76895.0,24
RC,750,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,2152.0,25655.0,24
RC,750,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2152.0,76895.0,24
RC,750,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,3796.0,8858.0,15
RC,750,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,3796.0,8858.0,15
RC,750,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,750,Oral busulfan ,,,11.03,11.03,3
RC,750,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,750,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,750,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,750,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,750,Oral methotrexate (jylamvo ,,,17.95,17.95,3
RC,750,Oral methotrexate (xatmep) ,,,24.98,24.98,3
RC,750,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,750,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,750,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,750,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,750,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,750,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,750,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,750,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,750,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,750,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,750,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,750,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,750,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,750,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,750,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,750,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,750,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,750,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,750,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,750,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,750,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,750,Orthovisc inj per dose ,,,109.36,109.36,3
RC,750,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,750,Osmolality; blood ,,,7.2,7.2,3
RC,750,Osmolality; urine ,,,7.43,7.43,3
RC,750,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,750,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,750,Ossicula implant ,,,401.67,401.67,3
RC,750,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,750,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,750,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,750,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,750,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,750,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,6
RC,750,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,750,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,750,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,750,"Ostomy belt, each ",,,10.57,10.57,3
RC,750,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,750,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,750,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,750,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,750,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,750,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,750,Ostomy irrigation set ,,,75.92,75.92,3
RC,750,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,750,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,750,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,750,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,750,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,750,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,750,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,750,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,750,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,750,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,750,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,750,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,750,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,750,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,750,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,750,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,750,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,750,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,750,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,750,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,750,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,750,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,750,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,750,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,750,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,750,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,750,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,750,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,750,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,750,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,750,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,750,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,750,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,750,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,750,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,750,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,750,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,750,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,750,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,750,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,750,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,750,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,750,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,750,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,750,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,750,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,750,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,750,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,750,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,750,"Ostomy ring, each ",,,2.61,2.61,3
RC,750,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,750,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,750,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,750,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,750,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,750,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,750,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,750,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,750,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,750,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,750,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,750,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,750,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,750,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,750,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,750,Other manual wheelchair/base ,,,111.03,111.03,3
RC,750,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,750,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,750,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,11
RC,750,Outflare wedge ,,,66.8,66.8,3
RC,750,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,750,"Oversize lens, per lens ",,,16.72,16.72,3
RC,750,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,750,Oxalate ,,,15.75,15.75,3
RC,750,Oxcarbazepine ,,,14.44,14.44,3
RC,750,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,750,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,750,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,750,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,750,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,750,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,750,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,750,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,750,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,750,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,750,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,750,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,750,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,750,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,750,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,750,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,750,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,750,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,750,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,750,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,750,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,750,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,750,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,750,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,750,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,750,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,750,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,750,Panitumumab injection ,,,198.59,198.59,3
RC,750,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,750,"Paraffin, per pound ",,,5.3,5.3,3
RC,750,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,750,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,750,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,3
RC,750,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,750,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,750,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,750,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,750,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,750,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,750,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,750,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,750,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,750,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,750,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,750,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,750,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,750,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,750,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,750,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,750,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,750,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,750,Pegaspargase injection ,,,32333.72,32333.72,3
RC,750,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,750,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,750,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,750,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,750,Pentostatin injection ,,,2940.81,2940.81,3
RC,750,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,750,Percutaneous balloon valvuloplasty; aortic valve ,,,15852.51,43890.0,14
RC,750,Percutaneous balloon valvuloplasty; mitral valve ,,,16482.0,48155.21,14
RC,750,Percutaneous balloon valvuloplasty; pulmonary valve ,,,16482.0,48155.21,14
RC,750,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,20
RC,750,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,20
RC,750,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,750,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,10868.0,25655.0,16
RC,750,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,25655.0,12
RC,750,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,7
RC,750,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5694.0,18490.0,25
RC,750,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,11388.0,44631.92,18
RC,750,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,11388.0,44631.92,18
RC,750,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,4
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,77468.25,10
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,77468.25,10
RC,750,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,77468.25,19
RC,750,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,750,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,27837.0,94000.0,8
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,25794.0,48155.21,14
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,17031.0,91021.43,14
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,9417.0,2
RC,750,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,2152.0,43890.0,18
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,15852.51,43890.0,14
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,31792.18,9
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,9
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,12875.0,10
RC,750,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,9417.0,2
RC,750,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,21909.0,48155.21,14
RC,750,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,10763.0,1
RC,750,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,27837.0,94000.0,14
RC,750,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,27837.0,94000.0,8
RC,750,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,25794.0,77468.25,14
RC,750,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,9417.0,2
RC,750,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,8
RC,750,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,13
RC,750,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,18279.0,43890.0,8
RC,750,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,18279.0,48155.21,14
RC,750,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,46000.0,14
RC,750,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,21210.0,94000.0,14
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,27837.0,94000.0,22
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,9417.0,2
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,25794.0,57319.96,21
RC,750,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,27837.0,94000.0,22
RC,750,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,48155.21,16
RC,750,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,25655.0,20
RC,750,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,25655.0,20
RC,750,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,25655.0,20
RC,750,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,25655.0,20
RC,750,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,750,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,4
RC,750,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,4
RC,750,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,750,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,750,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,750,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,750,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,750,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1481.0,2636.0,5
RC,750,Phenobarbital ,,,16.68,16.68,3
RC,750,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,750,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,750,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,750,Phenytoin; free ,,,15.0,15.0,3
RC,750,Phenytoin; total ,,,14.44,14.44,3
RC,750,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,6
RC,750,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,750,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,750,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,750,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,750,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,750,Phosphatidylglycerol ,,,18.01,18.01,3
RC,750,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,750,Phosphohexose isomerase ,,,11.7,11.7,3
RC,750,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,750,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,750,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,750,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,750,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1481.0,2636.0,5
RC,750,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1481.0,2636.0,5
RC,750,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1481.0,2636.0,5
RC,750,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,1481.0,2174.0,4
RC,750,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,6
RC,750,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,6
RC,750,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,750,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,750,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,750,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,750,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,750,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,5
RC,750,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,750,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,750,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,750,Pinworm examinations ,,,4.65,4.65,3
RC,750,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,5
RC,750,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1266.0,3293.0,15
RC,750,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,6
RC,750,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,5
RC,750,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,750,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,750,Plasma cryo redu path each ,,,145.8,145.8,3
RC,750,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,750,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,750,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,750,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,750,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,750,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,750,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,750,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,750,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,750,Platelets pheresis path re ,,,662.1,662.1,3
RC,750,"Platelets, each unit ",,,57.96,57.96,3
RC,750,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,750,"Platelets, irradiated ",,,428.34,428.34,3
RC,750,"Platelets, pheresis ",,,336.77,336.77,3
RC,750,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,750,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,750,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,750,Plerixafor injection ,,,31.05,31.05,3
RC,750,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,750,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,750,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,750,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,750,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,750,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,750,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,750,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,750,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,750,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,750,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,750,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,750,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,750,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,750,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,750,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,750,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,750,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,750,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,750,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,750,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,750,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,750,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,750,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,750,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,750,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,750,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,750,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,750,Posaconazole ,,,29.55,29.55,3
RC,750,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,750,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,750,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,750,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,750,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,750,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,750,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,750,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,750,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,750,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,750,Postural drainage board ,,,31.28,31.28,3
RC,750,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,750,Potassium; urine ,,,5.16,5.16,3
RC,750,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,750,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,750,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,750,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,750,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,750,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,750,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,750,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,750,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,750,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,750,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,750,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,750,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,750,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,750,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,750,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,750,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,750,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,750,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,750,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,750,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,750,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,750,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,750,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,750,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,750,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,750,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,750,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,750,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,750,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,750,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,750,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,750,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,750,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,750,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,750,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,750,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,750,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,750,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,750,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,750,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,750,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,750,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,750,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,750,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,750,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,750,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,750,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,750,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,750,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,750,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,750,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,750,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,750,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,750,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,750,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,750,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,750,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,750,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,750,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,750,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,750,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,750,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,750,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,750,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,750,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,750,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,750,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,750,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,750,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,750,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,750,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,750,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,750,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,750,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,750,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,750,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,750,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,750,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,750,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,750,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,750,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,750,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,750,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,750,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,750,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,750,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,750,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,750,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,750,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,750,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,750,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,750,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,750,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,750,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,750,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,750,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,750,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,750,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,750,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,750,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,750,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,750,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,750,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,750,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,750,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,750,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,750,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,750,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,750,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,750,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,750,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,750,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,750,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,750,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,750,Pralatrexate injection ,,,420.87,420.87,3
RC,750,Prealbumin ,,,15.9,15.9,3
RC,750,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,750,Pregnanediol ,,,23.18,23.18,3
RC,750,Pregnanetriol ,,,22.94,22.94,3
RC,750,Pregnenolone ,,,22.53,22.53,3
RC,750,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,750,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,10
RC,750,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,750,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,750,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,750,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,750,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,750,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,750,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,750,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,750,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,750,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,750,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,750,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,750,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,750,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,750,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,750,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,750,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,750,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,750,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,750,Primidone ,,,18.08,18.08,3
RC,750,"Prism, per lens ",,,17.53,17.53,3
RC,750,Procainamide hcl injection ,,,321.94,321.94,3
RC,750,Procainamide; ,,,65.4,65.4,3
RC,750,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,750,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,750,Progesterone ,,,22.74,22.74,3
RC,750,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,25253.0,43890.0,8
RC,750,Proinsulin ,,,29.09,29.09,3
RC,750,Prolactin ,,,21.12,21.12,3
RC,750,"Prostaglandin, each ",,,45.53,45.53,3
RC,750,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,750,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,750,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,750,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,750,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,750,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,750,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,750,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,750,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,750,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,750,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,750,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,750,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,750,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,750,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,750,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,750,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,750,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,750,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,750,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,750,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,750,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,750,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,750,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,750,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,750,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,750,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,750,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,750,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,750,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,750,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,750,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,750,Prothrombin time; ,,,4.68,4.68,3
RC,750,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,750,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,750,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,750,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,750,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,750,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,750,Pump for water circulating pad ,,,68.74,68.74,3
RC,750,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,750,Pyruvate ,,,15.78,15.78,3
RC,750,Pyruvate kinase ,,,10.29,10.29,3
RC,750,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,750,Quinidine ,,,15.91,15.91,3
RC,750,Quinine ,,,12.68,12.68,3
RC,750,RBC deglycerolized ,,,341.17,341.17,3
RC,750,RBC irradiated ,,,158.29,158.29,3
RC,750,RBC leukocytes reduced ,,,201.55,201.55,3
RC,750,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,750,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,750,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,750,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,750,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,750,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,750,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,750,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,750,"Rabies vaccine, id ",,,258.18,258.18,3
RC,750,"Rabies vaccine, im ",,,361.85,361.85,3
RC,750,Radiesse injection ,,,380.62,380.62,3
RC,750,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,750,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,750,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,750,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,750,Ranibizumab injection ,,,55.69,55.69,3
RC,750,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,750,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,750,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,750,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,750,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,750,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,750,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,750,Receptor assay; estrogen ,,,95.79,95.79,3
RC,750,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,750,Receptor assay; progesterone ,,,70.72,70.72,3
RC,750,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,750,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,750,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,750,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1481.0,5932.0,7
RC,750,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,2
RC,750,Red blood cells unit ,,,164.12,164.12,3
RC,750,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,750,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1481.0,2636.0,5
RC,750,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1481.0,2636.0,5
RC,750,Regulator ,,,43.99,43.99,3
RC,750,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,750,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,750,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,750,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,750,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,750,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,750,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,20
RC,750,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,3
RC,750,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,7
RC,750,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,7
RC,750,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,5
RC,750,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,4
RC,750,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,750,Removal of non-resorbable barrier ,,,10868.0,12875.0,4
RC,750,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,25655.0,20
RC,750,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,6
RC,750,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,4
RC,750,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,4
RC,750,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,4
RC,750,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,750,Remove interim implant component ,,,10868.0,12875.0,4
RC,750,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,750,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,750,Renin ,,,23.97,23.97,3
RC,750,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,13
RC,750,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,4
RC,750,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,25655.0,19
RC,750,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,750,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,750,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,750,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,750,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,750,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,6
RC,750,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,6
RC,750,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,750,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,750,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,750,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,750,Replace high roll cuff ,,,398.06,398.06,3
RC,750,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,750,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,750,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,750,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,750,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,750,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,750,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,750,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,750,Replace pretibial shell ,,,724.27,724.27,3
RC,750,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,750,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,750,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,750,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,750,Replace trilateral socket brim ,,,862.54,862.54,3
RC,750,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,750,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,750,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,750,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,750,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,750,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,750,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,750,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,750,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,750,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,750,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,750,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,750,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,750,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,750,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,750,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,750,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,750,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,750,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,750,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,750,Replacement of an implant screw ,,,10868.0,12875.0,3
RC,750,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,4
RC,750,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,750,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,750,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,750,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,750,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,750,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,750,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,750,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,750,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,750,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,750,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,750,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,750,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,750,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,750,Reptilase test ,,,10.74,10.74,3
RC,750,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,3
RC,750,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,3
RC,750,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,3
RC,750,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,3
RC,750,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,750,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,750,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,750,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,750,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,750,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,750,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,750,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,750,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,750,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,750,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,750,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,750,Reticulated platelet assay ,,,38.96,38.96,3
RC,750,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,750,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,9875.0,44979.2,20
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,18490.0,14
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,18490.0,14
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,18490.0,14
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,20
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,20
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,20
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,25655.0,20
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,28120.23,20
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,44979.2,20
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,9875.0,44979.2,20
RC,750,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,7
RC,750,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,7
RC,750,Rh ig minidose im ,,,87.2,87.2,3
RC,750,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,750,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,750,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,750,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,750,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,7799.0,22644.0,10
RC,750,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,7799.0,22644.0,10
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,7799.0,22644.0,10
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,7799.0,22644.0,10
RC,750,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9119.84,22644.0,14
RC,750,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,5694.0,7168.0,5
RC,750,Right ventricular recording ,,,2152.88,43890.0,14
RC,750,"Risperidone, long acting ",,,12.1,12.1,3
RC,750,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,750,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,750,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,2222.0,12
RC,750,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,6
RC,750,Rsv mab im 50mg ,,,476.06,476.06,3
RC,750,Rufinamide ,,,29.55,29.55,3
RC,750,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,750,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,750,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,750,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,750,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,750,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,750,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,750,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,750,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,750,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,750,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,750,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,750,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,750,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,750,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,750,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,750,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,750,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,750,Salicylate ,,,20.32,20.32,3
RC,750,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,6
RC,750,Scleral cover shell ,,,1932.53,1932.53,3
RC,750,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,750,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,750,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,750,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,750,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,750,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,750,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,750,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,750,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,25.39,25.39,3
RC,750,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,98.94,98.94,3
RC,750,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,750,Screening proctoscopy ,,,735.36,808.07,6
RC,750,"Seat attachment, walker ",,,20.26,20.26,3
RC,750,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,750,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,750,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,750,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,750,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,750,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,750,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,750,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,750,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,750,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,750,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,750,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,750,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,750,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,750,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,750,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,750,Selenium ,,,27.83,27.83,3
RC,750,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,750,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,750,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,750,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,750,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,750,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,750,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,750,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,750,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,750,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,750,Semi-precision abutment - placement ,,,10868.0,12875.0,4
RC,750,Semi-precision attachment - placement ,,,10868.0,12875.0,4
RC,750,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,750,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,750,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,750,Serotonin ,,,33.77,33.77,3
RC,750,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,750,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,750,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,750,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,750,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,750,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,750,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,750,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,750,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,750,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,750,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,750,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,750,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,750,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,750,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,750,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,750,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,750,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,750,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,750,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,750,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,750,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,750,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,750,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,750,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,750,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,750,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,750,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,750,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,750,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,750,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,750,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,750,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,750,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,750,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,750,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,750,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,750,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,750,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,750,Sialic acid ,,,14.65,14.65,3
RC,750,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,750,Silica ,,,27.48,27.48,3
RC,750,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,6
RC,750,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,6
RC,750,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,750,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,750,Sirolimus ,,,14.97,14.97,3
RC,750,Sitz bath chair ,,,192.39,192.39,3
RC,750,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,750,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,750,"Six volt battery, each ",,,321.31,321.31,3
RC,750,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,750,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,750,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,750,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,750,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,750,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,750,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,750,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,750,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,750,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,750,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,750,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,750,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,750,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,750,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,750,Slings ,,,11.97,11.97,3
RC,750,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,750,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,750,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,750,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,750,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,750,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,750,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,750,Sodium; other source ,,,5.3,5.3,3
RC,750,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,750,Sodium; urine ,,,5.52,5.52,3
RC,750,"Sole wedge, between sole ",,,66.8,66.8,3
RC,750,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,750,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,750,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,750,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,750,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,750,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,750,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,750,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,750,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,750,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,750,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,6
RC,750,Somatomedin ,,,23.17,23.17,3
RC,750,Somatostatin ,,,19.93,19.93,3
RC,750,Special back height for wheelchair ,,,43.53,43.53,3
RC,750,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,750,Special height arms for wheelchair ,,,366.41,366.41,3
RC,750,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,750,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,750,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,750,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,750,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,750,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,750,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,750,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,750,Specific gravity (except urine) ,,,3.58,3.58,3
RC,750,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,750,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,750,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,750,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,750,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,750,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,750,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,750,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,750,Sperm antibodies ,,,11.63,11.63,3
RC,750,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,750,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,750,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,750,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,750,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,750,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,750,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,750,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,750,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,750,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,750,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,750,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,750,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,750,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,750,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,750,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,750,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,750,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,750,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,750,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,750,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,750,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,750,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,750,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,750,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,750,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,750,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,750,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,750,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,750,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,750,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,750,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,750,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,750,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,750,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,750,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,750,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,750,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,750,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,750,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,750,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,750,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,750,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,750,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,750,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,750,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,750,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,750,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,750,"Spoke protectors, each ",,,61.65,61.65,3
RC,750,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,750,Stand/rack ,,,33.16,33.16,3
RC,750,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,750,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,750,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,750,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,750,Standard wheelchair ,,,31.09,31.09,3
RC,750,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,750,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,750,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,750,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,750,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,750,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,750,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,750,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,750,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,750,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,750,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,750,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,750,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,750,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,750,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,750,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,750,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,750,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,750,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,6
RC,750,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,750,Stoma cap ,,,2.17,2.17,3
RC,750,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,750,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,750,"Streptokinase, antibody ",,,13.8,13.8,3
RC,750,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,750,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,750,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,750,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,750,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,750,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,750,"Sulfate, urine ",,,5.98,5.98,3
RC,750,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,750,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,750,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,750,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,750,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,750,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,750,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,750,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,750,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,750,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,750,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,750,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,4
RC,750,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,4
RC,750,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,4
RC,750,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,4
RC,750,Surgical placement zygomatic implant ,,,10868.0,12875.0,4
RC,750,Surgical repair of root resorption - molar ,,,10868.0,12875.0,4
RC,750,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,4
RC,750,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,4
RC,750,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,6
RC,750,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,750,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,750,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,750,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,750,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,750,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,750,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,750,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,750,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,750,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,750,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,750,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,750,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,750,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,750,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,750,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,750,T cells; total count ,,,41.13,41.13,3
RC,750,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,750,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,750,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,750,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,750,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,750,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,750,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,750,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,750,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,750,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,750,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,750,Tacrolimus ,,,14.97,14.97,3
RC,750,Tacrolimus injection ,,,292.31,292.31,3
RC,750,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,750,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,750,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,750,"Tau, total (tTau) ",,,140.52,140.52,3
RC,750,Tc-99m graphite crucible ,,,358.17,358.17,3
RC,750,Tc99m bicisate ,,,845.32,845.32,3
RC,750,Tc99m succimer ,,,719.32,719.32,3
RC,750,Technetium tc-99m auto wbc ,,,1018.2,1018.2,3
RC,750,Telavancin injection ,,,8.16,8.16,3
RC,750,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,750,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,750,Temozolomide injection ,,,11.34,11.34,3
RC,750,Temporary transcutaneous pacing ,,,1169.48,3293.0,15
RC,750,Tenecteplase injection ,,,236.99,236.99,3
RC,750,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,750,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,750,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,750,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,750,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,750,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,750,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,750,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,750,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,750,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,750,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,750,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,750,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,750,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,750,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,750,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,750,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,750,Testosterone; free ,,,27.76,27.76,3
RC,750,Testosterone; total ,,,28.13,28.13,3
RC,750,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,750,Theophylline ,,,15.41,15.41,3
RC,750,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,750,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,750,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,750,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,750,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,750,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,750,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,750,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,750,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,750,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,750,Thiocyanate ,,,12.68,12.68,3
RC,750,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,750,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,750,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,750,Thrombin time; plasma ,,,6.29,6.29,3
RC,750,Thrombin time; titer ,,,7.47,7.47,3
RC,750,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,16144.0,2
RC,750,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,2636.0,2
RC,750,Thrombomodulin ,,,18.82,18.82,3
RC,750,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,750,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,750,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,750,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,750,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,750,Thyroglobulin ,,,17.51,17.51,3
RC,750,Thyroglobulin antibody ,,,17.34,17.34,3
RC,750,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,750,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,750,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,750,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,25655.0,20
RC,750,Thyrotropin injection ,,,2352.94,2352.94,3
RC,750,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,750,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,750,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,750,Thyroxine; free ,,,9.83,9.83,3
RC,750,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,750,Thyroxine; total ,,,7.49,7.49,3
RC,750,Tiagabine ,,,29.55,29.55,3
RC,750,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,750,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,750,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,750,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,750,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,750,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,750,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,750,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,750,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,750,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,750,"Tlso, corset front ",,,182.11,182.11,3
RC,750,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,750,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,750,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,750,"Tlso, full corset ",,,251.72,251.72,3
RC,750,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,750,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,750,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,750,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,750,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,750,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,750,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,750,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,750,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,750,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,750,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,750,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,750,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,750,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,750,Tobramycin ,,,17.58,17.58,3
RC,750,Tocilizumab injection ,,,5.89,5.89,3
RC,750,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,750,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,750,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,750,Topiramate ,,,12.99,12.99,3
RC,750,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,750,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,750,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,750,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,750,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,750,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,750,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,750,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,750,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,750,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,750,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,750,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,750,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,750,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,750,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,750,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,750,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,750,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,750,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,750,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,750,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,750,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,750,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,750,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,750,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,750,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,750,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,750,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,750,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,750,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,1481.0,2174.0,4
RC,750,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,10
RC,750,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,43890.0,9
RC,750,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,750,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,750,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,750,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,750,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,750,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,750,"Transfer device, any type, each ",,,61.38,61.38,3
RC,750,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,750,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,750,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,750,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,750,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,750,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,750,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,750,Transferrin ,,,13.91,13.91,3
RC,750,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,23113.0,14
RC,750,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,10868.0,28600.76,13
RC,750,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,750,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,750,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,750,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,750,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,750,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,750,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,750,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,750,Transplantation of multivisceral organs ,,,21210.0,23307.22,6
RC,750,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,6
RC,750,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,750,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,750,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,750,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,750,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,750,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,750,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,750,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,750,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,750,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,750,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,750,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,750,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,750,Triglycerides ,,,6.26,6.26,3
RC,750,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,750,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,750,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,750,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,17
RC,750,Triptorelin pamoate ,,,508.34,508.34,3
RC,750,"Troponin, qualitative ",,,11.0,11.0,3
RC,750,"Troponin, quantitative ",,,13.59,13.59,3
RC,750,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,750,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,750,"Truss, double with standard pads ",,,177.72,177.72,3
RC,750,"Truss, single with standard pad ",,,112.58,112.58,3
RC,750,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,750,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,750,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,750,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,750,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,750,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,750,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,750,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,750,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,750,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,750,"Twelve volt battery, each ",,,703.98,703.98,3
RC,750,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,7
RC,750,Tyrosine ,,,11.59,11.59,3
RC,750,"U-v lens, per lens ",,,29.55,29.55,3
RC,750,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,750,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,750,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,750,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,750,Ultrasound Composite ,,,322.14,322.14,3
RC,750,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,750,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,750,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,750,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,750,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,750,Unlisted cardiovascular service or procedure ,,,1481.0,2636.0,5
RC,750,Unlisted diagnostic gastroenterology procedure ,,,1481.0,2636.0,5
RC,750,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,750,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,750,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,750,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,750,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,750,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,750,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,750,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,750,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,750,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,750,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,750,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,750,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,750,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,750,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,750,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,750,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,750,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,750,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,750,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,750,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,750,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,750,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,750,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,750,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,750,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,750,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,750,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,750,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,750,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,750,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,750,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,750,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,750,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,750,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,750,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,750,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,750,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,750,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,750,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,750,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,750,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,750,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,750,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,750,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,750,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,750,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,750,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,750,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,750,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,750,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,750,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,750,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,750,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,12.06,12.06,3
RC,750,"Urea breath test, C-14 (isotopic); analysis ",,,102.91,102.91,3
RC,750,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,750,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,750,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,750,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,750,Uric acid; blood ,,,4.93,4.93,3
RC,750,Uric acid; other source ,,,5.54,5.54,3
RC,750,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,750,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,750,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,750,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,750,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,750,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,750,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,750,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,750,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,750,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,750,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,750,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,750,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,750,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,750,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,750,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,750,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,750,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,750,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,750,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,750,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,750,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,750,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,750,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,750,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,750,Vancomycin ,,,14.76,14.76,3
RC,750,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,750,"Vaporizer, room type ",,,41.03,41.03,3
RC,750,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,750,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,750,Variable concentration mask ,,,0.94,0.94,3
RC,750,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,750,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,3
RC,750,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,19
RC,750,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,750,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,750,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,750,Vedolizumab ,,,42.04,42.04,3
RC,750,Velaglucerase alfa ,,,428.2,428.2,3
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,750,Very long chain fatty acids ,,,21.53,21.53,3
RC,750,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,750,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,750,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,750,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,750,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,750,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,750,Viscosity ,,,12.72,12.72,3
RC,750,Vitamin A ,,,12.65,12.65,3
RC,750,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,750,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,750,Vitamin K ,,,14.95,14.95,3
RC,750,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,750,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,1
RC,750,Voice amplifier ,,,340.98,340.98,3
RC,750,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,750,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,750,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,750,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,750,Voriconazole ,,,29.55,29.55,3
RC,750,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,750,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,750,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,750,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,750,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,750,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,750,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,750,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,750,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,750,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,750,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,750,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,750,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,750,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,750,Washed red blood cells uni ,,,401.75,401.75,3
RC,750,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,750,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,750,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,750,Water pressure mattress ,,,29.3,29.3,3
RC,750,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,750,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,750,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,750,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,750,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,750,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,750,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,750,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,750,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,750,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,750,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,750,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,750,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,750,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,750,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,750,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,750,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,750,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,750,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,750,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,750,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,750,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,750,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,750,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,750,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,750,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,750,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,750,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,750,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,750,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,750,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,750,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,750,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,750,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,750,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,750,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,750,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,750,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,750,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,750,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,750,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,750,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,750,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,750,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,750,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,750,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,750,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,750,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,750,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,750,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,750,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,750,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,750,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,750,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,750,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,750,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,750,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,750,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,750,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,750,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,750,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,750,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,750,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,750,Whole blood for transfusio ,,,206.93,206.93,3
RC,750,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,750,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,750,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,750,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,750,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,750,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,11
RC,750,"Wound pouch, each ",,,21.65,21.65,3
RC,750,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,750,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,750,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,750,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,750,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,750,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,750,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,750,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,750,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,750,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,750,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,750,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,750,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,750,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,750,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,750,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,750,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,750,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,750,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,750,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,750,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,750,Zinc ,,,12.42,12.42,3
RC,750,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,750,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,750,Zonisamide ,,,14.44,14.44,3
RC,750,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,750,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,750,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,750,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,760, Specialty Services General Classification  ,,,336.0,12540.0,5
RC,760, Specialty Services General Classification  Age 21+,,,,,0
RC,760, Specialty Services General Classification  Age Under 21,,,,,0
RC,760,Hospital outpatient clinic visit for assessment and management of a patient ,,,4060.0,4060.0,1
RC,761, Specialty Services Treatment Room  ,,,336.0,4244.0,4
RC,761, Specialty Services Treatment Room  Age 21+,,,,,0
RC,761, Specialty Services Treatment Room  Age Under 21,,,,,0
RC,761,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,2187.0,3092.0,6
RC,761,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,2187.0,3092.0,6
RC,761,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,8843.0,12499.0,6
RC,761,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,2187.0,3092.0,6
RC,761,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,18151.0,25655.0,6
RC,761,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,18151.0,25655.0,6
RC,761,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,18151.0,25655.0,6
RC,761,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8843.0,12499.0,6
RC,761,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,18151.0,25655.0,6
RC,761,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,8843.0,12499.0,6
RC,761,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8843.0,12499.0,6
RC,761,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8843.0,12499.0,6
RC,761,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8843.0,12499.0,6
RC,761,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,6
RC,761,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8843.0,12499.0,6
RC,761,Colorectal cancer screening; colonoscopy on individual at high risk ,,,2700.0,3816.0,6
RC,761,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,2700.0,3816.0,6
RC,761,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,18151.0,25655.0,6
RC,761,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8843.0,12499.0,6
RC,761,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,13264.0,18747.0,6
RC,761,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8843.0,12499.0,6
RC,761,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,8843.0,12499.0,6
RC,761,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,8843.0,12499.0,6
RC,761,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,18151.0,25655.0,6
RC,761,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,8843.0,12499.0,6
RC,761,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,13264.0,18747.0,6
RC,761,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,2187.0,3092.0,6
RC,761,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,18151.0,25655.0,6
RC,761,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8843.0,25655.0,24
RC,761,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,18151.0,25655.0,6
RC,761,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,18151.0,25655.0,6
RC,761,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,18151.0,25655.0,6
RC,761,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8843.0,12499.0,6
RC,761,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,18151.0,25655.0,6
RC,761,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,8843.0,12499.0,6
RC,761,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,8843.0,12499.0,6
RC,761,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8843.0,12499.0,6
RC,761,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,18151.0,25655.0,6
RC,761,"External counterpulsation, per treatment session ",,,2187.0,3092.0,6
RC,761,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,18151.0,25655.0,6
RC,761,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,8843.0,12499.0,6
RC,761,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,18151.0,25655.0,6
RC,761,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,18151.0,25655.0,6
RC,761,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,18151.0,25655.0,6
RC,761,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,18151.0,25655.0,6
RC,761,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,2187.0,3092.0,6
RC,761,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,18151.0,25655.0,6
RC,761,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,18151.0,25655.0,6
RC,761,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,18151.0,25655.0,6
RC,761,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,18151.0,25655.0,6
RC,761,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2187.0,3092.0,6
RC,761,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,18151.0,25655.0,6
RC,761,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,8843.0,12499.0,6
RC,761,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,25655.0,6
RC,761,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25655.0,6
RC,761,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25655.0,6
RC,761,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,3816.0,6
RC,761,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,18151.0,25655.0,6
RC,761,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,18151.0,25655.0,6
RC,761,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,18151.0,25655.0,6
RC,761,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,18151.0,25655.0,6
RC,761,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,13264.0,18747.0,6
RC,761,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,13264.0,18747.0,6
RC,761,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,18151.0,25655.0,6
RC,761,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25655.0,6
RC,761,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,8843.0,12499.0,6
RC,761,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,18151.0,25655.0,6
RC,761,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,18151.0,25655.0,6
RC,761,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,18151.0,25655.0,6
RC,761,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,18151.0,25655.0,6
RC,761,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8843.0,12499.0,6
RC,761,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2187.0,3092.0,6
RC,761,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,18151.0,25655.0,6
RC,761,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2187.0,3092.0,6
RC,761,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,18151.0,25655.0,6
RC,761,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,18151.0,25655.0,6
RC,761,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,18151.0,25655.0,6
RC,761,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,18151.0,25655.0,6
RC,761,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,18151.0,25655.0,6
RC,761,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,18151.0,25655.0,6
RC,761,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,18151.0,25655.0,6
RC,761,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,18151.0,25655.0,6
RC,761,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,18151.0,25655.0,6
RC,761,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,1572.0,2222.0,6
RC,761,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,18151.0,25655.0,6
RC,761,"Trimming of dystrophic nails, any number ",,,1572.0,2222.0,6
RC,761,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,18151.0,25655.0,6
RC,762, Specialty Services Observation Hours  ,,,375.0,12540.0,39
RC,762, Specialty Services Observation Hours  Age 21+,,,,,0
RC,762, Specialty Services Observation Hours  Age Under 21,,,,,0
RC,762,Comprehensive Observation ,,,5123.47,5123.47,6
RC,769, Specialty Services Other  ,,,336.0,4244.0,4
RC,780, Telemedicine General Classification  ,,,,,0
RC,790, Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) General Classification  ,,,2861.0,43180.0,8
RC,790,17-hydroxypregnenolone ,,,24.86,24.86,3
RC,790,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,55.93,55.93,3
RC,790,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,327.0,327.0,3
RC,790,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,94.79,94.79,3
RC,790,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,85.3,85.3,3
RC,790,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,35.56,35.56,3
RC,790,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,299.56,299.56,3
RC,790,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,218.0,218.0,3
RC,790,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,850.2,850.2,3
RC,790,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,305.2,305.2,3
RC,790,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,149.33,149.33,3
RC,790,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,790,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,201.87,201.87,3
RC,790,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,51.5,51.5,3
RC,790,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,737.39,737.39,3
RC,790,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,263.67,263.67,3
RC,790,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,16144.0,16144.0,1
RC,790,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,16144.0,16144.0,1
RC,790,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,Abatacept injection ,,,49.99,49.99,3
RC,790,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,17505.62,17505.62,3
RC,790,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,13950.26,13950.26,3
RC,790,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,4408.42,4408.42,3
RC,790,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4151.25,4151.25,3
RC,790,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,5561.15,5561.15,3
RC,790,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,5134.48,5134.48,3
RC,790,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,5052.55,5052.55,3
RC,790,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,4691.86,4691.86,3
RC,790,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,3734.67,3734.67,3
RC,790,Accessing and retorquing loose implant screw - per screw ,,,10868.0,12875.0,3
RC,790,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,957.09,957.09,3
RC,790,"Accessory for speech generating device, electromyographic sensor ",,,4895.19,4895.19,3
RC,790,"Accessory to custom gradient compression garment, silicone band, any size ",,,22.74,22.74,3
RC,790,"Accessory, arm trough, with or without hand support, each ",,,108.0,108.0,3
RC,790,Acetaminophen ,,,20.32,20.32,3
RC,790,Acetylcholine receptor (AChR); binding antibody ,,,20.06,20.06,3
RC,790,Acetylcholine receptor (AChR); blocking antibody ,,,20.06,20.06,3
RC,790,Acetylcholine receptor (AChR); modulating antibody ,,,13.13,13.13,3
RC,790,Acetylcholinesterase ,,,13.4,13.4,3
RC,790,"Actin (smooth muscle) antibody (ASMA), each ",,,13.13,13.13,3
RC,790,Activated Protein C (APC) resistance assay ,,,16.7,16.7,3
RC,790,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,51.92,51.92,3
RC,790,"Acylcarnitines; qualitative, each specimen ",,,17.97,17.97,3
RC,790,"Acylcarnitines; quantitative, each specimen ",,,18.39,18.39,3
RC,790,Adalimumab ,,,42.04,42.04,3
RC,790,"Addition  to lower extremity, below knee, molded distal cushion ",,,179.68,179.68,3
RC,790,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,99.08,99.08,3
RC,790,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,137.29,137.29,3
RC,790,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,156.2,156.2,3
RC,790,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,106.24,106.24,3
RC,790,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.06,111.06,3
RC,790,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,128.4,128.4,3
RC,790,"Addition to ctlso or scoliosis orthosis, outrigger ",,,71.8,71.8,3
RC,790,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,216.81,216.81,3
RC,790,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,221.3,221.3,3
RC,790,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,322.73,322.73,3
RC,790,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,134.44,134.44,3
RC,790,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,130.47,130.47,3
RC,790,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,127.64,127.64,3
RC,790,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,58.49,58.49,3
RC,790,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1450.95,1450.95,3
RC,790,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,2034.52,2034.52,3
RC,790,"Addition to halo procedure, replacement liner/interface material ",,,290.28,290.28,3
RC,790,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,193.05,193.05,3
RC,790,"Addition to knee joint, drop lock, each ",,,117.43,117.43,3
RC,790,"Addition to knee joint, lift loop for drop lock ring ",,,142.56,142.56,3
RC,790,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,193.05,193.05,3
RC,790,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,163.58,163.58,3
RC,790,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,18.27,18.27,3
RC,790,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,188.57,188.57,3
RC,790,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,143.67,143.67,3
RC,790,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,494.02,494.02,3
RC,790,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,186.7,186.7,3
RC,790,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,195.58,195.58,3
RC,790,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,438.8,438.8,3
RC,790,"Addition to lower extremity fracture orthosis, waist belt ",,,125.39,125.39,3
RC,790,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1934.59,1934.59,3
RC,790,"Addition to lower extremity orthosis, drop lock retainer, each ",,,39.7,39.7,3
RC,790,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,101.47,101.47,3
RC,790,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,83.45,83.45,3
RC,790,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,176.01,176.01,3
RC,790,"Addition to lower extremity orthosis, knee control, condylar pad ",,,108.89,108.89,3
RC,790,"Addition to lower extremity orthosis, knee control, full kneecap ",,,122.69,122.69,3
RC,790,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,133.6,133.6,3
RC,790,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,84.77,84.77,3
RC,790,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,137.67,137.67,3
RC,790,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,114.18,114.18,3
RC,790,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,130.12,130.12,3
RC,790,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,117.68,117.68,3
RC,790,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,108.77,108.77,3
RC,790,"Addition to lower extremity orthosis, suspension sleeve ",,,146.8,146.8,3
RC,790,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,72.96,72.96,3
RC,790,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,12812.95,12812.95,3
RC,790,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,172.8,172.8,3
RC,790,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,25077.52,25077.52,3
RC,790,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,32391.75,32391.75,3
RC,790,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,11493.83,11493.83,3
RC,790,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,19577.82,19577.82,3
RC,790,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,897.14,897.14,3
RC,790,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,333.89,333.89,3
RC,790,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2447.93,2447.93,3
RC,790,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,449.65,449.65,3
RC,790,"Addition to lower extremity, abduction bar-straight ",,,205.45,205.45,3
RC,790,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,781.76,781.76,3
RC,790,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,107.13,107.13,3
RC,790,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,296.2,296.2,3
RC,790,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,159.7,159.7,3
RC,790,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,1035.23,1035.23,3
RC,790,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,2136.72,2136.72,3
RC,790,"Addition to lower extremity, above knee, leather socket ",,,852.71,852.71,3
RC,790,"Addition to lower extremity, above knee, pelvic control belt, light ",,,236.42,236.42,3
RC,790,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,322.78,322.78,3
RC,790,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,290.16,290.16,3
RC,790,"Addition to lower extremity, above knee, wood socket ",,,940.22,940.22,3
RC,790,"Addition to lower extremity, anterior swing band ",,,284.54,284.54,3
RC,790,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,767.23,767.23,3
RC,790,"Addition to lower extremity, below knee suction socket ",,,1061.49,1061.49,3
RC,790,"Addition to lower extremity, below knee, acrylic socket ",,,565.43,565.43,3
RC,790,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,949.1,949.1,3
RC,790,"Addition to lower extremity, below knee, back check (extension control) ",,,72.09,72.09,3
RC,790,"Addition to lower extremity, below knee, cuff suspension ",,,124.54,124.54,3
RC,790,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,1066.89,1066.89,3
RC,790,"Addition to lower extremity, below knee, fork strap ",,,71.83,71.83,3
RC,790,"Addition to lower extremity, below knee, leather socket ",,,673.57,673.57,3
RC,790,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,482.8,482.8,3
RC,790,"Addition to lower extremity, below knee, removable medial brim suspension ",,,397.92,397.92,3
RC,790,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,851.45,851.45,3
RC,790,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,435.61,435.61,3
RC,790,"Addition to lower extremity, below knee, total contact ",,,514.0,514.0,3
RC,790,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,143.96,143.96,3
RC,790,"Addition to lower extremity, below knee, waist belt, webbing ",,,102.47,102.47,3
RC,790,"Addition to lower extremity, below knee, wood socket ",,,1496.13,1496.13,3
RC,790,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,814.63,977.62,6
RC,790,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1774.89,1774.89,3
RC,790,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1774.89,1774.89,3
RC,790,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,109.44,109.44,3
RC,790,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.19,84.19,3
RC,790,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,2149.99,2149.99,3
RC,790,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,3202.02,3202.02,3
RC,790,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,2416.49,2416.49,3
RC,790,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,3311.63,3311.63,3
RC,790,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2276.9,2276.9,3
RC,790,"Addition to lower extremity, extended steel shank ",,,86.4,86.4,3
RC,790,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,445.06,445.06,3
RC,790,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,2233.84,2233.84,3
RC,790,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,3242.29,3242.29,3
RC,790,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,794.98,794.98,3
RC,790,"Addition to lower extremity, knee disarticulation, leather socket ",,,853.28,853.28,3
RC,790,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,521.27,521.27,3
RC,790,"Addition to lower extremity, limited ankle motion, each joint ",,,79.4,79.4,3
RC,790,"Addition to lower extremity, long tongue stirrup ",,,196.68,196.68,3
RC,790,"Addition to lower extremity, molded inner boot ",,,567.16,567.16,3
RC,790,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,281.2,281.2,3
RC,790,"Addition to lower extremity, offset knee joint, each joint ",,,137.11,137.11,3
RC,790,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,261.31,261.31,3
RC,790,"Addition to lower extremity, patten bottom ",,,367.58,367.58,3
RC,790,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,181.08,181.08,3
RC,790,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,482.14,482.14,3
RC,790,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,366.76,366.76,3
RC,790,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,512.14,512.14,3
RC,790,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,445.36,445.36,3
RC,790,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,405.58,405.58,3
RC,790,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,795.46,795.46,3
RC,790,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,343.0,343.0,3
RC,790,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,391.88,391.88,3
RC,790,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2098.5,2098.5,3
RC,790,"Addition to lower extremity, pelvic control, pelvic sling ",,,581.32,581.32,3
RC,790,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,2147.23,2147.23,3
RC,790,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,207.3,207.3,3
RC,790,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,694.19,694.19,3
RC,790,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,1189.28,1189.28,3
RC,790,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,754.93,754.93,3
RC,790,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,259.11,259.11,3
RC,790,"Addition to lower extremity, round caliper and plate attachment ",,,104.76,104.76,3
RC,790,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,485.19,485.19,3
RC,790,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,409.24,409.24,3
RC,790,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,507.24,507.24,3
RC,790,"Addition to lower extremity, socket insert, multi-durometer symes ",,,812.06,812.06,3
RC,790,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,730.21,730.21,3
RC,790,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,526.04,526.04,3
RC,790,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,101.12,101.12,3
RC,790,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,216.6,216.6,3
RC,790,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,678.75,678.75,3
RC,790,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,296.29,296.29,3
RC,790,"Addition to lower extremity, symes type, expandable wall socket ",,,690.25,690.25,3
RC,790,"Addition to lower extremity, symes type, medial opening socket ",,,340.01,340.01,3
RC,790,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,405.92,405.92,3
RC,790,"Addition to lower extremity, test socket, above knee ",,,646.85,646.85,3
RC,790,"Addition to lower extremity, test socket, below knee ",,,494.65,494.65,3
RC,790,"Addition to lower extremity, test socket, hemipelvectomy ",,,766.62,766.62,3
RC,790,"Addition to lower extremity, test socket, hip disarticulation ",,,710.34,710.34,3
RC,790,"Addition to lower extremity, test socket, knee disarticulation ",,,645.02,645.02,3
RC,790,"Addition to lower extremity, test socket, symes ",,,403.14,403.14,3
RC,790,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,296.7,296.7,3
RC,790,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,460.78,460.78,3
RC,790,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,359.74,359.74,3
RC,790,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1526.84,1526.84,3
RC,790,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,857.93,857.93,3
RC,790,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,563.3,563.3,3
RC,790,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,659.76,659.76,3
RC,790,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,1045.08,1045.08,3
RC,790,"Addition to lower extremity, thoracic control, lateral support uprights ",,,261.34,261.34,3
RC,790,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,284.88,284.88,3
RC,790,"Addition to lower extremity, thoracic control, thoracic band ",,,281.96,281.96,3
RC,790,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,188.7,188.7,3
RC,790,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,205.61,205.61,3
RC,790,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,790,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,67.26,67.26,3
RC,790,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,163.64,163.64,3
RC,790,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4903.33,4903.33,3
RC,790,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,5398.92,5398.92,3
RC,790,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5691.63,5691.63,3
RC,790,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2695.55,2695.55,3
RC,790,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,402.82,402.82,3
RC,790,"Addition to terminal device, modifier wrist unit ",,,567.86,567.86,3
RC,790,"Addition to terminal device, precision pinch device ",,,331.88,331.88,3
RC,790,"Addition to tlso, (low profile), abdominal pad ",,,98.57,98.57,3
RC,790,"Addition to tlso, (low profile), anterior asis pad ",,,101.88,101.88,3
RC,790,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,102.5,102.5,3
RC,790,"Addition to tlso, (low profile), anterior thoracic extension ",,,317.18,317.18,3
RC,790,"Addition to tlso, (low profile), lateral thoracic extension ",,,327.74,327.74,3
RC,790,"Addition to tlso, (low profile), lateral trochanteric pad ",,,98.45,98.45,3
RC,790,"Addition to tlso, (low profile), lumbar derotation pad ",,,105.02,105.02,3
RC,790,"Addition to tlso, (low profile), milwaukee type superstructure ",,,712.01,712.01,3
RC,790,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,108.06,108.06,3
RC,790,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,52.25,52.25,3
RC,790,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,749.95,749.95,3
RC,790,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,462.98,462.98,3
RC,790,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,977.62,977.62,3
RC,790,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,814.63,814.63,3
RC,790,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1774.89,1774.89,3
RC,790,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1774.89,1774.89,3
RC,790,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,496.91,496.91,3
RC,790,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,790,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,555.55,555.55,3
RC,790,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,745.13,745.13,3
RC,790,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,246.02,246.02,3
RC,790,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,767.23,767.23,3
RC,790,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,496.91,496.91,3
RC,790,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,413.56,413.56,3
RC,790,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,980.87,980.87,3
RC,790,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,499.96,499.96,3
RC,790,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3433.58,3433.58,3
RC,790,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,7407.86,7407.86,3
RC,790,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1296.82,1296.82,3
RC,790,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,5011.23,5011.23,3
RC,790,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1293.35,1293.35,3
RC,790,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,3441.86,3441.86,3
RC,790,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3768.34,3768.34,3
RC,790,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,2437.8,2437.8,3
RC,790,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,804.05,804.05,3
RC,790,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,4213.8,4213.8,3
RC,790,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,717.31,717.31,3
RC,790,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,1062.56,1062.56,3
RC,790,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2272.4,2272.4,3
RC,790,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2779.07,2779.07,3
RC,790,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4681.44,4681.44,3
RC,790,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,944.06,944.06,3
RC,790,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,227.6,227.6,3
RC,790,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1249.73,1249.73,3
RC,790,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,597.84,597.84,3
RC,790,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1384.27,1384.27,3
RC,790,"Addition, endoskeletal system, below knee, alignable system ",,,644.4,644.4,3
RC,790,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,846.57,846.57,3
RC,790,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,892.48,892.48,3
RC,790,"Addition, endoskeletal system, high activity knee control frame ",,,4541.69,4541.69,3
RC,790,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1592.46,1592.46,3
RC,790,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,458.66,458.66,3
RC,790,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1715.26,1715.26,3
RC,790,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,6362.57,6362.57,3
RC,790,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2418.51,2418.51,3
RC,790,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1249.13,1249.13,3
RC,790,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1132.22,1132.22,3
RC,790,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,3095.1,3095.1,3
RC,790,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3306.73,3306.73,3
RC,790,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,2685.61,2685.61,3
RC,790,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,758.17,758.17,3
RC,790,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,571.15,571.15,3
RC,790,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1214.33,1214.33,3
RC,790,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1760.28,1760.28,3
RC,790,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,640.53,640.53,3
RC,790,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,1279.31,1279.31,3
RC,790,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,773.02,773.02,3
RC,790,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1910.34,1910.34,3
RC,790,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,2636.0,33939.0,4
RC,790,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,723.44,723.44,3
RC,790,"Additions to lower extremity, below knee, joint covers, pair ",,,70.64,70.64,3
RC,790,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,877.25,877.25,3
RC,790,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,629.76,629.76,3
RC,790,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,764.46,764.46,3
RC,790,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,28.12,28.12,3
RC,790,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,2.86,2.86,3
RC,790,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.5,0.5,3
RC,790,Adhesive or non-adhesive; disk or foam pad ,,,2.04,2.04,3
RC,790,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.89,1.89,3
RC,790,"Adhesive remover, wipes, any type, each ",,,0.38,0.38,3
RC,790,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,8.29,8.29,3
RC,790,"Adhesive, liquid or equal, any type, per oz ",,,4.21,4.21,3
RC,790,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1481.0,5932.0,8
RC,790,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,260.75,260.75,3
RC,790,"Adjustable angle footplate, each ",,,69.92,69.92,3
RC,790,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,4693.0,23307.22,10
RC,790,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.06,9.06,3
RC,790,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,2.11,2.11,3
RC,790,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,15.25,15.25,3
RC,790,Adrenal tissue transplant to brain ,,,21210.0,23307.22,6
RC,790,Adrenocorticotropic hormone (ACTH) ,,,42.1,42.1,3
RC,790,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,85.06,94.54,6
RC,790,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,31.78,31.78,3
RC,790,"Aerosol mask, used with dme nebulizer ",,,1.67,1.67,3
RC,790,"Afamelanotide implant, 1 m ",,,3208.33,3208.33,3
RC,790,Agalsidase beta injection ,,,253.66,253.66,3
RC,790,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,7.61,7.61,3
RC,790,Air fluidized bed ,,,4606.97,4606.97,3
RC,790,Air pressure mattress ,,,25.02,25.02,3
RC,790,"Air pressure pad for mattress, standard mattress length and width ",,,23.52,23.52,3
RC,790,"Albumin (human), 25%, 20 m ",,,23.25,23.25,3
RC,790,"Albumin (human), 25%, 50ml ",,,58.12,58.12,3
RC,790,"Albumin (human), 5%, 250 m ",,,57.86,57.86,3
RC,790,"Albumin (human),5%, 50ml ",,,11.57,11.57,3
RC,790,Albumin; ischemia modified ,,,36.99,36.99,3
RC,790,"Albumin; other source, quantitative, each specimen ",,,8.48,8.48,3
RC,790,"Albumin; serum, plasma or whole blood ",,,5.4,5.4,3
RC,790,"Albumin; urine (eg, microalbumin), quantitative ",,,6.3,6.3,3
RC,790,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.79,6.79,3
RC,790,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,18.82,18.82,3
RC,790,Alcohol (ethanol); breath ,,,32.7,32.7,3
RC,790,Aldesleukin injection ,,,3639.37,3639.37,3
RC,790,Aldolase ,,,10.58,10.58,3
RC,790,Aldosterone ,,,44.42,44.42,3
RC,790,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,136.8,136.8,3
RC,790,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,11.43,11.43,3
RC,790,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,25.55,25.55,3
RC,790,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,8.2,8.2,3
RC,790,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.44,0.44,3
RC,790,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,381.0,381.0,3
RC,790,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,897.14,897.14,3
RC,790,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,835.22,835.22,3
RC,790,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,810.02,810.02,3
RC,790,"All lower extremity prostheses, flex foot system ",,,5233.33,5233.33,3
RC,790,"All lower extremity prostheses, flex-walk system or equal ",,,3996.67,3996.67,3
RC,790,"All lower extremity prostheses, foot, external keel, sach foot ",,,303.72,303.72,3
RC,790,"All lower extremity prostheses, foot, flexible keel ",,,571.78,571.78,3
RC,790,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,454.16,454.16,3
RC,790,"All lower extremity prostheses, foot, single axis ankle/foot ",,,353.73,353.73,3
RC,790,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,892.7,892.7,3
RC,790,"All lower extremity prostheses, shoulder harness ",,,248.8,248.8,3
RC,790,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,625.57,625.57,3
RC,790,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,138.55,138.55,3
RC,790,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,3044.85,3044.85,3
RC,790,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,9706.72,9706.72,3
RC,790,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,303.72,303.72,3
RC,790,All potassium hydroxide (koh) preparations ,,,6.35,6.35,3
RC,790,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,8.69,8.69,3
RC,790,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.69,5.69,3
RC,790,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,19.54,19.54,3
RC,790,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,8.52,8.52,3
RC,790,Alpha 1 proteinase inhibit ,,,5.59,5.59,3
RC,790,Alpha-1-antitrypsin; phenotype ,,,15.76,15.76,3
RC,790,Alpha-1-antitrypsin; total ,,,14.65,14.65,3
RC,790,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,70.21,70.21,3
RC,790,Alpha-fetoprotein (AFP); amniotic fluid ,,,18.53,18.53,3
RC,790,Alpha-fetoprotein (AFP); serum ,,,18.28,18.28,3
RC,790,Altuviiio per factor viii ,,,5.05,5.05,3
RC,790,Aluminum ,,,27.77,27.77,3
RC,790,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,25.97,25.97,3
RC,790,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,16.11,16.11,3
RC,790,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,337.17,337.17,3
RC,790,Amikacin ,,,16.44,16.44,3
RC,790,"Amines, vaginal fluid, qualitative ",,,6.53,6.53,3
RC,790,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,21.37,21.37,3
RC,790,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,18.39,18.39,3
RC,790,"Amino acids; multiple, qualitative, each specimen ",,,15.12,15.12,3
RC,790,"Amino acids; single, qualitative, each specimen ",,,15.46,15.46,3
RC,790,"Amino acids; single, quantitative, each specimen ",,,25.05,25.05,3
RC,790,"Aminolevulinic acid, 10% g ",,,2.01,2.01,3
RC,790,"Aminolevulinic acid, delta (ALA) ",,,17.93,17.93,3
RC,790,Amiodarone ,,,20.32,20.32,3
RC,790,Ammonia ,,,15.88,15.88,3
RC,790,Amniotic fluid scan (spectrophotometric) ,,,10.19,10.19,3
RC,790,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,181.86,181.86,3
RC,790,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,157.42,157.42,3
RC,790,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,152.21,152.21,3
RC,790,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,138.77,138.77,3
RC,790,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,135.16,135.16,3
RC,790,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,124.5,124.5,3
RC,790,Amylase ,,,7.06,7.06,3
RC,790,Androstanediol glucuronide ,,,31.42,31.42,3
RC,790,Androstenedione ,,,31.92,31.92,3
RC,790,Androsterone ,,,27.85,27.85,3
RC,790,Angiotensin I - converting enzyme (ACE) ,,,15.91,15.91,3
RC,790,Angiotensin II ,,,22.37,22.37,3
RC,790,"Animal inoculation, small animal, with observation and dissection ",,,18.36,18.36,3
RC,790,"Aniseikonic lens, single vision ",,,97.86,97.86,3
RC,790,"Aniseikonic lens, trifocal ",,,195.74,195.74,3
RC,790,"Aniseikonic, per lens, bifocal ",,,134.97,134.97,3
RC,790,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,115.15,115.15,3
RC,790,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,558.32,558.32,3
RC,790,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1456.16,1456.16,3
RC,790,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1048.15,1048.15,3
RC,790,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,983.93,983.93,3
RC,790,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,821.27,821.27,3
RC,790,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,709.45,709.45,3
RC,790,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.64,150.64,3
RC,790,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,631.23,631.23,3
RC,790,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,634.25,634.25,3
RC,790,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,395.07,395.07,3
RC,790,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,891.27,891.27,3
RC,790,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1159.47,1159.47,3
RC,790,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,694.28,694.28,3
RC,790,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,377.37,377.37,3
RC,790,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1201.78,1201.78,3
RC,790,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1201.78,1201.78,3
RC,790,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,480.55,480.55,3
RC,790,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,453.4,453.4,3
RC,790,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1130.99,1130.99,3
RC,790,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1130.99,1130.99,3
RC,790,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,936.12,936.12,3
RC,790,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,433.92,433.92,3
RC,790,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1991.98,1991.98,3
RC,790,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,588.99,588.99,3
RC,790,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,133.32,133.32,3
RC,790,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,757.78,757.78,3
RC,790,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,4361.84,4361.84,3
RC,790,"Ankle, symes, molded socket, sach foot ",,,3860.21,3860.21,3
RC,790,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,3556.53,3556.53,3
RC,790,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,149.66,149.66,3
RC,790,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,189.66,189.66,3
RC,790,Anorectal manometry ,,,1346.0,2636.0,3
RC,790,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1481.0,5932.0,7
RC,790,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,292.46,292.46,3
RC,790,Anterior chamber intraocular lens ,,,158.85,158.85,3
RC,790,Anti-inhibitor ,,,2.67,2.67,3
RC,790,Anti-mullerian hormone (AMH) ,,,42.1,42.1,3
RC,790,Anti-phosphatidylserine (phospholipid) antibody ,,,17.52,17.52,3
RC,790,"Anti-reflective coating, per lens ",,,33.95,33.95,3
RC,790,Antibody identification; leukocyte antibodies ,,,16.4,16.4,3
RC,790,Antibody identification; platelet antibodies ,,,20.02,20.02,3
RC,790,Antibody identification; platelet associated immunoglobulin assay ,,,13.58,13.58,3
RC,790,"Antibody screen, RBC, each serum technique ",,,10.65,10.65,3
RC,790,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,89.25,104.12,6
RC,790,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,352.89,355.12,6
RC,790,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,69.97,69.97,3
RC,790,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,389.74,389.74,3
RC,790,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,352.03,352.03,3
RC,790,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,69.97,69.97,3
RC,790,Antibody; Aspergillus ,,,16.4,16.4,3
RC,790,Antibody; Bartonella ,,,11.1,11.1,3
RC,790,Antibody; Blastomyces ,,,14.06,14.06,3
RC,790,Antibody; Bordetella ,,,14.38,14.38,3
RC,790,Antibody; Borrelia (relapsing fever) ,,,14.58,14.58,3
RC,790,Antibody; Borrelia burgdorferi (Lyme disease) ,,,18.56,18.56,3
RC,790,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,16.88,16.88,3
RC,790,Antibody; Brucella ,,,9.73,9.73,3
RC,790,Antibody; Campylobacter ,,,14.3,14.3,3
RC,790,Antibody; Candida ,,,13.09,13.09,3
RC,790,Antibody; Chlamydia ,,,12.88,12.88,3
RC,790,"Antibody; Chlamydia, IgM ",,,13.82,13.82,3
RC,790,Antibody; Coccidioides ,,,12.5,12.5,3
RC,790,Antibody; Coxiella burnetii (Q fever) ,,,13.21,13.21,3
RC,790,Antibody; Cryptococcus ,,,15.71,15.71,3
RC,790,Antibody; Diphtheria ,,,16.58,16.58,3
RC,790,Antibody; Ehrlichia ,,,11.1,11.1,3
RC,790,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,14.3,14.3,3
RC,790,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,16.67,16.67,3
RC,790,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,19.77,19.77,3
RC,790,Antibody; Francisella tularensis ,,,15.43,15.43,3
RC,790,Antibody; Giardia lamblia ,,,16.04,16.04,3
RC,790,Antibody; HIV-1 ,,,9.69,9.69,3
RC,790,"Antibody; HIV-1 and HIV-2, single result ",,,14.94,14.94,3
RC,790,Antibody; HIV-2 ,,,14.74,14.74,3
RC,790,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,21.09,21.09,3
RC,790,Antibody; HTLV-I ,,,9.91,9.91,3
RC,790,Antibody; HTLV-II ,,,15.26,15.26,3
RC,790,Antibody; Haemophilus influenza ,,,17.27,17.27,3
RC,790,Antibody; Helicobacter pylori ,,,18.37,18.37,3
RC,790,Antibody; JC (John Cunningham) virus ,,,18.41,18.41,3
RC,790,Antibody; Legionella ,,,16.68,16.68,3
RC,790,Antibody; Leishmania ,,,13.35,13.35,3
RC,790,Antibody; Leptospira ,,,17.66,17.66,3
RC,790,Antibody; Listeria monocytogenes ,,,14.38,14.38,3
RC,790,Antibody; Neisseria meningitidis ,,,14.38,14.38,3
RC,790,Antibody; Nocardia ,,,17.43,17.43,3
RC,790,Antibody; Plasmodium (malaria) ,,,14.38,14.38,3
RC,790,Antibody; Rickettsia ,,,21.09,21.09,3
RC,790,Antibody; Salmonella ,,,14.38,14.38,3
RC,790,Antibody; Shigella ,,,26.68,26.68,3
RC,790,Antibody; Toxoplasma ,,,15.69,15.69,3
RC,790,"Antibody; Toxoplasma, IgM ",,,15.71,15.71,3
RC,790,Antibody; Treponema pallidum ,,,14.43,14.43,3
RC,790,Antibody; Trichinella ,,,13.69,13.69,3
RC,790,Antibody; West Nile virus ,,,15.69,15.69,3
RC,790,"Antibody; West Nile virus, IgM ",,,18.37,18.37,3
RC,790,Antibody; Yersinia ,,,14.38,14.38,3
RC,790,"Antibody; Zika virus, IgM ",,,18.37,18.37,3
RC,790,Antibody; actinomyces ,,,11.1,11.1,3
RC,790,Antibody; adenovirus ,,,14.03,14.03,3
RC,790,"Antibody; bacterium, not elsewhere specified ",,,14.04,14.04,3
RC,790,Antibody; cytomegalovirus (CMV) ,,,15.69,15.69,3
RC,790,"Antibody; cytomegalovirus (CMV), IgM ",,,18.37,18.37,3
RC,790,"Antibody; encephalitis, California (La Crosse) ",,,14.38,14.38,3
RC,790,"Antibody; encephalitis, Eastern equine ",,,14.38,14.38,3
RC,790,"Antibody; encephalitis, St. Louis ",,,14.38,14.38,3
RC,790,"Antibody; encephalitis, Western equine ",,,14.38,14.38,3
RC,790,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,14.2,14.2,3
RC,790,"Antibody; fungus, not elsewhere specified ",,,13.35,13.35,3
RC,790,"Antibody; helminth, not elsewhere specified ",,,14.18,14.18,3
RC,790,"Antibody; hepatitis, delta agent ",,,18.7,18.7,3
RC,790,"Antibody; herpes simplex, non-specific type test ",,,15.69,15.69,3
RC,790,"Antibody; herpes simplex, type 1 ",,,14.38,14.38,3
RC,790,"Antibody; herpes simplex, type 2 ",,,21.09,21.09,3
RC,790,Antibody; histoplasma ,,,15.03,15.03,3
RC,790,Antibody; influenza virus ,,,14.77,14.77,3
RC,790,Antibody; lymphocytic choriomeningitis ,,,14.03,14.03,3
RC,790,Antibody; mucormycosis ,,,16.35,16.35,3
RC,790,Antibody; mumps ,,,14.22,14.22,3
RC,790,Antibody; mycoplasma ,,,14.43,14.43,3
RC,790,Antibody; parvovirus ,,,16.38,16.38,3
RC,790,"Antibody; protozoa, not elsewhere specified ",,,13.51,13.51,3
RC,790,Antibody; respiratory syncytial virus ,,,17.32,17.32,3
RC,790,Antibody; rotavirus ,,,19.87,19.87,3
RC,790,Antibody; rubella ,,,15.69,15.69,3
RC,790,Antibody; rubeola ,,,14.04,14.04,3
RC,790,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,45.92,45.92,3
RC,790,Antibody; tetanus ,,,16.13,16.13,3
RC,790,Antibody; varicella-zoster ,,,14.04,14.04,3
RC,790,"Antibody; virus, not elsewhere specified ",,,14.04,14.04,3
RC,790,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.88,5.88,3
RC,790,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.65,5.65,3
RC,790,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,6.23,6.23,3
RC,790,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,13.13,13.13,3
RC,790,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,13.13,13.13,3
RC,790,Antinuclear antibodies (ANA); ,,,13.18,13.18,3
RC,790,Antinuclear antibodies (ANA); titer ,,,12.16,12.16,3
RC,790,Antistreptolysin 0; screen ,,,6.29,6.29,3
RC,790,Antistreptolysin 0; titer ,,,7.96,7.96,3
RC,790,Antithymocyte globuln rabb ,,,1152.99,1152.99,3
RC,790,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1471.71,1471.71,3
RC,790,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,549.36,549.36,3
RC,790,"Apnea monitor, without recording feature ",,,370.19,370.19,3
RC,790,"Apolipoprotein, each ",,,22.99,22.99,3
RC,790,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,24.62,24.62,3
RC,790,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,37.79,37.79,3
RC,790,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,15.28,15.28,3
RC,790,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.96,7.96,3
RC,790,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,14.1,16.02,6
RC,790,Application of a modality to 1 or more areas; infrared ,,,7.23,7.23,3
RC,790,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,18.25,20.74,9
RC,790,Application of a modality to 1 or more areas; paraffin bath ,,,6.51,6.51,3
RC,790,"Application of a modality to 1 or more areas; traction, mechanical ",,,13.77,15.65,6
RC,790,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.76,15.64,9
RC,790,Application of a modality to 1 or more areas; ultraviolet ,,,9.06,9.06,3
RC,790,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.52,13.09,9
RC,790,Application of a modality to 1 or more areas; whirlpool ,,,15.02,17.07,9
RC,790,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,4693.0,12875.0,14
RC,790,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,4693.0,12875.0,14
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1346.0,6680.0,19
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1672.0,5932.0,6
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1672.0,6680.0,12
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1672.0,5932.0,6
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2356.0,12499.0,13
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1672.0,5932.0,6
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1672.0,6680.0,12
RC,790,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,4693.0,5932.0,4
RC,790,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,790,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,12.57,12.57,3
RC,790,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,790,Aqueous shunt ,,,855.38,855.38,3
RC,790,Argatroban nonesrd (accord ,,,1.98,1.98,3
RC,790,Aripirazole lauroxil 1 mg ,,,3.88,3.88,3
RC,790,"Arm pad, replacement only, each ",,,16.1,16.1,3
RC,790,"Arm rest, each ",,,23.28,23.28,3
RC,790,Arsenic ,,,20.68,20.68,3
RC,790,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,7839.0,25655.0,20
RC,790,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,10868.0,79675.63,13
RC,790,"Arthroereisis, subtalar ",,,21210.0,23307.22,6
RC,790,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,21210.0,23307.22,6
RC,790,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1481.0,2636.0,5
RC,790,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,8778.0,25655.0,20
RC,790,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,2354.6,2587.42,6
RC,790,Artificial cornea ,,,8791.45,8791.45,3
RC,790,"Artificial larynx, any type ",,,1037.42,1037.42,3
RC,790,"Ascorbic acid (Vitamin C), blood ",,,10.78,10.78,3
RC,790,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2668.93,2668.93,3
RC,790,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,106.1,106.1,3
RC,790,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,41.22,41.22,3
RC,790,"Atomic absorption spectroscopy, each analyte ",,,17.33,17.33,3
RC,790,"Auditory osseointegrated device abutment, any length, replacement only ",,,2046.06,2046.06,3
RC,790,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2323.76,2323.76,3
RC,790,"Auditory osseointegrated device, includes all internal and external components ",,,6418.97,6418.97,3
RC,790,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1274.32,1274.32,3
RC,790,"Auricular prosthesis, provided by a non-physician ",,,3382.07,3382.07,3
RC,790,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,916.31,916.31,3
RC,790,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressi",,,3813.39,4897.93,6
RC,790,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,3537.57,4543.67,6
RC,790,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3911.9,3911.9,3
RC,790,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,5516.38,5516.38,3
RC,790,Axicabtagene ciloleucel ca ,,,613125.98,613125.98,3
RC,790,Axillary crutch extension ,,,246.97,246.97,3
RC,790,Azathioprine parenteral ,,,277.69,277.69,3
RC,790,Aztreonam/avibactam 10 mg ,,,1.93,1.93,3
RC,790,"B cells, total count ",,,41.13,41.13,3
RC,790,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,103.54,103.54,3
RC,790,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,178.72,178.72,3
RC,790,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,157.88,157.88,3
RC,790,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,233.94,233.94,3
RC,790,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,42.85,42.85,3
RC,790,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,191.19,191.19,3
RC,790,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,328.47,328.47,3
RC,790,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,308.34,308.34,3
RC,790,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,790,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,479.6,479.6,3
RC,790,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,636.81,636.81,3
RC,790,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,510.12,510.12,3
RC,790,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1989.12,1989.12,3
RC,790,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,308.34,308.34,3
RC,790,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,201.78,201.78,3
RC,790,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,409.02,409.02,3
RC,790,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,191.19,191.19,3
RC,790,Baclofen 10 MG injection ,,,202.86,202.86,3
RC,790,"Balance lens, per lens ",,,70.71,70.71,3
RC,790,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,14.97,14.97,3
RC,790,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,9.22,9.22,3
RC,790,"Battery charger, six volt, each ",,,386.47,386.47,3
RC,790,"Battery charger, twelve volt, each ",,,955.03,955.03,3
RC,790,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,631.64,631.64,3
RC,790,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1754.65,1754.65,3
RC,790,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1152.5,1152.5,3
RC,790,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,2022.91,2022.91,3
RC,790,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5636.23,5636.23,3
RC,790,Bcg live intravesical 1mg ,,,3.68,3.68,3
RC,790,"Bed cradle, any type ",,,42.41,42.41,3
RC,790,"Bed pan, fracture, metal or plastic ",,,16.58,16.58,3
RC,790,"Bed pan, standard, metal or plastic ",,,19.04,19.04,3
RC,790,"Bed side rails, full length ",,,149.47,149.47,3
RC,790,"Bed side rails, half length ",,,14.69,14.69,3
RC,790,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,12.82,12.82,3
RC,790,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,34.79,34.79,3
RC,790,Behavioral and qualitative analysis of voice and resonance ,,,119.69,119.69,3
RC,790,Belatacept injection ,,,4.23,4.23,3
RC,790,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,11548.44,11548.44,3
RC,790,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,10498.68,10498.68,3
RC,790,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,3770.68,3770.68,3
RC,790,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3493.98,3493.98,3
RC,790,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,3344.27,3344.27,3
RC,790,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3347.04,3347.04,3
RC,790,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,3150.47,3150.47,3
RC,790,"Below knee, molded socket, shin, sach foot ",,,3793.3,3793.3,3
RC,790,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3680.23,3680.23,3
RC,790,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4635.74,4635.74,3
RC,790,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,225.2,225.2,3
RC,790,"Beta 2 Glycoprotein I antibody, each ",,,27.74,27.74,3
RC,790,Beta-2 microglobulin ,,,17.64,17.64,3
RC,790,Beta-amyloid; 1-40 (Abeta 40) ,,,140.52,140.52,3
RC,790,Beta-amyloid; 1-42 (Abeta 42) ,,,140.52,140.52,3
RC,790,Bevacizumab injection ,,,81.56,81.56,3
RC,790,Bifocal add over 3.25d ,,,62.81,62.81,3
RC,790,Bifocal seg width over 28 mm ,,,68.6,68.6,3
RC,790,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,103638.29,103638.29,3
RC,790,Bile acids; cholylglycine ,,,28.97,28.97,3
RC,790,Bile acids; total ,,,18.66,18.66,3
RC,790,"Bilirubin, total, transcutaneous ",,,5.47,5.47,3
RC,790,Bilirubin; direct ,,,5.47,5.47,3
RC,790,"Bilirubin; feces, qualitative ",,,4.97,4.97,3
RC,790,Bilirubin; total ,,,5.47,5.47,3
RC,790,Biofeedback training by any modality ,,,39.38,44.74,6
RC,790,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,31.35,35.62,6
RC,790,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,78.65,89.38,6
RC,790,"Biotinidase, each specimen ",,,18.39,18.39,3
RC,790,Bleeding time ,,,5.25,5.25,3
RC,790,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,9875.0,47387.43,14
RC,790,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,8024.0,25655.0,18
RC,790,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,21256.09,27301.4,9
RC,790,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,21538.0,35001.4,9
RC,790,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,9875.0,28723.77,14
RC,790,Blood component/product no ,,,38.5,38.5,3
RC,790,Blood count; automated differential WBC count ,,,7.05,7.05,3
RC,790,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,4.14,4.14,3
RC,790,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.74,3.74,3
RC,790,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,7.05,7.05,3
RC,790,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,8.47,8.47,3
RC,790,Blood count; hematocrit (Hct) ,,,2.58,2.58,3
RC,790,Blood count; hemoglobin (Hgb) ,,,2.58,2.58,3
RC,790,"Blood count; leukocyte (WBC), automated ",,,2.77,2.77,3
RC,790,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.7,4.7,3
RC,790,"Blood count; manual differential WBC count, buffy coat ",,,5.53,5.53,3
RC,790,"Blood count; platelet, automated ",,,4.88,4.88,3
RC,790,"Blood count; red blood cell (RBC), automated ",,,3.29,3.29,3
RC,790,"Blood count; reticulocyte, automated ",,,4.35,4.35,3
RC,790,"Blood count; reticulocyte, manual ",,,4.7,4.7,3
RC,790,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,6.07,6.07,3
RC,790,Blood count; spun microhematocrit ,,,7.63,7.63,3
RC,790,Blood glucose monitor with integrated lancing/blood sample ,,,292.89,292.89,3
RC,790,Blood glucose monitor with integrated voice synthesizer ,,,849.24,849.24,3
RC,790,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,9.07,9.07,3
RC,790,Blood split unit ,,,169.87,169.87,3
RC,790,"Blood typing, serologic; ABO ",,,3.26,3.26,3
RC,790,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,4.17,4.17,3
RC,790,"Blood typing, serologic; Rh (D) ",,,3.26,3.26,3
RC,790,"Blood typing, serologic; Rh phenotyping, complete ",,,8.45,8.45,3
RC,790,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,17.81,17.81,3
RC,790,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.92,6.92,3
RC,790,"Blood, l/r, cmv-neg ",,,165.22,165.22,3
RC,790,"Blood, l/r, froz/degly/was ",,,289.06,289.06,3
RC,790,"Blood, l/r, irradiated ",,,92.16,92.16,3
RC,790,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,17.35,17.35,3
RC,790,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.61,4.61,3
RC,790,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.77,4.77,3
RC,790,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.8,5.8,3
RC,790,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,2636.0,2636.0,1
RC,790,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m",,,21210.0,23307.22,6
RC,790,Bradykinin ,,,5.62,5.62,3
RC,790,"Brake attachment for wheeled walker, replacement, each ",,,19.03,19.03,3
RC,790,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,222.61,222.61,3
RC,790,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,169.24,169.24,3
RC,790,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,50.05,50.05,3
RC,790,"Breast prosthesis, mastectomy form ",,,303.17,303.17,3
RC,790,"Breast prosthesis, silicone or equal, with integral adhesive ",,,445.13,445.13,3
RC,790,"Breast prosthesis, silicone or equal, without integral adhesive ",,,445.13,445.13,3
RC,790,"Breast pump, manual, any type ",,,45.85,45.85,3
RC,790,"Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascu",,,21210.0,23307.22,6
RC,790,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,21210.0,23307.22,6
RC,790,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral ",,,21210.0,23307.22,6
RC,790,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1481.0,2636.0,5
RC,790,Breathing circuits ,,,11.75,11.75,3
RC,790,Brentuximab vedotin inj ,,,304.34,304.34,3
RC,790,Brexucabtagene car pos t ,,,556013.25,556013.25,3
RC,790,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,15.29,15.29,3
RC,790,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,790,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,5286.0,52843.99,13
RC,790,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8176.09,23113.0,10
RC,790,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,7799.0,25655.0,11
RC,790,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,5286.0,33776.33,16
RC,790,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7839.0,23307.22,20
RC,790,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7839.0,23307.22,20
RC,790,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7839.0,23307.22,20
RC,790,Buccal/ labial frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,790,Bundle of His recording ,,,12830.85,33939.0,9
RC,790,Buprenorph xr 100 mg or le ,,,2254.29,2254.29,3
RC,790,Buprenorphine xr over 100 ,,,2254.29,2254.29,3
RC,790,"C-1 esterase, berinert ",,,86.4,86.4,3
RC,790,C-peptide ,,,22.68,22.68,3
RC,790,C-reactive protein; ,,,5.65,5.65,3
RC,790,C-reactive protein; high sensitivity (hsCRP) ,,,14.12,14.12,3
RC,790,C1 esterase inhibitor inj ,,,72.76,72.76,3
RC,790,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,922.43,922.43,3
RC,790,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,201.87,201.87,3
RC,790,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,132.58,132.58,3
RC,790,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,225.97,225.97,3
RC,790,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,263.67,263.67,3
RC,790,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,606.69,606.69,3
RC,790,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,474.23,474.23,3
RC,790,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,543.91,543.91,3
RC,790,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,183.94,183.94,3
RC,790,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,105.97,105.97,3
RC,790,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,6054.0,6054.0,1
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,790,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,790,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,790,CT and CTA with Contrast C ,,,470.39,470.39,3
RC,790,CT and CTA without Contras ,,,242.29,242.29,3
RC,790,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,317.58,317.58,3
RC,790,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,190.54,190.54,3
RC,790,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,491.49,491.49,3
RC,790,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,190.54,190.54,3
RC,790,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,190.54,190.54,3
RC,790,Cabazitaxel injection ,,,254.77,254.77,3
RC,790,Cadmium ,,,25.77,25.77,3
RC,790,Caffeine ,,,42.04,42.04,3
RC,790,Calcitonin ,,,29.2,29.2,3
RC,790,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,87.6,87.6,3
RC,790,Calcium; after calcium infusion test ,,,14.54,14.54,3
RC,790,Calcium; ionized ,,,14.91,14.91,3
RC,790,Calcium; total ,,,5.62,5.62,3
RC,790,"Calcium; urine quantitative, timed specimen ",,,6.57,6.57,3
RC,790,Calculus; X-ray diffraction ,,,13.65,13.65,3
RC,790,Calculus; infrared spectroscopy ,,,14.06,14.06,3
RC,790,Calculus; qualitative analysis ,,,12.62,12.62,3
RC,790,"Calculus; quantitative analysis, chemical ",,,14.03,14.03,3
RC,790,"Calprotectin, fecal ",,,21.4,21.4,3
RC,790,"Cam release assembly, footrest or legrest, replacement only, each ",,,68.27,68.27,3
RC,790,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,39.15,44.48,6
RC,790,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,30.44,30.44,3
RC,790,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,74.13,74.13,3
RC,790,"Canister, disposable, used with suction pump, each ",,,11.48,11.48,3
RC,790,"Canister, non-disposable, used with suction pump, each ",,,43.67,43.67,3
RC,790,"Cannula, nasal ",,,1.13,1.13,3
RC,790,"Capecitabine, oral, 50 mg ",,,0.09,0.09,3
RC,790,Capsaicin 8% patch ,,,3.82,3.82,3
RC,790,"Carbamazepine; -10,11-epoxide ",,,20.32,20.32,3
RC,790,Carbamazepine; free ,,,14.44,14.44,3
RC,790,Carbamazepine; total ,,,15.88,15.88,3
RC,790,Carbidopa levodopa ent 100 ,,,266.5,266.5,3
RC,790,Carbohydrate deficient transferrin ,,,19.69,19.69,3
RC,790,Carbon dioxide (bicarbonate) ,,,5.32,5.32,3
RC,790,Carboxyhemoglobin; qualitative ,,,15.34,15.34,3
RC,790,Carboxyhemoglobin; quantitative ,,,13.43,13.43,3
RC,790,Carcinoembryonic antigen (CEA) ,,,20.67,20.67,3
RC,790,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,637.54,637.54,3
RC,790,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,637.54,637.54,3
RC,790,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,1481.0,2174.0,4
RC,790,Cardioassist-method of circulatory assist; external ,,,10868.0,16144.0,5
RC,790,Cardioassist-method of circulatory assist; internal ,,,3903.2,16144.0,11
RC,790,"Cardiolipin (phospholipid) antibody, each Ig class ",,,27.74,27.74,3
RC,790,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3531.6,3531.6,3
RC,790,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,551.76,2636.0,11
RC,790,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1169.48,3293.0,12
RC,790,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1169.48,3293.0,12
RC,790,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,28.54,57.72,6
RC,790,Carmustine injection ,,,261.61,261.61,3
RC,790,"Carnitine (total and free), quantitative, each specimen ",,,18.39,18.39,3
RC,790,Carotene ,,,10.05,10.05,3
RC,790,"Cast supplies, body cast adult, with or without head, fiberglass ",,,256.85,256.85,3
RC,790,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,36.89,36.89,3
RC,790,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,21.88,21.88,3
RC,790,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,18.43,18.43,3
RC,790,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,10.95,10.95,3
RC,790,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,163.85,163.85,3
RC,790,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,52.45,52.45,3
RC,790,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,81.97,81.97,3
RC,790,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,26.25,26.25,3
RC,790,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,40.55,40.55,3
RC,790,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,18.0,18.0,3
RC,790,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,20.26,20.26,3
RC,790,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.99,8.99,3
RC,790,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,20.14,20.14,3
RC,790,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,12.64,12.64,3
RC,790,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,10.12,10.12,3
RC,790,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,6.32,6.32,3
RC,790,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,105.64,105.64,3
RC,790,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,40.13,40.13,3
RC,790,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,52.82,52.82,3
RC,790,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,20.05,20.05,3
RC,790,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,93.08,93.08,3
RC,790,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,37.44,37.44,3
RC,790,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,46.58,46.58,3
RC,790,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,18.72,18.72,3
RC,790,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,47.4,47.4,3
RC,790,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,27.77,27.77,3
RC,790,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,23.74,23.74,3
RC,790,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,13.89,13.89,3
RC,790,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,27.03,27.03,3
RC,790,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,12.02,12.02,3
RC,790,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,13.55,13.55,3
RC,790,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,6.0,6.0,3
RC,790,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,16.89,16.89,3
RC,790,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,9.36,9.36,3
RC,790,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,8.46,8.46,3
RC,790,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.7,4.7,3
RC,790,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,57.2,57.2,3
RC,790,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,22.8,22.8,3
RC,790,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,28.59,28.59,3
RC,790,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,11.45,11.45,3
RC,790,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,25.93,25.93,3
RC,790,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,16.12,16.12,3
RC,790,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,12.97,12.97,3
RC,790,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,8.02,8.02,3
RC,790,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,168.98,168.98,3
RC,790,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,48.81,48.81,3
RC,790,"Caster pin lock, each ",,,46.34,46.34,3
RC,790,"Casting supplies, body cast adult, with or without head, plaster ",,,67.97,67.97,3
RC,790,Catecholamines; blood ,,,31.7,31.7,3
RC,790,Catecholamines; fractionated ,,,27.52,27.52,3
RC,790,Catecholamines; total urine ,,,29.76,29.76,3
RC,790,Cathepsin-D ,,,19.69,19.69,3
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3459.33,12875.0,10
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3459.33,12875.0,10
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3459.33,33769.0,42
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8727.36,13254.68,9
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3459.33,12875.0,40
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3459.33,12875.0,30
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8727.36,13254.68,9
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8083.42,12875.0,9
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart cat",,,18151.0,25655.0,6
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,9119.84,22644.0,9
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3459.33,22644.0,28
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9119.84,22644.0,18
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3459.33,33769.0,41
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9119.84,22644.0,9
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3459.33,33769.0,14
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3459.33,23113.0,14
RC,790,Catheterization for collection of specimen(s) (multiple patients) ,,,10.18,5932.0,7
RC,790,"Catheterization for collection of specimen, single patient, all places of service ",,,10.18,5932.0,13
RC,790,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,39.15,39.15,3
RC,790,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,5.14,5.14,3
RC,790,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,6.1,6.1,3
RC,790,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,273.35,273.35,3
RC,790,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,148.09,148.09,3
RC,790,"Cephalin floculation, blood ",,,5.4,5.4,3
RC,790,Ceruloplasmin ,,,11.71,11.71,3
RC,790,Cervical head harness/halter ,,,30.83,30.83,3
RC,790,"Cervical traction device, with inflatable air bladder(s) ",,,23.9,23.9,3
RC,790,Cervical traction equipment not requiring additional stand or frame ,,,76.78,76.78,3
RC,790,"Cervical, collar, molded to patient model ",,,856.75,856.75,3
RC,790,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,176.54,176.54,3
RC,790,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,344.08,344.08,3
RC,790,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,33.25,33.25,3
RC,790,"Cervical, flexible, thermoplastic collar, molded to patient ",,,204.35,204.35,3
RC,790,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,515.57,515.57,3
RC,790,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,667.64,667.64,3
RC,790,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,746.03,746.03,3
RC,790,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.8,81.8,3
RC,790,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,135.36,135.36,3
RC,790,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,261.57,261.57,3
RC,790,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2764.67,2764.67,3
RC,790,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2570.35,2570.35,3
RC,790,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2517.33,2517.33,3
RC,790,Cetuximab injection ,,,89.02,89.02,3
RC,790,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,5286.0,23307.22,20
RC,790,Chemiluminescent assay ,,,15.39,15.39,3
RC,790,Chemodenervation of abductor muscle(s) of vocal cord ,,,4398.02,4832.89,6
RC,790,Chemodenervation of adductor muscle(s) of vocal cord ,,,21210.0,23307.22,6
RC,790,"Chemotaxis assay, specify method ",,,17.43,17.43,3
RC,790,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,284.26,284.26,3
RC,790,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,226.13,226.13,3
RC,790,Chinstrap used with positive airway pressure device ,,,14.17,14.17,3
RC,790,Chloramphenicol ,,,13.81,13.81,3
RC,790,Chloride; blood ,,,5.01,5.01,3
RC,790,Chloride; other source ,,,5.45,5.45,3
RC,790,Chloride; urine ,,,6.27,6.27,3
RC,790,"Chlorinated hydrocarbons, screen ",,,6.55,6.55,3
RC,790,"Cholesterol, serum or whole blood, total ",,,4.74,4.74,3
RC,790,Choline c-11 ,,,2742.91,2742.91,3
RC,790,Cholinesterase; RBC ,,,10.69,10.69,3
RC,790,Cholinesterase; serum ,,,8.58,8.58,3
RC,790,"Chondroitin B sulfate, quantitative ",,,22.51,22.51,3
RC,790,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,60.92,60.92,3
RC,790,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,56.29,56.29,3
RC,790,Chromium ,,,22.11,22.11,3
RC,790,Chromogenic substrate assay ,,,12.96,12.96,3
RC,790,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,188.76,188.76,3
RC,790,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,188.76,188.76,3
RC,790,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,188.76,188.76,3
RC,790,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,205.54,205.54,3
RC,790,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,189.29,189.29,3
RC,790,"Chromosome analysis; additional cells counted, each study ",,,29.33,29.33,3
RC,790,Chromosome analysis; additional high resolution study ,,,37.53,37.53,3
RC,790,"Chromosome analysis; additional karyotypes, each study ",,,36.48,36.48,3
RC,790,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,74.77,74.77,3
RC,790,Chromosome analysis; analyze 20-25 cells ,,,157.62,157.62,3
RC,790,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,136.78,136.78,3
RC,790,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,163.82,163.82,3
RC,790,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,288.13,288.13,3
RC,790,Cidofovir injection ,,,583.95,583.95,3
RC,790,Ciltacabtagene car-pos t ,,,640895.8,640895.8,3
RC,790,Citrate ,,,30.3,30.3,3
RC,790,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,7.05,7.05,3
RC,790,"Clot lysis time, whole blood dilution ",,,22.2,22.2,3
RC,790,Clot retraction ,,,17.77,17.77,3
RC,790,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,12.92,12.92,3
RC,790,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,11.78,11.78,3
RC,790,"Clotting inhibitors or anticoagulants; protein C, activity ",,,15.09,15.09,3
RC,790,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,13.09,13.09,3
RC,790,"Clotting inhibitors or anticoagulants; protein S, free ",,,16.7,16.7,3
RC,790,"Clotting inhibitors or anticoagulants; protein S, total ",,,12.65,12.65,3
RC,790,"Clotting; factor II, prothrombin, specific ",,,14.15,14.15,3
RC,790,Clotting; factor IX (PTC or Christmas) ,,,20.75,20.75,3
RC,790,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,19.24,19.24,3
RC,790,"Clotting; factor VII (proconvertin, stable factor) ",,,19.51,19.51,3
RC,790,"Clotting; factor VIII (AHG), 1-stage ",,,19.51,19.51,3
RC,790,Clotting; factor VIII related antigen ,,,22.26,22.26,3
RC,790,"Clotting; factor VIII, VW factor antigen ",,,25.0,25.0,3
RC,790,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,25.0,25.0,3
RC,790,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,25.0,25.0,3
RC,790,Clotting; factor X (Stuart-Prower) ,,,19.51,19.51,3
RC,790,Clotting; factor XI (PTA) ,,,19.51,19.51,3
RC,790,Clotting; factor XII (Hageman) ,,,21.09,21.09,3
RC,790,Clotting; factor XIII (fibrin stabilizing) ,,,17.81,17.81,3
RC,790,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.93,9.93,3
RC,790,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,20.63,20.63,3
RC,790,Clotting; prekallikrein assay (Fletcher factor assay) ,,,20.63,20.63,3
RC,790,Clozapine ,,,21.96,21.96,3
RC,790,Clubfoot wedge ,,,66.8,66.8,3
RC,790,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,33.64,33.64,3
RC,790,Coagulation time; Lee and White ,,,5.11,5.11,3
RC,790,Coagulation time; activated ,,,4.67,4.67,3
RC,790,Coagulation time; other methods ,,,4.89,4.89,3
RC,790,"Cochlear device, includes all internal and external components ",,,25828.1,25828.1,3
RC,790,"Cochlear implant, external controller component, replacement ",,,1669.26,1669.26,3
RC,790,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,11087.81,11087.81,3
RC,790,"Cochlear implant, external speech processor, component, replacement ",,,9418.55,9418.55,3
RC,790,Cold agglutinin; screen ,,,8.8,8.8,3
RC,790,Cold agglutinin; titer ,,,8.79,8.79,3
RC,790,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,48.11,48.11,3
RC,790,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.54,3.54,3
RC,790,"Collagen cross links, any method ",,,20.36,20.36,3
RC,790,"Collagen dressing wound filler, sterile, per 6 inches ",,,9.6,9.6,3
RC,790,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,32.67,32.67,3
RC,790,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,32.67,32.67,3
RC,790,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,295.63,295.63,3
RC,790,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,2587.88,16144.0,11
RC,790,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,12.36,12.36,3
RC,790,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1481.0,2174.0,4
RC,790,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1346.0,6680.0,22
RC,790,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1346.0,6680.0,22
RC,790,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,19.67,19.67,3
RC,790,Colorectal cancer screening; flexible sigmoidoscopy ,,,890.09,5932.0,16
RC,790,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,4807.0,25655.0,20
RC,790,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,26.26,26.26,3
RC,790,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,160.38,160.38,3
RC,790,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2604.2,2604.2,3
RC,790,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,631.63,631.63,3
RC,790,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,9
RC,790,"Commode chair with integrated seat lift mechanism, electric, any type ",,,217.77,217.77,3
RC,790,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,40.99,40.99,3
RC,790,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,151.82,151.82,3
RC,790,"Commode chair, mobile or stationary, with detachable arms ",,,16.07,16.07,3
RC,790,"Commode chair, mobile or stationary, with fixed arms ",,,71.37,71.37,3
RC,790,"Commode seat, wheelchair ",,,27.84,27.84,3
RC,790,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,34.99,34.99,3
RC,790,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,332.24,332.24,3
RC,790,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,254.05,254.05,3
RC,790,"Complement fixation tests, each antigen ",,,10.91,10.91,3
RC,790,"Complement; antigen, each component ",,,13.08,13.08,3
RC,790,"Complement; functional activity, each component ",,,13.08,13.08,3
RC,790,Complement; total hemolytic (CH50) ,,,22.15,22.15,3
RC,790,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,7.05,7.05,3
RC,790,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,8.47,8.47,3
RC,790,"Complete cycle, gamete intrafallopian transfer (gift), case rate ",,,21210.0,23307.22,6
RC,790,"Complete cycle, zygote intrafallopian transfer (zift), case rate ",,,21210.0,23307.22,6
RC,790,"Complete in vitro fertilization cycle, not otherwise specified, case rate ",,,21210.0,23307.22,6
RC,790,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,229.27,229.27,3
RC,790,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,5.23,5.23,3
RC,790,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,9.66,9.66,3
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,18288.0,33939.0,7
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,18288.0,33939.0,7
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,12830.85,33939.0,9
RC,790,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,7668.0,57218.76,20
RC,790,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,25253.0,33939.0,3
RC,790,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,7668.0,57218.76,10
RC,790,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,11.51,11.51,3
RC,790,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,57.31,57.31,3
RC,790,"Concentration (any type), for infectious agents ",,,7.28,7.28,3
RC,790,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.19,7.19,3
RC,790,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.87,0.87,3
RC,790,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.44,0.44,3
RC,790,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.25,0.25,3
RC,790,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,1.06,1.06,3
RC,790,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.6,0.6,3
RC,790,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.49,0.49,3
RC,790,"Congo red, blood ",,,5.4,5.4,3
RC,790,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,11.41,11.41,3
RC,790,"Contact lens, gas permeable, bifocal, per lens ",,,335.16,335.16,3
RC,790,"Contact lens, gas permeable, extended wear, per lens ",,,281.39,281.39,3
RC,790,"Contact lens, gas permeable, spherical, per lens ",,,195.77,195.77,3
RC,790,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,253.89,253.89,3
RC,790,"Contact lens, hydrophilic, bifocal, per lens ",,,314.39,314.39,3
RC,790,"Contact lens, hydrophilic, extended wear, per lens ",,,245.61,245.61,3
RC,790,"Contact lens, hydrophilic, spherical, per lens ",,,168.47,168.47,3
RC,790,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,196.33,196.33,3
RC,790,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,257.63,257.63,3
RC,790,"Contact lens, pmma, bifocal, per lens ",,,203.52,203.52,3
RC,790,"Contact lens, pmma, color vision deficiency, per lens ",,,187.45,187.45,3
RC,790,"Contact lens, pmma, spherical, per lens ",,,135.59,135.59,3
RC,790,"Contact lens, pmma, toric or prism ballast, per lens ",,,165.21,165.21,3
RC,790,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,379.36,379.36,3
RC,790,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,730.56,730.56,3
RC,790,"Continent device, stoma absorptive cover for continent stoma ",,,1.0,1.0,3
RC,790,Continent device; catheter for continent stoma ,,,18.49,18.49,3
RC,790,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1481.0,2636.0,5
RC,790,Continuous passive motion exercise device for use on knee only ,,,35.34,35.34,3
RC,790,Continuous positive airway pressure (cpap) device ,,,55.49,55.49,3
RC,790,Controlled dose inhalation drug delivery system ,,,267.8,267.8,3
RC,790,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,3459.33,12875.0,20
RC,790,Copper ,,,13.53,13.53,3
RC,790,Copper cu 64 dotatate diag ,,,647.77,647.77,3
RC,790,"Cord blood harvesting for transplantation, allogeneic ",,,21210.0,23307.22,6
RC,790,"Cord blood-derived stem-cell transplantation, allogeneic ",,,21210.0,23307.22,6
RC,790,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1144.5,1144.5,3
RC,790,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.19,19.19,3
RC,790,Corticosterone ,,,24.55,24.55,3
RC,790,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,873.77,873.77,3
RC,790,Cortisol; free ,,,18.21,18.21,3
RC,790,Cortisol; total ,,,17.77,17.77,3
RC,790,"Cough stimulating device, alternating positive and negative airway pressure ",,,668.02,668.02,3
RC,790,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.14,0.14,3
RC,790,Covid-19 Vaccine Administr ,,,44.5,44.5,3
RC,790,Covid-19 convalescent plas ,,,741.23,741.23,3
RC,790,Cr51 chromate ,,,2090.58,2090.58,3
RC,790,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1884.87,1884.87,3
RC,790,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,384.07,384.07,3
RC,790,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,44.77,44.77,3
RC,790,"Cranial electrotherapy stimulation (ces) system, any type ",,,54.33,54.33,3
RC,790,Creatine ,,,5.06,5.06,3
RC,790,"Creatine kinase (CK), (CPK); MB fraction only ",,,12.59,12.59,3
RC,790,"Creatine kinase (CK), (CPK); isoenzymes ",,,14.6,14.6,3
RC,790,"Creatine kinase (CK), (CPK); isoforms ",,,12.94,12.94,3
RC,790,"Creatine kinase (CK), (CPK); total ",,,7.1,7.1,3
RC,790,Creatinine; blood ,,,5.58,5.58,3
RC,790,Creatinine; clearance ,,,10.31,10.31,3
RC,790,Creatinine; other source ,,,5.65,5.65,3
RC,790,Crotalidae Poly Immune Fab ,,,2078.53,2078.53,3
RC,790,"Crutch attachment, walker, each ",,,68.7,68.7,3
RC,790,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,70.31,70.31,3
RC,790,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,28.44,28.44,3
RC,790,"Crutch, underarm, articulating, spring assisted, each ",,,29.92,29.92,3
RC,790,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,36.65,36.65,3
RC,790,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,63.96,63.96,3
RC,790,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.49,57.49,3
RC,790,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,110.87,110.87,3
RC,790,Cryo fib comp path redu ea ,,,598.72,598.72,3
RC,790,Cryofibrinogen ,,,15.41,15.41,3
RC,790,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,7.05,7.05,3
RC,790,Cryoprecipitate each unit ,,,78.43,78.43,3
RC,790,Cryoprecipitatereducedplas ,,,143.93,143.93,3
RC,790,"Cryopreservation, freezing and storage of cells, each cell line ",,,14.25,14.25,3
RC,790,"Cryopreserved embryo transfer, case rate ",,,21210.0,23307.22,6
RC,790,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.99,7.99,3
RC,790,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2768.94,2768.94,3
RC,790,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,790,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.81,8.81,3
RC,790,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,9.4,9.4,3
RC,790,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,10.32,10.32,3
RC,790,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,11.25,11.25,3
RC,790,"Culture, bacterial; quantitative colony count, urine ",,,8.8,8.8,3
RC,790,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.78,10.78,3
RC,790,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,10.53,10.53,3
RC,790,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,10.29,10.29,3
RC,790,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,10.29,10.29,3
RC,790,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.82,8.82,3
RC,790,"Culture, chlamydia, any source ",,,21.36,21.36,3
RC,790,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,22.3,22.3,3
RC,790,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,9.17,9.17,3
RC,790,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,8.4,8.4,3
RC,790,"Culture, fungi, definitive identification, each organism; mold ",,,11.25,11.25,3
RC,790,"Culture, fungi, definitive identification, each organism; yeast ",,,11.25,11.25,3
RC,790,"Culture, mycobacterial, definitive identification, each isolate ",,,15.92,15.92,3
RC,790,"Culture, mycoplasma, any source ",,,16.78,16.78,3
RC,790,"Culture, presumptive, pathogenic organisms, screening only; ",,,7.23,7.23,3
RC,790,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,29.51,29.51,3
RC,790,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,11.77,11.77,3
RC,790,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,13.65,13.65,3
RC,790,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,38.25,38.25,3
RC,790,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,21.85,21.85,3
RC,790,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,125.74,125.74,3
RC,790,"Culture, typing; identification by pulse field gel typing ",,,8.44,8.44,3
RC,790,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,237.69,237.69,3
RC,790,"Culture, typing; immunofluorescent method, each antiserum ",,,6.07,6.07,3
RC,790,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.65,5.65,3
RC,790,"Culture, typing; other methods ",,,8.44,8.44,3
RC,790,"Cushion for use on nasal mask interface, replacement only, each ",,,25.54,25.54,3
RC,790,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4943.42,4943.42,3
RC,790,"Custom shaped protective cover, above knee ",,,1277.92,1277.92,3
RC,790,"Custom shaped protective cover, below knee ",,,715.23,715.23,3
RC,790,"Custom shaped protective cover, hip disarticulation ",,,1651.58,1651.58,3
RC,790,"Custom shaped protective cover, knee disarticulation ",,,1252.74,1252.74,3
RC,790,Cyanide ,,,21.15,21.15,3
RC,790,Cyanocobalamin (Vitamin B-12); ,,,16.44,16.44,3
RC,790,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,15.61,15.61,3
RC,790,"Cyclic citrullinated peptide (CCP), antibody ",,,14.12,14.12,3
RC,790,Cyclosporine ,,,19.67,19.67,3
RC,790,Cystatin C ,,,20.19,20.19,3
RC,790,"Cystine and homocystine, urine, qualitative ",,,10.41,10.41,3
RC,790,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,5286.0,23307.22,20
RC,790,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,5286.0,23307.22,20
RC,790,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,4807.0,12499.0,11
RC,790,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,4036.0,19415.0,22
RC,790,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,8024.0,25655.0,22
RC,790,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,4807.0,12499.0,16
RC,790,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5146.0,19415.0,7
RC,790,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) ",,,21210.0,23307.22,6
RC,790,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1305.75,1305.75,3
RC,790,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1264.4,1264.4,3
RC,790,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,981.0,981.0,3
RC,790,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1377.25,1377.25,3
RC,790,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,2030.91,2030.91,3
RC,790,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1264.4,1264.4,3
RC,790,Cytomegalovirus imm IV /vi ,,,2026.11,2026.11,3
RC,790,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,55.11,55.11,3
RC,790,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,20.21,20.21,3
RC,790,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,22.08,22.08,3
RC,790,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,27.65,27.65,3
RC,790,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,25.11,25.11,3
RC,790,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,29.0,29.0,3
RC,790,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,20.21,20.21,3
RC,790,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,20.21,20.21,3
RC,790,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,20.21,20.21,3
RC,790,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,46.02,46.02,3
RC,790,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,15.97,15.97,3
RC,790,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,20.21,20.21,3
RC,790,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,30.13,30.13,3
RC,790,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,26.19,26.19,3
RC,790,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,304.11,304.11,3
RC,790,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,790,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,790,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,190.54,190.54,3
RC,790,"Daratumumab, hyaluronidase ",,,62.19,62.19,3
RC,790,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,11.71,11.71,3
RC,790,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,12.32,12.32,3
RC,790,"Datopotamab deruxtecan, 1 ",,,57.22,57.22,3
RC,790,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,51.79,5932.0,24
RC,790,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1481.0,5932.0,8
RC,790,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,5286.0,23307.22,20
RC,790,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar ",,,21210.0,23307.22,6
RC,790,Decoronation or submergence of an erupted tooth ,,,10868.0,12875.0,4
RC,790,Dehydroepiandrosterone (DHEA) ,,,27.54,27.54,3
RC,790,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,24.23,24.23,3
RC,790,"Deoxycortisol, 11- ",,,31.92,31.92,3
RC,790,"Deoxyribonuclease, antibody ",,,14.44,14.44,3
RC,790,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,14.98,14.98,3
RC,790,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,13.2,13.2,3
RC,790,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2356.0,4723.0,2
RC,790,"Desoxycorticosterone, 11- ",,,33.77,33.77,3
RC,790,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1346.0,5932.0,22
RC,790,"Detachable, adjustable height armrest, base, replacement only, each ",,,64.31,64.31,3
RC,790,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,36.35,36.35,3
RC,790,"Detachable, non-adjustable height armrest, replacement only, each ",,,18.85,18.85,3
RC,790,Dexametha opth insert 0.1 ,,,98.12,98.12,3
RC,790,Dexamethasone intra implan ,,,221.99,221.99,3
RC,790,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,176.45,176.45,3
RC,790,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,17.47,17.47,3
RC,790,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,60.78,60.78,3
RC,790,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,13.78,13.78,3
RC,790,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,7839.0,25655.0,20
RC,790,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3459.33,25655.0,80
RC,790,Dibucaine number ,,,13.35,13.35,3
RC,790,Digoxin; free ,,,14.48,14.48,3
RC,790,Digoxin; total ,,,14.48,14.48,3
RC,790,Dihydrotestosterone (DHT) ,,,31.92,31.92,3
RC,790,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) ",,,5826.36,6402.46,6
RC,790,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace ",,,27633.0,30365.32,6
RC,790,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.65,0.65,3
RC,790,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,10.15,10.15,3
RC,790,"Donor lobectomy (lung) for transplantation, living donor ",,,21210.0,23307.22,6
RC,790,"Drive belt for power wheelchair, replacement only ",,,31.69,31.69,3
RC,790,"Driver for use with pneumatic ventricular assist device, replacement only ",,,121526.28,121526.28,3
RC,790,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,999.62,999.62,3
RC,790,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,124.73,269.14,12
RC,790,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,67.73,67.73,3
RC,790,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,67.73,67.73,3
RC,790,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,13.73,13.73,3
RC,790,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,18.68,18.68,3
RC,790,Dry pressure mattress ,,,207.18,207.18,3
RC,790,"Dry pressure pad for mattress, standard mattress length and width ",,,41.77,41.77,3
RC,790,Duodenal motility (manometric) study ,,,1481.0,5932.0,10
RC,790,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,790,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,167.32,167.32,3
RC,790,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,790,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,165.04,165.04,3
RC,790,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,165.04,165.04,3
RC,790,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,165.04,165.04,3
RC,790,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic adjustable finger extension only device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,507.67,507.67,3
RC,790,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,167.32,167.32,3
RC,790,"Dynamic adjustable knee extension only device, includes soft interface material ",,,167.32,167.32,3
RC,790,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,167.32,167.32,3
RC,790,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,594.51,594.51,3
RC,790,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic adjustable toe extension only device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,166.84,166.84,3
RC,790,"Dynamic knee, extension/flexion device with active resistance control ",,,133.58,133.58,3
RC,790,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,353.79,353.79,3
RC,790,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,191.19,191.19,3
RC,790,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,308.34,308.34,3
RC,790,Ecallantide injection ,,,649.58,649.58,3
RC,790,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,12.57,12.57,3
RC,790,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,25.04,25.04,3
RC,790,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,14843.08,14843.08,3
RC,790,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,13121.09,13121.09,3
RC,790,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4859.41,4859.41,3
RC,790,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4114.16,4114.16,3
RC,790,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,4251.1,4251.1,3
RC,790,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,612.92,612.92,3
RC,790,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,612.92,612.92,3
RC,790,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1746.58,1746.58,3
RC,790,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1360.19,1360.19,3
RC,790,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,929.93,929.93,3
RC,790,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,182.08,182.08,3
RC,790,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,131.81,131.81,3
RC,790,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,353.93,353.93,3
RC,790,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1664.15,1664.15,3
RC,790,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1571.53,1571.53,3
RC,790,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,932.33,932.33,3
RC,790,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,858.06,858.06,3
RC,790,"Electric hand, switch or myoelectric controlled, adult ",,,6122.48,6122.48,3
RC,790,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,32238.71,32238.71,3
RC,790,"Electric hand, switch or myoelectric, controlled, pediatric ",,,9636.13,9636.13,3
RC,790,"Electric heat pad, moist ",,,110.05,110.05,3
RC,790,"Electric heat pad, standard ",,,43.12,43.12,3
RC,790,"Electric hook, switch or myoelectric controlled, adult ",,,6246.87,6246.87,3
RC,790,"Electric hook, switch or myoelectric controlled, pediatric ",,,2875.83,2875.83,3
RC,790,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,12.15,13.81,9
RC,790,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,17859.32,17859.32,3
RC,790,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,11.2,12.73,9
RC,790,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,14.0,14.0,3
RC,790,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,14.0,14.0,3
RC,790,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.91,6.91,3
RC,790,"Electrodes, (e.g., apnea monitor), per pair ",,,18.87,18.87,3
RC,790,"Electrogastrography, diagnostic, transcutaneous; ",,,1481.0,2636.0,5
RC,790,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1481.0,2636.0,5
RC,790,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.64,7.64,3
RC,790,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.59,11.59,3
RC,790,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses ",,,21210.0,23307.22,6
RC,790,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,79.03,305.28,12
RC,790,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,13441.23,13441.23,3
RC,790,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,10564.39,10564.39,3
RC,790,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,16207.1,16207.1,3
RC,790,"Electronic elbow, child, variety village or equal, switch controlled ",,,15247.03,15247.03,3
RC,790,"Electronic elbow, hosmer or equal, switch controlled ",,,10432.59,10432.59,3
RC,790,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,54507.85,54507.85,3
RC,790,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,54064.87,54064.87,3
RC,790,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,40.46,40.46,3
RC,790,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,769.95,769.95,3
RC,790,"Electronic wrist rotator, any type ",,,5123.85,5123.85,3
RC,790,"Electrophoretic technique, not elsewhere specified ",,,67.04,67.04,3
RC,790,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1481.0,2636.0,8
RC,790,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2270.0,5047.0,4
RC,790,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1481.0,2636.0,5
RC,790,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,25253.0,33939.0,3
RC,790,"Elevating footrests, articulating (telescoping), each ",,,110.68,110.68,3
RC,790,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.84,13.84,3
RC,790,"Elevating legrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,790,"Elevating legrest, upper hanger bracket, replacement only, each ",,,93.01,93.01,3
RC,790,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,289.46,289.46,3
RC,790,"Emergency power source for use with electric ventricular assist device, replacement only ",,,948.76,948.76,3
RC,790,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1491.48,1491.48,3
RC,790,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,120.19,120.19,3
RC,790,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,342.07,342.07,3
RC,790,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,75.12,75.12,3
RC,790,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1481.0,2636.0,8
RC,790,Endomyocardial biopsy ,,,5381.0,13468.42,10
RC,790,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,13.18,13.18,3
RC,790,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,7839.0,27461.73,13
RC,790,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,20
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,7839.0,25655.0,20
RC,790,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7839.0,38788.38,19
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,7839.0,25655.0,20
RC,790,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,4807.0,12499.0,20
RC,790,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,4693.0,5932.0,4
RC,790,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,23214.82,23214.82,3
RC,790,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,7637.8,7637.8,3
RC,790,Enlargement of ocular prosthesis ,,,511.89,511.89,3
RC,790,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,24.17,24.17,3
RC,790,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,47.99,47.99,3
RC,790,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2668.93,2668.93,3
RC,790,Eptifibatide injection ,,,4.22,4.22,3
RC,790,Erythropoietin ,,,20.48,20.48,3
RC,790,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1481.0,2636.0,5
RC,790,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1481.0,2636.0,5
RC,790,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1481.0,2636.0,5
RC,790,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1481.0,5932.0,9
RC,790,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1481.0,2636.0,5
RC,790,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,4693.0,12499.0,14
RC,790,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,25253.0,33939.0,3
RC,790,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,25253.0,33939.0,3
RC,790,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1481.0,2636.0,5
RC,790,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1672.0,2636.0,5
RC,790,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1481.0,2636.0,5
RC,790,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,30.45,30.45,3
RC,790,Estradiol; total ,,,30.45,30.45,3
RC,790,Estriol ,,,26.36,26.36,3
RC,790,Estrogens; fractionated ,,,35.21,35.21,3
RC,790,Estrogens; total ,,,23.65,23.65,3
RC,790,Estrone ,,,27.2,27.2,3
RC,790,Ethosuximide ,,,17.81,17.81,3
RC,790,Ethylene glycol ,,,16.24,16.24,3
RC,790,Etiocholanolone ,,,28.6,28.6,3
RC,790,Etoposide oral 50 mg ,,,95.98,95.98,3
RC,790,Euflexxa inj per dose ,,,106.97,106.97,3
RC,790,Euglobulin lysis ,,,9.17,9.17,3
RC,790,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,52.19,52.19,3
RC,790,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,133.55,133.55,3
RC,790,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,77.72,77.72,3
RC,790,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1481.0,2636.0,4
RC,790,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,106.94,106.94,3
RC,790,Evaluation of oral and pharyngeal swallowing function ,,,92.67,92.67,3
RC,790,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,145.69,145.69,3
RC,790,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,122.18,122.18,3
RC,790,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,247.62,247.62,3
RC,790,Everolimus ,,,14.97,14.97,3
RC,790,Exc biopsy of saliv glands ,,,10868.0,12875.0,3
RC,790,Excavation of a tooth resulting in the determination of non-restorability ,,,10868.0,12875.0,3
RC,790,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,3459.33,12875.0,20
RC,790,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,380.91,5932.0,10
RC,790,Excimer laser treatment for psoriasis; over 500 sq cm ,,,696.53,5932.0,10
RC,790,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,380.91,5932.0,10
RC,790,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,7839.0,25655.0,20
RC,790,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,15.6,15.6,3
RC,790,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,348.8,348.8,3
RC,790,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5210.2,5210.2,3
RC,790,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,13080.0,13080.0,3
RC,790,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.94,4.94,3
RC,790,"External ambulatory infusion pump, insulin ",,,607.95,607.95,3
RC,790,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,80.87,80.87,3
RC,790,"External counterpulsation, per treatment session ",,,2187.0,3092.0,6
RC,790,External defibrillator with integrated electrocardiogram analysis ,,,472.3,472.3,3
RC,790,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,264.0,264.0,3
RC,790,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,22.46,22.46,3
RC,790,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2327.55,2327.55,3
RC,790,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,254.84,254.84,3
RC,790,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,488.68,488.68,3
RC,790,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,60.26,60.26,3
RC,790,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,98.8,98.8,3
RC,790,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,413.33,413.33,3
RC,790,Extra heavy duty wheelchair ,,,113.53,113.53,3
RC,790,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,21210.0,23307.22,6
RC,790,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,19.54,19.54,3
RC,790,Extremity belt/harness ,,,58.52,58.52,3
RC,790,"Eye pad, sterile, each ",,,0.58,0.58,3
RC,790,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,71.6,71.6,3
RC,790,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,79.97,79.97,3
RC,790,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,654.0,654.0,3
RC,790,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,39.92,39.92,3
RC,790,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,180.41,180.41,3
RC,790,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,90.47,90.47,3
RC,790,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,48.93,48.93,3
RC,790,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,62.17,62.17,3
RC,790,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,790,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,149.33,149.33,3
RC,790,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,299.56,299.56,3
RC,790,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,201.87,201.87,3
RC,790,Fabric wrapping of abdominal aneurysm ,,,21210.0,23307.22,6
RC,790,Fabrication and fitting of ocular conformer ,,,502.72,502.72,3
RC,790,"Face mask interface, replacement for full face mask, each ",,,45.45,45.45,3
RC,790,Face tent ,,,2.8,2.8,3
RC,790,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,29.82,29.82,3
RC,790,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,123.64,123.64,3
RC,790,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,7069.89,25655.0,16
RC,790,Factor IX non-recombinant ,,,1.53,1.53,3
RC,790,Factor inhibitor test ,,,14.03,14.03,3
RC,790,Factor ix complex ,,,1.9,1.9,3
RC,790,Factor ix idelvion inj ,,,6.0,6.0,3
RC,790,Factor ix recomb gly rebin ,,,5.09,5.09,3
RC,790,Factor ix recombinant nos ,,,2.03,2.03,3
RC,790,Factor viia recomb sevenfa ,,,2.39,2.39,3
RC,790,Factor viii ,,,1.36,1.36,3
RC,790,Factor viii recombinant ,,,1.72,1.72,3
RC,790,"Fat differential, feces, quantitative ",,,25.04,25.04,3
RC,790,"Fat or lipids, feces; qualitative ",,,5.56,5.56,3
RC,790,"Fat or lipids, feces; quantitative ",,,18.31,18.31,3
RC,790,"Fat stain, feces, urine, or respiratory secretions ",,,6.41,6.41,3
RC,790,"Fatty acids, nonesterified ",,,20.46,20.46,3
RC,790,FecalÂmicrobiota jslm 1 m ,,,71.51,71.51,3
RC,790,Felbamate ,,,20.32,20.32,3
RC,790,"Female external urinary collection cup, with or without ring attachment, per day ",,,9.9,9.9,3
RC,790,"Female external urinary collection device; meatal cup, each ",,,69.29,69.29,3
RC,790,"Female external urinary collection device; pouch, each ",,,13.78,13.78,3
RC,790,Fern test ,,,10.62,10.62,3
RC,790,Ferritin ,,,14.86,14.86,3
RC,790,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,866.55,866.55,3
RC,790,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,827.36,827.36,3
RC,790,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,827.36,827.36,3
RC,790,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,75.78,75.78,3
RC,790,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,167.32,167.32,3
RC,790,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,60.54,60.54,3
RC,790,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1621.23,1621.23,3
RC,790,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,59.19,59.19,3
RC,790,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,70.21,70.21,3
RC,790,Fetal lung maturity assessment; fluorescence polarization ,,,20.61,20.61,3
RC,790,Fetal lung maturity assessment; foam stability test ,,,20.61,20.61,3
RC,790,Fetal lung maturity assessment; lamellar body density ,,,21.06,21.06,3
RC,790,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,23.97,23.97,3
RC,790,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome ,,,21210.0,23307.22,6
RC,790,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,10.59,10.59,3
RC,790,"Fibrin degradation products, D-dimer; quantitative ",,,11.1,11.1,3
RC,790,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,11.1,11.1,3
RC,790,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,7.51,7.51,3
RC,790,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,87.7,87.7,3
RC,790,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,13.55,13.55,3
RC,790,Fibrinogen; activity ,,,10.59,10.59,3
RC,790,Fibrinogen; antigen ,,,15.76,15.76,3
RC,790,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,16.87,16.87,3
RC,790,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,8.4,8.4,3
RC,790,Fibrinolytic factors and inhibitors; plasmin ,,,8.4,8.4,3
RC,790,Fibrinolytic factors and inhibitors; plasminogen activator ,,,18.74,18.74,3
RC,790,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,11.1,11.1,3
RC,790,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,7.12,7.12,3
RC,790,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,1.06,1.06,3
RC,790,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,2.19,2.19,3
RC,790,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.88,3.88,3
RC,790,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,17.63,17.63,3
RC,790,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.7,0.7,3
RC,790,"Filter, disposable, used with positive airway pressure device ",,,2.87,2.87,3
RC,790,"Filter, non disposable, used with positive airway pressure device ",,,8.37,8.37,3
RC,790,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,4.16,4.16,3
RC,790,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,41.2,41.2,3
RC,790,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,270.82,270.82,3
RC,790,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,65.86,65.86,3
RC,790,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,42.88,42.88,3
RC,790,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,261.5,261.5,3
RC,790,"Finger splint, static ",,,2.92,2.92,3
RC,790,"Fixed, adjustable height armrest, pair ",,,62.21,62.21,3
RC,790,Flebogamma injection ,,,98.91,98.91,3
RC,790,Flecainide ,,,20.32,20.32,3
RC,790,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,248.9,248.9,3
RC,790,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,217.18,217.18,3
RC,790,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,164.92,164.92,3
RC,790,Florbetaben f18 diagnostic ,,,1727.29,1727.29,3
RC,790,Flotufolastat f18 diag 1 m ,,,793.04,793.04,3
RC,790,Floxuridine injection ,,,4792.18,4792.18,3
RC,790,Fluciclovine f-18 ,,,351.27,351.27,3
RC,790,Fluocinol acet intravit im ,,,562.88,562.88,3
RC,790,Fluocinolone acetonide imp ,,,369.3,369.3,3
RC,790,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,13.13,13.13,3
RC,790,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,13.13,13.13,3
RC,790,Fluoride ,,,20.21,20.21,3
RC,790,Fluorodopa f-18 diag per m ,,,932.55,932.55,3
RC,790,Fluoroestradiol F 18 ,,,501.86,501.86,3
RC,790,Flutemetamol f18 diagnosti ,,,2118.97,2118.97,3
RC,790,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,15.09,15.09,3
RC,790,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,11.61,11.61,3
RC,790,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,30.96,30.96,3
RC,790,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,16.0,16.0,3
RC,790,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,45.63,45.63,3
RC,790,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,4036.0,33321.99,15
RC,790,Folic acid; RBC ,,,19.24,19.24,3
RC,790,Folic acid; serum ,,,16.02,16.02,3
RC,790,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,104.04,104.04,3
RC,790,"Foot rest, for use with commode chair, each ",,,102.89,102.89,3
RC,790,"Foot, abduction rotation bar, including shoes ",,,119.93,119.93,3
RC,790,"Foot, abduction rotation bar, without shoes ",,,109.61,109.61,3
RC,790,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,42.8,42.8,3
RC,790,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,54.84,54.84,3
RC,790,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,42.8,42.8,3
RC,790,"Foot, arch support, removable, premolded, longitudinal, each ",,,63.37,63.37,3
RC,790,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,99.33,99.33,3
RC,790,"Foot, arch support, removable, premolded, metatarsal, each ",,,63.37,63.37,3
RC,790,"Foot, insert, removable, formed to patient foot, each ",,,102.79,102.79,3
RC,790,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,423.05,423.05,3
RC,790,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,234.66,234.66,3
RC,790,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,267.18,267.18,3
RC,790,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,217.47,217.47,3
RC,790,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,234.66,234.66,3
RC,790,"Foot, insert, removable, molded to patient model, spenco, each ",,,178.1,178.1,3
RC,790,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,164.93,164.93,3
RC,790,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,68.5,68.5,3
RC,790,"Footrest, complete assembly, replacement only, each ",,,74.84,74.84,3
RC,790,"Footrest, lower extension tube, replacement only, each ",,,26.13,26.13,3
RC,790,"Footrest, upper hanger bracket, replacement only, each ",,,22.28,22.28,3
RC,790,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,98.79,98.79,3
RC,790,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,296.26,296.26,3
RC,790,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,49.91,49.91,3
RC,790,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,49.91,49.91,3
RC,790,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,49.91,49.91,3
RC,790,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,49.91,49.91,3
RC,790,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,60.12,60.12,3
RC,790,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,40.29,40.29,3
RC,790,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,60.12,60.12,3
RC,790,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,49.91,49.91,3
RC,790,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,98.37,98.37,3
RC,790,Fosphenytoin inj pe ,,,0.72,0.72,3
RC,790,Fr frz plasma donor retest ,,,58.04,58.04,3
RC,790,"Fracture frame, attached to bed, includes weights ",,,71.7,71.7,3
RC,790,"Fracture frame, attachments for complex cervical traction ",,,774.51,774.51,3
RC,790,"Fracture frame, attachments for complex pelvic traction ",,,800.77,800.77,3
RC,790,"Fracture frame, free standing, includes weights ",,,70.96,70.96,3
RC,790,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,78.12,78.12,3
RC,790,"Frames, purchases ",,,89.85,89.85,3
RC,790,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,144.01,144.01,3
RC,790,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,90.02,90.02,3
RC,790,"Front caster assembly, complete, with solid tire, replacement only, each ",,,70.93,70.93,3
RC,790,"Frozen plasma, pooled, sd ",,,61.0,61.0,3
RC,790,"Fructose, semen ",,,18.9,18.9,3
RC,790,"Full face mask used with positive airway pressure device, each ",,,119.52,119.52,3
RC,790,"Full sole and heel wedge, between sole ",,,73.63,73.63,3
RC,790,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,166.46,166.46,3
RC,790,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,195.82,195.82,3
RC,790,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,155.39,155.39,3
RC,790,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1719.08,1719.08,3
RC,790,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,63.75,63.75,3
RC,790,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,190.54,190.54,3
RC,790,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,790,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,409.02,409.02,3
RC,790,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,51.5,51.5,3
RC,790,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,110.22,110.22,3
RC,790,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,67.06,67.06,3
RC,790,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,38.15,38.15,3
RC,790,"Gabapentin, whole blood, serum, or plasma ",,,23.62,23.62,3
RC,790,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1284.74,1284.74,3
RC,790,"Galactokinase, RBC ",,,23.41,23.41,3
RC,790,Galactose ,,,12.21,12.21,3
RC,790,Galactose-1-phosphate uridyl transferase; quantitative ,,,22.97,22.97,3
RC,790,Galactose-1-phosphate uridyl transferase; screen ,,,12.8,12.8,3
RC,790,Galectin-3 ,,,48.23,48.23,3
RC,790,Gallium ga-68 ,,,54.1,54.1,3
RC,790,Gallium ga-68 dotatoc ,,,3.93,3.93,3
RC,790,Gallium ga-68 psma-11 ucsf ,,,599.64,599.64,3
RC,790,"Gallium ga-68 psma-11, ucl ",,,396.22,396.22,3
RC,790,Gallium gozellix 1 millicu ,,,1276.72,1276.72,3
RC,790,Gallium illuccix 1 millicu ,,,521.59,521.59,3
RC,790,Gallium locametz 1 millicu ,,,395.13,395.13,3
RC,790,Galsulfase injection ,,,573.3,573.3,3
RC,790,Gammagard liquid/erc inj ,,,53.74,53.74,3
RC,790,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,10.14,10.14,3
RC,790,Gammaglobulin (immunoglobulin); IgE ,,,17.94,17.94,3
RC,790,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.74,8.74,3
RC,790,Gammaplex IVIG ,,,72.24,72.24,3
RC,790,Gamunex-C/Gammaked ,,,53.43,53.43,3
RC,790,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,10.65,10.65,3
RC,790,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,28.42,28.42,3
RC,790,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,85.86,85.86,3
RC,790,"Gases, blood, pH only ",,,11.99,11.99,3
RC,790,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,150.61,150.61,3
RC,790,"Gastric acid analysis, includes pH if performed, each specimen ",,,7.31,7.31,3
RC,790,Gastric motility (manometric) studies ,,,1481.0,5932.0,9
RC,790,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,7839.0,25655.0,11
RC,790,"Gastric suction pump, home model, portable or stationary, electric ",,,80.52,80.52,3
RC,790,Gastrin ,,,19.22,19.22,3
RC,790,Gastrin after secretin stimulation ,,,19.28,19.28,3
RC,790,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2270.0,5047.0,6
RC,790,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2270.0,5047.0,6
RC,790,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2270.0,5047.0,6
RC,790,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.31,3.31,3
RC,790,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.77,3.77,3
RC,790,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,790,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,7.26,7.26,3
RC,790,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,10.66,10.66,3
RC,790,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,29.79,29.79,3
RC,790,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.96,2.96,3
RC,790,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.59,5.59,3
RC,790,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.05,3
RC,790,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.48,1.48,3
RC,790,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.16,0.16,3
RC,790,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.02,4.02,3
RC,790,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.63,0.63,3
RC,790,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,235.16,235.16,3
RC,790,Gel pressure mattress ,,,42.62,42.62,3
RC,790,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,85.17,85.17,3
RC,790,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.94,2.94,3
RC,790,Gemcitabine intravesical s ,,,79552.82,79552.82,3
RC,790,Gemtuzumab ozogamicin inj ,,,269.63,269.63,3
RC,790,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,398.01,398.01,3
RC,790,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,201.56,201.56,3
RC,790,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,107.04,107.04,3
RC,790,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,49.51,49.51,3
RC,790,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2668.93,2668.93,3
RC,790,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2548.04,2548.04,3
RC,790,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5484.01,5484.01,3
RC,790,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2953.85,2953.85,3
RC,790,Gentamicin ,,,17.85,17.85,3
RC,790,"Genvisc 850, inj, 1mg ",,,4.15,4.15,3
RC,790,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,13.13,13.13,3
RC,790,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) ,,,21210.0,23307.22,6
RC,790,Glucagon ,,,15.58,15.58,3
RC,790,Glucagon hydrochloride ,,,127.89,127.89,3
RC,790,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,50.22,50.22,3
RC,790,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,55.05,55.05,3
RC,790,Glucagon tolerance test ,,,19.37,19.37,3
RC,790,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.58,3.58,3
RC,790,"Glucose, body fluid, other than blood ",,,4.28,4.28,3
RC,790,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,10.57,10.57,3
RC,790,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.59,6.59,3
RC,790,"Glucose; blood, reagent strip ",,,5.49,5.49,3
RC,790,Glucose; post glucose dose (includes glucose) ,,,5.18,5.18,3
RC,790,"Glucose; quantitative, blood (except reagent strip) ",,,4.28,4.28,3
RC,790,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,14.03,14.03,3
RC,790,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,4.27,4.27,3
RC,790,"Glucosidase, beta ",,,23.41,23.41,3
RC,790,Glutamate dehydrogenase ,,,14.33,14.33,3
RC,790,"Glutamyltransferase, gamma (GGT) ",,,7.85,7.85,3
RC,790,Glutathione ,,,16.84,16.84,3
RC,790,"Glutathione reductase, RBC ",,,10.29,10.29,3
RC,790,Glycated protein ,,,18.27,18.27,3
RC,790,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,161.77,161.77,3
RC,790,"Gonadotropin, chorionic (hCG); free beta chain ",,,16.67,16.67,3
RC,790,"Gonadotropin, chorionic (hCG); qualitative ",,,8.2,8.2,3
RC,790,"Gonadotropin, chorionic (hCG); quantitative ",,,16.4,16.4,3
RC,790,Gonadotropin; follicle stimulating hormone (FSH) ,,,20.25,20.25,3
RC,790,Gonadotropin; luteinizing hormone (LH) ,,,20.19,20.19,3
RC,790,"Gradient  compression arm sleeve and glove combination, each ",,,112.32,112.32,3
RC,790,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,176.07,176.07,3
RC,790,"Gradient  compression arm sleeve, custom, medium weight, each ",,,212.72,212.72,3
RC,790,"Gradient  compression arm sleeve, each ",,,86.71,86.71,3
RC,790,"Gradient  compression glove, custom, heavy weight, each ",,,338.95,338.95,3
RC,790,"Gradient compression arm sleeve and glove combination, custom, each ",,,346.61,346.61,3
RC,790,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.69,1.69,3
RC,790,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.82,0.82,3
RC,790,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.85,1.85,3
RC,790,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,38.2,38.2,3
RC,790,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,37.58,37.58,3
RC,790,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.2,0.2,3
RC,790,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.76,3.76,3
RC,790,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,5.48,5.48,3
RC,790,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,3.35,3.35,3
RC,790,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.57,2.57,3
RC,790,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.5,1.5,3
RC,790,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.71,1.71,3
RC,790,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,5.09,5.09,3
RC,790,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.36,1.36,3
RC,790,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.68,5.68,3
RC,790,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,794.63,794.63,3
RC,790,"Gradient compression garment, arm, padded, for nighttime use, each ",,,334.91,334.91,3
RC,790,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1147.81,1147.81,3
RC,790,"Gradient compression garment, bra, for nighttime use, each ",,,726.4,726.4,3
RC,790,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1389.15,1389.15,3
RC,790,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,755.44,755.44,3
RC,790,"Gradient compression garment, genital region, custom, each ",,,742.12,742.12,3
RC,790,"Gradient compression garment, genital region, each ",,,123.48,123.48,3
RC,790,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,546.91,546.91,3
RC,790,"Gradient compression garment, glove, padded, for nighttime use, each ",,,137.83,137.83,3
RC,790,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,843.55,843.55,3
RC,790,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,417.84,417.84,3
RC,790,"Gradient compression garment, neck/head, custom, each ",,,872.46,872.46,3
RC,790,"Gradient compression garment, neck/head, each ",,,277.68,277.68,3
RC,790,"Gradient compression garment, toe caps, custom, each ",,,271.88,271.88,3
RC,790,"Gradient compression garment, toe caps, each ",,,114.57,114.57,3
RC,790,"Gradient compression garment, torso and shoulder, each ",,,181.22,181.22,3
RC,790,"Gradient compression garment, torso/shoulder, custom, each ",,,1031.95,1031.95,3
RC,790,"Gradient compression gauntlet, custom, each ",,,191.24,191.24,3
RC,790,"Gradient compression gauntlet, each ",,,53.06,53.06,3
RC,790,"Gradient compression glove, custom, medium weight, each ",,,341.45,341.45,3
RC,790,"Gradient compression glove, each ",,,79.56,79.56,3
RC,790,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,246.75,246.75,3
RC,790,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,42.59,42.59,3
RC,790,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,246.75,246.75,3
RC,790,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,63.19,63.19,3
RC,790,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,67.21,67.21,3
RC,790,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,246.75,246.75,3
RC,790,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,86.89,86.89,3
RC,790,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,94.7,94.7,3
RC,790,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,80.61,80.61,3
RC,790,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,95.56,95.56,3
RC,790,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,111.89,111.89,3
RC,790,"Gradient compression stocking, garter belt ",,,42.4,42.4,3
RC,790,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,338.17,338.17,3
RC,790,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,59.8,59.8,3
RC,790,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,338.17,338.17,3
RC,790,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,68.29,68.29,3
RC,790,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,348.99,348.99,3
RC,790,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,78.62,78.62,3
RC,790,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,1106.75,1106.75,3
RC,790,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,106.67,106.67,3
RC,790,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,1106.75,1106.75,3
RC,790,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,127.18,127.18,3
RC,790,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1192.22,1192.22,3
RC,790,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,150.65,150.65,3
RC,790,"Gradient compression wrap with adjustable straps, above knee, each ",,,206.66,206.66,3
RC,790,"Gradient compression wrap with adjustable straps, arm, each ",,,265.82,265.82,3
RC,790,"Gradient compression wrap with adjustable straps, below knee, each ",,,174.54,174.54,3
RC,790,"Gradient compression wrap with adjustable straps, foot, each ",,,79.76,79.76,3
RC,790,"Gradient compression wrap with adjustable straps, full leg, each ",,,608.86,608.86,3
RC,790,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,132.34,132.34,3
RC,790,"Gradient pressure wrap with adjustable straps, bra, each ",,,104.93,104.93,3
RC,790,"Gravity assisted traction device, any type ",,,67.42,67.42,3
RC,790,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,23.99,23.99,3
RC,790,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,72.7,72.7,3
RC,790,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,140.97,140.97,3
RC,790,"Growth hormone, human (HGH) (somatotropin) ",,,18.17,18.17,3
RC,790,"Growth hormone, human (HGH), antibody ",,,17.16,17.16,3
RC,790,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,82.4,82.4,3
RC,790,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,790,"Guided tissue regeneration - resorbable barrier, per implant ",,,10868.0,12875.0,4
RC,790,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,10868.0,12875.0,4
RC,790,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,10868.0,12875.0,4
RC,790,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,111.46,111.46,3
RC,790,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,790,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,654.0,654.0,3
RC,790,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,409.02,409.02,3
RC,790,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,190.54,190.54,3
RC,790,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,220.62,220.62,3
RC,790,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,353.79,353.79,3
RC,790,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,409.02,409.02,3
RC,790,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,56.08,56.08,3
RC,790,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,71.24,71.24,3
RC,790,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,376.67,376.67,3
RC,790,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,438.31,438.31,3
RC,790,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,440.93,440.93,3
RC,790,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,365.56,365.56,3
RC,790,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,185.19,185.19,3
RC,790,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,193.2,193.2,3
RC,790,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,439.91,439.91,3
RC,790,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,81.02,81.02,3
RC,790,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,138.9,138.9,3
RC,790,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,118.95,118.95,3
RC,790,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,134.81,134.81,3
RC,790,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,240.61,240.61,3
RC,790,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,103.27,103.27,3
RC,790,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,133.22,133.22,3
RC,790,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,28.13,28.13,3
RC,790,"HLA typing; A, B, or C, multiple antigens ",,,63.22,63.22,3
RC,790,"HLA typing; DR/DQ, multiple antigens ",,,115.69,115.69,3
RC,790,"HLA typing; DR/DQ, single antigen ",,,32.89,32.89,3
RC,790,"HLA typing; lymphocyte culture, mixed (MLC) ",,,39.85,39.85,3
RC,790,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,299.56,299.56,3
RC,790,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,Hair analysis (excluding arsenic) ,,,5.4,5.4,3
RC,790,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,58.22,58.22,3
RC,790,Hallux implant ,,,388.42,388.42,3
RC,790,"Halo procedure, cervical halo incorporated into jacket vest ",,,3430.37,3430.37,3
RC,790,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,4636.42,4636.42,3
RC,790,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2893.72,2893.72,3
RC,790,Haloperidol ,,,17.2,17.2,3
RC,790,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,152.81,152.81,3
RC,790,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,112.74,112.74,3
RC,790,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,112.74,112.74,3
RC,790,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,393.64,393.64,3
RC,790,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,790,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,106.61,106.61,3
RC,790,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,106.61,106.61,3
RC,790,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,129.44,129.44,3
RC,790,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,129.44,129.44,3
RC,790,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,331.96,331.96,3
RC,790,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,1959.22,1959.22,3
RC,790,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1930.66,1930.66,3
RC,790,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2063.23,2063.23,3
RC,790,"Hand restoration (shading, and measurements included), replacement glove for above ",,,835.39,835.39,3
RC,790,Haptoglobin; phenotypes ,,,29.31,29.31,3
RC,790,Haptoglobin; quantitative ,,,13.71,13.71,3
RC,790,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor ",,,21210.0,23307.22,6
RC,790,Headgear used with positive airway pressure device ,,,24.59,24.59,3
RC,790,"Headset/headpiece for use with cochlear implant device, replacement ",,,608.59,608.59,3
RC,790,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,740.73,740.73,3
RC,790,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1771.25,1771.25,3
RC,790,"Heat lamp, with stand, includes bulb, or infrared element ",,,301.45,301.45,3
RC,790,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,123.16,123.16,3
RC,790,Heavy duty wheelchair ,,,83.68,83.68,3
RC,790,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,203.9,203.9,3
RC,790,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,188.68,188.68,3
RC,790,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,195.13,195.13,3
RC,790,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,22.82,22.82,3
RC,790,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,23.94,23.94,3
RC,790,"Heel loop/holder, any type, with or without ankle strap, each ",,,16.47,16.47,3
RC,790,"Heel or elbow protector, each ",,,14.54,14.54,3
RC,790,Heel wedge ,,,30.8,30.8,3
RC,790,"Heel wedge, sach ",,,114.72,114.72,3
RC,790,"Heel, counter, leather reinforced ",,,102.79,102.79,3
RC,790,"Heel, counter, plastic reinforced ",,,215.81,215.81,3
RC,790,"Heel, new leather, standard ",,,54.84,54.84,3
RC,790,"Heel, new rubber, standard ",,,46.23,46.23,3
RC,790,"Heel, pad and depression for spur ",,,83.92,83.92,3
RC,790,"Heel, sach cushion type ",,,142.14,142.14,3
RC,790,"Heel, thomas extended to ball ",,,83.92,83.92,3
RC,790,"Heel, thomas with wedge ",,,78.79,78.79,3
RC,790,Heinz bodies; direct ,,,4.58,4.58,3
RC,790,"Heinz bodies; induced, acetyl phenylhydrazine ",,,7.43,7.43,3
RC,790,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,790,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,73.42,73.42,3
RC,790,Helicobacter pylori; drug administration ,,,8.57,8.57,3
RC,790,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,790,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,238.24,238.24,3
RC,790,Hemagglutination inhibition test (HAI) ,,,8.93,8.93,3
RC,790,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,827.89,827.89,6
RC,790,"Hemi-facial prosthesis, provided by a non-physician ",,,5400.99,5400.99,3
RC,790,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,152.38,152.38,3
RC,790,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,103.96,103.96,3
RC,790,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,8066.48,8066.48,3
RC,790,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7787.39,7787.39,3
RC,790,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.47,5.47,3
RC,790,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,19.69,19.69,3
RC,790,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,14.03,14.03,3
RC,790,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,8.43,8.43,3
RC,790,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,10.2,10.2,3
RC,790,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,10.21,10.21,3
RC,790,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,10.21,10.21,3
RC,790,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,14.54,14.54,3
RC,790,"Hemoglobin; F (fetal), chemical ",,,11.71,11.71,3
RC,790,"Hemoglobin; F (fetal), qualitative ",,,8.72,8.72,3
RC,790,"Hemoglobin; by copper sulfate method, non-automated ",,,4.37,4.37,3
RC,790,Hemoglobin; glycosylated (A1C) ,,,10.58,10.58,3
RC,790,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,10.58,10.58,3
RC,790,"Hemoglobin; methemoglobin, qualitative ",,,7.07,7.07,3
RC,790,"Hemoglobin; methemoglobin, quantitative ",,,8.94,8.94,3
RC,790,Hemoglobin; plasma ,,,7.97,7.97,3
RC,790,"Hemoglobin; sulfhemoglobin, quantitative ",,,9.59,9.59,3
RC,790,Hemoglobin; thermolabile ,,,9.81,9.81,3
RC,790,"Hemoglobin; unstable, screen ",,,10.32,10.32,3
RC,790,Hemoglobin; urine ,,,4.31,4.31,3
RC,790,"Hemolysin, acid ",,,9.67,9.67,3
RC,790,"Hemolysins and agglutinins; auto, screen, each ",,,9.56,9.56,3
RC,790,Hemolysins and agglutinins; incubated ,,,13.2,13.2,3
RC,790,"Hemosiderin, qualitative ",,,5.18,5.18,3
RC,790,Hepagam b im injection ,,,71.51,71.51,3
RC,790,Heparin assay ,,,14.27,14.27,3
RC,790,Heparin neutralization ,,,12.91,12.91,3
RC,790,Heparin-protamine tolerance test ,,,14.27,14.27,3
RC,790,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.91,8.91,3
RC,790,Hepatitis A antibody (HAAb) ,,,13.51,13.51,3
RC,790,"Hepatitis A antibody (HAAb), IgM antibody ",,,12.27,12.27,3
RC,790,Hepatitis B core antibody (HBcAb); IgM antibody ,,,12.83,12.83,3
RC,790,Hepatitis B core antibody (HBcAb); total ,,,13.13,13.13,3
RC,790,Hepatitis B surface antibody (HBsAb) ,,,11.71,11.71,3
RC,790,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,790,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,,,0
RC,790,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,,,0
RC,790,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,790,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,790,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,,,0
RC,790,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,,,0
RC,790,Hepatitis Be antibody (HBeAb) ,,,12.61,12.61,3
RC,790,Hepatitis C antibody; ,,,15.55,15.55,3
RC,790,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,16.88,16.88,3
RC,790,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,30.81,30.81,3
RC,790,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,50.52,50.52,3
RC,790,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,1421.31,1421.31,3
RC,790,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,637.54,637.54,3
RC,790,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,1421.31,1421.31,3
RC,790,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,1421.31,1421.31,3
RC,790,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,637.54,637.54,3
RC,790,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,651.72,651.72,3
RC,790,Heterophile antibodies; screening ,,,5.65,5.65,3
RC,790,Heterophile antibodies; titer ,,,7.05,7.05,3
RC,790,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,8.03,8.03,3
RC,790,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,9.16,9.16,3
RC,790,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,44.65,44.65,3
RC,790,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,67.57,67.57,3
RC,790,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1651.48,1651.48,3
RC,790,"High mount flip-up footrest, each ",,,60.51,60.51,3
RC,790,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,234.21,234.21,3
RC,790,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,196.56,196.56,3
RC,790,"High strength, lightweight wheelchair ",,,57.42,57.42,3
RC,790,Hip core decompression ,,,21210.0,23307.22,6
RC,790,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,7729.76,7729.76,3
RC,790,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,7528.75,7528.75,3
RC,790,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,7153.81,7153.81,3
RC,790,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,222.38,222.38,3
RC,790,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,818.9,818.9,3
RC,790,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,707.77,707.77,3
RC,790,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,169.71,169.71,3
RC,790,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,583.39,583.39,3
RC,790,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,481.35,481.35,3
RC,790,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1489.88,1489.88,3
RC,790,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1142.56,1142.56,3
RC,790,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1804.11,1804.11,3
RC,790,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,57.03,57.03,3
RC,790,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,167.82,167.82,3
RC,790,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,215.21,215.21,3
RC,790,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,212.24,212.24,3
RC,790,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,305.64,305.64,3
RC,790,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,665.55,665.55,3
RC,790,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,285.81,285.81,3
RC,790,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2285.12,2285.12,3
RC,790,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,480.08,480.08,3
RC,790,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,480.08,480.08,3
RC,790,Histamine ,,,32.19,32.19,3
RC,790,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,15362.0,25655.0,10
RC,790,"Hiv antigen/antibody, combination assay, screening ",,,26.25,26.25,3
RC,790,"Hiv prep, ftc/taf 200/25mg ",,,77.86,77.86,3
RC,790,"Hiv prep, ftc/tdf 200/300m ",,,0.49,0.49,3
RC,790,"Hiv prep, inj, cabotegravi ",,,7.95,7.95,3
RC,790,"Hiv prep, inj, lenacapavir ",,,17.53,17.53,3
RC,790,"Hiv prep, oral lenacapavir ",,,676.79,676.79,3
RC,790,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,693.07,693.07,3
RC,790,Home blood glucose monitor ,,,103.8,103.8,3
RC,790,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,59.43,59.43,3
RC,790,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,790,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) ",,,21210.0,23307.22,6
RC,790,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1482.76,1482.76,3
RC,790,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1482.76,1482.76,3
RC,790,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1594.09,1594.09,3
RC,790,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1713.79,1713.79,3
RC,790,Homocysteine ,,,19.53,19.53,3
RC,790,"Homogenization, tissue, for culture ",,,6.41,6.41,3
RC,790,Homovanillic acid (HVA) ,,,24.43,24.43,3
RC,790,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,649.61,649.61,3
RC,790,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,641.99,641.99,3
RC,790,"Hospital bed, fixed height, with any type side rails, with mattress ",,,84.16,84.16,3
RC,790,"Hospital bed, fixed height, with any type side rails, without mattress ",,,78.85,78.85,3
RC,790,"Hospital bed, fixed height, without side rails, with mattress ",,,79.32,79.32,3
RC,790,"Hospital bed, fixed height, without side rails, without mattress ",,,61.39,61.39,3
RC,790,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,225.25,225.25,3
RC,790,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,221.34,221.34,3
RC,790,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,84.48,84.48,3
RC,790,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,84.48,84.48,3
RC,790,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,84.48,84.48,3
RC,790,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,84.48,84.48,3
RC,790,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,200.57,200.57,3
RC,790,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,174.52,174.52,3
RC,790,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,156.49,156.49,3
RC,790,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,138.09,138.09,3
RC,790,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,84.48,84.48,3
RC,790,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,82.62,82.62,3
RC,790,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,84.27,84.27,3
RC,790,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,79.43,79.43,3
RC,790,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,4.46,4.46,3
RC,790,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,7.28,7.28,3
RC,790,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,790,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,133.22,133.22,3
RC,790,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,133.22,133.22,3
RC,790,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,133.22,133.22,3
RC,790,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,133.22,133.22,3
RC,790,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,133.22,133.22,3
RC,790,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,133.22,133.22,3
RC,790,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,133.22,133.22,3
RC,790,Human epididymis protein 4 (HE4) ,,,22.68,22.68,3
RC,790,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,39.82,39.82,3
RC,790,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,119.34,119.34,3
RC,790,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,77.88,77.88,3
RC,790,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,229.62,229.62,3
RC,790,"Humidifier, heated, used with positive airway pressure device ",,,185.09,185.09,3
RC,790,"Humidifier, non-heated, used with positive airway pressure device ",,,93.5,93.5,3
RC,790,"Hyaluronan, hymo or hymo o ",,,19.76,19.76,3
RC,790,"Hydrocollator unit, includes pads ",,,603.73,603.73,3
RC,790,"Hydrocollator unit, portable ",,,698.77,698.77,3
RC,790,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,12.28,12.28,3
RC,790,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.17,10.17,3
RC,790,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,35.43,35.43,3
RC,790,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.13,26.13,3
RC,790,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,42.32,42.32,3
RC,790,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.99,3.99,3
RC,790,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,19.02,19.02,3
RC,790,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,11.29,11.29,3
RC,790,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.41,9.41,3
RC,790,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,15.43,15.43,3
RC,790,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,19.14,19.14,3
RC,790,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,36.94,36.94,3
RC,790,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,61.03,61.03,3
RC,790,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,25.23,25.23,3
RC,790,Hydroxychloroquine ,,,20.32,20.32,3
RC,790,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,19.51,19.51,3
RC,790,"Hydroxyindolacetic acid, 5-(HIAA) ",,,14.06,14.06,3
RC,790,"Hydroxyprogesterone, 17-d ",,,29.62,29.62,3
RC,790,Hydroxyproline; free ,,,24.69,24.69,3
RC,790,Hydroxyproline; total ,,,26.49,26.49,3
RC,790,"I125 iothalamate, dx ",,,708.11,708.11,3
RC,790,"I125 serum albumin, dx ",,,511.28,511.28,3
RC,790,"I131 iodobenguate, dx ",,,1038.78,1038.78,3
RC,790,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,210.64,210.64,3
RC,790,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,322.41,322.41,3
RC,790,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,79.97,79.97,3
RC,790,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,321.03,321.03,3
RC,790,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,215.81,215.81,3
RC,790,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,74.72,74.72,3
RC,790,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,225.97,225.97,3
RC,790,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,188.28,188.28,3
RC,790,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,42.85,42.85,3
RC,790,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,2636.0,2636.0,1
RC,790,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,2636.0,2636.0,1
RC,790,Ibuprofen injection ,,,3.54,3.54,3
RC,790,Ibutilide fumarate injecti ,,,191.72,191.72,3
RC,790,Idecabtagene vicleucel car ,,,619095.8,619095.8,3
RC,790,Idursulfase injection ,,,621.35,621.35,3
RC,790,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,7799.0,25655.0,12
RC,790,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,5849.0,25655.0,12
RC,790,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2078.14,2078.14,3
RC,790,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2576.22,2576.22,3
RC,790,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,895.35,895.35,3
RC,790,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1751.73,1751.73,3
RC,790,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,2437.2,2437.2,3
RC,790,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,743.39,743.39,3
RC,790,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1903.1,1903.1,3
RC,790,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,970.19,970.19,3
RC,790,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,724.87,724.87,3
RC,790,"Immediate post surgical or early fitting, application of rigid dressing only ",,,666.69,666.69,3
RC,790,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,596.56,596.56,3
RC,790,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1751.73,1751.73,3
RC,790,Immersion external heater for nebulizer ,,,148.9,148.9,3
RC,790,Immune complex assay ,,,26.56,26.56,3
RC,790,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,12.57,12.57,3
RC,790,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,10.51,10.51,3
RC,790,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,20.06,20.06,3
RC,790,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,18.82,18.82,3
RC,790,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,19.72,19.72,3
RC,790,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,49.36,49.36,3
RC,790,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,16.34,16.34,3
RC,790,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,22.68,22.68,3
RC,790,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,27.87,27.87,3
RC,790,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,22.68,22.68,3
RC,790,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,22.68,22.68,3
RC,790,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,22.68,22.68,3
RC,790,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,13.06,13.06,3
RC,790,Immunodiffusion; not elsewhere specified ,,,15.31,15.31,3
RC,790,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,25.21,25.21,3
RC,790,Immunoelectrophoresis; serum ,,,32.61,32.61,3
RC,790,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,31.99,31.99,3
RC,790,Immunofixation electrophoresis; serum ,,,24.35,24.35,3
RC,790,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,18.82,18.82,3
RC,790,"Implantable breast prosthesis, silicone or equal ",,,833.27,833.27,3
RC,790,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,734.0,734.0,3
RC,790,Implantable neurostimulator radiofrequency receiver ,,,8044.22,8044.22,3
RC,790,"Implantable neurostimulator, pulse generator, any type ",,,11258.83,11258.83,3
RC,790,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11957.52,11957.52,3
RC,790,Implantation of auditory brain stem implant ,,,21210.0,23307.22,6
RC,790,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear ,,,21210.0,23307.22,6
RC,790,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,15362.0,51492.14,13
RC,790,In111 capromab ,,,1886.02,1886.02,3
RC,790,Incobotulinumtoxin A ,,,5.76,5.76,3
RC,790,"Incontinence supply, urethral insert, any type, each ",,,2.23,2.23,3
RC,790,Indexing for osteotomy ,,,10868.0,12875.0,3
RC,790,Indigotindisulfonate sod 1 ,,,10.14,10.14,3
RC,790,"Induced abortion, 17 to 24 weeks ",,,21210.0,23307.22,6
RC,790,"Induced abortion, 25 to 28 weeks ",,,21210.0,23307.22,6
RC,790,"Induced abortion, 29 to 31 weeks ",,,21210.0,23307.22,6
RC,790,"Induced abortion, 32 weeks or greater ",,,21210.0,23307.22,6
RC,790,Induction of arrhythmia by electrical pacing ,,,25253.0,33939.0,3
RC,790,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,21.14,21.14,3
RC,790,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,25.85,25.85,3
RC,790,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,19.05,19.05,3
RC,790,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,49.32,49.32,3
RC,790,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,379.05,379.05,3
RC,790,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,21.33,21.33,3
RC,790,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,19.94,19.94,3
RC,790,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,13.06,13.06,3
RC,790,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.26,76.62,93
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,38.47,38.47,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,17.44,17.44,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,35.72,35.72,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,18.04,18.04,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,26.77,26.77,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,18.02,18.02,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,13.88,13.88,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,16.67,16.67,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,23.72,23.72,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,17.52,17.52,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,14.28,14.28,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,45.1,45.1,3
RC,790,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,81.18,81.18,3
RC,790,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,13.06,13.06,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,13.06,13.06,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,13.06,13.06,3
RC,790,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,790,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,14.63,14.63,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,13.06,13.06,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,13.06,13.06,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,17.0,17.0,3
RC,790,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,17.91,17.91,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,13.06,13.06,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,66.27,66.27,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,13.28,13.28,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,14.63,14.63,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,15.73,15.73,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,13.06,13.06,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,14.83,14.83,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,17.52,17.52,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,13.35,13.35,3
RC,790,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,17.55,17.55,3
RC,790,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,14.63,14.63,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,76.52,76.52,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,47.6,47.6,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,32.73,32.73,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,60.76,60.76,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,76.5,76.5,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,24.8,24.8,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,58.28,58.28,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,40.62,40.62,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,45.52,45.52,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,23.89,23.89,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,92.76,92.76,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,23.89,23.89,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,63.9,63.9,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,63.22,63.22,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,45.52,45.52,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,76.52,76.52,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,44.2,44.2,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,45.52,45.52,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,29.75,29.75,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,52.58,52.58,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,45.43,45.43,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,29.3,29.3,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,83.68,83.68,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,329.86,329.86,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,29.3,29.3,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,55.93,55.93,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,45.52,45.52,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,21.85,21.85,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,55.93,55.93,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,454.29,454.29,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,32.73,32.73,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,139.84,454.29,9
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,34.03,34.03,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,46.7,46.7,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,42.79,42.79,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,32.48,32.48,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,45.52,45.52,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,31.85,104.42,6
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,55.93,55.93,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,740.95,740.95,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,76.52,76.52,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,155.47,454.29,9
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,155.47,155.47,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,55.93,55.93,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,155.47,155.47,3
RC,790,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,38.25,38.25,3
RC,790,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,38.25,38.25,3
RC,790,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,142.08,142.08,3
RC,790,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,13.32,13.32,3
RC,790,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,140.32,140.32,3
RC,790,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,280.62,280.62,3
RC,790,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,280.62,280.62,3
RC,790,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,280.62,280.62,3
RC,790,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,280.62,280.62,3
RC,790,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,280.62,280.62,3
RC,790,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,28.42,28.42,3
RC,790,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,532.64,532.64,3
RC,790,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,286.66,286.66,3
RC,790,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,286.66,286.66,3
RC,790,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,155.47,155.47,3
RC,790,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,78.69,78.69,3
RC,790,Infliximab ,,,42.04,42.04,3
RC,790,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, not otherwise specified ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
RC,790,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
RC,790,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,,,0
RC,790,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
RC,790,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,,,0
RC,790,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,,,0
RC,790,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,,,0
RC,790,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,12630.48,12630.48,3
RC,790,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,411.43,411.43,3
RC,790,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5949.7,5949.7,3
RC,790,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,53.49,53.49,3
RC,790,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2668.93,2668.93,3
RC,790,Inhibin A ,,,16.99,16.99,3
RC,790,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1481.0,2636.0,5
RC,790,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,3094.66,3094.66,3
RC,790,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1914.96,1914.96,3
RC,790,Inj  ogivri 10 mg ,,,34.82,34.82,3
RC,790,Inj allopurinol sodium 1 m ,,,4.44,4.44,3
RC,790,Inj amivantamab 5mg hyalur ,,,44.41,44.41,3
RC,790,"Inj andexxa, 10 mg ",,,142.97,142.97,3
RC,790,Inj anifrolumab-fnia 1mg ,,,20.17,20.17,3
RC,790,Inj aval alfa-nqpt 4mg ,,,91.5,91.5,3
RC,790,Inj axatilimab-csfr 0.1 mg ,,,61.54,61.54,3
RC,790,Inj belantamab mafodot blm ,,,39.51,39.51,3
RC,790,Inj bimatoprost itc imp 1m ,,,232.99,232.99,3
RC,790,Inj ceftobipole medocarl 3 ,,,1.2,1.2,3
RC,790,Inj ceftolozane tazobactam ,,,10.94,10.94,3
RC,790,Inj cladribine per 1 mg ,,,8.92,8.92,3
RC,790,"Inj cosibelimab-ipdl, 2 mg ",,,24.28,24.28,3
RC,790,Inj crizanlizumab-tmca 5mg ,,,141.63,141.63,3
RC,790,Inj cutaquig 100 mg ,,,15.29,15.29,3
RC,790,"Inj cuvitru, 100 mg ",,,19.78,19.78,3
RC,790,Inj cyclophosphamd auromed ,,,0.53,0.53,3
RC,790,"Inj daunorubicin, cytarabi ",,,297.45,297.45,3
RC,790,Inj depemokimab-ulaa 1 mg ,,,291.9,291.9,3
RC,790,Inj efgartigimod 2mg ,,,35.48,35.48,3
RC,790,Inj eflapegrastim-xnst 0.1 ,,,42.03,42.03,3
RC,790,Inj elivaldogene autotemec ,,,3466200.0,3466200.0,3
RC,790,Inj enfort vedo-ejfv 0.25m ,,,39.96,39.96,3
RC,790,Inj epcoritamab-bysp 0.16 ,,,63.21,63.21,3
RC,790,Inj estrogen conjugate ,,,437.64,437.64,3
RC,790,Inj fam-trastu deru-nxki 1 ,,,35.83,35.83,3
RC,790,Inj fensolvi 0.25 mg ,,,158.39,158.39,3
RC,790,Inj ferric carboxymaltos 1 ,,,1.23,1.23,3
RC,790,Inj fosfomycin disodium 20 ,,,0.68,0.68,3
RC,790,"Inj fosnetupitant, palonos ",,,549.19,549.19,3
RC,790,Inj gemcitabin (avyxa) 200 ,,,436.36,436.36,3
RC,790,Inj givosiran 0.5 mg ,,,131.8,131.8,3
RC,790,Inj glucagon (gvoke) 0.01 ,,,1.96,1.96,3
RC,790,"Inj glucagon hcl, freseniu ",,,140.92,140.92,3
RC,790,Inj herzuma 10 mg ,,,59.89,59.89,3
RC,790,Inj inotuzumab ozogam 0.1 ,,,3131.68,3131.68,3
RC,790,Inj irinotecan liposome 1 ,,,71.79,71.79,3
RC,790,Inj lenacapavir (hiv tx) 1 ,,,25.0,25.0,3
RC,790,Inj leu acet lutr dpt 7.5 ,,,749.14,749.14,3
RC,790,Inj linvoseltamab-gcpt 1 m ,,,108.24,108.24,3
RC,790,Inj lon tesirin-lpyl 0.075 ,,,247.0,247.0,3
RC,790,Inj luspatercept-aamt 0.25 ,,,47.43,47.43,3
RC,790,Inj luxturna 1 billion vec ,,,3345.91,3345.91,3
RC,790,Inj meloxicam (azurity) 1m ,,,1.16,1.16,3
RC,790,Inj melpha hydroch nos 50 ,,,114.34,114.34,3
RC,790,"Inj mogamulizumab-kpkc, 1 ",,,281.8,281.8,3
RC,790,"Inj mosunetuzumab-axgb, 1 ",,,735.2,735.2,3
RC,790,Inj mvasi 10 mg ,,,26.74,26.74,3
RC,790,Inj nivol relatlimab 3mg/1 ,,,224.01,224.01,3
RC,790,Inj nivolumab 2 mg hyaluro ,,,30.67,30.67,3
RC,790,Inj olipudase alfa-rpcp 1m ,,,441.39,441.39,3
RC,790,Inj onase abepar-brve trea ,,,2904008.52,2904008.52,3
RC,790,Inj onase abepar-xioi trea ,,,2921241.42,2921241.42,3
RC,790,Inj ontruzant 10 mg ,,,22.88,22.88,3
RC,790,Inj pegfilgrast ex bio 0.5 ,,,156.12,156.12,3
RC,790,Inj pegfilgrastim-bmez 0.5 ,,,143.98,143.98,3
RC,790,Inj pemetrexed (accord) 10 ,,,10.61,10.61,3
RC,790,Inj pemetrexed (bluepoint) ,,,11.55,11.55,3
RC,790,Inj pemetrexed (teva) 10mg ,,,11.97,11.97,3
RC,790,"Inj pemetrexed, hospira 10 ",,,3.21,3.21,3
RC,790,Inj plasminogen tvmh 1mg ,,,41.88,41.88,3
RC,790,"Inj pozelimab-bbfg, 1 mg ",,,99.99,99.99,3
RC,790,Inj recombin esperoct per ,,,2.5,2.5,3
RC,790,Inj retacrit non-esrd use ,,,8.69,8.69,3
RC,790,Inj risankizumab-rzaaÂ1 m ,,,15.84,15.84,3
RC,790,"Inj rituximab, hyaluronida ",,,39.66,39.66,3
RC,790,Inj romidepsin lyophil 0.1 ,,,33.48,33.48,3
RC,790,Inj romidepsin non-lyo 0.1 ,,,36.61,36.61,3
RC,790,"Inj ruxience, 10 mg ",,,17.61,17.61,3
RC,790,Inj sebelipase alfa 1 mg ,,,588.16,588.16,3
RC,790,Inj sirolimus prot part 1 ,,,99.22,99.22,3
RC,790,Inj talimogene laherparepv ,,,84.3,84.3,3
RC,790,Inj teclistamab cqyv 0.5 m ,,,38.5,38.5,3
RC,790,Inj teplizumab mzwv 5 mcg ,,,42.75,42.75,3
RC,790,"Inj tezepelumab-ekko, 1mg ",,,19.53,19.53,3
RC,790,Inj thiotepa nos 1 mg ,,,5.37,5.37,3
RC,790,"Inj tisotu vedotin-tftv, 1 ",,,213.77,213.77,3
RC,790,Inj tofersen intrathec 1 m ,,,179.65,179.65,3
RC,790,Inj triamcinolone ace xr 1 ,,,21.02,21.02,3
RC,790,Inj truxima 10 mg ,,,37.67,37.67,3
RC,790,"Inj ublituximab-xiiy, 1 mg ",,,78.74,78.74,3
RC,790,Inj ustekinumab-aauz 1 mg ,,,14.34,14.34,3
RC,790,"Inj ustekinumab-aekn, 1 mg ",,,11.48,11.48,3
RC,790,"Inj ustekinumab-kfce, 1 mg ",,,3.59,3.59,3
RC,790,"Inj ustekinumab-srlf, 1 mg ",,,12.59,12.59,3
RC,790,"Inj ustekinumab-stba, 1 mg ",,,3.35,3.35,3
RC,790,Inj xipere 1 mg ,,,52.07,52.07,3
RC,790,Inj yimmugo 100 mg ,,,26.32,26.32,3
RC,790,Inj zenocutuzumab-zbco 1 m ,,,36.91,36.91,3
RC,790,Inj zopapogene per ther do ,,,132871.0,132871.0,3
RC,790,"Inj, Ado-trastuzumab Emt 1 ",,,47.55,47.55,3
RC,790,"Inj, abilify asimtufii, 1 ",,,6.74,6.74,3
RC,790,"Inj, afstyla, 1 i.u. ",,,1.76,1.76,3
RC,790,"Inj, alyglo, 500 mg ",,,132.48,132.48,3
RC,790,"Inj, alymsys, 10 mg ",,,87.14,87.14,3
RC,790,"Inj, amisulpride, 1 mg ",,,10.43,10.43,3
RC,790,"Inj, amivantamab-vmjw ",,,25.31,25.31,3
RC,790,"Inj, aspara, rylaze, 0.1 m ",,,63.98,63.98,3
RC,790,"Inj, atezolizumab,10 mg ",,,105.24,105.24,3
RC,790,"Inj, atidarsagene autotemc ",,,4910450.0,4910450.0,3
RC,790,"Inj, bendamustine hcl, 1mg ",,,3.23,3.23,3
RC,790,"Inj, bezlotoxumab, 10 mg ",,,43.41,43.41,3
RC,790,"Inj, bortezomib freseniusk ",,,7.6,7.6,3
RC,790,"Inj, bortezomib, dr. reddy ",,,3.77,3.77,3
RC,790,"Inj, brolucizumab-dbll, 1 ",,,392.09,392.09,3
RC,790,"Inj, cabote rilpivir 2mg 3 ",,,26.89,26.89,3
RC,790,"Inj, carboplatin (avyxa) ",,,5.67,5.67,3
RC,790,"Inj, carboprost, 0.1 mg ",,,17.85,17.85,3
RC,790,"Inj, cefiderocol, 10 mg ",,,2.78,2.78,3
RC,790,"Inj, cimerli, 0.1 mg ",,,89.96,89.96,3
RC,790,"Inj, clevidipine, 1 mg ",,,3.09,3.09,3
RC,790,"Inj, crovalimab-akkz, 10 m ",,,601.15,601.15,3
RC,790,"Inj, cyclophos (baxter) 5m ",,,4.78,4.78,3
RC,790,"Inj, denosumab ",,,32.81,32.81,3
RC,790,"Inj, denosumab-bmwo, 1 mg ",,,28.32,28.32,3
RC,790,"Inj, denosumab-bnht, 1 mg ",,,31.41,31.41,3
RC,790,"Inj, denosumab-kyqq, 1 mg ",,,15.26,15.26,3
RC,790,"Inj, denosumab-nxxp, 1 mg ",,,17.07,17.07,3
RC,790,"Inj, denosumab-qbde, 1 mg ",,,4.49,4.49,3
RC,790,"Inj, docetaxel (beizray) 1 ",,,51.02,51.02,3
RC,790,"Inj, dostarlimab-gxly, 10 ",,,273.91,273.91,3
RC,790,"Inj, durolane 1 mg ",,,6.8,6.8,3
RC,790,"Inj, eculizumab-aagh, 2 mg ",,,34.64,34.64,3
RC,790,"Inj, eculizumab-aeeb, 2 mg ",,,44.87,44.87,3
RC,790,"Inj, elahere, 1 mg ",,,78.47,78.47,3
RC,790,"Inj, etelcalcetide, 0.1 mg ",,,2.69,2.69,3
RC,790,"Inj, eteplirsen, 10 mg ",,,182.49,182.49,3
RC,790,"Inj, ethacrynate sod, 1 mg ",,,13.54,13.54,3
RC,790,"Inj, evinacumab-dgnb, 5 mg ",,,215.42,215.42,3
RC,790,"Inj, exagamglogene autotem ",,,2507988.63,2507988.63,3
RC,790,"Inj, faricimab-svoa, 0.1mg ",,,35.3,35.3,3
RC,790,"Inj, fosaprepitant (teva) ",,,0.04,0.04,3
RC,790,"Inj, fosdenopterin, 0.1mg ",,,19.33,19.33,3
RC,790,"Inj, fulvestrant (freseniu ",,,29.55,29.55,3
RC,790,"Inj, fulvestrant (teva) ",,,45.42,45.42,3
RC,790,"Inj, fylnetra, 0.5 mg ",,,114.57,114.57,3
RC,790,"Inj, granisetron, xr, 0.1 ",,,3.51,3.51,3
RC,790,"Inj, hemgenix, per tx dose ",,,4023680.5,4023680.5,3
RC,790,"Inj, hercessi, 10 mg ",,,35.38,35.38,3
RC,790,"Inj, imm glob bivigam, 500 ",,,88.55,88.55,3
RC,790,"Inj, invega hafyera/trinza ",,,14.46,14.46,3
RC,790,"Inj, invega sustenna, 1 mg ",,,16.82,16.82,3
RC,790,"Inj, isoniazid, 1 mg ",,,0.33,0.33,3
RC,790,"Inj, ixinity, 1 i.u. ",,,2.11,2.11,3
RC,790,"Inj, jobevne, 10 mg ",,,89.64,89.64,3
RC,790,"Inj, kovaltry, 1 i.u. ",,,1.74,1.74,3
RC,790,"Inj, lanreotide acetate ",,,40.8,40.8,3
RC,790,"Inj, lanreotide, (cipla) 1 ",,,22.16,22.16,3
RC,790,"Inj, leucovorin cal (avyxa ",,,2.81,2.81,3
RC,790,"Inj, liothyronine, 1 mcg ",,,43.74,43.74,3
RC,790,"Inj, magtrace per study do ",,,1366.86,1366.86,3
RC,790,"Inj, melphalan (apotex) 1 ",,,70.61,70.61,3
RC,790,"Inj, nipocalimab-aahu, 3 m ",,,35.5,35.5,3
RC,790,"Inj, nusinersen, 0.1mg ",,,1453.46,1453.46,3
RC,790,"Inj, nyposi 1 mcg ",,,1.13,1.13,3
RC,790,"Inj, nyvepria ",,,149.23,149.23,3
RC,790,"Inj, palonosetron (posfrea ",,,60.2,60.2,3
RC,790,"Inj, panzyga, 500 mg ",,,77.77,77.77,3
RC,790,"Inj, pasireotide long acti ",,,672.21,672.21,3
RC,790,"Inj, pedmark, 100 mg ",,,105.49,105.49,3
RC,790,"Inj, pegcetacoplan, 1mg ",,,162.35,162.35,3
RC,790,"Inj, polatuzumab vedotin 1 ",,,156.54,156.54,3
RC,790,"Inj, posaconazole, 1 mg ",,,0.37,0.37,3
RC,790,"Inj, qivigy, 100mg ",,,32.25,32.25,3
RC,790,"Inj, releuko 1 mcg ",,,0.34,0.34,3
RC,790,"Inj, remdesivir, 1 mg ",,,8.19,8.19,3
RC,790,"Inj, retifanlimab-dlwr, 1 ",,,33.77,33.77,3
RC,790,"Inj, rezafungin, 1 mg ",,,11.99,11.99,3
RC,790,"Inj, rimabotulinumtoxinB ",,,14.48,14.48,3
RC,790,"Inj, romiplostim 1 microgr ",,,12.66,12.66,3
RC,790,"Inj, sculptra, 0.5mg ",,,2.35,2.35,3
RC,790,"Inj, sezaby, 1 mg ",,,1.22,1.22,3
RC,790,"Inj, sod thiosulfate (hope ",,,0.92,0.92,3
RC,790,"Inj, spesolimab-sbzo, 1 mg ",,,71.64,71.64,3
RC,790,"Inj, stimufend, 0.5 mg ",,,156.6,156.6,3
RC,790,"Inj, susvimo 0.1 mg ",,,81.53,81.53,3
RC,790,"Inj, sutimlimab-jome, 10 m ",,,21.41,21.41,3
RC,790,"Inj, taliglucerase alfa 10 ",,,46.52,46.52,3
RC,790,"Inj, tebentafusp-tebn, 1 m ",,,248.53,248.53,3
RC,790,"Inj, tislelizumab-jsgr ",,,63.4,63.4,3
RC,790,"Inj, tocilizumab-anoh, 1 m ",,,5.11,5.11,3
RC,790,"Inj, tremelimumab-actl, 1 ",,,160.11,160.11,3
RC,790,"Inj, treosulfan, 50 mg ",,,35.24,35.24,3
RC,790,"Inj, trivisc 1 mg ",,,3.31,3.31,3
RC,790,"Inj, tyruko, 1 mg ",,,26.7,26.7,3
RC,790,"Inj, uzedy, 1 mg ",,,28.54,28.54,3
RC,790,"Inj, vegzelma, 10 mg ",,,25.78,25.78,3
RC,790,"Inj, vivimusta, 1 mg ",,,32.61,32.61,3
RC,790,"Inj, vutrisiran, 1 mg ",,,5463.73,5463.73,3
RC,790,"Inj, wezlana, iv, 1 mg ",,,2.57,2.57,3
RC,790,"Inj, ziv-aflibercept, 1mg ",,,9.45,9.45,3
RC,790,"Inj. (ani), up to 40 units ",,,4005.4,4005.4,3
RC,790,Inj. acthar gel to 40 unit ,,,4505.46,4505.46,3
RC,790,Inj. asceniv ,,,554.96,554.96,3
RC,790,"Inj. avsola, 10 mg ",,,33.6,33.6,3
RC,790,Inj. belrapzo/bendamustine ,,,12.64,12.64,3
RC,790,"Inj. byooviz, 0.1 mg ",,,262.66,262.66,3
RC,790,Inj. calaspargase pegol-mk ,,,93.51,93.51,3
RC,790,Inj. cetirizine hcl 0.5mg ,,,18.7,18.7,3
RC,790,"Inj. concizumab-mtci, 0.5 ",,,93.91,93.91,3
RC,790,"Inj. denosumab-bbdz, 1 mg ",,,30.15,30.15,3
RC,790,Inj. eptinezumab-jjmr 1 mg ,,,23.0,23.0,3
RC,790,Inj. fe derisomaltose 10 m ,,,22.97,22.97,3
RC,790,"Inj. ferumoxytol, 1 mg ",,,0.44,0.44,3
RC,790,"Inj. herceptin hylecta, 10 ",,,63.59,63.59,3
RC,790,"Inj. inebilizumab-cdon, 1 ",,,556.61,556.61,3
RC,790,Inj. isatuximab-irfc 10 mg ,,,96.09,96.09,3
RC,790,Inj. jivi 1 iu ,,,3.0,3.0,3
RC,790,"Inj. lumasiran, 0.5 mg ",,,367.3,367.3,3
RC,790,"Inj. lurbinectedin, 0.1 mg ",,,235.39,235.39,3
RC,790,"Inj. margetuximab-cmkb, 5 ",,,61.52,61.52,3
RC,790,"Inj. naxitamab-gqgk, 1 mg ",,,746.54,746.54,3
RC,790,Inj. pemetrexed nos 10mg ,,,7.58,7.58,3
RC,790,"Inj. pemetrexed, 10 mg ",,,8.71,8.71,3
RC,790,Inj. remestemcel-l-rknd/ t ,,,221989.18,221989.18,3
RC,790,"Inj. riabni, 10 mg ",,,20.2,20.2,3
RC,790,Inj. romosozumab-aqqg 1 mg ,,,13.88,13.88,3
RC,790,Inj. tagraxofusp-erzs 10 m ,,,389.7,389.7,3
RC,790,Inj. teprotumumab-trbw 10 ,,,414.09,414.09,3
RC,790,"Inj. xembify, 100 mg ",,,16.61,16.61,3
RC,790,"Inj., aprepitant, 1 mg ",,,1.73,1.73,3
RC,790,"Inj., aristada initio, 1 m ",,,3.77,3.77,3
RC,790,"Inj., benralizumab, 1 mg ",,,180.46,180.46,3
RC,790,"Inj., cemiplimab-rwlc, 1 m ",,,32.34,32.34,3
RC,790,"Inj., cerliponase alfa 1 m ",,,134.48,134.48,3
RC,790,"Inj., durvalumab, 10 mg ",,,95.87,95.87,3
RC,790,"Inj., emapalumab-lzsg, 1 m ",,,428.13,428.13,3
RC,790,"Inj., emicizumab-kxwh 0.5 ",,,63.25,63.25,3
RC,790,"Inj., eravacycline, 1 mg ",,,1.51,1.51,3
RC,790,"Inj., evomela, 1 mg ",,,19.67,19.67,3
RC,790,"Inj., fibryga, 1 mg ",,,1.34,1.34,3
RC,790,"Inj., guselkumab, 1 mg ",,,72.94,72.94,3
RC,790,"Inj., ibalizumab-uiyk, 10 ",,,86.67,86.67,3
RC,790,"Inj., kanjinti, 10 mg ",,,65.97,65.97,3
RC,790,"Inj., lanadelumab-flyo, 1 ",,,96.16,96.16,3
RC,790,"Inj., lumoxiti, 0.01 mg ",,,25.5,25.5,3
RC,790,"Inj., meropenem, vaborbact ",,,2.42,2.42,3
RC,790,"Inj., omadacycline, 1 mg ",,,4.56,4.56,3
RC,790,"Inj., patisiran, 0.1 mg ",,,110.12,110.12,3
RC,790,"Inj., perseris, 0.5 mg ",,,13.3,13.3,3
RC,790,"Inj., plazomicin, 5 mg ",,,3.84,3.84,3
RC,790,"Inj., ravulizumab-cwvz 10 ",,,247.34,247.34,3
RC,790,"Inj., rituximab, 10 mg ",,,79.87,79.87,3
RC,790,"Inj., tafasitamab-cxix ",,,15.73,15.73,3
RC,790,"Inj., tildrakizumab, 1 mg ",,,135.46,135.46,3
RC,790,"Inj., trazimera, 10 mg ",,,14.21,14.21,3
RC,790,"Inj., triluron, 1 mg ",,,11.37,11.37,3
RC,790,"Inj., triptorelin xr 3.75 ",,,4163.73,4163.73,3
RC,790,"Inj., vestronidase alfa-vj ",,,317.77,317.77,3
RC,790,"Inj., yutiq, 0.01 mg ",,,577.58,577.58,3
RC,790,"Inj., zirabev, 10 mg ",,,28.22,28.22,3
RC,790,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,57.89,57.89,3
RC,790,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,584.34,584.34,3
RC,790,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,966.4,966.4,3
RC,790,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,293.64,293.64,3
RC,790,Injection fitusiran 0.04 m ,,,143.01,143.01,3
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1481.0,2636.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1481.0,2636.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1481.0,2636.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1481.0,2636.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,1481.0,2174.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,1481.0,2174.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,1481.0,2174.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,1481.0,2174.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1481.0,2636.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,4
RC,790,Injection procedure for sacroiliac joint; arthrography ,,,1481.0,5932.0,9
RC,790,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1346.0,5932.0,22
RC,790,Injection trabectedin 0.1m ,,,447.42,447.42,3
RC,790,"Injection, Carfilzomib, 1 ",,,65.72,65.72,3
RC,790,"Injection, avelumab, 10 mg ",,,118.41,118.41,3
RC,790,"Injection, blinatumomab ",,,188.46,188.46,3
RC,790,"Injection, burosumab-twza ",,,559.57,559.57,3
RC,790,"Injection, cangrelor ",,,22.1,22.1,3
RC,790,"Injection, caplacizumab-yh ",,,914.69,914.69,3
RC,790,"Injection, casimersen, 10 ",,,181.13,181.13,3
RC,790,"Injection, daratumumab 10 ",,,80.41,80.41,3
RC,790,"Injection, edaravone, 1 mg ",,,7.04,7.04,3
RC,790,"Injection, elotuzumab, 1mg ",,,8.93,8.93,3
RC,790,"Injection, fulphila ",,,73.06,73.06,3
RC,790,"Injection, glucarpidase ",,,489.52,489.52,3
RC,790,"Injection, imetelstat, 1 m ",,,64.89,64.89,3
RC,790,"Injection, inclisiran, 1 m ",,,14.07,14.07,3
RC,790,"Injection, isavuconazonium ",,,1.12,1.12,3
RC,790,"Injection, ixabepilone ",,,152.33,152.33,3
RC,790,"Injection, mepolizumab, 1m ",,,35.19,35.19,3
RC,790,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,790,"Injection, necitumumab, 1 ",,,6.25,6.25,3
RC,790,"Injection, nivolumab ",,,37.3,37.3,3
RC,790,"Injection, ocrelizumab ",,,66.46,66.46,3
RC,790,"Injection, oritavancin 10 ",,,51.68,51.68,3
RC,790,"Injection, pegloticase ",,,4282.98,4282.98,3
RC,790,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,790,"Injection, peramivir ",,,1.83,1.83,3
RC,790,"Injection, renflexis ",,,29.01,29.01,3
RC,790,"Injection, reslizumab ",,,12.78,12.78,3
RC,790,"Injection, ruconest ",,,41.24,41.24,3
RC,790,"Injection, siltuximab ",,,189.73,189.73,3
RC,790,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,790,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,,,0
RC,790,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,790,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
RC,790,"Injection, trilaciclib, 1m ",,,5.95,5.95,3
RC,790,"Injection, udenyca 0.5 mg ",,,162.55,162.55,3
RC,790,"Injection,onabotulinumtoxi ",,,7.09,7.09,3
RC,790,Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) ,,,6054.0,6054.0,1
RC,790,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,98.13,98.13,3
RC,790,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,1796.0,7927.29,12
RC,790,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,1866.65,2051.22,6
RC,790,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,7839.0,25750.0,20
RC,790,Insertion of implants into the soft palate; minimum of three implants ,,,1346.0,5047.0,12
RC,790,Insertion of levonorgestrel-releasing intrauterine system ,,,21210.0,23307.22,6
RC,790,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3459.33,25655.0,20
RC,790,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3459.33,25655.0,20
RC,790,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3459.33,25655.0,20
RC,790,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,792.63,5932.0,20
RC,790,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,5286.0,17471.3,13
RC,790,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,777.74,25655.0,17
RC,790,Insertion tray with drainage bag but without catheter ,,,18.34,18.34,3
RC,790,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,44.11,44.11,3
RC,790,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,39.27,39.27,3
RC,790,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,39.95,39.95,3
RC,790,Insertion tray without drainage bag and without catheter (accessories only) ,,,10.2,10.2,3
RC,790,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,28.78,28.78,3
RC,790,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.98,19.98,3
RC,790,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,28.01,28.01,3
RC,790,"Instill, bupivac and melox ",,,0.92,0.92,3
RC,790,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,2270.0,12499.0,20
RC,790,Insulin antibodies ,,,23.34,23.34,3
RC,790,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,310.68,310.68,3
RC,790,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,112.27,112.27,3
RC,790,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,180.51,180.51,3
RC,790,Insulin; free ,,,14.12,14.12,3
RC,790,Insulin; total ,,,12.46,12.46,3
RC,790,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,37.17,37.17,3
RC,790,"Interface for cough stimulating device, includes all components, replacement only ",,,21.66,21.66,3
RC,790,Interleukin-6 (IL-6) ,,,18.82,18.82,3
RC,790,"Intermittent urinary catheter, with insertion supplies ",,,10.87,10.87,3
RC,790,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,9.93,9.93,3
RC,790,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,9.93,9.93,3
RC,790,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,10.87,10.87,3
RC,790,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.81,2.81,3
RC,790,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.81,2.81,3
RC,790,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2603.79,2603.79,3
RC,790,"Interphalangeal joint spacer, silicone or equal, each ",,,407.27,407.27,3
RC,790,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1481.0,2636.0,5
RC,790,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5840.62,5840.62,3
RC,790,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5226.87,5226.87,3
RC,790,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4250.39,4250.39,3
RC,790,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2963.28,2963.28,3
RC,790,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,25768.36,25768.36,3
RC,790,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,25630.81,25630.81,3
RC,790,Intra-atrial pacing ,,,12830.85,33939.0,9
RC,790,Intra-atrial recording ,,,12830.85,33939.0,9
RC,790,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,25253.0,33939.0,3
RC,790,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,2636.0,33939.0,4
RC,790,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,12830.85,33939.0,9
RC,790,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,4
RC,790,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,25253.0,33939.0,3
RC,790,Intragastric hypothermia using gastric freezing ,,,21210.0,23307.22,6
RC,790,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,1481.0,2174.0,3
RC,790,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,1481.0,2174.0,3
RC,790,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1481.0,5932.0,8
RC,790,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1481.0,5932.0,7
RC,790,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1481.0,2636.0,10
RC,790,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump ",,,674.93,866.88,6
RC,790,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,25253.0,33939.0,3
RC,790,Intraventricular pacing ,,,12830.85,33939.0,9
RC,790,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,18151.0,67046.86,12
RC,790,Intrinsic factor ,,,21.6,21.6,3
RC,790,Intrinsic factor antibodies ,,,16.44,16.44,3
RC,790,Ipilimumab injection ,,,207.57,207.57,3
RC,790,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,170.51,170.51,3
RC,790,Iris supported intraocular lens ,,,158.85,158.85,3
RC,790,Iron ,,,7.05,7.05,3
RC,790,Iron binding capacity ,,,9.53,9.53,3
RC,790,"Iron stain, peripheral blood ",,,7.5,7.5,3
RC,790,"Irrigation supply; sleeve, disposable, per month ",,,29.79,29.79,3
RC,790,"Irrigation supply; sleeve, reusable, per month ",,,29.79,29.79,3
RC,790,"Irrigation syringe, bulb or piston, each ",,,4.38,4.38,3
RC,790,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.05,7.05,3
RC,790,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,13.85,13.85,3
RC,790,Islet cell antibody ,,,25.69,25.69,3
RC,790,Islet cell tissue transplant from pancreas; allogeneic ,,,21210.0,23307.22,6
RC,790,Isocitric dehydrogenase (IDH) ,,,9.65,9.65,3
RC,790,Itraconazole ,,,29.55,29.55,3
RC,790,"Iv hanger, each ",,,131.03,131.03,3
RC,790,Iv pole ,,,189.03,189.03,3
RC,790,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,99.91,99.91,3
RC,790,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,201.87,201.87,3
RC,790,Jaw motion rehabilitation system ,,,45.54,45.54,3
RC,790,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,359.17,359.17,3
RC,790,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,136.11,136.11,3
RC,790,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,210.64,210.64,3
RC,790,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,210.64,210.64,3
RC,790,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1614.06,1614.06,3
RC,790,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1425.63,1425.63,3
RC,790,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,1139.85,1139.85,3
RC,790,"Ketogenic steroids, fractionation ",,,16.86,16.86,3
RC,790,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.93,4.93,3
RC,790,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.91,8.91,3
RC,790,"Ketosteroids, 17- (17-KS); fractionation ",,,31.07,31.07,3
RC,790,"Ketosteroids, 17- (17-KS); total ",,,13.95,13.95,3
RC,790,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,43082.9,43082.9,3
RC,790,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,5518.35,5518.35,3
RC,790,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1462.53,1462.53,3
RC,790,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1282.85,1282.85,3
RC,790,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,2147.78,2147.78,3
RC,790,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1499.87,1499.87,3
RC,790,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2441.88,2441.88,3
RC,790,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2828.04,2828.04,3
RC,790,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2086.23,2086.23,3
RC,790,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,233.31,233.31,3
RC,790,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1790.8,1790.8,3
RC,790,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1240.62,1240.62,3
RC,790,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1270.44,1270.44,3
RC,790,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,5813.71,5813.71,3
RC,790,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,5525.72,5525.72,3
RC,790,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4912.06,4912.06,3
RC,790,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,624.71,624.71,3
RC,790,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,654.85,654.85,3
RC,790,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,761.51,761.51,3
RC,790,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,496.12,496.12,3
RC,790,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1415.13,1415.13,3
RC,790,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,774.6,774.6,3
RC,790,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,774.6,774.6,3
RC,790,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1470.18,1470.18,3
RC,790,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1173.19,1173.19,3
RC,790,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,180.21,180.21,3
RC,790,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,180.21,180.21,3
RC,790,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,133.96,133.96,3
RC,790,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,76.43,76.43,3
RC,790,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,68.87,68.87,3
RC,790,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,396.35,396.35,3
RC,790,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1369.82,1369.82,3
RC,790,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,97.38,97.38,3
RC,790,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,2090.31,2090.31,3
RC,790,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1208.35,1208.35,3
RC,790,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,224.3,224.3,3
RC,790,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,972.3,972.3,3
RC,790,Lacosamide ,,,29.55,29.55,3
RC,790,Lactate (lactic acid) ,,,12.61,12.61,3
RC,790,"Lactate dehydrogenase (LD), (LDH); ",,,6.58,6.58,3
RC,790,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,13.94,13.94,3
RC,790,"Lactoferrin, fecal; qualitative ",,,21.47,21.47,3
RC,790,"Lactoferrin, fecal; quantitative ",,,21.4,21.4,3
RC,790,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,22.04,22.04,3
RC,790,"Lactose, urine, qualitative ",,,12.26,12.26,3
RC,790,"Lambswool sheepskin pad, any size ",,,69.62,69.62,3
RC,790,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,8778.0,33321.99,14
RC,790,Lamotrigine ,,,14.44,14.44,3
RC,790,"Lancets, per box of 100 ",,,1.55,1.55,3
RC,790,Laparoscopic esophagomyotomy (heller type) ,,,21210.0,23307.22,6
RC,790,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,14304.35,25655.0,12
RC,790,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion ",,,18151.0,25959.75,12
RC,790,"Large size footplate, each ",,,65.96,65.96,3
RC,790,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,14.52,14.52,3
RC,790,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.05,4.05,3
RC,790,Laronidase injection ,,,45.22,45.22,3
RC,790,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,98.87,98.87,3
RC,790,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2356.0,4723.0,2
RC,790,Laser in situ keratomileusis (lasik) ,,,1880.77,2066.74,6
RC,790,Laser-assisted uvulopalatoplasty (laup) ,,,21210.0,23307.22,6
RC,790,Lead ,,,13.2,13.2,3
RC,790,"Lead wires, (e.g., apnea monitor), per pair ",,,13.12,13.12,3
RC,790,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,460.59,460.59,3
RC,790,"Lecanemab-irmb, for iv inj ",,,1.46,1.46,3
RC,790,Leflunomide ,,,42.04,42.04,3
RC,790,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,12818.0,22644.0,3
RC,790,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,7799.0,17510.0,10
RC,790,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9119.84,22644.0,9
RC,790,"Leg extensions for walker, per set of four (4) ",,,27.35,27.35,3
RC,790,"Leg strap, each ",,,32.14,32.14,3
RC,790,"Leg strap, h style, each ",,,69.02,69.02,3
RC,790,"Leg strap; foam or fabric, replacement only, per set ",,,13.9,13.9,3
RC,790,"Leg strap; latex, replacement only, per set ",,,6.21,6.21,3
RC,790,"Legg perthes orthosis, (newington type), custom fabricated ",,,2762.8,2762.8,3
RC,790,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1983.09,1983.09,3
RC,790,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1622.4,1622.4,3
RC,790,"Legg perthes orthosis, (toronto type), custom fabricated ",,,2148.53,2148.53,3
RC,790,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,2049.6,2049.6,3
RC,790,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,86.85,86.85,3
RC,790,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,97.91,97.91,3
RC,790,"Lens, polycarbonate or equal, any index, per lens ",,,63.69,63.69,3
RC,790,"Lenticular (myodisc), per lens, bifocal ",,,127.41,127.41,3
RC,790,"Lenticular lens, per lens, bifocal ",,,134.21,134.21,3
RC,790,"Lenticular lens, per lens, single ",,,134.7,134.7,3
RC,790,"Lenticular lens, per lens, trifocal ",,,158.77,158.77,3
RC,790,"Lenticular, (myodisc), per lens, single vision ",,,131.62,131.62,3
RC,790,"Lenticular, (myodisc), per lens, trifocal ",,,159.23,159.23,3
RC,790,Leucine aminopeptidase (LAP) ,,,10.69,10.69,3
RC,790,Leukocyte alkaline phosphatase with count ,,,9.37,9.37,3
RC,790,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.65,4.65,3
RC,790,Leukocyte histamine release test (LHR) ,,,13.58,13.58,3
RC,790,Leukocyte phagocytosis ,,,11.33,11.33,3
RC,790,Leuprolide acetate ,,,2006.97,2006.97,3
RC,790,Leuprolide acetate suspnsi ,,,174.77,174.77,3
RC,790,"Leuprolide inj, camcevi, 1 ",,,45.84,45.84,3
RC,790,Levetiracetam ,,,14.44,14.44,3
RC,790,Lidocaine ,,,16.01,16.01,3
RC,790,"Lift, elevation, heel and sole, neoprene, per inch ",,,109.61,109.61,3
RC,790,"Lift, elevation, heel, per inch ",,,51.37,51.37,3
RC,790,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,70.21,70.21,3
RC,790,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,99.33,99.33,3
RC,790,"Lift, elevation, metal extension (skate) ",,,762.16,762.16,3
RC,790,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.73,2.73,3
RC,790,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.73,2.73,3
RC,790,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.79,1.79,3
RC,790,Lightweight portable motorized/power wheelchair ,,,504.72,504.72,3
RC,790,Lightweight wheelchair ,,,48.42,48.42,3
RC,790,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,160.04,160.04,3
RC,790,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,122.64,122.64,3
RC,790,Lingual frenectomy (frenulectomy) ,,,10868.0,12875.0,4
RC,790,Lipase ,,,7.51,7.51,3
RC,790,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,14.6,14.6,3
RC,790,Lipoprotein (a) ,,,15.61,15.61,3
RC,790,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,12.27,12.27,3
RC,790,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,36.91,36.91,3
RC,790,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,37.27,37.27,3
RC,790,"Lipoprotein, direct measurement; LDL cholesterol ",,,11.45,11.45,3
RC,790,"Lipoprotein, direct measurement; VLDL cholesterol ",,,13.9,13.9,3
RC,790,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.93,8.93,3
RC,790,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,37.27,37.27,3
RC,790,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,50.48,50.48,3
RC,790,Lithium ,,,7.2,7.2,3
RC,790,"Lithium ion battery charger, replacement only ",,,681.02,681.02,3
RC,790,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,87.25,87.25,3
RC,790,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,217.57,217.57,3
RC,790,"Lithium ion battery, rechargeable, replacement ",,,525.3,525.3,3
RC,790,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,192.05,192.05,3
RC,790,Lobar lung transplantation ,,,21210.0,23307.22,6
RC,790,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation ,,,21210.0,23307.22,6
RC,790,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,431.64,431.64,3
RC,790,"Lso, corset front ",,,166.52,166.52,3
RC,790,"Lso, full corset ",,,235.72,235.72,3
RC,790,"Lubricant, individual sterile packet, each ",,,0.16,0.16,3
RC,790,"Lubricant, per ounce ",,,2.47,2.47,3
RC,790,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,43.99,43.99,3
RC,790,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,328.23,553.59,6
RC,790,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,62.24,104.98,6
RC,790,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1806.34,1806.34,3
RC,790,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,66.98,66.98,3
RC,790,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,819.72,1382.52,6
RC,790,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,129.31,218.07,6
RC,790,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1332.46,1332.46,3
RC,790,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,948.46,1636.11,9
RC,790,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,948.46,948.46,3
RC,790,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1636.11,1776.17,6
RC,790,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,228.98,386.2,6
RC,790,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1708.44,1708.44,3
RC,790,Luteinizing releasing factor (LRH) ,,,18.74,18.74,3
RC,790,Lutetium lu 177 dotatat th ,,,381.73,381.73,3
RC,790,Lutetium lu 177 vipivotide ,,,291.37,291.37,3
RC,790,Lymphocyte immune globulin ,,,6048.37,6048.37,3
RC,790,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,53.44,53.44,3
RC,790,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,206.57,206.57,3
RC,790,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,51.87,51.87,3
RC,790,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,42.85,42.85,3
RC,790,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,163.5,163.5,3
RC,790,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,575.38,575.38,3
RC,790,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,130.8,130.8,3
RC,790,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,135.86,135.86,3
RC,790,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,220.62,220.62,3
RC,790,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,736.19,736.19,3
RC,790,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,790,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,209.63,209.63,3
RC,790,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,163.86,163.86,3
RC,790,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,201.87,201.87,3
RC,790,MRI and MRA with Contrast ,,,929.3,929.3,3
RC,790,MRI and MRA without Contra ,,,576.44,576.44,3
RC,790,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,232.5,232.5,3
RC,790,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,416.05,416.05,3
RC,790,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,368.13,368.13,3
RC,790,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,259.42,259.42,3
RC,790,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,699.62,699.62,3
RC,790,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,335.72,335.72,3
RC,790,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,71.22,71.22,3
RC,790,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,191.19,191.19,3
RC,790,Macroscopic examination; arthropod ,,,4.65,4.65,3
RC,790,Macroscopic examination; parasite ,,,4.7,4.7,3
RC,790,Magnesium ,,,7.3,7.3,3
RC,790,Malate dehydrogenase ,,,8.03,8.03,3
RC,790,"Male external catheter with integral collection chamber, any type, each ",,,16.75,16.75,3
RC,790,"Male external catheter, with or without adhesive, disposable, each ",,,3.13,3.13,3
RC,790,Manganese ,,,29.05,29.05,3
RC,790,"Manual adult size wheelchair, includes tilt in space ",,,367.54,367.54,3
RC,790,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,26.62,30.25,9
RC,790,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,174.86,174.86,3
RC,790,"Manual wheelchair accessory, adapter for amputee, each ",,,59.09,59.09,3
RC,790,"Manual wheelchair accessory, anti-rollback device, each ",,,100.37,100.37,3
RC,790,"Manual wheelchair accessory, anti-tipping device, each ",,,38.15,38.15,3
RC,790,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,51.23,51.23,3
RC,790,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,24.6,24.6,3
RC,790,"Manual wheelchair accessory, foam caster tire, any size, each ",,,50.65,50.65,3
RC,790,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,50.65,50.65,3
RC,790,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,57.24,57.24,3
RC,790,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,57.24,57.24,3
RC,790,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,279.4,279.4,3
RC,790,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,95.53,95.53,3
RC,790,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,45.45,45.45,3
RC,790,"Manual wheelchair accessory, headrest extension, each ",,,96.42,96.42,3
RC,790,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,38.71,38.71,3
RC,790,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,447.12,447.12,3
RC,790,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,553.19,553.19,3
RC,790,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,950.72,950.72,3
RC,790,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,578.77,578.77,3
RC,790,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,405.56,405.56,3
RC,790,"Manual wheelchair accessory, one-arm drive attachment, each ",,,55.36,55.36,3
RC,790,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,41.71,41.71,3
RC,790,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,44.11,44.11,3
RC,790,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,388.24,388.24,3
RC,790,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,296.77,296.77,3
RC,790,"Manual wheelchair accessory, power assist system ",,,755.63,755.63,3
RC,790,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,119.39,119.39,3
RC,790,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,34.43,34.43,3
RC,790,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,29.45,29.45,3
RC,790,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,36.77,36.77,3
RC,790,"Manual wheelchair accessory, solid seat insert ",,,104.9,104.9,3
RC,790,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,182.35,182.35,3
RC,790,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,13.21,13.21,3
RC,790,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,8.12,8.12,3
RC,790,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,122.68,122.68,3
RC,790,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,49.56,49.56,3
RC,790,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,26.35,26.35,3
RC,790,Marsupialization of odontogenic cyst ,,,10868.0,12875.0,4
RC,790,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,26.28,26.28,3
RC,790,"Mattress, foam rubber ",,,182.92,182.92,3
RC,790,"Mattress, innerspring ",,,162.65,162.65,3
RC,790,Maxillary guidance prosthesis with guide flange ,,,10868.0,12875.0,3
RC,790,Maxillary guidance prosthesis without guide flange ,,,10868.0,12875.0,3
RC,790,"Meat fibers, feces ",,,5.29,5.29,3
RC,790,"Mechanical fragility, RBC ",,,9.37,9.37,3
RC,790,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.78,15.78,3
RC,790,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.78,15.78,3
RC,790,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,34.07,34.07,3
RC,790,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,29.42,29.42,3
RC,790,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,29.42,29.42,3
RC,790,Mental Health Services Com ,,,448.48,448.48,3
RC,790,"Mercury, quantitative ",,,17.72,17.72,3
RC,790,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2929.23,2929.23,3
RC,790,Metacarpophalangeal joint implant ,,,449.58,449.58,3
RC,790,"Metal-on-metal total hip resurfacing, including acetabular and femoral components ",,,21210.0,23307.22,6
RC,790,Metanephrines ,,,18.46,18.46,3
RC,790,"Metatarsal bar wedge, between sole ",,,125.07,125.07,3
RC,790,"Metatarsal bar wedge, rocker ",,,54.84,54.84,3
RC,790,Metatarsal joint implant ,,,467.12,467.12,3
RC,790,Methemalbumin ,,,11.71,11.71,3
RC,790,Methotrexate ,,,42.04,42.04,3
RC,790,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,99.36,99.36,3
RC,790,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,24.5,24.5,3
RC,790,"Microphone for use with cochlear implant device, replacement ",,,141.75,141.75,3
RC,790,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,4184.46,4184.46,3
RC,790,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",,,19606.92,19606.92,3
RC,790,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,6141.23,6141.23,3
RC,790,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,379.93,379.93,3
RC,790,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,15.86,15.86,3
RC,790,Microsurgical epididymal sperm aspiration (mesa) ,,,21210.0,23307.22,6
RC,790,"Midfacial prosthesis, provided by a non-physician ",,,3876.53,3876.53,3
RC,790,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft ",,,38805.02,42642.01,6
RC,790,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts ",,,42651.53,46868.85,6
RC,790,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous ",,,42326.23,46511.39,6
RC,790,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft ",,,46172.73,50738.23,6
RC,790,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft ",,,37822.06,41561.86,6
RC,790,"Mitochondrial antibody (eg, M2), each ",,,27.74,27.74,3
RC,790,Mitomycin instillation ,,,359.63,359.63,3
RC,790,Mitomycin intravesical ins ,,,299.03,299.03,3
RC,790,Mitoxantrone hydrochl ,,,32.38,32.38,3
RC,790,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,877.28,877.28,3
RC,790,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.73,2.73,3
RC,790,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,23.35,23.35,3
RC,790,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,37.94,37.94,3
RC,790,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,44.36,44.36,3
RC,790,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,55.8,55.8,3
RC,790,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,46.19,46.19,3
RC,790,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,69.72,69.72,3
RC,790,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,149.33,149.33,3
RC,790,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,163.86,163.86,3
RC,790,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,201.87,201.87,3
RC,790,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,299.56,299.56,3
RC,790,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,328.47,328.47,3
RC,790,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,308.34,308.34,3
RC,790,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,922.43,922.43,3
RC,790,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2180.0,2180.0,3
RC,790,Mometasone sinus sinuva ,,,12.37,12.37,3
RC,790,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,474.35,474.35,3
RC,790,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,394.78,394.78,3
RC,790,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4913.01,4913.01,3
RC,790,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,25299.12,25299.12,3
RC,790,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,29.19,29.19,3
RC,790,Monthly supplies for use of device coded at e0733 ,,,44.77,44.77,3
RC,790,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,99.72,99.72,3
RC,790,Mouth piece ,,,4.82,4.82,3
RC,790,"Mucin, synovial fluid (Ropes test) ",,,6.39,6.39,3
RC,790,"Mucopolysaccharides, acid, quantitative ",,,31.07,31.07,3
RC,790,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,5.4,5.4,3
RC,790,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1103.2,1103.2,3
RC,790,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,782.97,782.97,3
RC,790,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.81,21.91,6
RC,790,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1351.71,1351.71,3
RC,790,Muramidase ,,,20.44,20.44,3
RC,790,Muscle-specific kinase (MuSK) antibody ,,,20.06,20.06,3
RC,790,Mycophenolate (mycophenolic acid) ,,,19.67,19.67,3
RC,790,"Myelin basic protein, cerebrospinal fluid ",,,18.75,18.75,3
RC,790,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,13.13,13.13,3
RC,790,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,41.13,41.13,3
RC,790,Myeloperoxidase (MPO) ,,,55.44,55.44,3
RC,790,Myoglobin ,,,14.08,14.08,3
RC,790,"Myringotomy, laser-assisted ",,,7839.0,23307.22,10
RC,790,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,268.71,268.71,3
RC,790,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,322.41,322.41,3
RC,790,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,564.93,564.93,3
RC,790,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,790,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,790,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,225.97,225.97,3
RC,790,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,317.58,317.58,3
RC,790,"Narrowing device, wheelchair ",,,221.4,221.4,3
RC,790,"Narsoplimab-wuug, 1 mg ",,,111.68,111.68,3
RC,790,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,2700.0,23307.22,12
RC,790,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,76.3,76.3,3
RC,790,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,21.09,21.09,3
RC,790,"Nasal prosthesis, provided by a non-physician ",,,3216.13,3216.13,3
RC,790,"Nasal septal prosthesis, provided by a non-physician ",,,1785.83,1785.83,3
RC,790,Nasal smear for eosinophils ,,,6.31,6.31,3
RC,790,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,4807.0,4807.0,1
RC,790,Nasopharyngoscopy with endoscope (separate procedure) ,,,4693.0,5932.0,4
RC,790,Natalizumab injection ,,,26.6,26.6,3
RC,790,Natriuretic peptide ,,,42.79,42.79,3
RC,790,"Natural killer (NK) cells, total count ",,,41.13,41.13,3
RC,790,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,179.47,179.47,3
RC,790,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,142.59,142.59,3
RC,790,"Nebulizer, ultrasonic, large volume ",,,159.66,159.66,3
RC,790,"Nebulizer, with compressor ",,,7.79,7.79,3
RC,790,"Nebulizer, with compressor and heater ",,,35.07,35.07,3
RC,790,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,45.9,54.98,6
RC,790,"Negative pressure wound therapy electrical pump, stationary or portable ",,,869.84,869.84,3
RC,790,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,398.77,430.59,6
RC,790,Nelarabine injection ,,,71.29,71.29,3
RC,790,"Nephelometry, each analyte not elsewhere specified ",,,14.82,14.82,3
RC,790,Nerve dissection ,,,10868.0,12875.0,3
RC,790,Neurofilament light chain (NfL) ,,,126.69,126.69,3
RC,790,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,55.58,55.58,3
RC,790,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3373.68,3373.68,3
RC,790,Neuromuscular stimulator for scoliosis ,,,120.91,120.91,3
RC,790,"Neuromuscular stimulator, electronic shock unit ",,,139.06,139.06,3
RC,790,"Neutralization test, viral ",,,18.43,18.43,3
RC,790,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,45.92,45.92,3
RC,790,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,86.77,86.77,3
RC,790,Nickel ,,,26.72,26.72,3
RC,790,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,52.85,52.85,3
RC,790,Nitroblue tetrazolium dye test (NTD) ,,,14.83,14.83,3
RC,790,Nivestym ,,,0.35,0.35,3
RC,790,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,328.38,328.38,3
RC,790,"Non-implanted pelvic floor electrical stimulator, complete system ",,,81.23,81.23,3
RC,790,Non-invasive vagus nerve stimulator ,,,54.33,54.33,3
RC,790,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,823.53,823.53,3
RC,790,Non-pneumatic compression controller without calibrated gradient pressure ,,,142.67,142.67,3
RC,790,"Non-pneumatic sequential compression garment, full arm ",,,68.64,68.64,3
RC,790,"Non-pneumatic sequential compression garment, full leg ",,,50.29,50.29,3
RC,790,"Non-pneumatic sequential compression garment, half leg ",,,27.04,27.04,3
RC,790,"Non-pneumatic sequential compression garment, trunk ",,,89.76,89.76,3
RC,790,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,88.87,88.87,3
RC,790,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,26773.0,42427.0,3
RC,790,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,212.82,212.82,3
RC,790,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,248.15,248.15,3
RC,790,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,162.41,162.41,3
RC,790,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,214.51,214.51,3
RC,790,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,25.12,25.12,3
RC,790,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,37.53,37.53,3
RC,790,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,13.48,13.48,3
RC,790,Nonpowered advanced pressure reducing mattress ,,,279.73,279.73,3
RC,790,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,790,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2336.52,2336.52,3
RC,790,"Normal, low and high calibrator solution / chips ",,,3.68,3.68,3
RC,790,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,23.74,23.74,3
RC,790,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3623.16,3623.16,3
RC,790,Nucleotidase 5'- ,,,12.15,12.15,3
RC,790,Obecbtge autol up to 400 m ,,,303292.5,303292.5,3
RC,790,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,81.6,81.6,3
RC,790,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,52.11,52.11,3
RC,790,"Occluder lens, per lens ",,,28.56,28.56,3
RC,790,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,96.65,109.83,6
RC,790,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,96.65,109.83,6
RC,790,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,96.65,109.83,6
RC,790,Octagam injection ,,,51.29,51.29,3
RC,790,Ocular implant ,,,885.23,885.23,3
RC,790,Ofatumumab injection ,,,67.84,67.84,3
RC,790,Oligoclonal immune (oligoclonal bands) ,,,29.86,29.86,3
RC,790,Omalizumab injection ,,,50.78,50.78,3
RC,790,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2736.13,2736.13,3
RC,790,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,4221.57,4221.57,3
RC,790,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,4221.57,4221.57,3
RC,790,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,4221.57,4221.57,3
RC,790,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,4221.57,4221.57,3
RC,790,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,4221.57,4221.57,3
RC,790,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3396.44,3396.44,3
RC,790,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,554.67,554.67,3
RC,790,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7840.37,7840.37,3
RC,790,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,193.54,193.54,3
RC,790,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,631.61,631.61,3
RC,790,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,828.4,828.4,3
RC,790,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,3129.39,3129.39,3
RC,790,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,977.73,977.73,3
RC,790,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,283.94,283.94,3
RC,790,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,4221.57,4221.57,3
RC,790,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,4221.57,4221.57,3
RC,790,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2212.7,2212.7,3
RC,790,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3924.0,3924.0,3
RC,790,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,566.8,566.8,3
RC,790,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,4087.5,4087.5,3
RC,790,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,8475.84,8475.84,3
RC,790,Oncoprotein; HER-2/neu ,,,70.21,70.21,3
RC,790,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,70.21,70.21,3
RC,790,One way chest drain valve ,,,63.18,63.18,3
RC,790,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,5286.0,25655.0,20
RC,790,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,5286.0,12875.0,7
RC,790,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,5286.0,12875.0,7
RC,790,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,8778.0,76895.0,21
RC,790,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,8778.0,25655.0,21
RC,790,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,8778.0,76895.0,21
RC,790,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,4036.0,8858.0,12
RC,790,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,4036.0,8858.0,12
RC,790,"Oral and/or oropharyngeal suction catheter, each ",,,5.69,5.69,3
RC,790,Oral busulfan ,,,11.03,11.03,3
RC,790,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,44.54,44.54,3
RC,790,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,114.85,114.85,3
RC,790,"Oral interface used with positive airway pressure device, each ",,,108.61,108.61,3
RC,790,"Oral interface used with respiratory suction pump, each ",,,187.82,187.82,3
RC,790,"Oral netupitant, palonoset ",,,516.7,516.7,3
RC,790,"Orbital prosthesis, provided by a non-physician ",,,4355.65,4355.65,3
RC,790,"Organic acid, single, quantitative ",,,23.12,23.12,3
RC,790,"Organic acids; qualitative, each specimen ",,,17.93,17.93,3
RC,790,"Organic acids; total, quantitative, each specimen ",,,25.72,25.72,3
RC,790,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,86.35,86.35,3
RC,790,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.65,73.65,3
RC,790,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,71.95,71.95,3
RC,790,"Orthopedic shoe addition, convert instep to velcro closure ",,,87.35,87.35,3
RC,790,"Orthopedic shoe addition, insole, felt covered with leather ",,,42.8,42.8,3
RC,790,"Orthopedic shoe addition, insole, leather ",,,39.44,39.44,3
RC,790,"Orthopedic shoe addition, insole, rubber ",,,39.44,39.44,3
RC,790,"Orthopedic shoe addition, march bar ",,,56.51,56.51,3
RC,790,"Orthopedic shoe addition, sole, full ",,,68.5,68.5,3
RC,790,"Orthopedic shoe addition, sole, half ",,,42.8,42.8,3
RC,790,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,114.72,114.72,3
RC,790,"Orthopedic shoe addition, toe tap standard ",,,12.01,12.01,3
RC,790,"Orthopedic shoe addition, toe tap, horseshoe ",,,30.8,30.8,3
RC,790,"Orthotic side bar disconnect device, per bar ",,,175.42,175.42,3
RC,790,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,44.2,50.23,9
RC,790,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,48.02,54.57,6
RC,790,Orthovisc inj per dose ,,,109.36,109.36,3
RC,790,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,57.38,57.38,3
RC,790,Osmolality; blood ,,,7.2,7.2,3
RC,790,Osmolality; urine ,,,7.43,7.43,3
RC,790,"Osmotic fragility, RBC; incubated ",,,14.56,14.56,3
RC,790,"Osmotic fragility, RBC; unincubated ",,,8.14,8.14,3
RC,790,Ossicula implant ,,,401.67,401.67,3
RC,790,Osteocalcin (bone g1a protein) ,,,32.54,32.54,3
RC,790,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,6083.22,6083.22,3
RC,790,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,6043.83,6043.83,3
RC,790,"Osteogenesis stimulator, electrical, surgically implanted ",,,441.73,441.73,3
RC,790,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,5022.31,5022.31,3
RC,790,"Osteotomy, periacetabular, with internal fixation ",,,21210.0,23307.22,6
RC,790,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.16,0.16,3
RC,790,Ostomy accessory; convex insert ,,,3.03,3.03,3
RC,790,Ostomy belt with peristomal hernia support ,,,62.88,62.88,3
RC,790,"Ostomy belt, each ",,,10.57,10.57,3
RC,790,"Ostomy clamp, any type, replacement only, each ",,,3.68,3.68,3
RC,790,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.05,3
RC,790,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,4.02,4.02,3
RC,790,"Ostomy faceplate equivalent, silicone ring, each ",,,14.92,14.92,3
RC,790,"Ostomy faceplate, each ",,,28.51,28.51,3
RC,790,"Ostomy filter, any type, each ",,,0.39,0.39,3
RC,790,Ostomy irrigation set ,,,75.92,75.92,3
RC,790,"Ostomy irrigation supply; bag, each ",,,18.64,18.64,3
RC,790,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.2,16.2,3
RC,790,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.49,3.49,3
RC,790,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.79,5.79,3
RC,790,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,4.28,4.28,3
RC,790,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.79,2.79,3
RC,790,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.88,2.88,3
RC,790,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.68,2.68,3
RC,790,"Ostomy pouch, closed; for use on faceplate, each ",,,2.54,2.54,3
RC,790,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,3.2,3.2,3
RC,790,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.31,2.31,3
RC,790,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.81,2.81,3
RC,790,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,6.66,6.66,3
RC,790,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,47.76,47.76,3
RC,790,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,8.56,8.56,3
RC,790,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,4.21,4.21,3
RC,790,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,8.95,8.95,3
RC,790,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,9.64,9.64,3
RC,790,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,7.39,7.39,3
RC,790,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.77,6.77,3
RC,790,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,14.91,14.91,3
RC,790,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.91,14.91,3
RC,790,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,7.26,7.26,3
RC,790,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,26.67,26.67,3
RC,790,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,73.91,73.91,3
RC,790,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,4.21,4.21,3
RC,790,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,4.24,4.24,3
RC,790,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,4.34,4.34,3
RC,790,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,5.56,5.56,3
RC,790,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,5.49,5.49,3
RC,790,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,3.23,3.23,3
RC,790,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,38.25,38.25,3
RC,790,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,7.18,7.18,3
RC,790,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,43.79,43.79,3
RC,790,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,12.82,12.82,3
RC,790,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,10.98,10.98,3
RC,790,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,14.04,14.04,3
RC,790,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,13.23,13.23,3
RC,790,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,10.13,10.13,3
RC,790,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,23.33,23.33,3
RC,790,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,57.99,57.99,3
RC,790,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,12.7,12.7,3
RC,790,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.94,4.94,3
RC,790,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,5.21,5.21,3
RC,790,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.84,5.84,3
RC,790,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,5.57,5.57,3
RC,790,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,9.34,9.34,3
RC,790,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.64,9.64,3
RC,790,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,5.35,5.35,3
RC,790,"Ostomy ring, each ",,,2.61,2.61,3
RC,790,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.77,3.77,3
RC,790,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,5.31,5.31,3
RC,790,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,8.89,8.89,3
RC,790,"Ostomy skin barrier, powder, per oz ",,,5.67,5.67,3
RC,790,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.91,7.91,3
RC,790,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.91,7.91,3
RC,790,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,6.53,6.53,3
RC,790,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,15.34,15.34,3
RC,790,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,9.64,9.64,3
RC,790,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,14.04,14.04,3
RC,790,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,9.74,9.74,3
RC,790,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,7.64,7.64,3
RC,790,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,9.32,9.32,3
RC,790,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,13.6,13.6,3
RC,790,"Ostomy vent, any type, each ",,,2.01,2.01,3
RC,790,Other manual wheelchair/base ,,,111.03,111.03,3
RC,790,"Other scoliosis procedure, body jacket molded to patient model ",,,2411.71,2411.71,3
RC,790,"Other scoliosis procedure, post-operative body jacket ",,,2323.23,2323.23,3
RC,790,Otolaryngologic examination under general anesthesia ,,,962.95,2636.0,11
RC,790,Outflare wedge ,,,66.8,66.8,3
RC,790,"Ova and parasites, direct smears, concentration and identification ",,,9.7,9.7,3
RC,790,"Oversize lens, per lens ",,,16.72,16.72,3
RC,790,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,13.84,13.84,3
RC,790,Oxalate ,,,15.75,15.75,3
RC,790,Oxcarbazepine ,,,14.44,14.44,3
RC,790,Oxygen and water vapor enriching system with heated delivery ,,,142.06,142.06,3
RC,790,Oxygen and water vapor enriching system without heated delivery ,,,114.79,114.79,3
RC,790,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,106.99,106.99,3
RC,790,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,106.99,106.99,3
RC,790,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,737.39,737.39,3
RC,790,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,328.47,328.47,3
RC,790,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,278.0,278.0,3
RC,790,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,359.17,359.17,3
RC,790,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,299.56,299.56,3
RC,790,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,317.58,317.58,3
RC,790,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,225.97,225.97,3
RC,790,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,225.97,225.97,3
RC,790,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,826.61,826.61,3
RC,790,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,838.84,838.84,3
RC,790,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,50.79,50.79,3
RC,790,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,221.82,221.82,3
RC,790,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,737.39,737.39,3
RC,790,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,360.79,360.79,3
RC,790,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,327.0,327.0,3
RC,790,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,654.0,654.0,3
RC,790,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,50.79,50.79,3
RC,790,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,743.75,743.75,3
RC,790,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,369.48,369.48,3
RC,790,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.9,2.9,3
RC,790,"Pad for water circulating heat unit, for replacement only ",,,154.71,154.71,3
RC,790,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.06,3
RC,790,"Pail or pan for use with commode chair, replacement only ",,,14.4,14.4,3
RC,790,Panitumumab injection ,,,198.59,198.59,3
RC,790,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,26.79,26.79,3
RC,790,"Paraffin, per pound ",,,5.3,5.3,3
RC,790,Parathormone (parathyroid hormone) ,,,45.0,45.0,3
RC,790,"Parenteral infusion pump, stationary, single or multi-channel ",,,400.55,400.55,3
RC,790,Partial extraction for immediate implant replacement ,,,10868.0,12875.0,3
RC,790,"Partial facial prosthesis, provided by a non-physician ",,,3484.5,3484.5,3
RC,790,"Partial foot, molded socket, ankle height, with toe filler ",,,2041.25,2041.25,3
RC,790,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,3066.46,3066.46,3
RC,790,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,898.98,898.98,3
RC,790,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,400.53,400.53,3
RC,790,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,2002.67,2002.67,3
RC,790,"Particle agglutination; screen, each antibody ",,,12.58,12.58,3
RC,790,"Particle agglutination; titer, each antibody ",,,11.6,11.6,3
RC,790,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2011.22,2011.22,3
RC,790,Pathogen reduced plasma po ,,,60.8,60.8,3
RC,790,Pathogen reduced plasma si ,,,320.98,320.98,3
RC,790,"Patient lift, electric with seat or sling ",,,171.4,171.4,3
RC,790,"Patient lift, fixed system, includes all components/accessories ",,,173.29,173.29,3
RC,790,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,79.37,79.37,3
RC,790,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,173.29,173.29,3
RC,790,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1439.58,1439.58,3
RC,790,"Peak expiratory flow rate meter, hand held ",,,36.94,36.94,3
RC,790,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,348.7,348.7,3
RC,790,Pegaspargase injection ,,,32333.72,32333.72,3
RC,790,Pelvic belt/harness/boot ,,,60.56,60.56,3
RC,790,Pembrolizumab 1mg berahyal ,,,34.81,34.81,3
RC,790,Peng benzathine/procaine i ,,,21.28,21.28,3
RC,790,"Penile contracture device, manual, greater than 3 lbs traction force ",,,159.71,159.71,3
RC,790,Pentostatin injection ,,,2940.81,2940.81,3
RC,790,"Percussor, electric or pneumatic, home model ",,,68.28,68.28,3
RC,790,Percutaneous balloon valvuloplasty; aortic valve ,,,15852.51,26125.0,9
RC,790,Percutaneous balloon valvuloplasty; mitral valve ,,,16482.0,48155.21,9
RC,790,Percutaneous balloon valvuloplasty; pulmonary valve ,,,16482.0,48155.21,9
RC,790,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,7839.0,23307.22,20
RC,790,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,5286.0,23307.22,20
RC,790,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,17.55,17.55,3
RC,790,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,10868.0,25655.0,16
RC,790,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion ",,,7622.37,25655.0,12
RC,790,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,7839.0,12875.0,7
RC,790,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5849.0,18490.0,22
RC,790,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,12109.0,44631.92,14
RC,790,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,12109.0,44631.92,14
RC,790,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,4
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,8325.0,77468.25,10
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,8325.0,77468.25,10
RC,790,Percutaneous transcatheter closure of patent ductus arteriosus ,,,7668.0,77468.25,15
RC,790,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,31707.14,94000.0,9
RC,790,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,51705.0,94000.0,3
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,25794.0,48155.21,9
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,17031.0,91021.43,9
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,8778.0,9417.0,2
RC,790,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,2495.65,33769.0,14
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,15852.51,42840.0,9
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,10868.0,31792.18,9
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,10868.0,141036.9,9
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3459.33,12875.0,10
RC,790,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,8778.0,9417.0,2
RC,790,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,21909.0,48155.21,9
RC,790,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,10763.0,10763.0,1
RC,790,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,51007.9,94000.0,9
RC,790,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,51705.0,94000.0,3
RC,790,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,25794.0,77468.25,9
RC,790,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,8778.0,9417.0,2
RC,790,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,1481.0,2174.0,3
RC,790,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,10868.0,52984.21,13
RC,790,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,18279.0,29259.0,3
RC,790,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,18279.0,48155.21,9
RC,790,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2236.16,46000.0,9
RC,790,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,21210.0,94000.0,9
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,51007.9,94000.0,12
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,8778.0,9417.0,2
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,25794.0,57319.96,15
RC,790,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,31707.14,94000.0,12
RC,790,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,8778.0,48155.21,11
RC,790,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,10868.0,25655.0,20
RC,790,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,10868.0,25655.0,20
RC,790,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,10868.0,25655.0,20
RC,790,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,10868.0,25655.0,20
RC,790,"Perianal fecal collection pouch with adhesive, each ",,,11.0,11.0,3
RC,790,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,10868.0,12875.0,4
RC,790,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,10868.0,12875.0,4
RC,790,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,47.95,47.95,3
RC,790,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,29.16,29.16,3
RC,790,"Pertuzu, trastuzu, 10 mg ",,,65.29,65.29,3
RC,790,"Pessary, reusable, non rubber, any type ",,,79.53,79.53,3
RC,790,"Pessary, reusable, rubber, any type ",,,31.97,31.97,3
RC,790,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1481.0,2636.0,5
RC,790,Phenobarbital ,,,16.68,16.68,3
RC,790,"Phenylalanine (PKU), blood ",,,6.0,6.0,3
RC,790,Phenylep ketorolac opth so ,,,104.97,104.97,3
RC,790,"Phenylketones, qualitative ",,,4.34,4.34,3
RC,790,Phenytoin; free ,,,15.0,15.0,3
RC,790,Phenytoin; total ,,,14.44,14.44,3
RC,790,"Phlebotomy, therapeutic (separate procedure) ",,,237.69,305.28,6
RC,790,"Phosphatase, acid; prostatic ",,,10.53,10.53,3
RC,790,"Phosphatase, acid; total ",,,8.33,8.33,3
RC,790,"Phosphatase, alkaline; ",,,5.65,5.65,3
RC,790,"Phosphatase, alkaline; heat stable (total not included) ",,,9.0,9.0,3
RC,790,"Phosphatase, alkaline; isoenzymes ",,,16.11,16.11,3
RC,790,Phosphatidylglycerol ,,,18.01,18.01,3
RC,790,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,10.29,10.29,3
RC,790,Phosphohexose isomerase ,,,11.7,11.7,3
RC,790,Phospholipid neutralization; hexagonal phospholipid ,,,19.6,19.6,3
RC,790,Phospholipid neutralization; platelet ,,,19.6,19.6,3
RC,790,Phosphorus inorganic (phosphate); ,,,5.17,5.17,3
RC,790,Phosphorus inorganic (phosphate); urine ,,,6.3,6.3,3
RC,790,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1481.0,2636.0,5
RC,790,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1481.0,2636.0,5
RC,790,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1481.0,2636.0,5
RC,790,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,1481.0,2174.0,4
RC,790,Photorefractive keratectomy (prk) ,,,1880.77,2066.74,6
RC,790,Phototherapeutic keratectomy (ptk) ,,,21210.0,23307.22,6
RC,790,Phototherapy (bilirubin) light with photometer ,,,97.28,97.28,3
RC,790,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,32.37,36.79,9
RC,790,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,94.1,106.93,6
RC,790,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,94.1,106.93,6
RC,790,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,94.1,106.93,6
RC,790,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1481.0,2636.0,5
RC,790,"Piflu f-18, dia 1 millicur ",,,377.67,377.67,3
RC,790,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,21.11,21.11,3
RC,790,"Pinworm exam (eg, cellophane tape prep) ",,,4.65,4.65,3
RC,790,Pinworm examinations ,,,4.65,4.65,3
RC,790,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1481.0,2636.0,5
RC,790,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1346.0,3293.0,12
RC,790,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,2714.84,3486.95,6
RC,790,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1481.0,2636.0,5
RC,790,Plaelet rich plasma unit ,,,610.17,610.17,3
RC,790,Plasma 1 donor frz w/in 8 ,,,93.72,93.72,3
RC,790,Plasma cryo redu path each ,,,145.8,145.8,3
RC,790,"Plasma protein fract,5%,50 ",,,8.84,8.84,3
RC,790,"Plasma, frz between 8-24ho ",,,80.41,80.41,3
RC,790,"Plasmaprotein fract,5%,250 ",,,38.5,38.5,3
RC,790,Plate pheres leukoredu irr ,,,741.86,741.86,3
RC,790,Platelet pheres leukoreduc ,,,557.63,557.63,3
RC,790,Platelet pheresis irradiat ,,,1034.55,1034.55,3
RC,790,"Platelet, aggregation (in vitro), each agent ",,,27.15,27.15,3
RC,790,Platelets leukocytes reduc ,,,157.24,157.24,3
RC,790,Platelets leukoreduced irr ,,,206.65,206.65,3
RC,790,Platelets pheresis path re ,,,662.1,662.1,3
RC,790,"Platelets, each unit ",,,57.96,57.96,3
RC,790,"Platelets, hla-m, l/r, uni ",,,771.79,771.79,3
RC,790,"Platelets, irradiated ",,,428.34,428.34,3
RC,790,"Platelets, pheresis ",,,336.77,336.77,3
RC,790,"Platform attachment, forearm crutch, each ",,,107.8,107.8,3
RC,790,"Platform attachment, walker, each ",,,61.84,61.84,3
RC,790,"Platforms for home blood glucose monitor, 50 per box ",,,6.08,6.08,3
RC,790,Plerixafor injection ,,,31.05,31.05,3
RC,790,"Plt, aph/pher, l/r, cmv-ne ",,,273.03,273.03,3
RC,790,"Plt, pher, l/r cmv-neg, ir ",,,548.76,548.76,3
RC,790,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,597.35,597.35,3
RC,790,"Pneumatic compressor, non-segmental home model ",,,1085.77,1085.77,3
RC,790,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,8235.29,8235.29,3
RC,790,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1426.65,1426.65,3
RC,790,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,236.46,236.46,3
RC,790,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,,,0
RC,790,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,,,0
RC,790,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,,,0
RC,790,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,,,0
RC,790,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,,,0
RC,790,"Pneumococcal, Influenza, H ",,,39.49,39.49,3
RC,790,"Polarization, any lens material, per lens ",,,80.43,80.43,3
RC,790,Polishing/resurfacing of ocular prosthesis ,,,106.58,106.58,3
RC,790,"Porphobilinogen, urine; qualitative ",,,6.34,6.34,3
RC,790,"Porphobilinogen, urine; quantitative ",,,9.2,9.2,3
RC,790,"Porphyrins, feces, quantitative ",,,42.63,42.63,3
RC,790,"Porphyrins, urine; qualitative ",,,14.56,14.56,3
RC,790,"Porphyrins, urine; quantitation and fractionation ",,,16.03,16.03,3
RC,790,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,51.42,51.42,3
RC,790,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,24.1,24.1,3
RC,790,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,51.42,51.42,3
RC,790,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,51.42,51.42,3
RC,790,"Portable oxygen concentrator, rental ",,,51.42,51.42,3
RC,790,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,790,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,67.0,67.0,3
RC,790,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,100.5,100.5,3
RC,790,Posaconazole ,,,29.55,29.55,3
RC,790,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,594.39,594.39,3
RC,790,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,505.08,505.08,3
RC,790,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,596.14,596.14,3
RC,790,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,404.46,404.46,3
RC,790,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,622.55,622.55,3
RC,790,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,462.35,462.35,3
RC,790,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,446.33,446.33,3
RC,790,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,276.6,276.6,3
RC,790,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,27.25,27.25,3
RC,790,Posterior chamber intraocular lens ,,,158.85,158.85,3
RC,790,Postural drainage board ,,,31.28,31.28,3
RC,790,"Potassium; serum, plasma or whole blood ",,,5.19,5.19,3
RC,790,Potassium; urine ,,,5.16,5.16,3
RC,790,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,925.86,925.86,3
RC,790,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,247.96,247.96,3
RC,790,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,16157.62,16157.62,3
RC,790,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1046.88,1046.88,3
RC,790,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,3243.56,3243.56,3
RC,790,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1993.03,1993.03,3
RC,790,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1109.96,1109.96,3
RC,790,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2692.94,2692.94,3
RC,790,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2954.18,2954.18,3
RC,790,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1906.22,1906.22,3
RC,790,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4566.69,4566.69,3
RC,790,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,21932.98,21932.98,3
RC,790,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,139.06,139.06,3
RC,790,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,37.62,37.62,3
RC,790,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,166.42,166.42,3
RC,790,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,147.96,147.96,3
RC,790,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,510.02,510.02,3
RC,790,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,196.19,196.19,3
RC,790,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,46.49,46.49,3
RC,790,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,66.63,66.63,3
RC,790,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,57.48,57.48,3
RC,790,"Power wheelchair accessory, chin cup for chin control interface ",,,58.66,58.66,3
RC,790,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,76.51,76.51,3
RC,790,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,147.91,147.91,3
RC,790,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,298.49,298.49,3
RC,790,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,935.71,935.71,3
RC,790,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,169.33,169.33,3
RC,790,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,62.73,62.73,3
RC,790,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,36.26,36.26,3
RC,790,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,64.88,64.88,3
RC,790,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,63.67,63.67,3
RC,790,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,134.9,134.9,3
RC,790,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,142.89,142.89,3
RC,790,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,181.95,181.95,3
RC,790,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,182.35,182.35,3
RC,790,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,219.65,219.65,3
RC,790,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,188.81,188.81,3
RC,790,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,200.97,200.97,3
RC,790,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,105.02,105.02,3
RC,790,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,301.24,301.24,3
RC,790,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,68.16,68.16,3
RC,790,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,47.87,47.87,3
RC,790,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,236.46,236.46,3
RC,790,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,349.75,349.75,3
RC,790,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,458.16,458.16,3
RC,790,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,663.44,663.44,3
RC,790,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,167.96,167.96,3
RC,790,"Power wheelchair accessory, lithium-based battery, each ",,,580.37,580.37,3
RC,790,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,87.56,87.56,3
RC,790,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,695.91,695.91,3
RC,790,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,1113.46,1113.46,3
RC,790,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,556.65,556.65,3
RC,790,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,835.07,835.07,3
RC,790,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,79.1,79.1,3
RC,790,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,78.36,78.36,3
RC,790,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,180.34,180.34,3
RC,790,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,22.87,22.87,3
RC,790,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,53.69,53.69,3
RC,790,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,56.15,56.15,3
RC,790,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,92.55,92.55,3
RC,790,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,59.61,59.61,3
RC,790,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,24.84,24.84,3
RC,790,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,167.73,167.73,3
RC,790,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,95.24,95.24,3
RC,790,"Power wheelchair component, actuator, replacement only ",,,72.91,72.91,3
RC,790,"Power wheelchair component, drive wheel gear box, replacement only ",,,49.26,49.26,3
RC,790,"Power wheelchair component, drive wheel motor, replacement only ",,,53.12,53.12,3
RC,790,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,69.18,69.18,3
RC,790,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,790,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,368.29,368.29,3
RC,790,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,354.08,354.08,3
RC,790,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,790,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1169.92,1169.92,3
RC,790,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1281.2,1281.2,3
RC,790,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1212.44,1212.44,3
RC,790,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,545.68,545.68,3
RC,790,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,654.28,654.28,3
RC,790,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,556.8,556.8,3
RC,790,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,628.21,628.21,3
RC,790,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,583.12,583.12,3
RC,790,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,790,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,551.15,551.15,3
RC,790,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,551.95,551.95,3
RC,790,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,377.19,377.19,3
RC,790,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,366.88,366.88,3
RC,790,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,508.02,508.02,3
RC,790,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,489.79,489.79,3
RC,790,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,410.29,410.29,3
RC,790,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,828.62,828.62,3
RC,790,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,834.48,834.48,3
RC,790,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,933.79,933.79,3
RC,790,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1828.56,1828.56,3
RC,790,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2402.82,2402.82,3
RC,790,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1935.72,1935.72,3
RC,790,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1183.65,1183.65,3
RC,790,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1413.36,1413.36,3
RC,790,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1347.93,1347.93,3
RC,790,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1413.36,1413.36,3
RC,790,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.02,1231.02,3
RC,790,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,1020.36,1020.36,3
RC,790,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1140.99,1140.99,3
RC,790,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1161.99,1161.99,3
RC,790,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1139.15,1139.15,3
RC,790,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1061.29,1061.29,3
RC,790,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1461.16,1461.16,3
RC,790,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,790,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,2019.18,2019.18,3
RC,790,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1422.38,1422.38,3
RC,790,Powered air flotation bed (low air loss therapy) ,,,939.92,939.92,3
RC,790,"Powered air overlay for mattress, standard mattress length and width ",,,279.73,279.73,3
RC,790,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,790,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,21.63,21.63,3
RC,790,Powered pressure-reducing air mattress ,,,279.73,279.73,3
RC,790,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,38117.41,38117.41,3
RC,790,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,74993.85,74993.85,3
RC,790,Pralatrexate injection ,,,420.87,420.87,3
RC,790,Prealbumin ,,,15.9,15.9,3
RC,790,Pregnancy-associated plasma protein-A (PAPP-A) ,,,16.4,16.4,3
RC,790,Pregnanediol ,,,23.18,23.18,3
RC,790,Pregnanetriol ,,,22.94,22.94,3
RC,790,Pregnenolone ,,,22.53,22.53,3
RC,790,"Prehensile actuator, switch controlled ",,,5015.98,5015.98,3
RC,790,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1713.31,5932.0,10
RC,790,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,3697.16,3697.16,3
RC,790,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,3766.27,3766.27,3
RC,790,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3778.68,3778.68,3
RC,790,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,3373.07,3373.07,3
RC,790,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,3416.38,3416.38,3
RC,790,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2649.41,2649.41,3
RC,790,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2840.65,2840.65,3
RC,790,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2276.62,2276.62,3
RC,790,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2558.63,2558.63,3
RC,790,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2644.22,2644.22,3
RC,790,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2970.84,2970.84,3
RC,790,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2922.94,2922.94,3
RC,790,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5933.49,5933.49,3
RC,790,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5373.08,5373.08,3
RC,790,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,4024.19,4024.19,3
RC,790,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3946.63,3946.63,3
RC,790,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,2192.8,2192.8,3
RC,790,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,2033.6,2033.6,3
RC,790,"Press-on lens, fresnell prism, per lens ",,,43.52,43.52,3
RC,790,Primidone ,,,18.08,18.08,3
RC,790,"Prism, per lens ",,,17.53,17.53,3
RC,790,Procainamide hcl injection ,,,321.94,321.94,3
RC,790,Procainamide; ,,,65.4,65.4,3
RC,790,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,18.26,18.26,3
RC,790,Procalcitonin (PCT) ,,,29.67,29.67,3
RC,790,Progesterone ,,,22.74,22.74,3
RC,790,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,25253.0,33939.0,3
RC,790,Proinsulin ,,,29.09,29.09,3
RC,790,Prolactin ,,,21.12,21.12,3
RC,790,"Prostaglandin, each ",,,45.53,45.53,3
RC,790,Prostate cancer screening; prostate specific antigen test (psa) ,,,21.05,21.05,3
RC,790,Prostate specific antigen (PSA); complexed (direct measurement) ,,,20.05,20.05,3
RC,790,Prostate specific antigen (PSA); free ,,,20.05,20.05,3
RC,790,Prostate specific antigen (PSA); total ,,,20.05,20.05,3
RC,790,"Prosthetic eye, plastic, custom ",,,1597.11,1597.11,3
RC,790,"Prosthetic sheath, above knee, each ",,,30.69,30.69,3
RC,790,"Prosthetic sheath, below knee, each ",,,21.0,21.0,3
RC,790,"Prosthetic sheath, upper limb, each ",,,31.22,31.22,3
RC,790,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,101.47,101.47,3
RC,790,"Prosthetic shrinker, above knee, each ",,,102.55,102.55,3
RC,790,"Prosthetic shrinker, below knee, each ",,,58.94,58.94,3
RC,790,"Prosthetic shrinker, upper limb, each ",,,73.07,73.07,3
RC,790,"Prosthetic sock, multiple ply, above knee, each ",,,30.47,30.47,3
RC,790,"Prosthetic sock, multiple ply, below knee, each ",,,27.74,27.74,3
RC,790,"Prosthetic sock, multiple ply, upper limb, each ",,,32.18,32.18,3
RC,790,"Prosthetic sock, single ply, fitting, above knee, each ",,,14.03,14.03,3
RC,790,"Prosthetic sock, single ply, fitting, below knee, each ",,,10.68,10.68,3
RC,790,"Prosthetic sock, single ply, fitting, upper limb, each ",,,14.85,14.85,3
RC,790,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1758.67,1758.67,3
RC,790,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,44.06,44.06,3
RC,790,"Protective body sock, prefabricated, off-the-shelf, each ",,,76.05,76.05,3
RC,790,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,24.23,24.23,3
RC,790,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,28.58,28.58,3
RC,790,"Protein, total, by refractometry, any source ",,,6.11,6.11,3
RC,790,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.36,4.36,3
RC,790,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,4.0,4.0,3
RC,790,"Protein, total, except by refractometry; urine ",,,4.0,4.0,3
RC,790,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,18.56,18.56,3
RC,790,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,31.84,31.84,3
RC,790,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,19.43,19.43,3
RC,790,"Protein; electrophoretic fractionation and quantitation, serum ",,,11.71,11.71,3
RC,790,Prothrombin complex kcentr ,,,2.19,2.19,3
RC,790,Prothrombin time; ,,,4.68,4.68,3
RC,790,"Prothrombin time; substitution, plasma fractions, each ",,,4.29,4.29,3
RC,790,"Protoporphyrin, RBC; quantitative ",,,15.64,15.64,3
RC,790,"Protoporphyrin, RBC; screen ",,,10.62,10.62,3
RC,790,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5896.46,5896.46,3
RC,790,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,440.41,440.41,3
RC,790,"Pump for alternating pressure pad, for replacement only ",,,28.07,28.07,3
RC,790,Pump for water circulating pad ,,,68.74,68.74,3
RC,790,Pyridoxal phosphate (Vitamin B-6) ,,,30.63,30.63,3
RC,790,Pyruvate ,,,15.78,15.78,3
RC,790,Pyruvate kinase ,,,10.29,10.29,3
RC,790,"Quantitation of therapeutic drug, not elsewhere specified ",,,20.32,20.32,3
RC,790,Quinidine ,,,15.91,15.91,3
RC,790,Quinine ,,,12.68,12.68,3
RC,790,RBC deglycerolized ,,,341.17,341.17,3
RC,790,RBC irradiated ,,,158.29,158.29,3
RC,790,RBC leukocytes reduced ,,,201.55,201.55,3
RC,790,RBC leukoreduced irradiate ,,,289.3,289.3,3
RC,790,"RBC, frz/deg/wsh, l/r, irr ",,,460.73,460.73,3
RC,790,"RBC, l/r, cmv-neg, irrad ",,,271.85,271.85,3
RC,790,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,6054.0,6054.0,1
RC,790,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,359.17,359.17,3
RC,790,Rabies ig ht&sol human im/ ,,,265.09,265.09,3
RC,790,"Rabies ig, heat treated ",,,384.16,384.16,3
RC,790,"Rabies ig, im/sc ",,,306.49,306.49,3
RC,790,"Rabies vaccine, id ",,,258.18,258.18,3
RC,790,"Rabies vaccine, im ",,,361.85,361.85,3
RC,790,Radiesse injection ,,,380.62,380.62,3
RC,790,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,7080.74,7080.74,3
RC,790,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,1041.76,1041.76,3
RC,790,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,28.31,28.31,3
RC,790,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,23.21,23.21,3
RC,790,Ranibizumab injection ,,,55.69,55.69,3
RC,790,"Ratchet assembly, replacement only ",,,43.15,43.15,3
RC,790,Rbc o2 co2 reduced ,,,557.63,557.63,3
RC,790,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,65.77,74.74,6
RC,790,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,64.81,73.65,6
RC,790,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,20.95,20.95,3
RC,790,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,123.39,123.39,3
RC,790,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,77.64,77.64,3
RC,790,Receptor assay; estrogen ,,,95.79,95.79,3
RC,790,Receptor assay; non-endocrine (specify receptor) ,,,39.86,39.86,3
RC,790,Receptor assay; progesterone ,,,70.72,70.72,3
RC,790,"Reclining back, addition to pediatric size wheelchair ",,,56.75,56.75,3
RC,790,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,15.3,15.3,3
RC,790,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1841.61,1841.61,3
RC,790,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1481.0,5932.0,7
RC,790,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1672.0,2636.0,2
RC,790,Red blood cells unit ,,,164.12,164.12,3
RC,790,Reduction of ocular prosthesis ,,,354.98,354.98,3
RC,790,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1481.0,2636.0,5
RC,790,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1481.0,2636.0,5
RC,790,Regulator ,,,43.99,43.99,3
RC,790,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1741.45,1741.45,3
RC,790,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,14.18,14.18,3
RC,790,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,55.8,55.8,3
RC,790,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,56.52,56.52,3
RC,790,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.47,23.47,3
RC,790,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,45.1,58.88,6
RC,790,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,5286.0,23307.22,20
RC,790,Removal of an indirect restoration on a natural tooth ,,,10868.0,12875.0,3
RC,790,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,4693.0,12875.0,7
RC,790,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,4693.0,12875.0,7
RC,790,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1481.0,2636.0,5
RC,790,Removal of implant body not requiring bone removal nor flap elevation ,,,10868.0,12875.0,4
RC,790,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,790,Removal of non-resorbable barrier ,,,10868.0,12875.0,4
RC,790,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3459.33,25655.0,20
RC,790,Removal of sutures; by a physician other than the physician who originally closed the wound ,,,21210.0,23307.22,6
RC,790,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,10868.0,12875.0,4
RC,790,Removal of temporary anchorage device without flap ,,,10868.0,12875.0,4
RC,790,"Removal of temporary anchorage device, requiring flap ",,,10868.0,12875.0,4
RC,790,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,792.63,5932.0,20
RC,790,Remove interim implant component ,,,10868.0,12875.0,4
RC,790,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,9.46,9.46,3
RC,790,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,228.16,228.16,3
RC,790,Renin ,,,23.97,23.97,3
RC,790,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,10868.0,58303.85,13
RC,790,Repair of custom sleep apnea appliance ,,,10868.0,12875.0,4
RC,790,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,5146.0,25655.0,19
RC,790,"Repair of orthotic device, labor component, per 15 minutes ",,,32.65,32.65,3
RC,790,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,790,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,21.92,21.92,3
RC,790,"Repair prosthetic device, labor component, per 15 minutes ",,,44.33,44.33,3
RC,790,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,790,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero ",,,21210.0,23307.22,6
RC,790,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified ",,,21210.0,23307.22,6
RC,790,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,790,"Repair, myelomeningocele in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,790,"Repair, urinary tract obstruction in the fetus, procedure performed in utero ",,,21210.0,23307.22,6
RC,790,Replace girdle for spinal orthosis (ctlso or so) ,,,1687.75,1687.75,3
RC,790,Replace high roll cuff ,,,398.06,398.06,3
RC,790,"Replace leather cuff kafo, proximal thigh ",,,146.94,146.94,3
RC,790,"Replace leather cuff kafo-afo, calf or distal thigh ",,,117.53,117.53,3
RC,790,"Replace metal bands kafo, proximal thigh ",,,126.69,126.69,3
RC,790,"Replace metal bands kafo-afo, calf or distal thigh ",,,143.1,143.1,3
RC,790,"Replace molded calf lacer, for custom fabricated orthosis only ",,,517.1,517.1,3
RC,790,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,537.62,537.62,3
RC,790,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,341.1,341.1,3
RC,790,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,410.86,410.86,3
RC,790,Replace pretibial shell ,,,724.27,724.27,3
RC,790,Replace proximal and distal upright for kafo ,,,443.72,443.72,3
RC,790,"Replace quadrilateral socket brim, custom fitted ",,,824.86,824.86,3
RC,790,"Replace quadrilateral socket brim, molded to patient model ",,,1261.36,1261.36,3
RC,790,"Replace soft interface material, foot drop splint ",,,23.15,23.15,3
RC,790,Replace trilateral socket brim ,,,862.54,862.54,3
RC,790,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,9.68,9.68,3
RC,790,"Replacement battery for automated external defibrillator, garment type only, each ",,,30.18,30.18,3
RC,790,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.87,0.87,3
RC,790,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.79,5.79,3
RC,790,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,9.33,9.33,3
RC,790,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,22.29,22.29,3
RC,790,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.71,1.71,3
RC,790,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,9.68,9.68,3
RC,790,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.56,0.56,3
RC,790,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.57,2.57,3
RC,790,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.09,1.09,3
RC,790,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.26,1.26,3
RC,790,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,63.75,63.75,3
RC,790,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,66.8,66.8,3
RC,790,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,15.71,15.71,3
RC,790,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,77.55,77.55,3
RC,790,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1252.17,1252.17,3
RC,790,"Replacement garment for use with automated external defibrillator, each ",,,188.29,188.29,3
RC,790,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,19.83,19.83,3
RC,790,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,29.79,29.79,3
RC,790,Replacement of an implant screw ,,,10868.0,12875.0,3
RC,790,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,10868.0,12875.0,4
RC,790,"Replacement pad for infrared heating pad system, each ",,,44.62,44.62,3
RC,790,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,67.81,67.81,3
RC,790,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,3737.01,3737.01,3
RC,790,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,2489.99,2489.99,3
RC,790,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4250.39,4250.39,3
RC,790,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1674.74,1674.74,3
RC,790,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,126.99,126.99,3
RC,790,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,163.48,163.48,3
RC,790,"Replacement, handgrip, cane, crutch, or walker, each ",,,4.33,4.33,3
RC,790,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4591.2,4591.2,3
RC,790,"Replacement, socket, below knee, molded to patient model ",,,3823.04,3823.04,3
RC,790,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5808.57,5808.57,3
RC,790,"Replacement, soft interface material, static afo ",,,31.72,31.72,3
RC,790,"Replacement, tip, cane, crutch, walker, each. ",,,2.4,2.4,3
RC,790,Reptilase test ,,,10.74,10.74,3
RC,790,Resection prosthesis - Mandibular complete removable ,,,10868.0,12875.0,3
RC,790,Resection prosthesis - Mandibular partial removable ,,,10868.0,12875.0,3
RC,790,Resection prosthesis - Maxillary complete removable ,,,10868.0,12875.0,3
RC,790,Resection prosthesis - Maxillary partial removable ,,,10868.0,12875.0,3
RC,790,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,790,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,790,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,790,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,790,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,10868.0,12875.0,3
RC,790,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,10868.0,12875.0,3
RC,790,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,60.65,60.65,3
RC,790,"Residual limb support system for wheelchair, any type ",,,24.13,24.13,3
RC,790,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,353.54,353.54,3
RC,790,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,538.29,538.29,3
RC,790,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,145.4,145.4,3
RC,790,"Respiratory suction pump, home model, portable or stationary, electric ",,,71.12,71.12,3
RC,790,Reticulated platelet assay ,,,38.96,38.96,3
RC,790,"Revakinagene, per implant ",,,285121.87,285121.87,3
RC,790,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,9875.0,44979.2,20
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3459.33,18490.0,14
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3459.33,18490.0,14
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3459.33,18490.0,14
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,9875.0,27743.74,20
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,9875.0,44631.92,20
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,9875.0,27743.74,20
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,8778.0,25655.0,20
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,28120.23,20
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,9875.0,44979.2,20
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,9875.0,44979.2,20
RC,790,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,5286.0,12875.0,7
RC,790,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,5286.0,12875.0,7
RC,790,Rh ig minidose im ,,,87.2,87.2,3
RC,790,Rheumatoid factor; qualitative ,,,6.69,6.69,3
RC,790,Rheumatoid factor; quantitative ,,,6.18,6.18,3
RC,790,Riboflavin (Vitamin B-2) ,,,22.06,22.06,3
RC,790,Riboflavin epioxa/hd<=2ml ,,,44065.98,44065.98,3
RC,790,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,7799.0,22644.0,10
RC,790,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,7799.0,22644.0,10
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,7799.0,22644.0,10
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,7799.0,22644.0,10
RC,790,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9119.84,22644.0,9
RC,790,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,6054.0,7168.0,2
RC,790,Right ventricular recording ,,,2152.88,33939.0,9
RC,790,"Risperidone, long acting ",,,12.1,12.1,3
RC,790,Rocking bed with or without side rails ,,,452.68,452.68,3
RC,790,"Rollabout chair, any and all types with casters 5 or greater ",,,57.17,57.17,3
RC,790,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,380.91,2222.0,12
RC,790,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit ",,,21210.0,23307.22,6
RC,790,Rsv mab im 50mg ,,,476.06,476.06,3
RC,790,Rufinamide ,,,29.55,29.55,3
RC,790,Russell viper venom time (includes venom); diluted ,,,10.44,10.44,3
RC,790,Russell viper venom time (includes venom); undiluted ,,,19.06,19.06,3
RC,790,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,209.28,209.28,3
RC,790,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,47.58,47.58,3
RC,790,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,210.64,210.64,3
RC,790,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,190.54,190.54,3
RC,790,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,149.33,149.33,3
RC,790,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,328.47,328.47,3
RC,790,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,201.87,201.87,3
RC,790,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,51.23,51.23,3
RC,790,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,55.67,55.67,3
RC,790,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,191.19,191.19,3
RC,790,Sacituzumab govitecan-hziy ,,,41.03,41.03,3
RC,790,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,323.59,323.59,3
RC,790,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,78.63,78.63,3
RC,790,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,140.95,140.95,3
RC,790,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,258.36,258.36,3
RC,790,"Safety vest, wheelchair ",,,48.1,48.1,3
RC,790,Salicylate ,,,20.32,20.32,3
RC,790,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy ,,,21210.0,23307.22,6
RC,790,Scleral cover shell ,,,1932.53,1932.53,3
RC,790,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1426.91,1426.91,3
RC,790,"Scratch resistant coating, per lens ",,,23.66,23.66,3
RC,790,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,20.21,20.21,3
RC,790,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,34.81,34.81,3
RC,790,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,22.08,22.08,3
RC,790,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,29.48,29.48,3
RC,790,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,28.87,28.87,3
RC,790,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,47.93,47.93,3
RC,790,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,20.21,20.21,3
RC,790,Screening proctoscopy ,,,735.36,808.07,6
RC,790,"Seat attachment, walker ",,,20.26,20.26,3
RC,790,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,121.14,121.14,3
RC,790,"Seat lift mechanism, electric, any type ",,,346.96,346.96,3
RC,790,"Seat lift mechanism, non-electric, any type ",,,340.55,340.55,3
RC,790,"Sedimentation rate, erythrocyte; automated ",,,2.94,2.94,3
RC,790,"Sedimentation rate, erythrocyte; non-automated ",,,4.65,4.65,3
RC,790,"Segmental gradient pressure pneumatic appliance, full arm ",,,501.31,501.31,3
RC,790,"Segmental gradient pressure pneumatic appliance, full leg ",,,645.21,645.21,3
RC,790,"Segmental gradient pressure pneumatic appliance, half leg ",,,416.55,416.55,3
RC,790,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,84.33,84.33,3
RC,790,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,686.42,686.42,3
RC,790,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,502.94,502.94,3
RC,790,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,270.39,270.39,3
RC,790,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,195.27,195.27,3
RC,790,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1952.7,1952.7,3
RC,790,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,195.27,195.27,3
RC,790,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,89.76,89.76,3
RC,790,Selenium ,,,27.83,27.83,3
RC,790,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,2.17,2.17,3
RC,790,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.22,1.22,3
RC,790,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.98,0.98,3
RC,790,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,31.1,35.34,9
RC,790,Semen analysis; motility and count (not including Huhner test) ,,,9.38,9.38,3
RC,790,Semen analysis; presence and/or motility of sperm excluding huhner ,,,7.09,7.09,3
RC,790,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,10.73,10.73,3
RC,790,"Semen analysis; sperm presence and motility of sperm, if performed ",,,13.13,13.13,3
RC,790,"Semen analysis; volume, count, motility, and differential ",,,13.42,13.42,3
RC,790,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,16.89,16.89,3
RC,790,Semi-precision abutment - placement ,,,10868.0,12875.0,4
RC,790,Semi-precision attachment - placement ,,,10868.0,12875.0,4
RC,790,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,157.9,157.9,3
RC,790,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,161.24,161.24,3
RC,790,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,58.23,66.17,6
RC,790,Serotonin ,,,33.77,33.77,3
RC,790,Serum bactericidal titer (Schlichter test) ,,,16.37,16.37,3
RC,790,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,32.35,32.35,3
RC,790,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,85.73,85.73,3
RC,790,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,56.06,56.06,3
RC,790,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,,,0
RC,790,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,,,0
RC,790,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,,,0
RC,790,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,790,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,790,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,,,0
RC,790,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,790,Sex chromatin identification; Barr bodies ,,,19.6,19.6,3
RC,790,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,8.71,8.71,3
RC,790,Sex hormone binding globulin (SHBG) ,,,23.69,23.69,3
RC,790,"Shock absorber for manual wheelchair, each ",,,157.29,157.29,3
RC,790,"Shock absorber for power wheelchair, each ",,,149.01,149.01,3
RC,790,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,25216.5,25216.5,3
RC,790,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,17261.46,17261.46,3
RC,790,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5088.51,5088.51,3
RC,790,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,5308.64,5308.64,3
RC,790,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,4262.4,4262.4,3
RC,790,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2564.34,2564.34,3
RC,790,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2431.26,2431.26,3
RC,790,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,2059.16,2059.16,3
RC,790,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2307.76,2307.76,3
RC,790,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,790,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2431.26,2431.26,3
RC,790,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2431.26,2431.26,3
RC,790,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,1098.31,1098.31,3
RC,790,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,879.41,879.41,3
RC,790,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2307.76,2307.76,3
RC,790,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,2059.16,2059.16,3
RC,790,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1448.74,1448.74,3
RC,790,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,143.9,143.9,3
RC,790,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,125.97,125.97,3
RC,790,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,79.66,79.66,3
RC,790,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1104.37,1104.37,3
RC,790,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,215.09,215.09,3
RC,790,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,689.12,689.12,3
RC,790,Sialic acid ,,,14.65,14.65,3
RC,790,"Sickling of RBC, reduction ",,,6.01,6.01,3
RC,790,Silica ,,,27.48,27.48,3
RC,790,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmappi",,,36289.82,55115.17,6
RC,790,Simultaneous pancreas kidney transplantation ,,,21210.0,23307.22,6
RC,790,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1758.67,1758.67,3
RC,790,Sipuleucel-T auto CD54+ ,,,60966.35,60966.35,3
RC,790,Sirolimus ,,,14.97,14.97,3
RC,790,Sitz bath chair ,,,192.39,192.39,3
RC,790,"Sitz type bath or equipment, portable, used with or without commode ",,,36.94,36.94,3
RC,790,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,31.12,31.12,3
RC,790,"Six volt battery, each ",,,321.31,321.31,3
RC,790,"Skin barrier, wipes or swabs, each ",,,0.38,0.38,3
RC,790,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.97,4.97,3
RC,790,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,11.09,11.09,3
RC,790,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,16.96,16.96,3
RC,790,"Skin piercing device for collection of capillary blood, laser, each ",,,135.8,135.8,3
RC,790,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,532.89,532.89,3
RC,790,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,430.58,430.58,3
RC,790,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,343.1,343.1,3
RC,790,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,268.48,268.48,3
RC,790,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,535.84,535.84,3
RC,790,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,423.74,423.74,3
RC,790,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,196.61,196.61,3
RC,790,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,134.89,134.89,3
RC,790,"Slab off prism, glass or plastic, per lens ",,,106.16,106.16,3
RC,790,"Sling or seat, patient lift, canvas or nylon ",,,115.51,115.51,3
RC,790,Slings ,,,11.97,11.97,3
RC,790,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.71,1.71,3
RC,790,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,3
RC,790,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.65,4.65,3
RC,790,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,19.6,19.6,3
RC,790,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.88,5.88,3
RC,790,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,6.53,6.53,3
RC,790,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,6.34,6.34,3
RC,790,Sodium; other source ,,,5.3,5.3,3
RC,790,"Sodium; serum, plasma or whole blood ",,,5.24,5.24,3
RC,790,Sodium; urine ,,,5.52,5.52,3
RC,790,"Sole wedge, between sole ",,,66.8,66.8,3
RC,790,"Sole wedge, outside sole ",,,47.96,47.96,3
RC,790,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,651.72,651.72,3
RC,790,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,651.72,651.72,3
RC,790,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1303.45,1303.45,3
RC,790,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3584.48,3584.48,3
RC,790,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1466.39,1466.39,3
RC,790,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,3258.61,3258.61,3
RC,790,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1140.52,1140.52,3
RC,790,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,977.59,977.59,3
RC,790,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,3182.36,3182.36,6
RC,790,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospital",,,21210.0,23307.22,6
RC,790,Somatomedin ,,,23.17,23.17,3
RC,790,Somatostatin ,,,19.93,19.93,3
RC,790,Special back height for wheelchair ,,,43.53,43.53,3
RC,790,"Special base curve, glass or plastic, per lens ",,,37.52,37.52,3
RC,790,Special height arms for wheelchair ,,,366.41,366.41,3
RC,790,"Special wheelchair seat depth and/or width, by construction ",,,559.39,559.39,3
RC,790,"Special wheelchair seat depth, by upholstery ",,,138.12,138.12,3
RC,790,Special wheelchair seat height from floor ,,,649.17,649.17,3
RC,790,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.85,1.85,3
RC,790,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,3.1,3.1,3
RC,790,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.73,4.73,3
RC,790,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,5.06,5.06,3
RC,790,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,9.84,9.84,3
RC,790,Specific gravity (except urine) ,,,3.58,3.58,3
RC,790,"Spectrophotometry, analyte not elsewhere specified ",,,8.83,8.83,3
RC,790,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2450.37,2450.37,3
RC,790,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3592.93,3592.93,3
RC,790,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1857.55,1857.55,3
RC,790,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,607.46,607.46,3
RC,790,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,10513.8,10513.8,3
RC,790,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,5555.89,5555.89,3
RC,790,"Speech volume modulation system, any type, including all components and accessories ",,,266.88,266.88,3
RC,790,Sperm antibodies ,,,11.63,11.63,3
RC,790,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,21.35,21.35,3
RC,790,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,11.31,11.31,3
RC,790,Sperm evaluation; hamster penetration test ,,,21.35,21.35,3
RC,790,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,79.01,79.01,3
RC,790,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,83.21,83.21,3
RC,790,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,94.55,94.55,3
RC,790,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,64.15,64.15,3
RC,790,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,73.44,73.44,3
RC,790,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,81.62,81.62,3
RC,790,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,103.19,103.19,3
RC,790,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,135.13,135.13,3
RC,790,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,135.77,135.77,3
RC,790,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,77.63,77.63,3
RC,790,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,78.97,78.97,3
RC,790,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.39,82.39,3
RC,790,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,84.26,84.26,3
RC,790,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,87.11,87.11,3
RC,790,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,86.16,86.16,3
RC,790,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,98.5,98.5,3
RC,790,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,78.49,78.49,3
RC,790,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,98.55,98.55,3
RC,790,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,101.76,101.76,3
RC,790,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,108.75,108.75,3
RC,790,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,111.74,111.74,3
RC,790,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,48.56,48.56,3
RC,790,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,57.44,57.44,3
RC,790,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,56.22,56.22,3
RC,790,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,67.19,67.19,3
RC,790,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,65.45,65.45,3
RC,790,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,72.41,72.41,3
RC,790,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,68.14,68.14,3
RC,790,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,71.06,71.06,3
RC,790,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,76.61,76.61,3
RC,790,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,99.07,99.07,3
RC,790,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,106.62,106.62,3
RC,790,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,120.94,120.94,3
RC,790,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,98.06,98.06,3
RC,790,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,95.75,95.75,3
RC,790,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,118.91,118.91,3
RC,790,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,142.64,142.64,3
RC,790,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,107.22,107.22,3
RC,790,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,111.54,111.54,3
RC,790,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,124.75,124.75,3
RC,790,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,114.26,114.26,3
RC,790,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,142.88,142.88,3
RC,790,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,135.08,135.08,3
RC,790,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,141.08,141.08,3
RC,790,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,143.42,143.42,3
RC,790,"Spoke protectors, each ",,,61.65,61.65,3
RC,790,"Spring-powered device for lancet, each ",,,2.31,2.31,3
RC,790,Stand/rack ,,,33.16,33.16,3
RC,790,Standard - weight frame motorized/power wheelchair ,,,562.47,562.47,3
RC,790,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,795.78,795.78,3
RC,790,Standard hemi (low seat) wheelchair ,,,50.49,50.49,3
RC,790,"Standard size footplate, replacement only, each ",,,42.36,42.36,3
RC,790,Standard wheelchair ,,,31.09,31.09,3
RC,790,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,112.29,112.29,3
RC,790,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,226.07,226.07,3
RC,790,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,226.07,226.07,3
RC,790,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,790,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,98.71,98.71,3
RC,790,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,164.56,164.56,3
RC,790,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,211.65,211.65,3
RC,790,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,200.41,200.41,3
RC,790,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,216.05,216.05,3
RC,790,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,208.33,208.33,3
RC,790,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,703.67,703.67,3
RC,790,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,106.99,106.99,3
RC,790,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,106.99,106.99,3
RC,790,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,790,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,73.93,73.93,3
RC,790,"Stem cells (ie, CD34), total count ",,,84.78,84.78,3
RC,790,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.59,0.59,3
RC,790,"Sterile water/saline, 500 ml ",,,4.87,4.87,3
RC,790,"Stimulated intrauterine insemination (iui), case rate ",,,21210.0,23307.22,6
RC,790,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,27.2,27.2,3
RC,790,Stoma cap ,,,2.17,2.17,3
RC,790,"Stoma plug or seal, any type ",,,4.37,4.37,3
RC,790,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,100.31,100.31,3
RC,790,"Streptokinase, antibody ",,,13.8,13.8,3
RC,790,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,71.12,71.12,3
RC,790,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,6.0,6.0,3
RC,790,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,12.57,12.57,3
RC,790,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,6.0,6.0,3
RC,790,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,12.57,12.57,3
RC,790,"Sugars, chromatographic, TLC or paper chromatography ",,,42.51,42.51,3
RC,790,"Sulfate, urine ",,,5.98,5.98,3
RC,790,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,42.01,42.01,3
RC,790,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,574.27,574.27,3
RC,790,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,147.78,147.78,3
RC,790,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,790,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.78,3.78,3
RC,790,"Supplies for maintenance of insulin infusion catheter, per week ",,,28.2,28.2,3
RC,790,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,28.2,28.2,3
RC,790,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,305.97,305.97,3
RC,790,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,297.88,297.88,3
RC,790,"Surgical dressing holder, non-reusable, each ",,,5.12,5.12,3
RC,790,"Surgical dressing holder, reusable, each ",,,20.68,20.68,3
RC,790,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,10868.0,12875.0,4
RC,790,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,10868.0,12875.0,4
RC,790,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,10868.0,12875.0,4
RC,790,Surgical placement of craniofacial implant - extra oral ,,,10868.0,12875.0,4
RC,790,Surgical placement zygomatic implant ,,,10868.0,12875.0,4
RC,790,Surgical repair of root resorption - molar ,,,10868.0,12875.0,4
RC,790,Surgical repair of root resorption- premolar ,,,10868.0,12875.0,4
RC,790,Surgical repair of root resorption-anterior ,,,10868.0,12875.0,4
RC,790,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) ,,,21210.0,23307.22,6
RC,790,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,5.18,5.18,3
RC,790,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,38.25,38.25,3
RC,790,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,8.15,8.15,3
RC,790,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,5.18,5.18,3
RC,790,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,7.24,7.24,3
RC,790,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,9.43,9.43,3
RC,790,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,43.79,43.79,3
RC,790,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.97,7.97,3
RC,790,"Suzetrigine, orl, 1mg ",,,0.34,0.34,3
RC,790,"Swingaway, detachable footrests, replacement only, each ",,,93.0,93.0,3
RC,790,Synthetic sheepskin pad ,,,31.05,31.05,3
RC,790,Synvisc or synvisc-one ,,,6.56,6.56,3
RC,790,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.65,4.65,3
RC,790,"Syphilis test, non-treponemal antibody; quantitative ",,,4.8,4.8,3
RC,790,"T cells; absolute CD4 and CD8 count, including ratio ",,,51.21,51.21,3
RC,790,T cells; absolute CD4 count ,,,29.19,29.19,3
RC,790,T cells; total count ,,,41.13,41.13,3
RC,790,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,149.33,149.33,3
RC,790,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,201.87,201.87,3
RC,790,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,149.33,149.33,3
RC,790,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,699.62,699.62,3
RC,790,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,335.72,335.72,3
RC,790,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,359.17,359.17,3
RC,790,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,190.54,190.54,3
RC,790,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,227.72,227.72,3
RC,790,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,54.05,54.05,3
RC,790,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,219.64,219.64,3
RC,790,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,190.54,190.54,3
RC,790,Tacrolimus ,,,14.97,14.97,3
RC,790,Tacrolimus injection ,,,292.31,292.31,3
RC,790,"Tape, non-waterproof, per 18 square inches ",,,0.11,0.11,3
RC,790,"Tape, waterproof, per 18 square inches ",,,0.55,0.55,3
RC,790,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,140.52,140.52,3
RC,790,"Tau, total (tTau) ",,,140.52,140.52,3
RC,790,Tc99m succimer ,,,719.32,719.32,3
RC,790,Telavancin injection ,,,8.16,8.16,3
RC,790,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,14.93,37.96,9
RC,790,Telisotuzumab vedotin-tllv ,,,159.21,159.21,3
RC,790,Temozolomide injection ,,,11.34,11.34,3
RC,790,Temporary transcutaneous pacing ,,,1169.48,3293.0,12
RC,790,Tenecteplase injection ,,,236.99,236.99,3
RC,790,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,4310.27,4310.27,3
RC,790,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1883.93,1883.93,3
RC,790,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1785.52,1785.52,3
RC,790,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,1284.04,1284.04,3
RC,790,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,2108.04,2108.04,3
RC,790,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2735.83,2735.83,3
RC,790,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,3173.58,3173.58,3
RC,790,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1910.55,1910.55,3
RC,790,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1670.32,1670.32,3
RC,790,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,536.92,536.92,3
RC,790,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,907.17,907.17,3
RC,790,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,4260.01,4260.01,3
RC,790,"Terminal device, passive hand/mitt, any material, any size ",,,441.32,441.32,3
RC,790,"Terminal device, sport/recreational/work attachment, any material, any size ",,,1034.96,1034.96,3
RC,790,Testosterone pellet 75 mg ,,,79.35,79.35,3
RC,790,Testosterone undecanoate 1 ,,,2.34,2.34,3
RC,790,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,55.9,55.9,3
RC,790,Testosterone; free ,,,27.76,27.76,3
RC,790,Testosterone; total ,,,28.13,28.13,3
RC,790,"Thawing and expansion of frozen cells, each aliquot ",,,13.18,13.18,3
RC,790,Theophylline ,,,15.41,15.41,3
RC,790,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,33.65,38.24,9
RC,790,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,21.54,24.48,9
RC,790,"Therapeutic procedure(s), group (2 or more individuals) ",,,17.3,19.66,9
RC,790,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,35.58,40.43,9
RC,790,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,27.9,31.71,6
RC,790,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,28.5,32.38,6
RC,790,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,31.43,35.72,9
RC,790,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,27.9,31.71,9
RC,790,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,111.99,111.99,3
RC,790,Thiamine (Vitamin B-1) ,,,23.14,23.14,3
RC,790,Thiocyanate ,,,12.68,12.68,3
RC,790,Thiopurine S-methyltransferase (TPMT) ,,,24.17,24.17,3
RC,790,"Thoracic, rib belt, custom fabricated ",,,204.54,204.54,3
RC,790,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,2257.06,2257.06,3
RC,790,Thrombin time; plasma ,,,6.29,6.29,3
RC,790,Thrombin time; titer ,,,7.47,7.47,3
RC,790,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,12018.0,16144.0,2
RC,790,"Thrombolysis, coronary; by intravenous infusion ",,,1672.0,2636.0,2
RC,790,Thrombomodulin ,,,18.82,18.82,3
RC,790,"Thromboplastin inhibition, tissue ",,,10.5,10.5,3
RC,790,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.55,6.55,3
RC,790,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,7.05,7.05,3
RC,790,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,38.27,38.27,3
RC,790,"Thymol turbidity, blood ",,,5.4,5.4,3
RC,790,Thyroglobulin ,,,17.51,17.51,3
RC,790,Thyroglobulin antibody ,,,17.34,17.34,3
RC,790,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,7.05,7.05,3
RC,790,Thyroid stimulating hormone (TSH) ,,,18.31,18.31,3
RC,790,Thyroid stimulating immune globulins (TSI) ,,,55.44,55.44,3
RC,790,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,10868.0,25655.0,20
RC,790,Thyrotropin injection ,,,2352.94,2352.94,3
RC,790,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,54.95,54.95,3
RC,790,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,73.26,73.26,3
RC,790,Thyroxine binding globulin (TBG) ,,,16.11,16.11,3
RC,790,Thyroxine; free ,,,9.83,9.83,3
RC,790,"Thyroxine; requiring elution (eg, neonatal) ",,,7.05,7.05,3
RC,790,Thyroxine; total ,,,7.49,7.49,3
RC,790,Tiagabine ,,,29.55,29.55,3
RC,790,"Tint, photochromatic, per lens ",,,27.86,27.86,3
RC,790,Tisagenlecleucel car-pos t ,,,666745.59,666745.59,3
RC,790,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,156.69,156.69,3
RC,790,Tissue culture for neoplastic disorders; solid tumor ,,,160.8,160.8,3
RC,790,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,163.83,163.83,3
RC,790,Tissue culture for non-neoplastic disorders; lymphocyte ,,,126.97,126.97,3
RC,790,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,153.4,153.4,3
RC,790,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.65,4.65,3
RC,790,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,12.57,12.57,3
RC,790,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,467.07,467.07,3
RC,790,"Tlso, corset front ",,,182.11,182.11,3
RC,790,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,276.88,276.88,3
RC,790,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,793.99,1339.38,6
RC,790,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,149.14,149.14,3
RC,790,"Tlso, full corset ",,,251.72,251.72,3
RC,790,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,310.52,536.2,6
RC,790,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,670.31,670.31,3
RC,790,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,1034.27,1034.27,3
RC,790,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,380.93,380.93,3
RC,790,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,395.66,620.77,6
RC,790,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,557.42,557.42,3
RC,790,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,2001.76,2001.76,3
RC,790,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1681.48,1681.48,3
RC,790,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1201.05,1351.89,6
RC,790,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1351.89,1942.35,6
RC,790,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1920.65,1920.65,3
RC,790,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,798.56,798.56,3
RC,790,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2401.93,2401.93,3
RC,790,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2225.93,2225.93,3
RC,790,Tobramycin ,,,17.58,17.58,3
RC,790,Tocilizumab injection ,,,5.89,5.89,3
RC,790,Tocopherol alpha (Vitamin E) ,,,15.46,15.46,3
RC,790,"Toe loop/holder, any type, each ",,,22.56,22.56,3
RC,790,Topi adm prad zami per tre ,,,3581503.47,3581503.47,3
RC,790,Topiramate ,,,12.99,12.99,3
RC,790,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,21.52,21.52,3
RC,790,"Tracheal suction catheter, any type other than closed system, each ",,,4.1,4.1,3
RC,790,"Tracheal suction catheter, closed system, each ",,,25.48,25.48,3
RC,790,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,147.37,147.37,3
RC,790,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,56.52,56.52,3
RC,790,"Tracheoesophageal puncture dilator, replacement only, each ",,,127.24,127.24,3
RC,790,"Tracheostoma filter, any type, any size, each ",,,0.56,0.56,3
RC,790,"Tracheostoma stent/stud/button, each ",,,120.26,120.26,3
RC,790,"Tracheostoma valve, including diaphragm, each ",,,163.13,163.13,3
RC,790,Tracheostomy care kit for established tracheostomy ,,,7.23,7.23,3
RC,790,Tracheostomy care kit for new tracheostomy ,,,10.76,10.76,3
RC,790,"Tracheostomy cleaning brush, each ",,,4.21,4.21,3
RC,790,"Tracheostomy mask, each ",,,3.2,3.2,3
RC,790,Tracheostomy speaking valve ,,,161.19,161.19,3
RC,790,"Tracheostomy tube collar/holder, each ",,,5.26,5.26,3
RC,790,"Tracheostomy, inner cannula ",,,8.67,8.67,3
RC,790,"Tracheostomy/laryngectomy tube plug/stop, each ",,,5.56,5.56,3
RC,790,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.07,73.07,3
RC,790,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,73.75,73.75,3
RC,790,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,70.15,70.15,3
RC,790,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,80.06,80.06,3
RC,790,"Traction equipment, overdoor, cervical ",,,50.88,50.88,3
RC,790,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,180.69,180.69,3
RC,790,"Traction frame, attached to footboard, pelvic traction ",,,187.02,187.02,3
RC,790,"Traction frame, attached to headboard, cervical traction ",,,96.75,96.75,3
RC,790,"Traction stand, free standing, cervical traction ",,,163.18,163.18,3
RC,790,"Traction stand, free standing, extremity traction ",,,172.84,172.84,3
RC,790,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,183.2,183.2,3
RC,790,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5003.03,5003.03,3
RC,790,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,1481.0,2174.0,4
RC,790,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,7839.0,23307.22,10
RC,790,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1481.0,2636.0,4
RC,790,Transcortin (cortisol binding globulin) ,,,19.62,19.62,3
RC,790,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,145.19,145.19,3
RC,790,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,76.7,76.7,3
RC,790,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,77.22,77.22,3
RC,790,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,54.33,54.33,3
RC,790,Transcutaneous tibial nerve stimulator ,,,54.33,54.33,3
RC,790,"Transfer device, any type, each ",,,61.38,61.38,3
RC,790,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,102.79,102.79,3
RC,790,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,135.29,135.29,3
RC,790,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,58.22,58.22,3
RC,790,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,102.79,102.79,3
RC,790,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,135.29,135.29,3
RC,790,Transferase; alanine amino (ALT) (SGPT) ,,,5.78,5.78,3
RC,790,Transferase; aspartate amino (AST) (SGOT) ,,,5.65,5.65,3
RC,790,Transferrin ,,,13.91,13.91,3
RC,790,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3459.33,23113.0,14
RC,790,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,10868.0,28600.76,13
RC,790,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,35.38,35.38,3
RC,790,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,241.6,241.6,3
RC,790,"Transmitting coil for use with cochlear implant device, replacement ",,,123.85,123.85,3
RC,790,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.38,2.38,3
RC,790,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,6.69,6.69,3
RC,790,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,16.99,16.99,3
RC,790,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3531.6,3531.6,3
RC,790,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,698.4,698.4,3
RC,790,Transplantation of multivisceral organs ,,,21210.0,23307.22,6
RC,790,Transplantation of small intestine and liver allografts ,,,21210.0,23307.22,6
RC,790,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,42.61,42.61,3
RC,790,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,19.61,19.61,3
RC,790,"Transport chair, pediatric size ",,,137.0,137.0,3
RC,790,"Transtracheal oxygen catheter, each ",,,77.87,77.87,3
RC,790,"Trapeze bar, free standing, complete with grab bar ",,,27.96,27.96,3
RC,790,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,56.35,56.35,3
RC,790,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,111.38,111.38,3
RC,790,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,14.78,14.78,3
RC,790,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,26.21,26.21,3
RC,790,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,83.24,83.24,3
RC,790,Treatment of swallowing dysfunction and/or oral function for feeding ,,,91.96,91.96,3
RC,790,Trifocal add over 3.25d ,,,93.22,93.22,3
RC,790,Trifocal seg width over 28 mm ,,,74.82,74.82,3
RC,790,Triglycerides ,,,6.26,6.26,3
RC,790,Triiodothyronine T3; free ,,,18.46,18.46,3
RC,790,Triiodothyronine T3; reverse ,,,17.18,17.18,3
RC,790,Triiodothyronine T3; total (TT-3) ,,,15.46,15.46,3
RC,790,"Trimming of dystrophic nails, any number ",,,119.92,2636.0,17
RC,790,Triptorelin pamoate ,,,508.34,508.34,3
RC,790,"Troponin, qualitative ",,,11.0,11.0,3
RC,790,"Troponin, quantitative ",,,13.59,13.59,3
RC,790,"Truss, addition to standard pad, scrotal pad ",,,87.83,87.83,3
RC,790,"Truss, addition to standard pad, water pad ",,,82.07,82.07,3
RC,790,"Truss, double with standard pads ",,,177.72,177.72,3
RC,790,"Truss, single with standard pad ",,,112.58,112.58,3
RC,790,Trypsin; duodenal fluid ,,,7.85,7.85,3
RC,790,"Trypsin; feces, qualitative ",,,7.96,7.96,3
RC,790,"Trypsin; feces, quantitative, 24-hour collection ",,,10.82,10.82,3
RC,790,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,109.0,109.0,3
RC,790,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,67.56,67.56,3
RC,790,"Tubing (oxygen), per foot ",,,0.09,0.09,3
RC,790,Tubing used with positive airway pressure device ,,,16.07,16.07,3
RC,790,Tubing with integrated heating element for use with positive airway pressure device ,,,53.98,53.98,3
RC,790,"Tubing, used with suction pump, each ",,,5.07,5.07,3
RC,790,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.77,1.77,3
RC,790,"Twelve volt battery, each ",,,703.98,703.98,3
RC,790,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1481.0,5932.0,7
RC,790,Tyrosine ,,,11.59,11.59,3
RC,790,"U-v lens, per lens ",,,29.55,29.55,3
RC,790,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,210.64,210.64,3
RC,790,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,255.06,255.06,3
RC,790,Ultralightweight wheelchair ,,,2871.89,2871.89,3
RC,790,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,62.52,62.52,3
RC,790,Ultrasound Composite ,,,322.14,322.14,3
RC,790,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1752.83,1752.83,3
RC,790,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,2160.74,2160.74,3
RC,790,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1395.86,1395.86,3
RC,790,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6877.44,6877.44,3
RC,790,"Underarm pad, crutch, replacement, each ",,,6.75,6.75,3
RC,790,Unlisted cardiovascular service or procedure ,,,1481.0,2636.0,5
RC,790,Unlisted diagnostic gastroenterology procedure ,,,1481.0,2636.0,5
RC,790,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3374.3,3374.3,3
RC,790,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,110.12,110.12,3
RC,790,"Upper extremity addition, disconnect locking wrist unit ",,,259.08,259.08,3
RC,790,"Upper extremity addition, excursion amplifier, lever type ",,,309.88,309.88,3
RC,790,"Upper extremity addition, excursion amplifier, pulley type ",,,260.3,260.3,3
RC,790,"Upper extremity addition, external frame, partial hand including fingers ",,,769.71,769.71,3
RC,790,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,32166.12,32166.12,3
RC,790,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,5081.7,5081.7,3
RC,790,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,447.66,447.66,3
RC,790,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,909.74,909.74,3
RC,790,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,769.71,769.71,3
RC,790,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,1032.89,1032.89,3
RC,790,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,951.95,951.95,3
RC,790,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,175.03,175.03,3
RC,790,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,166.5,166.5,3
RC,790,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,237.41,237.41,3
RC,790,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,400.3,400.3,3
RC,790,"Upper extremity addition, heavy duty control cable ",,,137.75,137.75,3
RC,790,"Upper extremity addition, hook to hand, cable adapter ",,,85.33,85.33,3
RC,790,"Upper extremity addition, latex suspension sleeve, each ",,,86.7,86.7,3
RC,790,"Upper extremity addition, lift assist for elbow ",,,295.23,295.23,3
RC,790,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3830.71,3830.71,3
RC,790,"Upper extremity addition, nudge control elbow lock ",,,575.31,575.31,3
RC,790,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,688.8,688.8,3
RC,790,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,236.84,236.84,3
RC,790,"Upper extremity addition, removable insert, each ",,,460.63,460.63,3
RC,790,"Upper extremity addition, rotation wrist unit with cable lock ",,,946.28,946.28,3
RC,790,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,537.48,537.48,3
RC,790,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,4255.74,4255.74,3
RC,790,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,700.64,700.64,3
RC,790,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,4389.23,4389.23,3
RC,790,"Upper extremity addition, shoulder universal joint, each ",,,564.33,564.33,3
RC,790,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,949.5,949.5,3
RC,790,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,898.87,898.87,3
RC,790,"Upper extremity addition, stainless steel, any wrist ",,,383.46,383.46,3
RC,790,"Upper extremity addition, standard control cable, extra ",,,123.54,123.54,3
RC,790,"Upper extremity addition, suction socket ",,,864.83,864.83,3
RC,790,"Upper extremity addition, teflon, or equal, cable lining ",,,81.94,81.94,3
RC,790,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,404.22,404.22,3
RC,790,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,465.15,465.15,3
RC,790,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,412.79,412.79,3
RC,790,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,412.79,412.79,3
RC,790,"Upper extremity additions, flexible metal hinge, pair ",,,269.87,269.87,3
RC,790,"Upper extremity additions, polycentric hinge, pair ",,,333.75,333.75,3
RC,790,"Upper extremity additions, shoulder abduction joint, pair ",,,481.31,481.31,3
RC,790,"Upper extremity additions, single pivot hinge, pair ",,,329.54,329.54,3
RC,790,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,451.19,451.19,3
RC,790,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1233.68,1233.68,3
RC,790,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,509.16,509.16,3
RC,790,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,442.97,442.97,3
RC,790,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,3086.31,3086.31,3
RC,790,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,2223.21,2223.21,3
RC,790,"Upper facial prosthesis, provided by a non-physician ",,,4878.32,4878.32,3
RC,790,"Urea nitrogen, clearance ",,,7.85,7.85,3
RC,790,"Urea nitrogen, urine ",,,6.06,6.06,3
RC,790,Urea nitrogen; quantitative ,,,4.31,4.31,3
RC,790,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.59,5.59,3
RC,790,Uric acid; blood ,,,4.93,4.93,3
RC,790,Uric acid; other source ,,,5.54,5.54,3
RC,790,"Urinal; female, jug-type, any material ",,,13.22,13.22,3
RC,790,"Urinal; male, jug-type, any material ",,,12.81,12.81,3
RC,790,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.45,3.46,6
RC,790,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.79,4.38,6
RC,790,Urinalysis; 2 or 3 glass test ,,,5.12,5.12,3
RC,790,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,32.68,32.68,3
RC,790,Urinalysis; microscopic only ,,,3.32,3.32,3
RC,790,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.37,2.37,3
RC,790,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.44,3.44,3
RC,790,"Urinary catheter anchoring device, leg strap, each ",,,7.64,7.64,3
RC,790,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,45.73,45.73,3
RC,790,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,8.76,8.76,3
RC,790,"Urinary suspensory with leg bag, with or without tube, each ",,,63.34,63.34,3
RC,790,"Urine pregnancy test, by visual color comparison methods ",,,9.38,9.38,3
RC,790,"Urobilinogen, feces, quantitative ",,,18.31,18.31,3
RC,790,"Urobilinogen, urine; qualitative ",,,4.87,4.87,3
RC,790,"Urobilinogen, urine; quantitative, timed specimen ",,,10.41,10.41,3
RC,790,"Urobilinogen, urine; semiquantitative ",,,6.59,6.59,3
RC,790,"Ustekinumab, iv inject,1 m ",,,12.38,12.38,3
RC,790,Ustekinumab-ttwe iv inj 1 ,,,9.32,9.32,3
RC,790,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,96.14,96.14,3
RC,790,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,3
RC,790,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,66.08,66.08,3
RC,790,Valproic acid (dipropylacetic acid); free ,,,14.76,14.76,3
RC,790,Valproic acid (dipropylacetic acid); total ,,,14.76,14.76,3
RC,790,Vancomycin ,,,14.76,14.76,3
RC,790,"Vanillylmandelic acid (VMA), urine ",,,16.89,16.89,3
RC,790,"Vaporizer, room type ",,,41.03,41.03,3
RC,790,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,163.49,163.49,3
RC,790,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,141.14,141.14,3
RC,790,Variable concentration mask ,,,0.94,0.94,3
RC,790,"Varicella-zoster ig, im ",,,2722.53,2722.53,3
RC,790,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,10868.0,12875.0,3
RC,790,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,7839.0,81197.53,19
RC,790,"Vascular graft material, synthetic, implant ",,,742.82,742.82,3
RC,790,Vasoactive intestinal peptide (VIP) ,,,38.51,38.51,3
RC,790,"Vasopressin (antidiuretic hormone, ADH) ",,,36.99,36.99,3
RC,790,Vedolizumab ,,,42.04,42.04,3
RC,790,Velaglucerase alfa ,,,428.2,428.2,3
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,4693.0,5932.0,4
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,4693.0,5932.0,4
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,4693.0,5932.0,4
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,4693.0,5932.0,4
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,4693.0,5932.0,4
RC,790,Very long chain fatty acids ,,,21.53,21.53,3
RC,790,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,735.5,735.5,3
RC,790,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,21.32,21.32,3
RC,790,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,36.91,36.91,3
RC,790,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,21.32,21.32,3
RC,790,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,28.42,28.42,3
RC,790,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,22.02,22.02,3
RC,790,Viscosity ,,,12.72,12.72,3
RC,790,Vitamin A ,,,12.65,12.65,3
RC,790,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,41.97,41.97,3
RC,790,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,32.26,32.26,3
RC,790,Vitamin K ,,,14.95,14.95,3
RC,790,"Vitamin, not otherwise specified ",,,18.6,18.6,3
RC,790,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,7799.0,7799.0,1
RC,790,Voice amplifier ,,,340.98,340.98,3
RC,790,"Volatiles (eg, acetic anhydride, diethylether) ",,,18.65,18.65,3
RC,790,"Voltage-gated calcium channel antibody, each ",,,13.13,13.13,3
RC,790,"Volume measurement for timed collection, each ",,,3.97,3.97,3
RC,790,Vonvendi inj 1 iu vwf:rco ,,,1.97,1.97,3
RC,790,Voriconazole ,,,29.55,29.55,3
RC,790,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,37.45,37.45,3
RC,790,"Walker, folding (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,790,"Walker, folding, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,790,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,544.83,544.83,3
RC,790,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.11,15.11,3
RC,790,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,106.04,106.04,3
RC,790,"Walker, rigid (pickup), adjustable or fixed height ",,,58.32,58.32,3
RC,790,"Walker, rigid, wheeled, adjustable or fixed height ",,,65.08,65.08,3
RC,790,"Walker, with trunk support, adjustable or fixed height, any type ",,,35.02,35.02,3
RC,790,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,213.51,213.51,3
RC,790,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,213.51,213.51,3
RC,790,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,346.82,346.82,3
RC,790,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,346.82,346.82,3
RC,790,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,131.58,131.58,3
RC,790,Washed red blood cells uni ,,,401.75,401.75,3
RC,790,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,17.72,17.72,3
RC,790,Water circulating heat pad with pump ,,,771.21,771.21,3
RC,790,"Water collection device, used with large volume nebulizer ",,,3.54,3.54,3
RC,790,Water pressure mattress ,,,29.3,29.3,3
RC,790,"Water pressure pad for mattress, standard mattress length and width ",,,29.27,29.27,3
RC,790,Water seal drainage container and tubing for use with implanted chest tube ,,,118.73,118.73,3
RC,790,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.41,0.41,3
RC,790,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,20.21,20.21,3
RC,790,"Wheel attachment, rigid pick-up walker, per pair ",,,26.66,26.66,3
RC,790,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,358.28,358.28,3
RC,790,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,226.46,226.46,3
RC,790,"Wheelchair accessory, addition to mobile arm support, supinator ",,,188.53,188.53,3
RC,790,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,151.66,151.66,3
RC,790,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,151.66,151.66,3
RC,790,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.83,67.83,3
RC,790,"Wheelchair accessory, back upholstery, replacement only, each ",,,62.73,62.73,3
RC,790,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.94,6.94,3
RC,790,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,34.6,34.6,3
RC,790,"Wheelchair accessory, crutch and cane holder, each ",,,59.79,59.79,3
RC,790,"Wheelchair accessory, cylinder tank carrier, each ",,,99.55,99.55,3
RC,790,"Wheelchair accessory, dynamic positioning hardware for back ",,,178.2,178.2,3
RC,790,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.53,88.53,3
RC,790,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,71.18,71.18,3
RC,790,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,19.09,19.09,3
RC,790,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,102.07,102.07,3
RC,790,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,102.07,102.07,3
RC,790,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,488.51,488.51,3
RC,790,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,48.9,48.9,3
RC,790,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,17.1,17.1,3
RC,790,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,17.1,17.1,3
RC,790,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,17.1,17.1,3
RC,790,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,17.1,17.1,3
RC,790,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,163.87,163.87,3
RC,790,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.21,30.21,3
RC,790,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,1088.05,1088.05,3
RC,790,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,1116.04,1116.04,3
RC,790,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,864.32,864.32,3
RC,790,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,649.88,649.88,3
RC,790,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,705.62,705.62,3
RC,790,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,587.95,587.95,3
RC,790,"Wheelchair accessory, power seating system, tilt only ",,,505.15,505.15,3
RC,790,"Wheelchair accessory, seat lift mechanism ",,,28.53,28.53,3
RC,790,"Wheelchair accessory, seat upholstery, replacement only, each ",,,53.66,53.66,3
RC,790,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,824.14,824.14,3
RC,790,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1325.53,1325.53,3
RC,790,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1281.27,1281.27,3
RC,790,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,984.8,984.8,3
RC,790,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,888.15,888.15,3
RC,790,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,97.24,97.24,3
RC,790,"Wheelchair accessory, tray, each ",,,101.36,101.36,3
RC,790,"Wheelchair accessory, ventilator tray, fixed ",,,49.46,49.46,3
RC,790,"Wheelchair accessory, ventilator tray, gimbaled ",,,156.02,156.02,3
RC,790,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,29.83,33.9,6
RC,790,"Wheelchair with detachable arms, elevating legrests ",,,126.07,126.07,3
RC,790,"Wheelchair with detachable arms, footrests ",,,114.97,114.97,3
RC,790,"Wheelchair with fixed arm, elevating legrests ",,,100.66,100.66,3
RC,790,"Wheelchair with fixed arm, footrests ",,,73.81,73.81,3
RC,790,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,126.71,126.71,3
RC,790,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,97.11,97.11,3
RC,790,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,254.57,254.57,3
RC,790,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,254.57,254.57,3
RC,790,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,288.54,288.54,3
RC,790,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,256.77,256.77,3
RC,790,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,332.21,332.21,3
RC,790,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,299.65,299.65,3
RC,790,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,344.18,344.18,3
RC,790,"Whirlpool, non-portable (built-in type) ",,,3335.79,3335.79,3
RC,790,Whole blood for transfusio ,,,206.93,206.93,3
RC,790,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1402.83,1402.83,3
RC,790,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,1020.24,1020.24,3
RC,790,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,199.63,199.63,3
RC,790,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,171.69,171.69,3
RC,790,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,34.17,34.17,3
RC,790,Wound closure utilizing tissue adhesive(s) only ,,,466.76,2636.0,11
RC,790,"Wound pouch, each ",,,21.65,21.65,3
RC,790,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10325.59,10325.59,3
RC,790,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,9778.82,9778.82,3
RC,790,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3787.97,3787.97,3
RC,790,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,3070.7,3070.7,3
RC,790,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1969.68,1969.68,3
RC,790,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1602.13,1602.13,3
RC,790,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3589.33,3589.33,3
RC,790,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,556.74,556.74,3
RC,790,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,251.77,251.77,3
RC,790,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,409.57,409.57,3
RC,790,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,306.48,306.48,3
RC,790,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,306.48,306.48,3
RC,790,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,651.51,651.51,3
RC,790,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,651.51,651.51,3
RC,790,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1215.4,1215.4,3
RC,790,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,484.31,484.31,3
RC,790,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,73.43,73.43,3
RC,790,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,996.26,996.26,3
RC,790,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,996.26,996.26,3
RC,790,"Xylose absorption test, blood and/or urine ",,,14.07,14.07,3
RC,790,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,210.64,210.64,3
RC,790,Zinc ,,,12.42,12.42,3
RC,790,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.84,0.84,3
RC,790,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.95,1.95,3
RC,790,Zonisamide ,,,14.44,14.44,3
RC,790,"b-Hexosaminidase, each assay ",,,18.39,18.39,3
RC,790,lisocabtagene car pos t ,,,631731.95,631731.95,3
RC,790,"pH; body fluid, not otherwise specified ",,,3.9,3.9,3
RC,790,pH; exhaled breath condensate ,,,3.9,3.9,3
RC,800, Inpatient Renal Dialysis General Classification  ,,,,,0
RC,801, Inpatient Renal Dialysis Inpatient Hemodialysis  ,,,,,0
RC,802, Inpatient Renal Dialysis Inpatient Peritoneal (Non-CAPD)  ,,,,,0
RC,803, Inpatient Renal Dialysis Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)  ,,,,,0
RC,804, Inpatient Renal Dialysis Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)  ,,,,,0
RC,809, Inpatient Renal Dialysis Other  ,,,,,0
RC,810, Acquisition of Body Components General Classification  ,,,25000.0,25000.0,1
RC,810, Acquisition of Body Components General Classification  Non-vascular tissue recovery,,,1000.0,1000.0,1
RC,810, Acquisition of Body Components General Classification  Potential Organ Donor,,,,,0
RC,811, Acquisition of Body Components Living Donor  ,,,25000.0,25000.0,1
RC,811, Acquisition of Body Components Living Donor  Non-vascular tissue recovery,,,1000.0,1000.0,1
RC,811, Acquisition of Body Components Living Donor  Potential Organ Donor,,,,,0
RC,812, Acquisition of Body Components Cadaver Donor  ,,,25000.0,25000.0,1
RC,812, Acquisition of Body Components Cadaver Donor  Non-vascular tissue recovery,,,1000.0,1000.0,1
RC,812, Acquisition of Body Components Cadaver Donor  Potential Organ Donor,,,,,0
RC,813, Acquisition of Body Components Unknown Donor  ,,,25000.0,25000.0,1
RC,813, Acquisition of Body Components Unknown Donor  Non-vascular tissue recovery,,,1000.0,1000.0,1
RC,813, Acquisition of Body Components Unknown Donor  Potential Organ Donor,,,,,0
RC,814, Acquisition of Body Components Unsuccessful Organ Search - Donor Bank Charges  ,,,25000.0,25000.0,1
RC,814, Acquisition of Body Components Unsuccessful Organ Search - Donor Bank Charges  Non-vascular tissue recovery,,,1000.0,1000.0,1
RC,814, Acquisition of Body Components Unsuccessful Organ Search - Donor Bank Charges  Potential Organ Donor,,,,,0
RC,815, Acquisition of Body Components Stem Cells - Allogeneic  ,,,,,0
RC,819, Acquisition of Body Components Other Donor  ,,,25000.0,25000.0,1
RC,819, Acquisition of Body Components Other Donor  Non-vascular tissue recovery,,,1000.0,1000.0,1
RC,819, Acquisition of Body Components Other Donor  Potential Organ Donor,,,,,0
RC,820, Hemodialysis - Outpatient or Home General Classification  ,,,694.0,1200.0,3
RC,820,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,730.0,923.0,4
RC,820,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,730.0,923.0,4
RC,820,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,730.0,923.0,4
RC,820,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,730.0,923.0,4
RC,820,"Unlisted dialysis procedure, inpatient or outpatient ",,,730.0,923.0,4
RC,821, Hemodialysis - Outpatient or Home Composite or Other Rate  ,,,694.0,1461.0,15
RC,821,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,730.0,923.0,4
RC,821,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,730.0,923.0,4
RC,821,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,730.0,923.0,4
RC,821,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,730.0,923.0,4
RC,821,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,730.0,923.0,4
RC,821,"Unlisted dialysis procedure, inpatient or outpatient ",,,730.0,923.0,4
RC,822, Hemodialysis - Outpatient or Home - Home Supplies  ,,,694.0,1200.0,3
RC,823, Hemodialysis - Outpatient or Home - Home Equipment  ,,,694.0,1200.0,3
RC,824, Hemodialysis - Outpatient or Home - Maintenance 100%  ,,,694.0,1200.0,3
RC,825, Hemodialysis - Outpatient or Home - Support Services  ,,,694.0,1461.0,9
RC,829, Hemodialysis - Outpatient or Home - Other OP Hemodialysis  ,,,694.0,1461.0,9
RC,829,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,730.0,923.0,4
RC,829,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,730.0,923.0,4
RC,829,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,730.0,923.0,4
RC,829,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,730.0,923.0,4
RC,829,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,730.0,923.0,4
RC,829,"Unlisted dialysis procedure, inpatient or outpatient ",,,730.0,923.0,4
RC,830, Peritoneal Dialysis - Outpatient or Home General Classification  ,,,694.0,1200.0,3
RC,831, Peritoneal Dialysis - Outpatient or Home  Composite or Other Rate  ,,,694.0,1461.0,15
RC,831,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,730.0,923.0,4
RC,831,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,730.0,923.0,4
RC,831,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,730.0,923.0,4
RC,831,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,730.0,923.0,4
RC,831,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,730.0,923.0,4
RC,831,"Unlisted dialysis procedure, inpatient or outpatient ",,,730.0,923.0,4
RC,832, Peritoneal Dialysis - Outpatient or Home - Home Supplies  ,,,694.0,1200.0,3
RC,833, Peritoneal Dialysis - Outpatient or Home - Home Equipment  ,,,694.0,1200.0,3
RC,834, Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%  ,,,694.0,1200.0,3
RC,835, Peritoneal Dialysis - Outpatient or Home - Support Services  ,,,694.0,1461.0,9
RC,839, Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis  ,,,694.0,1461.0,9
RC,840, Continuous Ambulatory Peritoneal Dialysis - Outpatient or Home General Classification  ,,,694.0,1200.0,3
RC,841, Continuous Ambulatory Peritoneal Dialysis - Outpatient or Home - Composite or Other Rate  ,,,694.0,1461.0,15
RC,841,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,730.0,923.0,4
RC,841,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,730.0,923.0,4
RC,841,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,730.0,923.0,4
RC,841,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,730.0,923.0,4
RC,841,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,730.0,923.0,4
RC,841,"Unlisted dialysis procedure, inpatient or outpatient ",,,730.0,923.0,4
RC,842, Continuous Ambulatory Peritoneal Dialysis - Home Supplies  ,,,694.0,1200.0,3
RC,843, Continuous Ambulatory Peritoneal Dialysis - Home Equipment  ,,,694.0,1200.0,3
RC,844, Continuous Ambulatory Peritoneal Dialysis - Maintenance - 100%  ,,,694.0,1200.0,3
RC,845, Continuous Ambulatory Peritoneal Dialysis - Support Services  ,,,694.0,1461.0,9
RC,849, Continuous Ambulatory Peritoneal Dialysis - Other Outpatient CAPD  ,,,694.0,1461.0,9
RC,850, Continuous Cycling Peritoneal Dialysis - Outpatient or Home General Classification  ,,,694.0,1200.0,3
RC,851, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Composite or Other Rate  ,,,694.0,1461.0,15
RC,851,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,730.0,923.0,4
RC,851,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,730.0,923.0,4
RC,851,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,730.0,923.0,4
RC,851,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,730.0,923.0,4
RC,851,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,730.0,923.0,4
RC,851,"Unlisted dialysis procedure, inpatient or outpatient ",,,730.0,923.0,4
RC,852, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Home Supplies  ,,,694.0,1200.0,3
RC,853, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Home Equipment  ,,,694.0,1200.0,3
RC,854, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%  ,,,694.0,1200.0,3
RC,855, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Support Services  ,,,694.0,1461.0,9
RC,859, Continuous Cycling Peritonial Dialysis - Outpatient or Home - Other Outpatient CCPD  ,,,694.0,1461.0,9
RC,860, Magnetoencephalography General Classification  ,,,585.0,1350.0,3
RC,861, Magnetoencephalography MEG  ,,,585.0,1350.0,3
RC,880, Miscellaneous Dialysis General Classification  ,,,,,0
RC,880,Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility ,,,343.75,343.75,5
RC,881, Miscellaneous Dialysis Ultrafiltration  ,,,,,0
RC,889, Miscellaneous Dialysis Other Miscellaneous Dialysis  ,,,,,0
RC,891, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Cell Therapy  ,,,,,0
RC,891,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,3
RC,891,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,3
RC,891,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,3
RC,891,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,3
RC,891,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,3
RC,891,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,3
RC,891,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,3
RC,891,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,3
RC,891,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,3
RC,891,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,3
RC,891,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,51.33,51.33,3
RC,891,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,3
RC,891,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,3
RC,891,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,3
RC,891,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,3
RC,891,"Anti-inhibitor, per i.u. ",,,3.99,3.99,3
RC,891,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,3
RC,891,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Aprepitant, oral, 5 mg ",,,3.94,3.94,3
RC,891,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,3
RC,891,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Ascent, 0.5 mg ",,,113.75,113.75,3
RC,891,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,3
RC,891,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Azathioprine, oral, 50 mg ",,,0.3,0.3,3
RC,891,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,3
RC,891,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,3
RC,891,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,3
RC,891,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,3
RC,891,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,3
RC,891,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,3
RC,891,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Biobrane, per square centimeter ",,,209.78,209.78,3
RC,891,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,3
RC,891,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,3
RC,891,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,3
RC,891,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,3
RC,891,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,3
RC,891,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,3
RC,891,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,3
RC,891,"Busulfan; oral, 2 mg ",,,16.7,16.7,3
RC,891,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,3
RC,891,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,3
RC,891,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,3
RC,891,"Capecitabine, oral, 50 mg ",,,0.05,0.05,3
RC,891,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,3
RC,891,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,3
RC,891,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,3
RC,891,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,3
RC,891,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,3
RC,891,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,3
RC,891,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,3
RC,891,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,3
RC,891,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,3
RC,891,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,3
RC,891,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,3
RC,891,"Coretext or protext, per cc ",,,5313.0,5313.0,3
RC,891,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,3
RC,891,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,3
RC,891,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,3
RC,891,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,3
RC,891,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,3
RC,891,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,3
RC,891,"Cyclosporine, oral, 25 mg ",,,1.04,1.04,3
RC,891,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,3
RC,891,"Dacarbazine, 100 mg ",,,6.35,6.35,3
RC,891,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,3
RC,891,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,3
RC,891,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,3
RC,891,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,3
RC,891,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,3
RC,891,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,3
RC,891,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,3
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,3
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,233.1,233.1,3
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,3
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,3
RC,891,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,61.12,61.12,3
RC,891,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,3
RC,891,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,91.03,91.03,3
RC,891,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,3
RC,891,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,3
RC,891,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Edetate disodium, per 150 mg ",,,0.54,0.54,3
RC,891,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,3
RC,891,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,0.81,0.81,3
RC,891,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,3
RC,891,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Epifix, injectable, 1 mg ",,,31.96,31.96,3
RC,891,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,3
RC,891,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,3
RC,891,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,3
RC,891,"Etoposide; oral, 50 mg ",,,143.29,143.29,3
RC,891,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,3
RC,891,"Excellagen, 0.1 cc ",,,287.1,287.1,3
RC,891,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,3
RC,891,"Factor ix, complex, per i.u. ",,,2.81,2.81,3
RC,891,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,3
RC,891,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,3
RC,891,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,3
RC,891,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,3
RC,891,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,3
RC,891,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,3
RC,891,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,3
RC,891,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,3
RC,891,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,3
RC,891,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,3
RC,891,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,3
RC,891,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,3
RC,891,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,3
RC,891,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,3
RC,891,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,3
RC,891,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,3
RC,891,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,3
RC,891,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,3
RC,891,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,3
RC,891,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,3
RC,891,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,3
RC,891,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,3
RC,891,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,3
RC,891,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,37.47,37.47,3
RC,891,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,3
RC,891,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,3
RC,891,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,3
RC,891,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,3
RC,891,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,3
RC,891,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,3
RC,891,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,3
RC,891,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Gefitinib, oral, 250 mg ",,,480.15,480.15,3
RC,891,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,3
RC,891,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,3
RC,891,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,3
RC,891,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,3
RC,891,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,3
RC,891,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,3
RC,891,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,3
RC,891,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,3
RC,891,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,3
RC,891,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,3
RC,891,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,3
RC,891,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,3
RC,891,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,3
RC,891,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,3
RC,891,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,3
RC,891,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,891,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,891,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,891,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,891,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,54.78,54.78,3
RC,891,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,3
RC,891,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,3
RC,891,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,3
RC,891,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,3
RC,891,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,3
RC,891,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,3
RC,891,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,3
RC,891,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,3
RC,891,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,3
RC,891,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,3
RC,891,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,3
RC,891,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,3
RC,891,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,3
RC,891,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,3
RC,891,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,3
RC,891,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,3
RC,891,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,3
RC,891,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,3
RC,891,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,3
RC,891,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,3
RC,891,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,3
RC,891,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,3
RC,891,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,3
RC,891,"Hypertonic saline solution, 1 ml ",,,0.17,0.17,3
RC,891,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,3
RC,891,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,3
RC,891,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,3
RC,891,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,3
RC,891,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,2854.98,2854.98,3
RC,891,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,3
RC,891,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,3
RC,891,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,1820.26,1820.26,3
RC,891,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,3
RC,891,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1230.27,1230.27,3
RC,891,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,3301.55,3301.55,3
RC,891,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,3
RC,891,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,3
RC,891,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,3
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,3
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,3
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,3
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,3
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,3
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,3
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,38.31,38.31,3
RC,891,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,3
RC,891,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,3
RC,891,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,3
RC,891,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,3
RC,891,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,3
RC,891,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,3
RC,891,"Infusion, albumin (human), 5%, 50 ml ",,,17.52,17.52,3
RC,891,"Infusion, d5w, 1000 cc ",,,5.07,5.07,3
RC,891,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,3
RC,891,"Infusion, normal saline solution , 1000 cc ",,,3.61,3.61,3
RC,891,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,3
RC,891,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,3
RC,891,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,3
RC,891,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,3
RC,891,"Injection abciximab, 10 mg ",,,951.77,951.77,3
RC,891,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,3
RC,891,"Injection fluconazole, 200 mg ",,,6.39,6.39,3
RC,891,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,3
RC,891,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,3
RC,891,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,891,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,891,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,3
RC,891,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,3
RC,891,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,3
RC,891,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,3
RC,891,"Injection, acetylcysteine, 100 mg ",,,0.84,0.84,3
RC,891,"Injection, acyclovir, 5 mg ",,,0.03,0.03,3
RC,891,"Injection, adalimumab, 1 mg ",,,269.25,269.25,3
RC,891,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,3
RC,891,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,3
RC,891,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,3
RC,891,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,3
RC,891,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,3
RC,891,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,3
RC,891,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,3
RC,891,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,3
RC,891,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,3
RC,891,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,3
RC,891,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,3
RC,891,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,3
RC,891,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,3
RC,891,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,3
RC,891,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,3
RC,891,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,3
RC,891,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,3
RC,891,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,3
RC,891,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,0.79,0.79,3
RC,891,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,3
RC,891,"Injection, amifostine, 500 mg ",,,722.52,722.52,3
RC,891,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,3
RC,891,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,3
RC,891,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,3
RC,891,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,3
RC,891,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,3
RC,891,"Injection, amisulpride, 1 mg ",,,15.77,15.77,3
RC,891,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,3
RC,891,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,3
RC,891,"Injection, amphotericin b lipid complex, 10 mg ",,,30.86,30.86,3
RC,891,"Injection, amphotericin b liposome, 10 mg ",,,37.64,37.64,3
RC,891,"Injection, amphotericin b, 50 mg ",,,73.14,73.14,3
RC,891,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,3
RC,891,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,3
RC,891,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,3
RC,891,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,3
RC,891,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,3
RC,891,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,3
RC,891,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,3
RC,891,"Injection, aprepitant, 1 mg ",,,2.79,2.79,3
RC,891,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,3
RC,891,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,3
RC,891,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,3
RC,891,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,3
RC,891,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,3
RC,891,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,3
RC,891,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,3
RC,891,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,3
RC,891,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,3
RC,891,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,3
RC,891,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,3
RC,891,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,3
RC,891,"Injection, artesunate, 1 mg ",,,85.52,85.52,3
RC,891,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,3
RC,891,"Injection, atezolizumab, 10 mg ",,,155.1,155.1,3
RC,891,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,3
RC,891,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,3
RC,891,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,3
RC,891,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,3
RC,891,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,3
RC,891,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,3
RC,891,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,3
RC,891,"Injection, avelumab, 10 mg ",,,174.16,174.16,3
RC,891,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,3
RC,891,"Injection, azacitidine, 1 mg ",,,0.68,0.68,3
RC,891,"Injection, azithromycin, 500 mg ",,,3.2,3.2,3
RC,891,"Injection, aztreonam, 100 mg ",,,3.78,3.78,3
RC,891,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,3
RC,891,"Injection, baclofen, 10 mg ",,,293.78,293.78,3
RC,891,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,3
RC,891,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,3
RC,891,"Injection, belatacept, 1 mg ",,,6.42,6.42,3
RC,891,"Injection, belimumab, 10 mg ",,,94.36,94.36,3
RC,891,"Injection, belinostat, 10 mg ",,,87.63,87.63,3
RC,891,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,3
RC,891,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,3
RC,891,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,3
RC,891,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,3
RC,891,"Injection, benralizumab, 1 mg ",,,269.54,269.54,3
RC,891,"Injection, benztropine mesylate, per 1 mg ",,,22.31,22.31,3
RC,891,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,3
RC,891,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,3
RC,891,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,3
RC,891,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,3
RC,891,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,3
RC,891,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,3
RC,891,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,3
RC,891,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,3
RC,891,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,3
RC,891,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,3
RC,891,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,3
RC,891,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,3
RC,891,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,3
RC,891,"Injection, bleomycin sulfate, 15 units ",,,27.39,27.39,3
RC,891,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,3
RC,891,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,3
RC,891,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,3
RC,891,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,3
RC,891,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,3
RC,891,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,3
RC,891,"Injection, brentuximab vedotin, 1 mg ",,,443.4,443.4,3
RC,891,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,3
RC,891,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,3
RC,891,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,3
RC,891,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,3
RC,891,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,3
RC,891,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,3
RC,891,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,3
RC,891,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,3
RC,891,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,3
RC,891,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,3
RC,891,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,3
RC,891,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,3
RC,891,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,3
RC,891,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,3
RC,891,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,3
RC,891,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,3
RC,891,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,3
RC,891,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,3
RC,891,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,3
RC,891,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,3
RC,891,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,3
RC,891,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,3
RC,891,"Injection, calcitriol, 0.1 mcg ",,,1.96,1.96,3
RC,891,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,3
RC,891,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,3
RC,891,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,3
RC,891,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,3
RC,891,"Injection, canakinumab, 1 mg ",,,246.79,246.79,3
RC,891,"Injection, cangrelor, 1 mg ",,,33.03,33.03,3
RC,891,"Injection, caplacizumab-yhdp, 1 mg ",,,1322.08,1322.08,3
RC,891,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,3
RC,891,"Injection, carboplatin, 50 mg ",,,4.85,4.85,3
RC,891,"Injection, carboprost tromethamine, 0.1 mg ",,,25.67,25.67,3
RC,891,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,3
RC,891,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,3
RC,891,"Injection, carmustine, 100 mg ",,,398.97,398.97,3
RC,891,"Injection, casimersen, 10 mg ",,,274.23,274.23,3
RC,891,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,3
RC,891,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,3
RC,891,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,3
RC,891,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,3
RC,891,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,3
RC,891,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,3
RC,891,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,3
RC,891,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,3
RC,891,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,3
RC,891,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,3
RC,891,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,3
RC,891,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,3
RC,891,"Injection, ceftaroline fosamil, 10 mg ",,,7.01,7.01,3
RC,891,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,172.84,172.84,3
RC,891,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,3
RC,891,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,3
RC,891,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,14.59,14.59,3
RC,891,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,3
RC,891,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,3
RC,891,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,3
RC,891,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,3
RC,891,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,3
RC,891,"Injection, cetuximab, 10 mg ",,,132.76,132.76,3
RC,891,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,3
RC,891,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,3
RC,891,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,3
RC,891,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,3
RC,891,"Injection, chlorpromazine hcl, up to 50 mg ",,,34.58,34.58,3
RC,891,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,3
RC,891,"Injection, cidofovir, 375 mg ",,,925.3,925.3,3
RC,891,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,3
RC,891,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,3
RC,891,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,3
RC,891,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,3
RC,891,"Injection, cladribine, per 1 mg ",,,14.4,14.4,3
RC,891,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,3
RC,891,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,3
RC,891,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,3
RC,891,"Injection, clofarabine, 1 mg ",,,18.05,18.05,3
RC,891,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,3
RC,891,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,3
RC,891,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,3
RC,891,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,3
RC,891,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,3
RC,891,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,3
RC,891,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,3
RC,891,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,3
RC,891,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,3
RC,891,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,3
RC,891,"Injection, cosyntropin, 0.25 mg ",,,26.83,26.83,3
RC,891,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,3
RC,891,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,2613.6,2613.6,3
RC,891,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,3037.68,3037.68,3
RC,891,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,3
RC,891,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,3
RC,891,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,3
RC,891,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,3
RC,891,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,3
RC,891,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,3
RC,891,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,3
RC,891,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,3
RC,891,"Injection, cytarabine, 100 mg ",,,1.32,1.32,3
RC,891,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,3
RC,891,"Injection, dactinomycin, 0.5 mg ",,,557.16,557.16,3
RC,891,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,3
RC,891,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,3
RC,891,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,3
RC,891,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,3
RC,891,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,3
RC,891,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,3
RC,891,"Injection, daptomycin, 1 mg ",,,0.05,0.05,3
RC,891,"Injection, daratumumab, 10 mg ",,,116.77,116.77,3
RC,891,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,3
RC,891,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,3
RC,891,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,3
RC,891,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,3
RC,891,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,3
RC,891,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,3
RC,891,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,3
RC,891,"Injection, decitabine, 1 mg ",,,1.65,1.65,3
RC,891,"Injection, deferoxamine mesylate, 500 mg ",,,14.16,14.16,3
RC,891,"Injection, degarelix, 1 mg ",,,7.36,7.36,3
RC,891,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,3
RC,891,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,3
RC,891,"Injection, denosumab, 1 mg ",,,48.69,48.69,3
RC,891,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,3
RC,891,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,3
RC,891,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,3
RC,891,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,3
RC,891,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,3
RC,891,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,3
RC,891,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,3
RC,891,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,3
RC,891,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,3
RC,891,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,3
RC,891,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,3
RC,891,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,3
RC,891,"Injection, diazepam, up to 5 mg ",,,14.04,14.04,3
RC,891,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,3
RC,891,"Injection, dicyclomine hcl, up to 20 mg ",,,15.46,15.46,3
RC,891,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,3
RC,891,"Injection, digoxin immune fab (ovine), per vial ",,,8525.53,8525.53,3
RC,891,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,3
RC,891,"Injection, dihydroergotamine mesylate, per 1 mg ",,,90.57,90.57,3
RC,891,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,3
RC,891,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,3
RC,891,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,3
RC,891,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.14,1.14,3
RC,891,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,3
RC,891,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,3
RC,891,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,3
RC,891,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,3
RC,891,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,3
RC,891,"Injection, docetaxel, 1 mg ",,,0.92,0.92,3
RC,891,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,3
RC,891,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,3
RC,891,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,3
RC,891,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,3
RC,891,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,3
RC,891,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,3
RC,891,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,3
RC,891,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,118.57,118.57,3
RC,891,"Injection, doxycycline hyclate, 1 mg ",,,0.15,0.15,3
RC,891,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,3
RC,891,"Injection, durvalumab, 10 mg ",,,142.15,142.15,3
RC,891,"Injection, ecallantide, 1 mg ",,,954.94,954.94,3
RC,891,"Injection, eculizumab, 2 mg ",,,73.76,73.76,3
RC,891,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,3
RC,891,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,3
RC,891,"Injection, edaravone, 1 mg ",,,25.05,25.05,3
RC,891,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,3
RC,891,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,3
RC,891,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,3
RC,891,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,3
RC,891,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,3
RC,891,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,3
RC,891,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,3
RC,891,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,3
RC,891,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,3
RC,891,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,3
RC,891,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,3
RC,891,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,3
RC,891,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,3
RC,891,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,3
RC,891,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,3
RC,891,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,3
RC,891,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,3
RC,891,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,3
RC,891,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,3
RC,891,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,3
RC,891,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,3
RC,891,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,3
RC,891,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,3
RC,891,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,3
RC,891,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,3
RC,891,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,3
RC,891,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,3
RC,891,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,3
RC,891,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,3
RC,891,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,3
RC,891,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,3
RC,891,"Injection, epoprostenol, 0.5 mg ",,,24.55,24.55,3
RC,891,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,3
RC,891,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,3
RC,891,"Injection, eravacycline, 1 mg ",,,2.13,2.13,3
RC,891,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,3
RC,891,"Injection, ertapenem sodium, 500 mg ",,,11.91,11.91,3
RC,891,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,3
RC,891,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,3
RC,891,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,3
RC,891,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,3
RC,891,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,3
RC,891,"Injection, estrogen conjugated, per 25 mg ",,,646.34,646.34,3
RC,891,"Injection, estrone, per 1 mg ",,,0.54,0.54,3
RC,891,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,3
RC,891,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,3
RC,891,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,3
RC,891,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,3
RC,891,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,3
RC,891,"Injection, etoposide, 10 mg ",,,1.49,1.49,3
RC,891,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,3
RC,891,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,3
RC,891,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,3
RC,891,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,3
RC,891,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,3
RC,891,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,3
RC,891,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,3
RC,891,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,3
RC,891,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,3
RC,891,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,3
RC,891,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,3
RC,891,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,3
RC,891,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,3
RC,891,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,3
RC,891,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,3
RC,891,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,3
RC,891,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,3
RC,891,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,3
RC,891,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,3
RC,891,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,3
RC,891,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,3
RC,891,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,3
RC,891,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,3
RC,891,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,3
RC,891,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,3
RC,891,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,3
RC,891,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,3
RC,891,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,3
RC,891,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,3
RC,891,"Injection, floxuridine, 500 mg ",,,7014.1,7014.1,3
RC,891,"Injection, fludarabine phosphate, 50 mg ",,,359.25,359.25,3
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,3
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,3
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,3
RC,891,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,3
RC,891,"Injection, fluphenazine decanoate, up to 25 mg ",,,9.22,9.22,3
RC,891,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,3
RC,891,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,3
RC,891,"Injection, fomepizole, 15 mg ",,,10.79,10.79,3
RC,891,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,3
RC,891,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,3
RC,891,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,3
RC,891,"Injection, fosaprepitant, 1 mg ",,,0.18,0.18,3
RC,891,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,3
RC,891,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,3
RC,891,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,3
RC,891,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,3
RC,891,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,3
RC,891,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,3
RC,891,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,3
RC,891,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,3
RC,891,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,3
RC,891,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,3
RC,891,"Injection, furosemide, 1 mg ",,,0.03,0.03,3
RC,891,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,3
RC,891,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,3
RC,891,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,3
RC,891,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,3
RC,891,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,3
RC,891,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,3
RC,891,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,3
RC,891,"Injection, gadoxetate disodium, 1 ml ",,,24.3,24.3,3
RC,891,"Injection, galsulfase, 1 mg ",,,847.44,847.44,3
RC,891,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,3
RC,891,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,3
RC,891,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,3
RC,891,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,3
RC,891,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,3
RC,891,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,3
RC,891,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,3
RC,891,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,3
RC,891,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,3
RC,891,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,3
RC,891,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,3
RC,891,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,3
RC,891,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,3
RC,891,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,3
RC,891,"Injection, glucagon hydrochloride, per 1 mg ",,,241.44,241.44,3
RC,891,"Injection, glucarpidase, 10 units ",,,741.02,741.02,3
RC,891,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,3
RC,891,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,3
RC,891,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,3
RC,891,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,3
RC,891,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,3
RC,891,"Injection, golodirsen, 10 mg ",,,316.8,316.8,3
RC,891,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,3
RC,891,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,3
RC,891,"Injection, guselkumab, 1 mg ",,,111.89,111.89,3
RC,891,"Injection, haloperidol decanoate, per 50 mg ",,,10.02,10.02,3
RC,891,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,3
RC,891,"Injection, hemin, 1 mg ",,,58.26,58.26,3
RC,891,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,3
RC,891,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,3
RC,891,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,3
RC,891,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,3
RC,891,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,3
RC,891,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,3
RC,891,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,3
RC,891,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,3
RC,891,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,3
RC,891,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,3
RC,891,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,3
RC,891,"Injection, hyaluronidase, up to 150 units ",,,52.06,52.06,3
RC,891,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,3
RC,891,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,3
RC,891,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,3
RC,891,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,3
RC,891,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,8.98,8.98,3
RC,891,"Injection, hydroxyzine hcl, up to 25 mg ",,,25.03,25.03,3
RC,891,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,3
RC,891,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,3
RC,891,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,3
RC,891,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,3
RC,891,"Injection, ibutilide fumarate, 1 mg ",,,361.71,361.71,3
RC,891,"Injection, icatibant, 1 mg ",,,518.38,518.38,3
RC,891,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,3
RC,891,"Injection, idursulfase, 1 mg ",,,921.06,921.06,3
RC,891,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,3
RC,891,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,3
RC,891,"Injection, imetelstat, 1 mg ",,,95.98,95.98,3
RC,891,"Injection, imiglucerase, 10 units ",,,70.67,70.67,3
RC,891,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,3
RC,891,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,3
RC,891,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,3
RC,891,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,3
RC,891,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,3
RC,891,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,3
RC,891,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,3
RC,891,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,3
RC,891,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,3
RC,891,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,3
RC,891,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,3
RC,891,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,3
RC,891,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,3
RC,891,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,3
RC,891,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,3
RC,891,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,3
RC,891,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,3
RC,891,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,3
RC,891,"Injection, inclisiran, 1 mg ",,,20.81,20.81,3
RC,891,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,3
RC,891,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,3
RC,891,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,3
RC,891,"Injection, infliximab, excludes biosimilar, 10 mg ",,,51.22,51.22,3
RC,891,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,44.22,44.22,3
RC,891,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,3
RC,891,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,3
RC,891,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,3
RC,891,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,3
RC,891,"Injection, insulin, per 5 units ",,,0.81,0.81,3
RC,891,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,3
RC,891,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,3
RC,891,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,3
RC,891,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,3
RC,891,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,3
RC,891,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,3
RC,891,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,3
RC,891,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,3
RC,891,"Injection, ipilimumab, 1 mg ",,,308.83,308.83,3
RC,891,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,3
RC,891,"Injection, irinotecan, 20 mg ",,,2.52,2.52,3
RC,891,"Injection, iron dextran, 50 mg ",,,29.88,29.88,3
RC,891,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,3
RC,891,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,3
RC,891,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,3
RC,891,"Injection, isoniazid, 1 mg ",,,0.5,0.5,3
RC,891,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,3
RC,891,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,3
RC,891,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,3
RC,891,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,3
RC,891,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,3
RC,891,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,3
RC,891,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,3
RC,891,"Injection, lanreotide, 1 mg ",,,58.94,58.94,3
RC,891,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,3
RC,891,"Injection, lefamulin, 1 mg ",,,1.35,1.35,3
RC,891,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,3
RC,891,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,3
RC,891,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,3
RC,891,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,3
RC,891,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,3
RC,891,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,3
RC,891,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,3
RC,891,"Injection, levocarnitine, per 1 gm ",,,38.1,38.1,3
RC,891,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,3
RC,891,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,3
RC,891,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,3
RC,891,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,3
RC,891,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,3
RC,891,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,3
RC,891,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,3
RC,891,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,3
RC,891,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,3
RC,891,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,891,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,3
RC,891,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,3
RC,891,"Injection, linezolid, 200 mg ",,,4.09,4.09,3
RC,891,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,3
RC,891,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,3
RC,891,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,3
RC,891,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,3
RC,891,"Injection, lorazepam, 2 mg ",,,2.74,2.74,3
RC,891,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,3
RC,891,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,3
RC,891,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,3
RC,891,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,3
RC,891,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,3
RC,891,"Injection, mannitol, 250 mg ",,,0.08,0.08,3
RC,891,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,3
RC,891,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,3
RC,891,"Injection, mecasermin, 1 mg ",,,763.93,763.93,3
RC,891,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,3
RC,891,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.79,0.79,3
RC,891,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,3
RC,891,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,3
RC,891,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,3
RC,891,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,3
RC,891,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,199.11,199.11,3
RC,891,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,3
RC,891,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,3
RC,891,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,3
RC,891,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,3
RC,891,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,3
RC,891,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,3
RC,891,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,3
RC,891,"Injection, meropenem, 100 mg ",,,0.61,0.61,3
RC,891,"Injection, mesna, 200 mg ",,,2.19,2.19,3
RC,891,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,3
RC,891,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,3
RC,891,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,3
RC,891,"Injection, methyldopate hcl, up to 250 mg ",,,15.99,15.99,3
RC,891,"Injection, methylergonovine maleate, up to 0.2 mg ",,,35.66,35.66,3
RC,891,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,3
RC,891,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,3
RC,891,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,3
RC,891,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,3
RC,891,"Injection, metoprolol tartrate, 1 mg ",,,0.21,0.21,3
RC,891,"Injection, metronidazole, 10 mg ",,,0.05,0.05,3
RC,891,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,3
RC,891,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,3
RC,891,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,3
RC,891,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,3
RC,891,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,3
RC,891,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,3
RC,891,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,3
RC,891,"Injection, minocycline hydrochloride, 1 mg ",,,4.39,4.39,3
RC,891,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,3
RC,891,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,3
RC,891,"Injection, mitomycin, 5 mg ",,,46.96,46.96,3
RC,891,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,63.71,63.71,3
RC,891,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,3
RC,891,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,3
RC,891,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,20.05,20.05,3
RC,891,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,3
RC,891,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,3
RC,891,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,3
RC,891,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,3
RC,891,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,3
RC,891,"Injection, moxifloxacin, 100 mg ",,,14.42,14.42,3
RC,891,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,3
RC,891,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,3
RC,891,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,3
RC,891,"Injection, nalbuphine hydrochloride, per 10 mg ",,,5.64,5.64,3
RC,891,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,3
RC,891,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,3
RC,891,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,3
RC,891,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,3
RC,891,"Injection, natalizumab, 1 mg ",,,40.13,40.13,3
RC,891,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,3
RC,891,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,3
RC,891,"Injection, necitumumab, 1 mg ",,,9.45,9.45,3
RC,891,"Injection, nelarabine, 50 mg ",,,86.97,86.97,3
RC,891,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,3
RC,891,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,2.33,2.33,3
RC,891,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,3
RC,891,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,3
RC,891,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,3
RC,891,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,3
RC,891,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,3
RC,891,"Injection, nivolumab, 1 mg ",,,55.47,55.47,3
RC,891,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,3
RC,891,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,3
RC,891,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,3
RC,891,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,3
RC,891,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,3
RC,891,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,3
RC,891,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,3
RC,891,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,3
RC,891,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,3
RC,891,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,3
RC,891,"Injection, ofatumumab, 10 mg ",,,102.68,102.68,3
RC,891,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,3
RC,891,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,3
RC,891,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,3
RC,891,"Injection, omadacycline, 1 mg ",,,6.81,6.81,3
RC,891,"Injection, omalizumab, 5 mg ",,,69.0,69.0,3
RC,891,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,3
RC,891,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,3
RC,891,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,3
RC,891,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,3
RC,891,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,3
RC,891,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,3
RC,891,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,3
RC,891,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,3
RC,891,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,3
RC,891,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,3
RC,891,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,3
RC,891,"Injection, oxytocin, up to 10 units ",,,4.47,4.47,3
RC,891,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,3
RC,891,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,3
RC,891,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,3
RC,891,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,3
RC,891,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,3
RC,891,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,3
RC,891,"Injection, palonosetron hcl, 25 mcg ",,,1.07,1.07,3
RC,891,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,3
RC,891,"Injection, pamidronate disodium, per 30 mg ",,,20.49,20.49,3
RC,891,"Injection, panitumumab, 10 mg ",,,287.74,287.74,3
RC,891,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,3
RC,891,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,3
RC,891,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,3
RC,891,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,3
RC,891,"Injection, paricalcitol, 1 mcg ",,,1.68,1.68,3
RC,891,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,3
RC,891,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,3
RC,891,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,3
RC,891,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,3
RC,891,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,210.18,210.18,3
RC,891,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,3
RC,891,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,3
RC,891,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,3
RC,891,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,3
RC,891,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,3
RC,891,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,3
RC,891,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,3
RC,891,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,3
RC,891,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,3
RC,891,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,3
RC,891,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,3
RC,891,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,3
RC,891,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,3
RC,891,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,3
RC,891,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,3
RC,891,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,3
RC,891,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,3
RC,891,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,3
RC,891,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,3
RC,891,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,3
RC,891,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,3
RC,891,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,3
RC,891,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,3
RC,891,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,3
RC,891,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,3
RC,891,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,3
RC,891,"Injection, pentamidine isethionate, 1 mg ",,,0.26,0.26,3
RC,891,"Injection, pentazocine, 30 mg ",,,45.19,45.19,3
RC,891,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,3
RC,891,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,3
RC,891,"Injection, peramivir, 1 mg ",,,2.77,2.77,3
RC,891,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,3
RC,891,"Injection, pertuzumab, 1 mg ",,,28.08,28.08,3
RC,891,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,3
RC,891,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,3
RC,891,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,3
RC,891,"Injection, phentolamine mesylate, up to 5 mg ",,,424.79,424.79,3
RC,891,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,3
RC,891,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,3
RC,891,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,3
RC,891,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,3
RC,891,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,3
RC,891,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,3
RC,891,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,3
RC,891,"Injection, plazomicin, 5 mg ",,,5.79,5.79,3
RC,891,"Injection, plerixafor, 1 mg ",,,54.02,54.02,3
RC,891,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,3
RC,891,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,3
RC,891,"Injection, posaconazole, 1 mg ",,,0.58,0.58,3
RC,891,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,3
RC,891,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,3
RC,891,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,3
RC,891,"Injection, pralidoxime chloride, up to 1 gm ",,,171.67,171.67,3
RC,891,"Injection, procainamide hcl, up to 1 gm ",,,354.44,354.44,3
RC,891,"Injection, prochlorperazine, up to 10 mg ",,,5.49,5.49,3
RC,891,"Injection, progesterone, per 50 mg ",,,1.09,1.09,3
RC,891,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,3
RC,891,"Injection, propofol, 10 mg ",,,0.15,0.15,3
RC,891,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,3
RC,891,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,3
RC,891,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,3
RC,891,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,3
RC,891,"Injection, pyridoxine hcl, 100 mg ",,,24.59,24.59,3
RC,891,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,3
RC,891,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,3
RC,891,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,3
RC,891,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,3
RC,891,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,3
RC,891,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,3
RC,891,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,3
RC,891,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,3
RC,891,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,3
RC,891,"Injection, regadenoson, 0.1 mg ",,,4.79,4.79,3
RC,891,"Injection, remdesivir, 1 mg ",,,11.39,11.39,3
RC,891,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,3
RC,891,"Injection, remimazolam, 1 mg ",,,4.6,4.6,3
RC,891,"Injection, reslizumab, 1 mg ",,,19.02,19.02,3
RC,891,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,3
RC,891,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,3
RC,891,"Injection, rezafungin, 1 mg ",,,17.8,17.8,3
RC,891,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,3
RC,891,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,3
RC,891,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,3
RC,891,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,8.0,8.0,3
RC,891,"Injection, rifampin, 1 mg ",,,0.28,0.28,3
RC,891,"Injection, rilonacept, 1 mg ",,,56.03,56.03,3
RC,891,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,3
RC,891,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,3
RC,891,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,3
RC,891,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,3
RC,891,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,3
RC,891,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,3
RC,891,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,3
RC,891,"Injection, rituximab, 10 mg ",,,122.36,122.36,3
RC,891,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,3
RC,891,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,3
RC,891,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,3
RC,891,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,3
RC,891,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,3
RC,891,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,3
RC,891,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,3
RC,891,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,891,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,3
RC,891,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,3
RC,891,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,3
RC,891,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,3
RC,891,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,3
RC,891,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,3
RC,891,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,3
RC,891,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,3
RC,891,"Injection, siltuximab, 10 mg ",,,287.23,287.23,3
RC,891,"Injection, sincalide, 5 micrograms ",,,178.53,178.53,3
RC,891,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,3
RC,891,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,3.94,3.94,3
RC,891,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,3
RC,891,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,3
RC,891,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,3
RC,891,"Injection, somatropin, 1 mg ",,,272.56,272.56,3
RC,891,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,3
RC,891,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,3
RC,891,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,3
RC,891,"Injection, streptozocin, 1 gram ",,,289.33,289.33,3
RC,891,"Injection, succinylcholine chloride, up to 20 mg ",,,2.46,2.46,3
RC,891,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,3
RC,891,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,3
RC,891,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,293.16,293.16,3
RC,891,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,3
RC,891,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,3
RC,891,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,3
RC,891,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,3
RC,891,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,3
RC,891,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,3
RC,891,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,3
RC,891,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,3
RC,891,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,3
RC,891,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,3
RC,891,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,3
RC,891,"Injection, telavancin, 10 mg ",,,11.6,11.6,3
RC,891,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,3
RC,891,"Injection, temozolomide, 1 mg ",,,17.16,17.16,3
RC,891,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,3
RC,891,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,3
RC,891,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,3
RC,891,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,3
RC,891,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,3
RC,891,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,3
RC,891,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,3
RC,891,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,3
RC,891,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,3
RC,891,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,3
RC,891,"Injection, tetanus immune globulin, human, up to 250 units ",,,920.9,920.9,3
RC,891,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,3
RC,891,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,3
RC,891,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,3
RC,891,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,3
RC,891,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,3
RC,891,"Injection, tigecycline, 1 mg ",,,0.94,0.94,3
RC,891,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,3
RC,891,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,3
RC,891,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,3
RC,891,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,3
RC,891,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,3
RC,891,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,3
RC,891,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,3
RC,891,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,3
RC,891,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,3
RC,891,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,3
RC,891,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,3
RC,891,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,3
RC,891,"Injection, tofersen, 1 mg ",,,264.02,264.02,3
RC,891,"Injection, topotecan, 0.1 mg ",,,3.48,3.48,3
RC,891,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,3
RC,891,"Injection, trabectedin, 0.1 mg ",,,645.27,645.27,3
RC,891,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,3
RC,891,"Injection, tranexamic acid, 5 mg ",,,0.21,0.21,3
RC,891,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,3
RC,891,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,121.16,121.16,3
RC,891,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,3
RC,891,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,3
RC,891,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,3
RC,891,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,3
RC,891,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,3
RC,891,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,3
RC,891,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,3
RC,891,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,3
RC,891,"Injection, treosulfan, 50 mg ",,,52.16,52.16,3
RC,891,"Injection, treprostinil, 1 mg ",,,91.06,91.06,3
RC,891,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,3
RC,891,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,3
RC,891,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,3
RC,891,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,3
RC,891,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,3
RC,891,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,3
RC,891,"Injection, trilaciclib, 1mg ",,,9.06,9.06,3
RC,891,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,3
RC,891,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,3
RC,891,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,3
RC,891,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,3
RC,891,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,3
RC,891,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,3
RC,891,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,3
RC,891,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,3
RC,891,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,3
RC,891,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,3
RC,891,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,3
RC,891,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,3
RC,891,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,3
RC,891,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,3
RC,891,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,3
RC,891,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,3
RC,891,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,3
RC,891,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,3
RC,891,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,3
RC,891,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,3
RC,891,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,3
RC,891,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,3
RC,891,"Injection, vasopressin, 1 unit ",,,0.87,0.87,3
RC,891,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,3
RC,891,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,3
RC,891,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,3
RC,891,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,3
RC,891,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,3
RC,891,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,3
RC,891,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,3
RC,891,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,3
RC,891,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.11,1.11,3
RC,891,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,3
RC,891,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,3
RC,891,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,3
RC,891,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,3
RC,891,"Injection, voriconazole, 10 mg ",,,1.07,1.07,3
RC,891,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,3
RC,891,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,3
RC,891,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,3
RC,891,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,3
RC,891,"Injection, zidovudine, 10 mg ",,,2.49,2.49,3
RC,891,"Injection, ziprasidone mesylate, 10 mg ",,,9.69,9.69,3
RC,891,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,3
RC,891,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,3
RC,891,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,3
RC,891,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,3
RC,891,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Innovamatrix pd, 1 mg ",,,28.1,28.1,3
RC,891,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,3
RC,891,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,3
RC,891,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,3
RC,891,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,3
RC,891,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,3
RC,891,"Insulin (fiasp), per 5 units ",,,1.12,1.12,3
RC,891,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,3
RC,891,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,3
RC,891,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,3
RC,891,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,3
RC,891,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Interfyl, 1 mg ",,,64.27,64.27,3
RC,891,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,3
RC,891,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,3
RC,891,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,3
RC,891,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,3
RC,891,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,3
RC,891,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,3
RC,891,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,3
RC,891,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,167.54,167.54,3
RC,891,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,3
RC,891,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,3
RC,891,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,3
RC,891,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,3
RC,891,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1572.47,1572.47,3
RC,891,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,3
RC,891,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,160.92,160.92,3
RC,891,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,39.72,39.72,3
RC,891,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,3
RC,891,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,3
RC,891,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,3
RC,891,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,3
RC,891,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,3
RC,891,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,3
RC,891,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,3
RC,891,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,3
RC,891,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,3
RC,891,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,3
RC,891,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,3
RC,891,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,3
RC,891,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,3
RC,891,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,3
RC,891,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,3
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,3
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,3
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,3
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,3
RC,891,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,3
RC,891,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,3
RC,891,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,3
RC,891,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,3
RC,891,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,3
RC,891,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,3
RC,891,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,3
RC,891,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,3
RC,891,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Matristem micromatrix, 1 mg ",,,13.08,13.08,3
RC,891,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,193.28,193.28,3
RC,891,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,3
RC,891,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Melphalan; oral, 2 mg ",,,7.72,7.72,3
RC,891,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,3
RC,891,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,3
RC,891,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,3
RC,891,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,3
RC,891,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,3
RC,891,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,3
RC,891,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,447.05,447.05,3
RC,891,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,3
RC,891,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,1.8,1.8,3
RC,891,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,3
RC,891,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,3
RC,891,"Methotrexate; oral, 2.5 mg ",,,0.23,0.23,3
RC,891,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,3
RC,891,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Microlyte painguard, per square centimeter ",,,209.78,209.78,3
RC,891,"Miglustat, oral, 65 mg ",,,70.39,70.39,3
RC,891,"Miro3d fibers, per milligram ",,,27.09,27.09,3
RC,891,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,3
RC,891,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,3
RC,891,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,3
RC,891,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,3
RC,891,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,3
RC,891,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,3
RC,891,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,3
RC,891,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,3
RC,891,"Myriad morcells, 4 milligrams ",,,21.78,21.78,3
RC,891,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,3
RC,891,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,3
RC,891,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,3
RC,891,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,3
RC,891,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,3
RC,891,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,3
RC,891,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.03,0.03,3
RC,891,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,3
RC,891,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,3
RC,891,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,3
RC,891,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,3
RC,891,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,3
RC,891,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,3
RC,891,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,3
RC,891,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,444.36,444.36,3
RC,891,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,516.29,516.29,3
RC,891,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,3
RC,891,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,220.23,220.23,3
RC,891,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,94.41,94.41,3
RC,891,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Prednisolone oral, per 5 mg ",,,1.22,1.22,3
RC,891,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,3
RC,891,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Procenta, per 100 mg ",,,9801.5,9801.5,3
RC,891,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,3
RC,891,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.48,0.48,3
RC,891,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,3
RC,891,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,3
RC,891,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,3
RC,891,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,3
RC,891,"Rabies vaccine, for intradermal use ",,,390.82,390.82,3
RC,891,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,3
RC,891,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,3
RC,891,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,3
RC,891,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,3
RC,891,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,3
RC,891,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,3
RC,891,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,3
RC,891,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,3
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,3
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1178.22,1178.22,3
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,3
RC,891,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,3
RC,891,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,3
RC,891,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,3
RC,891,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,3
RC,891,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,3
RC,891,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,3
RC,891,"Rolapitant, oral, 1 mg ",,,7.28,7.28,3
RC,891,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,3
RC,891,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,3
RC,891,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,3
RC,891,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,5213.67,5213.67,3
RC,891,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,3
RC,891,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,3
RC,891,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,3
RC,891,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,3
RC,891,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,3
RC,891,"Sirolimus, oral, 1 mg ",,,2.1,2.1,3
RC,891,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,3
RC,891,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,3
RC,891,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,3
RC,891,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,3
RC,891,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,6841.46,6841.46,3
RC,891,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,3
RC,891,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Suzetrigine, oral 1 mg ",,,0.54,0.54,3
RC,891,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,3
RC,891,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,3
RC,891,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,3
RC,891,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,3
RC,891,"Tacrolimus, parenteral, 5 mg ",,,428.93,428.93,3
RC,891,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,3
RC,891,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,3
RC,891,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,3
RC,891,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,3
RC,891,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,3
RC,891,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,3
RC,891,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,1541.31,1541.31,3
RC,891,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2644.26,2644.26,3
RC,891,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,3
RC,891,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,50.14,50.14,3
RC,891,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,187.21,187.21,3
RC,891,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,106.36,106.36,3
RC,891,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,1308.9,1308.9,3
RC,891,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,3
RC,891,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,3
RC,891,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,47.39,47.39,3
RC,891,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,18.18,18.18,3
RC,891,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,74.96,74.96,3
RC,891,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,743.46,743.46,3
RC,891,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1088.88,1088.88,3
RC,891,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1239.81,1239.81,3
RC,891,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,192.89,192.89,3
RC,891,"Temozolomide, oral, 5 mg ",,,0.66,0.66,3
RC,891,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,3
RC,891,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,3
RC,891,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,3
RC,891,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,63.94,63.94,3
RC,891,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,3
RC,891,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,65.14,65.14,3
RC,891,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,91.49,91.49,3
RC,891,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,3
RC,891,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,12.82,12.82,3
RC,891,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,3
RC,891,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,3
RC,891,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,3
RC,891,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,3
RC,891,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,3
RC,891,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,3
RC,891,"Typhoid vaccine, live, oral ",,,232.22,232.22,3
RC,891,Unlisted immune globulin ,,,706.02,706.02,3
RC,891,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,3
RC,891,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,3
RC,891,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,3
RC,891,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,3
RC,891,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,3
RC,891,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3899.36,3899.36,3
RC,891,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Vincristine sulfate, 1 mg ",,,13.38,13.38,3
RC,891,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,3
RC,891,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xcellistem, 1 mg ",,,25.74,25.74,3
RC,891,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,3
RC,891,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,3
RC,891,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,3
RC,891,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,891,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,3
RC,891,"injection, busulfan, 1 mg ",,,1.12,1.12,3
RC,892, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Gene Therapy  ,,,,,0
RC,892,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,3
RC,892,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,3
RC,892,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,3
RC,892,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,3
RC,892,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,3
RC,892,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,3
RC,892,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,3
RC,892,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,3
RC,892,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,3
RC,892,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,3
RC,892,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,51.33,51.33,3
RC,892,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,3
RC,892,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,3
RC,892,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,3
RC,892,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,3
RC,892,"Anti-inhibitor, per i.u. ",,,3.99,3.99,3
RC,892,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,3
RC,892,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Aprepitant, oral, 5 mg ",,,3.94,3.94,3
RC,892,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,3
RC,892,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Ascent, 0.5 mg ",,,113.75,113.75,3
RC,892,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,3
RC,892,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,3
RC,892,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Azathioprine, oral, 50 mg ",,,0.3,0.3,3
RC,892,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,3
RC,892,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,3
RC,892,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,3
RC,892,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,3
RC,892,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,3
RC,892,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,3
RC,892,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Biobrane, per square centimeter ",,,209.78,209.78,3
RC,892,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,3
RC,892,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,3
RC,892,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,3
RC,892,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,3
RC,892,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,3
RC,892,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,3
RC,892,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,3
RC,892,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,3
RC,892,"Busulfan; oral, 2 mg ",,,16.7,16.7,3
RC,892,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,3
RC,892,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,3
RC,892,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,3
RC,892,"Capecitabine, oral, 50 mg ",,,0.05,0.05,3
RC,892,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,3
RC,892,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,3
RC,892,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,3
RC,892,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,3
RC,892,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,3
RC,892,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,3
RC,892,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,3
RC,892,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,3
RC,892,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,3
RC,892,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,3
RC,892,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,3
RC,892,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,3
RC,892,"Coretext or protext, per cc ",,,5313.0,5313.0,3
RC,892,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,3
RC,892,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,3
RC,892,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,3
RC,892,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,3
RC,892,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,3
RC,892,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,3
RC,892,"Cyclosporine, oral, 25 mg ",,,1.04,1.04,3
RC,892,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,3
RC,892,"Dacarbazine, 100 mg ",,,6.35,6.35,3
RC,892,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,3
RC,892,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,3
RC,892,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,3
RC,892,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,3
RC,892,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,3
RC,892,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,3
RC,892,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,3
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,3
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,233.1,233.1,3
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,3
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,3
RC,892,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,61.12,61.12,3
RC,892,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,3
RC,892,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,91.03,91.03,3
RC,892,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,3
RC,892,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,3
RC,892,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Edetate disodium, per 150 mg ",,,0.54,0.54,3
RC,892,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,3
RC,892,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,0.81,0.81,3
RC,892,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,3
RC,892,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Epifix, injectable, 1 mg ",,,31.96,31.96,3
RC,892,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,3
RC,892,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,3
RC,892,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,3
RC,892,"Etoposide; oral, 50 mg ",,,143.29,143.29,3
RC,892,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,3
RC,892,"Excellagen, 0.1 cc ",,,287.1,287.1,3
RC,892,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,3
RC,892,"Factor ix, complex, per i.u. ",,,2.81,2.81,3
RC,892,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,3
RC,892,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,3
RC,892,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,3
RC,892,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,3
RC,892,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,3
RC,892,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,3
RC,892,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,3
RC,892,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,3
RC,892,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,3
RC,892,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,3
RC,892,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,3
RC,892,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,3
RC,892,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,3
RC,892,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,3
RC,892,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,3
RC,892,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,3
RC,892,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,3
RC,892,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,3
RC,892,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,3
RC,892,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,3
RC,892,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,3
RC,892,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,3
RC,892,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,3
RC,892,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,37.47,37.47,3
RC,892,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,3
RC,892,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,3
RC,892,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,3
RC,892,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,3
RC,892,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,3
RC,892,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,3
RC,892,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,3
RC,892,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Gefitinib, oral, 250 mg ",,,480.15,480.15,3
RC,892,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,3
RC,892,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,3
RC,892,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,3
RC,892,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,3
RC,892,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,3
RC,892,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,3
RC,892,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,3
RC,892,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,3
RC,892,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,3
RC,892,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,3
RC,892,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,3
RC,892,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,3
RC,892,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,3
RC,892,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,3
RC,892,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,3
RC,892,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,892,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,3
RC,892,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,892,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,3
RC,892,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,54.78,54.78,3
RC,892,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,3
RC,892,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,3
RC,892,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,3
RC,892,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,3
RC,892,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,3
RC,892,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,3
RC,892,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,3
RC,892,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,3
RC,892,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,3
RC,892,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,3
RC,892,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,3
RC,892,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,3
RC,892,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,3
RC,892,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,3
RC,892,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,3
RC,892,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,3
RC,892,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,3
RC,892,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,3
RC,892,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,3
RC,892,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,3
RC,892,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,3
RC,892,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,3
RC,892,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,3
RC,892,"Hypertonic saline solution, 1 ml ",,,0.17,0.17,3
RC,892,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,3
RC,892,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,3
RC,892,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,3
RC,892,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,3
RC,892,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,3
RC,892,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,2854.98,2854.98,3
RC,892,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,3
RC,892,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,3
RC,892,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,1820.26,1820.26,3
RC,892,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,3
RC,892,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1230.27,1230.27,3
RC,892,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,3301.55,3301.55,3
RC,892,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,3
RC,892,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,3
RC,892,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,3
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,3
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,3
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,3
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,3
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,3
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,3
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,38.31,38.31,3
RC,892,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,3
RC,892,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,3
RC,892,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,3
RC,892,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,3
RC,892,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,3
RC,892,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,3
RC,892,"Infusion, albumin (human), 5%, 50 ml ",,,17.52,17.52,3
RC,892,"Infusion, d5w, 1000 cc ",,,5.07,5.07,3
RC,892,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,3
RC,892,"Infusion, normal saline solution , 1000 cc ",,,3.61,3.61,3
RC,892,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,3
RC,892,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,3
RC,892,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,3
RC,892,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,3
RC,892,"Injection abciximab, 10 mg ",,,951.77,951.77,3
RC,892,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,3
RC,892,"Injection fluconazole, 200 mg ",,,6.39,6.39,3
RC,892,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,3
RC,892,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,3
RC,892,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,892,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,3
RC,892,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,3
RC,892,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,3
RC,892,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,3
RC,892,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,3
RC,892,"Injection, acetylcysteine, 100 mg ",,,0.84,0.84,3
RC,892,"Injection, acyclovir, 5 mg ",,,0.03,0.03,3
RC,892,"Injection, adalimumab, 1 mg ",,,269.25,269.25,3
RC,892,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,3
RC,892,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,3
RC,892,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,3
RC,892,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,3
RC,892,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,3
RC,892,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,3
RC,892,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,3
RC,892,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,3
RC,892,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,3
RC,892,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,3
RC,892,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,3
RC,892,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,3
RC,892,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,3
RC,892,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,3
RC,892,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,3
RC,892,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,3
RC,892,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,3
RC,892,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,3
RC,892,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,0.79,0.79,3
RC,892,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,3
RC,892,"Injection, amifostine, 500 mg ",,,722.52,722.52,3
RC,892,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,3
RC,892,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,3
RC,892,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,3
RC,892,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,3
RC,892,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,3
RC,892,"Injection, amisulpride, 1 mg ",,,15.77,15.77,3
RC,892,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,3
RC,892,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,3
RC,892,"Injection, amphotericin b lipid complex, 10 mg ",,,30.86,30.86,3
RC,892,"Injection, amphotericin b liposome, 10 mg ",,,37.64,37.64,3
RC,892,"Injection, amphotericin b, 50 mg ",,,73.14,73.14,3
RC,892,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,3
RC,892,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,3
RC,892,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,3
RC,892,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,3
RC,892,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,3
RC,892,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,3
RC,892,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,3
RC,892,"Injection, aprepitant, 1 mg ",,,2.79,2.79,3
RC,892,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,3
RC,892,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,3
RC,892,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,3
RC,892,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,3
RC,892,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,3
RC,892,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,3
RC,892,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,3
RC,892,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,3
RC,892,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,3
RC,892,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,3
RC,892,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,3
RC,892,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,3
RC,892,"Injection, artesunate, 1 mg ",,,85.52,85.52,3
RC,892,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,3
RC,892,"Injection, atezolizumab, 10 mg ",,,155.1,155.1,3
RC,892,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,3
RC,892,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,3
RC,892,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,3
RC,892,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,3
RC,892,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,3
RC,892,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,3
RC,892,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,3
RC,892,"Injection, avelumab, 10 mg ",,,174.16,174.16,3
RC,892,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,3
RC,892,"Injection, azacitidine, 1 mg ",,,0.68,0.68,3
RC,892,"Injection, azithromycin, 500 mg ",,,3.2,3.2,3
RC,892,"Injection, aztreonam, 100 mg ",,,3.78,3.78,3
RC,892,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,3
RC,892,"Injection, baclofen, 10 mg ",,,293.78,293.78,3
RC,892,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,3
RC,892,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,3
RC,892,"Injection, belatacept, 1 mg ",,,6.42,6.42,3
RC,892,"Injection, belimumab, 10 mg ",,,94.36,94.36,3
RC,892,"Injection, belinostat, 10 mg ",,,87.63,87.63,3
RC,892,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,3
RC,892,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,3
RC,892,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,3
RC,892,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,3
RC,892,"Injection, benralizumab, 1 mg ",,,269.54,269.54,3
RC,892,"Injection, benztropine mesylate, per 1 mg ",,,22.31,22.31,3
RC,892,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,3
RC,892,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,3
RC,892,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,3
RC,892,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,3
RC,892,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,3
RC,892,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,3
RC,892,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,3
RC,892,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,3
RC,892,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,3
RC,892,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,3
RC,892,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,3
RC,892,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,3
RC,892,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,3
RC,892,"Injection, bleomycin sulfate, 15 units ",,,27.39,27.39,3
RC,892,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,3
RC,892,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,3
RC,892,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,3
RC,892,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,3
RC,892,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,3
RC,892,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,3
RC,892,"Injection, brentuximab vedotin, 1 mg ",,,443.4,443.4,3
RC,892,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,3
RC,892,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,3
RC,892,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,3
RC,892,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,3
RC,892,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,3
RC,892,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,3
RC,892,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,3
RC,892,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,3
RC,892,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,3
RC,892,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,3
RC,892,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,3
RC,892,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,3
RC,892,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,3
RC,892,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,3
RC,892,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,3
RC,892,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,3
RC,892,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,3
RC,892,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,3
RC,892,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,3
RC,892,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,3
RC,892,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,3
RC,892,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,3
RC,892,"Injection, calcitriol, 0.1 mcg ",,,1.96,1.96,3
RC,892,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,3
RC,892,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,3
RC,892,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,3
RC,892,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,3
RC,892,"Injection, canakinumab, 1 mg ",,,246.79,246.79,3
RC,892,"Injection, cangrelor, 1 mg ",,,33.03,33.03,3
RC,892,"Injection, caplacizumab-yhdp, 1 mg ",,,1322.08,1322.08,3
RC,892,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,3
RC,892,"Injection, carboplatin, 50 mg ",,,4.85,4.85,3
RC,892,"Injection, carboprost tromethamine, 0.1 mg ",,,25.67,25.67,3
RC,892,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,3
RC,892,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,3
RC,892,"Injection, carmustine, 100 mg ",,,398.97,398.97,3
RC,892,"Injection, casimersen, 10 mg ",,,274.23,274.23,3
RC,892,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,3
RC,892,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,3
RC,892,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,3
RC,892,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,3
RC,892,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,3
RC,892,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,3
RC,892,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,3
RC,892,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,3
RC,892,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,3
RC,892,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,3
RC,892,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,3
RC,892,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,3
RC,892,"Injection, ceftaroline fosamil, 10 mg ",,,7.01,7.01,3
RC,892,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,172.84,172.84,3
RC,892,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,3
RC,892,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,3
RC,892,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,14.59,14.59,3
RC,892,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,3
RC,892,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,3
RC,892,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,3
RC,892,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,3
RC,892,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,3
RC,892,"Injection, cetuximab, 10 mg ",,,132.76,132.76,3
RC,892,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,3
RC,892,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,3
RC,892,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,3
RC,892,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,3
RC,892,"Injection, chlorpromazine hcl, up to 50 mg ",,,34.58,34.58,3
RC,892,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,3
RC,892,"Injection, cidofovir, 375 mg ",,,925.3,925.3,3
RC,892,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,3
RC,892,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,3
RC,892,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,3
RC,892,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,3
RC,892,"Injection, cladribine, per 1 mg ",,,14.4,14.4,3
RC,892,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,3
RC,892,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,3
RC,892,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,3
RC,892,"Injection, clofarabine, 1 mg ",,,18.05,18.05,3
RC,892,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,3
RC,892,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,3
RC,892,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,3
RC,892,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,3
RC,892,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,3
RC,892,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,3
RC,892,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,3
RC,892,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,3
RC,892,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,3
RC,892,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,3
RC,892,"Injection, cosyntropin, 0.25 mg ",,,26.83,26.83,3
RC,892,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,3
RC,892,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,2613.6,2613.6,3
RC,892,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,3037.68,3037.68,3
RC,892,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,3
RC,892,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,3
RC,892,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,3
RC,892,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,3
RC,892,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,3
RC,892,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,3
RC,892,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,3
RC,892,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,3
RC,892,"Injection, cytarabine, 100 mg ",,,1.32,1.32,3
RC,892,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,3
RC,892,"Injection, dactinomycin, 0.5 mg ",,,557.16,557.16,3
RC,892,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,3
RC,892,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,3
RC,892,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,3
RC,892,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,3
RC,892,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,3
RC,892,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,3
RC,892,"Injection, daptomycin, 1 mg ",,,0.05,0.05,3
RC,892,"Injection, daratumumab, 10 mg ",,,116.77,116.77,3
RC,892,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,3
RC,892,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,3
RC,892,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,3
RC,892,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,3
RC,892,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,3
RC,892,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,3
RC,892,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,3
RC,892,"Injection, decitabine, 1 mg ",,,1.65,1.65,3
RC,892,"Injection, deferoxamine mesylate, 500 mg ",,,14.16,14.16,3
RC,892,"Injection, degarelix, 1 mg ",,,7.36,7.36,3
RC,892,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,3
RC,892,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,3
RC,892,"Injection, denosumab, 1 mg ",,,48.69,48.69,3
RC,892,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,3
RC,892,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,3
RC,892,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,3
RC,892,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,3
RC,892,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,3
RC,892,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,3
RC,892,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,3
RC,892,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,3
RC,892,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,3
RC,892,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,3
RC,892,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,3
RC,892,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,3
RC,892,"Injection, diazepam, up to 5 mg ",,,14.04,14.04,3
RC,892,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,3
RC,892,"Injection, dicyclomine hcl, up to 20 mg ",,,15.46,15.46,3
RC,892,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,3
RC,892,"Injection, digoxin immune fab (ovine), per vial ",,,8525.53,8525.53,3
RC,892,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,3
RC,892,"Injection, dihydroergotamine mesylate, per 1 mg ",,,90.57,90.57,3
RC,892,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,3
RC,892,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,3
RC,892,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,3
RC,892,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.14,1.14,3
RC,892,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,3
RC,892,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,3
RC,892,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,3
RC,892,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,3
RC,892,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,3
RC,892,"Injection, docetaxel, 1 mg ",,,0.92,0.92,3
RC,892,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,3
RC,892,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,3
RC,892,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,3
RC,892,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,3
RC,892,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,3
RC,892,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,3
RC,892,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,3
RC,892,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,118.57,118.57,3
RC,892,"Injection, doxycycline hyclate, 1 mg ",,,0.15,0.15,3
RC,892,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,3
RC,892,"Injection, durvalumab, 10 mg ",,,142.15,142.15,3
RC,892,"Injection, ecallantide, 1 mg ",,,954.94,954.94,3
RC,892,"Injection, eculizumab, 2 mg ",,,73.76,73.76,3
RC,892,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,3
RC,892,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,3
RC,892,"Injection, edaravone, 1 mg ",,,25.05,25.05,3
RC,892,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,3
RC,892,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,3
RC,892,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,3
RC,892,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,3
RC,892,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,3
RC,892,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,3
RC,892,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,3
RC,892,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,3
RC,892,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,3
RC,892,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,3
RC,892,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,3
RC,892,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,3
RC,892,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,3
RC,892,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,3
RC,892,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,3
RC,892,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,3
RC,892,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,3
RC,892,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,3
RC,892,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,3
RC,892,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,3
RC,892,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,3
RC,892,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,3
RC,892,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,3
RC,892,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,3
RC,892,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,3
RC,892,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,3
RC,892,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,3
RC,892,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,3
RC,892,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,3
RC,892,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,3
RC,892,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,3
RC,892,"Injection, epoprostenol, 0.5 mg ",,,24.55,24.55,3
RC,892,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,3
RC,892,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,3
RC,892,"Injection, eravacycline, 1 mg ",,,2.13,2.13,3
RC,892,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,3
RC,892,"Injection, ertapenem sodium, 500 mg ",,,11.91,11.91,3
RC,892,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,3
RC,892,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,3
RC,892,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,3
RC,892,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,3
RC,892,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,3
RC,892,"Injection, estrogen conjugated, per 25 mg ",,,646.34,646.34,3
RC,892,"Injection, estrone, per 1 mg ",,,0.54,0.54,3
RC,892,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,3
RC,892,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,3
RC,892,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,3
RC,892,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,3
RC,892,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,3
RC,892,"Injection, etoposide, 10 mg ",,,1.49,1.49,3
RC,892,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,3
RC,892,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,3
RC,892,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,3
RC,892,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,3
RC,892,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,3
RC,892,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,3
RC,892,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,3
RC,892,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,3
RC,892,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,3
RC,892,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,3
RC,892,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,3
RC,892,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,3
RC,892,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,3
RC,892,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,3
RC,892,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,3
RC,892,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,3
RC,892,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,3
RC,892,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,3
RC,892,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,3
RC,892,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,3
RC,892,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,3
RC,892,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,3
RC,892,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,3
RC,892,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,3
RC,892,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,3
RC,892,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,3
RC,892,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,3
RC,892,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,3
RC,892,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,3
RC,892,"Injection, floxuridine, 500 mg ",,,7014.1,7014.1,3
RC,892,"Injection, fludarabine phosphate, 50 mg ",,,359.25,359.25,3
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,3
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,3
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,3
RC,892,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,3
RC,892,"Injection, fluphenazine decanoate, up to 25 mg ",,,9.22,9.22,3
RC,892,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,3
RC,892,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,3
RC,892,"Injection, fomepizole, 15 mg ",,,10.79,10.79,3
RC,892,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,3
RC,892,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,3
RC,892,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,3
RC,892,"Injection, fosaprepitant, 1 mg ",,,0.18,0.18,3
RC,892,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,3
RC,892,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,3
RC,892,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,3
RC,892,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,3
RC,892,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,3
RC,892,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,3
RC,892,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,3
RC,892,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,3
RC,892,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,3
RC,892,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,3
RC,892,"Injection, furosemide, 1 mg ",,,0.03,0.03,3
RC,892,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,3
RC,892,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,3
RC,892,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,3
RC,892,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,3
RC,892,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,3
RC,892,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,3
RC,892,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,3
RC,892,"Injection, gadoxetate disodium, 1 ml ",,,24.3,24.3,3
RC,892,"Injection, galsulfase, 1 mg ",,,847.44,847.44,3
RC,892,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,3
RC,892,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,3
RC,892,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,3
RC,892,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,3
RC,892,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,3
RC,892,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,3
RC,892,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,3
RC,892,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,3
RC,892,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,3
RC,892,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,3
RC,892,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,3
RC,892,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,3
RC,892,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,3
RC,892,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,3
RC,892,"Injection, glucagon hydrochloride, per 1 mg ",,,241.44,241.44,3
RC,892,"Injection, glucarpidase, 10 units ",,,741.02,741.02,3
RC,892,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,3
RC,892,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,3
RC,892,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,3
RC,892,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,3
RC,892,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,3
RC,892,"Injection, golodirsen, 10 mg ",,,316.8,316.8,3
RC,892,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,3
RC,892,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,3
RC,892,"Injection, guselkumab, 1 mg ",,,111.89,111.89,3
RC,892,"Injection, haloperidol decanoate, per 50 mg ",,,10.02,10.02,3
RC,892,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,3
RC,892,"Injection, hemin, 1 mg ",,,58.26,58.26,3
RC,892,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,3
RC,892,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,3
RC,892,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,3
RC,892,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,3
RC,892,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,3
RC,892,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,3
RC,892,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,3
RC,892,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,3
RC,892,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,3
RC,892,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,3
RC,892,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,3
RC,892,"Injection, hyaluronidase, up to 150 units ",,,52.06,52.06,3
RC,892,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,3
RC,892,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,3
RC,892,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,3
RC,892,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,3
RC,892,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,8.98,8.98,3
RC,892,"Injection, hydroxyzine hcl, up to 25 mg ",,,25.03,25.03,3
RC,892,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,3
RC,892,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,3
RC,892,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,3
RC,892,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,3
RC,892,"Injection, ibutilide fumarate, 1 mg ",,,361.71,361.71,3
RC,892,"Injection, icatibant, 1 mg ",,,518.38,518.38,3
RC,892,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,3
RC,892,"Injection, idursulfase, 1 mg ",,,921.06,921.06,3
RC,892,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,3
RC,892,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,3
RC,892,"Injection, imetelstat, 1 mg ",,,95.98,95.98,3
RC,892,"Injection, imiglucerase, 10 units ",,,70.67,70.67,3
RC,892,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,3
RC,892,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,3
RC,892,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,3
RC,892,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,3
RC,892,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,3
RC,892,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,3
RC,892,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,3
RC,892,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,3
RC,892,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,3
RC,892,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,3
RC,892,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,3
RC,892,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,3
RC,892,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,3
RC,892,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,3
RC,892,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,3
RC,892,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,3
RC,892,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,3
RC,892,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,3
RC,892,"Injection, inclisiran, 1 mg ",,,20.81,20.81,3
RC,892,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,3
RC,892,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,3
RC,892,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,3
RC,892,"Injection, infliximab, excludes biosimilar, 10 mg ",,,51.22,51.22,3
RC,892,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,44.22,44.22,3
RC,892,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,3
RC,892,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,3
RC,892,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,3
RC,892,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,3
RC,892,"Injection, insulin, per 5 units ",,,0.81,0.81,3
RC,892,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,3
RC,892,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,3
RC,892,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,3
RC,892,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,3
RC,892,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,3
RC,892,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,3
RC,892,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,3
RC,892,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,3
RC,892,"Injection, ipilimumab, 1 mg ",,,308.83,308.83,3
RC,892,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,3
RC,892,"Injection, irinotecan, 20 mg ",,,2.52,2.52,3
RC,892,"Injection, iron dextran, 50 mg ",,,29.88,29.88,3
RC,892,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,3
RC,892,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,3
RC,892,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,3
RC,892,"Injection, isoniazid, 1 mg ",,,0.5,0.5,3
RC,892,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,3
RC,892,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,3
RC,892,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,3
RC,892,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,3
RC,892,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,3
RC,892,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,3
RC,892,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,3
RC,892,"Injection, lanreotide, 1 mg ",,,58.94,58.94,3
RC,892,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,3
RC,892,"Injection, lefamulin, 1 mg ",,,1.35,1.35,3
RC,892,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,3
RC,892,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,3
RC,892,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,3
RC,892,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,3
RC,892,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,3
RC,892,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,3
RC,892,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,3
RC,892,"Injection, levocarnitine, per 1 gm ",,,38.1,38.1,3
RC,892,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,3
RC,892,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,3
RC,892,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,3
RC,892,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,3
RC,892,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,3
RC,892,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,3
RC,892,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,3
RC,892,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,3
RC,892,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,3
RC,892,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,892,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,3
RC,892,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,3
RC,892,"Injection, linezolid, 200 mg ",,,4.09,4.09,3
RC,892,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,3
RC,892,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,3
RC,892,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,3
RC,892,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,3
RC,892,"Injection, lorazepam, 2 mg ",,,2.74,2.74,3
RC,892,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,3
RC,892,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,3
RC,892,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,3
RC,892,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,3
RC,892,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,3
RC,892,"Injection, mannitol, 250 mg ",,,0.08,0.08,3
RC,892,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,3
RC,892,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,3
RC,892,"Injection, mecasermin, 1 mg ",,,763.93,763.93,3
RC,892,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,3
RC,892,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.79,0.79,3
RC,892,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,3
RC,892,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,3
RC,892,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,3
RC,892,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,3
RC,892,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,199.11,199.11,3
RC,892,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,3
RC,892,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,3
RC,892,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,3
RC,892,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,3
RC,892,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,3
RC,892,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,3
RC,892,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,3
RC,892,"Injection, meropenem, 100 mg ",,,0.61,0.61,3
RC,892,"Injection, mesna, 200 mg ",,,2.19,2.19,3
RC,892,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,3
RC,892,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,3
RC,892,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,3
RC,892,"Injection, methyldopate hcl, up to 250 mg ",,,15.99,15.99,3
RC,892,"Injection, methylergonovine maleate, up to 0.2 mg ",,,35.66,35.66,3
RC,892,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,3
RC,892,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,3
RC,892,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,3
RC,892,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,3
RC,892,"Injection, metoprolol tartrate, 1 mg ",,,0.21,0.21,3
RC,892,"Injection, metronidazole, 10 mg ",,,0.05,0.05,3
RC,892,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,3
RC,892,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,3
RC,892,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,3
RC,892,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,3
RC,892,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,3
RC,892,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,3
RC,892,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,3
RC,892,"Injection, minocycline hydrochloride, 1 mg ",,,4.39,4.39,3
RC,892,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,3
RC,892,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,3
RC,892,"Injection, mitomycin, 5 mg ",,,46.96,46.96,3
RC,892,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,63.71,63.71,3
RC,892,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,3
RC,892,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,3
RC,892,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,20.05,20.05,3
RC,892,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,3
RC,892,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,3
RC,892,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,3
RC,892,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,3
RC,892,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,3
RC,892,"Injection, moxifloxacin, 100 mg ",,,14.42,14.42,3
RC,892,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,3
RC,892,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,3
RC,892,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,3
RC,892,"Injection, nalbuphine hydrochloride, per 10 mg ",,,5.64,5.64,3
RC,892,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,3
RC,892,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,3
RC,892,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,3
RC,892,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,3
RC,892,"Injection, natalizumab, 1 mg ",,,40.13,40.13,3
RC,892,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,3
RC,892,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,3
RC,892,"Injection, necitumumab, 1 mg ",,,9.45,9.45,3
RC,892,"Injection, nelarabine, 50 mg ",,,86.97,86.97,3
RC,892,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,3
RC,892,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,2.33,2.33,3
RC,892,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,3
RC,892,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,3
RC,892,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,3
RC,892,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,3
RC,892,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,3
RC,892,"Injection, nivolumab, 1 mg ",,,55.47,55.47,3
RC,892,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,3
RC,892,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,3
RC,892,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,3
RC,892,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,3
RC,892,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,3
RC,892,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,3
RC,892,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,3
RC,892,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,3
RC,892,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,3
RC,892,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,3
RC,892,"Injection, ofatumumab, 10 mg ",,,102.68,102.68,3
RC,892,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,3
RC,892,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,3
RC,892,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,3
RC,892,"Injection, omadacycline, 1 mg ",,,6.81,6.81,3
RC,892,"Injection, omalizumab, 5 mg ",,,69.0,69.0,3
RC,892,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,3
RC,892,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,3
RC,892,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,3
RC,892,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,3
RC,892,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,3
RC,892,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,3
RC,892,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,3
RC,892,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,3
RC,892,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,3
RC,892,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,3
RC,892,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,3
RC,892,"Injection, oxytocin, up to 10 units ",,,4.47,4.47,3
RC,892,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,3
RC,892,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,3
RC,892,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,3
RC,892,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,3
RC,892,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,3
RC,892,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,3
RC,892,"Injection, palonosetron hcl, 25 mcg ",,,1.07,1.07,3
RC,892,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,3
RC,892,"Injection, pamidronate disodium, per 30 mg ",,,20.49,20.49,3
RC,892,"Injection, panitumumab, 10 mg ",,,287.74,287.74,3
RC,892,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,3
RC,892,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,3
RC,892,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,3
RC,892,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,3
RC,892,"Injection, paricalcitol, 1 mcg ",,,1.68,1.68,3
RC,892,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,3
RC,892,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,3
RC,892,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,3
RC,892,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,3
RC,892,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,210.18,210.18,3
RC,892,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,3
RC,892,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,3
RC,892,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,3
RC,892,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,3
RC,892,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,3
RC,892,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,3
RC,892,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,3
RC,892,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,3
RC,892,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,3
RC,892,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,3
RC,892,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,3
RC,892,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,3
RC,892,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,3
RC,892,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,3
RC,892,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,3
RC,892,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,3
RC,892,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,3
RC,892,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,3
RC,892,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,3
RC,892,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,3
RC,892,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,3
RC,892,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,3
RC,892,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,3
RC,892,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,3
RC,892,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,3
RC,892,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,3
RC,892,"Injection, pentamidine isethionate, 1 mg ",,,0.26,0.26,3
RC,892,"Injection, pentazocine, 30 mg ",,,45.19,45.19,3
RC,892,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,3
RC,892,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,3
RC,892,"Injection, peramivir, 1 mg ",,,2.77,2.77,3
RC,892,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,3
RC,892,"Injection, pertuzumab, 1 mg ",,,28.08,28.08,3
RC,892,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,3
RC,892,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,3
RC,892,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,3
RC,892,"Injection, phentolamine mesylate, up to 5 mg ",,,424.79,424.79,3
RC,892,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,3
RC,892,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,3
RC,892,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,3
RC,892,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,3
RC,892,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,3
RC,892,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,3
RC,892,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,3
RC,892,"Injection, plazomicin, 5 mg ",,,5.79,5.79,3
RC,892,"Injection, plerixafor, 1 mg ",,,54.02,54.02,3
RC,892,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,3
RC,892,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,3
RC,892,"Injection, posaconazole, 1 mg ",,,0.58,0.58,3
RC,892,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,3
RC,892,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,3
RC,892,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,3
RC,892,"Injection, pralidoxime chloride, up to 1 gm ",,,171.67,171.67,3
RC,892,"Injection, procainamide hcl, up to 1 gm ",,,354.44,354.44,3
RC,892,"Injection, prochlorperazine, up to 10 mg ",,,5.49,5.49,3
RC,892,"Injection, progesterone, per 50 mg ",,,1.09,1.09,3
RC,892,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,3
RC,892,"Injection, propofol, 10 mg ",,,0.15,0.15,3
RC,892,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,3
RC,892,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,3
RC,892,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,3
RC,892,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,3
RC,892,"Injection, pyridoxine hcl, 100 mg ",,,24.59,24.59,3
RC,892,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,3
RC,892,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,3
RC,892,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,3
RC,892,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,3
RC,892,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,3
RC,892,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,3
RC,892,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,3
RC,892,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,3
RC,892,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,3
RC,892,"Injection, regadenoson, 0.1 mg ",,,4.79,4.79,3
RC,892,"Injection, remdesivir, 1 mg ",,,11.39,11.39,3
RC,892,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,3
RC,892,"Injection, remimazolam, 1 mg ",,,4.6,4.6,3
RC,892,"Injection, reslizumab, 1 mg ",,,19.02,19.02,3
RC,892,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,3
RC,892,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,3
RC,892,"Injection, rezafungin, 1 mg ",,,17.8,17.8,3
RC,892,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,3
RC,892,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,3
RC,892,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,3
RC,892,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,8.0,8.0,3
RC,892,"Injection, rifampin, 1 mg ",,,0.28,0.28,3
RC,892,"Injection, rilonacept, 1 mg ",,,56.03,56.03,3
RC,892,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,3
RC,892,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,3
RC,892,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,3
RC,892,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,3
RC,892,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,3
RC,892,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,3
RC,892,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,3
RC,892,"Injection, rituximab, 10 mg ",,,122.36,122.36,3
RC,892,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,3
RC,892,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,3
RC,892,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,3
RC,892,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,3
RC,892,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,3
RC,892,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,3
RC,892,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,3
RC,892,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,3
RC,892,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,3
RC,892,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,3
RC,892,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,3
RC,892,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,3
RC,892,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,3
RC,892,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,3
RC,892,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,3
RC,892,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,3
RC,892,"Injection, siltuximab, 10 mg ",,,287.23,287.23,3
RC,892,"Injection, sincalide, 5 micrograms ",,,178.53,178.53,3
RC,892,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,3
RC,892,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,3.94,3.94,3
RC,892,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,3
RC,892,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,3
RC,892,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,3
RC,892,"Injection, somatropin, 1 mg ",,,272.56,272.56,3
RC,892,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,3
RC,892,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,3
RC,892,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,3
RC,892,"Injection, streptozocin, 1 gram ",,,289.33,289.33,3
RC,892,"Injection, succinylcholine chloride, up to 20 mg ",,,2.46,2.46,3
RC,892,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,3
RC,892,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,3
RC,892,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,293.16,293.16,3
RC,892,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,3
RC,892,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,3
RC,892,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,3
RC,892,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,3
RC,892,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,3
RC,892,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,3
RC,892,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,3
RC,892,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,3
RC,892,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,3
RC,892,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,3
RC,892,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,3
RC,892,"Injection, telavancin, 10 mg ",,,11.6,11.6,3
RC,892,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,3
RC,892,"Injection, temozolomide, 1 mg ",,,17.16,17.16,3
RC,892,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,3
RC,892,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,3
RC,892,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,3
RC,892,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,3
RC,892,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,3
RC,892,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,3
RC,892,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,3
RC,892,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,3
RC,892,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,3
RC,892,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,3
RC,892,"Injection, tetanus immune globulin, human, up to 250 units ",,,920.9,920.9,3
RC,892,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,3
RC,892,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,3
RC,892,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,3
RC,892,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,3
RC,892,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,3
RC,892,"Injection, tigecycline, 1 mg ",,,0.94,0.94,3
RC,892,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,3
RC,892,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,3
RC,892,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,3
RC,892,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,3
RC,892,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,3
RC,892,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,3
RC,892,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,3
RC,892,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,3
RC,892,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,3
RC,892,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,3
RC,892,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,3
RC,892,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,3
RC,892,"Injection, tofersen, 1 mg ",,,264.02,264.02,3
RC,892,"Injection, topotecan, 0.1 mg ",,,3.48,3.48,3
RC,892,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,3
RC,892,"Injection, trabectedin, 0.1 mg ",,,645.27,645.27,3
RC,892,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,3
RC,892,"Injection, tranexamic acid, 5 mg ",,,0.21,0.21,3
RC,892,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,3
RC,892,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,121.16,121.16,3
RC,892,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,3
RC,892,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,3
RC,892,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,3
RC,892,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,3
RC,892,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,3
RC,892,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,3
RC,892,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,3
RC,892,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,3
RC,892,"Injection, treosulfan, 50 mg ",,,52.16,52.16,3
RC,892,"Injection, treprostinil, 1 mg ",,,91.06,91.06,3
RC,892,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,3
RC,892,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,3
RC,892,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,3
RC,892,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,3
RC,892,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,3
RC,892,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,3
RC,892,"Injection, trilaciclib, 1mg ",,,9.06,9.06,3
RC,892,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,3
RC,892,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,3
RC,892,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,3
RC,892,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,3
RC,892,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,3
RC,892,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,3
RC,892,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,3
RC,892,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,3
RC,892,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,3
RC,892,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,3
RC,892,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,3
RC,892,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,3
RC,892,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,3
RC,892,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,3
RC,892,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,3
RC,892,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,3
RC,892,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,3
RC,892,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,3
RC,892,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,3
RC,892,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,3
RC,892,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,3
RC,892,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,3
RC,892,"Injection, vasopressin, 1 unit ",,,0.87,0.87,3
RC,892,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,3
RC,892,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,3
RC,892,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,3
RC,892,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,3
RC,892,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,3
RC,892,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,3
RC,892,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,3
RC,892,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,3
RC,892,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.11,1.11,3
RC,892,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,3
RC,892,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,3
RC,892,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,3
RC,892,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,3
RC,892,"Injection, voriconazole, 10 mg ",,,1.07,1.07,3
RC,892,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,3
RC,892,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,3
RC,892,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,3
RC,892,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,3
RC,892,"Injection, zidovudine, 10 mg ",,,2.49,2.49,3
RC,892,"Injection, ziprasidone mesylate, 10 mg ",,,9.69,9.69,3
RC,892,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,3
RC,892,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,3
RC,892,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,3
RC,892,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,3
RC,892,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Innovamatrix pd, 1 mg ",,,28.1,28.1,3
RC,892,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,3
RC,892,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,3
RC,892,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,3
RC,892,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,3
RC,892,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,3
RC,892,"Insulin (fiasp), per 5 units ",,,1.12,1.12,3
RC,892,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,3
RC,892,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,3
RC,892,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,3
RC,892,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,3
RC,892,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Interfyl, 1 mg ",,,64.27,64.27,3
RC,892,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,3
RC,892,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,3
RC,892,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,3
RC,892,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,3
RC,892,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,3
RC,892,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,3
RC,892,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,3
RC,892,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,167.54,167.54,3
RC,892,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,3
RC,892,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,3
RC,892,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,3
RC,892,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,3
RC,892,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1572.47,1572.47,3
RC,892,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,3
RC,892,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,160.92,160.92,3
RC,892,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,39.72,39.72,3
RC,892,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,3
RC,892,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,3
RC,892,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,3
RC,892,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,3
RC,892,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,3
RC,892,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,3
RC,892,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,3
RC,892,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,3
RC,892,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,3
RC,892,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,3
RC,892,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,3
RC,892,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,3
RC,892,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,3
RC,892,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,3
RC,892,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,3
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,3
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,3
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,3
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,3
RC,892,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,3
RC,892,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,3
RC,892,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,3
RC,892,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,3
RC,892,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,3
RC,892,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,3
RC,892,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,3
RC,892,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,3
RC,892,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,3
RC,892,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Matristem micromatrix, 1 mg ",,,13.08,13.08,3
RC,892,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,193.28,193.28,3
RC,892,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,3
RC,892,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Melphalan; oral, 2 mg ",,,7.72,7.72,3
RC,892,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,3
RC,892,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,3
RC,892,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,3
RC,892,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,3
RC,892,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,3
RC,892,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,3
RC,892,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,447.05,447.05,3
RC,892,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,3
RC,892,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,1.8,1.8,3
RC,892,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,3
RC,892,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,3
RC,892,"Methotrexate; oral, 2.5 mg ",,,0.23,0.23,3
RC,892,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,3
RC,892,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Microlyte painguard, per square centimeter ",,,209.78,209.78,3
RC,892,"Miglustat, oral, 65 mg ",,,70.39,70.39,3
RC,892,"Miro3d fibers, per milligram ",,,27.09,27.09,3
RC,892,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,3
RC,892,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,3
RC,892,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,3
RC,892,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,3
RC,892,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,3
RC,892,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,3
RC,892,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,3
RC,892,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,3
RC,892,"Myriad morcells, 4 milligrams ",,,21.78,21.78,3
RC,892,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,3
RC,892,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,3
RC,892,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,3
RC,892,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,3
RC,892,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,3
RC,892,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,3
RC,892,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,3
RC,892,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.03,0.03,3
RC,892,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,3
RC,892,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,3
RC,892,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,3
RC,892,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,3
RC,892,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,3
RC,892,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,3
RC,892,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,3
RC,892,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,444.36,444.36,3
RC,892,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,516.29,516.29,3
RC,892,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,3
RC,892,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,220.23,220.23,3
RC,892,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,94.41,94.41,3
RC,892,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Prednisolone oral, per 5 mg ",,,1.22,1.22,3
RC,892,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,3
RC,892,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Procenta, per 100 mg ",,,9801.5,9801.5,3
RC,892,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,3
RC,892,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.48,0.48,3
RC,892,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,3
RC,892,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,3
RC,892,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,3
RC,892,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,3
RC,892,"Rabies vaccine, for intradermal use ",,,390.82,390.82,3
RC,892,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,3
RC,892,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,3
RC,892,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,3
RC,892,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,3
RC,892,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,3
RC,892,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,3
RC,892,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,3
RC,892,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,3
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,3
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1178.22,1178.22,3
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,3
RC,892,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,3
RC,892,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,3
RC,892,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,3
RC,892,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,3
RC,892,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,3
RC,892,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,3
RC,892,"Rolapitant, oral, 1 mg ",,,7.28,7.28,3
RC,892,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,3
RC,892,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,3
RC,892,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,3
RC,892,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,5213.67,5213.67,3
RC,892,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,3
RC,892,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,3
RC,892,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,3
RC,892,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,3
RC,892,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,3
RC,892,"Sirolimus, oral, 1 mg ",,,2.1,2.1,3
RC,892,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,3
RC,892,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,3
RC,892,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,3
RC,892,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,3
RC,892,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,6841.46,6841.46,3
RC,892,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,3
RC,892,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Suzetrigine, oral 1 mg ",,,0.54,0.54,3
RC,892,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,3
RC,892,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,3
RC,892,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,3
RC,892,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,3
RC,892,"Tacrolimus, parenteral, 5 mg ",,,428.93,428.93,3
RC,892,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,3
RC,892,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,3
RC,892,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,3
RC,892,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,3
RC,892,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,3
RC,892,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,3
RC,892,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,1541.31,1541.31,3
RC,892,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2644.26,2644.26,3
RC,892,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,3
RC,892,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,50.14,50.14,3
RC,892,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,187.21,187.21,3
RC,892,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,106.36,106.36,3
RC,892,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,1308.9,1308.9,3
RC,892,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,3
RC,892,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,3
RC,892,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,47.39,47.39,3
RC,892,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,18.18,18.18,3
RC,892,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,74.96,74.96,3
RC,892,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,743.46,743.46,3
RC,892,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1088.88,1088.88,3
RC,892,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1239.81,1239.81,3
RC,892,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,192.89,192.89,3
RC,892,"Temozolomide, oral, 5 mg ",,,0.66,0.66,3
RC,892,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,3
RC,892,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,3
RC,892,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,3
RC,892,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,63.94,63.94,3
RC,892,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,3
RC,892,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,65.14,65.14,3
RC,892,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,91.49,91.49,3
RC,892,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,3
RC,892,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,3
RC,892,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,12.82,12.82,3
RC,892,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,3
RC,892,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,3
RC,892,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,3
RC,892,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,3
RC,892,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,3
RC,892,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,3
RC,892,"Typhoid vaccine, live, oral ",,,232.22,232.22,3
RC,892,Unlisted immune globulin ,,,706.02,706.02,3
RC,892,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,3
RC,892,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,3
RC,892,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,3
RC,892,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,3
RC,892,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,3
RC,892,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3899.36,3899.36,3
RC,892,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Vincristine sulfate, 1 mg ",,,13.38,13.38,3
RC,892,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,3
RC,892,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xcellistem, 1 mg ",,,25.74,25.74,3
RC,892,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,3
RC,892,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,3
RC,892,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,3
RC,892,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,3
RC,892,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,3
RC,892,"injection, busulfan, 1 mg ",,,1.12,1.12,3
RC,900, Behavioral Health Treatment/Services General Classification  ,,,3565.0,6300.0,3
RC,900,"Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management ",,,601.0,601.0,2
RC,900,"Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per session ",,,601.0,601.0,2
RC,900,Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management ,,,601.0,601.0,2
RC,901, Behavioral Health Treatment/Services Electroshock Treatment  ,,,854.0,1251.0,16
RC,901,Electroconvulsive therapy (includes necessary monitoring) ,,,300.0,300.0,4
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  ,,,100.0,1054.0,16
RC,906, Behavioral Health Treatment/Services Intensive Outpatient Services - Chemical Dependency  ,,,100.0,1054.0,16
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  ,,,180.0,1317.0,10
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  Behavioral Health,,,2066.0,2367.0,6
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  Chemical Dependency,,,2066.0,2367.0,6
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  ,,,731.0,1317.0,8
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  Behavioral Health,,,2066.0,2367.0,6
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  Chemical Dependency,,,2066.0,2367.0,6
RC,914, Behavioral Health Treatment/Services Individual Therapy  ,,,515.0,651.0,4
RC,915, Behavioral Health Treatment/Services Group Therapy  ,,,515.0,651.0,4
RC,916, Behavioral Health Treatment/Services Family Therapy  ,,,515.0,651.0,4
RC,917, Behavioral Health Treatment/Services Bio Feedback  ,,,3565.0,6300.0,3
RC,918, Behavioral Health Treatment/Services Testing  ,,,3565.0,6300.0,3
RC,920, Other Diagnostic Services General Classification  ,,,265.0,575.0,3
RC,920,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,1927.0,3130.0,3
RC,920,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,1927.0,3130.0,3
RC,920,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,1927.0,3130.0,3
RC,920,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1927.0,3130.0,3
RC,920,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,1927.0,3130.0,3
RC,920,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,1927.0,3130.0,3
RC,920,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,1927.0,3130.0,3
RC,920,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,1927.0,3130.0,3
RC,920,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,1927.0,3130.0,3
RC,921, Other Diagnostic Services Peripheral Vascular Lab  ,,,496.0,1200.0,3
RC,922, Other Diagnostic Services Electromyogram  ,,,694.0,1200.0,3
RC,923, Other Diagnostic Services Pap Smear  ,,,,,0
RC,923,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,923,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,923,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,923,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,923,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,923,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,923,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,923,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,923,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,923,"Congo red, blood ",,,4.95,4.95,3
RC,923,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,923,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,923,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,923,Fern test ,,,9.74,9.74,3
RC,923,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,923,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,923,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,923,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,923,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,923,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,923,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,923,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,923,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,923,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,923,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,923,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,923,Pinworm examinations ,,,4.27,4.27,3
RC,923,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,923,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,923,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,923,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,923,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,923,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,923,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,923,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,923,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,923,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,924, Other Diagnostic Services Allergy Test  ,,,61.0,209.0,3
RC,925, Other Diagnostic Services Pregnancy Test  ,,,,,0
RC,925,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,925,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,925,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,925,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,925,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,925,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,925,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,925,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,925,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,925,"Congo red, blood ",,,4.95,4.95,3
RC,925,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,925,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,925,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,925,Fern test ,,,9.74,9.74,3
RC,925,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,925,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,925,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,925,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,925,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,925,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,925,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,925,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,925,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,925,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,925,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,925,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,925,Pinworm examinations ,,,4.27,4.27,3
RC,925,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,925,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,925,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,925,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,925,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,925,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,925,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,925,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,925,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,925,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,929, Other Diagnostic Service  ,,,265.0,575.0,3
RC,929,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,1927.0,3130.0,3
RC,929,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1927.0,3130.0,3
RC,929,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,1927.0,3130.0,3
RC,929,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,1927.0,3130.0,3
RC,929,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1927.0,3130.0,3
RC,929,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,1927.0,3130.0,3
RC,929,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,1927.0,3130.0,3
RC,929,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,1927.0,3130.0,3
RC,929,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,1927.0,3130.0,3
RC,929,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,1927.0,3130.0,3
RC,940, Other Therapeutic Services General Classification  ,,,180.0,416.0,3
RC,942, Other Therapeutic Services Education/Training  ,,,242.0,470.0,3
RC,943, Other Therapeutic Services Cardiac Rehabilitation  ,,,225.0,444.0,7
RC,944, Other Therapeutic Services Drug Rehabilitation  ,,,100.0,100.0,2
RC,945, Other Therapeutic Services Alcohol Rehabilitation  ,,,100.0,100.0,2
RC,946, Other Therapeutic Services Complex Medical Equipment-Routine  ,,,,,0
RC,947, Other Therapeutic Services Complex Medical Equipment-Ancillary   ,,,,,0
RC,948, Other Therapeutic Services Pulmonary Rehabilitation  ,,,543.0,875.0,3
RC,949, Other Therapeutic Services Other Therapeutic Service  ,,,180.0,416.0,3
RC,951, Other Therapeutic Services Athletic Training  ,,,,,0
RC,952, Other Therapeutic Services Kinesiotherapy  ,,,,,0
TRIS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,188519.31,194349.8,2
TRIS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,70680.89,72866.9,2
TRIS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH ",,,132872.15,136981.6,2
TRIS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC ",,,103762.65,106971.8,2
TRIS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT ,,,67355.97,69439.14,2
TRIS-DRG,006,LIVER TRANSPLANT WITHOUT MCC ,,,30679.54,31628.39,2
TRIS-DRG,007,LUNG TRANSPLANT ,,,79748.71,82215.16,2
TRIS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT ,,,34958.05,36039.23,2
TRIS-DRG,010,PANCREAS TRANSPLANT ,,,44757.5,46141.75,2
TRIS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC ",,,42737.94,44059.73,2
TRIS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC ",,,24078.02,24822.7,2
TRIS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC ",,,16610.01,17123.72,2
TRIS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT ,,,68072.99,70178.34,2
TRIS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC ,,,34260.7,35320.31,2
TRIS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC ,,,33883.65,34931.6,2
TRIS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,214466.22,221099.2,2
TRIS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,44501.26,45877.59,2
TRIS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC ,,,55549.32,57267.34,2
TRIS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC ,,,33445.35,34479.74,2
TRIS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ ,,,19818.61,20431.56,2
TRIS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,38428.52,39617.03,2
TRIS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,24489.35,25246.75,2
TRIS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC ,,,23770.08,24505.24,2
TRIS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC ,,,18664.41,19241.66,2
TRIS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,15028.18,15492.97,2
TRIS-DRG,028,SPINAL PROCEDURES WITH MCC ,,,25545.77,26335.85,2
TRIS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS ,,,14887.13,15347.56,2
TRIS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC ,,,11166.62,11511.98,2
TRIS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC ,,,17941.22,18496.1,2
TRIS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC ,,,11776.87,12141.1,2
TRIS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC ,,,10002.3,10311.65,2
TRIS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC ,,,24143.2,24889.9,2
TRIS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC ,,,12709.67,13102.75,2
TRIS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC ,,,10002.86,10312.23,2
TRIS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC ,,,26207.72,27018.27,2
TRIS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC ,,,12743.95,13138.09,2
TRIS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,9282.48,9569.56,2
TRIS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC ",,,18023.25,18580.67,2
TRIS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE ",,,13409.83,13824.57,2
TRIS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC ",,,9648.85,9947.27,2
TRIS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC ,,,16184.06,16684.6,2
TRIS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC ,,,4805.04,4953.65,2
TRIS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC* ,,,9816.87,10120.48,2
TRIS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC* ,,,4901.69,5053.29,2
TRIS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC ,,,12498.94,12885.51,2
TRIS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC ,,,8468.81,8730.73,2
TRIS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC ,,,14924.79,15386.38,2
TRIS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC ,,,7922.61,8167.64,2
TRIS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC ,,,5665.91,5841.15,2
TRIS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,11489.16,11844.5,2
TRIS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,10758.66,11091.4,2
TRIS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,9171.21,9454.86,2
TRIS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC ,,,12996.25,13398.2,2
TRIS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS ,,,6668.95,6875.21,2
TRIS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC ,,,4910.12,5061.98,2
TRIS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC ,,,9161.1,9444.43,2
TRIS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC ,,,6060.95,6248.4,2
TRIS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC ,,,4657.25,4801.29,2
TRIS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC* ,,,8750.89,9021.54,2
TRIS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC* ,,,4975.87,5129.76,2
TRIS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC* ,,,3806.49,3924.22,2
TRIS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC ,,,9923.07,10229.97,2
TRIS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC ,,,4681.98,4826.78,2
TRIS-DRG,075,VIRAL MENINGITIS WITH CC/MCC ,,,5722.1,5899.08,2
TRIS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC ,,,2795.03,2881.47,2
TRIS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC ,,,6176.14,6367.16,2
TRIS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC ,,,4737.05,4883.55,2
TRIS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC ,,,10014.11,10323.82,2
TRIS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC ,,,7478.69,7709.99,2
TRIS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC ,,,5649.62,5824.35,2
TRIS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC ,,,10642.9,10972.06,2
TRIS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC ,,,6246.38,6439.57,2
TRIS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC ,,,5157.37,5316.87,2
TRIS-DRG,088,CONCUSSION WITH MCC ,,,8431.72,8692.49,2
TRIS-DRG,089,CONCUSSION WITH CC ,,,8798.66,9070.78,2
TRIS-DRG,090,CONCUSSION WITHOUT CC/MCC ,,,9512.87,9807.08,2
TRIS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC* ,,,9009.38,9288.02,2
TRIS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC* ,,,5462.49,5631.44,2
TRIS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC* ,,,4525.2,4665.15,2
TRIS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC ,,,22819.86,23525.63,2
TRIS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC ,,,14664.05,15117.58,2
TRIS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,14692.71,15147.12,2
TRIS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC ,,,17853.55,18405.72,2
TRIS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC ,,,10921.62,11259.4,2
TRIS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC ,,,9469.04,9761.89,2
TRIS-DRG,100,SEIZURES WITH MCC ,,,9222.35,9507.58,2
TRIS-DRG,101,SEIZURES WITHOUT MCC ,,,4218.95,4349.43,2
TRIS-DRG,102,HEADACHES WITH MCC* ,,,9028.48,9307.72,2
TRIS-DRG,103,HEADACHES WITHOUT MCC* ,,,4966.87,5120.49,2
TRIS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC ,,,16759.48,17277.81,2
TRIS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,8439.02,8700.02,2
TRIS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,9573.55,9869.64,2
TRIS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,11589.19,11947.62,2
TRIS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,6766.73,6976.01,2
TRIS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,2102.73,2167.76,2
TRIS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,3323.8,3426.6,2
TRIS-DRG,123,NEUROLOGICAL EYE DISORDERS ,,,4148.15,4276.44,2
TRIS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,8252.46,8507.69,2
TRIS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,3804.81,3922.48,2
TRIS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13535.14,13953.75,2
TRIS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,6332.92,6528.78,2
TRIS-DRG,137,MOUTH PROCEDURES WITH CC/MCC ,,,6403.72,6601.78,2
TRIS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC ,,,4517.9,4657.62,2
TRIS-DRG,139,SALIVARY GLAND PROCEDURES ,,,7707.39,7945.77,2
TRIS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,2767.49,2853.08,2
TRIS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,2078.01,2142.28,2
TRIS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,9325.74,9614.17,2
TRIS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,7849.56,8092.33,2
TRIS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,4971.37,5125.12,2
TRIS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,2802.89,2889.58,2
TRIS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC* ",,,13206.98,13615.44,2
TRIS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC* ",,,7931.04,8176.33,2
TRIS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC* ",,,4971.93,5125.7,2
TRIS-DRG,149,DYSEQUILIBRIUM ,,,4374.6,4509.9,2
TRIS-DRG,150,EPISTAXIS WITH MCC ,,,8305.28,8562.15,2
TRIS-DRG,151,EPISTAXIS WITHOUT MCC ,,,3469.9,3577.22,2
TRIS-DRG,152,OTITIS MEDIA AND URI WITH MCC ,,,3691.3,3805.46,2
TRIS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC ,,,2438.76,2514.19,2
TRIS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,5228.73,5390.45,2
TRIS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,3431.13,3537.24,2
TRIS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,2768.62,2854.24,2
TRIS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC ,,,8739.09,9009.37,2
TRIS-DRG,158,DENTAL AND ORAL DISEASES WITH CC ,,,3682.87,3796.77,2
TRIS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,2812.45,2899.43,2
TRIS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC ,,,24333.7,25086.29,2
TRIS-DRG,164,MAJOR CHEST PROCEDURES WITH CC ,,,13453.66,13869.75,2
TRIS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,11456.57,11810.9,2
TRIS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,22714.22,23416.72,2
TRIS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,10537.82,10863.73,2
TRIS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,9006.57,9285.12,2
TRIS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,18564.95,19139.12,2
TRIS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,5826.62,6006.83,2
TRIS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC ,,,3733.44,3848.91,2
TRIS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC* ,,,7537.69,7770.82,2
TRIS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC* ,,,4215.58,4345.96,2
TRIS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC* ,,,3407.53,3512.91,2
TRIS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC ,,,10075.35,10386.96,2
TRIS-DRG,181,RESPIRATORY NEOPLASMS WITH CC ,,,6295.83,6490.55,2
TRIS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,4701.65,4847.06,2
TRIS-DRG,183,MAJOR CHEST TRAUMA WITH MCC ,,,5162.43,5322.09,2
TRIS-DRG,184,MAJOR CHEST TRAUMA WITH CC ,,,4821.34,4970.45,2
TRIS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,4911.81,5063.72,2
TRIS-DRG,186,PLEURAL EFFUSION WITH MCC ,,,7367.99,7595.87,2
TRIS-DRG,187,PLEURAL EFFUSION WITH CC ,,,4811.78,4960.6,2
TRIS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC ,,,3431.69,3537.82,2
TRIS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,4240.3,4371.45,2
TRIS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC* ,,,5592.3,5765.26,2
TRIS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC* ,,,4216.7,4347.11,2
TRIS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC* ,,,3101.28,3197.19,2
TRIS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC* ,,,5573.19,5745.56,2
TRIS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC* ,,,3946.98,4069.05,2
TRIS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC* ,,,2805.7,2892.48,2
TRIS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC ,,,8258.08,8513.49,2
TRIS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC ,,,5162.99,5322.67,2
TRIS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,4467.32,4605.49,2
TRIS-DRG,199,PNEUMOTHORAX WITH MCC ,,,6285.16,6479.54,2
TRIS-DRG,200,PNEUMOTHORAX WITH CC ,,,3882.36,4002.43,2
TRIS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC ,,,2567.45,2646.85,2
TRIS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,3894.72,4015.17,2
TRIS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,3168.15,3266.13,2
TRIS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS ,,,3655.9,3768.97,2
TRIS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,5957.55,6141.81,2
TRIS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,3731.76,3847.17,2
TRIS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,36846.69,37986.28,2
TRIS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,11621.77,11981.21,2
TRIS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES ,,,4357.75,4492.52,2
TRIS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,4213.33,4343.64,2
TRIS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,35596.4,36697.32,2
TRIS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT ,,,38112.72,39291.46,2
TRIS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,58583.16,60395.01,2
TRIS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,44463.05,45838.2,2
TRIS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,41012.82,42281.26,2
TRIS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,38508.87,39699.87,2
TRIS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,28948.24,29843.55,2
TRIS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,28456.56,29336.66,2
TRIS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,32120.32,33113.73,2
TRIS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,20542.93,21178.28,2
TRIS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC ,,,52580.65,54206.86,2
TRIS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,37814.9,38984.43,2
TRIS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,47003.52,48457.24,2
TRIS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,35747.57,36853.16,2
TRIS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,35348.59,36441.85,2
TRIS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,26343.14,27157.88,2
TRIS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,27931.15,28795.0,2
TRIS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,27513.08,28364.0,2
TRIS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,8635.13,8902.2,2
TRIS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,19933.8,20550.31,2
TRIS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13333.41,13745.78,2
TRIS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,11400.94,11753.55,2
TRIS-DRG,245,AICD GENERATOR PROCEDURES ,,,28457.68,29337.81,2
TRIS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,13192.37,13600.38,2
TRIS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,10234.38,10550.91,2
TRIS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC ,,,24060.6,24804.74,2
TRIS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC ,,,14994.46,15458.21,2
TRIS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,10541.19,10867.21,2
TRIS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,16824.66,17345.01,2
TRIS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,10590.64,10918.19,2
TRIS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,6812.24,7022.93,2
TRIS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,19598.34,20204.47,2
TRIS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,12612.45,13002.53,2
TRIS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,14057.73,14492.51,2
TRIS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,11473.99,11828.86,2
TRIS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,8188.4,8441.65,2
TRIS-DRG,263,VEIN LIGATION AND STRIPPING ,,,17738.91,18287.54,2
TRIS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,16477.39,16987.0,2
TRIS-DRG,265,AICD LEAD PROCEDURES ,,,22568.12,23266.1,2
TRIS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,22901.34,23609.63,2
TRIS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,2137.57,2203.68,2
TRIS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,10050.63,10361.47,2
TRIS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,2728.16,2812.53,2
TRIS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,2520.24,2598.19,2
TRIS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,2562.39,2641.64,2
TRIS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,13784.63,14210.96,2
TRIS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,19327.48,19925.24,2
TRIS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,20875.03,21520.65,2
TRIS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,52410.95,54031.91,2
TRIS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,20754.22,21396.1,2
TRIS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,32379.93,33381.37,2
TRIS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,20692.97,21332.96,2
TRIS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,13561.55,13980.98,2
TRIS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,8297.42,8554.04,2
TRIS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,5941.82,6125.59,2
TRIS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,5464.18,5633.18,2
TRIS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,15748.01,16235.06,2
TRIS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,4317.29,4450.81,2
TRIS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,3735.69,3851.23,2
TRIS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,11780.24,12144.58,2
TRIS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,6678.51,6885.06,2
TRIS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,16879.74,17401.79,2
TRIS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,10646.84,10976.12,2
TRIS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,5799.09,5978.44,2
TRIS-DRG,291,HEART FAILURE AND SHOCK WITH MCC* ,,,5706.37,5882.86,2
TRIS-DRG,292,HEART FAILURE AND SHOCK WITH CC* ,,,3537.89,3647.31,2
TRIS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC* ,,,2031.93,2094.77,2
TRIS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,9943.31,10250.83,2
TRIS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,3954.28,4076.58,2
TRIS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,2838.86,2926.66,2
TRIS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,6231.77,6424.51,2
TRIS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,4827.52,4976.82,2
TRIS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,3660.39,3773.6,2
TRIS-DRG,302,ATHEROSCLEROSIS WITH MCC ,,,7039.82,7257.55,2
TRIS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC ,,,3219.84,3319.43,2
TRIS-DRG,304,HYPERTENSION WITH MCC ,,,7055.0,7273.19,2
TRIS-DRG,305,HYPERTENSION WITHOUT MCC ,,,3543.51,3653.11,2
TRIS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7928.79,8174.01,2
TRIS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,5235.48,5397.4,2
TRIS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,5481.04,5650.56,2
TRIS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,3021.48,3114.93,2
TRIS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,2619.7,2700.73,2
TRIS-DRG,311,ANGINA PECTORIS ,,,3265.36,3366.35,2
TRIS-DRG,312,SYNCOPE AND COLLAPSE ,,,3908.2,4029.08,2
TRIS-DRG,313,CHEST PAIN ,,,3704.22,3818.79,2
TRIS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,11443.65,11797.58,2
TRIS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,4693.22,4838.37,2
TRIS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,3421.01,3526.82,2
TRIS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,33252.61,34281.04,2
TRIS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,28825.18,29716.68,2
TRIS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,27836.75,28697.68,2
TRIS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,15002.89,15466.9,2
TRIS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,16273.97,16777.29,2
TRIS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13196.86,13605.01,2
TRIS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,29536.58,30450.08,2
TRIS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,23205.91,23923.62,2
TRIS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,20024.27,20643.58,2
TRIS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,24155.0,24902.06,2
TRIS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,16890.97,17413.37,2
TRIS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,11093.57,11436.67,2
TRIS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,20150.71,20773.93,2
TRIS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13948.15,14379.54,2
TRIS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11066.59,11408.86,2
TRIS-DRG,332,RECTAL RESECTION WITH MCC ,,,22583.85,23282.32,2
TRIS-DRG,333,RECTAL RESECTION WITH CC ,,,14505.59,14954.22,2
TRIS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC ,,,13812.17,14239.35,2
TRIS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC ,,,15319.82,15793.63,2
TRIS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC ,,,10892.95,11229.85,2
TRIS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,8660.98,8928.85,2
TRIS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,16109.89,16608.13,2
TRIS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,8675.59,8943.91,2
TRIS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,6201.99,6393.81,2
TRIS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC ,,,14318.47,14761.31,2
TRIS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC ,,,7085.9,7305.05,2
TRIS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,4994.97,5149.45,2
TRIS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,15542.91,16023.62,2
TRIS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,10762.6,11095.46,2
TRIS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,11101.44,11444.78,2
TRIS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,14181.36,14619.96,2
TRIS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,10605.82,10933.83,2
TRIS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,8501.96,8764.91,2
TRIS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,18675.09,19252.67,2
TRIS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,11780.81,12145.16,2
TRIS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,8023.76,8271.92,2
TRIS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,21447.64,22110.97,2
TRIS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,43219.5,44556.19,2
TRIS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC* ,,,6387.43,6584.98,2
TRIS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC* ,,,4592.07,4734.09,2
TRIS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC* ,,,3952.6,4074.84,2
TRIS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC* ,,,7770.89,8011.23,2
TRIS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC* ,,,4390.34,4526.12,2
TRIS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC* ,,,2955.74,3047.15,2
TRIS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC ,,,11087.38,11430.29,2
TRIS-DRG,375,DIGESTIVE MALIGNANCY WITH CC ,,,6430.7,6629.58,2
TRIS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,5765.37,5943.68,2
TRIS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,8155.81,8408.05,2
TRIS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,4926.42,5078.78,2
TRIS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,2970.35,3062.21,2
TRIS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC ,,,13717.21,14141.45,2
TRIS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC ,,,5719.86,5896.76,2
TRIS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,4034.64,4159.42,2
TRIS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,8612.1,8878.45,2
TRIS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,5103.42,5261.26,2
TRIS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,6996.56,7212.94,2
TRIS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC ,,,4933.72,5086.31,2
TRIS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,3542.95,3652.53,2
TRIS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC* ,,,4903.38,5055.03,2
TRIS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC* ,,,3414.83,3520.45,2
TRIS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC* ,,,2542.16,2620.78,2
TRIS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,5753.01,5930.94,2
TRIS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,3686.24,3800.25,2
TRIS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7481.5,7712.89,2
TRIS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,4651.07,4794.92,2
TRIS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,3575.54,3686.13,2
TRIS-DRG,397,APPENDIX PROCEDURES WITH MCC ,,,14260.59,14701.64,2
TRIS-DRG,398,APPENDIX PROCEDURES WITH CC ,,,16273.97,16777.29,2
TRIS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,10897.46,11234.49,2
TRIS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,6870.68,7083.18,2
TRIS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,29769.78,30690.49,2
TRIS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,17483.8,18024.54,2
TRIS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13437.92,13853.53,2
TRIS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,14293.18,14735.24,2
TRIS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,16567.86,17080.27,2
TRIS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7919.24,8164.16,2
TRIS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,20604.19,21241.43,2
TRIS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,10328.78,10648.23,2
TRIS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13888.03,14317.56,2
TRIS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,22221.41,22908.67,2
TRIS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13499.74,13917.26,2
TRIS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11915.66,12284.19,2
TRIS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,11816.21,12181.66,2
TRIS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,11081.2,11423.92,2
TRIS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,8966.67,9243.99,2
TRIS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,16322.3,16827.11,2
TRIS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13525.59,13943.91,2
TRIS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,8728.98,8998.94,2
TRIS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,63124.09,65076.38,2
TRIS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13853.19,14281.64,2
TRIS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,9357.77,9647.19,2
TRIS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,10539.51,10865.47,2
TRIS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,8659.3,8927.11,2
TRIS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,6636.92,6842.19,2
TRIS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,56196.66,57934.7,2
TRIS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,34759.69,35834.73,2
TRIS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC* ,,,12326.44,12707.67,2
TRIS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC* ,,,5041.61,5197.54,2
TRIS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC* ,,,3789.64,3906.84,2
TRIS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC* ,,,10165.82,10480.23,2
TRIS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC* ,,,5770.43,5948.9,2
TRIS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC* ,,,5668.16,5843.46,2
TRIS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC* ,,,9574.12,9870.22,2
TRIS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC* ,,,4144.78,4272.96,2
TRIS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC* ,,,2936.63,3027.45,2
TRIS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC* ",,,9190.32,9474.56,2
TRIS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC* ",,,5401.81,5568.87,2
TRIS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,3312.56,3415.01,2
TRIS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,7607.37,7842.65,2
TRIS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC ,,,5589.49,5762.36,2
TRIS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,4169.5,4298.45,2
TRIS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,45708.28,47121.94,2
TRIS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,26218.4,27029.28,2
TRIS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,26736.5,27563.4,2
TRIS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,18821.19,19403.29,2
TRIS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,37873.33,39044.67,2
TRIS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,30442.97,31384.5,2
TRIS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,24668.6,25431.55,2
TRIS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,34448.95,35514.38,2
TRIS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,15011.32,15475.59,2
TRIS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,27736.16,28593.98,2
TRIS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,20222.08,20847.5,2
TRIS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,12645.61,13036.71,2
TRIS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,26805.05,27634.07,2
TRIS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,21682.53,22353.12,2
TRIS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,15786.23,16274.46,2
TRIS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,19260.06,19855.73,2
TRIS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,10998.03,11338.18,2
TRIS-DRG,471,CERVICAL SPINAL FUSION WITH MCC ,,,20130.48,20753.07,2
TRIS-DRG,472,CERVICAL SPINAL FUSION WITH CC ,,,17046.62,17573.84,2
TRIS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,14252.16,14692.95,2
TRIS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,60968.54,62854.16,2
TRIS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,11465.0,11819.59,2
TRIS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,5139.95,5298.92,2
TRIS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,14715.75,15170.88,2
TRIS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,12086.49,12460.3,2
TRIS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,11439.15,11792.94,2
TRIS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,22330.43,23021.06,2
TRIS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,12962.54,13363.44,2
TRIS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,10198.42,10513.83,2
TRIS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,15283.85,15756.55,2
TRIS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,20128.79,20751.33,2
TRIS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,10399.02,10720.64,2
TRIS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,7249.98,7474.21,2
TRIS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7915.31,8160.11,2
TRIS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,7465.77,7696.66,2
TRIS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC* ",,,22652.41,23353.0,2
TRIS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC* ",,,17010.09,17536.18,2
TRIS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,11862.85,12229.74,2
TRIS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,22614.76,23314.19,2
TRIS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12662.47,13054.09,2
TRIS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7019.59,7236.69,2
TRIS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,16390.29,16897.21,2
TRIS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11801.03,12166.01,2
TRIS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC ,,,19056.08,19645.44,2
TRIS-DRG,501,SOFT TISSUE PROCEDURES WITH CC ,,,10645.15,10974.38,2
TRIS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,8002.97,8250.48,2
TRIS-DRG,503,FOOT PROCEDURES WITH MCC ,,,17409.07,17947.49,2
TRIS-DRG,504,FOOT PROCEDURES WITH CC ,,,9439.25,9731.19,2
TRIS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC ,,,8477.23,8739.42,2
TRIS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES ,,,8415.42,8675.69,2
TRIS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,11267.2,11615.67,2
TRIS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,9446.0,9738.14,2
TRIS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,19552.81,20157.54,2
TRIS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,16898.27,17420.9,2
TRIS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,9102.1,9383.6,2
TRIS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7824.27,8066.26,2
TRIS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,6096.91,6285.48,2
TRIS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,18336.81,18903.93,2
TRIS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,12876.0,13274.23,2
TRIS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,11221.69,11568.75,2
TRIS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,16168.89,16668.96,2
TRIS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,12722.03,13115.5,2
TRIS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,10154.03,10468.07,2
TRIS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,17902.44,18456.12,2
TRIS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,14762.39,15218.96,2
TRIS-DRG,533,FRACTURES OF FEMUR WITH MCC ,,,9778.09,10080.51,2
TRIS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC ,,,3728.39,3843.7,2
TRIS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7996.22,8243.53,2
TRIS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,4202.09,4332.05,2
TRIS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,5952.5,6136.59,2
TRIS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,4492.61,4631.56,2
TRIS-DRG,539,OSTEOMYELITIS WITH MCC* ,,,9542.09,9837.2,2
TRIS-DRG,540,OSTEOMYELITIS WITH CC* ,,,4423.49,4560.3,2
TRIS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC* ,,,4689.84,4834.89,2
TRIS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,10388.91,10710.22,2
TRIS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7388.22,7616.72,2
TRIS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,3158.03,3255.7,2
TRIS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,18913.91,19498.88,2
TRIS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7827.08,8069.16,2
TRIS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,5405.74,5572.93,2
TRIS-DRG,548,SEPTIC ARTHRITIS WITH MCC ,,,12043.78,12416.27,2
TRIS-DRG,549,SEPTIC ARTHRITIS WITH CC ,,,4801.67,4950.17,2
TRIS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,3441.8,3548.25,2
TRIS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC ,,,6390.8,6588.45,2
TRIS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,4071.16,4197.07,2
TRIS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC* ,,,8085.57,8335.64,2
TRIS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC* ,,,3509.24,3617.77,2
TRIS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,8244.6,8499.58,2
TRIS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,4000.36,4124.08,2
TRIS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,6145.24,6335.3,2
TRIS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,2638.81,2720.42,2
TRIS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,9508.93,9803.02,2
TRIS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9293.71,9581.15,2
TRIS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6543.64,6746.02,2
TRIS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7477.57,7708.83,2
TRIS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,3922.25,4043.56,2
TRIS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC* ,,,6577.36,6780.78,2
TRIS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC* ,,,5491.15,5660.98,2
TRIS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC* ,,,3793.01,3910.32,2
TRIS-DRG,570,SKIN DEBRIDEMENT WITH MCC ,,,14764.64,15221.28,2
TRIS-DRG,571,SKIN DEBRIDEMENT WITH CC ,,,8386.2,8645.57,2
TRIS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9693.24,9993.03,2
TRIS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,40863.91,42127.74,2
TRIS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,21652.74,22322.41,2
TRIS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,11208.76,11555.42,2
TRIS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,30570.53,31516.01,2
TRIS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,19453.36,20055.01,2
TRIS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,10594.57,10922.24,2
TRIS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,11221.12,11568.17,2
TRIS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,12560.76,12949.24,2
TRIS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13596.96,14017.48,2
TRIS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,17004.48,17530.39,2
TRIS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,16398.72,16905.9,2
TRIS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,21758.94,22431.9,2
TRIS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,16342.53,16847.97,2
TRIS-DRG,592,SKIN ULCERS WITH MCC* ,,,12071.32,12444.66,2
TRIS-DRG,593,SKIN ULCERS WITH CC* ,,,5137.14,5296.02,2
TRIS-DRG,594,SKIN ULCERS WITHOUT CC/MCC* ,,,5406.3,5573.51,2
TRIS-DRG,595,MAJOR SKIN DISORDERS WITH MCC ,,,8278.31,8534.34,2
TRIS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC ,,,2373.02,2446.41,2
TRIS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC* ,,,7597.82,7832.8,2
TRIS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC* ,,,5007.9,5162.78,2
TRIS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC* ,,,4798.86,4947.28,2
TRIS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,2535.42,2613.83,2
TRIS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,2048.22,2111.57,2
TRIS-DRG,602,CELLULITIS WITH MCC ,,,6236.83,6429.72,2
TRIS-DRG,603,CELLULITIS WITHOUT MCC ,,,3337.29,3440.5,2
TRIS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,9181.89,9465.87,2
TRIS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,4177.93,4307.14,2
TRIS-DRG,606,MINOR SKIN DISORDERS WITH MCC ,,,6234.58,6427.4,2
TRIS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC ,,,2401.11,2475.38,2
TRIS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13195.17,13603.27,2
TRIS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,8496.9,8759.69,2
TRIS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19705.67,20315.12,2
TRIS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,8720.55,8990.26,2
TRIS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,8846.42,9120.02,2
TRIS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,24302.79,25054.42,2
TRIS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC ,,,11087.38,11430.29,2
TRIS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,10541.19,10867.21,2
TRIS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,28408.23,29286.84,2
TRIS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,8060.85,8310.15,2
TRIS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,7808.54,8050.04,2
TRIS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,18837.49,19420.09,2
TRIS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,8921.72,9197.65,2
TRIS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,8465.43,8727.25,2
TRIS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,15275.43,15747.87,2
TRIS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,10865.99,11202.05,2
TRIS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,8962.18,9239.36,2
TRIS-DRG,637,DIABETES WITH MCC ,,,6214.92,6407.13,2
TRIS-DRG,638,DIABETES WITH CC ,,,3462.6,3569.69,2
TRIS-DRG,639,DIABETES WITHOUT CC/MCC ,,,2517.43,2595.29,2
TRIS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,6514.98,6716.48,2
TRIS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,3354.14,3457.88,2
TRIS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM ,,,6380.12,6577.44,2
TRIS-DRG,643,ENDOCRINE DISORDERS WITH MCC ,,,7500.6,7732.58,2
TRIS-DRG,644,ENDOCRINE DISORDERS WITH CC ,,,4560.6,4701.65,2
TRIS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,2961.36,3052.95,2
TRIS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,12501.2,12887.83,2
TRIS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,92992.77,95868.84,2
TRIS-DRG,652,KIDNEY TRANSPLANT ,,,20504.16,21138.31,2
TRIS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC ,,,22866.5,23573.71,2
TRIS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC ,,,15810.39,16299.37,2
TRIS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,10447.35,10770.46,2
TRIS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,24856.85,25625.62,2
TRIS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13469.39,13885.97,2
TRIS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,10470.96,10794.8,2
TRIS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,9972.52,10280.95,2
TRIS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,6902.15,7115.62,2
TRIS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,6625.12,6830.02,2
TRIS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC ,,,19095.97,19686.57,2
TRIS-DRG,663,MINOR BLADDER PROCEDURES WITH CC ,,,9481.96,9775.22,2
TRIS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,5467.55,5636.65,2
TRIS-DRG,665,PROSTATECTOMY WITH MCC ,,,19467.97,20070.07,2
TRIS-DRG,666,PROSTATECTOMY WITH CC ,,,10910.94,11248.39,2
TRIS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC ,,,6899.9,7113.3,2
TRIS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC ,,,18213.19,18776.48,2
TRIS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC ,,,9680.32,9979.71,2
TRIS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,6095.79,6284.32,2
TRIS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC ,,,11195.84,11542.1,2
TRIS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,6733.01,6941.25,2
TRIS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,22423.7,23117.22,2
TRIS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,12665.28,13056.99,2
TRIS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,9516.24,9810.55,2
TRIS-DRG,682,RENAL FAILURE WITH MCC* ,,,6617.25,6821.91,2
TRIS-DRG,683,RENAL FAILURE WITH CC* ,,,3822.23,3940.44,2
TRIS-DRG,684,RENAL FAILURE WITHOUT CC/MCC* ,,,2466.3,2542.58,2
TRIS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,14372.41,14816.92,2
TRIS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,6071.06,6258.83,2
TRIS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,4929.23,5081.68,2
TRIS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,6000.26,6185.83,2
TRIS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,3342.91,3446.29,2
TRIS-DRG,693,URINARY STONES WITH MCC ,,,8386.2,8645.57,2
TRIS-DRG,694,URINARY STONES WITHOUT MCC ,,,3314.25,3416.75,2
TRIS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,7134.23,7354.87,2
TRIS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,2674.77,2757.5,2
TRIS-DRG,697,URETHRAL STRICTURE ,,,6722.9,6930.82,2
TRIS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,7655.7,7892.47,2
TRIS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,5502.39,5672.57,2
TRIS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,3859.32,3978.68,2
TRIS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,16094.15,16591.91,2
TRIS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,11965.68,12335.75,2
TRIS-DRG,709,PENIS PROCEDURES WITH CC/MCC ,,,14515.14,14964.06,2
TRIS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC ,,,8350.8,8609.07,2
TRIS-DRG,711,TESTES PROCEDURES WITH CC/MCC ,,,12997.38,13399.36,2
TRIS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC ,,,6219.97,6412.34,2
TRIS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,8685.71,8954.34,2
TRIS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,6247.51,6440.73,2
TRIS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13954.9,14386.5,2
TRIS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,9175.15,9458.92,2
TRIS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,11792.05,12156.75,2
TRIS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,4945.52,5098.48,2
TRIS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,11288.0,11637.11,2
TRIS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,7127.48,7347.92,2
TRIS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,4089.71,4216.19,2
TRIS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,7298.87,7524.61,2
TRIS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,3600.83,3712.2,2
TRIS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,9249.32,9535.38,2
TRIS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,3092.85,3188.5,2
TRIS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,6603.77,6808.01,2
TRIS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,4191.41,4321.05,2
TRIS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13285.64,13696.54,2
TRIS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,8392.38,8651.94,2
TRIS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,20150.15,20773.35,2
TRIS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,12082.56,12456.25,2
TRIS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,9134.69,9417.2,2
TRIS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,16007.62,16502.7,2
TRIS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,11831.38,12197.3,2
TRIS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11160.43,11505.6,2
TRIS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,9631.99,9929.89,2
TRIS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,8119.29,8370.4,2
TRIS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,8023.76,8271.92,2
TRIS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,6797.63,7007.87,2
TRIS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,11000.28,11340.5,2
TRIS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,4602.75,4745.1,2
TRIS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,11892.06,12259.86,2
TRIS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,9319.56,9607.8,2
TRIS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7555.11,7788.77,2
TRIS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,9661.21,9960.01,2
TRIS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,5197.26,5358.01,2
TRIS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5991.27,6176.56,2
TRIS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC* ",,,7678.17,7915.64,2
TRIS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC* ",,,3379.43,3483.95,2
TRIS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC* ",,,3322.68,3425.44,2
TRIS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,3583.41,3694.24,2
TRIS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,2384.82,2458.58,2
TRIS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,3355.27,3459.04,2
TRIS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,7625.91,7861.77,2
TRIS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,5033.18,5188.85,2
TRIS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,2058.9,2122.58,2
TRIS-DRG,779,ABORTION WITHOUT D&C ,,,2239.84,2309.11,2
TRIS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,7983.86,8230.78,2
TRIS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,5267.51,5430.42,2
TRIS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,4384.16,4519.75,2
TRIS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,6462.16,6662.02,2
TRIS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,6599.27,6803.38,2
TRIS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,13897.03,14326.83,2
TRIS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,4210.52,4340.74,2
TRIS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS ,,,1730.17,1783.68,2
TRIS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,1244.67,1283.16,2
TRIS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,26007.68,26812.04,2
TRIS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,17386.59,17924.32,2
TRIS-DRG,795,NORMAL NEWBORN ,,,761.97,785.54,2
TRIS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,7279.2,7504.34,2
TRIS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,6239.64,6432.62,2
TRIS-DRG,799,SPLENIC PROCEDURES WITH MCC ,,,28248.64,29122.31,2
TRIS-DRG,800,SPLENIC PROCEDURES WITH CC ,,,13921.75,14352.32,2
TRIS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,11906.67,12274.92,2
TRIS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,61426.51,63326.3,2
TRIS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,12963.66,13364.6,2
TRIS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,8558.71,8823.42,2
TRIS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,3264.24,3365.19,2
TRIS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,2709.05,2792.84,2
TRIS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,2425.28,2500.29,2
TRIS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,14367.92,14812.29,2
TRIS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,4907.31,5059.08,2
TRIS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,3374.93,3479.31,2
TRIS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC ,,,6842.59,7054.21,2
TRIS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,3657.58,3770.7,2
TRIS-DRG,813,COAGULATION DISORDERS ,,,6444.74,6644.06,2
TRIS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,9150.98,9434.0,2
TRIS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,4702.77,4848.22,2
TRIS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,2997.32,3090.02,2
TRIS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,8879.01,9153.62,2
TRIS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,6613.88,6818.44,2
TRIS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,5097.24,5254.89,2
TRIS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,21839.86,22515.32,2
TRIS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,11780.81,12145.16,2
TRIS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,7654.57,7891.31,2
TRIS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,29444.99,30355.66,2
TRIS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,12881.06,13279.44,2
TRIS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,6614.45,6819.02,2
TRIS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,27696.26,28552.85,2
TRIS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13784.08,14210.39,2
TRIS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,8843.61,9117.12,2
TRIS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13825.1,14252.68,2
TRIS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,12024.12,12396.0,2
TRIS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3637.35,3749.85,2
TRIS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,2511.25,2588.92,2
TRIS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1711.07,1763.99,2
TRIS-DRG,834,ACUTE LEUKEMIA WITH MCC ,,,38884.23,40086.84,2
TRIS-DRG,835,ACUTE LEUKEMIA WITH CC ,,,13491.31,13908.57,2
TRIS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13732.38,14157.09,2
TRIS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,17980.55,18536.65,2
TRIS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,7755.72,7995.59,2
TRIS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7262.35,7486.96,2
TRIS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC* ,,,22540.59,23237.72,2
TRIS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC* ,,,9857.89,10162.77,2
TRIS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC* ,,,9101.53,9383.02,2
TRIS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7006.11,7222.79,2
TRIS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,5936.2,6119.79,2
TRIS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,5311.9,5476.18,2
TRIS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13157.53,13564.46,2
TRIS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,5739.52,5917.04,2
TRIS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,3161.4,3259.18,2
TRIS-DRG,849,RADIOTHERAPY ,,,16899.96,17422.64,2
TRIS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,49261.92,50785.48,2
TRIS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,24284.24,25035.3,2
TRIS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,8757.64,9028.49,2
TRIS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,5206.26,5367.27,2
TRIS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC* ,,,18879.63,19463.54,2
TRIS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC* ,,,9507.81,9801.86,2
TRIS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC* ,,,7937.22,8182.7,2
TRIS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,6604.33,6808.59,2
TRIS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,4034.08,4158.84,2
TRIS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS ,,,4182.99,4312.36,2
TRIS-DRG,865,VIRAL ILLNESS WITH MCC ,,,9247.64,9533.65,2
TRIS-DRG,866,VIRAL ILLNESS WITHOUT MCC ,,,3764.35,3880.77,2
TRIS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,11300.35,11649.85,2
TRIS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,5656.36,5831.3,2
TRIS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,2911.34,3001.39,2
TRIS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,44432.15,45806.34,2
TRIS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,8608.16,8874.4,2
TRIS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,4345.94,4480.35,2
TRIS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,24116.79,24862.67,2
TRIS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,3785.7,3902.79,2
TRIS-DRG,881,DEPRESSIVE NEUROSES ,,,2226.36,2295.21,2
TRIS-DRG,882,NEUROSES EXCEPT DEPRESSIVE ,,,3379.43,3483.95,2
TRIS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,6258.74,6452.31,2
TRIS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,10718.2,11049.69,2
TRIS-DRG,885,PSYCHOSES ,,,3366.51,3470.63,2
TRIS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,7959.14,8205.3,2
TRIS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES ,,,5559.15,5731.08,2
TRIS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,3114.2,3210.52,2
TRIS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,3501.37,3609.66,2
TRIS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,6192.44,6383.96,2
TRIS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,26175.69,26985.25,2
TRIS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,11649.87,12010.18,2
TRIS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,5041.05,5196.96,2
TRIS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,17701.27,18248.73,2
TRIS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,9252.69,9538.86,2
TRIS-DRG,906,HAND PROCEDURES FOR INJURIES ,,,8498.59,8761.43,2
TRIS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC* ,,,21221.75,21878.09,2
TRIS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC* ,,,9617.95,9915.41,2
TRIS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC* ,,,6818.42,7029.3,2
TRIS-DRG,913,TRAUMATIC INJURY WITH MCC ,,,10195.61,10510.94,2
TRIS-DRG,914,TRAUMATIC INJURY WITHOUT MCC ,,,4636.46,4779.86,2
TRIS-DRG,915,ALLERGIC REACTIONS WITH MCC ,,,9485.89,9779.27,2
TRIS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC ,,,2845.04,2933.03,2
TRIS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC* ,,,7382.6,7610.93,2
TRIS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC* ,,,3344.03,3447.45,2
TRIS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC* ,,,8170.42,8423.11,2
TRIS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC* ,,,4481.37,4619.97,2
TRIS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC* ,,,2559.58,2638.74,2
TRIS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,7485.99,7717.52,2
TRIS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,2771.99,2857.72,2
TRIS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,133171.69,137290.4,2
TRIS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,22736.14,23439.32,2
TRIS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,12793.4,13189.07,2
TRIS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,24289.87,25041.1,2
TRIS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,3837.4,3956.08,2
TRIS-DRG,935,NON-EXTENSIVE BURNS ,,,9118.39,9400.41,2
TRIS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,22632.18,23332.14,2
TRIS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,9854.52,10159.3,2
TRIS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,14131.35,14568.4,2
TRIS-DRG,945,REHABILITATION WITH CC/MCC ,,,9658.97,9957.7,2
TRIS-DRG,946,REHABILITATION WITHOUT CC/MCC ,,,7152.77,7373.99,2
TRIS-DRG,947,SIGNS AND SYMPTOMS WITH MCC ,,,5044.42,5200.43,2
TRIS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC ,,,4742.67,4889.35,2
TRIS-DRG,949,AFTERCARE WITH CC/MCC ,,,11341.94,11692.72,2
TRIS-DRG,950,AFTERCARE WITHOUT CC/MCC ,,,14410.62,14856.31,2
TRIS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,3204.11,3303.2,2
TRIS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,37874.46,39045.83,2
TRIS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43478.0,44822.68,2
TRIS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,47627.82,49100.85,2
TRIS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,24650.06,25412.43,2
TRIS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13469.95,13886.55,2
TRIS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC* ,,,16145.85,16645.21,2
TRIS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC* ,,,7662.44,7899.42,2
TRIS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC* ,,,5798.53,5977.86,2
TRIS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,38180.7,39361.55,2
TRIS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,16450.42,16959.2,2
TRIS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,10723.25,11054.9,2
TRIS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,5623.77,5797.7,2
TRIS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,5630.51,5804.65,2
TRIS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,8094.0,8344.33,2
TRIS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,27497.91,28348.36,2
TRIS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,10868.79,11204.94,2
TRIS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9292.59,9579.99,2
TRIS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,21016.64,21666.64,2
TRIS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,8684.59,8953.18,2
TRIS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,5968.23,6152.81,2